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Glycoside rich fraction from Spondias pinnata bark ameliorate iron overload induced oxidative stress and hepatic damage in Swiss albino mice
© The Author(s). 2016
Received: 27 February 2016
Accepted: 23 July 2016
Published: 29 July 2016
Iron in the overloaded condition in liver promotes the overproduction of free radicals that lead to oxidative stress and ultimately hepatic damage. The present study was designed to evaluate the ameliorating potential from iron overloaded hepatotoxicity by the glycosidic fraction from Spondious pinnata bark (SPW1) along with its antioxidant property.
The fraction was tested for its in vitro antioxidant, free radical scavenging property and iron chelation potential via standard biochemical assays. Iron overload condition was generated by the intraperitoneal administration of iron dextran in mice. The levels of serum enzymes, antioxidant enzymes in liver, markers of hepatic damage, liver iron, and ferritin content were measured in response to the oral treatment of SPW1. Histopathology of the liver sections was performed for visual confirmation of the amelioration potential of SPW1.
The fraction exhibited excellent in vitro antioxidant as well as free radical scavenging potential against both reactive oxygen species and reactive nitrogen species. Administration of SPW1 significantly normalized the disturbed levels of antioxidant enzymes, liver iron, lipid peroxidation, liver fibrosis, serum enzyme and ferritin better than standard desirox which were also supported by the morphological study of the liver sections. Phytochemical analysis as well as HPLC study, confirmed that the fraction mainly consisted of glycosidic phenolics and flavonoids that attributed to its biological activities.
The above results suggested that beneficial effects of SPW1 on iron overload induced hepatotoxicity that can be considered as a possible candidate against iron overload diseases.
Liver, the largest glandular organ in the body, plays a dynamic role in metabolism, biotransformation of proteins, carbohydrates, lipids and also detoxification of different endogenous and exogenous xenobiotics and drugs. Hence, the liver is liable to injury due to the chronic exposure to environmental toxicants, drugs and other xenobiotics . Nowadays, iron overload mediated disorders like liver fibrosis, cirrhosis, inflammation, diabetes, impaired cardiac function, arthritis and even cancer , are common throughout the world occurring mostly in major race/ethnic groups . Moreover, iron overloaded toxicity caused a major problem in thalassemic patients than other type of liver toxicity. Although, iron, one of the most important redox metals, is essential for different cellular processes as there is a close relationship between iron essentiality and iron toxicity. Excess iron causes a serious damage to the liver that is the main storage site of iron in our body, by forming hydroxyl radical mediated oxidative stress. So, protection against metal toxicity by chelating metal ions or by trapping free radicals (antioxidant) is an effective life-saving strategy for nearly all the iron overload-induced diseases mentioned above . In addition to endogenous antioxidant systems, consumption of natural supplements that is rich in natural antioxidants also exhibits increased resistance to oxidative stress by altering the redox environment and is associated with a lower risk of many oxidative stress-related diseases.
Different phytochemicals mainly natural water soluble phenolics and flavonoids are used to treat iron-induced liver toxicity as they can efficiently scavenge most of the free radicals through their relevant iron chelating capabilities. From the previous publications, it was observed that 70 % methanol extract of Spondias pinnata (Linn. f.) Kurz (Fam. Anacardiaceae) possessed both in vitro & in vivo antioxidant and iron-chelating potential, which was supported by the presence of significant amounts of phenolics and flavonoids [5, 6]. These previous studies prompted us to separate the water soluble glycosidic compounds from S. pinnata bark and evaluate their ameliorating effect on iron overload-induced hepatotoxicity and hepatic fibrosis in mice.
2,2′-azinobis-(3-ethylbenzothiazoline-6-sulfonic acid) (ABTS) was purchased from Roche diagnostics, Germany and 6-hydroxy-2,5,7,8-tetramethylchroman-2-carboxylic acid (Trolox) was obtained from Fluka, Switzerland. Bathophenanthrolinesulfonate disodium salt, 5,5′-dithiobis-2-nitrobenzoic acid (DTNB) and N-(1-Naphthyl) ethylenediaminedihydrochloride (NED) were procured from Sisco Research Laboratories Pvt. Ltd, India. 1-chloro-2,4-dinitrobenzene (CDNB), Dimethyl-4-aminobenzaldehyde, and N,N- dimethyl-4-nitrosoaniline ammonium iron (II) sulfate hexahydrate ((NH4)2Fe(SO4)2, 6H2O) were obtained from Merck, Mumbai, India. Guanidine hydrochloride and Iron-dextran was purchased from Sigma-Aldrich, USA. Desirox (Deferasirox) was obtained from Cipla Ltd., India. All of the other used reagents were of molecular biology grade and were obtained from reputable suppliers.
In vivo experiments were performed abiding by the guidelines of the Committee for the Purpose of Control and Supervision of Experiments on Animals (CPCSEA), Ministry of Environment and Forest, Govt. of India with due approval from the Institutional Animal Ethics Committee, Bose Institute (Registration. No. 95/1999/CPCSEA). Male Swiss albino mice (20 ± 2 g) were obtained from the Chittaranjan National Cancer Institute (CNCI), Kolkata, India and were acclimated under a constant 12 h light / dark cycle at 22 ± 2 °C. The animals were fed general laboratory diet and water ad libitum. Experimental animals were taken care every six hour during the treatment period, and it was observed that there was no unwanted animal death. All surgeries were done using ethyl ether as an anesthetic, taking utmost care to reduce suffering.
S. pinnata bark was collected from the villages of Bankura district, West Bengal, India and the plant was authenticated by Dr. Jayaram Hazra, Director, Central Research Institute of Ayurveda (CRIA), Kolkata, India. The herbarium was submitted at CRIA, Kolkata with an accession no of CRHS 111/08.
Fractionation of crude extract
The powdered S. pinnata stem bark was extracted with 70 % methanol and water . The lyophilized extract was re-extracted successively with hexane, chloroform, ethyl acetate and water. The water fraction again fractionated by acetylation (2 ml of pyridine and 2 ml of acetic anhydride was stirred with 500 mg of water fraction at 40 °C for 6 h) followed by silica gel column chromatography purification (major spot) and deacetylation (150 mg of sodium methoxide was stirred with 500 mg of acetylated product dissolved in 50 % methanol in dichloromethane at room temperature for 6 h) to get the fraction namely SPW1.
In vitro study
Antioxidant capacities of SPW1 was evaluated by ABTS•+ radical cation decolorization assay, DPPH (2,2-diphenyl-1-picrylhydrazyl) scavenging assay, and Fe3+-reducing power assay according to a standard method . The scavenging percentage was quantified using test and control experiment values.
Free radical scavenging activity
In vitro reactive oxygen species (ROS) scavenging properties were determined by superoxide, hydroxyl, hypochlorous and singlet oxygen radical scavenging assays, and reactive nitrogen species (RNS) scavenging activity was determined by nitric oxide and peroxynitrite radical scavenging assays following standard procedures .
In vitro iron chelation and ferritin iron release
The Fe2+ chelating ability was determined as described earlier, and the result was expressed as inhibition percentage . Iron reduction and release were determined using ferrozine, a spectrophotometric reagent for iron, as previously described . Briefly, the reaction was initiated by adding different concentrations (100–500 μg/ml) of test compounds in 50 mM phosphate buffer (pH 7.0) containing 200 μg ferritins and 500 μM ferrozine, and the absorbance change was measured for 20 min at 560 nm.
In vivo study
In total, six groups of mice were randomly prepared to consist of six mice per group. Among them, one group received normal saline only, which was labeled as a blank (B); however, other groups were intoxicated with five doses of 100 mg/kg b.w. iron-dextran (one dose every alternative day) by intraperitoneal injection (ip). Of the groups, one iron-dextran group (C) was treated orally with the only saline, and other groups were treated with 50 mg/kg b.w SPW1 (S50), 100 mg/kg b.w. SPW1 (S100), 200 mg/kg b.w. SPW1 (S200), test samples and 20 mg/kg b.w. desirox (D) for 21 consecutive days starting on the day following the first iron-dextran injection. The doses of SPW1 were selected on the basis of the obtained LD50 value (1309 mg/kg b.w.). All experimental animals were sacrificed on the 22nd day under mild anesthesia (ethyl ether), and the cardiac puncture was performed to collect blood and serum was separated and stored at −80 °C. After collecting the blood, the liver was quickly excised, cleaned thoroughly with cold phosphate buffer saline (PBS) to remove the remaining blood and cut into three sections. The major liver portion was dissected and homogenized using 10 volumes of 0.1 M phosphate buffer (pH 7.4) supplemented with 0.15 M NaCl and 5 mM EDTA and centrifuged for 30 min at 8000 g in the cold. The clear homogenate (supernatant) was collected and the protein concentration was quantified by the Folin-Lowry method, where BSA was used as a standard; the remaining supernatant was then stored at −80 °C. The second liver fragment was treated with a mixture of nitric acid and sulfuric acid (1:1) to analyze the iron content. The last portion was processed for histopathological examinations. This procedures were performed according to pervious method .
Aspartate aminotransferase (ASAT), alanine aminotransferase (ALAT), and bilirubin levels in serum were evaluated using commonly available kits from Merck, India. Similarly, alkaline phosphatase (ALP) levels were measured by a kit from Sentinel Diagnostics, Italy.
Superoxide dismutase (SOD), catalase (CAT), glutathione-S-transferase (GST), and reduced glutathione (GSH) levels were measured using previously described methods .
Evaluation of liver damage and fibrosis
Thiobarbituric acid reactive substances (TBARS) quantities were measured to evaluate the levels of lipid peroxidation. Protein oxidation levels were resolved by estimating protein carbonyl contents. Collagen content, an important marker of liver fibrosis in each sample was determined by multiplying 7.69 to overall hydroxyproline content. These values were measured using previously described methods .
Serum ferritin and liver iron levels
Manufacturer’s instructions were followed to quantify serum ferritin levels using an ELISA kit from Monobind Inc., USA. Liver iron content was quantified using a previously reported method . Briefly, samples were mixed with bathophenanthroline sulfonate and incubated at 37 °C for 30 min, and absorbance was recorded using a spectrophotometer at 535 nm.
Excised liver samples were cleaned with saline and fixed for two days in 10 % buffered neutral formalin. Sections (5 μm thick) were paraffin-embedded and stained with hematoxylin and eosin (morphological examination), Perls’ Prussian blue dye (iron content) and Masson’s trichrome stain (liver fibrosis). Stained sections were checked microscopically for histopathological changes.
The presence of phytochemicals was evaluated following different standard methods [8, 9]. HPLC analysis was performed according to the previous method to identify the bioactive phytochemicals  present in SPW1.
All of the data were reported as the mean ± SD of six measurements. Statistical analysis was performed using KyPlot version 2.0 beta 15 (32 bit) and Microsoft Excel 2010. The relationships between the groups were evaluated using a paired t-test, and a p value of <0.05 was considered to be statistically significant.
Fractionation of extract
The polarity based fractionation by different solvents revealed that the water fraction yielded more than 90 % of the total extract, indicating the fact that the activity of the crude extract was mainly due to water soluble polar compounds. Further to regroup the probable glycosidic compounds in water fraction, it was acetylated to convert the polar acid groups into non-polar acetyl group. This process would facilitate the separation of the similar group of compounds through silica gel chromatography. The major spot, among the other several minor spots, was isolated by silica gel column chromatography and further deacetylated to remove the acetyl groups to revert the native free carboxylic acid groups of the compounds in that fraction.
In vitro study
IC50 values of the SPW1 and standard compounds for different antioxidant, free radical and metal chelation assays
Name of assay
Values of standard compounds
50.76 ± 1.49
5.29 ± 0.28
Superoxide anion (O2•−) scavenging
8.95 ± 0.29
42.06 ± 1.35
Hydroxyl radical (OH•) scavenging
7244.91 ± 905.97
571.45 ± 20.12
Hypochlorous acid (HOCl) scavenging
66.05 ± 1.92
235.96 ± 5.75
Singlet oxygen (1O2) scavenging
202.81 ± 7.95
46.15 ± 1.16
Nitric oxide radical (NO) scavenging
121.55 ± 5.01
90.82 ± 4.75
Peroxynitrite (ONOO-) scavenging
403.17 ± 8.01
876.24 ± 56.96
Iron chelating activity
59.98 ± 0.67
1.27 ± 0.05
Free radical scavenging activity
In vitro iron chelation and ferritin iron release
In vivo study
Liver iron and serum ferritin levels
EC50 values of SPW1 in deferent assays
Name of the assays
EC50 of SPW1 (mg/kg.b.w.)
Serum ferritin and liver iron levels
177.491 ± 8.80
81.15 ± 11.57
73.77 ± 4.19
140.01 ± 16.99
159.32 ± 8.79
263.18 ± 15.65
27.99 ± 11.90
84.29 ± 11.27
90.84 ± 10.92
389.19 ± 25.68
Liver damage parameter
Lipid peroxidation content
223.10 ± 8.65
Protein carbonyl content
171.04 ± 11.40
205.59 ± 7.26
The changes in ALAT, ASAT, ALP and Bilirubin levels after oral therapy with SPW1
14.42 ± 1.91
62.46 ± 6.32
84.62 ± 3.48
1.58 ± 0.10
64.60 ± 0.73 X3
234.91 ± 8.30 X3
252.63 ± 4.92 X3
3.15 ± 0.18 X3
36.19 ± 1.16 X3Y3
170.49 ± 12.54 X3Y3
181.71 ± 6.18 X3Y3
2.42 ± 0.25 X2Y2
27.47 ± 1.55 X3Y3
137.29 ± 17.82 X3Y3
149.48 ± 7.02 X3Y3
2.18 ± 0.12 X3Y3
20.11 ± 0.16 X2Y3
97.62 ± 8.16 X3Y3
125.08 ± 5.93 X3Y3
1.99 ± 0.13 X3Y3
19.85 ± 0.79 X3Y3
88.06 ± 10.37 X2Y3
114.97 ± 6.13 X3Y3
1.72 ± 0.14 X1Y3
Evaluation of liver damage and fibrosis
Phytochemical analysis of SPW1
44.23 ± 1.08
16.65 ± 0.26
6.36 ± 0.06
10.96 ± 0.14
31.48 ± 0.09
Iron, one of the essential metals needed in our animal kingdom, acts as the most common cofactor within the oxygen handling biological machinery. However, iron in excess, induced the overproduction of various free radicals which is not always effectively normalized by the internal antioxidant defense machinery caused oxidative stress related complications . As our body lacks the mechanism to transmute excess iron into any other substance, the only way to stop the detrimental effect of free or partially liganded ‘iron’ is to make sure that all of its six possible ligands are satisfied, whether by endogenous chelators or those added from the diet or as pharmaceuticals . The ability of the antioxidant cum iron chelating agent to reduce the toxic effect or restore the normal physiological condition is the index of its hepato-ameliorating potential, which was noticeably attained by the treatment with SPW1 in this present study.
The antioxidant capacity of SPW1 was evaluated by the decolourization of the ABTS · + and reducing property of Fe3+ along with the scavenging property of DPPH, stable free radicals. The assays produced an overall picture of the antioxidative property of the fraction as the total antioxidant assay, and the reducing power is complimentary to each other. The excellent DPPH radical scavenging power of the fraction gives an initial idea about the radical scavenging property.
Different ROS such as superoxide, hydroxyl and singlet oxygen radicals induced several damages to different biomolecules. Especially, superoxide radical is known as an initiator to generate other free radicals such as hydrogen peroxide or singlet oxygen in the living system . Hydroxyl radicals react with the lipid membrane and produce proxy and alkoxy radical which in turn initiate the chain reaction . On the other hand RNS like nitric oxide in excess causes various inflammatory diseases and when it reacts with superoxide radical it produces more toxic peroxynitrite radical that directly damages different tissues [5, 15]. From the Fig. 2, it is clear that SPW1 acted as a free radical scavenger, which effectively reduces the toxic effect of superoxide radical that in turn neutralized the threat by different ROS and RNS. Further, the radical scavenging property was supported by the in vitro iron chelation property (Fig. 3a) of the fraction as iron plays a crucial role in the generation of the free radicals.
This excellent in vitro antioxidant, free radical scavenging and iron chelation activity of the fraction leads us to test the sample for it’s in vivo iron chelation as well as hepato-ameliorating activity in Swiss albino mice. Several previous studies suggest that iron in excess, induced hepatic damage as the liver is the main storage site for iron in our body . To screen the hepatoprotective potential, intraperitoneal iron-dextran injection followed by oral treatment is a reliable method. Desirox (Generic name-Deferasirox) used as positive control because it binds to iron with high affinity in a 2:1 ratio with its tridentate ligand. A study by Cheong et al.  showed that Deferasirox is effective in reducing serum-ferritin and liver iron concentration level in transfusional iron overload patients. In addition, it also positively recovers hematologic and hepatic function.
The leftover iron in our body is stored in the hepatic cells as ferritin or hemosiderin . Thus, measurement of the iron levels in liver is used for diagnosis the iron-load in iron overloaded disease. In contrast, ferritin, a ubiquitous intracellular iron-binding protein in serum, generally stores iron in a non-toxic ferric form and releases it in a controlled fashion whenever needed . So a level of serum ferritin is an indirect key marker revealing the amount of hepatic iron content. The highest dose of SPW1 significantly eliminated the surplus iron justify its iron chelation property. On the other hand, to overcome iron overloaded state, various readily available iron chelator drugs were administered, but many of them struggle with a narrow binding capacity for ferric iron (Fe3+). The Fig. 3b signified that increasing concentrations of SPW1 significantly released iron (Fe3+) from ferritin with time and the correlation between the percentage of iron released from ferritin and the reducing power (Fig. 3c) was quite significant (R2 = 0.804). This result also validates that SPW1 alone effectively chelate the excess iron by reducing it from its ferric form.
Levels of serum enzyme are checked in the clinical diagnosis to determine the condition of various diseases and tissue injury [20, 21]. As these enzymes are predominantly found in the hepatic cell, liver damage due to excess iron leads to the release of these intracellular enzymes into the blood  as evident by increased serum parameters (Table 3). The administration of SPW1 has reduced the increased level of the serum marker enzymes almost similar to the standard desirox. This result indicated towards its healing capabilities of hepatic parenchyma and regeneration of hepatocyte as well as its functional efficiency .
To combat with the excess free radicals, living cells are armed with a group of intracellular antioxidant enzymes such as GST, SOD, CAT and the small compound GSH, which act as a first line of defenses. So estimation of the levels of these antioxidant enzymes is a proper indirect way to assess pro-oxidant-antioxidant combat in tissues . Iron-overloaded condition stimulates the oxidative stress followed by the reduction of the levels of antioxidant enzymes. Oral treatments significantly restore the levels of the entire antioxidant enzymes to normal more readily than used drug desirox. This result signified the fraction SPW1 as a potent antioxidant agent both in vitro as well as in vivo condition.
The iron-overloaded condition increases the disease related serum enzymes and reduces the activity of cells antioxidant defense machinery, ultimately leading to liver tissue damage. The lipid bilayer is destroyed by hydroxyl radical (lipid peroxidation) and results to end products such as malondialdehyde (MDA) which in turn activate the stellate cells to initiate liver fibrosis [25–27]. After liver injury, the production of collagen predominates over hepatocellular regeneration as an immediate healing response, thereby occupying the injured areas instead of destroyed hepatocytes. Collagen content is therefore considered to be a major marker of liver fibrosis and hepatotoxicity . Iron-induced liver pathogenicity also leads to the oxidation of various important structural and functional proteins and forms protein carbonyls. Thus, it serves as a marker of oxidative stress and leads to the onset/development of various diseases including cystic fibrosis and ulcerative colitis . The chelation of excess iron by SPW1 subsequently reduced the liver damage and liver fibrosis indicating its hepato-ameliorating potency as shown in Fig. 6 which is again better than desirox.
Above all, liver biopsy is the ultimate standard to determine the degree of tissue damage and fibrosis alongside other pathological tests. The live sections stained with hematoxylin and eosin exhibited various degrees of inflammation, necrosis as well as cell wall degeneration in iron overloaded condition, but treatment with SPW1 reduced the tissue damage that also supported the result of the restoration of serum enzyme and antioxidant enzyme levels. Perls’ Prussian blue staining revealed the visual confirmation of iron chelation property of the test sample along with the liver iron content and serum ferritin content. On the other hand, Masson’s trichrome staining disclosed the reduction of liver fibrosis as the collagen content gradually decreased with the increasing doses of SPW1, which also confirmed the anti-fibrotic effect of the fraction along with the test for collagen content.
The presence of different phytochemicals confirmed the backbone of the bioactivity of SPW1. The adequate amounts of phenolic and glycosides in SPW1 revealed that the fractionation procedure mainly concentrated the glycosidic phenolics and flavonoids from the water fraction. This observation was also confirmed by the HPLC analysis, where only two compounds were identified, one of them is tannic acid (phenolic) and other is rutin (glycoside) and the major peak at 50.12 min is probably the combined peak of the other glycoside compounds. Literature survey revealed that, tannic acid, rutin and other glycosides are potent antioxidants, metal chelators thereby inhibiting lipid peroxidation, which also support their hepato-ameliorating potentials [30, 31]. Especially, rutin, a flavonoid glycoside, is found in wide variety of plants exhibit powerful anti-inflammatory activity along with its antioxidant, metal chelation and protective effects on hepatotoxicity .
From the present study, it could be concluded that SPW1 can be used as a favorable candidate to cure iron overload-mediated oxidative stress and hepatotoxicity as it is capable of both scavenging the free radicals and chelate the excess iron in the body. It also further concluded that the activity of SPW1 is mainly due to the glycosidic phenolic and flavonoid compounds present in it. Though, further studies are warranted to determine the exact mechanism(s) involved in the hepatoprotective activity of the SPW1 along with the complete characterization of all bioactive compounds present in this fraction.
ALAT, alanine aminotransferase; ALP, alkaline phosphatase; ASAT, aspartate aminotransferase; b.w., body weight; BSA, bovine serum albumin; CAT, catalase; CNCI, Chittaranjan National Cancer Institute; CPCSEA, Committee for the purpose of control and supervision of experiments on animals; CRIA, Central Research Institute of Ayurveda; DPPH, 2,2-diphenyl-1-picrylhydrazyl; EDTA, Ethylenediamine tetraacetic acid; ELISA, Enzyme-Linked Immunosorbent Assay; g, Gram; GSH, reduced glutathione; GST, glutathione-S-transferase; HPLC, high performance liquid chromatography; i.p, intraperitoneal; kg, kilogram; M, molar; MDA, malondialdehyde; mg, milligram; ml, milliliter; mM, millimolar; RNS, reactive nitrogen species; ROS, reactive oxygen species; SD, standard deviation; SOD, superoxide dismutase; TBARS, thiobarbituric reactive substances
The authors would like to acknowledge Mr. Ranjit K. Das and Mr. Pradip K. Mallick for their technical assistance.
This study was conducted with the financial support from Council of Scientific and Industrial Research (CSIR), Govt. of India [Grant No: 27(210)/09-EMR-II Dated: 15.10.2009].
Availability of data and materials
The datasets supporting the conclusions of this article are included within the article.
Conceived and designed the experiments: NM. Performed the experiments: DC, NBG, SP. Analyzed the data: DC, TB, AKS. Contributed reagents/materials/analysis tools: NM. Wrote the paper: DC, NBG, NM. It is also confirm that all the authors have read and approve of the manuscript.
The author(s) declare(s) that they have no competing interests.
Consent for publication
The manuscript does not contain any individual person’s data in any form. So, this information is not relevant.
Ethics approval and consent to participate
Manuscript does not deal with the human participants, human data or human tissue. So, this information is not relevant.
In vivo experiments were performed abiding by the guidelines of the Committee for the Purpose of Control and Supervision of Experiments on Animals (CPCSEA), Ministry of Environment and Forest, Govt. of India with due approval from the Institutional Animal Ethics Committee, Bose Institute (Registration. No. 95/1999/CPCSEA).
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- Maher JJ. Exploring alcohol’s effects on liver function. Alcohol Health Res World. 1997;21:5–12.PubMedGoogle Scholar
- Goodman LS, Gilman A. The Pharmacological Basis of Therapeutics. 11th ed. New York, NY, USA: McGraw-Hill; 2006.Google Scholar
- Barton JC. Optimal management strategies for chroniciron overload. Drugs. 2007;67:685–700.View ArticlePubMedGoogle Scholar
- Flora SJ. Structural, chemical and biological aspects of antioxidants for strategies against metal and metalloid exposure. Oxid Med Cell Longev. 2009;2:191–206.View ArticlePubMedPubMed CentralGoogle Scholar
- Hazra B, Biswas S, Mandal N. Antioxidant and free radical scavenging activity of Spondias pinnata. BMC Complement Altern Med. 2008;8:63.View ArticlePubMedPubMed CentralGoogle Scholar
- Hazra B, Sarkar R, Mandal N. Spondias pinnata stem bark extract lessens iron overloaded liver toxicity due to hemosiderosis in Swiss albino mice. Ann Hepatol. 2013;12:123–9.PubMedGoogle Scholar
- Sarkar R, Hazra B, Mandal N. Reducing power and iron chelating property of Terminalia chebula (Retz.) alleviates iron induced liver toxicity in mice. BMC Complement Altern Med. 2012;12:144.View ArticlePubMedPubMed CentralGoogle Scholar
- Harborne JB, Baxter H. Phytochemical dictionary: a handbook of bioactive compounds from plants. 4 John St. London: Taylor & Francis Ltd.; 1995.Google Scholar
- Kokate CK, Purohit AP, Gokhale SB. Test book of Pharmacognosy. Pune: Nirali Prakashan; 2003.Google Scholar
- Ghate NB, Chaudhuri D, Sarkar R, Sajem AL, Panja S, Rout J, Mandal N. An antioxidant extract of tropical lichen, Parmotrema reticulatum, induces cell cycle arrest and apoptosis in breast carcinoma cell line MCF-7. PLoS One. 2013;8:e82293.View ArticlePubMedPubMed CentralGoogle Scholar
- Bonkovsky HL. Iron and the liver. Am J Med Sci. 1991;301:32–43.View ArticlePubMedGoogle Scholar
- Kell DB. Towards a unifying, systems biology understanding of large-scale cellular death and destruction caused by poorly liganded iron: Parkinson’s, Huntington’s, Alzheimer’s, prions, bactericides, chemical toxicology and others as examples. Arch Toxicol. 2010;84:825–89.View ArticlePubMedPubMed CentralGoogle Scholar
- Stief TW. The physiology and pharmacology of single oxygen. Med Hypotheses. 2003;60:567–72.View ArticlePubMedGoogle Scholar
- Halliwell B. Reactive oxygen species in living systems: source, biochemistry, and role in human disease. Am J Med. 1991;9:14S–22S.View ArticleGoogle Scholar
- Huie RE, Padmaja S. The reaction of NO with superoxide. Free Radic Res Commun. 1993;18:195–9.View ArticlePubMedGoogle Scholar
- Ghate NB, Chaudhuri D, Das A, Panja S, Mandal N. An antioxidant extract of the insectivorous plant Drosera burmannii vahl. alleviates iron-induced oxidative stress and hepatic injury in mice. PLoS One. 2015;10:e0128221.View ArticlePubMedPubMed CentralGoogle Scholar
- Cheong JW, Kim HJ, Lee KH, Yoon SS, Lee JH, Park HS, Kim HY, Shim H, Seong CM, Kim CS, Chung J, Hyun MS, Jo DY, Jung CW, Sohn SK, Yoon HJ, Kim BS, Joo YD, Park CY, Min YH. Deferasirox improves hematologic and hepatic function with effective reduction of serum ferritin and liver iron concentration in transfusional iron overload patients with myelodysplastic syndrome or aplastic anemia. Transfusion. 2014;54:1542–51.View ArticlePubMedGoogle Scholar
- Zuyderhoudt FM, Sindram JW, Marx JJ, Jörning GG, Van Gool J. The amount of ferritin and hemosiderin in the livers of patients with iron-loading diseases. Hepatology. 1983;3:232–5.View ArticlePubMedGoogle Scholar
- Harrison PM. Ferritin: an iron-storage molecule. Semin Hematol. 1977;14:55–70.PubMedGoogle Scholar
- Liu T, Wang X, Karsdal MA, Leeming DJ, Genovese F. Molecular serum markers of liver fibrosis. Biomark Insights. 2012;7:105–17.PubMedPubMed CentralGoogle Scholar
- Kocabay G, Telci A, Tutuncu Y, Tiryaki B, Ozel S, Cevikbas U, Okten A, Satman I. Alkaline phosphatase: can it be considered as an indicator of liver fibrosis in nonalcoholic steatohepatitis with type 2 diabetes? Bratisl Lek Listy. 2011;112:626–9.PubMedGoogle Scholar
- Pulla Reddy A, Lokesh BR. Effect of curcumin and eugenol on iron-induced hepatic toxicities in rats. Toxicol. 1996;107:39–45.View ArticleGoogle Scholar
- Thabrew M, Joice P. A comparative study of the efficacy of Pavetta indica and Osbeckia octanda in the treatment of liver dysfunction. Planta Med. 1987;53:239–41.View ArticlePubMedGoogle Scholar
- Sabir SM, Ahmad SD, Hamid A, Khand MQ, Athaydeb ML, Santosa DB, Boligonb AA, Rocha JBT. Antioxidant and hepatoprotective activity of ethanolic extract of leaves of Solidago microglossa containing polyphenolic compounds. Food Chem. 2012;131:741–7.View ArticleGoogle Scholar
- Lee KS, Buck M, Houglum K, Chojkier M. Activation of hepatic stellate cells by TGF alpha and collagen type I is mediated by oxidative stress through c-myb expression. J Clin Invest. 1995;96:2461–8.View ArticlePubMedPubMed CentralGoogle Scholar
- Farinati F, Cardin R, De Maria N, Della Libera G, Marafin C, Lecis E, Burra P, Floreani A, Cecchetto A, Naccarato R. Iron storage, lipid peroxidation and glutathione turnover in chronic anti HCV positive hepatitis. J Hepatol. 1995;22:449–56.View ArticlePubMedGoogle Scholar
- Reeves HL, Burt AD, Wood S, Day CP. Hepatic stellate cell activation occurs in the absence of hepatitis in alcoholic liver disease and correlates with the severity of steatosis. J Hepatol. 1996;25:677–83.View ArticlePubMedGoogle Scholar
- Plebani M, Burlina A. Biochemical markers of hepatic fibrosis. Clin Biochem. 1991;24:219–39.View ArticlePubMedGoogle Scholar
- Dalle-Donne I, Rossi R, Giustarini D, Milzani A, Colombo R. Protein carbonyl groups as a biomarkers of oxidative stress. Clin Chim Acta. 2003;329:23–8.View ArticlePubMedGoogle Scholar
- Rice-Evans CA, Miller NJ, Bolwell PG, Bramley PM, Pridham JB. The relative antioxidant activities of plant-derived polyphenolic flavonoids. Free Radical Res. 1995;22:375–83.View ArticleGoogle Scholar
- Khatri A, Garg A, Agrawal SS. Evaluation of hepatoprotective activity of aerial parts of Tephrosia purpurea L. and stem bark of Tecomella undulate. J Ethnopharmacol. 2009;122:1–5.View ArticlePubMedGoogle Scholar
- Janbaz KH, Saeed SA, Gilani AH. Protective effect of rutin on paracetamol- and CCl4-induced hepatotoxicity in rodents. Fitoterapia. 2002;73:557–63.View ArticlePubMedGoogle Scholar