Recent reports in the literature suggest that oral contraceptive steroid therapy may be implicated in the development
of benign hepatic adenomas in women. Since estrogens and progestins are known to affect liver function, we studied effects of chronic administration of the oral contraceptive agents mestranol and norethindrone on various indices of hepatic integrity. Several hepatic mixed function oxidase activities were measured: benzo(a)pyrene hydroxylase, epoxide hydrase, aniline hydroxylase (Appendix II) and aminopyrlne N-demethylase (Appendix II). In addition, benzo(a)pyrene hydroxylase activity in lung tissue was measured. As an indication of whether metabolites of the contraceptive steroids were bound to liver macromolecules, irreversible binding of [³H]-benzopyrene was
measured. Hepatic histopathology (light microscopy using hematoxylin and eosin stain and oil red 0 stain) was carried out to determine if functional alterations correlated with pathological changes in the liver. Comparisons were also made between ethanol treated and non-ethanol treated groups to determine if contraceptive steroid-associated hepatotoxiclty was enhanced by or would enhance, the hepatotoxiclty of ethanol administration.
Female and male Wistar rats were pair-fed a nutritional
liquid diet, Sustacal[sup R] (Mead Johnson) to which was added either sucrose or ethanol as 40% of calories. Oral contraceptive steroids were administered daily in the liquid, diet in the following doses: mestranol, 0.6 mg/kg per day, alone or in combination with norethindrone, 5.0 mg/kg per day.
Initial short-term studies showed that the ethanol plus
Sustacal[sup R] diet generally caused enzyme induction compared to the
plain Sustacal[sup R] diet or the sucrose plus Sustacal[sup R] diet in
animals treated for up to 6 weeks. Animals that were administered
the contraceptive steroids for a similar time period also demonstrated hepatic microsomal enzyme induction. Enzyme activity in animals that received ethanol plus the contraceptive steroids was increased above that seen for each agent alone.
Chronic studies showed that ethanol administration for 6 months produced hepatotoxiclty in both male and female rats. Hepatotoxiclty was observed functionally as decreased hepatic benzo(a)pyrene hydroxylase activity and histopathologically as increased fat accumulation in zone 3 of the liver lobules. It was found that administration of the contraceptive steroids to female rats tended to protect against ethanol-associated hepatotoxiclty. The protective effect was observed functionally as maintenance of control levels of hepatic benzo(a)pyrene hydroxylase activity and morphologically as lesser amounts of fat accumulation ln the liver. That is, there tended to be a correlation between the level of hepatic benzo(a)pyrene hydroxylase
activity and histological fat accumulation as an indication of ethanol-associated hepatotoxiclty.
A Sustacal associated phenomenon was evident in all animals in which hlstopathology was carried out. The "Sustacal effect" was observed, as mlcrodroplet fat accumulation ln zone 1 of the liver lobule. Contraceptive steroid treated females showed the least "Sustacal effect". Microsomal enzyme activity did not appear to be affected by the "Sustacal effect".
It was concluded that the contraceptive steroids administered
did not increase ethanol hepatotoxicity. Instead, it appeared that female sex steroids tended to attenuate ethanol-assoclated hepatotoxicity. There was no evidence to suggest that the oral contraceptive steroids were directly associated with overt hepatotoxicity. / Medicine, Faculty of / Anesthesiology, Pharmacology and Therapeutics, Department of / Graduate
| Identifer | oai:union.ndltd.org:UBC/oai:circle.library.ubc.ca:2429/21482 |
| Date | January 1979 |
| Creators | Warren, Betty Lynne |
| Source Sets | University of British Columbia |
| Language | English |
| Detected Language | English |
| Type | Text, Thesis/Dissertation |
| Rights | For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use. |
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