In another study investigating the cytotoxic effects of different concentrations (ranging from 0.015–5% v/v) of Kellut honey and Acacia honey on HGF fibroblast cells, the findings indicated that the IC50 value for both types of honey was determined to be 2% [25]. It is not possible to make a one-to-one comparison with the results obtained in this study due to the differences in honey type, application dose, and fibroblast cell type, even though the application time is the same (24 hours). The IC80 value of chestnut honey for NIH3T3 cells has been determined to be 20% (w/v). There is a limited number of studies in the literature revealing the toxic effects of chestnut honey on healthy cell lines [26–27]. There are several reports in the scientific literature on the toxic effects of honey, particularly on cancer cells. The cytotoxicity of honey is primarily attributed to its phytochemical constituents, including phenolic or flavonoid compounds such as chrysin, campherol, catechin, galangin, myricetin, caffeic acid, syringic acid, chlorogenic acid, gallic acid, and ferulic acid. It has been proposed that the mechanisms underlying this cytotoxicity involve cell cycle arrest and activation of the mitochondrial pathway. Specifically, these mechanisms encompass mitochondrial outer membrane permeability, induction of apoptosis, generation of oxidative stress, modulation of insulin signaling, inflammation, and augmentation of estrogenic activity [28–29 In this study, it is predicted that the toxic doses observed during dose determination studies may be due to the high phenolic and flavonoid content as stated in the literature. Additionally, it was shown that honey's high sugar content (fructose and glucose, 57.1%) may have a toxic impact by increasing the formation of advanced glycation end products (also known as "AGEs," which stands for "advanced glycation end products") [30–31].
According to the data of another study, the chestnut (Cestanea sativa Mill.) honey samples with the greatest DPPH radical scavenging activity IC50 value was 7.9 mg/mL in the methanol extract and 10.2 mg/mL in the water extract [14]. In a recent study, IC50 values of chestnut honey samples, whose pollen amount was between 51–81%, were found between 6.32 ± 0.35 and 17.06 ± 1.30 mg/mL in the DPPH radical scavenging activity test [12]. In a study, it is reported that the CUPRAC value in chestnut honey collected from the Eastern Black Sea region (TURKEY) varies between 1.37 ± 0.13–3.40 ± 0.01 µM TEAC/g [32]. In another study, the CUPRAC value of a sample collected from Kaz Mountains (Çanakkale) was found as 1.952 ± 0.08 mM TEAC/g [33]. Accordingly, the CUPRAC activity of the CH used in this study is lower than the chestnut honeys examined in previous studies conducted in different regions of Turkey. In general, honey with high radical scavenging activity also has high total phenolic and/or flavonoid content. The CUPRAC value of chestnut honey used in this study (0.571 ± 0.27 mM TEAC/g) is within the range of values reported in previous studies [32–33]. This result might arise from several factors such as pollen content, environmental factors, and the breed of honey bees.
Few researches has examined chestnut honey's anti-AChE activity [12–15]. According to the findings of a research, chestnut honey samples with pollen concentrations ranging from 51–81% had AChE inhibitory activity ranging from 7.18 ± 0.83 mg/mL to 9.95 ± 1.25 mg/mL at their greatest and their lowest levels, respectively [12]. The fact that the CH sample used in this study is a more effective AChE inhibitor may be due to its different chemical composition caused by the flora diversity in the regions where it was obtained.
The results of the neurological tests revealed that, spatial memory was affected by D-gal/AlCl3, in which during the training session, the working memory errors (WMEs) and reference memory errors (RMEs), the Alzheimer model mice showed a decline memory when compared with the control group with a very significant difference (P < 0.01). However, the Alzheimer mice treated (CH) at 150mg/kg and 300mg/kg revealed a significant improvement of learning and spatial memory. According to a study by [34], Aluminum exposure leads to impairment of spatial working memory in mice, in which they explained that, memory deficit could be associated with oxidative stress in the cortical and subcortical brain tissues.
In many studies, Aluminum Chloride (AlCl3) exposure was proven to induce anxiety-depression-like behaviour in rodents animals. In one of [35] study, the rats were living in a permanent stress, the psychological state was due to a neurophysiological impairment caused by AlCl3. Same results were observed from our study in the (ALZ) groups.
In contrast to the control group, (ALZ) group in the current study displayed histopathological abnormalities that were defined by a reduction in cell density, the deposition of amyloid plaques (AP) and neurofibrillary tangles (NFTs), in both, the CA1 region of the hippocampus, and the cortex. Results reported in previous studies, exposition to D-gal/AlCl3 showed cognitive impairments and marked neuronal loss in hippocampal conus ammonis 1 (CA1) [36–37]. Chronic honey administration significantly decreased hippocampus and cortical atrophy and neuronal death when administered at 150 mg/kg and 300 mg/kg. Honey has the ability to reduce neurodegeneration especially the prefrontal cortex and hippocampus, which is linked to its neuroprotective effects on the brain [38].
In conclusion, Exposition to metal like (AlCl3) may lead to memory decline, and dementia, which is a serious health problem worldwide. In vitro antioxidant and anti-cholinesterase activities of chestnut honey point out its potential protective effect against (AD). According to the findings from in vivo experiments conducted in an Alzheimer’s mice model in this study, the impairment is closely related to the deposition of Aβ plaques on the brain cells and neurofibrillary tangles (NFTs) found in the hippocampus and cortex region. Administration of chestnut honey has been shown to improve cognition and memory, probably due to its powerful compounds such as flavonoids (quercetin as well as kaempferol) and tannin (gallic acid) as well as its radical scavenging activity. However, further studies, such as pharmacokinetics and toxicological assessments, are needed for a better understanding of the mode of action, active principles, and side effects. The use of chestnut honey for the protection from and treatment of Alzheimer's disease can be possible after these detailed studies and clinical trials with volunteers.