The Effects of Ethanol Extract and Ethyl Acetate Fractionation of Sechium Edule Jacq. Swartz on Triglyceride Levels in Male Rats with Type 2 Diabetes Mellitus

Authors

  • Jekson Martiar Siahaan Department of Physiology, Faculty of Medicine, Universitas Methodist Indonesia
  • Endy Julianto Department of Parasitology, Faculty of Medicine, Universitas Methodist Indonesia
  • Hendrika Andriana Silitonga Department of Histology, Faculty of Medicine, Universitas Methodist Indonesia

Abstract

Background: The prevalence of diabetes mellitus (DM) from year to year is increasing. Hyper­glycemia that occurs in DM is caused by oxidative stress that damages pancreatic β cells. This situation can be controlled with synthetic hypoglycemic drugs, but it requires high medical costs. Therefore, alternative therapies that are easily available, relatively inexpensive, have potential anti-hypoglycemia and anti-cholesterolemia which is found in conjoined flasks (Sechium edule (Jacq.) Swartz) which contains flavonoids are needed. The purpose of this study was to analyze the effectiveness of ethanol extract and fractionation of ethyl acetate extracts of Sami (pumpkin) (Sechium edule (Jacq.) Swartz) as anti-hipoglycemia and anti-hypertriglycerides in white male wistar rats (Rattus novergius sp.) induced by STZ-NA-HFDD.

Subjects and Method: A randomized controlled trial was conducted to assess the effectiveness of ethanol extract and fractionation of pumpkin fruit ethyl acetate extract. The sample included white male wistar rats (Rattus novergius sp.) Hyperglycemia induced by STZ-NA-HFD. The dependent variable was triglyceride levels. The independent variables were administration of ethanol extract and fractionation of pumpkin fruit ethyl acetate extract.

Results: Ethyl acetate fraction 45 mg/kgBW better reduce triglyceride levels but statistically does not have significant differences between groups.

Conclusion: The group that received Metformin and the group that was given ethanol extract 45 mg/kgBW had lower triglyceride levels compared to the other therapy and control groups.

Keywords: Hipertrigliseridemia, diabetes mellitus, STZ-NA-HFD

Correspondence: Jekson Martiar Siahaan. Department of Physiology, Faculty of Medicine, Universitas Methodist Indonesia. Jl. Setia Budi Pasar II Tj. Sari, Medan 20132, North Sumatera. Email: Jekson.siahaansked­@­gmail.com

Indonesian Journal of Medicine (2019), 4(4): 371-375
https://doi.org/10.26911/theijmed.2019.04.04.10

 


References

BPJS (2017). Tangkis risiko kardiometabolik dengan optimalisasi PROLANIS (Counter cardiometabolic risk by optimizing PROLANIS). Available at: https://www.bpjs-kesehatan.go.id/bpjs/index.php/

Cheng Y, Shen J, Ren W, Hao H, Xie Z, Liu J, et al. (2017). Mild hyperglycemia triggered islet function recovery in streptozotocin-induced insulin-deficient diabetic rats. J Diabetes Investig. 8(1): 44–55.

Earl GL, Ramos RR, Zamilpa A, Ruiz MH, Salgado, Gabriela R, et al. (2014). Extracts and fractions from edible roots of Sechium edule (Jacq.) Sw. with antihypertensive activity. Evidence-Based Complementary and Alternative Medicine.

Firdous SM, Sravanthi K, Debnath R, Neeraja K (2012). Protective effect of ethanolic extract and its ethylacetate and n-butanol fractions of Sechium edulefruits against carbon tetrachloride induced hepatic injury in rats. International Journal of Pharmacy and Pharmaceutical Sciences. 4(1): 354-359.

Gholipour S, Shomali T, Kopaei MR (2018). Anti-hypertriglyceridemic activity of cornus mas in diabetic rats. Journal of Clinical and Diagnostic Research. 12(8): FC01-FC05 doi: 10.7860/JCDR/2018/32161.11848

GoldbergIJ (2001). Diabetic dyslipidemia: Causes and consequences. The Journal of Clinical Endocrinology Metabolism, 86(3), 965–971. doi: 10.1210/jcem.86.3.7304

Hartz JC, de Ferranti S, Gidding S (2018). Hypertriglyceridemia in Diabetes Mellitus: Implications for Pediatric Care. Journal of the Endocrine Society, 2(6): 497–512. doi: 10.1210/js.2018-00079.

He L, Hao L, Fu X, Huang M, Li R (2015). Severe hypertriglyceridemia and hypercholesterolemia accelerating renal injury: A novel model of type 1 diabetic hamsters induced by shortterm high-fat/high-cholesterol diet and low-dose streptozotocin. BMC Nephrology,16(1). doi: 10.1186/s12882-015-0041-5.

IDF (2017). International diabetes federation diabetes atlas-8th Edition. Available at http://www.diabetesatlas.org/.

Kishore L, Kajal A, Kaur N (2017). Role of Nicotinamide in streptozotocin induced diabetes in Animal Models. J Endocrinol Thyroid Res. 2(1).

Listianasari Y, Dirgahayu P, Wasita B, Nuhriawangsa AMP (2017). Efektivitas pemberian jus labu siam [Sechium edule] terhadap profil lipid tikus [Rattus novergicus] (Effectiveness of administration of conjoined pumpkin juice [Sechiumedule] on the lipid profile of mice [Rattus novergicus].). Model Hiperlipidemia.Penelitian Gizi dan Makanan, 40 (1): 35-43

Omae T, Shimamoto C, Hiraike Y, Kanemitsu N, Iwakura K, Nakanishi Y, et al. (2006). Hyperlipidemia and fat absorption in model rats with type 2 diabetes mellitus. Bulletin of the Osaka Medical College. 52(2):45-58

Rena G, Hardie DG, Pearson ER (2017).The mechanisms of action of metformin. Diabetologia, 60(9): 1577–1585. doi: 10.1007/s00125-017-4342-z

Salazar-Aguilar S, Ruiz-Posadas L, CadenaIñiguez J, Soto-Hernández M, Santiago-Osorio E, Aguiñiga-Sánchez I, et al. (2017). Sechium edule (Jacq.) Swartz, a New Cultivar with Antiproliferative Potential in a Human Cervical Cancer HeLa Cell Line. Nutrients, 9(8): 798. doi: 10.3390/nu9080798

Sateesh G, Hussaini SF, Kumar GS, Rao BSS (2012). Anti-ulcer activity of sechium edule ethanolic fruit extract. The Pharma Innovation. 1(5).

Siahaan JM, Urip H, Ricke L (2016). Effect of ethanol extract of chayote (Sechium edule.Jacq.Swartz) on the activity of glutathione peroxide (GPx) in house mice (Musmusculus L) strain DD webster hyperglycemia induced by streptozotocin (STZ).Indonesian Journal of Medicine. 1(1): 44-49.

Siahaan JM (2017).Effect of antihipoglycemic Sechium edule Jacq. Swartz. Etanol extract on histopathologic changes in hyperglycemic Mus musculus L. Indonesian Journal of Medicine (2017), 2(2): 86-93 https://doi.org/10.26911/theijmed.2017.02.02.02

Skovsø S (2014). Modeling type 2 diabetes in rats using high fat diet and streptozotocin. J Diabetes Investig. 5(4): 349–358.

WHO (2016). Diabetes Country Profiles. Available at http://www.who.int/diabetes/country-profiles/idn_en.pdf?ua=1.

Wu CH, Ou TT, Chang CH, Chang XZ, Yang MY, Wang CJ (2014). The polyphenol extract from sechium edule shoots inhibits lipogenesis and stimulates lipolysis via activation of AMPK Signals in HepG2 Cells. Journal of Agricultural and Food Chemistry, 62(3): 750–759. doi: 10.1021/jf404611a

Zhang X, Jin Y, Wu Y, Zhang C, Jin D, Zheng Q, Li Y (2018). Anti-hyperglycemic and anti-hyperlipidemia effects of the alkaloid rich extract from barks of Litsea glutinosa in ob/ob mice. Scientific Reports, 8(1). doi: 10.1038/s41598018-30823-w

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2019-10-10

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