Hepatoprotective Effect of Biofield Energy Treatment On Tert-Butyl Hydro Peroxide Induced Liver Injury in Hepatocellular Carcinoma Cell Line (HepG2)
Mahendra Kumar Trivedi11 and Snehasis Jana2*
1Trivedi Global, Inc., Henderson,
USA
2Trivedi Science Research Laboratory Pvt. Ltd., Bhopal, India
*Corresponding author: Snehasis Jana, Trivedi Science
Research Laboratory Pvt. Ltd., Bhopal, India. Tel: +917556660006; Email: publication@trivedisrl.com
The present study was performed to investigate the Hepatoprotective
potential of the Biofield Energy (The Trivedi Effect®) Treated test item,
Dulbecco's Modified Eagle Medium (DMEM) in HepG2 cells. The test item
was distributed into two parts. One part received Consciousness Energy Healing
Treatment by a renowned Biofield Energy Healer, Mahendra Kumar Trivedi and was
labeled as the Biofield Energy Treated DMEM group and the other part referred
as the untreated DMEM group, where no Biofield Treatment was provided. Results
showed that more than 97% cell viability of the test items were observed by MTT
assay, which indicated a safe and nontoxic nature of the test items. The
Biofield Treated DMEM showed significant (p≤0.001) protection of
cells by 10% against oxidative stress induced by t-BHP, while the
untreated DMEM group showed 0.4% protection. The level of interleukin-8 (IL-8)
was significantly (p≤0.01)
reduced by 31.57% in Biofield Treated DMEM than untreated DMEM. The level of
ALT enzyme activity was significantly (p≤0.001) reduced by 66% in Biofield Treated DMEM compared to
untreated DMEM. Cholesterol level was significantly (p≤0.001) reduced by
46.23% in Biofield Treated DMEM than untreated DMEM. Besides, Biofield Treated
DMEM group showed 51.18% increased the level of albumin compared to untreated
DMEM group. Overall, results demonstrated that Biofield Treatment
significantly protect the liver hepatocytes against oxidative
stress. Therefore, Consciousness Energy Healing (The Trivedi Effect®) Treatment might be
useful as a hepatoprotectant against different types of liver injuries like
cirrhosis, alcohol abuse, hemochromatosis, Wilson’s disease, Gilbert’s disease,
cholangiocarcinoma, steatosis, Budd-Chiari syndrome, etc.
Keywords: Albumin; Biofield
Energy Treatment; Cholesterol; Cytokine IL-8; Hepatoprotectant; The
Trivedi Effect®; HepG2; ALT
Abbreviations
CAM : Complementary and Alternative Medicine
DMEM : Dulbecco's Modified Eagle Medium
FBS : Fetal Bovine Serum
1. Introduction
The liver is a vital organ actively involved in most of the
metabolic functions. Hepatic damage is associated with distortion of these
metabolic functions [1]. Liver disorders are the serious global health burdens
occurring due to modern food styles, excessive pollution and intake of some
drugs [2]. “As per the World Health Organization records, liver cirrhosis is
the 8th leading cause of death in the United States and 13th leading
cause of death globally, with worldwide mortality having increased by 45.6%
from 1990 to 2013 due to alcohol-induced liver cirrhosis” [3]. Overproduction
of free radical species like Reactive Oxygen Species (ROS) and Reactive
Nitrogen Species (RNS) leads to an increased lipid peroxidation end product
that causes hepatic necrosis [4-6]. Human hepatoma cell lines (HepG2) have been
routinely used as an alternative model to human hepatocytes in vitro for
the evaluation of Hepatoprotective activity [7,8]. Moreover, this cell line has
many advantages viz. easily available and cryopreserved in
huge quantity, and even the drug metabolizing capability do not decrease upon
cultivation [9]. There are huge limitations for conducting liver disease
research in human beings due to high cost and potential ethical issues.
Therefore, the authors focused to develop an alternative treatment to
investigate the potential of Consciousness Energy Healing Treatment (The
Trivedi Effect®) on the test item, Dulbecco's Modified Eagle Medium
(DMEM) for protection of hepatocyte cells
in Human Hepatoma Cells (HepG2). Numerous scientific data
supported the useful effects of Biofield Energy Treatment in cases of cancer
patients via massage therapy [10], therapeutic touch [11],
etc. Biofield Therapy or Healing Modalities is one of treatment approach under
the broad category of Complementary and Alternative Medicine (CAM) therapies to
enhance physical, mental, and emotional human wellness.
The National Center of Complementary and Integrative Health
(NCCIH) has recognized and accepted Biofield Energy Healing as a CAM health
care approach in addition to other therapies, medicines and practices such as
chiropractic/osteopathic manipulation, natural products, yoga, deep breathing,
Tai Chi, meditation, Qi Gong, special diets, massage, relaxation techniques,
progressive relaxation, homeopathy, acupuncture, guided imagery, hypnotherapy,
healing touch, movement therapy, rolfing structural integration, pilates,
mindfulness, Ayurvedic medicine, acupressure, essential oils, traditional
Chinese herbs and medicines, naturopathy, Reiki, aromatherapy, and cranial
sacral therapy. Human “Biofield” has a subtle form of energy that has the
ability to act as an effective manner [12]. CAM therapies have been
practiced worldwide with reported clinical benefits in various health care
system [13].
This energy can be harnessed and transmitted by the experts into
living and non-living things via the process of a unique Energy
Transmission process (The Trivedi Effect®). The Trivedi Effect®-
Consciousness Energy Healing Treatment has been reported with a significant
revolution in the field of cancer research [14,15], nutraceuticals [16,17],
skin health [18,19], bone health [20-22], materials science [23-25],
agriculture [26,27], microbiology [28-30], biotechnology [31,32]. Apart from
this, The Trivedi Effect® also tremendously improved
bioavailability of various low bioavailable compounds [33-35] and improved
overall human health and wellness. Based on the above information and to
minimize the existed limitations in liver research in human beings,
authors intend to develop a new treatment strategy to study the impact of the
Biofield Energy Healing Treatment (The Trivedi Effect®) on the test
item (DMEM) for liver hepatocyte cells growth in Hepatocellular Carcinoma
Cell Line (HepG2).
2. Materials and Methods
2.1. Chemicals and Reagents
Antibiotics solution (Penicillin-Streptomycin) was purchased
from HiMedia. Dulbecco's Modified Eagle Medium (DMEM) and Fetal Bovine Serum
(FBS) were obtained from Gibco, India. Alanine Aminotransferase (ALT)
3-(4,5-Dimethylthiazol-2-yl)-2,5-Diphenyltetrazolium Bromide (MTT) and
Ethylenediaminetetraacetic Acid (EDTA) were obtained from Sigma Chemical Co.
(St. Louis, MO). The positive controls silymarin and mevinolin were procured
from Sanat products ltd., India and Zliesher Nobel, respectively. All the other
chemicals used in this experiment were analytical grade procured from India.
2.2. Biofield Energy Healing Strategy
The test item (DMEM) was used in this experiment and
one portion was considered as the untreated DMEM group, where no Biofield
Treatment was provided. Further, the untreated group was treated with “sham”
healer for comparison purpose. The sham healer did not have any knowledge about
the Biofield Energy Healing Treatment. The other portion of the test item was
received Biofield Energy Treatment and defined as the Biofield Energy Treated
DMEM group. Biofield Energy Healing Treatment (known as The Trivedi Effect®)
was received under laboratory conditions for ~3 minutes through Mahendra Kumar
Trivedi’s unique Biofield Energy Transmission process. Biofield Energy Healer
was located in the USA, however the test items were located in the research
laboratory of Dabur Research Foundation, New Delhi, India. Biofield Energy
Healer in this experiment did not visit the laboratory, nor had any contact
with the test samples. After that, the Biofield Energy Treated and untreated
test items were kept in similar sealed conditions and used for the study as per
the study plan.
2.3 Assessment of Cell Viability Using MTT Assay
The cell viability was performed by MTT assay in HepG2 cell
line. The cells were counted and plated in a 96-well plate at the density
corresponding to 10 X 103 cells/well/180 µL in DMEM + 10% FBS.
The cells in the above plate(s) were incubated for 24 hours in a CO2 incubator
at 37°C, 5% CO2, and 95% humidity. Following incubation,
the medium was removed and the following treatments were given. In the Biofield
Treated test item (DMEM) group, 200 µL of the Biofield Energy Treated test item
(DMEM) was added to wells, and in the untreated DMEM group, added 200 µL of
untreated DMEM. Besides, in the positive control groups, added 180 µL of DMEM
with 20 µL of positive controls were added from the respective 10X stock
solutions.
After incubation for 48 hours, the effect of test items on cell
viability was assessed by MTT assay. 20 µL of 5 mg/mL of MTT was added to all
the wells and incubated at 37°C for 3 hours. The supernatant was
aspirated and 150 µL of Dimethyl Sulfoxide (DMSO) was added to all wells to
dissolve formazan crystals. The Optical Density (OD) of each well was read at
540 nm using Biotek Reader.
Effect of the test items on viability of HepG2 cells was
determined using Equation (1):
Where, % Cytotoxicity = {(O.D. of cells of untreated DMEM – O.D.
of cells Biofield Treated DMEM/positive controls)/ O.D. of cells of untreated
DMEM}*100
For test items and positive controls, concentrations resulting
≥70% cell viability were taken as safe/non-cytotoxic concentration.
2.4. Evaluation
of Cytoprotective Effect of the Test Item
Cells were trypsinized and a single cell suspension
of HepG2 was prepared. Cells were counted on an hemocytometer and seeded
at a density of 10 X 103 cells/well/180 µL in DMEM + 10% FBS in
a 96-well plate. Cells were incubated in a CO2 incubator for 24
hours at 37°C, 5% CO2 and 95% humidity. After
24 hours, the medium was removed and the following treatments were given. In
the test item groups, 180 µL of the test items were added to wells. In the positive
control group, 160 µL of serum free medium and 20 µL of positive control from
the respective 10X stock solution was added to wells. After 24 hours
of treatment, cells
were treated with t-BHP at 250 μM (20 µL
from the respective 10X stock) for 4 hours. After 4 hours, the protective
effect of the test items on cell viability was assessed by MTT assay as per study
protocol.
2.5. Estimation of Interleukin-8 (IL-8)
HepG2 cell suspension in DMEM containing 10% FBS was plated at a
density of 0.3 X 106 cells/well/1
mL in a 12-well
plate. Cells were
incubated in a CO2 incubator for 24 hours at 37°C,
5% CO2, and 95% humidity. Cells were sera starved by
replacing the medium with DMEM + 10% FBS for 24 hours. After 24 hours of sera starvation, medium was removed and
pre-treatment were provided to the different treatment groups. After 24 hours
of treatment, cells
were stimulated with inflammatory stimulus TNF-α at a final concentration of 10 ng/mL. After
treatment, cells were incubated in a 5% CO2 incubator for 24
hours. After 24 hours of incubation, culture
supernatants were collected from each well and stored at -20°C until
analysis. The level of cytokine (IL-8) in culture
supernatants of HepG2 cells was determined using ELISA as per
manufacturer’s instructions.
2.6. Estimation of ALT
Cells were trypsinized and a single cell suspension
of HepG2 was prepared and counted on an hemocytometer. Cells were seeded
at a density of 10 X 103 cells/well/180 µL in DMEM + 10% FBS in
a 96-well plate. Cells were incubated in a CO2 incubator for 24
hours at 37°C, 5% CO2, and 95%
humidity. After 24 hours, medium was removed and
different treatments were given as per study plan. After incubation
for 24 hours, cells were treated with 250 µM of t-BHP. After 4
hours of incubation, culture supernatants were collected from each well and
stored at -20°C until analysis. The level of ALT in culture
supernatants of HepG2 cells was determined using commercial kit as per
manufacturer’s instructions.
2.7. Estimation of Cholesterol
Cells were trypsinized and a single cell suspension
of HepG2 was prepared. Cells were counted using an hemocytometer and
seeded at a density of 1 million cells/well/mL in DMEM + 10% FBS in a 6-well
plate. Cells were incubated in a CO2 incubator for 24 hours at
37°C, 5% CO2 and 95% humidity. After
24 hours, medium was removed and treated with different treatment groups. After 24 hours of
incubation, cell lysates were prepared in the following manner. Lysis buffer
containing chloroform: isopropanol: IGEPAL CA630 in the ratio of 7:11:0.1 was
prepared. Medium was removed from each well and 400 μL of the above buffer was
added to each well, which led to detachment of cells and formation of white
layer. Cells were scrapped off and transferred into a labeled centrifuge tubes.
The cells were homogenized in ice using a tissue homogenizer for 4-5 minutes
until the solution was turned turbid in appearance. After homogenizing, the
cells were centrifuged at 13000g for 10 minutes. The supernatant
was collected in a prelabeled centrifuge tube and the pellet was discarded. The
tube containing the supernatant was kept at 37°C for 24 hours for
evaporation of buffer. After 24 hours, the tube was removed from 37°C
and the dried lipids (small yellow colored pellet) were obtained, which was
stored at -20°C until analysis. The level of cholesterol in cell
lysates of HepG2 cells was determined using a commercial kit as per
manufacturer’s instructions.
2.8. Estimation of Albumin
Cells were trypsinized and a single cell suspension
of HepG2 was prepared. Cells were counted using an hemocytometer and
seeded at a density of 0.25 million cells/well/1 mL in DMEM + 10 % FBS in a
24-well plate. Then, the cells were incubated in a CO2 incubator
for 24 hours at 37°C, 5% CO2, and 95%
humidity. Further, the cells were sera starved by replacing the medium with
DMEM + 10% FBS for 24 hours. After 24 hours, medium
was removed and various treatments were given. After 48 hours of
incubation, culture supernatants were collected from each well and stored at
-20°C until analysis. The level of albumin in culture supernatants
of HepG2 cells were determined using a commercial kit as per manufacturer’s
instructions.
2.9 Statistical Analysis
All the values were represented as Mean ± SEM (standard error of
mean) of three independent experiments. For two groups
comparison student’s t-test was used. For multiple group
comparison, One-Way Analysis of Variance (ANOVA) was used followed by post-hoc
analysis by Dunnett’s test. Statistically significant values were set at the
level of p≤0.05.
3. Results and Discussion
3.1. Assessment of Cell Viability Using MTT Assay
The results of the cell viability of the test items and positive
controls using MTT assay in HepG2 cells are shown in (Figure 1). Silymarin (a
known potent hepatoprotectant) showed more than 136% at the concentrations between
5 to 25 µg/mL and mevinolin, “a highly potent competitive inhibitor of
Hydroxymethylglutaryl-Coenzyme A (HMG-CoA) reductase and a cholesterol-lowering
agent” showed greater than 97% cell viability upto 20 µg/mL. Besides, the
untreated DMEM and Biofield Energy Treated DMEM showed 113% and 108.9% cell
viability, respectively. Overall, the positive controls and the Biofield Energy
Treated test items found more than 97% cell viability, which indicated that the
test items and positive controls were safe and nontoxic at the tested
concentrations.
3.2. Evaluation
of Cytoprotective Effect of the Test Items
tert-Butyl hydroperoxide (t-BHP) has been extensively used as
a chemical inducer for the preparation of liver-injured animal model [36]. In
hepatocyte cultures and in the liver, t-BHP is metabolism by liver
cytochrome-P450 to form free radicals and subsequently initiate lipid
peroxidation, causes cell injury [37]. The impact of the Biofield Energy
Treated test item on the restoration of cell viability of HepG2 cells was
determined against t-BHP induced cell damage. The cytoprotective
effect of the test item against t-BHP induced damage is shown in
(Figure 2). Silymarin restored cell viability by 4.9%, 38.4% (p≤0.001),
and 66.1% (p≤0.001) at 1, 5, and 25 µg/mL, respectively compared to
the t-BHP induced group. Further, the Biofield Energy Treated DMEM
showed 10% and the untreated DMEM exhibited 0.4% restoration of cell viability
under the influence of t-BHP. The results showed that Consciousness
Energy Healing has significantly protect hepatocyte cells induced by t-BHP,
which could be due to The Trivedi Effect®. Therefore, The Trivedi
Effect® - Treated DMEM could be more useful for the management
liver disorders.
3.3. Estimation of Interleukin-8 (IL-8)
Interleukin-8 (proinflammatory chemokine) is a potent
chemoattractant for neutrophils [38], and causes acute liver inflammation.
Increased level of oxidative stress causes increased secretion of IL-8, and
ultimately recruit the inflammatory cells causes’ localized inflammation [39].
From literatures indicated that the level of IL-8 was high in case of chronic
liver disease (alcoholic liver disease and hepatitis C) [40]. The effect of the
test items on the interleukin-8 (IL-8) is shown in (Figure 3). Moreover, the
Biofield Energy Treated DMEM showed 31.57% reduction of IL-8 compared to the
untreated DMEM group.
3.4. Estimation of Alanine Aminotransferase (ALT)
The effect of the test items on Alanine Aminotransferase (ALT)
is shown in (Figure 4). Silymarin (positive control) 8.4%, 25.6%, and 79.2% (p≤0.01)
reduction of ALP level at 1, 5, and 25 µg/mL, respectively with respect to the
untreated DMEM group. Additionally, the Biofield Energy Treated DMEM group
showed a significant (p≤0.01) reduction of ALT by 66% compared to the
untreated DMEM group (Figure 4). Aminotransferases are an excellent marker of
hepatocellular injury. There were various factors responsible for liver
disorders viz. alcohol, medication, viral hepatitis,
autoimmune hepatitis, Wilson’s disease etc. in which the transaminases levels
were raised. Thus, an elevation of serum ALT enzyme chances of clinically
significant liver disorders [41-43]. In this experiment, the Biofield Energy
Treatment significantly protect the liver hepatocytes in terms of reducing the
level of ALT under the stimulation of t-BHP.
3.5. Estimation of Cholesterol
The effect of the test items on the level of cholesterol is shown
in (Figure 5). The positive control (mevinolin) showed 17.45%, 25%, and
80.19% (p≤0.001) reduction of cholesterol at the concentration of
5, 10, and 20 µM, respectively compared to the untreated DMEM group. Further,
cholesterol level was significantly reduced by 46.23% in the Biofield Energy
Treated DMEM group with respect to the untreated DMEM group (Figure 5). Optimum
level of cholesterol is important for good health. One of the function of liver
is to produce and clear cholesterol in the body. Most of the cases, a high
level of cholesterol is always harmful; however it is necessary for the
synthesis of hormones, vitamin D, and various enzymes [44]. Overall, liver
plays a central role in cholesterol homeostasis. Due to abnormality of liver
functions lead to excess levels of lipid profile that ultimately leads to heart
disease [45]. Here, The Trivedi Effect® has significantly
reduced cholesterol level, which could be beneficial for hepatic and cardiac
patients and to improve overall health.
3.6. Estimation of Albumin
The effect of the test items on the level of albumin in shown in
(Figure 6). Albumin level was significantly increased by 29.65%, 69.51%,
100.21% (p≤0.001), and 142.78% (p≤0.001) at 0.5, 1, 5, and 20 µM,
respectively in the positive control (silymarin) group compared to the
untreated DMEM group. Besides, the Biofield Energy Treated DMEM group showed
51.18% increase the level of albumin compared to the untreated DMEM group
(Figure 6). Literature suggest that due to liver disease the albumin level
become low. It is a protein synthesized by liver. Apart from liver disease
severe malnutrition and kidney disease also responsible for low albumin. It
regulates the osmolarity and oncotic pressure of interstitial fluid in the
liver extravascular space, which is influenced by various hormonal factors such
as insulin, cortisol, and growth hormone [46]. It act as modulator of fluid
distribution of whole body compartments [47]. Besides, it act as an antioxidant
by scavenging reactive oxygen species [48]. Overall, in this experiment
Biofield Treatment significantly elevated the level of albumin, which is
required for maintenance of bodies osmotic and oncotic pressure.
4. Conclusions
In summary, the study results Showed That the Test Items (DMEM)
were found as safe and non-toxic on the basis of MTT cell viability assay. The
Biofield Energy Treated test item (DMEM) showed a significant (p≤0.001)
protection of cells by 10% from the oxidative damage induced by t-BHP,
while the untreated DMEM group showed 0.4% protection. IL-8 level was
significantly (p≤0.01) reduced by 31.57% in the Biofield Energy Treated
DMEM group compared to the untreated DMEM group. Moreover, ALT enzyme activity
was significantly (p≤0.001) reduced by 66% in the Biofield Energy
Treated DMEM group compared to the untreated DMEM group. Cholesterol level was
significantly (p≤0.001) reduced by 46.23% in the Biofield Energy Treated
DMEM group compared to the untreated DMEM group. Further, Biofield Energy
Treated DMEM group showed 51.18% increased the level of albumin compared to the
untreated DMEM group. It is therefore concluded that, The Trivedi Effect® -
Consciousness Energy Healing Treatment significantly protect hepatocytes and
could be used as an alternative treatment approach for the management of
various types of hepatobiliary disorders viz. cirrhosis, acute
hepatitis A, B, C, D, and E, cholestasis, chronic viral hepatitis, portal
hypertension in schistosomiasis, necrosis, toxoplasmosis, hepatosplenic
schistosomiasis, liver abscess, autoimmune hepatitis, granulomatous hepatitis,
primary biliary cholangitis (primary biliary cirrhosis), phlebitis of the
portal vein, etc. In broad perspective, it could be useful to improve
cell-to-cell messaging, normal cell growth and differentiation, cell cycling
and proliferation, neurotransmission, skin health, hormonal balance, immune and
cardiovascular functions. Moreover, it can also be utilized in aging, and
various inflammatory and immune-related disease conditions like Ulcerative
Colitis (UC), Alzheimer’s Disease (AD), Dermatitis, Graves’ Disease, Asthma,
Irritable Bowel Syndrome (IBS), Hashimoto Thyroiditis, Pernicious Anemia,
Sjogren Syndrome, Diabetes, Multiple Sclerosis, Systemic Lupus Erythematosus
(SLE), Aplastic Anemia, Hepatitis, Dermatomyositis, Parkinson’s Disease,
Myasthenia Gravis, stress, etc.
5. Acknowledgements
Figure 1: Effect of the test items and positive controls on cell viability in
HepG2 cells after 48 hours of treatment. All the values
are represented as mean ± SEM of three independent experiments.
Figure 2: Evaluation of cytoprotective effect of the test items in HepG2 cells
against tert-butyl hydroperoxide (t-BHP) induced damage. All the values are
represented as mean ± SEM of three independent experiments. ***p≤0.001 vs. untreated DMEM group.
Figure 3: The effect of the test items on the
level of Interleukin-8 (IL-8) against TNF-α stimulation. TNF-α: Tumor Necrosis Factor Alpha. All the values
are represented as mean ± SEM of three independent experiments. **p≤0.01 vs. untreated DMEM group.
Figure 4. The effect of the test items on Alanine
Amino-Transaminase (ALT) enzyme activity against Tert-Butyl Hydroperoxide (t-BHP) induced cell damage after 4 hours
of treatment. All the values are represented as mean ± SEM of
three independent experiments. ***p≤0.01
vs. untreated DMEM group.
Figure 5: The effect of the test items on
cholesterol synthesis in HepG2 cells after 24 hours of treatment. Values are
represented as mean ± SEM of three independent experiments. ***p≤0.001 vs. Untreated DMEM group.
Figure 6: Effect of the
test items on albumin levels assessed
in HepG2 cells after 48 hours of
treatment. Data are represented as mean ± SEM of three independent experiments.
***p≤0.001 vs. untreated DMEM group.
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