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Title: Synergistic composition of
trans-tetracos-15-enoic acid and Apocynin and method of treatment for
hepatotoxicity
United States Patent: 6,949,586
Issued: September 27, 2005
Inventors: Handa; Sukhdev Swami (Jammu, IN); Suri; Om
Parkash (Jammu, IN); Gupta; Vishwa Nath (Jammu, IN); Suri; Krishan Avtar
(Jammu, IN); Satti; Naresh Kumar (Jammu, IN); Bhardwaj; Vikram (Jammu, IN);
Singh; Bupinder (Jammu, IN); Chandan; Bal Krishan (Jammu, IN)
Assignee: Council of Scientific Research (IN)
Appl. No.: 102147
Filed: March 20, 2002
Abstract
The present invention relates to a synergistic hepatoprotective
pharmaceutical composition comprising an effective amount of
trans-tetracos-15-enoic acid (TCA) and Apocynin (APO), the present invention
also relates to a method of treatment for hepatotoxicity in mammals and
humans.
SUMMARY OF THE INVENTION
The present invention relates to a synergistic hepatoprotective
composition containing trans-tetracos-15-enoic acid (TCA) and Apocynin (APO).
The present invention also relates to a method of treatment for
hepatotoxicity in mammals and humans.
DETAILED DESCRIPTION OF THE INVENTION
Accordingly, the present invention provides a synergistic pharmaceutical
composition having enhanced hepatoprotective activity on subjects, obtained
from the plant Indigofera tinctoria, said composition comprising an
effective amount of:
 | (a) trans-tetracos-15-enoic acid (TCA) obtained from the plant
Indigofera tinctoria; |
 | (b) Apocynin (APO) obtained from the plants Apocyanum cannabium
and A. androsaemifolium; and |
 | (c) the ratio of APO and TCA is in the range of 3:1 to 1:3. |
An embodiment of the present invention, wherein the said composition is used
either singly or in combination with pharmaceutically acceptable additives.
An another embodiment of the present invention, wherein the pharmaceutically
acceptable additives are selected from the group consisting of carriers,
diluents, solvents, filters lubricants, excipients, binder and stabilizers.
Yet another embodiment of the present invention, wherein the said
composition is used for both preventive and curative properties.
Still another embodiment of the present invention, wherein the said
composition is used systemically, orally or by any clinically/medically
accepted methods.
Yet another embodiment of the present invention, wherein the said
composition is used to treat hepatic disorders that are clinically,
biochemically and histologically similar to that of viral hepatitis, chronic
hepatitis, fatty liver, cirrhosis and several vascular lesions of the liver.
Still another embodiment of the present invention, wherein the said
composition is used to treat the liver damage induced by hepatotoxins.
Yet another embodiment of the present invention, wherein the hepatotoxins
are selected from the group consisting of Galactosamine, Paracetamol and
Carbon tetrachloride.
Still another embodiment of the present invention, wherein the subject is
selected from the group consisting of mammals, humans and preferably humans.
Yet another embodiment of the present invention, wherein the dosage of said
composition for the treatment of CCl4 induced hepatotoxicity in
mammals is 50 mg/kg-body weight.
Still another embodiment of the present invention, wherein said composition
having the enhanced hepatoprotective activity in CCl4 induced
hepatotoxic mammals up to 92%.
Yet another embodiment of the present invention, wherein the dosage of said
composition for the treatment of acetaminophen induced hepatotoxicity in
mammals is 50 mg/kg-body weight. Still another embodiment of the present
invention, wherein said composition having the enhanced hepatoprotective
activity in acetaminophen induced hepatotoxicity in mammals up to 86%.
Yet another embodiment of the present invention, wherein said composition
having the dosage of said composition for the treatment of Galactosamine
induced hepatotoxicity in mammals 50 mg/kg of body weight.
Still another embodiment of the present invention, wherein said composition
having the enhanced hepatoprotective activity in Galactosamine induced
hepatotoxicity in mammals up to 75%.
Yet another embodiment of the present invention, the dosage of said
composition for chloretic activity in mammals to control bile flow and bile
solids is 50 mg/kg of body weight. Still another embodiment of the present
invention, wherein the enhanced chloretic activity is up to 39%.
Yet another embodiment of the present invention, wherein the dosage of said
composition for hepatic disorders in human beings is about 10 mg/kg of body
weight.
The present invention also provides a method of treating subjects with liver
disorders with an effective amount of synergistic pharmaceutical composition
to induce enhanced hepatoprotective activity, said composition comprising:
 | (a) trans-tetracos-15-enoic acid (TCA) obtained from the plant
Indigofera tinctoria; |
 | (b) Apocynin (APO) obtained from the plants Apocyanum cannabium and
A. androsaemifolium; and |
 | (c) the ratio of APO and TCA is in the range of 3:1 to 1:3. |
Still another embodiment of the present invention, wherein said method is
used to treat liver disorders caused by Galactosamine, Paracetamol and
Carbon tetrachloride.
Yet another embodiment of the present invention, a method wherein the dosage
for the treatment of CCl4 induced hepatotoxicity in mammals is
about 50-mg/kg-body weight.
Still another embodiment of the present invention, a method wherein the
enhanced hepatoprotective activity in CCl4 induced hepatotoxic
mammals is up to 92%.
Yet another embodiment of the present invention, a method wherein the dosage
for the treatment of acetaminophen induced hepatotoxicity in mammals is 50
mg/kg-body weight.
Still another embodiment of the present invention, a method wherein the
enhanced hepatoprotective activity in acetaminophen induced hepatotoxicity
in mammals is up to 86%.
Yet another embodiment of the present invention, a method wherein the dosage
for the treatment of Galactosamine induced hepatotoxicity in mammals is 50
mg/kg of body weight.
Still another embodiment of the present invention, a method wherein the
enhanced hepatoprotective activity in Galactosamine induced hepatotoxicity
in mammals is up to 75%.
Yet another embodiment of the present invention, a method wherein the dosage
for chloretic activity in mammals to control the bile flow and bile solids
is 50 mg/kg of body weight.
Still another embodiment of the present invention, a method wherein the
enhanced chloretic activity in mammals is up to 39%.
Yet another embodiment of the present invention, a method wherein the
composition is used either singly or in combination with pharmaceutically
acceptable carriers.
Still another embodiment of the present invention, a method wherein the
composition is administered to a subject in combination with
pharmaceutically acceptable additives, carriers, diluents, solvents,
filters, lubricants, excipients, binder or stabilizers.
Yet another embodiment of the present invention, a method wherein the
desired dosage is administered for both preventive and curative properties.
Still another embodiment of the present invention, a method wherein the
composition is administered systemically, orally or by any
clinically/medically accepted methods.
Yet another embodiment of the present invention, a method wherein the
subject is selected from animals, mammals, and preferably humans.
Still another embodiment of the present invention, a method wherein the
preferred dosage for hepatic disorders in human beings is about 10-15 mg/kg
of body weight.
The invention is further explained in the form of preferred embodiments.
i. Animals:
The pharmacological studies are conducted on Wistar albino rats (150-180 g)
and Swiss albino mice (25-30 g) of either sex, colony—bred in the
Institute's animal house. After procurement, all the animals are divided
into different groups and are left for one week for acclimatization to
experimentation room and are maintained on standard conditions (23±2° C.,
60-70% relative humidity and 12 h photo period). The animals are fed with
standard rodents pellet diet and water ad libitum. There are six animals in
each group except for general behaviour and acute toxicity studies where ten
animals are used in each group.
ii. Hepatotoxins:
It is emphasized that hepatotoxin that causes acute hepatitis should have
close resemblance with the viral hepatitis, clinically, biochemically and
histologically. Drugs are also causes of chronic hepatic disease as chronic
hepatitis, fatty liver, cirrhosis and several vascular lesions of the liver.
In many instances drug induced hepatitis proves indistinguishable from viral
hepatitis. Chemically induced hepatic injury for experimental studies should
be severe enough to cause cell death or to modify hepatic functions. The
mechanism of acute hepatic injury depends upon the chemical compound and the
species of animals used. Many chemicals produce parenchymal damage, arrest
bile flow and cause jaundice (chloretic injury). Hepatoprotective activity
against CCl4, paracetamol and, D-galactosamine induced
hepatotoxicity are studied.
Carbon Tetrachloride (CCl4): CCl4 is one of the most
powerful hepatotoxins (in term of severity of injury). It causes toxic
necrosis, which leads to biochemical changes having clinical features
similar to those of acute viral hepatitis (Vogel, 1977, Bramanti et. al.,
1978, Kumar et. al., 1992). Liver injury is produced by administration of
CCl4 mixed with liquid paraffin. Animals are given single dose of
CCl4 (50 μl.kg-1, p.o.) in acute single treatment and
(0.5 ml.kg-1, p.o.) in case of multitreatment with drug. It is
administered orally (p.o) by gastric intubation. The control animals
received the equal volume of liquid paraffin.
Paracetamol (APAP, Acetaminophen): It is a therapeutic agent widely used as
analgesic/antipyretic drug. When taken in large doses it causes hepatic
necrosis which leads to biochemical changes having clinical features similar
to those of acute viral hepatitis in humans (Proudfoot and Wright, 1970).
The similar effect is observed in animals. The toxic effect can be
potentiated if it is given several hours after the anesthetic ether
inhalation (Wells et. al., 1986).
Liver injury is induced by injecting paracetamol (200 mg.kg-1)
interaperitoneally in normal saline (pH 9.4) six hour after inhalation of
anesthetic ether (4 ml/4 min/6 animals) in a closed chamber. The control
animals received the equal volume of vehicle.
D-Galactosamine: It is one of the toxins that induce hepatic inflammatory
conditions in the rat liver that clinically resembles to viral hepatitis.
The mechanism of GalN induced liver injury has been extensively examined and
this model is now accepted as one of the authentic systems of liver damage
(Bauer et. al., 1974, A1-Tuwaijiri et. al., 1981)
Hepatic damage is produced by injecting GalN (300 mg.kg-1)
subcutaneously in normal saline. The control animals received the equal
volume of vehicle.
iii. Treatment with Bio-Active Compound and Silymarin:
Freshly prepared suspension (1%, w/v) in 0.2% gum acacia in normal saline is
used for all the experiments except for toxicity studies where (10%, w/v)
suspension is used. Silymarin suspension (1%, w/v) in 0.2% gum acacia is
used as a reference standard (positive control).
iv. Experimental Models:
Effect on Serum and Hepatic Biochemical Parameters:
CCl4 Induced Hepatotoxicity:
Treatment of Test Material Before and After Hepatotoxin: The doses of TCA
and APO individually and in mixture, silymarin (50 mg/kg, p.o. each) and
vehicle (normal saline) are fed to different groups of rats at 48 hours, 24
hours and 2 hours before and 6 hours after hepatotoxin (CCl4, 0.5
ml.kg-1, p.o.) intoxication. Blood is collected from orbital
sinus in all the animals 18 hours after last treatment and serum separated
for different estimations. All the animals are then killed by decapitation,
their livers are quickly excised, cleaned of adhering tissue, weighed and
homogenised in phosphate buffer saline for the analysis of hepatic
parameters (Agarwal and Mehendale, 1983, Klingensmith and Mehendale, 1982,
Zimmerman, 1973, Edmondson and Peter, 1985, Mitchell, et al, 1973).
Paracetamol Induced Hepatotoxicity:
Treatment of Test Material Before and After Hepatotoxin:
The doses of TCA and APO individually and in mixture, silymarin (50 mg/kg,
p.o. each) and vehicle (normal saline) are fed to different groups of mice
at 72 hours, 48 hours and 24 hours, 1 hour before diethyl ether inhalation
and 1 hour after hepatotoxin (paracetamol, 200 mg.kg-1, i.p.)
given 6 hours after exposure to diethyl- ether. Blood is collected from
orbital sinus in all the animals 18 hours after last treatment and serum
separated for different estimations. A portion of the liver is processed for
histopathological studies.
D-Galactosamine Induced Hepatotoxicity:
(a) Treatment of Test Material before and after Hepatotoxin:
The doses of TCA and APO individually and in mixture, silymarin (50 mg/kg,
p.o. each) and vehicle (normal saline) are fed to different groups of mice
at 48 hours, 24 hours and 2 hours before and 6 hours after hepatotoxin (GalN,
300 mg.kg-1, s.c.) intoxication. Blood is collected from orbital
sinus in all the animals 18 h after last treatment and serum separated for
different estimations. All the animals are then killed by decapitation,
their livers are quickly excised, cleaned of adhering tissue, weighed and
homogenised in phosphate buffer saline for the analysis of hepatic
parameters. A portion of the liver is processed for histopathological
studies.
Parameters Studied:
GPT and GOT: Pyruvate formed by transamination reaction is determined
spectrophotometrically after reaction with 2,4-dinitrophenylhydrazine (Reitman
and Frankel, 1957).
ALP: p-nitrophenol formed in alkaline medium is measured
spectrophotometrically using p-nitrophenyl phosphate as substrate (Walter
and Schutt, 1974).
Bilirubin : Total bilirubin is measured by diazotization reaction with NaNO2
(Malloy and Evelyn, 1937)
Triglycerides: Triglycerides from serum are extracted with isopropanol and
sopanified with KOH. The liberated glycerol is converted to formaldehyde by
periodate and determined after reaction with acetyl acetone. Triolein is
used as standard (Neri and Firings, 1973).
Glutathione: It is determined after deproteination by reaction with DTNB (Ellman
1959 as modified by David 1987).
Lipid peroxidation: Thiobarbituric acid reacting substances are determined
spectrophotometrically at 535 nm. Buege. and Aust. (1978).
Hepatoprotective Activity:
Hepatoprotective activity (H) is calculated by the following equation:
Where TC, VC, and V are drug+toxin, vehicle+toxin and vehicle treated groups
of animals respectively.
Human Dose:
Doses for human being can be calculated by equivalent surface area doses
conversion factor (equivalency on the basis of mg/sq. m)
Effect on Bile Flow and Bile Solids
The liver, by producing bile, plays an important role in digestion. The
presence of bile in the intestine is necessary to accomplish the digestion
and absorption of fats as well as absorption of the fat-soluble vitamins—A,
D, E & K. Bile is also an important vehicle of excretion. It removes many
drugs, toxins, bile pigments and various inorganic substances either derived
from the diet or synthesized by the body as cholesterol or as cholic acid.
Increase in the bile flow is suggestive of stimulating action of liver
microsomal enzymes.
Claim 1 of 36 Claims
1. A pharmaceutical composition having hepatoprotective activity on
subjects, said composition comprising an effective amount of:
(a) trans-tetracos-15-enoic acid (TCA) obtained from the plant
Indigofera tinctoria;
(b) Apocynin (APO) obtained from the plains Apocyanum cannabium and
A. androsaemifolium; and
the ratio of APO and TCA is in the range of 3:1 to 1:3.
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