Department of Pharmacology, National College of Pharmacy, Balraj Urs Road, Shivamogga 577201, Karnataka State
Email: arunakon267@gmail.com
Received: 26 Mar 2020, Revised and Accepted: 12 Dec 2020
ABSTRACT
Objective: The present study was aimed to investigate the antidiabetic activity of ethanolic and aqueous extract of Zanthoxylum ovalifolium on alloxan induced diabetic rat model in rats.
Methods: The leaves of Zanthoxylum ovalifolium were evaluated for antidiabetic activity by using alloxan induced diabetic model in diabetic rats. Diabetes was induced by single intraperitoneal injection of alloxan (100 mg/kg) and rats were treated orally with test extracts, standard drug (glibenclamide 5 mg/kg) and vehicle for 21 d. The hypoglycemic effects and lipid profile of diabetic rats were assessed using diagnostic kits. Finally, histopathological studies were carried out for pancreas.
Results: The acute toxicity studies revealed at the dose of 2000 mg/kg (b. w) of Zanthoxylum ovalifolium for ethanol and aqueous extract were found to be safe. A significant reduction (p<0.001) in blood glucose was observed in diabetic rats treated with different doses of extracts compared to untreated diabetic rats. The drug possesses a good hyperlipidemic effect by normalizing the lipid parameters. This was evidenced by histopathological studies; both glibenclamide and 400 mg/kg of Ethanolic extract does appear to be regulated diabetes at the cellular level, resulting in the restoration of near normal architecture pancreatic islet of langerhans.
Conclusion: It can be concluded from our research findings that ethanolic and aqueous extract of Zanthoxylum ovalifoliumat high dose (400 mg/kg) exhibited significant antihyperglycemic activity than extract at low dose (200 mg/kg) in alloxan induced diabetic rats. These extracts also showed improvement in parameters like lipid profile as well as regeneration β-cells in the pancreas and so might be of value in diabetes treatment.
Keywords: Zanthoxylum ovalifolium, Antidiabetic activity, Lipid profile, Alloxan and glibenclamide
© 2021 The Authors. Published by Innovare Academic Sciences Pvt Ltd. This is an open access article under the CC BY license (https://creativecommons.org/licenses/by/4.0/)
DOI: https://dx.doi.org/10.22159/ijpps.2021v13i2.37636. Journal homepage: https://innovareacademics.in/journals/index.php/ijpps.
Diabetes mellitus is a heterogeneous metabolic disorder characterized by the common feature of chronic hyperglycemia with disturbance in carbohydrate, fat and protein metabolism [1]. It defects in insulin secretion, insulin action or both [2]. Diabetes mellitus is represented by hyperglycemia, lipidaemia and oxidative stress [3]. It is recognized as a major global chronic health problem, accounting for significant morbidity and mortality; it is associated with microvascular (retinopathy, neuropathy and nephropathy) and macrovascular (heart attack, stroke and peripheral vascular disease) complications [4]. The International Diabetes Federation (IDF) estimates that in 2013, the number of people suffering from diabetes was 382 million, while 5.1 million died, and that this prevalence will rise to 592 million by 2035 [5]. Though there are several synthetic drugs available for reducing the blood glucose levels, such as sulfonylurea, biguanide, thiazolidinedione, α-glucosidase inhibitors, and glinides. Patients continue to suffer from the several adverse effects of these synthetic drugs due to which, to explore a for new herbal drug is going on and concerted efforts are being made to develop suitable alternative effective remedies for diabetes [6, 7]. Presently, there is a growing interest in herbal remedies that are apparently efficient, produce minimal side effects, and are rich sources of antidiabetic, antihyperlipidemic and antioxidant agents such as flavonoids, tannins and other related polyphenols [8].
The Zanthoxylum ovalifolium has been widely used for traditional medicine in various types of illness. These plants are deciduous shrub and trees belonging to the family Rutaceae, which consists of 250 species native to subtropical regions of the world [9]. The genus is rich source of various chemicals such as alkaloids, glycosides, flavanoids, phenols, steroids, tannins, terpenes and amides etc. [10]. Information provided by traditional healers in the Western Ghats indicates that the leaf of Zanthoxylum ovalifolium is used to treat diabetes and hypertension. However, there is a lack of sufficient scientific data proving the traditional use of Zanthoxylum ovalifolium in the treatment of diabetes. Hence there is an increasing need of a new natural antidiabetic agent with less adverse effects; safe and easily available. So, the present investigations were undertaken to evaluate the effects of the ethanolic and aqueous extracts resulting in antidiabetic activity in alloxan-induced diabetes in rats.
Plant material
The leaves of Zanthoxylum ovalifolium were collected from the Agumbe village of Thirthahalli Taluk, Shivamogga district of Karnataka and were authenticated by Dr. Rudrappa, Professor and H. O. D Dept. of Botany, S. R. N. M National College of Applied Science, Balraj Urs road, Shivamogga, Karnataka state. A voucher specimen of the plant was preserved in the herbarium (Specimen No. 506/2016-17) deposited in the Pharmacognosy Department, National College of Pharmacy, Shivamogga for further reference.
Preparation of the extracts
The leaves of Zanthoxylum ovalifolium were cleaned and dried under shade at room temperature for several days and coarsely powdered. The powdered material was extracted successively with different solvents viz. Petroleum ether, ethanol in a Soxhlet extractor for 48 h in 4 batches of 50 each. The extract was concentrated in a vacuum using rotary flash evaporator (Buchi, Flawil, Switzerland). The marc obtained after ethanolic extraction is kept in contact with distilled water for 48 h with occasional shaking in the stoppered container for cold maceration process. The extract is concentrated under reduced pressure and stored in a refrigerator for further use.
Experimental animals
Healthy wistar albino rats of either sex weighing about 200-250g were selected in the present experimental study. The animals were procured from Central Animal House, National College of Pharmacy, Shivamogga. After randomization into various groups, animals were acclimatized for a period of 10 d under standard husbandry conditions. The rats were fed with a standard pellet diet and water ad libitum. The experimental protocol was approved by the Institutional Animal Ethical Committee (IAEC) of National College of Pharmacy, Shivamogga, Karnataka (Approval No. NCP/IAEC/ CL/06/2016-17) and care of the animals was taken as per guidelines of the CPCSEA.
Chemicals
Alloxan and glibenclamide were purchased from Sigma-Aldrich and Sun Pharmaceuticals, respectively. All other reagents used during the experiments were of analytical grade.
Phytochemical analysis
Preliminary phytochemical studies of both the extracts were performed as per standard procedure [11, 12].
Acute toxicity test
A preliminary toxicity study was conducted to demonstrate the appropriate safe dose range that could be used for subsequent experiments rather than to provide complete toxicity data on the extract. Acute toxicity studies conducted revealed that the administration of the ethanolic and aqueous extract (up to a dose of 2000 mg/kg) of Zanthoxylum ovalifolium leaves did not produce significant changes in behavior of the animals. No death was observed up to the dose of 2000 mg/kg b.w. The rats were physically active. These effects were observed during the experimental period (14 d). The results showed that in a single dose the plant extract had no adverse effect, indicating that the medium lethal dose (LD50) could be greater than 2000 mg/kg body weight in rats. In the acute toxicity study, no toxic symptoms were observed for Zanthoxylum ovalifolium up to the dose of 2 g/kg body weight. All animals behaved normally. No neurological or behavioral effects could be noted. No mortality was found up to 14 d study [13].
Induction of diabetes and experimental design
After fasting, hyperglycemia was induced by i. p. injection of 100 mg/kg of alloxan monohydrate in sterile saline administered for induction of diabetes in rats [14]. After 1h of alloxan administration, the animals were fed standard pellets and water ad libitum. The rats were then kept for the next 24hours on 10% fructose solution bottles in their cages to prevent hypoglycemia. After 72hr of Injection, fasting blood glucose levels are estimated. Rats showing fasting blood glucose level of more than 200 mg/dl were considered as diabetic and selected for the study [15].
The experiments were conducted on animal groups to see the effect of Zanthoxylum ovalifolium leaves on diabetic rats. Six rats were used in each of the seven groups, which were as follows
The animals were divided into seven groups of six animals each as follows.
Group I: Normal control rats treated with vehicle 0.5 ml of 5% tween 80
Group II: Diabetic control received vehicle
Group III: Diabetic rats treated with standard drug glibenclamide (5 mg/kg b. w.).
Group IV and Group V: diabetic rats treated with EEZO (200 mg and 400 mg/kg b. w.), respectively
Group VI and Group VII: diabetic rats treated with AEZO (200 mg and 400 mg/kg b. w.) respectively. The vehicle, EEZO, AEZO and glibenclamide were administered once daily for 21 d from the day of induction.
Blood glucose estimation
Blood was drawn from tip of the tail, and blood glucose level was estimated at0, 7th, 14th and 21st day of the experiment with the help of a glucometer (GluNEO® Lite (INFOPIA Co Ltd) using the strip method. On the 21st day, the blood sample was collected by puncturing retro-orbital plexus and serum was separated by centrifugation for measuring total cholesterol (TC), triglycerides (TG), high-density lipoprotein (HDL), low-density lipoprotein (LDL) and very-low-density lipoprotein (VLDL) levels were evaluated in all groups using an auto-analyzer (Semi-auto chemistry analyzer DIA SIL-100).
Histopathological study
Portions of the pancreas from all the experimental groups were fixed 10% formalin, dehydrated in alcohol and then embedded in paraffin. Microtome sections (5µ m thickness) were prepared from the Pancreas sample and stained with hematoxylin-eosin dye. The sections were examined for pathological studies.
Statistical analysis
The results are expressed as mean±standard error mean (SEM). The results were analyzed by one-way ANOVA followed by Tukey’s multiple range test using graph pad prism 3.10 versions values<0.05 were considered as statistically significant.
Preliminary phytochemical analysis
The preliminary phytochemical analysis reveals that triterpenoids, flavonoids, steroids, glycosides, alkaloids and tannins were present in the ethanolic extract. In the aqueous extract, saponins, flavonoids and alkaloids are present.
Acute toxicity test
In acute toxicity studies of ethanolic and aqueous extract of Zanthoxylum ovalifolium leaves does not show mortality of animals at the dose level of 2000 mg/kg. Therefore 2000 mg/kg dose was considered as a LD50. Hence, in the present study 200 mg/kg (1/10th low dose) and 400 mg/kg (1/5th high dose) body weight doses were selected for the antidiabetic study.
Effect on blood glucose level
The effect of Zanthoxylum ovalifolium leaf extracts on blood glucose level in alloxan-induced diabetes in rats is given in table 1. The blood glucose level was increased significantly in alloxan-induced diabetic rats as compared with the control rats. In diabetic rats, a significant decrease in blood glucose level was observed after the treatment with different extracts. The ethanolic and aqueous extract of Zanthoxylum ovalifolium showed maximum antidiabetic potential at 21st day treatment; however, these extracts exhibited antidiabetic activity in dose and time-dependent manner.
Effect on lipid profile
When compared to the normal control group, the serum TC, TG, LDL and VLDL cholesterol levels were increased, whereas the level of HDL cholesterol was reduced by in untreated diabetic rats in table 2. After treatment of ethanolic and aqueous extract of Zanthoxylum ovalifolium for 21 d, the serum TC, TG, LDL and VLDL cholesterol level were reduced significantly, whereas the level of serum HDL cholesterol was significantly increased in time and dose-dependent fashion.
Histopathological study of rat pancreas
The microscopic structures of rat pancreas in different groups are shown in fig. 1. The pancreas of a normal control rats showed normal islets and pancreatic β-cells; however, in diabetic control rats, the islets are disrupted islet of langerhans exhibited hydrophobic cells, necrotic cells, vacuolization and irregular hyperchromic nuclei. The ethanolic extract of Zanthoxylum ovalifolium at the dose of 400 mg/kg b. w. shows a more regeneration of β-cells in the histopathological slides when compared to EEZO 200 mg/kg, AEZO 200 mg/kg and AEZO 400 mg/kg.
Table 1: Effect of Zanthoxylum ovalifolium leaf extracts on blood sugar level in alloxan-induced diabetes in rats
Treatment | Dose mg/kg |
Blood glucose (mg/dl) | |||
0th d | 7th d | 14th d | 21th d | ||
Normal control | - | 101.11±1.36 | 104.4±1.60 | 108.56±0.62 | 106.43±2.08 |
Diabetic control | 346.23±3.64 | 361.43±3.62 | 372.66±3.13 | 381.50±1.84 | |
Glibenclamide | 5 | 334.70±1.59 | 260.26±1.33 | 143.83±1.99 | 123.50.5±1.06 |
EEZO | 200 | 333.10±2.72ns | 272.52±2.16 | 206.40±1.75** | 145.00±0.99* |
EEZO | 400 | 327.33±0.91ns | 277.26±5.12** | 224.41±1.48*** | 136.10±0.77*** |
AEZO | 200 | 341.75±2.39ns | 286.18±1.72 | 233.66±1.35* | 166.5±0.76* |
AEZO | 400 | 331.17±1.65ns | 279.78±2.08* | 232.36±2.14* | 152.88±1.86*** |
Data are expressed as mean±SEM; n=6. One-way ANOVA followed by Tukey’s multiple comparison test when compared with normal control, *p<0.05, **p<0.01, ***p<0.001 significant.
Table 2: Effect of Zanthoxylum ovalifolium on serum lipid profile in diabetic rats
Treatment | Dose mg/kg | TC | TG | HDL | LDL | VLDL |
Normal control | - | 81.2±1.03 | 72.0±1.20 | 39.4±0.90 | 45.4±1.50 | 15.9±1.46 |
Diabetic control | - | 179.4±1.03 | 145.2±0.81 | 28.9±1.47 | 188.7±0.85 | 32.8±0.91 |
Glibenclamide | 5 | 125.1±0.96 | 114.8±1.65 | 36.6±1.06 | 109.4±1.47 | 30.4±1.53 |
EEZO | 200 | 88.8±1.07** | 77.6±077* | 46.8±1.20** | 51.6±0.68* | 22.5±0.77** |
EEZO | 400 | 88.7±1.77** | 90.0±1.20*** | 53.5±1.67*** | 53.5±1.66** | 27.9±1.23*** |
AEZO | 200 | 88.6±1.15** | 78.9±0.95** | 42.8±1.04 | 52.8±1.58** | 21.3±1.22* |
AEZO | 400 | 88.8±0.98** | 87.5±0.97*** | 46.0±1.63* | 59.0±1.22*** | 23.4±0.72** |
Data are expressed as mean±SEM; n=6. One-way ANOVA followed by Tukey’s multiple comparison test when compared with normal control, *p<0.05, **p<0.01, ***p<0.001 significant.
Fig. 1: Histopathology of pancreas in alloxan-induced diabetic rats. A. Control group showing the normal architecture of the pancreas. The exocrine constituent systems of pancreas closely packed by acinar cells and arranged into small lobules. Pancreatic lobules detached by intactintra lobular and interlobular connective tissue septa. The islet cells are seen interspersed between the acinar cells. The islets appeared lightly stained than the surrounding acinar cells. B. Diabetic rats revealed pathological changes of both exocrine and endocrine components. Theacinar cells were swollen and small vacuoles were observed in almost all acinar cells. Interlobular ducts were lined with flattened epithelium (indicated by black triangle). Islet β-cells are almost fully lost in alloxanmonohydrate treated rats. C. Diabetic rats treated with Glibenclamide (5 mg/kg) showing distortion of the general architecture. Most exocrine acini revealed acinar damage represented by cytoplasmic vacuolation and cell atrophy (indicated by black triangle). Wider interlobular (marked by black arrow) and intralobular (marked by black star) duct was observed. D. Diabetic rats treated with EEZO (200 mg/kg) displaying nearly normal structure of Islets of Langerhans. Atrophic change of the acinar cells was less severe and the border between exocrine and endocrine portions became more distinct. E. Diabetic rats treated with EEZO (400 mg/kg) shown rejuvenation of islets. The small vacuoles in the basal area of acinar cells were also much smaller. F. Diabetic rats treated with AEZO (200 mg/kg) shown rejuvenation of islets. The small vacuoles in the basal area of acinar cells were also much smaller. G. Diabetic rats treated with AEZO (400 mg/kg) shown displaying the nearly normal structure of Islets of Langerhans. Atrophic change of the acinar cells was comparatively severe and the border between exocrine and endocrine portions became more distinct
The various numbers of plants have been traditionally used to treat diabetes and some have been proven to have hypoglycemic effects. These studies have identified that compounds such as polysaccharides [16], flavonoids [17], terpenoids and tannins [18] and steroids [19] are responsible for the antidiabetic effect. The Zanthoxylumovalifolium also contains flavonoids, saponins and carbohydrate, steroids, tannins, and phenolic compounds. The observed hypoglycemic effects of this plant could have resulted from the combined activity of these compounds present in the extract.
Alloxan is one of the usual substances used for the induction of diabetes mellitus apart from streptozotocin. Alloxan has a destructive effect on the beta cells of the pancreas [20, 21]. Alloxan causes a massive reduction in insulin release by the destruction of β-cells the islets of langerhans, thereby inducing hyperglycemia. Insulin deficiency leads to various metabolic alterations in the animals viz increased blood glucose, increased cholesterol, increased levels of alkaline phosphate and transaminases [22-24].
The ethanol and aqueous extract of Zanthoxylum ovalifolium was found to be effective in normalizing the elevated levels of blood glucose and blood lipid-like cholesterol, triglycerides, LDL and VLDL. Administration of alloxan (100 mg/kg i. p) led to an elevation of fasting blood glucose levels, which was maintained throughout the period of 21 d of daily treatment of EEZO and AEZO led to a fall in blood sugar levels. In our studies, the disruption of pancreas in alloxan treated diabetic control rats [fig. 1(B)] and regeneration of cells by glibenclamide [fig. 1(C)] was observed. It is found that ethanol and aqueous extract at high dose (400 mg/kg) is more effective than extract at low dose (200 mg/kg) of 21th day treatment. The ethanolic and aqueous extract at high dose (400 mg/kg) is more effective and shows similar curative effect as the standard that is glibenclamide (5 mg/kg). This could be due to the possibility that some cells are still surviving to act upon by Zanthoxylum ovalifolium extract to exert its insulin-releasing effect.
Histopathological examination (fig. 1) of the pancreas, in the normal control group, the section of pancreas showing well compacted, arranged in cord like manner the cell of endocrine pancreas especially the β-cells in the center and alpha in the periphery no necrosis were observed. After inducing alloxan, in diabetic control group the islets are disrupted islets of langerhans exhibited hydrophobic cells, necrotic cells, vacuolization and irregular hyperchromic nuclei. Regeneration of cells can be observed in standard drug (glibenclamide) treated group. In the ethanolic extract of Zanthoxylum ovalifolium (200 mg/kg) showing necrotic β-cells and congestive changes with loss of cytochromic granules. The well-formed compactly arranged β-cells surrounded by alpha cells also note the presence of small highlight indicative of regeneration has been observed in the ethanolic extract of Zanthoxylum ovalifolium (400 mg/kg). In aqueous extract of Zanthoxylum ovalifolium (200 mg/kg) the islet of langerhans showing on set of necrotic changes in some of the β-cells also note the granular cytoplasm indicating presence of insulin granules. The Presence of small highlight and pancreatic duct in the adjacent area indication of ductular hyperplasia and regeneration has been observed in aqueous extract of Zanthoxylum ovalifolium (400 mg/kg).
It can be concluded from the present investigations that ethanol and aqueous extracts of Zanthoxylum ovalifolium at high dose (400 mg/kg) exhibited significant antihyperglycemic activity than at low dose (200 mg/kg) in alloxan-induced diabetic rats. These test extracts also showed improvement in parameters like lipid profile as well as regeneration of cells in the pancreas. However, further studies are needed to investigate and elucidate the possible mechanism of action of the active ingredients, establish complete safety profiles and evaluate the potential value of Zanthoxylum ovalifolium leaf extracts for the management of diabetes and hyperlipidemia.
The authors are thankful to Principal, National College of Pharmacy, Shivamogga, Karnataka for providing the facilities to carry out research work.
Nil
Both authors have contributed equally.
Declared none
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