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Article ; Online: Diacerein ameliorates cholestasis-induced liver fibrosis in rat via modulating HMGB1/RAGE/NF-κB/JNK pathway and endoplasmic reticulum stress.

Abdelfattah, Amira Mohammed / Mahmoud, Shireen Sami / El-Wafaey, Dalia Ibrahim / Abdelgeleel, Heba Mahmoud / Abdelhamid, Amira Mohamed

Scientific reports

2023  Volume 13, Issue 1, Page(s) 11455

Abstract: Diacerein is an interleukin (IL)-1β inhibitor approved for osteoarthritis. This study aimed to investigate the potential anti-fibrotic effect of diacerein against bile duct ligation (BDL)-induced liver fibrosis. Forty male Wistar rats were divided into: ... ...

Abstract Diacerein is an interleukin (IL)-1β inhibitor approved for osteoarthritis. This study aimed to investigate the potential anti-fibrotic effect of diacerein against bile duct ligation (BDL)-induced liver fibrosis. Forty male Wistar rats were divided into: sham-operated group, BDL group, and BDL groups treated with diacerein at 10, 30, and 50 mg/kg/day starting two days before surgery and continued for 4 weeks. Diacerein decreased the hepatic injury markers and alleviated oxidative stress triggered by BDL by reducing hepatic malondialdehyde (MDA) and increasing hepatic superoxide dismutase (SOD) levels. Diacerein mitigated BDL-induced inflammation via lowering hepatic levels and mRNA expression of high mobility group box 1 (HMGB1), nuclear factor-κB (NF-κB), and IL-1β. The hepatic gene expression of Advanced Glycation End products Receptor (RAGE) gene and immunohistochemical expression of some ER stress markers, e.g., glucose-regulated protein 78 (GRP78), inositol-requiring enzyme 1 (IRE1α), protein kinase RNA-like endoplasmic reticulum kinase (PERK), CCAAT/enhancer-binding protein homologous protein (CHOP), and phosphorylated c-Jun N-terminal kinase protein contents were lowered by diacerein. Furthermore, diacerein suppressed the hepatic levels of fibrogenic mediators, e.g., Transforming growth factor β1 (TGF-β1), α- smooth muscle actin (α-SMA), collagen 1, and hydroxyproline, as well as the apoptotic caspase 3 and BAX immunostaining in BDL rats. The histopathological abnormalities induced by BDL significantly improved. Our study demonstrated that diacerein exhibited an antifibrotic effect by inhibiting HMGB1/RAGE/NF-κB/JNK pathway, and ER stress. Better protection was observed with increasing the dose.
MeSH term(s) Rats ; Male ; Animals ; NF-kappa B/metabolism ; Endoribonucleases/metabolism ; MAP Kinase Signaling System ; HMGB1 Protein/metabolism ; Rats, Wistar ; Protein Serine-Threonine Kinases/metabolism ; Liver Cirrhosis/drug therapy ; Liver Cirrhosis/etiology ; Liver Cirrhosis/metabolism ; Cholestasis/complications ; Cholestasis/drug therapy ; Cholestasis/metabolism ; Liver/metabolism ; Fibrosis ; Endoplasmic Reticulum Stress
Chemical Substances NF-kappa B ; Endoribonucleases (EC 3.1.-) ; HMGB1 Protein ; Protein Serine-Threonine Kinases (EC 2.7.11.1)
Language English
Publishing date 2023-07-15
Publishing country England
Document type Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID 2615211-3
ISSN 2045-2322 ; 2045-2322
ISSN (online) 2045-2322
ISSN 2045-2322
DOI 10.1038/s41598-023-38375-4
Database MEDical Literature Analysis and Retrieval System OnLINE

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