Protective effects of hesperidin on oxidative stress, dyslipidaemia and histological changes in iron-induced hepatic and renal toxicity in rats

Highlights

• •Evaluate the effects of hesperidin in iron induced hepatic and renal function.
• •Hesperidin has significant antioxidant property.
• •Hesperidin shows reduced lipid profile.
• •Administration of hesperidin averts oxidative stress in liver and kidney tissues.
• •Rescue the liver and kidney tissues from pathology.

Abstract

The present study was to evaluate the protective role of hesperidin (HDN) against iron-induced hepatic and renal toxicity in rats. Administration of iron (30 mg/kg body weight) intraperitoneally for 10 days, the levels of serum hepatic markers, renal functional markers, lipid profile, lipid peroxidation markers and iron concentration in blood were significantly (p < 0.05) increased. The toxic effect of iron was also indicated by significant (p < 0.05) decrease in the levels of plasma, liver and kidney of enzymatic and non-enzymatic antioxidants. Administration of hesperidin at different doses (20, 40 and 80 mg/kg body weight) significantly (p < 0.05) reversed the levels of serum hepatic markers, renal functional markers, lipid profile, lipid peroxidation markers, restored the levels of hepatic, renal enzymatic antioxidants and non-enzymatic antioxidants with decrease in iron concentration in blood. Hesperidin at a dose of 80 mg/kg body weight exhibits significant protection on hepatic and renal when compared with other two doses (20 and 40 mg/kg body weight). All these changes were corroborating by histological observations of liver and kidney. This study demonstrated the protective role of hesperidin in reducing toxic effects of iron in experimental rats.

1. Introduction

Heavy metals can be classified as potentially toxic (arsenic, cadmium, lead, etc.), probably essential (vanadium, cobalt) and essential (copper, zinc, iron, manganese, etc.). Toxic elements can be very harmful even at low concentration when ingested over a long time period [1]. They might come from the soil, environment, fertilizers and/or metal-containing pesticides, introduced during the production process or by contamination from the metal processing equipment. Food consumption had been identified as the major pathway of human exposure to toxic metals, compared with other ways of exposure such as inhalation and dermal contact [2].

Humans are constantly exposed to hazardous pollutants in the environment-for example, in the air, water, soil, rocks, diet or workplace. Trace metals are important in environmental pathology because of the wide range of toxic reactions and their potential adverse effects on the physiological function of organ systems. Exposures to toxic trace metals have been the subject of numerous environmental and geochemical investigations, and many studies have been published on the acute and/or chronic effects of high-level exposures to these types of agents; however, much fewer data are available concerning the health effects of low-dose chronic exposure to many trace metals [3].

Iron is an important trace element of the body, being found in functional form in hemoglobin, myoglobin, cytochrome enzymes with iron sulphur complexes [4]. Liver is one of the largest organs in the human body and the main site for intense metabolism and excretion [5]. Hepatotoxicity is the most common finding in patients with iron overloading as liver is mainly the active storage site of iron in our body [6]. Hydroxy radical may form due to excess iron concentration in kidney that leads to progression of tubular injury. Clinical evidence showed that iron deposition in kidney associated with the anemia during kidney diseases [7].

Although an optimum level of iron is always maintained by the cells to balance between essentiality and toxicity, in some situations it is disrupted, resulting in iron overload which is associated to the oxidative stress induced disorders including anemia, heart failure, hepatocellular necrosis and cirrhosis [8]. In iron overload-induced diseases, iron removal by iron chelation therapy is an effective life-saving strategy. Iron overload increases the formation of reactive oxygen species (ROS) which involves the initiation of lipid peroxidation, protein oxidation and liver fibrosis. However, excess iron is stored as Fe³⁺ in ferritin and iron overload sustains for long period and released depends on the efficiency of iron chelating drugs [9]. The currently available iron-chelating agents used clinically are deferoxamine, 1,2-dimethyl-3-hydroxypyrid-4-one (deferiprone, L1), and deferasirox [10]. The body lacks to excrete excessive iron and therefore the interest has been focused to develop the potent chelating agent capable of complexing with iron and promoting its excretion.

Flavonoids are phenolic compounds abundantly distributed in plants. It has been reported that most of them are effective antioxidants [11]. They were suggested to present a good scavenger to iron ions [12]. Hesperidin (3,5,7-trihydroxy flavanone-7-rhamnoglucoside) is a pharmacologically active bioflavonoid found in citrus fruits, with good free radical scavenging as well as anti-lipid peroxidation properties in biological membranes [13]. Hesperidin (Fig. 1) possesses highest reducing power, chelating activity on Fe²⁺, hydrogen radical scavenging and hydrogen peroxide scavenging activities when compared with natural and synthetic antioxidants such as α-tocopherol, ascorbic acid, butylated hydroxytoluene (BHT), butylated hydroxyanisole (BHA) and trolox [14]. Clinical and experimental data showed the antihypertensive, lipid-lowering, insulin-sensitizing, antioxidative and anti-inflammatory properties of hesperidin [15]. However, the protective role of hesperidin against iron-induced liver and kidney injury has not been investigated. Hence we proposed to investigate whether administration of hesperidin offers protection against iron-induced liver and kidney injury.

Fig. 1.

Structure of hesperidin.

2. Materials and Methods

2.1. Chemicals and drugs

Hesperidin (PubChem CID: 10621); ferrous sulfate (PubChem CID: 24393); 2-thiobarbituric acid (PubChem CID: 2723628); butylated hydroxytoluene (PubChem CID 31404); reduced glutathione (PubChem CID:745); 2,2′-dipyridyl (PubChem CID: 1474); xylenol orange (PubChem CID: 73041); 2,4-dinitrophenylhydrazine (PubChem CID:CID: 3772977); γ-glutamyl-p-nitroanilide (PubChem CID: 3772977); 5,5′-dithiobis(2-nitrobenzoic acid) (PubChem CID: 6254); trichloroacetic acid (PubChem CID: 6421); phenazine methosulfate (PubChem CID 9285); nitroblue tetrazolium (PubChem CID: 9281); reduced nicotinamide adenine dinucleotide (PubChem CID: 439153); 1-chloro-2,4-dinitrobenzene (PubChem CID: 6) were obtained from Sigma Chemical Co. (St. Louis, MO, USA). The rest of the chemicals were obtained from S.D. Fine Chemicals Mumbai, India and were of analytical grade.

2.2. Experimental animals

Adult male albino rats of Wistar strain (200–220 g) were used for the experiment. The animals were housed in polypropylene cages and maintained in 12-h light/12-h dark cycle, 50% humidity and 25 ± 2 °C. The animals had free access to standard pellet diet (M/S. Pranav Agro Industries Ltd., Bangalore, India) and water ad libitum. This study was approved (Vide. No. 644, 2009) by Institutional Animal Ethics Committee of Annamalai University and the study conducted in accordance with the “Guide for the Care and Use of Laboratory Animals”.

2.3. Experimental design

Ferrous sulfate (30 mg/kg body weight) was dissolved in isotonic saline and injected intraperitoneally (i.p). Hesperidin powder was dissolved in 0.1% carboxy methyl cellulose and each rat received daily 1 ml at a dose of 20, 40 and 80 mg/kg body weight orally by intragastric tube throughout the experimental period.

The animals were randomly divided into six groups of six rats in each group.

Group I: served as control (isotonic saline).

Group II: animals were orally administered with hesperidin alone (80 mg/kg body weight).

Group III: animals received ferrous sulfate (30 mg/kg body weight).

Group IV–VI: animals were treated with ferrous sulfate (30 mg/kg body weight) following oral administration of hesperidin (20, 40, 80 mg/kg body weight) for 10 days.

At the end of the experimental period, animals in different groups were sacrificed by cervical decapitation. Blood samples were collected without heparin for serum separation. Serum separated by centrifugation was used for various biochemical estimations.

2.4. Preparation of tissue homogenate

Rats were anesthetized by ketamine (28 mg/kg body weight, intra muscularly) and the animals were sacrificed by cervical decapitation. The liver and kidney was quickly excised, rinsed with isotonic saline, blotted dry on filter paper, weighed and then 10% (w/v) homogenates of tissue was prepared in buffer (0.1 M Tris-HCL buffer (pH 7.4) and centrifuged at 3000 × g for 20 min at 4 °C. The resulting tissue homogenate was used for various biochemical assays.

2.5. Assessment of serum hepatic marker enzymes

The activities of serum aspartate aminotransferase (E.C.2.6.1.1), alanine aminotransferase (E.C.2.6.1.2), alkaline phosphatase (E.C.3.1.3.1) and lactate dehydrogenase (E.C.3.1.3.1) were assayed using commercially available diagnostic kits (Sigma diagnostics (I) Pvt. Ltd., Baroda, India). Gamma glutamyl transferase (E.C.2.3.2.2) activity was determined by the method of Rosalki et al. [16] using γ-glutamyl-p-nitroanilide as substrate. Based on Vanden Berg reaction, serum bilirubin was estimated by the method of Malloy and Evelyn [17].

2.6. Assessment of renal functional marker enzymes

The activities of urea, creatinine and were estimated by Agappe Diagnostic (I) Pvt. Ltd., Kerala, India. Haemoglobin was estimated by Drabkin and Austin [18]. Creatinine clearance as an index of glomerular filtration rate was calculated from creatinine level in serum and creatinine level in 24 h urine sample.

2.7. Assessment of iron concentration

For determination of iron in blood, 1 ml of blood was digested with nitric acid in microwave oven. After digestion, iron was continuously pre concentrated and determined by flame atomic absorption spectrophotometry. A Perkin-Elmer 5000 atomic absorption spectrometer furnished with an iron hollow-cathode lamp (lamp current 4 mA) was used to determine the iron concentration. The instrument was set at 228.8 nm with a slit width of 0.5 nm. The acetylene flow rate was 2.0 l/min and an airflow rate of 17.0 l/min was employed to ensure an oxidizing flame.

2.8. Assessment of lipid profile

Lipids extracted from the tissues using by the method of Folch et al. [19]. The levels of total cholesterol, triglycerides and free fatty acids in the serum and tissues were estimated by the methods of Zlatkis et al., Fossati and Prencipe, Falholt et al. [20], [21], [22], respectively. The phospholipids estimation was done by the method of Zilversmit and Davis [23].

2.9. Assessment of lipid peroxidation

Lipid peroxidation in plasma, liver and kidney was estimated spectrophotometrically by measuring thiobarbituric acid reactive substances and lipid hydroperoxides by the method of Niehius and Samuelson, Jiang et al. [24], [25], respectively.

2.10. Assessment of enzymatic antioxidants

Superoxide dismutase activity was determined by the method of Kakkar et al. [26]. The activity of catalase was determined by the method of Sinha et al. [27]. Glutathione peroxidase activity was estimated by the method of Rotruck et al. [28]. Glutathione S-transferase activity was determined by the method of Habig et al. [29].

2.11. Assessment of non-enzymatic antioxidants

Vitamin C concentration was measured as previously reported Omaye et al. [30]. Vitamin E (α-tocopherol) was estimated by the method of Desai et al. [31]. Reduced glutathione was determined by the method of Ellman et al. [32].

2.12. Histological Observation

The liver and kidney sample fixed for 48 hr in 10% formalin were dehydrated by passing successfully in different mixture of ethyl alcohol–water, cleaned in xylene and embedded in paraffin. Sections of liver and kidney (5–6 μm thick) were prepared and then stained with hematoxylin and eosin dye, which mounted in neutral DPX medium for microscopic observations.

2.13. Statistical Analysis

Values are given as means ± S.D for six rats in each group. Data were analyzed by one-way analysis of variance followed by Duncan's Multiple Range Test (DMRT) using SPSS version 13 (SPSS, Chicago, IL). The limit of statistical significance was set at (p < 0.05) and the values sharing a common superscript did not differ significantly.

3. Results

3.1. Effect of hesperidin on serum hepatic markers

Table 1 depicts the levels of serum hepatic markers in control and experimental rats. In Fe treated rats, the activities of serum hepato-specific enzymes such as aspartate aminotransferase, alanine aminotransferase, alkaline phosphatase, lactate dehydrogenase, gamma glutamyl transferase and the levels of bilirubin were significantly increased (p < 0.05). Administration of hesperidin significantly reversed these changes in a dose dependent manner.

Table 1.

Effect of hesperidin on iron-induced activities of serum hepatic markers in control and experimental rats.

Groups	Control	Normal + HDN (80 mg/kg)	Normal + Fe (30 mg/kg)	Fe (30 mg/kg) + HDN (20 mg/kg)	Fe (30 mg/kg) + HDN (40 mg/kg)	Fe (30 mg/kg) + HDN (80 mg/kg)
AST (IU/l)	56.61 ± 4.25a	57.11 ± 4.51a	87.70 ± 6.31b	79.44 ± 6.01c	72.23 ± 5.59d	64.02 ± 4.83e
ALT (IU/l)	27.34 ± 2.06a	28.27 ± 2.62a	46.61 ± 3.15b	40.73 ± 2.97c	35.41 ± 2.75d	31.79 ± 2.70e
ALP (IU/l)	90.17 ± 8.14a	91.63 ± 8.08a	144.31 ± 11.34b	131.74 ± 11.50c	119.70 ± 9.96d	105.51 ± 9.66e
LDH (IU/l)	107.60 ± 8.58a	107.46 ± 8.60a	167.65 ± 14.16b	151.52 ± 11.87c	136.94 ± 10.63d	121.36 ± 10.09e
GGT (IU/l)	0.68 ± 0.05a	0.69 ± 0.05a	1.21 ± 0.13b	1.08 ± 0.06c	0.97 ± 0.06d	0.83 ± 0.05e
Bilirubin (mg/dl)	0.74 ± 0.06a	0.72 ± 0.06a	1.25 ± 0.10b	1.06 ± 0.09c	0.94 ± 0.65d	0.84 ± 0.07e

Values are mean ± SD for 6 rats in each group. Values are not sharing a common superscript letter (a, b, c, d and e) differ significantly at p < 0.05 (DMRT). HDN—hesperidin, Fe—ferrous sulfate.

3.2. Effect of hesperidin on renal functional markers

Table 2 presents the levels of renal functional markers in control and experimental rats. In Fe treated rats, the activities of renal functional markers such as urea, creatinine, creatinine clearance and hemoglobin were significantly increased (p < 0.05). Administration of hesperidin significantly (p < 0.05) reversed these changes in a dose dependent manner. Our results indicate that hesperidin at a dose of 80 mg/kg body weight was more effective than other doses (20 and 40 mg/kg body weight). Hence, hesperidin 80 mg/kg body weight was used for further biochemical studies.

Table 2.

Effect of hesperidin on the levels renal functional markers in control and experimental rats.

Groups	Control	Normal + HDN (80 mg/kg)	Normal + Fe (30 mg/kg)	Fe (30 mg/kg) + HDN (20 mg/kg)	Fe (30 mg/kg) + HDN (40 mg/kg)	Fe (30 mg/kg) + HDN (80 mg/kg)
Urea in serum (mg/dl)	36.64 ± 2.52a	35.56 ± 2.45a	63.41 ± 5.33b	57.72 ± 4.76c	51.21 ± 4.89d	43.54 ± 3.96e
Creatinine in serum (mg/dl)	0.46 ± 0.05a	0.45 ± 0.05a	0.92 ± 0.09b	0.84 ± 0.06c	0.76 ± 0.04d	0.55 ± 0.05e
Creatinine clearance (ml/min)	0.29 ± 0.05a	0.29 ± 0.05a	0.10 ± 0.03b	0.14 ± 0.03c	0.20 ± 0.04d	0.23 ± 0.04e
Hemoglobin (g/dl blood)	10.90 ± 0.71a	11.18 ± 0.93a	6.60 ± 0.63b	7.70 ± 0.50c	8.61 ± 0.58d	10.74 ± 0.65e

Values are mean ± SD for 6 rats in each group. Values are not sharing a common superscript letter (a, b, c, d and e) differ significantly at p < 0.05 (DMRT). HDN—hesperidin; Fe—ferrous sulfate.

3.3. Iron concentration in blood

The concentration of iron has been depicted in Fig. 2. Fe administration to normal rats resulted in a significant (p < 0.05) increase in concentrations of Fe in blood. However, HDN restored the elevated levels significantly (p < 0.05) to within normal range in these animals when compared to their respective control groups.

Fig. 2.

Effect of hesperidin (HDN) on the accumulation of Fe in blood of control and. experimental rats. Values are mean ± SD for 6 rats in each group; values are not sharing a common superscript letter (a, b and c) differ significantly at p < 0.05 (DMRT).

3.4. Effect of hesperidin on lipid profile

The changes in the levels of serum and tissue lipids in normal and experimental rats are illustrated in Table 3. The levels of serum and tissue (liver & kidney) total cholesterol, triglycerides (TGs), free fatty acids (FFAs) and phospholipids (PLs) were highly altered in Fe treated rats when compared with control group. Oral administration of HDN to Fe intoxicated rat changes in the levels of serum and tissue total cholesterol, TGs, FFAs and PLs were near to normal.

Table 3.

Changes in the levels of Cholesterol, TGs, and PLs in serum and tissues of control and experimental rats.

Groups	Control	Normal + HDN (80 mg/kg)	Normal + Fe (30 mg/kg)	Fe (30 mg/kg) + HDN (80 mg/kg)
Cholesterol
Serum	83.45 ± 8.27a	82.14 ± 7.81a	115.97 ± 10.96b	94.57 ± 8.40c
Liver	281.71 ± 20.16a	277.77 ± 20.15a	386.22 ± 30.21b	312.11 ± 25.78c
Kidney	350.71 ± 27.57a	347.190 ± 27.06a	477.91 ± 34.72b	394.30 ± 32.14c
Triglycerides
Serum	73.96 ± 6.59a	71.17 ± 6.57a	120.80 ± 10.16b	85.44 ± 8.13bc
Liver	283.66 ± 16.75a	280.21 ± 16.10a	379.78 ± 3.05b	315.51 ± 22.5c
Kidney	325.11 ± 25.93a	319.56 ± 25.38a	466.38 ± 37.85b	365.83 ± 30.78c
Free fatty acids
Serum	77.64 ± 6.43a	75.74 ± 6.24a	132.90 ± 13.16b	89.58 ± 7.47c
Liver	708.42 ± 52.01a	706.31 ± 51.67a	871.61 ± 72.67b	788.37 ± 59.67c
Kidney	325.11 ± 25.93a	319.56 ± 25.38a	466.38 ± 37.85b	365.83 ± 30.78c
Phospholipids
Serum	13.92 ± 0.83a	14.01 ± 0.96a	7.80 ± 0.94b	12.57 ± 0.72c
Liver	8.87 ± 1.02a	9.05 ± 0.92a	3.87 ± 0.37b	7.49 ± 0.74c
Kidney	5.29 ± 0.25a	5.90 ± 0.54a	1.88 ± 0.65b	4.49 ± 0.71c

Values are mean ± SD for 6 rats in each group. Values are not sharing a common superscript letter (a, b and c) differ significantly at p < 0.05 (DMRT). Cholesterol—mg/dl serum and mg/g tissue; triglycerides—mg/dl serum and mg/g tissue; free fatty acids—mg/dl serum and mg/g tissue; phospholipid–mg/dl serum and mg/g tissue. HDN—hesperidin, Fe—ferrous sulfate.

3.5. Effect of hesperidin on lipid peroxidation

Table 4 shows the levels of lipid peroxidative markers (measured by the levels of thiobarbituric acid reactive substances and lipid hydroperoxides) were significantly increased in the plasma and tissue (liver & kidney) of Fe treated rats. Administration of HDN significantly (p < 0.05) decreased the levels of thiobarbituric acid reactive substances and lipid hydroperoxides on iron intoxicated rats.

Table 4.

Changes in the levels of TBARS, lipid hydroperoxides in plasma and tissues of control and experimental rats.

Groups	Control	Normal + HDN (80 mg/kg)	Normal + Fe (30 mg/kg)	Fe (30 mg/kg) + HDN (80 mg/kg)
TBARS
Plasma	0.35 ± 0.01a	0.33 ± 0.01a	0.46 ± 0.04b	0.40 ± 0.03c
Liver	8.09 ± 0.64a	7.56 ± 0.56a	15.42 ± 1.42b	9.46 ± 0.78c
Kidney	16.76 ± 1.12a	16.01 ± 0.90a	28.41 ± 2.41b	19.85 ± 1.31c
Lipid hydroperoxides
Plasma	13.02 ± 1.38a	12.85 ± 1.29a	19.77 ± 2.13b	15.91 ± 1.68c
Liver	0.83 ± 0.06a	0.81 ± 0.05a	1.32 ± 0.08b	0.96 ± 0.06c
Kidney	0.66 ± 0.05a	0.64 ± 0.05a	0.97 ± 0.07b	0.76 ± 0.06c

Values are mean ± SD for 6 rats in each group. Values are not sharing a common superscript letter (a, b and c) differ significantly at p < 0.05 (DMRT). The levels of TBARS were expressed as mM/dl plasma and mM/g tissue; Lipid hydroperoxides—×10⁻⁵ mM/dl plasma and mM/g tissue. HDN—hesperidin, Fe—ferrous sulfate.

3.6. Effect of hesperidin on enzymatic antioxidants

Table 5 illustrates the activities of enzymatic antioxidants namely superoxide dismutase, catalase, glutathione peroxidase, glutathione-S-transferase in tissue (Liver & Kidney) of control and experimental rats. A significant (p < 0.05) depletion in the activities of enzymatic antioxidants in Fe treated rats was observed. Treatment of HDN along with Fe increased the levels of enzymatic antioxidants in tissue (liver & kidney).

Table 5.

Changes in the activities of enzymatic antioxidants in control and experimental rats.

Groups	Control	Normal + HDN (80 mg/kg)	Normal + Fe (30 mg/kg)	Fe (30 mg/kg) + HDN (80 mg/kg)
SOD
Liver	7.74 ± 0.56a	8.30 ± 0.81a	5.45 ± 0.32b	6.75 ± 0.45c
Kidney	12.07 ± 0.92a	12.51 ± 1.06a	8.09 ± 0.56b	10.41 ± 0.73c
CAT
Liver	90.51 ± 6.67a	94.42 ± 5.92a	55.04 ± 4.13b	75.21 ± 5.00c
Kidney	48.25 ± 4.06a	51.07 ± 4.28a	32.11 ± 1.91b	40.34 ± 3.19c
GPx
Liver	7.03 ± 0.46a	7.28 ± 0.49a	4.61 ± 0.25b	6.02 ± 0.32c
Kidney	5.46 ± 0.35a	5.52 ± 0.48a	3.22 ± 0.16b	4.76 ± 0.29c
GST
Liver	7.98 ± 0.46a	8.19 ± 0.40a	5.95 ± 0.26b	7.08 ± 0.34c
Kidney	6.09 ± 0.34a	6.15 ± 0.42a	3.97 ± 0.28b	5.54 ± 0.28c

Values are mean ± SD for 6 rats in each group. Values are not sharing a common superscript letter (a, b and c) differ significantly at p < 0.05 (DMRT). SOD–one unit of enzyme activity was taken as the enzyme reaction, which gave 50% inhibition of NBT reduction in one minute/mg protein; CAT—μmol of H₂O₂ consumed/min/mg protein; GPx—μg of GSH consumed/min/mg protein; GST—μmoles of CDNB-GSH conjugate formed/min/mg protein. HDN—hesperidin, Fe—ferrous sulfate.

3.7. Effect of hesperidin on non-enzymatic antioxidants

Table 6 shows the changes in the levels of plasma and tissue (liver & kidney) non-enzymatic antioxidants namely reduced glutathione, vitamin C and vitamin E. A significant (p < 0.05) decrease in the levels of non-enzymatic antioxidants was noticed in rats treated with Fe when compared to control rats. Treatment with HDN (80 mg/kg body weight) along with Fe restored the levels of non-enzymatic antioxidants to near normal.

Table 6.

Changes in the levels of non-enzymatic antioxidants in control and experimental rats.

Groups	Control	Normal + HDN (80 mg/kg)	Normal + Fe (30 mg/kg)	Fe (30 mg/kg) + HDN (80 mg/kg)
GSH
Plasma	19.93 ± 1.31a	20.07 ± 1.71a	15.22 ± 1.19b	18.07 ± 1.11c
Liver	4.20 ± 0.21a	4.29 ± 0.30a	2.83 ± 0.16b	3.52 ± 0.23c
Kidney	2.44 ± 0.19a	2.57 ± 0.19a	1.22 ± 0.18b	1.77 ± 0.23c
Vitamin C
Plasma	1.86 ± 0.08a	1.94 ± 0.11a	1.54 ± 0.06b	1.70 ± 0.07c
Liver	1.59 ± 0.05a	1.62 ± 0.05a	1.14 ± 0.04b	1.44 ± 0.06c
Kidney	0.94 ± 0.08a	1.01 ± 0.09a	0.61 ± 0.06b	0.82 ± 0.07c
Vitamin E
Plasma	1.34 ± 0.07a	1.39 ± 0.12a	0.90 ± 0.07b	1.21 ± 0.09c
Liver	0.78 ± 0.06a	0.83 ± 0.07a	0.49 ± 0.04b	0.62 ± 0.05c
Kidney	0.69 ± 0.05a	0.73 ± 0.05a	0.46 ± 0.01b	0.55 ± 0.03c

Values are mean ± SD for 6 rats in each group. Values are not sharing a common superscript letter (a, b and c) differ significantly at p < 0.05 (DMRT). The level of GSH was expressed as mg/dl plasma and μg/mg tissue protein; The levels of vitamin C and vitamin E were expressed as mg/dl plasma and μM/mg tissue. HDN—hesperidin, Fe—ferrous sulfate.

3.8. Histological analysis of liver and kidney

Histological analysis showed that Fe administration induces the pathological changes in liver. The liver of control rats (Fig. 3A) and HDN (Fig. 3B) treated rats showed a normal architecture. Fe exposure resulted in changes in liver architecture as indicated by focal necrosis, inflammatory cell infiltration and giant cell formation (Fig. 3C). Fe along with HDN administration (Fig. 3D) showed near normal hepatocytes with mild portal inflammation.

Fig. 3.

Histopathology of liver and kidney.

Histological studies showed that Fe administration induces the pathological changes in kidney. The focal areas of hemorrhage and inflammation of renal cells (Fig. 3E) were observed in Fe alone intoxicated rats. Rats administered with HDN along with Fe showed near normal appearance of glomerulai and tubules (Fig. 3F). Administration of HDN to normal rats did not produce any pathological changes in kidney (Fig. 3G) when compared with normal control rats (Fig. 3H).

4. Discussion

The objective of the present work was to investigate the protective effects of hesperidin on iron induced toxicity in rats. It has been demonstrated for their protective effect against iron induced toxicity in rats. In the present study, Liver damage by iron had been assessed by leakage of enzymes such as aspartate aminotransferase and alanine aminotransferase, into blood [33], [34]. In the present study, higher activities of serum, aspartate aminotransferase, alanine aminotransferase (an indicator of hepatocytes mitochondrial damage) have been found in response to iron overload-induced oxidative stress. Such increased activities might be attributed to the leakage of these enzymes from the injured liver cells into the blood stream because of the altered liver membrane permeability [35]. Increase in serum alkaline phosphatase activities is the indicative of cellular damage due to loss functional integrity of cell membranes. Lactate dehydrogenase is a sensitive intracellular enzyme, which increase in serum is also an indicator of cell damage [36] reported that releasing of transaminases (aspartate aminotransferase and alanine aminotransferase) and lactate dehydrogenase from the cell cytosol can occur secondary to cellular necrosis. Serum Gamma glutamyl transferase has been widely used as an index of liver dysfunction. Recent studies indicating that serum gamma glutamyl transferase might be useful in studying oxidative stress related issues. The products of the gamma glutamyl transferase reaction may themselves lead to increased free radical production, particularly in the presence of iron [37], [38], [39]. Bilirubin is other well known indicators of tissue damage by toxic substance and their levels are also substantially increased in iron intoxicated rats. Hesperidin (80 mg/kg body weight) may stabilize the hepatic cellular membrane damage and protect the hepatocytes against toxic effects of iron, which may decrease the leakage of the enzymes into blood stream. In this context, the membrane protective effect of hesperidin has already been reported [40].

The accumulation of iron in blood was effectively reduced by hesperidin, which revealed that hesperidin chelate the iron. Moreover, the hydroxyl groups of hesperidin or its active metabolites might bind with iron and enhanced the excretion of iron, which in consequence decrease accumulation of iron and reduce the toxic effects of iron. It is quite well known that hesperidin, a citrus flavonoid act as antioxidant molecule [41], which can scavenge the excess iron in biological system. High dose of Fe might lead to alterations in lipid metabolism and changes in the levels of serum and tissue lipids. It may be due to accumulation of Fe in liver, which plays a central role in lipid homeostasis. In our study, we have observed increased concentrations of serum and tissue lipids such as cholesterol, TGs, FFAs and PLs in Fe treatment. The observed increase in the levels of FFAs could due to Fe induced disturbances of mitochondrial function, which in turn may lead to the inhibition of β-oxidation and increased accumulation of FFA in tissues. The Fe induced rise of cholesterol in serum and tissues may be due to changes in the gene expression of hepatic enzymes mainly HMG-COA reductase. Heavy metal induced change in the gene expression of HMG-COA reductase has already been reported [42]. The increased PLs content in Fe intoxicated rats may be due to elevation in the levels of FFAs and cholesterol. The antioxidant property could also contribute to the protection of membrane lipids from free radical thereby HDN attenuated the abnormal dispersion of membrane lipids in circulation as well as reduced the excessive generation of more toxic peroxides, which cause drastic changes in cells and tissues. Reduced risk of cardiovascular disease is often attributed to the intake phytochemicals, which lower excessive cholesterol and/or TGs concentrations [43].

Lipid peroxidation is the process of oxidative degradation of poly unsaturated fatty acid and the products of lipid peroxidation inactivate cell constituents by oxidation or cause oxidative stress by undergoing radical chain reaction ultimately leading to the cell damage [44], [45]. Iron is the most common cofactor within the oxygen handling biological machinery and, specifically, lipid peroxidation of biological membranes is the main pathogenic mechanism of iron overload induced tissue damage [46]. The mitochondrion is a target for iron toxicity, with oxidative mitochondrial damage and poisoning of enzymes of the tri carboxylic acid cycle and energy metabolism recognized as potential targets [47]. Iron is also an essential element whose redox properties and coordination chemistry suits it for a number of catalytic and transport functions in living cells [48]. However, these same properties render iron toxic, to a large extent due to its ability to generate reactive oxygen species [49], [50]. Iron is a well known inducer of reactive oxygen species. Its ability to accelerate lipid peroxidation is well established [51], [52]. Harmful effects of extreme iron deposition in liver are likely during iron overload, which has been associated with the initiation and propagation of ROS induced oxidative damage to all biomacromolecules (proteins, lipids, sugar and DNA) that can lead to a critical failure of biological functions and ultimately cell death [53]. Free radicals such as superoxide anion, hydrogen peroxide, hydroxyl radical, which cause lipid peroxidation, can lead to cell death [54]. It is well known that excess free iron induces the expression of nitric oxide, releases the nitric oxide which combines with superoxide anions to form “peroxynitrite”, a very toxic mediator of lipid peroxidation as well as oxidative damage to cellular membrane [55], [56]. Earlier studies have demonstrated the critical role of iron in the formation of reactive oxygen species that ultimately cause peroxidative damage to vital cell structures [57]. An effective therapeutic approach can play a double role in reducing the rate of oxidation - one by sequestering and chelating cellular iron stores and other as radical trap (i.e., antioxidant activity) [58]. Since HDN has shown antioxidant and free radical scavenging activity [59], the present study primarily ameliorating the effect of HDN on iron accumulation and oxidative damage in the liver of iron overloaded rat is studied. Oral administration of hesperidin significantly inverse the iron induced peroxidative damage in liver which is evidenced from the lowered levels of thiobarbituric acid reactive substances and lipid hydroperoxides. This may be due to the antioxidative effect of hesperidin [60].

An antioxidant is a molecule capable of slowing or preventing the oxidation of other molecules. Oxidation is a chemical reaction that transfers electrons from a substance to an oxidizing agent. Oxidation reaction can produce free radicals, which start chain reactions that damage cells. Antioxidants terminate these chain reactions by removing free radical intermediates, and inhibit other oxidation reactions by being oxidized themselves. As a result are often reducing agents such as thiols, ascorbic acid or polyphenols [61].

The enzymatic antioxidants superoxide dismutase, catalase and glutathione peroxidase and glutathione-S-transferase play a vital role during the process of scavenging reactive oxygen species or preventing their formation [62]. Superoxide dismutase, catalase and glutathione peroxidase constitute the major enzymatic antioxidant defenses which convert active oxygen molecules in to non-toxic compounds [60]. Superoxide dismutase is a ubiquitous enzyme with an essential function in protecting aerobic cells against oxidative stress. It is primarily mitochondrial enzyme usually found in the plasma membrane [63]. Catalase is a tetrameric heme protein that undergoes alternative divalent oxidation and reduction at its active site in the presence of hydrogen peroxide [64]. As a substrate for the antioxidant enzyme glutathione peroxidase, reduced glutathione protects cellular constituents from the damaging effects of peroxides formed in metabolism and other reactive oxygen species reaction [65]. Glutathione peroxidase catalyzes the reaction of hydroperoxides with reduced glutathione to form glutathione disulphide and the reduction product of the hydroperoxide [66]. The glutathione-S-transferase is a group of isoenzyme is capable of detoxifying various endogenous and exogenous substances by conjugating reduced glutarhione. In this context, the decreased activities of superoxide dismutase, catalase and glutathione peroxidase and Glutathione-S-transferase were observed in tissues of Fe-treated rats. Hesperidin offers protection against oxidative damage due to the ability of enhanced antioxidant activity [67].

The non-enzymatic antioxidants such as vitamin C, vitamin E and reduced glutathione are closely interlinked with each other and play an excellent role in protecting the cell from lipid peroxidation [68]. Vitamin C is a naturally occurring free radical scavenger which decreases free radical ability and lipid peroxidation sequence [69]. It regenerates membrane bound alpha-tocopherol radical and removes the radical from the lipid to the aqueous phase. It also protect tissues from lipid peroxidation both in vivo and in vitro [70]. Vitamin E is the most important lipo soluble antioxidant [71] and has the potential to improve tolerance of iron supplementation and prevent further tissue damage. Excess iron imbalances their levels with excess ROS production thus resulting oxidative stress, followed by peroxidative decomposition of cellular membrane lipids which is a postulated mechanism of hepatocellular injury in iron overload [72]. Vitamin E scavenges ROS, such as peroxyl radicals and suppresses lipid peroxidation [73]. The tripeptide GSH is an important endogenous antioxidant which has a major role in restoring other free radical scavengers and antioxidants such as vitamin C and E to their reduced state [71], [74]. A number of researchers have examined the antioxidant activity and radical scavenging properties of hesperidin using a variety of assay systems [75], [76], [77]. Treatment with hesperidin in iron-intoxicated rats protects the depletion of non-enzymatic antioxidants via its metal-chelating and antioxidant property [78] and may minimize the usage of these antioxidants, thus restoring their levels.

In the present study, the hepatic histoarchitecture of the iron treated rats resulted in focal necrosis, inflammatory cell infiltration and giant cell formation. It might be due to the formation of highly reactive radicals because of oxidative threat induced by iron. The accumulated hydroperoxides can cause cytotoxicity, which is associated with peroxidation of membrane phospholipids by lipid hydro peroxides, the basis for cellular damage. The necrotic conditions coincide with our biochemical studies, which show increased levels of lipid peroxidation. Administration of hesperidin reduced the histological alterations induced by iron. It can be attributed to the antioxidant and chelating ability of hesperidin, which significantly reduced the oxidative threat leading to reduction of pathological changes and restoration of normal physiological functions.

Histopathological observations in the kidney showed that Fe induced multiple foci of hemorrhage, necrosis and cloudy swelling of the tubules. The accumulation of Fe and its contents in the tissues is the basis for cellular damage. It is well established that the free radicals and intermediate products of peroxidation are capable of damaging the membrane integrity and altering their function, which can lead to the development of various pathological processes. Fe preferentially binds to the membrane and disturbs the redox state of the cells. Hence, the long retention of Fe in the tissues and increased oxidative state promoted by Fe might lead to a collapse in membrane integrity and other pathological changes in liver and kidney.

In conclusion, our results indicates that HDN may play a protective role in reducing the toxic effects of Fe-induced oxidative damage in liver and kidney, which could be due to its antioxidant potential by scavenging the free radicals. The present study therefore provides biological evident supporting the efficacy of HDN against Fe-induced toxicity in rats.

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