EVALUATION OF NEPHROPROTECTIVE ACTIVITY OF METHANOLIC EXTRACT OF TAMARINDUS INDICA LEAVES MASTER OF PHARMACY DISSERTATION PROTOCOL SUBMITTED TO THE RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES KARNATAKA, BANGALORE BY ATHIRA.K.K. Under The Guidance of Mr. ASHOK SHENOY .M.PHARM DEPARTMENT OF PHARMACOLOGY, SRINIVAS COLLEGE OF PHARMACY, MANGALORE – 574143 2012 – 2014 RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES ANNEXURE-II BANGALORE, KARNATAKA. PROFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION 1.0 NAME AND ADDRESS OF THE CANDIDATE 2.0 NAME OF THE INSTITUTION 3.0 4.0 ATHIRA.K.K. KARNIKARAM C.M.C-14 CHERTHALA.P.O DIST - ALAPUZHA KERALA PIN – 688524 SRINIVAS COLLEGE OF PHARMACY VALACHIL,MANGALORE.-574143 SUBJECT MASTER OF PHARMACY IN PHARMACOLOGY. DATE OF ADMISSION TO 25-6 2012 COURSE OF STUDY AND COURSE 5.0 TITLE OF THE TOPIC “EVALUATION OF NEPHRO PROTECTIVE ACTIVITY OF METHANOLIC EXTRACT OF TAMARINDUS INDICA LEAVES” 6.0 BRIEF RESUME OF THE INTENDED WORK : 6.1 NEED FOR THE STUDY: Kidneys play an important part in the maintenance of our endocrine and acid-base balance, blood pressure, erythropoiesis etc. The main functions of kidney can be categorised as formation of urine, water and electrolyte balance and production of hormones and enzymes. Kidneys have some delicate tasks, especially when they have to deal with unwanted substances, which they have to clear from the system1. Nephrotoxicity can be defined as renal dysfunction that arises as a direct result of exposure to external agents such as drugs and environmental chemicals. It has been known from many years that toxic metals and heavy metals have toxic effects on kidney by accumulating and producing broad spectrum of morphological and functional effects of kidney. A number of drugs and antibiotics including penicillins, cephalosporins, tetracycline, sulfonamides and amino glycosides are known to be potential nephrotoxins2. There is a growing interest of public in traditional medicine, particularly in the treatment of nephrotoxicity partly because of limited choice in the pharmacotherapy. Certain Indian Medicinal plants have been reported to exhibit protective effect of renal tissues against injuries3. Since there are only few researches made on this field of nephroprotection, this present study of nephroprotective activity of Tamarindus indica will satisfy the research for better and cost effective nephroprotection.1 Criteria for selection of the plant : In Ayurveda plants namely milk thistle, drum stick, ginger, tamarind are used for its nephroprotective action. The common active constituents present in these plants, responsible for nephroprotective activity is found to be flavonoids, iso flavonoids, phenolic compounds like tannins etc. The active constituents present in Tamarindus indica are flavonoids, phenolic compounds, cardiac glycosides, malic acid, tartaric acid, mucilage, pectin, arabinose, xylose, galactose, glucose and uronic acid. Also the antioxidants present in the plant interact with free radicals and may prevent the damage caused by them. Hence an attempt will be made to explore the nephroprotective activity of methanolic extract of tamarindus indica leaves. 6.2 REVIEW OF LITERATURE: 6.2.1 Name of the plant : Tamarindus indica (fabaceae) Other Name: aamlika, tintidi, ambli, amli, puli, vaalan puli, chinch, Hunase, chintachettu 6.2.2 Description : The tamarind is a long-lived, medium-growth, bushy tree, which attains a maximum crown height of 12 to 18 metres. Leaves are evergreen, bright green in colour, elliptical ovular, arrangement is alternate, of pinnately compound type, with pinnate venation and less than 5 cm in length, red and yellow elongated flowers. Tamarind fruit is an indehiscent legume, sometimes called a pod, 12 to 15 cm (3 to 6 inches) in length, with a hard, brown shell4. The fruit has a fleshy, juicy, acidulous pulp. 6.2.3 Chemical constituents : Phytochemical investigation carried out on T. indica revealed the presence of constituents, such as flavonoids, phenolic compounds5, cardiac glycosides ,malic acid, tartaric acid, the mucilage and pectin, arabinose, xylose, galactose, glucose, and uronic acid. Ethanolic extract of T. indica showed presence of fatty acids and various essential elements like arsenic, calcium, cadmium, copper, iron, sodium, manganese, magnesium, potassium, phosphorus, lead, and zinc6. The leaves are fair source of thiamine, riboflavin, niacin, ascorbic acid and β carotene along with the fat, fibre and mineral content mentioned above. Seeds and pericarp contain phenolic anti oxidants. Tamarind leaves are also rich in flavonoids, polyphenols, fat, fibre, and some vitamins such as thiamine, and β-carotene5. 6.2.4 Uses : Tamarindus indica fruit as digestive, carminative, laxative, expectorant and blood tonic, Hypolipedemic, anti-inflammatory, cytotoxic, against gastrointestinal spasms and modifying the complement system6. Leaves are used in the treatment of diabetes, asthma, hepatic disorders(due to their high content of antioxidant polyphenols), abdominal pain, diarrhoea, dysentery, helminthes infections, wound healing, malaria, fever, constipation, inflammation, cell cytotoxicity, gonorrhoea, and eye diseases7. 6.3 OBJECTIVES OF THE STUDY: 1) Extraction of Tamarindus indica plant leaves. 2) Preliminary phytochemical screening. 3) To study the nephroprotective activity of extracts using following animal models a) gentamycin induced nephrotoxicity b) Cisplatin induced nephrotoxicity Blood will be collected for the evaluation of the serum biochemical parameters like Creatinine, urea, cholesterol, and urea nitrogen Urine will be collected for the evaluation of urinary parameters like Creatinine, urea, sodium and potassium. Histopathological examination of kidney will be done to evaluate the nephroprotective activity. 7.0 MATERIALS AND METHODS: 7.1 SOURCE OF DATA: Experiment will be performed as described in the standard bibliography, literatures and text books. The reputed journals and publications are obtained from college library and through web search. 7.2 COLLECTION OF MATERIAL: 7.2.1 COLLECTION OF PLANT MATERIAL & EXTRACTION The Tamarindus indica leaves will be collected from local region of Mangalore district, and will be authenticated by a Taxonomist. The collected fresh leaves will be shade dried and powdered. The powdered drug will be extracted by hot percolation method (Soxhlet apparatus) using methanol solvent system. The extract will be filtered through a cotton plug followed by Whattman filter paper No.1 and then concentrated by using a rotary evaporator at low temperature. The extract will be preserved in airtight containers and kept at 4-5°C until further use. 7.2.2 DRUGS AND CHEMICALS: All the drugs & chemicals are of pure analytical grade will be obtained from the local suppliers. 7.2.3 ANIMALS Wistar rats (180-200 g) of either sex will be procured from Indian Institute of Sciences. They will be maintained under standard conditions (temperature 22 ± 2 oC, relative humidity 50±5% and 12 h light/dark cycle).The animals will be housed in sanitized polypropylene cages containing sterile paddy husk as bedding. They will have free access to standard pellet diet and water ad libitum. The Institutional Animal Ethics Committee approved the experimental protocol. All the animals received human care according to the criteria outlined in the “Guide for the Care and Use of Laboratory Animals” prepared by the “National Academy of Sciences” and published by the “National Institute of Health”. All the procedures will be performed in accordance with Institutional Animal ethics committee constituted as per the direction of the committee for the purpose of control and supervision of experiments on animals (CPCSEA), under ministry of animal welfare division, Government of India, New Delhi, India. 7.3 EXPERIMENTAL METHODS : 7.3.1 GENTAMYCIN INDUCED NEPHROTOXICITY IN RATS 8,9 EXPERIMENTAL DESIGN : The Swiss albino rats (180-200g) of either sex will be randomly divided into 5 groups of 6 each. The different groups will be assigned as described below. Group I : vehicle control Group II : Nephro toxic control(Gentamycin 100 mg/kg) Group III : Reference standard Selenium (6 mg/kg) + Gentamycin (100 mg/kg) Group IV : T. indica leaf extract low dose(200 mg/kg) + Gentamycin (100 mg/kg) GroupV : T. indica leaf extract high dose(400 mg/kg) + Gentamycin (100 mg/kg) Nephrotoxicity will be induced in all the animals except Group I by injecting 100 mg/kg of gentamycin intraperitonially. All the treatments will be given orally 24 hrs after intoxication and continued once daily for three weeks. Body weight will be checked every day. EVALUATION: On the 8th day, urine will be collected for urinary estimations. After three weeks, completion of the treatment, all the animals will be anaesthetized with anaesthetic ether and blood will be collected by retro-orbital puncture for serum estimation. Kidney were weighed and processed for histopathological examination10. 7.3.3.: CISPLATIN INDUCED NEPHROTOXICITY IN RATS1,9 EXPERIMENTAL DESIGN: The Wistar Rats (180-200g) of either sex will be randomly divided into five groups of six each. The different groups will be assigned as follows. Group I : Vehicle control (10 ml distilled water) Group II : Nephro toxic control(cisplatin 5 mg/kg) Group III : Reference standard Selenium + (cisplatin 5 mg/kg) Group IV : T. indica leaf extract low dose(200 mg/kg) +(cisplatin 5 mg/kg) GroupV : T. indica leaf extract high dose(400 mg/kg) +(cisplatin 5 mg/kg) Nephrotoxicity will be induced in all the animals except Group I by injecting Cisplatin (5 mg/kg body weight) intraperitonially. All the treatments will be given orally 24 hrs after intoxication and continued once daily for three weeks. Body weight will be checked every day. EVALUATION: On the 8th day, urine will be collected for urinary estimations. After three weeks, completion of the treatment, all the animals will be anaesthetized with anaesthetic ether and blood will be collected by retro-orbital puncture for serum estimation. Kidney were weighed and processed for histopathological examination10. 7.4 STATISTICAL ANALYSIS: The Statistical analysis were carried out using one way analysis variation (ANOVA) followed by student‘t’ test, p values < 0.05 were considered as significant. 7.5 DOES THE STUDY REQUIRE ANY INVESTIGATIONS OR INTERVENTIONS TO BE CONDUCTED ON PATIENTS OR OTHER HUMANS OR ANIMALS? IF SO PLEASE DESCRIBE BRIEFLY. YES. Study requires investigation on Wistar strain albino rats. 7.6 HAS ETHICAL CLEARANCE BEEN OBTAINED FROM YOUR INSTITUTION? YES. Ethical clearance has been obtained. (Copy enclosed), Ref:SCP/CPCSEA/P13/F150/2012 8.0 LIST OF REFERENCES: 1) Priyadarsini G, Kumar A, Anbu J, Aswini A, Ayyasami S. Nephroprotective activity of decoction of Indigofera tinctoria against cisplatin induced nephropathy in rats. Int J life sci & pharm res 2012; Dec 2(4). 2) Tripathi KD, Essentials of medical pharmacology.Newdelhi:Jaypee brothers medical publishers(P) Ltd;1985: (6) 667-734 3) Rasikh Javaid, Mohd Aslam, Qudsia Nizami, Raheela Javaid. Role of anti oxidant herbal drugs in renal disorders:an overview. Free Rad Anti ox 2012; 2(1) 2-5 4) Doughari JH. Antimicrobial Activity of Tamarindus indica Linn. Trop J Pharm Res 2006;5 (2): 597–603. 5) Chitra A. Post Infectional Changes in Flavonoids and Phenolic Acids by Fungal Pathogens in Tamarindus indica L. Res J Chem Envirom 1999 ;3: 305 - 317. 6) Coutino-Rodriguez R, Hernandez-Cruz P, Gillis-Rios H. Lectins in fruits having gastro-intestinal activity and their participation in the hemagglutinating property of Escherichia Coli 0157. Arch Med Res 2001; 32:251-9. 7) Samina Kabir Khanzada, Khaikh W, Shahzadi Sofia, Kazi TG, Usmanghani K, et al. chemical constituents of tamarindus indica L, Medicinal plant in sindh.Pak.J.Bot 2008:40(6):2553-9. 8) Nurhanani Razali, Sarni Mat-Junit, Amirah Faizah Abdul-Muthalib, Senthilkumar Subramaniam, Azlina Abdul-Aziz. Effects of various solvents on the extraction of antioxidant phenolics from the leaves, seeds, veins and skins of Tamarindus indica L. Elsevier 2012;131(2):441-8. 9) N. Kannappan, Madhukar A, Mariymmal, Uma Sindhura P, Mannavalan R. Evaluation of nephroprotective activity of Orthosiphon stamineus benth extract using rat model. Int J Pharm Tech Res 2010; 2(1):209-15. 10) Mukesh kumar Meena, HK Kushwah, Manjusha Rajagopala, Ravisankar B. An experimental evaluation on nephroprotective activity of Nagaradi kashaya. AYU 2009; 30(1):55-61. 9. SIGNATURE CANDIDATE OF THE 10. REMARKS OF THE GUIDE 11. NAME AND DESIGNATION RECOMMENDED AND FORWARDED MR.ASHOK SHENOY ASSISTANT PROFESSOR 11.1 GUIDE DEPARTMENT OF PHARMACOLOGY SRINIVAS COLLEGE OF PHARMACY MANGALORE – 574143 11.2 SIGNATURE 11.3 CO-GUIDE (IF ANY) 11.4 SIGNATURE MR MOSES SAMUEL RAJAN 11.5 HEAD OF THE ASSOCIATE PROFESSOR DEPARTMENT DEPARTMENT OF PHARMACOLOGY SRINIVAS COLLEGE OF PHARMACY MANGALORE – 574143 11.6 SIGNATURE 12.1 12 REMARKS OF THE PRINCIPAL 12.2 RECOMMENDED AND FORWARDED NAME AND SIGNATURE OF PRINCIPAL DR. A. R. SHABARAYA PRINCIPAL, SRINIVAS COLLAGE OF PHARMACY MANGALORE- 574 143.
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