Phytomedicine, Toxicology, Reproductive and Developmental Biochemistry Research Laboratory, Department of Biochemistry, University of Ilorin, Ilorin, Nigeria.
J Ethnopharmacol. 2021 May 10;271:113863. doi: 10.1016/j.jep.2021.113863. Epub 2021 Jan 21.
The age-long folkloric use of Uvaria chamae roots in the management of nipple discharge that is not related to pregnancy, childbirth or nursing but as a result of excessive production of prolactin (hyperprolactinemia) is yet to be substantiated with scientific data.
This study investigated the anti-hyperprolactinemic activities of aqueous extract of Uvaria chamae roots (AEUCR) and associated biochemical changes in chlorpromazine (CPZ)-induced hyperprolactinemic female Wistar rats.
A total of sixty female rats (207.40 ± 2.69 g) were assigned into 6 groups: A-F. Animals in Group A received 0.5 ml of distilled water only whilst the 7 days CPZ-treated female rats (to induce hyperprolactinemia) in groups B, C, D, E, and F also received distilled water, 2.5 mg/kg body weight of bromocriptine (reference drug), 0.71, 1.41 2.83 mg/kg body weight of AEUCR for 28 days.
AEUCR contained a total of 15 (75%) amino acids with seven (46.67%) being essential amino acids and eight (53.33%) as non-essential amino acids. Administration of CPZ increased (p < 0.05) the levels of prolactin and testosterone, and reduced (p < 0.05) the levels of estradiol, progesterone, follicle stimulating hormone (FSH), luteinizing hormone (LH), dopamine, triiodothyronine (T) and tetraiodothyroxine (T). Chlorpromazine also increased the levels of serum urea, creatinine, total protein, albumin, globulin, bilirubin, alanine aminotransferase (ALT), aspartate aminotransferase (AST) and alkaline phosphatase (ALP) of the animals. In contrast, AEUCR significantly (p < 0.05) reduced the CPZ-induced increases in the levels of prolactin and testosterone, and increased the levels of CPZ-induced reduction in the progesterone, estradiol, FSH, LH, dopamine, T and T. The AEUCR also reversed (p < 0.05) the CPZ-induced related increases in the levels of urea, creatinine, total protein, albumin, globulin, bilirubin, ALT, AST and ALP similar to the trends in the distilled water- and bromocriptine-treated controls. The CPZ-induced remarkable increase in the size of lactating alveolus and lactiferous duct distribution in the mammary gland were restored to normal tubule-alveolar female pattern mammary glands, composed of branching ducts and small alveoli budding off the ducts.
The study concluded that aqueous extract of Uvaria chamae root exhibited anti-hyperprolactinemic activity by restoring prolactin and dopamine levels and tubule-alveolar female pattern in female rats. It also ameliorated CPZ-induced changes in the liver and kidney function indices. This study justifies the folkloric use of Uvaria chamae root in the management of abnormal discharge by the nipples that is unrelated to pregnancy, childbirth and nursing.
长期以来,乌瓦里亚·查梅(Uvaria chamae)根部一直被民间用于治疗与妊娠、分娩或哺乳无关的乳头溢液,但这与催乳素(高催乳素血症)过度分泌有关,这一说法尚未得到科学数据的证实。
本研究旨在调查乌瓦里亚·查梅根水提物(AEUCR)的抗高催乳素血症活性及其对氯丙嗪(CPZ)诱导的高催乳素血症雌性 Wistar 大鼠相关生化变化的影响。
共 60 只雌性大鼠(207.40±2.69g)被分为 6 组:A-F。第 A 组仅接受 0.5ml 蒸馏水,而第 B、C、D、E 和 F 组的 7 天 CPZ 处理雌性大鼠(诱导高催乳素血症)也接受蒸馏水、2.5mg/kg 体重的溴隐亭(参考药物)、0.71、1.41 和 2.83mg/kg 体重的 AEUCR,为期 28 天。
AEUCR 总共含有 15 种(75%)氨基酸,其中 7 种(46.67%)是必需氨基酸,8 种(53.33%)是非必需氨基酸。CPZ 给药增加了催乳素和睾酮的水平(p<0.05),降低了雌二醇、孕酮、卵泡刺激素(FSH)、黄体生成素(LH)、多巴胺、三碘甲状腺原氨酸(T)和四碘甲状腺原氨酸(T)的水平(p<0.05)。氯丙嗪还增加了动物血清尿素、肌酐、总蛋白、白蛋白、球蛋白、胆红素、丙氨酸氨基转移酶(ALT)、天门冬氨酸氨基转移酶(AST)和碱性磷酸酶(ALP)的水平。相比之下,AEUCR 显著降低了 CPZ 诱导的催乳素和睾酮水平升高(p<0.05),并增加了 CPZ 诱导的孕酮、雌二醇、FSH、LH、多巴胺、T 和 T 水平降低(p<0.05)。AEUCR 还逆转了 CPZ 诱导的尿素、肌酐、总蛋白、白蛋白、球蛋白、胆红素、ALT、AST 和 ALP 水平升高,这与蒸馏水和溴隐亭处理对照组的趋势相似。CPZ 诱导的泌乳腺中泌乳小泡和输乳管分布的显著增大被恢复到正常的小管-肺泡女性型乳腺,由分支的导管和从导管上长出的小肺泡组成。
本研究得出结论,乌瓦里亚·查梅根的水提物通过恢复催乳素和多巴胺水平以及女性型小管-肺泡模式,表现出抗高催乳素血症活性。它还改善了 CPZ 诱导的肝肾功能指数变化。这项研究证明了乌瓦里亚·查梅根在治疗与妊娠、分娩和哺乳无关的异常乳头溢液方面的民间用途是合理的。