Sinapic acid mitigates methotrexate-induced hepatic injuries in rats through modulation of Nrf-2/HO-1 signaling

Ajaz Ahmad1, Khalid M Alkharfy1, Yousef A Bin Jardan2

  • 1Department of Clinical Pharmacy, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.

Insights

Sinapic acid (SA) protects against methotrexate (MTX)-induced liver damage in rats. SA modulates Nrf2/HO-1 and NF-κB pathways, restoring liver function and reducing oxidative stress.

Area of Science:

  • Hepatology
  • Pharmacology
  • Toxicology

Background:

  • Methotrexate (MTX) is a chemotherapy agent with known hepatotoxicity.
  • Oxidative stress and inflammation are key mechanisms in MTX-induced liver injury.
  • Nrf2/HO-1 and NF-κB signaling pathways play critical roles in regulating cellular responses to injury.

Purpose of the Study:

  • To investigate the protective effects of sinapic acid (SA) against MTX-induced liver damage in a rat model.
  • To elucidate the underlying molecular mechanisms, focusing on the modulation of Nrf2/HO-1 and NF-κB signaling pathways.

Main Methods:

  • Rats were divided into four groups: control, MTX-induced liver damage, and MTX with SA treatment.
  • Liver function tests (ALT, AST, ALP), oxidative stress markers (GSH, SOD, CAT, MDA, NO), and inflammatory cytokines (TNF-α, IL-1β, MPO) were assessed.
  • Histopathological examination and molecular analysis of signaling pathways were performed.

Main Results:

  • SA pretreatment significantly restored MTX-induced alterations in liver function enzymes.
  • SA treatment normalized antioxidant defense mechanisms and reduced oxidative/nitrostative stress markers.
  • SA administration suppressed inflammatory cytokine levels and inhibited apoptosis.
  • Histological analysis confirmed SA's protective effect against MTX-induced hepatic damage.

Conclusions:

  • Sinapic acid exhibits significant hepatoprotective effects against MTX-induced liver injury in rats.
  • SA exerts its protective effects by inhibiting apoptosis and modulating the Nrf2/HO-1 and NF-κB signaling pathways.
  • SA represents a potential therapeutic agent for mitigating MTX-related hepatotoxicity.