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Exploring protective potential of Vitamin E in mitigating liver steatosis in alcoholic liver injury.


Article Information

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)

HEC Recognition History
Category From To
Y 2024-10-01 2025-12-31
Y 2023-07-01 2024-09-30
Y 2022-07-01 2023-06-30
Y 2021-07-01 2022-06-30

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

Categories

Abstract

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.


Research Objective

To investigate and assess the efficacy of Vitamin E in preventing or reducing fatty liver changes associated with alcoholic liver injury.


Methodology

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.

Methodology Flowchart
                        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"];                    

Discussion

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.


Key Findings

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.


Conclusion

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.


Fact Check

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.


Mind Map

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