Sridharan Badrinathan, Michael Shiju T, Arya Ramachandran, Mohana Roopan Selvaraj, Ganesh Rajesh N, Viswanathan Pragasam
a Renal Research Lab, Centre for Biomedical Research, School of Bio Sciences and Technology , VIT University , Vellore , Tamil Nadu , India .
b Organic & Medicinal Chemistry Research Laboratory, Organic Chemistry Division, School of Advanced Sciences , VIT University , Vellore , Tamil Nadu , India , and.
Pharm Biol. 2016;54(5):759-69. doi: 10.3109/13880209.2015.1079724. Epub 2015 Oct 9.
Citrus limon (L.) Burm.f. (Rutaceace) is a commonly available fruit variety with high medicinal and industrial values.
Lemon peel (LP) extract was studied as a potent preventive and curative agent for experimentally induced hyperoxaluric rats.
Gas chromatography-mass spectrometry (GC-MS) analyses and toxicity study were performed for aqueous methanol LP extract. Twenty-four Wistar rats were segregated into four groups. Group 1: Control; Group 2: Urolithic (ethylene glycol (EG) - 0.75%); Group 3: Preventive study (EG + LP extract administration from 0th to 7th week); Group 4: Curative study (EG + LP extract administration from 4th to 7th week). Animals received LP extract daily by oral administration (100 mg/kg body weight) for 7 weeks.
GC-MS analyses revealed that compound 6 was abundant in the LP extract (32%) followed by compound 1 (∼21%). The LD50 value of LP extract was found to be >5000 mg/kg of body weight. Urolithic rats showed significantly higher urinary calcium and oxalate (4.47 ± 0.44 and 18.86 ± 0.55 mg/24 h, respectively) excretion compared with control and experimental rats. Renal function parameters like urea (84 ± 8.5 and 96.1 ± 3.6 mg/dL), creatinine (1.92 ± 0.27 and 1.52 ± 0.22 mg/dL), and urinary protein (2.03 ± 0.02 and 2.13 ± 0.16 mg/24 h) were also reduced by LP extract (p < 0.001) and corroborated with tissue analyses (SOD, catalase, and MDA levels) and histological studies in normal and experimental animals. Immunohistochemical staining of THP and NF-κB in urolithic animals showed elevated expression than the control, while LP extract suppressed the expression of these proteins.
In conclusion, lemon peel is effective in curing kidney stone disease and also can be used to prevent the disease and its recurrence.