Abstract

BackgroundVarious extracts of Hovenia dulcis have been commonly used in Asia for cases of alcohol-related disorders. Fermentation is reported to enhance the level and biological activities of various bio-constituents of plant extracts. Therefore, this study was undertaken to evaluate the effects of fermented H. dulcis extract (FHDE) on ethanol-induced liver injury in mice.MethodsFHDE was prepared using Bacillus subtilis and Lactobacillus plantarum. The effects of FHDE on ethanol-induced liver injury were evaluated in C57BL/6 N CrSlc mice. A mixed feed preparation containing the fermented extract with and without ethanol was given to mice for 29 days, according to its group. At the end of the experiment, blood and liver samples were collected from all mice in the group. Plasma biochemical analysis and histopathological investigation were performed to evaluate the impacts of treatment on the biomarkers of hepatic damage and inflammatory changes. Besides, the expression of genes that regulate the activities of enzymes associated with alcohol metabolism, antioxidant activity, and fatty acid oxidation was assessed using a quantitative real-time polymerase chain reaction. Moreover, the amino acid contents and the active ingredients of the extract were evaluated before and after fermentation.ResultsFermentation resulted in a marked increase and decrease in the amount of Gamma-Amino-n-butyric acid (GABA) and glutamic acid, respectively. FHDE enhanced the body weight gain of mice compared to ethanol. Besides, plasma levels of triglyceride, low-density lipoprotein, the activities of aspartate aminotransferase (AST) and alanine aminotransferase (ALT) were significantly (P < 0.05) reduced in the FHDE-treated groups relative to the ethanol-treated control. FHDE upregulated the expression of genes associated with enzymes involved in alcohol dehydrogenation (Adh1 and Aldh2), antioxidant activity (SOD and CAT), and fatty acid oxidation (PPAR-α and PGC-1α). However, the expressions of Cytochrome peroxidase Cyp2E1 and genes related to lipogenesis (SREBP-1c, FAS, SCD-1, and ACC) were significantly (P < 0.05) downregulated following treatment with the FHDE. Histopathological investigation demonstrated a slight degree of inflammatory cell infiltration and occasional fatty changes in the FHDE-treated groups.ConclusionThe GABA-enriched fermented H. dulcis extract prevented ethanol-induced hepatic damage by enhancing the antioxidant defense system, fatty acid oxidation, and reducing lipogenesis.

Highlights

  • Various extracts of Hovenia dulcis have been commonly used in Asia for cases of alcohol-related disorders

  • fermented H. dulcis extract (FHDE) upregulated the expression of genes associated with enzymes involved in alcohol dehydrogenation (Adh1 and Aldehyde dehydrogenase (Aldh2)), antioxidant activity (SOD and CAT), and fatty acid oxidation (PPAR-α and PGC1α)

  • The expressions of Cytochrome peroxidase Cyp2E1 and genes related to lipogenesis (SREBP-1c, fatty acid synthase (FAS), Stearoyl-CoA desaturase 1 (SCD-1), and Acetyl-CoA carboxylase (ACC)) were significantly (P < 0.05) downregulated following treatment with the FHDE

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Summary

Introduction

Various extracts of Hovenia dulcis have been commonly used in Asia for cases of alcohol-related disorders. Excessive alcohol intake is one of the major causes of liver injury. Natural products with anti-inflammatory and antioxidant activities are becoming the target to develop therapeutic agents that can prevent the development of alcohol-induced liver injury [3]. Medicinal plants have been used widely in Asia for alcohol-related liver diseases. In China and Korea, various extracts of the plant are available in the market as tablets, powders, liquids or granules These formulations have been used for the treatment of alcohol-related hepatic disorders and as dietary supplements [4, 8]. Kim et al [10] illustrated that H. duclis extracts significantly prevented alcohol-induced acute and chronic liver injury in mice. The extract reduced the carbon tetrachloride (CCl4)-induced rise in the plasma levels of liver enzymes [10, 11]

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