31Dec 2016

A study of the effect of Nigella sativa (Black seeds) on pyrazinamide and anti-tuberculosis drugs induced hepatotoxicity in rabbits.

  • Assistant lecturer, B.Sc. Pharmacy, Department of Pharmacy, College of Medicine, University of Misan, Iraq.
  • Assistant Professor, MBChB, PhD, Department of Pharmacology, College of Medicine, University of Basrah, Iraq.
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Hepatotoxicity is a real challenge to physicians concerned intuberculosis treatment. It is frequently blamed for therapy failure and emergence of bacterial resistance and sometimes fatal. In the absence of a drug which can prevent hepatotoxicity, herbal medications offer an alternative remedy to minimize this side effect. The study was designed to evaluate the effect ofNigella sativa (NS), a medicinal plant known for its hepatoprotective effect against hepatotoxicity induced by Pyrazinamide (PZA) 350 mg/kg alone or in combination with other anti-tuberculosis drugs (anti-TB). Anti-TB drugs contain PZA 350 mg/kg + INH 50 mg/kg + Rifampicin (RIF) 100 mg/kg.Six groups of rabbits (6 animals in each) were treated orally for 12 days as follow: Normal saline (control), NS, PZA, (PZA+NS), (Anti-TB drugs), and (Anti-TB + NS). Liver enzymes, S. Glutathione (GSH), liver tissue (GSH) and Malondialdehyde (MDA) were estimated and liver histology was examined. PZA and anti-TB drugs increased liver enzymes, increased MDA and decreased GSH with histopathological changes suggestive of hepatotoxicity. Treatment with NS significantly changed liver enzymes, GSH, MDA and histopathological changes toward normal values. Conclusions: NS due to its antioxidant effect is protective against hepatotoxicity induced by PZA and anti-TB drugs.


  1. Askgaard, DS.Wilcke, TDøssing, M (1995). Hepatotoxicity caused by the combined action of isoniazid and rifampicin. Thorax  50(2):213-4.
  2. Aubrecht, J. Schomaker, SJ. Amacher, DE (2013). Emerging hepatotoxicity biomarkers and their potential to improve understanding and management of drug-induced liver injury. Genome Medicine 5:85-7.
  3. Burits, M. Bucar, F (2000). Antioxidant activity of Nigella sativa essential oil. Phytother Res 14(5): 323-28.
  4. Chaudhary, GD. Kamboj, P. Singh, I. Kalia, AN (2010). Herbs as liver savers- A review. IndianJ Nat Prod Resour 1(4): 397-408.
  5. Develi, S. Evran, B. Betül Kalaz, E. Koçak-Toker, N. Erata, GÖ (2014). Protective effect of Nigella sativa oil against binge ethanol-induced oxidative stress and liver injury in rats. Chin J Nat Med 12 (7):495-99.
  6. El-Dakhakhny, M. Mady, NI. Halim, MA (2000). Nigella sativa L. oil protects against induced hepatotoxicity and improves serum lipid profile in rats. Arzneimittelforschung 50(09):832-36.
  7. Eminzade, S. Uras, F. Izzettin, FV(2008). Silymarin protects liver against toxic effects of anti-tuberculosis drugs in experimental animals. Nutr Metab 5(1): 18-26.
  8. Hassan, AS. Ahmed, JH. Al-Haroon, SS (2012). A study of the effect of Nigella sativa (Black seeds) in isoniazid (INH)-induced hepatotoxicity in rabbits. Indian J Pharmacol 44(6):678-82.
  9. Kanter,   Coskun, O. Budancamanak, M (2005). Hepatoprotective effects of Nigella sativa L and Urtica dioica L on lipid peroxidation, antioxidant enzyme systems and liver enzymes in carbon tetrachloride-treated rats. World J Gastroenterol 11(42):6684-8.
  10. Loots, DT. Wiid, IJ. Page, BJ. Mienie, LJ. van Helden, PD (2005). Melatonin prevents the free radical and MADD metabolic profiles induced by antituberculosis drugs in an animal model. J Pineal Res 38(2):100-6.
  11. Schaberg, T. Rebhan, K. Lode, H (1996). Risk factors for side-effects of isoniazid, rifampin and pyrazinamide in patients hospitalized for pulmonary tuberculosis. Eur Respir J 9(10): 2026-30.
  12. Shih, TYPai, CYYang, P. Chang, WLWang, NCHu, OY (2013). A novel mechanism underlies the hepatotoxicity of pyrazinamide. Antimicrob Agents Chemother  57(4):1685-90.
  13. Shu, CC. Lee, CH. Lee, MC. Wang, JY. Yu, CJ. Lee, LN (2013). Hepatotoxicity due to first-line anti-tuberculosis drugs: a five-year experience in a Taiwan medical centre. Int J Tuberc Lung Dis 17(7):934-9.
  14. Sonika, UKar P (2012). Tuberculosis and liver disease: management issues. Trop Gastroenterol 33(2):102-6.
  15. Taneja, Kaur,  D (1990). Study on hepatotoxicity and other side effects of antituberculosis drugs. J Indian Med Assoc  88(10):278-80.
  16. Tostmann, A. Boeree, MJ. Aarnoutse, REde Lange, WC.  van der Ven, AJ. Dekhuijzen, R (2008). Antituberculosis drug-induced hepatotoxicity: concise up-to-date review. J Gastroenterol Hepatol 23(2):192-202.
  17. Walubo, ASmith, PJFolb, PI (1995). Oxidative stress during antituberculous therapy in young and elderly patients.Biomed Environ Sci 8(2):106-13.

[Rasha K. Khudur and Jawad H. Ahmed. (2016); A study of the effect of Nigella sativa (Black seeds) on pyrazinamide and anti-tuberculosis drugs induced hepatotoxicity in rabbits. Int. J. of Adv. Res. 4 (Dec). 2836-2845] (ISSN 2320-5407). www.journalijar.com


Rasha kareem khudhur
pharmacist

DOI:


Article DOI: 10.21474/IJAR01/2711      
DOI URL: https://dx.doi.org/10.21474/IJAR01/2711