Startseite Nutritional, antioxidant, enzyme inhibitory and toxicity assessments of an herbal formulation using in vitro, ex vivo, and in vivo approaches
Artikel
Lizenziert
Nicht lizenziert Erfordert eine Authentifizierung

Nutritional, antioxidant, enzyme inhibitory and toxicity assessments of an herbal formulation using in vitro, ex vivo, and in vivo approaches

  • Akingbolabo Daniel Ogunlakin EMAIL logo , Oluwasanumi Fiyinfoluwa Adekunle , Mathew O. Ayoola , Kanadi S. Ayuba , Oluwafemi Adeleke Ojo ORCID logo , Amel Elbasyouni , Akinbobola Peace Otitoju , Adeyemi Abdullahi Adegoke , Oyindamola Esther Awosola , Victor Ayoola Oye , Edema Adegboyega Adeleye , Mojisola Adebimpe Ayomipo , Enitan Omobolanle Adesanya und Mubo Adeola Sonibare
Veröffentlicht/Copyright: 19. September 2025

Abstract

Objectives

This study aims to assess the nutritional composition, antioxidant, antidiabetic, and toxicity properties of an herbal formulation (BF 2).

Methods

The proximate analysis of the BF 2 formulation was evaluated. The methanol extract of the BF 2 herbal formulation’s potential to reduce ferric ions and function as an iron chelator was evaluated. Oxidative pancreatic injury, induced by FeSO4, was also treated with different concentrations of the BF 2 herbal formulation using Wistar rats’ pancreas via ex vivo method. The inhibitory effect of the methanol extract on α-amylase and α-glucosidase enzymes was measured using metformin as a standard. The effect of BF 2 formulation at 25 and 50 mg/kg was evaluated in male rabbits.

Results

The proximate analysis result of the BF 2 formulation estimated the contents of crude fat and crude protein to be 1.85 % and 26.25 %, respectively. Atomic absorption spectroscopy of the BF 2 formulation revealed the presence of magnesium (11.625 ppm) and sodium (4.879 ppm). BF 2 formulation had a better NO and DPPH radicals scavenging ability compared to the standard (Quercetin). The methanol extract showed a dose-dependent inhibitory activity on α-amylase and α-glucosidase enzymes. 25 mg/kg of BF 2 formulation resulted in a significant (p<0.05) increase in serum testosterone level and a decrease in FSH levels. 25 and 50 mg/kg b.w. of BF 2 formulation reduced serum ALT and AST in rabbits. Furthermore, BF 2 formulation exerted α-glucosidase and α-amylase inhibitory potential, coupled with its significant antioxidant activity; a more thorough examination of BF 2’s toxicity profile is necessary in rabbits.

Conclusions

BF 2 formulation exerted α-glucosidase and α-amylase inhibitory potential, coupled with its significant antioxidant activity. Therefore, further studies should be conducted on the BF 2 herbal formulation to evaluate its efficacy in higher animals.


Corresponding author: Akingbolabo Daniel Ogunlakin, Phytomedicine and Drug Discovery Research Laboratory (PDD-RL), Department of Biochemistry, Bowen University, Iwo, 232101, Nigeria, E-mail:

  1. Research ethics: In compliance with the criteria and guidelines indicated in the National Institute of Health (NIH) guidelines for the care and usage of laboratory animals, an ethical approval number was acquired (BUAC/BCH/2024/0004).

  2. Informed consent: Not applicable.

  3. Author contributions: Conceptualization: ADO; formal analysis: all authors; software: ADO; funding acquisition: all authors; writing (original draft): ADO; writing (review & editing): ADO; supervision: ADO.

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

  5. Conflict of interest: The author states no conflict of interest.

  6. Research funding: None declared.

  7. Data availability: Data will be made available on request.

References

1. Pradeepa, R, Mohan, V. Epidemiology of chronic complications of diabetes: a global perspective. In: chronic complications of diabetes mellitus. Academic Press; 2024:11–23 pp.10.1016/B978-0-323-88426-6.00006-3Suche in Google Scholar

2. Sen, CK. Human wound and its burden: updated 2020 compendium of estimates. Adv Wound Care 2021;10:281–92. https://doi.org/10.1089/wound.2021.0026.Suche in Google Scholar PubMed PubMed Central

3. Wang, Y. NCD statistics 2017-2020: risk and management of hyperglycemia, hyperlipidemia, and obesity-induced hypertension. In: Third international conference on biological engineering and medical science (ICBioMed2023). SPIE; 2024, vol 12924:905–12 pp.10.1117/12.3013165Suche in Google Scholar

4. Han, TS, Lean, ME. A clinical perspective of obesity, metabolic syndrome and cardiovascular disease. JRSM Cardiovasc Dis 2016;5:2048004016633371. https://doi.org/10.1177/2048004016633371.Suche in Google Scholar PubMed PubMed Central

5. Ajiboye, BO, Ojo, OA, Oyinloye, BE, Okesola, MA, Oluwatosin, A, Boligon, AA, et al.. Investigation of the in vitro antioxidant potential of polyphenolic-rich extract of Artocarpus heterophyllus lam stem bark and its antidiabetic activity in streptozotocin-induced diabetic rats. J Evid Base Integr Med 2020;25:2515690X20916123. https://doi.org/10.1177/2515690x20916123.Suche in Google Scholar PubMed PubMed Central

6. Ahmed, SN, Ahmad, M, Zafar, M, Yaseen, G, Iqbal, N, Rashid, N, et al.. Herbal drugs: safety, cost-effectiveness, regulation, current trends, and future directions. In: Bioprospecting of tropical medicinal plants. Cham: Springer Nature Switzerland; 2023:1479–93 pp.10.1007/978-3-031-28780-0_62Suche in Google Scholar

7. Kufe, NC. Insulin sensitivity and response in middle-aged black South African men and women: associations with body fat distribution, menopause and objectively measured physical behaviours (Doctoral dissertation, Department of Paediatrics Faculty of Health Sciences, University of the Witwatersrand). South Africa; 2022.Suche in Google Scholar

8. Alrasheedi, AA. Glycaemic control among adults with type 2 diabetes mellitus in the Gulf Cooperation Council countries: an updated review. Endokrynol Pol 2024;75:159–69. https://doi.org/10.5603/ep.99519.Suche in Google Scholar PubMed

9. Quinn, LM, Rashid, R, Narendran, P, Shukla, D. Screening children for presymptomatic type 1 diabetes. Br J Gen Pract 2023;73:36–9. https://doi.org/10.3399/bjgp23x731709.Suche in Google Scholar PubMed PubMed Central

10. Chaudhury, A, Duvoor, C, Reddy Dendi, VS, Kraleti, S, Chada, A, Ravilla, R, et al.. Clinical review of antidiabetic drugs: implications for type 2 diabetes mellitus management. Front Endocrinol 2017;1:6. https://doi.org/10.3389/fendo.2017.00006.Suche in Google Scholar PubMed PubMed Central

11. Nazar, A, Adnan, M, Shah, SM, Bari, A, Ullah, R, Tariq, A, et al.. Ethnobotanical assessment of antidiabetic medicinal plants in District Karak, Pakistan. BMC Compl Med Ther 2024;24:173. https://doi.org/10.1186/s12906-024-04462-w.Suche in Google Scholar PubMed PubMed Central

12. Verma, S, Gupta, M, Popli, H, Aggarwal, G. Diabetes mellitus treatment using herbal drugs. Int J Phytomed 2018;10:1–0. https://doi.org/10.5138/09750185.2181.Suche in Google Scholar

13. Alamgir, ANM, Alamgir, ANM. Medicinal, non-medicinal, biopesticides, color-and dye-yielding plants; secondary metabolites and drug principles; significance of medicinal plants; use of medicinal plants in the systems of traditional and complementary and alternative medicines (CAMs). In: Therapeutic use of medicinal plants and their extracts: Volume 1: Pharmacognosy. Springer International Publishing; 2017:61–104 pp.10.1007/978-3-319-63862-1_3Suche in Google Scholar

14. Bommakanti, V, Puthenparambil Ajikumar, A, Sivi, CM, Prakash, G, Mundanat, AS, Ahmad, F, et al.. An overview of herbal nutraceuticals, their extraction, formulation, therapeutic effects and potential toxicity. Separations 2023;10:177. https://doi.org/10.3390/separations10030177.Suche in Google Scholar

15. Saggar, S, Mir, PA, Kumar, N, Chawla, A, Uppal, J, Kaur, A, et al.. Traditional and herbal medicines: opportunities and challenges. Pharmacogn Res 2022;14:107–14. https://doi.org/10.5530/pres.14.2.15.Suche in Google Scholar

16. Ogunlakin, AD, Onifade, TR, Ojo, OA, Adesanya, EO, Berena, GA, Ayeni, PO, et al.. Antidiabetic potential of Carica papaya L. and its constituents: from folkloric uses to products development. Bioact Comp Health Disease-Online 2023a;6:126–44. https://doi.org/10.31989/bchd.v6i6.1108.Suche in Google Scholar

17. Ojo, OA, Grant, S, Amanze, JC, Oni, AI, Ojo, AB, Elebiyo, TC, et al.. Annona muricata L. peel extract inhibits carbohydrate metabolizing enzymes and reduces pancreatic β-cells, inflammation, and apoptosis via upregulation of PI3K/AKT genes. PLoS One 2022;17:e0276984. https://doi.org/10.1371/journal.pone.0276984.Suche in Google Scholar PubMed PubMed Central

18. Okoro, U, Kenechukwu, FC, Ogbonna, JD, Omeje, EO, Attama, AA. Formulation development and optimization of herbo synthetic lipospheres based on solidified reverse micellar solutions for therapeutic management of diabetes mellitus. Tropical J Natural Prod Res 2024;8:6651–62. https://doi.org/10.26538/tjnpr/v8i3.27.Suche in Google Scholar

19. Ogunlakin, AD, Ojo, OA, Gyebi, GA, Akinwumi, IA, Adebodun, GO, Ayokunle, DI, et al.. Elemental evaluation, nutritional analysis, GC-MS analysis and ameliorative effects of Artocarpus communis JR Forst. & G. Forst. Seeds’ phytoconstituents on metabolic syndrome via in silico approach. J Biomol Struct Dyn 2023b;43:1981–2001. https://doi.org/10.1080/07391102.2023.2293271.Suche in Google Scholar PubMed

20. OAC. Official methods of analysis of AOAC international, 18th ed. AOAC International; 2005.Suche in Google Scholar

21. Banu, KS, Cathrine, L. General techniques involved in phytochemical analysis. Int J Adv Res Comput Sci 2015;2:25–32.Suche in Google Scholar

22. Sonibare, MA, Onifade, TR, Ogunlakin, AD, Akinmurele, OJ, Adebodun, SA. Microscopic evaluation and antioxidant activity of Glyphaea brevis (Spreng.) Monach. (Family Tiliaceae). Free Radic Antioxid 2022;12:27–32. https://doi.org/10.5530/fra.2022.1.5.Suche in Google Scholar

23. Sobuj, MK, Shemul, MS, Islam, MS, Islam, MA, Mely, SS, Ayon, MH, et al.. Qualitative and quantitative phytochemical analysis of brown seaweed Sargassum polycystum collected from Bangladesh with its antioxidant activity determination. Food Chem Adv. 2024;4:1–9. https://doi.org/10.1016/j.focha.2023.100565.Suche in Google Scholar

24. Ogunlakin, AD, Adetunji, JB, Iyobhebhe, M, Ajiboye, TA, Gyebi, GA, Ayeni, PO, et al.. 3-(4-methoxyphenyl) acrylic acid halts redox imbalance and modulate purinergic enzyme activity in iron-induced testicular injury. Pure Appl Chem 2024a;96:757–65. https://doi.org/10.1515/pac-2023-1201.Suche in Google Scholar

25. Fadogba, OA, Ogunlakin, AD, Ajayi, AM, Sonibare, MA. Antioxidant and anti-arthritic activity of Bombax buonopozense P. Beauv. leaves. Ann Pharm Fr 2024;82:673–84. https://doi.org/10.1016/j.pharma.2024.02.008.Suche in Google Scholar PubMed

26. Ogunlakin, AD, Ojo, OA, Ayokunle, DI, Ayeni, PO, Babatunde, DE, Akinwumi, IA, et al.. Therapeutic effects of Artocarpus communis JR Forst. & G. Forst. Seeds on Letrozole-induced polycystic ovary syndrome wistar rats. Phytomed Plus 2024b;4:100583.10.1016/j.phyplu.2024.100583Suche in Google Scholar

27. Ogunlakin, AD, Ojo, OA, Iyobhebhe, M, Ajisafe, TL, Adeoye, EO, Ayokunle, DI, et al.. Sodium 3-phenylpropanoate alleviate oxidative stress and iron-induced testicular toxicity in wistar rats. J Appl Pharmaceut Sci 2024c;14:088–94. https://doi.org/10.7324/japs.2024.143969.Suche in Google Scholar

28. Faboro, EO, Ogunlakin, AD, Ayeni, PO, Opaleye, OD, Ojo, OA, Ajayi-Odoko, OA, et al.. Kigelia africana (Lam.) Benth. fruit inhibits iron-induced lipid peroxidation and α-amylase enzyme activity. Plant Sci Today 2024;11:496–502. https://doi.org/10.14719/pst.2873.Suche in Google Scholar

29. Dej-Adisai, S, Sakulkeo, O, Wattanapiromsakul, C, Pitakbut, T. Flavonoid constituents and alpha-glucosidase inhibition of Solanum stramonifolium Jacq. inflorescence with in vitro and in silico studies. Molecules 2022;27:8189. https://doi.org/10.3390/molecules27238189.Suche in Google Scholar PubMed PubMed Central

30. Ogunlakin, AD, Ojo, OA, Onu-Boms, CD, Afolayan, OS, Ayeni, PO, Akinwumi, IA, et al.. Artocarpus communis seed regulates P53, IRS, HsD17β2, FTO, and CYP11a genes in polycystic ovarian syndrome rats. OBM Genet 2024d;8:1–20. https://doi.org/10.21926/obm.genet.2401213.Suche in Google Scholar

31. Ogunlakin, AD, Elagauma, RO, Adegbenro, AT, Olagookun, FI, Adeyeye, SA, Ojo, OA, et al.. Assessment of nutritional, antioxidant, and antidiabetic properties of BF 1 herbal formulation via in vitro and ex vivo approaches. Kuwait J Sci 2025;52:100435. https://doi.org/10.1016/j.kjs.2025.100435.Suche in Google Scholar

32. Sharif, M, Lashari, MH, Farooq, U, Idris, M, Afzal, MA. Diagnostic efficacy of hand-held digital refractometer for determining total serum protein in indigenous sheep of Pakistan. PLoS One 2024;19:e0295107. https://doi.org/10.1371/journal.pone.0295107.Suche in Google Scholar PubMed PubMed Central

33. Ajiboye, BO, Oyinloye, BE, Agboinghale, PE, Ojo, OA. Cnidoscolus aconitifolius (Mill.) IM Johnst leaf extract prevents oxidative hepatic injury and improves muscle glucose uptake ex vivo. J Food Biochem 2019;43:e13065. https://doi.org/10.1111/jfbc.13065.Suche in Google Scholar PubMed

34. Vargas-Meza, J, Cervantes-Armenta, MA, Campos-Nonato, I, Nieto, C, Marrón-Ponce, JA, Barquera, S, et al.. Dietary sodium and potassium intake: data from the Mexican national health and nutrition survey 2016. Nutrients 2022;14:281. https://doi.org/10.3390/nu14020281.Suche in Google Scholar PubMed PubMed Central

35. Ojo, OA, Nwafor-Ezeh, PI, Rotimi, DE, Iyobhebhe, M, Ogunlakin, AD, Ojo, AB. Apoptosis, inflammation, and oxidative stress in infertility: a mini review. Toxicol Rep 2023b;10:448–62. https://doi.org/10.1016/j.toxrep.2023.04.006.Suche in Google Scholar PubMed PubMed Central

36. Katryna, B, Anita, PP. Purification of rat testicular microsomal 17-Ketosteroid reductase. Evidence that 17–ketosteroid reductase and 17-? Hydroxysteroid dehydrogenase are distinct enzymes. Biol Chem 1980;9:255–9.10.1016/S0021-9258(19)70665-6Suche in Google Scholar

37. Gröber, U. Magnesium and drugs. Int J Mol Sci 2019;20:2094. https://doi.org/10.3390/ijms20092094.Suche in Google Scholar PubMed PubMed Central

38. Gao, Y, Zhang, Y, Li, Z, Liu, QS, Zhou, Q, Jiang, G. The plasma kallikrein-kinin system: a hematological target for environmental contaminants. Curr Pollut Rep 2024;10:513–31. https://doi.org/10.1007/s40726-024-00308-8.Suche in Google Scholar

39. Babapour, M, Mohammadi, H, Kazemi, M, Hadi, A, Rezazadegan, M, Askari, G. Associations between serum magnesium concentrations and polycystic ovary syndrome status: a systematic review and meta-analysis. Biol Trace Elem Res 2021;199:1297–305. https://doi.org/10.1007/s12011-020-02275-9.Suche in Google Scholar PubMed

40. Budiyatri, R, Anjani, G, Legowo, AM, Syauqy, A, Limijadi, EK. The effect of dadih for the prevention of iron deficiency anemia in adolescent girls 12-15 years old. AcTion: Aceh Nutr J 2024;9:91–9. https://doi.org/10.30867/action.v9i1.1527.Suche in Google Scholar

41. Feunaing, RT, Tamfu, AN, Gbaweng, AJ, Mekontso Magnibou, L, Ntchapda, F, Henoumont, C, et al.. In vitro evaluation of α-amylase and α-glucosidase inhibition of 2, 3-epoxyprocyanidin C1 and other constituents from Pterocarpus erinaceus poir. Molecules 2022;28:126. https://doi.org/10.3390/molecules28010126.Suche in Google Scholar PubMed PubMed Central

42. Martín, MÁ, Ramos, S. Dietary flavonoids and insulin signaling in diabetes and obesity. Cells 2021;10:1474. https://doi.org/10.3390/cells10061474.Suche in Google Scholar PubMed PubMed Central

43. Alam, W, Rocca, C, Khan, H, Hussain, Y, Aschner, M, De Bartolo, A, et al.. Current status and future perspectives on therapeutic potential of apigenin: focus on metabolic-syndrome-dependent organ dysfunction. Antioxidants 2021;10:1643. https://doi.org/10.3390/antiox10101643.Suche in Google Scholar PubMed PubMed Central

44. Szkudelski, T, Szkudelska, K. The anti-diabetic potential of baicalin: evidence from rodent studies. Int J Mol Sci 2023;25:431. https://doi.org/10.3390/ijms25010431.Suche in Google Scholar PubMed PubMed Central

45. Gulcin, İ, Alwasel, SH. Metal ions, metal chelators and metal chelating assay as antioxidant method. Processes 2022;10:132. https://doi.org/10.3390/pr10010132.Suche in Google Scholar

46. Suresh, V, Reddy, A. Dysregulation of nitric oxide synthases during early and late pathophysiological conditions of diabetes mellitus leads to amassing of microvascular impedement. J Diabetes Metab Disord 2021;20:989–1002. https://doi.org/10.1007/s40200-021-00799-y.Suche in Google Scholar PubMed PubMed Central

47. Punziano, C, Trombetti, S, Cesaro, E, Grosso, M, Faraonio, R. Antioxidant systems as modulators of ferroptosis: focus on transcription factors. Antioxidants 2024;13:298. https://doi.org/10.3390/antiox13030298.Suche in Google Scholar PubMed PubMed Central

48. Ghannay, S, Aldhafeeri, BS, Ahmad, I, Albadri, AE, Patel, H, Kadri, A, et al.. Identification of dual-target isoxazolidine-isatin hybrids with antidiabetic potential: design, synthesis, in vitro and multiscale molecular modeling approaches. Heliyon 2024;10:1–17. https://doi.org/10.1016/j.heliyon.2024.e25911.Suche in Google Scholar PubMed PubMed Central

49. Abdulkareem, MA, Owolabi, BA, Saheed, ES, Aromolaran, RF, Bashiru, RM, Jumah, TA, et al.. Genetic factors and the role of pancreatic amylase in the pathogenesis of type 2 diabetes. Egypt J Med Human Genet 2024;25:33. https://doi.org/10.1186/s43042-024-00505-6.Suche in Google Scholar

50. Mutalik, S, Chetana, M, Sulochana, B, Devi, PU, Udupa, N. Effect of Dianex, a herbal formulation on experimentally induced diabetes mellitus. Phytother Res: Int J Devoted Pharmacol Toxicol Eval Natural Prod Deriv 2005;19:409–15. https://doi.org/10.1002/ptr.1570.Suche in Google Scholar PubMed

51. Salau, VF, Erukainure, OL, Aljoundi, A, Akintemi, EO, Elamin, G, Odewole, OA. Exploring the inhibitory action of betulinic acid on key digestive enzymes linked to diabetes via in vitro and computational models: approaches to anti-diabetic mechanisms. SAR QSAR Environ Res 2024;35:411–32. https://doi.org/10.1080/1062936x.2024.2352729.Suche in Google Scholar

52. Settembre, C, Perera, RM. Lysosomes as coordinators of cellular catabolism, metabolic signalling and organ physiology. Nat Rev Mol Cell Biol 2024;25:223–45. https://doi.org/10.1038/s41580-023-00676-x.Suche in Google Scholar PubMed

53. Kumar, MA, Baba, SK, Sadida, HQ, Marzooqi, SA, Jerobin, J, Altemani, FH, et al.. Extracellular vesicles as tools and targets in therapy for diseases. Signal Transduct Targeted Ther 2024;9:27. https://doi.org/10.1038/s41392-024-01735-1.Suche in Google Scholar PubMed PubMed Central

54. Castro, MF, Assmann, CE, Reichert, KP, Coppetti, PM, Stefanello, N, da Silva, AD, et al.. Vitamin D3 mitigates type 2 diabetes induced by a high carbohydrate-high fat diet in rats: role of the purinergic system. J Nutr Biochem 2024;127:109602. https://doi.org/10.1016/j.jnutbio.2024.109602.Suche in Google Scholar PubMed

55. Li, L, Lin, W, Wang, Z, Huang, R, Xia, H, Li, Z, et al.. Hormone regulation in testicular development and function. Int J Mol Sci 2024;25:5805. https://doi.org/10.3390/ijms25115805.Suche in Google Scholar PubMed PubMed Central

56. Nandi, S, Banerjee, PP, Zirkin, BR. Germ cell apoptosis in the testes of Sprague Dawley rats following testosterone withdrawal by ethane 1, 2-dimethanesulfonate administration: relationship to Fas? Biol Reprod 1999;61:70–5. https://doi.org/10.1095/biolreprod61.1.70.Suche in Google Scholar PubMed

57. Nasiri-Foomani, N, Ebadi, M, Hassani, S, Zeinoaldini, S, Saedi, A, Samadi, F. Preparation, characterization, and ex-vivo evaluation of curcumin-loaded niosomal nanoparticles on the equine sperm quality during cooled storage. Int J Biol Macromol 2024;264:130620. https://doi.org/10.1016/j.ijbiomac.2024.130620.Suche in Google Scholar PubMed

58. Washburn, RL, Hibler, T, Kaur, G, Dufour, JM. Sertoli cell immune regulation: a double-edged sword. Front Immunol 2022;13:1–19. https://doi.org/10.3389/fimmu.2022.913502.Suche in Google Scholar PubMed PubMed Central

59. Liu, SP, Li, YF, Zhang, D, Li, CY, Dai, XF, Lan, DF, et al.. Pharmacological actions of the bioactive compounds of epimedium on the male reproductive system: current status and future perspective. Asian J Androl 2025;27:20–9. https://doi.org/10.4103/aja20248.Suche in Google Scholar PubMed PubMed Central

60. Mindnich, R, Möller, G, Adamski, J. The role of 17 beta-hydroxysteroid dehydrogenases. Mol Cell Endocrinol 2004;218:7–20. https://doi.org/10.1016/j.mce.2003.12.006.Suche in Google Scholar PubMed

61. Wang, MX, Peng, ZG. 17β-hydroxysteroid dehydrogenases in the progression of nonalcoholic fatty liver disease. Pharmacol Therapeut 2023;246:108428. https://doi.org/10.1016/j.pharmthera.2023.108428.Suche in Google Scholar PubMed

62. Xia, Z, Luo, X, Wang, Y, Xu, T, Dong, J, Jiang, W, et al.. Diabetic kidney disease screening status and related factors: a cross-sectional study of patients with type 2 diabetes in six provinces in China. BMC Health Serv Res 2024;24:489. https://doi.org/10.1186/s12913-024-10938-9.Suche in Google Scholar PubMed PubMed Central

63. Li, Q, Lyu, Z, Wang, L, Li, F, Yang, Z, Ren, W. Albumin-to-alkaline phosphatase ratio associates with good prognosis of hepatitis B virus-positive HCC patients. OncoTargets Ther 2020;13:2377–84. https://doi.org/10.2147/ott.s242034.Suche in Google Scholar

64. Mastrangelo, S, Romano, A, Maurizi, P, Rizzo, D, Attinà, G, Ruggiero, A. Nutritional challenges in paediatric oncology: screening and managing malnutrition and sarcopenia. Biomed Pharmacol J 2024;17:2203–16. https://doi.org/10.13005/bpj/3017.Suche in Google Scholar

65. Ye, X, Zhang, M, Gong, Z, Jiao, W, Li, L, Dong, M, et al.. Inhibition of polyphenols on maillard reaction products and their induction of related diseases: a comprehensive review. Phytomedicine 2024;128:155589. https://doi.org/10.1016/j.phymed.2024.155589.Suche in Google Scholar PubMed

66. Martemucci, G, Costagliola, C, Mariano, M, D’andrea, L, Napolitano, P, D’Alessandro, AG. Free radical properties, source and targets, antioxidant consumption and health. Oxygen 2022;2:48–78. https://doi.org/10.3390/oxygen2020006.Suche in Google Scholar

67. Jomova, K, Alomar, SY, Alwasel, SH, Nepovimova, E, Kuca, K, Valko, M. Several lines of antioxidant defense against oxidative stress: antioxidant enzymes, nanomaterials with multiple enzyme-mimicking activities, and low-molecular-weight antioxidants. Arch Toxicol 2024;98:1323–67. https://doi.org/10.1007/s00204-024-03696-4.Suche in Google Scholar PubMed PubMed Central

68. Bouyahya, A, Bakrim, S, Aboulaghras, S, El Kadri, K, Aanniz, T, Khalid, A, et al.. Bioactive compounds from nature: antioxidants targeting cellular transformation in response to epigenetic perturbations induced by oxidative stress. Biomed Pharmacother 2024;174:116432. https://doi.org/10.1016/j.biopha.2024.116432.Suche in Google Scholar PubMed

69. Singh, RR, Reindl, KM. Glutathione S-transferases in cancer. Antioxidants 2021;10:701. https://doi.org/10.3390/antiox10050701.Suche in Google Scholar PubMed PubMed Central

70. Wen, J, Chen, X, Wei, S, Ma, X, Zhao, Y. Research progress and treatment status of liver cirrhosis with hypoproteinemia. Evid Base Compl Alternative Med 2022;2022:2245491. https://doi.org/10.1155/2022/2245491.Suche in Google Scholar PubMed PubMed Central

71. Gremese, E, Bruno, D, Varriano, V, Perniola, S, Petricca, L, Ferraccioli, G. Serum albumin levels: a biomarker to be repurposed in different disease settings in clinical practice. J Clin Med 2023;12:6017. https://doi.org/10.3390/jcm12186017.Suche in Google Scholar PubMed PubMed Central

72. Ma, Y, Li, Y, Song, X, Yang, T, Wang, H, Liang, Y, et al.. Endocrine disruption of propylparaben in the male mosquitofish (Gambusia affinis): tissue injuries and abnormal gene expressions of hypothalamic-pituitary-gonadal-liver axis. Int J Environ Res Publ Health 2023;20:3557. https://doi.org/10.3390/ijerph20043557.Suche in Google Scholar PubMed PubMed Central

73. Hafez, MH, Gad, SB, El-Sayed, YS. Quercetin-mediated restoration of high-fat diet-induced male reproductive dysfunction through modifying spermatogenesis and unraveling 3β-HSD, 17β-HSD, and StAR pathways. BMC Pharmacol Toxicol 2025;26:90. https://doi.org/10.1186/s40360-025-00918-y.Suche in Google Scholar PubMed PubMed Central

74. Cançado, GG, da Silva Fucuta, P, de Faria Gomes, NM, Couto, CA, Cançado, EL, Terrabuio, DR, et al.. Alkaline phosphatase and liver fibrosis at diagnosis are associated with deep response to ursodeoxycholic acid in primary biliary cholangitis. Clin Res Hepatol Gastroenterol 2024;48:102453. https://doi.org/10.1016/j.clinre.2024.102453.Suche in Google Scholar PubMed

75. Farooq, MU. Biochemical markers for early detection of liver diseases in dogs: a clinical diagnostic approach. Indus J Agric Biol 2025;4:1–2.Suche in Google Scholar


Supplementary Material

This article contains supplementary material (https://doi.org/10.1515/jcim-2025-0150).


Received: 2025-04-25
Accepted: 2025-09-02
Published Online: 2025-09-19

© 2025 Walter de Gruyter GmbH, Berlin/Boston

Heruntergeladen am 22.10.2025 von https://www.degruyterbrill.com/document/doi/10.1515/jcim-2025-0150/html?lang=de
Button zum nach oben scrollen