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DOI: 10.1055/a-2686-3928
Cupressuflavone Isolated from Cupressus torulosa Ameliorates Diabetic Nephropathy by Inhibiting Oxidative Stress and Inflammation Through Nrf-2/NF-κB Signalling Axis
The authors are grateful to the Director, CSIR-Central Institute of Medicinal and Aromatic Plants, and CSIR-Central Drug Research Institute, Lucknow, India, for providing the necessary facilities for this work. Kishan Singh, Karan Singh Yadav, and Vipin Kumar Singh are thankful to the UGC, New Delhi, for providing fellowship. Arti Shukla is thankful to CSIR-Phytopharmaceutical Mission-III (MMP-075201). KD is also grateful to the CSIR for providing the project CIMAP/NMITLI/TLP-0002 and the in-house project CIMAP/DU1/MLP-10. CSIR-CIMAP communication number for this manuscript is CIMAP/PUB/2025/40. CSIR-CDRI communication number allotted to this paper is 11034.

Abstract
Cupressuflavone (CTM-01), a potential biflavonoid isolated from Cupressus torulosa exhibited antimicrobial, analgesic, cytotoxic and wound-healing properties. The present study aims to evaluate the renoprotective effects through in vitro and in vivo models as well as elucidate the underlying mechanisms of its nephroprotective action under diabetic conditions. The in vitro effects of CTM-01 on cell viability (25, 50, and 100 µM) and intracellular ROS production were evaluated in cultured normal rat proximal epithelial cells (NRK-52E) grown under high glucose conditions (30 mM) while streptozotocin (STZ) induced rats were treated with CTM-01 at 25 mg/kg for four weeks and the effects on different biochemical, histological, and molecular parameters were studied. The oral administration of CTM-01 (25 mg/kg) in diabetic rats restored the fasting blood glucose to normal control levels and markedly ameliorated renal dysfunction as evidenced by a significant decrease in serum creatinine, urea, and albumin. Additionally, CTM-01-treated rats exhibited a significant increase in the levels of renal antioxidants such as SOD, CAT, and GSH as well as decreased MDA content against diabetic control rats and restored kidney damage in CTM-01-treated diabetic rats. Moreover, CTM-01 significantly increased the level of Nrf-2 and downregulated the expression of p-NF-κB. This novel study provides strong evidence to support the potent anti-oxidative and renoprotective properties of CTM-01 in alleviating oxidative damage and inflammation through the suppression of the Nrf-2/NF-κB signalling axis for the effective management of diabetic nephropathy.
Keywords
Cupressus torulosa - Cupressaceae - cupressuflavone - diabetic nephropathy - NRK-52E - oxidative damage - inflammation - Nrf-2/NF-κB signalling axisSupporting Information
- Supporting Information
NMR, IR, HR-ESI-MS spectral data, HPLC purity data of the isolated compound, and raw western blot images are available as Supporting Information.
Publication History
Received: 12 December 2024
Accepted after revision: 14 August 2025
Accepted Manuscript online:
19 August 2025
Article published online:
04 September 2025
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References
- 1 Hussain S, Jamali MC, Habib A, Hussain MS, Akhtar M, Najmi AK. Diabetic kidney disease: An overview of prevalence, risk factors, and biomarkers. Clin Epidemiol Glob Health 2021; 9: 2-6
- 2 Hossain MJ, Al-Mamun M, Islam MR. Diabetes mellitus, the fastest growing global public health concern: Early detection should be focused. Health Sci Rep 2024; 7: e2004
- 3 Jin Q, Liu T, Qiao Y, Liu D, Yang L, Mao H, Ma F, Wang Y, Peng L, Zhan Y. Oxidative stress and inflammation in diabetic nephropathy: Role of polyphenols. Front Immunol 2023; 14: 1185317
- 4 Sahakyan G, Vejux A, Sahakyan N. The role of oxidative stress-mediated inflammation in the development of T2DM-induced diabetic nephropathy: possible preventive action of tannins and other oligomeric polyphenols. Molecules 2022; 27: 9035
- 5 Tanase DM, Gosav EM, Anton MI, Floria M, Seritean Isac PN, Hurjui LL, Tarniceriu CC, Costea CF, Ciocoiu M, Rezus C. Oxidative stress and NRF2/KEAP1/ARE pathway in diabetic kidney disease (DKD): New perspectives. Biomolecules 2022; 12: 1227
- 6 Cui W, Min X, Xu X, Du B, Luo P. Role of nuclear factor erythroid 2-related factor 2 in diabetic nephropathy. J Diabetes Res 2017; 2017: 3797802
- 7 Mahmoud AM, Wilkinson FL, Sandhu MA, Lightfoot AP. The interplay of oxidative stress and inflammation: Mechanistic insights and therapeutic potential of antioxidants. Oxid Med Cell Longev 2021; 9851914: 1-4
- 8 Lingappan K. NF-κB in oxidative stress. Curr Opin Toxicol 2018; 7: 81-86
- 9 Niazi P, Monib AW. The role of plants in traditional and modern medicine. J Pharmacog Phytochem 2024; 13: 643-647
- 10 Murti VVS, Raman PV, Seshadri TR. Cupressuflavone, a new biflavonyl pigment. Tetrahedron 1967; 23: 397-404
- 11 Al-Sayed E, Gad HA, El-Shazly M, Abdel-Daim MM, Nasser Singab A. Anti-inflammatory and analgesic activities of cupressuflavone from Cupressus macrocarpa: Impact on pro-inflammatory mediators. Drug Des Res 2018; 79: 22-28
- 12 Al-Sayed E, Abdel-Daim MM. Protective role of cupressuflavone from Cupressus macrocarpa against carbon tetrachloride-induced hepato-and nephrotoxicity in mice. Planta Med 2014; 80: 1665-16671
- 13 Xu HL, Wang XT, Cheng Y, Zhao JG, Zhou YJ, Yang JJ, Qi MY. Ursolic acid improves diabetic nephropathy via suppression of oxidative stress and inflammation in streptozotocin-induced rats. Biomed Pharmacother 2018; 105: 915-921
- 14 AlTamimi JZ, Alshwaiyat NM, AlFaris NA, AlKehayez NM, Ahmad A, Alagal RI. Differences in overweight and obesity prevalence in middle-aged men from twelve Middle Eastern and Asian countries living in Saudi Arabia. Int J Gen Med 2022; 15: 3333-3343
- 15 Ram C, Gairola S, Verma S, Mugale MN, Bonam SR, Murty US, Sahu BD. Biochanin a ameliorates nephropathy in high-fat diet/streptozotocin-induced diabetic rats: Effects on NF-kB/NLRP3 axis, pyroptosis, and fibrosis. Antioxidants 2023; 12: 1052
- 16 Singh R, Yadav KS, Prajapati R, Sharma S, Rath SK, Narender T, Mugale MN. 4-HIL mitigates type-2 diabetic complications through inhibiting inflammation and Nrf2-mediated oxidative stress in rats. Phytomedicine Plus 2022; 2: 100141
- 17 Wang N, Zhang C. Oxidative stress: A culprit in the progression of diabetic kidney disease. Antioxidants 2024; 13: 455
- 18 Singh H, Singh R, Singh A, Singh H, Singh G, Kaur S, Singh B. Role of oxidative stress in diabetes-induced complications and their management with antioxidants. Arch Physiol Biochem 2024; 130: 616-641
- 19 Jomova K, Alomar SY, Alwasel SH, Nepovimova E, Kuca K, Valko M. Several lines of antioxidant defense against oxidative stress: Antioxidant enzymes, nanomaterials with multiple enzyme-mimicking activities, and low-molecular-weight antioxidants. Arch Toxicol 2024; 98: 1323-1367
- 20 Shiming Z, Mak KK, Balijepalli MK, Chakravarthi S, Pichika MR. Swietenine potentiates the antihyperglycemic and antioxidant activity of Metformin in Streptozotocin-induced diabetic rats. Biomed Pharmacother 2021; 139: 111576
- 21 Ali S, Ishteyaque S, Khan F, Singh P, Soni A, Mugale MN. Accelerative wound-healing effect of aqueous Anthocephalus cadamba leaf extract in a diabetic rat model. Int J Low Extrem Wounds 2023; 22: 409-417
- 22 Chen YJ, Kong L, Tang ZZ, Zhang YM, Liu Y, Wang TY, Liu YW. Hesperetin ameliorates diabetic nephropathy in rats by activating Nrf2/ARE/glyoxalase 1 pathway. Biomed Pharmacother 2019; 111: 1166-1175
- 23 Hsu JD, Wu CC, Hung CN, Wang CJ, Huang HP. Myrciaria cauliflora extract improves diabetic nephropathy via suppression of oxidative stress and inflammation in streptozotocin-nicotinamide mice. J Food Drug Anal 2016; 24: 730-737
- 24 Ishteyaque S, Mishra A, Mohapatra S, Singh A, Bhatta RS, Tadigoppula N, Mugale MN. In Vitro: Cytotoxicity, apoptosis and ameliorative potential of Lawsonia inermis extract in human lung, colon and liver cancer cell line. Cancer Invest 2020; 38: 476-485
- 25 Yadav KS, Bisen AC, Ishteyaque S, Sharma I, Verma S, Sanap SN, Verma S, Washimkar KR, Kumar A, Tripathi V, Bhatta RS. Solanum nigrum toxicity and its neuroprotective effect against retinal ganglion cell death through modulation of extracellular matrix in a glaucoma rat model. J Ocul Pharmacol Ther 2024; 40: 309-324
- 26 Ishteyaque S, Yadav KS, Verma S, Washimkar KR, Mugale MN. CYP2E1 triggered GRP78/ATF6/CHOP signaling axis inhibit apoptosis and promotes progression of hepatocellular carcinoma. Arch Biochem Biophys 2023; 745: 109701
- 27 Melekh B, Ilkiv I, Lozynskyi A, Sklyarov A. Antioxidant enzyme activity and lipid peroxidation in rat liver exposed to celecoxib and lansoprazole under epinephrine-induced stress. J Appl Pharm Sci 2017; 7: 94-99
- 28 Singh P, Ishteyaque S, Prajapati R, Yadav KS, Singh R, Kumar A, Sharma S, Narender T, Mugale MN. Assessment of antidiabetic effect of 4-HIL in type 2 diabetic and healthy Sprague Dawley rats. Hum Exp Toxicol 2022; 41: 1-12