Evaluation
of Antidiabetic Potential of Hibiscus rosasinensis leaves extract in alloxan-induced
diabetic rats
D. Jeeva Anandhi1, G. Sriram
Prasath1 and S. Subramanian2*
1Department of Biochemistry, University of
Madras, Guindy Campus,
Chennai- 600 025, India
2Assistant Professor, Department of Biochemistry,
University of Madras, Guindy Campus, Chennai – 600
025, Tamilnadu, India
ABSTRACT:
Hibiscus rosa sinensis
(Cucurbitaceous), possess a wide range of pharmacological activities such as
antioxidant, anti-inflammatory activity. In the present study, we have
evaluated the hypoglycemic, hypolipidemic and
antioxidant properties of Hibiscus rosa
sinensis
leaves extract in alloxan-induced experimental
diabetic rats. The phytochemical screening of the Hibiscus rosa sinensis ethanolic leaves extract revealed the presence of
alkaloids, flavanoids, tannins, carbohydrates,
phenols, saponins and glycosides. The effect of oral
administration of Hibiscus rosa
sinensis
leaves extract (250 mg/kg b.w.) on the levels of biochemical
parameters were determined in 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 Hibiscus rosa sinensis leaves extract for 30 days. The level of glycogen
content was improved upon the extract treatment. The altered activities of
serum aminotransferases and alkaline phosphatase 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 Hibiscus rosa sinensis leaves extract. The activities of pancreatic,
hepatic enzymatic antioxidants and the levels of plasma non-enzymatic
antioxidants were markedly declined in the diabetic rats. Upon treatment with Hibiscus rosa sinensis leaves
extract to diabetic rats, decreased levels were elevated to near normal values.
The altered levels of lipid profile were reverted back to near normalcy upon
the extract treatment. The results of the study indicate that Hibiscus rosa sinensis leaves
extract possesses antidiabetic, antioxidant and antilipidemic activity. The results are comparable with gliclazide, an oral standard hypoglycemic drug. The phytochemicals present in the Hibiscus rosa sinensis leaves extract may account for the observed
pharmacological properties.
KEYWORDS: Hibiscus
rosasinensis,
alloxan, Antidiabetic,
antioxidant, antilipidemic.
INTRODUCTION:
Diabetes mellitus (DM)
is a multifactorial disease characterized by elevated
level of blood glucose associated with absolute (Type 1) or relative deficiency
in insulin secretion or function (Type 2).
It is estimated that approximately 150 million people worldwide had DM
in the year 2000, with the prediction that this number could double to 300
million by 20251. But this is
a minimum number because, for each diagnosed case, there is thought to be one
undiagnosed case in First World Countries and eight in the Third World2.
India is home for 40.9 million people with diabetes nearly 15 percent of the
global burden and projections show that this will increase to 70 million by the
year 2025.
Diabetes can be
controlled either by non-pharmacological (diet and exercise) or pharmacological
(insulin and oral hypoglycemic agents) methods. However, the main side effects
are weight gain and hypoglycemia with sulfonylureas,
gastrointestinal disturbances with metformin, liver
dysfunction with thiazolidinediones, hypersensitivity
reactions with meglitinides and flatulence, diarrhea
and abdominal bloating with a-glucosidase inhibitors3.
Hence, the search for new therapeutic agents with hypoglycemic actions
continues. Recently, the practice of herbalism has
become main stream throughout the world.
Nature has been a
source of medicinal agents for thousands of years and an impressive number of
modern drugs have been isolated from natural sources, many based on their use
in traditional medicine. Higher plants, as sources of medicinal compounds, have
continued to play a dominant role in the maintenance of human health since
ancient times4.
The herb Hibiscus rosasinensis
Linn ( Malvaceae ) is a
glabrous shrub widely cultivated in the tropics as an ornamental plant and has
several forms with varying colours of flowers. H. rosa sinensis (Malvaceae) has been reported to possess antilipidemic, antioxidant5, analgesic activity6, anti-inflammatory activity7, antiulcer activity8, neuroprotective effect9. In the absence of
systemic literature, the present study was aimed to evaluate the antidiabetic, antioxidant and antidyslipidemic
activity of ethanolic extract of Hibiscus rosasinensis in alloxan induced diabetic rats.
MATERIALS AND METHODS:
PLANT MATERIAL
Hibiscus rosasinensis leaves were collected from Vellore District. The plants were identified
and authenticated by a taxonomist and a voucher specimen has been deposited at
the Department of Botany, University of Madras, Chennai.
PREPARATION OF PLANT EXTRACT
Hibiscus rosasinensis
leaves 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 root
was 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 (Yield 24g).
PRELIMINARY PHYTOCHEMICAL SCREENING
The ethanolic extract of Hibiscus rosasinensis leaves were
subjected to preliminary phytochemical screening of
various plant constituents10, 11.
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 18 hours fasting to induce
hyperglycemia. After 1 hour alloxan administration,
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 grouped into 4 groups, comprising of 6 rats in each group
as follows:
Group I: Control Rats (Water and food ad libitum).
Group II: Alloxan
induced diabetic Rats.
Group III: Diabetic rats treated with Hibiscus
rosasinensis leaves 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 decapitation. The blood was collected with or without
anticoagulant for plasma or serum separation respectively.
The liver and pancreatic tissues were dissected out and washed in
ice-cold saline, which is then used for further experimental studies.
PREPARATION OF TISSUE HOMOGENATE
The liver and pancreatic tissues were
excised, rinsed in ice- cold saline. Known amount of 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 12,000×g for 30 min at 4°C. The supernatant was collected as
tissue homogenate, which was used to assay various parameters.
Biochemical
Estimations
Blood glucose level was estimated by the method of glucose oxidase/ peroxidase as described
by Trinde12 and urea by Natelson et al.13. 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 Austin14 and Nayak and Pattabiraman15, respectively. Plasma
was used for protein assay16 and serum for determination of
creatinine17 and uric acid18. Aspartate
transaminase (AST), Alanine
transaminase(ALT) and Alkaline phosphatase
(ALP) were assayed by the method of King et al.19, 20. For the
estimation of glycogen, the extraction was carried out by the method of Morales
et al. (1973)21. The pancreatic tissue homogenate was then
centrifuged at 5000g to remove cellular debris and supernatant was used for the
determination of lipid peroxides and enzymatic antioxidants.
Lipid peroxides were determined using thiobarbituric
acid reactive substances by the method of Ohkawa et
al.22 Levels of vitamin C, vitamin E, ceruloplasmin
and glutathione (GSH) were determined by the methods of Omaye
et al,23 Desai24, Ravin25, Sedlak
and Lindsay26, respectively. Enzymatic
antioxidants such as superoxide dismutase27, catalase28,
glutathione peroxidase29 in pancreatic supernatant.
ORAL GLUCOSE TOLERANCE TEST (OGTT)
Prior to an OGTT, all the rats were
fasted for 16 h and the fasted rats were divided into four groups of six
animals each. Group I served as control and Group II served as Alloxan induced diabetic rat, received distilled water.
Group III and Group IV received ethanolic extract of Hibiscus rosasinensis
leaves extract at an oral dose of 250 mg/Kg and the standard drug gliclazide 5 mg/Kg respectively. All the groups were loaded
with 50% glucose (2 g/ Kg) with a feeding syringe 30 minutes after drug
administration. Blood samples were collected from the tail vein by tail milking
at -30 just prior to drug administration and at 30, 60, 90 and 120 min. after
glucose loading. The level of blood glucose was measured using glucometer.
Lipid profile
Plasma was used for
the estimation of lipid profile. Cholesterol content was estimated by the
method of Parekh and Jung30. Triglyceride was estimated by the
method of Rice31. HDL Cholesterol fraction was separated by the
precipitation techniques of Burstein and Scholnick32 and the
cholesterol content was determined.
RESULTS:
Table 1 shows the
qualitative analysis of phytochemical in the ethanolic extract of Hibiscus
rosa sinensis
leaves. The phytochemical screening of the Hibiscus rosa sinensis leaves extract
revealed the presence of alkaloids, flavanoids,
tannins, carbohydrates, phenols, saponins and
glycosides.
Table 1 Phytochemical screening of H. rosasinensis leaves extract
|
PHYTOCONSTITUENTS |
INFERENCE |
Alkaloids
|
+ |
|
Flavonoids |
+ |
|
Carbohydrates |
+ |
Glycosides
|
- |
|
Saponins |
+ |
|
Tannins |
+ |
|
Phytosterol |
+ |
|
Triterpenoids |
+ |
|
Anthraquinones |
+ |
|
Phenols |
+ |
The results presented
in table 2, shows the changes of body weight in control and experimental group
of rats. Diabetic rats exhibited reduction in body weight; However, oral
administration of the leaves extract to diabetic rats showed a significant
improvement in body weight. Similar observation was also noted in the diabetic
rats treated with gliclazide.
Table 2 Effect of H.
rosasinensis leaves extract on changes in body weight of experimental groups of rats after 30
days treatment.
|
Groups |
Body
weight (g) |
|
|
Initial
|
Final |
|
|
Control |
167.10 ± 3.68 |
218.70 ± 5.19 |
|
Diabetic |
170.32 ± 2.94 |
145.15 ± 7.33* |
|
Diabetic + H. rosasinensis extract |
160.25 ± 3.10 |
178.55 ± 4.95@ |
|
Diabetic + gliclazide |
163.32 ± 4.08 |
185.14 ± 6.32@ |
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.
Table3 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 Hibiscus rosa sinensis leaves
extract showed definite lower peak
blood glucose values, 60 minutes after glucose load also gives lower values
almost at the end of 120 minutes.
Table 3 Effect of H.
rosasinensis leaves 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 |
91.25 ± 5.28 |
148.21 ± 8.94 |
178.96 ± 15.57 |
130.49 ± 13.10 |
100.10 ± 10.05 |
|
Diabetic |
264.80 ± 17.56* |
315.73 ± 25.16* |
399.48 ± 25.51* |
355.17 ± 25.80* |
320.93 ± 22.40* |
|
Diabetic + H. rosasinensis extract |
155.71 ± 11.64@ |
182.28 ± 17.24@ |
255.81 ± 22.74@ |
200.07 ± 20.72@ |
148.91 ± 15.69@ |
|
Diabetic + gliclazide |
138.24 ± 9.29@ |
170.64 ± 15.74@ |
225.75 ± 18.28@ |
175.84 ± 13.68@ |
130.87 ± 11.50@ |
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
H. rosasinensis
leaves 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 |
95.59 ± 9.25 |
14.98 ± 2.68 |
13.85 ± 2.35 |
6.25 ± 1.60 |
Nil |
|
Diabetic |
298.70 ± 21.46* |
5.70 ± 1.02* |
10.11 ± 1.95* |
12.28 ± 2.69* |
+++ |
|
Diabetic + H. rosasinensis extract |
145.32 ± 12.54@ |
10.11 ± 2.14@ |
11.74 ± 2.59@ |
8.02 ± 1.90@ |
Nil |
|
Diabetic + gliclazide |
120.12 ± 15.27@ |
12.12 ± 1.95@ |
13.36 ± 2.04@ |
7.78 ± 2.04@ |
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 4 depicts the
effect of Hibiscus rosa sinensis leaves
extract on the levels of blood glucose, plasma insulin, hemoglobin, glycosylated hemoglobin, and urine sugar in the
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 Hibiscus rosa sinensis leaves extract. Conversely, the decreased
levels of plasma insulin, hemoglobin in diabetic group of rats were elevated by
the administration of Hibiscus rosa sinensis
leaves extract to diabetic rats for 30 days. Urine sugar which is present
in the diabetic group of rats was absent in Hibiscus
rosa sinensis
leaves extract as well as gliclazide treated
diabetic group of rats.
Table 5 Effect of H.
rosasinensis leaves 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 |
40.53 ± 3.50 |
7.90 ± 0.79 |
|
Diabetic |
18.60 ± 2.17* |
3.85 ± 0.41* |
|
Diabetic + H. rosasinensis extract |
32.78 ± 3.96@ |
5.34 ± 0.63@ |
|
Diabetic + gliclazide |
30.77 ± 2.95@ |
5.83 ± 0.62@ |
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.
Table5 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 Hibiscus rosa sinensis leaves
extract as well as gliclazide.
The effect of oral
administration of Hibiscus rosa sinensis
leaves 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 leaves 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 levels of these enzymes were reverted
back to near normalcy upon the treatment with the leaves extract as well as gliclazide.
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.
Table 6 Effect of H.
rosasinensis leaves 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 ± 1.05 |
23.91 ± 2.05 |
1.05 ± 0.09 |
2.37 ± 0.92 |
|
Diabetic |
5.36 ± 0.82* |
48.62 ± 4.28* |
2.11 ± 0.12* |
5.15 ± 1.08* |
|
Diabetic + H. rosasinensis extract |
6.85 ± 0.88@ |
30.19 ± 3.12@ |
1.21 ± 0.11@ |
3.11 ± 0.86@ |
|
Diabetic + gliclazide |
7.14 ± 0.87@ |
30.52 ± 2.58@ |
1.15 ± 0.10@ |
2.56 ± 1.02@ |
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 7 Effect
of H. rosasinensis
leaves extract on the activity of AST, ALT and ALP in the serum of
experimental groups of rats.
|
Groups |
AST |
ALT |
ALP |
|
Control |
64.32 ± 6.44 |
17.26 ± 2.49 |
84.51 ± 10.16 |
|
Diabetic |
110.79 ± 14.78* |
45.18 ± 4.81* |
151.36 ± 18.24* |
|
Diabetic + H. rosasinensis extract |
90.17 ± 10.29@ |
23.82 ± 3.96@ |
98.75 ± 11.28@ |
|
Diabetic + gliclazide |
80.52 ± 8.21@ |
20.71 ± 2.98@ |
100.64 ± 12.81@ |
Table 8
Effect of H. rosasinensis leaves extract on the level of TBARS in
plasma, pancreas and liver of experimental groups of rats.
|
Groups
|
TBARS |
||
|
Plasma
|
Pancreas
|
Liver |
|
|
Control |
4.07 ± 0.69 |
40.24 ± 4.75 |
1.70 ± 0.26 |
|
Diabetic |
8.02 ± 1.61* |
77.26 ± 9.44* |
4.37 ± 0.69* |
|
Diabetic + H. rosasinensis extract |
5.19 ± 1.16@ |
57.29 ± 6.81@ |
2.49 ± 0.30@ |
|
Diabetic + gliclazide |
5.04 ± 1.02@ |
54.99 ± 7.43@ |
2.65 ± 0.34@ |
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 H.
rosasinensis leaves 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 |
5.16 ± 1.25 |
14.42 ± 2.09 |
6.17 ± 1.02 |
25.10 ± 2.75 |
|
Diabetic |
1.29 ± 0.41* |
5.53 ± 1.40* |
3.19 ± 0.32* |
11.49 ± 1.63* |
|
Diabetic + H. rosasinensis extract |
3.61 ± 0.92@ |
11.25 ± 1.87@ |
4.80 ± 0.65@ |
19.85 ± 2.17@ |
|
Diabetic + gliclazide |
3.79 ± 0.86@ |
12.02 ± 1.98@ |
5.35 ± 0.92@ |
21.10 ± 2.84@ |
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 Hibiscus rosa sinensis leaves extract 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 level 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 level of antioxidant enzymes was
observed in alloxan induced diabetic rats. Upon
treatment with ethanolic extract of Hibiscus rosa sinensis leaves 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 Hibiscus rosa sinensis
leaves extract as well as gliclazide, after 30
days of treatment.
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 Hibiscus rosa sinensis
leaves extract as well as gliclazide.
Table 10 Effect
of H. rosasinensis
leaves 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 |
16.05 ± 2.47 |
70.91 ± 8.31 |
11.26 ± 1.09 |
37.29 ± 5.74 |
|
Diabetic |
5.07 ± 0.62* |
31.29 ± 3.54* |
3.64 ± 0.55* |
21.39 ± 2.91* |
|
Diabetic + H. rosasinensis extract |
10.85 ± 1.14@ |
62.92 ± 5.30@ |
8.05 ± 0.89@ |
31.57 ± 4.28@ |
|
Diabetic + gliclazide |
12.12 ± 1.41@ |
65.75 ± 5.79@ |
9.06 ± 1.10@ |
33.61 ± 4.60@ |
Table 11 Effect of H.
rosasinensis leaves 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 |
1.48 ± 0.15 |
0.68 ± 0.09 |
12.28 ± 1.62 |
30.74 ± 3.89 |
|
Diabetic |
0.49 ± 0.09* |
0.31 ± 0.04* |
5.05 ± 0.89* |
14.99 ± 2.35* |
|
Diabetic + H. rosasinensis extract |
0.95 ± 0.12@ |
0.54 ± 0.07@ |
9.94 ± 1.46@ |
22.86 ± 2.77@ |
|
Diabetic + gliclazide |
1.01 ± 0.14@ |
0.58 ± 0.05@ |
10.40 ± 1.88@ |
25.15 ± 3.16@ |
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 H.
rosasinensis leaves 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 |
85.71 ± 10.54 |
60.39 ± 9.56 |
50.11 ± 5.52 |
28.69 ± 2.08 |
|
Diabetic |
165.12 ± 18.75* |
151.87 ± 15.57* |
124.35 ± 9.31* |
14.44 ± 1.42* |
|
Diabetic + H. rosasinensis extract |
105.57 ± 15.78@ |
88.14 ± 10.15@ |
72.69 ± 7.32@ |
20.13 ± 1.88@ |
|
Diabetic + gliclazide |
94.28 ± 14.52@ |
81.46 ± 8.49@ |
60.87 ± 6.59@ |
23. 41 ± 1.94@ |
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.
DISCUSSION:
The phytochemical analysis of Hibiscus rosasinensis
leaves extract has a positive response for the presence of alkaloids, flavonoids, tannins, saponins,
steroids, and terpenoids. Phytochemicals
are naturally occurring biologically active chemical compounds in plants. Phytochemicals are known to have protective and disease
preventing properties particularly free radical mediated diseases such as
diabetes, cancer etc. Certain phytochemicals are
almost structurally identical to insulin and act as an ‘insulin mimic” that
helps in the remedy of diabetes. Most plants with antidiabetic
properties have been found to contain secondary metabolites such as glycosides,
alkaloids and flavonoids33.
It has been shown that many plants efficient antioxidant properties
owing to their phenolic constituents. It has been
reported that Hibiscus rosasinensis leaves contain bioactive compouds such as anthocyanins,
and flavonoids alkaloids and vitamins. Hence,
compounds which can scavenge the excess of free radicals formed or that inhibit
their production are of wide therapeutic value. The presence of biologically
active ingredients in the extract may account for the pharmacological activity.
Decrease in the body
weight due to derangement of metabolic pathways is a common feature in diabetes34
and this might be due to the excessive break down of tissue proteins and lipids
because of insulin deficiency in alloxan induced
toxicity. Diabetic rats treated with Hibiscus
rosasinensis leaves extract at the concentration
of 250mg/kg body weight/rat/day for 30 days showed a significant improvement in
the body weight when compared to alloxan induced
diabetic rats,which can be
attributed to the improvement in insulin secretion and glycemic
control.
The glucose tolerance
test was devised to measure the metabolic response of an individual after a
glucose load. In alloxan
induced diabetic rats, the blood glucose level has increased to its peak at 60 mins and remained high over the next 60 mins. Hibiscus
rosasinensis extract treated diabetic rats showed
an increase at 60 mins and then the reduction in peak
was observed at 120 mins which finally exhibited the
near normal range of control rats. Thus, the observed effect might be due to
the improved glycemic control.
Blood glucose is an
index for the diagnosis of diabetes mellitus.
Insulin deficiency ultimately results in increased production of glucose
by the liver, and decreased utilization of glucose in peripheral tissues35.
The elevated blood glucose level observed in the diabetic rats was
significantly decreased in H. rosasinensis treated group of rats suggesting
hypoglycemic nature of H. rosasinensis leaves. The elevation in the plasma
insulin in the leaves extract treated diabetic rats could be because of the insulinotrophic substances present in the Hibiscus rosasinensis
leaves extract. 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.
The
decreased level of total hemoglobin (Hb) in the
diabetic rats is mainly due to the increased formation of glycosylated
hemoglobin (HbA1c). The increase in the
glycosylated hemoglobin is directly proportional to
the fasting blood glucose level36. A significant
elevation was observed in the levels of glycosylated
hemoglobin while there was a decrease in the levels of total hemoglobin in alloxan induced diabetic rats when compared to the control
group of rats. Oral administration of Hibiscus rosasinensis
leaves extract has brought back the levels of Hb andHbA1c
to near normal values indicating improved glycemic
control.
Glycogen
is the primary intracellular storage form of glucose and its levels in various
tissues are a direct reflection of insulin activity because insulin promotes
glycogen deposition by stimulating glycogen synthase
and inhibiting glycogen phosphorylase37. Liver is an important
organ that plays a vital role in glycolysis and gluconeogenesis pathways. The
observed decrease in glycogen content in our study is due to increased glycogen
phosphorylase and decreased glycogen synthase activity which is the key regulatory enzyme in
glycogen metabolism. Alteration in the activity of these enzymes may be due to
hyperglycemic state in diabetes mellitus. A significant decrease in the liver and
muscle glycogen were observed in the diabetic rats compared to the normal rats.
Oral administration of Hibiscus rosasinensis leaves extract as well as standard drug,
to the diabetic rats showed an increase in the glycogen content of the liver
skeletal muscle. This might be due to the decreased glycogen phosphorylase activity and increased glycogen synthase activity. Also, the restoration of glycogen
content indicates the improved glucose homeostasis.
The levels of urea,
uric acid and creatinine were measured, as DM also
causes renal damage due to abnormal glucose regulation, including elevated
glucose and glycosylated protein tissue levels, haemodynamic changes within the kidney tissue and increased
oxidative stress38. Alloxan induced
diabetic rats exhibited significantly higher plasma urea, uric and creatinine levels compared to the DM group. However, the H. rosasinensis leaves extract lowered
these plasma values to a control range.
A significant elevation in serum creatinine
and urea levels indicates an impaired renal function of diabetic animals. H. rosasinensis
leaves supplement lowered the plasma urea, uric acid and creatinine
levels by enhancing the renal function.
Aspartate transaminase
(AST) and Alanine transaminase
(ALT) are the enzymes which are associated with the conversion of aminoacids to ketoacids and are
used as marker enzymes to assess tissue damage39. The elevation of
serum enzyme activity represents the state of diabetes. Oral administration of Hibiscus rosasinensis
extract for 30 days resulted in the near normalization of the activities of
AST, ALT, and ALP indicating the non toxic nature of the extract indicating he
non toxic nature of the extract.
Diabetes is usually
accompanied by increased production of free radicals or impaired antioxidant
defenses40. Excessively high levels of free radicals cause damage to
cellular proteins, membrane lipids and nucleic acids and eventually cell
death. Glucose oxidation is believed to be the main source of free radicals. In
its enediol form, glucose is oxidized in a transition
metal dependent reaction to an enediol radical anion
that is converted into reactive ketoaldehydes and to
superoxide anion radicals. The superoxide anion radicals undergo dismutation to hydrogen peroxidase,
which if not degraded by catalase or glutathione peroxidase and in the presence of transition metals, can
lead to production of extremely reactive hydroxyl radicals41. Hydroperoxidases have toxic on cells both directly and
through degradation to highly toxic hydroxical
radicals. They may also react with the transition metals like iron or copper to
form stable aldehydes such as melondialdehydes
that will damage cell membranes.
Antioxidant vitamins:
Antioxidants (AO) have
gone through a gradual transition from “Miracle Molecules” to “Marvelous
Molecules” to “Physiological Molecules”42. Numerous studies have
been demonstrated that the oxidative stress is mediated mainly by
hyperglycemia-induced generation of free radicals that contributes to the
development and progression of diabetes and its complications43. It is known that free radical cause
auto-oxidation of unsaturated lipids in food44. On the other hand,
antioxidants are believed to intercept the free radical chain of oxidation and
donate hydrogen from the phenolic hydroxyl groups,
thereby forming a stable end product, which does not initiate or propagate
further oxidation of lipid. The enzymatic antioxidants such as SOD, catalase, Glutathione peroxidase
were found to be decreased in the diabetic rats indicating hyperglycemia
mediated oxidative stress.
Vitamin C and vitamin E, often referred as “antioxidant vitamins “that
have been suggested that have been suggested to limit oxidative damage in
humans and lower the risk of certain chronic disease such as diabetes mellitus.
Vitaminc C cooperates with Vitamin E to regenerate
α-tocopherol from α-tocopherol
radicals in membrances and lipoproteins45
and also raises intracellular glutathione levels thus playing an important role
in protein thiol group protection against oxidation46.
The reduced concentration of vitamin C in blood may arise due to the excessive
oxidation and lack of regeneration from their radical form to reduce form47. Vitamin C has been reported to contribute up
to 24% of the total peroxy radical trapping
antioxidant activity.
Reduced glutathione (GSH) plays an important role in the detoxxfication of xenobiotic
compounds. GSH plays a crucial role in
cell defense against ROS. The decreased in GSH level may be associated with
reactive oxygen species (ROS) generation by mechanisms creating oxidative
stress in chronic hyperglycemia48. Furthermore the depletion in GSH
level may be related to the apparent increased in lipid peroxidation
in the tissues of rats. Recent studies have revealed lowered antioxidant
enhanced peroxidative status diabetic condition
particularly in the liver and kidney49. In the present study, altered levels of
enzymatic and non enzymatic antioxidants were improved upon treatment with the
leaves extract indicating the antioxidant potential of the extract.
The plasma lipid level
is raised during diabetes, and also a risk factor for coronary heart disease.
The lowering of plasma lipid levels through dietary and drug therapy appears to
be associated with a decrease in the risk of vascular disease50. Hypercholesterolemia
is directly proportional to the severity of diabetes. During diabetic
conditions lipogenesis is decreased while lipolysis is increased in the hepatic tissue. The increased
level of cholesterol in tissues is due to the decreased level of high density
lipoprotein (HDL) cholesterol. In the present study, a marked prevention in
the alteration of lipid profile by a treatment with Hibiscus rosasinensis leaves extract to
diabetic animals was observed. The altered lipid profile was normalized by Hibiscus rosasinensis
leaves extract indicating the hypolipidemic
potential of the extract.
CONCLUSION:
The results of the
present study clearly indicate that the ethanolic
extract of Hibiscus rosasinensis
leaves possess hypoglycemic, hypolipidemic and
antioxidant potential. The observed pharmacological action might be due to the
synergistic actions of the phyto-constituents present
in the extract.
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Received on 02.01.2013
Modified on 20.01.2013
Accepted on 02.06.2013
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Research
Journal of Pharmacognosy and Phytochemistry. 5(6): November
–December 2013, 306-314