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Abstract CRC is the most prevalent cancer worldwide, and its prevalence has been rising in rearmost years. The incidence of CRC is thought to be linked to a number of variables. According to epidemiological research, environmental variables, dietary habits, physical activity, and hereditary factors all have a role in CRC. DMH is a carcinogen furthermore an alkylating agent. DMH distresses several organs, causing tumors, most notably in the colon, as well as clinical symptoms like ACF. The investigation of DMH-induced colon carcinogenesis in mouse models sheds light on the biochemical, molecular, and histological processes involved in the various phases of colon carcinogenesis. Nic is an FDA-approved anthelminthic pharmaceutical that is on the World Health Organization’s (WHO) model list of essential medicines. Nic has been frequently found as a major anti-cancer treatment in several high-throughput screenings. The current study geared to inspect the potential protective consequence of Nic on DMHinduced CRC in male albino mice through histopathological, immunohistochemical and biochemical studies. To achieve this aim, the present study was designed. The histopathological changes, AIF expression levels were assessed in the colons’ paraffin slides while MDA content, TAC, and 8-OHdG levels were assessed in colon homogenate samples. The current study embraced the subsequent groups: control, EDTA, DMSO, Nic (20 mg/kg), DMH (15 μg /g) and protective groups. All treatments were done twice for 6 weeks. The results of the present study could be summarized as the following: Histopathological finding a. H&E stain In the colon sections of the mice in the control group, the glandular cells of the mucosal layer retained a normal histological structure. In the lumen of colon sections from the induced colon cancer group, tumor cells reflective of anaplasia, dysplasia, and hyperchromasia were found. The mucosal lining epithelium got better markedly in the mice in the protected group. b. Masson’s trichrome stain The control group’s colon sections divulged a normal structure with collagenous fiber content in the peri glandular cells of the mucosal layer and lamina propria. In the colon sections of mice with induced colon cancer, however, leukocytic inflammatory cells clustering with tumor cells was observed. The protective group’s structure was normal, with a slight increase in collagenous content. i. Immunohistochemical findings and image analysis results The staining levels of AIF (% area) were significantly higher in DMH group (9.020 ± 1.686) than in the control group (2.396 ± 0.799). However, in the protective group (5.585 ± 1.719) AIF staining level was higher than in the control group. ii. Biochemical parameters a. MDA Content The colon homogenates of mice treated with DMH (143.144 ± 40.302) were elevated when compared to the control group (51.144 ±12.662). The protective group (82.567 ± 6.884) treated with Nic and DMH prevented such an increment in LPO levels. b. TAC A significant reduction of colon TAC in both the DMH group (0.594 ± 0.194) and protective group (0.844 ± 0.144) compared with the normal control group (1.182 ± 0.157). c. 8-OHdG levels using ELISA technique The DMH group (3.3708± 0.7737) had a considerable rise in 8-OHdG levels in the colon compared to the control group (0.9925 ± 0.1038). The protective group (1.8563 ± 0.3106) treated with Nic and DMH hindered such an upsurge of 8-OHdG. 6.2. Conclusion The current study found that Nic had a positive impact on CRC induced by DMH injections. Nic’s effect on oxidative stress was achieved by reducing MDA levels and increasing TAC. The reduced oxidative stress was reflected in the mucosa layer by decreasing AIF staining intensity. As a result, Nic might be further developed as a strong CRC preventive candidate remedy. 6.3. Recommendations This study recommends the worth of Niclosamide use as an adjuvant drug in clinical trials. |