Jayakumar SP
Jayakumar SP
Jayakumar SP
Dissertation submitted to
MASTER OF PHARMACY
in
PHARMACOLOGY
BY
Mr. JAYAKUMAR SP
(Reg. No.261226009)
April-2014
CERTIFICATE
Tamilnadu Dr. M.G.R. Medical university, Chennai, in partial fulfillment for the
Pharmacy, Chennai, under the guidance and direct supervision of Mrs. MALINI
Place: Chennai
Principal
Prof. M. Jagadeesan, M. Pharm
Professor and Head
Department of Pharmacology.
CERTIFICATE
Tamilnadu Dr. M.G.R. Medical university, Chennai, in partial fulfillment for the
Pharmacy, Chennai, under the guidance and direct supervision of Mrs. MALINI
Place: Chennai
CERTIFICATE
year 2013-2014.
Place: Chennai
Pharmacy, Chennai, is my original and independent work done under the direct
Department of Pharmacology during the academic year 2013-2014 and this thesis
contains no material which has been accepted for the award of any degree or
Place: Chennai
My heartfelt thanks to my parents and my brother and sisters for their love
affection and constantly encouraging, guiding when I thought nothing is happening.
Also I want to thank all teaching and non teaching staff, who directly or
indirectly helped me in completing this dissertation work successfully.
JAYAKUMAR SP
CONTENTS
I INTRODUCTION 1
IV PLAN OF WORK 16
VIII BIBLIOGRAPHY 37
LIST OF TABLES
NO NO.
NO.
4 Anjir plant 13
5 Plan of Work 18
leaves
leaves
leaves
leaves
ABBREVATIONS
µg - Microgram
AL - Anjir Leaves
ALB - Albumin
ANOVAs - Analysis of Variance
CAT - Catalase
GLO - Globulin
gm - Gram
I.U - International units
LD - Lethal Dosage
LPO - lipid peroxidase
mg - Milligram
mg/dl - Milligram per deciliter
mg/kg - Milligram per kilogram
SOD - Superoxide Dismutase
TP - Total Protein
U/L - Unit per Liter
1. INTRODUCTION
1.2. Diabetes
Type I Diabetes
3. Increased hunger
4. Increased thirst
5. Trouble seeing
Ketoacidosis – occurs when your blood glucose levels are highly elevated, by
either eating too much or taking too little insulin, by stress or illness. In this case,
there is too little insulin in the blood. Your body then begins breaking down fat for
energy, producing chemicals called ketones. Ketones can make you throw up, have
difficulty breathing, cause excessive thirst, cause dry, itchy skin, or even cause
coma.
Hypoglycemia – occurs when blood glucose levels become too low. It can be
by taking too much insulin, eating too little, skipping meals, eating at the wrong
time, exercising too intensely or for too long, or by drinking alcohol on an empty
stomach. If your blood glucose is too low you may feel hungry, confused, tired,
shaky or nervous [6].
Complications – elevated glucose levels in the blood over time can hurt your
organs. Diabetes can damage kidneys, eyes and nerves, and makes heart and blood
vessel disease more likely. Diabetics can defend themselves from complications by
keeping their glucose levels under control [7].
Type II diabetes is the most common form of diabetes, with about 90% of
diabetes falling into the Type II category. With Type II diabetes, glucose builds up
in the blood – not because not enough insulin is present, but probably because cells
lose their insulin receptors and become less sensitive to insulin. Type II diabetes
usually (though not always) occurs in individuals who are over 40 years of age who
are overweight.
1. High Blood Sugar – high glucose levels in the blood are most likely
when you‟re sick or under a lot of stress. High blood sugar can cause
you to have a headache, blurry vision, excessive thirst and an
increased need to urinate, and cause dry, itchy skin. Though less of a
problem with Type II diabetes, ketones can build up in the blood
when Type II diabetics have symptoms of high blood sugar, or when
they are sick.
2. Low Blood Sugar – When blood sugar falls to low you may feel tired,
shaky, nervous, hungry or confused. It may be caused by taking too
much diabetes medicine, eating too little or skipping meals,
exercising too intensely or for too long, or from drinking alcohol
without eating.
Gestational diabetes usually goes away after pregnancy, but once you've
had gestational diabetes, your chances are higher that it will happen in future
pregnancies. In some women pregnancy uncovers Type 1 or Type 2 diabetes and
these women will need to continue diabetes treatment after pregnancy.
Antioxidants get their name because they combat oxidation. They are
substances that protect other chemicals of the body from damaging oxidation
reactions by reacting with free radicals and other reactive oxygen species within the
body, hence hindering the process of oxidation. During this reaction the antioxidant
sacrifices itself by becoming oxidized. However, antioxidant supply is not unlimited
as one antioxidant molecule can only react with a single free radical. Therefore,
there is a constant need to replenish antioxidant resources, whether endogenously or
through supplementation [9].
Peroxidation
There are numerous types of free radicals that can be formed within the
body. The most common ROS include: the superoxide anion, the hydroxyl radical,
singlet oxygen, and hydrogen peroxide Superoxide anions are formed when oxygen
acquires an additional electron, leaving the molecule with only one unpaired
electron. Within the mitochondria O2- is continuously being formed. The rate of
formation depends on the amount of oxygen flowing through the mitochondria at
any given time. Hydroxyl radicals are short-lived, but the most damaging radicals
within the body. These reactions are significant as the substrates are found within
the body and could easily interact. Hydrogen peroxide is produced in vivo by many
reactions. Hydrogen peroxide is unique in that it can be converted to the highly
damaging hydroxyl radical or be catalyzed and excreted harmlessly as water.
Glutathione peroxidase is essential for the conversion of glutathione to oxidized
glutathione, during which H2O2 is converted to water. If H2O2 is not converted into
water is formed. Singlet oxygen is not a free radical, but can be formed during
radical reactions and also cause further reactions. Singlet oxygen violates Hund's
rule of electron filling in that it has eight outer electrons existing in pairs leaving one
orbital of the same energy level empty. When oxygen is energetically excited one of
the electrons can jump to empty orbital creating unpaired electrons [14]. Singlet
oxygen can then transfer the energy to a new molecule and act as a catalyst for free
radical formation. The molecule can also interact with other molecules leading to the
formation of a new free radical.
Physiological Effects
Under normal conditions (at rest) the antioxidant defense system within
the body can easily handle free radicals that are produced. During times of increased
oxygen flux (i.e. exercise) free radical production may exceed that of removal
ultimately resulting in lipid peroxidation. Free radicals have been implicated as
playing a role in the etiology of cardiovascular disease, cancer, Alzheimer‟s disease,
and Parkinson‟s disease. While worthy of a discussion these conditions are not the
focus of the current literature review. This literature review will only examine the
current literature addressing the relationship between free radicals and exercise,
which is introduced below. The driving force behind these topics is lipid
peroxidation. By preventing or controlling lipid peroxidation the concomitant effects
discussed below would be better controlled.
Requirement
Fatigue
Recovery
One of the first steps in recovery from exercise induced muscle damage is
an acute inflammatory response at the site of muscle damage. Free radicals are
commonly associated with the inflammatory response and are hypothesized to be
greatest twenty-four hours after completion of a strenuous exercise session. If this
theory were valid then antioxidants would play a major role in helping prevent this
damage. However, if antioxidant defense systems are inadequate or not elevated
during the post-exercise infiltration period free radicals could further damage muscle
beyond that acquired during exercise. This in turn would increase the time needed to
recover from an exercise bout [15].
This section has focused only on the negatives associated with free radical
production. However, free radicals are naturally produced by some systems within
the body and have beneficial effects that cannot be overlooked. The immune system
is the main body system that utilizes free radicals. Foreign invaders or damaged
tissue is marked with free radicals by the immune system. This allows for
determination of which tissue need to be removed from the body. Because of this
some question the need for antioxidant supplementation, as they believe
supplementation can actually decrease the effectiveness of the immune system.
Antioxidant Defenses
Taxonomy:
Kingdom : Plantae
Division : Magnoliophyta
Class : Magnolipsida
Order : Rosales
Family : Moraceae
Genus : Ficus
Species : F. carica
Ficus constituted one of the largest genera of medicinal plants with about
750 species of woody plants, trees, and shrubs primarily occurring in subtropical and
tropical regions throughout the world. The genus are remarkable for the large
variation in the habits of its species [19]. In India, the most important species of
Ficus are F. bengalensis, F. carica, Ficus racemosa and F. elastica. Ficus carica is
commonly referred as Fig. Various parts of the plant like bark, leaves, tender shoots,
fruits, seeds, and latex are medicinally important. The fig is a very nourishing food
and used in industrial products. It is rich in vitamins, mineral elements, water, and
fats. Figs are one of the highest plant sources of calcium and fiber. According to
USDA data for the Mission variety, dried figs are richest in fiber, copper,
manganese, magnesium, potassium, calcium, and vitamin K, relative to human
needs. They have smaller amounts of many other nutrients. Figs have a laxative
effect and contain many antioxidants. They are good source of flavonoids and
polyphenols [20] and some bioactive compounds such as arabinose, β-amyrins,
β-carotines, glycosides, sitosterol and xanthotoxol [21-23]. The dried figs produced
a significant increase in plasma antioxidant capacity and also used in various
disorders such as gastrointestinal respiratory, inflammatory, cardiovascular
disorders, ulcerative diseases, and cancers [24-27].
1. Grind four fig leaves along with sugar candy. Regularly take this
mixture along with a glass of water two times in a day. This fig home
remedy is useful in the natural treatment of liver cirrhosis.
7. Those suffering from anemia can eat 2-3 figs soaked in a cup of
water overnight. Consume these figs along with milk in the morning
for a month.
8. Take one and a half liters of water and add 50 g each of dried figs,
barley and raisins in it. Boil the solution. Simmer and keep it covered
for about 15 minutes. Next, add 15 g of chopped licorice root in it.
9. Cover and leave it to stand overnight. Finally, stain the liquid and
take one teaspoon of this solution. This is an effective figs home
remedy for constipation in children.
10. Applying the milky white juice of fig leaves on the affect areas cures
corns and calluses. It is useful in treating insect bites, too.
11. Chewing a couple of tender fig leaves and then rinsing the mouth
with warm water reduces bad breath and mouth ulcers [34].
2.4. Review of Literature
Vikas. V patil, et al, gave a over view on Ficus carica Linn, Research
Jouralof Medicial Plants [37].
AIM
SURVEY
PLANT SELECTION
PLANT
AUTHENTICATION
LITERATURE SURVEY
PROCESSING OF PLANT
MATERIAL
EXTRACTION ANTI-DIABETIC
AND
ANTI-OXIDANT
SCREENING
PRELIMINARY
PHYTOCHEMICAL SCREENING
The leaves were separated from the plant and it was washed with absolute
ethanol to avoid the microbial growth, the leaves were dried at open air under the
shade, cut in to small pieces and powdered mechanically, then 50 gm of powder
Anjir leaves was extracted with 250 ml ethanol in a soxhlet apparatus for 72 hrs. The
extract obtained was concentrated by recovery of ethanol. The concentrated product
was used as ethanolic extract of leaves of Anjir.
Foam test
Take 2 ml of drug solution in a test tube, add small amount of water to it,
shake well, stable froth (foam) is formed.
A small amount of test solution treat with ferric chloride solution, blue
color appears if hydrolysable tannins are present and green color appears if
condensed tannins are present.
b. Phenazone test
c. Gelatin test
a. Millon’s test
b. Ninhydrin test
To the test solution, add ninhydrin solution, boil, violet color indicates
presence of amino acid.
a. Warming test
The test solution take in a test tube and heat in boiling water bath, proteins
get coagulated.
c. Biuret test
To the test solution (2 ml) add Biuret reagent (2 ml), violet color indicates
presence of proteins.
d. Hydrolysis test
Hydrolyze the test solution with hydrochloric acid or sulphuric acid. Then
carry out the ninhydrin test for amino acid.
e. Xanthoproteic test
To the 5ml of test solution, add 1ml of concentrated nitric acid and boil,
yellow precipitate is formed. After cooling it, add 40 %sodium hydroxide solution,
orange color is formed.
4.3.5. Glycosides
b. Legal test
c. Baljet test
a. Keddes test
Extract the drug with chloroform, evaporate to dryness. Add one drop of
90% alcohol and 2 drops of 2% 3, 5-Di nitro benzoic acid in 90% alcohol. Make
alkaline with 20% sodium hydroxide solution, purple color is produced. The color
reaction with 3, 5-Di nitro benzoic acid depends on the presence of alpha, beta
unsaturated lactones in the aglycone.
Extract the drug with chloroform and evaporate it to dryness. Add 0.4 ml
of glacial acetic acid containing trace amount of ferric chloride. Transfer to a small
test tube; add carefully 0.5 ml of concentrated sulphuric acid by the side of the test
tube. Acetic acid layer shows blue color.
c. Raymonds test
Treat the test solution with hot methanolic alkali, violet color is produced.
d. Legals test
Treat the test solution with pyridine and alkaline sodium nitroprusside
solution, blood red color appears.
e. Baljet test
Treat the test solution with picric acid or sodium picrate, orange color is
formed.
a. Dragendorff’s test
b. Mayer’s test
c. Hager’s test
2-3 ml filtrate, add few drops of Hager‟s reagent gives yellow precipitate.
d. Wagner’s test
2-3 ml filtrate with few drops of Wagner‟s reagent gives reddish brown
precipitate.
a. Molisch’s test
a. Shinoda test
The concept of the up and down (UDP, stair case method) was first
designed by Dixon and Mood. In this method animals of a single sex, usually
females, with the first animal receiving a dose just below the best estimate of the
LD50. Depending on the outcome for the previous animal, the dose for the next is
increased or decreased, usually by the factor of 3.2. This sequence continues until
there is a reversal of the initial outcome (i.e., the point where an increasing dose
results in death rather than survival or decreasing dose result in survival rather than
death) then, additional animals are dosed following the up-down principle until a
stopping criterion is met. If there is no reversal before reaching the selected upper
(2000 or 5000 mg/kg) limit dose, then a specific number of animals are dosed at the
limit dose. The option to use an upper limit dose of 5000 mg/kg should be taken
only when justified by a specific regulatory need.
Healthy Wistar rats weighing between 180-220 g were used to carry out
acute oral toxicity studies by the „staircase‟ method. All successive extracts of Anjir
leaves in 0.5% tween 80 was administered orally by gavages in graduated dose to
several groups of experimental animals, one dose being used per group.
Subsequently, observations of effects were made at 0,1,2,4 and 24 h for any
mortality [48]. Ethical clearance for handling the animals is obtained from the
Institutional animal ethical committee prior to the beginning of the project work
from Institutional Animal Ethics Committee (769/2010/CPCSEA) approved the
study protocol.
For all the animals the blood glucose level is measured on Day 0, 5, 10
and 15. The results of group IV and group V (Anjir leaf extract treated groups) is
compared with group I, II (control groups) and group III (standard drug treated
group).
Blood samples collected from all the animals are further subjected to tests
for determining Lipid profile, Hepatic glycogen level and tissue concentration of
LPO, SOD and CAT. The results of the Anjir leaf extract treated groups are
compared that with the control and standard drug treated groups.
Statistical analysis of the results was done using the statistical functions of
the Graphpad Prism 5.0 software. The results were expressed in terms of mean ±
SD. The significance of difference between mean values for the various treatments
were tested using one way analysis of variance test (ANOVA test) followed by
Dunnett Multiple Comparisons Test and the p values less than 0.05 were considered
significant [50].
5. RESULTS AND DISCUSSION
S.
PHYTOCONSTUTIENT RESULT
NO
1. SAPONINS +
2. TANNINS +
3. AMINO ACIDS +
4. PROTEINS +
5. GLYCOSIDES -
6. CARDIAC GLYCOSIDES +
7. ALKALOIDS +
8. CARBOHYDRATES +
9. FLAVONOIDS +
PRESENT = (+), ABSENT = (-)
5.4. Acute toxicity study as per OECD guideline 425
450
G
L 400
U
350
C
O300 DAY 0
S
DAY 5
E 250
DAY 10
L 200 DAY 15
E 150
DAY 20
V
E 100
L
50
0
Normal Diabetic Diabetic+ glib 5mg Diabetic+Ext 200mg Diabetic+Ext 400mg
The serum lipid profile in Table 5 and Figure 8 treated with Anjir leaves
extract returned to values nearing that of the control group. This showed that
treatment with Anjir leaves significantly improved the lipid profile in diabetic
animals and reduces the glycogen level in liver shown in Table 4 and Figure 7.
Table 3and Figure 6 show the concentration lipid peroxidation and hydroperoxides
in the liver of both control and experimental groups of rats. There was a significant
elevation in tissue lipid peroxidation and hydroperoxides in diabetic rats.
Administration of Anjir leaves to diabetic rats decreased the levels of tissue lipid
peroxidation and hydroperoxides to normal levels. The concentration of tissues
LPO, SOD and CATwere significantly decreased in diabetic rats when compared to
the control group. Administrations of Anjir leaves extract to diabetic rats tend to
bring the activities of these enzymes to near normal level.
Table 3: Antioxidant Activity of Ethanolic Extract of Anjir leaves on Alloxan
Induced Diabetic Rats
100
90
80
70
60
LPO
50
40 SOD
30 CAT
20
10
0
Normal Diabetic Diabetic+ glib Diabetic+Ext Diabetic+Ext
5mg 200mg 400mg
45
40
35
30
25
20
15
Liver Glycogen
10
5
0
I Normal Control 97
250
200
150
Serum Cholesterol
100
50
0
Normal Diabetic Diabetic+ Diabetic+ExtDiabetic+Ext
glib 5mg 200mg 400mg
5. We conclude that the Anjir leaves have potent anti-diabetic and anti-
oxidant effects in alloxan induced diabetic rats.
8. Data on the short and long term adverse effects of Anjir leaves
ingestion needs to be collected.
7. BIBLIOGRAPHY
4. http://www.healthchecksystems.com/diabetes.htm.
8. http://www.diabeteswellness.net/Portals/0/files/DRWFUSdiabetes.
9. Halliwell, B., and J.M.C. Gutteridge. The chemistry of oxygen radicals and
other oxygen-derived species. In: Free Radicals in Biology and Medicine.
New York: Oxford University Press, 1985, p. 20-64.
10. Acworth, I.N., and B. Bailey. Reactive Oxygen Species. In: The handbook of
oxidative metabolism. Massachusetts: ESA Inc., 1997, p. 1-1 to 4-4.
11. Alessio, H.M., and E.R. Blasi. Physical activity as a natural antioxidant
booster and its effect on a healthy lifestyle. Res. Q. Exerc. Sport. 68 (4): 292-
302, 1997.
13. Dillard, C.J., R.E. Litov, W.M. Savin, E.E. Dumelin, and A.L. Tappel.
Effects of exercise, vitamin E, and ozone on pulmonary function and lipid
peroxidation. J. Appl. Physiol. 45: 927, 1978.
16. Sjodin, T., Y.H. Westing, and F.S. Apple. Biochemical mechanisms for
oxygen free radical formation during exercise. Sports Med. 10: 236-254,
1990.
17. Karlsson J. Exercise, muscle metabolism and the antioxidant defense. World
Rev Nutr Diet. 82:81-100, 1997.
18. Harrison, Rhett D. (2005): Figs and the diversity of tropical rain forests.
Bioscience 55(12): 1053–1064.
19. Jander EA, Machado KC, CA Evolutionary ecologyof figs and their
associates: Recent progress andoutstanding puzzles. Ann Rev Evol. Syst.,
2008; 39: 439-458
20. Vinson, Joe A, Functional food properties offigs. Cereal Foods World,1999;
44(2): 82-87.
21. Gilani AH, Mehmood MH, Janbaz KH, Khan AU,Saeed SA.
Ethnopharmacological studies on antispasmodic and antiplatelet activities of
Ficus carica. J Ethno pharmacol 2008; 119: 1-5.
22. Vaya J, Mahmood S. Flavonoid content in leaf extracts of the fig (Ficus
carica L.), carob (Ceratoniasiliqua L.) and pistachio (Pistacia lentiscus L.).
Biofactors .2006; 28:169-75.
23. Ross JA, Kasum CM. Dietary flavonoids: bioavailability, metabolic effects,
and safety. Annu Rev Nutr 2002;22: 19-34.
24. Vinson, Joe A.; Zubik, Ligia; Bose, Pratima; Samman, Najwa & Proch, John
(2005): Dried fruits: excellent in vitro and in vivo antioxidants. J. Am. Coll.
Nutr. 24(1): 44-50.
28. Canal JR, Torres MD, Romero A, Perez C. A Chloro- form extract obtained
from a decoction of Ficus carica leaves improves the cholesterolaemic status
of rats with streptozotocin-induced diabetes. Acta Physiol Hung 2000;87:71-6.
29. Kirtikar, K.R.,and Basu, B.D. 1996. Indian medicinal plants. International
Book Distributors, India 2(3).
30. Nadkarni, K.M., Nadkarni, A. K., Indian material medica, Popular
Prakashan, India. 1995;1
33. Jeong MR, Cha JD, Lee YE. Antibacterial activity of Korean Fig (Ficus
carica L.) against food poisoning bacteria. Korean J Food Cookery Sci
2005;21:84-93
34. Gilani, A.H., Mehmood, M.H., Janbaz, K.H., Khan, A.U.,and Saeed, S.A.
Ethnopharmacological studies on antispasmodic and antiplatelet activities of
Ficus carica. J. Ethnopharmacol, 2008;119:1-5.
35. Rahul Kumar Modi, Manisha Kawadkar, Saima Sheikh, Ravindra Kastwar
and GouravTiwari. A review on: Comparative studies on ethanolic extract of
root and stem bark of Ficus carica for analgesic and
antiinflammatoryactivities. Int. J. of Pharm. & Life Sci. (IJPLS), Vol. 3,
Issue 8: August: 2012 [35]
36. Deepika Paliwal, Krishna Murti, Yashpal Sangwan, Manish Kaushik, Divya
Kiran. preliminary and pharmacological profile of ficus religiosa l.: an
overview. Pharmacologyonline 3: 387-395 (2011) [36]
37. Vikas. V patil, et al,. ficus carica linn- an overview, research jouralof
medicial plants, 5, 3, 246-253, 2011 [37].
43. Mishra shanti bhushan rao ch. V, ojha s.k, vijayakumar m, verma. An
analytical review of plants for anti-diabetic activity with their
phytoconstituent & mechanism of action. IJPSR (2010), Issue 1, Vol. 1.
[43]
46. Wealth of India. Raw materials, New Delhi: CSIR, 1976; 100–104.
47. Wallis TE: Practical Pharmacognosy. J&A Churchill Ltd, London Edition V,
1984.
48. OCED 425 guidelines. OCED Guidelines for testing animals, 2001; 26:1-26.
49. Kannur DM, Hukkeri VI, Akki KS. Antidiabetic activity of Caesalpinia
bonducella seeds extracts in rats. Fitoterapia 2006;77:546-9.
52. Stanley P, Prince M, Menon VP. Hypoglycaemic and other related actions of
Tinospora cordifolia in alloxan-induced diabetic rats. J Ethnopharmacol
2000; 70:9-15.
55. Oberley LW. Free radicals and diabetes. Free Radic Biol Med 1988; 5: 113-24.
56. Halliwell B, Gutteridge JMC. Free Radicals in Biology and Medicine. 2nd
ed. Oxford: Clarendon Press, 1989.
57. Yam J, Frank, Roberts RJ. Oxygen toxicity: comparison of lung biochemical
responses in neonatal and adult rats. Pediatr Res 1978; 12:115-9.