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Hepatoprotective and antioxidant activity of Leea asiatica leaves against acetaminophen-induced hepatotoxicity in rats
Hepatoprotective and antioxidant activity of Leea asiatica leaves against acetaminophen-induced hepatotoxicity in rats
CellMed. 2014. Aug, 4(3): 18-18
Copyright © 2014, Association of Humanitas Medicine
This is an open access article under the CC BY-NC license. (http://creativecommons.org/licenses/by-nc/3.0/)
  • Received : January 14, 2014
  • Accepted : August 23, 2014
  • Published : August 31, 2014
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About the Authors
Saikat, Sen
CES College of Pharmacy, Kurnool
saikat.pharm@rediffmail.com
Biplab, De
Regional Institute of Pharmaceutical Science and Technology, Agartala
N, Devanna
Oil Technological Research Institute, JNT University Anantapur, Andhra Pradesh, India
Raja, Chakraborty
CES College of Pharmacy, Kurnool

Abstract
Leea asiatica (L.) Ridsdale, a folk medicinal plant is used by the ethnic people of North East India for the treatment of hepatic disorder. In this study, we have investigated the hepatoprotective and antioxidant activity of L. asiatica leaves against acetaminophen induced hepatotoxicity. Methanol extract of L. asiatica (150 and 300 mg/kg/day, p.o.) were administered to rats for three consecutive days followed by single acetaminophen (3000 mg/kg, p.o.) administration on 3 rd day. After 48 h of acetaminophen administration animals were sacrificed and biochemical estimation of serum, in vivo antioxidant activity using liver tissue were carried out. High levels of serum glutamate oxaloacetate transaminase, serum glutamate pyruvate transaminase, serum alkaline phosphatase, total bilirubin, direct bilirubin, total cholesterol and triglycerides were observed in disease control group, which found near to normal in extract treated groups. Higher dose exhibited significant hepatoprotective activity against acetaminophen induced toxicity. Level of superoxide dismutase, catalase, glutathione peroxidase in liver tissue, and reduced glutathione in liver and blood were also significantly increased in extract (300 mg/kg) treated animals compare to disease control group. In this study we found that leaves of L. asiatica exhibited potent hepatoprotective activity against acetaminophen induced hepatic damage in experimental animals which justify the folklore claim, and the possible mechanism of this activity may be due to strong antioxidant activities of extract.
Keywords
INTRODUCTION
Acetaminophen (APAP) is a most common non steroidal analgesic and antipyretic drug used worldwide. APAP exerts few side effects in therapeutic doses, but hepatotoxicity is the frequent consequence of APAP overdose ( Olaleye et al., 2010 ). APAP overdose is responsible for generation of a highly reactive metabolite N -acetyl- p -benzoquinoneimine (NAPQI). NAPQI causes covalent modification, reduction of enzyme activity, inhibition of protein oxidation, free radical generation, lipid peroxidation, DNA fragmentation, mitochondrial dysfunction, alteration of innate immunity, deregulation of Ca 2+ homeostasis, depletion of glutathione thus leads to hepatotoxicity ( James et al., 2003 ; Ray et al., 1996 ).
Traditional herbal drugs and folk medicinal plants are considered as a key source of new drug molecule or therapy which has attracted considerable attention of researchers. Free radical induced oxidative stress is considered as a key reason for hepatotoxicity, thus a free radical scavenger could be useful to prevent APAP induced liver toxicities ( Sen and Chakraborty, 2011 ). The species Leea possess several biological and antioxidant activities ( Saenjum et al., 2007 ). Leea asiatica L. Ridsdale (family: Leeaceae), a folk medicinal plant is used forthe treatment of a broad spectrum of diseases including worm infection, wound, eye diseases, bone fracture, diabetes and gastrointestinal disorders. We have conducted a ethnomedicinal survey in Tripura, India and found that the plant is used to treat liver disorder by the ethnic people ( Bhandary et al., 1995 ; Prasad et al., 2008 ; Sen et al., 2011 ). In our previous investigation we reported that leaves of L. asiatica possess in vitro antioxidant, anthelmintic and nephroprotective activity ( Sen et al., 2011 , 2012 ). However to date there is no scientific evidence to support the hepatoprotective effect of L. asiatica . The present study aim to investigate the in vivo antioxidant and hepatoprotective activity of methanol extract of Leea asiatica leaf against acetaminophen induced liver toxicity.
MATERIALS AND METHODS
- Plant material and extraction
Leaves of Leea asiatica were collected from Agartala, Tripura, India. The plant material was authenticated by Dr. BK Datta, Department of Botany, Tripura University, Tripura, India. A voucher specimen (TU/BOT/HEB/SS23072011c) has been deposited in the herbarium of Plant Taxonomy & Biodiversity Laboratory, Tripura University.
The fresh leaves were collected and cleaned to remove unwanted materials. The leaves were air dried under shade, pulverized into coarse powder and extracted with methanol using Soxhlet apparatus. The methanol extract was concentrated to dryness under reduced pressure to obtain the methanol extract of L. asiatica leaves.
- Experimental model and treatmentss
Healthy Wistar rats (150 - 200 g) of 2 - 3 months were used for the study. Animals were kept under controlled environmental conditions with ad libitum access to standard rodent chow and water. The study was approved by the Institutional Animal Ethical Committee (Reg. No. 1305/ac/09/CPCSEA).
Thirty rats of either sex were taken and divided into five groups (n = 6) in following manner,
  • ● Group I – Healthy control (saline)
  • ● Group II – Negative control or disease control (saline)
  • ● Group III – standard drug (silymarin 25 mg/kg, p.o.)
  • ● Group IV – lower dose of methanol extract (extract 150 mg/kg, p.o.)
  • ● Group V – higher dose of methanol extract (extract 300 mg/kg, p.o.)
Animals were treated with respective test or standard drug or vehicle for consecutive three days once daily. Animals of all groups except healthy control group received single dose of acetaminophen (3000 mg/kg) on 3 rd day, thirty minutes after the administration of respective drug treatment ( Manokaran et al., 2008 ; Singh et al., 1995 ). After 48 h of acetaminophen administration, the blood was collected under light ether anaesthesia and serum was separated by centrifugation of blood at 4000 × g , which was used for the biochemical estimations.
- Biochemical estimation
Biochemical estimation of several serum parameters like serum glutamic oxaloacetate transaminase (SGOT), serum glutamic pyruvic transaminase (SGPT), alkaline phosphatase (ALP), total bilirubin, direct bilirubin, total cholesterol, total triglycerides were carried by using commercial biochemical kit obtained from Agapee Diagnistic Ltd., Kerala.
- In vivoantioxidant activity
After blood collection animals were sacrificed through cervical dislocation method. The liver of all animal was dissected out and perfused separately with cooled 0.15 M KCl. The liver was centrifuged with 0.15 M KCl - 10 mM potassium phosphate buffer (pH 7.4) to prepare 10% liver homogenate ( Kesiova et al., 2006 ). Liver tissue homogenate was used to estimate the concentration of superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), and reduced gluthathione (GSH).
SOD activity was estimated by the inhibition of autooxidation of epinephrine to adrenochrome at 480 nm in the presence of liver homogenate ( Huo et al., 2011 ; Misra and Frisovich, 1979). Briefly, mixture contain 0.1 ml of liver homogenate, 0.5 ml carbonate buffer (pH 10.2), 0.5 ml EDTA solution. The volume of mixture was adjusted to 2.5 ml. Epinephrine solution (0.5 ml) was mixed to initiate the reaction. Auto oxidation of epinephrine to adrenochrome was carried out in a control tube without the homogenate. The SOD activity was calculated using a molar extinction coefficient of 4.02 × 10 3 M −1 cm −1 , and expressed as μM/min/mg protein.
CAT activity was determined by measuring the decomposition of H 2 O 2 to H 2 O ( Huo et al., 2011 ). Briefly, 0.1 ml of supernatant was mixed with 1.9 ml of 50 mM potassium phosphate buffer (pH 7.0) and the reaction was initiated by the addition of freshly prepared 0.1 ml of 30 mM H 2 O 2 . The rate of H 2 O 2 decomposition was determined spectrophotometrically at 240 nm. The result was calculated using a molar extinction coefficient of 43.6 M/cm and expressed as μM H 2 O 2 /mg protein/min.
Briefly GPx was estimated by using taking 100 μl tissue homogenate solution and 800 μl 100 mM/l potassium phosphate buffer (pH 7.4) containing 1 mM EDTA, 1 mM sodium azide, 0.2 mM NADPH, 1 U/ml glutathione reductase, 1 mM GSH. After 5 min incubation 100 μl 2.6 mM H 2 O 2 was added and the absorbance change at 340 nm in 3 min was recorded at 37℃ ( Hsu et al., 2007 ). Activity of GPx was calculated using the molar extinction coefficient of NADPH 6220 M −1 cm −1 and expressed as μM NADPH oxidized/min/mg protein at 37℃.
GSH content in liver was estimated based on the reaction of GSH with 5,5’-dithiobis (2 nitro benzoic acid) (DTNB) to produce a compound that absorbs at 412 nm ( Raphael, 2004 ). Liver homogenate (0.5 ml) was mixed with 125 μl of 25% TCA. The test tubes containing the mixture were kept on ice for 5 min. Exactly, 0.6 ml of 5% TCA was mixed with the previous mixture and centrifuged at 1500 rpm for 10 minute. After centrifugation, 0.3 ml of supernatant was mixed with 0.7 ml of phosphate buffer (0.2 M, pH 8) and 2.0 ml DTNB solution (0.6 mM in 0.2 M sodium phosphate buffer, pH 8). The absorbance of solution was measured after 10 min 412 nm. The GSH content was determined using a standard curve varying from 5 - 100 nm in 5% TCA for assay, and results were expressed as nmol/mg protein.
GSH content in blood was estimated by the method of Khynriam and Prasad ( Khynriam and Prasad, 2001 ). Blood sample (0.1 ml) was mixed with 0.9 ml of water and 1.5 ml of precipitating solution (1.67 g glacial metaphosphoric acid, 0.2 g sodium EDTA, 30.0 g NaCl in 100 ml water), and the mixture was incubated at room temperature. After 5 min of incubation period, the mixture was centrifuged at 3000 × g at 4℃ for 15 min. Exactly 0.5 ml of clear supernatant was withdrawn and mixed thoroughly with 0.3 M/l phosphate solution (2.0 ml), 0.2% DTNB in 1% sodium citrate solution (0.25 ml). Blank solutions prepared with 1.0 ml 0.3 M/l phosphate solution, 1.0 ml water, 0.5 ml precipitating solution and 0.25 ml DTNB solution. Absorbances of mixtures were determined against water at 412 nm. Concentration of gluthathione by using following formula, Concentration of GSH (mg GSH/ 100 ml blood) = (A × 2.75 × 2.75 × 307 × 100)/(13.6 × 0.1 × 0.5 × 1000) Absorbance (A) = Absorbance of sample - Absorbance of blank; Extinction coefficient = 13.6 and molecular weight of glutathione 307.
- Statistical analysis
The data were expressed as mean ± SEM (n = 6) and subjected to analysis of variance (ANOVA). Statistical analysis was carried out by analysis of variance followed by Tukey tests, using SPSS (Statistical Package for Social Sciences) version 10.0 software. A level of p < 0.05 was used as the criterion for statistical significance.
RESULTS AND DISCUSSION
- Hepatoprotective activity
Treatment with toxic dose of acetaminophen resulted significant increase in serum SGOT, SGPT, ALP, total and direct bilirubin, total cholesterol and triglyceride level in animals of disease control group, which indicated that paracetamol in toxic dose impairs hepatic function. Higher dose of methanol extract produced significant beneficial effect. Level of above serum biochemical parameter found near to normal in extract (300 mg/kg) treated group ( Table 1 ).
Hepatoprotective activity of methanol extracts ofL. asiaticaleaves
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Each value represents mean (n = 6) ± SEM. Statistical analysis was carried out by ANOVA followed by the Tukey test. *p < 0.001 when negative control group compared with normal control group. #p < 0.001, p < 0.001, ¥p < 0.05 when drug treated group compared with negative control group.
Serum level of SGPT and SGOT are increases significantly in drug, toxin and chemic induced liver damage condition and considered as the most commonly used relied biomarker of hepatotoxicity. SGOT, SGPT, ALP releases into the extracellular space due to hepatocyte damages, which ultimately enter into circulation and thereby increase serum levels these enzyme in negative control group ( Olaleye et al., 2010 ; Singh et al., 2011 ). In extract treated group the level of these enzyme was found less compare to negative control group, and in higher dose extract was found to maintained the level of these enzymes near normal which indicated that extract may preserved the integrity of hepatocellular membrane from the acetaminophen induced damage.
Hepatocyte damage or obstruction of excretory ducts of the liver spoils the capacity of liver to excrete normal amounts of bilirubin. Elevated levels of bilirubin may indicate severe dysfunction of liver. Total bilirubin considered as combination of indirect (nonhepatic) and direct (hepatic) bilirubin (Goel et al., 2012; McConnachie et al., 2007 ; Olaleye et al., 2010 ). This investigation showed that level of total and direct bilirubin were increased by the acetaminophen administration, but in extract treated group the level of direct and total bilirubin in the serum found significantly ( p < 0.01) less that negative control group. Increased in serum cholesterol and triglyceride levels in negative control group indicated impaired lipoprotein, fat and cholesterol metabolism due to hepatic damage (Goel et al., 2012; McConnachie et al., 2007 ; Olaleye et al., 2010 ). Treatment with both dose of extract brought down the triglyceride level in normal, while only higher dose of methanol extract exhibited hypocholesrerolemic effct. These results suggested that extract produced potent hepatoprotective activity.
- In vivoantioxidant activity
Administration of acetaminophen causes depletion of liver GSH and blood GSH content. SOD, CAT, GPx level also reduced significantly ( p < 0.001) in hepatotoxic animals compare to normal animal. Treatment with higher dose methanol extract of L. asiatica significantly ( p < 0.01, 0.001) ameliorated the level of enzymatic and non enzymatic antioxidant levels. Lower dose of extract found effective only in increasing CAT level significantly ( Table 2 ).
In vivoantioxidant activity of methanol extract ofL. asiaticaleaves
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Each value represents mean (n = 6) ± SEM. Statistical analysis was carried out by ANOVA followed by the Tukey test. *p < 0.001 when negative control group compared with normal control group. #p < 0.001, p < 0.001, ¥p < 0.05 when drug treated group compared with negative control group.
SOD, CAT and GPx are the endogenous antioxidant enzymes that important to avert oxidative stress situation. SOD catalyzes the dismutation of superoxide to H 2 O 2 and O 2 , while CAT converts H 2 O 2 to water and molecular oxygen. GPx present in the cell cytoplasm eliminates H 2 O 2 by coupling its reduction to H 2 O with oxidation of GSH ( Sen and Chakraborty, 2011 ). Oxidative stress considered as one of the important factor of liver toxicity. NAPQI can increase the generation of different free radicals, reduces antioxidant enzyme level and causes lipid peroxidation which leads to oxidative stress ( McConnachie et al., 2007 ; Olaleye et al., 2010 ). Extract treatment significantly increases level of endogenous antioxidant enzyme levels suggesting that extract possess significant in vivo antioxidant activity that is beneficial in preventing acetaminophen induced liver toxicity.
Metabolism of acetaminophen primarily occur in liver, where a small portion of acetaminophen (5 - 10%) in therapeutic dose metabolized via the hepatic cytochrome P450 enzyme to produce N -acetyl-p-benzo-quinoneimine, a highly reactive alkylating metabolite ( Setty et al., 2007 ; Yen et al., 2007 ). NAPQI covalently bind to cellular macromolecules and causes lipid peroxidation that results the tissue damage. NAPQI also causes depletion of glutathione which further deteriorate the situation ( Yen et al., 2007 ). GSH is an endogenous nonenzymatic antioxidant important to maintain thiol group and tissue integrity. GSH also capable of scavenging ROS directly or enzymatically via GPx and protects liver against chemical/drug induced hepatic damage and oxidative stress. Over production of NAPQI due to toxic dose of acetaminophen results hepatic GSH depletion, that can considered as a key mechanism of hepatocellular dysfunction ( McConnachie et al., 2007 ; Olaleye et al., 2010 ). In the present study pretreatment with extract restored GSH levels near to normal. Therefore, it is suggested that extract have potent beneficial effects in preventing oxidative stress and acetaminophen induced hepatotoxicity. Silymarin, a flavonolignan ontained from ‘milk thistle’ (Silybum marianum) plant. Four flavonolignan isomers, like silybin, isosilybin, silydianin and silychristin are the ingredients of silymarin. A number of studies proved that silymarin is a potent antioxidant and also found to possess strong hepatoprotective activity ( Burczynski et al., 2012 ; Pradhan and Girish, 2006 ). In this study L. asiatica extract also possess strong hepatoprotective activity. Ethnomedicinal information from ethnic people always served as goldmine to investigate new drug and therapy. This present study was undertaken to validate the claim about its medicinal value and results of the study confirmed the same. This study unlocks the possibility to investigate this leaf extract further to develop a new hepatoprotective drug.
CONCLUSION
Present work justifies the folk medicinal uses Leea asiatica leaves in the treatment of liver disorders. The possible mechanism of this activity may be due to strong antioxidant activities of extract. Though further study are required but the plant extract or their phytoconstituents present in the extract may be considered as a lead of future that could prevent the drug induced toxicity in liver by their concurrent uses.
Acknowledgements
None.CONFLICT OF INTERESTThe authors have no conflicting financial interests.
References
Bhandary MJ , Chandrashekar KR , Kaveriappa KM 1995 Medical ethnobotany of the Siddis of Uttara Kannada district, Karnataka, India J Ethnopharmacol 47 149 - 158
Burczynski FJ , Wang G , Nguyen D , Chen Y , Smith HJ , Gong Y 2012 Silymarin and hepatoprotection Zhong Nan Da Xue Xue Bao Yi Xue Ban 37 6 - 10
Goyal R , Ravishankar B , Shukla VJ , Singh M 2012 Hepatoprotective activity of Rohitaka ghrita against paracetamol induced liver injury in rats Pharmacologia 3 227 - 232
Hsu CL , Yen GC 2007 Effect of gallic acid on high fat diet-induced dyslipidaemia, hepatosteatosis and oxidative stress in rats Br J Nutr 98 727 - 735
Huo HZ , Wang B , Liang YK , Bao YY , Gu Y 2011 Hepatoprotective and antioxidant effects of licorice extract against CCl4-induced oxidative damage in rats Int J Mol Sci 12 6529 - 6543
James LP , Mayeux PR , Hinson JA 2003 Acetaminophen-induced hepatotoxcity Drug Metab Dispos 31 1499 - 1506
Kesiova M , Alexandrova A , Yordanova N , Kirkova M , Todorov S 2006 Effects of diphenhydramine and famotidine on lipid peroxidation and activities of antioxidant enzymes in different rat tissues Pharmacol Rep 58 221 - 228
Khynriam D , Prasad SB 2001 Hematotoxicity and blood glutathione levels after cisplatin treatment of tumor-bearing mice Cell Biol Toxicol 17 357 - 370
Manokaran S , Jaswanth A , Sengottuvelu S , Nandhakumar J , Duraisamy R , Karthikeyan D , Mallegaswari R 2008 Hepatoprotective activity of Aerva lanata Linn. against paracetamol induced hepatotoxicity in rats Res J Pharm Technol 1 398 - 400
McConnachie LA , Mohar I , Hudson FN , Ware CB , Ladiges WC , Fernandez C , Chatterton-Kirchmeier S , White CC , Pierce RH , Kavanagh TJ 2007 Glutamate cysteine ligase modifier subunit deficiency and gender as determinants of acetaminophen-induced hepatotoxicity in mice Toxicol Sci 99 628 - 636
Misra HP , Frisovich I 1972 The role of suopetroxide anion in the antioxidant of epinephrine and simple assay for SOD J Biol chem 247 3170 - 3175
Olaleye MT , Akinmoladun AC , Ogunboye AA , Akindahunsi AA 2010 Antioxidant activity and hepatoprotective property of leaf extracts of Boerhaavia diffusa Linn against acetaminophen-induced liver damage in rats Food Chem Toxicol 48 2200 - 2205
Pradhan SC , Girish C 2006 Hepatoprotective herbal drug, silymarin from experimental pharmacology to clinical medicine Indian J Med Res 124 491 - 504
Prasad PR , Reddy CS , Raza SH , Dutt CB 2008 Folklore medicinal plants of North Andaman Islands, India Fitoterapia 79 458 - 464
Raphael RK 2004 Pharmacological activity of plant derived drugs and the mechanism of action (with special reference to Phyllanthus amarus schum & thonn) Mahatma Gandhi University Kottayam, India 58 - 59
Ray SD , Mumaw VR , Raje RR , Fariss MW 1996 Protection of acetaminophen-induced hepatocellular apoptosis and necrosis by cholesteryl hemisuccinate pretreatment J Pharmacol Exp Ther 279 1470 - 1483
Saenjum C , Kadchumsang S , Chansakaow S , Suttajit M , Chaiyasut C 2007 Screening of Lanna medicinal plants with anti-inflammatory property assessed by free radical scavenging activities Asian J Pharm Sci 3 65 - 73
Sen S , Chakraborty R , De B , Devanna N 2011 An ethnobotanical survey of medicinal plants used by ethnic people in West and South district of Tripura, India J Forestry Res 22 417 - 426
Sen S , Chakraborty R , Silvana A , Hepel M 2011 Oxidative Stress: Diagnostics, Prevention, and Therapy American Chemical Society Washington, USA The role of antioxidants in human health 1 - 37
Sen S , De B , Devanna N , Chakraborty R 2012 Anthelmintic and in vitro antioxidant evaluation of fractions of methanol extract of Leea asiatica leaves Anc Sci Life 31 101 - 106
Sen S , De B , Devanna N , Chakraborty R 2013 Cisplatin-induced nephrotoxicity in mice: protective role of Leea asiatica leaves Ren Fail 35 1412 - 1417
Ramachandra Setty S , Quereshi AA , Viswanath Swamy AH , Patil T , Prakash T , Prabhu K , Veeran Gouda A 2007 Hepatoprotective activity of Calotropis procera flowers against paracetamol-induced hepatic injury in rats Fitoterapia 78 451 - 454
Singh A , Handa SS 1995 Hepatoprotective activity of Apium graveolens and Hygrophila auriculata against paracetamol and thioacetamide intoxication in rats J Ethnopharmacol 49 119 - 126
Singh A , Bhat TK , Sharma OP 2011 Clinical biochemistry of hepatotoxicity J Clin Toxicol S4 001 -
Yen F , Wu TH , Lin LT , Lin CC 2007 Hepatoprotective and antioxidant effects of Cuscuta chinensis against acetaminophen-induced hepatotoxicity in rats J Ethnopharmacol 111 123 - 128