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* Corresponding author: E.Nikhil Chakravarthy
E-mail address: e.nikhilchakravarthy@yahoo.com
~ 1 ~
IJAMSCR |Volume 2 | Issue 1 | Jan-Mar - 2014
www.ijamscr.com
Research article
Pharmacological Evaluation of Hepatoprotective Activity of
Ethanolic extract of Andrographis lineata Nees on Hepatotoxicity
Induced Rats
*E.Nikhil Chakravarthy, D.Sudharshan Reddy, G.Venkataiah
Department of Pharmacology, Smt.Sarojini Ramulamma College of Pharmacy,
Sheshadrinagar, Mahabubnagar-509001, Andhra Pradesh, India.
ABSTRACT
Liver diseases are still a worldwide health problem due to drug-induced hepatotoxicity. It may occur as an
unexpected idiosyncratic reaction, or nontoxic drug or it may be an expected consequence of the intrinsic
toxicity of a drug, taken in a sufficiently large dose to cause liver injury. A highly potential therapeutic agent or
a medicinal extract is necessary for the preventive action of the hepatic disorders leading to the inflammation
and drug inducing liver injury. The present study proved the medicinal plant with supportive therapeutic
efficacy. Albino wistar rats of either sex are induced by Rifampicin orally at a dose of 1g/kg and for a period of
14 days, and were treated with ethanolic extract of the stems of Andrographis lineata Nees (EEALN) orally at a
dose of 200 and 400 mg/kg/day. The biochemical parameters such as serum glutamate oxaloacetate
transaminase (SGOT), serum glutamate pyruvate transaminase (SGPT), alkaline phosphatase (ALP), Total
protein, and serum bilirubin (Total and Direct) were estimated to assess the liver function. Ethanolic extract of
the stems of Andrographis lineata Nees (EEALN) showed the hepato protective activity by decreasing the levels
of serum hepatic marker enzymes. Silymarin is used as a Standard drug. Histopathological studies were
performed to confirm the biochemical changes in the hepatocytes. Toxicological studies were carried out with
the extract and 2000 mg/kg b.wt. is considered as the safe dose with no mortality and adverse effects.
Keywords: Andrographis lineata, Hepatoprotective activity, Rifampicin, SGOT, SGPT, ALP.
INTRODUCTION
Liver diseases remain one of the major threats to
public health and is a worldwide problem. Liver
disease is one of the major causes of morbidity and
mortality in public, affecting humans of all ages.
About 20,000 deaths occur every year due to liver
disorders. Some of the commonly known disorders
are viral hepatitis, alcohol liver disease, non-
alcoholic fatty liver disease, autoimmune liver
disease, metabolic liver disease, drug induced liver
injury, gallstones, etc. Because of the importance
of drug-induced hepatotoxicity in clinical
medicine, researchers and regulators have
vigorously pursued basic knowledge about
hepatotoxicity, including types and mechanisms,
with the circumstances under which hepatic injury
occurs, and measures to reduce the occurrence of
this untoward side effect of drugs used for
therapeutic purpose[1]
. Herbal medicines have stood
the test of time for their safety, efficacy, cultural
acceptability and minimal side effects. The herbal
drug products are prepared from renewable
resources of raw materials by eco-friendly
processes and will bring economic prosperity to the
masses growing these raw materials. In India it is
reported that traditional healers use 2500 plant
species and 100 species of plants benefit as usual
source of medicine.
Andrographis lineata Wall ex. Nees, (Acanthaceae)
is a tropical plant which is found in the regional
areas of Chithoor district of Andhra Pradesh, and
the total plant is used as a medicinal plant. It is
International Journal of Allied Medical Sciences
and Clinical Research (IJAMSCR)
E.Nikhil Chakravarthy, et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-2(1) 2014 [1-6]
www.ijamscr.com
2
used as an antipyretic, in snake bite and is
considered the most important plant in the
traditional system of medicine in the country[2,3]
.
The ethanolic extract of the stems of A. lineata
contains higher composition of flavonoids
(7.40%)[4]
and it is confirmed by the isolation of
the phytochemical constituents[5]
. Hence the
present study was undertaken. And also literature
survey revealed that no research work has been
carried out on hepatoprotective activity on these
models.
MATERIALS AND METHODS
Plant Materials
The stems of the plant Andrographis lineata Wall
ex. Nees were collected from a botanist Dr. K.
Madhava Chetty, Department of Botany, Sri
Venkateswara University, Chithoor district, Andhra
Pradesh, India in March 2013. And the plant
material was authenticated by a botanist. A voucher
specimen has been preserved in our College
laboratory for future reference.
Preparation of the Extract
Stems of the plant Andrographis lineata nees were
dried under shade and was powdered with a
mechanical grinder. It was then soaked with
70%v/v ethanol at 60-700
C overnight and then
loosely packed in a Soxhlet apparatus by a
continuous hot extraction process. It was then
subjected to estimate the presence of various
phytochemical constituents by using different
studies. The percentage yield was calculated and
then preserved in a sterile bottle under refrigeration
conditions.
Experimental Animals
The study was carried out using albino wistar rats
of either sex weighing about 150-200g. The
animals were grouped and housed in a
polypropylene cages and feeded with standard
pellet diet and water ad libitum. Animals were
exposed to the alternate cycles of light and
darkness of 12h each. And also standard laboratory
conditions were maintained at a temperature of
(220
C ± 30
C) and relative humidity of 50-70%. The
animals were acclimatized for a period of one week
before the initiation of the study in order to adjust
to the laboratory conditions. The experiments were
conducted according to the Institutional Animal
Ethics Committee (IAEC no: Reg. No:
51/01/C/CPCSEA/2013/006) at Smt. Sarojini
Ramulamma College of Pharmacy, Mahabubnagar
and regulations approved by the Committee for the
Purpose of Control and Supervision of Experiments
on Animals (CPCSEA).
Acute Oral Toxicity Studies
Acute oral toxicity studies were performed on
albino wistar rats of either sex with ethanolic
extract of Andrographis lineata Nees (EEALN) as
per OECD (Organization for Economic
Cooperation and Development) guidelines
No.423,(2000)[6]
. No behavioral, neurological, and
autonomic profiles lethality was evident in any of
the test groups upto 2000 mg/kg. Hence one tenth
and one-fifth of the doses were selected for
evaluation of hepatoprotective activity, i.e, 200
(1/10th
) and 400 (1/5th
) mg/kg body weight orally.
Rifampicin Induced Hepatotoxicity
Albino wistar rats of either sex were randomized
and divided into five groups, each group consisting
of six animals. The first group received orally with
normal saline 10ml/kg body weight daily for 14
days. The second group of treated animals received
Rifampicin orally (1g/kg b.wt.). The third group
received Rifampicin and Silymarin (25mg/kg body
wt.). The fourth group received orally ethanolic
extract of Andrographis lineata Nees (EEALN 200
mg/kg body wt.) and Rifampicin and then the fifth
group received orally ethanolic extract of
Andrographis lineata Nees (EEALN 400 mg/kg
body wt.) and Rifampicin daily for a period of 14
days respectively. On the 14th
day, all the rats in
each group were induced with the hepatotoxicant
Rifampicin (1g/kg body wt., orally) except group I.
Drugs and Chemicals
Rifampicin-450 mg, Silymarin, Ethyl Alcohol,
Normal saline, Formalin, Chloroform, Distilled
Water etc.
Biochemical Studies
Animals were fasted for 24 hrs before the
estimation of biochemical parameters. The blood
was collected by the retro-orbital puncture or tail
cutting method. The blood samples were collected
and serum was separated by centrifugation at 3000
rpm at 370
C for 15 min. Biochemical parameters
such as SGOT[13]
, SGPT[7]
, ALP[8]
, Total protein[9]
,
and Serum bilirubin[10,11]
were estimated.
Statistical Analysis
The data were presented as Mean ± SEM using
Graph pad Prism version 5.0. The statistical
significance between the groups were evaluated by
Dunnett’s one-way analysis of variance (ANOVA)
E.Nikhil Chakravarthy, et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-2(1) 2014 [1-6]
www.ijamscr.com
~ 3 ~
followed by Tukey’s Multiple Comparisons Test
and the value of p < 0.05 was considered as test of
significant.
RESULTS AND DISCUSSION
The levels of serum hepatic marker enzymes such
as SGOT, SGPT, ALP, Total protein, and Serum
bilirubin (Total and Direct) is represented in the
following Table 1. There was a significant
elevation in the levels of serum hepatic marker
enzymes and decreased level of proteins on the
induction of Rifampicin in treated animals.
Administration of EEALN (200 and 400 mg/kg
body wt.) significantly reduced the elevated levels
of serum hepatic marker enzymes to the normal
levels on comparing with that of the standard drug
Silymarin. Thus, there by showing the significant
hepatoprotective activity.
The results of the extract on serum marker enzymes
like SGOT, SGPT, ALP, Total Protein, Total and
Direct Bilirubin against Rifampicin induced liver
damage were represented in the following tables.
Model I: Rifampicin Induced Hepatotoxicity
Table 1. Mean data of hepatoprotective activity of EEALN of different groups against Rifampicin
induced rats
Values are Mean ± S.E.M., N=6. *P value <0.05, **p <0.01, ***p<0.001, ns = Non Significance Vs. Toxicant Control
1.2 Graphical Representation of Biochemical Parameters of EEALN against Rifampicin induced Rats
SGOT
N
O
R
M
A
L
C
O
N
T
R
O
L
S
T
A
N
D
A
R
D
E
E
A
L
N
(200M
G
/K
G
)
E
E
A
L
N
(400M
G
/K
G
)
0
50
100
150
200
Groups
SGOT(IU/L)
SGPT
N
O
R
M
A
L
C
O
N
T
R
O
LS
TA
N
D
A
R
D
E
E
A
L
N
(200M
G
/K
G
)
E
E
A
L
N
(400M
G
/K
G
)
0
50
100
150
Groups
SGPT(IU/L)
Group
Blood Serum Marker Enzymes
SGOT(IU/L) SGPT(IU/L) ALP(IU/L) TP(mg/dl) TB(mg/dl) DB(mg/dl)
Mean ±SEM Mean ± SEM Mean ± SEM Mean ± SEM Mean ± SEM Mean ± SEM
I
Normal
Control
48.06±0.823 26.69±1.023 81.31±0.593 8.263±0.476 0.156±0.012 0.078±0.016
II
Toxicant
Control
161.1±0.578** 108.6±1.335*** 212.8±2.867*** 2.055±0.169** 1.203±0.067***
1.365±0.022***
III
Standard
87.87±0.944*** 35.41±1.304*** 127.9±1.107*** 7.042±0.471*** 0.218±0.025*** 0.280±0.015**
IV
Test-I
124.68±1.161*** 57.42±1.166*** 167.04±1.503** 6.533±0.683*** 0.30±0.0006*** 0.54±0.078***
V
Test II
100.1±2.632*** 51.30±1.539*** 136.1±0.422*** 5.100±0.422** 0.27±0.005*** 0.36±0.04**
E.Nikhil Chakravarthy, et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-2(1) 2014 [1-6]
www.ijamscr.com
4
ALP
N
O
R
M
A
L
C
O
N
T
R
O
L
S
T
A
N
D
A
R
D
E
E
A
L
N
(200M
G
/K
G
)
E
E
A
L
N
(400M
G
/K
G
)
0
50
100
150
200
250
Groups
ALP(IU/L)
Total Protein
N
O
R
M
A
L
C
O
N
T
R
O
LS
T
A
N
D
A
R
D
E
E
A
L
N
(200M
G
/K
G
)
E
E
A
L
N
(400M
G
/K
G
)
0
2
4
6
8
10
Groups
TotalProtein(IU/L)
Total Bilirubin
N
O
R
M
A
L
C
O
N
T
R
O
L
S
T
A
N
D
A
R
D
E
E
A
L
N
(200M
G
/K
G
)
E
E
A
L
N
(400M
G
/K
G
)
0.0
0.5
1.0
1.5
Groups
TotalBilirubin(mg/dl)
Direct Bilirubin
N
O
R
M
A
L
C
O
N
T
R
O
L
S
T
A
N
D
A
R
D
E
E
A
L
N
(200M
G
/K
G
)
E
E
A
L
N
(400M
G
/K
G
)
0.0
0.1
0.2
0.3
0.4
0.5
Groups
DirectBilirubin(mg/dl)
Figure 1.3. Comparison of Hepatoprotective activity of EEALN of all groups of Rifampicin
induced rats. The values are Mean ± S.E.M., n=6.
MeanS.E.M data of Rifampicin induced H.toxicity
N
orm
al
R
ifam
picin
1m
g/kg
S
ilym
arin
25m
g/kg
E
E
A
LN
200m
g/kg
E
E
A
LN
400
m
g/kg
0
200
400
600
Groups
BloodSerumenzymes
Assessment of liver functions can be made by
estimating the activities of serum SGOT, SGPT,
ALP, Total Protein, Bilirubin etc. An elevation in
the levels of the serum marker enzymes is
generally regarded as the sensitive index of the
hepatic damage[14]
. The Rifampicin induced treated
liver sections of the liver showed the increased
levels of serum marker enzymes leading to the
cellular leakage and loss of functional integrity of
cell membrane in liver[15]
. Therefore, the extract
normalizes the elevated levels followed by the
stabilization of plasma membrane as well as repair
of hepatic tissue damage caused by the Rifampicin.
It also leads to the healing of hepatic parenchyma
and the regeneration of hepatocytes. The extract
stabilizes the biliary dysfunction with concurrent
depletion of raised bilirubin level and the normal
hepatocytes, prominent central veins.
It is reported to produce intensive inflammatory
infiltration followed by the feathery degeneration
of hepatocytes, resulting in the lymphocytic
infiltration in portal tracts. Protein levels were
decreased on Rifampicin and D-Galactosamine
treated rats. Oral administration of Rifampicin
treated rats increased the levels of protein levels
and treatment with ethanolic extract of
Andrographis lineata Nees (EEALN) significantly
decreased the protein levels when compared to that
E.Nikhil Chakravarthy, et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-2(1) 2014 [1-6]
www.ijamscr.com
~ 5 ~
of Silymarin. Treatment with ethanolic extract of
Andrographis lineata Nees (EEALN) significantly p
< 0.001 reduced the levels of serum enzymes,
produced by Rifampicin caused a subsequent
recovery towards normal effect.
Thus, the present studies confirms that the
ethanolic extract of stems of Andrographis lineata
Nees (EEALN) showed significant hepatoprotective
action against Rifampicin induced liver damage in
rats when compared with that of standard drug
Silymarin.
Histopathological Studies of Liver
Liver was isolated after killing all the animals and
histopathological examination is performed and a
small portion was fixed in 10% formalin[12]
. It was
examined for the changes in the levels of serum
marker enzymes along with that of any structural
modification of hepatic morphology.
Fig 1. Control Liver
(Normal Control)
Shows comparatively normal, no changes in
hepatocytes
Fig 2. Rifampicin treated Liver
(Toxicant Control)
Shows extensive infiltration of lymphocytic portal
tracts and feathery degeneration of the hepatocytes
Fig 3. Silymarin treated Liver (Standard)
Shows mild regenerative changes in hepatocytes
Fig 4.Ethanolic extract of A.lineata nees (EEALN),
(200 mg/kg ) treated Liver
Shows moderate normal hepatocytes and prominent
central veins
Fig 5. Ethanolic extract of A. lineata nees (EEALN), (400 mg/kg ) treated Liver
Hepatocytes show normal restoration and prominent central veins
CONCLUSION
The results of the present study shows that the oral
administration of Andrographis lineata Nees
extracts reduced the hepatotoxicity by Rifampicin
and D-Galactosamine induction in rats. Moreover,
the stem extract of Andrographis lineata Nees with
a high dose showed good results as compared to a
low dose. However, the hepatoprotective activity
E.Nikhil Chakravarthy, et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-2(1) 2014 [1-6]
www.ijamscr.com
6
shown by the extracts with two different doses is
significant and promissory against Rifampicin and
D-Galactosamine induced hepatotoxicity in albino
wistar rats when compared with that of a standard
drug Silymarin. Further investigational studies are
required to estimate the pharmacological and
phytochemical constituents in the plant
Andrographis lineata Nees that are responsible for
its definite pharmacological activities during the
mechanism of action of its hepatoprotective
activity.
ACKNOWLEDGEMENT
The author sincerely conveys thankful to the
Chairman, faculty, management, Principal of
Smt. Sarojini Ramulamma College of Pharmacy
and Sicra Labs for their encouragement, support,
and their kind cooperation during this research
work. I also express my gratitude towards the
authorities of Palamuru University for providing
adequate facilities.
REFERENCE
[1] Zimmerman HJ. Drug induced liver disease. Clin liver dis. 2000;4:73–96.
[2] Balu, S., C. Alagesaboopathi and V. Elango, 1993. Antipyretic activities of some species of
Andrographis Wall. Ancient Science of Life, 12: 399-402.
[3] Balu, S. and C. Alagesaboopathi, 1995. Antivenom activities of some species of Andrographis Wall.
Ancient Science of Life, 14: 187-190.
[4] Chinnappan alagesaboopathi, phytochemical analysis and antimicrobial evaluation of Andrographis
lineata nees leaves and stem extracts, african journal of pharmacy and pharmacology, 8 september,
2011;5(9):1190-1195.
[5] Hari Kishore P, Vijaya Bhaskar Reddy N, Kesava Reddy N. 2003.Flavonoids isolated from
Andrographis lineata. J Phytochem :63: 457–461.
[6] OECD Guidelines for the testing of chemicals revised draft guideline 423: acute oral toxicity. Paris:
OECD; 2000.
[7] Johnson AM, Rohlfs EM, Silverman LM. Proteins. In: Burtis CA, Ashwood ER. Editors Tietz
textbook of clinical chemistry. 3rd
ed. Philadelphia : W.B. Saunders Company; 1999. p. 477-540.
[8] Young DS. Effects of drugs on Clinical Lab Tests, 4th
ed. AACC Press, 1995.
[9] Christensen, S.E., Proteins. Clinical Chemistry : Concepts and Application, Anderson, S.C., Cockayne,
S. (W.B Saunders eds. Philadelphia USA), (1983), p.188.
[10] Vassault, A.,et al.,Protocole de validation de techniques. (Document B, stade 3), Ann Biol.
Clin.,.(1986).
[11]Vassault, A., et al., Protocole de validation de techniques. Ann Biol. Clin., (1986) (Document B, stade
3).
[12] Luna LG; Manual of Histology; Staining Methods of Armed Forces Institute of Pathology, MC
Graw
Hill: New York,1968; 3rd
edn.
[13] Henderson, A.R., Mass, D.W., Enzymes, Tietz Fundamentals of Clinical Chemistry,
[14] Burtis, C.A. & Ashwood, E.R. (W.B. Saunders eds. Philadelphia USA),2001: 5th
Ed., p.352.
[15] Kapil, A., O.P. Suri and I. B. Koul, Antihepatotoxic effects of chlorogenic acid from Anthrocephalus
cadamba. Phytother. 1995,9; p.189-193.
[16] Drotman R.B. and Lowhorn, G,T, Serum enzymes as indicators of chemical induced liver damage.
Drug Chemical Toxicology (1978);1;163-171.
**************************

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Pharmacological evaluation of hepatoprotective activity of Ethanolic extract of andrographis lineata nees on hepatotoxicity induced rats

  • 1. * Corresponding author: E.Nikhil Chakravarthy E-mail address: e.nikhilchakravarthy@yahoo.com ~ 1 ~ IJAMSCR |Volume 2 | Issue 1 | Jan-Mar - 2014 www.ijamscr.com Research article Pharmacological Evaluation of Hepatoprotective Activity of Ethanolic extract of Andrographis lineata Nees on Hepatotoxicity Induced Rats *E.Nikhil Chakravarthy, D.Sudharshan Reddy, G.Venkataiah Department of Pharmacology, Smt.Sarojini Ramulamma College of Pharmacy, Sheshadrinagar, Mahabubnagar-509001, Andhra Pradesh, India. ABSTRACT Liver diseases are still a worldwide health problem due to drug-induced hepatotoxicity. It may occur as an unexpected idiosyncratic reaction, or nontoxic drug or it may be an expected consequence of the intrinsic toxicity of a drug, taken in a sufficiently large dose to cause liver injury. A highly potential therapeutic agent or a medicinal extract is necessary for the preventive action of the hepatic disorders leading to the inflammation and drug inducing liver injury. The present study proved the medicinal plant with supportive therapeutic efficacy. Albino wistar rats of either sex are induced by Rifampicin orally at a dose of 1g/kg and for a period of 14 days, and were treated with ethanolic extract of the stems of Andrographis lineata Nees (EEALN) orally at a dose of 200 and 400 mg/kg/day. The biochemical parameters such as serum glutamate oxaloacetate transaminase (SGOT), serum glutamate pyruvate transaminase (SGPT), alkaline phosphatase (ALP), Total protein, and serum bilirubin (Total and Direct) were estimated to assess the liver function. Ethanolic extract of the stems of Andrographis lineata Nees (EEALN) showed the hepato protective activity by decreasing the levels of serum hepatic marker enzymes. Silymarin is used as a Standard drug. Histopathological studies were performed to confirm the biochemical changes in the hepatocytes. Toxicological studies were carried out with the extract and 2000 mg/kg b.wt. is considered as the safe dose with no mortality and adverse effects. Keywords: Andrographis lineata, Hepatoprotective activity, Rifampicin, SGOT, SGPT, ALP. INTRODUCTION Liver diseases remain one of the major threats to public health and is a worldwide problem. Liver disease is one of the major causes of morbidity and mortality in public, affecting humans of all ages. About 20,000 deaths occur every year due to liver disorders. Some of the commonly known disorders are viral hepatitis, alcohol liver disease, non- alcoholic fatty liver disease, autoimmune liver disease, metabolic liver disease, drug induced liver injury, gallstones, etc. Because of the importance of drug-induced hepatotoxicity in clinical medicine, researchers and regulators have vigorously pursued basic knowledge about hepatotoxicity, including types and mechanisms, with the circumstances under which hepatic injury occurs, and measures to reduce the occurrence of this untoward side effect of drugs used for therapeutic purpose[1] . Herbal medicines have stood the test of time for their safety, efficacy, cultural acceptability and minimal side effects. The herbal drug products are prepared from renewable resources of raw materials by eco-friendly processes and will bring economic prosperity to the masses growing these raw materials. In India it is reported that traditional healers use 2500 plant species and 100 species of plants benefit as usual source of medicine. Andrographis lineata Wall ex. Nees, (Acanthaceae) is a tropical plant which is found in the regional areas of Chithoor district of Andhra Pradesh, and the total plant is used as a medicinal plant. It is International Journal of Allied Medical Sciences and Clinical Research (IJAMSCR)
  • 2. E.Nikhil Chakravarthy, et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-2(1) 2014 [1-6] www.ijamscr.com 2 used as an antipyretic, in snake bite and is considered the most important plant in the traditional system of medicine in the country[2,3] . The ethanolic extract of the stems of A. lineata contains higher composition of flavonoids (7.40%)[4] and it is confirmed by the isolation of the phytochemical constituents[5] . Hence the present study was undertaken. And also literature survey revealed that no research work has been carried out on hepatoprotective activity on these models. MATERIALS AND METHODS Plant Materials The stems of the plant Andrographis lineata Wall ex. Nees were collected from a botanist Dr. K. Madhava Chetty, Department of Botany, Sri Venkateswara University, Chithoor district, Andhra Pradesh, India in March 2013. And the plant material was authenticated by a botanist. A voucher specimen has been preserved in our College laboratory for future reference. Preparation of the Extract Stems of the plant Andrographis lineata nees were dried under shade and was powdered with a mechanical grinder. It was then soaked with 70%v/v ethanol at 60-700 C overnight and then loosely packed in a Soxhlet apparatus by a continuous hot extraction process. It was then subjected to estimate the presence of various phytochemical constituents by using different studies. The percentage yield was calculated and then preserved in a sterile bottle under refrigeration conditions. Experimental Animals The study was carried out using albino wistar rats of either sex weighing about 150-200g. The animals were grouped and housed in a polypropylene cages and feeded with standard pellet diet and water ad libitum. Animals were exposed to the alternate cycles of light and darkness of 12h each. And also standard laboratory conditions were maintained at a temperature of (220 C ± 30 C) and relative humidity of 50-70%. The animals were acclimatized for a period of one week before the initiation of the study in order to adjust to the laboratory conditions. The experiments were conducted according to the Institutional Animal Ethics Committee (IAEC no: Reg. No: 51/01/C/CPCSEA/2013/006) at Smt. Sarojini Ramulamma College of Pharmacy, Mahabubnagar and regulations approved by the Committee for the Purpose of Control and Supervision of Experiments on Animals (CPCSEA). Acute Oral Toxicity Studies Acute oral toxicity studies were performed on albino wistar rats of either sex with ethanolic extract of Andrographis lineata Nees (EEALN) as per OECD (Organization for Economic Cooperation and Development) guidelines No.423,(2000)[6] . No behavioral, neurological, and autonomic profiles lethality was evident in any of the test groups upto 2000 mg/kg. Hence one tenth and one-fifth of the doses were selected for evaluation of hepatoprotective activity, i.e, 200 (1/10th ) and 400 (1/5th ) mg/kg body weight orally. Rifampicin Induced Hepatotoxicity Albino wistar rats of either sex were randomized and divided into five groups, each group consisting of six animals. The first group received orally with normal saline 10ml/kg body weight daily for 14 days. The second group of treated animals received Rifampicin orally (1g/kg b.wt.). The third group received Rifampicin and Silymarin (25mg/kg body wt.). The fourth group received orally ethanolic extract of Andrographis lineata Nees (EEALN 200 mg/kg body wt.) and Rifampicin and then the fifth group received orally ethanolic extract of Andrographis lineata Nees (EEALN 400 mg/kg body wt.) and Rifampicin daily for a period of 14 days respectively. On the 14th day, all the rats in each group were induced with the hepatotoxicant Rifampicin (1g/kg body wt., orally) except group I. Drugs and Chemicals Rifampicin-450 mg, Silymarin, Ethyl Alcohol, Normal saline, Formalin, Chloroform, Distilled Water etc. Biochemical Studies Animals were fasted for 24 hrs before the estimation of biochemical parameters. The blood was collected by the retro-orbital puncture or tail cutting method. The blood samples were collected and serum was separated by centrifugation at 3000 rpm at 370 C for 15 min. Biochemical parameters such as SGOT[13] , SGPT[7] , ALP[8] , Total protein[9] , and Serum bilirubin[10,11] were estimated. Statistical Analysis The data were presented as Mean ± SEM using Graph pad Prism version 5.0. The statistical significance between the groups were evaluated by Dunnett’s one-way analysis of variance (ANOVA)
  • 3. E.Nikhil Chakravarthy, et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-2(1) 2014 [1-6] www.ijamscr.com ~ 3 ~ followed by Tukey’s Multiple Comparisons Test and the value of p < 0.05 was considered as test of significant. RESULTS AND DISCUSSION The levels of serum hepatic marker enzymes such as SGOT, SGPT, ALP, Total protein, and Serum bilirubin (Total and Direct) is represented in the following Table 1. There was a significant elevation in the levels of serum hepatic marker enzymes and decreased level of proteins on the induction of Rifampicin in treated animals. Administration of EEALN (200 and 400 mg/kg body wt.) significantly reduced the elevated levels of serum hepatic marker enzymes to the normal levels on comparing with that of the standard drug Silymarin. Thus, there by showing the significant hepatoprotective activity. The results of the extract on serum marker enzymes like SGOT, SGPT, ALP, Total Protein, Total and Direct Bilirubin against Rifampicin induced liver damage were represented in the following tables. Model I: Rifampicin Induced Hepatotoxicity Table 1. Mean data of hepatoprotective activity of EEALN of different groups against Rifampicin induced rats Values are Mean ± S.E.M., N=6. *P value <0.05, **p <0.01, ***p<0.001, ns = Non Significance Vs. Toxicant Control 1.2 Graphical Representation of Biochemical Parameters of EEALN against Rifampicin induced Rats SGOT N O R M A L C O N T R O L S T A N D A R D E E A L N (200M G /K G ) E E A L N (400M G /K G ) 0 50 100 150 200 Groups SGOT(IU/L) SGPT N O R M A L C O N T R O LS TA N D A R D E E A L N (200M G /K G ) E E A L N (400M G /K G ) 0 50 100 150 Groups SGPT(IU/L) Group Blood Serum Marker Enzymes SGOT(IU/L) SGPT(IU/L) ALP(IU/L) TP(mg/dl) TB(mg/dl) DB(mg/dl) Mean ±SEM Mean ± SEM Mean ± SEM Mean ± SEM Mean ± SEM Mean ± SEM I Normal Control 48.06±0.823 26.69±1.023 81.31±0.593 8.263±0.476 0.156±0.012 0.078±0.016 II Toxicant Control 161.1±0.578** 108.6±1.335*** 212.8±2.867*** 2.055±0.169** 1.203±0.067*** 1.365±0.022*** III Standard 87.87±0.944*** 35.41±1.304*** 127.9±1.107*** 7.042±0.471*** 0.218±0.025*** 0.280±0.015** IV Test-I 124.68±1.161*** 57.42±1.166*** 167.04±1.503** 6.533±0.683*** 0.30±0.0006*** 0.54±0.078*** V Test II 100.1±2.632*** 51.30±1.539*** 136.1±0.422*** 5.100±0.422** 0.27±0.005*** 0.36±0.04**
  • 4. E.Nikhil Chakravarthy, et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-2(1) 2014 [1-6] www.ijamscr.com 4 ALP N O R M A L C O N T R O L S T A N D A R D E E A L N (200M G /K G ) E E A L N (400M G /K G ) 0 50 100 150 200 250 Groups ALP(IU/L) Total Protein N O R M A L C O N T R O LS T A N D A R D E E A L N (200M G /K G ) E E A L N (400M G /K G ) 0 2 4 6 8 10 Groups TotalProtein(IU/L) Total Bilirubin N O R M A L C O N T R O L S T A N D A R D E E A L N (200M G /K G ) E E A L N (400M G /K G ) 0.0 0.5 1.0 1.5 Groups TotalBilirubin(mg/dl) Direct Bilirubin N O R M A L C O N T R O L S T A N D A R D E E A L N (200M G /K G ) E E A L N (400M G /K G ) 0.0 0.1 0.2 0.3 0.4 0.5 Groups DirectBilirubin(mg/dl) Figure 1.3. Comparison of Hepatoprotective activity of EEALN of all groups of Rifampicin induced rats. The values are Mean ± S.E.M., n=6. MeanS.E.M data of Rifampicin induced H.toxicity N orm al R ifam picin 1m g/kg S ilym arin 25m g/kg E E A LN 200m g/kg E E A LN 400 m g/kg 0 200 400 600 Groups BloodSerumenzymes Assessment of liver functions can be made by estimating the activities of serum SGOT, SGPT, ALP, Total Protein, Bilirubin etc. An elevation in the levels of the serum marker enzymes is generally regarded as the sensitive index of the hepatic damage[14] . The Rifampicin induced treated liver sections of the liver showed the increased levels of serum marker enzymes leading to the cellular leakage and loss of functional integrity of cell membrane in liver[15] . Therefore, the extract normalizes the elevated levels followed by the stabilization of plasma membrane as well as repair of hepatic tissue damage caused by the Rifampicin. It also leads to the healing of hepatic parenchyma and the regeneration of hepatocytes. The extract stabilizes the biliary dysfunction with concurrent depletion of raised bilirubin level and the normal hepatocytes, prominent central veins. It is reported to produce intensive inflammatory infiltration followed by the feathery degeneration of hepatocytes, resulting in the lymphocytic infiltration in portal tracts. Protein levels were decreased on Rifampicin and D-Galactosamine treated rats. Oral administration of Rifampicin treated rats increased the levels of protein levels and treatment with ethanolic extract of Andrographis lineata Nees (EEALN) significantly decreased the protein levels when compared to that
  • 5. E.Nikhil Chakravarthy, et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-2(1) 2014 [1-6] www.ijamscr.com ~ 5 ~ of Silymarin. Treatment with ethanolic extract of Andrographis lineata Nees (EEALN) significantly p < 0.001 reduced the levels of serum enzymes, produced by Rifampicin caused a subsequent recovery towards normal effect. Thus, the present studies confirms that the ethanolic extract of stems of Andrographis lineata Nees (EEALN) showed significant hepatoprotective action against Rifampicin induced liver damage in rats when compared with that of standard drug Silymarin. Histopathological Studies of Liver Liver was isolated after killing all the animals and histopathological examination is performed and a small portion was fixed in 10% formalin[12] . It was examined for the changes in the levels of serum marker enzymes along with that of any structural modification of hepatic morphology. Fig 1. Control Liver (Normal Control) Shows comparatively normal, no changes in hepatocytes Fig 2. Rifampicin treated Liver (Toxicant Control) Shows extensive infiltration of lymphocytic portal tracts and feathery degeneration of the hepatocytes Fig 3. Silymarin treated Liver (Standard) Shows mild regenerative changes in hepatocytes Fig 4.Ethanolic extract of A.lineata nees (EEALN), (200 mg/kg ) treated Liver Shows moderate normal hepatocytes and prominent central veins Fig 5. Ethanolic extract of A. lineata nees (EEALN), (400 mg/kg ) treated Liver Hepatocytes show normal restoration and prominent central veins CONCLUSION The results of the present study shows that the oral administration of Andrographis lineata Nees extracts reduced the hepatotoxicity by Rifampicin and D-Galactosamine induction in rats. Moreover, the stem extract of Andrographis lineata Nees with a high dose showed good results as compared to a low dose. However, the hepatoprotective activity
  • 6. E.Nikhil Chakravarthy, et al / Int. J. of Allied Med. Sci. and Clin. Research Vol-2(1) 2014 [1-6] www.ijamscr.com 6 shown by the extracts with two different doses is significant and promissory against Rifampicin and D-Galactosamine induced hepatotoxicity in albino wistar rats when compared with that of a standard drug Silymarin. Further investigational studies are required to estimate the pharmacological and phytochemical constituents in the plant Andrographis lineata Nees that are responsible for its definite pharmacological activities during the mechanism of action of its hepatoprotective activity. ACKNOWLEDGEMENT The author sincerely conveys thankful to the Chairman, faculty, management, Principal of Smt. Sarojini Ramulamma College of Pharmacy and Sicra Labs for their encouragement, support, and their kind cooperation during this research work. I also express my gratitude towards the authorities of Palamuru University for providing adequate facilities. REFERENCE [1] Zimmerman HJ. Drug induced liver disease. Clin liver dis. 2000;4:73–96. [2] Balu, S., C. Alagesaboopathi and V. Elango, 1993. Antipyretic activities of some species of Andrographis Wall. Ancient Science of Life, 12: 399-402. [3] Balu, S. and C. Alagesaboopathi, 1995. Antivenom activities of some species of Andrographis Wall. Ancient Science of Life, 14: 187-190. [4] Chinnappan alagesaboopathi, phytochemical analysis and antimicrobial evaluation of Andrographis lineata nees leaves and stem extracts, african journal of pharmacy and pharmacology, 8 september, 2011;5(9):1190-1195. [5] Hari Kishore P, Vijaya Bhaskar Reddy N, Kesava Reddy N. 2003.Flavonoids isolated from Andrographis lineata. J Phytochem :63: 457–461. [6] OECD Guidelines for the testing of chemicals revised draft guideline 423: acute oral toxicity. Paris: OECD; 2000. [7] Johnson AM, Rohlfs EM, Silverman LM. Proteins. In: Burtis CA, Ashwood ER. Editors Tietz textbook of clinical chemistry. 3rd ed. Philadelphia : W.B. Saunders Company; 1999. p. 477-540. [8] Young DS. Effects of drugs on Clinical Lab Tests, 4th ed. AACC Press, 1995. [9] Christensen, S.E., Proteins. Clinical Chemistry : Concepts and Application, Anderson, S.C., Cockayne, S. (W.B Saunders eds. Philadelphia USA), (1983), p.188. [10] Vassault, A.,et al.,Protocole de validation de techniques. (Document B, stade 3), Ann Biol. Clin.,.(1986). [11]Vassault, A., et al., Protocole de validation de techniques. Ann Biol. Clin., (1986) (Document B, stade 3). [12] Luna LG; Manual of Histology; Staining Methods of Armed Forces Institute of Pathology, MC Graw Hill: New York,1968; 3rd edn. [13] Henderson, A.R., Mass, D.W., Enzymes, Tietz Fundamentals of Clinical Chemistry, [14] Burtis, C.A. & Ashwood, E.R. (W.B. Saunders eds. Philadelphia USA),2001: 5th Ed., p.352. [15] Kapil, A., O.P. Suri and I. B. Koul, Antihepatotoxic effects of chlorogenic acid from Anthrocephalus cadamba. Phytother. 1995,9; p.189-193. [16] Drotman R.B. and Lowhorn, G,T, Serum enzymes as indicators of chemical induced liver damage. Drug Chemical Toxicology (1978);1;163-171. **************************