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Eurasian Journal of
            Medicine and Oncology                                                Quercetin effects in rats with liver injury




            Table 1. Materials used in this study              protein that inhibits apoptosis by blocking the function of
                                                               an activated apoptotic protease. The relative expression of
            Chemicals    Manufacturer        Country of origin  these markers indicates the degree of hepatocyte apoptosis,
            Quercetin    Alps pure life sciences  India        a  relatively  common  phenomenon  in  liver  injury  and
            Paracetamol  Kabri life sciences  India            disease development.
            Ketamine     Pfizer              United States       Oxidative stress was assessed by determining levels
            Xylazine     Santa Cruz Biotechnology  United States  of malondialdehyde (MDA) and GSH. MDA, a product
                                                               of lipid peroxidation, serves as a prominent marker
            Twenty-eight male Sprague-rats (obtained from the University   of oxidative cellular membrane damage, reflecting the
            of Kufa/College of Science) weighing 200 – 250  g were   degree of injury induced by oxidative stress. GSH is a key
            randomly divided into four groups (n = 7): (i) normal control   endogenous antioxidant that maintains cellular redox
            group: Received distilled water and saline, (ii) paracetamol   balance by scavenging ROS and ROS-associated oxidative
            group: Received 2 g/kg of paracetamol.  (iii) paracetamol   damage. A decrease in GSH level and an increase in MDA
                                           15
            + quercetin group: Received 50  mg/kg of quercetin and   reflect an imbalance in the oxidative defense system that
            2 g/kg of paracetamol, and (iv) the quercetin-only group was   may lead to liver dysfunction and disease development.
            administered with 50 mg/kg of quercetin intraperitoneally.  These biochemistry parameters, reflecting liver function,
                                                               inflammation, apoptosis, and oxidative stress, were evaluated
              After 24  h of treatment, the animals were sacrificed   to better understand the pathophysiological mechanisms
            with 90  mg/kg of ketamine and 10  mg/kg of xylazine   underlying liver injury and disease progression.
            15  to  obtain blood and  liver  samples  for  histological
            and biochemical analyses.  After 24  h of treatment, the   2.4. Histopathological examination
                                 16
            animals were sacrificed to obtain blood and liver samples
            for histological and biochemical analyses.         Liver tissues were fixed with 10% formalin to preserve
                                                               the cellular architecture and prevent putrefaction. After
            2.3. Biochemical analysis                          fixation, tissues were embedded in paraffin for easy
                                                               and precise sectioning. The thin liver tissue sections
            Liver function was comprehensively assessed by     were prepared and mounted on glass slides, followed by
            determining  the  serum  levels  of  two  principal  hepatic   hematoxylin and eosin (H&E) staining. H&E staining is a
            enzymes: Glutamate pyruvate transaminase (GPT),    common histological technique, staining the nuclei of cells
            known as alanine aminotransferase, and glutamate   deep blue or purple, enhancing nuclear morphology, and
            oxaloacetate transaminase (GOT), referred to as aspartate   staining the cytoplasm and extracellular matrix, providing
            aminotransferase. These enzymes are important as elevated   a distinguishable observation of tissue components.
            levels in the blood are usually a sign of hepatocellular
            damage and liver injury due to different pathological   Histological assessment was performed to observe
            conditions, particularly on the hepatocytes.       changes in the architecture of the liver, with a special
                                                               focus on major pathological features. These assessments
              To further analyze the inflammatory response, the   included evidence of hepatocyte necrosis, which included
            expression levels of nuclear factor kappa B (NF-κB) and   loss of cellular integrity and nuclear fragmentation. The
            tumor necrosis factor-alpha (TNF-α) were quantified using   presence of inflammatory cells, when observed, served
            enzyme-linked immunosorbent assay. NF-κB is one of the   as an indicator of an immune response to hepatic injury.
            most important transcription factors for the transcription   Additional histological evaluations involved vascular
            of many pro-inflammatory cytokines, with TNF-α being   atony and passive hyperemia, the passive accumulation
            one  of  them.  TNF-α  is  a  pro-inflammatory  cytokine   of blood within the liver sinusoids, which may indicate
            significantly related to liver inflammation mediated by   circulatory disturbance or tissue damage. Collectively,
            other immune responses. Upregulation of these markers   these histological parameters provided a comprehensive
            is often associated with processes involving inflammation,   understanding of the extent and nature of liver injury,
            oxidative stress, and immune activation in liver disease.  offering valuable insights into the associated tissue

              Cysteine-aspartic acid protease 3 (caspase-3) and B-cell   pathology.
            lymphoma 2 (BCL2) levels were determined to assess
            apoptotic activity. Caspase-3 is an executioner caspase in   2.5. Statistical analysis
            the apoptotic pathway. It is hypothesized to play a major   Statistical calculations were performed using the Statistical
            role in apoptosis by proteolytically cleaving vital cellular   Package for Social Sciences 24.0 software for the Windows
            proteins, leading to cell death. BCL2 is an anti-apoptotic   operating system. Data are expressed as mean ± standard


            Volume 9 Issue 2 (2025)                        226                              doi: 10.36922/ejmo.7873
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