Abstract:
Introduction
In Sri Lanka, a herbal decoction comprised of Nigella sativa (seeds), Hemidesmus indicus
(root), and Smilax glahra (rhizome) has been used for many years by a particular family
of indigenous medical practitioners (personal communication, Ayurvedic physician, Dr.
N. Jayathilake) for the treatment of cancer, despite the lack of scientific evidence to prove
or disprove its therapeutic efficacy. Recent in vivo investigations have demonstrated that
the above decoction can offer significant protection against diethylnitrosamine induced
hepatocarcinogenic changes in rats.
Objective
The aim of the present study was to investigate how changes in liver cell integrity could
contribute to the anti-hcpatocarcinogenic actions of the decoction comprised of Nigella
sativa, Ilemidesmus indicus and Smilax glahra.
Methods and materials
For experimental purpose, HepG2 cells were cultured in T25 plates (lx106 cells/ plate) in
DMEM supplemented with 10% foetal bovine serum. Cells in test plates were exposed to
different doses of the decoction ( 1 0~-tg/ml, 80~-tg/ml, and 160~-tg/ml) for a total of 72h.
Cells in control plates were maintained in the same manner without exposure to the
decoction. Cellular integrity in both test and control was assessed by (a). microscopic
examination of cell morphology, (b). evaluation of lactate dehydrogenase (LDH) release
from cells. cellular ATPase activity and intracellular reduced glutathione (GSH) status at
the end of 6h. 24h, 48h and 72h incubation with or without the decoction respectively.
Results
Results demonstrate that in comparison with control cells, in the cells exposed to the
decoction even at the lowest dose of 1 0~-tg/ml, there was a 12.99% increase in the leakage
of cellular LDH along with a 14.79% decrease in cellular ATP'ase. Although there was a
decrease in cellular GSH also, it was interesting to note that at each time point (6h, 24h,
48h and 72h), the cellular GSH level in test cells was marginally higher than the
corresponding values in control cells. Reduction in cell growth was microscopically
apparent even as early as 6h post-incubation.
Conclusion
The overall outcome of this study indicates a potent cytotoxicity towards human liver
can~er cells once exposed to the decoction of Nigella sative (seeds), Hemidesmus indicus
(root), and Smilax glabra (rhizome). This direct effect on cells helps confirm the results
of recent in vivo investigations, which demonstrated a protection against chemically
induced hepatocarcinogenesis in rat liver. The marginal increase in GSH subsequent to
decoction exposure is supportive of a possible anti-oxidant role of the decoction, which is
essential for protection against chemically induced cancers. Therefore, it may be
concluded that cytotoxicity and antioxidant activity may be two mechanisms through
which the DC mediates its anti-hepatocarcinogenic actions.