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Evaluation of Anticancer activity of Moringa oleifera Lam. in Balb/c mice Protocol of Dissertation Submitted (2008-2009) By Mr. MASOOD.MK To RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES BANGALORE, KARNATAKA. Under the guidance of Mr. CHANDRASHEKHAR V.M. Assist. Professor. Department of Pharmacology, HANAGAL SHRI KUMARESHWAR COLLEGE OF PHARMACY, BAGALKOT- 587101, KARNATAKA RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES KARNATAKA-BANGALORE ANNEXURE II PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION 1. Name of the Candidate and Address MASOOD.MK DEPARTMENT OF PHARMACOLOGY, H.S.K COLLEGE OF PHARMACY, B.V.V.S CAMPUS, BAGALKOT-587101, KARNATAKA 2. Name of the Institution H.S.K.COLLEGE OF PHARMACY, B.V.V.S.CAMPUS, BAGALKOT-587101, KARNATAKA 3. Course of Study and Subject MASTER OF PHARMACY IN PHARMACOLOGY 4. Date of Admission to Course 5. Title of the Topic: 16 – 06 - 2008 “Evaluation of Anticancer activity of Moringa oleifera Lam. in Balb/c mice” 1 6. Brief Resume of the intended work:6.1 Need for the study: Cancer is one of the major causes of death in developed nations at least one of the five of the population of Europe and America can expect to die of cancer. In the year 2000, there were 10 million new cases of cancer and 6 million deaths worldwide1. Lung cancer is becoming increasingly common throughout the world, but at 14/100 000 persons in India the incidence is much lower than in UK, where it is four times higher2. Cancer is basically a disease of cells characterized by a shift in the control mechanisms that govern cell proliferation and differentiation.3. Rheumatoid arthritis, sickle cell anemia, psoriasis are some related diseases during cancer treatment4. The extent of metastasis and deterioration in metabolic processes, resulting from cancer, leads to eventual death of patient5. Most carcinomas occur in the later years of life (≥55 years). Cancer is the main cause of death among women aged 40 to 79 and among men age 60 to 796. National Cancer Institute Survival Epidemiology and End {NCISEE} results population data from the senses that 1.36 million new cases of invasive cancers were diagnosed, 5,63700 persons died from cancer i.e. percentage distribution of new cancer and cancer death increases becoming major disease in the world7. Treatment of cancer with chemotherapeutic agents, along with radiation and surgery. The chemotherapeutic agents provides a temporary improve of symptoms and signs of cancers and most of the therapeutic agents are given in combination with the radiation therapy and surgery8 and patient has to consume for the long duration and these drugs have more toxic to the patient and economically burden to the patients. The most of the plant based medicines have shown promising agents for the treatment of the cancer with safe, efficacy and economical9. Moringa oleifera Lam belongs to the family Moringa 2 has wide spread throughout India. It is used as a traditional medicine for the treatment of Antiinflammatory, Purgative, Antipyretic and Ophthalmic. The phytochemical studies are reported that it contains Octacosanoic acid, β-Sitosterol, β-Sitostenone, 4-hydroxymelline Sponins, Alkaloides, Flavonoides10etc. In view of this above information, the present study was designed for the In vitro and In vivo evaluation of anticancer activity of Moringa oleifera Lam in Balb/c mice. 6.2 Review of literature: Plant profile: Title of plant : Moringa oleifera Lam. Family : Moringaceae Synonyms : Drum stick, Sahinjan, Nugge. Parts used : Dried Seeds. Habitat : Throughout India. Chemical constituents: Alkaloides, Flavonoides, β-Sitosterol, β-Sitostenone, 4-hydroxymelline, Octacosanoic and fixed oils10. Proteins-40.19%, Lipids-40.19%, Carbohydrates-41.58%, saponins -2.052%11. Medicinal actions and uses: Traditional practitioners used the seeds of Moringa oleifera Lam as Anti-inflammatory, purgative, Antipyretic, Ophthalmic, Obortifacient, Antifungal, Skin papillomagenesis and Anti-cancerous11. Pharmacological activities: - The Hydro-Ethanolic extracts of Seeds of Moringa oleifera Lam have anti-anaphylactic, anti-arthritic, skin-papillomagenesis, antifungal, hypotensive, and antiinflammatory activities12. 3 6.3 Objectives of the study: Traditionally well known seeds of Moringa oleifera Lam will be used for the present study and objectives of the present study are to evaluate: A] In vitro Anticancer activity of extracts. In vitro Micronucleus Assay of extracts. B] In vivo anticancer activity of extract: 1. Effect of the extracts on physiological parameters associated with anticancer activity. 2. Effect of the extracts on Hematological parameter. 3. Effect of the extracts on Biological parameters. 7. Methods and Materials:7.1. Source of data: All data will be collected from the experimental animal model and eight animals in each group will be subdivided follows: Group I - Normal Group II - Tumor control / Negative control Group III - Cyclophosphamide Group IV - Low dose of Hydro-Ethanolic extract Group V - Moderate dose of Hydro-Ethanolic extract Group VI - High dose of Hydro-Ethanolic extract Group VII - Low dose of Aqueous extract Group VIII - Moderate dose of Aqueous extract Group IX - High dose of Aqueous extract. 7.2. Materials: Plant material : Moringa oleifera Lam. Animals : Female Balb/ c mice 4 Chemicals : All the chemicals are AR grade Instruments : Hemocytometer, Binocular microscope, refrigerator centrifuge machine etc. 7.3. Methods: Preparation of Moringa oleifera Lam extract:Moringa oleifera Lam seeds were obtained from Bagalkot, locally after authentification by taxonomist of Ayurvedic Medical College, Bagalkot. 5kg of seeds were powdered to fine texture and passed through sieve no. # 40 to obtain uniform texture and extracted successively using soxhlet extractor by Hydro-Ethanolic and Aqueous with distilled water for 24 hrs cycle, the extract obtained was concentrated using rotatory evaporator at 500c. Extract was dried in freeze dryer preserved in aseptic condition before the experiment. The percentage yield of the hydroalcohalic and aqueous extract calculated respectively13. The dose of the extract can be obtained from acute toxicity (LD50) which will be done according to OECD/OCED Guidelines. In vitro Studies: Tryphan Blue Exclusion Method (Cell viability test): This is one of the methods to assess cytotoxicity of anticancer compounds. It comes under preliminary screening of anticancer compounds. This test is based on the principle that living cell membrane has the ability to prevent the entry of dye. Hence, they remain unstained and can be easily distinguished from dead cells, which take the dye. The percentage of viable cells was determined as follows, Method: The Ascitic fluid was withdrawn from animals which were induced with EAC cell lines, 0.1 ml of Ascitic fluid was aspirated, and it was diluted with 2ml of phosphate buffer saline (PBS). To this equal volume of different extracts were mixed and this mixture incubated for 3 hrs at 370C. Then the mixture was added to 0.5 ml of tryphan blue and mixed thoroughly. The diluted 5 suspension was charged into hemocytometer. The viable cells(unstained) were counted in a WBC chamber under a microscope and the mean number of cells in four chambers were calculated as follows: Total number of cells = Mean number of cells Dilution factor (2) × 104 In vitro Micronucleus test: Genetic effects were evaluated in the mouse bone marrow micronucleus test according to Schmid14. The bone marrow cells from both femurs were flushed in the form of a fine suspension into a centrifuge tube containing human AB serum. This cell suspension was centrifuged at 2000 rpm for 10 minutes and pellet was resuspended in a drop of serum before being used for preparing slides. Air dried slides were stained with May Grunwald and Giemsa as described by Schmid. For each experimental point, six mice were used and 2500 polychromatic erythrocytes (PCEs) were scored per animal per slide to determine the frequency of micro nucleated polychromatic erythrocytes (Mn-PCEs). Special care was taken to ensure that pretreatment with the three doses of Moringa oleifera did not lead to suspension of cell proliferation. This was done by monitoring the ratio of PCEs to NCEs (Normochromatic erythrocytes). All the slides were scored by the same observer unaware of the experimental protocol. In vivo Anticancer activity of extracts: Induction of Ehrlich Ascites Carcinoma: The Ascitic carcinoma bearing mice (donor) was taken 15 days after tumor transplantation. The Ascitic fluid is drawn using an 18-gauge needle into sterile syringe. A small amount tested for microbial contamination. The Ascetic fluid was suitably diluted in normal saline to get a concentration of 106 cells / ml of the tumor cell suspension. This was injected intraperitonially to 6 obtain Ascitic tumor. The mice were weighed on the of tumor inoculation and then for each three days. Treatment was started 24 hours after tumor inoculation. Cyclophosphamide was injected on two alternate day’s first and third day, by intraperitonial route. Extracts were administered till the ninth day by intraperitonial route15. Evaluation: A] Physical parameters: 1. Percentage increase in body weight as compared to day-016. 2. Median survival time (MST). 3. Percentage increase in life span (%ILS) 17. 4. Mean survival time (MEST). 5. Cell viability test (% survivors of malignant cells in Ascitic fluid)18 B] Hematological parameters: Total WBC, RBC, Hemoglobin content, PCV, MCH and MCHC19. In order to detect the influence of plant extracts on the status of cancer bearing mice, comparison was made amongst for groups of mice for each extract on the fourteenth day after transplantation. These comprised as : 1. Normal mice 2. Tumor bearing mice 3. Tumor bearing mice is treated with one dose of Cyclophosphamide. 4. Tumor bearing mice treated with plant extracts for 14 days. C] Biochemical parameters: After the collection of the blood samples, the mice were sacrificed and their liver were excised, rinsed in ice-cold normal saline followed by cold 0.15 mol / L. Tris-Hcl buffer (pH 7.4) 7 blotted dry and weighed 10% w/v homogenate was prepared in 0.15 mol / L of Tris-Hcl buffer and a portion utilized for the estimation of lipid peroxidation20 and other portion of the same after precipitating with TCA was used for the estimation of Glutathione21. The remaining homogenate was centrifuged at 1500 rpm from the estimation of Superoxide dismutase, Catalase and Protein Content and analyze LDH and ALP in blood serum22, 23. Statistical analysis: All the data were expressed in mean ± SEM. The significance of differences in mean between control and treated animals for different parameters determined by using one way ANOVA followed by Dunnet’s Comparison and Post-hoc test using Graph prism computer package and percentage tumor inhibition can be calculated by Chi-Square Test. 7.4 Does the study require any investigations or interventions to be conducted on patients or other humans/animals? If so describe briefly: Yes, the above study requires to be carried out on mice. The effects of preparation on cancer will be studied by considering physiological, pathological, biochemical parameters using animal models. 7.5 Has ethical clearance been obtained from your institution for performing various tests on animals? Yes, the study is cleared from Institutional Animal’s Ethics Committee and the copy is enclosed with the protocol. 8 8. References: 1. Rang H.P., Dale M.M., Ritter J.M., Moore P.K. Pharmacology 5th ed , Elsevier Publication, New Delhi, India 2003; 693. 2. Cameron D.A., Smyth J.F., Christopher Haslett., Edwin R. Chilvers., Nicholas A.Boon., Nicki Colledge., John A.A.Hunter. Davidson’s Principles and practice of Medicine, 19th ed, Churchill Livingstone, Toronto 2008;214 3. Bertran G. Katzung., Edward Chu.,Alan C. Sartorelli. Basic and clinical Pharmacology 9th ed, Mc Graw Hill, Singapore 2004; 848. 4. Bruce A. Chabner., Philip C. Amrein., Brain J. Druker., M.drov Michael., Constantine S. Mitsiades., Paul E. Gross., David P.Ryan., Sumant Ramachand., Paul G.Richardson., Jeffrey G Supko., Wyndham H. Wilson., Brunton Lazo Parker. Goodman and Gilman’s The Pharmaco logical Basis of Therapeutics, 11th ed, Mc Graw-Hill, USA 2005; 1315. 5. Sharma H.L., Sharma K.K. Principles of Pharmacology, Paras Publishing, Hyderabad, India; 2007: 862. 6. Robbins., Cotran. Pathologic basis of Disease by Kumar-Abbas-Fausto. 7th ed, Elsevier Publ ication, New Delhi, India 2007; 284. 7. Bennet P.N., Brown M.J. Clinical Pharmacology, 9th ed, Churchill Livingstone, New Delhi, India 2005; 603. 8. Kirsten M., Ducan., Gary Ogawa., Unamarie Clibon., Eric T. Herfindal., Dick R. Gourley. Text Book of Therapeutics Drug and Disease management, 7th ed, Library of Congress Cataloging-in-Publication Data, USA 2000; 2025. 9. De Smet P.A. Role of Plant-Derived drugs and Herbal Medicines in Health care, Drugs 1997; 54 (6):801-40. 9 10. The Wealth of India, Raw material, Publication and Information Directorate, CSIR, New Delhi,India 1962; 6: 426 11. Prajapat., Kumar. Agro’s Dictionary of Medicinal Plants, Jodhpur, India 2003; 218 12. Mahajan S.G., Mehta A.A. Inhibitory action of Ethanolic extract seeds of Moringa oleifera Lam on Systemic and Local Anaphylaxis, J Immunotoxicology 2007; 4:287-294. 13. Kutung G., Vasudevan D.M., Kuttan R. Effect of a preparation from Viscum album on tumor development In vitro and In vivo in mice, J Ethnopharmacol 1990; 29: 35-41 14. Schmid W., Protective effect of Spirulina fusiformis on chemical-induced Genotoxicity in mice. Mutat Res 1975; 31:9 15. Uma Devi P., Rao B.S.S., Soloman F.E., Effect of plumbagin on the radiation induced Cyto genic and cell cycle changes in mouse Ehrlich Ascites carcinoma In vivo, Ind J Exp Biol1998;36: 891-895 16. Echardt A.E., Malone B.N., Goldstein I. Cancer Res 1982; 42:2977 17. Umadevi P., Emerson Soloman F., Sharada A.C. Indian J Exp Biol 1994; 32: 523 18. Mazumdar U.K., Gupta M., Suryyendubkas M., Dilip M. Antitumor activity of Hygrophylia Spinosa on Ehrlich Ascites carcinoma and sarcoma- 180 induced mice, Ind J Biol1997; 35:473-477 19. Naigonkar A.V., Burande M.D. A manual of medical laboratory technology, 2nd ed. Nirali Prakashan, New Delhi, India 1996; 284 20. Onkava H., Onishi N., Yagi K. Assay for lipid peroxidation in animal tissue by Thiobarbituric Acid reaction, Anal Biochem 1979; 95:351-358 21. Ellman G.L. Tissue sulphydryl groups, Arch Biochem Biophys 1979; 82:70-77 10 22. Kakkar P., Dos B., Vishwanathan P.N. A modified spectrophotometric assay of Superoxide Dismutase, Ind J Biochem Biophys 1984; 21:130-132. 23. Lowry Oh., Rosebrough N.J., Farr A.L., Randall R.J. Protein measurement with the Folinphenol Reagent, Biol Chem 1951; 193:265-275. 11 9. SIGNATURE OF CANDIDATE (MASOOD.MK) 10. REMARKS OF THE GUIDE The present study has been proposed on the results of the earlier study, the results obtained from the study may validate and substantiates the traditional claim. 11. NAME AND DESIGNATION OF THE GUIDE Mr. CHANDRASHEKHAR.V.M Asst.Professor 12. SIGNATURE 13. CO-GUIDE ---------------- 14. SIGNATURE ---------------- 15. HEAD OF THE DEPARTMENT 16. SIGNATURE 17. REMARKS OF THE PRINCIPAL The above mentioned information is correct and I recommended the same for approval. 18. NAME OF THE PRINCIPAL Dr. I.S.MUCHANDI H.O.D. , Department of Pharmacology H.S.K.College of Pharmacy, B.V.V.S. Campus, Bagalkot-587101. 19. SIGNATURE Dr. I.S.MUCHANDI H.O.D., Department of Pharmacology H.S.K.College of Pharmacy, B.V.V.S. Campus, Bagalkot-587101. 12 OFFICE OF THE INSTITUTIONAL ANIMAL ETHICS COMMITTEE (IAEC) HANAGAL SHRI KUMARESHWAR COLLEGE OF PHARMACY, BAGALKOT-587101, KARNATAKA REG NO.821/01/a/CPCSEA, Dated: 6th AUG 2004 UNDER THE RULES 5(a) OF THE “BREEDING OF AND EXPERIMENTS ON ANIMALS (Control and Supervision) RULES 1998” Ref: HSKCP/IAEC, Clear / 2008-09/1-8 CERTIFICATE This is to certify that Mr.MASOOD.MK a student of FIRST M.Pharma is permitted to carry out experiments on animals for the dissertation / thesis work entitled as “Evaluation of Anticancer activity of Moringa oleifera Lam. in Balb/c mice”, as per details mentioned and after observing the usual formalities laid down by IAEC as per provision made by CPCSEA. Animal House in charge CHAIRMAN 13 Form B See rule [6 (a) and 8(a)] PART A (1) Name and address of the Establishment: (2) Date and Registration Number of the Establishment: H.S.K. College Of Pharmacy, B.V.V.S Campus, Bagalkot.587101,Karnataka 821/01/a CPCSEA (3) Name, address and Registration NO. of the Office OF CPCSEA, breeder from whom acquired and the date of Ministry of Environment and Forest, acquisition: IIIrd Sea Ward road, Valmiki Nagar, Thiruvanmiyur, Chennai-600041. Tamil Nadu (4) Place where the animals are presently kept: (5) (6) Animal House H.S.K. College Of Pharmacy, B.V.V.S Campus, Bagalkot.587101,Karnataka PG Lab-II, Department of Pharmacology, Place where the experiment is to be H.S.K. College Of Pharmacy, B.V.V.S performed: Campus, Bagalkot.587101,Karnataka The date on which the experiment is to commence and the duration of the experiment: 15-May-2009 The protocol form for the research proposal - PART B in the case of experiments using other than non-human primate animals for ongoing/new projects, PART C for use of non-human primates for new projects and PART D for use of non-human primate for extension of ongoing projects – should be duly filled, singed and annexed with this form. Signature Dated: (Name and Designation) Place: 14 PART – B Protocol form for Research Proposal to be submitted to the Committee on use of small animals / Animals other than non human Primate in Biomedical Research for ONGOING / NEW PROJECTS 1. Project Title : 2. Investigation (s) : Designation Mr.CHANDRASHEKHAR.V.M Asst.Professor 3. Department (s) : Department of Pharmacology, H.S.K. College Of Pharmacy, BVVS Campus, Bagalkot.587101,Karnataka 4. Evaluation of Anticancer activity of Moringa oleifera Lam. in Balb/c mice (a) Funding Source (s): if any ---------- (b) Are sufficient funds available for purchase and maintenance of the animals ---------- © Duration of present project : (1) Number of months : 4 ½ -Months (2) Date of start of the Project : (Experiment) 15-May-2009 (3) Date of termination of the project : 5. Date by which approval is needed in case the project is to be funded by outside agency (If less than six weeks from the date of admission, please justify below): 30-September-2009 ---------- 15 6. Summary of project briefly summarize in laymen’s term the background, the objective and the experiment approach. (a) Background: Enclosed (b) Objectives Enclosed (c) Experimental procedure: Enclosed 7. (a) Name of species Balb/c Mice Age Sex 2-3 Weeks Female Weight 25-30 g (b) Rationale for selection Approximate number of animals required during the first 12 months. 220 Justification of number (define treatment group and number per group) 220 Number of animals housed per weeks 8. 30 Animals List all invasive Non Surgical Animal Procedures and Invasive non-surgical Potentially Stressful Noninvasive procedures to be used procedure (Example IM injection, foot pad injection , venapunctures). Procedure and Approximate Frequency: 4 ½ -months Enclosed 16 Anesthetic and/or Analgesic and Dosage: No, Test substance injected and/or applied: Post orally Administered 9. Does the protocol prohibit the use of Asnesthetic and analgesic for the conduct of painful procedures? NO, With surgical procedure/Experimental procedure be performed? 10. NO, (a) Will the animal be sacrificed after surgery? NO 11. Will hazardous agent such as radioisotopes, carcinogens, radiation exposure, microbial and parasitic agent be administered to animals? Yes. INVESTIGATOR SIGNATURE DATE: ____________________ 17