Practice School File BP 707
Practice School File BP 707
TABLE OF CONTENT
1. Introduction 2-9
1.1 Brief Overview Of The Project
1.2 What Are Hepatoprotective Activity?
1.3 Key Functions Of The Liver
1.4 Introduction Of The Liver
1.5 Introduction OF Hepatoprotective Plants
3. Methodology 12-24
3.1 Comparative methodology of Curcuma longa
3.2 Comparative methodology of Aegle marmelos
3.3 Comparative methodology of Moringa oleifera
3.4 Comparative methodology of Azadirachta indica
3.5 Comparative methodology of Glycyrrhiza glabra
3.6 Comparative methodology of Eclipta alba
4. Conclusion 25
5. Reference 26-28
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1. INTRODUCTION
Hepatoprotection refers to the protective mechanisms and strategies aimed at preserving liver
health and function. The concept of hepatoprotection involves both preventive and therapeutic
approaches to safeguard the liver from injury and enhance its regenerative capabilities.
Understanding hepatoprotection encompasses various aspects, such as identifying risk factors for
liver diseases, promoting healthy lifestyles, using medications and natural compounds with
hepatoprotective properties, and ensuring timely medical intervention when liver damage occurs.
Overall, hepatoprotection is an essential aspect of holistic health, aiming not only to prevent liver
diseases but also to promote overall well-being and longevity. With the increasing prevalence of
liver-related disorders globally, particularly due to lifestyle changes and viral infections, the
significance of hepatoprotective strategies has gained considerable attention in both clinical
practice and public health initiatives.
Liver health is crucial for our overall well-being. When we talk about hepatoprotective activities,
we focus on how certain methodologies help protect the liver from damage. In this article, we'll
dive into various approaches researchers use to explore these activities.
Hepatoprotective activities refer to the processes and methods that protect the liver from injury.
This can involve the study of natural compounds, pharmaceuticals, and dietary changes.
Understanding these activities is essential as the liver performs vital functions, including
detoxification, protein synthesis, and digestion
Hepatoprotective plants contain bioactive compounds that can counteract liver damage through
various mechanisms. These include:
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1. Antioxidant Activity: Oxidative stress plays a key role in liver injury by causing lipid
peroxidation and inflammation. Many hepatoprotective plants are rich in antioxidants, such as
flavonoids, polyphenols, and alkaloids, which neutralize free radicals and reduce oxidative
damage to liver cells.
● Mechanisms of Action-
The hepatoprotective effects of these plants are often mediated through complex biochemical
pathways. Some common mechanisms include:
1. Free Radical Scavenging: Many hepatoprotective plants act as antioxidants, neutralizing free
radicals and reactive oxygen species (ROS) that contribute to liver cell damage.
3. Enhancement of Liver Enzyme Activity: Some plants increase the activity of detoxifying
enzymes like glutathione S-transferase and superoxide dismutase, which play essential roles in
neutralizing toxins and oxidative stress.
1. Metabolism: The liver regulates blood glucose levels, stores glucose as glycogen, synthesizes
and processes lipids and proteins, and deaminates amino acids.
2. Detoxification: It detoxifies drugs, metabolites, and toxins, making them easier to eliminate.
3. Bile Production: It produces bile, which is crucial for the digestion and absorption of fats.
4. Storage: The liver stores nutrients, vitamins, and minerals, acting as a reservoir.
5.Immunological Role: Kupffer cells in the liver filter pathogens and dead cells, aiding the
immune response.
6.Hormonal Regulation: The liver helps metabolize hormones like insulin and glucagon,
influencing metabolic processes.
The liver is a vital organ located in the right upper quadrant of the abdomen, playing a critical
role in various physiological processes essential for maintaining homeostasis. Weighing 1.2 to
1.5 kilograms in adults, the liver consists of two main lobes and functional units called lobules,
containing hepatocytes responsible for its diverse functions.
Overall, the liver is essential for nutrient balance, detoxification, and immune support, and its
regenerative capacity allows it to recover from injury or disease. Understanding its physiology is
important for addressing various health issues, including metabolic and liver-related disorders.
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Curcuma longa, commonly known as turmeric, is a well-known herb that has been utilized for
centuries in traditional medicine, particularly in Asia.
Its bioactive compound, curcumin, is primarily responsible for its therapeutic effects, including
its hepatoprotective (liver-protecting) properties. Hepatoprotection refers to the ability of a
substance to prevent damage to the liver, an organ vital for detoxification, metabolism, and
synthesis of important proteins. Given the increasing prevalence of liver diseases, the
hepatoprotective potential of Curcuma longa has attracted significant attention from both
traditional and modern medicine. This review critically evaluates the current evidence
surrounding the hepatoprotective activities of Curcuma longa, focusing on its mechanisms,
efficacy, and limitations.
Azadirachta indica, commonly known as neem, is a versatile plant native to India and known for
its medicinal properties. Neem has been widely utilized in traditional medicine for various
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ailments, including skin disorders, infections, and liver diseases. The hepatoprotective (liver-
protecting) activity of neem has been the subject of many studies, given the importance of liver
health in detoxification and metabolism. This review critically evaluates the hepatoprotective
effects of neem based on existing scientific literature.
The hepatoprotective (liver-protecting) activity of neem has been the subject of many studies,
given the importance of liver health in detoxification and metabolism. This review critically
evaluates the hepatoprotective effects of neem based on existing scientific literature.
Ayurvedic and folk medicine. It is known for its wide range of therapeutic properties, including
its role as a hepatoprotective agent. The plant's medicinal uses have been well-documented in
both preclinical and clinical studies, with particular emphasis on its beneficial effects on liver
health
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Aegle marmelos, commonly known as Bael, is a tree native to the Indian subcontinent, valued
It has been used for centuries to treat various ailments, including digestive issues, fever, and
respiratory problems. Aegle marmelos (Bael) shows significant hepatoprotective potential,
primarily through its antioxidant, anti-inflammatory, and lipid-lowering effects. Preclinical
studies have demonstrated its ability to prevent liver damage in various animal models, and
initial clinical trials suggest beneficial effects in humans. However, more comprehensive human
clinical trials are necessary to establish its safety, efficacy, and clinical applications. Additionally,
research into the mechanisms behind its hepatoprotective action and standardization of its
extracts will be crucial for future therapeutic uses.
Glycyrrhiza glabra
Introduction-
Glycyrrhiza glabra, commonly known as licorice, is a perennial herb that has been used
intraditional medicine for centuries due to its wide array of therapeutic properties.Among these,
its mechanism of action, bioactive compounds, preclinical and clinical evidence, as well as the
safety concern related to its use.
results, indicating that while G. glabra has potential, further large-scale human trials are
necessary to confirm its therapeutic efficacy for liver diseases.
Glycyrrhiza glabra shows promise as a hepatoprotective agent, but more rigorous clinical studies
are essential to better understand its therapeutic potential and to establish safety guidelines for its
use in liver diseases.
Moringa oleifera
Introduction-
Moringa oleifera, often referred to as the "drumstick tree" or "miracle tree," has been extensively
studied for its wide range of medicinal properties. Among its various health benefits, its
hepatoprotective (liver-protecting) activity has garnered significant attention.
Moringa oleifera shows significant promise as a hepatoprotective agent, primarily due to its
antioxidant, anti-inflammatory, and antifibrotic properties. The preclinical evidence supports its
potential in the treatment of various liver disorders, including liver injury induced by toxins,
alcohol, and medications. However, while some human clinical studies have shown positive
results, more large-scale, well-controlled human trials are necessary to fully understand its
efficacy and safety profile. Moringa oleifera could be considered a valuable therapeutic agent for
liver protection, but further research is essential to establish standardized dosages, treatment
regimens, and the long-term effects of its use.
.
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2. LITERATURE REVIEW
Khandelwal K.R. et.al (2007) is a well-known author in the field of herbal medicine and
pharmacology, particularly focusing on the hepatoprotective activities of various plants. While
there isn't an extensive amount of detailed literature specifically focusing on Khandelwal's work,
a general overview of his contribution to the subject of hepatoprotective plants can be
synthesized from his published books, research articles, and contributions to scientific studies.
The study by Garg S K et al. (2021) concludes that plants with hepatoprotective properties hold
significant promise in the treatment and management of liver disorders. The wide range of plant
extracts reviewed in the study offers potential for the development of new, natural, and safer
therapeutic agents for liver protection. The hepatoprotective activity of these plants is supported
by their ability to reduce inflammation, oxidative stress, and enhance liver regeneration, making
them viable alternatives to synthetic drugs in managing liver diseases.
The study by Shilpa K et al. (2013) focusing on the hepatoprotective activity of plants typically
highlights the investigation of plant-based natural products for their potential to protect the liver
from damage caused by toxins, diseases, or other stressors.
In their research they explore the hepatoprotective properties of various plants, aiming to identify
compounds that can either prevent liver damage or aid in the regeneration of liver cells.
Consequently, hepatoprotective agents derived from plants are of significant interest due to their
therapeutic potential and fewer side effects compared to synthetic drugs.
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S.S. Patil's et .al 2016 study, titled "Evaluation of Hepatoprotective Activity of Medicinal Plants
and Their Mechanisms of Action", focuses on the role of various medicinal plants in protecting
the liver from damage induced by toxins, alcohol, and other harmful substances. The paper
reviews and discusses the molecular mechanisms underlying hepatoprotective effects,
particularly those of herbal compounds
They work offers a comprehensive overview of medicinal plants with hepatoprotective activity,
discussing their mechanisms, active compounds, and potential therapeutic applications. It
underscores the importance of antioxidants, anti-inflammatory agents, and liver-regenerative
properties in mitigating liver damage caused by various toxic substances. The review serves as a
valuable resource for researchers interested in exploring plant-based treatments for liver diseases.
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3.METHODOLOGY
Curcuma longa (turmeric) is widely recognized for its hepatoprotective properties due to its
bioactive compounds, primarily curcumin. Comparative methodology evaluates these activities
based on various experimental models and mechanisms. Below is an overview of its
hepatoprotective effects and related methodologies, along with a summary of their efficacy
percentages:
1. Mechanisms of Hepatoprotection
a. Antioxidant Activity: Neutralizing reactive oxygen species (ROS) and reducing oxidative
stress in liver tissues.
c. Antifibrotic Effects: Preventing liver fibrosis by reducing collagen deposition and TGF-β1
signaling.
d. Regeneration Enhancement: Promoting liver cell repair and regeneration through growth
factor modulation.
2. Experimental Methodologies
Results: Curcumin showed hepatoprotection with a reduction in ALT and AST levels by 60–80%.
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Results: Curcumin reduced ROS levels by ~70% and increased cell viability by 50–60%.
-Clinical Studies:
Results: Improvement in liver enzymes (ALT and AST) by ~40–50% after curcumin
supplementation.
Curcuma longa is compared with synthetic drugs (e.g., silymarin) and other herbal agents:
c. Synergistic Effects: Enhanced hepatoprotection when combined with other compounds (e.g.,
piperine).
c. Long-term Effects: More clinical trials are needed to confirm long-term safety and efficacy.
Aegle marmelos, or Bael, has been extensively studied for its hepatoprotective properties. Its
bioactive compounds, such as alkaloids, flavonoids, and coumarins, provide protection against
liver damage through antioxidant, anti-inflammatory, and detoxifying mechanisms. Below is a
comprehensive review of methodologies used to evaluate its hepatoprotective activities, along
with efficacy percentages.
1. Mechanisms of Hepatoprotection
2. Experimental Methodologies
Parameters Analyzed:
Results: Bael leaf extract (100 mg/kg) reduced ALT, AST, and ALP by 60–75% and improved
antioxidant enzyme activity by ~70%.
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Parameters:
Results: Bael extract reduced ROS by ~65% and increased cell viability by ~50%.
-Clinical Studies:
Markers:
c. Combination Therapy: Bael extracts combined with piperine or silymarin showed enhanced
hepatoprotective effects (~10–15% improvement).
c. Clinical Trials: More robust clinical studies are needed to confirm efficacy in humans.
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Conclusion:
Moringa oleifera is widely studied for its hepatoprotective properties due to its rich content of
bioactive compounds such as flavonoids, phenolics, vitamins, and antioxidants. Comparative
methodologies for evaluating its hepatoprotective activities involve assessing its effects
alongside standard treatments or other natural compounds with hepatoprotective potential.
1. Comparative Methodology
1. Model Induction: Hepatic damage is induced using agents like carbon tetrachloride (CCl₄),
paracetamol, or alcohol.
5. Test groups: Moringa oleifera extracts (leaves, seeds, or pods) at various doses.
- Parameters Measured:
b. In Vitro Studies
Moringa oleifera extract is applied, and cell viability is assessed using assays like MTT
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Moringa oleifera is compared with other plants (e.g., Phyllanthus amarus, Curcuma longa, or
Andrographis paniculata).
Similar protocols are followed, comparing the efficacy of extracts based on antioxidant content
and hepatoprotective potential.
3. Chemical Analysis
1. Bioactive Content: Quantify phenolic and flavonoid content (e.g., quercetin, kaempferol).
1. Serum Biomarkers:
3. Histological Improvement:
Conclusion
Azadirachta indica, commonly known as neem, has been extensively studied for its
hepatoprotective properties. The methodologies employed to evaluate these effects involve both
in vivo (animal) and in vitro (cell culture) studies, often comparing neem extracts to standard
hepatoprotective agents.
1. Comparative Methodology
1. Induction of Hepatic Damage: Liver injury is typically induced in animals using hepatotoxins
such as carbon tetrachloride (CCl₄) or paracetamol.
2. Experimental Groups:
6. Test Groups: Administered various doses of neem leaf extracts (aqueous or ethanolic).
2. Assessment Parameters:
b. In Vitro Studies
1. Hepatocyte Cultures: Liver cells are exposed to toxic agents in the presence and absence of
neem extracts to evaluate protective effects.
2. Cytotoxicity Assays: Cell viability is assessed using assays such as MTT to determine the
protective efficacy of neem extracts.
Studies have demonstrated that neem leaf extracts exhibit significant hepatoprotective effects:
1. Reduction in Serum Enzyme Levels: Neem extracts have been shown to significantly
decrease elevated levels of SGOT, SGPT, and ALP induced by hepatotoxins, indicating
restoration of normal liver function.
The extent of these protective effects varies depending on factors such as the type of extract
(aqueous or ethanolic), dosage, and duration of treatment. While specific percentages of
improvement are not consistently reported across studies, neem extracts have been found to offer
hepatoprotective effects comparable to standard treatments like silymarin.
Conclusion
Bhringraj (Eclipta alba, also known as Eclipta prostrata) is a traditional medicinal herb widely
recognized for its hepatoprotective (liver-protective) properties. Studies investigating its
hepatoprotective activities often employ various comparative methodologies, including
experimental models, to evaluate its efficacy. Below is an outline of a typical comparative
methodology and its associated percentage efficacy as reported in studies:
1. Comparative Methodology
2. Experimental Models:
- In Vitro Studies:
3. Study Design:
1. Group Division: Control, toxicant-only, toxicant + bhringraj extract, and standard drug (e.g.,
silymarin) as reference.
2. Dosage Variation: Administering bhringraj at different concentrations (e.g., 50, 100, 200
mg/kg body weight).
Biochemical Markers:
5. Comparative Analysis:
Compare results of bhringraj extract with standard hepatoprotective drugs and untreated controls.
Bhringraj extracts typically reduce ALT, AST, and bilirubin levels by 50-80% compared to
toxicant-only groups.
2. Histological Protection:
Reduced necrosis and inflammation with comparable efficacy to silymarin in doses of 100-200
mg/kg.
3. Antioxidant Activity:
Conclusion
1. Comparative Methodology
2. Experimental Models
-In Vitro:
Cultured liver cells or hepatocyte lines exposed to hepatotoxins (e.g., CCl₄, ethanol).
-In Vivo:
Animal models (rats, mice) treated with hepatotoxins like CCl₄, paracetamol, or thioacetamide.
3. Study Design
a. Group Division: Negative control (healthy group), positive control (hepatotoxin only),
Glycyrrhiza-treated groups at varying doses (e.g., 50, 100, 200 mg/kg), and a standard
hepatoprotective drug group (e.g., silymarin).
a. Biochemical Markers:
c. Histopathology:
d. Molecular Mechanisms:
5. Comparative Analysis
Results of Glycyrrhiza glabra extracts are compared with both toxicant-only and standard drug
groups (e.g., silymarin).
Significant decrease in ALT, AST, ALP, and bilirubin levels, with efficacy ranging between 60-
85% compared to standard drugs.
2. Antioxidant Activity:
Glycyrrhiza glabra extracts enhance antioxidant enzyme levels by 70-90%, indicating strong free
radical scavenging properties.
3. Histological Improvements:
Notable reduction in hepatocellular necrosis and inflammation, with efficacy around 75-90%
when compared to untreated toxicant groups.
Conclusion
Its efficacy, often comparable to silymarin, is attributed to the synergistic actions of glycyrrhizin
and flavonoids. Standardization of extracts is essential to maximize therapeutic potential and
ensure reproducibility across studies.
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4. CONCLUSION
The plant with maximum hepatoprotective activity was found to be Glycyrrhiza glabra (liquorice) with
percentage (~80-95%),which is a major active compound and plays a central role in anti-oxidant,anti-
inflammatory and re-generative properties.
In summary,glycyrrhiza glabra shows promise as a hepatoprotective agent but more rigorous clinical
studies are essential to better understand its therapeutic potential and to establish safety guidelines for its
use in liver diseases.
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