Pharmacoprophylaxis of liver diseases: creating a new hepatoprotector

The article presents a study of the hepatoprotective activity of a tricyclic heterocycle, which refers to 5,6,7,8-tetrahydroquinolines. The effect of 8,8-dimethyl-5-p-tolyl-8,9-dihydro-2H-pyrido [4,3,2-de] cinnolin-3 (7H) was studied on rats under the influence of the model of toxic hepatosis induced by carbon tetrachloride to find out the indicators of peroxidation and biochemical indicators. Biochemical studies have shown that modelling toxic fat hepatosis caused by the inception of carbon tetrachloride to rats increased the activity of alanine aminotransferase by 2.5 times more compared with the intact group, indicating the development of oxidative stress induced by the treatment of pyrido [4,3,2] Cinnol I that reduced the toxic effect of CTC by 79.9 %. Mexidol had a less pronounced hepatoprotective effect: the activity of Alanine aminotransferase on animals of the second group was lower by 29.2 % than on rats from the control group. Thus, a new compound with hepatoprotective activity has been developed and studied.


Introduction
The growth of liver diseases is associated with a number of factors contributing to the growth of metabolic disorders due to the abundance in food of large amounts of saturated fat acids, side effects that occur when taking non-steroidal anti-inflammatory drugs (NSAIDs), anthelmintic and antibacterial drugs. All of these factors directly affect liver. One of the most common noninfectious liver diseases of animals is fat hepatosis. The creation of hepatoprotectors and the expansion of the possibilities of their use are primarily associated with the impact on key units of redox homeostasis. That is why antioxidants play a special role in maintaining normal metabolic processes in the liver, which help to prevent peroxidation processes that may be associated with an excess of free radicals in the body. It is also known that it is lipophilic antioxidants have significant hepatoprotective potential.
The example of antioxidant activity is 5,6,7,8tetrahydrobiopterin (BH 4) and its derivatives (5), which showed high antioxidant activity relative to the superoxide aniona radical generated by paraquat in a cell culture of hepatocytes [2].
The compound (5) is soluble in water, which contributes to insufficient absorption from the gastrointestinal tract, rapid elimination from the body, since lipophilic compounds are used for greater effectiveness of hepatoprotectors: for example, a complex of Silybin bioflavonoid derived from milk thistle and phosphatidylcholine. They form a lipophilic complex, which significantly increases the bioavailability of silybin and thus provides powerful protection of the liver. High hepatoprotective activity is observed in a number of heterocyclic compounds [3,4].
The example of the hepatoprotective effect of heterocycles is polycyclic adamantane derivatives [5].
It is important for the hepatoprotectors to have less toxicity, since the liver with developing hepatosis bears the main detoxifying function of the majority of xenobiotics entering the body.

Biological method
Hepatoprotective effect was studied on male rats weighing 180-220g on a model of chemically induced hepatosis in vivo, caused by the introduction of carbon tetrachloride (CTC). CTC is administered orally at a dose of 0.4 ml / 100 g of animal body weight. All animals participating in the experiment were divided into four groups: intact group, control (with carbon tetrachloride) and two experimental ones. After 14 days of experience, animals under fluorothane anesthesia of all groups were subjected to decapitation slaughter, and conducted pathological toxicity studies. The animals of all groups were kept on the same diet for pathological examination.

Results
Biochemical studies have shown that when modelling toxic fatty hepatosis caused by administering carbon tetrachloride (CTC) to rats (control group), the activity of alanine aminotransferase increased 2.5 times compared with the intact group. At the same time, treatment of animals with pyrido [4,3,2-de] cinnolin I reduced the toxic effect of CTC by 79.9 %. Mexidol had a less pronounced hepatoprotective effect: the activity of Alanine aminotransferase in animals of the second group was lower by 29.2 % than in rats from the control group. The data on changes in the activity of alanine aminotransferase under the action of the studied compounds indicate its marked hepatoprotective effect.
The activity of aspartate aminotransferase on rats with toxic fat hepatosis significantly increased the number of Aspartate aminotransferase in the control group was 2.8 times higher compared with the intact group. At the same time, the increase in the activity of Aspartate aminotransferase in the 1 st experimental group treated with the studied compound was expressed to a much lesser extent in comparison with the control group. In turn, the treatment of rats with Mexidol had a lower protective effect, leading to a decrease in the activity of Aspartate aminotransferase by 55.5 % compared with the control.
The value of alkaline phosphatase activity on animals with toxic fat hepatosis with the introduction of CTC increased by 18.5 %. At the same time, in both experimental groups, the enzyme activity was close to that in animals of the intact group.
One of the important indicators of the overall functional activity of the liver is the level of bilirubin. When modelling the toxic fat hepatosis caused by the inception of CTC, an increase in the level of bilirubin was observed in the control group relative to intact animals by 4.9 times. In the 1 st experimental group, the level of bilirubin has increased by 2.4 times, and in the treatment with Mexidol, by 3 times, which indicates the protective effect of the compounds under study.
In the control group (rats receiving CTC without treatment) compared to the intact group, lipid peroxidation products were exceeded: diene conjugatesby 47.4 %, malonic dialdehydeby 84.6 %, which indicates the development of oxidative stress induced by CTC. The activity of catalase and superoxide dismutase decreased by 49.8 % and 20.6 % respectively.
In experimental group 1 and 2, where animals were treated with pyrido [4,3,2] cinnolin or mexidol, respectively, compared to control, the level of DC and MDA was significantly lower and practically did not differ from the corresponding values in the intact group. The treatment of the studied compound of animals from the first experimental group completely prevented the decrease in catalase activity, while the SOD level was slightly lower (by 7.5 %) than in the intact group. Despite the pronounced antioxidant activity of Mexidol, the level of catalase and SOD in the second experimental group was lower than in the first experimental group ( Table 1).
The accumulated experience of work of law enforcement agencies with service dogs indicates that the successful solution of the problems of using dogs as biodetectors depends on the physiological state, working qualities directly related to the breeding, maintenance and saving of animals. At the same time, one of the most important elements of keeping service dogs is their feeding and physical training. During the work with dogs with impaired metabolism, there is a worsening or complete loss of appetite, a decrease in body weight, depression and lethargy, loss of working ability, an increase or decrease in body temperature, pulse rate and respiration. Possible violation of the digestive tract and the appearance of cough and abnormal nasal secretions are seen. Shortness of breath is observed, the work of the heart, as a rule, is impaired. In addition service dogs of both genders do not show sexual activity. .94* Data are presented in the form: X ± Δх; n = 10, where X is the average value, Δx is the standard error of the mean, n is the number of animals in the groups. * -significant differences are indicated in comparison with the group of intact animals at р≤0.05.
The symptoms of hypotrophy-deficiency of body weight of varying degrees, caused by a lack of nutrition, and hypertrophyan increase in the volume and mass of organs, tissue, and cellsare distinguished.
Often, metabolic syndrome can be a signal of the development of liver diseases such as hepatitis, hepatosis (adipose, amyloid), cirrhosis, fascioliasis, echinococcosis, opisthorchiasis, cystomatosis, tuberculosis and some others, considered as hepatic syndromes. We must also not to rule out diseases of the biliary tract: cholecystitis, cholangitis and gallstones.
A special role in the prevention of diseases of the gastrointestinal tract is the use of probiotics that have radioprotection [8]. Liver is the central organ of the homeostasis of the body, metabolic processes play a direct role in providing the body's energy needs with glucose and converting various energy sources (free fat acids, amino acids, glycerin, lactic acid, etc.) into glucose (the so-called gluconeogenesis), replenishing and storing quickly mobilized energy reserves in the form of glycogen and the regulation of carbohydrate metabolism, replenishment and storage of certain vitamins (especially there is a large amount of the reserves of liposoluble vitamins A, D, water-soluble vitamin B12 in the liver), as well as cations and a number of trace elements, in particular, iron, copper and cobalt cations, is involved in the metabolism of vitamins A, B, C, D, E, K, PP and folic acid, synthesis cholesterol and its esters, lipids and phospholipids, lipoproteins and the regulation of lipid metabolism, the synthesis of bile acids and bilirubin, the production and secretion of bile [9].
Liver damage and the occurrence of syndromes may also be associated with unbalanced feeding of the animal. Care must be taken about the quality of the dog's food.
Pectin substances [10] have a special role. We have studied the effect of the extract of Salsola Pall on the biochemical parameters in dogs. Salsola Pall is a weedy, annual, spring later plant of spherical shape. The height of the bush is up to 100 cm. It blossoms from July to September. Fruiting is in September and later. It grows in forest-steppe and steppe zones. It weeds litter crops and tilled crops. It is resistant to arid climate and salt-enriched soils.
Salsola Pall is an alternative source of biologically active substances and helps to improve the functional state of the liver. It is distributed in the Middle Volga and Trans-Volga regions, the south of the West Siberian region, the Far East, in the high-altitude valleys of the southern regions of Central Asia. This plant is a powerful hepatoprotector, which also has immunomodulatory, antioxidant, choleretic, lipotropic, and hypoglycemic properties. Salsola Pall (Latin Salsola collina Pall.) belongs to the genus of herbaceous and shrubby plants Salsola (Salsola), belonging to the Amaranth family (Latin Amaranthaceae). Numerous experiments have proved the ability of Salsola Pall to act as a hepatoprotector, that is, to contribute to the normalization of the functions, structure and metabolism of the liver parenchyma. Preparations of halophytic colus are prescribed for liver cirrhosis, cholecystitis, hepatosis, acute, viral and toxic hepatitis [11,12]. They are used to protect the liver during the treatment of various diseases with drugs with a hepatotoxic effect, with helminthiases and infectious processes in the liver [13,14]. They have an insulin-like effect; it means that they are able to reduce the sugar content in the blood. As a dietary supplement, Salsola Pall helps to strengthen bones, has an immunostimulating effect, and serves to prevent disorders of lipid metabolism and cholesterol metabolism. Table 2 shows the biochemical parameters in the application of the extract of Salsola Pall in two groupsexperimental and control, consisting of ten dogs each.

Conclusion
Thus, the obtained results indicate that compound I possesses significant hepatoprotective activity, exceeding the action of the antioxidant -Mexidol.
In the control group (rats treated with carbon tetrachloride (CTC) without treatment), there was an increase in the level compared to the level in the intact group of LPO products (DСby 47.44 %, MDAby 84.62 %), which indicates the development of oxidative stress induced by CTC. It was found that in the control group the level of SOD activity was reduced by 20.64 % (p≤0.05) and catalase (p≤0.05) decreased by 50.21 %.
The level of DC in the group treated with pyrido [4,3,2-de] cinnolin, in comparison with the level in the intact group, is higher by 11.10 %, and MDAby 10.26 % (p≤0.05). At the same time, the level of SOD enzyme activity is 7.53 % (p≤0.05) lower than the level of enzyme activity in the intact group, and catalase is 1.17 % lower than the level of catalase activity in the intact group (p≤0.05). According to the results of pathological studies, the livers of a group of animals after treatment with pyridoxinoline contained insignificant deviations, indicating the development of initial changes in fat hepatosis.
Hepatoprotective activity of the compound 8,8dimethyl-5-p-tolyl-3,4,7,8-tetrahydro-2H-pyrido [4,3,2de] cinnolin-3 was proven in vivo on a model of acute toxic hepatosis induced by carbon tetrachloride. It is established that this compound affects the indicators that determine the level of free-radical oxidation (FRO): malonic dialdehyde (MDA) and diene conjugates (DC), as well as the activity of the main antioxidant enzymessuperoxide dismutase (SOD) and catalase. Hepatoprotective activity was analyzed by the level of activity of the enzymesalanine aminotransferase (AlAT) and aspartate aminotransferase (AsAT), alkaline phosphatase, as well as the level of bilirubin.
We also studied the hepatoprotective activity of the extract from the seeds of amaranth and the extract of hilum on a significant sample of dogs. The results of blood biochemical parameters, which indicate the normalization of the level of activity of liver enzymes (alanine aminotransferase and aspartate aminotransferase), were obtained, and positive changes in the lipid profile were noted.
After the application of the extract of Salsola Pall, it was found that the level of the key enzymealanine aminotransferase in the experimental group decreased by 22.4 %, cholesterolby 21.2 %, alkaline phosphataseby 24.8 %.
The use of the extract allowed restoring the glycogensynthesizing role of the liver, which led to an increase in glucose level by 15.2 %.
Thus, the use of both a synthetic component and an extract of Salsola Pall give a decrease in the activity of the enzymes -hepato indicators -Alanine Aminotransferase and Aspartate Aminotransferase. The mechanism of hepatoprotection consists of the restoration of the radicalbinding functions of the liver and the cytoprotective properties [15].
Hepatoprotective activity of the compound 8,8dimethyl-5-p-tolyl-3,4,7,8-tetrahydro-2H-pyrido [4,3,2de] cinnolin-3 was proven in vivo on a model of acute toxic hepatosis induced by carbon tetrachloride. It is established that this compound affects the indicators that determine the level of free-radical oxidation (FRO): malonic dialdehyde (MDA) and diene conjugates (DC), as well as the activity of key antioxidant enzymessuperoxide dismutase (SOD) and catalase. Hepatoprotective activity was analyzed by the level of activity of the enzymesalanine aminotransferase (AlAT) and aspartate aminotransferase (AsAT), alkaline phosphatase, as well as the level of bilirubin.
We also studied the hepatoprotective activity of the extract from the seeds of amaranth and the extract of Salsola Pall on a significant sample of dogs. The results of blood biochemical parameters, which indicate the normalization of the level of activity of liver enzymes (alanine aminotransferase and aspartate aminotransferase), were obtained, and positive changes in the lipid profile were noted.
The studies of individual components of drugs of hepatoprotective action have shown that the active ingredient is 8,8-dimethyl-5-p-tolyl-3,4,7,8-tetrahydro-2H-pyrido [4,3,2-de] cinnolin-3 has a pronounced antitoxic effect that can stop the process of hepatocyte cytolysis. The combination of this substance with the extract of Salsola Pall can expand the possibilities of using the drug in order to prevent the development of hepatosis. Such combination of synthetic and herbal components is an example of the expansion of the mechanisms of the hepatoprotective action and allows the use of this drug as means of therapy, and as a preventive hepatoprotective agent.