Toxicity and metabolism of drugs in relation to dietary protein

Cold temperature improves tannin tolerance in a granivorous rodent

The foraging ecology of mammalian herbivores is regulated in part by their ability to detoxify plant secondary metabolites (PSM). Ambient temperature has been shown to alter liver function in rodents and the toxicity of some PSMs, but little is known about the physiological and nutritional consequences of consuming PSMs at different ambient temperatures. Furthermore, the effect of ambient temperature on the response of mammals to the most ubiquitous class of PSM, tannins, is unknown. We measured the effect of temperature and tannin intake on liver function, and the subsequent effect on the tannin tolerance of wild Japanese wood mice, Apodemus speciosus. The experiment involved acclimation to one of two ambient temperatures (10°C or 20°C) followed by acclimation to a diet of acorns (6.2% tannin DW). Liver function was measured both before and after acclimation to acorns by measuring the clearance time of a hypnotic agent. Finally, the mice were fed only acorns in a 5-day feeding experiment to assess their tolerance to tannin in the diet. Acclimation to acorns had a significant effect on liver function, but the direction of this effect was dependent on ambient temperature. Acorn consumption improved the liver function of wood mice at 10°C, but reduced liver function at 20°C, revealing a complex relationship between ambient temperature and tannin intake on liver function. Furthermore, mice with better liver function, indicated by faster clearance of the hypnotic agent, exhibited higher protein digestibility on an acorn-only diet, indicative of higher tannin tolerance. These results suggest that environmental temperature plays a significant role in the tolerance of A. speciosus to tannins, providing new insight into their seasonal feeding behaviour and winter ecology. We contend that cold-induced tannin tolerance may help to explain the population dynamics of mammalian herbivores with seasonal changes in the tannin content of their diet, and inform predictions about the response of these animals to a changing climate.

Sex Variation and Drug Therapy

A literature review of gender differences with drug therapy is presented.

Physiological differences between the sexes in basal metabolic rate and in levels of certain of the circulating hormones and enzymes affect or influence the metabolism of various drugs. Differences in muscle mass, disposition of adipose tissue and vascular resistance can lead to variations in response between the sexes to IM injections, while plasma levels of orally administered drugs can be influenced by sex differences such as gastric motility and secretion, metabolic rate, pregnancy, and differences in drug distributive compartments. These differences in gender response to a given therapy can vary according to the patient's age. Adverse reactions to drugs are also affected by the patient's gender, and certain drugs have been shown to induce adverse reactions predominantly in one sex.

The review illustrates the confusion surrounding this subject and stresses the importance of sex differences in the consideration and monitoring of drug therapy. Information on sex and age of patients, and possible sex differences in response to drug therapy is requested of all future therapeutic studies.

It was further suggested that the dual genetic coverage may be the mechanism by which the sex difference in susceptibility to infection can be explained. Support for this theory can best be found in a brief discussion of sex-linked diseases. The transmission from parents to offspring of defects, which may manifest themselves as disease, may be genetic in origin (Table 2).41

Due to the transmission of these diseases by the sex chromosomes, the male, having only one X-chromosome, is afflicted more often by these diseases. This leads one to conclude that given like conditions, females are better adapted to cope with many human diseases because they are genetically and chemically better evolved.

Influence of antibiotics and food intake on liver glutathione and cytochrome P-450 in septic rats

Experimental sepsis in rats induces a restriction in spontaneous food intake and a drop in liver glutathione, cytochrome P-450 (P-450) and aminopyrine demethylase (AD) activity. The present study was designed to assess the effects of antibiotics alone or when combined with food deprivation on these variables. Eighty-nine male Sprague-Dawley rats were assigned to six groups: control (C), acute infection (experimental pyelonephritis, I), acute infection with antibiotics and food givenad lib. (IA), control with antibiotics (CA), acute infection with antibiotics pair-fed to I (IAR), and sham-operated pair-fed to I (SR). Liver glutathione, P-450 and AD activities were reduced by 45·2, 79·8 and 41·2% respectively in group I. Glutathione and AD significantly increased only in those infected rats given antibiotics and allowed free access to food. P-450 did not normalize within the study period in infected rats receiving antibiotics and food repletion. The risk of drug hepatotoxicity in acute septic states is therefore closely related to the nutritional status. From this point of view, nutritional support is almost as important as treatment of infection.

Acute uremia produced in rats by nephrotoxic chemicals is alleviated by protein deficient diet

Rats injected with mercuric chloride develop an acute renal tubular necrosis with uremia, which is frequently lethal. Pretreatment for 3 or 7 days with a protein-free diet reduces the mortality, the clinical signs (tremor), and the severity of renal tubular necrosis, and ameliorates the uremic chemical findings in the serum. Similar results followed injection of a nephrotoxic amino acid, D-serine, after pretreatment with a protein-free diet. Indirect evidence suggests that induction of metallothionein may be involved, at least in the experiments with mercury. Acute uremia produced by nephrotoxic chemicals may be useful for further studies of the role of nutrition in uremia, while avoiding the surgical procedures and prolonged observations required for the "remnant kidney" models.

Ornithine alpha-ketoglutarate counteracts the decrease of liver cytochrome P-450 content in burned rats

The effect of ornithine alpha-ketoglutarate (OKG) on cytochrome P-450 enzyme activities was studied in a well-defined model of injury (burn followed by fasting then subsequent hypocaloric diet) administered to young rats for 3 d. Hepatic microsomes were prepared by ultracentrifugation and levels of cytochromes P-450 were determined spectrophotometrically. The activities of ethoxy-resorufin-O-deethylase (EROD), benzyloxy-resorufin-O-dealkylase (BROD), and erythromycin demethylase were measured as markers of P-450 1A, 2A, and 3A isotypes respectively. The level of total hepatic microsomal proteins (8 mg/mL) remained constant. The level of cytochrome P-450 (1.14+/-0.08 nmol/mg microsomal proteins) was decreased by a hypocaloric diet (23%, P = 0.003) and burn further enhanced this phenomenon (15%, P = 0.03). Both healthy and burned rats receiving OKG showed the same level of cytochrome P-450 as the rats fed ad libitum. OKG supplementation counteracted the enhancement (40%) of EROD activity induced by hypocaloric diet but did not influence BROD and erythromycin demethylase activities. OKG sustained cytochrome P-450 levels in rats fed a hypocaloric diet, even after burning. These findings indicate that OKG may favor drug metabolism in this injured population.

Toxicokinetics of organic solvents: a review of modifying factors

This article reviews, with an emphasis on human experimental data, factors known or suspected to cause changes in the toxicokinetics of organic solvents. Such changes in the toxicokinetic pattern alters the relation between external exposure and target dose and thus may explain some of the observed individual variability in susceptibility to toxic effects. Factors shown to modify the uptake, distribution, biotransformation, or excretion of solvent include physical activity (work load), body composition, age, sex, genetic polymorphism of the biotransformation, ethnicity, diet, smoking, drug treatment, and coexposure to ethanol and other solvents. A better understanding of modifying factors is needed for several reasons. First, it may help in identifying important potential confounders and eliminating negligible ones. Second, the risk assessment process may be improved if different sources of variability between external exposures and target doses can be quantitatively assessed. Third, biological exposure monitoring may be also improved for the same reason.

Influence of dietary protein levels on the acute toxicity of methylmercury in mice

The influence of dietary protein levels on the acute toxicity of methylmercury (MeHg) was investigated using C57BL/6N male mice fed either a 24.8% protein diet (normal protein diet, NPD) or a 7.5% protein diet (low protein diet, LPD). When MeHg was administered to each group of mice, all mice died at a medium or high dose (80 or 120 mumol/kg, respectively) within 16 or 7 days, respectively, but not at a low dose (40 mumol/kg) in both dietary groups. Although no difference was observed in the survival rate at a medium dose, NPD-fed mice died earlier despite lower brain Hg than LPD-fed mice at a high dose. Accordingly, death, in our observations, could not be due to neural damage by MeHg. When a high dose of MeHg was administered to mice, plasma aspartate aminotransferase and alanine aminotransferase activities increased in NPD-fed mice but not in LPD-fed mice in spite of similar hepatic Hg levels. Therefore, the higher susceptibility of the liver could be reason for the shorter survival period in NPD-fed mice. Since plasma creatinine increased within 24 h after MeHg administration at a medium or high dose, renal dysfunction could be a major factor in death. The present results suggest that susceptibility to acute MeHg toxicity was higher in NPD-fed mice than in LPD-fed mice, possibly due to the difference in hepatic susceptibility.

The effects of gossypol and chloroquine interaction on serum electrolytes of protein-malnourished rats

Serum sodium (Na), potassium (K), chloride (Cl), phosphate (Po), and calcium (Ca) were assayed in adult male Wistar rats fed a low protein diet (LP) and a normal protein diet (control, NP) and administered gossypol (GP) and chloroquine (CQ) alone and in combination (GPCQ), for 4 and 8 weeks. Gossypol was administered at 20 mg/kg body wt/rat/day in Goya oil and chloroquine at 5 mg/kg body wt/rat for 3 days/week in distilled water. The data, analyzed by two-way ANOVA, showed that the interaction had significant effects on the serum levels of Na, K and Po (P < 0.001) but not on chloride and calcium (P > 0.05). Serum levels of sodium, potassium and phosphate in LP rats were significantly lower than in NP rats. In LP and NP rats, the levels of Na, K, and Po at 8 weeks were significantly higher than at 4 weeks; and GPCQ treatment produced significantly lower sodium levels in LP and NP rats, lower phosphate in LP rats and higher phosphate in NP-fed rats than GP or CQ administered alone. Potassium level in GPCQ was between levels in Gp- and CQ-treated rats. The administration of gossypol and chloroquine together may not adversely affect serum electrolytes in protein-malnutrition state any more than gossypol or chloroquine administered alone.

Antipyrine clearance in surgical patients maintained on hypocaloric peripheral parenteral nutrition

BACKGROUND

Antipyrine clearance (CLAP) constitutes a sensitive indicator of hepatic microsomal enzyme activity providing specific information on hepatic function. The purpose of this study was to evaluate the influence of hypocaloric peripheral parenteral nutrition on CLAP in patients receiving nutrition support after elective surgery.

METHODS

CLAP was measured in 15 patients before elective gastrointestinal surgery and 6 days after the surgery. Antipyrine (1 g) was administered orally, and CLAP was determined by the one-sample method. Subjects received a postoperative 786 kcal/d regimen providing 66 g of amino acid per day and 133 g of glucose per day for 5 days. Nutritional status was evaluated by anthropometric parameters. A control group of 15 patients received no postoperative hypocaloric peripheral parenteral nutrition but received conventional fluid therapy.

RESULTS

Mean CLAP was increased by 61% (0.66 +/- 0.06 mL/min.kg-1 body wt vs 0.41 +/- 0.05 mL/min.kg-1 body wt in the preoperative period; p < .001), and antipyrine half-life was reduced by 42% (10.9 +/- 1.0 hours vs 18.9 +/- 2.0 hours; p < .001) after 5 days of hypocaloric peripheral parenteral nutrition. No significant modification was shown among control patients in CLAP (0.54 +/- 0.07 mL/min.kg-1 body wt vs 0.46 +/- 0.05 mL/min.kg-1 body wt in the preoperative period) or in antipyrine half-life (14.0 +/- 1.4 hours vs 16.5 +/- 1.8 hours). No significant correlation was observed between CLAP changes and those for the nutritional status of the patients.

CONCLUSIONS

The results of our study indicate that oxidative drug-metabolizing capacity is increased in surgical patients maintained on hypocaloric peripheral parenteral nutrition. Clinicians should be conscious of the potential of this effect for altering the efficacy or toxicity of many therapeutic agents.

The effect of parenteral nutrition on hepatic cytochrome P-450

BACKGROUND

Total parenteral nutrition (TPN) has been shown to affect liver function tests. Additional investigations in animals and humans have demonstrated that hepatic cytochrome P-450 content and enzyme activity are also affected.

METHODS

To review the literature on the effect of TPN on hepatic cytochrome P-450, an English-language literature search was performed using MEDLINE (1966 through 1993).

RESULTS

Studies in laboratory rats show that administration of dextrose, with or without amino acids, decreases the cytochrome P-450 content and the in vitro or in vivo microsomal oxidation rates of various drugs. The addition of lipid emulsions to TPN decreases oxidation rates for meperidine demethylase but does not affect ethoxyresorufin deethylase. Using immunoquantitation, it was shown that the components of TPN selectively affect specific hepatic P-450 enzymes. In humans, dextrose decreases antipyrine clearance, whereas amino acids and possibly lipids increase antipyrine clearance. However, the effects of protein-calorie malnutrition in these studies obscure the results.

CONCLUSIONS

Possible mechanisms for the reduction of hepatic cytochrome P-450 seen during TPN administration include altered gastrointestinal hormone response, mucosal barrier, and the effect of sepsis. Additional studies are needed to determine the actual mechanisms of hepatic cytochrome P-450 reduction observed during TPN.

Dietary and ethanol induced alterations of the toxikokinetics of toluene in humans

This study was undertaken to evaluate the influence of a carbohydrate restricted diet, a subacute ethanol intake, and their combined effect on the kinetics of toluene in humans. Eight healthy male volunteers were exposed by inhalation at four different occasions to 200 mg/m3 2H8-toluene for two hours at a work load of 50 W after a one week low (30%) carbohydrate (CH) diet or high (60%) CH diet with (+EtOH) or without (-EtOH) ethanol consumption (47 g ethanol) on the evening before exposure. Deuterium labelled toleune was used to measure the excretion of hippuric acid originating from toluene separately from hippuric acid from other sources. The results indicated that subacute ethanol consumption combined with a carbohydrate restricted diet, may enhance the metabolism of toluene in humans at an exposure concentration of 200 mg/m3. The cumulative amount of hippuric acid excreted in the urine up to 20 hours after the end of exposure in % of the net uptake of toluene was enhanced by 22% (p = 0.05) in the low CH + EtOH compared with the low CH-EtOH experiment. The apparent blood clearance of toluene was 37% higher in the low CH + EtOH than in the low CH-EtOH experiment, but this effect was not statistically significant (p = 0.1). There were no significant changes in the kinetics of toluene as a result of a low carbohydrate diet alone. Neither did subacute ethanol intake without the combination with a carbohydrate restricted diet influence the kinetics of toluene.

Effects of excess and deficiency of dietary methionine on mixed-function oxidase system of hepatic microsomes in male broilers

1. Three experiments were conducted to determine the effect of dietary methionine levels on the hepatic microsomal mixed-function oxidase (MFO) system in male broiler chicks. 2. The level of dietary methionine for the highest growth coincided with that for the MFO activity. 3. Dietary methionine deficiency reduced MFO activity, but the reduction effect was not constant. 4. Dietary methionine excess also reduced MFO activity, even though growth rate was held at a maximum.

Prenatal effects of maternal caffeine intake and dietary high protein on mandibular development in fetal rats

The purpose of the present study was to determine the effects of caffeine on the mandibles of newborn rats whose dams were given a normal diet (200 g protein/kg diet) compared with those given a high-protein diet (400 g protein/kg diet) during gestation. A total of twenty pregnant Sprague-Dawley rats were randomly divided into four groups of five each. Starting on day 7 of gestation, groups 1 and 2 were fed on control and high-protein diets respectively, and groups 3 and 4 were pair-fed with groups 1 and 2 respectively, but with caffeine added to their diets. The caffeine supplement was 20 mg/kg body-weight. At birth, pups were killed and various measurements of their mandibles were made. The mandibular weights, calcium contents, and alkaline (EC 3.1.3.1) and acid (EC 3.1.3.2) phosphatase activities of the group given the caffeine-supplemented control diet were significantly lower than those of the corresponding unsupplemented group. Alkaline and acid phosphatase activities, collagen synthesis and hydroxyproline contents of the caffeine-supplemented high-protein group were greater than those of the corresponding unsupplemented group, whereas Ca and protein contents of the caffeine-supplemented high-protein group were lower than those of the corresponding unsupplemented group. There were no significant differences in plasma caffeine levels for either dams or pups between the caffeine-supplemented control and high-protein groups. The effects of caffeine on the development of fetal mandibles are apparently modified by different levels of maternal dietary protein.

Alterations in serum levels, anti-tumor activity and toxicity of methotrexate in rats after a short period of nutritional depletion

The alterations in serum levels, anti-tumor activity and host toxicity of methotrexate (MTX) were tested in tumor bearing rats following a period of dietary manipulation. A protein deprived (PD) diet or a diet containing a normal protein content (NP) was administered for 5 days and MTX injected intra-peritoneally (i.p.) at the end of the 5 day period. The MTX serum levels were significantly elevated in rats which received the PD diet, as compared to NP dietary rats. This elevation correlated with an enhanced tumor response to MTX administration. In addition, bone marrow toxicity and intestinal tract toxicity, measured with flow cytometry (FCM) of the bone marrow and morphometry of the jejunal mucosa respectively was increased in rats receiving the PD diet. These results indicate that the serum clearance of MTX is delayed in animals suffering from malnutrition, leading to both enhanced tumor response and increased host toxicity.

Reversibility of elemental liquid diet-enhanced methotrexate toxicity by refeeding with chow

The toxic effects of methotrexate administration [20 mg/kg, bolus intraperitoneally (ip)] to rats fed a regular chow diet (n = 10) was compared with results in animals fed an elemental, chemically defined, liquid diet (n = 10) for 7 days. All animals receiving an elemental diet became anorectic and lethargic within 60 hr of methotrexate injection. All animals in this group subsequently developed enteritis and died within 150 hr. There was no clinical evidence of enteritis in rats fed a regular chow diet and mortality as zero in this group (p less than 0.001). In a second study one group of rats (n = 9) was fed a regular chow diet for 7 days; four groups were fed an elemental, chemically defined, liquid diet (n = 9 per group) for 7 days. At 24 hr and 8 hr prior to, or 24 hr after methotrexate administration, one group was refed a regular chow diet; the fourth group was maintained on an elemental liquid diet throughout the study period. All rats fed a regular chow diet survived following methotrexate injection (20 mg/kg, ip). All rats fed an elemental diet throughout the study period died. Those rats refed a regular diet 24 or 8 hr prior to methotrexate injection demonstrated a significant improvement in survival (100% in the 24-hr group, 55% in the 8-hr group). However, those animals refed a regular diet 24 hr after methotrexate injection demonstrated a 100% mortality.(ABSTRACT TRUNCATED AT 250 WORDS)

Multiple opiate receptors and pharmacological response to morphine in rats maintained on diets differing in protein concentration

1. The influence of diets differing in protein concentration on the characteristics of mu, delta, and kappa-opiate receptors and on the analgesic and hyperthermic responses to morphine was examined in rats. Three groups of male Sprague-Dawley rats were maintained for four weeks on isocaloric diet containing either 4, 20 or 50% protein. 2. The animals maintained on 4% protein diet weighed 92 +/- 2% of the initial weight at the end of the fourth week, whereas animals maintained on 20% and 50% protein diet weighed 222 +/- 2% and 221 +/- 2%, respectively. The average food intake per 100 g body weight on day 1 of the study in 4, 20 and 50% protein diet group was 5.0 +/- 2.2 g, 10.4 +/- 1.4 g, and 10.0 +/- 1.2 g, respectively. This difference in food intake was not observed during rest of the period of the study. 3. Water intake was higher for the animals maintained on diet containing 50% protein as compared to the other two groups. 4. The analgesic and the hyperthermic response to morphine varied in direct relation to the concentration of protein in the diet. The concentration of morphine in the brain and plasma of animals maintained on the three diets following challenge dose of morphine did not differ. Similarly the Bmax and Kd values for the binding of [3H]naltrexone, [3H]D-Ser2-Thr6-leucine enkephalin and [3H]ethylketocyclazocine to brain membranes prepared from rats kept on 4, 20 and 50% protein concentration did not differ. 5. It is concluded that the diet differing in protein concentration can alter the responses to morphine, and that such altered effects can not be accounted for by the changes in the distribution of morphine in brain and plasma or to the changes in the characteristics of the mu, delta and kappa opiate receptors in the brain.

Alteration of methotrexate metabolism in rats by administration of an elemental liquid diet. I. Changes in drug enterohepatic circulation

Severe enteritis and death consistently occur within 150 hours of a single intraperitoneal dose of 25 mg/kg methotrexate given to rats fed an elemental diet. Rats fed a regular chow diet show no clinical evidence of gastrointestinal morbidity or mortality at this dose. The etiology of this enhanced toxicity is not clear, however. It this study rats were randomized to receive an elemental diet (n = 45) or a regular chow diet (n = 45) for 7 days. They were then given a bolus dose of 3H methotrexate (25 mg/kg) intraperitoneally. At 20 and 40 minutes and at 1, 2, 12, 24, 48, 72, and 96 hours after injection, five animals from each group were anesthetized, and mean methotrexate levels in bile and serum, and tissue methotrexate concentrations in proximal, mid, and distal small intestine and in liver were obtained. Mean methotrexate levels in bile were significantly elevated in rats fed an elemental, chemically defined diet at 12, 24, 48, and 72 hours compared with regular diet fed rats. Mean serum methotrexate levels were elevated in both the inferior vena cava (IVC) and portal vein (PV) at 12 (IVC), 24 (PV), and 48 hours (IVC) in elemental, liquid diet fed rats. There were no statistical differences between methotrexate levels in rats fed an elemental diet or a regular chow diet in proximal or mid small intestine at any of the time points measured. In the distal small intestine, methotrexate levels were significantly elevated at 24 hours in rats fed an elemental, chemically defined liquid diet (P less than 0.03) compared with regular diet fed rats. Methotrexate levels in liver of rats fed an elemental, chemically defined liquid diet were significantly elevated at 24 and 48 (P less than 0.05) hours. Administration of an elemental, chemically defined liquid diet prolongs the enterohepatic circulation of methotrexate in rats and delays clearance of the drug from the systemic circulation. Thus, prolonged exposure of methotrexate to the cells of the intestinal mucosa explains the increased gastrointestinal side effects of the drug in rats fed an elemental, chemically defined liquid diet. If these results are applicable to man, elemental, chemically defined liquid diets are contraindicated as the sole nutritional source in patients receiving methotrexate. Such qualitative alteration of dietary intake may be a factor in the unpredictability of gastrointestinal side effects associated with high dose methotrexate administration.

Maternal protein deprivation enhances the teratogenicity of ochratoxin A in mice

Teratogenic effects of the mycotoxin ochratoxin A (OA) were investigated in protein-deprived mice. Pregnant CD-1 mice were assigned to control (26%), 16%, 8%, and 4% protein diet groups and treated by gavage with 0, 2, or 3 mg/kg OA on gestation day 8 (plug = day 1). They were killed on day 18 and subjected to teratological examination. OA treatment decreased prenatal survival, particularly at the two lowest dietary protein levels. OA at the higher dose also inhibited fetal growth in all groups, with a similar effect at the low dose in the 16% and 4% protein groups. Gross malformations associated with OA were inversely related to dietary protein levels; for example, 26% and 100% of the litters were affected in the 26% and 4% protein groups, respectively, at the high OA dose. A similar trend was also seen for skeletal malformations and variations. Thus maternal protein deprivation was seen to exacerbate adverse effects of OA in a developing mammal. Such results may have implications for areas where lack of adequate food supply may cause consumption of moldy grain by women or domestic animals already living on a protein-deficient diet.

Activation of hepatic microsomal mixed function oxidase system in broiler chicks by diet changes

Two experiments were conducted to investigate the effect of diet composition on activity of the microsomal mixed function oxidase (MFO) system in broiler chicks. One-day-old chicks were fed for 10 days either a corn-soy (CS) diet or diets supplemented with a combination of fish meal, alfalfa meal, and torula yeast (FAY) or individually with fish meal (FM), alfalfa meal, distillers dried grains with solubles (DDGS), or torula yeast (TY). Activities of hepatic microsomal aniline hydroxylase and aminopyrine N-demethylase were increased when chicks were fed FAY, FM, TY, or DDGS compared with those fed CS. In another experiment chicks were fed the CS and FAY diets to 4 weeks of age. Hepatic microsomal cytochrome P-450, cytochrome b5, and activities of aniline hydroxylase and aminopyrine N-demethylase were significantly increased in birds fed the FAY diet. Activities of NADPH and NADH-cytochrome C reductase were not affected. These results show that the hepatic microsomal MFO system is activated by changes in diet composition and suggest that this activation may be responsible for reducing estradiol and liver lipid levels when similar diets are fed to laying hens.

Effect of high-fat and high-protein diets on toxicity of parathion and dichlorvos

Growing male rats that weighed 120 +/- 5 g were kept for 30 days on the following synthetic diets: high protein diet (HPD), 59% casein; high fat diet (HFD), 50% saturated fat; and normal diet (ND), 19% casein, 10% saturated fat, and 60% sucrose. Other essential dietary ingredients were included in all the diets. All animals were injected at the end of the 30-day period with parathion [10 mg/kg intraperitoneal (ip) injection as a single dose] or dichlorvos (30 mg/kg ip as a single dose) to compare the effect of dietary pretreatments on mortality from parathion and dichlorvos. A lower dose of parathion (7.5 mg/kg) and dichlorvos (20 mg/kg) was employed in another set of experiments to compare the spontaneous regeneration of plasma and red blood cell (RBC) cholinesterase (ChE) activity at 2 hr, 1 day, 3 days, and 5 days after administration of parathion or dichlorvos. The effect of these diets on hepatic microsomal oxidases was also determined. Results showed that diets per se did not affect initial plasma and RBC ChE activity. The HPD and HFD significantly protected against mortality from parathion but not from dichlorvos. Hepatic microsomal cytochrome P-450 and aminopyrine demethylase activity were unchanged, but aniline hydroxylase activity was increased significantly by HPD and HFD. Parathion oxidase in hepatic microsomes was significantly increased in rats fed HFD only. For the HPD, spontaneous regeneration of ChE diminished in RBCs in parathion-intoxicated rats and in plasma and RBCs of dichlorvos-intoxicated rats.(ABSTRACT TRUNCATED AT 250 WORDS)

Effect of soya consumption on hepatic monooxygenase enzyme system and some lipid parameters in rats

Young male rats were fed with diets containing Hungarian soya products (extruded or granulated soya preparates) as the only source of protein for four weeks. The weight gain of the animals, the cholesterol and triglyceride content of liver and the activity of the hepatic monooxygenase system were studied. 20% soya protein in the diet (either from extruded or from granulated soya products) supplemented with sulphur containing amino acids met the protein requirement of the young growing rats. In a separate experiment the protein depletion-repletion method was used to investigate the effect of Purina 500 E soya protein isolate on the above mentioned parameters. The results indicate that diets containing 20% soya protein are satisfactory for the regeneration of the protein depleted animals.

Cytochrome P-450 as a determinant of sex difference of drug metabolism in the rat

1. Recent advances in the studies of sex-related differences of drug metabolism in the rat are described. Experiments with novel substrates have provided new insights into the sex differences of drug metabolism. 2. One of each form of cytochrome P-450, P-450-male and P-450-female, from liver microsomes of male and female rats, respectively, were purified to electrophoretic homogeneity. 3. These forms of cytochrome P-450 are distinguishable from each other in their catalytic, physical and immunochemical properties. 4. The use of antibodies to the two forms of cytochrome P-450 shows that P-450-male and P-450-female, present in rat-liver microsomes, are dependent on sex hormones. 5. In addition, evidence for the involvement of multiple forms of cytochrome P-450 in the occurrence of the sex difference has been presented.

Dietary modification of metabolism and toxicity of chemical substances--with special reference to carbohydrate

Rats were fed various test diets only on the day before sacrifice or every day for 3 weeks prior to sacrifice in order to assess the effects of protein (casein), fat (a mixture of olive and corn oils) and carbohydrate (sucrose) on the liver mixed-function oxidase activity. The activity was determined by measuring metabolic rates of 8 volatile hydrocarbons, i.e., benzene, toluene, styrene, chloroform, carbon tetrachloride, 1,2-dichloroethane, 1,1-dichloroethylene, and trichloroethylene. Contrary to the general belief, it was found that carbohydrate, not protein or fat, regulates the metabolism of these hydrocarbons: a diet which was deficient in carbohydrate remarkably enhanced the metabolism irrespective of protein and fat contents in the diet. This conclusion was confirmed by employing two types of diet, one in which the carbohydrate was replaced by an isocaloric amount of protein or fat (thus keeping total calories of each diet constant) and the other in which the carbohydrate content was varied with protein and fat contents fixed (total calories of each diet differed from others according to the carbohydrate content). In accordance with this, dietary carbohydrate intake also exerted a remarkable influence on the hepatotoxicity of carbon tetrachloride which needs to be metabolically activated to become cytotoxic: the smaller the intake, the more severe the liver injury.

The effect of protein-energy malnutrition on the absorption, distribution and elimination of chloroquine in the rat

1. Protein-energy malnutrition was induced in young rats by feeding them a protein-deficient diet. 2. The kinetics of uptake and elimination of chloroquine in various tissues were compared in normal rats, malnourished rats, and malnourished rats after recovery from malnutrition. 3. In the blood, liver, spleen, heart, kidney and skeletal muscle, uptake of chloroquine was slower in malnourished than in normal rats. Chloroquine was also eliminated at a slower rate in malnourished rats. In the skin chloroquine was taken up to a greater extent in malnourished than in normal rats. 4. When malnourished rats were allowed to recover from their state of malnutrition, the uptake and elimination of chloroquine no longer differed from those of animals that had never been malnourished.

Drug-pyridoxal phosphate interactions

In this review it has been pointed out that vitamin B6 and its vitamers can be involved in many interactions with a number of drugs, as well as with the actions of various endocrines and neurotransmitters. Nutritional deficiencies, especially of vitamins and proteins, can affect the manner in which drugs undergo biotransformation, and thereby may also modify the therapeutic efficacy of certain drugs. The differences between nutritional vitamin B6 deficiency and the hereditary disorder producing pyridoxine dependency are discussed. In addition to a pyridoxine deficiency being able to adversely affect drug actions, the improper supplementation with vitamin B6 can in some instances also adversely affect drug efficacy. A decrease by pyridoxine in the efficacy of levodopa used in the treatment of Parkinsonism is an example. The interrelationships and enzymatic interconversions among pyridoxine vitamers, both phosphorylated and non-phosphorylated, are briefly discussed, particularly regarding their pharmacokinetic properties. The ways in which the normal biochemical functions of vitamin B6 may be interfered with by various drugs are reviewed. (1) The chronic administration of isoniazid for the prevention or treatment of tuberculosis can produce peripheral neuropathy which can be prevented by the concurrent administration of pyridoxine. An acute toxic overdose of isoniazid causes generalized convulsions, and the intravenous administration of pyridoxine hydrochloride will prevent or stop these seizures. (2) The acute ingestion of excessive monosodium glutamate will, in some individuals, cause a group of symptoms including among others headache, weakness, stiffness, and heartburn, collectively known as the 'Chinese Restaurant Syndrome.' These symptoms can be prevented by prior supplementation with vitamin B6. The beneficial effect is ascribed to the correction of a deficiency in the activity of glutamic oxaloacetic transaminase, an enzyme that is dependent on pyridoxal phosphate. Some interesting relationships are pointed out between vitamin B6, picolinic acid, and zinc. It is postulated that the intestinal absorption of zinc is facilitated by picolinic acid, a metabolite of tryptophan. The derivation of picolinic acid from tryptophan depends on the action of the enzyme kynureninase, which is dependent on pyridoxal phosphate; therefore, the adequate absorption of zinc is indirectly dependent on an adequate supply of vitamin B6. The formation of pyridoxal phosphate, on the other hand, appears to be indirectly dependent on Zn2++ which activates pyridoxal kinase.(ABSTRACT TRUNCATED AT 400 WORDS)

Effect of dietary protein deficiency on rat hepatic drug-metabolizing enzyme system

We have examined the effect of dietary protein deficiency on rat hepatic drug-metabolizing enzyme system for a period of two months. Cytochrome P-450 and b5 contents in liver microsomes, which were plotted on semilogarithmic paper as a function of the time of deficiency, showed biphasical reductions during protein deficiency: rapid decreases in the first 3 weeks were followed by more gradual decreases. However, the three enzymatic activities examined, i.e. aminopyrine demethylase, aniline hydroxylase and p-nitroanisole demethylase, were not reduced at a uniform rate. In the earlier phase, activities of the former two enzymes were reduced more rapidly than that of the last phase. This biphasical and non-uniform reduction of enzymatic activities suggests the existence of two or more cytochrome P-450 subspecies in non-depleted male rats. Intraperitoneal administration of well-known environmental pollutants, polychlorinated dibenzofurans and biphenyls (100 micrograms and 100 mg/kg, respectively) to the depleted rats resulted in a marked induction of drug-metabolizing enzymes. However, as the deficiency became more severe (2 months), the induction declined to a considerable degree, especially in the case of polychlorinated biphenyl administration.

Influence of protein deficiency on the inhibition of hepatic microsomal detoxication by methyl mercury in two rat strains

N- and C-oxygenation of N,N-dimethylaniline was studied in liver microsomes from 2 rat strains (Wistar, Strain R and Sprague-Dawley) subjected to protein deprivation and methyl mercury pretreatment, separately and in combination. A striking interstrain difference was observed. Strain R microsomes from 2 rat strains (Wistar, Strain R and Sprague-Dawley) subjected to tion, but little effect after methyl mercury pretreatment. With Sprague-Dawley microsomes, C-oxygenation was slightly reduced after both treatments. N-oxygenation was little affected in either strain. Methyl mercury treatment of protein deprived rats strongly inhibited C-oxygenation in microsomes from both strains, with N-oxygenation being unaffected in strain R microsomes whereas markedly reduced in microsomes from Sprague-Dawley.

Dietary effects on inhibition of rat hepatic microsomal drug-metabolizing enzymes by a pesticide (Morestan)

Female rats were fed for 21 days on 5 semi-synthetic diets containing 8 or 30% proteins, 1 or 25% lipids respectively, the control animals being given a diet containing 20% proteins and 5% lipids. The animals on each diet were then subdivided into two subgroups and on the 22nd, 23rd, 24th and 25th days were given an oral dose of 75 mg/kg of Morestan in solution in peanut oil (PO) or a dose of oil only. The microsomes were prepared 24 h after the last administration and aniline aromatic hydroxylase, aminopyrine and N-methylaniline N-demethylase activities and cytochrome P-450, protein and RNA levels were measured. Whatever the diet, Morestan inhibited N-demethylase activities and decreased the cytochrome P-450 level; liver protein and RNA levels and microsomal RNA level increased. The 25% lipid diet alone increased activity of the three enzymes studied, without modifying the cytochrome P-450 level; Morestan produced antagonism of this effect in the rats on this diet. The decreased cytochrome P-450 level caused by Morestan was higher in animals on the 8% protein diet.

Drug metabolism under pathological and abnormal physiological states in animals and man

The activity of microsomal drug-metabolizing enzymes is altered by several pathological or abnormal physiological states, such as changes in nutritional status, liver, heart or kidney diseases, hormonal disturbances, pregnancy, tumour-bearing state, adjuvant arthritis, changes in reticuloendothelial system and environmental factors (stress, irradiation, heavy metals). The activities of other metabolic pathways, such as glucuronidation, sulphate conjugation, acetylation and alcohol oxidation are generally affected to lesser extents. Rats are most commonly used in drug metabolism studies, and it is important to know that the activity of most of the microsomal drug-metabolizing enzymes is higher in males than in females through androgen action which is readily impaire drug-metabolizing enzymes in male rats are thus manifested by two mechanisms; one is by impairment of androgen action and the other is by depression of the basic enzymic activity. Therefore, those effects of pathological states, observed only in male rats but not in females, are generally not seen in other species of animals, including man. The effects of starvation, hyperthyroidism, adrenal insufficiency, diabetes and morphine administration are cases where changes in metabolism are due solely to impairment of androgen action. In other pathological cases, those drug-metabolizing enzymes showing sex differences are depressed more markedly in male rats than those showing no clear sex difference. The author therefore recommends the use of female rats in the evaluation of the effects of pathological states on hepatic microsomal drug-metabolizing enzymes. Generally, changes in activity of the hepatic enzymes reflect closely the changes in the rates of drug metabolism in vivo. However, the protein-binding of drugs, hepatic blood flow and renal function are also known to affect the rate of drug metabolism and excretion in vivo, and therefore changes of these factors in pathological states should also be taken into consideration.