Antidiabetic Activity and Pancreatic Histopathology Analysis of Averrhoa bilimbi L. Leaves Extract on Alloxan-Induced Diabetes on Wistar Mice
Abstract
Background: Diabetes mellitus is a multi-etiological metabolic disorder characterized by chronic hyperglycemia, total or relative insulin deficiency, and further complications by metabolic disorders. Drug therapy for diabetes mellitus is costly and fraught with potential side effects. The aim of this research is to investigate antidiabetic and histopathological analysis of ethanolic A. bilimbi leaves extract in alloxan induced diabetic mice.
Methods: Wuluh starfruit leaves is one of Indonesia's plants that can be used to treat diabetes mellitus. Thirty male Wistar mice were divided into five groups as follows: Negative control group that didn't receive any treatment, Diabetes control group that received alloxan 150 mg/kg, Positive control group that received glibenclamide 600 μg/kg, and lastly the two test groups that received A. bilimbi leaves extract 150 and 300 mg/kg orally for 14 days. After extract administration, blood glucose and histopathological alterations in the pancreas of diabetic mice were observed.
Results: Alloxan to the diabetes control group significantly raised blood glucose levels compared to the negative control group. Administration of wuluh starfruit leaves extract and glibenclamide could significantly lower blood sugar levels compared to the diabetic control group. Administration of wuluh starfruit leaves extract treatment and glibenclamide also showed favorable effect on the histopathological changes of the pancreas in alloxan induced diabetes.
Conclusion: The study concludes the administration of wuluh starfruit leaves extract (150 and 300 mg/kg) and glibenclamide could reduce blood glucose levels and can help with cell regeneration and protecting pancreatic cells from damage caused by alloxan.
Keywords: A. bilimbi leaves extract; Alloxan; Diabetes; Pancreatic histopathology
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Luo Z, Fu C, Li T, Gao Q, Miao D, et al. Hypoglycemic effects of licochalcone A on the streptozotocin-induced diabetic mice and its mechanism study. Journal of Agricultural and Food Chemistry, (2021); 69(8): 2444–2456.
Lotfy M, Adeghate J, Kalasz H, Singh J, Adeghate E. Chronic complications of diabetes mellitus: a mini review. Current Diabetes Reviews, (2017); 13(1): 3–10.
IDF (International Diabetes Federation) Diabetes Atlas-7th Edition, (2015).
Tafesse TB, Hymete A, Mekonnen Y, Tadesse M. Antidiabetic activity and phytochemical screening of extracts of the leaves of ajuga remota benth on alloxan-induced diabetic mice. BMC Complementary Medicine and Therapies, (2017); 17(1): 1–9.
Zhang Y, Wu L, Ma Z, Cheng J, Liu J. Anti-hyperlipidemic activities of flavonoids from corn silk on STZ-Induced diabetic mice. Molecules, (2016); 21(1): 7–10.
Khairullah AR, Solikhah TI, Ansori ANM, Hanisia RH, Puspitarani GA, et al. 2021. Medicinal importance of Kaempferia galanga L. (Zingiberaceae): A comprehensive review. Journal of Herbmed Pharmacology, (2021); 10(3): 281–288.
Khairullah AR, Solikhah TI, Ansori ANM, Fadholly A, Ramandinianto SC, et al. A review of an important medicinal plant : Alpinia galanga (L.) willd. Systematic Reviews in Pharmacy, (2020); 11(10): 387–395.
Safira A, Widayani P, An-najaaty D, Rani CAM, Septiani M, et al. A review of an important plants: Annona squamosa leaf. Pharmacognosy Journal, (2022); 14(2): 456–463.
Solikhah TI, Setiawan B, Ismukada DR. Antidiabetic activity of papaya leaf extract (Carica Papaya L.) isolated with maceration method in alloxan-induces diabetic mice. Systematic Reviews in Pharmacy, (2020); 11(9): 774–778.
Garg M, Chaudhary SK, Kumari S, Goyal A. Phytochemical, biological and traditional claims on Averrhoa bilimbi: An overview. Indian Journal of Pharmaceutical Sciences, (2022); 84(3): 532-536.
Roy A, Geetha RV, Lakshmi T. Averrhoa bilimbi Linn-nature’s drug store-A pharmacological review. International Journal of Drug Development and Research, (2011); 3(3): 101–106.
Alipin K, Istiqamah N, Maryani A, Madihah. The potential of combined Curcuma xanthorrhiza rhizome and Averrhoa bilimbi fruit extract on decreasing blood glucose levels, insulitis degree and liver structure repair of diabetic male wistar rats streptozotocin induced. Journal of Diabetes & Metabolism, (2019); 10(10): 1–7.
Sutrisna EM, Sujono TA. The combination of belimbing wuluh fruit (Averrhoa bilimbi L.) and leaves of tapak dara (Catharanthus roseus G.) from Indonesia as a candidate hypoglycemic agents and thin layer chromatography profiles. Biomedical and Pharmacology Journal, (2015); 8(1): 39–46.
Solikhah TI, Wijaya TA, Pavita DA, Kusnandar R, Wijaya A, et al. The effect of sapodilla leaf extract (Manilkara zapota L.) on lipid profiles of alloxan-induced diabetic mice. Pharmacognosy Journal, (2023); 15(2): 286–289.
Balamurugan K, Nishanthini A, Mohan VR. Antidiabetic and antihyperlipidaemic activity of ethanol extract of Melastoma malabathricum Linn. leaf in alloxan induced diabetic rats. Asian Pacific Journal of Tropical Biomedicine, (2014); 4(Suppl 1): S442–S448.
Jaiswal YS, Tatke PA, Gabhe SY, Vaidya AB. Antidiabetic activity of extracts of Anacardium occidentale Linn. leaves on n-streptozotocin diabetic rats. Journal of Traditional and Complementary Medicine, (2017); 7(4): 421–427.
Ighodaro OM, Adeosun AM, Akinloye OA. Alloxan-induced diabetes, a common model for evaluating the glycemic-control potential of therapeutic compounds and plants extracts in experimental studies. Medicina (Buenos Aires), (2017); 53(6): 365–374.
Radenković M, Stojanović M, Prostran M. Experimental diabetes induced by alloxan and streptozotocin: The current state of the art. Journal of Pharmacological and Toxicological Methods, (2016); 78(1): 13–31.
Solikhah TI, Rani CA, Septiani M, Putra YA, Rachmah Q, et al. Antidiabetic of Hylocereus polyrhizus peel ethanolic extract on alloxan induced diabetic mice. Iraqi Journal of Veterinary Sciences, (2022); 36(3): 797–802.
Dey P, Saha MR, Chowdhuri SR, Sen A, Sarkar MP, et al. Assessment of anti-diabetic activity of an ethnopharmacological plant Nerium oleander through alloxan induced diabetes in mice. Journal of Ethnopharmacology, (2015); 161(1): 128–137.
Sola D, Rossi L, Schianca GPC, Maffioli P, Bigliocca M, et al. 2015. Sulfonylureas and their use in clinical practice. Archives of Medical Science, (2015); 11(4): 840–848.
Tawfeek HM, Roberts M, Hamd MA, El Abdellatif AA, Younis MA. 2018. Glibenclamide mini-tablets with an enhanced pharmacokinetic and pharmacodynamic performance. AAPS PharmSciTech, (2018); 19(7): 2948–2960.
Zhou J, Kang X, Luo Y, Yuan Y, Wu Y, et al. Glibenclamide-induced autophagy inhibits its insulin secretion-improving function in β cells. International Journal of Endocrinology, (2019); 2019(1): 1–8.
Liu H, Wang S, Wu Z, Huang Z, Chen WY, et al. Glibenclamide, a diabetic drug, prevents acute radiation induced liver injury of mice via up-regulating intracellular ROS and subsequently activating Akt-NF-κB pathway. Oncotarget, (2017); 8(25): 40568–40582.
Sreejesh PG, Thampi BH, Sreekumaran E. 2017. Hypoglycaemic effect of glibenclamide: A critical study on the basis of creatinine and lipid peroxidation status of streptozotocin-induced diabetic rat. Indian Journal of Pharmaceutical Sciences, (2017); 79(5): 768–777.
Solikhah TI, Solikhah GP. 2021. Effect of Muntingia calabura L. leaf extract on blood glucose levels and body weight of alloxan-induced diabetic mice. Pharmacognosy Journal, (2021); 13(6): 1450–1455.
Varshney R, Mishra R, Das N, Sircar D, Roy P. A comparative analysis of various flavonoids in the regulation of obesity and diabetes: An in vitro and in vivo study. Journal of Functional Foods, (2019); 59(1): 194–205.
Li Y, Zhu L, Guo C, Xue M, Xia F, et al. Dietary intake of hydrolyzable tannins and condensed tannins to regulate lipid metabolism. Mini-Reviews in Medicinal Chemistry, (2022); 22(13): 1789–1802.
Tandi J, Danthy R, Kuncoro H. Effect of ethanol extract from purple eggplant skin (Solanum melongena L) on blood glucose levels and pancreatic? cells regeneration on white rats male hypercholesterolemia-diabetic. Research Journal of Pharmacy and Technology, (2019); 12(6): 2936–2942.
Rivas F, Poblete-Aro C, Pando ME, Allel MJ, Fernandez V, et al. Effects of polyphenols in aging and neurodegeneration associated with oxidative stress. Current Medicinal Chemistry, (2022); 29(6): 1045–1060.
Forni C, Facchiano F, Bartoli M, Pieretti S, Facchiano A, et al. Beneficial Role of Phytochemicals on Oxidative Stress and Age-Related Diseases. BioMed Research International, (2019); 2019(1): 8748253.
DOI: http://dx.doi.org/10.62940/als.v11i3.3141
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