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Thirty-six adult male albino Wistar rats were randomly divided into six groups: a control group (administered saline intraperitoneally), two groups administered different doses of Silver-NPs (50\u00a0mg\/kg and 100\u00a0mg\/kg, 5\u00a0days a week for 28\u00a0days), two groups exposed to noise in addition to Silver-NPs (at the same doses as mentioned before), and a group exposed only to noise (104\u00a0dB, 6\u00a0hours a day, 5\u00a0days a week for 4\u00a0weeks). Blood samples were taken to assess hepatic-functional alterations, such as serum ALP, ALT, and AST levels. Additionally, biochemical parameters (MDA, GPX, and CAT) and the silver concentration in the liver were measured. Histopathological analysis, mRNA expression (P53 and NF-\u03baB), protein expression (CYP450), and liver weight changes in rats were also documented. The study found that the administration of Silver-NPs and exposure to noise resulted in elevated levels of ALP, ALT, AST, and MDA ( p &lt; .01). Conversely, GPX and CAT levels decreased in all groups compared with the control group ( p &lt; .0001). There was a significant increase ( p &lt; .05) in liver weight and silver concentration in the liver tissues of groups administered Silver-NPs (50\u00a0mg\/kg) plus noise exposure, Silver-NPs (100\u00a0mg\/kg), and Silver-NPs (100\u00a0mg\/kg) plus noise exposure, respectively. The expression rate of P53, NF-\u03baB, and cytochromes P450 (CYPs-450) was increased in the experimental groups ( p &lt; .05). These findings were further confirmed by histopathological changes. In conclusion, this study demonstrated that exposure to noise and the administration of Silver-NPs exacerbated liver damage by increasing protein and gene expression, causing hepatic necrosis, altering biochemical parameters, and affecting liver weight.<\/jats:p>","DOI":"10.1177\/07482337241233317","type":"journal-article","created":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T10:56:50Z","timestamp":1707994610000},"page":"206-219","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Noise and silver nanoparticles induce hepatotoxicity via CYP450\/NF-Kappa B 2 and p53 signaling pathways in a rat model"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0927-0034","authenticated-orcid":false,"given":"Marzieh","family":"Belji Kangarlou","sequence":"first","affiliation":[{"name":"Department of Occupational Health Engineering, Faculty of Medical Sciences, Tarbiat Modarres 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