Submit manuscript...
eISSN: 2373-6372

Gastroenterology & Hepatology: Open Access

Mini Review Volume 13 Issue 3

Review on medicinal plants with reference to anti-hepatotoxicity activity

Hina saleem,1 Qasim Farooq2

1Department of Plant Breeding and Genetics, University of Agriculture, Pakistan
2Department of Botany, Faculty of Sciences, University of Agriculture, Pakistan

Correspondence: Hina Saleem, Department of Plant Breeding and Genetics, University of Agriculture, Faisalabad 38040, Pakistan, Tel 03216374764

Received: January 08, 2022 | Published: June 14, 2022

Citation: saleem H, Farooq O. Review on medicinal plants with reference to anti-hepatotoxicity activity. Gastroenterol Hepatol Open Access. 2022;13(3):104-106. DOI: 10.15406/ghoa.2022.13.00506

Download PDF

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:

  1. Parts of plant or the plant used mainly without syntheticcomponents (e.g. decoctions, infusions, etc.) e.g. Cascara bark;
  2. 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 Dioscoreayams);
  3. Root, food, spice, perfume used as medicine directly e.g. ginger;
  4. Fungi, actinomycetes like microscopic plants used to extract as drugs in antibiotics widely. Examples are ergot (Claviceps purpureagrowing on rye) or Streptomyces griseus; and
  5. 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 (noninflammatory 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 mittiorrhiza 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 (Table 1).

Name of the plant

Source/family

PPU

HIA

ES

Biochemical and histopathological parameters studied

Orthosiphon stamineus3

Lamiaceae

Leaves

Acetaminophen

Methanol extract

AST, ALT and ALP

Baliospermum montanum4

Euphorbiaceae

Roots

Paracetamol

Alcohol , chloroform extract

SGPT, SGOT and alkaline phosphate, Histopathological changes in liver.

Tridax procumbens5

Asteraceae

Leaves

Carbon tetrachloride

Ethanolic extract

Glutathione, superoxide dismutase and catalase

Glycyrrhiza glabra Linn.6

Fabaceae

Root powder

Carbon tetrachloride

Root powder mixed with animal feed

TBARS,CD,SOD,CAT,GST,GSH-Px, GSH, lipid peroxidation

Phyllanthus niruri7

Euphorbiaceae

Leaves and fruits                                   

Carbon tetrachloride

Methanolicand aqueous                              

glutamate oxaloacetate transaminase (GOT)

Chlospermum planchoni8

Coclospermaceae               

Rhizomes

Carbon tetrachloride

Aqueous

Total bilirubin Alkaline phosphatase Alanine aminotransferase

Saururus chinensis9

Saururaceae

Whole plant

Carbon tetrachloride

Ethanol

alanine aminotransferase (ALT), aspartate

Teng-Khia-U'10

Asteraceae

Whole plant                         

D-galactosamin                         

Aqueous

serum glutamate-oxalate-transaminase (sGOT)

Fructus Schisandrae chinensis (LFS) with Astragalus11

Magnoliaceae

Dried fructus

Carbon tetrachloride

Ethanol

Alanine aminotransferase(ALT)

Cordia macleodii12

Boraginaceae

Leaves

Carbon tetrachloride

Ethanol

Glutamate pyruvate transaminase (GPT),

Arachniodes exilis

Dryopteridaceae

Rhizomes

Carbon tetrachloride

Ethanol

Lipid peroxide, DPPH, ABTS, superoxide anion, hydroxyl radical

Momordica dioica

Cucurbitaceae

Leaves

Carbon tetrachloride

Ethanol

serum glutamate oxaloacetate transaminase (AST)

Swertiamarin isolated
from Enicostemma Axillare13

Gentianaceae

Whole plant

D-galactosamine

Ethyl acetate

ASAT (IU/l) ALAT (IU/l) ALP (IU/l) Triglycerides (mg/dl)

Asparagus racemosus14                                 

Liliaceae

Whole plant

r- radiation

Crude extract

Lipid peroxidation, protein oxidation

CGX,- a modified traditional
Chinese herbal drug15

-

 

Carbon tetrachloride

Meoh

alanine transaminase (ALT), aspartate transaminase (AST),

Propolis- is a resinous hive
product collected by
honeybees from various plant
sources16

-

 

D-galactosamin

Aqueous

1,1-diphenyl-2-picrylhydrazyl (DPPH) free radical scavenging activity,

Tephrosia purpurea 
L.
 and Tecomella
undulate
17

Fabaceae Bignoniaceae

Aerial parts of tephrosia purpurea and stem

Thioacetamide

Aqueous

serum aspartate aminotransaminase, alanine aminotransaminase

Table 1 Hepatoprotective activity of the medicinal plants
*PU, plant parts used; HIA, hepatotoxicity inducing agents; ES, extracts studied

Discussion

Sunflower 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.

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.

Acknowledgments

None.

Conflicts of interest

The authors declare that there are no conflicts of interest.

References

  1. WHO, Regional Office For The Western Pacific, Research Guidelines For Evaluating, The Safety And Efficacy Of Herbal Medicines, Manila, WHO, 1993.
  2. Pushpangadan, Damodaran Iyengar, et al. Science for health state committee on science, technology and environment, traditional medicine in primary health care. Govt. Of Kerala, 1995.
  3. Aszalos A. Antitumor compounds of natural origin. CRC press, 1982.
  4. Smuckler EA. Alcoholic drink and its production and effects. Fed proc. 1975;34(11):2038–2044.
  5. WHO, regional health report, viral hepatitis, regional office for South-east asia.
  6. Chin JH, Hussin AH, Ismai S. Anti-hepatotoxicity effect of orthosiphon against acetaminophen-induced liver injury in rats by enhancing hepatic gst activity. Pharmacognosy research. 2009;1:53–58.
  7. Wadekar R, Supale R, Kunal T, et al. Screening of roots of baliospermum montanum for hepatoprotective activity against paracetamol induced liver damage in albino rats. International journal of green pharmacy. 2010;2(4):220–223.
  8. Hemalatha R. Anti-hepatotoxic and anti-oxidant defense potential of tridax procumbens. International journal of green pharmacy. 2010;2(3)164–169.
  9. Rajesh MG, Latha MS. Protective activity of glycyrrhiza glabra linn on carbantetrachloride-induced peroxidative damage. Indian Journal Pharmacol. 2004;l(38);284–287.
  10. Harish R, Shivanandappa T. Antioxidant activity and hepatoprotective potential of phyllanthus niruri. Food chemistry. 2006;95(2)180–185.
  11. R Aliyu, ZS Okoye, WT Shier, et al. The hepatoprotective cytochrome p-450 enzyme inhibitor isolated from the nigerian medicinal plant cochlospermum planchonii is a zinc salt. J Ethnopharmacol. 1995;48(2):89–97.
  12. Lishu Wang, Dongyan Cheng, Haisheng Wang, et al. The hepatoprotective and antifibrotic effects of saururus chinensis against carbontetrachloride induced hepatic fibrosis in rats. J Ethnopharmacol. 2009;126:487–491.
  13. C C Lin, C C Tsai, M H Yen. The evaluation of hepatoprotective effects of taiwan folk medicine. J Ethnopharmacol. 1995;45(2):113–123.
  14. Fei Yan, Qiao-Yan Zhang, Lei Jiao, et al. Synergistic hepatoprotective effect of Schisandrae Lignans with astragalus polysaccharides On chronic liver injury in rats. Phytomedicine. 2009;16(9):805–813.
  15. Naseem N Qureshi, Bhanudansh S Kuchekar, Nadeem A Logade, et al. Antioxidant and hepatoprotective activity of Cordia Macleodii leaves. Saudi Pharma J. 2009;17(4):299–302.
  16. Daonian Zhou, Jinlan Ruan, Yaling Cai, et al. Antioxidant and hepatoprotective activity of ethanol extract of Arachniodes Exilis. J Ethano pharmacol. 2010;129(2):232–237.
  17. Avijeet Jain, Manish Soni, Lokesh Deb, et al. Antioxidant and hepatoprotective activity of ethanolic and aqueous extracts of momordica dioica leaves. Ethnopharmacology. 2008;115(1):61–66.
Creative Commons Attribution License

©2022 saleem, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.