Protective effect of ingesting Citrus aurantifolia (lemon) peel against hepatic damage induced by ethanol in mice

Authors

  • Cesar Adolfo Flores Valle https://orcid.org/0009-0001-2856-3839
  • Grace Palacios Leiva
  • José Antonio Benajmín Caballero Calampa
  • Óscar Gabriel Pajuelo Rios
  • José Manuel Huamán Gutiérrez Departamento Académico de Estadística - Universidad Nacional Mayor de San Marcos.
  • Oscar Gustavo Huamán Gutiérrez

DOI:

https://doi.org/10.12873/

Keywords:

Citrus aurantifolia, Citrus fruit, Liver disease, Ethanol.

Abstract

ABSTRACT

Introduction: Liver diseases in Peru are a major cause of morbidity and mortality. Ethanol consumption increases the risk of developing liver cirrhosis and other diseases.

Objective: To determine the protective effect of ingesting Citrus aurantifolia (lemon) peel against ethanol-induced liver damage in mice.

Materials and methods: An analytical, experimental, cross-sectional, and prospective study was conducted. Thirty-five adult male Mus musculus mice were used. Citrus aurantifolia (lemon) peels were obtained by manual peeling, then oven-dried at 40°C for 72 hours. They were then ground in a mill and subsequently sieved. They were suspended in a colloidal medium of water with 1% cornstarch. The mice were randomly assigned to five groups (n=7) and received the following oral treatments for five days: groups I and II: 1% starch suspension; group III: 100 mg/kg silymarin in 1% starch suspension; group IV: 100 mg/kg lemon peel; and group V: 400 mg/kg lemon peel. Group I received a 5% glucose solution in their water bowl, while groups II-V received 5% ethanol with 5% glucose. They were euthanized on day six.

Results: The groups that received the lemon peel doses had significantly higher GSH levels than group II. Less histological damage was also observed compared to group II; however, lipid peroxidation levels in liver tissue were significantly higher than in group II.

Conclusions: Citrus aurantifolia administration has a hepatoprotective effect, as expressed in GSH and histological markers.

References

1. Osorio Calixtro L, Patiño Trinidad T, Tagle Arróspide M, Huayanay Falconi L. Percepciones, conocimientos y actitudes sobre enfermedad hepática en adultos sanos que acuden a instituciones de salud de estrato A, B y C. Rev Gastroenterol Perú [Internet]. abril de 2010 [citado el 3 de julio de 2024];30(2):126–32. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_abstract&pid=S1022-51292010000200004&lng=es&nrm=iso&tlng=es

2. Malpica-Castillo A, Ticse R, Salazar-Quiñones M, Cheng-Zárate L, Valenzuela-Granados V, Huerta-Mercado Tenorio J. Mortalidad y readmisión en pacientes cirróticos hospitalizados en un hospital general de Lima, Perú. Rev Gastroenterol Perú [Internet]. octubre de 2013 [citado el 3 de julio de 2024];33(4):301–5. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_abstract&pid=S1022-51292013000400003&lng=es&nrm=iso&tlng=es

3. Bustíos C, Dávalos M, Román R, Zumaeta E. Características Epidemiológicas y Clínicas de la Cirrosis Hepática en la Unidad de Hígado del HNERM Es-Salud. Rev Gastroenterol Perú [Internet]. julio de 2007 [citado el 3 de julio de 2024];27(3):238–45. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_abstract&pid=S1022-51292007000300003&lng=es&nrm=iso&tlng=es

4. Cederbaum AI. Alcohol metabolism. Clin Liver Dis [Internet]. noviembre de 2012 [citado el 29 de abril de 2025];16(4):667–85. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3484320/

5. Delgado Olivares L, Betanzos Cabrera G, Sumaya Martínez MT. Importancia de los antioxidantes dietarios en la disminución del estrés oxidativo. Investig Cienc Univ Autónoma Aguascalientes [Internet]. 2010 [citado el 3 de julio de 2024];(50):10–5. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=6088889

6. Asociación Macroregional De Productores Para La Exportación. Perfil de mercado del limón (Citrus). 2008.

7. Vargas y Vargas M de L, Tamayo Cortez JA, Figueroa Brito H, Toledo López VM, Moo Huchin VM. Aprovechamiento de cáscaras de frutas: análisis nutricional y compuestos bioactivos [Internet]. 2019 [citado el 29 de abril de 2025]. Disponible en: https://cienciaergosum.uaemex.mx/article/view/9309

8. Hernández Sampieri R, Fernández Collado C, Baptista Lucio M del P. Metodología de la investigación. Sexta edición. México; 2014.

9. Sandoval M, Lazarte K, Arnao I. Hepatoprotección antioxidante de la cáscara y semilla de Vitis vinifera L. (uva). An Fac Med [Internet]. diciembre de 2008 [citado el 3 de julio de 2024];69(4):250–9. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_abstract&pid=S1025-55832008000400006&lng=es&nrm=iso&tlng=es

10. Buege JA, Aust SD. Microsomal lipid peroxidation. Methods Enzymol. 1978;52:302–10.

11. Suárez Cunza S. Detoxificación hepática y defensa antioxidante por efecto de xenobioticos alimentarios [Internet]. 1995 [citado el 12 de julio de 2024]. Disponible en: https://cybertesis.unmsm.edu.pe/item/1835eab0-5a81-4f34-ae4f-859db6ab4839

12. Sedlak J, Lindsay RH. Estimation of total, protein-bound, and nonprotein sulfhydryl groups in tissue with Ellman’s reagent. Anal Biochem. el 24 de octubre de 1968;25(1):192–205.

13. Fuentes Paredes F de MD, Mendoza Yanavilca RA, Rosales Fernández AL, Cisneros Tarmeño RA. Guía de manejo y cuidado de animales de laboratorio: ratón [Internet]. Instituto Nacional de Salud; 2010 [citado el 3 de julio de 2024]. Disponible en: https://repositorio.ins.gob.pe///handle/20.500.14196/117

14. Congreso de La República. Ley de protección y bienestar animal. [Internet]. El Peruano; 2016. Disponible en: https://leyes.congreso.gob.pe/documentos/leyes/30407.pdf

15. Russell W, Burch R. The principles of humane experimental technique. Vol. 3. ALTEX; 1959. 94 p.

16. Indriyani NN, Anshori JA, Permadi N, Nurjanah S, Julaeha E. Bioactive Components and Their Activities from Different Parts of Citrus aurantifolia (Christm.) Swingle for Food Development. Foods [Internet]. el 17 de mayo de 2023 [citado el 27 de marzo de 2025];12(10):2036. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10217416/

17. Czech A, Malik A, Sosnowska B, Domaradzki P. Bioactive Substances, Heavy Metals, and Antioxidant Activity in Whole Fruit, Peel, and Pulp of Citrus Fruits. Int J Food Sci [Internet]. el 16 de marzo de 2021 [citado el 5 de abril de 2025];2021:6662259. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7990557/

18. Phucharoenrak P, Muangnoi C, Trachootham D. A Green Extraction Method to Achieve the Highest Yield of Limonin and Hesperidin from Lime Peel Powder (Citrus aurantifolia). Molecules [Internet]. el 26 de enero de 2022 [citado el 5 de abril de 2025];27(3):820. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8840237/

19. Zamanian MY, Soltani A, Khodarahmi Z, Alameri AA, Alwan AMR, Ramírez-Coronel AA, et al. Targeting Nrf2 signaling pathway by quercetin in the prevention and treatment of neurological disorders: An overview and update on new developments. Fundam Clin Pharmacol [Internet]. 2023 [citado el 18 de abril de 2025];37(6):1050–64. Disponible en: https://onlinelibrary.wiley.com/doi/abs/10.1111/fcp.12926

20. Jomova K, Raptova R, Alomar SY, Alwasel SH, Nepovimova E, Kuca K, et al. Reactive oxygen species, toxicity, oxidative stress, and antioxidants: chronic diseases and aging. Arch Toxicol [Internet]. 2023 [citado el 29 de abril de 2025];97(10):2499–574. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10475008/

21. Mavrommatis A, Zografaki ME, Marka S, Myrtsi ED, Giamouri E, Christodoulou C, et al. Effect of a Carotenoid Extract from Citrus reticulata By-Products on the Immune-Oxidative Status of Broilers. Antioxidants [Internet]. el 10 de enero de 2022 [citado el 29 de abril de 2025];11(1):144. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8773417/

22. Ezzat RS, Abdel-Moneim A, Zoheir KM, Mohamed EE, Abou-Seif HS, Hefnawy M, et al. Anti-carcinogenic effects and mechanisms of actions of Citrus limon fruit peel hydroethanolic extract and limonene in diethylnitrosmine/2-acetylaminofluorene-induced hepatocellular carcinoma in Wistar rats. Am J Cancer Res [Internet]. el 15 de noviembre de 2024 [citado el 29 de abril de 2025];14(11):5193–215. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626260/

23. Osna NA, Tikhanovich I, Ortega-Ribera M, Mueller S, Zheng C, Mueller J, et al. Alcohol-Associated Liver Disease Outcomes: Critical Mechanisms of Liver Injury Progression. Biomolecules [Internet]. el 27 de marzo de 2024 [citado el 25 de mayo de 2025];14(4):404. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11048648/

24. Yan S, Lin Z, Ma M, Arasteh A, Yin XM. Cholestatic insult triggers alcohol-associated hepatitis in mice. Hepatol Commun [Internet]. el 24 de octubre de 2024 [citado el 27 de mayo de 2025];8(11):e0566. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11512636/

25. Han SC, Huang RP, Zhang QY, Yan CY, Li XY, Li YF, et al. Antialcohol and Hepatoprotective Effects of Tamarind Shell Extract on Ethanol-Induced Damage to HepG2 Cells and Animal Models. Foods [Internet]. el 3 de marzo de 2023 [citado el 27 de mayo de 2025];12(5):1078. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10000874/

26. Nasehi Z, Kheiripour N, Taheri MA, Ardjmand A, Jozi F, Shahaboddin ME. Efficiency of Hesperidin against Liver Fibrosis Induced by Bile Duct Ligation in Rats. BioMed Res Int [Internet]. el 11 de abril de 2023 [citado el 27 de mayo de 2025];2023:5444301. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10113046/

Downloads

Published

2025-08-20

How to Cite

[1]
2025. Protective effect of ingesting Citrus aurantifolia (lemon) peel against hepatic damage induced by ethanol in mice. Nutrición Clínica y Dietética Hospitalaria. 45, 3 (Aug. 2025). DOI:https://doi.org/10.12873/.

Similar Articles

1-10 of 11

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)

1 2 > >>