The Effect of Prunus cerasus (Sour Cherry) Kernel Seed Extract on QT Interval of Heart and its Histopathology in Biliary Cirrhosis Induced by Bile Duct Ligation in Rats

Abstract

Background: QT prolongation is a problem that increases the ventricular arrhythmias in the cirrhotic patients. Sour cherry seed extract has been reported to have potential anti-inflammatory and antioxidant activity. Objectives: This study aimed to find the effect of Prunus cerasus (sour cherry) kernel seed extract on QT interval of heart and its histopathological parameters in rats with biliary cirrhosis induced by bile duct ligation (BDL). Materials and Methods: Thirty-two male Sprague Dawley rats (200 - 250 g) were divided into 4 groups; negative control, cirrhotic, and 2 cirrhotic groups treated with sour cherry kernel extract in doses of 10 mg/kg and 30 mg/kg orally for 4 weeks. In all groups before BDL and 4 weeks after surgery animals were anesthetized and their electrocardiograms were recorded. After the required period of BDL, liver was isolated and immersed in 10% formalin solution and stained by hematoxylin and eosin for histological studies. Results: Results were analyzed by using Student t-test and one-way ANOVA. P < 0.05 was considered as significant level. The QT interval was calculated using the Bazettʼs formula and corrected QT (QTc) was obtained. Four weeks after BDL, the QTc and amount of total and direct bilirubin in cirrhotic group were found as 213.6 ± 6.8 ms, 10.5 ± 1.02 mg/dL, and 7.9 ± 0.7 mg/dL, respectively. These values significantly increased compared to the negative control group (119.9 ± 6.2 ms, 0.11 ± 0.00102 mg/dL, and 0.1 ± 0.0002 mg/dL) (P < 0.001). Histopathological parameters were reduced in cirrhotic groups treated with extract compared to control cirrhotic group. Conclusions: These results revealed that cirrhosis produce prolonged QT interval and sour cherry extract has an ameliorating effect on QT prolongation probably via its antiarrhythmic property.