Morsy Mohamed A, Ibrahim Yasmine F, Abdel Hafez Sara Mohamed Naguib, Zenhom Nagwa M, Nair Anroop B, Venugopala Katharigatta N, Shinu Pottathil, Abdel-Gaber Seham A
Department of Pharmaceutical Sciences, College of Clinical Pharmacy, King Faisal University, Al-Ahsa 31982, Saudi Arabia.
Al Bilad Bank Scholarly Chair for Food Security in Saudi Arabia, the Deanship of Scientific Research, the Vice Presidency for Graduate Studies and Scientific Research, King Faisal University, Al-Ahsa 31982, Saudi Arabia.
Antioxidants (Basel). 2022 Aug 29;11(9):1687. doi: 10.3390/antiox11091687.
Hepatic ischemia/reperfusion (HIR) is the most common type of liver injury following several clinical situations. Modulating oxidative stress and inflammation by Nrf2/HO-1 and TLR4/MYD88/NF-κB pathways, respectively, is involved in alleviating HIR injury. Paeonol is a natural phenolic compound that demonstrates significant antioxidant and anti-inflammatory effects. The present study explored the possible protective effect of paeonol against HIR injury and investigated its possible molecular mechanisms in rats. Rats were randomly divided into four groups: sham-operated control, paeonol-treated sham-operated control, HIR untreated, and HIR paeonol-treated groups. The results confirmed that hepatic injury was significantly aggravated biochemically by elevated serum levels of alanine transaminase and aspartate transaminase, as well as by histopathological alterations, while paeonol reduced the increase in transaminases and alleviated pathological changes induced by HIR. Additionally, paeonol inhibited the HIR-induced oxidative stress in hepatic tissues by decreasing the upraised levels of malondialdehyde and nitric oxide and enhancing the suppressed levels of reduced glutathione and superoxide dismutase activity. Furthermore, paeonol activated the protective antioxidative Nrf2/HO-1 pathway. The protective effect of paeonol was associated with inhibiting the expression of the inflammatory key mediators TLR4, MYD88, NF-κB, and TNF-α. Finally, paeonol inhibited the increased mRNA levels of the pro-apoptotic marker Bax and enhanced the reduced mRNA levels of the anti-apoptotic marker Bcl-2. Taken together, our results proved for the first time that paeonol could protect against HIR injury by inhibiting oxidative stress, inflammation, and apoptosis.
肝缺血/再灌注(HIR)是几种临床情况后最常见的肝损伤类型。分别通过Nrf2/HO-1和TLR4/MYD88/NF-κB途径调节氧化应激和炎症,参与减轻HIR损伤。丹皮酚是一种天然酚类化合物,具有显著的抗氧化和抗炎作用。本研究探讨了丹皮酚对HIR损伤的可能保护作用,并研究了其在大鼠中的可能分子机制。将大鼠随机分为四组:假手术对照组、丹皮酚处理的假手术对照组、未处理的HIR组和丹皮酚处理的HIR组。结果证实,血清丙氨酸转氨酶和天冬氨酸转氨酶水平升高以及组织病理学改变使肝损伤在生化方面显著加重,而丹皮酚降低了转氨酶的升高,并减轻了HIR诱导的病理变化。此外,丹皮酚通过降低丙二醛和一氧化氮升高的水平以及提高还原型谷胱甘肽和超氧化物歧化酶活性受抑制的水平,抑制HIR诱导的肝组织氧化应激。此外,丹皮酚激活了保护性抗氧化Nrf2/HO-1途径。丹皮酚的保护作用与抑制炎症关键介质TLR4、MYD88、NF-κB和TNF-α的表达有关。最后,丹皮酚抑制促凋亡标志物Bax mRNA水平的升高,并提高抗凋亡标志物Bcl-2降低的mRNA水平。综上所述,我们的结果首次证明丹皮酚可通过抑制氧化应激、炎症和凋亡来预防HIR损伤。