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Yang M, Tao L, Kang XR, Li LF, Zhao CC, Wang ZL, Sheng J, Tian Y. Recent developments in Moringa oleifera Lam. polysaccharides: A review of the relationship between extraction methods, structural characteristics and functional activities. Food Chem X 2022; 14:100322. [PMID: 35571331 PMCID: PMC9092490 DOI: 10.1016/j.fochx.2022.100322] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2022] [Revised: 03/28/2022] [Accepted: 04/27/2022] [Indexed: 02/07/2023] Open
Abstract
Moringa oleifera Lam. (M. oleifera Lam) is a perennial tropical deciduous tree that belongs to the Moringaceae family. Polysaccharides are one of the major bioactive compounds in M. oleifera Lam and show immunomodulatory, anticancer, antioxidant, intestinal health protection and antidiabetic activities. At present, the structure and functional activities of M. oleifera Lam polysaccharides (MOPs) have been widespread, but the research data are relatively scattered. Moreover, the relationship between the structure and biological activities of MOPs has not been summarized. In this review, the current research on the extraction, purification, structural characteristics and biological activities of polysaccharides from different sources of M. oleifera Lam were summarized, and the structural characteristics of purified polysaccharides were focused on this review. Meanwhile, the biological activities of MOPs were introduced, and some molecular mechanisms were listed. In addition, the relationship between the structure and biological activities of MOPs was discussed. Furthermore, new perspectives and some future research of M. oleifera Lam polysaccharides were proposed in this review.
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Key Words
- ABTS, 2,2′-Azino-bis (3-ethylbenzothiazoline-6-sulfonic acid)
- AKP, Alkaline phosphatase
- ALT, Alanine aminotransferase
- AST, Asparate aminotransferase
- Ara, Arabinose
- BUN, Blood urea nitrogen
- Bax, Bcl2-associated X protein
- Bcl-2, B-cell lymphoma
- Biological activities
- CCl4, Carbon tetrachloride
- COX-2, Cyclooxygenase-2
- Caspase-3, Cysteinyl aspartate specific proteinase 3
- Caspase-9, Cysteinyl aspartate specific proteinase 9
- DPPH, 2.2-diphenyl-picryl-hydrazyl radical
- EAE, Enzyme-assisted extraction
- FRAP, Ferric ion reducing antioxidant power
- FTIR, Fourier transform infrared spectroscopy
- Future trends
- GC, Gas chromatography
- GC–MS, Gas chromatography-mass spectrometry
- GSH-Px, Glutathione peroxidase
- Gal, Galactose
- Glc, Glucose
- HDL, High-density Lipoprotein
- HPGPC, High-performance gel permeation chromatography
- HPLC, High performance liquid chromatography
- HepG2, Human hepatocellular carcinoma cell line
- IL-10, Interleukin-10
- IL-1β, Interleukin 1β
- IL-2, Interleukin-2
- IL-6, Interleukin-6
- LDL, Low-density Lipoprotein
- LPS, Lipopolysaccharide
- M. oleifera Lam, Moringa oleifera Lam.
- MAE, Microwave-assisted extraction
- MDA, Malondialdehyde
- MOPs, Moringa oleifera Lam polysaccharides
- MS, Mass spectrometry
- MTT, 3‐(4,5‐dimethylthiazol‐2‐yl)‐2,5‐diphenyl tetrazolium bromide
- MW, Molecular weight
- Man, Mannose
- Moringa oleifera Lam
- NF-κB, Nuclear factor kappa-B
- NK, Natural killer cell
- NMR, Nuclear magnetic resonance
- NO, Nitric oxide
- PLE, Pressurized liquid extraction
- Polysaccharides
- ROS, Reactive oxygen species
- Rha, Rhamnose
- SCFAs, Short-chain fatty acids
- SOD, Superoxide dismutase
- Structure characteristics
- Structure-biological relationship
- TC, Total Cholesterol
- TG, Triglycerides
- TNF-α, Tumour necrosis factor-α
- TOF, Time of flight
- UAE, Ultrasound-assisted extraction
- V/C, Ileum crypt and villus length
- WAE, Water-assisted extraction
- Xyl, Xylose
- iNOS, Inducible nitric oxide synthase
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Affiliation(s)
- Min Yang
- College of Food Science and Technology, Yunnan Agricultural University, Kunming, China.,National Research and Development Professional Center for Moringa Processing Technology, Yunnan Agricultural University, Kunming, China.,Engineering Research Center of Development and Utilization of Food and Drug Homologous Resources, Ministry of Education, Yunnan Agricultural University, Kunming, China
| | - Liang Tao
- College of Food Science and Technology, Yunnan Agricultural University, Kunming, China.,National Research and Development Professional Center for Moringa Processing Technology, Yunnan Agricultural University, Kunming, China.,Engineering Research Center of Development and Utilization of Food and Drug Homologous Resources, Ministry of Education, Yunnan Agricultural University, Kunming, China
| | - Xin-Rui Kang
- College of Food Science and Technology, Yunnan Agricultural University, Kunming, China.,Yunnan Provincial Engineering Research Center for Edible and Medicinal Homologous Functional Food, Yunnan Agricultural University, Kunming, China
| | - Ling-Fei Li
- College of Food Science and Technology, Yunnan Agricultural University, Kunming, China.,Yunnan Provincial Engineering Research Center for Edible and Medicinal Homologous Functional Food, Yunnan Agricultural University, Kunming, China
| | - Cun-Chao Zhao
- Engineering Research Center of Development and Utilization of Food and Drug Homologous Resources, Ministry of Education, Yunnan Agricultural University, Kunming, China.,Yunnan Provincial Engineering Research Center for Edible and Medicinal Homologous Functional Food, Yunnan Agricultural University, Kunming, China
| | - Zi-Lin Wang
- College of Food Science and Technology, Yunnan Agricultural University, Kunming, China.,National Research and Development Professional Center for Moringa Processing Technology, Yunnan Agricultural University, Kunming, China
| | - Jun Sheng
- National Research and Development Professional Center for Moringa Processing Technology, Yunnan Agricultural University, Kunming, China.,Key Laboratory of Pu-er Tea Science, Ministry of Education, Yunnan Agricultural University, Kunming, China
| | - Yang Tian
- College of Food Science and Technology, Yunnan Agricultural University, Kunming, China.,National Research and Development Professional Center for Moringa Processing Technology, Yunnan Agricultural University, Kunming, China.,Engineering Research Center of Development and Utilization of Food and Drug Homologous Resources, Ministry of Education, Yunnan Agricultural University, Kunming, China.,Yunnan Provincial Engineering Research Center for Edible and Medicinal Homologous Functional Food, Yunnan Agricultural University, Kunming, China
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El-Sawah SG, Rashwan HM, Althobaiti F, Aldhahrani A, Fayad E, Shabana ES, El-Hallous EI, Amen RM. AD-MSCs and BM-MSCs Ameliorating Effects on The Metabolic and Hepato-renal Abnormalities in Type 1 Diabetic Rats. Saudi J Biol Sci 2022; 29:1053-60. [PMID: 35197774 DOI: 10.1016/j.sjbs.2021.09.067] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2021] [Revised: 09/14/2021] [Accepted: 09/25/2021] [Indexed: 01/31/2023] Open
Abstract
Diabetes mellitus (DM) is one of the most serious threats in the 21th century throughout the human population that needs to be addressed cautiously. Nowadays, stem cell injection is considered among the most promising protocols for DM therapy; owing to its marked tissues and organs repair capability. Therefore, our 4 weeks study was undertaken to elucidate the probable beneficial effects of two types of adult mesenchymal stem cells (MSCs) on metabolism disturbance and some tissue function defects in diabetic rats. Animals were classified into 4 groups; the control group, the diabetic group, the diabetic group received a single dose of adipose tissue-derived MSCs and the diabetic group received a single dose of bone marrow-derived MSCs. Herein, both MSCs treated groups markedly reduced hyperglycemia resulting from diabetes induction via lowering serum glucose and rising insulin and C-peptide levels, compared to the diabetic group. Moreover, the increased lipid fractions levels were reverted back to near normal values as a consequence to MSCs injection compared to the diabetic untreated rats. Furthermore, both MSCs types were found to have hepato-renal protective effects indicated through the decreased serum levels of both liver and kidney functions markers in the treated diabetic rats. Taken together, our results highlighted the therapeutic benefits of both MSCs types in alleviating metabolic anomalies and hepato-renal diabetic complications.
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Key Words
- AD-MSCs, Adipose-derived mesenchymal stem cells
- AGEs, Advanced glycation end products
- ALP, Alkaline phosphatase
- ALT, Alanine aminotransferase
- AST, Aspartate aminotransferase
- BM-MSCs, Bone marrow-derived mesenchymal stem cells
- BUN, Blood urea nitrogen
- CD, Cluster of differentiation
- D, Diabetic
- DM, Diabetes mellitus
- DMEM, Dulbecco's modified Eagle's medium
- DN, Diabetic nephropathy
- Diabetes
- Diabetic nephropathy
- FBG, Fasting blood glucose
- FBS, Fetal bovine serum
- HDL-C, High-density lipoprotein cholesterol
- HO-1, Heme-oxygenase 1
- HbA1c, Glycosylated hemoglobin
- Hyperlipidemia
- IPCs, Insulin producing cells
- ISCT, International Society for Cellular Therapy
- LDL-C, Low-density lipoprotein cholesterol
- LPO, Lipid peroxidation
- MSCs
- MSCs, Mesenchymal stem cells
- PBS, Phosphate-buffered saline
- ROS, Reactive oxygen species
- SEM, Standard error of mean
- SPSS, Statistical Package for Social Scientists
- STZ, Streptozotocin
- T1DM, Type 1 diabetes mellitus
- TC, Total cholesterol
- TG, Triglycerides
- TL, Total lipids
- γ-GT, gamma glutamyl transferase
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Fatima K, Masood N, Ahmad Wani Z, Meena A, Luqman S. Neomenthol prevents the proliferation of skin cancer cells by restraining tubulin polymerization and hyaluronidase activity. J Adv Res 2021; 34:93-107. [PMID: 35024183 DOI: 10.1016/j.jare.2021.06.003] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2020] [Revised: 06/07/2021] [Accepted: 06/07/2021] [Indexed: 11/28/2022] Open
Abstract
Introduction Neomenthol, a cyclic monoterpenoid, is a stereoisomer of menthol present in the essential oil of Mentha spp. It is used in food as a flavoring agent, in cosmetics and medicines because of its cooling effects. However, neomenthol has not been much explored for its anticancer potential. Additionally, targeting hyaluronidase, Cathepsin-D, and ODC by phytochemicals is amongst the efficient approach for cancer prevention and/or treatment. Objectives To investigate the molecular and cell target-based antiproliferative potential of neomenthol on human cancer (A431, PC-3, K562, A549, FaDu, MDA-MB-231, COLO-205, MCF-7, and WRL-68) and normal (HEK-293) cell lines. Methods The potency of neomenthol was evaluated on human cancer and normal cell line using SRB, NRU and MTT assays. The molecular target based study of neomenthol was carried out in cell-free and cell-based test systems. Further, the potency of neomenthol was confirmed by quantitative real-time PCR analysis and molecular docking studies. The in vivo anticancer potential of neomenthol was performed on mice EAC model and the toxicity examination was accomplished through in silico, ex vivo and in vivo approaches. Results Neomenthol exhibits a promising activity (IC50 17.3 ± 6.49 μM) against human epidermoid carcinoma (A431) cells by arresting the G2/M phase and increasing the number of sub-diploid cells. It significantly inhibits hyaluronidase activity (IC50 12.81 ± 0.01 μM) and affects the tubulin polymerization. The expression analysis and molecular docking studies support the in vitro molecular and cell target based results. Neomenthol prevents EAC tumor formation by 58.84% and inhibits hyaluronidase activity up to 10% at 75 mg/kg bw, i.p. dose. The oral dose of 1000 mg/kg bw was found safe in acute oral toxicity studies. Conclusion Neomenthol delayed the growth of skin carcinoma cells by inhibiting the tubulin polymerization and hyaluronidase activity, which are responsible for tumor growth, metastasis, and angiogenesis.
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Key Words
- AA, Arachidonic acid
- AKLP, Alkaline phosphatase
- Ab/Am, Antibiotic/antimycotic
- BE, Binding energy
- BIL, Bilirubin total & direct
- BSA, Bovine serum albumin
- BUN, Blood urea nitrogen
- CATD, Cathepsin D
- CHOL, Cholesterol
- CM-H2DCFDA, Chloromethyl derivative of dichloro fluorescin diacetate
- COX-2, Cyclooxygenase 2
- CRTN, Creatinine
- Cancer biomarker
- DCFDA, 2′,7′ dichloro fluorescin diacetate
- DFMO, α-difluoro methyl ornithine
- DHFR, Dihydrofolatereductase
- DMEM, Dulbecco’s minimal essential media
- DMSO, Dimethyl sulfoxide
- DNA, Deoxyribonucleic acid
- DOXO, Doxorubicin
- EAC, Ehlrich Ascites Carcinoma
- EC50, Half maximal effective concentration
- EDTA, Ethylene diamine tetra acetic acid
- ELISA, enzyme-linked immunosorbent assay
- Ehrlich Ascites Carcinoma
- FACS, Fluorescence-Activated Cell Sorting
- FBS, Fetal bovine serum
- FDA, Food and Drug Administration
- FOX, Ferrous oxidation-xylenol orange
- GAPDH, Glyceraldehyde 3-phosphate dehydrogenase, HEPES, N-2-hydroxyethylpiperazine-N′-2-ethanesulfonic acid
- HA, Hyaluronic acid
- HDAC, Histone deacetylase
- HDL, High density lipoprotein
- HYAL, Hyaluronidase
- Human epidermoid carcinoma
- Hyaluronidase
- IC50, Half maximal inhibitory concentration
- IDT, Integrated DNA Technologies
- Ki, Inhibitory constant
- LDH, Lactate dehydrogenase
- LOX-5, Lipoxygenase-5
- MEF, Mean erythrocyte fragility
- MMP, Mitochondrial membrane potential
- MTT, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide
- MTX, Methotrexate
- NAC, N-acetyl cysteine
- NADPH, Nicotinamide adenine dinucleotide phosphate hydrogen
- NRU, Neutral red uptake
- NaOH, Sodium hydroxide
- Neomenthol
- ODC, Ornithine decarboxylase
- OECD, Organization for Economic Co-operation and Development
- OF, Osmotic fragility
- PBS, Phosphate buffer saline
- PCR, Polymerase chain reaction
- PDB, Protein Data Bank
- PDT, Podophyllotoxin
- PEP A, pepstatin A
- PI, Propidium iodide
- PI3K, Phosphotidyl inositol-3 kinase
- PKB/Akt, Protein kinase B
- RBC, Red blood cell
- RIPA, Radio immune precipitation assay buffer
- RNA, Ribonucleic acid
- RNase A, Ribonuclease A
- ROS, Reactive oxygen species
- RPMI, Roswell park memorial institute
- Rh123, Rhodamine 123
- SGOT, Aspartate aminotransferase
- SGPT, Alanine aminotransferase
- SRB, Sulphorhodamine B
- TCA, Tricarboxylic acid
- TMPD, N,N,N′,N′-tetramethyl-p-phenylenediamine
- TNBS, Trinitrobenzenesulphonic acid
- TPA, 12-O-Tetradecanoylphorbol-13-acetate
- TPR, Total protein
- TRIG, Triglyceraldehyde
- TRPM8, Transient receptor potential member 8
- Tubulin
- URIC, Uric acid
- WBC, White blood cell
- mTOR, Mammalian target of rapamycin
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Nasiruddin Rana M, Karim N, Changlek S, Atiar Rahman M, Tangpong J, Hajjar D, Alelwani W, Makki AA. Thunbergia laurifolia leaf extract partially recovers lead-induced renotoxicity through modulating the cell signaling pathways. Saudi J Biol Sci 2021; 27:3700-3710. [PMID: 34466056 PMCID: PMC8381871 DOI: 10.1016/j.sjbs.2020.08.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2020] [Revised: 08/04/2020] [Accepted: 08/09/2020] [Indexed: 11/30/2022] Open
Abstract
This research investigated the reno-protective effect of Thunbergia laurifolia Linn. (TL) in a lead-induced toxicity test through the modulation of cell signaling pathways. The study carried out to evaluate the effect of TL leaf extracts in Swiss Albino mice exposed to lead acetate (PbAc). Prior to in vivo study, a probable kidney-protective effect of the plant leaf extract was presumed through an activity-specific (PASS) molecular docking analysis. In animal model study, albino mice were divided in seven groups and co-treated with PbAc and TL (100, 200 mg/kgBW) or vitamin E (100 mg/kgBW) for 38 days, whereas the untreated control, TL control, and vehicle control groups received sodium acetate, PbAc, sodium acetate plus mineral oil, respectively. At the end of treatment, blood and kidney tissue were collected for investigating Pb concentration, estimating biochemical profile, evaluating oxidative stress and inflammatory parameters. The histopathological change of kidney along with apoptosis was assessed from kidney sections using H & E staining and TUNEL assay. Pb-exposed mice were found to be increased concentration of Pb in the blood and kidney sample, which further led to increased MDA levels in the plasma, blood, and tissue. Followed by kidney damage, increased expression of TNF-α, iNOS, and COX-2 in kidney tissues were noticed, which were related to elevated TNF-α in the systemic circulation of Pb-treated mice. Co-treatment with TL or vitamin E significantly reduced altered structure and apoptosis of kidney tissues. Downregulation of inflammatory markers especially TNF-α, iNOS, and COX-2 with simultaneous improvement of renal function through reduced plasma BUN and creatinine levels demonstrate that TL act as a potential dietary supplement to detoxify Pb in kidney showing an antioxidant and anti-inflammatory effect.
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Key Words
- Anti-inflammation
- BUN, Blood urea nitrogen
- BW, body weight
- COX-2, Cyclooxygenase-2
- DNA, Deoxyribonucleic acid
- ELISA, enzyme-linked immunosorbent assay
- GFR, Glomerular filtration rate
- H&E, Hematoxylin-Eosin
- Lead (Pb)
- MDA, Malondialdehyde
- Oxidative stress
- Pb, lead
- ROS, reactive oxygen species
- Renotoxicity
- TBARS, Thiobarbituric acid reactive substances
- TBS, Tris phosphate saline
- TBST, Tris phosphate buffer saline with Tween 20
- TL, Thunbergia laurifolia Linn.
- TNF-α, Tumor necrosis factor-alpha
- TUNEL, Terminal deoxynucleotidyl transferase dUTP nick end labeling
- Thunbergia laurifolia Linn.
- iNOS, Inducible nitric oxide synthase
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Affiliation(s)
- Mohammad Nasiruddin Rana
- Biomedical Sciences, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80161, Thailand.,Department of Pharmacology, Zhejiang University School of Medicine, Hangzhou 310058, PR China.,Research Excellence Center for Innovation and Health Products (RECIHP), Walailak University, Nakhon Si Thammarat 80160, Thailand
| | - Naymul Karim
- Biomedical Sciences, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80161, Thailand.,Research Excellence Center for Innovation and Health Products (RECIHP), Walailak University, Nakhon Si Thammarat 80160, Thailand
| | - Suksan Changlek
- Biomedical Sciences, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80161, Thailand.,Research Excellence Center for Innovation and Health Products (RECIHP), Walailak University, Nakhon Si Thammarat 80160, Thailand
| | - Md Atiar Rahman
- Department of Biochemistry and Molecular Biology, University of Chittagong, Chittagong, Bangladesh
| | - Jitbanjong Tangpong
- Biomedical Sciences, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat 80161, Thailand.,Research Excellence Center for Innovation and Health Products (RECIHP), Walailak University, Nakhon Si Thammarat 80160, Thailand
| | - Dina Hajjar
- Department of Biochemistry, College of Sciences, University of Jeddah, Jeddah 80203, Saudi Arabia
| | - Walla Alelwani
- Department of Biochemistry, College of Sciences, University of Jeddah, Jeddah 80203, Saudi Arabia
| | - Arwa A Makki
- Department of Biochemistry, College of Sciences, University of Jeddah, Jeddah 80203, Saudi Arabia
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Ewees MGE, Abdel-Bakky MS, Bayoumi AMA, Abo-Saif AA, Altowayan WM, Alharbi KS, Messiha BAS. Dabigatran mitigates cisplatin-mediated nephrotoxicity through down regulation of thrombin pathway. J Adv Res 2021; 31:127-36. [PMID: 34194837 DOI: 10.1016/j.jare.2020.12.014] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2020] [Revised: 12/19/2020] [Accepted: 12/26/2020] [Indexed: 12/20/2022] Open
Abstract
Introduction Cisplatin (CDDP) nephrotoxicity is one of the most significant complications limiting its use in cancer therapy. Objectives This study investigated the pivotal role played by thrombin in CDDP-mediated nephrotoxicity. This work also aimed to clarify the possible preventive effect of Dabigatran (Dab), a direct thrombin inhibitor, on CDDP nephrotoxicity. Methods Animals were grouped as follow; normal control group, CDDP nephrotoxicity group, CDDP + Dab 15, and CDDP + Dab 25 groups. Four days following CDDP administration, blood and urine samples were collected to evaluate renal function. Moreover, tissue samples were collected from the kidney to determine apoptosis markers, oxidative stress and histopathological evaluation. An immunofluorescence analysis of tissue factor (TF), thrombin, protease-activated receptor-2 (PAR2), fibrin, pERK1/2 and P53 proteins expression was also performed. Results Thrombin, pERK, cleaved caspase-3, and oxidative stress markers were significantly elevated in CDDP-treated group. However, pretreatment of animals with either low or high doses of Dab significantly improved kidney function and decreased oxidative stress and apoptotic markers. Conclusion We conclude that thrombin is an important factor in the pathogenesis of CDDP kidney toxicity via activation of ERK1/2, P53 and caspase-3 pathway, which can be effectively blocked by Dab.
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Key Words
- BUN, Blood urea nitrogen
- CDDP, Cisplatin
- Cisplatin
- Cr, creatinine
- Crcl, Creatinine clerance
- Dab, Dabigatran
- Dabigatran
- FXa, activated form of Factor X
- GSH, Reduced Glutathion
- H&E, Hematoxylin–Eosin
- INR, International normalized ratio
- KIM-1, kidney injury molecule-1
- PAR, protease-activated receptor
- PAR2
- Pt, Prothrombin time
- Ptt, Partial thromboplastin time
- ROS, Reactive oxygen species
- SOD, Superoxide dismutase
- TF, Tissue factor
- Thrombin
- pERK1/2
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Azouz AA, Abdel-Nassir Abdel-Razek E, Abo-Youssef AM. Amlodipine alleviates cisplatin-induced nephrotoxicity in rats through gamma-glutamyl transpeptidase (GGT) enzyme inhibition, associated with regulation of Nrf2/HO-1, MAPK/NF-κB, and Bax/Bcl-2 signaling. Saudi Pharm J 2020; 28:1317-1325. [PMID: 33250641 PMCID: PMC7679434 DOI: 10.1016/j.jsps.2020.08.022] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Accepted: 08/27/2020] [Indexed: 02/01/2023] Open
Abstract
BACKGROUND The therapeutic utility of the effective chemotherapeutic agent cisplatin is hampered by its nephrotoxic effect. We aimed from the current study to examine the possible protective effects of amlodipine through gamma-glutamyl transpeptidase (GGT) enzyme inhibition against cisplatin nephrotoxicity. METHODS Amlodipine (5 mg/kg, po) was administered to rats for 14 successive days. On the 10th day, nephrotoxicity was induced by a single dose of cisplatin (6.5 mg/kg, ip). On the last day, blood samples were collected for estimation of kidney function, while kidney samples were used for determination of GGT activity, oxidative stress, inflammatory, and apoptotic markers, along with histopathological evaluation. RESULTS Amlodipine alleviated renal injury that was manifested by significantly diminished serum creatinine and blood urea nitrogen levels, compared to cisplatin group. Amlodipine inhibited GGT enzyme, which participates in the metabolism of extracellular glutathione (GSH) and platinum-GSH-conjugates to a reactive toxic thiol. Besides, amlodipine diminished mRNA expression of NADPH oxidase in the kidney, while enhanced the anti-oxidant defense by activating Nrf2/HO-1 signaling. Additionally, it showed marked anti-inflammatory response by reducing expressions of p38 mitogen-activated protein kinase (p38 MAPK) and nuclear factor-kappa B (NF-κB), with subsequent down-regulation of tumor necrosis factor-alpha (TNF-α), interleukin-6 (IL-6), and vascular cell adhesion molecule-1 (VCAM-1). Moreover, amlodipine reduced Bax/Bcl-2 ratio and elevated hepatocyte growth factor (HGF), thus favoring renal cell survival. CONCLUSIONS Effective GGT inhibition by amlodipine associated with enhancement of anti-oxidant defense and suppression of inflammatory signaling and apoptosis support our suggestion that amlodipine could replace toxic GGT inhibitors in protection against cisplatin nephrotoxicity.
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Key Words
- Amlodipine
- Anti-inflammatory response
- Anti-oxidant defense
- BUN, Blood urea nitrogen
- Bax, Bcl-2-associated X protein
- Bcl-2, B-cell lymphoma 2
- CMC, Carboxymethyl cellulose
- Cisplatin nephrotoxicity
- GGT inhibition
- GGT, gamma-glutamyl transpeptidase
- GSH, Reduced glutathione
- H & E, Hematoxylin and eosin
- HGF, Hepatocyte growth factor
- HO-1, Heme oxygenase-1
- IL-6, Interleukin-6
- Keap1, Kelch-like ECH-associated protein 1
- MAPK, Mitogen-activated protein kinase
- MDA, Malondialdehyde
- NADPH, Nicotinamide adenine dinucleotide phosphate
- NF-κB, Nuclear factor-kappa B
- NO, Nitric oxide
- NOx, Total nitrate/nitrite
- Nrf2, Nuclear factor erythroid 2-related factor 2
- ROS, Reactive oxygen species
- Renal cell survival
- TNF-α, Tumor necrosis factor-alpha
- VCAM-1, vascular cell adhesion molecule-1
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Affiliation(s)
- Amany A. Azouz
- Department of Pharmacology and Toxicology, Faculty of Pharmacy, Beni-Suef University, Beni-Suef 62514, Egypt
| | | | - Amira M. Abo-Youssef
- Department of Pharmacology and Toxicology, Faculty of Pharmacy, Beni-Suef University, Beni-Suef 62514, Egypt
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Morimoto S, Takahashi S, Fukushima K, Saya H, Suzuki N, Aoki M, Okano H, Nakahara J. Ropinirole hydrochloride remedy for amyotrophic lateral sclerosis - Protocol for a randomized, double-blind, placebo-controlled, single-center, and open-label continuation phase I/IIa clinical trial (ROPALS trial). Regen Ther 2019; 11:143-166. [PMID: 31384636 PMCID: PMC6661418 DOI: 10.1016/j.reth.2019.07.002] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/17/2019] [Revised: 07/04/2019] [Accepted: 07/09/2019] [Indexed: 11/19/2022] Open
Abstract
Introduction Amyotrophic lateral sclerosis (ALS) is an intractable and incurable neurological disease. It is a progressive disease characterized by muscle atrophy and weakness caused by selective vulnerability of upper and lower motor neurons. In disease research, it has been common to use mouse models carrying mutations in responsible genes for familial ALS as pathological models of ALS. However, there is no model that has reproduced the actual conditions of human spinal cord pathology. Thus, we developed a method of producing human spinal motor neurons using human induced pluripotent stem cells (iPSCs) and an innovative experimental technique for drug screening. As a result, ropinirole hydrochloride was eventually discovered after considering such results as its preferable transitivity in the brain and tolerability, including possible adverse reactions. Therefore, we explore the safety, tolerability and efficacy of ropinirole hydrochloride as an ALS treatment in this clinical trial. Methods The ROPALS trial is a single-center double-blind randomized parallel group-controlled trial of the safety, tolerability, and efficacy of the ropinirole hydrochloride extended-release tablet (Requip CR) at 2- to 16-mg doses in patients with ALS. Twenty patients will be recruited for the active drug group (fifteen patients) and placebo group (five patients). All patients will be able to receive the standard ALS treatment of riluzole if not changed the dosage during this trial. The primary outcome will be safety and tolerability at 24 weeks, defined from the date of randomization. Secondary outcome will be the efficacy, including any change in the ALS Functional Rating Scale-Revised (ALSFRS-R), change in the Combined Assessment of Function and Survival (CAFS), and the composite endpoint as a sum of Z-transformed scores on various clinical items. Notably, we will perform an explorative search for a drug effect evaluation using the patient-derived iPSCs to prove this trial concept. Eligible patients will have El Escorial Possible, clinically possible and laboratory-supported, clinically probable, or clinically definite amyotrophic lateral sclerosis with disease duration less than 60 months (inclusive), an ALSFRS-R score ≥2 points on all items and age from 20 to 80 years. Conclusion Patient recruitment began in December 2018 and the last patient is expected to complete the trial protocol in November 2020. Trial registration Current controlled trials UMIN000034954 and JMA-IIA00397. Protocol version version 1.6 (Date; 5/Apr/2019).
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Key Words
- %FVC, Forced vital capacity
- 6-OHDA, 6-hydroxydopamine
- 8-OHdG, 8-Hydroxydeoxyguanosine
- ADR, Adverse reaction
- AE, Adverse effect
- ALP, Alkaline phosphatase
- ALS, Amyotrophic lateral sclerosis
- ALSAQ-40, Amyotrophic Lateral Sclerosis Assessment Questionnaire-40
- ALSFRS-R, ALS Functional Rating Scale-Revised
- ALT, Alanine aminotransferase
- APTT, Activated partial thromboplastin time
- AST, Aspartate aminotransferase
- Amyotrophic lateral sclerosis
- BUN, Blood urea nitrogen
- CAFS, Combined Assessment of Function and Survival
- CK, Creatine kinase
- CPK, Creatine phosphokinase
- CRP, C-reactive protein
- CTCAE, Common terminology Criteria for Adverse Events
- EDC, Electronic data capture
- FALS, Familial ALS
- FAS, Full analysis set
- GCP, Good clinical practice
- HBs, Hepatitis B surface
- HCG, Human chorionic gonadotropin
- HCV, Hepatitis C virus
- HDL, High-density lipoprotein
- HIV, Human immunodeficiency virus
- HTLV-1, Human T-cell leukemia virus type 1
- IRB, Institutional review board
- LDH, Lactate dehydrogenase
- LDL, Low-density lipoprotein
- MMT, Manual muscle testing
- NfL, Neurofilament light chain
- PPS, Per protocol set
- PT, Prothrombin time
- QOL, Quality of life
- Requip CR
- Ropinirole hydrochloride
- SAE, Severe adverse effect
- SALS, sporadic ALS
- SOD, Superoxide dismutase
- TDP-43, Transactive response DNA-binding protein 43
- TPHA, Treponema pallidum hemagglutination
- iPSC-drug discovery
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Affiliation(s)
- Satoru Morimoto
- Department of Physiology, Keio University School of Medicine, Japan
- Department of Neurology, Keio University School of Medicine, Japan
| | | | - Komei Fukushima
- Department of Physiology, Keio University School of Medicine, Japan
| | - Hideyuki Saya
- Division of Gene Regulation, Institute for Advanced Medical Research, Graduate School of Medicine, Keio University, Japan
| | - Norihiro Suzuki
- Department of Neurology, Keio University School of Medicine, Japan
- Department of Neurology, Shonan Keiiku Hospital, Japan
| | - Masashi Aoki
- Department of Neurology, Tohoku University, School of Medicine, Japan
| | - Hideyuki Okano
- Department of Physiology, Keio University School of Medicine, Japan
- Corresponding author. Keio University Graduate School of Medicine, Department of Physiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo, 160-8582, Japan. Fax: +81 3 3357 5445.
| | - Jin Nakahara
- Department of Neurology, Keio University School of Medicine, Japan
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Hu Y, Chen J, Yang L, Chen P, Li J, Chen L, Chen J, Huang X, Zhang Y, Bu S, Huang Q. The value of neck circumference (NC) as a predictor of non-alcoholic fatty liver disease (NAFLD). J Clin Transl Endocrinol 2014; 1:133-9. [PMID: 29159094 DOI: 10.1016/j.jcte.2014.07.001] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/04/2014] [Revised: 06/19/2014] [Accepted: 07/01/2014] [Indexed: 12/14/2022]
Abstract
Aims To analyze the correlation between neck circumference (NC) and non-alcoholic fatty liver disease (NAFLD) and compare the predictive value of NC for NAFLD with that of other simple anthropometric measures and other biochemical profiles. Methods 2761 subjects, undergoing a medical check-up at the Changhai Hospital between October 01, 2012 and November 30, 2012, were recruited to the study. NC, other simple anthropometric measures, and biochemical profiles were analyzed. Results NC in NAFLD subjects with or without elevated ALT were 38.94 ± 2.62 cm and 37.21 ± 3.06 cm respectively, which was significantly higher than that in subjects with other metabolic disorders (NC: 35.33 ± 3.03 cm) and in normal controls (NC: 32.60 ± 2.37) (both P < 0.001). NC in women with NAFLD increased by 1 cm and fasting insulin (FINS) and homeostasis model assessment-insulin resistance (HOMA-IR) increased by 1.87 mIU/L and 1.43, respectively. Compared with other anthropometric measures, neck circumference-height ratio (NHtR) had a significant impact both on the incidence of NAFLD. After adjustment for sex, abdominal obesity and other influencing factors, the incidence of NAFLD still tended to positively correlate with NC. Optimal cut-off points of NC and NHtR for predicting NAFLD in males were 37.25 cm and 0.224, respectively, and such points in females were 32.90 cm and 0.208, respectively. Conclusion NC was wider in NAFLD patients than in healthy subjects and other metabolic disorder sufferers. NC and NHtR could be used as simple predictive tools for NAFLD.
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Key Words
- ALT, Alanine aminotransferase
- AST, Aspartate aminotransferase
- AUC, Area under the curve
- BMI, Body mass index
- BUN, Blood urea nitrogen
- CVD, Cardiovascular diseases
- FBG, Fasting blood glucose
- FINS, Fasting insulin
- FT3, Free triiodothyronine 3
- FT4, Free thyroxine
- HC, Hip circumference
- HDL-C, High-density lipoprotein cholesterol
- HOMA-IR, Homeostasis model assessment-insulin resistance
- HUA, Hyperuricemia
- HbA1c, Hemoglobin A1c
- IR, Insulin resistance
- Insulin resistance
- LDL-C, Low-density lipoprotein cholesterol
- MS, Metabolic syndrome
- NAFLD, Nonalcoholic fatty liver disease
- NC, Neck circumference
- NHtR, Neck circumference-height ratio
- NWtR, Neck circumference-weight ratio
- Neck circumference
- Non-alcoholic fatty liver disease
- OR, Odd ratio
- QUICKI, Quantitative insulin-sensitivity check index
- SUA, Serum uric acid
- Scr, Serum creatinine
- T2DM, Type 2 diabetes mellitus
- TC, Total cholesterol
- TG, Triglyceride
- TSH, Thyroid stimulating hormone
- VAT, Visceral adipose tissue
- WC, Waist circumference
- Waist circumference
- γ-GT, gamma-glutamyltransferase
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