Exploring the effect of intravenous lipid emulsion in acute methamphetamine toxicity

  • سال انتشار: 1396
  • محل انتشار: مجله علوم پایه پزشکی ایران، دوره: 20، شماره: 2
  • کد COI اختصاصی: JR_IJBMS-20-2_005
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 290
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نویسندگان

Ameneh Ghadiri

Department of Toxicology, Faculty of Pharmacy, Islamic Azad University, Shahreza Branch, Shahreza, Iran

Leila Etemad

Pharmaceutical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Mohammad Moshiri

Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran

Seyed Adel Moallem

Department of Pharmacodynamics and Toxicology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran

Amir Hossein Jafarian

Department of Pathology, Ghaem Hospital, Mashhad University of Medical Sciences, Mashhad, Iran

Farzin Hadizadeh

Biotechnology Research Center, Mashhad University of Medical Sciences, Mashhad, Iran

Mahmoud Seifi

Biotechnology Research Center, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran

چکیده

Objective(s): The increasing use of methamphetamine (METH) in the last decades has made it the second most abused drug. Advancs in the area of intravenous lipid emulsion (ILE) have led to its potential application in the treatment of poisoning. The present study aims to investigate the potential role of ILE as an antidote for acute METH poisoning. Materials and Methods: Two groups of six male rats were treated by METH (۴۵ mg/kg), intraperitoneally. Five to seven min later, they received an infusion of ۱۸.۶ ml/kg ILE ۲۰% through the tail vein or normal saline (NS). Locomotor and behavioral activity was assessed at different time after METH administration. Body temperature and survival rates were also evaluated. Brain and internal organs were then removed for histological examination and TUNEL assay. Results: ILE therapy for METH poisoning in rats could prevent rats mortalities and returned the METH-induced hyperthermia to normal rates (P< ۰.۰۵). ILE reduced freezing and stereotyped behaviors and increased rearing responses (P< ۰.۰۵). Locomotor activity also returned to control levels especially during the last hours of the experiment. ILE administration decreased the prevalence of pulmonary emphysema in the lungs (PP< ۰.۰۱) and percentages of TUNEL positive cells in the brain (P< ۰.۰۵), in comparison with the control group. Conclusion: ILE could reduce the severity of METH- induced toxicity as well as mortality rate in the animals. Intravenous infusion of lipid emulsion may save the life of patients with acute METH intoxication who do not respond to standard initial therapy.

کلیدواژه ها

acute toxicity, antidote, Intravenous lipid emulsion Methamphetamine

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