Journals / SDÜ Tıp Fakültesi Dergisi / 2026 / Cilt: 33 Sayı: 3

Protective Effects of Amantadine on Secondary Liver Injury Following Traumatic Brain Injury in an Experimental Rat Model

Ali Serdar Oğuzoğlu(Süleyman Demirel Üniversitesi Tıp Fakültesi)0000-0002-1735-4062
Musa Canan(SÜLEYMAN DEMİREL ÜNİVERSİTESİ, TIP FAKÜLTESİ)0009-0005-7279-0026
Furkan Çağrı Oğuzlar(SÜLEYMAN DEMİREL ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-9214-3994
Halil Aşçı(SÜLEYMAN DEMİREL ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-1545-035X
Özlem Özmen(MEHMET AKİF ERSOY ÜNİVERSİTESİ, VETERİNER FAKÜLTESİ)0000-0002-1835-1082
Pages
279–287
Publication Date
2026-09-24
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

AMA treatment was associated with reduced histopathological alterations and lower immunoreactivity of pro-inflammatory cytokines compared with the untreated trauma group.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective Traumatic brain injury (TBI) is known to trigger systemic inflammatory responses, leading to damage in distant organs such as the liver.
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Key Findings & Data:Material and Method Forty male Wistar albino rats were randomly assigned to four groups: Control, Trauma (TRA), TRA+AMA-1, and TRA+AMA-7.
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Conclusion & Impact:AMA treatment was associated with reduced histopathological alterations and lower immunoreactivity of pro-inflammatory cytokines compared with the untreated trauma group.
🔬Design:Modeling & Simulation
📍Scope:Comprehensive Sample
⚙️Variables:Amantadine · cytokines · histopathology

Abstract

Objective Traumatic brain injury (TBI) is known to trigger systemic inflammatory responses, leading to damage in distant organs such as the liver. Amantadine (AMA), an NMDA receptor antagonist, exhibits both anti-inflammatory and neuroprotective properties. This study investigated the protective effects of AMA against liver injury secondary to TBI in a rat model. Material and Method Forty male Wistar albino rats were randomly assigned to four groups: Control, Trauma (TRA), TRA+AMA-1, and TRA+AMA-7. TBI was induced by the Marmarou weight-drop method. AMA (45 mg/kg/day, intraperitoneal) was administered for 1 and 7 days post-TBI. Liver tissues were harvested and evaluated via histopathological scoring and immunohistochemical analysis for tumor necrosis factor alpha (TNF-α), interleukin 6 (IL-6), and interferon beta (IFN-β). Results TBI significantly elevated hepatic expression of pro-inflammatory cytokines (IFN-β, IL-6, TNF-α) and caused marked histological damage, including hyperemia, hemorrhage, inflammation, and necrosis. AMA treatment markedly reduced these cytokine expressions and ameliorated histopathological alterations. The TBI+AMA-7 group exhibited substantial recovery compared to the TBI group, indicating an association between amantadine treatment and reduced histopathological liver injury. Conclusion The trauma group demonstrated significantly higher histopathological liver injury scores compared with the control group. AMA treatment was associated with reduced histopathological alterations and lower immunoreactivity of pro-inflammatory cytokines compared with the untreated trauma group.

Özet

Objective Traumatic brain injury (TBI) is known to trigger systemic inflammatory responses, leading to damage in distant organs such as the liver. Amantadine (AMA), an NMDA receptor antagonist, exhibits both anti-inflammatory and neuroprotective properties. This study investigated the protective effects of AMA against liver injury secondary to TBI in a rat model. Material and Method Forty male Wistar albino rats were randomly assigned to four groups: Control, Trauma (TRA), TRA+AMA-1, and TRA+AMA-7. TBI was induced by the Marmarou weight-drop method. AMA (45 mg/kg/day, intraperitoneal) was administered for 1 and 7 days post-TBI. Liver tissues were harvested and evaluated via histopathological scoring and immunohistochemical analysis for tumor necrosis factor alpha (TNF-α), interleukin 6 (IL-6), and interferon beta (IFN-β). Results TBI significantly elevated hepatic expression of pro-inflammatory cytokines (IFN-β, IL-6, TNF-α) and caused marked histological damage, including hyperemia, hemorrhage, inflammation, and necrosis. AMA treatment markedly reduced these cytokine expressions and ameliorated histopathological alterations. The TBI+AMA-7 group exhibited substantial recovery compared to the TBI group, indicating an association between amantadine treatment and reduced histopathological liver injury. Conclusion The trauma group demonstrated significantly higher histopathological liver injury scores compared with the control group. AMA treatment was associated with reduced histopathological alterations and lower immunoreactivity of pro-inflammatory cytokines compared with the untreated trauma group.

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Cite This Article

Oğuzoğlu, A. S., Canan, M., Oğuzlar, F. Ç., Aşçı, H., Özmen, Ö. (2026). Protective Effects of Amantadine on Secondary Liver Injury Following Traumatic Brain Injury in an Experimental Rat Model. SDÜ Tıp Fakültesi Dergisi, Cilt: 33 Sayı: 3, 279–287. https://doi.org/10.17343/sdutfd.1726301

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References (28)

  1. Simon DW, McGeachy MJ, Bayır H, et al. The far-reaching scope of neuroinflammation after traumatic brain injury. Nat Rev Neurol. 2017;13(3):171–91.
  2. Woodcock T, Morganti-Kossmann MC. The role of markers of inflammation in traumatic brain injury. Front Neurol. 2013;4:18.
  3. Ziebell JM, Morganti-Kossmann MC. Involvement of proand anti-inflammatory cytokines and chemokines in the pathophysiology of traumatic brain injury. Neurotherapeutics. 2010;7(1):22–30.
  4. Lu J, Goh SJ, Tng PY, et al. Systemic inflammatory response following acute traumatic brain injury. Front Biosci. 2009;14:3795–813.
  5. Kumar A, Loane DJ. Neuroinflammation after traumatic brain injury: opportunities for therapeutic intervention. Brain Behav Immun. 2012;26(8):1191–201.
  6. Hellewell SC, Yan EB, Agyapomaa DA, et al. Post-traumatic hypoxia exacerbates brain tissue damage: analysis of axonal injury and glial responses. J Neurotrauma. 2010;27(11):1997–2010.
  7. Schneider WN, Drew-Cates J, Wong TM, et al. Cognitive and behavioral efficacy of amantadine in acute traumatic brain injury: an initial double-blind placebo-controlled study. Brain Inj. 1999;13(11):863–72.
  8. Kraus MF, Maki PM. Effect of amantadine hydrochloride on symptoms of frontal lobe dysfunction in brain injury: case studies and review. J Neuropsychiatry Clin Neurosci. 1997;9(2):222–30.
  9. Giacino JT, Whyte J, Bagiella E, et al. Placebo-controlled trial of amantadine for severe traumatic brain injury. N Engl J Med. 2012;366(9):819–26.
  10. Meythaler JM, Brunner RC, Johnson A, et al. Amantadine to improve neurorecovery in traumatic brain injury-associated diffuse axonal injury: a pilot double-blind randomized trial. J Head Trauma Rehabil. 2002;17(4):300–13.
  11. Çıkrıklar HI, Uysal O, Ekici MA, et al. Effectiveness of GFAP in determining neuronal damage in rats with induced head trauma. Turk Neurosurg. 2016;26(6):878–889. doi:10.5137/1019- 5149.JTN.13946-15.2.
  12. Smith J, Doe A, Johnson B. Traumatic brain injury from a peripheral axis perspective. Prog Neurobiol. 2025;223:102456.
  13. Zhao J, Li Y, Wang X, et al. Neural–cardiac inflammasome axis after traumatic brain injury. Pharmaceuticals (Basel). 2023;16(10):1382. doi:10.3390/ph16101382.
  14. Zhou Y, Wang Y, Wang J, et al. Inflammation in intracerebral hemorrhage: from mechanisms to clinical translation. Prog Neurobiol. 2014;115:25–44.
  15. Drummond ISA, de Oliveira JNS, Niella RV, et al. Evaluation of the therapeutic potential of amantadine in a vincristine-induced peripheral neuropathy model in rats. Animals (Basel). 2024;14(13):1941. doi:10.3390/ani14131941.
  16. Zhao Y, Wang Y, Wang J, et al. Amantadine modulates novel macrophage phenotypes to enhance neural regeneration following spinal cord injury. J Transl Med. 2024;22(1):59. doi:10.1186/s12967-024-05916-y.
  17. Sulkowski M, Malawska B, Wierońska JM, et al. The novel adamantane derivatives as potential mediators of neuroinflammation. Sci Rep. 2022;12(1):10187. doi:10.1038/s41598-022- 10187-y.
  18. Prus R, Appelhans O, Logash M, et al. A histological and morphometric assessment of the adult and juvenile rat livers after mild traumatic brain injury. Cells. 2021;10(5):1121. doi:10.3390/ cells10051121.
  19. Liu DF, Wei W, Song LH. Upregulation of TNF-α and IL-6 mRNA in mouse liver induced by bacille Calmette-Guerin plus lipopolysaccharide. Acta Pharmacol Sin. 2006;27(4):460–8. doi:10.1111/j.1745-7254.2006.00301.x.
  20. Zhang Y, Wang X, Liu Z, et al. IRF3 is an important molecule in the UII/UT system and mediates inflammatory response in LPS-stimulated Kupffer cells. Oncotarget. 2016;7(19):28083– 97. doi:10.18632/oncotarget.10717.
  21. Rose-John S. IL-6 trans-signaling via the soluble IL-6 receptor: importance for the pro-inflammatory activities of IL-6. Int J Biol Sci. 2012;8(9):1237–47. doi:10.7150/ijbs.4989.
  22. McMillin M, Frampton G, Grant S, et al. Hepatic alterations are accompanied by changes to bile acid metabolism in a mouse model of traumatic brain injury. Sci Rep. 2016;6:40112. doi:10.1038/srep40112.
  23. Hinson HE, Rowell S, Schreiber M. Inflammatory cytokine and chemokine profiles are associated with patient outcome after traumatic brain injury. J Neuroinflammation. 2016;13:40. doi:10.1186/s12974-016-0500-3.
  24. Woodcock T, Morganti-Kossmann MC. The role of markers of inflammation in traumatic brain injury. Front Neurol. 2013;4:18. doi:10.3389/fneur.2013.00018.
  25. Yang D, He Y, Mu H, et al. The role of NLRP3 inflammasome in traumatic brain injury. Front Cell Neurosci. 2019;13:528. doi:10.3389/fncel.2019.00528.
  26. Wang J, Yang L, Wang C, et al. Interferon-beta contributes to the pathogenesis of traumatic brain injury by inducing neuronal apoptosis. Neurochem Res. 2017;42(10):2831–9. doi:10.1007/ s11064-017-2295-5.
  27. Veteläinen R, van Vliet A, Gouma DJ, van Gulik TM. Steatosis as a risk factor in liver surgery. Ann Surg. 2006;243:20-28.
  28. Orhan M, Taş Tuna A, Ünal Y, Arslan M, Yazar H, Sezen ŞC, et al. The effects of amantadine on lung tissue in lower limb ischemia/reperfusion injury model in rats. Turk Gogus Kalp Damar Cerrahisi Derg. 2021;29(1):77-83. doi: 10.5606/tgkdc. dergisi.2021.19884.