Excessive or long-term exposure to aluminum nanoparticles (AlNPs) constitutes a major hazard to human and animal nervous system. Thus, search is continuous for phytochemicals with neuroprotective effects. In the present study, we have studied the impact of sesamol (SML) co-supplementation on the AlNPs induced toxic effects in brain of rats. The small size of AlNPs and their large surface area enable them to penetrate biological membranes easily through all routes (De et al. 2020). In the current investigation, we adopted the oral route of administration, as it is the most common route of exposure. Our results regarding TEM photomicrographs revealed that the AlNPs were rods with average length of 20–35 nm and average thickness of 3–6 nm, which were approximately within the range of < 50 nm, as provided by the manufacturer.
Acetylcholinesterase (AChE) ia a key enzyme involved in catalyzing acetylcholine into choline and acetic acids at nerve synapses and neuromuscular junctions. Our findings demonstrated that oral administration of AlNPs to rats for 28 days increased the activity of brain AChE, which is expected to reduce the level of brain acetylcholine. This may contribute to AlNPs-induced neurodegeneration, as the onset of degenerative diseases such as Alzheimer’s disease was linked to reduced acetylcholine level (Emmett and Greenfield, 2004). The elevated AChE activity may result from allosteric interaction of Al3+ cation with the enzyme peripheral sites causing modifications in the enzyme secondary structure, and thus enhances its activity (Zatta et al. 1994). Our findings are in accordance with previous studies demonstrating elevated brain AChE activity in response to aluminum treatment (Auti and Kulkarni 2019; Aboelwafa et al. 2020; Liu et al. 2020b).
Of note, when SML was coadministered with AlNPs, it lowered the elevated AChE activity, reflecting the neuroprotective effect of SML. Likewise, SML was previously reported to produce similar effect in experimental paradigm of diabetes associated cognitive decline (Kuhad and Chopra 2008) and Alzheimer's disease induced by intracerebroventricular injection of streptozotocin (ICV-STZ) in rats (Sachdeva et al. 2015).
The brain is more susceptible to oxidative stress due to poor antioxidant content, high oxidizable polyunsaturated fatty acids and iron content, and great metabolic rate (Casetta et al. 2005). Herein, we recorded elevation of brain MDA, depletion of GSH, and inhibition of activities of SOD and CAT in AlNPs treated rats. Consistent with our results, Manke et al. (2013) showed that ROS generation with consequent oxidative stress is the major mechanism of nanoparticles-induced toxicity, due to large surface area, compared to their larger counterparts. Similar to our results, AlNPs administered orally to rats was shown to increase lipid peroxidation and deplete GSH with suppression of GPx and SOD activities in brain (Arslanbaş and Coşar 2019; De et al. 2020; Zhang et al. 2021a). In addition, brain oxidative stress was reported in rats received AlNPs intraperitoneal (Li et al. 2009; Morsy et al. 2016), intravenous (Mrad et al. 2017), or via intranasal instillation (Ji et al. 2011).
The elevated level of MDA with depletion of GSH indicated redox imbalance. MDA, a lipid peroxidation marker, is a toxic adduct which contributes to neuronal cell death (Serteser et al. 2002). Low GSH level could be attributed to excessive utilization in scavenging ROS (De et al. 2020). The reduced activity of CAT and SOD may result from being utilized in detoxication of H2O2 and superoxide radical (Abou-Zeid et al. 2021). We also observed upregulation of brain GST gene expression in AlNPs intoxicated rats. This may occur in response to increased ROS generation. The increased utilization of GSH by GST enzyme, may contribute to the recorded GSH depletion. In agreement with our findings, Prabhakar et al. (2012) reported increased GST in brain of AlNPs-treated rats, while GSH concentration was decreased.
Interestingly, when AlNPs – treated rats were co-supplemented with SML, amelioration of all biochemical indices of oxidative stress was observed, reflecting the antioxidant potential of SML. This could be attributed to the capacity of SML to scavenge hydroxyl, superoxide, NO, ABTS and DPPH radicals (Kanimozhi and Prasad 2009; Mishra et al. 2011) through its phenolic hydroxyl group (Majdalawieh and Mansour 2019). SML exhibited 1.8-fold greater radical scavenging than ascorbic acid (Majdalawieh and Mansour, 2019) and 20 times stronger antioxidant ability compared to melatonin (Mishra et al. 2011).
In agreement with our findings, SML reduced lipid peroxidation and improved GSH and enzymatic antioxidants in brain of rat experimental paradigm of diabetes (VanGilder et al. 2009), Alzheimer's disease (Sachdeva et al. 2015), Huntington's disease (Kumar et al 2010), chronic intermittent hypoxia (Zhang et al. 2021b), and focal cerebral ischemia/reperfusion injury (Gao et al. 2017). The induction of antioxidant enzymes by sesamol was thought to be mediated through activation of Nrf2 transcriptional pathway and its nuclear translocation (Ren et al. 2018) and activation of SIRT1-SIRT3-FOXO3a expression (Ruankham et al. 2021).
Moreover, we demonstrated elevation of brain 8-OHdG concentration in AlNPs intoxicated animals, reflecting oxidative DNA damage. In accordance with our results, previous studies documented the ability of AlNPs to induce DNA damage in mouse brain (De et al. 2020) bone marrow and sperm (Zhang et al. 2017) secondary to oxidative stress. Notably, when SML was coadministered with AlNPs, it reduced the brain 8-OHdG level. Similar to our findings, SML was reported to inhibit the radiation-induced DNA damage both in vivo and in vitro (Prasad et al. 2005; Kumar et al. 2018).
Accumulation of ROS may initiate apoptosis (Hsin et al. 2008). Our findings showed upregulation of brain caspase-3 in brain of rats intoxicated with AlNPs. Similar to our results, Nano-Al2O3 produced apoptosis manifested by downregulation of bcl-2 and upregulation of p53 and Bax gene expression in brain of rats (Liu et al. 2020a), and by caspase-3 gene overexpression in mouse brain (Zhang et al., 2011). Similar effect was demonstrated in vitro in astrocytes of neonatal rat cerebral cortex (Dong et al. 2019) and mouse neuroblastoma cells (Nogueira et al. 2019). The AlNPs induced apoptosis seems to be mediated via mitochondrial (intrinsic) pathway via activation of p53 pathway consequent to increased oxidative DNA damage (Liu et al. 2020b). Our histopathological findings revealed a wide spread neuronal apoptosis in the cerebral neurons in the AlNPs treated group, which is in line with the upregulation of caspase-3 gene.
Of note, coadministration of SML with AlNPs downregulated the expression of caspase-3 in brain. Similar effect of SML was reported in brain of rats with rotenone-induced Parkinson's disease (Sonia Angeline et al. 2013), focal cerebral ischemia/reperfusion injury (Gao et al. 2017), and experimental diabetes (Chopra et al. 2010). The molecular mechanisms underlying the antiapoptotic activity of SML in nerve cells may include activating SIRT1-SIRT3-FOXO3a expression, upregulating of the anti-apoptotic protein Bcl-2 and inhibition of the proapoptotic protein Bax (Ruankham et al. 2021).
It has been documented that oxidative damage is a major initiator of inflammatory cascade via several mechanisms (Manke et al. 2013). We recorded overexpression of brain TNF-α gene and increased levels of IL1-β and IL-6 in serum of AlNPs-intoxicated rats, reflecting inflammatory response which may contribute to development of neurodegenerative deficits (Win-Shwe and Fujimaki 2011; Guo et al. 2018). Similar to our results, AlNP increased the levels of proinflammatory cytokines such as IL-1β, IL-6 and TNF-α in brain of rats (Arslanbaş and Coşar 2019; Liu et al. 2020a; Zhang et al. 2021a) and in vitro in astrocytes of neonatal rats (Dong et al. 2019). Compelling evidence has suggested activation of NF-κB as a major pathway of aluminum induced neuroinflammation (Zhang et al. 2018). Yun et al. (2020) have shown that the activation of notch pathway is the main mechanism of lung inflammation induced by AlNPs.
Importantly, concomitant SML treatment with AlNPs alleviated the inflammatory response as evidenced by downregulation of brain TNF-α expression and reduction of IL-1β and IL-6 levels. This is in line with the previous studies reporting the anti-inflammatory activity of SML in brain of rats with diabetic neuropathy (Chopra et al., 2010; Misra et al. 2011; Sachdeva et al. 2015), focal cerebral ischemia/reperfusion injury (Gao et al. 2017), and chronic intermittent hypoxia (Zhang et al. 2021b), and in lungs of rats with endotoxemia (Chu et al. 2010). The anti-inflammatory effect of SML was suggested to be mediated via suppressing NF-κB/MAPK activation and upregulating AMP kinase signaling (Wu et al. 2015; Liu et al. 2017).
Histopathologically, a notable neuronal degeneration and/ or necrosis was observed in different areas in the brain of AlNPs treated group. Interestingly, the most affected neurons were motor neurons (motor neurons of medulla oblongata and midbrain red nucleus) or neurons with an inhibitory action on certain motor neurons (Purkinje cells of cerebellum). Hemorrhages and inflammatory edema were recorded especially in medulla oblongata. Additionally, perivascular edema and hyalinization of vascular walls was observed in the cerebellum. The nanosized aluminum can easily penetrate the blood brain barrier and accumulate in brain tissues (De et al. 2020) resulting generation of ROS. The latter may produce oxidative damage on lipids in cell and mitochondrial membranes and on cellular macromolecules like DNA and protein, and thus induce histopathological changes with degradation of neurons. Our findings are in agreement with previous reports demonstrating histopathological changes in brain of rats and mice (Morsy et al. 2016; Mrad et al. 2017; De et al. 2020; Liu et al. 2020; Zhang e tal. 2021a). Finally, all the observed histopathological alterations in brain tissue of AlNPs treated rats have been ameliorated upon concomitant administration of SML with AlNPs. This protective effect of SML, is in line with our findings concerning the oxidative stress markers and inflammatory cytokines.