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Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47
37
International Journal of Farmacia
Journal Home page: www.ijfjournal.com
Phytochemical evaluation and pharmacological screening of
Scrophularia hypercifolia for hepatoprotective, nephroprotective and
antihyperglycemic activity in alloxan induced diabetic rats
Tayyaba Siddiqua*
St. Peter s College of Pharmacy, Madikonda, Kazipet, Andhra Pradesh 506142,
*
E-mail: Tayyaba_Siddiqua@yahoo.com
Abstract
Diabetes Mellitus is associated with damage to the liver, kidney and pancreas of patients. The damage varies in
proportion and susceptibility among diabetic patients. This study assessed the hepatoprotective ,nephroprotective
and antihyperglycemic activities of ethanolic extract of Scrophularia hypercifolia in alloxan induced diabetic
rats. Extraction of the ethanolic extract from aerial parts of Scrophularia hypercifolia was performed by maceration.
Thirty rats were divided into five groups. Group I consisted of normal rats that were given only sterile saline
solution and served as control group. Group II consists of normal rats that were given alloxan monohydrate
(150mg/kg B.W). Group III consists of alloxan induced diabetic rats that were given daily sterile saline solution,
drug extract (200mg/kg), Group IV consists of alloxan induced diabetic rats that were given daily sterile saline
solution, drug extract (400mg/kg) & Group V consists of alloxan induced diabetic rats that were given daily sterile
saline solution and Metformin (14.2 mg/kg body weight) respectively for 21 days by an intragastric tube with free
access to food and water. Several biochemical parameters were assessed. Oral administration of the extract resulted
in significant reduction in mean values of blood glucose, cholesterol, triglyceride, LDL-C, urea, uric acid, creatinine
accompanied by an increase in the mean values of the total protein, albumin, HDL in diabetic rats. The effects
produced by this extract were closely similar to a standard antidiabetic drug, metformin. In conclusion, the present
study indicates that the ethanolic extract of S. Hypercifolia appears to exhibit nephroprotective,hepatoprotective and
antihyperglycemic activities in alloxan induced diabetic rats.Extracts was attributed due to the presence of
Flavonoids and Tannins.
Key-Words: Diabetes Mellitus, Scrophularia hypercifolia, Hepatoprotective, Nephroprotective, Anti
hyperglycemic, Alloxan, Metformin.
INTRODUCTION
Diabetes mellitus (DM), is a group of metabolic
diseases in which there is high blood sugar level over
a prolonged period [1]
. This high blood sugarproduces
the symptoms of frequent urination, increased thirst,
and increased hunger. Untreated, diabetes can cause
manycomplications.
Acute complications include diabetic ketoacidosis
and nonketotic hyperosmolar coma. Serious long-
term complications include heart disease,
stroke, kidney failure, foot ulcers and damage to the
eyes[2]
. Diabetes is due to either the pancreas not
producing enough insulin, or the cells of the body not
responding properly to the insulin produced [2]
. There
are two types of diabetes afflicting mankind. Type 1
diabetes causes damage to the liver, kidney and
pancreatic β-cells of patients. This damage varies in
proportion and susceptibility from one individual
patient to another. The liver is a vital organ in
humans, which has a wide range of functions
including detoxification of foreign substances in the
body as well as serving as the power house for
Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47
38
protein synthesis. Other functions of the liver
includes, building complex molecules from simple
substances absorbed from the digestive tract,
neutralization of toxins, manufacture of bile which
aids fat digestion and removal of toxins through the
bowels [3] .
On the other hand, the kidneys are vital
organs that function to keep the blood clean and
maintain chemical balance within. They process
blood to extract waste products and extra water.
These by products become urine to be ultimately
excreted from the body. The kidney serves many
other important functions, including, filtering out
wastes to be excreted in the urine, regulating blood
pressure via both urinary excretion of wastes and
initiating the renin-angiotensen hormone regulatory
system, regulating an acid-base balance via the
bicarbonate system and stimulating red blood cell
production via the release of the hormone
erythropoietin.
The pancreas contains cells that produce juices to
break down fats and proteins and a hormone known
as insulin to balance blood sugar content in the
human body. Any abnormality to these organs may
lead to organ dysfunction and threat to human life.
Diabetes is one of such causes of damage to these
organs leading to organ dysfunction and endocrine
related diseases which may be life threatening.
Several therapies are available for the treatment of
diabetes-induced hepatotoxicity, oxidative stress and
nephrotoxicity. These therapies include insulin and
various oral antidiabetic agents such as sulfonylurea,
biguanides, and α-glucosidase inhibitors, which are
used as monotherapies or in combination to achieve
better blood sugar regulation. Many of these oral
antidiabetic agents have a number of serious adverse
effects; thus, managing diabetes without any side
effects is still a challenge [4].
Several investigations
have shown that herbs and plant materials rich in
secondary compounds such as saponins, flavonoids,
phenolic and polyphenolic compounds, arginine and
glutamic acid possess hypoglycemic,
hepatoprotective and nephroprotective effects in
animal models [5]
.In the absence of reliable liver and
kidney-protective drugs in medical practice, herbs
have become reliable substitutes and have so far
played significant role in the ethnopharmacological
management of various liver disorders and the
accompanying oxidative stress [6] .
In this study,
Scrophularia hypercifolia was evaluated for its use in
the management of diabetes. Genus Scrophularia is
rich in iridoid glycosides, phenylpropanoids and
flavonoids[7]
. Traditionally plants belonging to the
genus are used for the treatment of wounds [8] ,
various inflammatory conditions, fever, constipation,
swelling [9] ,
and as remedy for kidney diseases [10]
Iridoids from Scrophularia species exert
hapatoprotective activity [11] .
It is on this premise
that this work was designed to evaluate the
antihyperglycemic, hepatoprotective and
nephroprotective effects of the ethanolic extract of
the aerial parts of Scrophularia Hypercifolia in
alloxan-induced diabetes using Albino Wistar rats as
study model.
MATERIALS AND METHODS
Collection and authentication of plant material
Aerial parts of the plant Scrophularia hypercifolia,
family Scrophulariaceae were collected. from
botanical gardens of Sri Venkateshwara University,
Tirupati . The plant was taxonomically identified and
authenticated by DR. K. MADHAVA CHETTY
Assistant professor of Botany, Department of
Pharmacognosy, Sri Venkateshwara University,
Tirupathi.
Chemicals
The following chemicals were used during the
experiment to analyze and interpret the
hepatoprotective, nephroprotective and
antihyperglycemic effect of ethanolic extract of
Scrophularia hypercifolia in alloxan induced diabetic
rats. All the chemicals and reagents used for the
study were of analytical grade and were obtained
from Universal Chemical Corporation (Abids,
Hyderabad, India)
Alloxan monohydrate, Metformin, Ethanol.
Preparation of plant extract
The aerial parts were cut into pieces and subjected to
shade drying. On complete drying the pieces were
powdered and stored in air tight containers at room
temperatures. The powder was macerated with
ethanol for 7 days and then filtered. The filtrate was
evaporated to obtain extract[12]
. The extract thus
obtained was subjected for evaluation of
hepatoprotective, nephroprotective and
antihyperglycemic study.
Preliminary phytochemical screening
Standard screening test of the extract was carried out
for various plant constituents. The crude extract was
screened for the presence or absence of secondary
metabolites such as alkaloids, steroidal compounds,
Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47
39
phenolic compounds, flavonoids, saponins, tannins,
glycosides and anthraquinones using standard
procedures[13]
. The study revealed the presence of
Flavonoids, glycosides, phenols, steroids and
triterpenoids and saponins.
Acute toxicity studies
Acute toxicity study was performed for the extract
according to the acute toxic classic method as per the
method of Litchfield & Wilcoxon (1949)[14]
. Acute
toxicity study was carried out on plant extracts using
Male and female Wistar rats. The rats were fasted
overnight and the weight of each rat was recorded
just before use. The animals were divided into five
groups containing 6 animals each, the extract was
administered orally in increasing dose up to 2000
mg/kg b.w. After treatment the animals were
observed for mortality and toxicity for 72 hours. The
biological evaluation was carried out at doses of 200
and 400mg/kg body weight.
Experimental animals
Wistar rats (180-250 gms) of either sex housed in
standard conditions of temperature (55±5%) and light
(12 hrs light/dark cycles) were used. They were fed
with standard pellet diet and water ad libitum.
Animals were randomly selected for grouping. The
study protocol was approved by the Institutional
Animal Ethical Committee (IAEC) of CPCSEA
(Committee for the purpose of control and
supervision of experiments on experiments on
animals) with clearance no:
004/CEAD/SES/SWCP/14.
Experimental design
Thirty rats were divided into five groups. . Group I
consisted of normal rats that were given only sterile
saline solution and served as control group. Group II
consists of normal rats that were given alloxan
monohydrate (150mg/kg B.W). Group III consists of
alloxan induced diabetic rats that were given daily
sterile saline solution, drug extract (200mg/kg),
Group IV consists of alloxan induced diabetic rats
that were given daily sterile saline solution, drug
extract (400mg/kg) & Group V consists of alloxan
induced diabetic rats that were given daily sterile
saline solution and Metformin (14.2 mg/kg bw)
respectively.
Induction of diabetes
Hyperglycemia was induced by a single i.p. injection
of 150 mg/kg of alloxan monohydrate in sterile
saline solution. Hyperglycemia was confirmed after 5
days of alloxan injection, and hyperglycemic rats
(glucose level > 150mg/dl) were separated and
divided into 5 groups of 6 rats each for anti-diabetic
studies.
Collection of samples for analysis
Blood samples were collected by cutting the tail vein
of rats and blood glucose levels are checked by
glucometer.
The normal and diabetic control group rats were
given 1 ml normal saline, p.o. Animals in the third
and fourth group were treated with ethanolic extract
of the aerial parts of of Scrophularia Hypercifolia 200
& 400mg/kg b.w., and that of Fifth group were
treated with Metforminat a dose of 14.2mg/kg b.w.
for 21 days. Body weight and blood glucose were
checked for every three day intervals during the
duration of the experiment. The blood glucose levels
were determined by tail tipping method using Accu
check active glucometer. On twenty first day blood
from all the groups were collected by retro-orbital
puncture under mild anesthesia, serumwas separated
quickly for estimating the following parameters to
assess the hepatoprotective, naphroprotective and
anti-hyperglycemic activity.
 Blood Glucose Levels,
 Total Cholesterol Levels(TC),
 Low Density Lipoprotein Cholesterol(LDLc)
Levels,
 High Density Lipoprotein Cholesterol(HDLc)
Levels,
 Very Low Density Lipoprotein
Cholesterol(VLDLc) Levels,
 Triglyceride Levels & Cholesterol Ratio.
 Total protein
 Albumin
 Urea, uric acid
 Creatinine
Statistical analysis
The results were expressed as mean ± standard
deviation. Differences between control and
experimental groups were estimated using student’s
t-test analysis. Within group comparisons were
performed by analysis of variance using ANOVA
test. Differences were considered significant if P-
value was less than 0.05.
Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47
40
RESULTS
Effect of ethanolic extract of the aerial parts of Scrophularia hypercifolia on blood glucose levels (mg/dl) in alloxan
induced diabetic rats on 1st
, 7th
, 14th
and 21st
day of the treatment.
Table 1: Effect of ethanolic extract of the aerial parts of Scrophularia hypercifolia on blood glucose levels
Values are given as mean ± SEM for group of six
animals in each group. Diabetic control rats were
compared with normal rats. Diabetic + Scrophularia
hypercifolia 200mg/kg body weight, Diabetic +
Scrophularia hypercifolia 400mg/kg body weight
and Diabetic + Metformin treated rats were
compared with Diabetic control rats. ** P<0.05, **
P<0.01, **P<0.001 was considered significant
comparing to Diabetic control group. ANOVA
followed by Dunnett’s t-test **P<0.05, ** P<0.01,
**P<0.001 was considered significant comparing to
diabetic control group. Hence the administration of
ethanolic extract of the aerial parts of Scrophularia
hypercifolia for 21 days decreased the elevated
blood glucose levels. The above result suggests that
Scrophularia hypercifolia at a dose of 400mg/kg.b.w
was more effective than 200 mg/kg.b.w and was
almost comparable with the effect produced by
standard drug Metformin treated group. The results
were represented by means of graph 1 by using
ANOVA followed by Dunnett’s t-test.
Fig 1: Blood Glucose Levels (Mg/Dl) On 1st
, 7th
, 14th
& 21st
Day Of Treatment
Treatment Groups 1st
day 7th
day 14th
day 21st
day
Normal control (Normal Saline ) 87.2±0.90 88.3±1.81 88.6±1.1 7 87.3±1.50
Diabetic control Alloxan (150 mg/kg) 221.3±4.61 237.6±3.11 255.3±3.06 284.6±2.75
Scrophularia hypercifolia (200mg/kg) 232.6±2.21 209.0±3.43 180.3±2.39 * 156.3±1.69**
Scrophularia hypercifolia (400mg/kg) 220.3±2.42 196.2±2.68 162.6±1.32 * 129.5±1.8**
Metformin (14.2mg/kg) 224.6±3.13 196±0.82 133.0±1.52** 121.3±1.15**
Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47
41
Effect of ethanolic extract of the aerial parts of
Scrophularia hypercifolia on serum lipid profile in
alloxan (150mg/kg.b.w) induced diabetic rats after 21
days of treatment:Values are given as mean ± SEM
for group of six animals in each group.
Table 2: Effect of ethanolic extract of the aerial parts of Scrophularia hypercifolia on serum lipid profile
Diabetic control rats were compared with normal
rats.
Diabetic + Scrophularia hypercifolia 200mg/kg b.w,
Diabetic + Scrophularia hypercifolia 400mg/kg b.w
and Diabetic + Metformin treated rats were compared
with Diabetic control rats.
** P<0.05, ** P<0.01, **P<0.001 was considered
significant comparing to Diabetic control group.
Fig 2: Effect of drug on LDL
Groups Serum Low Density
Lipoprotein(LDL) (mg/dl)
Serum Very Low Density
Lipoprotein(VLDL) (mg/dl)
Serum High Density
Lipoproteins(HDL) (mg/dl)
Normal control 33.64±2.19*** 16.84±0.80*** 32.42±0.42***
Diabetic control 80.21 ± 2.11 27.20 ± 4.18 18.93 ± 3.21
Scrophularia
hypercifolia
(200 mg/kg.b.w)
39.25±0.89*** 21.89±0.52** 30.19±0.19**
Scrophularia
hypercifolia
(400 mg/kg.b.w)
35.17±0.13*** 19.2±0.39*** 31.93±0.65***
Metformin
treated
33.77±0.27*** 16.92±0.62*** 32.61±0.33***
Mean+/_sem(mg/dl
groups
Low density Lipoprotein cholesterol
(LDL) (mg/dl)
Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47
42
Fig 3: Effect of the drug on high density lipoprotein
Table 3:
Effect of ethanolic extract of the aerial parts of Scrophularia hypercifolia on serumtotal cholesterol, triglycerides &
cholesterol ratio in alloxan (150mg/kg.b.w) induced diabetic rats after 21 days of treatment:
Groups total cholesterol (mg/dl) total triglycerides (mg/dl) cholesterol ratio = tc/hdl
Normal control 81.97±0.17*** 83.72±0.43*** 2.52±0.038
Diabetic control 126.95± 4.89 131.68 ± 1.39 6.70±0.48
Scrophularia hypercifolia
(200 mg/kg.b.w)
94.20±0.44** 111.48±0.49* 3.12±0.081**
Scrophularia hypercifolia
(400 mg/kg.b.w)
86.4±0.48*** 96.00 ± 0.57** 2.70±0.0611**
Metformin
treated
82.20±0.48*** 84.21±0.71*** 2.52±0.112**
Values are given as mean ± SEM for group of six animals in each group.
Diabetic control rats were compared with normal rats.
Diabetic + Scrophularia hypercifolia 200mg/kg b.w, Diabetic + Scrophularia hypercifolia 400mg/kg b.w and
Diabetic + Metformin treated rats were compared with Diabetic control rats.
** P<0.05, ** P<0.01, **P<0.001 was considered significant comparing to Diabetic control group.
Fig 4: Effect of the drug on serum total cholesterol levels
Mean+/_Sem(mg/dl)
groups
High density lipoprotein HDL
Mean+/_Sem(mg/dl)
groups
Serum total cholesterol levels
Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47
43
Fig 5: Effect of the drug on serum total triglycerides
Fig 6: Effect of the drug on cholesterol ratio
Table 4: Effect of Scrophularia hypercifolia on total protein and albumin, urea, uric acid and creatinine levels
Effect of ethanolic extract of the aerial parts of Scrophularia hypercifolia on total protein and albumin, urea, uric
acid and creatinine levels in alloxan (150mg/kg.b.w) induced diabetic rats after 21 days of treatment
Groups Total protein Albumin Urea Uric acid Creatinine
Normal control 8.1±0.9 3.4±0.6 26.8±3.1 1.6±0.5 1.0±0.1
Diabetic control 5.3±0.4* 1.9±0.2* 37.2±6.5* 2.6±0.8* 2.8±0.3*
Scrophularia hypercifolia
(200 mg/kg.b.w) 5.9±0.5** 2.3±0.8** 34.5±4.8** 2.1±0.2** 1.9±0.3**
Scrophularia hypercifolia
(400 mg/kg.b.w) 6.5±0.2** 2.9±0.3** 30.2±4.5** 1.7±0.2** 1.5±0.5**
Metformin
treated
7.5±0.9** 3.0±0.2** 29.9±5.6** 1.6±0.3** 1.3±0.2**
Values are given as mean ± SEM for group of six animals in each group.
*: Statistically significant when compared to control group (I) at P < 0.05;
**: Statistically significant when compared to untreated diabetic group (II) at P < 0.05
Mean+/_Sem(mg/dl)
groups
Serum total triglycerides
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44
Fig 7: Effect of the drug on Serum total proteins
Fig 8: Effect of the drug on Serum Albumin
Fig 9: Effect of the drug on serum urea
Mean+/_sem(mg/dl_
Groups
Total Proteins
Mean+/_Sem(mg/dl)
groups
Albumin
Mean+/-Sem(mg/dl)
groups
Urea
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45
Fig10: Effect of the drug on serum uric acid
Fig 11: Effect of the drug on serum creatinine
DISCUSSIONS
In the evaluation of antihyperglycemic activity, study
groups 2, 3, 4 and 5 induced with diabetes using
alloxan developed serum hyperglycemia. This
condition was either due to pancreatic β-cells
necrosis mediated by alloxan which enhances ATP
dephosphorylation resulting in the generation of free
radicals into the blood circulation or simply due to
decrease in serum insulin or an integration of both
processes. Diabetes induction and the generation of
free radicals such as superoxide, hydrogen peroxide
and hydroxyl radicals, caused the destruction of
hepatic, pancreatic and kidney cells and tissues. This
study demonstrated that continuous oral
administration of the ethanolic extract
of S.hypercifolia for 21 days significantly decreased
blood glucose levels in the diabetic rats by 43%
compared with the decreases of 49% with the
metformin, a well known antidiabetic drug. In
addition to marked hyperglycemia, results revealed
that the alloxan diabetic rats developed notable
hyperlipidaemia. Diabetes induced hyperlipidaemia
was observed in diabetic experimental animal
models.This is very important, since elevated
concentrations of cholesterol, triglyceride and LDL-C
are important risk factors in the development of
diabetic complications. The study revealed that this
extract normalized serum lipids (cholesterol,
triglyceride, HDL-C, LDL-C) closely to the level of
the control or normal rats. The findings are similar
with a recent study by Bavarva and Narasimhacharya
(2010) which reported that leaves of Leucas
cephalotes lowered both plasma and hepatic lipid
profiles (total lipid, triglycerides and cholesterol) and
LDL-C while elevating the HDL-C levels[15]
. They
suggest that these improvements in lipid profiles are
most likely due to its insulin-like actions of the leaf
Mean+/_Sem(mg/dl)
groups
Uric acid
Mean+/_Sem(mg/dl)
Groups
Creatinine
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46
extract of Leucas cephalotes. Similarly, a previous
study done by Lopes-Virella et al. (1983) also
reported that diabetic patients taking insulin
injections exhibited both high lipoprotein lipase
activity and low level of plasma triglyceride
concentrations[16]
. Thus, it can be concluded that the
enhancement of insulin secretion or level is
accompanied by enhancement of glucose utilization
as well as a reduction of lipid level in diabetic rats. It
is possible to suggest that the mechanism(s) of
antihyperlipidemic effect of S.hypercifolia might be
similar to some of those suggested for anti-diabetic
plants exhibiting antihyperlipidemic activity, such as
activation of lipoprotein lipase, insulin-mediated
lipolytic activity or inhibition of lipogenic enzymes
or hormone-sensitive lipase. The study also showed a
significant decrease in serum total protein and
albumin in untreated diabetic rats, whereas total
protein and albumin significantly increased after the
administration of this extract. Liver functioning can
also be estimated by total protein and albumin levels
in blood. Similar results were obtained when the
metformin were administered orally in alloxan
diabetic. These results suggest that this extract can
improve some biochemical parameters that are
related to liver functions. Hyperglycemia has also
been recently reported in the initiation and
development of various types of diabetic
complications. Nephropathy is one of these serious
microvascular complications that has been observed
in diabetic individuals. Blood urea and creatinine
concentrations were increased among uncontrolled
diabetic rats and this increase could be a result of
impaired renal function due to an increased blood
glucose level. It was reported that diabetic
individuals had lower serum albumin concentrations
as well as higher serum uric acid and urea levels than
nondiabetic individuals. Thus, the reduction in urea
and creatinine levels probably can be explained by a
reduction in blood glucose level. Further, DM is also
considered as a risk factor for cardiovascular disease,
and elevated serum uric acid has been linked to
cardiovascular disease, especially if accompanied
with high triglyceride and low HDL. Moreover, high
levels of serum uric acid, urea and creatine may act
as a marker of kidney problems. Thus, it is possible
to suggest that this extract might play an important
role in reducing risk of kidney problems as well as
cardiovascular diseases by lowering serum urea, uric
acid, creatinine as well as improving lipid profile.
The study of the literature indicated that free radicals
are one of the main contributors to development of
Diabetes Mellitus as well as its complications[17]
[18][19]
. It is also worth mentioning that alloxan can
induce rapid death of cells of pancreas, resulting in
partial or complete loss of insulin production and
leading to the development of hyperglycemia and its
complications in experimental animals; and this
action of alloxan was mediated by formation of free
radicals [20]
. Moreover, a wide range of studies have
strongly supported the notion that antioxidant
compounds derived from plant extracts might play a
vital role in the treatment of DM and prevent or delay
its complications [18][20]
. Thus, it is possible to
suggest that these therapeutic values of the drug
extract could be attributed to the main antioxidant
constituents of this drug extract of Scrophularia
Hypercifolia.
The preliminary phytochemical screening of the
aerial parts shows the presence of phenylpropanoids,
flavonoids, iridoids, phytosterols like β sitosterol,
triterpenoid, saponins, sugars and terpenes and
various other constituents.
Thus the ethanolic extract of aerial parts of
Scrophularia Hypercifolia at a dose of 200mg/kg.b.w
and 400mg/kg.b.w possess a glucose lowering effect,
lipid lowering effect, decrease in uric acid, urea,
creatinine and a significant increase in protein,
albumin in Alloxan induced diabetic rats. It was also
found to be highly effective in managing
complications associated with diabetes mellitus. In
conclusion, this study revealed that oral
administration of the ethanolic extract of
S.hypercifolia exhibit nephroprotective and
hepatoprotective activities via enhances insulin
production in the alloxan-induced diabetic rats. Thus,
oral use of this extract might positively affect the
functional capacities of various rat tissues,
particularly kidney and liver against toxic action of
alloxan compound (dose of 150 mg/Kg BW). Hence,
the therapeutic potential of this plant material should
also be seen in combination with other medicinal
agents and further biochemical and pharmacological
investigations are needed to isolate and identify
active ingredients in the extract using other models.
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47
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Phytochemical evaluation and pharmacological screening of Scrophularia hypercifolia for hepatoprotective, nephroprotective and antihyperglycemic activity in alloxan induced diabetic rats Mehnoor Farheen*, Tayyaba Siddiqua

  • 1. Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47 37 International Journal of Farmacia Journal Home page: www.ijfjournal.com Phytochemical evaluation and pharmacological screening of Scrophularia hypercifolia for hepatoprotective, nephroprotective and antihyperglycemic activity in alloxan induced diabetic rats Tayyaba Siddiqua* St. Peter s College of Pharmacy, Madikonda, Kazipet, Andhra Pradesh 506142, * E-mail: Tayyaba_Siddiqua@yahoo.com Abstract Diabetes Mellitus is associated with damage to the liver, kidney and pancreas of patients. The damage varies in proportion and susceptibility among diabetic patients. This study assessed the hepatoprotective ,nephroprotective and antihyperglycemic activities of ethanolic extract of Scrophularia hypercifolia in alloxan induced diabetic rats. Extraction of the ethanolic extract from aerial parts of Scrophularia hypercifolia was performed by maceration. Thirty rats were divided into five groups. Group I consisted of normal rats that were given only sterile saline solution and served as control group. Group II consists of normal rats that were given alloxan monohydrate (150mg/kg B.W). Group III consists of alloxan induced diabetic rats that were given daily sterile saline solution, drug extract (200mg/kg), Group IV consists of alloxan induced diabetic rats that were given daily sterile saline solution, drug extract (400mg/kg) & Group V consists of alloxan induced diabetic rats that were given daily sterile saline solution and Metformin (14.2 mg/kg body weight) respectively for 21 days by an intragastric tube with free access to food and water. Several biochemical parameters were assessed. Oral administration of the extract resulted in significant reduction in mean values of blood glucose, cholesterol, triglyceride, LDL-C, urea, uric acid, creatinine accompanied by an increase in the mean values of the total protein, albumin, HDL in diabetic rats. The effects produced by this extract were closely similar to a standard antidiabetic drug, metformin. In conclusion, the present study indicates that the ethanolic extract of S. Hypercifolia appears to exhibit nephroprotective,hepatoprotective and antihyperglycemic activities in alloxan induced diabetic rats.Extracts was attributed due to the presence of Flavonoids and Tannins. Key-Words: Diabetes Mellitus, Scrophularia hypercifolia, Hepatoprotective, Nephroprotective, Anti hyperglycemic, Alloxan, Metformin. INTRODUCTION Diabetes mellitus (DM), is a group of metabolic diseases in which there is high blood sugar level over a prolonged period [1] . This high blood sugarproduces the symptoms of frequent urination, increased thirst, and increased hunger. Untreated, diabetes can cause manycomplications. Acute complications include diabetic ketoacidosis and nonketotic hyperosmolar coma. Serious long- term complications include heart disease, stroke, kidney failure, foot ulcers and damage to the eyes[2] . Diabetes is due to either the pancreas not producing enough insulin, or the cells of the body not responding properly to the insulin produced [2] . There are two types of diabetes afflicting mankind. Type 1 diabetes causes damage to the liver, kidney and pancreatic β-cells of patients. This damage varies in proportion and susceptibility from one individual patient to another. The liver is a vital organ in humans, which has a wide range of functions including detoxification of foreign substances in the body as well as serving as the power house for
  • 2. Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47 38 protein synthesis. Other functions of the liver includes, building complex molecules from simple substances absorbed from the digestive tract, neutralization of toxins, manufacture of bile which aids fat digestion and removal of toxins through the bowels [3] . On the other hand, the kidneys are vital organs that function to keep the blood clean and maintain chemical balance within. They process blood to extract waste products and extra water. These by products become urine to be ultimately excreted from the body. The kidney serves many other important functions, including, filtering out wastes to be excreted in the urine, regulating blood pressure via both urinary excretion of wastes and initiating the renin-angiotensen hormone regulatory system, regulating an acid-base balance via the bicarbonate system and stimulating red blood cell production via the release of the hormone erythropoietin. The pancreas contains cells that produce juices to break down fats and proteins and a hormone known as insulin to balance blood sugar content in the human body. Any abnormality to these organs may lead to organ dysfunction and threat to human life. Diabetes is one of such causes of damage to these organs leading to organ dysfunction and endocrine related diseases which may be life threatening. Several therapies are available for the treatment of diabetes-induced hepatotoxicity, oxidative stress and nephrotoxicity. These therapies include insulin and various oral antidiabetic agents such as sulfonylurea, biguanides, and α-glucosidase inhibitors, which are used as monotherapies or in combination to achieve better blood sugar regulation. Many of these oral antidiabetic agents have a number of serious adverse effects; thus, managing diabetes without any side effects is still a challenge [4]. Several investigations have shown that herbs and plant materials rich in secondary compounds such as saponins, flavonoids, phenolic and polyphenolic compounds, arginine and glutamic acid possess hypoglycemic, hepatoprotective and nephroprotective effects in animal models [5] .In the absence of reliable liver and kidney-protective drugs in medical practice, herbs have become reliable substitutes and have so far played significant role in the ethnopharmacological management of various liver disorders and the accompanying oxidative stress [6] . In this study, Scrophularia hypercifolia was evaluated for its use in the management of diabetes. Genus Scrophularia is rich in iridoid glycosides, phenylpropanoids and flavonoids[7] . Traditionally plants belonging to the genus are used for the treatment of wounds [8] , various inflammatory conditions, fever, constipation, swelling [9] , and as remedy for kidney diseases [10] Iridoids from Scrophularia species exert hapatoprotective activity [11] . It is on this premise that this work was designed to evaluate the antihyperglycemic, hepatoprotective and nephroprotective effects of the ethanolic extract of the aerial parts of Scrophularia Hypercifolia in alloxan-induced diabetes using Albino Wistar rats as study model. MATERIALS AND METHODS Collection and authentication of plant material Aerial parts of the plant Scrophularia hypercifolia, family Scrophulariaceae were collected. from botanical gardens of Sri Venkateshwara University, Tirupati . The plant was taxonomically identified and authenticated by DR. K. MADHAVA CHETTY Assistant professor of Botany, Department of Pharmacognosy, Sri Venkateshwara University, Tirupathi. Chemicals The following chemicals were used during the experiment to analyze and interpret the hepatoprotective, nephroprotective and antihyperglycemic effect of ethanolic extract of Scrophularia hypercifolia in alloxan induced diabetic rats. All the chemicals and reagents used for the study were of analytical grade and were obtained from Universal Chemical Corporation (Abids, Hyderabad, India) Alloxan monohydrate, Metformin, Ethanol. Preparation of plant extract The aerial parts were cut into pieces and subjected to shade drying. On complete drying the pieces were powdered and stored in air tight containers at room temperatures. The powder was macerated with ethanol for 7 days and then filtered. The filtrate was evaporated to obtain extract[12] . The extract thus obtained was subjected for evaluation of hepatoprotective, nephroprotective and antihyperglycemic study. Preliminary phytochemical screening Standard screening test of the extract was carried out for various plant constituents. The crude extract was screened for the presence or absence of secondary metabolites such as alkaloids, steroidal compounds,
  • 3. Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47 39 phenolic compounds, flavonoids, saponins, tannins, glycosides and anthraquinones using standard procedures[13] . The study revealed the presence of Flavonoids, glycosides, phenols, steroids and triterpenoids and saponins. Acute toxicity studies Acute toxicity study was performed for the extract according to the acute toxic classic method as per the method of Litchfield & Wilcoxon (1949)[14] . Acute toxicity study was carried out on plant extracts using Male and female Wistar rats. The rats were fasted overnight and the weight of each rat was recorded just before use. The animals were divided into five groups containing 6 animals each, the extract was administered orally in increasing dose up to 2000 mg/kg b.w. After treatment the animals were observed for mortality and toxicity for 72 hours. The biological evaluation was carried out at doses of 200 and 400mg/kg body weight. Experimental animals Wistar rats (180-250 gms) of either sex housed in standard conditions of temperature (55±5%) and light (12 hrs light/dark cycles) were used. They were fed with standard pellet diet and water ad libitum. Animals were randomly selected for grouping. The study protocol was approved by the Institutional Animal Ethical Committee (IAEC) of CPCSEA (Committee for the purpose of control and supervision of experiments on experiments on animals) with clearance no: 004/CEAD/SES/SWCP/14. Experimental design Thirty rats were divided into five groups. . Group I consisted of normal rats that were given only sterile saline solution and served as control group. Group II consists of normal rats that were given alloxan monohydrate (150mg/kg B.W). Group III consists of alloxan induced diabetic rats that were given daily sterile saline solution, drug extract (200mg/kg), Group IV consists of alloxan induced diabetic rats that were given daily sterile saline solution, drug extract (400mg/kg) & Group V consists of alloxan induced diabetic rats that were given daily sterile saline solution and Metformin (14.2 mg/kg bw) respectively. Induction of diabetes Hyperglycemia was induced by a single i.p. injection of 150 mg/kg of alloxan monohydrate in sterile saline solution. Hyperglycemia was confirmed after 5 days of alloxan injection, and hyperglycemic rats (glucose level > 150mg/dl) were separated and divided into 5 groups of 6 rats each for anti-diabetic studies. Collection of samples for analysis Blood samples were collected by cutting the tail vein of rats and blood glucose levels are checked by glucometer. The normal and diabetic control group rats were given 1 ml normal saline, p.o. Animals in the third and fourth group were treated with ethanolic extract of the aerial parts of of Scrophularia Hypercifolia 200 & 400mg/kg b.w., and that of Fifth group were treated with Metforminat a dose of 14.2mg/kg b.w. for 21 days. Body weight and blood glucose were checked for every three day intervals during the duration of the experiment. The blood glucose levels were determined by tail tipping method using Accu check active glucometer. On twenty first day blood from all the groups were collected by retro-orbital puncture under mild anesthesia, serumwas separated quickly for estimating the following parameters to assess the hepatoprotective, naphroprotective and anti-hyperglycemic activity.  Blood Glucose Levels,  Total Cholesterol Levels(TC),  Low Density Lipoprotein Cholesterol(LDLc) Levels,  High Density Lipoprotein Cholesterol(HDLc) Levels,  Very Low Density Lipoprotein Cholesterol(VLDLc) Levels,  Triglyceride Levels & Cholesterol Ratio.  Total protein  Albumin  Urea, uric acid  Creatinine Statistical analysis The results were expressed as mean ± standard deviation. Differences between control and experimental groups were estimated using student’s t-test analysis. Within group comparisons were performed by analysis of variance using ANOVA test. Differences were considered significant if P- value was less than 0.05.
  • 4. Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47 40 RESULTS Effect of ethanolic extract of the aerial parts of Scrophularia hypercifolia on blood glucose levels (mg/dl) in alloxan induced diabetic rats on 1st , 7th , 14th and 21st day of the treatment. Table 1: Effect of ethanolic extract of the aerial parts of Scrophularia hypercifolia on blood glucose levels Values are given as mean ± SEM for group of six animals in each group. Diabetic control rats were compared with normal rats. Diabetic + Scrophularia hypercifolia 200mg/kg body weight, Diabetic + Scrophularia hypercifolia 400mg/kg body weight and Diabetic + Metformin treated rats were compared with Diabetic control rats. ** P<0.05, ** P<0.01, **P<0.001 was considered significant comparing to Diabetic control group. ANOVA followed by Dunnett’s t-test **P<0.05, ** P<0.01, **P<0.001 was considered significant comparing to diabetic control group. Hence the administration of ethanolic extract of the aerial parts of Scrophularia hypercifolia for 21 days decreased the elevated blood glucose levels. The above result suggests that Scrophularia hypercifolia at a dose of 400mg/kg.b.w was more effective than 200 mg/kg.b.w and was almost comparable with the effect produced by standard drug Metformin treated group. The results were represented by means of graph 1 by using ANOVA followed by Dunnett’s t-test. Fig 1: Blood Glucose Levels (Mg/Dl) On 1st , 7th , 14th & 21st Day Of Treatment Treatment Groups 1st day 7th day 14th day 21st day Normal control (Normal Saline ) 87.2±0.90 88.3±1.81 88.6±1.1 7 87.3±1.50 Diabetic control Alloxan (150 mg/kg) 221.3±4.61 237.6±3.11 255.3±3.06 284.6±2.75 Scrophularia hypercifolia (200mg/kg) 232.6±2.21 209.0±3.43 180.3±2.39 * 156.3±1.69** Scrophularia hypercifolia (400mg/kg) 220.3±2.42 196.2±2.68 162.6±1.32 * 129.5±1.8** Metformin (14.2mg/kg) 224.6±3.13 196±0.82 133.0±1.52** 121.3±1.15**
  • 5. Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47 41 Effect of ethanolic extract of the aerial parts of Scrophularia hypercifolia on serum lipid profile in alloxan (150mg/kg.b.w) induced diabetic rats after 21 days of treatment:Values are given as mean ± SEM for group of six animals in each group. Table 2: Effect of ethanolic extract of the aerial parts of Scrophularia hypercifolia on serum lipid profile Diabetic control rats were compared with normal rats. Diabetic + Scrophularia hypercifolia 200mg/kg b.w, Diabetic + Scrophularia hypercifolia 400mg/kg b.w and Diabetic + Metformin treated rats were compared with Diabetic control rats. ** P<0.05, ** P<0.01, **P<0.001 was considered significant comparing to Diabetic control group. Fig 2: Effect of drug on LDL Groups Serum Low Density Lipoprotein(LDL) (mg/dl) Serum Very Low Density Lipoprotein(VLDL) (mg/dl) Serum High Density Lipoproteins(HDL) (mg/dl) Normal control 33.64±2.19*** 16.84±0.80*** 32.42±0.42*** Diabetic control 80.21 ± 2.11 27.20 ± 4.18 18.93 ± 3.21 Scrophularia hypercifolia (200 mg/kg.b.w) 39.25±0.89*** 21.89±0.52** 30.19±0.19** Scrophularia hypercifolia (400 mg/kg.b.w) 35.17±0.13*** 19.2±0.39*** 31.93±0.65*** Metformin treated 33.77±0.27*** 16.92±0.62*** 32.61±0.33*** Mean+/_sem(mg/dl groups Low density Lipoprotein cholesterol (LDL) (mg/dl)
  • 6. Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47 42 Fig 3: Effect of the drug on high density lipoprotein Table 3: Effect of ethanolic extract of the aerial parts of Scrophularia hypercifolia on serumtotal cholesterol, triglycerides & cholesterol ratio in alloxan (150mg/kg.b.w) induced diabetic rats after 21 days of treatment: Groups total cholesterol (mg/dl) total triglycerides (mg/dl) cholesterol ratio = tc/hdl Normal control 81.97±0.17*** 83.72±0.43*** 2.52±0.038 Diabetic control 126.95± 4.89 131.68 ± 1.39 6.70±0.48 Scrophularia hypercifolia (200 mg/kg.b.w) 94.20±0.44** 111.48±0.49* 3.12±0.081** Scrophularia hypercifolia (400 mg/kg.b.w) 86.4±0.48*** 96.00 ± 0.57** 2.70±0.0611** Metformin treated 82.20±0.48*** 84.21±0.71*** 2.52±0.112** Values are given as mean ± SEM for group of six animals in each group. Diabetic control rats were compared with normal rats. Diabetic + Scrophularia hypercifolia 200mg/kg b.w, Diabetic + Scrophularia hypercifolia 400mg/kg b.w and Diabetic + Metformin treated rats were compared with Diabetic control rats. ** P<0.05, ** P<0.01, **P<0.001 was considered significant comparing to Diabetic control group. Fig 4: Effect of the drug on serum total cholesterol levels Mean+/_Sem(mg/dl) groups High density lipoprotein HDL Mean+/_Sem(mg/dl) groups Serum total cholesterol levels
  • 7. Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47 43 Fig 5: Effect of the drug on serum total triglycerides Fig 6: Effect of the drug on cholesterol ratio Table 4: Effect of Scrophularia hypercifolia on total protein and albumin, urea, uric acid and creatinine levels Effect of ethanolic extract of the aerial parts of Scrophularia hypercifolia on total protein and albumin, urea, uric acid and creatinine levels in alloxan (150mg/kg.b.w) induced diabetic rats after 21 days of treatment Groups Total protein Albumin Urea Uric acid Creatinine Normal control 8.1±0.9 3.4±0.6 26.8±3.1 1.6±0.5 1.0±0.1 Diabetic control 5.3±0.4* 1.9±0.2* 37.2±6.5* 2.6±0.8* 2.8±0.3* Scrophularia hypercifolia (200 mg/kg.b.w) 5.9±0.5** 2.3±0.8** 34.5±4.8** 2.1±0.2** 1.9±0.3** Scrophularia hypercifolia (400 mg/kg.b.w) 6.5±0.2** 2.9±0.3** 30.2±4.5** 1.7±0.2** 1.5±0.5** Metformin treated 7.5±0.9** 3.0±0.2** 29.9±5.6** 1.6±0.3** 1.3±0.2** Values are given as mean ± SEM for group of six animals in each group. *: Statistically significant when compared to control group (I) at P < 0.05; **: Statistically significant when compared to untreated diabetic group (II) at P < 0.05 Mean+/_Sem(mg/dl) groups Serum total triglycerides
  • 8. Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47 44 Fig 7: Effect of the drug on Serum total proteins Fig 8: Effect of the drug on Serum Albumin Fig 9: Effect of the drug on serum urea Mean+/_sem(mg/dl_ Groups Total Proteins Mean+/_Sem(mg/dl) groups Albumin Mean+/-Sem(mg/dl) groups Urea
  • 9. Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47 45 Fig10: Effect of the drug on serum uric acid Fig 11: Effect of the drug on serum creatinine DISCUSSIONS In the evaluation of antihyperglycemic activity, study groups 2, 3, 4 and 5 induced with diabetes using alloxan developed serum hyperglycemia. This condition was either due to pancreatic β-cells necrosis mediated by alloxan which enhances ATP dephosphorylation resulting in the generation of free radicals into the blood circulation or simply due to decrease in serum insulin or an integration of both processes. Diabetes induction and the generation of free radicals such as superoxide, hydrogen peroxide and hydroxyl radicals, caused the destruction of hepatic, pancreatic and kidney cells and tissues. This study demonstrated that continuous oral administration of the ethanolic extract of S.hypercifolia for 21 days significantly decreased blood glucose levels in the diabetic rats by 43% compared with the decreases of 49% with the metformin, a well known antidiabetic drug. In addition to marked hyperglycemia, results revealed that the alloxan diabetic rats developed notable hyperlipidaemia. Diabetes induced hyperlipidaemia was observed in diabetic experimental animal models.This is very important, since elevated concentrations of cholesterol, triglyceride and LDL-C are important risk factors in the development of diabetic complications. The study revealed that this extract normalized serum lipids (cholesterol, triglyceride, HDL-C, LDL-C) closely to the level of the control or normal rats. The findings are similar with a recent study by Bavarva and Narasimhacharya (2010) which reported that leaves of Leucas cephalotes lowered both plasma and hepatic lipid profiles (total lipid, triglycerides and cholesterol) and LDL-C while elevating the HDL-C levels[15] . They suggest that these improvements in lipid profiles are most likely due to its insulin-like actions of the leaf Mean+/_Sem(mg/dl) groups Uric acid Mean+/_Sem(mg/dl) Groups Creatinine
  • 10. Tayyaba S et al / Int. J. of Farmacia, Vol-1, Issue 1, (July- Sep.) 2015, Pg. 37- 47 46 extract of Leucas cephalotes. Similarly, a previous study done by Lopes-Virella et al. (1983) also reported that diabetic patients taking insulin injections exhibited both high lipoprotein lipase activity and low level of plasma triglyceride concentrations[16] . Thus, it can be concluded that the enhancement of insulin secretion or level is accompanied by enhancement of glucose utilization as well as a reduction of lipid level in diabetic rats. It is possible to suggest that the mechanism(s) of antihyperlipidemic effect of S.hypercifolia might be similar to some of those suggested for anti-diabetic plants exhibiting antihyperlipidemic activity, such as activation of lipoprotein lipase, insulin-mediated lipolytic activity or inhibition of lipogenic enzymes or hormone-sensitive lipase. The study also showed a significant decrease in serum total protein and albumin in untreated diabetic rats, whereas total protein and albumin significantly increased after the administration of this extract. Liver functioning can also be estimated by total protein and albumin levels in blood. Similar results were obtained when the metformin were administered orally in alloxan diabetic. These results suggest that this extract can improve some biochemical parameters that are related to liver functions. Hyperglycemia has also been recently reported in the initiation and development of various types of diabetic complications. Nephropathy is one of these serious microvascular complications that has been observed in diabetic individuals. Blood urea and creatinine concentrations were increased among uncontrolled diabetic rats and this increase could be a result of impaired renal function due to an increased blood glucose level. It was reported that diabetic individuals had lower serum albumin concentrations as well as higher serum uric acid and urea levels than nondiabetic individuals. Thus, the reduction in urea and creatinine levels probably can be explained by a reduction in blood glucose level. Further, DM is also considered as a risk factor for cardiovascular disease, and elevated serum uric acid has been linked to cardiovascular disease, especially if accompanied with high triglyceride and low HDL. Moreover, high levels of serum uric acid, urea and creatine may act as a marker of kidney problems. Thus, it is possible to suggest that this extract might play an important role in reducing risk of kidney problems as well as cardiovascular diseases by lowering serum urea, uric acid, creatinine as well as improving lipid profile. The study of the literature indicated that free radicals are one of the main contributors to development of Diabetes Mellitus as well as its complications[17] [18][19] . It is also worth mentioning that alloxan can induce rapid death of cells of pancreas, resulting in partial or complete loss of insulin production and leading to the development of hyperglycemia and its complications in experimental animals; and this action of alloxan was mediated by formation of free radicals [20] . Moreover, a wide range of studies have strongly supported the notion that antioxidant compounds derived from plant extracts might play a vital role in the treatment of DM and prevent or delay its complications [18][20] . Thus, it is possible to suggest that these therapeutic values of the drug extract could be attributed to the main antioxidant constituents of this drug extract of Scrophularia Hypercifolia. The preliminary phytochemical screening of the aerial parts shows the presence of phenylpropanoids, flavonoids, iridoids, phytosterols like β sitosterol, triterpenoid, saponins, sugars and terpenes and various other constituents. Thus the ethanolic extract of aerial parts of Scrophularia Hypercifolia at a dose of 200mg/kg.b.w and 400mg/kg.b.w possess a glucose lowering effect, lipid lowering effect, decrease in uric acid, urea, creatinine and a significant increase in protein, albumin in Alloxan induced diabetic rats. It was also found to be highly effective in managing complications associated with diabetes mellitus. In conclusion, this study revealed that oral administration of the ethanolic extract of S.hypercifolia exhibit nephroprotective and hepatoprotective activities via enhances insulin production in the alloxan-induced diabetic rats. Thus, oral use of this extract might positively affect the functional capacities of various rat tissues, particularly kidney and liver against toxic action of alloxan compound (dose of 150 mg/Kg BW). Hence, the therapeutic potential of this plant material should also be seen in combination with other medicinal agents and further biochemical and pharmacological investigations are needed to isolate and identify active ingredients in the extract using other models.
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