1. Harmful effects of chlorhexidine on hepatic metabolism.
- Author
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Pereira-Maróstica HV, Ames-Sibin AP, Pateis VO, de Souza GH, Silva BP, Bracht L, Comar JF, Peralta RM, Bracht A, and Sá-Nakanishi AB
- Subjects
- Rats, Animals, Rats, Wistar, Energy Metabolism, Liver, Pyruvic Acid pharmacology, Mitochondria, Liver, Chlorhexidine toxicity, Chlorhexidine metabolism, Anti-Infective Agents, Local
- Abstract
Chlorhexidine (CHX) is an over-the-counter antiseptic amply used by the population. There are reports that CHX acts in mitochondria as an uncoupler and inhibitor. The purpose of this study was to investigate the short-term effects of CHX on hepatic metabolic pathways linked to energy metabolism in the perfused rat liver. The compound inhibited both glucose synthesis and the urea cycle. Oxygen consumption was raised at low concentrations (up to 10 μM) and diminished at higher ones. A pronounced diminution in the cellular ATP content was observed. Conversely, CHX stimulated glycolysis and enhanced leakage of cellular enzymes (lactate dehydrogenase and fumarase). In isolated mitochondria, this antiseptic inhibited pyruvate carboxylation, oxidases, and oxygen uptake at very low concentrations (2 μM) and promoted uncoupling. The results described herein raise great concerns about the safety of CHX, as the observed effects can induce hypoglycemia, lactic acidosis, ammonemia as well as cell membrane disruption., Competing Interests: Declaration of Competing Interest The authors declare the following financial interests/personal relationships which may be considered as potential competing interests. Adelar Bracht reports financial support was provided by Conselho Nacional de Desenvolvimento Científico e Tecnológico. Adelar Bracht reports a relationship with Conselho Nacional de Desenvolvimento Científico e Tecnológico that includes: funding grants., (Copyright © 2023 Elsevier B.V. All rights reserved.)
- Published
- 2023
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