Anti-Trypanosomal potential of momordica balsamina Linn Fruit Pulp extract against Trypanosoma brucei brucei Infection

The search for new trypanocides has not been keenly pursued due to high cost of design and development with no promise of financial returns. Momordica balsamina fruit pulp extract was screened for antitrypanosomal activity in experimental T. brucei brucei infection in rabbits. The extract was administered prior to parasite inoculation; 24 hours post parasite inoculation and on establishment of infection. The treatment was by oral administration of the extract at 500 mg/kg body weight for 14 consecutive days. Parasitaemia was monitored daily while body weight and packed cell volume (PCV) were determined before commencement of studies and subsequently at weekly intervals for 28 days. TThe result showed a significant (P0.05) delay in the establishment of T. b. brucei infection in rabbits treated at 24 hours post parasite inoculation. Packed cell volume also increased significantly (P0.05) in all treated groups when compared to the untreated group (control). This was less in the group treated on establishment of infection. Administration of the extract to the curative group resulted in body weight gain. The other groups suffered weight loss. The infected but not treated group died at day 39 post infection while those treated before parasite inoculation; 24 hours post parasite inoculation; and on the establishment of infection survived for 45 days;53 days; and 61 days respectively. We conclude that M. balsamina pulp extract reduces anaemia in experimentally infected rabbits

Antitrypanosomal effect of the aqueous extract of Brassica oleracea.

The in vitro antitrypanosomal activity of the aqueous extract of Brassica oleracea, was investigated in Trypanosoma brucei brucei 'Lafia' strain. The extract was found to be effective by immobilizing the trypanosomes within the 3-h incubation period and thereafter rendering them not infective to mice.

Hypoglycaemic activity of Ocimum gratissimum in rats.

The hypoglycaemic effect of the methanolic extract of Ocimum gratissimum leaves was evaluated in normal and alloxan-induced diabetic rats. Intraperitoneal injection of the extract (400 mg/kg) significantly reduced plasma levels both in normal and diabetic rats by 56 and 68%, respectively.

Immunoassay of circulating trypanosomal antigens in sleeping sickness patients undergoing treatment.

Sera from 99 patients infected with Trypanosoma brucei rhodesiense and undergoing treatment, were analyzed for circulating trypanosomal antigens using a sandwich antigen-trapping enzyme-linked immunosorbent assay (ELISA). Trypanosomal antigens were detected in 83 (84%) of the patients. Post-treatment antigen profile in 67 patients showed five distinct patterns: in 48% of the patients antigen levels remained elevated throughout the time of hospitalisation and follow-up; in 31%, antigens dropped to the negative value by the second month; in 7.5%, antigens dropped to the negative level and became elevated afterwards; in 7.5%, antigen levels were negative initially, but later, became elevated and remained so throughout the observation period; in 6%, antigen levels remained below the negative value throughout. All patients who relapsed on follow-up had earlier shown evidence of elevated antigen profile. There were no cases of relapses among 21 patients whose antigen levels dropped subsequent to treatment. This ELISA trypanosome antigen detection test could be useful in evaluating treatment success, when used together with parasitological diagnostic techniques.

Circurating trypanosomal antigen levels in sleeping sickness patients under going treatment at Alupe

Sera from 99 sleeping sickness patients admitted to Alupe Hospital were analyzed for circulating trypanosomal antigens using a sandwich antigen-trapping enzyme immunosorbent assay. Trypanosomal antigens were detected in 83 (84) of the patients. Post-treatment antigen profile in 67 patients showed five distinct patterns: in 48 of the patients antigen levels remained elevated thoughout; in 31 of the patients antigens dropped to the; negative value; and became elevated afterward; in 6.0 of the patients antigen levels were negative initially; but became elevated later; in 7.5 of the patients antigen levels remained below the negative value thoughout. The significance of these observations in the clinical management of sleeping sickness is discussed

Chemotherapeutic effects of Annona senegalensis in Trypanosoma brucei brucei.

Mice infected with Trypanosoma brucei brucei 8/18 strain were treated orally and intramuscularly (im) with aqueous root extracts of Annona senegalensis, in doses of 27.8 mg kg-1 and 9.5 mg kg-1 respectively, for four consecutive days commencing 72 hours after the mice were infected. At these dosages the parasites were cleared from the circulation and no relapse was recorded over 60 days. The plant extract, however, had no effect on the trypanosomes when therapy was initiated at the late stages of infection, that is, about the sixth day when the parasitaemia level was 0.9 x 10(6); and all the animals died a day or two later. The herbal extracts also did not show any prophylactic action when given prior to infection. The root extract possesses different margins of safety in the mice depending on the route of administration. The therapeutic index for oral administration was 5.13, and that for im administration was 1.8. Chemical tests revealed that the plant extract contains alkaloids, saponins and tannins. Adverse reactions, especially to doses of 2.3-5.76 mg kg-1, were noted in animals that received the drug parenterally, but not when the drug was administered orally. However, A. senegalensis is shown to be therapeutically effective against T. b. brucei in mice, which agrees with the claims of Nigerian practitioners of Traditional Medicine that it is effective against trypanosomiasis in man.