Abstract

BackgroundMultiple drug-resistant malaria parasites have been widely detected, which has encouraged research studies focused on discovering alternative therapies. Medicinal plants such as pomegranate, Punica granatum, have been proven to exhibit antiprotozoal effects and therefore, we examined its effects on murine malaria-induced splenic injury and oxidative stress in this study.MethodsMice were divided into three groups, a vehicle control and two groups that were infected with 106Plasmodium chabaudi-parasitized red blood cells (RBCs). The third group was gavaged with 100 μL of 300 mg/kg pomegranate peel extract for 6 days. All mice were euthanized on day 6 post-infection.ResultsThe results revealed the potential antimalarial, antioxidant, and anti-inflammatory effects of pomegranate. Furthermore, pomegranate peel extracts significantly reduced parasitemia and spleen index of the treated mice compared to the untreated group. Additionally, the spleen histology score supported the findings by showing better amelioration in the pomegranate-treated mice than in the untreated mice. Concomitantly, the spleen capsule thickness showed clear evidence of splenomegaly in the untreated mice, as evidenced by the reduced spleen capsule. However, pomegranate peel extract exhibited a remarkable restorative effect on the spleen capsules of the treated mice. Moreover, the extract significantly reduced the expression levels of the proinflammatory cytokines interleukin (IL)-1β, tumor necrosis factor (TNF)-α, and interferon (IFN)-γ as well as inducible nitric oxide synthase (iNOS). Moreover, our study showed that pomegranate extract profoundly affected oxidative stress levels by reducing the oxidant molecules, nitric oxide (NO) and malondialdehyde (MDA).ConclusionThis study showed that pomegranate clearly induced antimalarial activity in the host by attenuating inflammatory and oxidative stress responses. Furthermore, pomegranate enhanced the innate immune responses and, therefore, could serve an alternative therapy to control clinical malaria episodes and may protect against malaria infection.

Highlights

  • Multiple drug-resistant malaria parasites have been widely detected, which has encouraged research studies focused on discovering alternative therapies

  • Malaria is a serious ancient infectious disease that affects millions of people yearly [1]. It is characterized by recurrent febrile episodes known as malaria paroxysm, which concurs with the rupture of schizont-infected red blood cells (RBCs)

  • pomegranate peel extract (PPE) preparation The pomegranate fruits were purchased from a local market, and the samples were authenticated by Dr Jacob Thomas (Botany Department, College of Science, King Saud University, Saudi Arabia)

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Summary

Introduction

Multiple drug-resistant malaria parasites have been widely detected, which has encouraged research studies focused on discovering alternative therapies. Medicinal plants such as pomegranate, Punica granatum, have been proven to exhibit antiprotozoal effects and we examined its effects on murine malaria-induced splenic injury and oxidative stress in this study. Malaria is a serious ancient infectious disease that affects millions of people yearly [1] It is characterized by recurrent febrile episodes known as malaria paroxysm, which concurs with the rupture of schizont-infected red blood cells (RBCs). This clinical symptom is associated with enlargement of the spleen, which acts to rapidly remove. NO is a molecule with free radical characteristics, and it is thought to be a mediator of the malaria infection process [9]

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