Hepatoprotective properties of oleanolic and ursolic acids in antitubercular drug-induced liver damage

Asian Pac J Trop Med. 2016 Jul;9(7):644-51. doi: 10.1016/j.apjtm.2016.05.015. Epub 2016 May 31.

Abstract

Objective: To estimate to what extent the mixture of ursolic acid and oleanolic acid, in addition to the antitubercular standard regime, affects the hepatotoxicity profile.

Methods: Liver injury was induced in male BALB/c mice by administering, per os and daily for 11 weeks, a combination of anti-Tubercular (anti-TB) agents Rifampicin (10 mg/kg), Isoniazid (10 mg/kg), and Pyrazinamide (30 mg/kg). The ursolic acid and oleanolic acid mixture at doses of 100 or 200 μg/mouse/day was subcutaneously injected throughout the entire study period (11 weeks). Biochemical and hematological analysis was supplemented by liver histological examination.

Results: Animals treated with the mixture of triterpenic acids exhibited significantly decreased aspartate transaminase and alanine aminotransferase levels and amelioration of the histopathological alterations produced by the anti-TB drugs.

Conclusions: The triterpene mixture was able to prevent the steatosis induced by the anti-TB drugs.

Keywords: Antitubercular drugs; Hepatoprotector effect; Oleanolic acid; Triterpenes; Ursolic acid.