Cocaine remains a widely abused substance. While most addicts take cocaine
intranasally, a considerable number abuse cocaine by mouth. It has been ass
umed that after oral exposure cocaine is hydrolyzed in the stomach renderin
g it ineffective. This study investigated the effect of orally administered
cocaine on liver function and integrity as well as its effect on liver and
blood antioxidative enzymes. Male CF-I mice were orally administered eithe
r 0, 5, 10 or 20 mg cocaine/kg body weight and sacrificed 24 h after the la
st treatment. Serum alanine aminotransferase (ALT) and aspartate aminotrans
ferase (AST) were measured as markers of liver injury. Blood and liver glut
athione (GSH) levels were determined as well as the activities of glutathio
ne peroxidase (GPx) and catalase (CAT). In addition, the activity of liver
glutathione reductase (GRx) was also measured. The results demonstrated tha
t oral cocaine caused hepatotoxicity in a dose dependent manner. Serum ALT
and AST were elevated while blood GSH concentration decreased in all cocain
e treated animals. In addition, there was a significant dose dependent decr
ease in the activities of GPx and CAT in blood and liver of cocaine treated
animals. However, hepatic GSH content and GRx activity manifested a signif
icant increase, particularly in the group, which received 20 mg/kg cocaine.
This study is the first to demonstrate that cocaine-induced hepatotoxicity
results following the oral route of administration. (C) 2001 Elsevier Scie
nce Ireland Ltd. All rights reserved.