Summary
Perpetual exposure of liver to xenobiotics and therapeutic agents leads to toxic manifestations of a complex and diverse nature. Not a single curative therapeutic agent has been found so far which could provide lasting remedy to patients suffering from hepatic disorders. In fact, the remedies available in the modern system of medicine provide only symptomatic relief without any significant changes on the disease process. Moreover, their use is associated with severe side effects and chances of relapses. Except some natural products claimed to be effective, no safe synthetic product is yet available for the management of hepatic disorders. Lack of effective, least toxic and curative hepatoprotectants made the task difficult to discover newer drugs. This review is an attempt to provide an overall view of the development of synthetic and natural products as hepatoprotective agents.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Abbreviations
- ALT:
-
alanine aminotransferase
- AST:
-
aspartate aminotransferase
- CDCA:
-
chenodeoxycholic acid
- CoA:
-
coenzyme A
- D-GaIN:
-
D-galactosamine
- GSH:
-
glutathione
- HBV:
-
hepatitis B virus
- HBeAG:
-
hepatitis B e antigen
- HMG-CoA:
-
3-hydoxy-3-methylglutaryl coenzyme A
- i.p.:
-
intra peritoneal
- LAK:
-
lymphokine activated killer
- LCAT:
-
lecithin cholesterol acyl transferase
- LDH:
-
lactic dehydrogenase
- LDL:
-
low density lipoprotein
- LPS:
-
lipopolysaccharide
- NAD:
-
nicotinamide adenine dinucleotide
- NADH:
-
nicotinamide adenine dinucleotide phosphate
- NPCS:
-
nonparenchymal
References
B.N. Dhawan: Med. Chem. Res. 5, 595 (1995).
Y. Kurebayashi, Y. Honda: Hepatology 14, 545 (1991). b) V. Buko, O. Lukivs Kaya, V. Nikitin, A. Kuryan, R. Dargel: Experimental & Toxicologic Pathology 49, 141 (1997).
S.P. Lim, F.J. Andrews, C. Christophi, P.E. OBrien: Dig Dis Sci 37, 1275 (1992).
M. Renic, F. Culo, Z. Bukovec, D. Sabolovic, Z. Zupanovic: Cytokine 5, 192 (1993).
H. Louis, O. Lemoine, M.O. Peny, B. Gulbis, F. Nisol, M. Goldman, J. Deviere: Gastroentrology 112, 935 (1997).
J.C. Montet: Pathol Biol 39, 621 (1991).
G. Bouchard G., I.M. Yousef, B. Tuchweber: Liver 13, 193 (1993).
P.C. van de Meeberg, K.J. van Erpecum, G.P. van Bege-Henegouwen: Scand J Gastroenterol Suppl. 200, 15 (1993).
K. Kitani, S. Kanai, Y. Sato, M. Ohta, M. Nokubo: Life Sci. 54, 983 (1994).
S. Hillaire, F. Ballet, D. Franco, K.D. Setchell, R. Poupon: Hepatology 22, 82 (1995).
A.F. Hofmann: Scand. J. Gastroenterol. Suppl. 204, 1 (1994).
K. Tsukahara, S. Kanai, M. Ohta, K. Kitani: Liver 13, 262 (1993).
T. Ono, T. Nagasue, H. Kohno, M. Uchida, Y. Takemoto, D.K. Dhar, T. Nakamura: J. Hepatol. 23, 582 (1995).
S.A. Azer, P.J. Canfield, N.H. Stacey: J. Gastroenterol. Hepatol. 10, 261 (1995).
M. Angelico, A. Mangiameli, A. Nistri, L. Biacchi, M. Sofia, M. Maina, M.D. Martino, A. Blasi: Hepatology 22, 887 (1995).
P. Sikiric, S. Seiwerth, Z. Grabaevic, R. Rucman, M. Petek, I. Rotkvic, B. Turkovic: Life Sci. 53, 291 (1993).
S. Nagoshi, Y. Ohta, A. Matsui, K. Fujiwara: Scand. J. Gastroentrol. (Norway) 29, 166 (1994).
a)T.A. Churchill, C.J. Green, B.J. Fuller: J. Hepatol. 23, 720 (1995).
T.C. Peterson, LR. Brown: Can. J. Physiol. Pharmacol. (Canada) 70, 20 (1992).
Y Chen: Chung Kuo I Hsueh Yuan Hsueh Pao 15, 393 (1993).
S.G. Kim, H.C. Chung, J.Y. Cho: J. Pharmacol. Exp. Then 277, 1058 (1996).
N.D. Kim, M.K. Kwak, S.G. Kim: Biochemical Pharmacol. 53, 261 (1997).
I. Yoshitake, E. Ohishi, K. Kubo: J. Pharmacobiodyn. (Japan) 15, 39 (1992).
L. Wlodek, J. Radomski, M. Wrobel: Biochem. Pharmacol. 46, 190 (1993).
M. Hasegawa, A. Nakayama, S. Yokohama, T. Hosokami, Y. Kurebayashi, T. Ikeda: Chem. Pharm. Bull. (Tokyo) 43, 1125 (1995).
M. Hasegawa, A. Nakayama, T. Hosokami, Y. Kurebayashi, T. Ikeda, S. Ide, Y. Honda, N. Suzuki: Chem. Pharm. Bull. 43, 78 (1995).
Y.J. Surh, M. Shlyankevich, J.W. Lee, J.K. Yoo: Mutat Res (Netherlands) 367, 219 (1996).
H. Yamamoto, T. Mashino, T. Nagano, M. Hirobe: J. Am. Chem. Soc. 108, 539 (1986).
E. Katori, T. Nagano, T. Kunieda, M. Hirobe: Chem. Pharm. Bull. 29, 3075 (1981).
V.J. Ram, N. Haque, S.K. Singh, M. Nath, A. Shoeb, S.C. Tripathi, G.K. Patnaik: Biorg. Med. Chem. Lett. 4, 1453 (1994).
a)M. Buhrer, J.Y. Lecotonnec, M. Wermeille, J. Bircher: Eur. J. Clin. Pharmacol. 30, 407 (1986). b) Y. Saiga, T. Iijima, A. Ishida, T. Miyagishima, T. Ohishi, M. Matsumoto, Y. Matsnoka: Chem. Pharm. Bull. 35, 2840, 1987.
J. Yoshizawa, Y. Tsuchiya, K. Shimada, N. Muio, K. Nakamichi, I. Matsumoto: Tokkyo Koho JP 60, 215, 682 (1985). Chem. Abstr 104, 109613u (1985).
H. Nakazawa, M. Ohtsuka, H. Matsuda, T. Katori, K. Irinoda: Eur Pat Appl EP 308, 909 (1989): Chem. Abstr. 111, 20917 (1989); Eur. Pat. Appl. EP347, 531 (1989); Chem. Abstr. 113, 52529a (1989); Eur. Pat. Appl. EP 347, 532 (1989); Chem. Abstr. 113, 52530u (1989).
M. Tanaka, K. Nakata, K. Takase, S. Mita: Nippon Yakurigaku Zasshi (Japan) 97, 191 (1991).
M. Sasano, M. Tanaka, K. Nakata, S. Mita: Immunopharmacol. Immunotoxicol. (USA) 13, 121 (1991).
S. Ito, A. Ota, H. Suhara, K. Tabashi, Y. Kawashima: Chem. Pharm. Bull. (Japan) 41, 1066 (1993).
K. Yoneda, A. Ota, Y. Kawashima: Chem. Pharm. Bull. (Japan) 41, 876 (1993).
V.J. Ram, M. Nath, B. Saraswat, G.K. Patnaik: Bioorg. Med. Chem. Lett. 5, 1537 (1995).
G. Deak, G. Muzes, I. Lang, K. Nekam, R. Gonzalez-Cabello, P. Gergely, J. Feher: Acta Physiol. Hung. 76, 105 (1990).
P. Levy, M. Dumont, P. Brissot, A. Letreut, A. Favier, Y. Deugnier, S. Erlinger: Gastroenterology (USA) 101, 1673 (1991).
I. Lang, K. Nekam, R. Gonzalez-Cabello, G. Muzes, P. Gergely, J. Feher: Tokai J. Exp. Clin. Med. (Japan) 15, 123 (1990).
J.R. Prous: The Years Drug News: Treatment of liver and biliary tract disorder, p. 255 (1994). Prous Science Barcelona, Spain.
RJ. Dowell, N.H. Hales, H. Tucker: Eur. J. Med. Chem. 28, 513 (1993).
G.L. Garay: Eur Pat Appl. EP 149, 475 (1985); Chem. Abstr. 103, 129094h (1985).
P.K.S. Visen, B. Shukla, G.K. Patnaik, S.C. Tripathi, D.K. Kulshreshtha, R.C. Srimal, B.N. Dhawan: Int. J. Pharmacol. (USA) 30, 241 (1993).
G. Grella, G. Paglietti, F. Sparatore, M. Satta, P. Manca, A. Peana: Farmaco (Italy) 47, 21 (1992).
G. Paglietti, P. Sanna, A. Carta, F. Sparatore, I. Vazzana, A. Peana, M. Satta: Farmaco (Italy) 40, 693 (1994).
V.J. Ram, A. Goel, G.K. Patnaik: Bioorg. Med. Chem. Lett. 5, 1541 (1995).
M.J. Slater, G.C. Cockerill, E. Littler, C.L. Yeates: PCT Int. Appl. WO 93, 18, 766 (1993); Chem. Abstr. 120, 106798c (1993).
I. Iijima, Y. Saiga, T. Miyagishima, Y. Matsuoka, M. Matsumoto: Eur. Pat. Appl. EP 145, 304 (1985); Chem. Abstr. 103, 160488p (1985).
I. Iijima, Y. Saiga, T. Miyagishima, Y. Matsuoka, M. Matsumoto: U.K. Pat. Appl. GB 2, 140 797 (1984); Chem. Abstr. 102, 185067t (1984).
I. Iijima, Y. Saiga, T. Miyagishima, Y. Matsuoka, M. Matsumoto: Jpn. Kokai Tokkyo Koho JP 60, 260, 516 (1985); Chem. Abstr. 104, 224883u (1985).
J.P. Klein, G.E. Underiner, A.J. Leigh: PCT Int Appl. WO 9411370 (1994); Chem. Abstr. 121, 179411b (1994).
a)M.R. Boyd, D. Sulton: Eur. Pat Appl EP 388, 049 (1990); Chem. Abstr 114, 199655t (1990).
T. Shaw, S.S. Mok, S.A. Locarnini: 1st Int. Conf. Ther. Viral Hepatitis (Dec. 11-15, Kanai) 51 (1995).
I. Kaneko, M. Ohtsuki, M. Kaueko, M. Kamokari, T. Yasumoto: PCT Int. Appl. WO 91, 11, 451 (1991), Chem. Abstr. 115, 256568p (1991).
S.L. Doong, C.H. Tsai, R.F. Schinazi, D.C. Liotta, Y.C. Cheng: Proc. Natl. Acad. Sci. (USA) 88, 8495 (1991).
J.W. Beach, L.S. Jeong, A.J. Alves, D. Pohl, H.O. Kim, C.N. Chang, S.L. Doong, R.F. Schinazi, Y.C. Cheng, C.K. Chu: J. Org. Chem 57, 2217 (1992).
C.N. Chang, S.L. Doong, J.H. Zhou, J.W. Beach, L.S. Jeong, C.K. Chu, C.H. Tsai, Y.C. Cheng: J. Biol. Chem. 27, 13938 (1992).
R.F. Schinazi, C.K. Chu, A. Peck, A. McMillan, R. Mathis, D.L. Cannon, L.S. Jeong, J.W. Beach, W.B. Choi, S. Yeola, D.C Liotta: Antimicrob. Agents Chemother. 36, 672 (1992).
L.K. Hoong, L.E. Strange, D.C. Liotta, G.W. Koszalka, C.L. Burns, R.F. Schinazi: J. Org. Chem. 57, 5563 (1992).
P.A. Furman, M. Davis, D.C. Liotta, M. Pafe, L.W. Frick, D.J. Nelson, R.E. Dornsife, J.A. Wurster, L.J. Wilson, J.A. Fyfe, J.V. Turtle, WH. Miller, L. Condreay, D.R. Averett, R.F. Schinazi, G.R. Painter: Antimicrob. Agents Chemother. 36, 2686 (1992).
T.S. Lin, M.Z. Luo, M.C. Liu, S.B. Pai, G.E. Dutschman, Y.C. Cheng, Biochem. Pharmacol. 47, 171 (1994).
T.S. Lin, M.Z. Luo, M.C. Liu, S.B. Pai, G.E. Dutschman, Y.C. Cheng: J. Med. Chem. 37, 798 (1994).
N.A. Van Draanen, M. Tisdale, N.R. Parry, R. Jansen, R.E. Dornsife, J.V. Turtle, D.R. Averett, G.W. Koszalka: Antimicrob. Agents Chemother. 38, 868 (1994).
C.K. Chu, T.W. Ma, K. Shanmuganathan, C.G. Wang, Y.J. Xiang, S.B. Pal, G.Q. Yao, J.P. Sommadossi, Y.C. Cheng: Antimicrob. Agents Chemother. 39, 979 (1995).
T.S. Lin, M.Z. Luo, M.C. Liu, Y.L. Zhu, E. Gullen, G.E. Dutschman, Y.C Cheng: J. Med. Chem. 39, 1157 (1996).
B. Bellean, L. Braseli, B.N. Ngyuyen, C.C.K. Laval PCT Int. Appl. WO 9208, 717 (1991); Chem. Abstr. 117, 151009V (1992).
Mochida Pharmaceutical Co. Ltd.: Jpn. Kokai Tokkyo Koho JP 57, 203, 013 (1982); Chem. Abstr. 98, 78170y (1982).
N. Ishida, T. Tanaka, T. Atami: Jpn. Kokai Tokkyo Koho JP 60, 228, 497 (1985); Chem. Abstr. 105, 115379] (1985).
K. Watanabe, S. Ishida, H. Yoshoka, K. Murakami: Jpn. Kokai Tokkyo Koho JP 06, 73, 079 (1994); Chem. Abstr. 121, 109583k (1994).
V. Chagoya de Sanchez, R. Hernandez-Munoz, L. Yancz, S. Vidrio, M. Diaz-Munoz: J. Biochem. Toxicol. 10, 41 (1995)
EL. Hsu, Y.J. Tsai, M.C Kao, CF. Chen: Am. J. Chin. Med. 21, 45 (1993).
M. Paya, M.L.. Ferrandiz, M.J. Sanz, M.J. Alcaraz: Xenobiotica 23, 327 (1993).
K. Hoffmann-Bohm, H. Lotter, O. Seligmann, H. Wagner: Planta Med. 58, 544 (1992).
M.L. Fernandes, B.G. Bustos, M. Paya, R. Gunasegaran, M.J. Alcaraz: Life Sci. 55, 145 (1994).
VS. Rao, E.G. Figueiredo, C.L. Melo, G.S. Viana, D.B. Menezes, M.S. Matos, E.R. Silveira: Pharmacology 48, 392 (1994).
E.R. Ferhandes, F.D. Carvalho, F.G. Remiao, M.L. Bastos, M.M. Pinto, O.R. Gottlieb: Pharm. Res. 12, 1756 (1995).
T.W. Wu, K.P. Fung, L.H. Zeng, J. Wu, H. Nakamura: Biochem. Pharmacol. 48, 419 (1994).
S. Toshio, M. Hitoshi, K. Hisao: PCT Int. Appl. WO 87, 07, 835 (1987) Chem. Abstr 109, 98856a (1987).
A Kuho, S. Koyama, M. Shimizu: Jpn. Kokai Tokkyo Koho JP 04, 202, 129 (1992); Chem. Abstr. 117, 239825U (1992).
H. Onishi, M. Sugyama, M. Sugiyama: Jpn. Kokai Tokkyo Koho JP 04, 202, 128 (1992); Chem. Abstr. 117, 239824t (1992).
H. Inoe, H. Kurokuzuhara, I. Ikezawa, H. Uchida, M. Kikuchi, N. Nishiyama: Jpn. Kokai Tokkyo Koho, JP 04, 54, 119 (1992); Chem. Abstr. 117, 40436n (1992).
H. Inoe, H. Kurokuzuhara, I. Ikezawa, H. Uchida, M. Kikuchi, K. Sugano: Jpn. Kokai Tokkyo Koho, JP 0441425 (1992); Chem. Abstr. 116, 228249n (1992).
A. Kuho, R. Nanba, M. Shimizu: Jpn. Kokai Tokkyo Koho Jp 02, 202, 132 (1992); Chem. Abstr. 117, 184875c (1992).
M. Matsumoto, T. Okuno, A. Watanabe, Y. Kido, O. Yoshida: Jpn. Kokai Tokkyo Koho JP 04, 234, 319 (1992); Chem. Abstr. 117, 245588k (1992).
P. Baspet, K. Matsushiqe, K. Hase, S. Kadsta, T. Namba: Biological & Pharmaceutical Bull. 19, 1479 (1996).
Y. Li, S.R. Paranawithana, J.S. Yoo, S.M. Ning, B.L. Ma, M.J. Lee, G.T. Liu, CS. Yang: Chung Kuo Yao Li Hsueh Pao (China) 13, 485 (1992).
S.G. Kim, S.Y. Nam, H.C Chung, S.Y. Hong, K.H. Jung: J. Pharm. Pharmacol. 47, 678 (1995).
Z.Y. Liu, Q. Cui, G.T. Liu: Yao Hsueh Hsueh Pao 31, 101 (1996).
J.S. Zhao, P.J. Obrien: Toxicology & Applied Pharmacol. 140, 411 (1996).
J. Nagakawa, K. Hirota, I. Hishinuma, K. Miyamoto, J. Sonoda, T. Yamanaka, K. Katayama and I. Yamatsu: J Pharmacol. Exp. Ther. 262, 145 (1992).
A. Nanji, S.M. Hossein Sadrzadeh, U. Khettry, P. Thomas, T. Yamanaka: J. Pharmacol. Exp. Ther. 266, 1085 (1993).
J. Nagakawa, K. Hirota, I. Hishinuma, K. Miyamoto, J. Sonoda, T. Yamanaka, K. Katayama and I. Yamatsu: J. Pharmacol. Exp. Ther. 264, 496 (1993).
M. GoTo, K. Yamada, K. Katayama, I. Tanaka: Mol. Pharmacol. 49, 860 (1996).
L. Theilmann: Z. Gastroenterol. 30, 40 (1992).
M. Martinez, M. Mourelle, P. Muriel: J. Appl. Toxicol. 15, 49 (1995).
L. Favari, V. Perezalvarez: Archives Med. Res. 28, 11 (1997).
a)H.M. Rauen, H. Schriewer: Arzneim. Forsch. 21, 1194 (1971). b) V.H. Schiewer, R. Badde, G. Roth, H.M. Rauen: Arzeneim. Forsch. 23, 160 (1973).
a)K. Mittelung, V.N. Schriewer, H.M. Rauen: Arzeneim. Forsch. 23, 166 (1973). b) H. Hikino, T. Sugai, C.H. Konno, I. Hashimoto, S.H. Teraski, I. Hirono: Planta Med. 36, 56 (1979).
M. Mourelle, L. Favaril, J.L. Amezena: J. Appl. Toxicol. 8, 351 (1988).
F. Barbarino, E. Neumann, I. Deaciuel, N.W. Ghelberg, A. Suciu, C. Cotutin, L. Rocovital, C. Stroila, S. Nahy: Rev. Roum. Med. Intern. 19, 347 (1981).
R. Chander, N.K. Kapoor, B.N. Dhawan: Indian J. Med. Res. 90, 472 (1989).
M.P. Miguez, I. Anundi, L.A. Sainz-Pardo, K.O. Lindros: Chem. Biol. Interact. 91, 51 (1994).
A.R. Bartholomaeus, R. Bolton, J.T. Ahokas: Xenobiotica 24, 17 (1994).
I. Lang, G. Deak, G. Muzes, L. Pronoi, J. Feher: Biotechnol. Ther. 4, 263 (1993).
H. Hakova, E. Misurova: Radiais. Biol. Radioecol. 36, 365 (1996).
A. Valenzuela, A. Garrido: Biol. Res. 27, 105 (1994).
C. Dehmlow, J. Erhard, H. de Groot: Hepatology 23, 749 (1996)
C. Dehmlow, N. Murawski, H. de Groot: Life Sci. 58, 1591 (1996)
L. Mira, M. Silva, C.F. Manso: Biochem. Pharmacol. 48, 753 (1994).
S.D. Fang, M.F. Huang, J.S. Liu, Y.L. Gao, J.S. Hsu: Hua Hsueh Hsueh Pao 33, 57 (1975).
J.S. Liu, S.D. Fang, M.F. Huang, Y.L. Gao, J.S. Hsu: Hua Hsueh Hsueh Pao 34, 229 (1976).
K.T. Liu, P. Lesca: Chem. Biol. Interact. 41, 39 (1982)
S.P. Io, M.K.T. Poon, C.T. Che, K.H. Ng, Y.C. Kong, K.M. Ko: Free Radical Biol. & Med. 21, 709 (1996).
Y.Y. Chen, Z.B. Shu, L.N. Li: Sci. Sin. 19, 276 (1976); Chem. Abstr. 86, 29518m (1976).
S. Maeda, K. Sudo, M. Aburada, Y. Ikeya, I. Yoshioka, M. Harada: Yakugaku Zasshi 101, 1030 (1981); Chem. Abstr. 96, 62622v (1981).
V.N. Pandey, G.N. Chaturvedi: Ind. J. Med. Res. 57, 503 (1969).
K. Mogre, K.K. Vora, U.K. Seth: Ind J. Pharmacol. 13, 253 (1981).
R.A. Ansari, B.S. Aswal, R. Chander, B.N. Dhawan, N.K. Garg, N.K. Kapoor, D.K. Kulshreshtha, H. Mehdi, B.N. Mehrotra, G.K. Patnaik and S.K. Sharma: Ind. J. Med. Res. 87, 401 (1988).
P. Kloss, W. Schwabe: Ger. Offen 2,203,884; Chem. Abstr. 79, 108054r (1973).
Y. Dwivedi, R. Rastogi, N.K. Garg, B.N. Dhawan: Phytother. Res. 5, 115 (1991).
P.K.S. Visen, B. Shukla, G.K. Patnaik, N.K. Kapoor, S. Kaul and B.N. Dhawan: Drug Dev. Res. 22, 209 (1991).
Y. Dwivedi, R. Rastogi, S.K. Sharma, N.K. Garg, B.N. Dhawan: Planta Med. 57, 25 (1991).
Y. Dwivedi, R. Rastogi, R. Chander, S.K. Sharma, N.K. Kapoor, N.K. Garg, B.N. Dhawan: Ind. J. Med. Res. 92, 195 (1990).
P.K.S. Visen, B. Shukla, G.K. Patnaik, B.N. Dhawan: Planta Med. 59, 37 (1993).
G.S. Tripathi, Y.B. Tripathi: Phytother. Res. 5, 176 (1991).
B. Shukla, P.K.S. Visen, G.K. Patnaik, B.N. Dhawan: Planta Med. 57, 29 (1991).
B. Shukla, P.K.S. Visen, G.K. Patnaik, B.N. Dhawan: Phytother. Res. 6, 53 (1992).
V. Singh, N.K. Kapoor, B.N. Dhawan: Ind. J. Exp. Biol. 30, 68 (1992).
R. Mehrotra, S. Rawat, D.K. Kulshreshtha, G.K. Patnaik, B.N. Dhawan: Ind. J. Med. Res. 92, 133 (1990).
N. Sethi, R.K. Singh, N. Sinha, G.S. Bhatia, S. Srivastava, A.K. Roy: Biol Mem. 17, 57 (1991).
B.N. Dhawan: Med. Chem. Res. 5, 595 (1995).
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1999 Springer Basel AG
About this chapter
Cite this chapter
Ji Ram, V., Goel, A. (1999). Present status of hepatoprotectants. In: Jucker, E. (eds) Progress in Drug Research. Progress in Drug Research, vol 52. Birkhäuser, Basel. https://doi.org/10.1007/978-3-0348-8730-4_2
Download citation
DOI: https://doi.org/10.1007/978-3-0348-8730-4_2
Publisher Name: Birkhäuser, Basel
Print ISBN: 978-3-0348-9746-4
Online ISBN: 978-3-0348-8730-4
eBook Packages: Springer Book Archive