Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item Gastroprotective activity of Trichosanthes cucumerina aerial parts(Sri Lanka Association for the Advancement of Science, 2007) Arawwawala, L.D.A.M.; Thabrew, M.I.; Arambewela, L.S.R.Trichosanthes cucumerina Linn. (Family: Cucurbitaceae), locally known as Dummella is commonly found in Asian countries including Sri Lanka. The aerial parts of T. cucumerina are widely used in combination with other plants in the traditional medicinal systems as a remedy for fever, dropsy, acute bronchitis, boils, inflammation, skin diseases, jaundice, diabetes and gastric lesions. The aim of the present study was to scientifically investigate whether Trichosanthes cucumerina (T.C.) has gastroprotective activity. The oral gastroprotective effect of hot water extract (HWE) of T.C. aerial parts was evaluated by determining its ability to protect against gastric lesions in rats induced by absolute ethanol (5 mL/kg) or indomethacin (5 mg/kg). All the experiments were conducted using Wistar strain rats (weight: 200 - 220 g). The food was withdrawn for 36 h and water for 12 h in rats, before the commencement of the experiment. These rats were randomly divided into 5 groups (n = 8 rats/group; 3 males + 3 females) and groups 1 - 3 were orally administrated with HWE at a dose of 375, 500 and 750 mg/kg, respectively. Group 4 was orally treated with equal volume of distilled water (1 mL; control) while group 5 was orally treated with the reference drug, cimetidine (100 mg/kg). In the indomethacin experiment, only one dose of HWE (750 mg/kg) was tested, as this was found to have the maximum effect in the alcohol model. Results show that the HWE of T.C. possess significant (P < 0.05) and dose dependent gastroprotective effects in the alcohol model in terms of the length and number of gastric lesions mediated by alcohol, with a maximum effect at 750 mg/kg. A significant (P < 0.05) gastroprotective activity was also observed in the indomethacine model. In the ethanol model, the protective effect demonstrated by the HWE of T.C was comparable with that produced by cimetidine. However, a significantly higher gastroprotective activity was observed in the ethanol model than in the indomethacin model. The HWE significantly increased the amount of mucus produced by the rat gastro mucosa (by 39%) and reduced the gastric acidity (by 36 %). pH of the gastric juice increased from 4.1 to 6.02. However, no change in the volume of gastric juice was observed. It may be concluded that HWE of T.C can exert a significant protection against ethanol or indomethacin induced gastric damage. Increasing the protective mucus layer and decreasing the acidity of the gastric juice are probable mechanisms by which the HWE of T.C. mediates its gastroprotective actions. Acknowledgement: National Science Foundation (research grant No: NSF/SCH/2005/13)Item Investigation of the antioxidant activity of a herbal decoction with anti-carcinogenic properties(Sri Lanka Association for the Advancement of Science, 2007) Galhena, P.B.; Thabrew, M.I.; Thammitiyagodage, M.G.Item Extra - pancreatic actions of Trichosanthes cucumerina(Sri Lanka Association for the Advancement of Science, 2008) Arawwawala, L.D.A.M.; Thabrew, M.I.; Arambewela, L.S.R.Trichosanthes cucumerina Linn (Family: Cucurbitaceae), locally known as Dummella is commonly found in Asian countries including Sri Lanka. The aerial parts of T. cucumerina (T.C) are widely used in combination with other plants in the traditional medicinal systems as a remedy for fever, dropsy, acute bronchitis, boils, inflammation, skin diseases, jaundice, gastric lesions and diabetes. In Sri Lanka, the aerial parts of T.C are used as a remedy for diabetes. In a previous study we demonstrated that hot water extract (HWE) of T.C aerial parts can exert significant hypoglycemic activity in both normaglycemic and streptozotocine (STZ) induced diabetic rats. It was also shown that HWE had no effect on intestinal glucose absorption. A study was therefore, carried out to determine if extra - pancreatic effects were the main mechanisms by which the HWE exerts its hypoglycemic effect in rats. Extra - pancreatic effects were investigated by comparison of (a) Liver glycogen levels and (b)Triglyceride level in adipose tissue in normaglycemic and STZ - induced (by i.v. 50 mg/kg) diabetic rats that were orally treated with the HWE with those that did not receive the extract in the corresponding groups. Wistar rats (175 - 200 g body weight) were randomly divided in to 4 groups. Rats in Group 1 (n = 12; normal controls) were orally administered distilled water (1.0 ml/Kg), Group 2 (n = 12; normal test) received HWE (750 mg/kg of body weight), Group 3 (n = 7; diabetic control) received distilled water (1.0 ml/Kg) while group 4 (diabetic test) received HWE consecutively for 28 days. The dose of 750 mg/kg T.C was used because it exerted the maximum hypoglycemic effect in the previous study. Rats were kept fasting and, blood samples were collected from their tails at 14 days and 28 days post treatment and serum glucose levels determined. Subsequently, rats were sacrificed, livers and adipose tissues were harvested and subjected for estimation of glycogen levels and triglyceride levels respectively. In the diabetic rats, compared to the control group HWE significantly reduce the blood glucose levels at the end of 14 days and 28 days. The reduction in blood glucose was comparable to that produced by the antidiabetic drug, glibenclamide (0.6 mg/Kg). In normaglycemic rats HWE reduced the blood glucose levels at the end of 14 and 28 days. At the end of 28 days, it was found that in both normaglycemic and STZ - induced diabetic rats, there was a significant (P= 0.05) increase in the levels of liver glycogen (normaglycemic rats by 55.8 %; diabetic rats by 93.6 %) and adipose tissue triglyceride (normaglycemic rats by 14.3 %; diabetic rats by 16.7 %) in comparison with the respective controls that were not treated with HWE. It may be concluded that hypoglycemic effects demonstrated by T.C are mediated mainly via enhanced up take of blood glucose in to extra - pancreatic tissues. Financial assistance by National Science Foundation (Research Grant NSF/SCH/2005/13) is acknowleged.Item Hypoglycaemic and Hypolipidaemic effect of an ethylacetate fraction of Artocarpus heterophyllus (jak) leaves in streptozotocin induced diabetic rats(Sri Lanka Association for the Advancement of Science, 2009) Chackrewarthy, S.; Jayasekera, S.; Thabrew, M.I.; Weerasooriya, M.K.B.Previous investigations have shown that aqueous extracts of Artocarpus heterophyllus (jak) leaves (family Moraceae) can exert significant hypoglycaemic activity, and improve the glucose tolerance of healthy rats and humans, and newly diagnosed maturity onset diabetic patients. A preliminary study carried out by the authors with fractions separated from A. heterophyllus leaves showed that the ethylacetate fraction exerts the greatest hypoglycaemic activity in rats. The objective of the present study was to determine the effects of prolonged administration of ethylacetate fraction of A. heterophyllus leaves on serum glucose and lipid levels in streptozotocin induced diabetic rats since no reports are available on the effects of A. heterophyllus leaves on hyperlipidaemia associated with diabetes despite its clinical significance. Oral administration of the ethylacetate fraction (20 mg kg -1 bw) of A. heterophyllus leaves daily for five weeks significantly lowered serum glucose, cholesterol and triglyceride levels in streptozotocin induced diabetic rats. Compared to the control diabetic rats, the extract treated rats had 39% less serum glucose, 23% lower serum total cholesterol and 40% lower serum triglyceride levels and 11% higher body weight at the end of the fifth week. The percentage reductions in the serum parameters mediated by the test fraction were comparable with those produced by glibenclamide (57%, 32% and 42% reductions in serum glucose, cholesterol and triglycerides, respectively). The stimulation of insulin release by active principles in the ethylacetate fraction may be one of the mechanisms by which this fraction mediates its hypoglycaemic effect. It may be concluded that the ethylacetate fraction of A. heterophyllus leaves contain one or more hypoglycaemic and hypolipidaemic principles which have the potential to be developed further for the treatment of diabetes specifically associated with a hyperlipidaemic state.Item An investigation of toxicity of Trichosanthes cucumerina(Sri Lanka Association for the Advancement of Science, 2006) Arawwawala, L.D.A.M.; Thabrew, M.I.; Arambewela, L.S.R.Item A Pilot study on palmyrah pinattu (dried fruit pulp) as an anti-diabetic food component(International Formulae Group (IFG), 2007) Uluwaduge, D.I.; Perera, A.N.S.; Jansz, E.R.; Thabrew, M.I.The fruit pulp of palmyrah (Borassus flabellifer L.) has been shown to inhibit intestinal glucose uptake in mice, the active principle being a steroidal saponin, flabelliferin-II which inhibits intestinal ATPase in mice at 5x 10"5M level. Palmyrah fruit pulp (PFP) is widely used to manufacture many food products including dried PFP (pinattu), which has been consumed in North-East Sri Lanka for centuries. The present study was carried out to investigate whether PFP in the form of pinattu could reduce serum glucose levels of mild diabetic (Type-II) patients who were not on a drug regimen with a view to developing pinattu as an anti-diabetic food component. Patients (newly diagnosed, Type-11, mild diabetic patients) attending the diabetic clinic at the Family Practice Centre, University of Sri Jayewardenepura, Sri Lanka, were subjected to a glucose challenge (75 g/50 kg BW) after a 10 hour overnight fast and the blood glucose levels determined. On subsequent visits of each patient (3 days after the first visit) blood glucose was determined after administration of PFP in the form of pinattu (6 g/50 kg BW) or fibre (4 g/50 kg BW) extracted from PFP prior to the glucose challenge. The methodology employed was the cross over method where each patient was its own control. In all mild diabetic patients treated with pinattu, there was a significant reduction (p< 0.01, by 15-48%) in blood glucose concentration after a glucose challenge. Therefore the results of the present study suggest that pinattu (dried PFP) could be used as an anti-hyperglycemic agent.Item Possible interaction of herbal tea and carbamazepine(De Gruyter, 2003) Thabrew, M.I.; Munasinghe, T.M.J.; Chackrewarthy, S.; Senarath, S.A study was conducted using Wistar rats to determine the effect of concurrent administration of a herbal tea prepared from dried flowers of Cassia auriculata and carbamazepine on (a) blood levels of the prescription drug and (b) changes in toxicity (as assessed by changes in hematological parameters, liver and kidney function, and histology of major body organs) that may occur due to drug interaction. Results demonstrate that in rats receiving the herbal tea and carbamazepine, the blood levels of the prescription drug were significantly enhanced by 47.1% (p <0.04) when compared with the levels in animals receiving only carbamazepine, with no apparent changes in toxicity. Concurrent ingestion of the herbal tea prepared from Cassia auriculata flowers with carbamazepine may therefore influence the bioavailability of the prescribed drug and hence its therapeutic potential.Item Oral hypoglygaemic activity of Ipomea aquatica in streptozotocin induced diabetic wistar rats and type II diabetics(Wiley, 2003) Malalavidhane, T.S.; Wickremasinghe, S.M.D.N.; Perera, M.S.A.; Jansz, E.R.Ipomoea aquatica Forsk is a common green leafy vegetable consumed in many parts of the world. The present study was designed to investigate theoral hypoglycaemic activity of Ipomea aquatica in streptozotocin induced diabetic Wistar rats, and Type II diabetic patients. Experimental diabetes was induced with streptozotocin in Wistar rats. The rats were then divided into test and control groups. In addition to the standard feed given to both groups the test was fed with the shredded leaves of Ipomoea aquatica (3.4 g/kg) for one week. Type II diabetic patients were subjected to a glucose challenge before and after a single dose of blended I. aquatica. Patients acted as their own controls. The results revealed that consumption of the shredded, fresh, edible portion of I. aquatica for one week, effectively reduced the fasting blood sugar level of streptozotocin-induced diabetic rats (p = 0.01). When subjected to a glucose challenge, the Type II diabetic subjects showed a significant reduction (p = 0.001) in the serum glucose concentration 2 h after the glucose load. However, it was not significantly reduced at 1 h (p < 0.09) post glucose load. There was a 29.4% decrease in the serum glucose concentration of the diabetic patients when treated with the plant extract.Item Protection against diethylnitrosamine induced hepatocarcinogenecity by an indigenous herbal remedy comprised of Nigella sativa, Hemidesmus indicus and Simlax glabra: a preliminary study(Medknow Publications, 2003) Iddamaldeniya, S.S.; Wickremasinghe, S.M.D.N.; Thabrew, M.I.; Ranatunge, N.; Tammitiyagodage, M.G.BBACKGROUND: A decoction comprised of Nigella sativa seeds, Hemidesmus indicus root and Smilax glabra rhizome is used to treat cancer patients in Sri Lanka. However, the anti-carcinogenic properties of this decoction have not been experimentally confirmed. The purpose of this study was to determine whether the above decoction could protect against chemically induce hepatocarcinogenesis. METHODS: The effects of this decoction on diethylnitrosamine (DEN) induced hepatocarcinogenesis were examined in male Wistar rats using the medium term bioassay system of Ito, based on a 2-step model of hepatocarcinogenesis. Rats were randomly divided into 6 groups of 10 each. Groups 1 to 4 were injected with DEN (200 mg/kg) to initiate carcinogenesis. Twenty-four hours later groups 1 and 2 were administered the decoction at 4 g/kg body weight/day (dose 1) and 6 g/kg body weight/day (dose 2), respectively. Group 3 and group 4 were given distilled water instead of the decoction and a suspension of garlic powder (20 g/kg body weight/day) in distilled water (positive control), respectively. Group 5 and 6 were injected with normal saline and twenty-four hours later group 5 was given distilled water (normal control) while group 6 was given decoction dose 2 (decoction control). Oral feeding continued for two weeks after which all rats were subjected to 2/3 partial hepatectomy to promote carcinogenesis. Oral feeding continued for eight more weeks. At the end of the 10th week, rats were sacrificed and samples of livers taken for immunohistochemical studies. Carcinogenic potential was scored by comparing the number, area and staining intensity of glutathione S-transferase placental form (GST-P) positive foci and the number of cells/cm2 of the positive foci in the livers of the six groups of rats. RESULTS: The number and area of DEN-mediated GST-P positive foci, number of cells/cm2 of foci and staining intensity of the foci were significantly (P > 0.001) reduced by the decoction and garlic in the order dose 2 = garlic >dose 1. CONCLUSION: Overall results indicate that the decoction comprised of N. sativa, S. glabra and H. indicus has the potential to protect rat liver against DEN induced hepatocarcinogenesissItem Diuretic activity of leaf and stem decoctions of Anisomeles indica(2003) Dharmasiri, M.G.; Ratnasooriya, W.D.; Thabrew, M.I.Anisomeles indica (Lamiaceae) is a wild perennial herb growing in South and South East Asia. A decoction of leaves and stems of this plant is said to be diuretic but this point has not been verified in a controlled scientific investigation. The aim of the study was to scientifically investigate the diuretic activity of the decoctions of leaves and stems of both preflowering (E1) and flowering (E2) plants. Rats were used for experiments. The results showed that A. indica has powerful diurecti action and justify the use of the plant in traditional medicine in Sri Lanka. It is concluded that only the preflowering plants possessed marked diuretic activity. The selection of proper stage of the plant is vital for the induction of diuresis.
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