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Ferulic acid prevents oxidative stress, inflammation, and liver injury via upregulation of Nrf2/HO-1 signaling in methotrexate-induced rats

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Abstract

Liver injury is one of the adverse effects of methotrexate (MTX). Ferulic acid (FA) is an antioxidant phytochemical that confers hepatoprotective efficacy; however, its effect against MTX hepatotoxicity remains unexplored. This study investigated the role of FA in modulating oxidative stress, inflammation, Nrf2/HO-1 signaling, and PPARγ in MTX-administered rats. Following oral FA supplementation for 15 days, rats received a single dose of MTX at day 16 and samples were collected at day 19. MTX provoked multiple histological manifestations, including degenerative changes, steatosis, inflammatory cells infiltration and hemorrhage, and altered serum transaminases, bilirubin, and albumin. Reactive oxygen species, lipid peroxidation, and nitric oxide were increased in the liver of rats that received MTX. FA prevented all histological alterations, ameliorated liver function markers, suppressed oxidative stress, and boosted antioxidants in MTX-induced rats. FA reduced serum TNF-α and IL-1β, and hepatic NF-κB p65, Bax, and caspase-3, whereas increased Bcl-2, Nrf2, NQO1, HO-1, and PPARγ. In conclusion, FA prevented MTX hepatotoxicity by activating Nrf2/HO-1 signaling and PPARγ, and attenuating oxidative stress, inflammation, and cell death.

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References

  • Abd El-Twab SM, Hussein OE, Hozayen WG, Bin-Jumah M, Mahmoud AM (2019) Chicoric acid prevents methotrexate-induced kidney injury by suppressing NF-κB/NLRP3 inflammasome activation and up-regulating Nrf2/ARE/HO-1 signaling. Inflamm Res 68:511–523

    Article  CAS  Google Scholar 

  • Al Maruf A, O’Brien PJ, Naserzadeh P, Fathian R, Salimi A, Pourahmad J (2018) Methotrexate induced mitochondrial injury and cytochrome c release in rat liver hepatocytes. Drug Chem Toxicol 41:51–61

    Article  CAS  Google Scholar 

  • Aladaileh SH, Abukhalil MH, Saghir SAM, Hanieh H, Alfwuaires MA, Almaiman AA, Bin-Jumah M, Mahmoud AM (2019a) Galangin activates Nrf2 signaling and attenuates oxidative damage, inflammation, and apoptosis in a rat model of cyclophosphamide-induced hepatotoxicity. Biomolecules 9:346

    Article  CAS  Google Scholar 

  • Aladaileh SH, Hussein OE, Abukhalil MH, Saghir SAM, Bin-Jumah M, Alfwuaires MA, Germoush MO, Almaiman AA, Mahmoud AM (2019b) Formononetin upregulates Nrf2/HO-1 signaling and prevents oxidative stress, inflammation, and kidney injury in methotrexate-induced rats. Antioxidants (Basel, Switzerland):8–430

  • Almeida OF, Conde GL, Crochemore C, Demeneix BA, Fischer D, Hassan AH, Meyer M, Holsboer F, Michaelidis TM (2000) Subtle shifts in the ratio between pro- and antiapoptotic molecules after activation of corticosteroid receptors decide neuronal fate. FASEB journal : official publication of the Federation of American Societies for Experimental Biology 14:779–790

    Article  Google Scholar 

  • Barish GD, Narkar VA, Evans RM (2006) PPAR delta: a dagger in the heart of the metabolic syndrome. J Clin Invest 116:590–597

    Article  CAS  Google Scholar 

  • Beutler E, Duron O, Kelly BM (1963) Improved method for the determination of blood glutathione. J Lab Clin Med 61:882–888

    CAS  Google Scholar 

  • Bradford MM (1976) A rapid and sensitive method for the quantitation of microgram quantities of protein utilizing the principle of protein-dye binding. Anal Biochem 72:248–254

    CAS  Google Scholar 

  • Cao YJ, Zhang YM, Qi JP, Liu R, Zhang H, He LC (2015) Ferulic acid inhibits H2O2-induced oxidative stress and inflammation in rat vascular smooth muscle cells via inhibition of the NADPH oxidase and NF-kappaB pathway. Int Immunopharmacol 28:1018–1025

    Article  CAS  Google Scholar 

  • Cohen G, Dembiec D, Marcus J (1970) Measurement of catalase activity in tissue extracts. Analytical Biochemistry Analytical Biochemistry 34:30–38

    Article  CAS  Google Scholar 

  • Das U, Manna K, Khan A, Sinha M, Biswas S, Sengupta A, Chakraborty A, Dey S (2017) Ferulic acid (FA) abrogates gamma-radiation induced oxidative stress and DNA damage by up-regulating nuclear translocation of Nrf2 and activation of NHEJ pathway. Free Radic Res 51:47–63

    Article  CAS  Google Scholar 

  • El-Sheikh AA, Morsy MA, Abdalla AM, Hamouda AH, Alhaider IA (2015) Mechanisms of thymoquinone hepatorenal protection in methotrexate-induced toxicity in rats. Mediat Inflamm 2015:859383

    Article  CAS  Google Scholar 

  • Erdogan E, Ilgaz Y, Gurgor PN, Oztas Y, Topal T, Oztas E (2015) Rutin ameliorates methotrexate induced hepatic injury in rats. Acta Cir Bras 30:778–784

    Article  Google Scholar 

  • Fadel A, Mahmoud AM, Ashworth JJ, Li W, Ng YL, Plunkett A (2018) Health-related effects and improving extractability of cereal arabinoxylans. Int J Biol Macromol 109:819–831

    Article  CAS  Google Scholar 

  • Famurewa AC, Folawiyo AM, Epete MA, Igwe EC, Okike PI, Maduagwuna EK (2019) Abrogation of hepatic damage induced by anticancer drug methotrexate by Zobo (Hibiscus sabdariffa extract) supplementation via targeting oxidative hepatotoxicity in rats. Journal of dietary supplements 16:318–330

    Article  CAS  Google Scholar 

  • Fink SL, Cookson BT (2005) Apoptosis, pyroptosis, and necrosis: mechanistic description of dead and dying eukaryotic cells. Infect Immun 73:1907–1916

    Article  CAS  Google Scholar 

  • Gerin F, Erman H, Erboga M, Sener U, Yilmaz A, Seyhan H, Gurel A (2016) The effects of ferulic acid against oxidative stress and inflammation in formaldehyde-induced hepatotoxicity. Inflammation 39:1377–1386

    Article  CAS  Google Scholar 

  • Graf E (1992) Antioxidant potential of ferulic acid. Free Radic Biol Med 13:435–448

    Article  CAS  Google Scholar 

  • Grisham MB, Johnson GG, Lancaster JR Jr (1996) Quantitation of nitrate and nitrite in extracellular fluids. Methods Enzymol 268:237–246

    Article  CAS  Google Scholar 

  • Hassanzadeh P, Arbabi E, Atyabi F, Dinarvand R (2017) Ferulic acid exhibits antiepileptogenic effect and prevents oxidative stress and cognitive impairment in the kindling model of epilepsy. Life Sci 179:9–14

    Article  CAS  Google Scholar 

  • Heidari R, Ahmadi A, Mohammadi H, Ommati MM, Azarpira N, Niknahad H (2018) Mitochondrial dysfunction and oxidative stress are involved in the mechanism of methotrexate-induced renal injury and electrolytes imbalance. Biomed Pharmacother 107:834–840

    Article  CAS  Google Scholar 

  • Herman S, Zurgil N, Deutsch M (2005) Low dose methotrexate induces apoptosis with reactive oxygen species involvement in T lymphocytic cell lines to a greater extent than in monocytic lines. Inflamm Res 54:273–280

    Article  CAS  Google Scholar 

  • Jaiswal AK (2004) Nrf2 signaling in coordinated activation of antioxidant gene expression. Free Radic Biol Med 36:1199–1207

    Article  CAS  Google Scholar 

  • Khafaga AF, El-Sayed YS (2018) Spirulina ameliorates methotrexate hepatotoxicity via antioxidant, immune stimulation, and proinflammatory cytokines and apoptotic proteins modulation. Life Sci 196:9–17

    Article  CAS  Google Scholar 

  • Khan ZA, Tripathi R, Mishra B (2012) Methotrexate: a detailed review on drug delivery and clinical aspects. Expert Opin Drug Deliv 9:151–169

    Article  CAS  Google Scholar 

  • Kim JH, Song J, Park KW (2015) The multifaceted factor peroxisome proliferator-activated receptor gamma (PPARgamma) in metabolism, immunity, and cancer. Arch Pharm Res 38:302–312

    Article  CAS  Google Scholar 

  • Kolli VK, Abraham P, Isaac B, Selvakumar D (2009) Neutrophil infiltration and oxidative stress may play a critical role in methotrexate-induced renal damage. Chemotherapy. 55:83–90

    Article  CAS  Google Scholar 

  • Kolli VK, Natarajan K, Isaac B, Selvakumar D, Abraham P (2014) Mitochondrial dysfunction and respiratory chain defects in a rodent model of methotrexate-induced enteritis. Hum Exp Toxicol 33:1051–1065

    Article  CAS  Google Scholar 

  • Lampiasi N, Montana G (2018) An in vitro inflammation model to study the Nrf2 and NF-kappaB crosstalk in presence of ferulic acid as modulator. Immunobiology 223:349–355

    Article  CAS  Google Scholar 

  • Livak KJ, Schmittgen TD (2001) Analysis of relative gene expression data using real-time quantitative PCR and the 2(−Delta Delta C(T)) method. Methods. 25:402–408

    Article  CAS  Google Scholar 

  • Mahmoud AM, Al Dera HS (2015) 18β-Glycyrrhetinic acid exerts protective effects against cyclophosphamide-induced hepatotoxicity: potential role of PPARγ and Nrf2 upregulation. Genes Nutr 10:41

    Article  CAS  Google Scholar 

  • Mahmoud AM, Germoush MO, Alotaibi MF, Hussein OE (2017a) Possible involvement of Nrf2 and PPARγ up-regulation in the protective effect of umbelliferone against cyclophosphamide-induced hepatotoxicity. Biomed Pharmacother 86:297–306

    Article  CAS  Google Scholar 

  • Mahmoud AM, Hozayen WG, Ramadan SM (2017b) Berberine ameliorates methotrexate-induced liver injury by activating Nrf2/HO-1 pathway and PPARgamma, and suppressing oxidative stress and apoptosis in rats. Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie 94:280–291

    Article  CAS  Google Scholar 

  • Mahmoud AM, Hussein OE, Hozayen WG, Abd El-Twab SM (2017c) Methotrexate hepatotoxicity is associated with oxidative stress, and down-regulation of PPARgamma and Nrf2: protective effect of 18beta-glycyrrhetinic acid. Chem Biol Interact 270:59–72

    Article  CAS  Google Scholar 

  • Mahmoud AM, Mohammed HM, Khadrawy SM, Galaly SR (2017d) Hesperidin protects against chemically induced hepatocarcinogenesis via modulation of Nrf2/ARE/HO-1, PPARgamma and TGF-beta1/Smad3 signaling, and amelioration of oxidative stress and inflammation. Chem Biol Interact 277:146–158

    Article  CAS  Google Scholar 

  • Mahmoud AM, Wilkinson FL, Jones AM, Wilkinson JA, Romero M, Duarte J, Alexander MY (2017e) A novel role for small molecule glycomimetics in the protection against lipid-induced endothelial dysfunction: involvement of Akt/eNOS and Nrf2/ARE signaling. Biochim Biophys Acta 1861:3311–3322

    Article  CAS  Google Scholar 

  • Mahmoud AM, Germoush MO, Al-Anazi KM, Mahmoud AH, Farah MA, Allam AA (2018) Commiphora molmol protects against methotrexate-induced nephrotoxicity by up-regulating Nrf2/ARE/HO-1 signaling. Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie 106:499–509

    Article  CAS  Google Scholar 

  • Mahmoud AM, Hozayen WG, Hasan IH, Shaban E, Bin-Jumah M (2019) Umbelliferone ameliorates CCl4-induced liver fibrosis in rats by upregulating PPARgamma and attenuating oxidative stress, inflammation, and TGF-beta1/Smad3 signaling. Inflammation 42:1103–1116

    Article  CAS  Google Scholar 

  • Marklund S, Marklund G (1974) Involvement of the superoxide anion radical in the autoxidation of Pyrogallol and a convenient assay for superoxide dismutase. FEBS European Journal of Biochemistry 47:469–474

    Article  CAS  Google Scholar 

  • Matata BM, Galiñanes M (2002) Peroxynitrite is an essential component of cytokines production mechanism in human monocytes through modulation of nuclear factor-kappa B DNA binding activity. J Biol Chem 277:2330–2335

    Article  CAS  Google Scholar 

  • Matkovics B, Szabo L, Varga IS (1998) Determination of enzyme activities in lipid peroxidation and glutathione pathways (in Hungarian). Laboratoriumi Diagnosztika 15:248–249

    Google Scholar 

  • McKim SE, Gäbele E, Isayama F, Lambert JC, Tucker LM, Wheeler MD, Connor HD, Mason RP, Doll MA, Hein DW, Arteel GE (2003) Inducible nitric oxide synthase is required in alcohol-induced liver injury: studies with knockout mice. Gastroenterology 125:1834–1844

    Article  CAS  Google Scholar 

  • Mehrzadi S, Mehrabani M, Malayeri AR, Bakhshayesh M, Kalantari H, Goudarzi M (2019) Ellagic acid as a potential antioxidant, alleviates methotrexate-induced hepatotoxicity in male rats. Acta Chir Belg 119:69–77

    Article  Google Scholar 

  • Morgan MJ, Liu ZG (2011) Crosstalk of reactive oxygen species and NF-κB signaling. Cell Res 21:103–115

    Article  CAS  Google Scholar 

  • Niu C, Sheng Y, Zhu E, Ji L, Wang Z (2016) Ferulic acid prevents liver injury induced by Diosbulbin B and its mechanism. Bioscience trends 10:386–391

    Article  CAS  Google Scholar 

  • Ohkawa H, Ohishi N, Yagi K (1979) Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Anal Biochem 95:351–358

    Article  CAS  Google Scholar 

  • Pan H, Wang H, Wang X, Zhu L, Mao L (2012) The absence of Nrf2 enhances NF-kappaB-dependent inflammation following scratch injury in mouse primary cultured astrocytes. Mediat Inflamm 2012:217580

    Article  CAS  Google Scholar 

  • Panneerselvam L, Subbiah K, Arumugam A, Senapathy JG (2013) Ferulic acid modulates fluoride-induced oxidative hepatotoxicity in male Wistar rats. Biol Trace Elem Res 151:85–91

    Article  CAS  Google Scholar 

  • Perez-Ternero C, Werner CM, Nickel AG, Herrera MD, Motilva MJ, Bohm M, Alvarez de Sotomayor M, Laufs U (2017) Ferulic acid, a bioactive component of rice bran, improves oxidative stress and mitochondrial biogenesis and dynamics in mice and in human mononuclear cells. J Nutr Biochem 48:51–61

    Article  CAS  Google Scholar 

  • Remels AH, Langen RC, Gosker HR, Russell AP, Spaapen F, Voncken JW, Schrauwen P, Schols AM (2009) PPARgamma inhibits NF-kappaB-dependent transcriptional activation in skeletal muscle. Am J Physiol Endocrinol Metab 297:E174–E183

    Article  CAS  Google Scholar 

  • Satta S, Mahmoud AM, Wilkinson FL, Yvonne Alexander M, White SJ (2017) The role of Nrf2 in cardiovascular function and disease. Oxidative Med Cell Longev 2017:9237263

    Article  CAS  Google Scholar 

  • Saulnier L, Thibault J-F (1999) Ferulic acid and diferulic acids as components of sugar-beet pectins and maize bran heteroxylans. J Sci Food Agric 79:396–402

    Article  CAS  Google Scholar 

  • Siow RC, Sato H, Mann GE (1999) Heme oxygenase-carbon monoxide signalling pathway in atherosclerosis: anti-atherogenic actions of bilirubin and carbon monoxide? Cardiovasc Res 41:385–394

    Article  CAS  Google Scholar 

  • Stevens JL, Baker TK (2009) The future of drug safety testing: expanding the view and narrowing the focus. Drug Discov Today 14:162–167

    Article  Google Scholar 

  • Yu Y, Wu Y, Wen G, Yang W (2014) Effect of pioglitazone on the expression of TLR4 in renal tissue of diabetic rats. Xi Bao Yu Fen Zi Mian Yi Xue Za Zhi 30:793–797

    CAS  Google Scholar 

  • Yu CL, Zhao XM, Niu YC (2016) Ferulic acid protects against Lead acetate-induced inhibition of neurite outgrowth by upregulating HO-1 in PC12 cells: involvement of ERK1/2-Nrf2 pathway. Mol Neurobiol 53:6489–6500

    Article  CAS  Google Scholar 

  • Yuan J, Ge K, Mu J, Rong J, Zhang L, Wang B, Wan J, Xia G (2016) Ferulic acid attenuated acetaminophen-induced hepatotoxicity though down-regulating the cytochrome P 2E1 and inhibiting toll-like receptor 4 signaling-mediated inflammation in mice. Am J Transl Res 8:4205–4214

    CAS  Google Scholar 

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Acknowledgments

The authors extend their appreciation to the Deanship of Scientific Research at Princess Nourah bint Abdulrahman University for supporting this research through the Fast-track Research Funding Program.

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Correspondence to Ayman M. Mahmoud.

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Mahmoud, A.M., Hussein, O.E., Hozayen, W.G. et al. Ferulic acid prevents oxidative stress, inflammation, and liver injury via upregulation of Nrf2/HO-1 signaling in methotrexate-induced rats. Environ Sci Pollut Res 27, 7910–7921 (2020). https://doi.org/10.1007/s11356-019-07532-6

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