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Table 2 Summary of therapeutic activities of different phytochemicals of Bergenia ciliata

From: Bergenia ciliata as a future candidate for liver diseases: a concise review

S. no

Phytochemical

Class

Protective action

Model

References

1

Gallic acid

Phenol

Decreases liver steatosis, body weight and plasma insulin levels. Hepatic steatosis related genes expression show that acetyl-CoA carboxylase and fatty acid synthase mRNA are significantly reduced

HFD-induced steatosis in mice

Sousa et al. (2020)

2

Gallic acid

–

Elevation of liver SOD and CAT activities and reduction of the liver TNF-α expression, MDA and serum protein carbonyl

Fluoxetine-induced liver damage in rats

Karimi-Khouzani et al. (2017)

3

Gallic acid

–

Reduces body weight, liver, adipose tissue, serum parameters (TAG, phospholipid, total cholesterol, LDL, cholesterol, insulin and leptin) and hepatic steatosis. Also decreases oxidative stress (declining GSSG and enhancing GSH, GPx, GRd and GST)

HFD-induced obesity in rats

Hsu and Yen (2007)

4

Gallic acid

–

Diminishes HA, collagen IV, MDA as well as the serum levels of ALT, AST, and γ-GT. Also decrease in MMP-2, TIMP-1

mRNA, and MMP-2 protein levels

CCl4-induced hepatic fibrosis in mice

Wang et al. (2014)

5

Gallic acid

–

Reduces cellular oxidative stress by decreasing ROS production, which in turn is unfavorable for HCV

Hepatocarcinoma cell lines (Huh7)

Govea-Salas et al. (2016)

6

Gallic acid

–

Reverses HFD-induced disturbances to a wide range of metabolic pathways, including lipid metabolism, glucose metabolism (glycolysis and gluconeogenesis), amino acids metabolism, choline metabolism and gut-microbiota-associated metabolism

NAFLD-induced in mice

Chao et al. (2014)

7

Gallic acid

–

Lessens inflammation, activated HSCs, deposition of collagen. Also decline in COX-2 positive cells in liver

NDEA-induced liver injury

Latief et al. (2016)

8

Gallic acid

–

Limits hepatocyte necroptosis, which was characterized by reduced expression of distinct necroptotic signals RIP1 and RIP3 and release of high mobility group box protein 1. Also induces NRF2 expression in ethanol-incubated hepatocytes

Ethanol-induced hepatocyte necroptosis

Zhou et al. (2019)

9

Gallic acid

–

Inhibitory effect on lipid accumulation through the activation of AMPK in hepatocytes. Also suppresses hepatocyte apoptosis and inflammation

Human hepatoma cell lines (HepG2)

Tanaka et al. (2020)

10

Gallic acid

–

Decreases AST, ALT, LDH activity. Increases paraoxonase and arylesterase activity

Ethanol-induced liver injury in rats

Kartkaya et al. (2013)

11

Gallic acid

–

Decline in AST, ALT, MDA, and elevation of GSH, CAT, SOD and GST

Cyclophosphamid-induced hepatotoxicity in rats

Oyagbemi et al. (2016)

12

Gallic acid

–

Triglyceride and blood glucose concentrations are significantly improved. PPAR-γ expression and the Akt signaling pathway are activated

Diet-induced obesity mice

Bak et al. (2013)

13

Gallic acid

_

Decreases AST, ALT, ALP acid phosphatase, lactate dehydrogenase, gamma-glutamyltransferase, bilirubin, alpha-fetoprotein, carcinoembryonic antigen, argyophillic nucleolar organizing regions and PCNA

NDEA-induced hepatocellular carcinoma in rats

Jagan et al., (2008

14

Gallic acid

–

Diminishes levels of lipid peroxidation, serum marker enzyme activity with a concomitant increase in GSH, CAT, SOD, GPx and GST

Lindane-induced hepatic and renal toxicity

Padma et al. (2011)

15

Gallic acid

–

Downregulation in the gene expression levels of hepatic gamma-glutamyl transferase and heat shock protein gp96. Regulation of STAT3 signaling pathway via the outstanding bioactivities of gallic acid including antioxidant potential, anti-inflammatory effect, apoptotic action, and antitumor impact

NDEA-induced hepatocellular carcinoma in rats

Aglan et al. (2017)

16

Bergenin

Phenol

Liver injury alters the pharmacokinetic behavior of bergenin and enhances its absorption after an oral dosing, which may promote the therapeutic efficacies of bergenin

CCl4-induced liver injury in rats

Rong-Hua et al. (2016)

17

Bergenin

–

Reduces the release of ROS, downregulates inflammatory factors, and inhibited apoptosis and autophagy. Additionally, expression of PPAR-γ-related genes is increased and phosphorylation of P38 MAPK, NF-κB p65 and JAK2/STAT1-related proteins is decreased

Hepatic ischemia reperfusion in mice

Xiang et al. (2020)

18

Bergenin

–

Diminishes HA, FN, laminin, type I collagen, α-SMA, matrix metalloproteinases and tissue inhibitors of metalloproteinases. Activates PPAR-γ and inhibits TGF-β and autophagy

CCl4 and bile duct ligated mice

Xia et al. (2020)

19

Bergenin + metformin

–

Lower body weight gain, plasma glucose and insulin. Whereas the level of Hb and liver glycogen is significantly increased. Gluconeogenic enzymes (glucose-6-phosphatase and fructose-1, 6-bisphosphatase) are significantly decreased and glycolytic enzymes (Hexokinase and glucose-6- phosphate dehydrogenase) are increased

HFD-induced type 2 diabetes in mice

Ambika and Saravanan (2016)

20

Bergenin + Gallic acid

–

Improve cell morphology, elevate cell viability, lower LDH, AST, ALT and MDA levels. Also promote SOD and CAT activities and total GSH content

Ethanol and tert-butyl hydroperoxide-induced oxidative stress in human hepatoma cells (HepG2)

Sriset et al. (2020)

21

β-Sitosterol

Sterol

Inhibits oxidative stress by causing diminution of intracellular enyzmic antioxidants such as SOD and CAT. Significantly reduces expression of HSCs activation markers (hydroxyproline, collagen, α-SMA, desmin, vimentin, and MMP 9)

CCl4-induced liver injury in rats

Devaraj et al. (2020)

22

β-Sitosterol

–

Expression of PPAR-γ ligand and PON-1/ARE enzymes activities increases. Also, the activities of SOD, CAT enzymes and HDL-c levels display elevation. Whereas, significant decrease in MDA content, cholesterol, TG and LDL-c levels are revealed

Gamma Irradiated rats

Moustafa and Thabet (2017)

23

β-Sitosterol and its derivatives

–

Decrease the serum activity of AST ALT, TNF-α, IL-1β, IL-6) levels. Improve the activities of antioxidant enzymes such as SOD, GSH and CAT. Meanwhile, the expressions of Nrf2 and HO-1 are enhanced

Lipopolysaccharide/ D-galactosamine-induced acute hepatic injury in mice

Yin et al. (2018)

24

β-Sitosterol + Stigmasterol

–

Decrease in hepatic cholesterol, TGs with polyunsaturated fatty acids and alterations of free hepatic FFA

NAFLD-induced in mice

Feng et al. (2018)

25

Arbutin

Glycoside

TB test and MTT assays reveal the improvement in cell viability

Tert-Butyl hydroperoxide-induced toxicity in Hep-G2 Cell Line

Seyfizadeh et al., (2012

26

Arbutin

–

Raises the levels of serum albumin and lowers the bilirubin and lipid peroxidation

CCl4-induced hepatotoxicity in rats

Mirshahvalad et al. (2016)

27

Arbutin

–

Decrease in ALP, ALT and AST enzyme

X-irradiated mice

Nadi et al. (2019)

28

Tannic acid

Phenol

Increases activities of SOD, CAT, GSH-Px, eNOS and serum level of NO. Moreover, reduces expression of angiotensin II receptor-1, IL-1β, TNF-α, TGF-β, caspase-3, c-fos, c-jun, the ratio of Bax/bcl-2, TIMP-1. Increases MMP-9 and MMP-1

CCl4-induced liver injury in mice

Chu et al. (2016)

29

Tannic acid

–

Suppresses overexpression of IL-1β, TNF-α, c-fos, c-jun, NF-κB (p65) and caspase-3, downregulates bax and upregulates bcl-2, Nrf2 and HO-1

Acetaminophen-induced hepatotoxicity in mice

Zhang et al. (2017)

30

d-Limonene

Terpene

Preserves glutathione, SOD, catalase. Decreases hydroxyproline, malondialdehyde content, TNF-α, TGF β, and α-SMA expressions

CCl4-induced liver toxicity in Wistar rats

Ahmad et al. (2018)

31

d-Limonene

–

Diminishes the levels of plasma glucose and elevates insulin. It also restores the declines the lipid peroxide and restores antioxidant enzyme levels in liver and kidney

Streptozotocin-induced diabetic rats

Murali et al. (2012)

32

d-Limonene

–

Reduces systolic blood pressure, heart rate, fasting blood glucose, plasma insulin, hepatic marker enzymes, hepatic lipids, circulatory lipid peroxidation by-products and hepatic phase I enzyme activities. Increases circulatory nonenzymic antioxidant concentrations and hepatic phase II enzyme activities

HFD and L-NAME-induced NAFLD in Wistar rats

Santiago et al. (2012)

33

d-Limonene

–

Decreases cellular alteration foci, neoplastic nodules and hepatocellular carcinomas and increases apoptotic indices of cellular alteration foci

Hepatocarcinogenesis in Sprague–Dawley rats

Kaji et al. (2001)

34

β-Caryophyllene

Sesquiterpene

Reduces the gene expressions of Collagen-1α1, TGF-β1 and TIMP1

CCl4-induced liver fibrosis in Wistar rats

Calleja et al. (2013)

35

β-Caryophyllene

–

Attenuates the pro-inflammatory phenotypic `M1` switch of Kupffer cells and decreases the expression of vascular adhesion molecules intercellular adhesion molecule 1, E-Selectin and P-Selectin as well as the neutrophil infiltration

Alcoholic steatohepatitis-induced in mice

Varga et al. (2018)

36

β-Caryophyllene

–

Lowers hepatic lipid accumulation, TC, LDL and elevates HDL

Hypercholesterolemia-induced in Wistar rats

Harb et al. (2018)

  1. CAT catalase, SOD superoxide dismutase, MDA malondialdehyde, TNF-α tumor necrosis factor alpha, TAG triacylglycerols, LDL low-density lipoprotein, HDL high-density lipoprotein, GSSG glutathione disulfide, GSH glutathione, GST glutathione S-transferase, GPx glutathione peroxidase, GRd glutathione reductase, HA hyaluronic acid, TIMP tissue inhibitor of metalloprotease, MMP matrix metalloprotease, HFD high-fat diet, NAFLD non-alcoholic fatty liver disease, HCC hepatocellular carcinoma, HCV Hepatitis C virus, ROS reactive oxygen species, HSCs hepatic stellate cells, COX-2 cycloxygenase-2, RIP receptor-interacting protein, AST aspartate transaminase, ALT alanine transaminase, ALP alkaline phosphatase, γ-GT Gamma-glutamyl transferase, LDH Lactate dehydrogenase, PPAR Peroxisome proliferator-activated receptor, AMPK AMP-activated protein kinase, PCNA Proliferating cell nuclear antigen, NF-κB Nuclear factor kappa B, α-SMA Alpha smooth muscle actin, TGF Transforming growth factor, FN Fibronectin, Nrf2 Nuclear factor 2, FFA Free fatty acid, HO Heme oxygenase, IL Interleukin, eNOS Endothelial nitric oxide synthase, TB Trypan Blue, L-NAME Nω-nitro-l-arginine methyl ester, TC Total cholesterol