|Year : 2021 | Volume
| Issue : 2 | Page : 81-88
Borassus flabellifer L. crude male flower extracts alleviate cisplatin-induced oxidative stress in rat kidney cells
Ornanong Tusskorn1, Kanoktip Pansuksan1, Kwanchayanawish Machana2
1 Chulabhorn International College of Medicine, Thammasat University, Pathum Thani 12121, Thailand
2 Department of Pharmacognosy, Faculty of Pharmaceutical Sciences, Burapha University, Chon Buri 20131, Thailand
|Date of Submission||24-Mar-2020|
|Date of Decision||30-Apr-2020|
|Date of Acceptance||21-Jun-2020|
|Date of Web Publication||30-Dec-2020|
Chulabhorn International College of Medicine, Thammasat University, Pathum Thani 12121
Source of Support: This work was supported by the Agricultural Research Development Agency (Public Organization), Thailand (Contract No. CRP5905021020), Conflict of Interest: None
Objective: To investigate the effects of Borassus flabellifer L. extracts on antioxidant activity, maintenance of cellular redox, and mitochondrial function in cisplatin-induced kidney injury.
Methods: The extracts of Borassus flabellifer were obtained from crude male flowers using ethyl acetate and methanol. The antioxidant potential was evaluated by 2,2-azino-bis-(3-ethylbenzothiazoline- 6-sulfonic acid), 2,2-diphenyl-1-picrylhydrazyl, and ferric reducing antioxidant power, and total phenolic content was also determined. Cytoprotective activity of ethyl acetate and methanolic extracts was assessed after kidney cells were treated with cisplatin. Oxidative stress was determined by glutathione (GSH) assay, and formation of reactive oxygen species (ROS) and changes in mitochondrial transmembrane potential (ΔΨm) using 2’,7’-dichlorofluorescin diacetate and JC-10 assays, respectively.
Results: Borassus flabellifer methanolic extract exhibited greater antioxidant activity than the ethyl acetate extract. Cytoprotective effect was demonstrated in both extracts, particularly in the ethyl acetate extract. The extracts showed protection against the cytotoxic effect of cisplatin by prevention of the increased GSSG and declined GSH/GSSG ratio. Both extracts also prevented the increase in ROS formation, and loss of ΔΨm.
Conclusions: Both Borassus flabellifer extracts show antioxidant activity and cytoprotective effect against cisplatin-induced cytotoxicity of NRK-52E cells by preventing oxidative stress and maintenance of GSH redox status. Borassus flabellifer extracts may possess beneficial effects on the prevention of oxidative stress- induced cell injury.
Keywords: Borassus flabellifer L.; Cisplatin; Oxidative stress; Mitochondrial dysfunction
|How to cite this article:|
Tusskorn O, Pansuksan K, Machana K. Borassus flabellifer L. crude male flower extracts alleviate cisplatin-induced oxidative stress in rat kidney cells. Asian Pac J Trop Biomed 2021;11:81-8
|How to cite this URL:|
Tusskorn O, Pansuksan K, Machana K. Borassus flabellifer L. crude male flower extracts alleviate cisplatin-induced oxidative stress in rat kidney cells. Asian Pac J Trop Biomed [serial online] 2021 [cited 2022 May 24];11:81-8. Available from: https://www.apjtb.org/text.asp?2021/11/2/81/303607
| 1. Introduction|| |
Borassus flabellifer (B. flabellifer) L. (Arecaceae), commonly known as palmyra palm, is broadly distributed in various Southeast Asian countries including Thailand. The fruit pulp of B. flabellifer is widely consumed and the sap from the flower is used as a source of palm sugar. Moreover, many parts of the plant are used in traditional medicine as antidiabetic, antimicrobial, anti- inflammatory, and antioxidant,,. The male inflorescence shows a significant anti-inflammatory activity and analgesic property. In addition, flowers of B. flabellifer have been investigated for their antipyretic effects,,, and immunosuppressant properties. It has been reported that 2, 3, 4-trihydroxy-5-methyl acetophenone, isolated from the palm syrup has potent radical scavenging activity. Furthermore, murine experiments have shown antidiabetic activity of crude methanol extracts from male flowers of B. flabellifer. Seeds and rhizomes have been reported to have antioxidant activity,, but to our knowledge, none from male flowers. Therefore, this warrants investigation of the male flower for its antioxidant and cytoprotective properties.
Cisplatin is a platinum compound approved for use as a single drug and in combination with other drugs, in the treatment of various types of cancers. However, its clinical application is limited because of the high toxicity that it generates in kidney cells, which is its most common and severe side effect. Cisplatin-induced nephrotoxicity is associated with oxidative stress, cellular redox disturbance, and mitochondrial dysfunction. Thus, protective strategies are essential in reducing cisplatin-induced nephrotoxicity. This study aimed to evaluate the antioxidant potential of B. flabellifer, and its cytoprotective effects on cisplatin-induced oxidative stress in kidney cells.
| 2. Materials and Methods|| |
2.1. Plant collection and extraction
Male flowers of B. flabellifer were obtained from Chai Nat, Thailand and authenticated by Miss Tapewalee Kananthong, a botanist of the Royal Forest Department. A sample was deposited in the Forest Herbarium, Royal Forest Department, Bangkok, Thailand (BKF No.193907). B. flabellifer was extracted with ethyl acetate, and methanol and the powdered crude extract was stored at -20 °C.
2.2. Cell culture
A rat kidney cell line (NRK-52E) was purchased from ATCC (Manassas, Virginia, USA) and grown in Dulbecco’s Modified Eagle Medium (DMEM) (Sigma Aldrich, St. Louis, Missouri, USA) supplemented with 4 mM L-glutamine, 1.5 g/L sodium bicarbonate, 100 U/mL penicillin, 100 μg/mL streptomycin sulfate and 10% fetal bovine serum. The cells were maintained under 5% CO2 in air at 37 °C and subcultured every 2-3 days using 0.25% trypsin ethylenediaminetetraacetic acid, and the medium was changed after overnight incubation.
2.3. 2,2-Azino-bis-(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) assay
A modified method of Tai et al.  was used to evaluate ABTS radical cation (ABTS+•) indicated by reduced antioxidants. Briefly, 7 mM ABTS+• was produced by reacting ABTS stock solution with 2.45 mM potassium persulfate (K2S2O8), allowing the mixture to store in the dark at room temperature for 12-16 h before use. The ABTS+' solution was then diluted with saline phosphate buffer (PBS, pH 7.4) at an absorbance level of 0.70 (±0.02). After adding diluted ABTS+' solution to each extract, or Trolox standard, the reaction mixture was measured after 15 min of initial mixing. Reduced absorbance was recorded at 734 nm using a UV spectrophotometer. Antioxidant activity of each extract was measured using the IC50 threshold defined as the concentration required to cause 50% inhibition of radical scavenging activity.
2.4. 2,2-Diphenyl-1-picrylhydrazyl (DPPH) free radical scavenging assay
Free radical scavenging activity was assessed according to the method of Vongsak et al. with some modifications. Twenty μL of the extract and a standard Trolox control at varying concentrations (10-1 000 μg/mL) were mixed with 180 μL of 1 mM DPPH in ethanol. Then, the solution was incubated at 37°C for 30 min, and reduced DPPH free radicals were evaluated with a microplate reader at an absorbance of 520 nm. Antioxidant activity of B. flabellifer extracts was presented as IC50 which is defined as the concentration of extract required to cause a 50% decrease in the initial absorbance of free radical scavenging activity.
2.5. Ferric reducing antioxidant power (FRAP) assay
The FRAP assay of Al-Mansoub et al.  was used to determine the total antioxidant potential of each extract. In brief, a FRAP reagent was prepared by mixing 300 mM acetate buffer pH 3.6, with 10 mM 2, 4, 6-tripyridyl-s-triazine in 40 mM HCl, and 20 mM FeCl3 at ratio of 10:1:1 (v/v). Twenty μL of the sample solution at 1 mg/mL was mixed thoroughly with the FRAP reagent and incubated for 30 min in dark. The absorbance level of the B. flabellifer samples and Trolox control was measured at 600 nm. A lower level of iron is indicated by increased absorbance of the reaction with the results expressed in mg Trolox equivalent antioxidant capacity (TEAC)/100 g extract.
2.6. Total polyphenolic content (TPC)
TPC was measured using Folin-Ciocalteu colorimetric method described by Vongsak et al. Twenty μL of the plant extracts were mixed with Folin-Ciocalteu reagent and incubated at room temperature. The mixture was added with 7.5% sodium carbonate, and then incubated for 30 min at room temperature. Total polyphenols were determined by a microplate reader at a wavelength of 765 nm. A resulting absorbance of blue color indicates substantial polyphenol content. A standard curve of gallic acid was used for quantitation and the results were represented as g GAE of 100 g extract.
2.7. 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay
Cytotoxicity was assessed by the MTT assay, which quantifies cell proliferation and viability. NRK-52E cells were seeded onto 96-well culture plates at a density of 10 000 cells/well. After overnight culture, cells were plated in fetal bovine serum (FBS)- free medium and treated with varying concentrations of ethyl acetate and methanolic extracts of B. flabellifer (10-50 μg/mL) or cisplatin (1-100 μM), and cell viability was examined 24 h post- treatment. The cytoprotective effect was also evaluated after exposure to B. flabellifer (1 and 10 μg/mL) and cisplatin (5 and 10 μM), or combinations of both. Then, the medium was removed after treatment, and the cells were incubated in complete medium (with FBS) containing 0.5 mg/mL MTT dye. After 2 h, the FBS medium was removed, and the cells were solubilized with dimethyl sulfoxide. Absorbance was measured using a microplate reader with a filter at a wavelength of 570 nm. Culture medium served as a negative control. The concentration of B. flabellifer and cisplatin required to inhibit 50% growth of the NRK-52E cells (IC50 values) was calculated by analyzing the relationship between concentrations and percent (%) inhibition using GraphPad Prism 6 version 6.01 for Windows (GraphPad Software, La Jolla, CA, USA).
2.8. Glutathione (GSH) assay
The antioxidant activity was evaluated by the GSH assay, which measures cell survival and cellular function. GSH is a primary regulator of cellular redox. Both reduced GSH and glutathione disulfide (GSSG) were assayed using thiol green, a fluorescent probe that detects thiol compounds, according to a method described by Tusskorn et al. Redox stress, as indicated by the decrease of GSH/GSSG ratio, is involved in cellular dysfunction and cell death. Cultured cells treated for 6 h were trypsinized and washed with cold PBS. Afterward, aliquots of cell suspensions were made to react with 1-methyl-2-vinyl pyridinium trifluoromethanesulfonate for detection of GSSG and another aliquot for detection of total GSH and protein content. Samples used for assays of GSSG and total GSH were deproteinized with meta-phosphoric acid before performing the enzymatic assay. Protein concentration was evaluated by the Bradford dye-binding assay.
2.9. Determination of cellular reactive oxygen species (ROS) by 2',7'-dichlorofluorescin diacetate (DCFDA) assay
Cisplatin-induced intracellular ROS was measured by staining kidney cells with a cell-permeable fluorescent probe, DCFDA. In brief, 20 000 NRK-52E cells were seeded in a 96-well black microplate and cultured overnight. After treatment of B. flabellifer and cisplatin in FBS-free medium for 3 h, the medium was replaced with 100 μL of 25 μM DCFDA in PBS. The NRK-52E cells were incubated for 45 min, after which the dye was replaced with 100 μL of PBS. A microplate reader was used to measure fluorescence signal at excitation and emission wavelengths of 485 and 535 nm, respectively.
2.10. Measurement of mitochondrial transmembrane potential (ΔΨm)
The detection of ΔΨm changes in cells is a key indicator of mitochondrial function and cell death. The collapse of ΔΨm is considered as an early event towards mitochondrial damage and apoptosis. It is more straightforward than the detection of mitochondrial DNA or protein. In order to measure the change in ΔΨm, NRK-52E cells were seeded onto a 96-well black microplate at a density of 20 000 cells/well, cultured overnight, and then treated with B. flabellifer and cisplatin in FBS-free medium for 6 h. The assay was performed using the cationic, lipophilic JC-10 dye according to a modified method described by Tusskorn et al. In brief, a cultured plate was centrifuged at 1 000 rpm for 5 min at room temperature. The cultured media was removed, and cultured cells were loaded with JC-10 dye, then incubated for 30 min. The ΔΨm was measured with a fluorescent plate reader, and its differential images were captured by fluorescence microscopy. Accumulation of JC-10 in the mitochondrial matrix of healthy cells produces red fluorescent J-aggregates. However, in apoptotic and necrotic cells, as ΔΨm decreases, JC-10 monomers are generated, resulting in a fluorescent shift to green. Fluorescent intensity in NRK-52E cells was quantified by the ratio of J-aggregates with monomers.
2.11. Statistical analysis
Normal distribution of the continuous data warranted descriptive expressions of central tendency and dispersion in terms of mean ± standard deviation (SD). Control and treated groups were statistically compared using the Student’s t-test (two groups) or one-way analysis of variance with Duncan multiple range post-hoc test as appropriate. The level of significance was set at P<0.05.
| 3. Results|| |
3.1. Antioxidant activity of B. flabellifer
The results of four assays (ABTS, DPPH, FRAP, TPC) regarding antioxidant activity are shown in [Table 1]. B. flabellifer methanolic extract showed more prominent antioxidant activity than its ethyl acetate extract with lower IC50 values in ABTS and DPPH assays and higher FRAP value and TPC. The antioxidant activity of Trolox, as a standard control, was comparable to B. flabellifer methanolic extract in ABTS assay, but significantly higher in DPPH assay (P<0.05).
|Table 1: Antioxidant capacities and total phenolic contents of Borassus flabellifer extract.|
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3.2. Cytotoxic effects of B. flabellifer in NRK-52E cells
A screening protocol was used to determine acceptable levels of cytotoxicity of ethyl acetate and methanolic extracts of B. flabellifer using NRK-52E cells. The similarity of dose-response curves between the ethyl acetate and methanolic extracts of B. flabellifer and cisplatin are shown in [Figure 1]A, [Figure 1]B, [Figure 1]C with IC50 values of (26.2±1.8) μg/mL, (35.8±2.4) μg/mL and (34.6±6.7) μM, respectively, demonstrating that relative safety of the extracts was likely to be below IC50 levels.
|Figure 1: Cytotoxicity of B. flabellifer and cisplatin in NRK-52E cells. Cells were treated with (A) BFE or (B) BFM (10-50 μg/mL) or with (C) cisplatin (1-100 μM). Each value represents mean ± SD of 3 experiments. BFE and BFM represent the ethyl acetate and methanol extracts of B. flabellifer, respectively.|
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For cytoprotective effect of the ethyl acetate and methanolic extracts in NRK-52E cells, cells were employed at concentrations below the IC50 values, i.e. 1 and 10 μg/mL against cisplatin (5 and 10 μM). Cytoprotective effect of both extracts was observed in combination with cisplatin at a high concentration (10 μM) [Figure 2]A, [Figure 2]B, [Figure 2]C. The methanolic extract of B. flabellifer at 10 μg/mL had a tendency of the protective effect [Figure 2]D. Cisplatin at a low concentration (5 μM) conferred small cytotoxicity (about 15%), where both ethyl acetate and methanolic extracts did not show protection against the cytotoxic effect.
|Figure 2: Cytoprotective effect of B. flabellifer extracts on cisplatin-induced cytotoxicity. (A) BFE (1 μg/mL) + Cisplatin (5/10 μM); (B) BFM (1 μg/mL) + Cisplatin (5/10 μM); (C) BFE (10 μg/mL) + Cisplatin (5/10 μM); (D) BFM (10 μg/mL) + Cisplatin (5/10 μM). Cytotoxicity was assessed by MTT assay. Each bar represents mean ± SD of 3 experiments. *P<0.05.|
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3.3. Effect of B. flabellifer in combination with cisplatin on cellular redox stress and ROS formation
To understand the mechanisms of the cytoprotective activity of B. flabellifer ethyl acetate and methanolic extracts, we evaluated the effects of these extracts (1 μg/mL) along with cisplatin (10 μM) on oxidative status (redox). Total GSH and reduced GSH were unchanged in all groups [Figure 3]A and [Figure 3]B. However, treatment with both extracts prevented cisplatin-induced increased oxidized form of GSSG, the level of which was comparable to the control group [Figure 3]C. GSH/GSSG ratio, an indication of cellular redox status, was markedly decreased by cisplatin while increasing by treatment with both methanolic and ethyl acetate extracts [Figure 3]D. In ROS analysis, cisplatin caused a significant elevation of ROS formation, whereas B. flabellifer ethyl acetate and methanolic extracts completely normalized the levels to the control [Figure 3]E.
|Figure 3: Effect of B. flabellifer extracts and cisplatin on cellular GSH contents and ROS production. (A) Intracellular total GSH, (B) reduced GSH, (C) GSSG, (D) the ratio of GSH/GSSG, and (E) ROS production. Each bar represents mean ± SD of 3 experiments. Values with asterisks indicate significance (P<0.05); * and ** indicate comparisons with the control and cisplatin group, respectively. GSH: glutathione; GSSG: oxidized glutathione disulfide; ROS: reactive oxygen species.|
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3.4. Effects of the drug combination on ΔΨm
Since mitochondria are vulnerable to oxidative stress which leads to cell damage, effects of the extracts on ΔΨm were examined. [Figure 4]A shows a decrease in the JC-10 ratio, indicative of the loss of ΔΨm in the cisplatin group. Treatment with both methanolic and ethyl acetate extracts prevented cisplatin-induced decrease, which was further confirmed in images of JC-10 dye staining [Figure 4]B. Cisplatin induced an apparent green fluorescence in NRK-52E cells representative of the depolarized ΔΨm, while cells treated with B. flabellifer extracts showed orange fluorescence similar to control cells.
|Figure 4: Effect of B. flabellifer extracts and cisplatin on mitochondrial transmembrane potential (ΔΨm). JC-10 fluorescent signals were measured and the ratio of J-aggregates and J-monomers was calculated as indicative of ΔΨm (A). Each bar represents mean ± SD. (B) Images of JC-10 staining in treatment groups are shown.|
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| 4. Discussion|| |
This in vitro study focused on two areas of investigation where we used a number of laboratory tools to examine antioxidant activity and cytoprotective effect of B. flabellifer. The four chemical assays used for this purpose favored the methanolic extract over the ethyl acetate one. Cytoprotective activity of the B. flabellifer extracts was demonstrated in NRK-52E cells. The effect was associated with prevention of oxidative stress and mitochondrial dysfunction.
Studies of herbs with antioxidant properties are important in expanding the biomedical evidence for use in populations that can fully utilize their value. Studies have presented data underpinning the role of dietary phytochemical antioxidants in preventing cancer, cardiovascular diseases, diabetes, and other chronic diseases related to oxidative stress,,.
Our findings on B. flabellifer extracts agree with another study that found potent in vitro antioxidant potential from the B. flabellifer ethanol extract. The strong antioxidant property of B. flabellifer might be of use as a nutraceutical product. It is noted that the methanol extract of B. flabellifer shows stronger antioxidant activity in chemical assays than ethyl acetate extract. However, the prevention of oxidative stress by both extracts in the cell system is comparable. This demonstrates some disparity between the chemical assay and cell-based assay, suggesting the ethyl acetate and methanolic extracts exert a high antioxidant activity at the cellular level by scavenging ROS and preserving redox status.
The potential to develop health products from herbs warrants investigation of safety for human use. In our study, we investigated the safe use of B. flabellifer by examining cytotoxicity in renal cells, which B. flabellifer ethyl acetate extract significantly prevented. Phenolic compounds such as gallic and tannic acids have been shown to reduce cisplatin-induced functional and histological renal damage by suppressing ROS formation, lipid peroxidation, and oxidative stress. Free radicals, especially ROS, are considered to cause the emergence and development of cell injury as well as various degenerative diseases.
Cisplatin-induced ROS in renal cells causes damage to cellular biomolecules such as nucleic acids, lipids, and proteins resulting in cell dysfunction. Cisplatin conjugation with GSH forming cisplatin adducts induces mitochondrial oxidative stress through lipid peroxidation. This, in turn, leads to dysregulation of the endogenous antioxidant system. We have shown that these oxidative stress situations in the kidney cells were ameliorated with an increase in the GSH redox ratio and a decline in GSSG to the levels that were not significantly different from control levels. This result suggests that ROS formation and GSH redox stress may cause mitochondrial dysfunction. Reduced GSH and its redox ratio have been shown to regulate various redox-sensitive enzymes and transcription factors in maintaining the operation of cellular function and mitochondria. We have demonstrated that B. flabellifer prevented the cisplatin-induced loss of ΔΨm by increasing antioxidant activity and reducing oxidative stress.
The present study showed that the ethyl acetate and methanolic extracts of B. flabellifer significantly protected renal cell death induced by cisplatin at a high concentration (10 μM). However, cisplatin at a low concentration (5 μM) exerted only marginal cytotoxicity (below 15%), where treatment with B. flabellifer added on a small cytotoxic effect. Since both extracts themselves also induce small oxidative stress, as indicated by the slightly declined GSH ratio, this may explain additional cytotoxicity to the low concentration of cisplatin. However, cisplatin at a high concentration induced a clear cytotoxic effect with marked oxidative stress, indicated by the GSH redox ratio and ROS formation. The ethyl acetate and methanolic extracts of B. flabellifer showed a preventive effect in association with cellular antioxidant activity, i.e. prevention of ROS formation and maintenance of GSH redox ratio. This finding suggests a beneficial effect of B. flabellifer on oxidative stress- induced cell injury.
A multitude of cytoprotection mechanisms of B. flabellifer may be present in the kidney cells that protect against cisplatin-induced cytotoxicity. The effects could be attributed to cellular antioxidant activity, as shown in the GSH and ROS assays, and inhibition of cisplatin uptake into the cells. However, cytoprotective effect of B. flabellifer is strongly associated with cellular antioxidant activity. Moreover, if B. flabellifer inhibited uptake of cisplatin, B. flabellifer could have shown some cytoprotection especially at a low concentration of cisplatin. Definitive mechanisms of B. flabellifer on cisplatin uptake may need further investigation, as cisplatin is transported by several ubiquitously expressed transporters, such as copper transporter1, 2, ATP7A and ATP7B, and organic cation transporters OTC1-3.
Our study provides evidence of antioxidant potential of B. flabellifer and its cytoprotective effects on cisplatin-induced redox stress and mitochondrial dysfunction. B. flabellifer extracts prevent cytotoxicity in association with the maintenance of cellular redox status. Our findings indicate that the male flower of B. flabellifer has good antioxidant properties. Therefore, it is reasonable to consider the male flower for food and nutraceutical applications in the promotion of health. More studies using the in vivo approach may confirm or modify our findings.
Conflict of interest statement
The authors declare that there are no conflicts of interest.
This work was supported by the Agricultural Research Development Agency (Public Organization), Thailand (Contract No. CRP5905021020).
OT and KM contributed to the design and performance of the experiments, and also drafted the manuscript. OT, KM and KP contributed to the final version of the manuscript. OT supervised the project.
| References|| |
Pipatchartlearnwong K, Swatdipong A, Vuttipongchaikij S, Apisitwanich S. Genetic evidence of multiple invasions and a small number of founders of Asian Palmyra palm (Borassus flabellifer)
in Thailand. BMC Genet
Reshma MV, Jacob J, Syamnath VL, Habeeba VP, Dileep Kumar BS, Lankalapalli RS. First report on isolation of 2,3,4-trihydroxy-5- methylacetophenone from palmyra palm (Borassus flabellifer
Linn.) syrup, its antioxidant and antimicrobial properties. Food Chem
Debnath T, Radhakrishnan R, Murugananthan G, Talwar S, Nandakumar K. Hypoglycaemic effects of alcoholic root extract of Borassus flabellifer
(Linn.) in normal and diabetic rats. Pak J Pharm Sci
Devi S, Arseculeratne SN, Pathmanathan R, McKenzie IF, Pang T. Suppression of cell-mediated immunity following oral feeding of mice with palmyrah (Borassus flabellifer
L) flour. Aust J Exp Biol Med Sci
Jerry A. A comprehensive review on the medicinal properties of Borassus flabellifer. J Acad Indus Res
Paschapur M, Patil S, Patil S, Kumar R, Patil M. Evaluation of the analgesic and antipyretic activities of ethanolic extract of male flower inflorescences of Borassus flabellifer
L. (Arecaceae). Int J Pharm Pharm Sci
Paschapur M, Patil M, Kumar R, Patil S. Evaluation of anti-inflammatory activity of ethanolic extract of Borassus flabellifer
L. male flowers (inflorescences) in experimental animals. J Med Plants Res
Paschapur M, Patil M, Kumar R, Patil S. Influence of ethanolic extract of Borassus flabellifer
L. male flowers inflorescences on chemically induced acute inflammation and polyarthritis in rats. Int J PharmTech Res
Pramod HJ, Yadav AV, Raje VN, Mohite M, Wadkar G. Antioxidant activity of Borassus flabellifer
(linn.) fruits. Asian J Pharm Tech
Yoshikawa M, Xu F, Morikawa T, Pongpiriyadacha Y, Nakamura S, Asao Y, et al. Medicinal flowers. XII.(1)) New spirostane-type steroid saponins with antidiabetogenic activity from Borassus flabellifer. Chem Pharm Bull (Tokyo)
Talluri MR, Gummadi VP, Battu GR. Antioxidant activity of Borassus flabellifer. Int Res J Pharm
Muthukumaran P, Sathishkumar T, Alamelumangai M, Dhanalakshmi J, Mathumitha M, Saranya RR. Extraction and antioxidant activity of flavonoids from seed coat of Borassus flabellifer
Linn using orthogonal array (L16(44)). Indian J Pharm Sci
Kelland L. The resurgence of platinum-based cancer chemotherapy. Nat Rev Cancer
Santos NA, Catao CS, Martins NM, Curti C, Bianchi ML, Santos AC. Cisplatin-induced nephrotoxicity is associated with oxidative stress, redox state unbalance, impairment of energetic metabolism and apoptosis in rat kidney mitochondria. Arch Toxicol
Tai A, Ohno A, Ito H. Isolation and characterization of the 2,2’- Azinobis(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) radical cation- scavenging reaction products of arbutin. J Agric Food Chem
Vongsak B, Mangmool S, Gritsanapan W. Antioxidant activity and induction of mRNA expressions of antioxidant enzymes in HEK-293 cells of Moringa oleifera
leaf extract. Planta Med
Al-Mansoub MA, Asmawi MZ, Murugaiyah V. Effect of extraction solvents and plant parts used on the antihyperlipidemic and antioxidant effects of Garcinia atroviridis:
A comparative study. J Sci Food Agric
Vongsak B, Sithisarn P, Mangmool S, Thongpraditchote S, Wongkrajang Y, Gritsanapan W. Maximizing total phenolics, total flavonoids contents and antioxidant activity of Moringa oleifera
leaf extract by the appropriate extraction method. Ind Crop Prod
Tusskorn O, Khunluck T, Prawan A, Senggunprai L, Kukongviriyapan V. Mitochondrial division inhibitor-1 potentiates cisplatin-induced apoptosis via
the mitochondrial death pathway in cholangiocarcinoma cells. Biomed Pharmacother
0rtega AL, Mena S, Estrela JM. Glutathione in cancer cell death. Cancers (Basel)
Heiskanen KM, Bhat MB, Wang HW, Ma J, Nieminen AL. Mitochondrial depolarization accompanies cytochrome c release during apoptosis in PC6 cells. J Biol Chem
Tusskorn O, Senggunprai L, Prawan A, Kukongviriyapan U, Kukongviriyapan V. Phenethyl isothiocyanate induces calcium mobilization and mitochondrial cell death pathway in cholangiocarcinoma KKU-M214 cells. BMC Cancer
Liu Z, Romero-Canelon I, Habtemariam A, Clarkson GJ, Sadler PJ. Potent half-sandwich iridium(HI) anticancer complexes containing C(wedge)N-chelated and pyridine ligands. Organometallics
Arunachalam K, Saravanan S, Parimelazhagan T. Nutritional analysis and antioxidant activity of Palmyrah (Borassus flabellifer
L.) seed embryo for potential use as food source. Food Sci Biotechnol
Ahangarpour A, Sayahi M, Sayahi M. The antidiabetic and antioxidant properties of some phenolic phytochemicals: A review study. Diabetes Metab Syndr
Li YH, Niu YB, Sun Y, Zhang F, Liu CX, Fan L, et al. Role of phytochemicals in colorectal cancer prevention. World J Gastroenterol
Zhang YJ, Gan RY, Li S, Zhou Y, Li AN, Xu DP, et al. Antioxidant phytochemicals for the prevention and treatment of chronic diseases. Molecules
Kavatagimath SA, Jalalpure SS, Hiremath RD. Screening of ethanolic extract of Borassus flabellifer
flowers for its antidiabetic and antioxidant potential. J Nat Rem
Jamkhande PG, Suryawanshi VA, Kaylankar TK, Patwekar SL. Biological activities of leaves of ethnomedicinal plant, Borassus flabellifer
Linn. (Palmyra palm): An antibacterial, antifungal and antioxidant evaluation. Bull Fac Pharm Cairo Univ
Akomolafe SF, Akinyemi AJ, Anadozie SO. Phenolic acids (gallic and tannic acids) modulate antioxidant status and cisplatin induced nephrotoxicity in rats. Int Sch Res Notices
Aruoma OI. Free radicals, oxidative stress, and antioxidants in human health and diseases. J Am Oil Chem Soc
Yao X, Panichpisal K, Kurtzman N, Nugent K. Cisplatin nephrotoxicity: A review. Am J Med Sci
Kruidering M, Van de Water B, de Heer E, Mulder GJ, Nagelkerke JF. Cisplatin-induced nephrotoxicity in porcine proximal tubular cells: mitochondrial dysfunction by inhibition of complexes I to ^ of the respiratory chain. J Pharmacol Exp Ther
Dahal A, Bellows BK, Sonpavde G, Tantravahi SK, Choueiri TK, Galsky MD, et al. Incidence of severe nephrotoxicity with cisplatin based on renal function eligibility criteria: Indirect comparison meta-analysis. Am J Clin Oncol
Sies H, Berndt C, Jones DP. Oxidative stress. Annu Rev Biochem
Zitka O, Skalickova S, Gumulec J, Masarik M, Adam V, Hubalek J, et al. Redox status expressed as GSH:GSSG ratio as a marker for oxidative stress in paediatric tumour patients. Oncol Lett
Harrach S, Ciarimboli G. Role of transporters in the distribution of platinum-based drugs. Front Pharmacol
[Figure 1], [Figure 2], [Figure 3], [Figure 4]