Hepatoprotective effect of hydromethanol extract of Otostegia integrifolia benth leaves in isoniazid and rifampicin induced Swiss albino mice

Introduction: Drug-induced liver injury is the most common cause of acute liver failure. Off-Target effect “hepatotoxicity “frequently detected during clinical examination of patients on anti-Tb medication particularly isoniazid (INH), and rifampin (RMP). However, there is no any treatment option ag...

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Main Authors: Endalkachew Gugsa, Tewodros Shibabaw Molla, Tesfahun Bekele, Tadesse Asmamaw Dejenie
Format: Article
Language:English
Published: Elsevier 2023-12-01
Series:Metabolism Open
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2589936823000270
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author Endalkachew Gugsa
Tewodros Shibabaw Molla
Tesfahun Bekele
Tadesse Asmamaw Dejenie
author_facet Endalkachew Gugsa
Tewodros Shibabaw Molla
Tesfahun Bekele
Tadesse Asmamaw Dejenie
author_sort Endalkachew Gugsa
collection DOAJ
description Introduction: Drug-induced liver injury is the most common cause of acute liver failure. Off-Target effect “hepatotoxicity “frequently detected during clinical examination of patients on anti-Tb medication particularly isoniazid (INH), and rifampin (RMP). However, there is no any treatment option against isoniazid and rifampicin induced hepatotoxicity. It is, therefore, necessary to search for effective affordable and safe drugs from medicinal plants for the prevention of liver toxicity caused by isoniazid and rifampicin. The aim the current study is to evaluate hepatoprotective effect of hydro methanol extract from Otostegia integrifolia leaves in isoniazid and rifampicin-induced hepatotoxicity in Swiss albino mice. Methods: O. integrifolia leaves powder was macerated in hydromethanol and thirty Swiss albino mice 29.0–40.6 g were grouped in to five groups. Group I were given 20 ml/kg distilled water, group II were given 100 mg INH and 150 mg RIF per kg body weight. Group III, group IV, and group V were given 200 mg extract, 400 mg extract, and 100 mg of N-acetyl cysteine respectively per kg 1hr before induction with 100 mg INH plus 150 mg RIF per kg. The treatments were followed for 14 days. On the 15th day, all mice were anaesthetized with diethyl ether; blood samples were collected for the assessment liver enzyme and function test. Results: Group II mice's serum ALT, AST and total bilirubin levels were significantly increased and serum total protein and albumin levels were significantly decreased as compared with group I mice. The groups of mice treated with O. integrifolia at a dose of 400 mg/kg and N-acetyl cysteine AST, ALT and total bilirubin level were significantly decreased; and total protein and albumin levels were significantly (P < 0.05) increased as compared with group II. The liver index of the group IV showed decreased (P < 0.05) as compared to the group II. Conclusion: Evidence from our study revealed that the hydromethanol extract of O. integrifolia has a hepatoprotective effect against isoniazid and rifampicin-induced hepatotoxicity in Swiss Albino mice. This protective effect of O. integrifolia extract may be based on its metal ion reducing power, free radical scavenging activity, and anti-inflammatory activity and could be used as a potential therapeutic option.
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spelling doaj.art-0e52656ee1974b019df2558055cb73fb2023-12-12T04:35:23ZengElsevierMetabolism Open2589-93682023-12-0120100255Hepatoprotective effect of hydromethanol extract of Otostegia integrifolia benth leaves in isoniazid and rifampicin induced Swiss albino miceEndalkachew Gugsa0Tewodros Shibabaw Molla1Tesfahun Bekele2Tadesse Asmamaw Dejenie3Department of Biochemistry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, EthiopiaDepartment of Biochemistry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, EthiopiaDepartment of Biochemistry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, EthiopiaCorresponding author.; Department of Biochemistry, School of Medicine, College of Medicine and Health Sciences, University of Gondar, EthiopiaIntroduction: Drug-induced liver injury is the most common cause of acute liver failure. Off-Target effect “hepatotoxicity “frequently detected during clinical examination of patients on anti-Tb medication particularly isoniazid (INH), and rifampin (RMP). However, there is no any treatment option against isoniazid and rifampicin induced hepatotoxicity. It is, therefore, necessary to search for effective affordable and safe drugs from medicinal plants for the prevention of liver toxicity caused by isoniazid and rifampicin. The aim the current study is to evaluate hepatoprotective effect of hydro methanol extract from Otostegia integrifolia leaves in isoniazid and rifampicin-induced hepatotoxicity in Swiss albino mice. Methods: O. integrifolia leaves powder was macerated in hydromethanol and thirty Swiss albino mice 29.0–40.6 g were grouped in to five groups. Group I were given 20 ml/kg distilled water, group II were given 100 mg INH and 150 mg RIF per kg body weight. Group III, group IV, and group V were given 200 mg extract, 400 mg extract, and 100 mg of N-acetyl cysteine respectively per kg 1hr before induction with 100 mg INH plus 150 mg RIF per kg. The treatments were followed for 14 days. On the 15th day, all mice were anaesthetized with diethyl ether; blood samples were collected for the assessment liver enzyme and function test. Results: Group II mice's serum ALT, AST and total bilirubin levels were significantly increased and serum total protein and albumin levels were significantly decreased as compared with group I mice. The groups of mice treated with O. integrifolia at a dose of 400 mg/kg and N-acetyl cysteine AST, ALT and total bilirubin level were significantly decreased; and total protein and albumin levels were significantly (P < 0.05) increased as compared with group II. The liver index of the group IV showed decreased (P < 0.05) as compared to the group II. Conclusion: Evidence from our study revealed that the hydromethanol extract of O. integrifolia has a hepatoprotective effect against isoniazid and rifampicin-induced hepatotoxicity in Swiss Albino mice. This protective effect of O. integrifolia extract may be based on its metal ion reducing power, free radical scavenging activity, and anti-inflammatory activity and could be used as a potential therapeutic option.http://www.sciencedirect.com/science/article/pii/S2589936823000270HepatotoxicityIsoniazidOtostegia integrifoliaOxidative stressRifampicin
spellingShingle Endalkachew Gugsa
Tewodros Shibabaw Molla
Tesfahun Bekele
Tadesse Asmamaw Dejenie
Hepatoprotective effect of hydromethanol extract of Otostegia integrifolia benth leaves in isoniazid and rifampicin induced Swiss albino mice
Metabolism Open
Hepatotoxicity
Isoniazid
Otostegia integrifolia
Oxidative stress
Rifampicin
title Hepatoprotective effect of hydromethanol extract of Otostegia integrifolia benth leaves in isoniazid and rifampicin induced Swiss albino mice
title_full Hepatoprotective effect of hydromethanol extract of Otostegia integrifolia benth leaves in isoniazid and rifampicin induced Swiss albino mice
title_fullStr Hepatoprotective effect of hydromethanol extract of Otostegia integrifolia benth leaves in isoniazid and rifampicin induced Swiss albino mice
title_full_unstemmed Hepatoprotective effect of hydromethanol extract of Otostegia integrifolia benth leaves in isoniazid and rifampicin induced Swiss albino mice
title_short Hepatoprotective effect of hydromethanol extract of Otostegia integrifolia benth leaves in isoniazid and rifampicin induced Swiss albino mice
title_sort hepatoprotective effect of hydromethanol extract of otostegia integrifolia benth leaves in isoniazid and rifampicin induced swiss albino mice
topic Hepatotoxicity
Isoniazid
Otostegia integrifolia
Oxidative stress
Rifampicin
url http://www.sciencedirect.com/science/article/pii/S2589936823000270
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AT tesfahunbekele hepatoprotectiveeffectofhydromethanolextractofotostegiaintegrifoliabenthleavesinisoniazidandrifampicininducedswissalbinomice
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