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Kaurenoic acid extracted from Sphagneticola trilobata reduces acetaminophen-induced hepatotoxicity through inhibition of oxidative stress and pro-inflammatory cytokine production in mice
Authors:Leandro Marcondes-Alves  Victor Fattori  Sergio M Borghi  Yuri Lourenco-Gonzalez  Allan JC Bussmann  Elisa Y Hirooka
Institution:1. Departamento de Química, Centro de Ciências Exatas, Universidade Estadual de Londrina , Londrina, Brasil;2. Departamento de Ciências Patológicas, Centro de Ciências Biológicas, Universidade Estadual de Londrina , Londrina, Brasil;3. Laboratório de Anatomia Patológica, Centro de Ciências de Saúde, Universidade Estadual de Londrina , Londrina, Brasil;4. Departamento de Ciência e Tecnologia de Alimentos, Centro de Ciências Agrárias, Universidade Estadual de Londrina , Londrina, Brasil
Abstract:Acetaminophen (paracetamol) is a widely used analgesic and antipyretic drug that is safe at therapeutic doses. However, acetaminophen overdose can be fatal. Currently, the only treatment available is the N-acetyl cysteine. The diterpene kaurenoic acid (ent-kaur-16-en-19-oic acid, KA) is the major constituent of Sphagneticola trilobata (L.) Pruski. KA presents anti-inflammatory, anti-nociceptive and antioxidant properties. In this study, we evaluated the efficacy of KA in a model of acetaminophen-induced hepatotoxicity. KA increased, in a dose-dependent manner, the survival rate after acetaminophen overdose. KA reduced acetaminophen-induced hepatic necrosis and ALT and AST levels. KA decreased acetaminophen-induced neutrophil and macrophage recruitment, oxidative stress and the production of IL-33, TNF-α and IL-1β, alongside with normalisation of IL-10 levels in the liver. Therefore, KA showed preclinical efficacy in acetaminophen-induced hepatotoxicity and lethality.
Keywords:Diterpene  drug-induced liver injury  hepatotoxicity  NF-κB  N-acetyl-p-aminophenol  Nrf2
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