Effect of Momordica charantia Fruit Juice on Streptozotocin-induced Diabetes in Rats Author: Eric H. Karunanayake, S. Jeevathayaparan, Kamani H. Tennekoon Type of Publication: Pre-clinical Date of Publication: 1990 Publication: Journal of Ethanopharmacology Vol. 30, pp. 199-204, 1990 Organization/s: University of Colombo Abstract: The oral hypoglycaemic activity of Momordica charantia fruit juice was investigated in rats with streptozotocin-induced diabetes. Oral administration of the juice (10 ml/kg for 30 days) did not show a significant effect, either acute or cumulative, on the ability to tolerate an external glucose load. The glycosylated haemoglobin concentrations were significantly elevated in both juice-treated and untreated diabetic rats and there was no significant difference between the two groups. Viable bete-cells capable of secreting insulin upon stimulation appear to be required for M. charantia to exert its oral hypoglycaemic activity. The oral hypoglycaemic activity of Momordica charantia fruit juice was investigated in rats with streptozotocin-induced diabetes. Oral administration of the juice (10 ml/kg for 30 days) did not show a significant effect, either acute or cumulative, on the ability to tolerate an external glucose load. The glycosylated haemoglobin concentrations were significantly elevated in both juice-treated and untreated diabetic rats and there was no significant difference between the two groups. Viable bete-cells capable of secreting insulin upon stimulation appear to be required for M. charantia to exert its oral hypoglycaemic activity. Introduction The oral hypoglycaemic activity of the fruit Juice of Momordica charantia L. (family, Cucurbitaceae), a common vegetable in Sri Lanka and other Southeast Asian countries, in non-insulin-dependent diabetics and in normal healthy laboratory animals has been previously reported (Karunanayake et al., 1984; Welihinda et al., 1986). Further, the fruit juice of M. charantia has been found to increase glucose uptake by tissues in vitro and to increase the storage of glycogen by liver (Welihinda and Karunanayake, 1986). The freeze-dried juice of M. charantia has been shown to stimulate significantly insulin secretion by isolated beta-cells of the islets of langerhans (Welihinda et al., 1982). The present studies were undertaken to investigate further the possible mechanism of oral hypoglycaemic activity of the fruit juice of M. charantia using streptozotozin-diabetic rats as the animal model. Streptozotocin induces diabetes in laboratory animals by a specific destruction of pancreatic bete-cells (Mansford and Opie, 1968; Arison et al., 1967; Rerup, 1970; Hoftiezer and Carpenter, 1973). Materials and Methods Animal stock In all experiments, male Sprague-Dawley rats weighing 195 21 g (mean S.D.) maintained on a standard laboratory diet (Moosaji’s Ltd, 34 W.A.D. Ramanayake Mawatha, Colombo 2) were used. The animals were fasted overnight (14-16 h) before the commencement of an oral glucose tolerance test. Preparation of fuit juice of M. charantia The frut juice of M. charantia was prepared in the manner of Karunanayake et al., (1984). Fresh fruits (approximately 250 g in weight) were taken and seeds removed. The fleshy parts were cut into small pieces and macerated using a mortar and pestle. The producr was squeezed through a muslin cloth and the liquid centrifuged at 5000 rev./min for 30 min under refrigeration. The supernatant (approx. 100 ml) was used in the investigation. The fruit juice was administered at a dosege of 10 ml/kg by oral intubation while the animal was under light ether anaesthesia. Induction of experimental diabetes Streptozotocin (50 mg/ml) was dissolved in citrate buffer (0.01 M, pH 4.5) immediately before administration. The drug was administered (50 mg/kg) via a lateral tail while the animal was under light ether anaesthesia. The induction of streptozotocin-diabetes was confirmed by the determination of fasting blood glucose concentration on the third day post-administartion of streptozotocin. Experimental with diabetic animals Following the confirmation of streptozotocin-induced diabetes, the animals were randomly divided into two groups. One group (N = 20) was treated with the fruit juice of M. charantia (10 ml/kg) daily for 30 days and body weights recorded. The control diabetic group (N = 18) received an equivalent amount of distilled water under identical conditions. Oral glucose tolerance test (OGTT) At the end of the experimental period, OGTT was performed on two occasions after an overnight fast in order to assess the acute and cumulative effects of M. charantia on streptozotocin-induced diabetes. On the day of the OGTT, animals were given an oral dose of glucose (10 ml/kg , 50% w/v) after collecting 50 l of blood for fasting blood glucose estimation. Blood samples (50 l) were collected at 1-h intervals for 3 h, with the first sampling commencing 1 h after the oral glucose load. In investigating the acute effect, the glucose load was given 30 min after administration of M. charantia to the treatment group and distilled water to the control group. In investigating the cumulative effect, the oral glucose was given prior administration of M. charantia or distilled water. Determination of blood glucose In all experiments, blood glucose concentration were assayed by the glucoseoxidase method (Hugget and Nixon, 1957). Determination of glycosylated haemoglobin (HbA IC) At the end of the experimental period,animals were killed and blood samples (5 ml) were collected into heparinized tubes by cardiac puncture. Plasma was separated and cells were washed twice (0.154 M saline) and stored at – 20 o C until HbA IC concentration were determined by the method of Karunanayake and Chandrasekharan (1986). The normal values for HbA IC in Sprague-Dawley rats of the comparable age and weight were established by determining the HbA IC concentration in 25 untreated Sprague-Dawley rats. Results and Discussion The result of oral glucose tolerance testing carried out on streptozotozindiabetic rats to evaluate the acute and cumulative effects of treatment with the fruit juice of M. charantia are shown in Fig. 1 and 2 respectively. Although the percentage increase in blood glucose concentration in Fig. 1 was consistently less in the juice group than in the control group throughout the OGTT, these differences were not statiscally significant. In the study of the cumulative effect (Fig. 2), the percentage increase in blood glucose concentration were again consistently less in the juice group than in the control group throughout the OGTT, but these differences were not statiscally significant. Glycosylated haemoglobin concentration in the treatment and control groups as well as in a group of normal, apparently healthy rats of comparable age and body weights are shown in Fig. 3. Glycosylated haemoglobin concentrations were significantly higher (P < 0.001) in both the treatment and control diabetic groups than in the normal group. However, there was no significant in the HbA IC concentrations between the treatment and control diabetic groups. Previous studies have shown that M. charantia juice stimulates insulin secretions by isolated beta-cells (Welihinda et al., 1982) improves peripheral glucose uptake (Welihinda and Karunanayake, 1986) and enhances the ability to tolerate an external glucose load in non-insuln-dependent (maturity onset) diabetic patients (Welihinda et al, 1986). These studies suggested a possible mechanism of action for M. charantia juice by direct stimulation of the bete-cells to secrete insulin. The diabetogenic action of streptozotocin has been shown to be due its highly specific destruction of bete-cells (islets of Langerhans), thereby eliminating the source of endogenous insulin (Rakienten et al., 1963; Rerup, 1970). The absence of any significant acute or cumulative effect of M. charantia juice on the ability of rats to tolerate an external load of glucose after streptozotocin treatment may, therefore, provide further evidence to support the theory that the oral hypoglycaemic activity of M. charantia juice is due to direct stimulation of insulin secretion. The estimation of glycosylated haemoglobin as a parameter of metabolic control in diabetes is now well established (Goldstein et al., 1982), particularly sine it reflects the overall metabolic control present over the preceding 4 weeks. In the present investigation, the treatment of streptozotocin-diabetic rats with M. charantia juice commenced on the third day following induction of diabetes. The measurement of glycosylated haemoglobin concentration at the end of the experimental period showed significantly elevated HbA IC concentration in both the treated and control diabetic groups when compared with the normal animals, but there was no significant differences between the treatment and control groups. These data suggest that M. charantia juice does not exert any apparent control on the homeostasis of blood glucose. In the light of the strong evidence that streptozotocin induces diabetes by specific destruction of bete-cells, thereby eliminating the source of insulin, the findings of the present study strongly suggest that viable beta-cells capable of secreting insulin upon stimulation are essential for M. charantia juice to exert its oral hypoglycaemic activity. References Arison, R. N., Ciaccio, E. I., Glitzer, M. S. and Pruss, M. P. (1967) Light and electron microscopy of lesions in rats rendered diabetic with streptozotocin. Diabetes 16, 5156. Goldstein, D. 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