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Abstract Summary Paracetamol (APAP), an over-the-counter drug, is a commonly used antipyretic and analgesic which can lead to liver damage if taken in overdose. APAP is generally safe for use at recommended doses of 1 g per single dose and up to 4 g per day for adults. It is also safe for children and infants at recommended doses. Excessive use of APAP can damage the liver and if not treated, an overdose can lead to liver failure and death. In therapeutic dose, APAP is converted by drug metabolizing enzymes to water-soluble metabolites and secreted in the urine. Saturated and excess APAP is oxidatively metabolized by hepatic cytochrome p450 system to a toxic metabolite, namely, N-acetylpbenzoquinone imine (NAPQI). The NAPQI is normally detoxified by a nonprotein thiol known as GSH with both oxidant scavenger and redox-regulation capacities. GSH is a major antioxidant system and a crucial component of host defense which is responsible for scavenging reactive free radicals produced through the metabolism process within the liver to prevent cell injury. The toxic dose of APAP caused the depletion of GSH resulting in accumulation of NAPQI which then covalently binds to the cysteinyl sulfhydryl groups of cellular proteins forming NAPQI-protein adducts. This event results in the generation of ROS including the hydrogen peroxide, superoxide anion (O 2− ), and hydroxyl (OH − ) radical that affect the cellular membrane and induce lipid peroxidation and also cause cellular necrosis. Apricot (Prunus armeniaca L.) is one of the most important commercial crops and worldwide preferable in the markets of production and consumption. Apricot is mostly suitable for manufacturing in many commercial forms such as fresh fruit, dried fruit and fruit juice. Apricot is considered as a good source of dietary antioxidant, with its content of flavonoids and carotenoids. Flavonoids are a large group of polyphenolic Summary 17 9 antioxidants that exhibit a wide range of biological activities including the inhibition of lipid peroxidation , capillary permeability and platelet aggregation. They also inhibit the enzymes responsible for superoxide anion production (xanthine oxidase and protein kinase C) and ROS generation (cyclooxygenase, lipoxygenase and NADH oxidase). Apricot kernel is an important source of dietary protein as well as oil an d fiber. It is well known that apricot kernels contain a wide variety of bioactive components, and that consumption of apricot kernel has been associated with a reduced risk of chronic diseases. Interestingly, apricot kernels contain as much as 50% oil. Apricot kernel oil (AO) is rich in mono- and polyunsaturated fatty acids, with oleic and linoleic acids being the major constituents, and a number of minor components, such as tocopherols and phenolic compounds. Monounsaturated and polyunsaturated fatty acids, as well as minor lipid components, play an important role in human nutrition and health. Several studies indicated that apricot and its kernel exhibited antioxidant protection, hypolipidemic, and anti-inflammatory properties. Apricot and its kernel may have hepatoprotective effects and prevent cellular damage by inhibiting lipid peroxidation, improving antioxidant enzymes and preventing DNA damage. This study was designed to investigate the protective effect of fresh, dried apricots and its kernel added to diet (10% and 20% w/w) on paracetamol-induced cellular toxicity in rats comparing that with healthy control rats. Eighty adult male albino rats Spargue Dawly strain weighing 115+ 5g were fed with standard balanced diet and water ad libitum for a one week acclimitation period , then the eighty rats were divided into eight groups (10 per each) as follow: Group 1: rats fed with normal balanced diet for 6 weeks followed by a single dose, i.p injection, of saline (-ve control). Summary 18 0 Group 2: rats fed with normal balanced diet for 6 weeks followed by a single dose, i.p injection, of APAP (500 mg\kg body weight (+ve control). Group 3: rats fed with 10% fresh apricot containing diet for 6 weeks followed by a single dose, i.p injection, of APAP (500 mg/kg body weight). Group 4: rats fed with 20% fresh apricot containing diet for 6 weeks followed by a single dose, i.p injection, of APAP (500 mg/kg body weight). Group 5: rats fed with 10% dried apricot containing diet for 6 weeks followed by a single dose, i.p injection, of APAP (500 mg/kg body weight). Group 6: rats fed with 20% dried apricot containing diet for 6 weeks followed by a single dose, i.p injection, of APAP (500 mg/kg body weight). Group 7: rats fed with 10% apricot kernel conta ining diet for 6 weeks followed by a single dose, i.p injection, of APAP (500 mg/kg body weight). Group 8: rats fed with 20% apricot kernel containing diet for 6 weeks followed by a single dose, i.p injection, of APAP (500 mg/kg body weight). Food intake was recorded daily. The animals were weighed weekly to monitor the body weight changes and FER. After 24 hours of APAP injection and 12 hour fasting, the animals were scarified under ether anesthesia and blood samples were collected directly from portal vein. The organs (liver, kidney, and testis) were separated immediately, and then weighed, part of liver, kidney, and testis specimens were preserved in 10% formalin for microscopic examination. Summary 18 1 At the end of experiment the following nutritional, biological and biochemical parameters were measured: Apricot (fresh and dried) and apricot kernel were chemically analyzed for their content of moisture, proteins, carbohydrates, fibers, fats, ash, ascorbic acid, total carotenoids, and total phenolics. Food intake, body weight gain, and feed efficiency ratio. Relative weight of liver, kidney, and testis. Serum total protein and albumin levels. Serum bilirubin (total, direct, and indirect) levels. Serum liver enzymes activities (AST, ALT and ALP). Serum urea, creatinine and uric acid levels. Serum acid phosphatase (total, prostatic and non prostatic) activity. Serum lipid profile (TC, TAG, HDL-C, LDL-C, VLDL-C) levels. Liver, kidney and testis GSH level. Liver, kidney and testis MDA level. Also, microscopic examination of liver, kidney and testis was performed. The results of our study can be summarized as follow: (1)Nutrients composition of fresh apricot, dried apricot, and apricot kernel: Values revealed that each 100g of fresh apricot contains 86.10+ 3.5 g moisture, 0.84+ 0.3g protein, 0.04+ 0.02g fat, 12.19+ 6.5g total CHO, 2.30+ 0.3 g total fiber, and 0.84+ 0.4g ash. Also, each 100 g of dried apricot contains 28.26+ 7.0 g moisture, 1.88+ 0.5g protein, 0.08+ 0.02 g fat, 64.61+ 2.5 g total CHO, 7.53+ 1.5 g total fiber, and 5.17+ 3.8 g ash.Moreover, analysis of apricot kernel proved that each 100 g contains 4.88 + 2.3 g moisture, 25.65+ 3.6 g protein, 34.60+ 2.7 g fat, 32.29+ 1.9 g total CHO, 24.72+ 10 g total fiber, and 2.58+ 1.8 g ash. Summary 18 2 In addition, the results of this study revealed that ascorbic acid concentration was 35.11+1.1, 15.07+ 1.07, and 2.6+ 0.62mg/100g for fresh apricot, dried apricot and apricot kernel respectively. While, total carotenoid content was 4.11+0.13, 6.69+0.22, and 1.45+0.14mg/100g fresh apricot, dried apricot and apricot kernel respectively.Also, our data represents that total phenolic content concentration in fresh apricot, dried apricot, and apricot kernel was55.38+0.10, 80.0+0.11, and 2.8+0.18mg as GAE/100g respectively. (2) Food intake, body weight gain, feed efficiency ratio and relative organs weight: Paracetamol administration didn’t cause change in daily food intake, body weight gain, and relative organs weight. Moreover, supplementation with fresh and dried apricot (10&20%) before APAP administration caused significant increase in food intake and body weight gain. On the other hand , supplementation with apricot kernel (10&20%) caused significant decrease in food intake and body weight gain. Also, there was no significant change in FER between healthy control and APAP control rats. In addition, there was no significant change in relative organs weight between all groups. (3) Liver function measurements: Our data represents a marked decrease in serum total protein and albumin in APAP-control group. In contrast, paracetamol caused marked elevation in serum total, direct, and indirect bilirubin levels, also, AST, ALT, and ALP activities which indicate liver dysfunction. Apricot and its kernel demonstrated a hepatoprotective effect as their supplementation maintains the liver function parameters. This could be attributed to their hepatocytes cell membrane stabilization, which then prevents the cystolic released in circulation. Also, their antioxidant effect and their ability to replenish GSH level that can help in the defense against any liver Summary 18 3 damage. The improvement in liver parameters was dose dependent. (4) Kidney function measurements: Paracetamol control group showed renal dysfunction that was manifested by marked elevation of serum urea, creatinine and uric acid levels. Our results proved the protective effect of apricot and its kernel on kidney functions as clear by the reduction of serum urea, creatinine, and uric acid levels. The data proved that the protective effect of fresh and dried apricot was dose dependent. Their nephro-protective effect may be due to their highly content of bioactive compounds mainly carotenes, flavonoids, and ascorbic acid. These compounds are able to scavenge ROS , thus preventing oxidative tissue damage. (5) Testis function measurements: It was noticed that there was significant elevation in serum total, non-prostatic, and prostatic ACP activity in APAP-control rats indicating testicular damage. Moreover, supplementation of rat’s diets with apricot and its kernel showed testicular protection as manifested by marked reduction in serum total, non-prostatic, and prostatic ACP activity. This protection may be due to their content of vitamin C that is an important antioxidant which protects spermatogenesis from free radical damage. Also, Carotenoids are probably nonfocal antioxidants that indirectly affect the male fertility. Mixtures of carotenoids or associations with others antioxidants (e.g. vitamin C and vitamin E) can increase their ability to protect against lipid peroxidation induced by APAP. Summary 18 4 (6)Lipids profile measurements: APAP-control rats showed disturbance in serum lipids profile which detected by the elevation of serum TC, TAG, LDLC, and VLDL-C levels and reduction of HDL-C level. Our present study proved the hypocholesterolemic and hypotriglyceredemic effect of apricot and its kernel , as their administration cause a marked dose-dependent decrease in serum TC, TAG, LDL-C and VLDL-C levels, and noticeable elevation of HDL-C level. The hypolipidemic effect of fresh, dried apricots and apricot kernel was dose dependent. (7) Antioxidant status and lipid peroxidation measurments: Our study indicated a disturbance in antioxidant status including liver, kidney, and testis GSH that can be inferred by the reduction of its level in APAP-control rats. Also, there was an increase in lipid peroxidation that can be reflected by increasi ng liver, kidney, and testis MDA level (a lipid peroxidation marker). Administration of apricot and its kernel maintain the antioxidant status and lipid peroxidation that were manifested by the marked increase in tissue GSH and a marked decrease in tissue MDA levels. These compounds have antioxidant capacity to scavenge ROS and spare α-tochopherol. (8) Microscopic examination of liver, kidney, and testis samples: Liver section from APAP- control rats showed congestion of fatty degeneration of hepatocytes, Kupffer cells activation and vaculation of hepatocytes. Also, kidney section from APAPcontrol rats showed hypertrophy and vaculation of glomerular tuft and eosinophilic protein cast in the lumen of renal tubules. While, testis from APAP-control rats is characterized by degeneration of spermatogoneal cells lining of seminiferous tubules. Summary 18 5 Co-administration of fresh apricot, dried apricot, and apricot kernel normalized tissue lipid peroxidation level and prevented the reduced tissue GSH level. Even they possess significant quantity of polyphenols like flavonoids. In fact, these principles play a major role in free radical scavenging activity and further these may contribute to cellular protection. The protective property of them is further confirmed by significant improvement of the liver, kidney and testis architecture by reversing the cellular congestion, inflammatory cells, cellular necrosis and apoptosis. Apricot addition to diet ameliorated these alterations mainly by radical scavenging activity.Antioxidants in apricot may prevent APAP-induced cellular damage. The flavonoids , carotenoids, vitamin A, and vitamin C in apricots are all antioxidants in isolation; flavonoids and vitamin A stabilize cell membranes by inhibiting the lipid peroxidation process, whereas carotenoids and vitamin C act as nonfocal antioxidants. The association of carotenoids with other antioxidants augments the overall protective effect on lipid peroxidation that causes cellular damage. |