Cyclosporine A, beside its current applications, possesses potential h
epatoprotective effects. This study was directed to investigate the ef
fect of Cyclosporine A pretreatment on hepatic injury due to carbon te
trachloride (CCl4) and D-galaclosamine. Rats were injected by two succ
essive doses of Cyclosporine A (5 mg kg(-1) day(-1)). Six hours after
the second dose, 1 ml kg(-1) of CCl4 was administered i.p. Effects ass
ociated with Cyclosporine A pretreatment were examined by using isolat
ed hepatocytes and hepatocytes that were immobilized and continuously
perfused. D-Galactosamine (5 mM) was added directly to the perfusion m
edium. After isolation, hepatocytes were examined histologically by li
ght and electron microscopy, immobilized and perfused for further meta
bolic functional activity evaluation. Cyclosporine A pretreatment in v
ivo produced hepatoameliorative effects of various degrees which were
statistically significant as manifested by: (1) an increased trypan bl
ue exclusion after CCl4; (2) an improved ureagenesis after CCl4; (3) a
reduction in the lipid droplets accumulation in the cytoplasm produce
d by CCl4 administration; (4) well preserved cytoplasmic organelles as
mitochondria, endoplasmic reticulum ER, nuclear chromatin structures
that were altered by CCl4 and (5) an increased hepatocytes survival in
the agarose gel matrix, reduction of LD leakage and improvement of ur
eagenesis after D-galactosamine addition to the perfusion medium. The
beneficial effect of Cyclosporine A pretreatment in modifying hepatoto
xicity of chemical insults merits further studies. (C) 1996 The Italia
n Pharmacological Society.