Lipid peroxidation and histological changes in rat thymus tissue after administration of cisplatin and dexamethasone
Abstract
The thymus gland plays a crucial role in immune function in both healthy and tumor-bearing organisms and it is particularly sensitive to antitumor drugs, such as cisplatin. It is well known that cisplatin causes significant toxicity, to reduce which, dexam e thasone is commonly included in combination chemotherapy regimens. It should be noted that the mechanisms of their combined effects are incompletely studied. The aim of this study was to identify the correlation between the level of lipid peroxidation and histological changes in rat thymus tissue after separate and combined administration of cisplatin and dexamethasone. The experiment was conducted on four groups of animals: a control group, an experimental group with cisplatin injection, an experimental group that received dexamethason and an experimental group that received combined injection of these drugs. In homogenates and supernatants of thymus tissue of rats from all experimental groups quantitative assessment of conjugated dienes was performed by spectrophotometric method after extraction with a mixture of heptane-isopropyl alcohol. The oxidative stress marker malondialdehyde (MDA) was quantified by thiobarbituric acid analysis. Catalase activity was measured by the ammon i um molybdate method. Superoxide dismutase (SOD) activity was assessed by the change in the amount of adrenaline autooxidation product. Thymus tissue samples were fixed and processed using standard histological protocols for histological evaluation. The data show that cisplatin and dexamethasone exerted significant increase in the level of conjugated dienes in homogenate of thymus tissue by 113%, 104% and 143% respectively after their separate and combined use. The amount of MDA also increase d significantly as a result of both the separate and combined effects of cisplatin and dexamethasone in homo g enate and in supernatant of thymus tissue. These quantitative alterations of both conjugated dienes and MDA indicates a prom o tion of oxidative stress. Catalase and SOD, which are part of the cell's antioxidant system, also exhibit sensitivity to cisplatin and dexamethasone. Follow ing both the separate and combined injection of cisplatin and dexamethasone , a significant reduc tion in the activity of the antioxidant enzymes in homogenates was regist er ed. At the same time, the quantitative changes in conjugated dienes and MDA level as wel l as decrease in catalase activity and SOD recorded in the supernatant we re more modest. In fact, these drugs induced oxidative stress (OS) via reduction of catalase and SOD activities. In addition, the results of histomorphological analysis indicate the thymotoxic effect of cisplatin and dexamethasone. The finding results confirmed that these drugs demonstrate pro-oxidant and thymotoxic effects, although they act through different molecular mechanisms. The d ifferent molecular mechanisms of action of cisplatin and dexamethasone shape the outcome of their combined use. In this case, dexamethasone plays a “preventive” role, likely due to its unique pharmacological properties and mechanisms of action.References
Artashyan, O. S., & Khramtsova, Y. S. (2023). Thymus mast cells as a component of neuro-endocrine-immune interactions under stress. Medical Immunology, 25(3), 539–544.
Ayala, A., Muñoz, M. F., & Argüelles, S. (2014). Lipid peroxidation: Production, metabolism, and signaling mechanisms of malondialdehyde and 4-hydroxy-2-nonenal. Oxidative Medicine and Cellular Longevity, 2014, 360438.
Banci, L., Bertini, I., Blaževitš, O., Calderone, V., Cantini, F., Mao, J., Trapananti, A., Vieru, M., Amori, I., Cozzolino, M., & Carrì, M. T. (2012). Interaction of cisplatin with human superoxide dismutase. Journal of the American Chemical Society, 134(16), 7009–7014.
Bancroft, J. D., & Gamble, M. (2008). Theory and practice of histological techniques book. Sixth Edition. Elsevier Ltd.
Buege, J. A., & Aust, S. D. (1978). Microsomal lipid peroxidation. Methods in Enzymology, 52, 302–310.
Byun, E.-B., Song, H.-Y., Kim, W. S., Han, J. M., Seo, H. S., Park, S.-H., Kim, K., & Byun, E.-H. (2021). Protective effect of polysaccharides extracted from Cudrania tricuspidata fruit against cisplatin-induced cytotoxicity in macrophages and a mouse model. International Journal of Molecular Sciences, 22, 7512.
CIOMS (1986). International guiding principles for biomedical research involving animals issued by CIOMS. Veterinary Quarterly, 8(4), 350–352.
Cook, A. M., McDonnell, A. M., Lake, R. A., & Nowak, A. K. (2016). Dexamethasone co-medication in cancer patients undergoing chemotherapy causes substantial immunomodulatory effects with implications for chemo-immunotherapy strategies. Oncoimmunology, 5(3), e1066062.
Cui, X., Gong, J., Han, H., He, L., Teng, Y., Tetley, T., Sinharay, R., Chung, K. F., Islam, T., Gilliland, F., Grady, S., Garshick, E., Li, Z., & Zhang, J. J. (2018). Relationship between free and total malondialdehyde, a well-established marker of oxidative stress, in various types of human biospecimens. Journal of Thoracic Disease, 10(5), 3088–3097.
Dasari, S., Njiki, S., Mbemi, A., Yedjou, C. G., & Tchounwou, P. B. (2022). Pharmacological effects of cisplatin combination with natural products in cancer chemotherapy. International Journal of Molecular Sciences, 23, 1532.
Dustar, Y., Hashemi, M., Malayeri, H., Jahani, Z. G., Gharamaleki, M. N., Zadeh, F. S., Karaminia, A. A., & Movafagh, A. (2016). Studying variation in cell apoptosis caused by corticosteroids in thymus of the rat. Asian Pacific Journal of Cancer Biology, 1(4), 83–87.
Habtemariam, S. (2019). Modulation of reactive oxygen species in health and disease. Antioxidants, 8(11), 513.
Hassan, A. U., & Rasool, Z. (2014). The hassall of thymus: Hassall’s Corpuscle histological and histopathological perspective. Scholars Journal of Applied Medical Sciences, 2(1B), 147–148.
Hauck, A. K., & Bernlohr, D. A. (2016). Oxidative stress and lipotoxicity. Journal of Lipid Research, 57(11), 1976–1986.
Hou, T., Levy, D. R., & Ulbright, T. M. (2023). Morphologic changes in the thymus following chemotherapy for anterior mediastinal germ cell tumors. Archives of Pathology and Laboratory Medicine, 147, 676–683.
Jadon, A. S., Bhadauriya, P., & Sharma, M. (2019). An integrative review of cisplatin: The first metal anti-tumor drug. Journal of Drug Delivery and Therapeutics, 9(3), 673–677.
Jadoon, S., & Malik, A. (2017). A review article on the formation, mechanism and biochemistry of MDA and MDA as a biomarker of oxidative stress. International Journal of Advanced Research, 5(12), 811–818.
Kalb, V. F., & Bernlohr, R. W. (1977). A new spectrophotometric assay for protein in cell extracts. Analytical Biochemistry, 82(2), 362–371.
Katanić Stanković, J. S., Selaković, D., & Rosić, G. (2023). Oxidative damage as a fundament of systemic toxicities induced by cisplatin – the crucial limitation or potential therapeutic target? International Journal of Molecular Sciences, 24(19), 14574.
Kopacz-Bednarska, A., & Król, T. (2022). Cisplatin-properties and clinical application. Oncology in Clinical Practice, 18(3), 166–176.
Koroliuk, M., Ivanova, L., Maĭorova, I., & Tokarev, V. (1988). A method of determining catalase activity. Laboratornoe Delo, 6(1), 16–19 (in Russian).
Li, G., Chea, X., Wanga, S., Liu, D., Xie, D., Jiang, B., Zheng Z., Zheng, X., & Wu, G. (2025). The role of cisplatin in modulating the tumor immune microenvironment and its combination therapy strategies: A new approach to enhance anti-tumor efficacy. Annals of Medicine, 57(1), 2447403.
Liu, W., Zhao, Z., Na, Y., Meng, C., Wang, J., & Bai, R. (2018). Dexamethasone-induced production of reactive oxygen species promotes apoptosis via endoplasmic reticulum stress and autophagy in MC3T3-E1 cells. International Journal of Molecular Medicine, 4, 2028–2036.
Marchetti, M. C., Di Marco, B., Santini, M. C., Bartol, A., Delfino, D. V., & Riccardi, C. (2003). Dexamethasone-induced thymocytes apoptosis requires glucocorticoid receptor nuclear translocation but not mitochondrial membrane potential transition. Toxicology Letters, 139(2–3), 175–180.
Martin-Sierraa, C., Laranjeiraa, P., Dominguesc, M. R., & Paivaa, A. (2019). Lipoxidation and cancer immunity. Redox Biology, 23, 101103.
Mirzaei, S., Hushmandi, K., Zabolian, A., Saleki, H. S., Torabi, S. M. R., Ranjbar, A., Salehm, S. H. S., Sharifzadeh, S. O., Khan, H., Ashrafizadeh, M., Zarrabi, A., & Ahn, K.-S. (2021). Elucidating role of reactive oxygen species (ROS) in cisplatin chemotherapy: A focus on molecular pathways and possible therapeutic strategies. Molecules, 26(8), 2382.
Ognjanović, B. I., Djordjević, N. Z., Matić, M. M., Obradović, J. M., Mladenović, J. M., Štajn, A. Š., & Saičić, Z. S. (2012). Lipid peroxidative damage on cisplatin exposure and alterations in antioxidant defense system in rat kidneys: A possible protective effect of selenium. International Journal of Molecular Sciences, 13(2), 1790–1803.
Ortiz, R., Corté, L., Gonz´lez-M´rquez, H., Gómez, J. L., Gonz´lez, C., & Cortés, E. (2001). Flow cytometric analysis of spontaneous and dexamethasone-induced apoptosis in thymocytes from severely malnourished rats. British Journal of Nutrition, 86(5), 545–548.
Patil, R. H., Kumar, N. M., Kiran Kumar, K. M., Nagesh, R., Kavya, K., Babu, R. L., Ramesh, G. T., & Chidananda, S. S. (2018). Dexamethasone inhibits inflammatory response via down regulation of AP-1 transcription factor in human lung epithelial cells. Gene, 645, 85–94.
Reichardt, S. D., Amouret, A., Muzzi, C., Vettorazzi, S., Tuckermann, J. P., Lühder, F., & Reichardt, H. M. (2021). The role of glucocorticoids in inflammatory diseases. Cells, 10(11), 2921.
Romani, A. M. P. (2022). Cisplatin in cancer treatment. Biochemical Pharmacology, 206(1), 115323.
Savino, W., & Lepletier, A. (2023). Thymus-derived hormonal and cellular control of cancer. Frontiers in Endocrinology, 14, 1168186.
Sidharta, B. R. A., Purwanto, B., Wasita, B., Widyaningsih, V., & Soetrisno, O. E. (2022). Single or divided administration of cisplatin can induce inflammation and oxidative stress in male Sprague-dawley rats. The Indonesian Biomedical Journal, 14(2), 164–171.
Singh, R., & Manna, P. P. (2022). Reactive oxygen species in cancer progression and its role in therapeutics. Exploration of Medicine, 3, 43–57.
Sirota, T. V. (2017). Standardization and regulation of the rate of the superoxide-generating reaction of adrenaline autooxidation used for evaluation of pro/antioxidant properties of various materials. Biochemistry, Supplement Series B: Biomedical Chemistry, 11, 128–133 (in Russian).
Tchounwou, P. B., Dasari, S., Noubissi, F. K., Ray, P., & Kumar, S. (2021). Advances in our understanding of the molecular mechanisms of action of cisplatin in cancer therapy. Journal of Experimental Pharmacology, 13, 308–328.
Thapa, P., & Farber, D. L. (2019). The role of the thymus in the immune response. Thoracic Surgery Clinics, 29(2), 123–131.
Valgimigli, L. (2023). Lipid peroxidation and antioxidant protection. Biomolecules, 13(9), 1291.
Volchegorskiĭ, I. A., Nalimov, A. G., Iarovinskiĭ, B. G., & Lifshits, R. I. (1989). Comparison of different approaches to the determination of lipid peroxidation products in heptane-isopropanol blood extracts. Voprosy Meditsinskoyi Khimiyi, 25(1), 127–131 (in Russian).
Yang, H., Villani, R. M., Wang, H., Simpson, M. J., Roberts, M. S., Tang, M., & Liang, X. (2018). The role of cellular reactive oxygen species in cancer chemotherapy. Journal of Experimental and Clinical Cancer Research, 37(1), 266.
Yavroyan, Z., Grigoryan, A., Hakobyan, N., Hovhannisyan, A., Abgaryan, T., Karapetyan, A., & Gevorgyan, E. (2024). Cisplatin and dexamethasone separate and combined effect on nephrotoxic processes in female rats. Ukrainian Journal of Nephrology and Dialysis, 84(4), 64–74.
Yavroyan, Z., Hakobyan, N., Hovhannisyan, A., Grigoryan, A., Karapetyan, A., Abgaryan, T., & Gevorgyan, E. (2025). Lipid peroxidation level and histological changes in rat liver after the cisplatin and dexamethasone separate and combined action. Indian Journal of Biochemistry and Biophysics, 62, 480–489.
Yavroyan, Z., Hovhannisyan, A., Hakobyan, N., & Gevorgyan, E. (2021). Changes in malondialdehyde levels in female rats brain, kidney and liver cells after the separate and joint action of cisplatin and steroids. Biological Journal of Armenia, 73(1), 17–25.
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