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Lipid-lowering activity <str<strong>on</strong>g>of</str<strong>on</strong>g> Cow <strong>urine</strong> ark ‎<br />

Oxidative stress and free radical<br />

induced injuries play a major role in <strong>the</strong><br />

‎pathogenesis <str<strong>on</strong>g>of</str<strong>on</strong>g> a number <str<strong>on</strong>g>of</str<strong>on</strong>g> diseases.<br />

Hyperlipidemia produces lots <str<strong>on</strong>g>of</str<strong>on</strong>g> free<br />

radicals and ‎oxidative stress in blood<br />

vessels al<strong>on</strong>g with a<strong>the</strong>rosclerosis<br />

progressi<strong>on</strong>, and it endangers ‎vital organs<br />

such as liver, kidney, heart and brain<br />

(Suanarunsawat et al., 2011).<br />

Augmentati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> ‎serum levels <str<strong>on</strong>g>of</str<strong>on</strong>g> AST,<br />

ALT, AP, LDH, and CK-MB suggested<br />

suppressed cardiac and ‎hepatic functi<strong>on</strong>s,<br />

due to <strong>the</strong> retenti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> lipid in liver and<br />

heart in sham c<strong>on</strong>trol (Table 3 and ‎Figure<br />

1 B). CUA treatment decreased serum<br />

level <str<strong>on</strong>g>of</str<strong>on</strong>g> ALT, AST and LDH (p < 0.05),<br />

and improvement in hepatocytes<br />

histopathologically also seen (Table 3 and<br />

Figure 1 C). CUA has ‎many volatile fatty<br />

acids; acetic acid 2 propenyl ester, acetic<br />

acid methyl ester, 2, 2, 3 ‎trichloro<br />

propi<strong>on</strong>ic acid, butanoic acid-3methyl,<br />

propyl ester, 1H indol-3-acetate, acetic<br />

acid ‎phenyl ester and quinoline. They are<br />

resp<strong>on</strong>sible for its antioxidant acti<strong>on</strong><br />

which is c<strong>on</strong>firmed ‎by <strong>the</strong> estimati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

thiobarbituric acid, ascorbic acid, DPPH<br />

radical scavenging activity and ‎ABTS<br />

assay (Sachdev et al., 2012). Hence, <strong>the</strong><br />

antioxidant activity <str<strong>on</strong>g>of</str<strong>on</strong>g> CUA might be<br />

‎resp<strong>on</strong>sible for <strong>the</strong> cytoprotective acti<strong>on</strong><br />

that was found in our study. ‎<br />

Several studies reported that residual<br />

cardiovascular risk is still apparent in ‎spite<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> intensive statin <strong>the</strong>rapy. Residual<br />

cardiovascular risk with 80 mg<br />

atorvastatin was ‎22.4%, 12% and 8.7%,<br />

reported in <strong>the</strong> PROVE IT-TIMI study, <strong>the</strong><br />

IDEAL study and <strong>the</strong> ‎TNT study,<br />

respectively (Cann<strong>on</strong> et al., 2004; LaRosa<br />

et al., 2005; Pedersen et al., 2005).<br />

‎Residual cardiovascular risk in patients<br />

that were treated with statins is attributed<br />

to <strong>the</strong> triglycerides and ‎low HDL-C which<br />

is predominantly higher am<strong>on</strong>g diabetics<br />

than n<strong>on</strong> diabetics (Samps<strong>on</strong> et al., ‎2012).<br />

Diabetes has a triad <str<strong>on</strong>g>of</str<strong>on</strong>g> lipid abnormality,<br />

including high levels <str<strong>on</strong>g>of</str<strong>on</strong>g> triglycerides, low<br />

‎levels <str<strong>on</strong>g>of</str<strong>on</strong>g> HDL-C and small, dense LDL-C<br />

(Fruchart, 2013). CUA increases HDL-C<br />

as well ‎as reducing triglycerides (Table 1).<br />

These findings are in accordance with <strong>the</strong><br />

previous studies <str<strong>on</strong>g>of</str<strong>on</strong>g> ‎<strong>cow</strong> <strong>urine</strong> distillate in<br />

diabetic wistar albino rats (Gururaja et al.,<br />

2011). Thus, CUA may be ‎useful as an add<br />

<strong>on</strong> <strong>the</strong>rapy to reduce statin related residual<br />

CV risk in diabetic patients.‎<br />

Metabolic syndrome is a group <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

interrelated metabolic abnormalities that<br />

includes ‎insulin resistance, diabetes,<br />

elevated blood pressure, obesity and<br />

dyslipidaemia (Li et al., ‎2013). CUA has<br />

lipid lowering, antidiabetic and antioxidant<br />

activities (Sachdev et al., ‎2012). Cow<br />

<strong>urine</strong> c<strong>on</strong>tains copper (Jain et al., 2010);<br />

while previous studies revealed an inverse<br />

‎associati<strong>on</strong> between diastolic blood<br />

pressure and dietary copper intake (Bo et<br />

al., 2008). ‎Cow <strong>urine</strong> has a diuretic acti<strong>on</strong><br />

which might be due to nitrogen, uric acid,<br />

phosphates and hippuric‎acid (Jain et al.,<br />

2010), Therefore <strong>cow</strong> <strong>urine</strong> may be<br />

effective as an antihypertensive that has<br />

<strong>the</strong> <strong>potential</strong> to‎ decrease all <strong>the</strong> metabolic<br />

abnormalities and also a possible<br />

‎implicati<strong>on</strong> in metabolic syndrome.‎<br />

Hence, <strong>the</strong> present study revealed that<br />

CUA has lipid lowering and ‎cytoprotective<br />

effects that may be implicated in metabolic<br />

syndrome. It is vital to menti<strong>on</strong> that this<br />

study has ‎several limitati<strong>on</strong>s since we did<br />

not evaluate molecular mechanism,<br />

objective evidence for ‎a<strong>the</strong>rosclerosis and<br />

metabolic syndrome.‎<br />

From <strong>the</strong> current study, we c<strong>on</strong>cluded<br />

that CUA reduces triglycerides, ‎improves<br />

HDL-C and hepatoprotective in animals<br />

with high fat diet; <strong>the</strong>refore it may be<br />

useful in ‎diabetic dyslipidemic patients.‎<br />

Acknowledgement‎<br />

We would like to thank Torrent<br />

Pharmaceuticals Ltd., Torrent <str<strong>on</strong>g>research</str<strong>on</strong>g><br />

center, Ahmedabad for providing<br />

rosuvastatin calcium powder as a free gift<br />

sample. ‎<br />

C<strong>on</strong>flict <str<strong>on</strong>g>of</str<strong>on</strong>g> interest<br />

There is not any clash <str<strong>on</strong>g>of</str<strong>on</strong>g> attentiveness<br />

in this study.<br />

AJP, Vol. 4, No. 5, Sep-Oct 2014 361

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