Acute and Sub-Chronic Toxicity of the Herbal Remedy Loi-Hoa-Vien-Tot-Bung (LHVTB) in Mice

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Ngai H. T. Tran
Phung P. Hoang
Tai A. Lu
Ngan T. Duong
Huy Q. Dang
Xuong M. Tu
Hoang M. Le

Abstract

This study evaluated the preclinical safety of the herbal remedy Loi-hoa-vien-tot-bung (LHVTB) by assessing its acute and sub-chronic oral toxicity in mice. In the acute toxicity test, seven groups of Mus musculus (ten per group) received a single oral dose of LHVTB from 0 to 15 g/kg body weight. In the sub-chronic evaluation, mice received daily oral doses of 0.47 g/kg (the therapeutic equivalent dose) and 1.41 g/kg for 28 consecutive days. Monitored parameters included signs of toxicity, body weight changes, and hematological and biochemical markers. Following the study, vital organs (liver, kidneys, spleen) were subjected to gross macroscopic and detailed histopathological examinations to detect any abnormalities. The acute study revealed no mortality or signs of systemic toxicity up to the 15 g/kg limit dose. In the sub-chronic study, continuous administration of LHVTB at both dose levels did not significantly alter the general condition, body weight gain, or key hematological and biochemical profiles compared to the control group. Furthermore, macroscopic and microscopic examinations of the liver, kidneys, and spleen revealed no treatment-related pathological changes. Collectively, these findings demonstrate that the LHVTB capsule exhibits a safety profile, with no evidence of acute or 28-day sub-chronic toxicity in mice at the tested doses.

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Acute and Sub-Chronic Toxicity of the Herbal Remedy Loi-Hoa-Vien-Tot-Bung (LHVTB) in Mice. (2025). Tropical Journal of Natural Product Research , 9(12), 6268 – 6273. https://doi.org/10.26538/tjnpr/v9i12.46

References

1.Arif TB, Ahmed J, Afzal S, Ahmed F, Afzal N, Rahman MA, Shahzil M, Munir L, Khalid A. S2285 Rising Mortality and Disability From Peptic Ulcer Disease in the United States: Insights From a Global Burden of Disease Study. Am J Gastroenterol. 2024; 119:S1637.

2.Malik TF, Gnanapandithan K, Singh K. Peptic Ulcer Disease, StatPearls. Treasure Island (FL): StatPearls Publishing; 2025. Available from: http://www.ncbi.nlm.nih.gov/books/NBK534792/.

3.Majumdar D, Looi S. Helicobacter pylori infection and peptic ulcers. Medicine. 2024; 52:152–60.

4.Gupta A, Shetty S, Mutalik S, Chandrashekar HR, K N, Mathew EM, Jha A, Mishra B, Rajpurohit S, Ravi G, Saha M, Moorkoth S. Treatment of H. pylori infection and gastric ulcer: Need for novel Pharmaceutical formulation. Heliyon. 2023; 9:e20406.

5.Maideen NMP. Adverse Effects Associated with Long-Term Use of Proton Pump Inhibitors. Chonnam Med J. 2023; 59:115–27.

6.Sabesin SM. Safety issues relating to long-term treatment with histamine H2-receptor antagonists. Aliment Pharmacol Ther. 1993; 7 Suppl 2:35–40.

7.Do TL. Medicinal Plants and Materia Medica of Vietnam. Hanoi, Vietnam: Medical Publishing House; 2003.

8.Dung TN, Bodeker G. Tue Tinh: founder of Vietnamese traditional medicine. J Altern Complement Med. 2001; 7:401–3.

9.Nguyen PH, Tran VD, Pham DT, Dao TNP, Dewey RS. Use of and attitudes towards herbal medicine during the COVID-19 pandemic: A cross-sectional study in Vietnam. Eur J Integr Med. 2021; 44:101328.

10.Xu W, Li B, Xu M, Yang T, Hao X. Traditional Chinese medicine for precancerous lesions of gastric cancer: A review. Biomed, Pharmacotherapy. 2022; 146:112542.

11.Goso Y, Ogata Y, Ishihara K, Hotta K. Effects of traditional herbal medicine on gastric mucin against ethanol-induced gastric injury in rats. Comp Biochem Physiol C Pharmacol Toxicol Endocrinol. 1996; 113:17–21.

12.Li YZ, Pan H, Xu J, Fan XW, Song XC, Zhang Q, Xu J, Liu Y. Characterization of metal removal by os sepiae of Sepiella maindroni Rochebrune from aqueous solutions. J Hazard Mater. 2010; 179:266-75.

13.Kim DC, Kim SH, Choi BH, Baek NI, Kim D, Kim MJ, Kim KT. Curcuma longa extract protects against gastric ulcers by blocking H2 histamine receptors. Biol Pharm Bull. 2005; 28:2220–4.

14.Organisation for Economic Co-operation and Development. Test No. 423: Acute Oral Toxicity - Acute Toxic Class Method. 2002.

15.Le MH, Sam HS, Pham DT, Nguyen NCL, Le ND, Dao TNP. Single-dose and 90-day repeated-dose toxicity study of Ngu-Vi-Tieu-Khat (NVTK), a Vietnamese traditional remedy, in Swiss mice and Wistar rats. Arch Balk Med Union. 2023; 58:226–33.

16.Abdurrahman GF, Ambi A, Bisallah M, Abubakar A, Yusuf A, Jajere UM, Yabagi IZ. Acute and Sub-Chronic Toxicity Studies on Methanol Stem Bark Extract of Cussonia barteri Seeman (Araliaceae) in Wistar Rats: doi.org/10.26538/tjnpr/v4i8.12. Trop J Nat Prod Res. 2020; 4:392–6.

17.Hinad I, S’hih Y, Elgui R, Mesfioui A, Elhessni A, Ouahidi ML. Acute and Subacute Toxicity Study of Trigonella foenum-graecum.L Seed Extract in Wistar Rat. Trop J Nat Prod Res. 2023; 7:4912–5.

18.Underwood W, Anthony R. AVMA guidelines for the euthanasia of animals: 2020 edition. 2020.

19.Ministry of Health (Vietnam). National guidelines on ethics in biomedical research. Hanoi; 2013.

20.Pan SY, Litscher G, Chan K, Yu ZL, Chen HQ, Ko KM. Traditional Medicines in the World: Where to Go Next? Evid Based Complement Alternat Med. 2014; 2014:739895.

21.Hoenders R, Ghelman R, Portella C, Simmons S, Locke A, Cramer H, Gallego-Perez D, Jong M. A review of the WHO strategy on traditional, complementary, and integrative medicine from the perspective of academic consortia for integrative medicine and health. Front Med (Lausanne). 2024; 11:1395698.

22.Tian W, Li Y, Liu F, Liu H, Li C, Bao L, Liang X. Strychni semen and two alkaloidal components cause apoptosis in HK-2 cells through TRADD-MAPK/NF-κB pathway. Toxicon. 2025; 256:108224.

23.Adetuyi B, Adebisi O, Awoyelu E, Adetuyi O, Ogunlana O. Phytochemical and Toxicological Effect of Ethanol Extract of Heliotropium Indicum on Liver of Male Albino Rats. Lett Appl NanoBiosci. 2020; 10:2085–95.

24.Happy K, Yang S, Kang CH, Kang Y. The pharmacology, toxicology, and detoxification of Aconitum kusnezoffii Reichb., traditional and modern views. Appl Biol Chem. 2025; 68:8.

25.Poowanna R, Pulbutr P, Kijjoa A, Nualkaew S. Purgative Effect, Acute Toxicity, and Quantification of Phorbol-12-Myristate-13-Acetate and Crotonic Acid in Croton tiglium L. Seeds Before and After Treatment by Thai Traditional Detoxification Process. Int J Mol Sci. 2025; 26:7714.

26.Organisation for Economic Co-operation and Development. Test No. 420: Acute Oral Toxicity - Fixed Dose Procedure. 2002.

27.Organisation for Economic Co-operation and Development. Test No. 407: Repeated Dose 28-day Oral Toxicity Study in Rodents. 2008.

28.National Research Council (US) Subcommittee on Laboratory Animal Nutrition. Nutrient Requirements of Laboratory Animals: Fourth Revised Edition, 1995. Washington (DC): National Academies Press (US); 1995. Available from: http://www.ncbi.nlm.nih.gov/books/NBK231927/.

29.The Jackson Laboratory. Body Weight Info - Aged B6 (000664). Available from: https://www.jax.org/jax-mice-and-services/strain-data-sheet-pages/body-weight-chart-aged-b6.

30.Mpofana N, Chipangura JK, Paulse M, Yalo M, Gqaleni N, Nxumalo CT, Dlova NC, Hussein AA, Crouch NR. An Investigation into the Acute and Subacute Toxicity of Extracts of Cassipourea flanaganii Stem Bark In Vivo. Plants (Basel). 2023; 12:2281.

31.LiverTox. Clinical and Research Information on Drug-Induced Liver Injury. Bethesda (MD): National Institute of Diabetes and Digestive and Kidney Diseases; 2012.

32.Washington IM, Van Hoosier G. Clinical Biochemistry and Hematology. In: The Laboratory Rabbit, Guinea Pig, Hamster, and Other Rodents. Amsterdam: Academic Press; 2012. 57–116 p. Doi:10.1016/B978-0-12-380920-9.00003-1.

33.Suvarna R, Suryakanth VB, Bakthavatchalam P, Kalthur G, Nayak D, Prabhu MM, Basavaraj SH, Shenoy RP. Acute and sub-chronic toxicity of Liberin, an anti-diabetic polyherbal formulation in rats. J Ayurveda Integr Med. 2023; 14:100804.

34.O’Connell KE, Mikkola AM, Stepanek AM, Vernet A, Hall CD, Sun CC, Yildirim E, Staropoli JF, Lee JT, Brown DE. Practical murine hematopathology: a comparative review and implications for research. Comp Med. 2015; 65:96–113.

35.Buonacera A, Stancanelli B, Colaci M, Malatino L. Neutrophil to Lymphocyte Ratio: An Emerging Marker of the Relationships between the Immune System and Diseases. Int J Mol Sci. 2022; 23:3636.

36.Mark AS, Sara H, Kathleen RP-C. The Laboratory Mouse. 2nd ed. Boca Raton (FL): Routledge Taylor & Francis Group; 2023. Available from: https://www.routledge.com/The-Laboratory-Mouse/Suckow-Hashway-Pritchett-Corning/p/book/9780367373207.

37.Khalifa MA, Mohammad AEH, Ahmed BM. Acute and Subacute Toxicity Studies of Cyperus Papyrus Ash on Wistar Albino Rats. Pharm Biomed Res. 2022; 8:279–90.

38.Fang JX, Zhang L, Li J, Zhang HR, Liu D, Nie J, Ye XC. Therapeutic effect and mechanism of non-polysaccharide fraction of Bletillae Rhizoma in treatment of gastric ulcer based on network pharmacology and animal experiment. Zhongguo Zhong Yao Za Zhi. 2023; 48:4446–58.

39.Liu Z, Zhang X, Cui W, Zhang X, Li N, Chen J, Wong AW, Roberts A. Evaluation of short-term and subchronic toxicity

of magnolia bark extract in rats. Regul Toxicol Pharmacol. 2007; 49:160–71.

40.Rajgopal A, Missler SR, Scholten JD. Magnolia officinalis (Hou Po) bark extract stimulates the Nrf2-pathway in hepatocytes and protects against oxidative stress. J Ethnopharmacol. 2016; 193:657–62.

41.Yin HQ, Je YT, Kim YC, Shin YK, Sung S, Lee K, Jeong GS, Kim YC, Lee BH. Magnolia officinalis Reverses Alcoholic Fatty Liver by Inhibiting the Maturation of Sterol Regulatory Element–Binding Protein-1c. J Pharmacol Sci. 2009; 109:486–95.

42.Giangrandi I, Dinu M, Napoletano A, Maggini V, Lombardi N, Crescioli G, Gallo E, Mascherini V, Antonelli M, Donelli D, Vannacci A, Firenzuoli F, Sofi F. Licorice and liver function in patients with primary liver disease: A systematic review and meta-analysis of RCTs. Phytother Res. 2024; 38:4614–27.

43.He X, Liu L, Gu F, Huang R, Liu L, Nian Y, Zhang Y, Song C. Exploration of the anti-inflammatory, analgesic, and wound healing activities of Bletilla Striata polysaccharide. Int J Biol Macromol. 2024; 261:129874.

44.Yue J, Sun Y, Xu J, Cao J, Chen G, Zhang H, Zhang X, Zhao Y. Cucurbitane triterpenoids from the fruit of Momordica charantia L. and their anti-hepatic fibrosis and anti-hepatoma activities. Phytochemistry. 2019; 157:21–7.

45.Fan Y, Yang C, Pan J, Ye W, Zhang J, Zeng R, Chen Z, Liu X. A new target for curcumin in the treatment of non-alcoholic fatty liver disease: the FTO protein. Int J Biol Macromol. 2025; 319:145642.

46.Guo M, Wang Z, Dai J, Fan H, Yuan N, Gao L, Peng H, Cheng X. Glycyrrhizic acid alleviates liver fibrosis in vitro and in vivo via activating CUGBP1-mediated IFN-γ/STAT1/Smad7 pathway. Phytomedicine. 2023; 112:154587.

47.Wang Y, Liu F, Liu M, Zhou X, Wang M, Cao K, Jin S, Shan A, Feng X. Curcumin mitigates aflatoxin B1-induced liver injury via regulating the NLRP3 inflammasome and Nrf2 signaling pathway. Food Chem Toxicol. 2022; 161:112823.

48.Ávila M, Mora Sánchez MG, Bernal Amador AS, Paniagua R. The Metabolism of Creatinine and Its Usefulness to Evaluate Kidney Function and Body Composition in Clinical Practice. Biomolecules. 2025; 15:41.