Background
Thromboxane levels are increased in rats fed ethanol whereas thromboxane inhibitors reduce alcoholic liver injury. The aim of this study is to determine whether thromboxane inhibitors could attenuate already established alcoholic liver injury.
Methods
Rats were fed ethanol and liquid diet for six weeks by intragastric infusion to induce liver injury after which ethanol was continued for two more weeks and the rats were treated with either a thromboxane synthase inhibitor (TXSI) or a thromboxane receptor antagonist (TXRA). Liver pathology, lipid peroxidation, nuclear factor-kappa-B (NF-κB) activity, tumor necrosis factor-α (TNF-α), cyclooxygenase-2 (COX-2), and transforming growth factor-beta1 (TGF-β1) were evaluated.
Results
Administration of fish oil and ethanol caused fatty liver, necrosis, inflammation and fibrosis accompanied by increased in lipid peroxidation, NF-κB activity and expression of TNF-α, COX-2 and TGF-β1. Treatment with the thromboxane inhibitors ameliorated a certain level of the pathological and biochemical abnormalities. In particular, TXSI in addition to reducing necrosis, inflammation and fibrosis also decrease the severity of fatty liver.
Conclusion
Thromboxane inhibitors attenuated the alcoholic liver injury, inflammation and fibrotic changes despite continued ethanol administration. Inhibition of the production of thromboxane by thromboxane inhibitor and receptor antagonists may be a useful treatment strategy in clinical alcoholic liver disease.