Pub Date : 2025-03-19eCollection Date: 2025-01-01DOI: 10.1155/jt/6015251
Imane Iken, Naima Rhalem, Mohammed Abdessadek, Rachid Hmimou, Abdelmajid Soulaymani, Rachida Soulaymani Bencheikh
Following our research on intoxication cases in Morocco, we conducted an investigation into intoxications in the Fez-Meknes region, one of the 12 regions in Morocco most affected by this problem. The main aim of this study is to report the characteristics of intoxication cases and their management. We deemed it necessary to carry out this study to identify the specificities of the Fez-Meknes region and subsequently propose specific measures to minimize risks. Our registry data were based on intoxication cases reported between 1999 and 2018 by the Poison and Pharmacovigilance Center of Morocco (PPCM). During the study period, 23,550 cases were collected. The median age of the patients was 20 years, with extremes ranging from 1 day to 98 years. The sex ratio (M/F) was 0.67. Gaseous compounds were the most incriminated products, accounting for 36.6% of cases. Among the 18,192 patients with a known outcome, 242 cases resulted in death, representing a case fatality rate of 1.3%. The findings of this work provide the first contributions to current data on the epidemiology of intoxications in the Fez-Meknes region over the last 20 years. These data show that intoxications are frequent and of moderate severity.
{"title":"Acute Poisonings in the Fez-Meknes Region Reported to the Poison Control and Pharmacovigilance Center of Morocco: A 20-Year Retrospective Study.","authors":"Imane Iken, Naima Rhalem, Mohammed Abdessadek, Rachid Hmimou, Abdelmajid Soulaymani, Rachida Soulaymani Bencheikh","doi":"10.1155/jt/6015251","DOIUrl":"10.1155/jt/6015251","url":null,"abstract":"<p><p>Following our research on intoxication cases in Morocco, we conducted an investigation into intoxications in the Fez-Meknes region, one of the 12 regions in Morocco most affected by this problem. The main aim of this study is to report the characteristics of intoxication cases and their management. We deemed it necessary to carry out this study to identify the specificities of the Fez-Meknes region and subsequently propose specific measures to minimize risks. Our registry data were based on intoxication cases reported between 1999 and 2018 by the Poison and Pharmacovigilance Center of Morocco (PPCM). During the study period, 23,550 cases were collected. The median age of the patients was 20 years, with extremes ranging from 1 day to 98 years. The sex ratio (M/F) was 0.67. Gaseous compounds were the most incriminated products, accounting for 36.6% of cases. Among the 18,192 patients with a known outcome, 242 cases resulted in death, representing a case fatality rate of 1.3%. The findings of this work provide the first contributions to current data on the epidemiology of intoxications in the Fez-Meknes region over the last 20 years. These data show that intoxications are frequent and of moderate severity.</p>","PeriodicalId":17421,"journal":{"name":"Journal of Toxicology","volume":"2025 ","pages":"6015251"},"PeriodicalIF":3.4,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11944672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143719932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-17eCollection Date: 2025-01-01DOI: 10.1155/jt/9990692
Reza Norouzirad, Khashayar Zahedi, Mohammad Mehdi Behvandi, Abbas Moridnia, Susan Sabbagh
Purpose: Gastrointestinal mucositis (GI-M) is the most common adverse effect of methotrexate (MTX). Gallic acid (GA) is a polyphenolic component rich in green tea, gall nuts, hops, grapes, and oak bark and has anti-inflammatory and antioxidant properties. The aim was to investigate the impact of GA on proinflammatory cytokines, expression level of hepatocyte growth factor (HGF) and C-met genes, and histopathological alterations of MTX-induced GI-M in rats. Methods: Twenty-four male Wistar rats were randomly divided into four groups: control, GA, MTX, and MTX + GA. Mucositis was induced in the experimental groups (MTX and MTX + GA) through three intradermal injections (the third to fifth days) of 2.5 mg/kg MTX in the suprascapular region. The GA group received 100 mg/kg GA via gavage, while the control group received normal saline by gavage (7 continuous days) and via intradermal injection (the third to fifth days) in the suprascapular region. The intestinal jejunal tissue and serum were analyzed for HGF and C-met mRNA expression, as well as levels of tumor necrosis factor-α (TNF-α) and interleukin-1 β (IL-1β). In addition, a histopathological study was to eperformedvaluate the villi of mucosa and fibrosis of submucosal layers. Results: Decreased levels of HGF and C-met gene expression in the MTX group were significantly increased by GA administration (p < 0.05). GA administration decreased the elevated levels of TNF-α and IL-1β (p < 0.001) in the MTX group. Histopathological findings showed an adverse effect of MTX in mucosa which was relatively ameliorated in the MTX + GA ones. Conclusion: GA could increase HGF and C-met expression, decrease inflammatory cytokines, and improve histological injuries, affected by MTX, indicating a beneficial role for GA following GI-M.
{"title":"Mitigation of Methotrexate-Induced Intestinal Mucositis in Male Wistar Rats by Gallic Acid: The Role of HGF and C-Met Genes.","authors":"Reza Norouzirad, Khashayar Zahedi, Mohammad Mehdi Behvandi, Abbas Moridnia, Susan Sabbagh","doi":"10.1155/jt/9990692","DOIUrl":"10.1155/jt/9990692","url":null,"abstract":"<p><p><b>Purpose:</b> Gastrointestinal mucositis (GI-M) is the most common adverse effect of methotrexate (MTX). Gallic acid (GA) is a polyphenolic component rich in green tea, gall nuts, hops, grapes, and oak bark and has anti-inflammatory and antioxidant properties. The aim was to investigate the impact of GA on proinflammatory cytokines, expression level of hepatocyte growth factor (HGF) and C-met genes, and histopathological alterations of MTX-induced GI-M in rats. <b>Methods:</b> Twenty-four male Wistar rats were randomly divided into four groups: control, GA, MTX, and MTX + GA. Mucositis was induced in the experimental groups (MTX and MTX + GA) through three intradermal injections (the third to fifth days) of 2.5 mg/kg MTX in the suprascapular region. The GA group received 100 mg/kg GA via gavage, while the control group received normal saline by gavage (7 continuous days) and via intradermal injection (the third to fifth days) in the suprascapular region. The intestinal jejunal tissue and serum were analyzed for HGF and C-met mRNA expression, as well as levels of tumor necrosis factor-α (TNF-α) and interleukin-1 β (IL-1β). In addition, a histopathological study was to eperformedvaluate the villi of mucosa and fibrosis of submucosal layers. <b>Results:</b> Decreased levels of HGF and C-met gene expression in the MTX group were significantly increased by GA administration (<i>p</i> < 0.05). GA administration decreased the elevated levels of TNF-α and IL-1β (<i>p</i> < 0.001) in the MTX group. Histopathological findings showed an adverse effect of MTX in mucosa which was relatively ameliorated in the MTX + GA ones. <b>Conclusion:</b> GA could increase HGF and C-met expression, decrease inflammatory cytokines, and improve histological injuries, affected by MTX, indicating a beneficial role for GA following GI-M.</p>","PeriodicalId":17421,"journal":{"name":"Journal of Toxicology","volume":"2025 ","pages":"9990692"},"PeriodicalIF":3.4,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11932751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-03-05eCollection Date: 2025-01-01DOI: 10.1155/jt/7995780
Felipe Cantore Tiburcio, Viviane da Silva Martins Lopes Correa, Kevin Silva Muller, Ana Paula Silveira Leite, Carina Guidi Pinto, Fabio Anselmo, Antonio Francisco Godinho, Carlos Roberto Padovani, Ana Angelica Henrique Fernandes, Shelly Favorito de Carvalho, Selma Maria Michelin Matheus
Atrazine is an herbicide associated with respiratory disorders and the presence of oxidative stress, which can be reversed by association with antioxidant compounds, such as vitamin E. This study aimed to investigate the impact of atrazine (AZ) on the male rat diaphragm muscle and the attenuating effects of vitamin E. Fifty-two male rats were received for 28 days by gavage (n = 13/group): C (control), corn oil; AZ (100 mg/kg); AZE, AZ (100 mg/kg) and vitamin E (200 mg/kg); E, vitamin E (200 mg/kg). Both oxidative stress analysis and morphological analysis of the diaphragm muscle, neuromuscular junction (NMJ), and phrenic nerve were performed. Exposure to AZ caused oxidative stress in muscle fibers, as evidenced by the highest lipid hydroperoxide, and hydrophilic antioxidant capacity values in the AZ group. However, in the AZE group, these values were like those of the C group. The area and diameter of the muscle fiber were only larger in the E group. Exposure to AZ caused oxidative stress in the diaphragm muscle, but vitamin E attenuated these alterations and protected muscle fibers from the oxidative damage. Therefore, vitamin E may serve as a useful attenuating agent against AZ-induced oxidative stress in the skeletal muscle.
{"title":"Vitamin E Attenuating Effects Against the Impact of the Herbicide Atrazine on the Diaphragm Muscle of Male Wistar Rats.","authors":"Felipe Cantore Tiburcio, Viviane da Silva Martins Lopes Correa, Kevin Silva Muller, Ana Paula Silveira Leite, Carina Guidi Pinto, Fabio Anselmo, Antonio Francisco Godinho, Carlos Roberto Padovani, Ana Angelica Henrique Fernandes, Shelly Favorito de Carvalho, Selma Maria Michelin Matheus","doi":"10.1155/jt/7995780","DOIUrl":"https://doi.org/10.1155/jt/7995780","url":null,"abstract":"<p><p>Atrazine is an herbicide associated with respiratory disorders and the presence of oxidative stress, which can be reversed by association with antioxidant compounds, such as vitamin E. This study aimed to investigate the impact of atrazine (AZ) on the male rat diaphragm muscle and the attenuating effects of vitamin E. Fifty-two male rats were received for 28 days by gavage (<i>n</i> = 13/group): C (control), corn oil; AZ (100 mg/kg); AZE, AZ (100 mg/kg) and vitamin E (200 mg/kg); E, vitamin E (200 mg/kg). Both oxidative stress analysis and morphological analysis of the diaphragm muscle, neuromuscular junction (NMJ), and phrenic nerve were performed. Exposure to AZ caused oxidative stress in muscle fibers, as evidenced by the highest lipid hydroperoxide, and hydrophilic antioxidant capacity values in the AZ group. However, in the AZE group, these values were like those of the C group. The area and diameter of the muscle fiber were only larger in the E group. Exposure to AZ caused oxidative stress in the diaphragm muscle, but vitamin E attenuated these alterations and protected muscle fibers from the oxidative damage. Therefore, vitamin E may serve as a useful attenuating agent against AZ-induced oxidative stress in the skeletal muscle.</p>","PeriodicalId":17421,"journal":{"name":"Journal of Toxicology","volume":"2025 ","pages":"7995780"},"PeriodicalIF":3.4,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11991768/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143989401","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-28eCollection Date: 2025-01-01DOI: 10.1155/jt/5574491
Cosmos Gborsong, George A Asare, Robert A Ngala, Christian Obirikorang, Josephine Ablakwa, Bernice Asiedu, Samuel Adjei, Osei Afriyie, Daniel Afriyie, Mokbul Hossain, Munmun Pervin, Md Mahmudul Alam, Mst Antora Akter, Mohammed Habibur Rahman
Background: The safety of combining tamsulosin (an allopathic drug) and Croton membranaceus aqueous extract, a medicinal plant for managing benign prostatic hyperplasia (BPH), was investigated. Methods: The roots of CM were used and processed into a water extract by maceration and decoction. Thirty-five Sprague Dawley rats were divided into seven groups of five rats each. Groups 2-7 were orchidectomy/testosterone injections BPH-induced. Group 1 was designated as the control group. Group 2 was designated as the model group (untreated). Group 3 was treated with 0.03 mg/kg b.wt. of tamsulosin. Group 4 received 30 mg/kg b.wt. of CM (low dose [LD]). Group 5 received 300 mg/kg b.wt. of CM (high dose [HD]); Group 6 received 0.03 mg/kg b.wt. of tamsulosin plus 30 mg/kg b.wt. of CM. Group 7 received 0.03 mg/kg b.wt. plus 300 mg/kg b.wt. of CM. Tamsulosin and CM were administered by oral gavage for 28 days. Prostate-specific antigen (PSA) levels, renal and liver function tests, and histology were assessed. Results: PSA decreased after treatment with LD CM (0.44 ± 0.03 ng/mL) and tamsulosin (0.43 ± 0.04 ng/mL) combined, compared with the control group (0.63 ± 0.03 ng/mL) (p < 0.006). Prostate gland/accessory organ weights were as follows: tamsulosin < CM LD < CM HD/T < CM LD/T < CM HD < model. In the CM LD/T group, the acini appeared empty and the acini fluid contained fatty droplets with a slender outer boundary that had very little active mucous surface. At a higher dose, CM HD/T caused a reduction in the sizes and shapes of active acini with most being empty and having little active mucous surfaces. Conclusion: The results suggest that the combination of C. membranaceus and tamsulosin does not provide additional therapeutic benefits for treating BPH. Relative organ weights provide a better evaluation metric than total organ weights.
{"title":"Assessing the Safety of Combined Therapy, <i>Croton membranaceus</i> and Tamsulosin, in the Self-Prescribed Treatment Protocol for Benign Prostatic Hyperplasia.","authors":"Cosmos Gborsong, George A Asare, Robert A Ngala, Christian Obirikorang, Josephine Ablakwa, Bernice Asiedu, Samuel Adjei, Osei Afriyie, Daniel Afriyie, Mokbul Hossain, Munmun Pervin, Md Mahmudul Alam, Mst Antora Akter, Mohammed Habibur Rahman","doi":"10.1155/jt/5574491","DOIUrl":"https://doi.org/10.1155/jt/5574491","url":null,"abstract":"<p><p><b>Background:</b> The safety of combining tamsulosin (an allopathic drug) and <i>Croton membranaceus</i> aqueous extract, a medicinal plant for managing benign prostatic hyperplasia (BPH), was investigated. <b>Methods:</b> The roots of <i>CM</i> were used and processed into a water extract by maceration and decoction. Thirty-five Sprague Dawley rats were divided into seven groups of five rats each. Groups 2-7 were orchidectomy/testosterone injections BPH-induced. Group 1 was designated as the control group. Group 2 was designated as the model group (untreated). Group 3 was treated with 0.03 mg/kg b.wt. of tamsulosin. Group 4 received 30 mg/kg b.wt. of <i>CM</i> (low dose [LD]). Group 5 received 300 mg/kg b.wt. of <i>CM</i> (high dose [HD]); Group 6 received 0.03 mg/kg b.wt. of tamsulosin plus 30 mg/kg b.wt. of <i>CM</i>. Group 7 received 0.03 mg/kg b.wt. plus 300 mg/kg b.wt. of <i>CM</i>. Tamsulosin and <i>CM</i> were administered by oral gavage for 28 days. Prostate-specific antigen (PSA) levels, renal and liver function tests, and histology were assessed. <b>Results:</b> PSA decreased after treatment with LD <i>CM</i> (0.44 ± 0.03 ng/mL) and tamsulosin (0.43 ± 0.04 ng/mL) combined, compared with the control group (0.63 ± 0.03 ng/mL) (<i>p</i> < 0.006). Prostate gland/accessory organ weights were as follows: tamsulosin < <i>CM</i> LD < <i>CM</i> HD/T < <i>CM</i> LD/T < <i>CM</i> HD < model. In the <i>CM</i> LD/T group, the acini appeared empty and the acini fluid contained fatty droplets with a slender outer boundary that had very little active mucous surface. At a higher dose, <i>CM</i> HD/T caused a reduction in the sizes and shapes of active acini with most being empty and having little active mucous surfaces. <b>Conclusion:</b> The results suggest that the combination of <i>C. membranaceus</i> and tamsulosin does not provide additional therapeutic benefits for treating BPH. Relative organ weights provide a better evaluation metric than total organ weights.</p>","PeriodicalId":17421,"journal":{"name":"Journal of Toxicology","volume":"2025 ","pages":"5574491"},"PeriodicalIF":3.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11991820/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-02-12eCollection Date: 2025-01-01DOI: 10.1155/jt/8221552
Saurabh Maru, Sateesh Belemkar
Background: The synergistic activity of compounds in herbal drugs has been well established by multiple scientific studies. The compounds present in plants may have increased toxicity and increased efficacy. Owing to the notion that traditional medicines do not have any adverse effects, these are used heftily. Aim: The present study was designed to assess the toxicity of an herbal drug consisting of Asparagus racemosus roots, Tinospora cordifolia stems, and Trigonella foenum-graecum seeds extract blend (ATTEB), which is widely employed as an antimicrobial, anti-inflammatory, immunomodulator, adaptogen, female tonic, galactagogue, etc. Methodology: The current study evaluated its safety by acute (OECD 423) and subacute (OECD 407) repeated-dose toxicity studies. A phytochemical investigation was carried out and revealed the presence of principal bioactive constituents. A genotoxicity study was performed by micronucleus assay. Gross necroscopy of the animals was performed, and behavioral, hematological, biochemical, and histopathological studies were performed. Results: In the acute toxicity study, there was no mortality and no significant changes in behavior, organ structure, or organ weight, as observed by gross necroscopy of the animals, at a single dose of 2000 mg/kg BW. In a 28-day repeated-dose toxicity study, up to a daily dose of 1000 mg/kg BW, there was no evidence of toxicity. No significant genotoxicity was observed in the mice. Conclusion: The LD50 found to be greater than 2000 mg/kg BW with NOAEL at 1000 mg/kg BW in mice. It was found to be free from any genotoxicity. The herbal drug was found to be safe to level of category 4 and can be used further for clinical studies.
{"title":"Acute and Subacute Oral Toxicity Study of a Herbal Formulation Containing <i>Asparagus racemosus</i>, <i>Tinospora cordifolia</i>, and <i>Trigonella foenum-graceum</i> in Mice.","authors":"Saurabh Maru, Sateesh Belemkar","doi":"10.1155/jt/8221552","DOIUrl":"10.1155/jt/8221552","url":null,"abstract":"<p><p><b>Background:</b> The synergistic activity of compounds in herbal drugs has been well established by multiple scientific studies. The compounds present in plants may have increased toxicity and increased efficacy. Owing to the notion that traditional medicines do not have any adverse effects, these are used heftily. <b>Aim:</b> The present study was designed to assess the toxicity of an herbal drug consisting of <i>Asparagus racemosus</i> roots, <i>Tinospora cordifolia</i> stems, and <i>Trigonella foenum-graecum</i> seeds extract blend (ATTEB), which is widely employed as an antimicrobial, anti-inflammatory, immunomodulator, adaptogen, female tonic, galactagogue, etc. <b>Methodology:</b> The current study evaluated its safety by acute (OECD 423) and subacute (OECD 407) repeated-dose toxicity studies. A phytochemical investigation was carried out and revealed the presence of principal bioactive constituents. A genotoxicity study was performed by micronucleus assay. Gross necroscopy of the animals was performed, and behavioral, hematological, biochemical, and histopathological studies were performed. <b>Results:</b> In the acute toxicity study, there was no mortality and no significant changes in behavior, organ structure, or organ weight, as observed by gross necroscopy of the animals, at a single dose of 2000 mg/kg BW. In a 28-day repeated-dose toxicity study, up to a daily dose of 1000 mg/kg BW, there was no evidence of toxicity. No significant genotoxicity was observed in the mice. <b>Conclusion:</b> The LD<sub>50</sub> found to be greater than 2000 mg/kg BW with NOAEL at 1000 mg/kg BW in mice. It was found to be free from any genotoxicity. The herbal drug was found to be safe to level of category 4 and can be used further for clinical studies.</p>","PeriodicalId":17421,"journal":{"name":"Journal of Toxicology","volume":"2025 ","pages":"8221552"},"PeriodicalIF":3.4,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11839261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143458358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Drug poisoning is the most common type of poisoning in the world. The utilization of tramadol for the management of pain has been identified as a significant contributor to the incidence of poisoning cases. Tramadol poisoning can result in a range of neurological complications, including seizures and a decreased level of consciousness. Tramadol-induced seizures are frequently dose independent and manifest as generalized tonic-clonic seizures. The neurotoxic effects of tramadol are primarily manifested within the initial 24 h period following ingestion, with 84.6% of the seizures occurring within the first six hours. In addition, it has been documented that 15%-35% of the patients with tramadol poisoning have experienced seizures. The present study was undertaken to elucidate the clinical and paraclinical signs and symptoms observed in patients with tramadol poisoning and their correlation with the occurrence of seizures. Methods and Materials: All patients hospitalized due to tramadol poisoning from October 2019 to September 2020 in the poisoning department of Imam Reza Hospital if they met the inclusion criteria were studied. The patients were divided into two groups with and without seizures. The occurrence of seizures was substantiated through the documentation of EMS personnel and the direct observation of the attending physician in the emergency room. Following admission, the patient's blood glucose level was quantified via a glucometer. A blood sample was also obtained for subsequent laboratory evaluation. In the event of any aberrations in blood glucose levels, a re-evaluation was conducted at one-hour intervals using a glucometer. All findings were analyzed using SPSS Version 25 statistical software. The level of significance was set at p < 0.05. Results: A total of 163 patients were included in this study. In 94 patients (57.3%), some degree of consciousness loss and seizures occurred in 69 patients (42.1%). There was a significant relationship between the occurrence of seizures and the increase in blood glucose levels of patients (p=0.031). The findings indicated that 60% of the patients with blood glucose levels exceeding 140 mg/dL experienced seizures. Conclusion: Seizures in tramadol poisoning may be related to the patient's blood glucose levels.
背景:药物中毒是世界上最常见的中毒类型。曲马多用于疼痛管理已被确定为中毒病例发生率的重要贡献者。曲马多中毒可导致一系列神经系统并发症,包括癫痫发作和意识水平下降。曲马多诱发的癫痫发作通常与剂量无关,表现为全身性强直-阵挛性癫痫发作。曲马多的神经毒性作用主要表现在摄入后最初的24小时内,84.6%的癫痫发作发生在最初的6小时内。此外,有文献记载,曲马多中毒患者中有15%-35%出现癫痫发作。本研究旨在阐明曲马多中毒患者的临床和临床旁体征和症状及其与癫痫发作的关系。方法与材料:选取2019年10月至2020年9月伊玛目礼萨医院中毒科符合纳入标准的曲马多中毒住院患者。将患者分为有和无癫痫发作两组。通过EMS人员的记录和急诊室主治医生的直接观察,证实了癫痫发作的发生。入院后,通过血糖仪对患者的血糖水平进行量化。还获得了血液样本,以供随后的实验室评估。如果血糖水平出现异常,每隔一小时用血糖仪重新评估一次。所有结果采用SPSS Version 25统计软件进行分析。p < 0.05为显著性水平。结果:本研究共纳入163例患者。94例(57.3%)患者中,69例(42.1%)患者出现一定程度的意识丧失和癫痫发作。癫痫发作的发生与患者血糖水平升高有显著关系(p=0.031)。研究结果表明,60%的血糖水平超过140 mg/dL的患者出现癫痫发作。结论:曲马多中毒引起的癫痫发作可能与患者血糖水平有关。
{"title":"Evaluating the Incidence of Seizures and Its Relationship With Blood Glucose Levels in Tramadol Poisoning Patients Admitted to Imam Reza Hospital in Mashhad (Iran) From 2019 to 2020.","authors":"Seyed Reza Mousavi, Faezeh Jafari, Anahita Alizade Ghamsari, Mina AkbariRad, Majid Khadem-Rezaiyan, Seyed Amirhossein Mousavi, Sadaf Sadat Rafati","doi":"10.1155/jt/8335323","DOIUrl":"10.1155/jt/8335323","url":null,"abstract":"<p><p><b>Background:</b> Drug poisoning is the most common type of poisoning in the world. The utilization of tramadol for the management of pain has been identified as a significant contributor to the incidence of poisoning cases. Tramadol poisoning can result in a range of neurological complications, including seizures and a decreased level of consciousness. Tramadol-induced seizures are frequently dose independent and manifest as generalized tonic-clonic seizures. The neurotoxic effects of tramadol are primarily manifested within the initial 24 h period following ingestion, with 84.6% of the seizures occurring within the first six hours. In addition, it has been documented that 15%-35% of the patients with tramadol poisoning have experienced seizures. The present study was undertaken to elucidate the clinical and paraclinical signs and symptoms observed in patients with tramadol poisoning and their correlation with the occurrence of seizures. <b>Methods and Materials:</b> All patients hospitalized due to tramadol poisoning from October 2019 to September 2020 in the poisoning department of Imam Reza Hospital if they met the inclusion criteria were studied. The patients were divided into two groups with and without seizures. The occurrence of seizures was substantiated through the documentation of EMS personnel and the direct observation of the attending physician in the emergency room. Following admission, the patient's blood glucose level was quantified via a glucometer. A blood sample was also obtained for subsequent laboratory evaluation. In the event of any aberrations in blood glucose levels, a re-evaluation was conducted at one-hour intervals using a glucometer. All findings were analyzed using SPSS Version 25 statistical software. The level of significance was set at <i>p</i> < 0.05. <b>Results:</b> A total of 163 patients were included in this study. In 94 patients (57.3%), some degree of consciousness loss and seizures occurred in 69 patients (42.1%). There was a significant relationship between the occurrence of seizures and the increase in blood glucose levels of patients (<i>p</i>=0.031). The findings indicated that 60% of the patients with blood glucose levels exceeding 140 mg/dL experienced seizures. <b>Conclusion:</b> Seizures in tramadol poisoning may be related to the patient's blood glucose levels.</p>","PeriodicalId":17421,"journal":{"name":"Journal of Toxicology","volume":"2025 ","pages":"8335323"},"PeriodicalIF":3.4,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11824836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143433198","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-21eCollection Date: 2024-01-01DOI: 10.1155/jt/8215321
Amira M Elmoslemany, Medhat Rehan, Fatmah Ahmed Safhi, Neveen M Zeima, Marwa Fawzy El-Hassnin, Sabry Ali Elnaggar, Ibtesam S Almami, Amina Zedan
The environmental xenobiotic aluminum chloride (AlCl3) destroys reproduction via free radicals. The present study aimed at evaluating the impact of purple and white eggplant on rat fertility when exposed to AlCl3. A total of 36 male albino rats were divided into six groups: a negative control, the second given AlCl3 (17 mg/kg b.w.) for 28 days, the third and fourth given a basal diet with 5% and 10% white eggplant powder, and the fifth and sixth given a basal diet with 5% and 10% purple eggplant powder. AlCl3 reduced follicular-stimulating hormone (FSH), plasma testosterone, sperm count, motility, and viability, luteinizing hormone (LH), glutathione peroxidase (GPx), superoxide dismutase (SOD), and catalase (CAT) activities. On the contrary, malondialdehyde (MDA) and tumor necrosis factor alpha (TNF-α) disclosed considerable increases. Besides, reproductive hormones, antioxidant enzymes, and sperm quality were significantly enhanced in the treated groups with eggplants. A downregulation in the expression of Fkbp6, Ccna1, and Cyp19A1 was detected, and normal expression was restored after treatment with high dose from eggplant (10%) without significant differences, whereas Msh4 and Cdk2 genes continued in their down expression and measured decrease up to 60% in Msh4 and 40% in Cdk2 in their mRNA levels after treatment with high dosage from eggplant, respectively. Alternatively, rats treated with eggplant at high dose (10%) gained more body weight (33%) and much bigger testicles (1.30 ± 0.05 g) when compared to AlCl3-treated rats (gained only 16% more body weight and 1.04 ± 0.06 g testis weight) after 28 days, subsequently, the eggplant reduced the side effect of AlCl3-induced toxicity. AlCl3 induced broad cytotoxic effects in seminiferous tubules, and the antioxidant and anti-inflammatory activities of eggplant minimized the histological alteration in rat testes.
{"title":"The Antioxidant and Anti-Inflammatory Impacts of Purple and White Eggplants on Fertility and Expression of Fertility-Related Genes in Rats Treated With Aluminum Chloride.","authors":"Amira M Elmoslemany, Medhat Rehan, Fatmah Ahmed Safhi, Neveen M Zeima, Marwa Fawzy El-Hassnin, Sabry Ali Elnaggar, Ibtesam S Almami, Amina Zedan","doi":"10.1155/jt/8215321","DOIUrl":"10.1155/jt/8215321","url":null,"abstract":"<p><p>The environmental xenobiotic aluminum chloride (AlCl<sub>3</sub>) destroys reproduction via free radicals. The present study aimed at evaluating the impact of purple and white eggplant on rat fertility when exposed to AlCl<sub>3</sub>. A total of 36 male albino rats were divided into six groups: a negative control, the second given AlCl<sub>3</sub> (17 mg/kg b.w.) for 28 days, the third and fourth given a basal diet with 5% and 10% white eggplant powder, and the fifth and sixth given a basal diet with 5% and 10% purple eggplant powder. AlCl<sub>3</sub> reduced follicular-stimulating hormone (FSH), plasma testosterone, sperm count, motility, and viability, luteinizing hormone (LH), glutathione peroxidase (GPx), superoxide dismutase (SOD), and catalase (CAT) activities. On the contrary, malondialdehyde (MDA) and tumor necrosis factor alpha (TNF-<i>α</i>) disclosed considerable increases. Besides, reproductive hormones, antioxidant enzymes, and sperm quality were significantly enhanced in the treated groups with eggplants. A downregulation in the expression of <i>Fkbp6, Ccna1,</i> and <i>Cyp19A1</i> was detected, and normal expression was restored after treatment with high dose from eggplant (10%) without significant differences, whereas <i>Msh4 and Cdk2</i> genes continued in their down expression and measured decrease up to 60% in <i>Msh4</i> and 40% in <i>Cdk2</i> in their mRNA levels after treatment with high dosage from eggplant, respectively. Alternatively, rats treated with eggplant at high dose (10%) gained more body weight (33%) and much bigger testicles (1.30 ± 0.05 g) when compared to AlCl<sub>3</sub>-treated rats (gained only 16% more body weight and 1.04 ± 0.06 g testis weight) after 28 days, subsequently, the eggplant reduced the side effect of AlCl3-induced toxicity. AlCl<sub>3</sub> induced broad cytotoxic effects in seminiferous tubules, and the antioxidant and anti-inflammatory activities of eggplant minimized the histological alteration in rat testes.</p>","PeriodicalId":17421,"journal":{"name":"Journal of Toxicology","volume":"2024 ","pages":"8215321"},"PeriodicalIF":3.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681986/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-21eCollection Date: 2024-01-01DOI: 10.1155/jt/9317271
Oluwafunmbi Ebenezer Ogunmiluyi, Alexander Obidike Naiho, Victor Oghenekparobo Emojevwe, Tolulope Samuel Oladele, Kayode Adedoyin Adebisi, Jacob Adewale Siyanbade, Adeniran Oluwadamilare Akinola
Background: Crude oil, a major key economic driver in developing countries, is also of environmental concern, linked to neurotoxicity and behavioural problems. Despite the known neurotoxic effects of crude oil and the potential benefits of zinc and vitamin E, there is a paucity of research specifically addressing their combined efficacy in mitigating neurochemical changes and behavioural deficits induced by crude oil. Current studies have largely focussed on the individual effects of these supplements in different contexts, but their synergistic potential in a crude oil exposure model remains underexplored. This study investigated the potential effects of zinc and vitamin E on neurobehavioural alterations in male Wistar rats fed with Bonny light crude oil (BLCO)-contaminated diet. Methods: Thirty (30) male Wistar rats (160 ± 10 g) were assigned into five groups (n = 6). Group 1 received standard rat feed, Group 2 was exposed to BLCO (0.1 mL/g of rat feed) for 3 weeks, and groups 3-5 were treated with zinc (50 mg/kg/day), vitamin E (400 IU/kg), or both [vitamin E (400 IU/kg) + zinc (50 mg/kg/day)], respectively for 1 week after BLCO exposure for 3 weeks. Locomotive, anxiolytic, depressive-like behaviours and spatial memory were assessed using the open-field test, elevated plus maze, forced swim test and Y-maze. Rats were sacrificed and the brain samples were collected for biochemical assays at the end of the behavioural tests. Results: Zinc and vitamin E supplementation (individually or combined) significantly increased brain total antioxidant capacity and superoxide dismutase (SOD) activity, reduced inflammatory markers (TNF-alpha) and lipid peroxidation, normalized neurotransmitter levels in the brain and improved behavioural performance. Conclusion: Treatment with Zn and/or vitamin E reverses BLCO-induced neurobehavioural alterations via modulation of oxidative stress, inflammation and neurotransmitters.
{"title":"Zinc or/and Vitamin E Supplementation Mitigates Oxidative Stress, Neuroinflammation, Neurochemical Changes and Behavioural Deficits in Male Wistar Rats Exposed to Bonny Light Crude Oil.","authors":"Oluwafunmbi Ebenezer Ogunmiluyi, Alexander Obidike Naiho, Victor Oghenekparobo Emojevwe, Tolulope Samuel Oladele, Kayode Adedoyin Adebisi, Jacob Adewale Siyanbade, Adeniran Oluwadamilare Akinola","doi":"10.1155/jt/9317271","DOIUrl":"10.1155/jt/9317271","url":null,"abstract":"<p><p><b>Background:</b> Crude oil, a major key economic driver in developing countries, is also of environmental concern, linked to neurotoxicity and behavioural problems. Despite the known neurotoxic effects of crude oil and the potential benefits of zinc and vitamin E, there is a paucity of research specifically addressing their combined efficacy in mitigating neurochemical changes and behavioural deficits induced by crude oil. Current studies have largely focussed on the individual effects of these supplements in different contexts, but their synergistic potential in a crude oil exposure model remains underexplored. This study investigated the potential effects of zinc and vitamin E on neurobehavioural alterations in male Wistar rats fed with Bonny light crude oil (BLCO)-contaminated diet. <b>Methods:</b> Thirty (30) male Wistar rats (160 ± 10 g) were assigned into five groups (<i>n</i> = 6). Group 1 received standard rat feed, Group 2 was exposed to BLCO (0.1 mL/g of rat feed) for 3 weeks, and groups 3-5 were treated with zinc (50 mg/kg/day), vitamin E (400 IU/kg), or both [vitamin E (400 IU/kg) + zinc (50 mg/kg/day)], respectively for 1 week after BLCO exposure for 3 weeks. Locomotive, anxiolytic, depressive-like behaviours and spatial memory were assessed using the open-field test, elevated plus maze, forced swim test and Y-maze. Rats were sacrificed and the brain samples were collected for biochemical assays at the end of the behavioural tests. <b>Results:</b> Zinc and vitamin E supplementation (individually or combined) significantly increased brain total antioxidant capacity and superoxide dismutase (SOD) activity, reduced inflammatory markers (TNF-alpha) and lipid peroxidation, normalized neurotransmitter levels in the brain and improved behavioural performance. <b>Conclusion:</b> Treatment with Zn and/or vitamin E reverses BLCO-induced neurobehavioural alterations via modulation of oxidative stress, inflammation and neurotransmitters.</p>","PeriodicalId":17421,"journal":{"name":"Journal of Toxicology","volume":"2024 ","pages":"9317271"},"PeriodicalIF":3.4,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11681987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142903267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-12-18eCollection Date: 2024-01-01DOI: 10.1155/jt/9857933
Tagesu Abdisa, Tegegn Dilbato
Plants are important components in sustaining the life of humans and animals, balancing ecosystems, providing animal feed and edible food for human consumption, and serving as sources of traditional and modern medicine. However, plants can be harmful to both animals and humans when ingested, leading to poisoning regardless of the quantity consumed. This presents significant risks to livestock health and can impede economic growth. In several developing countries, including Ethiopia, traditional communities have depended on medicinal plants for treating livestock and human diseases. The incidences of livestock poisoning from medicinal and poisonous plants are due to the misuse and lack of dosage standardization. Therefore, this paper aimed to review toxic plants and their effects on livestock health and associated economic losses. Toxic plants contain secondary metabolites that serve as a defense mechanism against predators. The most common secondary metabolites of toxic plants that affect livestock health and the economy include alkaloids (Asteraceae, Convolvulaceae, Lamiaceae, Fabaceae, and Boraginaceae), cyanides (Sorghum spp. and grass spp.), nitrates (Pennisetum purpureum roots, Amaranthus, nightshades, Solanum spp. Chenopodium spp., and weed spp.), oxalates (Poaecea, Amaranthaceae, and Polygonaceae), and glycosides (Pteridium aquiline). The most common effects of toxic plants on livestock health include teratogenic and abortifacient (Locoweeds, Lupines, Poison Hemlock, and Veratrum), hepatoxicity (Crotalaria, Lantana camara, Xanthium, and Senecio), photosensitization (L. camara, Alternanthera philoxeroides, Brachiaria brizantha, and Heracleum sphondylium), and impairing respiratory and circulatory systems (nitrite and cyanide toxic). Toxic plants lead to substantial economic losses, both direct and indirect. Direct losses stem from livestock deaths, abortions, decreased milk quality, and reduced skin and hide production, while indirect losses are associated with the costs of treatment and management of affected animals. Overall, toxic plants negatively impact livestock health and production, resulting in significant economic repercussions. Therefore, it is crucial to prioritize the identification of the most prevalent toxic plants, isolate secondary metabolites, conduct toxicity tests, standardize dosages, and develop effective strategies for managing both the toxic plants and their associated toxicity.
{"title":"Toxic Plants and Their Impact on Livestock Health and Economic Losses: A Comprehensive Review.","authors":"Tagesu Abdisa, Tegegn Dilbato","doi":"10.1155/jt/9857933","DOIUrl":"10.1155/jt/9857933","url":null,"abstract":"<p><p>Plants are important components in sustaining the life of humans and animals, balancing ecosystems, providing animal feed and edible food for human consumption, and serving as sources of traditional and modern medicine. However, plants can be harmful to both animals and humans when ingested, leading to poisoning regardless of the quantity consumed. This presents significant risks to livestock health and can impede economic growth. In several developing countries, including Ethiopia, traditional communities have depended on medicinal plants for treating livestock and human diseases. The incidences of livestock poisoning from medicinal and poisonous plants are due to the misuse and lack of dosage standardization. Therefore, this paper aimed to review toxic plants and their effects on livestock health and associated economic losses. Toxic plants contain secondary metabolites that serve as a defense mechanism against predators. The most common secondary metabolites of toxic plants that affect livestock health and the economy include alkaloids (Asteraceae, Convolvulaceae, Lamiaceae, Fabaceae, and Boraginaceae), cyanides (<i>Sorghum</i> spp. and grass spp.), nitrates (<i>Pennisetum purpureum</i> roots<i>, Amaranthus,</i> nightshades<i>, Solanum</i> spp. <i>Chenopodium</i> spp., and weed spp.), oxalates (Poaecea, Amaranthaceae, and Polygonaceae), and glycosides (<i>Pteridium aquiline</i>). The most common effects of toxic plants on livestock health include teratogenic and abortifacient (Locoweeds, Lupines, Poison Hemlock, and Veratrum), hepatoxicity (<i>Crotalaria, Lantana camara, Xanthium,</i> and <i>Senecio</i>), photosensitization (<i>L. camara, Alternanthera philoxeroides, Brachiaria brizantha,</i> and <i>Heracleum sphondylium</i>), and impairing respiratory and circulatory systems (nitrite and cyanide toxic). Toxic plants lead to substantial economic losses, both direct and indirect. Direct losses stem from livestock deaths, abortions, decreased milk quality, and reduced skin and hide production, while indirect losses are associated with the costs of treatment and management of affected animals. Overall, toxic plants negatively impact livestock health and production, resulting in significant economic repercussions. Therefore, it is crucial to prioritize the identification of the most prevalent toxic plants, isolate secondary metabolites, conduct toxicity tests, standardize dosages, and develop effective strategies for managing both the toxic plants and their associated toxicity.</p>","PeriodicalId":17421,"journal":{"name":"Journal of Toxicology","volume":"2024 ","pages":"9857933"},"PeriodicalIF":3.0,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11669433/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142895962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-29eCollection Date: 2024-01-01DOI: 10.1155/jt/8283897
Kimia Shahbazi, Mahdieh Raeeszadeh, Loghman Akradi
Lead, a heavy metal, has emerged as one of the most significant pollutants, bearing irreversible consequences on human and animal health in conjunction with industrial development. Presently, the use of medicinal plants to alleviate the adverse effects of heavy metal toxicity has captured the attention of researchers. Hence, the objective of this study was to assess the impact of levamisole and broccoli extract on the electrophoretic pattern of serum proteins, hematological parameters, and histopathological alterations in the liver, kidney, and spleen tissues within a lead poisoning model of rats. This experimental investigation spanned 28 days, involving 42 male Wistar rats categorized into seven groups: a control group, a lead acetate (AL) group administered at 1000 ppm in drinking water, a broccoli (B) group at 300 mg/kg/day, a levamisole (LE) group at 2.5 mg/kg/day, and combination groups of lead and broccoli (AL + B), lead and levamisole (AL + LE), and lead, broccoli, and levamisole (AL + LE + B). Upon completion of the study, hematological and biochemical parameters were assessed, and serum protein concentrations were analyzed using electrophoresis. Liver, kidney, and spleen tissues were fixed and subjected to histopathological examination with H&E staining. The findings indicated a significant decrease in white blood cells (WBC), red blood cells (RBC), and hemoglobin (Hb) levels in the AL group compared to other groups (p < 0.01). Conversely, the B group exhibited a notable increase in RBC and WBC compared to the AL group (p < 0.05). The most pronounced lead-induced damage was observed in the liver, resulting in elevated levels of specific enzymes such as AST and ALT in the AL group, accompanied by a decline in albumin and total protein (p < 0.001). A reduction in globulin levels, including Beta-2 globulin, was noted in the AL + B and AL + LE groups compared to the AL group (p < 0.001, p < 0.05). Histopathological findings also unveiled increased infiltration of inflammatory cells and hemorrhage in the liver tissue, followed by the spleen, significantly higher in the AL group compared to other experimental groups (p < 0.05). Additionally, congestion and inflammation were evident in the spleen tissue compared to other groups. These tissue damages were mitigated in other combination treatment groups. Based on the aforementioned results, the combination of broccoli and levamisole is deemed effective in ameliorating liver and spleen injuries caused by lead and enhancing biochemical parameters and serum proteins.
{"title":"The Effectiveness of Levamisole and Broccoli in Lead Poisoning: Hematobiochemical Changes and Tissue Damage in the Liver, Kidney, and Spleen of Wistar Rats.","authors":"Kimia Shahbazi, Mahdieh Raeeszadeh, Loghman Akradi","doi":"10.1155/jt/8283897","DOIUrl":"10.1155/jt/8283897","url":null,"abstract":"<p><p>Lead, a heavy metal, has emerged as one of the most significant pollutants, bearing irreversible consequences on human and animal health in conjunction with industrial development. Presently, the use of medicinal plants to alleviate the adverse effects of heavy metal toxicity has captured the attention of researchers. Hence, the objective of this study was to assess the impact of levamisole and broccoli extract on the electrophoretic pattern of serum proteins, hematological parameters, and histopathological alterations in the liver, kidney, and spleen tissues within a lead poisoning model of rats. This experimental investigation spanned 28 days, involving 42 male Wistar rats categorized into seven groups: a control group, a lead acetate (AL) group administered at 1000 ppm in drinking water, a broccoli (B) group at 300 mg/kg/day, a levamisole (LE) group at 2.5 mg/kg/day, and combination groups of lead and broccoli (AL + B), lead and levamisole (AL + LE), and lead, broccoli, and levamisole (AL + LE + B). Upon completion of the study, hematological and biochemical parameters were assessed, and serum protein concentrations were analyzed using electrophoresis. Liver, kidney, and spleen tissues were fixed and subjected to histopathological examination with H&E staining. The findings indicated a significant decrease in white blood cells (WBC), red blood cells (RBC), and hemoglobin (Hb) levels in the AL group compared to other groups (<i>p</i> < 0.01). Conversely, the B group exhibited a notable increase in RBC and WBC compared to the AL group (<i>p</i> < 0.05). The most pronounced lead-induced damage was observed in the liver, resulting in elevated levels of specific enzymes such as AST and ALT in the AL group, accompanied by a decline in albumin and total protein (<i>p</i> < 0.001). A reduction in globulin levels, including Beta-2 globulin, was noted in the AL + B and AL + LE groups compared to the AL group (<i>p</i> < 0.001, <i>p</i> < 0.05). Histopathological findings also unveiled increased infiltration of inflammatory cells and hemorrhage in the liver tissue, followed by the spleen, significantly higher in the AL group compared to other experimental groups (<i>p</i> < 0.05). Additionally, congestion and inflammation were evident in the spleen tissue compared to other groups. These tissue damages were mitigated in other combination treatment groups. Based on the aforementioned results, the combination of broccoli and levamisole is deemed effective in ameliorating liver and spleen injuries caused by lead and enhancing biochemical parameters and serum proteins.</p>","PeriodicalId":17421,"journal":{"name":"Journal of Toxicology","volume":"2024 ","pages":"8283897"},"PeriodicalIF":3.4,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11623989/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142794946","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}