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Bin Karim K, Giribabu N, Bin Salleh N. Marantodes pumilum (Kacip Fatimah) Aqueous Extract Enhances Osteoblast and Suppresses Osteoclast Activities in Cancellous Bone of a Rat Model of Postmenopause. Appl Biochem Biotechnol 2024; 196:821-840. [PMID: 37219787 DOI: 10.1007/s12010-023-04515-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/11/2023] [Indexed: 05/24/2023]
Abstract
Evidence pointed towards the benefits of Marantodes pumilum in treating osteoporosis after menopause; however, the detailed mechanisms still have not been explored. Therefore, this study aims to identify the molecular mechanisms underlying M. pumilum's bone-protective effect via the involvement of RANK/RANKL/OPG and Wnt/β-catenin signaling pathways. Ovariectomized adult female rats were given M. pumilum leaf aqueous extract (MPLA) (50 and 100 mg/kg/day) and estrogen (positive control) orally for twenty-eight consecutive days. Following the treatment, rats were sacrificed, and femur bones were harvested. Blood was withdrawn for analysis of serum Ca2+, PO43-, and bone alkaline phosphatase (BALP) levels. The bone microarchitectural changes were observed by H&E and PAS staining and distribution and expression of RANK/RANKL/OPG and Wnt3a/β-catenin and its downstream proteins were determined by immunohistochemistry, immunofluorescence, Western blot, and real-time PCR. MPLA treatment increased serum Ca2+ and PO43- levels and reduced serum BALP levels (p < 0.05). Besides, deterioration in cancellous bone microarchitecture and the loss of bone glycogen and collagen content were mitigated by MPLA treatment. Levels of RANKL, Traf6, and NF-kB but not RANK in bone were decreased; however, levels of OPG, Wnt3a, LRP-5, Frizzled, Dvl, β-catenin, RUNX, and Bmp-2 in bone were increased following treatment with MPLA. In conclusion, MPLA helps to protect against bone deterioration in estrogen deficiency state and thus, this herb could potentially be used to ameliorate osteoporosis in women after menopause.
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Affiliation(s)
- Kamarulzaman Bin Karim
- Department of Physiology, Faculty of Medicine, Universiti Malaya, 50603, Kuala Lumpur, Malaysia
| | - Nelli Giribabu
- Department of Physiology, Faculty of Medicine, Universiti Malaya, 50603, Kuala Lumpur, Malaysia.
- Centre for Natural Products and Drug Discovery (CENAR), Faculty of Science, Universiti Malaya, 50603, Kuala Lumpur, Malaysia.
| | - Naguib Bin Salleh
- Department of Physiology, Faculty of Medicine, Universiti Malaya, 50603, Kuala Lumpur, Malaysia.
- Centre for Natural Products and Drug Discovery (CENAR), Faculty of Science, Universiti Malaya, 50603, Kuala Lumpur, Malaysia.
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Xi Y, Wang W, Ma L, Xu N, Shi C, Xu G, He H, Pan W. Alendronate modified mPEG-PLGA nano-micelle drug delivery system loaded with astragaloside has anti-osteoporotic effect in rats. Drug Deliv 2022; 29:2386-2402. [PMID: 35869674 PMCID: PMC9310824 DOI: 10.1080/10717544.2022.2086942] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Astragaloside (AS) has an anti-osteoporotic effect, but its poor water solubility and low bioavailability limit its application. In this study, a novel nano-carrier with bone targeting was prepared by modifying mPEG-PLGA with alendronate (AL) before incorporation into astragaloside nano-micelles (AS-AL-mPEG-PLGA) to enhance the oral bioavailability, bone targeting and anti-osteoporosis effect of AS. The release behavior of AS-AL-mPEG-PLGA in vitro was investigated via dialysis. The pharmacokinetics of AS-AL-mPEG-PLGA was studied in Sprague-Dawley (SD) rats. The cytotoxicity of AS-AL-mPEG-PLGA in vitro (via MTT method), coupled with bone targeting ability in vitro and in vivo were evaluated. The therapeutic effects of free AS and AS-AL-mPEG-PLGA (ELISA, micro-CT, H&E staining) were compared in osteoporotic rats. AS-AL-mPEG-PLGA with smaller particle size (45.3 ± 3.8 nm) and high absolute zeta potential (−23.02 ± 0.51 mV) were successfully prepared, wherein it demonstrated higher entrapment efficiency (96.16 ± 0.18%), a significant sustained-release effect for 96 h and acceptable safety within 10–200 μg/mL. AS-AL-mPEG-PLGA could enhance the hydroxyapatite affinity and bone tissue concentration of AS. The relative bioavailability of AS-AL-mPEG-PLGA was 233.90% compared with free AS. In addition, the effect of AS in reducing serum levels of bone metabolism-related indicators, restoring the bone microarchitecture and improving bone injury could be enhanced by AS-AL-mPEG-PLGA. AS-AL-mPEG-PLGA with small particle size, good stability, remarkable sustained-release effect, safety and bone targeting was successfully constructed in this experiment to potentially improve the oral bioavailability and anti-osteoporosis effect of AS. Thus, AS-AL-mPEG-PLGA may be a promising strategy to prevent and treat osteoporosis.
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Affiliation(s)
- Yanhai Xi
- Department of Orthopedics, Spine Surgery, The Second Affiliated Hospital of Naval Medical University, Shanghai, China
| | - Weiheng Wang
- Department of Orthopedics, Spine Surgery, The Second Affiliated Hospital of Naval Medical University, Shanghai, China
| | - Liang Ma
- Minimally invasive Spinal Surgery department, The Sixth Affiliated Hospital of Xinjiang Medical University, Urumqi, China
| | - Ning Xu
- Department of Orthopedics, Spine Surgery, The Second Affiliated Hospital of Naval Medical University, Shanghai, China
| | - Changgui Shi
- Department of Orthopedics, Spine Surgery, The Second Affiliated Hospital of Naval Medical University, Shanghai, China
| | - Guohua Xu
- Department of Orthopedics, Spine Surgery, The Second Affiliated Hospital of Naval Medical University, Shanghai, China
| | - Hailong He
- Department of Orthopedics, Spine Surgery, The Second Affiliated Hospital of Naval Medical University, Shanghai, China
| | - Wenming Pan
- Department of Spine Surgery, The Affiliated Changshu Hospital of Xuzhou Medical School, The Second People's Hospital of Changshu, Changshu, China
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Teh BP, Ahmad N, Ibnu Rasid EN, Zolkifli NA, Sastu@Zakaria UR, Mohamed Yusoff N, Zulkapli A, Japri N, Lee JC, Muhammad H. Herbal-Based Formulation Containing Eurycoma longifolia and Labisia pumila Aqueous Extracts: Safe for Consumption? Pharmaceuticals (Basel) 2021; 14:ph14020142. [PMID: 33579048 PMCID: PMC7916751 DOI: 10.3390/ph14020142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Revised: 12/16/2020] [Accepted: 12/17/2020] [Indexed: 12/03/2022] Open
Abstract
A combined polyherbal formulation containing tongkat ali (Eurycoma longifolia) and kacip fatimah (Labisia pumila) aqueous extracts was evaluated for its safety aspect. A repeated dose 28-day toxicity study using Wistar rats was conducted where the polyherbal formulation was administered at doses 125, 500 and 2000 mg/kg body weight to male and female treatment groups daily via oral gavage, with rats receiving only water as the control group. In-life parameters measured include monitoring of food and water consumption and clinical and functional observations. On day 29, blood was collected for haematological and biochemical analysis. The rats were necropsied and the organs were collected for histopathological examination. This study showed that the combined formulation did not induce any significant toxicity effect at any dose level in terms of morbidity, mortality, behaviour, functional observation, body weight, food and water consumption, whole blood haematology and serum biochemistry. However, there were some microscopic changes in the histopathological examinations of some organs given 2000 mg/kg body weight, which may suggest an early response to the polyherbal formulation. From this study, the no observed adverse effect level is estimated to be more than 500 mg/kg body weight but not exceeding 2000 mg/kg body weight. The observed effects at the highest dose indicate the need for further study of longer dosing duration.
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Affiliation(s)
- Bee Ping Teh
- Herbal Medicine Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Selangor Darul Ehsan, Malaysia; (N.A.); (E.N.I.R.); (N.A.Z.); (U.R.S.); (N.M.Y.); (N.J.); (J.C.L.); (H.M.)
- Correspondence: ; Tel.: +60-33362-7961
| | - Norzahirah Ahmad
- Herbal Medicine Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Selangor Darul Ehsan, Malaysia; (N.A.); (E.N.I.R.); (N.A.Z.); (U.R.S.); (N.M.Y.); (N.J.); (J.C.L.); (H.M.)
| | - Elda Nurafnie Ibnu Rasid
- Herbal Medicine Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Selangor Darul Ehsan, Malaysia; (N.A.); (E.N.I.R.); (N.A.Z.); (U.R.S.); (N.M.Y.); (N.J.); (J.C.L.); (H.M.)
| | - Nor Azlina Zolkifli
- Herbal Medicine Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Selangor Darul Ehsan, Malaysia; (N.A.); (E.N.I.R.); (N.A.Z.); (U.R.S.); (N.M.Y.); (N.J.); (J.C.L.); (H.M.)
| | - Umi Rubiah Sastu@Zakaria
- Herbal Medicine Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Selangor Darul Ehsan, Malaysia; (N.A.); (E.N.I.R.); (N.A.Z.); (U.R.S.); (N.M.Y.); (N.J.); (J.C.L.); (H.M.)
| | - Norliyana Mohamed Yusoff
- Herbal Medicine Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Selangor Darul Ehsan, Malaysia; (N.A.); (E.N.I.R.); (N.A.Z.); (U.R.S.); (N.M.Y.); (N.J.); (J.C.L.); (H.M.)
| | - Azlina Zulkapli
- Medical Resource Research Centre, Institute for Medical Research, Jalan Pahang, Kuala Lumpur 50588, Wilayah Persekutuan Kuala Lumpur, Malaysia;
| | - Norfarahana Japri
- Herbal Medicine Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Selangor Darul Ehsan, Malaysia; (N.A.); (E.N.I.R.); (N.A.Z.); (U.R.S.); (N.M.Y.); (N.J.); (J.C.L.); (H.M.)
| | - June Chelyn Lee
- Herbal Medicine Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Selangor Darul Ehsan, Malaysia; (N.A.); (E.N.I.R.); (N.A.Z.); (U.R.S.); (N.M.Y.); (N.J.); (J.C.L.); (H.M.)
| | - Hussin Muhammad
- Herbal Medicine Research Centre, Institute for Medical Research, National Institutes of Health, Ministry of Health Malaysia, Shah Alam 40170, Selangor Darul Ehsan, Malaysia; (N.A.); (E.N.I.R.); (N.A.Z.); (U.R.S.); (N.M.Y.); (N.J.); (J.C.L.); (H.M.)
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Mohammad NA, Razaly NI, Rani MDM, Aris MSM, Effendy NM. An Evidence-Based Review: The Effects of Malaysian Traditional Herbs on Osteoporotic Rat Models. Malays J Med Sci 2019; 25:6-30. [PMID: 30914844 PMCID: PMC6422536 DOI: 10.21315/mjms2018.25.4.2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2017] [Accepted: 04/24/2018] [Indexed: 11/30/2022] Open
Abstract
Osteoporosis is considered a silent disease, the early symptoms of which often go unrecognised. Osteoporosis causes bone loss, reduces mineralised density, and inevitably leads to bone fracture. Hormonal deficiencies due to aging or drug induction are also frequently attributed to osteoporosis. Nevertheless, the phytochemical content of natural plants has been proven to significantly reduce osteoporotic conditions. A systematic review was conducted by this study to identify research specifically on the effects of Malaysian herbs such as Piper sarmentosum, Eurycoma longifolia and Labisia pumila on osteoporotic bone changes. This review consisted of a comprehensive search of five databases for the effects of specific herbs on osteoporotic bone change. These databases were Web of Science (WOS), Medline, Scopus, ScienceDirect and PubMed. The articles were selected throughout the years, were limited to the English language and fully documented. Duplication, irrelevant titles, different herbs and in vitro studies were excluded, including those that are not original research papers. A total of 399 potential studies were identified, but only 21 samples were accepted based on the inclusion and exclusion criteria. Six of the twenty one studies were on Piper sarmentosum, six on Eurycoma longifolia, and the remaining nine studies were on Labisia pumila. Overall, in three of the studies a glucocorticoid-induced model was used, while in 12 of the studies an ovariectomised model was used, and for the other six studies an orchidectomised model was used as the osteoporotic model. All of the studies reported varied results based on the type of herbs used, but in comparison to Eurycoma longifolia, Piper sarmentosum and Labisia pumila recorded better anti-osteoporotic effects, while the majority of studies on Eurycoma longifolia were unable to preserve bone strength.
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Affiliation(s)
- Nur Adlina Mohammad
- Basic Medical Sciences, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Menara B, Persiaran MPAJ, Jalan Pandan Utama, Pandan Indah, 55100 Kuala Lumpur, Malaysia
| | - Norfarah Izzaty Razaly
- Basic Medical Sciences, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Menara B, Persiaran MPAJ, Jalan Pandan Utama, Pandan Indah, 55100 Kuala Lumpur, Malaysia
| | - Mohd Dzulkhairi Mohd Rani
- Basic Medical Sciences, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Menara B, Persiaran MPAJ, Jalan Pandan Utama, Pandan Indah, 55100 Kuala Lumpur, Malaysia
| | - Muhammad Shamsir Mohd Aris
- Basic Medical Sciences, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Menara B, Persiaran MPAJ, Jalan Pandan Utama, Pandan Indah, 55100 Kuala Lumpur, Malaysia
| | - Nadia Mohd Effendy
- Basic Medical Sciences, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Menara B, Persiaran MPAJ, Jalan Pandan Utama, Pandan Indah, 55100 Kuala Lumpur, Malaysia
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