41
Epigallocatechin gallate effectively ameliorates Fluoride induced oxidative stress, DNA damage in the liver of rats Shanmugam Thangapandiyan and Selvaraj Miltonprabu* Department of Zoology Annamalai University Annamalainagar-608002 Tamilnadu, India * Corresponding author: Dr. Selvaraj Miltonprabu Assistant Professor Department of Zoology Faculty of Science, Annamalai University Annamalai Nagar – 608002 Tamil Nadu, India. Tel: +91 04144 – 238282; Cell : +91 9842325222 Fax: +91 04144 – 238080 Email address: [email protected] Page 1 of 41 Can. J. Physiol. Pharmacol. Downloaded from www.nrcresearchpress.com by UNIV CALGARY on 03/15/13 For personal use only. This Just-IN manuscript is the accepted manuscript prior to copy editing and page composition. It may differ from the final official version of record.

Epigallocatechin gallate effectively ameliorates fluoride-induced oxidative stress and DNA damage in the liver of rats

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Page 1: Epigallocatechin gallate effectively ameliorates fluoride-induced oxidative stress and DNA damage in the liver of rats

Epigallocatechin gallate effectively ameliorates Fluoride induced oxidative stress, DNA

damage in the liver of rats

Shanmugam Thangapandiyan and Selvaraj Miltonprabu*

Department of Zoology

Annamalai University

Annamalainagar-608002

Tamilnadu, India

* Corresponding author:

Dr. Selvaraj Miltonprabu

Assistant Professor

Department of Zoology

Faculty of Science, Annamalai University

Annamalai Nagar – 608002

Tamil Nadu, India.

Tel: +91 04144 – 238282; Cell : +91 9842325222

Fax: +91 04144 – 238080

Email address: [email protected]

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Abstract:

Environmental exposure to NaF compounds inflicts a great health concern worldwide.

Epigallocatechin gallate (EGCG) is a green tea catechin found in various green tea preparations.

The intention of this study was to investigate the hepato-protective role of EGCG in NaF

intoxicated in rats. Rats were orally treated with Sodium fluoride (NaF) alone (25 mg/kg body

weight (bw)/day) plus EGCG at different doses (20, 40 and 80 mg/kg body weight (bw)/day) for

four weeks. Hepatotoxicity of NaF was determined by the increased levels of serum

hepatospecific markers and total bilirubin along with increased levels of thiobarbituric acid

reactive substances, lipid hydroperoxides, protein carbonyl content and conjugated dienes. The

hepatotoxic nature of NaF was further evidenced by the decreased activity of enzymatic and non-

enzymatic antioxidant levels in liver. NaF administered rats also showed an increased DNA

damage and fragmentation in hepatocytes. Administration of EGCG (40 mg/kg BW) in NaF

intoxicated rats, significantly recuperated the distorted biochemical indices, DNA damage and

pathological changes in the liver tissue. Thus, the results of the present study clearly

demonstrated that the EGCG has strong free radical scavenging, antioxidant and anti genotoxic

properties against NaF induced oxidative hepatic injury in rats.

Key words: EGCG, NaF, free radicals, oxidative stress, antioxidants, liver, rat

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1.Introduction:

Fluoride is widely distributed in nature in many forms and its compounds are being used

extensively. Fluorine is not freely found in nature. Fluorine in drinking water is totally in ionic

form and hence it rapidly, totally and passively pass through the intestinal mucosa and interferes

with major metabolic pathways of the living system. NaF in small doses has remarkable

prophylactic influence by inhibiting dental caries while in higher doses it causes dental and

skeletal fluorosis (Shanthakumari et al., 2004). The fluorosis of human beings is mainly caused

by drinking water, toothpaste, mouth rinses, burning coal, NaF dust and fumes from industries

using NaF containing salt and hydrofluoric acid and drinking tea while that of animals is mainly

by drinking water and supplementing feed additives such as calcium monohydrogen phosphate

containing high levels of NaF (Liu et al., 2003). Intake of high levels of NaF is known to cause

structural changes, altered activities of enzymes in the liver and influence the metabolism of

lipids (Shivarajashankara et al., 2002). Acute poisoning can result death by blocking cell

metabolism since NaF inhibit enzymatic processes, particularly metalloenzymes which are

responsible for vital processes (Birkner et al., 2000).

Recent studies revealed that NaF induces excessive production of oxygen free radicals,

and might cause the depletion in biological activities of some antioxidant enzymes (Chlubek,

2003). Increased free radical generation, lipid peroxidation and disturbed antioxidant defense

systems are observed to mediate the toxic effects of NaF in the liver of rats (Shivarajashankara et

al. 2001).

Efforts to prevent and treat fluorosis by therapeutic measures had limited success because

of their low accessibility and side effects (Chinoy and Memon, 2001). Dietary administration of

phytochemicals is a noble strategy to deal with oxidative stress-related disorders (Surh., 2003).

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Flavonoids are naturally occurring polyphenolic compounds widely distributed in plants, and

various flavonoids have been used as a remedy for the amelioration of heavy metal induced

oxidative hepatic stress (Miltonprabu et al., 2011). EGCG (Fig 1) is the most abundant and the

most biologically active green tea polyphenol. It is a potential antioxidant, owing to their free

radical scavenging property and the ability to chelate transition metal ions. The results of earlier

studies suggested that regular intake of EGCG can reduce oxidative stress, which decreases the

risk of disorders associated with oxidative stress (Vassort and Turan, 2010). Silymarin, a

flavolignan compound extracted from the fruits and seeds of the plant Silibum marianum, was

found effective for protecting against cirrhosis, jaundice and hepatitis traditionally (Comar and

Kirby, 2005). Furthermore, in vitro, in vivo and clinical studies have demonstrated the

antioxidant and hepatoprotective effects of silymarin in animal and human models of

hepatotoxicity (Basiglio et al, 2009).

To the best of our knowledge, Zhen et al. (2007) reported the hepatoprotective nature of

EGCG against Ccl4 induced hepatotoxicity in rats. But there are no reports are available on the

hepatoprotective nature of EGCG against NaF.Therefore in this present investigation we intend

to explore the ameliorative potency and antioxidant efficacy of epigallocatechin gallate along

with silymarin, a well known hepatoprotectant against NaF induced oxidative stress and hepatic

damage and brings hepatic recovery in terms of biochemical, molecular and histological indices.

2. Materials and Methods

2.1. Drug and Chemicals

EGCG was purchased from Sigma Aldrich, USA. NaF and ethidium bromide 2-

thiobarbituric acid, butylated hydroxytoluene, reduced glutathione, 2,2’-dipyridyl, xylenol

orange, 2,2’-dinitro phenyl hydrazine, γ-glutamyl-p-nitroanilide, 5,5’-dithiobis-2-nitrobenzoic

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acid, trichloroacetic acid, phenazine methosulphate, nitroblue tetrazolium, reduced nicotinamide

adenine dinucleotide, 1-chloro 2,4-dintrobenzene were purchased from Sigma Chemical Co. (St.

Louis, MO, USA). All other chemicals and solvents were of certified analytical grade and

purchased from S.D. Fine Chemicals, Mumbai or Hi media Laboratories Pvt. Ltd., Mumbai,

India. Reagent kits were obtained from span Diagnostics, Mumbai, India. Chemical structure of

EGCG is shown in Figure 1.

2.2. Animals

Healthy male albino Wistar rats (160-180 g) were obtained from the Central Animal

House, Department of Experimental Medicine, Rajah Muthiah Medical College and Hospital,

Annamalai University, and maintained in an air-conditioned room (25 ± 2º C) with a 12 h

light/12 h dark cycle. Feed and water were provided ad libitum to all the animals. The study

protocols were approved by the Institutional Animal Ethics Committee of Rajah Muthiah

Medical College and Hospital (Reg No. 160/1999/CPCSEA, Proposal number: 952/2012),

Annamalainagar and the study conducted in accordance with the “Guide for the Care and Use of

Laboratory Animals”.

2.3. Preparation of drugs

NaF (25 mg/kg body weight, 1/10 of the oral LD50 value in rats, Chinoy, 1991) was

dissolved in normal saline and administered by intragastric intubation daily for four weeks.

EGCG powder was dissolved in water and given orally 90 min prior to the administration of NaF

daily at a dose of 20, 40 and 80 mg/kg body weight for four weeks. Silymarin was dissolved in

water and given orally 90 min prior to the administration of NaF daily at a dose of 25 mg/kg

body weight for four weeks.

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2.4. Experimental design:

A pilot study was conducted with three different doses of EGCG (20, 40 and 80 mg/kg)

to determine the dose dependent effect in NaF-treated rats. It was observed that EGCG

pretreatment at doses of 20, 40 and 80 mg/kg significantly (P < 0.05) lowered the elevated levels

of AST, ALT, LDH and GGT in serum of NaF -induced rats after 28 days of exposure. Hence,

20, 40 and 80 mg/kg doses were chosen for our study.

The rats were randomly divided into seven groups of six in each group.

Group 1 : Normal rat

Group 2 : Normal + EGCG (40mg/Kg BW)

Group 3 : Normal + NaF (25mg/kg BW)

Group 4 : EGCG (20mg/Kg BW) + NaF (25mg/kg BW)

Group 5 : EGCG (40mg/Kg BW) + NaF (25mg/kg BW)

Group 6 : EGCG (80mg/Kg BW) + NaF (25mg/kg BW)

Group 7 : Silymarin (25mg/kg BW) + NaF (25mg/kg BW)

The total duration of the study was 28 days. Food and water intake were recorded

regularly. After forty-eight hours of administration of the last dose, the rats were anesthetized

with an intramuscular injection of ketamine hydrochloride (25 mg/kg) and sacrificed by cervical

decapitation. Blood was collected for the separation of serum. The liver tissue was dissected out,

weighed and washed in chilled saline solution. Liver tissue was minced and homogenized (10%,

w/v) in 0.025M Tris-HCL buffer, (pH 7.4) using Teflon tissue homogenizer and centrifuged

(8000xg for 10 min). The resulting clear supernatant was used for various enzymatic and non-

enzymatic biochemical assays. For comet assay, liver was cut into small pieces and washed with

Hank’s balanced salt solution. The individual cell suspension was obtained by enzymic digestion

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with collagenase at 37°C. After filtration by 100 and 40 mm mesh, the resulting cell suspension

was centrifuged for 10 min at 3000 rpm. The cell pellet was then suspended in phosphate

buffered saline and used for the estimation of DNA damage.

2.5. Biochemical assays:

2.5.1. Activities of serum marker enzymes:

The activities of serum aspartate aminotransferase (EC. 2.6.1.1), alanine aminotransferase

(EC. 2.6.1.2), alkaline phosphatase (EC.3.1.3.1), lactate dehydrogenase (EC. 1.1.1.27) and total

bilirubin were assayed using commercially available diagnostic kits (Sigma diagnostics (I) Pvt.

Ltd., Baroda, India). Gamma-glutamyl transferase (EC. 2.3.2.2) activity was determined by the

method of Rosalki et al. (1970) using -glutamyl- p-nitroanilide as substrate. Based on Vanden

Berg reaction, serum bilirubin was estimated by the method of Malloy and Evelyn (1937).

2.5.2. Estimation of lipid peroxidation

Lipid peroxidation in the liver was estimated calorimetrically by measuring thiobarbituric

acid reactive substances (TBARS) and hydroperoxides as described by Niehiaus and Samuelsson

(1968) and Jiang et al. (1992), respectively. As a hallmark of protein oxidation, total protein

carbonyl content was determined in the liver by a spectrophotometric method described by

Levine et al. (1990) and expressed as nmol/mg protein.

2.5.3. Determination of non-enzymatic antioxidants

Reduced glutathione (GSH) content in the liver homogenate was determined by the

method of Moron et al. (1979) based on the reaction with Ellman’s reagent (19.8 mg

dithionitrobis benzoic acid in 100 ml of 0.1% sodium citrate). A total sulfhydryl group (TSH)

was measured after the reaction with dithionitrobis benzoic acid using the method of Ellman

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(1959). Vitamin C and vitamin E concentrations were measured by the methods of Omaye et al.

(1979) and Desai (1984), respectively.

2.5.4. Assay of enzymatic antioxidants

Superoxide dismutase (SOD) activity was determined by the method of Kakkar et al. (1984) in

which the inhibition of formation of NADPH-phenazine methosulphate nitroblue tetrazolium

formazon was measured spectrophotometrically at 560 nm. Catalase (CAT) activity was assayed

calorimetrically as described by Sinha (1972) using dichromate-acetic acid reagent. Glutathione

peroxidase activity (GPX) was assayed by the method of Rotruck et al. (1973) based on the

reaction between glutathione remaining after the action of GPX and 5,5’-dithiobis-2-nitrobenzoic

acid to form a complex that absorbs maximally at 412nm. Glutathione S-transferase (GST)

activity was determined by the method of Habig et al. (1974) spectrophotometrically by using

dichloro-2, 4- dinitrobenzene as the substrate. Glutathione reductase (GR) that utilizes NADPH

to convert metabolized glutathione (GSSG) to the reduced form was assayed by the method of

Horn and Burns (1978). The estimation of glucose-6- phosphate dehydrogenase (G6PD) was

carried out by the method of Beutler (1983), where an increase in the absorbance was measured

when the reaction was started by the addition of glucose-6- phosphate. Protein level was

determined by using bovine serum albumin (BSA) as the standard at 560nm by the method of

Lowry et al. (1951).

2.5.5. Estimation of membrane-bound ATPase

The sediment after centrifugation was resuspended in ice cold Tris-HCl buffer (0.1M) pH

7.4. This was used for the estimations of membrane-bound enzymes and protein content. The

membrane bound enzymes such as Na+

/ K+-ATPase, Ca

2+-ATPase and Mg

2+-ATPase activity

were assayed by estimating the amount of phosphorous liberated from the incubation mixture

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containing tissue homogenate, ATP and the respective chloride salt of the electrolytes (Bonting,

1970; Hjerten and Pan, 1983; Ohnishi et al., 1982). The amount of liberated inorganic phosphate

(Pi) was estimated according to the method of Fiske and Subbarow (1925).

2.6. Comet assay

Hepatocytes were isolated from control and experimental groups and were processed for

alkaline comet assay as described previously (Kyoung et al., 2006; Rajagopalan et al., 2003;

Singh, 2000). The slides were immersed in lysis buffer for 1 h at 4 ◦C and equilibrated in

alkaline solution for 20 min, followed by electrophoresis at 18 V, 300 MA (Sub-Cell GT system

with Power Pac basic power supply, Bio-Rad Laboratories Inc., Hercules, CA, USA). After

electrophoresis, the slides were neutralized and stained by ethidium bromide. The images were

captured using a fluorescence microscope (Eclipse TS100, Nikon Instruments Inc., Melville, NY,

USA). Fifty images per slide were analyzed for tail length (TL) and olive tail moment (OTM)

using image analyzer CASP software version 1.2.2.

2.7. DNA fragmentation assay

Agarose gel electrophoresis was performed in order to verify DNA fragmentation (Hebert

et al., 1996). The liver tissue was homogenized using 5 ml of lysis buffer (50 mM Tris HCl, pH

8.0, 10 mM NaCl, 10 mM EDTA, 100 mg/ml proteinase K and 0.5% SDS) and incubated for 1 h

at 50ºC. 10 µl of 100 µg/ml ribonuclease A (RNase A) was added to the mixture and incubated

for an additional 1 h at 50ºC. Tissue samples were treated with 1 ml phenol followed by

extraction with chloroform/isoamyl alcohol. The aqueous phase was treated with 25-50µl of 3 M

sodium acetate (pH 5.2) and one volume of ethanol, shaken gently and left at _20ºC overnight.

The precipitate was collected by centrifugation at 12,000x g for 20 min. The pellet was rinsed

with 1 ml of 70% ethanol and spin for 10 min. The supernatant was discarded and the pellet was

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air dried at room temperature and later dissolved in 0.5-1.0 ml of double distilled water. DNA

was precipitated in cold ethanol at _20ºC and finally dissolved in 0.5 ml of buffer. DNA sample

was loaded in 1.0% agarose gel containing 0.5 µg/ml ethidium bromide, electrophoresed at 80 V

and visualized under UV transilluminator.

2.8. Histopathological studies in the Liver

For qualitative analysis of liver histology, the tissue samples were fixed for 48 h in 10%

formalin-saline and dehydrated by passing successfully in different mixtures of ethyl alcohol–

water, cleaned in xylene and embedded in paraffin. Sections of the tissue (5–6 µm thick) were

prepared by using a rotary microtome and stained with haematoxylin and eosin (H&E) dye,

which was mounted in a neutral deparaffinised xylene medium for microscopic examinations.

2.9. Statistical Analysis

Data are presented as means ± S.D. and were subjected to statistical significance was

evaluated by one way analysis of variance (ANOVA) using SPSS Version 15.0 (SPSS, Cary,

NC, USA) and the individual comparisons were obtained by Duncan’s multiple range test

(DMRT). Values were considered statistically significant when p < 0.05.

3. Results:

3.1. Effect of EGCG on food intake, body weight gain and organ-body weight ratio in control

and experimental rats

Table 1 depicts the effect of NaF and EGCG on food and water intake, body weight gain

and organ-body weight ratio (%) in normal and experimental animals. In NaF treated rats, water

and pellet diet consumption was significantly (P<0.05) decreased with decrease in body weight

gain. A significant (P<0.05) increase in liver body weight ratio was recorded in NaF treated rats.

No significant changes were observed between control and EGCG alone treated rats. All these

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changes induced by NaF intoxication were recovered significantly (P<0.05) on oral

administration with EGCG in a dose dependent manner. Animals treated NaF along with

silymarin significantly (P<0.05) attenuated the NaF induced alterations in the food and water

intake, body weight and organ weight when compared to NaF treated rats.

3.2. Effect of EGCG on hepatic marker

Table 2 illustrates the levels of serum hepatic marker enzymes and bilirubin in control

and experimental rats. Oral administration of NaF caused abnormal liver function in rats. In NaF

treated rats the activities of serum hepatospecific enzymes such as serum aspartate

aminotransferase, alanine aminotransferase, alkaline phosphatase, lactate dehydrogenase, gamma

glutamyl transferase and the level of bilirubin were significantly (P<0.05) increased, when

compared with control rats. Administration of EGCG (40mg/kg) along with NaF significantly

(P<0.05) decreased the levels of serum hepatic markers and bilirubin when compared to NaF

treated rats. Restoration of hepatic marker enzymes and bilirubin was maximum in the medium

dose level (40mg/kg body weight) of EGCG when compared to other two doses (20 and

80mg/kg). Based on these findings 40mg/kg body weight of EGCG was fixed as a dose and used

for further biochemical investigations. Oral administration of EGCG (40mg/kg body weight)

alone to normal rats did not show any significant effect on hepatic markers. Animals treated NaF

along with silymarin significantly (P<0.05) reduced the NaF induced alterations in serum hepatic

biomarkers and bilirubin when compared to NaF treated rats.

3.3. Effect of EGCG on lipid peroxidation and protein carbonylation

Table 3 shows the changes in the levels of lipid peroxidation product in control and

experimental animals. In NaF treated rats the levels of thiobarbituric acid reactive substances,

hydro peroxides, protein carbonyl content and conjugated dienes were significantly (P<0.05)

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increased. Oral administration of EGCG (40 mg/kg body weight) along with NaF significantly

lowered the levels of lipid peroxidation products and protein carbonylation in liver. Animals

treated NaF along with silymarin significantly (P<0.05) attenuated the NaF induced alterations in

hepatic oxidative stress markers when compared to NaF treated rats.

3.4. Effect of EGCG on non-enzymatic antioxidants

Table 4 shows the changes in the levels of hepatic non-enzymatic antioxidants namely reduced

glutathione, total sulfhydryl group, vitamin C and vitamin E in the liver of control and

experimental rats. EGCG alone treated rats shows a significant (P<0.05) increase in the level of

liver total sulfhydryl groups when compared with control rats. A significant (P<0.05) decrease in

the levels of non-enzymatic antioxidants were noticed in rats treated with NaF when compared to

control rats. Treatment of EGCG (40 mg/kg body weight) along with NaF significantly (P<0.05)

increased the levels of non-enzymatic antioxidants to near normal. Animals treated NaF along

with silymarin significantly (P<0.05) attenuated the NaF induced alterations in the non-

enzymatic antioxidants level when compared to NaF treated rats.

3.5. Effect of EGCG on enzymatic antioxidants

Table 5 illustrates the activities of enzymatic antioxidants namely superoxide dismutase,

catalase, glutathione peroxidase, glutathione-S-transferase, glutathione reductase and glucose-6-

phosphate dehydrogenase in liver of control and experimental rats. A significant (P<0.05)

diminution in the activities of enzymatic antioxidants in NaF treated rats were observed.

Treatment of EGCG along with NaF significantly (P<0.05) increased the levels of these

enzymatic antioxidants in liver. Animals treated NaF along with silymarin significantly (P<0.05)

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attenuated the NaF induced alterations in the enzymatic antioxidants level when compared to

NaF treated rats.

3.6. Effect of EGCG on membrane bound ATPases

Table 6 demonstrates the activities of Na +, K

+, Ca

2+ and Mg

2+ ATPases in liver of control and

experimental rats. A significant decrease (P<0.05) in the activities of Na +, K

+, Ca

2+ and Mg

2+

ATPases were observed in liver of NaF treated rats as compared to normal control rats. Pre oral

administration of EGCG (40mg/kg bw/day) significantly (P<0.05) prevented the decrease in the

activities of ATPases in NaF intoxicated rats. Animals treated NaF along with silymarin

significantly (P<0.05) attenuated the NaF induced alterations in the membrane bound ATPases

when compared to NaF treated rats.

3.7. Effect of EGCG on DNA damage

Figure 2 & 3 displays the level of DNA damage in control and experimental rats. A significant

(P<0.05) increase in different comet assay parameters such as % DNA in tail, tail length, tail

movement and olive tail movement were noted in rats treated with NaF when compared with

normal control rats. Pre oral administration of EGCG with NaF significantly (P<0.05) reduced

the NaF induced DNA damage near to control level. Normal control and epigallocatechin gallate

alone treated rats showed no or minimal DNA migration. Animals treated NaF along with

silymarin significantly (P<0.05) attenuated the NaF induced DNA damage in the hepatocytes

when compared to NaF alone treated rats.

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3.8. Effect of EGCG on DNA fragmentation

Figure 4 exhibits the level of DNA damage in the liver of control and experimental rats. A

significant increase in the level of DNA fragmentation was observed in NaF-intoxicated rats

(lane 3) when compared with normal control rats (lane 1). Pre oral administration of EGCG with

NaF considerably reduced the NaF induced DNA fragmentation (lane 4) near to control level.

Normal control and EGCG alone (lane 2) treated rats showed no or minimal DNA fragmentation.

Animals treated NaF along with silymarin also significantly (P<0.05) reduced the NaF induced

DNA fragmentation (lane 5) when compared to NaF treated rats.

3.9. Histopathological changes

Figure 5 exhibits the representative photo microscopic images of intact rat liver observed

in control group (Fig. 5A). The histoarchitectural pattern of liver was almost normal in EGCG

alone administered rats (Fig. 5B).Liver cells of animals exposed to NaF for four weeks induces

several pathological changes such as extensive degeneration of hepatocytes with focal necrosis,

bridging necrosis, inflammation, vacuolization, inflammatory cell infiltration, portal

inflammation and fatty degenerative changes etc., (Figs. 5C and 5D). Administration of EGCG

effectively attenuated the histopathological abnormalities evoked by the exposure to NaF (Fig.

5E). No regressive pathological changes were observed in animals treated with NaF and

silymarin except with some inflammatory cell infiltration and dilation of hepatic sinusoids (Fig.

5F).

4. Discussion:

The liver is a complex organ consisting of well-defined components that function in a

highly coordinated manner. A number of drugs, chemicals, heavy metals have been shown to

alter its structure and function. The degree of hepatic damage by heavy metals depends upon the

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nature, the dose, route and duration of exposure. Both acute and chronic intoxication of NaF

have been demonstrated to cause hepatotoxicity with various levels of severity. Animal

experiments were conclusive about metabolic adverse effects and hepatotoxicity of NaF

compounds (Nabavi et al., 2012). EGCG is well documented for the attenuation of oxidant

mediated hepatic damage induced by various xenobiotics. In this context, the present study also

confirmed that administration of EGCG significantly reversed the liver function against the toxic

effect of NaF.

The symptoms of NaF toxicity in rats were the body weight development retardation and

decreased water and food intake. The alterations of organ-liver weight ratio and absolute liver

weight in NaF intoxicated rats were due to tissue damage and reduction in their functions

(Shanthakumari et al., 2004). All these morphological changes observed in NaF administered

rats were effectively attenuated by the treatment with EGCG.

Leakage of hepatospecific enzymes into blood serum have been considered as indicators

of the hepatic dysfunction and damage. The increase in the activities of these enzymes in plasma

is indicative for liver damage and thus causes alteration in liver function. Muthumani and

Miltonprabu (2012) found that cell damage exhibited good correlation with the enzyme leakage.

Hence, cellular damage caused by toxic substances is frequently accompanied by increasing cell

membrane permeability. In our study, the increased activities of serum aspartate

aminotransferase, alanine aminotransferase, serum alkaline phosphatase and lactate

dehydrogenase in serum obviously indicate that liver is susceptible to NaF induced toxicity. This

increase could be attributed to the hepatic damage resulting in increased release of functional

enzymes from biomembranes or its increased synthesis (Muthumani and Miltonprabu, 2012).

Gamma glutamyl transferase has been widely used as an index of liver dysfunction. Recent

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studies indicate that serum gamma glutamyl transferase might be useful in studying oxidative

stress- related tissues. The products of the gamma glutamyl transferase reaction may themselves

lead to increased free radical production, particularly in the presence of iron (Lee et al., 2004).

The observed elevation in the concentration of serum bilirubin in NaF treated rats is also

consistent with the presence of hepatic damage (Nabavi et al., 2012). Administration of EGCG at

a dose of 40mg/kg bw/day has been proved remarkable improvement in hepatic function against

NaF intoxication than the other doses. EGCG have already been reported to exhibit membrane

stabilizing properties against ROS mediated oxidative hepatic injury, mainly by its powerful

hydrogen donating, antioxidant and free radical scavenging properties in a number of invitro

system and invivo models ( Devika and Prince, 2008)

NaF is known to produce oxidative damage in the liver by enhancing peroxidation of

membrane lipids, a deleterious process solely carried out by free radicals (Pieta et al., 2012).

Furthermore, lipid peroxidation causes impaired membrane function, impaired structural

integrity, decrease in fluidity and inactivation of a number of membrane bound enzymes

(Muthumani and Miltonprabu, 2012). Oxidative injury induced by NaF can be monitored in

experimental animals by detecting lipid peroxidative products such as thiobarbituric acid reactive

substances, hydroperoxides and conjugated dienes (Nabavi et al., 2012). In addition to cellular

lipids, studies have shown that cellular proteins may also be affected by free radical

accumulation. The formation of carbonyl derivatives of proteins is suggested to be a useful

measure of oxidative damage to proteins (Muthumani and Miltonprabu, 2012). The carbonyl

derivatives of proteins may result from oxidative modification of amino acid side chains and

reactive oxygen-mediated peptide cleavage. In our study, we observed increased levels of

thiobarbituric acid reactive substances, hydroperoxides, conjugated dienes and protein carbonyl

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contents in the liver of the NaF treated group. Administration with EGCG significantly reduced

the levels of lipid peroxidation and protein carbonylation in NaF intoxicated rats revealed the

free radial scavenging ability of EGCG, which could be mainly due to the presence of 8 hydroxyl

groups in a four ring structure and is readily dissolved in water and modified into multifactorial

components such as, stearic (SA), eicosapentaenoic (EPA), and docosahexaenoic acids (DHA)

during EGCG metabolism has been reported to exhibits enhanced ROS scavenging activity and

thereby reduced the NaF induced oxidative stress (Zhong and Shahidi., 2011).

The impairment of the antioxidant defence is considered to be critically involved in NaF

induced toxic effects. Vitamin C is a dietary hydrophilic antioxidant works in concert with

vitamin E, which is a chain breaking antioxidant to prevent the free radical chain oxidation of

lipids. Numerous reports have shown the positive effect of vitamin C as an antioxidant and

scavenge of free radicals (Das et al., 2006). Reduced glutathione is an important antioxidant

defence, which has sulfhydryl group in its peptide largely present in the biological system. The

sulfhydryl group and reduced glutathione interact and form a complex with NaF and thereby

alter NaF distribution and excretion (Chouhan et al., 2010). It is in agreement with our findings,

which showed that the levels of total sulfhydryl groups, reduced glutathione, vitamin C and

vitamin E were significantly depleted, it might also contribute to the development of NaF

induced hepatic damage. Administration of EGCG significantly prevents the depletion of these

non enzymatic antioxidants in NaF intoxicated rat liver. EGCG acts as a powerful scavenger of

many reactive oxygen/nitrogen species (ROS/RNS). Both free radical scavenging and chelating

properties of EGCG are apparently responsible for restoring these levels by reducing the

utilization of non-enzymatic antioxidants consequently lead to improvement of vitamins C, E,

total sulfhydryl groups and reduced glutathione in liver.

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Antioxidant enzymes, such as SOD, CAT, GST, GR, and GPX are considered to be the

second line of cellular defense against oxidative stress mediated injury in organs. Assessment of

these antioxidant enzymes is an appropriate indirect way to assess the prooxidant –antioxidant

status in NaF induced toxicity. Among them SOD and CAT mutually functions as important

enzymes in the elimination of ROS and RNS. SOD is an enzyme responsible for the conversion

of superoxide radicals into less harmful products like hydrogen peroxide while CAT brings about

the reduction of hydrogen peroxide and protects tissues from the highly reactive hydroxyl

radicals (Brioukhanov and Netrusoval, 2004). NaF intoxication significantly reduced the activity

of hepatic SOD and CAT in our study which is in line with the finding of Garcia-Montalvo, et al.

(2009) and Izquierdo-Vega, et al. (2008) in NaF treated rats. Glutathione related enzymes such

as GPX, GR and GST function either directly or indirectly acts as antioxidants. GPX is a

selenium containing enzyme that utilizes glutathione in decomposing hydrogen peroxides (H2O2)

to non toxic products. In the present study NaF administration lowered the activities of GPX, GR

and GST in liver. Bruce et al., (1982) reported that the decreased levels of GPX and GST activity

and depleted levels of GSH in NaF treated rats are mainly due to the overproduction of ROS

which is in consonance with our present study. GPX, GST and GR are ‘SH’ dependent enzymes,

and their ‘SH’ groups are inactivated by NaF induced ROS generation, leading to enzyme

inactivation. The inhibition of these enzymes not only reflects oxidative stress, but also exposes

the cells to further oxidative damage, since GPX, GST and GR are the essential enzymes in cell

protection against ROS. EGCG administration significantly up regulated the levels of GPX, GST

and GR by restoring reduced glutathione level and counteracting the free radicals produced by

NaF intoxication. The reduction of G6PD activity in NaF induced rats showed impaired

generation of NADPH which is required for the reduction of GSSG to GSH (Oliver Barbier et

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al., 2010). Interestingly the fact that EGCG administered NaF intoxicated rats shows significant

renewal of these antioxidant defense system by bringing them near to normal levels mainly due

to the strong antioxidant property of EGCG and the presence of its vicinal trihydroxy structure in

which oxygen atoms act as electron donors to from bonds with electrophilic ions and thereby

helps in the recoupment of antioxidant defense system (Higdon and Frei., 2003).

The determination of membrane associated enzyme activities like adenosine

triphosphatases (ATPases) indicates the changes in membranes under pathological conditions

(Kempaiah and Srinivasan, 2006). The maintenance of the cation gradient by the ATPase

enzymes is of fundamental importance and is essential for the regulation of cell growth and

differentiation, which are critical for the normal functioning of the cells. The changes in ionic

concentrations can bring about diverse types of cell injury, which ultimately lead to cell death

(Kane, 1996). Our data indicate a remarkable diminution in the activities of membrane bound

ATPases in the liver of NaF intoxicated rats. Administration of EGCG depleted the elevation of

LPO in liver tissue and sustained the activities of membrane bound enzymes. The preservation of

cellular membrane integrity by EGCG depends on its antioxidant properties that neutralize the

oxidative reactions. The lipophilic nature of EGCG favours its passage through the membrane, and

can accommodate in the lipid bilayer, thereby protecting the radical attack and maintaining the

normal physiology of the membrane. In addition, EGCG reduced the lipid peroxidation by NaF

and improved the levels of endogenous antioxidants involved in membrane protection, which in

turn reduced the NaF induced alterations in membrane bound enzymes as well as ionic gradients

within the cell.

The comet assay is a rapid, sensitive and versatile method for the quantification of DNA

damage in the individual cells (Fairbairn et al., 1995). The levels of % DNA in tail, tail length,

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and tail movement significantly increased in the hepatocytes of NaF treated rats when compared

with control group. Previous reports show that lipid peroxidation products of polyunsaturated

fatty acids play a major role in genotoxicity of the cell (Comporti, 1989). Several mutagenic and

genotoxic lipid peroxidation products in particular malondialdehyde (MDA) and 4-hydroxy-2-

nonenal (HNE) have been identified to bind to DNA and to damage it (Eder et al., 2006). A loss

of DNA integrity in the form single strand breaks has been recorded during exposure of NaF.

NaF has a dense negative charge and is biochemically very active thus directly affect DNA due

to strong affinity for uracil and amide bonds by –NH--- F- interaction (Li et al., 1987). Wang et

al., (2004) also reported that NaF can induce the production of free radicals, which can damage

DNA strands directly or by lipid peroxidation initiated by free radicals. The DNA fragmentation

forms a typical ladder pattern of multiple sized nucleosomal nucleotides, a hallmark of apoptosis.

In this study, an increased DNA damage in the hepatocytes of NaF treated rats was observed as

compared to control rats. EGCG administered rats showed decreased DNA damage as compared

to NaF intoxicated rats. Muthumani and Miltonprabu (2012) have demonstrated the ability of

antioxidants/free radical scavenging compounds to protect cellular DNA against damages

induced by heavy metals. The green tea catechins has a strong inhibitory activity against

superoxide formation and reduces both intracellular ROS levels and the rate of H2O2 induced

apoptotic cell death (Zhao et al., 2001). Thus, the antioxidant effect of EGCG could be, at least

in part, responsible for their protective effect against NaF-induced DNA damage.

The histopathological results also strongly support our biochemical findings that, the

EGCG protects against the NaF induced oxidative stress related hepatic injury. The present

investigation shows the altered hepatic histoarchitecture in NaF treated rats such as bridging

necrosis, inflammation cell infiltration, vacuolization, dilation of sinusoidal space and

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inflammation. Administration of EGCG in NaF intoxicated rats showed a significant restoration

of hepatic architecture and brings about the normal histology of liver. This may be due to the

strong antilipoperoxidative ability of EGCG. The presence of eight OH groups in EGCG

facilitates its free radicals scavenging ability by directly bind and eliminate them during NaF

intoxication and thereby limits the lipid peroxidation and protein oxidation in the liver.

Scientific reports showed that catechins possess many of the structural components that

contribute to their antioxidant property. Catechins have a gallate moiety esterified at the 3rd

position of the C ring, the catechol group (3,4,5-trihydroxyl groups) on the B ring and the

hydroxyl groups at the 5th and 7th positions on the A ring (Fig. 1). The potent free radical

scavenging activity of EGCG was attributed to the presence of the C ring gallate group. The

observation was also made that the more hydroxyl groups in the catechin (EGCG) possesses,

more effective free radical scavenger the catechin becomes (Zhao et al., 2001).

Hence, it can be summarized that, the oral supplementation of EGCG effectively protects

the rat liver when compared with the standard drug silymarin in multiple ways from NaF induced

oxidative hepatotoxicity. This ameliorative effect was due to the inhibition of ROS formation,

thus inhibiting the peroxidation of membrane lipids and preventing the leakage of hepatic

markers enzyme, in addition EGCG administration significantly improves the levels of both

enzymatic and non enzymatic antioxidant in liver that further contributes to its hepatoprotective

effect. Moreover the prevention of “SH” groups oxidation in hepatic membrane bound ATPases,

stabilizes the membrane. These findings suggest that EGCG can be used as a potential

therapeutic entity for preventing NaF induced oxidative stress related organ dysfunction in

subjects exposed to NaF in their occupational and environmental sources. The hepatoprotective

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efficacy of EGCG was further conformed by comparing with the positive control silymarin, a

standardized hepatoprotectant against NaF induced hepatotoxicity in rats.

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Acknowledgement

Authors acknowledge Professor and Head, Department of Zoology, Annamalai University and

UGC-SAP for their generous support in this work.

Captions for figures

Fig. 1. Chemical structure of EGCG (C22H18O11).

Fig.2. Representative photomicrographs of comets stained with SYBR green-I at a magnification

of 200X showing the DNA migration pattern in hepatocytes: A) control group shows no DNA

migration, B) EGCG administered group shows no DNA migration, C) NaF treated group shows

extensive DNA migration and D) EGCG administered NaF intoxicated group shows the minimal

DNA migration. E) Silymarin administered NaF intoxicated group shows intact DNA .

Fig.3. Effect of EGCG on DNA damage (in terms of tail lenth, tailmoment, olive tail moment and

% tail area) in the hepatocytes of control and experimental rats. Arbitrary unit = Percentage tail

DNA × tail length; Values are mean ± SD for 6 rats in each group; a, b and c

Values are not sharing

a common superscript letter (a, b and c) differ significantly at P<0.05 (DMRT).

Fig.4. Effect of EGCG on DNA fragmentation in hepatocytes of control and NaF-induced rats.

Lane 1. Control (Normal DNA), Lane 2. Control EGCG (40 mg/kg BW) (Normal DNA), Lane 3.

NaF control (25 mg/kg BW) (severe DNA fragmentation), Lane 4. NaF (25 mg/kg BW) and

EGCG (40 mg/kg BW) (mild DNA fragmentation). Lane 5. NaF (25 mg/kg BW) and Silymarin

(25 mg/kg BW) (mild DNA fragmentation)

Fig. 5. Representative photomicrographs from the liver of control and experimental rats: A) Section

of control liver showing normal arrangement of sinusoids and hepatocytes (H & E, 40X). B)

Section of liver treated with EGCG alone showing the normal histoarchitectural pattern of

hepatic parenchyma (H & E, 40X) C) Section of liver exposed to NaF showing the extensive

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inflammation, dilated sinusoids, and degeneration of hepatocytes with necrosis, vacuolization

and inflammatory cell infiltration. (H & E, 40X). D) Section of liver treated with NaF showing

severe necrotic changes, severe inflammation, fatty degeneration of hepatocytes and complete

derangement of hepatic cords (H & E, 40X). E) Section of liver treated with NaF and EGCG

showing significant improvement of hepatic histoarchitecture with mild infiltration (H & E,

40X). F) Section of liver treated with Silymarin and NaF showing the almost normal

histoarchitectural pattern of hepatic parenchyma with mild inflammation and sinusoidal

dilation (H & E, 40X).

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Table 1.

The effect of Fluoride and Epigallocatechin gallate on food and water intake, body weight gain and relative and

absolute liver weight in normal and experimental rats.

Groups

Body Weight (g) Organ weight

Initial (g) Final (g) body weight

change (g)

Food intake

(g/100g body

weight/day)

Water intake

(mL/rat/ day)

Relative liver

weight (%)

Absolute liver

weight (g)

Control 180.88 ± 20.14 190.00 ± 22.25 09.12 ± 2.11a 14.27 ± 0.97

a 20.15 ± 4.46

a 1.78 ± 0.6

a 3.38 ± 0.14

a

EGCG (40 mg/kg) 181.00 ± 19.87 190.00 ± 18.10 09.00 ± 1.77a 10.95 ± 0.81

a 15.45 ± 1.14

a 1.80 ± 0.6

a 3.42 ± 0.12

a

Fluoride (25 mg/kg) 180.00 ± 16.14 166.10 ± 13.61 -14.90 ± 2.53b 8.18 ± 0.70

b 9.42 ± 0.21

b 1.41 ± 0.4

b 2.35 ± 0.09

b

Fluoride (25 mg/kg)

+ EGCG (20mg/kg) 183.00 ± 19.58 173.00 ± 17.73 -10.00 ±1.85

ac 9.58 ± 0.67

bc 10.50 ± 1.06

bc 1.63 ± 0.5

c 2.82 ± 0.10

c

Fluoride (25 mg/kg)

+ EGCG (40 mg/kg) 184.00 ± 19.70 175.00 ± 16.83 -09.00 ± 2.87

ad 9.64 ± 0.78

c 14.08 ± 2.72

c 1.83 ± 0.6

ad

3.21 ± 0.11d

Fluoride (25 mg/kg)

+ EGCG (80 mg/kg) 182.58 ± 20.80 173.08 ± 22.41 -10.50 ± 1.61

ae 10.56 ± 0.83

d 17.23 ± 2.82

a 1.76 ± 0.5

ae 3.05 ± 0.12

e

Fluoride (25mg/kg)

+Silymarin(25mg/kg) 182.00± 20.55 191.40±22.64 09.40±2.09

ae 14.45 ± 0.92

a 21.05±3.91

a 1.74± 0.6

ae 3.18 ± 0.09

df

Values are given as mean ± S.D. from six rats in each group. Values not sharing a common superscript letter (a-f)

differ significantly at P<0.05 (DMRT).

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Table 2.

Changes in the activities of serum aspartate transaminase (AST), alanine transaminase (ALT), alkaline phosphatase

(ALP), lactate dehydrogenase (LDH) and gamma glutamyl transferase (GGT) in control and experimental rats.

Groups Control EGCG

(40 mg/kg)

Fluoride (25

mg/kg)

Fluoride (25

mg/kg) +

EGCG

(20 mg/kg)

Fluoride (25

mg/kg) +

EGCG (40

mg/kg)

Fluoride (25

mg/kg) +

EGCG (80

mg/kg)

Fluoride

(25mg/kg) +

Silymarin

(25mg/kg)

AST (IU/L) 62.79 ± 5.44a

64.83 ± 3.62a 106.20 ± 7.17

b 95.24 ± 5.30

c 77.50 ± 4.23

d 86.39 ± 3.65

e 90.45 ± 4.81f

ALT (IU/L) 25.95 ± 1.96a 24.05 ± 1.70

a 50.51 ± 3.70

b 42.38 ± 3.25

c 29.86 ± 1.92

d 37.79 ± 1.83

e 39.85 ± 2.11

f

ALP (IU/L) 74.61 ± 5.83a 72.59 ± 4.52

a 120.92 ± 9.50

b 103.58 ± 7.73

c 85.57 ± 6.38 93.93 ± 5.83

e 97.51 ± 5.37

f

LDH (IU/L) 110.72 ± 9.81a 112.26 ± 9.93

a 156.24 ± 13.25

b 149.31 ± 12.61

c 136.85 ± 10.56

d 142.45 ± 12.84

e 139.15 ± 9.17

df

GGT (IU/L) 0.61 ± 0.05a 0.64 ± 0.04

a 0.97 ± 0.09

b 0.89 ± 0.07

c 0.72 ± 0.06

d 0.83 ± 0.04

e 0.78 ± 0.04

f

Bilirubin

(mg/dL) 0.45 ± 0.03

a 0.43 ± 0.04

a 0.94 ± 0.07

b 0.86 ± 0.06

c 0.52 ± 0.04

d 0.63 ± 0.05

e 0.58 ± 0.04

f

Values are given as mean ± S.D. from six rats in each group. Values not sharing a common superscript letter (a-f)

differ significantly at P<0.05 (DMRT).

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Page 33: Epigallocatechin gallate effectively ameliorates fluoride-induced oxidative stress and DNA damage in the liver of rats

Table 3.

The changes in the levels of hepatic lipid peroxidation (TBARS) hydroperoxides (LOOH) protein carbonyl (PC)

content and conjugated dienes (CD) in the liver of control and experimental rats.

Groups

Control EGCG

(40 mg/kg)

Fluoride

(25 mg/kg)

Fluoride (25

mg/kg) +

EGCG (40

mg/kg)

Fluoride (25mg/kg) +

Silymarin (25mg/kg)

TBARS

8.07 ± 0.09a 8.10 ± 0.07

a 15.50 ± 1.70

b 11.03 ± 0.92

c 11.76 ± 0.81

cd

LOOH

0.85 ± 0.06

a 0.84 ± 0.03

a 1.74 ± 0.23

b 1.07 ± 0.06

c

1.18 ± 0.09d

CD

69.24±4.27a

71.41±4.43a

109.37±9.54b

57.63±3.69c 78.32 ± 5.71

d

PC

2.27 ± 0.05a 2.05 ± 0.01

a 5.90 ± 0.29

b 3.60 ± 0.14

c 3.87 ± 0. 17

d

Values are mean ± SD for 6 rats in each group; a, b, c and d

Values are not sharing a common superscript letter (a-d) differ

significantly at p<0.05 (DMRT).

The levels of TBARS were expressed as nmol/100g wet tissue.

The levels of LOOH and CD were expressed as nmol/100g wet tissue.

The levels of PC were expressed as nmol/mg protein.

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Page 34: Epigallocatechin gallate effectively ameliorates fluoride-induced oxidative stress and DNA damage in the liver of rats

Table 4.

Changes in the levels of vitamin - C, vitamin - E, reduced glutathione (GSH) and total sulfhydryl groups (TSH) in

the liver of control and experimental rats.

Parameters Control EGCG

(40 mg/kg)

Fluoride (25

mg/kg)

Fluoride (25

mg/kg) + EGCG

(40 mg/kg)

Fluoride

(25mg/kg) +

Silymarin

(25mg/kg)

Vitamin - C

(µM/mg) 1.95 ± 0.16

a 1.98 ± 0.18

a 1.56 ± 0.13

b 1.72 ± 0.17

c 1.67 ± 0.09cd

Vitamin - E

(µM/mg) 1.33 ± 0.11

a 1.43± 0.09

a 0.89± 0.09

b 1.23 ± 0.09

c

1.12 ± 0.10e

GSH (µg/mg) 18.54 ± 1.26a 21.79 ± 1.43

b 13.50 ± 1.16

c 20.02 ± 1.20

d 16.25 ± 1.12

e

TSH (µg/mg) 12.01± 1.02a 15.50 ± 0.45

b 09.01± 1.02

c

13.74 ± 0.79 d

11.07± 0.83e

Values are given as mean ± S.D. from six rats in each group. Values not sharing a common letter (a-e) differ

significantly at P<0.05 (DMRT).

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Page 35: Epigallocatechin gallate effectively ameliorates fluoride-induced oxidative stress and DNA damage in the liver of rats

Table 5.

Changes in the activities of superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPX), glutathione

S-transferase (GST), glutathione reductase (GR) and glucose 6-phosphate dehydrogenase (G6PD) in the liver of

control and experimental rats

Groups Control EGCG (40

mg/kg)

Fluoride (25

mg/kg)

Fluoride

(25 mg/kg) +

EGCG (40

mg/kg)

Fluoride

(25mg/kg) +

Silymarin

(25mg/kg)

SOD 7.73 ± 0.51a

8.37 ± 0.65a

5.32 ± 0.40b

7.28 ± 0.26c

6.48 ± 0.21d

CAT 89.25 ± 4.85a 93.17 ± 6.26

a 54.12 ± 4.25

b 79.30 ± 4.86

c 67.42 ± 4.12

d

GPX 9.65 ± 0.64a 10.71± 0.70

a 5.29 ± 0.40

b 7.90 ± 0.71

c 6.27 ± 0.53

d

GST 8.80 ± 0.50a 9.25 ± 0.56

a 5.73 ± 0.25

b 8.10 ± 0.50

c 7.19 ± 0.21

d

GR 0.45 ± 0.01a 0.47 ± 0.02

a 0.29 ± 0.01

b 0.39 ± 0.06

c 0.31 ± 0.04

d

G6PD 2.10 ± 0.10a 2.15 ± 0.15

a 1.48 ± 0.06

b 1.87 ± 0.11

c 1.65 ± 0.09

d

Values are given as mean ± S.D. from six rats in each group. Values not sharing a common superscript letter (a-d)

differ significantly at P<0.05 (DMRT). SOD –one unit of enzyme activity was taken as the enzyme reaction, which

gave 50% inhibition of NBT reduction in one minute/mg protein; CAT–µmol of H2O2 utilized/min/mg protein;

GPX– µmol of GSH consumed/min/mg protein; GST–µmol of CDNB-GSH conjugate formed/min/mg protein; GR -

µmol of NADPH oxidized/min/mg protein and G6PD - µmol of NADPH formed/min/mg protein.

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Page 36: Epigallocatechin gallate effectively ameliorates fluoride-induced oxidative stress and DNA damage in the liver of rats

Table 6.

Changes in the activities of adenosine triphosphatases (ATPase) in the liver of control and experimental rats.

Groups

Control

EGCG

(40 mg/kg)

Fluoride

(25 mg/kg)

Fluoride (25

mg/kg) + EGCG

(40 mg/kg)

Fluoride

(25mg/kg) +

Silymarin

(25mg/kg)

Total ATPases

(µg Pi liberated/min/mg

protein)

Na+/K

+ATPase

(µg Pi liberated/min/mg

protein)

Ca2+

ATPase

(µg Pi liberated/min/mg

protein)

Mg2+

ATPase

(µg Pi liberated/min/mg

protein)

2.45 ± 0.21a

0.53 ± 0.03a

0.54 ± 0.06a

0.91 ± 0.08a

2.48 ± 0.23a

0.54 ± 0.04a

0.56 ± 0.07a

0.98 ± 0.12a

1.35 ± 0.12b

0.23 ± 0.01b

0.29 ± 0.05b

0.48 ± 0.04b

1.99 ± 0.17c

0.46 ± 0.04c

0.46 ± 0.05c

0.79 ± 0.09c

1.57 ± 0.11d

0.37 ± 0.05d

0.34 ± 0.04d

0.67 ± 0.07d

Values are given as mean ± S.D. from six rats in each group. Values not sharing a common superscript letter (a-d)

differ significantly at P<0.05 (DMRT).

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Page 37: Epigallocatechin gallate effectively ameliorates fluoride-induced oxidative stress and DNA damage in the liver of rats

142x131mm (96 x 96 DPI)

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Page 38: Epigallocatechin gallate effectively ameliorates fluoride-induced oxidative stress and DNA damage in the liver of rats

130x161mm (96 x 96 DPI)

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Page 39: Epigallocatechin gallate effectively ameliorates fluoride-induced oxidative stress and DNA damage in the liver of rats

133x122mm (96 x 96 DPI)

Page 39 of 41C

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Page 40: Epigallocatechin gallate effectively ameliorates fluoride-induced oxidative stress and DNA damage in the liver of rats

97x131mm (96 x 96 DPI)

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Page 41: Epigallocatechin gallate effectively ameliorates fluoride-induced oxidative stress and DNA damage in the liver of rats

113x113mm (96 x 96 DPI)

Page 41 of 41C

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