ofsinusoid, focal inflammation (black arrow) and
benign cysts contained proliferation of the fat cells
(red arrow) (Figure 2-EAEa-b).
Figure 2: The photomicrographs of liver section of NC-
and EAE-treated group (NC: 100x; EAE: 400x;
Hepatocyte cell (H); sinusoid (arrow); central vein (CV).
Herbal medicine derived from plant extracts are
being increasingly used to treat various of disease
(Seif, 2016). Some plant extracts and natural
compounds were found as hepatoprotective active
principles, while others adversely induced liver
toxicity (Manfo et al, 2016). The liver represents the
key "metabolic factory" is the most exposed organ
to xenobiotics including medicinal plant extracts.
This may be modulated by any compound
irrespective to the purpose of use. The
histopathological evaluation of the present study
showed that EAE dose 1.25 g/kgbw affected the
structure of liver. It was found clearly by the
changing of gross appearance of liver ie pale tan to
red and multiple cystic. This result contradictive
with our previous study that showed the
hepatoprotective effect of EAE dose 1 g/kgbw in
streptozotocin-induced diabetic rats. The higher dose
of EAE may have the role of this unwanted effect.
The action mechanisms involved in the
hepatoprotection or hepatotoxicity by the medicinal
plants are still not well elucidated.Herb induced liver
injury can be caused by the chemical compounds as
their causative agents. Elimination process for
metabolic degradation may yield hepatotoxic
metabolites that causing liver injury (Manfo et al,
2016; Frenzel and Teschke, 2016).
4 CONCLUSIONS
Ethyl acetate extract of Lawsonia inermis Linnaeus
leaf at dose 1.25 mg/kgbw toxic to the liver.
ACKNOWLEDGEMENTS
The authors gratefully acknowledge to the
Universitas Sumatera Utara for supporting this study
(TALENTA USU GRANT 2018, No.
2590/UN5.1R/PPM/2018).
CONFLICT OF INTEREST
The authors declare no conflict of interest.
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