##plugins.themes.bootstrap3.article.main##

ID Nur Aini Hasan https://orcid.org/0009-0001-2582-4853
ID Viskasari Pintoko Kalanjati https://orcid.org/0000-0002-7005-0025
ID Iswandi Erwin https://orcid.org/0000-0001-6515-3380
ID Lucky Prasetiowati https://orcid.org/0000-0002-8929-9816
ID Joni Susanto https://orcid.org/0000-0001-8913-6622
ID Muhammad Miftahussurur https://orcid.org/0000-0003-1415-6033

Abstract

One of the major causes of Intrauterine Growth Restriction (IUGR) in Indonesia is maternal malnutrition during pregnancy. Folic Acid has long been the primary supplement administered to women from preconception through pregnancy. Additionally, several studies have demonstrated that Saffron possesses anti-inflammatory and hepatoprotective properties. However, the effects of Saffron on liver tissue in IUGR rat models remain underexplored. This study aimed to investigate the effects of Saffron administration compared to Folic Acid on birth weight, hepatic tumor necrosis factor-alpha (TNF-α) expression, and liver histopathology in IUGR rats. Forty female and eight male rats were mated. Upon confirmation of pregnancy, the dams were randomly assigned to four groups: normal control (K1), receiving a standard diet throughout pregnancy (19-21 days) and lactation (21 days); IUGR control (K2), subjected to 50% dietary restriction (DR); IUGR + Saffron group (K3), receiving DR plus Saffron extract at 15.68 mg/kg body weight; and IUGR + Folic Acid group (K4), receiving DR plus Folic Acid at 1.5 mg/kg body weight. After 21 days of lactation, the offspring were euthanized, and liver tissues were collected for histological and immunohistochemical analyses. Pups' birth weights, hepatic TNF-α expression (immunohistochemistry), and histological damage (NAS score) were assessed. Folic acid showed superior effects in increasing birth weight, reducing TNF-α, and improving liver histology compared to saffron. These findings suggest folic acid as a potent hepatoprotective agent in IUGR conditions.

Downloads

Download data is not yet available.

##plugins.themes.bootstrap3.article.details##

How to Cite
Hasan, N. A. (2026) “Saffron and folic acid mitigate hepatic structural damage in IUGR rats via modulation of oxidative stress markers: A histological and molecular study”, Indonesian Journal of Medical Laboratory Science and Technology, 8(2), pp. 96–109. doi: 10.33086/ijmlst.v8i2.7919.
Section
Articles
Fetal growth restriction, Folic acid, Neonatal mortality, Pregnancy, Saffron

References

1. Ariyakumar G, Morris JM, McKelvey KJ, Ashton AW, McCracken SA. NF-κB regulation in maternal immunity during normal and IUGR pregnancies. Sci Rep. 2021;11(1):20971. https://doi.org/10.1038/s41598-021-00430-3

2. Kirici P, Ça FT, Kali Z, Tanriverdi ES, Mavral N, Ecin SM. Determination of maternal serum pro-inflammatory cytokine changes in intrauterine growth restriction. Eur Rev Med Pharmacol Sci. 2023;27(5):1996-2001. https://doi.org/10.26355/eurrev_202303_31565

3. Kalanjati VP, Wixey JA, Miller SM, Colditz PB, Bjorkman ST. GABAA receptor expression and white matter disruption in intrauterine growth restricted piglets. Int J Dev Neurosci. 2017;59:1–9. https://doi.org/10.1016/j.ijdevneu.2017.02.004

4. Shrivastava D, Master A. Fetal growth restriction. J Obstet Gynecol India. 2020;70(2):103–10. https://doi.org/10.1007/s13224-019-01278-4

5. Alese M, Shallie P, Bamisi O. Glutathione improves the prognosis of intrauterine growth restriction via downregulated hepatic and renal TNFα expression in Wistar rats. Cumhuriyet Med J. 2021;43(4):330–8. https://doi.org/10.7197/cmj.860101

6. Keshavjee B, Lambelet V, Coppola H, Viertl D, Prior JO, Kappeler L, Armengaud JB, Chouraqui JP, Chehade H, Vanderriele PE, llouche M, Balsiger A, Sarre A, Peyter AC, Simeoni U, Yzydorczyk C. Stress-induced premature senescence related to oxidative stress in the developmental programming of nonalcoholic fatty liver disease in a rat model of intrauterine growth restriction. Antioxidants (Basel). 2022;11(9):1695. https://doi.org/10.3390/antiox11091695

7. Armistead B, Kadam L, Drewlo S, Kohan-Ghadr H-R. The role of NFκB in healthy and preeclamptic placenta: trophoblasts in the spotlight. Int Journal of Mol Sci. 2020;21(5):1775. https://doi.org/10.3390/ijms21051775

8. Dapkekar P, Bhalerao A, Kawathalkar A, Vijay N. Risk factors associated with intrauterine growth restriction: A case-control study. Cureus. 2023;5(6):e40178. https://doi.org/10.7759/cureus.40178

9. Mussa A, Afolabi HA, Syed NH, Talib M, Murtadha AH, Hajissa K, Mokhtar NF, Mohamud R, Hassan R. The NF-κB transcriptional network is a high-dose vitamin C-targetable vulnerability in breast cancer. Biomedicines. 2023;11(4):1060. https://doi.org/10.3390/biomedicines11041060

10. Jiang Z, Qu H, Chen K, Gao Z. Beneficial effects of folic acid on inflammatory markers in the patients with metabolic syndrome: Meta-analysis and meta-regression of data from 511 participants in 10 randomized controlled trials. Crit Rev Food Sci Nutr. 2024;64(16):5450-5461. https://doi.org/10.1080/10408398.2022.2154743

11. Wittiarika ID, Sulistyono A, Prasetyo B, Susanto L, Amalia RB, Dewi ER. Folic acid supplementation in pregnant mice: an approach to reduce the expression of TNF-A and placental apoptosis index in maternal stress. Res J Pharm Technol. 2022;15(8):3645–50. https://doi.org/10.52711/0974-360X.2022.00610

12. Asbaghi O, Ghanavati M, Ashtary-Larky D, Bagheri R, Rezaei Kelishadi M, Nazarian B, Nordvall M, Wong A, Dutheil F, Suzuki K, Alavi Naeini A. Effects of folic acid supplementation on oxidative stress markers: A systematic review and meta-analysis of randomized controlled trials. Antioxidants (Basel). 2021;10(6):871. https://doi.org/10.3390/antiox10060871

13. Zhao M, Chen Y-H, Dong X-T, Zhou J, Chen X, Wang H, Wu S-X, Xia M-Z, Zhang C, Xu D-X. Folic acid protects against lipopolysaccharide-induced preterm delivery and intrauterine growth restriction through its anti-inflammatory effect in mice. PLoS One. 2013;8(12):e82713. https://doi.org/10.1371/journal.pone.0082713

14. Wang CZ, Ma Q, Kim S, Wang DH, Shoyama Y, Yuan CS. Effects of saffron and its active constituent crocin on cancer management: A narrative review. Longhua Chin Med. 2022;5:35. https://doi.org/10.21037/lcm-21-72

15. Vafaeipour Z, Ghasemzadeh Rahbardar M, Hosseinzadeh H. Effect of saffron, black seed, and their main constituents on inflammatory cytokine response (mainly TNF-α) and oxidative stress status: an aspect on pharmacological insights. Naunyn-Schmiedeberg’s Arch Pharmacol. 2023;396(10):2241–59. https://doi.org/10.1007/s00210-023-02501-w

16. Afifah MN, Hasanah AN. Saffron (Crocus sativus L): Kandungan dan Aktivitas Farmakologinya. Majalah Farmasetika. 2020;5:116–23. https://doi.org/10.24198/mfarmasetika.v5i3.26291

17. Bergomi A, Comite V, Santagostini L, Guglielmi V, Fermo P. Determination of Saffron Quality through a Multi-Analytical Approach. Foods 2022;11(3):3227. https://doi.org/10.3390/foods11203227

18. Rashid M, Brim H, Ashktorab H. Saffron, its active components, and their association with DNA and histone modification: A narrative review of current knowledge. Nutrients. 2022;14(16):3317. https://doi.org/10.3390/nu14163317

19. Kurian K, Lakiang T, Sinha RK, Kathuria N, Krishnan P, Mehra D, Mehra S, Sharma S. Scoping review of intervention strategies for improving coverage and uptake of maternal nutrition services in Southeast Asia. Int J Environ Res Public Health. 2021;18(24):13292. https://doi.org/10.3390/ijerph182413292

20. Abdian S, Fakhri S, Moradi SZ, Khirehgesh MR, Echeverría J. Saffron and its major constituents against neurodegenerative diseases: A mechanistic review. Phytomedicine. 2024;135:156097. https://doi.org/10.1016/j.phymed.2024.156097

21. Ding R, Li J, Zhang Q, Zhang C, Li N, Sun S, Li C, Shen C, Zhao Q, Chen H, Hao J, Cao J. Vitamin D3 protects intrauterine growth restriction induced by cooking oil fume derived fine particulate matters. Ecotoxicol Environ Saf. 2022;229:113103. https://doi.org/10.1016/j.ecoenv.2021.113103

22. The Jackson Laboratory. 6 steps for setting up timed pregnant mice. 2026. https://www.jax.org/news-and-insights/jax-blog/2014/september/six-steps-for-setting-up-timed-pregnant-mice

23. Sreekantha S, Wang Y, Sakurai R, Liu J, Rehan VK. Maternal food restriction-induced intrauterine growth restriction in a rat model leads to sex-specific adipogenic programming. FASEB J. 2020;34(12):16073–85. https://doi.org/10.1096/fj.202000985RR

24. Babaei A, Arshami J, Haghparast A, Danesh Mesgaran M. Effects of saffron (Crocus sativus) petal ethanolic extract on hematology, antibody response, and spleen histology in rats. Avicenna J Phytomed. 2014;4(2):103–9. https://pmc.ncbi.nlm.nih.gov/articles/PMC4103705/

25. Nair AB, Jacob S. A simple practice guide for dose conversion between animals and human. J Basic Clin Pharm. 2016;7(2):27–31. https://doi.org/10.4103/0976-0105.177703

26. Kleiner DE, Brunt EM, Van Natta M, Behling C, Contos MJ, Cummings OW, Ferrell LD, Liu YC, Torbenson MS, Unalp-Arida A, Yeh M, McCullough AJ, Sanyal AJ. Nonalcoholic Steatohepatitis Clinical Research Network. Design and validation of a histological scoring system for nonalcoholic fatty liver disease. Hepatology. 2005;41(6):1313-21. https://doi.org/10.1002/hep.20701

27. Konstantopoulos P, Doulamis IP, Tzani A, Korou ML, Agapitos E, Vlachos IS, Pergialiotis V, Verikokos C, Mastorakos G, Katsilambros NL, Perrea DN. Metabolic effects of Crocus sativus and protective action against non-alcoholic fatty liver disease in diabetic rats. Biomed Rep. 2017;6(5):513-518. https://doi.org/10.3892/br.2017.884

28. Mashmoul M, Azlan A, Mohtarrudin N, Mohd Yusof BN, Khaza'ai H, Khoo HE, Farzadnia M, Boroushaki MT. Protective effects of saffron extract and crocin supplementation on fatty liver tissue of high-fat diet-induced obese rats. BMC Complement Altern Med. 2016;16(1):401. https://doi.org/10.1186/s12906-016-1381-9

29. Kalanjati VP, Dewi AK, Santoso MWA. Quantitative study on human cerebellar cortex from anatomy cadaver preparations. Int J Morphol. 2017;35(1):167–71. https://doi.org/10.4067/S0717-95022017000100027

30. Schneider CA, Rasband WS, Eliceiri KW. NIH Image to ImageJ: 25 years of image analysis. Nat Methods. 2012;9(7):671–5. https://doi.org/10.1038/nmeth.2089

31. Zhang H, Wang X, Zhang J, Guan Y, Xing Y. Early supplementation of folate and vitamin B12 improves insulin resistance in intrauterine growth retardation rats. Transl Pediatr. 2022;11(4):466-473.. https://doi.org/10.21037/tp-21-498

32. Gao H, Zhang L, Wang L, Liu X, Hou X, Zhao F, Yan H, Wang L. Liver transcriptome profiling and functional analysis of intrauterine growth restriction (IUGR) piglets reveals a genetic correction and sexual-dimorphic gene expression during postnatal development. BMC Genomics. 2020;21(1):701. https://doi.org/10.1186/s12864-020-07094-9

33. Pizzorusso T, Tognini P. Interplay between metabolism, nutrition and epigenetics in shaping brain DNA methylation, neural function and behavior. Genes (Basel). 2020;11(7):742. https://doi.org/10.3390/genes11070742

34. Tzeng H-T, Lee W-C. Impact of Transgenerational nutrition on nonalcoholic fatty liver disease development: Interplay between gut microbiota, epigenetics and immunity. Nutrients. 2024;16(9):1388. https://doi.org/10.3390/nu16091388

35. Esrefoğlu M, Selek S, Koktasoglu F, Bayindir N, Hekimoglu ER, Kirmizikan S, Karakaya-Cimen FB, Dulun-Agac H, Alim M, Elibol B, Pasin O, Bekiroglu S. Unraveling hepatic consequences of intrauterine growth restriction and catch-up growth: insights from histological, biochemical and metabolomic analysis in rats. Int J Dev Biol. 2025;69(1):35-50. https://doi.org/10.1387/ijdb.240147me

36. Bahari H, Shahraki Jazinaki M, Aghakhani L, Amini MR, Noushzadeh Z, Khodashahi R, Malekahmadi M. Crocin supplementation on inflammation and oxidative stress: A Systematic review and meta-analysis. Phytother Res. 2025;39(1):465–79. https://doi.org/10.1002/ptr.8380

37. Zargarzadeh N, Severo JS, Pizarro AB, Persad E, Mousavi SM. The effects of folic acid supplementation on pro-inflammatory mediators: A systematic review and dose-response meta-analysis of randomized controlled trials. Clin Ther. 2021;43(12):e346–63. https://doi.org/10.1016/j.clinthera.2021.10.002

38. Mohammadi Y, Rezaei Farimani A, Beydokhti H, Riahi SM. Comparison of the effect of saffron, crocin, and safranal on serum levels of oxidants and antioxidants in diabetic rats: A systematic review and meta-analysis of animal studies. Food Sci Nutr. 2023;11(6):2429–39. https://doi.org/10.1002/fsn3.3302

39. Zarate MA, De Dios RK, Balasubramaniyan D, Zheng L, Sherlock LG, Rozance PJ, Wright CJ. The acute hepatic Nf-κB-mediated proinflammatory response to endotoxemia is attenuated in intrauterine growth-restricted newborn mice. Front Immunol. 2021;12:706774. https://doi.org/10.3389/fimmu.2021.706774

40. Ponsuksili S, Murani E, Hadlich F, Iqbal MA, Fuchs B, Galuska CE, Perdomo-Sabogal A, Sarais F, Trakooljul N, Reyer H, Oster M, Wimmers K. Prenatal transcript levels and metabolomics analyses reveal metabolic changes associated with intrauterine growth restriction and sex. Open Biol. 2022;12(9):220151. https://doi.org/10.1098/rsob.220151

41. Zhao Y, Xiong W, Li C, Zhao R, Lu H, Song S, Zhou Y, Hu Y, Shi B, Ge J. Hypoxia-induced signaling in the cardiovascular system: pathogenesis and therapeutic targets. Sig Transduct Target Ther. 2023;8(1):1–42. https://doi.org/10.1038/s41392-023-01652-9

42. Fang T, Wang H, Pan X, Little PJ, Xu S, Weng J. Mouse models of nonalcoholic fatty liver disease (NAFLD): pathomechanisms and pharmacotherapies. Int J Biol Sci. 2022;18(15):5681–97. https://doi.org/10.7150/ijbs.65044

43. Guo Z, Wu Q, Xie P, Wang J, Lv W. Immunomodulation in non-alcoholic fatty liver disease: exploring mechanisms and applications. Front Immunol. 2024;15:1336493. https://doi.org/10.3389/fimmu.2024.1336493

44. Wang X, Jin X, Li H, Zhang X, Chen X, Lu K, Chu C. Effects of various interventions on non-alcoholic fatty liver disease (NAFLD): A systematic review and network meta-analysis. Front Pharmacol. 2023;14:1180016. https://doi.org/10.3389/fphar.2023.1180016

Nur Aini Hasan, Universitas Muhammadiyah Sidoarjo

Master of Basic Medical Sciences in Anatomy and Histology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Department of Anatomy and Histology, Faculty of Medicine, Universitas Muhammadiyah Sidoarjo, Sidoarjo, Indonesia

Viskasari Pintoko Kalanjati, Universitas Airlangga

Department of Anatomy, Histology and Pharmacology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

School of Postgraduate-Sekolah Pascasarjana, Universitas Airlangga, Surabaya, Indonesia

Iswandi Erwin, National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono

National Brain Center Hospital Prof. Dr. dr. Mahar Mardjono, Jakarta, Indonesia

Doctor of Medicine Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Lucky Prasetiowati, Universitas Airlangga

Department of Anatomy, Histology and Pharmacology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Doctor of Medicine Program, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Joni Susanto, Universitas Airlangga

Department of Anatomy, Histology and Pharmacology, Faculty of Medicine, Universitas Airlangga, Surabaya, Indonesia

Muhammad Miftahussurur, Universitas Airlangga

Helicobacter pylori and Microbiota Study Group, Institute of Tropical Disease, Universitas Airlangga, Surabaya, Indonesia

Division of Gastroentero-Hepatology, Department of Internal Medicine, Faculty of Medicine-Dr. Soetomo General Academic Hospital, Universitas Airlangga, Surabaya, Indonesia

Similar Articles

<< < 1 2 3 4 

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