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Hypolipidemic and antioxidant effects of aqueous ethanolic extract from Moringa peregrina leaves on high-fat diet-induced fatty liver disease in rabbits

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Abstract

Moringa peregrina (M. peregrina) is a native species of Southwest Asia used to prepare traditional foods which have a wide range of antioxidants that can prevent metabolic disorders. The great interest has focused on the preparation and administration of herbal products to treat hyperlipidemia with fewer or no side effects along with economic and easy availability compared to conventional drugs. This study aimed to assess the lipid-lowering and antioxidant effects of aqueous ethanolic extract of M. peregrina leaves on fatty liver disease (NAFLD) model in rabbits as well as morphological changes, cytotoxic, and anti-lipid peroxidation effects of M. peregrine leaf extract (MPLE) on human umbilical vein endothelial cells (HUVECs) in vitro. Thirty-two adult male rabbits received a standard diet or a high-fat diet (HFD) for 112 days. During days 56–112, the standard diet group received normal saline, and the HFD groups received normal saline, M. peregrina extract (200 mg/kg body weight) orally by gavage, or simvastatin (0.6 mg/kg body weight) orally by gavage. Lipid profile, glutathione content, antioxidant enzymes, lipid peroxidation, blood urea nitrogen (BUN), creatinine, alanine aminotransferase (ALT) and aspartate aminotransferase (AST), and liver histology were assessed. The morphological changes, cytotoxic, and anti-lipid peroxidation effects of MPLE were evaluated on HUVECs. Administration of MPLE and simvastatin alone improved the high-fat diet-induced dyslipidemia and lipid peroxidation in HFD rabbits. The results also showed that MPLE and simvastatin significantly decreased body weight, tissue and cellular malondialdehyde (MDA) content, and serum tumor necrosis factor-alpha (TNF-α) (P < 0.001), and improved the antioxidant enzyme of rabbits fed HFD. Besides, MPLE induced time- and concentration-dependent in vitro cytotoxicity on HUVECs. Histopathological appearance of liver tissue confirmed the beneficial effect of the extract. Our results showed that MPLE might be a candidate agent for preventing NAFLD due to its lipid-lowering and antioxidative potentials.

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Data availability

The data that support the findings of this study are available from the corresponding author upon reasonable request.

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Acknowledgements

We would like to express our sincere gratitude to M. Salehi Moghadam for his assistance in performing the research.

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Correspondence to Mohammad Reza Hajinezhad or Amir Mokhtarpour.

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This work was supported by the University of Zabol (Grant number: UOZ.GR. 1821).

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The authors declare that there is no conflict of interest.

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Experiments were performed in accordance with the Guide for the Care and Use of Laboratory Animals (from NIH Publication No. 85–23). The study protocol was also approved by the ethical committee at the University of Zabol, Zabol, Iran (IR.UOZ.REC.1398).

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Hajinezhad, M.R., Mokhtarpour, A. & Mirheidari, A. Hypolipidemic and antioxidant effects of aqueous ethanolic extract from Moringa peregrina leaves on high-fat diet-induced fatty liver disease in rabbits. Comp Clin Pathol 32, 617–628 (2023). https://doi.org/10.1007/s00580-023-03470-5

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