跳至主要内容

Efficacy of Sea Buckthorn Therapy in Patients with Nonalcoholic Fatty Liver Disease

Read full paper at:
http://www.scirp.org/journal/PaperInformation.aspx?PaperID=52416#.VJdpzcCAM4

Aim: To evaluate the clinical efficacy of the traditional Chinese medicine sea buckthorn (SBT) in the treatment of patients with nonalcoholic fatty liver disease (NAFLD). Method: 94 patients with NAFLD were randomly divided into two groups: 48 cases of patients received oral sea buckthorn 1.5 g (3 times a day) for three months as the treated group, and 46 cases received only the vehicle for three months as the control group. Serum lipids, transaminase and serum liver fibrosis indices were assessed at baseline and after SBT treatment. All patients underwent liver CT and Fibroscan examination at baseline and after treatment. Results: SBT treatment resulted in a significant decrease in the serum levels of alanine aminotransferase (ALT), LDL-C, hyaluronic acid and collagen type IV. The liver stiffness measurement (LSM) of the treated patients was significantly lower than that in the control or baseline. The CT liver/spleen ratio of the treated patients was also significantly increased. Conclusion: The results of our study demonstrated the beneficial effects of SBT on serum lipids, transaminase, and liver/spleen ratio and liver stiffness in patients with NAFLD, which may be further developed as a promising therapy for the treatment of NAFLD.
Cite this paper
Gao, Z. , Zhang, C. , Jin, L. and Yao, W. (2014) Efficacy of Sea Buckthorn Therapy in Patients with Nonalcoholic Fatty Liver Disease. Chinese Medicine, 5, 223-230. doi: 10.4236/cm.2014.54027
 

[1] Park, H., Shima, T., Yamaguchi, K., et al. (2011) Efficacy of Long-Term Ezetimibe Therapy in Patients with Nonalcoholic Fatty Liver Disease. Journal of Gastroenterology, 46, 101-107.
http://dx.doi.org/10.1007/s00535-010-0291-8
[2] Smith, B.W. and Adams, L.A. (2011) Non-Alcoholic Fatty Liver Disease. Critical Reviews in Clinical Laboratory Sciences, 48, 97-113.
http://dx.doi.org/10.3109/10408363.2011.596521
[3] Fon Tacer, K. and Rozman, D. (2011) Nonalcoholic Fatty Liver Disease: Focus on Lipoprotein and Lipid Deregulation. Journal of Lipids, 2011, Article ID: 783976.
http://dx.doi.org/10.1155/2011/783976
[4] Targher, G., Bertolini, L. and Poli, F. (2005) Nonalcoholic Fatty Liver Disease and Risk of Future Cardiovascular Events among Type 2 Diabetic Patients. Diabetes, 54, 3541-3546.
http://dx.doi.org/10.2337/diabetes.54.12.3541
[5] Chuthan Sourianarayanane, A., Pagadala, M.R. and Kirwan, J.P. (2013) Management of Non-Alcoholic Fatty Liver Disease. Minerva Gastroenterologica e Dietologica, 59, 69-87.
[6] Kruczek, M., Swiderski, A., Mech-Nowak, A., et al. (2012) Antioxidant Capacity of Crude Extracts Containing Carotenoids from the Berries of Various Cultivars of Sea Buckthorn (Hippophae rhamnoides L). Acta Biochimica Polonica, 59, 135-137.
[7] Ganju, L., Padwad, Y., Singh, R., Karan, D., Chanda, S., Chopra, M.K., Bhatnagar, P., Kashyap, R. and Sawhney, R.C. (2005) Anti-Inflammatory Activity of Seabuckthorn (Hippophae rhamnoides) Leaves. International Immunopharmacology, 5, 1675-1684.
http://dx.doi.org/10.1016/j.intimp.2005.03.017
[8] Padwad, Y., Ganju, L., Jain, M., Chanda, S., Karan, D., Kumar, R., Banerjee, P.K. and Sawhney, R.C. (2006) Effect of Leaf Extract of Sea Buckthorn on Lipopolysaccharide Induced Inflammatory Response in Murine Macrophages. International Immunopharmacology, 6, 46-52.
http://dx.doi.org/10.1016/j.intimp.2005.07.015
[9] Wang, J., Zhang, W., Zhu, D., et al. (2011) Hypolipidaemic and Hypoglycaemic Effects of Total Flavonoids from Seed Residues of Hippophae rhamnoides L in Mice Fed a High-Fat Diet. Journal of the Science of Food and Agriculture, 91, 1446-1451.
http://dx.doi.org/10.1002/jsfa.4331
[10] Geetha, S., Jayamurthy, P., Pal, K., Pandey, S. and Sawhney, R.C. (2008) Hepatoprotective Activity of Sea Buckthorn (Hippophae rhamnoides L) against Carbon Tetrachloride Induced Hepatic Damage in Rats. Journal of Science of Food and Agriculture, 88, 1592-1597.
http://dx.doi.org/10.1002/jsfa.3255
[11] Hsu, Y.W., Tsai, C., Chen, W.K. and Lu, F.J. (2009) Protective Effects of Seabuckthorn (Hippophae rhamnoides L) Seed Oil against Carbon Tetrachloride-Induced Hepatotoxicity in Mice. Food and Chemical Toxicology, 47, 22812288.
http://dx.doi.org/10.1016/j.fct.2009.06.015
[12] Sandrin, L., Tanter, M., Gennisson, J.L., Catheline, S. and Fink, M. (2002) Shear Elasticity Probe for Soft Tissues with 1-D Transient Elastography. IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control, 49, 436-446.
http://dx.doi.org/10.1109/58.996561
[13] Sandrin, L., Fourquet, B., Hasquenoph, J.M., Yon, S., Fournier, C., Mal, F., et al. (2003) Transient Elastography: A New Noninvasive Method for Assessment of Hepatic Fibrosis. Ultrasound in Medicine and Biology, 29, 1705-1713.
http://dx.doi.org/10.1016/j.ultrasmedbio.2003.07.001
[14] Oliva, M.R., Mortele, K.J., Segatto, E., Glickman, J.N., Erturk, S.M., Ros, P.R. and Silverman, S.G. (2006) Computed Tomography Features of Nonalcoholic Steatohepatitis with Histopathologic Correlation. Journal of Computer Assisted Tomography, 30, 37-43.
http://dx.doi.org/10.1097/01.rct.0000193818.31749.84
[15] Tobari, M., Hashimoto, E., Yatsuji, S., Torii, N. and Shiratori, K. (2009) Imaging of Nonalcoholic Steatohepatitis: Advantages and Pitfalls of Ultrasonography and Computed Tomography. Internal Medicine, 48, 739-746.
http://dx.doi.org/10.2169/internalmedicine.48.1869
[16] Castera, L., Forns, X. and Alberti, A. (2008) Non-Invasive Evaluation of Liver Fibrosis Using Transient Elastography. Journal of Hepatology, 48, 835-847.
http://dx.doi.org/10.1016/j.jhep.2008.02.008
[17] Mahadeva, S., Mahfudz, A.S., Vijayanathan, A., Goh, K.L., Kulenthran, A. and Cheah, P.L. (2013) Performance of Transient Elastography (TE) and Factors Associated with Discordance in Nonalcoholic Fatty Liver Disease. Journal of Digestive Diseases, 14, 604-610.
http://dx.doi.org/10.1111/1751-2980.12088
[18] Yoneda, M., Yoneda, M., Mawatari, H., Fujita, K., Endo, H., Iida, H., et al. (2008) Noninvasive Assessment of Liver Fibrosis by Measurement of Stiffness in Patients with Nonalcoholic Fatty Liver Disease (NAFLD). Digestive and Liver Disease, 40, 371-378.
http://dx.doi.org/10.1016/j.dld.2007.10.019
[19] Wang, J., Zhang, W., Zhu, D., Zhu, X.L., Pang, X.F. and Qu, W.J. (2011) Hypolipidaemic and Hypoglycaemic Effects of Total Flavonoids from Seed Residues of Hippophae rhamnoides L in Mice Fed a High-Fat Diet. Journal of the Science of Food and Agriculture, 91, 1446-1451.
http://dx.doi.org/10.1002/jsfa.4331
[20] Smith, B.W. and Adams, L.A. (2011) Non-Alcoholic Fatty Liver Disease. Critical Reviews in Clinical Laboratory Sciences, 48, 97-113.
http://dx.doi.org/10.3109/10408363.2011.596521
[21] Rallidis, L.S., Drakoulis, C.K. and Parasi, A.S. (2004) Pravastatin in Patients with Nonalcoholic Steatohepatitis: Results of a Pilot Study. Atherosclerosis, 174, 193-196.
http://dx.doi.org/10.1016/j.atherosclerosis.2004.01.008
[22] Lewis, J.H. (2012) Clinical Perspective: Statins and the Liver—Harmful or Helpful? Digestive Diseases and Sciences, 57, 1754-1763.
http://dx.doi.org/10.1007/s10620-012-2207-3
[23] Tulsawani, R., Gupta, R. and Misra, K. (2013) Efficacy of Aqueous Extract of Hippophae rhamnoides and Its Bio-Active Flavonoids against Hypoxia-Induced Cell Death. Indian Journal of Pharmacology, 45, 258-263.
http://dx.doi.org/10.4103/0253-7613.111943
[24] Pang, X., Zhao, J., Zhang, W., Zhuang, X.Y., Wang, J.S., Xu, R.Q., Xu, Z.L. and Qu, W.J. (2008) Antihypertensive Effect of Total Flavones Extracted from Seed Residues of Hippophae rhamnoides L in Sucrose-Fed Rats. Journal of Ethnopharmacology, 117, 325-331.
http://dx.doi.org/10.1016/j.jep.2008.02.002
[25] Targher, G., Bertolini, L., Padovani, R., Rodella, S., Zoppini, G., Pichiri, I., et al. (2010) Prevalence of Non-Alcoholic Fatty Liver Disease and Its Association with Cardiovascular Disease in Patients with Type 1 Diabetes. Journal of Hepatology, 53, 713-718.
http://dx.doi.org/10.1016/j.jhep.2010.04.030
[26] Loria, P., Lonardo, A., Bellentani, S., Day, C.P., Marchesini, G. and Carulli, N. (2007) Non-Alcoholic Fatty Liver Disease (NAFLD) and Cardiovascular Disease: An Open Question. Nutrition, Metabolism and Cardiovascular Diseases, 17, 684-698.
http://dx.doi.org/10.1016/j.numecd.2007.01.007
[27] Kremer, M., Thomas, E., Milton, R.J., Perry, A.W., van Rooijen, N., Wheeler, M.D., et al. (2010) Kupffer Cell and Interleukin-12-Dependent Loss of Natural Killer T Cells in Hepatosteatosis. Hepatology, 51, 130-141.
http://dx.doi.org/10.1002/hep.23292
[28] Ganju, L., Padwad, Y., Singh, R., Karan, D., Chanda, S., Chopra, M.K., et al. (2005) Anti-Inflammatory Activity of Seabuckthorn (Hippophae rhamnoides L) Leaves. International Immunopharmacology, 5, 1675-1684.
http://dx.doi.org/10.1016/j.intimp.2005.03.017
[29] Mishra, K.P., Chanda, S., Karan, D., Ganju, L. and Sawhney, R.C. (2008) Effect of Seabuckthorn (Hippophae rhamnoides) Flavone on Immune System: An in Vitro Approach. Phytotherapy Research, 22, 1490-1495.
http://dx.doi.org/10.1002/ptr.2518                          eww141222lx

评论

此博客中的热门博文

Does Immigration Promote the Investment of the Monopolistic Firm?

In the present paper, we examine the effect of increasing uncertainty of immigrants’ growth on the optimal timing of investment of a firm that has a monopolistic power over the labor market. It is revealed that when the uncertainty of immigrants’ growth is more than a threshold level, increasing uncertainty of immigrants’ growth accelerates the optimal timing of firms’ investment and enhances the economic growth, even if the uncertainty of immigrants’ growth is formulated by the geometric Brownian motion, which is in sharp contrast to the standard result that an increase in the uncertainty postpones the optimal timing. With an increase in the immigrants over the past ten years, workforces in the host countries have been growing significantly to the extent that the immigrants represent 70% of the increase in the workforce in Europe, and 47% in the United States as OECD indicates. In the present paper, we attempted to investigate the effect of increased uncertainty caused by the growi...

Education Policy Implementation: A Mechanism for Enhancing Primary Education Development in Zanzibar

Education is one of the fundamental rights of individuals; therefore, the government of a country needs to develop and strengthen educational policy and quality as well as to ensure that everyone has equal access to basic education. The improvement of access and quality of education in the world is becoming as an essential factor in development, whereas the basic education (primary school), is acknowledged as a foundation of the higher educational development for every country. To fulfill this goal, governments introduce several policies and procedures; however, it requires some reforms and participation from the politician, policymakers, and other stakeholders to re-examine educational policy so that it can lead to multiplication and betterment of the reforms. Educational reforms actually focus on accountability. A positive educational development and reform is very challenging and needs more effort and strategy on how to use and utilize the resources effectively as such it can achie...