|Year : 2018 | Volume
| Issue : 2 | Page : 124-129
Effect of pomegranate (Punica granatum) seed oil on carbon tetrachloride-induced acute and chronic hepatotoxicity in rats
Duygu Yaman Gram1, Ayhan Atasever1, Meryem Eren2
1 Department of Pathology, Faculty of Veterinary Medicine, Erciyes University, Kayseri, Turkey
2 Department of Biochemistry, Faculty of Veterinary Medicine, Erciyes University, Kayseri, Turkey
|Date of Web Publication||20-Apr-2018|
Dr. Duygu Yaman Gram
Department of Pathology, Faculty of Veterinary Medicine, Erciyes University, Melikgazi, Kayseri 38039
Source of Support: None, Conflict of Interest: None
| Abstract|| |
Background: Carbon tetrachloride (CCl4) is one of the most widely used Hepatotoxin that is known to induce oxidative stress and causes hepatic damage by the formation of reactive free radicals in laboratory animals. Objective: This study aims to investigate the hepatoprotective role of pomegranate seed oil (PSO) on histological structure, some biochemical parameters and lipid peroxidation on CCl4-induced acute and chronic liver injury induced rats. Materials and Methods: The study material comprised 80 male Wistar albino rats. They were divided into two study groups including 40 rats for acute and 40 rats for chronic hepatotoxicity induction by CCl4. Hematoxylin and eosin staining was used to evaluate degree of steatosis, inflammation, necrosis, and fibrosis semiquantitatively. Blood serum aspartate transaminase, alanine transaminase, and alkaline phosphatase enzyme activities and glucose, triglyceride, total cholesterol, high-density lipoprotein-cholesterol, low-density lipoprotein-cholesterol, total protein, albumin and liver malondialdehyde, and nitric oxide levels were measured. Results: All control and only PSO given animals liver showed normal histological architecture, but in the acute CCl4-treated animals, an intensive macro and microvesicular steatosis, mononuclear inflammatory cell infiltrations in portal area and parenchyma, and necrotic alterations; in the chronic CCl4-treated group, additionally to acute findings mild-to-severe fibrosis with lobulation formation were observed. Conclusion: The results suggest that administration of PSO has partially ameliorative effects on biochemical and lipid peroxidation parameters in acute period, but it has no effect on the recovery of liver tissue damage or histopathological changes and biochemical parameters induced by CCl4in chronic period.
Abbreviations Used: PSO: Pomegranate seed oil; CCl4: Carbon tetrachloride; CCl3: Trichloromethyl; MDA: Malondialdehyde; NO: Nitric oxide; ROS: Reactive oxygen species; IM: Intramuscular; ALT: Alanine aminotransferase; AST: Aspartate aminotransferase; ALP: Alkaline phosphatase; TP: Total protein; HDL: High density lipoprotein; LDL: Low density lipoprotein.
Keywords: Carbon tetrachloride, hepatotoxicity, histopathology, pomegranate seed oil, rat
|How to cite this article:|
Gram DY, Atasever A, Eren M. Effect of pomegranate (Punica granatum) seed oil on carbon tetrachloride-induced acute and chronic hepatotoxicity in rats. Phcog Res 2018;10:124-9
|How to cite this URL:|
Gram DY, Atasever A, Eren M. Effect of pomegranate (Punica granatum) seed oil on carbon tetrachloride-induced acute and chronic hepatotoxicity in rats. Phcog Res [serial online] 2018 [cited 2018 Aug 21];10:124-9. Available from: http://www.phcogres.com/text.asp?2018/10/2/124/230749
- Antioxidant activity of Pomegranate seed oil was evaluated.
- PSO showed some antioxidative effects against CCl4-induced oxidative stress by decreasing levels of some biochemical and lipid peroxidation parameters.
- The results of the histopathological investigation showed that prolonged usage of CCl4treatment have irreversible effects on hepatic architecture.
| Introduction|| |
Carbon tetrachloride (CCl4) is one of the most widely used hepatotoxic chemical agents that is known to induce oxidative stress and causes hepatic damage by the formation of reactive free radicals in laboratory animals. The well-defined model of liver necrosis and fibrosis induced by CCl4 play a crucial role in understanding of the mechanisms of action of hepatic injury., CCl4 is metabolized to trichloromethyl (CCl3) free radical by the cytochrome P450 system and consequently, by the aid of other free radicals, lead to cellular membrane injury by covalently binding to macromolecules, which produces malondialdehyde (MDA) as a final product., Membrane disintegration, loss of membrane-associated enzymes and necrosis are some consequences of CCl4-induced lipid peroxidation. Increased lipid peroxidation is believed to play a vital role of pathogenesis of many acute and chronic diseases as an underlying cause of the initiation of oxidative stress-related tissue injury and cell death. Although liver damage firstly results from the CCl4 metabolism to CCl3, secondary damage comprises by the inflammatory processes caused by the oxidant-induced activation of Kupffer cells  and ischemic injury lead by the formation of inflammatory prostaglandins in the circulatory system (Basu, 2003). Oxidative stress results from the overproduction and/or inadequate removal of highly reactive molecules such as reactive oxygen species (ROS) and reactive nitrogen species. As ROS play a major role in the pathogenesis of both acute and chronic liver damage (Basu, 2003), changes in these enzymes are responsible for biochemical alteration and lesions of the tissues. During the inflammatory process in liver damage oxidative eruption causes excessive production of nitric oxide (NO) by hepatocytes, Kupffer cells and endothelial cells which can cause DNA fragmentation and lipid oxidation. Histopathologically, CCl4 administration can result in hepatic steatosis, centrilobular necrosis, and ballooning of hepatocytes after acute exposure ,,, while long-term administration causes hepatitis, liver fibrosis, and cirrhosis., Liver fibrosis results from the excessive secretion and proliferation of extracellular matrix proteins which produced by activated hepatic stellate cells during chronic inflammation due to oxidative stress. This process is activated by several factors, including ROS, some cytokines and chemokines. Herbal drugs have gained importance, and their use is widespread because of their antioxidant properties. Many plant origin antioxidant compounds had been studied in CCl4-induced acute ,, and chronic , liver injury for screening the hepatoprotective activity. Punica granatum is used as a medicinal plant, and it possesses an extensive therapeutic importance. Different parts of plant have been found a number of various biological effects such as antitumor, antibacterial,, antiulcer, anti-inflammatory,, and antioxidant , activities. Pomegranate seed oil (PSO) contains a high concentration of conjugated fatty acids composition containing high levels of punicic acid, linoleic acid, and linolenic acid which attributes its antioxidant effects , and its hepatoprotective effect has not yet been studied in detail. Therefore, to better understand its anti-inflammatory and antioxidant activity in the present study, we investigated effect of PSO on CCl4-induced liver damage after acute and chronic exposure by assaying serum lipid profiles and histopathology of liver tissues in rats.
| Materials and Methods|| |
CCl4 was obtained from Merck (France) Ltd. (1.02222), PSO was purchased from Bukas Inc. Co., Izmir, Turkey and content of PSO is given in [Table 1].
|Table 1: Fatty acid composition of the pomegranate seed oil used in the trial|
Click here to view
Experiments were performed using 200–250 g weighing, 80 adult male Wistar albino rats. The experiments were carried out in accordance with the Guidelines for Animal Experimentation approved by Erciyes University, Experimental Animal Ethics Committee (permit no: 11/59), and the experimental procedures were performed in Erciyes University Experimental Research and Application Center, Kayseri, Turkey. The animals were kept in a special room at a constant temperature 22°C ± 2°C and humidity (50% ±5%) with 12-h light/dark cycles and had free access to diet and tap water.
Following an acclimatization period for 1 week, animals were divided into acute and chronic study groups, as follows;
In the acute study model;
- Group I was kept as a control group and animals received only corn oil (1 mL/kg, n = 10)
- Group 2, received only PSO at a dose of 0.15 mL/kg through gavage directly to the stomach for 4 weeks (n = 10)
- Groups 3 were injected with CCl4 intraperitoneally (IP) at a dose of 1 mL/kg, twice in the 1st week,
- Group 4 were administered with CCl4 at a dose of 1 mL/kg twice in the 1st week and simultaneously 0.15 mL/kg PSO through gavage directly to the stomach for 4 weeks.
In the chronic study model;
- Group 1 (control group) were administered with corn oil (0.2 mL/kg) for 12 weeks
- Group 2 were administered with 0.15 mL/kg PSO through gavage directly to the stomach for 12 weeks
- Group 3 were treated IP injection of CCl4(0.2 mL/kg) twice a week, for 12 weeks,
- Group 4 were administered with CCl4(0.2 mL/kg) twice a week and simultaneously 0.15 mL/kg PSO through gavage directly to the stomach for 12 weeks.
Collection and processing of samples
Rats were anesthetized with ketamine (intramuscular [IM], 50 mg/kg) and xylazine (IM., 10 mg/kg) injection and blood samples were collected by heart puncture 24 h after the last CCl4 administration. Finally, all the animals were sacrificed by cervical dislocation and livers from all animals were removed and divided into two parts; one was placed and fixed in neutral formalin solution (10%) for the histopathological examination and the other one was homogenized after being mixed with 1:9 phosphate buffer (pH 7.2), in an ice-containing medium. The homogenates were centrifuged at + 4°C, for 1 h. Obtained supernatants were transferred into Eppendorf tubes, and preserved at −80°C until analysis. Blood samples were centrifuged at 3000 rpm for 10 min and serum was taken in Eppendorf tube. All serum samples were maintained at −20°C until analysis.
Following fixation in neutral formalin solution (10%), liver tissue specimens were thoroughly rinsed overnight, under tap water. Then, all tissue samples were dehydrated in graded alcohol and cleared in xylene, and embedded in paraffin wax and sectioned (thickness, 5 μm), for histopathological evaluation. After staining with hematoxylin and eosin  sections were examined with light microscope.
Liver damage scoring method
Following hematoxylin and eosin staining all sections were semiquantitatively evaluated for hepatocyte steatosis, inflammation, necrosis, and fibrosis. All liver samples were evaluated using ten different places in each section for the aforementioned parameters by two pathologists, and the mean percentile values within the group were calculated. Steatosis, inflammation, necrosis, and fibrosis were graded as 1 (mild, <33% of liver cells), 2 (moderate, 33% to 66% of liver cells), and 3 (severe, >66% of liver cells). The values obtained in each group were evaluated statistically and the statistical significance between the groups was recorded.
All serum parameters (alanine transaminase [ALT], aspartate transaminase [AST], alkaline phosphatase [ALP], bilirubin, total protein (TP), albumin, total cholesterol, high-density lipoprotein (HDL)-cholesterol, low-density lipoprotein (LDL)-cholesterol, glucose, and triglyceride) were assayed enzymatically using an autoanalyzer (Glucose Auto and Stat, GA-1122) in Gulser – Dr. Mustafa Gundogdu Central Laboratory, Erciyes University. Protein content in liver homogenates was measured by the Lowry method. MDA analyses were performed in accordance with the previously described method. NO measurements were evaluated by diazotization assay (Griess reaction).
Statistical analyses were carried out using SPSS 14.01 (License no: 9869264, SPSS Inc., Chicago, USA) for Windows software and performed using one-way analysis of variance (ANOVA) followed by Duncan's multiple range test. The significance of the difference between the experimental and control groups in terms of liver tissue damage score was performed with the Kruskal–Wallis test. All values were expressed as mean values ± standard error of means.
| Results|| |
In the both acute and chronic administration of CCl4 groups, clinical signs such as weakness, hunched posture, excessive salivation, ptosis, and corneal opacity were observed. No clinical signs were observed in the control and PSO groups both acute and chronic period.
Effects of pomegranate seed oil on carbon tetrachloride-induced acute hepatotoxicity
Histopathological examination of liver tissues in the control and PSO groups showed normal hepatic lobular architecture [Figure 1]a and [Figure 1]b. The rats treated with CCL4 displayed spacious liver damage, characterized by diffuse macro- and microvesicular lipid vacuoles in hepatocytes, large areas of centrilobular necrosis, inflammatory cell infiltration, and loss of hepatic architecture [Figure 1]c. Necrosis, fat vacuole formation, and cell infiltration were similar in PSO-treated group [Figure 1]d.
|Figure 1: Histological analysis of the livers in carbon tetrachloride-induced acute hepatotoxicity; Normal appearance of the livers of the control (a) and pomegranate seed oil-treated (b) groups. The appearance of micro (arrowheads)- and macro (black thick arrows) vesicular fat vacuoles in all parenchyma and increased numbers of infiltrating mononuclear cells (black thin arrows), consisting predominantly of lymphocytes in carbon tetrachloride (c), and carbon tetrachloride + pomegranate seed oil-(d) treated groups, Liver, H and E, ×10|
Click here to view
Effects of pomegranate seed oil on carbon tetrachloride-induced chronic hepatotoxicity
Histopathological examination of liver tissues in the control and PSO groups showed normal hepatic lobular architecture [Figure 2]a and [Figure 2]b. Appearance of lipid vacuoles in hepatocytes ranged from small discrete microvesicles to large coalescing macrovesicles in the CCl4-treated rats. The fibrosis throughout the lobules linked portal areas and central vein to produce pseudolobulation. Mononuclear cell infiltration, especially close to the portal area was also observed [Figure 2]c. In the PSO-treated group, histopathological findings were similar with CCl4 administered group [Figure 2]d.
|Figure 2: Histological analysis of the livers in carbon tetrachloride-induced chronic hepatotoxicity; Normal appearance of the livers of the control (a) and pomegranate seed oil-treated (b) groups. The appearance of micro (black thin arrows) and macro (black thick arrows) vesicular fat vacuoles in the parenchyma and increase in fibrous connective tissue (arrowheads) in carbon tetrachloride (c) and carbon tetrachloride + pomegranate seed oil-(d) treated groups, Liver, H and E, ×20|
Click here to view
The liver damage parameters were evaluated semiquantitatively in the histopathological sections of liver tissues of control and PSO groups of animals in the acute and chronic experimental groups, and the damage scores were found to be zero. Liver damage parameters were scored for steatosis, inflammation, necrosis, and fibrosis both acute [Table 2] and chronic [Table 3] CCl4-treated groups, and it was showed that there was no statistically significant change between these groups.
|Table 2: Semiquantitative scoring system for hepatic damage in experimental groups with acute liver injury|
Click here to view
|Table 3: Semiquantitative scoring system for hepatic damage in experimental groups with chronic liver injury|
Click here to view
There was a significant increase in serum glucose, LDL-cholesterol, total cholesterol levels, and ALT, AST, and ALP enzyme activities induced by CCl4 treatment both acute and chronic trial groups [Table 4] and [Table 5]. The beneficial effects of treatment with PSO on the CCl4-induced elevation of serum ALT, AST, and ALP enzyme activities, glucose, and total cholesterol levels are presented in [Table 4]. However, serum ALT and AST activities were not affected from PSO administration in chronic groups [Table 5]. Furthermore, PSO treatment normalized albumin and TP levels both acute and chronic groups.
|Table 4: Serum biochemical parameters and liver lipid peroxidation levels in control and experimental groups with acute liver injury|
Click here to view
|Table 5: Serum biochemical parameters and liver lipid peroxidation levels in control and experimental groups with chronic liver injury|
Click here to view
The NO radicals play an import role in inducing inflammatory response. Treatment of CCl4 caused a significant increase in NO concentration in hepatic tissue both in acute and chronic intoxication. In addition, CCl4 treatment caused high level of oxidative damage, as evidenced by a significant elevation in hepatic MDA level [Table 4] and [Table 5]. Treatment with PSO caused a significant decline in MDA levels in acute CCl4 administrated groups while it had a nonsignificant decrease in chronic groups. Treatment with PSO caused a significant decline in NO levels in chronic CCl4-administrated groups while it had a nonsignificant decrease in acute groups.
| Discussion|| |
Hepatic injury caused by CCl4 is the most commonly used experimental models for understanding the cellular mechanism behind oxidative damage and lipid peroxidation and also the screening of hepatoprotective activity of plant extracts and drugs. Oxidative stress plays a major role in the pathogenesis of both acute and chronic liver injury caused by this well-known hepatotoxin. CCl4 transforms into CCl3 and CCl3 peroxyl (CCl3O2) free radicals, which are toxic intermediates metabolites, through the cytochrome P450 enzyme system in the nongranular endoplasmic reticulum in hepatocytes. These metabolites react with unsaturated fatty acids in the cell membrane to initiate lipid peroxidation or causes breakdown of cell membranes by binding to proteins and fats which are the causes of liver damage.,
In the present study, for understanding the ability of PSO to protect against CCl4 intoxication, we used an experimental model of CCl4-induced acute and chronic hepatotoxicity models in rats. As indicated from the results, the treated rats with CCl4 in acute injury showed centrilobular necrosis, inflammatory cell infiltration, and lipid vacuolization. These results are in agreement with Arosio (2000), who confirm that 24 h after a single IP injection of 3 mg/kg CCl4 caused cytoplasmic vacuolization, necrosis and degenerative changes in hepatocytes, especially around vena centralis, and Grizzi (2003), who determined that a single dose of 1 mL/kg CCl4 administration caused intense inflammatory cell infiltration mainly composed of macrophages and lymphocytes. In addition to these acute hepatotoxicity studies, there are many studies induced by CCl4 with long-term exposure.,,, In the current study, chronic CCl4 administration caused liver damage, as demonstrated by severe necrosis, mononuclear inflammatory cells infiltration, new regenerative nodules resulted by pseudolobulation in the liver of rats. Several studies have shown that liver histology with CCl4-treated rats in chronic intoxication was similar with our findings.,, Our results indicate that treatment with PSO during CCl4 administration showed that PSO has no ameliorative effects on liver histology in acute and chronic hepatotoxicity. These findings may be related with the highly reactive molecules of CCl4 which are leading to irreversible damage to the liver and also administration dose and duration of treatment.
Damage to hepatocytes changes serum AST and ALT transport function and membrane permeability, leading to leakage of enzymes into the circulation system from cells indicates severe damage during CCl4 intoxication., Levels of serum marker enzymes of hepatic injury, ALT, AST, and ALP increased significantly in CCl4-treated rats in both acute and chronic hepatotoxicity as an indicative of severe hepatic injury. The present study showed a decrease in serum TP and albumin levels in acute and chronic hepatotoxicity which may be due to disruption of protein synthesis by disrupting polyribosomes in the endoplasmic reticulum in the liver, as suggested by several authors., In the present study, the CCl4-induced increase in serum glucose and total cholesterol levels found in acute  and chronic  CCl4 groups and agrees with previous reports. It has been suggested that this increase in serum cholesterol level is thought to be due to the fatty acids  and excessive circulation , due to liver cell damage. Increase in serum glucose level probably due to the decrease in serum insulin and insulin-like growth factor-I concentrations or the decrease in glycogen synthesis in the liver due to CCl4 intoxication. In the present study, increased serum LDL and decreased serum HDL concentration might be due to defect in their receptors as a result of liver damage in the CCl4-treated groups which is in agreement with earlier reports.,
Several studies have reported that liver produces large quantities of NO in CCl4-induced hepatotoxicity in response to tissue injury and inflammation.,, Our findings are consistent with those studies. The increase of MDA has been considered a key feature in liver injury and reflects enhanced lipid peroxidation. We observed increased levels of MDA in the liver which are consisted with some researchers in acute , and chronic hepatotoxicity , treated with CCl4.
PSO has been shown to scavenge free radicals, decrease lipid peroxidation, and inhibit lipoxygenase enzyme which is a key mediator of inflammatory process. It has been reported that punicic acid, ellagic acid, sterols, and fatty acids are the main antioxidant components in PSO. Administration of PSO led to a decline in the activities of AST, ALT, ALP, and glucose; total cholesterol; MDA; and NO levels while this treatment elevated TP and albumin levels being close to that of the control in acute hepatotoxicity. Increased levels of albumin, TP and decreased activities of serum ALP, total cholesterol, MDA, and NO levels were similar in chronic hepatotoxicity with PSO treatment. This means that constituents in PSO play an important role in scavenging the free radicals and inhibiting lipid peroxidation resulted from the CCl4 metabolism.
The results from this study suggest that PSO has some antioxidative effects against CCl4-induced oxidative stress by decreasing the levels of MDA and NO, which reflect the severity of liver injury in acute and chronic hepatotoxicity. However, this amelioration did not reflect on histological damage to the liver tissue of rats induced by CCl4 treatment. It is thought to be caused by prolonged usage of CCl4 treatment have irreversible effects on hepatic architecture. The PSO dose used in this study (0.15 mg/kg) was found to positive effects on some serum biochemical parameters and liver MDA and NO levels. Nevertheless, dose- and duration-dependent further investigations need to be performed to understand the dose that produces the best result without any side effect.
| Conclusion|| |
From the present study results, it could be concluded that PSO has some antioxidative effects against CCl4-induced oxidative stress. However, this amelioration did not reflect on histological damage to the liver tissue of rats induced by CCl4. Further researches for the antioxidative effects of PSO and similar plant-derived antioxidative agents will provide a better understanding of the subject.
This research was summarized from a section of the PhD thesis entitled “Effects of Rosemary Extract (Rosmarinus officinalis) and Pomegranate (Punica granatum) Seed Oil on CCl4-Induced Acute and Chronic Hepatotoxicity in Rats” and supported by the Fund of Erciyes University Scientific Research Project (Project No: TSD-38-28).
There are no conflicts of interest.
Financial support and sponsorship
Conflicts of interest
There are no conflicts of interest.
| References|| |
Tsukamoto H, Matsuoka M, French SW. Experimental models of hepatic fibrosis: A review. Semin Liver Dis 1990;10:56-65.
Camps J, Bargallo T, Gimenez A, Alie S, Caballeria J, Pares A, et al.
Relationship between hepatic lipid peroxidation and fibrogenesis in carbon tetrachloride-treated rats: Effect of zinc administration. Clin Sci (Lond) 1992;83:695-700.
Weber LW, Boll M, Stampfl A. Hepatotoxicity and mechanism of action of haloalkanes: Carbon tetrachloride as a toxicological model. Crit Rev Toxicol 2003;33:105-36.
Botsoglou NA, Taitzoglou IA, Botsoglou E, Lavrentiadou SN, Kokoli AN, Roubies N, et al.
Effect of long-term dietary administration of oregano on the alleviation of carbon tetrachloride-induced oxidative stress in rats. J Agric Food Chem 2008;56:6287-93.
Gutiérrez R, Alvarado JL, Presno M, Pérez-Veyna O, Serrano CJ, Yahuaca P, et al.
Oxidative stress modulation by Rosmarinus officinalis
-induced liver cirrhosis. Phytother Res 2010;24:595-601.
Muriel P. Nitric oxide protection of rat liver from lipid peroxidation, collagen accumulation, and liver damage induced by carbon tetrachloride. Biochem Pharmacol 1998;56:773-9.
Basu S. Carbon tetrachloride-induced lipid peroxidation: Eicosanoid formation and their regulation by antioxidant nutrients. Toxicology 2003;189:113-27.
Kiso K, Ueno S, Fukuda M, Ichi I, Kobayashi K, Sakai T, et al.
The role of Kupffer cells in carbon tetrachloride intoxication in mice. Biol Pharm Bull 2012;35:980-3.
Valko M, Leibfritz D, Moncol J, Cronin MT, Mazur M, Telser J, et al.
Free radicals and antioxidants in normal physiological functions and human disease. Int J Biochem Cell Biol 2007;39:44-84.
Khan F, Asdaq SMB, Prassana Kumar SR. Prasanna Kumar SR. Effects of few Indian medicinal herbs on carbon tetrachloride induced hepatic injury in animals. Int J Pharm Tech Res 2009;1:579-87.
Breikaa RM, Algandaby MM, El-Demerdash E, Abdel-Naim AB. Biochanin A protects against acute carbon tetrachloride-induced hepatotoxicity in rats. Biosci Biotechnol Biochem 2013;77:909-16.
Al-Jawad FH, Kadhim HM, Abbood MS, Salman NI. Protective effect of apıum graveolens, cinnamomum verum in CCl4
induced model of acute liver injury. World J Pharm Pharm Sci 2016;5:10-7.
Arosio B, Gagliano N, Fusaro LM, Parmeggiani L, Tagliabue J, Galetti P, et al.
Aloe-emodin quinone pretreatment reduces acute liver injury induced by carbon tetrachloride. Pharmacol Toxicol 2000;87:229-33.
Atasever A, Yaman D. The effects of grape seed and colchicine on carbon tetrachloride induced hepatic damage in rats. Exp Toxicol Pathol 2014;66:361-5.
Yehia HM, Al-Olayan EM, Elkhadragy MF. Hepatoprotective role of the pomegranate (Punica granatum
) juice on carbon tetrachloride-induced oxidative stress in rats. Life Sci J 2013;10:1534-44.
Gäbele E, Brenner DA, Rippe RA. Liver fibrosis: Signals leading to the amplification of the fibrogenic hepatic stellate cell. Front Biosci 2003;8:d69-77.
Friedman SL. Hepatic fibrosis – Overview. Toxicology 2008;254:120-9.
Abdel-Wahhab KGED, El-Shamy KA, El-Beih NAEZ, Morcy FA, Mannaa FAE. Protective effect of a natural herb (Rosmarinus officinalis
) against hepatotoxicity in male albino rats. Comunicata Sci 2011;2:9-17.
Chowdhury MR, Sagor MA, Tabassum N, Potol MA, Hossain H, Alam MA, et al.
Supplementation of Citrus maxima
peel powder prevented oxidative stress, fibrosis, and hepatic damage in carbon tetrachloride (CCl4
) treated rats. Evid Based Complement Alternat Med 2015;2015:598179.
Kim ND, Mehta R, Yu W, Neeman I, Livney T, Amichay A, et al.
Chemopreventive and adjuvant therapeutic potential of pomegranate (Punica granatum
) for human breast cancer. Breast Cancer Res Treat 2002;71:203-17.
Al-Zoreky NS. Antimicrobial activity of pomegranate (Punica granatum
L.) fruit peels. Int J Food Microbiol 2009;134:244-8.
Mahboubi A, Asgarpanah J, Sadaghiyani PN, Faizi M. Total phenolic and flavonoid content and antibacterial activity of Punica granatum
L. var. pleniflora flowers (Golnar) against bacterial strains causing foodborne diseases. BMC Complement Altern Med 2015;15:366.
Ghazaleh Moghaddam MS, Hassanzadeh G, Khanavi M, Hajimahmoodi M. Anti-ulcerogenic activity of the pomegranate peel (Punica granatum
) methanol extract. Food Nutr Sci 2013;4:43-8.
Bekir J, Mars M, Souchard JP, Bouajila J. Assessment of antioxidant, anti-inflammatory, anti-cholinesterase and cytotoxic activities of pomegranate (Punica granatum
) leaves. Food Chem Toxicol 2013;55:470-5.
BenSaad LA, Kim KH, Quah CC, Kim WR, Shahimi M. Anti-inflammatory potential of ellagic acid, gallic acid and punicalagin A & B isolated from Punica granatum
. BMC Complement Altern Med 2017;17:47.
Kaur G, Jabbar Z, Athar M, Alam MS. Punica granatum
(pomegranate) flower extract possesses potent antioxidant activity and abrogates fe-NTA induced hepatotoxicity in mice. Food Chem Toxicol 2006;44:984-93.
Kaufman M, Wiesman Z. Pomegranate oil analysis with emphasis on MALDI-TOF/MS triacylglycerol fingerprinting. J Agric Food Chem 2007;55:10405-13.
Vroegrijk IO, van Diepen JA, van den Berg S, Westbroek I, Keizer H, Gambelli L, et al.
Pomegranate seed oil, a rich source of punicic acid, prevents diet-induced obesity and insulin resistance in mice. Food Chem Toxicol 2011;49:1426-30.
Luna LG, editor. Manual of Histologic Staining Methods of the Armed Forces Institute of Pathology. New York: Blakiston Division, McGraw-Hill; 1968. p. 258.
Schwimmer JB, Behling C, Newbury R, Deutsch R, Nievergelt C, Schork NJ, et al.
Histopathology of pediatric nonalcoholic fatty liver disease. Hepatology 2005;42:641-9.
Lowry OH, Rosebrough NJ, Farr AL, Randall RJ. Protein measurement with the folin phenol reagent. J Biol Chem 1951;193:265-75.
Yoshioka T, Kawada K, Shimada T, Mori M. Lipid peroxidation in maternal and cord blood and protective mechanism against activated-oxygen toxicity in the blood. Am J Obstet Gynecol 1979;135:372-6.
Tracey WR, Tse J, Carter G. Lipopolysaccharide-induced changes in plasma nitrite and nitrate concentrations in rats and mice: Pharmacological evaluation of nitric oxide synthase inhibitors. J Pharmacol Exp Ther 1995;272:1011-5.
Manibusan MK, Odin M, Eastmond DA. Postulated carbon tetrachloride mode of action: A review. J Environ Sci Health C Environ Carcinog Ecotoxicol Rev 2007;25:185-209.
Venukumar MR, Latha MS. Antioxidant activity ofcurculigo orchioides in carbon tetrachloride-induced hepatopathy in rats. Indian J Clin Biochem 2002;17:80-7.
Rajesh MG, Latha MS. Hepatoprotection by Elephantopus scaber
linn. In CCl4
-induced liver injury. Indian J Physiol Pharmacol 2001;45:481-6.
Gad SC. Animal Models in Toxicology. Boca Raton, FL: CRC Press; 2007. p. 1152.
Santra A, Chowdhury A, Ghatak S, Biswas A, Dhali GK. Arsenic induces apoptosis in mouse liver is mitochondria dependent and is abrogated by N-acetylcysteine. Toxicol Appl Pharmacol 2007;220:146-55.
Palaniswamy R, Raghunathan PP. Protective effect of Bacopa monnieri
leaf extract against oxidative stress induced hepatotoxicity in rats. Int J Pharm Pharm Sci 2013;5:555-8.
Al-Assaf AH. Preventive effect of corosolic acid on lipid profile against carbon tetrachloride induced hepatotoxic rats. Pak J Nutr 2013;12:748-52.
Cetin E, Kanbur M, Cetin N, Eraslan G, Atasever A. Hepatoprotective effect of ghrelin on carbon tetrachloride-induced acute liver injury in rats. Regul Pept 2011;171:1-5.
Jeon TI, Hwang SG, Park NG, Jung YR, Shin SI, Choi SD, et al.
Antioxidative effect of chitosan on chronic carbon tetrachloride induced hepatic injury in rats. Toxicology 2003;187:67-73.
Ashok Shenoy K, Somayaji SN, Bairy KL. Hepatoprotective effects of Ginkgo biloba
against carbon tetrachloride induced hepatic injury in rats. Indian J Pharmacol 2001;33:260-6. [Full text]
Schubert SY, Lansky EP, Neeman I. Antioxidant and eicosanoid enzyme inhibition properties of pomegranate seed oil and fermented juice flavonoids. J Ethnopharmacol 1999;66:11-7.
Jurenka JS. Therapeutic applications of pomegranate (Punica granatum
L.): A review. Altern Med Rev 2008;13:128-44.
[Figure 1], [Figure 2]
[Table 1], [Table 2], [Table 3], [Table 4], [Table 5]