Antidiabetic and safety evaluation of Afya tea® (Aqueous extract of Moringa oleifera Lam.) in streptozotocin-rat model
Abstract
Objective: The present work was set to evaluate the in vivo efficacy and safety of “Afya tea®”, a trademarked antidiabetic herbal preparation commonly sold in Cameroon.
Methods: The tea was acquired from local sale points and different concentrations and doses determined from the prescription by the manufacturer. The antidiabetic activity was assessed in wistar albino rats using both the oral glucose tolerance test (OGTT) and the subacute antidiabetic assay in streptozotocin-rat model. The safety was evaluated combining the in vitro (on LLC-MK2 Monkey kidney epithelial cell line) and in vivo acute toxicity (in mouse model) tests. The effects of Afya tea® were observed on fasting blood sugar (FBS), body weight, water and food intake, urine elimination, selected markers of liver and kidney functions, as well as lipid profile.
Results: The OGTT revealed a significant drop in blood glucose levels in rats treated with 84.6 g/kg Afya tea®, as compared to the control; together with drop in critical peak of blood sugar. The therapeutic effect observed was equally more consistent with the dose of 84.6 g/kg , resulting in significant recovery from STZ-induced diabetes in animals as reflected in the FBS level, body weight, food and water intake and urine elimination.
Conclusion: The present work confirmed the positive effect of Afya tea® on glucose tolerance, its subacute antidiabetic potential of this herbal preparation in sptreptozotocin-induced diabetic rats, as well as its relative safety. Further studies including the study of the stability pattern and mechanism of action as well as clinical trials are warmly expected, to fully appreciate the suitability of this herbal preparation for treatment of diabetes mellitus in human.
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References
2. WHO. Global report on diabetes. ISBN 978 92 4 156525 7 (NLM classification: WK 810), WHO Press, Geneva. 2016: 88.
3. Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: A systematic analysis for the global burden of disease study 2010. The Lancet 2012; 380: 2095-2128.
4. Murray CJ, Vos T, Lozano R, Naghavi M, Flaxman AD, Michaud C et al. Disability-adjusted life years (DALYs) for 291 diseases and injuries in 21 regions, 1990-2010: A systematic analysis for the global burden of disease study 2010. Lancet. 2013; 380: 2197-223.
5. Echouffo-Tcheugui JB, Kengne AP. Chronic non-communicable diseases in Cameroon - Burden, determinants and current policies. Global Health. 2011; 7: 44.
6. JungIl Lae. Soluble extract from Moringa oleifera leaves with a new anticancer activity. PLoS One. 2014; 9: e95492.
7. Atawodi SE, Atawodi JC, Idakwo GA, Pfundstein B, Haubner R, Wurtele G. Evaluation of the polyphenol content and antioxidant properties of methanol extracts of the leaves, stem, and root barks of Moringa oleifera Lam. J Med Food 2010; 13: 710–716.
8. Headline Newsletter. A Complete List of Diabetes Medications. Available at: http://www.healthline.com/health/diabetes/medications-list#overview1, last visited on 29/05/2017.
9. Bennett RN, Mellon FA, Foidl N, Pratt JH, Dupont MS, Perkins L, Kroon PA. Profiling glucosinolates and phenolics in vegetative and reproductive tissues of the multi-purpose trees Moringa oleifera L. (horseradish tree) and Moringa stenopetala L. J Agric Food Chem 2003; 51: 3546-3553.
10. Preston K, Lantagne D, Kotlarz N, Jellison K. Turbidity and chlorine demand reduction using alum and moringa flocculation before household chlorination in developing countries. J Water Health 2010; 8: 60-70.
11. Teugwa CM, Boudjeko T, Tchinda BT, Mejiato PC, Zofou D. Anti-hyperglycaemic globulins from selected Cucurbitaceae seeds used as antidiabetic medicinal plants in Africa. BMC Complement Altern Med 2013; 13: 63.
12. Niyonzima G, Scharpé S, Van B, Vlietinch JA. Hypoglycaemic activity of Spathodea campanulata stembark decoction in mice. Phytotherapy Res 1993; 7: 64-67.
13. Al-Shamaony L, al-Khazraji SM, Twaij HA. Hypoglycaemic effect of Artemisia herba alba. II. Effect of a valuable extract on some blood parameters in diabetic animals. J Ethnopharmacol. 1994; 43:167-171.
14. Mofor CT, Zofou D, Nangmo L, Boyom FF, Fokou E, Titanji VPK, Amvam-Zollo PH. Phytochemical screening, antiplasmodial activity against multi-drug resistant parasites, cytotoxicity and antioxidant profiling of extracts from Fagara macrophylla and Eremomastax speciosa. Int J Ind Herbs Drugs 2017; 2: 1-8.
15. OECD. Organisation for economic cooperation and development (OECD). Guidelines for testing chemicals. Paris Mongragh. 2001: 14.
16. Malebo HM, Tanja W, Cal M, Swaleh SAM, Omolo MO, Hassanali A, et al. Antiplasmodial, antitrypanosomal, anti- leshmanial and cytotoxicity activity of selected Tanzanian medicinal plants. Tanzan J Health Res 2009; 11: 226-34.
17. Sommerwerk S, Heller L, Kerzig C, Kramell AE, Csuk R. Rhodamine B conjugates of triterpenoic acids are cytotoxic mitocans even at nano molar concentrations. Eur J Med Chem. 2017; 127: 1-9.
18. Anwar F, Latif S, Ashraf M, Gilani AH. Moringa oleifera: A food plant with multiple medicinal uses. 2007; 21:17-25.
19. Fuglie LJ. The miracle tree: Moringa oleifera: Natural nutrition for the tropics. Church world service, Dakar. pp 68, (1999); revised in 2001 and published as the miracle tree: The multiple attributes of moringa 2000: 172.
20. Devendra BN, Srinivas N, Prasad VS, Talluri SL, Swarna LP. Antimicrobial activity of Moringa oleifera Lam., leaf extract, against selected bacterial and fungal strains. Inter J Pharma Bio Sci 2011, 2: B13 – B18.
21. Kuete V. Medicinal spices and vegetables from Africa. Therapeutic potential against metabolic, inflammatory,
infectious and systemic diseases. Edited by Victor Kuete, Academic Press, Elsevier, London UK 2016: 485-493
22. Bharali R, Tabassum J, Azad MR. Chemomodulatory effect of Moringa oleifera, Lam, on hepatic carcinogen metabolising enzymes, antioxidant parameters and skin papillomagenesis in mice. Asian Pac J Cancer Prev 2003; 4, 131-139.
23. Tarek M, Mario G, Temidayo A, Fon E, Idoko I, Mery M, Nonyelim O, Sola O, Makaman S. Effect of Moringa oleifera, activated carbon and wood charcoal on biochemical and hematological parameters of wistar rats exposed to lead acetate. Medycyna Wet 2012, 68: 96-101.
24. Nepolean P, Anitha J, Emilin RR. Isolation, analysis and identification of phytochemicals of antimicrobial activity of Moringa oleifera Lam. Current Biotica 2009; 1: 33-39.
25. Olayaki L.A, Irekpita JE, Yakubu MT, Ojo OO. Methanolic extract of Moringa oleifera leaves improves glucose tolerance, glycogen synthesis and lipid metabolism in alloxan-induced diabetic rats. J Basic Clin Physiol Pharmacol 2015; 26: 585–593.
26. Al-Malki AL, El-Rabey HA. The antidiabetic effect of low doses of Moringa oleifera Lam. seeds on streptozotocin induced diabetes and diabetic nephropathy in male rats. Biomed Res Int 2015: 381040.
27. Abd-El-Latif A, El-Bialy-Bel S, Mahboub HD, Abd-Eldaim MA. Moringa oleifera leaf extract ameliorates alloxan-induced diabetes in rats by regeneration of beta cells and reduction of pyruvate carboxylase expression. Biochem. Cell Biol 2014; 92: 413-419.
28. Iffiu-Soltesz Z, Wanecq E, Lomba A, Portillo MP, Pellati F, Szoko E. Chronic benzylamine administration in the drinking water improves glucose tolerance, reduces body weight gain and circulating cholesterol in high-fat diet-fed mice. Pharmacol Res 2010; 61: 355-363.
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