STUDY OF HEPATOPROTECTIVE ACTIVITY OF STINGLESS BEE PROPOLIS AGAINTS TOXICITY OF DRUGS

Authors

  • MAHANI Department of Food Technology, Faculty of Agric. Industrial Technology, Universitas Padjadjaran, Indonesia
  • GREGORIUS A O B Department of Food Technology, Faculty of Agric. Industrial Technology, Universitas Padjadjaran, Indonesia
  • ENDAH WULANDARI Department of Food Technology, Faculty of Agric. Industrial Technology, Universitas Padjadjaran, Indonesia
  • AHMAD SULAEMAN Department of Community Nutrition, Faculty of Human Ecology, IPB University, Indonesia.
  • HARDINSYAH Department of Community Nutrition, Faculty of Human Ecology, IPB University, Indonesia.
  • NUNUNG NURJANAH National Institute of Health Research and Development, Indonesian Ministry of Health Indonesia

DOI:

https://doi.org/10.22159/ajpcr.2021.v14i12.43217

Keywords:

Antioxidant, Drug-induced liver injury, Hepatotoxic Hepatoprotective, Propolis

Abstract

Objective: The aim of this study is to determine the effect of stingless bee propolis supplementation as a hepatoprotector on the prevention of DILI and the effect of healing and restoring nutrition for DILI patients due to drug induction.

Methods: The literature review starts from problem identification, library data collection, reading, taking notes, analyzing, and processing the data obtained and then compiling it into a systematic review

Results: The results of a literature study conducted show that propolis has a good hepatoprotective ability against drugs that cause DILI cases such as the anti-tuberculosis, antibiotic and antipyretic groups as indicated by the SGPT, SGOT, BT, GSH, and SOD values that are close to normal values. In addition, propolis supplementation can accelerate the healing and restoration of the nutritional status of DILI patients. All active compounds contained in propolis such as phytochemicals and lipopolysaccharides work to protect the liver from the toxic effects of DILI through antioxidant mechanisms.

Conclusion: Overall, the data from this literature study show that the hepatoprotective activity of propolis has the potential to complement drug therapy to reduce hepatotoxic effects and can conclusively beneficial to accelerate the restoration of nutritional status for DILI patients.

Downloads

Download data is not yet available.

References

Björnsson ES. Hepatotoxicity by drugs: The most common implicated agents. Int J Mol Sci 2016;17:224.

Nishimura Y, Kurata N, Sakurai E, Yasuhara H. Inhibitory effect of antituberculosis drugs on human cytochrome P450-mediated activities. J Pharmacol Sci 2004;96:293-300.

Tostmann A, Boeree MJ, Aarnoutse RE, De Lange WC, Van Der Ven AJ, Dekhuijzen R. Antituberculosis drug‐induced hepatotoxicity: Concise up‐to‐date review. J Gastroenterol Hepatol 2008;23:192-202.

Wen X, Wang JS, Neuvonen PJ, Backman JT. Isoniazid is a mechanism-based inhibitor of cytochrome P 450 1A2, 2A6, 2C19 and 3A4 isoforms in human liver microsomes. Eur J Clin Pharmacol 2002;57:799-804.

Lewis JH, Stine JG. Nonsteroidal antiinflammatory drugs and leukotriene receptor antagonists. In: Drug-Induced Liver Disease. Amsterdam, Netherlands: Elsevier; 2013. p. 369-401.

Bonfanti P, Landonio S, Ricci E, Martinelli C, Fortuna P, Faggion I, et al. Risk factors for hepatotoxicity in patients treated with highly active antiretroviral therapy. JAIDS J Acquir Immune Defic Syndr 2001;27:316-8.

Jiménez-Alonso J, Osorio JM, Gutiérrez-Cabello F, de la Osa AL, León L, García JD. Atorvastatin-induced cholestatic hepatitis in a young woman with systemic lupus erythematosus. Arch Intern Med 1999;159:1811-7.

Pelli N, Setti M, Ceppa P, Toncini C, Indiveri F. Autoimmune hepatitis revealed by atorvastatin. Eur J Gastroenterol Hepatol 2003;15:921-4.

Njoku D, Laster MJ, Gong DH, Eger EI, Reed GF, Martin JL. Biotransformation of halothane, enflurane, isoflurane, and desflurane to trifluoroacetylated liver proteins: Association between protein acylation and hepatic injury. Anesth Analg 1997;84:173-8.

Chalasani N, Fontana RJ, Bonkovsky HL, Watkins PB, Davern T, Serrano J, et al. Causes, clinical features, and outcomes from a prospective study of drug-induced liver injury in the United States. Gastroenterology 2008;135:1924-4.e4.

Girling DJ. The hepatic toxicity of antituberculosis regimens containing isoniazid, rifampicin and pyrazinamide. Tubercle 1977;59:13-32.

Devarbhavi H, Dierkhising R, Kremers WK, Sandeep MS, Karanth D, Adarsh CK. Single-center experience with drug-induced liver injury from India: Causes, outcome, prognosis, and predictors of mortality. Am J Gastroenterol 2010;105:2396-404.

World Health Organization. Global Tuberculosis Report 2013. Geneva: World Health Organization; 2013.

Khan R, Sultana S. Farnesol attenuates 1, 2-dimethylhydrazine induced oxidative stress, inflammation and apoptotic responses in the colon of Wistar rats. Chem Biol Interact 2011;192:193-200.

Bankova V, Popova M, Bogdanov S, Sabatini AG. Chemical composition of European propolis: Expected and unexpected results. Z Naturforschung C 2002;57:530-3.

Alencar SM, Oldoni TC, Castro ML, Cabral IS, Costa-Neto CM, Cury JA, et al. Chemical composition and biological activity of a new type of Brazilian propolis: Red propolis. J Ethnopharmacol 2007;113:278-83.

Fernandes A Jr., Balestrin EC, Betoni JE, de Orsi RO, de Cunha ML, Montelli AC. Propolis: Anti-Staphylococcus aureus activity and synergism with antimicrobial drugs. Mem Inst Oswaldo Cruz2005;100:563-6.

Amoros M, Lurton E, Boustie J, Girre L, Sauvager F, Cormier M. Comparison of the anti-herpes simplex virus activities of propolis and 3-methyl-but-2-enyl caffeate. J Nat Prod 1994;57:644-7.

Serkedjieva J, Manolova N, Bankova V. Anti-influenza virus effect of some propolis constituents and their analogues (esters of substituted cinnamic acids). J Nat Prod 1992;55:294-7.

Murad JM, Calvi SA, Soares A, Bankova V, Sforcin JM. Effects of propolis from Brazil and Bulgaria on fungicidal activity of macrophages against Paracoccidioides brasiliensis. J Ethnopharmacol 2002;79:331-4.

Tosi B, Donini A, Romagnoli C, Bruni A. Antimicrobial activity of some commercial extracts of propolis prepared with different solvents. Phytother Res 1996;10:335-6.

Ansorge S, Reinhold D, Lendeckel U. Propolis and some of its constituents down-regulate DNA synthesis and inflammatory cytokine production but induce TGF-β1 production of human immune cells. Z Naturforschung C 2003;58:580-9.

De Castro SL, Higashi KO. Effect of different formulations of propolis on mice infected with Trypanosoma cruzi. J Ethnopharmacol 1995;46:55-8.

Bankova V. Recent trends and important developments in propolis research. Evid Based Complement Altern Med 2005;2:29-32.

Tsai FH, Lien JC, Lin LW, Chen HY, Ching H, Wu CR. Protective effect of Broussonetia papyrifera against hydrogen peroxide-induced oxidative stress in SH-SY5Y cells. Biosci Biotechnol Biochem 2009;73:1933-9.

Bhadauria M, Nirala SK, Shukla S. Duration-dependent hepatoprotective effects of propolis extract against carbon tetrachloride-induced acute liver damage in rats. Adv Ther 2007;24:1136-45.

Panjaitan RG. Pengujian Aktivitas Hepatoprotektor Akar Pasak Bumi (Eurycoma longifolia Jack.). Bogor: Disertasi Inst Pertan Bogor; 2008.

Halliwell B, Gutteridge JC. Lipid peroxidation, oxygen radicals, cell damage, and antioxidant therapy. Lancet Br Ed 1984;8391:1396-7.

Kumarappan C, Vijayakumar M, Thilagam E, Balamurugan M, Thiagarajan M, Senthil S, et al. Protective and curative effects of polyphenolic extracts from Ichnocarpus frutescense leaves on experimental hepatotoxicity by carbon tretrachloride and tamoxifen. Ann Hepatol 2016;10:63-72.

Mahdi C, Zukiaturrahmah A, Pratama DA, Nugraheni PW. Trigona sp. propolis ethanolic extract decreased chloramphenicol-induced serum glutamic oxaloacetic transaminase and alkaline phosphatase levels of rats (Rattus novergicus). Indones J Cancer Chemoprevention 2018;9:110-7.

Mahani M, Sulaeman A, Anwar F, Damanik MR, Hardinsyah H, Ploeger A. Efficacy of propolis supplementation to accelerate healing process and body weight recovery of pulmonary tuberculosis patients. J Gizi Dan Pangan 2018;13:1-10.

Abdelsameea A, Mahgoub L, Abdel Raouf S. Study of the possible hepatoprotective effect of propolis against the hepatotoxic effect of atorvastatin in albino rats. Zagazig Univ Med J 2013;19:1-9.

Clarke AT, Mills PR. Atorvastatin associated liver disease. Dig Liver Dis 2006;38:772-7.

Banskota AH, Tezuka Y, Adnyana IK, Midorikawa K, Matsushige K, Message D, et al. Cytotoxic, hepatoprotective and free radical scavenging effects of propolis from Brazil, Peru, the Netherlands and China. J Ethnopharmacol 2000;72:239-46.

Omar NA, Allithy AN, Baghdadi H, Zolaly M, Abdel-Haleem M, Helmy MM, et al. Hepatoprotective effects exerted by propolis against doxorubicin-induced rat liver toxicity: A biochemical and histopathological study. Am J Cancer Prev 2016;4:36-40.

Zhang ZH, Tang JH, Zhan ZL, Zhang XL, Wu HH, Hou YN. Cellular toxicity of isoniazid together with rifampicin and the metabolites of isoniazid on QSG-7701 hepatocytes. Asian Pac J Trop Med 2012;5:306-9.

Yew WW, Leung CC. Antituberculosis drugs and hepatotoxicity. Respirology 2006;11:699-707.

Ma Z, Lienhardt C, McIlleron H, Nunn AJ, Wang X. Global tuberculosis drug development pipeline: The need and the reality. Lancet 2010;375:2100-9.

Sudarsanam TD, Tharyan P. Rifampicin compared to isoniazid for preventing active TB in HIV-negative people at risk of developing active TB: Implications for public health. Clin Epidemiol Glob Health 2014;2:28-36.

Syaripuddin M, Yuniar Y, Sari ID. Studi monitoring efek samping obat antituberkulosis fdc kategori 1 di Provinsi Banten dan Provinsi Jawa Barat. Med Penelit Pengemb Kesehat 2014;24:20692. 41. Bhadauria M, Nirala SK, Shukla S. Duration-dependent hepatoprotective effects of propolis extract against carbon tetrachloride-induced acute liver damage in rats. Adv Ther 2007;24:1136-45.

Hashmi N, Muhammad F, Javed I, Khan JA, Khan MZ, Khaliq T, et al. Nephroprotective effects of Ficus religiosa Linn (peepal plant) stem bark against isoniazid and rifampicin induced nephrotoxicity in albino rabbits. Pak Vet J 2013;33:330-4.

Cevik MU, Acar A, Tanriverdi H, Varol S, Arikanoglu A, Yucel Y, et al. Toxic effects of isoniazid and rifampicin on rat brain tissue: The preventive role of caffeic acid phenethyl ester. Int J Pharmacol 2012;8:555-60.

Tanvir EM, Hasan MA, Nayan SI, Islam T, Ahmed T, Hossen MS, et al. Ameliorative effects of ethanolic constituents of Bangladeshi propolis against tetracycline‐induced hepatic and renal toxicity in rats. J Food Biochem 2019;43:e12958.

Hossen MS, Tanvir EM, Prince MB, Paul S, Saha M, Ali MY, et al. Protective mechanism of turmeric (Curcuma longa) on carbofuran-induced hematological and hepatic toxicities in a rat model. Pharm Biol 2017;55:1937-45.

Paul S, Islam M, Tanvir EM, Ahmed R, Das S, Rumpa NE, et al. Satkara (Citrus macroptera) fruit protects against acetaminophen-induced hepatorenal toxicity in rats. Evid Based Complement Alternat Med 2016;2016:9470954.

Ahmed R, Tanvir EM, Hossen M, Afroz R, Ahmmed I, Rumpa NE, et al. Antioxidant properties and cardioprotective mechanism of Malaysian propolis in rats. Evid Based Complement Alternat Med 2017;2017:5370545.

Paulino N, Barbosa AP, Paulino AS, Marcucci MC. Hepatoprotective effect of green propolis is related with antioxidant action in vivo and in vitro. Oxid Antioxid Med Sci 2014;3:43-50.

Tanvir EM, Hossen MS, Shapla UM, Mondal M, Afroz R, Mandal M, et al. Antioxidant, brine shrimp lethality and analgesic properties of propolis from Bangladesh. J Food Biochem 2018;42:e12596.

Saleh EM. Antioxidant effect of aqueous extract of propolis on hepatotoxicity induced by octylphenol in male rats. Acta Toxicol Argent 2012;20:68-81.

Ramappa V, Aithal GP. Hepatotoxicity related to anti-tuberculosis drugs: Mechanisms and management. J Clin Exp Hepatol 2013;3:37-49.

Saba AB, Ola-Davies O, Oyeyemi MO, Ajala O. The toxic effects of prolonged administration of chloramphenicol on the liver and kidney of rats. Afr J Biomed Res 2000;3:133-7.

Ambardekar RV, Mahadik KR, Paradkar AR, Harsulkar AM. Enhancement of hepatoprotective efficacy of propolis by fabrication of liposomes, as a platform nano-formulation for multi-component natural medicine. Curr Drug Deliv 2012;9:477-86.

Wallace JL. Acetaminophen hepatotoxicity: NO to the rescue. Br J Pharmacol 2004;143:1-2.

Nna VU, Bakar AB, Mohamed M. Malaysian propolis, metformin and their combination, exert hepatoprotective effect in streptozotocin-induced diabetic rats. Life Sci 2018;211:40-50.

Graham ML, Janecek JL, Kittredge JA, Hering BJ, Schuurman HJ. The streptozotocin-induced diabetic nude mouse model: Differences between animals from different sources. Comp Med 2011;61:356-60.

Lin X, Zhang Z, Chen JM, Xu YY, Ye HR, Cui J, et al. Role of APN and TNF-alpha in Type 2 diabetes mellitus complicated by nonalcoholic fatty liver disease. Genet Mol Res 2015;14:2940-6.

Muruganathan U, Srinivasan S, Vinothkumar V. Antidiabetogenic efficiency of menthol, improves glucose homeostasis and attenuates pancreatic β-cell apoptosis in streptozotocin-nicotinamide induced experimental rats through ameliorating glucose metabolic enzymes. Biomed Pharmacother 2017;92:229-39.

Foster SR, Dilworth LL, Thompson RK, Alexander-Lindo RL, Omoruyi FO. Effects of combined inositol hexakisphosphate and inositol supplement on antioxidant activity and metabolic enzymes in the liver of streptozotocin-induced Type 2 diabetic rats. Chem Biol Interact 2017;275:108-15.

Palsamy P, Sivakumar S, Subramanian S. Resveratrol attenuates hyperglycemia-mediated oxidative stress, proinflammatory cytokines and protects hepatocytes ultrastructure in streptozotocin-nicotinamide-induced experimental diabetic rats. Chem Biol Interact 2010;186:200-10. 61. El-Kott AF, Owayss AA. Protective effects of propolis against the amitraz hepatotoxicity in mice. J Pharmacol Toxicol 2008;35:402-8.

Banudevi S, Arunkumar A, Sharmila M, Senthilkumar J, Balasubramanian K, Srinivasan N, et al. Diallyl disulfide-induced modulation of a few phase I and II drug metabolizing enzymes on Aroclor 1254 toxicity in Rattus norvegicus liver and ventral prostate. J Clin Biochem Nutr 2005;36:59-65.

Chowdhury A, Santra A, Bhattacharjee K, Ghatak S, Saha DR, Dhali GK. Mitochondrial oxidative stress and permeability transition in isoniazid and rifampicin induced liver injury in mice. J Hepatol 2006;45:117-26.

Palanisamy GS, Kirk NM, Ackart DF, Shanley CA, Orme IM, Basaraba RJ. Evidence for oxidative stress and defective antioxidant response in guinea pigs with tuberculosis. PLoS One 2011;6:e26254.

Gezginci-Oktayoglu S, Basaraner H, Yanardag R, Bolkent S. The effects of combined treatment of antioxidants on the liver injury in STZ diabetic rats. Dig Dis Sci 2009;54:538-46.

Giribabu N, Karim K, Kilari EK, Kassim NM, Salleh N. Anti-inflammatory, antiapoptotic and proproliferative effects of Vitis vinifera seed ethanolic extract in the liver of streptozotocin-nicotinamide-induced Type 2 diabetes in male rats. Can J Diabetes 2018;42:138-49.

Haligur M, Topsakal S, Ozmen O. Early degenerative effects of diabetes mellitus on pancreas, liver, and kidney in rats: An immunohistochemical study. Exp Diabetes Res 2012;2012:120645.

Chaa S, Boufadi MY, Keddari S, Benchaib AH, Soubhye J, Van Antwerpen P, et al. Chemical composition of propolis extract and its effects on epirubicin-induced hepatotoxicity in rats. Rev Bras Farmacogn 2019;29:294-300.

Chen LH, Chien YW, Chang ML, Hou CC, Chan CH, Tang HW, et al. Taiwanese green propolis ethanol extract delays the progression of Type 2 diabetes mellitus in rats treated with streptozotocin/high-fat diet. Nutrients 2018;10:503.

Rivera-Yañez N, Rodriguez-Canales M, Nieto-Yañez O, Jimenez- Estrada M, Ibarra-Barajas M, Canales-Martinez MM, et al. Hypoglycaemic and antioxidant effects of propolis of Chihuahua in a model of experimental diabetes. Evid Based Complement Alternat Med 2018;2018:4360356.

Fuliang HU, Hepburn HR, Xuan H, Chen M, Daya S, Radloff SE. Effects of propolis on blood glucose, blood lipid and free radicals in rats with diabetes mellitus. Pharmacol Res 2005;51:147-52.

Zhu W, Chen M, Shou Q, Li Y, Hu F. Biological activities of Chinese propolis and Brazilian propolis on streptozotocin-induced Type 1 diabetes mellitus in rats. Evid Based Complement Alternat Med 2011;2011:468529.

Adelakun OE, Kudanga T, Green IR, le Roes-Hill M, Burton SG. Enzymatic modification of 2, 6-dimethoxyphenol for the synthesis of dimers with high antioxidant capacity. Process Biochem 2012;47:1926-32.

Shaikh MH, Subhedar DD, Khan FA, Sangshetti JN, Shingate BB. 1, 2, 3-Triazole incorporated coumarin derivatives as potential antifungal and antioxidant agents. Chin Chem Lett 2016;27:295-301.

Escribano J, Cabanes J, Jiménez-Atiénzar M, Ibañez-Tremolada M, Gómez-Pando LR, García-Carmona F, et al. Characterization of betalains, saponins and antioxidant power in differently colored quinoa (Chenopodium quinoa) varieties. Food Chem 2017;234:285-94.

Becerril-Chávez H, Colín-González AL, Villeda-Hernández J, Galván- Arzate S, Chavarría A, de Lima ME, et al. Protective effects of S-allyl cysteine on behavioral, morphological and biochemical alterations in rats subjected to chronic restraint stress: Antioxidant and anxiolytic effects. J Funct Foods 2017;35:105-14.

Kokanova-Nedialkova Z, Nedialkov P, Kondeva-Burdina M, Simeonova R, Tzankova V, Aluani D. Chenopodium bonus-henricus L.-A source of hepatoprotective flavonoids. Fitoterapia 2017;118:13-20.

Vinholes J, Rudnitskaya A, Gonçalves P, Martel F, Coimbra MA, Rocha SM. Hepatoprotection of sesquiterpenoids: A quantitative structure-activity relationship (QSAR) approach. Food Chem 2014;146:78-84.

Ma Y, Xin L, Tan H, Fan M, Li J, Jia Y, et al. Chitosan membrane dressings toughened by glycerol to load antibacterial drugs for wound healing. Mater Sci Eng C Mater Biol Appl 2017;81:522-31.

Published

07-12-2021

How to Cite

MAHANI, GREGORIUS A O B, ENDAH WULANDARI, AHMAD SULAEMAN, HARDINSYAH, and NUNUNG NURJANAH. “STUDY OF HEPATOPROTECTIVE ACTIVITY OF STINGLESS BEE PROPOLIS AGAINTS TOXICITY OF DRUGS”. Asian Journal of Pharmaceutical and Clinical Research, vol. 14, no. 12, Dec. 2021, pp. 86-92, doi:10.22159/ajpcr.2021.v14i12.43217.

Issue

Section

Original Article(s)