Abstract
This study aimed to evaluate the hepatoprotective effects of rapeseed pollen extract (RPE) in mice with alcohol-induced liver injury and to investigate the underlying mechanisms. The chemical composition of RPE was characterized using ultra-performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS). An experimental murine model of alcoholic liver injury was established to assess its biological activity. A total of 64 compounds were identified, predominantly comprising flavonoids, triterpenoids, alkaloids, lipids, and sterols. RPE administration significantly reduced serum levels of alanine aminotransferase (ALT), aspartate aminotransferase (AST), triglycerides (TG), tumor necrosis factor-alpha (TNF-α), and interleukin-6 (IL-6). Hepatic activities of alcohol dehydrogenase (ADH), aldehyde dehydrogenase (ALDH), superoxide dismutase (SOD), and glutathione peroxidase (GSH-Px) were increased, whereas malondialdehyde (MDA) levels were decreased. Histopathological examination demonstrated attenuation of liver injury, and immunohistochemical analysis revealed increased expression of Kelch-like ECH-associated protein 1 (Keap1), nuclear factor erythroid 2-related factor 2 (Nrf2), and NAD(P)H quinone dehydrogenase 1 (NQO1). These results indicate that RPE exerts protective effects against alcohol-induced liver injury through modulation of oxidative stress and inflammatory responses. This study provides a theoretical basis for the development and application of rapeseed pollen in functional foods for liver protection.
Keywords: Rapeseed pollen extract, Alcoholic-induced liver injury, Oxidative stress, Inflammatory response, Keap1-Nrf2 signaling pathway
Subject terms: Biochemistry, Drug discovery, Plant sciences
Introduction
Global alcohol consumption has increased substantially with improved living standards, resulting in significant public health concerns. According to the World Health Organization (WHO), approximately 3 million deaths occur annually due to long-term excessive alcohol consumption, accounting for 5.3% of total global mortality1. Chronic alcohol intake induces damage to multiple organs, including the brain, heart, gastrointestinal system, and liver2. Alcoholic liver disease (ALD) is the most prevalent alcohol-related liver disorder and encompasses a spectrum of hepatic abnormalities such as fatty liver and hepatitis induced by prolonged alcohol exposure3. The liver is the principal organ for alcohol metabolism, and ALD pathogenesis is strongly associated with oxidative stress imbalance and inflammatory activation4,5. Alcohol metabolism generates excessive reactive oxygen species (ROS), leading to impairment of antioxidant enzymes, including glutathione peroxidase (GSH-Px), superoxide dismutase (SOD), and catalase (CAT), promoting hepatocyte apoptosis and necrosis6. Currently used therapeutic agents for ALD include corticosteroids, silymarin, glycyrrhizic acid preparations, and taurine. However, these agents are associated with adverse effects, limited long-term applicability, and a lack of disease specificity7,8, necessitating the development of safer therapeutic strategies.
Rapeseed pollen contains abundant flavonoids, polyphenols, and other active components9, and exhibits antioxidative10, anti-inflammatory11,12, lipid-lowering13, and hepatoprotective properties14. Previous studies have demonstrated that rapeseed pollen extract (RPE) possesses antioxidant and anti-inflammatory activities and may protect against non-alcoholic fatty liver disease15,16. However, its role in alcohol-induced liver injury has not been fully elucidated. In this study, rapeseed pollen was extracted using 80% ethanol (v/v), and its chemical composition was analyzed via ultra-performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS). An acute alcohol-induced liver injury model was established by a single intragastric administration of 50% ethanol (v/v) at a dose of 12 mL/kg body weight. The pharmacological effects of RPE were evaluated, and its preliminary mechanism of action was investigated. This study provides a theoretical basis for the utilization of rapeseed pollen resources and supports the development of functional foods for the alleviation of alcoholic liver injury.
Materials and methods
Materials
The rapeseed pollen (Brassica napus L.) used in this study was purchased from Henan Aimile Industrial Co., Ltd. (Zhengzhou, China). The company holds all necessary permissions for the collection and processing of this agricultural product. A representative sample of rapeseed pollen (No. 20251021) has been deposited in the Laboratory of Pharmacognosy, School of Medicine, Huanghe Science & Technology University, and is available upon reasonable request from the corresponding author. The plant material was authenticated by Prof. Wang Li from the School of Medicine, Huanghe Science & Technology University, Zhengzhou, China. This study did not involve wild plants or endangered species. Brassica napus L. is a widely cultivated agricultural crop. All procedures complied with relevant institutional, national, and international guidelines and legislation. No specific permits were required for the use of this commercially available agricultural product. Food-grade ethanol (95%, v/v) by volume) was purchased from Hunan Kelun Pharmaceutical Co., Ltd. (Hunan, China). Dihydromyricetin (purity ≥ 98%, HPLC) was obtained from Shanghai Yuanye Bio-Technology Co., Ltd. (Shanghai, China). Biochemical assay kits for alanine aminotransferase (ALT), aspartate transaminase (AST), triglyceride (TG), malondialdehyde (MDA), superoxide dismutase (SOD), glutathione peroxidase (GSH-Px), alcohol dehydrogenase (ADH), and acetaldehyde dehydrogenase (ALDH) were purchased from Nanjing Jiancheng Bioengineering Institute. ELISA kits for tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) were obtained from Lianke Biotechnology Co., Ltd. Primary antibodies against Keap1, Nrf2, and NQO1 were purchased from Chengdu Zhengneng Biotechnology Co., Ltd. All other reagents used were of analytical grade.
Methods
Preparation of RPE
Following cell wall disruption17,18, the rapeseed pollen was dried, pulverized, and passed through a 100-mesh sieve. Two hundred grams of the disrupted pollen powder were placed into a 2000 mL round-bottom flask. An 8-fold volume of 80% (v/v) ethanol solution was added and thoroughly mixed. The mixture was subjected to two rounds of heat reflux extraction, each lasting 2 h. After completion of the extraction, the resulting solutions were filtered under vacuum. The filtrates were combined, and the solvent was removed using rotary evaporation under reduced pressure to obtain the RPE. The obtained extract was stored at 4 °C until further use.
UPLC-MS/MS compositional analysis
The prepared RPE was identified and analyzed using UPLC-MS/MS. The chromatographic conditions were as follows: a Waters HSS T3 column (100 × 2.1 mm, 1.8 μm) was used for separation; the column temperature was maintained at 40 °C; the flow rate was 0.3 mL/min; and the injection volume was 2 µL. The mobile phase consisted of (A) Milli-Q water containing 0.1% formic acid and (B) acetonitrile containing 0.1% formic acid, with a gradient elution program: 0 min, A/B (100:0, v/v); 1 min, A/B (100:0, v/v); 12 min, A/B (5:95, v/v); 13 min, A/B (5:95, v/v); 13.1 min, A/B (100:0, v/v); 17 min, A/B (100:0, v/v).
Mass spectrometric analysis was performed using a Q Exactive HFX hybrid quadrupole-Orbitrap mass spectrometer (Thermo Fisher Scientific) equipped with a heated electrospray ionization (HESI) source. Data acquisition was carried out using a Full MS/dd-MS² data acquisition method. The electrospray ionization source parameters were set as follows: sheath gas pressure, 40 arb; auxiliary gas flow rate, 10 arb; spray voltage, + 3000 V/-2800 V; capillary temperature, 350 °C; and ion transfer tube temperature, 320 °C. The primary mass spectrometry scan range (m/z range) was set at 70-1050 Da, with a primary resolution of 70,000 and a secondary resolution of 17,500. Compound identification was performed by comparing accurate mass-to-charge ratios obtained from primary mass spectrometry with fragment ion information from secondary mass spectrometry. Identification was further confirmed through database matching and comparison with relevant literature.
Establishment of an alcoholic liver injury model and drug administration
All animal experiments were approved by the Institutional Animal Care and Use Committee (IACUC) of Huanghe Science & Technology University (Approval No. 2025-012) and were conducted in accordance with relevant ethical guidelines. Male KM mice (6–8 weeks old, 18–22 g) were obtained from the Laboratory Animal Center of Huanghe Science & Technology University School of Medicine and maintained under specific pathogen‑free conditions at 22 ± 2 °C with a 12 h light/dark cycle and free access to standard diet and water.
Fifty male KM mice were randomly divided into five groups (n = 10 per group): normal control group, model group, dihydromyricetin group (200 mg/kg DHM), low-dose RPE group (200 mg/kg), and high-dose RPE group (400 mg/kg). The doses of RPE (200 and 400 mg/kg) were selected based on preliminary dose-finding experiments in which 200 and 400 mg/kg exhibited optimal hepatoprotective effects, as well as on previous literature19. Except for the normal and model groups, all treatment groups received intragastric administration of their respective drugs once daily. The normal and model groups received a vehicle only. This treatment continued for 7 consecutive days. Thirty minutes after the final administration, mice, except those in the normal control group, received a single intragastric dose of 50% (v/v) ethanol at a dose of 12 mL/kg body weight (equivalent to 5.5 g/kg) to induce acute alcoholic liver injury, as previously reported with minor modifications20,21. The normal control group received an equal volume of saline.
Exactly 12 h after the ethanol challenge, mice were euthanized after a 12 h fasting period (with free access to water). Blood samples were collected and centrifuged to obtain serum, which was stored at -80 °C. Mice were euthanized by intraperitoneal injection of sodium pentobarbital (75 mg/kg body weight; Beijing Chemical Reagent Company, Batch No. 081213). Liver tissues were collected after confirmation of death (absence of respiratory movement and heartbeat) and fixed in 4% paraformaldehyde solution for subsequent analysis.
Measurement of serum AST, ALT, and TG levels
Serum samples stored at -80 °C were thawed and homogenized. The levels of AST, ALT, and TG in serum samples from each group were measured according to the instructions provided in the corresponding biochemical assay kits.
Measurement of hepatic ADH, ALDH, MDA, and SOD levels
Liver tissues were accurately weighed and homogenized in ice-cold normal saline (9 mL/gram tissue) under ice conditions. The homogenate was centrifuged at 4 °C and 4000 r/min for 10 min. The supernatant was collected and aliquoted for subsequent analysis. Levels of ADH, ALDH, MDA, and SOD in the liver tissue samples from each group were measured according to the instructions provided in the corresponding biochemical assay kits.
Measurement of serum TNF-α and IL-6 levels
Serum samples stored at -80 °C were thawed and homogenized. The levels TNF-α and IL-6 in serum samples from each group were measured using commercial ELISA kits according to the manufacturer’s instructions.
Histopathological analysis of liver tissue
Liver tissues fixed in 4% paraformaldehyde were processed through dehydration in a graded ethanol series, cleared in xylene, embedded in paraffin, and sectioned into 4 μm-thick slices using a microtome. Sections were then deparaffinized, rehydrated, and stained with hematoxylin and eosin (H&E). After drying, sections were mounted with coverslips. Histopathological changes were observed and evaluated under an optical microscope.
Immunohistochemical staining
Liver Sect. (4 μm) were deparaffinized, rehydrated, and subjected to heat‑induced antigen retrieval in citrate buffer (pH 6.0) at 95 °C for 15 min. Endogenous peroxidase activity was blocked using 3% H₂O₂ for 10 min, and non‑specific binding was blocked with 5% normal goat serum for 1 h at room temperature. Sections were incubated overnight at 4 °C with primary antibodies against Keap1 (1:200), Nrf2 (1:200), and NQO1 (1:400) (Chengdu Zhengneng, China). HRP‑conjugated secondary antibody (1:500) was applied for 1 h at 37 °C. Immunoreactivity was visualized using a DAB kit (ZSGB‑BIO, China), and sections were counterstained with hematoxylin. Images (×200) were captured using an Olympus BX53 microscope. Semi‑quantitative analysis was performed with Image‑Pro Plus 6.0 by measuring integrated optical density (IOD) in five randomly selected fields per section.
Statistical analysis
Raw data were analyzed using SPSS 19.0 software and expressed as mean ± standard deviation (x̄ ± SD). One-way analysis of variance (ANOVA) was used for group comparisons, followed by Tukey’s honest significant difference (HSD) post-hoc test for multiple comparisons. A p-value < 0.05 was considered statistically significant. Graphs were generated using GraphPad Prism 8.0.2 software.
Results and analysis
Chemical profiling of RPE by UPLC-MS/MS
The chemical constituents of RPE were characterized using UPLC-Orbitrap-MS analysis (Fig. 1A and B). Raw data were processed with Progenesis QI software (Waters Corporation, Milford, USA). A total of 64 compounds were identified through database matching, primarily including flavonoids, triterpenoids, alkaloids, lipids, and sterols, as presented in Table 1. Previous studies have reported that flavonoids22,23, triterpenoids24–26, and alkaloids27,28 display hepatoprotective effects.
Fig. 1.

Total ion chromatograms of RPE in positive (A) and negative (B) ion modes.
Table 1.
Major constituents identified in RPE by UPLC-MS/MS analysis.
| NO | Name | Ion Mode | RT(min) | Calc m/z | Formula | Super Class |
|---|---|---|---|---|---|---|
| 1 | Isorhamnetin | NEG | 10.446 | 315.05096 | C16 H12 O7 | Flavonoids |
| 2 | Naringenin | NEG | 9.864 | 271.06091 | C15 H12 O5 | Flavonoids |
| 3 | Rutin | NEG | 6.539 | 609.14478 | C27 H30 O16 | Flavonoids |
| 4 | Glycitein | NEG | 8.323 | 283.06082 | C16 H12 O5 | Flavonoids |
| 5 | Kaempferol | NEG | 10.251 | 285.04028 | C15 H10 O6 | Flavonoids |
| 6 | Isoquercitrin | NEG | 6.95 | 463.08731 | C21 H20 O12 | Flavonoids |
| 7 | Astragalin | NEG | 7.458 | 447.09247 | C21 H20 O11 | Flavonoids |
| 8 | Hispidulin | NEG | 12.221 | 299.05582 | C16 H12 O6 | Flavonoids |
| 9 | Taxifolin | NEG | 6.914 | 303.05063 | C15 H12 O7 | Flavonoids |
| 10 | 3-methoxy-5,7,3’,4’-tetrahydroxy-flavone | NEG | 9.452 | 315.05096 | C16 H12 O7 | Flavonoids |
| 11 | Quercetin | POS | 6.268 | 303.04999 | C15 H10 O7 | Flavonoids |
| 12 | Orientin | POS | 6.295 | 449.1079 | C21 H20 O11 | Flavonoids |
| 13 | Morin | POS | 9.115 | 303.05029 | C15 H10 O7 | Flavonoids |
| 14 | Pinocembrin | POS | 12.368 | 257.08112 | C15 H12 O4 | Flavonoids |
| 15 | Chrysin | POS | 12.45 | 255.06533 | C15 H10 O4 | Flavonoids |
| 16 | Hydroxyecdysone | NEG | 14.704 | 525.30524 | C27 H44 O7 | Terpenoids |
| 17 | Stevioside | NEG | 14.674 | 803.36841 | C38 H60 O18 | Terpenoids |
| 18 | Bilobalide | NEG | 4.858 | 325.09275 | C15 H18 O8 | Terpenoids |
| 19 | Astragaloside iii | NEG | 17.691 | 783.44849 | C41 H68 O14 | Terpenoids |
| 20 | Cuminaldehyde | POS | 9.371 | 149.09636 | C10 H12 O | Terpenoids |
| 21 | Baliospermin | POS | 12.466 | 563.35541 | C32 H50 O8 | Terpenoids |
| 22 | Artemisinin | POS | 14.623 | 582.32745 | C15 H22 O5 | Terpenoids |
| 23 | Oleandrin | POS | 12.226 | 577.33679 | C32 H48 O9 | Terpenoids |
| 24 | Andrographolide | POS | 10.204 | 351.21707 | C20 H30 O5 | Terpenoids |
| 25 | Xanthosine | NEG | 1.559 | 283.06807 | C10 H12 N4 O6 | Alkaloids |
| 26 | Trigonelline | POS | 0.989 | 138.05525 | C7 H7 N O2 | Alkaloids |
| 27 | Protopine | POS | 7.519 | 354.13364 | C20 H19 N O5 | Alkaloids |
| 28 | Stachydrine | POS | 1.258 | 144.10214 | C7 H13 N O2 | Alkaloids |
| 29 | Harmine | POS | 6.446 | 213.10254 | C13 H12 N2 O | Alkaloids |
| 30 | 4-methyl-5-thiazoleethanol | POS | 1.807 | 144.04816 | C6 H9 N O S | Alkaloids |
| 31 | Monocrotaline | POS | 3.541 | 326.15991 | C16 H23 N O6 | Alkaloids |
| 32 | Benzoylecgonine | POS | 4.292 | 290.13892 | C16 H19 N O4 | Alkaloids |
| 33 | Talatisamine | POS | 15.521 | 422.28992 | C24 H39 N O5 | Alkaloids |
| 34 | Palmitic acid | NEG | 18.357 | 255.23259 | C16 H32 O2 | Lipids |
| 35 | Linoleic acid | NEG | 17.248 | 279.2326 | C18 H32 O2 | Lipids |
| 36 | Oleic acid | POS | 21.397 | 265.25238 | C18 H34 O2 | Lipids |
| 37 | Arachidonic acid | POS | 18.066 | 305.24749 | C20 H32 O2 | Lipids |
| 38 | A-linolenic acid | POS | 18.968 | 279.23135 | C18 H30 O2 | Lipids |
| 39 | Corticosterone | NEG | 16.061 | 345.20691 | C21 H30 O4 | Steroids |
| 40 | Cortisol | POS | 16.28 | 345.2056 | C21 H30 O5 | Steroids |
| 41 | Dehydroepiandrosterone (dhea) | POS | 17.315 | 271.20575 | C19 H28 O2 | Steroids |
| 42 | Glycocholic acid | POS | 15.941 | 466.31628 | C26 H43 N O6 | Steroids |
| 43 | Testosterone | POS | 16.57 | 289.21606 | C19 H28 O2 | Steroids |
| 44 | 5a-dihydrotestosterone | POS | 15.486 | 291.23178 | C19 H30 O2 | Steroids |
| 45 | Epibrassinolide | POS | 12.687 | 481.35297 | C28 H48 O6 | Steroids |
| 46 | Bufotalin | POS | 14.611 | 445.25626 | C26 H36 O6 | Steroids |
| 47 | Cinobufagin | POS | 15.754 | 443.24048 | C26 H34 O6 | Steroids |
| 48 | Gamabufotalin | POS | 15.764 | 403.24783 | C24 H34 O5 | Steroids |
| 49 | Telocinobufagin | POS | 15.605 | 403.24551 | C24 H34 O5 | Steroids |
| 50 | Galangin | NEG | 12.616 | 269.04526 | C15 H10 O5 | PK Polyketides |
| 51 | Kaempferitrin | NEG | 6.962 | 623.16296 | C27 H30 O14 | PK Polyketides |
| 52 | Dodecyl sulfate | NEG | 13.648 | 265.14746 | C12 H26 O4 S | PK Polyketides |
| 53 | Hematoxylin | NEG | 10.036 | 301.07156 | C16 H14 O6 | PK Polyketides |
| 54 | Cannabidiolic acid | NEG | 17.159 | 357.20688 | C22 H30 O4 | PK Polyketides |
| 55 | Nigericin | NEG | 18.749 | 723.47135 | C40 H68 O11 | PK Polyketides |
| 56 | Afzelin | NEG | 8.141 | 431.09787 | C21 H20 O10 | PK Polyketides |
| 57 | Cannabigerolic acid | NEG | 17.514 | 359.22247 | C22 H32 O4 | PK Polyketides |
| 58 | Kaempferol-3-o-rutinoside | NEG | 7.218 | 593.15094 | C27 H30 O15 | PK Polyketides |
| 59 | Esculetin | NEG | 5.139 | 177.01934 | C9 H6 O4 | Phenylpropanoids |
| 60 | Fraxetin | NEG | 5.84 | 207.03 | C10 H8 O5 | Phenylpropanoids |
| 61 | 4-coumaric acid | POS | 6.463 | 147.04425 | C9 H8 O3 | Phenylpropanoids |
| 62 | Coniferin | POS | 1.212 | 360.16528 | C16 H22 O8 | Phenylpropanoids |
| 63 | Scopoletin | POS | 7.836 | 193.04979 | C10 H8 O4 | Phenylpropanoids |
| 64 | Trans-anethole | POS | 13.081 | 131.08563 | C10 H12 O | Phenylpropanoids |
Key compounds identified in RPE included quercetin, naringenin, kaempferol, astragalin, taxifolin, isorhamnetin, rutin, α-linolenic acid, and linoleic acid. Quercetin is a strong natural antioxidant that mitigates hepatic oxidative stress, inflammation, and steatosis induced by alcohol, carbon tetrachloride, and other agents29,30. Naringenin modulates hepatic alcohol-metabolizing enzymes, reduces systemic oxidative stress, and improves alcoholic fatty liver disease31. Kaempferol and its glycoside astragalin (kaempferol-3-O-glucoside) show hepatoprotective potential due to their antioxidant and anti-inflammatory properties, reducing toxin-induced hepatocyte injury32,33. Taxifolin, a natural flavonoid, has attracted widespread attention for its strong antioxidant, anti-inflammatory, and hepatoprotective activities34,35. Isorhamnetin, a methylated derivative of quercetin, shows enhanced bioavailability with similar anti-inflammatory and liver-protective efficacies36. Rutin and its metabolite isoquercetin, which exert their effects following in vivo hydrolysis, can stabilize hepatocyte membranes and attenuate liver injury37. α-Linolenic acid and linoleic acid, as n-3 and n-6 polyunsaturated fatty acid precursors, respectively, contribute to improved lipid metabolism and inflammatory regulation38,39. Among these, quercetin, kaempferol, and naringenin deserve special attention. They have been repeatedly identified as core flavonoid constituents of rapeseed pollen in independent chemical studies40–42. Moreover, they possess the strongest published evidence specifically against alcoholic liver injury, including modulation of alcohol-metabolizing enzymes, alleviation of oxidative stress, and suppression of inflammatory responses29–31,33. Therefore, these three flavonoids are considered the most likely primary active components underlying the hepatoprotective effect of RPE. The other identified flavonoids and fatty acids may contribute synergistically or via complementary pathways.
Effects of RPE on serum AST, ALT, and TG levels in mice
AST and ALT are intracellular enzymes predominantly localized in hepatocyte cytoplasm. Alcohol exposure induces hepatocyte membrane damage, leading to increased permeability and subsequent leakage of these enzymes into the bloodstream. Therefore, increased serum ALT and AST levels directly reflect the extent of hepatocellular injury and serve as important indicators for assessing liver damage severity39.
As shown in Fig. 2A and B, serum AST and ALT levels were significantly elevated in the model group compared with the normal control (##p < 0.01), indicating successful establishment of alcohol-induced liver injury. In comparison with the model group, serum AST and ALT levels were significantly reduced in both the DHM group and the low- and high-dose RPE groups (*p < 0.05 and **p < 0.01).
Fig. 2.
Effects of RPE on serum levels of AST (A), ALT (B), and TG (C). Data are presented as mean ± standard deviation (x̄ ± SD), with n = 10 per group, ##p < 0.01 compared with the normal control group; *p < 0.05 and **p < 0.01 compared with the model group. Statistical significance was determined using one-way ANOVA.
Alcoholic liver injury is closely associated with dysregulated lipid metabolism and elevated serum lipid levels. TG is an important indicator of hepatic injury, as increased TG levels lead to excessive lipid accumulation or impaired lipid metabolism in the liver43. Numerous studies have shown that acute alcohol exposure damages the structure and function of cellular organelles and enzymes in hepatocytes, impairs mitochondrial β-oxidation of fatty acids, and induces lipid peroxidation, ultimately resulting in TG accumulation44.
As shown in Fig. 2C, serum TG levels were significantly higher in the model group than in the normal control group (##p < 0.01). TG levels were significantly decreased in the DHM group and both the low- and high-dose RPE groups (*p < 0.05 and **p < 0.01) relative to the model group.
These results demonstrate that RPE exerts protective effects against alcohol-induced liver injury and lipid metabolic disturbance through modulation of serum AST, ALT, and TG levels.
Effects of RPE on hepatic levels of MDA, SOD, and GSH-Px in mice
Ethanol-induced liver injury is strongly associated with oxidative stress, which is a key pathological mechanism in disease progression45. Excessive ethanol intake increases the production of reactive oxygen species (ROS) due to incomplete metabolism, disrupting the body’s antioxidant defense system. This results in oxidative stress, hepatocyte apoptosis, lipid peroxidation, and ultimately liver injury46. In the hepatic antioxidant system, SOD and GSH-Px work in concert to maintain redox homeostasis47. MDA, a lipid peroxidation product generated under oxidative stress, is positively correlated with the extent of hepatocyte injury48.
As shown in Fig. 3A-C, hepatic MDA levels were significantly elevated, whereas SOD and GSH-Px levels were significantly reduced in the model group compared with the normal control group (##p < 0.01). This indicates the successful induction of oxidative stress and confirms the establishment of the alcoholic liver injury model.
Fig. 3.
Effects of RPE on hepatic levels of MDA (A), SOD (B), and GSH-Px (C) in mice. Data are presented as mean ± standard deviation (x̄ ± SD), with n = 10 per group, ##p < 0.01 compared with the normal control group; *p < 0.05 and **p < 0.01 compared with the model group. Statistical significance was determined using one-way ANOVA.
Treatment with DHM and both low- and high-dose RPE significantly reduced hepatic MDA levels (*p < 0.05 and **p < 0.01) and significantly increased SOD and GSH-Px levels (*p < 0.05 and **p < 0.01), except for GSH-Px in the low-dose RPE group, compared with the model group.
These results demonstrate that RPE ameliorates alcohol-induced liver injury by modulating hepatic levels of MDA, SOD, and GSH-Px.
Effects of RPE on hepatic levels of ADH and ALDH in mice
Alcohol dehydrogenase (ADH) catalyzes the conversion of ethanol to acetaldehyde and is a key enzyme regulating the rate of alcohol metabolism, influencing overall alcohol metabolism efficiency49. Aldehyde dehydrogenase (ALDH) subsequently converts acetaldehyde, a toxic intermediate, into harmless acetate, which is further metabolized and excreted. ALDH activity is closely associated with acetaldehyde clearance, reducing its accumulation in the body and alleviating symptoms of alcohol toxicity50,51. Therefore, ADH and ALDH activities are widely used as indicators of hepatic alcohol detoxification capacity.
As shown in Fig. 4A-B), hepatic ADH and ALDH levels were significantly reduced in the model group compared with the normal group (##p < 0.01), indicating impaired alcohol metabolism following ethanol exposure. Treatment with the DHM group and both low- and high-dose RPE significantly increased ADH and ALDH levels (*p < 0.05 and **p < 0.01), except for ALDH in the low-dose RPE group, compared with the model group.
Fig. 4.
Effects of RPE on hepatic levels of ADH (A) and ALDH (B) in mice. Data are presented as mean ± standard deviation (x̄ ± SD), with n = 10 per group, ##p < 0.01 compared with the normal control group; *p < 0.05 and **p < 0.01 compared with the model group. Statistical significance was assessed using one-way ANOVA.
These results indicate that RPE promotes alcohol metabolism by enhancing ADH and ALDH activities, thus ameliorating alcoholic liver injury.
Effects of RPE on serum levels of TNF-α and IL-6 in mice
Excessive alcohol consumption can lead to liver injury and the production of inflammatory cytokines52. Studies have indicated a close association between alcoholic liver damage and levels of inflammatory mediators. Interleukin-6 (IL-6) primarily mediates inflammatory responses, while tumor necrosis factor-alpha (TNF-α) promotes neutrophil migration and the generation of neutrophil-derived proteases and reactive oxygen species, resulting in hepatocyte damage53.
As shown in Fig. 5A-B, serum levels of TNF-α and IL-6 were significantly elevated in the model group compared with the normal control group (##p < 0.01), indicating successful induction of a strong inflammatory response. Compared with the model group, both the DHM group and the low- and high-dose RPE groups showed significant reductions in serum TNF-α and IL-6 levels (*p < 0.05 and **p < 0.01). These results suggest that rapeseed pollen extract exerts hepatoprotective effects by inhibiting the production of inflammatory factors in vivo.
Fig. 5.
Effects of RPE on serum levels of TNF-α (A) and IL-6 (B) in mice. Data are presented as mean ± standard deviation (x̄ ± SD) with n = 10 per group, ##p < 0.01 compared with the normal control group; *p < 0.05 and **p < 0.01 compared with the model group. Statistical significance was determined using one-way ANOVA.
Effects of RPE on histopathological changes in mouse liver tissue
As shown in Fig. 6, liver tissue structure in the normal control group was intact. Hepatic lobules and nuclear structures were clearly defined, with hepatocytes arranged radially and orderly around the central vein. Hepatocytes appeared intact, with no evident pathological alterations. In the model group, the architecture of hepatic lobules and cellular nuclei was significantly disrupted. The central veins were severely deformed and disorganized, accompanied by hepatocellular edema, consistent with previously reported pathological features54,55. Based on histopathological observations, the DHM group and high-dose RPE group displayed a relatively preserved hepatic architecture compared with the model group. Liver sinusoids appeared closer to normal size, with no obvious inflammatory cell infiltration. Hepatocytes were regularly and neatly arranged, and hepatic sinusoids showed no significant dilation or compression. These results indicate that RPE exerts a protective effect against acute alcohol-induced liver injury by alleviating histopathological damage.
Fig. 6.
Effects of RPE on histopathological changes in mouse liver tissue (×200).
Effects of RPE on hepatic Keap1, Nrf2, and NQO1 expression detected by immunohistochemistry
Oxidative stress leads to excessive production of ROS. When the balance between oxidation and antioxidation is disrupted, it results in cellular and tissue damage56. The Keap1/Nrf2/NQO1 signaling pathway is a key endogenous defense mechanism against oxidative stress and represents a primary cellular response to oxidative challenges57–59. Under normal physiological conditions, Nrf2 is sequestered in the cytoplasm through its binding to the key regulatory protein Keap1. However, under oxidative stress, the interaction between Nrf2 and Keap1 is disrupted, allowing Nrf2 to translocate into the nucleus. In the nucleus, Nrf2 functions as a crucial transcriptional activator, inducing the expression of multiple antioxidant genes, including NQO1, HO-1, and SOD60,61, which play essential roles in mitigating oxidative damage. Numerous studies have reported that the Keap1-Nrf2 signaling pathway is critically involved in the pathogenesis of alcoholic liver injury62–65.
As shown in Fig. 7A-B, immunohistochemical staining intensities of Keap1, Nrf2, and NQO1 were significantly decreased in the model group compared with the normal group (p < 0.01). All treatment groups showed significantly increased expression levels of these proteins compared with the model group (*p < 0.05 and **p < 0.01), except for Nrf2 in the low-dose RPE group, which showed no statistically significant difference (p > 0.05).
Fig. 7.
Effects of RPE on the immunohistochemical staining of Keap1, Nrf2, and NQO1 in mouse liver tissue (×200). (A) Representative immunohistochemical images (×200). (B) Semi-quantitative analysis of staining intensity expressed as integrated optical density. Data are presented as mean ± standard deviation (x̄ ± SD) with n = 5 per group, ##p < 0.01 compared with the normal control group; *p < 0.05 and **p < 0.01 compared with the model group. Statistical significance was determined using one-way ANOVA.
In conclusion, our IHC results demonstrate increased expression of Keap1, Nrf2, and NQO1 in RPE-treated mice. However, the simultaneous increase in Keap1 and Nrf2 warrants further discussion. Our immunohistochemical results showed a simultaneous increase in Keap1 and Nrf2 expression in RPE-treated mice. An apparent paradox in this observation is that it seems to contradict the classical model where Nrf2 activation requires Keap1 downregulation. However, this is not unprecedented. Da et al.66 recently reported that in alcoholic liver injury rats, treatment with Tetracera asiatica flavonoids significantly upregulated the transcription of both Keap1 and Nrf2, and still concluded activation of the Keap1/Nrf2/HO-1 antioxidant pathway. Mechanistically, Keap1 function is primarily regulated by oxidative modification of its cysteine residues (C151, C273, C288) upon ROS exposure, which disrupts its ability to bind Nrf2 without necessarily reducing its protein abundance67. Therefore, increased Keap1 protein level, as detected by IHC, does not imply maintained repressive activity; it may instead reflect a compensatory transcriptional response to sustained oxidative stress. Importantly, IHC measures total protein and cannot assess Nrf2 nuclear translocation, which is the definitive indicator of pathway activation. Future studies employing Western blot analysis of nuclear and cytoplasmic fractions will be required to directly confirm Nrf2 activation by RPE.
Additionally, Several limitations should be acknowledged. First, although our IHC results showed increased Nrf2 and NQO1 expression, we did not perform Western blot for nuclear Nrf2 translocation. These are important limitations of the present study Future investigations should include orthogonal methods such as Western blot and qPCR to definitively establish the activation of the Keap1/Nrf2/NQO1 pathway by RPE.
Conclusion
This study investigated the protective effects of RPE against alcoholic liver injury using an animal model. The results demonstrated that RPE significantly reduced serum levels of ALT, AST, TG, TNF-α, and IL-6 in mice. It increased the activities of ADH, ALDH, and SOD in liver tissue while decreasing MDA levels. Furthermore, RPE treatment significantly enhanced the immunohistochemical expression of Keap1, Nrf2, and NQO1 in liver tissues. These results suggest that RPE exerts hepatoprotective effects against alcoholic liver injury, potentially through activation of the Keap1/Nrf2/NQO1 signaling pathway. This study clarifies the pharmacological effects of RPE and provides preliminary mechanistic evidence supporting its development as a hepatoprotective agent.
Author contributions
Y.X. and X.H.: writing – original draft, methodology, investigation, formal analysis and conceptualization. C. Y and L.W.: methodology, visualization and funding acquisition; A. J.: writing – review & editing and funding acquisition; C. W.: investigation and resources. All authors have thoroughly reviewed and provided their consent to the final version of the manuscript for publication.
Funding
This work was supported by the Postgraduate Education Reform and Quality Improvement Project of Henan Province (YJS2026YBGZZ62); Henan Province Science and Technology Research Project (242102311266); Zhengzhou Science and Technology Research project (2024TLZDJH017); Henan Provincial Key Discipline Initiative (2023 − 414), sponsored by Department of Education of Henan Province, and Henan Provincial Department of Education Funding Program for Discipline and Specialty Development in Private Regular Institutions of Higher Education(2022 − 219), and Henan Provincial Medical Education Research Project (WJLX2025208).
Data availability
The datasets used and/or analysed during the current study available from the corresponding author on reasonable request.
Declarations
Competing interests
The authors declare no competing interests.
Footnotes
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Yueyue Xu and Chunsheng Yan equally contributed to this work.
References
- 1.Wu, X. et al. Recent Advances in Understanding of Pathogenesis of Alcohol-Associated Liver Disease. Annu. Rev. Pathol.18, 411–438 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Evangelou, E. et al. Alcohol consumption in the general population is associated with structural changes in multiple organ systems. Elife10, e65325 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3.Li, W., Zhang, X., Wang, S., Gao, X. & Zhang, X. Research Progress on Extraction and Detection Technologies of Flavonoid Compounds in Foods. Foods13 (4), 628 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 4.Hong, X. et al. Alcohol-related liver disease (ALD): current perspectives on pathogenesis, therapeutic strategies, and animal models. Front. Pharmacol.15, 1432480 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Go, M. J. et al. Hepatoprotective Effect of Allium ochotense Extracts on Chronic Alcohol-Induced Fatty Liver and Hepatic Inflammation in C57BL/6 Mice. Int. J. Mol. Sci.25 (6), 3496 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Wang, M. et al. Brunodelphinine A alleviates non-alcoholic fatty liver disease by inhibiting oxidative stress and regulating lipid metabolism via NOX4/SIRT1/PPARs axis. Phytomedicine147, 157202 (2025). [DOI] [PubMed] [Google Scholar]
- 7.KIM M S. Optimal management for alcoholic liver disease: Conventional medications, natural therapy or combination? World J. Gastroenterol.22 (1), 8 (2016). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 8.Zhang, T. et al. Butyrate ameliorates alcoholic fatty liver disease via reducing endotoxemia and inhibiting liver gasdermin D-mediated pyroptosis. Ann. Transl Med.9, 873 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Zhang, H., Liu, R. & Lu, Q. Separation and Characterization of Phenolamines and Flavonoids from Rape Bee Pollen, and Comparison of Their Antioxidant Activities and Protective Effects Against Oxidative Stress. Molecules25, 1264 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 10.Zhang, H. et al. Antioxidant and anti-inflammatory activities of rape bee pollen after fermentation and their correlation with chemical components by ultra-performance liquid chromatography-quadrupole time of flight mass spectrometry-based untargeted metabolomics. Food Chem.409, 135342 (2023). [DOI] [PubMed] [Google Scholar]
- 11.Huang, X. et al. Chewable tablets containing rape bee pollen and maca attenuate testosterone propionate-induced benign prostatic hyperplasia in Sprague-Dawley rats by regulating the gut microbiota and modulating the IL-6/JAK2/STAT3 signaling pathway. Front. Microbiol.16, 1547724 (2025). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Cavallero, A. et al. Antioxidant-Rich Polyfloral Bee Pollen Exerts Antimicrobial Activity and Anti-Inflammatory Effect in A549 Lung Epithelial Cells by Modulating the NF-κB Pathway. Foods14, 802 (2025). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Zhang, X. et al. Phenolamide extract of apricot bee pollen alleviates glucolipid metabolic disorders and modulates the gut microbiota and metabolites in high-fat diet-induced obese mice. Food Funct.14, 4662–4680 (2023). [DOI] [PubMed] [Google Scholar]
- 14.Oyarzún, J. E. et al. Honeybee Pollen Extracts Reduce Oxidative Stress and Steatosis in Hepatic Cells. Molecules26, 6 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Huang, X. et al. In vitro antioxidant activity of total flavonoids from rape pollen and their protective effect on mice with ulcerative colitis. Chin. Traditional Patent Med.46 (05), 1688–1692 (2024). [Google Scholar]
- 16.Huang, X. et al. Preventive Effect of Rape Pollen Extract on Nonalcoholic Fatty Liver Mice Induced by High Fat. J. Chin. Inst. Food Sci. Technol.23 (04), 136–145 (2023). [Google Scholar]
- 17.Zhejiang Hisun Pharmaceutical Co. Ltd., Shanghai Institute of Pharmaceutical Industry. Extract of wall-broken pollen, extraction method therefor and use thereof: CN200710043270.0 [P]. 2012-12-05.
- 18.Yang, X. & Yu, Z. Study on Breaking-wall Method of Rape Pollen. J. Huazhong Agric. Univ.06, 671–672 (2024). [Google Scholar]
- 19.Lü, C. et al. Identification of phenolamine in rape bee pollen and its protective effect and mechanism on alcoholic liver injury. Food Sci. Hum. Wellness. 14 (2), 9250031 (2025). [Google Scholar]
- 20.Liu, M. Y., Xu, K. H., Liu, S. & Xiao, W. J. Protective Effect and Mechanism of L-Theanine on Acute Alcoholic Liver Injury in Mice. Mol. Nutr. Food Res.68, e2400766 (2024). [DOI] [PubMed] [Google Scholar]
- 21.Silva, J. et al. Dihydromyricetin improves mitochondrial outcomes in the liver of alcohol-fed mice via the AMPK/Sirt-1/PGC-1α signaling axis. Alcohol91, 1–9 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Qu, Q. et al. Licorice Total Flavonoids and Its Gut-Enriched Lactobacillus plantarum Synergistically Activate the Nrf2 Pathway to Alleviate Liver Injury. J. Agric. Food Chem.73, 19714–19727 (2025). [DOI] [PubMed] [Google Scholar]
- 23.Wei, E., Zhang, S., Zhai, J., Wu, S. & Wang, G. The evaluation of hepatoprotective effects of flavonoids from Scorzonera austriaca Wild against CCl4-induced acute liver injury in vitro and in vivo. Drug Chem. Toxicol.45, 1284–1294 (2022). [DOI] [PubMed] [Google Scholar]
- 24.Wang, X., Ma, R., Lou, D., Li, H. & Qi, M. Ursolic acid alleviates liver injury in diabetic mice induced by high-fat diet combined with streptozotocin via the NLRP3 signaling pathway. PLoS One. 21, e0340643 (2026). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.Tian, Y. et al. Triterpenoid saponins from the roots of Panax notoginseng with protective effects against APAP-induced liver injury. Fitoterapia178, 106159 (2024). [DOI] [PubMed] [Google Scholar]
- 26.Liu, Y. et al. Triterpenoids Extracted From Antrodia cinnamomea Mycelia Attenuate Acute Alcohol-Induced Liver Injury in C57BL/6 Mice via Suppression Inflammatory Response. Front. Microbiol.11, 1113 (2020). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 27.Alkaloids in Tibetan Medicine Corydalis conspersa Maxim. and Their Hepatoprotective Effect Against Acute Liver Injury - PubMed. https://pubmed.ncbi.nlm.nih.gov/40430300/ [DOI] [PMC free article] [PubMed]
- 28.Fan, H. et al. Sinomenine attenuates alcohol-induced acute liver injury via inhibiting oxidative stress, inflammation and apoptosis in mice. Food Chem. Toxicol.159, 112759 (2022). [DOI] [PubMed] [Google Scholar]
- 29.Guan, H. et al. Simultaneous binding of quercetin and catechin to FOXO3 enhances IKKα transcription inhibition and suppression of oxidative stress-induced acute alcoholic liver injury in rats. J. Adv. Res.67, 71–92 (2025). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 30.He, W., Zhang, B., Li, S. & Qian, Y. Quercetin attenuates acute alcohol-induced liver injury in mice by modulating lipid metabolism, oxidative stress, and inflammation. Front. Pharmacol.17, 1702639 (2026). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 31.Naeini, F., Namkhah, Z., Ostadrahimi, A., Tutunchi, H. & Hosseinzadeh-Attar, M. J. A Comprehensive Systematic Review of the Effects of Naringenin, a Citrus-Derived Flavonoid, on Risk Factors for Nonalcoholic Fatty Liver Disease. Adv. Nutr.12, 413–428 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 32.Alshehri, A. S. et al. Kaempferol prevents cadmium chloride-induced liver damage by upregulating Nrf2 and suppressing NF-κB and keap1. Environ. Sci. Pollut Res. Int.29 (10), 13917–13929 (2022). [DOI] [PubMed] [Google Scholar]
- 33.Alkandahri, M. Y. et al. Hepatoprotective Effect of Kaempferol: A Review of the Dietary Sources, Bioavailability, Mechanisms of Action, and Safety. Adv Pharmacol Pharm Sci 1387665 (2023). (2023). [DOI] [PMC free article] [PubMed]
- 34.Liu, Y. et al. An insight into novel therapeutic potentials of taxifolin. Front. Pharmacol.14, 1173855 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 35.Inoue, T. et al. Satoh-Asahara N. Novel Therapeutic Potentials of Taxifolin for Obesity-Induced Hepatic Steatosis, Fibrogenesis, and Tumorigenesis. Nutrients15, 350 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Kim, M. et al. Quercetin and Isorhamnetin Attenuate Benzo[a]pyrene-Induced Toxicity by Modulating Detoxification Enzymes through the AhR and NRF2 Signaling Pathways. Antioxid. (Basel). 10, 787 (2021). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 37.Liu, Q. et al. Rutin exhibits hepatoprotective effects in a mouse model of non-alcoholic fatty liver disease by reducing hepatic lipid levels and mitigating lipid-induced oxidative injuries. Int. Immunopharmacol.49, 132–141 (2017). [DOI] [PubMed] [Google Scholar]
- 38.Worthmann, A. et al. Fatty acid synthesis suppresses dietary polyunsaturated fatty acid use. Nat. Commun.15 (1), 45 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 39.Tojjari, A., Choucair, K., Sadeghipour, A., Saeed, A. & Saeed, A. Anti-Inflammatory and Immune Properties of Polyunsaturated Fatty Acids (PUFAs) and Their Impact on Colorectal Cancer (CRC) Prevention and Treatment. Cancers (Basel). 15, 4294 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 40.Han, H. Y. et al. Down-regulation of prostate specific antigen in LNCaP cells by flavonoids from the pollen of Brassica napus L. Phytomedicine 14(5): 338 – 43 (2007). [DOI] [PubMed]
- 41.Zheng, M. Y. & Wei, Y. S. Determination of Flavonoids in Bee-gathered Rape Pollen by HPLC. J. Instrumental Anal.(02), 95–97 (2004). [Google Scholar]
- 42.Zeng, H. et al. Characterization Variation of the Differential Coloring Substances in Rapeseed Petals with Different Colors Using UPLC-HESI-MS/MS. Molecules28 (15), 5670 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 43.Smith, A., Baumgartner, K., Cooper, J. & St Louis, J. Liver Disease: Evaluation of Patients With Abnormal Liver Test Results. FP Essent.511, 11–22 (2021). [PubMed] [Google Scholar]
- 44.Sookoian, S. & Pirola, C. J. Liver enzymes, metabolomics and genome-wide association studies: from systems biology to the personalized medicine. World J. Gastroenterol.21, 711–725 (2015). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 45.Wang, D. et al. Optimization of Microwave-Assisted Extraction Process of Total Flavonoids from Salicornia bigelovii Torr. and Its Hepatoprotective Effect on Alcoholic Liver Injury Mice. Foods13, 647 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 46.Zhao, L. et al. Protective Effects of Five Structurally Diverse Flavonoid Subgroups against Chronic Alcohol-Induced Hepatic Damage in a Mouse Model. Nutrients10, 1754 (2018). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 47.Wang, X., Gao, X., Xu, F., Niu, J. & Wang, Z. Diammonium glycyrrhizinate ameliorates alcohol-induced liver injury by reducing oxidative stress, steatosis, and inflammation. Int. Immunopharmacol.143, 113374 (2024). [DOI] [PubMed] [Google Scholar]
- 48.Feng, Y. et al. Methane Alleviates Acetaminophen-Induced Liver Injury by Inhibiting Inflammation, Oxidative Stress, Endoplasmic Reticulum Stress, and Apoptosis through the Nrf2/HO-1/NQO1 Signaling Pathway. Oxid Med Cell Longev 7067619 (2019). (2019). [DOI] [PMC free article] [PubMed]
- 49.Xie, L. et al. The protective effects and mechanisms of modified Lvdou Gancao decoction on acute alcohol intoxication in mice. J. Ethnopharmacol.282, 114593 (2022). [DOI] [PubMed] [Google Scholar]
- 50.Chen, C. H., Wang, W. L., Hsu, M. H. & Mochly-Rosen, D. Alcohol Consumption, ALDH2 Polymorphism as Risk Factors for Upper Aerodigestive Tract Cancer Progression and Prognosis. Life (Basel). 12, 348 (2022). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 51.Wang, H. et al. Hepatoprotective Effect of Floccularia luteovirens (Agaricomycetes) Polysaccharides on Alcohol-Induced Acute Liver Injury in Mice. Int. J. Med. Mushrooms. 28, 63–74 (2026). [DOI] [PubMed] [Google Scholar]
- 52.Wang, Z. et al. IL-8 exacerbates alcohol-induced fatty liver disease via the Akt/HIF-1α pathway in human IL-8-expressing mice. Cytokine138, 155402 (2021). [DOI] [PubMed] [Google Scholar]
- 53.Shen, Y. et al. MLKL deficiency alleviates acute alcoholic liver injury via inhibition of NLRP3 inflammasome. Toxicology506, 153864 (2024). [DOI] [PubMed] [Google Scholar]
- 54.Zhang, X. et al. Scutellarin prevents acute alcohol-induced liver injury via inhibiting oxidative stress by regulating the Nrf2/HO-1 pathway and inhibiting inflammation by regulating the AKT, p38 MAPK/NF-κB pathways. J. Zhejiang Univ. Sci. B. 24, 617–631 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 55.Wu, Q. et al. Pueraria Extract Ameliorates Alcoholic Liver Disease via the Liver-Gut-Brain Axis: Focus on Restoring the Intestinal Barrier and Inhibiting Alcohol Metabolism. J. Agric. Food Chem.72, 24449–24462 (2024). [DOI] [PubMed] [Google Scholar]
- 56.Wu, F. et al. Quercetagetin alleviates zearalenone-induced liver injury in rabbits through Keap1/Nrf2/ARE signaling pathway. Front. Pharmacol.14, 1271384 (2023). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 57.Chen, Y. et al. Isoliquiritigenin attenuates cisplatin-induced hearing loss and ototoxicity by activating the Keap1-Nrf2-ARE pathway. Free Radic Biol. Med.241, 599–616 (2025). [DOI] [PubMed] [Google Scholar]
- 58.Pi, Y. et al. Oleanolic acid alleviating ischemia-reperfusion injury in rat severe steatotic liver via KEAP1/NRF2/ARE. Int. Immunopharmacol.138, 112617 (2024). [DOI] [PubMed] [Google Scholar]
- 59.Jiang, C. et al. Trigonelline Shields Chondrocytes from Oxidative Damage in Osteoarthritis through Activation of the Keap1/Nrf2/ARE Signaling Pathway. Appl. Biochem. Biotechnol.197 (7), 4586–4601 (2025). [DOI] [PubMed] [Google Scholar]
- 60.Shi, C. et al. Mangiferin Ameliorates CCl4-Triggered Acute Liver Injury by Inhibiting Inflammatory Response and Oxidative Stress: Involving the Nrf2-ARE Pathway. J. Inflamm. Res.17, 7081–7097 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 61.Zheng, J. et al. Protective Effects of Fucoxanthin against Alcoholic Liver Injury by Activation of Nrf2-Mediated Antioxidant Defense and Inhibition of TLR4-Mediated Inflammation. Mar. Drugs. 17, 552 (2019). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 62.Li, Y. et al. Polysaccharides from Eucommia ulmoides Oliv. Leaves Alleviate Acute Alcoholic Liver Injury by Modulating the Microbiota-Gut-Liver Axis in Mice. Foods13, 1089 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 63.Qiao, Y., Yuan, Q. & Liu, Z. Huangqi Gegen decoction ameliorates alcohol-induced cognitive dysfunction via attenuating oxidative stress and enhancing blood-brain barrier integrity in rats through the Keap1-Nrf2/HO-1 signaling pathway. Iran. J. Basic. Med. Sci.27, 1331–1339 (2024). [DOI] [PMC free article] [PubMed] [Google Scholar]
- 64.Zhao, X. et al. Functional Teas from Penthorum chinense Pursh Alleviates Ethanol-Induced Hepatic Oxidative Stress and Autophagy Impairment in Zebrafish via Modulating the AMPK/p62/Nrf2/mTOR Signaling Axis. Plant. Foods Hum. Nutr.77, 514–520 (2022). [DOI] [PubMed] [Google Scholar]
- 65.Jiang, W. et al. Echinacea purpurea polysaccharide prepared by fractional precipitation prevents alcoholic liver injury in mice by protecting the intestinal barrier and regulating liver-related pathways. Int. J. Biol. Macromol.187, 143–156 (2021). [DOI] [PubMed] [Google Scholar]
- 66.Da, F. F. et al. Tetracera asiatica flavonoids attenuate alcohol-induced liver injury by suppressing oxidative stress and inflammation mediated by the Keap-1/Nrf2/HO-1, NF-κB/MAPK and PERK/Nrf2 signaling pathways in alcoholic liver injury rats. Tissue Cell.96, 102913 (2025). [DOI] [PubMed] [Google Scholar]
- 67.Baird, L. & Dinkova-Kostova, A. T. The cytoprotective role of the Keap1-Nrf2 pathway. Arch. Toxicol.85 (4), 241–272 (2011). [DOI] [PubMed] [Google Scholar]
Associated Data
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Data Availability Statement
The datasets used and/or analysed during the current study available from the corresponding author on reasonable request.






