<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">MR</journal-id><journal-title-group><journal-title>Microscopy Research</journal-title></journal-title-group><issn pub-type="epub">2329-3306</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/mr.2019.73003</article-id><article-id pub-id-type="publisher-id">MR-93499</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject><subject> Chemistry&amp;Materials Science</subject><subject> Physics&amp;Mathematics</subject></subj-group></article-categories><title-group><article-title>
 
 
  Effects of Ingested &lt;i&gt;Baccharis dracunculifolia&lt;/i&gt; D.C. (Asteraceae) Extract in the Liver of &lt;i&gt;Prochilodus lineatus&lt;/i&gt; Fish
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Jeffesson</surname><given-names>De Oliveira-Lima</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Bruno</surname><given-names>Fiorelini Pereira</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>João</surname><given-names>Rodolfo Tuckumantel Valim</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Thiago</surname><given-names>Gazoni</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Dimitrius</surname><given-names>Leonardo Pitol</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Flavio</surname><given-names>Henrique Caetano</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib></contrib-group><aff id="aff2"><addr-line>Department of Biological Sciences, Federal University of S&amp;amp;atilde;o Paulo, Diadema, Brazil</addr-line></aff><aff id="aff3"><addr-line>Department of Morphology, University of Sao Paulo, Ribeir&amp;amp;atilde;o Preto, Brazil</addr-line></aff><aff id="aff1"><addr-line>Department of Biology, S&amp;amp;atilde;o Paulo State University, Sao Paulo, Brazil</addr-line></aff><pub-date pub-type="epub"><day>03</day><month>07</month><year>2019</year></pub-date><volume>07</volume><issue>03</issue><fpage>27</fpage><lpage>38</lpage><history><date date-type="received"><day>13,</day>	<month>May</month>	<year>2019</year></date><date date-type="rev-recd"><day>1,</day>	<month>July</month>	<year>2019</year>	</date><date date-type="accepted"><day>4,</day>	<month>July</month>	<year>2019</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  <em>Baccharis dracunculifolia</em>, popularly known in Brazil as “alecrim-do-campo”, is widely recognized for its therapeutic potential. The extract of its leaves is used for liver problems, stomach disorders and others. The objective of the present study was to perform a histochemical analysis of curimbata fish livers to evaluate the potential effects and risks of the ingestion of 
  <em>B. dracunculifolia</em>. Thirty-two animals were divided into two experimental groups in duplicate: Control group (regular food) and 
  <em>B. dracunculifolia</em> Treated group (food added with 
  <em>B. dracunculifolia</em>). The fishes were collected on the 14th and 21st days after the treatment period of 21 days. The histological alterations were evaluated using the semiquantitative methods Mean Value of Alterations (MVA), Histopathological Alteration Index (HAI) and Image J
  &lt;sup&gt;&amp;reg;&lt;/sup&gt;. HAI and MAV showed that the extract caused slight but statistically significant damages, widely distributed throughout the organ. The results showed significant hepatic alterations caused by the ingestion of 
  <em>B. dracunculifolia</em> extract.
 
</p></abstract><kwd-group><kwd>Asteraceae</kwd><kwd> Hepatotoxicity</kwd><kwd> Lipofuscin</kwd><kwd> Macrophages</kwd><kwd> &lt;i&gt;Prochilodus lineatus&lt;/i&gt;</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Asteraceae is one of the largest angiosperm families, with more than 1535 genera, 23000 species and 17 tribes distributed throughout the world. Among them, the genus Baccharis comprises about 500 known species (Abreu and Onofre, 2010) distributed throughout the Americas, from Southern United States to Southern Argentina, and Brazil, with the greatest number of species—approximately 120 species [<xref ref-type="bibr" rid="scirp.93499-ref1">1</xref>].</p><p>The species Baccharis dracunculifolia (popularly known in Brazil as “alecrim-do-campo”) has been intensively studied due to its therapeutic uses and potentialities. It has been used by the pharmaceutical industry in the production of green propolis—produced by Apis mellifera L. bees [<xref ref-type="bibr" rid="scirp.93499-ref2">2</xref>] [<xref ref-type="bibr" rid="scirp.93499-ref3">3</xref>] , and in food industry, as a functional food product [<xref ref-type="bibr" rid="scirp.93499-ref4">4</xref>]. B. dracunculifolia and B. trimera have been widely used in popular medicine to treat stomach, liver and kidneys dysfunction, diabetes, prostate conditions, inflammations and detoxifications in general [<xref ref-type="bibr" rid="scirp.93499-ref5">5</xref>].</p><p>Studies have demonstrated that the essential oil of B. dracunculifoliais mainly constituted of mono and sesquiterpene, such as nerolidol (33.51%) and spathulenol (16.24%) [<xref ref-type="bibr" rid="scirp.93499-ref6">6</xref>]. Nerolidol has presented satisfactory results in several treatment models analyzing rats with induced ulcer, which confirms the indication of B. dracunculifolia essential oil to control the disease [<xref ref-type="bibr" rid="scirp.93499-ref7">7</xref>]. The main secondary metabolites identified in this species are the terpenoids, flavonoids and prenylated phenolic compounds derived from coumaric acid [<xref ref-type="bibr" rid="scirp.93499-ref5">5</xref>].</p><p>Studies have demonstrated that the essential oil of B. dracunculifolia has antiulcerogenic [<xref ref-type="bibr" rid="scirp.93499-ref8">8</xref>] , antimicrobial [<xref ref-type="bibr" rid="scirp.93499-ref9">9</xref>] , analgesic, antispasmodic, sedative, cytostatic [<xref ref-type="bibr" rid="scirp.93499-ref10">10</xref>] properties. Moreover, according to [<xref ref-type="bibr" rid="scirp.93499-ref11">11</xref>] , the species B. dracunculifolia has anti-inflammatory, anti-protozoal, anthelmintic, antioxidant, anticancer, anticariogenic, cytotoxic, mutagenic (in high concentrations) and cicatrizing potential.</p><p>Most medicinal plants have not had their toxic and mutagenic potentials thoroughly investigated [<xref ref-type="bibr" rid="scirp.93499-ref12">12</xref>] [<xref ref-type="bibr" rid="scirp.93499-ref13">13</xref>] [<xref ref-type="bibr" rid="scirp.93499-ref14">14</xref>] ; however, it is known that Baccharis plants present high toxicity levels [<xref ref-type="bibr" rid="scirp.93499-ref15">15</xref>] [<xref ref-type="bibr" rid="scirp.93499-ref16">16</xref>]. Therefore, this study performed the histochemistry of the livers of fish treated with B. dracunculifolia to evaluate the possible risks of the ingestion of this medicinal plant.</p></sec><sec id="s2"><title>2. Material and Methods</title><sec id="s2_1"><title>2.1. Specimens</title><p>The Prochilodus lineatus juveniles used in this experiment (60.7 &#177; 1.3 g and 8.0 &#177; 1.5 cm) were purchased from Piscicultura Polettini, Mogi Mirim/SP, Braziland transported to the Histology Laboratory of UNESP, Campus Rio Claro, Sao Paulo, Brazil. The animals were previously climatized in polyethylene boxes (500 liters) with constant aeration and fed with appropriate commercial food (325 g of crude protein) once a day.</p></sec><sec id="s2_2"><title>2.2. B. dracunculifolia Leaves</title><p>The B. dracunculifolia leaves used in this experiment were collected in Rio Claro-SP, Brazil (22˚22'30.0''S, 47˚28'31.5''W) and, after identification, exsiccates of the vegetal material were deposited and registered in the herbarium “Herb&#225;rio Rioclarense”, Botany Department, UNESP, Campus Rio Claro (number 58140).</p></sec><sec id="s2_3"><title>2.3. Ethanolic Extract Preparation</title><p>The leaf compound extraction followed the protocol established by ANVISA—(Brazilian Health Surveillance Agency) for the Preparation mother tinctures from dry plants through maceration. The leaves were macerated with grain alcohol, 30% and 70% for nine days. The product of the 30% maceration was mixed to the 70% and vice-versa. After nine days, all the leaf compounds were obtained, those soluble in alcohol 70% and 30%. For each treatment group, 1.5 mL (amount ingested in treatment in folk medicine) of the extract was added to 1.2 g of commercial food (Poytara&#174;). The material was kept in microbiological incubator at 37˚C for alcohol evaporation and stored in amber jars.</p></sec><sec id="s2_4"><title>2.4. Control and Treatment Groups</title><p>Two experimental groups of 30 individuals were used, the experiment was made in duplicate. The control group (Ctrl) and B. dracunculifolia Treated group (BdT). The animals were randomly distributed into four 70-liter tanks (8 animals each) with air pumps, cooling, thermostat (to maintain constant temperature) and covered with UV blocking material to reduce stress. Both groups were fed for a maximum of 21 days: Control group with regular commercial food and B. dracunculifolia Treated group with the food added with B. dracunculifolia extract. The animals were collected 14 and 21 days after the experiment (21-day feeding period), 6 individuals per treatment were collected. The fish were kept in semi-static system (every day about 20% of the water was renewed) and the water physical and chemical parameters (pH, ammonia, hardness and temperature) were measured at each collection.</p></sec><sec id="s2_5"><title>2.5. Histological Processing</title><p>Fragments of the liver were fixed in formalin 10%, transferred to sodium phosphate pH = 7.4, dehydrated in crescent ethanol series, included in Leica historesin and sectioned (6 &#181;m thickness) using microtome Leica RM2245. The sections were subjected to specific reactions and mounted on slides. For lipofuscin, the slides were mounted using Entellan, without the need of specific reactions, once lipofuscin is fluorescent [<xref ref-type="bibr" rid="scirp.93499-ref17">17</xref>]. The material was analyzed using fluorescence microscope Olympus-BX51 and photographed using software DP-Controller, light filter 450 - 490 nm.</p></sec><sec id="s2_6"><title>2.6. Hepatic Morphology Analysis</title><p>The morphological alterations were evaluated through semi-quantitative methods: Mean Value of Alterations (MVA) and Histopathological Alteration Index (HAI). The MVA was calculated based on the incidence of lesions, according to18where a numeric value is attributed to each animal according to the scale: 1 (absence of histopathological alterations), 2 (localized lesions), and 3 (widely distributed lesions) and the HAI was based on the severity of each lesion. [<xref ref-type="bibr" rid="scirp.93499-ref19">19</xref>]. The HAI value was calculated for each animal, according to the formula:</p><p>HAI = ( 1 &#215; Σ I ) + ( 10 &#215; Σ II ) + ( 100 &#215; Σ III )</p><p>where ΣI, II and III correspond to the number of the stages: I, II and III, respectively. The HAI values between 0 and 10 indicate normal tissue functioning; between 11 and 20 indicate mild damage to the organ; between 21 and 50 indicate moderate damage; from 51 to 99, severe damage and greater than 100 indicate irreversible tissue damage [<xref ref-type="bibr" rid="scirp.93499-ref18">18</xref>].</p></sec><sec id="s2_7"><title>2.7. Hepatic Collagen Quantification</title><p>For collagen quantification, six liver sections of each individual were analyzed after Picrosirius red reaction, according to [<xref ref-type="bibr" rid="scirp.93499-ref20">20</xref>]. The collagen was isolated using software Image J&#174; version 1.51p and the collagen total area was quantified.</p></sec><sec id="s2_8"><title>2.8. Glycogen and Bile Stagnation Quantification</title><p>For the glycogen and bile stagnation quantification, six sections of each individual were analyzed following PAS reaction, according to the protocol stablished by [<xref ref-type="bibr" rid="scirp.93499-ref21">21</xref>]. Ten fields from each section were photographed, five for bile stagnation and five for glycogen. Glycogen was semi-quantitatively evaluated and bile stagnation was analyzed using software Image J&#174;. The total bile stagnation area was quantified according to [<xref ref-type="bibr" rid="scirp.93499-ref22">22</xref>].</p></sec><sec id="s2_9"><title>2.9. Lipofuscin Quantification</title><p>To analyze the amount of lipofuscin in the tissues, ten photographs of six liver fragments of each individual were taken, according to [<xref ref-type="bibr" rid="scirp.93499-ref23">23</xref>]. The images were analyzed using program ImageJ&#174;, the lipofuscin granules were isolated and the total area was quantified.</p></sec><sec id="s2_10"><title>2.10. Total Proteins and Macrophages</title><p>Total proteins detection was performed using six sections of each animal, which were subjected to Xylidine Ponceau reaction according to [<xref ref-type="bibr" rid="scirp.93499-ref24">24</xref>]. Macrophages detection was carried out subjecting the same number of sections to Gomori reaction [<xref ref-type="bibr" rid="scirp.93499-ref25">25</xref>]. Total proteins were analized using semi-quantitative method, and machophages were quantified using the software Image J&#174; following [<xref ref-type="bibr" rid="scirp.93499-ref23">23</xref>].</p></sec><sec id="s2_11"><title>2.11. Statistical Analysis</title><p>The data obtained through the analyses were submitted to Shapiro-Wilk to verify normality and to ANOVA/Tukey test to obtain parametric results. The groups that did not satisfy normality assumptions were submitted to Kruskal-Wallis/Dunn, with significance level p &lt; 0.05. Statistic test was performed using software Bioestat 5.0&#174; and Graph Pad Prism 5.0&#174;.</p></sec><sec id="s2_12"><title>2.12. Use of Experimental Animals</title><p>All experiments were performed in accordance with relevant guidelines and regulations and approved by the Ethics Committee on Animal Use (CEUA)—from Estadual University of S&#227;o Pauolo, Rio Claro, license number 10/2017. Before the euthanize the animals were anesthetized with benzocaine solution (0.1 g of benzocaine in 1 mL of ethanol for each 100 mL of deionized water).</p></sec></sec><sec id="s3"><title>3. Results</title><sec id="s3_1"><title>3.1. Hepatic Morphology</title><p>The water parameters remained within the acceptable levels [<xref ref-type="bibr" rid="scirp.93499-ref23">23</xref>]. The liver of the specimens presented the following alterations: cytoplasmic vacuolation, nuclear hypertrophy, sinusoid capillary dilatation and congestion, and the relative frequency in which they occurred are displayed in <xref ref-type="table" rid="table1">Table 1</xref>. The most frequent alterations are displayed in <xref ref-type="fig" rid="fig1">Figure 1</xref>.</p><p>The MVA and HAI obtained for the hepatic alterations were significantly higher in comparison with the control in the 21-day feeding period—ANOVA/Tukey test (<xref ref-type="fig" rid="fig2">Figure 2</xref>).</p></sec><sec id="s3_2"><title>3.2. Hepatic Collagen</title><p>Some collagen staining was observed in vessel walls, in insufficient amounts for quantification.</p></sec><sec id="s3_3"><title>3.3. Bile Stagnation</title><p>The animals fed for 21 days presented significant increase in bile stagnation in comparison with the control group, with p &lt; 0.05 for Kruskal-Wallis/Dunntest (<xref ref-type="table" rid="table2">Table 2</xref>).</p></sec><sec id="s3_4"><title>3.4. Total and Proteins</title><p>The animals fed during both treatment periods presented significant difference of macrophage number, as well as of total proteins in comparison with the control group, with p &lt; 0.05 for ANOVA/Tukey test.</p></sec><sec id="s3_5"><title>3.5. Lipofuscin</title><p>Lipofuscin granules were identified as red punctuate cytoplasmic fluorescence. The number of granules in the liver increased in both treatments; however, not significantly in comparison with the control group (<xref ref-type="fig" rid="fig3">Figure 3</xref>), with p &lt; 0.05 (Kruskal-Wallis/Dunn) (<xref ref-type="table" rid="table2">Table 2</xref>).</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Frequency of histological alterations in the livers of P. lineatus. 0 = no alterations 0+ = rare alterations + = frequent ++ = very frequent +++ = extremely frequent</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Liver</th><th align="center" valign="middle" >Stage</th><th align="center" valign="middle" >Ctrl 14 d</th><th align="center" valign="middle" >Ctrl 21 d</th><th align="center" valign="middle" >BdT 14 d</th><th align="center" valign="middle" >BdT 21 d</th></tr></thead><tr><td align="center" valign="middle" >Cytoplasmic vacuolation</td><td align="center" valign="middle" >I</td><td align="center" valign="middle" >+</td><td align="center" valign="middle" >+</td><td align="center" valign="middle" >+</td><td align="center" valign="middle" >+</td></tr><tr><td align="center" valign="middle" >Nuclear hypertrophy</td><td align="center" valign="middle" >I</td><td align="center" valign="middle" >0+</td><td align="center" valign="middle" >0+</td><td align="center" valign="middle" >0+</td><td align="center" valign="middle" >0+</td></tr><tr><td align="center" valign="middle" >Sinusoidal capillary dilatation</td><td align="center" valign="middle" >I</td><td align="center" valign="middle" >0+</td><td align="center" valign="middle" >0+</td><td align="center" valign="middle" >+</td><td align="center" valign="middle" >++</td></tr><tr><td align="center" valign="middle" >Glycogen</td><td align="center" valign="middle" >I</td><td align="center" valign="middle" >+</td><td align="center" valign="middle" >+</td><td align="center" valign="middle" >+</td><td align="center" valign="middle" >+</td></tr><tr><td align="center" valign="middle" >Total proteins</td><td align="center" valign="middle" >I</td><td align="center" valign="middle" >+</td><td align="center" valign="middle" >+</td><td align="center" valign="middle" >++</td><td align="center" valign="middle" >++</td></tr><tr><td align="center" valign="middle" >Congestion</td><td align="center" valign="middle" >II</td><td align="center" valign="middle" >0+</td><td align="center" valign="middle" >0+</td><td align="center" valign="middle" >+</td><td align="center" valign="middle" >++</td></tr></tbody></table></table-wrap><p>Ctrl—Control group; BdT—B. dracunculifolia Treated group.</p><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> Means in μm<sup>2</sup> of the area occupied by lipofuscin and bile stagnation. Means, standard deviation (S&#177;) and significance (*). Note the increased levels of lipofuscin and bile stagnation in the BdT group</title></caption><table><tbody><thead><tr><th align="center" valign="middle"  rowspan="3"  ></th><th align="center" valign="middle"  colspan="4"  >LIPOFUSCIN</th><th align="center" valign="middle"  colspan="4"  >BILE STAGNATION</th></tr></thead><tr><td align="center" valign="middle"  colspan="2"  >Ctrl Group</td><td align="center" valign="middle"  colspan="2"  >BdT Group</td><td align="center" valign="middle"  colspan="2"  >Ctrl Group</td><td align="center" valign="middle"  colspan="2"  >BdT Group</td></tr><tr><td align="center" valign="middle" >Mean</td><td align="center" valign="middle" >S&#177;</td><td align="center" valign="middle" >Mean</td><td align="center" valign="middle" >S&#177;</td><td align="center" valign="middle" >Mean</td><td align="center" valign="middle" >S&#177;</td><td align="center" valign="middle" >Mean</td><td align="center" valign="middle" >S&#177;</td></tr><tr><td align="center" valign="middle" >14 days</td><td align="center" valign="middle" >914041.2</td><td align="center" valign="middle" >472324.5</td><td align="center" valign="middle" >1066679.8</td><td align="center" valign="middle" >642860.6</td><td align="center" valign="middle" >3868.1482</td><td align="center" valign="middle" >2321.4600</td><td align="center" valign="middle" >4589.1319</td><td align="center" valign="middle" >1145.6950</td></tr><tr><td align="center" valign="middle" >21 days</td><td align="center" valign="middle" >953439.2</td><td align="center" valign="middle" >402236.3</td><td align="center" valign="middle" >988093.9</td><td align="center" valign="middle" >530541.0</td><td align="center" valign="middle" >4834.8480</td><td align="center" valign="middle" >1158.5428</td><td align="center" valign="middle" >6479.3136*</td><td align="center" valign="middle" >2205.9563</td></tr></tbody></table></table-wrap></sec></sec><sec id="s4"><title>4. Discussion</title><p>Histopathological analyses are important to verify the sensitivity of the organs to toxic substances. Lesion severity is associated with the pathologic potential; therefore, how the lesion affects the organ functions and the survival of the animal is taken into consideration to analyze the importance of the lesion [<xref ref-type="bibr" rid="scirp.93499-ref26">26</xref>]. The present study analyzed alterations stages I and II, cytoplasmic vacuolation, nuclear hypertrophy, sinusoid dilatation and congestion, the HAI revealed that the extract caused slight not statistically significant damages to the organ. The results suggest that B. dracunculifolia has toxic components, once some alterations were observed in more advanced stages, making the tissue recovery slower.</p><p>Several studies have reported an increase in the amount lipofuscin [<xref ref-type="bibr" rid="scirp.93499-ref27">27</xref>] [<xref ref-type="bibr" rid="scirp.93499-ref28">28</xref>] [<xref ref-type="bibr" rid="scirp.93499-ref29">29</xref>] [<xref ref-type="bibr" rid="scirp.93499-ref30">30</xref>]. Despite not statistically significant, the increase in the levels of lipofuscin observed in the present study can be associated with liver damages, once the lipofuscin is a product of lipid peroxidation and indicates oxidative lesion [<xref ref-type="bibr" rid="scirp.93499-ref31">31</xref>].</p><p>Alterations as nuclear hypertrophy and sinusoid dilatation, more frequent in the animals fed for 21 days, indicate an increase in the metabolic activity of the hepatocytes, probably representing a response to the presence of stressing agents. The presence of vessel congestion suggested that blood flow was obstructed, consequently causing blood to accumulate in the venous circulation. According to [<xref ref-type="bibr" rid="scirp.93499-ref32">32</xref>] , this can be caused by physical obstruction of small or large vessels or by a failure in the regular flow.</p><p>One of the consequences of the exposure to toxic products is bile stagnation, characterized by the presence of brownish-yellow granules in the cytoplasm of the hepatocytes [<xref ref-type="bibr" rid="scirp.93499-ref33">33</xref>]. This alteration consists in the manifestation of a physiopathological condition caused by a lack of bile metabolism and excretion [<xref ref-type="bibr" rid="scirp.93499-ref34">34</xref>]. In the present study, the bile stagnation observed in the P. lineatus indicates that the animals were in contact with B. dracunculifolia metabolic products, which acted as toxic agents. Furthermore, the presence of melanomacrophage centers—which play a role in elimination of particles—may indicate inflammation [<xref ref-type="bibr" rid="scirp.93499-ref35">35</xref>] , health problems and conditions of environmental stress [<xref ref-type="bibr" rid="scirp.93499-ref36">36</xref>].</p><p>Changes in the number of macrophages were also observed in the liver, gills and intestine of P. lineatus [<xref ref-type="bibr" rid="scirp.93499-ref23">23</xref>] [<xref ref-type="bibr" rid="scirp.93499-ref37">37</xref>] [<xref ref-type="bibr" rid="scirp.93499-ref38">38</xref>]. Alterations in total proteins levels in this study could be occurred due to the health conditions of the animals [<xref ref-type="bibr" rid="scirp.93499-ref39">39</xref>]. According to these authors, when total proteins are at high levels, it may represent a chronic liver disease, and when at low levels, it could be a result of liver failure and kidney disease.</p><p>The results of the present study are corroborated by [<xref ref-type="bibr" rid="scirp.93499-ref40">40</xref>] , who submitted rats to high concentrations of B. dracunculifolia. Three days following exposure the animals presented behavioral alterations and the toxicity of the extract was confirmed by the decrease in polychromatic and monochromatic erythrocytes. [<xref ref-type="bibr" rid="scirp.93499-ref13">13</xref>] reported that the hydroethanolic extract of Baccharistrimera administered to pregnant rats at 8.4 mg/kg was toxic to maternal kidney and liver cells, although such alterations are reversible once administration is discontinued.</p><p>Studies have demonstrated that plant flavonoids, such as quercetin and rutin [<xref ref-type="bibr" rid="scirp.93499-ref41">41</xref>] can produce genotoxic effects in high concentrations [<xref ref-type="bibr" rid="scirp.93499-ref41">41</xref>] [<xref ref-type="bibr" rid="scirp.93499-ref42">42</xref>] [<xref ref-type="bibr" rid="scirp.93499-ref43">43</xref>]. The caffeic acid, a phenolic acid found in B. dracunculifolia extracts [<xref ref-type="bibr" rid="scirp.93499-ref44">44</xref>] [<xref ref-type="bibr" rid="scirp.93499-ref45">45</xref>] , induced damage to the DNA of rats at 8 mg/kg [<xref ref-type="bibr" rid="scirp.93499-ref43">43</xref>]. The molecular mechanisms of mutagenicity caused by flavonoids have not been clarified; however, several studies have demonstrated that they can act as pro-oxidants, overcoming nuclear antioxidant defenses and leading the DNA to oxidative damage [<xref ref-type="bibr" rid="scirp.93499-ref41">41</xref>] [<xref ref-type="bibr" rid="scirp.93499-ref46">46</xref>]. Therefore, the liver alterations observed in the present study may have occurred due to the action of similar components present in the B. dracunculifolia extract.</p></sec><sec id="s5"><title>5. Conclusion</title><p>In conclusion, the extract of B. dracunculifolia caused significant hepatic alterations in the species; moreover, the HAI and MAV demonstrated that the ingestion of the extract caused widely distributed damage to the liver.</p></sec><sec id="s6"><title>Acknowledgements</title><p>Authors are grateful to the Coordena&#231;&#227;o de Aperfei&#231;oamento de Pessoal de N&#237;vel Superior (CAPES) support and to Mr. Gerson de Mello Souza for technical support.</p></sec><sec id="s7"><title>Authors’ Contribution</title><p>Wrote the main manuscript text:Jeffesson de Oliveira-Lima, Bruno Fiorelini Pereira, Jo&#227;o Rodolfo Tuckumantel Valim.</p><p>Worked on graphics, statistics and figures: Thiago Gazoni, Dimitrius Leonardo Pitol, Flavio Henrique Caetano.</p></sec><sec id="s8"><title>Conflicts of Interest</title><p>The authors declare no conflict of interest.</p></sec><sec id="s9"><title>Cite this paper</title><p>De Oliveira-Lima, J., Pereira, B.F., Valim, J.R.T., Gazoni, T., Pitol, D.L. and Caetano, F.H. 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