Sankar Madhavan, Rajkumar Johanna, Devi Jamuna
Department of Biotechnology, Rajalakshmi Engineering College, Chennai, India.
Pak J Pharm Sci. 2015 May;28(3):983-90.
Present study deals with the hepatoprotective activity of polyherbal formulation Hepatoplus (HP) as an oral supplement to the INH and RIF induced hepatitis in experimental rats. Rats treated with INH and RIF show abnormal liver function with significant increase in serum transaminases, bilirubin and clotting time (CT) and significant decrease in total protein and Albumin, which is brings to near normal levels by HP and LIV 52 treatments. Rats treated with INH and RIF suffer from oxidative stress in the hepatocytes, due to the decrease in Glutathione (GSH), Glutathione peroxidase (GPX), Catalase (CAT), Super oxide dismutase (SOD) and significant increase in Lipid Per oxidation (LPO). HP decreases the oxidative stress and protects the liver cells membrane from LPO. 85% of DNA damage (comet tail) seen with RIF and INH treatment is reduced to 34.1% on HP application. A decrease of hepatocytes mitochondrial dehydrogenase activity is observed in INH and RIF treatment is restored by HP supplementation. Hepatic apoptotic and CYP2E1 gene expressions were also studied, BAX, p53, Caspase 3 and CYP2E1 were significantly up regulated and Bcl2 was down- regulated in INH and RIF treated rats. Concomitant application of HP prevents the modulation of these gene expressions. It is concluded that high dose of HP (100mg/kg) supplemented along with INH and RIF effectively prevents the toxicity induced by INH and RIF, as effective as 100mg/kg of LIV52.
本研究探讨了多草药配方制剂肝得乐(HP)作为口服补充剂对异烟肼(INH)和利福平(RIF)诱导的实验性大鼠肝炎的肝保护活性。用INH和RIF处理的大鼠肝功能异常,血清转氨酶、胆红素和凝血时间(CT)显著升高,总蛋白和白蛋白显著降低,而HP和利肝康(LIV 52)处理可使这些指标接近正常水平。用INH和RIF处理的大鼠肝细胞遭受氧化应激,这是由于谷胱甘肽(GSH)、谷胱甘肽过氧化物酶(GPX)、过氧化氢酶(CAT)、超氧化物歧化酶(SOD)减少,脂质过氧化(LPO)显著增加所致。HP可降低氧化应激,保护肝细胞免受LPO损伤。RIF和INH处理后出现的85%的DNA损伤(彗星尾)在应用HP后降至34.1%。在INH和RIF处理中观察到的肝细胞线粒体脱氢酶活性降低通过补充HP得以恢复。还研究了肝脏凋亡和CYP2E1基因表达,在INH和RIF处理的大鼠中,BAX、p53、半胱天冬酶3和CYP2E1显著上调,Bcl2下调。同时应用HP可防止这些基因表达的调节。得出的结论是,与INH和RIF一起补充高剂量的HP(100mg/kg)可有效预防INH和RIF诱导的毒性,其效果与100mg/kg的LIV52相当。