Haematology
A significant decrease (p≤0.005) in the mean values of haemoglobin, TEC and PCV were recorded in rats of group II administered with lead acetate as compared to the control rats of group I on the 15
th (Table 1) and 30
th day (Table 2). The total leukocyte count (TLC) was found to be significantly increased (p≤0.005) along with a decrease in lymphocyte count and increase in neutrophil count in lead acetate administered rats (group II) as compared to the group I rats on day 15 and 30. Significant improvement (p≤0.005) in these parameters was observed in rats administered with curcumin along with lead acetate (group IV) as compared to group II rats, however the mean values of these parameters were significantly lower than that of control rats of group I. However, the haematological observations in rats of group IV were comparable to control rats on day 15 and 30. Basophilic stippling was observed in peripheral erythrocytes of group II rats only.
Lead inhibits various heme-synthase enzymes including d-aminoleuvulinic acid synthase, d-ALA dehydratase and ferrochelatase contributing to reduction in haemoglobin level. It also degrades the integrity of erythrocytic cell membrane resulting into increased destruction and anemia
(Oyem et al., 2021). Furthermore, it binds and inhibits pyruvate kinase and pyrimidine-5 nucleotidase enzyme essential for erythrocytic maturation resulting in presence of immature erythrocytes in peripherial blood
(Abdelhamid et al., 2020). Lead exposure causes release of various inflammatory cytokines, resulting in leukocytosis with neutrophilia
(Shaban et al., 2021).
Bone marrow cytology
In the present study, bone marrow cellularity was estimated as a measure of toxic effects of lead on precursor blood cells (Fig 1 and 2). A significant decrease in erythroid cells count along with significantly increased in the myeloid cells count and myeloid-erythroid ratio was observed in the lead exposed rats of group II as compared to the control rats. A significant improvement in these parameters was observed in group IV rats administered with antioxidants along with lead acetate as compared to the lead treated rats (group II) such that no significant difference could be observed in these parameters of rats of groups I, III and IV. Similar results were reported by
Schlick and Friedberg (1982);
Othman et al., (2004); Sharifi et al., (2011); Queiroz et al., (2011) and
Owolabi et al., (2012).
Bone marrow is a collection of rapidly dividing haematopoietic precursor cells present in the marrow cavity of bones. It also contains some mature blood cells, fibroblast-like reticular cells, adipocytes, macrophages and extracellular matrix. The reduction in erythroid cells of bone marrow is suggested due to lead induced activation of intrinsic pathway of apoptosis in haemopoetic and messenchymal stems cells of bone marrow
(Sharifi et al., 2011). Reduced biosynthesis of the cellular DNA, RNA and protein and inhibition of bone marrow ALA enzyme activity. ALA enzyme provides porphyrin-molecules to mitochondrial enzymes for maintenance of electron transport chain and cellular respiration. The reduction in ALA level of the bone marrow cells results in alterated cellular metabolism triggering cellular degeneration
(Owolabi et al., 2012).
Blood lead level
Blood lead level was analysed at the end of the experiment in all studied groups. Group II rats, receiving 150 mg/kg b.wt. lead acetate, showed a significant increase in blood lead level as compared to the control rats. Significant (P≤0.005) reduction in blood lead level was found when rats were administered with curcumin along with lead intoxication (Group IV). Group III rats receiving curcumin only and control group (I) rats revealed negligible traces of lead in blood (Table 3).
In our study, 30 consecutive days of lead exposure @ 150 mg/kg b.wt. yielded approximately 20 times higher blood lead levels in rats than the maximum permitted toxic limit. Oral administration of curcumin along with lead acetate resulted in lesser lead level in blood which is suggested by reduced intestinal absorption of lead by its direct chelating effects. Administration of curcumin also reduces lead burden in erythrocytes which may be due to its lipophilic nature that helps it in crossing the cellular membranes. Intracellularly, it chelates heavy metal ions leading to further reduction in blood lead level. Ameliorative effect of curcumin on blood lead level was in agreement with the finding of
Abdel-Moneim et al., (2015).
Erythrocytic MDA level
Erythrocytic membrane lipid peroxidative damage was assessed as concentration of thiobarbituric acid reactive product, malondialdehyde (MDA) in blood samples of all rats under study. There was significant (p≤0.005) increase in blood MDA level in lead exposed rats (group II) when compared to the control rats. Marked decrease in MDA level was noticed in rats receiving curcumin along with lead acetate (group IV) as compared to lead exposed rats. There was no statistical difference in blood MDA level of rats receiving curcumin alone (Group III) and control rats (Table 3).
Several studies conducted during the past decade have suggested that oxidative damage is the main mechanism involved in Pb induced cytotoxicity
(Apostoli et al., 1988; Aykin-Burns et al., 2003; El-Reheem and Zaahkcuk 2007;
Abdel-Moneim et al., 2015; El-Magd et al., 2016; Adetunji et al., 2019 and
Alfwuaires et al., 2023). MDA or thiobarbituric acid-reactive species is the end product of lipid peroxidation that plays a vital role in lipid membrane damage in cells by increasing production of reactive oxygen species (ROS). Lead is also known to have high affinity for sulfhydryl (-SH) groups. Thus, it binds with functional SH groups of several enzymes degrading antioxidant defence systems of cells
(Flora et al., 2008 and
Wang et al., 2007). Curcumin is a potent antioxidant, which diminishes free radical generation, scavenges ROS and activates the antioxidant defense system. Hence, it successfully ameliorates degeneration and cell damage induced by administration of lead
(Sudjarwo et al., 2017).
Histopathology
The histopathological sections of the femur of lead-exposed rats revealed an increased accumulation of adipose tissue with reduced cellularity (Fig 3). A reduction in the marrow cavity was also observed in some of the sections of the femur of group II rats as compared to group I rats. Random regenerating areas were observed in between the less cellular areas in the sections from the femur of the group IV rat treated with curcumin along with lead exposure. These regenerating areas consisted of higher comparative cellularity and an increased number of megakaryocytes and other haemopoietic precursor cells. Normal histological observations were recorded in the tissue sections of rats of groups I (control) and III.
The microscopic evaluation of bone marrow, together with haematological analysis, can provide a thorough understanding of the status of the haemtopoietic system. The observations recorded in the present study were in coordination with
(Tham et al., 2013; Lu et al., 2014; Ramesh et al., 2018 and
Qi et al., 2019). Lead toxicity induces oxidative stress in variety cells throughout the body, including haematopoietic cells, by impairing the activity of enzymes such as glutathione peroxidase, catalase and superoxide dismutase
(Tham et al., 2013). This results in free radical-induced cell death ultimately, reducing cellularity in bone marrow, as observed in the present study. Further, accumulation of adipose tissue in bone marrow is another indication of reduced bone marrow density
(Ramesh et al., 2018). These toxic changes were found to be ameliorated in the bone marrow of rats after the administration of curcumin along with lead acetate, attributed to the antioxidant and metal chelating properties of curcumin.