Saturday, June 14, 2014

Moringa oleifera leaf extracts inhibit 6beta-hydroxylation of testosterone by CYP3A4

Moringa oleifera leaf extracts inhibit 6beta-hydroxylation of testosterone by CYP3A4.

Abstract

BACKGROUND:

Moringa oleifera is a tropical tree often used as a herbal medicine, including by people who test positive for HIV. Since herbal constituents may interact with drugs via inhibition of metabolizing enzymes, we investigated the effects of extracts of M. oleifera on the CYP3A4-mediated 6beta-hydroxylation of testosterone.

METHODS:

Methanolic and aqueous leaf and root of extracts of M. oleifera with concentrations between 0.01 and 10 mg/ml were incubated with testosterone and mixed-sex human liver microsomes in the presence of NADPH. Metabolite concentrations were determined by HPLC. The cytotoxicity of the extracts was tested with HepG2 cells using the MTT formazan assay.

RESULTS:

Significant CYP3A4 inhibitory effects were found, with IC50 values of 0.5 and 2.5 mg/ml for leaf-methanol and leaf-water extracts, respectively. Root extracts were less active. Cytotoxicity was observed only with the leaf-water extract (IC50 = 6 mg/ml).

CONCLUSIONS:

Further investigation is warranted to elucidate the potential of M. oleifera for clinically significant interactions with antiretroviral and other drugs.

Effect of Moringa oleifera on advanced glycation end-product formation and lipid metabolism gene expression in HepG2 cells

Effect of Moringa oleifera on advanced glycation end-product formation and lipid metabolism gene expression in HepG2 cells.

Abstract

In Thai traditional medicine, Moringa oleifera is used for the treatment of diabetes and hyperlipidemia. Oxidative stress plays a major role in the pathogenesis of many degenerative diseases, such as hyperlipidemia, diabetes mellitus, and cardiovascular disease. We evaluated the antioxidant effect of M. oleifera extract (MOE) for reduction of advanced glycation end-product (AGE) formation, cell viability, oxidative stress, and lipid metabolism gene expression in HepG2 cells. We found that the lyophilized form of MOE in 80% ethanol possessed mean (± SD) total antioxidant, polyphenolic, and flavonoid contents of 9307 ± 364 TE mM/kg dry mass, 218 ± 1 GE mM/kg dry mass, and 286 ± 12 QE mM/kg dry mass, determined using an oxygen radical absorbance capacity assay, a Folin Ciocalteu phenol assay, and a total flavonoids assay, respectively. Concentrations of 2.5-10.0 mg/mL MOE could inhibit AGE-formation by 10-45%, and 100-1000 mg/L MOE reduced intracellular oxidative stress (P < 0.05) in a dose-dependent manner in the DCFH-DA assay. However, MOE induced cytotoxicity at high doses (2000-3000 mg/L), as shown by the MTT assay. MOE significantly downregulated the mRNA expression of the HMG-CoAR, PPARα1, and PPARγ genes (P < 0.05). We concluded that M. oleifera could have benefits for human health by reducing oxidative stress and AGE formation. Moreover, M. oleifera may reduce cholesterol and lipid synthesis by suppression of HMG-CoAR, PPARα1, and PPARγ gene expression, thereby maintaining lipid homeostasis

Nigerian foodstuffs with prostate cancer chemopreventive polyphenols.

Nigerian foodstuffs with prostate cancer chemopreventive polyphenols.

Abstract

Dietary polyphenols are antioxidants that can scavenge biological free radicals, and chemoprevent diseases with biological oxidation as their main etiological factor. In this paper, we review our laboratory data vis-ὰ-vis available literature on prostate cancer chemopreventive substances in Nigerian foodstuffs. Dacryodes edulis fruit, Moringa oleifera and Syzygium aromaticum contained prostate active polyphenols like ellagic acid, gallate, methylgallate, catechol, kaempferol quercetin and their derivatives. Also Canarium schweinfurthii Engl oil contained ten phenolic compounds and lignans, namely; catechol, p-hydroxybenzaldehyde, dihydroxyphenylacetic acid, tyrosol, p-hydroxybenzoic acid, dihydroxybenzoic acid, vanillic acid, phloretic acid, pinoresinol, secoisolariciresinol. In addition, tomatoes (Lycopersicon esculentum Mill) which contains the powerful antioxidant and anti-prostate cancer agent, lycopene; cabbage (Brassica oleracea) containing indole-3-carbinol; citrus fruits containing pectin; Soursop (Annona muricata) containing annonaceous acetogenins; soya beans (Glycine max) containing isoflavones; chilli pepper (Capsicum annuum) containing capsaicin, and green tea (Camellia sinensis) containing (-) epigallocatechin gallate (EGCG), (-) epicatechin, (-) epicatechin-3-gallate and (-) epigallocatechin -3-gallate which are widely reported to posses prostate cancer chemopreventive compounds are also grown in Nigeria and other African countries. Thus, the high incidence of prostate cancer among males of African extraction can be dramatically reduced, and the age of onset drastically increased, if the population at risk consumes the right kinds of foods in the right proportion, beginning early in life, especially as prostate cancer has a latency period of about 50 years.

Renoprotective effects of Moringa oleifera pods in 7,12-dimethylbenz [a] anthracene-exposed mice.

Renoprotective effects of Moringa oleifera pods in 7,12-dimethylbenz [a] anthracene-exposed mice.

Abstract

OBJECTIVE:

To investigate the potential of hydroethanolic extract of Moringa oleifera (MOHE) against 7, 12-dimethylbenz [a] anthracene (DMBA)-induced toxicity in male Swiss albino mice.

METHODS:

Experimental mice were respectively pretreated with 200 and 400 mg/kg of MOHE, and 0.5% and 1% of butylated hydroxyanisole (BHA) for two weeks prior to the administration of 15 mg/kg of DMBA, respectively. Levels of xenobiotic metabolizing enzymes such as cytochrome (Cyt) P450 and Cyt b5, activities of reduced glutathione (GSH) and glutathione-S-transferase (GST) and renal aspartate amino transaminase (AST), alanine amino transaminase (ALT) and alkaline phosphatase (ALP), and content of protein and total cholesterol were measured to determine the nephrotoxicity caused by DMBA and to elucidate the ameliorating role of M. oleifera.

RESULTS:

Single oral administration of 15 mg/kg of DMBA resulted in significant increases in Cyt P450 and Cyt b5 (P<0.01). The toxic effect of DMBA was justified by the significant decreases in the activities of GSH and GST in renal tissues (P<0.05). The levels of renal AST, ALT and ALP and protein content which are indicative of renocellular damage were also found decreased along with significant increase in total cholesterol content in DMBA-treated mice (P<0.01). The DMBA-induced alterations in the tissues were significantly reversed after pretreatment with 200 and 400 mg/kg of MOHE orally for 14 d (P<0.01).

CONCLUSION:

The effects of MOHE in enhancing the levels of antioxidants and enhancing the levels of biochemical assays in DMBA-induced carcinogenesis are by reducing the formation of free radicals. This study rationalizes the ethnomedicinal use of M. oleifera for the protection against nephrotoxicity induced by chemical carcinogens.

Pre and post-implantation changes in the uteus of rats: response to moringa oleifera lam. Extract.

Pre and post-implantation changes in the uteus of rats: response to moringa oleifera lam. Extract.

Abstract

Aqueous extract of Moringa oleifera Lam. (root) has been studies on pre and post-implementation stages of the uterus of rats so as to elucidate its antifertility mode of action. Results on the biochemical estimation in the uterus of control pregnant rats at different stages of pregnancy revealed a successive increase in the total proteins, glycogen content and the activity or acid and alkaline phosphatase from day 2 to 5 post-coitum. When aqueous extract of M. oleifera Lam. Was administered, there was a significant reduction in all these biochemical constituents when compared to their respective control groups. The role of these biochemical transformations has been discussed in relation to anti-implantation action of the extract.

Chemical composition and biological activity of the essential oil from leaves of Moringa oleiferaLam. cultivated in Mozambique

Chemical composition and biological activity of the essential oil from leaves of Moringa oleiferaLam. cultivated in Mozambique.

Abstract

The antioxidant capacity and antimicrobial activity of the essential oil of Moringa oleifera (Moringaceae) grown in Mozambique was investigated. The chemical composition was studied by means of GC and GC-MS analysis. Hexacosane (13.9%), pentacosane (13.3%) and heptacosane (11.4%) were the main components. Ultra High Performance Chromatography-DAD analysis detected the flavonoids quercetin (126 μg/g) and luteolin (6.2 μg/g). The essential oil exhibited a relatively low free radical scavenging capacity. The antimicrobial activity of the essential oil was assayed against two Gram-positive strains (Bacillus cereus, Staphylococcus aureus), two Gram-negative strains (Escherichia coli, Pseudomonas aeruginosa), and five fungal strains of agro-food interest (Penicillium aurantiogriseum, Penicillium expansum, Penicillium citrinum, Penicillium digitatum, and Aspergillus niger spp.). B. cereus and P. aeruginosa, as well as the fungal strains were sensitive to the essential oil.

Cerebroprotective effect of Moringa oleifera against focal ischemic stroke induced by middle cerebral artery occlusion

Cerebroprotective effect of Moringa oleifera against focal ischemic stroke induced by middle cerebral artery occlusion.

Abstract

The protection against ischemic stroke is still required due to the limitation of therapeutic efficacy. Based on the role of oxidative stress in stroke pathophysiology, we determined whether Moringa oleifera, a plant possessing potent antioxidant activity, protected against brain damage and oxidative stress in animal model of focal stroke. M. oleifera leaves extract at doses of 100, 200 and 400 mg·kg(-1) was orally given to male Wistar rats (300-350 g) once daily at a period of 2 weeks before the occlusion of right middle cerebral artery (Rt.MCAO) and 3 weeks after Rt.MCAO. The determinations of neurological score and temperature sensation were performed every 7 days throughout the study period, while the determinations of brain infarction volume, MDA level, and the activities of SOD, CAT, and GSH-Px were performed 24 hr after Rt.MCAO. The results showed that all doses of extract decreased infarction volume in both cortex and subcortex. The protective effect of medium and low doses of extract in all areas occurred mainly via the decreased oxidative stress. The protective effect of the high dose extract in striatum and hippocampus occurred via the same mechanism, whereas other mechanisms might play a crucial role in cortex. The detailed mechanism required further exploration.

Moringa oleifera mitigates memory impairment and neurodegeneration in animal model of age-related dementia.

Moringa oleifera mitigates memory impairment and neurodegeneration in animal model of age-related dementia.

Abstract

To date, the preventive strategy against dementia is still essential due to the rapid growth of its prevalence and the limited therapeutic efficacy. Based on the crucial role of oxidative stress in age-related dementia and the antioxidant and nootropic activities of Moringa oleifera, the enhancement of spatial memory and neuroprotection of M. oleifera leaves extract in animal model of age-related dementia was determined. The possible underlying mechanism was also investigated. Male Wistar rats, weighing 180-220 g, were orally given M. oleifera leaves extract at doses of 100, 200, and 400 mg/kg at a period of 7 days before and 7 days after the intracerebroventricular administration of AF64A bilaterally. Then, they were assessed memory, neuron density, MDA level, and the activities of SOD, CAT, GSH-Px, and AChE in hippocampus. The results showed that the extract improved spatial memory and neurodegeneration in CA1, CA2, CA3, and dentate gyrus of hippocampus together with the decreased MDA level and AChE activity but increased SOD and CAT activities. Therefore, our data suggest that M. oleifera leaves extract is the potential cognitive enhancer and neuroprotectant. The possible mechanism might occur partly via the decreased oxidative stress and the enhanced cholinergic function. However, further explorations concerning active ingredient(s) are still required.

An ethyl acetate fraction of Moringa oleifera Lam. Inhibits human macrophage cytokine production induced by cigarette smoke

 2014 Feb 18;6(2):697-710. doi: 10.3390/nu6020697.

An ethyl acetate fraction of Moringa oleifera Lam. Inhibits human macrophage cytokine production induced by cigarette smoke.

Abstract

Moringa oleifera Lam. (MO) has been reported to harbor anti-oxidation and anti-inflammatory activity and useful in the treatment of inflammatory diseases. However, despite these findings there has been little work done on the effects of MO on immune cellular function. Since macrophages, TNF and related cytokines play an important pathophysiologic role in lung damage induced by cigarette smoke, we examined the effects of MO on cigarette smoke extract (CSE)-induced cytokine production by human macrophages. An ethyl acetate fraction of MO (MOEF) was prepared from fresh leaves extract ofMoringa and shown to consist of high levels of phenolic and antioxidant activities. Human monocyte derived macrophages (MDM) pre-treated with varying concentrations of MOEF showed decreased production of TNF, IL-6 and IL-8 in response to both LPS and CSE. The decrease was evident at both cytokine protein and mRNA levels. Furthermore, the extract inhibited the expression of RelA, a gene implicated in the NF-κB p65 signaling in inflammation. The findings highlight the ability of MOEF to inhibit cytokines (IL-8) which promote the infiltration of neutrophils into the lungs and others (TNF, IL-6) which mediate tissue disease and damage.

Soluble Extract from Moringa oleifera Leaves with a New Anticancer Activity

Introduction

Various types of plants have been used for several centuries worldwide not only as dietary supplements but also as traditional treatments for many diseases . Indeed, the fact that traditional medicines have been widely used worldwide demonstrates the potential of plants as sources of bioactive compounds, including potential antitumor, antioxidant, antiobesity, and antimicrobial molecules. Among these plants, the widely cultivated Moringa oleifera (Moringa or drumstick tree), a rapidly growing perennial tree, was used by the ancient Romans, Greeks, and Egyptians, and has been naturalized from the tropics to the sub-Himalayan regions (e.g., India, Pakistan, Bangladesh, and Afghanistan), Oceania, Latin America, Africa and tropical Asia .
For centuries, M. oleifera has been used as a traditional medicinal source. Additionally, besides being edible, all the parts of the Moringa tree (e.g., pods, seeds, and leaves) have long been employed for the treatment of many diseases, and therefore, it was called a “miracle vegetable” . Since it is a significant source of fats, proteins, beta-carotene, vitamin C, iron, potassium, and other nutrients , the Moringa tree is highly nutritious. For these reasons, some parts of this plant have drawn much attention and have been studied for its various biological activities, including antiatherosclerotic , immune-boosting , anticardiovascular diseases , antiviral , antioxidant ,, antimicrobial , anti-inflammatory  properties and tumor-suppressive effects in skin papillomagenesis, hepatocarcinoma cancer, colon cancer, and myeloma ,.
However, only a few studies have reported the anticancer activity of M. oleifera leaves (MOL), and most of them have focused on the evaluation of their efficacy with respect to tumor-suppressive activity, but not on the molecular basis of the tumor-suppressive activity. Additionally, most studies have been conducted using solvent extracts of MOL and not their soluble extracts .
Solvent extraction is the most frequently used technique for the isolation of bioactive compounds from plants. Therefore, the recovery of bioactive compounds from M. oleifera has been typically accomplished using various solvents, such as methanol and ethanol, as well as hot water and buffers . Nevertheless, the majority of the studies focused on solvent extracts because the efficacy of solvent extraction is higher than simple water extraction. In fact, the buffer extract of M. oleifera leaves was much less effective than the solvent extracts for hepatocarcinoma cells . Moreover, solvents can dissolve the many useful organic molecules found in plants, such as phenolic compounds.
In the present study, I prepared a cold water-soluble MOL extract and investigated the possibility as anticancer drugs in different types of human cancer cell lines. Finally, the medical value of a water-soluble MOL extract will be discussed.

Materials and Methods

Sample Preparation

Dried leaves of M. oleifera cultivated in Chinagmai, Thailand, were purchased from GL Networks Co. Ltd. The dried MOL (150 mg) were suspended in 1 mL of cold water (4°C), vigorously vortexed for 30 s, and refrigerated for 5 min to 24 hours. The suspension was vigorously vortexed again for 1 min at room temperature. The water-insoluble parts of the suspension were removed by centrifuging it twice (12,000 rpm, 10 min each), and the supernatants were collected by membrane filtration (0.2-µm filter). The resulting MOL extracts were lyophilized and stored at −20°C for future analysis. For the experiments, the lyophilized MOL extracts were resuspended into DW at a final concentration of 20 mg/mL of protein.

Cell Culture

All the cancer cells and African green monkey kidney cell line COS-7 used in this study were obtained from American Type Culture Collection (ATCC, USA) and Korean Cell Type Collection (KCTC, KOREA), respectively. The cells were grown in RPMI-1640 medium (i.e., A549, H23, and H358) and DMEM (i.e., MCF-7, A431, HT1080, and COS-7) (Hyclone Lab, USA) supplemented with 10% fetal bovine serum (FBS; Hyclone Lab) and 1% penicillin-streptomycin. Cells were inoculated at a density of 1×105 cells in a 6-well plate and were maintained at 37°C in a humidified atmosphere containing 95% air and 5% CO2.

Cell Proliferation Assay (MTT Assay)

The viability of cells was analyzed by a cell proliferation assay method using tetrazolium salt (MTT) . Cells were adjusted to 3×103 cells/well and inoculated in 100 µL of appropriate culture medium/well in 96-well plates. After 1-d incubation, the cells were treated with various concentrations of MOL extract (0–400 µg/mL). After another 1- or 2-d incubation, 10 µL of Cell Counting Kit-8 (cat. No. CK04, Dojindo Laboratories, Japan) or WST assay reagent (Daeil Lab Service Co, Korea) was added per well and incubated for an additional 4 h. The absorbance at 450 nm was measured with a microplate reader (Model 680 microplate reader, Bio-Rad Laboratories, USA).

Flow Cytometric Detection

Cells (1×105) were seeded in a 6-well culture plate for 1 d and treated with the MOL extract. After 2 d, the cells were collected, washed with PBS, and fixed with 70% ethanol at 4°C for 2 h in the dark. Fixed cells were washed twice with PBS and stained with propidium iodide (PI, 50 µg/mL) for 30 min at room temperature. The DNA content was measured with a FACScan system (EPICS XL Flow Cytometry, Beckman Coulter Counter, USA). The percentage of cells in each cell phase was determined using the Phoenix Multicycler Software (Phoenix Flow System).

Colony-formation Assay

Trypsinized cells were collected and seeded in new 6-well culture dishes at a density of 1×103cells/well for 1 d before adding the MOL extract. After 7 d, the cells were stained with 0.1% crystal violet and photographed. The experiments were repeated 3 times, and a representative photograph has been provided.

Measurement of Reactive Oxygen Species (ROS)

Carboxydichlorofluorescein diacetate (DCFH-DA) is a polar compound that is converted into a membrane-impermeable non-fluorescent polar derivative (DCFH) by cellular esterases after its incorporation into the cells. The trapped DCFH is then rapidly oxidized to fluorescent 2′,7′-diclorofluorescein (DCF) by intracellular hydrogen peroxide. Trypsinized cells (approximately 1×105 cells) were washed, resuspended in PBS, and treated with DCFH-DA at a final concentration of 10 µM. The cells were incubated for 30 min in the dark at 37°C, and the ROS level was measured using a FACScan system (EPICS XL Flow Cytometry, Beckman Coulter Counter).

Microscopy

To monitor cell morphology, cells were visualized by light microscopy (Leica Microsystems, Wetzlar, Germany). Images were captured with a Power Shot S45 Canon Digital Camera system.

cDNA Synthesis and PCR Amplification

Cells (1 × 105) were seeded in a 6-well culture plate for 1 d before treatment with the MOL extract. After an additional 2-d incubation, total RNA was isolated from the cells by using the High Pure RNA isolation kit (Roche, Basel, Switzerland). To generate first-strand cDNA from the total RNA (1 µg) by using oligo dT, a cDNA synthesis kit (Maxim RT Premix Kit-Oligo dT Primer, iNtRON Biotechnology, Korea) was employed. The resulting cDNAs were amplified with different primers (Table 1) by using Maxim PCR Premix Kit-iTaq (iNtRON Biotechnology, Korea). The amplified polymerase chain reaction (PCR) products were analyzed by 1.5% agarose gel electrophoresis and then photographed under UV light (Smart gel imaging analysis system; Beijing Sage Creation Science And Technology Co. Ltd).
Table 1
Primers used in this study.

Western Blot Analysis

Cells (1×105) were seeded in a 6-well culture plate for 1 d before treatment with the MOL extract. After an additional 2-d incubation, the cells were collected and lysed for western blot analysis. Antibodies for western blot analysis were purchased from Cell Signaling Technology (β-actin, cat. no. cs4967; Akt, cat. no. cs9272; p-JNK, cat. no. cs9251; p-Erk, cat. no. cs9101; p-IκBα: cat. no. cs2859; SOX2: cat. no. cs3579; and cleaved Notch1, cat. no. cs2421), from Santa Cruz Biotechnology (p53, cat. no. sc-126; cyclinD1, cat. no. sc-753; Notch1, cat. no. sc-6014; NF-κB, cat. no. sc-109; β-catenin, cat. no. sc-796; and c-Myc, cat. no. sc-761), and from Merck Millipore (Oct4, cat. no. mab4305). Protein concentration was determined with the Bradford method (Protein Assay Dye Reagent Concentrate, Bio-Rad Laboratories, cat. no. 500-0006). After cell lysis, equal amounts of proteins (20–80 µg) were separated on a 8–12% SDS polyacrylamide gel according to the size of the proteins and transferred to a nitrocellulose membrane (Whatman). The blots were blocked for 16 h at 4°C with blocking buffer (10% nonfat milk in Tris-buffered saline [TBS] buffer containing 0.1% Tween 20 [TBS-T]). After the membrane was washed with 3 times with TBS-T, it was incubated at room temperature for 2 h with a horseradish peroxidase-labeled secondary antibody and visualized using the ECL kit (GE Healthcare, cat. no. RPN1237). To confirm the transfer of proteins to the nitrocellulose membrane, the membrane was stained with Ponceau S solution (Sigma, cat. no. P7170-1L) for 5 min. The stained membrane was then washed with DW several times, and proper gel transfer was verified.

Identification of Proteins on SDS-PAGE Gels

Cells (1×105) were seeded in a 6-well culture plate for 1 d before treatment with the MOL extract. The cells were lysed after an additional 2-d incubation. After cell lysis, equal amounts of proteins (20 µg) were separated on a 10% SDS polyacrylamide gel and stained with Comassie blue. The stained gel was destained with a mixed solution of methanol and acetic acid. Bands at around 60–80 kDa on the gel were directly sliced with a knife and treated with trypsin. The tryptic peptides produced by the in-gel digestion were analyzed using an LTQ mass spectrometer (Thermo Finnigan, San Jose, CA) coupled with an Eksigent-Nano-Ultra-UPLC (Eksigent Technologies, CA). Proteins were identified using the UniPort Program (http://www.uniprot.org).

Microarray Preparation

All the oligonucleotides corresponding to 23,753 coding sequences were resuspended in printing buffer (Telechem International, Inc., USA) at a final concentration of 50 pmol/µL. Resuspended oligonucleotides were spotted onto silanized glass slides (UltraGAPS™, Corning Lifesciences, MA) by using a robotic microarrayer (OmniGrid II, GeneMachines, CA) at 20–25°C with 40% humidity.

Preparation of the cDNA Probe and Microarray Hybridization

Cells (1×105) were seeded in a 6-well culture plate for 1 d before treatment with the MOL extract. After an additional 2-d incubation, total RNA was extracted. The synthesis of target cDNA probes and hybridization were performed as previously described . Each 20 µg aliquot of total RNA was mixed with 5 µg of pdN6 primer (Amersham Biosciences, UK) in 15.4 µL of RNase-free water and incubated at 65°C for 10 min. cDNA was synthesized in the presence of 3 µL of Cy3- or Cy5-dUTP (1 mM each; NEN Life Science Products, Boston, USA) at 42°C for 2 h. The fluorescent-labeled cDNA was purified using a PCR purification kit (Qiagen). Both Cy3 and Cy5-labeled cDNAs were concentrated into a final volume of 27 µL by using Microcon YM-30 (Millipore Corp. USA). The hybridization mixture (80 µL) contained 20 µL of 20× SSC, 8 µL of 1% SDS, 24 µL formamide (Sigma, USA), 10 µg of salmon sperm DNA (Invitrogen Corp.) and 27 µL of labeled cDNA solution. The hybridization mixture was heated at 100°C for 2–3 min and immediately applied onto microarrays. The arrays were hybridized at 42°C for 12–16 h in a humidified hybridization chamber (Array Chamber X, GenomicTree Inc., Korea). The hybridized microarrays were washed, and quantification was performed using an Axon 4000B scanner (Axon Instruments, CA).

Data Acquisition and Analysis

The hybridization images were used for quantification with GenePix Pro 4.0 (Axon Instruments, CA). The average fluorescence intensity for each spot was calculated, and the local background was subtracted. All data normalization and statistical analyses were performed using GeneSpring 6.1 (Silicon Genetics, USA). Genes were filtered according to their intensity in the control channel. Intensity-dependent normalization (LOWESS) was performed, where the ratio was reduced to the residual of the Lowess fit of the intensity vs. ratio curve. The fold-change values were calculated by dividing the median of the normalized signal channel intensity by the median of the normalized control channel intensity. The ratios of fold changes were calculated by dividing the value of fold change with the value of fold change between relevant conditions. A value above 2.0 was considered significantly different. The parametric ANOVA test was performed using the Benjamini and Hochberg false discovery rate corrections below p values of 0.05 or 0.01 to identify genes differentially expressed across the samples. Hierarchical clustering was performed by similarity measurements based on Pearson correlations around 0. The correlation analysis was performed using Pearson correlation (from −1 to 1). The microarray data from these experiments are available for download at http://218.48.131.23/Servelet/GeNet with a guest login.

Results

Antiproliferative Effects of Soluble MOL Extract on Lung Cancer Cell A549

To determine the inhibitory effect on human lung cancer cell A549, various soluble extracts from MOL were prepared using different extraction times. I fixed the temperature at 4°C and investigated the effects of different extraction times (0–24 hours) by MTT analysis. As shown in Figure 1, cell growth inhibition was the highest with the MOL extract obtained after extraction for 5 min.
Figure 1
Inhibitory effects of the MOL extract on the proliferation of A549 lung adenocarcinoma cells.
Next, I investigated the changes in the cell cycle and apoptosis in A549 cells. After 48 h-treatment, 200, 300, and 400 µg/mL MOL extracts increased the average sub-G1 population for 6 independent experiments by 21%, 65%, and 93%, respectively (Figure 2A). Western blot analysis showed that caspase-3 was downregulated and that cleaved caspase-3 was upregulated upon MOL treatment in a dose-dependent manner.
Figure 2
Induction of apoptosis in A549 cells by MOL treatment.
The cytotoxic effect of MOL extract against A549 cells was also examined using microscopy and clonogenic assays. As shown in Figure 3A, cells treated with more than 200 µg/mL of the MOL extract could not adhere onto the culture dishes and showed a typical apoptotic form. The survival ability of A549 cells following treatment with the MOL extracts was assessed using the clonogenic survival assay, in which a total of 3,000 cells were allowed to adhere for 24 h and were subsequently treated with increasing concentrations of MOL extract. After 7 d, the colonies were fixed and stained with crystal violet (0.1% w/v) for 1 min, washed with DW, and photographed. As shown in Figure 3B, the fraction of A549 surviving colonies significantly decreased with increasing amounts of the MOL extract, compared to the results for nontreated cells. No colony was observed above 100 µg/mL concentration.
Figure 3
Inhibitory effect of MOL treatment on cell proliferation.

Detection of Intracellular ROS

Next, since the antioxidant effects of MOL extracts have been proven for several cellular and molecular targets associated with cell death and cell survival , I measured the intracellular ROS level. A fluorometric assay was used to determine intracellular levels of ROS. The production of ROS following treatment with soluble MOL extracts for 48 h was measured using the cell-permeable oxidation-sensitive dye 2,7-dichlorodihydrofluorescein diacetate (DCFH-DA) (Invitrogen). As shown in Figure 4, the MOL extract induced a significant decrease in ROS concentration as compared to the untreated control group (blue plot) in a dose-dependent manner, indicating that MOL has free radical-scavenging abilities.
Figure 4
ROS determination by DCFH-DA treatment.

Housekeeping Gene or Protein as a Control

I investigated the expression of apoptosis-related mRNAs and proteins induced by MOL treatment. First, I tested the expression of housekeeping genes or proteins (e.g., β-actin) as a control by reverse transcription (RT)-PCR and western blot analysis, respectively. However, as shown in the first and second gels of Figure 5A, the expression level of β-actin was notably lower in 300 µg/mL MOL-treated cells than in untreated cells, in spite of loading equal amounts of sample on the gels. These phenomena were repeatedly observed in many experiments. In order to confirm that I loaded the same concentration of protein for the western blot analysis, total protein bands were visualized by Ponceau S (Sigma) staining of the membrane, ruling out any problem in gel loading and protein transfer to the membrane (Figure 5B). The reason why abnormal band patterns relative to the 300 µg/mL MOL-treated cells were observed will be discussed below in the context of the next experiments. However, subsequently, I added more RNA and proteins to the 300 µg/mL MOS-treated sample in order to obtain comparable expression levels among all the samples (third and fourth gels in Figure 5A).
Figure 5
Western blot analysis.

Signaling Pathway

A549 were exposed to 0–300 µg/mL of the soluble MOL extract and mRNA and protein expression was analyzed by RT-PCR and western blot, respectively. Akt, p-IkB, NF-kB, p-Erk, β-catenin, and cyclin D1 were significantly downregulated in MOL-treated cells in a dose-dependent manner (Figure 5C and D). However, c-Jun N-terminal kinases (JNKs), which can be activated by inflammatory signals, changes in levels of ROS, ultraviolet radiation, protein-synthesis inhibitors, and a variety of stresses, were increased by MOL treatment.
Forced expression of Sox, Oct4, Klf4, or c-Myc generates induced pluripotent stem (iPS) cells , while silencing of the SOX2 gene reduces the tumorigenic property of A549 cells with attenuated expression of c-MYC, WNT1, WNT2, and NOTCH1 in xenografted NOD/SCID mice . Therefore, I investigated the protein and gene expression of the abovementioned molecules, including that of Notch1  and its active intracellular domain, cleaved Notch1 . Interestingly, as shown in Figure 5E and F, the levels of all the proteins tested showed a significant decrease. Additionally, the dose-dependent decrease in mRNA expression was also consistent with the MOL treatment.

Significant Decrease in Protein Expression because of MOL Treatment

As shown in Figure 5A, the expression of the housekeeping protein β-actin was considerably low even if equal amounts of proteins were loaded and normal transfer of proteins to the membrane occurred. For more in-depth analysis, I examined the SDS-PAGE gel patterns. As shown in Figure 6, overall band intensities were similar regardless of the MOL concentrations used, suggesting that relatively similar concentrations of proteins were loaded in each well. However, interestingly, the levels of most of the proteins decreased, with the exception of some proteins in the 61.5–90.5 kDa regions. The main proteins in this range were identified as heat-shock proteins: heat shock cognate 71 kDa protein (69 kDa), heat shock 70 kDa protein (68 kDa), heat shock protein HSP 90-beta (83 kDa) and heat shock protein, mitochondrial (61 kDa).
Figure 6
SDS-PAGE analysis for total cellular proteins.

Significant Downregulation of Gene Expression by MOL Treatment

I showed that MOL led to a significant decrease in the levels of most proteins. Therefore, I investigated total gene expression patterns by the microarray assay (Figure 7A). Of the 23,753 genes tested, only 205 genes (0.9%) were 2-fold upregulated and 21,584 genes (90.1%) of the genes (90.1%) were downregulated. The number of genes that did not show change in expression was 1,964 (8.3%). This microarray result is consistent with the outcome for SDS PAGE, indicating that the significant decrease in protein levels was probably due to the downregulation of mRNA expression. Additionally, the functions of the most upregulated genes have not been elucidated yet (Figure 7B); the functions of the unchanged genes have been shown in Figure 7C.
Figure 7
Gene microarray and pathway analyses.

Degradation of Ribosomal RNA (rRNA)

In order to investigate the causes of the significant downregulation of mRNA, I first examined the band pattern of rRNA in the gel after total RNA extraction. The normal pattern of 2 clear 28S and 18S rRNA bands appeared in the range of 0–100 µg/mL MOL; however, slight and significant degradation of rRNA was observed for the 200 µg/mL and 300 µg/mL MOL treatments, respectively (Figure 8, left panel). This dose-dependent rRNA degradation led to the appearance of a new band (designated as “1”) between the 28S and 18S rRNA bands on the gel. Additionally, a new band (designated as “2”) from the 300 µg/mL MOL-treated cells was observed just below the 18S rRNA band. The origin of these new bands needs to be investigated further. The data indicate that significant downregulation of most of the genes resulted from both the decrease in normal RNA patterns and the increase in abnormal RNA patterns.
Figure 8
Degradation of rRNA.

Comparison of Cell Viability

The MOL extract was tested for cytotoxic effects against normal cells by using MTT analysis (Figure 9). The analysis showed the considerable toxicity associated with the soluble MOL extract in the cancer cell line, A549 (∼65% for 200 µg/mL). At the same concentration, the viability of the normal cell line (i.e., COS-7) exposed to the MOL extract showed minor cytotoxicity, demonstrating that normal cells are more resistant to the extract than cancer cells. While MOL evoked death of all the A549 cells above 300 µg/mL MOL, normal COS-7 cells showed a gradual decrease in cell viability, with over 50% survival seen even at 600 µg/mL MOL. In conclusion, MOL is highly specific against cancer cells.
Figure 9
Comparison of cell proliferation between normal and cancer cells.

Discussion

Despite the recent advancements in chemotherapeutics, chemotherapy is still associated with severe adverse effects such as nephrotoxicity, nausea, hair loss, skin irritation, anemia, and infertility . Therefore, naturally occurring anticancer compounds from natural plants, especially those with low toxicity and high potency, have important implications for chemotherapy and chemoprevention.
Natural plants have drawn much attention for their pharmacological effects in the treatment and prevention of various diseases due to their high biocompatibility, low toxicity, and potential biological activity . Among them, edible M. oleifera is known to be a rich source of various nutrients and has therefore been regarded as an important crop . Additionally, the plant has been considered a multipurpose plant that could be used as a medicinal plant; vegetable; animal fodder; and a source of vegetable oil, which is used in condiments and the manufacture of perfumes, cosmetics, and hair care products . Among the various parts of M. oleifera, the roots, pods, seeds, and gum are used to treat rheumatism and to relieve edema and arthritis ; the leaves have been reported to have hypocholesterolemic , hepatoprotective , antimicrobial , anti-gastric ulcer , antiviral , and hypotensive  effects and have been used in the prevention of cardiovascular diseases and as antioxidant . However, because of the importance and versatility of the plant, most of the published reports focused on compositional analysis and on its use as a dietary supplement. M. oleifera is also used as a health food and cosmetic in many countries, but its medicinal effects have not yet been well established. In particular, only a few studies have been performed on its use as an anticancer drug, and most of them are limited to solvent extracts.
Bioactive compounds from plant materials are typically recovered with different extraction techniques depending on their chemical properties and distribution in the plant . The most frequently used technique for the recovery of active compounds from plants is solvent extraction . Ethanol, methanol, acetone, and ethyl acetate have been widely used to extract bioactive compounds from various plants, including M. oleifera leaves .
In the field of anticancer drug discovery and development process, compounds with the highest anticancer activities often have bulky hydrophobic groups within their chemical structures, rendering them water insoluble . Low water solubility leads to both formulation issues and serious therapeutic challenges. Administering the poorly soluble drug candidate intravenously might result in serious complications such as embolism and respiratory system failure due to the precipitation of the drug , while poor absorption would result from extravascular dosing. Therefore, increasing water solubility and/or developing soluble bioactive compounds with high anticancer activities have attracted increasing attention. In this study, I focused on the new water-soluble MOL extracts and examined its potential as an anticancer drug candidate.
I also demonstrated that concentrations above 300 µg/mL of the cold water (4°C)-soluble MOL extract showed a notable antiproliferative effect in in vitro experiments performed using the A549 lung cancer cell line (Figures 1,2,2,3,3, and and4).4). Additionally, the MOL extract had an wide spectrum of antiproliferative effect in different cancer cells (Figure 10). As observed by western blot and RT-PCR analysis, many oncogenes and iPS-induction genes were considerably downregulated in A549 cells treated with the extract, demonstrating that the soluble MOL extract can effectively prevent cancer cell proliferation. Although the MOL extract induced severe cell cytotoxicity in A549 cancer cells, however it was not the case anymore in normal cells. As shown in Figure 9, the MOL extract showed less cytotoxicity in normal cells, COS-7, than in cancer cells, A549, demonstrating that normal cells are more resistant to the extract than cancer cells. The reason why the difference in the cell cytotoxicity between cancer cells and normal cells is not clear at this time, but I think complex effects caused by some compounds in the extract can protect normal cells from severe cytotoxicity. Overall, these data suggest that the cold water (4°C)-soluble MOL extract may become a good candidate for anticancer therapy with high specificity and less adverse effects. In conclusion, I demonstrated that the soluble MOL extract may have be a new promising candidate for a natural anticancer drug. Further studies are required in this regard.
Figure 10
FACS analysis and Inhibitory effect of MOL treatment on the proliferation of different cancer cells.
Interestingly, more than 99% of the genes in the MOL extract-treated cells did not show changes or were downregulated more than 2 times compared to the control, and only around 1% was upregulated more than 2 times compared to the control (Figure 7). Additionally, protein expression also indicated downregulation (Figure 6). SDS-PAGE gene analysis demonstrated that proteins of the chaperon family were upregulated, indicating that cells treated with MOL had problems in normal translation and were exposed to higher stress levels (Table 2). Because an abnormal rRNA pattern was observed by gel electrophoresis, downregulation of many genes and proteins may occur because of the increase in abnormal RNA through severe RNA degradation (Figure 8). I concluded that the MOL extract induced rRNA degradation, thus showed cell cytoxicity in cancer cells. Several experiments has been designed and conducted to explain the outstanding results of abnormal rRNA degradation, but all the efforts have failed. However, it is evident that the clear bands that the reviewer mentioned were not originated from random cleavage but from the cleavage of the specific site within rRNA or from the appearance of new rRNA, for example, mitochondrial rRNA or unidentified something else. Further studies will be required including sequence analysis of the new bands.
Table 2
Upregualted stress proteins by MOL extract.
Recently, Tiloke et al have reported that aqueous MOL extract has an antiproliferative effect on cancerous human alveolar epithelial cells. In the study, aqueous MOL extract was prepared “by boiling” the crushed M. oleifera leaves. They suggested that the aqueous MOL extract showed approximately 33% inhibition of cell viability in the MOL-treated group compared with the untreated group. Compared to the data, I had much greater inhibition rate of up to 90% by using cold-MOL extract (see Figure 2). The possible difference in anticancer activities between cold- and hot-DW treated MOL extract might be resulted from the heat inactivation of some bioactive molecules within M. olefeira leaves, but obvious reason needs to be clarified through further research. In addition, further studies about the anticancer effect among MOL extracts prepared with different temperatures on the cancer cells are also required.

Funding Statement

Funding for this study was provided by the Korea Atomic Energy Research Institute (grant number 527240-14). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

References

1. Khalafalla MM, Abdellatef E, Dafalla HM, Nassrallah AA, Aboul-Enein KM, et al. (2010)Active principle from Moringa oleifera lam leaves effective against two leukemias and a hepatocarcinomaAfr J Biotech 9: 8467–8471
2. Iqbal S, Bhanger MI (2006) Effect of season and production location on antioxidant activity of Moringa oleifera leaves grown in Pakistan J Food Compos Anal19: 544–555
3. Wood M (1997) The book of herbal wisdom: Using plants as medicine: North Atlantic Books press. p.374.
4. Oliveira JTA, Silveira SB, Vasconcelos KM, Cavada BS, Moreira RA (1999)Compositional and nutritional attributes of seeds from the multiple purpose tree Moringa oleifera LamarckJ Sci Food Agric 79: 815–820
5. Fahey JW (2005) Moringa oleifera: a review of the medical evidence for its nutritional, therapeutic, and prophylactic properties. Part 1. Trees for Life Journal: a forum on beneficial trees and plants1: 5.http://www.TFLJournal.org/article.php/20051201124931586
6. Fuglie LJ (1999) The Miracle Tree: Moringa oleifera: Natural Nutrition for the Tropics. Church World Service, Dakar. Revised in 2001 and published as The Miracle Tree: The multiple attributes of Moringa, 68,172.
7. Mukunzi D, Nsor-Atindana J, Xiaoming Z, Gahungu A, Karangwa E, et al. (2011)Comparison of volatile profile of Moringa oleifera leaves from Rwanda and China using HS-SPMEPakistan Journal of Nutrition 10: 602–608
8. Faizi S, Siddiqui BS, Saleem R, et al. (1995) Fully acetylated carbamate and hypotensive thiocarbamate glycosides from Moringa oleiferaPhytochem (Oxford) 38: 957–963[PubMed]
9. Anwar F, Latif S, Ashraf M, Gilani AH (2007) Moringa oleifera: A food plant with multiple medicinal usesPhytother Res 21: 17–25 [PubMed]
10. Mahmood KT, Mugal T, Haq IU (2010) Moringa oleifera: A natural gift-A reviewJ Pharmacy 2: 775–781
11. Chumark P, Khunawat P, Sanvarinda Y, Phornchirasilp S, Morales NP, et al. (2008) The in vitro and ex vivo antioxidant properties, hypolipidaemic and antiatherosclerotic activities of water extract of Moringa oleifera Lam leavesJ Ethnopharmacol 116: 439–446 [PubMed]
12. Miyachi K, Fritzler MJ, Tan EM (2004) Benzyl isothiocyanate inhibits excessive superoxide generation in inflammatory leukocytes: implication for prevention against inflammation-related carcinogenesisCarcinogenesis 25: 567–575 [PubMed]
13. Faizi S, Siddiqui B, Saleem R, Saddiqui S, Aftab K (1994) Isolation and structure elucidation of new nitrile and mustard oil glycosides from Moringa oleifera and their effect on blood pressureJ Nat Prod 57: 1256–1261 [PubMed]
14. Waiyaput W, Payungporn S, Issara-Amphorn1 J, Panjaworayan N (2012) Inhibitory effects of crude extracts from some edible Thai plants against replication of hepatitis B virus and human liver cancer cellsBMC Com Alt Med 12: 246–252 [PMC free article] [PubMed]
15. Lipipun V, Kurokawa M, Suttisri R, Taweechotipatr P, Pramyothin P, et al. (2003)Efficacy of Thai medicinal plant extracts against herpes simplex virus type 1 infection in vitro and in vivoAntivir Res 60: 175–180 [PubMed]
16. Murakami A, Kitazono Y, Jiwajinda S, Koshimizu K, Ohigashi H (1998) Niaziminin, a thiocarbamate from the leaves of Moringa oleifera, holds a strict structural requirement for inhibition of tumor-promoter-induced Epstein-Barr virus activationPlanta Med 64: 319–323[PubMed]
17. Sultana B, Anwar F, Ashraf M (2009) Effect of extraction solvent/technique on the antioxidant activity of selected medicinal plant extractsMolecules 14: 2167–2180 [PubMed]
18. Kumar V, Pandey N, Mohan V, Singh RP (2012) Antibacterial and antioxidant activity of extract of Moringa oleifera leaves-An in vitro studyInt J Pharm Scis Rev Res 12: 89–94
19. Kumar NA, Pari L (2003) Antioxidant action of Moringa oleifera lam. (drumstick) against antitubercular drugs induced lipid peroxidation in ratsJ Med Food 6: 255–259[PubMed]
20. Kumar Gupta S, Kumar B, Srinivasan BP, Nag TC, Srivastava S, et al. (2012) Retinoprotective Effects of Moringa oleifera Via Antioxidant, Anti-Inflammatory, and Anti-Angiogenic Mechanisms in Streptozotocin-Induced Diabetic Rats. J Ocul Pharmacol Ther. In press. [PubMed]
21. Budda S, Butryee C, Tuntipopipat S, Rungsipipat A, Wangnaithum S, et al. (2011)Suppressive effects of Moringa oleifera Lam pod against mouse colon carcinogenesis induced by azoxymethane and dextran sodium sulfateAsian Pac J Cancer Prev 12: 3221–3228 [PubMed]
22. Bharali R, Tabassum J, Azad MR (2003) Chemomodulatory effect of Moringa oleiferaLam on hepatic carcinogen metabolizing enzymes, antioxidant parameters and skin papillomagenesis in miceAsian Pac J Cancer Prev 4: 131–139 [PubMed]
23. Brunelli D, Tavecchio M, Falcioni C, et al. (2010) The isothiocyanate from glucomoringin inhibits NF-kB and reduces myeloma growth in nude mice in vivoBiochem Pharmacol 79: 1141–1148 [PubMed]
24. Guevara AP, Vargas C, Sakurai H, Fujiwara Y, Hashimoto K, et al. (1999) An antitumor promoter from Moringa oleifera LamMutat Res 440: 181–188 [PubMed]
25. Hansen MB, Nielsen SE, Berg K (1989) “Re-examination and further development of a precise and rapid dye method for measuring cell growth/cell kill. J Immunol Methods119: 203–210 [PubMed]
26. Tani TH, Khodursky A, Blumenthal RM, Brown PO, Mathews RG (2002) Adaptation to famine: a family of stationary-phase genes revealed by microarray analysisProc Natl Acad Sci USA 99: 13471–13476 [PMC free article] [PubMed]
27. Lotito SB, Fraga CG (2000) Catechins delay lipid oxidation and alpha-tocopherol and beta-carotene depletion following ascorbate depletion in human plasmaProc Soc Exp Biol Med 225: 32–38 [PubMed]
28. Velayutham P, Babu A, Liu D (2008) Green tea catechins and cardiovascular health: An updateCurr Med Chem 15: 1840–1850 [PMC free article] [PubMed]
29. Thangapazham RL, Passi N, Maheshwari RK (2007) Green tea polyphenol and epigallocatechin gallate induce apoptosis and inhibit invasion in human breast cancer cells.Cancer Biol Ther 6: 1938–1943 [PubMed]
30. Kampa M, Alexaki V-I, Notas G (2004) Antiproliferative and apoptotic effects of selective phenolic acids on T47D human breast cancer cells: Potential mechanisms of action breastCancer Res 6: R63–R74 [PMC free article] [PubMed]
31. Welstead GG, Brambrink T, Jaenisch R (2008) Generating iPS cells from MEFS through forced expression of Sox-2, Oct-4, c-Myc, and Klf4J Vis Exp 14: 734–735[PMC free article] [PubMed]
32. Chen S, Xu Y, Chen Y, Li X, Mou W, et al. (2012) SOX2 gene regulates the transcriptional network of oncogenes and affects tumorigenesis of human lung cancer cells.PLoS One 7(5): e36326. [PMC free article] [PubMed]
33. Lai EC (2004) Notch signaling: control of cell communication and cell fateDevelopment131: 965–973 [PubMed]
34. D’Souza B, Miyamoto A, Weinmaster G (2008) The many facets of Notch ligands.Oncogene 27: 5148–5167 [PMC free article] [PubMed]
35. Katoh M (2007) Notch signaling in gastrointestinal tract (review) Int J Oncol30: 247–251 [PubMed]
36. Miele L (2006) Notch signalingClin Cancer Res 12: 1074–1079 [PubMed]
37. van Es JH, van Gijn ME, Riccio O, van den Born M, Vooijs M, et al. (2005)Notch/gamma-secretase inhibition turns proliferative cells in intestinal crypts and adenomas into goblet cellsNature 435: 959–963 [PubMed]
38. Khan HA, Alhomida AS (2011) A review of the logistic role of l-carnitine in the management of radiation toxicity and radiotherapy side effectsJ Appl Toxicol 31: 707–713[PubMed]
39. Sánchez-González PD, López-Hernández FJ, López-Novoa JM, Morales AI (2011) An integrative view of the pathophysiological events leading to cisplatin nephrotoxicityCrit Rev Toxicol 10: 803–821 [PubMed]
40. Li H, Wu WK, Li ZJ, Chan KM, Wong CC, et al. (2010) 2,3′,4,4′,5′-Pentamethoxy-trans-stilbene, a resveratrol derivative, inhibits colitis-associated colorectal carcinogenesis in miceBr J Pharmacol 160: 1352–1361 [PMC free article] [PubMed]
41. Dahot MU, Memon AR (1985) Nutritive significance of oil extracted from Moringa oleifera seedsJ Pharm Univ Karachi 3: 75–80
42. Tsaknis J, Lalas V, Gergis V, Douroglou V, Spiliotis V (1999) Characterization ofMoringa oleifera variety Mbololo seed oil of KenyaJ Agric Food Chem 47: 4495–4499[PubMed]
43. Oliveira JTA, Silveira SB, Vasconcelos IM, Cavada BS, Moriera RA (1999)Compositional and nutritional attributes of seeds from the multiple purpose tree Moringa oleifera LamarkJ Sci Food Agric 79: 815–820
44. Caceres A, Saravia A, Rizzo S, Zabala L, De Leon E, et al. (1992) Pharmacologic properties of Moringa oleifera. 2: screening for antispasmodic, anti-inflammatory and diuretic activityJ Ethnopharmacol 36: 233–237 [PubMed]
45. Mahajan SG, Mali RG, Mehta AA (2007) Protective effect of ethanolic extract of seeds of Moringa oleifera Lam. against inflammation associated with development of arthritis in rats.J Immunotoxicol 4: 39–47 [PubMed]
46. Ghasi S, Nwobodo E, Ofili JO (2000) Hypocholesterolemic effect of crude leaf ofMoringa oleifera in high fat diet fed Wister ratsJ Ethnopharmacol 69: 21–25 [PubMed]
47. Pari L, Kumar NA (2002) Hepatoprotective activity of Moringa oleifera on anti tubercular drug induced liver damage in ratsJ Med Food 5: 171–177 [PubMed]
48. Fakurazi S, Hairuszah I, Nanthini U (2008) Moringa oleifera Lam prevents acetaminophen induced liver injury through restoration of glutathione levelFood Chem Toxicol46: 2611–2615 [PubMed]
49. Caceres AB, Cabrera O, Mirals O, Mollinedo O, Imendia A (1991) Preliminary screening for antimicrobial activity of Moringa oleiferaJ Ethnopharmacol 33: 213–216 [PubMed]
50. Dahiru D, Onubiyi JA, Umaru HA (2006) Phytochemical screening and antiulcerogenic effect of Moringa oleifera aqueous leaf extractAfrican J Trad Complement Alternat Med 3: 70–75
51. Peschel W, Sanchez-Rabaneda F, Dn W, Plescher A, Gartzia I, Jimenez D, et al. (2006)An industrial approach in the search of natural antioxidants from vegetable and fruit wastes.Food Chem 97: 137–150
52. Siddhuraju P, Becker K (2003) Antioxidant properties of various extracts of total phenolic constituents from three different agroclimatic origins of drumstick tree (Moringa oleifera lam.) leavesJ Agric Food Chem 51: 2144–2155 [PubMed]
53. Lipinski CA (2000) Drug-like properties and the causes of poor solubility and poor permeabilityJ Pharmacol Toxicol Methods 44: 235–249 [PubMed]
54. Teicher BA, Andrews PA (2004) Anticancer Drug Development Guide: Preclinical Screening, Clinical Trials and Approval. 2nd ed. Totowa, NJ: Humana Press.
55. Lipinski CA, Lombardo F, Dominy BW, Feeney PJ (2001) Experimental and computational approaches to estimate solubility and permeability in drug discovery and development settingsAdv Drug Deliv Rev 46: 3–26 [PubMed]
56. Tiloke C, phulukdaree A, Chuturgoon AA (2013) The antiproliferative effect of MOringa oleifera crude aqueous extract on cancerous human alvelor epithelial cellsBMC Complement Altern Med 13: 226–233 [PMC free article] [PubMed]