Abstract

Methanol extract of Muntingia calabura L. (family Muntingiaceae) leaf has been reported to exert various pharmacological activities including hepatoprotection. The present study was carried out to identify the most effective hepatoprotective partition derived from the extract and to determine the mechanisms of action involved. The extract was partitioned using solvents with different polarity to yield petroleum ether (PEMC), ethyl acetate (EAMC), and aqueous (AQMC) extracts. Each extract, at 250 mg/kg, was subjected to the paracetamol (PCM)-induced hepatotoxic assay and several parameters such as liver weight, liver/body weight ratio, serum liver enzymes' level, and histopathological examinations were determined. Each partition was also tested for their antioxidant and anti-inflammatory potentials. The most effective extract (AQMC) was prepared in additional dose of 50 and 500 mg/kg, and then subjected to the same liver toxicity test in addition to the endogenous antioxidant enzymes assay. Moreover, AQMC was also subjected to the phytochemical screening and HPLC analysis. Overall, from the results obtained: AQMC exerted significant (p < 0.05): (i) antioxidant activity when assessed using the DPPH, SOD and ORAC assays with high TPC detected; (ii) anti-inflammatory activity via LOX, but not XO pathway; (iii) hepatoprotective activity indicated by its ability to reverse the effect of PCM on the liver weight and liver/body weight ratio, the level of serum liver enzymes (ALT, AST, and ALP), and activity of several endogenous antioxidant enzymes (SOD and CAT). Phytochemicals analyses demonstrated the presence of several flavonoid-based bioactive compounds such as gallic acid and quercetin, which were reported to possess hepatoprotective activity. In conclusion, AQMC exerts hepatoprotective activity against the PCM-induced toxicity possibly by having a remarkable antioxidant potential and ability to activate the endogenous antioxidant system possibly via the synergistic action of its phytoconstituents.

Highlights

  • Drug-induced hepatotoxicity (DIH) is an impending problem which involve a vast number of drugs and chemical compounds including prescribed medications, as liver is a fundamental organ in metabolic disposition of virtually all drugs and foreign substances (Suk and Kim, 2012)

  • The solution was sequentially partitioned with solvents of different polarity, namely petroleum ether (PE; non-polar) and ethyl acetate (EA; intermediate polar), to yield the respective petroleum ether fraction (PEF) and ethyl acetate fraction (EAF)

  • Values are expressed as means ± S.E.M. of six replicates. aSignificant different as compared to normal control, P < 0.05. bSignificant different as compared to negative control (10% DMSO + PCM), P < 0.05

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Summary

Introduction

Drug-induced hepatotoxicity (DIH) is an impending problem which involve a vast number of drugs and chemical compounds including prescribed medications, as liver is a fundamental organ in metabolic disposition of virtually all drugs and foreign substances (Suk and Kim, 2012). As these compounds are metabolized in liver microsomes, their excessive consumption can trigger liver damage that result in abnormalities of the liver function. All too often the treatment is worse than the disease Due to these issues, which was worsen by the scarce treatment options, novel prophylactic and effective therapeutic agent with low incidence of adverse effects are urgently needed. A wide range of herbals and medicinal plants have been utilized either in the form of extract of single plant or compound preparations of more than one-plant types to treat liver injury (Rajaratnam et al, 2014)

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