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Evaluating hepatoprotective activity of polyherbal formulations- an overview of dietary antioxidants

Authors

DOI:

https://doi.org/10.14719/pst.2556

Keywords:

antioxidants, 2,2-diphenyl-1-picrylhydrazyl, hepatoprotective, liver disease, polyherbal formulation

Abstract

Chronic liver disease is the foremost cause of morbidity, accounting for 2.2 percent of death. In recent years, excessive attention has been focused on using natural antioxidants as they have the potential to minimize oxidative stress in cells and thus help treat various ailments. Some scientists estimate that two-thirds of plant species have medical applications, and many of these have significant antioxidant potential. Polyherbal formulations (PHFs) have shown therapeutic promise in the treatment of several acute and chronic conditions, including diabetes, wound care, hypertension, cardiovascular disorders, anxiety, neurological imbalances, and disorders of the gastrointestinal, respiratory, and endocrine systems. This article reviews the antioxidant potential of the various polyherbal formulations developed to treat hepatic disorders during the past ten years. After preliminary screening, 53 abstracts based on the polyherbal formulations selected for hepatoprotection were retrieved from several bibliographical databases. This review provides insight and indicates the gaps presented in the case of polyherbal formulations (PHFs) formulations. To conclude, PHFs can activate several physiological processes that quicken the process. Clinical trials should be conducted to further examine these PHFs, and production upscaling will help to open up new markets for PHFs.

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References

Boro H, Usha T, Babu D, Chandana P, Goyal AK, Ekambaram H, Yusufoglu HS, Das S, Middha SK. Hepatoprotective activity of the ethanolic extract of Morus indica roots from Indian Bodo tribes. SN Appl Sci. 2022; 4:1-4. https://doi.org/10.1007/s42452-021-04859-z

Asrani SK, Devarbhavi H, Eaton J, Kamath PS. Burden of liver diseases in the world. J Hepatol. 2019; 70:151-71. https://doi.org/10.1016/j.jhep.2018.09.014.

Casas-Grajales S, Muriel P. Antioxidants in liver health. World J Gastrointest Pharmacol Ther. 2015; 6:59-72. https://doi.org/10.4292/wjgpt.v6.i3.59.

Brahma S, Goyal AK, Dhamodhar P, Kumari MR, Jayashree S, Usha T, Middha SK. Can Polyherbal Medicine be used for the Treatment of Diabetes?-A Review of Historical Classics, Research Evidence and Current Prevention Programs. Curr Diabetes Rev. 2023. https://doi.org/10.2174/1573399819666230314093721

Bera TK, Chatterjee K, De D, Ali KM, Jana K, Maiti S, Ghosh D. Hepatoprotective activity of Livshis, a polyherbal formulation in CCl4-induced hepatotoxic male Wistar rats: a toxicity screening approach. Genom Med, Biomark, Health Sci. 2011;3:103-10. https://doi.org/10.1016/j.gmbhs.2012.03.001

Teschke R, Eickhoff A. Herbal hepatotoxicity in traditional and modern medicine: actual key issues and new encouraging steps. Front Pharmacol. 2015;6:72. https://doi.org/10.3389/fphar.2015.00072

Mochahary B, Brahma S, Kalita M, Goyal AK. Characterization of indigenous plants for herbal formulations preparation based on pharmacognostic and physiochemical data. Plant Sci Today. 2022; 9:8-17. https://doi.org/10.14719/pst.1709

Chachay et al. Resveratrol does not benefit patients with nonalcoholic fatty liver disease. Clin Gastroenterol Hepatol. 2014; 12:2092–103.e1-6.

Muriel P, Arauz J. Coffee, and liver health. In: Chu Y, editor. Coffee emerging health effects and disease prevention. West Sussex, UK: IFT Press/Wiley-Blackwell; 2012. pp. 123–39.

Yoshikawa T, Naito Y. What is oxidative stress? Japan Med Assoc J. 2002; 45:271–76.

Ball JC, Straccia AM, Young WC, Aust AE. The formation of reactive oxygen species catalyzed by neutral, aqueous extracts of NIST ambient particulate matter and diesel engine particles. J Air Waste Manag Assoc. 2000; 50:1897-903. https://doi.org/10.1080/10473289.2000.10464231

Aghemo A, Alekseeva OP, Angelico F, Bakulin IG, Bakulina NV, Bordin D, Bueverov AO, Drapkina OM, Gillessen A, Kagarmanova EM, Korochanskaya NV. Role of silymarin as an antioxidant in the clinical management of chronic liver diseases: A narrative review. Ann Med. 2022; 54:1548-60. https://doi.org/10.1080/07853890.2022.2069854

Moher D, Liberati A, Tetzlaff J, Altman DG; PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009; 6: e1000097. https://doi.org/10.7326/0003-4819-151-4-200908180-00135

Goyal AK, Middha SK, Usha T. Baccaurea ramiflora Lour.: a comprehensive review from traditional usage to pharmacological evidence. Adv Trad Med. 2022; 22(2):231-49. https://doi.org/10.1007/s13596-020-00489-9

Narzary I, Swarnakar A, Kalita M, Middha SK, Usha T, Babu D, Mochahary B, Brahma S, Basumatary J, Goyal AK. Acknowledging the use of botanicals to treat diabetic foot ulcer during the 21st century: A systematic review. World J Clin Cases. 2023; 11:4035-59. http://dx.doi.org/10.12998/wjcc.v11.i17.4035

Chauhan A, Semwal AD. Herbal Hepatoprotective Agents - A Review. J Drug Deliv Ther. 2017; 7(2): 169-176. https://doi.org/10.22270/jddt.v7i2.1338

Ramakrishnan G, Lo Muzio L, Cordova C. Liver Protective Activity of Herbal Formulations: A Review. J Pharma Res. 2018; 12(2): 311-20.

Usha T, Pradhan S, Goyal AK, Dhivya S, Kumar HP, Singh MK, Joshi N, Basistha BC, Murthy KS, Selvaraj S, Middha SK. Molecular simulation-based combinatorial modeling and antioxidant activities of Zingiberaceae family rhizomes. Pharmacogn Mag. 2017; 13:S715. https://doi.org/10.4103/pm.pm_82_17

Middha SK, Usha T, Basistha BC, Goyal AK. Amelioration of antioxidant potential, toxicity, and antihyperglycemic activity of Hippophae salicifolia D. Don leaf extracts in alloxan-induced diabetic rats. 3 Biotech. 2019; 9:1-8. https://doi.org/10.1007/s13205-019-1840-3

Middha SK, Usha T, Babu D, Misra AK, Lokesh P, Goyal AK. Evaluation of antioxidative, analgesic and anti-inflammatory activities of methanolic extract of Myrica nagi leaves - an animal model approach. Symbiosis. 2016; 70:179-84

Dontha S. A review on antioxidant methods. Asian J Pharm Clin Res. 2016; 9(2):14-32.

Goyal AK, Middha SK, Sen A. Evaluation of the DPPH radical scavenging activity, total phenols and antioxidant activities in Indian wild Bambusa vulgaris" Vittata" methanolic leaf extract. J Nat Pharma. 2010; 1:40-5. https://doi.org/10.4103/2229-5119.73586

Alam MN, Bristi NJ, Rafiquzzaman M. Review on in vivo and in vitro methods evaluation of antioxidant activity. Saudi Pharm J. 2013; 21:143-52. https://doi.org/10.1016/j.jsps.2012.05.002

Lyrawati D, Muslimah AG, Laksmita D, Santoso DI, Poernomo EL, Larasati K, Sajidah LZ, Adianingsih OR, Agusningtyas RD, Eko MH, Wibowo BP. Hepatoprotective and hepatoregenerative therapeutic effects of polyherbal medicine Heparmin TM on Rattus norvegicus Wistar with liver fibrosis. Thai J Pharma Sci. 2017; 41(4):123-29.

Gao B. Hepatoprotective and anti-inflammatory cytokines in alcoholic liver disease. J Gastroenterol Hepatol. 2012; 27:89-93. https://doi.org/10.1111/j.1440-1746.2011.07003.x.

Yogi B, Mishra A. Hepatoprotective effects and antioxidant potential of polyherbal formulation against CCl4-induced hepatic injury in albino rats. Current Trad Med. 2016; 2:42-9. https://doi.org/10.2174/2215083802666160620131553

Talebi M, Zarshenas MM, Yazdani E, Moein M. Preparation and Evaluation of Possible Antioxidant Activities of Rose Traditional Tablet”[Qurs-e-Vard]” A Selected Traditional Persian Medicine [TPM] Formulation via Various Procedures. Curr Drug Discov Technol. 2020; 17:1-8. https://doi.org/10.2174/1570163817666200929114517

Gupta A, Sheth NR, Pandey S, Yadav JS. Determination of quercetin a biomarker in hepatoprotective polyherbal formulation through high-performance thin layer chromatography. J Chromatogr Sep Tech. 2015;6:2. http://doi.org/10.4172/2157-7064.1000285

Chen D, Guo J, Li L. Catalpol promotes mitochondrial biogenesis in chondrocytes. Arch Physiol Biochem. 2022;128:802–08. http://doi.org/10.1080/13813455.2020.1727927

Liu RM, Desai LP. Reciprocal regulation of TGF-? and reactive oxygen species: A perverse cycle for fibrosis. Redox Biol. 2015;6:565-77. https://doi.org/10.1016/j.redox.2015.09.009

Reshi MR, Gulati K, Ray A. Immunomodulation During Hepatoprotective Effects of Dawa-Ul-Kurkum in D-Galactosamine-Induced Liver Cirrhosis in Rats. Int J Toxicol Pharmacol Res. 2022;12:166-179.

Darbar S, Chakraborty MR, Chattarjee S, Ghosh B. Protective effect of Livina, a polyherbal liquid formulation against ethanol-induced liver damage in rats. Anc Sci Life. 2009; 28(3):14-17.

Zhu M, Wang X, Wang K, Zhao Z, Dang Y, Ji G, Li F, Zhou W. Lingguizhugan decoction improves non-alcoholic steatohepatitis partially by modulating gut microbiota and correlated metabolites. Front Cell Infect Microbiol. 2023;13:1066053. https://doi.org/10.3389/fcimb.2023.1066053

Wakkumbura HP, Wickramaarachchi WM, Arawwawala LD, Liyanage JA, Rajapakse RP. Assessment of the quality and evaluation of the antioxidant potential of a novel Sri Lankan ayurvedic polyherbal formulation. Evid-Based Complementary Alt Med. 2020; 2020. https://doi.org/10.1155/2020/2319315

Karunarathna AU, Chandrika U, Padumadasa C, Seneviratne B, Abeysekera AM. Hepatoprotective Activity of Link Livecare in Carbon Tetrachloride and D-Galactosamine induced hepatotoxicity In ICR Mice. Int J Res Ayurveda Pharm. 2017; 8:91-96

Chung WS, Wang JH, Bose S, Park JM, Park SO, Lee SJ, Jeon S, Kim H. Hepatoprotective Effect of Lentinus edodes Mycelia Fermented Formulation against Alcoholic Liver Injury in Rats. J Food Biochem. 2015; 39:251-62. https://doi.org/10.1111/jfbc.12124

Dinakaran SK, Sujiya B, Avasarala H. Profiling and determination of phenolic compounds in Indian marketed hepatoprotective polyherbal formulations and their comparative evaluation. J Ayurveda Integr Med. 2018; 9:3-12. https://doi.org/10.1016/j.jaim.2016.12.006

Sur TK, Hazra A. Hepatoprotective and Antioxidant Activities of LST-02, A Proprietary Herbal Formulation. Ind J Physiol Pharmacol. 2015; 59:322-29.

Akhtar MS, Asjad HM, Bashir S, Malik A, Khalid R, Gulzar F, Irshad N. Evaluation of antioxidant and hepatoprotective effects of Khamira Gaozaban Ambri Jadwar Ood Saleeb Wala (KGA). Bangladesh J Pharmacol. 2013; 8:44-8. https://doi.org/10.3329/bjp.v8i1.13183

Eswaran A, Muthukrishnan S, Mathaiyan M, Pradeepkumar S, Mari KR, Manogaran P. Green synthesis, characterization and hepatoprotective activity of silver nanoparticles synthesized from pre-formulated Liv-Pro-08 poly-herbal formulation. Appl Nanosci. 2021: 1-3. https://doi.org/10.1007/s13204-021-01945-x

Monika T. A Study on Scientific Evaluation of Siddha Polyherbal formulation Nannari Mathirai for Hepatoprotective Activity on CCL4, ethanol-induced Hepatotoxicity and Antioxidant activity in Wistar Albino Rats (Doctoral dissertation), Chennai; Government Siddha Medical College; 2019. http://repository-tnmgrmu.ac.in/12114/1/320201519monika.pdf

Yang CC, Fang JY, Hong TL, Wang TC, Zhou YE, Lin TC. Potential antioxidant properties and hepatoprotective effects of an aqueous extract formula derived from three Chinese medicinal herbs against CCl4-induced liver injury in rats. Int Immunopharmacol. 2013; 15:106-13. https://doi.org/10.1016/j.intimp.2012.10.017

Bigoniya P, Singh CS. Hepatoprotective activity of a standardized polyherbal liver formulation. Int J Pharm Sci Res. 2014; 5:4209. http://dx.doi.org/10.13040/IJPSR.0975-8232.5(10).4209-18

Shahid I, Khan KM, Khan TM, Imran MS, Shahid N, Alnafoosi FN, Baig MR, Al-Worafi YM. Clinical Efficacy of LivPro® Herbal Medicine among Hepatitis C Patients Pakistan: Longitudinal Interventional Study. Arch Pharm Pract. 2021; 12:55. https://doi.org/10.51847/v5lmbrLQNQ

Devaraju H, Raghuveer R, Rao UM. Evaluation of polyherbal formulation, livomyn for its hepatoprotective and antioxidant activity. Der Pharmacia Lettre. 2013; 5(6):135-41.

Engineer A, Pal S, Desai K, Highland H. Synergistic antioxidant action of Murraya koenigii and Plumeria rubra extracts enhance hepatoprotective efficacy against methotrexate-induced liver injury. Int J Pharm Pharm Sci. 2017; 9: 152-159. https://doi.org/10.22159/ijpps.2017v9i10.21004

Published

01-10-2023

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How to Cite

1.
Mochahary B, Middha SK, Usha T, B. N. Nagalaxmi, Goyal AK. Evaluating hepatoprotective activity of polyherbal formulations- an overview of dietary antioxidants. Plant Sci. Today [Internet]. 2023 Oct. 1 [cited 2024 Nov. 25];. Available from: https://horizonepublishing.com/journals/index.php/PST/article/view/2556

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Special issue on Mini Reviews