Review Article

Preclinical Models for Investigation of Herbal Medicines in Liver Diseases: Update and Perspective

Table 5

Animal models of acute liver injury used to investigate the effect of herbal medicines.

ModelExperiment durationsHerbal medicinePathological and biochemical changes; mechanism involvedReference

Hepatotoxin induced

CCl4
induced
6 hrsTanreqing injectionReduced serum liver markers and inflammation.[182]
10 hrsLycium barbarum polysaccharidesReduced centrilobular necrosis and ALT level. Restored antioxidant enzymes, decreased NO and lipid peroxidation, attenuated hepatic inflammation, and reduced NF-κB activity. [183]
24 hrsTaohe Chengqi TangReduced ALT and AST. Showed normal lobular pattern with mild degree of fat deposition, necrosis, and inflammatory cell infiltrations. [184]
2 daysPunarnavashtak kwathShowed mild inflammation. Reduced ALT, AST, ALP, and SBRN. Increased glutathione, SOD, and catalase; decreased TBARS.[185]
2 daysSharbat-e-DeenarRestored glutathione, adenosine triphosphate, and G-6-Pase. [186]
2 daysMajoon-e-Dabeed-ul-wardDecreased serum enzymes, albumin, and urea. Reduced necrosis, hepatocyte regeneration, and inflammation. Reduced TBARS; restored glutathione, adenosine triphosphatase, and G-6-Pase in liver.[187]
5 daysJusticia schimperiana (Hochst. ex Nees) and Verbascum sinaiticum BenthShowed lesser injury and necrosis. Reduced ALT, AST, and ASP levels. [188]
5 daysPolydatinDecreased ALT and AST. Blocked degeneration, necrosis, and inflammatory cell infiltration. Reduced MDA, hepatic TNFα, IL-1β, COX-2, iNOS, and NF-κB; increased SOD, CAT, GPx, and TGFβ. [189]
5 daysMeconopsis integrifolia (Maxim.) FranchReduced ALT, AST, ALP, and TB. Demonstrated in vivo antioxidant activities.[190]
7 daysFlowers of Abelmoschus manihot (L.) MedicDecreased vacuole formation and hepatocellular necrosis. Reduced MDA, TNFα, IL-1β, and NO; increased GSH, SOD, GPx, CAT, and GST.[191]
7 daysRadix TetrastigmaDecreased ALT and AST. Improved hepatic lesion. Reduced MDA, Bax, and caspase-3; increased SOD.[192]
7 daysNaringeninBlocked necrosis and restored cellular arrangement. Decreased ALT, AST, and ALP. Reduced TNFα, iNOS, and COX-2; increased Nrf2 and HO-1. [193]
7 daysProsthechea michuacana W. E. HigginsReduced hepatic serum markers and total protein.[194]
8 daysSyzygium jambosRestored SGPT, SGOT, ALP, and total bilirubin. [195]
8 daysHeptapeptide from Carapax trionycisDecreased ALT and AST. Reduced injury, necrosis, and ballooning degeneration. Showed moderate hypertrophy. Reduced MDA and increased GSH-Px. [196]
10 daysEthanolic extract of Eruca sativa L.Showed reduced inflammation. Reduced MDA.[197]
10 daysFruit of Lagenaria brevifloraDecreased total bilirubin. Restored total protein, albumin, and globulin. Increased GSH and reduced MDA and H2O2.[198]
14 daysDendrobium huoshanenseReduced MDA; restored SOD, CAT, GPx, and GSH. [199]
15 daysSaponins in Radix TrichosanthisIncreased SOD and T-AOC; decreased MDA and LDH levels.[200]
15 daysLicorice aqueous extractReduced ALT, AST, and ALP. Increased total protein, albumin, and globulin. Improved liver SOD, CAT, GSH-Px, GR, GST activities, and GSH level; reduced MDA, liver hydroxyproline, and serum TNFα.[56]
3 wksEthanol extract of Grewia tenaxImproved hepatic necrosis. Reduced MDA. [201]
Ficus chlamydocarpaDecreased serum enzyme markers. Reduced GSH and liver MDA.[202]
Physalis peruvianaImproved oxidative stress markers. [203]
ShaoganduoganReduced transaminase; blocked degeneration and necrosis. Enhanced activity of Na+ -K+ ATPase, Ca2+ ATPase, and SOD; reduced MDA. [193, 204]

Chemical induced

D-galactosamine induced 14 daysXiao-Chai-Hu TangDecreased serum IL-6 and TNFα, FasmRNA, FasLmRNA, and Bax protein but increased Bcl-2. [205, 206]
22 daysLeucas aspera (LA) Willd.Showed reduced hepatocellular necrosis. Decreased ASAT, ALAT, ALP, TGL, TC, and TB. Elevated superoxide dismutase, catalase, glutathione peroxidase, and decreased lipid peroxidation levels in liver.[206]
22 daysBrassica nigra (L.) KochDecreased SGOT, SGPT, ALP, LDH, and γ-GT; increased total protein and albumin. Reduced hepatocyte degeneration. [207]
Extracts from processed Corni fructusDecreased ALT and AST. Improved liver damage. Increased SOD and reduced MDA.[205, 208]

LPS induced 6 hoursBai-Hu-TangNo observable cellular necrosis and inflammatory cell infiltration. Prevents increase of IL10, TNFα.[209]

D-galactosamine and LPS induced 1 hrEchinacoside, from Cistanche salsaDecreased ALT. Blocked hepatocyte apoptosis and improved histopathological changes. Reduced inflammatory markers.[210]
5 hrsXijiao Dihuang decoctionReduced ALT and AST. Blocked liver injury. [211]
36 hrsSanhuangyinchi decoctionDecreased ALT, TBIL, and PT. Inhibits caspase-3 activity.[212]
3 dFuzheng Huayu recipeBlocked hepatocyte apoptosis and reduced ALT and AST. Decreased MDA; improved SOD activity in liver. Decreased TNFα and TNFR1 protein expression. [213]
7 daysSanhuangyinchi decoctionReduced ALT, AST, TBIL, TP, and INR; increased FIB. Blocked the pathological changes. Increased SOD; decreased MDA and caspase-3 in liver.[214]
Qingxia therapyDecreased ALT, AST, and TBIL levels and hepatocyte necrosis and inflammatory cell infiltration. Reduced BAX, caspase-3 and increased Bcl-2.[215]

Drug induced

Paracetamol induced 24 hrsAndrographis paniculata and Swertia chirayitaReversed the elevated levels of GOT, GPT, ALP, and bilirubin. Restored liver architecture. Increased LPO; reduced SOD, catalase, GSH, and GPx. [216, 217]
7 dNigella sativa extractReduced liver enzymes and total bilirubin. Showed reduction of sinusoidal dilation, necrosis, and apoptosis.[217]

Acetaminophen induced 24 hrsTournefortia sarmentosa Lam.Reduced SGPT, SGOT, ALP, and bilirubin. Showed minimal fibrosis and periportal inflammation. Reduced inflammatory markers, MDA, and antioxidant enzyme levels.[57, 218]
8 daysCapparis sepiaria L.Reduced SGPT, SGOT, and ALP. [218]

Rifampicin induced in Wistar rat15 dEuphorbia fusiformis Buch.Reduced SGOT, SGPT, GGTP, ALP, and total bilirubin. Showed mild degeneration and necrosis.[219]

Antitubercular drug induced45 dHibiscus vitifolius Linn.Reduced AST, ALT, ALP, LDH, and total bilirubin and increased TC, TP, and albumin. Reduced necrosis and inflammatory cell infiltration. Increased catalase and SOD; reduced TARS. [220]

Others

Sodium arsenite induced in ratsOcimum basilicumReduced ALT and AST. [221]

Restrained stress induced in mouse 5 dMyelophil, an ethanol extract of Radix Astragali and Salviae RadixReduced ALT and AST. Reduced ROS and lipid peroxidation; restored liver catalase, glutathione reduced, and peroxidase; normalised IL1β. [222]

Dimethoate induced (insecticides) in guinea pigs21 dWithania somnifera extractReduced AST, ALT, and ALP. No observable pathological changes. [223]

Pyrogallol induced12 hrsCotinus coggygria Scop.Reversed AST, ALT, ALP, and total bilirubin. Reduced Akt and STAT3.[224]

Concanavalin-A 9 dSuaeda maritima (L.) DumortReduced serum liver markers. Restored liver architecture and showed less visible changes. [225]

Naphthalene induced30 dColeus aromaticus leaf extractShowed no necrosis and infiltration of inflammatory cells. Reduced AST, ALT, ACP, and ALP.[226]

Alpha-naphthylisothiocyanate (ANIT) induced5 dCalculus bovis SativusDecreased ALT, AST, ASP, and Tbil. Showed mild interlobular duct epithelial damages, lesser neutrophil cells infiltration, necrosis, and degeneration. Reduced MDA; increased hepatic SOD. [227]
9 dDanning tabletReduced ALT, AST, ALP, T-Bil, and D-Bil. Showed mild necrotic and degenerative changes with lesser neutrophil infiltration. Reduced hepatic MPO, GST, GSH, and LPO; increased SOD, Gpx, and CAT activities. [228]

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