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International Journal of Diabetes Mellitus (2015) 3 , 4550

Diabetes Science International

International Journal of Diabetes Mellitus


www.elsevier.com/locate/ijdm
www.sciencedirect.com

ORIGINAL ARTICLE

Hypoglycemic and hypolipidemic eect of Allopolyherbal


formulations in streptozotocin induced diabetes mellitus
in rats
a,* b,*
Ratendra Kumar , Vimal Arora , Veerma Ram a, Anil Bhandari c, Priti Vyas a

a
Department of Pharmacology, Faculty of Pharmaceutical Sciences, Jodhpur National University, Narnadi, Jodhpur,
Rajasthan, India
b
Department of Pharmaceutics, Faculty of Pharmaceutical Sciences, Jodhpur National University, Narnadi, Jodhpur, Rajasthan,
India
c
Faculty of Pharmaceutical Sciences, Jodhpur National University, Narnadi, Jodhpur, Rajasthan, India

Received 19 October 2010; accepted 11 January 2011

KEYWORDS Abstract Aim of the study: In the present study, we examined and compared the effect of Poly-
Streptozotocin (STZ); herbal (PH), Allopolyherbal-A (APH-A), Allopolyherbal-B (APH-B), and Allopolyherbal-C
Hypoglycemia; (APH-C) formulations on hyperglycemia, lipid prole, renal, and hepatic function in streptozotocin
Gliclazide; (STZ) induced diabetes mellitus in rats.
Polyherbal formulation Materials and methods: The hypoglycemic activity (along with other parameters) of Polyherbal and
(PH); Allopolyherbal formulations was investigated in STZ induced diabetes in rats. Polyherbal (PH)
Allopolyherbal formulation (3.63 g/kg body wt.); Allopolyherbal-A (APH-A) [(5 mg Gliclazide + 1.81 g PH)/kg body wt.];
(APH)
Allopolyherbal-B (APH-B) [(4 mg Gliclazide + 2.17 g of PH)/kg body wt.]; Allopolyherbal-C
(APH-C) [(2 mg of Gliclazide + 2.904 g of PH)/kg body wt.], and Gliclazide (10 mg/kg body wt.)
were administered once a day, orally by gavages for 21 days.
Blood glucose levels were measured on 0, 7, 14, and 21 days of the study; total cholesterol, triglyc-
erides, LDL, VLDL, HDL, serum creatinine, SGOT, and SGPT were estimated on 21st day.

* Corresponding authors. Tel.: +91 9784580219 (R. Kumar), +91


9414438900 (V. Arora).
E-mail addresses: ratendra1@gmail.com (R. Kumar), draroravimal@
gmail.com (V. Arora).

1877-5934  2011 International Journal of Diabetes Mellitus. Published


by Elsevier Ltd. All rights reserved.
doi:10.1016/j.ijdm.2011.01.005

Production and hosting by Elsevier


46 R. Kumar et al.

Results: Gliclazide, Polyherbal (PH), Allopolyherbal-A (APH-A), Allopolyherbal-B (APH-B), and


Allopolyherbal-C (APH-C) formulations treated rats showed signicant (P < 0.01) decrease in
blood glucose, total cholesterol, triglycerides, LDL, VLDL, serum creatinine, SGOT, and SGPT
level, along with signicant increase in HDL.
Conclusions: Present ndings provide experimental evidence that the combination of allopathic
hypoglycemic drugs with hypoglycemic Polyherbal formulations provides effective and rapid glyce-
mic control and can also minimize the cardiovascular risk factors of type II diabetes mellitus.
 2011 International Journal of Diabetes Mellitus. Published by Elsevier Ltd. All rights reserved.

1. Introduction the beta cell sulphonylurea receptor, and possibly through a


direct effect on intracellular calcium transport. It specically
Diabetes mellitus is characterized by hyperglycemia, hypercho- improves the abnormal rst phase insulin release in type II dia-
lesterolemia, and hypertriglyceridemia, resulting from defects betes, and also has an effect on the second phase. It is exten-
in insulin secretion or reduced sensitivity of the tissue to insulin sively metabolised, and renal clearance accounts for only 4%
(insulin resistance) and/or combination of both [1]. The world- of total drug clearance. This pattern of insulin release is
wide survey reported that the diabetes is affecting nearly 10% thought to explain the lower incidence of hypoglycemic epi-
of the population [2]. It is the third leading cause of death sodes and weight gain compared with some other sulphonylu-
(after heart disease and cancer) in many developed countries. reas. There is also a reduction in hepatic glucose production
It is a serious endocrine syndrome with poor metabolic con- and improvement in glucose clearance, without changes in
trol and responsible for increased risk of cardiovascular dis- insulin receptors. This suggests a possible post-receptor effect
eases including atherosclerosis, renal failure, blindness or on insulin action, perhaps by stimulation of hepatic fructose-
diabetic cataract worldwide [3,4]. Therapeutic options for dia- 2,6-bisphosphatase and muscle glycogen synthase. Gliclazide
betes are diet, exercise, oral hypoglycemic drugs, and insulin reduces platelet adhesion, aggregation, and hyperactivity and
therapy. increases brinolysis. These actions, thought to be independent
Treatment with oral hypoglycemic agents is associated with of its hypoglycemic activity, may make Gliclazide useful in
side effects related to pharmacokinetic properties, secondary halting the progression of diabetic microangiopathy [7].
failure rates, hypoglycemia, gastrointestinal disturbances, skin The medicinal uses of plants used in study can be summa-
reactions, hematological disorders, and rise in hepatic enzyme rized as follows [8]:
level.
Management of diabetes without dyslipidemia and side ef- Plant name Family Uses
fects is still a challenge to the medical community. For thou- A. marmelos Rutaceae Stomachic, antimicrobial,
sands of years plants and their derivatives are being used for antidiarrhoeal, digestive, astringent,
treatment of diabetes mellitus. Although, herbal medicines spasmolytic, hypoglycemic
have long been used effectively in treating diseases throughout A. barbadensis Liliaceae Purgative, topically emollient,
the world and frequently considered to be less toxic and free anti-inammatory, antimicrobial,
from side effects as compared to synthetic ones [1,3]. The com- hypoglycemic
bination of allopathic and herbal drugs can help to overcome A. indica Meliaceae Antimicrobial, antifungal,
the resistance to insulin and oral hypoglycemic therapy in case anthelmintic, antiviral, antipyretic,
antimalarial, spermicidal,
of uncontrolled diabetes mellitus. The side effects, dyslipide-
antiinammatory, hypoglycemic
mias and dose of allopathic drugs can be reduced by their
T. foenum Papilionaceae Appetizer, demulcent, hypoglycemic
use in combination with herbal drugs. One of the examples graecum
of such Allopolyherbal formulation is therapeutic approach
by combination of 4-hydroxyisoleucine and pioglitazone and
combined therapy of 4-hydroxyisoleucine and glyburide [5]. 2. Materials and methods
Streptozotocin (STZ) is a naturally occurring nitrosourea
product of Streptomyces achromogenes. Usually, the intraperi- Streptozotocin was purchased from Sisco Research Laborato-
toneal injection of a single dose (60 mg/kg body weight) of it ries Pvt. Ltd., Mumbai, India; Gliclazide was purchased from
exerts direct toxicity on b cells resulting in necrosis within Nu-Life Laboratories, India. All other chemicals and reagents
4872 h and causes hyperglycemia. used were of analytical grade and purchased from ASSES
In the present study, leaves and fruit pulp of Aegle marmelos, Chemicals, Jodhpur, Rajasthan. Glucose, cholesterol, triglyc-
leaf pulp of Aloe barbadensis, leaves of Azadirachta indica, and eride, total cholesterol, cholesterolHDL, serum creatinine,
seeds of Trigonella foenum graecum in Polyherbal (PH) and in SGPT, and SGOT kits were purchased from Logotech Delhi
combination with Gliclazide as Allopolyherbal-A (APH-A), (India) Pvt. Ltd.
Allopolyherbal-B (APH-B), and Allopolyherbal-C (APH-C)
formulations were used to investigate their effect on blood glu-
cose, lipid prole, serum creatinine, SGOT, and SGPT in rat 2.1. Plant material
model of STZ induced diabetes mellitus.
A comparison was made with the Gliclazide, a standard The medicinal plants were identied and collected from local
drug used in treatment of diabetes mellitus [6]. Gliclazide is a places of Jodhpur in month of August and September,
sulphonylurea drug which stimulates insulin secretion through authenticated by Botanical Survey of India, Jodhpur. A.
Hypoglycemic and hypolipidemic effect of Allopolyherbal formulations 47

marmelos No.: JNU/PH2009 AV A-7; Aloe vera: JNU/PH2009 Blood glucose was checked 48 h later and animals showing
AV A-4; A. indica No.: JNU/PH2009 AV A-6; T. foenum blood glucose value more than 250 mg/dl were included in
graecum: JNU/PH2009 AV A-5. the experiments and termed as diabetic. Total seven groups
(one non-diabetic and six diabetic) consisting of six animals
2.2. Preparation of Polyherbal and Allopolyherbal formulations in each group were taken and treatments were given orally,
once a day, in the following manner:
The medicinal plant parts like fruits and leaves of A. marmelos,
and leaves of A. indica were collected from local areas of Group I: served as control (non-diabetic) and given 1%
Jodhpur, Rajasthan. Leaves of A. vera and seeds of T. foenum gum acacia (1 ml/kg).
graecum were purchased from market. After drying the respec- Group II: served as positive control and given 1% gum aca-
tive part of the plants under shade they were grinded by using cia (1 ml/kg).
mixer grinder and then sieved by using sieve shaker and man- Group III: administered Gliclazide (10 mg/ml/kg).
ually by passing through 100 no. sieve. The sieved powder was Group IV: administered Polyherbal formulation (PH)
collected in polyethylene bags. The Polyherbal formulation (3.63 g/2 ml/kg).
was prepared by taking 1/5th of the individual doses of respec- Group V: administered Allopolyherbal-A formulation
tive plant part, calculated on the basis of percentage yield and (APH-A) [(5 mg of Gliclazide + 1.81 g of PH)/2 ml/kg].
dose of extract reported earlier (Table 1). The Allopolyherbal Group VI: administered Allopolyherbal-B formulation
formulations (APH-A, APH-B, APH-C) were prepared by (APH-B) [(4 mg of Gliclazide + 2.17 g of PH)/2 ml/kg].
mixing Polyherbal formulation and Gliclazide in different Group VII: administered Allopolyherbal-C formulation
experimental ratios (Table 2). (APH-C) [(2 mg of Gliclazide + 2.904 g PH)/2 ml/kg].
*
2.3. Animals Gliclazide, PH, APH-A, APH-B, and APH-C, formulated
into suspension, using 1% gum acacia in distilled water, just
Adult Albino rats of Wistar strain (150200 g) of either sex before administration.
were procured from the animal house of Faculty of Pharma-
ceutical Sciences, Jodhpur National University, Jodhpur, 2.5. Blood glucose level monitoring
Rajasthan. Animals were provided with standard pellets and
drinking water ad libitum and were maintained at 12 h light Blood glucose level was estimated using biochemistry ana-
and dark cycle. The protocol of the experiment (IPS/PCOL/ lyzer (GOD POD method) on 0, 7, and 14th day of
MPH06/002) was approved by Institutional Animal Ethics experiment, blood samples were taken from retro orbital
Committee (IAEC) of Jodhpur National University and were plexus.
conducted in accordance with guidelines as per Guide for At the end of study (on 21st day), blood samples were col-
the care and use of laboratory animal and with permission lected by heart puncture from anesthetized (slight exposure to
from Committee for the Purpose of Control and Supervision ether) rats and then after animals were sacriced as per IAEC
of Experiments on Animals (CPCSEA). guidelines.

2.4. Induction of diabetes and experimental design 2.6. Biochemical analysis

Streptozotocin was dissolved in 100 mM citrate buffer (pH 4.5) The serum was separated by centrifugation at 3000 rpm for
and calculated amount of the dose (60 mg/kg) of the fresh 10 min in microcentrifuge (star 21, India), then various
solution was injected intraperitoneally to overnight fasted rats. biochemical parameters: blood glucose level, serum triglycer-

Table 1 Polyherbal dose on the basis of percentage yields of extract and extract dose.
Plant name (powder) Extract yield (%) Extract dose (mg/kg) Extract yield /100 g of powder (g) Dose of powder/kg body wt. (g)
Trigonella foenum seed 2 [9] 50 [10] 2 2.5
Aegle marmelos fruit pulp 2.98 [11] 250 [12] 2.98 8.38
Aegle marmelos leaves 10 [13] 100 [14] 10 1
Aloe vera leaf pulp 5.64 [15] 300 [16] 5.64 5.31
Azadirachta indica leaf 50.2 [17] 500 [18] 50.2 0.996
Dose of Polyherbal 18.2/5 = 3.63

Table 2 Composition of Allopolyherbal formulations (Gliclazide: Polyherbal).


Allopolyherbal % of Gliclazides dose (10 mg/ % of mean dose (3.63 g/kg body wt.)
formulation kg body wt.) (mg) of plant parts powders (g)
APH-A 50% = 5 50% = 1.81
APH-B 40% = 4 60% = 2.17
APH-C 20% = 2 80% = 2.904
48 R. Kumar et al.

ides (TRIGLYCERIDES), high density lipoproteins (HDL), 3.2. Serum: lipids, serum creatinine and hepatic enzymes
cholesterol (TOTAL CHOLESTEROL), LDL (low density
lipoprotein), very low density lipoprotein (VLDL), SGPT, On 21st day there was a statistically signicant (P < 0.05) in-
SGOT, and serum creatinine were estimated using biochemis- crease in serum total cholesterol (54%), triglycerides
try analyzer (model no. Rapid star 21, SEAC, India) using (112%), VLDL (219%), serum creatinine (99%), SGPT
respective kits. (215%), and SGOT (172%) and decrease in HDL (13%)
of positive control group rats, as compared to normal control
2.7. Statistical analysis group rats. Treatment with Gliclazide, PH, APH-A, APH-B,
and APH-C for 21 days, signicantly decreased total choles-
All the data were statistically analyzed for variance and signif- terol, triglycerides, LDL, VLDL, serum creatinine, SGPT,
icance, by one way ANOVA followed by Students t-test and and SGOT levels when compared to positive control group
Dunetts test. All results are expressed as Mean SEM and (Table 4). There was also highly signicant (bP < 0.01) in-
observed P value is <0.05. crease in serum HDL level by treatment with APH-C com-
pared to positive control group.
As far as the relative efcacy is concerned, though all the
3. Results four formulations showed more/comparable activity to
Gliclazide on all the biochemical parameters, but as far as
3.1. Blood glucose overall efcacy is concerned for all parameters, APH-A is
the best among all.
Streptozotocin causes selective destruction of b cells of islets
of pancreas and brings an increase in blood glucose levels. It 3.3. Toxicity study
is evident from the present investigation that STZ adminis-
tration at the dose of 60 mg/kg body weight causes signi- Since the dose of Allopolyherbal formulations were very high
cant diabetogenic response in albino rats (Table 3). Blood and did not produce any toxic effects or mortality during study
glucose levels were measured randomly on 0, 7th, 14th period as evident from results showing normal hepatic as well
and 21st day of study. as renal functions, therefore on this basis no separate toxicity
Blood glucose levels in diabetic rats were raised nearly to studies were carried out.
2.53.5-fold as compared to normal control group rats on
starting (0) day. The increase in glucose levels in diabetic con-
trol group was found to be signicant (P < 0.05) when com- 4. Discussion
pared to normal control group.
The raised levels of blood glucose declined sharply after In the present study, there was signicant decrease in the blood
oral administration of Gliclazide, PH, APH-A, APH-B, and glucose level when STZ induced diabetic rats were treated with
APH-C. When comparisons were made between 0 day and Polyherbal and Allopolyherbal formulations (Table 3).
21st day of treated groups, there was highly statistically signif- The previous studies have suggested that the A. marmelos
icant (P < 0.01) (Table 3) decline in blood glucose levels. If de- (fruit and leaves) and T. foenum graecum seed produce hypo-
cline in blood glucose levels is to be the only indices, then glycemic effect probably by enhancing the peripheral utiliza-
treatment with PH, APH-A, APH-B, APH-C, and Gliclazide tion of glucose, correcting the impaired hepatic glycolysis
were highly effective in causing signicant antihyperglycemic and limiting its gluconeogenic formation similar to insulin
response in this strain of rats. [19]. A study has also revealed that the A. vera pulp stimulates
As far as the relative efcacy is concerned, though all the insulin secretion from the remnant b-cells [20]. In case of Neem
four formulations produced more anti hyperglycemic activity leaves the probable cause of reduction of blood glucose level
than Gliclazide, but APH-A has been proven the highest anti- might be due to increased peripheral uptake of glucose and in-
hyperglycemic activity among all. creased sensitivity of insulin receptors [21].

Table 3 Blood glucose level in control and experimental groups of rat.


Groups Day
Day 0 (mg/dl) Day 7 (mg/dl) Day 14 (mg/dl) Day 21 (mg/dl)
Normal control 108.89 3.80 111.64 2.8 111.80 3.5 114 2.16
Positive control 258.20 6.73# 252.40 5.0# 259.20 8.20# 269 11#
Gliclazide 343.60 40.8 256.81 41.3 193.82 15.13b 138 3.71 (59.83%)b
PH 349.8 43.1 209.2 28.8a 134 2.14b 120.6 2.1 (65.52%)b
APH-A 390.8 52.0 197.4 29.4a 132.8 2.6b 120.0 2.6 (69.29%)b
APH-B 308.3 24.8 126.9 2.0b 124.2 2.6b 116.4 2.6 (62.24%)b
APH-C 319.1 32.1 121.9 2.1b 119.2 4.4b 110.4 4.4 (65.40%)b
Values are expressed in Mean SEM (n = 6 in each group).
#
P < 0.05; when positive control compared with normal control (followed by t-test).
a
P < 0.05; when other groups compared with respective 0 day (followed by Dunetts test).
b
P < 0.01; when other groups compared with respective 0 day (followed by Dunetts test).
Hypoglycemic and hypolipidemic effect of Allopolyherbal formulations 49

As suggested by the previous studies, the active constituents

(57%)b
(88%)b
(88%)b
(90%)b
(89%)b
like 4-hydroxy isoleucine present in T. foenum graecum seed;

1.61 0.08 (99%)# 93.8 4.4 (215%)# 80 1.4 (172%)#


marmelosin and aegeline present in A. marmelos fruit and
29.46 1.75 leaves; phytosterols present in A. vera leaf pulp; tetra terpe-

34.2 1.33
9.28 0.51
9.64 1.02
8.26 0.59
8.66 0.74
noids like nimocinol and isonimocinol present in A. indica
leaves are responsible for the improvement of glycemic and
SGOT
(IU/l)

dyslipidemic conditions of diabetes mellitus in experimental


animals [8,22].

11.90 2.01 (87%)b


27.60 1.0 (71%)b
14.87 1.0 (84%)b
12.10 1.5 (87%)b

11.70 2.0 (88%)b


The present study has shown similar results for hypoglyce-
mic activity and other biochemical parameters in accordance
with previous studies.
29.76 2.97

Allopolyherbal-A formulation (APH-A) showed maximum


effectiveness in decreasing blood glucose levels in the diabetic
SGPT
(IU/l)

rats and proved to have a better plasma glucose lowering effect


than Gliclazide, Polyherbal (PH), Allopolyherbal-B (APH-B)
(53%)b
(80%)b
(76%)b
(76%)b
(78%)b

and Allopolyherbal-C (APH-C) formulations (Table 3).


Serum creatinine

The level of serum lipids are usually elevated in diabetes


which represents a high risk factor for coronary heart disease.
0.81 0.13

0.75 0.06
0.33 0.03
0.39 0.04
0.38 0.03
0.35 0.03

Under normal circumstances, insulin activates the enzyme lipo-


(mg/dl)

protein lipase, which hydrolyses triglycerides. However, in a dia-


betic state, lipoprotein lipase is not activated in sufcient
amount due to insulin deciency resulting in hypertriglyceride-
38.32 0.96 (59%)a

mia [23]. The treatment with Polyherbal (PH), Allopolyherbal-


36.1 1.85 (50%)

43.0 4.9 (78%)b


24.1 5.7 (0.00%)
111.15 10.1 (54%)# 151.5 53.5 (112%)# 30.3 10.7 (0.00%) 45.25 5.25 (219%)# 24.1 5.7 (13%)

29.6 3.9 (23%)

A (APH-A), Allopolyherbal-B (APH-B), and Allopolyherbal-


Level of serum lipids, serum creatinine and hepatic enzymes in control and experimental groups of rat.

C (APH-C) formulations, led to a signicant decrease in total


27.6 2.11

cholesterol, triglycerides, LDL, and VLDL levels (Table 4),


which implies that these formulations can reduce the complica-
(mg/dl)
HDL

tions of lipid metabolism and associated cardiovascular risk fac-


tors during diabetes. Allopolyherbal-C (APH-C) formulation
has proved to be most effective in improving lipid metabolism
25.12 1.3 (44%)b
20.17 0.7 (55%)a
19.9 2.8 (56%)b

23.9 2.1 (47%)b


23.9 2.1 (47%)b

in the present study as compared to Gliclazide.


Generally an increase in plasma serum creatinine levels is a
sign of impaired renal function; treatment with Polyherbal
P < 0.05; when other groups compared with positive control (followed by Dunetts test).
P < 0.01; when other groups compared with positive control (followed by Dunetts test).
14.2 2.91

(PH), Allopolyherbal-A (APH-A), Allopolyherbal-B (APH-


(mg/dl)

P < 0.05; when positive control compared with normal control (followed by t-test).
VLDL

B), and Allopolyherbal-C (APH-C) formulations led to a


decrease in serum creatinine levels (Table 4), which shows im-
proved renal function.
10.9 2.2 (64%)a
14.5 3.6 (52%)
28.0 1.3 (08%)
8.1 0.8 (73%)b

16.9.3.2 (44%)

Hepatotoxicity is another risk factor associated to oral


hypoglycemics on long term use. This risk factor can be mini-
30.3 4.96

mized by reducing the dose of oral hypoglycemics and using


them in combination with herbal drugs. The Polyherbal (PH)
(mg/dl)

and Allopolyherbal formulations (APH-A, APH-B, and


LDL

Values are expressed in Mean SEM (n = 6 in each group).

APH-C) exhibited better results than Gliclazide, for SGOT


and SGPT levels (Table 4).
100.8 3.8 (33%)a
100.2 6.3 (34%)a
113.0 4.0 (25%)

111.8 6.3 (26%)

Though Polyherbal and different Allopolyherbal formula-


113 7.1 (25%)

tions showed maximum efcacy for different biochemical


parameters, but looking to the results for all the parameters, it
71.4 14.58
Triglycerides

may be concluded that Allopolyherbal-A formulation (APH-


(mg/dl)

A) was most effective in comparison to Polyherbal (PH), Allo-


polyherbal-B (APH-B), Allopolyherbal-C formulations, and
Gliclazide. There were no toxic effects during the 21 days of
73.06 2.71 (34%)b

study, regarding to hepatotoxicity and nephrotoxicity. So, the


68.04 2.9 (39%)b

83.84 3.6 (25%)b


84.1 2.9 (24%)b

65.6 4.7 (42%)b

Allopolyherbal-A formulation (APH-A) may be an ideal alter-


Total cholesterol

native for the existing hypoglycemic formulations with an addi-


tional advantage of hypolipidemic effect and minimizing the
72.2 5.39

cardiovascular risk factors associated with diabetes mellitus.


(mg/dl)

5. Conclusion
Gliclazide
Table 4

Normal

Positive

APH-A

APH-C
Groups

APH-B
control

control

The data suggest that the Polyherbal formulation and Allo-


PH

a
#

polyherbal formulations exhibit signicant and consistent


50 R. Kumar et al.

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