Abstract
The medicinal use of Persea americana in the treatment of some diseases like hypertension, diabetes, is often with dearth of supporting scientific proof. Thus, we evaluated its ethnomedicinal benefits for possible scientific justification. Thirty healthy Wistar rats were randomly grouped in fives. Alloxan was used to induce diabetes in the rats in groups II to VI. The diabetic rats in group II were treated with glibenclamide, while those in group III were not treated. Also, the diabetic rats in groups IV to VI were treated with the ethanol extracts of the stem bark, leaf, and root of P. americana respectively. The parts of P. americana comparatively possess highest amounts of phenols (250.50 ± 0.68—bark), saponin (436.80 ± 3.76—leaf), flavonoid (382.80 ± 0.67—leaf) and tannins (58.34 ± 0.09—root). The extracts exhibited high reducing property (FRAP and total reducing), as well as high ABTS and DPPH free radical scavenging ability. The enzyme (alpha-glycosidase and alpha-amylase) inhibitory activity of P. americana increases with increasing concentration of the extracts. Administration of methanol extracts of P. americana bark, leaf and root to alloxan-induced diabetic rats resulted in significant (P < 0.05) decreases in AST, ALP, ALT, Total bilirubin, LPO, plasma glucose and significant (P < 0.05) increases in GSH, CAT and SOD. These effects were like that of glibenclamide. The enzyme inhibitory, hepatoprotective, antioxidant and antidiabetic properties of P. americana are some of the benefits derived from its consumption and ethnomedicinal use.
Similar content being viewed by others
Introduction
An estimation by the World Health Organisation indicated that about 80% of the world’s population still practise the use of medicinal herbs as part of their primary healthcare1. This practice has been in use, for a long time, in the treatment of different diseases especially among local populations in developing countries2,3,4,5,6. However, the practice of traditional indigenous medicine is often associated with reports of successful treatment of diseases with medicinal plants, with no tangible scientific backing7. For example, the fruit of the common medicinal plant, P. americana, which is often eaten as food, has been reported to be useful in the treatment of hypertension, diabetes, stomach ache, bronchitis etc.8,9. Different parts of P. americana have been reportedly used for the treatment of different ailments. For example, the stem bark is used in the treatment of asthma, cough, diabetes, fever, as well as diseases of the liver and kidney, and the leaf is used in the treatment of hypertension, cough, ulcer and diarrhoea, while the root is used in the treatment of skin blemishes, convulsion, epilepsy and hormonal disorders in women8,9.
Persea americana (Avocado or Tree’s fruit) is a flowering medicinal plant and a member of the family Lauraceae10, which is widely cultivated in the tropical and subtropical regions11. It originated from Mexico and Central or South America but was first cultivated in Mexico as early as 500 bc12. One of the common indigenous therapeutic uses of P. americana is in the management of diabetes, which is on the increase in most part of the world13. Diabetes is a chronic disorder of the endocrine system which is associated with other cardiovascular risk factors like hypertension, dyslipidaemia and other microvascular disorders involving the eyes, kidneys and peripheral nerves14,15. It commonly occurs due to abnormality in the metabolism of essential nutrients which results from inadequacy and inefficiency of insulin, and often associated with hyperglycaemia and glycosuria16.
The resort to herbal remedy, like the use of P. americana, in the management of diabetes is mainly due to its easy accessibility, perceived little or no side effects, as well as little or no associated cost17. Several research findings have shown that the presence of phytochemicals and phytonutrients, with their associated medicinal values, play major role in the efficacy of medicinal plants18,19,20,21,22. These phytochemicals and phytonutrients are believed to be abundant in P. americana17. Consequently, the consumption of P. americana as food or its use as an herbal remedy for the management of diabetes is reported to be due to the medicinal benefits of its phytonutrients and phytochemicals17. In an attempt to give a possible scientific validation to these, we investigated the benefits of the consumption of P. americana by evaluating: its ability to inhibit some enzyme of carbohydrate metabolism; its hepatoprotective, antioxidant and antidiabetic properties. The antioxidant activity was compared to that of vitamin C while the antidiabetic properties was compared to that of glibenclamide (a standard antidiabetic drug).
Materials and methods
Preparation of methanolic extract of P. americana parts
Samples of the leaves, bark and roots of P. americana were freshly collected from a local garden in Ujemen-Ekpoma in Edo State (located in Latitudes 6° 44′ 262′′ N and Longitude 6°05′ 76′′ E, with an elevation of 364 m above sea level), with verbal permission from the keeper. The formal identification of the samples was done by a Botanist at the herbarium section of the department of Botany, Ambrose Alli University. A voucher specimen, with herbarium number AAUE735, was deposited in a publicly available herbarium. All possible contaminants were removed by carefully washing the samples under running tap water. They were allowed to dry in an airy environment without direct exposure to sunlight. The dried plant samples were then chopped into fine bits and afterwards pulverized into fine powdery form. Exactly 450 g each of the powdered samples were macerated in 2100 ml of 99% methanol for 72 h. The mixtures were stirred at intervals on a magnetic stirrer. Afterwards, the extracts were separated from the pellets by filtration of the mixtures, using a muslin cloth. The extracts were subsequently concentrated using a rotary vacuum evaporator (Re-52A, lab science, England), at 37 °C. The concentrated leaves, bark and root extracts were stored in sterilized sample bottles and refrigerated for further use.
The percentage yield of the extracts were determined as follows;
Phytochemical estimation
Total phenol content of the plant extracts was determined as described by Siddhuraju and Becker23, and was expressed as mg of gallic acid equivalent (mg GAE/g extract). The method described by Makkar et al.24, was used to determine the total saponin content of the extracts and it was expressed as Quinine equivalent (mg QUE/g extract). The total flavonoid content of the extracts was estimated in line with the reported procedure by Juan and Chou25. The estimation of the total tannin content of the extracts was in accordance with the method described by Polshettiwar et al.26, and was expressed as tannic acid equivalent (mg TAN/g extract).
In vitro antioxidant activity estimation
The method described by Makkar et al.24 was used in the estimation of the DPPH (2,2 diphenyl-1-picrylhydrazine) free radical scavenging ability of the extracts and was calculated using DPPH scavenging effect (% inhibition). The method described by Re et al.27 was employed in the estimation of the ABTS (2,2-azino-bis-3-ethylbenzthiazoline-6-sulphonic acid) radical scavenging ability of the extracts. The total reducing capability of the extracts was determined as described by Oyaizu28. For ferric reducing antioxidant power (FRAP), the method described by Benzie and Strain29 was used.
Enzyme inhibition tests
Alpha-amylase test was carried out as described by Worthington30, while alpha-glycosidase test was performed as described by Apostolidis et al.31. In both cases, glibenclamide was used as the positive control and the inhibitory activity of both enzymes was expressed as percentage inhibition. The IC50 of the various interactions between the extracts and the enzymes were determined using a dose–response curve.
Experimental design for animal study
Mature male and female Wister Albino rats, whose body weights were between 180 and 220 g, were procured from the animal house of the department of Biochemistry, Federal University of Technology Akure. The rats were housed in clean and well disinfected cages in the animal house of the department of Biochemistry (Ambrose Alli University, Ekpoma) and allowed to adjust to the new environment for one week. The animal house was maintained on a 12-h light and dark photoperiod, with standard room temperature and humidity every day. All through the duration of the experiment, the rats had free access to clean water and food. The experimental procedure, which involved two phases, lasted for 28 days.
Phase 1 The doses responsible for acute toxicity (LD50) of the extracts, glibenclamide and alloxan were estimated by the modified Lorke’s method32. Firstly, increasing doses of the extracts (1000, 2000 and 3000 mg/kg), glibenclamide (5, 10 and 15 mg/kg) and alloxan (100, 110 and 120 mg/kg) were administered to three groups of four rats each. The rats were monitored for 24 h for signs of toxicity and death. Secondly, further increasing doses of the extracts (4000, 5000 and 6000 mg/kg), glibenclamide (20, 25 and 30 mg/kg) and alloxan (130, 140 and 150 mg/kg) were administered to another set of three groups of four rats and were also monitored for 24 h for signs of toxicity and death. After 24 h, we did not record any death or observe any signs of toxicity such as depression, weakness and loss of appetite. The LD50 of the extracts were determined using the second set with higher doses.
Phase 2 Thirty rats were randomly grouped in fives. The rats in group I were not induced with diabetes or treated with either the extracts or glibenclamide. The served as the general control group. Diabetes was induced in groups II to VI via intraperitoneal administration of 120 mg/kg alloxan monohydrate (dissolved in cold normal saline). After 48 h of induction, the experimental rats with fasting blood glucose level ≥ 200 mg/dl were classified as diabetic. At the confirmation of experimental diabetes in the rats, treatment with glibenclamide or P. americana extracts commenced immediately. The rats in group II were treated with glibenclamide, at a dose of 10 mg/kg body weight, and they served as the positive control. The rats in group III were neither treated with glibenclamide nor the extracts, and they served as the negative control. In group IV, the rats were treated with methanol extract of the stem-bark of P. americana (MEPAB) at a dose of 500 mg/kg body weight. Group V rats were treated with methanol extract of the leaves of P. americana (MEPAL) at a dose of 500 mg/kg body weight. While, the rats in group VI were treated with methanol extract of the root of P. americana (MEPAR) at a dose of 500 mg/kg body weight.
The route of administration of glibenclamide and the extracts was oral, with a gavage, and the treatment lasted for 28 days. At the end of the treatment, the experimental rats were allowed to fast overnight, after which they were euthanized. Blood samples were collected by cardiac puncture (with the use of sterilized needles and syringes) into clean plain sample tubes. The serum in each tube was separated from the blood pellets, by centrifugation at 4000 rpm for 10 min, and refrigerated at − 4 °C till use. Also, known weights of some harvested organs (liver, kidney and heart) were homogenized in ice cold phosphate buffer using mortar and pestle. The homogenates obtained were centrifuged for 15 min at 4000 rmp and the supernatants collected and refrigerated at − 4 °C till use. After the study, the carcases of the rats were properly wrapped in a plastic bag and buried underground.
Liver function tests
Alanine aminotransferase (ALT) and Aspartate aminotransferase (AST) activities were determined as described by Reitman and Frankel33. The method by Kochmar and Moss34 was used in the determination of Alkaline phosphatase (ALP) Activity. While, the method by Jendrassik and Grof35 was used in the determination of Total Bilirubin (TB).
Antioxidant determinations
Superoxide dismutase (SOD) activity was determined as described by Misra and Fridovich36. Reduced glutathione (GSH) activity was determined as described by Beutler et al.37. The method described by Cohen et al.38 was employed in the determination of Catalase (CAT) activity. While, the method of Rice-Evans et al.39 was employed in the determination of Lipid peroxidation (LPO) activity.
Statistical analysis
Data were subjected to analysis of variance (ANOVA) and Tukey–Kramer multiple comparison test was performed using instant statistical package. The difference was considered statistically significant when P < 0.05.
Ethics approval and consent to participate
The ethical approval for this research was obtained from the Research Ethics Committee of the Department of Biochemistry, Ambrose Alli University, Ekpoma Nigeria. The use of rats for the study was also according to the Ethical Guidelines Involving Whole Animal Testing of the Research Ethics Committee of the Department of Biochemistry, Ambrose Alli University, Ekpoma Nigeria, and the reporting in the manuscript follows the recommendations in the ARRIVE guidelines. Consent to participate is not applicable.
Results
Persea americana possess high amount of biologically useful phytochemicals
The phytochemical constituents of the methanol extract of P. americana (P.A) root, bark and leaves are presented in Table 1. The results show that the root extract had the highest tannin content when compared to the extracts of the bark and that of the leaves. The leaves possess the highest saponin and flavonoid content, while the bark has the highest phenolic content. The high amounts of the selected phytochemicals, with proven biological properties (as evident in literature), points at the ethnomedicinal benefits of P. americana.
The in vitro antioxidant analysis of P. americana indicate its high ferric reducing and free radical scavenging abilities
The ferric reducing antioxidant properties (FRAP) of the extracts as presented in Fig. 1, revealed that the root extract has the highest reducing property compared to the leaf and bark extracts which tend to have similar reducing capacities. The total reducing power of P. americana methanol extracts is presented in form of ascorbic acid equivalent (Fig. 1). It indicates that the extract of the leaves has the highest reducing power compared to the root and bark extracts, which tend to have similar reducing capacities. The ABTS radical scavenging ability of the different extracts as presented in Table 2, revealed that the root extract had the highest scavenging ability compare to the bark extract and leaves extract. The DPPH free radical scavenging ability of the different extracts (Table 2) shows that at lower concentrations, the extract of the leaves has the highest scavenging ability, but at the highest concentration tested, the root extract displayed the highest scavenging ability. Also, as indicated in Table 3, the IC50 values for the scavenging activities of ABTS and DPPH were highest in the bark extract and lowest in the root extract. The reducing and free radical scavenging activities described above shows that P. americana extracts have the potentials to protect against the harmful effects of free radicals in the biological system.
Persea americana effectively inhibits some enzymes (alpha-glycosidase and alpha-amylase) of carbohydrate metabolism in vitro
The inhibitory effect P. americana extracts on alpha-glycosidase activity as presented in Table 4 shows that the alpha-glycosidase inhibitory activity of the extracts increased with increasing concentrations of the extract as compared to that of glibenclamide (positive control). P. americana root extract had the highest inhibitory activity (95.00 ± 1.20%) followed by the leaf extract (83.68 ± 5.11%) and bark extract (73.77 ± 6.81%). As indicated in Table 4, the alpha amylase inhibitory activity of the extracts also increased with increasing concentrations of the extract as compared to the positive control, glibenclamide. The leaf extract had the highest inhibitory ability (94.80 ± 2.89%) followed by the bark extract (93.26 ± 1.16%) and root extract (90.37 ± 0.96%). The IC50 value of the extracts on alpha-amylase and alpha-glycosidase activities were significantly lower than that of glibenclamide (Table 5). However, the root extract had the highest value on alpha-amylase while the bark extract had the highest value on alpha-glycosidase. The inhibitory effects of the extracts on alpha-glycosidase and alpha-amylase shows the potential of P. americana to reduce or slow down carbohydrate metabolism, which is useful in the management of diabetes.
The acute toxicity test of P. americana indicates its relative safety as administered to the experimental diabetic rats
In Table 6, the acute toxicity tests (LD50) of the extracts, glibenclamide and alloxan on the experimental animals indicate that there were no signs of mortality or any behavioural changes. However, hypoactivity was observed at the highest dose of alloxan administration. Thus, the extracts were well tolerated by the experimental rats and are relatively safe.
Persea americana restores loss in body weight but had no significant effect on the weight of some selected organs (Liver, Kidney, Heart) of the experimental diabetic rats
Table 7 shows steady significant (P < 0.05) decreases in body weights of the experimental diabetic rats treated with glibenclamide (group II) up to week 3 of treatment. At week 4 of treatment, the body weight significantly increased up to the initial weight. This trend was also observed in the extract treated groups (groups IV, V and VI), with a significant (P < 0.05) increase in body weight at week 4 of treatment. In contrast, the rats in group III which were induced with diabetes but not treated exhibited steady significant (P < 0.05) decreases in body weight up to the last week of the experiment (week 4). Thus, P. americana root extracts restore and maintains body weight in the alloxan-induced diabetic rats.
As also shown in Table 7, the administration of extracts of P. americana stem bark, leaf and root did not significantly affect the weight of the selected organs of the rats in the respective treated groups (IV, V and VI). On the contrary, the untreated (group III) and glibenclamide-treated (group II) diabetic groups showed significant (P < 0.05) increase in organ weight, as compared with the normal control group. Thus, as against the effect of glibenclamide, the extracts of P. americana has no toxic effect on the selected organs.
Persea americana protects against the deleterious effects of alloxan on the hepatocytes by preventing the leakage of the liver function enzymes, thereby reducing their levels in the blood
Table 8 shows the effect of P. americana extracts on the activities of some liver function enzymes. The activities of the enzymes were shown to be significantly (P < 0.05) lower in the extract-treated diabetic groups as compared to those of the untreated diabetic groups. Also, the effects of the extracts were shown to be similar to that of the standard drug (glibenclamide). There were significant (P < 0.05) decreases in the AST levels in all the extract-treated groups (IV, V and VI) as compared to that of the untreated group (III—negative control). Between the extract-treated diabetic groups, that of the root extract (group VI) was significantly (P < 0.05) lower as compared to other extracts treated groups and the glibenclamide-treated group (II—positive control). Also, the AST level of the glibenclamide-treated group was significantly (P < 0.05) lower than that of the untreated group (III-negative control)". ALP activity was significantly (P < 0.05) lower in the extract-treated groups (IV, V and VI) as compared to that of the untreated group (III), but significantly (P < 0.05) higher than that of the glibenclamide-treated group (II). However, among the extract-treated groups, the leaf and back extracts were shown to be more effective than the root extract. ALT activity was significantly (P < 0.05) lower in the extract-treated groups (IV, V and VI) as compared to that of the untreated group (III) and that of the glibenclamide-treated group (II). However, there were no significant differences among the extract-treated groups. The total bilirubin level, as observed, was also significantly (P < 0.05) lower in the extract-treated groups (IV, V and VI) as compared to that of the untreated group (III), but significantly (P < 0.05) higher than that of the glibenclamide-treated group (II). However, among the extract-treated groups, the leaf extract was shown to be more effective. The reduction of the plasma levels of these enzymes by the extracts indicates their protective roles against the hepatotoxic effects of alloxan in the experimental rats.
Persea americana extracts protect against oxidative stress by boosting the activities of antioxidant enzymes (GSH, CAT and SOD) and inhibiting lipid peroxidation process in the selected tissues of the experimental diabetic rats.
Table 9 shows the effect of P. americana extracts on the GSH activity of the serum, liver, heart and kidney of the experimental rats. GSH activity was significantly (P < 0.05) higher in the blood, liver, heart and kidney of the rats in all the extract-treated diabetic groups (IV, V and VI) as compared to the untreated diabetic group (III). However, among the extract-treated groups, the GSH activity of the bark extract was significantly (P < 0.05) highest in the blood, while that of the root extract was significantly (P < 0.05) highest in the liver and kidney. Comparatively, the administration of glibenclamide (group II) resulted in significant (P < 0.05) increase in GSH activity in the blood and significant (P < 0.05) decrease in GSH activity in the liver.
Also, Table 9 shows the effect of P. americana on the CAT activity of the heart, kidney, liver and blood of the experimental rats. Administration of the extracts to the alloxan-induced diabetic rats resulted in significant (P < 0.05) increases in the CAT activity in the blood, liver, heart and kidney of the treated groups (IV, V and VI), as compared to the untreated group (III). In a similar manner, the administration of glibenclamide also resulted in significant (P < 0.05) increases in the CAT activity in all the tissues, except the kidney. Among the extract treated groups, the CAT activity of the leaf extract was significantly (P < 0.05) highest in the blood while that of the bark extract was significantly (P < 0.05) highest in the liver.
In Table 9, the administration of P. americana bark, leaf or root extracts resulted in significant (P < 0.05) increases in the SOD activity of the serum, liver, heart and kidney of the alloxan-induced diabetic rats (groups IV, V and VI), as compared to the untreated diabetic group (III) and the glibenclamide-treated diabetic group (II). Within the extract-treated groups, the effect of the bark extract is evidently highest in the serum while that of the root extract is highest in the liver. Interestingly, the effect of the extracts on the SOD activity of the tissues were observed to be better than that of the standard drug, glibenclamide.
Also in Table 9, the administration of the methanol extracts of the different parts of P. americana to the alloxan-induced diabetic rats resulted in significant (P < 0.05) decreases in the products of lipid peroxidation (LPO) in the serum, liver, heart and kidney of the treated groups (IV, V and VI), as compared to the untreated diabetic group (III). Administration of glibenclamide also resulted in similar effect in the treated groups, except in the kidney where the reduction was not significant. However, among the extract-treated diabetic groups, the effect of the leaf extract was significantly (P < 0.05) highest in the serum and heart. While the effect of the bark extract was significantly (P < 0.05) highest in the liver and kidney. Evidently, treatment with P. americana extracts protects against the actions of free radicals by slowing down the lipid peroxidation process.
Persea americana exhibits antidiabetic properties by reducing the plasma glucose level in alloxan-induced experimental diabetic rats
Table 10 shows the effects of the administration of the bark, leaf and root extracts of P. americana in alloxan-induced diabetic rats. The significant (P < 0.05) increases in the glucose level of the diabetic groups, after induction with alloxan, were steadily reversed in the course of treatment (from week 1 to week 4) with the various extracts and glibenclamide. Thus, administration of the extracts resulted in steady significant (P < 0.05) decreases in the plasma glucose level in all the treated groups (IV, V and VI), as compared to that of the untreated group (III). The effects of the extracts are similar to that of the standard antidiabetic drug, glibenclamide.
Discussion
The consumption of medicinal herbs or plants for various health and nutritional benefits has stood the test of time. It is an ancient tradition which is still very much relevant in the modern society, especially in the management of diabetes. In ethnomedicine, the use of P. americana to manage or possibly treat diabetes, and its complications, has been well accepted due to the belief that it offers health benefits that are perceived not to be available in orthodox medicine and related therapeutic interventions. In corroboration with the above, findings form our present study show that consumption of P. americana comes with some health benefits which are especially useful in the management of diabetes and the complications associated with it. Our quantitative phytochemical screening of P. americana shows that the different parts (bark, leaf and root) of the plant possess high amount of biologically useful active principles. Phenols were found to be comparatively higher in the bark extract, saponin and flavonoids were found to be high in the leaf extract, while tannin was found to be abundant in the root extract. These phytochemicals are known for their biological activities and their presence in P. americana makes it a plant of high medicinal value. For example, phenols have been reported to exhibit hypoglycemic properties possibly by inhibiting the action of sodium-glucose transporter I40. Saponin has also been reported to exhibit hypoglycemic properties by possibly inhibiting glycogenesis or glycolysis in the liver41. Flavonoids have been shown to possess powerful antioxidant abilities which is helpful in protecting biological tissues against the activities of toxic agents or oxidative stress42. Like phenols, tannins are also reputed for their high hypoglycemic activities40. Thus, the biological properties of the selected phytochemicals, as described above points at the ethnomedicinal benefits of P. americana.
In vitro antioxidant analysis of the bark, leaf and root extracts of P. americana shows high reducing (FRAP) and free radical scavenging (ABTS and DPPH) activities which are equivalent to that of ascorbic acid. Antioxidants play a major role in the body’s defense system against reactive oxygen species (ROS) 43. These antioxidant properties, which could be linked to its high flavonoid content, indicate the ability of P. americana to protect against the harmful effects of free radicals in the biological system. This agrees with earlier report that the seeds and leaves of P. americana can be useful in the formulation of future antioxidant products44, which can be attributed to the presence of phytochemicals like flavonoids in the leaf as described above. Apart from the antioxidant properties, the in vitro analysis also revealed the effectiveness of P. americana at inhibiting the activities of some enzymes of carbohydrate metabolism. The effect was observed to be similar to that of the standard antidiabetic drug (glibenclamide). Alpha-glycosidase and alpha-amylase are major enzymes that are involved in the catabolism of carbohydrates. Their inhibition often plays a major role in the regulation of blood glucose level by reducing the amount of glucose available from breakdown of carbohydrates. In line with our findings, other researchers have earlier reported the ability of P. americana to reduce glycemic indices in vivo41,44. The inhibitory effects of the extracts of the different parts of P. americana on alpha-glycosidase and alpha-amylase shows its potential to reduce or slow down carbohydrate metabolism, which is very useful in the management of diabetes and its resulting complications. These effects could also be attributed to the presence of high amounts of saponin and phenols in the plant, as observed in our phytochemical screening.
Acute toxicity test (LD50) of the bark, leaf and root extracts of P. americana indicates its relative safety in vivo. After administering the different extracts to the normal experimental rats, no signs of mortality or behavioural changes were observed, even at the highest dose of 6000 mg/kg body weight. Acute toxicity test is often used to quickly assess the relative safety of natural products or medicinal plants in the biological system2. Thus, our observation shows that the extracts were well tolerated by the experimental rats, which is indicative of the relative safety of the use of P. americana in ethnomedicine. This is also supported by the finding that, administration of the extracts to alloxan-induced diabetic rats did not cause any changes in the weights of the selected organs (liver, kidney and heart), rather they tend to normalise them. This effect was observed to be similar to that of glibenclamide. However, the administration of the extracts to alloxan-induced diabetic rats was helpful in restoring and maintaining the body weights of the experimental rats, after the effect of alloxan. Alloxan-induced weight loss in the untreated diabetic rats imitates the commonly observed clinical signs and symptoms of diabetics45. The ability of P. americana to restore body weight may be connected to its hypoglycaemic effect, possibly due to increased glucose metabolism, or the prevention of muscle wasting, as a protective role.
The protective role of P. americana was also observed in the liver of the alloxan-induced diabetic rats. Alloxan evidently caused increased activities of AST, ALP, ALT and total bilirubin in the serum of the alloxan-induced diabetic rats due to its toxic effect on the hepatocytes. The membranes of the hepatocytes were possibly destroyed by the activities of free radicals, as initiated by alloxan toxicity. Destruction of the membranes of the hepatocytes often results in the escape of resident enzymes (AST, ALP, ALT) from the hepatocytes to into the blood. Thus, membrane permeability of hepatocytes increases during liver injury which leads to leakage of hepatic enzymes from hepatocytes. Increased levels of ALP and bilirubin are indicative of biliary tract obstruction while elevated levels of ALT and AST are known markers of liver injury. High amount of these enzymes in the blood is often of diagnostic value because it is indicative of damage to the liver. However, treatment with the bark, leaf and root extracts of P. americana was found to protect against the deleterious effects of alloxan on the hepatocytes. Administration of the extracts to the experimental diabetic rats resulted in the reduction of the activities of these enzymes in the blood, by preventing their escape from the hepatocyte. The effects of the extracts were shown to be similar to that glibenclamide. The reduction of the plasma levels of these enzymes and total bilirubin by the extracts indicates their protective roles against the hepatotoxic effects of alloxan in the experimental rats. This may be connected with the activities of phytochemicals like flavonoids which are reportedly abundant in the plant.
Oxidative stress is a known mechanism by which free radicals cause damage in the biological system. The toxicity of alloxan is often mediated through the actions of free radicals. The reduction of the activities or destruction of these free radicals by antioxidants usually protects biological molecules, membranes and tissues from damage. High amount of these antioxidant enzymes in the biological system is therefore useful and necessary for the fight against the damage by free radicals. Our findings show that the administration of P. americana extracts to the alloxan-induced diabetic rats protects the selected tissues (blood, liver, heart and kidney) against oxidative stress or damage caused by alloxan. As compared to the untreated diabetic groups, treatment with the extracts resulted in increased activities of the antioxidant enzymes (GSH, CAT and SOD) and decreased amount of product of lipid peroxidation in the selected tissues of the alloxan-induced diabetic rats. These effects were similar to that of glibenclamide. However, it is worthy of note that the effect of the extracts on the SOD activity of the tissues were observed to be better than that of glibenclamide. Evidently, treatment with P. americana extracts protects against the actions of free radicals by boosting the activities of GSH, CAT and SOD, as well as slowing down the destructive process of lipid peroxidation. These effects are a function of the high reducing and free radical scavenging potential of P. americana, as well as the presence of high amounts of relevant phytochemicals, like flavonoids.
The antidiabetic property of P. americana was tested in alloxan-induced diabetic rats. Administration of alloxan caused increases in plasma glucose level of the experimental rats, by destruction of the pancreatic cells through free radical mechanism. The comparative increased plasma glucose level in the untreated-diabetic group was maintained up to the fourth week of the experiment. However, treatments with the extracts of P. americana were shown to be effective as there were steady decreases in the plasma glucose level in all the extract-treated diabetic groups, from week 1 to week 4. The reductions in plasma glucose occasioned by the actions of the extracts are similar to that by glibenclamide. The antidiabetic property of P. americana can be attributed, partly, to its ability to inhibit the actions of alpha-glycosidase and alpha-amylase as described above and as previously reported41,46,47,48.
Conclusion
Our study shows that P. americana possess high amount of biologically useful phytochemicals. In vitro antioxidant analysis indicates its high ferric reducing and free radical scavenging abilities, as well as its ability to effectively inhibit the activities of alpha-glycosidase and alpha-amylase. Acute toxicity test indicates the relative safety of P. americana. The bark, leaf and root extracts of P. americana exhibit hepatoprotective, antioxidant and antidiabetic properties. Thus, the use of P. americana can serve as basis for the development of good alternatives to available synthetic drugs for glycaemic management. However, the limitation of this study is that its findings are still not sufficient enough for clinical applications of the plant.
Data availability
The datasets used and/or analysed during the current study available from the corresponding author on reasonable request.
References
World Health Organization. WHO traditional Medicine Strategy 2002–2005. http://www.who.int/medicine/Library/trm/trm-strat-eng.pdf.
Omage, K., Azeke, A. M., Orhue, N. E. J. & Iseghohi, O. S. Toxicological implications of the therapeutic use of Acalypha wilkesiana leaves in tradition medicine. Clin. Phytosci. 3(15), 1–7 (2017).
Omage, K., Azeke, A. M. & Omage, O. S. Evaluation of the efficacy of Acalypha wilkesiana leaves in managing cardiovascular disease risk factors in rabbits exposed to salt-loaded diets. Clin. Phytosci. 4(1), 1–7 (2018).
Omage, O. S., Orhue, N. E. J. & Omage, K. Evaluation of the phytochemical content, in vitro antioxidant capacity, biochemical and histological effects of Dennettia tripetala fruits in healthy rats. Food Sci. Nutr. 7, 65–75 (2019).
Nwangwu, C. O. et al. Effects of aqueous and ethanolic extract of Vernonia amygdalina leaf on the plasma lipid profile and liver function parameters of normal rats. Curr. Res. J. Biol. Sci. 3(5), 504–508 (2011).
Josiah, J. S. et al. Possible revival of atrophied islet cells of the pancreas by Vernonia amygdalina in alloxan induced diabetic rats. J. Appl. Pharm. Sci. 2(9), 127–131 (2012).
Chindo, A. B., Anuka, A. J. & Gamaniel, S. K. Toxicity screenings of Ficus platyphylla stem bark in rats. Pharmacologia. 3(10), 499–505 (2012).
Muanya, C. A. & Odukoya, O. A. Lipid peroxidation as index of activity in aphrodisiac herbs. J. Plant Sci. 3, 92–98 (2008).
Oluwole, F. S., Onasanwo, S. A. & Olaleye, S. B. Effects of aqueous and methanolic extracts of Persea Americana Leaf (Avocado Pear) on gastric acid secretion in male albino rats. Eur. J. Sci. Res. 61(4), 474–481 (2011).
Morton, J. F. Avocado: Fruits of Warm Climates 91–102 (Creative Resource Systems, Inc., 1987).
Lu, Q. Y. et al. Inhibition of prostate cancer cell growth by an avocado extract: Role of lipid-soluble bioactive substances. J. Nutr. Biochem. 16, 23–30 (2005).
Duester, K. C. Avocados a look beyond basic nutrition for one of nature’s whole foods. Nutr. Today 35(4), 151–157 (2000).
Kumar, R. et al. Anti-diabetic activity of Syzygiumcumini and its isolated compound against streptozotocin-induced diabetic rats. J. Med. Plants Res. 2(9), 246–249 (2008).
Grundy, M. S. et al. Diabetes and cardiovascular disease: A statement for health care professionals from the American Heart Association. Circulation 100(5), 1134–1146 (1999).
Barnett, H. A. & O’Gara, G. Diabetes and the Heart. Clinical Practice Series. 7–30 (Churchill Livingstone, 2003).
Chatterjea, M. N. & Rana, S. Diabetes mellitus. In Textbook of Medical Biochemistry, 5th Ed. (ed. Jaypee, B.) 315–320 (Medical Publishers Ltd, 2002).
Jarald, E., Joshi, S. B. & Jain, D. C. Diabetes and herbal medicines. Iran. J. Pharmacol. Ther. 7(1), 97–106 (2008).
Ganesan, K. & Xu, B. A critical review on phytochemical profile and health promoting effects of mung bean (Vigna radiata). Food Sci. Hum. Wellness 7(1), 11–33 (2018).
Omage, K. & Azeke, A. M. Medicinal potential of Acalypha wilkesiana leaves. Adv. Res. 2(11), 655–665 (2014).
Unhunmwangho, S. E., Omage, K., Erifeta, O. G., Josiah, J. S. & Nwangwu, C. O. S. Possible reversal of sodium arsenate-induced liver toxicity by hexane leaf extract of Alchornea laxiflora. Asian J. Med. Sci. 5(1), 3–8 (2013).
Omage, A. A. M. & Orhue, N. E. J. Implications of oral administration of extracts of Acalypha wilkesiana leave on serum electrolytes, urea and creatinine in normal experimental rabbits. Biokemistri 27(2), 56–62 (2015).
Omage, K. et al. Effects of aqueous root extract of Treculia africana on blood glucose, lipid profile and body weight changes of Streptozotocin-induced diabetic and normal rats. Int. J. Plant Physiol. Biochem. 3(10), 169–175 (2011).
Siddhuraju, P. & Becker, K. The antioxidant and free radical scavenging activities of processed cowpea (Vigna unguiculata). seed extracts. J. Food Chem. 101, 10–19 (2007).
Makkar, H. P., Siddhuraju, P. & Becker, K. Methods in Molecular Biology: Plant Secondary Metabolites 93–100 (Human Press, 2007).
Juan, M. T. & Chou, C. C. Enhancement of antioxidant activity, total phenolic and flavonoid content of black Soybeans by solid state fermentation with Bacillus subtilis BCRC 14715. Food Microbiol. 27(5), 586–591 (2010).
Polshettiwar, S. A., Ganjiwale, R. O., Wadher, S. J. & Yeole, P. G. Spectrophotometric estimation of total tannins in some ayurvedic eye drops. Indian J. Pharm. Sci. 69, 574–576 (2007).
Re, R. et al. Antioxidant activity applying an improved ABTS radical cation decolourization assay. Free Rad. Biol. Med. 26, 1231–1237 (1999).
Oyaizu, M. Studies on products of browning reactions: Antioxidative activities of products of browning reaction prepared from glucosamine. Jpn. J. Nutr. 44, 307–315 (1986).
Benzie, I. F. F. & Strain, J. J. Ferric reducing antioxidant power assay: Direct measure of total antioxidant activity of biological fluids and modified version for simultaneous measurement of total antioxidant power and ascorbic acid concentration. Methods Enzymol. 299, 15–27 (1999).
Worthington, V. Alpha amylase. In Worthington Enzyme Manual. 36–41 (1993).
Apostolidis, E., Kwon, Y. & Shetty, K. Inhibitory potential of herb, fruit, and fungal-enriched cheese against key enzymes linked to type 2diabetes and hypertension. Innov. Food Sci. Emerg. Technol. 8, 46–54 (2007).
Lorke, D. A new approach to practical acute toxicity testing. Arch. Toxicol. 54, 275–287 (1983).
Reitman, S. & Frankel, S. Glutamic pyruvate transaminase assay by colorimetric method. Am. J. Clin. Pathol. 28, 56 (1957).
Kochmar, J. F. & Moss, D. W. Fundamentals of Clinical Chemistry Tietz, 604 (W.B. Saunders and Company, 1976).
Jendrassik, L. & Grof, P. Colorimetric method of determination of bilirubin. Biochemistry 297, 81–82 (1938).
Misra, H. P. & Fridovich, I. The role of superoxide anion in the autoxidation of epinephrine and a simple assay for superoxide dismutase. J. Biol. Chem. 247(10), 3170–3175 (1972).
Beutler, E., Duron, O. & Kelly, B. M. Improved method for the determination of blood glutathione. J. Lab. Clin. Med. 61, 882–890 (1963).
Cohen, G., Dembiec, D. & Marcus, J. Measurement of catalase activity in tissue extracts. Annu. Rev. Biochem. 34, 30–38 (1970).
Rice-Evans, C., Omorphos, C. S. & Baysal, E. Sickle cell membrane and oxidative damage. Biochem. J. 237, 265–269 (1986).
Huang, S. & Czech, M. P. The GLUT4 glucose transporter. Cell Metab. 5(4), 237–252 (2007).
Oboh, G. et al. Starch composition, glycemic indices, phenolic constituents, and antioxidative and antidiabetic properties of some common tropical fruits. J. Ethnol. Foods. 2, 64–73 (2015).
Huyut, Z., Beydemir, Ş., Gülçin, İ. Antioxidant and Antiradical Properties of Selected Flavonoids and Phenolic Compounds. 1–10 (Biochemistry Research International, 2017).
Vivek, K. G. & Surendra, K. S. Plants as natural antioxidants. Nat. Prod. Radia. 5, 326–334 (2006).
Alhassan, A., Sule, M. & Lawal, A. In vitro inhibitory activities of Persea americana seed extracts on α-amylase and α-glucosidase. Bayero J. Pure Appl. Sci. 10, 546–552 (2017).
World Health Organization. Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications. Part 1: Diagnosis and Classification of Diabetes Mellitus (WHO/NCD/NCS/99.2) (1999).
Ajani, A. & Olanrewaju, B. O. Avocado pear fruits and leaves aqueous extracts inhibit α-amylase, α-glucosidase and snap induced lipid peroxidation—An insight into mechanisms involve in management of type 2 diabetes. Int. J. Appl. Nat. Sci. 3, 21–34 (2014).
Uysal, S., Zengin, G., Aktumsek, A. & Karatas, S. Fatty acid composition, total sugar content and anti-diabetic activity of methanol and water extracts of nine different fruit tree leaves collected from Mediterranean region of turkey. Int. J. Food Prop. 18, 2268–2276 (2015).
Pahua-Ramos, M. E., Garduño-Siciliano, L. & Dorantes-Alvarez, L. Reduced-calorie avocado paste attenuates metabolic factors associated with a hypercholesterolemic-high fructose diet in rats. Plant Foods Hum. Nutr. 69, 18–24 (2014).
Acknowledgements
The Authors acknowledge the Department of Biochemistry, Ambrose Alli University Ekpoma, Nigeria for providing the necessary laboratory facilities.
Author information
Authors and Affiliations
Contributions
C.O.E., M.A.A. and A.M.O., conceived, designed and performed the experiments; C.O.E., M.A.A., A.M.O., S.O.O. and K.O. performed the analysis and interpretation of the data; while S.O.O. and K.O. prepared the draft of the manuscript. All authors have reviewed and approved the final draft of the manuscript. All data were generated in-house, and no paper mill was used. All authors agree to be accountable for all aspects of work ensuring integrity and accuracy.
Corresponding author
Ethics declarations
Competing interests
The authors declare no competing interests.
Additional information
Publisher's note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
About this article
Cite this article
Ehikioya, C.O., Osagie, A.M., Omage, S.O. et al. Carbohydrate digestive enzyme inhibition, hepatoprotective, antioxidant and antidiabetic benefits of Persea americana. Sci Rep 13, 284 (2023). https://doi.org/10.1038/s41598-022-26801-y
Received:
Accepted:
Published:
DOI: https://doi.org/10.1038/s41598-022-26801-y
- Springer Nature Limited