Aqueous Thunbergia laurifolia leaf extract alleviates paraquat-induced lung injury in rats by inhibiting oxidative stress and inflammation

Abstract Background Paraquat (PQ) has been reported to have a high mortality rate. The major target organ of PQ poisoning is the lungs. The pathogenesis of PQ-induced lung injury involves oxidative stress and inflammation. Unfortunately, there is still no effective antidote for PQ poisoning. We hypo...

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Main Authors: Sarawoot Palipoch, Chuchard Punsawad, Phanit Koomhin, Prasit Na-Ek, Wasinee Poonsawat, Rungruedi Kimseng, Potiga Chotipong, Kingkan Bunluepuech, Gorawit Yusakul, Prasit Suwannalert
Format: Article
Language:English
Published: BMC 2022-03-01
Series:BMC Complementary Medicine and Therapies
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Online Access:https://doi.org/10.1186/s12906-022-03567-4
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author Sarawoot Palipoch
Chuchard Punsawad
Phanit Koomhin
Prasit Na-Ek
Wasinee Poonsawat
Rungruedi Kimseng
Potiga Chotipong
Kingkan Bunluepuech
Gorawit Yusakul
Prasit Suwannalert
author_facet Sarawoot Palipoch
Chuchard Punsawad
Phanit Koomhin
Prasit Na-Ek
Wasinee Poonsawat
Rungruedi Kimseng
Potiga Chotipong
Kingkan Bunluepuech
Gorawit Yusakul
Prasit Suwannalert
author_sort Sarawoot Palipoch
collection DOAJ
description Abstract Background Paraquat (PQ) has been reported to have a high mortality rate. The major target organ of PQ poisoning is the lungs. The pathogenesis of PQ-induced lung injury involves oxidative stress and inflammation. Unfortunately, there is still no effective antidote for PQ poisoning. We hypothesized that aqueous Thunbergia laurifolia (TL) leaf extract is a possible antidote for PQ-induced lung injury. Methods The total phenolic content and caffeic acid content of an aqueous extract of TL leaves were analyzed. Male Wistar rats were randomly divided into four groups (n = 4 per group): the control group (administered normal saline), the PQ group (administered 18 mg/kg body weight (BW) PQ dichloride subcutaneously), the PQ + TL-low-dose (LD) group (administered PQ dichloride subcutaneously and 100 mg/kg BW aqueous TL leaf extract by oral gavage) and the PQ + TL-high-dose (HD) group (administered PQ dichloride subcutaneously and 200 mg/kg BW aqueous TL leaf extract by oral gavage). Malondialdehyde (MDA) levels and lung histopathology were analyzed. In addition, the mRNA expression of NADPH oxidase (NOX), interleukin 1 beta (IL-1β), and tumor necrosis factor alpha (TNF-α) was assessed using reverse transcription-polymerase chain reaction (RT-PCR), and the protein expression of IL-1β and TNF-α was analyzed using immunohistochemistry. Results The total phenolic content of the extract was 20.1 ± 0.39 μg gallic acid equivalents (Eq)/mg extract, and the caffeic acid content was 0.31 ± 0.01 μg/mg. The PQ group showed significantly higher MDA levels and NOX, IL-1β and TNF-α mRNA expression than the control group. Significant pathological changes, including alveolar edema, diffuse alveolar collapse, hemorrhage, leukocyte infiltration, alveolar septal thickening and vascular congestion, were observed in the PQ group compared with the control group. However, the aqueous TL leaf extract significantly attenuated the PQ-induced increases in MDA levels and NOX, IL-1β and TNF-α expressions. Moreover, the aqueous TL leaf extract ameliorated PQ-induced lung pathology. Conclusion This study indicates that aqueous TL leaf extract can ameliorate PQ-induced lung pathology by modulating oxidative stress through inhibition of NOX and by regulating inflammation through inhibition of IL-1β and TNF-α expressions. We suggest that aqueous TL leaf extract can be used as an antidote for PQ-induced lung injury.
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spelling doaj.art-38e6be1c93b043d1b22fca7a27e095372022-12-22T02:37:48ZengBMCBMC Complementary Medicine and Therapies2662-76712022-03-0122111010.1186/s12906-022-03567-4Aqueous Thunbergia laurifolia leaf extract alleviates paraquat-induced lung injury in rats by inhibiting oxidative stress and inflammationSarawoot Palipoch0Chuchard Punsawad1Phanit Koomhin2Prasit Na-Ek3Wasinee Poonsawat4Rungruedi Kimseng5Potiga Chotipong6Kingkan Bunluepuech7Gorawit Yusakul8Prasit Suwannalert9School of Medicine, Walailak UniversitySchool of Medicine, Walailak UniversitySchool of Medicine, Walailak UniversitySchool of Medicine, Walailak UniversityResearch Institute for Health Sciences, Walailak UniversityResearch Institute for Health Sciences, Walailak UniversityCenter of Scientific and Technological Equipment, Walailak UniversitySchool of Medicine, Walailak UniversitySchool of Pharmacy, Walailak UniversityDepartment of Pathobiology, Faculty of Science, Mahidol UniversityAbstract Background Paraquat (PQ) has been reported to have a high mortality rate. The major target organ of PQ poisoning is the lungs. The pathogenesis of PQ-induced lung injury involves oxidative stress and inflammation. Unfortunately, there is still no effective antidote for PQ poisoning. We hypothesized that aqueous Thunbergia laurifolia (TL) leaf extract is a possible antidote for PQ-induced lung injury. Methods The total phenolic content and caffeic acid content of an aqueous extract of TL leaves were analyzed. Male Wistar rats were randomly divided into four groups (n = 4 per group): the control group (administered normal saline), the PQ group (administered 18 mg/kg body weight (BW) PQ dichloride subcutaneously), the PQ + TL-low-dose (LD) group (administered PQ dichloride subcutaneously and 100 mg/kg BW aqueous TL leaf extract by oral gavage) and the PQ + TL-high-dose (HD) group (administered PQ dichloride subcutaneously and 200 mg/kg BW aqueous TL leaf extract by oral gavage). Malondialdehyde (MDA) levels and lung histopathology were analyzed. In addition, the mRNA expression of NADPH oxidase (NOX), interleukin 1 beta (IL-1β), and tumor necrosis factor alpha (TNF-α) was assessed using reverse transcription-polymerase chain reaction (RT-PCR), and the protein expression of IL-1β and TNF-α was analyzed using immunohistochemistry. Results The total phenolic content of the extract was 20.1 ± 0.39 μg gallic acid equivalents (Eq)/mg extract, and the caffeic acid content was 0.31 ± 0.01 μg/mg. The PQ group showed significantly higher MDA levels and NOX, IL-1β and TNF-α mRNA expression than the control group. Significant pathological changes, including alveolar edema, diffuse alveolar collapse, hemorrhage, leukocyte infiltration, alveolar septal thickening and vascular congestion, were observed in the PQ group compared with the control group. However, the aqueous TL leaf extract significantly attenuated the PQ-induced increases in MDA levels and NOX, IL-1β and TNF-α expressions. Moreover, the aqueous TL leaf extract ameliorated PQ-induced lung pathology. Conclusion This study indicates that aqueous TL leaf extract can ameliorate PQ-induced lung pathology by modulating oxidative stress through inhibition of NOX and by regulating inflammation through inhibition of IL-1β and TNF-α expressions. We suggest that aqueous TL leaf extract can be used as an antidote for PQ-induced lung injury.https://doi.org/10.1186/s12906-022-03567-4ParaquatThunbergia laurifoliaLung injuryOxidative stressInflammationMalondialdehyde
spellingShingle Sarawoot Palipoch
Chuchard Punsawad
Phanit Koomhin
Prasit Na-Ek
Wasinee Poonsawat
Rungruedi Kimseng
Potiga Chotipong
Kingkan Bunluepuech
Gorawit Yusakul
Prasit Suwannalert
Aqueous Thunbergia laurifolia leaf extract alleviates paraquat-induced lung injury in rats by inhibiting oxidative stress and inflammation
BMC Complementary Medicine and Therapies
Paraquat
Thunbergia laurifolia
Lung injury
Oxidative stress
Inflammation
Malondialdehyde
title Aqueous Thunbergia laurifolia leaf extract alleviates paraquat-induced lung injury in rats by inhibiting oxidative stress and inflammation
title_full Aqueous Thunbergia laurifolia leaf extract alleviates paraquat-induced lung injury in rats by inhibiting oxidative stress and inflammation
title_fullStr Aqueous Thunbergia laurifolia leaf extract alleviates paraquat-induced lung injury in rats by inhibiting oxidative stress and inflammation
title_full_unstemmed Aqueous Thunbergia laurifolia leaf extract alleviates paraquat-induced lung injury in rats by inhibiting oxidative stress and inflammation
title_short Aqueous Thunbergia laurifolia leaf extract alleviates paraquat-induced lung injury in rats by inhibiting oxidative stress and inflammation
title_sort aqueous thunbergia laurifolia leaf extract alleviates paraquat induced lung injury in rats by inhibiting oxidative stress and inflammation
topic Paraquat
Thunbergia laurifolia
Lung injury
Oxidative stress
Inflammation
Malondialdehyde
url https://doi.org/10.1186/s12906-022-03567-4
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