Protective role of crocin against sepsis-induced injury in the liver, kidney and lungs via inhibition of p38 MAPK/NF-κB and Bax/Bcl-2 signalling pathways

Pharm Biol. 2022 Dec;60(1):543-552. doi: 10.1080/13880209.2022.2042328.

Abstract

Context: Crocin has been reported to have multiple bioactivities. However, the effect of crocin administration on caecal ligation and puncture (CLP)-induced sepsis remains unknown.

Objective: We investigated the effects of crocin on CLP-induced sepsis in mice and the underlying mechanism of action.

Materials and methods: Five experimental groups (n = 10) of BALB/c mice were used: control, CLP (normal saline) and CLP + crocin (50, 100 and 250 mg/kg, 30 min prior to CLP). Mice were sacrificed 24 h after CLP. Liver, kidney and lung histopathology, indicator levels, apoptotic status, pro-inflammatory cytokines and relative protein levels were evaluated.

Results: Compared to the CLP group, crocin treatment significantly increased the survival rate (70%, 80%, 90% vs. 30%). Crocin groups exhibited protection against liver, kidney and lung damage with mild-to-moderate morphological changes and lower indicator levels: liver (2.80 ± 0.45, 2.60 ± 0.55, 1.60 ± 0.55 vs. 5.60 ± 0.55), kidney (3.00 ± 0.71, 2.60 ± 0.55, 1.40 ± 0.55 vs. 6.20 ± 0.84) and lungs (8.00 ± 1.59, 6.80 ± 1.64, 2.80 ± 0.84 vs. 14.80 ± 1.79). The proinflammatory cytokines (IL-1β, TNF-α, IL-6 and IL-10 levels in the crocin groups) were distinctly lower and the apoptotic index showed a significant decrease. Crocin administration significantly suppressed p38 MAPK phosphorylation and inhibited NF-κB/IκBα and Bcl-2/Bax activation.

Discussion and conclusions: Pre-treatment with crocin confers protective effects against CLP-induced liver, kidney and lung injury, implying it to be a potential therapeutic agent.

Keywords: Anti-inflammatory; antiapoptotic; antioxidant; organ.

MeSH terms

  • Animals
  • Carotenoids / administration & dosage
  • Carotenoids / pharmacology*
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • Kidney Diseases / etiology
  • Kidney Diseases / prevention & control
  • Liver Diseases / etiology
  • Liver Diseases / prevention & control
  • Lung Diseases / etiology
  • Lung Diseases / prevention & control
  • Mice
  • Mice, Inbred BALB C
  • NF-kappa B / metabolism*
  • Proto-Oncogene Proteins c-bcl-2 / metabolism
  • Sepsis / complications
  • Sepsis / drug therapy*
  • bcl-2-Associated X Protein / drug effects
  • p38 Mitogen-Activated Protein Kinases / metabolism*

Substances

  • Bax protein, mouse
  • NF-kappa B
  • Proto-Oncogene Proteins c-bcl-2
  • bcl-2-Associated X Protein
  • Bcl2 protein, mouse
  • Carotenoids
  • crocin
  • p38 Mitogen-Activated Protein Kinases