| 
              
              
              Open Access  
Copyright: The authors. This article is an open access 
article licensed under the terms of the Creative Commons Attribution License 
(http://creativecommons.org/licenses/by/2.0) which permits unrestricted use, 
distribution and reproduction in any medium, provided the work is properly 
cited. 
 
              
              
              Research 
(Published 
online: 16-07-2014) 
              
              9. Subacute toxicopathological studies of 
              methotrexate in Wistar rats - N. N. Patel, D. J. 
              Ghodasara, Sunanda Pandey, Priya D. Ghodasara, J. H. Khorajiya, B. 
              P. Joshi and C. J. DaveVeterinary World, 7(7): 489-495
   
              
   
                
                
doi: 
              10.14202/vetworld.2014.489-495 
                
              
              N. N. 
              Patel:
              Department of Veterinary Pathology, College of Veterinary Science 
              and Animal Husbandry, Anand Agricultural University, Anand, 
              Gujarat - 388001, India; nupur1989@gmail.com
 
              D. J. 
              Ghodasara:
              Department of Veterinary Pathology, College of Veterinary Science 
              and Animal Husbandry, Anand Agricultural University, Anand, 
              Gujarat - 388001, India; dinghodasara@gmail.com 
              Sunanda 
              Pandey:
              Department of Veterinary Pathology, College of Veterinary Science 
              and Animal Husbandry, Anand Agricultural University, Anand, 
              Gujarat - 388001, India; drsunandapandey@gmail.com 
              
              Priya D. Ghodasara:
              Department of Veterinary Pathology, College of Veterinary Science 
              and Animal Husbandry, Anand Agricultural University, Anand, 
              Gujarat - 388001, India; priyaghodasara@yahoo.com 
              
              J. H. Khorajiya:
              Department of Veterinary Pathology, College of Veterinary Science 
              and Animal Husbandry, Anand Agricultural University, Anand, 
              Gujarat - 388001, India; jainudeen_1990@rediffmail.com 
              
              B. P. Joshi:
              Department of Veterinary Pathology, College of Veterinary Science 
              and Animal Husbandry, Anand Agricultural University, Anand, 
              Gujarat - 388001, India; b4bpjoshi@gmail.com 
              
              C. J. Dave:
              Department of Veterinary Pathology, College of Veterinary Science 
              and Animal Husbandry, Anand Agricultural University, Anand, 
              Gujarat - 388001, India; c4cjdave@gmail.com 
              Received: 11-04-2014, Revised: 07-06-2014, Accepted: 11-06-2014, 
              Published online: 16-07-2014
 
                
              
              
              Corresponding author: D. J. Ghodasara, email: 
              dinghodasara@gmail.com 
 
              Abstract 
 
              Aim: A toxico-pathological 
              study was undertaken to assess the effects of Methotrexate 
              administration in Wistar rats by performing the hematology, serum 
              biochemical analysis and associated histopathological changes in 
              visceral organs. Materials and Methods: Rats in 4 treatment groups with 6 
              male and 6 female rats each were administered methotrexate (Group 
              II to IV) at the dose rate of 0.062, 0.125 and 0.250 mg/kg body 
              weight respectively and distilled water (Group I) as vehicle 
              control for 28 days. Hematological parameters viz., total 
              erythrocyte count, haemoglobin, packed cell volume, MCV, MCH and 
              MCHC, total leukocyte count and differential leukocyte count and 
              serum biochemical parameters viz., aspartate aminotransferase, 
              alanine aminotransferase, alkaline phosphatase, serum creatinine, 
              blood urea nitrogen, total protein, albumin, globulin (Calculated) 
              were estimated after 28 days. Necropsy examination was performed 
              in all sacrificed animals and gross lesions were recorded. Tissue 
              samples (lung, liver, kidney, intestine, testes and heart) were 
              collected in 10% formalin solution for histo-pathological 
              examination.
 Results: The dose dependent reduction in body weight, feed 
              consumption, RBCs count, packed cell volume, haemoglobin, total 
              leucocyte count, neutrophil count, total protein and albumin was 
              observed in animals of group II, III and IV along with significant 
              increase in lymphocyte count, AST, ALT, AKP, creatinine and BUN in 
              animals of methotrexate treated group IV followed by group III. No 
              significant change in monocyte, eosinophil and basophil counts 
              were observed in any treatment groups. All the rats exposed to 
              methotrexate at three different dose levels revealed dose 
              dependent pathological changes characterized by degeneration, 
              necrosis, congestion, haemorrhage and vascular changes. The main 
              target organs affected were liver, kidney, lungs and testes.
 Conclusion: It can be concluded from this study that 
              sub-acute exposure to methotrexate produced no appreciable changes 
              at recommended 0.062 mg/kg body weight dose level. The findings 
              observed at 0.250 mg/kg body weight methotrexate dose level are of 
              public health significance and regulatory importance due to its 
              hepatotoxic and nephrotoxic character.
 Keywords: biochemical parameters, histopathology, 
              methotrexate, Wistar rats.
 
 
              References 
 
                
                  | 1. Kremer, J. M. and Lee, J. K. (1988) A long term prospective 
                  study of the use of methotrexate in rheumatoid arthritis. 
                  Arthritis Rheum., 31: 577-584. http://dx.doi.org/10.1002/art.1780310501
 PMid:3288222
 |  
                  |  |  
                  | 2. Harris, E. D. (1990) Rheumatoid arthritis. Pathophysiology 
                  and implication for therapy. N Engl.J. Med. 322: 1277-1289. http://dx.doi.org/10.1056/NEJM199005033221805
 PMid:2271017
 |  
                  |  |  
                  | 3. Clavel, M., Vermorken, J. B. and Cognetti, F. (1994) 
                  Randomized comparison of cisplatin, methotrexate, bleomycin 
                  and vincristine versus cisplatin and 5 - fluorouracil versus 
                  cisplatin in recurrent or metastatic squamous cell carcinoma 
                  of the head and neck. A phase III study of the EORTC head and 
                  neck cancer co-operative group. Ann. Oncol. 5: 521-526. PMid:7522527
 |  
                  |  |  
                  | 4. Sterling, G. (1997) Methotrexate hepatotoxicity. Rheum Dis 
                  Clin N Am. 23(4): 883-915. http://dx.doi.org/10.1016/S0889-857X(05)70365-3
 |  
                  |  |  
                  | 5. Hall, P. D., Jenner, M. A. and Ahern, M. J. (1991) 
                  Hepatotoxicity in a rat model caused by orally administered 
                  methotrexate. Hepatology. 14(5): 906-10. http://dx.doi.org/10.1002/hep.1840140525
 PMid:1937394
 |  
                  |  |  
                  | 6. Cash, J. M. and Klippel, J. H. (1994) Second line drug 
                  therapy for rheumatoid arthritis. N Engl J Med. 330: 1368- 
                  1375. http://dx.doi.org/10.1056/NEJM199405123301908
 PMid:8152450
 |  
                  |  |  
                  | 7. Sorg, D. A. and Buckner, B. (1964) A simple method of 
                  obtaining venous blood from small laboratory animals. Exp Biol 
                  Med. 115: 1131-2. http://dx.doi.org/10.3181/00379727-115-29134
 |  
                  |  |  
                  | 8. Ermens, A. A. M., Schoester, M., Spijkers, L. J. M., 
                  Lindemans, J. and Abels, J. (1989) Toxicity of methotrexate in 
                  rat pre - exposed to nitrous oxide. Cancer Res. 49: 6337- 
                  6341. PMid:2804978
 |  
                  |  |  
                  | 9. Boukhettala, N., Leblond, J., Claeyssens, S., Faure, M., 
                  Pessot, F. L., Feysot, C. B., Hassan, A., Mettraux, C., 
                  Vuichoud, J., Lavoinne, A., Breuille, D., De'chelotte, P. and 
                  Coeffier, M. (2009) Intestinal mucositis and alters gut 
                  protein metabolism independently of reduced food intake. Am J 
                  Physiol-Endoc M. 296: 182-190. |  
                  |  |  
                  | 10. Perianayagasamy, A. M., Gomez, P. P. and Dhasarathan, P. 
                  (2010) Therapeutical effect of melatonin and glutamine against 
                  rats bone marrow toxicity induced by methotrexate. J. Bio sci. 
                  Res .1(3): 202-207. |  
                  |  |  
                  | 11. Karri, S. and Vanithakumari, G. (2011) Effect of 
                  methotrexate and leucovorin on female reproductive tract of 
                  albino rats. Cell Biochem Funct. 29: 1–21. http://dx.doi.org/10.1002/cbf.1711
 PMid:21213337
 |  
                  |  |  
                  | 12. Ohbayashi, M., Suzuki, M., Yashiro, Y., Fukuwaka, S., 
                  Yasuda, M., Kohyama, N., Kobayashi, Y. and Yamamoto, T. (2010) 
                  Induction of pulmonary fibrosis by methotrexate treatment in 
                  mice lung in vivo and in vitro. J Toxicol Sci. 35(5): 653-661. http://dx.doi.org/10.2131/jts.35.653
 PMid:20930460
 |  
                  |  |  
                  | 13. Rofe, A. M., Bourgeois, C. S., Washington, J. M., Philcox, 
                  J. C. and Coyle, P. (1994) Metabolic consequences of 
                  methotrexate therapy in tumour bearing rats. Immunol Cell 
                  Biol. 72: 43-48. http://dx.doi.org/10.1038/icb.1994.7
 PMid:8157287
 |  
                  |  |  
                  | 14. Bussanich, M. N., Rootman, J., Kumi, C. and Gudauskas, G. 
                  (1985) Ocular absorption and toxicity of methotrexate in the 
                  dog. Can. Vet J. 26: 263-266. PMid:17422568 PMCid:PMC1680102
 |  
                  |  |  
                  | 15. Robert, M. F., Buckler, C. E. and Baron, S. (1961) The 
                  effect of amino methyl pteroylglutamic acid on the development 
                  of skin hypersensitivity and on antibody formation in guinea 
                  pigs. United States Department of Health, Education and 
                  Welfare, Public Health Service, National Institute of Health, 
                  Division of Biologics Standards, laboratory of viral 
                  immunology, Bethesda. 173-183. |  
                  |  |  
                  | 16. Vaghasiya, J., Bhalodia, Y. and Rathod, S. (2009) Drug 
                  induced hepatotoxicity: effect of polyherbal formulation. 
                  Phcog Mag 5:232-237. |  
                  |  |  
                  | 17. Uraz, S., Tahan, V., Aygun, C., Eren, F., Unluguzel, G., 
                  Yuksel, M., Senturk, O., Avsar, E., Haklar, G., Celikel, C., 
                  Hulagu, S. and Tozun, N. (2008) Role of ursodeoxycholic acid 
                  in prevention of methotrexate induced liver toxicity. Dig Dis 
                  Sci. 53: 1071-1077. http://dx.doi.org/10.1007/s10620-007-9949-3
 PMid:17934844
 |  
                  |  |  
                  | 18. Coles, E. H. (1986) Veterinary clinical pathology. 4th 
                  edition (ed. E. H. Coles) W. B. Saunders company, 
                  Philadelphia. p10-42. |  
                  |  |  
                  | 19. Al-motabagani, M. A. (2006) Histological and histo- 
                  chemical studies on the effects of methotrexate on the liver 
                  of adult male albino rat. Int. J. Morphol. 24(3): 417-422. http://dx.doi.org/10.4067/S0717-95022006000400020
 |  
                  |  |  
                  | 20. Asci, H., Ozer, M. K., Calapoglu, M., Savran, M., Oncu, 
                  M., Yesilot, S., Candan, I. A., Kulac, E. and Cicek, E. (2011) 
                  Effects of misoprostol on methotrexate induced hepatic and 
                  renal damages. J. Biol. Life. Sci. 2(1): 32-37. |  
                  |  |  
                  | 21. Chelab, K. G. and Majeed, S. K. (2009) Methotrexate 
                  induced histopathological changes in the kidneys of mice. 
                  Iraqi J. Vet. Sci. 23: 219-222. |  
                  |  |  
                  | 22. Hanley M. J. (1980) Isolated nephron segments in a rabbit 
                  model of ischemic acute renal failure. Am. J. Physiol. 239: 
                  17-13. |  
                  |  |  
                  | 23. Arash, K., Novin, M. G., Khaki, A. A., Nouri, M. and 
                  Ozanci, C. C. (2007) Effect of growth hormone on recovery from 
                  testicular damage induced by methotrexate in rat. Reprod 
                  Toxicol. 01/2008; 26(1):65-65. |  
                  |  |  
                  | 24. Khulood, W., Ismaeel A. H. and Abdulatif, A. W. (2010) 
                  Effects of aqueous extract of salvia on some parameters of 
                  sperms and histopathological changes in testes of mice treated 
                  with methotrexate. J. Biotechnol. Res. Center. 4(2): 3-10. |  
                  |  |  
                  | 25. Safavi, S. E., Khayat, N. M. H., Khaki, A. and Serati N. 
                  H. (2010) Effect of growth hormone on histomorphometerical 
                  parameters of testis after methotrexate administration in rat. 
                  Vet. Res. 6(1): 23-29. |  |