Abstract
This study was planned to assess the potential protective effects of taxifolin against thioacetamide-induced hepatic encephalopathy and subsequently to portray its behavioural results. The experimental model was induced with three doses of (200 mg/kg i.p.) thioacetamide and taxifolin (50 and 100 mg/kg, p.o.) was administered for fourteen days. Taxifolin effectively attenuated hepatic encephalopathy through decrease in AST, ALT, ALP and LDH concentrations and improvement of hyperammonemia, and increase in antioxidant capacity by decreasing MDA, ROS, and increasing CAT and GSH. In addition, the expressions of NF-κB, TNF-α, IL-1β, caspase-3 and Bax was down-regulated while IL-10 and Bcl-2 expressions were up-regulated with taxifolin treatment. The recovery was confirmed by downregulation of iNOS and 8-OHdG expressions in our immunohistochemical analysis. Taxifolin treatment reduced the disrupting role of thioacetamide as seen by corrected hyperammonemia as well as preservation of astrocyte and hepatocyte structure. Elevated plus maze and locomotor activity tests also proved that taxifolin might repeal the neurobehavioral disabilities. In conclusion, taxifolin has shown hepatoprotective and neuroprotective roles with antioxidant and anti-inflammatory effects, as well as suppressing the excessive release of ammonia, and it eventually reversed neurobehavioral impairments.
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The data that support the findings of this study are available from the corresponding author upon reasonable request.
References
Abdel-Rafei M, Amin MM, Hasan HF (2017) Novel effect of Daflon and low-dose gamma-radiation in modulation of thioacetamide-induced hepatic encephalopathy in male albino rats. Hum Exp Toxicol 36:62–81
Andres-Lacueva C, Shukitt-Hale B, Galli RL, Jauregui O, Lamuela-Raventos RM, Joseph JA (2005) Anthocyanins in aged blueberry-fed rats are found centrally and may enhance memory. Nutr Neurosci 8:111–120
Baraka SM, Saleh DO, Ghaly NS, Melek FR, Gamal El Din AA, Khalil WKB, Said MM, Medhat AM (2020) Flavonoids from Barnebydendron riedelii leaf extract mitigate thioacetamide-induced hepatic encephalopathy in rats: The interplay of NF-kappaB/IL-6 and Nrf2/HO-1 signaling pathways. Bioorg Chem 105:104444
Butterworth RF (2011) Hepatic encephalopathy: a central neuroinflammatory disorder? Hepatology 53:1372–1376
Butterworth RF, Norenberg MD, Felipo V, Ferenci P, Albrecht J, Blei AT, Members of the ICoEMoHE (2009) Experimental models of hepatic encephalopathy: ISHEN guidelines. Liver Int 29:783-788.
Chen X, Ding C, Liu W, Liu X, Zhao Y, Zheng Y, Dong L, Khatoon S, Hao M, Peng X, Zhang Y, Chen H (2021) Abscisic acid ameliorates oxidative stress, inflammation, and apoptosis in thioacetamide-induced hepatic fibrosis by regulating the NF-small ka, CyrillicB signaling pathway in mice. Eur J Pharmacol 891:173652
Dadsetan S, Balzano T, Forteza J, Cabrera-Pastor A, Taoro-Gonzalez L, Hernandez-Rabaza V, Gil-Perotin S, Cubas-Nunez L, Garcia-Verdugo JM, Agusti A, Llansola M, Felipo V (2016) Reducing Peripheral Inflammation with Infliximab Reduces Neuroinflammation and Improves Cognition in Rats with Hepatic Encephalopathy. Front Mol Neurosci 9:106
Ding C, Zhao Y, Chen X, Zheng Y, Liu W, Liu X (2021) Taxifolin, a novel food, attenuates acute alcohol-induced liver injury in mice through regulating the NF-kappaB-mediated inflammation and PI3K/Akt signalling pathways. Pharm Biol 59:868–879
Eken H, Cimen O, Cimen FK, Kurnaz E, Yildirim M, Tasova V, Kurt N, Pehlivanoglu K, Onk D, Bilgin AO (2019) Effect of taxifolin on oxidative gastric injury induced by celiac artery ligation in rats. Acta Cir Bras 34:e201900404.
El-Marasy SA, El Awdan SA, Abd-Elsalam RM (2019) Protective role of chrysin on thioacetamide-induced hepatic encephalopathy in rats. Chem Biol Interact 299:111–119
Elnfarawy AA, Nashy AE, Abozaid AM, Komber IF, Elweshahy RH, Abdelrahman RS (2021) Vinpocetine attenuates thioacetamide-induced liver fibrosis in rats. Hum Exp Toxicol 40:355–368
Erceg S, Monfort P, Cauli O, Montoliu C, Llansola M, Piedrafita B, Felipo V (2006) Role of extracellular cGMP and of hyperammonemia in the impairment of learning in rats with chronic hepatic failure. Therapeutic Implications Neurochem Int 48:441–446
Ferah Okkay I, Okkay U, Cicek B, Yilmaz A, Yesilyurt F, Mendil AS, Hacimuftuoglu A (2021b) Neuroprotective effect of bromelain in 6-hydroxydopamine induced in vitro model of Parkinson’s disease. Mol Biol Rep 48:7711–7717
Ferah Okkay I, Okkay U, Bayram C, Cicek B, Sezen S, Aydin IC, Mendil AS, Hacimuftuoglu A (2021a) Bromelain protects against cisplatin-induced ocular toxicity through mitigating oxidative stress and inflammation. Drug Chem Toxicol:1–8.
Ferah Okkay I, Okkay U, Lutfi Gundogdu O, Bayram C, Sefa Mendil A, Sait Ertugrul M, Hacimuftuoglu A (2021c) Syringic acid protects against thioacetamide-induced hepatic encephalopathy: behavioral, biochemical, and molecular evidence. Neurosci Lett:136385.
Ghobadi Pour M, Mirazi N, Alaei H, Radahmadi M, Rajaei Z, Monsef Esfahani A (2020) The effects of concurrent treatment of silymarin and lactulose on memory changes in cirrhotic male rats. Bioimpacts 10:177–186
Gow AG (2017) Hepatic Encephalopathy. Vet Clin North Am Small Anim Pract 47:585–599
Granados-Principal S, Liu Y, Guevara ML, Blanco E, Choi DS, Qian W, Patel T, Rodriguez AA, Cusimano J, Weiss HL, Zhao H, Landis MD, Dave B, Gross SS, Chang JC (2015) Inhibition of iNOS as a novel effective targeted therapy against triple-negative breast cancer. Breast Cancer Res 17:25
Gunesch S, Hoffmann M, Kiermeier C, Fischer W, Pinto AFM, Maurice T, Maher P, Decker M (2020) 7-O-Esters of taxifolin with pronounced and overadditive effects in neuroprotection, anti-neuroinflammation, and amelioration of short-term memory impairment in vivo. Redox Biol 29:101378
Hajipour S, Sarkaki A, Dianat M, Rashno M, Khorsandi LS, Farbood Y (2021) The effects of thymoquinone on memory impairment and inflammation in rats with hepatic encephalopathy induced by thioacetamide. Metab Brain Dis 36:991–1002
Haussinger D, Sies H (2013) Hepatic encephalopathy: clinical aspects and pathogenetic concept. Arch Biochem Biophys 536:97–100
Hernandez-Rabaza V, Cabrera-Pastor A, Taoro-Gonzalez L, Gonzalez-Usano A, Agusti A, Balzano T, Llansola M, Felipo V (2016) Neuroinflammation increases GABAergic tone and impairs cognitive and motor function in hyperammonemia by increasing GAT-3 membrane expression. Reversal by sulforaphane by promoting M2 polarization of microglia. J Neuroinflammation 13:83.
Horii Y, McTaggart I, Kawaguchi M (2018) Testing Animal Anxiety in Rats: Effects of Open Arm Ledges and Closed Arm Wall Transparency in Elevated Plus Maze Test. J Vis Exp.
Ince S, Ozer M, Kadioglu BG, Kuzucu M, Ozkaraca M, Gezer A, Suleyman H, Cetin N (2021) The effect of taxifolin on oxidative ovarian damage and reproductive dysfunctions induced by antipsychotic drugs in female rats. J Obstet Gynaecol Res 47:2140–2148
Inoue T, Saito S, Tanaka M, Yamakage H, Kusakabe T, Shimatsu A, Ihara M, Satoh-Asahara N (2019) Pleiotropic neuroprotective effects of taxifolin in cerebral amyloid angiopathy. Proc Natl Acad Sci U S A 116:10031–10038
Khodir AE, Said E (2020) Nifuroxazide attenuates experimentally-induced hepatic encephalopathy and the associated hyperammonemia and cJNK/caspase-8/TRAIL activation in rats. Life Sci 252:117610
Kim A, Nam YJ, Lee CS (2017) Taxifolin reduces the cholesterol oxidation product-induced neuronal apoptosis by suppressing the Akt and NF-kappaB activation-mediated cell death. Brain Res Bull 134:63–71
Kontush K, Schekatolina S (2004) Vitamin E in neurodegenerative disorders: Alzheimer’s disease. Ann N Y Acad Sci 1031:249–262
Liu Z, Zhu P, Zhang L, Xiong B, Tao J, Guan W, Li C, Chen C, Gu J, Duanmu J, Zhang W (2018) Autophagy inhibition attenuates the induction of anti-inflammatory effect of catalpol in liver fibrosis. Biomed Pharmacother 103:1262–1271
Lu L, Wu C, Lu BJ, Xie D, Wang Z, Bahaji Azami NL, An YT, Wang HJ, Ye G, Sun MY (2020) BabaoDan cures hepatic encephalopathy by decreasing ammonia levels and alleviating inflammation in rats. J Ethnopharmacol 249:1123
McAfoose J, Baune BT (2009) Evidence for a cytokine model of cognitive function. Neurosci Biobehav Rev 33:355–366
McMillin M, Frampton G, Thompson M, Galindo C, Standeford H, Whittington E, Alpini G, DeMorrow S (2014) Neuronal CCL2 is upregulated during hepatic encephalopathy and contributes to microglia activation and neurological decline. J Neuroinflammation 11:121
Mohammadian F, Firouzjaei MA, Haghani M, Shabani M, Shid Moosavi SM, Mohammadi F (2019) Inhibition of inflammation is not enough for recovery of cognitive impairment in hepatic encephalopathy: Effects of minocycline and ibuprofen. Brain Res Bull 149:96–105
Montes-Cortes DH, Novelo-Del Valle JL, Olivares-Corichi IM, Rosas-Barrientos JV, Jara LJ, Cruz-Dominguez MP (2018) Impact of intestinal mannitol on hyperammonemia, oxidative stress and severity of hepatic encephalopathy in the ED. Am J Emerg Med 36:1570–1576
Morgan MJ, Liu ZG (2011) Crosstalk of reactive oxygen species and NF-kappaB signaling. Cell Res 21:103–115
Murtas D, Piras F, Minerba L, Ugalde J, Floris C, Maxia C, Demurtas P, Perra MT, Sirigu P (2010) Nuclear 8-hydroxy-2’-deoxyguanosine as survival biomarker in patients with cutaneous melanoma. Oncol Rep 23:329–335
Okkay U, Ferah Okkay I, Aydin IC, Bayram C, Ertugrul MS, Gezer A, Hacimuftuoglu A (2021a) Effects of Achillea millefolium on cisplatin induced ocular toxicity: an experimental study. Cutan Ocul Toxicol:1–7.
Okkay U, Ferah Okkay I, Cicek B, Aydin IC, Ertugrul MS, Bayram C, Senyayla S, Sezen S, Mendil AS, Guven L, Hacimuftuoglu A (2021b) Achillea millefolium alleviates testicular damage in paclitaxel-intoxicated rats via attenuation of testicular oxido-inflammatory stress and apoptotic responses. Andrologia 53:e14028.
Park SY, Kim HY, Park HJ, Shin HK, Hong KW, Kim CD (2016) Concurrent Treatment with Taxifolin and Cilostazol on the Lowering of beta-Amyloid Accumulation and Neurotoxicity via the Suppression of P-JAK2/P-STAT3/NF-kappaB/BACE1 Signaling Pathways. PLoS One 11:e0168286.
Randolph C, Hilsabeck R, Kato A, Kharbanda P, Li YY, Mapelli D, Ravdin LD, Romero-Gomez M, Stracciari A, Weissenborn K, International Society for Hepatic E, Nitrogen M (2009) Neuropsychological assessment of hepatic encephalopathy: ISHEN practice guidelines. Liver Int 29:629-635.
Rutherford M, Biarge MM, Allsop J, Counsell S, Cowan F (2010) MRI of perinatal brain injury. Pediatr Radiol 40:819–833
Saito S, Yamamoto Y, Maki T, Hattori Y, Ito H, Mizuno K, Harada-Shiba M, Kalaria RN, Fukushima M, Takahashi R, Ihara M (2017) Taxifolin inhibits amyloid-beta oligomer formation and fully restores vascular integrity and memory in cerebral amyloid angiopathy. Acta Neuropathol Commun 5:26
Sun X, Chen RC, Yang ZH, Sun GB, Wang M, Ma XJ, Yang LJ, Sun XB (2014) Taxifolin prevents diabetic cardiomyopathy in vivo and in vitro by inhibition of oxidative stress and cell apoptosis. Food Chem Toxicol 63:221–232
Sun X, Lv Y, Huang L, Gao H, Ren C, Li J, Bie M, Li W, Koike K, So KF, Xiao J (2020) Pro-inflammatory cytokines serve as communicating molecules between the liver and brain for hepatic encephalopathy pathogenesis and Lycium barbarum polysaccharides protection. J Ethnopharmacol 248:112357
Sunil C, Xu B (2019) An insight into the health-promoting effects of taxifolin (dihydroquercetin). Phytochemistry 166:112066
Tanaka M, Saito S, Inoue T, Satoh-Asahara N, Ihara M (2019) Novel Therapeutic Potentials of Taxifolin for Amyloid-beta-associated Neurodegenerative Diseases and Other Diseases: Recent Advances and Future Perspectives. Int J Mol Sci 20.
Tiwari V, Chopra K (2012) Attenuation of oxidative stress, neuroinflammation, and apoptosis by curcumin prevents cognitive deficits in rats postnatally exposed to ethanol. Psychopharmacology 224:519–535
Topal F, Nar M, Gocer H, Kalin P, Kocyigit UM, Gulcin I, Alwasel SH (2016) Antioxidant activity of taxifolin: an activity-structure relationship. J Enzyme Inhib Med Chem 31:674–683
Unver E, Tosun M, Olmez H, Kuzucu M, Cimen FK, Suleyman Z (2019) The Effect of Taxifolin on Cisplatin-Induced Pulmonary Damage in Rats: A Biochemical and Histopathological Evaluation. Mediators Inflamm 2019:3740867
Wang YH, Wang WY, Chang CC, Liou KT, Sung YJ, Liao JF, Chen CF, Chang S, Hou YC, Chou YC, Shen YC (2006) Taxifolin ameliorates cerebral ischemia-reperfusion injury in rats through its anti-oxidative effect and modulation of NF-kappa B activation. J Biomed Sci 13:127–141
Xie X, Feng J, Kang Z, Zhang S, Zhang L, Zhang Y, Li X, Tang Y (2017) Taxifolin protects RPE cells against oxidative stress-induced apoptosis. Mol vis 23:520–528
Yang CL, Lin YS, Liu KF, Peng WH, Hsu CM (2019) Hepatoprotective Mechanisms of Taxifolin on Carbon Tetrachloride-Induced Acute Liver Injury in Mice. Nutrients 11.
Yildiz O, Can Z, Saral O, Yulug E, Ozturk F, Aliyazicioglu R, Canpolat S, Kolayli S (2013) Hepatoprotective potential of chestnut bee pollen on carbon tetrachloride-induced hepatic damages in rats. Evid Based Complement Alternat Med 2013:461478.
Yogalakshmi B, Viswanathan P, Anuradha CV (2010) Investigation of antioxidant, anti-inflammatory and DNA-protective properties of eugenol in thioacetamide-induced liver injury in rats. Toxicology 268:204–212
Zargar S, Alonazi M, Rizwana H, Wani TA (2019) Resveratrol Reverses Thioacetamide-Induced Renal Assault with respect to Oxidative Stress, Renal Function, DNA Damage, and Cytokine Release in Wistar Rats. Oxid Med Cell Longev 2019:1702959
Zhan ZY, Wu M, Shang Y, Jiang M, Liu J, Qiao CY, Ye H, Lin YC, Piao MH, Sun RH, Zhang ZH, Jiao JY, Wu YL, Nan JX, Lian LH (2021) Taxifolin ameliorate high-fat-diet feeding plus acute ethanol binge-induced steatohepatitis through inhibiting inflammatory caspase-1-dependent pyroptosis. Food Funct 12:362–372
Acknowledgements
The authors are grateful to Prof. Dr. Ahmet Hacimuftuoglu for his support during the experiments.
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This work was supported by Research Fund of the Ataturk University. (Project Number: TSA-2019–7527).
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Ufuk Okkay: Investigation, Methodology, Resources; Writing-original draft, Visualization, Funding acquisition, Writing-review & editing. Irmak Ferah Okkay: Funding acquisition, Data curation, Conceptualization, Validation, Writing-original draft, Writing-review & editing. Betul Cicek: Methodology. Ismail Cagri Aydin: Investigation and Methodology. Mustafa Ozkaraca: Methodology and Writing-review & editing.
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The experimental protocol was approved by Ataturk University-Ethical Committee (No: E.2100036488).
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Okkay, U., Ferah Okkay, I., Cicek, B. et al. Hepatoprotective and neuroprotective effect of taxifolin on hepatic encephalopathy in rats. Metab Brain Dis 37, 1541–1556 (2022). https://doi.org/10.1007/s11011-022-00952-3
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DOI: https://doi.org/10.1007/s11011-022-00952-3