ORIGINAL�ARTICLE ABSTRACT Objective: To study the protective effect of olive oil against histological changes induced by arsenic in liver of albino rats. Study Design: Randomized control trail. st th Place and Duration of Study: The research was carried out from 1 to 30 November 2017 at National institute of Health, Islamabad. Materials and Methods: Forty five male adult albino rats were placed in three cages having 15 rats each. Distilled water was given to rats of control group I for 30 days. The rats of group II were given 40mg per kg per day of Sodium Arsenite dissolved in drinking water for 30 days. Rats in group III, in addition to sodium Arsenite received olive oil, 0.2ml per day for 30 days along with Sodium Arsenite. Dissection was done after 30 days and liver was dissected out for histological changes. Results: The use of olive oil improved the gross and microscopic changes induced by Arsenic in liver lobes(right lateral and left lateral) of Albino rats of group III as compared to group II rats, which received only arsenic. Among microscopic parameters, sinusoidal dilation, pyknosis and necrosis was markedly reduced by use of olive oil in group III rats whereas hemorrhage was absent in group III. Conclusion: Olive oil protects histological changes caused by arsenic in liver of Albino rats which include sinusoidal dilation, congestion, pyknosis, necrosis and haemorrhage. Key Words: EVOO (extra virgin olive oil), Sodium arsenite, Oleuropein. species (ROS)” and “reactive nitrogen species (RNS)” leading to necrosis, oxidative damage to proteins, 1,3,4 lipids and DNA in cells. Several acute and chronic hepatic effects have been associated with arsenic 5 poisoning. Various antioxidants are available which can reduce the effect of arsenic on liver and various organs, olive oil is one of them which can be used to avoid disastrous effects of arsenic on liver. Olive oil contains about 70% Oleic acid and phenolic compounds that provide health benefits. Olive oil itself has a greater antioxidant capacity than most 6 other seed oils. Arsenic affects most of the organs involved in 7 absorption, accumulation and excretion, Long-term exposure to inorganic arsenic can cause dysfunction 8,9 10 of endocrine system nervous system, and 11 reproductive system, and may also cause loss of 4 body weight. Exposure to arsenic also causes, liver 12,13 fibrosis, metabolic disorder such as diabetes, 9 chronic lung disease, gangrene of toes, cancer of 14 internal sites and skin. It has been found to have toxic effects on gonadal tissues of laboratory animals 11 as well. Various antioxidants have been used to ameliorate Introduction Liver, the largest organ in the body, usually weighs about 1.5 kg. It is an organ of metabolism and production of energy; its other main functions include: storage of iron, trace elements, vitamins and bile production. The weight of human liver is 2 to 3%, 1 whereas rat liver is 5% of total body weight. Various metals have acute and chronic effects on liver; Arsenic is one of them which also produce toxic effects on liver. Arsenic, a “protoplasmic poison” interferes with mitosis, cell respiration, enzymes due 2 to its effect on sulfhydryl group of cells. It can also exert its toxic effects by generating “reactive oxygen The Protective Effect of Olive Oil on Arsenic Induced Histological Changes in the Liver of Albino Rats 1 2 Hira Waqas Cheema , Shabana Ali Correspondence: Dr. Hira Waqas Cheema Senior Lecturer Department of Anatomy Islamic International Medical College Riphah International University, Islamabad E-mail: hira.cheema@hotmail.com 1,2 Department of Anatomy Islamic International Medical College Riphah International University, Islamabad Funding Source: NIL; Conflict of Interest: NIL Received: April 30, 2018; Revised: November 19, 2018 Accepted: December 16, 2018 Hepatoprotective Effect of Olive OilJIIMC 2018 Vol. 13, No.4 200 toxic effects of arsenic on various organs. Vitamin E, Ca and Olive oil is used to improve Arsenic induced 15,6 histological changes in ovary. Antioxidants like L ascorbic acid, biochanin A, menthe piperita and aloe Vera has been used to improve toxic effects of 16,19 arsenic on liver of rats. Oleuropein, one of the component of olive oil is found to be effective antioxidant in literature, therefore olive oil may be used in our study to ameliorate arsenic induced 20 hepatotoxic effects. The present study was designed to study the protective effect of olive oil against histological changes induced by arsenic in liver of albino rats. Materials and Methods The experiment was carried on the basis of randomized control trial under supervision of animal st th house at NIH Islamabad from 1 to 30 November 2017. Forty five male albino rats, weighing 250 to 300gm were kept in three cages with a number of 15 rats per cage. The simple random sampling technique was used. The research was approved by Ethical Review Committee. A controlled standard living environment suitable to their class with adjusted diet was given. A well ventilated room with cycles of 12 hours light and 12 hours dark were 0 maintained under 20 to 26 C. The rats were adult of age 2 to 4 months and those with any known pathology and female rats were excluded. Animals were grouped accordingly as mentioned below. sections. The slides were examined in detail under X10 and X40 power of light microscope. The microscopic qualitative parameters were observed which include Sinusoidal dilation, Congestion, Pyknosis, Necrosis and haemorrhage Results In control group I, experimental animals showed normal sinusoids while in group II and group III sinusoidal dilation was present in 100% of experimental animals. The use of olive oil in group III has significantly reduced the severity and amount of sinusoidal dilation caused by arsenic Table 1 and Figure 1). After accomplishment of 4 weeks duration of experiment, rats were anesthetized with chloroform and dissected. After fixation and embedding, eosin and hematoxylin stains were used for histological Group I Group II Group III (mild sinusoidal dila�on) Fig 1: Group Wise Distribu�on of Sinusoidal Dila�on of Hepa�c Lobule Showing Normal Sinusoid in Group I L7B1, Severe Sinusoidal Dila�on in Group II L4D and Mild Sinusoidal Dila�on in Group III L6 A.(H and E,X 40) (Indicated by Arrows in Group 1 and Group II of Figure 1) Hepatoprotective Effect of Olive OilJIIMC 2018 Vol. 13, No.4 201 The control group showed no congestion in sinusoids and central vein. 100 % of experimental animals in group II showed congestion mainly in central vein and also in sinusoids,whereas 46.7% of rats in group III showed congestion but 53.3% showed no congestion.In this way olive oil has decreased the number of rats in group III showing congestion. (figure 2) There was normal size of nucleus of hepatocytes in the control group I, pyknosis was present in 100 % of experimental animals of group II,Olive oil in group III has significantly reduced the number of rats showing pyknosis to 60%.(Table 4) (figure 3). Table I ꞉Group Wise Distribu�on of Sinusoidal Dila�on in Hepa�c Lobule Among Control and Experiental Groups of Albino Rats Group I Group II Conges�on in Central Vein and Sinusoids Group III Fig 2: Group Wise Distribu�on of Conges�on of Sinusoids and Central Vein Showing Normal Sinusoids and Central Vein in Group I L7D, Conges�on in Central Vein and Sinusoid in Group II L4B, Whereas no Conges�on in Group III L3C. (H and E, X 40). (Indicated by Arrow Heads in Group II Figure 2) Table II: Group Wise Distribu�on of Conges�on of Sinusoids and Central Vein Among Control and Experimental Groups Group I Group II Group III Fig 3: Group Wise Distribu�on of Pyknosis of Hepatocytes Among Control and Experimental Groups Shows Normal Nuclear Size in Group IL7A, Presence of Pyknosis in GroupII L4D and Absence of Pyknosis in Group III L3 B(H and E,X 40) .(Indicated by Circles in Figure 3) Hepatoprotective Effect of Olive OilJIIMC 2018 Vol. 13, No.4 202 The normal hepatic parenchyma was observed in group I while 100% of experimental rats in group II showed necrosis in hepatic parenchyma, whereas use of olive oil along with arsenic in group III has significantly reduced the necrosis to 53.3% of rats in group III In group I, hepatic parenchyma appeared to be normal, 46% of rats in group II showed hemorrhage. In group III, olive oil has significantly improved hemorrhage as it was absent in all rats. (Table IV)(Figure 6) In group I, hepatic parenchyma appeared to be normal, 46% of rats in group II showed hemorrhage group III, olive oil has significantly improved hemorrhage as it was absent in all rats.(Table Table III: Group Wise Distribu�on of Pyknosis of Hepatocytes among Control and Experimental Groups of Albino Rats Group I Group II (periportal necrosis) Group III Fig 4: Group Wise Distribu�on of Necrosis of Hepa�c Parenchymma among Rat Groups Shows Normal Hepa�c Parenchyma in Group IL7A2, Presence of Coagula�ve Necrosis in Periportal Areas in Group II L5B, and Absence of Necrosis in Group III L3A(H and E,X 40). (Indicated by Arrow Head in Group II Figure 4) Group I Group II Group III Fig 5: Bar Chart Showing Distribu�on of Necrosis of Hepa�c Parenchyma among Rat Groups Hepatoprotective Effect of Olive OilJIIMC 2018 Vol. 13, No.4 203 IV)(figure6) Figure 6�Group wise distribution of haemorrhage in hepatic parenchyma among groups shows normal parenchyma in group I L7 C,haemorrhage indicated by arrow in group II L4D whereas no haemorrhage in group III L6A.(H and E, X 40). reduced congestion to only 46.7% of rats. In a study by Azab, when olive leave extract was given along with carbendazim, then congestion in central vein and sinusoids was remarkably decreased as compared to the group which was given only 25 carbendazim. There was normal size of nucleus of hepatocytes in the control group I, pyknosis was present in 100 % of experimental animals of group II, Olive oil in group III has significantly reduced the number of rats showing pyknosis to 60%. In a study conducted by Somia Bashir of India, arsenic was given to three groups in three different doses for acute period of 24 hours and pyknosis was found only in group which was given higher dose. This study support that Pyknosis is 26 early sign of necrosis. Necrosis occurs as a result of inflammation of liver caused by arsenic and it occurs after sinusoidal dilation and congestion in which degeneration of hepatocytes takes place due to ischemia. In the recent study, there is absence of necrosis in experimental animals of group I while 100% of experimental rats in group II showed necrosis whereas 53.3% of rats in group III showed necrosis. In this way olive oil has significantly decreased necrosis. In group II, there was periportal necrosis which is zone I as well as zone III which is pericentral, least oxygenated. In group III treated by both arsenic and 27 olive oil, there is only pericentral necrosis. In one of the study carried out by Sujata Das, sodium arsenite was also given in dose of 40mg per kg in drinking water to mice for 30 days and he found periportal 28 necrosis similar to recent study. The use of olive oil in group III has improved necrosis in our study. Metin Ogun, used oleuropein in dose of 30mg per kg along with 5mg per kg of sodium arsenite for only 15 days and he found that group which was given only arsenic ,6 mice showed necrosis but the oleuropein group showed necrosis in only 1 mouse. The haemorrhage occurs late in process of inflammation due to damage of endothelial lining of sinusoids leading to extravasation of blood into parenchyma. The livers of group I showed normal parenchyma but in group II, 46% of rats only show hemorrhage as arsenic was given to them for 30 days. In group III, hepatic parenchyma was normal 29 with no hemorrhage. Daqian Yang in his study gave As O (arsenic trioxide) intraperitoneally in a dose of 2 3 Table IV: Group Wise Distribu�on of Haemorrhage in Hepa�c parenchyma among among Control and Experimental Groups of Albino Rats Discussion The sinusoidal dilation was observed in groups I,II and III. In control group I, experimental animals showed normal sinusoids while in group II and group III sinusoidal dilation was present in 100% of experimental animals. The use of olive oil in group III has significantly reduced the sinusoidal dilation as compared to dilation in group III caused by arsenic. In one study carried out by Kharroub et al, sodium arsenite was given at 1mg and 10mg for 45 and 90 days respectively which showed that sinusoidal dilation is dose and duration dependent. The dilation was greater at 10mg of arsenic for 90 days as 21 compared to 1mg at 45 days. In another study conducted by Sohini Singh,4 to 10mg of arsenic was given for 30 days to rats which also caused sinusoidal 16 dilation of liver. In group III, there was slight sinusoidal dilation which is due to hepatoprotective effect of olive oil given simultaneously with arsenic to this group. Farag in his study showed natural antioxidant effect to prevent sinusoidal dilation and 22 congestion caused by oxidative damage to liver. Congestion of sinusoids and central vein is caused due to inflammation of liver. All rats of group II showed congestion mainly in central vein and also in sinusoids due to effect of arsenic.46.7% of rats of group III showed congestion but 53.3% showed no 23 congestion. In the study conducted by Oyagbemi et al, arsenic was given to three different groups at different doses for 4 weeks, they showed congestion 24 in hepatic vessels both in central vein and sinusoids. The use of olive oil in group III has significantly *P≤0.05 Hepatoprotective Effect of Olive OilJIIMC 2018 Vol. 13, No.4 204 3mg per kg for 2 weeks to rats and he found hemorrhage in liver histological examination. When olive oil was given to group III along with arsenic, due to its antioxidant effect it prevents the liver of rat to develop hemorrhage. In support of ameliorating effect of olive oil to improve hemorrhage of liver of our study, olive leave extract was used to improve hemorrhage in liver caused by carbendazim in a 25 study done by Azab of Libya. Conclusion Olive oil protects histological changes caused by arsenic in liver of albina rats, which include sinusoidal dilation, congestion, pyknosis, necrosis and haemorrhage. REFERENCES 1. García-Chávez E, Santamaría A, Díaz-Barriga F, Mandeville P, Juárez BI, Jiménez-Capdeville ME. Arsenite-induced formation of hydroxyl radical in the striatum of awake rats. Brain Res . 2003 ;976(1):82–9. 2. 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