Abstract

The flavonoid quercitrin has a strong antioxidant property. It is also reported to have a protective effect on the liver. However, the mechanism by which it exerts a protective effect on the liver is not fully understood. The objective of this article is to confirm the protective effect of quercitrin extracted from Albiziae flos on acetaminophen (APAP)-induced liver injury and to explain its mechanism. In the in vivo study, quercitrin was administered orally to BALB/c mice at a dose of 50, 100, and 200 mg/kg for seven consecutive days. APAP (300 mg/kg) was injected intraperitoneally after a last dose of quercitrin was administered. Determination of alanine aminotransferase (ALT), aspartate aminotransferase (AST), lactate dehydrogenase (LDH), interleukin 6 (IL-6), tumor necrosis factor α (TNF-α), reactive oxygen species (ROS), superoxide dismutase (SOD), glutathione (GSH), glutathione peroxidase (GSH-Px), catalase (CAT), and malondialdehyde (MDA) levels showed that quercitrin effectively attenuated APAP-induced acute liver injury in mice. Results of the in vitro study showed that quercitrin reduced the levels of ROS, protected mitochondria from damage, and restored the activity of mitochondrial complex I in APAP-treated L-02 cells. The addition of rotenone which is an inhibitor of complex I blocked the protective effect of quercitrin. The expression of mitochondrial complex I was also maintained by quercitrin. Our results suggest that quercitrin can maintain the level of mitochondrial complex I in injured cells and restore its activity, which reduces the production of ROS, protects the mitochondria from oxidative stress, and has a protective effect on the liver.

Highlights

  • The liver which is one of the important organs in the human body is responsible for metabolizing ingested compounds and removing toxic substances (Mitra and Metcalf, 2012)

  • We evaluated the protective effect of quercitrin on the liver

  • Compared with the control group, the liver cells in the APAP group were necrotic in a great area, as indicated by the black arrow; the necrotic area was filled with red blood cells, as indicated by the yellow arrow; and neutrophils were aggregated, as indicated by the red arrow

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Summary

Introduction

The liver which is one of the important organs in the human body is responsible for metabolizing ingested compounds and removing toxic substances (Mitra and Metcalf, 2012). Injury to the liver can be caused by hepatotoxic compounds like acetaminophen (APAP), for example. APAP is widely used clinically as an antipyretic and an analgesic drug (Lee, 2017). It is safe and effective at Quercitrin Attenuates APAP-Induced Liver Injury therapeutic doses, higher doses of APAP are hepatotoxic and can cause acute liver injury. Abuse of APAP is currently the main cause for failure of the liver (Yan et al, 2018). N-acetylcysteine (NAC) is currently the only U.S Food and Drug Administration–approved antidote for treating toxicity of APAP. Newer alternative drugs are urgently needed to treat APAP-induced acute liver injury

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