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component of freshly crushed garlic cloves, has been   showed hepatorenoprotective effects against aflatoxicosis
          produced by the interaction of the non-protein amino   in rats. [38]
          acid alliin with the enzyme alliinase (alliin lyase). It has
          anti-hepatocarcinogenic effect through the  p53 gene   Marigold (Calendula officinalis) is an annual herb native to the
          modulating apoptosis and autophagy. [30]            Mediterranean region. In Europe and America, it is cultivated
                                                              for ornamental and medicinal purposes. C. officinalis as the
          Turmeric (Curcuma longa) has been found in the Far East and   marigold or maravilla has been widely used in folk therapy.
          tropical regions. It had been used to treat menstrual disorders,   Calendula flower decoction or tincture showed more than 35
          colic, inflammation, bruising, dyspepsia, hematuria, and   properties and its preparations have been used as valuable
          flatulence. It also has anticancer and antioxidant actions   remedies for burns. C. officinalis is mainly used for cutaneous
          due to the presence of three chemical components, for   and internal inflammatory diseases of several origins.  Its
                                                                                                           [39]
                                   [31]
          example, curcumin I, II, and III.  It suppresses the activation   extract has a protective effect against ultraviolet-induced
          of NF-κB, so it may be useful in preventing liver disease such   oxidative stress.  It has been well documented that Calendula
                                                                           [40]
          as hepatonephrotoxicity. [32]                       extract showed anti-genotoxicity and ameliorative effect
                                                              against hepatotoxicity induced by aflatoxin due to high
          Colchicine (Colchicum autumnale) is the major alkaloid   percentage of total PhCs. [6,41]  The effect of herbal agents has
          obtained from C. autumnale. Pharmacological properties of   been summarized in Table 1.
          colchicine included antimitotic effects and can be used for
          the treatment of gout.  Moreover, colchicine has been acting   MICRONUTRIENTS (VITAMINS AND MINERALS)
                            [33]
          as an anti-tumor agent.  Colchicine has been reported to be
                             [34]
          a safe anti-fibrotic agent when used for long-term treatment   Vitamin B  (cyanocobalamin) molecule contains a
                                                                        12
          of liver disease. [35]                              cobalt complex, it is known as cobalamin. Molecular
                                                              weight of vitamin B  is the highest among all vitamins;
                                                                               12
          Thyme  (Thymus vulgaris) is cultivated in Central and   therefore, it is known to accumulate at high levels in the
          Southern Europe, Africa, and Asia. It is rich with essential   liver. Vitamin B  is a complex organometallic cofactor
                                                                            12
                                               [36]
          oils and anti-oxidative phenolic substances.  It is widely   associated with three subfamilies of enzymes: The
          used in folk medicine for the treatment of a variety of   adenosylcobalamin-dependent isomerases, the methyl
          diseases including gastroenteric and bronchopulmonary   cobalamin-dependent methyltransferases, and the
                                                                           [42]
          disorders. It is also effective as anthelmintic, antispasmodic,   dehalogenases.  In chronic feeding regimen without a
          carminative, sedative, diaphoretic, antimicrobial,   methyl-donor, vitamin B  may lead to the development of
                                                                                  12
                                                                  [43]
          antioxidant, and antifungal agents. [37]   T. vulgaris also   HCC.  Previous studies reported that vitamin B  showed
                                                                                                       12
          Table 1: Effect of herbal agents against hepatic disorders
          Name            Family      Constituents  Mechanism of action                    Major effect
          Silybum marianum   Asteraceae  Silibinin  Inhibit GSH depletion and genotoxicity  Antioxidant
          (Silymarin)                            Inhibited telomerase activity in HCC
          Glycyrrhiza glabra   Fabaceae  Glycyrrhetic   Enhance GSH formation              Anti-hepatocarcinogenesis
          (Liquorice)                 acid       Induce apoptosis in hepatic cancer
          Panax ginseng   Araliaceae  Ginsenosides  Improve GSH synthesis                  Hepatorenoprotective effect
                                                 Enhance apoptosis in HCC
          Ginkgo biloba   Ginkgoaceae  Polyphenols  Free radical scavenger                 Antioxidant
                                                 Prevention of tumor initiation
          Taraxacum offi cinale   Asteraceae  Taraxacin  Enhance mRNA expression of hepatic antioxidant enzymes  Anti-fi brotic effect
          (Dandelion)                            Prevention of tumor initiation
          Allium sativum   Amaryllidaceae  Allicin  Modulation of p53 gene                 Anticancer
          (Garlic)                               Delay or arrest of the tumor development
          Curcuma longa   Zingiberaceae  Curcumin I,   Suppresses the activation of nuclear factor kappa B  Anticancer and antioxidant
          (Turmeric)                  II, and III  Prevention of tumor initiation
          Colchicum       Colchicaceae  Colchicine  Inhibition of cellular mitosis         Anti-tumor anti-fi brotic agent
          autumnale                              Delay or arrest of the tumor development
          Thymus vulgaris  Lamiaceae  Thymol     Increase GSH synthesis                    Antioxidant, antimicrobial
                                                 Prevention of tumor initiation
          Calendula offi cinalis  Asteraceae  Triterpenoids  Enhance antioxidant enzymes    Antioxidant,
                                                 Prevention of tumor initiation            anti-infl ammatory
          GSH: glutathione; HCC: hepatocellular carcinoma


               Hepatoma Research | Volume 1 | Issue 3 | October 15, 2015                                    113
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