Effects of Tualang Honey on non-alcoholic steatohepatitis in rat model /

Non-alcoholic Steatohepatitis (NASH) is a common chronic liver disease that may progress to cirrhosis and hepatocellular carcinoma. Currently, there is limited therapy available. Tualang honey which is known for its anti-inflammatory and anti-oxidative effects may improve NASH as inflammatory proces...

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Bibliographic Details
Main Author: Azril Shahreez bin Abdul Ghani
Format: Thesis
Language:English
Published: Kuantan, Pahang : Kulliyyah of Medicine, International Islamic University Malaysia, 2016
Subjects:
Online Access:Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library.
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040 |a UIAM  |b eng 
041 |a eng 
043 |a a-my--- 
050 0 0 |a RC848.F3 
100 0 |a Azril Shahreez bin Abdul Ghani  
245 1 |a Effects of Tualang Honey on non-alcoholic steatohepatitis in rat model /  |c by Azril Shahreez bin Abdul Ghani 
260 |a Kuantan, Pahang :  |b Kulliyyah of Medicine, International Islamic University Malaysia,  |c 2016 
300 |a xxi, 139 leaves :  |b ill. ;  |c 30cm. 
500 |a Abstracts in English and Arabic. 
500 |a "A thesis submitted in fulfilment of the requirement for the degree of Master of Medical Sciences." --On t. p. 
502 |a Thesis (MMDSc)--International Islamic University Malaysia, 2016. 
504 |a Includes bibliographical references (leaves 125-137). 
520 |a Non-alcoholic Steatohepatitis (NASH) is a common chronic liver disease that may progress to cirrhosis and hepatocellular carcinoma. Currently, there is limited therapy available. Tualang honey which is known for its anti-inflammatory and anti-oxidative effects may improve NASH as inflammatory process and oxidative damage have been implicated in the pathogenesis. However studies utilizing animal models induced with cholesterol diet ranging from 0.5 – 2% are hampered by inconsistent yield of NASH features as assessed histologically. The aims of this study are to establish NASH animal model utilizing 12% cholesterol diet and to investigate the effects of Tualang honey on NASH. This study is divided into 2 phases: the induction phase with cholesterol diet and the treatment phase with Tualang honey. In the induction phase, 42 Sprague-Dawley rats were randomly divided into standard diet (std) group (n=12) and NASH group (n=30). The 12 rats in the std group were fed with commercial rat pellet while the 30 rats in the NASH group were fed with 1% cholesterol (1% CD) diet for 14 weeks. The experiment was extended for an additional 6 weeks with increment of cholesterol in the diet from 1% to 12 % in the NASH group since the liver histology did not show features of NASH in the 1% CD. At the end of the additional 6 weeks period, liver histology showed NASH changes in the 12% CD. Subsequently in the treatment phase, the rats in the NASH group were randomly divided and continued on the cholesterol diet in addition to administration of 0.2, 1.2, 2.4 and 3.0 g of Tualang honey per kg body weight daily respectively as treatment for 4 weeks. Results of the histological sections of the livers of the 12% CD rats in the induction phase exhibited features consistent with NASH which include macrovesicular steatosis, occasional hepatocyte ballooning degeneration with mild to moderate lobular and portal inflammation. The 12% CD group revealed significantly increased serum alanine aminotransferase (ALT), serum insulin levels, homeostatic model assessment insulin resistance (HOMA-IR), serum total cholesterol (TC), serum low-density lipoprotein cholesterol (LDL-c) and reduced high-density lipoprotein cholesterol (HDL-c) in rats. Tualang honey supplementation in the treatment groups showed significant improvement in the histological grading and non-alcoholic fatty liver disease (NAFLD) activity scores. Tualang honey also significantly reduced serum ALT, serum insulin, HOMA-IR, serum LDL-c and increased HDL-c in NASH rats in these groups. In conclusion, this study has successfully induced mild – moderate NASH rat model utilizing 12% cholesterol diet and also demonstrated that Tualang honey administration improved histological grading, NAFLD activity score, insulin resistance, liver function and and dyslipidemia in NASH animal model. 
596 |a 1 6 
650 0 |a Fatty liver 
650 0 |a Fatty liver  |x Treatment  
650 0 |a Liver  |x Diseases 
650 0 |a Honey  |x Therapeutic use 
655 7 |a Theses, IIUM local 
690 |a Dissertations, Academic  |x Department of Basic Medical Sciences  |z IIUM 
710 2 |a International Islamic University Malaysia.  |b Department of Basic Medical Sciences 
856 4 |u https://lib.iium.edu.my/mom/services/mom/document/getFile/Egyozal2QwuSvXHy0BadWJp5eGPV9JQp20160928113211875  |z Click here to view 1st 24 pages of the thesis. Members can view fulltext at the specified PCs in the library. 
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