PHARMACOKINETICS, HEMATOLOGICAL AND BIOCHEMICAL EFFECTS OF CIPROFLOXACIN HYDROCHLORIDE-SODIUM CHOLATE COMPLEX
DOI:
https://doi.org/10.22159/ijpps.2016v8i10.10802Keywords:
PEGY lated, Hepatocellular, Pharmacokinetics, Immunosuppressant, Ciprofloxacin hydrochloride, Cholate complexAbstract
Objective: Ciprofloxacin is a broad spectrum antibiotic widely used in the treatment of infections, but its toxicological effects remains a great challenge. This research emphasized on analyzing the effect of a hydrophobic ion pair complex, involving ciprofloxacin hydrochloride and sodium cholate and also pegylated ciprofloxacin hydrochloride-sodium cholate complex.
Methods: The effects of ciprofloxacin-cholate complex and pegylated ciprofloxacin-cholate complex were evaluated. LD50 was determined. The test drugs were orally to twenty-four albino mice, in six groups of four mice, at different doses of 7.14 mg/kg, 14.2 mg/kg and 21.4 mg/kg; and PEG complex, 7.14 and 14.2 mg/kg. Each was administered twice daily for fourteen days. The animal blood samples were subjected to hematological, biochemical tests; and the liver organs were collected. Histopathological examination was carried out on the harvested organs. Pharmacokinetic parameters were determined using the non-compartmental method.
Results: The LD50 of the complex was above 5000 mg/kg. The non-significant decrease in PCV and WBC showed the parent drug and its complex are neither anemia inducing nor immunosuppressing; the significant decrease in the average RBCs count in post–treatment of 21.47 mg/kg of the complex could be from physiological changes; the bio-liver makers showed hepatocellular damage. Photomicrograph of the liver sections of mice showed mild areas of hepatocyte degeneration and inflammatory cell infiltrates.
Conclusion: The biochemical, hematological and histology results showed complexation did not increase adverse effects of ciprofloxacin. The PEGYlated complex showed higher AUC and Cmax peak than the uncomplexed drug, hence more therapeutic benefits.
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References
Chin NX, Neu HC. Ciprofloxacin a quinolone carboxylic acid compound active against aerobic and anaerobic bacteria. Antimicrob Agents Chemother 1984;25:319-26.
Santos L, Rodrigues D, Lira M, Oliveira R, Oliveira M, Vilar E, et al. The effect of octylglucoside and sodium cholate in Staphylococcus epidermidis and pseudomonas aeroginosa adhesion to soft contact lenses. Am Acad Optom Vis Sci 2007;84:429-34.
Adikwu E, Brambaika N. Toxicological effect of ciprofloxacin on testicular function of male Guinea pigs. J Exp Biol Sci 2012;3:384-90.
Arash KDVM, Heidari M, Novin MC, Afshin KA. Adverse effects of ciprofloxacin on testis apoptosis and sperm parameters in rats. J Reprod Med 2008;6:71-6.
Veronese FM, Pasut G. PEGylated, successful approach to drug delivery. J Drug Discovery Today 2005;10:1452-6.
Abuchowski A, Davis FF. Effect of covalent attachment of polyethylene glycol on immunogenicity and circulating life of bovine liver catalase. J Biochem 1977;252:3582-6.
Lork D. A new approach for acute toxicity testing. Arch Toxicol 1983;58:275-87.
Guide for the Care and Use of Laboratory Animals. NIH Publication; 1985. p. 85-23.
Dacie JV, Lewis SM. Practical hematology. 9th Edition Churchill Livingstone; 2000.
Reitman S, Frankel S. In vitro determination of transaminase activity in serum. Am J Clin Pathol 1975;28:56-8.
Klein B, Read PA, Babson LA. In vitro determination of alkaline phosphate in serum or plasma. Clin Chem 1960;6:269–75.
Zilva JF, Pannel P, Mayne PD. The plasma enzyme in diagnosis. In: Clinical chemistry in diagnosis and treatment. PG publishing PVT. Ltd, India; 1991.
Kundrotas LW, Clement DJ. Serum alanine aminotransferase (ALT) elevation in asymptomatic US air force basic trainee blood donor. Dig Dis Sci 1993;38:2145-50.
Pieme CA, Penlap VN, Nkegoum B, Taziebou CL, Tekwu EM, Etoa FX, et al. Evaluation of acute and subacute toxicities of an aqueous ethanolic extract of leaves of Senna alata (L) Roxb (ceasalpiniaceae). Afr J Biotechnol 2008;5:288-9.
Pyriyadharshiri KM, Vanithakumari GV. Ciprofloxacin-induced body weight and serum biochemical changes in rats and antioxidant vitamin A, C and E as rescue agents. Int J Eng Sci 2013;4:1211-3.
Varley H, Gowenlock AH, Bell M. Practical clinical biochemistry. 5th edition. CBS Publishers and Distributors, India; 1991.
Obaleye JA, Akinremi CA, Balogun EA, Adebayo JO. Toxicological studies and antimicrobial properties of some iron (III) complexes of ciprofloxacin. Afr J Biotechnol 2007;6:2826-32.
Akanji MA, Olagoke OA, Oloyede OB. Effects of chronic consumption of metabisulphite on the integrity of the rat kidney cellular system. J Toxicol 1993;81:173-9.
Mutlu EA, Keshavarzian A, Mutlu GM. Hypoalbuminemia elevated transaminase associated with diet. J Gastrol 2006;41:759-60.
Tando V. Pharmacokinetics in drug discovery and development. Florida. C. R. C Press; 2002.
Mizuki Y, Fujiwara I, Yamaguch T. Pharmacokinetics interactions related to the chemical structures of fluoroquinolones. J Antimicrob Chemother 1996;37:41-55.
Nduka SO, Okonta JM, Esimone CO. In vivo evaluation of the effects of Allium sativum on the pharmacokinetic parameters of ciprofloxacin and Isoniazid. Int J Drug Discovery 2012;4:123-7.
Jambhekar SS, Breen PJ. Basic pharmaceutics: extravascular routes of drug administration. Pharmaceutical Press: London; 2009. p. 101.
Sorgel F, Kinzig. Pharmacokinetics of gyrase inhibitors: renal and hepatic elimination pathways and drug interactions. Am J Med 1993;94:56-9.