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Gastroenterology & Hepatology International Journal Research Article 7 min read

Review on Medicinal Plants with Reference to Anti-Hepatotoxicity Activity

Saleem H* and Farooq Q*
* Corresponding author
ISSN: 2574-8009  10.23880/ghij-16000192  Received: April 22, 2022  Published: May 16, 2022
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Keywords
Dioscorea Yams Actinomycetes Sitosterol
Abstract

Liver is one of the most vital organ of the body that performs various functions in maintain the health. Any damage to this organ leads to serious body complication. Recently there is a rise in liver based diseases. Therefore there is a dire need to study plant based medicines that have been used since centuries to overcome this issue. Therefore this review focuses on medicinal plants that have certain anti-hepatotoxicity components.

Introduction

Medicinal plants play an eminent role in the human health care. Even in the present time majority of the world population i.e. about 80% still relies on the medicines that are predominately based on the plant material [1]. These plants have been used for medicine purposes since immemorial time, and have been in practice either for traditional medicine or ethno medicine practices worldwide. Many ancient cultures like Chinese still rely upon the traditional medicines for curing a variety of diseases. These traditional medicine practices includes the wider range of health care practices that includes folk or tribal’s rituals as well as Chinese, Ayurveda, Korean, Siddha medicine, Japanese, Iranian medicine, Unani, ancient traditional African medicine, Muti, Ifá, medieval and Islamic medicine [2].

These practices were based on the experience rather than then scientific significance. These practices have been passed down from generation to generation, although these herbal medicines are very useful in treating diseases but are not always exploited properly. Recently amid Covid-19 conditions a lot of people treated themselves or their relatives using herbal medicines and many of them were successful. Hence a detailed study on these plants and their importance is the dire need of time. About 90% traditional medicine comprises of medicinal plants. It is estimated that approximately 7,500 plants are utilized for health care purposes in traditional medicines. Out of these, about 4,000 plants are either generally unknown. The traditional frameworks of medication, for example, Ayurveda, Siddha, Amchi, Unani and Tibetan each use around 1,200 plants.

What is a Medicinal Plant?

“A medicinal plant is any plant which, in one or more of its organs, contains substances that can be used for therapeutic purposes or which are precursors for the synthesis of useful drugs” [3].

A definition of medicinal plants for the better understanding of its usefulness:

  • Parts of plant or the plant used mainly without synthetic components (e.g. decoctions, infusions, etc.) e.g. Cascara bark;
  • Extraction from the plant parts either to be used directly or for the hemi-synthesis of its compounds (e.g. hemi-synthesis of sex hormones from diosgenin obtained from Dioscorea yams);
  • Root, food, spice, perfume used as medicine directly e.g. ginger;
  • Fungi, actinomycetes like microscopic plants used to extract as drugs in antibiotics widely. Examples are ergot (Claviceps purpurea  growing on rye) or Streptomyces griseus; and
  • Fibre based plants, e.g. cotton, flax, jute, used for the preparation of surgical dressings.

Liver Diseases and Medicinal Plants

Liver is an important organ of the body that is exposed to various threats. Any injury to the organ might lead to organ failure or deterioration of its function. This organ plays a pivotal role in many physiological processes of the body. It is involved in various functions such as metabolism, storage, detoxification, storage and many more. Bile secretion by the liver has an important role in digestion. Diseases of liver are very acute they range from hepatosis (non inflammatory diseases), cirrhosis (degenerative disorder resulting in fibrosis of the liver). Its diseases are mainly caused by various toxic compounds (certain antibiotics, chemotherapeutics, peroxidised oil, aflatoxin, carbon-tetrachloride, chlorinated hydrocarbons, etc.), excess consumption of alcohol, infections and autoimmune/ disorders. Each year a large number of people suffer from chronic liver diseases. Therefore this paper will focus on an in depth review of various medicinal plants having anti- hepatotoxicity.

Digestive System

HSYA inhibited hepatocellular fibrosis resulting from induction of apoptosis of stellate cells responsible for disease development by blocking activation of expression of genes regulated by ERK1/2 (including Bcl-2, cytochrome C, caspase-9, and caspase-3) and thanks to PPAR activation, increase in the activity of antioxidant enzymes, increase in expression of PPAR and MMP-2, decrease in expression of TGF-1 and TIMP-1 and lowering of -SMA level. In the organisms of aging mice and mice exposed to pathological changes, HSYA performed a protective function for the liver and other organs by reducing mRNA levels and the amount of the cyclin-dependent protein kinase inhibitor p16. Similarly, the extract obtained from safflower leaves can perform a protective function against a liver exposed to damage due to the administration of anti-tuberculosis drugs (this pigment caused a significant reduction in AST, ALT and ALP parameters and total bilirubin). Studies with methanol extract also showed the presence of lupeol (a triterpenoid with anti-inflammatory and antineoplastic importance) and -sitosterol (phytosterol which, among other things, causes poorer absorption of cholesterol in the digestive tract). An herbal mixture containing dried safflower flowers and Salvia miltiorrhiza root given as an injection (Danhong injection) alleviated gastric mucosal lesions caused by administration of salicylic acid, even with prolonged exposure to the drug. It reduced pepsin production and reduced the pepsin level and gastric related issues.

Discussion

Safflower flowers also have potentially high importance in food production as they can provide an ingredient that enriches meals with nutrients. Petals contain all the necessary amino acids except tryptophan. Flowers from thornless varieties are already popular: they are proven to be high in protein, sugar, calcium, iron, magnesium and potassium. By exploiting these properties, teas, the main ingredient of which are the petals of C. tinctorius, were composed and popularized in China and India. However, these petals can be an interesting ingredient for fresh salads, enriching not only the sensory values ​of products, including flavors (linked to the essential oils contained in the flowers) or values ​linked to the light coloring of the petals. Such petals could also provide an additional source of valuable bioactive dietary nutrients. However, the dyes found in safflower flowers have not been used in food production to take advantage of their health- giving nature. The exception is herbal teas that contain whole dried flowers. The introduction of HSYA into food production would be very beneficial from a consumer point of view. This flavonoid is widely used in medicine and its addition to foods at the production stage, of course in lower than therapeutic doses, would greatly enhance their health value. Such products would be of significant importance for the reduction of oxidative stress in various tissues and organs and they could show a prophylactic effect against cardiovascular diseases and neoplastic diseases, among others (Table 1).

Source/familyPPUHIAESBiochemical and Histopathological Parameters studied
Orthosiphon stamineus [3]LamiaceaeLeavesAcetaminophenMethanol extractAST, ALT and ALP
Baliospermum montanum [4]EuphorbiaceaeRootsParacetamolAlcohol, chloroform extractSGPT, SGOT and alkaline phosphate, Histopathological changes in liver.
Tridax procumbens [5]AsteraceaeLeavesCarbon tetrachlorideEthanolic extractGlutathione, superoxide dismutase and catalase
Glycyrrhiza glabra Linn. [6]FabaceaeRoot powderCarbon tetrachlorideRoot powder mixed with animal feedTBARS,CD,SOD,CAT,GST,GSH-Px, GSH, lipid peroxidation
Phyllanthus niruri [7]EuphorbiaceaeLeaves and fruitsCarbon tetrachlorideMethanolic and aqueousglutamate oxaloacetate transaminase (GOT)
chlospermumPlanchoni [8]CoclospermaceaeRhizomesCarbon tetrachlorideAqueousTotal bilirubin Alkaline phosphatase Alanine aminotransferase
Saururus chinensis [9]SaururaceaeWhole plantCarbon tetrachlorideEthanolalanine aminotransferase (ALT), aspartate
Teng-Khia-U' [10]AsteraceaeWhole plantD-galactosaminAqueousserum glutamate-oxalate-transaminase (sGOT)
Fructus Schisandrae chinensis (LFS) with Astragalus [11]MagnoliaceaeDried fructusCarbon tetrachlorideEthanolAlanine aminotransferase(ALT)
Cordia macleodii [12]BoraginaceaeLeavesCarbon tetrachlorideEthanolGlutamate pyruvate transaminase (GPT),
Arachniodes exilisDryopteridaceaeRhizomesEthanolLipid peroxide, DPPH, ABTS, superoxide anion, hydroxyl radical
Momordica dioicaCucurbitaceaeLeavesCarbon tetrachlorideEthanolserum glutamate oxaloacetate transaminase (AST)
Swertiamarin isolated from Enicostemma Axillare [13]GentianaceaeWhole plantD-galactosamineEthyl acetateASAT (IU/l) ALAT (IU/l) ALP (IU/l) Triglycerides (mg/dl)
Asparagus racemosus [14]LiliaceaeWhole plantr- radiationCrude extractLipid peroxidation, protein oxidation
CGX,-a modified traditional Chinese herbal drug [15]-Carbon tetrachlorideMeohalanine transaminase (ALT), aspartate transaminase (AST),
Propolis-is a resinous hive product collected by honeybees from various plant sources [16]-D-galactosaminAqueous1,1-diphenyl-2-picrylhydrazyl (DPPH) free radical scavenging activity,
Tephrosia purpurea L. and Tecomella undulate [17]Fabaceae BignoniaceaeAerial parts of tephrosia purpurea and stemThioacetamideAqueousserum aspartate aminotransaminase, alanine aminotransaminase

Table 1: Hepatoprotective Activity of the Medicinal Plants. *PU=Plant parts used, HIA= Hepatotoxicity inducing agents and ES= Ext

Conclusion

The studies of medicinal plant should not be restricted hence emphasis should be laid on opening the new avenues for it’s in depth study for the sake of health care.

References

  1. WHO (1993) Research guidelines for evaluating the safety and efficacy of herbal medicines. Regional office for the western pacific, Manila.
  2. Pushpangadan P (1995) Role of Traditional Medicine in Primary Health Care. In: Iyengar PK, et al. (Eds.), Science for Health. State Committee on Science, Technology and Environment, Govt of Kerala.
  3. Aszalos A (1982) Antitumor Compounds of Natural Origin. Boca Raton, CRC Press.
  4. Smuckler EA (1975) Alcoholic Drink: its Production and Effects. Fed Proc 34(11): 2038-2044.
  5. WHO, Regional Health Report (2011) Viral Hepatitis in the WHO South East Asia Region. Regional Office for South-East Asia.
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  9. Rajesh MG, Latha MS (2004) Protective Activity of glycyrrhiza glabra linn. on carbantetrachloride-induced peroxidative damage. Indian Journal Pharmacol 36(5): 284-287.
  10. Harish R, Shivanandappa T (2006) Antioxidant Activity and Hepatoprotective Potential of Phyllanthus Niruri. Food Chemistry 95(2): 180-185.
  11. Aliyu R, Okoye ZS, Shier WT (1995) The hepatoprotective cytochrome p-450 enzyme inhibitor isolated from the nigerian medicinal plant cochlospermum planchonii is a zinc salt. J Ethnopharmacology 48(2): 89-97.
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  13. Lln CC, Tsal CC, Yen MH (1995) The Evaluation of hepatoprotective effects of taiwan folk medicine ‘teng- khia-u’. J Ethnopharmacology 45(2): 113-123.
  14. Yana F, Zhang QY, Jiao L, Han T, Zhang H, et al. (2009) Synergistic Hepatoprotective effect of  Schisandrae Lignans with astragalus polysaccharides on chronic liver injury in rats. Phytomedicine 16(9): 805-813.
  15. Qureshi NN, Kuchekar BS, Logade NA, Haleem MA (2009) Antioxidant and hepatoprotective activity of  cordia macleodii leaves. Saudi Pharm J 17(4): 299-302.
  16. Zhou D, Ruan J, Cai Y, Xiong Z, Fu W, et al. (2010) Antioxidant and hepatoprotective activity of ethanol extract of Arachniodes exilis (Hance) ching. J Ethanopharmacology 129(2): 232-237.
  17. Jain A, Soni M, Deb L, Jain A, Roult SP, et al. (2008) Antioxidant and hepatoprotective activity of ethanolic and aqueous extracts of  momordica dioica  leaves. J Ethnopharmacology 115(1): 61-66.

Cite this article

BibTeX
APA
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@article{saleem2022,
  title   = {Review on Medicinal Plants with Reference to Anti-Hepatotoxicity
Activity},
  author  = {Saleem H* and Farooq Q},
  journal = {Gastroenterology & Hepatology International Journal},
  year    = {2022},
  volume  = {7},
  number  = {1},
  doi     = {10.23880/ghij-16000192}
}
Saleem H* and Farooq Q (2022). Review on Medicinal Plants with Reference to Anti-Hepatotoxicity
Activity. Gastroenterology & Hepatology International Journal, 7(1). https://doi.org/10.23880/ghij-16000192
TY  - JOUR
TI  - Review on Medicinal Plants with Reference to Anti-Hepatotoxicity
Activity
AU  - Saleem H* and Farooq Q
JO  - Gastroenterology & Hepatology International Journal
PY  - 2022
VL  - 7
IS  - 1
DO  - 10.23880/ghij-16000192
ER  -