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Bassia indica Attenuates Cardiotoxicity in a Rat Model via Anti-Inflammatory, Antioxidant, and Keap1/Nrf2 Modulation
Fayyaz Anjum1, Saad Touqeer2,3, QurratUlAin Jamil4
1Department of Pharmacology, Faculty of Pharmacy, The Islamia University of Bahawalpur, Bahawalpur 63100, Pakistan.
Insights
Bassia indica extract protects the heart from doxorubicin-induced cardiotoxicity by reducing oxidative stress and inflammation. This traditional plant shows promise as a novel cardioprotective agent.
Area of Science:
- Pharmacology
- Cardiology
- Natural Product Chemistry
Background:
- Drug-induced cardiotoxicity, particularly from anti-cancer drugs, is a significant clinical challenge.
- Current treatments offer symptomatic relief but lack true cardioprotection against oxidative stress.
- There is a critical need for novel cardioprotective agents that target oxidative stress pathways.
Purpose of the Study:
- To investigate the cardioprotective effects of Bassia indica extract (BiE) against doxorubicin-induced cardiotoxicity (DIC).
- To elucidate the underlying antioxidant and anti-inflammatory mechanisms of BiE in cardiac protection.
Main Methods:
- Bassia indica extract (BiE) was chemically profiled using GC-MS and HPLC.
- In vitro antioxidant activities were assessed via DPPH, FRAP, CUPRAC, NO, and H2O2 scavenging assays.
- In vivo cardioprotective efficacy against DIC was evaluated in a rat model, measuring oxidative stress markers, antioxidant enzyme levels, inflammatory cytokines, and cardiac tissue integrity.
Main Results:
- BiE contains bioactive flavonoids and exhibits potent antioxidant and free-radical scavenging activities.
- BiE treatment significantly reduced myocardial oxidative stress by increasing endogenous antioxidant levels (SOD, CAT, GSH) and upregulating the Nrf2 pathway (Nrf2/Keap1).
- BiE administration improved cardiac tissue architecture and modulated inflammatory markers (IL-1β, TNF-α).
Conclusions:
- Bassia indica extract demonstrates significant cardioprotective effects against doxorubicin-induced cardiotoxicity.
- The cardioprotection is mediated through the reduction of oxidative stress and inflammation via the Keap1/Nrf2 pathway.
- BiE represents a promising natural therapeutic agent for preventing drug-induced heart damage.
Abstract:
Background: Drug-induced cardiotoxicity is a primary concern in clinical practice, especially in the context of oxidative stress induced by anti-cancer, antiviral, and antidiabetic drugs. Several strategies are devised to limit cardiotoxicity, which are supportive and provide symptomatic relief. This highlights the need to develop cardioprotective agents that circumvent the oxidative stress. Bassia indica is a cardiotonic plant with antioxidant properties traditionally used in Africa, South Asia, and China. We investigated its cardioprotective effects against doxorubicin-induced cardiotoxicity (DIC). Methods: B. indica extract (BiE) was analyzed by GC-MS and HPLC. Several antioxidant assays, including DPPH, FRAP, CUPRAC, NO, and H2O2 scavenging, were performed. In vivo attenuation of DIC was assessed in a rat model. Results: BiE contained several bioactive flavonoids, including 2-methoxy-4-vinylphenol, ferulic acid, gallic acid, kaempferol, and coumaric acid. Antioxidant assays demonstrated potent free-radical scavenging and antioxidant activity of BiE, providing mechanistic evidence for its in vivo amelioration of DIC. BiE treatment reduced myocardial oxidative stress by increasing endogenous antioxidant levels (p < 0.01), including SOD, CAT, and GSH. It upregulated Nrf2 and lowered Keap1 levels. This was also reflected in the restoration of cardiac tissue architecture and modulation of inflammatory markers, including IL-1β and TNF-α (p < 0.01). Cardiac tissue biomarkers were also improved. Conclusions: These findings conclude that BiE exerts cardiac protection by reducing oxidative stress and inflammation through modulation of the Keap1/Nrf2 pathway and decreasing the expression of IL-1β and TNF-α.
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