Literature DB >> 34195028

Chromatographic fractions from Chrysophyllum albidum stem bark boost antioxidant enzyme activity and ameliorate some markers of diabetes complications.

Babalola Ola Yusuf1,2, Musa Toyin Yakubu2, Musbau Adewumi Akanji2.   

Abstract

BACKGROUND AND AIM: Diabetes, with hyperglycaemia as hallmark, is a global crisis that reduces the antioxidant status and produces complications when poorly managed. The development of complications can be indicated by inflammation, lipid peroxidation and the accumulation of glycation adducts. Thus, the attenuation of hyperglycaemia and boosting of antioxidants status is key in ameliorating markers of diabetes complications. This work evaluated the potency of Chrysophyllum albidum stem bark on some markers of diabetes complications. EXPERIMENTAL PROCEDURE: A total of 100 female rats (180.80 ± 8.50 g) were assigned into ten groups of ten animals each; control received 1.0 ml of distilled water while those in groups DC, RD, F1, F3, F4, F5, F7, F9, F10 were induced into diabetes by intraperitoneal administration of 120 mg/kg body weight of alloxan and were orally administered distilled water, glibenclamide, 2.5 mg/kg of the chromatographic fractions 1, 3, 4, 5, 7, 9, and 10 respectively, once daily for 14 days. F7 was profiled for its bioactive constituents and the pancreas histology of the rats were examined.
RESULTS: Chromatographic fractions F5 and F7 significantly decreased fasting blood glucose, glycosylated haemoglobin, C-reactive protein, total cholesterol, triglycerides, atherogenic index, malondialdehyde while insulin, high density lipoprotein, catalase, superoxide dismutase activities significantly increased. Fraction F7 revealed eight compounds and restored the distorted pancreas.
CONCLUSION: Fraction F7 ameliorated the markers of diabetes complications considered in this study better than F5, restored the compromised pancreas and can be explored as lead candidate for production of drug for the management of diabetes.
© 2021 Center for Food and Biomolecules, National Taiwan University. Production and hosting by Elsevier Taiwan LLC.

Entities:  

Keywords:  Alloxan; C-reactive protein; Chrysophyllum albidum; Dyslipidemia; Glycosylated haemoglobin

Year:  2021        PMID: 34195028      PMCID: PMC8240109          DOI: 10.1016/j.jtcme.2021.01.005

Source DB:  PubMed          Journal:  J Tradit Complement Med        ISSN: 2225-4110


Non Diabetic Rats Diabetic Control Reference Drug Fasting Blood Glucose Malondialdehyde Standard Error of Mean Triglycerides Low Density Lipoprotein Very Low Density Lipoprotein Atherogenic Index

Introduction

The incidence of diabetes is wide-reaching with an increasing morbidity and mortality associated with the development of diabetes complications arising from oxidative stress and inflammation among other factors. Like other diseases, diabetes and its complications have been linked to free radical generation with glucose autoxidation as a major source of free radicals in chronic hyperglycemia. Free radical production is important in normal cellular homeostasis and in the bodies response to pathogens though, many of the diabetes complications result from excessive free radical generation and oxidative stress. Oxidative stress and inflammation that emanated from persistent hyperglycaemia are important drivers of these diabetes complications. The available orthodox drugs for the management of diabetes however, have various hitches. The attention now is in the direction of specific tactics that can attenuate both oxidative stress and inflammation to improve the disease burden. Biomarkers for envisaging the incidence and progress of the disease may therefore offer benefits in terms of early diagnosis and intervention. This has triggered a search for a potential alternative from plants with little or no side effects that can be used to attenuate the markers of diabetes complications. One of such plants commonly used in the Nigerian traditional medical practice for the management of diabetes is Chrysophyllum albidum. Chrysophyllum albidium parts have been reported for various pharmacological actions. The root bark has been testified to have antihyperglycaemic, hepatoprotective and free radical scavenging activities. The seed cotyledon has hypoglycemic, hypolipidemic while the leaf has antioxidant activity. Also, the root, stem and seed cotyledon exhibited antimicrobial activity. Aqueous extract of C. albidum stem bark at 25 mg/kg body weight has been reported to have anti-diabetic activity. Previous investigation of the chemical constituents of C. albidum stem-bark revealed stigmasterol, epicatechin, epigallocatechin and procyanidin B5. However, there is paucity of information on potentials of chromatographic fractions of C. albidum stem bark in management of diabetes and attenuating markers of diabetes complications and hence the need for this study.

Materials and methods

Plant material and authentication

Chrysophyllum albidum was obtained from a single matured plant in March 2016, from Ganmo in Ifelodun Local Government Area of Kwara State. Authentication was done at the Herbarium of Plant Biology, University of Ilorin, Nigeria. A voucher number UILH/001/1170 was assigned and a voucher specimen deposited.

Experimental animals

One hundred albino rats (180.60 ± 8.50 g) was obtained from the Animal House of the Department of Biochemistry, University of Ilorin, Ilorin, Kwara State, Nigeria.

Drugs, assay kits, and chemicals

Glibenclamide used was a product of Medico Remedies Pvt Ltd Juhu, Mumbai, India. Assay kits for C-reactive protein was a product of Bioway Chemistry Reagent Series, Jiang Ning District, Nanjing, China while glycosylated Hb was a product of Fortress Diagnostics Limited, Unit 2C Antrim Technology Park, Antrim, United Kingdom. Alloxan monohydrate was a product of Sigma Chemical Company, St. Louis, Mo, USA.

Methods

Preparation of the chromatographic fractions of Chrysophyllum albidum stem bark

The method described by Yakubu et al. was adopted with some modifications. The plant stem bark was cut into pieces, and oven dried at 40 °C (to protect against heat related damages to the phytochemicals) to a constant weight. The dried stem bark of C. albidum (2000 g) was extracted in distilled water (5 LL) for 72 h at 25 °C. This was then filtered using Whatman no 1 filter paper. The filtrate was freeze-dried (Labconco Freeze Drier, Model 64,132, Kansas City, Missouri, USA) to give 75.2 g (3.76% yield). This was then partitioned using ethyl acetate and n-butanol adopting the procedure of Muhit et al. Briefly, 20 g of the lyophililized aqueous extract was dissolved in 10 ml distilled water and then partitioned in 200 ml of ethyl acetate, and placed on electronic shaker for 45 min after which it was poured into a standing separating funnel and allowed to separate into two distinct phases-the supernatant which is the ethyl acetate-partitioned fraction, and the sediment. The procedure above was repeated before the sediment was extracted in n-butanol. The resulting solvent-partitioned fractions were concentrated using rotary evaporator to give ethyl acetate-partitioned fraction, n-butanol partitioned fraction and the residue. The fractions and the residue were kept in a desiccator, over silica gel, to ensure complete elimination of water before being used for in vitro and in vivo studies. Ethyl acetate partitioned extract was further subjected to chromatography using gradient elution method. The ten fractions obtained was then pooled to seven fractions (F1, F3, F4, F5, F7, F9, F10) based on their Rf values.

Ethical clearance

The study was carried out after ethical approval from the University of Ilorin Ethical Review Committee (UERC) with approval number UERC/ASN/2017/907 dated June 12th 2017.

Animal grouping and extract administration

A total of one hundred female rats were used in this study. The animals were randomly selected into ten groups of ten animals each with administration done once daily for fourteen days as follows:

Induction of diabetes

After an overnight fast of the animals, diabetes was induced using the method described by with slight modification. The rats were induced into diabetes by a single intraperitoneal injection of 120 mg/kg body weight alloxan monohydrate. The rats were then orally administered 2 ml of 5% dextrose saline to overcome the initial alloxan-induced hypoglycaemia. Blood glucose levels of the rats were determined 72 h after alloxan administration. Blood samples were drawled from the sharply cut tail vein of the rats and placed on the test strip that had been inserted into the glucometer. Animals with blood glucose level equal to or more than 250 mg/dL were considered diabetic and used for the experiment.

Preparation of serum and determination of biochemical parameters and pancreas histology

The procedure described by Yakubu et al. was adopted for preparation of serum. Briefly, the blood was collected by cutting the jugular vein and the blood drained into sample bottles (plain and anticoagulant). Blood samples in the plain sample bottles were left undisturbed at 25 °C for 30 min to form clot after which the samples were centrifuged at 1282×g for 5 min. After centrifugation, the sera were collected by a means of Pasteur pipette into clean sample bottle, appropriately labeled and stored in freezer at 4 °C not later than 72 h of preparation for the biochemical assays. Fasting blood glucose was determined as described by Yakubu and Ogunro, Serum insulin as described in the ELISA kits (Elabscience Biotechnology Co., Ltd), superoxide dismutase as described by Misra and Fridovich, Catalase as described by Beers and Sizer, malondialdehyde levels as described by Varshney and Kale, glycosylated haemoglobin as described by Trivelli et al., C-reactive protein as described by Burtis et al., total cholesterol as described by Roeschlau et al., triglyceride as described by Trinder, high density lipoprotein-cholesterol (HDL-C) as described by Lopes-Virella, low density lipoproteins (LDL-c) and very low density lipoproteins (VLDL-c) described by Friedewald et al. while histology was done as described by Drury and Wallington.

Data analysis

Data were expressed as the mean ± SEM of ten determinations. Data were analyzed using one-way analysis of variance followed by Tukey’s post-hoc test for multiple comparisons. Statistical significance was set at 95% confidence interval (p < 0.05) and graph Pad Statistical Package version 6.0 was used for the statistical analyses.

Results

Antidiabetic constituents in the chromatographic fraction F7 obtained from ethyl acetate-partition fraction of Chrysophyllum albidum stem bark

HPLC analysis of the F7 revealed eight compounds. Among the chemical constituents identified, stigmasterol had the highest peak with a retention time of 1.300 min whereas eleagnine had the lowest peak with retention time of 1.066 min (Table 1).
Table 1

Chemical constituents of the chromatographic fraction (f7) obtained from ethyl acetate-partitioned fraction from Chrysophyllum albidum stem bark.

CompoundsRetention Time (min)Concentration (ppm)
Eleagnine1.0661.450
Stigmasterol1.3002.267
Catechin1.8509.551
Epicatechin2.1837.319
Epigallocatechin3.0505.800
Hexadecane3.4500.177
Octadecanoic acid4.0001.227
Eicosane5.3166.210
Procyanidin B56.2003.655
Chemical constituents of the chromatographic fraction (f7) obtained from ethyl acetate-partitioned fraction from Chrysophyllum albidum stem bark.

Fasting blood glucose and serum insulin levels of diabetic rats orally administered chromatographic fractions of Chrysophyllum albidum stem bark for 14 days

Compared with the control group, alloxan administration significantly (p < 0.05) increased the FBG level of the rats (Table 2). Among the seven column chromatographic fractions (F1, F3, F4, F5, F7, F9 and F10) administered to the diabetic groups at 2.5 mg/kg body weight, only F5 and F7 significantly (p < 0.05) reduced the FBG levels of their respective groups. By day 10, the F5 treated group was not significantly (p < 0.05) different from the glibenclamide-treated diabetic rats but did not compared well with the control group while F7 was not significantly (p < 0.05) different from the control group and compared better than the glibenclamide-treated diabetic rats. Other fractions were not significantly (p < 0.05) different from the diabetic control group.
Table 2

Fasting blood glucose of female diabetic rats orally administered chromatographic fractions of Chrysophyllum albidum stem bark.

Day/Group01471014
Control59.29 ± 5.12a57.43 ± 2.82a59.43 ± 2.82a57.86 ± 4.41a55.14 ± 5.73a59.14 ± 3.18a
DC56.86 ± 5.01a383.43 ± 98.42b401.00 ± 93.79b410.14 ± 78.04b442.43 ± 70.30b499.14 ± 57.61b
RD57.43 ± 3.82a401.00 ± 96.09b316.71 ± 96.95b172.43 ± 27.04c83.57 ± 13.21c64.86 ± 9.84a
F158.57 ± 5.53a384.43 ± 94.01b353.57 ± 89.35b330.43 ± 88.86b286.57 ± 76.77d253.00 ± 53.46c
F357.00 ± 5.10a361.43 ± 83.97b338.43 ± 83.79b306.14 ± 67.52b276.57 ± 60.91d244.86 ± 49.03c
F458.43 ± 6.70a351.86 ± 92.80b330.00 ± 99.13b317.14 ± 97.51b285.43 ± 97.46b,d240.14 ± 89.49c
F556.29 ± 3.77a356.43 ± 101.17b300.86 ± 65.92b219.29 ± 15.12 d99.57 ± 14.14c64.14 ± 12.25a
F759.86 ± 3.80a396.57 ± 67.91b231.43 ± 41.13c142.86 ± 17.99c58.00 ± 9.26a57.14 ± 4.78a
F958.86 ± 4.30a355.86 ± 54.80b323.86 ± 52.16b295.86 ± 50.33b262.29 ± 49.06d245.57 ± 45.54c
F1060.86 ± 4.85a409.86 ± 68.89b367.86 ± 65.76b331.43 ± 58.65b306.71 ± 53.05 d279.86 ± 49.10c

Values are mean of ten replicates ± SEM.

Values with different superscripts are significantly different from others (p < 0.05).

Where:

Control = non-diabetic rats receiving 1 ml of distilled water; DC = diabetic rats receiving 1 ml of distilled water; RD = diabetic rats receiving standard drug; F1-10 = diabetic rats receiving chromatographic fractions.

Fasting blood glucose of female diabetic rats orally administered chromatographic fractions of Chrysophyllum albidum stem bark. Values are mean of ten replicates ± SEM. Values with different superscripts are significantly different from others (p < 0.05). Where: Control = non-diabetic rats receiving 1 ml of distilled water; DC = diabetic rats receiving 1 ml of distilled water; RD = diabetic rats receiving standard drug; F1-10 = diabetic rats receiving chromatographic fractions. Alloxan administration significantly (p < 0.05) decreased the serum insulin level when compared with the control group (Fig. 1). Administrations of the chromatographic fractions significantly (p < 0.05) increased serum insulin of the F7 treated diabetic rats only. The F5 treated group was not significantly (p < 0.05) different from diabetics receiving distilled water.
Fig. 1

Serum insulin of alloxan-induced diabetic rats orally administered chromatographic fractions of Chrysophyllum albidum stem bark for 14 days.

Where:

Control = non-diabetic rats receiving 1 ml of distilled water; DC = diabetic rats receiving 1 ml of distilled water; RD = diabetic rats receiving standard drug; F5 = diabetic rats receiving chromatographic fraction 5; F7 = diabetic rats receiving chromatographic fraction 7

Serum insulin of alloxan-induced diabetic rats orally administered chromatographic fractions of Chrysophyllum albidum stem bark for 14 days. Where: Control = non-diabetic rats receiving 1 ml of distilled water; DC = diabetic rats receiving 1 ml of distilled water; RD = diabetic rats receiving standard drug; F5 = diabetic rats receiving chromatographic fraction 5; F7 = diabetic rats receiving chromatographic fraction 7

Effect of chromatographic fractions of Chrysophyllum albidum stem bark on antioxidant enzymes and malondialdehyde levels of alloxan-induced diabetic rats

Alloxan administration significantly (p < 0.05) increased the malondialdehyde (MDA) level and decreased the catalase and superoxide dismutase (SOD) activities (Table 3). Oral administration of chromatographic fractions of ethyl acetate-partitioned from Chrysophyllum albidum stem bark significantly (p < 0.05) reduced the MDA level and increased the SOD and catalase activities of the treated rats.
Table 3

Antioxidant enzymes and malondialdehyde levels of alloxan-induced diabetic rats orally administered chromatographic fractions of C. albidum stem bark.

Treatment GroupSOD (unit/mg protein)Catalase (unit/mg protein)Malondialdehyde (nmol/L)
Control4.924 ± 0.68a334.216 ± 37.02a2.062 ± 0.77a
DR + 1 ml of DW0.764 ± 0.19b123.183 ± 25.08b3.763 ± 0.48b
DR + 2.5 mg/kg b. wt of glibenclamide2.517 ± 0.36c194.885 ± 23.04c2.43 ± 0.55a
DR + 2.5 mg/kg b. wt of F 52.761 ± 0.36c266.699 ± 41.22d1.96 ± 0.45a
DR + 2.5 mg/kg b. wt of F74.395 ± 0.26a346.162 ± 82.08a2.03 ± 0.16a

Values are means of ten replicates ± SEM.

Values with different superscripts are significantly different from each other (p < 0.05).

Where

Control = non-diabetic rats receiving 1 ml of distilled water; DC = diabetic rats receiving 1 ml of distilled water; RD = diabetic rats receiving standard drug; F5 = diabetic rats receiving chromatographic fraction 5; F7 = diabetic rats receiving chromatographic fraction 7

Antioxidant enzymes and malondialdehyde levels of alloxan-induced diabetic rats orally administered chromatographic fractions of C. albidum stem bark. Values are means of ten replicates ± SEM. Values with different superscripts are significantly different from each other (p < 0.05). Where Control = non-diabetic rats receiving 1 ml of distilled water; DC = diabetic rats receiving 1 ml of distilled water; RD = diabetic rats receiving standard drug; F5 = diabetic rats receiving chromatographic fraction 5; F7 = diabetic rats receiving chromatographic fraction 7 The MDA level of F5, F7 and the glibenclamide-treated diabetic rats were not significantly (p < 0.05) different from the control group. Catalase and SOD activities of the F7 treated diabetic rats were not significantly (p < 0.05) different from the control group while SOD activity of F5 treated diabetic rats was not significantly (p < 0.05) different from the glibenclamide-treated diabetic rats.

Glycosylated haemoglobin and CRP of diabetic female rats orally administered chromatographic fractions of Chrysophyllum albidum stem bark

Alloxan administration significantly (p < 0.05) increased the glycosylated haemoglobin (Fig. 2) and serum C-reactive protein level (Fig. 3) of the rats when compared with the control group. Administration of chromatographic fractions of the extract significantly (p < 0.05) decreased the alloxan-induced increase in glycosylated haemoglobin and serum CRP level though, only F7 treated diabetic rats was not significantly (p < 0.05) different from the control group.
Fig. 2

Glycosylated haemoglobin of alloxan-induced diabetic rats orally administered chromatographic fractions of Chrysophyllum albidum stem bark for 14 days. Bars with different superscripts are significantly different from each other (p < 0.05).

Where:

Control = non-diabetic rats receiving 1 ml of distilled water; DC = diabetic rats receiving 1 ml of distilled water; RD = diabetic rats receiving standard drug; F5 = diabetic rats receiving chromatographic fraction 5; F7 = diabetic rats receiving chromatographic fraction 7

Fig. 3

C-reactive protein of alloxan-induced diabetic rats orally administered chromatographic fractions of Chrysophyllum albidum stem bark for 14 days.

Where:

Control = non-diabetic rats receiving 1 ml of distilled water; DC = diabetic rats receiving 1 ml of distilled water; RD = diabetic rats receiving standard drug; F5 = diabetic rats receiving chromatographic fraction 5; F7 = diabetic rats receiving chromatographic fraction 7

Glycosylated haemoglobin of alloxan-induced diabetic rats orally administered chromatographic fractions of Chrysophyllum albidum stem bark for 14 days. Bars with different superscripts are significantly different from each other (p < 0.05). Where: Control = non-diabetic rats receiving 1 ml of distilled water; DC = diabetic rats receiving 1 ml of distilled water; RD = diabetic rats receiving standard drug; F5 = diabetic rats receiving chromatographic fraction 5; F7 = diabetic rats receiving chromatographic fraction 7 C-reactive protein of alloxan-induced diabetic rats orally administered chromatographic fractions of Chrysophyllum albidum stem bark for 14 days. Where: Control = non-diabetic rats receiving 1 ml of distilled water; DC = diabetic rats receiving 1 ml of distilled water; RD = diabetic rats receiving standard drug; F5 = diabetic rats receiving chromatographic fraction 5; F7 = diabetic rats receiving chromatographic fraction 7

Serum lipids of alloxan-induced diabetic rats orally administered ethyl acetate chromatographic fractions of Chrysophyllum albidum stem bark

Compared with the control group, alloxan administration significantly (p < 0.05) increased the serum cholesterol, triglycerides (TG), low density lipoprotein-cholesterol (LDL-C), very low density lipoprotein-cholesterol (VLDL-C), atherogenic index (AI) and significantly (p < 0.05) decreased the high density lipoprotein-cholesterol (HDL-C) (Table 4). Oral administration of both F5 and F7 significantly (p < 0.05) increased HDL-C and decreased other parameters. The serum triglycerides, low density lipoprotein-cholesterol, very low-density lipoprotein-cholesterol, atherogenic index and high-density lipoprotein-cholesterol of both fractions were not significantly (p < 0.05) different from the control group.Where:
Table 4

Serum Lipids of Alloxan-induced Diabetic Rats Orally Administered Ethyl Acetate Chromatographic Fractions of Chrysophyllum albidum Stem Bark for 14 days.

Treatment GroupCholesterolTriglycerideHDL-CLDL-CVLDL-CAtherogenic index (LDL-C/HDL-C)
Control26.12 ± 0.5d4.14 ± 0.5a16.69 ± 1.5d8.60 ± 1.6c0.83 ± 0.1a 0.83 ± 0.1a0.52 ± 0.1b
DC57.92 ± 1.0e26.98 ± 0.9c3.55 ± 0.6a48.98 ± 1.2d5.40 ± 0.2c14.12 ± 2.5c
RD11.04 ± 0.6a10.30 ± 0.3b7.28 ± 0.7b1.69 ± 0.2a2.06 ± 0.1b0.23 ± 0.0a
F 515.65 ± 0.6b3.21 ± 0.45a11.41 ± 1.1c3.60 ± 0.55b0.64 ± 0.1a0.32 ± 0.1a
F717.20 ± 0.8c3.95 ± 0.4a12.25 ± 1.3c4.16 ± 0.7b0.79 ± 0.1a0.35 ± 0.1a

Values are means of ten replicates ± SEM.

Values with different superscripts are significantly different from each other (p < 0.05). Where: Control = non-diabetic rats receiving 1 ml of distilled water; DC = diabetic rats receiving 1 ml of distilled water; RD = diabetic rats receiving standard drug; F5 = diabetic rats receiving chromatographic fraction 5; F7 = diabetic rats receiving chromatographic fraction 7.

Serum Lipids of Alloxan-induced Diabetic Rats Orally Administered Ethyl Acetate Chromatographic Fractions of Chrysophyllum albidum Stem Bark for 14 days. Values are means of ten replicates ± SEM. Values with different superscripts are significantly different from each other (p < 0.05). Where: Control = non-diabetic rats receiving 1 ml of distilled water; DC = diabetic rats receiving 1 ml of distilled water; RD = diabetic rats receiving standard drug; F5 = diabetic rats receiving chromatographic fraction 5; F7 = diabetic rats receiving chromatographic fraction 7. Pancreas Histology of Alloxan-Induced Diabetic Rats Administered Chromatographic Fractions of Chrysophyllum albidum Stem Bark. The cross section of the pancreas of the control, reference drug (RD) and the F7 treated groups appeared normal with no visible lesion seen whereas the diabetic control (DC) rat revealed parenchymatous portion of acini and islet portions that are completely obliterated (acini and islet not seen in the section), loose connective tissue and adipose tissue seen (long arrows) and they are highly infiltrated by inflammatory cells (short arrows); scale bar: 50 μm (Plate 1). The pancreas of the F5 treated group revealed a severe congestion of the blood vessels (black arrows). The parenchyma is almost taken over by adipose tissue (red arrows) and there was INSET (loose irregular connective tissues that are severely infiltrated (stars)).
Plate 1

Cross section of rat pancreas administered fractions of Control: The pancreas appeared normal with no visible lesion seen, DC: The Parenchymatous portion of acini and islet portions completely obliterated (acini and islet not seen in the section), loose connective tissue and adipose tissue seen (long arrows) and they are highly infiltrated by inflammatory cells (short arrows); scale bar: 50 μum, RD: No visible lesion seen, F5: There is a severe congestion of the blood vessels (black arrows). The parenchyma is almost taken over by adipose tissue (red arrows). INSET: Loose irregular connective tissues are severely infiltrated (stars). (Mag: x100; inset scale bar: 5 μm)., F7: The pancreas appeared normal with no visible lesion seen.

Cross section of rat pancreas administered fractions of Control: The pancreas appeared normal with no visible lesion seen, DC: The Parenchymatous portion of acini and islet portions completely obliterated (acini and islet not seen in the section), loose connective tissue and adipose tissue seen (long arrows) and they are highly infiltrated by inflammatory cells (short arrows); scale bar: 50 μum, RD: No visible lesion seen, F5: There is a severe congestion of the blood vessels (black arrows). The parenchyma is almost taken over by adipose tissue (red arrows). INSET: Loose irregular connective tissues are severely infiltrated (stars). (Mag: x100; inset scale bar: 5 μm)., F7: The pancreas appeared normal with no visible lesion seen.

Discussion

Hyperglycemia, the hallmark of diabetes, has been implicated in a number of pathways that contribute to cellular dysfunction and damage associated with micro- and macrovascular complications. In this study, the significant upsurge in fasting blood glucose level of the diabetic control group might be due to obliteration of the insulin producing beta cells of the pancreas by alloxan. The resulting hyperglycaemia might be due to the summation of glucose fluxes from gluconeogenesis, glycogenolysis, lipogenolysis and other pathways resulting from lack of insulin production. Administration of F5 and F7 however, reduced the fasting blood glucose level of the alloxan-induced diabetic rats. This effect might be due to the phytochemicals (procyanidin B5, stigmasterol, catechin, epicatechin, epigallocatechin, eleagnine, eicosane, exadecane, octadecanoic acid) present in the plant which might be acting singly or in synergy with others and might be responsible for the restoration of the pancreas that resulted in hypoglycaemic effect of the chromatographic fractions observed in this study. This suggests that the fraction might be acting by restoring the pancreas histoarchitecture. Oxidative stress is usually accompanied by an increased level of inflammation brought about by hyperglycemia in diabetics. Glucose autoxidation and rearrangement to enediol radical ion is capable of reducing molecular oxygen to superoxide anion that may oxidize lipids. Antioxidant agents impedes oxidative stress and protect against cellular damage by boosting the antioxidant enzyme capacity of the body. The decrease in the antioxidant enzyme system with increase in malondialdehyde level of the diabetic control group in this study might be due to oxidative stress and lipid peroxidation correspondingly. Administration of the fractions of the extracts however boosted the antioxidant enzyme system and reduced the malondialdehyde level. This suggests that the fraction improved SOD concentration to provide first line of defense against reactive oxygen species mediated cell injury by converting the proportion of superoxide anion to molecular oxygen and peroxide while catalase converts the peroxide formed into water and oxygen. The reduction in the MDA level observed in this study might be due to both impairment of glucose autoxidation potentiated by the phytochemicals present in the fractions of the extract and decrease generation of reactive oxygen species facilitated by increased antioxidant enzyme activity. Persistent hyperglycaemia may lead to non-enzymic glycation of proteins which may induce cellular damage. Glycosylated haemoglobin is a reliable index to monitor glucose lowering therapy and long-term glycaemia control. In diabetic condition, blood glucose rejoins non-enzymatically with hemoglobin and accordingly increased glycosylated hemoglobin concentration. The risk of developing microvascular complications rises exponentially with increasing glycosylated hemoglobin above the normal level (7.5), Every 1% increase in glycosylated hemoglobin is accompanied by 36% increase risk of microalbuminuria. The risk of retinopathy also increases exponentially with increasing HbA1c and approximately 50% of those with a mean HbA1c of 10% or more will develop background retinopathy within 12 years from diagnosis of diabetes. The substantial rise in the levels of glycosylated haemoglobin in the diabetic control group might be due to non-enzymatic glycosylation of the surplus glucose in circulation. The decrease in elevated glycosylated haemoglobin following oral administration of chromatographic fractions of the extract might be adduced to the ability of the extract to tightly control glycemic level. This suggests that the extract was able to prevent the autoxidation of glucose, the non-enzymatic and progressive glycation of protein while enhancing glucose flux into other pathways for effective glucose utilization. C-reactive protein (CRP), a plasma protein made by the liver, is a sensitive and dynamic systemic indicator of inflammation. The significant increase in the CRP level of the diabetic control group might be due to inflammation of the pancreas. This suggests a chronic hyperglycaemia which has been reported to increase the circulating inflammatory biomarkers. The significant decrease in CRP level of the extract treated diabetic rats suggests that the extract ameliorated inflammation and prevent secondary complications via reduction of CRP level. This finding agrees with the report of Mahluji et al.. Dyslipidemia, an abnormal metabolism of lipoproteins is central to poorly managed diabetes, usually characterized by decrease HDL and increase total cholesterol, triglycerides, low density lipoprotein, very low density lipoprotein. This disturbance in lipid profile is a major risk factor for coronary heart disease and a marker of atherosclerosis. The significant rise in cholesterol, triglycerides, low density lipoprotein and very low-density lipoprotein and atherogenic index with decrease in HDL level in the diabetic control group might be due to decreased insulin secretion which triggered the mobilization of free fatty acid from the fat deposit. Administration of the chromatographic fractions (F5 and F7) however significantly decreased cholesterol, triglycerides, low density lipoprotein and very low-density lipoprotein, atherogenic index and increased HDL level. This might be due to brisk release of insulin from the pancreas activating lipoprotein lipase which hydrolyses triglycerides and inhibits the release of free fatty acids from the fat stores. This suggests that the chromatographic fractions of the extract might be preventing dyslipidemia by stimulating fatty acid biosynthesis, increase utilization of glucose and decrease mobilization of free fatty acids from the stores and incorporation of free fatty acids into triglycerides in the liver and adipose tissues.

Conclusion

Based on the results obtained from this study, it could be concluded that 2.5 mg/kg body weight of F5 and F7 reduces fasting blood glucose, boost antioxidant enzyme activity and ameliorate some markers of diabetes complications. However, F7 demonstrated the most profound effects and restored the distorted pancreas histoarchitecture and can therefore be explored for the management of diabetes.

Declaration of competing interest

The authors declare that there are no conflicts of interest.
GroupTreatment
ControlNon-diabetic rats +1 ml of distilled water
DCDiabetic rats + 1 ml of distilled water
RDDiabetic rats +2.5 mg/kg b.wt of glibenclamide
F1Diabetic rats +2.5 mg/kg b.wt of F1
F3Diabetic rats +2.5 mg/kg b.wt of F3
F4Diabetic rats +2.5 mg/kg b.wt of F4
F5Diabetic rats +2.5 mg/kg b.wt of F5
F7Diabetic rats +2.5 mg/kg b.wt of F7
F9Diabetic rats +2.5 mg/kg b.wt of F9
F10Diabetic rats +2.5 mg/kg b.wt of F10
  32 in total

1.  Aphrodisiac potentials of the aqueous extract of Fadogia agrestis (Schweinf. Ex Hiern) stem in male albino rats.

Authors:  M T Yakubu; M A Akanji; A T Oladiji
Journal:  Asian J Androl       Date:  2005-12       Impact factor: 3.285

2.  Estimation of the concentration of low-density lipoprotein cholesterol in plasma, without use of the preparative ultracentrifuge.

Authors:  W T Friedewald; R I Levy; D S Fredrickson
Journal:  Clin Chem       Date:  1972-06       Impact factor: 8.327

3.  The role of superoxide anion in the autoxidation of epinephrine and a simple assay for superoxide dismutase.

Authors:  H P Misra; I Fridovich
Journal:  J Biol Chem       Date:  1972-05-25       Impact factor: 5.157

4.  Anti-inflammatory effects of zingiber officinale in type 2 diabetic patients.

Authors:  Sepide Mahluji; Alireza Ostadrahimi; Majid Mobasseri; Vahide Ebrahimzade Attari; Laleh Payahoo
Journal:  Adv Pharm Bull       Date:  2013-08-20

Review 5.  A review of the molecular mechanisms of hyperglycemia-induced free radical generation leading to oxidative stress.

Authors:  Habib Yaribeygi; Stephen L Atkin; Amirhossein Sahebkar
Journal:  J Cell Physiol       Date:  2018-08-26       Impact factor: 6.384

Review 6.  The role of inflammatory cytokines in diabetes and its complications.

Authors:  George L King
Journal:  J Periodontol       Date:  2008-08       Impact factor: 6.993

7.  C-reactive protein concentration as a prognostic factor for inflammation in the management of odontogenic infections.

Authors:  R Mirochnik; S Araida; V Yaffe; I Abu El-Naaj
Journal:  Br J Oral Maxillofac Surg       Date:  2017-11-04       Impact factor: 1.651

Review 8.  Glucose neurotoxicity.

Authors:  David R Tomlinson; Natalie J Gardiner
Journal:  Nat Rev Neurosci       Date:  2008-01       Impact factor: 34.870

9.  Effects of calmodulin antagonists on radiation-induced lipid peroxidation in microsomes.

Authors:  R Varshney; R K Kale
Journal:  Int J Radiat Biol       Date:  1990-11       Impact factor: 2.694

10.  ISOLATION AND CHARACTERIZATION OF CHEMICAL CONSTITUENTS FROM CHRYSOPHYLLUM ALBIDUM G. DON-HOLL. STEM-BARK EXTRACTS AND THEIR ANTIOXIDANT AND ANTIBACTERIAL PROPERTIES.

Authors:  T O Idowu; A O Ogundaini; S A Adesanya; G O Onawunmi; M O Osungunna; E M Obuotor; B M Abegaz
Journal:  Afr J Tradit Complement Altern Med       Date:  2016-08-12
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  2 in total

Review 1.  Role of C-Reactive Protein in Diabetic Inflammation.

Authors:  Julijana Stanimirovic; Jelena Radovanovic; Katarina Banjac; Milan Obradovic; Magbubah Essack; Sonja Zafirovic; Zoran Gluvic; Takashi Gojobori; Esma R Isenovic
Journal:  Mediators Inflamm       Date:  2022-05-17       Impact factor: 4.529

2.  Antidiabetic Activity of Elephant Grass (Cenchrus Purpureus (Schumach.) Morrone) via Activation of PI3K/AkT Signaling Pathway, Oxidative Stress Inhibition, and Apoptosis in Wistar Rats.

Authors:  Oluwafemi Adeleke Ojo; Abosede Itunuoluwa Oni; Susan Grant; Jennifer Amanze; Adebola Busola Ojo; Odunayo Anthonia Taiwo; Rotdelmwa Filibus Maimako; Ikponmwosa Owen Evbuomwan; Matthew Iyobhebhe; Charles Obiora Nwonuma; Omorefosa Osemwegie; Anthonia Oluyemi Agboola; Christopher Akintayo; Nnaemeka Tobechukwu Asogwa; Nada H Aljarba; Saad Alkahtani; Gomaa Mostafa-Hedeab; Gaber El-Saber Batiha; Oluyomi Stephen Adeyemi
Journal:  Front Pharmacol       Date:  2022-03-02       Impact factor: 5.810

  2 in total

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