Indian Journal of Experimental Biology Vol. 43, May 2005, pp. 430-436 Effect of Emblica officinalis (Gaertn) on CC14 induced hepatic toxicity and DNA synthesis in Wi star rats Sarwat Sultana, Salahuddin Ahmad, Naghma Khan & Tamanna Jahangir Section of Chemoprevention and Nutrition Toxicology, Department of Medical Elementology and Toxicology, Jamia Hamdard (Hamdard University), Hamdard Nagar, New Delhi 110 062, India Received 15 September 2004; revised 21 February 2005 A single dose of CCl 4 (1 mllkg body weight, po in corn oil) increased the levels of SGOT (serum glutamate oxaloacetate transaminase), SGPT (serum glutamate pyruvate transaminase), LDH (lactate dehydrogenase), glutathione-S-transferase and depletion in reduced glutathione, glutathione peroxidase and glutathione reductase. It also caused enhancement in the levels of lipid peroxidation (LPO) and DNA synthesis. There was also pathological deterioration of hepatic tissue as evident from multi vacuolated hepatocytes containing fat globules around central vein. The pretreatment of E. officinalis for 7 consecutive days showed a profound pathological protection to liver cell as depicted by univacuolated hepatocytes. Pretreatment with E. officinalis at doses of 100 and 200 mg/kg body weight, prior to CCl 4 intoxication showed significant reduction in the levels of SGOT, SGPT, LDH, glutathione-S-transferase , LPO and DNA synthesis. There was also increase in reduced glutathione, glutathione peroxidase and glutathione reductase. The results suggest that E. officinalis inhibits hepatic toxicity in Wi star rats. Keywords: CCI 4 ; Emblica officillalis; Hepatic toxicity. Liver is a versatile organ of the body that regulates internal chemical environment. Liver injuries induced by various hepatotoxins have been recognized as a major toxicological problem for years 1• Carbon tetrachloride (CCI 4 ), an established hepatotoxicant for both animals and humans and has been used as solvent to coal tar, oil, resins and raw material of fluorocarbon for coolant and as fire extinguishing agent 2 • CCl4 is metabolized in the liver by cytochrome P450 to trichloromethyl radical that reacts with GSH to form a GSH containing radical and causes various pathological and toxicological manifestations 3 . Early events associated with the cytotoxicity of CCI 4 following activation includes Iipidperoxidation and covalent binding to proteins and lipids followed immediately by diminished protein and lipid turnover and alterations in calcium homeostasis 4 • CCl4 has been shown to acti vate Kupffer cells by increasing intracellular Ca2+concentration, causing release of harmful cytokines that contribute to the death of hepatocytes and oxidative stress 5 . The cellular infiltration of activated neutrophillic leukocytes *Correspondent author: Phone: 0091-11-26059688 Ext: 5565/5566 Fax: 0091-11-26059663 E-mail: [email protected] amplifies inflammatory response and cellular injury or death due to release of superoxide anions and other toxic mediators 6 . Free radicals bind covalently to membrane proteins and lipids causing enzyme inactivation and promotion of lipidperoxidation as a result of interaction with membrane unsaturated fatty acids? Regenerating liver, a model of synchronized cellular proliferation, provides an opportunity to study the factors that can suppress or intensify the manifestations involved in the regenerative process 8 . Historically plants have been used as folk medicine against various types of diseases 9 . Experimental work on several plants has been carried out to evaluate their efficacy against chemically induced toxicitylo.I' . In the present study the efficacy of extract of fruits of Emblica officinalis (Gaertn) has been elucidated against experimental tissue injury, oxidative stress and proliferative response induced by hepatotoxic agent, CCI 4 • Phytochemical evaluation of the plant E. officinalis showed the presence of quercetin, ascorbic acid and ellagic acid. The major principle is quercetin 12. The polyphenolic components of higher plants reportedly act as antioxidant or as agents of other mechanisms contributing to anti carcinogenic action I3. Flavonoid SULTANA eta/.: EMBLICA OFFICINA LIS & CC1 4 INDUCED HEPATIC TOXICITY IN RATS 431 rotatory evaporator (Buchi Rotavapor, Switzerland). and other plant phenolics possess multiple biological The methanol fraction obtained (42 g) was suspended in activity including anticarcinogenic, anti-inflammatory water to prepare the required dilutions at the time of and anti-allergic activity 14. Flavonoids are reported '5 dosing. scavanger of superoxide radicals , peroxyl radicals and inhibitor of lipidperoxidation '6 . Quercetin has Animals-Male albino Wistar rats (130-1S0 g) were been shown to mediate the down regulation of mutant obtained from Central Animal House of ·Hamdard PS3 in human breast cancer cell lines and modulation University, New Delhi, India. They were housed in of TGF in ovarian cells 17. Ellagic acid has been shown polypropylene cages in groups of six rats per cage and to inhibit carcinogen-induced neoplasia in mouse were kept in a room maintained at 2So ± 2°C with a l8 skin, rat mammary gland and mouse forestomach • 12: 12 hr L:D cycle. They were given free access to The most typical reaction leading to endogenous standard laboratory feed. (Hindus tan Lever Ltd." formation of mutagens is between nitrite and Bombay, India) and water ad libitum. The animals nitrosamines or amides, which can be inhibited by , were sacrificed according to the guidelines of the vitamin C, vitamin E, gallic acid, ferrulic acid and current laws of CPCSEA (Ethical Committee for the caffeic acid l9 . The above information and present purpose of control and supervision of experiments on status of the dietary intervention prompted the present animals), India. work on the evaluation of the efficacy of the fruit extract of Emblica offlcinalis against CCl4 induced Experimental protocol hepatic toxicity and DNA synthesis. To study the biological, serological and Materials and Methods pathological changes 24 rats were divided into 4 groups of (; each. Group I served as saline treated Chemicals-Oxidized and reduced glutathione control. Rats in Group II were given CCl4 [1 ml/kg (GSSG and GSH), NADPH, H20 2, dithionitrobenzene (DTNB), l-chloro-2, 4-dinitrobenzene (CDNB), body weight, po, in corn oil (1: 1)]. Groups III and IV dinitrophenyl hydrazine (DNPH), glutathione reductase, animals were given E.offlcillalis extract at doses of reduced nicotinamide adenine dinucleotide (NADPH), 100 and 200 mg/kg body weight, respectively for 7 consecutive days followed by CCl4 intoxication on the ethylenediamine tetra acetic acid (EDTA), pyridoxal phosphate, phenyl methyl sulphonyl fluoride (PMSF), seventh day. Animals in all the groups were sacrificed 24 hr after CCl4 or saline administration. The doses of 2-mercaptoethanol, dithiothreitol, Tween 80, Brij 3S, ethanolamine, methoxyethanol, citric acid, y-glutamyl the plant extracts were selected after performing p-nitroanilide, diethyl nitrosamine, 2-acetylaminoin vitro assays like microtonal lipid peroxidation and fluorine and quercetin were purchased from Sigma cytochrome P450 . Serum was separated and stored at Chemical Co. (St. Louis, Mo. USA). eH] thymidine 4°C for the estimation of serum glutamate (specific activity 73.0 Ci/m mol) was purchased from oxaloacetate transaminase (SGOT), serum glutamate Amersham Corporation, UK. All other chemicals and pyruvate transaminase (SOPT), lactate dehydrogenase reagents used were of highest purity commercially (LDH). Tissue was processed for the estimation of available. glutathione (GSH) content, microsomal lipidPlant extractioll----Dried fruits of the plant peroxidation and actIVities of glutathione-SE. offlcinalis were procured from Jamia Hamdard transferase (GST), glutathione peroxidase (GPx) and campus and authenticated at source by Prof. M Iqbal, glutathione reductase (GR). Sections of liver from Department of Environmental Botany, Jamia Hamdard, each group were cut and preserved in buffered New Delhi, India. Freshly collected fruits were shadeformalin for histopathological studies. dried and coarsely powdered in a grinder. The For eH] thymidine incorporation study, grouping of extraction procedure was followed as described by animals was same as described above. All the animals Didry et apo. Powdered dried fruits (SOO g) were were given intraperitoneal eH] thymidine (25 Ilci/0.2 extracted in round-bottomed flask 'with 2000 ml mlsaline/l00 g of animal) 2 hr before killing. All petroleum ether, benzene, ethyl acetate, acetone, animals were sacrificed 48 hr of CCl4 intoxication and methanol and double distilled water. The residues liver sections were quickly excised, rinsed with ice yielded from each solvent (14, 10, 16,30, 42 and 22 g cold saline, freed of extraneous material and processed for th~ quantification of eH] thymidine respectively) were stored at 4°C. The extracts were incorporation into the hepatic DNA. evaporated to dryness under reduced pressure in a 432 INDIAN J EXP BIOL, MAY 2005 Post-mitochondrial supernatant (PMS) microsome preparation--The samples and were homogenized in chilled phosphate buffer (0.1 M, pH 7.4) using a Potter Elvehjen homogenizer. The homogenate was centrifuged at 3000 rpm for 5 min at 4°C by Eltek Refrigerated Centrifuge. The aliquot obtained was centrifuged at 12000 rpm for 20 min at 4°C to obtain post-mitochondrial supernatant (PMS). PMS was centrifuged for 60 min by ultracentrifuge at 34,000 rpm at 4°C. The pellet was washed with phosphate buffer (0.1 M, pH 7.4). Biochemical estimations-Tissue processing and preparation of post mitochondrial supernatant (PMS) were done immediately after animal sacrifice. For all biochemical estimations, serum samples were utilized. All the biochemical estimations were completed within 24 hr of animal sacrifice. SGOT21 , SGPT21 , LDH22, LP0 23, GST24 , GPX25 , GR26, DNA27.28 were estimated as per standard procedures. Protein estimation-Protein content in all samples was estimated by the method of Lowry et al. 29 using bovine serum albumin as standard. Statistical analysis-The level of significance between different groups is based on Dunnett's t test, followed by the ANOVA test. Results and Discussion The effect of prophylactic administration of the extract on CCl4 mediated leakage of liver marker enzymes in serum is shown in Table 1. CC4 administration resulted in a significant rise in the levels of SGOT, SGPT and LDH in serum by 278%. 349% and 155% of saline treated control respectively. Pretreatment with E. officinalis extract at higher dose showed marked alleviation of SGOT, SGPT and LDH by 94%, 127% and 31% respectively as compared with CCl4 treated group. Hepatoprotective effects of the extracts can be explained on the basis of decreased liver enzyme leakage in serum on pretreatment and significant recovery of the cell membrane towards stabilization as evident from pathological recovery30. CCl4 is metabolized in liver by cytochrome P450 dependent electron transport chain system yielding trichloromethyl radical that in aerobic condition rapidly gets converted to its peroxyl radical4. These radicals bind directly to lipids and proteins through covalent bonds and also interact with membrane phospholipids leading to promotion of lipid peroxidation7. Apart from the studies of mechanism of CCI 4 induced injury, recent studies have shown the involvement of Kupffer c-ells, cytokines, and neutrophilic leukocytes31 . A recent study has also shown the protective effect of plant against CCl4 induced hepatic damage 32 . The effect of pretreatment of extract on the GSH metabolizing enzymes GST, GPx and GR is shown in Table 2. The administration of CCI4 resulted in significant (P<O.ool) elevation of GST activity by 168% and a concomitant decrease in the activities of GPx and GR by 42% and 39% as compared with saline treated control group. The pretreatment of rats with E. officinalis resulted in marked down regulation of GST by 39% at higher dose of the plant. The concurrent alleviation in the GPx was observed on pretreatment of E. officinalis by 27% and of GR activity by 31 % respectively as compared with CCl4 treated group. CC4 administration resulted in increase in GST activity with concomitant decrease in GPx and GR activities that were significantly modulated on prophylactic pretreatment of the extract. Liver possesses growth ability after cellular loss in hepatotoxicant induced liver injury. Regenerating Table 1-Effect of pretreatment of the extract of E. officinalis on CC1 4 induced release of liver damage markers in serum [Values are mean ± SE from 6 animals in each group] Treatment groups SGPT (IU/litre) SOOT (IU/litre) LOH (nmol NAOH oxidized/min/mg protein) Saline CCI 4alone CCI4 +EO (D1) CCI 4 +EO (02) 27.6 ±0.86 76.8 ± 1.97" 62.28 ± 2.51 b 50.79 ± 2.38 b 20.72 ±0.62 72.28 ± 2.12a 59.18 ± 2.15 b 45.98 ± 2.23 b 356.8 ± 31.2 553.8 ± 37.9" 496.4 ± 22.6 b 443.6 ± 24.9 b P values: "<0.01 (compared to saline treated group) b<O.OOl (compared to CCI 4 treated group) c<O.OOI (compared to CCl 4 treated group) EO=E. officinalis; 01= 100 mg/kg body weight of E. officillalis; D2= 200 mgikg body weight of E. officillalis. SULTANA etal.: EMBLICA OFFICINALIS & CCI4 INDUCED HEPATIC TOXICITY IN RATS liver provides a model to study the factors that modulates the process of regeneration. Acute hepatic necrosis on CCl4 administration is followed by proliferative response that reaches peak at 48 hr, with scarce mitotic cells. The effect of pretreatment of animals with crude extract of E. officinalis plants on CCl4 induced GSH depletion, enhanced MDA formation and DNA synthesis is shown in Table 3. Pretreatment of rats with extract produced a marked inhibitory effect on GSH depletion with concomitant alleviation of MDA levels. E. officinalis showed a significant protection of GSH content by 30% and decrease in MDA formation by 111 % as compared with CCl4 treated group. Administration of CCl4 resulted in significant (P<O.OOI) 263% increase in the rate of eH] thymidine incorporation into hepatic DNA, which is a marker of DNA synthesis as compared with saline group. The pretreatment of rats with E. officinalis showed a marked (P<O.OI) suppressing effect on the rate eH] 433 thymidine incorporation into hepatic DNA by 102% at higher dose of the plant as compared with CCl4 treated group. Cellular thiol status is an important consideration for the study of hepatotoxicity, particularly in conditions of oxidative tissue injury33. GSH is a tripeptide (y-glutamyl cysteinyl glycine) non-protein thiol abundant in liver that plays pivotal role in the detoxification processes including conjugation of reactive intermediates and maintenance of GSH redox cycle as antioxidant armoury34. The enhancement of hepatotoxicity by GSH depletion has been noted during the metabolism of several compounds 35 . CCl4 administration resulted in marked depletion of tissue GSH content consequently increasing vulnerability of tissue to free radical attack causing lipidperoxidation. ProteCtive agents have shown to exert their action against CCl 4 mediated lipidperoxidation either through decreased production of free radical derivatives or due to antioxidant activity of the agent itself36. The Table 2-Effect of pretreatment of the extract of E.officillalis on glutathione metabolizing enzymes against CCI 4 induced oxidative stress in rat liver [Values are mean ± SE from 6 animals in each group] Treatment Groups GST (nmol conjugate formed/min/mg protein) GPx (nmol NADPH oxidized min/mg protein) GR Saline CCI 4 alone CCI 4 +EO (01) CCl 4 +EO (D2) 865.91± 34.63 1454.78±65.19" 1271.88 ± 34.94c 1096.22 ± 46.68 b 210.56 ± 6.27 122.12 ± 6.42" 154.82 ± 7.93 c 179.27±6.2 1b 189.54 ± 4.92 115.65 ± 3.47" 155.2 ± 6.97 b b 174.92 ± 7.43 P values: °<0.01 (compared to saline treated group) b<O.OOI (compared to CCl 4 treated group) c<O.OOI (compared to CCl 4 treated group) EO=E. officinalis; Dl= 100 mg/kg body weight of E. officillalis; D2= 200 mg/kg body weight of E. officillalis Table 3--Effect of pretreatment of the extract of E. officinalis on CCl 4 induced depletion of GSH and in·crease in the levels of LPO and DNA synthesis [Values are mean ± SE from 6 animals in each group] Treatment Groups Saline CCl 4alone CCI 4 +EO (Dl) CCI 4 +EO (D2) GSH (nmol GSHlg tissue) LPO (nmol MDA formedlhr/g tissue) DNA synthesis (dprnlJ-lg DNA) ± 0.05 ± 0.04" ± 0.05 b ± 0.03 b 8.42 ± 0.8 24.31 ± 1.0" 18.1 ± 0.9 b 15.4 ± 1.2b 31.3 ± 5.8 82.4 ± 12.9" 65 .9 ± 8.7 b 50.4 ± 6.5 b 0.62 0.32 0.45 0.52 P values: "<0.01 (compared to saline treated group) b<O.OOI (compared to CCl 4 treated group) c<O.OOI (compared to CCl 4 treated group) EO=E. officillalis; Dl= 100 mg/kg body weight of E. officinalis; D2= 200 mg/kg body weight of E. officinalis 434 INDIAN J EXP BIOL, MAY 2005 pretreatment of animals with E. officinalis significantly ameliorated GSH content with concomitant decrease in lipid peroxidation. It could be suggested that antioxidant presence of several active constituents including quercetin, ascorbic acid and ellagic acid in E. officinalis may have counteracted the free radicals through effective scavenging and blocking the conjugation of reactive intermediates to GSH as evident from ameliorated GSH content and decreased MDA formation. Similarly, Vitamin E has been shown to suppress free radical mediated chain initiation and consequently protecting tissue from pathophysiological insult". Induction of GST activity has been correlated to increased GSH consumption and 4-hydroxynonenolm (4-HNE) levels in tissue 37 • The sudden elevation of hepatocytes growth factor (HGF) in plasma provides mitogenic signals that trigger DNA synthesis during liver regeneration 38 . In the present, study CCl4 administration resulted in enhancement in the rate of DNA synthesis when compared to normal group. Pretreatment of rats with E. officinalis extracts significantly suppressed the rate of eH] thymidine incorporation into hepatic DNA in a dose dependent manner. The enhancement of DNA synthesis has been shown as a consequent step to the severe necrosis induced by hepatotoxicants 39 . The protective effect of plant E. officinalis on the basis of histopathological findings is shown in Fig. 1. Figure 1a shows the normal pathology of liver section. Administration of CCl4 resulted in pathological deterioration of hepatic tissue as evident multi vacuolated hepatocytes containing fat globules showing fatty changes around central vein and large vacuolated cells with central nuclei at the periphery of lobule showing necrosis. (Fig. 1b). The pretreatment of animals with E. officinalis fruit extract showed a profound pathological protection to liver cells as depicted by univacuolated hepatocytes surrounding multivacuolated hepatocytes, mild infiltration and fatty changes around vascular channels (Fig. 1c, d). In summary, the present data suggest that pretreatment Fig. I-Effect of pretreatment of rats with E. ojJicinalis on CCl 4 induced pathological changes in rat liver. a-d: H & E: (a) saline only (x 50), (b) only CCI 4 • (c) E. ojJicinalis (01) + CCI 4 and (d) E. ojJicinalis (D2) + CCI 4 • b-d x 250. 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