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Development
of
Novel Phyto-drugs
in
Curing LIVER Diseases

Presented by
Dr. Sudhakar Kokate
Director PPRC, India
Liver
‽ Largest organ in the human body
‽ Pivotal role in maintenance of health and
homeostasis
‽ Involved in vital functions –
- Metabolism
- Secretion
- Storage
- Detoxification of drugs & xenobiotics

PPRC/INDIA 01
Origin of Liver diseases
(Acute & Chronic)

‽ Viruses

‽ Toxins

‽ Drugs

‽ Metabolic disorders

‽ Exposure to solvents

‽ Genetic disorders

‽ Hydrocarbons

‽ Alcohol consumption

PPRC/INDIA 02
Stat of Diseases
‽ Hepatitis A….In children 85 – 95 % in SE Asia
‽ Hepatitis B….5 – 7 %
‽ Hepatitis C….2 %
‽ Cirrhosis & Cancer….20 – 30 %
‽ Alcoholic hepatitis….60 %
‽ Hepato-toxicity….1 in 10,000 – 1 in 100,000

PPRC/INDIA 03
Phyto-Stat for Cure
‽ Hepato-protective plants….101 plants of
Globe….150 phyto-constituents
‽ India….87 plants….33 patented herbal formulations
‽ A number of poly-herbal mixtures
‽ In U.S. >13 % patients on herbal remedy
‽ Other countries range 18 – 65 %

PPRC/INDIA 04
Classification of
Liver disorders
‽ Hepatitis
‽ Hepatosis
‽ Liver cirrhosis
‽ Liver injury
‽ Acute hepatitis
PPRC/INDIA 05
Classification of
Liver disorders
‽ Chronic active Hepatitis B
‽ Primary Sclerosing Cholangitis (PSC)
‽ Primary Biliary Cirrhosis (PBC)
‽ Alcoholic fibrosis
‽ Alcoholic hepatitis
PPRC/INDIA 06
Well characterised
phyto-drugs
‽ Silybum marinum
‽ Picrorhiza kurroa
‽ Liv. 52: - Capparis spinosa

- Cassia occidentalis

- Achillea millefolium

- Tamarix gallica

- Cichorium intybus

- Solanum nigrum

- Terminalia arjuna
PPRC/INDIA 07
Well characterised
phyto-drugs
‽ T J 9: Prescribed in China, Japan as “Sho-saiko-to” – an
aqueous extract from the roots of Scutellaria,
Glycyrrhiza, Bupleurum, Ginseng, Pinella tuber, Jujube
fruit & ginger
‽ Compound 861: Chinese medicine with 10 defined
herbs, main plants – Salvia miltiorrhiza, Astragalus
membranaceous, Spatholobus suferectus

PPRC/INDIA 08
Emerging research trend
On
Phyto-medicine
Andrographis paniculata

PPRC/INDIA 09
Andrographis paniculata
‽ Habitat: Plains of India
‽ Extensively used in Unani and Ayurveda
‽ Aqueous extract of leaves …. Effective
‽ The extract inhibited BHC induced Liver toxicity in
Swiss male mice …. Trivedi & Rawal, 2000
PPRC/INDIA 10
Boerhavia diffusa

PPRC/INDIA 11
Boerhavia diffusa
‽ Commonly known as “Punarnava”
‽ Perennial creeping herb found in waste lands of
India
‽ Roots effective in Liver Diseases …. Kirtikar & Basu
1933, Chopra 1956
PPRC/INDIA 12
Boerhavia diffusa
‽ Whole plant extract potent in cure …. Chakraborti &
Handa 1989
‽ Compounds Punarnavin, Beta-sitosterol from roots
Beta-D-glucoside, tetracosanoic, hexacosanoic,
stearic, palmitic, arachidic acid, hentriacontane,
ursolic acid punarnavoside
PPRC/INDIA 13
Peumus boldus

PPRC/INDIA 14
Peumus boldus
‽ Indigenous to Chile
‽ Small tree: 8 cm long, coriaceous texture, strong
odour
‽ Family: Monimiaceae
‽ Chemicals: Boldine, Ascaridole, Linalool, P-cymene
cineole
PPRC/INDIA 15
Fumaria indica

PPRC/INDIA 16
Fumaria indica
‽ The whole plant: Constituent of Unani, Ayurvedic
and Medicinal preparations
‽ Family: Fumariaceae
‽ Anti-hepatotoxic against thioacetamide in vitro &
carbon tetrachloride, paracetamol, rifampicin
‽ Active principle: similar to Silymarin
PPRC/INDIA 17
Fumaria indica
‽ The plant is useful in:
- Blood purification
- Cutaneous diseases
- Obstructions of Liver

PPRC/INDIA 18
Curcuma longa

PPRC/INDIA 19
Curcuma longa
‽ Hepato-protective against carbon tetra chloride,
paracetamol and Aspergillus aflatoxin
‽ Effective due to anti-oxidant property
‽ Major metabolite of Curcumin – tetrahydrocurcumin
(THC)
‽ THC prevents erythromycin estolate induced Liver
disease

PPRC/INDIA 20
Picrorhiza kurroa

PPRC/INDIA 21
Picrorhiza kurroa
‽ Family: Scrophulariaceae
‽ Small perennial herb
‽ Grows in northwest India
‽ Active principle: irioid glycoside, Picrosides I, II, III,
Kutkoside
‽ Hepato-protective effect superior to that of Silymarin in
many cases

PPRC/INDIA 22
Picrorhiza kurroa
‽ Protects Liver cells from a wide variety of injuries
including:
- Carbon tetrachloride (Santra et. al 1998)

-

- Galactosamine (Dwivedi 1992)
- Ethanol (Rastogi et. al 1996)
- Acetaminophen (Singh et. al 1992)
- Thioacetamide (Dwivedi et. al 1991)

PPRC/INDIA 23
Phyllanthus amarus

PPRC/INDIA 24
Phyllanthus amarus
‽ Family: Euphorbiaceae
‽ Widespread throughout tropic and subtropics in sandy
regions or cultivated & wastelands
‽ The plant is bitter, astringent, cooling, diuretic,
stomachic, febrifuge & antiseptic
‽ Butanol fraction of the whole plant exhibited potent
activity (Tripathi et. al 1992)

PPRC/INDIA 25
Phyllanthus amarus
‽ Whole plant powder 0.66 gm/kg in rat showed hepatoprotective action against carbon tetrachloride (Sane et.
al 1955)
‽ Albino rats treated with ethanol were orally given
whole plant powder 200 mg/rat per day for 45 days
showed significant activity
PPRC/INDIA 26
Glycyrrhiza glabra

PPRC/INDIA 27
Glycyrrhiza glabra
‽ Glycyrrhizin, main component of Licorice root
‽ Found to be effective for chronic hepatitis and liver
cirrhosis
‽ It showed hepato-protective effect against toxicity by
carbon tetrachloride and Gal N
‽ Antioxidant properties of glycyrrhizin & glycyrrhetinic
acid responsible for anti-hepatotoxic activity PPRC/INDIA 28
Silybum marianum

PPRC/INDIA 29
Silybum marianum
‽ Most characterised useful important plant
‽ Mixture of Silvbin, Silvdianin & Silychristin
‽ Significant action against induction by carbon
tetrachloride of Liver damage in rats
‽ It reduces the prolongation of hexa-harbital
sleeping time produced by carbon tetrachloride
PPRC/INDIA 30
Cichorium intybus

PPRC/INDIA 31
Cichorium intybus
‽ Family: Compositae
‽ Aqueous extract showed hepato-protective toxicity
induced by carbon tetrachloride & paracetamol
(Gadgoli & Mishra 1995)
‽ Scientists conducted several experiments on this
plant
PPRC/INDIA 32
Tinospora cordifolia

PPRC/INDIA 33
Tinospora cordifolia
‽ Commonly known as Guduchi or Amrita
‽ Most valuable medicinal herb in Ayurveda
‽ Plant has ability to impart youthfulness vitality &
longevity
‽ Also quite effective in Liver injury
PPRC/INDIA 34
Tinospora cordifolia
‽ In modern times it is well known as hepatoprotective, adaptogenic & immuno-modulatory
activities
‽ Clinical studies in patients of hepatitis showed that
Guduchi plays an important role in relieving the
symptoms of Liver disease
PPRC/INDIA 35
Wedelia calendulacea

PPRC/INDIA 36
Wedelia calendulacea
‽ Family: Compositae
‽ Perennial herb with light camphor-like odour
‽ Traditionally used as tonic, spleen enlargement and
skin diseases
‽ Showed protective action in Paracetamol induced
Liver damage
PPRC/INDIA 37
Wedelia calendulacea
‽ The alcoholic extract of whole plant exhibited
protection against carbon tetrachloride
‽ The extract increased bile flow in rats.
‽ Min. lethal dose was greater than 200 mg/kg P.O. in
mice
PPRC/INDIA 38
Tephrosia purpurea

PPRC/INDIA 39
Tephrosia purpurea
‽ Locally known as “Sarapunkha”
‽ Most important ingredient of formulations available in
Indian market for liver ailments
‽ Good results in Cirrhosis & vital Hepatitis in clinical trials
‽ It prevents cellular leakage & loss of functional integrity
of Liver cell membranes, release in hepatic regeneration
PPRC/INDIA 40
Protium heptaphyllum

PPRC/INDIA 41
Protium heptaphyllum
‽ Family: Burseraceae
‽ Active principle: alpha & beta amyrin, a triterpene
mixture
‽ Folk medicinal plant
‽ It protects acetaminophen induced Liver injury
PPRC/INDIA 42
Buddleja officinalis

PPRC/INDIA 43
Buddleja officinalis
‽ Family: Loganiaceae
‽ Flowers, buds effective
‽ Active principle: Acteoside, a phenylethanoid
glycoside
‽ Possesses antioxidant property
‽ Protects against carbon tetrachloride

PPRC/INDIA 44
Anastatica hierochuntica

PPRC/INDIA 45
Anastatica hierochuntica
‽ Egyptian medicinal herb
‽ Chemicals: Anastatins A & B from Methanolic
extract
‽ Protective against d-galactosamine induced
cytotoxicity in primary cultured mouse
‽ Activity is stronger than that of commercial Silybin
PPRC/INDIA 46
Tilia argentea

PPRC/INDIA 47
Tilia argentea
‽ Methanolic ext. showed protection against dgalactosamine, Lipopolysaccharide induced Liver
injury in mice
‽ Flowers are effective hepato-protectors

PPRC/INDIA 48
Garcinia kola

PPRC/INDIA 49
Garcinia kola
‽ Extract of seeds of this plant showed protection
against carbon tetrachloride induced Liver injury
‽ Extensively studied plant

PPRC/INDIA 50
Hymenaea martiana

PPRC/INDIA 51
Hymenaea martiana
‽ Active principle: Astibin
‽ Protects against carbon tetrachloride induced Liver
injury
‽ One of the important useful herb

PPRC/INDIA 52
Thank You !!

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Semecarpus
 
Mushroom
MushroomMushroom
Mushroom
 
White foods
White foodsWhite foods
White foods
 
Haemorrhoids
HaemorrhoidsHaemorrhoids
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Violet foodsViolet foods
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Orange foodsOrange foods
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Cissampelos
CissampelosCissampelos
Cissampelos
 
Yellow foods
Yellow foodsYellow foods
Yellow foods
 
Green foods
Green foodsGreen foods
Green foods
 
Red foods
Red foodsRed foods
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Liver diseases - Part I

  • 1. Development of Novel Phyto-drugs in Curing LIVER Diseases Presented by Dr. Sudhakar Kokate Director PPRC, India
  • 2. Liver ‽ Largest organ in the human body ‽ Pivotal role in maintenance of health and homeostasis ‽ Involved in vital functions – - Metabolism - Secretion - Storage - Detoxification of drugs & xenobiotics PPRC/INDIA 01
  • 3. Origin of Liver diseases (Acute & Chronic) ‽ Viruses ‽ Toxins ‽ Drugs ‽ Metabolic disorders ‽ Exposure to solvents ‽ Genetic disorders ‽ Hydrocarbons ‽ Alcohol consumption PPRC/INDIA 02
  • 4. Stat of Diseases ‽ Hepatitis A….In children 85 – 95 % in SE Asia ‽ Hepatitis B….5 – 7 % ‽ Hepatitis C….2 % ‽ Cirrhosis & Cancer….20 – 30 % ‽ Alcoholic hepatitis….60 % ‽ Hepato-toxicity….1 in 10,000 – 1 in 100,000 PPRC/INDIA 03
  • 5. Phyto-Stat for Cure ‽ Hepato-protective plants….101 plants of Globe….150 phyto-constituents ‽ India….87 plants….33 patented herbal formulations ‽ A number of poly-herbal mixtures ‽ In U.S. >13 % patients on herbal remedy ‽ Other countries range 18 – 65 % PPRC/INDIA 04
  • 6. Classification of Liver disorders ‽ Hepatitis ‽ Hepatosis ‽ Liver cirrhosis ‽ Liver injury ‽ Acute hepatitis PPRC/INDIA 05
  • 7. Classification of Liver disorders ‽ Chronic active Hepatitis B ‽ Primary Sclerosing Cholangitis (PSC) ‽ Primary Biliary Cirrhosis (PBC) ‽ Alcoholic fibrosis ‽ Alcoholic hepatitis PPRC/INDIA 06
  • 8. Well characterised phyto-drugs ‽ Silybum marinum ‽ Picrorhiza kurroa ‽ Liv. 52: - Capparis spinosa - Cassia occidentalis - Achillea millefolium - Tamarix gallica - Cichorium intybus - Solanum nigrum - Terminalia arjuna PPRC/INDIA 07
  • 9. Well characterised phyto-drugs ‽ T J 9: Prescribed in China, Japan as “Sho-saiko-to” – an aqueous extract from the roots of Scutellaria, Glycyrrhiza, Bupleurum, Ginseng, Pinella tuber, Jujube fruit & ginger ‽ Compound 861: Chinese medicine with 10 defined herbs, main plants – Salvia miltiorrhiza, Astragalus membranaceous, Spatholobus suferectus PPRC/INDIA 08
  • 12. Andrographis paniculata ‽ Habitat: Plains of India ‽ Extensively used in Unani and Ayurveda ‽ Aqueous extract of leaves …. Effective ‽ The extract inhibited BHC induced Liver toxicity in Swiss male mice …. Trivedi & Rawal, 2000 PPRC/INDIA 10
  • 14. Boerhavia diffusa ‽ Commonly known as “Punarnava” ‽ Perennial creeping herb found in waste lands of India ‽ Roots effective in Liver Diseases …. Kirtikar & Basu 1933, Chopra 1956 PPRC/INDIA 12
  • 15. Boerhavia diffusa ‽ Whole plant extract potent in cure …. Chakraborti & Handa 1989 ‽ Compounds Punarnavin, Beta-sitosterol from roots Beta-D-glucoside, tetracosanoic, hexacosanoic, stearic, palmitic, arachidic acid, hentriacontane, ursolic acid punarnavoside PPRC/INDIA 13
  • 17. Peumus boldus ‽ Indigenous to Chile ‽ Small tree: 8 cm long, coriaceous texture, strong odour ‽ Family: Monimiaceae ‽ Chemicals: Boldine, Ascaridole, Linalool, P-cymene cineole PPRC/INDIA 15
  • 19. Fumaria indica ‽ The whole plant: Constituent of Unani, Ayurvedic and Medicinal preparations ‽ Family: Fumariaceae ‽ Anti-hepatotoxic against thioacetamide in vitro & carbon tetrachloride, paracetamol, rifampicin ‽ Active principle: similar to Silymarin PPRC/INDIA 17
  • 20. Fumaria indica ‽ The plant is useful in: - Blood purification - Cutaneous diseases - Obstructions of Liver PPRC/INDIA 18
  • 22. Curcuma longa ‽ Hepato-protective against carbon tetra chloride, paracetamol and Aspergillus aflatoxin ‽ Effective due to anti-oxidant property ‽ Major metabolite of Curcumin – tetrahydrocurcumin (THC) ‽ THC prevents erythromycin estolate induced Liver disease PPRC/INDIA 20
  • 24. Picrorhiza kurroa ‽ Family: Scrophulariaceae ‽ Small perennial herb ‽ Grows in northwest India ‽ Active principle: irioid glycoside, Picrosides I, II, III, Kutkoside ‽ Hepato-protective effect superior to that of Silymarin in many cases PPRC/INDIA 22
  • 25. Picrorhiza kurroa ‽ Protects Liver cells from a wide variety of injuries including: - Carbon tetrachloride (Santra et. al 1998) - - Galactosamine (Dwivedi 1992) - Ethanol (Rastogi et. al 1996) - Acetaminophen (Singh et. al 1992) - Thioacetamide (Dwivedi et. al 1991) PPRC/INDIA 23
  • 27. Phyllanthus amarus ‽ Family: Euphorbiaceae ‽ Widespread throughout tropic and subtropics in sandy regions or cultivated & wastelands ‽ The plant is bitter, astringent, cooling, diuretic, stomachic, febrifuge & antiseptic ‽ Butanol fraction of the whole plant exhibited potent activity (Tripathi et. al 1992) PPRC/INDIA 25
  • 28. Phyllanthus amarus ‽ Whole plant powder 0.66 gm/kg in rat showed hepatoprotective action against carbon tetrachloride (Sane et. al 1955) ‽ Albino rats treated with ethanol were orally given whole plant powder 200 mg/rat per day for 45 days showed significant activity PPRC/INDIA 26
  • 30. Glycyrrhiza glabra ‽ Glycyrrhizin, main component of Licorice root ‽ Found to be effective for chronic hepatitis and liver cirrhosis ‽ It showed hepato-protective effect against toxicity by carbon tetrachloride and Gal N ‽ Antioxidant properties of glycyrrhizin & glycyrrhetinic acid responsible for anti-hepatotoxic activity PPRC/INDIA 28
  • 32. Silybum marianum ‽ Most characterised useful important plant ‽ Mixture of Silvbin, Silvdianin & Silychristin ‽ Significant action against induction by carbon tetrachloride of Liver damage in rats ‽ It reduces the prolongation of hexa-harbital sleeping time produced by carbon tetrachloride PPRC/INDIA 30
  • 34. Cichorium intybus ‽ Family: Compositae ‽ Aqueous extract showed hepato-protective toxicity induced by carbon tetrachloride & paracetamol (Gadgoli & Mishra 1995) ‽ Scientists conducted several experiments on this plant PPRC/INDIA 32
  • 36. Tinospora cordifolia ‽ Commonly known as Guduchi or Amrita ‽ Most valuable medicinal herb in Ayurveda ‽ Plant has ability to impart youthfulness vitality & longevity ‽ Also quite effective in Liver injury PPRC/INDIA 34
  • 37. Tinospora cordifolia ‽ In modern times it is well known as hepatoprotective, adaptogenic & immuno-modulatory activities ‽ Clinical studies in patients of hepatitis showed that Guduchi plays an important role in relieving the symptoms of Liver disease PPRC/INDIA 35
  • 39. Wedelia calendulacea ‽ Family: Compositae ‽ Perennial herb with light camphor-like odour ‽ Traditionally used as tonic, spleen enlargement and skin diseases ‽ Showed protective action in Paracetamol induced Liver damage PPRC/INDIA 37
  • 40. Wedelia calendulacea ‽ The alcoholic extract of whole plant exhibited protection against carbon tetrachloride ‽ The extract increased bile flow in rats. ‽ Min. lethal dose was greater than 200 mg/kg P.O. in mice PPRC/INDIA 38
  • 42. Tephrosia purpurea ‽ Locally known as “Sarapunkha” ‽ Most important ingredient of formulations available in Indian market for liver ailments ‽ Good results in Cirrhosis & vital Hepatitis in clinical trials ‽ It prevents cellular leakage & loss of functional integrity of Liver cell membranes, release in hepatic regeneration PPRC/INDIA 40
  • 44. Protium heptaphyllum ‽ Family: Burseraceae ‽ Active principle: alpha & beta amyrin, a triterpene mixture ‽ Folk medicinal plant ‽ It protects acetaminophen induced Liver injury PPRC/INDIA 42
  • 46. Buddleja officinalis ‽ Family: Loganiaceae ‽ Flowers, buds effective ‽ Active principle: Acteoside, a phenylethanoid glycoside ‽ Possesses antioxidant property ‽ Protects against carbon tetrachloride PPRC/INDIA 44
  • 48. Anastatica hierochuntica ‽ Egyptian medicinal herb ‽ Chemicals: Anastatins A & B from Methanolic extract ‽ Protective against d-galactosamine induced cytotoxicity in primary cultured mouse ‽ Activity is stronger than that of commercial Silybin PPRC/INDIA 46
  • 50. Tilia argentea ‽ Methanolic ext. showed protection against dgalactosamine, Lipopolysaccharide induced Liver injury in mice ‽ Flowers are effective hepato-protectors PPRC/INDIA 48
  • 52. Garcinia kola ‽ Extract of seeds of this plant showed protection against carbon tetrachloride induced Liver injury ‽ Extensively studied plant PPRC/INDIA 50
  • 54. Hymenaea martiana ‽ Active principle: Astibin ‽ Protects against carbon tetrachloride induced Liver injury ‽ One of the important useful herb PPRC/INDIA 52
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