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Ellagic acid mitigates alpha-naphthyl isothiocyanate-induced cholestasis in rats via FXR activation and inflammatory pathway modulation

  • Hamza Ahmed Taher ORCID logo EMAIL logo and Munaf Hashim Zalzala ORCID logo
Published/Copyright: February 11, 2025

Abstract

Objectives

The liver is vital for metabolism, detoxification, storage, and secretion. Cholestasis, in which bile flow is hindered, can cause serious harm to the liver. This study examines the potential of ellagic acid to prevent cholestasis in male rats that has been caused by alpha-naphthyl isothiocyanate (ANIT).

Method

Male rats were divided into four groups for an 8-day study. The control group received 5 % dimethyl sulfoxide (DMSO) orally for eight days and maize oil (1 mL/kg, orally) 48 h before sacrifice. The ANIT Group received 5 % DMSO orally for 8 days, the ANIT (100 mg/kg, orally) administered on the 6th day, 48 h before sacrifice. The low-Dose Ellagic Acid + ANIT Group was given ellagic acid (5 mg/kg, orally) for eight days, with ANIT (100 mg/kg, orally) on the 6th day, 48 h prior to sacrifice. The high-Dose Ellagic Acid + ANIT Group received ellagic acid (10 mg/kg, orally) for eight days, the ANIT (100 mg/kg, orally) on the 6th day, 48 h before sacrifice. Different biochemical and histopathological analyses were conducted to assess the protective effects of ellagic acid on ANIT-induced liver injury.

Results

ANIT significantly elevated serum of liver enzymes. It caused severe bile duct inflammation and reduced bile salt export pump (BSEP) and Na+-taurocholate cotransporting polypeptide (NTCP) expression, indicating liver injury. Ellagic acid treatment mitigated these changes, improving biochemical parameters and reducing liver damage. ANIT-induced cholestasis results in bile acid accumulation due to decreased BSEP and NTCP expression linked to impaired farnesoid X receptor (FXR) signaling. Ellagic acid restored BSEP and NTCP levels via FXR activation, reducing bile acids and inflammatory markers IL-1β and TNF-α. Ellagic acid also enhanced SIRT1 activity, further improving FXR function and bile acid homeostasis.

Conclusions

Ellagic acid exhibits protective effects against cholestasis by enhancing the FXR signaling and ntcp and bsep expression with mitigating liver damage and inflammation.


Corresponding author: Hamza Ahmed Taher, Directorate of Health Diyala, Ministry of Health, Baghdad, Iraq, E-mail:

Acknowledgments

The authors are grateful to College of Pharmacy/Baghdad University for providing essential research support and facilities for conducting this research.

  1. Research ethics: Not applicable.

  2. Informed consent: Not applicable.

  3. Author contributions: All the authors have accepted responsibility for the entire content of this submitted manuscript and approved the submission.

  4. Use of Large Language Models, AI and Machine Learning Tools: None declared.

  5. Conflict of interest: The authors state no conflict of interest.

  6. Research funding: None declared.

  7. Data availability: Not applicable.

References

1. Kareem, VS, Zalzala, MH. Safranal effect against cyclophosphamide-induced liver injury. Iraq J Pharma Sci 2021;30:208–13. https://doi.org/10.31351/vol30iss2pp208-213.Search in Google Scholar

2. Ibrahim, MN, Blázquez-García, R, Lightstone, A, Meng, F, Bhat, M, El Kaffas, A, et al.. Automated fatty liver disease detection in point-of-care ultrasound B-mode images. J Med Imaging 2023;10:034505. https://doi.org/10.1117/1.jmi.10.3.034505.Search in Google Scholar PubMed PubMed Central

3. Nguyen, KD, Sundaram, V, Ayoub, WS. Atypical causes of cholestasis. World J Gastroenterol 2014;20:9418–26. https://doi.org/10.3748/wjg.v20.i28.9418.Search in Google Scholar PubMed PubMed Central

4. Li, T, Chiang, JYL. Bile acid-induced liver injury in cholestasis. In: Cellular Injury in Liver Diseases. Cham, Switzerland: Springer International Publishing; 2017:143–72 pp.10.1007/978-3-319-53774-0_7Search in Google Scholar

5. Sun, L, Cai, J, Gonzalez, FJ. The role of farnesoid X receptor in metabolic diseases, and gastrointestinal and liver cancer. Nat Rev Gastroenterol Hepatol Nat Res 2021;18:335–47. https://doi.org/10.1038/s41575-020-00404-2.Search in Google Scholar PubMed

6. Stieger, B, Meier, PJ. Bile acid transporters. Clinical Liver Disease 2018;22:331–41.Search in Google Scholar

7. Atshan, DA, Zalzala, M. Possible protective effect of papaverine on ANIT induce cholestasis in rat. Iraq J Pharma Sci 2023;32:118–26.Search in Google Scholar

8. Wang, W, Wang, S, Liu, Y, Wang, X, Nie, J, Meng, X, et al.. Ellagic acid: a dietary-derived phenolic compound for drug discovery in mild cognitive impairment. Front Aging Neurosci 2022;14:925855. https://doi.org/10.3389/fnagi.2022.925855.Search in Google Scholar PubMed PubMed Central

9. Gupta, A, Singh, AK, Kumar, R, Jamieson, S, Pandey, AK, Bishayee, A. Neuroprotective potential of ellagic acid: a critical review. Adv Nutr 2021;12:1211–38. https://doi.org/10.1093/advances/nmab007.Search in Google Scholar PubMed PubMed Central

10. Zhao, L, Mehmood, A, Soliman, MM, Iftikhar, A, Iftikhar, M, Aboelenin, SM, et al.. Protective effects of ellagic acid against alcoholic liver disease in mice. Front Nutr 2021;8:744520. https://doi.org/10.3389/fnut.2021.744520.Search in Google Scholar PubMed PubMed Central

11. Ceci, C, Graziani, G, Faraoni, I, Cacciotti, I. Strategies to improve ellagic acid bioavailability: from natural or semisynthetic derivatives to nanotechnological approaches based on innovative carriers. Nanotechnology 2020;31:382001. https://doi.org/10.1088/1361-6528/ab912c.Search in Google Scholar PubMed

12. Umesalma, S, Sudhandiran, G. Differential inhibitory effects of the polyphenol ellagic acid on inflammatory mediators NF-κB, iNOS, COX-2, TNF-α, and IL-6 in 1,2-dimethylhydrazine-induced rat colon carcinogenesis. Basic Clin Pharmacol Toxicol 2010;107:650–5. https://doi.org/10.1111/j.1742-7843.2010.00565.x.Search in Google Scholar PubMed

13. Khaleel, RA, Zalzala, MH. Ameliorating effect of oral guggulsterone administration in imiquimod-induced psoriasis in mice. Iraqi J Pharma Sci 2018;27:15–23. https://doi.org/10.31351/vol27iss2pp15-23.Search in Google Scholar

14. Yu, L, Liu, X, Yuan, Z, Li, X, Yang, H, Yuan, Z, et al.. SRT1720 alleviates ANIT-induced cholestasis in a mouse model. Front Pharmacol 2017;8:256. https://doi.org/10.3389/fphar.2017.00256.Search in Google Scholar PubMed PubMed Central

15. Gibson-Corley, KN, Olivier, AK, Meyerholz, DK. Principles for valid histopathologic scoring in research. Veterinary Pathol 2013;50:1007–15. https://doi.org/10.1177/0300985813485099.Search in Google Scholar PubMed PubMed Central

16. Beuers, U, Trauner, M, Jansen, P, Poupon, R. New paradigms in the treatment of hepatic cholestasis: from UDCA to FXR, PXR and beyond. J Hepatol 2015;62:S25–37. https://doi.org/10.1016/j.jhep.2015.02.023.Search in Google Scholar PubMed

17. Ou, QQ, Qian, XH, Li, DY, Zhang, YX, Pei, XN, Chen, JW, et al.. Yinzhihuang attenuates ANIT-induced intrahepatic cholestasis in rats through upregulation of Mrp2 and Bsep expressions. Pediatr Res 2016;79:589–95. https://doi.org/10.1038/pr.2015.252.Search in Google Scholar PubMed

18. Tanaka, Y, Aleksunes, LM, Cui, YJ, Klaassen, CD. ANIT-induced intrahepatic cholestasis alters hepatobiliary transporter expression via Nrf2-dependent and independent signaling. Toxicol Sci 2009;108:247–57. https://doi.org/10.1093/toxsci/kfp020.Search in Google Scholar PubMed PubMed Central

19. Ding, LL, Zhang, BF, Dou, W, Yang, L, Zhan, CS, Wang, ZT. Protective effect of Danning tablet on acute livery injury with cholestasis induced by α-naphthylisothiocyanate in rats. J Ethnopharmacol 2012;140:222–9. https://doi.org/10.1016/j.jep.2011.12.047.Search in Google Scholar PubMed

20. Newsome, PN, Cramb, R, Davison, SM, Dillon, JF, Foulerton, M, Godfrey, EM, et al.. Guidelines on the management of abnormal liver blood tests. Gut 2018;67:6–19. https://doi.org/10.1136/gutjnl-2017-314924.Search in Google Scholar PubMed PubMed Central

21. Lu, L. Guidelines for the management of cholestatic liver diseases (2021). J Clin Transl Hepatol 2022;10:757–69. https://doi.org/10.14218/jcth.2022.00147.Search in Google Scholar PubMed PubMed Central

22. Cui, YJ, Aleksunes, LM, Tanaka, Y, Goedken, MJ, Klaassen, CD. Compensatory induction of liver efflux transporters in response to ANIT-induced liver injury is impaired in FXR-Null mice. Toxicol Sci 2009;110:47–60. https://doi.org/10.1093/toxsci/kfp094.Search in Google Scholar PubMed PubMed Central

23. Pollock, G, Minuk, GY. Diagnostic considerations for cholestatic liver disease. J Gastroenterol Hepatol 2017, 32:1303–9. https://doi.org/10.1111/jgh.13738.Search in Google Scholar PubMed

24. Aslan, A, Gok, O, Beyaz, S, Ağca, CA, Erman, O, Zerek, A. Ellagic acid prevents kidney injury and oxidative damage via regulation of Nrf-2/NF-κB signaling in carbon tetrachloride induced rats. Mol Biol Rep 2020;47:7959–70. https://doi.org/10.1007/s11033-020-05873-x.Search in Google Scholar PubMed

25. Jedidi, S, Aloui, F, Selmi, S, Selmi, H, Sammari, H, Ayari, A, et al.. Antioxidant properties of salvia officinalis decoction extract and mechanism of its protective effects on ethanol-induced liver and kidney injuries. J Med Food 2022;25:546–56. https://doi.org/10.1089/jmf.2021.0134.Search in Google Scholar PubMed

26. Al-Khfajy, WS, Arif, IS, Al-Sudani, BT Role of fasting mimicking diet in farnesoid x receptor for suppressing epithelial-to-mesenchymal transition, cell cycle progression, and viability of prostate cancer cells. Iraq J Pharma Sci 2023;32:115–24, https://doi.org/10.31351/vol32iss1pp115-124.Search in Google Scholar

27. Sinal, CJ, Tohkin, M, Miyata, M, Ward, JM, Lambert, G, Gonzalez, FJ. Targeted disruption of the nuclear receptor FXR/BAR impairs bile acid and lipid homeostasis proliferator-activated receptor (PPAR), retinoic acid re-ceptor (RAR), vitamin D receptor, and thyroid hormone receptor, all of which form heterodimers with a common BAR and to specifically examine its role in BA and lipid. Cell 2000;102:731–44. https://doi.org/10.1016/s0092-8674(00)00062-3.Search in Google Scholar PubMed

28. García-Rodríguez, JL, Barbier-Torres, L, Fernández-Álvarez, S, Gutiérrez-de Juan, V, Monte, MJ, Halilbasic, E, et al.. SIRT1 controls liver regeneration by regulating bile acid metabolism through farnesoid X receptor and mammalian target of rapamycin signaling. Hepatology 2014;59:1972–83. https://doi.org/10.1002/hep.26971.Search in Google Scholar PubMed PubMed Central

29. Leone, V, D’Angelo, D, Ferraro, A, Pallante, P, Rubio, I, Santoro, M, et al.. A TSH-CREB1-microRNA loop is required for thyroid cell growth. Mol Endocrinol 2011;25:1819–30. https://doi.org/10.1210/me.2011-0014.Search in Google Scholar PubMed PubMed Central

30. Soroka, CJ, Ballatori, N, Boyer, JL. Organic solute transporter, OSTalpha-OSTbeta: its role in bile acid transport and cholestasis. Semin Liver Dis 2010;30:178–85. https://doi.org/10.1055/s-0030-1253226.Search in Google Scholar PubMed PubMed Central

31. Trauner, M, Boyer, JL. Bile salt transporters: molecular characterization, function, and regulation. Physiol Rev 2003;83:633–71. https://doi.org/10.1152/physrev.00027.2002.Search in Google Scholar PubMed

32. Baeeri, M, Mohammadi-Nejad, S, Rahimifard, M, Navaei-Nigjeh, M, Moeini-Nodeh, S, Khorasani, R, et al.. Molecular and biochemical evidence on the protective role of ellagic acid and silybin against oxidative stress-induced cellular aging. Mol Cell Biochem 2018;441:21–33. https://doi.org/10.1007/s11010-017-3172-0.Search in Google Scholar PubMed

33. Chatterjee, A, Chatterjee, S, Das, S, Saha, A, Chattopadhyay, S, Bandyopadhyay, SK. Ellagic acid facilitates indomethacin-induced gastric ulcer healing via COX-2 up-regulation. Acta Biochim Biophys Sin 2012;44:565–76. https://doi.org/10.1093/abbs/gms034.Search in Google Scholar PubMed

34. Kathem, SH, Abdulsahib, WK, Zalzala, MH. Berbamine and thymoquinone exert protective effects against immune-mediated liver injury via NF-κB dependent pathway. Front Vet Sci 2022;26:960981.10.3389/fvets.2022.960981Search in Google Scholar PubMed PubMed Central

35. Atshan, DA, Zalzala, MН. Possible protective effect of papaverine on ANIT induce cholestasis in rat. Iraq J Pharma Sci 2023;32:118–26.10.31351/vol32issSuppl.pp118-126Search in Google Scholar

Received: 2024-11-25
Accepted: 2025-01-07
Published Online: 2025-02-11

© 2025 Walter de Gruyter GmbH, Berlin/Boston

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