Ethnobotanical Leaflets 12:
Hepatotprotective Natural Products
1. Dr. Samir Malhotra, MD, DM (PGIMER, Chandigarh)
2. Dr Amrit Pal Singh, MD (Alternative Medicine), Medical
Executive. Ind –Swift Ltd
Address for correspondence:
House No: 2101 Phase-7,
Medicinal herbs are significant source of pharmaceutical drugs. Latest trends have shown increasing demand of phytodrugs and some medicinal herbs have proven hepatotprotective potential. Silymarin, a flavonol lignan mixture) extracted from the Silybum marianum (milk thistle) is a popular remedy for hepatic diseases. Today every herbal company is marketing formulations for liver disorders but the actual scene is that only selected medicinal herbs have been tested for hepatotprotective activity. Some herbal formulations claiming to be hepatoprotective may actually contain chemical constituents having hepatotoxic potential. Andrographolide (Andrographis paniculata), Glycyrrhizin (Glychyrrhiza glabra), Picrrorihzin (Picrorrhiza kurroa) and Hypo-phyllanthin (Phyllanthus niruri) are potential candidates with hepatoprotective activity. The article reviews latest trends in testing of isolated constituents with hepatoprotective activity.
(Keywords: Natural products/ Medicinal herbs/ Hepatotprotective/.)
Traditionally Taraxacum officinale has been used as a remedy for jaundice and other disorders of the liver and gallbladder, and as a remedy for counteracting water retention. Generally, the roots of the plant have the most activity regarding the liver and gallbladder. Oral administration of extracts from the roots of Taraxacum officinale has been shown to act as a cholagogue, increasing the flow of bile.7 Bitter constituents like taraxecerin and taraxcin are active constituents of the medicinal herb.8
Cichorium intybus is a popular Ayurvedic remedy for the treatment of liver diseases. It is commonly known as kasni and is part of polyherbal formulations used in the treatment of liver diseases. In mice, liver protection was observed at various doses of Cichorium intybus but optimum protection was seen with a dose of 75 mg/kg given 30 minutes after CCl4 intoxication.9 In preclinical studies an alcoholic extract of the Cichorium intybus was found to be effective against chlorpromazine-induced hepatic damage in adult albino rats. A bitter glucoside, Cichorin (C32H34O19) has been reported to be the active constituent of the herb.
In Ayurveda, the drug is known as kakamachi. Aromatic water extracted from the drug is widely prescribed by herbal vendors for liver disorders. Although clinical documentation is scare as far as hepatoprotective activity is concerned, but some traditional practitioners have reported favorable results with powdered extract of the plant.
Glychyrrhiza glabra, commonly known as licorice contains triterpene saponin, known as glycyrrhizin, which has potential hepatotprotective activity. It belongs to a group of compounds known as sulfated polysaccharides. Several studies carried out by Japanese researchers have shown glycyrrhizin to be for anti-viral and it has potential for therapeutic use in liver disease. 10
Experimental hepatitis and cirrhosis studies on rats found that it can promote the regeneration of liver cells and at the same time inhibit fibrosis. Glycyrrhizin can alleviate histological disorder due to inflammation and restore the liver structure and function from the damage due to carbon tetrachloride. The effects including: lowering the SGPT, reducing the degeneration and necrosis and recovering the glycogen and RNA of liver cells. Effects of glycyrrhizin has been studied on free radical generation and lipid peroxidation in primary cultured rat hepatocytes.11
Favorable results have been reported in children suffering from cytomegalovirus after treating with glycyrrhizin.12
W. indica is a Chinese herb and has been evaluated in patients suffering from hepatitis B. A dicoumarin, daphnoretin is the active constituent of the herb. The drug has shown to suppress HbsAG in Hep3B cells. It is said to activator of protein kinase C.13
Like silymarin, turmeric has been found to protect animal livers from a variety of hepatotoxic substances, including carbon tetrachloride,15 galactosamine, pentobarbitol, 1-chloro-2,4-dinitrobenzene,7 4-hydroxy-nonenal,16 and paracetamol. Diarylhepatonoids including Curcumin is the active constituent of the plant.
In Ayurveda, the plant is known as sharpunkha. Alkali preparation of the drug is commonly used in treatment of liver and spleen diseases. In animal models, it offered protective action against carbon tetrachloride and D-galalactosamine poisoning. 17 The roots, leaves and seeds contain tephrosin, deguelin and quercetin. The hepatotprotective constituent of the drug is still to be proved.
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