Skip to main content
Log in

Allopurinol Ameliorates Thioacetamide-Induced Acute Liver Failure by Regulating Cellular Redox-Sensitive Transcription Factors in Rats

  • Published:
Inflammation Aims and scope Submit manuscript

Abstract

Oxidative stress plays important role in the development of acute liver failure. In this study, we investigated effects of allopurinol (AP) upon thioacetamide (TAA)-induced liver injury and the potential mechanisms leading to amelioration in inflammation with AP treatment. Acute liver failure was induced by intraperitoneal administration of TAA (300 mg/kg/day for 2 days). Thirty-five rats were divided into five groups as control (group 1), TAA (group 2), TAA + 25AP (group 3), TAA + 50 AP (group 4), and TAA + 100AP (group 5). The number of animals in each group was seven. At the end of the study, histopathological, biochemical, and western blot analysis were done. TAA treatment significantly increased serum levels of aminotransferases, liver malondialdehyde (MDA), nuclear factor-kappa B (NF-қB ), activator protein-1 (AP-1), tumor necrosis factor-alpha (TNF-α), cyclooxygenase-2 (COX-2) and interleukin-6 (IL-6) levels, and the necro-inflammation scores. Nevertheless, nuclear factor E2-related factor-2 and heme oxygenase-1 (HO-1) expressions in the liver were decreased by TAA. AP treatment significantly lowered the serum levels of aminotransferases (P < 0.01) and liver MDA, NF-κB, AP-1, TNF-α, COX-2, and IL-6 expressions (P < 0.05). Moreover, AP restored the liver Nrf2 and HO-1 expressions and improved the necro-inflammation scores significantly. AP improves oxidative stress-induced liver damage by regulating cellular redox-sensitive transcriptor factors and expression of pro-inflammatory and antioxidant defense mechanisms. AP probably exerts these beneficiary features by its free radical scavenging ability in a dose-dependent manner.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Auzinger, G., and J. Wendon. 2008. Intensive care management of acute liver failure. Current Opinion in Critical Care 14: 179–188.

    Article  PubMed  Google Scholar 

  2. Ali, S., G. Diwakar, S. Pawa, M.R. Siddiqui, M.Z. Abdin, F.J. Ahmad, and S.K. Jain. 2001. Xanthine oxidase-derived reactive oxygen metabolites contribute to liver necrosis: protection by 4-hydroxypyrazolo[3,4-d]pyrimidine. Biochimica et Biophysica Acta 1536: 21–30.

    Article  PubMed  CAS  Google Scholar 

  3. Pawa, S., and S. Ali. 2004. Liver necrosis and fulminant hepatic failure in rats: protection by oxyanionic form of tungsten. Biochimica et Biophysica Acta 1688: 210–222.

    Article  PubMed  CAS  Google Scholar 

  4. Romagnoli, M., M.C. Gomez-Cabrera, M.G. Perrelli, F. Biasi, F.V. Pallardó, J. Sastre, G. Poli, and J. Viña. 2010. Xanthine oxidase-induced oxidative stress causes activation of NF-kappaB and inflammation in the liver of type I diabetic rats. Free Radical Biology & Medicine 49: 171–177.

    Article  CAS  Google Scholar 

  5. Xiang, L., D. Klintman, and H. Thorlacius. 2003. Allopurinol inhibits CXC chemokine expression and leukocyte adhesion in endotoxemic liver injury. Inflammation Research 52: 353–358.

    Article  PubMed  CAS  Google Scholar 

  6. George, J., and A.D. Struthers. 2009. Role of urate, xanthine oxidase and the effects of allopurinol in vascular oxidative stress. Vascular Health and Risk Management 5: 265–272.

    Article  PubMed  CAS  Google Scholar 

  7. Parks, D.A., and D.N. Granger. 1986. Xanthine oxidase: biochemistry, distribution and physiology. Acta Physiologica Scandinavica. Supplementum 548: 87–99.

    PubMed  CAS  Google Scholar 

  8. Liu, P.G., S.Q. He, Y.H. Zhang, and J. Wu. 2008. Protective effects of apocynin and allopurinol on ischemia/reperfusion-induced liver injury in mice. World Journal of Gastroenterology 14: 2832–2837.

    Article  PubMed  CAS  Google Scholar 

  9. Namazi, M.R. 2004. Cetirizine and allopurinol as novel weapons against cellular autoimmune disorders. International Immunopharmacology 4: 349–353.

    Article  PubMed  CAS  Google Scholar 

  10. Grus, F.H., A.J. Augustin, K. Loeffler, B. Dick, J. Lutz, and N. Pfeiffer. 2001. Allopurinol has immunomodulating activity following topical and systemic application in experimental autoimmune uveitis. European Journal of Ophthalmology 11: 252–260.

    PubMed  CAS  Google Scholar 

  11. Schwartz, M.D., J.E. Repine, and E. Abraham. 1995. Xanthine oxidase-derived oxygen radicals increase lung cytokine expression in mice subjected to hemorrhagic shock. American Journal of Respiratory Cell and Molecular Biology 12: 434–440.

    PubMed  CAS  Google Scholar 

  12. Oláh, T., K. Régely, and Y. Mándi. 1994. The inhibitory effects of allopurinol on the production and cytotoxicity of tumor necrosis factor. Naunyn-Schmiedeberg's Archives of Pharmacology 350: 96–99.

    Article  PubMed  Google Scholar 

  13. Farombi, E.O., and Y.J. Surh. 2006. Heme oxygenase-1 as a potential therapeutic target for hepatoprotection. Journal of Biochemistry and Molecular Biology 39: 479–491.

    Article  PubMed  CAS  Google Scholar 

  14. Aleksunes, L.M., A.M. Slitt, N.J. Cherrington, M.S. Thibodeau, C.D. Klaassen, and J.E. Manautou. 2005. Differential expression of mouse hepatic transporter genes in response to acetaminophen and carbon tetrachloride. Toxicological Sciences 83: 44–52.

    Article  PubMed  CAS  Google Scholar 

  15. Nakahira, K., T. Takahashi, H. Shimizu, K. Maeshima, K. Uehara, H. Fujii, H. Nakatsuka, M. Yokoyama, R. Akagi, and K. Morita. 2003. Protective role of heme oxygenase-1 induction in carbon tetrachloride-induced hepatotoxicity. Biochemical Pharmacology 66: 1091–1105.

    Article  PubMed  CAS  Google Scholar 

  16. Wang, D., and R.N. Dubois. 2010. The role of COX-2 in intestinal inflammation and colorectal cancer. Oncogene 29: 781–788.

    Article  PubMed  CAS  Google Scholar 

  17. Ancha, H.R., R.R. Kurella, C.C. McKimmey, S. Lightfoot, and R.F. Harty. 2009. Effects of N-acetylcysteine plus mesalamine on prostaglandin synthesis and nitric oxide generation in TNBS-induced colitis in rats. Digestive Diseases and Sciences 54: 758–766.

    Article  PubMed  CAS  Google Scholar 

  18. Kim, Y.M., T.H. Kim, Y.W. Kim, Y.M. Yang, H. da Ryu, S.J. Hwang, J.R. Lee, S.C. Kim, and S.G. Kim. 2010. Inhibition of liver X receptor-α-dependent hepatic steatosis by isoliquiritigenin, a licorice antioxidant flavonoid, as mediated by JNK1 inhibition. Free Radical Biology & Medicine 49: 1722–1734.

    Article  CAS  Google Scholar 

  19. Shapiro, H., M. Ashkenazi, N. Weizman, M. Shahmurov, H. Aeed, and R. Bruck. 2006. Curcumin ameliorates acute thioacetamide-induced hepatotoxicity. Journal of Gastroenterology and Hepatology 21: 358–366.

    Article  PubMed  CAS  Google Scholar 

  20. Keshavarzian, A., G. Morgan, and S. Sedghi. 1990. Role of reactive oxygen metabolites in experimental colitis. Gut 31: 786–790.

    Article  PubMed  CAS  Google Scholar 

  21. Sarraga, C., I. Carreras, and J.A. Garcia. 2006. Regueiro, M. D. Guardia, Guerrero L. Effects of α-tocopheryl acetate and β-carotene dietary supplementation on the antioxidant enzymes, TBARS and sensory attributes of turkey meat. British Poultry Science 47: 700–707.

    Article  PubMed  CAS  Google Scholar 

  22. Farombi, E.O., S. Shrotriya, and H.K. Na. 2008. Curcumin attenuates dimethylnitrosamine-induced liver injury in rats through Nrf2-mediated induction of heme oxygenase-1. Food and Chemical Toxicology 46: 1279–1287.

    Article  PubMed  CAS  Google Scholar 

  23. Lowry, O.H., N.J. Rosebrough, A.L. Farr, and R.J. Randall. 1951. Protein measurement with the Folin phenol reagent. Journal of Biological Chemistry 193: 265–267.

    PubMed  CAS  Google Scholar 

  24. Bruck, R., H. Aeed, H. Shirin, Z. Matas, L. Zaidel, Y. Avni, and Z. Halpern. 1999. The hydroxyl radical scavengers dimethylsulfoxide and dimethylthiourea protect rats against thioacetamide-induced fulminant hepatic failure. Journal of Hepatology 31: 27–38.

    Article  PubMed  CAS  Google Scholar 

  25. Folch, E., E. Gelpi, J. Rosello-Catafau, and D. Closa. 1998. Free radicals generated by xanthine oxidase mediate pancreatitis-associated organ failure. Digestive Diseases and Sciences 43: 2405–2410.

    Article  PubMed  CAS  Google Scholar 

  26. Linder, N., J. Rapola, and K.O. Raivio. 1999. Cellular expression of xanthine oxidoreductase protein in normal human tissues. Laboratory Investigation 79: 967–974.

    PubMed  CAS  Google Scholar 

  27. Aldaba-Muruato, L.R., M.G. Moreno, M. Shibayama, V. Tsutsumi, and P. Muriel. 2012. Protective effects of allopurinol against acute liver damage and cirrhosis induced by carbon tetrachloride: modulation of NF-κB, cytokine production and oxidative stress. Biochimica et Biophysica Acta 1820: 65–75.

    Article  PubMed  CAS  Google Scholar 

  28. Reyes-Gordillo, K., J. Segovia, M. Shibayama, P. Vergara, M.G. Moreno, and P. Muriel. 2007. Curcumin protects against acute liver damage in the rat by inhibiting NF-kappaB, proinflammatory cytokines production and oxidative stress. Biochimica et Biophysica Acta 1770: 989–996.

    Article  PubMed  CAS  Google Scholar 

  29. Bruck, R., H. Aeed, Y. Avni, H. Shirin, Z. Matas, M. Shahmurov, I. Avinoach, G. Zozulya, N. Weizman, and A. Hochman. 2004. Melatonin inhibits nuclear factor kappa B activation and oxidative stress and protects against thioacetamide induced liver damage in rats. Journal of Hepatology 40: 86–93.

    Article  PubMed  CAS  Google Scholar 

  30. Jaiswal, A.K. 2004. Nrf2 signaling in coordinated activation of antioxidant gene expression. Free Radical Biology & Medicine 36: 1199–1207.

    Article  CAS  Google Scholar 

  31. Itoh, K., T. Chiba, S. Takahashi, K. Igarashi, Y. Katoh, T. Oyake, N. Hayashi, K. Satoh, I. Hatayama, M. Yamamoto, and Y. Nabeshima. 1997. An Nrf2/small Maf heterodimer mediates the induction of phase II detoxifying enzyme genes through antioxidant response elements. Biochemical and Biophysical Research Communications 236: 313–322.

    Article  PubMed  CAS  Google Scholar 

  32. Na, H.K., E.H. Kim, J.H. Jung, H.H. Lee, J.W. Hyun, and Y.J. Surh. 2008. (-)-Epigallocatechin gallate induces Nrf2-mediated antioxidant enzyme expression via activation of PI3K and ERK in human mammary epithelial cells. Archives of Biochemistry and Biophysics 476: 171–177.

    Article  PubMed  CAS  Google Scholar 

  33. Reisman, S.A., D.B. Buckley, Y. Tanaka, and C.D. Klaassen. 2009. CDDO-Im protects from acetaminophen hepatotoxicity through induction of Nrf2-dependent genes. Toxicology and Applied Pharmacology 236: 109–114.

    Article  PubMed  CAS  Google Scholar 

  34. Xu, W., C. Hellerbrand, U.A. Köhler, P. Bugnon, Y.W. Kan, S. Werner, and T.A. Beyer. 2008. The Nrf2 transcription factor protects from toxin-induced liver injury and fibrosis. Laboratory Investigation 88: 1068–1078.

    Article  PubMed  CAS  Google Scholar 

  35. García-Lastra, R., B. San-Miguel, I. Crespo, F. Jorquera, M. Alvarez, J. González-Gallego, and M.J. Tuñón. 2010. Signaling pathways involved in liver injury and regeneration in rabbit hemorrhagic disease, an animal model of virally-induced fulminant hepatic failure. Veterinary Research 41: 2.

    Article  PubMed  Google Scholar 

  36. Mandal, P., M.T. Pritchard, and L.E. Nagy. 2010. Anti-inflammatory pathways and alcoholic liver disease: role of an adiponectin/interleukin-10/heme oxygenase-1 pathway. World Journal of Gastroenterology 16: 1330–1336.

    Article  PubMed  CAS  Google Scholar 

  37. Farombi, E.O., S. Shrotriya, H.K. Na, S.H. Kim, and Y.J. Surh. 2008. Curcumin attenuates dimethylnitrosamine-induced liver injury in rats through Nrf2-mediated induction of heme oxygenase-1. Food and Chemical Toxicology 46: 1279–1287.

    Article  PubMed  CAS  Google Scholar 

  38. Gu Q, Wu Q, Jin M, Xiao Y, Xu J, Mao C, Zhao F, Zhang Y, Zhang Y. Heme oxygenase-1 alleviates mouse hepatic failure through suppression of adaptive immune responses. J Pharmacol Exp Ther. 2011 Sep 23.

  39. Yu, M., G.A. Jamieson Jr., G.D. Leikauf, and D.W. Nebert. 1998. Phospholipase A2 activation and increases in specific prostaglandins in the oxidatively stressed 14CoS/14CoS mouse hepatocyte line. Biochemical Pharmacology 55: 193–200.

    Article  PubMed  CAS  Google Scholar 

  40. Cao H, Kelly MA, Kari F, Dawson HD, Urban JF Jr, Coves S, Roussel AM, Anderson RA. Green tea increases anti-inflammatory tristetraprolin and decreases pro-inflammatory tumor necrosis factor mRNA levels in rats. J Inflamm. (Lond). 2007; 4:1.

    Google Scholar 

  41. Augustin, A.J., T. Böker, S.H. Blumenröder, J. Lutz, and M. Spitznas. 1994. Free radical scavenging and antioxidant activity of allopurinol and oxypurinol in experimental lens-induced uveitis. Investigative Ophthalmology & Visual Science 35: 3897–3904.

    CAS  Google Scholar 

  42. Fagugli, R.M., G. Gentile, G. Ferrara, and R. Brugnano. 2008. Acute renal and hepatic failure associated with allopurinol treatment. Clinical Nephrology 70: 523–526.

    PubMed  CAS  Google Scholar 

  43. Al-Kawas, F.H., L.B. Seeff, R.A. Berendson, H.J. Zimmerman, and K.G. Ishak. 1981. Allopurinol hepatotoxicity. Report of two cases and review of the literature. Annals of Internal Medicine 95: 588–590.

    PubMed  CAS  Google Scholar 

Download references

Acknowledgment

The authors thank the University of Firat (FUBAP-2105) for supporting the project.

Conflict of Interest Statement

The authors declare that there are no conflicts of interest.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Ulvi Demirel.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Demirel, U., Yalnız, M., Aygün, C. et al. Allopurinol Ameliorates Thioacetamide-Induced Acute Liver Failure by Regulating Cellular Redox-Sensitive Transcription Factors in Rats. Inflammation 35, 1549–1557 (2012). https://doi.org/10.1007/s10753-012-9470-5

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10753-012-9470-5

KEY WORDS

Navigation