Gallic Acid Alleviates Acetaminophen-Induced Acute Liver Injury by Regulating Inflammatory and Oxidative Stress Signaling Proteins

Acetaminophen (APAP) overdose is a major cause of drug-induced liver injury (DILI) globally, which necessitates effective therapies. Gallic acid (GA), a naturally abundant polyphenol, possesses potent antioxidant and anti-inflammatory properties that may overcome the limitations of N-acetylcysteine...

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Main Authors: Jing Zhao, Yuan Zhao, Shuzhe Song, Sai Zhang, Guodong Yang, Yan Qiu, Weishun Tian
Format: Article
Language:English
Published: MDPI AG 2025-07-01
Series:Antioxidants
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Online Access:https://www.mdpi.com/2076-3921/14/7/860
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author Jing Zhao
Yuan Zhao
Shuzhe Song
Sai Zhang
Guodong Yang
Yan Qiu
Weishun Tian
author_facet Jing Zhao
Yuan Zhao
Shuzhe Song
Sai Zhang
Guodong Yang
Yan Qiu
Weishun Tian
author_sort Jing Zhao
collection DOAJ
description Acetaminophen (APAP) overdose is a major cause of drug-induced liver injury (DILI) globally, which necessitates effective therapies. Gallic acid (GA), a naturally abundant polyphenol, possesses potent antioxidant and anti-inflammatory properties that may overcome the limitations of N-acetylcysteine (NAC), such as its narrow therapeutic window. This study systematically investigated the hepatoprotective effects and underlying molecular mechanisms of GA against APAP-induced acute liver injury (ALI). Mice received an intraperitoneal injection of APAP (300 mg/kg), followed by an oral administration of GA (50 or 100 mg/kg) or NAC (150 mg/kg) 1 h post-intoxication. Both GA and NAC significantly ameliorated hypertrophy and histopathological damage, as evidenced by reduced serum ALT/AST levels and inflammatory cytokines. TUNEL staining revealed a marked suppression of apoptotic and necrotic cell death, further supported by the downregulation of pro-apoptotic Bax and the upregulation of anti-apoptotic Bcl-2 mRNA expression. GA and NAC treatment restored hepatic glutathione (GSH) content, enhanced antioxidant enzyme gene expression, and reduced malondialdehyde (MDA) accumulation. Mechanistically, GA and NAC inhibited MAPK phosphorylation while activating AMPK signaling. Taken together, these findings demonstrate that GA mitigates APAP-induced ALI by modulating oxidative stress and inflammation through the regulation of MAPK/AMPK signaling proteins.
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spelling doaj-art-b08502be09d543ed9ef01eb63510d3e12025-08-20T03:55:52ZengMDPI AGAntioxidants2076-39212025-07-0114786010.3390/antiox14070860Gallic Acid Alleviates Acetaminophen-Induced Acute Liver Injury by Regulating Inflammatory and Oxidative Stress Signaling ProteinsJing Zhao0Yuan Zhao1Shuzhe Song2Sai Zhang3Guodong Yang4Yan Qiu5Weishun Tian6College of Animal Science and Technology, Henan University of Science and Technology, Luoyang 471000, ChinaInstitute of Traditional Chinese Veterinary Medicine, College of Veterinary Medicine, Nanjing Agricultural University, Nanjing 210095, ChinaCollege of Animal Science and Technology, Henan University of Science and Technology, Luoyang 471000, ChinaCollege of Animal Science and Technology, Henan University of Science and Technology, Luoyang 471000, ChinaCollege of Animal Science and Technology, Henan University of Science and Technology, Luoyang 471000, ChinaCollege of Animal Science and Technology, Henan University of Science and Technology, Luoyang 471000, ChinaCollege of Animal Science and Technology, Henan University of Science and Technology, Luoyang 471000, ChinaAcetaminophen (APAP) overdose is a major cause of drug-induced liver injury (DILI) globally, which necessitates effective therapies. Gallic acid (GA), a naturally abundant polyphenol, possesses potent antioxidant and anti-inflammatory properties that may overcome the limitations of N-acetylcysteine (NAC), such as its narrow therapeutic window. This study systematically investigated the hepatoprotective effects and underlying molecular mechanisms of GA against APAP-induced acute liver injury (ALI). Mice received an intraperitoneal injection of APAP (300 mg/kg), followed by an oral administration of GA (50 or 100 mg/kg) or NAC (150 mg/kg) 1 h post-intoxication. Both GA and NAC significantly ameliorated hypertrophy and histopathological damage, as evidenced by reduced serum ALT/AST levels and inflammatory cytokines. TUNEL staining revealed a marked suppression of apoptotic and necrotic cell death, further supported by the downregulation of pro-apoptotic Bax and the upregulation of anti-apoptotic Bcl-2 mRNA expression. GA and NAC treatment restored hepatic glutathione (GSH) content, enhanced antioxidant enzyme gene expression, and reduced malondialdehyde (MDA) accumulation. Mechanistically, GA and NAC inhibited MAPK phosphorylation while activating AMPK signaling. Taken together, these findings demonstrate that GA mitigates APAP-induced ALI by modulating oxidative stress and inflammation through the regulation of MAPK/AMPK signaling proteins.https://www.mdpi.com/2076-3921/14/7/860gallic acidAPAPacute liver injuryoxidative stressinflammation
spellingShingle Jing Zhao
Yuan Zhao
Shuzhe Song
Sai Zhang
Guodong Yang
Yan Qiu
Weishun Tian
Gallic Acid Alleviates Acetaminophen-Induced Acute Liver Injury by Regulating Inflammatory and Oxidative Stress Signaling Proteins
Antioxidants
gallic acid
APAP
acute liver injury
oxidative stress
inflammation
title Gallic Acid Alleviates Acetaminophen-Induced Acute Liver Injury by Regulating Inflammatory and Oxidative Stress Signaling Proteins
title_full Gallic Acid Alleviates Acetaminophen-Induced Acute Liver Injury by Regulating Inflammatory and Oxidative Stress Signaling Proteins
title_fullStr Gallic Acid Alleviates Acetaminophen-Induced Acute Liver Injury by Regulating Inflammatory and Oxidative Stress Signaling Proteins
title_full_unstemmed Gallic Acid Alleviates Acetaminophen-Induced Acute Liver Injury by Regulating Inflammatory and Oxidative Stress Signaling Proteins
title_short Gallic Acid Alleviates Acetaminophen-Induced Acute Liver Injury by Regulating Inflammatory and Oxidative Stress Signaling Proteins
title_sort gallic acid alleviates acetaminophen induced acute liver injury by regulating inflammatory and oxidative stress signaling proteins
topic gallic acid
APAP
acute liver injury
oxidative stress
inflammation
url https://www.mdpi.com/2076-3921/14/7/860
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