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Submitted: 10 Apr 2025
Revision: 07 Jul 2025
Accepted: 20 Jul 2025
ePublished: 09 Aug 2025
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J Nephropharmacol. Inpress.
doi: 10.34172/npj.2025.12805
  Abstract View: 16

Original

Potential of a palladium–Mexidol complex in normalization of liver tests as a dual organoprotective of hepato-renal function in a paracetamol-induced rat model

Fuad Yusir Mammadov 1 ORCID logo, Shahzada Musa Polukhova 2 ORCID logo, Zumrud Amirgulu Abaszade 3* ORCID logo, Kamil Sahib Alkishiev 1 ORCID logo, Hijran Faramaz Khidirova 4 ORCID logo, Maryam Rauf Abbasova 5 ORCID logo, Aygun Vugar Kazimli 4 ORCID logo

1 Department of Therapeutic Dentistry, Azerbaijan Medical University, Baku, Azerbaijan
2 Department of Pharmacology, Azerbaijan Medical University, Baku, Azerbaijan
3 Department of Normal Physiology, Azerbaijan Medical University, Baku, Azerbaijan
4 Department of Internal Medicine III, Azerbaijan Medical University, Baku, Azerbaijan
5 Department of Family Medicine, Azerbaijan Medical University, Baku, Azerbaijan
*Corresponding Author: Zumrud Amirgulu Abaszade, Email: zumrudabaszade@yandex.com

Abstract

Introduction: Paracetamol overdose is a primary cause of acute liver and renal damage due to oxidative stress and depletion of glutathione reserves. Palladium-Mexidol complexes have demonstrated significant antioxidant, membrane-protective, and cytoprotective properties. Objectives: This study investigates the therapeutic potential of a palladium–Mexidol complex in this context.

Materials and Methods: This experimental animal study was conducted on 36 healthy white rats, randomly divided into four groups. The groups included a healthy control group, a paracetamol-induced hepatitis model group, a treatment group that received intraperitoneal palladium–Mexidol following hepatitis induction, and a post-treatment group assessed ten days after the final dose. Serum levels of hepatic and cellular injury markers, including aspartate aminotransferase (AST), alanine aminotransferase (ALT), gamma-glutamyl transferase (GGT), lactate dehydrogenase (LDH), creatine phosphokinase (CPK), and alkaline phosphatase (ALP), were measured and compared between each pair of experimental groups

Results: The results indicated that the liver enzyme activities showed distinct changes across experimental groups, with healthy control rats maintaining normal levels of AST, ALT, ALP, GGT, LDH, and CPK. Paracetamol-induced hepatitis caused significant elevations in all these enzymes, reflecting liver injury. Treatment with palladium-Mexidol partially normalized enzyme levels, indicating initial recovery, and by the tenth-day post-treatment, further significant improvements were observed, with continued reductions in enzyme concentrations.

Conclusion: The result indicated the hepatoprotective efficacy of the palladium-Mexidol complex in mitigating paracetamol-induced liver toxicity, with progressive improvement observed by the tenth day post-treatment, indicating both immediate hepatoprotection and sustained liver recovery. We conclude that palladium-Mexidol complex is a promising hepatoprotective therapeutic approach that warrants further investigation and assessment of long-term safety profiles to advance its potential clinical applications.


Implication for health policy/practice/research/medical education:

In this experimental animal study, we found that the administration of the palladium-Mexidol complex has proven to be an effective strategy in shielding against liver toxicity induced by paracetamol. The study revealed that the complex not only provided immediate protection but also facilitated sustained recovery of the liver. Furthermore, the investigation tracked the liver’s condition over a period of ten days, demonstrating progressive and continuous improvement throughout the observation period, highlighting the long-term benefits of the palladium-Mexidol complex in mitigating paracetamol-related liver damage.

Please cite this paper as: Mammadov FY, Polukhova SM, Amirgulu Abaszade Z, Alkishiev KS, Khidirova HF, Abbasova MR, Kazimli AV. Potential of a palladium–Mexidol complex in normalization of liver tests as a dual organoprotective of hepato-renal function in a paracetamol-induced rat model. J Nephropharmacol. 2025;14(x):e12805. DOI: 10.34172/npj.2025.12805.

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