Document Type : Research Paper

Authors

1 Department of Physiology and pharmacology, College of Veterinary Medicine, University of Al-Muthana, Iraq

2 Head of the Department of Physiology and pharmacology, College of Veterinary Medicine, University of Al-Qadisiyah, Iraq

Abstract

Acetylsalicylic acid (ASA), usually referred to aspirin, is a nonsteroidal anti-inflammatory medication (NSAID) used as an anticoagulant to treat pain, fever, inflammation and to treat a variety of inflammatory disorders, including Kawasaki disease, pericarditis, and rheumatic fever. In addition to being an antithrombotic, aspirin also lowers the risk of heart attacks. We investigated the effect of aspirin on RBC, Hb, and PCV and renal functional enzyme (urea, Creatinine and uric acid) using different doses of aspirin in healthy adult rats and at the same time clarify its effect on renal tissue. This study included 50 Wistar adult rats were divided into five groups as following; control, G1, G2, G3, and G4, rats in control group drenched distilled water daily, while the rest groups drenched daily with aspirin 30, 70, 100, and150 mg/kg using gastric lavage sequentially. Blood samples were collected from heart for blood parameter and kidney functional enzymes assessment. Kidney tissues were collected for histological process. The results showed decreased in the serum level of RBC, Hb, and PCV; likewise, there was increase in urea and creatinine level. While, there was a decrease in uric acid serum level. In tissue samples, results showed mild atrophy to extensive necrosis in renal tissue samples with cystic dilation in convoluted tubules of the kidney. In summary, current research showed that the use of different aspirin doses over a period of time has a negative impact on blood parameters and renal functional enzymes. Furthermore, the use of aspirin in this way had an adverse effect on renal tissue.

Keywords

1. Naderi SH, Bestwick JP, Wald DS. Adherence to drugs that prevent cardiovascular disease: meta-analysis on 376,162 patients. Am J Med. 2012;125(9):882-887.https://doi.org/10.1016/j.amjmed.2011.12.013
2. Soni A. Aspirin use among the adult US noninstitutionalized population, with and without indicators of heart disease. Statistical Brief 179. Available from:http://meps.ahrq.gov/mepsweb/data_files/publications/st179/stat179.pdf
3. Fuster V, Sweeny J. Contemporary reviews in cardiovascular medicine. Circulation. 2011;123(7):768-778.https://doi.org/10.1161/CIRCULATIONAHA.110.963843
4. Miner J, Hoffhines A. The discovery of aspirin's antithrombotic effects. Tex Heart Inst J. 2007;34(2):179.
5. Smith SC Jr, Blair SN, Bonow RO, Brass LM, Cerqueira MD, Dracup K, et al. AHA/ACC Scientific Statement: AHA/ACC guidelines for preventing heart attack and death in patients with atherosclerotic cardiovascular disease: 2001 update: a statement for healthcare professionals from the American Heart Association and the American Coll. Circulation. 2001;104(13):1577-1579.https://doi.org/10.1161/hc3801.097475
6. Fink R, Gilman EA. Biological contamination of the building environment: sampling and analysis. J Am Biol Saf Assoc. 2000;5(1):19-29. Available from: http://doi.org/10.1177/109135050000500106https://doi.org/10.1177/109135050000500106
7. Raizada MS, Raina S, Sharma R, Yadav RS. Association between use of low-dose aspirin on hemoglobin levels and serum iron homeostasis in patients with acute coronary syndrome or ischemic stroke. Int J Noncommun Dis. 2022;7(3):115-119.https://doi.org/10.4103/jncd.jncd_34_22
8. Amin HM, Youssef MA. Immunological, hematological and biochemical effects of aspirin in low and high doses in male albino rats. Eur J Mol Clin Med. 2021;7(11):6700-6713. Available from:
9. Navratil L, Blehova Z, Drbohlavova H. Effect of continuous, long-term administrations of acetylsalicylic acid on hematological and hemocoagulation changes in the rat. Boll Chim Farm. 1992;131(10):363-368. Available from: https://pubmed.ncbi.nlm.nih.gov/1296703/
10. Silagy CA, McNeil JJ, Donnan GA, Tonkin AM, Worsam B, Campion K. Adverse effects of low‐dose aspirin in a healthy elderly population. Clin Pharmacol Ther. 1993;54(1):84-89.https://doi.org/10.1038/clpt.1993.115
11. Leibovici A, Lavi N, Wainstok S, Herman J, Greene VW. Low-dose acetylsalicylic acid use and hemoglobin levels. Effects in a primary care population. Can Fam Physician. 1995;41:64-68. Available from: https://pubmed.ncbi.nlm.nih.gov/7894282/
12. Wu S, Zheng C, Chen S, Cai X, Shi Y, Liu Z, Li Z. Anti-thrombotic effect of Carthamus tinctorius Linn extracts in rats. Trop J Pharm Res. 2014;13(10):1637-1642.https://doi.org/10.4314/tjpr.v13i10.10
13. Li J, Yu Y, Yang Y, Liu X, Zhang J, Li B, Zhou X, Niu J, Wei X, Liu Z. A 15-day oral dose toxicity study of aspirin eugenol ester in Wistar rats. Food Chem Toxicol. 2012;50(6):1980-1985.https://doi.org/10.1016/j.fct.2012.03.080
14. Louthrenoo W, Kasitanon N, Wichainun R, Sukitawut W. Effect of minidose aspirin on renal function and renal uric acid handling in healthy young adults. J Clin Rheumatol. 2002;8(6):299-304.https://doi.org/10.1097/00124743-200212000-00003
15. Caspi D, Lubart E, Graff E, Habot B, Yaron M, Segal R. The effect of mini‐dose aspirin on renal function and uric acid handling in elderly patients. Arthritis Rheum. 2000;43(1):103-108.https://doi.org/10.1002/1529-0131(200001)43:1<103::AID-ANR13>3.0.CO;2-C
16. Segal R, Lubart E, Leibovitz A, Iaina A, Caspi D. Renal effects of low dose aspirin in elderly patients. Hypertension. 2006;46:43. Available from: https://pubmed.ncbi.nlm.nih.gov/17125112/
17. Mossa ATH, Heikal TM, Omara EAA. Liver damage associated with exposure to aspirin and diazinon in male rats and the ameliorative effect of selenium. Biomed Aging Pathol. 2014;4(2):137-145.https://doi.org/10.1016/j.biomag.2014.01.004
18. Garcia Rodriguez LA, Lanas A, Soriano-Gabarró M, Cea Soriano L. Low-dose aspirin and risk of upper/lower gastrointestinal bleeding by bleed severity: a cohort study with nested case-control analysis using primary care electronic health records from the United Kingdom. Ann Med. 2019;51(2):182-192.https://doi.org/10.1080/07853890.2019.1591635
19. Bouzenna H, Samout N, Dhibi S, Mbarki S, Akermi S, Khdhiri A, Elfeki A, Hfaiedh N. Protective effect of essential oil from Citrus limon against aspirin-induced toxicity in rats. Hum Exp Toxicol. 2019;38(5):499-509.https://doi.org/10.1177/0960327118819044
20. Harirforoosh S, Jamali F. Renal adverse effects of nonsteroidal anti-inflammatory drugs. Expert Opin Drug Saf. 2009;8(6):669-681.https://doi.org/10.1517/14740330903311023
21. Basile DP, Anderson MD, Sutton TA. Pathophysiology of acute kidney injury. Compr Physiol. 2012;2(2):1303.https://doi.org/10.1002/cphy.c110041
22. Borgert CJ, Fuentes C, Burgoon LD. Principles of dose-setting in toxicology studies: the importance of kinetics for ensuring human safety. Arch Toxicol. 2021;95(12):3651-3664.https://doi.org/10.1007/s00204-021-03155-4
23. Idehen C, Kayode B, Kingsley A, Dic-Ijiewere E, Sunda O, Raphael E, Eseiwi O, Emmanuel A. Histopathological effect of varying dose of acetylsalicylic acid (aspirin) on liver of adult Wistar rats. J Biotechnol Biomed. 2018;1. Available from: https://doi.org/10.26502/jbb.2642-9128003https://doi.org/10.26502/jbb.2642-9128003
24. Satyapa US, Kadam VJ, Ghosh R. Hepatoprotective activity of livobond a polyherbal formulation against CCl4 induced hepatotoxicity in rats. Int J Pharmacol. 2008;4(6):472-476.https://doi.org/10.3923/ijp.2008.472.476
25. Dobrzyńska I, Szachowicz-Petelska B, Skrzydlewska E, Figaszewskv Z. Effects of Green Tea on Physico-Chemical Properties of Liver Cell Membranes of Rats Intoxicated with Ethanol. Pol J Environ Stud. 2008;17(3).