Pengaruh pemberian ekstrak daun Alfalfa (Medicago sativa) terhadap profil lipid dan kadar malondialdehida tikus hiperkolesterolemia

https://doi.org/10.22146/ijcn.22750

Joyeti Darni(1*), Kusmiyati Tjahjono(2), Muchlis Achsan Udji Sofro(3)

(1) Program Studi Magister Ilmu Gizi, Fakultas Kedokteran Universitas Diponegoro
(2) Bagian Biokimia, Fakultas Kedokteran Universitas Diponegoro
(3) Bagian Penyakit Dalam, Fakultas Kedokteran Universitas Diponegoro / Rumah Sakit Umum Pusat Dr. Kariadi
(*) Corresponding Author

Abstract


Background: Hypercholesterolemic as an indicator of cardiovascular disease is a major cause of morbidity and mortality in the world. Increased oxidative stress in hypercholesterolemic triggers lipid peroxidation effect directly on the cell membrane damage and initiate various diseases. The use of natural materials with relatively few side effects is an hypercholesterolemic management alternative. Experimental studies showed that Alfalfa leaf extract had an effective antioxidant activity.

Objective: To determine the effect of Alfalfa leaf extract on serum lipids and malondialdehyde (MDA) level of hypercholesterolemic rats.

Method: Pre-posttest randomized control group used twenty-eight male Sprague-Dawley rats were randomly divided into four groups, hypercholesterolemic without treatment (control), hypercholesterolemic with extract at dose 20 mg/200 g/d (X1), dose 40 mg/200 g/d (X2), dose 60 mg/200 g/d (X3) for 21 days after the rats got hypercholesterolemic. Serum lipid was measured by CHOD-PAP method and level of MDA plasma was measured by TBARS method. A hypothesis test was analyzed by One Way ANOVA continued by Post hoc LSD test.

Results: Alfalfa extract significant decrease in serum total cholesterol (114.18±3.0 mg/dl; p<0.001). LDL cholesterol level was the lowest in group X3 (45.26±6.03 mg/dL; p<0.001), and triglycerides level was the lowest in group X3 (77.33±2.69 mg/dL; p<0.001). There were no differences in MDA plasma level was the lowest in the group X3 (2.07±0.09 nmol/ml; p<0.001) and a significant increase in serum HDL cholesterol (43.21±7.80 mg/dL; p<0.001).

Conclusion: The treatment of Alfalfa (Medicago sativa) leaf extract gives an effect of lower total cholesterol, LDL cholesterol, triglycerides, MDA and gives an effect higher HDL cholesterol.

Keywords


Alfalfa; hypercholesterolemic; lipid profile; MDA

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References

  1. Amin KA, El-Twab TM. Oxidative markers, nitric oxide and homocysteine ateration in hypercholesterolemic rats: role of atorvastatine and cinnamon. Int J Clin Med 2009;2(2):54-65.
  2. World Health Organization. World health statistic 2013. Italy: WHO; 2013.
  3. Badan Penelitian dan Pengembangan Kemenkes RI. Hasil riset kesehatan dasar (Rikesdas). Jakarta: Kemenkes RI; 2013.
  4. Utami DFR. Peroksidasi lipid pada tikus hiperkolesterolemia selama pemberian ekstrak kulit batang Mahoni (Swietenia macrophylla). Bogor: Institut Pertanian Bogor; 2010.
  5. Cherubini A, Ruggiero C, Polidori MC, Mecocci P. Potensial marker of oxidative stress in stroke. Free Radic Biol Med 2005;39(7):841-52.
  6. World Health Organization. Preventation and treatment both work says WHO study on heart disease. Geneva: WHO; 2010.
  7. Subashini R, Rajadurai M. Evaluation of cardioprotective efficacy of Nelumbo nucifera leaf extract on isoproterenol-induced myocardial infarction in Wistar rats. International Journal of Pharma and Bio Sciences 2011;2(4):285-94.
  8. Rahmayanti E, Sitanggang M. Taklukan penyakit dengan klorofil Alfalfa. Jakarta: Agromedia; 2006.
  9. Colodny LR, Montgomery A, Houston M. The role of ester in processed Alfalfa saponins in reducing cholesterol. Journal of the American Nutraceutical Association 2001;3:1-10.
  10. Nazir A, Zia UR, Nafees A, Shujait A, Maqbool A, Ijaz A. Effects of Medicago sativa on some serum biochemical metabolites in rats. Int J Agric Biol 2013;15(2):297-300.
  11. Shi Y, Guo R, Wang X, Yuan D, Zhang S, Wang C, et al. The regulation of Alfalfa saponin extract on key genes involved in hepatic cholesterol metabolism in hyperlipidemic rats. PLoS One 2014;9(2):e88282.
  12. Ling WH, Cheng QX, Ma J, Wang T. Red and black rice decrease atherosclerotic plaque formation and increase antioxidant status in rabbits. J Nutr 2001;131(5):1421-6.
  13. Gomathi R, Vijipriya M, Usha K. Cardioprotective effect of ethanolic extract of Medicago sativa stem (EMsS) on isoproterenol induced myocardial infarction in Wistar albino rats. Intr J Pharm Pharm Sci 2014;6(2):839-42.
  14. Bresson JL, Albert F, Marina H, Karin H, Hannu K, Pagona L, et al. Scientific opinion of the panel on dietetic products nutrition and allergies on a request from the European Commission on the safety of ‘Alfalfa protein concentrate’ as food. The EFSA Journal 2009;7(4):1-19.
  15. Bora KS, Sharma A. Phytochemical and pharmacological potential of Medicago sativa: a review. Pharm Biol 2011;49:211-20.
  16. Jorge FS, Ferreira, Monica V, Cornacchione, Xuan Liu, Donald L, et al. Nutrient composition, forage parameters, and antioxidant capacity of Alfalfa (Medicago sativa, L.) in response to saline irrigation water. Agriculture 2015;5:577-97.
  17. Sirohi SK, Goel N, Singh N. Utilization of saponins, a plant secondary metabolite in enteric methane mitigation and rumen modulation. Annual Research & Review in Biology 2014;4(1):1-19.
  18. Carlson BSEM. Saponin: biactivity and potential impact on intestinal health [Thesis]. Amerika Serikat: The Ohio State University; 2009.
  19. Levy E, Spahis S, Sinnett D, Peretti N, Maupas SF, Delvin E, et al. Intestinal cholesterol transport proteins: an update and beyond. Curr Opin Lipidol 2007;18:310-18.
  20. Zou Y, Lu Y, Wei D. Hypocholesterolemic effect of flavonoid-rich ekstract of hypericum perfolatum in rat fed a cholesterol-rich diet. J Agric Food Chem 2005;53(7):2462-6.
  21. Ros E. Intestinal absortion of triglyceride and cholesterol. Dietary and pharmacological inhibition to reduce cardiovascular risk. Atherosclerosis 2000;151:357-79.
  22. Botham KM, Mayes PA. Metabolisme asilgliserol dan sfingolipid. In: Jensen GS, Gisberg DI, Drapeau C. Blue-green algae as an immuno-enhancer and biomudolator. JANA 2001;3(4):24-30.
  23. Marks AD, Smith CM. Biokimia kedokteran dasar: sebuah pendekatan klinis. Jakarta: ECG; 2000.
  24. Tian W, Ma X, Zhang S, Sun Y, Li, Bing-hui L. Fatty acid synthese inhibitor from plants and their potential application in the prevention of metabolic syndrome. Clin Oncol Cancer Res 2011;8:1-9.
  25. Brown L, Rosner B, Willett WW, Frank M. Sacks cholesterol-lowering effects of dietary fiber: a meta-analysis. Am J Clin Nutr 1999;69(1):30-42.
  26. Groppers SS, Smith JL, Graff JL. Advanced nutrition and human metabolism 4th. Belmont, CA: Thomson Wadsworth; 2005.
  27. Asgary S, Moshtaghian J, Hosseini M, Naderi. Effects of Alfalfa on lipoproteins and fatty streak formation in hypercholesterolemic rabbits. Pak J Pharm Sci 2008;21(4):460-4.
  28. Rana MG, Katbamna RV, Padhya AA, Dudhrejiya AD, Jivani NP, Sheth NR. In vitro antioxidant and free radical scavenging studies of alcoholic extract of Medicago sativa. Rom J Biol – Plant Biol 2010;55(1):15-22.
  29. Valcheva KS, Kuzmanov K, Mihova V, Krasnaliev I, Borisova P, Belcheva A. Antihyperlipidemic effect of Aronia melanocorpa fruit juice in rats fed a high-cholesterol diet. Plant Foods Hum Nutr 2007;62(1):19-24.
  30. Gomathi R, Vijipriya M, K Usha. Cardioprotective effect of ethanolic extract of Medicago sativa stem (EMsS) on isoproterenol induced myocardial infarction in Wistar Albino rats. Intr J Pharm Pharm Sci 2014;6(2):839-42.
  31. Chen XN, Fan JF, Yue X, Wu XR, Li LT. Radical scavenging activity and phenolic compounds in persimmon (Diospyros kaki L. cv. Mopan). J Food Sci 2008;73(1):24-8.
  32. Khaleel AE, Mohamed Z, Shohda A, Maraghy, Mohamed S, Hifnawy, et al. Study of hypocholesterolemic and antiatheroslerotic properties of Medicago sativa L. cultivated in Egypt. J Food Drug Anal 2005;13(3):212-8.
  33. Amraie E, Farsani MK, Sadeghi L, Khan TN, Babadi VY, Adavi Z. The effects of aqueous extract of Alfalfa on blood glucose and lipids in alloxan-induced diabetic rats. Interv Med Appl Sci 2015;7(3):124-8.
  34. Barens DK, Sheaffer C. Alfalfa. Agriculture 1995;2:205-16.



DOI: https://doi.org/10.22146/ijcn.22750

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