Effect of Launaea procumbens extract on oxidative marker, p53, and CYP 2E1: a randomized control study

Background Ethyl acetate extracts of Launaea procumbens is used for the treatment of liver dysfunction as an herbal medicine in Pakistan. In this study, the protective effects of ethyl acetate extracts were evaluated against CCl4-induced liver injuries in rat. Methods To examine the protective effects against oxidative stress of carbon tetrachloride in rats, 30 male rats were equally divided into 5 groups (6 rats). Among five groups, one was treated with CCl4 (3 ml/kg i.p. in olive oil b.w.) twice a week for 4 weeks. Others were orally fed with extracts (100, 200 mg/kg b.w.), with CCl4 twice a week for 4 weeks. Results Administration of CCl4 altered the serum marker enzymes, lipid profile, CYP 2E1, p53 expression, antioxidant enzymes, nuclear organizer regions (AgNORs), and DNA. Supplement of L. procumbens ameliorated the effects of CCl4, improved CYP 2E1, p53, and increased the activities of antioxidant enzymes while activity of liver marker enzymes (ALP, ALT, AST, g-GT) and contents of lipid per oxidation contents (TBARS), AgNORs, and DNA fragmentation were decreased. Similarly body weight was increased while liver and relative liver weight was decreased with co-administration of various extracts, suggesting that L. procumbens effectively protect liver against the CCl4-induced oxidative damage in rats. Conclusion The hepatoprotective and free radical scavenging effects might be due to the presence of bioactive constituents in the extract.

H epatitis viral infection, food additives, alcohol, toxins, toxic industrial chemicals, and air and water pollutants are the major risk factors of liver toxicity (1). There is increasing evidence that free radicals and reactive oxygen species (ROS) play a crucial role in the various steps that initiate and regulate the progression of liver diseases independently of the agent in its origin (1). CCl 4 is a potent environmental hepatotoxin (2) that, in addition to hepatic problems, also causes dysfunction of kidneys, lungs, testes, and brain, as well as generates free radicals in blood (3Á5). CCl 4 requires bioactivation by phase I cytochrome P450 system to form reactive metabolic trichloromethyl radical (CCl 3 *) and peroxy trichloromethyl radical (*OOCCl 3 ). These free radicals can bind with polyunsaturated fatty acid (PUFA) to produce alkoxy (R*) and peroxy radicals (ROO*) that, in turn, generate lipid peroxides that are highly reactive, change enzyme activity, and finally induce injury or necrosis (6). The injuries induced by CCl 4 result from free radicals through lipid per oxidation of cell membranes. CCl 4 is known to decrease GSH of phase II enzyme, and reduces antioxidant enzyme and antioxidant substrates to induce oxidative stress that is an important factor in acute and chronic injuries in various tissues (6Á8). Free radical of carbon tetrachloride reduces glutathione content and antioxidant activity leads to hepatic injuries (9,10). CCl 4 controls the peroxy radicals, thereby depleting the antioxidant enzymes. ROS causes oxidative DNA damages, with the formation of DNA adducts, genetic mutation, strand breakage, and chromosomal alterations (9,11). Some recent investigation revealed that free radicals induce an increase in the number of nuclear organizer regions (AgNORs); enhance activity of telomerase enzymes activity (9,12); cause depletion of CYP 2E1 (13) , allowing third parties to copy and redistribute the material in any medium or format and to remix, transform, and build upon the material for any purpose, even commercially, provided the original work is properly cited and states its license. and increase oxo8dG concentration (14). DNA fragmentation causes p53 gene expression; blocks cell cycle, and gives additional time to repair DNA; however, severe DNA damage triggers apoptosis (15).
Launaea procumbens was traditionally used in the treatment of rheumatism (16), kidney and liver disorders (17,18), eyes diseases (19), and as food (20). Nutritional analysis of L. procumbens reveals the presence of salicylic acid, vanllic acid, synergic acid, 2-methyl-resercinol, and gallic acid (21). Therefore, the present study was arranged to evaluate the traditional use of ethyl acetate extract of L. procumbens versus carbon tetrachlorideÁinduced liver disorders and lipids peroxidation in rats.

Plant collection
L. procumbens at maturity was collected from Wah Cantt District Rawalpindi (Pakistan). Plants were identified and a specimen was submitted at Herbarium of Quaid-i-Azam University Islamabad, Pakistan. Aerial parts of plant (leaves, stem, flowers, and seeds) were shade dried at room temperature, chopped, and grinded mechanically to mesh size 1 mm.

Preparation of plant extract
One-kilogram powder of L. procumbens was extracted in 2 L methanol to get crude methanolic extract which was further fractionated to ethyl acetate. The ethyl acetate fraction (LEA) was evaporated under reduced pressure in a rotary evaporator, dried, and stored at 48C for in vivo studies.

Animals and treatment
A total of 30, six-week-old, male albino rats (180Á190 g) were provided by the National Institute of Health Islamabad and were kept in ordinary cages at room temperature of 25938C with a 12 h dark/light cycle. They were allowed standard laboratory feed and water. The study protocol was approved by Ethical committee of Quaid-i-Azam University, Islamabad for laboratory animal feed and care.

Experimental design
To study the antioxidant effects of LEA, male albino rats were equally divided into five groups (six rats). Group 1 was given raw water and free access to food materials. Group II received olive oil intraperitoneally (Monday and Thursday) and DMSO orally (Wednesday and Saturday) at a dose of 3 ml/kg body weight. Group III received CCl 4 3 ml/kg intraperitoneally in olive oil (Monday and Thursday). Group IVand V were given orally 100; 200 mg/kg b.w. (in DMSO), (LEA) after 48 h of CCl 4 treatment (Wednesday and Saturday). After 24 h of the last treatment, all the animals were weighted and sacrificed; their livers were removed, weighted, perfused in ice-cold saline solution, and treated with liquid nitrogen for further analysis.
DNA fragmentation % assay DNA fragmentation % assay was conducted using the procedure of Wu et al. (30) with some modifications. The liver tissue (50 mg) was homogenized in 10 volumes of a TE solution pH 8.0 (5 mmol Tris-HCl, 20 mmol EDTA) and 0.2% triton X-100. One milliliter aliquot of each sample was centrifuged at 27,000)g for 20 min to separate the intact chromatin (pellet B) from the fragmented DNA (supernatant, T). The pellet and supernatant fractions were assayed for DNA content using a freshly prepared DPA (diphenylamine) solution for reaction. Optical density was read at 620 nm with (SmartSpecTM plus Spectrophotometer catalog # 170-2525) a spectrophotometer. The results were expressed as amount of % fragmented DNA by the following formula: % Fragmented DNA 0T )100/T'B

AgNORs count
After weighing small pieces, each liver was fixed for 3Á4 h in fixative sera followed by dehydration with ascending grades of alcohol (80, 90, and 100%) and transferred to cedar wood oil. When tissue became clear, all tissues were embedded in paraplast and prepared as blocks for further microtomy. Thin slides (3Á4 mm) were prepared with microtome and the wax was removed. After complete removal of wax, the slides were hydrated in decreased ethanol concentration (90, 70, and 50%) and washed in distilled water for 10 min and dried in an oven. After drying, slides were treated with one drop of colloidal solution (2% gelatin and 1% formic acid) and two drops of 50% AgNO 3 solution onto the slide and incubated at 358C for about 8Á12 min. The progressive staining was followed under a microscope to get golden colored nuclei and brown/black NORs. Then, the slide was washed in distilled water, treated for 1 min with 1% sodium thiosulfate at room temperature to stop the reaction, and washed in tap water. The cells were examined under a light microscope at 100) magnification and the number of AgNORs was counted per cell (31).

Statistical analysis
To determine the treatment effects one-way analysis of variance was carried out by computer software SPSS 13.0. Level of significance among the various treatments was determined by LSD at 0.05% level of probability.

Results
Body weight, liver weights CCl 4 -induced lipid peroxidation plays a key role in the body weight and the organ weight of rats. Administration of CCl 4 caused significant diminution (P B0.01) in body weight while amplifying AgNORs, tissue, and relative tissue weight as compared with the non-treated normal control rat. Supplementation of 100 mg/kg and 200 mg/kg b.w. LEA significantly restored (P B0.01) the weight of body and liver as well as relative weight dose dependently ( Table 1).

Effects of LEA on lipid profile in rats
The protective effect of LEA on lipid profile is shown in Table 2. Treatment of CCl 4 significantly increased (P B0.01) lipid profile (triglycerides, total cholesterol, LDL cholesterol) while extensively decreasing (P B0.01) HDL cholesterol. Reduction of HDL cholesterol was notably (P B0.01) enhanced by 100 mg/kg and 200 mg/kg b.w. LEA, while triglyceride, total cholesterols, and HDLcholesterol concentration were appreciably (P B0.01) improved to reimburse the CCl 4 insult.

Indices of hepatotoxicity: serum markers
The expression levels of serum makers, namely ALT, AST, ALP, g-GT, CYP 2E1, and p53, are susceptible to hepatotoxin and are markers of liver injury and oxidative stress, which promote the release of aminotransferase from hepatocytes into the blood stream. The marked protective effects of LEA on serum marker are shown in Table 3. Induction of CCl 4 significantly increases (P B0.01) the activity of liver serum marker enzymes (ALT, AST, ALP, g-GT) while decreasing (P B0.01) the expression level of CYP 2E1 and p53. The secretion of these enzymes and expression of CYP 2E1 and p53 was significantly improved (P B0.01) by 100 mg/kg and 200 mg/kg b.w. LEA comparatively to control rat viewing that LEA is possessed bioactive hepatoprotectant compounds however marked protection was noted with 200 mg/kg b.w. LEA.

CCl 4 induction and antioxidant status in rat liver
Antioxidant enzymes system detoxifies ROS and maintains cellular balance. Treatment of CCl 4 significantly Table 1. Effect of various fractions of Launaea procumbens on liver weight, relative liver weight, AgNORs count, and DNA fragmentation % in liver of rat

Treatment
Liver weight (g) Relative liver weight (g) % increase in body weight (g) DNA damages % AgNORs (NORS/cell)  decreased (P B0.01) the activity of CAT, SOD, GST, GSH-Px, GSR, and GSH while increasing the TBARS content in rat liver. Co-treatment of 100 mg/kg and 200 mg/kg b.w. LEA in rat liver markedly improved (P B0.01) the reduction in the activities of antioxidant, and phase II metabolizing enzymes dose dependently justified that LEA could be used as antioxidant in daily diet ( Table 4).
Effect of LEA on DNA damages (ladder assay, DPA assay) CCl 4 free radicals fuse with DNA forming adduct and induce damages/mutation in the liver DNA of rats. The effects of LEA against CCl 4 toxicities on DNA damages are shown in Fig. 1. CCl 4 administration significantly increased the DNA damage which was significantly improved (P B0.01) by LEA depending on the dose amount as shown by band pattern and quantification (DPA assay) of different groups, when compared with the CCl 4 group (Table 1).

Discussion
ROS are extremely reactive molecules, resulting from the metabolism of oxygen. These ROS can cause widespread damage to cells and tissues; causes degenerative disorders, such as cardiovascular disease, oxidative stress, aging; and causes neurodegenerative diseases, such as Alzheimer's disease, mutations, and cancer (32,33). Free radicals induced from CCl 4 during metabolism cause liver, lung, and kidney injuries in experimental animals such as rats (10). CCl 4 is metabolized by cytochrome P450 into trichloromethyl (CCl 3 *) and peroxy trichloromethyl (*OOCCl 3 ) radicals leading to the accumulation of lipid peroxidation products that cause renal and hepatic injuries (6,34).
Medicinal plants composed of different amounts of antioxidants play the main role in controlling various pathological conditions, including oxidative stress, cancer, cardiovascular diseases, liver diseases, and lipid peroxidation (35,36). ROS generated due to CCl 4 administration are more reactive and toxic than the parent compound. Metabolism of CCl 4 occurs in the endoplasmic reticulum and the isoenzyme concerned in this process is CYP 2E1 (37) and elevation of ALT, AST, ALP, and GGT in serum (38,39). Our results showed that an active free radical of CCl 4 caused reduction of CYP 2E1, which was markedly improved by oral supplementation of LEA. Our result was similar to that of a previous investigation which found that polyphenolic natural bioactive compounds are responsible for its fortification (40). Our result coincides with other studies (41). Cholesterol profile is an important  CCl 4 free radicals cause the peroxidation of the polyenoic lipids of the endoplasmic reticulum and decrease the activities of antioxidant enzymes (3,42,43). Coadministration of LEA markedly erased the toxicity of CCl 4 and the enzymatic activities of antioxidant enzymes toward the normal range in this experiment. A similar result has been documented in various studies (44,45). CCl 4 induces lipid peroxidation and increases the TBARS contents in liver cells. TBARS is a major reactive aldehyde occurring during the peroxidation of polyunsaturated fatty acids (PUFA), a useful indicator showing tissue damages including a series of chain reactions (46). Administration of LEA significantly recovered the TBARS content near to control rats as was revealed by other plant extracts (3,9). Free radicalsÁinduced lipid peroxide react with DNA to form the adduct M1G, the mutagenic pirimedopurinone adduct of deoxyguanosine (47), as was revealed by DNA ladder assay (Fig. 1). Administration of LEA improved the DNA fragmentation, which is in close agreement with other studies (9) (Khan et al., 2009). DNA damage causes expression of p53, blocks cell cycle, and repairs their DNA damage (15).

Conclusion
Ethyl acetate fraction of L. procumbens regulated the activities of serum markers, antioxidant enzymes, CYP 2E1, and p53 protein because of the presence of bioactive constituents. It is therefore suggested that we isolate and purify these compounds to be used in future as a drug against oxidative stress and liver carcinoma.