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Title: Exploring protective potential of Vitamin E in mitigating liver steatosis in alcoholic liver injury.
Authors: Noman Ullah Wazir, Muhammad Saleh Faisal, Mohammad Tamhid, Hafsa Khaliq, Zainab Irshad
Journal: The Professional Medical Journal (TPMJ)
Publisher: Independent Medical College, Faisalabad- Pakistan
Country: Pakistan
Year: 2024
Volume: 31
Issue: 7
Language: English
DOI: 10.29309/TPMJ/2024.31.07.8163
Keywords: Vitamin EAlcoholLiver Steatosis
Objective: To investigate and assess the efficacy of Vitamin E in preventing or reducing fatty liver changes associated with alcoholic liver injury. Study Design: Experimental study. Setting: Department of Anatomy and Animal Facility of Peshawar Medical College, Peshawar. Period: February 2018 to April 2020. Methods: The study involved eighteen male domestic rabbits (Oryctolagus cuniculus), organizing them into categories based on the time frames specified for the research. Animals in "Category E8" were subjected to an 8-week time period, while those in "Category E4" underwent a 4-week experimental duration. Each category was further divided into three groups: "Control Group A" received standard laboratory food and daily access to normal saline as drinking water, "Experimental Group B" received standard nutrition, a 30% ethanol solution in distal water (30ml per kg/day) and normal saline for drinking, and "Experimental Group C" was treated with the necessary standard diet, a 30% ethanol solution in distal water (30ml per kg/day), and "Vitamin E" (50mg dissolved in 2ml distal water per kg/day) via nasogastric tube. Liver tissue specimens from all animals were stained with H&E and Masson’s trichrome stain for quantification of fatty change. Results: A significant difference in steatosis development was observed among the E4 groups and among the E8 groups having a respective p-values of 0.001 and 0.003. This underscored the impact of alcohol within the context of alcohol-induced liver injury. However, no appreciable differences were noted between BI & CI and BII & CII (p-values > 0.05) indicating no significant distinction in liver steatosis between subjects treated with vitamin E and those not receiving vitamin E. Conclusion: In the context of alcohol-induced liver injury, the study failed to deliver anticipated protective benefits of vitamin E. There is a possibility of adverse effects, potentially rendering its use counterproductive.
To investigate and assess the efficacy of Vitamin E in preventing or reducing fatty liver changes associated with alcoholic liver injury.
Experimental study involving eighteen male domestic rabbits (Oryctolagus cuniculus) divided into 8-week (E8) and 4-week (E4) categories. Each category had three groups: Control (standard diet, normal saline), Experimental (standard diet, 30% ethanol, normal saline), and Experimental + Vitamin E (standard diet, 30% ethanol, Vitamin E). Liver tissue specimens were stained with H&E and Masson's trichrome for quantification of fatty change. Statistical analysis used One-way ANOVA and independent sample T test.
graph TD;
A["Select 18 Male Rabbits"] --> B["Divide into E4 and E8 Categories"];
B --> C["Divide Categories into Control, Ethanol, Ethanol+Vit E Groups"];
C --> D["Administer Treatments Ethanol/Vit E"];
D --> E["Collect Liver Tissue Specimens"];
E --> F["Stain Tissues H&E, Masson's Trichrome"];
F --> G["Quantify Fatty Change"];
G --> H["Perform Statistical Analysis ANOVA, T-test"];
H --> I["Analyze Results"];
I --> J["Draw Conclusions"];
The study suggests that vitamin E does not have a mitigating effect on alcohol-induced fatty changes in hepatocytes over a short duration. The findings diverge from some studies on non-alcoholic hepatic steatosis, possibly due to differences in animal models or study designs. The authors suggest that vitamin E might not be effective and could potentially be counterproductive in the context of alcoholic liver injury.
Alcohol consumption significantly induced fatty changes (steatosis) in the liver within 4 to 8 weeks. There was no statistically significant difference in liver steatosis between rabbits treated with vitamin E and those not receiving vitamin E in either the 4-week or 8-week experimental groups.
In the context of alcohol-induced liver injury, the study failed to demonstrate the anticipated protective benefits of vitamin E in mitigating liver steatosis. There is a possibility of adverse effects, potentially rendering its use counterproductive.
1. Study Duration: The study involved two time frames: 8 weeks (Category E8) and 4 weeks (Category E4).
2. Ethanol Dosage: Rabbits in experimental groups received a 30% ethanol solution at a dosage of 30ml per kg/day.
3. Vitamin E Dosage: Rabbits in the Vitamin E group received 50mg per kg/day of Vitamin E dissolved in 2ml of distilled water.
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