Beneficial role of Areca
catechu nut extract in Alloxan-induced Diabetic
Rats
L. Kavitha1, B. Kumaravel2, G. Sriram Prasath1 and S. Subramanian1*
1Department of
Biochemistry, University of Madras, Guindy Campus, Chennai
600 025, India
2Mahatma Gandhi
Medical College and Research Institute, Puducherry-607402.
ABSTRACT:
Areca catechu, popularly known as “Areca nuts” have been used in
traditional herbal medicine for the treatment of various diseases including
diabetes. In the absence of systemic scientific data in the literature, the
present study was designed to evaluate the hypoglycemic, hypolipidemic
and antioxidant properties of Areca
catechu nut extract in alloxan-induced
experimental diabetes in rats. Phytochemical analysis revealed the presence of
alkaloids, flavanoids, carbohydrates, saponins, tannins, phytosterol, terpenoids and phenols. The effect of oral administration
of Areca catechu nut extract (250
mg/kg b.w.) on the levels of biochemical parameters
was determined in both control as well as experimental groups of rats. The
altered levels of biochemical parameters in the diabetic rats were
significantly reverted back to near basal values by the administration of Areca catechu nut extract for 30 days.
The level of glycogen content was improved upon the extract treatment. The
altered activities of serum aminotransferase and
alkaline phosphatases were restored to normalcy. The
levels of lipid peroxides in the plasma and pancreatic tissues of diabetic rats
were elevated significantly and were normalized by the administration of Areca catechu nut extract. The
activities of enzymatic antioxidants in pancreatic tissues and the levels of
plasma non-enzymatic antioxidants were markedly declined in the diabetic rats.
Upon treatment with Areca catechu nut
extract to diabetic rats, decreased levels were elevated to near normal values.
The altered levels of lipid profile in the diabetic group of rats were reverted
back to near normalcy upon the extract treatment. Thus, the results of the
study indicate that Areca catechu nut
extract possesses antilipidemic, antioxidant effects
in addition to antidiabetic activity. The results are
comparable with gliclazide, an oral standard
hypoglycemic drug. The phytochemicals found to be
present present in the Areca catechu nut extract may account for the observed
pharmacological properties.
KEYWORDS: Areca catechu, antidiabetic, antilipidemic, antioxidant nature.
INTRODUCTION:
Diabetes is a chronic
disorder resulting in the abnormalities of carbohydrates, proteins, and fat
metabolism due to absolute or relative deficiency of insulin secretion
with/without varying degree of insulin resistance. According to World Health
Organization projections, the prevalence of diabetes is likely to increase by
35% by the year 20251. The
world prevalence of diabetes among adults is 6.4%, affecting 285 million
adults, in 2010, and will increase to 7.7%, and 439
million adults by 2030. Between 2010 and 2030, there will be a 69% increase in
numbers of adults with diabetes in developing countries and a 20% increase in
developed countries2.
Regardless of the type
of diabetes, individuals with diabetes are required to control their blood
glucose with medications and/or by adhering to an exercise program and a
dietary plan. Most of the currently available oral hypoglycaemic
drugs possess adverse side effects. Hence search for novel drugs without side
effects still continues. Plant drugs and herbal formulations are frequently
considered to be less toxic and free from adverse side effects than synthetic
one3. Plants have always been an exemplary source of drugs and many
of the currently available drugs have been derived either directly or
indirectly from them.
Areca Catechu is popularly used in traditional herbal
medicines in many parts of the world. The
seeds are commonly known in folklore medicine for treatment of various
diseases such as dyspepsia, constipation, beriberi and oedema.
The seeds contain phenolics and alkaloids such as arecoline, arecaidine and
guvacine4. A. catechu
constituents exert several beneficial effects on skin, suggesting the possible
use in cosmetics industries5.
A. catechu is burned to make
charcoal, which is pulverized and added to toothpaste6. The betel
leaves and areca nuts are used ceremonially in traditional weddings.
Traditionally, a groom might offer the bride's parents betel and areca, the
leaf and the nut symbolizing the ideal married couple bound together. In
Vietnamese the phrase "matters of betel and areca" is synonymous with
marriage.
Areca Catechu is found to possess various activities like platelet aggregation activity7,
anticancer, anti-inflammatory8,
9,, antidepressant10,
antivenom11 and antioxidant
activity12. In the absence of systemic studies in the
literature, the present study was aimed to evaluate the antidiabetic,
antioxidant and antidyslipidemic activity of ethanolic
extract of Areca Catechu nut in alloxan induced experimental diabetes in rats
MATERIALS AND METHODS:
PLANT MATERIAL
Areca Catechu nuts were collected from a retail shop and
authenticated by a
qualified taxonomists and a voucher specimen was deposited at the Department of
Biochemistry, University of Madras.
PREPARATION OF PLANT EXTRACT
Areca Catechu nuts were dried at room temperature and
powdered in an electrical grinder, which was then stored in an airtight
container at 5° C until further use. The powdered nuts were delipidated
with petroleum ether (60 - 80° C) for overnight. It was then filtered and soxhalation was performed with 95% Ethanol. Ethanol was
evaporated in a rotary evaporator at 40 – 50° C under reduced pressure.
PHYTOCHEMICAL SCREENING
The ethanolic extract
of Areca Catechu nuts were subjected to preliminary phytochemical screening of various plant constituents13.
EXPERIMENTAL ANIMALS
Male albino Wistar
rats (150-180 g) were purchased from TANUVAS, MADAVARAM, Chennai.
The rats were housed in polypropylene cages lined with husk and kept in Animal
house, Department of Biochemistry. It was renewed every 24 hours. The rats were
fed with commercial pelleted rats chow (VRK
Nutritional Solutions, Maharashtra, India) and had free access to water. The
experimental rats were maintained in a controlled environment (12:12 hours
light/dark cycle) and temperature (30 ± 2° C). The experiments were designed
and conducted in accordance with the ethical norms approved by Ministry of
Social Justices and Empowerment, Government of India and Institutional Animal
Ethics Committee Guidelines for the investigation of experimental pain in
conscious rats. The rats were acclimatized for one week before starting the
experiments.
INDUCTION OF DIABETES MELLITUS
Diabetes was induced by single intraperitonial
injection of alloxan monohydrate dissolved in sterile
normal saline at a dose 120 mg/Kg, after overnight fasting to induce
hyperglycemia. After 1 hour, the animals were fed on standard pellets and water
ad libitum. Rats
were supplied with 5% glucose solution for 48 hours after alloxan
injection in order to prevent severe hypoglycaemia.
After 1 week time for the development and aggravation of diabetes, the rats
with moderate diabetes having persistant glycosuria and hyperglycemia (Blood Glucose range of above
250 mg/dL) were considered as diabetic rats and used
for the experiment. The treatment was started on the eighth day after alloxan injection and this was considered as first day of
treatment.
EXPERIMENTAL DESIGN
The rats were divided into 4 groups, each comprising of a minimum of six
rats as follows:
Group I : Control rats (Water and food ad libitum).
Group II : Alloxan induced diabetic Rats.
Group III : Diabetic rats treated with Areca Catechu nut
extract (250 mg/Kg Body weight/day) in aqueous solution orally for 30
days.
Group IV : Diabetic rats treated with gliclazide (5mg/Kg
body weight/day) in aqueous solution orally for 30 days.
During the experimental period, body
weight and blood glucose levels of all the rats were determined at regular
intervals. At the end of the experimental period, the rats were fasted over
night, anaesthetized, and sacrificed by cervical dislocation. The blood was
collected with or without anticoagulant for plasma or serum separation
respectively.
Preparation of tissue
homogenate
The pancreatic tissues were excised, rinsed in ice- cold saline. The
tissues were homogenized in Tris–HCl buffer (100 mM, pH 7.4) at 4°C, in a Potter– Elvehjem
homogenizer with a Teflon pestle at 600 rpm for 3 min. The homogenate was then
centrifuged at 12,000g for 30 min at 4°C. The supernatant was collected as
tissue homogenate, which was used to assay various parameters.
Blood glucose level was estimated by the method of glucose oxidase/peroxidase as described
by Trinde14 and urea by Natelson et al.15. Plasma was separated and
used for insulin assay using ELISA kit for rats. Levels of hemoglobin and glycosylated hemoglobin were estimated according to methods
of Drabkin and Austin16 and Nayak and Pattabiraman17, respectively. Plasma
was used for protein assay 18 and serum for determination of
creatinine19 and uric acid20. Aspartate
transaminase(AST), Alanine transaminase(ALT)
and Alkaline phosphatase (ALP) were assayed by the
method of King et al.21, 22. For the estimation of glycogen, the
extraction was carried out by the method of Morales et al. (1973)23.
The pancreatic tissue homogenate was centrifuged at 5000g to remove cellular
debris and supernatant was used for the determination of lipid peroxides and
enzymatic antioxidants. Lipid peroxides were eatimated
using thiobarbituric acid reactive substances by the
method of Ohkawa et al.24 Levels of
vitamin C, vitamin E, ceruloplasmin and glutathione
(GSH) were determined by the methods of Omaye et al,25 Desai26, Ravin27, Sedlak and Lindsay28, respectively. Enzymatic antioxidants such as superoxide dismutase29,
catalase30, glutathione peroxidase31 in pancreatic
supernatant.
Oral Glucose Tolerance Test (OGTT)
At the end of the
experimental period, a fasting blood sample was collected from all the groups
of rats to perform oral glucose tolerance test. Rats were administered orally
with 2 g/kg glucose solution. Blood samples were collected at 30, 60, 90 and
120 minutes after glucose administration and the levels of blood glucose was
determined.
Lipid profile
Plasma was used for
the estimation of lipid profile. Cholesterol content was estimated by the
method of Parekh and Jung32. Triglyceride was estimated by the
method of Rice33. HDL Cholesterol fraction was separated by the
precipitation techniques of Burstein and Scholnick34 and the
cholesterol content was determined.
RESULTS:
Table 1 shows the
qualitative analysis of phytochemicals present in the
ethanolic extract of Areca Catechu nut.
Phytochemical evaluation revealed the presence of alkaloids, flavanoids, carbohydrates, saponins,
tannins, phytosterol, terpenoids
and phenols.
Table 1 Phytochemical
screening of A. catechu nut extract
PHYTOCONSTITUENTS |
INFERENCE |
Alkaloids
|
+ |
Flavonoids |
+ |
Carbohydrates |
+ |
Glycosides
|
- |
Saponins |
+ |
Tannins |
+ |
Phytosterol |
+ |
Triterpenoids |
- |
Anthraquinones |
+ |
Phenols |
+ |
Table 2, shows the
changes of body weight in control and experimental group of rats. Diabetic rats
exhibited reduction in body weight. However, diabetic rats treated with the nut
extract as well as gliclazide showed an improvement
in body weight.
Table
2: Effect of A. catechu nut extract on changes in body weight
of experimental groups of rats after 30 days treatment.
Groups |
Body weight (g) |
|
Initial |
Final |
|
Control |
166.18 ± 4.04 |
209.72 ± 5.21 |
Diabetic |
169.36 ± 2.58 |
147.19 ± 7.35* |
Diabetic + A. catechu extract |
164.27 ± 3.05 |
182.56 ± 4.41@ |
Diabetic + gliclazide |
165.54 ± 4.12 |
191.16 ± 3.36@ |
Values are given as
mean ± SD for groups of six rats in each. Values are statistically significant
at p < 0.05. Statistical significance was compared within the groups as
follows: *compared with control, @ compared
with diabetic rats.
Table 3 shows the
changes in the levels of blood glucose, after oral administration of glucose
(2g/ kg) in control and experimental rats. The data of OGTT revealed that the
blood glucose value in control rats reach peak at 60 minutes after the oral
glucose load and gradually return backs to normal levels after 120 minutes. In
diabetic control rats, the peak increases in blood glucose concentration was
observed after 60 minutes and stayed high over the next 60 minutes. Treatment
with Areca Catechu showed definite lower peak blood glucose values, 60
minutes after glucose load also elicit lower values almost at the end of 120
minutes.
Table 3. Effect of A. catechu nut
extract on the blood glucose level (mg/dl) in the experimental groups of
rats receiving an oral glucose load.
Groups |
Fasting |
30 min |
60 min |
90 min |
120 min |
Control |
93.25 ± 5.16 |
134.21 ± 6.44 |
168.77 ± 9.07 |
139.06 ± 11.14 |
99.85 ± 9.25 |
Diabetic |
266.69 ± 17.56* |
303.33 ± 23.16* |
376.48 ± 30.51* |
342.37 ± 25.14* |
324.46 ± 21.96* |
Diabetic + A. catechu extract |
150.61 ± 13.76@ |
190.48 ± 19.24@ |
243.41 ± 21.93@ |
198.67 ± 19.55@ |
160.01 ± 14.99@ |
Diabetic + gliclazide |
141.55 ± 9.25@ |
172.52 ± 17.04@ |
224.95 ± 18.18@ |
176.38 ± 13.89@ |
155.07 ± 10.51@ |
Values are given as mean ± SD for groups of
six rats in each. Values are statistically significant at p < 0.05.
Statistical significance was compared within the groups as follows: *compared with control, @ compared
with diabetic rats.
Table 4 Effect of A.
catechu nut extract on the levels of blood glucose, plasma insulin,
hemoglobin, glycosylated hemoglobin, and urine sugar
in the experimental groups of rats.
Groups |
Glucose (mg/dl) |
Insulin (µU/ml) |
Hemoglobin (g/dl) |
Glycosylated hemoglobin (%) |
Urine sugar |
Control |
99.69 ± 10.05 |
15.88 ± 2.54 |
14.96 ± 2.48 |
6.01 ± 1.42 |
Nil |
Diabetic |
283.08 ± 22.56* |
5.03 ± 2.02* |
10.08 ± 1.67* |
13.11 ± 1.92* |
+++ |
Diabetic + A. catechu extract |
146.42 ± 11.24@ |
11.51 ± 1.95@ |
12.47 ± 2.49@ |
8.12 ± 1.89@ |
Nil |
Diabetic + gliclazide |
131.20 ± 14.21@ |
12.19 ± 1.63@ |
13.18 ± 2.09@ |
7.06 ± 2.03@ |
Nil |
Values are given as
mean ± SD for groups of six rats in each. Values are statistically significant
at p < 0.05. Statistical significance was compared within the groups as
follows: *compared with control, @ compared
with diabetic rats.
Table 5 Effect of A. catechu nut extract on
the levels of liver and muscle glycogen content in the experimental groups of rats.
Groups |
Glycogen (mg glucose/g tissue) |
|
Liver |
Skeletal muscle |
|
Control |
41.42 ± 3.62 |
7.93 ± 0.82 |
Diabetic |
19.51 ± 2.08* |
3.46 ± 0.47* |
Diabetic + A. catechu extract |
31.71 ± 3.46@ |
5.57 ± 0.62@ |
Diabetic + gliclazide |
34.98 ± 2.75@ |
5.90 ± 0.86@ |
Values are given as
mean ± SD for groups of six rats in each. Values are statistically significant
at p < 0.05. Statistical significance was compared within the groups as
follows: *compared with control, @ compared
with diabetic rats.
Table 6 Effect of A.
catechu nut extract on the levels of protein, urea, creatinine
and uric acid in plasma of
experimental groups of rats.
Groups |
Protein (g/dl) |
Urea (mg/dl) |
Creatinine (mg/dl) |
Uric acid (mg/dl) |
Control |
8.02 ± 1.09 |
24.81 ± 2.15 |
1.17 ± 0.13 |
2.34 ± 0.90 |
Diabetic |
5.65 ± 0.72* |
46.53 ± 4.08* |
2.96 ± 0.31* |
5.36 ± 1.18* |
Diabetic + A. catechu extract |
6.65 ± 0.88@ |
31.99 ± 3.12@ |
1.36 ± 0.18@ |
3.24 ± 0.86@ |
Diabetic + gliclazide |
7.21 ± 0.84@ |
29.92 ± 2.98@ |
1.21 ± 0.12@ |
2.96 ± 1.10@ |
Values are given as mean ± SD for groups of
six rats in each. Values are statistically significant at p < 0.05.
Statistical significance was compared within the groups as follows: *compared with control, @ compared
with diabetic rats.
Table 4 depicts the
effect of oral administration of A. catechu nut extract on the levels of blood
glucose, plasma insulin, hemoglobin, glycosylated
hemoglobin, and urine sugar in the control as well as experimental groups
of rats. The elevated levels of blood glucose, glycosylated
hemoglobin in the diabetic group of rats were reverted to near normal level by
the administration of A. catechu nut. Conversely, the decreased levels of
plasma insulin, hemoglobin in diabetic group of rats were elevated by the administration
of A. catechu nut extract to diabetic rats for 30 days. Urine sugar which was
present in the diabetic group of rats was absent in A. catechu nut extract as
well as gliclazide treated diabetic group of rats.
Table 5 depicts the
level of liver and muscle glycogen content in control and experimental group of
rats. The significant decrease in liver and muscle glycogen content were
observed in diabetic rats when compared with normal control rats and the level
was brought back nearer to normal by oral administration of Areca Catechu nut
extract as well as gliclazide.
The effect of oral
administration of Areca Catechu nut extract on the levels of total
protein, urea, uric acid and creatinine are presented
in Table 6. The altered levels of these parameters were reverted back to near
normalcy upon the treatment with the nut extract.
Table 7 depicts the
level of serum enzymes such as AST, ALT and ALP in normal control and
experimental group of rats. The increased activities of these marker enzymes were
reverted back to near normalcy upon the treatment with the nut extract.
Table
7 Effect of A. catechu nut extract on the activity of AST, ALT and ALP
in the serum of experimental groups of rats.
Groups |
AST |
ALT |
ALP |
Control |
65.42 ± 6.34 |
18.16 ± 2.39 |
81.91 ± 10.16 |
Diabetic |
111.99 ± 14.98* |
46.28 ± 4.71* |
153.26 ± 18.64* |
Diabetic + A. catechu extract |
93.16 ± 10.04@ |
24.93 ± 3.62@ |
100.05 ± 11.78@ |
Diabetic + gliclazide |
80.52 ± 8.31@ |
20.98 ± 2.02@ |
98.64 ± 10.11@ |
Table
8 Effect of A. catechu nut extract on
the level of TBARS in plasma, pancreas and liver of experimental groups of
rats.
Groups |
TBARS |
||
Plasma |
Pancreas |
Liver |
|
Control |
4.17 ± 0.69 |
40.24 ± 4.75 |
1.70 ± 0.36 |
Diabetic |
8.12 ± 1.61* |
78.26 ± 9.44* |
4.37 ± 0.70* |
Diabetic + A. catechu extract |
5.29 ± 1.16@ |
58.29 ± 6.81@ |
2.49 ± 0.31@ |
Diabetic + gliclazide |
5.04 ± 1.02@ |
55.99 ± 7.43@ |
2.65 ± 0.39@ |
Units: mM/100 g in tissues; nM/ml in
plasma. Values are given as mean ± SD for groups of six rats in each.
Values are statistically significant at p < 0.05. Statistical significance
was compared within the groups as follows:
*compared with control, @ compared with diabetic rats.
Table 9 Effect of A.
catechu nut extract on the activity of SOD, Catalase
and GPx, and the level of GSH in pancreas of
experimental groups of rats.
Groups |
SOD |
Catalase |
GPx |
GSH |
Control |
5.05 ± 1.69 |
15.23 ± 2.10 |
6.37 ± 1.01 |
26.09 ± 2.65 |
Diabetic |
1.42 ± 0.40* |
5.85 ± 1.42* |
3.09 ± 0.31* |
12.44 ± 1.61* |
Diabetic + A. catechu extract |
3.82 ± 0.90@ |
12.16 ± 1.47@ |
4.73 ± 0.64@ |
20.69 ± 2.27@ |
Diabetic + gliclazide |
3.96 ± 0.87@ |
13.10 ± 1.08@ |
5.39 ± 0.91@ |
22.09 ± 2.74@ |
Table
10 Effect of A. catechu nut extract on
the activity of SOD, Catalase and GPx,
and the level of GSH in liver of experimental groups of rats.
Groups |
SOD |
Catalase |
GPx |
GSH |
Control |
16.04 ± 2.47 |
70.81 ± 8.31 |
11.16 ± 1.09 |
38.19 ± 5.64 |
Diabetic |
5.05 ± 0.71* |
30.19 ± 3.54* |
3.74 ± 0.69* |
21.89 ± 2.82* |
Diabetic + A. catechu extract |
10.95 ± 1.22@ |
61.02 ± 6.09@ |
8.16 ± 0.89@ |
31.56 ± 4.08@ |
Diabetic + gliclazide |
12.13 ± 1.50@ |
65.45 ± 5.95@ |
9.01 ± 1.04@ |
32.60 ± 4.59@ |
The enzyme activities
are expressed as: AST and ALT µmoles of pyruvate
liberated /h/mg of protein; ALP µmoles of phenol liberated/min/mg of protein.
Values are given as mean ± SD for groups of six rats in each. Values are
statistically significant at p < 0.05. Statistical significance was compared
within the groups as follows: *compared
with control, @ compared with diabetic rats.
The level of TBARS in
plasma, pancreas and hepatic tissues of control and experimental group of rats
are presented in table 8. Diabetic rats showed marked increase in TBARS when
compared with control rats. Upon treatment of Areca Catechu nut extracts
as well as gliclazide to the diabetic rats showed
significant decrease in the levels of TBARS when compared with diabetic rats.
Table 9 and 10 shows
the activity of antioxidant enzymes such as SOD, Catalase,
glutathione peroxidase and reduced glutathione in pancreatic
and liver tissues respectively in normal control and experimental group of
rats. A significant decrease in the activity of antioxidant enzymes was
observed in alloxan induced diabetic rats. Upon
treatment with ethanolic extract of Areca Catechu nut as well as gliclazide to alloxan induced
diabetic rats restored the level of antioxidant enzymes to normal.
Activity is expressed
as: 50% of inhibition of epinephrine autooxidation/min/mg
of protein for SOD; µmoles of hydrogen peroxide decomposed/min/mg of protein
for catalase; µmoles of glutathione oxidized/min/mg
of protein for GPx; mg/100 g tissue for GSH. Values
are given as mean ± SD for groups of six rats in each. Values are statistically
significant at p < 0.05. Statistical significance was compared within the
groups as follows: *compared with
control, @ compared with diabetic rats.
Activity is expressed
as: 50% of inhibition of epinephrine autooxidation/min/mg
of protein for SOD; µmoles of hydrogen peroxide decomposed/min/mg of protein
for catalase; µmoles of glutathione oxidized/min/mg
of protein for GPx; mg/100 g tissue for GSH. Values
are given as mean ± SD for groups of six rats in each. Values are statistically
significant at p < 0.05. Statistical significance was compared within the
groups as follows: *compared with
control, @ compared with diabetic rats.
The levels of non
enzymatic antioxidant such as Vitamin E, Vitamin C, Ceruloplasmin
and reduced glutathione in plasma of control and experimental group of rats are
shown in Table 11. The diminished levels of non-enzymatic antioxidants in the
diabetic group of rats were significantly improved to near normal values by the
oral administration of Areca Catechu nut extract as well as gliclazide, after 30 days of treatment.
Table 11
Effect of A. catechu nut extract on the levels of vitamin C,
vitamin E, ceruloplasmin and GSH in plasma of experimental
groups of rats.
Groups |
Vitamin C |
Vitamin E |
Ceruloplasmin |
GSH |
Control |
1.49 ± 0.15 |
0.69 ± 0.09 |
12.29 ± 1.62 |
30.74 ± 3.99 |
Diabetic |
0.50 ± 0.09* |
0.32 ± 0.04* |
5.06 ± 0.89* |
14.99 ± 2.45* |
Diabetic + A. catechu extract |
0.98 ± 0.12@ |
0.55 ± 0.07@ |
9.95 ± 1.46@ |
22.86 ± 2.87@ |
Diabetic + gliclazide |
1.02 ± 0.14@ |
0.59 ± 0.05@ |
10.41 ± 1.88@ |
25.15 ± 3.06@ |
Units: mg/dl. Values
are given as mean ± SD for groups of six rats in each. Values are statistically
significant at p < 0.05. Statistical significance was compared within the
groups as follows: *compared with control,
@ compared with diabetic rats.
Table 12 Effect of A.
catechu nut extract on the levels of total cholesterol, triglycerides,
LDL-cholesterol and HDL-cholesterol in the plasma of experimental groups of
rats.
Groups |
Total cholesterol |
Triglycerides |
LDL |
HDL |
Control |
92.51 ± 11.84 |
62.29 ± 8.46 |
50.05 ± 6.12 |
28.95 ± 2.08 |
Diabetic |
169.12 ± 18.65* |
152.07 ± 14.07* |
124.45 ± 9.61* |
14.64 ± 1.62* |
Diabetic + A. catechu extract |
103.87 ± 14.18@ |
90.15 ± 10.05@ |
72.69 ± 7.49@ |
22.03 ± 1.78@ |
Diabetic + gliclazide |
97.18 ± 11.92@ |
84.46 ± 8.09@ |
60.17 ± 6.59@ |
23.91 ± 2.11@ |
Units: mg/dl. Values
are given as mean ± SD for groups of six rats in each. Values are statistically
significant at p < 0.05. Statistical significance was compared within the
groups as follows: *compared with control,
@ compared with diabetic rats.
Table 12 depicts the
level of total cholesterol, triglycerides and lipoproteins (LDL and HDL) levels
of normal control and experimental group of rats. The elevated levels of lipid
and lipoproteins (LDL) and reduced level of HDL cholesterol was observed in
diabetic rats than normal control and the level was restored back nearer to the
normal value was achieved by administration of Areca Catechu nut extract
as well as gliclazide.
DISCUSSION:
The therapeutic values
of plants lie in phytochemical constituents that
exert distinct physiological activities in the human body. Highly coloured vegetables and fruits found to be highest in phytoconstituents, but tea, chocolate, nuts, flax nuts, and
olive oil are excellent sources as well. Phytochemical analysis of A.
catechu nut extract revealed the presence of alkaloids, flavanoids,
carbohydrates, saponins, tannins, phytosterol,
terpenoids and phenols. These phytochemicals
were speculated to account for the observed pharmacological effects of the
extract.
Alloxan acts as a cytotoxin for beta-cells of the islet of langerhans, causes diabetes by inducing β cell
necrosis35. The reactive oxygen species mediates the cytotoxic action with the increase in cytosolic
calcium concentration, leading to rapid beta-cells destruction36.
Diabetic rats exhibit gradual weight loss as compared with the normal group.
This process is due to muscle wasting and depletion of protein in tissues. A
decrease in body weight was observed in diabetic group indicating the increased
proteolysis. Diabetic rats treated with Areca Catechu nut extract
and gliclazide for 30 days showed a significant
improvement in body weight as compared to diabetic animals, which shows the
beneficial effects of the extract in controlling the muscular wasting. The
results of the present study are in agreement with those of previous reports37.
Diabetes mellitus is
characterized by decreased glucose tolerance due to low secretion of insulin or
its action. Oral glucose tolerance test (OGTT) is a test of immense value in favour of using fasting plasma glucose concentration to
facilitate the diagnosis of diabetes mellitus. OGTT revealed that the blood
glucose levels in control rats reach peak at 60 minutes after the oral glucose
load and gradually return backs to normal levels after 120 minutes. In diabetic
control rats, the peak increases in blood glucose concentration was observed
after 60 minutes and remained high over the next 60 minutes. However, oral
treatment with Areca Catechu showed definite lower peak blood glucose
values, 60 minutes after glucose load also gives lower values almost at the end
of 120 minutes indicating the improved glucose tolerance
Blood glucose
estimation provides valuable information about the severity and therapeutic
control of diabetes mellitus. In diabetes, the blood glucose levels are
drastically elevated which results from reduced glucose utilization by various
tissues. Alloxan induction causes specific damage in
β cells and thus exerts a pronounced increase in blood glucose
concentration. It is well established that gliclazide
is used as an antihyperglycemic drug, which increases
the insulin secretion from pancreas and it is often used as a standard drug in alloxan induced diabetic models to compare the antidiabetic property of various plant extracts. Oral
administration of Areca Catechu nut extract to alloxan
induced diabetic rats resulted in reduction in blood glucose level indicating
the hypoglycemic nature of the nut extract.
Insulin is the key hormone responsible for
metabolizing sugar and preventing the accumulation of glucose in blood stream.
In diabetic rats, there is decreased insulin level when compared to control
rats. The decreased insulin level depends upon the degree of β cells
destruction. Administration of Areca Catechu nut extract as well as gliclazide to alloxan induced
diabetic rats shows improved insulin level. This indicates that the Areca
Catechu extract has antidiabetic activity by
potentiating the stimulation of insulin release from the bound form or from the
remnant pancreatic β cell.
Glycosylated haemoglobin
(HbA1c) is a standard biochemical marker in assessment of diabetes. Glycated haemoglobin is a unique
form of haemoglobin used primarily to identify the
average plasma glucose concentration over prolonged periods of time. It is
formed in non-enzymatic pathway by hemoglobin’s normal exposure to persistent
high plasma levels of glucose38. The studies show that HbA1c is an
important marker in assessing a patient’s risk of microvascular
complications and hypoglycaemia. Hence, measurement
of both HbA1c and blood glucose levels are now used in the routine management
of diabetic individuals39 .Diabetic rats showed higher levels of glycated hemoglobin indicating their poor glycemic control. There was a significant elevation in the
levels of glycosylated haemoglobin,
while the level of total haemoglobin decreased during
diabetes compared to normal control rats. Oral administration of Areca
Catechu extract brought back to near normal indicating the improved glycemic control. Urine sugar which was present in the
diabetic groups of rats was found to be absent in the rats treated with extract
indicating the improved glucose homeostasis.
Liver plays a unique
role in controlling carbohydrate metabolism by maintaining glucose concentrations
in a normal range over both short and long periods of times. Liver produces
glucose by breaking down glycogen (glycogenolysis)
and by de novo synthesis of glucose (gluconeogenesis)
from non-carbohydrate precursors such as lactate, amino acids and glycerol. In
the present study the experimental diabetic rats treated with Areca Catechu nut
extract as well as gliclazide treated groups restored
the level of hepatic glycogen by means of decreasing the activity of glycogen phosphorylase and increasing the activity of glycogen synthase. It indicates that the defective glycogen storage
of the diabetic state was corrected by Areca Catechu which might be due
to the improved glucose homeostasis
A variety of proteins
are subjected to non-enzymatic glycation and contributes
to the long-term complications of diabetes40 . The observed
decrease in total protein content in diabetic rats may be ascribed to (i) decreased amino acid uptake; (ii) greatly decreased
concentration of variety of essential amino acids; (iii) increased conversion
rate of glycogenic amino acids to carbon dioxide and water; and (iv) reduction
in protein synthesis secondary to a decreased amount and availability of mRNA41
.
Urea is the main end
product of protein catabolism in the body. Accumulation of urea nitrogen in
experimental diabetes may due to the enhanced breakdown of both liver and
plasma proteins42. Diabetes causes disturbance in renal function and
blood urea level was significantly increased in diabetic rats. Oral
administration of Areca Catechu nut extracts reduced the level of urea
in alloxan induced diabetic rats indicating the
prophylactic role of the extract in protein metabolism. Our results are in
concordance with the recent reports43.
Uric acid is one of
the main antioxidant present in the body and diabetes causes reduced levels of
uric acid44. The extract reflects the antioxidant potential as it
reduced the oxidative stress and increase in uric acid level. Diabetic rats
exhibited higher uric acid levels indicating the increased oxidative stress.
However, oral administration of Areca Catechu nut extract normalized the
levels of uric acid indicating the free radical scavenging action of the
extract.
Creatinine is a byproduct of the
breakdown of creatine and phosphocreatine,
which are considered as an energy storage compounds in muscle. The serum creatinine concentration may vary based on a number of
factors including diet composition, muscle mass and gender. Serum creatinine values also depend on the ability of the kidney
to excrete creatinine. An elevation in creatinine usually occurs simultaneously with an increase
in blood urea nitrogen. In the present study, the oral treatment with extract
significantly reduced the serum creatinine level.
Therefore, it may be concluded that the early renal changes occurred in the
diabetic rats were significantly improved by the oral administration of the nut
extract.
Aminotransferases, such as alanine aminotransferase and aspartate aminotransferase
measure the concentration of intracellular hepatic enzymes that have leaked
into the circulation and serve as a marker of hepatocyte
injury. Alkaline phosphatises act as markers of biliary function and cholestasis.
It is hypothesized that elevation in ALT, AST and ALP are considered as
predictors of diabetes. The elevation of these pathophysiological
enzymes may also reflect the damage of the hepatic cells. Kim et al. concluded
that the elevation in AST and ALT levels may be due to the destructive changes
in the hepatic cells as a result of toxaemia45. On the other hand,
other investigators have postulated that diabetes could induce defects in sarcolemmal enzymatic activities46 which leads
finally to such effects. Diabetic rats
exhibited higher levels of these serum enzymes indicating the liver damage. Oral
administration of Areca Catechu extract to alloxan
induced diabetic rats resulted in gradual normalization of the activities of
AST, ALT and ALP suggesting the non toxic nature as well as organ protective
role of the extract.
Free radicals are
generated as by-products of normal cellular metabolism; however, several
conditions are known to disturb the balance between ROS production and cellular
defense mechanisms. This imbalance can result in cell dysfunction and
destruction resulting in tissue injury. The intensified free radical production
during experimental diabetes resulted in the elevated levels of lipid peroxides
and hydroperoxides by oxidative degradation of
polyunsaturated fatty acids. Diabetic rats showed marked increase in TBARS when
compared with normal rats. Treatment of Areca Catechu nut extracts as
well as gliclazide to the diabetic rats showed
significant decrease in the levels of TBARS when compared with diabetic rats indicating the
free radical scavenging potential of the extract
The increase in the
level of ROS in diabetes could be due to their increased production and/ or
decreased destruction by nonenzymic and enzymic catalase (CAT),
glutathione peroxidase (GSH-Px),
and superoxide dismutase (SOD)] antioxidants 47. The level of these
antioxidant enzymes critically influences the susceptibility of various tissues
to oxidative stress and is associated with the development of complications in
diabetes. Also this is particularly relevant and harmful for the β cells,
which is among those tissues that have the lowest levels of intrinsic
antioxidant defenses48. Enzymatic antioxidant activities such as
superoxide dismutase, catalase and glutathione peroxidise decrease in liver, kidney and heart tissues of
patients with diabetes mellitus49. Oral administration of ethanolic
extract of Areca Catechu nut restored the activities of enzymatic
antioxidants which reflects the antioxidant potential
of the extract.
Vitamin C and vitamin
E, often referred to as “antioxidant vitamins” that have been suggested to
limit oxidative damage in humans and lower the risk of certain chronic diseases
such as diabetes mellitus. Vitamin C is a key antioxidant that particularly
protects the lipids from peroxidative damage by
aqueous solution. Ceruloplasmin is a free radical
scavenger as well as a late acute phase reactant protein. It is involved in
iron metabolism50. Further, it has also been suggested that the
levels of trace elements, especially copper, might be increased in the diabetic
state. In the present study, it was found that the levels of non enzymatic
antioxidants such as Vitamin E, Vitamin C, ceruloplasmin
and reduced glutathione in plasma of alloxan induced
diabetic rats was significantly decreased. Oral administration of Areca
Catechu nut extracts as well as gliclazide to alloxan induced diabetic rats resulted in a marked
increased in the levels of these non enzymatic antioxidants suggesting the free
radicals scavenging potential of Areca Catechu nut extract which in turn
may be responsible for its anti hyperglycemic property.
Diabetes mellitus is
associated with higher incidence of dyslipidemia51. DM is associated
with a cluster of interrelated plasma lipid and lipoprotein (LP) abnormalities
that are all recognized as predictors for coronary heart disease, including
reduced plasma levels of high density lipoprotein cholesterol particles and
elevated plasma levels of TG 52. The total cholesterol,
triglycerides and lipoprotein levels were brought back to normal in Areca
Catechu extract given rats when compared to diabetic rats. In the present
study, the altered lipid profile was normalized upon treatment with Areca
Catechu nut extract exemplifying the hypolipidemic
role of the extract.
CONCLUSION:
The present study also
warrants further studies to isolate and characterising
potent molecules for diabetes and its lipids associated complications. In
conclusion, the secondary metabolites present in the extract may
synergistically act to improve the complications observed in the experimental
diabetes. The results of the present study support the use of Areca Catechu nut
extract for the treatment of diabetes mellitus. It indicates that the extract
possess antidiabetic activity which is evident from
Oral glucose tolerance test and other clinically significant biochemical
parameters. The antioxidant property of the extract is well established from
the improved levels of enzymatic and non enzymatic antioxidants. The hypolipidemic property of the extract is evident from the
normalized levels of lipid profile. The data also provides a scientific
rationale for the use of Areca nuts in the traditional medicine for the
treatment of various ailments.
REFERENCES:
1. Boyle JP, Honeycutt AA, Narayan KM, Hoerger TJ, Geiss LS, Chen H, Thompson TJ. Projection of diabetes
burden through 2050: Impact of changing demography and disease prevalence in
the U.S. Diabetes Care 24(11);2001: 1936-1940.
2. Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for
2010 and 2030 ,Diabetes research and
clinical practice. 87(1);2010: 4 – 1 4
3. Asadujjaman M, Hossain
MS, Khan MRI, Anisuzzaman ASM, Ahmed M and Islam A Antihyperglycemic and glycogenesis
effects of different fractions of Brassica oleracea in alloxan induced diabetic
rats. International Journal of Pharmaceutical
Science and Research. 2(6): 1436-1442
4. Zhang CJ, Lv FJ, Tai JX, Wang ZN, Fu
Q. Quantitative determination of total phenolics and
tannin in areca nut and its products. Food Res. Dev. 29; 2008: 119-121
(In Chinese).
5. Ashawat MS, Shailendra
S, Swarnlata S. In vitro antioxidant activity of
ethanolic extracts of Centella asiatica,
Punica granatum, Glycyrrhiza glabra and Areca
catechu. Research Journal of Medicinal Plant. 1;2007: 13-16.
6. Small E. Narcotic plants as sources of medicinals,
nutraceuticals and functional foods. In: Hou FF, Lin HS, Chou MH, Chang TW (eds). Proceedings of the international symposium on
the development of medicinal plants, Hualien District
Agricultural Research and Extension Station, Taiwan, 2004 pp. 11-66.
7. Jeng JH, Chen SY, Liao CH, Tung YY,
Lin BR, Hahn LJ, Chang MC. Modulation of platelet aggregation by areca nut and
betel leaf ingredients: roles of reactive oxygen species and cyclooxygenase. Free Radical Biology
and Medicine. 32(9);2002:860-871.
8. Orlowski RZ. The
role of the ubiquitin-proteasome pathway in
apoptosis. Cell death and differentiation. 6; 1999: 303.
9. Gavioli R, Vertuani
S, Masucci MG. Proteasome
inhibitors reconstitute the presentation of cytotoxic
T-cell epitopes in Epstein- Barr virus-associated tumors International Journal of Cancer. 101;2002: 532- 538.
10. Dar A and Khatoon S. Behavioral
and biochemical studies of dichloromethane fraction from Areca catechu nut. Pharmacology, Biochemistry and Behavior.
65(1);2000: 1-6.
11. Pithayanukul P, Ruenraroengsak
P, Bavovada R, Pakmanee N, Suttisri R, Saen-oon S.
Inhibition of Naja kaouthia
venom activities by plant polyphenols Journal of Ethnopharmacology. 97; 2005: 527–533.
12. Ohsugi M, Fan W, Hase
K, Xiong Q, Tezuka Y,
Komatsu K, Namba T, Saitoh
T, Tazawa K, Kadota S.
Active oxygen scavenging activity of traditional nourishing-tonic herbal
medicines and active constituents of Rhodiola sacra
Journal of Ethnopharmacology. 67;1999: 111–119.
13. Harborne JB. Phytochemical
methods. A guide to modern techniques of plant
analysis. 3rd ed., Chapman and Hall Int.,
New York.1998.
14. Trinder P. Determination of glucose in
blood using glucose oxidase with an alternate oxygen
acceptor. Annuals of Clinical Biochemistry. 6;1969: 24-27.
15. Natelson S, Scott Ml, Beffa C. A rapid method for the
estimation of urea in biologic fluids. American
Journal of Clinical Pathology. 21(3);1951:
275-281.
16. Drabkin DL, Austin JH. Spectrophotometric constants for common hemoglobin
derivatives in human, dog and rabbit blood. The
Journal of Biological Chemistry. 98; 1932, 719-733.
17. Nayak SS, Pattabiraman
TN. A new colorimetric method for the estimation of glycosylated haemoglobin. Clinica
Chimica Acta, 109(3);1981:267-274.
18. Lowry OH, Rosebrough NJ, Farr AL and
Randall RJ, Protein measurement with the Folin phenol
reagent. The Journal of Biological Chemistry.
193(1);1951:265- 275.
19. Brod J, Sirota
JH, The renal clearance of endogenous creatinine in
man. The Journal of Clinical Investigation.27(5); 1948:645-654.
20. Caraway WT. Determination of uric acid in serum by a carbonate
method, American Journal of Clinical Pathology. 25(7);1955:840-845.
21. King J, The transaminases: alanine and aspartate transaminases, In: Practical Clinical Enzymology
(Ed.) Van D. Nostrand Co., London, 1965a, 363-395.
22. King J,The hydrolases-acid and alkaline phosphatases,
In: Practical clinical enzymology. (Ed.) Van D. Nostrand Co., London, 1965b, 199-208.
23. Morales MA, Jabbagy AJ, Terenizi HR. Mutations affecting
accumulation of Neurospora glycogen. News letter 20;1973: 24-25.
24. Ohkawa H, Ohishi
Nand Vagi K. Assay for
lipid peroxides in animal tissues by thiobarbituric
acid reaction. Analytical Biochemistry. 95;1979:351-358.
25. Omaye ST, Turnbull
JD, Sauberlich HE.
Selected methods for the determination of ascorbic acid in animal cells,
tissues, and fluids, Methods in Enzymology, 62;1979: 3– 11.
26. Desai JD In: Parker (ed),
Methods in enzymology, vol. 105, Academic Press, New
York, 1984, pp.138.
27. Ravin HA. An improved
colorimetric enzymatic assay of ceruloplasmin, The
Journal of Laboratory and Clinical Medicine. 58; 1961:161–168.
28. Sedlak J, Lindsay RH, Estimation of
total, protein-bound, and nonprotein sulfhydryl groups in tissue with Ellman’s
reagent. Analytical Biochemistry. 25;
1968:192–205.
29. Misra HP, Fridrovich
T. The role of superoxide anion in the autoxidation
of epinephrine and a simple assay for superoxide dismutase. The Journal of Biological Chemistry. 247; 1972:3170-3175.
30. Takahara S, Hamilton HB, Neel JV, Kobara TY et al, Hypocatalasemia:
a new genetic carrier state. Journal of Clinical
Investigation. 39; 1960: 610–619.
31. Rotruck JT, Pope AL, Ganther
HE, Swanson AB et al, Selenium: biochemical role as a component of glutathione
peroxidise. Science. 179;1973:588–590.
32. Parekh AC, Jung DH. Cholesterol determination
with ferric acetate-uranium acetate and sulphuric acid ferrous sulphate
reagents. Analytical Chemistry. 42; 1970:1423- 1427.
33. Rice EW. In: Roedrick P and McDonal RP, editors, Standard methods in clinical
chemistry. Academic Press, New York,1970, pp. 215.
34. Burstein M, Scholnick HR, Morfin R. Rapid
method for the isolation of lipoproteins from human serum by precipitation with
polyanions, The Journal of Lipid Research.11;1970:583-595.
35. Jorns Munday
AR, Tiedge M and Lenzen S.
Comparative toxicity of alloxan, N-alkyl-alloxans and ninhydrin to
isolated pancreatic islets in vitro. Journal of
Endocrinology. 155; 1997: 283-293.
36. Szkudelski T .The mechanism of Alloxan and Streptozotocin action
in B cells of the rat pancreas Physiological Research. 50;2001: 537-546.
37. Kumavat UC, Shimpi
SN, Jagdale SP.
Hypoglycemic activity of Cassia javanica Linn.
in normal and streptozotocin-induced
diabetic rats. Journal of Advanced Pharmaceutical
Technology & Research. 3; 2012: 47-51.
38. Larsen ML, Rder MH and Mogensen EF. Effect of long-term
monitoring of glycosylated hemoglobin
leves in insulin-dependent diabetes mellitus The
New England Journal of Medicine. 323(15);1990:
1021-1025.
39. American Diabetes Association. Diagnosis and
classification of diabetes mellitus. Diabetes Care.
31; 2006: 55–60.
40. Vlassara H, Brownlee M, Cerami A. Nonenzymatic glycosylation of peripheral nerve protein in diabetes mellitus.
Proceedings of the National Academy of Sciences.
78; 1981:5190-2.
41. Ahmed RG (2005) The physiological and
biochemical effects of diabetes on the balance between oxidative stress and
antioxidant defense system. Medical
Journal of Islamic World Academy of Sciences. 15;2005:31-42.
42. Green M, Miller LL. Protein catabolism and protein synthesis in perfused livers of normal and alloxan-diabetic
rats. The Journal of Biological Chemistry. 235;
1960: 3202-3208.
43. Suvankar Mondal,
Sanjib Bhattacharya and Moulisha
Biswa .
Antidiabetic activity of Areca catechu leaf extracts
against streptozotocin induced diabetic rats. Journal of Advanced Pharmacy Education and Research.
2 (1);2012: 10-17.
44. Mahdi AA, Chandra A, Singh RK, Shukla S, Mishra LC and Ahmed S. Effect of herbal hypoglycemic
agents on oxidative stress and antioxidant status in diabetic rats. Indian Journal of clinical Biochemistry. 18(2);
2003:8-15.
45. Kim HK, Kim YE, Do JR, Lee YC, and Lee BY. Antioxidative activity and
physiological activity of some Korean medicinal plants. Korean Journal of Food Science and Technology. 27;
(1995): 80-85.
46. Micheal A, Cros
G, EL MC, Nell JH, Serrano JJ. Cardiac adenylate
cyclase activity in diabetic rats after 4 months of
diabetes. Life Sciences. 37;1985: 2067 - 2075.
47. Moussa SA. Oxidative
stress in diabetes mellitus. Romanian Journal of
Biophysics. 18(3) ; 2008:225–236.
48. Robertson RP. Chronic oxidative stress as a
central mechanism for glucose toxicity in pancreatic islet beta cells in
diabetes. Journal of Biological Chemistry 279(41); 2004:
42351–42354.
49. Asayama K, Hayashibe
H, Dobashi K, Niitsu T, Miyao A, Kato K. Antioxidant enzyme status and lipid peroxidation in various tissues of diabetic and starved rats.
Diabetes Research 12 (2); (1989): 85-91.
50. Wolff SP. Diabetes mellitus and free radicals. British Medical
Bulletin 49; 1993: 642 – 652.
51. Talat NK, Amir M, Gulsena
and Bilal B. Dyslipidemias in
type 2 diabetes mellitus patients in a teaching hospital of Lahore, Pakistan. Pakistan Journal of Medical Sciences. 19;2003: 283-286.
52. Craig WY, Neveux
LM, Palomaki GE, Cleveland MM and Hadow
JE.
Lipoprotein(a) as a risk factor for ischemic
heart disease: metaanalysis of prospective studies. Clinical Chemistry. 44(11);
1998:2301-2306.
Received on 02.01.2013
Modified on 15.01.2013
Accepted on 20.01.2013
© A&V Publication
all right reserved
Research
Journal of Pharmacognosy and Phytochemistry. 5(2): March-April 2013,
100-108