Possible Inflammatory Responses in the Traditional Application of Raw Liquid Extract of Cnidoscolus aconitifolius Leaf (Iyana Ipaja-Chaya) In the Treatment of Anaemia
Journal Title: Saudi Journal of Medical and Pharmaceutical Sciences - Year 2017, Vol 3, Issue 10
Abstract
Abstract:Inflammatory response is a form of immune response which could be caused by infectious agents and toxic chemicals. Cnidoscolus aconitifolius leaf extract contains phytonutrients such as protein, vitamins, calcium, and iron; and is also a rich source of antioxidants which could be attributed to the traditional and scientific claims in the treatment of anaemia. This work was designed to determine possible pro and anti-inflammatory responses in the traditional application of raw liquid extract of Cnidoscolus aconitifolius leaf (iyana ipaja-chaya) in the treatment of anaemia. Twenty three (23) out of Thirty one (31)anaemic patients aged 12-32 years (including 2 females aged 12/15 years and 21 males aged 17 – 32 years) with PCV ≤ 20% receiving treatment at 5 traditional homes in Saki-west Local Government of Oyo State-Nigeria. Age matched 50 apparently healthy volunteers (Female-25; Male-25) with a PCV of 42±3.0% were recruited as control subjects. Thirty one anaemic patients initially volunteered themselves for the work but only 23 were successfully monitored. The patients were recruited before the commencement of the treatment. Each of the test and control subjects was subjected to stool microscopy for intestinal parasite, Giemsa thick staining procedure for plasmodium and Serological test for anti HIV, anti-HCV and HBsAg. All subjects who were negative to the aforementioned laboratory procedures were selected as subjects. Freshly prepared sixty milliliters (60ml) of the liquid was administered to each of the 23 anaemic patients and the 50 normal control volunteers 3 times on daily basis for 14 days when the PCV was found to have increased appreciably. Plasma ALT, IL-4, IL-6 , TNF-α (before and after the administration of the extract), HIV-1 p24 Antigen ELISA, anti-HCV, HBsAg were determined in all subjects by ELISA technique while whole blood was used to determine PCV by microhaematocrit and the identification of Plasmodium infection using Geimsa thick staining techniques. The result obtained showed a significantly higher plasma value of TNF-α and ALT in Aneamic Patients After they were given Raw liquid Extract of Cnidoscolus aconitifolius (iyana ipaja/chaya) leaf (Supplement) compared with the result obtained in the Control (before extract supplemention) and also with the same aneamic patients when they were not given Cnidoscolus aconitifolius (iyana ipaja/chaya) leaf (Supplement) with p <0.05. There was also a significantly higher PCV in both the anemic patients and normal controls following the supplementation with raw liquid extract of Cnidoscolus aconitifolius (iyana ipaja) leaf than when they were not supplemented with the raw liquid extract with p<0.05. This work revealed increase in Packed Cell Volume, plasma ALT and TNF-α. Following the administration raw liquid extract of Cnidoscolus aconitifolius (iyana ipaja/chaya) leaf which a possible indication of proinflammatory response and a potential natural supplement in the treatment of anaemia. Keywords:Cnidoscolus aconitifolius, anaemia, Serological test.
Authors and Affiliations
Mathew Folaranmi OLANIYAN, Temitayo AFOLABI
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