Abstract
Carbon tetrachloride (CCl4) is a well-known hepatotoxin. This work aimed to assess the therapeutic anti-inflammatory immune potentials of the seaweeds Padina pavonia and Jania rubens extracts on carbon tetrachloride (CCL4)-caused liver damage in mice. Our experimentation included two testing regimens: pre-treatment and post-treatment of P. pavonia and J. rubens extracts in CCL4/mice. Pre-treatment and post-treatment of P. pavonia and J. rubens extracts in CCL4/mice increased WBCs count and lymphocytes relative numbers and reduced the neutrophils and monocytes relative numbers. Pre-treatment and post-treatment of CCL4/mice with P. pavonia and J. rubens extracts significantly reduced the release amounts of pro-inflammatory cytokines TNF-α and IL-6 and significantly inhibited the increased CRP level. Furthermore, pre-treatment and post-treatment of CCL4/mice with P. pavonia and J. rubens extracts recovered the activities of GSH, and significantly decreased MDA level. CCL4/mice pre-treated and post-treated with P. pavonia and J. rubens extracts decreased alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels. Pre- and post-treatment of CCL4/mice with the P. pavonia and J. rubens extracts ameliorated the liver damages caused by CCl4 and significantly inhibited the necrotic area, indicating hepatic cell death and decreased periportal hepatic degeneration, fibrosis, and inflammation.
Keywords: Seaweeds, Immunomodulatory, Anti-inflammatory, Antioxidants, Hepatoprotective
Subject terms: Immunology, Microbiology, Plant sciences
Introduction
Hepatocellular impairment and inflammatory cell infiltration result in cirrhosis and fibrosis1. One of the inflammatory mediators is the tumor necrosis factor-alpha (TNF-α), interleukin 6 (IL-6), and C-reactive protein (CRP) that are secreted primarily by activated natural killer (NK) and T cells and liver, respectively. Pro-inflammatory and anti-inflammatory cytokines are recognized for their immunomodulatory, anti-inflammatory, and antiviral properties2. TNF-α and IL-6 contribute to systemic inflammation that enhances the immune acute stage reaction3, is associated with chronic inflammation, and enhances tumor formation, growth, and metastasis4. IFN-γ-activated macrophages secret plenty of cytokine TNF-α, which is a pleiotropic cytokine secreted when antigen activation that plays crucial roles in the immune response and may also modulate hepatocyte function2. Tripathi et al.5. reported that TNF aggravates oxidative stress and inflammatory responses- and IL-6 in the hepatocytes. CRP is one of the proteins the liver produces that go up in response to inflammation. Its level increases in response to specific inflammatory cytokines formed by leucocytes during inflammation.
Inflammation is a natural defense mechanism against infection that occurs in reaction to various events, including tissue damage6,7. The pathophysiology of many illnesses is caused by immune system malfunction8,9. Because of their capacity to recognize, engulf, and eliminate numerous pathogens, phagocytes like macrophages and neutrophils play a critical role in innate immunity10. Inflammatory mediators, including TNF-α, IL-6, and CRP, are produced by macrophages and other immune components during the inflammatory response11,12. Modulating immune cell-mediated inflammatory responses is critical for developing a novel anti-inflammatory treatment strategy, and immune system modulation is becoming a significant topic in pharmacology13. In hepatic inflammation, the damaged hepatocytes and infiltrating inflammatory cells support Kupffer cells, liberating cytokines such as TNF-α, IL-6, and CRP14. The Immunomodulation approach in the inflammatory process is related to the nonspecific stimulation of macrophages, monocytes, neutrophils, natural killer (NK) cells, and lymphocytes’ activity and effectiveness, as well as the synthesis of numerous effector immune mediators by activated cells15.
The main potentials of carbon tetrachloride (CCl4) are liver injury initiation by elevating lipid peroxidation; reduction of antioxidants, such as nonenzymatic reduced glutathione (GSH) and Malondialdehyde (MDA), activities, production of reactive oxygen species (ROS), and increasing of hepatic enzymes aspartate aminotransferase (AST) and alanine aminotransferase (ALT)16–18. AST and ALT are sensitive biomarkers in hepatic damage diagnosis. MDA is a lipid peroxidation end product and a marker of reactive oxygen species (ROS). Increased liver inflammation encourages the development of lipid peroxidation products, including MDA19,20.
The main effects of brown seaweeds or their compounds are the potential suppression of ROS-initiated inflammatory signaling pathways enhanced by chemokines, toll-like receptors, and nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) signaling molecules and immune regulation of innate and adaptive immune responses, particularly by interfering with macrophage and lymphocyte immunity21. Consumption of brown seaweed, extracts, or specific chemicals modulates various components of the inflammatory immune response, including steady-state immunological parameters, innate and adaptive immune responses, and inflammation21.
The underlying mechanisms of the anti-inflammatory impacts of brown seaweed extracts are linked to different stages of the inflammatory response. Disruption of the steady state of the body tissue results in the immune cells responding to damage or irritation via an innate cascade driving inflammation. Pre-treating macrophages and lymphocytes with the seaweed component fucoidan was reported to suppress the pro-inflammatory reaction or promote anti-inflammatory potentials, leading to NF-kB translocation inhibition and reduced levels of pro-inflammatory mediator synthesis22,23.
One of the oxidative stress markers, reactive oxygen species (ROS), is a critical component of the inflammatory response, serving a variety of functions after tissue damage, including acute inflammation initiating, clarifying infection and necrotic tissue, and mediating various intracellular transduction pathways. Seaweed extracts appear to suppress the progression of inflammation, particularly the production of ROS. One of the treatments for inflammation is to reduce the formation of ROS, which gives an interesting aspect for studying the inflammatory immune response of brown seaweed constituents21.
Liver illnesses have become one of the most frequent and dangerous diseases worldwide due to changes in human lifestyle. Furthermore, many approaches have investigated new herbal and marine seaweed-derived medications to decrease drug-induced liver damage24. As a result of their rich sources of structurally miscellaneous bioactive compounds with immune stimulation, antitumoral, antivirus, immunomodulatory, anti-inflammatory properties, and hepatoprotective properties, marine seaweeds have attracted the attention of pharmaceutical and medical industries25–30. Seaweed such as P. pavonica and J. rubens extracts reduced oval cell proliferation and improved liver architecture, indicating hepatoprotective potentials against chemical-induced liver damage. Previously, researchers have demonstrated that seaweed extracts can reduce vascular inflammation caused by immune cell adhesion31,32. The marine algae bioactive gradients may impact the immunological and inflammatory systems, affecting disease development33,34. Brown seaweed extracts exhibit relatively high levels of chlorophyll, carotenoids, fucoxanthin polyphenol phlorotannins that have been shown to possess a range of bioactive properties, including anti-oxidant, anti-inflammatory, anti-allergic, anti-cancer, anti-obesity, and neuroprotective activities35.
Given these considerations, this paper aimed to investigate the brown and red seaweeds P. pavonica and J. rubens extracts efficacy on the immune compartments that potentiate consequent responses to inflammatory implications in the carbon tetrachloride (CCl4)-induced hepatotoxicity animal models of inflammation by revealing the protective effects of P. pavonica and J. rubens extracts against chronic hepatic inflammation and possible pathways for its immune stimulation, immunomodulatory, anti-inflammatory, antioxidant and hepatoprotective potentials.
Materials and methods
Sample collection
P. pavonica and J. rubens (Plate 1) were gathered from Abu Qir Bay, Alexandria, Egypt. Seaweed samples were transported in chilled circumstances to the Faculty of Science, Tanta University, Egypt. After that, collected macroalgae were washed with tap water and then air-dried in the shade at room temperature before being dried at 38 °C in the oven. The dried materials were ground and kept for more studies. The collected seaweeds were identified according to morphological criteria as size, shape, and color in conjunction with reference to marine benthic seaweed literature. The seaweeds were recognized using the Algae Base website to confirm their identification, according to Guiry and Guiry36.
Plate 1.
Photo of (A) Jania rubens and (B) Padina pavonica.
Preparation of crude extracts
Padina pavonica and Jania rubens extraction process was conducted following El-Sheekh et al.37. Briefly, 1 g of seaweed powder was soaked in methanol (1:30 w/v) on a rotary shaker at 120 rpm at room temperature for two days. The supernatant was heated in the oven at 45 °C to eliminate the extra solvent. The crude extracts were dissolved in methanol to a final concentration of 5 mg/mL and kept at −20 °C for future investigations.
Mice
Seventy female 8-week-old albino mice (25 ± 2 g) were supplied by Theodor Bilharz Research Institute (TBRI), Cairo, Egypt. Animals were distributed into seven groups, ten mice each, and supplied with a standard pellet diet and tap water ad libitum. The experimental protocol was conducted according to the ethics of research animals National Institutes of Health (NIH) guidelines and the recommendations of the Institutional Animal Ethical Committee (EAC), Faculty of Science, Tanta University, Tanta, Egypt. This study was approved by the Faculty of Science, Tanta University’s Scientific Induction Ethics Committee, and guidelines for the humane care of animals (IACUC-SCI–TU-0412). It is also confirmed that this study is reported in accordance with ARRIVE guidelines.
Study design and treatment
Seven groups of mice were used. The 1st, 2nd, and 3rd groups intraperitoneally (i.p.) received saline (normal control), no treatment (CCL4 negative control), and drug (silymarin at 50 mg/kg, positive control), respectively. The 4th and 5th groups (post-treatment groups) were intraperitoneally injected with P. pavonica extract (2.5 µg/mouse) and J. rubens extract (2.3 µg/mouse), respectively, twice a week for seven consecutive weeks post CCL4. The 6th and 7th groups (pre-treatment groups), i.p., received P. pavonica extract (2.5 µg/mouse) and Jania. rubens extract (2.3 µg/mouse), respectively seven days before CCL4 injection and then twice a week for seven consecutive weeks post-CCL4 injection. Hepatic chronic inflammation in mice groups 2–7 was induced by i.p. administration of 0.5 ml/kg of CCl4 (Sigma-Aldrich, USA) suspended in PBS (final volume, 0.1 mL/mouse) twice/week for six constitutive weeks. At the end of the experimentation, mice were sacrificed by cervical dislocation, and sera and blood were collected to calculate the count of white blood cells (WBCs), percentage of lymphocytes, monocytes, and neutrophils, the level of some pro-inflammatory cytokines interleukin 6 (IL-6), tumor necrosis factor-α (TNF-α), inflammatory C-reactive protein (CRP) and antioxidant enzymes glutathione (GSH) and malondialdehyde (MDA) and liver function. Liver tissues were dissected to analyze the histopathological changes in the treated liver. The pre-treatment and post-treatment doses of P. pavonica and J. rubens extracts were determined according to our previous study38.
Leucocytes analysis
At the end of the experimentation, mice were anesthetized, and blood was drained from their retro-orbital plexus in heparinized microhematocrit tubes. Blood parameters such as white blood cells (WBC) (103/cm) and the relative number of neutrophils, lymphocytes, and monocytes in peripheral blood (PB) were evaluated using a Nihon Kohden automated hematology analyzer (model MEK-6318 K, Japan).
Sera preparation
The blood of treated mice was collected and left for 3 h to verify complete coagulation. The collected blood was centrifuged for 10 min at 3000 rpm. The sera were collected and held at − 80 °C for biochemical investigations.
Assay the functions of liver and kidney
Serum aminotransferase enzymes: aspartate aminotransferase (AST) (U/l) and alanine aminotransferase (ALT) (U/l), creatinine (mg/dl), and urea mg/dl) levels were calorimetrically evaluated by a fully automatic biochemical analyzer (Vita lab Selectra E, German) via standard ready-to-use kits (Human Gesellschaft Für Biochemica and Diagnostica MBH, Germany). The manufacturer’s manuals were precisely followed throughout the experiment.
Assay of malondialdehyde and antioxidants
Liver specimens were rapidly dissected from treated mice. A liver piece was homogenized in ice-cold KCl (1.15% w/v) to get a liver homogenate (10% w/v). Antioxidant enzymes such as malondialdehyde (MDA) and glutathione (GSH) were investigated in liver tissue homogenates by enzyme-linked immunoassay (ELISA) according to the instructor manual of ready-made kits (CUSABIO, USA).
Assay of inflammatory cytokines and proteins
IL-6, TNF-α, and CRP were estimated by ELISA (enzyme-linked immunoassay) according to the manufacturer’s protocol of ELISA-specific kits (CUSABIO, USA).
Histopathological examination
The liver tissues were dissected from the mice and fixed in 10% formalin for three days. The fixed liver tissues were dehydrated and rinsed several times in absolute alcohol and then embedded in paraffin. Serial 4–5 μm sections from each group were mounted on glass slides. Slides were stained with hematoxylin and eosin (H&E) dye for microscopic investigation. Under a light microscope, the stained sections were examined and photographed.
Statistical analysis
Data are expressed as the mean ± standard deviation (n = 10). Results were analyzed by one-way analysis of variance (ANOVA), followed by Dunnett’s test, Tukey’s test, or the t-test as post hoc tests. Probability values less than 0.05 were considered significant.
Results
Leucocytes profile
In the present study, i.p. pre-treatment and post-treatment of P. pavonica and J. rubens extracts remarkably increased WBCs counts in CCL4/mice by 2.0 and 2.0-fold for Padina. pavonia extract, respectively, and 1.8 and 1.7-fold for Jania. rubens extract, respectively, compared to CCL4/mice control. Compared to Silymarin-treated CCL4/mice (positive control), i.p., pre-treatment and post-treatment of CCL4/mice with Padina. pavonia increased the total number of WBCs by 1.2 and 1.2-folds, respectively (Table 1). Notably, intraperitoneal pre-treatment and post-treatment of CCL4/mice with P. pavonica and J. rubens extracts successfully increased the total number of WBCs. They revealed a remarkable potential in retaining their total number to be closely related to the naïve mice control (Table 1).
Table 1.
Cellular alternation in peripheral blood leucocytes profile of CCL4/mice treated with PBS, silymarin, P. Pavonia and J. Ruben extracts.
| Treatments | WBC (× 103) | Leucocytes differentials relative number (%) | |||
|---|---|---|---|---|---|
| Lymphocytes | Neutrophils | Monocytes | |||
| Control | 9.10 ± 1.70 | 82.70 ± 4.40 | 12.10 ± 6.70 | 6.90 ± 0.78 | |
| CCL4 | 4.70 ± 0.40 | 70.90 ± 7.00 | 16.00 ± 5.90 | 7.90 ± 0.11 | |
| CCL4 + Silymarin | 8.10 ± 1.60 | 75.80 ± 7.50 | 13.20 ± 5.10 | 6.90 ± 0.65 | |
| P. pavonia | Therapeutic dose | 9.60 ± 5.70 | 61.60 ± 5.60 | 25.30 ± 6.40 | 7.80 ± 0.06 |
| Prophylactic dose | 9.80 ± 5.90 | 72.50 ± 13.80 | 12.10 ± 6.20 | 7.40 ± 0.92 | |
| J. rubens | Therapeutic dose | 8.60 ± 3.50 | 71.00 ± 11.50 | 13.80 ± 6.70 | 7.20 ± 0.75 |
| Prophylactic dose | 8.40 ± 1.90 | 76.10 ± 8.20 | 14.90 ± 4.90 | 5.30 ± 2.30 | |
Data were represented as mean ± SD.
I.p. pretreatment of CCL4/mice with Padina pavonia extract and i.p. pre-treatment and post-treatment of CCL4/mice with Jania rubens extract increased the lymphocytes relative number compared to CCL4/mice control. In addition, CCL4/mice pre-treated with Jania rubens extract recorded higher lymphocytes relative number compared with CCL4/mice control and Silymarin-treated CCL4/mice (positive control) (Table 1).
Noticeably, i.p. post-treatment of CCL4/mice with Padina pavonia extract remarkably increased the neutrophil relative number by 2.0, 1.6, and 1.9-fold compared to naïve mice control, naïve CCL4/mice control, and Silymarin-treated CCL4/mice (positive control), respectively (Table 1). Furthermore, i.p. pre-treatment and post-treatment of CCL4/mice with J. rubens extract increased the neutrophil relative number by 1.2- and 1.3-fold compared to naïve mice control. Additionally, CCL4/mice pre-treated with J. rubens recorded an increased relative number of neutrophils by 1.2-fold compared to Silymarin-treated CCL4/mice (positive control) (Table 1).
I.p. pre-treatment and post-treatment of CCL4/mice with P. pavonica and J. rubens extracts resulted in a noticeable nonsignificant reduction of monocytes relative number that reached the least value in CCl4/mice pre-treated with J. rubens extract compared to naïve CCL4/mice control (Table 1). Furthermore, CCL4/mice pre-treated and post-treated with P. pavonica extracts recorded an increase in the relative number of monocytes by 1.2 and 1.3, respectively, and their post-treatment with Jania rubens extract increased the relative number of monocytes by 1.1-fold compared to Silymarin-treated CCL4/mice (positive control) (Table 1).
Assay of inflammatory cytokines and proteins
As shown in Fig. 1, CCL4/mice pre- and post-treated with P. pavonica and Jania rubens extracts significantly reduced serum TNF-α levels compared to naïve CCL4/mice control. Additionally, the pre-treatment of CCL4/mice with J. rubens extract led to a nonsignificant decrease in serum TNF-α concentration compared to silymarin-treated CCL4/mice (positive control) (Fig. 1). Noticeably, CCL4/mice pre-treated with P. pavonica and J. rubens extracts recorded the best results in significantly decreasing the serum TNF-α concentration compared to the naïve CCL4/mice control and silymarin-treated CCL4/mice (positive control) (Fig. 1).
Fig. 1.
Inhibitory effects of P. pavonia and J. rubens extracts on TNF-α (pg/ml) in CCl4-induced liver injury mice. Data were represented as mean ± SD. The difference between groups was considered statistically significant at P < 0.05. CCL4/mice (n = 10) were i.p inoculated with P. pavonia extract (therapeutic dose: 2.5 µg/mouse; prophylactic dose: 2.5 µg/mouse), J. rubens (therapeutic dose: 2.3 µg/mouse; prophylactic dose: 2.3 µg/mouse), Silymarin (50 mg/kg) or phosphate buffer saline (PBS). aStatistically significant vs. mice received PBS alone (normal control). bStatistically significant vs. CCL4/mice control group received PBS alone (negative control).
The effectiveness of the P. pavonica and J. rubens extracts on the serum IL-6 concentration has been investigated as shown in Fig. 2. I.P. pre-treatment and post-treatment of CCL4/mice with P. pavonica and J. rubens extracts resulted in a significant reduction in serum IL-6 level compared to naïve CCL4/mice control. CCL4/mice i.p. pre-treated and post-treated with P. pavonica and post-treated with J. rubens recorded a significant increase in the level of serum IL-6 compared to silymarin-treated CCL4/mice (positive control). Contrarily, i.p. pre-treatment of CCL4/mice with J. rubens extract showed a significant decrease in serum IL-6 concentration compared to Silymarin-treated CCL4/mice (positive control) (Fig. 2).
Fig. 2.
Inhibitory effects of P. pavonia and J. rubens extracts on IL-6 (pg/ml) in CCl4-induced liver injury mice. Data were represented as mean ± SD. The difference between groups was considered statistically significant at P < 0.05. CCL4/mice (n = 10) were i.p inoculated with P. pavonia extract (therapeutic dose: 2.5 µg/mouse; prophylactic dose: 2.5 µg/mouse), J. rubens (therapeutic dose: 2.3 µg/mouse; prophylactic dose: 2.3 µg/mouse), Silymarin (50 mg/kg) or phosphate buffer saline (PBS). aStatistically significant vs. mice received PBS alone (normal control). bStatistically significant vs. CCL4/mice control group received PBS alone (negative control). cStatistically significant vs. CCL4/mice group received Silymarin (positive control).
Interestingly, i.p., pre-treatment and post-treatment of CCL4/mice with the extracts of P. pavonica and J. rubens significantly decreased the serum level of CRP compared to naïve CCL4/mice control. Additionally, pre-treatment and post-treatment of CCL4/mice P. pavonica and J. rubens extracts produced the highest significant inhibition in the level of serum CRP comparing to the CCL4 control group and silymarin-treated CCL4/mice (positive control) (Fig. 3). Intraperitoneal pre-treatment and post-treatment of CCL4/mice with P. pavonica and J. rubens significantly increased the serum level of CRP compared to silymarin-treated CCL4/mice (positive control) (Fig. 3).
Fig. 3.
Inhibitory effects of P. pavonia and J. rubens extracts on CRP (ng/ml) in CCl4-induced liver injury mice. Data were represented as mean ± SD. The difference between groups was considered statistically significant at P < 0.05. CCL4/mice (n = 10) were i.p inoculated with P. pavonia extract (therapeutic dose: 2.5 µg/mouse; prophylactic dose: 2.5 µg/mouse), J. rubens (therapeutic dose: 2.3 µg/mouse; prophylactic dose: 2.3 µg/mouse), Silymarin (50 mg/kg) or phosphate buffer saline (PBS). aStatistically significant vs. mice received PBS alone (normal control). bStatistically significant vs. CCL4/mice control group received PBS alone (negative control). cStatistically significant vs. CCL4/mice group received Silymarin (positive control).
Assay of malondialdehyde and antioxidants
Oxidative stress plays a key role in liver damage. Hepatotoxicity results in rising ROS generation in hepatocytes, triggering GSH depletion and MDA, lipid peroxidation end product, and elevation. MDA is an indicator of oxidative stress. ROS production also caused a significant reduction in the activity of antioxidant enzymes, such as GSH. Oxidative stress parameters were evaluated by measuring the levels of GSH and MDA due to understand the possible mechanisms of the observed hepatoprotective effects. The administration of mice with CCl4 resulted in severe liver injury, as showed by the marked elevation in MDA level (Fig. 4). As can be seen in Fig. 1, MDA contents were significantly decreased in CCL4/mice pre-treated and post-treated with P. pavonica and J. rubens extract compared to those in the naïve CCL4/mice control. The data showed that i.p., pre-treatment of CCL4/mice with P. pavonica and J. rubens extracts produced the highest significant decrease in the hepatic MDA level compared to the naïve CCL4/mice control. Meanwhile, hepatic MDA levels decreased significantly in CCL4/mice pre-treated with Jania rubens extract compared to silymarin-treated CCL4/mice (positive control) (Fig. 4). However, hepatic GSH level increased significantly in CCL4/mice post-treated with P. pavonica and J. rubens extracts compared to naïve CCL4/mice control. Post-treatment of CCL4/mice with Padina pavonia and Jania rubens extract led to a significant increase in hepatic GSH level and their pre-treatment with J. rubens extract resulted in a significant increase in hepatic GSH level compared to Silymarin-treated CCL4/mice (positive control) (Fig. 5). However, the i.p. pre-treatment and post-treatment of CCL4/mice with P. pavonica and J. rubens decreased the MDA level in liver tissues (Fig. 4), and the diminished GSH levels were retained (Fig. 5). These results suggest that P. pavonica and J. rubens extract exerts hepatoprotective effects by alleviating oxidative.
Fig. 4.
Inhibitory effects of P. pavonia and J. rubens extracts on MDA (nmol/mg) in CCl4-induced liver injury mice. Data were represented as mean ± SD. The difference between groups was considered statistically significant at P < 0.05. CCL4/mice (n = 10) were i.p inoculated with p. pavonia extract (therapeutic dose: 2.5 µg/mouse; prophylactic dose: 2.5 µg/mouse), J. rubens (therapeutic dose: 2.3 µg/mouse; prophylactic dose: 2.3 µg/mouse), Silymarin (50 mg/kg) or phosphate buffer saline (PBS). aStatistically significant vs. mice received PBS alone (normal control). bStatistically significant vs. CCL4/mice control group received PBS alone (negative control). cStatistically significant vs. CCL4/mice group received Silymarin (positive control).
Fig. 5.
Attenuated effects of P. pavonia and J. rubens extracts on GSH (ng/mg) in CCl4-induced liver injury mice. Data were represented as mean ± SD. The difference between groups was considered statistically significant at P < 0.05. CCL4/mice (n = 10) were i.p inoculated with P. pavonia extract (therapeutic dose: 2.5 µg/mouse; prophylactic dose: 2.5 µg/mouse), J. rubens (therapeutic dose: 2.3 µg/mouse; prophylactic dose: 2.3 µg/mouse), Silymarin (50 mg/kg ) or phosphate buffer saline (PBS). aStatistically significant vs. mice received PBS alone (normal control). bStatistically significant vs. CCL4/mice control group received PBS alone (negative control). cStatistically significant vs. CCL4/mice group received Silymarin (positive control).
Assay of liver and kidney function
Post-treatment of CCL4/mice with P. pavonica extract significantly decreased the level of serum AST. Their pre-treatment with P. pavonica nonsignificantly reduced the level of serum AST compared to CCL4/mice control. Contrarily, i.p. post-treatment of CCL4/mice with J. rubens extract significantly increased the level of serum AST and their pre-treatment with J. rubens extract nonsignificant increased the level of serum AST compared to naïve CCL4/mice control (Table 2). Additionally, i.p. post-treatment of CCL4/mice with P. pavonica extract nonsignificant decreased the level of serum AST compared to Silymarin-treated CCL4/mice. Meanwhile, CCL4/mice post-treated with J. rubens extract recorded a significant increase in the level of serum AST, and their pre-treatment with J. rubens nonsignificant increased the level of serum AST compared to Silymarin-treated CCL4/mice (positive control) (Table 2). Moreover, i.p. pre-treatment and post-treatment of CCL4/mice with P. pavonica and J. rubens extract significantly decreased the level of serum ALT compared to naïve CCL4/mice control. Additionally, i.p. post-treatment of CCL4/mice with P. pavonica extract nonsignificant decreased the level of serum ALT that was significantly increased in CCL4/mice pre-and post-treated with J. rubens extract compared to Silymarin-treated CCL4/mice (positive control) (Table 2).
Table 2.
The inhibitory effects of P. Pavonia and J. Rubens extracts on the level of hepatic marker enzymes; serum aspartate aminotransferase (AST) (U/l), alanine aminotransferase (ALT) (U/l) in CCl4-induced liver injury mice.
| Treatments | Liver marker enzymes | ||
|---|---|---|---|
| AST (U/l) | ALT (U/l) | ||
| Control | 127.00 ± 9.90 | 83.90 ± 12.20 | |
| CCL4 | 199.00 ± 15.70a | 264.10 ± 11.10a | |
| CCL4 + Silymarin | 183.70 ± 9.30a | 130.70 ± 12.30a, b | |
| P. pavonia | Therapeutic dose | 146.90 ± 10.90b | 162.20 ± 14.80a, b |
| Prophylactic dose | 184.20 ± 17.40a | 95.60 ± 21.50b | |
| J. rubens | Therapeutic dose | 282.10 ± 27.90a, b,c | 224.70 ± 10.90a, b,c |
| Prophylactic dose | 223.40 ± 26.70a | 193.50 ± 12.80a, b,c | |
Data were represented as mean ± SD. The difference between groups was considered statistically significant at P < 0.05. CCL4/mice (n = 10) were i.p inoculated with p. pavonia extract (therapeutic dose: 2.5 µg/mouse; prophylactic dose: 2.5 µg/mouse), J. rubens (therapeutic dose: 2.3 µg/mouse; prophylactic dose: 2.3 µg/mouse), Silymarin (50 mg/kg) or phosphate buffer saline (PBS).
aStatistically significant vs. mice received PBS alone (normal control).
bStatistically significant vs. CCL4/mice control group received PBS alone (negative control).
cStatistically significant vs. CCL4/mice group received Silymarin (positive control).
Intraperitoneal pre- and post-treatment of CCL4/mice with P. pavonica and J. rubens extract significantly decreased serum urea levels compared to naïve CCL4/mice control (Table 3). Intraperitoneal pre- and post-treatment of CCL4/mice with P. pavonica extract markedly decreased serum urea levels compared to Silymarin-treated CCL4/mice (positive control) (Table 3). Meanwhile, CCL4/mice pre- and post-treated with P. pavonica extract recorded a marked decrease in serum creatinine level compared to Silymarin-treated CCL4/mice (positive control) (Table 3).
Table 3.
The inhibitory effects of P. Pavonia and J. Rubens extracts on the level of kidney biochemical markers; creatinine (mg/dl) and urea (mg/dl) in CCl4-induced liver injury mice.
| Treatments | Kidney biochemical markers | ||
|---|---|---|---|
| Creatinine (mg/dl) | Urea (mg/dl) | ||
| Control | 0.64 ± 0.05 | 37.70 ± 2.50 | |
| CCL4 | 0.97 ± 0.05a | 94.70 ± 7.02a | |
| CCL4 + Silymarin | 0.91 ± 0.04a | 69.00 ± 5.60a, b | |
| P. pavonia | Therapeutic dose | 0.68 ± 0.16b, c | 60.00 ± 4.00a, b |
| Prophylactic dose | 0.77 ± 0.03 | 67.70 ± 2.50a, b | |
| J. rubens | Therapeutic dose | 1.06 ± 0.07a | 89.00 ± 4.60a, b,c |
| Prophylactic dose | 0.99 ± 0.05a | 76.30 ± 3.50a, b | |
Data were represented as mean ± SD. The difference between groups was considered statistically significant at P < 0.05. CCL4/mice (n = 10) were i.p inoculated with P. pavonia extract (therapeutic dose: 2.5 µg/mouse; prophylactic dose: 2.5 µg/mouse), J. rubens (therapeutic dose: 2.3 µg/mouse; prophylactic dose: 2.3 µg/mouse), Silymarin (50 mg/kg) or phosphate buffer saline (PBS).
aStatistically significant vs. mice received PBS alone (normal control).
bStatistically significant vs. CCL4/mice control group received PBS alone (negative control).
cStatistically significant vs. CCL4/mice group received Silymarin (positive control).
Histopathological examination
Light microscopic examination of the liver sections of the normal control group received PBS alone revealed normal hepatocytes organized in cords around the central vein (Fig. 6A). Still, the CCL4 control group recorded marked hepatic degenerative changes indicating cytoplasmic eosinophilia and nuclear pyknosis and vacuolation of hepatocytes associated with perivascular fibroblastic activity marked hepatic necrotic changes associated with obvious periportal and per lobular hepatic fibrosis (Fig. 6B). Liver sections of the CCL4/mice that received Silymarin (positive control) detected mild to moderate periportal hepatic fibrosis (Fig. 6C). On the other hand, i.p. pre- and post-treatment of CCL4/mice with J. rubens extracts detected a marked decrease in periportal hepatic degeneration and inflammation. In contrast, i.p., pre-and post-treatment of CCL4/mice with P. pavonica extracts showed a marked decrease in periportal hepatic fibrosis and prominent hepatic regeneration (Fig. 6D–G). It implies that P. pavonica and Jaina rubens extracts may have hepatoprotective effects against liver damage (Fig. 6D-G). Liver sections of CCL4/mice post-treated with J. rubens extract showed hepatic fibrosis limited to the periportal area (collagen deposition) and portal inflammation (mononuclear inflammatory cells infiltration), smudge-shaped pyknosis nucleus (Fig. 6F).
Fig. 6.
Histopathological graphs of liver sections stained by hematoxylin and eosin (H&E). (A) Naïve mice received PBS alone (Normal control), showing normal hepatocytes arranged in cords around the central vein with oval cytoplasm and vesicular-shaped nucleus. (B) CCL4/mice received PBS (negative control) showing hepatic degenerative and necrotic changes (arrow), cytoplasmic eosinophilia and nuclear pyknosis (arrowhead), hepatocytes vacuolation with perivascular fibroblastic activity and periportal and perilobular hepatic fibrosis (tailed-arrow). (C) CCL4/mice received Silymarin (50 mg/kg) (positive control) showing moderate degree of periportal hepatic fibrosis (tailed-arrows). (D) CCL4/mice received therapeutic dose of P. pavonia extract (2.5 µg/mouse) showing mild to moderate degree of fibroblastic cells activity (tailed-arrow) and decrease both hepatic degeneration (arrow head) and inflammation (arrow). (E) CCL4/mice received prophylactic dose of P. pavonia (2.5 µg/mouse) showing prominent hepatic regeneration (arrow) and marked decrease of periportal hepatic fibrosis (tailed-arrow). (F) CCL4/mice received therapeutic dose of J. rubens (2.3 µg/mouse) showing hepatic fibrosis limited to the periportal area and collagen deposition (arrow), portal inflammation, mononuclear inflammatory cells infiltration (arrow), indicates smudge-shaped pyknotic nucleus (arrowhead). (G) CCL4/mice received prophylactic dose of J. rubens (2.3 µg/mouse) showing marked decrease of inflammation (arrow) and decrease of periportal hepatic degeneration (arrowhead). X200, bar = 40 μm.
Furthermore, liver sections of diseased animals post-treated with P. pavonica extract showed mild to moderate fibroblastic cell activity and decreased hepatic degeneration and inflammation (Fig. 6D). In general, pre-treatment of CCL4/mice with P. pavonica and J. rubens extracts showed superior ameliorative histological results of liver sections equally or nearly to the normal control group received PBS alone and this indicated the ability of methanol extract of Jania rubens and P. pavonica to keep hepatoprotective potentials against liver CCl4 poisoning (Fig. 6A–G). The histopathological impairments in the hepatic tissue in all mice groups are briefly shown in Table 4.
Table 4.
Scores of different hepatic lesions of CCL4/ mice treated with silymarin, P. Pavonia and J. Ruben extracts.
| Treatments | Vascular lesions | Degeneration and necrosis | Inflammation | Fibrosis | Extent of lesions | |
|---|---|---|---|---|---|---|
| Control | – | – | – | – | – | |
| CCL4 | ++++ | ++++ | +++ | +++ | +++ | |
| CCL4 + Silymarin | + | + | ++ | ++ | ++ | |
| P. pavonia | Therapeutic dose | ++ | ++ | ++ | ++ | ++ |
| Prophylactic dose | + | + | + | + | + | |
| J. rubens | Therapeutic dose | ++ | ++ | ++ | ++ | ++ |
| Prophylactic dose | + | + | + | + | + | |
(–) means no detectable lesions; (+) indicates mild lesions; (++) indicates moderate lesions; (+++) indicates severe focal lesions; (++++) indicates severe diffuse lesions.
Discussion
Chronic inflammation damages hepatocytes over time, resulting in hepatic inflammation and fibrogenesis caused by a range of injuries in the liver, indicating common pathogenesis39. Inflammation and fibrogenesis are accompanied by the recruitment and the migration of the immune components such as lymphocytes, neutrophils, macrophages, monocytes, Kupffer cells, and the inflammatory and proinflammatory mediators TNF-α, IL-6, and CRP that are important in the hepatic inflammation and fibrosis progression and immune defense mechanism against liver injury40,41. The need for natural therapies for inflammatory treatment and prevention is attaining rising popularity in contemporary therapeutics. Marine seaweed compounds may influence the immune and inflammatory systems, affecting hepatic inflammation and the progression of fibrogenesis. The potential effects of P. pavonia and Jania rubens extracts against chronic liver inflammation and a possible mechanistic pathway for its hepatoprotective, immune stimulation, immunomodulatory, antioxidant, and anti-inflammatory activity were investigated in the present study.
Leucocytes profile
In the current study, i.p., pre- and post-treatment of CCL4/mice with P. pavonica or J. rubens extracts significantly increased WBCs count and lymphocytes relative number compared to the naïve CCL4/mice that recorded a significant decrease in WBCs count that could be due to the immune system’s defense function and resulted in a significant decrease in blood lymphocyte population that was described by the lowering in immune activity by long-term liver injury in CCL4 intoxication42,43. These results conformed with the data of Lavakumar et al.44. , who reported a reduction in WBCs profile, including lymphocytes in tumor-induced mice, which was recovered and associated with an increase in WBCs counts and lymphocytes relatives number in the mice treated with seaweeds Acanthophora spicifera extract. CCL4 metabolism induces ROS that triggered a significant reduction in leukocyte count (leucopoenia) in peripheral blood of mice45,46. The potential of ROS, an inflammatory-producing candidate in hepatic intoxication, to enhance WBCs count suggests that they can impact defensive mechanisms and mediate inflammation and fibrogenesis47. Our results indicated that the neutrophils and monocytes relative numbers become pretty close to that in naïve mice and Silymarin-treated CCL4/mice in CCL4/mice groups pre- and post-treated with Padina pavonia and Jania rubens extract. The abnormal hematologic parameter alternations in total and differential leukocytes induced by hepatic inflammatory response result in the development of many cells from bone marrow, involving neutrophils, which subsequently produce H2O2 that might destroy surrounding tissues and cells48. Monocytes can extravasate into inflammatory sites, distinguish into dendritic cells and tissue macrophages, and respond to infections49. In pathological conditions, monocytes can react to various stimuli, reducing inflammation50. This investigation revealed that P. pavonica and Jania rubens extracts can preserve the hematopoietic cells from the damaging effects of hepatic toxicity, and this protection might be due to their antioxidative mechanism and increasing the immune cell types involved in the primary defense mechanism. It is well-known that liver macrophages, particularly activated Kupffer cells, are well known for their roles in initiating, maintaining, and even limiting inflammation in hepatocytes51,52. Based on our in vivo findings, P. pavonica and J. rubens extract is thought to target liver macrophages to suppress uncontrolled inflammatory responses, inhibiting further hepatic damage and enhancing liver tissue repairing. However, this hypothesis needs more studies.
Assay of inflammatory cytokines and proteins
Our data revealed that along with the increased number of WBCs, the serum levels of TNF-α, IL-6, and CRP in CCL4/mice pre- and post-treated with t Padina pavonia and Jania rubens extract CCL4-treated mice significantly decreased compared to the CCL4/mice group, which significantly increased. The current study revealed that the treatment of CCL4/mice with P. pavonica and J. rubens extracts substantially reduced CCL4-induced liver inflammatory damage by inhibiting TNF-, IL-6, and CRP and by enhancing immune defense mechanism by recruitment and migration of the immune components such as lymphocytes, neutrophils, and monocytes that are the critical candidate in the liver inflammation progression and immune defense mechanism against liver damage39. Although CCL4 metabolism is linked to liver injuries, secondary damage occurs due to the inflammatory progression triggered by Kupffer cell stimulation53. Kupffer cells stimulate the production of inflammatory mediators TNF-, IL-6, and CRP, which are potent inflammatory cytokines implicated in macrophage activation, neutrophil infiltration, and other aspects of inflammation that worsen both inflammatory responses and oxidative stress5,54–57. NF-κB is a transcription factor known to be stimulated by ROS. Activated NF-κB enhances the production of several inflammatory mediators, including TNF-α, IL-6, and CRP58. Here, CCl4 augmented the secretion of liver NF-κB and consequently increased serum TNF-α, IL-6, and CRP. Chronic inflammation is well known to precede fibrosis and to be related to cirrhosis development59. Some phytochemicals and others of seaweeds extracts have been demonstrated to suppress inflammatory pathways downstream of proinflammatory mediators, inhibiting inflammation60. Our findings are in line with the reports of Boshy et al61. , who revealed that the serum level of TNF-α, IL-6, and CRP decreased in fucoidan extract from seaweeds Laminaria species, which may be contributing to its anti-inflammatory activities by suppressing the production of inflammatory cytokines. CRP is a molecule for pattern recognition, attaching to particular molecular configurations typically exposed during cell death or observed on pathogen surfaces. Its fast increment in synthesis within hours after tissue damage or infection indicates that it participates in the defense of the host and is part of the innate immune response62. CRP has been shown to have a vital effect on several inflammatory conditions, particularly preserving mice from fatal challenges with bacterial lipopolysaccharides and several inflammation mediators. Certain immunomodulatory cytokines, TNF-α, IL-6, and CRP, can help produce an anti-inflammatory state in the liver and ameliorate the damage severity. Inhibiting the expression of proinflammatory cytokines TNF-α, IL-6, and CRP by the action of seaweeds has significant anti-inflammatory and immunosuppressive characteristics63.
The increase of ROS in hepatotoxicity-stressed mice is the main factor in activating the HSCs (Hepatic stellate cells) and producing proinflammatory and inflammatory cytokines and CRP64. There is a reciprocal association between oxidative stress and TNF-α, IL-6, and CRP secretion, i.e., oxidative stress raises TNF-α, IL-6, and CRP expression, and TNF-α, IL-6, and CRP enhances oxidative stress65,66. Hence, increased TNF-α, IL-6, and CRP expression here may directly result from hepatic CCL4 intoxication or an indirect oxidative stress potential. TNF-α, IL-6, and CRP can directly cause intoxication in the hepatic and glomerular cells and likely contribute to the organ damage found in the present work67,68. Subsequently, the assessment of the variation in the levels of serum pro-inflammatory cytokines TNF-α and IL-6 and the proinflammatory protein CRP upon P. pavonica and J. rubens pre- and post-treatment confirmed the involvement of anti-inflammation for P. pavonia and J. rubens against liver damage, which is consistent with previous findings of Wills and Asha55, Tripathi et al.5. and Seki et al.41. Interestingly, the i.p. therapy of CCl4/mice with P. pavonica and J. rubens extracts significantly decreased and ameliorated TNF-α, IL-6, and CRP levels being very close to the normal levels in the normal control group, which may be attributed to the ability of P. pavonica and J. rubens extracts to prevent the free radical generation, promote the endogenous antioxidant mechanism beyond their free radical scavenging functions and the anti-inflammatory action69.
Assay of malondialdehyde and antioxidants
Inflammation due to hepatic injury produces excessive ROS in the body, resulting in oxidative stress and lipid peroxidation, leading to decreases in the antioxidant levels and increases in lipid peroxidation marker MDA levels. MDA is a severe factor in hepatic pathogenesis and hepatocyte damage70–73. In the present study, a significant increase in the activity of antioxidant enzymes GSH and a significant reduction in the MDA level in the inflammatory diseased liver after pre- and post-treatment of CCL4/mice with P. pavonica and J. rubens extracts indicated the hepatoprotective potentials of several marine seaweeds by scavenging of free radicals produced by chemical-induced hepatic inflammation74–76. These findings are in consistent with the findings of previous studies and provide a novel indication of the effects of marine seaweeds extract on oxidative stress and lipid metabolism70 providing additional proof that P. pavonica and J. rubens treatment may enhance the attenuation of chemically induced liver damage. GSH is a vital antioxidant that scavenges ROS and keeps protein sulfhydryl groups.
Additionally, our findings confirmed that P. pavonica and J. rubens extracts have hepatoprotective impacts against CCl4-induced injury through alleviating oxidative stress by recovering the antioxidant enzymes’ activities, restoring the GSH reservoir, and decreasing lipid peroxidation specifically, and alleviating MDA level. Antioxidant enzymes, GSH, scavengers of hepatic ROS, are considered the first defense line against oxidative stress-induced tissue injury by reducing oxidative stress and inhibiting the inflammatory response, which could be mediated by immune defense mechanisms such as immune stimulation and immunomodulation77. Previous studies have reported that brown seaweeds components such as P. pavonica and J. rubens extract could suppress ROS production78–80. Knowing that both oxidative stress and inflammatory processes are interlaced, the clinical applications and therapeutic approaches for liver diseases primarily concentrate on antioxidative and anti-inflammatory processes52,81,82, we hypothesize that natural products that extracted from brown seaweed such as P. pavonica and J. rubens could be a promising source to screen effective hepatic disease with high efficiency and low cytotoxicity. Consequently, inhibition of oxidative stress and inflammation plays a significant role in the ameliorative efficacy of seaweeds P. pavonica and J. rubens extracts against liver fibrogenesis.
Our in vivo results showed that P. pavonica and J. rubens extracts had hepatoprotective effects against acute liver injury. Meanwhile, P. pavonica and J. rubens have multiple pharmacological characteristics, including antioxidant and anti-inflammatory approaches. Therefore, we assumed that P. pavonica and J. rubens extracts would exert hepatoprotective approaches against acute liver injury by reducing oxidative stress and suppressing the inflammatory response, and the probable mechanism mediated by immune defense mechanisms including immune stimulation and immunomodulation.
Assay of liver and kidney function
According to the obtained data of the current study, pre-and post-treatment of CCL4/mice with P. pavonica and J. rubens extracts led to a significant decrease in AST and ALT levels, dropping their elevated levels recorded in CCL4 intoxication and reversing them to a normal level comparable with control groups, indicating restoration of hepatic function and integrity and supporting the antioxidant hepatoprotective potentials of the seaweeds P. pavonica and Jania rubens, and this could be due to the fucoidan content of brown algae. Overall, the present results agree with research by Hira et al.83. , in which administration of brown seaweeds Sargassum ilicifolium, Sargassum lanceolatum, and Sargassum swartzii extracts in CCL4-induced liver damage mice preserved the level of hepatic enzymes AST and ALT low. Boshy et al.61. stated that fucoidan’s hepatoprotective efficacy against toxicity of CCl4 might be due to the downregulation of the inflammatory mediators and fucoidan’s antioxidant activities. P. pavonica and J. rubens treatment reduced serum levels of ALT and AST, implying a hepatoprotective impact against CCl4-induced liver damage, and pathological investigation verified this potential effect by successfully reducing the centrolobular necrosis area. Two pathogenic events were considered when trying to figure out the underlying mechanism: oxidative stress and inflammation because these two events usually act as the mechanisms for acute liver damage81,84. Oxidative stress-induced fibrosis occurs because of the excessive generation of ROS and its consequent hepatocyte damage by membrane lipid peroxidation85. CCL4-derived ROS results in hepatocyte membrane injury and leak of the hepatic enzymes into the circulation, which was confirmed by elevating the concentrations of serum ALT and AST86.
CCl4 at overdoses causes major hepatic lesions with large elevations in transaminases followed by liver and kidney damage87,88. Karakus et al.89. stated that acute liver injury affects kidney function and increases serum urea and creatinine levels. Importantly, our results revealed that intraperitoneal pre- and post-treatment of CCL4/mice with P. pavonica extracts showed the best results in significantly decreasing the level of serum urea creatinine compared to the naïve CCL4/mice control group. These results agree with Hira et al.83. , who revealed that rats treated with Sargassum ilicifolium and Sargassum swartzii extracts decreased the raised concentrations of renal function markers urea and creatinine in the CCL4-induced liver injury rats. This decrease may be owing to reduced oxidative stress or elevated excretion of hepato-toxicants outside the body. As a result, P. pavonica extract can be a challenged nephroprotective agent that could suppress the induction and progress of nephrocellular damage in association with its antioxidant efficacy. This efficacy might be owing to the antioxidant potentiation of its active antioxidant components.
Histopathological examination
For further estimation of the hepatoprotective impacts of P. pavonica and J. rubens extracts in liver inflammation, a liver histopathology investigation was achieved to show the degree of the hepatic injury. After CCl4 intoxication in mice, hepatocyte necrosis was apparent in the central lobular areas of the liver section. However, pre- and post-treatment of CCL4/mice with P. pavonica and J. rubens extracts efficiently alleviated hepatotoxin-induced centrolobular necrosis. Significantly, all CCL4-induced histological changes were ameliorated by P. pavonica and J. rubens extracts. These findings support the results obtained from the current study’s immunomodulatory, anti-inflammatory, and antioxidant assays and strengthen the P. pavonica and Jania rubens extracts were able to minimize the deleterious effects of liver inflammation. Histological analyses of the P. pavonica and J. rubens extracts-treated mice groups exhibited reduced inflammatory process and suppressed liver necrosis and fibrosis. Chemically induced liver hepatotoxicity leads to the immediate production of ROS, resulting in lipid peroxidation and, consequently, membrane injury. Stimulated Kupffer cell generates toxic metabolites, including reactive oxygen intermediates and inflammatory cytokines, which are associated with the deterioration of hepatic parenchymal cells71,73. Our histological investigations agree with those of Barros-Gomes et al.90. and Cao et al.91. , who assessed the protective role of the Gracilaria birdiae algae in the liver of hepato-toxin-treated mice.
Additionally, treatment with brown seaweed Padina boergesenii extract inhibited hepato-toxin, triggering morphological changes in the liver, such as edematous hepatocytes. It displayed fewer cytoplasmic degeneration, fewer inflammatory infiltrations, and no necrosis92. Administration of the P. pavonica and J. rubens extracts could improve CCL4-induced histopathological alterations via changes in liver marker enzymes. The hepatoprotective action of P. pavonica and J. rubens extracts may be primarily due to the effects of their antioxidant-sulfated polysaccharides93.
The In vitro half maximal inhibitory concentration (IC50) of methanol extract of P. pavonia and J. rubens on hepatoblastoma cell line (HepG2) cell line after 24 h were estimated at 613 µg/ml and 475 µg/ml for, respectively. Additionally, In vivo half maximal lethal dose (LD) values of the methanol extract of P. pavonia and J. rubens were estimated at 1150 µg /kg and 1074 µg /kg, respectively38.
Brown seaweed extracts exhibit relatively high levels of chlorophyll, carotenoids, fucoxanthin polyphenol phlorotannins that have been shown to possess a range of bioactive properties, including anti-oxidant, anti-inflammatory, anti-allergic, anti-cancer, anti-obesity, and neuroprotective activities35.
The utilization of seaweed extracts as candidates for anti-inflammatory and anti-cancer therapies presents several drawbacks and challenges, including issues related to low bioavailability and chemical stability. The extensive side effects associated with these extracts can significantly hinder their therapeutic efficacy. Consequently, the quest of low-toxicity marine-derived pharmaceuticals aimed at preventing and treating inflammation and cancer has emerged as a key focus area for researchers94. Despite comprehensive investigations into the anti-inflammatory and anti-cancer properties of seaweed extracts, the application of fucoidan—an active component found in many seaweeds—as a therapeutic agent or drug delivery system has encountered notable obstacles. Primarily, the high cost and limited availability of pure fucoidan, a natural polymer sourced from seaweed, pose significant challenges in obtaining adequate quantities for research purposes95. Additionally, the extraction and purification processes are complex and labor-intensive. Furthermore, the structural complexity of these marine natural products complicates their manipulation and the development of cost-effective synthetic alternatives96. Another significant hurdle is the biological activity and selectivity of seaweeds natural products, as their origin from marine species rather than mammals may lead to undesirable biological responses in humans97. Lastly, ongoing safety assessments and biodegradability tests are crucial, as, despite the long-standing use of seaweed-derived bioactive components in food and dietary supplements, there remains a need to evaluate their safety and potential hepatotoxicity.
Conclusion
Based on the above findings, our studies indicated that P. pavonica and J. rubens extracts could be potential candidates for chemical liver injury treatment by enhancing the immune and anti-inflammatory systems affecting hepatic inflammation and fibrogenesis progression. The hepatoprotective effects of P. pavonica and J. rubens may be mediated through their immune stimulation, immunomodulatory, anti-inflammatory, and antioxidant potentials. Additionally, P. pavonica and J. rubens extracts may be recommended as a potential natural therapy to cure, delay, or prevent conditions associated with inflammation or immune system disorders. Therefore, in another future study, we must search for their therapeutic potential in humans.
Abbreviations
- CCL4
Carbon tetrachloride
- WBCs
White blood cells
- CRP
C-reactive protein
- MDA
Malondialdehyde
- AST
Aspartate aminotransferase
- ALT
Alanine aminotransferase
- NK
Natural killer
- TNF-α
Tumor necrosis factor-alpha
- IL-6
Interleukin 6
- GSH
Antioxidant enzymes glutathione
Author contributions
EB participated in research experiments, data collection, and manuscript writing; MN participate in manuscript writing processing and analysis. ME participated in research design, supervision, and manuscript writing and editing. SE and RE participated in research design, supervision, and draft manuscript writing. All authors read and approved the final manuscript.
Funding
Open access funding provided by The Science, Technology & Innovation Funding Authority (STDF) in cooperation with The Egyptian Knowledge Bank (EKB).
Data availability
The datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request.
Declarations
Competing interests
The authors declare no competing interests.
Ethical approval and consent to participate
All animal experimentation protocols were carried out in agreement with the National Institutes of Health guide for the care and use of laboratory animals (NIH Publications No. 8023, revised 1978) and following the recommendation of the proper care and use of laboratory animals regulated by Faculty of Science, Tanta University IACUC, Tanta, Egypt. This study was approved by the Faculty of Science, Tanta University’s Scientific Induction Ethics Committee, and guidelines for the humane care of animals (IACUC-SCI–TU-0412). It is also confirmed that this study is reported in accordance with ARRIVE guidelines.
Consent to publish
The authors agreed to publish this manuscript for publication.
Footnotes
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
References
- 1.Bataller, R. & Brenner, D. A. Liver fibrosis. J. Clin. Investig.115 (2), 209–218 (2005). [DOI] [PMC free article] [PubMed]
- 2.Billiau, A. & Matthys, P. Interferon-γ: a historical perspective. Cytokine Growth Factor. Rev.20 (2), 97–113 (2009). [DOI] [PubMed] [Google Scholar]
- 3.Murray, J. et al. Regulation of neutrophil apoptosis by tumor necrosis factor-α: requirement for TNFR55 and TNFR75 for induction of apoptosis in vitro. Blood J. Am. Soc. Hematol.90 (7), 2772–2783 (1997). [PubMed] [Google Scholar]
- 4.Smyth, M. J., Cretney, E., Kershaw, M. H. & Hayakawa, Y. Cytokines in cancer immunity and immunotherapy. Immunol. Rev.202 (1), 275–293 (2004). [DOI] [PubMed] [Google Scholar]
- 5.Tripathi, S., Maier, K. G., Bruch, D. & Kittur, D. S. Effect of 6-gingerol on pro-inflammatory cytokine production and costimulatory molecule expression in murine peritoneal macrophages. J. Surg. Res.138 (2), 209–213 (2007). [DOI] [PubMed] [Google Scholar]
- 6.Keane, M. & Streiter, R. M. The importance of balanced pro-inflammatory and anti-inflammatory mechanism in diffuse lung disease. Respir. Res.3, 5–12 (2002). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Margetic, S. Inflammation and haemostasis. Biochem. Med. (Zagreb)22, 49–62. [PMC free article] [PubMed]
- 8.McCoy, J. M., Wicks, J. R. & Audoly, L. P. The role of prostaglandin E2 receptors in the pathogenesis of rheumatoid arthritis. J. Clin. Investig.110 (5), 651–658 (2012). [DOI] [PMC free article] [PubMed]
- 9.Rodríguez, R. M. & López-Vázquez, A. & López-Larrea, C. Immune systems evolution. Sens. Nat. 237–251 (2012). [DOI] [PubMed]
- 10.Fujiwara, N. & Kobayashi, K. Macrophages in inflammation. Curr. Drug Targets Inflamm. Allergy4 (3), 281–286 (2005). [DOI] [PubMed] [Google Scholar]
- 11.Wang, B. S., Chen, J. H., Liang, Y. C. & Duh, P. D. Effects of Welsh onion on oxidation of low-density lipoprotein and nitric oxide production in macrophage cell line RAW 264.7. Food Chem.91 (1), 147–155 (2005). [Google Scholar]
- 12.Fiocchi, C. Early versus late immune mediated inflammatory diseases. Acta Gastro-enterol. Belg.74 (4), 548–552 (2011). [PubMed] [Google Scholar]
- 13.Xu, Z., Chen, X., Zhong, Z., Chen, L. & Wang, Y. GanoLucidumucidum polysaccharides: immunomodulation and potential anti-tumor activities. Am. J. Chin. Med.39 (01), 15–27 (2011). [DOI] [PubMed] [Google Scholar]
- 14.Gabele, E., Brenner, D. A. & Rippe, R. A. Liver fibrosis: signals leading to the amplification of the fibrogenic hepatic stellate cell. Front. Biosci.8 (1), 69–77 (2003). [DOI] [PubMed] [Google Scholar]
- 15.Nagarathna, P. K. M., Reena, K., Sriram, R. & Johnson, W. Review on Immunomodulation and Immunomodulatory Activity of some herbal plants. Int. J. Pharm. Sci. Rev. Res.22 (1), 223–230 (2013). [Google Scholar]
- 16.Escobar, J. A., Rubio, M. A. & Lissi, E. A. SOD and catalase inactivation by singlet oxygen and peroxyl radicals. Free Radic. Biol. Med.20 (3), 285–290 (1996). [DOI] [PubMed] [Google Scholar]
- 17.Fahmy, S. R. & Soliman, A. M. Protective effect of silymarin, honey and ethanolic extract of Zizyphus spina-christi leaves against carbon tetrachloride toxicity in rats. Egypt. J. Zool.49 (2), 345–359 (2007). [Google Scholar]
- 18.Öner, A. C. et al. Anti-inflammatory and hepatoprotective activities of Trigonella foenum-graecum L. Pharmacol. Online2 (9), 126–132 (2008). [Google Scholar]
- 19.Kurata, M., Suzuki, M. & Agar, N. S. Antioxidant systems and erythrocyte life-span in mammals. Comp. Biochem. Physiol. B Comp. Biochem.106 (3), 477–487 (1993). [DOI] [PubMed] [Google Scholar]
- 20.Liu, J. et al. The preventive effects of heparin–superoxide dismutase on carbon tetrachloride-induced acute liver failure and hepatic fibrosis in mice. Mol. Cell. Biochem.327 (1), 219–228 (2009). [DOI] [PubMed] [Google Scholar]
- 21.Olsthoorn, S. E. et al. Brown seaweed food supplementation: effects on allergy and inflammation and its consequences. Nutrients13 (8), 2613 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Sanjeewa, K. A. et al. In vitro and in vivo anti-inflammatory activities of high molecular weight sulfated polysaccharide containing fucose separated from Sargassum horneri. Int. J. Biol. Macromol.107, 803–807 (2018). [DOI] [PubMed] [Google Scholar]
- 23.Jayawardena, T. U. et al. Isolation and purification of fucoidan fraction in Turbinaria ornata from the Maldives; inflammation inhibitory potential under LPS stimulated conditions in in-vitro and in-vivo models. Int. J. Biol. Macromol.131, 614–623 (2019). [DOI] [PubMed] [Google Scholar]
- 24.Madkour, F. F., Khalil, W. F. & Dessouki, A. A. Protective effect of ethanol extract of Sargassum dentifolium (Phaeophyceae) in carbon tetrachloride-induced hepatitis in rats. Int. J. Pharm. Pharm. Sci.4 (3), 637–641 (2012). [Google Scholar]
- 25.Dias, P. F. et al. Antiangiogenic and antitumoral properties of a polysaccharide isolated from the seaweed Sargassum stenophyllum. Cancer Chemother. Pharmacol.56 (4), 436–446 (2005). [DOI] [PubMed] [Google Scholar]
- 26.Yeh, S. T., Lee, C. S. & Chen, J. C. Administration of hot water extract of brown seaweed Sargassum duplicatum via immersion and injection enhances the immune resistance of white shrimp Litopenaeus vannamei. Fish. Shellfish Immunol.20 (3), 332–345 (2006). [DOI] [PubMed] [Google Scholar]
- 27.Kang, J. Y. et al. Antipyretic, analgesic, and anti-inflammatory activities of the seaweed Sargassum fulvellum and Sargassum thunbergii in mice. J. Ethnopharmacol.116 (1), 187–190 (2008). [DOI] [PubMed] [Google Scholar]
- 28.Meena, B. et al. Antihepatotoxic potential of Sargassum polycystum (Phaeophyceae) on antioxidant defense status in D-galactosamine-induced hepatitis in rats. Afr. J. Biochem. Res.2 (2), 51–55 (2008). [Google Scholar]
- 29.Paskaleva, E. E. et al. Sargassum fusiforme fraction is a potent and specific inhibitor of HIV-1 fusion and reverse transcriptase. Virol. J.5, 8 (2008). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.Gheda, S., El-Sheekh, M. M. & AbouZeid, A. In vitro anticancer activity of polysaccharide extracted from the red alga Jania rubens against breast and colon cancer cell lines. Asian Pac. J. Trop. Med.11 (10), 583–589 (2018). [Google Scholar]
- 31.Assreuy, A. M. S. et al. Anti-inflammatory effect of glucose—mannose binding lectins isolated from Brazilian beans. Mediat. Inflamm.6 (3), 201–210 (1997). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Rocha, B. A. et al. Structural basis for both pro-and anti-inflammatory response induced by mannose-specific legume lectin from Cymbosema roseum. Biochimica93 (5), 806–816 (2011). [DOI] [PubMed] [Google Scholar]
- 33.Vinegar, R., Schreiber, W. & Hugo, R. Biphasic development of carrageenan edema in rats. J. Pharmacol. Exp. Therap.166, 96–103 (1969). [PubMed] [Google Scholar]
- 34.Vinegar, R. A. L. P. H. et al. Pathway to carrageenan-induced inflammation in the hind limb of the rat. Feder. Proc.46 (1), 118–126 (1987). [PubMed]
- 35.Olsson, J., Toth, G. B. & Albers, E. Biochemical composition of red, green and brown seaweeds on the Swedish west coast. J. Appl. Phycol.32, 3305–3317 (2020). [Google Scholar]
- 36.Guiry, M. D. & Guiry, G. M. AlgaeBase (Worldwide Electronic Publication, National University of Ireland, 2019).
- 37.El-Sheekh, M. M., El-shenody, R. A. & Bases, E. A. El Shafay, S. M. comparative assessment of antioxidant activity and biochemical composition of four seaweeds, Rocky Bay of Abu Qir in Alexandria, Egypt. Food Sci. Technol.41, 29–40 (2020). [Google Scholar]
- 38.El-Sheekh, M. M., Nassef, M., Bases, E., Shafay, S. E. & El-Shenody, R. Antitumor immunity and therapeutic properties of marine seaweeds-derived extracts in the treatment of cancer. Cancer Cell Int.22 (1), 267 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Friedman, S. L. Mechanisms of hepatic fibrogenesis. Gastroenterology134 (6), 1655–1669 (2008). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40.Laskin, D. L. & Pendino, K. J. Macrophages and inflammatory mediators in tissue injury. Ann. Rev. Pharmacol. Toxicol.35 (1), 655–677 (1995). [DOI] [PubMed] [Google Scholar]
- 41.Seki, E. et al. A. CCR2 promotes hepatic fibrosis in mice. Hepatology50 (1), 185–197 (2009). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 42.Hau, D. M. Effects of electroacupuncture on leukocytes and plasma protein in the X-irradiated rats. Am. J. Chin. Med.12, 106–114 (1984). [DOI] [PubMed] [Google Scholar]
- 43.Patrick-Iwuanyanwu, K. C., Wegwu, M. O. & Ayalogu, E. O. Prevention of CCI4-induced liver damage by ginger, garlic and vitamin E. Pak. J. Biol. Sci.10 (4), 617–621 (2007). [DOI] [PubMed] [Google Scholar]
- 44.Lavakumar, V., Ahamed, K. F. H., Ravichandran, V. & Anticancer and antioxidant effect of Acanthophora spicifera against EAC induced carcinoma in mice. J. Pharm. Res.5 (3), 1503–1507 (2012). [Google Scholar]
- 45.Slater, T. F. & Sawyer, B. C. The stimulatory effects of carbon tetrachloride and other halogenoalkanes on peroxidative reactions in rat liver fractions in vitro. General features of the systems used. Biochem. J.123 (5), 805–814 (1971). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46.Ali, M., Shikha, Ahmed, S. S., Kumar, R., Singh, J. K. & Kumar, A. Impact of ganoderma lucidium on carbon tetra chloride (ccl4) induced haematological profiles of mice. World J. Pharm. Res.3 (3), 4520–4526 (2014). [Google Scholar]
- 47.Oluyemi, K. A. et al. Erythropoietic and anti-obesity effects of Garcinia Cambogia (bitter kola) in Wistar rats. Biotechnol. Appl. Biochem.46 (1), 69–72 (2007). [DOI] [PubMed] [Google Scholar]
- 48.Abuharfeil, N., Sarsour, E. & Hassuneh, M. The effect of sodium nitrite on some parameters of the immune system. Food Chem. Toxicol.39 (2), 119–124 (2001). [DOI] [PubMed] [Google Scholar]
- 49.Qian, B. Z. et al. CCL2 recruits inflammatory monocytes to facilitate breast-tumour metastasis. Nature475 (7355), 222–225 (2011). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 50.Hanna, R. N. et al. NR4A1 (Nur77) deletion polarizes macrophages toward an inflammatory phenotype and increases atherosclerosis. Circ. Res.110 (3), 416–427 (2012). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 51.Li, P., He, K., Li, J., Liu, Z. & Gong, J. The role of Kupffer cells in hepatic diseases. Mol. Immunol.85, 222–229 (2017). [DOI] [PubMed] [Google Scholar]
- 52.Tacke, F. Targeting hepatic macrophages to treat liver diseases. J. Hepatol.66 (6), 1300–1312 (2017). [DOI] [PubMed] [Google Scholar]
- 53.Edwards, M. J., Keller, B. J., Kauffman, F. & Thurman, R. G. The involvement of Kupffer cells in carbon tetrachloride toxicity. Toxicol. Appl. Pharmacol.119 (2), 275–279 (1993). [DOI] [PubMed] [Google Scholar]
- 54.Durum, S. K., Schmidt, J. A. & Oppenheim, J. J. Interleukin 1: an immunological perspective. Ann. Rev. Immunol.3 (1), 263–287 (1985). [DOI] [PubMed] [Google Scholar]
- 55.Wills, P. J. & Asha, V. V. Protective mechanism of Lygodium flexuosum extract in treating and preventing carbon tetrachloride induced hepatic fibrosis in rats. Chem.-Biol Interact.165 (1), 76–85 (2007). [DOI] [PubMed] [Google Scholar]
- 56.Zhang, B. J. et al. Protection by and antioxidant mechanism of berberine against rat liver fibrosis induced by multiple hepatotoxic factors. Clin. Exp. Pharmacol. Physiol.35 (3), 303–309 (2008). [DOI] [PubMed] [Google Scholar]
- 57.Achur, R. N., Freeman, W. M. & Vrana, K. E. Circulating cytokines as biomarkers of alcohol abuse and alcoholism. J. Neuroimmune Pharmacol.5 (1), 83–91 (2010). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 58.Lingappan, L. NF-κB in oxidative stress. Curr. Opin. Toxicol.7, 81–86 (2018). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 59.Czaja, A. J. & Carpenter, H. A. Progressive fibrosis during corticosteroid therapy of autoimmune Hepatitis. Hepatology39 (6), 1631–1638 (2004). [DOI] [PubMed] [Google Scholar]
- 60.Grattagliano, I. et al. Severe liver steatosis correlates with nitrosative and oxidative stress in rats. Eur. J. Clin. Investig.38 (7), 523–530 (2008). [DOI] [PubMed] [Google Scholar]
- 61.Boshy, M. et al. Attenuation of CCl4 induced oxidative stress, immunosuppressive, hepatorenal damage by fucoidan in rats. J. Clin. Toxicol.7 (348), 495–2161 (2017). [Google Scholar]
- 62.Black, S., Kushner, I. & Samols, D. C-reactive protein. J. Biol. Chem.279 (47), 48487–48490 (2004). [DOI] [PubMed] [Google Scholar]
- 63.Xia, D. & Samols, D. Transgenic mice expressing rabbit C-reactive protein are resistant to endotoxemia. Proc. Nat. Acad. Sci.94 (6), 2575–2580 (1997). [DOI] [PMC free article] [PubMed]
- 64.Park, J. et al. Fucoidan inhibits LPS-induced inflammation in vitro and during the acute response in vivo. Int. Immunopharmacol.43, 91–98 (2017). [DOI] [PubMed] [Google Scholar]
- 65.Fischer, R. & Maier, O. Interrelation of oxidative stress and inflammation in neurodegenerative disease: role of TNF. Oxid. Med. Cell. Longev.2015, 1 (2015). [DOI] [PMC free article] [PubMed]
- 66.Voltan, R. et al. Redox signaling and oxidative stress: cross talk with TNF-related apoptosis inducing ligand activity. Int. J. Biochem. Cell. Biol.81, 364–374 (2016). [DOI] [PubMed] [Google Scholar]
- 67.Jo, M. et al. Apoptosis induced in normal human hepatocytes by tumor necrosis factor-related apoptosis-inducing ligand. Nat. Med.6, 564–567 (2000). [DOI] [PubMed] [Google Scholar]
- 68.Navarro, J. J. et al. Tumor necrosis factor-α gene expression in diabetic nephropathy: relationship with urinary albumin excretion and effect of angiotensin-converting enzyme inhibition. Kidney Int.68, S98–S102 (2005). [DOI] [PubMed] [Google Scholar]
- 69.Vynograd, N., Vynograd, I. & Sosnowski, Z. A comparative multi-centre study of the efficacy of propolis, acyclovir and placebo in the treatment of genital herpes (HSV). Phytomedicine7 (1), 1–6 (2000). [DOI] [PubMed] [Google Scholar]
- 70.Joensuu, H., Pylkkänen, L. & Toikkanen, S. Bcl-2 protein expression and long-term survival in breast cancer. Am. J. Pathol.145 (5), 1191–1198 (1994). [PMC free article] [PubMed] [Google Scholar]
- 71.Ebaid, H., Bashandy, S. A. E., Alhazza, I. M., Rady, A. & El-Shehry, S. Folic acid and melatonin ameliorate carbon tetrachloride-induced hepatic injury, oxidative stress and inflammation in rats. Nutr. Metabol.10 (1), 20 (2013). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 72.Fauziah, F. & Mahdi, C. A study on brown seaweed therapy (Sargassum sp.) toward MDA levels and histological improvement on rat foot suffering rheumatoid arthritis. J. Pure Appl. Chem. Res.2 (3), 102 (2013). [Google Scholar]
- 73.Sharma, G., Kar, S., Ball, W. B., Ghosh, K. & Das, P. K. The curative effect of fucoidan on visceral leishmaniasis is mediated by activation of MAP kinases through specific protein kinase C isoforms. Cell. Mol. Immunol.11 (3), 263–274 (2014). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 74.Pareek, A., Godavarthi, A., Issarani, R. & Nagori, B. P. Antioxidant and hepatoprotective activity of Fagonia schweinfurthii (Hadidi) Hadidi extract in carbon tetrachloride induced hepatotoxicity in HepG2 cell line and rats. J. Ethnopharmacol.150 (3), 973–981 (2013). [DOI] [PubMed] [Google Scholar]
- 75.Al-Sayed, E., El-Lakkany, N. M., el-Din, S., Sabra, S. H., Hammam, O. A. & A. N. A. & Hepatoprotective and antioxidant activity of Melaleuca styphelioides on carbon tetrachloride-induced hepatotoxicity in mice. Pharm. Biol.52 (12), 1581–1590 (2014). [DOI] [PubMed] [Google Scholar]
- 76.Pu, X. et al. Polysaccharides from Angelica and Astragalus exert hepatoprotective effects against carbon-tetrachloride-induced intoxication in mice. Can. J. Physiol. Pharmacol.93 (1), 39–43 (2015). [DOI] [PubMed] [Google Scholar]
- 77.Xu, M. et al. Oxidative damage induced by arsenic in mice or rats: a systematic review and meta-analysis. Biol. Trace Elem. Res.176 (1), 154–175 (2017). [DOI] [PubMed] [Google Scholar]
- 78.Vinayak, R. C., Sabu, A. S. & Chatterji, A. Bio-prospecting of a few brown seaweeds for their cytotoxic and antioxidant activities. Evid.-Based Complement. Altern. Med.2011, 1–9 (2011). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 79.Martins, C. D. et al. Antioxidant properties and total phenolic contents of some tropical seaweeds of the Brazilian coast. J. Appl. Phycol.25 (4), 1179–1187 (2013). [Google Scholar]
- 80.Rajauria, G., Jaiswal, A. K., Abu-Gannam, N. & Gupta, S. Antimicrobial, antioxidant and free radical‐scavenging capacity of brown seaweed Himanthalia elongata from western coast of Ireland. J. Food Biochem.37 (3), 322–335 (2013). [Google Scholar]
- 81.Reyes-Gordillo, K., Shah, R. & Muriel, P. Oxidative stress and inflammation in hepatic diseases: current and future therapy. Oxid. Med. Cell. Longev.2017, 3140673 (2017). [DOI] [PMC free article] [PubMed]
- 82.Patten, D. A., Shepherd, E. L., Weston, C. J. & Shetty, S. Novel targets in the immune microenvironment of the hepatic sinusoids for treating liver diseases. Semin. Liver Dis.39 (2), 111–123 (2017). [DOI] [PubMed]
- 83.Hira, K., Sultana, V., Ara, J. & Ehteshamul-Haque, S. Protective role of Sargassum species in liver and kidney dysfunctions and associated disorders in rats intoxicated with carbon tetrachloride and acetaminophen. Pak. J. Pharm. Sci.30, 721–728 (2017). [PubMed] [Google Scholar]
- 84.Woolbright, B. L. & Jaeschke, H. The impact of sterile inflammation in acute liver injury. J. Clin. Transl. Res.3 (1), 170–188 (2017). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 85.Sun, J. et al. Anthocyanins isolated from blueberry ameliorates CCl4 induced liver fibrosis by modulation of oxidative stress, inflammation and stellate cell activation in mice. Food Chem. Toxicol.120, 491–499 (2018). [DOI] [PubMed] [Google Scholar]
- 86.Weber, L. W., Boll, M. & Stampfl, A. Hepatotoxicity and mechanism of action of haloalkanes: carbon tetrachloride as a toxicological model. Crit. Rev. Toxicol.33 (2), 105–136 (2003). [DOI] [PubMed] [Google Scholar]
- 87.Hinson, J. A., Pumford, N. R. & Roberts, D. W. Mechanisms of acetaminophen toxicity: immunochemical detection of drug-protein adducts. Drug Metabol. Rev.27 (1–2), 73–92 (1995). [DOI] [PubMed] [Google Scholar]
- 88.Rusu, M. A., Bucur, N., Puicǎ, C. & Tǎmaş, M. Effects of Corylus avellana in acetaminophen and CCl4 induced toxicosis. Phytother. Res.13 (2), 120–123 (1999). [DOI] [PubMed] [Google Scholar]
- 89.Karakus, E. et al. Protective effect of Panax ginseng against serum biochemical changes and apoptosis in liver of rats treated with carbon tetrachloride (CCl4). J. Hazard. Mater.195, 208–213 (2011). [DOI] [PubMed] [Google Scholar]
- 90.Barros-Gomes, J. A. C. et al. In vivo evaluation of the antioxidant activity and protective action of the seaweed Gracilaria birdiae. Oxid. Med. Cell. Longev.2018, 1 (2018). [DOI] [PMC free article] [PubMed]
- 91.Cao, J. J., Lv, Q. Q., Zhang, B. & Chen, H. Q. Structural characterization and hepatoprotective activities of polysaccharides from the leaves of Toona sinensis (A. Juss) Roem. Carbohyd. Polym.212, 89–101 (2019). [DOI] [PubMed] [Google Scholar]
- 92.Karthikeyan, R., Somasundaram, S. T., Manivasagam, T., Balasubramanian, T. & Anantharaman, P. Hepatoprotective activity of brown alga Padina boergesenii against CCl4 induced oxidative damage in Wistar rats. Asian Pac. J. Trop. Med.3 (9), 696–701 (2010). [Google Scholar]
- 93.Mattioli, R., Mosca, L., Sánchez-Lamar, A., Tempera, I. & Hausmann, R. Natural bioactive compounds acting against oxidative stress in chronic, degenerative, and infectious diseases. Oxid. Med. Cell. Longev.2018, 1–2 (2018). [DOI] [PMC free article] [PubMed]
- 94.Jin, J. O. et al. Seaweeds in the oncology arena: anti-cancer potential of fucoidan as a drug—A review. Molecules27 (18), 6032 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 95.Montaser, R. & Luesch, H. Marine natural products: a new wave of drugs? Future Med. Chem.3, 1475–1489 (2011). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 96.Bilan, M. I. & Usov, A. I. Structural analysis of fucoidans. Nat. Prod. Commun.3, 1639–1648 (2008). [Google Scholar]
- 97.Lear, M. J., Hirai, K., Ogawa, K., Yamashita, S. & Hirama, M. A convergent total synthesis of the kedarcidin chromophore: 20-years in the making. J. Antibiot.72, 350–363 (2019). [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
The datasets used and/or analyzed during the current study are available from the corresponding author upon reasonable request.







