Therapeutic potential of casticin in alleviating ovarian torsion/detorsion-induced ovarian and lung injuries

Document Type : Original Article

Authors

1 Department of Physiology, Faculty of Medicine, Bandırma Onyedi Eylül University, Bandırma, Turkey

2 Department of Physiology, Faculty of Medicine, Atatürk University, Erzurum, Turkey

3 Department of Nutrition and Dietetics, Faculty of Health Science, Ağrı İbrahim Çeçen University, Ağrı, Turkey

4 Department of Internal Medicine, Faculty of Medicine, Bahçeşehir University, Istanbul, Turkey

5 Department of Obstetrics and Gynecology, Erzurum City Hospital, Erzurum, Turkey

6 Department of Physiology, Faculty of Medicine, Sakarya University, Sakarya, Turkey

7 Department of Medicine Education, Atatürk University, Erzurum, Turkey

8 Department of Pathology, Faculty of Veterinary Medicine, Atatürk University, Erzurum, Turkey

10.22038/ijbms.2025.85990.18572

Abstract

Objective(s): Ovarian torsion is a critical gynecological emergency caused by the twisting of the ovary around its supporting structures, resulting in compromised blood flow and potential ovarian damage. Ovarian torsion/detorsion (T/D) can lead to severe complications, including infertility, if not promptly addressed. This study aimed to investigate the therapeutic effects of casticin (CAST) on ovarian and lung tissue injuries induced by a bilateral ovarian T/D model in rats.
Materials and Methods: Experimental animals were randomly allocated into groups of sham, T/D, CAST 5 mg/kg, and CAST 10 mg/kg. Ovarian and lung tissues were subjected to biochemical, histopathological, and immunohistochemical analyses.
Results: In the T/D group, markers of oxidative stress and inflammation, including myeloperoxidase (MPO) activity, malondialdehyde (MDA), oxidative stress index (OSI), tumor necrosis factor-alpha (TNF-α), and 8-hydroxy-2’ deoxyguanosine (8-OHdG), were significantly elevated (P<0.05). Conversely, superoxide dismutase (SOD) activity and total antioxidant status (TAS) levels were notably decreased (P<0.05). CAST administration significantly attenuated tissue damage by reducing oxidative stress and inflammatory markers while enhancing antioxidant defense (P<0.05).
Conclusion: CAST demonstrated a therapeutic effect against ovarian and lung tissue damage induced by T/D, suggesting that it may serve as a potential therapeutic agent for treating ovarian T/D-related injuries. These findings underscore the potential of CAST in clinical settings, particularly as a novel intervention to mitigate complications associated with I/R injuries in gynecological emergencies.

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Main Subjects


1. Gangadharaiah M, Vykuntegowda SC, Vijayalaxmi N, Neelavani TA. Case of ovarian torsion-detorsion-ovarian and round ligament plication to save the ovary. Int J Reprod Contracept Obstet Gynecol 2024; 13:1064-1066.
2. Hou J, Strand-Amundsen R, Tronstad C, Tønnessen TI, Høgetveit JO, Martinsen ØG. Small intestinal viability assessment using dielectric relaxation spectroscopy and deep learning. Sci Rep 2022; 12: 3279-3289.
3. Fan Y, Zhang Y-F, Li JK. Laparoscopic treatment of spontaneous ovarian torsion in a twin pregnancy at 16 weeks after in vitro fertilization: A case report and literature review. Gynecol Pelvic Med 2023; 6: 1-6.
4. Armin Akış P, Tanyeli A, Ekinci Akdemir FN, Güler MC, Şebin S, Eraslan E, et al. Costunolide, an effective agent against oxidative damage, apoptosis and autophagy in the ovarian torsion/detorsion model. Arch Physiol Biochem 2025; 131: 265-273.
5. Tanyeli A, Guzel Erdogan D, Comakli S, Polat E, Guler MC, Eraslan E, et al. Therapeutic effects of apocynin on ovarian ischemia-reperfusion induced lung injury. Biotech Histochem 2022; 97: 536-545.
6. Kinra M, Ranadive N, Nampoothiri M, Arora D, Mudgal J. Involvement of NLRP3 inflammasome pathway in the protective mechanisms of ferulic acid and P-coumaric acid in LPS-induced sickness behavior and neuroinflammation in mice. Naunyn Schmiedebergs Arch Pharmacol 2023; 397: 1829-1839.
7. Lin W, Chen H, Chen X, Guo C. The roles of neutrophil-derived myeloperoxidase (MPO) in diseases: The new progress. Antioxidants (Basel) 2024; 13: 132-157.
8. Güler MC, Tanyeli A, Eraslan E, Çelebi Ö, Çelebi D, Çomakli S, et al. Alleviating sepsis: Revealing the protective role of costunolide in a cecal ligation and puncture rat model. Iran J Basic Med Sci 2024; 27: 567-576.
9. Li Y, Palmer A, Lupu L, Huber-Lang M. Inflammatory response to the ischaemia–reperfusion insult in the liver after major tissue trauma. Eur J Trauma Emerg Surg 2022; 48:4431-4444.
10. Bhol NK, Bhanjadeo MM, Singh AK, Dash UC, Ojha RR, Majhi S, et al. The interplay between cytokines, inflammation, and antioxidants: Mechanistic insights and therapeutic potentials of various antioxidants and anti-cytokine compounds. Biomed  Pharmacother 2024; 178: 117177-117199.
11. Jomova K, Alomar SY, Alwasel SH, Nepovimova E, Kuca K, Valko M. Several lines of antioxidant defense against oxidative stress: antioxidant enzymes, nanomaterials with multiple enzyme-mimicking activities, and low-molecular-weight antioxidants. Arch Toxicol 2024; 98: 1323-1367.
12. Jiwa H, Xie Z, Qu X, Xu J, Huang Y, Huang X, et al. Casticin induces ferroptosis in human osteosarcoma cells through Fe2+ overload and ROS production mediated by HMOX1 and LC3-NCOA4. Biochem Pharmacol 2024; 226:116346-116362.
13. Lee H, Jung KH, Lee H, Park S, Choi W, Bae H. Casticin, an active compound isolated from Vitex Fructus, ameliorates the cigarette smoke-induced acute lung inflammatory response in a murine model. Int Immunopharmacol 2015; 28:1097-1101.
14. Umar Ijaz M, Ashraf A, Ahmed A, Ismail H, Muzzamil S, Samad A, et al. Remedial effects of casticin as an antioxidant on cisplatin induced oxidative damage in rat liver. J King Saud Univ Sci 2020; 32:1100-1105.
15. Liu D, Mei W, Kang J, Liao T, Wei Y, Jie L, et al. Casticin ameliorates osteoarthritic cartilage damage in rats through PI3K/AKT/HIF-1α signaling. Chem Biol Interact 2024; 391:110897.
16. Ma J, Yin G, Lu Z, Xie P, Zhou H, Liu J, et al. Casticin prevents DSS induced ulcerative colitis in mice through inhibitions of NF-kappaB pathway and ROS signaling. Phytother Res 2018; 32: 1770-1783.
17. Wang C, Zeng L, Zhang T, Liu J, Wang W. Casticin inhibits lipopolysaccharide-induced acute lung injury in mice. Eur J Pharmacol 2016; 789: 172-178.
18. Üstündağ H, Demir Ö, Huyut MT, Yüce N. Investigating the individual and combined effects of coenzyme Q10 and vitamin C on CLP-induced cardiac injury in rats. Sci Rep 2024; 14: 3098-3114.
19. Tanyeli A, Guzel Erdogan D, Comakli S, Polat E, Guler MC, Eraslan E, et al. Therapeutic effects of apocynin on ovarian ischemia-reperfusion induced lung injury. Biotech Histochem 2022; 97: 536-545.
20. Wang C, Zeng L, Zhang T, Liu J, Wang W. Casticin inhibits lipopolysaccharide-induced acute lung injury in mice. Eur J  Pharmacol 2016; 789: 172-178.
21. Akdemir FNE, Güler MC, Eraslan E, Tanyeli A, Yildirim S. Assessment of sinapic acid’s protective effects against ethanol-induced gastric ulcers in rats. Naunyn Schmiedebergs Arch Pharmacol 2024.
22. Ekinci Akdemir Fazile N, Yildirim S, Kandemir Fatih M, Küçükler S, Eraslan E, Güler Mustafa C. Protective effects of baicalein and bergenin against gentamicin-induced hepatic and renal injuries in rats: An immunohistochemical and biochemical study. Basic Clin Pharmacol Toxicol 2025; 136: e14121.
23. Ohkawa H, Ohishi N, Yagi K. Assay for lipid peroxides in animal-tissues by thiobarbituric acid reaction. Anal Biochem 1979; 95: 351-358.
24. Bradley PP, Priebat DA, Christensen RD, Rothstein G. Measurement of cutaneous inflammation: estimation of neutrophil content with an enzyme marker. J Invest Dermatol 1982; 78: 206-209.
25. Sun Y, Oberley LW, Li Y. A simple method for clinical assay of superoxide-dismutase. Clin Chem 1988; 34: 497-500.
26. Tanyeli A, Guler MC, Eraslan E, Ekinci Akdemir FN. Barbaloin attenuates ischemia reperfusion-induced oxidative renal injury via antioxidant and antiinflammatory effects. Med Science 2020; 9: 246-250.
27. Güler MC, Tanyeli A, Erdoğan DG, Eraslan E, Çomaklı S, Polat E, et al. Urapidil alleviates ovarian torsion detorsion injury via regulating oxidative stress, apoptosis, autophagia, and inflammation. Iran J Basic Med Sci 2021; 24: 935-942.
28. Topdağı Ö, Tanyeli A, Akdemir FNE, Eraslan E, Güler MC, Çomaklı S. Preventive effects of fraxin on ischemia/reperfusion-induced acute kidney injury in rats. Life Sci 2020; 242: 117217.
29. Güler MC, Tanyeli A, Ekinci Akdemir FN, Eraslan E, Özbek Şebin S, Güzel Erdoğan D, et al. An overview of ischemia-reperfusion injury: Review on oxidative stress and inflammatory response. Eurasian J Med 2022; 54: 62-65.
30. Bridwell RE, Koyfman A, Long B. High risk and low prevalence diseases: Ovarian torsion. Am J Emerg Med 2022; 56: 145-150.
31. Karakus S, Dogan HO, Özkaraca M. The protective effect of cloprostenol on ischemia/reperfusion injury in rat ovary: Histopathologic and immunohistochemically evaluation: An experimental study. Transpl Immunol 2024; 86: 102108.
32. Zhang M, Liu Q, Meng H, Duan H, Liu X, Wu J, et al. Ischemia-reperfusion injury: Molecular mechanisms and therapeutic targets. Signal Transduct Target Ther 2024; 9: 12-51.
33. Ekinci Akdemir FN, Güler MC, Eraslan E, Tanyeli A, Yildirim S. Caftaric acid attenuates kidney and remote organ damage induced by renal ischemia-reperfusion injury. Sci Rep 2024; 14: 31385-30401.
34. Sano M, Koseki Y, Shibata K, Fujisawa T, Nobe K. Therapeutic effects of the alkaline extract of leaves of Sasa sp. and elucidation of its mechanism in acute kidney injury. J Pharmacol Sci 2024; 154:148-156.
35. Güler MC, Akpinar E, Tanyeli A, Çomakli S, Bayir Y. Costunolide prevents renal ischemia-reperfusion injury in rats by reducing autophagy, apoptosis, inflammation, and DNA damage. Iran J Basic Med Sci 2023; 26: 1168-1176.
36. Topdağı YE, Tanyeli A, Ekinci Akdemir FN, Eraslan E, Güler MC. Myricetin decreases ovarian and lung tissue injury induced by ovarian torsion-detorsion: A biochemical study. South Clin Ist Euras 2021; 32: 25-29.
37. Zhang H, Wang X, Liu J, Zhang Y, Ka M, Ma Y, et al. Role of neutrophil myeloperoxidase in the development and progression of high-altitude pulmonary edema. Biochem Biophys Res Commun 2024; 703: 149681.
38. Jena AB, Samal RR, Bhol NK, Duttaroy AK. Cellular Red-Ox system in health and disease: The latest update. Biomed Pharmacother 2023; 162: 114606-114627.
39. König S, Strassheimer F, Brandner NI, Schröder J-H, Urban H, Harwart LF, et al. Superoxide dismutase 1 mediates adaptation to the tumor microenvironment of glioma cells via mammalian target of rapamycin complex 1. Cell Death Discov 2024; 10: 379-391.
40. Tanyeli A, Eraslan E, Güler MC, Ekinci Akdemir FN, Güzel Akdoğan D, Topdağı Ö, et al. Investigation of the effects of maresin-1 on testicular ischemia reperfusion induced oxidative stress. South Clin Ist Euras 2020; 31: 187-191.
41. Carbone K, Gervasi F, Kozhamzharova L, Altybaeva N, Sönmez Gürer E, Sharifi-Rad J, et al. Casticin as potential anticancer agent: Recent advancements in multi-mechanistic approaches. Front Mol Biosci 2023; 10: 1157558-1157568.
42. Cao X, Hu X, Xu X, Zhu W, Lin Q, Le Y, et al. Casticin suppresses self-renewal related stemness via miR-342-3p-mediated FoxM1 downregulation in cervical cancer cells. Phytomedicine 2024; 135:156036.
43. Zhang D, Li J, Li X, Liu W, Yu Y, Sun H, et al. Anti-osteoporosis activity of casticin in ovariectomized rats. Toxicol Res 2024; 13: tfae064.
44. Li J, Qiu C, Xu P, Lu Y, Chen R. Casticin improves respiratory dysfunction and attenuates oxidative stress and inflammation via inhibition of NF-ĸB in a chronic obstructive pulmonary disease model of chronic cigarette smoke-exposed rats. Drug Des Devel Ther 2020; 14: 5019-5027.
45. Ekinci Akdemir F, Yildirim S, Kandemir F, Gülçin İ, Küçükler S, Sağlam YS, et al. The effects of casticin and myricetin on liver damage induced by methotrexate in rats. Iran J Basic Med Sci 2018; 21: 1281-1288.