Taurine treatment preserves brain and liver mitochondrial function in a
rat model of fulminant hepatic failure and hyperammonemia
Akram Jamshidzadeh
a,b
, Reza Heidari
a,
*, Mozhgan Abasvali
c
, Mehdi Zarei
b
,
Mohammad Mehdi Ommati
d
, Narges Abdoli
e
, Forouzan Khodaei
b
, Yasaman Yeganeh
b
,
Faezeh Jafari
b
, Azita Zarei
b
, Zahra Latifpour
b
, Elnaz Mardani
b
, Negar Azarpira
f
,
Behnam Asadi
b
, Asma Najibi
b
a
Pharmaceutical Sciences Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
b
Department of Pharmacology and Toxicology, School of Pharmacy, Shiraz University of Medical Sciences, Shiraz, Iran
c
Students Research Committee, Shiraz University of Medical Sciences, International Branch, Shiraz, Iran
d
Department of Animal Science, School of Agriculture, Shiraz University, Iran
e
Food and Drug Organization, Ministry of Health, Tehran, Iran
f
Transplant Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
A R T I C L E I N F O
Article history:
Received 11 June 2016
Received in revised form 20 November 2016
Accepted 21 November 2016
Keywords:
Amino acid
Ammonia
Bioenergetics
Brain injury
Hepatic encephalopathy
Oxidative stress
A B S T R A C T
Ammonia-induced mitochondrial dysfunction and energy crisis is known as a critical consequence of
hepatic encephalopathy (HE). Hence, mitochondria are potential targets of therapy in HE. The current
investigation was designed to evaluate the role of taurine treatment on the brain and liver mitochondrial
function in a rat model of hepatic encephalopathy and hyperammonemia. The animals received
thioacetamide (400 mg/kg, i.p, for three consecutive days at 24-h intervals) as a model of acute liver
failure and hyperammonemia. Several biochemical parameters were investigated in the serum, while the
animals’ cognitive function and locomotor activity were monitored. Mitochondria was isolated from the
rats’ brain and liver and several indices were assessed in isolated mitochondria. Liver failure led to
cognitive dysfunction and impairment in locomotor activity in the rats. Plasma and brain ammonia was
high and serum markers of liver injury were drastically elevated in the thioacetamide-treated group. An
assessment of brain and liver mitochondrial function in the thioacetamide-treated animals revealed an
inhibition of succinate dehydrogenase activity (SDA), collapsed mitochondrial membrane potential,
mitochondrial swelling, and increased reactive oxygen species (ROS). Furthermore, a significant decrease
in mitochondrial ATP was detected in the brain and liver mitochondria isolated from thioacetamide-
treated animals. Taurine treatment (250, 500, and 1000 mg/kg) decreased mitochondrial swelling, ROS,
and LPO. Moreover, the administration of this amino acid restored brain and liver mitochondrial ATP.
These data suggest taurine to be a potential protective agent with therapeutic capability against hepatic
encephalopathy and hyperammonemia-induced mitochondrial dysfunction and energy crisis.
© 2016 Elsevier Masson SAS. All rights reserved.
1. Introduction
Hepatic encephalopathy (HE) is a deleterious clinical compli-
cation accompanied by acute and chronic liver injury [1]. Although
the exact cause of HE is not known, there is agreement on the
predominant role of ammonia in HE etiology [2]. Ammonia is
metabolized by the liver to the urea in healthy subjects. Damaged
livers are unable to metabolize ammonia. Hence, this toxic
chemical is elevated in the systemic circulation and, eventually,
damages the brain. Ammonia is a neurotoxin that mostly
influences astrocytes in the central nervous system (CNS) [3,4].
It also has several direct toxic effects on neurons [4]. Ammonia
causes brain edema, oxidative stress, and inflammation when its
level rises in HE [5]. Consequently, a decline in brain function occur
in patients with HE [5]. Hyperammonemia also affects hepatocytes
and liver function [6].
Disturbed mitochondrial function and oxidative stress are
implicated in ammonia-induced cytotoxicity [3,7]. It has been
reported that brain energy metabolism is interrupted in chronic
* Corresponding author at: P.O. Box 1583, 71345, Roknabad, Karafarin St., Shiraz,
Fars, Iran.
E-mail address: rezaheidari@hotmail.com (R. Heidari).
http://dx.doi.org/10.1016/j.biopha.2016.11.095
0753-3322/© 2016 Elsevier Masson SAS. All rights reserved.
Biomedicine & Pharmacotherapy 86 (2017) 514–520
Available online at
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