Curcumin protects against acetaminophen-induced apoptosis in hepatic injury

World J Gastroenterol. 2013 Nov 14;19(42):7440-6. doi: 10.3748/wjg.v19.i42.7440.

Abstract

Aim: To explore the effects of curcumin (CMN) on hepatic injury induced by acetaminophen (APAP) in vivo.

Methods: Male mice were randomly divided into three groups: group I (control) mice received the equivalent volumes of phosphate-buffered saline (PBS) intraperitoneally (ip); Group II [APAP + carboxymethylcellulose (CMC)] mice received 1% CMC (vehicle) 2 h before APAP injection; Group III (APAP + CMN) mice received curcumin (10 or 20 mg/kg, ip) 2 h before before or after APAP challenge. In Groups II and III, APAP was dissolved in pyrogen-free PBS and injected at a single dose of 300 mg/kg. CMN was dissolved in 1% CMC. Mice were sacrificed 16 h after the APAP injection to determine alanine aminotransferase (ALT) levels in serum and malondialdehyde (MDA) accumulation, superoxide dismutase (SOD) activity and hepatocyte apoptosis in liver tissues.

Results: Both pre- and post-treatment with curcumin resulted in a significant decrease in serum ALT compared with APAP treatment group (10 mg/kg: 801.46 ± 661.34 U/L; 20 mg/kg: 99.68 ± 86.48 U/L vs 5406.80 ± 1785.75 U/L, P < 0.001, respectively). The incidence of liver necrosis was significantly lowered in CMN treated animals. MDA contents were significantly reduced in 20 mg/kg CMN pretreatment group, but increased in APAP treated group (10.96 ± 0.87 nmol/mg protein vs 16.03 ± 2.58 nmol/mg protein, P < 0.05). The decrease of SOD activity in APAP treatment group and the increase of SOD in 20 mg/kg CMN pretreatment group were also detected (24.54 ± 4.95 U/mg protein vs 50.21 ± 1.93 U/mg protein, P < 0.05). Furthermore, CMN treatment efficiently protected against APAP-induced apoptosis via increasing Bcl-2/Bax ratio.

Conclusion: CMN has significant therapeutic potential in both APAP-induced hepatotoxicity and other types of liver diseases.

Keywords: Acetaminophen; Acute hepatic injury; Apoptosis; Curcumin; Free radicals.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acetaminophen*
  • Alanine Transaminase / blood
  • Animals
  • Antioxidants / pharmacology
  • Apoptosis / drug effects*
  • Biomarkers / blood
  • Chemical and Drug Induced Liver Injury / blood
  • Chemical and Drug Induced Liver Injury / etiology
  • Chemical and Drug Induced Liver Injury / pathology
  • Chemical and Drug Induced Liver Injury / prevention & control*
  • Curcumin / pharmacology*
  • Cytoprotection
  • Disease Models, Animal
  • Hepatocytes / drug effects
  • Hepatocytes / metabolism
  • Hepatocytes / pathology
  • Lipid Peroxidation / drug effects
  • Liver / drug effects*
  • Liver / metabolism
  • Liver / pathology
  • Male
  • Malondialdehyde / metabolism
  • Mice
  • Mice, Inbred BALB C
  • Necrosis
  • Oxidative Stress / drug effects
  • Protective Agents / pharmacology*
  • Proto-Oncogene Proteins c-bcl-2 / metabolism
  • Superoxide Dismutase / metabolism
  • bcl-2-Associated X Protein / metabolism

Substances

  • Antioxidants
  • Bax protein, mouse
  • Biomarkers
  • Protective Agents
  • Proto-Oncogene Proteins c-bcl-2
  • bcl-2-Associated X Protein
  • Acetaminophen
  • Malondialdehyde
  • Superoxide Dismutase
  • Alanine Transaminase
  • Curcumin