ReferenceID 1357

The Effects of Bilirubin and Lumirubin on Metabolic and Oxidative Stress Markers

Front Pharmacol

For severe unconjugated hyperbilirubinemia the gold standard treatment is phototherapy with blue-green light, producing more polar photo-oxidation products, believed to be non-toxic. The aim of the present study was to c

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Reference Id
1357
Evidence Id
17947
Core Evidence Id
17947
Source Reference Id
2718
Herb2 Reference Id
HBREF003515
Subject Paper Key
HBIN018510_33746746
Pubmed Id
33746746
Doi
10.3389/fphar.2021.567001
Paper Title
The Effects of Bilirubin and Lumirubin on Metabolic and Oxidative Stress Markers
Paper Abstract
For severe unconjugated hyperbilirubinemia the gold standard treatment is phototherapy with blue-green light, producing more polar photo-oxidation products, believed to be non-toxic. The aim of the present study was to compare the effects of bilirubin (BR) and lumirubin (LR), the major BR photo-oxidation product, on metabolic and oxidative stress markers. The biological activities of these pigments were investigated on several human and murine cell lines, with the focus on mitochondrial respiration, substrate metabolism, reactive oxygen species production, and the overall effects on cell viability. Compared to BR, LR was found to be much less toxic, while still maintaining a similar antioxidant capacity in the serum as well as suppressing activity leading to mitochondrial superoxide production. Nevertheless, due to its lower lipophilicity, LR was less efficient in preventing lipoperoxidation. The cytotoxicity of BR was affected by the cellular glycolytic reserve, most compromised in human hepatoblastoma HepG2 cells. The observed effects were correlated with changes in the production of tricarboxylic acid cycle metabolites. Both BR and LR modulated expression of PPARalpha downstream effectors involved in lipid and glucose metabolism. Proinflammatory effects of BR, evidenced by increased expression of TNFalpha upon exposure to bacterial lipopolysaccharide, were observed in murine macrophage-like RAW 264.7 cells. Collectively, these data point to the biological effects of BR and its photo-oxidation products, which might have clinical relevance in phototherapy-treated hyperbilirubinemic neonates and adult patients.
Journal
Front Pharmacol
Publish Year
2021
Experiment Subject
mouse; human; patient; human and murine cell lines; human hepatoblastoma hepg2 cells; raw 264.7 cells
Experiment Type
Cell Experiment
Phenotype Related
Hyperbilirubinemic; Unconjugated Hyperbilirubinemia; Hepatoblastoma
Paper Title Cn
Paper Title En
The Effects of Bilirubin and Lumirubin on Metabolic and Oxidative Stress Markers
Bilingual Status
semi_complete