ijcs International Journal of Cardiovascular Sciences Int J Cardiovasc Sci 2359-4802 2359-5647 Sociedade Brasileira de Cardiologia S2359-56472022005016204 nk68ZsZF7T7DtHrq6NmXpLr S2359-56472022000200214 ijcs.20210055 10.36660/ijcs.20210055 ORIGINAL ARTICLE Radioprotective Effect of Nigella Sativa Oil on Heart Tissues of Rats Exposed to Irradition 0000-0001-7081-5799 Kaplan Mehmet 1 0000-0003-4545-5175 Demir Elif 2 0000-0003-1913-4212 Yavuz Fethi 3 0000-0002-2839-0923 Kaplan Gizem Ilgin 4 0000-0002-1072-4059 Taysi Mehmet Resit 5 0000-0003-1251-3148 Taysi Seyithan 1 0000-0002-3695-5461 Sucu Mehmet Murat 1 Gaziantep University School of Medicine Department of Cardiology Gaziantep Turkey Gaziantep University School of Medicine, Department of Cardiology, Gaziantep - Turkey Division of Biochemistry Harran University College of Health Sanlıurfa Turkey Division of Biochemistry, Harran University, College of Health, Sanlıurfa - Turkey Adana City Training & Research Hospital Department of Cardiology Adana Turkey Adana City Training & Research Hospital, Department of Cardiology, Adana - Turkey Ersin Arslan Training & Research Hospital Department of Internal Medicine Gaziantep Turkey Ersin Arslan Training & Research Hospital, Department of Internal Medicine, Gaziantep - Turkey Faculty of Agriculture Bingol University Bingol Turkey Faculty of Agriculture, Bingol University, Bingol - Turkey Mailing Address: Mehmet Kaplan Gaziantep University School of Medicine, Department of Cardiology 27310, Gaziantep - Turkey E-mail: kardiomehmet27@hotmail.com

Author contributions

Conception and design of the research: Kaplan M, Demir E. Acquisition of data: Kaplan M, Demir E, Yavuz F, Kaplan GI, Taysi MR. Analysis and interpretation of the data: Kaplan M, Demir E, Yavuz F, Kaplan GI, Taysi MR. Statistical analysis: Kaplan M, Yavuz F, Taysi MR, Sucu MM. Obtaining financing: Kaplan M. Writing of the manuscript: Kaplan M, Yavuz F, Kaplan GI. Critical revision of the manuscript for intellectual content: Kaplan M, Demir E, Taysi MR, Sucu MM. Supervision / as the major investigador: Kaplan M.

Potential Conflict of Interest

No potential conflict of interest relevant to this article was reported.

 07 01 2022 Mar-Apr 2022 35 2 214 219 24 02 2021 02 06 2021 20 09 2021 This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background

Various studies are ongoing related to the radioprotective agents. Herbal preparations are currently becoming popular because of their beneficial effects with fewer side effects compared to the synthetic/semi-synthetic medicines, and Nigella sativa oil (NSO) is only one of them.

 Objective

To investigate NSO for its antioxidant effects on the heart tissue of rats exposed to ionizing radiation (IR).

 Methods

Thirty six male albino Wistar rats, divided into four groups, were designated to group I (IR plus NSO group) that received both 5 Gray of gamma IR to total cranium and NSO; group II (IR alone group) that received IR plus saline, group III (control group of NSO) that received saline and did not receive NSO or IR; group IV (control group) that received only sham IR. Alterations in Total antioxidant status (TAS) and Total oxidant status (TOS), Oxidative stres index (OSI), Sulhydryl group (SH), Lipid hydroperoxide (LOOH), Paraoxonase (PON) levels, Arylesterase (ARE) and Ceruloplasmin (CER) activities in homogenized heart tissue of rats were measured by biochemical methods.

 Results

In heart tissue of the rats in the IR alone group (group II) LOOH, TOS and OSI levels were found to be higher, ARE activity and TAS level were found to be lower than all of the other groups (p < 0.01). These results also support that IR increases oxidative stress and NSO's protective effect.

 Conclusion

NSO would reduce the oxidative damage in the irradiated heart tissue in the experimental rat model.

 Rats Radiation Radiation, Effects Nigella Sativa Oil Plants, Medicinal Anti-Inflammatory Agents/therapeutic use Introduction

Radiotherapy is an important treatment method for a wide variety of malignancies. Ionizing radiation (IR) is known to generate free radicals in irradiated tissues.1 Mammalian cells have both enzymatic and non-enzymatic cleansing systems to remove reactive oxygen species (ROS) and reactive nitrogen species (RNS), respectively.2 An imbalance favoring the prooxidants and disfavoring the antioxidants, potentially leading to damage, has been called “oxidative stress.”3

Efforts to reduce the toxicity of irradiation to normal tissues, organs, and cells have led to the investigation of cytoprotective agents. 4 Many dietary components may have either direct antioxidant activity, such as flavonoids, melatonin, nigella sativa oil (NSO), and thymoquinone(TQ), 5 or indirect antioxidant activity, such as zinc, 6 manganese, and selenium. 7 NSO is commonly known as ‘black seed’ and has strong antioxidant properties against oxidative damage.8Many studies have reported that it has various pharmacological properties, including antioxidant, hepatoprotective, neuroprotective, antidiabetic, anti-inflammatory, nephroprotective, and anticarcinogenic. 9 This study aimed to investigate the effects of NSO supplementation on oxidant/antioxidant parameters simultaneously in the heart tissue of rats exposed to IR.

 Methods Rats and experiments

Thirty six male albino Wistar rats, 10-12 weeks old, weighing 200 6 25 g at the time of radiation, were used for the experiment. Power analysis was performed for the study, and it was found to be 0.80. The rats were quarantined for at least one week before gamma IR and fed standard laboratory chow and water ad libitum . All rats were divided into four groups with equal probability by simple randomization and designated to group I (IR plus NSO group), which received both 5 Gray of gamma IR to total cranium and NSO; group II (IR only group), which received IR plus saline; group III (control group of NSO), which received saline and did not receive NSO or IR; and group IV (control group), which received only sham IR. Before total cranium IR, all rats were anesthetized by the administration of 80 mg/kg of ketamine HCl (Pfizer Ilac, Istanbul, Turkey) and placed on a tray in the prone position. The rats in the IR and the IR plus NSO groups received IR, using the Cobalt-60 teletherapy unit (Picker, C9, Maryland, NY) from a source-to-surface distance of 80 cm by 5 3 5 cm anterior fields with the total cranium gamma IR as a single dose of 5 Gy, whereas the rats in the control and sham control groups received sham IR. The dose rate was 0.49 Gy/min. The central axis dose was calculated at a depth of 0.5 cm. This study was approved by the local ethics committee of the Gaziantep University.

 Biochemical analysis

Ten days after IR, all animals were killed by decapitation, and their heart tissues were removed. The heart tissues were homogenized in physiological saline solution (IKA-NERKE, GmBH KB D-79219, Staufen, Germany). The homogenate was centrifuged at 10,000 g for 1 hour to remove debris. The clear supernatant was collected, and all assays were carried out on this fraction. All the procedures were performed at 48°C.

Total Antioxidant Status (TAS) and Total Oxidant Status (TOS) levels were measured using a method that was introduced by Erel.10 The results were expressed as a millimolar Trolox equivalent per liter for TAS and micromolar hydrogen peroxide equivalent per liter for TOS. The ratio of TOS to TAS was accepted as the Oxidative Stress Index (OSI). For the calculation, the resulting unit of TAS was converted to μmol/gr protein, and the OSI value was calculated according to the following formula:11

OSI (arbitrary unit) = [TOS (μmol H2O2 equivalent/gr protein)/ TAS (μmolTrolox equivalent/gr protein)] × 100.

Paraoxonase (PON) activity was measured; the rate of paraoxon hydrolysis was measured by monitoring the increase by absorbance at 412 nm at 37°C. The amount of generated p-nitrophenol was calculated from the molar absorptivity coefficient at pH 8, which was 17,000 M/cm.12 PON activity was expressed as U/gr protein. Phenylacetate was used as a substrate to measure Arylesterase (ARE) activity by monitoring the increase in absorbance at 270 nm at 37°C. Activity was calculated from the molar absorptivity coefficient of the produced phenol, which was 1310 M/cm.13 Ceruloplasmin (CER) enzymatic activity was measured according to Erel’s method.14 The results are expressed as U/gr protein. The Sulhydryl group (–SH) of the liver tissue were assayed according to Ellman’s method, as modified by Hu et al. 15 The results are expressed as mmol/gr protein. Lipid hydroperoxide (LOOH) levels were measured using the ferrous ion oxidation-xylenol orange method, and the results are expressed as μmol/gr protein. 16

Statistical analyses

All of the statistical analyses were performed using SPSS 23 for Windows (SPSS Inc., Chicago, IL, USA). Distribution of data was evaluated using the Shapiro–Wilk test or Kolmogorov-Smirnov test. Non-normally distributed data were shown as median (quartile deviation). The Kruskal Wallis test and Dunn's multiple comparison test were used to compare variables that are not normally distributed in four groups. p<0.05 was considered significant.

 Results

In Tables 1 and 2 , oxidant and antioxidant variables are sorted by groups. In the rat heart tissues in the IR only group (group II), LOOH, TOS, and OSI levels were found to be higher, ARE activity and TAS levels were found to be lower than all of the other groups (p < 0.01). It is remarkable that oxidative stress and antioxidant activity in the group that received NSO and received IR was similar to that which received the sham IR and the control group.

– Anti-Oxidative parameters of groups
Groups ARE (U/g protein) CER (U/g protein) Total-SH (mmol/gr protein) TAS (mmol Trolox equivalent/gr protein) PON (U/g protein)
IR plus NSO (group I) 9.55 (0.53) 103.4 (5.6) 0.059 (0.01) 0.064 (0.02) 1.18 (0.2)
IR (group II) 9.15 (0.47) 95.6 (5.0) 0.056 (0.01) 0.037 (0.01) 1.19 (0.1)
Control (group III) 9.45 (0.48) 100.4 (5.8) 0.053 (0.01) 0.055 (0.01) 1.08 (0.2)
Sham Control (group IV) 9.73 (0.33) 99.1 (1.9) 0.054 (0.01) 0.054 (0.01) 0.97 (0.1)
p value 0.013* 0.051 0.091 0.001* 0.019*

*p<0.05 is significant. Abbreviations: IR group: irradiation group; IR plus NSO group: irradiation plus Nigella sativa oil group; TAS: Total antioxidant status; –SH: Sulhydryl group; PON: Paraoxonase; ARE: Arylesterase; CER: Ceruloplasmin.

– Oxidative parameters of groups
Groups LOOH (µmol/gr protein) TOS (µmol H2O2 equivalent/gr protein) OSI (ArbitraryUnit)
IR plus NSO (group I) 1.15 (0.08) 1.80 (0.22) 3.18 (0.8)
IR (group II) 1.71 (0.06) 3.30 (0.33) 8.50 (1.1)
Control (group III) 1.06 (0.01) 1.61 (0.37) 2.96 (0.8)
Sham Control (group IV) 1.02 (0.05) 1.79 (0.23) 3.07 (0.8)
p value 0.001* 0.001* 0.001*

*p<0.05 is significant. Abbreviations: IR group: irradiation group, IR plus NSO group: irradiation plus Nigella sativa oil group, TOS: Total oxidant status, OSI: Oxidative stres index, LOOH: Lipidhydroperoxide.

Level of PON in the rat heart tissues in the sham control group (group IV) was found to be lower than NSO (group I) and IR (group II) (p < 0.05). It is believed that this difference might be due to oral administration (saline or NSO). No statistical difference was detected among the groups (I, II, III, and IV) with respect to the levels of total-SH and enzyme activity of CER in heart tissues of the rats (p > 0.05). Table 3 contains multiple statistical comparisons of variables among the groups. Highness of oxidative stress parameters and lowness of antioxidant activity in the IR group are remarkable. The group that received NSO and received IR did not differentiate much from the sham control and control groups.

– Multiple comparisons of groups
Variables IR-Control IR-NSO IR-Sham Control-NSO Control-Sham NSO-Sham
ARE 0.035* 0.028* 0.002* 0.982 0.315 0.312
TOS 0.001* 0.001* 0.001* 0.607 0.763 0.839
TAS 0.009* 0.001* 0.006* 0.273 0.880 0.346
OSI 0.001* 0.001* 0.001* 0.890 0.880 0.770
LOOH 0.001* 0.005* 0.001* 0.513 0.303 0.087
PON 0.269 0.850 0.005* 0.357 0.093 0.008*

*p<0.05 is significant. Abbreviations: IR group: irradiation group, IR plus NSO group: irradiation plus Nigella sativa oil group, TAS: Total antioxidant status, –SH: Sulhydrylgroup, PON: Paraoxonase, ARE: Arylesterase, TOS: Total oxidantstatus, OSI: Oxidative stres index, LOOH: Lipidhydroperoxide.

Discussion

The results of the present study support the research hypothesis that the systemic administration of NSO would reduce oxidative damage in irradiated heart tissues in an experimental rat model. In vivo when ROS occurs, it has been reported that the development of certain diseases may be prevented due to the presence of various antioxidants, which are enzymatic and non-enzymatic, such as GSH-Px, SOD, vitamin E, melatonin, and zinc, all of which may be able to reduce the deleterious effects of ROS with advancing age.17 It is important to protect normal tissues in the treatment area. The nature and extent of such side effects depends on the radiation dose and the sensitivity of the irradiated organs. A radiation-induced increase in xanthine oxidase activity, an oxidant enzyme, was prevented by NSO/TQ. Results of this study are in agreement with the results of the previous study with melatonin,⁴ ginkgo biloba, L-carnitine, and vitamin E, which prevented a radiation-induced increase in xanthine oxidase activity in rats.18

Radioprotective agents are synthetic compounds or natural products that are applied shortly before irradiation in order to reduce the damage caused by radiation. Various studies related to the radioprotective agents are ongoing. Herbal preparations are currently becoming popular and NSO is only one of them. In one study, Floyd et al.19 found that peroxynitrite levels that indicate nitrosative stress increased in the irradiation only group when compared to the groups treated with NSO or TQ. For many centuries, NSO has been widely used as a traditional medicine for a wide range of diseases. NSO has been confirmed to have antioxidant properties by cleansing ROS/RNS.20 Many chemical components contained in NSO, such as flavonoids, fatty acids, sterols, and other volatile oils, are responsible for its antioxidant effect. NSO and TQ, the volatile component of NSO seed, were shown to improve antioxidant capacity induced by several agents in different animal tissues by suppressing oxidative/nitrosative stress, Nitric oxide (NO●) overproduction, and inducible NOS expression. Abdel-Zaher et al. 21 reported that NSO can protect the brain against tramadol-induced tolerance and dependence in mice through the blocking of NO● overproduction and oxidative/nitrosative stress induced by the medicine.

Fathy et al.22 have shown the chemopreventive effects of NSO by showing the protective effect of NSO on diethylnitrosamine-induced hepatocarcinogenesis in rats by inhibition of the NOS pathway. Umar et al.23 have demonstrated the antiarthritic ability of TQ in collagen-induced arthritis. They found that TQ significantly suppressed the increase of LPO products, NO●, and myeloperoxidase activity; enhanced the activity of antioxidant enzymes; eliminated the accumulation and activation of polymorphonuclear cells; and maintained homeostasis in the cytokine imbalance. Gilhotra et al.24 investigated the role of GABAergic and nitriergic modulation in the antianxiety effect of TQ in mice under unstressed and stressed conditions, and demonstrated that TQ decreased plasma nitrite, a stable metabolite of NO● in stressed mice, and showed anxiolytic effects.

Both in vitro and in vivo anti-inflammatory, antioxidant, and antineoplastic effects of NSO and TQ were reported in many studies. The antioxidant/anti-inflammatory effects of these agents have been studied in a variety of disease models, including cancer, sepsis, atherosclerosis, asthma, and carcinogenesis.25

 Conclusion

NSO is likely to be a valuable substance to protect against gamma-IR and/or may be used as an antioxidant against oxidative stress and other severe side effects occurring in the patients treated with radiotherapy.

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Study Limitations

The small sample size is the main limitation of our study.

Study Association

This study is not associated with any thesis or dissertation work.

Ethics approval and consent to participate

This study was approved by the Ethics Committee on Animal Experiments of the Gaziantep University under the protocol number 2016/15.

Sources of Funding: There were no external funding sources for this study.