# Synergistic protective effects of lycopene and N-acetylcysteine against cisplatin-induced hepatorenal toxicity in rats

**Authors:** Asmaa Elsayed, Ashraf Elkomy, Reda Elkammar, Gehan Youssef, Ehab Yahya Abdelhiee, Walied Abdo, Sabreen Ezzat Fadl, Ahmed Soliman, Mohamed Aboubakr

PMC · DOI: 10.1038/s41598-021-93196-7 · Scientific Reports · 2021-07-07

## TL;DR

This study shows that lycopene and N-acetylcysteine can protect rats from liver and kidney damage caused by cisplatin chemotherapy.

## Contribution

The novel finding is the synergistic protective effect of lycopene and N-acetylcysteine against cisplatin-induced hepatorenal toxicity.

## Key findings

- Cisplatin increased serum markers of liver and kidney damage in rats.
- Lycopene and N-acetylcysteine reduced oxidative stress and apoptosis in liver and kidney tissues.
- Combined treatment showed better protective effects than individual treatments.

## Abstract

Cisplatin (CP) is one of the most frequently used chemotherapy agents. The objective of this design was to determine the ameliorative effect of lycopene (LP) and/or N-acetylcysteine (NAC) in rats with hepatic and renal toxicity induced by CP. Rats were divided randomly into 7 groups (7 rats/group): control vehicle group (saline only), the LP group (10 mg/kg, orally), the NAC group (150 mg/kg, orally), the CP group (7.5 mg/kg, IP on day 27), the LP-CP group, the NAC-CP group, and the LP-NAC-CP group. The activities of alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase (APK), and levels of urea, creatinine, and lipids (cholesterol, triglycerides, and low-density lipoprotein-cholesterol) increased after CP injection in the serum. Moreover, CP decreased levels of protein, albumin, and HDL cholesterol. Meanwhile, malondialdehyde significantly increased with a decrease in reduced glutathione, superoxide dismutase, and catalase in the liver and kidney tissues. CP also induced some pathological lesions and increased the expression of caspase-3 in the liver and kidney tissues. Administration of LP and NAC alone or in combinations ameliorated hepatorenal toxicity and apoptosis induced by CP.

## Linked entities

- **Proteins:** GPT (glutamic--pyruvic transaminase), GOT1 (glutamic-oxaloacetic transaminase 1), Apk (acid phosphatase, kidney), Casp3 (caspase 3), Cat (Catalase)
- **Chemicals:** lycopene (PubChem CID 446925), N-acetylcysteine (PubChem CID 12035), cisplatin (PubChem CID 5460033), urea (PubChem CID 1176), creatinine (PubChem CID 588), cholesterol (PubChem CID 5997), malondialdehyde (PubChem CID 10964)
- **Species:** Rattus norvegicus (taxon 10116)

## Full-text entities

- **Genes:** Alb (albumin) [NCBI Gene 24186] {aka Alb1, Albza}, Got2 (glutamic-oxaloacetic transaminase 2) [NCBI Gene 25721] {aka ASPATA, mAAT}, Cat (catalase) [NCBI Gene 24248] {aka CS1, Cas1, Cat01, Catl, Cs-1}, Casp3 (caspase 3) [NCBI Gene 25402] {aka CPP32-beta, Lice, Yama}
- **Diseases:** liver (MESH:D017093), CP damage (OMIM:613290), oxidative damage (MESH:D004194), metastases (MESH:D009362), impaired lipid metabolism (MESH:D052439), carcinogenesis (MESH:D063646), changes (MESH:D009402), inflammatory (MESH:D007249), inferior vena cava occlusion (MESH:C563013), histopathological lesions (MESH:D009059), proteinuria (MESH:D011507), hepatocellular dysfunction (MESH:D018248), pathological lesions (MESH:D013568), tissue damage (MESH:D017695), liver and kidney (MESH:D051437), damage in (MESH:D020263), hepatic and renal toxicity (MESH:D056486), nephrotic lesions (MESH:D009404), cytotoxic (MESH:D064420), DNA injury (MESH:D004266), renal (MESH:D006030), hydropic (MESH:D004487), cancer (MESH:D009369), overdose (MESH:D062787), hepatic dysfunction (MESH:D008107), tubules (MESH:D007673), mitochondrial damage (MESH:D028361), necrosis (MESH:D009336), kidney (MESH:D007674), hepatorenal damage (MESH:D006530)
- **Chemicals:** creatinine (MESH:D003404), GSH (MESH:D005978), LP (MESH:D000077276), MDA (MESH:D008315), eosin (MESH:D004801), paraffin (MESH:D010232), paracetamol (MESH:D000082), cholesterol (MESH:D002784), carbon (MESH:D002244), sulfhydryl (MESH:D013438), thymoquinone (MESH:C003466), free radical (MESH:D005609), phosphate (MESH:D010710), lipid (MESH:D008055), N-ethylmaleimide (MESH:D005033), L-carnitine (MESH:D002331), ice (MESH:D007053), hematoxylin (MESH:D006416), ethyl alcohol (MESH:D000431), ROS (MESH:D017382), vitamin E. (MESH:D014810), CP (MESH:D002945), L-cysteine (MESH:D003545), vitamin A (MESH:D014801), EDTA (MESH:D004492), unsaturated fatty acids (MESH:D005231), heavy metal (MESH:D019216), CAS No: 15663-27-1 (-), hydroxyl radicals (MESH:D017665), TG (MESH:D014280), isoflurane (MESH:D007530), H2O2 (MESH:D006861), H (MESH:D006859), N-acetylcysteine (MESH:D000111), water (MESH:D014867), urea (MESH:D014508), PBS (MESH:D007854), superoxide anions (MESH:D013481), carotenoid (MESH:D002338), NaCl (MESH:D012965),  (MESH:D000975),  (MESH:D020011),  (MESH:D015415),  (MESH:D000970)
- **Species:** Rattus norvegicus (brown rat, species) [taxon 10116], Solanum lycopersicum (tomato, species) [taxon 4081], Citrullus colocynthis (alhandal, species) [taxon 252529]

## Full text

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## Figures

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## References

56 references — full list in the complete paper: https://tomesphere.com/paper/PMC8263713/full.md

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Source: https://tomesphere.com/paper/PMC8263713