Archive of SID
Archive of SID
Received: June 2006                                                          Shaheed Beheshti University of Medical Sciences and Health Services
Accepted: September 2006
Original Article
               Institute of Pharmacy and Technology, Salipur, Cuttack district, Orissa, India. bDepartment
                a
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                                                                  Abstract
Diabetes mellitus is a metabolic disorder affecting carbohydrate, fat and protein metabolism
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           that affects nearly 10% of the population every year. The treatment of diabetes mellitus has been
           confined to use of oral hypoglycemic agents and insulin, the former being reported to possess
           serious side effects. This leads to increasing demand for herbal products with antidiabetic factor
           with little side effects.
               This article describes the antihyperglycaemic activity, in vivo antioxidant potential,
                                                                  of
           effect on glycosylation of hemoglobin and in-vitro peripheral utilisation of glucose of the
           ethanolic extract of the aerial parts of Bacopa monnieri. The extract produced significant
           decrease in the blood glucose level when compared with the controls in alloxan induced
           hyperglycemic rats both in the single dose as well as multiple dose experiment at the tested
                                              ive
           dose level and is comparable with the standard drug glibenclamide. It was observed that
           the ethanolic extract reversed the weight loss of the diabetic rats and they returned to near
           normal. The extract prevented significant elevation of glycosylated hemoglobin in vitro,
           with IC50 value being 11.25 µg/ml that is comparable with the reference drug α-tocopherol.
           Administration of the exract and glibenclamide significantly decreased the levels of
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           TBARS, increased the content of GSH and increased the activity of SOD and CAT in liver
           of diabetic rats. The extract increased peripheral glucose utilisation in the diaphragm of
           diabetic rats in vitro, which is comparable with the action of insulin. Thus, the extract might
           have insulin like activity and the antihyperglycemic effect of the extract might be due to an
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Ghosh T, Maity TK, Sengupta P, Dash DK and Bose A / IJPR (2008), 7 (1): 61-68
effects. A large number of plants have been                                     were housed in acrylic cages in standard
recognized to be effective in the treatment of                                  environmental conditions (25-30 °C). They were
diabetes mellitus (3).                                                          allowed free access to standard dry pellet diet
    Bacopa monnieri L. (Fam. Scrophulariaceae)                                  (Hindustan Lever, Kolkata, India) and water ad
is a creeping, glabrous, succulent herb, rooting                                libitum. All experiments were carried out as per
at nodes, distributed throughout India in all plain                             the guidelines of the Institutional Animal Ethical
districts, ascending to an altitude of 1,320 m. The                             Committee.
plant is reported to show sedative, antiepileptic,
vasoconstrictor and anti-inflammatory activity                                      Drugs and chemicals used
(4). It has been reported that the plant contains                                   Bovine serum albumin (Sigma chemical St.
tetracyclic triterpenoid saponins, bacosides A                                  Louis, MO, USA), thiobarbituric acid, nitro blue
and B, hersaponin, alkaloids viz. herpestine                                    tetrazolium chloride (NBT), hemoglobin (Loba
and brahmine and flavonoids (4, 5). In folklore                                 Chemie, Mumbai, India), trichloro acetic acid
practice, some of the tribes of Orissa, India use                               (Merck Ltd, Mumbai, India), 5,5’-dithio bis-2-
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the decoction of the aerial parts of the plant                                  nitrobenzoic acid (DTNB) were used. All the
for the treatment of diabetes mellitus. In the                                  solvents were of analytical grade and purchased
present paper we report the antihyperglycaemic                                  from local market.
activity, in vivo antioxidant potential, effect
on glycosylation of hemoglobin and in vitro
peripheral utilisation of glucose of the ethanolic
extract of the aerial parts of B. monnieri using
standard laboratory procedures.
                                                                          SI        Screening for antidiabetic activity
                                                                                    The method of Joy and Kuttan was followed
                                                                                (6). The acclimatized animals were kept fasting
                                                                                for 24 h with water ad libitum and injected
                                                         of
                                                                                intraperitoneally a dose of 150 mg/kg of alloxan
                        Experimental                                            monohydrate in normal saline. After one hour,
                                                                                the animals were provided feed ad libitum. The
    Plant Material                                                              blood glucose level was checked before and
    The plant was identified by the taxonomists                                 72 h after alloxan injection. The animals were
                                    ive
of the Botanical Survey of India, Govt. of India,                               considered diabetic when the blood glucose
Shibpur, Howrah, India. After authentication,                                   level was raised beyond 300 mg/dl of blood.
fresh aerial parts of the young and matured                                     This condition was observed at the end of 72 h
plants were collected in bulk from the rural belt                               after alloxan injection.
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                                                                  Antidiabetic and Antioxidant Activity of Bacopa monnieri Linn.
received only distilled water and the extract (300        5gm/ml in 0.01 M phosphate buffer (pH 7.4)
mg/kg, p.o.) respectively. Group III to Group V           was incubated for 72h in presence of 2 g/100ml
animals were selected from the alloxanised rats.          concentration of glucose in order to find out the
Group III animals served as diabetic control.             best condition for hemoglobin glycosylation.
Group IV animals received glibenclamide                   The assay was performed by adding 1 ml of
(600 µg/kg) and group V was treated with the              glucose solution, 1ml of hemoglobin solution
extract (300 mg/kg) in a similar manner. Blood            and 1ml of gentamicin (20 mg/100ml) in 0.01
samples were collected from the tip of tail of            M phosphate buffer (pH 7.4). The mixture
each rat under mild ether anesthesia at 0 h, 1            was incubated in dark at room temperature.
h, 2 h and 4 h after the administration of test           The degree of glycosylation of hemoglobin
samples and tested for glucose concentration              in presence of different concentration of
as above.                                                 the extract and their absence was measured
                                                          colorimetrically at 440 nm. α-tocopherol was
    Multidose study                                       used as standard.
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    For multidose study, administration of
test samples was continued for 10 days, once                  Determination of peripheral consumption of
daily through oral route. Blood samples were              glucose in vitro
collected from the tip of tail and the estimation
of blood glucose was carried out as above on the
1, 3, 7 and 10 day of the drug administration.
Body weights of all the animals were recorded
just prior to and on the 10th day of the study
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                                                              The method of Chattopadhyay et al. was
                                                          followed (13). Peripheral glucose consumption
                                                          was studied in rat diaphragm preparation from
                                                          animals fasted for 36 h prior to the experiment. The
                                                          animals were sacrificed by cervical dislocation
                                              of
to determine the change in the body weight, if            and the diaphragms were quickly taken out;
any.                                                      followed by dividing each diaphragm into four
                                                          pieces. The pieces of diaphragms were incubated
    Determination of in vivo antioxidant activity         in the nutrient solution with constant oxygenation
    On the 10th day following study, the                  and shaking (90 cycles / min) at 37 °C for 90 min
                               ive
animals were deprived of food overnight                   in accordance with the procedure. The nutrient
and sacrificed by cervical dislocation. The               solution with the diaphragms was aerated for 10
livers were dissected out, washed in ice-cold             min and used immediately. Glucose was added
saline, patted dry and weighed. A 10 % w/v                to a final concentration of 500 mg%. Each piece
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proteins with trichloro acetic acid (TCA)                 incubation from glucose concentration before
was used for estimation of glutathione by the             incubation). The dry weight was determined
method of Ellman et al. (9). The rest of the              after oven drying the diaphragm at 105 °C for
homogenate was centrifuged at 15000 rpm for               2 h.
15 min at 4 °C. The supernatant thus obtained
was used for the estimation of SOD by the                    Statistical analysis
method described by Kakkar et al. (10) and                   Statistical significance was determined
CAT activity was measured by the method of                by one way analysis of variance (ANOVA)
Maehly et al. (11).                                       followed by Dunnet’s t-test. P<0.05
                                                          indicates significant difference between
   Determination of in vitro glycosylation of             group means.
hemoglobin
   The degree of glycosylation of hemoglobin                            Results and Discussion
in vitro was measured colorimetrically as
suggested by Fluckiger et al. (12). Hemoglobin,              Table 1 shows the blood glucose level of
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Ghosh T, Maity TK, Sengupta P, Dash DK and Bose A / IJPR (2008), 7 (1): 61-68
 Table 1. Effect of ethanolic extract of Bacopa monnieri aerial parts (300 mg/kg, p.o.) on oral glucose tolerance test (OGTT) in normal
 and alloxan induced diabetic rats.
                                                                                      Blood sugar level (mg/dl)
   Groups                Treatment
                                                     Fasting              30 min                60 min                  90 min        120 min
   I                      Normal                  75.00±0.77           149.83 ±2.32          176.83±2.09           125.17±2.83      80.16 ±1.83
   II                Normal + Extract            74.83±0.79 NS        146.50 ±1.78NS         181.17 ±2.39NS       124.17 ±3.78NS    85.67± 3.18NS
                      Diabetic control
   III                                           250.33±3.10*          322.33± 4.16*         374.17±5.16*         319.33 ±3.29*    317.83 ±2.67*
                      (Alloxan only)
   IV                Diabetic+ Extract            77.50±1.50*          141.83± 2.91*         176.17 ±3.52*        127.50 ±2.80*     87.50 ±1.43*
   V             Diabetic+ Glibenclamide          76.50 ±2.02*         151.56± 3.45*         185.33±2.53*         126.83 ±2.46*     92.50 ±1.50*
 Values are mean ± SEM for n=6; *P < 0.05 = significant; NS = Not significant; Group II and III are compared with group I while Group
 IV and V are compared with group III.
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normal and experimental animals after oral                                      of the body proteins (14). In the present study, it
administration of glucose (2 g/kg). Extract as                                  was observed that the ethanolic extract reversed
well as standard drug treated animals showed
more significant decrease in peak blood glucose
level after 1 h. After 2 h, the extract treated
animals tended to bring the values near normal.
   The results of Table 2 reveals that the extract
                                                                          SI    the weight loss of the diabetic rats and they
                                                                                returned to near normal.
                                                                                    During diabetes the excess glucose
                                                                                present in the blood reacts with hemoglobin
                                                                                to form glycosylated hemoglobin. The rate
                                                         of
produced significant decrease in the blood                                      of glycosylation is directly proportional to
glucose level when compared with the controls                                   concentration of blood glucose and with
in alloxan induced hyperglycaemic rats in                                       improvement of glycemic control glycosylated
the single dose experiment at the tested dose                                   hemoglobin also decreases (15). Hence the
level and is comparable with the standard drug                                  estimation of glycosylation of hemoglobin
                                     ive
throughout the experimental period suggesting                                   glycosylated hemoglobin in vitro, with IC50
the antihyperglycaemic property of the extract.                                 value being 11.25 µg/ml that is comparable
Diabetes mellitus causes failure to use of glucose                              with the reference drug α- tocopherol (Table 4).
for energy that leads to increased utilization and                              Further, since the non-enzymatic glycosylation
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 Table 2. Effect of single dose treatment of ethanolic extract of Bacopa monnieri aerial parts (300 mg/kg, p.o.) on blood glucose level in
 normal and alloxan induced diabetic rats.
                                                                                       Blood glucose level (mg/dl)
   Group                  Treatment
                                                         Basal value                    1h                         2h                   4h
   I                        Normal                       76.33±0.71                 76.17±0.65                75.83±0.95            76.17± 0.79
   II                  Normal + Extract                 76.17 ±0.87NS              75.83 ±0.70NS              75.17 ±0.75NS        74.33±0.71NS
   III         Diabetic control (Alloxan only)         349.67±2.95*               350.17±2.71*               349.83±2.62*          350.17± 2.79*
   IV              Diabetic+ Glibenclamide             343.17 ±5.12  NS
                                                                                  319.50±5.35*               298.83±3.91*          284.83± 3.65*
   V                  Diabetic+ Extract                338.50 ±3.19NS             289.33±4.89*               266.83±3.37*          246.83± 3.20*
 Values are mean ± SEM for n=6; *P < 0.05 = significant; NS = Not significant; Group II and III are compared with group I while Group
 IV and V are compared with group III.
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                                                                                         Antidiabetic and Antioxidant Activity of Bacopa monnieri Linn.
 Table 3. Effect of multiple dose treatment of ethanolic extract of Bacopa monnieri aerial parts (300 mg/kg, p.o., once daily) on blood
 glucose level and change in body weight after 15 days in normal and alloxan induced diabetic rats.
                                                                Blood glucose level (mg/dl)                                          Change in body
  Group        Treatment
                                   Basal value         Day 1                 Day 3                Day 7               Day 10           weight (g)
I Normal 76.33 ± 0.71 76.17 ± 0.48 75.83 ± 0.40 76.17 ± 0.65 76.50 ± 0.56 (+) 9.83 ± 1.47
                Normal +
  II                              76.17 ± 0.87NS   75.00 ± 0.73NS        75.17 ± 0.54NS       74.83 ± 0.60NS       73.33 ± 0.67*    (+) 10.00 ± 0.97NS
                 Extract
             Diabetic control
  III                            349.67 ± 2.95*    356.83 ± 2.83*        353.83 ± 3.39*       354.33 ± 3.90*      354.17 ± 3.83*     (-) 8.83 ± 0.87*
             (Alloxan only)
               Diabetic +
  IV                             343.17 ±5.12NS    264.33 ± 4.07*        235.83 ± 3.57*       219.33 ± 4.28*      205.33 ± 3.65*     (+) 8.83 ± 0.98*
             Glibenclamide
               Diabetic +
  V                              338.50 ± 3.19NS   219.67 ± 3.58*        209.33 ± 3.96*       200.33 ± 2.68*      186.50 ± 1.80*     (+) 9.16 ± 1.08*
                Extract
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 Values are mean ± SEM for n=6; *P < 0.05 = significant; NS = Not significant; Group II and III are compared with Group I while Group
 IV and V are compared with Group III.
marked increase in the concentration of TBARS                               include the enzymes such as superoxide
was observed in liver of diabetic rats. Increased                           dismutase (SOD), which scavenges the
lipid peroxide concentration in the liver of                                superoxide ions by catalysing its dismutation
diabetic animals has already been reported (19).                            and catalase (CAT), a haeme enzyme which
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Administration of the exract and glibenclamide                              removes hydrogen peroxide (23). Therefore,
significantly decreased the levels of TBARS in                              reduction in the activity of these enzymes (SOD,
diabetic rats (Table 5).                                                    CAT) results in a number of deleterious effects
    Glutathione (GSH), a tripeptide present in                              due to the accumulation of superoxide anion
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all the cells is an important antioxidant (20).                             radicals and hydrogen peroxide. Administration
Decreased glutathione levels in diabetes have                               of ethanolic extract and glibenclamide increased
been considered to be an indicator of increased                             the activity of SOD and catalase in diabetic rats
Table 4. Effect of ethanolic extract of Bacopa monnieri on percent inhibition of hemoglobin glycosylation in vitro.
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Ghosh T, Maity TK, Sengupta P, Dash DK and Bose A / IJPR (2008), 7 (1): 61-68
 Table 5. Changes in the levels of TBARS and Reduced glutathione in liver of normal and diabetic rats.
   Group                            Treatment                                       TBARSa                     Reduced glutathioneb
   I                                  Normal                                       2.32 ± 0.06                     58.07 ± 1.27
   II                            Normal + Extract                                 2.07 ± 0.08NS                   54.49 ± 1.39NS
   III                               Diabetic                                     5.27 ± 0.10*                     27.30 ± 1.57*
   IV                           Diabetic + Extract                                3.53 ± 0.11*                     52.28 ± 0.88*
   V                        Diabetic + Glibenclamide                              4.20 ± 0.17*                     48.47 ± 1.07*
 a = nmole of MDA/mg of protein; b = µg/ mg of protein; values are Mean ± S.D. for n=6; Group II and III are compared with group I
 while Group IV and V are compared with group III. *P < 0.05 = significant; NS = not significant.
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generation and cause tissue injury (24). Since                                  reported to be rich in saponins (26). Saponins
the extract showed in vivo antioxidative activity                               are reported to possess antidiabetic (27) and
in normal and diabetic rats, improvement of the                                 antioxidant activity (28). Presence of saponins in
liver tissues and the subsequent increase in the
uptake and utilisation of blood glucose might
be the mechanism of action of this extract as
antidiabetic agent.
    Alloxan causes irreversible destruction
                                                                          SI    the ethanolic extract was confirmed through our
                                                                                preliminary phytochemical screening also. Thus,
                                                                                the saponins in the extract may be suspected
                                                                                to possess the activity that may be attributed
                                                                                to their protective action on lipid peroxidation
                                                          of
of pancreas β-cells (25). Thus, the                                             and at the same time the enhancing effects on
antihyperglycemic activity might be due to                                      cellular antioxidant defense contributing to
extra pancreatic mechanism. Hence, the effect                                   the protection against oxidative damage in
of ethanolic extract of B. monnieri aerial parts                                alloxanised diabetes.
on peripheral consumption of glucose was
                                    ive
a concentration of 600 µg/ml (Table 7). Insulin                                 India and the authorities of Jadavpur University,
increased the peripheral glucose consumption                                    Kolkata, India for providing necessary facilities
in normal and diabetic rats. Thus, the extract                                  to carry out the research work. The authors are
might have an insulin like activity and the                                     also thankful to the taxonomists of Botanical
                                                                                Survey of India, Shibpur, Howrah, India for
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 Table 6. Changes in the activity of Catalase and Superoxide dismutase in liver of normal and diabetic rats.
         Groups                              Treatment                                     Catalasec           Superoxide dismutased
            I                                   Normal                                    68.71 ± 4.72               5.93 ± 0.70
           II                            Normal + Extract                                66.52 ± 4.85  NS
                                                                                                                    6.25 ± 0.79NS
           III                                 Diabetic                                   40.78 ± 2.4*              4.22 ± 0.55*
           IV                            Diabetic + Extract                              52.26 ± 3.51*              5.74 ± 0.57*
           V                         Diabetic + Glibenclamide                            48.65 ± 4.85*              5.31 ± 0.57*
 c = µ mole of H2O2 consumed/ min / mg of protein; d = Units/ mg of protein; One unit of activity means enzyme reaction responsible for
 50% inhibition of NBT per min. Values are Mean ± S.D. for n=6; Group II and III are compared with group I while Group IV and V are
 compared with group III. *P < 0.05 = significant; NS = not significant
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                                                                                Antidiabetic and Antioxidant Activity of Bacopa monnieri Linn.
 Table 7. Effect of ethanolic extract of Bacopa monnieri on in vitro peripheral glucose consumption in diaphragm of normal and diabetic
 rats.
                                                   Glucose consumption (mg/10 mg of diaphragm dry weight)
                                                                    Ethanolic extract (µg/ml)                             Insulin
                                    Control
                                                             300 (µg/ml)                 600 (µg/ml)                      5 U/ml
       Normal rats                0.47 ± 0.03                0.59 ± 0.05NS              0.68 ± 0.05*                   0.82 ± 0.06*
      Diabetic rats               0.49 ± 0.03                0.64 ± 0.04*               0.78 ± 0.06*                   0.90 ± 0.06*
 Values were expressed as Mean ± SEM for n=6. *P < 0.05 = Significant; NS = not significant when compared to control
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                                                                            and browning in diabetes and aging. Diabetes (1982)
     argentea Linn. seeds in rats. Bio. Pharm. Bull. (2002)                 31: 57-66
     25: 526-528                                                       (16) Chang AT and Nobel J. Estimation of HbA1c like
(2) Pickup J and Williams G. Textbook of Diabetes.                          glycosylated proteins in kidneys of streptozotocin
                                                                             SI
     Blackwell, Oxford (1991) 467-469                                       diabetes and controlled rats. Diabetes (1979) 28:
(3) Nagarajan S, Jain HC and Aulakh GS. Indigenous                          408-415
     Plants Used in the Control of Diabetes. CSIR, New                 (17) Yadav SB, Tripathi V, Singh RK and Pandey HP.
     Delhi (1987) 586-590                                                   Antioxidant activity of Cuscuta reflexa stem. Indian J.
(4) Anonymous. Indian Herbal Pharmacopoeia. Vol. I,                         Pharm. Sci. (2000) 62: 477-478
     IDMA, Mumbai (1998) 30 -37                                        (18) Winterbourn CC and Munday R. Glutathione-mediated
                                                           of
(5) Kiritikar KR and Basu BD. Indian Medicinal Plants.                      redox cycling of alloxan. Biochem. Pharmacol. (1989)
     Vol. I, Bishen Singh Mahendrapal Singh, Dehradun                       38: 271-274
     (1994) 1816-1817                                                  (19) Nakakimura H and Mizuno K. Studies on
(6) Joy KL and Kuttan R. Antidiabetic activity of                           lipid    peroxidation     in    biological      system:
     Picrorrhiza kurroa extract. J. Ethnopharmacol. (1999)                  Hyperlipoperoxidemia in mice induced by alloxan.
                                        ive
     peroxidation measured as TBARS in tissue slices:                       glutathione metabolism in diabetes. Diabetes (1991)
     Characterisation and comparison with homogenates                       40: 344-349
     and microsomes. Free Radic. Bio. Med. (1988) 4:                   (22) Meister A. New aspects of glutathione biochemistry
     155-161                                                                and transport selective alterations of glutathione
(9) Ellman GL. Tissue sulfhydryl groups. Arch. Biochem.                     metabolism. Nutr. Rev. (1984) 42: 397-401
           Ar
     Biophys. (1959) 82: 70-77                                         (23) Lee SE, Ju EM and Kim JH. Free radical scavenging
(10) Kakkar P, Das B and Viswanathan PN. A modified                         and antioxidant enzyme fortifying activities of extracts
     spectroscopic assay of superoxide dismutase. Indian J.                 from smilax china roots. Expt. Mol. Med. (2001)
     Biochem. Biophys. (1984) 21: 130-132                                   34: 263-268
(11) Maehly AC and Chance B. The Assay of catalase and                 (24) Halliwell B and Gutteridge JM. Free Radicals in
     peroxidase. In: Glick D. (ed.) Methods of Biochemical                  Biology and Medicine. Clarendon Press, City-Oxford
     Analysis. Vol I, Interscience, New York (1954) 357-                    (1985) 215-217
     358                                                               (25) Pari L and Uma Maheswari J. Hypoglycemic activity
(12) Fluckiger R and Winterhalter KH. Biochemical                           of Musa sapientum L. in alloxan- induced diabetic rats.
     and Clinical Aspect of Hemoglobin Abnormalities.                       J. Ethnopharmacol. (1999) 68: 321-325
     Academic Press, New York (1978) 208-209                           (26) Singh HK and Dhawan BN. Neuropsycho-
(13) Chattopadhyay RR, Sarkar SK, Ganguly S, Banerjee                       pharmacological effects of the Ayurvedic nootropic
     RN and Basu TK. Effect of extract of leaves of Vinca                   Bacopa monnieri Linn. (Brahmi). Indian J. Pharmacol.
     rosea Linn. on glucose utilization and glycogen                        (1997) 29: S359- 365
     deposition by isolated rat hemidiaphragm. Indian J.               (27) Yoshikawa M, Murakami T, Kishi A, Kageura T
     Physiol. Pharmacol. (1992) 36: 137-138                                 and Matsuda H. Medicinal flowers. III. Marigold
(14) Guyton AC and Hall JE. Textbook of Medical                             (1): Hypoglycemic, gastric emptying inhibitory, and
67
                                                                                                                                         www.SID.ir
Ghosh T, Maity TK, Sengupta P, Dash DK and Bose A / IJPR (2008), 7 (1): 61-68
     gastroprotective principles and new oleanane type                              between chemical structures and biological activities of
     triterpene oligoglycosides, calendasaponins A, B, C                            triterpinoid saponins from soyabean. Biosci. Biotech.
     and D from Egyptian Calendula officinalis. Chem.                               Biochem. (1998) 62: 2291-2299
     Pharm. Bull. (2001) 49: 863-870                                            This article is available online at http://www.ijpr-online.com
(28) Yoshiki K, Kudou S and Okubo K. Relationship
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