Taghizadeh 2017
Taghizadeh 2017
Sub-chronic oral toxicity of Cuminum cyminum L.’s essential oil in female Wistar rats
PII: S0273-2300(17)30176-9
DOI: 10.1016/j.yrtph.2017.06.007
Reference: YRTPH 3854
Please cite this article as: Taghizadeh, M., Ostad, S.N., Asemi, Z., Mahboubi, M., Hejazi, S., Sharafati-
Chaleshtori, R., Rashidi, A., Akbari, H., Sharifi, N., Sub-chronic oral toxicity of Cuminum cyminum L.’s
essential oil in female Wistar rats, Regulatory Toxicology and Pharmacology (2017), doi: 10.1016/
j.yrtph.2017.06.007.
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Title Page
Wistar rats
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Mohsen Taghizadeh a, Seyed Naser Ostad b, Zatollah Asemi a, Mohaddese Mahboubi c, Sara
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Hejazi c, Reza Sharafati-Chaleshtori a, Aliakbar Rashidi a, Hosein Akbari d, Nasrin Sharifi a
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Research Center for Biochemistry and Nutrition in Metabolic Diseases, Kashan University of
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Medical Sciences, Kashan, I.R. Iran
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Department of Pharmacology and Toxicology, Tehran University of Medical sciences, Tehran, I.R.
Iran
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Department of Microbiology, Medicinal Plant, Research Center of Barij Essence, Kashan, I.R. Iran
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Department of Biostatistics, Kashan University of Medical Sciences, Kashan, I.R. Iran
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Correspondence to:
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Email: sharifi.nsr@gmail.com
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Author Contribution
Ostad, SN. and Taghizadeh, M. designed and supervised the research. Sharifi, N. involved in
study design and wrote the manuscript. Asemi, Z. and Akbari, H. contributed to statistical
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analysis of the data. Mahboubi, M. and Hejazi, S. assessed the haematological and
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biochemical laboratory tests. Sharafati-Chaleshtori, R. and Rashidi, A. evaluated the
histopathological samples.
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ABSTRACT 4
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The current study was performed to evaluate the toxicity of Cuminum cyminum L. (C. 5
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cyminum)’s essential oil after 23 days and 45 days of repeated oral administration in 6
female Wistar rats. A total of 80 healthy female Wistar rats were randomly selected 7
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and divided into 4 groups. The rats were gavaged with C. cyminum’s essential oil at 8
dose levels of 0, 250, 500 and 1000 mg/kg/day. Clinical signs, body weight, 9
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hematology, serum biochemistry and organ histopathology were assessed once after 10
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23 days and again after 45 days passed from the start of the intervention. Oral 11
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clinical signs, mortality, body weight, hematology, biochemistry and organ histology 13
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(liver, kidneys, spleen and lungs) in a sample of healthy female Wistar rats after 23 14
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days and 45 days from the start of the study. However, an increase in serum levels of 15
alanine transaminase (ALT) was found only at dose level of 1000 mg/kg/d C. 16
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cyminum’s essential oil, after the 23-days interval. We conservatively defined the 17
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non-observed adverse effect level (NOAEL) for C. cyminum’s essential oil as 500 18
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mg/kg/d in female Wistar rats. The present study results should be treated with 19
Key words: C. cyminum’s essential oil, sub chronic toxicity, Wistar rats 21
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1. INTRODUCTION 1
Cuminum cyminum L. (C. cyminum) is one of the commercial spice plants belonging 2
to the Apiaceae family and is widely used to enhance food flavor and aroma (Pandey 3
et al., 2015). The plant is mostly cultivated in India, Iran and Mediterranean region. 4
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Also it is grown in China, Mexico and Chile. C. cyminum is consumed in two forms: 5
powdered and seeds. C. cyminum’s seeds are added to the foods such as cheese and 6
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bread in Middle East countries (Johri, 2011). There are many known benefits for C. 7
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traditional medicine, C. cyminum is used for its carminative, eupeptic, analgesic, anti- 9
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microbial, anti-bronchitis and galactagogue effects (Johri, 2011). 10
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The major volatile components of C. cyminum’s essential oil include cuminaldehyde, 11
cymene and terpenoids (Sowbhagya, 2013). The beneficial effects of the C. cyminum 12
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that were found in experimental studies have been attributed to these bioactive 13
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compounds. Some antifungal and anti-bacterial effects have been investigated for 14
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cuminaldehyde (De Martino et al., 2009). Recent cellular studies suggest that 15
Parkinson's (Morshedi et al., 2015). The results of in vitro and in vivo studies 17
2003). The results of previous studies also found the antioxidant activity for C. 19
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al., 2010). C. cyminum’s oil also is known to have several other pharmacological 21
based on the evidence derived from in vitro and in vivo studies (Chauhan et al., 2010; 23
Dhandapani et al., 2002; Kumar et al., 2009). These medical properties have attracted 24
the attention towards the use of C. cyminum as herbal remedy for several diseases. 25
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Most of the previous studies examined the effects of C. cyminum in cellular and 1
animal model of diseases and consequently the future clinical trials would be 2
may have some adverse effects on human body. As a result, it is necessary to assess 5
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toxicity and safety of an herbal medication before its administration to human 6
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subjects. To the best of our knowledge, the non-observed adverse effect level 7
(NOAEL) for C. cyminum’s essential oil has not yet been investigated in a systematic 8
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way. Therefore, to provide data for establishing safe dosage and treatment duration 9
for clinical application, the current study was performed to evaluate the toxicity of C. 10
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cyminum’s essential oil after 23 days and 45 days of repeated oral administration in 11
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female Wistar rats. 12
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Dried C. cyminum, obtained from Kashan, Iran, was identified as Cuminum cyminum 15
L. by Dr. Valiollah Mozafarian from Tarbiat Modares University, Tehran, Iran. The 16
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extract about 70 grams of essential oil. The essential oil of C. cyminum was extracted 20
Then, one random sample of the obtained essential oil was analyzed by gas 22
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The study was conducted in accordance with the Guide for the Care and Use of 1
Laboratory Animals, National Research Council , 2011. eighth edition. The animals 2
were randomly selected from the healthy female Wistar rats at seven weeks of age 3
which were purchased from the Pasture Institute of Iran. Wistar rats were housed at 4
least for 7 days prior to the start of study to adapt to their environment. The rats were 5
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kept in the temperature of 23±2.2°C and 12-h-light/12-h-dark cycle. The animals were 6
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housed in groups of four in stainless steel cages. All of them received appropriate care 7
according to the guide for the use of laboratory animals. The study protocol and 8
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procedures were approved by the Animals Ethics Committee of Tehran University of 9
Medical Sciences. Furthermore, the study was conducted based on the Good 10
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Laboratory Practice (GLP) protocol developed by Iranian Food and Drug 11
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Administrations. 12
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2.3. Administration 13
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C. cyminum’s essential oil was prepared for gavage by dissolving it in olive oil to 14
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reach the volumes and concentrations necessary for the doses for each treatment 15
group. For example, to prepare a dosing solution that provided a 250 mg/kg/d of C. 16
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cyminum’s essential oil for a rat with a body weight of 200 g, 50 mg of the essential 17
oil was dissolved in 50 mg of olive oil to reach a volume of 0.1 mL. The dosing 18
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solutions were prepared weekly and the needed amounts of them were administered to 19
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rats by oral gavage, once per day, without fasting. The stability test for the solution of 20
the C. cyminum’s essential oil in olive oil was performed under the current study 21
storage conditions (such as the temperature of 24°C , 12-h-light/12-h-dark cycle, etc.) and 22
based on the standard protocol during 6 months. The test was repeated at 1st, 2nd, 3rd 23
and 6th month. Based on the results of gas chromatography analysis, there were not 24
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any significant changes in components and indices of C. cyminum’s essential oil 1
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Wistar female rats. The study included two intervals, one of which evaluated sub- 5
chronic toxicity of C. cyminum’s essential oil after 23 days and the other assessed it 6
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after 45 days. A total of 80 healthy female Wistar rats with mean weight of 58±7.6 g 7
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randomly divided into 4 groups (20 animals in each group) based on the computer 8
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effects of C. cyminum’s essential oil, the rats received it at dose levels of 0 (control), 10
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250, 500 and 1000 mg/kg/day. Control group was administered sterile water by 11
gavage. To collect blood and organ tissue samples in mid-time of the intervention, 10 12
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rats from each group were euthanized under anesthesia after 23 days passed from the 13
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start of the study. The remaining ones continued receiving their allocated treatments 14
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until 45 days after the start of the intervention and then sacrificed. The following 15
parameters examined during and after the experimental period: clinical signs, body 16
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weight, food and water consumption, hematology, serum biochemistry and organ 17
histopathology. 18
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All rats were observed once a day during the experimental period to recognize any 20
motor activity, grooming, pain response, touch response, convulsion, tremors and 22
righting reflex. 23
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2.6. Body weight, food and water consumption 1
The animal body weights were measured before the start of treatment and every week 2
thereafter during the course of the study. Also, the amount of food and water was 3
measured before its supply to each cage and the remaining amount was measured at 4
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the end of the day to calculate the daily food and water consumption. 5
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At the end of each interval (23-day and 45-day), after overnight fast, the animals were 7
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anesthetized using diethylether and euthanized by exsanguinations from cardiac 8
puncture. Then blood samples were collected through intra-cardiac puncture. Each of 9
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the collected blood samples was divided into two aliquot portions. One portion was 10
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treated with EDTA for hematologic assessment while the other was untreated and 11
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used for serum separation. Also, two blood smears were prepared following sample 12
collection. 13
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(Biotecnica, Model BT 1000, Italy) included total white blood cell count (WBC), total 15
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red blood cell count (RBC), hemoglobin concentrations (HGB), mean corpuscular 16
The untreated blood portions were centrifuged at 3000 rpm for 10 minutes to separate 19
serum samples for biochemical analysis. The serum obtained was evaluated for the 20
autoanalyzer (Biotecnica, Model BT 1000, Italy): fasting blood sugar (FBS), blood 22
urea, creatinine (Cr), total cholesterol (TC), triglyceride (TG), sodium (Na), 23
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potassium (K), calcium (Ca), alanine aminotransferase (ALT), aspartate 1
After the end of each interval, the sample tissues were obtained from liver, spleen, 4
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kidneys and lungs of all the animals. Tissues were fixed with 10% formalin solution 5
and imbedded in paraffin blocks. Then the paraffin blocks were sectioned at 5 µm 6
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thicknesses. The prepared sections were stained by standard method using 7
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hematoxylin and eosin for microscopic examination. 8
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The data were reported as mean±standard deviation. One way analysis of variance 10
(One way ANOVA) was used to compare mean differences of biochemical and 11
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hematologic parameters between study groups at the end of the intervention. In this 12
analysis, the homogeneity of variance was evaluated and Bonferroni correction was 13
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used as post-hoc test. To compare the mean changes of variables such as weight, food 14
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and water consumption between study groups during the intervention, repeated 15
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measure one way ANOVA test was used. Moreover analysis of covariance 16
adjusted for baseline values. To identify any trends in values for the variables across 18
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the study groups, we conducted linear regression analysis. Analysis was carried out 19
using SPSS software version 16 and two sided P-values < 0.05 was considered 20
significant. 21
3. RESULTS 22
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Based on the results of GC analysis showed in supplementary files 1 and 2, the major 1
compounds of the C. cyminum’s essential oil in the current study were cuminyl 2
mentha 1,3 (5.3%), p-mentha 1.4 (2.8%) and a-pinene (0.7 %). 4
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3.2. Clinical signs 5
In current study, there was not seen any mortality in treatment and control groups. 6
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Moreover, neither abnormal clinical signs, nor any unusual behavior were found in 7
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rats of the control and treatment groups during the 23-day and 45 day study 8
interventions. 9
3.3.
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Body weight, food and water consumption 10
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The changes in mean body weight of the rats in control and C. cyminum’s essential oil 11
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-treated groups throughout 45 days have been shown in figure 1. The results of the 12
repeated measure one way ANOVA test revealed a significant difference between the 13
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times. In other words, the mean body weight of the rats for all the study groups 14
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significantly increased from the baseline until the end of the study. At baseline the 15
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mean body weight of the rats in control group was significantly lower than those of 16
the C. cyminum’s essential oil -treated groups (P < 0.05). However during the period 17
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from 23 to 45 days, the results of the ANCOVA test, adjusted for baseline values, 18
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showed that the mean weights of the rats in C. cyminum’s essential oil -treated groups 19
were significantly lower than that of the control one (P < 0.05). In other words, the 20
rate of weight gain in rats of C. cyminum’s essential oil -treated groups was 21
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The mean amount of water and food consumed by the animal study groups has been 1
and food consumption between any of the C. cyminum’s essential oil treated-groups 3
and control one. Only there was a significant increase in water consumption as from 4
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3.4. Hematologic and serum biochemical assessment 6
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The mean values for hematologic parameters of rats after 23 days and 45 days 7
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intervention, have been shown in table 1 and table 2, respectively. These values did 8
not significantly differ between control and C. cyminum’s essential oil -treated groups 9
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both after 23 and 45 days passed from the start of the intervention. 10
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The mean values for serum biochemical variables of rats after 23 days and 45 days 11
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intervention, have been shown in table 3 and table 4, respectively. Among these 12
essential oil-treated groups than control after 23 days of intervention. The significant 14
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lower levels of TC were found in 250 mg/kg and 1000 mg/kg C. cyminum’s essential 15
oil -treated groups compared with controls. For serum TG, all the three C. cyminum’s 16
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essential oil -treated groups had significantly lower levels when compared with 17
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controls. Moreover, based on the results of the regression analysis, there was a 18
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The serum levels of ALT had significantly higher values than those of the controls 21
only in 1000 mg/kg C. cyminum’s essential oil-treated groups after 23 days passed 22
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For serum LDH, all the three C. cyminum’s essential oil -treated groups had 1
significantly higher levels when compared with controls after 23 days of intervention. 2
Also, there was a significant increasing trend in serum concentrations of LDH across 3
the increase in doses of C. cyminum’s essential oil (P for trend < 0.001). There were 4
not any significant differences between control and intervention groups in terms of 5
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other biochemical parameters after 23-day intervention. 6
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As shown in table 4, after 45 days from the start of the study, a significant difference 7
only was found between control and C. cyminum’s essential oil-treated groups 8
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regarding the serum levels of LDH. The mean values for serum LDH were 9
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significantly lower in 250 and 500 mg/kg C. cyminum’s essential oil-treated groups 10
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than controls. However the trend was not significant across the doses. Comparisons of 11
the mean concentrations of other biochemical variables between the groups of the 12
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Minor histological changes were seen in livers of all the C. cyminum’s essential oil- 16
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treated rats that included mild infiltration of mononuclear cells and mild dilation of 17
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sinusoids. Significant changes were not seen in spleen tissues of the C. cyminum’s 18
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essential oil-treated groups. Only the number of the red blood cells slightly increased. 19
Furthermore, the tissues of the left and right kidneys were normal in all the groups of 20
the study. Very mild histological changes have been found in lungs of the C. 21
cyminum’s essential oil-treated rats that included mild inter-cellular edema and mild 22
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3.5.2. 45 days after the intervention 1
revealed mild changes that included irregular hepatic lobules and hepatocytes with 3
small vesicles. Significant changes were not seen in spleen tissues of the C. 4
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cyminum’s essential oil-treated group. Only a little hyperemia has been found in 5
spleen sample tissues from all the study groups that could be due to environmental 6
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factors. Moreover, there were no any specific histological changes in kidneys of the 7
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and inflammation were seen in lungs’ tissues of the C. cyminum’s essential oil-treated 9
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rats. 10
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4. DISCUSSION 11
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In recent decades, much interest has been focused on investigating the therapeutic 12
articles from the year 2000 until now have been published in regard to pharmaceutical 14
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effects of C. cyminum. in cellular and animal models of the diseases. It is the time to 15
the use of it in clinical trials it is necessary to know the safe doses and adverse effects 17
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Wistar rats between four experimental groups receiving 0, 250, 500 and 1000 mg/kg/d 20
of C. cyminum’s essential oil via oral gavage for 23 and 45 days. There was no 21
mortality, abnormal clinical signs and unusual behavior in all the groups of study 22
during the treatments. There were no significant differences in water and food 23
consumption between any of the C. cyminum’s essential oil treated-groups and control 24
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one. There was a significant increase only in water consumption as from day 30. 1
However, this increase in water consumption occurred in parallel in all the study 2
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The body weight and food consumption increased in parallel in all groups of rat. 5
Despite the same increase in food consumption during 23 to 45 days after the start of 6
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the intervention, C. cyminum’s essential oil-treated groups had lower body weights 7
than the control one. These effects might suggest a role for C. cyminum’s essential oil 8
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to slow down the weight gain through metabolic pathways. However, clinical studies 9
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are needed to confirm this outcome. Findings from a recent clinical trial showed that 10
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consumption of the C. cyminum and orlistat (an approved medication used for weight 11
reduction) resulted in a similar significant decrease in weight and BMI compared with 12
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The hematological variables did not significantly differ between control and C. 15
cyminum’s essential oil -treated groups both after 23 and 45 days intervals. Among 16
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TC and TG was observed only in 23-days interval. However these outcomes were not 18
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obtained after 45 days intervention. Although, some lipid lowering effects have been 19
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Shirke and Jagtap, 2009), current study could not confirm these outcomes because it 21
was organ based and only designed for toxicological evaluation. The pharmacological 22
The remaining biochemical and hematological parameters did not significantly differ 24
between the study groups other than serum ALT. The serum levels of ALT had 25
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significantly higher values than those of the controls only in 1000 mg/kg of C. 1
with the liver histological finding in current study. Minor histological changes were 3
seen in livers of all the C. cyminum’s essential oil-treated rats that included mild 4
infiltration of mononuclear cells and mild dilation of sinusoids in 23-days interval and 5
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irregular hepatic lobules and hepatocytes with small vesicles in 45-days interval. 6
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Although, serum levels of LDH had an increasing trend across the increase doses of 7
the C. cyminum’s essential oil in 23-day interval, it did not have such a trend after 45- 8
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day interval. Inversely, serum levels of LDH decreased significantly in 250 mg/kg 9
and 500 mg/kg doses of C. cyminum’s essential oil-treated groups in 45-day interval. 10
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This inconsistent finding could be due to other variables such as animal differences 11
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and temporary environmental changes. Because there were not any significant 12
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could not consider these outcomes as treatment effects of C. cyminum’s essential oil. 14
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changes were seen in liver, spleen, lungs and kidneys of the C. cyminum’s essential 16
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Present study was the first one of its kind that evaluated the sub-chronic toxicity of C. 18
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cyminum’s essential oil, however, it had some limitations. We aimed to assess the 19
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possible toxicity effects of C. cyminum’s essential oil on major vital organs such as 20
kidneys, liver, lungs and spleen that have more important roles in detoxification of 21
exogenous chemical substances than other organs, however, in current study, due to 22
lack of resources, the toxicity of C. cyminum’s essential oil was not evaluated in other 23
organs such as nervous, reproductive and immune systems. On the other hand, we 24
used female rats for toxicity assessment. Therefore, the present study results should 25
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be treated with cautious in terms of the other organs' toxicity and male gender. In 1
addition, current study had shorter duration than typical pre-chronic toxicity studies 2
longer exposure periods (eg., 90 day) may also yield different results. Another 4
limitation of present study was using sterile water in place of olive oil (vehicle) for 5
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gavage in control group. However the aim of gavaging in control group is to create 6
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the similar stress conditions that affect intervention groups, although using olive oil 7
for gavage would be a better choice and help to strengthen the current study design. 8
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Despite all these limitations, present study was the first one of its kind that evaluated 9
the short term sub-chronic toxicity of C. cyminum’s essential oil with repeated-dose 10
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design. Data from current research would be a basis for designing future chronic 11
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toxicity studies with longer durations and stronger designs. 12
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CONCLUSION 13
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Overall, the results of current study showed that oral administration of C. cyminum’s 14
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essential oil had no obvious adverse effects on clinical signs, body weight, food and 15
healthy female Wistar rats after 23 days and 45 days from the start of the study. 17
However, we found an increase in serum levels of ALT only at dose level of 1000 18
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mg/kg/d after the 23-days interval. Although, such increase in serum ALT levels was 19
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not observed in 45-day interval and the histological changes that were seen in liver 20
samples of rats were mild, to protect against any possible toxicity of C. cyminum in 21
future human studies, we conservatively defined the non-observed adverse effect level 22
(NOAEL) for C. cyminum’s essential oil as 500 mg/kg/d in female Wistar rats. 23
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Acknowledgments 2
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This study was funded by the Research and Development Division of Barij Essence 5
Company, Kashan, Iran. The study protocol was approved by ethics committee of 6
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Tehran University of Medical Sciences. 7
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The authors have no conflicts of interest to declare. 10
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Highlights
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• Toxicity of C.cyminum’s essential oil was explored in healthy female Wistar rats
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C.cyminum had no observed adverse effects on some clinical and biological variables
• Serum levels of alanine transaminase increased only at dose level of 1000 mg/kg/day
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• The non-observed adverse effect level for C.cyminum was defined as 500 mg/kg/day
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Shirke, S.S., Jagtap, A.G., 2009. Effects of methanolic extract of Cuminum cyminum on total serum
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Sowbhagya, H.B., 2013. Chemistry, technology, and nutraceutical functions of cumin (Cuminum
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Figure legends
Fig 1. The mean weight changes in healthy female Wistar rats treated with Cuminum
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cyminum L.’s essential oil after 45 day toxicological assessment. (*P<0.05, based on the
ANCOVA test adjusted for baseline values)
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Fig 2. Water consumption changes in healthy female Wistar rats treated with C. cyminum’s
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essential oil after 45 day toxicological assessment
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Fig 3. Food consumption changes in healthy female Wistar rats treated with C. cyminum’s
essential oil after 45 day toxicological assessment
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Table 1. Hematology values of healthy female Wistar rats treated with C. cyminum’s
essential oil after 23 day toxicological assessment
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WBC (count/mcL) 5320 ± 1100 4460 ± 900 4760 ± 800 4370 ± 890
RBC (×1012/L) 7.75 ± 0.1 6.89 ± 0.46 7.14 ± 0.23 6.71 ± 0.94
RI
Hemoglobin (g/dL) 13.5 ± 0.4 14.4 ± 0.15 14.9 ± 0.3 13.1 ± 0.4
SC
M.C.V (fL) 62.3 ± 1.1 69.7 ± 2.3 70.6 ± 6.1 64.2 ± 5
M.C.H (pg) 18.7 ± 0.45 20.9 ± 2.1 20.9 ± 0.9 19.5 ± 0.7
U
M.C.H.C (g/dL) 30.1 ± 0.1 30 ± 0.45 29.6 ± 0.45 30.4 ± 0.1
AN
Platelet Count (×109/L) 818 ± 11 685 ± 86 856 ± 76 745 ± 92
a
Values are means ± SD for 10 rats in each group
M
D
TE
C EP
AC
24
ACCEPTED MANUSCRIPT
Table 2. Hematology values of healthy female Wistar rats treated with C. cyminum’s
essential oil after 45 day toxicological assessment
PT
0 250 500 1000
WBC (count/mcL) 8940 ± 1100 7210 ± 900 10570 ± 1800 6610 ± 920
RI
RBC 12
(×10 /L) 8.65 ± 0.1 8.73 ± 0.4 8.23 ± 0.44 8.06 ± 0.74
SC
Hematocrit (%) 49.7 ± 0.8 51.1 ± 2.1 47 ± 3.9 46.7 ± 5.1
M.C.V (fL) 57.5 ± 1.2 58.5 ± 2.1 57.1 ± 7.4 57.9 ± 1.9
U
M.C.H (pg) 18.8 ± 0.3 19.19 ± 3 18.3 ± 0.5 18.6 ± 0.5
AN
M.C.H.C (g/dL) 32.8 ± 0.1 32.7 ± 0.3 32.1 ± 0.5 32.1 ± 0.9
25
ACCEPTED MANUSCRIPT
Table 3. Biochemistry values of healthy female Wistar rats treated with C. cyminum’s
essential oil after 23 day toxicological assessment
PT
0 250 500 1000
RI
Blood Urea (mg/dl) 49 ± 3 49 ± 7 53±7 78±16
SC
Cholesterol (mg/dl) 66 ± 2.0 45* ± 6.0 65±4.0 29**±14
U
Sodium (mEq/l) 139 ± 1 143 ± 2 143±3 139±4
AN
Potassium (mEq/l) 3.9 ± 0.1 3.7 ± 0.1 3.7±0.1 4.1±0.2
94*±13
M
a
Values are means ± SD for 10 rats in each group
26
ACCEPTED MANUSCRIPT
Table 4. Biochemistry values of healthy female Wistar rats treated with C. cyminum’s
essential oil after 45 day toxicological assessment
PT
0 250 500 1000
RI
Blood Urea (mg/dl) 45 ± 4 59 ± 8 52±4 73±12
SC
Cholesterol (mg/dl) 71 ± 2.0 77 ± 6.0 111±26 46±34
U
Sodium (mEq/l) 141 ± 1 140 ± 3 141±1 137±4
AN
Potassium (mEq/l) 4.3 ± 0.1 3.9 ± 0.2 3.8±0.2 4.6±0.3
*
LDH (IU/l) 942 ± 155 598 ± 148 577*±138 713±168
(g/dl)
a
Values are means ± SD for 10 rats in each group
27