Background
Liver is a multipurpose organ of the body that controls internal chemical environment [
1]. It handles the metabolism and excretion of drugs and other xenobiotics from the body thereby providing protection against foreign substances by detoxifying and eliminating them [
2]. Liver purifies enthetic chemical molecules through oxidation, reduction and/or conjugation [
3]. It is certainly affected by free radical and causes disease hepatitis, cirrhosis, liver cancer and other alcohol related disorders [
4]. Liver disease is the major causes of serious health problem leading to morbidity and mortality worldwide and the problem has increased in search for hepatotherapeutic agents from plants [
5,
6].
Liver injury or dysfunction is well known as a serious health problem [
7] and can be produced by toxic chemicals, drugs, and virus infiltration from ingestion or infection [
8]. Exposure of diverse environment pollutants and xenobiotics such as alcohol, paracetamol, carbon tetrachloride (CCl4), thioacetamide are the major cause of liver disorder, which damage the liver by producing reactive oxygen species [
5] which are extremely toxic and produce injury in the tissue through covalent bond and oxidation in DNA base, lipid and protein, Also can change the functional activity of enzymes and structural proteins [
9]. Carbontetrachloride (CCl4) is hepatotoxicant and has been commonly used for generating liver injury in rat model [
10]. In hepatocytes CCl4 is metabolized by the cytochrome P450 to produce the highly reactive free radicals [
11]. The key role in the pathogenesis of CCl4-induced hepatic injury is oxidative stress, which is a physiological status associated with unbalance between free radical [
10] and antioxidant defenses [
12]. In addition, CCl4 hepatotoxicity also causes increased blood flow and cytokine accumulation that are characteristic of tissue inflammation.
For long time, plants were used in treatment of many diseases especially in the East region countries [
13]. In addition,
Lycium barbarum protects mice liver from carbon tetrachloride-induced oxidative stress and necroinflammation by reducing the hepatic necrosis and the serum alanine aminotransferase (ALT) level induced by CCl4 intoxication, inhibiting cytochrome P450 2E1 expression, and restoring the expression levels of antioxidant enzymes and decreasing the level of nitric oxide metabolism and lipid peroxidation induced by CCl4 [
14].
Gorinstein et al. [
15] stated that olive oils improve lipid metabolism and increase antioxidant potential in rats fed diets containing cholesterol. Administration of olive oil may have a potential role as an antioxidant and in lowering the risk of malignant neoplasms, especially breast and stomach cancer; and also in ovary, colon and endometrium cancer [
16]. The popularity of olive oil is increasing mostly attributed to its antioxidant and anti-inflammatory effects, which may help in preventing diseases in humans [
17]. Diverse studies have exposed that the consumption of olive oil may have a potential role in decreasing the risk of malignant neoplasms, especially breast and stomach cancer; and also in ovary, colon and endometrium cancer [
18,
19].
Nigella sativa L. (is also known as black seed or black cumin) seeds have curative potential as described in the Old Testament and in Islamic culture [
20]. Black seed oil is traditionally used for enhancing immunity and combating inflammatory and respiratory diseases, among many disorders [
21]. Thymoquinone, present in
N. sativa oil, has growth inhibitory effects against a variety of cancerous cells through the inhibition of DNA synthesis and the induction of cell cycle arrest [
22,
23].
Nigella sativa anti-inflammatory potential accounts for the observed analgesic, antidiabetic, and antihistaminic effects, and ability to alleviate diabetes, respiratory diseases, rheumatoid arthritis, multiple sclerosis, and Parkinson’s disease [
24,
25].
The aim of this study is to compare the protective and curative effects of olive oil and Nigella sativa oil on CCl4 induced liver damage in male rats.
Methods
Animal
Forty males of a new model of albino rats (Wistar strain) weighing about 175–205 g were obtained from King Fahd Medical Research Center (KFMRC), King Abdulaziz University, Jeddah, Saudi Arabia. All the animal experiments were carried out under protocols approved by the Institutional Animal House of the University of King Abdulaziz at Jeddah, Saudi Arabia. The plan of our study specifically was approved by our institutional ethics committee at King Abdulaziz University (KAU-1435). The rats were housed in standard laboratory conditions at a temperature of (25 ± 3 °C), relative humidity (50–55 %) and a 12 h light/dark cycle (five rats / cage) 2 weeks before the start of the experiment. Cages, bedding, and glass water bottles (equipped with stainless steel sipper tubes) were replaced twice per week. Stainless steel feed containers were changed once a week. All animals fed standard nutritionally balanced diet and drinking water ad libitum.
Conventional animal basal diet
Standard nutritionally balanced diet consisted of the following ingredients; 20.0 % protein, 4.0 % fat, 5.0 % fiber, 1.0 % vitamin mix, 3.50 % mineral mix, 0.25 % choline chloride and 66.25 % corn starch. Its energy equals 2850 kcal/kg. The diet manufactured by a Grain Silos and Flour Mills, in Jeddah, KSA. Basal diet food was stored in a dry place out of direct sunlight.
Carbon Tetrachloride (CCl4) were obtained from Merck Ltd., Coimbatore, Tamilnadu (India).
The olive oil was an extra virgin oil, produced from a local olive oil factory in Jeddah, Saudi Arabia. The quality of the used olive oil was tested to be sure that it is true extra virgin olive oil spectrophotometrically by having a stronger absorbance. Nigella sativa oil were purchased from a local herbal medicine shop in Jeddah, Saudi Arabia.
Design of the experiment
Forty rats were divided randomly into four groups, each consists of ten rats as follows:
1.
Group 1)G1(: The first group is untreated control group and was administered with olive oil (intraperitoneally injected at 8.00 Am in the 1st and 4th day of every week until the last day of the experiment) which was used as vehicle, and fed normal basal diet and water for 4 weeks.
CCl4 (1 ml/kg body weight) was administered to animals of all the remaining groups at 8.00 Am in the 1st and 4th day of every week until the last day of the experiment by intraperitoneal injection with equal amount of olive oil.
2.
Group 2 (G2) was the positive CCl4 control group and received only CCl4 (1 ml/kg body weight): olive oil (1:1) at 8.00 Am in the 1st and 4th day of every week intraperitoneally injected for 4 weeks.
3.
Group 3 (G3) was injected with CCl4 [(1 ml/kg body weight): olive oil (1:1)] at 8.00 Am in the 1st and 4th day of every week intraperitoneally and cotreated daily with olive oil (1 ml/kg bw, for 4 weeks) orally using a stomach tube, at 8.00 Am. This group represents the positive control treated with olive oil which is well known with it is hepatoprotective effect.
4.
Group 4 (G4) was injected with CCl4 [(1 ml/kg body weight): olive oil (1:1)] intraperitoneally injected and cotreated daily with (1 ml/kg b w) of Nigella sativa oil for 4 weeks orally using a stomach tube, at 8.00 Am.
Samples collection and organs weight
At the end of the experiment rats were anesthetized using diethyl ether then, blood samples were collected from the heart of rat under anesthesia with diethyl ether. Serum was separated by centrifugation at 7000 rpm for 15 min at 4 °C. After collection of blood, anaesthetized animals were scarified by cervical dislocation. The abdomen was opened and the organs (Heart, liver, kidney sand testes) were rapidly dissected out, weighed and kept in saline. Apiece of liver was washed in sterile saline and fixed in 10 % buffered formalin for histopathological studies. A piece of liver was kept at ice-cold temperature to prepare to prepare liver tissue homogenate for antioxidant enzymes, lipid peroxide and interleukin-6 estimation.
Food intake and water consumption
Food intake per cage was recorded once per week.
Weight gain (g), body weight gain ratio (BWG%) and food efficiency ratio (FER)
Body weight gain (g), body weight gain ratio (BWG%) and food efficiency ratio (FER) were calculated as follows:
$$ \mathrm{Weight}\ \mathrm{gain}\ \mathrm{of}\ \mathrm{rats} = \mathrm{Final}\ \mathrm{weight}\ \mathrm{of}\ \mathrm{rats}\ \left(\mathrm{g}\right) - \mathrm{Initial}\ \mathrm{weight}\ \mathrm{of}\ \mathrm{rats}\ \left(\mathrm{g}\right) $$
$$ \mathrm{B}\mathrm{W}\mathrm{G}\%=\mathrm{Final}\ \mathrm{weight}\ \mathrm{of}\ \mathrm{rats}\hbox{-} \mathrm{Initial}\ \mathrm{weight}\ \mathrm{of}\ \mathrm{rats}/\mathrm{Initial}\ \mathrm{weight}\ \mathrm{of}\ \mathrm{rats}\ \mathrm{X}\ 100 $$
$$ \mathrm{F}\mathrm{E}\mathrm{R} = \mathrm{Weight}\ \mathrm{of}\ \mathrm{rats}\ \left(\mathrm{g}\right)/\mathrm{food}\ \mathrm{intake}\ \left(\mathrm{g}\right) $$
Liver tissue homogenate
A piece of the liver tissue was cut into small pieces and washed with phosphate-buffered saline and then grinded in a homogenization buffer consisting of 0.05 M Tris-HCl pH 7.9, 25 % glycerol, 0.1 mM EDTA, and 0.32 M (NH4)2SO4 and containing a protease inhibitor tablet from Roche (Germany). The lysates mix was homogenized on ice using a Polytron homogenizer. The mix was sonicated in an ice bath to prevent overheating for 15 s followed by 5 min centrifugation at 12,000 rpm and 4∘C. The supernatant was aliquoted and stored at −80∘C.
Liver enzymes
Serum alanine aminotransferase (ALT) was estimated according to the method of Schumann and Klauke [
26] using human kit (Germany), serum aspartate transaminase (AST) was estimated according to the method of Bergmeyer et al. [
27], using Swemed diagnostics kit (India) and serum alkaline phosphatase (ALP) was estimated according to the method of Rick [
28] using Human Kit (Germany). Estimation was done according to the instruction of the supplier.
Total proteins
Total protein and albumin were measured using commercial kits according to the instruction of the supplier. Total protein was quantified according to the method of Cannon et al. [
29] using a Total protein kit Sigma-Aldrich (USA). Serum Albumins were estimated according to the method of Lee [
30] using Sigma-Aldrich (USA) according to the instruction of the supplier.
Total bilirubin
Total bilirubin was estimated according to the method of Balistreri and Shaw [
31] using Human Kit (Germany) according to the instruction of the supplier.
Kidney functions
Kidney functions parameters; creatinine, uric acid, blood urea were measured using commercial kits according to the instruction of the manufacturer as follows: i- Serum urea and uric acid were estimated according to the methods of Fawcett and Scott [
32], Fossati et al. [
33], respectively using Human kit (Germany), ii- Serum creatinine was estimated according to the method of Tietz [
34] using Moody International creatinine kit (UKAS, Germany).
Assessment of lipid profile
Lipid profile was determined by assessing serum TG, cholesterol, VLDL, LDL and HDL levels using commercial kits, following manufacturer’s instructions. Serum total cholesterol (TC), serum high density lipoprotein (HDL) and serum triglyceride (TG) were estimated according to the method of Young [
35] using Spinreact kit (Spain) according to the instruction of the supplier. The value of serum low density lipoprotein (LDL) and serum very low density lipoproteins (VLDL) was calculated according to the equation of Srivastava [
36] as follows:
Antioxidants and lipid peroxide
Antioxidant enzymes (catalase, glutathione-S-transferase), and lipid peroxide were assayed in the serum and liver tissue homogenate colorimetrically using Biodiagnostic kit (Egypt), according to the instruction of the manufacturer. The calculations of catalase activity, glutathione-S-transferase activity and lipid peroxide concentration were estimated by the suitable equation of the kit.
Interleukin-6
The proinflammatory cytokines IL-6 was estimated in the serum and liver tissue homogenate according to the method of Hirano [
37] using R&D Systems Inc (United States) kits according to the instruction of manufacturer.
Histopathological investigations
A piece of liver was fixed in 10 % formalin, dehydrated in gradual ethanol (50–99 %), cleared in xylene, and embedded in paraffin. Sections were prepared and then stained with hematoxylin and eosin dye for microscopic investigation [
38].
Statistical analysis
Data were analyzed using SPSS program. T-test and the mean ± SD were calculated, and then the data were analyzed using one way analysis of variance (ANOVA, p < 0.05) using the protected least significant difference (LSD) test using SAS software.
Discussion
In Saudi Arabia, the prevalence of liver diseases is relatively rising and the mortality and morbidity rates are significant [
39,
40]. The present study was focused at studying the protective effect of olive oil and
Nigella sativa oil to CCl
4 induced hepatotoxicity in male rats. Liver injury can be induced directly from hepatic toxicity or indirectly from immune mediation by biological factors (e.g. hepatitis virus, bacteria, and parasite), environmental factors and chemical factors (e.g. medicine, industrial poisons and alcohol) [
41].
In the current study, the positive control group rats given CCl
4 showed a decrease in food intake. This result agrees with that of Wu et al. [
42] and Tanaka et al. [
43] who reported decreased food intake due to toxicity with CCl
4. Moreover, decrease in food intake was detected after administration of olive oil and
Nigella sativa to rats received CCl
4. An increase in the total body weight in rats of the positive control group with induced CCl
4 as compared with the negative control group was also encountered. Body weight loss is a distinctive feature of CCl
4-induced hepatotoxicity [
44]. One of the largest organ is liver that CCl
4 administrated caused a rapid accumulation of triglycerides in the liver due to a block secretion of very low density lipoprotein by hepatocytes [
45,
46]. Furthermore, increase in the total body weight was detected after administration of olive oil and
N. Sativa oil to rats received CCl
4.
In the current study, CCl
4 induced liver damage in rats and consequently decreased BWG % which also accompanied with decreased FER compared with negative control group. The obtained results were in agreement with Fang et al. [
17] and Khan et al. [
47] who reported that CCl
4 induced liver damage groups in rats showed significant reduction in body weight compared with rats non-injected with CCl
4. Furthermore, increase in the body weight gain was detected after administration of olive oil. This result is consistent with that of Tufarelli et al. [
48]. Furthermore,
N. Sativa oil treated group (G4) showed very highly significant differences in BWG compared to the positive control group. This result is consistent with the study of Zaoui et al. [
49]. Moreover, El-Sayed [
50] discovered that the reduction seen in the body weight gain for 5 days after treatment with CCl
4 that was alleviated by either
N. sativa or thymoquione (one of the its major constituents) treatment on comparison with CCl
4-treated animals. Our results showed that, no significant differences in heart, liver, kidneys and testes weight was observed after injection of CCl
4 in rats for 28 daysays compared to the negative control. This agrees with the result of Kovalovich et al. [
51].
The CCl
4 injured liver functions showed significant increase in liver enzymes alanine aminotransferase (ALT), aspartate aminotransferase (AST) and alkaline phosphatase (ALP) compared with the negative control were observed after administration with CCl
4 in the positive control as a result of hepatic cell damage. CCl
4 induced hepatotoxicity and increased the aminotransferase and ALP activities and similar observation was found in group administrated with CCl
4 and caused significant increase in ALT and AST enzymes in Wistar rats [
52,
53]. Alanine aminotransferase is considered a highly sensitive and specific biomarker of hepatotoxicity. Elevation of ALP, a cell membrane enzyme is a primary marker of hepatobiliary effects and cholestasis [
54]. Also, elevation in liver enzymes reflected liver cell damage and could be attributed to tissue breakdown, permitting the escape of intracellular enzymes from cytosol into the blood [
52].
Treating the hepatotoxic rats in G3 and G4 with olive oil or
N. Sativa, respectively reversed the activity of transaminases and restored them towards normal values indicating maintenance of functional integrity of hepatic cell membrane, however, they need a higher dose of
Nigella sativa oil and olive oil to be restored to the normal levels. This agrees with our study which revealed that level of enzymes in CCl
4 + olive oil group (G3) and CCl
4 +N. Sativa oil group (G4) is lower than the CCl
4 group (G2). These results agree with that of Krishnan and Muthukrishnan [
55] who reported that AST, ALT and ALP elevated enzymatic levels were significantly returned toward normal levels by the 10 % aqueous extract of
N. sativa.
On the other hand, renal function parameters in the present investigation showed a significant elevation in the level of uric acid (UA), urea and creatinine (CRE) when compared to that of the negative control. This indicates that the kidney was affected by CCl
4 toxicity. UA and urea are the final product of nucleic acid or protein catabolism, respectively. The increased protein catabolism together with enhanced amino acid deamination for gluconeogenesis is possibly an acceptable postulate to understand the raised levels of urea. The elevated UA may be due to degradation of purines or to a rise of UA levels by either overproduction or inability of excretion. Moreover, 50 % of kidney function must be lost before an elevation in the serum CRE [
56]. The current study shows that in spite of the ameliorative effect of both
Nigella sativa oil and olive oil on kidney function parameters approaching the normal levels, they need a higher dose of
Nigella sativa oil and olive oil to be restored to the normal levels.
The current findings indicated that there were a correlation between liver damage and kidney disease in this animal model that could be considered a novel study. On the other hand, the current results are consistent with other studies demonstrated a relationship between kidney disease and CCl
4 liver toxicity [
57‐
59]. Treating the damaged liver rats with olive oil and
N. sativa oil protected the liver and improved the kidney function. Olive oil has been shown to reduce the kidney induced toxicity by a different nephrotoxin that resulted in reduced urea, CRE and UA levels [
25,
60,
61]. These previous studies are consistent with our present study that showed reduced urea, CRE and UA levels in olive oil and
N. Sativa oil group when compared with the positive control group in rats with CCl
4 induced liver and injury and the administration of in olive oil and
N. Sativa could recover the injury.
In the present study, serum concentration of total protein and albumin decreased after the injection of CCl
4 in rats of the positive control group due to hepatotoxicity. The present result is in agreement with previous studies [
52,
62]. CC1
4 toxicity produced a significant decrease in plasma level of total protein and albumin. This may be as a result of releasing total protein and albumin from the cytoplasm into the blood quickly after cellular destruction and a reduction in forming hepatic protein [
62]. Moreover, our results showed an increase in total protein and albumin after administration of olive oil and
N. sativa oil to rats received CCl
4. This result is also consistent with Al-Malki and El Rabey [
25], Salem et al. [
61] and Jin et al. [
63].
In the current study, the CCl
4 induced liver damage rats showed significant increase in total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL) and very low density lipoprotein (VLDL). In contrast, high density lipoprotein (HDL) was decreased compared with the negative control. This result is consistent with that of Hosseinzadeh et al. [
64]. Treating these damaged-liver rats with olive oil and
N. sativa oil significantly ameliorated the lipid profile parameters. The HDL was restored to the normal levels, whereas the other parameters need a higher dose of
Nigella sativa oil and olive oil to be restored to the normal levels. This result is consistent with other studies [
65,
66]. Oxidative stress due to CCl
4 injection caused an increase in free fatty acid distribution to the liver and elevated hepatic TG accumulation and diet rich with olive oil and
N. Sativa reduced the accumulation of TG in the liver [
67].
In the current study, catalase (CAT), superoxide dismutase (SOD) and glutathione-S-transferase (GSST) were decreased in the serum and liver tissue homogenate of G2 as a result of CCl
4 injection compared with negative control group, whereas lipid peroxide (MDA) in serum and tissue levels were increased. In spite of restoring the antioxidant enzymes to the normal levels, lipid peroxide needs a higher dose of
Nigella sativa oil and olive oil to restore it to the normal levels. This result is consistent with that of Fang et al. [
17]. Similar to the other above mentioned parameters, treating the CCl
4 induced hepatotoxicity with olive oil or
N. Sativa oil in G3 and G4, respectively significantly increased CAT, SOD and GSST and reduced MDA compared to the positive control group. This result is consistent with Krishnan and Muthukrishnan [
55] and İlhan and Seçkin [
67].
In the present study, CCl
4-induced liver toxicity in male rats showed significant increase in both serum interleukin-6 (S.IL-6) and tissue interleukin-6 (T.IL-6) which is a proinflammatory cytokines compared with that of the negative control as a result of the inflammation occurred in the liver due to toxicity. This result is consistent with the increase in liver enzyme in the blood stream as a result of liver cells damage. Moreover, a decrease in the S.IL-6 and T.IL-6 levels was detected after administration of olive oil and
N. Sativa to rats received CCl
4. This agrees with other previous results [
22,
23]. Several studies revealed the benefits of medical plants like olive oil or
Nigella sativa (
N. Sativa) oil on mice, rat and a rabbit model which showed anti-steatotic, anti-inflammatory and antioxidant effect and also delay in the development of liver disease [
68‐
70].
Liver tissues showed many pathological changes as a result of CCl
4 hepatotoxicity which is consistent with previous investigations [
5,
8,
9]. Treating the CCl4 induced hepatotoxicity with olive oil or
N. Sativa oil in G3 and G4, respectively significantly improved the liver tissues and nearly restored them to the normal. This result is consistent with other studies showed hepatoprotective role for both olive oil and
N. sativa oil against pathological changes due to their higher content of antioxidant substance such as flavonoids and phenolic compounds [
16,
17,
71]. To get full protection, the dose of
Nigella sativa oil and olive oil may be increased to 1.5 ml /Kg body weight.