In the present study, we investigated the hepatotoxic effects of perinatal exposure to GBH in offspring’s liver, blood and bone marrow of immature rats. We demonstrated that perinatal exposure to GBH leads to calcium influx, oxidative stress, inflammation and iron overload culminating in hepatotoxicity.
We have previously demonstrated that perinatal exposure to GBH decreased the pup´s body weight with no change in daily consumption of water and food, as well as the body weight of mothers (Cattani et al. 2014). Corroborating our previous findings, the present study also demonstrated that perinatal exposure to GBH impaired the growth and body weight gain of pups, emphasizing the potential impact of perinatal exposure to glyphosate on animal physiological growth.
Calcium-mediated signaling events are associated with cell physiology and toxic events. Our research group demonstrated that modulation of Ca2+ influx is related to the mechanism of action/toxicity of hormones, natural compounds, pesticides, alcohol and environmental pollutants in different tissues and cell types (Cattani et al. 2013; Cattani et al. 2014; Cesconetto et al. 2016; Domingues et al. 2018; Zamoner et al. 2007; Staldoni de Oliveira et al. 2021; Naspolini et al. 2021). In the present study, results showed that glyphosate-induced 45Ca2+ influx is mediated by voltage-gated channels, through mechanisms involving PI3K/Akt and PLC signaling pathways as well as disruption in oxidative status, since NAC prevented GBH-induced calcium influx. In line with our results, recent studies also have shown that NAC can ameliorate most of the adverse effects against glyphosate-induced hepatotoxicity (Hashim et al. 2021; Turkmen et al. 2019). Therefore, we propose that GBH-exposure leads to overstimulation of voltage-gated channels increasing Ca2+ ionic flow into cells, triggering mitochondrial dysfunction, oxidative damage and inflammation.
Liver is particularly susceptible to toxicity since it plays a central role in the transformation and degradation of endogenous and exogenous chemicals. In order to maintain liver homeostasis, specific intracellular processes are initiated where the inflammatory cytokines, such as IL-6 and TNF-α, plays a pivotal role (Tacke, Luedde, and Trautwein 2009). In addition to their role as inflammatory cytokines, TNF-α also mediates caspase-independent death via ROS formation (Malhi and Gores 2008) while IL-6 signaling may play an important role in protection from ROS-induced apoptosis (Taub 2003). Our data demonstrated that GBH-induced hepatotoxicity involves the production of the pro-inflammatory cytokines Il-6 and TNF-α, followed by the activation of NF-kB signaling pathway. A recent study showed that TNF-α and IL-6 were upregulated in liver of adult male rats exposed to GBH (Pandey, Dhabade, and Kumarasamy 2019). Similar results were demonstrated for the pesticides fipronil and malathion, which induced liver injury through oxidative stress and NF-κB (RA et al. 2019; Lasram et al. 2014). NF-kB regulates important functions in liver physiology and pathology and may play a central role in the inflammatory response to cell injury (Dutta et al. 2006). It is also important for normal tissue development of various cell systems, including the liver (Papa et al. 2009).
The oxidative modification of enzymatic complexes of the respiratory chain, GSH depletion, lipid peroxidation and Ca2+ influx are the main events of mitochondrial peroxidative damage in hepatic cells (Zavodnik et al. 2013). Therefore, lipid peroxidation and protein oxidation reported in the present study might be a consequence of concomitant increase in ROS generation and depleted antioxidant defense systems in liver from GBH-exposed pups.
Oxidative stress associated with Ca2+ influx were previously demonstrated as hallmarks of GBH-induced neurotoxicity (Cattani et al. 2014; Cattani et al. 2017) and reproductive toxicity (de Liz Oliveira Cavalli et al. 2013). The Ca2+-mediated GBH hepatotoxicity was associated with the increase of GR, GST and CAT enzymatic activities, associated with downregulated G6PD and SOD activities. G6PD is the rate-limiting enzyme of the pentose phosphate pathway, which generates NADPH and ribose 5-phosphate. Thus, G6PD plays a key role in liver metabolism and in protecting cells against ROS, since NADPH is used as an electron donor to reduce glutathione in addition to reductive biosynthesis. Downregulated G6PD activity will be insufficient to restore NADPH/NADP+ ratio and may cause the inability of the antioxidant system to detoxify ROS, leading to oxidative stress and activating pro-inflammatory signaling in glyphosate-exposed rat liver. Similar results were demonstrated in diabetic rats (M et al. 2006), where severe hyperglycemia decreased body weight and G6PD activity, and depleted glutathione levels in the rat liver. Downregulation of G6PD was also demonstrated by us as a hallmark of GBH-induced cell toxicity and oxidative damage in brain (Cattani et al. 2014; Cattani et al. 2017).
Our results clearly demonstrate a disruption in the homeostasis of GSH, the most abundant cellular non-protein thiol antioxidant, which exhibits numerous and versatile functions protecting cells against hepatotoxicity (Chen et al. 2013). Through the GST family enzymes, GSH may be conjugated to a variety of endogenous compounds and to xenobiotics leading to their safe and efficient elimination (Halliwell and Gutteridge 2007). Thus, GSH depletion might be a consequence of its consumption by GST. Upon reaction with ROS, GSH becomes oxidized to GSSG, which can be reduced again by GR. Thus, the oxidative stress probably evokes an adaptive response leading to the modulation of the enzymatic activities of GR (to replenish GSH levels) and GST (to xenobiotic detoxification). Also, the increased activity of CAT may be involved in removing excess of hydrogen peroxide produced by GBH-induced hepatotoxicity. On the other hand, SOD downregulation might account for superoxide accumulation and subsequent cell damage.
Considering the role of liver in glutamate metabolism, here we hypothesized that abnormal glutamate metabolism might be involved in perinatal GBH-induced pup’s liver injury. Perinatal exposure to GBH increased either hepatic or serum levels of AST and ALT, two enzymes described as sensitive blood indicators of liver damage or injury (Ioannou, Boyko, and Lee 2006). In the liver, AST and ALT may be involved in the energy metabolism providing oxaloacetate or alfa-ketoglutarate to tricarboxylic acid cycle and/or they might be participating in glutamate metabolism, which are essential for amino acid metabolism, allowing the liver to produce urea and excrete excess nitrogen (Erecińska and Silver 1990). Alanine aminotransferase catalyzes the reversible interconversion of pyruvate to alanine in muscle cells. Then, alanine is carried by the bloodstream to the liver and pyruvate is regenerated by transamination, providing an important substrate for gluconeogenesis. Thus, transaminases also participate in glucose-alanine cycle, which transports nitrogen in a non-toxic form from peripheral tissues to the liver. Transaminases, therefore, play a key role in maintaining cell homeostasis, since they work in a variety of settings.
Circulating levels of AST or ALT (or both) are elevated in most hepatic diseases, and the degree of aminotransferase activity found in plasma roughly reflects the current activity of the disease process (Cecil, Goldman, and Schafer 2012). Therefore, increased activity of AST and ALT induced by GBH exposure in tissue supports the effect of the pesticide on liver metabolism, while increased activity of these enzymes in the serum suggests liver injury, which are releasing the enzymes from tissue to blood.
Corroborating the hepatotoxicity induced by perinatal exposure to the GBH, the activity of GGT was increased both in pup’s liver and serum. GGT is primarily involved in metabolizing extracellular GSH, providing precursor amino acids to be assimilated and reutilized for intracellular GSH synthesis, protein synthesis or energy metabolism (Koenig and Seneff 2015). Health conditions that increase serum GGT levels might lead to increased free radical production and GSH depletion (Whitfield 2001). Moreover, it has been proposed that the GGT's predictive utility applies well beyond liver disease (Koenig and Seneff 2015).
Chronic liver diseases may be associated with iron-loading, contributing to the progression of the underlying disease to cirrhosis and hemochromatosis through iron-driven oxidative stress (Pietrangelo 2016). In iron overload states, the iron level will be high, particularly in the liver where iron is normally stored, and the transferrin level will be low or normal, leading to increased transferrin saturation (Rombout-Sestrienkova, van Kraaij, and Koek 2016). Our results demonstrated iron overload in serum, liver and bone marrow of GBH exposed pups, which were associated with decreased transferrin levels and increased transferrin saturation. The iron accumulation in GBH perinatally-exposed pups was attested by Perls' Prussian blue staining of bone marrow slides.
The hematological parameters of 15-days-old rats showed increased RBC number, Hb levels, Ht, MCV and MCH, corroborating the increased amount of iron observed in blood, liver and bone marrow of GBH-exposed group. This increase in erythropoiesis may related to iron overload observed in the blood of GBH-exposed group since most circulating iron is needed to fulfill heme synthesis during RBC production. Moreover, the increase in RBC number can provoke the iron deposits in the bone marrow as iron supply to this tissue comes under particular strain after conditions that trigger erythropoiesis (Kautz and Nemeth 2014).
Over the past decade, the essential contributions of GSH to cellular iron metabolism have come into focus. Studies have shown GSH as an important player in all aspects of iron metabolism by regulating iron levels and trafficking, and biosynthesis of iron cofactors (Berndt and Lillig 2017; Daniel et al. 2020). Thus, decreased GSH content may be involved, at least in part, in the iron overload observed in the GBH-exposed group. Excessive amounts of iron can be toxic and can lead to the progressive accumulation of iron compounds in organs and tissues, which may eventually cause their dysfunction and failure (Y, É, and F 2017; P et al. 2019).
The accumulation of “free” non-protein-bound iron in blood and tissues may initiate cell injury and cause hepatotoxicity due to iron-induced free radical formation mainly through the formation of reactive hydroxyl radicals by the Fenton reaction. The overproduction of free radicals might induce oxidative stress (Afanas'ev 2005). Therefore, organs that have high oxidative metabolism, as liver, are the most susceptible to ROS-induced damage (Wessling-Resnick 2017).
The oxidative stress caused by perinatal exposure to GBH in rat liver, associated with iron accumulation, may induce early epigenetic changes that could lead to adverse outcomes later in life. Indeed, the neonatal period is critical for the establishment of normal iron content in the adult brain (Fredriksson et al. 2000) and animals’ studies have indicated that high iron exposure during a critical postnatal period promotes neuronal damage that affects cognition and memory and induces neurobehavioral dysfunctions and neurotoxicity (Wessling-Resnick 2017; Fredriksson et al. 2000; Fredriksson and Archer 2003; de Lima et al. 2007). In rats, the rate of iron uptake by the brain are maximal over the first 15 days of life (Taylor and Morgan 1990). Interestingly, we previously shown that the perinatal exposure to GBH induced neurotoxicity in 15-days-old rats, which was associated with depressive-like behavior later in life (Cattani et al. 2017; Cattani et al. 2014). Therefore, we suggest that the neurotoxic effects previously reported by us may be connected to the iron accumulation demonstrated in the present study. However, whether iron overload and developmental neurotoxicity after GBH-exposure are linked needs to be further evaluated.
The proposed mechanism of GBH-induced hepatoxicity involves Ca2+ influx, iron overload, inflammation and oxidative stress (Fig. 8). The disruption on calcium and iron homeostasis may compromise the liver’s antioxidant defense system leading to GSH depletion, lipid peroxidation, protein carbonylation and inflammation leading to hepatotoxicity. In addition, the glutamate metabolism was altered in the liver of GBH-exposed pups. Determination of iron levels, transferrin saturation, GGT, ALT and AST in blood samples were demonstrated as peripheral biomarkers of GBH-induced liver injury. Taken together, our results suggest a potential risk for oxidative injury of the liver from immature pups exposed to GBH during fetal and post-natal early life.