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ISSN No:-2456-2165
Abstract:- African trypanosomiasis is a major disease of compared with trypanocidal activity of standard Berenil
economic and public health importance caused by drug dose at 3.5 mg/kg/bw. Garcinia kola seed extract
Trypanosoma brucei gambianse parasite that affects proved to be highly toxic to the liver at high doses >200
humans. In 2014, World health organization stated that mg /kg/bw due to various pathological lesions observed on
60million people were at the risk of the disease, 300,000 the liver of the extract treated groups when compared
cases were reported in Africa and sub Saharan African with Berenil drug which also produced similar liver
countries, 30,000 cases were diagnosed and treated, others toxicity and enzymes effect at standard dose. Garcinia
died or lives with the disability, based on non availability kola aqueous seed extract possesses trypanosostatic and
of novel drugs, very costly, highly toxic, and development trypanocidal effects in both In vivo and In vitro and also
of resistance to the drugs by the parasite therefore, the use highly toxic to the liver at high concentration >200
of plant extract is fast becoming the choice method for the mg/kg/bw. Berenil drug proved to be trypanocidal at
treatment of the disease. This study investigated standard recommended dose but very deadly due to its
trypanosomal activity, Liver enzymes and histological toxicity on liver and overdose may lead to lethal effect
effects of Garcinia kola aqueous seed extract and within 30min of administration. This study revealed that
Diaminizene aceturate (Berenil) drug in typanosomiasis Garcinia kola aqueous seed extract may be used to design
induced albino Wistar rat. The extract was obtained drug for the treatment of trypanosomiasis at lower
through Maceration method with distilled water and In concentration and the use of Diaminizene aceturate
vitro activity of the extract and Berenil drug was (Berenil) drug in human treatment should be
determined using rapid matching techniques at 3 hours discontinued due to its high level of liver toxicity and
post incubation with different doses of the extract and 3.5 enzyme effect in animal study.
mg/kg/bw of Berenil drug. In vivo study was done using
sixty two (62) albino Wister rats divided into 10 groups. Keywords:- Typanosome, Toxicity, Trypanosostatics,
Group A (normal control): non infected and non treated Trypanocidal, Garciniakolaseed, Berenil drug.
but received 10mL of distilled water; Group (B-H) were
infected by intraperitoneal inoculation of 1mL of I. INTRODUCTION
parasitized blood containing 1.0105/ml of T. brucei
gambianse parasites and treated with different doses of Human African trypanosomiasis or sleeping sickness
Garcinia kola seed extract, 200, 400 – 1400 mg/kg/bw; disease caused by subspecies of trypanosome, Trypanosoma
Group I: infected and treated with standard drug dose brucei gambiense, Trypanosoma brucie rhodesiensie and this
(Standard control); Group J: infected and non treated parasite lives and multiply extracellular in blood and tissue
(Pathological control). The treatment lasted for 21 days at fluid of their human host and transmitted by the bite of
3 days interval. Liver enzymes effects were determined by infected tsetse flies (Glossina spp) (Barett et al., 2002).
colorimetric method. Liver histological analysis was
carried out using standard tissue processing and stained The occurrence of sleeping sickness is restricted to the
with Haematoxyline and Eosin stain. Data were analyzed distribution of tsetse fly which is exclusively found in sub –
statistically using ANOVAs Turkeys post hoc SPSS Sahara Africa between 14oN and 20oN (Barett et al., 2002).
version 2.0 software and at 0.01 significant difference. More than 250 discreet active sleeping sickness foci in 36
Results revealed various liver enzyme and histological African countries are recognized most of which are in rural
effects were observed in all the extract treated and control areas (WHO, 2005). The course of sleeping sickness is
groups. Garcinia kola seed extract exhibited different depending on the sub species, infection with T. b
trypanosostatic at dose of <400 mg and trypanocidal rhodesiense lead to an acute form of the disease while
activity at doses > 400 mg in both in vitro and in vivo, infection with T.b gambiense gives rise to a chronic infection
Infection of Animal The treatment of the treated groups and control groups
Blood from a highly parasitized rat under anestherzation were lasted for 21 days consecutively through oral route of
was obtained from cardiac puncture using syringe and needle. administration for the plant seed extract and intra muscular
The blood was collected into a blood specimen collection injection with standard drug thereafter, the trypanosomal
bottle contained ethylene- di-aminetetra acetic acid (EDTA), activity and the effect of Garcinia kola aqueous seed extract
and diluted with dextrose saline solution using serial dilution and Diamazene aceturate was determined by Biochemical,
method up to 105 to serve as inoculums. Healthy rats was and Histological parameter examination using standard
inoculated intraperitoriously with 1.0 mL of the inoculums method.
which contain about 1.0× 105 trapanosome/ml. (Emmanuel et
al., 2011)
Method Total Serum billirubin was carried out using the Van
20 m of blood was placed on a greased free slide, then den Bengh Diazo reaction method describe by (Valentine,
covered with cover slip and examined under microscope at 1984).
x10 and x40 objective lens for motile trypanosome and direct
smear count was carried out using Herbert and Lumesden Histological examination was carried out by fixing each
standard method of rapid matching counting technique of liver in 10% formalin and undergone a standard tissue
1976. processing for histological examination and thereafter a
central section of 4m thickness, were cut from the tissue and
Screening of Garcinia Kola Extract and Berenil Drug for stained with heamatoxylin and eosin stain then view at 100
Internal Organ Toxicity objective of light microscope.
III. RESULT
Group Group Initial Day 3 Day 6 Day 9 Day 12 Day 15 Day 18 Day 21
Treatment level Mean± Mean± Mean± Mean± Mean± Mean± Mean±
Mean± SD SD SD SD SD SD SD
SD
A 10 ml of 0.00±0.0 0.00±0.0 0.00±0.0 0.00±0.00 0.00±0.00 0.00±0.0 0.00±0.0 0.00±0.0
Normal distilled 0 0 0 0 0 0
control water
B 200mg/kg/bw 5.00±0.0 5.00±0.0 7.00±0.0 6.00±0.00 4.00±0.00 3.00±0.0 2.00±0.0 2.00±0.0
of extract 0 0 0 0 0 0
C 400mg/kg/bw 5.00±0.0 5.00±0.0 7.00±0.0 5.00±0.00 4.00±0.00 3.00±0.0 2.00±0.0 1.00±0.0
of extract 0 0 0 0 0 0
D 600mg/kg/bw 5.00±0.0 5.00±0.0 7.00±0.0 6.00±0.00 4.00±0.00 3.00±0.0 2.00±0.0 0.00±0.0
of extract 0 0 0 0 0 0
E 800mg/kg/bw 5.00±0.0 5.00±0.0 4.00±0.0 3.00±0.00 3.00±0.00 1.00±0.0 1.00±0.0 0.00±0.0
of extract 0 0 0 0 0 0
F 1000mg/kg/b 5.00±0.0 5.00±0.0 3.00±0.0 2.50±0.00 2.00±0.00 1.00±0.0 0.00±0.0 0.00±0.0
w of extract 0 0 0 0 0 0
G 1200mg/kg/b 5.00±0.0 4.00±0.0 3.00±0.0 2.00±0.00 1.00±0.00 0.00±0.0 0.00±0.0 0.00±0.0
w of extract 0 0 0 0 0 0
Group Group Initial Day 3 Day 6 Day 9 Day 12 Day 15 Day 18 Day 21
Treatment level Mean± Mean± Mean± Mean± Mean± Mean± Mean±
Mean± SD SD SD SD SD SD SD
SD
A 10 ml of 0.00±0.0 0.00±0.0 0.00±0.0 0.00±0.00 0.00±0.00 0.00±0.0 0.00±0.0 0.00±0.0
Normal distilled 0 0 0 0 0 0
control water
B 200mg/kg/bw 5.00±0.0 5.00±0.0 7.00±0.0 6.00±0.00 4.00±0.00 3.00±0.0 2.00±0.0 2.00±0.0
of extract 0 0 0 0 0 0
C 400mg/kg/bw 5.00±0.0 5.00±0.0 7.00±0.0 5.00±0.00 4.00±0.00 3.00±0.0 2.00±0.0 1.00±0.0
of extract 0 0 0 0 0 0
D 600mg/kg/bw 5.00±0.0 5.00±0.0 7.00±0.0 6.00±0.00 4.00±0.00 3.00±0.0 2.00±0.0 0.00±0.0
of extract 0 0 0 0 0 0
E 800mg/kg/bw 5.00±0.0 5.00±0.0 4.00±0.0 3.00±0.00 3.00±0.00 1.00±0.0 1.00±0.0 0.00±0.0
of extract 0 0 0 0 0 0
F 1000mg/kg/b 5.00±0.0 5.00±0.0 3.00±0.0 2.50±0.00 2.00±0.00 1.00±0.0 0.00±0.0 0.00±0.0
w of extract 0 0 0 0 0 0
G 1200mg/kg/b 5.00±0.0 4.00±0.0 3.00±0.0 2.00±0.00 1.00±0.00 0.00±0.0 0.00±0.0 0.00±0.0
w of extract 0 0 0 0 0 0
H 1400mg/kg/b 5.00±0.0 4.00±0.0 2.00±0.0 1.00±0.00 0.00±0.00 0.00±0.0 0.00±0.0 0.00±0.0
w of extract 0 0 0 0 0 0
I Standard 3.5mg/kg/bw 5.00±0.0 2.00±0.0 1.00±0.0 0.00±0.00 0.00±0.00 0.00±0.0 0.00±0.0 0.00±0.0
control of 0 0 0 0 0 0
Diaminizine
accturate
J 10ml of 5.00±0.0 6.00±0.0 8.00±0.0 10.00±0.0 20.00±0.0 Death Death Death
Pathologic Dextrose 0 0 0 0 0
al control saline
solution
Table 3: In vivo activities of Garcinia kola aqueous seed extract and Diaminizene aceturate observed on T. brucei gambianse
parasite at 105/mL in Trypanomiasis induced albino rat for 21 days treatment
Note: letters a,b,c,d… denotes the significant differences of the means at p<0.01
AL CL
Plate1: Group A Non Infected and Non treated group Plate3: The effect of 400 mg/kg/bw of Garcinia kola
(normal control). Liver showing normal liver architecture aqueous seed extract on the liver of Group C Infected and
with portal vein (H&E stain) x 100 treated indicated by inflammatory cells around the portal
track with arrow (H&E stain) x 100
BL DL
Plate 2: The effect of the liver of Group B (Infected and Plate 5: Effect of 600mg/kg/bw of Garcinia kola aqueous
treated with 200 mg/kg/bw of Garcinia kola aqueous seed seed extract on the liver of Group D (Infected and treated)
extract) which indicated inflammatory cells around the indicated by collection of inflammatory cells around the
portal tract by the arrow (H&E stain) x 100 small vain with
EL HL
Plate4. The effect of 800 mg/kg/bw of Garcinia kola Plate 9: The effect of 1400mg/kg/ bw. Of Garcinia kola
aqueous seed extract on the liver of group E (Infected and aqueous seed extract on the liver of Group H (Infected and
treated) indicated by blood clots in a central vein with arrow treated) indicated by the Portal inflammation cell with arrow
(H&E stain) x 100 (H&E stain) x 100
FL IL
Plate 6: Effect of 1000mg/kg/bw of Garcinia kola aqueous Plate 8: Effect of the Diaminizene aceturate standard drug
seed extract on the liver of Group F (Infected and treated) on lung of Group I (infected and treated) indicated by the
indicated by the focal inflammation cell with arrow (H&E evidence of focal inflammation masking the hepatocyte with
stain) x 100 arrow (H&E stain) x 100
GL JL
Plate 7: The effect of 1200mg/kg/ bw.of Garcinia kola Plate 10: The effect of Trypanosoma brucei gambianse on
aqueous seed extract on the liver of Group G (Infected and the liver of Group J (Infected and non treated) Pathological
treated) indicated by the Portal inflammation cell with arrow control by the evidence of total deranged of general
(H&E stain) x 100 architecture with deformed hepatocyte, necrosis and
vascular congestion (H&E stain) x 100