Hepatobiliary scintigraphy for evaluating the hepatotoxic effect of halothane and the protective effect of catechin in comparison with histo-chemical analysis of liver tissue.
Halothane and its metabolites cause liver damage by decreasing liver blood flow and generating free-radical species. Catechin suppresses lipid peroxidation and increases enzyme activity, therefore it seems to be capable of protecting liver parenchyma against the direct toxic effect of halothane. The aim of this study was to investigate the role of hepatobiliary scintigraphy in detecting liver damage after halothane anaesthesia and the protective effect of catechin in comparison with histo-chemical analysis. Thirty rabbits, divided into three groups (A, controls; B, halothane; and C, catechin+halothane), were investigated. In group A no anaesthesia was administered. Group B only received halothane, while group C was pretreated with catechin and halothane anaesthesia was administered for 2 h. Dynamic scintigrams were taken for 60 min after injecting 99mTc-mebrofenin, and the time of peak uptake (TPU) and the time for half of the activity to clear from the liver (T(1/2)) were calculated. Rabbits were killed, and malondialdehyde (MDA), superoxide dismutase (SOD), glutathione peroxidase (GSH-Px) and catalase (CAT) levels were measured in hepatic tissue. The TPU and T(1/2) values of group A is significantly lower than in groups B and C (P<0.0002 and P<0.0002, respectively, for TPU; and P<0.0002 and P<0.0003, respectively, for T(1/2)). The TPU and T(1/2) values of group B were significantly higher than in group C (P<0.0003 and P<0.0003, respectively). The hepatic MDA level of group A was significantly lower than in groups B and C (P<0.0002 and P<0.0002, respectively). SOD, GSH-Px and CAT levels of group A were significantly higher than in groups B and C (P<0.0002, P<0.0001 and P<0.003, respectively, for group A vs group B; and P<0.0005, P<0.0002 and P<0.03, respectively, for group A vs group C). The MDA level of group B was significantly higher than that in group C (P<0.0002). SOD, GSH-Px and CAT levels of group B were significantly lower than in group C (P<0.0002, P<0.0002 and P<0.003, respectively). According to these results, we suggest that catechin protects liver parenchyma against the toxic effect of halothane and its metabolites, and that, compared to invasive histo-chemical analysis, hepatobiliary scintigraphy is a useful and alternative non-invasive method for detecting the protective effect of catechin on liver parenchyma after halothane anaesthesia.
Karamanlioğlu
B
B
Department of Anaesthesiology and Reanimation, Trakya University Hospital, Edirne, Turkey.
Yüksel
M
M
Temiz
E
E
Salihoğlu
Y S
YS
Ciftçi
S
S
D000758:Anesthesia; D018685:Anesthetics, Inhalation / Q000037:antagonists & inhibitors / Q000633:toxicity*; D000818:Animals; D001652:Bile Ducts / Q000000981:diagnostic imaging*; D002392:Catechin / Q000627:therapeutic use*; D056486:Chemical and Drug Induced Liver Injury / Q000000981:diagnostic imaging* / Q000201:enzymology / Q000517:prevention & control*; D006207:Half-Life; D006221:Halothane / Q000037:antagonists & inhibitors / Q000633:toxicity*; D006651:Histocytochemistry; D008099:Liver / Q000000981:diagnostic imaging* / Q000201:enzymology / Q000473:pathology*; D011817:Rabbits; D011877:Radionuclide Imaging
D018685:Anesthetics, Inhalation; D002392:Catechin; D006221:Halothane