Evaluation of Antimalarial Activity of Leaves of Acokanthera Schimperi
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Mohammed et al. BMC Complementary and Alternative Medicine 2014, 14:314 http://www.biomedcentral.com/1472-6882/14/314 RESEARCH ARTICLE Open Access Evaluation of antimalarial activity of leaves of Acokanthera schimperi and Croton macrostachyus against Plasmodium berghei in Swiss albino mice Tigist Mohammed1, Berhanu Erko2 and Mirutse Giday2* Abstract Background: Malaria is one of the most important tropical diseases and the greatest cause of hospitalization and death. Recurring problems of drug resistance are reinforcing the need for finding new antimalarial drugs. In this respect, natural plant products are the main sources of biologically active compounds and have potential for the development of novel antimalarial drugs. A study was conducted to evaluate extracts of the leaves of Croton macrostachyus and Acokanthera schimperi for their in vivo antimalarial activity. Methods: The plants were selected based on their ethnomedicinal information. Acute and sub- acute toxicity studies of the crude extracts were carried out in Swiss albino mice. To assess the effect of extracts of the plants on the parasite, a 4-day suppressive standard test was performed using Plasmodium berghei (ANKA strain). Data were analyzed using paired t-test and ANOVA. Results: In acute toxicity study, the two plants extracts did not show any sign of toxicity up to 2000 mg/kg. In sub-acute toxicity study, both plants did not exhibit any hematological change and mortality throughout the observation period up to the highest dose of 1000 mg/kg given daily. Extracts of the leaves of both plants significantly (P < 0.05) suppressed parasitaemia in dose dependent manner at all dose levels. Conclusions: The findings may support the traditional use of the plants to treat malaria. Further pharmacological, toxicological and phytochemical studies are, however, required to evaluate the potential of the plants towards the development of new antimalarial agent. Keywords: Croton macrostachyus, Acokanthera schimperi, Antimalarials, Plasmodium berghei, in vivo,Ethiopia Background Multi-drug resistant strains of the parasite to antimalar- Malaria is a major public-health problem in the world; ial drugs proved to be a challenging problem in malaria transmission primarily being common in tropical and sub- control in most parts of the world [1]. These recurring tropical regions [1]. According to WHO, globally, there problems render development and promotion of phyto- were about 216 million and 207 million cases of malaria in medicines as alternative solution to malaria control [7]. 2010 and 2012, respectively, and estimated 655,000 and Medicinal plants have been playing a vital role in the treat- 627,000 deaths in 2010 and 2012, respectively [2,3]. ment of malaria for centuries [8] and have always been In Ethiopia, though some improvements were recently considered to be a possible alternative and rich source of achieved, malaria is still the leading cause of morbidity new drugs. Today, herbal products are being used world- and mortality [4,5]. Ethiopia is also one of the most mal- wide in a variety of healthcare settings, and as home rem- aria epidemic-prone countries in Africa where rates of edies [9]. Over 1200 plant species from 160 families are morbidity and mortality increase 3–5 folds during epi- used to treat malaria and fever in endemic countries [10]. demics [6]. It is estimated that about 80% of the population in Ethiopia is still dependent on traditional medicines [11]. * Correspondence: [email protected] 2Aklilu Lemma Institute of Pathobiology, Addis Ababa University, P.O. Box However, scientific studies on the status of use of phyto- 1176, Addis Ababa, Ethiopia medicine, preparation of crude extracts and isolation of Full list of author information is available at the end of the article © 2014 Mohammed et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Mohammed et al. BMC Complementary and Alternative Medicine 2014, 14:314 Page 2 of 10 http://www.biomedcentral.com/1472-6882/14/314 active principles is very minimal [12]. Croton macrosta- rotary evaporator (Buchi, Switzerland) in distillation flask to chyus and Acokanthera shimperi are two of the plants that eliminate methanol from the crude extract and concen- are traditionally used for malarial treatment in Ethiopia trated further to dryness in a water bath at 40°C. For aque- [13,14]. A study reported that methanol extracts of the ous extract, residual water was removed by lyophilizer fruits of C. macrostachyus have shown substantial anti- (Heto Power Dry LL3000, Wagtech, Denmark) at −56°C. malarial activities against P. falciparum in vitro with IC50 Then, the extracts were stored in tightly closed bottle con- value of 0.94 μgm/mL [15]. An in vivo study also showed tainers in a refrigerator at 4°C until they were used for the that methanol extract of the fruits of Croton macrostachyus experiment [19-21]. has significant suppressive effect against P. berghei [16]. An in vivo study conducted on Acokanthera oppositifolia in Experimental animals and parasite inoculation Kenya and in vitro study conducted on Croton zambesicus Experimental animals and parasite strain in Cameroon, taxonomically related species to A. schimperi Male Swiss albino mice, 5–7 weeks of age and 23–38 gm and C. macrostachyus, respectively, demonstrated an of weight were obtained from the Ethiopia Health and interesting antiplasmodial activity on P. falciparum Nutrition Research Institute (EHNRI). They were kept in [17,18]. The objective of this study, therefore, was to the animal care facility of the Aklilu Lemma Institute investigate antimalarial effect of aqueous and metha- Pathology, Addis Ababa University, for one week prior nol extracts of the leaves of A. schimperi and C. macrosta- to the initiation of the experiments for acclimatization chyus in mice infected with chloroquine sensitive strain of to laboratory conditions. The mice were kept at room P. berghei. The study was conducted at the Endod and temperature in humid environment and were exposed to Other Medicinal Plants Research Unit of the Aklilu 12 hours light and 12 hours darkness. The mice were given Lemma Institute of Pathobiology, Addis Ababa University. water and standard food pellets every 24 hours. In vivo anti- malarial testing in mice was done using chloroquine sensi- Methods tive strain of Plasmodium berghei (ANKA strain) obtained Plant material collection sites from EHNRI. On weekly basis, the parasites were main- Young leaves of Acokanthera schimperi were collected tained by serial passage of blood from infected mice having from Bishan Gari Lodge area (Buku Wolda) about 20 km a parasitamia level of 20-30% to non-infected ones. off the Addis Ababa – Hawasa road in December 2012 (reference number TM02-2012) and that of Croton Parasite inoculation macrostachyus from the compound of the Aklilu Lemma Albino mice previously infected with P. berghei were used as Institute of Pathobiology (ALIPB) in October, 2012 (ref- donor animals. The parasitaemia of the donor mice was first erence number: TM01-2012). The plants were identified determined and parasitized erythrocytes were obtained by by the second author, the botanist at the Aklilu Lemma cardiac puncture using ethyl ether as anesthesia and diluted Institute of Pathobiology, Addis Ababa University, and in physiological saline (0.9%). The dilution was made based voucher specimens were deposited at the Institute. The on the parasitaemia of the donor mice and the RBC count plants were selected based on previous reports of their of normal mice in such a way that 1 mL blood contains traditional use for treating malaria in Ethiopia [13,14]. 5×107 infected erythrocytes [22]. Each mouse was in- oculated by intraperitoneal injection with a blood suspen- Preparation of crude plant extracts sion (0.2 mL) containing 1 × 107 parasitized erythrocytes. The leaves of Acokanthera schimperi and Croton macrosta- chyus were washed thoroughly with running tap water and In vivo toxicity test of the crude plant extracts each plant material was reduced to small fragments. The The crude methanol and aqueous extracts of Croton plant samples were air-dried at room temperature under macrostachyus and Acokanthera schimperi intended for shade, and ground into powder using pestle and mortar. the antimalarial test against P. berghei were evaluated for The powdered plant materials were packed in plastic bags their acute toxicity in non-infected Swiss albino mice until extraction. The coarsely powdered plant materials were aged 6–8 weeks and weighing 23-38 g. For each extract, weighed using sensitive balance and repeatedly extracted in 10 mice were used by randomly dividing them into two water and methanol in maceration flasks. Powdered plant groups of 5 mice per group. The mice were starved 3–4 parts (140 gm of Croton macrostachyus and 155 gm of hours before the experiment began with only water Acokanthera schimperi) were mixed in distilled water and allowed and 1–2 hours after the extract was given [23]. methanol separately in 1:10 (w/v) and placed on orbital Then, the mice in group 1 were given orally 0.2 mL of shaker at 130 rpm for 24 hours in water and for 72 hours in 2000 mg/kg body weight of the extract in single dose in methanol at room temperature. Then, the extracts, were fil- dH2O. The mice in the control groups received 0.2 mL tered through Whatman (no 1, diameter 150 mm, England). of vehicle of the extract (dH2O). Then, the mice were The methanol extract was concentrated at 40°C with a observed continuously for 30 minutes, followed by 4 Mohammed et al.