*Corresponding Author:
Megha shrivastava
Department of Zoology, Government PG College Guna, Madhya Pradesh 473001, India
E-mail:
[email protected]
Date of Received 21 October 2020
Date of Revision 10 April 2021
Date of Acceptance 01 September 2021
Indian J Pharm Sci 2021;83(6):1221-1228  

Abstract

Malaria kills a lot of people every year in the world, yet this has been observed with little progress in controlling this disease. Moreover, the number of cases is increasing, resulting from the rise of drugresistant parasites and insecticide-resistant mosquitoes. In the present study the antimalarial efficiency of flowers and leaves of the Moringa oleifera (Lam.) plant was evaluated against rodent malaria parasite: Plasmodium yoelii (Chloroquine resistant N-67 strain) infected Swiss albino mice. For the study, crude extracts of flowers and leaves of the Moringa oleifera (Lam.) plant were given at different doses i.e., 125, 250, 500 and 1000 mg/kg to Plasmodium yoelii infected Swiss albino mice, then various parameters llike percent of suppression of parasites, haematological parameters, survival time and body weight of mice, were determined. Percent of suppression of parasites were evaluated by observing Giemsa stained blood smears, which were prepared from different treated groups of experimental mice and haematological testing was done with an automated haematological analyser. The percent of suppression exerted by the flower and leaf against Plasmodium yoelii count ranged between 59 to 41% and 56 to 32%, respectively. Both extracts were found to give positive results as they prevented the major changes in haematological parameters i.e., count of red blood cells, white blood cells and platelets, haemoglobin concentration and haematocrit value which occurred due to Plasmodium infection. Maximum antimalarial effect was observed with the highest dose of the flower extract at 1000 mg/kg followed by leaf extract at the same dose. The crude extract prolongs the survival time of mice as well as prevents body weight loss compared to negative control groups. The results are collectively indicated that the Moringa oleifera (Lam.) plant has a promising anti plasmodial activity against Plasmodium yoelii. Thus, it might be considered as a potential source for the development of novel antimalarial agents.

Keywords

Malaria, Plasmodium, plant, extract, blood, Moringa oleifera

Malaria is one of the most serious as well as widespread disease and also becoming more complicated due to the emergence of drug resistance in parasites. In many countries it has been observed that where Plasmodium falciparum is endemic, drug resistance is in prominent condition. Due to the above reason in such countries, unavailability of effective and affordable drugs is becoming a major problem. Hence there is an urgent need for a novel effective antimalarial treatment. Medicinal plants have been proved as a potential target for research and development in alternative antimalarial drugs with novel modes of action. Therefore, it becomes very important to explore nature systematically for the benefit of mankind.

Moringa   oleifera   (M.   oleifera)   belongs   to   the Moringaceae   family   and   commonly   known   as `drumstick or `horseradish tree'. This plant grows throughout tropical and native parts of sub-Himalayan tracts including north-west India, Pakistan, Bangladesh and Afghanistan [1]. The above plant has a very high nutrition value and impressive range of medical properties. Various parts of the above plant like- flower, leaf, seed, root, bark and fruit are used medically in different health problems such as cardiac and circulatory disease, cancer, inflammation, parasitic disease, bacterial infection and fungal disease. And are also being used for the treatment of various disorders with in the indigenous system of medicine [2]. The aim of this study is to evaluate the antimalarial properties of M. oleifera flower and leaf extract in Plasmodium yoelii (P. yoelii) infected mice.

Materials and Methods

Plant collection and extract preparation:

Various parts i.e., leaves and flowers of M. oleifera plant were collected from Udaipur district, Rajasthan, India. Powder forms were prepared after the drying process of the plant parts at room temperature. Further, crude extracts were prepared with the help of Soxhlet apparatus in methanol solution for both flower and leaf separately. Then the evaporation process was carried out for the complete dryness of the extracts at room temperature, finally residues were obtained, weighed and stored at 4°.

Experimental animals and parasite strain:

For the experimental studies, Laboratory reared Swiss albino mice of both sex with approximate weight of 22 to 26 gm. and age of 5-7 w were used and kept in polypropylene cages in groups of 5-6 animals/cage under standard conditions of temperature 22±2° and humidity (40-60 %) in animal house and given commercially available pellet diet supplemented with soaked grains. They were exposed by the 12:12 dark-to-light cycle. The protocols of the assessment of antimalarial activity on Swiss albino mice were approved by the Institutional Animal Ethical Committee of the University (No. CS/ Res/07/759).

Chloroquine sensitive P. yoelii (Strain N-67) was used for antimalarial testing, which was obtained from Central Drug Research Institute (CDRI) Lucknow UP, India. These parasites were maintained in the laboratory via a serial passaging process within mice groups.

Toxicity assessment and dose selection:

Before the testing of antimalarial property, toxicity assessment of M. oleifera flower and leaf was carried out for the evaluation of its toxic effect on the mice. Toxicity assessments of these extracts were performed in the non-infected Swiss albino mice for their sub-acute toxicity. For this, each extract was tested separately with the help of similar protocols and given orally for 4 d (d 0 to d 3) with the help of gavages [3].

The mice were randomly divided into 7 groups, having six mice (as replica) per group. The mice of Group 1 (as control group) received 0.5 ml of Distilled Water (dH2O). Group 2, to Group 4 were received flower extract whereas Group 5 to Group 7 received leaf extract for 4 d continuously via oral method with a single dose volume (0.5ml) at the dose level of 1000, 2000 and 3000 mg/kg body weight, respectively. All the experimental animals were kept under observation for 14 d for gross changes such as weight, loss of appetite, hair erection, tremors, lacrimation, convulsions, salivation, diarrhoea, mortality and other symptoms of toxicity.

For the assessment of sub-acute toxicity, haematological parameters (i.e., Red Blood Cells (RBC), White Blood Cells (WBC) and platelet count, haemoglobin concentration and haematocrit value) were determined before (at d 0) and after (at d 4) the administration of crude extract. On the basis of sub-acute toxicity assessment, four dose levels (125 mg/kg, 250 mg/kg, 500 mg/kg, 1000 mg/kg) were decided for the assessment of anti plasmodial activity of both extracts [3]

Evaluation of anti-plasmodium Activity:

Parasite Inoculation: All experimental mice were inoculated with P. yoelii infected blood which was collected from previously infected mice. Blood collection was carried out in Ethylenediaminetetraacetic Acid (EDTA)-coated tubes followed by dilution with normal saline to make final suspension containing aliquot 1×106 parasitized RBCs in 0.5 ml. Each mouse was injected intraperitoneally with 0.5 ml of infected blood containing approximately 1×106 parasitized RBCs.

Grouping and dosing of mice: After the assessment of the toxicity effect of both extracts, anti-plasmodium assessments were carried out with selected doses (125 mg/kg, 250 mg/kg, 500 mg/kg, 1000 mg/kg) against P. yoelii infected mice.

P. yoelii infected mice were divided randomly into ten groups (six mice per group). Group 3 to Group 6 were administered with M. oliefera flower extract at the dose level of 125, 250, 500, 1000 mg/kg body weight per day, respectively, whereas Group 7 to Group 10 were administered with M. oliefera leaf extract at the dose level of 125, 250, 500, 1000 mg/kg body weight per day, respectively. Group 1 and 2 were considered as control groups, where Group 1 mice were treated with Artemether (1.25 mg/kg/d) to serve as positive control and Group 2 mice were kept untreated with only distilled water as negative control. All the doses were given through oral route with gavages.

4 d suppressive test: Anti-plasmodium activity of both plant extracts were carried out by 4 d suppressive test with the standard protocols [4,5]. On d 0 (i.e., the day of infection) after 3 h of infection, the above dosing protocols were followed for all groups of mice for 4 d continuously (from d 0 to d 3). On the d 4 and d 10, thin blood smears were prepared via collecting blood from the tail region of each mouse.

Determination of parasitemia: Blood smears which were prepared on d 4 and d 10 were examined for the determination of percent parasitemia. All blood smears were fixed in absolute methanol in the first step followed by a staining process with Giesma stain at pH 7 for 25 min. Further slides were examined microscopically with 100x magnification for the calculation of percent parasitemia by counting the number of parasites with observation of 10 to 50 fields as below.

Percent parasitemia=Number of parasitized red cells counted/Number of total red cells counted×100

Further, the percent of suppression was calculated using the flowing formula:

Percent of suppression=Parasitemia in negetive control group-Parasitemia in treated group/Parasitemia in negetive control group×100

Determination of haematological changes:

During the 4 d suppressive test haematological changes were also observed. For this, blood samples of all group experimental animals were collected into EDTA- coated tubes from the tail region of mice at d 0 (before infection) and d 4 of experiment to determine percent changes in blood parameters due to Plasmodium infection and effect of plant extract. Haematological assessment was done by considering following blood parameters: Total count of RBC, WBC and platelets, haemoglobin concentration and haematocrit value with the help of Automatic Haematology Analyser.

Data analysis:

Finally, data was analysed statistically using Graph Pad Prism software. The differences between means of measured parasitemia, haematological changes, survival time of mice and body weight changes were compared using one way Analysis of Variance (ANOVA) test and followed by Dunnett's multiple comparisons test. The p<0.05 were observed as statistically significant.

Results and Discussion

Results of sub-acute toxicity assessment indicated that both (flower and leaf) extracts were not found toxic for the experimental mice even at the highest dose level (3000 mg/kg), within the first 24 h as well as for the following 14 d of experiment. Similarly, their physical and behavioural observations also have not shown any visible signs of toxicity like: lacrimation, tremors, loss of appetite, hair erection, salivation and diarrhoea. Along with changes in above haematological parameters were also found statistically non-significant.

The value of the percent of suppression was found significant statistically (p<0.05) for each dose level of both plant extracts. The flower and leaf extracts of M. oleifera produced a dose dependent suppression in parasite at the different doses (125, 250, 500, 1000 mg/ kg) against P. yoelii (N-67 strain) infected Swiss albino mice. At the lower dose level (125 mg/kg), the values of percent of suppression were found 40.74 % and 20.36 % for flower extract whereas 31.85 % and 14.75 % for leaf extract on d 4 and d 10 of experiment, respectively but at the highest dose level (1000 mg/kg), the percent of suppression values were increased with 58.52 % and 43.75 % for flower extract and 56.30 % and 36.90 % for leaf extract. If we compare the percent of suppression with the positive control group (Group I) which was treated by the Artemether, it showed 89.63 % and 77.54 % suppression on d 4 and d 10 respectively (Table 1 and fig. 1)

Treatment Dose
(mg/kg/0.5 ml of water)
Percent parasitaemia
(%) (mean±SD)
Percent of suppression Survival time
(mean±SD)
Days
    d 4 d 10 d 4 d 10  
dH2O (NC) -- 1.35±0.07 35.66±1.31 0 0 10.50±0.64
Artemether
(PC)
1.25 0.14±0.01 8.01±0.49 89.63 77.54 25.00±1.39
MF 125 0.80±0.16 28.4±1.88 40.74 20.36 12.22±0.14
  250 0.69±0.14 26.3±1.87 48.89 26.25 14.60±1.90
  500 0.60±0.14 23.52±1.76 55.56 34.04 14.90±0.57
  1000 0.56±0.07 20.06±1.56 58.52 43.75 15.25±0.16
ML 125 0.92±0.18 30.40±1.67 31.85 14.75 10.68±0.38
  250 0.74±0.13 29.30±1.29 45.19 17.84 12.10±0.64
  500 0.62±0.11 24.95±1.66 54.07 30.03 13.70±1.91
  1000 0.59±0.08 22.50±1.46 56.30 36.90 14.36±0.23

Table 1: Chemo-Suppressive Effect Of M. Oleifera (Lam.) Crude Extract OnParasitaemia Level Of P. Yoelii Infected Swiss Albino Mice

IJPS-suppressive

Fig. 1: Chemo-suppressive effect of M. oleifera (Lam.) crude extract on suppression level of P. yoelii infected Swiss albino mice Note: PC-Positive control; MF-M. oleifera flower; ML-M. oleifera leaf;

Flower and leaf extracts of M. oleifera prevented the haematological changes in a dose dependent manner as compared to the negative control group. Haematological values on d 4 indicated that both extracts of M. oleifera prevented the reduction of RBC, haemoglobin, haematocrit value and platelets significantly (p<0.05) whereas increased the number of WBC at all dose levels (125 mg, 250mg, 500 mg and 1000 mg) as compared to negative control group. Maximum protection was found with 1000 mg/kg treatment of flower extract with the percent change of RBC (-6.33 %), haemoglobin (-2.07 %), haematocrit value (-1.87 %), platelets (-14.17 %) and WBC (+9.21 %) on d 4 (Table 2 and Table 3).

Treatment Dose (mg/kg/0.5 ml of water) WBC % change RBC % change HGB % change
103/µl 106/µl g/dl
(mean±SD) (mean±SD) (mean±SD)
    d 0 d 4 --- d 0 d 4 --- d 0 d 4 ---
dH2O -- 19.10±0.02 24.92±0.61 30.47 10.7±0.03 8.12±0.20 -24.11 14.52±0.04 11.86±0.29 -18.32
 (NC)
Artemether 1.25 18.38±0.09 19.16±0.54 4.26 10.60±0.01 10.01±0.28 -1.42 14.72±0.14 14.70±0.71 -0.14
(PC)
MF 125 15.5±0.12 19.05±0.93 22.9 10.01±0.15 8.46±0.41 -15.48 13.10±0.22 11.90±0.58 -9.16
250 19.65±0.11 22.43±1.24 14.15 10.80±0.19 9.70±0.53 -12.5 14.20±0.15 13.22±0.73 -6.9
500 14.22±0.22 15.80±0.40 11.11 10.43±0.21 9.77±0.25 -10.19 14.10±0.11 13.40±0.34 -4.96
1000 16.40±0.28 17.91±0.45 9.21 10.40±0.22 9.10±0.23 -6.33 14.50±0.22 14.20±0.36 -2.07
ML 125 15.29±0.26 18.88±0.45 23.48 10.05±0.16 8.35±0.20 -16.92 13.30±0.16 11.90±0.28 -10.53
250 17.02±0.16 20.70±0.51 21.62 10.40±0.14 8.93±0.22 -14.13 13.80±0.17 12.70±0.31 -7.97
500 14.22±0.24 15.80±0.45 11.39 10.70±0.17 9.46±0.27 -11.59 14.60±0.07 13.70±0.39 -6.16
1000 14.58±0.13 16.10±0.44 10.43 9.86±0.09 9.13±0.25 -7.43 14.10±0.20 13.70±0.38 -2.84

Table 2: Effect Of M. Oleifera (Lam.) Crude Extract On Wbc, Rbc And Haemoglobin Parameters OfP. yoelii Infected Swiss Albino Mice

Treatment Dose HCT % change PTL % change
(mg/kg/0.5 ml of water) % 103/μl
  (mean±SD) (mean±SD)
    d 0 d 4 --- d 0 d 4 ---
dH2O (NC) --- 47.56±0.28 42.84±1.05 -9.92 805±0.06 505.8±12.39 -37.17
Artemether 1.25 47.40±0.13 46.35±1.28 -0.11 826.6±0.18 777.8±51.83 -5.9
(PC)
MF 125 46.50±0.09 43.80±2.13 -5.81 725±0.23 480±32.56 -33.79
250 46.70±0.15 44.39±2.45 -4.95 621.66±0.16 442.4±27.7 -28.84
500 45.60±0.30 43.85±1.11 -3.84 735.8±0.24 620.8±33.92 -15.63
1000 46.50±0.18 45.63±1.15 -1.87 769±0.1 660±16.7 -14.17
ML 125 46.90±0.06 43.59±1.03 -7.06 728±0.13 442±10.46 -39.29
250 45.20±0.04 42.58±1.04 -5.8 795±0.17 570.2±13.97 -28.28
500 47.02±0.08 44.65±1.26 -5.04 829.2±0.05 628.4±17.77 -24.22
1000 46.50±0.14 45.44±1.25 -2.28 784±0.07 613±16.90 -21.81

Table 3: Effect Of M. Oleifera(Lam.) Crude Extract In Haematocrit And Platelet Amount Of P. Yoelii Infected Swiss Albino Mice

The result of mean survival time of experimental mice at highest dose level (1000 mg/kg) was 15.25±0.16 d for flower and 14.36±0.23 d for leaf extract whereas in case of positive control (Artemether treated group) it was 25±1.39 d (Table 1).

Results of 4 d suppressive test also revealed that all extracts treated groups prevented loss of body weight in mice significantly (p<0.05) as compared to negative control. At d 4 the percent change in the body weight was +4.06 % and +3.76 % for flower and leaf treatment, respectively at the highest dose level (1000 mg/kg) of both extracts whereas it was found +0.38 % and +5.66 % for negative and positive control, respectively (fig. 2).

IJPS-crude

Fig. 2: Chemo-suppressive effect of M. oleifera (Lam.) crude extract on body weight of P. yoelii infected Swiss albino mice Note: NC-Negative control; PC-Positive control; MF-M. oleifera flower; ML-M. oleifera leaf;

From several years, plants have been used as a remedy for thousands of diseases throughout the world and are also the basis for many pharmaceuticals currently in use. In the studies of malaria drug discovery, main focus is given to routine screening for erythrocytic (blood) stage of parasite which is relatively inexpensive and easier to carry out as compared to pre-erythrocytic stage investigations and clinically more demanding for the malaria treatment [6]. Percent of suppression is an important measurement for the assessment of the efficacy of any given crude extract or antimalarial compound therefore a good antimalarial drug which is given in the accurate dose; leads to quick suppression of the parasite [7]. The 4 d suppressive test is one of the key method for the assessment of antimalarial activities in the rodent model [8,9].

When different formulated doses (125, 250, 500, 1000 mg/kg) of both extracts (flower and leaf) were administered to P. yoelii infected Swiss albino mice for the assessment of antimalarial properties, it revealed that the antimalarial effect is dose dependent. The treated groups showed their effectiveness significantly (p<0.05) against malaria parasite in the form of percent of suppression. Highest efficacy of effectiveness were shown by extract of M. oleifera flower with 58.52 % followed by M. oleifera leaves with 56.30 % at the highest dose level (1000 mg/kg) on d 4.

According to Deharo et al. and Munoz et al. the anti- plasmodial efficacy of a plant extract can be classified into three groups-moderate, good and very good. If any extract shows percentage parasitemia suppression equal to or greater than 50 % at the dose level of 500 mg/kg body weight, it is considered as moderate, 250 mg/kg body weight it’s considered as good and at 100 mg/kg body weight it’s considered as very good [10,11]. Hence, according to current research, M. oleifera flower and M. oleifera leaves have moderate anti-plasmodium activity; as they showed 55.56 and 54.07 % parasitemia suppression, respectively at 500 mg/kg of body weight on d 4. A compound is considered as active when percent parasitemia suppression is found equal to 30 % or more [12,13], that also supports the outcome of the current research.

If we compare the percent of suppression of parasites of both flower and leaf extracts with standard drug

Artimether, it has been observed that both extracts are not as effective as standard drugs are, along with it has been also noticed that the chemo-suppressive efficacy of all plant extracts decrease, as the day progressed (Table 1).

Day to day observation during the post treatment period indicated the signs of the malaria infection which were seen in the all experimental mice because of regular rising of the parasitaemia. Succeeding growth of the parasitaemia in both extracts treated mice might indicate the effectiveness of the extracts remains for a short time due to their speedy breakdown or elimination by metabolism process [14].

M. oleifera plants have also been proved as powerful agents against different organisms like protozoa, bacteria and virus. Some previous studies indicated the medicinal efficacy of its different parts like leaf, stem, root, pods and seeds. A study was carried out to evaluate the antiprotozoal activity of M. oliefera against Leishmania donovani and revealed the parasite reduction significantly by using ethyl acetate fraction of M. oliefera flower by both assessment methods (i.e., in vivo and in vitro) [15]. Similarly, in another study flower extract of the above plant showed activity against Trypanosoma cruzi by lysis of protozoan cell [16].

Acetone extract of M. oliefera leaves was tested against different bacteria i.e., Staphylococcus aureus, Enterobacter cloace, Proteus vulgaris, Escherichia coli and Micrococcus kristinae and exhibited the inhibition in colonies of above bacteria at 5 mg/ml concentration [17]. M. oliefera also showed the inhibition activity on the replication of virus in the host cell, for this, alcoholic extract of leaves and stem bark were tested against equine herpes virus-1 and proved as effective [18]. Similarly above plant has been also proven as potent inhibitor for the treatment of Human Immunodeficiency Virus (HIV) early infection [19].

Some studies revealed that malaria parasites directly affect the blood parameters leading to haematological variations especially in the blood cells like RBCs, leukocytes and thrombocytes that are responsible for malaria pathogenesis [20-23]. Normally, Plasmodium infected persons are found to have lower concentration of haemoglobin and low count of platelets and RBCs significantly unlike to high count of neutrophil and monocytes as compared to non-infected persons [20,22-26].

M. oleifera plant shows high efficacy to prevent the loss of RBC, haemoglobin and haematocrit value as compared to negative control. These results also indicated that the extract has the efficacy to stimulate erythropoietin hormone, released from the kidney, regulating the RBC production[27]. It was observed that the count of WBC decreases in the extract treated mice, indicating the reduction of parasites. On the d 4, the best results were shown by flower extract of M. oleifera followed by leaf extract for all haematological parameters. The minute increase in haematological values in treated mice, indicated the prevention from disease development [28-30].

The findings of this study showed that M. oleifera flower and leaf has an antimalarial activity. Our study clearly demonstrated that the flowers are more active as compared to leaf. Flower extract has given significant results for all considered parameters such as percent

of suppression of parasites, high survival period of mice and prevention of changes in haematological values and in body weight as compared to negative control. Study strongly recommends that more efforts should be undertaken in future to continue the bioassay guided fractionation to isolate and identify the active compounds of M. oleifera flower and leaf extracts that have been already proven as antimalarial agents in the current study.

Acknowledgments:

We are grateful to the Department of Zoology, College of Science Mohanlal Sukhadia University Udaipur, Rajasthan for providing the laboratory facility for this work. We are also thankful to UGC for financial support as UGC- BSR fellowship for our research work.

Conflict of interests:

The authors declared no conflicts of interest.

References