Effect of Aqueous Whole Plant Extract of Selaginella myosurus on Lipid Profile of Wistar Rats
Omeodu S. I., Peters D. E.*, Oki J.
Department of Biochemistry, Faculty of Science, University of Port Harcourt, Rivers State, Nigeria
Email address
(Peters D. E.)
(Peters D. E.)
Citation
Omeodu S. I., Peters D. E., Oki J. Effect of Aqueous Whole Plant Extract of Selaginellamyosurus on Lipid Profile of Wistar Rats. American Journal of Pharmacy and Pharmacology. Vol. 2, No. 5, 2015, pp. 72-78.
Abstract
Cardiovascular disease continues to be the leading cause of death across the globe today. Treatment with synthetic drugs is associated with several adverse effects. This study was designed to investigate the effect of aqueous whole plant extract of selaginella myosurus on lipid profile of wistar rats. A total of thirty six (36) wistar rats of both sexes weighing between 100.5g-149.5g were divided into nine groups of four rats each. Group 1 received distilled water, while groups 2-5 and 6-9 received 400, 600, 800, and 1000mg/kg BW of extract for 7 and 14 days respectively. Rats were sacrificed 24hours after the last treatment and blood samples collected for determination of total cholesterol(T-CHOL), triglyceride(TG), high density lipoprotein-cholesterol(HDL-CHOL) and low density lipoprotein-cholesterol(LDL-CHOL), histological investigation on the heart tissue and phytochemical screening of the plant. Significant reductions (p<0.05) were observed in T-CHOL and TG in all the extract-treated groups when compared to control value and non significant reduction (p>0.05) HDL-CHOL and LDL-CHOL in all the groups except in groups 3 and 5 respectively. Phytochemical screening of plant revealed the presence of flavonoids, triterpenoids, saponins, tannin, steroid, cardiac glycoside and phenol in decreasing order (32.19±0.23, 26.24±0.12, 23.74±0.20, 18.74±0.17, 16.53±0.12, 15.28±0.23 and 13.10±0.11 mg/100g respectively).Histological result revealed that all heart muscles were in good histological conditions in control and all extract treated groups. Hence, aqueous whole plant extract of selaginella myosurus has hypolipidemic effect, could protect the heart against cardiovascular disease (CVD) and hence a promising potential herbal pharmaceutical agent.
Keywords
Total Cholesterol (T-CHOL), Triglyceride (TG), Low Density Lipoprotein Cholesterol (LDL-CHOL) and High Density Lipoprotein Cholesterol (HDL-CHOL)
1. Introduction
Cardiovascular disease continues to be the leading causeof death across the globe today the major ones being coronary heart diseases, stroke and hypertension [1]. Elevated plasma lipids are riskfactors in cardiovascular problems. Hyperlipidemia and other abnormal blood lipid profile are largely of genetic origin or due to unwholesome nutritional habits. Lipids and other substances accumulates on arterial wall, forming plague, which occlude the vascular lumen and obstruct the blood flow to vital organs such as the heart, brain, liver or kidney. Obstruction of blood supply to the heart, brain, liver or kidney cause coronary heart diseases, stroke or kidney failure.
Hyperlipidemia refers to elevated levels of lipids and cholesterol in the blood, and is also identified as dyslipidemia, to describe the manifestations of different disorders of lipoprotein metabolism. Although elevated low density lipoprotein cholesterol (LDL) is
thought to be the best indicator of atherosclerosis risk, dyslipidemia can also be described as elevated total cholesterol (TC) or triglycerides (TG), or low levels of high density lipoprotein cholesterol (HDL).
High level of blood cholesterol is a contributory factor of atherosclerosis and many lipid associated ailments like obesity, heart attacks and stroke and kidney failure.[2]have shown that lipid associated disorders are not only attributed to the total serum cholesterol, but also to its distribution among different lipoproteins.. The low density lipoproteins (LDLs) are the major carriers of cholesterol towards tissues having atherogenic potential, while the high density lipoproteins (HDLs) carry cholesterol from peripheral tissues to the liver [3]. HDLs thus give protection against many cardiac problems and obesity [4]. Although genetic factors recline behind these lipid disorders, in most of the cases it is allied with diets high in saturated fats or trans fats.
The clinical consequences of these disease conditions are serious and meaningful research efforts to improve the knowledge and understanding of the pathogenesis is essential, in order to provide a more rational approach to their prophylaxis and treatment. [5-6].
Selaginellamyosurus Alston with an alternative name of Stachygynandrum, wide spread in all continents predominantly terrestrial plant of lowland to mid-montane primarily rainforest but preferring more open glades and river banks and therefore a frequent component of secondary forest in these areas.Selaginella myosurus (Sw.) Alston (Lycopodiummyosurus Sw.; Selaginella scandens P. Beauv.; Stachygynandrumscandens P. Beauv.) are creeping or ascendant plants with simple, scale-like leaves (microphylls) on branching stems from which roots also arise. It appears that the traditional use of Selaginella myosurus in Nigeria and other part of West Africa is still relatively rare, compared to the number of species that are grown in this region. It is commonly referred to by indigenes of Rivers State as Akoro, ukor. It is a powerful plant that is used in many regions due to different beliefs, it is found in swamp forests, disturbed areas, along roadsides, edge of forests.
Selaginella is traditionally used to treat several diseases such as injury, treatment of post childbirth, cancer, skin disease, headaches, fever, respiratory infections, urinary tract infections, menstrual disorders, liver disorders, fractures and arthritis. All parts of the plant can be used, although sometimes they are called only a leave (herb) [7].
Its use can be solely or in combination, fresh or dried, eaten immediately or cooked. The plant sweet and have warm effects [8].
Selaginella contains a variety of secondary metabolites such as alkaloids, phenol (flavonoids, tannins, and saponins) and terpenoids [9]. The main secondary metabolite of this plant is bioflavonoid, whose type is varied depending on the species. Bioflavonoid, once known as "Vitamin P" is useful in treatment and prevention of many health conditions. It is referred to as "nature’s biological response modifiers" modify body’s reaction to compounds such as aoikjllergens, viruses and carcinogens. These compounds act as antioxidants, anti-inflammatory, antimicrobial, antifungal, antiviral etc. [10]. It is well known that plants generally contain secondary metabolites and some of these secondary metabolites have been shown to be highly biologically active [11] and as well as exhibiting physiological activity [12]. Saponins cause hypocholesterolemia by binding cholesterol, making it unavailable for absorption [13].
Flavonoids are a group of phytochemicals found in varying amounts in foods and medicinal plants which have been shown to exert potent anti-oxidant activity against the superoxide radical [14]. Its consumption has been documented not to be associated with mortality due to coronary heart disease. This may be as a result of its antioxidant activity and subsequent inhibitions of Low Density Lipoproteins (LDL) oxidation known to have been attributed to the dietary and supplemental intake of flavonoids and other micronutrients. Tannins hasten the healing of wounds and inflamed mucous membrane [15]. The lowering level of serum cholesterol using diet or drugs decreases the incidence of coronary heart disease [16,17]. Steroids are a group of cholesterol derived lipophilic, low-molecular weight compounds and can be grouped on the basis of type of organism in which they are present.Steroids are classified into three broad categories; insect steroids, vertebrate steroids and plant steroids. Plant steroids are of two broad categories: phytosterols and brassinosteroids. Phytosterols covers both plant sterols and stanols [18]. They are plant components with a structure similar to cholesterol [19], although they are more poorly absorbed by the intestine. They are classified into different groups depending on their structure and biosynthesis [20]. Their exact mechanism of action and cholesterol lowering properties are not known, but, because their structure is similar to that of cholesterol, they compete for solubilization in the micelles and therefore inhibit intestinal absorption of both dietary and endogenous cholesterol [21] lowering postprandial cholesterol level in the blood.
2. Materials and Methods
2.1. Apparatus/Equipment
Spectrophotometer (BSA 3000), SFRI France,Rotary evaporator, Centrifuge (Universal laboratory century), Hettich Zentrifugen, Metlar weighing balance,SIEMENS Advia 2120 Automated Analyzer.
2.2. Reagents/Chemicals
All reagents and chemicals are of analytical grade.
2.3. Collection/Identification of Plant
Selaginella myosurus was collected in the surrounding bush of the University of Port Harcourt in Choba community of Obio/Akpor Local Government Area of Rivers state. A voucher specimen (UPH-NO.C-129) was authenticated by a botanist, Dr. N. L. Edwin-Nwosu and deposited at the herbarium unit of the Department of Plant Science and Biotechnology (PSB), University of Port Harcourt.
2.4. Extract Preparation
The whole plant of Selaginella myosurus was washed with running tap water and air dried for 2 weeks before grinding into powdered form. The coarsely powdered plant material was macerated in a maceration jar for 24hours, with distilled water. Filtration was done usingWhatman filter paper in a glass funnel placed in a retort stand.The filtrate was allowed for about 1-2 hours to observe any residue or sediment. After having a clear filtrate, it was put in a rotary evaporator which separated the water from the extract, leaving the extract in a paste form. The extract was then poured into a crucible plate for drying on a steam bath at 40°C to 50°C. The crude extract was stored in a refrigerator pending usage.
2.5. Phytochemical Screening
Phytochemical screening of the whole plant of Selaginella myosurus was done using standard procedure as described by [22] in the Department of Pharmacognosy, Faculty of Pharmacy, University of Port Harcourt.
2.6. Source of Animals
A total of thirty six (36) wistar rats of both sexes weighing between 100.5g-149.5g were purchased from an animal breeding facility in Choba community, and were kept in the Department of Biochemistry, University of Port Harcourt Animal House, Choba park for one week acclimatization. The rats were fed with normal rat feed and water ad libitum.
2.7. Lethal Dose (LD50) Determination
LD50determination was done using an "up-and-down" procedure described by[23]. Three doses of 1000mg/kg, 3000mg/kg, and 5000mg/kg were orally administered to 3 groups of rats (n=2 rats per group). The rats were observed for 24hours and for a period of 1 week. No death was recorded; therefore, safe doses of 400,600, 800 and 1000mg/kgBW were selected.
2.8. Experimental Design
The rats were divided into nine (9) groups (n=4rats).
GROUP 1 (Control): 0.5ml of distilled water was orally given to the animals in this group dailyfor 14 days.
GROUP 2 (400mg/kg b.w extract): A single daily dose of 400mg/kg b.w of aqueous whole plant extract of Selaginellamyosuruswas orally administered torats in this group for 7 days.
GROUP 3 (600mg/kg b.w extract): A single daily dose of 600mg/kg b.w of aqueous whole plant extract of Selaginellamyosuruswas orally administered to rats in this groupfor 7 days.
GROUP 4 (800mg/kg b.w extract): A single daily dose of 800mg/kg b.w of aqueous whole plant extract of Selaginella myosurus was orally administered to rats in this group for 7 days.
GROUP 5 (1000mg/kg b.w extract): A single daily dose of 1000mg/kg b.w of aqueous whole plant extract of Selaginella myosurus was orally administered to rats in this group for 7 days.
GROUP 6 (400mg/kg b.w extract): A single daily dose of 400mg/kg b.w of aqueous whole plant extract of Selaginella myosurus was orally administered to rats in this group for 14 days.
GROUP 7 (600mg/kg b.w extract): A single daily dose of 600mg/kg b.w of aqueous whole plant extract of Selaginella myosurus was orally administered to rats in this groupfor 7 days.
GROUP 8 (800mg/kg b.w extract): A single daily dose of 800mg/kg b.w of aqueous whole plant extract of Selaginella myosuruswas orally administered to rats in this group for 7 days.
GROUP 9 (1000mg/kg b.w extract): A single daily dose of 1000mg/kg b.w of aqueous whole plant extract of Selaginella myosurus was orally administered to rats in this groupfor 7 days.
Sacrifice, Collection and Preparation of Plasma
At the end of 7 and 14 days, all the animals were anaesthetized with chloroform before decapitated for collection of blood. The blood was stored in heparinised sample bottle, spun at 5000rpm using MSE centrifuge to obtain plasma for biochemical investigations.
3. Biochemical Investigation
Total Cholesterol (TC) and Triacylglycerol (TG), were estimated by enzymatic methods described by[24],using assay kits (Randox Laboratories Ltd, UK). High-Density Lipoprotein Cholesterol (HDL-C) was determined by enzymatic methodsdescribed by [25]using assay kits (Randox Laboratories Ltd, UK). Low-Density Lipoprotein Cholesterol (LDL-C) was calculated using the formular by [26].
3.1. Histopathogical Studies
The rats were dissected using a set of dissection kit and heartsfrom control and extract treated groups were collected and fixed in 10% freshlyprepared formalin for 48 hours and subsequentlydehydrated in alcohol, cleared with xylem andembedded in paraffin wax. Sections of lobe at about5μm were mounted on glass slides and stained withhaematoxylin and eosin [27].
3.2. Statistical Analysis
All the values were reported as mean ± standard error of mean (M ± SEM). Statistical analysis was performed using SPSS version 20.0 (IBM, U.S.A). The data were analyzed using one-way analysis of variance (ANOVA) and significant difference were determined using post Hoc Turkey’s test for multiple comparisons at p< 0.05.
4. Result
Table 1. Effect of Aqueous Whole Plant Extract of Selaginella myosurus on Lipid Profile in Wistar Rats.
TREATMENT GROUPS (Mg/kgBW) | PARAMETERS |
TG umol/L | CHOL umol/L | HDL-CHOL umol/L | LDL umol/L |
WATER CONTROL | 1.65±0.07a | 3.40±0.08a | 1.08±0.05a | 1.53±0.10a |
400mg/kgBW EXT FOR 7 DAYS | 1.38±0.05a | 2.73±0.14a | 0.93±0.05 | 1.15±0.16 |
600mg/kgBW EXT FOR 7 DAYS | 1.33±0.05a | 2.73±0.15a | 0.83±0.05a | 1.25±0.10 |
800mg/kgBW EXT FOR 7 DAYS | 1.40±0.04a | 2.73±0.08a | 0.85±0.06 | 1.20±0.07 |
1000mg/kgBW EXT FOR 7 DAYS | 1.28±0.05a | 2.45±0.06a | 0.90±0.04 | 0.95±0.5a |
400mg/kgBW EXT FOR 14 DAYS | 1.48±0.48 | 3.05±0.06 | 1.03±0.05 | 1.30±0.09 |
600mg/kgBW EXT FOR 14 DAYS | 1.35±0.03a | 2.85±0.06a | 0.90±0.04 | 1.30±0.08 |
800mg/kgBW EXT FOR 14 DAYS | 1.38±0.05a | 2.78±0.09a | 0.88±0.05 | 1.18±0.05 |
1000mg/kgBW EXT FOR 14 DAYS | 1.33±0.05a | 2.68±0.09a | 0.88±0.05 | 1.13±0.09 |
Data are represented in Mean±Standard Error of Mean (M±SEM)
Similar superscripts represent significant different (p<0.05) in the same row
Table 2. Qualitative Phytochemical Screening of Whole Plant Extract of Selaginella myosurus.
SECONDARY METABOLITES | TEST | RESULT |
Alkaloids | Drangedorff | -ve |
Mayer | -ve |
Hager | -ve |
Flavonoids | Shinoda | -ve |
Lead acetate | -ve |
Alkali | +ve |
Tannins | FeCl3 | +ve |
Phlobatannins | +ve |
Gelatin | ND |
Albumin | ND |
Anthraquinone | Free Anthraquinone | -ve |
Combined Anthraquinone | -ve |
Triterpenoid/steroids | Liebermann-Buchard | +ve |
Salwoski | +ve |
Fixed oil | | +ve |
Carbohydrates | Molisch | +ve |
Fehlings | +ve |
Cardenolide | Keller Killani | +ve |
Kedde | +ve |
Cyanogenic glycosides | Frothing | -ve |
Saponins | Frothing | +ve |
Haemolysis | -ve |
Emulsion | +ve |
Note:+Ve means present, -ve means absent, while ND is Not Determined
Table 3. Quantitative Photochemical Screening of Whole Plantof Selaginella myosorus.
| mean± standard error of mean (M + SEM) |
Flavonoid | 32.19± 0.23 |
Saponins | 23.74± 0.20 |
Cardiac glycoside | 15.28± 0.23 |
Steroid | 16.53± 0.12 |
Terpenoid | 26.24± 0.12 |
Tannin | 18.74± 0.17 |
Phenol | 13.10± 0.11 |
HISTOLOGICAL EXAMINATION OF HEART SECTIONS OF RATS TREATED WITH DISTILLED WATER AND VARYING CONCENTRATIONS OF AQUEOUS WHOLE PLANT EXTRACT OF SELAGENELLA MYOSURUS FOR 7 AND 14 DAYS
Fig. 1. Heart section of control rat showing good histological conditions(H&E, x 400).
Fig. 2. Heartsection of rat treated with 600mg/kgbw extract for 7days showinggood histological conditions (H&E, x 400).
Fig. 3. Heart section of rat treated with 800mg/kgbw extract for7days showing good histological conditions (H&E, x 400).
Fig. 4. Heart section of rat treated with 1000mg/kgbw extractfor 7days showinggood histological conditions (H&E, x 400).
Fig. 5. Heartsection of rat treated with 600mg/kgbw extractfor 14daysShowing good histological conditions (H&E, x 400).
Fig. 6. Heartsection of rat treated with 800mg/kgbw extractfor 14daysShowing good histological conditions (H&E, x 400).
Fig. 7. Heart section of rat treated with 1000mg/kgbw extract for14days showing good histological conditions (H&E, x 400).
5. Discussion and Conclusion
It is widely accepted that a plant based diet with high intake of fruits and vegetables may reduce the risk of oxidative stress-related diseases such ascancer and cardiovascular diseases. Most bioactive food constituents are derived from plants and are collectively called phytochemicals. The majority of these phytochemicals are antioxidants.Antioxidants are defined as compounds that can delay, inhibit, or prevent the oxidation ofoxidizable materials by scavenging free radicals and diminishing oxidative stress. Oxidative stress isan imbalanced state where excess quantities of reactive oxygen and/or nitrogen species (ROS/RNS,e.g., superoxide anion, hydrogen peroxide, hydroxyl radical, peroxynitrite) overcome endogenous antioxidantcapacity, leading to oxidation of a varieties of biomacromolecules, such as enzymes, proteins, DNA and lipids. Oxidative stress is important in the development of chronic degenerative diseasesincluding coronary heart disease, cancer and aging[28].
Significant reductions (p<0.05) were observed in T-CHOL and TG concentrations in all the extract treated groups when compared to control value and non significant reduction (p>0.05) inHDL-CHOL and LDL-CHOL concentrations in all the groups except in groups 3 and 5 respectively in Table 1.Atherogenicitydevelops when LDL cholesterol, triacylglycerols and total cholesterol are elevated relative to plasma HDL-C[29]. Although elevated low density lipoprotein cholesterol (LDL) is thought to be the best indicator of atherosclerosis risk, [30] dyslipidemia can also be describe aselevated total cholesterol (TC) or triglycerides(TG), or low levels of high density lipoprotein cholesterol (HDL). Hence the plasma lipid profile lowering effect of the extract indicates protection against atherosclerotic cardiovascular disease (ASCVD) which includes stroke, peripheral arterial disease and coronary heart disease.
Phytochemical screening of plant from Tables 2 and 3 revealed the presence of flavonoids, triterpenoids, saponins, tannin, steroid, cardiac glycoside and phenol in decreasing order (32.19± 0.23, 26.24± 0.12, 23.74± 0.20, 18.74± 0.17, 16.53± 0.12, 15.28± 0.23 and 13.10± 0.11 mg/100g respectively). It is widely accepted that a plant based diet with high intake of fruits andvegetables may reduce the risk of oxidative stress-related diseases such ascancer and cardiovascular diseases. Most bioactive food constituents are derived from plants. Result from the study demonstrated significant reduction in plasma T-CHOL,and TG, and non significantreduction of LDL-CHOL without a corresponding increase in HDL-CHOL suggesting enhanced inhibition in intestinal absorption of both dietary and endogenous cholesterol by phytochemicals present in plant extract and not necessarily increased transport of plasma lipids to the liver via HDL-CHOL. Saponins cause hypocholesterolemia by binding cholesterol, making it unavailable for absorption [13]. Specifically, saponin is known to elicit serum cholesterol lowering activity by causing resin-like action, thereby reducing the enterohepatic circulation of bile acids [31]. In the process, the conversion of cholesterol to bile acid is enhanced in the liver resulting in concomitant hypocholesterolemia [32,33].Also plant steroids such as sterols and stanols exhibits cholesterol lowering propertiesbecause of their structural similarity to that of cholesterol, they compete for solubilization in the micelles and therefore inhibit intestinal absorption of both dietary and endogenous cholesterol [21]. Flavonoids are a group of phytochemicals found in varying amounts in foods and medicinal plants which have been shown to exert potent anti-oxidant activity against the superoxide radical [14]. Its consumption has been documented not to be associated with mortality due to coronary heart disease. This may be as a result of its antioxidant activity and subsequent inhibitions of Low Density Lipoproteins (LDL) oxidation known to have been attributed to the dietary and supplemental intake of flavonoids and other micronutrients.
Figures 1-7 showing histological results revealed that all the heart muscles were in good histological conditions both in the control and all extract treated groups. Hence, aqueous whole plant extract of selaginella myosurus has hypolipidemic effect and could protect the heart against atherosclerotic cardiovascular disease (ASCVD), hence would benovel herbalpharmaceutical agent.
References
- Medrano, M.J., Cerrato, E., Boix, R., Delgado-Rodriguez, M(2005). Cardiovascular riskinSpanish population: metaanalysis of cross-sectional studies. Med.Clin. (Bar), 124:606-612.
- Pushpavalli, G., Veeramani, C. and Pugalendi, K.V. (2010). Influence of chrysin on hepatic marker enzymes and lipid profile against D-galactosamine-induced hepatotoxicity rats. Food. Chem. and Toxicol., 48: 1654-1659.
- Agellon, L.B., Walsh, A., Hayek, T., Moulin, P., Jiang, X.C., Shelanski, S.A. Breslow, J.L. and Tall, A.R. (1991). Reduced high density lipoprotein cholesterol in human cholesteryl ester transfer protein transgenic mice. Journal. of Biological. Chem., 266: 10796- 10801.
- Brinton, E.A., Eisenberg, S. and Breslow, J.L. (1990). A low fat diet decreases high-density lipoprotein (HDL) cholesterol level by decreasing HDL apolipoprotein transport rates. J. Clin. Invest., 85: 144-151.
- Kritchersky, S., (1970). The role of cholesterol as vehicles experimental atherosclerosis. Am. J.Clin., Nutr.,23: 1105-1110.
- Kucera, M., V.O. Marqis and Kuceroahk, 1972. Contribution to the knowledge of Nigeria medical plant J.L.C separation and quantitative evaluation of alstoniaboonei alkaloid plants.Medica.,21: 343-346.
- Setyawan, A.D. &Darusman, L.K. (2008). Review: Biflavonoid compounds of Selaginella Pal. Beauv. and its benefit. Biodiversitas 9 (1): 64-81.
- Bensky, D., Clavey, S. andStöger, E. (2004).. Chinese herbal medicine; material medica. 3rd ed. Eastland Press. Seattle, WA.
- Chikmawati, T., Setyawan, A.D. &Miftahudin. (2008). KandunganfitokimiaekstraktumbuhanSelaginella di pulauJawa. Seminar danKonggres PTTI ke-VIII. Cibinong Science Center, Bogor-Indonesia, 21-23.
- Setyawan AD. (2009). Traditionally utilization of Selaginella; field research and literature review. Nusantara Bioscience 1: 146-158
- Zenk, H.M., (1991). Chasing the enzymes of secondary metabolism: Plant cell cultures as a pot of goal. Phytochemistry, 30(12): 3861-3863.
- Sofowora, A. (1982). Medicinal Plants and Traditional Medicine in Africa. Wiley, Ann Arbor, Mich., pp: 256, ISBN: 0471103675.
- Price, K.R., Johnson, L.I. and Feriwick, H. (1987). The chemical and biological significance of saponins in foods and feeding stuffs. CRC Critical Revigar. Food Sci. Nutr., 26: 127-135.
- Hertog, M.G.L., Feskens, E.J.M., Hollman, D.C.H., Katan, M.B.and Kromhout, D. (1993). Dietary antioxidant flavonoids and risk of coronary heart disease. Zutphen Elderly Stud. Lanc., 342: 1077-1011.
- Okwu, D.E. and Okwu, M.E. (2004). Chemical composition of SpondiasmombinLinn plant parts. J. Sustain. Agric. Environ., 6: 140-147.
- Treasure, C.B., J.L. Klein and W.S. Weintraub, 1995. Beneficial effects of cholesterol lowering therapy on the coronary endothelium in patients with coronary heart diseases. N. Engl. J. Med., 332: 481-487.
- Steiner, M. and W. Li, 2001. Aged garlic extract, modulator of cardiovascular risk factor: A dose finding study on the effect of age on platelet function. J. Nutri., 131(3): 9805-9845.
- Silveira, M.B., Monereo, S. and Molina, B. (2003). Funtional nutrition and optimal nutricion. Near or far? Rev. Esp. Salud. Pública.,77(3):317-331.
- Plaza, I (2001). Los fitosteroles, el colesterol y la prevención de lasenfermedadescardiovasculares. Clin. Invest Arterioesclerosis, 5:209-18.
- Piironen, V., Lindsay, D.G., Miettinen, T.A., Toivo, J., Lampi, A.M.(2000) Plant sterols: biosynthesis: biological function and their importance to human nutrition. J. Sci. Food Agric., 80:939-966.
- Heinemann, T., Kullabak-Ublick, A., Pietruck, B. and von Bergmann, K.(1991). Mechanism of action of plant sterols on inhbition of cholesterol absorption. Eur. J. Clin. Pharmacol., 20:59-63.
- Sofowara A. (1993). Medicinal Plants and Traditional Medicine in Africa. p. 289, Spectrum Books Ltd., Ibadan, Nigeria.
- Bruce, R.D. (1985) An up-and-down procedure for acute toxicity testing. Fund.Appl.Toxicol. 5:151-157.
- Allain, C.C., Poon, L.S. Chan, C.S.G. Richmond, W. and Fu, P.C. (1974). Enzymatic determination of total serum cholesterol.Clin. Chem., 20: 470-475.
- Stein, E.A.(1987). Lipids, Lipoproteins and Apolipoproteins. In: Tietz, N.W. (Ed.), 3rd Edn., Fundamentals of Clinical Chemistry. WB Saunders, Philadelphia, pp: 470-479.
- Friedewald, W.T., Levy, R.I.and Frederickson,D.S. (1972). Estimation of the concentration of low-density lipoprotein cholesterol in plasma without the use of preparative ultra-centrifuge. Clin. Chem., 18: 499-502.
- Lillie, R.D. (1965). Nuclei, nucleic acid, general oversight stains. In: Histopathology Technique andPracticalHistochemistry, 3rd edition, McGraw Hill Book Company, pp.142-179.
- Ames, B.N.; Shigenaga, M.K. and Hagen, T.M. (1993). Oxidants, antioxidants, and the degenerative diseases of aging. Proc. Natl. Acad. Sci. USA,90, 7915-7922.
- James, D.B., Kadejo, O.A., Nwochiri, C. and Luca, C.D. (2013).Determination of Phytochemical Constituents of the Aqueous Extracts of the Leaves, Stem Bark and Root Bark of Vitexdonianaand its Effects on Lipid Profile of Albino Rats. British Journal of Pharmacology and Toxicology, 4(6): 210-214.
- Jacobson, M.S. (1998). Heart healthy diets for all children: no longer controversial. J. Pediatr., 133(1):1-2.
- Topping, D.L., Storer, G.B., Calvert, G.D., Illman, R.J., Oakenfull, D.G. and Weller, R.A. (1980). Effects of dietary saponins on fecal bile acids and neutral sterols, plasma lipids and lipoprotein turnover in the pig. The American Journal of Clinical Nutrition, 33: 783-786.
- Kritchevsky, D (1977). Dietary fiber and other dietary factors in hypocholesterolemia. The American Journal of Clinical Nutrition, 30: 979-984.
- Potter, D.P., Topping, D.L. and Oakenfull, D. (1979). Soya saponins and plasma cholesterol. Lancet, 1: 223.