Dihydromyricetin alleviates methotrexate-induced hepatotoxicity via suppressing the ‎TLR4/NF-κB pathway and NLRP3 inflammasome/caspase 1 axis

The anticancer drug methotrexate (MTX) is known to cause hepatotoxicity as a possibly fatal adverse effect that hinders its clinical application. Although the natural flavonoid, dihydromyricetin (DHM), has antioxidant and anti-inflammatory effects; its role against MTX-induced hepatotoxicity has not...

Full description

Bibliographic Details
Main Authors: Asmaa I. Matouk, Eman M. Awad, Nashwa F.G. El-Tahawy, Azza A.K. El-Sheikh, Shaimaa Waz
Format: Article
Language:English
Published: Elsevier 2022-11-01
Series:Biomedicine & Pharmacotherapy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0753332222011416
_version_ 1811339996340158464
author Asmaa I. Matouk
Eman M. Awad
Nashwa F.G. El-Tahawy
Azza A.K. El-Sheikh
Shaimaa Waz
author_facet Asmaa I. Matouk
Eman M. Awad
Nashwa F.G. El-Tahawy
Azza A.K. El-Sheikh
Shaimaa Waz
author_sort Asmaa I. Matouk
collection DOAJ
description The anticancer drug methotrexate (MTX) is known to cause hepatotoxicity as a possibly fatal adverse effect that hinders its clinical application. Although the natural flavonoid, dihydromyricetin (DHM), has antioxidant and anti-inflammatory effects; its role against MTX-induced hepatotoxicity has not been explored yet. For this, rats were administrated DHM orally for two weeks at a dose of 300 mg/kg per day, with or without a single i.p. injection of 40 mg/kg MTX on the 9th day of the experiment. MTX caused deterioration in liver structure and function, depicted by an increase in liver enzymes; ALT and AST. Moreover, MTX induced oxidative stress, shown by increasing malondialdehyde and decreasing reduced glutathione and total antioxidant capacity, initiated the inflammatory response via upregulated expression of Toll-like receptor 4 (TLR4) and its downstream transcription factor, nuclear factor-kappa B (NF-κB p65). Consequent to TLR4 signaling cascade, Nucleotide-binding oligomerization domain (NOD)-like receptor family pyrin domain containing 3 (NLRP3) inflammosome was activated and caused caspase 1 mediated transformation of proinflammatory cytokines interleukin 1β (IL-1β) and interleukin 18 (IL-18) into their active forms. Interestingly, administering DHM with MTX improved liver structure and function, as well as significantly decreased all oxidative stress and inflammatory signaling. Collectively, DHM possesses antioxidant and anti-inflammatory properties that can ameliorate MTX-induced hepatotoxicity, through down-regulation of liver TLR4/NF-κB and therefore prohibit activation of NLRP3/caspase 1 pathway.
first_indexed 2024-04-13T18:34:47Z
format Article
id doaj.art-08ca29b37ec9424abe29e9affffbcaea
institution Directory Open Access Journal
issn 0753-3322
language English
last_indexed 2024-04-13T18:34:47Z
publishDate 2022-11-01
publisher Elsevier
record_format Article
series Biomedicine & Pharmacotherapy
spelling doaj.art-08ca29b37ec9424abe29e9affffbcaea2022-12-22T02:34:55ZengElsevierBiomedicine & Pharmacotherapy0753-33222022-11-01155113752Dihydromyricetin alleviates methotrexate-induced hepatotoxicity via suppressing the ‎TLR4/NF-κB pathway and NLRP3 inflammasome/caspase 1 axisAsmaa I. Matouk0Eman M. Awad1Nashwa F.G. El-Tahawy2Azza A.K. El-Sheikh3Shaimaa Waz4‎Department of Pharmacology and Toxicology, Faculty of Pharmacy, Minia University, El-‎Minia, Egypt‎Department of Pharmacology and Toxicology, Faculty of Pharmacy, Minia University, El-‎Minia, Egypt‎Department of Histology and Cell Biology, Faculty of Medicine, Minia University, El-Minia, ‎EgyptBasic Health Sciences Department, College of Medicine, Princess Nourah bint ‎Abdulrahman University, P.O. Box 84428, Riyadh 11671, Saudi ArabiaDepartment of Biochemistry, Faculty of Pharmacy, Minia University, El-Minia, Egypt; Corresponding author.The anticancer drug methotrexate (MTX) is known to cause hepatotoxicity as a possibly fatal adverse effect that hinders its clinical application. Although the natural flavonoid, dihydromyricetin (DHM), has antioxidant and anti-inflammatory effects; its role against MTX-induced hepatotoxicity has not been explored yet. For this, rats were administrated DHM orally for two weeks at a dose of 300 mg/kg per day, with or without a single i.p. injection of 40 mg/kg MTX on the 9th day of the experiment. MTX caused deterioration in liver structure and function, depicted by an increase in liver enzymes; ALT and AST. Moreover, MTX induced oxidative stress, shown by increasing malondialdehyde and decreasing reduced glutathione and total antioxidant capacity, initiated the inflammatory response via upregulated expression of Toll-like receptor 4 (TLR4) and its downstream transcription factor, nuclear factor-kappa B (NF-κB p65). Consequent to TLR4 signaling cascade, Nucleotide-binding oligomerization domain (NOD)-like receptor family pyrin domain containing 3 (NLRP3) inflammosome was activated and caused caspase 1 mediated transformation of proinflammatory cytokines interleukin 1β (IL-1β) and interleukin 18 (IL-18) into their active forms. Interestingly, administering DHM with MTX improved liver structure and function, as well as significantly decreased all oxidative stress and inflammatory signaling. Collectively, DHM possesses antioxidant and anti-inflammatory properties that can ameliorate MTX-induced hepatotoxicity, through down-regulation of liver TLR4/NF-κB and therefore prohibit activation of NLRP3/caspase 1 pathway.http://www.sciencedirect.com/science/article/pii/S0753332222011416MethotrexateDihydromyricetinTLR4NF-κBNLRP3Caspase 1
spellingShingle Asmaa I. Matouk
Eman M. Awad
Nashwa F.G. El-Tahawy
Azza A.K. El-Sheikh
Shaimaa Waz
Dihydromyricetin alleviates methotrexate-induced hepatotoxicity via suppressing the ‎TLR4/NF-κB pathway and NLRP3 inflammasome/caspase 1 axis
Biomedicine & Pharmacotherapy
Methotrexate
Dihydromyricetin
TLR4
NF-κB
NLRP3
Caspase 1
title Dihydromyricetin alleviates methotrexate-induced hepatotoxicity via suppressing the ‎TLR4/NF-κB pathway and NLRP3 inflammasome/caspase 1 axis
title_full Dihydromyricetin alleviates methotrexate-induced hepatotoxicity via suppressing the ‎TLR4/NF-κB pathway and NLRP3 inflammasome/caspase 1 axis
title_fullStr Dihydromyricetin alleviates methotrexate-induced hepatotoxicity via suppressing the ‎TLR4/NF-κB pathway and NLRP3 inflammasome/caspase 1 axis
title_full_unstemmed Dihydromyricetin alleviates methotrexate-induced hepatotoxicity via suppressing the ‎TLR4/NF-κB pathway and NLRP3 inflammasome/caspase 1 axis
title_short Dihydromyricetin alleviates methotrexate-induced hepatotoxicity via suppressing the ‎TLR4/NF-κB pathway and NLRP3 inflammasome/caspase 1 axis
title_sort dihydromyricetin alleviates methotrexate induced hepatotoxicity via suppressing the ‎tlr4 nf κb pathway and nlrp3 inflammasome caspase 1 axis
topic Methotrexate
Dihydromyricetin
TLR4
NF-κB
NLRP3
Caspase 1
url http://www.sciencedirect.com/science/article/pii/S0753332222011416
work_keys_str_mv AT asmaaimatouk dihydromyricetinalleviatesmethotrexateinducedhepatotoxicityviasuppressingthetlr4nfkbpathwayandnlrp3inflammasomecaspase1axis
AT emanmawad dihydromyricetinalleviatesmethotrexateinducedhepatotoxicityviasuppressingthetlr4nfkbpathwayandnlrp3inflammasomecaspase1axis
AT nashwafgeltahawy dihydromyricetinalleviatesmethotrexateinducedhepatotoxicityviasuppressingthetlr4nfkbpathwayandnlrp3inflammasomecaspase1axis
AT azzaakelsheikh dihydromyricetinalleviatesmethotrexateinducedhepatotoxicityviasuppressingthetlr4nfkbpathwayandnlrp3inflammasomecaspase1axis
AT shaimaawaz dihydromyricetinalleviatesmethotrexateinducedhepatotoxicityviasuppressingthetlr4nfkbpathwayandnlrp3inflammasomecaspase1axis