Combination of three species of Zingiberaceae prevents doxorubicin-induced hepatotoxicity

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Heny Ekowati
Sarmoko Sarmoko
Retno Widiastuti

Abstract

BACKGROUND Doxorubicin as an anticancer drug has hepatotoxic side effects. Curcuma xanthorrhiza, Curcuma longa and Zingiber officinale are commonly used as herbals in Indonesia and around the world. Several compounds in these plants have antioxidant activities and are known to exhibit protection against doxorubicin-induced toxicities. This study aimed to observe the hepatoprotective effect of a combination of C. xanthorriza, C. longa, and Z. officinale extract on doxorubicin-induced hepatotoxicity in rats. METHODS A total of 28 Wistar male rats were divided into four groups: 1) control group (0.9% NaCl); 2) doxorubicin 5 mg/kg intraperitoneally (ip) four times in 14 days (days 1, 5, 9, 13); 3) doxorubicin + combination of C. xanthorriza, C. longa, and Z. officinale (temulawak, kunyit, and jahe merah, designated as Tekuja) 250 mg/kg/day orally for 14 days; and 4) doxorubicin + Tekuja extract 500 mg/kg/day orally for 14 days. Measurements of parameters based on liver histopathology and the parameters of serum alanine amino transferase (ALT) and aspartate amino tranferase (AST). RESULTS Doxorubicin caused significant elevation in serum ALT and AST enzymes after 14 days of treatment. Rats treated with doxorubicin + Tekuja extract 250 mg/kg/ day showed no histological changes, but had decreased levels of ALT and AST. CONCLUSION This study indicates that the combination of C. xanthorriza, C. longa, and Z. officinale has a protective effect in rats against liver damage induced by doxorubicin

Article Details

How to Cite
Ekowati, H., Sarmoko, S., & Widiastuti, R. (2013). Combination of three species of Zingiberaceae prevents doxorubicin-induced hepatotoxicity. Universa Medicina, 32(1), 11–19. https://doi.org/10.18051/UnivMed.2013.v32.11 - 19
Section
Review Article

References

Ali BH, Blunden G, Tanira MO, Nemmar A. Some hytochemical, pharmacological and toxicological properties of ginger (Zingiber officinale Roscoe): a review of recent research. Food Chem Toxicol 2008;46:409-20.

Ghosh AK, Banerjee S, Mullick HI, Banerjee J. Zingiber officinale: a natural gold. Int J Pharma Bio Sci 2011;2:283-94

Deasywaty, Mangunwardoyo W, Usia T. Antimicrobial and identification of active compound in Curcuma xanthorrhiza Roxb.

IJBAS-IJENS 2012;12:69-78

Ravindran PN, Babu KN. Ginger the genus Zingiber. New York: CRC Press; 2005.

Mohanty IR, Arya DS, Gupta SK. Dietary Curcuma longa protects myocardium against isoproterenol-induced hemodynamic, biochemical and histopathological alternations in

rats. Int J Appl Res Nat Prod 2008;1:19-28.

Balmer CM, Valley AM, Iannucci A. Cancer treatment and chemotherapy in pharmacotherapy: a pathophysiologic approach.

New York: The McGraw-Hill Companies; 2005.

Yagmurca M, Bas O, Mollaoglu H, Sahin O, Nacar A, Karaman O. Protective effects of erdosteine on doxorubicin-induced hepatotoxicity in rats. Arch Med Res 2007;38:380-5.

Pedrycz A, Wieczorski M, Czerny K. Increased apoptosis in the rat liver after a single dose of adriamycin administration. Annales UMCS Sect D 2004;59:313-8.

Pedrycz A, Boratynski Z, Wieczorski M, Visconti J. ltrastuctural and immunohistochemical evaluation of apoptosis in fetal rat liver after adriamycin administration. Bull Vet Inst Pulawy 2005;49:475-9

Pedrycz A, Wieczorski M, Czerny K. The influence of a single dose of adriamycin on the pregnant rat female liver histological and histochemical evaluation. Ann Univ Mariae Curie Sklodowska

;59:319-23.

Beinfield H, Kornglod E. Chinese medicine and cancer care. Altern Ther 2005;9:38-52.

Ajith TA, Aswathy MS, Hema U. Protective effect of Zingiber officinale Roscoe against anticancer drug doxorubicin-induced acute nephrotoxicity. Food Chem Toxicol 2008;46:3178–81.

Kolarovic J, Popovic M, Mikov M, Mitic RGL. Protective effects of celery juice in treatments with doxorubicin. Molecules 2009;14:1627-38.

Mohamad RH, El-Bastawesy AM, Zekry ZK, Al- Mehdar HA, Al-Said MG, Aly SS, et al. The role of Curcuma longa against doxorubicin (Adriamycin)-induced toxicity in rats. J Med Food

;12:394-402.

Ibrahim SS, Barakat MA. and Helmy HTS. Modulating effect of carvedilol on doxorubicininduced cardiomyopathy and hepatic damage. J Am Sci 2010;6:20-32.

Kalender Y, Yel M, Kalender S. Doxorubicin hepatotoxicity and hepatic free radical metabolism in rats: the effects of vitamin E and catechin. Toxicology 2005;209:39-45.

Yadav NP, Dixit VK. Hepatoprotective activity of leaves of Kalanchoe pinnata Pers. J Ethnopharmacol 2003;86:197-202.

Injac R, Perse M, Boskovic M, Djordjevic-Milic V, Djordjevic A, Hvala A. Cardioprotective effects of fullerenol C60(OH)24 on a single dose doxorubicin induced cardiotoxicity in rats with malignant neoplasm. Technol Cancer Res Treat 2008;7:15–26.

Alshabanah OA, Hafez MM, Al-Harbi MM, Hassan ZK, Al Rejaie SS, Asiri YA, et al. Doxorubicin toxicity can be ameliorated during antioxidant L-carnitine supplementation. Oxid

Med Cell Longev 2010;3:428-33.

Sakr SA, Mahran HA, Lamfon HA. Protective effect of ginger (Zingiber officinale) on adriamycin-induced hepatotoxicity in albino rats. J Med Plants Res 2010;5:133-40.

Seong HK, Kyoung OH, Won YC, Jae KH, Kwang

KP. Abrogation of cisplatin-induced hepatotoxicity in mice by xanthorrhizol is related to its effect on the regulation of gene

transcription. Toxicol Appl Pharmacol 2004:196: 346–55.

Devaraj S, Ismail S, Ramanathan S, Marimuthu S, Fei YM. Evaluation of the hepatoprotective activity of standardized ethanolic extract of Curcuma xanthorrhiza Roxb. J Med Plants Res

;4:2512-17.

Yemitan OK, Izegbu MC. Protective effects of Zingiber 0ffcinale (Zingiberaceae) against carbon tetrachloride and acetaminopheninduced hepatotoxucity in rats. Phytother Res 2006;20:997- 1002.

Kelkel M, Jacob C, Dicato M, Diederich M. Potential of the dietary antioxidants resveratrol and curcumin in prevention and treatment of hematologic malignancies. Molecules 2010;15: 7035-44.

Hatcher H, Planalp R, Cho J, Torti MF, Torti SV. Curcumin: from ancient medicine to current clinical trials. Cell Mol Life Sci 2008;65:1631-52.

Shishodia S, SethiG, Aggarwal BB. Curcumin: getting back to the roots. Ann N Y Acad Sci 2005; 1056 :206-17.

Jagetia GC, Baliga MS, Venkatesh P, Ulloor JN. Influence of ginger rhizome (Zingiber officinale Rosc.) on survival, glutathione and lipid peroxidation in mice after whole-body exposure to gamma radiation. Radiat Res 2003;160:584-92.

Kim HW, Murakami A, Abe M, Ozawa Y, Morimitsu Y, Williams MV, et al. Suppressive effects of mioga ginger and ginger constituents on reactive oxygen and nitrogen species generation, and the expression of inducible proinflammatory genes in macrophages. Antioxid Redox Signal 2005;7:1621-29