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Genotoxic and cytotoxic assessment of sitagliptin and simvastatin alone and in combination.

Authors:
Humaira Majeed Khan Huma Nawaz Huma Aerooj Ali Sharif

Pak J Pharm Sci 2021 Sep;34(5(Supplementary)):1939-1944

Institute of Pharmacy, Faculty of Pharmaceutical and Allied Health Sciences, Lahore College for Women University (LCWU), Lahore, Pakistan.

Type 2 Diabetes Mellitus (T2DM) patients are at high risk of Coronary Heart Disease (CHD) and need a global therapeutic intervention. A fixed-dose combination prescription medication containing anti-diabetic drug (Sitagliptin) and lipid lowering (Simvastatin) has recently been approved. Present study was designed to explore the potential synergistic toxic effects of sitagliptin and simvastatin at cellular level. MTT assay revealed the potential synergistic cytotoxic effect whereas Comet assay spotlighted the genotoxicity. MTT assay conducted on Vero cell lines revealed no significant change in proliferative activity upon treatment with simvastatin but cell survival percentage (CSP) decreased upon treatment with sitagliptin (51% at 1000μg/mL). However, combination of both drugs exhibited a better survival percentage except highest dose combination (1000:500μg/mL) which augmented antiproliferative effects rendering CSP 71.6%. The genotoxic assay spotted that Simvastatin produced less damage to DNA with the threshold of 500μg/ml whereas Sitagliptin significantly damage above the 250μg/mL, However, combination of drugs produced lesser damage than Sitagliptin alone. The findings concluded a non-genotoxic combination of sitagliptin and simvastatin which possess a least cytotoxic potential suggesting the safe use of the combination both in T2DM and CHD.

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September 2021

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Genotoxic and cytotoxic assessment of sitagliptin and simvastatin alone and in combination.

Authors:
Humaira Majeed Khan Huma Nawaz Huma Aerooj Ali Sharif

Pak J Pharm Sci 2021 Sep;34(5(Supplementary)):1939-1944

Institute of Pharmacy, Faculty of Pharmaceutical and Allied Health Sciences, Lahore College for Women University (LCWU), Lahore, Pakistan.

Type 2 Diabetes Mellitus (T2DM) patients are at high risk of Coronary Heart Disease (CHD) and need a global therapeutic intervention. A fixed-dose combination prescription medication containing anti-diabetic drug (Sitagliptin) and lipid lowering (Simvastatin) has recently been approved. Present study was designed to explore the potential synergistic toxic effects of sitagliptin and simvastatin at cellular level. Read More

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Toxicology and Drug Metabolism Group, Department of Pharmacy, Faculty of Health and Medical Sciences, University of Copenhagen, DK-2100 OE Copenhagen, Denmark. Electronic address:

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Department of Pharmacology and Pharmacy, The University of Hong Kong, Hong Kong, China.

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