Effect of Ethanolic Extract in Moringa oleifera, Lam. Leaf on Uric Acid Levels and Body Surface Area of Kidney Glomerulus in Wistar Rats (Rattus novergicus) Induced Metabolic Syndrome Model

Authors

  • Muhammad Dzaki Darmawan Study Program of Medical Doctor Education, Faculty of Medicine, Universitas Sebelas Maret
  • Jarot Subandono Study Program of Medical Doctor Education, Faculty of Medicine, Universitas Sebelas Maret
  • Novan Adi Setyawan Study Program of Medical Doctor Education, Faculty of Medicine, Universitas Sebelas Maret
  • Dyah Ratna Budiani Study Program of Medical Doctor Education, Faculty of Medicine, Universitas Sebelas Maret

Abstract

Background: There has been an increasing prevalence of metabolic syndrome (MS) caused by life style such as sedentary behavior and western diet. Metabolic syndrome causes degeneration in ren’s structure and processes the elimination of by product in metabolism, which is uric acid. Moringa oleifera Lam. leaves contain antioxidant that can repair damages caused by MS. Studies about improvement of ren’s structure and uric acid level related to Moringa oleifera Lam. leaves’ consumption has not been found yet. Therefore, this study was intended to examine the effects of ethanolic extract in Moringa oleifera Lam. leaves to uric acid and glomerular surface area in male wistar rat (Rattus norvegicus) with induced metabolic syndrome model.

Method: This study is an experimental laboratory study. The subjects of this study consisted of 30 rats which were divided into 5 groups with 6 in each group. K1 is control group, K2 is MS group, and K3, K4, and K5 are MS groups given variety of ethanolic extract doses. The induction of MS was done by giving high-fat diet in 28 days and injection of streptozotocin-nicotinamide (STZ-NA) in the 25th day. Rats in group K3, K4, and K5 were given doses of 150, 250, and 350 mg/kgBW in 28 days.

Results: The administration of high-fat diet for 28 days and injection of STZ-NA caused MS condition in rats.  Repeated ANOVA and One-Way Anova test showed that the administration of ethanolic extract in Moringa oleifera Lam. leaves with doses of 150, 250, and 350 mg/kgBW in 28 days decreased uric acid significantly (p= 0.001; p=0.001; p= 0.001). Another result also found that ethanolic extract from Moringa oleifera Lam. leaves with doses of 250 and 350 mg/kgBW increased area of glomerular surface area in rats significantly.

Conclusion: The administration of ethanolic extract from Moringa oleifera Lam. leaves with doses of 150, 250, and 350 mg/kgBW for 28 days decreased uric acid level in rats. Ethanolic extract of Moringa oleifera Lam. leaves 250 and 350 mg/kgBw doses increase glomerular surface area.

Keywords: Moringa Oleifera, uric acid, glomerular cross-sectional area, metabolic syndrome, kidney

Correspondence: Muhammad Dzaki Darmawan. Study Program of Medical Doctor Education, Faculty of Medicine, Universitas Sebelas Maret. Email: mdddzaki@student.uns.ac.id.

Indonesian Journal of Medicine (2021), 06(04): 412-422
https://doi.org/10.26911/theijmed.2021.06.04.07

References

Anandagiri DDAWM, Manuaba IBP, Suastuti NGAMDA. (2014) “Pemanfaatan Teh Kombucha Sebagai Obat Hiperurisemia Melalui Pengahmbatan Aktivitas Xantin Oksidase pada Rattus norvegicus (Utilization of Kombucha Tea as a Hyperuricemia Drug Through Inhibition of Xanthine Oxidase Activity in Rattus norvegicus). Jurnal Kimia. 5(2): 40–51. Tersedia pada: https://research.kombuchabrewers.org/wpcontent/uploads/kkresearchfiles/pemanfaatantehkombuchasebagaiobathiperurisemiamelaluipenghambatanaktifitasxantinoksidasep.pdf.

Azzahra KR. (2019) “Pengaruh Pemberian Ekstrak Etanolik Daun Kelor (Moringa oelifera, Lam.) terhadap Kadar Kreatinin dan Luas Penampang Glomerulus: Tikus Putih (Rattus norvegicus) Model Sindrom Metabolik dengan Induksi STZNA dan Diet Tinggi Lemak (Effect of Ethanolic Extract of Moringa Leaves (Moringa oelifera, Lam.) on Creatinine Levels and Glomerular Crosssectional Area: White Rat (Rattus norvegicus) Metabolic Syndrome Model with STZNA Induction and High Fat Diet),” Skripsi.

Baldwin W, McRae S, Marek G, Wymer D, Pannu V, Baylis C, Johnson RJ, et al. (2011). Hyperuricemia as a mediator of the proinflammatory endocrine imbalance in the adipose tissue in a murine model of the metabolic syndrom. Diabetes, 60(4): 1258–1269. doi: 10.2337/db100916.

Birben E, Sahiner UM, Sacksesen C, Erzurum S, Kalayci O (2012). Oxidative stress and antioxidant defense. World Allergy Organ J. 5(1): 9–19. doi: 10.1097/WOX.0b013e3182439613.

Czekajło A, Różańska D, Zatońska K, Szuba A, RugulskaIlow B. (2019). Association between dietary patterns and metabolic syndrome in the selected population of Polish adults Results of the PURE Poland Study. Eur J Public Health, 29(2): 335–340. doi: 10.1093/eurpub/cky207.

Duffield JS. (2014). Cellular and molecular mechanisms in kidney fibrosis. J Clin Invest, 124(6): 2299. doi: 10.1172/JCI72267.a.

Gupta R, Mathur M, Bajaj VK, Katariya P, Yadav S, Kamal R, Gupta RS (2012). Evaluation of antidiabetic and antioxidant activity of Moringa oleifera in experimental diabetes. J Diabetes, 4(2): 164–171. doi: 10.1111/j.17530407.2011.00173.x.

Hall ME, do Carmo JM, da Silva AA, Juncos LA, Wang Z, Hall JE (2014). Hypertension and chronic kidney disease. Int J Neprol Renovasc Dis. 7: 7588. doi: 10.2147/IJNRD.S39739.

Herningtyas EH, Ng TS (2019). Prevalence and distribution of metabolic syndrome and its components among provinces and ethnic groups in Indonesia. BMC Public Health, 19(1): 1–12. doi: 10.1186/s1288901967117.

Kaur J (2014). A comprehensive review on metabolic syndrome. Cardiol Res Pract. doi: 10.1155/2014/943162.

Li C, Hsieh MC, Chang SJ. (2013). Metabolic syndrome, diabetes, and hyperuricemia. Curr Opin Rheumatol, 25(2): 210–216. doi: 10.1097/BOR.0b013e32835d951e.

Maric C, Hall JE. (2011). Obesity, Metabolic syndrome and diabetic nephropathy. Contrib Nephrol, 170: 28–35. doi: 10.1159/000324941.

Panchal SK, Poudyal H, Iyer A, Nazer R, Alam A, Diwan V, Kauter K, et al. (2011). Highcarbohydrate highfat dietinduced metabolic syndrome and cardiovascular remodeling in rats. J Cardiovasc Pharmacol, 57(1): 51–64. doi: 10.1097/FJC.0b013e3181feb90a.

Pribadi FW, Widiartini C (2019). The Effect of Kelor Leaves (Moringa oleifera) Ethanol Extract on Serum Uric Acid and Tumor Necrosis Factorα of Hyperuricemic White Rats (Rattus norvegicus). IOP Conference Series: Earth and Environmental Science, 406(1). doi: 10.1088/17551315/406/1/012006.

Rochlani Y, Pothineni NV, Kovelamudi S, Mehta JL (2017). Metabolic syndrome: pathophysiology, management, and modulation by natural compounds. Ther Adv Cardiovasc Dis. 11(8): 215–225. doi: 10.1177/1753944717711379.

Sah OSP, Qing YX. (2015). Associations between hyperuricemia and chronic kidney disease: A review. Nephrourol Mon, 7(3). doi: 10.5812/numonthly.(3)2015.27233.

Saklayen MG. (2018). The Global Epidemic of the Metabolic Syndrome. Curr Hypertens Rep. 20(2), pp. 12. doi: 10.1007/s119060180812z.

Salim HM, Kurnia LF, Bintarti TW, Handayani (2018). The Effects of Highfat Diet on Histological Changes of Kidneys in Rats. BHSJ, 1(2): 109. doi: 10.20473/bhsj.v1i2.9675.

Sherwood, L. (2013) Introduction to Human Physiology.

Singh AK, Kari JA (2013). Metabolic syndrome and chronic kidney disease. Curr Opin in Nephrol Hypertens, 22(2): 198–203. doi: 10.1097/MNH.0b013e32835dda78.

Storhaug HM, Toft I, Norvik JV, Jenssen T, Eriksen BO, Melsom T, Løchen ML, et al. (2015). Uric acid is associated with microalbuminuria and decreased glomerular filtration rate in the general population during 7 and 13 years of followup: The Tromsø Study BMC Nephrol, 16(1): 1–10. doi: 10.1186/s1288201502071.

Suhaema, Masthalina H (2015). Pola Konsumsi Dengan Terjadinya Sindrom Metabolik di Indonesia (Consumption Patterns with the Occurrence of Metabolic Syndrome in Indonesia). Public health, 9(4): 340–347.

Toma A, Deyno S. (2014). Phytochemistry and Pharmacological Activities of Moringa Oleifera. IJP. 1(4): 222–253. doi: 10.13040/IJPSR.09758232.1(4).22231.

VergaraJimenez M, Almatrafi MM, Fernandez ML (2017). Bioactive components in Moringa oleifera leaves protect against chronic disease. Antioxidants, 6(4): 1–13. doi: 10.3390/antiox6040091.

Verzola D, Ratto E, Villaggio B, Parodi EL, Pontremoli R, Garibotto G, Viazzi F. (2014). Uric acid promotes apoptosis in human proximal tubule cells by oxidative stress and the activation of NADPH oxidase NOX 4. PLoS ONE, 9(12): 1–19. doi: 10.1371/journal.pone.0115210.

Wicaksana R. (2017). Pengaruh Ekstrak Biji Kelor Terhadap Kadar Asam Urat dan Gambaran Histopatologi Ginjal Tikus Putih Sindrom Metabolik (Effect of Moringa Seed Extract on Uric Acid Levels and Kidney Histopathological Features of Metabolic Syndrome in White Rats).

Yumita A, Suganda AG, Sukandar EY (2013). Xanthine oxidase inhibitory activity of some Indonesian medicinal plants and active fraction of selected plants. International Journal of Pharmacy and Pharmaceutical Sciences, 5(2): 293–296.

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2021-10-10

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