Hepatotoxicity: Causes,
Symptoms and Herbal Remedies
Pushpendra K.
Patel*, Narendra K. Prajapati,
B.K. Dubey
T.I.T. College of Pharmacy,
Department of Pharmacology, Anand Nagar, Bhopal,
Madhya Pradesh, India
ABSTRACT:
Liver is one of the most important
organs of body and performs several functions, so it has to be keep safe and healthy. Due to the several reasons like
alcohol consumption, side effect of drug, liver is get damaged. Liver damage
can be cure by the use of allopathic medicine, but the disadvantage of
allopathic medicine are their side effect and they may cause other health issue, so one has to use the herbal medicine for the
treatment purpose. India is a rich country in the herbal medicine, it has world
oldest medicinal book Ayurveda, and it contains
endless information about the disease, symptoms and their cure too. It has
several plant showing liver protective like Aegle marmelos, Madhuca indica, glycyrriza glabra, phyllanthus niruri, cordial macleodii, Aloe barbadensis, Glycyrrhiza glabra, Decalepis hamiltonil, Euphorbia fusiformis,
Halenia elliptica, Casia fistula, Piper chaba, Schouwia thebica, Momordica dioica, Asparagus racemosus, Cajanus cajan, Amomum sublatum,
Flacourtia indica, Epaltes divaricata, Anisochilus Carnosus, Aervalanata. Looking upon the importance of herbal
medicine in the treatment of liver disease, it is necessary to bring
traditional knowledge and modern science into a same platform. If they will
work together then the outcome will be blasting in the field of medicine, than
there will be no more category of herbal and synthetic medicine, there will be
only one secure medicine.
KEYWORDS: Hepatoprotective, hepetotoxicity, Aegle marmelos, Madhuca indica, herbal medicine, toxic effect
INTRODUCTION:
The universal role of plants in
the treatment of disease is exemplified by their employment in all the major
system of medicine irrespective of the underlying philosophical premise 1.
Plants have at one time supplied virtually all cultures with food, clothing,
shelter and medicine. It is estimated that approximately 10 to 15 percent of
roughly 300,000 species of higher plant, have a history of use in traditional
medicine 2.In terms of both quantity and value of the medicinal
plant exported India ranks second in the world3. Plants are the very
important for the human, because they posses several active constituents which
are the precursor for synthesis of many drug 4. Due to the value of
plants in the medicine several attempts and have been done to identify and
validate the plant derived substance for the treatment of various disease, and
the result is that today more than 25% of the modern medicine are directly or
indirectly derived from plants 5.From the different source of
medicine like plant, minerals, animals and synthetic chemicals, only plant are
good as availability and safety point of view There are several incidents of
adverse effect and side effect with the synthetic drug but limited number with
plant source. India has a rich source of plant as a natural or herbal medicine
and it is being used from thousands of years ago Indian medicinal plants are
considered a vast resource of several pharmacologically active principles and
active constituents, which are commonly used in home remedies against multiple
ailments 7
Because of the traditional
knowledge of developing countries, the world health organisation is now
actively encouraging them to use the herbal remedies which they have been
traditionally used for centuries 7. On a recent survey conducted by
W.H.O. globally, around 20,000 medicinal plants are being profusely either in
pharmaceutical Industry or in folk medicine system 8. The Majority
of Alternative medicine user are now turning back towards the herbal medicine
not so much because they feel dissatisfied with conventional medicine, but
largely because they find these natural medicine more safe and effective 9.
Modern allopathic medicine has developed many sophisticated and costly
diagnostic methodologies, which is little difficult to afford by the middle and
lower class family, and on the other hand these medicine can harm the heath of
the patient than they cure the problem, by their toxic side effect and adverse
effect 10. The use of herbal or alternative system of medicine is
increasing day by day because of its safety 11. All culture has long
folk medicine histories that include the use of plants. Egyptian, Indian and
Chinese traditional system are considered as oldest system of medicine 12.
Human body is a complex in nature,
it is composed of several organs and each organ is equal in importance. If all
are working in a proper rhythm, than the body will be healthy otherwise
complication will be the result. Out of different important organ in body we
can say that liver is one of the prime and valuable organs. Liver is one of the
heaviest organ of the body, it comes after the skin. Liver
weight is about 1500 gram in an average adult. Liver is inferior to the
diaphragm and occupies most of the right. Hypochondriac and part of epigastric regions of the abdominal cavity 13.
The main function of liver include protein synthesis, storage, metabolism of
fat and carbohydrates, detoxification of drug and other toxin, excretion of bilirubin and metabolism of hormones 14. The
basic functional unit of liver is the liver lobule which is a cylindrical in
structure and several mm in length and 0.8 to 2mm in diameter. The human liver
contains 50,000 to 100,000 individual lobules 15. Liver disease is
any disturbance of liver function that causes illness. The liver is responsible
for many critical functions within the body and should it become diseased or
injured, the loss of those functions can cause significant damage to the body.
Liver disease is also referred to as hepatic disease. Liver disease is a broad
term that covers all the potential problems that may occur to cause the liver
to fail to perform its designated functions. Usually, more than 75% or three
quarters of liver tissue needs to be affected before decrease in function
occurs. The liver is a main organ of the drug metabolism. Orally absorbed drug
are often absorbed unchanged in the gastro intestine tract and transported
directly to the liver via a portal circulation. In this manner the liver has
opportunity to metabolize drug before they reach to the systemic circulation
and therefore they reach their target organ 16.
Figure 1- site of drug metabolism
LIVER DISEASE
As liver is a complex organ it may
sometimes fail to work properly due to any of the reason. The condition at
which liver cannot work properly is known as a liver mal function and if the
condition is more serious than it’s called as a liver damage. Liver damage can
be classified according to its severity, as acute and chronic liver disease.
Acute liver disease is usually a self-limiting episode of hepatocyte
damage which in most cases resolves spontaneously without clinical sequence.
However, in some case which remains unclear, acute liver frailer may develop.
This is a rare condition in which there is a rapid deterioration in liver
function with associated altered mention and the development of a coagulopathy. Acute liver failure is a grave condition with
a significant morbidity.
Chronic liver disease occurs when
permanent structural changes within the liver are present secondary to long
standing cell damage, with the consequent loss of normal liver architecture. In
many cases this progress to cirrhosis, where fibrous scars divide the liver
cells into areas of regenerative tissues called nodules. Conventional wisdom is
that this process is irreversible, but there is now an increasing body of work
which suggests that this is not always the case. Trials with antiviral
therapies for the treatment of chronic viral hepatitis have demonstrated
reversal of cirrhotic changes within the liver 14.
Figure 2- Biliary system of human
CAUSES OF LIVER DISEASE
There are several factors which cause disturbance in the work of
normal liver and produce liver disease. Out of which few important are as
follows-
Viral infections
Viruses commonly affect the liver, resulting in a transient and
innocuous hepatitis. However, viruses which target the liver primarily
described as hepatotropic viruses, and each of these
can lead clinically significant hepatitis and in some case to the development
of chronic viral hepatitis with viral persistence. Six human viruses have been
identified, including hepatitis A (HAV), B (HBV), C (HCV), D (HDV), E (HEV),
and G (HGV) each type of viral hepatitis has a similar pathology, with the
potential to cause acute inflammation of liver resulting in acute hepatitis14
Figure 3- structure of
hepatitis B virus.
Alcohol
Alcohol is the single most significant cause of liver disease
throughout the western world, accounting for between 40% and 80% of case of
cirrhosis in different countries. In general deaths from alcoholic liver
disease in each country correlate with the consumption of alcohol per head of
population, although additional factors can influence these trends 17.
Immune disorder
Autoimmune disease can affect the hepatocyte
or bile duct and is characterized by the presence of auto antibodies and raised
immunoglobulins levels. Autoimmune hepatitis, primary
Biliary cirrhosis, primary scerosing
are the example of these.
Vascular abnormalities
The blood- chiari syndrome is a rare,
heterogeneous and potentially fatal condition related to the obstruction of the
hepatic venous outflow tract. Involvements of the portal venous system are a
common sequel which adds to the gravity of the condition. The prevalence of
underlying thrombophilias is markedly increased in
patient with BCS.
Metabolic and genetic disorder
There are several inherited metabolic disorders that can affect
the functioning of the liver; these are haemochromatosis,
which is associated with increased and inappropriate absorption of dietary iron
resulting in deposition within the liver. Wilson’s disease is an autosomal recessive disorder of copper metabolism. The
disorder leads to excessive absorption and deposition of dietary copper within
the liver, brain, kidney and other tissues.
Biliary tract
disease
Obstruction of the bile outflow from the liver can cause inflammation,
scarring and eventual cirrhosis. The obstruction may be due to gallstone or
tumor, or secondary to surgical damage to the common bile duct. In the
developed countries primary malignant tumors of the liver and biliary tract are relatively rare. Secondary metastatic
tumors are around 40 time’s common than primary malignancies 18.
Gilbert’s syndrome
Gilbert’s syndrome is characterized by persistent mild unconjugated hyperbilirubinaemia.
It is the most frequently recognized in adolescents and young adults with an
incidence of between 2% and 7% in the general population. Plasma bilirubin levels usually range between 2 and 80µmol/L,
increasing during the periods of stress, sleep deprivation, prolonged fasting,
and menstruation and intercurrent infections.
Adverse effect of drug on liver
Drugs can induce almost all forms of acute and chronic liver
disease, with some drug producing more than one type of hepatic reaction.
Although not a particular common form of adverse drug reaction, drug showed
always be considered as a possible cause of liver disease 14.
Table 1- Example of drugs that elevate liver enzyme
|
S/n. |
Drug |
% of patients with increase in transaminase |
|
1 |
Cefaclor |
11 |
|
2 |
Cefixime |
0.7 |
|
3 |
Ciprofloxacin |
5 |
|
4 |
Chlorpromazine |
50 |
|
5 |
Diclofenac |
15 |
|
6 |
Efavirenz |
4 |
|
7 |
Isoniazide |
10-36 |
|
8 |
Naproxen |
4 |
|
9 |
Norfloxacin |
0.1 |
|
10 |
Niacin |
50 |
Clinical manifestation of liver disease
Symptoms
In patients who have liver disease, weakness, increased fatigue
and general malaise are common but non-specific symptoms occurring in up to 60%
of individuals. Loss of appetites and weight loss are more
commonly seen in chronic liver disease. Frequently there is loss of muscle bulk
from the arm and legs. Abdominal discomfort is often described by patients with
an enlarged liver or spleen but this is frequently caused by the distension
with ascites. Abdominal pain is also common in hepatobiliary disease, frequently localized to the right uppar quardrant. This is often a
feature of a rapid or gross enlargement of liver. Associated tenderness is a
symptom of acute hepatitis, hepatic abscess or hepatic malignancy. Jaundice is
the most striking sign of liver disease.
Sign of the liver disease
Many of the sign associated with chronic liver disease are related
to the failure of the liver to carry out normal synthetic, metabolic and
excretory functions. The common most signs are as follows-
Cutaneous signs
Hyper pigmentation is a common in chronic liver disease and
results from increased deposition of melanin. It is particularly associated
with primary Biliary cirrhosis and haemachromatosis, often referred to as bronze diabetic.
Scratch marks on skin suggest pruits which is a
common feature of a cholestatic liver disease.
Abdominal signs
Abdominal distension, notably of the flanks, is suggestive of ascites which can develop in both acute and chronic liver
disease. Various other changes may be detectable on physiological examination
of the abdomen. An enlarged liver is a common finding in acute liver disease.
In chronic patients the liver may be large but alternatively it may be small
and shrunken, reflecting end stage chronic disease 14.
Jaundice
Jaundice is the physical sign regarded as synonymous with liver
disease and most easily detectable in the sclera. It reflects impaired liver cell
function or it can be cholestatic in origin. Hepatocellular jaundice is commonly seen in acute liver
disease, but may be absent in chronic liver disease until the terminal stage of
cirrhosis is reached.
Portal hypertension
Increase hepatic resistance to portal flow due to cirrhosis causes
portal hypertension. The increased pressure in the portal
venous system Leeds to collateral vein formation and shunting of blood to the
systemic circulation. Portal hypertension is an important contributory
factor to the formation of ascites and the
development of encephalopathydue to bypass of blood
from the liver to systemic circulation 14.
Ascitese
Ascites is the
accumulation of the fluid within the abdominal cavity. The precise mechanism by
which Ascites develops in chronic liver disease is
unclear.
Gynaecomastia
Endocrine changes are well documented in chronic liver disease and
tend to be more common in alcoholic liver disease. Hypogonalism
is common in patients with cirrhosis and in male results in testicular atrophy,
female body hair distribution and gynaecomastia. This
is thought in parts to be occurring because the cirrhotic liver cannot be
metabolized estrogens, leading to feminization in males.
Herbal remedy for liver protection
Nature always stands as a golden mark to exemplify the outstanding
phenomenon of symbiosis. The plants are indispensible to man for his life 19.
Medicinal plants are to be continuing as an important therapeutic aid for
alleviating the ailments of human kind. The search for eternal health and
longevity for remedies to relive pain and discomfort drove early man to explore
his immediate natural surroundings to the use of many plants, animal products
and minerals for developments of verity of therapeutic agents 20. A
major contribution of medicinal plant to both traditional and modern healthcare
system is their limitless position of large number of bioactive compound that
produce definite physiological function in the body 21, 22. There
are several medicinal plants which are used to protect the liver against
several diseases and alcohol induced liver damages. Due to the increase in the
consumer awareness for the quantity, nutritional composition and heath
promoting food, several plants are now grown 23. The synthetic drug
may be toxic in nature and cause liver damages so use of herbal drug will be
more beneficial. Medicinal plants are believed to be more important source of
new chemical substance with potential therapeutic effects 24, 25. In
India Ayurveda is oldest medicinal book which is continue
from thousands of years ago and it has the solution of all the problems and
illness, and has been used traditionally without any harmful effect and other
contraindication 26, 27, 28.
Plant having hepatoprotective
activity
In nature there are several
plants which show the potential activity for protection of liver and also possessing antioxidant properties.
Out of which important plants are as follows.
Madhuca indica
The Madhuca
indica is also known as a mahua
in hindi, it is belong to
the family Sapotaceae. The methanol extracts of Madhuca Indica bark
is studied for hepatoprotective activity against
albino rats with liver damage induced by carbon tetrachloride (CCl4).
It was found that the methanol extract of Madhuca
Indica bark at a dose of 300 mg/kg body weight
exhibited moderate protective effect by lowering the serum levels of Glutamate Pyruvate Transaminase (SGPT),
Serum Glutamate Oxaloacetate Transaminase
(SGOT), Serum bilirubin and Serum alkaline phosphate
(SALP) to a significant extent. Present finding demonstrated the methanolic
bark extract of Madhuca Indica
could afford significant dose-dependent protection against CCl4
induced hepato cellular injury 29.
Cajanus cajan
Cajanus cajan is a
botanical name of the arhar, commonly known in general
hindi language, it is mostly consumed as a food
material in India. It belongs to the family leguminosae.
The effect of the hydrochloride aerial part extract of Cajanus
cajan on CCl4 induced
liver damage in rats with reference to the changes in the level of the
AST, ALT, and total protein. After assessment of the biochemical parameter from
the blood collected from each animal from the groups, CCl4 treated
animal showed a significant increase in the level of AST and ALT
while decrease in the level total protein as compared to normal control group.
Whereas blood sample analyzed from the animals treated with the hydrochloride
aerial part extract of Cajanus cajan at the dose of 400mg/kg b.w. showed significant decrease in the level of serum
marker enzyme and significant increase in the total protein to the near normal
value30.
Aegle marmelos
Aegle marmelos commonly known as a bael in India, it is having a great mythological value, all
Hindu knows it very well, it has several medicinal value. Hepato
protective activity is one of the important properties of Aegle
marmelos. It is belonging to the family Rutaceae. It is used
as herbal drug in the Indian System of medicine. The hepatoprotective
effect of ethanolic extract of Aegle marmelos in alcohol-induced liver injury was evaluated
rats using essential marker biochemical parameters. The results indicated that,
the Bael leaves have excellent hepato-protective effect. Similar findings were also
reported by other workers 31, 32, 33, 34.
Amomum sublatum
Amomum sublatum is the second largest genus and comes under the family
Zingiberaceae and known as a bade
ilaichi in Hindi language. The 1,
8- ceineoil and alpha terpinol,
protocatechualdehyde and protocatechuic
acid present in the seed of Amomum sublatum showed antioxidant and hepatoprotective
activity. As it has been understood that the drug
having the antioxidant activity is more possibility to have the hepatoprotective activity 35.
Flacourtia indica
The extracts of the aerial parts
of Flacourtia indica
belonging to family Salicaceae
were evaluated for hepato-protective properties.
In paracetamol-induced hepatic necrosis in rat models, all extracts were found
to reduce serum aspartate transaminase
(AST), serum alanine transami-nase
(ALT) and serum alkaline phosphatase (ALP). The most
significant reduction of the serum level of AST and ALT were exhibited by
petroleum ether and ethyl acetate extracts at a single oral of dose of 1.5g/kg
of body weight with a reduction of 29.0% AST and 24.0% ALT level by petroleum
ether extract, and 10.57% AST and 6.7% ALT level by ethyl acetate extract
compared to paracetamol (3 g/kg of body weight) treated animals. Histopathological examination also showed good re-covery of paracetamol-induced necrosis by petroleum ether
and ethyl acetate extracts. On the other hand, the methanol extract did not
show any remarkable effect on paracetamol-induced hepatic necrosis. The hepatoprotective effects exhibited by petroleum ether and
ethyl acetate extract might be mediated through the inhibition of microsomal drug metabolizing en-zymes.
But, in this study the dose they have used is too high and it is not successful
or rationale for human dose 32.
Epaltes divaricata
Epaltes divaricata (Family Compositae) is found
inSri Lanka, India, Myanmar, Java and China. Epaltes is used in traditional Ayurvedic
medicine to alleviatejaundice, urethral discharges
and acute dyspepsia. Pre-treatment of mice with the plant extract of Epaltes (0.9g/kg) orally for 7 days
significantly reduced serum levels of ALT (P<0.01), AST (P<0.01)
and ALP (P<0.001) enzymes by 21.40, 47.36 and71.12 per cent
respectively and significantly increased (P<0.001) the liver reduced
glutathione level by42.32 per cent, 24 h after the administration of carbon
tetrachloride. A marked improvement in theenzyme
activities and the liver reduced glutathione level was observed in the Epaltes pre-treated mice. 4 days after the
administration of carbon tetrachloride. Histopathological
studies provided supportive evidence for the biochemical analysis 36.
Anisochilus Carnosus
Anisochilus Carnosus commonly known as
a Kapurli belongs to the family Lamiaceae.An
ethanolic extract of stems of Anisochilus Carnosus (EEAC) was studied for hepatoprotective
activity against carbon tetrachloride (CCl4) induced hepatotoxicity
in rats. Hepatotoxicity was induced in Albino wistar rats of either sex by intraperitoneal
injection of CCl4 [CCl4 in olive oil 1:1].Ethanolic extract of Anisochilus Carnosus was
administered to the experimental rats at two dose levels 200 and 400mg/kg body
weight. The hepatoprotective effect of the extract
was evaluated by the assay of liver function biochemical parameters like Serum
Glutamate Pyruvate. Transaminase (SGPT), Serum
Glutamate Oxaloacetate Transaminase
(SGOT), Alkaline Phosphatase (ALP), Total Bilirubin and Total Protein. In ethanolic extract
treated animals, the toxic effect of CCl4 was controlled significantly as
compared to the normal and the standard drug silymarin
treated group 37.
Aervalanata
Aervalanata Linn
belonging to family Amaranthaceae is an herbaceous
perennial weed growing wild in the hot region of India. The present study
was conducted to evaluate the hepatoprotective
activity of hydroalcoholic extract of Aerva lanata against
paracetamol induced liver damage in rats. The hydroalcoholic
extract of Aerva lanata
(600mg/kg) was administered orally to the animals with hepatotoxicity induced by paracetamol (3gm/kg). Silymarin (25mg/kg) was given as reference standard.
All the test drugs were administered orally by suspending in 0.5% Carboxy methyl cellulose solution. The plant extract was
effective in protecting the liver against the injury induced by paracetamol in
rats. This was evident from significant reduction in serum enzymes alanine aminotransferase (ALT), aspartate aminotransferase (AST),
alkaline phosphatase (ALP) and bilirubin.
It was concluded from the result that the hydroalcoholic
extract of Aerva lanata
possesses hepatoprotective activity against
paracetamol induced hepatotoxicity in rats 38.
Aloe barbadensis
Aloe
barbadensis commonly known as Ghee kanwar. It belonging to family Liliaceae
have been used in variety of diseases in traditional Indian system of medicine
in India and its use for hepatic ailments is also documented. In the present
study an attempt has been made to validate its hepatoprotective
activity. The shade dried aerial parts of Aloe barbadensis
were extracted with petroleum ether (AB-1), chloroform (AB-2) and methanol
(AB-3).The plant marc was extracted with distilled water (AB-4). All the
extracts were evaluated for hepatoprotective activity
on limited test models as hexobarbitone sleep time, zoxazolamine paralysis time and marker biochemical
parameters. AB-1 and AB-2 were observed to be devoid of any hepatoprotective
activity. Out of two active extracts (AB-3 and AB-4), the most active AB-4 was
studied in detail. AB-4 showed significant hepatoprotective
activity against CCl4 induced hepatotoxicity as
evident by restoration of serum transaminases,
alkaline phosphatase, bilirubin
and triglycerides. Hepatoprotective potential was
confirmed by the restoration of lipid peroxidation,
glutathione, glucose-6-phosphatase and microsomal
aniline hydroxylase and amidopyrine
N-demethylase towards near normal.
Histopathology of the liver tissue further supports the biochemical findings
confirming the hepatoprotective potential of AB-4 39.
Lepidium sativum
The role hepato-protective
of methanolic extract of Lepidium sativum at a dose of 200 and 400 mg/kg was investigated
in CCl4-induced liver damage in rats. Sig-nificant
reduction in all biochemical parameters were found in groups treated with Lepidium sativum. The
severe fatty changes in the livers of rats caused by CCl4 were insignificant in
the Lepidium sativum
treated groups 32.
Pittosporum neelgherrense
The stem bark of Pittosporum neelgherrense
is used by the Kani and Malapandaram
tribes of Kerala as an effective antidote to snake bite and for the treatment
of various hepatic disorders. In the present study, the effect of the
methanolic extract of the stem bark of Pittosporum
neelgherrense was studied against carbon
tetrachloride (CCl4)-, d-galactosamine (d-GalN)- and acetaminophen
(APAP)-induced acute hepatotoxicity inWistar rats. Significant hepatoprotective
effects were obtained against liver damage induced by all the three liver
toxins, as evident from decreased levels of serum enzymes, glutamate oxaloacetate transaminase (SGOT),
glutamate pyruvate transaminase
(SGPT) and an almost normal architecture of the liver in the treated groups,
compared to the toxin controls. Thus the present study provides a scientific
rationale for the traditional use of this plant in the management of liver
diseases 40.
Annona squamosa
The results obtained from the
analysis of biochemical parameters and histopathological
studies, enabled me to conclude that the extracts of Annona
squamosa were not able to revert completely
hepatic injury induced by INH + RIF, but it could limit the effect of INH + RIF
to the extent of necrosis. As the two extracts EEAS and AEAS produced same
effect it is concluded that there is no difference in the extract treatment.
These results indicate that it is worth undertaking further studies on possible
usefulness of the extracts of the leaves of Annona
squamosa in hepatotoxicity
41.
Solanum nigrum
Solanum nigrum is used in hepatic disorders in folk medicines. The
present study was aimed to evaluate the efficacy of S. nigrum
on the liver functions in CCl4 induced injuries. Enzymatic activities that
are .AST, ALT and ALP, microscopic appearance of liver was used as parameter
and hepatocurative studies were performed. In case of
hepatocurative study that is post treatment of rats
with aqueous extracts of plant (500mg/ orally, two doses with 24 h interval)
prevented (p < 0.001) CCl4 induced rise in activity of serum Transaminases (ALT and AST) and ALP and alcoholic extract
did not prevent the rise of same enzymes compared to the sham control group in
which liver was damaged by CCl4 no treatment given. Histological
examination of the liver of treated animals with aqueous extract of plant
showed that fatty acids change was less in comparison to the sham control
group. In treated group reduction in body weight was minimal and live enlargement
was also less compared to the
Animals in sham control group.
Treatment with aqueous extract of S. nigrum effectively
attenuated the alteration within the parameter of present study and accredits
the hepatocurative role of S. nigrum
42.
Gronema latifolium
The protective effect of the
ethanolic extract of Gongronema latifolium (GLE) on carbon tetrachloride (CCI4) induced
hepatic toxicity was studied. Liver enzymes studied included alanine aminotransferase (ALT), aspartate aminotraferase (AST),
and alkaline phosphates (ALP). Hepatic injuries
involved with possible necrosis which may have contributed to its possible
pathogenesis was explored. Administration of toxicant only showed that the ALT
level was significantly (P<0.05) increased to 345.83% when compared to
control. Pretreatment with Gongronema
latifolium extract (GLE) non-significantly
(P<0.05) decreased to 13.08% when compared to those treated with toxicant
only. Also under experimental conditions, increasing the concentration of Gongronema latifoluim
extract (GLE) non-significantly (P<0.05) decreased dose-dependently the
level of ALT to 18.20%.
The AST level was
non-significantly (P<0.05) increased to 41.55% on treatment with toxicant
only. Pretreatment with GLE decreased the AST level
non-significantly (P<0.05) to 25.76%. No evident increase or decrease in the
level of ALP was observed 43.
Table 2- plants having hepatoprotective activity with parts and solvent system 44,
45.
|
Name of Plant |
Family |
Part |
Hepatotoxicty inducing agents |
Solvent system |
|
Madhuca indica |
Sapotaceae |
Bark |
CCl4 |
Ethanolic extract |
|
Aegle marmelos |
Rutaceae |
Leaves |
Alcohol |
Ethanolic extract |
|
Cajanus cajan |
Leguminosae |
Aerial
part |
CCl4 |
Hydroalcoholic |
|
Amomum sublatum |
Zingiberaceae |
Seeds |
Alcohol |
Ethanolic extract |
|
Flacourtia indica |
Salicaceae |
Aerial parts |
Paracetamol |
petroleum ether and ethyl acetate extracts |
|
Epaltes divaricata |
Compositae |
Leaves |
CCl4 |
Ethanolic extract |
|
Anisochilus Carnosus |
Lamiaceae |
Stems |
CCl4 |
Ethanolic extract |
|
Aervalanata |
Amaranthaceae |
Leaves |
Paracetamol |
Hydroalcoholic |
|
Aloe barbadensis |
Liliaceae |
Leaves |
CCl4 |
petroleum ether |
|
Glycyrrhiza glabra |
Fabaceae |
Root |
CCl4 |
Ethanolic |
|
Phyllanthus niruri |
Euphorbiaceae |
Leaves, fruits |
CCl4 |
Aqueous |
|
Cordia macleodii |
Boraginaceae |
Leaves |
CCl4 |
Ethanolic |
|
Arachniodes exillis |
Dryopteridaceae |
Rhizomes |
CCl4 |
Ethanolic |
|
Momordica dioica |
Cucurbitaceae |
Leaves |
CCl4 |
Ethanolic |
|
Asparagus
racemosus |
Gentianaceae |
Whole plant |
D-galactosamine |
Ethyl acetate |
|
Casia fistula |
Leguminosae |
Leaf |
CCl4 |
Methanolic |
|
Gentina olivieri |
Gentianaceae |
Aerial part |
CCl4 |
Ethanolic |
|
Amaranthus spinosus |
Amaranthaceae |
Whole plant |
CCl4 |
Petrolium ether |
|
Casia occidentalis |
Caesalpiniaceae |
Leaves |
Paracetamol
and Ethanol |
Hydro alcoholic |
|
Luffa echinata |
cucurbitaceae |
Fruits |
CCl4 |
Petroleum ether |
|
Schouwia thebica |
Arecaceae |
Aerial part |
CCl4 |
Diethyl ether |
|
Arisaema leschenaultii |
Araceae |
Tuber |
Paracetamol |
Ethanolic |
Cassia roxburghii
Cassia roxburghii seeds of Cassia roxburghii
DC had been used in eth-nomedicine for various
liver disorders for its hepato-protective activity.
The methanolic extract of Cassia roxburghii reversed
the toxicity produced by ethanol-CCl4 combination in dose dependent manner in
rats. The extract at the doses of 250 mg/kg and 500 mg/kg are comparable to the
effect produced by Liv-52, a well established plants-based hepato-protective
for-mulation against hepatotoxins
32
CONCLUSION:
Present generate is fast moving
generation, everyone wants to move faster and faster, due to this tendency
several health issue is arises. Liver disease is one of the fast occurring
problems with young generation. Due to the consumption of fast food, oily and
unhygienic, material are the responsible for the development of liver disease.
Now a day’s people are habited to
alcohol drinking, which is one of the main cause of liver damage, un educated
people are more prone to the liver disease as they include alcohol in their
daily drink, and they are more susceptible to the hepatitis disease due to
repeated use of syringe. There is several allopathic
medicines to treat the liver disease but they bring other complication with
them and cause other side effect too. To overcome this unwanted side effects we
have to use the herbal medicine derived from the plant origin, as they are more
effective and poses little or no side effect. The herbs are the tremendous
source of natural chemical entity, so the researchers have to come forward and
look upon the opportunity and work on it. Especially on the
liver because it is the one of the most important organ of the body.
ACKNOWLEDGEMENT:
I am very thankful to my family
for their support and encouragement; I am also thankfull
of my guide Mr. Narendra Kumar Prajapati
and Director Dr. Balakrishna Dubey.
And a special thanks to my dear friends Jyoti sahu, Lokesh Sahu,
Monika Bhairam, Vivek Tiwari for their cooperation and having trust on me during
the work of my review.
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Received on 10.02.2012
Modified on 05.03.2012
Accepted on 18.03.2012
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Research Journal of Pharmacognosy and Phytochemistry.
4(2): March-April 2012,
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