Sadaf Jamal Gilani1, May Nasser Bin-Jumah2,3, Fahad A Al-Abbasi4, Syed Sarim Imam5, Sultan Alshehri5, Mohammed M Ghoneim6, Muhammad Shahid Nadeem4, Muhammad Afzal7, Sami I Alzarea7, Nadeem Sayyed8, Imran Kazmi4. 1. Department of Basic Health Sciences, Preparatory Year, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia. 2. Biology Department, College of Science, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia. 3. Environment and Biomaterial Unit, Health Sciences Research Center, Princess Nourah Bint Abdulrahman University, Riyadh 11671, Saudi Arabia. 4. Department of Biochemistry, Faculty of Science, King Abdulaziz University Jeddah 21589, Saudi Arabia. 5. Department of Pharmaceutics, College of Pharmacy, King Saud University, Riyadh 11451, Saudi Arabia. 6. Department of Pharmacy Practice, College of Pharmacy, AlMaarefa University, Ad Diriyah 13713, Saudi Arabia. 7. Department of Pharmacology, College of Pharmacy, Jouf University, Sakaka 72341, Aljouf, Saudi Arabia. 8. Glocal School of Pharmacy, Glocal University, Saharanpur, Uttar Pradesh 247121, India.
Abstract
Objectives: Malvidin, a dietary anthocyanin can be a potent drug for the treatment of neuronal toxicity. The investigation was aimed to study the antioxidant role of malvidin against aluminum chloride (AlCl3)-induced neurotoxicity in rats. Methods: To evaluate the neuroprotective role of malvidin, the rats were divided into four different groups: group I received saline, group II received AlCl3, and groups III and IV were administered with 100 and 200 mg/kg malvidin after AlCl3 for 60 days. During the evaluation period, all the groups were subjected to a behavioral test. On the 61st day of the study, rat brains were removed and used for a neurochemical assay. Results: From the present study, malvidin ameliorated the effects of AlCl3 on behavioral parameters. Biochemical investigation revealed that oral treatment of malvidin shows neuroprotective effects through regulation of antioxidant levels and neuroinflammation in the AlCl3-exposed rats. Conclusion: The results indicate that malvidin possesses antioxidant activity via acetylcholinesterase inhibition and regulation of oxidative stress in neuronal cells. Hence, malvidin could be a potential drug in correcting Alzheimer's disease.
Objectives: Malvidin, a dietary anthocyanin can be a potent drug for the treatment of neuronal toxicity. The investigation was aimed to study the antioxidant role of malvidin against aluminum chloride (AlCl3)-induced neurotoxicity in rats. Methods: To evaluate the neuroprotective role of malvidin, the rats were divided into four different groups: group I received saline, group II received AlCl3, and groups III and IV were administered with 100 and 200 mg/kg malvidin after AlCl3 for 60 days. During the evaluation period, all the groups were subjected to a behavioral test. On the 61st day of the study, rat brains were removed and used for a neurochemical assay. Results: From the present study, malvidin ameliorated the effects of AlCl3 on behavioral parameters. Biochemical investigation revealed that oral treatment of malvidin shows neuroprotective effects through regulation of antioxidant levels and neuroinflammation in the AlCl3-exposed rats. Conclusion: The results indicate that malvidin possesses antioxidant activity via acetylcholinesterase inhibition and regulation of oxidative stress in neuronal cells. Hence, malvidin could be a potential drug in correcting Alzheimer's disease.
The production house of
reactive oxygen species (ROS) is the mitochondria,
which regulates the oxidative metabolism and external factors/chemicals
in the ATP generation process. The imbalance of ROS and antioxidant
enzymes may interfere with the functions of biomolecules (DNA, amino
acids, and RNA) causing oxidative stress, which is a key contributor
to neurodegeneration.[1,2] Aluminum damages the signaling
cascades of the oxidative pathway by directly mutating the genes,
causing neurotoxicity and ultimately cell death.[3−5] Several animal
studies showed that chronic exposure to aluminum changes the level
of key regulatory hormones of the brain region and stimulates oxidative
stress by inhibiting the antioxidant parameters such as catalase (CAT),
elevating stress and superoxide dismutase (SOD).[6−8] The oxidative
stress generated is associated with causing neurodegenerative disorders
such as Alzheimer’s disease, Parkinson’s disease, and
so forth.[9] Antioxidant therapy/drugs can
be a better option for regulating the antioxidant enzymes and reducing
the oxidative burden.Aluminum (Al) is the third nonrenewable
metallic element covering
8% of the earth’s crust, which is detected mainly in natural
waters, plants, and animal tissues.[10,11] The exposure
to aluminum in humans is much more due to its applicability in daily
life such as water treatment, paper making, utensil coating, food
additives, the color industry, cosmetics, fillers, and pharmaceuticals
(drugs such as antacids, antidiarrheal, injections, and vaccines).[12,13] Chronic exposure may cause aluminum poisoning, affecting the biological
structure and tissues of both animals and human body. Aluminum administration
leads to the progression of neurodegenerative diseases such as Alzheimer’s
disease, dementia, Parkinson’s disease, and encephalopathy,
resulting in functional modification of the brain tissue, cognitive
and cholinergic impairment, and neuronal apoptosis.[14−16]Chronic
exposure to aluminum may affect the signaling pathway of
brain neurotransmitters, thus impairing the cognitive function, interfering
with the signal transmission to neurons, and causing neuronal damage.
Aluminum alters the cholinergic and noradrenergic transmission to
neurons through the blood brain barrier. At the molecular level, aluminum
has ability to impede the glutamate-NO-cGMP pathway, which may produce
behavioral deficits and impaired motor performance in rodents. These
findings displayed the role of aluminum in causing deleterious neuronal
effects.[17,18]Polyphenols includes flavonoids, which
are potent antioxidants
widely distributed in plants. Anthocyanins also belong to the flavonoid
class and show identical properties such as antioxidant, anti-inflammatory,
immunomodulatory, and so forth.[19,20]Malvidin is an
anthocyanin obtained from red wine that is proven
to protect against oxidative neuronal damage in both animal cell line
and in vivo models. It is known for its antioxidant properties and
is used in the treatment of many ailments such as cardiovascular disorders,
inflammatory conditions, cancer, and oxidative stress. Malvidin works
by targeting the mitogen-activated protein kinase and nuclear kappa
B (NFκB) pathway contributing to the anti-inflammatory, antioxidant,
and antiapoptotic actions of malvidin.[21] An in vivo study showed that malvidin prevented ethanol-induced
gastric ulcers by modulating the EGF and COX-1 gene expression.[22] A study revealed that malvidin displayed controlled
blood pressure action through blocking the angiotensin-converting
enzyme I (ACE), which could be beneficial for use as a prophylactic
against hypertension.[23,24] Another study proved the cardioprotective
activity of malvidin in vivo in isoproterenol-induced myocardial infarction
in rats.[25] Other investigations showed
a beneficial effect of malvidin glucosides in skeleton muscle damage
in vitro due to its fee radical scavenging property.[26] An in vivo study of malvidin on carbon tetrachloride-induced
stress showed improved antioxidant parameters.[27] Anthocyanins modulate immune-stimulating genes by producing
positive effects on CAT, glutathione reductase, and SOD and thereby
scavenge the free radicals generated by oxidative stress.[28] The current study was conducted to prove the
therapeutic and antioxidant potential of malvidin on AlCl3-induced neurotoxicity.
Material and Methods
Chemicals
Malvidin (malvidin-3-glucoside
chloride) was purchased from Sigma-Aldrich, USA (≥95.0% purity,
CAS no: 643-86-5). Analytical-grade reagents and chemicals were used
in the experiment. The commercially available (Modern Lab, M.S. India)
biochemical estimation kits for IL-6, IL-1β, and TNF-α
were used in this study.
Experimental Animals
Adult male Wistar
rats weighing 200 ± 20 g were kept in standard propylene cages
with free access to pellet food and ad libitum water.
The rats were grouped and housed at standard room temperature (20
± 2 °C), and a normal day–night cycle was maintained.
All animal experimentation was carried out after receiving protocol
(IAEC/BRNCOP/003) approval from the Institutional Animal Ethics Committee.
Study Plan
A total of 24 rats were
acclimatized to the external atmosphere for at least 7 days and were
separated into four groups (six rats per group) (Figure ).
Figure 1
Experimental study protocol.
Experimental study protocol.Group I (normal): each rat received a vehicle of
0.5 mL of saline
(0.9% NaCl) throughout the study.Group II (disease control):
the rats in this group received AlCl3 [50 mg/kg b wt/day,
intraperitoneally (i.p.)] for 60 days.[29,30] The animals
were observed for changes in food intake, body weight,
and physical parameters.Group III& IV: the animals were
treated with aluminum chloride
(50 mg/kg) i.p. and subsequently received treatment with malvidin
(100 and 200 mg/kg P.O., respectively) 1 h prior to AlCl3 injection for 60 days.The doses of malvidin were selected
to be the same as those from
the previous studies.[25,31] Behavioral parameters were performed
before and after drug administration. After 60 days of treatment with
ursolic acid, the rats were sacrificed under high anesthesia. The
brains were collected, washed, and preserved in formalin for performing
the biochemical assay.
Acute Toxicological Studies
The study
followed the OECD guideline acute toxicity study no. 425 (up and down
procedure). The test drug (malvidin) was administered up to the limit
dose of 2000 mg/kg in male rats. The animals were observed for the
next 14 days for signs of toxicity. Clinical patterns including behavioral
changes and changes on the skin and fur, eyes, and body weight were
noted.
Physical Parameters (Behavioral)
Assessment of Body Weight
In present
study, all the animals were observed for changes in the body weight
before commencing the study protocol and at the end of the study (after
60 days).
Elevated-X Maze Test
The structure
of the maze consists of two 50 cm × 10 cm open and 50 cm ×
10 cm × 40 cm enclosed arms that are diverged from the central
core of the platform (10 cm × 10 cm), forming a plus sign.[32] The maze was wrapped with a black acrylic sheet,
which was elevated above the floor level to about 50 cm using a central
support. All the four arms with fitted with infrared beams placed
at a regular distance. The experiment was started in the dark phase
of the light cycle between 9:00 and 12:00 h. The trial was conducted
by placing the rat facing toward the open arm on the central platform.
During the experiment, the behavior of the rat was observed for 5
min as (i) the first entry of the rat in either of the arms, (ii)
the number of access in the open or enclosed arms, and (iii) time
spent by the rat in both the arms.[33] The
entry in the arms was noted when all of the four paws were placed
on the floor. The maze was cleaned with damp and dry towels after
each trial.
Open-Field Test
All the animals
were trained for the test according to the protocol described every
morning.[34] A plexiglass with a wooden floor
apparatus (100 cm width, 100 cm diameter, and 40 cm height) was segregated
into 25 (595) squares. Upon starting the experiment, the rats were
placed on the fixed position of the open field chamber every time,
and their change in the behavior was recorded for 5 min using a video
camera. Following observations were noted: (a) the number of square
boxes travelled, only counted when the rat invades the square box
with all the paws on the floor. The number of centers (nine squares)
and surrounded squares (16 squares) travelled by the rat was recorded.
(b) Grooming; that is, paw and fur licking and scratching the body.
(c) Rearing; that is, sniffing, getting upright on rear limbs, and
bending on the wall with forelimbs.[35]
Morris Maze Test
Memory impairment
and cognition impairment were evaluated using the Morris water test.
The test system consists of a black ring-shaped pool divided into
four quadrants (168 cm diameter and 50 cm depth) filled with water
(20 ± 2 °C) was bounded by visual signs of different shapes,
sizes, and colurs. A black hidden circular Perspex platform was arranged
2 cm beneath the water surface in the northwest (NW) quadrant so that
rats could avoid swimming.[36] The rats were
selected according to their swimming capacity by noting down the latency
time to reach the hidden platform. During the training phase, the
rats were directed to the exit of the water tank onto the platform
with the help of visual signs. The rat was positioned in the water
tank from the selected entry points facing opposite to the platform,
and the test was repeated for 4 days (8 trials/day). The starting
entry point was randomly changed during each trial, letting the rat
find out the hidden platform for 60 s, and if unsuccessful to reach
the platform, the rat was trained to swim toward the platform. The
rat was left to hold onto the platform for around 30 s to allow visualization
of the memory, marking this as the end of the experiment.[37] Morris water test training was conducted between
11:00 AM and 2:00 PM using a mounted web camera to exclude variations
in the rat performance.
Biochemical
Analysis
Acetylcholinesterase Activity
Aliquots
from the brain homogenates were prepared and used to measure acetylcholinesterase
(AChE) activity by the ELISA plate method using the purchased AChE
assay kit and measurement was performed spectrometrically at 410 nm.
The AChE activity was expressed in micromoles per minute per milligram
ofprotein.[38,39]
Malondialdehyde
Determination
Equal
quantities (2 mL) of the brain homogenate and trichloroacetic acid
(10% w/v) were assorted, cooled, and centrifuged. To 0.5 mL of the
supernatant, 3 mL of (0.67%) thiobarbituric acid was added, allowed
to react in hot water for 15 min, and normalized for 5 min. The absorbance
was measured at 535 nm on an ultraviolet (UV) spectrophotometer. The
quantity of malondialdehyde (MDA) produced was expressed as nanomolar
of MDA per gram of wet tissue. Activity of MDA was estimated using
the molar extinction coefficient of 1.56 × 105 mol/L/cm.[40,41]
Measurement of CAT
The test mixture
consists of 200 mM potassium phosphate buffer (pH 7) and 10 mM hydrogen
peroxide. An alteration in the absorbance was measured at 240 nm spectrophotometrically.
Activity of CAT was estimated using the molar extinction coefficient
of 43.6 M–1 cm–1 of H2O2. The decomposition of 1 μmol of H2O2 per minute at a pH of 7.0 was measured for one unit
of CAT.[42]
Determination
of Glutathione S-Transferase
The mixture consists of 100
mM potassium phosphate buffer (pH 7)
containing 1 mM glutathione, 1 mM 1-chloro-2,4-dinitrobenzene, and
60 μL of plasma. The absorbance of the reaction mixture was
estimated at 340 nm. The glutathione S-transferase (GSH) activity
was considered using the molar extinction coefficient of 9.6 mM–1 cm–1 of glutathione 2,4-dinitrobenzene.[43]
Measurement of Myeloperoxidase
The reaction mixture includes 100 mM phosphate buffer (pH 6.0),
0.167
mg/mL o-dianisidine dihydrochloride, 1% H2O2, and the homogenate (0.1 mL). The absorbance of the
reaction mixture was recorded at 460 nm. Myeloperoxidase (MPO) activity
was estimated using the molar extinction coefficient of 11.3 mM–1 cm–1 of oxidized o-dianisidine.[44,45]
Estimation
of SOD
The SOD reagent
consists of xanthine (0.1 mmol/L), ethylenediaminetetraacetic acid
(0.1 mmol/L), bovine serum albumin (50 mg), nitro blue tetrazolium
(25 mmol/L), and Na2CO3 (40 mmol/L). 50 μL
of the tissue homogenate was added to 0.9 mL of the SOD reagent and
25 units of xanthine oxidase. The mixture was incubated for 25 min.
The reaction was terminated by incorporating 1 mL of copper chloride
(0.8 mmol/L). The absorbance of the mixture was measured at 560 nm.[46,47]
Estimation of the Nitrite Content
To 0.2 mL of the supernatant, a Griess reagent solution was added
and quantified calorimetrically. The conversion of nitrite from nitrate
produces a purple azo compound, which was recorded spectrophotometrically
at 546 nm. The results are given as nanomolar per milligram of protein.[48]
Estimation of Neuroinflammatory
Cytokines
The inflammatory cytokines such as interleukin-6
(IL-6), IL-1β,
and TNF-α were estimated following the assay protocol using
an ELISA kit.[49]
Statistical Assessment
The results
of the following parameters were analyzed using one-way ANOVA, followed
by Tukey’s comparison test, except for the Morris water test,
which was analyzed using two-way ANOVA, followed by Bonferroni’s
test, and are expressed as mean ± SEM using GraphPad prism software.
The criterion of data significance was set at p <
0.05.
Results
Acute Toxicity Study
Acute oral toxicity
studies showed that malvidin was safe up to the limit dose, that is,
2000 mg/kg b wt in rats. During the 14 days of the acute toxicity
study, no morbidity or clinical appearance of symptoms were observed.
Thus, based on the acute oral toxicity study data, we chose 1/20th
and 1/10th doses, that is, 100 and 200 mg/kg, of malvidin for performing
the main study.
Changes in the Body Weight
The changes
in the body weight of rats were corelated prior to beginning the experiment
and at the final day, on the 61st day, of the study using two-way
ANOVA test. On administration of AlCl3, a marked decline
in the body weight was observed. Treatment with malvidin at 100 mg/kg
(p < 0.05) and 200 mg/kg (p <
0.001) doses resulted in a marked increase in the body weight at the
end of the study, as shown in Figure .
Figure 2
Effect of malvidin on rat body weight. All values are
expressed
as mean ± SD (p value < 0.05 and < 0.001
are expressed as * and ***, respectively, when compared with the disease
control group); # significant as compared to the normal control group
(p < 0.001). Correlation among the groups was
obtained using two-way ANOVA, followed by the Bonferroni post comparison
test.
Effect of malvidin on rat body weight. All values are
expressed
as mean ± SD (p value < 0.05 and < 0.001
are expressed as * and ***, respectively, when compared with the disease
control group); # significant as compared to the normal control group
(p < 0.001). Correlation among the groups was
obtained using two-way ANOVA, followed by the Bonferroni post comparison
test.
Behavioral
Parameters
Elevated X Maze Test
Upon evaluation
on the elevated X maze test, the values of the normal control, AlCl3, and malvidin (100 and 200 mg/kg) were found to be 43.23
± 4.5, 99 ± 5.6, 91.66 ± 4.2, and 54.33 ± 6.8
s, respectively, by one-way ANOVA test. The transfer latency in the
AlCl3 group was increased as compared to that of the control
group (p < 0.001). The malvidin-treated groups
showed a dose-dependent decrease, but the higher-dose malvidin group
(200 mg/kg) exhibited a significant decrease in contrast to that of
the control (p < 0.001). (Figure A).
Figure 3
Alteration in behavioral parameters in aluminum-exposed
rats. (A)
Percentage transfer latency; (B) number of squares crossed per 5 min;
(C) number of rearing per 5 min; (D) number of grooming per 5 min;
and (E) escape latency. All values are expressed as mean ± SD
(p value < 0.05, 0.01, and 0.001 are expressed
as *, **, and ***, respectively, when compared with the disease control
group); # significant as compared to the normal control group (p < 0.001). Correlation among the groups was obtained
using one-way ANOVA, followed by Tukey’s test.
Alteration in behavioral parameters in aluminum-exposed
rats. (A)
Percentage transfer latency; (B) number of squares crossed per 5 min;
(C) number of rearing per 5 min; (D) number of grooming per 5 min;
and (E) escape latency. All values are expressed as mean ± SD
(p value < 0.05, 0.01, and 0.001 are expressed
as *, **, and ***, respectively, when compared with the disease control
group); # significant as compared to the normal control group (p < 0.001). Correlation among the groups was obtained
using one-way ANOVA, followed by Tukey’s test.The behavioral
analysis was estimated using the post hoc test. A marked elevation
(p < 0.001) in the number of squares travelled
is observed as compared with that of the disease control group (3.67
± 7.24 s) with mean values of 100 and 200 mg/kg malvidin determined
to be 4.46 ± 6.2 and 8.18 ± 7.5 s, respectively. The numbers
of rearing and grooming also exhibit a significant increase in the
malvidin-treated groups. The mean differences of the disease control
and 100 and 200 mg/kg malvidin groups were found to be as follows:
number of rearing—8.91 ± 5.2, 11.76 ± 4.8, and 16.91
± 5.6 s and number of grooming—6.01 ± 5.5, 8.98 ±
6.3, and 16.6 ± 7.3, respectively (Figure B–D).
Morris
Maze Test
The Morris maze
test was performed to evaluate the cognition and learning ability
in rats (including all groups) for 5 days. The escape latency to search
the submerged platform was shortened in the treatment groups, especially
200 mg/kg malvidin (p < 0.001), when compared
to that of the disease control group. The mean differences at day
5 were significantly decreased for normal control, disease control,
and 100 and 200 mg/kg malvidin groups to 21.8 ± 5.8, 53.2 ±
4.3, 25.8 ± 8.1, and 18.2 ± 4.6, respectively (Figure E).
Biochemical Analysis
AchE Determination
When compared
to the normal group, the disease control group (p < 0.001) exhibited an elevation in AchE. In contrast to the disease
control group, lower-dose 100 mg/kg (3.71 ± 0.6; p < 0.05) and higher-dose 200 mg/kg (3.30 ± 0.53; p < 0.001) malvidin groups resulted in a significant
decrease in AchE activity, depicting that malvidin lowered the hippocampal
AchE in rats (Figure ).
Figure 4
Effect of malvidin on acetylcholine esterase activity in aluminum-exposed
rats. All values are expressed as mean ± SD (p value < 0.05 and < 0.001 are expressed as * and *** respectively,
when compared with the disease control group); # significant as compared
to the normal control group (p < 0.001). Correlation
among the groups was obtained using one-way ANOVA, followed by Tukey’s
test.
Effect of malvidin on acetylcholine esterase activity in aluminum-exposed
rats. All values are expressed as mean ± SD (p value < 0.05 and < 0.001 are expressed as * and *** respectively,
when compared with the disease control group); # significant as compared
to the normal control group (p < 0.001). Correlation
among the groups was obtained using one-way ANOVA, followed by Tukey’s
test.
SOD
Measurement
The SOD levels
in the treatment groups (16.68 ± 1.3 for the 100 mg/kg group
and 16.53 ± 1.5 for the 200 mg/kg groups) were elevated considerably
(p < 0.05) when compared with that of the disease
control group. In the AlCl3 group, the SOD level significantly
reduced (p < 0.01) when compared to that of the
control group (Figure A).
Figure 5
Effect of malvidin on antioxidant enzyme activities in aluminum-exposed
rats. (A) SOD, (B) MDA, (C) GSH, (D) MPO, and (E) CAT. All values
are expressed as mean ± SD (p value < 0.05,
0.01, and 0.001 are expressed as *, **, and ***, respectively, when
compared with the disease control group), # significant as compared
to the normal control group (p < 0.001). Correlation
among the groups was obtained using one-way ANOVA, followed by Tukey’s
test.
Effect of malvidin on antioxidant enzyme activities in aluminum-exposed
rats. (A) SOD, (B) MDA, (C) GSH, (D) MPO, and (E) CAT. All values
are expressed as mean ± SD (p value < 0.05,
0.01, and 0.001 are expressed as *, **, and ***, respectively, when
compared with the disease control group), # significant as compared
to the normal control group (p < 0.001). Correlation
among the groups was obtained using one-way ANOVA, followed by Tukey’s
test.
MDA
Determination
The MDA levels
of the treatment groups 100 and 200 mg/kg malvidin showed a significant
decrease (4.33 ± 0.43 and 4.23 ± 0.51, respectively; p < 0.001) when compared to that of the disease control
groups. The level of MDA was increased in the disease control group
as compared to that of the control group (Figure B).
GSH
Estimation
A significant reduction
in GSH and a subsequent elevation in both the lower dose (3.80 ±
0.70; 100 mg/kg, p < 0.001) and higher dose (3.38
± 0.39; 200 mg/kg, p < 0.001) treatment groups,
respectively, were observed as compared to that of the disease control
group. A marked elevation in the MDA activity in the disease group
(p < 0.01) was observed when compared to that
of the normal group (Figure C).
MPO Assessment
A significant increase
in the MPO activity of the disease control group (p < 0.0001) was observed when compared to that of the normal group.
When compared to that of the disease group, a significant elevation
in MPO activity was observed in both lower dose (36.50 ± 3.18;
100 mg/kg, p < 0.01) and higher dose (31.41 ±
3.30; 200 mg/kg, p < 0.001) malvidin-treated groups
(Figure D).
Catalase
The disease control group
revealed a significant decline in the CAT activity (p < 0.001) when compared to the normal group. Groups treated with
malvidin with doses of 100 mg/kg (20.19 ± 2.07; p < 0.01) and 200 mg/kg (21.59 ± 2.50; p <
0.001), exhibited a remarkable decline when compared to the disease
control group (Figure E).
Determination of the Nitrite Content
The nitrite content of the disease control group is augmented remarkably
(p < 0.001) when compared to that of the control
group. A significant decrease in the nitrite content was observed
in both treatment groups (3.53 ± 0.62; 100 mg/kg and 3.75 ±
0.49; 200 mg/kg, p < 0.001), as shown in Figure .
Figure 6
Effect on nitrite content
of malvidin in aluminum-exposed rats.
All values are expressed as mean ± SD (p value
< 0.05 and 0.001 are expressed as * and ***, respectively, when
compared with the disease control group); # significant as compared
to the normal control group (p < 0.001). Correlation
among the groups was obtained using one-way ANOVA, followed by Tukey’s
test.
Effect on nitrite content
of malvidin in aluminum-exposed rats.
All values are expressed as mean ± SD (p value
< 0.05 and 0.001 are expressed as * and ***, respectively, when
compared with the disease control group); # significant as compared
to the normal control group (p < 0.001). Correlation
among the groups was obtained using one-way ANOVA, followed by Tukey’s
test.
Estimation
of Neuroinflammatory Cytokines
A significant decline in proinflammatory
cytokines, that is, IL-6,
IL-1β, and TNF-α, was observed in the disease control
group as compared to that of the normal group. Both treatment groups
(100 and 200 mg/kg malvidin, p < 0.001) showed
a significant reduction in inflammatory cytokines IL-6 (148.3 ±
9.56 and 82.72 ± 8.08), IL-1β (140.5 ± 7.66 and 90.92
± 7.75), and TNF-α (171.7 ± 11.29 and 95.07 ±
9.20) when compared to the disease control group, as depicted in Figure A–C.
Figure 7
Effect on inflammatory
cytokines of malvidin in aluminum-exposed
rats. (A) IL-1β, (B) IL-6, and (C) TNF-α. All values are
expressed as mean ± SD (p value < 0.05 and
0.001 are expressed as * and ***, respectively, when compared with
the disease control group); # significant as compared to the normal
control group (p < 0.001). Correlation among the
groups was obtained using one-way ANOVA, followed by Tukey’s
test.
Effect on inflammatory
cytokines of malvidin in aluminum-exposed
rats. (A) IL-1β, (B) IL-6, and (C) TNF-α. All values are
expressed as mean ± SD (p value < 0.05 and
0.001 are expressed as * and ***, respectively, when compared with
the disease control group); # significant as compared to the normal
control group (p < 0.001). Correlation among the
groups was obtained using one-way ANOVA, followed by Tukey’s
test.
Discussion
A longer exposure to elemental metals is known to be harmful and
dangerous and may account for oxidative stress neurodegeneration.
AlCl3 is an essential metal, but accumulation may produce
neurotoxicity in the brain. Al also modifies the cholinergic transmission,
affecting the acetylcholine level in the brain.[50,51] Previous studies showed that chronic AlCl3 exposure is
responsible for memory and cognition impairment due to alteration
in the neurons.[52−54]In the present investigation, malvidin alleviates
the cognitive
behavior, biochemical parameters, and inflammatory cytokines in AlCl3-exposed rats, indicating the antioxidant activity of malvidin,
correlating various studies.[55−57] A behavioral study such as the
Morris maze test is the most preferred test to study the anxiety and
cognition. The animals are left to search for the hidden platform,
and the latent time was measured. As indicated by previous reports,
AlCl3 caused memory and behavioral deficits, which was
clearly observed from the study results.[58,59] The behavioral parameters showed that malvidin significantly (p < 0.001) improved the memory power when compared to
AlCl3. It was proven that in a dose-dependent manner, a
200 mg/kg dose of malvidin significantly (p <
0.001) enhanced the cognition impairment induced by AlCl3 in terms of the behavioral parameters tested, including the elevated
X maze test, Morris maze test, and open-field test when compared to
the 100 mg/kg dose of malvidin. From the results, the behavioral tests
displayed that malvidin improved the motor coordination and learning
abilities in AlCl3-exposed rats.Hippocampus is linked
with several excitatory and inhibitory neurotransmitters,
and any damage in the neuronal transmitters can lead to neurodegenerative
disorders. AchE is a crucial enzyme in the brain that is responsible
for cholinergic neuronal membrane integrity and breakdown of Ach.
Al exposure causes cholinergic destruction by altering the cholinergic
pathway and transmission.[35,60] In the present study,
AlCl3 significantly escalated the AchE activity, the same
as earlier findings.[61] Malvidin-treated
groups reduced the AchE levels, thereby increasing the level of Ach
and improving the cognitive functions of the brain.Oxidative
stress generates ROS, which is the main cause for neuronal
impairment, inflammation, and ultimately cell death, leading to neuroprogressive
disorders. The antioxidants produced by the body naturally are the
initial defense against the oxidative stress. Antioxidants slow down
the oxidative stress by decreasing the free radical generation (ROS).[62] CAT converts hydrogen peroxide into water and
O2 through its protective mechanism to oxidative stress.[63] Superoxide anions are generated by the SOD enzyme
as a defense against oxidative stress. The current study showed that
AlCl3 decreased the glutathione, SOD, and CAT levels in
the rat brain, thereby increasing the oxidative damage, the same as
that in previous studies.[64,65] Malvidin treatment
with a dose of 200 mg/kg displayed a more significant increase in
the antioxidative parameters when compared with the 100 mg/kg malvidin
treatment.As described in previous studies, AlCl3 elevated the
MDA, MPO, and nitrite contents in the rat brain.[66] However, when compared to the treatment groups, a marked
decrease in the antioxidant enzymes was observed, depicting the protective
role against oxido-nitrosative stress. Therefore, the stated results
prove the antioxidant property of malvidin and that it reduced the
oxidative damage produced by AlCl3-induced neurodegeneration
in rats.Inflammatory mediators are the body’s defense
system, which
sense the inflamed tissues. In neuroinflammation, the NF-κB
situated in the brain activates the inflammatory mediators such as
IL-6, IL-1β, and TNF-α to initiate the process of modulation
of inflammation.[67] The study results revealed
that AlCl3-exposed rats showed an increased cytokine level
(TNF-α, IL-1β, and IL-6), similar to previously reported
findings,[68,69] whereas malvidin treatment reduced these
levels significantly in both the groups. The overall findings suggest
an anti-inflammatory role of malvidin against AlCl3-induced
neurotoxicity in rats.
Conclusions
To summarize,
malvidin downregulates AlCl3-induced memory
impairment, cholinergic dysfunction, and the oxidative stress generated,
suggesting neuroprotective action. The study showed a dose-dependent
activity of malvidin, showing a significant change at the higher dose
(200 mg/kg) compared to that at the lower dose (100 mg/kg). The results
revealed that malvidin can be a promising therapeutic agent against
neurodegenerative diseases and progression through its antioxidative
mechanism.