Shakila Sabir1, Uzma Saleem1, Muhammad Sajid Hamid Akash2, Muhammad Qasim3, Zunera Chauhdary1. 1. Department of Pharmacology, Faculty of Pharmaceutical Sciences, Government College University, Faisalabad 38000, Pakistan. 2. Department of Pharmaceutical Chemistry, Faculty of Pharmaceutical Sciences, Government College University, Faisalabad 38000, Pakistan. 3. Department of Bioinformatics and Biotechnology, Faculty of Life Sciences, Government College University, Faisalabad 38000, Pakistan.
Abstract
BACKGROUND: the primary function of the kidney is to eliminate metabolic waste products and xenobiotics from the circulation. During this process, the kidney may become vulnerable to toxicity. OBJECTIVE: it was aimed to investigate the impact of thymoquinone (TQ) in mercuric chloride (HgCl2)-induced nephrotoxicity through estimation of various proteins involved in natural defense mechanisms. MATERIAL AND METHODS: HgCl2 (0.4 mg/kg) was administered to all groups (n = 5) except for the normal control. Three treatment groups received TQ (5, 10, and 15 mg/kg) 60 min before HgCl2 administration. The protective effect of TQ was evaluated from renal and liver function biomarkers, urine examination, glomerulus filtration rate (GFR), histopathological features, oxidative stress biomarkers, Hsp-70, apoptosis biomarkers, and gene expression. RESULTS: TQ significantly attenuated hazardous effects of HgCl2 on renal and hepatic tissues. Urine albumin and glucose were considerably low in the treated groups in comparison with the HgCl2 group. TQ treatment also enhanced % GFR in rats. TQ-enhanced superoxide dismutase, catalase, and glutathione levels by enhancing the expression level of nuclear factor erythroid 2-related factor 2 (Nrf2). TQ increased Hsp-70 and Bcl-2 levels and reduced caspase-3 activity. TQ also protected cells against HgCl2-induced cell death and decreased % DNA fragmentation. TQ increased the expression of protective proteins metallothionein I and II and reduced the expression of kidney injury molecule-1 (Kim-1). CONCLUSION: TQ showed protective effects against HgCl2-induced nephrotoxicity through modifications of various constitutive and inducible protein and enzyme levels in renal tissues.
BACKGROUND: the primary function of the kidney is to eliminate metabolic waste products and xenobiotics from the circulation. During this process, the kidney may become vulnerable to toxicity. OBJECTIVE: it was aimed to investigate the impact of thymoquinone (TQ) in mercuric chloride (HgCl2)-induced nephrotoxicity through estimation of various proteins involved in natural defense mechanisms. MATERIAL AND METHODS: HgCl2 (0.4 mg/kg) was administered to all groups (n = 5) except for the normal control. Three treatment groups received TQ (5, 10, and 15 mg/kg) 60 min before HgCl2 administration. The protective effect of TQ was evaluated from renal and liver function biomarkers, urine examination, glomerulus filtration rate (GFR), histopathological features, oxidative stress biomarkers, Hsp-70, apoptosis biomarkers, and gene expression. RESULTS: TQ significantly attenuated hazardous effects of HgCl2 on renal and hepatic tissues. Urine albumin and glucose were considerably low in the treated groups in comparison with the HgCl2 group. TQ treatment also enhanced % GFR in rats. TQ-enhanced superoxide dismutase, catalase, and glutathione levels by enhancing the expression level of nuclear factor erythroid 2-related factor 2 (Nrf2). TQ increased Hsp-70 and Bcl-2 levels and reduced caspase-3 activity. TQ also protected cells against HgCl2-induced cell death and decreased % DNA fragmentation. TQ increased the expression of protective proteins metallothionein I and II and reduced the expression of kidney injury molecule-1 (Kim-1). CONCLUSION: TQ showed protective effects against HgCl2-induced nephrotoxicity through modifications of various constitutive and inducible protein and enzyme levels in renal tissues.
Mercury is known to be a potent nephrotoxic
agent that is being
widely used in animals for acute renal failure. Hemodynamic changes,
renal functional alterations, and histological damages are well described
in such experimental in vivo models.[1] The
accumulation and toxicity of mercury is because of its binding potential
to endogenous molecules containing thiol groups. Increased oxidative
stress owing to endogenous thiol depletion is a major hallmark in
mercury poisoning. By binding with thiol-containing glutathione (GSH)
and other proteins, mercury acts as a catalyst in Fenton-type reactions.[2] Mercury is considered as a potent pro-oxidant
that affects enzymatic and non-enzymatic antioxidants, including catalase
(CAT), GSH, superoxide dismutase (SOD), and thioredoxin systems. The
mercury–thiol interaction also contributes to the modulation
of apoptosis through NF-κB and mitochondrial pathways.[3] The kidney is considered as a major target for
mercury intoxication. Additionally, renal proximal tubules are the
most susceptible parts to toxicants as they are involved in the filtration
of substances, their transportation, and relatively high energy demand
for these functions.Thymoquinone (2-isopropyl-5-methylbenzo-1,4-quinone)
(TQ), monoterpene,
has been regarded as a key component of volatile oil obtained from Nigella sativa. Thousands of in vitro and in vivo
studies have revealed the promising role of TQ in various diseases
majorly owing to its anti-oxidative potential. TQ may preserve numerous
antioxidant enzymes, including CAT, SOD, glutathione peroxidase (GPX),
and glutathione-S-transferase. Additionally, it also
acts as a free radical scavenger.[4,5] It is clearly
evident from the bundle of recent scientific reports that TQ has a
potential nephro-protective activity against numerous nephrotoxic
xenobiotics including dioxin, cadmium, arsenic, manganese, carbon
tetrachloride, and chemotherapy. Potential mechanisms behind nephron-protective
action of TQ include antioxidant effects, amelioration of inflammation,
and anti-apoptosis effects.[6−10]Currently, there are some good chelators (e.g., 2,3-dimercaprol)
for acute mercury intoxication but they have no effect on low-level
constant mercury exposure, as they cannot remove metals from intracellular
sites. These chelators cannot subside hazardous effects of mercury
exposure. Additionally, they have various associated side effects,
including the redistribution of the metal, renal or liver dysfunction,
and loss of essential metals along with heavy metals.[11] The purpose of this study was to investigate the role of
TQ against inorganic HgCl2-induced nephrotoxicity through
the estimation of various determinants of oxidative stress. It was
aimed to explore the defensive mechanisms enhanced by TQ against HgCl2 intoxication.
Results
Effect on Renal Function
Tests
HgCl2 had
deleterious effects on renal functions. Urea level in the HgCl2 group was significantly higher in comparison with a normal
control. Urea level in the treatment group (5 and 10 mg/kg) have reduced
this level compared to the HgCl2 group (Figure A). There was no considerable
change (p > 0.05) in the uric acid level between
control and treatment group I (Figure B). Similarly, TQ at a low dose (5 mg/kg) showed considerably
improved creatinine level in comparison to the HgCl2 group
(p < 0.05) (Figure C).
Figure 1
Protective effect of TQ on HgCl2 induced alteration
in kidney function tests. (A) Effect on urea level, (B) effect on
uric acid level, and (C) effect on creatinine level. Values are presented
as mean ± standard error of the mean (SEM) (n = 6) and analyzed by one-way ANOVA followed by Bonferroni’s
multiple comparison post-test. Here “a”
and “b” shows statistically significant
difference (p < 0.05) as compared to normal and
HgCl2 group respectively, ns: non-significant.
Protective effect of TQ on HgCl2 induced alteration
in kidney function tests. (A) Effect on urea level, (B) effect on
uric acid level, and (C) effect on creatinine level. Values are presented
as mean ± standard error of the mean (SEM) (n = 6) and analyzed by one-way ANOVA followed by Bonferroni’s
multiple comparison post-test. Here “a”
and “b” shows statistically significant
difference (p < 0.05) as compared to normal and
HgCl2 group respectively, ns: non-significant.
Effect on Urine Examination
The HgCl2 group
has shown a higher pH value as compared to the normal control. After
24 h, urine volume was significantly decreased as compared to normal
control. Glucose and albumin levels were also increased owing to tubular
damage, resulting in increased specific gravity. TQ treatment proved
useful for the amelioration of these alterations (Table ).
Table 2
Effect of TQ on HgCl2-Induced
Alterations in GFR and Classification of Disease Stage
groups
GFR (mL/min)
% age GFR
disease stage
normal control
1.750 ± 0.23
100%
HgCl2 group
0.966 ± 0.07
55.2%
3
HgCl2 + TQ (5 mg/kg)
1.635 ± 0.36
93.4%
1
HgCl2 + TQ (10 mg/kg)
1.359 ± 0.13
77.6%
2
HgCl2 + TQ (15 mg/kg)
1.195 ± 0.27
68.2%
2
+: mild changes, ++: moderate changes,
+++: severe changes.
Effect on Kidney Index
All three
treatment groups showed
a significant difference in the rat kidney index as compared to the
HgCl2 group (p < 0.05) (Figure ).
Figure 2
Effect on the kidney
index (%). Values are presented as mean ±
SEM (n = 6) and analyzed by one-way ANOVA followed
by Bonferroni’s multiple comparison post-test. Here “a” and “b” shows statistically
significant difference (p < 0.05) as compared
to normal and HgCl2 groups, respectively.
Effect on the kidney
index (%). Values are presented as mean ±
SEM (n = 6) and analyzed by one-way ANOVA followed
by Bonferroni’s multiple comparison post-test. Here “a” and “b” shows statistically
significant difference (p < 0.05) as compared
to normal and HgCl2 groups, respectively.
Effect on Glomerulus Filtration Rate
Treatment with
HgCl2 decreased the glomerulus filtration rate (GFR) considerably
in the HgCl2 group. Depending upon GFR, the HgCl2 group categorized under stage 4 of kidney disease according to the
classification provided by National Kidney Foundation as the GFR was
less than 60%. While the TQ 5 mg/kg group falls in stage 1. Moreover,
TQ at a dose of 10, 15 mg/kg categorized under stage 2 (Table ).
Similar to renal functions,
HgCl2 also showed deleterious effects on liver functions
resulting in the increased hepatic enzymes found in the serum. All
treatment groups reduced the alkaline phosphatase level (ALP) level
significantly (p < 0.05) in comparison to the
HgCl2 group (Figure A). Similarly, TQ treatment also reduced the alanine aminotransferase
(ALT) level at three dosage levels, that is, 5/10/15 mg/kg with respect
to the HgCl2 group (Figure B). TQ also ameliorated total bilirubin level (Figure C).
Figure 3
Protective effect of
TQ on HgCl2 induced alteration
in liver function tests. (A) Effect on ALP, (B) effect on ALT level,
and (C) effect on the total bilirubin level. Values are presented
as mean ± SEM (n = 6) and analyzed by one-way
ANOVA followed by Bonferroni’s multiple comparison post-test.
Here, “a” and “b” shows statistically significant difference (p < 0.05) as compared to normal and HgCl2 groups, respectively.
Protective effect of
TQ on HgCl2 induced alteration
in liver function tests. (A) Effect on ALP, (B) effect on ALT level,
and (C) effect on the total bilirubin level. Values are presented
as mean ± SEM (n = 6) and analyzed by one-way
ANOVA followed by Bonferroni’s multiple comparison post-test.
Here, “a” and “b” shows statistically significant difference (p < 0.05) as compared to normal and HgCl2 groups, respectively.
Effect on Histopathology
Normal
histological characteristics
have been observed in the normal control group received normal saline
only (Figure A). The
HgCl2 group was presented with severe pathological conditions
including glomerulus shrinkage, dilatation of bowman’s capsule
and proximal tubules, tubular hydropic degeneration, and renal cell
apoptosis (Figure B). TQ-treated groups also shown such alterations in histology in
renal tissues but less frequently as compared to the HgCl2 group (Figure C–E).
Figure 4
Histopathological
examination of renal tissues (A–E). (A)
Normal control: normal histological appearance of renal tissues. (B)
HgCl2 group: glomerulus shrinkage (arrow), dilatation of
Bowman’s capsule (arrow head) cystic dilatation in proximal
tubules (star), tubular hydropic degeneration (triangle), eosinophilic
cytoplasm with nuclear chromatin fragmentations reflecting cell apoptosis
(square), and necrotic tubular epithelia (circle). (C) HgCl2 + TQ (5 mg/kg), (D) HgCl2 + TQ (10 mg/kg), and (E) HgCl2 + TQ (15 mg/kg).
Histopathological
examination of renal tissues (A–E). (A)
Normal control: normal histological appearance of renal tissues. (B)
HgCl2 group: glomerulus shrinkage (arrow), dilatation of
Bowman’s capsule (arrow head) cystic dilatation in proximal
tubules (star), tubular hydropic degeneration (triangle), eosinophilic
cytoplasm with nuclear chromatin fragmentations reflecting cell apoptosis
(square), and necrotic tubular epithelia (circle). (C) HgCl2 + TQ (5 mg/kg), (D) HgCl2 + TQ (10 mg/kg), and (E) HgCl2 + TQ (15 mg/kg).
Effect on Oxidative Stress Biomarkers
Treatment groups
I and II improved the SOD level considerably (p <
0.05) with respect to the HgCl2 group but group III did
not show considerable results (Figure A). All treatment groups showed a significant change
in the CAT level (p < 0.001) with respect to the
normal control. Group I showed considerable increased in the CAT level
(p < 0.05) in comparison to the HgCl2 group (Figure B).
Similar to CAT, the same trend has been observed in the GSH level
(Figure C). For malondialdehyde
(MDA), treatment group I and II showed significant results (p < 0.05) with respect to normal and HgCl2 groups (Figure D).
Treatment group I significantly improved total protein contents (p < 0.05) as compared to the HgCl2 group (Figure E).
Figure 5
Protective effect of
TQ on HgCl2 induced alteration
in liver function tests. (A) Effect on SOD level, (B) effect on the
CAT level, (C) effect on the GSH level, (D) effect on MDA, and (E)
effect on total protein level. Values are presented as mean ±
SEM (n = 6) and analyzed by one-way ANOVA followed
by Bonferroni’s multiple comparison post-test. Here, “a” and “b” shows statistically
significant difference (p < 0.05) as compared
to normal and HgCl2 groups, respectively.
Protective effect of
TQ on HgCl2 induced alteration
in liver function tests. (A) Effect on SOD level, (B) effect on the
CAT level, (C) effect on the GSH level, (D) effect on MDA, and (E)
effect on total protein level. Values are presented as mean ±
SEM (n = 6) and analyzed by one-way ANOVA followed
by Bonferroni’s multiple comparison post-test. Here, “a” and “b” shows statistically
significant difference (p < 0.05) as compared
to normal and HgCl2 groups, respectively.
ELISA Analysis
An elevated Hsp-70 level has been observed
in TQ -treated groups in comparison to normal and HgCl2 groups (p < 0.05) (Figure ). TQ-5 mg/kg increased the Bcl-2 level in
comparison to the HgCl2 group but its difference was not
significantly higher in comparison to the normal control (Figure ).
Figure 6
Effect on the Hsp-70
level. Values are presented as mean ±
SEM (n = 6) and analyzed by one-way ANOVA followed
by Bonferroni’s multiple comparison post-test. Here, “a” and “b” shows statistically
significant difference (p < 0.05) as compared
to normal and HgCl2 groups, respectively.
Figure 7
Effect on the Bcl-2 level. Values are presented as mean ±
SEM (n = 6) and analyzed by one-way ANOVA followed
by Bonferroni’s multiple comparison post-test. Here, “a” and “b” shows statistically
significant difference (p < 0.05) as compared
to normal and HgCl2 groups, respectively.
Effect on the Hsp-70
level. Values are presented as mean ±
SEM (n = 6) and analyzed by one-way ANOVA followed
by Bonferroni’s multiple comparison post-test. Here, “a” and “b” shows statistically
significant difference (p < 0.05) as compared
to normal and HgCl2 groups, respectively.Effect on the Bcl-2 level. Values are presented as mean ±
SEM (n = 6) and analyzed by one-way ANOVA followed
by Bonferroni’s multiple comparison post-test. Here, “a” and “b” shows statistically
significant difference (p < 0.05) as compared
to normal and HgCl2 groups, respectively.
Effect on Caspase-3 Activity
Caspase-3 activity was
determined on the basis of the normal control group, which has zero
contribution in the alteration of caspase-3 activity. The HgCl2 group raised caspase-3 activity significantly in comparison
to the normal control (p < 0.05) but treatment
group I presented no significant change in caspase-3 activity in comparison
to normal control (p > 0.05). While other two
treatment
groups also enhanced the activity of this enzyme significantly (Figure ).
Figure 8
Effect on caspase-3 activity.
Values are presented as mean ±
SEM (n = 6) and analyzed by one-way ANOVA followed
by Dunnett’s multiple comparison post-test. Here, ***p < 0.001, **p < 0.01, *p < 0.05 and ns for no-significant when compared with the normal
control.
Effect on caspase-3 activity.
Values are presented as mean ±
SEM (n = 6) and analyzed by one-way ANOVA followed
by Dunnett’s multiple comparison post-test. Here, ***p < 0.001, **p < 0.01, *p < 0.05 and ns for no-significant when compared with the normal
control.
Effect on Percentage DNA
Strand Breakage
An elevated
%age DNA strand breakage has been observed in the HgCl2 group in comparison to normal control (p < 0.05).
While treatment groups I and II showed protection against this damaging
effect of HgCl2 and significantly reduced % age DNA strand
breakage (Figure ).
Figure 9
Effect
on % age DNA strand breakage level. Values are presented
as mean ± SEM (n = 6) and analyzed by one-way
ANOVA followed by Bonferroni’s multiple comparison post-test.
Here, “a” and “b” shows statistically significant difference (p < 0.05) as compared to normal and HgCl2 groups, respectively.
Effect
on % age DNA strand breakage level. Values are presented
as mean ± SEM (n = 6) and analyzed by one-way
ANOVA followed by Bonferroni’s multiple comparison post-test.
Here, “a” and “b” shows statistically significant difference (p < 0.05) as compared to normal and HgCl2 groups, respectively.
Effect on Gene Expression
A considerably
increased
expression of metallothionein I and II have been observed in the HgCl2 group in comparison to normal control. The expression of
these proteins has further increased by TQ treatment (Figure A,B). TQ (10 mg/kg) has elevated
the expression of MT-I up to 25 fold, while the expression of MT-II
was 38 times greater in the TQ-treated group (5 mg/kg). An enhanced
expression of KIM-I was attenuated by TQ treatment (Figure C). HgCl2 put a
negative effect on the Nrf-2 expression and reduced its expression
(0.2 times). All TQ-treated groups showed the increased expression
of Nrf-2 two times.
Figure 10
Protective effect of TQ on HgCl2 induced modifications
in mRNA expression of different proteins. (A) Effect on metallothionein-I
mRNA expression, (B) effect on metallothionein-II mRNA expression,
(C) effect on Kim-1 mRNA expression, and (D) effect on Nrf2 mRNA expression.
Values are presented as mean ± SEM (n = 6) and
analyzed by one-way ANOVA followed by Bonferroni’s multiple
comparison post-test. Here, “a” and
“b” shows statistically significant
difference (p < 0.05) as compared to normal and
HgCl2 groups, respectively.
Protective effect of TQ on HgCl2 induced modifications
in mRNA expression of different proteins. (A) Effect on metallothionein-I
mRNA expression, (B) effect on metallothionein-II mRNA expression,
(C) effect on Kim-1 mRNA expression, and (D) effect on Nrf2 mRNA expression.
Values are presented as mean ± SEM (n = 6) and
analyzed by one-way ANOVA followed by Bonferroni’s multiple
comparison post-test. Here, “a” and
“b” shows statistically significant
difference (p < 0.05) as compared to normal and
HgCl2 groups, respectively.
Discussion
It is clearly evident from the literature that
TQ is a strong antioxidant.[16] There are
a number of studies showing enhanced
oxidative stress by HgCl2. It is particularly accumulated
in the kidney, where it produces the pathological changes owing to
enhanced oxidative stress.[17] Primarily,
TQ provided protection against HgCl2-induced oxidative
stress by boosting the first line of defense antioxidant (SOD, CAT,
and GPx).[18] In the present study, TQ treatment
groups showed a considerably high SOD level as compared to the HgCl2 group. Khan and his colleagues have reported that TQ acted
as an anti-glycating agent. TQ prevented glycation of SOD which otherwise,
reduced activity of SOD.[19] We found increased
an CAT level in the TQ-treated groups, and our observations are similar
to the study conducted by Ayoub et al. in which TQ upregulated CAT
gene expression in the renal cortex in response to oxidative stress
induced by propylthiouracil.[20] Additionally,
TQ also boosted the second line of defense antioxidant, primarily
GSH.[21] Khalife and Lupidi explored that
TQ reacted chemically with GSH, NADH, and NADPH at physiological conditions
in the liver which resulted in reduced end products, glutathionylated-dihydrothymoquinone
and dihydrothymoquinone, respectively. These reduced forms of TQ showed
better scavenging activity than TQ alone and their antioxidant potential
was equivalent to trolox.[22] In addition
to GSH, TQ also interacted with serum albumin and induced conformational
modifications resulting in its enhanced antioxidant activity in a
thiol-dependent manner.[23] In the current
study, TQ reduced the MDA level in treatment groups. It revealed that
TQ provided protection against lipid peroxidation.It is evident
from literature studies that heavy metal exposure
is responsible for the induction of the defense mechanism known as
a stress response. The stress response is being accompanied by the
production of stress proteins including Hsps or MTs. These are highly
conserved proteins produced to maintain homeostasis and protect the
essential proteins impaired by metals.[24] Hsps are produced due to extreme and prolonged stress exposure.
Hsps have been recognized as cyto-protective agents respond to various
cellular insults through multiple ways including protein folding,
assembling, and translocation of different organelles across membranes,
repairing of peptides, and finally degradation of irreparable peptides.[25] Although there are various families of Hsps
depending upon their molecular weight but Hsp-70, a molecular weight
of 70 kDa, has been recognized as a sensitive biomarker for HgCl2 intoxication and Hsp-70 level begun to increase even from
the administration of a single dose of HgCl2 (0.1 mg/kg).[26] There was increased production of Hsp-70 after
exposure to HgCl2 in the current study similar to the study
conducted by Han et al.[27] It is basically
redox system imbalance produced by HgCl2 that may trigger
the increased expression of Hsp-70.[28] Whenever
a cell undergoes a prolonged stress, two opposing responses may happen.
There may be either enhanced production of stress proteins in order
to resist stress or apoptosis may occur in order to prevent inflammation.[29] In the current study, there was the increased
level of Hsp-70 in TQ-treated groups in comparison to the HgCl2 group.Bcl-2, an anti-apoptotic protein, is found at
the mitochondrial
membrane, where it is involved in the stabilization of the transmembrane
potential and decreases permeability across the membrane and finally
inhibits the release of cytochrome C.[30] Jiang et al. found that Hsp-70 increased the
expression of Bcl-2 and provided the protection against oxidative
stress-induced apoptosis.[31] Similarly,
the Bcl-2 level was considerably high in TQ-treated groups in comparison
to the HgCl2 group. TQ triggered anti-apoptotic signaling
by enhancing the expression of Bcl-2 against hepatic ischemic injury.[32] Besides this, Hsp-70 inhibited apoptosis by
directly associating with apoptotic peptidase activating factor-1
(Apaf-1). Hsp-70 may obstruct Apaf-1 oligomerization and sustain its
conformation, which is incompatible for pro-caspase-9 recruitment
and activation. Therefore, initiator caspase, caspase-9 is not formed
from pro-caspase-9 (inactivated pro-enzymes).[25] Activated caspase-9 is responsible for the activation of the caspase
cascade. Therefore, we have observed the decreased activity of caspase-3
in treated groups compared to the HgCl2 group reflecting
the reduced extent of apoptosis. Caspase-3 is being considered as
the most important reliable component of the caspase cascade to determine
the extent of apoptosis. DNA fragmentation is being frequently detected
in cells as a result of reactive oxygen species (ROS)-induced genotoxicity,
but it is prevented with increased Hsp-70 expression. Interestingly,
Hsps work hand-in-hand along with the redox system in order to neutralize
the damaging effects of oxidative stress.[25] It might be a possible mechanism behind reduced DNA fragmentation
in treated groups compared to the HgCl2 group in the current
study. Previously, Ghani and his colleagues also reported protective
effects of TQ against DNA fragmentation.[32]Furthermore, heavy metal exposure also triggers another adaptive
response, that is, the induction of metallothionein. After heavy metal
intoxication, metallothionein genes are rapidly activated. Metallothionein
is a group of low-molecular weight (6–7 kDa), cysteine-rich,
and metal-binding proteins which acts as scavengers of heavy metal
ions and ROS.[33] We have observed elevated
metallothionein-I and II mRNA expression after HgCl2 exposure.
Interestingly, a considerably higher metallothionein expression was
observed when HgCl2 was given in combination with TQ as
compared to HgCl2 alone. Actually, TQ also involved in
the increased expression of this protective proteins. Elsherbiny and
El-Sherbiny have reported that TQ increased Nrf2 mRNA level. Nrf2
has been recognized as a transcriptional activator that acts as a
key role in a cellular response to oxidative stress and heavy metal
intoxication by inducing the expression of antioxidant enzymes and
metallothioneins.[34]Besides of metallothioneins,
HgCl2 increased mRNA expression
of Kim-1 in renal tissues, which was attenuated by TQ treatment. Kim-I
is a transmembrane protein, which is not detectable in a healthy kidney.
The expression of Kim-1 is strongly upregulated after toxic injury.
Kim-1 has been recognized as a good biomarker of renal damage as compared
to other traditional biomarkers, including blood urea nitrogen, serum
creatinine, and urinary N-acetyl-b-d-glucosaminidase, as a Kim-1 expression is rapidly elevated
even after exposure of lower doses of nephron-toxicants.[35]
Materials and Methods
Chemicals
Chemicals,
including TQ (Glentham Life Sciences,
CAS: 490-91-5), HgCl2 (BDH, Prod: 10154), trizole, cDNA
kit, primers, and cyber green (Thermo Fischer Scientific), were used
in the current study. Elisa kits for estimation of Bcl-2 and Hsp-70
were purchased from Elabscience Biotechnology lnc.
Ethical Approval
The current study design has been
approved by the Institutional Review Board of Government College University
Faisalabad, Faisalabad with reference no. GCUF/ERC/14. Animals care
and experiments were accomplished according to the protocols established
by the National Institutes of Health Guide to the Care and Use of
Laboratory Animals, National Institutes of Health publication no.
86–23.[12]
Animals
Twenty-five
healthy rats of either sex were
used in this study. Animals were purchased from physiology department,
Government college university, Faisalabad and fed with standard chow
diet and water ad libitum.
Experimental Protocol
Animals were
classified into
five groups. Group I taken as the normal control and normal saline
(1 mL/100 gm) was administered by the oral route. Group II taken as
the disease control and HgCl2 (0.4 mg/kg for 30 days orally)
was administered. Group III–V served as treatment groups and
received TQ at doses of 5, 10, and 15 mg/kg/day, respectively, for
30 days. HgCl2 (0.4 mg/kg) was given to the treated groups
after 1 h of TQ. After 24 h of the last dose administration, rats
were anesthetized with isoflurane (5%) in an induction chamber. Cardiac
puncture was carried out before euthanizing the animals and blood
was collected; set aside for 30 min and then centrifuged in a temperature-controlled
centrifuge machine (D3024R, DLAB) at 4500 rpm for 15 min at 4 °C
for serum collection. Rats were euthanized by cervical dislocation.
Serum samples were stored in portions at −20 °C for various
biochemical parameters. The right kidney and a part of liver were
dissected and fixed immediately in 10% formalin solution for histological
studies.
Estimation of Kidney Function Tests
Urea, creatinine,
and uric acid (Bio Vision) were determined from serum samples via
an assay method by a chemical analyzer (Microlab-300, EliTech Group)
according to the manufacturer’s protocols.
Urine Examination
Urine output and urine contents were
obtained during a 24 h period from 09:00 AM of one day to 09:00 AM
next morning. Food was withheld for few hours in order to collect
urine free of food contamination. Urine samples were collected on
dry ice, centrifuged, and stored at −10 °C till assayed.
Urine volume, pH, specific gravity, and albumin and glucose levels
were determined from 24 h of The urine sample.
Alteration in the Kidney
Index
Right kidney weight
was used for the calculation of the kidney index in accordance with
the following formula
Estimation of GFR
GFR was estimated
by using renal
creatinine clearance as an indicator according to the following formulaUcr: urinary creatinine
level (mg/mL), V: volume of urine (mL/min), and Pcr: plasma creatinine level (mg/mL).
Estimation
of Liver Function Tests
Serum total bilirubin,
ALT, and ALP (Bio Vision) were estimated by the assay kit method by
using a chemical analyzer.
Histopathological Examinations
Small
sections of renal
tissues were washed with the help of normal saline and fixed in 10%
formalin solution, embedded in liquid paraffin, made a 5 μm
cut; and was finally stained by eosin and hematoxylin. They were observed
under a light microscope at 40×.
Oxidative Stress Biomarkers
Preparation
of Tissue Homogenate
The left kidney was
weighed and homogenized in 10 volume of ice-cold phosphate-buffered
saline (2.68 mM KCl, 136.75 mM NaCl, 1.76 mM KH2PO4, and 10.14 mM Na2HPO4, pH 7.4) in a
bullet blender homogenizer (BBY5E-CE, Next Advance, lnc.) for 10 min.
Homogenates was centrifuged at 3500 rpm at 4 °C for 5 min. The
fractions of the supernatant were collected for further biochemical
analysis.
Estimation of CAT Activity
For the
assessment of CAT
activity, the mixture comprises 50 μL of the tissue homogenate,
potassium phosphate buffer (50 mM, 1.95 mL, pH 7.4), and H2O2 (30 mM, 1 mL). Absorbance was observed at a wavelength
of 240 nm by using a spectrophotometer (CE-7400S, CECIL instruments).[13]δ: variation in absorbance/min, V: volume of sample, and E: extinction
co-efficient of H2O2 (0.071 mmol/cm)
Estimation
of SOD Activity
The reacting mixture comprises
100 μL of tissue homogenate, 2.8 mL of potassium phosphate buffer
(pH 7.4), and 10 μL of pyrogallol solution. Absorbance was recorded
at 325 nm.[13]
Estimation of the MDA Level
The MDA concentration reflects
the extent of lipid peroxidation. For this estimation, tissue homogenate
(1 mL) was added in thiobarbituric acid (3 mL); the solution was shaken
and placed on ice for 15 min. After cooling, the solution was centrifuged
at 3500 rpm for 10 min. The supernatant layer was separated and absorbance
was observed with a spectrophotometer at 532 nm.[13]Vt: total volume
of assay (4 mL), Wt: weight of tissue
(g), Vu: volume of aliquot, and Y: absorbance, 1.56 × 105 = molar extinct
coefficient.
Estimation of GSH Level
Tissue homogenate
(1 mL) was
precipitated with 1 mL of tricyclic acetic acid (10%). 5,5 Dithiobis-2-nitrobenzoic
acid (DTNB) reagent was made by dissolving 29.78 mg of DTNB in 25
mL of methanol. Afterward, 4 mL of sodium phosphate buffer solution
(0.1 M, pH 7.4) and 0.5 mL of DTNB reagent were added and absorbance
was observed at 412 nm.[14]Y: absorbance, DF: dilution
factor (1), Bt: tissue homogenate (mL),
and Vu: volume of aliquot.
Estimation
of Total Protein Contents
Reagents 1 and
2 were prepared first. Reagent 1 contained solution A (48 mL) (2%
Na2CO3 in 0.1 N NaOH), solution B (1 mL) (1%
C4H4KNaO6 in H2O), solution
C (1 mL) (0.5% CuSO4·5H2O) in water. Reagent
2 contained 2 N folin–phenol and H2O (1:1). Tissue
homogenate (0.2 mL) was added in reagent 1 (4.5 mL) and incubated
for 10 min. Then, reagent 2 (0.5 mL) was added in the mixture and
incubated again for 30 min. Absorbance of the mixture was recorded
at 660 nm. Various concentrations of bovine serum albumin were employed
for the development of the regression line.
Enzyme-Linked Immunosorbent Assay (ELISA)
Hsp-70 (CAT
no. E-EL-H1863, Elabscience Biotechnology lnc.) and Bcl-2 (CAT no.
E-EL-H0114, Elabscience Biotechnology lnc.) levels were determined
by the ELISA method according to the manufacturer protocol. Briefly,
antigen (tissue homogenate) was added to a well plate, pre-coated
with a rat Bcl-2 primary antibody. Biotinylated detection antibody
specific for rat Bcl-2 and Avidin-horseradish peroxidase conjugates
were added sequentially to the well plate and incubated. Free components
were washed away. Afterward, substrate solution was added. The reaction
was stopped by adding the stop solution. The absorbance was estimated
by a micro plate ELISA reader (Biobase-EL 10A) at a wavelength of
450 nm.
Estimation of Caspase-3 Activity
One unit of caspase-3
activity is the quantity of enzyme that is needed to cleave 1.0 nM
of the colorimetric substrate Ac-DEVD-pNA per hour at 37 °C under
saturated substrate concentrations. Caspase-3 activity (CAT no. E-CK-A311,
Elabscience) was estimated by a colorimetric method according to the
manufacturer’s protocol. Briefly, 200 μL of cold lysis
buffer was added in 50 mg of the renal tissue in order to prepare
the tissue homogenate. 2× reaction working solution (50 μL)
was added into the tubes and then separately added 45 μL of
sample homogenate in sample tubes, and 45 μL lysis working solution
in blank tubes. Finally, 5 μL of Ac-DEVD-pNA was added and thoroughly
mixed. The mixture was incubated for 4 h at 37 °C. Absorbance
was observed at 405 nm by a spectrophotometer (CE-7400S, CECIL instruments).
Caspase-3 activity was calculated by using the formula
Estimation
of Percentage DNA Strand Breakage
The percentage
DNA strand breakage was calculated by the process of followed by Imtiaz
et al.[15] The renal tissue was first homogenized
in Tris-EDTA buffer (pH 8.0) (1:10 volume). Tissue homogenates were
centrifuged for 20 min at 27,000 rpm for the isolation of the chromatin
pellet and supernatant, containing the fragmented chromatin material.
The pellet was again suspended in Tris-EDTA buffer (pH 8.0). Equal
volumes of the pellet suspension and supernatant (0.5 mL) were taken
in test tubes, afterward recently prepared diphenylamine solution
(1.5 mL) was put into test tubes. Reaction mixtures were incubated
for 20 h at 37 °C. Absorbance of reaction mixtures were recorded
at 620 nm by a spectrophotometer. The percentage DNA strand breakage
was estimated by using the formula
Estimation of mRNA Expression by RT-PCR
RNA extraction
was done from renal tissues by the Trizol method. Renal tissue (100
mg) was treated with 1 mL of Trizol (lot no. 00675453, Thermo Fisher
Scientific). Isolated mRNA was transcribed into the first strand cDNA
by using the RevertAid First Strand cDNA synthesis kit (K1622, Thermo
Fisher Scientific). The reaction was carried out in thermal cycler
PCR (T100, BIO-RAD) according to manufacturer’s protocols:
the mixture was incubated at 42 °C for 60 min and the reaction
was terminated by heating at 70 °C for 5 min. The amplification
and quantification of cDNA was carried out in real-time PCR (CFX96
Real Time System, BIO-RAD) by using a Maxima SYBR Green/ROX qPCR Master
Mix (2×) (lot no. 00798833 Thermo Fisher Scientific) according
to the manufacturer’s protocols. Briefly, 1 μL of cDNA
was mixed with 5 μL of the master mix (2×), 2 μL
of nuclease-free H2O, and 1 μL of forward and reverse
primers each. Primer sequences of targeted and reference genes is
given in Table . GAPDH
was employed as an internal reference gene. The reaction was carried
out as follows: 95 °C for 5 min followed by 40 cycles (denaturation
for 15 s at 95 °C, annealing for 20 s at 60 °C, and extension
for 15 s at 72 °C). PCR data were analyzed by the Livak–Schmittgen
method by comparing threshold cycle CT value with
realplex software. This method makes the comparison between two values
in the exponent that represent the normalized expression values for
a gene of interest (GOI) in sample type A relative to sample type
B. A GOI in both sample types A and B are normalized using a reference
gene (REF) and then compared to one another in the exponent.
Table 1
Effect of TQ on HgCl2-Induced
Alterations in Urine Volume, pH, Specific Gravity, and Albumin and
Glucose Levelsa
parameters
normal control
HgCl2 group
HgCl2 + TQ (5 mg/kg)
HgCl2 + TQ (5 mg/kg)
HgCl2 + TQ (5 mg/kg)
volume (mL)
12.60 ± 0.6760
5.220 ± 0.3397
10.88 ± 0.8255
6.920 ± 0.6851
6.900 ± 0.4980
pH
7.2 ± 0.12
8.1 ± 0.56
7.4 ± 0.31
7.6 ± 0.26
7.5 ± 0.12
specific gravity
1.001
1.015
1.011
1.012
1.012
albumin
+++
+
+
++
glucose
+++
+
++
++
+: mild changes, ++: moderate changes,
+++: severe changes.
Relative quantification was calculated according to the following
formula.
Statistical
Analysis
All numerical values were expressed
as mean ± SEM. One-way ANOVA followed by Bonferroni or Dunnett’s
post-test were applied for statistical analysis using GraphPad Prism
version 5. p < 0.05 was set as a statistically
significant value.
Conclusions
The results of the current
study have shown that TQ may provide
protection against the hazardous effects of low level chronic HgCl2 exposure. Unlike classical chelators for xenobiotics, TQ
molecules has potential to go intracellularly where it may neutralize
hazardous effects produced by HgCl2. TQ at a dose of 5
mg/kg produced the best results. TQ amplified the natural defensive
mechanisms to cope with the HgCl2-induced oxidative stress
level and reduced the cell death. TQ, as an antioxidant, improved
the redox balance that is majorly disturbed with xenobiotic exposure.
The results of the current study have shown that a TQ upregulated
Nrf2 expression, which in turn potentiate SOD and GSH thus maintains
a redox balance. Nrf2 was also found to be involved in the upregulation
of metallothionein and hsp expression. Hsp-70 has a critical role
in the control of HgCl2-induced apoptosis. Briefly, TQ
may potentiate adaptive responses and assist the cells to cope with
stress situation and prevent apoptosis.
Authors: Olga P Ajsuvakova; Alexey A Tinkov; Michael Aschner; João B T Rocha; Bernhard Michalke; Margarita G Skalnaya; Anatoly V Skalny; Monica Butnariu; Maryam Dadar; Ioan Sarac; Jan Aaseth; Geir Bjørklund Journal: Coord Chem Rev Date: 2020-05-07 Impact factor: 22.315
Authors: A Y Al-Brakati; R B Kassab; M S Lokman; E K Elmahallawy; H K Amin; A E Abdel Moneim Journal: Hum Exp Toxicol Date: 2018-12-17 Impact factor: 2.903
Authors: Heba El-Sayed Mostafa; Eman Ahmed Alaa El-Din; Dalia Abdallah El-Shafei; Nehal S Abouhashem; Aisha Abdallah Abouhashem Journal: Environ Sci Pollut Res Int Date: 2021-02-17 Impact factor: 4.223