THE ROLE OF AQUEOUS EXTRACT OF CITRUS SINENSIS PEEL IN CADMIUM MEDIATED HEPATOTOXICITY
HTML Full TextTHE ROLE OF AQUEOUS EXTRACT OF CITRUS SINENSIS PEEL IN CADMIUM MEDIATED HEPATOTOXICITY
J. A. Nwafor *, E. N. Obikili, G. G. Akunna, G. E. Anyanwu and E. Esom
Department of Anatomy, Faculty of Basic Medical Sciences, College of Medicine, Alex Ekwueme Federal University Ndufu- Alike, Ikwo (AE-FUNAI), Ebonyi State, Nigeria.
ABSTRACT: Predisposing exposures to cadmium have been implicated in hepatotoxicity, hence the search for therapeutic interventions. Thirty Wistar rats were randomly grouped into six (1-6) with 5 rats each. Group 1 received only 5mg/kg body weight (b.wt) of Cadmium Chloride (CdCl2) intra-peritoneally. Group 2 received feed and water ad libitum. Groups 3 and 4 received CdCl2 followed by low and high dose (10mg/kg b.wt and 40mg/kg b.wt respectively) of Aqueous Extract of the Zest of Citrus sinensis (AEZCs). Groups 5 and 6 were pre-treated with low and high doses of the extract before CdCl2. Extract administrations were orally and the experiment lasted for 8weeks. The livers were harvested, grossed and the liver to Bodyweight ratios (LW/BW) was determined shortly before being processed for histology and homogenate for SOD and MDA assay. Blood samples were collected for AST, ALT, ALP and total proteins (TP) analysis. Significant (p<0.05) differences in LW/BW, SOD, MDA, ALT, ALP, AST and TP were observed between groups 1 and 2. This was similarly noted between groups pre-treated and post-treated with AEZCs low dose as well as groups pre-treated and post-treated with high dose. Group 1 showed progressive non-alcoholic fatty liver disease. At the high dose, AEZCs restored LW/BW to near normal, moderated liver enzymes activities and increased serum protein. Furthermore, SOD concentrations were boosted, hence the decrease in lipid peroxidation. Histological evidence corroborates these findings, suggesting that AEZCs may detoxify the liver from cadmium toxicity at this dose.
Keywords: |
Hepatotoxicity, Citrus peel, Cadmium, Detoxify
INTRODUCTION: According to the World Health Organization (WHO) comprehensive study on the Environmental Burden of Disease, 2.2 million people die each year in all the 46 African countries, due to environmental risk factors 1. Cadmium is a classified carcinogen that has been implicated in the development of cancer 2-3.
Despite efforts by many countries and international agencies to reduce environmental exposures to cadmium through smoking, traffic pollution, and various industrial processes, its toxicities continue to pose a major health concern, especially in emerging industrial nations where environmental controls are still being developed 4-5.
Implicit here is the fact that the Nigerian populace is at constant risk of its adverse health effects 6. Although, it is a widely distributed toxicant whose pathogenesis occurs primarily in the liver and kidney via oxidative stress pathway 7. There has been considerable interest in utilizing natural plant sources in the development of the pharmaceuticals as only a small number of reliable drugs from plant sources are available in practice for the treatment and management of liver toxicities 8. More so, the accessibility and affordability of these drugs are some of the factors that have prompted over 80% of the populace in the developing countries to continually utilize plant products in handling primary medical problems 9. Citrus sinensis is known as ‘sweet orange’ in English, ‘Oroma’ in Igbo tribe in Nigeria belongs to the tree family of Rutacea and ranks as one of the most produced fruit crops in the world 10. The Peels (zests) of C. sinensis represent between 50 to 65% of the total weight of the fruits and remain as the primary by-product that if not processed may become a waste, environmental pollutant and harborage for insects 11. Studies have reported that C. sinensis peels possess anti-inflammatory, anti-bacterial and antioxidant properties 12-14. Within our contemporary society, the health benefits of citrus fruit peels have not been adequately investigated against cadmium-induced liver toxicity even though it is a widely grown tree plant in Nigeria and many other tropical or subtropical regions. Thus, it is against this background, that the present study was designed.
MATERIALS AND METHODS: Fresh fruits of Citrus sinensis were collected from cultivated farmland in Abakaliki area of Ebonyi State. The fruits were identified and authenticated at the Department of Plant Science and Biotechnology, Faculty of Science, University of Nigeria, Nsukka, Enugu State, Nigeria. The Specimen identification number was UNN/14/345.
Plant Preparation and Extraction: Five hundred oranges were peeled with a zester or grater. The white portion of the peel under the zest was generally avoided by limiting the peeling depth. The zest was thoroughly rinsed in distilled water, air-dried at room temperature for 2 weeks and then pulverized into a powdered form. This is ideal for efficient extraction to occur since the extraction solvent makes contact with target analytes and particle sizes smaller than 0.5 mm 15. The extraction was done using the cold maceration method as previously described 16. The powdered C. sinensis zest was weighed and divided into two equal portions; A and B. Portion ‘A’ weighing 100g was soaked in a 1 Litre of distilled water inside a stoppered conical flask. The mixture was vigorously agitated at intervals of 30 min to enhance the proper dissolution of the C. sinensis zest powder. The mixture was then allowed to stand for 48 h at room temperature before filtration using a muslin cloth. The clear solution was then centrifuged at 3000 x/g for 5 min and the supernatant collected. The supernatants obtained were cleaned of traces of the plant particles using a Whatman no. 1 filter paper (24 cm). The filtrate was subsequently concentrated in a vacuum using a Rotary Evaporator to 10% of their original volumes at 40 °C. Further concentrated was done using a water bath at 37 °C into a solid mass (paste). This was stored in a desiccator and was used to prepare different fresh solutions of the extract in normal saline when required for administration. 10.5g of the paste was dissolved in 400ml of normal saline (Stock Solution).
Phytochemical Screening of AEZCs: The qualitative analysis of the phytochemicals in AEZCs was done using portion ‘B’ of the powdered zest of C. sinensis. The phytochemical screening for the presence of Alkaloids, Flavonoids, Saponins, Tannins, and phenols was done at the Project Development Institute, Enugu State, Nigeria according to a descriptive method 17.
Preparation of the Hepatotoxic Chemical: Cadmium chloride (CdCl2) was used as the hepatic toxin for the experiment. It was obtained from the Chemical Laboratory of the Faculty of Science, University of Nigeria, Nsukka (UNN), Enugu State, Nigeria. The chemical product is manufactured by British Drug House Chemicals, Poole, England. 500 mg of CdCl2 was crushed and dissolved in 100 ml of distilled water (i.e. 1ml of the solution containing 5 mg of CdCl2). The stock solution was shaken for proper dissolution and allowed to stand for some minutes before use.
Experimental Animals: Thirty (30) Adult Wistar rats (weighing 160-320g) were purchased from the Animal house of the Department of Anatomy, College of Medicine, UNN, Enugu State Campus (UNEC), Nigeria. The animals were housed in well ventilated wired cages and were allowed to acclimatize for one week in the Animal Facility of Department of Anatomy, UNEC. They were maintained under the standard photoperiodic condition of 12 h light/dark cycle at a temperature of 27 °C - 30 °C and relative humidity of 50 ± 5 °C. The animals were fed with rat pellets (a product of Top Feed Ltd, Nigeria) and were allowed unrestricted access to drinking water.
Induction of Hepatotoxicity: Toxicity was induced by a single dose of 5 mg/kg body weight of cadmium intraperitoneally into the animals following reported toxicity ranges, exposure routes and concentrations 18-20.
Dose of AEZCs and Administration Route: a Selected dose of 10 mg/kg b.wt (low dose) was adopted from a related study 21 and four times of this dose; being 40 mg/kg body weight was given as high dose. These doses reflect percentage values below the LD50. Administrations were orally through gastric gavage.
Experimental Design: The rats were randomly divided into six (6) groups of five (5) rats each. They were pre-treated and Post treated with AEZCs following cadmium chloride administration. Group 1 served as the positive control and received 5mg/kg body weight (b.wt) of Cadmium Chloride (CdCl2). Group 2 served as the normal control, received rat chow and Normal saline. Groups 3 and 4 received CdCl2 followed by low and high doses of AEZCs (10 mg/kg b.wt and 40mg/kg b.wt) respectively. Groups 5 and 6 received low and high doses of AEZCs (10 mg/kg b.wt and 40mg/kg b.wt) before treatment with CdCl2. The experiment lasted for 8 weeks.
Acute Toxicity Test: Prior to the commencement of this experiment, eight (8) Adult Wistar rats were used to evaluate the acute toxicity test for AEZCs. This study was conducted using the OECD guidance document for which a limit dose test of the ‘up and down’ procedure is required 22. The animals were divided into two (2) groups of 4 rats each and were administered with different doses of the C. sinensis extract in two experimental phases for a period of 14 days. They were observed periodically for symptoms of toxicity or mortality, and the LD50 of AEZCs was subsequently determined following a descriptive procedure 23.
TABLE 1: ADMINISTRATION PROTOCOL OF AEZCs AND CADMIUM CHLORIDE
Groups | Evaluation | Administration | Treatment |
Group 1 | Effect of Cdcl2
(Positive Control) |
5mg/kg b.wt of CDcl2 as single dose | Induce hepatotoxicity without treatment for 8 weeks |
Group 2 |
Normal
(Negative Controls) |
2.5ml/kg b.wt of Normal Saline (N.S) | Treated daily for 8 weeks |
Group 3 | Ameliorative evaluation of the low dose of AEZCs | 5mg/kg bwt Cdcl2 as single dose + 10mg/kg bwt of AEZCS orally | After 2 weeks of receiving CDcl2, rats were treated with the extract daily for 6 weeks |
Group 4 | Ameliorative evaluation of the high dose of AEZCs | 5mg/kg bwt Cdcl2 as single dose + 40mg/kg bwt of AEZCs orally | After 2 weeks of hepatotoxic induction with Cdcl2, rats were treated with the extract daily for 6 weeks |
Group 5 | Protective evaluation of the low dose of AEZCs | 10mg/kg bwt of AEZCs orally by gastric gavage + 5mg/kg bwt of Cdcl2 as a single dose | Treat rats with extract daily for 2weeks. 24 h after last AEZCs dose, induce hepatotoxicity for 6 weeks with single doses of Cdcl2 for 6 weeks |
Group 6 | Protective evaluation of the high dose of AEZCs | 40mg/kg bwt of AEZCs orally by gastric gavage + 5mg/kg bwt of Cdcl2 as a single dose | Treat rats with extract daily for 2 weeks. 24hrs after last AEZCs dose, induce hepatotoxicity with single doses of Cdcl2 for 6 weeks |
Animal Sacrifice and Sample Collection: At the end of the experimental period, all the animals were fasted overnight, anesthetized with diethyl ether and sacrificed via cervical dislocation. Blood was collected via cardiac puncture with the aid of a needle mounted on a 5 mL syringe (Hindustan Syringes and Medical Devices Ltd., Faridabad, India) following a midline incision. The samples were collected into tubes containing 2% sodium oxalate, centrifuged at 3000 rpm for 10 min using a tabletop centrifuge (P/C 03) and the serum extracted. The sera were separated and stored in aliquots at -25 °C for biochemical assays of specific liver enzymes. The liver was harvested after the abdominal incision, washed three times in ice-cold saline and blotted on ash-free filter paper for macroscopic inspection. The right lobe of each liver was excised, fixed in a 10% formal saline for routine histological processing. Ribbon sections of 5μm thickness were obtained with a rotary Microtome (Lieca RM2125 RT V2.3 model) and stained with hematoxylin and eosin (H&E). Photomicrographs were taken after microscopic evaluation of the tissue under the light microscope. The left lobe of the liver tissues was homogenized with 10 times (w/v) ice-cold 0.1 M phosphate buffer pH 7.4 using an Omni multi-sample automated homogenizer to properly enhance cell fractionation. The tissue homogenate was centrifuged at 10,000 rpm, for 15 min. The aliquots of the supernatant were collected in clean test tubes for the estimation of MDA and SOD activities using commercially available Analyse Gold Kits.
Estimation of Organ/Body Weight Ratio: The weights of the liver of each group and their respective body weights were taken with an electronic weighing balance. The estimation of the liver to body weight ratio was determined according to the method adopted in a descriptive study 24.
Estimation of ALP Activities: This was done by an optimized standard method described in a related study 25. P-nitrophenyl phosphate is hydrolyzed to phosphate and p-nitrophenol in the presence of ALP.
Estimation of AST, ALT Activities and Total Protein Count: The measurement of AST and ALT activities in the serum was done using endpoint colorimetric diagnostic Kit (Randox; laboratories the UK) based on Reitman and Frankel method 26. Total serum protein was estimated using the biuret reaction method in colorimetric protein assay techniques 27.
Determination of Malondialdehyde (MDA) Level in Tissues: Malondialdehyde (MDA), an index of lipid peroxidation was determined using a descriptive method 28. The principle was based on the reaction of MDA with thiobarbituric acid-producing thiobarbituric acid reactive substance (TBARS), a pink chromogen, which was measured spectrophotometrically at 532 nm. MDA was calculated using the molar extinction coefficient for MDA TBA-complex of 1.56 × 105 m-1cm-1 and its concentration was expressed as micromole of MDA/gm liver tissue.
Determination of Superoxide Dismutase (SOD) Activity: Spectrophotometric estimation of the Superoxide dismutase (SOD) activity was adopted from a descriptive technique 29. A single unit of SOD was defined as the amount of the enzyme required to inhibit the reduction of nitro blue tetrazolium (NBT) by 50% under specific conditions.
Preliminary Phytochemical Test: The presence of bioactive metabolites; saponins, tannins, terpenes, steroids, alkaloids, flavonoids in the extract was identified using standard phytochemical procedures and tests 30.
Ethical Approval: The experiment was done according to operational guidelines for the Institutional Animal Ethics Committee of the Nigeria National Health Research Ethics Committee on Control and supervision of Experiments on Animals. This was in conformity with recognized International, National and Institutional guideline 31. IAEC approval no number 501/b/2008/NNHREC was obtained.
Data Analysis: The data generated were analyzed and expressed as mean ± Standard Error of Mean (SEM). Statistical differences in the mean between groups were analyzed using one way ANOVA and compared using paired student’s t-test. The statistical significance level was established at a value of P ≤ 0.05 with the aid of a statistical software package (SPSS) version 20.
RESULTS:
TABLE 2: PHYTOCHEMICAL CONSTITUENTS PRESENT IN AEZCs
Phytochemicals | Citrus sinensis |
Alkaloids | ++ |
Tannins | + |
Phenols | + |
Saponins | ++ |
Flavonoids | +++ |
(+) = present, 50%, (++) = present, > 50% but < 80%, (+++) = present, >80%
As shown in Table 2, flavonoids were present in the highest amount while tannins and phenols were present in moderate amounts. The presence of Alkaloids and saponins were slightly above moderate amounts in the extract of the zests of C. sinensis.
TABLE 3: TOXICITY TEST OF AEZCs IN WISTAR RATS
Treatment Phases | Doses of AEZCs | Number of mortality |
Phase one | 10 mg/kg | 0/8 |
100 mg/kg | 0/8 | |
Phase Two | 1000 mg/kg | 0/4 |
1500 mg/kg | 0/4 | |
2000 mg/kg | 0/4 | |
2500 mg/kg | ¾ |
LD50 of AEZCs = ⱱ 2000 × 2500 = 2236
Table 3 shows that there was no mortality or signs associated with oral toxicity such as significant loss of fur and skin lesions, diarrhea, salivation, tremors or coma except at 2500 mg/kg b.wt of AEZCs. The LD50 of the extract calculated as the square root of the multiplication of the highest dose that did not cause death and the highest dose that caused death was found to be greater than 2000 mg/kg body weight. The animals did not show any signs of aggression or unusual behavior on handling during the observation period.
TABLE 4: ANIMAL BODY WEIGHT, LIVER WEIGHTS AND LIVER/BODY WEIGHT RATIO
Groups | Initial Weight of rats (g) | Final Weight of rats (g) | Liver Weight of rats (g) | Liver/body weight ratio |
1
2 |
275.57 ± 21.04
318.40 ± 16.35 |
201.65 ± 13.25
327.80 ± 39.78 |
12.75 ± 0.50
8.47 ± 1.22 |
0.06*
0.03 |
3 | 180.42 ± 18.24 | 231.50 ± 22.11 | 10.60 ± 1.57 | 0.05a |
4 | 165.47 ± 10.72 | 215.10 ± 13.52 | 8.57 ± 0.38 | 0.04b |
5 | 180.47 ± 12.67 | 221.10 ± 31.16 | 8.32 ± 1.87 | 0.04b |
6 | 251.07 ± 45.90 | 194.40 ± 144.38 | 6.97 ± 4.69 | 0.04b |
*,** represent significant increases or decreases at p < 0.05 and (p< 0.01) respectively when compared with the negative control (Group 2). a, b represents significant increases or decreases at p < 0.05 and (p< 0.01) respectively when compared with the positive control (Group 1). The values are means ± SD. n = 5 in each group
Table 4 shows that there was a significant increase in the liver/body weight (LW/BW) ratio in the positive control group of rats. A similar increase was also noted in the rat groups post-treated with a low dose of AEZCs after cadmium exposure. In contrast, the liver/body weight ratios in the rat group pre-treated with the low dose of AEZCs was significantly lower than that observed in the positive control. Significant decreases in liver /body weight ratios were also observed in the groups of rats that were pre-treated and post-treated with a high dose of AZECs.
TABLE 5: SERUM LIVER ENZYMES AND TOTAL PROTEIN LEVELS
Groups | ALT (u/l) | ALP (u/l) | AST (u/l) | Total protein (g/100ml) |
1
2 |
83.80 ± 8.06*
47.85 ± 3.26 |
537.05 ± 36.26*
246.69 ± 0.72 |
66.71 ± 3.39*
33.79 ± 1.81 |
6.36 ± 0.62**
6.46 ± 0.43 |
3 | 72.90 ± 6.02a | 496.28 ± 9.65a | 52.43 ± 0.95a | 7.12 ± 0.01a |
4 | 62.63 ± 9.14b | 373.87 ± 8.92b | 45.27 ± 2.49b | 6.95 ± 0.21a |
5 | 73.24 ± 2.95a | 420.31 ± 42.28a | 61.03 ± 4.27a | 7.28 ± 0.18a |
6 | 60.30 ± 7.11b | 309.66 ± 31.46b | 40.53 ± 3.30b | 6.88 ± 1.00a |
*,** represent significant increases or decreases at p < 0.05 and (p< 0.01) respectively when compared to the negative control (Group 2). a,b represent significant increases or decreases at p < 0.05 and (p< 0.01) respectively when compared to positive control (Group 1). The values are means ± SD. n = 5 in each group
Table 5 shows that the positive control (Group 1) had significantly higher ALT, ALP, AST, and a low serum protein level than observed in the normal control (Group 2). Although, there was also a significant increase in ALT, ALP, AST in the rat groups post and pre-treated with a low dose of AEZCs (groups 3 and 5 respectively). Their level of serum proteins also increased significantly than that of the positive control. In contrast, the groups of rats post and pre-treated with the high dose of AEZCs (groups 4 and 6 respectively), showed a significant decrease in ALT, ALP, AST with a similar increase in the serum total protein.
TABLE 6: CONCENTRATIONS OF MDA AND SOD
Groups | SOD
(U/mg pro) |
MDA
(nmol/mg pro) |
1
2 |
30.65 ± 1.33*
19.89 ± 0.36 |
4.77 ± 0.08*
1.81 ± 0.06 |
3 | 24.83 ± 0.99a | 3.77 ± 0.05a |
4 | 20.83 ± 1.93b | 2.51 ± 0.53b |
5 | 20.82 ± 0.89b | 3.76 ± 0.41a |
6 | 26.30 ± 2.78a | 2.48 ± 0.55b |
*, **represent significant increases or decreases at p < 0.05 and (p< 0.01) respectively when compared to negative control (Group 2). a,b represent significant increases or decreases at p < 0.05 and (p< 0.01) respectively when compared to positive control (Group 1). The values are means ± SD. n = 5 in each group.
As shown in Table 6, the concentration of Malondialdehyde and superoxide dismutase activity in the positive control (Group 1) was significantly higher than in the negative control. There was also a significant increase in the concentration of malondialdehyde in the groups of rats pre-treated and post-treated with the low dose of AEZCs (5 and 3 respectively). This increase in the concentration of MDA in the groups pre-treated and post-treated with AEZCs was accompanied by an increase and a decrease in the activity of superoxide dismutase respectively. In contrast, there was a significant decrease in the concentration of malondialdehyde in the groups pre-treated and post-treated with a high dose of AEZCs (groups 6 and 4) with a concomitant surge and decrease in the activity of superoxide dismutase respectively. The fluctuations in the activities of superoxide dismutase are dependent on the degree of lipid peroxidation in the tissue.
FIG. 1: GROSS APPEARANCE OF THE LIVER IN POSITIVE CONTROL GROUP. Fig. 1 shows a pathologic liver on chronic exposures to Cadmium. Nodular fatty deposits tissues were observed on the liver of the rats in the positive control group of rats.
Histology: Photomicrographs of histological sections of the control groups of Wistar rats were compared with those of the treatment groups. Sinusoidal-hepatocytes’ arrangement, cytoplasmic vacuolization in both peri-portal and central areas, necrosis and lipid infiltrations were assessed. Histological changes were used to assess the depth of hepatic damage and recovery following treatment with AEZCs.
PLATE 1: HISTO-ARCHITECTURAL COMPARISON OF THE LIVER BETWEEN POST-TREATMENT GROUPS (LOW AND HIGH DOSE OF AEZCs) WITH POSITIVE CONTROL. CENTRAL VEIN (Cv) WITH RADIATING SINUSOIDS WITHIN THE HEPATIC PLATES; PORTAL AREA (PA), NECROTIC ZONES (NZ) AND PROMINENT HALOS OR EMPTY SPACES (PH) WITH LIPID INFILTRATIONS (HLI). H&E STAIN x400
PLATE 2: HISTO-ARCHITECTURAL COMPARISON OF THE LIVER BETWEEN POST-TREATMENT GROUPS (LOW AND HIGH DOSE OF AEZCs) WITH POSITIVE CONTROL. CENTRAL VEIN (Cv) WITH RADIATING SINUSOIDS WITHIN THE HEPATIC PLATES; PORTAL AREA (PA), NECROTIC ZONES (NZ) AND PROMINENT HALOS OR EMPTY SPACES (PH) WITH LIPID INFILTRATIONS (HLI). H&E STAIN x400
DISCUSSION: Flavonoids are potent free radical scavenger and super anti-oxidants that confers anti-peroxidative properties in most plant extracts 32-33. Interestingly, our study showed that flavonoids were present in the highest percentage proportion in AEZCs. Furthermore, the extract did not produce any mortality or toxicity signs in the animals except for doses beyond 2000 mg/kg body weight. This is similar to a safety report on oral LD50 of some extract 34.
In toxicological experiments, comparison of organ/body weights between treated and untreated groups of animals have been conventionally used to evaluate toxicity in target organs as well as an indicator of organ swelling, atrophy or hypertrophy 35-36. The increase in the liver/body weight (LW/BW) ratios following the administration of cadmium chloride in the positive control group of rats suggest liver hypertrophy which may be attributed to homeostatic imbalances in solute selectivity and rate of tissue fluid uptake into the hepatocyte due to alterations in the cell membrane and protein channels. In contrast, ameliorative and protective benefits were associated with AEZC treatments. Furthermore, the presence of granular whitish deposits on the liver in the positive control group is indicative of the steatogenic potential of Cadmium as a tangible NAFLD risk factor. This corroborates report that prolonged exposure to a critical level of cadmium is associated with Non Alcoholic fatty Liver Disease (NAFLD) 37. Serum aminotransferase activities (AST and ALT) are increased in hepatic injuries, providing an estimate of the amount of recent damage 38. The specificity of alkaline phosphatase for liver damage is poor as other conditions may increase its serum level 39. In this present study, the rise in the level of these enzymes, particularly ALT in the positive control group agrees with an earlier submission that enzymes leakages and increases in the blood are hallmarks of hepatocellular membrane damage 40.
AEZCs administration at both low and high doses protected and maintained liver function by moderating the metabolic activities of the liver enzymes. At the high dose, serum liver enzymes activities that are increasingly altered in oxidative stress conditions were significantly lowered. Thus, the ameliorative potential of AEZCs marked by the decline in liver enzymes activity after exposure to cadmium may indicate recovery as reported in a related study 41. Though, this may not be a very strong prognostic sign in fulminant liver injury, where there are major losses of functional hepatocytes. The relatively long elimination half-life (20 days) and ample storage pool of albumin limit the utility of serum protein estimation in the evaluation of chronic liver injuries42. However, lower serum proteins especially albumin indicates poor liver function caused by liver cirrhosis with or without accompanying ascites and oxidative stress 43. In the positive control group, cadmium exposure significantly decreased the level of serum total proteins. A consequence of a decrease in serum albumin being the major plasma protein decreases plasma oncotic pressure, causing intravascular volume depletion and edema formation 44. In contrast, there was an increment in the total protein in the rats pre-treated and post-treated with the low and high doses of AEZCs, therefore, suggesting its protective and ameliorative potency against Cadmium.
Although the presence of an injury can be clearly established on the basis of biochemical evidence, histologic examination of a liver biopsy specimen remains a definitive means of diagnosing the presence and type of liver injury 45. In the positive control, there were focal losses of hepatic tissue (optical empty spaces) which suggests extensive destruction of the fenestrations on the luminal surfaces of hepatic endothelial cells lining the sinusoids. The endothelial cells appear to be the first cellular target for Cadmium-induced hepatocellular injury 46. The normal structure and tortuous paths of hepatic sinusoids through the liver bed which allows efficient exchange of materials between the hepatocytes and blood is consequently disrupted. Specific sinusoidal membrane transporters such as ZIP8 have been reported to participate in cadmium uptake into the hepatocytes 47. In the hepatocyte, cadmium forms complexes with small peptides and proteins via binding to sulfhydryl groups, in a process described as ionic and molecular mimicry 48-49. These events may have aided in triggering a cascade of inflammatory mediators that promoted necrosis in the liver. The histopathological changes associated with cadmium exposure agree with previous reports 50-51. Pre-treatment with doses of 10 mg/kg and 40 mg/kg AEZCs revealed that the liver parenchyma and associated vessels were preserved to near normal states. However, this potency was better defined at the extract high dose.
The lobular structure was generally maintained, and focal areas of necrosis were surrounded by viable hepatocytes that revealed the degree of degenerative changes. Considerable regeneration of the liver tissue evidenced by restorative changes in the peri-portal hepatocytes, sinusoidal arrangement, and portal area followed post-treatment with AEZCs. Again, this ameliorative potential of AEZCs on the liver was more visible at the high dose.
Spontaneous attacks by reactive oxygen species (ROS) like Superoxide on polyunsaturated fatty acids lead to variable degrees of lipid peroxidation, estimated by measuring the amount of malondialdehyde (a product of such polyunsaturated fatty acids peroxidation) 52. These free radicals combine with nitric oxide to form the peroxynitrite, an oxidant which attacks biological membranes, causing cellular damage 53. Antioxidant enzymes such as glutathione peroxidase (GPx), superoxide dismutase (SOD) and catalase (CAT) are considered to be the first line of cellular defense against cellular oxidative damages. In the positive control group of rats, there was an excessive lipid peroxidation with an increase in hepatic superoxide dismutase (SOD) activities. This finding is in keeping with the report that excessive lipid peroxidation and an increase in superoxide dismutase (SOD) activities are hallmarks of oxidative stress 54.
From a clinical standpoint, in-vivo investigations of biomarkers of oxidative stress are of interest because they aid to evaluate the efficacy of treatment. Pre-treatment with AEZCs revealed a protective effect against cadmium on the liver. This finding is similar to a report on the protective effect of Citrus paradisci seed against cadmium 55. AEZCs were insufficient to protect the hepatocytes from oxidative damage at the low dose due to persistently increased in MDA level and hepatic SOD activity. Following the post-treatment with AEZCs, biochemical evidence showed a marked change in SOD activity in relation to the MDA concentration. The observed decrease in MDA concentration as a function of the high dose of AEZCs. This supports a similar report on the ameliorative effect of the peel of Citrus sinensis against castration induced oxidative stress on the liver 56.
CONCLUSION: Hepatotoxicity from most environmental toxicants has posed a predominant health risk in various populations especially in sub-Saharan Africa. The treatment options are few, usually expensive, less accessible and not entirely devoid of side effects. This study sought to evaluate the effect of AEZCs on liver toxicity with a possible view of developing better alternatives to synthetic treatment products since the extract of the zest of Citrus sinensis contains important anti-oxidants that could combat the harmful effect of free radicals of oxidative stress and promote liver health.
From our findings, we submit that the results obtained in this research work, show that the aqueous the aqueous extract of the zests of C. sinensis may possess a protective and ameliorative potency against liver toxicity associated with cadmium in our contemporary environment.
ACKNOWLEDGEMENT: The authors acknowledge the staff and laboratory technicians of the Anatomy Departments at the University of Nigeria, Enugu State and Alex Ekwueme Federal University Ndufu Alike Ikwo, Ebonyi State, both in Nigeria.
CONFLICTS OF INTEREST: The authors declare that there was no conflicting interest.
REFERENCES:
- World Health Organization. An estimated 12.6 million deaths each year are attributable to unhealthy environments. WHO newsletter publication. Geneva, 2016. https://www.who.int/news-room/detail/15-03-2016-an-estimated-12-6-million-deaths-each-year-are-attributable-to-unhealthy-environments [Accessed November, 2019]
- Aleksandra B, Wallace D, Matovic V, Schweitzer A, Branislav O, Dusan M and Vladimir D: Cadmium exposure as a putative risk factor for the development of pancreatic cancer: Three Different Lines of Evidence. Bio Med Research International 2017; 1-8.
- International Agency for Research on Cancer (IARC). Agents Classified by the IARC. Monographs, 1–121; IARC Monographs: Lyon, France 2018; 1-25.
- Satarug S, Garrett SH, Sens MA and Sens DA: Cadmium, environmental exposure, and health outcomes. Environ. Health Perspect 2010; 118, 182-90.
- Mezynska, M and Brzóska MM: Environmental exposure to cadmium-A risk for health of the general population in industrialized countries and preventive strategies. Environ Sci Pollut Res 2018; 25: 3211-32.
- Ibeto CN and Okoye COB: Elevated Cadmium Levels in Blood of the Urban Population in Enugu State Nigeria. World Applied Sciences Journal 2009; 7(10): 1255-62.
- El-Boshy ME, Risha EF, Abdelhamid FM, Mubarak MS, Hadda T: Protective effects of selenium against cadmium induced hematological disturbances, immunosuppressive, oxidative stress and hepatorenal damage in rats. J. Trace Elem Med Biol 2015; 29: 104-10.
- Vadivu R, Krithika A, Biplab C, Dedeepya P, Shoeb N and Lakshmi KS: Hepatoprotective activity of fruits of Cocinia grandis against carbon tetrachloride induced hepa-totoxicity. International Journal of Health Research 2008; 1(3): 163.
- Watcho P, Ngadjui E and Alango NP: Reproductive effects of Ficus asperifolia (Moraceae) in female rats. Afr. Health Sci 2009; 9(1): 49-53.
- Food and Agriculture Organisation of the United Nations (FAO). Citrus Fruit; fresh and processed: Statistical Bulletin 2016, Food & Agriculture Org., 2018, Rome, 6 -77.
- Mandalari G, Bennett RN, Bisignano G, Saija A, Dugo G, Curto RB, Faulds CB and Waldron KW: Characterization of flavonoids and pectin from bergamot (Citrus bergamia Risso) peel, a major byproduct of essential oil extraction. J Agric and Food Chem 2006; 54(1): 197-03.
- Ali J, Das B and Saikia T: Antimicrobial activity of lemon peel (Citrus limon) extract. International Journal of Current Pharmaceutical Research 2017; 9(4): 79-82.
- Mohammed AFE: Protective effects of sweet orange peel (Citrus sinensis); the induction of micronuclei induced by cyclophosphamide in human peripheral lymphocytes. Journal of Food Technology Research 2016; 3(1): 28-35.
- Velu S, Abu Bakar F, Mahyudin NA, Saari N and Zaman MZ: In-vitro antimicrobial activity of musk lime, Int Food Res J 2014; 12: 379-8.
- Methods optimization in accelerated solvent extraction in technical note 2013; 208: 1-4.
- Wu C, Wang F, Liu J, Zou Y and Chen X: A comparison of volatile fractions obtained from Lonicera macranthoides via different extraction processes: ultrasound, microwave, Soxhlet extraction, hydrodistillation, and cold maceration. Integrative Medicine Research 2015; 4(3): 171-77.
- Diso US, Ali M, Mukhtar SI and Garba M: Antibacterial Activity and phytochemical screening of Mangifera indica (Mango) stem and leaf extracts on clinical isolates of methicillin resistant Staphylococcus aureus. Journal of Advances in Medical and Pharmaceutical Sciences 2017; 13(1): 1-6.
- Wu X, Cobbina SJ, Mao G, Xu H, Zhang Z and Yang L: A review of toxicity and mechanisms of individual and mixtures of heavy metals in the environment. Environ Sci Pollut Res 2016; 1-16.
- Agency for Toxic Substances and Disease Registry (ATSDR). Toxicological Profile for Cadmium; the United States Public Health Service, Agency for Toxic Substances and Disease Registry: Atlanta, GA, USA, 2012; 1-487.
- Andjelkovic M, Djordjevic AB, Antonijevic E, Antonijevic B, Stanic M, Kotur-Stevuljevic J, Spasojevic-Kalimanovska V, Jovanovic M, Boricic N, Wallace D and Bulat Z: Toxic effect of acute cadmium and lead exposure in rat blood, liver, and kidney. Int J Environ Res Public Health 2019; 16: 274-95.
- Saalu LC, Osinubi AA, Jewo PI, Oyewopo AO and Ajayi GO: An evaluation of influence of citrus paradisi seed extract on doxorubicin-induced testicular oxidative stress & impaired spermatogenesis. Asian Journal of Sci Res 2010; 3: 51-61.
- The OECD guideline for testing of chemical usage in experiments. The organization of economic co-operation development. Paris 2001.
- Lorke D: A new approach to tropical acute toxicity testing. Arch. Toxicol 1983; 53: 275-87.
- Ashafa AOT and Kazeem MI: Toxicopathological Evaluation of hydroethanol extract of Dianthus basuticus in Wistar rats. Evidence-Based Complementary and Alternative Medicine 2015; 1-10.
- Rajeswari S, Gandhi M, Kumar DA, Dhananjayan R and Swaminathan S: Comparison of alkaline phosphatase assay using two different buffer systems: AMP and DEA. World J Pharm Sci 2015; 3(7): 1446-49.
- Bergmeyer HU and Bernt E: Colorimetric assay of reitman and frankel. In book: methods of enzymatic analysis, elsevier publisher, 2nd 1974, 735-39.
- Weichselbaum TE: An accurate and rapid method for the determination of proteins in small amounts of blood serum and plasma. Am J Clin Pathol 1946; 10: 40-49.
- Beuge JA and Aust SD: Microsomal lipid peroxidation, Methods Enzymol 1978; 52: 302-10.
- Bai ZL, Li XS, Chen GY, Du Y, Wei ZX, Chen X, Zheng GE, Deng W and Cheng Y: Serum oxidative stress marker levels in unmedicated and medicated patients with schizophrenia. J Mol Neurosci 2018; 66: 428-36.
- Harborne JB: Phytochemical methods: A guide to modern technique of plants analysis. London: Chapman and Hall publisher 1983; 1-36.
- CPCSEA (Committee for the purpose of Control and supervision of Experimental Animals), Chennai, India: icmr.nic.in/bioethics_cpcsea. In: Amrish S and Vinod R: immunomodulatory activity of methanol extract of Adansonia digitata Tropical Journal of Pharmaceutical Research 2016; 15(9): 1923-27.
- Adewale OF, Basiru OA, Ifanikin A, Oluwafemi AO, Babatunji EO and Okesola MA: Significance of Antioxidants in the Treatment and Prevention of Neurodegenerative Diseases. Journal of Phyto-pharmacology. JPHYTO 2019; 8(2): 75-83
- Balogun ME, Nwachukwu DC, Salami SA, Besong EE, Obu DC and Djobissie SFA: Assessment of Anti-ulcer Efficacy of Stem Bark Extract of Nauclea latifolia (African Peach) in Rats. American Journal of Biomedical Research 2016; 4(1): 13-17.
- Satpute RM, Kushwaha PK, Nagar DP and Rao PV: Comparative safety evaluation of riot control agents of synthetic and natural origin, Inhalation Toxicology 2018; 30(2): 89-97.
- Bailey SA, Zidell RH and Perry RW: Relationships Between Organ Weight and Body/Brain Weight in the Rat: What Is the Best Analytical Endpoint? Toxicologic Pathology 2004; 32: 448-66.
- Peter AI, Naidu ECS, Akang E, Ogedengbe OO, Offor U, Rambharose S, Kalhapure R, Chuturgoon A, Govender T and Azu OO: Investigating organ toxicity profile of tenofovir and tenofovir nanoparticle on the liver and kidney. Experimental animal study. Toxicol Res 2018; 34(3): 221-29.
- Young-mi G, Sutlif RL, Chander JD, Khalidur R, Anania FA, Orr M, Hao L, Flower BA, and Jones DP: Low-dose cadmium causes metabolic and genetic dysregulation associated with fatty liver disease in mice Toxicol Sci 2015; 147(2): 524-34.
- Contreras-Zentella ML and Hernández-Muñoz: Is liver enzyme release really associated with cell necrosis induced by oxidant stress? Oxidative Medicine and Cellular Longevity 2016; 1-12.
- Lowe D and John S: Alkaline Phosphatase. Treasure Island (FL): StatPearls Publishing; 2019. Available from: https://www.ncbi.nlm.nih.gov/books/NBK459201/
- McGill MR: The past and present of serum aminotransferases and the future of liver injury biomarkers. EXCLI J 2016; 15: 817-28.
- Samanta P, Pal S, Mukherjee AK and Ghosh AR: Evaluation of metabolic enzymes in response to excel Mera 71, a glyphosate-based herbicide, and recovery pattern in freshwater teleostean fishes. Biomed Res Int 2014; 425159.
- Le Banh Serum proteins as markers of Nutrition; What are we treating? Gastroenterology 2006; 43: 12-15.
- Al-Asgah NA, Abdel-Warith AW, El-sayed MY and Allam HY: Haematological and biochemical parameters and tissue accumulations of cadmium in Oreochromis niloticus exposed to various concentrations of cadmium chloride. Saudi J Biol Sci 2015; 22(5): 543-50.
- Scallan J, Huxley VH and Korthuis RJ: Pathophysiology of edema formation. In: capillary fluid exchange: regulation, functions, and pathology. San Rafael (CA): Morgan & Claypool Life Sciences 2010; 2(1): 1-94.
- Germani G, Hytiroglou P, Fotiadu A, Andrew KB and Amar PD: Assessment of Fibrosis and Cirrhosis in Liver Biopsies.Semin Liver Dis 2011; 31(1): 82-90.
- Yamano T, DeCicco LA and Rikans LE: Attenuation of cadmium-induced liver injury in senescent male fischer 344 rats: role of Kupffer cells and inflammatory cytokines. Toxicol Appl Pharmacol 2000; 162: 68-75.
- Fujishiro H, Okugaki S, Kubota K, Fujiyama T and Miyataka H: The role of ZIP8 down-regulation in cadmium-resistant metallothionein-null cells. J Appl Toxicol 2009; 29: 367-73.
- Rani A, Kumar A, Lal A and Pant M: Cellular mechanisms of cadmium-induced toxicity: a review. Int J Environ Health Res 2014; 24: 378-99.
- Luevano J and Damodaran C: A review of molecular events of cadmium-induced carcinogenesis. Journal of Environmental Pathology, Toxicology and Oncology 2014; 33(3): 183-94.
- Ju H, Arumugam P, Lee J and Song JM: Impact of Environmental Pollutant Cadmium on the Establishment of a Cancer Stem Cell Population in Breast and Hepatic Cancer. ACS Omega 2017; 2(2): 563-72.
- Alkushi AG, Sinna MM, EL-Hady M and ElSawy NA. Structural Changes in Adult Rat Liver Following Cadmium Treatment. Pakistan Journal of Nutrition 2018; 17: 89-101.
- Ancuta P: Effect of antioxidants on polyunsaturated fatty acids – Review. Acta Scientiarum polonorum, Technologia Alimentaria 2016; 15(2): 121-29.
- Nita M and Grzybowski A: The role of the reactive oxygen species and oxidative stress in the pathomechanism of the age-related ocular diseases and other pathologies of the anterior and posterior eye segments in adults. Oxid Med Cell Longev 2016; 3164734.
- Jóźwiak W and Politycka B: Effect of selenium on alleviating oxidative stress caused by a water deficit in Cucumber roots. Plants 2019; 8(7): 217.
- Bashir N, Manoharan V and Miltonprabu S: Grape seed proanthocyanidins protects against cadmium-induced oxidative pancreatitis in rats by attenuating oxidative stress, inflammation and apoptosis via Nrf-2/HO-1 signaling. The Journal of Nutritional Biochemistry 2016; 32: 128-41.
- Nada AEM, Amany AT, Elgamal B and Abdel Moneim AE: Ameliorative effect of citrus peel extract on castration-induced oxidative stress in liver and kidney of rats. Journal of Applied Pharmaceutical Science 2014; 4(7): 64-68.
How to cite this article:
Nwafor JA, Obikili EN, Akunna GG, Anyanwu GE and Esom E: The role of aqueous extract of Citrus sinensis peel in cadmium mediated hepatotoxicity. Int J Pharm Sci & Res 2020; 11(5): 2042-51. doi: 10.13040/IJPSR.0975-8232.11(5).2042-51.
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Article Information
8
2042-2051
519
1021
English
IJPSR
J. A. Nwafor *, E. N. Obikili, G. G. Akunna, G. E. Anyanwu and E. Esom
Department of Anatomy, Faculty of Basic Medical Sciences, College of Medicine, Alex Ekwueme Federal University Ndufu- Alike, Ikwo (AE-FUNAI), Ebonyi State, Nigeria.
jnwafor49@gmail.com
16 June 2019
11 November 2019
08 February 2020
10.13040/IJPSR.0975-8232.11(5).2042-51
01 May 2020