Moringa oleifera Leaf Extract Attenuates Di-(2-Ethylhexyl) Phthalate Induced Immunohepatotoxicity by Suppressing Inflammation in Rats

Main Article Content

Putri A. I. Setiyowati
Yuningtyaswari Yuningtyaswari
Fachdiya R. Adriyani
Risya S. Primindari
Laila A. Rohmah
Nastiti I. P. Sari

Abstract

Di-(2-ethylhexyl) phthalate (DEHP) is a plasticizer widely used in industrial products and known to induce liver dysfunction and immune imbalance through oxidative stress and inflammation. This study aimed to evaluate the protective effects of Moringa oleifera leaf extract (MOLE) against DEHP-induced hepatic and immunological toxicity in rats. Thirty five male Rattus norvegicus were divided into five groups: KN (normal control): 5% DMSO; K− (negative control): DEHP 200 mg/kg body weight (bw); K+ (positive control): DEHP 200 mg/kg bw + quercetin 20 mg/kg bw; P1 (treatment 1): DEHP 200 mg/kg bw + MOLE 200 mg/kg bw; P2 (treatment 2): DEHP 200 mg/kg bw + MOLE 400 mg/kg bw.. All treatments were administered orally for 28 consecutive days. Liver enzymes (ALT, AST), inflammatory analysis  (NF-κB, TNF-α, and IL-6), and hematological parameters (leukocyte count, lymphocyte and monocyte percentages) were analyzed. DEHP exposure significantly elevated serum ALT and AST levels, increased NF-κB, TNF-α and IL-6 concentrations, and caused leukocytosis with a decrease in lymphocyte percentage and increase in monocytes. Treatment with MOLE, especially at 400 mg/kg bw, significantly restored liver enzyme levels, reduced inflammatory markers, and normalized hematological profiles, bringing the values closer to those of the control group. MOLE demonstrates potential hepatoprotective and immunomodulatory effects against DEHP-induced toxicity. These findings suggest that MOLE may possess anti-inflammatory and immunomodulatory potential, as evidenced by the reduction of NF-κB, IL-6, and TNF-α levels. Further studies are recommended to elucidate the molecular mechanisms and optimize its formulation for biomedical applications.

Downloads

Download data is not yet available.

Article Details

Section

Articles

How to Cite

Moringa oleifera Leaf Extract Attenuates Di-(2-Ethylhexyl) Phthalate Induced Immunohepatotoxicity by Suppressing Inflammation in Rats. (2025). Tropical Journal of Natural Product Research , 9(10), 5033 – 5041. https://doi.org/10.26538/tjnpr/v9i10.45

References

1. Linghu D, Zhu Z, Zhang D, Luo Y, Ma J, Li T, Sun Z, Xie Z, Sun J, Cao C. Diethylhexyl Phthalate Induces Immune Dysregulation and is an Environmental Immune Disruptor. J Hazard Mater. 2024;480:1–15. https://doi.org/10.1016/j.jhazmat.2024.136244.

2. Tuan H, Lin C, Bui X, Ky M, Dan N, Cao T, Mukhtar H, Giang H, Varjani S, Hao H, Nghiem L. Bioresource Technology Phthalates in The Environment : Characteristics, Fate and Transport, and Advanced Wastewater Treatment Technologies. Bioresour Technol. 2022;344:1–15. https://doi.org/10.1016/j.biortech.2021.126249.

3. Zhao Z, Ji K, Shen X, Zhang W, Wang R, Xu W. Di ( 2-Ethylhexyl ) Phthalate Promotes Hepatic Fibrosis by Regulation of Oxidative Stress and Inflammation Responses in Rats. Environ Toxicol Pharmacol. 2019;68:109–19.

4. Tan L, Yuan L, Zhang Y, He J, Yin X, Ma Y, Chen X, Li W, Li F, Gao R. DEHP and Its Metabolite MEHP Exposure Impairs Endometrial Decidualization During Early Pregnancy Via Up-Regulation of Mtmr6. Reprod Toxicol. 2025;136:1–12. https://doi.org/10.1016/j.reprotox.2025.108976.

5. Elnaby A, Liver E, Elnaby YAA, Elsayed IE, Abdeldaim MA, Badr EA, Abdelhafez M, Elmadbouh I. Anti ‑ Inflammatory and Antioxidant Effect of Moringa Oleifera Against Bisphenol ‑ A ‑ Induced Hepatotoxicity. Egypt Liver J. 2022;12(57):1–8. https://doi.org/10.1186/s43066-022-00219-7.

6. Kumar V, Kumar R, Gurusubramanian G, Singh S, Vikas R, Roy K. Morin Hydrate Ameliorates Di ‑ 2 ‑ Ethylhexyl Phthalate (DEHP) Induced Hepatotoxicity in A Mouse Model via TNF-α and NF ‑ Κβ Signaling. 3 Biotech. 2024;14(7):1–16. https://doi.org/10.1007/s13205-024-04012-8.

7. Lee C, Suk F, Twu Y. Long-Term Exposure to Low-Dose Di- ( 2-ethylhexyl ) Phthalate Impairs Cholesterol Metabolism in Hepatic Stellate Cells and Exacerbates Liver Fibrosis. Int J Environ Res Public Health. 2020;17(3802):1–13.

8. Ashari S, Naghsh N, Salari Y, Barghi NG, Bagheri A. Dimethyl Fumarate Attenuates Di - (2 Ethylhexyl) Phthalate - Induced Nephrotoxicity Through the Nrf2 / HO - 1 and NF - κB Signaling Pathways. Inflammation. 2023;46:453–67.

9. Chi Z, Yang H, Liu J. Study on The Combined Toxicity of DEHP and Lead on The Blood System of Rats. Chemosphere. 2024;349:1–11. https://doi.org/10.1016/j.chemosphere.2023.140908.

10. Budhy TI, Adam D, Moh Z, Azis R, Syahputri V, Yuliani MGA. The Potential of Moringa Leaf Nanoparticles (Moringa oleifera) on the Expression of TNF α , IL10 , and HSP 27 in Oral Cavity Cancer. J Multidiscip Appl Nat Sci. 2024;4(1):120–9.

11. Fattah ME., Sabhy H., Reda A, Abdelrazek HM. Hepatoprotective Effect of Moringa oleifera Leaves Aquatic Extract Against Lead Acetate – Induced Liver Injury in Male Wistar Rats. Environ Sci Pollut Res. 2020;27:43028–43.

12. Alazzouni A, Al-Brakati A, Rabie S, Gabry M, Hassan B. Effects of Moringa oleifera, Curcumin, and Green Tea Extracts on Histopathological Changes in Mesenteric Lymph Nodes and Spleen of Albino Rats with Benzene-Induced Leukemia. Pak J Zool. 2022;54(4):1791–802.

13. Anggraini NWP, Sulistyowati S, Purwanto B, Dirgahayu P. Effect of Moringa oleifera Leaves on the Expression of NFκ β , E-Selectin , and Superoxide Dismutase in the Placental of Preeclamptic Mouse Model. Trop J Nat Prod Res. 2025;9(4):1800–5.

14. Ndlovu SS, Chuturgoon AA. Moringa oleifera Lam Leaf Extract Stimulates NRF2 and Attenuates ARV-Induced Toxicity in Human Liver Cells (HepG2). Plants. 2023;12:1–20.

15. Kurniawan MF, Irawan MI, Prakoso A, Sugihartini N. Anti-inflammatory Activity Effect of Ficus carica and Ziziphus mauritania leaves. Int J Pharm Res. 2020;12(1):920–7.

16. Setiyowati PAI, Hasna AA, Khasanah YA, Herdiansyah MA, Yuningtyaswari, Pramudya M, Lim V, Hayati A. Dietary Supplementation of Lotus (Nelumbo nucifera Gaertn.) Extract Alleviates Liver Injury Induced by 2 - Methoxyethanol in Mice Model. J Multidiscip Appl Nat Sci Vol. 2025;5(3).

17. Sujono TA, Maryati M, Nugraheni AY, Suhendi A, Yanuarsyah FD, Sutrisna E, Arifah S, Selviana Y, Dewi SJP. Immunostimulant Effect of Combination Extract of Garcinia mangostana, Moringa oleifera, and Phyllantus niruri based on Phagocytic Index and Titre Antibody Production in Mice. Trop J Nat Prod Res. 2025;9(5):2159–66.

18. Ibrahim MA, Mohamed SR, El-khadragy MF, Moneim AEA. Rutin And Moringa oleifera Leaf Extract Prevent Monosodium Glutamate-Induced Testicular Toxicity in Adult Male Albino Rats. Front veterinay Sci. 2025;12:1–20.

19. OECD. Test Guideline No . 407 Repeated Dose 28-day Oral Toxicity Study in Rodents OECD Guidelines for The Testing of Chemicals Repeated Dose 28-Day Oral Toxicity Study in Rodents. In: Test Guideline No 407 Repeated Dose 28-day Oral Toxicity Study in Rodents. 2025. p. 1–15.

20. Shigano M, Takashima R, Satomoto K, Sales H, Harada R, Hamada S. Confirmation of Di 2 ‑ Ethylhexyl) Phthalate ‑ Induced Micronuclei by Repeated Dose Liver Micronucleus Assay : Focus on Evaluation f Liver Micronucleus Assay in Young Rats. Genes Environ. 2024;46(17):1–7. https://doi.org/10.1186/s41021-024-00311-x.

21. Kurniawan MF, Setyawan D, Hariyadi DM. Quercetin in Drug Carriers: Polymer Composite, Physical Characteristics, and In vitro Study. Sci Technol Indones. 2024;9(2):380–412.

22. Bijjala AR, Poli V, Motireddy SR. Di-2-Ethylhexyl Phthalate (DEHP) Toxicity : Organ-Specific Impacts and Human-Relevant Findings in Animal Models & Humans - Review. J Toxicol Risk Assess. 2025;11(1):1–7.

23. Noor Z, Kusindarta DL, Sadewa AH, Heriyanto DS, Hadiati DR, Mustofa. Acte Toxicity of The Galactagogue Phytomedicine Containing Sauropus Androgynous, Trigonella foenum-graecum, and Moringa oleifera. Pharm Sci Asia. 2022;49(4):372–80.

24. Kambuno N., Louisa M, Wuyung P., Silaen OS., Supali T. In Vivo Toxicity Study in Sprague – Dawley Rats Receiving Different Doses of Moringa oleifera Extract. Open Vet J. 2024;14(9):2294–309.

25. Setiyowati PAI, Solekha R, Negara SBSMK, Rosalina R. Immunomodulator Effect of Lemongrass Extract (Cymbopogon nardus L.) to Increase Immune Cells as a Precaution Against SARS-CoV-2. Biomol Heal Sci J. 2021;4(2):73.

26. Lyu L, Tao Y, Wu S, Abaakil K, Zhong G, Gu Y, Hu Y. Tissue-Specific Accumulation of DEHP and Involvement of Endogenous Arachidonic Acid in DEHP-Induced Spleen Information and Injury. Sci Total Environ. 2023;904:1–11. https://doi.org/10.1016/j.scitotenv.2023.166841.

27. Li A, Kang L, Li R, Wu S, Liu K, Wang X. Modeling di (2-ethylhexyl) Phthalate (DEHP) and Its Metabolism in a Body’s Organs and Tissues through Different Intake Pathways into Human Body. Int J Environ Res Public Health. 2022;19(9):1–15.

28. Husni E, Aldi Y, Putri L, Badriyya E. The Effect of Ethanol Extract of Moringa Leaf (Moringa oleifera Lam ) Against the Activity and Capacity of Phagocytosis of Macrofag Cells and the Percentage of Leukosit Cells of White Mice. Pharmacogn J. 2021;13(3):1–7.

29. Harimurti S, Febriyani D, Sukamdi DP, Widada H, Amid A. Development of Moringa Leave Extract Nanoemulsions: Effect of Ethanol Concentration and Sonication Toward the Stability. BIO Web Conf. 2024;135(03004):1–7.

30. Long C, Li Z, Liang S, Yao S, Zhu S, Lu L, Cao R, Chen Y, Huang Y, Ma Y, Lei W, Liang X. Resveratrol Reliefs DEHP-Induced Defects During Human Decidualization. Ecotoxicol Environ Saf. 2023;258:1–12. https://doi.org/10.1016/j.ecoenv.2023.114931

31. Huang Y, Tang Y, Qiu B, Talukder M, Li X. Di-2-Ethylhexyl Phthalate (DEHP) Induced Lipid Metabolism Disorder in Liver via Activating The LXR / SREBP-1c / PPAR α / γ and NF- κβ Signaling Pathway. Food Chem Toxicol. 2022;165:1–8. https://doi.org/10.1016/j.fct.2022.113119.

32. Almatroodi SA, Almatroudi A, Almasnad FS, Khan AA, Babiker AY, Alruwetei AM, Rahmani A. Curcumin Ameliorates Carbon Tetrachloride-induced Liver Injury in Rats Through Modulating Various Biological Activities. Int J Pharmacol. 2020;16(2):145–53.

33. Zidi I SA. Hepatotoxic Effects of Lead Acetate in Rats: Histopathological and Cytotoxic Studies. J Cytol Histol. 2014;05(05).

34. Salih I, Saleh M, Khalaf S, Ayed S. Effect of Moringa oleifera Leaves against Hepatotoxicity Induced by Bisphenol A. Arch Razi Inst. 2022;77(3):1083–9.

35. Ahzaruddin A, Tarmizi A, Nasihah N, Ramli N, Mutalib MA, Jasmi NA, Mokhtar MH, Adam SH. Antioxidant and Hepatoprotective Effects of Moringa oleifera - mediated Selenium Nanoparticles in Diabetic Rats . F1000 Res. 2025;14(7):1–15.

36. Abdel-Daim M., Khalil S., Awad A, Abu Zeid E., El-Aziz R., El-Serehy H. Ethanolic Extract of Moringa oleifera Leaves Influences NF-κB Signaling Pathway to Restore Kidney Tissue from Cobalt-Mediated Oxidative Injury and Inflammation in Rats Mohamed. Nutrients. 2020;12:1–20.

37. Taufani IP, Situmorang JH, Febriansah R, Tasminatun S, Sunarno S, Yang LY, Chiang YT, Huang CY. Mitochondrial ROS Induced by ML385, an Nrf2 Inhibitor Aggravates The Ferroptosis Induced by RSL3 in human Lung Epithelial BEAS-2B Cells. Hum Exp Toxicol. 2023;42(91):1–10.

38. Tokoro M, Gotoh K, Kudo Y, Hirashita Y, Iwao M, Arakawa M, Endo M, Oribe J, Masaki T, Honda K, Kakuma T, Seike M, Murakami K, Shibata H. α-Tocopherol suppresses Hepatic Steatosis by Increasing CPT-1 Expression in A Mouse Model of Diet-Induced Nonalcoholic Fatty Liver Disease. Obes Sci Pract. 2021;7(1):91–9.

39. Majdawati A, Reviono R, Hartono H, Handayani N, Soetrisno S. Effect of Cinnamomum burmannii Bark Oil on Bacterial Count, Nuclear Factor of Kappa Beta (NF-Kβ/p65), Interleukin-6, and Chest Radiography in Rattus norvegicus with Pneumonia. Trop J Nat Prod Res. 2024;8(1):5832–9.

40. Al-Roub A, Madhoun A., Akhter N, Thomas R, Miranda L, Jacob T, Al-Ozairi E, Al-Mulla F, Sindhu S, Ahmad R. IL-1β and TNFα Cooperativity in Regulating IL-6 Expression in Adipocytes Depends on CREB Binding and H3K14 Acetylation. Cells. 2021;10:1–15.

41. Nurhayati T, Ridho MF, Teesa P, Santoso R, Setiawan S, Goenawan H, Tarawan VM. Effects of Moringa oleifera Leaf Extract on Liver Histopathology : A Systematic Review. J Nutr Metab. 2024;2024(1):1–15.

42. Abou-zeid SM, Ahmed AI, Awad A, Mohammed WA, Metwally MMM, Almeer R, Abdel-daim MM, Khalil SR. Moringa oleifera Ethanolic Extract Attenuates Tilmicosin-Induced Renal Damage in Male Rats Via Suppression of Oxidative Stress, Inflammatory Injury, and Intermediate Filament Proteins mRNA Expression. Biomed Pharmacother. 2021;133:1–12.

43. Winanta A, Zulaekhah N, Priya Haresmita P, Krisridwany A, Febriansah R, Aprissa I. The Antioxidant and Antiaging Activity of Fig (Ficus carica Linn) Leaf Ethanolic Extract In Vitro. Thai J Pharm Sci. 2025;49(1):1–8.

44. Meireles D, Gomes J, Lopes L, Hinzmann M, Machado J. A Review of Properties, Nutritional and Pharmaceutical Applications of Moringa Oleifera: Integrative Approach on Conventional and Traditional Asian Medicine. Adv Tradit Med. 2020;20(4):495–515. https://doi.org/10.1007/s13596-020-00468-0.