Therapeutic potential of morin hydrate in methotrexate-induced liver in experimental rats: regulation of organ function and alleviation of oxidative stress
Year 2025,
Volume: 50 Issue: 1, 211 - 220, 31.03.2025
Tahir Kahraman
,
Şeyda Seçgin
,
Muhammad Nasir Bhaya
,
Mehmet Fatih Bozkurt
,
Hikmet Keleş
,
Sarab Hayder Weli Weli
,
İdris Türel
Abstract
Purpose: Methotrexate (MTX) is an antineoplastic agent with a wide clinical use. However, its complications in tissues cause limitations. The effects of many compounds have been studied in reducing the toxicity of MTX in liver tissue. There are limited studies on the elimination of this damage with morin hydrate (MH) flavonoid. In this study, we investigated the effect of MH in MTX-induced hepatoxicity with a focus on oxidative stress.
Materials and Methods: In the experiment, 32 female rats were grouped as Control, MTX, MH, MTX+MH (n=8). On the first day of the study, MTX 20 mg/kg single dose was administered ip. MH was administered 100 mg/kg by gavage for 10 days. On the 11th day, biochemical and histopathological analyses were performed on liver tissues from rats. All data were presented with statistical comparison.
Results: Serum AST, ALT and LDH levels were highest in the MTX group and lower in the MTX+MH group. MH increased glutathione peroxidase (GPX), reduced glutathione (GSH) and total antioxidant capacity (TAC) levels, but had no regulatory effect on superoxide dismutase (SOD) level. Additionally, MH significantly lowered malondialdehyde (MDA) levels and reduced total oxidant capacity (TOC). Histopathological findings included inflammation, congestion, degeneration, mononuclear cell clusters and dead cells. Tissue damage was most severe in the MTX group, whereas these effects were attenuated in the MTX+MH group.
Conclusion: Our results indicated that MH may be a potential therapeutic agent in MTX-induced acute liver injury.
Ethical Statement
The study was carried out with the decision of the local ethics committee of Bolu Abant Izzet Baysal
University Animal experiments dated 01/08/2022 and decision numbered 2020/12/A-1. The rats used in the
study were obtained from of Bolu Abant Izzet Baysal University Experimental Animals Application and Research Centre .
Thanks
We would like to thank everyone who contributed to this article.
References
- Malaviya AN. Landmark papers on the discovery of methotrexate for the treatment of rheumatoid arthritis and other systemic inflammatory rheumatic diseases: a fascinating story. Int J Rheum Dis. 2016;19:844-51.
- Maksimovic V, Pavlovic-Popovic Z, Vukmirovic S, Cvejic J, Mooranian A, Al-Salami H et al. Molecular mechanism of action and pharmacokinetic properties of methotrexate. Mol Biol Rep. 2020;47:4699-708.
- Kazak F, Uyar A, Coskun P, Yaman T. Nobiletin alleviates methotrexate-induced hepatorenal toxicity in rats. Biotech Histochem. 2024;99:134-46.
- Bedoui Y, Guillot X, Sélambarom J, Guiraud P, Giry C, Jaffar-Bandjeeet MC et al. Methotrexate an old drug with new tricks. Int J Mol Sci. 2019;20:5023.
- Bahceci İ, Tumkaya L, Mercantepe T, Aslan N, Duran ÖF, Soztanacı US, Yazıcı ZA et al. Inhibition of methotrexate induced toxicity in the adult rat spleen by adalimumab. Drug Chem Toxicol. 2023;46:323-9.
- Chan BS, Bosco AA, Buckley NA. Navigating methotrexate toxicity: Examining the therapeutic roles of folinic acid and glucarpidase. Br J Clin Pharmacol. 2025;91:628-35.
- Khatab LA, Abdel-Raheem IT, Ghoneim AI. Protective effects of melatonin and l-carnitine against methotrexate-induced toxicity in isolated rat hepatocytes. Naunyn Schmiedebergs Arch Pharmacol. 2022;395:87-97.
- Neetika, Sharma M, Thakur P, Gaur P, Rani GM, Rustagi S et al. Cancer treatment and toxicity outlook of nanoparticles. Environ Res. 2023;237:116870.
- Khalifa MMA, Bakr AG, Osman AT. Protective effects of phloridzin against methotrexate-induced liver toxicity in rats. Biomed Pharmacother. 2017;95:529-35.
- Rajput SA, Wang XQ, Yan HC. Morin hydrate: A comprehensive review on novel natural dietary bioactive compound with versatile biological and pharmacological potential. Biomed Pharmacother. 2021;138:111511.
- Lawal AO, Folorunso IM, Iwaloye O. Morin hydrate protects type-2-diabetic wistar rats exposed to diesel exhaust particles from inflammation and oxidative stress. J Diabetes Metab Disord. 2022;21:805-16.
- Kumar R, Kumar V, Gurusubramanian G, Rathore SS, Roy VK. Morin hydrate ameliorates heat-induced testicular impairment in a mouse model. Mol Biol Rep. 2024;51:103.
- Turkmen Samdanci E, Huz M, Ozhan O, Tanbek K, Pamukçu E, Akatlı A et al. Cytoprotective effects of molsidomine against methotrexate-induced hepatotoxicity: An experimental rat study. Drug Des Devel Ther. 2019;13:13-21.
- Kuzu M, Kandemir FM, Yildirim S, Kucukler S, Caglayan C, Turk E. Morin attenuates doxorubicin-induced heart and brain damage by reducing oxidative stress, inflammation and apoptosis. Biomed Pharmacother. 2018;106:443-53.
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- Erel O. A new automated colorimetric method for measuring total oxidant status. Clin Biochem. 2005;38:1103-11.
- Erel O. A novel automated direct measurement method for total antioxidant capacity using a new generation, more stable ABTS radical cation. Clin Biochem. 2004;37:277-85.
- Gürler M, Selçuk B, Beyza G, Tanbek K, Taşlıdere E, Yıldız A et al. Protective effect of dexpanthenol against methotrexate-induced liver oxidative toxicity in rats. Drug Chem Toxicol. 2023;46:708-16.
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- Kızıl HE, Caglayan C, Darendelioğlu E, Ayna A, Gür C, Kandemir FM et al. Morin ameliorates methotrexate-induced hepatotoxicity via targeting Nrf2/HO-1 and Bax/Bcl2/Caspase-3 signaling pathways. Mol Biol Rep. 2023;50:3479-88.
- Yui K, Imataka G, Shiohama T. lipid peroxidation of the docosahexaenoic acid/arachidonic acid ratio relating to the social behaviors of ındividuals with autism spectrum disorder: the relationship with ferroptosis. Int J Mol Sci. 2023;24:14796.
- Ghoneum M, El-Gerbed MSA. Human placental extract ameliorates methotrexate-induced hepatotoxicity in rats via regulating antioxidative and anti-inflammatory responses. Cancer Chemother Pharmacol. 2021;88:961-971.
- Pınar N, Kaplan M, Özgür T, Özcan O. Ameliorating effects of tempol on methotrexate-induced liver injury in rats. Biomed Pharmacother. 2018;102:758-64
Deneysel sıçanlarda metotreksat ile indüklenmiş karaciğerde morin hidratın terapötik potansiyeli: organ fonksiyonlarının düzenlenmesi ve oksidatif stresin azaltılması
Year 2025,
Volume: 50 Issue: 1, 211 - 220, 31.03.2025
Tahir Kahraman
,
Şeyda Seçgin
,
Muhammad Nasir Bhaya
,
Mehmet Fatih Bozkurt
,
Hikmet Keleş
,
Sarab Hayder Weli Weli
,
İdris Türel
Abstract
Amaç: Metotreksat (MTX) geniş klinik kullanımı olan antineoplastik bir ajandır. Bununla birlikte, dokulardaki komplikasyonları sınırlamalara neden olmaktadır. MTX'in karaciğer dokusundaki toksisitesini azaltmada birçok bileşikle çalışılmıştır. Morin hidrat (MH) flavonoidi ile bu hasarın giderilmesi konusunda sınırlı sayıda çalışma bulunmaktadır. Bu çalışmada MTX ile indüklenen hepatoksisitede oksidatif strese odaklanılarak MH'nin etkisi araştırıldı.
Gereç ve Yöntem: Deneyde 32 dişi sıçan Kontrol, MTX, MH, MTX+MH olarak gruplandırıldı (n=8). Çalışmanın ilk gününde MTX 20 mg/kg tek doz ip olarak uygulandı. MH 10 gün boyunca 100 mg/kg gavaj yoluyla uygulandı. 11. günde sıçanlardan alınan karaciğer dokuları üzerinde biyokimyasal ve histopatolojik analizler yapıldı. Tüm veriler istatistiksel karşılaştırma ile sunulmuştur.
Bulgular: Serum AST, ALT ve LDH düzeyleri MTX grubunda en yüksek, MTX+MH grubunda ise daha düşüktü. MH glutatyon peroksidaz (GPX), indirgenmiş glutatyon (GSH) ve toplam antioksidan kapasite (TAC) düzeylerini artırırken, süperoksit dismutaz (SOD) düzeyi üzerinde düzenleyici bir etkisi olmamıştır. Ayrıca, MH malondialdehit (MDA) seviyelerini önemli ölçüde düşürmüş ve toplam oksidan kapasiteyi (TOC) azaltmıştır. Histopatolojik bulgular arasında enflamasyon, konjesyon, dejenerasyon, mononükleer hücre kümeleri ve ölü hücreler yer almıştır. Doku hasarı en şiddetli MTX grubunda görülürken, MTX+MH grubunda bu etkiler hafiflemiştir.
Sonuç: Sonuçlarımız MH'nin MTX ile indüklenen akut karaciğer hasarında potansiyel bir terapötik ajan olabileceğini göstermiştir.
References
- Malaviya AN. Landmark papers on the discovery of methotrexate for the treatment of rheumatoid arthritis and other systemic inflammatory rheumatic diseases: a fascinating story. Int J Rheum Dis. 2016;19:844-51.
- Maksimovic V, Pavlovic-Popovic Z, Vukmirovic S, Cvejic J, Mooranian A, Al-Salami H et al. Molecular mechanism of action and pharmacokinetic properties of methotrexate. Mol Biol Rep. 2020;47:4699-708.
- Kazak F, Uyar A, Coskun P, Yaman T. Nobiletin alleviates methotrexate-induced hepatorenal toxicity in rats. Biotech Histochem. 2024;99:134-46.
- Bedoui Y, Guillot X, Sélambarom J, Guiraud P, Giry C, Jaffar-Bandjeeet MC et al. Methotrexate an old drug with new tricks. Int J Mol Sci. 2019;20:5023.
- Bahceci İ, Tumkaya L, Mercantepe T, Aslan N, Duran ÖF, Soztanacı US, Yazıcı ZA et al. Inhibition of methotrexate induced toxicity in the adult rat spleen by adalimumab. Drug Chem Toxicol. 2023;46:323-9.
- Chan BS, Bosco AA, Buckley NA. Navigating methotrexate toxicity: Examining the therapeutic roles of folinic acid and glucarpidase. Br J Clin Pharmacol. 2025;91:628-35.
- Khatab LA, Abdel-Raheem IT, Ghoneim AI. Protective effects of melatonin and l-carnitine against methotrexate-induced toxicity in isolated rat hepatocytes. Naunyn Schmiedebergs Arch Pharmacol. 2022;395:87-97.
- Neetika, Sharma M, Thakur P, Gaur P, Rani GM, Rustagi S et al. Cancer treatment and toxicity outlook of nanoparticles. Environ Res. 2023;237:116870.
- Khalifa MMA, Bakr AG, Osman AT. Protective effects of phloridzin against methotrexate-induced liver toxicity in rats. Biomed Pharmacother. 2017;95:529-35.
- Rajput SA, Wang XQ, Yan HC. Morin hydrate: A comprehensive review on novel natural dietary bioactive compound with versatile biological and pharmacological potential. Biomed Pharmacother. 2021;138:111511.
- Lawal AO, Folorunso IM, Iwaloye O. Morin hydrate protects type-2-diabetic wistar rats exposed to diesel exhaust particles from inflammation and oxidative stress. J Diabetes Metab Disord. 2022;21:805-16.
- Kumar R, Kumar V, Gurusubramanian G, Rathore SS, Roy VK. Morin hydrate ameliorates heat-induced testicular impairment in a mouse model. Mol Biol Rep. 2024;51:103.
- Turkmen Samdanci E, Huz M, Ozhan O, Tanbek K, Pamukçu E, Akatlı A et al. Cytoprotective effects of molsidomine against methotrexate-induced hepatotoxicity: An experimental rat study. Drug Des Devel Ther. 2019;13:13-21.
- Kuzu M, Kandemir FM, Yildirim S, Kucukler S, Caglayan C, Turk E. Morin attenuates doxorubicin-induced heart and brain damage by reducing oxidative stress, inflammation and apoptosis. Biomed Pharmacother. 2018;106:443-53.
- Ohkawa H, Ohishi N, Yagi K. Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Anal Biochem. 1979;95:351-358.
- Beutler E, Kelly BM. The effect of sodium nitrite on red cell GSH. Experientia. 1963;19:96-7.
- Erel O. A new automated colorimetric method for measuring total oxidant status. Clin Biochem. 2005;38:1103-11.
- Erel O. A novel automated direct measurement method for total antioxidant capacity using a new generation, more stable ABTS radical cation. Clin Biochem. 2004;37:277-85.
- Gürler M, Selçuk B, Beyza G, Tanbek K, Taşlıdere E, Yıldız A et al. Protective effect of dexpanthenol against methotrexate-induced liver oxidative toxicity in rats. Drug Chem Toxicol. 2023;46:708-16.
- Crabtree MJ, Hale AB, Channon KM. Dihydrofolate reductase protects endothelial nitric oxide synthase from uncoupling in tetrahydrobiopterin deficiency. Free Radic Biol Med. 2011;50:1639-46.
- AbdelKader G, Abdelaziz EZ, Hassan R, Greish SM, Abogresha NM, Sultan BO , Yousef EM et al. Protective effects of crocin against methotrexate-ınduced hepatotoxicity in adult male albino rats: histological, ımmunohistochemical, and biochemical study. Cureus. 2023;15:e34468.
- Sengul E, Yildirim S, Cinar İ, Tekin S, Dag Y, Bolat M et al. Mitigation of acute hepatotoxicity ınduced by cadmium through morin: modulation of oxidative and pro-apoptotic endoplasmic reticulum stress and ınflammatory responses in rats. Biol Trace Elem Res. 2024;202:5106-17.
- Kuzu M, Yıldırım S, Kandemir FM, Küçükler S, Çağlayan C, Türk E et al. Protective effect of morin on doxorubicin-induced hepatorenal toxicity in rats. Chem Biol Interact. 2019;308:89-100.
- K V A, Madhana RM, Kasala ER, Samudrala PK, Lahkar M, Gogoi R. Morin hydrate mitigates cisplatin-ınduced renal and hepatic ınjury by ımpeding oxidative/nitrosative stress and ınflammation in mice. J Biochem Mol Toxicol. 2016;30:571-9.
- Kızıl HE, Caglayan C, Darendelioğlu E, Ayna A, Gür C, Kandemir FM et al. Morin ameliorates methotrexate-induced hepatotoxicity via targeting Nrf2/HO-1 and Bax/Bcl2/Caspase-3 signaling pathways. Mol Biol Rep. 2023;50:3479-88.
- Yui K, Imataka G, Shiohama T. lipid peroxidation of the docosahexaenoic acid/arachidonic acid ratio relating to the social behaviors of ındividuals with autism spectrum disorder: the relationship with ferroptosis. Int J Mol Sci. 2023;24:14796.
- Ghoneum M, El-Gerbed MSA. Human placental extract ameliorates methotrexate-induced hepatotoxicity in rats via regulating antioxidative and anti-inflammatory responses. Cancer Chemother Pharmacol. 2021;88:961-971.
- Pınar N, Kaplan M, Özgür T, Özcan O. Ameliorating effects of tempol on methotrexate-induced liver injury in rats. Biomed Pharmacother. 2018;102:758-64