Effect of Averrhoa carambola L. (Carambola) fruit juice againstethanol-induced liver injury in mice
Abstract Introduction: Alcoholic liver disease (ALD) is a leading cause of morbidity and mortality worldwide, with oxidative stress as the central pathogenic mechanism. The search for nutritional agents capable of modulating this response has focused on fruits such as carambola (Averrhoa carambola L.), which is rich in polyphenolic compounds with recognized antioxidant activity. Objectives: To determine the effect of carambola fruit juice (Averrhoa carambola L.) on ethanol-induced liver damage in mice. Materials and Methods: 35 albino mice were divided into five groups (n=7). The treatment groups received either A. carambola juice (5 and 15 mL/kg) or silymarin (100 mg/kg) for 5 days. All groups, except the negative control, received 5% ethanol ad libitum. The liver index, lipid peroxidation (LPO), antioxidant enzyme activity (SOD and CAT), and the GSH/GSSG ratio were evaluated, complemented by histopathological analysis. Results: The ethanol control group showed a significant induction of LPO, hepatomegaly, and microvesicular steatosis. In contrast, carambola juice, especially at 15 mL/kg, significantly reduced LPO (p<0.01) and increased SOD and CAT activity. A substantial improvement in the GSH/GSSG ratio and an attenuation of cellular degeneration and steatosis were observed in the histological analysis, with an effect comparable to that of silymarin. Conclusions: Carambola fruit juice, from Averrhoa carambola L., exhibits a hepatoprotective effect against ethanol-induced liver damage in mice.
- Research Article
16
- 10.1016/j.etap.2013.12.005
- Dec 19, 2013
- Environmental Toxicology and Pharmacology
The protective effects of the combination of sodium ferulate and oxymatrine on ethanol-induced liver damage in mice
- Research Article
1
- 10.1080/20905068.2022.2132604
- Oct 22, 2022
- Alexandria Journal of Medicine
Background: Failure of endogenous antioxidant system to eliminate high levels of ROS results to oxidative stress, consequently leading to liver damage. Excessive alcohol consumption leads to liver damage due to ROS generation, thus regarded as the leading causes of death worldwide, suggesting great need for use of exogenous antioxidants like epigallocatechin-3-gallate (EGCG), to avert liver damage. However, underlying EGCG mechanisms remains elusive.Aim of the work: This study focused on mechanistic role of EGCG in regulation of antioxidant marker activities during ethanol induced liver damage.Materials and Methods: 20 male Swiss Albino mice were divided into four groups and treated with different dosage. ALT, AST and total proteins were determined as indicators of liver damage. MDA and protein carbonyls were measured as oxidative stress markers. Activities of SOD and CAT were determined. SOD-2 and CAT differential gene expression were also determined. Liver histology analysis by H&E staining. All the experiments were run in duplicates. ANOVA was used to analyzes data using Tukey’s multiple comparison tests and results considered statistically significant if p ≤ 0.05 at 95% confidence level. Results: Findings revealed that chronic consumption of ethanol leads to liver damage through increased levels of serum ALT and AST, MDA, protein carbonyls and remarkable diffuse lipid droplets and decreased enzyme activity of SOD and CAT. EGCG increased activity of SOD and CAT and SOD-2 expression and did not affect CAT expression. Conclusion: In summary, ethanol induces liver damage, and administration of EGCG increases antioxidant system expression, suggesting its role in regulating their activities, defensive of oxidative stress through various pathways.
- Research Article
3
- 10.1163/18762891-bja00022
- Jul 3, 2024
- Beneficial microbes
This study investigated the effect of Lacticaseibacillus rhamnosus LRa05 on alcoholic fatty liver disease (ALD) and its mechanism for liver protection. Mice were randomly divided into three groups: a control (CLT) group, an ALD group, and a LRa05 intervention group. The ALD mouse model was established by Lieber-DeCarli chronic alcohol feeding. Tissues staining, enzyme-linked immunosorbent assay (ELISA) was performed to detect changes in histopathology and inflammatory cytokines, respectively. Moreover, intestinal permeability was evaluated by the level of dextran-fluorescein isothiocyanate (Dx-FITC) in serum and tight junction protein in the colon. Changes in the composition of the gut microbiota were assessed by 16S rRNA sequencing. Alcohol consumption induced liver damage in mice with significantly increased levels of triglycerides (TG), aspartate aminotransferase (AST), alanine transaminase (ALT), and inflammatory cytokines. Moreover, alcohol further induced the increase of intestinal permeability and disruption of gut microbiota in mice, with an increase in the relative abundance of potentially pathogenic bacteria Enterococcus, Parabacteroides, and Alistipes. LRa05 intervention significantly attenuated alcohol-induced liver injury by reducing the contents of TG, ALT, and AST, and suppressing the inflammatory responses. Meanwhile, by stimulating the expression of ZO-1, Occludin, and Claudin in the colon tissue, LRa05 additionally strengthened the intestine barrier function. Furthermore, gut microbiota analysis suggested that LRa05 partially ameliorated gut microbiota disorders in ALD mice and up-regulated the abundance of Desulfovibrio and Akkermansia, which were negatively correlated with the indicators of ALD progression. The reconstructive effects of LRa05 on the gut microbiota might be related to the efficacy of LRa05 in improving gut permeability and further protecting against ALD.
- Research Article
- 10.2147/ijn.s577455
- Feb 1, 2026
- International journal of nanomedicine
Background: Alcohol-related liver disease (ALD) is the leading cause of liver disease-related deaths globally, necessitating new treatments. This study investigates the role of long intergenic noncoding RNA (lincRNA)-p21 in ALD and explores therapeutic strategies for liver injury. We identified lncRNAs linked to ethanol-induced liver injury using the Gene Expression Omnibus (GEO) database. Experiments were conducted to assess the function of lincRNA-p21 in ALD both in vivo and in vitro. Autophagy was analyzed through electron microscopy, autophagic flow, and protein expression. Bioinformatics explored underlying mechanisms, focusing on m6A modification of lincRNA-p21 by ALKBH5 using RNA Immunoprecipitation (RIP) and meRIP-PCR. Ferroptosis was induced with erastin, and its levels were measured by cell ROS and viability. A nanoplatform-based system was developed to co-deliver a plasmid encoding lincRNA-p21 and a ferroptosis inhibitor. We developed a nanoplatform-based co-delivery system to deliver a plasmid encoding lincRNA-p21 and the ferroptosis inhibitor ferrostatin-1 (ferr-1/lincRNA-p21@NP) to the liver. LincRNA-p21 protected liver cells against ethanol-induced injury by promoting autophagy. ALKBH5 mediated the m6A demethylation and lincRNA-p21 upregulation. However, we revealed a dual-edged sword function for lincRNA-p21 in ethanol-induced liver injury in mice. LincRNA-p21 reduced acute ethanol-induced cell injury by enhancing autophagy but exacerbated chronic ethanol-induced liver cell injury by increasing ferroptosis. In vivo and in vitro analyses showed favorable therapeutic effects of ferr-1/lincRNA-p21@NPs on ALD. These results show that lincRNA-p21 affects autophagy and ferroptosis, and the ferr-1/lincRNA-p21@NP nanosystem can provide protection against ALD.
- Research Article
10
- 10.1016/j.ajpath.2018.05.004
- Jun 2, 2018
- The American Journal of Pathology
Hepatic Knockdown of Splicing Regulator Slu7 Ameliorates Inflammation and Attenuates Liver Injury in Ethanol-Fed Mice
- Research Article
1748
- 10.1053/j.gastro.2011.09.002
- Sep 12, 2011
- Gastroenterology
Alcoholic Liver Disease: Pathogenesis and New Therapeutic Targets
- Research Article
2
- 10.1007/s10620-025-08960-w
- Mar 3, 2025
- Digestive diseases and sciences
Selenomethionine (Se-Met) has been reported to reduce oxidative stress (OS) and hepatic injury; however, its role in alcoholic liver disease (ALD), particularly with ferroptosis, remains poorly understood. Oxidative stress was induced using ethanol, and ferroptosis was inhibited with ferrostatin-1 (fer-1) in L-02 and LX2 cell lines, respectively. The effects of Se-Met on alcohol-induced hepatocyte damage were evaluated in vitro by examining cell viability, lipid peroxidation, and the level of key ferroptosis-associated markers. In vivo, the interaction between Se-Met and ferroptosis was examined via an ALD mouse model through analyses of liver histology, lipid peroxidation, liver function, and ferroptosis-related indices. In vitro and in vivo experiments indicated that both Se-Met and fer-1 have a significant protective role against alcohol-induced hepatocyte death and liver injury. Treatment with Se-Met or fer-1 can promote hepatocyte proliferation, ameliorate the typical symptoms of lipid peroxidation (e.g., glutathione depletion, superoxide dismutase enzyme activity, intracellular reactive oxygen species (ROS) level, malonaldehyde (MDA) content), and altered the expression of ferroptosis-related factors. Moreover, the findings indicated that the administration of Se-Met or fer-1 significantly ameliorated the pathological alterations and improved liver function indices associated with alcohol-induced liver damage in mice. These effects may collectively suppress the deleterious impact of ethanol on hepatic tissue. This study concluded that the ferroptosis pathway regulated alcohol-induced hepatocyte injury. The administration of selenomethionine protects ALD by partially inhibiting the ferroptosis pathway, providing a novel therapeutic approach for ALD.
- Research Article
4
- 10.3390/antiox13050541
- Apr 28, 2024
- Antioxidants
In this study, we investigated the hepatoprotective effects of an ethanol extract of Sophora flavescens Aiton (ESF) on an alcohol-induced liver disease mouse model. Alcoholic liver disease (ALD) was caused by the administration of ethanol to male C57/BL6 mice who were given a Lieber−DeCarli liquid diet, including ethanol. The alcoholic fatty liver disease mice were orally administered ESF (100 and 200 mg/kg bw/day) or silymarin (50 mg/kg bw/day), which served as a positive control every day for 16 days. The findings suggest that ESF enhances hepatoprotective benefits by significantly decreasing serum levels of aspartate transaminase (AST) and alanine transaminase (ALT), markers for liver injury. Furthermore, ESF alleviated the accumulation of triglyceride (TG) and total cholesterol (TC), increased serum levels of superoxide dismutase (SOD) and glutathione (GSH), and improved serum alcohol dehydrogenase (ADH) activity in the alcoholic fatty liver disease mice model. Cells and organisms rely on the Kelch-like ECH-associated protein 1- Nuclear factor erythroid 2-related factor 2 (Keap1-Nrf2) system as a critical defensive mechanism in response to oxidative stress. Therefore, Nrf2 plays an important role in ALD antioxidant responses, and its level is decreased by increased reactive oxidation stress (ROS) in the liver. ESF increased Nrf2, which was decreased in ethanol-damaged livers. Additionally, four polyphenol compounds were identified through a qualitative analysis of the ESF using LC-MS/MS. This study confirmed ESF’s antioxidative and hangover-elimination effects and suggested the possibility of using Sophora flavescens Aiton (SF) to treat ALD.
- Research Article
- 10.31983/jkg.v5i1.3595
- Jun 1, 2018
- Jurnal Kesehatan Gigi
TITLE EFFECTIVENESS CONSUMING PINEAPPLE (ANANAS COMOSUS) AND STAR FRUIT (AVERRHOA CARAMBOLA L) TOWARD PLAQUE SCORE ABSTRACT Pineapple and Star fruit are one of the fruits that has water content and fiber that many. Pineapple sources of vitamin C and manganese, this fruit also contains substances that can maintain bone strength and help digestion. Fresh fruit contains 10% sugar, half is the remaining sucrose glucose and fructose. Pineapple fruit rich in fiber can reliably increase saliva production (saliva), clean teeth and mouth and strengthen the gums. While starfruit contains epitekin compounds that are bactericidal. Research purposes this is to know the effectiveness of pineapple and star fruit consumption toward plaque score. This research is an experimental research with the design of Pre and Post Test Group Design. The sample of this research is MI Darut Taqwa Meteseh, Tembang, Semarang as many as 60 students divided by 4 intervention groups. Interventions taken are consuming star fruit juice, pineapple juice, chewing starfruit and pineapple. Dental plaque scores were measured using the index PHP. Data analysis using a t-test. The research result from score plaque drink juice star fruit and chew starfruit with p = 0,001 so there is the difference of plaque score between drinking star fruit juice by chewing star fruit. Score plaque group who drank pineapple juice and chewed pineapple with p = 0.017 so there was a difference in plaque score between drinking pineapple juice by chewing pineapple. Consume fruit by chewing more down the plaque score compared to drinking fruit juice. Consume pineapple lower plaque than consuming star fruit. Keywords : starfruit, pineapple fruit, plaque score. ___________________________________________________________ 1, 2) Jurusan Keperawatan Gigi Poltekkes Kemenkes Semarang * : irmanita.wiradona@gmail.com
- Research Article
80
- 10.1371/journal.pone.0076522
- Oct 14, 2013
- PLoS ONE
Clinical studies have demonstrated that alcoholics have a lower dietary zinc intake compared to health controls. The present study was undertaken to determine the interaction between dietary zinc deficiency and ethanol consumption in the pathogenesis of alcoholic liver disease. C57BL/6N mice were subjected to 8-week feeding of 4 experimental liquid diets: (1) zinc adequate diet, (2) zinc adequate diet plus ethanol, (3) zinc deficient diet, and (4) zinc deficient diet plus ethanol. Ethanol exposure with adequate dietary zinc resulted in liver damage as indicated by elevated plasma alanine aminotransferase level and increased hepatic lipid accumulation and inflammatory cell infiltration. Dietary zinc deficiency alone increased hepatic lipid contents, but did not induce hepatic inflammation. Dietary zinc deficiency showed synergistic effects on ethanol-induced liver damage. Dietary zinc deficiency exaggerated ethanol effects on hepatic genes related to lipid metabolism and inflammatory response. Dietary zinc deficiency worsened ethanol-induced imbalance between hepatic pro-oxidant and antioxidant enzymes and hepatic expression of cell death receptors. Dietary zinc deficiency exaggerated ethanol-induced reduction of plasma leptin, although it did not affect ethanol-induced reduction of white adipose tissue mass. Dietary zinc deficiency also deteriorated ethanol-induced gut permeability increase and plasma endotoxin elevation. These results demonstrate, for the first time, that dietary zinc deficiency is a risk factor in alcoholic liver disease, and multiple intrahepatic and extrahepatic factors may mediate the detrimental effects of zinc deficiency.
- Research Article
36
- 10.1155/2012/417953
- Jan 1, 2012
- Evidence-Based Complementary and Alternative Medicine
Elephantopus scaber has been traditionally used as liver tonic. However, the protective effect of E. scaber on ethanol-induced liver damage is still unclear. In this study, we have compared the in vivo hepatoprotective effect of E. scaber with Phyllanthus niruri on the ethanol-induced liver damage in mice. The total phenolic and total flavanoid content of E. scaber ethanol extract were determined in this study. Accelerating serum biochemical profiles (including AST, ALT, ALP, triglyceride, and total bilirubin) associated with fat drop and necrotic body in the liver section were observed in the mice treated with ethanol. Low concentration of E. scaber was able to reduce serum biochemical profiles and the fat accumulation in the liver. Furthermore, high concentration of E. scaber and positive control P. niruri were able to revert the liver damage, which is comparable to the normal control. Added to this, E. scaber did not possess any oral acute toxicity on mice. These results suggest the potential effect of this extract as a hepatoprotective agent towards-ethanol induced liver damage without any oral acute toxicity effect. These activities might be contributed, or at least in part, by its high total phenolic and flavonoid contents.
- Research Article
8
- 10.1016/j.ecoenv.2023.115560
- Oct 10, 2023
- Ecotoxicology and Environmental Safety
The effect of Abrus cantoniensis Hance on liver damage in mice
- Research Article
178
- 10.1021/jf903070a
- May 26, 2010
- Journal of Agricultural and Food Chemistry
In this study, the hepatoprotective effects of apple polyphenols (AP, Appjfnol) against CCl(4)-induced acute liver damage in Kunming mice as well as the possible mechanisms were investigated. Mice were treated with AP (200, 400, and 800 mg/kg, ig) for seven consecutive days prior to the administration of CCl(4) (0.1%, intraperitoneally). The serum levels of alanine aminotransferase (ALT) and aspartate aminotransferase (AST), the malondialdehyde (MDA), superoxide dismutase (SOD), and reduced glutathione (GSH) concentrations in the hepatic homogenate, and histopathological changes in mouse liver sections were determined. Levels of ferrous sulfate-L-cysteine (FeSO(4)-L-Cys)-induced lipid peroxidation and 1,1-diphenyl-2-picrylhydrazyl (DPPH) were also determined in vitro. AP significantly prevented the increase in serum ALT and AST levels in acute liver injury induced by CCl(4) and produced a marked amelioration in the histopathological hepatic lesions coupled to weight loss. The extent of MDA formation was reduced; the SOD activity was enhanced, and the GSH concentration was increased in the hepatic homogenate in AP-treated groups compared with the CCl(4)-intoxicated group. AP also exhibited antioxidant effects on FeSO(4)-L-Cys-induced lipid peroxidation in rat liver homogenate and DPPH free radical scavenging activity in vitro. These results indicate that AP has a significant protective effect against acute hepatotoxicity induced by CCl(4) in mice, which may be due to its free radical scavenging effect, inhibition of lipid peroxidation, and its ability to increase antioxidant activity.
- Research Article
182
- 10.1016/s0002-9440(10)62478-9
- Jun 1, 2005
- The American Journal of Pathology
Zinc Supplementation Prevents Alcoholic Liver Injury in Mice through Attenuation of Oxidative Stress
- Research Article
26
- 10.1016/j.jnutbio.2018.10.016
- Nov 6, 2018
- The Journal of Nutritional Biochemistry
EGF receptor plays a role in the mechanism of glutamine-mediated prevention of alcohol-induced gut barrier dysfunction and liver injury
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