Skip to main content

Advertisement

Log in

The effect of Nigella sativa oil on serum levels of inflammatory markers, liver enzymes, lipid profile, insulin and fasting blood sugar in patients with non-alcoholic fatty liver

  • Research article
  • Published:
Journal of Diabetes & Metabolic Disorders Aims and scope Submit manuscript

Abstract

Background

Non-alcoholic fatty liver disease (NAFLD) is one of the metabolic disturbances associated with inflammation. Nigella sativa (NS) seed oil has different chemical compounds including Thymoquinone (TQ), unsaturated fatty acids, and flavonoids. NSs are used as anti-inflammatory and antioxidants in medical sciences. This study aimed to investigate the effect of NS oil on several parameters in serum levels of patients with NAFLD.

Methods

Forty-four patients diagnosed with NAFLD participated in a randomized, double-blind, placebo-controlled clinical trial. Patients were randomly assigned into two groups; one receiving NS oil and the other receiving placebo (paraffin oil), for 8 weeks. Blood samples were taken from the patients at the beginning and the end of the study. Afterwards, liver enzymes (ALT, AST, and GGT), inflammatory markers (Hs-CRP, TNF-α, and IL-6), insulin, lipid profiles (total cholesterol, triglyceride, VLDL, LDL-C, and HDL-C), FBS, and blood pressure were measured.

Results

Consumption of NS seed oil as supplement decreased the FBS level, lipid profiles (TG, TC, LDL, VLDL), liver enzymes (AST and ALT), hs-CRP inflammatory marker, IL-6, TNF-α, while it increased the HDL-C levels, compared to the placebo group (P < 0.05). Receiving NS oil had no significant effect on serum levels of insulin, blood pressure, and GGT in comparison with the beginning of the study (P < 0.05).

Conclusion

NS seed oil supplements may decrease the liver enzymes and lipid profiles in the patients with NAFLD and play a protective role in the liver via reducing the inflammation in this group of patients.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Data availability

The datasets used and analyzed during the current study available from the corresponding author on reasonable request.

Abbreviations

NS:

Nigella sativa

WC:

waist circumference

HC:

hip circumference

WHR:

waist-to-hip ratio

BMI:

body mass index

TC:

Total cholesterol

TG:

Triglyceride

HDL-C:

High density lipoprotein cholesterol

LDL-C:

Low-density lipoprotein cholesterol

VLDL-C:

very low-density lipoprotein cholesterol

AST:

aspartate aminotransferase

ALT:

alanine aminotransferase

GGT:

gammaglutamyl transpeptidase

TNF-α:

tumor necrosis factor-a

IL-6:

interleukin-6

hs-CRP:

high sensitivity C-reactive protein.

References

  1. Angulo P. Nonalcoholic fatty liver disease. N Engl J Med. 2002;346:1221–31.

    Article  CAS  PubMed  Google Scholar 

  2. Rinella ME. Nonalcoholic fatty liver disease: a systematic review. JAMA. 2015;313:2263–73.

    Article  CAS  PubMed  Google Scholar 

  3. Raff EJ, Kakati D, Bloomer JR, Shoreibah M, Rasheed K, Singal AK. Diabetes mellitus predicts occurrence of cirrhosis an hepatocellular cancer in alcoholic liver and non-alcoholic fatty liver diseases. J Clin Transl Hepatol. 2015;3:9–16.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Marchesini G, Bugianesi E, Forlani G, Cerrelli F, Lenzi M, Manini R, et al. Nonalcoholic fatty liver, steatohepatitis, and the metabolic syndrome. Hepatology. 2003;37(4):917–23.

    Article  PubMed  Google Scholar 

  5. Rinella M, Charlton M. The globalization of non-alcoholic fatty liver disease-prevalence and impact on world health. Hepatology (Baltimore, Md). 2016;64:19–22.

    Article  Google Scholar 

  6. Khoshbaten M. Comparison character of clinical and laboratory of nonalcoholic fatty liver disease with healthy people. J Tabib Shargh Sci; 2009. P: 13-21.] Persian.

  7. Jou J, Choi SS, Diehl AM, editors. Mechanisms of disease progression in nonalcoholic fatty liver disease2008.

  8. Day CP, James OFW. Steatohepatitis: a tale of two “hits”? Gastroenterology. 1998;114(4):8425.

    Article  Google Scholar 

  9. Stefan N, Häring HU. The metabolically benign and malignant fatty liver. Diabetes. 2011;60:2011–7.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Bugianesi E, Gastaldelli A, Vanni E, Gambino R, Cassader M, Baldi S, et al. Insulin resistance in non-diabetic patients with non-alcoholic fatty liver disease: sites and mechanisms. Diabetologia. 2005;48:634–42.

    Article  CAS  PubMed  Google Scholar 

  11. Schwenger KJ, Allard JP. Clinical approaches to non-alcoholic fatty liver disease. World J Gastroenterol. 2014;20(7):1712–23.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. Hawsawi ZA, Ali BA, Bamosa AO. Effect of Nigella sativa (black seed) and thymoquinone on blood glucose in albino rats. Ann Saudi Med. 2001;21(3–4):242–4.

    Article  CAS  PubMed  Google Scholar 

  13. Akram KM. Chemical composition and medicinal properties of Nigella sativa Linn. Inflammopharmacol. 1999;7:15–35.

    Article  Google Scholar 

  14. Burits M, Bucar F. Antioxidant activity of Nigella sativa essential oil. Phytother Res. 2000;14:323–8.

    Article  CAS  PubMed  Google Scholar 

  15. Hajhashemi V, Ghannadi A, Jafarabadi H. Black cumin seed essential oil, as a potent analgesic and antiinflammatory drug. Phytother Res. 2004;18(3):195–9.

    Article  CAS  PubMed  Google Scholar 

  16. Ahmad A, Husain A, Mujeeb M, Khan SA, Najmi AK, Siddique NA, et al. A review on therapeutic potential of Nigella sativa: a miracle herb. Asian Pac J Trop Biomed. 2013;3(5):337–52.

    Article  PubMed  PubMed Central  Google Scholar 

  17. Mansour MA, Ginawi OT, El-Hadiyah T, El-Khatib AS, Al-Shabanah OA, Al-Sawaf HA. Effects of volatile oil constituents of Nigella sativa on carbon tetrachloride-induced hepatotoxicity in mice: evidence for antioxidant effects of thymoquinone. Res Commun Mol Pathol Pharmacol. 2001;110(3–4):239–51.

    CAS  PubMed  Google Scholar 

  18. Soliman MM, Baiomy AA, Yassin MH. Molecular and histopathological study on the ameliorative effects of curcumin against lead acetate-induced hepatotoxicity and nephrototoxicity in wistar rats. Biol Trace Elem Res. 2015;167:91–102.

    Article  CAS  PubMed  Google Scholar 

  19. Zaoui A, Cherrah Y, Mahassini N, Alaoui K, Amarouch H, Hassar M. Acute and chronic toxicity of Nigella sativa fixed oil. Phytomedicine. 2002;9(1):69–74.

    Article  CAS  PubMed  Google Scholar 

  20. Hussain M, Tunio AG, Arain LA, Shaikh GS. Effects of nigella sativa on various parameters in patients of non-alcoholic fatty liver disease. J Ayub Med Coll Abbottabad. 2017;29(3):403–7.

    PubMed  Google Scholar 

  21. Najmi A, Haque SF, Naseeruddin M, Khan RA. Effect of Nigella sativa oil on various clinical and biochemical parameters of metabolic syndrome. Int J Diabetes Dev Ctries. 2008;16:85–7.

    Google Scholar 

  22. Sabzghabaee AM, Dianatkhah M, Sarrafzadegan N, Asgary S, Ghannadi A. Clinical evaluation of Nigella sativa seeds for the treatment of hyperlipidemia: a randomized, placebo controlled clinical trial. Med Arch. 2012;66(3):198.

    Article  PubMed  Google Scholar 

  23. Mahdavi R, Alizadeh M, Namazi N, Farajnia S. Changes of body composition and circulating adipokines in response to Nigella sativa oil with a calorie restricted diet in obese women. J Herb Med. 2016;6(2):67–72.

    Article  Google Scholar 

  24. Al-Naqeep G, Ismail M, Allaudin Z. Regulation of low-density lipoproteinreceptor and 3-hydroxy-3- methylglutaryl coenzyme a reductase geneexpression by thymoquinone-rich fraction and thymoquinone in HepG2cells. J Nutrigenet Nutrigenomics. 2010;2(4–5):163–72.

    Google Scholar 

  25. Al-Naqeeb G, Ismail M. Regulation of apolipoprotein A-1 andapolipoprotein B100 genes by thymoquinone rich fraction andthymoquinone in HEPG2 cells. J Food Lipids. 2009;16(2):245–58.

    Article  CAS  Google Scholar 

  26. Moghadasian MH, Frohlich JJ. Effects of dietary phytosterols oncholesterol metabolism and atherosclerosis: clinical and experimentalevidence. Am J Med. 1999;107(6):588–94.

    Article  CAS  PubMed  Google Scholar 

  27. Atta MB. Some characteristics of nigella (Nigella sativa L.) seed cultivated inEgypt and its lipid profile. Food Chem. 2003;83(1):63–8.

    Article  Google Scholar 

  28. Bamosa AO, Ali BA, Sowayan SA. Effect of oral ingestion of Nigella sativaseeds on some blood parameters. Saudi Pharm J. 1997;5(2–3):126–9.

    Google Scholar 

  29. Mahdavi R, Namazi N, Alizadeh M, Farajnia S. Effects of Nigella sativa oilwith a low-calorie diet on cardiometabolic risk factors in obese women: arandomized controlled clinical trial. Food Funct. 2015;6(6):2041–8.

    Article  CAS  PubMed  Google Scholar 

  30. Woo C, Kumar A, Sethi G, Tan K. Thymoquinone: potential cure for inflammatory disorders and cancer. Biochem Pharmacol. 2012;83:443–51.

    Article  CAS  PubMed  Google Scholar 

  31. Umar S, Zargan J, Ahmad S, Katiyar C, Khan H. Modulation of the oxidative stress and inflammatory cytokine response by thymoquinone in the collagen induced arthritis in Wistar rats. Chem Biol Interact. 2012;197:40–6.

    Article  CAS  PubMed  Google Scholar 

  32. Sankaranarayanan C, Pari L. Thymoquinone ameliorates chemical induced oxidative stress and b-cell damage in experimental hyperglycemic rats. Chem Biol Interact. 2011;190:148–54.

    Article  CAS  PubMed  Google Scholar 

  33. Evirgen O, Go¨kc¸e A, Ozturk O, Nacar E, et al. Effect of thymoquinone on oxidative stress in Escherichia coli-induced pyelonephritis in rats. Curr Ther Res. 2011;72:204–15.

    Article  CAS  PubMed  Google Scholar 

  34. Ammar E, Gameil N, Shawky N, Nader M. Comparative evaluation of anti-inflammatory properties of thymoquinone and curcumin using an asthmatic murine model. Int Immunopharmacol. 2011;11:2232–6.

    Article  CAS  Google Scholar 

  35. Marsik P, Kokoska L, Landa P, Nepovim A, Soudek P, Vanek T. In vitro inhibitory effects of thymol and quinones of Nigella sativa seed on cyclooxigenase-1- and −2-catalyzed prostaglandin E2 biosyntheses. Planta Med. 2005;71:739–42.

    Article  CAS  PubMed  Google Scholar 

  36. El-Dakhakhny M, Madi J, Lembert N, Ammon P. Nigella sativa oil, nigellone and derived thymoquinone inhibit synthesis of 5-lipoxygenase products in polymorphonuclear leukocytes from rats. J Ethnopharmacol. 2002;81:161–4.

    Article  CAS  PubMed  Google Scholar 

  37. Nagi N, Mansour A. Protective effect of thymoquinone against doxorubicin-induced cardiotoxicity in rats: a possible mechanism of protection. Pharmacol Res. 2000;41:283–9.

    Article  CAS  PubMed  Google Scholar 

  38. Heshmati J, Namazi N, Memarzadeh MR, Taghizadeh M, Kolahdooz F. Nigella sativa oil affects glucose metabolism and lipid concentrations in patients with type 2 diabetes: a randomized, double-blind, placebo-controlled trial. Food Res Int. 2015;70:87–93.

    Article  CAS  Google Scholar 

  39. Bamosa AO, Kaatabi H, Lebdaa FM, Elq AM, Al-Sultanb A. Effect of Nigella sativa seeds on the glycemic control of patients with type 2 diabetes mellitus. Indian J Physiol Pharmacol. 2010;54(4):344–54.

    PubMed  Google Scholar 

  40. Benhaddou-Andaloussi A, Martineau L, Vuong T, Meddah B, Madiraju P, Settaf A, et al. The in vivo antidiabetic activity of Nigella sativa is mediated through activation of the AMPK pathway and increased muscle Glut4 content. Evid Based Complement Alternat Med. 2011;2011:1–9.

    Article  Google Scholar 

  41. Awad AS, Al Haleem EN, El-Bakly WM, Sherief MA. Thymoquinone alleviates nonalcoholic fatty liver disease in rats via suppression of oxidative stress, inflammation, apoptosis. Naunyn Schmiedeberg's Arch Pharmacol. 2016;389(4):381–91.

    Article  CAS  Google Scholar 

  42. Al okby SY, Mohamed DA, Hamed TE, Edris AE. Potential protective effect of Nigella sativa crude oils towards fatty liver in rats. Eur J Lipid Sci Technol. 2013;115(7):774–82.

    Article  Google Scholar 

Download references

Acknowledgements

This article was extracted from the Master’s thesis of Mohammad Rashidmayvan (student at Ahvaz Jundishapur University of Medical Sciences).

Funding

The financial support of Ahvaz Jundishapur University of Medical Sciences is highly appreciated.

Author information

Authors and Affiliations

Authors

Contributions

All authors participated in the design, study, data acquisition and drafting manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Mohammad Rashidmayvan.

Ethics declarations

Ethics approval and consent to participate

Approved by Institutional Ethical Committee of Jundishapur University of Medical Sciences, Ahvaz, Iran.: IR.AJUMS.REC.1395.695.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Rashidmayvan, M., Mohammadshahi, M., Seyedian, S.S. et al. The effect of Nigella sativa oil on serum levels of inflammatory markers, liver enzymes, lipid profile, insulin and fasting blood sugar in patients with non-alcoholic fatty liver. J Diabetes Metab Disord 18, 453–459 (2019). https://doi.org/10.1007/s40200-019-00439-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40200-019-00439-6

Keywords

Navigation