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Current Traditional Medicine

Editor-in-Chief

ISSN (Print): 2215-0838
ISSN (Online): 2215-0846

Review Article

An Evidence-based Study on Pharmacological Treatments of Non-Alcoholic Fatty Liver Disease Based on Traditional Persian Medicine

Author(s): Fatemeh Sadat Hasheminasab, Haleh Tajadini and Mohammad Setayesh*

Volume 6, Issue 3, 2020

Page: [188 - 202] Pages: 15

DOI: 10.2174/2215083805666190902114137

Price: $65

Abstract

Background: Non-Alcoholic Fatty Liver Disease (NAFLD) is one of the most prevalent liver diseases regarded as the primary cause of chronic liver disease, which may lead to hepatic failure. Despite the recent developments in the treatment of NAFLD, the necessity to find more efficient treatments has led to investigation on medicinal plants. Traditional Persian Medicine (TPM) is one of the oldest medical schools in the world. For treatment of NAFLD, different medicinal plants have been employed in TPM.

Objective: Considering the public welcome for herbal medicines, the current evidence-based review study is conducted to investigate herbal remedies for NAFLD in TPM.

Methods: Medicinal plants for treating NFALD were extracted according to three famous textbooks of Persian medicine. Then anti-obesity, hypolipidemic, hypoglycemic, antioxidative and hepatoprotective effects of these medicinal plants were investigated according to modern medicine. For this purpose, databases including Scopus, web of sciences, Pubmed, Google scholar and science direct were searched.

Results: Investigations of Persian medicine textbooks resulted in deriving 53 herbs, which are useful for treating NAFLD. Searching through aforesaid databases showed that most of these plants can help to treat this disease in at least 2 ways. 25 herbs are effective in all 5 mentioned effects.

Conclusion: It should be considered that in Persian medicine, first-line treatment is correction of life style, then if necessary, herbs are prescribed. However, this study showed that many herbs mentioned in Persian medicine for treatment of NAFLD might have a potential to aid patient with this disease.

Keywords: Traditional Persian medicine, medicinal plants, non-alcoholic fatty liver disease, herbs, hepatoprotective, diabetes, hyperlipidemia.

Graphical Abstract
[2]
Torrers DM, Harrison SA. Nonalcoholic fatty liver diseaseSleisenger and Fordtran's Gastrointestinal and Liver Disease 2 10th Ed 2016 p 1428-40.
[3]
Ribeiro RT, Marinho RT, Sanches JM. Classification and staging of chronic liver disease from multimodal data. IEEE Transactions on Biomed Eng 2013; 60(5): 1336-44.
[4]
Saab S, Mallam D, Cox GA, Tong MJ. Impact of coffee on liver diseases: A systematic review. Liver Int 2014; 34(4): 495-504.
[5]
Scalone L, Fagiuoli S, Ciampichini R, et al. The societal burden of chronic liver diseases: Results from the COME study. BMJ Open Gastroenterol 2015 Dec 31; 2(1)e000025
[6]
Bacon BR. Genetic, Metabolic, and Infiltrative Diseases Affecting the Liver Harrison’s Principles of Internal Medicine. New York: McGraw-Hill 2008.
[7]
Abdelgawad M, De Angelis F, Iossa A, Rizzello M, Cavallaro G, Silecchia G. Management of complications and outcomes after revisional bariatric surgery: 3-year experience at a bariatric center of excellence. Obesity surgery 2016 Sep 1; 26(9): 2144-9.
[8]
Zarshenas M, Farrokhi R, Akhavein M, Kiafar MR. A panoramic view of chronic liver diseases and natural remedies reported in traditional Persian medicine. Curr Pharm Des 2016; 22(3): 350-64.
[9]
Bodeker G, Ong C-K. WHO Global Atlas of Traditional, Complementary and Alternative Medicine. World Health Organization 2005.
[10]
Gorji A. Pharmacological treatment of headache using traditional Persian medicine. Trends Pharmacol Sci 2003; 24(7): 331-4.
[11]
Ahvazi AiA Kāmil al-Sināeah al-Tibbīyah Qum: Jalal al-Din 2008
[12]
Ibn Sina A. Kitab al-Qanun fi al-Tibb (Canon of medicine). New Delhi: Senior Press Superintendent, Jamia Hamdard Printing Press 1998.
[13]
Jorjani E. Zhakhireh Kharazmshahi. Tehran: Bonyade Farhang-e Iran publisher 1976.
[14]
Liu ZL, Xie LZ, Zhu J, Li GQ, Grant SJ, Liu JP. Herbal medicines for fatty liver diseasesCochrane Database of Systematic Reviews 2013(8)
[15]
Esmail S. Zakhireh kharazmshahiQom: Ehya’e tibbe tabiee 2012 589-93 p .
[16]
Ahwazi AA. Kamel al-sanaah al-tibbiyah Lithograph edition of Astan-e Quds-e Razavi 1973
[17]
Avicenna. Al-Qanon fi al-Tibb (Arabic). Beirut: Dar ehya toras al-arabi 2005.
[18]
Emami A, Ahi A. Medical botany. Tehran: Iran University of Medical Sciences and Health Services 2009.
[19]
Ghamarian AR, Hajibabaei M, Javadi M. Physicians Desk Refrence Tehran: Clinical Pharmacy Department, Tehran University of Medical Sciences 2011- 2012
[20]
Yaeesh S, Jamal Q, Khan A-U, Gilani AH. Studies on hepatoprotective, antispasmodic and calcium antagonist activities of the aqueous-methanol extract of Achillea millefolium. Phytother Res 2006; 20(7): 546-51.
[21]
Candan F, Unlu M, Tepe B, et al. Antioxidant and antimicrobial activity of the essential oil and methanol extracts of Achillea millefolium subsp. millefolium Afan. (Asteraceae). J Ethnopharmacol 2003; 87(2): 215-20.
[22]
Mustafa KG, Ganai BA, Akbar S, Dar MY, Masood A. β-Cell protective efficacy, hypoglycemic and hypolipidemic effects of extracts of Achillea millifolium in diabetic rats. Chin J Nat Med 2012; 10(3): 185-9.
[23]
Yakhkeshi S, Rahimi S, Hemati MHR. Effects of yarrow (Achillea millefolium L.), antibiotic and probiotic on performance, immune response, serum lipids and microbial population of broilers. J Agric Sci Technol 2012; 14(4): 799-810.
[24]
Yoon S-J, Koh E-J, Kim C-S, et al. Agrimonia eupatoria protects against chronic ethanol-induced liver injury in rats. Food Chem Toxicol 2012; 50(7): 2335-41.
[25]
Kang SC, Lee CM, Koo HJ, et al. Hepatoprotective effects of aqueous extract from aerial part of agrimmony. Korean J Pharmacogn 2006; 37(1): 28-32.
[26]
Kuczmannová A, Gál P, Varinská L, et al. Agrimonia eupatoria L. and Cynara cardunculus L. water infusions: Phenolic profile and comparison of antioxidant activities. Molecules 2015; 20(11): 20538-50.
[27]
Kuczmannová A, Balažová A, Račanská E, et al. Agrimonia eupatoria L. and Cynara cardunculus L. Water infusions: Comparison of anti-diabetic activities. Molecules 2016; 21(5): 564.
[28]
Ivanova D, Vankova D, Nashar M. Agrimonia eupatoria tea consumption in relation to markers of inflammation, oxidative status and lipid metabolism in healthy subjects. Arch Physiol Biochem 2013; 119(1): 32-7.
[29]
Rehman JU, Aktar N, Khan MY, et al. Phytochemical screening and hepatoprotective effect of Alhagi maurorum Boiss (Leguminosae) against paracetamol-induced hepatotoxicity in rabbits. Trop J Pharm Res 2015; 14(6): 1029-34.
[30]
Sheweita SA, Mashaly S, Newairy AA, Abdou HM, Eweda SM. Changes in oxidative stress and antioxidant enzyme activities in streptozotocin-induced Diabetes mellitus in rats: Role of Alhagi maurorum extracts. Oxid Med Cell Longev 2016; 2016.
[31]
Obioha UE, Suru SM, Ola-Mudathir KF, Faremi TY. Hepatoprotective potentials of onion and garlic extracts on cadmium-induced oxidative damage in rats. Biol Trace Elem Res 2009; 129(1-3): 143-56.
[32]
Ashraf R, Khan RA, Ashraf I. Garlic (Allium sativum) supplementation with standard antidiabetic agent provides better diabetic control in type 2 diabetes patients. Pak J Pharm Sci 2011; 24(4): 565-70.
[33]
Kim I, Kim H-R, Kim J-H, Om A-S. Beneficial effects of Allium sativum L. stem extract on lipid metabolism and antioxidant status in obese mice fed a high-fat diet. J Sci Food Agric 2013; 93(11): 2749-57.
[34]
Cui Y, Ye Q, Wang H, Li Y, Yao W, Qian H. Hepatoprotective potential of Aloevera polysaccharides against chronic alcohol-induced hepatotoxicity in mice. J Sci Food Agric 2014; 94(9): 1764-71.
[35]
Choudhary M, Kochhar A, Sangha J. Hypoglycemic and hypolipidemic effect of Alovera L. in non-insulin dependent diabetics. J Food Sci Technol 2014; 51(1): 90-6.
[36]
Choi H-C, Kim S-J, Son K-Y, Oh B-J, Cho B-L. Metabolic effects of Aloevera gel complex in obese prediabetes and early non-treated diabetic patients: Randomized controlled trial. Nutrition 2013; 29(9): 1110-4.
[37]
Chang CL, Lin CS, Lai GH. Phytochemical characteristics, free radical scavenging activities, and neuroprotection of five medicinal plant extracts. Evid-Based Complement Alter Med 2012. ; 2012.
[38]
Pierro F. Inventor; SIIT Srl Servisio Internazionale IMBA AGGI Termosaldanti, assignee. Compositions containing Phaseolus vulgaris extract and Alpinia officinarum extract for the prevention and treatment of obesity and type II diabetes. United States patent application US 11/321,317; 2007 May 3.
[39]
Xia D-Z, Yu X-F, Wang H-M, Ren Q-Y, Chen B-M. Anti-obesity and hypolipidemic effects of ethanolic extract from Alpinia officinarum Hance (Zingiberaceae) in rats fed high-fat diet. J Med Food 2010; 13(4): 785-91.
[40]
Jia X-Y, Zhang Q-A, Zhang Z-Q, et al. Hepatoprotective effects of almond oil against carbon tetrachloride induced liver injury in rats. Food Chem 2011; 125(2): 673-8.
[41]
Li S-C, Liu Y-H, Liu J-F, Chang W-H, Chen C-M, Chen CYO. Almond consumption improved glycemic control and lipid profiles in patients with type 2 diabetes mellitus. Metabolism 2011; 60(4): 474-9.
[42]
Jamshed H, Gilani AH. Almonds inhibit dyslipidemia and vascular dysfunction in rats through multiple pathways. J Nutr 2014; 144(11): 1768-74.
[43]
Usmani A, Mujahid MD, Khushtar M, Siddiqui HH, Rahman MA. Hepatoprotective effect of Anacyclus pyrethrum Linn. against antitubercular drug-induced hepatotoxicity in SD rats. J Complement Integr Med 2016 Sep 1; 13(3): 295-300.
[44]
Selles C, Dib MEA, Allali H, Tabti B. Evaluation of antimicrobial and antioxidant activities of solvent extracts of Anacyclus pyrethrum L., from Algeria. Mediterr J Chem 2012 Sep 1; 2(2): 408-15.
[45]
Selles C, Medjdoub H, Dib MEA, Zerriouh M, Tabti B. Anti-diabetic activity of aqueous root extract of Anacyclus pyrethrum L. in streptozotocin-induced-diabetic rats. J Med Plants Res 2012; 6(16): 3193-8.
[46]
Shivashri C, Rajarajeshwari T, Rajasekar P. Hepatoprotective action of celery (Apium graveolens) leaves in acetaminophen-fed freshwater fish (Pangasius sutchi). Fish Physiol Biochem 2013; 39(5): 1057-69.
[47]
Li P, Jia J, Zhang D, Xie J, Xu X, Wei D. In vitro and in vivo antioxidant activities of a flavonoid isolated from celery (Apium graveolens L. var. dulce). Food Funct 2014; 5(1): 50-6.
[48]
Perez-Gutierrez RM, Juarez VA, Sauceda JV, Anaya-Sosa I. In vitro and in vivo antidiabetic and antiglycation properties of Apium graveolens in type 1 and 2 diabetic rats. Int J Pharmacol 2014; 10(7): 368-79.
[49]
Iyer D, Patil UK. Effect of chloroform and aqueous basic fraction of ethanolic extract from Apium graveolens L. in experimentally-induced hyperlipidemia in rats. J Complement Integr Med 2011; 8(1)
[50]
El-Shinnawy NA. The therapeutic applications of celery oil seed extract on the plasticizer di (2-ethylhexyl) phthalate toxicity. Toxicol Ind Health 2015; 31(4): 355-66.
[51]
Amat N, Upur H, Blažeković B. In vivo hepatoprotective activity of the aqueous extract of Artemisia absinthium L. against chemically and immunologically induced liver injuries in mice. J Ethnopharmacol 2010; 131(2): 478-84.
[52]
Asghar MN, Khan IU, Bano N. In vitro antioxidant and radical-scavenging capacities of Citrullus colocynthes (L) and Artemisia absinthium extracts using promethazine hydrochloride radical cation and contemporary assays. Food Sci Technol Int 2011; 17(5): 481-94.
[53]
Kharoubi O, Slimani M, Aoues A, Seddik L. Prophylactic effects of wormwood on lipid peroxidation in an animal model of lead intoxication. Indian J Nephrol 2008; 18(2): 51.
[54]
Li Y, Zheng M, Zhai X, et al. Effect of Gymnema sylvestre, Citrullus colocynthis and Artemisia absinthium on blood glucose and lipid profile in diabetic human. Acta Pol Pharm 2015 Sep 1; 72(5): 981-5.
[55]
Gilani AH, Yaeesh S, Jamal Q, Ghayur MN. Hepatoprotective activity of aqueous-methanol extract of Artemisia vulgaris. Phytother Res 2005; 19(2): 170-2.
[56]
Hamdy ET. Biochemical effects, hypolipidemic and anti-inflammatory activities of Artemisia vulgaris extract in hypercholesterolemic rats. J Clin Biochem Nutr 2015; 57(1): 33-8.
[57]
Hermenean A, Popescu C, Ardelean A, et al. Hepatoprotective effects of Berberis vulgaris L. extract/β cyclodextrin on carbon tetrachloride-induced acute toxicity in mice. Int J Mol Sci 2012; 13(7): 9014-34.
[58]
El-Wahab AEA, Ghareeb DA, Sarhan EEM, Abu-Serie MM, El Demellawy MA. In vitro biological assessment of Berberis vulgaris and its active constituent, berberine: Antioxidants, anti-acetylcholinesterase, anti-diabetic and anticancer effects. BMC Complement Altern Med 2013; 13(1): 1.
[59]
Meliani N, Dib MEA, Allali H, Tabti B. Hypoglycaemic effect of Berberis vulgaris L. in normal and streptozotocin-induced diabetic rats. Asian Pac J Trop Biomed 2011; 1(6): 468-71.
[60]
Kashkooli RI, Najafi SS, Sharif F, et al. The effect of Berberis vulgaris extract on transaminase activities in non-alcoholic fatty liver disease. Hepat Mon 2015; 15(2)
[61]
Kumar M, Sharma S, Vasudeva N. In vivo assessment of antihyperglycemic and antioxidant activity from oil of seeds of brassica nigra in streptozotocin induced diabetic rats. Adv Pharm Bull 2013; 3(2): 359.
[62]
Mhatre S, Bhagit A, Yadav RP. In vitro studies of some edible spices on pancreatic lipase inhibitory activity. Indian Drugs 2017; 54(2): 62-8.
[63]
Girgih AT, Alashi AM, He R, et al. A novel hemp seed meal protein hydrolysate reduces oxidative stress factors in spontaneously hypertensive rats. Nutrients 2014; 6(12): 5652-66.
[64]
Karimi I, Hayatghaibi H. Effect of Cannabis sativa L. seed (hempseed) on serum lipid and protein profiles of rat. Pak J Nutr 2006; 5(6): 585-8.
[65]
Aghel N, Rashidi I, Mombeini A. Hepatoprotective activity of Capparis spinosa root bark against CCl4 induced hepatic damage in mice. Iran J Pharm Res 2010; 285-90.
[66]
Mansour RB, Jilani IBH, Bouaziz M, et al. Phenolic contents and antioxidant activity of ethanolic extract of Capparis spinosa. Cytotechnol 2016; 68(1): 135-42.
[67]
Huseini HF, Hasani-Rnjbar S, Nayebi N, et al. Capparis spinosa L.(Caper) fruit extract in treatment of type 2 diabetic patients: A randomized double-blind placebo-controlled clinical trial. Complement Ther Med 2013; 21(5): 447-52.
[68]
Eddouks M, Lemhadri A, Michel JB. Hypolipidemic activity of aqueous extract of Capparis spinosa L. in normal and diabetic rats. J Ethnopharmacol 2005; 98(3): 345-50.
[69]
Lemhadri A, Eddouks M, Sulpice T, Burcelin R. Anti-hyperglycaemic and anti-obesity effects of Capparis spinosa and Chamaemelumnobile aqueous extracts in HFD mice. Am J Pharmacol Toxicol 2007; 2(3): 106-10.
[70]
Samojlik I, Lakic N, Mimica-Dukic N, Đaković-Švajcer K, Božin B. Antioxidant and hepatoprotective potential of essential oils of coriander (Coriandrum sativum L.) and caraway (Carum carvi L.)(Apiaceae). J Agric Food Chem 2010; 58(15): 8848-53.
[71]
Haidari F, Seyed-Sadjadi N, Taha-Jalali M, Mohammed-Shahi M. The effect of oral administration of Carum carvi on weight, serum glucose, and lipid profile in streptozotocin-induced diabetic rats. J Saudi Med 2011; 32(7): 695-700.
[72]
Nair SVG, Hettihewa M, Rupasinghe HP. . Apoptotic and inhibitory effects on cell proliferation of hepatocellular carcinoma HepG2 cells by methanol leaf extract of Costus speciosus. BioMed Res Int 2014; 2014
[73]
Chandra K, Salman AS, Mohd A, Sweety R, Ali KN. Protection against FCA induced oxidative stress induced DNA damage as a model of arthritis and In vitro anti-arthritic potential of costus speciosus rhizome extract. Inter J Pharma Phyto Res 2015; 7(2): 383-9.
[74]
Perera HKI, Premadasa WKVK, Poongunran J. α-glucosidase and glycation inhibitory effects of costus speciosus leaves. BMC Complement Altern Med 2016; 16(1): 1.
[75]
Susanti H, Wahyuono S, Sari IP, Susidarti RA. Antihypercholesterol activity of costus speciosus water extract. Thai J Pharm Sci 2018; 42(2): 66-8.
[76]
Li G-Y, Gao H-Y, Huang J, Lu J, Gu J-K, Wang J-H. Hepatoprotective effect of Cichorium intybus L., a traditional Uighur medicine, against carbon tetrachloride-induced hepatic fibrosis in rats. World J Gastroenterol: WJG 2014; 20(16): 4753.
[77]
Mehmood N, Zubair M, Rızwan K, Rasool N, Shahid M, Ahmad V. Antioxidant, antimicrobial and phytochemical analysis of Cichorium intybus seeds extract and various organic fractions. Iran J Pharm Res 2012; 11(4): 1145-51.
[78]
Rub RA, Siddiqui R, Ali AM, Shaikh A, Mukadam M. Screening of antioxidant & antidiabetic potential of polyphenol rich fraction from Cichorium intybus. Pharmacogn J 2014; 6(1): 92-8.
[79]
Ghamarian A, Abdollahi M, Su X, Amiri A, Ahadi A, Nowrouzi A. Effect of chicory seed extract on glucose tolerance test (GTT) and metabolic profile in early and late stage diabetic rats. DARU J Pharm Sci 2012; 20(1): 1.
[80]
Pandey AK, Mishra AK, Mishra A. Antifungal and antioxidative potential of oil and extracts derived from leaves of Indian spice plant Cinnamomum tamala. Cell Mol Biol 2012; 58(1): 142-7.
[81]
Kumar S, Vasudeva N, Sharma S. GC-MS analysis and screening of antidiabetic, antioxidant and hypolipidemic potential of Cinnamomum tamala oil in streptozotocin induced diabetes mellitus in rats. Cardiovasc Diabetol 2012; 11(1): 1.
[82]
Moselhy SS, Ali HKH. Hepatoprotective effect of cinnamon extracts against carbon tetrachloride induced oxidative stress and liver injury in rats. Biol Res 2009; 42(1): 93-8.
[83]
Pandey M, Chandra DR. Evaluation of ethanol and aqueous extracts of cinnamomum verum leaf galls for potential antioxidant and analgesic activity. Indian J Pharm Sci 2015; 77(2): 243.
[84]
Li R, Liang T, Xu L, Li Y, Zhang S, Duan X. Protective effect of cinnamon polyphenols against STZ-diabetic mice fed high-sugar, high-fat diet and its underlying mechanism. Food Chem Toxicol 2013; 51(1): 419-25.
[85]
Boqué N, Campión J, de la Iglesia R, et al. Screening of polyphenolic plant extracts for anti-obesity properties in Wistar rats. J Sci Food Agric 2013; 93(5): 1226-32.
[86]
Siddiqui MZ, Mazumder PM. Comparative study of hypolipidemic profile of resinoids of Commiphora mukul/Commiphora wightii from different geographical locations. Indian J Pharm Sci 2012; 74(5): 422.
[87]
Ramesh B, Saralakumari D. Antihyperglycemic, hypolipidemic and antioxidant activities of ethanolic extract of Commiphora mukul gum resin in fructose-fed male Wistar rats. J Physiol Biochem 2012; 68(4): 573-82.
[88]
Satyavati GV, Dwarakanath C, Tripathi SN. Experimental studies on the hypocholesterolemic effect of Commiphora mukul Engl (guggul). Indian J Med Res 1969; 57(1): 1950-62.
[89]
Rusu MA, Bucur N, Puicǎ C, Tǎmaş M. Effects of Corylus avellana in acetaminophen and CCl4 induced toxicosis. Phytother Res 1999; 13(2): 120-3.
[90]
Shahidi F, Alasalvar C, Liyana-Pathirana CM. Antioxidant phytochemicals in hazelnut kernel (Corylus avellana L.) and hazelnut byproducts. J Agric Food Chem 2007; 55(4): 1212-20.
[91]
Demirel MA, Ilhan M, Suntar I, Keles H, Akkol EK. Activity of Corylus avellana seed oil in letrozole-induced polycystic ovary syndrome model in rats. Revista Brasileira de Farmacognosia 2016; 26(1): 83-8.
[92]
Mollica A, Zengin G, Stefanucci A, et al. Nutraceutical potential of Corylus avellana daily supplements for obesity and related dysmetabolism. J Funct Foods 2018; 47(1): 562-74.
[93]
Lari P, Abnous K, Imenshahidi M, Rashedinia M, Razavi M, Hosseinzadeh H. Evaluation of diazinon-induced hepatotoxicity and protective effects of crocin. Toxicol Ind Health 2015; 31(4): 367-76.
[94]
Samarghandian S, Azimi-Nezhad M, Samini F. Ameliorative effect of saffron aqueous extract on hyperglycemia, hyperlipidemia, and oxidative stress on diabetic encephalopathy in streptozotocin induced experimental diabetes mellitusBioMed Res Int 2014; 2014.
[95]
Kianbakht S, Hashem Dabaghian F. Anti-obesity and anorectic effects of saffron and its constituent crocin in obese wistar rat. J Med Plants 2015; 1(53): 25-33.
[96]
Mushtaq A, Ahmad M, Jabeen Q, Saqib A, Wajid M, Akram MA. Hepato-protective investigations of Cuminum cyminum dried seeds in nimesulide intoxicated albino rats by phytochemical and biochemical methods. Int J Pharm Pharm Sci 2014; 6(1): 506-10.
[97]
El-Ghorab AH, Nauman M, Anjum FM, Hussain S, Nadeem M. A comparative study on chemical composition and antioxidant activity of ginger (Zingiber officinale) and cumin (Cuminum cyminum). J Agric Food Chem 2010; 58(14): 8231-7.
[98]
Srivsatava R, Srivastava SP, Jaiswal N, Mishra A, Maurya R, Srivastava AK. Antidiabetic and antidyslipidemic activities of Cuminum cyminum L. in validated animal models. Med Chem Res 2011; 20(9): 1656-66.
[99]
Taghizadeh M, Memarzadeh MR, Asemi Z, Esmaillzadeh A. Effect of the Cumin cyminum L. intake on weight loss, metabolic profiles and biomarkers of oxidative stress in overweight subjects: A randomized double-blind placebo-controlled clinical trial. Ann Nutr Metab 2015; 66(2-3): 117-24.
[100]
Rahim SM, Taha EM, Al-janabi MS, Al-douri BI, Simon KD, Mazlan AG. Hepatoprotective effect of Cymbopogon Citratus aqueous extract against hydrogen peroxide-induced liver injury in male rats. Afr J Tradit Complement Altern Med 2014; 11(2): 447-51.
[101]
Koh PH, Mokhtar RAM, Iqbal M. Antioxidant potential of Cymbopogon citratus extract: Alleviation of carbon tetrachloride-induced hepatic oxidative stress and toxicity. Hum Exp Toxicol 2012; 31(1): 81-91.
[102]
Adeneye AA, Agbaje EO. Hypoglycemic and hypolipidemic effects of fresh leaf aqueous extract of Cymbopogon citratus Stapf. in rats. J Ethnopharmacol 2007; 112(3): 440-4.
[103]
Batubara I, Suparto IH, Sa’diah S, Matsuoka R, Mitsunaga T. Effects of inhaled citronella oil and related compounds on rat body weight and brown adipose tissue sympathetic nerve. Nutrients 2015; 7(3): 1859-70.
[104]
Singh K, Singh N, Chandy A, Manigauha A. In vivo antioxidant and hepatoprotective activity of methanolic extracts of Daucus carota seeds in experimental animals. Asian Pac J Trop Biomed 2012; 2(5): 385-8.
[105]
Pouraboli I, Nazari S, Ranjbar B, Shariati M, Kargar Jahromi H. Antihyperglycemic and antihyperlipidemic effects of daucuscarota ssp. sativum seeds extract in diabetic rats. J Babol Univ Med Sci 2014; 16(3): 33-40.
[106]
Bagheri SM, Yadegari M, Behpur M, Javidmehr D. Antilithiatic and hepatoprotective effects of Ferula assafoetida oleo-gum-resin on ethylene glycol-induced lithiasis in rats. Urol Sci 2018; 29(4): 180-5.
[107]
Kavoosi G, Rowshan V. Chemical composition, antioxidant and antimicrobial activities of essential oil obtained from Ferula assa-foetida oleo-gum-resin: Effect of collection time. Food Chem 2013; 138(4): 2180-7.
[108]
Yusufoglu HS, Soliman GA, Abdel RF, et al. Antihyperglycemic and antihyperlipidemic effects of Ferula assa-foetida and Ferula tenuissima extracts in diabetic rats. Pak J Biol Sci 2015; 18(7): 314.
[109]
Abu-Zaiton AS. Anti-diabetic activity of Ferula assafoetida extract in normal and alloxan-induced diabetic rats. Pak J Biol Sci 2010; 13(2): 97-100.
[110]
Sirisha N, Sreenivasulu M, Sangeeta K, Chetty CM. Antioxidant properties of Ficus species - A review. Int J Pharm Tech Res 2010; 2(4): 2174-82.
[111]
Perez C, Canal JR, Torres MD. Experimental diabetes treated with ficus carica extract: Effect on oxidative stress parameters. Acta Diabetol 2003; 40(1): 3-8.
[112]
Joerin L, Kauschka M, Bonnländer B, Pischel I, Benedek B, Butterweck V. Ficus carica leaf extract modulates the lipid profile of rats fed with a high-fat diet through an increase of HDL‐C. Phytother Res 2014; 28(2): 261-7.
[113]
Rabeh NM, Aboraya AO. Hepatoprotective effect of dill (Anethum graveolens L.) and fennel (Foeniculum vulgare) oil on hepatotoxic rats. Pak J Nutr 2014; 13(6): 303.
[114]
Mhaidat NM, Abu-zaiton AS, Alzoubi KH, Alzoubi W, Alazab RS. Antihyperglycemic properties of Foeniculum vulgare extract in streptozocin-induced diabetes in rats. Int J Pharmacol 2015; 11(1): 72-5.
[115]
Oulmouden F, Saïle R, El Gnaoui N, et al. Hypolipidemic and anti-atherogenic effect of aqueous extract of fennel (Foeniculum vulgare) extract in an experimental model of atherosclerosis induced by Triton WR-1339. Eur J Sci Res 2011; 52(1): 91-9.
[116]
Shahat AA, Ahmed HH, Hammouda FM, Ghaleb H. Regulation of obesity and lipid disorders by Foeniculum vulgare extracts and Plantago ovata in high-fat diet-induced obese rats. Am J Food Technol 2012; 7(1): 622-32.
[117]
Öztürk N, Herekman-Demir T, Öztürk Y, Bozan B, Başer KHC. Choleretic activity of Gentiana lutea ssp. symphyandra in rats. Phytomed 1998; 5(4): 283-8.
[118]
Nastasijević B, Lazarević-Pašti T, Dimitrijević-Branković S, et al. Inhibition of myeloperoxidase and antioxidative activity of Gentiana lutea extracts. J Pharm Biomed Anal 2012; 66(1): 191-6.
[119]
Rasool M, Iqbal J, Malik A, et al. Hepatoprotective effects of Silybum marianum (Silymarin) and Glycyrrhiza glabra (Glycyrrhizin) in combination: A possible synergy. Evidence-Based Complement Altern Med 2014. 2014.
[120]
Shamim A, Mahmood T, Mukeem M, et al. Effect of ethanolic extract of Glycyrizza glabra against streptozotocin and high-fat diet-induced diabetes and hyperlipidemia. Int J Pharm Pharm Sci 2016; 8(4): 259-66.
[121]
Ahn J, Lee H, Jang J, Kim S, Ha T. Anti-obesity effects of glabridin-rich supercritical carbon dioxide extract of licorice in high-fat-fed obese mice. Food Chem Toxicol 2013; 51(1): 439-45.
[122]
Lim S, Lee S-J, Nam K-W, Kim KH, Mar W. Hepatoprotective effects of reynosin against thioacetamide-induced apoptosis in primary hepatocytes and mouse liver. Arch Pharm Res 2013; 36(4): 485-94.
[123]
Kang HW, Yu KW, Jun WJ, et al. Isolation and characterization of alkyl peroxy radical scavenging compound from leaves of Laurus nobilis. Biol Amp. Pharm Bull 2002; 25(1): 102-8.
[124]
Khan A, Zaman G, Anderson RA. Bay leaves improve glucose and lipid profile of people with type 2 diabetes. J Clin Biochem Nutr 2009; 44(1): 52-6.
[125]
Tavakol HS, Farzad K, Fariba M, et al. Hepatoprotective effect of Matricaria chamomilla. L in paraquat induced rat liver injury. Drug Res 2015; 65(02): 61-4.
[126]
Kato A, Minoshima Y, Yamamoto J. Protective effects of dietary chamomile tea on diabetic complications. J Agric Food Chem 2008; 56(17): 8206-11.
[127]
Prasanna R, Ashraf EA, Essam MA. Chamomile and oregano extracts synergistically exhibit antihyperglycemic, antihyperlipidemic, and renal protective effects in alloxan-induced diabetic rats. Can J Physiol Pharmacol 2017; 95(1): 84-92.
[128]
Toromanyan E, Aslanyan G, Amroyan E, Gabrielyan E, Panossian A. Efficacy of Slim339® in reducing body weight of overweight and obese human subjects. Phytother Res 2007; 21(12): 1177-81.
[129]
Bolkent S, Yanardag R, Karabulut-Bulan O, Yesilyaprak B. Protective role of Melissa officinalis L. extract on liver of hyperlipidemic rats: A morphological and biochemical study. J Ethnopharmacol 2005; 99(3): 391-8.
[130]
Popova A, Dalemska Z, Mihaylova D, Hristova I, Alexieva I. Melissa officinalis L. GC profile and antioxidant activity. Int J Pharmacogn Phytochem Res 2016; 8(1): 634-8.
[131]
Weidner C, Wowro SJ, Freiwald A, et al. Lemon balm extract causes potent antihyperglycemic and antihyperlipidemic effects in insulin-resistant obese mice. Mol Nutr Food Res 2014; 58(4): 903-7.
[132]
Woo S, Yoon M, Kim J, et al. The anti-angiogenic herbal extract from Melissa officinalis inhibits adipogenesis in 3T3-L1 adipocytes and suppresses adipocyte hypertrophy in high fat diet-induced obese C57BL/6J mice. J Ethnopharmacol 2016; 178(1): 238-50.
[133]
Turkoglu S. Assessment of wild mint from Tunceli as source of bioactive compounds, and its antioxidant activity. Cell Mol Biol (Noisy-le-Grand, France) 2014; 61(8): 63-8.
[134]
Farid O, El Haidani A, Eddouks M. Antidiabetic effect of spearmint in streptozotocin-induced diabetic rats. Endocr Metab Immune Disord Drug Targets 2018; 18(6): 581-9.
[135]
Bayani M, Ahmadi-Hamedani M, Javan AJ. Study of hypoglycemic, hypocholesterolemic and antioxidant activities of Iranian Mentha spicata leaves aqueous extract in diabetic rats. Iran J Pharm Res 2017; 16(1): 75-82.
[136]
Jamous RM, Abu-Zaitoun SY, Akkawi RJ, Ali-Shtayeh MS. Antiobesity and antioxidant potentials of selected palestinian medicinal plantsEvid-based Complement Alternat Med 2018; 2018.
[137]
Kumar MR, Phaneendra P, Bodhanapu S, Rahiman OMF, Niyas KM, Tamizmani T. Antioxidant and hepatoprotective activity of the aqueous extract of Myrtus Communis (Myrtle) Linn. leaves. Pharmacologyonline 2011; 1(1): 1083-90.
[138]
Sepici A, Gürbüz I, Çevik C, Yesilada E. Hypoglycaemic effects of myrtle oil in normal and alloxan-diabetic rabbits. J Ethnopharmacol 2004; 93(2): 311-8.
[139]
Ahmed AH. Flavonoid content and antiobesity activity of leaves of Myrtus communis. Asian J Chem 2013; 25(12)
[140]
Adam GO, Rahman MM, Lee S-J, et al. Hepatoprotective effects of Nigella sativa seed extract against acetaminophen-induced oxidative stress. Asian Pac J Trop Biomed 2016; 9(3): 221-7.
[141]
Heshmati J, Namazi N, Memarzadeh M-R, Taghizadeh M, Kolahdooz F. Nigella sativa oil affects glucose metabolism and lipid concentrations in patients with type 2 diabetes: A randomized, double-blind, placebo-controlled trial. Food Res Int 2015; 70(1): 87-93.
[142]
Razavi BM, Hosseinzadeh H. A review of the effects of Nigella sativa L. and its constituent, thymoquinone, in metabolic syndrome. J Endocrinol Invest 2014; 37(11): 1031-40.
[143]
Habibi E, Shokrzadeh M, Chabra A, Naghshvar F, Keshavarz-Maleki R, Ahmadi A. Protective effects of Origanum vulgare ethanol extract against cyclophosphamide-induced liver toxicity in mice. Pharm Biol 2015; 53(1): 10-5.
[144]
Tamert A, Latreche A. Antioxidant activity of extracts of six aromatic Lamiaceae of Western Algeria. Phytotherapie 2016; 1-8.
[145]
Vujicic M, Nikolic I, Kontogianni VG, et al. Methanolic extract of Origanum vulgare ameliorates type 1 diabetes through antioxidant, anti-inflammatory and anti-apoptotic activity. Br J Nutr 2015; 113(5): 770-82.
[146]
Jamshidzadeh A, Heidari R, Razmjou M, et al. An in vivo and in vitro investigation on hepatoprotective effects of Pimpinella anisum seed essential oil and extracts against carbon tetrachloride-induced toxicity. Iran J Basic Med Sci 2015; 18(2): 205.
[147]
Rajeshwari U, Shobha I, Andallu B. Comparison of aniseeds and coriander seeds for antidiabetic, hypolipidemic and antioxidant activities. Spatula DD-Peer Rev J Complement Med Drug Discov 2011; 1(1): 9-16.
[148]
Ado MA, Abas F, Mohammed AS, Ghazali HM. Anti and pro-lipase activity of selected medicinal, herbal and aquatic plants, and structure elucidation of an anti-lipase compound. Mol 2013; 18(12): 14651-69.
[149]
Sabina EP, Vedi M, Rasool M, Murugan K, Jackline D. Ameliorative effect of piperine from piper nigrum on D-galactosamine-induced hepatotoxicity in mice. Int J Pharm Sci Rev Res 2013; 21(2): 240-5.
[150]
Bagheri H, Manap MYBA, Solati Z. Antioxidant activity of Piper nigrum L. essential oil extracted by supercritical CO2 extraction and hydro-distillation. Talanta 2014; 121(1): 220-8.
[151]
Atal S, Agrawal RP, Vyas S, Phadnis P, Rai N. Evaluation of the effect of piperine per se on blood glucose level in alloxan-induced diabetic mice. Acta Poloniae Pharm -. Drug Res 2012; 69(5): 965-9.
[152]
Parim B, Harishankar N, Balaji M, Pothana S, Sajjalaguddam RR. Effects of Piper nigrum extracts: Restorative perspectives of high-fat diet-induced changes on lipid profile, body composition, and hormones in Sprague-Dawley rats. Pharm Biol 2015; 53(9): 1318-28.
[153]
Meriga B, Parim B, Chunduri VR, et al. Antiobesity potential of Piperonal: Promising modulation of body composition, lipid profiles and obesogenic marker expression in HFD-induced obese rats. Nutr Metab (Lond) 2017; 14(1): 72.
[154]
Triantafyllou A, Chaviaras N, Sergentanis TN, Protopapa E, Tsaknis J. Chios mastic gum modulates serum biochemical parameters in a human population. J Ethnopharmacol 2007; 111(1): 43-9.
[155]
Rehman MSU, Kamran SH, Ahmad M, Akhtar U. Anti-diabetic activity of crude Pistacia lentiscus in alloxan-induced diabetes in rats. Bangladesh J Pharmacol 2015; 10(3): 543-7.
[156]
Georgiadis I, Karatzas T, Korou L-M, et al. Evaluation of Chios mastic gum on lipid and glucose metabolism in diabetic mice. J Med Food 2014; 17(3): 393-9.
[157]
Kavak DD, Altıok E, Bayraktar O, Ülkü S. Pistacia terebinthus extract: As a potential antioxidant, antimicrobial and possible β-glucuronidase inhibitor. J Mol Catal, B Enzym 2010; 64(3): 167-71.
[158]
Bakirel T, Şener S, Bakirel U, Keleş OYA, Şennazli G, Gürel A. The investigation of the effects of Pistacia terebinthus L. upon experimentally induced hypercholesterolemia and atherosclerosis in rabbits. Turk J Vet Anim Sci 2004; 27(6): 1283-92.
[159]
Moharram FA, Marzouk MS, El Dib RA, El-Shenawy SM, Abdel-Rahman RF, Ibrahim RR. Hepatoprotective, gastroprotective, antioxidant activity and phenolic constituents of Quercus robur leaves. J Pharm Sci Res 2015; 7(11): 1055.
[160]
Salajpal K, Karolyi D, Dikić M, Kantura V, Kiš G, Sinjer Ž. Influence of acorn intake on blood lipid profile and longisimus muscle characteristics of black slavonian pig. Acta Agric Slov 2008; 99-105.
[161]
Sharma M, Shakya A, Sharma N, Shrivastava S, Shukla S. Therapeutic efficacy of Rosa damascena Mill. on acetaminophen-induced oxidative stress in albino rats. J Environ Pathol Toxicol Oncol 2012; 31(3)
[162]
Gholamhoseinian A, Fallah H. Inhibitory effect of methanol extract of Rosa damascena Mill. flowers on α-glucosidase activity and postprandial hyperglycemia in normal and diabetic rats. Phytomed 2009; 16(10): 935-41.
[163]
Gholamhoseinian A, Shahouzehi B, Joukar S, Iranpoor M. Effect of Quercus infectoria and Rosa damascena on lipid profile and atherosclerotic plaque formation in rabbit model of hyperlipidemia. Pak J Biol Sci 2012; 15(1): 27.
[164]
Saieed P, Reza RM, Abbas D, Seyyedvali R, Aliasghar H. Inhibitory effects of Ruta graveolens L. extract on guinea pig liver aldehyde oxidase. Chem Pharm Bull (Tokyo) 2006; 54(1): 9-13.
[165]
Ratheesh M, Shyni GL, Sindhu G, Helen A. Inhibitory effect of Ruta graveolens L. on oxidative damage, inflammation and aortic pathology in hypercholesteromic rats. Experiment Toxicol Pathol 2011; 63(3): 285-90.
[166]
Ahmed OM, Moneim AA, Yazid IA, Mahmoud AM. Antihyperglycemic, antihyperlipidemic and antioxidant effects and the probable mechanisms of action of Ruta graveolens infusion and rutin in nicotinamide-streptozotocin-induced diabetic rats. Diabetol Croat 2010; 39(1): 15-35.
[167]
Sung Y-W, Lee J-H, Song K-J, Koo B-S, Kim G-W. Preventive effects of Santalum album L. Extracts on oxidation, platelet aggregation and thrombosis. J Orient Neuropsychiatry 2012; 23(1): 115-28.
[168]
Kulkarni CR, Joglekar MM, Patil SB, Arvindekar AU. Antihyperglycemic and antihyperlipidemic effect of Santalum album in streptozotocin induced diabetic rats. Pharm Biol 2012; 50(3): 360-5.
[169]
Choi M-K, Kim H-G, Han J-M, et al. Hepatoprotective effect of Terminalia chebula against t-BHP-induced acute liver injury in C57/BL6 mice. Evid-Based Complement Altern Med; 2015. 2015.
[170]
Saha S, Verma RJ. In vitro and in silico study of antioxidant effect of Bergenia ciliata and Terminalia chebula against sodium oxalate induced oxidative stress. Toxicol Environ Health Sci 2015; 7(1): 50-7.
[171]
Murali YK, Anand P, Tandon V, Singh R, Chandra R, Murthy PS. Long-term effects of Terminalia chebula Retz. on hyperglycemia and associated hyperlipidemia, tissue glycogen content and in vitro release of insulin in streptozotocin induced diabetic rats. Exp Clin Endocrinol Diabetes 2007; 115(10): 641-6.
[172]
Kumar GPS, Arulselvan P, Kumar DS, Subramanian SP. Anti-diabetic activity of fruits of Terminalia chebula on streptozotocin induced diabetic rats. J Health Sci 2006; 52(3): 283-91.
[173]
Ahirwar B, Singhai AK, Dixit VK. Effect of Terminalia chebula fruits on lipid profiles of rats. J Nat Rem 2003; 3(1): 31-5.
[174]
Maruthappan V, Shree KS. Hypolipidemic activity of Haritaki (Terminalia chebula) in atherogenic diet induced hyperlipidemic rats. J Adv Pharm Technol Res 2010; 1(2): 229.
[175]
Kamali SH, Khalaj AR, Esfehani MM, et al. Efficacy of ‘Itrifal Saghir’, a combination of three medicinal plants in the treatment of obesity; A randomized controlled trial. DARU J Pharm Sc 2012; 20(1): 1.
[176]
Grespan R, Aguiar RP, Giubilei FN, et al. Hepatoprotective effect of pretreatment with Thymus vulgaris essential oil in experimental model of acetaminopheninduced injury. Evid-Based Complement Alternat Med 2014; 2014.
[177]
Aljarah AK, Hameed IH. In vitro anti-diabetic properties of methanolic extract of thymus vulgaris using α-glucosidase and α-amylase inhibition assay and determination of its bioactive chemical compounds. Indian J Public Health Res Dev 2018; 9(3): 388-92.
[178]
El-Ghousein SS, Al-Beitawi NA. The effect of feeding of crushed thyme (Thymus valgaris L) on growth, blood constituents, gastrointestinal tract and carcass characteristics of broiler chickens. J Poult Sci 2009; 46(2): 100-4.
[179]
Gilani AH, Jabeen Q, Ghayur MN, Janbaz KH, Akhtar MS. Studies on the antihypertensive, antispasmodic, bronchodilator and hepatoprotective activities of the Carum copticum seed extract. J Ethnopharmacol 2005; 98(1): 127-35.
[180]
Goswami N, Chatterjee S. Assessment of free radical scavenging potential and oxidative DNA damage preventive activity of Trachyspermum ammi L. (carom) and Foeniculum vulgare Mill. (fennel) seed extracts. Bio Med Res Int 2014; 2014.
[181]
Javed I, Zia-Ur-Rahman N, Khan MZ, et al. Antihyperlipidaemic efficacy of Trachyspermum ammi in albino rabbits. Acta Vet Brno 2009; 78(2): 229-36.
[182]
Reddy RRL, Srinivasan K. Hepatoprotective and antioxidant effect of fenugreek (trigonella foenum‐graecum) seeds in mice under lithogenic condition. J Food Biochem 2011; 35(6): 1619-26.
[183]
Marzouk M, Soliman AM, Omar TY. Hypoglycemic and antioxidative effects of fenugreek and termis seeds powder in streptozotocin-diabetic rats. Eur Rev Med Pharmacol Sci 2013; 17(4): 559-65.
[184]
Ramulu P, Giridharan NV, Udayasekhararao P. Hypolipidemic effect of soluble dietary fiber (galactomannan) isolated from fenugreek seeds in WNIN (GR-Ob) obese rats. J Med Plants Res 2011; 5(19): 4804-13.
[185]
Letelier ME, Cortes JF, Lepe AM, et al. Evaluation of the antioxidant properties and effects on the biotransformation of commercial herbal preparations using rat liver endoplasmic reticulum. Boletín Latinoamericano y del Caribe de Plantas Medicinales y Aromáticas 2009; 8(2): 110-20.
[186]
Petlevski R, Hadžija M, Slijepčević M, Juretić D, Petrik J. Glutathione S‐transferases and malondialdehyde in the liver of NOD mice on short‐term treatment with plant mixture extract P‐9801091. Phytother Res 2003; 17(4): 311-4.
[187]
Si XY, Jia RH, Huang CX, Ding GH, Liu HY. Effects of Valeriana officinalis var. latifolia on expression of transforming growth factor beta 1 in hypercholesterolemic rats. Zhongguo Zhong yao za zhi- Zhongguo zhongyao zazhi- China J Chinese Materia Medica 2003 Sep; 28(9): 845-8.
[188]
Yuki K, Ikeda M, Yoshida S, et al. Isolation of monovalerianester a, an inhibitor of fat accumulation, from Valeriana fauriei. Nat Prod Commun 2015; 10(8): 1333-4.
[189]
Kang J-W, Kim S-J, Kim H-Y, et al. Protective effects of HV-P411 complex against D-galactosamine-induced hepatotoxicity in rats. Am J Chin Med 2012; 40(03): 467-80.
[190]
Liang Z, Cheng L, Zhong G-Y, Liu RH. Antioxidant and antiproliferative activities of twenty-four Vitis vinifera grapes. PLoS One 2014; 9(8)e105146
[191]
Akaberi M, Hosseinzadeh H. Grapes (Vitis vinifera) as a potential candidate for the therapy of the metabolic syndrome. Phytother Res 2016; 30(4): 540-56.
[192]
Park S-H, Park T-S, Cha Y-S. Grape seed extract (Vitis vinifera) partially reverses high fat diet-induced obesity in C57BL/6J mice. Nutr Res Pract 2008; 2(4): 227-33.
[193]
Salihu M, Ajayi BO, Adedara IA, Farombi EO. 6-Gingerol-rich fraction from Zingiber officinale prevents hematotoxicity and oxidative damage in kidney and liver of rats exposed to carbendazim. J Diet Suppl 2016; 13(4): 433-48.
[194]
Hasan IH, El-desouky MA, Abd-elaziz GM, Hozayen WG. Protective effects of zingiber officinale against carbon tetrachloride induced liver fibrosis. Int J Pharm Pharm Sci 2016; 8(3): 377-81.
[195]
Saravanan G, Ponmurugan P, Deepa MA, Senthilkumar B. Anti-obesity action of gingerol: Effect on lipid profile, insulin, leptin, amylase and lipase in male obese rats induced by a high-fat diet. J Sci Food Agric 2014; 94(14): 2972-7.

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