Department of Biochemistry, Faculty of Pharmacy, Sohag University, Sohag, Egypt.
Department of Biochemistry, Faculty of Pharmacy, Minia University, El-Minia, 61511, Egypt.
Arch Biochem Biophys. 2024 Aug;758:110084. doi: 10.1016/j.abb.2024.110084. Epub 2024 Jul 4.
Nuclear factor erythroid factor 2 (Nrf2) is the key regulatory of the antioxidant response elements. Also, Nrf2 interacts with nuclear factor kappa B (NF-ĸB) to inhibit subsequent inflammatory cascade. Activation of Nrf2 signaling ameliorates drug-induced liver injury. Sodium valproate (SVP) is an anti-epilepsy drug with a hepatotoxic adverse effect that restricts its clinical use. In this study, coadministration of Dihydromyricetin (DHM), a natural flavonoid, with SVP to rats upregulated gene expression of Nrf2 and its downstream gene, heme oxygenase 1 (HO-1), while suppressed the Nrf2 repressor, Keap-1. Additionally, DHM led to downregulation of proinflammatory factors in liver tissues, including NF-ĸB, interleukin 1 beta (IL-1β), and tumor necrosis factor alpha (TNF-α). This was accompanied by a decrease in the proapoptotic protein (cleaved caspase-3) expression level. Furthermore, biochemical and histopathological studies showed that DHM treatment improved liver function and lipid profile while decreased inflammatory cell infiltration, congestion, and hepatocellular damage. According to our knowledge, prior research has not examined the protective effect of DHM on the liver injury induced by SVP. Consequently, this study provides DHM as a promising herbal medication that, when used with SVP, can prevent its induced hepatotoxicity owing to its potential anti-oxidative, anti-inflammatory, and anti-apoptotic properties.
核因子红细胞 2(Nrf2)是抗氧化反应元件的关键调节因子。此外,Nrf2 与核因子 kappa B(NF-ĸB)相互作用,抑制随后的炎症级联反应。激活 Nrf2 信号可改善药物性肝损伤。丙戊酸钠(SVP)是一种抗癫痫药物,具有肝毒性副作用,限制了其临床应用。在这项研究中,将天然黄酮类化合物二氢杨梅素(DHM)与 SVP 一起给予大鼠,可上调 Nrf2 及其下游基因血红素加氧酶 1(HO-1)的基因表达,同时抑制 Nrf2 抑制物 Keap-1。此外,DHM 导致肝组织中促炎因子(NF-ĸB、白细胞介素 1β(IL-1β)和肿瘤坏死因子α(TNF-α))的下调。这伴随着促凋亡蛋白(裂解 caspase-3)表达水平的降低。此外,生化和组织病理学研究表明,DHM 治疗可改善肝功能和脂质谱,同时减少炎症细胞浸润、充血和肝细胞损伤。据我们所知,先前的研究尚未检查 DHM 对 SVP 诱导的肝损伤的保护作用。因此,本研究提供了 DHM 作为一种有前途的草药药物,当与 SVP 一起使用时,由于其潜在的抗氧化、抗炎和抗凋亡特性,可以预防其诱导的肝毒性。
Front Pharmacol. 2025-1-3