Vol.:(0123456789) 1 3
Molecular and Cellular Biochemistry
https://doi.org/10.1007/s11010-020-03905-5
Gallic acid ameliorates COPD‑associated exacerbation in mice
Esha Singla
1
· Gayatri Puri
1
· Vivek Dharwal
1
· Amarjit S. Naura
1
Received: 3 April 2020 / Accepted: 7 September 2020
© Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract
COPD is an infammatory lung disease, which is often exacerbated with microbial infections resulting in worsening of
respiratory symptoms. Gallic acid (GA), a naturally occurring phenolic compound is known to possess anti-oxidant/anti-
infammatory activity. We have recently reported that GA protects against the elastase (ET) induced lung infammation and
emphysema and the present work was designed to investigate the benefcial efects of Gallic acid against ET + Lipopolysach-
haride (LPS) induced COPD exacerbation like condition in mice model. Our data showed that i.t. administration of LPS at
21 days after ET instillation resulted in signifcant infltration of infammatory cells particularly neutrophils (p < 0.0001) into
the lungs along with elevated levels of pro-infammatory cytokines like TNF-α, IL-1β and IL-6 (p < 0.0001). Interestingly,
daily administration of GA (200 mg/Kg b. wt.) starting 7 days before ET instillation, signifcantly blunted the ET + LPS
induced infammation as indicated by reduced number of infammatory cells particularly neutrophils (p < 0.0001) in BALF
along with suppression of myeloperoxidase activity (p = 0.0009) and production of pro-infammatory cytokines (p < 0.0001).
Further, GA also restored the redox imbalance in the lungs towards normal. Additionally, phosphorylation of p65-NF-κB
was found to be reduced (p = 0.015), which was associated with downregulation in the gene expression of IL-1β (p = 0.022)
and TNF-α (p = 0.04). Conversely, GA treatment resulted in increased protein levels of Nrf2 (p = 0.021) with concomitant
increase in transcription of its downstream target genes HO-1 (p = 0.033) and Prdx-1 (p = 0.006). Overall, our data show
that GA efectively modulates COPD exacerbation manifestations in mice potentially by restoring redox imbalance in lungs.
Keywords Gallic acid · COPD exacerbation · LPS · Nrf2 · NF-κB
Introduction
Chronic obstructive pulmonary disease (COPD) is a chronic
infammatory disease of airways which afects around 328
million people worldwide [1, 2]. In addition to normal
course of the disease, patients with COPD often experience
exacerbations which results in sudden worsening of patients’
symptoms that may require change in medication and/or hos-
pitalization [1, 3]. The repetitive episodes of exacerbation
ultimately result in rapid decline of lung functions and are
often associated with high mortality amongst patients with
COPD [4, 5]. According to Bafadhel et al. around 55% of
COPD exacerbations are caused by bacteria such as Strep-
tococcus pneumonia, Moraxella catarrhalis Haemophilus
influenza which are the major infectious agents isolated from
lungs during the episodes of COPD exacerbations [6, 7].
Astonishingly, the current available therapies against the
disease primarily reduce the frequency of exacerbations
in COPD patients but does not substantially improve the
decline in lung function [1, 8–10]. Therefore, continuous
research is ongoing to fnd novel therapies to curb the mani-
festations of COPD exacerbations.
Oxidative stress plays a crucial role in the COPD patho-
genesis and progression. Further, there is a clear evidence
of increased oxidative stress in COPD patients which further
increases during exacerbation of the disease [11]. Interest-
ingly, the redox sensitive transcription factor NF-κB, which
regulates the transcription of various infammatory factors
is also reported to be highly expressed during COPD exac-
erbations [12]. On the other hand, transcription factor Nrf2
plays a major role in attenuating oxidative stress by tran-
scriptional upregulation of anti-oxidant response. However,
despite high oxidative stress in the lungs, Nrf2 mediated
anti-oxidant response is decreased in patients with COPD
[13]. Thus, targeting oxidative stress through the use of
* Amarjit S. Naura
anaura@pu.ac.in
1
Department of Biochemistry, Panjab University,
Chandigarh 160014, India