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1
OBETA, JUDITH NNEDIMKPA
(PG/M.Sc/12/61880)
Ogbonna Nkiru
Digitally Signed by: Content manager’s Name
DN : CN = Webmaster’s name
O= University of Nigeria, Nsukka
OU = Innovation Centre
FACULTY OF BIOLOGICAL SCIENCES
DEPARTMENT OF BIOCHEMISTRY
STUDIES ON THE EFFECT OF AQUEOUS
EXTRACT OF MILLETTIA ABOENSIS LEAVES
2
STUDIES ON THE EFFECT OF AQUEOUS EXTRACT OF MILLETTIA
ABOENSIS LEAVES ON LOMOTIL – INDUCED CONSTIPATION IN
WISTAR ALBINO RATS
BY
OBETA, JUDITH NNEDIMKPA
(PG/M.Sc/12/61880)
A THESIS SUBMITTED IN PARTIAL FULFILLMENT ON THE
REQUIREMENTS FOR THE AWARD OF MASTER OF SCIENCE
(M.Sc.) DEGREE IN PHARMACOLOGICAL BIOCHEMISTRY
FACULTY OF BIOLOGICAL SCIENCES
DEPARTMENT OF BIOCHEMISTRY
UNIVERSITY OF NIGERIA
NSUKKA
SUPERVISORS: PROF. OFC NWODO AND DR. PARKER E. JOSHUA
OCTOBER, 2014
3
CERTIFICATION
Obeta, Judith Nnedimkpa, a post graduate student of the Department of Biochemistry,
University of Nigeria Nsukka, with Registration Number PG/M.Sc./12/61880 has
satisfactorily completed the requirements for the award of the Degree of Master of Science
(M. Sc.) in Pharmacological Biochemistry. The work embodied in this thesis is original and
has not been submitted in part or full for any other diploma or degree of this or any other
University to the best of our knowledge.
…………………………… …………………………….
PROF. OFC NWODO DR. PARKER E. JOSHUA
(Supervisor) (Supervisor)
………………………….. …………………………….
PROF. OFC NWODO EXTERNAL EXAMINER
(Head of Department)
4
DEDICATION This work is solely dedicated to God Almighty for His knowledge, direction, grace,
protection and love during the course of this programme and also to my beloved parents,
siblings and husband for their encouragements and support.
5
ACKNOWLEDGEMENTS
May the name of God the Almighty be glorified for seeing me through this programme. He is
indeed a faithful Lord. I would like to express my sincere gratitude to my supervisors, Prof.
O.F.C. Nwodo and Dr. Parker E. Joshua for their fatherly motivations, directions, corrections
and constructive criticism that contributed in the successful completion of this research work
despite their tight schedules. I am indeed very indebted to you for your support.
To all my great lecturers of the Department of Biochemistry, I appreciate the
encouragement, contributions, love and goodwill given to me during this period. I specially
thank the current head, Prof. O.F.C. Nwodo, Prof. L. U.S. Ezeanyika, Prof. I. N. E. Onwurah,
Prof. F.C. Chilaka, Prof. O. U Njoku, Prof. E. A. Alumanah, Prof. P N Uzoegwu, Dr. Parker
E. Joshua, Dr. V. N. Ogugua, Dr. B. C. Nwanguma, Dr. (Mrs.) C. A. Anosike, Dr. O. C.
Enechi, Prof. H. A. Onwubiko, Dr. S.O. O. Eze, Dr. C. S. Ubani, Mr. P. A. C. Egbuna, Dr.
(Mrs.). C. Ezekwe, Mr. O. E. Ikwuagwu, Mrs. U. O Njoku, Mrs. M. N. Awachie, Dr. V. E. O.
Ozougwu, Mr. C. Agu, Mr. C. C. Okonkwo and a host of others, for their immense support in
my quest for knowledge.
To my friends and colleagues who contributed in numerous ways to the successful
completion of this work; Tochi, Somadina, Paul, Obiora, Mary, Robert, Oge, Emenike,
Kachi, Geraldine, Chidimma, Ebere, and others. May the good Lord bless you all. To my
brethren in Catholic Association of Postgraduate Students (CAPS), I say thanks for your love
and prayers. Finally, my deep gratitude goes to my lovely parents Mr. & Mrs. M. C. Obeta,
husband and siblings for their support, encouragement and prayers.
6
ABSTRACT
Millettia aboensis leaf is a rich source of reducing sugar, tannins, glycosides and flavonoids and
has been reported to have medicinal property as well as some physiological potentials. The leaf
also has been used by traditional herbalists for general healing of diseases including ulcer and
laxatives. This study evaluated the effect of aqueous extract of M. aboensis leaves on lomotil-
induced constipation in Wistar albino rats. The qualitative phytochemical constituents of the
extract showed the relative presence of reducing sugars, tannins and flavonoids in relatively high
concentrations; alkaloids, steroids and glycosides in moderately high concentrations; soluble
carbohydrates, saponins and hydrogen cyanides were in low concentrations while terpernoid was
not detected. The median lethal dose effect (LD50) of the extract recorded no death at dose of
5000 mg/kg b.w. Assay of Aspartate Amino transferase and Alanine Amino transferase activities
in serum of treated rats (groups 2 and 3) given 100 and 1000 mg/kg b.w. of the extract showed
significant increase (p<0.05) compared to the control group 1 (normal saline). The ALP activity
in serum of the mice in groups 2 and 3 administered 100 and 1000 mg/kg b.w. of the extract
exhibited neither significant increase nor decrease (p>0.05) compared to the control group 1
mice. Triacylglycerol and High density lipoprotein concentrations in serum of the mice treated
with 100 and 1000 mg/kg b.w. of the extract showed non-significant increase (p>0.05) compared
to the control group while the LDL and total cholesterol concentrations of the groups 2 and 3
given 100 and 1000 mg/kg b.w. of the extract showed non-significant decrease (p>0.05)
compared to the control group. The potassium ion concentration showed a non-significant
increase (p>0.05) in the groups 2 and 3 mice administered 100 and 1000 mg/kg b.w. of the
extract compared to the control group while the serum level of sodium ion showed a non-
significant increase (p>0.05) in group 2 mice administered 100 mg/kg b.w. of the extract and a
significant increase (p<0.05) in group 3 mice that received 1000 mg/kg b.w. of the extract
compared to the control mice. There was neither a significant decrease nor increase (p>0.05) in
the serum level of glucose of the mice in groups 2 and 3 administered 100 and 1000 mg/kg b.w.
of the extract compared to the control. The result of the aqueous extract of M. aboensis on the
mean value of the faecal droppings on lomotil-induced constipation in rats showed neither a
significant decrease nor increase (p>0.05) in groups 2 (standard drug of lomotil), 3 (100 mg/kg
b.w. of extract), 5 (100 mg/kg of extract + 5 mg/ml of lomotil, 7 (5 mg/ml of lomotil + 200 mg/kg
b.w. of extract) and 8 (5mg/ml of lomotil + 200 mg/kg of extract) compared to the negative
control (normal saline) while group 4 mice (200 mg/kg b.w. of extract) showed a non-significant
increase (p>0.05) and group 6 (200 mg/kg b.w. of extract + 5 mg/ml of lomotil) showed a
significant increase (p<0.05) compared to the positive control group 2 (standard drug of 5 mg/ml
of lomotil). The study of the effects of the aqueous extract of M. aboensis on transport of glucose
across everted rat intestine showed significant increase (p<0.05) in the glucose influx into the
everted intestinal sac (serosal compartment) in a dose-dependent manner in all the treated groups
contained in groups 3, 4 and 5 everted in 100, 200 and 400 µg/ml of the extract compared to the
control group 1 while in group 2 (standard drug metformin), there was a significant decrease
(p<0.05) compared to the control. Sodium transport across the everted rat intestine showed a
significant increase (p<0.05) in the influx of sodium ions into the serosal compartment of groups
2, 3 and 4 everted in 100, 200 and 400 µg/ml of the extract compared to the control group while
potassium transport across everted rat intestine showed significant increase (p<0.05) in the efflux
of potassium ions into the mucosal compartment of all the treated groups 2, 3 and 4 everted in
100, 200 and 400 µg/ml of the extract compared to the control group 1. The significant increase
in the frequency of faecal droppings on the extract treated groups may prove that the extract
contains some bioactive compounds that have the properties of laxative effects when
administered and therefore support the claim that this plant is used in folk medicine for the
treatment of constipation.
7
TABLE OF CONTENTS
Title Page - - - - - - - - - - - i
Certification - - - - - - - - - - ii
Dedication - - - - - - - - - - iii
Acknowledgement - - - - - - - - - iv
Abstract - - - - - - - - - - v
Table of Contents - - - - - - - - - vi
List of Figures - - - - - - - - - - xii
List of Tables - - - - - - - - - - xiv
List of Abbreviations - - - - - - - - - xv
CHAPTER ONE: INTRODUCTION
1.1. Plant description - - - - - - - - 2
1.1.2. Scientific classification of Millettia aboensis - - - - - 3
1.2. Phytochemistry - - - - - - - - 4
1.2.1. Phytochemical components in plants - - - - - 4
1.2.1.1. Flavonoids - - - - - - - - - 5
1.2.1.2. Tannins - - - - - - - - - 5
1.2.1.3. Hydrogen cyanides - - - - - - - - 6
1.2.1.4. Alkaloids - - - - - - - - - 6
1.2.1.5. Steroids - - - - - - - - - 7
1.2.1.6. Saponins - - - - - - - - - 7
1.2.1.7 .Glycosides - - - - - - - - - 8
8
1.2.1.8 .Reducing sugars - - - - - - - - 8
1.3. Constipation - - - - - - - - - 9
1.3.1. Definition of constipation - - - - - - - 9
1.3.2. Constipation in children - - - - - - - 9
1.3.3. Types of constipation - - - - - - - - 10
1.3.3.1. Occasional Constipation - - - - - - - 10
1.3.3.2 Chronic constipation - - - - - - - - 10
1.3.4. Causes of constipation - - - - - - - 10
1.3.4.1. Diet cause - - - - - - - - - 10
1.3.4.2. Medication cause - - - - - - - - 11
1.3.4.3 .Metabolic and muscular cause - - - - - - 11
1.3.4.4. Psychological cause - - - - - - - - 11
1.3.5. Diagnosis of constipation - - - - - - - 11
1.3.5.1. Rome II criteria for constipation - - - - - - 12
1.3.6. Prevention of constipation - - - - - - - 12
1.3.7. Treatment of constipation - - - - - - - 12
1.3.7.1. Dietary fibre - - - - - - - - - 12
1.3.7.2. Lubricant laxatives - - - - - - - - 13
1.3.7.3. Emollient laxatives (Stool softeners) - - - - - 13
1.3.7.4. Hyperosmolar Laxatives - - - - - - - 13
1.4. Biochemical parameters - - - - - - - 14
1.4.1. Body electrolytes - - - - - - - - 14
1.4.2. Depletion and absorption of sodium - - - - - - 14
1.4.3. Depletion and absorption of potassium - - - - - 15
1.5. Na+/K
+ - ATPase - - - - - - - - 15
9
1.5.1. Sodium – potassium pumps - - - - - - - 15
1.5.2. Functions of Na+/K
+ - ATPase - - - - - - 15
1.5.2.1 Resting potential - - - - - - - - 16
1.5.2.2. Transport - - - - - - - - - 16
1.5.2.3. Controlling cell volume - - - - - - - 16
1.5.3. Mechanisms of Na+ - K
+ - ATPase pump - - - - - 16
1.6. Blood glucose - - - - - - - - - 17
1.6.1. Regulation of blood glucose - - - - - - - 17
1.6.2. Abnormality in blood glucose level - - - - - - 17
1.6.2.1. High blood sugar (Hyperglycemia) - - - - - - 17
1.6.2.2. Low blood sugar (Hypoglycemia) - - - - - - 17
1.7. Liver - - - - - - - - - - 18
1.7.1. Functions of the liver - - - - - - - 18
1.8. Liver markers - - - - - - - - - 18
1.8.1. Alanine transaminase - - - - - - - - 19
1.8.2. Alkaline phosphatase - - - - - - - 19
1.8.3. Aspartate transaminase - - - - - - - 19
1.9. Lipid profile - - - - - - - - - 20
1.9.1. High density lipoprotein - - - - - - - 20
1.9.2. Triacylglycerol - - - - - - - - 20
1.9.3. Low density lipoprotein - - - - - - - 20
1.9.4. Cholesterol - - - - - - - - - 21
1.10. Objectives of the research - - - - - - - 22
10
CHAPTER TWO: MATERIALS AND METHODS
2.1. Materials - - - - - - - - - 23
2.1.1. Plant materials - - - - - - - - 23
2.1.2. Animals - - - - - - - - - 23
2.1.3. Equipment - - - - - - - - - 23
2.1.4. Chemical reagents - - - - - - - - 24
2.2. Methods - - - - - - - - - 24
2.2.1. Experimental design - - - - - - - - 24
2.2.2. Effect of the aqueous extract of Millettia aboensis on glucose, sodium and potassium
transport across everted rat intestine - - - - - - - 24
2.2.3. Reagents - - - - - - - - - - 25
2.2.4. Glucose saline - - - - - - - - - 25
2.2.5. Extraction of plant material - - - - - - - 26
2.2.6. Acute toxicity - - - - - - - - - 27
2.2.7. Qualitative phytochemical analysis - - - - - - 27
2.2.7.1. Test for glycosides - - - - - - - - 27
2.2.7.2. Test for steroids - - - - - - - - 27
2.2.7.3. Test for tannins - - - - - - - - 28
2.2.7.4. Test for carbohydrates - - - - - - - 28
2.2.7.5. Test for saponins - - - - - - - - 28
2.2.7.6. Test for alkaloids - - - - - - - - 28
2.2.7.7. Test for flavonoids - - - - - - - - 29
2.2.7.8. Test for terponoids - - - - - - - - 29
2.2.7.9. Test for reducing sugars - - - - - - - 29
2.2.8. Quantitative phytochemical analysis - - - - - - 29
11
2.2.8.1. Determination of glycosides - - - - - - - 29
2.2.8.2. Determination of steroids - - - - - - - 30
2.2.8.3. Determination of tannins - - - - - - - 30
2.2.8.4. Determination of soluble carbohydrates - - - - - 30
2.2.8.5. Determination of saponins - - - - - - - 30
2.2.8.6. Determination of alkaloids - - - - - - - 30
2.2.8.7. Determination of flavonoids - - - - - - - 31
2.2.8.8. Determination of terponoids - - - - - - - 31
2.2.8.9. Determination of hydrogen cyanides - - - - - 31
2.2.8.10. Determination of reducing sugar - - - - - - 31
2.2.9. Biochemical parameters - - - - - - - 31
2.2.9.1 .Determination of total cholesterol - - - - - - 31
2.2.9.2 .Determination of low density lipoprotein concentration - - - 33
2.2.9.3. Determination of triacylglycerol - - - - - - 34
2.2.9.4. Determination of high density lipoprotein - - - - - 35
2.2.9.5. Assay of alanine aminotransferase activity - - - - - 36
2.2.9.6. Assay of alkaline phosphatase activity - - - - - 37
2.2.9.7. Assay of aspartate aminotransferase activity - - - - 38
2.2.9.8. Blood glucose concentration - - - - - - 39
2.2.9.9. Serum concentration of sodium ion - - - - - - 39
2.2.9.10. Serum Concentration of Potassium ion - - - - - 40
12
CHAPTER THREE: RESULTS
3.1. Extraction yield - - - - - - - - 42
3.2. Acute toxicity test - - - - - - - - 42
3.3. Qualitative and quantitative phytochemical composition of
aqueous extract of M. aboensis - - - - - - 42
3.4. Toxicological Effect of M. aboensis extract on AST activity in mice - 44
3.5. Toxicological Effect of M. aboensis extract on ALT activity in mice - 46
3.6. Toxicological Effect of M. aboensis extract on ALP activity in mice - 48
3.7. Toxicological Effect of M. aboensis extract on total cholesterol concentration in mice-
- - - - - - - - - - - 50
3.8. Effect of M. aboensis extract on a low density lipoprotein concentration in mice 52
3.9. Toxicological Effect of M. aboensis extract on HDL concentration in mice - 54
3.10. Toxicological Effect of M. aboensis extract on TAG concentration in mice - 56
3.11. Toxicological Effect of M. aboensis extract potassium concentration in mice - 58
3.12. Toxicological Effect of M. aboensis extract on sodium ion concentration in mice 60
3.13. Toxicological Effect of M. aboensis extract on glucose concentration in mice - 62
3.14. Effect of M. aboensis extract on glucose transport across everted rat intestine- 66
3.15. Effect of M. aboensis extract on sodium transport across everted rat intestine 68
3.16. Effect of M. aboensis extract on Potassium transport across everted rat intestine 70
CHAPTER FOUR: DISCUSSION
4.1. Conclusion - - - - - - - - - 77
4.2. Suggestions - - - - - - - - - - 77
Reference - - - - - - - - - - 78
Appendices - - - - - - - - - - 89
13
LIST OF FIGURES
Fig 1: Structural view of the plant Millettia aboensis - - - - 3
Fig 2: Toxicological Effect of M. aboensis on aspartate aminotransferase activity in mice
- - - - - - - - - - - 45
Fig 3: Toxicological Effect of Aqueous extract of M. aboensis on Alanine aminotransferase
activity - - - - - - - - - - - 47
Fig 4: Toxicological Effect of aqueous extract of M. aboensis on alkaline phosphatase in
mice - - - - - - - - - - - 49
Fig 5: Toxicological Effect of Aqueous extract of M. aboensis on total cholesterol
concentration in mice - - - - - - - - 51
Fig 6: Effect of Aqueous extract of M. aboensis on low density lipoprotein concentration in
mice - - - - - - - - - - - 53
Fig 7: Toxicological Effect of Aqueous extract of M. aboensis on high density lipoprotein
concentration in mice - - - - - - - - - - 55
Fig 8: Toxicological Effect of Aqueous extract of M. aboensis on triacylglycerol
concentration in mice - - - - - - - - - 57
Fig 9: Toxicological Effect of Aqueous extract of M. aboensis on Potassium ion
concentration in mice - - - - - - - - - 59
Fig 10: Toxicological Effect of Aqueous extract of M. aboensis on Sodium ion concentration
in mice - - - - - - - - - - - - 61
Fig 11: Toxicological Effect of Aqueous extract of M. aboensis on Glucose concentration in
mice - - - - - - - - - - - 63
Fig 12: Effect of Aqueous extract of M. aboensis on Glucose transport
across everted rat intestine - - - - - - - 67
14
Fig 13: Effect of Aqueous extract of M. aboensis on Sodium transport
across everted rat intestine - - - - - - - 69
Fig 14: Effect of Aqueous extract of M. aboensis on Potassium transport
across everted rat intestine - - - - - - - 71
15
LIST OF TABLES
Table 1: Qualitative phytochemical composition of aqueous extract of M. aboensis - 42
Table 2: Quantitative phytochemical composition of aqueous extract of M. aboensis - 43
Table 3: Effects of different doses of the aqueous extract of Millettia aboensis on the
frequency of defecation of lomotil-induced constipation in rats - - - 64
16
LIST OF ABBREVIATIONS
ADP- Adenosine diphosphate
AEMA- Aqueous extract of Millettia aboensis
ALP- Alkaline phosphatase
ALT- Alanine aminotransferase
AST- Aspartate aminotransferase
ATP- Adenosine triphosphate
BM- Bowel movement
BDCP- Bioresources Development Conservation Programme
DNA- Deoxyribonucleic acid
ECF- Extracellular fluid
EDTA- Ethylenediaminetetraacetic acid
HCL- Hydrogen chloride
HCN- Hydrogen cyanide
HCO2—
Hydrogen carbonates
HDL – High density lipoprotein
HMG-COA – 5-hydroxy-3-methylglutaryl-coenzyme A
HPO42-
- Hydrogen tetraoxophosphate
H2SO4 – Hydrogen tetraoxosulphate
KHB – Krebs Henseleit bicarbonate
GK –Glucokinase
GPO –Glycerol phosphate oxidase
GPT –Glutamate pyruvate transaminase
LDL –Low density lipoprotein
LFT –Liver function test
17
POD -Peroxidase
PVS –Polyvinyl sulphate
TAG -Triacylglyceride
VLDL –Very low density lipoprotein
CHAPTER ONE
INTRODUCITON
Traditional medicine according to (Treben, 1998) is defined as the knowledge, skills
and practices of holistic health care, recognized and accepted for its role in the maintenance
of health and the treatment of disease conditions. The application of herbs to improve man’s
health must have come from early man in the most non-scientific way. Since that period, the
application of herbs has been known and accepted by all individuals and nations (Theiss and
Peter, 2000).
Herbal medicine also called botanical medicine or phytomedicine refers to using a
plant’s seeds, berries, roots, leaves, bark or flowers for medicinal purposes. Herbalism has a
long tradition of use outside of conventional medicine. It is becoming more mainstream as
improvements in analysis and quality control along with advances in clinical research
showing the value of herbal medicine in the treating and preventing disease (Izzo et al., 2009)
Medicinal plants are plants in which one or more of their plant contain substances that
can be used for the therapeutic purposes or which are precursors for the synthesis of useful
drugs (WHO, 2005). However, some contain excipients in addition to the active ingredients.
Medicinal plants as a group comprise approximately 8000 species and account for about 50%
of higher flowering plant species (Treben, 1998). Some examples of medicinal plants include
Napolliena imperalis, Digoxin lancta, Chenopodium ambrosoides, Morinda lucida, Zingiber
officinale etc. Medicinal plants are used commonly in modern medicine and pharmacology.
One of the early attempts to store information on medicinal plants have long been on going in
Nigeria in an attempt to set appropriate pharmacopoeia standards and obtain the quantity of
plants in our natural environment (Katzung et al., 1995).
Constipation (also known as dyschezia) refers to bowel movements that are infrequent
or hard to pass. It could also be referred to as infrequent passage (less than three per week),
difficulty in expulsion or unusually hard stool, feeling of incomplete evacuation and need for
manual evacuation of stool (Chatoor and Emmanuel, 2009). Constipation is a common cause
18
of painful defecation. Severe constipation includes obstipation (failure to pass stools or gas)
and fecal impaction, which can progress to bowel obstruction and become life-threatening
(Walia et al., 2009).
The genus Millettia appears in the African pharmacopeia since centuries. It has a wide
range of biological activities such as antitumoral, anti-inflammatory, antiviral, bactericidal,
insecticidal and pest-destroying (Burkill, 1995). Thus, the multiplicity of these activities,
beginning to be confirmed by pharmacological studies in laboratory, confers on this genus a
great interest in traditional medicine as well as in the research of new biologically active
compounds. (Okafor and Ham, 1999).
1.1 Millettia aboensis belongs to the family of fabacaea. It is popularly known as
“Otoroekpo or Uturuekpa” among the indigenous people of the Nsukka senatorial district of
Enugu state of Nigeria. They are perennial evergreen non-climbing trees of 30 – 40 feet high
and up to 2 feet in girth but usually 12m high with reddish-brown pubescence on the petioles,
branches, inflorescence and fruits (Burkill, 1995). They are found commonly in low land rain
forest. The flowers are purple in erect woody racemes up to 18in long. It has conspicuously
rusty-hairy leaves and handsome purple flowers in erect terminal racemes at branch (Burkill,
1995). Millettia aboensis have been used by traditional medicinal practitioners to manage
constipation, respiratory difficulties, colds and headaches (Neuwinger, 2000). The ethanol
extract of the root is also used in the study of anti-inflammatory, antioxidant and
antimicrobial activity and also macerated root in alcohol is used to treat hernias and jaundice
(Lock, 1989).
Studies have also shown that the leaf, stem and roots mixed with other plant materials
(herbs) are used to cure veneral diseases such as gonorrhea, syphilis and so on. (Neuwinger,
2000).
19
Fig 1: Structural view of the plant Millettia aboensis. (Otoroekpo).
1.1.2 Scientific classification of Millettia aboensis
Millettia aboensis is a member of the family fabaceae. This dicotyledonous plant is classified
scientifically as;
Domain Eukaryota
Kingdom Plantae
Subkingdom Viridaeplantae
Phylum Tracheophyta
Subphylum Euphyllophytina
Class Spermatopsida
Subclass Rosidae
Superorder Rosanae
Order Fabales
Family Leguminosae
Subfamily Giseke
Tribe Milletieae
Genus Millettia
20
Specific epithet aboensis
Botanical Name Millettia aboensis
Lock, (1989).
1.2. Phytochemistry
Phytochemicals are natural bioactive substances that are found in plants. These
natural substances have shown to work with nutrients and dietary fibers to protect animals
and man against diseases. These plant products which are derived from plant parts such as
fruits, leaves, roots, stem bark, seeds and so on have been part of phytomedicine, thereby
showing that any part of plant may contain these important active substances (Njoku and
Aku, 2007). Phytochemicals are also non-nutritive chemicals that have protective or disease
preventive property. (Harborne, 1998). Phytochemicals comprise of a number of substances
such as carotenoids (carotene, lutein, and lycopene), alkaloids (caffeine, theobromine,
theophylline etc), phenolics (flavorioids, anthocyanins, catechins) and sterols (campesterol,
sitosterol, and stigmasterol) (Akinmoladun et al., 2007).
1.2.1. Phytochemical components in plants
Phytochemical compounds of plants have shown to be formed during the plant normal
metabolic processes. These substances are often referred to as secondary metabolites such as
Alkaloids, flavonoid, Saponins, Tannins, Glycosides, Steroids, Hydrogen Cyanides,
Terpenoids, Reducing sugars, soluble carbohydrates and so on (Harborne, 1998; Okwu,
2004). The qualitative and quantitative studies of aqueous extract of Millettia aboensis leaves
showed to contain the above chemical compounds (Harborne, 1998).
Phytochemicals are naturally occurring and are believed to be effective in fighting or
preventing disease due to their antioxidant effect (Halliwell and Gutteridge, 1992). Thus, the
medicinal values of these plants depend in their component phytochemicals that produce the
definite physiological actions on the human body. The most essential of these phytochemicals
are flavonoids tannins, phenolic and alkaloids compounds (Hill, 1952)
Some of these naturally occurring phytochemicals are anticarcinogenic and while
some have other useful properties, some prevent oxidation by free radicals and therefore
known as chemopreventers. Among these chemopreventers are some plant polyphenols,
vitamins and pigments such as flavorioids, carotenoids and chlorophylls (Farombi, 2000).
21
1.2.1.1. Flavonoids Flavorioids are polyphenolic compounds that are common in nature and are
categorized according to chemical structure into flavones, flavonols, flavonones, catechins,
chalcones, isoflavones and anthocyanidins. They are plant Secondary metabolites occurring
at relatively high amounts in several kinds of fruits, grains and vegetables harvested for
human consumption (Manach et al., 2004). Flavonoids are widely distributed throughout
plants and give the flowers and fruits of many plants their vibrant colours. They also play
important roles in protecting the plants from microbes and insect attacks. At the cellular level,
flavonoids have been found to exert a variety of biological effects (Middleton et al., 2000),
likely mediated by specific interaction with molecular targets. Flavonoids can be nutritionally
helpful by triggering enzymes that reduce the risk of certain cancers, heart diseases and age-
related degenerative diseases. Some studies also shows flavonoids may help to prevent tooth
decay and reduce the occurrence of common ailments such as the flu. Hence, the capacity of
flavonoids to act as antioxidants depends upon their molecular structure. The position of
hydroxyl groups and other features in the chemical structure of flavonoids are important for
their antioxidant and free radical activities. For instance, Quercetin is the most abundant
dietary flavonoid and is a potent antioxidant because of the presence of all the right structural
features for free radical scavenging activity.
1.2.1.2. Tannins
Tannins are an astringent bitter plant polyphenolic compound that binds to precipitate
proteins and various other organic compounds including amino acids and alkaloids, (Petridis,
2010). The word Tannin is widely applied to any large polyphenolic compound containing
sufficient hydroxyls and other suitable groups (such as carboxyl) to form strong complexes
with proteins and other macromolecules. These compounds are widely distributed in many
plants where they play a role in protection from predation perhaps also as pesticides and in
plant growth regulation (Katie et al., 2006). Tannins are also polymerized phenols with
defensive properties. In tanning, collagen proteins are bound together with phenolic groups to
increase the hide’s resistance to water, heat and microbes (Heldt and Heldt, 2005). Thus,
property of astringency from tannins is what causes the dry and unripe fruit or red wine
(McGee, 2004). Tannins are incompatible with heavy metals, iron, lime water, alkalis,
metallic salts, zinc sulfate, strong oxidizing agents and gelatin since they form complexes and
precipitate in aqueous solution (Bisanda et al., 2003). Many human physiological activities,
22
such as stimulation of phagocytic cells, host-mediated tumour activity and a wide range of
anti-infective actions, have been assigned to tannins (Haslam 1996)
1.2.1.3. Hydrogen cyanides
Hydrogen cyanide is an inorganic compound with chemical formal HCN. It is a
colorless extremely poisonous liquid hydrogen cyanide is a linear molecule, with a triple
bond between carbon and nitrogen. It has a bitter, faint and almond like color with some
people are unable to detect owing to a genetic character. The volatile compound has been
used as inhalation rodenticide and human poison. Cyanide ions interfere with iron-containing
respiratory enzymes (Mathews, 2004; Morocco, 2005).
The most important toxic effect of hydrogen cyanide is inhibition of the metal
containing enzymes such as cytochromoxidase. This enzyme system is responsible for the
energy providing processes in the cell where oxygen is utilized that is respiration. Thus, when
cell respiration ceases, it is no longer possible to keep normal cell functions, which may
result to cell death (Baud et al., 2002).
1.2.1.4. Alkaloids
Alkaloids are a group of natural organic bases found in plants, characterized by their
specific physiological action and toxicity used by many plants as a defense against herbivores
like insects. They are one of the most diverse groups of secondary metabolites found in living
organisms and have an array of structural types, biosynthetic pathways, and pharmacological
activities (Robert, 1998). Alkaloids may be rated to various organic bases, the most one being
quinolone, isoquinoline pyrrole, pyridine and other more complicated derivatives. Most
alkaloids are crystalline solids, others volatile liquids and some are gums. They contain
nitrogen as part of a ring, and have general properties of amines. They also include some
related compounds with neutral and even weakly acidic properties (Raj, 2004). Alkaloids
generally exert pharmacological activity particularly in mammals. Presently, many of most
commonly used drugs are alkaloids from natural sources and new alkaloid drugs are alkaloid
drugs are alkaloid drugs are still being developed for clinical use (Robert, 1998). Most
alkaloids with biological activity in humans affect the nervous system, particularly the action
of neural transmitters, e.g. adrenaline, dopamine, serotonin, acetylcholine and so on (Richard,
1999)
23
1.2.1.5. Steroids
A steroid is a type of organic compound that contains a characteristic arrangement of
four cycloalkane rings that are joined to each other. Examples of steroids are the dietary fat
cholesterol, the sex hormones estradiol and testosterone and the anti-inflammatory drug
dexamethasone. (Zollner et al., 2006). The core of steroids is composed of twenty carbon
ions bond atoms bonded together that take the form of four fused rings, three cyclohexane
rings. The steroids vary by the functional groups attached to this four-ring core and by the
oxidation state of the rings. Sterols are special forms of steroids, with a hydroxyl group at
position 3 and a skeleton derived from cholestane (Rossie, 2006). Sterols were used to be
considered to be animal substances that are similar to sex hormones but in recent years, an
increasing number of such compounds have detected in plant tissues. Sterols have important
functions in all eukaryotes. For instance, free sterols are integral components of the
membrane lipid bilayer where they play an important role in the regulation of membrane
fluidity and permeability (Corey et al., 1993). Thus, distinct of steroids are found in plants,
animals and fungi. Therefore, all steroids are made in cells either from the sterols lanosterol
(animals and fungi) or from cycloaterol. (Plants).
1.2.1.6. Saponins
Saponins are natural glycosides of steroid or triterpene which showed many different
biological and pharmacological activities. Saponins a characterized by bitter, foaming
properties, haemolytic effect on red blood cells and cholesterol binding properties (Okwu,
2005). Saponins can also activate the mammalian immune system, which have led to
significant interest in their potential as vaccine adjuvants. Thus, sapins are glycosides of
triterpenoid or steroidal aglycones with a varying number of sugar side chains. Saponins are
especially enriched in plant epidermal cells forming a protective surfactant that forms a soapy
froth when mixed with water (Wegner et al., 2002). Extracts of plants rich on saponins have
been shown to have cholesterol lowering and anticancer properties but are also known to
reduce the digestibility in ruminants and to be generally toxic to cold blooded animals and
insects (Kerwin, 2004).
24
1.2.1.7. Glycosides
Glycosides are molecules in which a sugar is bound to another functional group
through a glycosidic bond. They are also a variety of natural occurring substances in which a
carbohydrate portion, consisting of one or more sugars or an ironic acid that is a sugar acid is
combined with a hydroxyl compound. The hydroxyl compound, usually a non-sugar entity
(aglycon), such as a derivative of phenol or an alcohol, may also be another carbohydrate as
in cellulose, starch or glycogen which consist of many glucose unites thus, many glycosides
occur in plants often as fruit pigment, for instance, anthocyanins, various medicines,
condiments and dyes from plants occurs as glycosides; of great value are the heart stimulating
glycosides of digitalis and strophan, members of a group known as cardiac glycosides
(Arewang et al., 2007).
Glycosides derived from glucuronic acid (the uronic acid of glucose) and steroids are
constituents of normal animal urine. Compounds (nucleosides) derived from the partial
breakdown of nucleic acids are also glycosides. The most important synthetic enzymes in
nature are glycosyltransferases (Polakova et al., 2004).
1.2.1.8. Reducing sugars
A reducing sugar is any sugar that either has an aldehyde group or is capable of
forming one in solution through isomerism. The reducing property of a reducing sugar is due
to the presence of an aldehyde functional group. However, the cyclic hemiacetral forms of
aldoses can open to reveal an aldehyde and certain ketoses can undergo tautomerization to
become aldoses. (Campbell and Farrell, 2012).
25
1.3. Constipation
1.3.1. Definition of constipation
Constipation is referred to as infrequent bowel movements (Typically three times or
fewer per week). It could be referred to as the difficulty during defecation (Straining during
more than 25% of bowel movement or a subjective sensation of had stools) or sensation of
incomplete bowel evacuation (Chatoor et al., 2009). Constipation is a common digestive
complaint and often a chronic functional gastrointestinal disorder. The estimation revealed
that the occurrence is 2% to 20% of the population (Sonnenberg and Koch, 1989). It is also a
common clinical problem comprising a constellation of symptoms that include excessive
straining, hard stools, and feeling of incomplete evacuation or infrequent defecation (Higgins
and Johanson, 2004). Constipation is not only discomforting but also a cause of abdominal
distension, vomiting, restlessness, gut obstruction and perforation and may be associated with
aspiration or fatal pulmonary embolism (Mostafa et al., 2003). Constipation may be caused
by a number of conditions such as metabolic problems, fiber deficiency, anorectal problems,
and drugs. But the three possible causes of constipation are congenital, primary and
secondary while the most common cause is primary and is not life-threatening (Leung, 2007).
Constipation can be treated by water and fibre intake either as dietary source or as
supplements (Hsieh, 2005).
1.3.2. Constipation in children
Constipation in children usually occurs at three distinct points in time, after starting
formula or processed foods (while an infant), during toilet training in toddlerhood, and soon
after starting school (as in kinder garden) (Cohn, 2010).
Studies have shown that after birth, most infants pass 4-5 soft liquid bowel
movements (BM) a day. Thus, Breast – fed infants usually tend to have more bowel
movement compare to formula – fed infants. Some breast - fed infants have a bowel
movement after each feed, whereas others have only one bowel movement every 2 -3 days.
Hence, infants who are breast –fed rarely develop constipation (Cohn, 2010).
26
1.3.3. Types of constipation
There are two main kinds of constipation;
Occational constipation and
Chronic constipation
1.3.3.1. Occational constipation
As the name of the constipation suggests, it is a type of constipation that does not
happen every day. However, while uncomfortable, it is a short – term condition that may only
temporarily interrupt usual – routine. Thus, this type of constipation can often be relieved
through changes to diet, exercise regimen or through the use of over-the counter medications
(Chang, 2006)
1.3.3.2. Chronic constipation
Chronic constipation on the other hand, almost becomes a new routine of its own.
Moreover, most people who have chronic constipation still experiences the “typical”
symptoms – straining, hard or lumpy stool, feeling like not being empty after having a bowel
movement, but they happen on an ongoing basis (symptoms last more than 3 months).
(Chang, 2006).
1.3.4. Causes of constipation
Primary or functional constipation is ongoing symptoms for greater than six months
not due to any underlying cause such as medication side effects or and underlying medical
conditions. Thus, it is not associated with abdominal pain thus distinguishing it from irritable
bowel syndrome. It is the most common cause of constipation. (Longstreth et al., 2006).
1.3.4.1. Diet cause
Constipation can be caused or exacerbated by a low fibre diet, low liquid intake or
dieting (Bharucha, 2007).
27
1.3.4.2. Medication cause
Many medications have constipation as a side effect. Some include (but are not
limited to); opioids (e.g. common pain killers), diuretics, antidepressants, antihistamines,
antispasmodics, anticonvulsants and aluminum antacids (Lee et al., 2010).
1.3.4.3. Metabolic and muscular cause
Constipation has a number of structural (mechanical, morphological, anatomical)
causes including; spinal cord lesions, Parkinsons, colon cancer, anal fissures, proctitis and
pelvic floor dysfunction.
Constipation also has functional (neurological) causes including; animas, descending,
perineum syndrome, and Hirschsprung’s diseases. Infants, Hirschspruny’s disease is the most
common medical disorder associated with constipation. Anismus occurs in a small minority
of person with chronic constipation or obstructed defecation (Schouten et al., 1997).
1.3.4.4. Psychological cause
Voluntary withholding of the stool is a common cause of constipation. The choice to
withhold can be due to factors such as fear or pain, fear of public restrooms, or laziness.
However, when a child holds in the stool a combination of encouragement, fluids, fiber and
laxatives may be useful to overcome the problem (Longstreth et al., 2006).
1.3.5. Diagnosis of constipation
The diagnosis of constipation is essentially made from the patient’s description of the
symptoms. Thus, bowel movements that are difficult to pass, very firm, or made up of small
hard pellets (like those excreted by rabbits) qualify as constipation, even if they occur every
day, thus, other symptoms related to constipation can include bloating, distension, abdominal
pain, headaches, a feeling of fatigue and nervous exhaustion, or a sense of incomplete
emptying (Arce et al., 2002).
Moreover, inquiring about dietary habits will often reveal a low intake of dietary
fibre, inadequate amounts of fluids, poor ambulation or immobility, or medication that are
associated with constipation.
Studies also showed that during physical examination, scybala (manually palpable
lumps of stool) may be detected on palpation of the abdomen. Rectal examination gives an
impression of the anal sphincter tone and whether the lower rectum contains any faeces or
not. Rectal examination also gives information on the consistency of the stool, presence of
28
hemorrhoids, admixture of blood and whether any tumors, polyps or abnormalities are
present. Physical examination may be done manually be the physician or by using a
colonoscope, X-rays of the abdomen, generally only performed if bowel obstruction
suspected may reveal extensive impacted faecal matter in the colon and confirm or rule other
causes of similar symptoms (Barish et al., 2010).
1.3.5.1. Rome II criteria for constipation
The Rome II criteria for constipation require at least two of the following symptoms
for 12 weeks or more over the period of a year
Straining with more than one – fourth of defecations
Hard stool with more than one-fourth of defecations
Feelings of incomplete evacuation with more than one-fourth of defecations.
Sensation of anorectal obstruction with more than one-fourth of defecations
Manual maneuvers to facilitate more than one-fourth of defecations
Fewer than three bowel movements per week
Insufficient criteria for irritable bowel syndrome (Sonnenberg, 1989).
1.3.6. Prevention of constipation
Constipation is usually easier to prevent than to treat. Following the relief of
constipation, maintenance with adequate fluid intake and high fibre diet is recommended.
Children benefit from scheduled toilet breaks, once early in the morning and 30 minutes after
meals (Camilleri and Deiteren, 2010).
1.3.7. Treatment of constipation
There are many treatments for constipation and the best approach lies on a clear
understanding of the underlying cause.
1.3.7.1. Dietary fiber
The best way of adding fiber to the diet is by increasing the quantity of fruits and
vegetables that are eaten. This means a minimum of five servings of fruits or vegetables
every day
However, the amount of fruits and vegetable that are necessary may be inconveniently
large or may not provide adequate relief from constipation. In this case, fiber supplements
can be useful (Bharucha, 2007).
29
Thus, fiber is defined as a material made by plants that is not digested by the human
gastrointestinal tract. Fiber is one of the mainstays in the treatment of constipation. Many
types of fiber within the intestine bind to water and keep the water within the intestine. The
fiber adds bulk (volume) to the stool and the water softens the stool (Bharucha, 2007). There
are different sources of fiber and the type of the fiber varies from source to source. Types of
fiber can be categorized in several ways, for instance by their source. The most common
source of fiber includes: Fruits and vegetable, Wheat or oat bran.Psyllium seed (For example,
Metamucil, Konsyl). Synthetic methyl cellulose (for example Citrucel) and polycarbophil (for
example, Equilactin, Konsyl fiber).
However, the fiber should be started at a low dose and increased every one to two
weeks until either the desired effect on the stool is achieved or troublesome flatulence
interferes. Hence when increasing amounts of fiber are used, it is recommended that greater
amounts of water be consumed (for instance, a full glass with each dose). In theory, the water
prevents “hardening” of the fiber and blockage (obstruction) of the intestine (Hsieh, 2005).
1.3.7.2. Lubricant laxatives
Lubricant laxatives contain mineral oil as either the plain oil or an emulsion
(combination with water) of the oil. The oil stays within the intestine, coats the particles of
stool and presumably prevents the removal of water from the stool. This retension of water in
the stool results in softer stool (Selby, 2010).
1.3.7.3. Emollient laxatives (Stool softeners)
Emollient laxatives are generally known as stool softeners. They contain a compound
called docusate (for example, Colace). Docusate is a welting agent that improves the ability
of water within the colon to penetrate and mix with stool. This increased water within the
stool softens the stool. Although, studies have not shown docusate to be consistently effective
in relieving constipation (Emmanuel et al., 2009).
1.3.7.4. Hyperosmolar laxatives
Hyperosmolar laxatives are undigestible, unabsorbable compounds that remain within
the colon and retain the water that already is in colon. The result is softening of the stool. The
most commonly hyperosmolar laxatives are lactulose (for example kristalose), sorbitol and
polyethylene glycol (for example Miralax) and are available by prescription only. (Emmanuel
et al., 2009).
30
1.4. Biochemical parameters
1.4.1. Body electrolyte
Chemically, electrolytes are substances that become ions in solution and acquire the
capacity to conduct electricity. Thus, they are present in the human body and the balance of
electrolyte in the body is essential for normal function of the cells and organs. Electrolyte
solutions can also result from the dissolution of some biological (e.g. DNA, Polypeptides)
and synthetic polymers (e.g. Polystyrene sulfonate), termed polyelectrolytes which contain
charged functional groups.
Physiologically, the primary ions of electrolytes are sodium(Na+), potassium(K
+),
calcium(Ca2+
), magnesium(Mg2+
), chloride(Cl-), hydrogen phosphate(HPO4
2-), and hydrogen
carbonate(HCO2-
) (Kamil et al., 2011).All known higher life forms require a subtle and
complex electrolyte balance between the intracellular and extracellular environment.
Electrolyte activity between the extracellular fluid and intracellular fluid helps in activation
of muscles and neurons (Syzdek and Jaroslaw, 2000). Moreover, the maintenance of precise
osmotic gradients of electrolytes is important. Thus, such gradients affect and regulate the
hydration of the body as well as blood pH, and are critical for nerve and muscle function. In
humans, electrolyte homeostasis is regulated by hormones such as antidiuretic hormone,
aldosterone and parathyroid hormone. (Syzdek and Jaroslaw, 2010).The common electrolytes
that are measured with blood testing include; sodium, potassium, chloride and bicarbonate.
1.4.2. Depletion and absorption of sodium
Sodium is the most abundant extracellular cation and with its associated anions,
accounts for the most of the osmotic activity of the extra cellular fluid (ECF), it is important
in determining water distribution across cell membranes. Osmotic activity depends on
concentration, and therefore on the relative amounts of sodium and water in the extracellular
fluid compartment, rather than the absolute quantity of either. An imbalance between the two
causes either hyponatraemia or hypernatraemia and therefore brings about changes in
osmolality. The daily water and sodium intakes are very variable, but in an adult amount to
about 1.5 to 2 litres and 60 to 150mMol respectively (Philip, 1994). Sodium regulates the
total amount of water in the body and the transmission of sodium into and out of individual
cells also plays a role in critical body functions. Many processes in the body, especially in the
brain nervous system, and muscles, require electrical signals for communication. The
movement of sodium is critical in generation of these electrical signals. Too much or too little
31
sodium therefore can cause cells to malfunction, and extremes in the blood sodium levels (too
much or too little) can be fatal.
1.4.3. Depletion and absorption of potassium
Potassium (K+) is the most abundant intracellular cation. Only about 2% of the total
body K+ is extracellular. Since most intracellular K
+ is contained within muscle cells, total
body K+ is roughly proportional to lean body mass. An average 70kg adult has about
3500mEq of K+ (Harrison et al., 2005). The normal potassium intake is about 60 to 100mMol
a day (Philip, 1994).
1.5. Na+
/K+
-ATPase
Na+
/K+
-ATPase (sodium-potassium adenosine triphosphatase, also known as Na+
/ K
+
pump, sodium-potassium pump, or sodium pump) is an antiporter enzyme (an electrogenic
transmembrane ATPase) located in plasma membrane of all animal cells. The Na+
/K+
-
ATPase enzyme pumps sodium out of cells, while pumping potassium into cells.
1.5.1. Sodium-potassium pumps
Active transport is responsible for cells containing relatively high concentrations of
potassium ions but low concentrations of sodium ions (Tian et al., 2006). The mechanism
responsible for this is the sodium-potassium pump, which moves these two ions in opposite
directions across the plasma membrane. It is also showed that the concentrations of sodium
and potassium ions in the two sides of the membrane are interdependent, suggesting that the
same carrier transports both ions (Forrest et al., 2012). Thus, it is known that the carrier is an
ATPase and that it pumps three sodium ions out of the cell for every two potassium ions
pumped in (Forrest et al., 2012).
1.5.2. Functions of Na+
/K+
-ATPase
The Na+
/K+
-ATPase helps to maintain resting potential, avail transport, and regulate
cellular volume. It also functions as signal transducer/integrator to regulate MAPK pathway,
ROS as well as intracellular calcium. However, in most animal cells, it is responsible for
about 1/5 of the cell’s energy expenditure (Howarth et al., 2012). For neurons, the Na+
/K+
-
ATPase can be responsible for up to 2/3 of the cell’s energy expenditure (Howarth et al.,
2012).
32
1.5.2.1. Resting potential
In order to maintain the cell membrane potential, cells keep a low concentration of
sodium ions and high levels of potassium ions within the cell (intracellular). The sodium-
potassium pump moves 3 sodium ions out and 2 potassium ions in, thus in total removing one
positive charge carrier from the intracellular space. Moreover, the action of the sodium-
potassium pump is not the only mechanism responsible for the generation of the resting
membrane potential. Also the selective permeability of the cell’s plasma membrane for the
different ions plays important role (Lee et al., 2001).
1.5.2.2. Transport
Export of sodium from the cell provides the driving force for several secondary active
transporters, membrane transport proteins, which import glucose, amino acids and other
nutrients into the cell by use of the sodium gradient. Na+
-K+
pump also provides a Na+
gradient that is used by certain carrier processes. For instance, in the gut, sodium is
transported out of the reabsorbing cell on the blood (interstitial fluid) side via Na+
-K+
pump,
whereas, on the reabsorbing (luminal) side, the Na+
-glucose symporter uses the created Na+
gradient as a source of energy to import both Na+
and glucose which shows to be far more
efficient than simple diffusion (Lee et al., 2001).
1.5.2.3. Controlling cell volume
Failure of the Na+
-K+
pumps can result to swelling of the cell. A cell’s osmolarity is
the sum of the concentrations of the various ion species and many proteins and other organic
compounds inside the cell. When this is higher than the osmolarity outside of the cell, water
flows into the cell through osmosis. This can result to the cell swell up and lysis. Therefore,
the Na+
-K+
pump helps to maintain the right concentrations of ions (Li et al., 2009).
1.5.3. Mechanism of Na+
-K+
ATPase pump
The pump while binding ATP, binds 3 intracellular Na+
ions. The ATP is hydrolysed
leading to phosphorylation of the pump at a highly conserved aspartate residue and
subsequent release of ADP. A conformational change in the pump exposes the Na+
ions to
the outside. The phosphorylated form of the pump now has a low affinity for Na+
ions, and
thus they are released. The pump binds 2 extracellular K+
ions. This brings about the
dephosphorylation of the pump and reverting it to its previous conformational state
transporting the K+
ions into the cell (Skou, 1957)
33
1.6. Blood glucose
Blood sugar concentration or blood glucose level is the amount of glucose (sugar) that
is present in the blood of a human or animal (Boily et al., 2006). The body naturally tightly
regulates blood glucose levels as a part of metabolic homeostasis. Glucose is the primary
source of energy for the body’s cells, and blood lipids (in the forms of fats and oils) are
primarily a compact energy store (Eiler, 2004). Glucose is transported from the intestine or
liver to body cells through the bloodstream and is made available for cell absorption through
the hormone insulin, produced by the body primarily in the pancreas.
In the measurement of blood glucose, normally the values ranges may vary slightly
among different laboratories. Thus, many factors affect a person’s blood sugar level. A
body’s homeostatic mechanism, when operating normally, restores the blood sugar level to a
narrow array of about 4.4 to 6.1mmol/L (79.2 to 110mg/dL) as measured by a fasting blood
glucose test American Diabetes Association, (2006).
1.6.1. Regulation of blood glucose
The body’s homeostatic mechanism keeps blood glucose interacting within a narrow
range. It is composed of several interacting systems of which hormone regulation is the most
important. Thus, there are two types of mutually antagonistic metabolic hormones affecting
blood glucose levels; catabolic hormones (such as glucagon, cortisol and catecholamines)
which increase blood glucose and one anabolic hormone (insulin) which decrease blood
glucose (Comell et al., 1988).
1.6.2. Abnormality in blood glucose level
1.6.2.1. High blood sugar (Hyperglyceamia)
The high concentration of blood sugar in the blood above normal range is referred to
as hyperglyceamia. If blood sugar levels remain too high, the body suppresses appetite over
the short term. As a result of long term hyperglyceamia it causes many of the long-term
health problems such as heart disease, eye, kidney, and nerve damage (Daly et al., 1998).
1.6.2.2. Low blood sugar (Hypoglyceamia)
A situation whereby the blood sugar levels drop too low, a potentially fatal condition
called hypoglyceamia results. Thus, the following are the likely symptoms; lethargy, shaking,
twitching, weakness in arm and leg muscles, pale complexion, sweating, paranoid or
aggressive mentality and loss of consciousness (Daly et al., 1998).
34
1.7. Liver
The liver is a vital organ present in vertebrates and some other animals. It has a wide
range of functions including detoxification, protein synthesis, and production of biochemical
necessary for digestion (Cotran et al., 2005). Anatomically, it is a reddish- brown organ with
four lobes of unequal size and shapes. A human liver normally weighs 1.44-1.66kg (3.2-
3.7lb) and located in the right upper quadrant of the abdominal cavity, resting just below the
diaphragm (Kmiec, 2001).
1.7.1. Functions of the liver
The liver plays a major role in metabolism and has a number of functions in the body,
including glycogen storage, decomposition of red blood cells, plasma protein synthesis,
hormone production, and detoxification. It lies below the diaphragm in the abdominal-pelvic
region of the abdomen. It produces bile, an alkaline compound which aids in digestion
through the emulsification of lipids. The liver's highly specialized tissues regulate a wide
variety of high-volume biochemical reactions, including the synthesis and breakdown of
small and complex molecules, many of which are necessary for normal vital functions
(Maton et al., 1993). Due to the unique and consideration of the reserve capacity of liver,
even a moderate cell injury is not reflected by measurable change in its metabolic function.
Thus, some of its functions are so sensitive that abnormalities start appearing depending on
the nature and degree of initial result.
1.8. Liver markers
Liver function tests (LFTs or LFs) are groups of clinical biochemistry laboratory
blood assays designed to give information about the state of a patient’s liver (McClatchy,
2002). The liver related enzymes or liver biomarkers, aspartate aminotransferase (AST),
alkaline phosphatase (ALP), gamma glutamyl peptidyl transferase (ALT) are indirect
measures of liver homeostasis.Most liver diseases cause only mild symptoms initially, but it
is vital that these diseases can be detected early. Hepatic (liver) involvement in some diseases
can be of vital importance. Some tests are related with functionality (e.g., albumin), some
with cellular integrity (e.g., transaminase) and some with conditions linked to the biliary tract
(gamma-glutamyl transferase and alkaline phosphatase) (Nyblom et al., 2006).
35
1.8.1. Alanine transaminase
Alanine transferase is an enzyme that transfers an amino group from the amino acid
alanine to a ketoacid acceptor (oxaloacetate). The enzyme was formerly called serum
glutamic pyruvic transaminase (SGPT) after the products formed by this reaction. Although
ALT is present in other tissues besides liver, its concentration in liver is far greater than any
other tissue, and blood levels in nonhepatic conditions rarely produce levels of a magnitude
seen in liver disease. The enzyme is very sensitive to necrotic or inflammatory liver injury.
Consequently, if ALT or direct bilirubin is increased, then some form of liver disease us
likely. If both are normal, then liver disease is unlikely (Henry, 2001).
1.8.2. Alkaline phosphatase
Alkaline phosphatase is increased in obstructive liver diseases, but it is not specific
for the liver. Increases of a similar magnitude (three to four-fold normal) are commonly seen
in bone diseases, late pregnancy, leukemia, and some other malignancies. The enzyme
gamma-glutamyl transferase (GGT) is used to help differentiate the source of an elevated
ALP. GGT is greatly increased in obstructive jaundice, alcoholic liver disease, and hepatic
cancer. When the increase in GGT is two or more times greater than the increase in ALP, the
source of the ALP is considered to be from the liver. When the increase in GGT is five or
more times the increase in ALP, these points to a diagnosis of alcoholic hepatitis. GGT, but
not AST and ALT, is elevated in the first stages of liver inflammation due to alcohol
consumption, and GGT is useful as a marker for excessive drinking. GGT has been shown
to rise after acute persistent alcohol ingestion and then fall when alcohol is avoided (Wallach,
2000).
1.8.3. Aspartate transaminase
Aspartate aminotransferase, formerly called serum glutamic oxaloacetic transaminase
(SGOT), is not as specific for liver disease as is ALT, which is increased in myocardial
infarction pancreatitis, muscle wasting diseases, and many other conditions. However,
differentiation of acute and chronic forms of hepatocellular injury is aided by examining the
ratio of ALT to AST, called DeRitis ratio. In acute hepatitis, Reye’s syndrome, and infectious
mononucleosis, the ALT predominates. However, in alcoholic liver disease, chronic hepatitis
and cirrhosis, AST predominates (Lee, 2009).
36
1.9. Lipid profile
Lipid profile or lipid panel is the collective term given to the estimation of total
cholesterol, low-density lipoprotein cholesterol, triglycerides and high-density lipoprotein.
An extended lipid profile may include very low-density lipoprotein. This is used to identify
hyperlipidemia (various disturbances of cholesterol and triglyceride levels), many forms of
which are recognized risk factors for cardiovascular disease and sometimes pancreatitis.
1.9.1. High density lipoprotein
High-density lipoprotein (HDL) is one of the five major groups of lipoproteins, which
in order of sizes, largest to smallest, are chylomicrons, LDL, HDL and VLDL, which enable
lipids like cholesterol and triglycerides to be transported within the water-based bloodstream.
In healthy individuals, about thirty percent of blood cholesterol is carried by HDL (Mard-
Soltani et al., 2012).
Blood tests typically report HDL-C level that is the amount of cholesterol contained
in HDL particles. It is often contrasted with LDL cholesterol or LDL-C, HDL particles are
able to remove cholesterol from within artery atheroma and transport it back to the liver for
excretion or re-utilization, which is the main reason why the cholesterol carried within HDL
particles (HDL-C) is sometimes called “good cholesterol. Individual with higher levels of
HDL-C seem to have fewer problems with cardiovascular diseases (Lewington et al., 2007),
while those with low HDL-C cholesterol levels (less than 40mg/dL or about 1mmol/L) have
increased rates for heart disease (Lewington et al., 2007).
1.9.2. Triacylglycerol
Triglycerides are the main constituents of vegetable oil (typically more unsaturated)
and animal fats (typically more saturated). In humans, triglycerides are a mechanism for
storing unused calories, and their high concentration in blood correlates with the consumption
of starchy and other high carbohydrate food. Triglycerides are a major component of human
skin oils. Triglycerides are formed by combining glycerol with three molecules of fatty acid.
1.9.3. Low density lipoprotein
Low-density lipoprotein (LDL) is one of the five major groups of lipoprotein, which
enable transport of multiple different fat molecules, including cholesterol, within the water
around cells and within the water-based bloodstream. Studies have shown that higher levels
of type-B LDL particles (as opposed to type-A LDL particles) promote health problems and
37
cardiovascular disease, they are often informally called the bad cholesterol particles, (as
opposed to HDL particles, which are frequently referred to as good cholesterol) (John et al.,
2007).Because LDL particles can also transport cholesterol into the artery wall, which are
retained there by arterial proteoglycans and thus attract macrophages that engulf the LDL
particles and start the formation of plaques, increased levels are associated with
atherosclerosis. Over time vulnerable plaques rupture, activate blood clothing and produce
arterial stenosis, which can result to heart attack, stroke and peripheral vascular disease
symptoms and major debilitating events, LDL particles are formed as VLDL lipoproteins lose
triglyceride through the action of lipoprotein lipase (LPL) and they become smaller and
denser (i.e. fewer fat molecules with same protein transport shell), containing a higher
proportion of cholesterol esters (Segrest et al., 2001).
1.9.4. Cholesterol
Cholesterol is important for all animal life, each cell synthesizes it from simpler
molecules, a complex 37-step process which starts with the intracellular protein enzyme
HMG-CoA reductase. However, normal and especially high levels of fats (including
cholesterol) within the blood circulation, depending on how it is transported within
lipoproteins, are strongly associated with progression of atherosclerosis. However, most
ingested cholesterol is esterified, and esterified cholesterol is poorly absorbed. The body also
compensates for any absorption of additional cholesterol by reducing cholesterol synthesis.
For these reasons, cholesterol intake in food has little, if any effect on total body cholesterol
content or concentrations of cholesterol in the blood (Lecerf and Lorgeril, 2011).
Cholesterol is recycled. Thus, the liver excretes it in a non-esterified form (via bile) into the
digestive tract. Typically about 50% of the excreted cholesterol is reabsorbed by the small
bowel back into the bloodstream. Some plants make cholesterol in very small amounts. Plants
manufacture phytosterols (substances chemically similar to cholesterol produced within
plants), which can compete with cholesterol for reabsorption in the intestinal tract, thus
potentially reducing cholesterol reabsorption. However, phytosterols are foreign to animal
cells and, if absorbed, accelerate the progression of atherosclerosis. When intestinal lining
cells absorb phytosterols, in place of cholesterol, they usually excrete the phytosterol
molecules back into the GI tract, an important protective mechanism (John et al., 2007).
38
1.10. Aim and objectives of the research
This study is aimed at evaluating the effect of aqueous extract of Millettia aboensis leaves on
Lomotil-induced constipation using Wistar albino rats.
The following objectives are designed to achieve the aim of this research:
� To determine both qualitatively and quantitatively the phytochemical composition of
the aqueous extract of Millettia aboensis leaves.
� To determine the effect of the aqueous extract of Millettia aboensis on the liver
marker enzymes.
� To determine the effect of the aqueous extract of Millettia aboensis on the serum level
of some body electrolytes
� To determine the lethal dose (acute/ sub-acute toxicity) of the aqueous extract of
Millettia aboensis.
� To determine the effect of the aqueous extract of Millettia aboensis on the serum
levels of lipid profile (HDL, LDL, Cholesterol and Triacylglyceride).
� To determine the effect of the aqueous extract of Millettia aboensis on the blood
glucose concentration.
� To determine the effect of the aqueous extract of Millettia aboensis on Lomotil
induced constipation in rat
� To determine the effect of the aqueous extract of Millettia aboensis on the transport of
glucose, sodium and potassium ions across everted rat intestine.
39
CHAPTER TWO
MATERIALS AND METHODS
2.1. Materials
2.1.1. Plant material
The leaves of Millettia aboensis were used for this research. The leaves were
collected from Imilike Enu in Udenu Local Government Area and were identified by
Mr. Alfred .E. Ozioko of Bioresources Development and Conservation Programme
(BDCP) Research Centre, Nsukka.
2.1.2. Animals
Thirty six (36) adult albino rats were used for the haematological studies and
Eighteen (18) adult albino mice were used for the acute/sub-acute toxicity (LD50)
study. All the animals used were obtained from the Animal house of Faculty of
Biological Sciences, University of Nigeria Nsukka. The rats were acclimatized for
seven days in the Department of Home Science animal house under adequate
ventilation at room temperature before the experiment. They were fed with rat pellets
(Grand cereals and oil mills Ltd, Jos Nigeria) and water.
2.1.3. Equipment
The equipment used for this experiment were obtained from Faculty of Biological
Sciences, University of Nigeria and other laboratory and scientific shops in Nsukka.
They include:
Equipment Manufacturer
Centrifuge Vickas Ltd, England
pH meter Ecoscan
Refrigerator Thermocool, England
Spectrophotometer (E312 model Jenway, UK
Sunction pump Gallenkamp, London
Water bath Gallenkamp, London
Weighing balance Vickas Ltd, England
40
2.1.4. Chemical reagents
All chemicals and reagents used for this research were of analytical grade. Standard
commercial test kits were also used for this study.
2.2. Methods
2.2.1. Experimental design
A total of thirty six Wistar albino rats were used for this study. They were
acclimatized for seven (7) days with free access to water and feed. After acclimatization, they
were divided into four main phases of the experiment. After which, in each phase the rats
were grouped and the extract was administered via oral route with the aid of incubation tube.
The groups and doses administered are summarized below;
Group 1: Rats administered 5 ml/kg of normal saline (negative control)
Group 2: Rats administered 5 mg/kg of standard drug Lomotil (positive control)
Group 3: Rats administered 100 mg/kg extract of Millettia aboensis in normal saline
Group 4: Rats administered 200 mg/kg extract of Millettia aboensis in normal saline
Group 5: Rats administered 100 mg/kg extract of Millettia aboensis before 5 mg/kg of
Lomotil
Group 6: Rats administered 200 mg/kg extract of Millettia aboensis before 5 mg/kg of
Lomotil
Group 7: Rats administered 5mg/kg of Lomotil before 100 mg/kg of extract of Millettia
aboensis
Group 8: Rats administered 5 mg/kg of Lomotil before 200 mg/kg of extract of Millettia
aboensis
2.2.2: Effect of the aqueous extract of Millettia aboensis on glucose, sodium and
potassium transport across everted rat intestine.
In this phase, the rats were divided into three groups of 2 rats each and fasted for 18
hours before they were sacrificed. The tissue used was the small intestine of the rats and
involved three stages according to the method of Wilson and Wiseman (1954)
Stage 1: Preparation of tissue
Stage 2: Preparation of everted sacs
Stage 3: Filling of the everted sacs
41
2.2.3. Reagents
Phosphate –saline: a solution of Krebs Henseleit bicarbonate (KHB) modified by Botting and
Salzmann (1974).
2.2.4. Glucose-saline
0.9% Nacl containing 0.3% glucose
Stage I. Preparation of tissue
The white Wister albino tats were killed by a blow on the head and the throat was
severed. Then the abdomen was opened by a midline incision. The small intestine was
removed by stripping the mesentery from the intestine. Thereafter, the entire small intestine
was washed with glucose saline at a room temperature to remove debris, blood and so on.
Stage II. Preparation of everted sacs
A narrow glass rod (about 1.5mm diameter) with a double thickening at the end was
inserted into one end of the intestine. A ligature was tied over the thickened part of the rod
and everted the intestine by pushing the rod gently through the entire length of the intestine.
A ligature was formed on the both ends of the everted gut with thread. The everted gut was
placed into a dish containing glucose saline for glucose and potassium transports while in the
case of sodium, it was placed into a containing Krebs-solution at room temperature
respectively. Length of intestine (3.4cm) was tied off with thread then an open end cut from
the main length.
Stage III. Filling of everted sacs
In this case, the second ligature was placed loosely round the opened of the sac. Then
a blunt needle attached to a 1ml syringe was introduced into the open end of the sac and a
loose ligature tightened over the needle. 0.6ml of the test fluid (Krebs solution) was injected
into the sac in the case of potassium transport, Glucose saline in transport of sodium and
normal saline for transport of glucose and the ligature was tied tightly while the needle was
withdrawn. The followings are the groupings for the everted rat intestine study;
Glucose transport:
Group 1: Column A containing glucose saline and B normal saline (negative control)
Group 2: Column A containing glucose saline, 250 mg/ml of metformin and B normal saline
42
Group 3: Column A containing glucose saline, 100 µg/ml extract of Millettia aboensis and B
normal saline
Group 4: Column A containing glucose saline, 200 µg/mg extract of Millettia aboensis and B
normal saline
Group 5: Column A containing glucose saline, 400 µg/ml extract of Millettia aboensis and B
normal saline
Sodium transport:
Group 1: Column A containing glucose saline and B Krebs solution (negative control)
Group 2: Column A containing glucose saline, 100 µg/ml extract of Millettia aboensis and B
Krebs solution
Group 3: Column A containing glucose saline, 200 µg/ml extract of Millettia aboensis and B
Krebs solution
Group 4: Column A containing glucose saline, 400 µg/ml extract of Millettia aboensis and B
Krebs solution
Potassium transport:
Group 1: Column A containing Krebs solution and B glucose saline (negative control)
Group 2: Column A containing Krebs solution, 100 µg/ml extract of Millettia aboensis and B
glucose saline
Group 3: Column A containing Krebs solution, 200 µg/ml extract of Millettia aboensis and B
glucose saline
Group 4: Column A containing Krebs solution, 400 µg/ml extract of Millettia aboensis and B
glucose saline
2.2.5. Extraction of plant material
A quantity 1350.3g of the fresh leaves of Millettia aboensis was boiled in 7 litres of
distilled water for 1hour. The solution was filtered with Whatman No1 filter paper and the
filterate was concentrated ton a semi-solid residue in an oven at 60⁰C. The percentage yield
of the extract was determined by weighing the fresh leaves of the Millettia aboensis before
extraction and the concentrated extract obtained after evaporating to dryness and was
calculated using the following formula:
43
2.2.6. Acute toxicity
The LD50 determination of the extract was done using the modified method of Lorke
(1983). The evaluation was done in two phases, the first phase; three groups of three mice
each were treated with 10, 100 and 1000 mg/kg b.w. orally of the extract, respectively.
Clinical signs, symptoms of toxic effect and mortality were observed within 24hrs. In phase
two, four groups of three mice, in group one as control and two mice each in the rest of the
groups were treated with 1600, 2900 and 5000 mg/kg b.w. orally of the extract, respectively.
Clinical signs, symptoms of toxic effect and mortality were observed within 24hrs. The
geometric mean of the consecutive doses for which 0 and 100% survival mice were recorded
in both phases. After this, the groups treated with 100, 1000 mg/kg b.w. and control were
further treated for sub-acute toxicity study.
2.2.7. Qualitative phytochemical analysis
2.2.7.1. Test for glycosides
A quantity 2.0g of aqueous extract of Millettia aboensis was mixed with 30ml of distilled
water and 15ml of dilute sulphuric acid, respectively and heated in a water bath for 5 min.
The mixture was filtered and the filterate was used for the following test; To 5ml each of
filterate, 0.3ml of Fehling’s solutions A and B was added until it turned alkaline (tested with
litmus paper) and heated on a water bath for 2 minutes. A brick-red precipitate shows the
presence of glycosides.
2.2.7.2. Test for steroids
Ethanol (9ml) was added to 1g of aqueous extract of Millettia aboensis, refluxed for a
few minutes and filtered. The filterate was concentrated to 2.5ml on a boiling water bath and
5ml of hot water was added. The mixture was allowed to stand for an hour. The filterate was
extracted with 2.5ml of chloroform using a separating funnel. 0.5ml aqueous extract in a test
tube was carefully added to 1ml of concentrated sulphuric acid to form a lower layer. A
reddish-brown interfered indicates the presence of steroids.
44
2.2.7.3. Test for tannins
A known weight, (2g) of aqueous extract of Millettia aboensis was boiled with 5ml of
45% of ethanol for 5 min. Then the mixture was allowed to cool and filtered and the filterate
was treated with the following solutions. Bromine water: 1ml of filterate was added to 0.5ml
water and a pale brown precipitate was observed. Ferric chloride solution: 1ml of filterate
was diluted with distilled water and then 2 drops of ferric chloride solution was added. A
transient greenish to black colour shows the presence of tannins. Lead sub acetate solution: to
1ml of the filterate, 3 drops of lead sub acetate solution was added. A gelatinous precipitate
indicates the presence of tannins.
2.2.7.4. Test for carbohydrate
A quantity, 0.1g of the sample was shaken vigorously with water and filtered. To the
aqueous filterate was added few drops of Molisch reagent followed by vigorous shaking
again. Then, 1ml of concentrated sulphuric acid was carefully added down the side of the test
tube to form a layer below the aqueous solution. A brown ring at the interface indicates the
presence of carbohydrate.
2.2.7.5. Test for saponins
A quantity, 0.1g of aqueous extract of Milliettia aboensis was boiled with 5ml of distilled
water for 5 min. The mixture was filtered while still hot. The filterate was used for the
following tests: Frothing test: 1ml of the filterate was diluted with 4ml of distilled water.
The mixture was shaken vigorously and then observed on standing for a stable froth.
Emulsion test: 1ml of the filterate was added to two drops of olive oil. The mixture was
shaken and observed for the formation of emulsion.
2.2.7.6. Test for alkaloids
Aqueous extract of Millettia aboensis (0.2g) was boiled with 5ml of 2% Hcl on a
steam bath. The mixture was filtered and 1ml of the filterate was treated with the
following reagents: Dragendorff’s reagents: An orange precipitate shows the presence of
alkaloids. Mayer’s reagents: A creamy-white precipitate indicates the presence of
alkaloids Wagner’s reagents: A reddish-brown precipitate indicates the presence of
alkaloids. Picric acid (1%): A yellow precipitate shows the presence of alkaloids.
45
2.2.7.7. Test for flavonoids
A quantity, 0.2g of aqueous extract of Millettia aboensis was heated with 10ml of
ethyl acetate in boiling water for 3 min. The mixture was filtered and the filterate was
used for the following tests: Aluminum chloride test: 4ml of the filterate was shaken with
1ml of 1% aluminum chloride solution and observed for light yellow colouration that
shows the presence of flavonoids. Ammonium test: 4ml of the filterate was shaken with
1ml of dilute ammonium solution to obtain two layers. The layers were allowed to
separate. A yellow precipitate observed in the ammonium layer indicates the presence of
flavonoids.
2.2.7.8 .Test for terponoids
The presence of terpenoids was determined by dissolving a little quantity of the
sample in an ethanol. Then, 1ml of acetic anhydride was added followed by addition of
concentrated of H2SO4. A change in colour from pink to violet indicates the presence of
terpenoids.
2.2.7.9. Test for reducing sugars
The presence of reducing sugar was determined by adding 5ml of a mixture of equal
parts of Fehling’s solutions A and B to 5ml each of aqueous extract of Millettia aboensis.
These were heated in a water bath for 5 min. A brick red precipitate shows the presence of
reducing sugars.
2.2.8. Quantitative phytochemical analysis
2.2.8.1. Determination of glycosides
Glycosides were determined according to the method described by Harborne (1973). A
known weight, 1g of the sample M. aboensis was macerated with 20ml of distilled water and
2.5ml of 15% lead acetate was added to the filterate, it was shaken vigorously with 2.5ml of
chloroform. The lower layer was collected and evaporated to dryness. The residue was
dissolved with 3ml of glacial acetic acid, 0.1ml of 5% ferric chloride which followed by
0.25ml of concentrated H2SO4. It was shaken and put in the dark for 2hr. The absorbance of
the solution was read at 530nm using Spectrophotometer.
46
2.2.8.2. Determination of steroids
Steroid contents were determined according to the method of Harborne (1984). A
quantity, 5g of M. aboensis was macerated in 20ml of ethanol. It was then filtered and 2ml of
chromate solution was added to 2ml of the filterate and was allowed to stand for 30min and
its absorbance was read at 550nm using Spectrophotometer.
2.2.8.3. Determination of tannins
Tannin contents were determined using the method of Pearson (1976). A quantity, 1g
of the sample Millettia aboensis was macerated in 50ml 0f methanol. 0.3ml of 0.1N ferric
chloride in 0.1N Hcl was added to 5ml of the filterate followed by 0.3ml of 0.008M
potassium ferric cyanide. The absorbance was read at 720nm within 10min using
Spectrophotometer.
2.2.8.4. Determination of soluble carbohydrate
Soluble carbohydrate was determined using the method of Harborne (1984). A known
weight, 5g of the sample M. aboensis was macerated in 50ml of distilled water. It was filtered
and 2ml of saturated aqueous solution of picric acid was added to 1ml of the filterate. The
absorbance of the solution was read at 580nm using Spectrophotometer.
2.2.8.5. Determination of saponins
Saponins were determined according to the method described by Harborne (1973). A
quantity, 5g of M. aboensis was macerated with 10ml of petroleum either twice in beaker.
The filterate was combined and evaporated to dryness. The residue was dissolved in 6ml of
ethanol. From the dissolved residue, 2ml was collected and put in a test tube, and then 2ml of
chromate solution was added to it. It was allowed to stand for 30min and the absorbance was
read at 550nm against an ethanol blank using Spectrophotometer.
2.2.8.6. Determination of alkaloids
Alkaloids were determined according to the method described by Pearson (1976). This
was done by maceratingn5g of the sample Millettia aboensis with a mixture of 20ml of
ethanol and 20% H2SO4 (1:1 v/v). 5ml of 60% H2SO4 was added to 1ml of filterate. After 5
min, 5ml of 0.5% formaldehyde in 60% H2SO4 was added to the filterate, mixed and allowed
to stand for 3hours. The absorbance was read at 565nm using Spectrophotometer.
47
2.2.8.7. Determination of flavonoids
Flavonoids of the extract were determined according to the method of Harborne
(1973). A quantity, 1g of Millettia aboensis was macerated with 20ml of ethylacetate for 5
minutes, 5ml of dilute ammonium was added to 5ml of filterate. This was shaken for 5
minutes and the upper layer was collected. The absorbance was read at 490nm using
Spectrophotometer.
2.2.8.8. Determination of terpenoids
Terpenoid content of the extract was determined according to the method described by
Harborne (1984). A quantity, 1g of the sample M. aboensis was macerated with 50mls of
ethanol. 2.5ml of aqueous phosphomolybdic acid solution and 2.5ml of concentrated H2SO4
were gradually added to 2.5ml; of the filterate and allowed to stand for 30 min and 5mls of
ethanol was added to it. The absorbance was read at700nm using Spectrophotometer.
2.2.8.9. Determination of hydrogen cyanides
Hydrogen cyanide of the sample was determined according to the method of Harborne
(1998). A known weight, 1g of the sample Millettia aboensis was macerated with 50ml of
distilled water. Then 4mls of alkaline picrate solution was added to 1ml of the filterate and
boiled for 5 min. It was allowed to cool at room temperature after which the absorbance was
read at 530nm using Spectrophotometer.
2.2.8.10. Determination of reducing sugar
Reducing sugar of the extract was determined according to the method described by
Harborne (1984).1g of the sample M. aboensis was macerated with 20ml of distilled water
and 1ml of alkaline copper reagent was added to the filterate and boiled for 5min, allowed to
cool and 1ml of phosphomolybdic acid reagent was added to the filterate followed by 7ml of
distilled water and the absorbance was read at 420nm using Spectrophotometer.
2.2.9. Biochemical parameters
2.2.9.1. Determination of total cholesterol
The cholesterol concentration was determined by the method of Allian et al. (1974) as
outlined in the Randox commercial kits.
48
Clinical significance
The measurement of cholesterol is used in the diagnosis and treatment of lipid
lipoprotein metabolism disorders. Lipid play an important role in the body; they serve as
hormones or hormones precursors, aid in digestion, provide energy, storage and metabolic
fuels, acts as structural and functional component in bio membranes and form insulation to
allow nerve conduction and prevent heat loss.
Principle
The cholesterol is determined after enzymatic hydrolysis and reaction in which the
indicator quinonemine is formed from hydrogen peroxide and 4-amino antipyrime in the
presence of phenol and peroxidase.
Cholesterol ester + H2O Cholesterol esterase cholesterol + fatty acids
Cholesterol + O2 Cholesterol oxidase cholesterol-3-one + H2O2
2H2O2 + phenol + 4-aminoantipyrine Peroxidase Quinoneimine + 4H2O
Reagents
Contents Initial concentration of solution
4-Aminoantipyrine 0.30mmol/l
Phenol 6mmol/l
Peroxidase ≥0.5U/ml
Cholesterol esterase ≥0.15U/l
Cholesterol oxidase ≥0.1U/l
Pipes Buffer 80mmol/l; pH6.8
Procedure
Three test tubes in the test tube rack were labeled reagent blank (So) standard (SI) and
sample (S2). 10µl of distilled water was pipetted into the test tube labeled (So), 10µl of the
standard reagent was pipetted into the test tube labeled (S1) while 10µl of serum sample was
added to the test tube labeled (S2). The 100µl of working reagent was added into each of the
labeled test tube (S0, S1 and S2). The reaction medium was mixed properly and incubated for
10minutes at 37⁰C. The absorbance of the sample was read against reagent blank at
wavelength 546 within 60min using Spectrophotometer.
49
Calculation
Concentration of cholesterol in sample = ∆Asample × concentration of standard
Normal values of cholesterol in human serum/plasma
Value Interpretation
<5.17mmol/l (200mg/dl) desirable blood cholesterol
5.17-6.18mmol/l (200-239mg/dl) border line-high blood cholesterol
≥6.20mmol/l (240mg/dl) high blood cholesterol
2.2.9.2. Determination of low density lipoprotein (LDL) concentration
The low density lipoprotein concentration was determined by the method of Assmann et al.
(1984) as outlined in the QCA commercial Enzyme kit.
Principle
Low density lipoprotein-cholesterol (LDL-Cholesterol) was determined as the
difference between total cholesterol and cholesterol content of the supernatant after
precipitation of the LDL fraction by polyvinyl sulphate (PVS) in the presence of
polyethyleneglycol monomethyl ether.
LDL-cholesterol = Total cholesterol –cholesterol in the supernatant
Reagent
Contents Concentration of solutions
Precipitation Reagent:
Polyvinyl sulphate 0.7g/l
EDTA Na2 5.0Mm
Polyethyleneglycol monomethyl ether 170g/l
Stabilizer
The steps used were as follows:
(1) Precipitation reaction
The precipitation solution (3 drops or 1ml) was carefully measured into test tubes
labeled accordingly. The serum sample (0.2 ml) was added to the labeled test tubes.
The contents were thoroughly mixed and left to stand for 15 min at room
temperature (20-25⁰C). Then, the mixture was centrifuged at 2, 000 rpm for 15 min
and the cholesterol concentration in the supernatant was determined.
50
(2) Cholesterol determination
The concentration of the serum total cholesterol was determined according to the
QCA CHOD-PAP method
Calculations
The LDL-cholesterol concentration in the sample was calculated using the following
general formula;
LDL-cholesterol (mg/dl) = Total cholesterol (mg/dl)–1.5×supernatant cholesterol (mg/dl)
2.2.9.3. Determination of triacylglycerol
The triacylglycerol concentration was determined by the method of Allian et al
(1974) as outlined in the Randox commercial kits.
Clinical significance
The measurement of triacylglycerol is used in the diagnosis and treatment of
diseases involving lipid metabolism and various endocrine disorders e.g. nephrosis, liver
obstruction and diabetes mellitus.
Principle
The triacylglycerol assay is determined based on the enzymatic hydrolysis by the
action of lipases. Quinoneimine an indicator is formed from hydrogen-peroxide, 4-
aminophenazone and 4-chlorophenol under the catalytic influence of peroxidase.
Triglycerides + H2O Lipases glycerol + fatty acids
Glycerol + ATP GK glycerol-3-phosphate + ADP
Glycerol-3-phosphate + O2 GPO dihyroxyacetone phosphate + H2O2
H2O2 + 4-aminoatipyrine + chlorophenol POD Quinoneimine + H2O
Reagents
Content Concentration in the test
Pipes buffer 40mmol/l
4-chloropphenol 5.5mmol/l
Magnesium-ions 17.5mmol/l
Enzyme reagent
51
4-aminophenazone 0.5mmol/l
ATP 1.0mmol/l
Lipases ≥150U/ml
Glycerol-kinase ≥0.4U/ml
Glycerol-3-phosphate oxidase ≥1.5U/ml
Peroxidase ≥0.5U/ml
Procedure
One vial of enzyme reagent was reconstituted with 15ml of buffer to form th reagent
mixture. Three test tubes were labeled as reagent blank (S0), standard (S1) and sample (S2).
10µl of serum sample was pipetted into sample (S2), 10µl of CAL standard was added to test
tube and 100µl of the reagent mixture was added to each of the test tube and then mixed
thoroughly. Incubate for 10 minutes at temperature 37⁰C in a water bath for 5 min. The
absorbance of the test sample and the standard was read against reagent blank at 500nm
within 60 min using Spectrophotometer.
Calculation
Triglyceride concentrations were calculated using a factor,
11.95mmol/l × ∆ Absorbance.
2.2.9.4. Determination of high density lipoprotein
The high density lipoprotein (HDL) concentration was determined by the method of
Allian et al (1974) as outlined in the Randox commercial kits.
.
Clinical significance
High density lipoproteins (HDL) are composed of a number of heterogenic particles,
including cholesterol and vary with respect to size and content of lipid and apolipoprotein.
HDL functions to remove cholesterol from the peripheral cells to the liver where the
cholesterol is converted to bile acids and excreted into the intestine.
Principle
Low density lipoprotein (LDL and VLDL) and chylomicron fractions are lipoprotein
precipitated quantitatively by the addition of phosphotungstic acid in the presence of
52
magnesium ions. The cholesterol concentration in the high density lipoprotein (HDL) fraction
which remains in the supernatant is determined.
Cholesterol ester + H2O cholesterol esterase cholesterol + fatty acids
Cholesterol + 1/2O2 Cholesterol oxidase cholestene-3-one + H2O2
2H2O2 + phenol + 4-aminoantipyrine DCFS peroxidase quinoneimine
Reagent
Contents Initial Concentration of Solution
Phosphotungstic Acid 0.55mmol/l
Magnesium chloride 25mmol/l
Procedure
The procedure involved two steps
1 Precipitation step
Three centrifuge tubes were labeled (S1 and S2 ). 100µl of distilled water was pipetted into
the test tubes labeled (SO), 200µl of the standard reagent was pipetted into the test tube
labeled (S1) and 200µl of serum sample was also pipetted in a test tube labeled (S2). A drop
of precipitate solution reagent was added, 0.55mmol/l of phosphotungstic acid 1M
magnesium chloride was added to each of the centrifuge tubes.
2 Colorimetric step
The content of the various tubes were thoroughly mixed and incubated for 10 min at
room temperature (20-25⁰C), then centrifuged for 2 min at 12, 000rpm. The absorbance was
measured at 500nm against the reagent blank within 60 min.
2.2.9.5. Assay of Alanine Aminotransferase Activity
Alanine aminotransferase (ALT) activities were assayed by the method of Reitman
and Frankel, (1957) as described in the Randox commercial kit.
Principle
Alanine aminotransferase is measured by monitoring the concentration of pyruvate
hydrazine formed with 2, 4-dinitrophenylhydrazine.
53
α- oxoglutarate + L-alanine GPT L-glutamate + pyruvate
Reagent
Content Initial concentration of solution
Buffer
Phosphate buffer 100mmol/l, pH 7.4
L- alanine 200mmol/l
α –oxoglutarate 2.0mmol/l
2, 4-dinitrophenylhydrazine 2.0mmol/l
Procedure
Two test tubes were labeled as reagent blank (BR) and test tube (ST) placed in a test
tube rack. To 0.1ml of the serum pipetted into the test tube labeled (ST), 0.5ml of buffer
solution reagent was added to each of the test tube and then 0.1ml of distilled water was
added to the test tube labeled (BR). It was thoroughly mixed and incubated for 30 min at
37⁰C. 0.5ml of 2, 4-dinitrophenylhydrazine reagent solution was added to each of the test tube
and again mixed thoroughly and allowed to stand for 20 min at room temperature. After
which 5ml of sodium hydroxide was added to each of the test tubes, mixed and the
absorbance of the sample was read at 546nm against the reagent blank after 5 min.
2.2.9.6. Assay of Alkaline Phosphatase Activity
Alkaline phosphatase (ALP) activities were assayed by the method of Babson et al,
(1966) as outlined in the QCA commercial kit.
Principle
The principle of alkaline phosphatase is based on the reaction involving serum alkaline
phosphatase and a colourless substrate of phenolphthalein, giving rise to phosphoric acid and
phenolphthalein which at alkaline pH values, turns pink that can be spectrophotometrically
determined.
Reagents
Contents Concentration in the reagent solution
2-Amino-2-methyl-1-propanol pH 11 7.9M
54
Phenolphthalein monophosphate 63mM
Na2HPO4 80mM
Method
Two test tubes labeled as sample (SA) and standard (ST). To 1ml of distilled water pipetted
into each of the test tubes, a drop of substrate reagent was added, mixed and incubated for 5
min at 37⁰C. 0.1ml of standard reagent was added to the test tube labeled (SA), mixed and
incubated for 20 min at a temperature of 37⁰C. After which 5ml of colour developer was
added to each of the test tubes. The absorbance was read at 550nm using Spectrophotometer.
Calculations
SA Abs. × 30 = U/L of Alk. Phosphatase
ST Abs.
Normal values for alkaline phosphatase in the human blood;
Adults: 9-35U/L
Children: 40-90U/L
2.2.9.7. Assay of Aspartate Aminotransferase Activity
Aspartate aminotransferase (AST) activities were carried out by the method of
Reitman and Frankel (1957) as outlined in the Randox commercial kit.
Principle
Aspartate aminotransferase is measured by monitoring the concentration of
oxaloacetate hydrozone formed with 2, 4-dinitrophenylhyrdazine.
Reagent
Contents Initial concentration of solution
Buffer
Phosphate buffer 100mmol/l, pH 7.4
L-aspartate 100mmol/l
α- oxoglutarate 2mmol/l
2, 4-dinitrophenylhydrazine 2mmol
55
Method
The blank and sample test tubes were set up in duplicate. 0.1ml of serum was pipetted
into the sample tubes. 0.5ml of reagent 1 was pipetted into both sample and blank tubes. The
mixtures were thoroughly mixed and incubated for exactly 30 min at 37⁰C and pH 7.4. 0.5ml
of reagent 2 containing 2, 4-dinitrophenylhydrazine was added into all the test tubes followed
by 0.1ml of sample into the blank tubes. The tubes were mixed thoroughly and incubated for
exactly 20 min at 25⁰C. 5.0ml of sodium hydroxide solution was then added to each tube and
mixed. The absorbance was read against the blank after 5 min at 546nm using
Spectrophotometer.
2.2.9.8. Blood glucose concentration
Determination of blood glucose was carried using Accu-chek advantage glucometer.
Principle
Glucose in the blood sample is oxidized in the reactive zone of the strip to gluconolactone.
During this reaction, oxidized hexacyanoferrate (3) is reduced to hexacyanoferrate (2). A
voltage is applied between the two palladium electrodes contained in the strip. This leads to
the hexacyanoferrate (2) being reoxidized to hexacyanoferrate (3) with release of electrons.
The small electric current that is generated is measured by the meter and converted into a
glucose concentration reading.
2.2.9.9. Serum concentration of Sodium Ion
Serum concentration of sodium ion was carried out by the method of Terri and Sesin,
(1958) as described in the TECO DIADNOSTIC kit.
Principle
The present method is based on modification of the method described by Maruna and
Trinda, in which the sodium is precipitated as the triple salt, sodium magnesium uranyl
acetate, with the excess uranium then being reacted with ferrocyanide, producing a
chromophore whose absorbance varies inversely as the concentration of sodium in the test
sample.
56
Reagent composition
Filtrate Reagent: Uranyl Acetate 2.1mM and Magnesium Acetate 20mM in ethyl alcohol.
Acid Reagent: A diluted acetic acid. Sodium Color Reagent: Potassium Ferrocyanide,
non-reactive stabilizers, and fillers. Sodium Standard: Sodium Chloride
solution.150mEq/L of sodium
Procedure
Filtrate Preparation
The test tubes were labeled: blank, standard, control, sample etc. 1.0 ml of Filtrate Reagent
was added to all tubes. 50µl of sample was added to all tubes and distilled water to the blank.
All tubes were shacked vigorously and mix continuously for 3 min. The tubes were
centrifuged at high speed for 10 min and the supernatant fluid was tested as described below;
Colour Development
The test tubes were labeled corresponding to the above Filtrate tubes. 1.0ml Acid Reagent
was added to all tubes. 50µl of Supernatant was added to the respective tubes and mixed.
Followed by 50µl of Color Reagent to all tubes and mixed. The colorimeter was zeroed with
distilled water at 550nm
1. The absorbance of all the tubes was read and recorded.
CALCULATIONS
Abs. of Blank – Abs. of S × Conc. of STD (mEq/L) = Conc. of S 5(mEq/L)
Abs. of Blank – Abs. of STD
2.2.9.10. Serum concentration of Potassium Ion
Serum concentration of potassium ion was carried out by the method of Terri and
Sesin, (1958) as described in the TECO DIADNOSTIC kit.
Principle
The amount of potassium is determined by using solution tetraphenylboron in a
specifically prepared mixture to produce a colloidal suspension. The turbidity of which is
proportional to potassium concentration in the range of 2-7mEq/L.
57
Reagent composition
Potassium reagent: Sodium Tetraphenylboron 2.1mM, preservatives and thickening agents.
Potassium Standard: Equivalent to 4mEq/L.
Procedure
The test tubes were labeled: standard, control, test samples, etc. A blank is necessary. 1.0ml
of potassium Reagent was added to all tubes. 0.01ml (10µl) of samples was added to the
respective tubes. It was mixed and allowed to stand at room temperature for 3 min. After 3
min, the wavelength of spectrophotometer was set to 500 nm, spectrophotometer was zeroed
with reagent blank. The absorbance of all tubes was read and recorded.
58
CHAPTER 3
RESULTS
3.1. Extraction Yield The percentage yield of aqueous extract of Millettia aboensis was 5.13%.
3.2. Acute toxicity test In the median lethal dose (LD50) test for the plant extract, no mortality or any
observable behavioural change of the animals used in this study was recorded up to
5000mg/kg body weight of the extract.
3.3. Qualitative and Quantitative Phytochemical Composition of aqueous extract of M.
aboensis The qualitative and quantitative phytochemical composition of aqueous extract of
M. aboensis showed relatively high concentration of bioactive compounds such as reducing
sugar, tannins and flavonoids (Table 1 and 2). The alkaloids, steroids and glycosides were
moderately present in concentration, while the soluble carbohydrates, saponins and hydrogen
cyanides were slightly present in low concentration and terpenoids were not detected.
Table 1: Qualitative phytochemical composition of aqueous extract of M. aboensis.
Phytochemical Bioavailability
Reducing sugar +++
Tannins +++
Flavonoids +++
Alkaloids ++
Steroids ++
Glycosides ++
Soluble carbohydrates +
Saponins +
Hydrogen cyanides +
Terpenoids -
Bioavailability Key - = Not detected
+ = present in low concentration
++ = present in moderately high concentration
+++ = present in very high concentration
59
Table 2: Quantitative phytochemical composition of aqueous extract of M. aboensis.
Phytochemical Bioavailability
Reducing sugar 38.35±0.45
Tannins 18.02±0.35
Flavonoids 5.35 ± 0.28
Alkaloids 4.69 ± 0.36
Steroids 3.31 ± 0.31
Glycosides 4.87 ± 0.32
Soluble carbohydrates 2.87 ± 0.31
Saponins 1.81 ± 0.55
Hydrogen cyanides 1.77 ± 0.25
60
3.4. Toxicological Effect of M. aboensis Extract on Aspartate Amino transferase Activity
in Mice.
Fig. 2 shows significant increase (p<0.05) in the AST activities of groups 2 and 3 mice fed
100 and 1000 mg/kg b.w of the extract respectively compared with the AST activities of mice
in group 1. However, non-significant difference (p>0.05) was observed in the AST activities
of the test mice in groups 1 and 3.
61
Fig. 2: Toxicological effect of aqueous extract of Millettia aboensis leaves on aspartate
aminotransferase activity in mice
Group1= Normal Control
Group2= 100mg/kg b.w. of aqueous extract of Millettia aboensis leaves
Group3= 1000mg/kg b.w. of aqueous extract of Millettia aboensis leaves
62
3.5. Toxicological Effect of M. aboensis Extract on Alanine Amino transferase Activity
in Mice
Alanine aminotransferase (ALT) activities increased significantly (p<0.05) in the treated
mice under groups 2 and 3 administered 100 and 1000 mg/kg b.w. of aqueous extract of
Millettia aboensis leaves respectively compared with that of normal control mice as shown in
Fig.3. In the same vein, significant increase (p<0.05) was noticed in the AST activities of
group 2 mice compared with that of group 3.
63
Fig 3: Toxicological effect of aqueous extract of Millettia aboensis leaves on alanine
aminotransferase activity in mice
Group1= Normal Control
Group2= 100mg/kg b.w. of aqueous extract of Millettia aboensis leaves
Group3= 1000mg/kg b.w. of aqueous extract of Millettia aboensis leaves
64
3.6. Toxicological Effect of M. aboensis Extract on Alkaline phosphatase Activity in
Mice
.Non-significant increase (p>0.05) was recorded, as shown in Fig. 4, in the activities of
alkaline phosphatase (ALP) of mice (group) fed 100 mg/kg b.w. of the extract compared with
the ALP activities of the control mice in group 1. Conversely, non-significant decrease
(p>0.05) was observed in the ALP activities of group 3 mice administered 1000 mg/kg b.w.
of the extract compared with that of the normal control mice.
65
Fig. 4: Showing the toxicological effect of AEMA on Alkaline phosphatase activity in
mice
Group1= Normal Control
Group2= 100mg/kg b.w. of aqueous extract of Millettia aboensis leaves
Group3= 1000mg/kg b.w. of aqueous extract of Millettia aboensis leaves
AEMA= Aqueous Extract of Millettia aboensis
66
3.7. Toxicological Effect of M. aboensis extract on total cholesterol concentration in mice
Non-significant decrease (p>0.05) was observed as shown in Fig 5, in the serum level of total
Cholesterol concentrations of the mice in groups 2 and 3 administered 100mg/kg and
1000mg/kg b.w of the extract compared with the total Cholesterol concentrations of the
normal control mice in group 1.
67
Group1= Normal Control
Group2= 100mg/kg b.w. of aqueous extract of Millettia aboensis leaves
Group3= 1000mg/kg b.w. of aqueous extract of Millettia aboensis leaves
68
3.8. Effect of M. aboensis extract on low density lipoprotein concentration in mice
From Fig 6, Non-significant decrease (p>0.05) was recorded in the low density lipoprotein
concentrations of mice in groups 2 and 3 fed with 100mg/kg and 1000mg/kg b.w. of the
extract compared with the LDL concentrations of the control mice in group 1.
69
Group1= Normal Control
Group2= 100mg/kg b.w. of aqueous extract of Millettia aboensis leaves
Group3= 1000mg/kg b.w. of aqueous extract of Millettia aboensis leaves
70
3.9. Toxicological Effect of M. aboensis extract on high density lipoprotein concentration
in mice
Fig 7, showed non-significant decrease (p>0.05) in the high density lipoprotein
concentrations of mice (group 2) fed 100mg/kg b.w. of the aqueous extract of Millettia
aboensis compared with the HDL concentrations of the control mice in group 1. In the same
vein, non-significant increase (p>0.05) was observed in the HDL concentrations of group 3
mice fed 1000mg/kg b.w. of the extract compared with that of the normal control mice.
71
Group1= Normal Control
Group2= 100mg/kg b.w. of aqueous extract of Millettia aboensis leaves
Group3= 1000mg/kg b.w. of aqueous extract of Millettia aboensis leaves
72
3.10. Toxicological Effect of M. aboensis extract on triacylglycerol concentration in mice
Non-significant decrease (p>0.05) was recorded as shown in Fig 8, in the concentrations of
triacylglycerol of mice (group 2) administered 100mg/kg b.w of the extract compared with
the TAG concentrations of the control mice in group 1. On the other hand, non-significant
increase (p>0.05) was observed in the TAG concentrations of group 3 mice administered
1000mg/kg b.w. of the extract compared with that of the control mice in group 1.
73
Group1= Normal Control
Group2= 100mg/kg b.w. of aqueous extract of Millettia aboensis leaves
Group3= 1000mg/kg b.w. of aqueous extract of Millettia aboensis leaves
74
3.11. Toxicological Effect of M. aboensis extract on potassium ion concentration in mice
From Fig 9, non-significant increase (p>0.05) was recorded in the serum level of potassium
ion concentrations in groups 2 and 3 mice fed 100mg/kg and 1000mg/kg b.w. of the aqueous
extract compared with that of the mice in the normal control (group 1).
75
Group1= Normal Control
Group2= 100mg/kg b.w. of aqueous extract of Millettia aboensis leaves
Group3= 1000mg/kg b.w. of aqueous extract of Millettia aboensis leave
76
3.12. Toxicological Effect of M. aboensis extract on sodium ion concentration in mice
Fig. 10 shows dose-dependent significant increase (p<0.05) in the concentrations of serum
sodium ion (Na+) of mice across the groups compared to the control group 1.
77
Group1= Normal Control
Group2= 100mg/kg b.w. of aqueous extract of Millettia aboensis leaves
Group3= 1000mg/kg b.w. of aqueous extract of Millettia aboensis leaves
78
3.13. Toxicological Effect of M. aboensis extract on glucose concentration in mice
Non-significant decrease and increase (p>0.05) were observed in the blood glucose
concentrations of groups 2 and 3 mice administered 100mg/kg and 1000mg/kg b.w. of the
extract respectively compared with the blood glucose concentration of the normal control
mice in group 1.
79
0
20
40
60
80
100
120
Group 1 Group 2 Group 3
Me
an
Glu
co
se
Co
nc (
mm
ol/L
)
Treatment Group
Fig. 11: Toxicological effect of aqueous extract of Millettia aboensis leaves on serum
glucose concentration in mice
Group1= Normal Control
Group2= 100mg/kg b.w. of aqueous extract of Millettia aboensis leaves
Group3= 1000mg/kg b.w. of aqueous extract of Millettia aboensis leave
80
Table 3: Effects of different doses of the aqueous extract of Millettia aboensis on the
frequency of defecation of lomotil- induced constipation in rats.
Mean value
Percentage
of defecation
Groups Number of Stools after enhancement
(%)
1st hour 2
nd hour 3
rd hour 4
th hour
1 0.25±0.50 0.00±0.00 0.00±0.00 0.00±0.00 0.0625 3.45
2 0.25±0.50 0.00±0.00 0.00±0.00 0.00±0.00 0.0625 3.45
3 0.75±0.50 0.00±0.00 0.00±1.00 0.00±0.00 0.3125 17.25
4 0.25±0.50 0.25±0.50 1.50±1.00 0.25±0.50 0.5625 31.03
5 0.25±0.50 0.50±1.00 0.00±0.00 0.00±0.00 0.1875 10.34
6 0.00±0.00 1.75±1.50 0.00±0.00 1.00±1.41 0.4375 24.14
7 0.00±0.00 0.25±0.50 0.00±0.00 0.00±0.00 0.0625 3.45
8 0.00±0.00 0.25±0.50 0.25±0.50 0.00±0.00 0.125 6.91
Group 1= 5ml/kg Normal saline (Negative control)
Group 2= 5mg/ml of lomotil (Positive control)
Group 3= 100mg/kg of extract
Group 4= 200mg/kg of extract
Group 5= 100mg/kg of extract+ 5mg/ml of lomotil
Group 6= 200mg/kg of extract + 5mg/ml of lomotil
Group 7 = 5mg/ml of lomotil + 100mg/kg of extract
Group 8 = 5mg/ml of lomotil + 200mg/kg of extract
81
Table 3. The above table shows a dose –dependent increase (P<0.05) on the percentage
enhancement of the faecal droppings across the rats treated groups (4, 6, 3, 5, 8 and 7) fed
200mg/kg and 100mg/kg b.w. of the extract respectively compared with the normal negative
and positive control groups (1 and 2). In other words, the extract was able to ameliorate
constipation on the lomotil-induced rats by increasing the number of faecal droppings.
82
3.14. Effect of M. aboensis extract on glucose transport across everted rat intestine.
A significant increase (p<0.05) was recorded as shown in Fig. 12, on the influx of glucose
transport of rats treated groups (3,4 and 5) administered 100µg/ml, 200µg/ml and 400µg/ml
of the aqueous extract compared with the glucose transport of the control rats in group 1. On
the other hand, a significant decrease (p<0.05) was observed on the glucose transport of
group 2 rats fed 250mg/ml of metformin compared with that of the positive normal control
rats group 1.
83
Fig 12. Effect of aqueous extract of Millettia aboensis on the transport of glucose
concentration of rats’ intestine
Group1= Normal Control
Group2= 250mg/ml of Metformin
Group3= 100µg/ml of aqueous extract of Millettia aboensis leave
Group4= 200µg/ml of aqueous extract of Millettia aboensis
Group5= 400µg/ml of aqueous extract of Millettia aboensis
84
3.15. Effect of M. aboensis extract on sodium transport across everted rat intestine.
A significant increase (p<0.05) was recorded as shown in Fig. 13, on the influx of sodium
transport of rats treated groups (2,3 and 4) administered 100µg/ml, 200µg/ml and 400µg/ml
of the aqueous extract compared with the sodium transport of the control rats in group 1.
85
Fig 13. Effect of aqueous extract of Millettia aboensis on the transport of sodium
concentration of rats’ intestine
Group1= Normal Control
Group2= 100µg/ml of aqueous extract of Millettia aboensis leaves
Group3= 200µg/ml of aqueous extract of Millettia aboensis leaves
Group4= 400µg/ml of aqueous extract of Millettia aboensis leaves
86
3.16. Effect of M. aboensis extract on potassium transport across everted rat intestine.
A significant increase (p<0.05) was observed as shown in Fig. 14, on the efflux of potassium
transport of rats treated groups (2,3 and 4) administered 100µg/ml, 200µg/ml and 400µg/ml
of the aqueous extract compared with the potassium transport of the control rats in group 1.
87
Fig 14. Effect of aqueous extract of Millettia aboensis on the transport of potassium
concentration of rats’ intestine
Group1= Normal Control
Group2= 100µg/ml of aqueous extract of Millettia aboensis leaves
Group3= 200µg/ml of aqueous extract of Millettia aboensis leaves
Group4= 400µg/ml of aqueous extract of Millettia aboensis leaves
88
CHAPTER FOUR
DISCUSSION
In the recent years, there has been an increasing cognizance of the usefulness of
medicinal plants in the treatment and management of disease conditions. The plant kingdom
is paragon house of potential drugs. Drugs from plants are readily available, safe, less
expensive and efficient. Some plants have been selected for medicinal uses and therefore
constitute the most obvious choice in the present search for therapeutically effective agents.
New drugs synthesized from plant include: antimicrobial drugs, anti-inflammatory and
antihepatotoxic drugs (Arunkumar and Muthuselvam, 2007), anticancer drugs, (Philipson and
Wright, 1996). The use of herbal preparation by trado-medicinal practitioners that are not
scientifically proven for the treatment of diseases is very common in some rural areas. Hence,
it is therefore very important to use experimental screening method in order to find out the
true information about the safety and efficacy of these products and to establish the active
component of these herbal medicaments. In this research, studies were carried out to
investigate the use of aqueous extract of Millettia aboensis leaves for the treatment of
constipation using animals. Results showed no death on an oral LD50 of 5000 mg/kg body
weight which indicates that the extract is relatively safe at this level of dose administration.
Qualitative and quantitative phytochemical constituents of the plant leaves were
investigated. The results of the preliminary phytochemical analyses revealed the presence of
soluble carbohydrates, reducing sugars, tannins, saponins, flavonoids, terpenoids, alkaloids,
hydrogen cyanides, steroids and glycosides. The qualitative phytochemical analysis showed
relatively high concentration of tannins, flavonoids and reducing sugar. Moderate presence of
alkaloids, steroids, glycosides in the extract. Soluble carbohydrate, saponins and hydrogen
cyanides were detected at low concentration, terpenoids were not detected. Flavonoids
(5.35±0.28mg/100g) have been shown to exhibit their actions through effects on membrane
permeability and by inhibition of membrane bound enzymes such as the ATPase and
phospholipase A2 (Li et al., 2003) and this property may explain the mechanisms of
antioxidative action of M. aboensis. Flavonoids serve as health promoting compound as a
result of its active radicals scavenging potential (Hausteen, 1983). Flavonoids are
hydroxylated phenolic substances known to be synthesized by plants in response to microbial
infection and they have been found to have antimicrobial activity against a wide array of
microorganisms. Their activity is probably due to their ability to complex with extracellular
and soluble proteins and to complex with bacterial cell wall (Marjorie, 1996). They are also
89
effective antioxidants and show strong anticancer activities (Salah et al., 1995). Their
antioxidant activity helps in the removal of oxidant free radicals (Cai et al., 2004) which may
be the reason for protection against cardiovascular and degenerative diseases. Tannins are
important astringent bitter plant polyphenolic compound that binds to and precipitate proteins
and various other organic compounds such as amino acids and alkaloids. Tannins play a role
in protection from predation, perhaps also as pesticides and in plant growth regulation
(Kadam et al., 1990). Tannins are known to be useful in the treatment of inflamed or
ulcerated tissues and they have remarkable activity in cancer prevention (Ruch et al., 1989).
M. aboensis showed high concentration of tannins with a mean value of 18.02±0.35mg/100g.
The results also revealed the leaf extract to contain high concentration of reducing sugars
with a value of 38.35±0.45mg/100g. Reducing sugar has an aldehyde group or is capable of
forming one in solution through isomerism. The aldehyde group allows the sugar to act as a
reducing agent. The aldehyde can be oxidized through a redox reaction in which another
compound is reduced during oxidation of aldoses. Reducing sugar helps to reduce certain
oxidizing agents (Campbell and Farrell, 2012). The results indicated that the leaves possess
some biologically active compounds which could serve as potential sources of drugs and their
phytochemicals may exert some biological activities when ingested by animals.
Millettia aboensis aqueous extract had a moderate concentration of alkaloids with a
value of 4.69±0.36mg/100g which has been associated with medicinal uses for periods.
Alkaloids are known for their analgesic, antibacterial and antispasmodic properties
(Harborne, 1974). They often have pharmacological effects and are used as medications,
recreational drugs, anticancer compounds, antihypertension agents, and antiasthmatic
therapeutics, etc. They act on a diversity of metabolic systems in humans and invoke a bitter
taste (Rhoades, 1979) which may be responsible for the protection against predator and
parasite. However, they inhibit certain mammalian enzyme activities such as
phosphodiesterase; thus prolonging the action of cyclic AMP (cAMP) (Okaka et al., 1992).
The aqueous extract was shown to contain glycosides with a mean of 4.87±0.32mg/100g.
Glycosides play numerous important roles in living organisms. Many plants store chemicals
in the form of inactive glycosides which can be activated by enzyme hydrolysis causing the
sugar part to be broken off, making the chemical available for use (Brito-Arias, 2007) and
glycosides-containing plants can be used as medication. Glycosides are known to lower the
blood pressure and heart performance (Nyarko and Addy, 1990). The presence of glycosides
in this plant could make it useful in the treatment of constipation as one of the classes of
glycosides anthraquinone glycosides have been reported to have a laxative property (Brito-
90
Arias, 2007). The extract analysis confirmed the presence of saponins (1.81±0.55mg/100g).
Saponins are glycosides with a distinctive foaming characteristic which are found in many
plants. They are known to produce inhibitory effects on inflammation (Just et al., 1998).
Some of the characteristics of saponins include formation of foams in aqueous solutions,
haemolytic activity, bitterness and cholesterol-binding properties (Sodipo et al., 2000; Okwu,
2004 a), they are major ingredients in traditional Chinese medicine and thus are responsible
for most of the observed biological effects (Liu and Henkel, 2002). The results obtained in
this study, showed that aqueous extract of Millettia aboensis little or no effect toxicological
effect on the studied indices and thus suggest that the identified phytochemical compounds
may be the bioactive constituents. This plant is proving to be an increasingly valuable
reservoir of bioactive compounds of substantial medicinal importance.
The management of activities of marker or diagnostic enzymes in tissues plays a
significant and well-known role in diagnosis, disease investigation and in the assessment of
drug or plant extract for safety/toxicity risk. The enzymes considered in this research are
useful marker enzymes of liver cytolysis and damage to the plasma membrane of the liver
cells.
The liver marker enzymes assayed after 7 days of treatment showed a significant
increase (p<0.05) in the AST and ALT activities of groups 2 and 3 rats compared with that of
the normal control rats as shown in Figs 1 and 2, respectively. The significant increase of 100
and 1000 mg/kg body weights of the aqueous extract of Millettia aboensis could be due to de
novo synthesis of the enzyme molecules or an adaptation by the liver to the assault from the
plant extract leading to the activities higher than the normal. Studies by (Conigrave et al.,
1995; Edwards et al., 1997) have shown that persistent increase of serum ALT, ALP and
AST activities are reliable markers for hepatotoxicity. In other words, the results of ALT and
AST activities showed that the aqueous extract of Millettia aboensis leaves could have a
negative effect on the hepatocytes when there is consistent administration of the extract.
However, alkaline phosphatase is considered a maker enzyme for the plasma membrane and
endoplasmic reticulum. The non-significant differences in the serum activity of ALP in
groups 2 and 3 showed that the extract did not have a negative effect on the hepatocytes.
Electrolytes are substances that become ions in solution and acquire the capacity to
conduct electricity. They are present in the human body and their balance in the body is very
essential for normal functions of the cells and organs. In this study, the concentration of
serum levels of sodium and potassium were analysed in mice on administration of the
aqueous extract of Millettia aboensis after seven days of treatment. The results of the sodium
91
showed a non-significant increase in the group administered 100mg/kg body weight of the
mice and significant increase in the group administered 1000mg/kg as compared to the
control group. This implies that the increase in sodium concentration is dependent on the
dosage increament and also that the extract could be used for anti-constipation. However, the
results for potassium showed a non-significant increase in groups administered with 100 and
1000mg/kg of body weight of the mice compared to the control groups. In other words, this
implies that the extract has no negative effect on the body electrolyte levels of the animals.
Assessment of plasma lipid profile is required for the state of wellbeing of every
individual as cardiovascular parameters can be used to determine how toxic a compound can
be to the blood parameters. Some phytochemicals may have deleterious effects on the blood
cells and to this end, it was necessary to determine the effect of the aqueous leaves extracts of
Millettia aboensis on haematological parameters (lipid profile). It was found that there was a
dose-dependent change in lipid profile parameters. From the study, it was observed that
1000mg/kg body weight of extract showed non-significant decrease on the low density
lipoprotein cholesterol concentration while a dose of 1000mg/kg body weight of extract
showed non-significant increase on the high density lipoprotein concentration. However, a
dose of 100mg/kg body weight of the extract showed a non-significant increase on the
triacylglycerol while a dose of 1000mg/kg body weight of extract showed a non-significant
decrease on the cholesterol concentration. Therefore, this dose sensitive alteration of serum
lipid of the extract could be justified that the extract was not toxic to the lipid profile but
rather could be used in relieving some cardiovascular associated diseases. This was in
accordance with the research work done by Nwankwo and Omodamiro, 2013. It has been
established that hypercholesterolemia is a risk factor for cardiovascular diseases such as
atherosclerosis and myocardial infarction which are causes of morbidity and mortality. The
presence of flavonoids has been shown to have the ability to scavenge free radicals which
help to prevent cardiovascular diseases by interfering with the oxidation of LDL which is one
of the chief engineers of artherosclerosis. According to Nwankwo and Omodamiro, (2013),
the leaf extract of V. africana showed an increase in the concentration of TAG which implies
that the plant had the ability to increase the rate of lipid breakdown; lipolysis leading to the
accumulation of TAG’s. However, extract of Millettia abeonsis leaves was in contrast to this
finding.
Moreover, the study of the effect of the aqueous extract on M. aboensis leaves on
lomotil induced-constipation on rats showed an increase on the frequency of stooling on the
lomotil+AEMA (aqueous extract of Millettia aboensis) when compared to the untreated,
92
thereby showing the effectiveness of the extract on treatment of constipation. This result was
in accordance with Kim et a., 2013 who worked on the laxative effect of L .platyphylla on
loperamide-induced constipation of SD rats. However, the AEMA caused a reduction of key
factors level on the muscarinic acetylcholine receptors (MAchRs) signaling pathway in
Lomotil+AEMA treated groups relative to the Lomotil+vehicle treated group. Also, AEMA
was able to increase GIT motility and stooling frequency without induction of diarrhoea as a
side effect. However, the presence of secondary metabolites present could be responsible for
the biological activities observed and the increase of the intestinal motility could be useful in
the treatment of constipation. Also, the presence of tannins in the plant M. aboensis which
have astringent property may decrease purgative action of anthraquinone glycosides thereby
rendering the laxative effect mild.
The sodium-potassium pump is a form of active transport in that it uses ATP to
“pump” 3 sodium ions (3Na+) out of the cell (against the flow of diffusion) and 2 potassium
ions (2K+) into the cell (also against the flow of diffusion). The sodium-potassium pump is
important in the movement of ions across cell membranes of muscle cells (to help muscle
contraction) and also for creating charge imbalances across the cell membranes of nerve cells
(generating electrical impulses).
In this work, the research was carried out to ascertain the effect of aqueous extract of
Millettia aboensis on transport of glucose, sodium and potassium ions across everted rat
intestines. The study showed an increase in the influx of glucose and sodium. In other words,
there was a transport of glucose and sodium into the serosal compartment. The mechanism of
transport of molecules across membrane showed glucose and sodium to have a symport
mechanism of transport. Hence, this may presume that some phytochemical components of
the leave extracts of Millettia abeonsis may have triggered some glucose carriers (protein
symbol GLUT) example GLUT2 a membrane carrier protein located in the basolateral
membrane of small intestine and also the Na+-ATPase molecule to bring about the transport
of these molecules across the intestinal membrane. However, there was a significant increase
in the efflux of potassium that is transport of potassium into the mucosal compartment. Thus,
this may also be as a result of bioactive compounds in the extract that may have likely
triggered the mechanism of Na+-K
+ pump in the antiport mechanism of movement of these
ions across the intestinal membrane.
93
4.2. Conclusion
Aqueous extract of Millettia aboensis leaves have been claimed by the folk medicine in
treatment of constipation. This research was carried out to ascertain this claim. Following the
effects exhibited by the extract in the enhancement of the transport of glucose, sodium and
potassium ions across the intestinal membrane of the rats and as well significant increase in
the frequency of faecal droppings on the extract treated groups in lomotil-induced
constipation in rats, this may prove that the extract contains some bioactive compounds that
have the properties of laxative effects when administered and therefore support the claim that
this plant is used in folk medicine for the treatment of constipation.
4.3. Suggestions for further studies
The effects of aqueous extract of the leaves of Millettia aboensis on lomotil-induced
constipation was investigated in this study and it is therefore suggested that further studies be
done on
� Elucidating the nature of the active constituents in the plant (roots, stems, etc.)
and assay them to determine the mechanism of actions.
� A comparative study of both aqueous and methanol extract of M.aboensis
could also be investigated. This will help to know the solvent that may have a
significant effect on gastrointestinal disorder (constipation).
� The use of purified forms of the aqueous extract of the Millettia aboensis on
lomotil-induced constipation.
� Identifying the particular phytochemical constituents responsible for the
effects of aqueous extract of Millettia aboensis leaves on lomotil-induced
constipation
94
REFERENCES
Akinmoladun, A.C., Ibukun, E.O., Afor, E., Obuotor, E.M. and Farombi, E.O. (2007).
Phytochemical constituent and antioxidant activity of extract from the leaves of
Ocimum gratissimum. Scienific Research and Essay, 2 (5): 163-166.
Allian, C.C., Poon, L.S., Chan, C.S. and Richmond, W. (1976). Enzymatic determination of
serum total cholesterol. Clinical Chemistry, 20: 470-475.
American Diabetes Association (2006). Diabetes care, 29th
edition (supplement 1): 51-580.
Arce, DA., Ermocilla, CA. and Costa, H. (2002). “Evaluation of constipation”. American
Family Physician, 65 (11): 2283-2290.
Arewang, C.J., Lahmanm, M., Oscarson, S. and Tiden, A.K. (2007).Synthesis of urine drug
metabolites. pp. 1050-1075.
Arunkuman, S. and Methuselvam. (2007). Analysis of phytochemical constituents and
antimicrobial activities of Aloe vera L. against clinical pathogens. World Journal of
Agricultural Science, 5 (5): 572-576.
Assmann, G., Jabs, H.U., Kohnert, U., Nolte, W. and Schriewer, H. (1984). LDL-cholesterol
determination in blood serum. Clinica Acta, 140: 77-83.
Babson, L.A., Greeley, S.J., Coleman, C.M. and Phillips, G.D. (1966). Clinical Chemistry,
12: 482-490.
Barish, CF., Drossman, D., Johnson, JF. and Ueno, R. (2010). “Efficacy and safety of
lubiprostone in patients with chronic constipation”. Digestive Diseases and Sciences,
55 (4):1090-1097.
Baud, F.J., Borron, S.W. and Megarbane, B. (2002). Value of lactic acidosis in the
assessment of the severity of acute cyanide poisoning. Critical Care Medicine, 30
(90): 2044-2050.
Bharucha, A. (2007). “Constipation”. Best Practice and Research Clinical Gastroenterology,
21 (4): 709-731.
Bisanda, E.T.N., Ogola, W.O. and Tesha, J.V. (2003). Characterization of tannin resin blends
for particle board application. Cement and Concrete Composites, 25 (6): 593-598.
95
Boily, F., Beaudoin, S. and Measures, LN. (2006). “Hematology and serum chemistry of harp
(Phocagroen landica) and hooded seals (Cytophora cristata) during the breeding
season in the Gulf of St. Lawrence, Canada”. Journal of Wildlife Diseases, 42 (1):
115-132.
Botting, J.H. and Salzmann, R. (1974). The effect of indomethacin on the release of
prostaglandin E2 and acetylcholine from guinea-pig isolated ileum at rest and during
field stimulation. Birmingham Journal of Pharmacology, 50 (1): 119-124.
Brito-Arias, M. (2007). Synthesis and characterization of Glycosides. Springer, US. pp 247-
271.
Burkill, H.M.(1995). The useful plants of West Tropical Africa. Vol 3. 1st edition, Royal
Botanical Garden, Kew. ISBN-10:0947643648.
Cai, Y., Luo, Q., Sun, M. and Corke, H. (2004). Antioxidant activity and phenolic
compounds of 112 traditional Chinese medicinal plants associated with anticancer.
Life Science, 74: 2157-2184.
Camilleri, M. and Deiteren, A. (2010). “ Prucalopride for constipation”.Expert Opinion on
Pharmacotherapy, 11 (3): 451-461.
Campbell, M.K. and Farrell, S.O. (2012). Biochemistry. 7th
Edn, Cengage learning/Brooks
Cole, USA. p 459.
Chang, L. (2006). Impact of chronic constipation and IBS. Advanced Studies in Medicine, 6
(29):549.557.
Chatoor, D. and Emmanuel, A. (2009). “Constipation and evacuation disorders. Best Practice
and Research Clinical Gastroenterology, 23 (4) 517-530.
Cohn, A.(2010). “Stool withholding”. Journal of Pediatrics Neurology, 8 (1): 29-30.
Comell, LH., Duffield, DS., Joseph, BE. and Stark, B. (1988). “ Hematology and serum
chemistry values in the beluga (Delphinnapterus leucas)”. Journal of Wildlife
diseases 24 (2): 220-224.
96
Conigrave, K.M., Saunders, J.B. and Whitefield, J.B. (1995). Diagnostic tests for
consumption of alcohol. Alcoholism, 30: 13-26.
Corey, E.J., Matsada, S.P. and Bartel, B. (1993). Isolation of an Arabidopsis thaliana gene
encoding cycloarterol synthase by functional expression in a yeast mutant lacking
lanosterol synthase by the use of a chromatogenic screen. Proceedings of the National
Academy of Science, 90:11628-11632.
Cotran, R.S., Kumar, V., Fausto, N., Robbins, S.L. and Abbas, A.K. (2005). Robbins and
Cotran pathologic basis of disease, 7th
edition, St. Louis, MO. Elsevier Saunders. pp.
878.
Daly, Mark, E., Vale, C., Walker, M., Littlefield, A., Alberti, KG. and Mathers, JC. (1998).
“Acute effects on insulin sensitivity and diumal metabolic profiles of a high-sucrose
compared with a high starch diet”. American Society for Clinical Nutrition, 67 (6):
1186-1196.
Edwards, G., Marshall, E.J. and Cook, C.C.H. (1997). Drug Problems and Alcohol Problems.
In: The Treatment of Drinking Problems- A Guide for the Helping Professions, 3rd
Edn, Cambridge University Press, Cambridge. pp. 110-121.
Eiler, H. (2004). “ Endocrine glands”. Physiology of Domestic Animals. 12th
edition. Ithaca,
NY: Constock. Pp.621-669.
Emmanuel, A.V., Tack, J., Quigley, E.M. and Talley, N.J. (2009). “Pharmacological
management of constipation”. Neurogastroenterology and Motility, 21: 41-54.
Farombi, E.O. (2000). Mechanisms for the hepatoprotective action of kolaviron: studies on
hepatic enzymes, microsomal lipids and lipid peroxidation in carbon tetrachloride
treated rats. Pharmacological Research, 42: 75-80.
Forrest, MD., Wall, MJ., Press, DA. and Feng, J. (2012). “The sodium-potassium pump
controls the intrinsic firing of the cerebella purkinje Neuron”. PLOS ONE, 7 (2):
1169-1371.
Halliwell, B. and Guteridge, J.M.C. (1992). Free radicals, antioxidants and human diseases:
Where are we now? Journal of Laboratory and Clinical Medicine, 119: 598-620.
Harborne, J.B. (1998). Phytochemical methods. A Guide to Modern Technology of Plant
Analysis, 3rd
edition. Chapman and Hall, New York. pp. 88-185.
97
Harborne, J.B. (1984). Phytochemical methods. A Guide to Modern Technology of Plant
Analysis. Chapman and Hall, London. pp. 54-60.
Harborne, J.B. (1974). Phytochemical methods. Chapman and Hall, London. pp. 10-23.
Harborne, J.B. (1973). Phytochemical methods. Chapman and Hall Ltd, London. pp. 49-188.
Harrison, U.N. and Emmanuel, A.N. (2005). Blood Chemistry. Hacyn Publishers Owerri,
Nigeria. pp. 11-48.
Haslam, E. (1996). Natural polyphenols (vegetable tannins) as drugs: possible mode of
action. Journal of Natural Products, 59: 205-215
Hausteen, B. (1983). Flavonoids, a class of natural products of high pharmacological
potency. Biochemical Pharmacology, 32: 1141-1148.
Heldt, W.W. and Heldt, F. (2005). Secondary metabolites fulfill ecological functions in
plants. In: Plant Biochemistry, 3rd
edition, Elsevier Academic Press, San Diego CA.
pp. 402-412.
Henry, J.B. (2001). Clinical Diagnosis and management by laboratory methods, 20th
edition,
Philadelphia: W.B Saunders. pp. 560-586.
Higgins, P.D. and Johanson, J.F. (2004). Epidemioology of Constipation in North America: a
systematic review. American Journal of Gastroenterology, 99 (4): 750-759.
Hill, A.F. (1952). Economic Botany. A textbook of useful plants and plant products. 2nd
edition. McGraw Hill Book Company Inc, New York. pp.102-104.
Howarth, C., Gleeson, P. and Attwell, D. (2012). “Updated energy budgets for neural
computation in the neocortex and cerebellum. Journal of Cerebral and Blood Flow
Metabolism, 32 (7): 1169-1371.
Hsieh, C. (2005). Treatment of constipation in older adults. American Family Physician, 72
(11): 2277-2284.
98
Izzo, A.A. and Emst, E. (2009). Interactions between herbal medicines and prescribed drugs:
an updated systematic review. Drugs, 69 (13): 1777-1798.
John, S., Sorokun, A.V. and Thompson, P.D. (2007). Phytosterols and vascular disease.
Current Opinion in Pediatrics, 18 (1): 35-40.
Just, M.J., Recio, M.C., Giner, R.M., Cueller, M.U., Manez, S., Billia, A.R. and Rios, J.L.
(1998). Anti-inflammatory activity of unusual lupine saponins from Bupleurum
fruticescens, 64: 404-407.
Kadam, S.S., Salunkhe, D.K. and Chavan, J.K. (1990). Dietary tannins: consequences and
remedies. Boca Raton: CRC Press. p.177.
Kamil, P., Regina, B., Jaroslaw, S., Aldona, Z. and Wladyslaw, W. (2011). “The effect of
additive of lewis acid type on lithium-gel electrolyte characteristics”. Electrochimica
Acta, 57:58-65.
Katie, E., Ferrell, T. and Richard, W. (2006). Squirrels: the animal answer guide. Baltimore,
Johns Hopkins University Press. p. 91.
Katzung, G.G., Chikezie, J.D. and Kerwin, E.U. (1995). Wild plants of Malta, 4th
edition
Appleton and Lange, Northwalk. pp. 607-609.
Kerwin, S.M. (2004). Soy saponins and anticancer effects of soy beans and soy based foods.
Current Medicinal Chemistry Anticancer Agents, 4 (3): 263-272.
Kim, J.E., Young, J.L. Moon, H.K., Jun, K., Jin, T.H. and Dae, Y.H. (2003). Aqueous
extracts of Liriope platyphylla induced significant laxative effects on loperamide-
induced constipation of SD rats. BMC Complementary and Alternative Medicine, 13:
333.
Kmiec, Z. (2001). “Cooperation of liver cells in health and disease”. Advances in Anatomy,
Embryology and Cell Biology, 161 (3-13): 1.151.
Lecerf, J.M. and de Lorgeril, M. (2011). “Dietary cholesterol from physiology to
cardiovascular risk. British Journal of Nutrition, 106 (1): 6-14.
99
Lee-Robichaud, H., Thomas, K., Morgan, J. and Nelson, RL. (2010). “Lactulose versus
polyethylene Glycol for chronic constipation”. Cochrane database of systematic
reviews, 7: 70-75.
Lee, M. (2009). Basic skills in interpreting laboratory data. ASHP. Pp.259.
Lee, K., Jung, J., Kim, M. and Guidotti, G. (2001). “Interaction of the alpha subunit of Na,K-
ATPase with coflin. The Biochemical Journal, 353 (2): 377-385.
Leung, F.W. (2007). Etiology factors of chronic constipation: Review of the scientific
evidence. Digestive Diseases and Sciences, 52 (2): 313-316.
Lewington, S., Whitlock, G., Clarke, R., Sherliker, P., Emberson, J., Qizilbash, N., Peto, R.
and Collins, R. (2007). Blood cholesterol and vascular mortaliy by age sex and blood
pressure: a meta-analysis of individual data from 61 prospective studies with 55,000
vascular deaths. Lancet, 370 (9602): 1829-1839.
Li, Z., Cai, T. and Tian, J. (2009). “NaKtide, a Na/K-ATPase derived peptide Src inhibitor,
antagonizes Quabain-activated signal transduction in cultured cells”. The Journal of
Biological Chemistry, 284 (31): 21066-21076.
Li, H., Wang, Z. and Liu, V. (2003). Review in the studies on tannins activity of cancer
prevention and anticancer. Zhong-Yao-Cai, 26 (6): 444-448.
Liu, J. and Henkel, T. (2002). Traditional Chinese medicine (TCM): are polyphenols and
saponins the key ingredients triggering biological activities? Current Medical
Chemistry, 9: 1483-1485.
Lock, J.M. (1989). Legumes of Africa: A checklist. 1st edition Royal Botanical Garden, Kew.
pp.845-848.
Longstreth, GF., Thompson, WG., Chey, WD., Houghton, LA., Mearin, F. and Spiller, RC.
(2006). “Functional bowel disorders”. Gastroenterology, 130 (5): 1480-1491.
Lorke, D. (1983). A New Approach to Practical Acute Toxicity Testing Archives of
Toxicology, 54: 275-787.
Mard-Soltani, M., Dayyer, M.R., Shamshirgar-Zadeh, A., Ali-Bahar, H. and Nasirbagheban,
Z. (2012). The Buffering Role of HDL in Balancing the Effects of Hyper coagulable
state in Type 2 Diabetes. Journal of Applied Sciences, 12 (8): 745-752.
100
Marjorie, C. (1996). Plant products as antimicrobial agents. Clinical Microbiology Reviews,
12: 564-582.
Manach, C., Sealbert, A., Morand, C., Remsey, C. and Jimenez, L. (2004). Polyphenols:
Food sources and bioavailability. American Journal of Clinical Nutrition, 79 (5): 727-
747.
Mathews, C.N. (2004). The HCN world: Establishing protein-Nucleic Acid life via Hydrogen
cyanide polymers. Origins: Genesis, Evolution and Diversity of life. Cellular origin
and life in Extreme Habitats and Astrobiology, 6: 121-135.
Maton, A., Lean, H., Charles, W., Susan, J., MarynnaQuon, W., David, L. and Jiu, D.W.
(1993). Human Biology and Health. Englewood Cliffs, New Jersy, USA: Prentice
Hall. pp. 25-33.
McClatchey, K.D. (2002). Clinical Laboratory Medicine. Lippincott Williams and Wilkins.
p. 288.
McGee, Harold (2004). On food and cooking: the science and lore of the kitchen. New
York:Scribner. p. 714.
Middleton, J.E., Kandaswami, C. and Theoharides, T.C. (2000). The effects of plant
flavonoids on mammalian cells. Implication for inflammation; heart disease and
cancer. Pharmacology Review.52 (4): 673-751.
Morocco, A.P. (2005).Cyanides. Critical care Clinical, 21 (4): 691-705.
Mostafa, S.M., Bhandari, S., Ritchie, G., Gratton, N. and Weastone, R. (2003). Constipation
and its implications in the critically ill patient. British Journal of Anaesthesia, 91:
815-819.
Neuwinger, H.D. (2000). African Traditional Medicine. A Dictionary of plant use and
Applications. 1st
Edition medpharm scientific publishers, Stuttgart. pp. 978.
Njoku, P.C. and Akumefula, M.I. (2007). Phytochemical and Nutrient Evaluation of Spondins
mombin leaves. Pakistan Journal of Nutrient, 6: 613-615.
Nwankwo, C.I. and Omodamiro, O.D. (2013). The effect of Voacanga aficana leaves extract
on serum lipid profile and haematological parameters on albino Wistar rats. European
Journal of Experimental Biology, 3 (3): 140-148.
101
Nyarko, A.A. and Addy, M.E. (1990). Effects of aqueous extract of Adenia cissampeloides
on blood pressure and serum analyte of hypertensive patients. Phytotherapy Research,
4 (1): 25-28.
Nyblom, H., Bjomsson, E., Simrein, M., Aldenborg,F., Almer, S. and Olsson, R. (2006).
“Thw AST/ALT ratio as an indicator of cirrhosis in patients with PBC”. Liver
International, 26 (7): 840-845.
Okafor, J. and Ham, R. (1999). Identification, use and preservation of medicinal plants in the
Southeast of Nigeria. Themes dela Biodiversite Africaine, 3: 1-7.
Okaka, J.C., Enoch, N.C. and Okaka, N.C. (1992). Human Nutrition: An integrated
Approach. ESUT publications, Enugu. pp. 57-58.
Okwu, D.E. (2004). Phytochemicals, vitamin and mineral contents of two Nigerian medicinal
plants. International Journal of Molecular and Medical Advances in Science, 1 (4):
375-381.
Okwu, D.E. (2004). Phytochemicals and vitamin content of indigenous spices of South
Eastern Nigeria. Journal of Sustainable Agriculture and Environment, 6: 30-34.
Pearson, D. (1976). The chemical analyses of food. 7th
Edition, London, Churchhill Living
Stone. pp. 3-4.
Petridis, G.K. (2010). Tannins: Types, foods containing and Nutrition. Nova Science
publishers, New York. pp. 231-247.
Philip, D.M. (1994). Clinical Chemistry in Diagnosis and Treatment. 6th
Edition, Edward
Arnold (publishers) Ltd. pp. 26-188.
Philipson, J.D. and Wright, C.W. (1996). Plants with Antiprotozoal Activity: Trease and
Evans, Pharmacognosy. 14th
Edition. W.B Saunders Company, London. pp. 612.
Polakova, M., Pitt, N., Tosin, M. and Murphy, P.V. (2004). Stereoselective glycoside
synthesis: Glycosidation reactions of Silyl ethers with conformationally inverted
donors derived from glucuronic acid: Stereoselective synthesis of glycosides and 2-
deoxy-glycosides. Angewandte Chemic International Edition. 43: 2518-2521.
102
Raj, K.B. (2004). A text Book of organic Chemistry. 4th
Edition, New Age International. p.
644.
Reitman, S. and Frankel, S. (1957). American Journal of Clinical Pathology, 28: 56.
Rhoades, D.F. (1979).“Evolution of Plant Chemical Defense Against Herbivores”. In
Rosenthal. pp.50-59.
Richard, B.H. (1999). “The biosynthesis of plant alkaloids and nitrogenous microbial
metabolites”.Nat. Prod. Rep, 16: 199-208.
Robert, A.L. (1998).Lewis dictionary of toxicology. CRC Press. p. 644.
Rosier, M.F. (2006). T channels and steroid biosynthesis: in search of a link with
mitochondria. Cell Calcium, 40 (2): 155-164.
Ruch, R.J., Cheng, S.J. and Klaunig, J.E. (1989). Prevention of cytotoxicity and inhibition of
Intercellular communication by antioxidant catechins isolated from Chinese green tea.
Carcinogens, 10: 1003-1008.
Salah, N., Miller, N.J., Panange, G., Tijburg, L., Bolwell, G.P., Rice, E. and Evans, C.
(1995).Polyphenolic flavonoids as scavenger of aqueous phase radicals as chai
breaking antioxidant. Archives Biuochemistry and Biophysics, 2: 339-346.
Schouten, W.R., Briel, J.W., Auwerda,J.J., Van Dam, J.H., Gosselink, M.J., Ginai, A.Z. and
Hop, W.C. (1997). “Anismus: Fact or fiction?”. Diseases of the colon and rectum, 40
(9): 1033-1041.
Segret, J.P., Jones, M.K, De loof, H. and Dashti, N. (2001). Structure of apolipoprotein B-100
in low density lipoproteins. Journal of Lipid Research, 42 (9): 1346-1367.
Selby, W., and Corte, C. (2010). “Managing constipation in adults”. Australian Prescriber, 33
(4): 116-119.
Skou, JC. (2004). “The influence of some cations on an adenosine triphosphatase from
peripheral nerves”. Biochemica et, Biophysica Acta, 23 (2): 394-401.
103
Sodipo, O.A., Akiniyi, J.A. and Ogunbamosu, J.U. (2000). Studies on certain characteristics
of extracts of bark of Pansinystalia macruceras (K cshemp) picrre Exbeille. Global
Journal of Pure and Appplied Science, 6:83-87.
Sonnenberg, A., and Koch, T.R. (1989). Epidemiology of constipation in the United States.
Disease of the colon and Rectum, 32 (1): 1-8.
Syzdek and Jaroslaw. (2010). Electrochimica Acta, 55:1314-1322.
Syzdek and Jaroslaw. (2000). Journal of power sources, 173: 712-720.
Terri, A.E. and Sesin, P.G. (1958). American Journal of Clinical Pathology, 29:86.
Theisis, B. and Peter. (2000). The herbal family 2nd
Edition, Healing Art press, Canada. pp.
138-141.
Tian, J., Cai, T. and Yuan, Z. (2006). “Binding of Src to Na+/K
+-ATPase forms a functional
signaling complex: Molecular Biology of the Cell, 17 (1): 317-326.
Treben, N. (1998). Health Through God’s Pharmacy. Wilhem Punsthaler Publisher, Austria.
p. 56.
Wallach, J. (2000).Interptretation of Diagnostic Tests. 7th
Edition. Philadelphia. Lipppincott
Williams and Wilkins. p. 420.
Walia, R., Mahajan, L; and Steffen, R. (2009). “Recent advances in chronic constipation”.
Current Opinion in Pediatrics, 21 (5): 661-666
Wegner, C. and Hamburger, M. (2002). Occurrence of stable foam in the upper Rhine River
caused by plant derived surfactants. Environment of science and technology, 36 (15):
3250-3256.
Wilson, T.H. and Wiseman, G. (1954). Metabolic Activity of the Small Intestine of Rat and
Golden Hamster. Journal of physiology, 123: 126-130.
104
Zollner, G., Marschall, Hu., Wagner, M. and Trauner, M. (2006). “Role of nuclear receptors
in the adaptive response to bile acids and cholestasis: Pathogenetic and therapeutic
considerations”. Molecular Pharmacology, 3 (3): 231-251.
105
APPENDICES
Oneway {Toxicological Studies}
Appendix I: Descriptives
N Mean
Std.
Deviation
Std.
Error
AST Group 1=Normal
Control
3 132.6667 17.92577 10.34945
100 mg/kg b.w. of
Extract
3 170.0000 6.00000 3.46410
1000 mg/kg b.w. of
Extract
3 163.3333 5.77350 3.33333
Total 9 155.3333 19.87461 6.62487
ALT Group 1=Normal
Control
3 76.6667 12.85820 7.42369
100 mg/kg b.w. of
Extract
3 183.3333 9.86577 5.69600
1000 mg/kg b.w. of
Extract
3 119.3333 6.11010 3.52767
Total 9 126.4444 47.29459 15.76486
ALP Group 1=Normal
Control
3 34.3333 3.21455 1.85592
100 mg/kg b.w. of
Extract
3 36.3333 1.52753 .88192
1000 mg/kg b.w. of
Extract
3 30.0000 2.00000 1.15470
Total 9 33.5556 3.46811 1.15604
Cholesterol Group 1=Normal
Control
3 3.8667 .56862 .32830
100 mg/kg b.w. of
Extract
3 3.0333 .20817 .12019
1000 mg/kg b.w. of
Extract
3 3.0667 .66583 .38442
Total 9 3.3222 .60782 .20261
HDL Group 1=Normal
Control
3 .4000 .10000 .05774
100 mg/kg b.w. of
Extract
3 .3000 .00000 .00000
1000 mg/kg b.w. of 3 .4000 .00000 .00000
106
Extract
Total 9 .3667 .07071 .02357
LDL Group 1=Normal
Control
3 2.7333 .40415 .23333
100 mg/kg b.w. of
Extract
3 2.0333 .20817 .12019
1000 mg/kg b.w. of
Extract
3 1.8667 .64291 .37118
Total 9 2.2111 .56001 .18667
TAG Group 1=Normal
Control
3 1.4333 .20817 .12019
100 mg/kg b.w. of
Extract
3 1.3000 .20000 .11547
1000 mg/kg b.w. of
Extract
3 1.5667 .20817 .12019
Total 9 1.4333 .21213 .07071
Sodium Group 1=Normal
Control
3 190.0000 27.83882 16.07275
100 mg/kg b.w. of
Extract
3 230.0000 20.00000 11.54701
1000 mg/kg b.w. of
Extract
3 300.0000 70.00000 40.41452
Total 9 240.0000 61.99798 20.66599
Potassium Group 1=Normal
Control
3 12.5333 2.27450 1.31318
100 mg/kg b.w. of
Extract
3 14.3333 .11547 .06667
1000 mg/kg b.w. of
Extract
3 15.0667 2.72274 1.57198
Total 9 13.9778 2.10344 .70115
Glucose Group 1=Normal
Control
3 104.6667 13.05118 7.53510
100 mg/kg b.w. of
Extract
3 92.0000 13.11488 7.57188
1000 mg/kg b.w. of
Extract
3 109.3333 3.51188 2.02759
Total 9 102.0000 12.20656 4.06885
107
Descriptives
95% Confidence Interval for
Mean
Minimu
m
Maximu
m
Lower
Bound Upper Bound
AST Group 1=Normal
Control
88.1366 177.1968 112.00 144.00
100 mg/kg b.w. of
Extract
155.0952 184.9048 164.00 176.00
1000 mg/kg b.w. of
Extract
148.9912 177.6755 160.00 170.00
Total 140.0564 170.6103 112.00 176.00
ALT Group 1=Normal
Control
44.7251 108.6082 62.00 86.00
100 mg/kg b.w. of
Extract
158.8254 207.8413 172.00 190.00
1000 mg/kg b.w. of
Extract
104.1550 134.5117 114.00 126.00
Total 90.0906 162.7983 62.00 190.00
ALP Group 1=Normal
Control
26.3479 42.3187 32.00 38.00
100 mg/kg b.w. of
Extract
32.5388 40.1279 35.00 38.00
1000 mg/kg b.w. of
Extract
25.0317 34.9683 28.00 32.00
Total 30.8897 36.2214 28.00 38.00
Cholesterol Group 1=Normal
Control
2.4541 5.2792 3.40 4.50
100 mg/kg b.w. of
Extract
2.5162 3.5504 2.80 3.20
1000 mg/kg b.w. of
Extract
1.4126 4.7207 2.50 3.80
Total 2.8550 3.7894 2.50 4.50
HDL Group 1=Normal
Control
.1516 .6484 .30 .50
100 mg/kg b.w. of
Extract
.3000 .3000 .30 .30
1000 mg/kg b.w. of
Extract
.4000 .4000 .40 .40
Total .3123 .4210 .30 .50
LDL Group 1=Normal 1.7294 3.7373 2.50 3.20
108
Control
100 mg/kg b.w. of
Extract
1.5162 2.5504 1.80 2.20
1000 mg/kg b.w. of
Extract
.2696 3.4637 1.40 2.60
Total 1.7806 2.6416 1.40 3.20
TAG Group 1=Normal
Control
.9162 1.9504 1.20 1.60
100 mg/kg b.w. of
Extract
.8032 1.7968 1.10 1.50
1000 mg/kg b.w. of
Extract
1.0496 2.0838 1.40 1.80
Total 1.2703 1.5964 1.10 1.80
Sodium Group 1=Normal
Control
120.8445 259.1555 165.00 220.00
100 mg/kg b.w. of
Extract
180.3172 279.6828 210.00 250.00
1000 mg/kg b.w. of
Extract
126.1104 473.8896 230.00 370.00
Total 192.3441 287.6559 165.00 370.00
Potassium Group 1=Normal
Control
6.8832 18.1835 10.00 14.40
100 mg/kg b.w. of
Extract
14.0465 14.6202 14.20 14.40
1000 mg/kg b.w. of
Extract
8.3030 21.8303 12.00 17.20
Total 12.3609 15.5946 10.00 17.20
Glucose Group 1=Normal
Control
72.2457 137.0876 90.00 115.00
100 mg/kg b.w. of
Extract
59.4208 124.5792 80.00 106.00
1000 mg/kg b.w. of
Extract
100.6093 118.0573 106.00 113.00
Total 92.6172 111.3828 80.00 115.00
109
ANOVA
Sum of
Squares df
Mean
Square F Sig.
AST Between
Groups
2378.667 2 1189.333 9.133 .015
Within Groups 781.333 6 130.222
Total 3160.000 8
ALT Between
Groups
17294.222 2 8647.111 86.471 .000
Within Groups 600.000 6 100.000
Total 17894.222 8
ALP Between
Groups
62.889 2 31.444 5.660 .042
Within Groups 33.333 6 5.556
Total 96.222 8
Cholesterol Between
Groups
1.336 2 .668 2.473 .165
Within Groups 1.620 6 .270
Total 2.956 8
HDL Between
Groups
.020 2 .010 3.000 .125
Within Groups .020 6 .003
Total .040 8
LDL Between
Groups
1.269 2 .634 3.070 .121
Within Groups 1.240 6 .207
Total 2.509 8
TAG Between
Groups
.107 2 .053 1.263 .348
Within Groups .253 6 .042
Total .360 8
Sodium Between
Groups
18600.000 2 9300.000 4.593 .062
Within Groups 12150.000 6 2025.000
Total 30750.000 8
Potassium Between
Groups
10.196 2 5.098 1.214 .361
Within Groups 25.200 6 4.200
Total 35.396 8
Glucose Between
Groups
482.667 2 241.333 2.041 .211
110
Within Groups 709.333 6 118.222
Total 1192.000 8
111
Post Hoc Tests
Appendix II:
Multiple Comparisons
Dependent
Variable
(I) Group (J) Group
Mean
Differen
ce (I-J)
Std.
Error Sig.
95% Confidence
Interval
Lower
Bound
Upper
Bound
AST LS
D
Group
1=Normal
Control
100 mg/kg b.w.
of Extract
-
37.3333
3*
9.317
45
.007 -
60.1323
-
14.5344
1000 mg/kg
b.w. of Extract
-
30.6666
7*
9.317
45
.017 -
53.4656
-7.8677
100 mg/kg b.w.
of Extract
Group
1=Normal
Control
37.3333
3*
9.317
45
.007 14.5344 60.1323
1000 mg/kg
b.w. of Extract
6.66667 9.317
45
.501 -
16.1323
29.4656
1000 mg/kg
b.w. of Extract
Group
1=Normal
Control
30.6666
7*
9.317
45
.017 7.8677 53.4656
100 mg/kg b.w.
of Extract
-6.66667 9.317
45
.501 -
29.4656
16.1323
ALT LS
D
Group
1=Normal
Control
100 mg/kg b.w.
of Extract
-
106.666
67*
8.164
97
.000 -
126.645
6
-
86.6877
1000 mg/kg
b.w. of Extract
-
42.6666
7*
8.164
97
.002 -
62.6456
-
22.6877
100 mg/kg b.w.
of Extract
Group
1=Normal
Control
106.666
67*
8.164
97
.000 86.6877 126.645
6
1000 mg/kg
b.w. of Extract
64.0000
0*
8.164
97
.000 44.0210 83.9790
1000 mg/kg
b.w. of Extract
Group
1=Normal
Control
42.6666
7*
8.164
97
.002 22.6877 62.6456
100 mg/kg b.w.
of Extract
-
64.0000
8.164
97
.000 -
83.9790
-
44.0210
112
0*
ALP LS
D
Group
1=Normal
Control
100 mg/kg b.w.
of Extract
-2.00000 1.924
50
.339 -6.7091 2.7091
1000 mg/kg
b.w. of Extract
4.33333 1.924
50
.065 -.3758 9.0424
100 mg/kg b.w.
of Extract
Group
1=Normal
Control
2.00000 1.924
50
.339 -2.7091 6.7091
1000 mg/kg
b.w. of Extract
6.33333* 1.924
50
.017 1.6242 11.0424
1000 mg/kg
b.w. of Extract
Group
1=Normal
Control
-4.33333 1.924
50
.065 -9.0424 .3758
100 mg/kg b.w.
of Extract
-
6.33333*
1.924
50
.017 -
11.0424
-1.6242
Cholest
erol
LS
D
Group
1=Normal
Control
100 mg/kg b.w.
of Extract
.83333 .4242
6
.097 -.2048 1.8715
1000 mg/kg
b.w. of Extract
.80000 .4242
6
.108 -.2381 1.8381
100 mg/kg b.w.
of Extract
Group
1=Normal
Control
-.83333 .4242
6
.097 -1.8715 .2048
1000 mg/kg
b.w. of Extract
-.03333 .4242
6
.940 -1.0715 1.0048
1000 mg/kg
b.w. of Extract
Group
1=Normal
Control
-.80000 .4242
6
.108 -1.8381 .2381
100 mg/kg b.w.
of Extract
.03333 .4242
6
.940 -1.0048 1.0715
HDL LS
D
Group
1=Normal
Control
100 mg/kg b.w.
of Extract
.10000 .0471
4
.078 -.0153 .2153
1000 mg/kg
b.w. of Extract
.00000 .0471
4
1.000 -.1153 .1153
113
Oneway {In}
Appendix III: Descriptive
N Mean
Std.
Deviation
Std.
Error
Sodium Group 1=Normal
Control
2 .0720 .00141 .00100
Group 2=0.005g of
Extract
2 .0705 .00071 .00050
Group 3=0.01g of
Extract
2 .1050 .00141 .00100
Group 4=0.02g of
Extract
2 .1230 .00141 .00100
Total 8 .0926 .02387 .00844
Potassium Group 1=Normal
Control
2 .0460 .00283 .00200
Group 2=0.005g of
Extract
2 .0485 .00212 .00150
Group 3=0.01g of
Extract
2 .0555 .00071 .00050
Group 4=0.02g of
Extract
2 .0615 .00071 .00050
Total 8 .0529 .00664 .00235
Descriptive
95% Confidence Interval for
Mean
Minimu
m
Maximu
m
Lower
Bound Upper Bound
Sodium Group 1=Normal
Control
.0593 .0847 .07 .07
Group 2=0.005g of
Extract
.0641 .0769 .07 .07
Group 3=0.01g of
Extract
.0923 .1177 .10 .11
Group 4=0.02g of
Extract
.1103 .1357 .12 .12
Total .0727 .1126 .07 .12
Potassium Group 1=Normal .0206 .0714 .04 .05
114
Control
Group 2=0.005g of
Extract
.0294 .0676 .05 .05
Group 3=0.01g of
Extract
.0491 .0619 .06 .06
Group 4=0.02g of
Extract
.0551 .0679 .06 .06
Total .0473 .0584 .04 .06
ANOVA
Sum of
Squares df
Mean
Square F Sig.
Sodium Between
Groups
.004 3 .001 816.692 .000
Within Groups .000 4 .000
Total .004 7
Potassium Between
Groups
.000 3 .000 29.173 .004
Within Groups .000 4 .000
Total .000 7
115
Post Hoc Tests
Appendix IV: Multiple Comparisons
Dependent Variable (I) Group (J) Group Mean
Difference
(I-J)
Sodium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
.00150
Group 3=0.01g of
Extract
-.03300*
Group 4=0.02g of
Extract
-.05100*
Group 2=0.005g of
Extract
Group 1=Normal
Control
-.00150
Group 3=0.01g of
Extract
-.03450*
Group 4=0.02g of
Extract
-.05250*
Group 3=0.01g of
Extract
Group 1=Normal
Control
.03300*
Group 2=0.005g of
Extract
.03450*
Group 4=0.02g of
Extract
-.01800*
Group 4=0.02g of
Extract
Group 1=Normal
Control
.05100*
Group 2=0.005g of
Extract
.05250*
Group 3=0.01g of
Extract
.01800*
Potassium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
-.00250
Group 3=0.01g of
Extract
-.00950*
Group 4=0.02g of
Extract
-.01550*
Group 2=0.005g of
Extract
Group 1=Normal
Control
.00250
Group 3=0.01g of
Extract
-.00700*
Group 4=0.02g of -.01300*
116
Extract
Group 3=0.01g of
Extract
Group 1=Normal
Control
.00950*
Group 2=0.005g of
Extract
.00700*
Group 4=0.02g of
Extract
-.00600*
Group 4=0.02g of
Extract
Group 1=Normal
Control
.01550*
Group 2=0.005g of
Extract
.01300*
Group 3=0.01g of
Extract
.00600*
Multiple Comparisons
Dependent Variable (I) Group (J) Group Std.
Error
Sodium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
.00127
Group 3=0.01g of
Extract
.00127
Group 4=0.02g of
Extract
.00127
Group 2=0.005g of
Extract
Group 1=Normal
Control
.00127
Group 3=0.01g of
Extract
.00127
Group 4=0.02g of
Extract
.00127
Group 3=0.01g of
Extract
Group 1=Normal
Control
.00127
Group 2=0.005g of
Extract
.00127
Group 4=0.02g of
Extract
.00127
Group 4=0.02g of
Extract
Group 1=Normal
Control
.00127
Group 2=0.005g of
Extract
.00127
Group 3=0.01g of
Extract
.00127
117
Potassium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
.00184
Group 3=0.01g of
Extract
.00184
Group 4=0.02g of
Extract
.00184
Group 2=0.005g of
Extract
Group 1=Normal
Control
.00184
Group 3=0.01g of
Extract
.00184
Group 4=0.02g of
Extract
.00184
Group 3=0.01g of
Extract
Group 1=Normal
Control
.00184
Group 2=0.005g of
Extract
.00184
Group 4=0.02g of
Extract
.00184
Group 4=0.02g of
Extract
Group 1=Normal
Control
.00184
Group 2=0.005g of
Extract
.00184
Group 3=0.01g of
Extract
.00184
118
Multiple Comparisons
Dependent Variable (I) Group (J) Group Sig.
Sodium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
.305
Group 3=0.01g of
Extract
.000
Group 4=0.02g of
Extract
.000
Group 2=0.005g of
Extract
Group 1=Normal
Control
.305
Group 3=0.01g of
Extract
.000
Group 4=0.02g of
Extract
.000
Group 3=0.01g of
Extract
Group 1=Normal
Control
.000
Group 2=0.005g of
Extract
.000
Group 4=0.02g of
Extract
.000
Group 4=0.02g of
Extract
Group 1=Normal
Control
.000
Group 2=0.005g of
Extract
.000
Group 3=0.01g of
Extract
.000
Potassium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
.245
Group 3=0.01g of
Extract
.007
Group 4=0.02g of
Extract
.001
Group 2=0.005g of
Extract
Group 1=Normal
Control
.245
Group 3=0.01g of
Extract
.019
Group 4=0.02g of
Extract
.002
Group 3=0.01g of
Extract
Group 1=Normal
Control
.007
119
Group 2=0.005g of
Extract
.019
Group 4=0.02g of
Extract
.031
Group 4=0.02g of
Extract
Group 1=Normal
Control
.001
Group 2=0.005g of
Extract
.002
Group 3=0.01g of
Extract
.031
Multiple Comparisons
Dependent Variable (I) Group (J) Group 95%
Confidence
Interval
Lower
Bound
Sodium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
-.0020
Group 3=0.01g of
Extract
-.0365
Group 4=0.02g of
Extract
-.0545
Group 2=0.005g of
Extract
Group 1=Normal
Control
-.0050
Group 3=0.01g of
Extract
-.0380
Group 4=0.02g of
Extract
-.0560
Group 3=0.01g of
Extract
Group 1=Normal
Control
.0295
Group 2=0.005g of
Extract
.0310
Group 4=0.02g of
Extract
-.0215
Group 4=0.02g of
Extract
Group 1=Normal
Control
.0475
Group 2=0.005g of
Extract
.0490
Group 3=0.01g of
Extract
.0145
120
Potassium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
-.0076
Group 3=0.01g of
Extract
-.0146
Group 4=0.02g of
Extract
-.0206
Group 2=0.005g of
Extract
Group 1=Normal
Control
-.0026
Group 3=0.01g of
Extract
-.0121
Group 4=0.02g of
Extract
-.0181
Group 3=0.01g of
Extract
Group 1=Normal
Control
.0044
Group 2=0.005g of
Extract
.0019
Group 4=0.02g of
Extract
-.0111
Group 4=0.02g of
Extract
Group 1=Normal
Control
.0104
Group 2=0.005g of
Extract
.0079
Group 3=0.01g of
Extract
.0009
Multiple Comparisons
Dependent Variable (I) Group (J) Group 95%
Confidence
Interval
Upper Bound
Sodium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
.0050
Group 3=0.01g of
Extract
-.0295
Group 4=0.02g of
Extract
-.0475
Group 2=0.005g of
Extract
Group 1=Normal
Control
.0020
Group 3=0.01g of
Extract
-.0310
Group 4=0.02g of -.0490
121
Extract
Group 3=0.01g of
Extract
Group 1=Normal
Control
.0365
Group 2=0.005g of
Extract
.0380
Group 4=0.02g of
Extract
-.0145
Group 4=0.02g of
Extract
Group 1=Normal
Control
.0545
Group 2=0.005g of
Extract
.0560
Group 3=0.01g of
Extract
.0215
Potassium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
.0026
Group 3=0.01g of
Extract
-.0044
Group 4=0.02g of
Extract
-.0104
Group 2=0.005g of
Extract
Group 1=Normal
Control
.0076
Group 3=0.01g of
Extract
-.0019
Group 4=0.02g of
Extract
-.0079
Group 3=0.01g of
Extract
Group 1=Normal
Control
.0146
Group 2=0.005g of
Extract
.0121
Group 4=0.02g of
Extract
-.0009
Group 4=0.02g of
Extract
Group 1=Normal
Control
.0206
Group 2=0.005g of
Extract
.0181
Group 3=0.01g of
Extract
.0111
*. The mean difference is significant at the 0.05 level.
122
Oneway {Out}
Appendix V: Descriptives
N Mean
Std.
Deviation
Std.
Error
Sodium Group 1=Normal
Control
2 .1355 .00354 .00250
Group 2=0.005g of
Extract
2 .1435 .00212 .00150
Group 3=0.01g of
Extract
2 .1450 .00424 .00300
Group 4=0.02g of
Extract
2 .1540 .00566 .00400
Total 8 .1445 .00767 .00271
Potassium Group 1=Normal
Control
2 .0105 .00071 .00050
Group 2=0.005g of
Extract
2 .0240 .00141 .00100
Group 3=0.01g of
Extract
2 .0270 .00000 .00000
Group 4=0.02g of
Extract
2 .0300 .00141 .00100
Total 8 .0229 .00801 .00283
123
Descriptives
95% Confidence Interval for
Mean
Minimu
m
Maximu
m
Lower
Bound Upper Bound
Sodium Group 1=Normal
Control
.1037 .1673 .13 .14
Group 2=0.005g of
Extract
.1244 .1626 .14 .14
Group 3=0.01g of
Extract
.1069 .1831 .14 .15
Group 4=0.02g of
Extract
.1032 .2048 .15 .16
Total .1381 .1509 .13 .16
Potassium Group 1=Normal
Control
.0041 .0169 .01 .01
Group 2=0.005g of
Extract
.0113 .0367 .02 .03
Group 3=0.01g of
Extract
.0270 .0270 .03 .03
Group 4=0.02g of
Extract
.0173 .0427 .03 .03
Total .0162 .0296 .01 .03
ANOVA
Sum of
Squares df
Mean
Square F Sig.
Sodium Between
Groups
.000 3 .000 6.866 .047
Within Groups .000 4 .000
Total .000 7
Potassium Between
Groups
.000 3 .000 131.667 .000
Within Groups .000 4 .000
Total .000 7
124
Post Hoc Tests
Appendix VI: Multiple Comparisons
Dependent Variable (I) Group (J) Group Mean
Difference
(I-J)
Sodium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
-.00800
Group 3=0.01g of
Extract
-.00950
Group 4=0.02g of
Extract
-.01850*
Group 2=0.005g of
Extract
Group 1=Normal
Control
.00800
Group 3=0.01g of
Extract
-.00150
Group 4=0.02g of
Extract
-.01050
Group 3=0.01g of
Extract
Group 1=Normal
Control
.00950
Group 2=0.005g of
Extract
.00150
Group 4=0.02g of
Extract
-.00900
Group 4=0.02g of
Extract
Group 1=Normal
Control
.01850*
Group 2=0.005g of
Extract
.01050
Group 3=0.01g of
Extract
.00900
Potassium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
-.01350*
Group 3=0.01g of
Extract
-.01650*
Group 4=0.02g of
Extract
-.01950*
Group 2=0.005g of
Extract
Group 1=Normal
Control
.01350*
Group 3=0.01g of
Extract
-.00300*
Group 4=0.02g of -.00600*
125
Extract
Group 3=0.01g of
Extract
Group 1=Normal
Control
.01650*
Group 2=0.005g of
Extract
.00300*
Group 4=0.02g of
Extract
-.00300*
Group 4=0.02g of
Extract
Group 1=Normal
Control
.01950*
Group 2=0.005g of
Extract
.00600*
Group 3=0.01g of
Extract
.00300*
Multiple Comparisons
Dependent Variable (I) Group (J) Group Std.
Error
Sodium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
.00409
Group 3=0.01g of
Extract
.00409
Group 4=0.02g of
Extract
.00409
Group 2=0.005g of
Extract
Group 1=Normal
Control
.00409
Group 3=0.01g of
Extract
.00409
Group 4=0.02g of
Extract
.00409
Group 3=0.01g of
Extract
Group 1=Normal
Control
.00409
Group 2=0.005g of
Extract
.00409
Group 4=0.02g of
Extract
.00409
Group 4=0.02g of
Extract
Group 1=Normal
Control
.00409
Group 2=0.005g of
Extract
.00409
Group 3=0.01g of
Extract
.00409
126
Potassium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
.00106
Group 3=0.01g of
Extract
.00106
Group 4=0.02g of
Extract
.00106
Group 2=0.005g of
Extract
Group 1=Normal
Control
.00106
Group 3=0.01g of
Extract
.00106
Group 4=0.02g of
Extract
.00106
Group 3=0.01g of
Extract
Group 1=Normal
Control
.00106
Group 2=0.005g of
Extract
.00106
Group 4=0.02g of
Extract
.00106
Group 4=0.02g of
Extract
Group 1=Normal
Control
.00106
Group 2=0.005g of
Extract
.00106
Group 3=0.01g of
Extract
.00106
127
Multiple Comparisons
Dependent Variable (I) Group (J) Group Sig.
Sodium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
.122
Group 3=0.01g of
Extract
.081
Group 4=0.02g of
Extract
.011
Group 2=0.005g of
Extract
Group 1=Normal
Control
.122
Group 3=0.01g of
Extract
.733
Group 4=0.02g of
Extract
.062
Group 3=0.01g of
Extract
Group 1=Normal
Control
.081
Group 2=0.005g of
Extract
.733
Group 4=0.02g of
Extract
.093
Group 4=0.02g of
Extract
Group 1=Normal
Control
.011
Group 2=0.005g of
Extract
.062
Group 3=0.01g of
Extract
.093
Potassium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
.000
Group 3=0.01g of
Extract
.000
Group 4=0.02g of
Extract
.000
Group 2=0.005g of
Extract
Group 1=Normal
Control
.000
Group 3=0.01g of
Extract
.047
Group 4=0.02g of
Extract
.005
Group 3=0.01g of
Extract
Group 1=Normal
Control
.000
128
Group 2=0.005g of
Extract
.047
Group 4=0.02g of
Extract
.047
Group 4=0.02g of
Extract
Group 1=Normal
Control
.000
Group 2=0.005g of
Extract
.005
Group 3=0.01g of
Extract
.047
Multiple Comparisons
Dependent Variable (I) Group (J) Group 95%
Confidence
Interval
Lower
Bound
Sodium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
-.0194
Group 3=0.01g of
Extract
-.0209
Group 4=0.02g of
Extract
-.0299
Group 2=0.005g of
Extract
Group 1=Normal
Control
-.0034
Group 3=0.01g of
Extract
-.0129
Group 4=0.02g of
Extract
-.0219
Group 3=0.01g of
Extract
Group 1=Normal
Control
-.0019
Group 2=0.005g of
Extract
-.0099
Group 4=0.02g of
Extract
-.0204
Group 4=0.02g of
Extract
Group 1=Normal
Control
.0071
Group 2=0.005g of
Extract
-.0009
Group 3=0.01g of
Extract
-.0024
129
Potassium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
-.0164
Group 3=0.01g of
Extract
-.0194
Group 4=0.02g of
Extract
-.0224
Group 2=0.005g of
Extract
Group 1=Normal
Control
.0106
Group 3=0.01g of
Extract
-.0059
Group 4=0.02g of
Extract
-.0089
Group 3=0.01g of
Extract
Group 1=Normal
Control
.0136
Group 2=0.005g of
Extract
.0001
Group 4=0.02g of
Extract
-.0059
Group 4=0.02g of
Extract
Group 1=Normal
Control
.0166
Group 2=0.005g of
Extract
.0031
Group 3=0.01g of
Extract
.0001
130
Multiple Comparisons
Dependent Variable (I) Group (J) Group 95%
Confidence
Interval
Upper Bound
Sodium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
.0034
Group 3=0.01g of
Extract
.0019
Group 4=0.02g of
Extract
-.0071
Group 2=0.005g of
Extract
Group 1=Normal
Control
.0194
Group 3=0.01g of
Extract
.0099
Group 4=0.02g of
Extract
.0009
Group 3=0.01g of
Extract
Group 1=Normal
Control
.0209
Group 2=0.005g of
Extract
.0129
Group 4=0.02g of
Extract
.0024
Group 4=0.02g of
Extract
Group 1=Normal
Control
.0299
Group 2=0.005g of
Extract
.0219
Group 3=0.01g of
Extract
.0204
Potassium LSD Group 1=Normal
Control
Group 2=0.005g of
Extract
-.0106
Group 3=0.01g of
Extract
-.0136
Group 4=0.02g of
Extract
-.0166
Group 2=0.005g of
Extract
Group 1=Normal
Control
.0164
Group 3=0.01g of
Extract
-.0001
Group 4=0.02g of
Extract
-.0031
131
Group 3=0.01g of
Extract
Group 1=Normal
Control
.0194
Group 2=0.005g of
Extract
.0059
Group 4=0.02g of
Extract
-.0001
Group 4=0.02g of
Extract
Group 1=Normal
Control
.0224
Group 2=0.005g of
Extract
.0089
Group 3=0.01g of
Extract
.0059
*. The mean difference is significant at the 0.05 level.