背景:Sharbat-e-bazooriMotadil(SBM)是一种多草药制剂,已被用作Unani系统肾脏疾病药物的一部分。
目的:本研究旨在探讨和验证无糖SBM(SF-SBM)对HEK-293细胞的肾保护作用及其对氟化钠(NaF)所致肾毒性的作用机制。此外,该研究旨在评估SF-SBM的质量控制,并使用口服SF-SBM后具有模式识别的体内大鼠模型研究其作用。
方法:使用HEK-293细胞系和Wistar大鼠研究SF-SBM的肾保护作用。在这些模型中,通过施用浓度为600ppm(百万分之几)的NaF持续七天来诱导肾毒性。SF-SBM配方使用高效薄层色谱(HPTLC)进行标准化,以评估标记化合物的存在,即没食子酸,槲皮素,和阿魏酸.SF-SBM的代谢物表征使用超高效液相色谱质谱(UPLC-MS)和整体式毛细管二氧化硅基C18柱进行。这种分析技术允许生物活性物质的鉴定和鉴定的标记的验证。通过施用2000mg/kg的单次口服剂量的SF-SBM在Wistar大鼠中评估SF-SBM的急性毒性。在低(LD)条件下进一步评估SF-SBM的肾保护功效,32.1、64.2和128.4mg/kg的中(MD)和高(HD)剂量,分别,口服给药。通过在Wistar大鼠的饮用水中添加NaF7天来诱导肾毒性。生化和尿液标志物进行了分析,以评估抗氧化剂,炎症,和SF-SBM的凋亡潜能。此外,进行了肾组织中caspase-3和烟酰胺腺嘌呤二核苷酸磷酸(NADPH)氧化酶-4(NOX-4)表达的组织病理学分析和免疫组织化学改变,以证实体内实验的发现。此外,SF-SBM代谢物的体内模式识别,通过GC-MS代谢组学鉴定,并对血浆中主要代谢物进行了计算机对接分析,以获得进一步的见解。
结果:使用HPTLC进行植物化学分析,TLC-生物自显影,UPLC-MS显示SF-SBM中存在几种生物活性成分,包括阿魏酸,没食子酸(GA),鞣花酸,槲皮素,还有芹菜素.这些化合物表现出不同的药理学性质。体外研究证明了SF-SBM对HEK-293细胞系的肾毒性的保护作用。2000mg/kg剂量的SF-SBM的急性毒性研究显示在整个14天的观察期内没有死亡或毒性迹象。在体内研究中,服用NaF导致生化和尿液参数显着升高(P<0.001),指示氧化,炎症,和凋亡应激。组织病理学检查显示鲍曼胶囊严重耗尽,免疫组织化学显示caspase-3免疫染色阴性,NOX-4反应减少。用SF-SBM预处理显着减弱升高的生化和尿液标志物,恢复了抗氧化酶水平(如SOD、CAT,GSH,GPx和NO),并调节炎症细胞因子(TNF-α,IL-1β,在SF-SBM-MD(64.2mg/kg)和SF-SBM-HD(128.4mg/kg)的剂量下,显示与α-酮类似物相当的结果。组织病理学评估显示组织损伤改善。SF-SBM的模式识别分析确定了在不同时间间隔存在156种代谢物。此外,计算机研究表明,SF-SBM的强相互作用对4C2N的结合能为-6.5和-5.6kcal。
结论:SF-SBM中存在的植物成分在其肾保护作用中起着至关重要的作用,可作为强效的抗氧化剂,减少大鼠细胞的促炎和凋亡损伤。这表明SF-SBM具有治疗肾毒性的有希望的潜力。
BACKGROUND: Sharbat-e-bazoori Motadil (SBM) is a polyherbal formulation that have been used for centuries as a part of the Unani system of medicine for renal disease.
OBJECTIVE: The objective of this study was to explore and validate the nephroprotective potential of sugar-free SBM (SF-SBM) and its mechanisms of action against sodium fluoride (NaF)-induced nephrotoxicity in HEK-293 cells. Additionally, the study aimed to assess the quality control of SF-SBM and investigate its effects using an in vivo rat model with pattern recognition following oral administration of SF-SBM.
METHODS: The nephroprotective effect of SF-SBM was investigated using both an HEK-293 cell line and Wistar rats. Nephrotoxicity was induced in these models by administering NaF at a concentration of 600 ppm (parts per million) for a duration of seven days. The SF-SBM formulation was standardized using high-performance thin-layer chromatography (HPTLC) to assess the presence of marker compounds, namely gallic acid, quercetin, and ferulic acid. Metabolite characterization of SF-SBM was carried out using ultra-high-performance liquid chromatography mass spectrometry (UPLC-MS) with a monolithic capillary silica-based C18 column. This analytical technique allowed for the identification of bioactive substances and verification of the identified markers. Acute toxicity of SF-SBM was evaluated in Wistar rats by administering a single oral dose of 2000 mg/kg of SF-SBM. The nephroprotective efficacy of SF-SBM was further assessed at low (LD), medium (MD) and high (HD) doses of 32.1, 64.2, and 128.4 mg/kg, respectively, administered orally. Nephrotoxicity was induced in Wistar rats by adding NaF to their drinking water for seven days. Biochemical and urine markers were analyzed to evaluate the antioxidant, inflammatory, and apoptotic potential of SF-SBM. Additionally, histopathological analysis and immunohistochemical alterations in the expression of caspase-3 and nicotinamide adenine dinucleotide phosphate (NADPH) oxidase-4 (NOX-4) in kidney tissue were performed to confirm the findings of the in vivo experiments. Furthermore, in vivo pattern recognition of SF-SBM metabolites, identified through GC-MS metabolomics, and in-silico docking analysis of major metabolites in plasma were conducted to gain further insights.
RESULTS: Phytochemical analysis using HPTLC, TLC-bioautography, and UPLC-MS revealed the presence of several bioactive constituents in SF-SBM, including ferulic acid, gallic acid (GA), ellagic acid, quercetin, and apigenin. These compounds exhibit diverse pharmacological properties. In vitro studies demonstrated the protective effect of SF-SBM on HEK-293 cell line against nephrotoxicity. The acute toxicity study of SF-SBM at a dose of 2000 mg/kg showed no mortality or signs of toxicity throughout the 14-day observation period. In the in vivo studies, administration of NaF resulted in significant elevation (P < 0.001) of biochemical and urine parameters, indicating oxidative, inflammatory, and apoptotic stress. Histopathological examination revealed severe depletion of Bowman\'s capsule, and immunohistochemistry demonstrated negative immunostaining for caspase-3 and reduced NOX-4 reactions. Pre-treatment with SF-SBM significantly attenuated the elevated biochemical and urine markers, restored the antioxidant enzyme levels (such as SOD, CAT, GSH, GPx and NO), and regulated the expression of inflammatory cytokines (TNF-α, IL-1β, CASP-3) in kidney tissue at doses of SF-SBM-MD (64.2 mg/kg) and SF-SBM-HD (128.4 mg/kg), showing comparable results to those of α-Ketoanalogue. Histopathological assessment demonstrated improvements in tissue damage. Pattern recognition analysis of SF-SBM identified the presence of 56 metabolites at different time intervals. Additionally, in-silico studies revealed strong interactions of SF-SBM with a binding energy of -6.5 and -5.6 kcal for 4C2N.
CONCLUSIONS: The phytoconstituents present in SF-SBM play a crucial role in its nephroprotective action by acting as potent antioxidants and reducing proinflammatory and apoptotic damage in rat cells. This indicates that SF-SBM has promising potential for the treatment of nephrotoxicity.