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Yang YJ, Kim MJ, Yang JH, Heo JW, Kim HH, Kim WH, Kim GS, Lee HJ, Kim YW, Kim KY, Park KI. Liquid Chromatography/Tandem Mass Spectrometry Analysis of Sophora flavescens Aiton and Protective Effects against Alcohol-Induced Liver Injury and Oxidative Stress in Mice. Antioxidants (Basel) 2024; 13:541. [PMID: 38790646 PMCID: PMC11117756 DOI: 10.3390/antiox13050541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2024] [Revised: 04/26/2024] [Accepted: 04/26/2024] [Indexed: 05/26/2024] Open
Abstract
In this study, we investigated the hepatoprotective effects of an ethanol extract of Sophora flavescens Aiton (ESF) on an alcohol-induced liver disease mouse model. Alcoholic liver disease (ALD) was caused by the administration of ethanol to male C57/BL6 mice who were given a Lieber-DeCarli liquid diet, including ethanol. The alcoholic fatty liver disease mice were orally administered ESF (100 and 200 mg/kg bw/day) or silymarin (50 mg/kg bw/day), which served as a positive control every day for 16 days. The findings suggest that ESF enhances hepatoprotective benefits by significantly decreasing serum levels of aspartate transaminase (AST) and alanine transaminase (ALT), markers for liver injury. Furthermore, ESF alleviated the accumulation of triglyceride (TG) and total cholesterol (TC), increased serum levels of superoxide dismutase (SOD) and glutathione (GSH), and improved serum alcohol dehydrogenase (ADH) activity in the alcoholic fatty liver disease mice model. Cells and organisms rely on the Kelch-like ECH-associated protein 1- Nuclear factor erythroid 2-related factor 2 (Keap1-Nrf2) system as a critical defensive mechanism in response to oxidative stress. Therefore, Nrf2 plays an important role in ALD antioxidant responses, and its level is decreased by increased reactive oxidation stress (ROS) in the liver. ESF increased Nrf2, which was decreased in ethanol-damaged livers. Additionally, four polyphenol compounds were identified through a qualitative analysis of the ESF using LC-MS/MS. This study confirmed ESF's antioxidative and hangover-elimination effects and suggested the possibility of using Sophora flavescens Aiton (SF) to treat ALD.
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Affiliation(s)
- Ye Jin Yang
- Departments of Veterinary Medicine, Gyeongsang National University, Jinju 52828, Republic of Korea; (Y.J.Y.); (M.J.K.); (J.W.H.); (H.H.K.); (W.H.K.); (G.S.K.); (H.-J.L.)
| | - Min Jung Kim
- Departments of Veterinary Medicine, Gyeongsang National University, Jinju 52828, Republic of Korea; (Y.J.Y.); (M.J.K.); (J.W.H.); (H.H.K.); (W.H.K.); (G.S.K.); (H.-J.L.)
| | - Ju-Hye Yang
- Korean Medicine (KM) Application Center, Korea Institute of Oriental Medicine, Daegu 41062, Republic of Korea;
| | - Ji Woong Heo
- Departments of Veterinary Medicine, Gyeongsang National University, Jinju 52828, Republic of Korea; (Y.J.Y.); (M.J.K.); (J.W.H.); (H.H.K.); (W.H.K.); (G.S.K.); (H.-J.L.)
| | - Hun Hwan Kim
- Departments of Veterinary Medicine, Gyeongsang National University, Jinju 52828, Republic of Korea; (Y.J.Y.); (M.J.K.); (J.W.H.); (H.H.K.); (W.H.K.); (G.S.K.); (H.-J.L.)
| | - Woo H. Kim
- Departments of Veterinary Medicine, Gyeongsang National University, Jinju 52828, Republic of Korea; (Y.J.Y.); (M.J.K.); (J.W.H.); (H.H.K.); (W.H.K.); (G.S.K.); (H.-J.L.)
| | - Gon Sup Kim
- Departments of Veterinary Medicine, Gyeongsang National University, Jinju 52828, Republic of Korea; (Y.J.Y.); (M.J.K.); (J.W.H.); (H.H.K.); (W.H.K.); (G.S.K.); (H.-J.L.)
| | - Hu-Jang Lee
- Departments of Veterinary Medicine, Gyeongsang National University, Jinju 52828, Republic of Korea; (Y.J.Y.); (M.J.K.); (J.W.H.); (H.H.K.); (W.H.K.); (G.S.K.); (H.-J.L.)
| | - Young Woo Kim
- School of Korean Medicine, Dongguk University, Gyeongju 38066, Republic of Korea;
| | - Kwang Youn Kim
- Korean Medicine (KM) Application Center, Korea Institute of Oriental Medicine, Daegu 41062, Republic of Korea;
| | - Kwang Il Park
- Departments of Veterinary Medicine, Gyeongsang National University, Jinju 52828, Republic of Korea; (Y.J.Y.); (M.J.K.); (J.W.H.); (H.H.K.); (W.H.K.); (G.S.K.); (H.-J.L.)
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Ahmad B, Ilahi I, Yousafzai AM, Attaullah M, Rahim A, Naz D, Hazrat A, Batiha GES, Nassan MA, Khalil AAK. Protective effects of Zizyphus oxyphyla on liver and kidney related serum biomarkers in (CCl4) intoxicate rabbits. BRAZ J BIOL 2021; 83:e246980. [PMID: 34468522 DOI: 10.1590/1519-6984.246980] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2020] [Accepted: 04/13/2021] [Indexed: 11/22/2022] Open
Abstract
The study was aimed to evaluate the therapeutic effects of Zizyphus oxyphyla leaves methanolic (ZOX-LME), on serum liver, kidney and hematology along with other serum parameters in Carbon tetrachloride (CCl4) intoxicated rabbits. Experimental animals were divided into five groups, six rabbits in each. These were: group NC (normal control), group, TC (toxic control) and group ST i.e. silymarine administered group at dose rate (50) mg/kg body weight (BW). Group ET1 and group ET2 treated with (ZOX-LME) at dose 200 mg/kg BW and 400 mg/kg BW. CCl4 administration caused significant (P> 0.05) impairment in serum liver enzymes, blood factors and other serum indices. Treatment with (ZOX-LME) significantly (P<0.05) reduced and normalized the levels of serum alanine transaminase (ALT) aspartate transaminase (AST) and alkaline phosphatase (ALP) and hematological indices. Also significant (P< 0.05) reduction was observed in creatinine, urea, uric acid, blood urea nitrogen (BUN), and albumin and glucose concentrations. The altered levels of lipid profile and serum electrolytes (Ca, Mg, Cl, Na, K, and P) were significantly (P<0.05) change toward normal levels with (ZOX-LME) feeding. In addition (ZOX-LME) ingestion caused significant improvement in GSH, GST and CAT levels, while reducing the TBARS levels, exhibited antioxidant capacity. Also (ZOX-LME) showed increase inhibition against percent scavenging of 2, 2-diphenile-1-picrylehydrazyle (DPPH) free radical. Significant (P<0.05) normalizing effects were observed with high dose 400 mg/kg BW of (ZOX-LME and were equivalent to silymarine administered groups. The histological study of liver supported the hepatoprotective and renal curative activity of (ZOX-LME).
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Affiliation(s)
- B Ahmad
- University of Malakand, Department of Zoology, Khyber Pakhtunkhwa, Pakistan
| | - I Ilahi
- University of Malakand, Department of Zoology, Khyber Pakhtunkhwa, Pakistan
| | - A M Yousafzai
- Islamia College, Department of Zoology, Peshawar, Pakistan
| | - M Attaullah
- University of Malakand, Department of Zoology, Khyber Pakhtunkhwa, Pakistan
| | - A Rahim
- University of Malakand, Department of Zoology, Khyber Pakhtunkhwa, Pakistan
| | - D Naz
- University of Malakand, Department of Zoology, Khyber Pakhtunkhwa, Pakistan
| | - A Hazrat
- University of Malakand, Departments of Botany, Khyber Pakhtunkhwa, Pakistan
| | - G E-S Batiha
- Damanhour University, Faculty of Veterinary Medicine, Department of Pharmacology and Therapeutics, Damanhour, AlBeheira, Egypt
| | - M A Nassan
- Taif University, Turabah University College, Department of Clinical Laboratory Sciences, Taif, Saudi Arabia
| | - A A K Khalil
- National University of Medical Sciences, Department of Biological Sciences, Rawalpindi, Pakistan
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Yang Y, Ji J, Di L, Li J, Hu L, Qiao H, Wang L, Feng Y. Resource, chemical structure and activity of natural polysaccharides against alcoholic liver damages. Carbohydr Polym 2020; 241:116355. [PMID: 32507196 DOI: 10.1016/j.carbpol.2020.116355] [Citation(s) in RCA: 60] [Impact Index Per Article: 12.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2020] [Revised: 04/11/2020] [Accepted: 04/19/2020] [Indexed: 12/19/2022]
Abstract
Many natural polysaccharides from bio-resources hold advantages of multi-functions, high efficiency, non-toxicity or low side effect, and have strong potentials in protection against alcoholic liver damages. This review summarized the bio-resources, chemical and structural characteristics of natural polysaccharides with potentials in inhibition against alcoholic liver damages, and also emphasized knowledge on correlations between their chemical structure and function. Approximately 95 species were confirmed in generation of hepatoprotective polysaccharides. Products as crude polysaccharides originated from 17 species were sum up despite the indetermination of their accurate structure. Additional four polysaccharides were described for their known chemical structures. Possible roles of hepatoprotective polysaccharides were provided with evidence on antioxidant promotion, lipids regulation, apoptosis inhibition and anti-inflammation, as well as confirmations in immune enhancement, iron removal and anti-fibrosis when currently treated against the alcoholic liver damages. To sum up, this overview could serve to guide development and utilization of natural hepatoprotective polysaccharides.
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Affiliation(s)
- Ying Yang
- School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing City, Jiangsu Province, 210023, PR China
| | - Jing Ji
- School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing City, Jiangsu Province, 210023, PR China
| | - Liuqing Di
- School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing City, Jiangsu Province, 210023, PR China
| | - Junsong Li
- School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing City, Jiangsu Province, 210023, PR China
| | - Lihong Hu
- School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing City, Jiangsu Province, 210023, PR China
| | - Hongzhi Qiao
- School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing City, Jiangsu Province, 210023, PR China
| | - Lingchong Wang
- School of Pharmacy, Nanjing University of Chinese Medicine, Nanjing City, Jiangsu Province, 210023, PR China; School of Chinese Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong Special Administrative Region.
| | - Yibin Feng
- School of Chinese Medicine, LKS Faculty of Medicine, The University of Hong Kong, Pokfulam, Hong Kong Special Administrative Region.
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Fouad D, Badr A, Attia HA. Hepatoprotective activity of raspberry ketone is mediated via inhibition of the NF-κB/TNF-α/caspase axis and mitochondrial apoptosis in chemically induced acute liver injury. Toxicol Res (Camb) 2019; 8:663-676. [PMID: 31588343 PMCID: PMC6762009 DOI: 10.1039/c9tx00068b] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2019] [Accepted: 06/26/2019] [Indexed: 12/13/2022] Open
Abstract
Raspberry Ketone (RK) is a natural phenolic compound which is marketed nowadays as a popular weight-reducing remedy, with reported antioxidant and anti-inflammatory activities. However, its biological activity is not fully elucidated. Hepatotoxicity is the leading cause of acute liver failure in Europe and North America, and its management is still challenging. Therefore, this study aimed to assess the therapeutic detoxification activity of RK against liver injury in vivo and to explore the underlying mechanisms using carbon tetrachloride (CCl4)-induced hepatotoxicity as a model. First, a dose-response study using 4 different doses, 25, 50, 100, and 200 mg kg-1 day-1, of RK was conducted. RK was administered for 5 days as a pretreatment, followed by a single dose of CCl4 (1 ml kg-1, 1 : 1 v/v CCl4 : olive oil). The RK dose of 200 mg kg-1 showed the greatest protective effect and was selected for further investigations. CCl4 hepatotoxicity was confirmed by elevation of liver enzymes, and histopathological examination. CCl4-induced oxidative stress was evident from increased lipid peroxidation measured as thiobarbituric acid reactive substances (TBARS) along with depleted superoxide dismutase (SOD), reduced glutathione (GSH), and total antioxidant capacity (TAC). Increased oxidative stress was associated with increased cytochrome c expression with subsequent activation of caspase-9 and caspase-3, in addition to DNA fragmentation reflecting apoptosis. CCl4 also induced the expression of inflammatory cytokines (NF-κB and TNF-α). Interestingly, RK hepatoprotective activity was evident from the reduction of liver enzymes, and maintenance of hepatocyte integrity and microstructures as evaluated by histopathological examination using H and E, and transmission electron microscopy. The antioxidant activity of RK was demonstrated by the increase of TAC, SOD, and GSH, with a concomitant decrease of the TBARS level. Moreover, RK pretreatment inhibited CCl4-induced upregulation of inflammatory mediators. RK antiapoptotic activity was indicated by the reduction of the expression of cytoplasmic cytochrome-C, a decrease of caspases, and inhibition of DNA fragmentation. In conclusion, this study demonstrates that RK is a promising hepatoprotective agent. The underlying mechanisms include antioxidant, anti-inflammatory, and anti-apoptotic activities. This is the first study reporting RK hepatoprotective activity in acute hepatic injury and approves its antiapoptotic effect in the liver.
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Affiliation(s)
- Dalia Fouad
- Department of Zoology , College of Science , King Saud University , P.O. Box 22452 , Riyadh 11459 , Saudi Arabia
- Department of Zoology and Entomology , Faculty of Science , Helwan University , Ein Helwan , Cairo , Egypt
| | - Amira Badr
- Department of Pharmacology and Toxicology , College of Pharmacy , King Saud University , P.O. Box 22452 , Riyadh 11459 , Saudi Arabia . ; Tel: +96659575917
- Department of Pharmacology and Toxicology , College of Pharmacy , Ain Shams University , Heliopolis , Cairo , Egypt
| | - Hala A Attia
- Department of Pharmacology and Toxicology , College of Pharmacy , King Saud University , P.O. Box 22452 , Riyadh 11459 , Saudi Arabia . ; Tel: +96659575917
- Department of Biochemistry , College of Pharmacy , Mansoura University , Mansoura , Egypt
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Wang W, Song X, Gao Z, Zhao H, Wang X, Liu M, Jia L. Anti-hyperlipidemic, antioxidant and organic protection effects of acidic-extractable polysaccharides from Dictyophora indusiata. Int J Biol Macromol 2019; 129:281-292. [PMID: 30708002 DOI: 10.1016/j.ijbiomac.2019.01.182] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2018] [Revised: 01/17/2019] [Accepted: 01/28/2019] [Indexed: 01/12/2023]
Abstract
In the present work, we investigated the anti-hyperlipidemic, antioxidant and organic protection effects of acidic-extractable Dictyophora indusiata polysaccharides (Ac-DPS) on hyperlipidemic mice induced by high-fat emulsion. The results demonstrated that Ac-DPS had impressive abilities to mitigate oxidative stress by increasing the activities of antioxidant enzyme and reducing the contents of lipid peroxide. Moreover, lipid levels in serum were returned to normal status. Besides, Ac-DPS exhibited potential hepatic and renal protection effects reflected by decreasing serum enzyme activities, lowering TBIL, UREA and CREA levels and increasing ALB content. At the same time, histopathological observations proved protective effects of Ac-DPS on organs. Subsequently, the physical properties of polysaccharide were also investigated by HPGPC and FT-IR. The above consequences confirmed the important role of Ac-DPS as a functional food and natural medicine in the fight against oxidative stress and the prevention of hyperlipidemia.
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Affiliation(s)
- Wenshuai Wang
- College of Life Science, Shandong Agricultural University, Taian, 271018, PR China
| | - Xinling Song
- College of Life Science, Shandong Agricultural University, Taian, 271018, PR China
| | - Zheng Gao
- College of Life Science, Shandong Agricultural University, Taian, 271018, PR China
| | - Huajie Zhao
- College of Life Science, Shandong Agricultural University, Taian, 271018, PR China
| | - Xiuxiu Wang
- College of Life Science, Shandong Agricultural University, Taian, 271018, PR China
| | - Min Liu
- College of Life Science, Shandong Agricultural University, Taian, 271018, PR China
| | - Le Jia
- College of Life Science, Shandong Agricultural University, Taian, 271018, PR China.
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Sun J, Zhou B, Tang C, Gou Y, Chen H, Wang Y, Jin C, Liu J, Niu F, Kan J, Qian C, Zhang N. Characterization, antioxidant activity and hepatoprotective effect of purple sweetpotato polysaccharides. Int J Biol Macromol 2018; 115:69-76. [DOI: 10.1016/j.ijbiomac.2018.04.033] [Citation(s) in RCA: 50] [Impact Index Per Article: 7.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2017] [Revised: 03/22/2018] [Accepted: 04/08/2018] [Indexed: 12/18/2022]
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Zhang L, Zhao Y, Wang ZA, Wei K, Qiu B, Zhang C, Wang-Müller Q, Li M. The genus Boschniakia in China: An ethnopharmacological and phytochemical review. JOURNAL OF ETHNOPHARMACOLOGY 2016; 194:987-1004. [PMID: 27773803 DOI: 10.1016/j.jep.2016.10.051] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/26/2016] [Revised: 10/16/2016] [Accepted: 10/17/2016] [Indexed: 06/06/2023]
Abstract
ETHNOPHARMACOLOGICAL RELEVANCE As a group of important medicine plants, Boschniakia rossica (Cham. et Schltdl) Fedtsch. and B. himalaica Hook.f.et Thoms, which are the only two species in the genus Boschniakia (Orobanchaceae), have long been used in traditional Chinese medicine for their multiple therapeutic uses related to enhanced renal function, erectile dysfunction, defaecate and hepatoprotective. Additionally, the two species are also used as dietary supplements in wine, cosmetics, and other healthy food. AIM OF THE REVIEW By providing comprehensive information and data of genus Boschniakia on botany, traditional medicinal uses, phytochemistry, pharmacological research and toxicology, this review aims to summary the group of natural compounds from Boschniakia discovered so far. The other aims are to reference research findings of their biological activities and functions in medicine, physiology, and cell biology to highlight the compound candidates which can be used for further drug discovery in several pharmaceutical areas including antioxidation, anticancer, anti-inflammation, anti-senile, and immunology. MATERIALS AND METHODS All of the available information on B. rossica and B. himalaica was collected from the electronic resources (such as PubMed, SciFinder Scholar, CNKI, TPL (www.theplantlist.org), Google Scholar, Baidu Scholar, and Web of Science). RESULTS After a comprehensive analysis of the literatures from available online sources, the results show that both species of genus Boschniakia are valuable and popular herbal medicines with potentials to cure various ailments. The phytochemical studies revealed that the chemical compositions of this genus were mainly iridoid glycosides and phenylpropanoid glycosides. To date, 112 compounds have been isolated from the genus, while their crude extracts and purified compounds have been found to possess a wide range of biological activities including anti-senile, antitumor and anticancer, anti-inflammatory, protecting liver, boost memory, anti-oxidation, anti-lipid peroxidative, and antiviral activities. CONCLUSIONS The existing traditional uses of the genus Boschniakia have been evaluated, and the properties of the genus are summarized based on botany, phytochemistry, pharmacological research, and toxicology. This review aims to introduce the utilization and application of the genus Boschniakia to modern drug discovery, traditional medicinal plant utilization, herbal species conservation, and the development of medicinal and health-maintaining products.
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Affiliation(s)
- Le Zhang
- Baotou Medical College, Baotou, Inner Mongolia 014060, China
| | - Yunshan Zhao
- Baotou Medical College, Baotou, Inner Mongolia 014060, China
| | - Zhipeng A Wang
- Department of Chemistry, Texas A&M University, College Station, TX 77840, United States
| | - Kunhua Wei
- Guangxi Botanical Garden of Medicinal Plants, Nanning 530023, China
| | - Bin Qiu
- Yunnan Institute of Materia Medica, Kunming 650111, China
| | - Chunhong Zhang
- Baotou Medical College, Baotou, Inner Mongolia 014060, China
| | - QiYan Wang-Müller
- Research Institute of Organic Agriculture (FIBL), CH-5070 Frick, Switzerland.
| | - Minhui Li
- Baotou Medical College, Baotou, Inner Mongolia 014060, China; Guangxi Botanical Garden of Medicinal Plants, Nanning 530023, China; Inner Mongolia Institute of Traditional Chinese Medicine, Hohhot, Inner Mongolia 010000, China.
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Quan J, Jin M, Xu H, Qiu D, Yin X. BRP, a polysaccharide fraction isolated from Boschniakia rossica, protects against galactosamine and lipopolysaccharide induced hepatic failure in mice. J Clin Biochem Nutr 2014; 54:181-9. [PMID: 24895481 PMCID: PMC4042147 DOI: 10.3164/jcbn.13-105] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/27/2013] [Accepted: 12/25/2013] [Indexed: 01/16/2023] Open
Abstract
The aim of this study was to investigate the hepatoprotective effect of BRP, a polysaccharide fraction isolated from Boschniakia rossica, against galactosamine and lipopolysaccharide induced fulminant hepatic failure. Mice were injected with a single dose of galactosamine/lipopolysaccharide with or without pretreatment of BRP. Results showed marked reduction of hepatic necrosis, serum marker enzymes and levels of tumor necrosis factor-α and interleukin-6 in BRP pretreated mice when compared with galactosamine/lipopolysaccharide-challenged mice. Mice pretreated with BRP decreased the activation of caspases-3 and caspase-8, and showed a reduced level of DNA fragmentation of liver cells. BRP also reduced hepatic lipid peroxidation, increased potential of hepatic antioxidative defense system, and reduced hepatic nitric oxide level which was elevated by galactosamine/lipopolysaccharide injection. Immunoblot analysis showed down-regulation of inducible nitric oxide synthase and cyclooxygenase-2 proteins of liver tissues in BRP pretreated group when compared with galactosamine/lipopolysaccharide-challenged group. Furthermore, treatment with galactosamine/lipopolysaccharide markedly increased toll-like receptor 4, nuclear level of nuclear factor-κB, and phosphorylation of both extracellular signal-regulated kinase and c-Jun N-terminal kinase in liver tissues. However, these increases were attenuated by pretreatment with BRP. The results suggest that BRP alleviates galactosamine/lipopolysaccharide-induced liver injury by enhancing antioxidative defense system, suppressing inflammatory responses and reducing apoptotic signaling.
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Affiliation(s)
- Jishu Quan
- Department of Biochemistry and Molecular Biology, Medical College of Yanbian University, Yanji, Jilin Province 133000, China ; Department of Physiology and Pathophysiology, Medical College of Yanbian University, Yanji, Jilin Province 133000, China
| | - Meihua Jin
- Department of Biochemistry and Molecular Biology, Medical College of Yanbian University, Yanji, Jilin Province 133000, China
| | - Huixian Xu
- The Affiliated Hospital of Yanbian University, Yanji, Jilin Province 133000, China
| | - Delai Qiu
- Department of Physiology and Pathophysiology, Medical College of Yanbian University, Yanji, Jilin Province 133000, China
| | - Xuezhe Yin
- The Affiliated Hospital of Yanbian University, Yanji, Jilin Province 133000, China
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