Fruit extract and NSAIDs to prevent liver damage

a potential formulation for future

| Posted in: Science

Journal name: World Journal of Pharmaceutical Research
Original article title: Fruit extract in combination with non-steroidal antiinflammatory drugs to prevent hepatic damage
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: a potential formulation for future

Original source:

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Author:

Shakir, Km Kahkasha, Danish Saifi and Aamir


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Fruit extract in combination with non-steroidal antiinflammatory drugs to prevent hepatic damage

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr202319-30162


Download the PDF file of the original publication


Summary of article contents:

Introduction

Naproxen sodium, a widely used non-steroidal anti-inflammatory drug (NSAID), is known for its effectiveness in managing severe pain but carries significant risks of hepatotoxicity and gastrointestinal side effects. Despite the advancements in pharmaceutical technologies aimed at mitigating these adverse effects, the safety profile of naproxen sodium remains a concern. Researchers have explored the combination of fruit extracts, particularly those with known antioxidant properties, as a potential strategy to protect against the liver damage associated with NSAID use. The present review focuses on the potential of fruit extracts, particularly grape extracts, in conjunction with naproxen sodium to alleviate hepatic damage.

Grape Extracts and Their Hepatoprotective Properties

Grape fruit juice, long celebrated for its nutritional and medicinal benefits, is rich in bioactive compounds such as flavonoids, proanthocyanidins, and resveratrol. These compounds possess robust antioxidant properties that can counteract oxidative stress, a significant factor in NSAID-induced hepatic injury. Studies indicate that grape seed extract can mitigate oxidative damage in liver cells, particularly after exposure to hepatotoxic agents like acetaminophen. This protective effect is attributed to the ability of grape seed proanthocyanidin extract (GSPE) to enhance antioxidant defenses and reduce inflammation in liver tissues. The incorporation of grape extracts in therapeutic formulations presents a promising avenue for lowering the hepatotoxic risks of naproxen sodium.

Antioxidant Activity of Grape Compounds

The antioxidant activity of grape extracts stems largely from their high content of polyphenols and flavonoids. These compounds are capable of scavenging free radicals and protecting cellular components from oxidative damage. Research has demonstrated that GSPE provides superior free radical protection compared to traditional vitamins such as C and E in vitro. This antioxidant capacity translates to improved cellular health and resilience against drug-induced oxidative stress, making grape extracts a valuable addition to NSAID therapies. Furthermore, the interplay between grape compounds and oxidative stress pathways may offer an effective means of optimizing NSAID dosing to minimize potential toxicity.

Traditional Uses and Geographical Distribution of Vitis vinifera

Vitis vinifera, commonly known as grapevine, is cultivated globally and has been utilized in traditional medicine for its numerous health benefits, including its effects on liver health. The geographical distribution of this species spans various countries, reaching significant cultivators in Europe, Asia, and the Americas. In traditional practices, components of the grape, such as seeds, leaves, and juice, have been employed to treat ailments ranging from digestive issues to respiratory conditions due to their antioxidant and anti-inflammatory properties. The historical significance of grape consumption in diverse cultures reinforces its potential role in modern medicinal applications, particularly in the context of supporting liver health amid NSAID therapies.

Conclusion

In summary, the incorporation of fruit extracts, particularly grape extracts, with non-steroidal anti-inflammatory drugs like naproxen sodium presents a promising strategy to combat hepatotoxicity. The pharmacological activities of grape, including antioxidant, anti-inflammatory, and hepatoprotective effects, signal a beneficial synergy that could lead to safer therapeutic regimens. As research continues to explore optimal formulations and dosages for effective interventions, the potential for grape extracts in enhancing the safety profile of NSAID treatments remains a compelling avenue for future investigations. Therefore, further clinical studies are warranted to validate these findings and establish grape-derived products as complementary treatments for individuals relying on NSAIDs for pain management.

FAQ section (important questions/answers):

What are the potential risks of using Naproxen sodium?

Naproxen sodium can cause hepatotoxicity, digestive issues, hypersensitivity, and increase oxidative stress, leading to liver injury.

How might fruit extracts help with NSAID side effects?

Fruit extracts contain antioxidants like flavonoids and polyphenols that may counteract oxidative stress and mitigate liver damage caused by NSAIDs.

What are some key components found in grapes?

Grapes are rich in antioxidants, including flavonoids, polyphenols, and vitamins, which support various health benefits and may protect the liver.

What pharmacological activities are associated with grape juice?

Grape juice exhibits antioxidative, anti-inflammatory, antimicrobial activities, and hepatoprotective effects, particularly from compounds like proanthocyanidins and resveratrol.

Which populations might benefit from grape juice consumption?

Postmenopausal women and individuals with cardiovascular or gastrointestinal issues could benefit from the protective effects of grape juice and its compounds.

Have any studies explored fruit extracts combining with NSAIDs?

Yes, preclinical and some clinical studies are investigating the hepatoprotective effects of combining fruit extracts with NSAIDs, showing promising results.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Fruit extract and NSAIDs to prevent liver damage”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Activity:
Activity in this context refers to the biological effects or actions that substances, particularly from plants like grapes, can exert. This includes actions like antioxidant, anti-inflammatory, and antimicrobial effects. Understanding the activities of these compounds is essential for developing therapeutic applications, particularly in protecting against drug-induced hepatic damage.

2) Viti:
Viti is the genus name for grapes, which encompasses various species, including Vitis vinifera. This classification is crucial in botany as it provides a scientific framework for identifying and studying the different varieties of grapes, their characteristics, and their corresponding health benefits derived from bioactive compounds.

3) Vitis vinifera:
Vitis vinifera is the scientific name for the common grapevine, a significant plant species due to its nutritional and medicinal properties. Its fruits and seeds are abundant in bioactive compounds like flavonoids and polyphenols, which offer antioxidant and health benefits, making them important in pharmacological studies.

4) Flavonoid:
A flavonoid refers to an individual compound within the broader category of flavonoids. These compounds are essential for numerous biological activities, serving as antioxidants and conferring protective effects on human health. Their specific roles in regulating inflammation and oxidative stress make them of interest in pharmaceutical research.

5) Rat:
Rats are often used as model organisms in research for studying human diseases and testing pharmaceutical agents. Their physiological and genetic similarities to humans provide valuable insights into drug effects and safety, particularly in assessing the hepatoprotective properties of plant extracts like those from Vitis vinifera.

6) India:
India is significant in this context due to its rich biodiversity and extensive use of herbal medicine. The research highlights local species and practices, specifically regarding the pharmacological applications of Vitis vinifera and other plants in traditional medicine, illustrating diverse approaches to health and disease treatment in Indian culture.

7) Pharmacological:
Pharmacological relates to the study of how drugs interact with biological systems. This encompasses the mechanisms of action of different substances, including plant extracts, and their therapeutic potential. Understanding pharmacological properties is critical for developing effective treatments and mitigating side effects from medications like NSAIDs.

8) Toxicity:
Toxicity refers to the degree to which a substance can harm living organisms. In the context of NSAIDs, assessing toxicity is crucial since these drugs can cause liver damage, necessitating research into combinations with less toxic natural products, such as fruit extracts, to ensure safer therapeutic options.

9) Species:
Species denotes a group of organisms with common characteristics. In the context of botanical research, identifying species is vital for recognizing their medicinal properties. Understanding different grape species helps highlight varying bioactive compounds and their possible health benefits, contributing to the development of natural therapeutics.

10) Blood:
Blood is the bodily fluid that circulates nutrients and oxygen throughout the body. Phytochemicals like those in grapes may influence blood composition and health. Understanding the interaction of these compounds with blood cells can provide insights into their therapeutic capabilities, especially in cardiovascular health.

11) Phytochemical:
Phytochemicals are naturally occurring compounds in plants that contribute to health benefits. Their role in modulating inflammation and oxidative stress is important for developing health-promoting foods and supplements, particularly the focus on those derived from grape products enhances their relevance in pharmacological applications.

12) Pharmacology:
Pharmacology is the branch of medicine concerned with the study of drug action. This includes how substances affect biological systems. The focus on pharmacology is crucial in evaluating the effectiveness and safety of herbal extracts like those from Vitis vinifera when combined with conventional drugs.

13) Disease:
Disease, an alteration in normal bodily functions, can lead to various health complications. In this context, discussing diseases particularly highlights the need for treatment strategies focused on reducing the harmful effects of NSAIDs, with potential solutions leveraging the hepatoprotective properties of natural extracts.

14) Cancer:
Cancer refers to a group of diseases characterized by uncontrolled cell growth. The exploration of natural products, specifically polyphenols from grapes, in cancer research is crucial as these compounds may possess anticancer properties, suggesting a potential for development in natural therapeutic modalities.

15) Study (Studying):
Study refers to the systematic investigation and analysis of research questions, often aiming to draw conclusions about the efficacy of substances or treatments. Studies on grape extracts in combination with NSAIDs are critical in understanding their protective effects on the liver, potentially informing clinical practices.

16) Food:
Food refers to substances consumed for nourishment. Grapes and their derivatives like grape juice are not only dietary choices but also possess health benefits. The integration of such foods into therapeutic diets could provide complementary protective effects against drug-induced damage, supporting overall health.

17) Wine:
Wine, derived from fermented grapes, is significant in health discussions due to its bioactive compounds, particularly antioxidants. Understanding the potential health benefits of wine can guide dietary recommendations and promote research into grape-derived products, particularly in protecting against diseases related to oxidative stress.

18) Discussion:
Discussion encompasses the examination and interpretation of research findings. Engaging in discussion about the combination of fruit extracts with NSAIDs adds depth to understanding their potential effects and guides future research directions, enabling the pursuit of innovative therapeutic strategies.

19) Substance:
A substance is a specific chemical entity with defined properties. In pharmacology, the focus on substances includes both synthetic drugs and natural extracts, understanding how they interact within biological systems to inform better therapeutic use and minimize adverse effects from medications.

20) Medicine:
Medicines are substances used to diagnose, treat, or prevent diseases. The exploration of natural medicines derived from plants, particularly the therapeutic benefits associated with grape extracts, underscores the importance of integrating traditional knowledge with modern pharmacology to enhance treatment options.

21) Sharman (Sarma, Sarman, Sharma):
Sharma is referenced in the article as part of the author credentials, emphasizing the collaborative research being conducted. Author credentials lend credibility to the research and highlight the multidisciplinary approach taken in investigating the pharmacological benefits of Vitis vinifera.

22) Animal:
Animals play a vital role in pharmacological research as models for understanding biological processes and testing drug efficacy. Interaction studies involving grape extracts in various animal models provide insight into their protective effects, particularly against drug-induced injuries such as hepatotoxicity.

23) Thirst:
Thirst refers to the physiological need for hydration. Grapes, being hydrating and rich in nutrients, play a role not just in quenching thirst but also in providing essential bioactive compounds that support overall health, particularly in regions with extensive agricultural practices around grapes.

24) Cina:
China is mentioned within the context of grape cultivation and potential research implications. Its vast agricultural landscape and emerging pharmaceutical sector make it relevant in discussions concerning the use of natural products and the exploration of new therapeutic avenues based on local resources.

25) Drug:
Drug, in pharmacological contexts, refers to any substance that has a physiological effect when introduced to the body. Studying the interactions between conventional drugs and natural compounds, like those derived from Vitis vinifera, is vital for developing safer and more effective treatment regimens.

26) Bile:
Bile is a digestive fluid that plays a crucial role in breaking down fats and eliminating waste. The interaction of phytochemicals from grape products with bile production or its composition may have implications for liver health and overall digestion, particularly in the context of drug interactions.

27) Rich (Rch):
Rich refers to an abundance or high concentration of a particular component. In this context, discussing the rich phytochemical profile of grapes emphasizes their potential health benefits and the need for research into how these components can enhance therapeutic effects against medication-induced toxicity.

28) Line:
Line can refer to a lineage or specific classification in biological terminology. In research, understanding the line or lineage of specific grape varieties can aid in identifying distinct health benefits based on their unique phytochemical compositions and their implications for treatment strategies.

29) Ficus religiosa:
Ficus religiosa, commonly known as the sacred fig, is another plant referenced in medicinal contexts. Its mention alongside Vitis vinifera highlights the diversity of phytotherapeutic resources available, indicating a broader spectrum of natural products that may exhibit beneficial health effects.

30) Antibiotic (Antibacterial):
Antibacterial refers to the property of substances that inhibit bacterial growth or kill bacteria. Research into the antimicrobial properties of grape extracts demonstrates their potential for developing natural alternatives to conventional antibiotics, particularly in managing infections with bacteria resistant to standard treatments.

31) Inflammation:
Inflammation is the body's response to injury or infection and can lead to various chronic diseases if uncontrolled. The ability of grape phytochemicals to modulate inflammatory responses suggests their therapeutic potential in managing inflammatory diseases and reducing drug-related inflammation in clinical care.

32) Karnataka:
Karnataka is a region in India noted for its agricultural diversity, including grape cultivation. It plays a role in the discussion surrounding regional medicinal practices and the exploration of indigenous knowledge regarding the health benefits of local plant species like Vitis vinifera.

33) Vomiting:
Vomiting is a common side effect associated with certain medications, including NSAIDs. Identifying natural products, such as those from grapes, that may mitigate these side effects is crucial for improving patient adherence to treatments while minimizing uncomfortable reactions from pharmaceutical drugs.

34) Mineral:
Minerals are inorganic nutrients required for a range of bodily functions. Grapes are noted for their mineral content, which may contribute to health benefits, emphasizing the importance of dietary sources in supporting physiological processes and offering protective effects against conditions related to mineral deficiencies.

35) Surface:
Surface may refer to the outer layer of materials or biological structures. In the context of phytochemicals from grapes and their interaction with biological membranes, understanding how these substances exert their effects may inform the development of novel therapies targeting specific health issues.

36) Family:
Family, in botanical classification, refers to a group of related plants. Here, the Vitaceae family includes grapes and highlights their shared characteristics and similarities, emphasizing the broader relevance of studying this plant family in the context of pharmacological research and potential health benefits.

37) Phlegm:
Phlegm refers to mucus secretion in the respiratory system, often a response when dealing with infections or irritants. Grapes' potential benefits in treating respiratory issues could relate to their mucolytic properties, which may help alleviate symptoms of phlegm and support overall respiratory health.

38) Kumar:
Kumar, as mentioned in the article, relates to an author's credentials, reflecting contributions to the research community. Author citation lends authority and emphasizes collaborative efforts aimed at providing scientific insights into the health benefits associated with Vitis vinifera and other herbs.

39) Sugar:
Sugar refers to simple carbohydrates that provide energy. Grapes contain natural sugars, which not only contribute to their sweetness but also play a role in metabolism. Understanding their carbohydrate profile can aid in assessing their overall impact on health and their role in disease prevention.

40) Fever:
Fever is often a symptom of infection or illness, indicating the body's immune response. The consumption of grape products may provide supportive benefits, as their bioactive compounds can help modulate bodily responses, potentially offering relief during fevers or illness-related discomfort.

41) Death:
Death refers to the cessation of biological functions that sustain life. In a health context, the potential of grapefruits and their extracts to mitigate life-threatening conditions through antioxidant and hepatoprotective actions underscores the importance of incorporating natural products in preventive health measures.

42) Genu:
Genu refers to a specific classification or genus designation in biology. In the context of botanical discussions, it highlights the significance of understanding unique characteristics within related plant groups, particularly concerning their pharmacological potential and health-related applications.

43) Egypt:
Egypt is mentioned as a geographical location significant for the cultivation of grapes and potentially related phytotherapy. The exploration of medicinal practices involving local plants can provide insights into historical and contemporary uses of grape-related products for health benefits.

44) Babu:
Babu appears in the article as part of the author affiliations, emphasizing collaboration in research efforts. Author representation is essential for reflecting the academic breadth and expertise brought into the study of Vitis vinifera and its health benefits.

45) Road:
Road can metaphorically refer to pathways in research, guiding scientists toward new discoveries or therapeutic approaches. In this context, exploring research avenues pertinent to grape and its applications signifies a forward-looking approach to integrating traditional knowledge with modern science.

46) Pain:
Pain management is a crucial area of research, particularly concerning the side effects of NSAIDs. Grapes, known for their anti-inflammatory properties, represent a potential natural adjunct to enhance pain relief while minimizing drug-induced adverse effects, making them significant in pain management studies.

47) Salt (Salty):
Salt is an essential mineral in human health that regulates various biological functions. The mention of salt highlights the nutritional composition of grapes, suggesting that a balanced diet inclusive of grapes could improve mineral intake, benefiting overall health and potentially countering dietary deficiencies.

48) Post:
Post can refer to situations or outcomes following specific actions. In pharmacological studies, examining post-drug administration effects, particularly in relation to natural compounds, is essential for understanding the full therapeutic potential and mitigating adverse effects originating from synthetic medications.

49) Male:
Male refers to biological sex and is significant in studies observing gender-specific responses to treatments. Understanding the effects of grape extracts in male subjects can provide insights into the distinct health benefits and responses to drugs, particularly in pharmacological research involving animal models.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Fruit extract and NSAIDs to prevent liver damage’. Further sources in the context of Science might help you critically compare this page with similair documents:

Vitis vinifera, Flavonoid, Traditional medicine, Clinical trial, Antioxidant activity, Oxidative stress, Hepatotoxicity, Hepatoprotective activity, Cardiovascular disease, Polyphenols, Anti-carcinogenic activity, Neurodegenerative disease, Gastrointestinal disease, Proanthocyanidins, Bioactive Molecule, Anthocyanin, Medicinal effect.

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