Effects of the Mixture of <i>Cichorium intybus</i> L. and <i>Cinnamomum zeylanicum</i> on Hepatic Enzymes Activity and Biochemical Parameters in Patients with Nonalcoholic Fatty Liver Disease
- 1 Department of Biology, Payame Noor University, Tehran, Iran
- 2 Faculty of Pharmacy, Pharmaceutical Sciences Research Center, Tehran University of Medical Science, Tehran, Iran
- 3 Faculty of Pharmacy, Pharmaceutical Sciences Research Center, Tehran University of Medical Science, Tehran, Iran
- 4 Facultyof Medicine, Zahedan University of Medical Science, Zahedan, Iran
- 5 Department of Biology, Payame Noor University, Tehran, Iran
- 6 Faculty of Pharmacy, Pharmaceutical Sciences Research Center, Tehran University of Medical Science, Tehran, Iran
- 7 Department of Biology, Payame Noor University, Tehran, Iran
Abstract
The prevalence of nonalcoholic fatty liver disease (NAFLD) as a metabolic disorder affecting the liver function is rapidly increasing and there is a need to develop new and more efficient treatment. This study was designed to evaluate the protective effect of Cichorium intybus L. and Cinnamon mixture infusion (2.5 and 0.5 g/100mL and twice/day) on patients with NAFLD. This before-after clinical trial study was performed on 25 patients with NAFLD. They were administered the mixture of extract prepared in special bags twice a day for 30 days. Hepatic and metabolic markers of NAFLD like alanine aminotransferase (ALT), aspartate aminotransferase (AST), alkaline phosphates (ALP), fasting blood sugar (FBS), cholesterol (chol), triglycerides (TG), high-density lipoprotein (HDL) and low-density lipoprotein (LDL) in plasma and also, fatty liver ultrasonographic grading were determined before and after using the extracts. 30-day treatment with extracts in NAFLD patients resulted in a significant decrease in ALT and AST. FBS, TG and ALP were also decreased after administration of the extracts but not significantly. A significant linear correlation was found between age and ALP, and between gender and liver enzymes. It is concluded that the mixture of Cichorium intybus L. and Cinnamon extracts has some benefits in NAFLD patients making them valuable for future investigations.
- Vuppalanchi, R. and Chalasani, N. (2009) Nonalcoholic Fatty Liver Disease and Nonalcoholic Steatohepatitis: Selected Practical Issues in Their Evaluation and Management. Hepatology, 49, 306-317. http://dx.doi.org/10.1002/hep.22603
- Erickson, S.K. (2009) Nonalcoholic Fatty Liver Disease. Journal of Lipid Research, 50, S412-S416. http://dx.doi.org/10.1194/jlr.R800089-JLR200
- Schreuder, T.C., Verwer, B.J., van Nieuwkerk, C.M. and Mulder, C.J. (2008) Nonalcoholic Fatty Liver Disease: An Overview of Current Insights in Pathogenesis, Diagnosis and Treatment. World Journal of Gastroenterology, 14, 2474-2486. http://dx.doi.org/10.3748/wjg.14.2474
- Anderson, R.A. (2008) Chromium and Polyphenols from Cinnamon Improve Insulin Sensitivity. Proceedings of the Nutrition Society, 67, 48-53. http://dx.doi.org/10.1017/S0029665108006010
- Kirkham, S., Akilen, R., Sharma, S. and Tsiami, A. (2009) The Potential of Cinnamon to Reduce Blood Glucose Levels in Patients with Type 2 Diabetes and Insulin Resistance. Diabetes, Obesity and Metabolism, 11, 1100-1113. http://dx.doi.org/10.1111/j.1463-1326.2009.01094.x
- Qin, B., Panickar, K.S. and Anderson, R.A. (2010) Cinnamon: Potential Role in the Prevention of Insulin Resistance, Metabolic Syndrome, and Type 2 Diabetes. Journal of Diabetes Science and Technology, 4, 685-693. http://dx.doi.org/10.1177/193229681000400324
- Couturier, K., Qin, B., Batandier, C., Awada, M., Hininger-Favier, I., Canini, F., Leverve, X., Roussel, A.M. and Anderson, R.A. (2011) Cinnamon Increases Liver Glycogen in an Animal Model of Insulin Resistance. Metabolism, 60, 1590-1597. http://dx.doi.org/10.1016/j.metabol.2011.03.016
- Ranasinghe, P., Jayawardana, R., Galappaththy, P., Constantine, G.R., de Vas Gunawardana, N. and Katulanda, P. (2012) Efficacy and Safety of “True” Cinnamon (Cinnamomum zeylanicum) as a Pharmaceutical Agent in Diabetes: A Systematic Review and Meta-Analysis. Diabetic Medicine, 29, 1480-1492. http://dx.doi.org/10.1111/j.1464-5491.2012.03718.x
- Muthusamy, V.S., Saravanababu, C., Ramanathan, M., Bharathi Raja, R., Sudhagar, S., Anand, S. and Lakshmi, B.S. (2010) Inhibition of Protein Tyrosine Phosphatase 1B and Regulation of Insulin Signalling Markers by Caffeoyl Derivatives of Chicory (Cichorium intybus) Salad Leaves. British Journal of Nutrition, 104, 813-823. http://dx.doi.org/10.1017/S0007114510001480
- Ghamarian, A., Abdollahi, M., Su, X., Amiri, A., Ahadi, A. and Nowrouzi, A. (2012) Effect of Chicory Seed Extract on Glucose Tolerance Test (GTT) and Metabolic Profile in Early and Late Stage Diabetic Rats. Journal of Pharmaceutical Sciences, 20, 56.