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INTRODUCTION
The hepatocytes of liver are primary involved to executes a range of biological functions, including the metabolism of medicines, proteins, lipids and carbohydrates. Any form of liver disease is a universal issue (Lee et al., 2007) because it can severely impact public health (Ahsan et al., 2009). Medicated- Induced hepatic damage was a significant result of short-term liver Failure around world, with a projected incidence of over one per million (Devarbhavi et al., 2023). Cytochrome P450 enzymes produce the hepatotoxic metabolite NAPQI (N-acetyl-p-benzoquinone-imine) when paracetamol is administered (Sinaga et al., 2021). NAPQI quickly conjugates with Glutathione (GSH) at physiological and therapeutic doses, to creates metabolic waste products excreted in the urine (Yan et al., 2018). In any case, excessive NAPQI production can be followed by a decrease in GSH levels when taking toxic doses of paracetamol. This causes excess NAPQI to bind to proteins in the cell, primarily within the mitochondria, leading to the buildup of reactive oxygen species and stress from oxidation ultimately leading to liver impairment (Coelho et al., 2022). It has been documented that the usage of alternative and complementary therapies has increased in the management of both acute and long-term liver illness and dysfunction (Shen et al., 2009). Derivatives and natural substances may be among the most beneficial therapy for any sort of liver illness (Al-Asmari et al., 2014). For instance, Silymarin, a type of flavonoid derived from milk thistle (Silybum marianum), is a common hepatoprotectant medication (Pradhan and Girish, 2006). Furthermore, it is essential to comprehend the impacts on human hepatic mechanisms in order to comprehend a potential medicine, particularly one that will be taken orally (Neto et al., 2012). One of the most widely used spices in the world is pepper. Since ancient times, it has also been utilized medicinally, and it is known to possess a variety of biological properties like cancer-preventing, anti-inflammatory, antibacterial capabilities (Deng et al., 2016; Raj et al., 2011; Tasleem et al., 2014; Turner, 2004). Piperonylic acid is isolated from long peppers (Piper longum L.) and black peppers (Piper nigrum L.) (Bhat and Sivakumar, 2005). Only a few activities like anti-inflammatory, analgesic, antipyretic, inhibitory effects on intestinal α-glucosidase, etc., have been reported (Mujumdar et al., 1990; Pradeep and Kuttan, 2002; Rao et al., 2009; Takooree et al., 2019; Tomey et al., 2015). Consequently, our investigation made an effort to evaluate the antioxidant, cytotoxicity effect on HepG2 cell lines and protective effect of piperonylic acid using rats as an experimental animal model for acute hepatotoxicity triggered by a potentially harmful dosage of paracetamol.
MATERIALS AND METHODS
Active Constituent
Piperonylic acid was purchased from Yucca Enterprises, Wadala (E), Mumbai, 400037, India. It is an element of the chemical family of benzodioxoles, has 1,3-benzodioxole replaced with a carboxy group at position 5, weight of 166.13 g/mol. Solid, white powder with a melting point of 229°C (Piperonylic acid PUB CHEM).
Cell line and culture
The National Centre for Cell Science (NCCS), Pune, provided HepG2 cell line. In a humidified atmosphere with 5% CO2, stock cells were cultivated in DMEM-HG (Dulbecco's Modified Eagle Medium - High Glucose) supplemented with 10% inactivated Fetal Bovine Serum (FBS), 100 IU/mL of Penicillin, 100 g/mL of Streptomycin, and 5 g/mL of Amphotericin B until they reached confluence. TE solution (0.2% Trypsin, 0.02% EDTA) was used to separate the cells. The 96-well micro titer plate was used for cytotoxicity tests, and the stock cultures were cultivated in 25 cm2 culture flasks. Study site Radiant Research, Bangalore.
Animals
Wistar Albino male rats of 120-180 g were collected from, Pharmacology Department, CESCOP, Kurnool, A.P. Prior to the trial, one week acclimatized and fed a pellet diet with unlimited water. These animals were kept in standard laboratory, whereas the experimental protocol was approved by IAEC/Institutional Animal Ethics Committee (Approval no: IAEC/CESCOP/2025-08).
In vitro antioxidant study (DPPH Assay)
96 well microtitre plate was taken and 0.01 mL of different concentrations of piperonylic acid (test) and standard (Trolox) was introduced separately in the test and test blank wells. Instead of piperonylic acid, 0.01 mL of DMSO was taken for control and control blank, 0.2 mL DPPH was placed in the test group as well as control group, whereas 0.2 mL of methanol is added to the test and control blanks instead of DPPH. The approach was carried out for standard by substituting test item with Trolox. The microtiter plate was kept at 37ºC approximately 30 min. The absorbance was determined at 490 nm with a microplate reader (Jaishree et al., Vijayarajan et al., 2016).
In vitro Cytotoxicity MTT Assay
DMEM-HG and 10% FBS were used to trypsinize the cell culture monolayer and adjust it to 100,000 cells/mL. 96-well microtiter plates were seeded with 0.1 mL of diluted cell solution in each well. One day later, a partial monolayer was formed. The monolayer was washed once with DPBS after the supernatant was discarded. Cells were treated at doses ranging from 100 µg/mL to 0.78 µg/mL. Cells which were not treated served as the control for comparison. Microscopic analysis was then performed after the Plates were incubated in a 5% CO2 atmosphere at 37ºC for a full day. After 24 hr, remove the test solutions and add 100 µL of MTT diluted with DPBS in each well. The plate remained 3 hr at 37ºC in an atmosphere with 5% CO2. To dissolve the generated formazan, 100 µL of DMSO was added after the supernatant was discarded. An absorbance measurement was made at 570 nm using a microplate reader (Scudiero et al., 1988).
Acute Toxicity report (ProTox-3.0)
The toxicity of piperonylic acid was predicted using Pro Tox 3.0, and the predicted LD/Lethal Dose 50 was found to be 2500 mg/kg.
Experimental Design
30 Wistar Albino male rats were selected at random into five groups, each with six animals for 14 days experimental trial as follows (Islam et al., 2021; Alam et al., 2017).
Group I (Normal Control): Animals were treated with vehicle and served as normal control.
Group II (Hepatotoxic Control): Paracetamol was administered alone (640 mg/kg, per oral) dispersed in vehicle.
Group III (Standard Drug Treated): Silymarin and paracetamol at a dose of 100 mg/kg and 640 mg/kg, orally.
Group IV (PA 200 mg/kg): Piperonylic acid and paracetamol at a dose of 200 mg/kg and 640 mg/kg orally using vehicle (0.25% CMC/Carboxymethyl celluloses).
Group V (PA 100 mg/kg): Animals received piperonylic acid 100 mg/kg and paracetamol 640 mg/kg orally using vehicle (0.25% CMC/Carboxymethyl cellulose).
The doses of piperonylic acid were administered based on Protox 3.0, whereas according to Janbaz and Gilani the paracetamol dosing was designated. Following fourteen days of therapy, rats in each group were sacrificed by chloroform inhalation. Afterwards blood samples have been collected via heart puncture followed by centrifugation to separate serum. Hepatic performance indicators such as SGPT, SGOT, and GGT have been evaluated using the typical procedure given in Agapee kits. Liver tissues were collected for histopathological examination.
Statistical analysis
Biochemical estimate data were reported using Graph Pad Prism 10.1.1 version as Mean±SEM. One-way ANOVA to analyse statistical significance, Dunnett's Multiple Comparison Tests, p-value <0.0001.
RESULTS
In vitro antioxidant activity
Antioxidants can provide their electrons to DPPH, a free radical that can scavenge by transforming them into stable diamagnetic molecules. With increasing concentration, the active fraction's ability to scavenge free radicals on DPPH radicals rises. The scavenging activities of piperonylic acid and Trolox (Standard) on DPPH radicals are shown in Table 1. Piperonylic acid reducing capacity reflects the antioxidant's ability to reduce Fe3+ to Fe2+.
| Sample | Concentration (µg/mL) | %Inhibition | IC50 |
|---|---|---|---|
| Standard (Trolox) | 100 | 99.06±0.80 | 9.951±0.48 |
| 50 | 75.38±0.13 | ||
| 25 | 62.27±0.54 | ||
| 12.5 | 52.23±0.27 | ||
| 6.25 | 43.80±0.67 | ||
| Piperonylic Acid | 100 | 57.09±1.40 | 78.17±1.29 |
| 50 | 38.26±1.26 | ||
| 25 | 28.18±1.4 | ||
| 12.5 | 17.21±1.28 | ||
| 6.25 | 8.02±1.07 |
In vitro Cytotoxicity MTT Assay
It quantifies the conversion of the MTT reagent to formazan, a purple-colored product that reflects metabolic activity in viable cells and is proportional to the number of viable cells in the sample. However, it aids in the identification of substances that cause cell death or impede cell growth. In this study the hepatoprotective potential of piperonylic acid was carried out to determine the cytotoxicity potential on the selected cancer cell lines HepG2.
Cell viability in HepG2 was considerably decreased in a concentration-dependent manner (Table 2, Figure 1). The IC50 value was found to be 97.10 µg/mL.
| Concentration (µg/mL) | % of Cell Viability (Mean±S.D) | IC50 (µg/mL) |
|---|---|---|
| 100 | 57.33±1.31 | 97.109 |
| 50 | 63.81±0.55 | |
| 25 | 82.22±3.27 | |
| 12.5 | 86.39±2.11 | |
| 6.25 | 90.40±3.05 | |
| 3.125 | 94.67±3.10 | |
| 1.56 | 96.09±2.73 | |
| 0.78 | 98.89±0.48 |
Effect on serum biomarkers
Serum levels of SGOT, SGPT and GGT were considerably higher in the hepatotoxic group than in the control group (all p<0.0001), suggesting that paracetamol was efficacious in inducing liver injury. Silymarin (standard drug) is commonly administered to minimize blood transaminase levels in hepatitis treatment. Notably, piperonylic acid was also effective to lower the SGOT, SGPT and GGT levels on dose dependent manner (Table 3).
| Normal Control | Hepatotoxic Control | Standard Drug treated | PA (200 mg/kg | PA (100 mg/kg) | |
|---|---|---|---|---|---|
| SGOT | 73.33±2.431 | 193.2±2.301 | 85.83±2.088 | 118.8±2.182 | 153.8±1.701 |
| SGPT | 42.83±2.386 | 144.5±2.094 | 52±2.366 | 90.33±1.282 | 120.2±1.470 |
| GGT | 2.5±0.1414 | 7.250±0.2012 | 3.150±0.1232 | 5.08±0.08724 | 6.18±0.1515 |
Histopathological analysis
The control group exhibited no visible histological abnormalities (Figure 2). The paracetamol/hepatotoxic model's liver pathology exhibited necrosis and ballooning degeneration in the perivenular zone due to severe cell injury, evident large inflammatory cells, and hepatocyte lipid droplet formation (Figure 3). This information confirmed the existence of overdose of paracetamol-induced liver damage. Meanwhile, silymarin and piperonylic acid mitigated the morphological changes by moderating necrosis, reducing inflammatory cell infiltration (Figures 4-6).
DISCUSSION
Paracetamol is an analgesic and antipyretic medication that, when taken in high amounts, becomes a potent hepatotoxic chemical (Goldin et al., 1996; Hinson et al., 2002; Mitchell et al., 1973; Hinson et al., 2002; Muriel et al., 1992). According to the experimental paradigm of drug-induced rapid hepatocellular destruction using paracetamol is highly renowned. Long-term usage of paracetamol in high doses produces NAPQI a harmful reactive metabolites and free radicals via the CYP450 enzyme's biotransformation pathway (Tejo, 2021). Among the mechanisms underlying acute liver failure is oxidative stress, which disrupts cellular homeostasis and leads to hepatocytes death (Chidiac et al., 2023). The free radicals produced will cause necrosis, which is a secondary problem caused by lipid peroxidation or damage conditions in cells and can result in the premature death of cells and living tissues (Alshehri et al., 2020). Cell necrosis damages the permeability of the liver cell membrane, allowing enzymes contained in cells, such as SGOT (Serum Glutamic-Oxaloacetic Transaminase), SGPT (Serum Glutamic-Pyruvic Transaminase) and GGT (Gamma-Glutamyl Transferase) to depart readily and enter the extracellular space and blood vessels; this raises enzyme activity in the blood over normal levels (Amirabagya et al., 2021).
In the currently ongoing study, it became obvious that the repeated use of acetaminophen notably enhanced serum hepatic biomarkers, confirming a presence of hepatic damage (Table 3). The administration of piperonylic acid in a dose-related approach alongside silymarin resulted in considerable restoration these enzyme levels.
The most common disease that has no effective treatment is Human Hepatocellular Carcinoma (HCC), a malignant tumour that arises from hepatocyte (Vakili Zahir et al., 2018). A prior investigation revealed that HepG2 cells, a cell line derived from Hepatocellular Carcinoma, were halted in the S phase of the cell cycle (Venkatachalapathy et al., 2021). The findings of cytotoxicity/MTT assay revealed piperonylic acid exhibited significant potency in HepG2 cell line.
The present study also revealed DPPH inhibition assay of different concertation of piperonylic acid and the Inhibitory Concentration (IC50) of piperonylic acid has been identified as 78.17±1.29. The piperonylic acid's potential to restore raised blood enzymes in acetaminophen-induced liver damage could be attributed to its antioxidant action.
CONCLUSION
Based on both in vitro and in vivo results, the current study showed that piperonylic acid had substantial hepatoprotective potential. The molecule demonstrated antioxidant activity, suggesting the potential to neutralize free radicals and minimize oxidative stress. It efficiently had cytoprotective activity against HepG2 cell lines. Furthermore, in the paracetamol-induced hepatotoxicity model, treatment with piperonylic acid markedly improved liver function markers and reduced histopathological damage. Overall considered piperonylic acid exhibits encouraging promise as a natural hepatoprotective agent. Additional research is necessary to support its development for therapeutic application.
