Effect of Empagliflozin on Thioacetamide-Induced Liver Injury in Rats: Role of AMPK/SIRT-1/HIF-1α Pathway in Halting Liver Fibrosis

Research output: Contribution to journalArticleResearchpeer review

Authors

  • Marwan A. ElBaset
  • Rana S. Salem
  • Fairouz Ayman
  • Nadeen Ayman
  • Nooran Shaban
  • Sherif M. Afifi
  • Tuba Esatbeyoglu
  • Mahmoud Abdelaziz
  • Zahraa S. Elalfy

External Research Organisations

  • National Research Center, Cairo
  • October 6 University
  • University of Sadat City
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Details

Original languageEnglish
Article number2152
JournalAntioxidants
Volume11
Issue number11
Publication statusPublished - Nov 2022

Abstract

Hepatic fibrosis causes severe morbidity and death. No viable treatment can repair fibrosis and protect the liver until now. We intended to discover the empagliflozin’s (EMPA) hepatoprotective efficacy in thioacetamide (TAA)-induced hepatotoxicity by targeting AMPK/SIRT-1 activity and reducing HIF-1α. Rats were treated orally with EMPA (3 or 6 mg/kg) with TAA (100 mg/kg, IP) thrice weekly for 6 weeks. EMPA in both doses retracted the serum GGT, ALT, AST, ammonia, triglycerides, total cholesterol, and increased serum albumin. At the same time, EMPA (3 or 6 mg/kg) replenished the hepatic content of GSH, ATP, AMP, AMPK, or SIRT-1 and mitigated the hepatic content of MDA, TNF-α, IL-6, NF-κB, or HIF-1α in a dose-dependent manner. Likewise, hepatic photomicrograph stained with hematoxylin and eosin or Masson trichrome stain of EMPA (3 or 6 mg/kg) revealed marked regression of the hepatotoxic effect of TAA with minimal injury. Similarly, in rats given EMPA (3 or 6 mg/kg), the immunohistochemically of hepatic photomicrograph revealed minimal stain of either α-SMA or caspase-3 compared to the TAA group. Therefore, we concluded that EMPA possessed an antifibrotic effect by targeting AMPK/SIRT-1 activity and inhibiting HIF-1α. The present study provided new insight into a novel treatment of liver fibrosis.

Keywords

    antioxidant, caspase-3, cytokines, hepatic fibrosis, inflammation

ASJC Scopus subject areas

Cite this

Effect of Empagliflozin on Thioacetamide-Induced Liver Injury in Rats: Role of AMPK/SIRT-1/HIF-1α Pathway in Halting Liver Fibrosis. / ElBaset, Marwan A.; Salem, Rana S.; Ayman, Fairouz et al.
In: Antioxidants, Vol. 11, No. 11, 2152, 11.2022.

Research output: Contribution to journalArticleResearchpeer review

ElBaset, MA, Salem, RS, Ayman, F, Ayman, N, Shaban, N, Afifi, SM, Esatbeyoglu, T, Abdelaziz, M & Elalfy, ZS 2022, 'Effect of Empagliflozin on Thioacetamide-Induced Liver Injury in Rats: Role of AMPK/SIRT-1/HIF-1α Pathway in Halting Liver Fibrosis', Antioxidants, vol. 11, no. 11, 2152. https://doi.org/10.3390/antiox11112152
ElBaset, M. A., Salem, R. S., Ayman, F., Ayman, N., Shaban, N., Afifi, S. M., Esatbeyoglu, T., Abdelaziz, M., & Elalfy, Z. S. (2022). Effect of Empagliflozin on Thioacetamide-Induced Liver Injury in Rats: Role of AMPK/SIRT-1/HIF-1α Pathway in Halting Liver Fibrosis. Antioxidants, 11(11), Article 2152. https://doi.org/10.3390/antiox11112152
ElBaset MA, Salem RS, Ayman F, Ayman N, Shaban N, Afifi SM et al. Effect of Empagliflozin on Thioacetamide-Induced Liver Injury in Rats: Role of AMPK/SIRT-1/HIF-1α Pathway in Halting Liver Fibrosis. Antioxidants. 2022 Nov;11(11):2152. doi: 10.3390/antiox11112152
ElBaset, Marwan A. ; Salem, Rana S. ; Ayman, Fairouz et al. / Effect of Empagliflozin on Thioacetamide-Induced Liver Injury in Rats : Role of AMPK/SIRT-1/HIF-1α Pathway in Halting Liver Fibrosis. In: Antioxidants. 2022 ; Vol. 11, No. 11.
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title = "Effect of Empagliflozin on Thioacetamide-Induced Liver Injury in Rats: Role of AMPK/SIRT-1/HIF-1α Pathway in Halting Liver Fibrosis",
abstract = "Hepatic fibrosis causes severe morbidity and death. No viable treatment can repair fibrosis and protect the liver until now. We intended to discover the empagliflozin{\textquoteright}s (EMPA) hepatoprotective efficacy in thioacetamide (TAA)-induced hepatotoxicity by targeting AMPK/SIRT-1 activity and reducing HIF-1α. Rats were treated orally with EMPA (3 or 6 mg/kg) with TAA (100 mg/kg, IP) thrice weekly for 6 weeks. EMPA in both doses retracted the serum GGT, ALT, AST, ammonia, triglycerides, total cholesterol, and increased serum albumin. At the same time, EMPA (3 or 6 mg/kg) replenished the hepatic content of GSH, ATP, AMP, AMPK, or SIRT-1 and mitigated the hepatic content of MDA, TNF-α, IL-6, NF-κB, or HIF-1α in a dose-dependent manner. Likewise, hepatic photomicrograph stained with hematoxylin and eosin or Masson trichrome stain of EMPA (3 or 6 mg/kg) revealed marked regression of the hepatotoxic effect of TAA with minimal injury. Similarly, in rats given EMPA (3 or 6 mg/kg), the immunohistochemically of hepatic photomicrograph revealed minimal stain of either α-SMA or caspase-3 compared to the TAA group. Therefore, we concluded that EMPA possessed an antifibrotic effect by targeting AMPK/SIRT-1 activity and inhibiting HIF-1α. The present study provided new insight into a novel treatment of liver fibrosis.",
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language = "English",
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TY - JOUR

T1 - Effect of Empagliflozin on Thioacetamide-Induced Liver Injury in Rats

T2 - Role of AMPK/SIRT-1/HIF-1α Pathway in Halting Liver Fibrosis

AU - ElBaset, Marwan A.

AU - Salem, Rana S.

AU - Ayman, Fairouz

AU - Ayman, Nadeen

AU - Shaban, Nooran

AU - Afifi, Sherif M.

AU - Esatbeyoglu, Tuba

AU - Abdelaziz, Mahmoud

AU - Elalfy, Zahraa S.

N1 - Funding Information: The publication of this article was funded by the Open Access Fund of Leibniz Universität Hannover.

PY - 2022/11

Y1 - 2022/11

N2 - Hepatic fibrosis causes severe morbidity and death. No viable treatment can repair fibrosis and protect the liver until now. We intended to discover the empagliflozin’s (EMPA) hepatoprotective efficacy in thioacetamide (TAA)-induced hepatotoxicity by targeting AMPK/SIRT-1 activity and reducing HIF-1α. Rats were treated orally with EMPA (3 or 6 mg/kg) with TAA (100 mg/kg, IP) thrice weekly for 6 weeks. EMPA in both doses retracted the serum GGT, ALT, AST, ammonia, triglycerides, total cholesterol, and increased serum albumin. At the same time, EMPA (3 or 6 mg/kg) replenished the hepatic content of GSH, ATP, AMP, AMPK, or SIRT-1 and mitigated the hepatic content of MDA, TNF-α, IL-6, NF-κB, or HIF-1α in a dose-dependent manner. Likewise, hepatic photomicrograph stained with hematoxylin and eosin or Masson trichrome stain of EMPA (3 or 6 mg/kg) revealed marked regression of the hepatotoxic effect of TAA with minimal injury. Similarly, in rats given EMPA (3 or 6 mg/kg), the immunohistochemically of hepatic photomicrograph revealed minimal stain of either α-SMA or caspase-3 compared to the TAA group. Therefore, we concluded that EMPA possessed an antifibrotic effect by targeting AMPK/SIRT-1 activity and inhibiting HIF-1α. The present study provided new insight into a novel treatment of liver fibrosis.

AB - Hepatic fibrosis causes severe morbidity and death. No viable treatment can repair fibrosis and protect the liver until now. We intended to discover the empagliflozin’s (EMPA) hepatoprotective efficacy in thioacetamide (TAA)-induced hepatotoxicity by targeting AMPK/SIRT-1 activity and reducing HIF-1α. Rats were treated orally with EMPA (3 or 6 mg/kg) with TAA (100 mg/kg, IP) thrice weekly for 6 weeks. EMPA in both doses retracted the serum GGT, ALT, AST, ammonia, triglycerides, total cholesterol, and increased serum albumin. At the same time, EMPA (3 or 6 mg/kg) replenished the hepatic content of GSH, ATP, AMP, AMPK, or SIRT-1 and mitigated the hepatic content of MDA, TNF-α, IL-6, NF-κB, or HIF-1α in a dose-dependent manner. Likewise, hepatic photomicrograph stained with hematoxylin and eosin or Masson trichrome stain of EMPA (3 or 6 mg/kg) revealed marked regression of the hepatotoxic effect of TAA with minimal injury. Similarly, in rats given EMPA (3 or 6 mg/kg), the immunohistochemically of hepatic photomicrograph revealed minimal stain of either α-SMA or caspase-3 compared to the TAA group. Therefore, we concluded that EMPA possessed an antifibrotic effect by targeting AMPK/SIRT-1 activity and inhibiting HIF-1α. The present study provided new insight into a novel treatment of liver fibrosis.

KW - antioxidant

KW - caspase-3

KW - cytokines

KW - hepatic fibrosis

KW - inflammation

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U2 - 10.3390/antiox11112152

DO - 10.3390/antiox11112152

M3 - Article

VL - 11

JO - Antioxidants

JF - Antioxidants

SN - 2076-3921

IS - 11

M1 - 2152

ER -

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