In Vitro Antiplasmodial Activity of Aqueous Leaves Extract of Azadirachta Indica (Juss), Senna occidentalis (Linn) against Combination Therapy of Both Plants Extract on the Multiplication of Plasmodium Falciparum (Laveran)
This study investigated the antiplasmodial effects of leaves extract of Azadirachta indica, Senna occidentalis and Combination therapy of both plans extracts using RPMI 1640 culture media (in vitro). Parasite density was determined by counting the number of Plasmodium falciparum infected erythrocyte in 5,000 erythrocytes of the culture, thin blood smear were prepared and stained with Giemsa stain. Varying concentrations of the extracts such as 10, 20, to 100 mg/mL were prepared, the effect of the leaves extracts against the growth of schizonts were dose dependant. A. indica showed highest growth inhibition (96.92%) at 70m g/ml. However, the schizonts were found to be inhibited by the leaves extract of S. occidetalis at the highest concentration (100 mg/mL) with growth inhibition of 98.46%, there was no significant difference in the anti-malaria efficacy among the leave extracts and the Combination therapy (p<0.05) at 100 mg/mL. The results of phytochemical screening indicated A. indica and S.occidentalis contain Alkaloids, Flavonoids, Saponins, Saponins glycosides, Steroids and Terpenoids. The result of the study showed that Azadirachta indica and Senna occidentalis contain pharmacologically active compounds, hence they are potential antimalaria.
Introduction
Malaria remains an important public health concern in countries where transmission occurs regularly, as well as in areas where transmission has been largely controlled or eliminated [1]. The classic symptom of malaria is fever with spikes on alternating days, headaches; malaise, fatigue, nausea, and anemia are also common. Severe
forms of the disease can result in organ failure, delirium, impaired consciousness, and generalized convulsions, followed by persistent coma and death [2]. The World Health Organization (WHO) estimated that 216 million cases of malaria in 91 countries in 2016, more than the 211 million cases reported in 2015, Malaria continues to claim a significant number of lives: in 2016,445 000 people died from malaria globally, compared to 446 000estimated deaths in 2015, Children under five are particularly susceptible to malaria. The disease claims the life of a child every two minutes [3]. The African Region continues to bear 90% of malaria cases and 91% of malaria deaths worldwide and Nigeria, the continent’s most populous country, accounted for 27% of malaria cases and 24% of malaria deaths globally in 2016 [3]. Plasmodium falciparum the most widespread etiological agent for human malaria has become increasingly resistant to standard antimalarials (e.g. chloroquine and antifolates), Artemisinin combination therapies (ACTs) are the recommended treatment for uncomplicated malaria. However, their uptake remains relatively low – in part due to availability issues, but also due to the high cost of ACTs in relation to cheaper, less effective alternatives. This is of great concern to all parties with an interest in access to medicines and the control of malaria, WHO [4]. Medicinal plants have been the focus for the search of new antimalaria drugs in various parts of the world [5] and the present global situation indicates a recent resurgence in the severity of malaria, due to the resistance of malaria parasites to antimalarial drugs [6]. Hence, there is a need to intensify research in the development of new, cheap and effective antimalarial drugs from medicinal plants.
Plants are important source of drugs; especially in traditional medicine [7]. It is a common practice in Nigeria and other parts of the world to use plant in the form of crude extracts, decoction, infusion or tincture to treat common infection and chronic conditions. According to WHO, over 70% of the world populations rely on medicinal plants for primary health care2 and there are reports from various researchers on natural substances of plant origin which are biologically active, with desirable antimicrobial and antioxidant properties [8].
Materials and Method
Collection and Identification of Samples
Fresh and mature leaves of Azadirachta indicia were obtain behind new postgraduate hostel Usman Danfodio University Sokoto (permanent site). While Senna Alkali K, et al. In Vitro Antiplasmodial Activity of Aqueous Leaves Extract of Azadirachta Indica (Juss), Senna occidentalis (Linn) against Combination Therapy of Both Plants Extract on the Multiplication of Plasmodium Falciparum (Laveran). Ann Adv Biomed Sci 2018, 1(1): 000104.
occidentalis fresh mature leaves were obtained behind First Bank plc, Usman Danfodio University Sokoto, (permanent site). The samples were collected separately in a clean sterile polythene bag and brought to the herbarium of the Department of Biological Science, Usman Danfodio University Sokoto, for identification and authentification. Voucher specimen UDUS/ANS/0115 and UDUS/ANS/0168) were prepared and deposited in the same herbarium.
Fifty grams (50 g) from each sample of Azadirachta indica was extracted with 1500mL of distilled water in 2000mL beaker. The soaked sample was stirred and covered with aluminum foil and keep for twenty four hours. The resultant extract was filtered using muslin c oth an each i tere was evaporate separate y to ry usin hot p ate set at C to o tain cru e extract The extract was weighted and stored in the refrigerator until use. Artemether and Lumefantrine reference standard were purchased from Sigma-Aldrich, USA.
Qualitative Photochemical Screening of Plant Extract
The leaves extract of the plant were screened for metabolites such as alkaloids, tannins, flavonoids, saponins, balsams, anthraquinones, cardiac glycosides, glycosides, and steroids, using Dra en o ’s Test or alkaloid, Ferric Chloride Test for tannins, H2SO4 Test for flavonoid, Frothing Test for saponins, Liebermann Burchar ’s Test or terpenoi Steroi s, Borntra er’s Test or Anthraquinone, Feh in ’s Test or G ycosi es, Ke er- Ki iani’s Test or Car iac G ycosi es, Feh in ’s Test or Saponins Glycosides and Ferric Chloride Test for Balsams [9, 10].
Media Preparation
P. falciparum originally obtained from a positive patient from specialist hospital Sokoto, was continuously cultured based on a modified method previously described by Trager [11]. The parasites were maintained in continuous culture on human erythrocytes (blood group O+ obtained from the Hematology Department, Sokoto specialist hospital, in RPMI 1640 medium supplemented with 10% human AB+ serum, 25 Mm N-2- hydroxyethylpiperazine- N-2-ethanesulfonic acids (HEPES), 2g NaHCO3 and 60 mg/ml gentamicin sulfates, at pH 7.2. The assay was performed in a culture flaks, the cultures were incubated at 37°C in an atmosphere of CO2 in a candle jar for 24 hours. Parasite cultures were Copyright© Alkali K, et al.
synchronized to the ring stage by treatment with 5% Sorbitol.
Inoculation Procedure for Efficacy Test
Plant extracts 30µL each were dropped in to different wells, each containing different concentration of 10 mg/mL, 20 mg/mL, 30 mg/mL, 40 mg/mL, 50 mg/mL, 60 mg/mL, and 70 mg/mL, of A.indica and standard antimalaria were also screened in 96 well microtitre plates. Culture media (100µL) was parasitized with erythrocyte prasitemia at 0.5% and then inoculated in to the wells. The control well contains no treatment. The cultures were incubated at 37°C in an atmosphere of CO2 in a candle jar for 24 hours [12]. Schizont growth inhibitions per 200 asexual parasites were counted in 25 microscopic fields. The control parasite culture was considered as 100 % growth. The percentage inhibition per concentration was calculated using the formula:
% inhibitions per concentration= parasite ia in contro parasite ia in test we parasite ia in contro X 100 [13].
Statistical Analysis
Data obtained from the study were subjected to statistical analysis using statistical package for social science (SPSS) version 20.0. Analysis of variance (two ways ANOVA) was carried on the data, at 95% level of significant and mean generated from this study were separated using New Duncan Multiple Range Test (DMRT).
Results
The phytochemical screening of plants material showed the presence of saponins, tannins, flavonoids, tepaenoids, cardiac glycosides, alkaloids, steroids and Saponin glycocides.
| Constituent | A.indica | S.occidentalis | ||||||
|---|---|---|---|---|---|---|---|---|
| Alkaloids | + | ++ | ||||||
| Saponin glycocides | + | + | ||||||
| Terpenoid steroids | + | + | ||||||
| Tannins | + | - | ||||||
| Saponins | +++ | +++ | ||||||
| glycosides | - | + | ||||||
| Flavonoids | + | + | ||||||
| balsams | + | - | ||||||
| Cardiac glycosides | + | - | ||||||
| volatile oils | - | + | ||||||
| anthraquinones | - | - |
Table 1: Qualitative Phytochemical screening of A. indica and S. occidentalis leaves extracts.
KEY; - Not ditected, + Identified in a trace amount, ++ Identified in moderate amount, +++ Identified in high amount. Table 1: Qualitative Phytochemical screening of A. indica and S. occidentalis leaves extracts.
The results of the antimalaria activity of aqueous extract of A. indica on the schizonts growth of P. falciparum are presented in Tables 1 & 2. The result show complete schizont growth inhibition when P. falciparum is treated with 70 mg/mL of A. indica with the mean growth inhibition of 96.92% (0.67) and the lowest inhibition was recorded at 10 mg/mL, with the mean growth inhibition of 22.72% (17.0). Similarly, complete schizont growth inhibition of 98.46% (0.33) was recorded when P. falciparum is treated with 100 mg/mL of S. occidentalis and the lowest schizont growth inhibition of 19.68% (17.67) at 10 mg/mL. Standard antimalaria inhibited schzont growth 100% at all concentration.
| ( | Concentrations | t | Azadirachta indica | Senna occidentalis | Combination therapy | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| mg/ml)of plan | Mean growth | Inhibition | Mean growth | Inhibition | Mean growth | Inhibition | ||||||||||||||
| extract | ±SE | (%) | ±SE | (%) | ±SE | (%) | ||||||||||||||
| control | 22 | 0 | 22 | 0 | 22 | 0 | ||||||||||||||
| 10 | 17.0c±0.57 | 22.72 | 17.67c± 1.45 | 19.68 | 10.67b ± 1.20 | 51.1 | ||||||||||||||
| 20 | 15.33c±1.53 | 30.31 | 16.00c± 0.58 | 27.27 | 07.33b± 1.20 | 66.68 |
Table 2: Antimalaria activity of aqueous leaves Extract of Azadirachta indica, Senna occidentalis and Combination therapy on trop
Alkali K, et al. In Vitro Antiplasmodial Activity of Aqueous Leaves Extract of Azadirachta Indica (Juss), Senna occidentalis (Linn) against Combination Therapy of Both Plants Extract on the Multiplication of Plasmodium Falciparum (Laveran). Ann Adv Biomed Sci 2018, 1(1): 000104.
Copyright© Alkali K, et al.
| 30 | 08.67b±0.88 | 60.59 | 15.00c± 0.57 | 31.81 | 04.33b± 0.88 | 80.31 |
|---|---|---|---|---|---|---|
| 40 | 03.67b±0.67 | 83.31 | 14.67c± 1.20 | 33.31 | 02.67b± 0.67 | 87.86 |
| 50 | 02.67b±0.88 | 87.85 | 14.00c± 0.58 | 36.36 | 01.00a± 0.57 | 95.45 |
| 60 | 01.33a±0.88 | 93.95 | 12.33b±0.33 | 45.45 | 00.00a± 0.00 | 100 |
| 70 | 00.67a±0.67 | 96.95 | 06.33b± 0.88 | 71.22 | 00.00a± 0.00 | 100 |
| 80 | 00.00a±0.00 | 100 | 03.33b± 0.58 | 84.86 | 00.00a± 0.00 | 100 |
| 90 | 00.00a±0.00 | 100 | 02.00b± 0.58 | 90.9 | 00.00a± 0.00 | 100 |
| 100 | 00.00a±0.00 | 100 | 00.33a±0.33 | 98.45 | 00.00a± 0.00 | 100 |
Table 3: Antimalaria activity of aqueous leaves Extract of Azadirachta indica, Senna occidentalis and Combination therapy on trop
Discussion
The phytochemical study of A. indica and S. occidentalis revealed the presence of tannins, saponins alkaloids, glycosides, flavonoids, steroids, balsams, volatile oil, anthraquinones, saponin gkycocides and cardial glycocides. Qualitative phytochemical analysis of Azadirachta indica and Senna occidentalis indicated that the plants are rich sources of bioactive compounds similar bioactive compounds were also earlier observed on whole plant of S. occidentalis Egharevba, et al. [14]. Reported the presence of carbohydrates, saponins, sterols, flavonoids, resins, alkaloids, terpenes, anthraquinones, glycoside and balsam in S. occidentalis. And seed back and leaves of Azadirachta indica [15]. The presence of bioactive compound in Azadirachta indica and Senna occidentalis is an indication that they have medicinal potentials due to the fact that each of the bioactive compounds identified has one or more uses therapeutically [16, 17]. Other study includes Odeja, et al. Ronan, et al. Chukwujekwu, et al. and Sheeba, et al. [18, 19, 20].
The antimalarial study revealed the activity of A .indica and S. occidentalis leaves extracts. The study revealed that A. indica is the most effective against schizonts growth of P. falciparum followed by S. occidentalis. A. indica leaves extract significantly inhibited the rowth y 22’72 o at 10mg/ml, this differs significantly compare to the Combination therapy which inhibited the growth by 51.1%. At 70 mg/mL P. falciparum growth was inhibited significantly by 96.92%, which shows no significant difference compare to the Combination therapy with 100% inhibition. This finding conforms to the report of in which similar constituents were found to exhibits antiprotozoal and antibacterial activities [21] and Usha, et al. [22] who tested aqueous extracts of Azadirachta indica (bark), in vivo against P. berghei o owin Peter‟s -day test and recorded about Alkali K, et al. In Vitro Antiplasmodial Activity of Aqueous Leaves Extract of Azadirachta Indica (Juss), Senna occidentalis (Linn) against Combination Therapy of Both Plants Extract on the Multiplication of Plasmodium Falciparum (Laveran). Ann Adv Biomed Sci 2018, 1(1): 000104.
70% parsitemia inhibition. Extracts from Nigerian neem leaves (Azadirachta indica) have been earlier reported to have anti-malarial activities [23, 24]. But Udeinya, et al. [25] demonstrated that acetone/water mixture is a more efficient solvent than water alone for the extraction of anti-malarial activity from Nigerian neem leaves. Its anti- malarial activity has been reported to be superior to chloroquine [26], gametocytocidal [25, 27] and schizonticidal [26], against falciparum malaria parasite. The effectiveness of A. indica is not has been surprising as the plant shows to posses antimalarial activity [23]. This also explains the rampart use of A. indica by the people. S. occidentalis leaves extract significantly inhibited the growth by 19.68% at 10 mg/mL, this indicate there is significant difference compare to the Combination therapy. At 100 mg/mL P. falciparum growth was inhibited significantly by 98.46%, this indicates there is no significant difference compare to the Combination therapy. These findings are in conformity with that of Tona, et al. [28], who worked on Cassia occidentalis against rat model Plasmodium and reported 60% inhibition. Choudhary and Nagori, [29] reported 63% inhibition of Cassia occidentalis leaves extracts in vitro antimalarial activity. Although much data was not found about antimalarial activity of S. occidentalis. The study revealed that there is no significant difference between A. indica andS.occidentalis leaves extracts at 10 mg/mL, but they differ significantly at 70 mg/mL. There was significant difference across concentration of all plants extracts, indicating that A. indica and S. occideatalis leaves possess antimalaria potential against P. falciparum.
Conclusion
Based on the present study, it can be concluded that the extracts of Azadirachta indica and Senna occidentalis possess anti plasmodial activity. The phytochemical screening revealed the presence of bioactive constituents that could be the reason for pharmacological activity.
Copyright© Alkali K, et al.
Even though they are not as effective as the Combination therapy at low concentration, both plants showed promising activity against schizonts growth. Both Azadirachta indica and Senna occidentalis antimalarial activities were found to be dose dependant. Therefore, the observed anti plasmodial activity of both plant extract can be a positive attributes in the malaria control.
References
-
WHO (2001) Drug resistance in malaria, Switzerland. World Health Organization, pp: 1-27.
-
Bleakley H (2010) Malaria in the Americas: A Retrospective Ana ysis o Chi hoo Exposure,” University of Chicago 2(2): 834-2192.
-
WHO (2018) World Malaria Day Ready to beat malaria Switzerland. World Health Organization, pp: 1-3.
-
WHO (2010) Good Governance for Medicines programme: an innovative approach to prevent corruption in the pharmaceutical sector. World Health Organization, Geneva, Switzerland, pp: 25.
-
Schuster BG (2001) Demonstrating the validity of natural products as anti-infective drugs. Journal of Alternative and Complementary Medicine 7(1): 73- 82.
-
Peter IT, Anatoli VK (1988) The Current Global Malaria Situation: Malaria Parasite Biology, Pathogenesis, and Protection, ASM Press, Washington, DC, USA, 38-43 Prospects and challenges: spatula DD 1(3): 167-174.
-
Bako SP, Bakfur MJ, John I, Bala EI (2005) Ethnomedicinal and phytochemical profile of some savanna plant species in Nigeria. International Journal of Botany 1(2): 147-150.
-
Hamid AA, Aiyelaagbe OO, Usman LA, Ameen OM, Lawal A (2010) Antioxidants: Its medicinal and pharmacological applications. African Journal of Pure and Applied Chemistry 4(8): 142-151.
-
El-Olemy MM, Farid JA, Abdel-fattah A (1994) Experimental phytochemistry. A loboratory manual. Collage of pharmacy, king saud university ritadh. Pp: 143. Alkali K, et al. In Vitro Antiplasmodial Activity of Aqueous Leaves Extract of Azadirachta Indica (Juss), Senna occidentalis (Linn) against Combination Therapy of Both Plants Extract on the Multiplication of Plasmodium Falciparum (Laveran). Ann Adv Biomed Sci 2018, 1(1): 000104.
-
Evans WC (1999) Treas and Evans phamacognosy 14th (edn) W.B Saunders Company Limited, New York. Pp 1-340.
-
Trager W, Jensen JB (1976) Human alaria parasites in continuous culture. Science 193(4254): 673-675.
-
Rieckmann KH, Campbell GH, Sax LJ, Mrema JE (1978) Drug sensitivity of Plasmodium falciparum, an in vitro microtechnique. Lancet 1(8054): 22-23.
-
Ngemenya MN, Akam TM, Yong JN, Tane P, Fanso- Free, et al. (2006) Antiplasmodial activities of some products from Turrenthus africanus (Meliaceae). African Journal of Health Sciences 13(1-2): 33-39.
-
Egharevba HO, Odigwe AC, Abdullahi MS, Okwute SK, kogun JI (2010) Phytochemical Analysis and Broad Spectrum Antimicrobial Activity of Cassia Occidentalis L. (whole plant). New York Science Journal 3(10): 74-81.
-
Niyi A (2011) Neem tree extract Azadirachta indica and malaria control 1(3): 167-174.
-
Nonita PP, Mylene M U (2010) Antioxidant and cytotoxic activities and phytochemical screening of four Philippine medicinal plants. Journal of Medicinal Plant Research 4(5): 407-414.
-
Garba S, Okeniyi SO (2012) Antimicrobial Activities of Total Alkaloids extracted from some Nigerian Medicinal plants. Journal of Microbiol Antimicrob 4(3): 60-63.
-
Odeja OO, Obi G, Ogwuche CE, Elemike EE, Oderinlo OO (2014) Phytochemical screening, Antioxidant and Antimicrobial activities of _Senna occidentalis_ (L.) leaves. International Journal of Herbal Medicine 1: 6.
-
Ronan B, Ademir JSJ, Alaide BO (2009) Plant-derived Antimalarial Agents: New Leads and Efficient Phytomedicine. Part II. Non- Alkaloid Natural Products -A Review. Molecules 14(8): 3037-3072.
-
Chukwujekwu JC, Coombes PH, Mulholland DA van Staden J (2006) Emodin, an antibacterial anthraquinone from the roots of Cassia occidentalis. South African Journal of Botany 72(2): 295-297.
-
Sheeba M, Emmanuel S, Revathi K, Ignacimuthu S (2009) Wound healing activity of Cassia occidentalis L in Albino Wistar rats. IJIB 8(1): 1-6. Copyright© Alkali K, et al.
-
Usha R, Sashidharan S, Palaniswamy M (2001) Screening of Natural/Synthetic Compounds for Antimalarial Activity. 25 years of Malaria Research Centre. A Profile of National Institute of Malaria Research Parasite Biology, pp: 77-81.
-
Ekanem OJ (1971) has _Azadirachta_ _indica_ (dogonyaro) any antimalarial activity? Niger Med J 8: 8-11.
-
Jadhav P, Lal H, Kshirsagar N (2013) Pharmacodynamic evaluation for antiplasmodial activity of Holarrhena antidysentrica (Kutaja) and _Azadirachta indica_ (Neemb) in Plasmodium berghei infected mice model; Asian Pacific Journal of Tropical Medicine 6(7): 520-524.
-
Udeinya IJ, Brown N, Shu EN, Udeinya FI, Quakeyie I (2006) Fractions of an antimalarial neem-leaf extract have activities superior to chloroquine and are gametocytocidal. Ann Trop Med Parasitol 100(1): 17- 22. Alkali K, et al. In Vitro Antiplasmodial Activity of Aqueous Leaves Extract of Azadirachta Indica (Juss), Senna occidentalis (Linn) against Combination Therapy of Both Plants Extract on the Multiplication of Plasmodium Falciparum (Laveran). Ann Adv Biomed Sci 2018, 1(1): 000104.
-
Puri HS (1999) Neem the Devine Tree, _Azadirachta_ _indica_, Harwood Academic Publishers, Netherlands. Pp: 182.
-
Udeinya IJ, Mbah AU, Chijioke CP, Shu EN (2004) An antimalarial extract from neem leaves is antiretroviral. Trans Royal Soc Trop Med Hyg 98(7): 453-437.
-
Tona L, Mesia K, Ngimbi NP, Chrimwami B, Cimanga K, et al. (2001) In-vivo antimalarial activity of Cassia occidentalis, Morinda morindoides and Phyllanthus niruri. Annals of Tropical Medicine and Parasitology 95(1): 47-57.
-
Choudhary PK, Nagori BP (2013) Evaluation of in Vitro Antimalarial Activity of Cassia occidentalis. World Journal of Pharmacy and Pharmaceutical Sciences 3(2): 2241-2248. Copyright© Alkali K, et al.
- Origin, Evolution, and Functional Impact of Short Insertion- Deletion Variants in Human Genomes: A Review
- Harnessing Molecular Glues for Next-Generation Vaccine, Cancer and Cardiovascular Disease Drug Development: A Comprehensive Review
- Lateral Cervical Epidermal Inclusion Cyst in a Paediatric Patient: A Rare Case Report
- Malarial Plasmodium Falciparum with Hepatitis B and C Virus Infections among Blood Donors in Ife Central Local Government Area, Ile Ife, Osun State, Nigeria
- Withanolides and Withaferin A- What’s next in Ashwagandha Research
- Designing of Dual Pulse Photoacoustic Tomography for Imaging of Drug-Response and Tumor Growth