Rutin has been shown to possess beneficial health effects, including hepatoprotection. However, to date, it has not been demonstrated to have a hepatoprotective effect against cholestatic liver injury. This is the first report to show a protective effect of
rutin on cholestatic liver injury.
Cholestasis was produced by bile duct
ligation (BDL) in male Sprague-Dawley rats for 3 weeks. Daily
oral administration of
rutin was started 1 week before injury and was maintained for 4 weeks. In comparison with the control group, the BDL group showed liver injury as evidenced by histological changes and elevation in serum biochemicals, ductular reaction,
fibrosis,
inflammation, and oxidative stress. These pathophysiological changes were attenuated by
rutin supplementation.
Rutin alleviated BDL-induced
transforming growth factor β1 (TGF-β1), interleukin-1β,
connective tissue growth factor, and
collagen expression. The antifibrotic effect of
rutin was accompanied by reductions in α-smooth muscle actin-positive matrix-producing cells and Smad2/3 activity critical to the fibrogenic potential of TGF-β1.
Rutin attenuated BDL-induced oxidative stress, leukocyte accumulation, NF-κB activation, and proinflammatory
cytokine production. Further studies demonstrated an inhibitory effect of
rutin on the redox-sensitive intracellular signaling molecule
extracellular signal-regulated kinase (ERK).
Rutin also attenuated BDL-induced reduction in
NF-E2-related factor 2 (Nrf2),
heme oxygenase-1 (HO-1), and
AMP-activated protein kinase (AMPK). Taken together, the beneficial effects of
rutin were shown to be associated with antioxidative and anti-inflammatory effects as well as the downregulation of NF-κB and TGF-β/Smad signaling, probably via interference of ERK activation and/or enhancement of Nrf2, HO-1, and AMPK activity.