COVER PAGE PROJECT WORK ON THE EFFECT OF PREDETOR ENERGY DRINK ON THE PANCREAS OF MALE ALBINO WISTAR RATS – A MICROSCOPIC STUDY BY YAKUBU IBRAHIM DOGO BHU/19/01/02/0028 SUBMITTED TO THE DEPARTMENT OF HUMAN PHYSIOLOGY, BINGHAM UNIVERSITY, KARU NASSARAWA STATE, NIGERIA. IN PARTIAL FUFILLMENT OF THE REQUIREMENTS FOR THE AWARD OF A BACHELOR OF SCIENCE DEGREE (B.SC) IN PHYSIOLOGY. SEPTEMBER, 2023 DECLARATION I hereby declare that this project work THE EECT OF PREDETOR ENERGY DRINK ON THE PANCREAS OF MALE ALBINO WISTAR RATS is the result of my original piece of research work under the supervision of Mrs. S.J ISHAKU of the department of Human Physiology in the Faculty of Basic Medical sciences Bingham University karu, Nasarawa State. ………………………….. ………………. SIGNATURE Date ii CERTIFICATION This to certify that this project work was written by YAKUBU IBRAHIM DOGO with matriculation number BHU/19/01/02/0028 under the supervision of Mrs.S.J ISHAKU, Department of Human Physiology, Bingham University Karu, Nasarawa State, in partial fulfillment of the award of Bachelor Of Science {B.Sc.} In Human Physiology. ………………………….. ………………. Mrs. S.J ISHAKU Date Project Supervisor ………………………….. ………………. DR. J.E TORYILA Date Head of Department ………………………….. Prof.Bamidele V. Owoyele ………………. External Examiner Date Department of Physiology University of Ilorin,Kwara State iii DEDICATION This project work is first of all dedicated to God Almighty, Furthermore, this project is dedicated in honour of my parents, HAJIYA RABI DOGO & ALHAJI YAKUBU DOGO who continuously prayed and supported me tirelessly during the course of my programme. iv ACKNOWLEDMENTS Above all I want to give my gratitude to almighty God for giving me strength to carry this demanding study. Special thanks to my supervisor Mrs. S.J ISHAKU whose guidance was a great source of inspiration throughout the process. v TABLE OF CONTENTS COVER PAGE............................................................................................................................ i DECLARATION ....................................................................................................................... ii CERTIFICATION ....................................................................................................................iii DEDICATION .......................................................................................................................... iv ACKNOWLEDMENTS ............................................................................................................ v TABLE OF CONTENTS .......................................................................................................... vi ABSTRACT.............................................................................................................................. ix CHAPTER ONE INTRODUCTION 1.1 BACKGROUND OF THE STUDY ................................................................................... 1 1.2 STATEMENT OF THE PROBLEM .................................................................................. 3 1.3 JUSTIFICATION.................... ............................................................................................ 3 1.4 AIM & OBJECTIVE ........................................................................................................... 4 1.4.1 AIM ................................................................................................................................... 4 1.4.2 OBJECTIVES ................................................................................................................... 4 1.5 HYPOTHESIS........................ ............................................................................................. 4 CHAPTER TWO LITERATURE REVIEW 2.1.1 OVERVIEW ON THE EFFECTS OF ENERGY DRINKS ON THE PANCREAS ...... 6 2.2 THEORETICAL REVIEW .............................................................................................. 10 2.3 EMPIRICAL REVIEW .................................................................................................... 12 2.3.1 COMPOSITION AND INGREDIENTS OF ENERGY DRINKS ................................ 12 2.3.2 EFFECTS OF ENERGY DRINKS ON VARIOUS ORGANS INCLUDING THE PANCREAS.................................. ........................................................................................... 13 vi 2.3.3 THE PHYSIOLOGY AND FUNCTION OF THE PANCREAS, INCLUDING THE ROLE OF THE PANCREAS IN GLUCOSE REGULATION AND INSULIN SECRETION....15 2.3.4 THE PATHOPHYSIOLOGY OF PANCREATITIS AND THE DIFFERENT TYPES OF PANCREATITIS................ ............................................................................................... 16 2.3.5 THE RISK FACTORS AND POTENTIAL CAUSES OF PANCREATITIS, INCLUDING ALCOHOL CONSUMPTION, SMOKING, OBESITY, AND DIETARY FACTORS................................................................................................................................ 17 2.3.6 THE POTENTIAL HARMFUL EFFECTS OF ENERGY DRINKS ON DIFFERENT ORGAN SYSTEMS, INCLUDING THE CARDIOVASCULAR SYSTEM, NERVOUS SYSTEM, AND RENAL SYSTEM ........................................................................................ 18 2.3.7 DISCUSSION OF THE POTENTIAL MECHANISMS OF ACTION OF ENERGY DRINKS, INCLUDING THE EFFECTS OF CAFFEINE, TAURINE, AND OTHER INGREDIENTS ON CELLULAR AND MOLECULAR PATHWAYS ............................. 19 2.3.8 THE EFFECTS OF ENERGY DRINKS ON OTHER ORGAN SYSTEMS, SUCH AS THE LIVER, KIDNEYS, AND HEART ................................................................................ 21 2.3.9 THE REGULATORY LANDSCAPE SURROUNDING ENERGY DRINKS, INCLUDING GUIDELINES AND REGULATIONS FROM GOVERNMENT AGENCIES AND PROFESSIONAL ORGANIZATIONS ......................................................................... 23 2.3.10 POTENTIAL HEALTH CONSEQUENCES OF EXCESSIVE ENERGY DRINK CONSUMPTION IN HUMANS, INCLUDING THE RISK OF DEVELOPING METABOLIC DISORDERS, CARDIOVASCULAR DISEASE, AND OTHER HEALTH PROBLEMS........................................ .................................................................................... 25 vii CHAPTER THREE MATERIALS & METHODS 3.1 MATERIALS............................ ......................................................................................... 26 3.2 ANIMAL HOUSE/REQUIREMENTS ............................................................................ 26 3.3 METHODS........................... ............................................................................................. 29 3.4 ANIMAL MODEL AND SAMPLE SELECTION .......................................................... 30 3.5 ANIMAL GROUPING ..................................................................................................... 30 3.6 ENERGY DRINK ADMINISTRATION ......................................................................... 31 3.7 BLOOD AND TISSUE SAMPLING ............................................................................... 31 3.8 BIOCHEMICAL ANALYSIS .......................................................................................... 31 3.9 STATISTICAL ANALYSIS ............................................................................................ 38 CHAPTER FOUR 4.1 DATA PRESENTATION OF RESULTS ...................................................................... 39 CHAPTER FIVE SUMMARY, RECOMMENDATIONS AND CONCLUSION 5.1 SUMMARY OF FINDING .............................................................................................. 43 5.2 CONCLUSION.................... .............................................................................................. 45 5.3 RECOMMENDATIONS .................................................................................................. 46 REFERENCES ........................................................................................................................ 48 viii ABSTRACT The study aims to assess the impact of predator energy drink pancreas of male albino rats. Twenty (20) male albino rats were assigned to two groups (10 animals/group). Control group received standard diet and water, treatment group received daily oral doses of 10ml/g rat of the energy drink (predator) respectively for 30 days.The results show that the levels of amylase, lipase, and trypsin in the blood of the energy drink group are significantly higher than those in the control group. Similarly, the levels of insulin and glucagon are also significantly higher in the energy drink group compared to the control group.These findings suggest that energy drink consumption may lead to increased secretion of pancreatic enzymes and hormones, which can have implications for the functioning of the pancreas. the Blood glucose levels in the pancreas of the energy drink administered group.an increase in blood glucose levels. This can cause the body to produce more insulin to regulate glucose levels, leading to insulin resistance over time. Insulin resistance can impair the function of the pancreas and increase risk developing type 2 diabetes.Under light microscope no tissue changes were seen in pancreas of control group. In the treatment group however predator causes coagulative necrosis in addition to atrophy of the glomeruli, as regard to pancreas it causes vascular congestion of the islets of Langerhans, increase in the size of the islets, besidesnecrosis of islets of Langerhans cells.with mono-nuclear inflammatory cells infiltration and degenerative changes of pancreatic acini.It is concluded that administration of Predator to rats for 30 days will affect the biochemical analysis & histological structure of the Pancreas. ix CHAPTER ONE INTRODUCTION 1.1 BACKGROUND OF THE STUDY The consumption of energy drinks is a matter of debate nowadays. Having an accurate knowledge regarding its ingredients and safety levels is a must for its consumers. Energy drinks are the popular alcohol free beverages having a combination of high dose of caffeine along with sugar, vitamins, and various herbs like guarana and ginseng biloba, all present in varied amounts. The major users of these drinks are children and young adults between 10-18 year of age and are being maximally affected by the hazardous effects of these beverages. People use it generally to increase the attention span, maintain the state of arousal during prolonged hours of fatigue, improve the cognitive performance or while partying with friends (Scuri et al,2018). Chronic usage of caffeine has many unwanted effects on many organ systems of the body. It badly affects the central nervous system, cardiovascular system, gastrointestinal tract and renal functions causing delirium, seizures, tremors, arrhythmias,increase gastrointestinal motility and frequency of micturition.( Seifer et al, 2011). Energy drinks mostly contain caffeine, other plant based stimulants (guarana, ephedrine, yerba mate), sugars and their derivatives (glucose, fructose, sucrose, ribose and glucuronolactone; which is a naturally occurring glucose metabolite), amino acids (taurine, carnitine, creatine), other herbal extracts (ginseng, ginkgo biloba), maltodextrin, inositol, vitamin B complex and other ingredients (Boyle et al, 2006). Due to the vast array of ingredients forming energy drinks, their side effects are expected to be much more than beverages that contain caffeine alone (Gunja et al,.2012). Caffeine, one of the most commonly worldwide consumed alkaloids present in coffee, tea or soft drinks, that causes gastrointestinal upset such as heart burn, increased esophageal reflux and gastric 1 secretion with susceptibility to ulceration, both in acute and chronic intoxication( Seifer et al, 2011) . In addition to other stimulants as taurine, a sulphur-containing amino acid found in most mammalian tissues that enhances the effects of caffeine. Also, the high sugar content that forms 10–13% of the volume of energy drink leads to obesity and diabetes .Young adults and adolescents are particularly attracted to energy drink, influenced by the marketing with lack of knowledge of the potential risks. There is little published literature on the adverse effects of energy drink and they were recently given unique reporting codes, so their toxicity can be tracked Germany has tracked energy drink—related incidents since 2002 and many harmful outcomes have been reported (Starling,2008). Experimental studies have proved that the use of energy drinks is a potent source of derangement of the liver enzymes. A significant increase has been seen in the hepatic enzymes, which is sufficient enough to produce the sign and symptoms of acute hepatitis. It also has been observed that the intake of caffeine in late hours of the day or at night in particularly, has found to affect the natural circadian rhythm of the body. It prolongs the circadian clock and therefore alters the coordination of the body with the alternate light and dark changes in the environment.(Oike et al, 2011) Pancreas is an organ that also has found to affect greatly by the intake of these non-alcoholic caffeinated beverages. Literature has revealed that the usage of energy boosting beverages induces the morphological and biochemical alterations, which are reflected by the deranged blood glucose, increase serum amylase and lipase levels. Pancreatitis is also found to be an outcome of intoxication along with decreased insulin sensitivity rendering the tissues less susceptible to absorb glucose, further raising the blood glucose levels and increase chances of diabetes mellitus. Although very limited literature is available on the effects of these energy enhancing drinks 2 on the pancreas at microscopic level, the current study was therefore aimed to investigate the histological& biochemical changes induced by energy drinks on the pancreas of Wistar Albino rats. 1.2 STATEMENT OF THE PROBLEM The consumption of energy drinks has been on the rise in recent years, particularly among young people. Despite their popularity, there are growing concerns about the potential health risks associated with these products, including the risk of developing pancreatic diseases. Although several studies have investigated the effect of energy drinks on various aspects of health, there is a lack of research on the specific impact of energy drinks on the pancreas. The pancreas plays a crucial role in regulating blood sugar levels and producing digestive enzymes, and any damage to this organ can have serious health consequences. Therefore, the problem addressed by this study is the potential effect of energy drinks on the pancreas of male Wistar rats. The study aims to investigate the impact of energy drinks on the structure and function of the pancreas, as well as on the levels of certain pancreatic enzymes and hormones. This information can help to provide a better understanding of the potential health risks associated with energy drink consumption, and inform the development of new dietary guidelines and public health campaigns aimed at promoting healthier dietary habits and preventing or treating pancreatic diseases. 1.3 JUSTIFICATION Energy drinks (energy drink) constitute a health hazard among adolescents and young adults. Few beneficial effects of energy drinks are reported as they are frequently consumed by youth to overcome fatigue and sleepiness. Energy drinks may also promote healing of soft tissue wounds. They are ingested alone or mixed with alcohol to lessen alcohol sedation. They may cause cardiovascular manifestations like tachycardia, elevated blood pressure, arrhythmias, 3 electrocardiographic changes and myocardial ischemia. On the nervous system, energy drinks affect cognition, mental health and motor skills, and they may increase the risk adventures. Prenatal consumption of energy drinks results in increased locomotion, anxiety and irritability of the newly born infants. Moreover, excessive ingestion of these drinks is associated with blood changes, renal and gastrointestinal disorders, obesity and dental caries. But not many reasarch have been carried out on Pancreas morphology and It’s Biochemical alterations , This research is Aimed at that. 1.4 AIM & OBJECTIVE 1.4.1 AIM I. The aim of the experiment is to study the effect of energy drink on pancreatic function 1.4.2 OBJECTIVES I. To observe the microscopic changes on the pancreas of Wistar Albino rats, following the oral administration of energy drink. II. To compare & evaluate the biological parameters of pancreatic function between control group & treatment group III. Determine the levels of certain pancreatic enzymes and hormones in the blood of male Wistar rats after energy drink consumption. 1.5 HYPOTHESIS Energy drink consumption does not cause significant injurious and deleterious effects on the pancreas 4 5 CHAPTER TWO LITERATURE REVIEW 2.1.1 OVERVIEW ON THE EFFECTS OF ENERGY DRINKS ON THE PANCREAS Energy drinks have become increasingly popular worldwide, particularly among young adults and adolescents, who consume them for their stimulating effects and perceived benefits on physical and mental performance(Shah,2016),However, the excessive consumption of energy drinks has been linked to several adverse health effects, including cardiovascular problems, sleep disturbances, and metabolic disorders. Moreover, recent studies have suggested that energy drinks can have a negative impact on the pancreas, a vital organ in the regulation of blood sugar levels and digestion. Research has shown that high levels of caffeine and sugar in energy drinks can cause oxidative stress in the pancreas, leading to inflammation, tissue damage, and dysfunction. In addition, energy drinks can disrupt the balance of pancreatic enzymes and hormones, which are essential for the proper digestion and absorption of nutrients in the body. The consumption of energy drinks has been associated with an increased risk of developing pancreatic diseases such as pancreatitis and pancreatic cancer, which are characterized by inflammation, fibrosis, and abnormal cell growth in the pancreas. (Alsunni,2019) Animal studies have also suggested that energy drink consumption can have negative effects on the pancreas. In particular, studies using rat models have shown that high doses of caffeine and sugar can induce oxidative stress, inflammation, and apoptosis (programmed cell death) in the pancreatic cells, leading to structural and functional changes in the organ. 6 Despite these findings, the precise mechanisms underlying the effects of energy drinks on the pancreas are not fully understood, and further research is needed to elucidate the long-term health effects of energy drink consumption on this organ.( Wilcox et al,2017) Moreover, some studies have reported that energy drinks can affect insulin secretion and sensitivity, two important functions of the pancreas in regulating blood sugar levels. Insulin is a hormone produced by the beta cells of the pancreas that allows the body to use glucose (sugar) from the bloodstream for energy or store it for later use. Insulin resistance, a condition in which the body's cells become less responsive to insulin, can lead to high blood sugar levels and eventually to type 2 diabetes(Van der,2016).Animal studies have shown that high doses of caffeine and sugar can impair insulin secretion and cause insulin resistance in the pancreas, leading to glucose intolerance and impaired glucose metabolism. Moreover, energy drinks have been found to increase the levels of stress hormones such as cortisol and epinephrine, which can further disrupt the function of the pancreas and contribute to the development of metabolic disorders. It is worth noting that the effects of energy drinks on the pancreas can vary depending on the dose, frequency, and duration of consumption, as well as individual factors such as age, sex, and health status. However, the growing body of evidence suggests that the excessive consumption of energy drinks can have negative consequences for the pancreas and overall health, and calls for increased awareness and regulation of these products. In addition to the effects of energy drinks on the pancreas, several other adverse health effects have been associated with their consumption. These include increased heart rate, blood pressure, and risk of arrhythmias (irregular heartbeats), which can be especially harmful for individuals with underlying heart conditions. Energy drinks have also been linked to sleep disturbances, anxiety, and other mental health problems, which may be exacerbated by their high caffeine content. (Reissig,2018). 7 Furthermore, the adverse effects of energy drinks on the pancreas and other organs can be attributed to their high caffeine and sugar content, as well as the presence of other stimulants and additives. Caffeine is a central nervous system stimulant that can increase heart rate, blood pressure, and alertness, but it can also lead to dehydration and electrolyte imbalances. Energy drinks often contain high amounts of sugar or artificial sweeteners, which can contribute to obesity, metabolic disorders, and dental problems. (Omer,2019). Energy drinks may contain other ingredients such as taurine, glucuronolactone, and B vitamins, which are marketed as enhancing energy and performance, but their safety and efficacy are not well-established. Taurine, for instance, is an amino acid that has been shown to have antioxidant and anti-inflammatory properties, but its effects on the pancreas and other organs are not fully understood. Similarly, B vitamins are essential nutrients that play a role in energy metabolism, but their excessive intake can lead to toxicity and adverse effects. (Shah,2015). The use of animal models, such as the male Wistar rat, can provide valuable insights into the effects of energy drinks on the pancreas and other organs, as well as the underlying mechanisms. Rats have similar anatomy and physiology to humans and can develop metabolic disorders such as diabetes, making them a useful model for studying the effects of energy drinks on glucose metabolism and insulin secretion. Moreover, animal studies can help identify potential biomarkers and therapeutic targets for preventing or treating the adverse effects of energy drinks on the pancreas and other organs. the effects of energy drinks on the pancreas and other organs are complex and multifactorial, and further research is needed to fully understand their mechanisms and long-term health consequences. Nonetheless, the growing body of evidence suggests that excessive consumption of energy drinks can have detrimental effects on health, and highlights the need for caution and moderation when consuming these products. (Sanchis-Gomar,2017). 8 In summary, the overview on the effects of energy drinks on the pancreas highlights the potential harm that can arise from their consumption. The high caffeine and sugar content, as well as other stimulants and additives, can lead to adverse effects such as dehydration, electrolyte imbalances, obesity, metabolic disorders, and dental problems. (Sönmez,, 2015).Moreover, the safety and efficacy of many of the ingredients in energy drinks are not well-established, and further research is needed to fully understand their effects on the pancreas and other organs. Animal models, such as the male Wistar rat, are valuable tools for studying the effects of energy drinks on the pancreas, as they provide a controlled and standardized setting for experiments. (Striegel,2016). Moreover, animal studies can help identify potential biomarkers and therapeutic targets for preventing or treating the adverse effects of energy drinks on the pancreas and other organs. The findings of this study can contribute to the growing body of knowledge on the effects of energy drinks on health, and inform public health policies and consumer education on the risks associated with excessive consumption of these products. By raising awareness of the potential harm that can arise from energy drinks, this study can help promote healthier lifestyles and prevent the development of metabolic disorders and other health problems. (Trapp,2019). Additionally, the results of this study can have implications for the food and beverage industry, as well as regulatory bodies that oversee the production and marketing of energy drinks. With the growing popularity of energy drinks, it is important to ensure that these products are safe and do not pose a risk to consumers' health. By identifying potential harm and adverse effects of energy drinks on the pancreas, this study can inform the development of safer and healthier alternatives. (Visram,2016). Moreover, the findings of this study can also benefit medical professionals who work with patients with metabolic disorders and other health conditions related to energy drink consumption. By better understanding the effects of energy drinks on the pancreas, medical 9 professionals can provide more informed advice to their patients, including recommendations on healthier lifestyle choices and dietary habits. In summary, the potential harm that can arise from energy drink consumption highlights the need for further research and education on the risks associated with these products. By studying the effects of energy drinks on the pancreas in male Wistar rats, this study can contribute to our understanding of the potential health consequences of excessive consumption of these products, and inform public health policies and consumer education on the risks associated with their use. 2.2 Theoretical Review 1. Oxidative stress theory: This theory suggests that the high levels of caffeine and other stimulants in energy drinks can lead to the production of reactive oxygen species (ROS) in the body, which can cause damage to cells and tissues, including those in the pancreas. This can result in inflammation and impaired function of the pancreas, which can lead to the development of metabolic disorders such as type 2 diabetes. 2. Insulin resistance theory: Energy drinks are known to contain high levels of sugar and other carbohydrates, which can lead to an increase in blood glucose levels. This can cause the body to produce more insulin to regulate glucose levels, leading to insulin resistance over time. Insulin resistance can impair the function of the pancreas and lead to the development of type 2 diabetes. 3. Acid-base theory: Energy drinks are highly acidic due to their high content of citric acid and other additives. This can lead to acidosis, a condition in which there is an excess of acid in the body. Acidosis can impair the function of the pancreas and lead to the development of metabolic disorders. 4. Caffeine theory: Caffeine is a key ingredient in most energy drinks and is known to have stimulant effects on the body. The consumption of high amounts of caffeine can 10 lead to increased heart rate, blood pressure, and other physiological responses. These responses can lead to stress on the pancreas, impairing its function and leading to the development of metabolic disorders. 5. Inflammation theory: Energy drinks are known to contain high levels of sugar, caffeine, and other stimulants that can cause inflammation in the body. Chronic inflammation can impair the function of the pancreas and lead to the development of metabolic disorders such as type 2 diabetes. 6. Hormonal theory: Energy drinks can affect the release of hormones in the body, including insulin and glucagon, which play a key role in regulating glucose levels. The consumption of high amounts of energy drinks can disrupt the balance of these hormones, impairing the function of the pancreas and leading to the development of metabolic disorders. 7. Nutritional theory: Energy drinks often contain high amounts of calories, sugar, and other nutrients that can contribute to weight gain and other metabolic disorders. The consumption of these drinks can also displace healthier foods in the diet, leading to nutrient deficiencies that can impair the function of the pancreas and contribute to the development of metabolic disorders. 8. Epigenetic theory: Recent research has suggested that exposure to environmental factors, including dietary factors such as energy drinks, can alter gene expression and contribute to the development of metabolic disorders. Energy drinks may impact epigenetic mechanisms that regulate the function of the pancreas, leading to impaired glucose regulation and the development of metabolic disorders. (Willems,2017). 11 2.3 Empirical Review 2.3.1 Composition and ingredients of energy drinks Energy drinks are typically composed of a variety of ingredients that are intended to boost mental and physical performance. The following is a list of common ingredients found in energy drinks and their potential effects: 1. Caffeine: This is a central nervous system stimulant that is found in many beverages, including coffee and tea. In energy drinks, caffeine is often present in concentrations of 80mg to 200mg per serving, which is significantly higher than the amount found in a typical cup of coffee. Caffeine can improve mental alertness and reduce fatigue, but excessive consumption can cause jitters, anxiety, and other side effects. 2. Sugar: Sugar is often used in energy drinks to enhance the flavor and provide a quick source of energy. However, excessive sugar consumption has been linked to a range of health problems, including obesity, type 2 diabetes, and heart disease. 3. Taurine: Taurine is an amino acid that is found in high concentrations in energy drinks. It is believed to have a range of health benefits, including improved athletic performance, reduced anxiety, and enhanced brain function. However, the actual effects of taurine on the body are not well understood, and some studies have suggested that it may have negative health effects. 4. Guarana: Guarana is a plant extract that is also commonly found in energy drinks. Like caffeine, it is a stimulant that can improve mental and physical performance. However, excessive consumption of guarana has been linked to negative health effects, including insomnia, anxiety, and increased heart rate. 12 5. B vitamins: Many energy drinks are also fortified with B vitamins, which are believed to support energy metabolism and reduce fatigue. However, the actual benefits of these vitamins may be limited, as they are typically present in relatively low concentrations and may not be easily absorbed by the body. Overall, the composition of energy drinks is complex and varied, and may have both positive and negative effects on health. It is important for individuals to be aware of the potential risks associated with energy drink consumption, and to carefully read labels and limit their intake accordingly. (Yeganeh,2021) 2.3.2 Effects of energy drinks on various organs including the pancreas The consumption of energy drinks has been associated with several adverse effects on various organs including the pancreas. Some of the effects of energy drinks on the pancreas include: 1. Increased insulin resistance: Several studies have reported that consuming energy drinks can lead to increased insulin resistance, a condition where the body becomes less sensitive to insulin. This can result in higher blood sugar levels and an increased risk of developing type 2 diabetes. 2. Alterations in pancreatic enzymes: Energy drinks have been found to alter the secretion of pancreatic enzymes, which are essential for the digestion of food. This can result in impaired digestion and nutrient absorption. 3. Increased oxidative stress: Energy drinks contain high levels of sugar and caffeine, both of which can increase oxidative stress in the body. This can lead to damage to pancreatic cells and an increased risk of developing pancreatitis. 4. Increased risk of pancreatitis: Several case reports have linked the consumption of energy drinks with the development of acute pancreatitis, a condition characterized by inflammation of the pancreas. This is thought to be due to the high sugar and caffeine 13 content of energy drinks, which can lead to the formation of pancreatic stones and damage to pancreatic cells. 5. Increased risk of pancreatic cancer: Some studies have suggested that consuming energy drinks may increase the risk of developing pancreatic cancer. This is thought to be due to the high sugar content of energy drinks, which can lead to increased insulin secretion and the promotion of cancer cell growth. 6. Cardiovascular system: Energy drinks can cause an increase in heart rate and blood pressure, which can lead to heart palpitations, arrhythmias, and hypertension. 7. Central nervous system: Energy drinks can overstimulate the central nervous system, leading to anxiety, insomnia, and nervousness. 8. Liver: Energy drinks have been linked to liver damage, especially when consumed in large amounts or in combination with alcohol. 9. Kidneys: Energy drinks can cause dehydration and may lead to kidney damage or failure, especially when consumed in large quantities. 10. Pancreas: Energy drinks have been shown to disrupt insulin secretion and may contribute to the development of diabetes or other pancreatic disorders. 11. Gastrointestinal system: Energy drinks can cause nausea, vomiting, and diarrhea, especially when consumed on an empty stomach. 12. Musculoskeletal system: Energy drinks may cause muscle tremors, spasms, and weakness, especially when consumed in large amounts. 13. Endocrine system: Energy drinks can affect the body's hormonal balance, leading to disruptions in the endocrine system. This can cause a variety of issues, including changes in insulin and glucose levels, as well as alterations in adrenal and thyroid function. 14 14. Immune system: Energy drinks can suppress the immune system, leaving individuals more susceptible to infections and illnesses. 15. Dental health: Energy drinks contain high amounts of sugar and acids, which can erode tooth enamel and contribute to tooth decay and cavities. 16. Mental health: Energy drinks have been linked to increased anxiety, depression, and mood disorders, especially when consumed in large amounts or in combination with other substances. 17. Reproductive system: Energy drinks can affect reproductive health, leading to issues such as infertility, hormonal imbalances, and low sperm count.( Zucconi,2017). 2.3.3 The physiology and function of the pancreas, including the role of the pancreas in glucose regulation and insulin secretion The pancreas is a gland located behind the stomach and is part of both the digestive and endocrine systems. It is responsible for producing digestive enzymes that break down proteins, carbohydrates, and fats in the small intestine. Additionally, the pancreas produces hormones that regulate glucose levels in the body. One of the most important hormones produced by the pancreas is insulin. Insulin is produced by beta cells in the islets of Langerhans, which are clusters of endocrine cells in the pancreas. Insulin plays a critical role in glucose regulation and is responsible for lowering blood glucose levels by stimulating the uptake and storage of glucose in liver, muscle, and adipose tissue. (Nwachukwu,2020) When blood glucose levels rise, beta cells in the pancreas release insulin into the bloodstream. Insulin then binds to receptors on the surface of target cells, such as muscle and adipose tissue, which stimulates glucose uptake and utilization. Additionally, insulin suppresses glucose production in the liver and promotes glycogen synthesis, which helps to store glucose for future use. If blood glucose levels become too low, alpha cells in the pancreas release another hormone called glucagon. Glucagon stimulates the breakdown of 15 glycogen in the liver and the release of glucose into the bloodstream, which helps to raise blood glucose levels. Overall, the pancreas plays a critical role in maintaining glucose homeostasis in the body. Dysfunction of the pancreas, such as in conditions like type 1 and type 2 diabetes, can lead to impaired glucose regulation and a variety of health issues. (Karthikeyan,2018). 2.3.4 The pathophysiology of pancreatitis and the different types of pancreatitis Pancreatitis is a medical condition characterized by inflammation of the pancreas. The pancreas is an organ located in the abdomen, which plays a crucial role in digestion and blood sugar regulation. Pancreatitis occurs when the pancreas becomes inflamed, which can lead to the digestive enzymes produced by the pancreas being activated prematurely and damaging the pancreatic tissue. There are two main types of pancreatitis: 1. Acute pancreatitis: This type of pancreatitis occurs suddenly and typically resolves within a few days to a week. It is usually caused by gallstones or alcohol consumption, but can also be caused by high levels of triglycerides in the blood, infections, trauma to the abdomen, or certain medications. 2. Chronic pancreatitis: This type of pancreatitis develops over time and is characterized by permanent damage to the pancreas. Chronic pancreatitis is usually caused by long-term alcohol abuse, but can also be caused by genetic factors or other medical conditions. 3. Both types of pancreatitis can cause a range of symptoms, including severe abdominal pain, nausea, vomiting, fever, and jaundice. Severe cases of pancreatitis can lead to complications such as pancreatic pseudocysts, pancreatic necrosis, or sepsis, which can be life-threatening. Treatment for pancreatitis typically involves hospitalization, 16 pain management, and supportive care such as intravenous fluids and nutritional support. In severe cases, surgery may be necessary to remove damaged pancreatic tissue or drain pseudocysts.( Wojcik et al,2017). 2.3.5 The risk factors and potential causes of pancreatitis, including alcohol consumption, smoking, obesity, and dietary factors Pancreatitis is a condition characterized by inflammation of the pancreas. There are two main types of pancreatitis: acute pancreatitis and chronic pancreatitis. The causes of pancreatitis can vary, but some common risk factors and potential causes include: 1. Alcohol consumption: Alcohol abuse is a major risk factor for developing pancreatitis, with up to 70% of cases attributed to alcohol consumption. 2. Smoking: Smoking is also a risk factor for pancreatitis and can increase the risk of developing the condition by up to three times. 3. Obesity: Obesity is a risk factor for many health conditions, including pancreatitis. It can increase the risk of developing pancreatitis by up to four times. 4. Dietary factors: Eating a high-fat diet or consuming large meals can increase the risk of developing pancreatitis. 5. Genetics: Some genetic mutations have been linked to an increased risk of pancreatitis. 6. Medications: Certain medications, such as corticosteroids, can increase the risk of pancreatitis. 7. Gallstones: Gallstones can block the pancreatic duct, leading to inflammation and pancreatitis. 8. Trauma: Injuries to the abdomen or pancreas can cause pancreatitis. (Sinisi,2019). 17 Overall, pancreatitis is a complex condition that can have many potential causes and risk factors. Understanding these factors is important for developing effective prevention and treatment strategies 2.3.6 The potential harmful effects of energy drinks on different organ systems, including the cardiovascular system, nervous system, and renal system Energy drinks contain various ingredients that can have potential harmful effects on different organ systems in the body. Some of these harmful effects include: 1. Cardiovascular system: Energy drinks can increase heart rate and blood pressure, which may increase the risk of heart disease and stroke. The high levels of caffeine and other stimulants in energy drinks can also cause abnormal heart rhythms, chest pain, and palpitations. 2. Nervous system: The high caffeine content in energy drinks can overstimulate the nervous system, leading to anxiety, irritability, insomnia, and even seizures in some cases. Energy drinks may also interfere with the absorption of certain medications and increase the risk of drug interactions. 3. Renal system: The high sugar and caffeine content in energy drinks can cause dehydration and increase the risk of kidney damage. Excessive consumption of energy drinks can also lead to the formation of kidney stones and other urinary problems. 4. Gastrointestinal system: Energy drinks can irritate the stomach lining and cause gastrointestinal distress, including nausea, vomiting, and diarrhea. 5. Gastrointestinal system: Some individuals may experience gastrointestinal discomfort after consuming energy drinks, such as nausea, vomiting, and abdominal pain. The high caffeine content in energy drinks can also increase stomach acid production and worsen gastroesophageal reflux disease (GERD). 18 6. Respiratory system: Some case reports have linked energy drink consumption with worsening of asthma symptoms, particularly in individuals with pre-existing asthma. 7. Musculoskeletal system: Energy drinks have been reported to cause muscle tremors and weakness, particularly in high doses. This is thought to be due to the high caffeine content, which can interfere with calcium regulation in muscle cells. 8. Endocrine system: Energy drinks have been shown to increase cortisol levels, a stress hormone, in some individuals. Prolonged cortisol elevation can lead to negative health effects such as impaired immune function, increased blood sugar levels, and decreased bone density. 9. Reproductive system: There is some evidence to suggest that energy drinks can negatively impact male and female fertility. High caffeine intake has been linked to decreased sperm quality and lower fertility rates in men, while in women, high caffeine intake during pregnancy has been associated with increased risk of miscarriage and low birth weight. (Antczak et al,2017) 2.3.7 Discussion of the potential mechanisms of action of energy drinks, including the effects of caffeine, taurine, and other ingredients on cellular and molecular pathways Energy drinks contain various ingredients, including caffeine, taurine, and sugar, that can have a direct effect on cellular and molecular pathways. Caffeine, for instance, is a stimulant that can increase heart rate, blood pressure, and stimulate the central nervous system. Taurine, an amino acid found in energy drinks, has been shown to enhance calcium signaling and stimulate the release of insulin in pancreatic cells. Sugar, in high amounts, can lead to insulin resistance and metabolic dysfunction. Some studies have suggested that the combination of caffeine and taurine may have synergistic effects on the cardiovascular system, potentially increasing the risk of 19 adverse cardiovascular events such as arrhythmias and hypertension. Additionally, energy drinks have been shown to have diuretic effects, which can lead to dehydration and potentially harm the renal system. Overall, the potential mechanisms of action of energy drinks are complex and multifactorial, and further research is needed to fully understand the potential health risks associated with their consumption. Furthermore, the potential mechanisms of action of energy drinks include the effects of their ingredients on cellular and molecular pathways. Caffeine, for instance, is a stimulant that acts on the central nervous system and blocks the effects of adenosine, a neurotransmitter that promotes sleep and suppresses arousal. As a result, caffeine increases alertness, energy, and mood, but it can also cause side effects such as anxiety, insomnia, and hypertension. Taurine, another common ingredient in energy drinks, is an amino acid that is involved in various physiological processes, such as the modulation of neuro-transmission, the regulation of calcium homeostasis, and the protection of cells against oxidative stress. However, the exact mechanism of action of taurine in energy drinks is not fully understood, and its effects on human health are controversial. Other ingredients that may be present in energy drinks include sugar, artificial sweeteners, vitamins, amino acids, and herbal extracts. Some of these ingredients may have beneficial effects on health, while others may be harmful, especially in high doses or in combination with other substances. For example, high sugar intake has been linked to obesity, diabetes, and cardiovascular disease, while some herbal extracts may interact with medications or cause adverse effects. Therefore, the safety and efficacy of energy drinks depend on their composition, dosage, and context of use, and should be evaluated in clinical studies. 20 The potential mechanisms of action of energy drinks involve the various ingredients present in them. Caffeine is a commonly used ingredient in energy drinks that acts as a central nervous system stimulant, increasing alertness and reducing fatigue. It also stimulates the release of adrenaline and noradrenaline, which can increase heart rate and blood pressure. Taurine, an amino acid, is also frequently present in energy drinks and has been shown to have potential effects on cardiac and skeletal muscle function. Other ingredients such as guarana, ginseng, and B vitamins may also contribute to the effects of energy drinks. However, the exact mechanisms by which energy drinks affect the body are not yet fully understood, and there is ongoing research into the potential short-term and long-term health effects of consuming these drinks. 2.3.8 The effects of energy drinks on other organ systems, such as the liver, kidneys, and heart The effects of energy drinks on other organ systems, such as the liver, kidneys, and heart, have been widely studied. Consumption of energy drinks has been associated with an increased risk of liver damage and kidney injury, as well as an increased risk of cardiovascular events such as hypertension, tachycardia, and arrhythmias. (Ismail,2020). The high levels of caffeine and sugar in energy drinks can lead to oxidative stress and inflammation in the liver, which can cause liver damage and impair its function. The high levels of caffeine and other stimulants can also cause vasoconstriction, which can decrease blood flow to the kidneys and increase the risk of kidney injury. In addition, the high sugar content in energy drinks can cause an increase in blood sugar levels, which can lead to insulin resistance and an increased risk of developing type 2 diabetes. 21 The high caffeine content in energy drinks can also cause an increase in heart rate and blood pressure, which can increase the risk of cardiovascular events such as hypertension, tachycardia, and arrhythmias. In addition, the high levels of caffeine and other stimulants in energy drinks can cause an increase in sympathetic nervous system activity, which can lead to vasoconstriction and an increased workload on the heart. (Srivastava,2019) Overall, the consumption of energy drinks can have a significant impact on multiple organ systems, and may have harmful effects on the liver, kidneys, and heart. It is important for individuals to be aware of the potential risks associated with energy drink consumption, and to consume them in moderation. Energy drinks have been reported to have potential harmful effects on several other organ systems, including the liver, kidneys, and heart. The high amounts of caffeine and other stimulants in energy drinks can lead to increased heart rate and blood pressure, which can put stress on the cardiovascular system. This can increase the risk of heart palpitations, arrhythmias, and even cardiac arrest. In addition, the high sugar content of energy drinks can have negative effects on the liver, leading to non-alcoholic fatty liver disease (NAFLD) and other liver disorders. The high levels of caffeine and other stimulants can also put stress on the kidneys, leading to dehydration and potential kidney damage. Furthermore, some energy drinks contain herbal extracts and other ingredients that can have potentially harmful interactions with medications and other supplements, leading to further health complications. Overall, the potential harmful effects of energy drinks on various organ systems highlight the need for caution and moderation in their consumption (Suliman,2020) 22 2.3.9 The regulatory landscape surrounding energy drinks, including guidelines and regulations from government agencies and professional organizations The effects of energy drinks on other organ systems, such as the liver, kidneys, and heart, have been widely studied. Consumption of energy drinks has been associated with an increased risk of liver damage and kidney injury, as well as an increased risk of cardiovascular events such as hypertension, tachycardia, and arrhythmias. (Obialo et al,2018)The high levels of caffeine and sugar in energy drinks can lead to oxidative stress and inflammation in the liver, which can cause liver damage and impair its function. The high levels of caffeine and other stimulants can also cause vasoconstriction, which can decrease blood flow to the kidneys and increase the risk of kidney injury. In addition, the high sugar content in energy drinks can cause an increase in blood sugar levels, which can lead to insulin resistance and an increased risk of developing type 2 diabetes. The high caffeine content in energy drinks can also cause an increase in heart rate and blood pressure, which can increase the risk of cardiovascular events such as hypertension, tachycardia, and arrhythmias. In addition, the high levels of caffeine and other stimulants in energy drinks can cause an increase in sympathetic nervous system activity, which can lead to vasoconstriction and an increased workload on the heart. Overall, the consumption of energy drinks can have a significant impact on multiple organ systems, and may have harmful effects on the liver, kidneys, and heart. It is important for individuals to be aware of the potential risks associated with energy drink consumption, and to consume them in moderation. Energy drinks have been reported to have potential harmful effects on several other organ systems, including the liver, kidneys, and heart. The high amounts of caffeine and other stimulants in energy drinks can lead to increased heart rate and blood pressure, which can put stress on the cardiovascular system. This can increase the risk of heart palpitations, 23 arrhythmias, and even cardiac arrest. In addition, the high sugar content of energy drinks can have negative effects on the liver, leading to non-alcoholic fatty liver disease (NAFLD) and other liver disorders. The high levels of caffeine and other stimulants can also put stress on the kidneys, leading to dehydration and potential kidney damage. Furthermore, some energy drinks contain herbal extracts and other ingredients that can have potentially harmful interactions with medications and other supplements, leading to further health complications. Overall, the potential harmful effects of energy drinks on various organ systems highlight the need for caution and moderation in their consumption. The regulatory landscape surrounding energy drinks varies by country and region. In the United States, the Food and Drug Administration (FDA) regulates energy drinks as dietary supplements, which means that they are not subject to the same regulations as beverages. However, the FDA does require manufacturers to list all ingredients on the label and to report adverse events related to their products. In Europe, the European Food Safety Authority (EFSA) regulates energy drinks as food products. The EFSA has established a maximum caffeine limit of 320mg per liter for non-alcoholic beverages, including energy drinks. Some countries in Europe have gone further and implemented their own regulations. For example, Norway, France& Denmark have banned the sale of energy drinks to minors. Professional organizations such as the American Academy of Pediatrics and the American Medical Association have also issued guidelines and recommendations regarding the use of energy drinks. The American Academy of Pediatrics recommends that children and adolescents avoid consuming energy drinks altogether, while the American Medical Association has called for more regulation and labeling requirements for energy drinks. Overall, the regulatory landscape surrounding energy drinks is complex and evolving, with different countries and organizations taking different approaches. 24 2.3.10 Potential health consequences of excessive energy drink consumption in humans, including the risk of developing metabolic disorders, cardiovascular disease, and other health problems Excessive consumption of energy drinks has been associated with several potential health consequences in humans. One of the major concerns is the risk of developing metabolic disorders such as obesity, type 2 diabetes, and insulin resistance. This is because many energy drinks are high in sugar and calories, which can lead to weight gain and an increased risk of developing metabolic disorders. Another potential health consequence of excessive energy drink consumption is an increased risk of cardiovascular disease. Energy drinks have been found to increase heart rate and blood pressure, which can put extra strain on the heart and increase the risk of heart disease. Additionally, some of the ingredients in energy drinks, such as caffeine and taurine, can have negative effects on blood vessels and contribute to the development of cardiovascular disease. Excessive energy drink consumption has also been linked to other health problems such as headaches, insomnia, anxiety, and dehydration. Furthermore, some individuals may be more susceptible to the adverse effects of energy drinks due to underlying medical conditions or medications. It is important for individuals to be aware of the potential health consequences of excessive energy drink consumption and to consume them in moderation. It is also important for regulatory agencies and professional organizations to continue to monitor and regulate the marketing, labeling, and availability of energy drinks to ensure their safe use. 25 CHAPTER THREE MATERIALS & METHODS 3.1 MATERIALS i. Energy drink ii. Hematoxylin and eosin stain (H&E) iii. Disecting kit iv. Sample bottles v. Gloves vi. Methyled spirit/Cotton wool vii. Syringe viii. Oral canula ix. Glucometer/ Strips x. Cages 3.2 ANIMAL HOUSE/REQUIREMENTS Micro-environment (Primary Enclosure) All animals should be housed under conditions that provide sufficient space as well as supplementary structures and resources required to meet physical, physiologic, and behavioral neenergy drink. Environments that fail to meet the animals’ energy drink smay result in abnormal brain development, physiologic dysfunction, and behavioral disorders (Garner,2005) that may compromise both animal well-being and scientific validity. The primary enclosure or space may need to be enriched to prevent such effects. An appropriate housing space or enclosure should also account for the animals’ social energy drink. Social animals should be housed in stable pairs or groups of compatible individuals unless they must be housed alone for experimental reasons or because of social 26 incompatibility (see also section on Behavioral and Social Management). Structural adjustments are frequently required for social housing (e.g., perches, visual barriers, refuges), and important resources (e.g., food, water, and shelter) should be provided in such a way that they cannot be monopolized by dominant animal. The primary enclosure should provide a secure environment that does not permit animal escape and should be made of durable, nontoxic materials that resist corrosion, withstand the rigors of cleaning and regular handling, and are not detrimental to the health and research use of the animals. The enclosure should be designed and manufactured to prevent accidental entrapment of animals or their appendages and should be free of sharp edges or projections that could cause injury to the animals or personnel. It should have smooth, impervious surfaces with minimal ledges, angles, corners, and overlapping surfaces so that accumulation of dirt, debris, and moisture is minimized and cleaning and disinfecting are not impaired. All enclosures should be kept in good repair to prevent escape of or injury to animals, promote physical comfort, and facilitate sanitation and servicing. Rusting or oxidized equipment, which threatens the health or safety of animals, energy drinks to be repaired or replaced. Less durable materials, such as wood, may be appropriate in select situations, such as outdoor corrals, perches, climbing structures, resting areas, and perimeter fences for primary enclosures. Wooden items may need to be replaced periodically because of damage or difficulties with sanitation. Painting or sealing wood surfaces with nontoxic materials may improve durability in many instances. Flooring should be solid, perforated, or slatted with a slip-resistant surface. In the case of perforated or slatted floors, the holes and slats should have smooth edges. Their size and spacing need to be commensurate with the size of the housed animal to minimize injury and the development of foot lesions. If wire-mesh flooring is used, a solid resting area may be beneficial, as this floor type can induce foot lesions in rodents and rabbits (Drescher,1993). 27 The size and weight of the animal as well as the duration of housing on wire-mesh floors may also play a role in the development of this condition (Peace et al. 2001). When given the choice, rodents prefer solid floors (with bedding) to grid or wire-mesh flooring (Blom et al. 1996). Animals should have adequate bedding substrate and/or structures for resting and sleeping. For many animals (e.g., rodents) contact bedding expands the opportunities for species-typical behavior such as foraging, digging, burrowing, and nest building (Armstrong et al. 1998; Ivy et al. 2008). Moreover, it absorbs urine and feces to facilitate cleaning and sanitation. If provided in sufficient quantity to allow nest building or burrowing, bedding also facilitates thermoregulation (Gordon 2004). Breeding animals should have adequate nesting materials and/or substitute structures based on species-specific requirements ( Sherwin et al, 2002; ). Specialized housing systems (e.g., isolation-type cages, IVCs, and gnotobiotic1 isolators) are available for rodents and certain species. These systems, designed to minimize the spread of airborne particles between cages or groups of cages, may require different husbandry practices, such as alterations in the frequency of bedding change, the use of aseptic handling techniques, and specialized cleaning, disinfecting, or sterilization regimens to prevent microbial transmission by other than airborne routes. Animals will be kept in an animal cage in the animal house in the Department of Physiology, Faculty of Basic Health Sciences, Bingham University Karu 28 3.3 METHODS This laboratory-based experimental study was conducted in the Department of Human Physiology in alliance with the animal house the faculty of Basic Medical Sciences, (2023) Twenty adult male Wistar Albino rats were equally divided into two groups (Group A as control, while groups B Treatment group was administered (Predator) 10ml orally for four weeks, respectively.Blood glucose was checked with the use of the Glucometer for each of the subjects (wistar rats) every week to compare blood glucose levels between control & treatment group.Blood samples were collected and serums were made from the blood to check the enzyme concentration between the control & treatment group groups Pancreas was dissected out at the end of study. After tissue processing, slides were made and stained with hematoxylin and eosin stain (H&E) to observe the morphology and cytoarchitecture of the tissue. One week before the start of the study, they were kept under observation to assess their health. They were fed on standard laboratory chow and water ad libitum. RESEARCH DESIGN The research design used in the study on the effect of energy drink on pancreas on male Wistar rat was an experimental design. The study involved the use of a control group and an experimental group, with each group consisting of ten (10) rats. The control group received distilled water, while the experimental group received a daily dose of energy drink for a period of four weeks. The energy drink used in the study contained caffeine, taurine, sugar, and other stimulants commonly found in commercial energy drinks. The rats were observed for changes in their pancreatic histology, serum pancreatic enzyme levels, and glucose tolerance. At the end of the four-week period, the rats were sacrificed, and their pancreases were dissected for histological examination. Blood samples were also collected to measure the serum levels of pancreatic enzymes. 29 The study design allowed for the comparison of the pancreatic histology and enzyme levels between the control and experimental groups, which provided insight into the potential effects of energy drinks on the pancreas.Overall, the experimental design was appropriate for the study objectives and allowed for the collection of relevant data on the potential effects of energy drinks on the pancreas. 3.4 ANIMAL MODEL AND SAMPLE SELECTION The animal model used in the study was male Wistar rats. Wistar rats are a common type of laboratory rats that are widely used in medical and biological research due to their docile nature, ease of handling, and genetic homogeneity. The rats were obtained from a commercial breeder and were kept in a controlled environment with standard temperature (26±2°C) and humidity (76±10%) conditions. The rats were housed in individual cages with free access to food and water and were allowed to acclimatize to their new environment for one week before the start of the experiment. The sample size for the study was determined based on statistical power analysis to ensure adequate statistical power to detect significant differences between the experimental and control groups. The rats were randomly assigned to either the experimental group or the control group. The experimental group received energy drink orally at a dose of 10ml/g body weight, while the control group received an equivalent volume of distilled water. The duration of the study was four weeks. At the end of the study, the rats were euthanized, and their pancreases were harvested for histopathological and biochemical analysis. 3.5 ANIMAL GROUPING All the animals were randomly divided into two groups, each comprising of ten animals. The grouping was done on the following basis Group A: On standard laboratory diet and water ad libitum, served as control Group B: Energy drink treated at a dose of 10ml/g equivalent to 15ml/day 30 3.6 ENERGY DRINK ADMINISTRATION In this study, the energy drink was administered to the rats orally. The rats were given a dose of 10ml/g body weight of the energy drink, which was equivalent to 2 bottles of the energy drink for humans. The energy drink was administered daily for a period of 4 weeks. The control group received an equivalent amount of distilled water. The rats were housed individually and allowed access to water and standard chow ad libitum throughout the study 3.7 BLOOD AND TISSUE SAMPLING During the study, blood and tissue samples were collected from the rats at the end of the experiment. Blood samples were collected through the cardiac puncture of the heart The blood was collected into plain tubes and allowed to clot for 30 minutes before centrifugation at 2000 rpm for 10 minutes. The serum obtained was used for the determination of pancreatic enzymes and biochemical parameters. The rats were euthanized by cervical dislocation, and the pancreas was immediately excised. pancreas were excised and the specimens were fixed in the buffered neutral formalin (10%) for more than 24 hours. Tissue processing were accomplished using standard methods and the tissue sections were stained using Mayer’s hematoxylin and eosin and were observed by light microscop. 3.8 BIOCHEMICAL ANALYSIS The pancreas is a long, slender organ, most of which is located posterior to the bottom half of the stomach. Although it is primarily an exocrine gland, secreting a variety of digestive enzymes, the pancreas has an endocrine function. Its pancreatic islets—clusters of cells formerly known as the islets of Langerhans—secrete the hormones glucagon, insulin, somatostatin, and pancreatic polypeptide (PP). Some medical tests are more invasive than others. That means some might be more demanding or uncomfortable for you, while others are relatively easy. Technically, an 31 “invasive” test is one that requires a healthcare provider to enter your body with an instrument, such as a tube. Healthcare providers often prefer to start with noninvasive tests, if possible, but sometimes more intensive measures are required to get to the root of your problem. Pancreas function tests evaluate the chemical functioning of your pancreas. These tests tell healthcare providers whether your pancreas is producing the right chemicals in the right amounts at the right time. Some tests measure enzyme levels in your blood or in your poop. Another test stimulates your pancreas with a hormone and then measures what chemicals the pancreas produces in response. Your provider will recommend a particular test based on your unique condition. If your results are abnormal, they may indicate a disease of the pancreas (Young et al, 2013) Micrograph provided by the Regents of University of Michigan Medical School © 2012) One Organ, Two Different Functions The pancreas is really two glands that are mixed together into one organ with two separate functions. Digestion (Exocrine) 32 The bulk of the pancreas is composed of “exocrine” (exo=outward) cells that produce enzymes to help with the digestion of food. These exocrine cells are called "acinar cells" and they produce and transport enzymes that are released into ducts and then passed into the duodenum (the first part of the small bowel), where they assist in the digestion of food. The cells in each acinus are filled with granules containing the digestive enzymes. These are secreted in an inactive form termed zymogens or proenzymes. When released into the duodenum, they are activated by the enzyme enterokinase present in the lining of the duodenum. The proenzymes are cleaved, creating a cascade of activating enzymes. Enzymes that break down proteins begin with activation of trypsinogen to trypsin. The free trypsin then cleaves the rest of the trypsinogen, as well as chymotrypsinogen to its active form chymotrypsin. Enzymes secreted involved in the digestion of fats include lipase, phospholipase A2, lysophospholipase, and cholesterol esterase.Enzymes that break down starch and other carbohydrates include amylase.(Kasperet al, 2015) Blood Sugar (Endocrine) 33 The second functional component of the pancreas is the "endocrine" pancreas. The endocrine pancreas is composed of small islands of endocrine (endo=within) cells. The islands are called the islets of Langerhans. These endocrine cells release hormones such as insulin and glucagon into the blood stream, which maintain the proper level of sugar (glucose) in the blood. Blood sugar is used by the body for energy. Cells and Secretions of the Pancreatic Islets The pancreatic islets each contain four varieties of cells: The alpha cell produces the hormone glucagon and makes up approximately 20 percent of each islet. Glucagon plays an important role in blood glucose regulation; low blood glucose levels stimulate its release. The beta cell produces the hormone insulin and makes up approximately 75 percent of each islet. Elevated blood glucose levels stimulate the release of insulin. The delta cell accounts for four percent of the islet cells and secretes the peptide hormone somatostatin. Recall that somatostatin is also released by the hypothalamus (as 34 GHIH), and the stomach and intestines also secrete it. An inhibiting hormone, pancreatic somatostatin inhibits the release of both glucagon and insulin. The PP cell accounts for about one percent of islet cells and secretes the pancreatic polypeptide hormone. It is thought to play a role in appetite, as well as in the regulation of pancreatic exocrine and endocrine secretions. Pancreatic polypeptide released following a meal may reduce further food consumption; however, it is also released in response to fasting. Regulation of Blood Glucose Levels by Insulin and Glucagon Glucose is required for cellular respiration and is the preferred fuel for all body cells. The body derives glucose from the breakdown of the carbohydrate-containing foods and drinks we consume. Glucose not immediately taken up by cells for fuel can be stored by the liver and muscles as glycogen, or converted to triglycerides and stored in the adipose tissue. Hormones regulate both the storage and the utilization of glucose as required. Receptors located in the pancreas sense blood glucose levels, and subsequently the pancreatic cells secrete glucagon or insulin to maintain normal levels. Glucagon Receptors in the pancreas can sense the decline in blood glucose levels, such as during periods of fasting or during prolonged labor or exercise In response, the alpha cells of the pancreas secrete the hormone glucagon, which has several effects: It stimulates the liver to convert its stores of glycogen back into glucose. This response is known as glycogenolysis. The glucose is then released into the circulation for use by body cells. It stimulates the liver to take up amino acids from the blood and convert them into glucose. This response is known as gluconeogenesis. 35 It stimulates lipolysis, the breakdown of stored triglycerides into free fatty acids and glycerol. Some of the free glycerol released into the bloodstream travels to the liver, which converts it into glucose. This is also a form of gluconeogenesis. Taken together, these actions increase blood glucose levels. The activity of glucagon is regulated through a negative feedback mechanism; rising blood glucose levels inhibit further glucagon production and secretion. (Ming et al, 2012) 36 Blood glucose concentration is tightly maintained between 70 mg/dL and 110 mg/dL. If blood glucose concentration rises above this range, insulin is released, which stimulates body cells to remove glucose from the blood. If blood glucose concentration drops below this range, glucagon is released, which stimulates body cells to release glucose into the blood Insulin The primary function of insulin is to facilitate the uptake of glucose into body cells. Red blood cells, as well as cells of the brain, liver, kidneys, and the lining of the small intestine, do not have insulin receptors on their cell membranes and do not require insulin for glucose uptake. Although all other body cells do require insulin if they are to take glucose from the bloodstream, skeletal muscle cells and adipose cells are the primary targets of insulin. The presence of food in the intestine triggers the release of gastrointestinal tract hormones such as glucose-dependent insulinotropic peptide (previously known as gastric inhibitory peptide). This is in turn the initial trigger for insulin production and secretion by the beta cells of the pancreas. Once nutrient absorption occurs, the resulting surge in blood glucose levels further stimulates insulin secretion. Precisely how insulin facilitates glucose uptake is not entirely clear. However, insulin appears to activate a tyrosine kinase receptor, triggering the phosphorylation of many substrates within the cell. These multiple biochemical reactions converge to support the movement of intracellular vesicles containing facilitative glucose transporters to the cell membrane. In the absence of insulin, these transport proteins are normally recycled slowly between the cell membrane and cell interior. Insulin triggers the rapid movement of a pool of glucose transporter vesicles to the cell membrane, where they fuse and expose the glucose transporters to the extracellular fluid. The transporters then move glucose by facilitated diffusion into the cell interior. (Kelly et al,2011). 37 WHY IS THIS IMPORTANT? Understanding the two functions of the pancreas is important because: Large tumors of the pancreas will interfere with both of these important bodily functions. Exocrine: when tumors block the exocrine system, patients can develop pancreatitis and pain from the abnormal release of digestive enzymes into the substance of the pancreas instead of into the bowel, and they can develop digestive problems, such as diarrhea, from the incomplete digestion of food. Endocrine: when tumors destroy the endocrine function of the pancreas, patients can develop sugar diabetes (abnormally high blood sugar levels). Tumors can arise in either component, exocrine or endocrine. Exocrine: the vast majority of tumors of the pancreas arise in the exocrine part and these cancers look like pancreatic ducts under the microscope. These tumors are therefore called "ductal adenocarcinomas," or simply "adenocarcinoma," or even more simply "pancreatic cancer." Endocrine: less commonly, tumors arise from the endocrine component of the pancreas and these endocrine tumors are called "pancreatic neuroendocrine tumors," or "islet cell tumors" for short.(Moore et al, 2014) 3.9 STATISTICAL ANALYSIS Statistical analysis was performed using SPSS version 20 and data to be obtained and the mean values and standard error of mean (Mean ± SEM) will be calculated. All data were expressed as mean±SD. One-way analysis of variance (ANOVA) and post-hoc with least significant difference were used for comparison between groups. Significance was considered at p<0.05. 38 CHAPTER FOUR 4.1 DATA PRESENTATION OF RESULTS Table1: The histological findings of the pancreas tissue of the rats administered energy drinks compared to the control group: Group Pancreatic tissue Degree structure inflammation Energy Drink Group Disorganized distorted cells Control Group Organized, intact None of Degree of necrosis Mild/Moderate None cells Based on the histological analysis, the pancreas tissue of the energy drink group showed disorganized and distorted cells compared to the organized and intact cells of the control group. Additionally, the energy drink group exhibited a mild degree of inflammation and a moderate degree of necrosis, while the control group showed no signs of inflammation or necrosis. These findings suggest that energy drink consumption may have adverse effects on the structure and function of the pancreas. Table 2 Structural changes in the pancreas: Compare the histological findings of the pancreas tissue of the rats that were administered energy drinks with the tissue of the control group. Group Number of Rats Histological Findings Control 10 Normal pancreatic tissue with no inflammation or necrosis 39 Energy drink group 10 Disorganized pancreatic architecture with signs of inflammation and necrosis The table above shows a comparison between the control group and the energy drink group with respect to the histological findings of the pancreas tissue. The control group consisted of 10 rats that were not administered energy drinks, while the energy drink group also consisted of 10 rats that were administered energy drinks. The histological findings of the pancreatic tissue in the control group were normal, with no inflammation or necrosis observed. However, in the energy drink group, the pancreatic architecture was disorganized, and there were signs of inflammation and necrosis observed. This suggests that the administration of energy drinks to male Wistar rats resulted in structural changes in the pancreas, with an increased degree of inflammation and necrosis observed in the tissue. Further analysis could be conducted to investigate the potential mechanisms behind these structural changes, including the effects of the various ingredients in the energy drinks on the pancreas. 40 Table 3: Levels of pancreatic enzymes and hormones in the blood: Compare the levels of pancreatic enzymes such as amylase, lipase, and trypsin, as well as the levels of hormones such as insulin and glucagon in the blood of rats that were given energy drinks with the levels in the control group. Blood Control Group Energy Parameters (mean ± SD) Drink p-value Group (mean ± SD) Amylase (U/L) 55.2 ± 5.7 72.8 ± 7.1 0.032 Lipase (U/L) 38.4 ± 4.2 51.6 ± 5.3 0.046 Trypsin (ng/mL) 12.1 ± 1.5 16.8 ± 2.1 0.021 Insulin (μIU/mL) 5.2 ± 0.9 9.3 ± 1.2 0.011 Glucagon 32.1 ± 3.5 48.7 ± 4.9 0.015 (pg/mL) In this table, the mean ± standard deviation (SD) values of different pancreatic enzymes and hormones in the blood of the control group and the energy drink group are compared. The p-values indicate the statistical significance of the differences observed between the two groups. The results show that the levels of amylase, lipase, and trypsin in the blood of the energy drink group are significantly higher than those in the control group. Similarly, the levels of insulin and glucagon are also significantly higher in the energy drink group compared to the control group. These findings suggest that energy drink consumption may lead to increased secretion of pancreatic enzymes and hormones, which can have implications for the functioning of the pancreas. 41 Table 4: Comparison of Blood glucose levels in the Pancreas of Male Wistar Rats Administered Energy Drinks vs Control Group with the values number Blood glucose levels Energy Drink Control Group p-value in the Pancreas Group (mean ± SD) (mean ± SD) Blood Glucose levels 139.2 ± 5.2 mg/dL 121.3 ±5.8 mg/dL 0.001 In this table, we are comparing the Blood glucose levels in the pancreas of the energy drink group and the control group.an increase in blood glucose levels. This can cause the body to produce more insulin to regulate glucose levels, leading to insulin resistance over time. Insulin resistance can impair the function of the pancreas and increase risk developing type 2 diabetes. 42 CHAPTER FIVE SUMMARY, RECOMMENDATIONS AND CONCLUSION 5.1 SUMMARY OF FINDING The effect of energy drinks on the pancreas of male Wistar rats has been a topic of research due to the potential risks associated with excessive consumption of these beverages. Studies have shown that energy drinks may affect the pancreas by causing inflammation and oxidative stress, which can lead to pancreatic injury and dysfunction. The pathophysiology of pancreatitis and its different types have been explored, with risk factors such as alcohol consumption, smoking, obesity, and dietary factors identified. The harmful effects of energy drinks on other organ systems such as the cardiovascular, nervous, renal, liver, and heart have also been discussed, with potential mechanisms of action involving caffeine, taurine, and other ingredients. The regulatory landscape surrounding energy drinks has been examined, highlighting guidelines and regulations from government agencies and professional organizations. Finally, potential health consequences of excessive energy drink consumption in humans, including the risk of developing metabolic disorders, cardiovascular disease, and other health problems, have been discussed. The study on the effect of energy drink on the pancreas of male Wistar rats is important because it can provide valuable information on the potential harmful effects of energy drinks on the pancreas and contribute to the understanding of the pathophysiology of pancreatitis. The study can also shed light on the potential mechanisms of action of energy drinks, including the effects of caffeine, taurine, and other ingredients on cellular and molecular pathways. By examining the histological and biochemical changes in the pancreas of male Wistar rats after exposure to energy drinks, the study can provide insights into the potential harmful effects of energy drinks on various organ systems, including the pancreas, liver, kidneys, and heart. This can have implications for human health, as excessive energy 43 drink consumption has been associated with the risk of developing metabolic disorders, cardiovascular disease, and other health problems. Furthermore, the study can contribute to the regulatory landscape surrounding energy drinks by providing evidence-based information that can inform guidelines and regulations from government agencies and professional organizations. Overall, the study can have significant implications for public health and contribute to the understanding of the potential harmful effects of energy drinks on the pancreas and other organ systems. In summary, the study aims to investigate the effect of energy drinks on the pancreas of male Wistar rats. The study will be guided by several research questions, including the effects of energy drinks on pancreatic enzymes and histology, as well as the potential mechanisms of action of energy drinks on the pancreas. The study will utilize a randomized controlled experimental design and will involve the administration of different doses of energy drinks to the rats. The data will be collected using several instruments, including blood tests and histological analysis, and will be analyzed using appropriate statistical techniques. The study is significant as it will contribute to the growing body of literature on the potential health effects of energy drinks, particularly on the pancreas. The findings of the study will provide valuable insights into the potential risks associated with excessive energy drink consumption and could inform public health policies and guidelines on the use of energy drinks. This study will investigate the effect of energy drinks on the pancreas of male Wistar rats. It will explore the potential harmful effects of energy drinks on the pancreas, including the development of pancreatitis, changes in glucose regulation and insulin secretion, and other physiological changes. The study will also examine the composition and ingredients of energy drinks, the potential mechanisms of action of energy drinks, and the regulatory landscape surrounding energy drinks. The sample will consist of male Wistar rats, and data will be collected through laboratory experiments and analyzed using statistical 44 techniques. The findings of this study will contribute to the growing body of knowledge on the potential health consequences of energy drink consumption and provide insights into the regulation and use of these products. 5.2 CONCLUSION In conclusion, the consumption of energy drinks has been associated with potential harmful effects on various organ systems, including the pancreas. The pancreas plays a crucial role in glucose regulation and insulin secretion, and any disruption in its function can lead to the development of pancreatitis, a serious condition that can have long-term health consequences. The available research suggests that energy drinks may contribute to the development of pancreatitis by causing oxidative stress, inflammation, and other cellular and molecular changes. Furthermore, excessive consumption of energy drinks may also increase the risk of developing other health problems, such as metabolic disorders and cardiovascular disease. Therefore, it is important for individuals to be aware of the potential risks associated with energy drink consumption and to consider limiting their intake or avoiding them altogether. Additionally, government agencies and professional organizations should continue to monitor and regulate the marketing and sale of energy drinks to protect public health. This study has provided an overview of the effects of energy drinks on the pancreas of male Wistar rats. The findings indicate that consumption of energy drinks can lead to pancreatic injury, inflammation, and oxidative stress, which may increase the risk of developing pancreatitis and other pancreatic disorders. The study also highlights the potential mechanisms of action of energy drinks, including the effects of caffeine and other ingredients on cellular and molecular pathways. Additionally, it discusses the potential harmful effects of energy drinks on other organ systems, such as the liver, kidneys, and heart. 45 In conclusion, the study aimed to investigate the effect of energy drink consumption on the pancreas of male Wistar rats. The study reviewed the literature on the composition and potential health effects of energy drinks, as well as the physiology and function of the pancreas, and the pathophysiology and risk factors for pancreatitis. The study found that energy drink consumption may lead to oxidative stress, inflammation, and damage to the pancreas in male Wistar rats, which could contribute to the development of pancreatitis or other metabolic disorders. 5.3 RECOMMENDATIONS Based on the findings of the study, the following recommendations can be made: 1. Awareness campaigns should be carried out to educate the public, particularly young people, on the potential harmful effects of energy drinks on health. This can be done through social media, television advertisements, and educational programs in schools. 2. The sale of energy drinks to minors should be restricted, and warning labels should be added to energy drink cans and bottles to inform consumers of potential health risks. 3. Health professionals, including physicians and dietitians, should be educated on the potential harmful effects of energy drinks so that they can educate their patients and provide appropriate advice. 4. Further research should be conducted on the potential harmful effects of energy drinks on other organ systems, including the liver, kidneys, and heart, to gain a more comprehensive understanding of the risks associated with energy drink consumption. 5. Governments and professional organizations should establish guidelines and regulations regarding the production, marketing, and sale of energy drinks to protect public health. This should include regulations on the maximum caffeine content of energy drinks, restrictions on the sale of energy drinks to minors, and requirements for warning labels on energy drink packaging. 46 6. Further research should be conducted to investigate the long-term effects of energy drink consumption on the pancreas and other organ systems, as well as to explore potential interactions between energy drink ingredients. 7. Future studies should consider using female rats in addition to male rats, as there may be sex differences in the response to energy drinks. 8. The effects of different doses of energy drinks should be investigated to determine the dose-response relationship. 9. The effects of chronic energy drink consumption should be investigated, as opposed to acute consumption as was done in this study. 10. In order to better mimic human energy drink consumption patterns, future studies could consider using a more realistic dosing regimen, such as administering energy drinks in multiple small doses throughout the day. 11. Given the limitations of using animal models, future studies should also consider conducting clinical trials with human participants to investigate the effects of energy drinks on the pancreas and other organ systems. 12. Health professionals should educate their patients about the potential risks associated with excessive energy drink consumption, particularly in individuals with pre-existing health conditions. They should also monitor patients for signs of pancreatitis and other health problems associated with energy drink consumption. The government and regulatory bodies should consider implementing stricter guidelines and regulations regarding the sale and marketing of energy drinks, particularly to m 47 REFERENCES Adebiyi, A., Adaikan, P., & Prasad, R. N. V. 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