WHO monographs on selected medicinal plants - travolekar.ru

WHO monographs on selected medicinal plants - travolekar.ru WHO monographs on selected medicinal plants - travolekar.ru

20.01.2015 Views

ong>WHOong> ong>monographsong> on selected medicinal plants gated in KK-Ay mice. The extract in combination with exercise reduced the blood glucose concentration of KK-Ay mice 5 weeks after oral administration daily for 5 weeks (p < 0.001), and also significantly lowered the plasma insulin of KK-Ay mice under similar conditions (p < 0.01). The blood glucose concentration following treatment with the extract plus exercise was lower than that following treatment with the extract only or exercise only, 5 weeks after the administration. Administration of the extract combined with exercise decreased blood glucose in a glucose tolerance test (38). Effect on insulin resistance In a study in rats, the effect of the crude drug on insulin resistance, a major contributor to the development of hyperglycaemia, was assessed in vivo. The effects of different doses (100.0, 200.0 and 400.0 mg per day) of alcohol extracts or aqueous extracts of the fruits (1 kg of fruit to 500 ml ethanol) on the metabolic parameters (body weight and serum glucose insulin and triglyceride levels) of rats fed fructose were studied. Feeding fructose for 15 days increased serum glucose and insulin levels markedly and triglyceride levels marginally when compared with the controls (75.46 versus 55.59 mg/dl, 6.26 versus 15.04 mg/dl and 50.93 versus 41.1 mg/dl, respectively). Treatment with 400.0 mg/day of aqueous extract (1 kg in 500 ml water) for 15 days substantially reduced hyperglycaemia and hyperinsulinaemia induced by a diet high in fructose (39). The antidiabetic activity of an aqueous extract of the fruit was investigated in KK-Ay mice, an animal model having type 2 diabetes with hyperinsulinaemia. Intragastric administration of an aqueous extract of the fruit reduced the blood glucose of KK-Ay mice after 3 weeks of intragastric administration (p < 0.01) and also significantly lowered the serum insulin (p < 0.01). However, the extract did not affect the blood glucose in normal mice. Blood glucose in treated KK-Ay mice was significantly decreased in an insulin tolerance test (p < 0.01) (37). The activity of the fruit juice was assessed in vitro on streptozotocintreated RIN cells and isolated islet cells, and in vivo in mice. It was found that feeding juice caused a reduction in streptozotocin-induced hyperglycaemia in mice. The juice reduced the streptozotocin-induced lipid peroxidation in pancreas of mice, RIN cells and islets. It also reduced the streptozotocin-induced apoptosis in RIN cells indicating the mode of protection of the juice on RIN cells, islet cells and pancreatic beta-cells (40). The activity of the fruit juice on the distribution and number of alpha, beta and delta cells in the pancreas of rats with streptozotocin-induced diabetes was determined using immunohistochemical methods. The results suggested that there was a significant (p < 0.004) increase in the 198

Fructus Momordicae number of beta cells in treated animals, as compared with untreated diabetic rats, but their number was still significantly smaller than that obtained for normal rats. There was also a significant (p < 0.006) increase in the number of delta cells in rats with streptozotocin-induced diabetes compared to non-diabetic rats, but the number of alpha cells did not change. These data indicate that oral administration of the crude drug may renew the beta cells in rats with streptozotocin-induced diabetes or alternatively may permit the recovery of partially destroyed beta cells (41). The effect of the fruit juice on rats fed a hyperinsulinaemic high-fat diet was investigated. In a dose–response study (0.375, 0.75 and 1.5% freeze-dried juice administered in rations), oral glucose tolerance was improved in rats fed a high fat (30%) diet supplemented with freeze-dried juice at a dose of 0.75% or higher (p < 0.05). At the highest dose, treated rats had lower energy efficiency (p < 0.05) and tended to have a lower visceral fat mass (p = 0.10). In a subsequent experiment, rats habitually fed a high fat diet either continued to consume the diet or were switched to a high fat + fruit juice, low fat (7%), or low fat + fruit juice (0.75%) diet for 7 weeks. Rats which had been switched to the high fat + fruit juice diet gained less weight and had less visceral fat than those fed the high fat diet (p < 0.05). Supplementation of the high fat diet with the crude drug improved insulin resistance, lowered serum insulin and leptin, but raised free fatty acid concentration in the serum (p < 0.05) (42). Antihypercholesterolaemic activity A long-term (10-week) feeding experiment measured the effect of a fruit extract (10 ml 100% fruit juice/kg bw) on blood plasma and tissue lipid profiles in normal rats and rats with streptozotocin-induced type 1 diabetes. The results showed a significant (p < 0.05) increase in plasma nonesterified cholesterol, triglycerides and phospholipids in rats with streptozotocin-induced diabetes, accompanied by a decrease in high-density lipoprotein-cholesterol. A moderate increase in the plasma lipid peroxidase product, malondialdehyde, and about a twofold increase in kidney plasma lipid peroxidase was also observed. The treatment of diabetic rats with the fruit extract over a 10-week period returned these levels to normal. In addition, the extract exhibited an inhibitory effect on membrane plasma lipid peroxidase under in vitro conditions (43). The effects of a freeze-dried powder of the fruit on serum glucose levels and lipid parameters of the serum and liver were studied in rats fed diets supplemented with cholesterol and without cholesterol. For 14 days, rats were fed the diets either containing the freeze-dried powder at 0.5, 1 or 3% without added dietary cholesterol (experiment 1) or containing 1% powder with or without 0.5% cholesterol and 0.15% bile acid (ex- 199

F<strong>ru</strong>ctus Momordicae<br />

number of beta cells in treated animals, as compared with untreated diabetic<br />

rats, but their number was still significantly smaller than that obtained<br />

for normal rats. There was also a significant (p < 0.006) increase in<br />

the number of delta cells in rats with streptozotocin-induced diabetes<br />

compared to n<strong>on</strong>-diabetic rats, but the number of alpha cells did not<br />

change. These data indicate that oral administrati<strong>on</strong> of the c<strong>ru</strong>de d<strong>ru</strong>g may<br />

renew the beta cells in rats with streptozotocin-induced diabetes or alternatively<br />

may permit the recovery of partially destroyed beta cells (41).<br />

The effect of the f<strong>ru</strong>it juice <strong>on</strong> rats fed a hyperinsulinaemic high-fat<br />

diet was investigated. In a dose–resp<strong>on</strong>se study (0.375, 0.75 and 1.5%<br />

freeze-dried juice administered in rati<strong>on</strong>s), oral glucose tolerance was improved<br />

in rats fed a high fat (30%) diet supplemented with freeze-dried<br />

juice at a dose of 0.75% or higher (p < 0.05). At the highest dose, treated<br />

rats had lower energy efficiency (p < 0.05) and tended to have a lower<br />

visceral fat mass (p = 0.10). In a subsequent experiment, rats habitually fed<br />

a high fat diet either c<strong>on</strong>tinued to c<strong>on</strong>sume the diet or were switched to a<br />

high fat + f<strong>ru</strong>it juice, low fat (7%), or low fat + f<strong>ru</strong>it juice (0.75%) diet for<br />

7 weeks. Rats which had been switched to the high fat + f<strong>ru</strong>it juice diet<br />

gained less weight and had less visceral fat than those fed the high fat diet<br />

(p < 0.05). Supplementati<strong>on</strong> of the high fat diet with the c<strong>ru</strong>de d<strong>ru</strong>g improved<br />

insulin resistance, lowered se<strong>ru</strong>m insulin and leptin, but raised<br />

free fatty acid c<strong>on</strong>centrati<strong>on</strong> in the se<strong>ru</strong>m (p < 0.05) (42).<br />

Antihypercholesterolaemic activity<br />

A l<strong>on</strong>g-term (10-week) feeding experiment measured the effect of a f<strong>ru</strong>it<br />

extract (10 ml 100% f<strong>ru</strong>it juice/kg bw) <strong>on</strong> blood plasma and tissue lipid<br />

profiles in normal rats and rats with streptozotocin-induced type 1 diabetes.<br />

The results showed a significant (p < 0.05) increase in plasma n<strong>on</strong>esterified<br />

cholesterol, triglycerides and phospholipids in rats with streptozotocin-induced<br />

diabetes, accompanied by a decrease in high-density<br />

lipoprotein-cholesterol. A moderate increase in the plasma lipid peroxidase<br />

product, mal<strong>on</strong>dialdehyde, and about a twofold increase in kidney<br />

plasma lipid peroxidase was also observed. The treatment of diabetic rats<br />

with the f<strong>ru</strong>it extract over a 10-week period returned these levels to normal.<br />

In additi<strong>on</strong>, the extract exhibited an inhibitory effect <strong>on</strong> membrane<br />

plasma lipid peroxidase under in vitro c<strong>on</strong>diti<strong>on</strong>s (43).<br />

The effects of a freeze-dried powder of the f<strong>ru</strong>it <strong>on</strong> se<strong>ru</strong>m glucose levels<br />

and lipid parameters of the se<strong>ru</strong>m and liver were studied in rats fed<br />

diets supplemented with cholesterol and without cholesterol. For 14 days,<br />

rats were fed the diets either c<strong>on</strong>taining the freeze-dried powder at 0.5, 1<br />

or 3% without added dietary cholesterol (experiment 1) or c<strong>on</strong>taining<br />

1% powder with or without 0.5% cholesterol and 0.15% bile acid (ex-<br />

199

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