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NIS - libdoc.who.int - World Health Organization

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Folium Salviae<br />

tract of S. officinalis leaves exhibited antioxidant effects against lipid peroxidation<br />

in cooked beef homogenate at a concentration of 30 µg/ml (69).<br />

Aqueous and aqueous-ethanol (1:1) extracts of the dried leaves increased<br />

scavenging of diphenylpicrylhydrazyl radical and superoxide anions at a<br />

concentration of 0.025%, as determined by the neotetrazolium method in<br />

vitro (70). Acetone, ethanol-acetic acid, and hexane extracts of the dried<br />

leaves exhibited antioxidant activity at a concentration of 0.01% when tested<br />

on rapeseed and sunflower oils (71). The median effective dose for antioxidant<br />

activity of an aqueous-ethanol extract of the dried leaves and a tannin<br />

fraction isolated from the dried flowering top and leaves were determined<br />

to be 41 mg/ml and 23.1 µg/ml, respectively by a colorimetric assay in vitro<br />

(45). The protective effect of Salvia against enzyme-dependent and enzyme-independent<br />

lipid peroxidation was evaluated. A 50% aqueousmethanol<br />

extract of dried leaves was found to be more effective than the<br />

positive control, alpha-tocopherol acid succinate. A 50% aqueous-ethanol<br />

extract inhibited lipid peroxide formation in brain homogenate in vitro at a<br />

median inhibitory concentration of 2.7 µg/ml in enzyme-dependent and<br />

8.98 µg/ml in enzyme-independent systems of lipid peroxidation (72).<br />

In vitro cultures of hepatocytes isolated from rats drinking a Salvia officinalis<br />

infusion (2 g of dried leaves in 150 ml of water) and challenged with<br />

the oxidant tert-butyl hydroperoxide (0.75 or 1.0 mM), showed a significantly<br />

higher glutathione content and glutathione reductase activity (10%)<br />

after 4 hours of culture when compared with rats drinking water without<br />

the extract, and subjected to the same treatment. The compounds present in<br />

the S. officinalis infusion thus improve the liver antioxidant potential (73).<br />

An aqueous-ethanol (1:1) extract of the leaves at a concentration of 0.5 µg/<br />

ml, expressed cytoprotective activity in a cell culture of mouse fibroblasts<br />

under conditions of active oxygen-induced cell damage (68).<br />

Hepatoprotective action<br />

The protective effects of an aqueous extract of S. officinalis leaves against<br />

the hepatotoxic effects of the anti-metabolite azathioprine, which resulted<br />

in acute oxidative damage to the liver, were tested. Administration of<br />

azathioprine induced oxidative stress through depletion of antioxidants<br />

and elevating the level of malondialdehyde in the liver combined with<br />

escalation of alanine aminotransferase and aspartate aminotransferase in<br />

the serum. Pretreatment with the extract produced a protective effect<br />

against azathioprine-induced hepatotoxicity: animals under investigation<br />

failed to show necrosis of the liver after azathioprine administration, and<br />

also most parts of the livers were histologically normal. In addition, the<br />

extract blocked the elevation of the levels of aminotransferase and aspar-<br />

349

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