ABSTRACT The natural flavonoid taxifolin (TX) is known for its anti-inflammatory and antioxidant potential. Gentamicin (GEN) is a popular antibiotic agent that is associated with hepatotoxicity. The study assessed the hepatoprotective impacts of TX against GEN-linked liver injury in mice. Mice were orally administered with TX (25 and 50 mg/kg/day) for 14 days followed by GEN administration (100 mg/kg/day, i.p.) from the 8th to 14th day. GEN treatment significantly increased lactate dehydrogenase, transaminases (AST and ALT), and alkaline phosphatase levels in mouse serum, in addition to various histopathological liver changes. Higher levels of protein carbonyl and malondialdehyde and lower levels of superoxide dismutase, catalase, and glutathione were noted in the livers of GEN-administered mice. GEN administration also showed enhanced interleukins (IL-6 and IL-1β) and TNF-α levels and NF-κB p65 expression in mouse liver. TX treatment effectively ameliorated tissue injury, attenuated levels of MDA, protein carbonyl, and pro-inflammatory mediators, and improved antioxidants in GEN-treated mice. Increased caspase-3 and Bax protein expressions with decreased Bcl-2 levels were noted in the GEN-administrated mice, which were largely alleviated by TX pretreatment. Moreover, TX restored hepatic Nrf2/HO-1 signaling in GEN-administrated mice to counter GEN toxicity. These findings suggest TX as a promising adjuvant to prevent drug-associated tissue injury.
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