Synergism of Anti-Malarial Effect of Carica papaya L. and Moringa oleifera Leaf Extracts in Mice

https://doi.org/10.22146/mot.86703

Yenni Yusuf(1*), Rangga Meidianto Asri(2), Rivaldo Go(3), Muhammad Naufal Zuhair(4), Kania Meliani Kaharuddin(5), Martrisna Dara Karnia Parenden(6), Mesakh Diki Saputra(7), Diany Elim(8), Muhammad Fadhil Banjar(9), Hartono Hartono(10)

(1) Department of Parasitology, Faculty of Medicine, Universitas Hasanuddin, Makassar, South Sulawesi
(2) Pharmacy Science and Technology Department, Faculty of Pharmacy, Universitas Hasanuddin, Makassar, South Sulawesi
(3) Undergraduate School, Faculty of Medicine, Universitas Hasanuddin, Makassar, South Sulawesi
(4) Undergraduate School, Faculty of Medicine, Universitas Hasanuddin, Makassar, South Sulawesi
(5) Undergraduate School, Faculty of Pharmacy, Universitas Hasanuddin, Makassar, South Sulawesi
(6) Undergraduate School, Faculty of Pharmacy, Universitas Hasanuddin, Makassar, South Sulawesi
(7) Undergraduate School, Faculty of Pharmacy, Universitas Hasanuddin, Makassar, South Sulawesi
(8) Undergraduate School, Faculty of Pharmacy, Universitas Hasanuddin, Makassar, South Sulawesi
(9) Undergraduate School, Faculty of Medicine, Universitas Hasanuddin, Makassar, South Sulawesi
(10) Biology Department, Faculty of Mathematics and Natural Sciences, Universitas Negeri Makassar, Makassar, South Sulawesi
(*) Corresponding Author

Abstract


Malaria parasites, Plasmodium spp, can develop resistance to anti-malarial drugs. Hence, potential alternative therapeutic agents should be explored. This research aimed to investigate the anti-malarial effect of a combination of Carica papaya and Moringa oleifera leaf extract. Peter’s test performed on Balb/c mice to investigate the malarial parasite growth inhibition. Mice were infected with Plasmodium berghei by intraperitoneal injection to provoke rodent malaria. After infection, we grouped every 5-6 mice into different treatment groups, including a negative control group, a positive control group treated with artesunate, a moringa group, a papaya group, and a combination therapy group. Treatments were initiated 3 hours after infection (day 0) and continued every day until day 3. On day 4, we examined a thin smear of the tail vein blood for parasitemia to calculate the suppression rate. The result shows that the parasite suppression rate of C. papaya leaf extract (CPLE) is 15.02 % (percent parasitemia 4.56±1.96), the suppression rate of M. oleifera leaf extract (MOLE) is 17.32% (percent parasitemia 4.44±1.78) and that of the combination extract (CE) is 28.73% (percent parasitemia 3.82±1.48).  In conclusion, there is a synergism of the anti-malarial effect of the combined leaf extract of C. papaya and M. oleifera.


Keywords


Anti-malarial drugs; Carica papaya L.; Moringa oleifera; Parasite suppression; Peter’s test; Plasmodium berghei

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References

Atanu, F. O., Idih, F. M., Nwonuma, C. O., Hetta, H. F., Alamery, S., & El-Saber Batiha, G. (2021). Evaluation of antimalarial potential of extracts from Alstonia boonei and Carica papaya in plasmodium berghei-infected mice. Evidence-Based Complementary and Alternative Medicine, 2021, 1–11. https://doi.org/10.1155/2021/2599191

Bezerra, J. J., Pinheiro, A. A., & Dourado, D. (2023). Antimalarial potential of Moringa Oleifera Lam. (Moringaceae): A review of the ethnomedicinal, pharmacological, toxicological, and phytochemical evidence. Journal of Venomous Animals and Toxins Including Tropical Diseases, 29. https://doi.org/10.1590/1678-9199-jvatitd-2022-0079

Centers for Disease Control and Prevention. (2020, October 6). CDC - dpdx - malaria. Centers for Disease Control and Prevention. https://www.cdc.gov/dpdx/malaria/index.html

Dondee, K., Bootprom, P., Saiphet, B., Borkaew, P., Klubsri, C., & Somsak, V. (2016). Activities of Moringa Oleifera Leaf Extract Against Plasmodium Berghei ANKA Infection in ICR Mice. International Journal of Innovative Research in Medical Science, 1(6), 194–201.

Ezenyi, I. C., Salawu, O. A., Kulkarni, R., & Emeje, M. (2014). Antiplasmodial activity-aided isolation and identification of quercetin-4’-methyl ether in Chromolaena odorata leaf fraction with high activity against chloroquine-resistant Plasmodium falciparum. Parasitology Research, 113(12), 4415–4422. https://doi.org/10.1007/s00436-014-4119-y.

Fentahun, S., Makonnen, E., Awas, T., & Giday, M. (2017). In vivo antimalarial activity of crude extracts and solvent fractions of leaves of Strychnos mitis in plasmodium berghei infected mice. BMC Complementary and Alternative Medicine, 17(1). https://doi.org/10.1186/s12906-016-1529-7

Haq, F. U., Roman, M., Ahmad, K., Rahman, S. U., Shah, S. M., Suleman, N., Ullah, S., Ahmad, I., & Ullah, W. (2020). Artemisia annua: Trials are needed for COVID‐19. Phytotherapy Research, 34(10), 2423–2424. https://doi.org/10.1002/ptr.6733

Harahap, H. S., Dalhar, M., H, T. E., Norahmawati, E., & Fitri, L. E. (2015). Kombinasi artemisinin Dan Ekstrak moringa Oleifera Menurunkan ekspresi NF-Kb namun tidak menurunkan Ekspresi Inos Pada Otak mencit Diinfeksi malaria. Jurnal Kedokteran Brawijaya, 28(3), 195–201. https://doi.org/10.21776/ub.jkb.2015.028.03.6

Hermanto, F., Iwo, M. I., & Asih, P. (2013). Effect of ethanolic extract of clove (Eugenia caryophylata Thunb) as anti-malaria activity on Plasmodium falciparum. Jurnal Tumbuhan Obat Indonesia, 6(2).

Hermanto, F., Yun, Y. F., Aisyah, L. S., Saputra, T. R., Hakim, A. R., Ningsih, A. K., Herlina, T., Julaeha, E., Zainuddin, A., & Supratman, U. (2014). Uji Aktivitas Antimalaria Ekstrak etanol Daun Cocor Bebek (Kalanchoe Blossfeldiana poelln.) pada plasmodium falciparum 3D7. Kartika Jurnal Ilmiah Farmasi, 2(2). https://doi.org/10.26874/kjif.v2i2.18

Lehane, A. M., & Saliba, K. J. (2008). Common dietary flavonoids inhibit the growth of the intraerythrocytic malaria parasite. BMC Research Notes, 1(1), 26. https://doi.org/10.1186/1756-0500-1-26

Indah, R. (2014). Uji aktivitas anti malaria ekstrak air daun pepaya gantung (Carica papaya L pada mencit yang diinfeksi Plasmodium berghei (thesis). Perpustakaan Universitas Negeri Jember, Jember.

Melariri, P., Campbell, W., Etusim, P., & Smith, P. (2011). Antiplasmodial properties and bioassay-guided fractionation of ethyl acetate extracts fromcarica papayaleaves. Journal of Parasitology Research, 2011, 1–7. https://doi.org/10.1155/2011/104954

Mulisa, E., Girma, B., Tesema, S., Yohannes, M., Zemene, E., & Amelo, W. (2018). Evaluation of in vivo antimalarial activities of leaves of moringa oleifera against plasmodium berghei in mice. Jundishapur Journal of Natural Pharmaceutical Products, In Press(In Press). https://doi.org/10.5812/jjnpp.60426

Okpe, O., Habila, N., Ikwebe, J., Upev, V. A., Okoduwa, S. I., & Isaac, O. T. (2016). Antimalarial potential of carica papaya and vernonia amygdalina in mice infected with plasmodium berghei. Journal of Tropical Medicine, 2016, 1–6. https://doi.org/10.1155/2016/8738972

Obediah, G. A., & Christian Obi, N. (2020). Anti-plasmodial effect of moringa oleifera seeds in plasmodium berghei infected albino rats. Biochemistry & Pharmacology: Open Access, 09(01). https://doi.org/10.35248/2167-0501.20.9.268

Oraebosi, M. I., & Good, G. M. (2021). Carica papaya augments anti-malarial efficacy of artesunate in Plasmodium berghei parasitized mice. Annals of Parasitology, 67(2), 295–303.

Phillipson, J. D. (1991). Assays for antimalarial and amoebicidal activities. Academic Press Inc. (London) Ltd.

Phyo, A. P., Nkhoma, S., Stepniewska, K., Ashley, E. A., Nair, S., McGready, R., ler Moo, C., Al-Saai, S., Dondorp, A. M., Lwin, K. M., Singhasivanon, P., Day, N. P., White, N. J., Anderson, T. J., & Nosten, F. (2012). Emergence of artemisinin-resistant malaria on the western border of Thailand: A longitudinal study. The Lancet, 379(9830), 1960–1966. https://doi.org/10.1016/s0140-6736(12)60484-x

Pousibet-Puerto, J., Salas-Coronas, J., Sánchez-Crespo, A., Molina-Arrebola, M. A., Soriano-Pérez, M. J., Giménez-López, M. J., Vázquez-Villegas, J., & Cabezas-Fernández, M. T. (2016). Impact of using artemisinin-based combination therapy (ACT) in the treatment of uncomplicated malaria from Plasmodium falciparum in a non-endemic zone. Malaria Journal, 15(1). https://doi.org/10.1186/s12936-016-1408-1

Rasoanaivo, P., Wright, C. W., Willcox, M. L., & Gilbert, B. (2011). Whole plant extracts versus single compounds for the treatment of malaria: Synergy and positive interactions. Malaria Journal, 10(S1). https://doi.org/10.1186/1475-2875-10-s1-s4

Rehena, J. F. (2010). In Vitro Acitivities Test of Papaya Leaf Extract (Carica papaya. LINN) as an Antimalaria Agent. Jurnal Ilmu Dasar, 11, 96–100.

RI, K. (2021). Wilayah-Wilayah Endemis Malaria tinggi di Indonesia . Wilayah-wilayah Endemis Malaria Tinggi di Indonesia | Malaria.id. https://malaria.id/artikel/wilayah-wilayah-endemis-malaria-tinggi-di-indonesia

Sannella, A. R., Karioti, A., Orsini, S., Scalone, A., Gradoni, L., Messori, L., Severini, C., & Bilia, A. R. (2019). Leaf decoction of Carica papaya combined with artesunate prevents recrudescence in plasmodium berghei-infected mice. Planta Medica, 85(11/12), 934–940. https://doi.org/10.1055/a-0952-3677

Septiana, E., Gianny, D., & Partomuan, S. (2017). Toxicity and In Vitro anti-malarial Heme Polymerization Inhibition Activity of Sambiloto (Andrographis paniculata) Leaf Extracts. Media Penelitian Dan Pengembangan Kesehatan, 27(4), 255–262.

Somsak, V., Borkaew, P., Klubsri, C., Dondee, K., Bootprom, P., & Saiphet, B. (2016). Antimalarial properties of aqueous crude extracts of gynostemma pentaphyllum and moringa oleifera leaves in combination with artesunate in plasmodium berghei-infected mice. Journal of Tropical Medicine, 2016, 1–6. https://doi.org/10.1155/2016/8031392

Somsak, V., Damkaew, A., & Onrak, P. (2018). Antimalarial activity of Kaempferol and its combination with chloroquine in plasmodium berghei infection in mice. Journal of Pathogens, 2018, 1–7. https://doi.org/10.1155/2018/3912090

Teng, W.-C., Chan, W., Suwanarusk, R., Ong, A., Ho, H.-K., Russell, B., Rénia, L., & Koh, H.-L. (2019b). In vitro antimalarial evaluations and cytotoxicity investigations of carica papaya leaves and Carpaine. Natural Product Communications, 14(1). https://doi.org/10.1177/1934578x1901400110

Veronica, E., Amelia, I., Yunatan, K. A., Chrismayanti, N. K., & Mahendra, A. N. (2020). Potensi Kombinasi Ekstrak Daun Kelor (moringa oliefera) Dan Artemisia (artemisia annua) Sebagai antimalaria plasmodium falciparum. Jurnal Ilmiah Kesehatan Sandi Husada, 12(2), 831–841. https://doi.org/10.35816/jiskh.v12i2.415

World Health Organization. (2021). Fact sheet about malaria. World Health Organization. https://www.who.int/news-room/fact-sheets/detail/malaria

Yusuf, Y., Yoshii, T., Iyori, M., Mizukami, H., Fukumoto, S., Yamamoto, D. S., Emran, T. B., Amelia, F., Islam, A., Syafira, I., & Yoshida, S. (2019). A viral-vectored multi-stage malaria vaccine regimen with protective and transmission-blocking efficacies. Frontiers in Immunology, 10. https://doi.org/10.3389/fimmu.2019.02412



DOI: https://doi.org/10.22146/mot.86703

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