The Effectiveness of Ethanol Extract Chayote (Sechium Edule (Jacq.) Swartz) Fraction and Juice on Pancreatic β-Cell Diameter of Male White Rats Wistar Strain with Type 2 Diabetes Mellitus
Abstract
Background: Diabetes Mellitus is characterrized by metabolic disturbances due to prolonged hyperglycemia, causing oxidative stress, which destroys pancreatic β cells. Adjuvant therapy that has antihyperglycemic effectiveness and is required to improve the diameter of pancreatic beta cells, one of which comes from Sechium edule (Jacq.) Swartz has potential as an antihyperglycemic, antioxidant, antiapoptosis, cardioprotective, insulin resistance. This study aimed to examine the effectiveness of ethanol extract, Chayote (Sechium Edule (Jacq.) Swartz) fraction, and juice on the pancreatic β-cell diameter of white male rats Wistar strain with type 2 diabetes mellitus.
Subjects and Method: This was a randomized controlled trial. Sample was Rattus novergius sp. 54 tails. The dependent variable was the diameter of the pancreatic β cells. The independent variables were ethanol extract, Sechium edule (Jacq.) Swartz fraction and juice, at a dose of 50 mg/kg BW, 100 mg/ kg BW, 150 mg/kg BW. The data were analyzed by the ANOVA test.
Results: The group of mice induced by Streptozotocin 50 mg/kg BW + nicotinamide (120 mg/ kg BW) + HFD and obtained ethanol extract of chayote fruit 150 mg/ kg BW, orally, had the highest pancreatic β cell diameter compared to the other groups (Mean= 284.03; SD= 5.15).
Conclusion: Sechium edule (Jacq.) Swartz has potential as an anti-apoptosis that can inhibit pancreatic β cell damage
Keywords: pancreatic β cells, anti-apoptosis
Correspondence: Sanggam Bangun Hutagalung. Department of Anatomical Pathology, Faculty of Medicine, Universitas Methodist Indonesia, Medan. Jl. Setia Budi Pasar II Tj. Sari, Medan 20132, North Sumatera. Email: sanggam1973@gmail.com.
Indonesian Journal of Medicine (2021), 06(03): 239-245
https://doi.org/10.26911/theijmed.2021.06.03.01
References
Jörns A, Wedekind D, Jähne J, Lenzen S (2020). Pancreas pathology of latent autoimmune diabetes in adults (LADA) in patients and in a LADA rat model compared to type 1 diabetes mellitus. Diabetes. 69(4):624-633. doi:10.2337/db19-0865.
Lartey NL, Asare-Anane H, Ofori EK, Antwi S, Asiedu-Larbie J, Ayertey F, Okine LKN (2020). Antidiabetic activity of aqueous stem bark extract of Annickia polycarpa in alloxan-induced diabetic mice. J Traditional Complement Med. In press. doi:10.1016/j.jtcme.2020.-02.001.
Marchetti P, Suleiman M, De Luca C, Baronti W, Bosi E, Marselli L (2020). A direct look at the dysfunction and pathology of the β cells in human type 2 diabetes. Seminars in Cell & Developmental Biology.103:83-93. https://doi.org/10.1016/j.semcdb.2020.04.005.
Marchetti P, Ferrannini E (2015). Beta cell mass and function in human type 2 diabetes, in International Textbook of Diabetes Mellitus, eds DeFronzo R. A., Ferrannini E., Keen H., Zimmet P. New York: John Wiley & Sons, Ltd.
Siahaan JM (2017).Effect of antihipoglycemic Sechium edule Jacq.Swartz. Etanol extract on histopathologic changes in hyperglycemic Mus musculus L. Indones J Med. 2(2): 86-93 https://doi.org/10.26911/theijmed.2017.02.02.02.
Iftikhar A, Aslam B, Iftikhar M, Majeed W, Batool M, Zahoor B, Latif I (2020). Effect of Caesalpinia bonduc polyphenol extract on alloxan-induced diabetic rats in attenuating hyper-glycemia by upregulating insulin secretion and inhibiting JNK signaling pathway. Oxid Med Cell Longev. 2020: 9020219. https://doi.org/10.-1155/2020/9020219.
Jezek P, Jaburek M, Plecita Hlavata L (2018). Contribution of oxidative stress and impaired biogenesis of pancreatic β-cells to type 2 diabetes. Antioxid Redox Signal. 31(10):722-751. https://doi.org/10.1089/ars.201-8.7656.
Lee MS, Chyau CC, Wang CP, Wang TH, Chen JH, Lin HH (2020). Flavonoids identification and pancreatic beta-cell protective effect of lotus seedpod. Antioxidants (Basel).9(8):658. https-://doi.org/10.3390/antiox9080658.
Siahaan JM, Julianto E, Silitonga HA (2019). The effects of ethanol extract and ethyl acetatefractionation of Sechium Edule Jacq. Swartz on triglyceride levelsin male rats with type 2 diabetes mellitus. Indones J Med. 4(4): 371-375. https://doi.org/10.269-11/theijmed.2019.04.04.10.
Siahaan JM (2020). Impressi ekstrak etanol buah labu siam: Tinjauan kritis ekstrak etanol buah labu siam dan stress oksidatif tikus putih model diabetes tipe 2 (Chayote fruit ethanol extract impression: a critical review of chayote fruit ethanol extract and the oxidative stress of white rats, a type 2 diabetes model). Tasikmalaya: Edu Publisher.
Saleh FR (2016). Antibacterial activity of seeds of Iraqi dates. JBioInnov. 5(2): 313-318.https://www.jbino.com/do-cs/Issue02_17_2016.pdf
Da’i M, Wardani RZ, Saifudin A (2020). Isolation and identification of active antioxidant compounds from ethyl acetate fraction of ethanol extract of meniran herb (Phyllantus Niruri L.). Eur Asian Journal of Bio Sciences. 14(2): 5461-5467.
Dizaye KF, Aziz RS (2019). Antihypergly-cemic effect of the alkaloids extracted from Adiantum capillus in diabetic rats. Ann Coll Med Mosul. 41(2):148-157. http://dx.doi.org/10.33899/mm-ed.2020.164157.
Zhang L, Wei G, Liu Y, Zu Y, Gai Q, YangL (2015). Antihyperglycemic and antioxidant activities of total alkaloids from Catharanthus roseus in streptozotocin-induced diabetic rats.Journal of Forestry Research. 27(1): 167–174. https://doi.org/10.1007/s11676-015-0112-2.
Tian X, Zhang Y, Li h, Li Y, Wang N, Zhang W, Ma B (2020). Palmatine ameliorates high fat diet induced impaired glucose tolerance. Biol Res. 53(1):39. https://doi.org/10.1186/s40659-020-00308-0.
Du T, Yang L, Xu X, Shi X, Xu X, Lu J, Lv J, et al., (2019). Vincamine as a GPR40 agonist improves glucose homeostasis in type 2 diabetic mice. Journal of Endocrinology.240(2): 195-214. https://doi.org/10.1530/joe-18-0432.
Cheng FR, Cui HX, Fang JL, Yuan K, Guo Y (2019). Ameliorative effect and mechanism of the purified anthraquinoneglycoside preparation from rheum palmatum l. on type 2 diabetes mellitus. Molecules. 24(8): 1454.https://doi.org/10.3390/molecules24081454.
Kittl M, Beyreis M, Tumurkhuu M, Fürst J, Helm K, Pitschmann A, Gaisberger M, Glasl S, Ritter M, Jakab M (2016). Quercetin stimulates insulin secretion and reduces the viability of rat INS-1 beta-cells. Cell Physiol Biochem. 39 (1): 278–293. https://doi.org/10.115-9/000445623.
Chen F, Chen Y, Kang X, Zhou Z, Zhang Z, Liu D (2012). Anti-apoptotic function and mechanism of ginseng saponins in rattus pancreatic β-Cells. Biol Pharm Bull. 35(9): 1568–1573. https://doi.org/10.1248/bpb.b12-00461.
Kunyanga CN, Imungi JK, Okoth M, Momanyi, C, Biesalsk, HK, Vadivel V (2011). Antioxidant and antidiabetic properties of condensed tannins in acetonic extract of selected raw and processed indigenous food ingredients from Kenya.Journal of Food Science.
(4): C560–C567.https://doi.org/10.1111/j.1750-3841.2011.02-116.x.
Sieniawska E (2015). Activities of tannins from in vitro studies to clinical trials. Natural Product Communications. 10 (11):1934578X1501001. https://doi.org/10.1177 1934578X1501001118.
Barkey ARB, Hussein SA, Alm-Eldeen AAE, Hafez YA, Mohamed AM (2017). Saponins and their potential role in diabetes mellitus. Diabetes Manag. 7(1): 148–158. https://www.openaccessjournals.com/articles/saponins-and-their-potential-role-in-diabetes-mellitus.pdf.
Lü H, Jian T, Ding X, Zuo Y, Chen J, Li, W, Li X, Chen J (2019). Trapa natans pericarp extract ameliorates hyperglycemia and hyperlipidemia in type 2 diabetic mice. Revista Brasileira de Farmacognosia. 29(5): 631-636. https://doi.org/10.1016/j.bjp.2019.04.011