Methotrexate enterotoxicity: Influence of drug dose and timing in the rat
1984

Methotrexate Enterotoxicity in Rats

Sample size: 40 publication Evidence: moderate

Author Information

Author(s): C.R. Pinkerton, P.J. Milla

Primary Institution: Institute of Child Health, London

Hypothesis

Does methotrexate alter absorption in the absence of villus atrophy and what is the pattern of functional recovery after methotrexate-induced injury?

Conclusion

Methotrexate-induced malabsorption involves both cell toxicity and alterations in villus population dynamics, rather than just reduced villus surface area.

Supporting Evidence

  • At the lowest dose of methotrexate, there was no significant difference in absorption compared to controls.
  • After higher doses, sodium and water absorption were significantly reduced.
  • Glucose absorption was less sensitive to methotrexate and only significantly reduced after the highest dose.

Takeaway

When rats were given methotrexate, it affected their ability to absorb nutrients, but they recovered over time, showing that the drug impacts both the cells and the structure of the intestine.

Methodology

The study involved administering varying doses of methotrexate to male Wistar rats and measuring the absorption of water, sodium, and glucose in the jejunum.

Limitations

The study was conducted on rats, which may not fully replicate human responses to methotrexate.

Participant Demographics

Male Wistar rats weighing 250-300g.

Statistical Information

P-Value

p<0.005, p<0.02

Statistical Significance

p<0.005

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