1. Betulin alleviates cisplatin-induced hepatic injury in rats: Targeting apoptosis and Nek7-independent NLRP3 inflammasome pathways.
- Author
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Eisa NH, El-Sherbiny M, and Abo El-Magd NF
- Subjects
- Animals, Anti-Inflammatory Agents pharmacology, Antineoplastic Agents, Apoptosis drug effects, Chemical and Drug Induced Liver Injury immunology, Chemical and Drug Induced Liver Injury pathology, Cisplatin, Interleukin-1beta immunology, Liver drug effects, Liver immunology, Liver pathology, Male, NIMA-Related Kinases immunology, Oxidative Stress drug effects, Rats, Sprague-Dawley, Signal Transduction drug effects, Triterpenes pharmacology, Rats, Anti-Inflammatory Agents therapeutic use, Chemical and Drug Induced Liver Injury drug therapy, Inflammasomes immunology, NLR Family, Pyrin Domain-Containing 3 Protein immunology, Triterpenes therapeutic use
- Abstract
Cisplatin is a chemotherapeutic agent that induces multiorgan toxicity side effect due to induction of inflammation, apoptosis and disruption of intracellular antioxidant pathways. Betulin is a natural triterpenoid that has been shown to counteract cisplatin-induced nephrotoxicity. In this study, we investigated the ameliorative effect of betulin against cisplatin-promoted hepatotoxicity in rats. Moreover, we studied the molecular mechanism underlying betulin's effect. Single intraperitoneal injection (i.p.) of 10 mg/kg of cisplatin, was used to induce acute liver injury in rats. To assess betulin effect, a dose of 8 mg/kg (i.p.) was daily administered for 10 days. Betulin significantly improved serum Aspartate transaminase (AST), Alanine transaminase (ALT), albumin and total bilirubin levels in comparison with cisplatin group. Histopathologically, betulin restored cisplatin-deteriorated liver structural features and hepatic fibrosis. Mechanistically, betulin reduced hepatic oxidative stress as indicated by increased total antioxidant capacity and decreased malondialdehyde levels compared to cisplatin group. In addition, betulin reduced hepatic inflammation via significant inhibition of NOD-like receptor pyrin domain-containing protein 3 (NLRP3) inflammasome, caspase-1 and interleukin-1β (IL-1β) levels. Intriguingly, betulin did not affect the expression levels of the mitotic kinase NIMA-related kinase 7 (Nek7), an NLRP3 interacting/activating protein. Last, Betulin induced anti-apoptotic effects as denoted by significant downregulation of P53 and Bax apoptotic proteins, upregulation of the anti-apoptotic protein, BCL2 and reduction of caspases 8, -9 and -3. This study is the first to provide evidence that betulin might be beneficial as a safe therapeutic approach to manage cisplatin-induced hepatotoxicity via targeting inflammatory and apoptotic pathways., (Copyright © 2021 Elsevier B.V. All rights reserved.)
- Published
- 2021
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