Anoectochilus formosanus Hay. and Gynostemma pentaphyllum Makino are popula
r folk medicines that have been used for treating hepatitis, hypertension a
nd cancer in Taiwan. Our previous studies showed that these crude drugs exe
rt antiinflammatory activity and hepatoprotective activity against CCl4-ind
uced liver damage. In this study, the antioxidant effect of these crude dru
gs and their hepatoprotective activity on acetaminophen-induced liver injur
y in rat was evaluated. Our results suggest that A. formosanus and G. penta
phyllum do have antioxidant effects. On acetaminophen; intoxicated model, t
he increased levels of aspartate aminotransferase (AST) and alanine aminotr
ansferase (ALT) by acetaminophen administration were reduced by treatment w
ith these two herbs. In histological observation, gross necrosis in the cen
tribular area, sinusoidal congestion, infiltration of the lymphocytes and K
upffer cells around the hepatic central vein, and loss of cell boundaries a
nd ballooning degeneration were reduced with herbal treatment. However, the
effect of A. formosanus and G. pentaphyllum is biphasic. Methanol extract
(100 and 300 mg/kg) and water extract (300 and 500 mg/kg) of A formosanus a
nd water extract (200, 300 and 500 mg/kg) of G. pentaphyllum enhanced the r
ecovery of liver injury while treatment with 500 mg/kg of A. formosanus met
hanol extract resulted in serious hepatic injury.