© 2020 |Published by Scholars Middle East Publishers, Dubai, United Arab Emirates 243
Saudi Journal of Biomedical Research
Abbreviated Key Title: Saudi J Biomed Res
ISSN 2518-3214 (Print) |ISSN 2518-3222 (Online)
Scholars Middle East Publishers, Dubai, United Arab Emirates
Journal homepage: https://saudijournals.com/sjbr
Original Research Article
Evaluation of Diclofenac (DCF) Potassium as a Possible Predisposer of
Benign Prostatic Hyperplasia in Wistar Albino Rats
Moses Zira Zaruwa
1
, Yusuf Bawa Muhammad
1
, Halima Sadiya Abdullahi
1
, Muhammed Abdullahi Ubana
1*
, Kingsley
Ikechukwu Ubaoji
2
, and Ruqaiyatu Muhammad Adamu
3
1
Department of Biochemistry and Molecular Biology, Nasarawa State University, Keffi, Nasarawa State, Nigeria
2
Department of Applied Biochemistry, Nnamdi Azikiwe University, Awka, Anambra State, Nigeria
3
Department of Pharmacy, Federal Medical Centre, Keffi, Nasarawa State, Nigeria
DOI: 10.36348/sjbr.2020.v05i08.003 | Received: 05.07.2020 | Accepted: 19.07.2020 | Published: 22.08.2020
*Corresponding author: Ubana Muhammed Abdullahi
Abstract
Background: Diclofenac (DCF) is a drug widely consumed in developing countries like Nigeria, because of its fast and
immediate effect on pains. Objectives: The high number of adult males falling victims to BPH made DCF a suspect in the
predisposition to BPH. Methods: Thirsty Six (36) Male Wistar albino rats were divided into five groups of six animals
each. Group 1; the Normal control (NC) was injected subcutaneously with olive oil only, Group 2; standard group treated
with testosterone Propionate in olive oil (3 mg / kg b.wt.). Groups 3, 4, and 5 were treated with Diclofenac, potassium in
solution as low (2 mg / kg b.wt.), mid (4 mg / kg b.wt.), and high (6 mg / kg b.wt.) doses respectively. All animals were
fed same diets throughout the twelve (12) weeks. After this period, the rats were allowed to fast overnight then Blood
samples were collected and analyzed for liver function, kidney function, lipid profile, prostate specific antigen (PSA),
and haematological parameters. Results: The result showed an elevation in liver parameters; ALT, ALP, AST, total
bilirubin, conjugated bilirubin in the treatment groups compared to the control. Conversely, the concentration of Na
+
, Cl
-
and HCO
3
-
revealed no significant difference compared to the control while urea and creatinine increased significantly.
Haematological parameters showed increase in WBC, PCV, PLT in the treatments groups while RBC, Hb, MCV
decreased. For lipid profile; Total cholesterol, TG, HDL and LDL increased significantly in the groups treated with mid
and high dose DCF. Conclusion: The level of PSA was found to increase in all the treatment groups compared to the
control. This result revealed that DCF-Potassium at high concentration can inter fare with the liver and kidney functions,
lipid profile and haematological parameters as well as increasing PSA level. Thus, we conclude that persistent
consumption of DCF can likely predispose to BPH.
Keywords: Benign prostate hyperplasia, Diclofenac, Haematological paramaters, Prostate specific antigen.
Copyright @ 2020: This is an open-access article distributed under the terms of the Creative Commons Attribution license which permits unrestricted
use, distribution, and reproduction in any medium for non-commercial use (NonCommercial, or CC-BY-NC) provided the original author and source
are credited.
INTRODUCTION
Benign Prostate Hyperplasia (BPH) is a
progressive pathologic condition associated with elderly
men and characterized by proliferation of prostatic
tissues, prostate enlargement and consequent lower
urinary tract symptoms [1]. These include urinary
reluctance, frequent urination, weak stream, and
nocturia [2]. Although nearly 70% of men, experience
prostate enlargement, after the age of 50, the
pathogenesis of BPH is yet to be fully understood [2].
Within the transitional zone of the prostate,
proliferation of both epithelial and stromal cells occurs.
This accumulation of cells could lead to prostatitis and
fibrosis, collectively causing lower urinary tract
symptoms [3]. BPH development is associated with
increased levels of dihydrotestosterone (DHT),
produced from testosterone by the 5α-reductase enzyme
within the prostate glands [2, 3].There is an increased
accumulation of DHT in the prostate with aging which
results in increased cell growth and hyperplasia [3].
Benign prostate hyperplasia also involves
increased adrenergic tone in prostate smooth muscle
mediated by α1-adrenoceptors [4]. Prostatic epithelial
cells secrete Prostate-Specific Antigen (PSA); a
glycoprotein in humans that performs various functions
during copulation and fertilization [4, 5]. Serum PSA
levels are often elevated in prostate disorders such as
BPH and are used as a clinical marker for disease
prognosis [5, 6].