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Hesperidin protects against cyclophosphamide-induced hepatotoxicity by upregulation of PPARγ and abrogation of oxidative stress and inflammation.

Abstract
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.
AuthorsAyman M Mahmoud
JournalCanadian journal of physiology and pharmacology (Can J Physiol Pharmacol) Vol. 92 Issue 9 Pg. 717-24 (Sep 2014) ISSN: 1205-7541 [Electronic] Canada
PMID25079140 (Publication Type: Journal Article)
Chemical References
  • Antineoplastic Agents, Alkylating
  • Antioxidants
  • Cytokines
  • PPAR gamma
  • Nitric Oxide
  • Cyclophosphamide
  • Hesperidin
  • Transaminases
  • Glutathione
Topics
  • Animals
  • Antineoplastic Agents, Alkylating (adverse effects)
  • Antioxidants (pharmacology, therapeutic use)
  • Chemical and Drug Induced Liver Injury (metabolism, prevention & control)
  • Cyclophosphamide (adverse effects)
  • Cytokines (blood)
  • Glutathione (blood, metabolism)
  • Hesperidin (pharmacology, therapeutic use)
  • Inflammation (metabolism, prevention & control)
  • Lipid Peroxidation (drug effects)
  • Liver (drug effects, metabolism)
  • Male
  • Nitric Oxide (blood)
  • Oxidative Stress (drug effects)
  • PPAR gamma (metabolism)
  • Rats, Wistar
  • Transaminases (blood)
  • Up-Regulation

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