Abstract
Leaves of Passiflora suberosa L. (Family: Passifloraceae; common name: wild passion fruit, devil’s pumpkin) are used in Sri Lankan traditional medicine for treating diabetes. The present study investigated the in vivo ability of P. suberosa leaves to manage blood sugar status and associated cholesterol levels. Mechanisms of action and toxicity were also determined. Phytochemical screening of aqueous extracts of P. suberosa leaves and carbohydrate content of the leaves were determined according to previously published methods. In two group of male mice (n = 9), effects on fasting and random blood glucose levels (BGLs) of different acute doses (0, 25, 50, 100 and 200 mg/kg) of the aqueous leaf extract (ALE) were evaluated at 1, 3, and 5 h post-treatment. In another set of mice, the fasting BGL was evaluated following treatment of 0 or 50 mg/kg ALE (dose prescribed in traditional medicine) for 30 consecutive days. The lipid profile, some mechanism of ALE action (diaphragm glucose uptake, glycogen content in the liver and skeletal muscles) and its toxicity (behavioural observation, food and water intake, hepatoxicity) were also assessed following 30-day treatment. However, sucrose and glucose tolerance tests and intestinal glucose uptake were conducted to determine portion of mechanisms of action following single dose of 50 mg/kg ALE. Phytochemical screening revealed the presence of alkaloids, unsaturated sterols, triterpenes, saponins, flavonoids, tannins and proanthocyanidins. Carbohydrate content of the leaves was 12.97%. The maximum hypoglycemic effect was observed after 4 h of 50 and 100 mg/kg ALE administration. The extract decreased fasting BGL (18%) following an oral sucrose challenge and inhibited (79%) glucose absorption from the intestine. Correspondingly, the levels of glycogen in the liver (61%) and in the skeletal muscles (57%) were found be higher than that of the control group. The levels of total cholesterol (17%) and tri-glyceraldehyde levels (12%) found to be reduced in treated groups. Furthermore, no significant toxic effects were observed in treated groups. The present results suggest that the leaves of P. suberosa can be used to manage blood glucose and cholesterol levels. Isolation of active compounds are recommended for further analysis.
Highlights
The term diabetes mellitus (DM) describes elevated blood glucose levels associated with a relative insulin deficiency, insulin resistance, or both (Ballinger, 2011)
The present results suggest that the leaves of P. suberosa can be used to manage blood glucose and cholesterol levels
The prevalence of diabetes among adults in Sri Lanka 8.5% with one in 12 adults suffers from diabetes, which totals to 1.16 million (Bandara, 2016)
Summary
The term diabetes mellitus (DM) describes elevated blood glucose levels (hyperglycaemia) associated with a relative insulin deficiency, insulin resistance, or both (Ballinger, 2011). The treatment for DM consists of the administration of either insulin or other hypoglycaemic agents in conjunction with recommendations for dietary control and physical exercise These hypoglycaemic agents can cause adverse effects such as hypoglycaemia, gastrointestinal disorders, renal toxicity and hepatotoxicity (Caprio & Fonseca, 2014). The WHO estimated that 80% of the population living in the developing countries like Sri Lanka relies exclusively on herbal medicine for their primary health care (World Health Organization, 2017a; World Health Organization, 2017b). Many pharmacological investigations are conducted to identify new drugs for the treatment of these diseases
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