Lagerstroemia speciosa (L.) Pers., ethanolic extract attenuates simultaneously administered isoniazid‐ and dapsone‐induced hepatotoxicity in rats

Abstract

Herbal tea of Lagerstroemia speciosa Pers., commonly known as banaba, has been traditionally used to treat various ailments including diabetes and obesity due to its antioxidant and anti‐inflammatory efficacies. Drug‐induced liver injury is a common cause of acute liver failure. Isoniazid (INH) is used as the first‐line treatment for tuberculosis; clinical and experimental studies have reported an abnormal liver function after INH therapy. Dapsone (DDS) is used for leprosy and other infections. This study investigates the hepatoprotective effect of ethanolic banaba leaves extract (EBLE) against simultaneously administered INH‐ and DDS‐induced hepatotoxicity in rats. DDS (30 mg/kg, i.p.) and INH (50 mg/kg. p.o.) were administered simultaneously for 30 days. In separate groups, rats were posttreated orally with EBLE (500 mg/kg) and silymarin (100 mg/kg) for 30 days after INH + DDS administration. The marker enzymes of hepatotoxicity, oxidative stress markers, inflammatory markers, and histopathology were done. Simultaneous administration of INH‐ and DDS‐induced significant elevation of marker enzymes of hepatotoxicity in the serum. This treatment also increased lipid peroxidation and pro‐inflammatory markers (tumor necrosis factor alpha, transforming growth factor beta, and nuclear factor kappa B) expressions and decreased intracellular antioxidants such as superoxide dismutase, catalase, and glutathione in the liver tissue. All these abnormalities were significantly mitigated after EBLE and SIL posttreatments. The results of this study suggest that EBLE and silymarin can be protective against INH + DDS‐induced hepatotoxicity. Practical applications Herbal tea contain Lagerstroemia speciosa leaves are used in several Southeast Asian countries due to its rich antioxidant and inflammatory properties. This study showed the hepatoprotective efficacy of L. speciosa ethanolic extract against simultaneously administered dapsone‐ and isoniazid‐induced hepatotoxicity in rats. L. speciosa administration was found to decrease dapsone‐ and isoniazid‐induced oxidative stress and hepatic inflammation. L. speciosa herbal tea can reduce drug‐induced hepatic complications as it contains phytochemicals such as corosolic acid, gallic acid, ellagic acid and berberine and are implicated for its hepatoprotective effect. Therefore, L. speciosa extract can be used for drug‐induced liver injury.

Syringic acid and silymarin concurrent administration inhibits sodium valproate‐induced liver injury in rats

“…Several commonly used drugs in clinical practice are responsible for DILI and are often manifested as liver inflammation and necrosis 1 . For instance, acetaminophen, amoxicillin/clavulanate, dapsone, isoniazid and methotrexate are the most common causes of DILI 2–4 . DILI can be classified as predictable and unpredictable or idiosyncratic.…”

Coleus vettiveroides ethanolic root extract protects against thioacetamide‐induced acute liver injury in rats

“…Studies have reported that the presence of berberine and gallic acid in a plant as phytocompounds might protect the liver from drug and chemicalinduced liver injuries. 42,43 As pure compounds, both berberine and gallic acid administration offer membrane stabilizing properties, thereby protecting against drug and chemical-induced liver injury. 44,45 In this study, concurrent TAA + CVERE and TAA + SIL treatments significantly inhibited the elevation of serum marker enzymes.…”

“…The present study also showed increased serum liver marker enzyme activities upon TAA administration. Studies have reported that the presence of berberine and gallic acid in a plant as phytocompounds might protect the liver from drug and chemical‐induced liver injuries 42,43 . As pure compounds, both berberine and gallic acid administration offer membrane stabilizing properties, thereby protecting against drug and chemical‐induced liver injury 44,45 .…”

Lagerstroemia speciosa Pers. (Lythraceae) Ethanolic Extract Attenuates Isoniazid-Induced Oxidative Stress and Hepatic Inflammation in Rats

“…DILI is normally a dose-related phenomenon; however, it can also occur in the context of therapeutic doses. DILI occurs in a significant number of people exposed to drugs and generally is a challenging task for diagnosis and drug development [1]. More than a thousand drugs used in clinical practice are suspected to induce liver damage, of which 353 medications were convincingly related to liver injury [2].…”