Abstract
The aim of this study was to investigate the effects of resveratrol against fumonisin B1 (FB1)-induced liver toxicity, as, to the best of our knowledge, these effects have not been investigated yet, even though the toxic effects and mechanisms of FB1 and the antioxidative effects of resveratrol are well known. 40 BALB/c mice were divided into control, FB1, resveratrol, and FB1+resveratrol groups. Control received saline for 14 days. The FB1 group received 2.25 mg/kg FB1 every other day for 14 days. The resveratrol group received 10 mg/kg resveratrol for 14 days. The FB1+resveratrol group received 2.25 mg/kg FB1 every other day and 10 mg/kg resveratrol every day for 14 days. All administrations were peritoneal. Alanine aminotransferase (ALT), aspartate aminotransferase (AST), total sialic acid (TSA) levels were analysed in serum samples, while total antioxidant status (TAS) and total oxidant status (TOS) were measured in the liver. Additionally, the liver tissue was examined for histopathological changes. AST, ALT, and TSA were significantly higher in the FB1 group than control. Resveratrol countered FB1 effects for all parameters, including TOS and TAS. Liver histology showed FB1-induced hyperaemia, infiltrations, and megalokaryosis in some hepatocytes. No pathological findings were detected in the control, resveratrol, or FB1+resveratrol group. Our findings confirm resveratrol’s protective effect against liver damage and oxidative stress caused by FB1. In addition, they suggest that increased serum TSA levels can be used as a biomarker of FB1-induced hepatotoxicity.
KEY WORDS: ALT, AST, liver damage, oxidative stress, total antioxidant status, total oxidant status, total sialic acid
Sažetak
Cilj je ovog istraživanja bio utvrditi djelovanje resveratrola protiv hepatotoksičnosti izazvane fumonizinom B1 (FB1), budući da, koliko znamo, to djelovanje još nije istraženo, premda su toksičnost i mehanizmi djelovanja FB1 te antioksidacijsko djelovanje resveratrola dobro poznati. U tu je svrhu 40 BALB/c miševa bilo raspodijeljeno u sljedeće skupine: kontrolu, FB1, resveratrol te FB1 + resveratrol. Prva je skupina primala fiziološku otopinu svaki dan 14 dana, a druga je primala FB1 u dozi od 2,25 mg/kg svaki drugi dan 14 dana. Treća je skupina primala resveratrol u dozi od 10 mg/kg svaki dan 14 dana, a četvrta kombinaciju FB1 (2,25 mg/kg) svaki drugi dan i resveratrola 10 mg/kg svaki dan 14 dana. Svi su spojevi davani intraperitonealno. Uzorci seruma analizirani su za alanin aminotransferaze (ALT), aspartat aminotransferaze (AST) i ukupnu količinu sijalinske kiseline (TSA), a uzorci jetrenog tkiva za ukupni antioksidacijski status (TAS), ukupni oksidacijski status (TOS) te za histopatološke promjene. AST, ALT i TSA bili su značajno viši u FB1 skupini nego u kontroli. Resveratrol je ublažio djelovanje FB1 na sve parametre, uključujući TOS i TAS. Histološki pregled jetre u FB1 skupini otkrio je hiperemiju, infiltrate i abnormalno velike jezgre u pojedinim hepatocitima, a u ostalim trima skupinama nisu uočene patološke promjene. Naši rezultati potvrđuju zaštitno djelovanje resveratrola od oštećenja jetre i oksidacijskoga stresa prouzročenih FB1. Također upućuju na to da povišene razine TSA mogu upućivati na hepatotoksičnost prouzročenu djelovanjem FB1.
KLJUČNE RIJEČI: ALT, AST, oksidacijski stres, oštećenje jetre, ukupni antioksidacijski status, ukupni oksidacijski status, ukupna sijalinska kiselina
Much is already known about mycotoxins and fumonisins in particular (1–3). Fumonisin B1 (FB1) accounts for 70–80 % of all fumonisins in food and feed products and can be found in urine, serum, and hair (1, 4). According to the International Agency for Research on Cancer (IARC), FB1 is a Group 2B possible human carcinogen (5), and the high concentrations found in Chinese maize have been associated with human oesophageal and liver cancer in China (6, 7).
Among many harmful effects and mechanisms of fumonisin toxic action (8–11), oxidative stress stands out as it causes damage to nucleic acids, proteins, and lipids (12, 13).
The aim of our study was to see if the well-known antioxidant, resveratrol, would counter the effects of FB1, because, to the best of our knowledge, its protective action has never been tested against this mycotoxin, even though its effects have been largely evidenced (14–18). To do that, we focused our study in mice on the protection against FB1-induced liver injury by evaluating serum AST and ALT levels, total sialic acid level, total antioxidant, total oxidant status, and histopathological changes.
MATERIALS AND METHODS
The study included 40 (20 male and 20 female) 8–10-week-old BALB/c mice weighing 25–35 g on average, kept in cages in a 12:12-hour light/dark cycle with free access to standard pellet and water.
The mice were randomly divided into four groups of 10 (five male and five female). The first, control group, was receiving saline (10 mL/kg body weight, bw) intraperitoneally (IP) every other day for 14 days. The second, FB1-only group was receiving an IP dose of 2.25 mg/kg bw FB1 (Adoq Bioscience, Irvine, CA, USA) every other day for 14 days. The third, resveratrol-only group, was receiving a daily IP dose of 10 mg/kg bw resveratrol (Cayman Chemical, Ann Arbor, MI, USA) for 14 days. The fourth, FB1+resveratrol group, received a combination of FB1 and resveratrol as described above.
On day 15, the animals were taken blood samples by intracardiac puncture under inhalation anaesthesia (Isoflurane, Adeka Pharmaceuticals Industry and Trade Inc., Istanbul, Turkey). Later, the mice were euthanised by cervical dislocation and the liver samples were taken.
The study was approved by the Burdur Mehmet Akif Ersoy University animal experiments ethics committee (approval No. 328 of 13 September 2017).
AST and ALT measurements
Serum AST and ALT were analysed spectrophotometrically on a Randox Monaco autoanalyser (Randox Laboratories, Monaco, UK) with corresponding chemical kits (AS8306 and AL8304, respectively).
Total antioxidant status
Total antioxidant status (TAS) was measured in the liver with a commercial TAS kit (Rel Assay Diagnostic, Gaziantep, Turkey) (19). The method is based on the formation of the colored 2,2′-azino-bis (3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) radical in a colourless reduced form by the antioxidants present in the sample. This change in colour was measured spectrophotometrically at 660 nm. The method was calibrated with Trolox and data expressed as mmol Trolox eq/L.
Analysis of total oxidant status
Total oxidant status (TOS) was also measured in the liver with a commercial TOS kit (Rel Assay Diagnostic) (20). The oxidants in the sample oxidise ferric iron ions bound to the chelator. In the acidic medium, these ferric ions form a coloured complex with chromogen. Colour intensity is measured spectrophotometrically at 530 nm. The assay was calibrated with hydrogen peroxide (H2O2) and results are expressed as μmol H2O2 eq./L.
Total sialic acid measurement
As an indicator of liver damage (21, 22), total sialic acid (TSA) was determined in serum according to the method described by Sydow (23). Briefly, 0.2 mL of serum was taken into test tubes and then 1.5 mL of perchloric acid solution was added. The tubes were boiled in a water bath at 100 °C for 5 min, cooled to 4 °C, and centrifuged at 2500 g for 4 min. The obtained supernatants (1 mL) were transferred to clean test tubes, which were added 0.2 mL of Ehrlich reagent, and boiled in a water bath at 100 °C for 15 min. After boiling, the tubes were cooled and 1 mL of distilled water added for spectrophotometry. Optical densities (OD) were read at 525 nm and serum TSA levels determined by means of the standard curve obtained by serial dilution of n-acetyl neurominic acid (NANA) (Sigma-Aldrich, St. Louis, MO, USA).
Histopathological examination
Liver tissue samples collected during necropsy were fixed in a 10 % buffered formaldehyde solution and paraffin-blocked using a Leica ASP300S autotechnicon (Leica Microsystems, Wetzlar, Germany). After 4–5 hours of cooling, we cut them into 5 µm thick serial slices with a rotary microtome (Leica 2155), stained with haematoxylin-eosin (Surgipath, Deer Park, IL, USA), and covered with entellan for examination under a light microscope (Olympus CX21, Olympus Co., Tokyo, Japan). Images were taken with a digital camera (Olympus DP74) and processed using Cell Sens imaging software (Olympus Co., Tokyo, Japan).
Statistical analysis
For statistical analysis we used the Statistical Package for Social Sciences (SPSS) 16.0 (SPSS Inc., Chicago, IL, USA). Initially, the data were analysed for normality of distribution with the Shapiro-Wilk test. Since the data showed a normal distribution (P>0.05), comparisons between the groups were made with one-way analysis of variance (ANOVA). Pairwise differences between the groups were determined with the post hoc Tukey test. The data are shown as means ± standard error, and the significance was set to P<0.05.
RESULTS
Serum AST and ALT levels
Table 1 shows AST and ALT findings. Serum AST levels were significantly higher in the FB1 than other groups (P<0.05). The other groups did not differ significantly from each other. The same is true for serum ALT levels.
Table 1.
Mean (±standard error) serum AST and ALT levels in the control, resveratrol, FB1, and FB1 +resveratrol groups receiving IP treatment for 14 days
| Groups | AST (U/L) | ALT (mg/dL) |
|---|---|---|
| Control (saline 14 days) | 89.51±7.87a | 51.62±8.99a |
| Resveratrol (10 mg/kg) | 88.30±7.75a | 40.66±3.22a |
| FB1 (2.25 mg/kg, qad, 14 days) | 623.62±150.52b | 368.00±119.16b |
| FB1 +resveratrol | 207.99±34.93a | 121.11±23.50a |
– statistically significant (P<0.05) differences between the groups are marked with different letters in superscript. ALT – alanine aminotransferase; AST – aspartate aminotransferase; qad – every other day
Liver TAS and TOS and serum TSA levels
Table 2 shows that liver TAS levels were significantly lower in the FB1 than control and resveratrol group (P<0.05), but not between the FB1+resveratrol group and the rest.
Table 2.
Mean (±standard error) liver TAS in the control, resveratrol, FB1, and FB1 +resveratrol groups receiving IP treatment for 14 days
| Groups | TAS (mmol Trolox eq./L) |
|---|---|
| Control (saline 14 days) | 2.58±0.33b |
| FB1 (2.25 mg/kg qad, 14 days) | 1.53±0.07a |
| Resveratrol (10 mg/kg) | 2.69±0.25b |
| FB 1+resveratrol | 2.15±0.20ab |
– statistically significant (P<0.05) differences between the groups are marked with different letters in superscript. TAS – total antioxidant status; qad – every other day
TOS and TSA levels show the same pattern (Tables 3 and 4, respectively) in the sense that the FB1 group differs significantly from the control and resveratrol groups, whereas the FB1+resveratrol differs from none of the three, which points to attenuating effects of resveratrol against FB1.
Table 3.
Mean (±standard error) liver TOS in the control, resveratrol, FB1, and FB1 +resveratrol groups receiving IP treatment for 14 days
| Groups | TOS (μmol H2O2 eq./L) |
|---|---|
| Control (saline 14 days) | 38.40±1.20a |
| FB1 (2.25 mg/kg qad, 14 days) | 49.77±2.50b |
| Resveratrol (10 mg/kg) | 34.92±2.88a |
| FB1+Resveratrol | 40.86±2.71ab |
– statistically significant (P<0.05) differences between the groups are marked with different letters in superscript. TAS – total oxidant status; qad – every other day
Table 4.
Mean (±standard error) serum TSA levels in the control, resveratrol, FB1 and FB1 +resveratrol groups receiving IP treatment for 14 days
| Groups | Sialic acid (mg/dL) |
|---|---|
| Control (saline 14 days) | 1358.37±76.38a |
| FB1 (2.25 mg/kg qad, 14 days) | 1594.99±33.65b |
| Resveratrol (10 mg/kg) | 1411.41±37.87a |
| FB1 + Resveratrol | 1513.99±25.95ab |
– statistically significant (P<0.05) differences between the groups are marked with different letters in superscript. TSA – total sialic acid; qad – every other day
Histopathological findings
Liver samples of mice treated with FB1 alone displayed hyperaemia, infiltrations, and large nuclei (megalokaryosis) in some hepatocytes, whereas no pathological findings were detected in the other groups (Figure 1A–D).
Figure 1.

Comparison of liver histologies between the study groups. (A) normal liver histology in a mouse from the control group; (B) severe hyperaemia (white arrows), inflammatory cell infiltrations (black arrow), and megalokaryosis (arrow head) in a mouse from the FB1 group; (C) normal liver histology in a mouse from the resveratrol group; (D) normal liver histology in a mouse from the FB1+resveratrol group. Scale bar=50 µm
DISCUSSION
Our findings confirm reports of increased liver enzyme levels by the same FB1 dose (2.25 mg/kg bw) (24–26). Administration of resveratrol in our study attenuated these effects to the levels no longer significantly higher than control. Similar protective effects of resveratrol were reported by Sehirli et al. (27) against naphthalene in BALB/c mice.
The same is true for oxidative stress parameters TAS and TOS in the liver of our mice, as resveratrol attenuated the adverse effects of FB1. These findings confirm the reports of resveratrol protecting against fluoride-induced oxidative stress in rats by increasing TAS and decreasing TOS levels (28) or by inhibiting aflatoxin B1-induced oxidative stress in bovine mammary epithelial cells (29). Rašić et al. (30), however, have pointed to a limited resveratrol protection against oxidative stress induced by a combination of ochratoxin A and citrinin, in the sense that resveratrol was capable of restoring glutathione levels in all tissues but had no protective effect against increased malondialdehyde levels and DNA damage. Although resveratrol is generally considered to be safe, it can also be toxic, depending on the dose and duration of exposure. At high doses it may induce oxidative stress by decreasing catalase, glutathione, and superoxide dismutase activity and increasing reactive oxygen species (ROS) and lipid peroxidation (31). In addition, Karaica et al. (32) reported that resveratrol in combination with ochratoxin A and citrinin reduced the expression of renal organic anion transporters (OATs), which led to the accumulation of OTA.
As for TSA, resveratrol lowered the FB1-induced increase in serum sialic acid to levels not significantly higher than control, yet not significantly lower than those in the FB1 group. Total sialic acid levels have been reported to reflect liver-related pathological conditions (21, 22) and that its levels increase with ALT/AST and liver damage (33–35). Similar was observed in the FB1 group in our study, which supports that TSA levels can be used as a biomarker of FB1-induced liver injury.
Our liver histology findings further support biochemistry analyses with hyperaemia and inflammatory cell infiltrations in the liver, as well as megalokaryosis in many hepatocytes of mice in the FB1 group and no pathological changes in the remaining three groups, the FB1+resveratrol in particular. They are in line with an earlier study by Sehirli et al. (27), who reported that 10 mg/kg resveratrol reduced the naphthalene-induced pathological changes in the lung, liver and kidney tissues. The authors also reported that resveratrol helped tissue regeneration.
In conclusion, our biochemical and histopathological findings evidence that resveratrol has a protective effect against oxidative stress and liver damage caused by FB1. It also confirms that total sialic acid levels in the serum can serve as a biomarker of FB1 toxicity and liver damage.
Funding Statement
This research was supported by the Burdur Mehmet Akif Ersoy University Scientific Research Projects Coordinatorship (project No, 0483-YL-17).
Footnotes
Conflicts of interest: None to declare.
REFERENCES
- 1.Alshannaq A, Yu JH Occurrence, toxicity, and analysis of major mycotoxins in food Int J Environ Res Public Health. 2017;14:632. doi: 10.3390/ijerph14060632. . . ; : . doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Bhat R, Rai RV, Karim AA Mycotoxins in food and feed: present status and future concerns Compr Rev Food Sci Food Saf. 2010;9:57. doi: 10.1111/j.1541-4337.2009.00094.x. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 3.Gelderblom WC, Jaskiewicz K, Marasas WF, Thiel PG, Horak RM, Vleggaar R, Kriek NP Fumonisins-novel mycotoxins with cancer-promoting activity produced by Fusarium moniliforme Appl Environ Microbiol. 1988;54:1806. doi: 10.1128/aem.54.7.1806-1811.1988. . . ; : –. . doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Vidal A, Mengelers M, Yang S, De Saeger S, De Boevre M Mycotoxin biomarkers of exposure: a comprehensive review Compr Rev Food Sci Saf. 2018;17:1127. doi: 10.1111/1541-4337.12367. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 5.International Agency for Research on Cancer (IARC) IARC monographs on the evaluation of carcinogenic risks to humans, No. 82. Some traditional herbal medicines, some mycotoxins, naphthalene and styrene. Lyon: IARC; 2002. Fumonisin B1; pp. 301–66. . . : ; . p. –. . [PMC free article] [PubMed] [Google Scholar]
- 6.Marasas WFO, Wehner FC, Van Rensburg SJ, Van Schalkwyk DJ Mycoflora of corn produced in human esophageal cancer areas in Transkei, Southern Africa Phytopathology. 1981;71:792. doi: 10.1094/phyto-71-792. . . ; : –. . doi: [DOI] [Google Scholar]
- 7.Sun G, Wang S, Hu XS, Su J, Huang T, Yu J, Tang L, Gao W, Wang J Fumonisin B1 contamination of home-grown corn in high-risk areas for esophageal and liver cancer in China Food Addit Contam. 2007;24:181. doi: 10.1080/02652030601013471. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 8.Marasas WF, Kellerman TS, Gelderblom WC, Coetzer JA, Thiel PG, Lugt JJ Leukoencephalomalacia in a horse induced by fumonisin B1 isolated from Fusarium moniliforme Onderstepoort J Vet Res. 1988;55:197. . . ; : –. . PMID: [PubMed] [Google Scholar]
- 9.Smith GW, Constable PD, Eppley RM, Tumbleson ME, Gumprecht LA, Haschek-Hock WM Purified fumonisin B1 decreases cardiovascular function but does not alter pulmonary capillary permeability in swine Toxicol Sci. 2000;56:240. doi: 10.1093/toxsci/56.1.240. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 10.Voss KA, Plattner RD, Riley RT, Meredith FI, Norred WP In vivo effects of fumonisin B1-producing and fumonisin B1-nonproducing Fusarium moniliforme isolates are similar: Fumonisins B2 and B3 cause hepato- and nephrotoxicity in rats Mycopathologia. 1998;141:45. doi: 10.1023/a:1006810916344. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 11.He Q, Suzuki H, Sharma N, Sharma RP Ceramide synthase inhibition by fumonisin B1 treatment activates sphingolipid-metabolizing systems in mouse liver Toxicol Sci. 2006;94:388. doi: 10.1093/toxsci/kfl102. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 12.Ferrante MC, Meli R, Raso GM, Esposito E, Severino L, Carlo GD, Lucisano A Effect of fumonisin B1 on structure and function of macrophage plasma membrane Toxicol Lett. 2002;129:181. doi: 10.1016/S0378-4274(01)00476-3. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 13.Ray PD, Huang BW, Tsuji Y Reactive oxygen species (ROS) homeostasis and redox regulation in cellular signaling Cell Signal. 2012;24:981. doi: 10.1016/j.cellsig.2012.01.008. . . ; : –. . doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Kunwar A, Priyadarsini KI Free radicals, oxidative stress and importance of antioxidants in human health J Med Allied Sci. 2011;1(2):53. . . ; ( ): –. . [Google Scholar]
- 15.Rimando AM, Kalt W, Magee JB, Dewey J, Ballington JR Resveratrol, pterostilbene, and piceatannol in vaccinium berries J Agric Food Chem. 2004;52:4713. doi: 10.1021/jf040095e. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 16.Roat C, Saraf M [Vıtıs vınıfera’dan bir endofıtik mantar aspergıllus stellıfer ab4’ün biyoaktif bir ikinci metaboliti olan t-resveratrol ve α-vınıferın’in izolasyonu ve karakterizasyonu, in Turkey] Mikrobiyoloji, Biyoteknoloji ve Gıda Bilimleri Dergisi. 2021. pp. 708–13. . . ; –. .
- 17.Kuršvietienė L, Stanevičienė I, Mongirdienė A, Bernatoniene J Multiplicity of effects and health benefits of resveratrol Medicina (Kaunas) 2016;52:148. doi: 10.1016/j.medici.2016.03.003. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 18.Cigremis Y, Akgoz M, Ozen H, Karaman M, Kart A, Gecer M, Atalan G Resveratrol ameliorates cisplatin-induced oxidative injury in New Zealand rabbits Can J Physiol Pharmacol. 2015;93:727. doi: 10.1139/cjpp-2014-0420. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 19.Erel O A novel automated direct measurement method for total antioxidant capacity using a new generation, more stable ABTS radical cation Clin Biochem. 2004;37:277. doi: 10.1016/j.clinbiochem.2003.11.015. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 20.Erel O A new automated colorimetric method for measuring total oxidant status Clin Biochem. 2005;38:1103. doi: 10.1016/j.clinbiochem.2005.08.008. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 21.Kongtawelert P, Tangkijvanich P, Ong-Chai S, Poovorawan Y Role of serum total sialic acid in differentiating cholangiocarcinoma from hepatocellular carcinoma World J Gastroenterol. 2003;9:2178. doi: 10.3748/wjg.v9.i10.2178. . . ; : –. . doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Arif S, Najeeb-ul-Haq, Hanif R, Khan AS, Jamil-ur-Rehman, Mufti TA Variations of serum sialic acid level in liver cirrhosis J Ayub Med Coll Abbottabad. 2005;17:54. . . ; : –. . PMID: [PubMed] [Google Scholar]
- 23.Sydow G A simplified quick method for determination of sialic acid in serum Biomed Biochim Acta. 1985;44:1721. . . ; : –. . PMID: [PubMed] [Google Scholar]
- 24.He Q, Kim J, Sharma RP Silymarin protects against liver damage in BALB/c mice exposed to fumonisin B1 despite increasing accumulation of free sphingoid bases Toxicol Sci. 2004;80:335. doi: 10.1093/toxsci/kfh148. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 25.Sharma N, He Q, Sharma RP Amelioration of fumonisin B1 hepatotoxicity in mice by depletion of T cells with anti-Thy-1.2 Toxicology. 2006;223:191. doi: 10.1016/j.tox.2006.03.021. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 26.Krupashree K, Rachitha P, Jayashree GV, Khanum F Protective effects of Picrorhizakurroa against fumonisin B1 induced hepatotoxicity in mice Int J Cur Res Rev. 2018;10:25. doi: 10.31782/IJCRR.2018.10206. . . ; : –. . doi: [DOI] [Google Scholar]
- 27.Şehirli O, Tozan A, Omurtag GZ, Çetinel S, Contuk G, Gedik N, Şener G Protective effect of resveratrol against naphthalene-induced oxidative stress in mice Ecotoxicol Environ Saf. 2008;71:301. doi: 10.1016/j.ecoenv.2007.08.023. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 28.Atmaca N, Atmaca HT, Kanici A, Anteplioglu T Protective effect of resveratrol on sodium fluoride-induced oxidative stress, hepatotoxicity and neurotoxicity in rats Food Chem Toxicol. 2014;70:191. doi: 10.1016/j.fct.2014.05.011. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 29.Zhou Y, Jin Y, Yu H, Shan A, Shen J, Zhou C, Zhao Y, Fang H, Wang X, Wang J, Fu Y, Wang R, Li R, Zhang J Resveratrol inhibits aflatoxin B1-induced oxidative stress and apoptosis in bovine mammary epithelial cells and is involved the Nrf2 signaling pathway Toxicon. 2019;164:10. doi: 10.1016/j.toxicon.2019.03.022. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 30.Rašić D, Mladinić M, Želježić D, Pizent A, Stefanović S, Milićević D, Peraica M Effects of combined treatment with ochratoxin A and citrinin on oxidative damage in kidneys and liver of rats Toxicon. 2018;146:99. doi: 10.1016/j.toxicon.2018.03.002. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 31.Shaito A, Posadino AM, Younes N, Hasan H, Halabi S, Alhababi D, Al-Mohannadi A, Abdel-Rahman WM, Eid AH, Nasrallah GK, Pintus G Potential adverse effects of resveratrol: A literature review Int J Mol Sci. 2020;21(6):2084. doi: 10.3390/ijms21062084. . . ; ( ): . doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Karaica D, Micek V, Rašić D, Peraica M, Šegvić Klarić M, Breljak D Subchronic exposure to individual and combined ochratoxin A and citrinin affects the expression of rat renal organic anion transporters Mycotoxin Res. 2020;36:339. doi: 10.1007/s12550-020-00399-4. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 33.Ali SA, Faddah L, Abdel-Baky A, Bayoumi A Protective effect of L-carnitine and coenzyme Q10 on CCl4-induced liver injury in rats Sci Pharm. 2010;78:881. doi: 10.3797/scipharm.1006-02. . . ; : –. . doi: [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34.Cemek M, Aymelek F, Büyükokuroğlu ME, Karaca T, Büyükben A, Yilmaz F Protective potential of Royal Jelly against carbon tetrachloride induced-toxicity and changes in the serum sialic acid levels Food Chem Toxicol. 2010;48:2827. doi: 10.1016/j.fct.2010.07.013. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
- 35.Yapar K, Kart A, Karapehlivan M, Atakisi O, Tunca R, Erginsoy S, Citil M Hepatoprotective effect of L-carnitine against acute acetaminophen toxicity in mice Exp Toxicol Pathol. 2007;59:121. doi: 10.1016/j.etp.2007.02.009. . . ; : –. . doi: [DOI] [PubMed] [Google Scholar]
