The most important reason for the non-approval and withdrawal of drugs by the Food and Drug Administration is hepatotoxicity. Therefore, this study was undertaken to evaluate the protective effects of
hesperidin against
cyclophosphamide (CYP)-induced hepatotoxicity in Wistar rats. The rats received a single intraperitoneal dose of CYP of 200 mg/kg body mass, followed by treatment with
hesperidin, orally, at doses of 25 and 50 mg/kg for 11 consecutive days. CYP induced hepatic damage, as evidenced by the significantly elevated levels of serum pro-inflammatory
cytokines, serum
transaminases, liver lipid peroxidation, and
nitric oxide. As a consequence, there was
reduced glutathione content, and the activities of the
antioxidant enzymes superoxide dismutase,
catalase, and
glutathione peroxidase, were markedly reduced. In addition, CYP administration induced a considerable downregulation of
peroxisome proliferator activated receptor gamma (PPARγ) and upregulation of
nuclear factor-kappa B (NF-κB) and
inducible nitric oxide synthase (iNOS)
mRNA expression.
Hesperidin, in a dose-dependent manner, rejuvenated the altered markers to an almost normal state. In conclusion,
hesperidin showed a potent protective effect against CYP-induced oxidative stress and
inflammation leading to hepatotoxicity. The study suggests that
hesperidin exerts its protective effect against CYP-induced hepatotoxicity through upregulation of hepatic PPARγ expression and abrogation of
inflammation and oxidative stress.