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Effectiveness of Dried Carica papaya Seeds Against Human Intestinal Parasitosis: A Pilot Study

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Abstract

The tropical fruit Carica papaya and its seeds have proven antihelminthic and anti-amoebic activities. To determine the effectiveness of air-dried C. papaya seeds on human intestinal parasitosis, 60 asymptomatic Nigerian children with stool microscopic evidence of intestinal parasites received immediate doses (20 mL) of either an elixir composed with air-dried C. papaya seeds and honey (CPH) or honey alone (placebo) in two randomized treatment groups. Repeat stool microscopic examinations were conducted 7 days postintervention for intestinal parasites. Significantly more subjects given CPH elixir than those given honey had their stools cleared of parasites [23 of 30 (76.7%) vs. five of 30 (16.7%); z = 4.40, P = .0000109]. There were no harmful effects. The stool clearance rate for the various types of parasites encountered was between 71.4% and 100% following CPH elixir treatment compared with 0-15.4% with honey. Thus, air-dried C. papaya seeds are efficacious in treating human intestinal parasites and without significant side effects. Their consumption offers a cheap, natural, harmless, readily available monotherapy and preventive strategy against intestinal parasitosis, especially in tropical communities. Further and large-scale intervention studies to compare C. papaya with standard antiparasitic preparation are desirous.
JOURNAL OF MEDICINAL FOOD
J Med Food 10 (1) 2007, 194–196
© Mary Ann Liebert, Inc. and Korean Society of Food Science and Nutrition
DOI: 10.1089/jmf.2005.065
Short Communication
Effectiveness of Dried Carica papaya Seeds Against Human Intestinal Parasitosis:
A Pilot Study
John A.O. Okeniyi,
1
Tinuade A. Ogunlesi,
2
Oyeku A. Oyelami,
1
and Lateef A. Adeyemi
3
1
Department of Paediatrics and Child Health, College of Health Sciences, Obafemi Awolowo University,
Ile-Ife; and Departments of
2
Paediatrics and
3
Microbiology and Parasitology, Wesley Guild Hospital,
Ilesa, Nigeria
ABSTRACT The tropical fruit Carica papaya and its seeds have proven antihelminthic and anti-amoebic activities. To de-
termine the effectiveness of air-dried C. papaya seeds on human intestinal parasitosis, 60 asymptomatic Nigerian children
with stool microscopic evidence of intestinal parasites received immediate doses (20 mL) of either an elixir composed with
air-dried C. papaya seeds and honey (CPH) or honey alone (placebo) in two randomized treatment groups. Repeat stool mi-
croscopic examinations were conducted 7 days postintervention for intestinal parasites. Significantly more subjects given CPH
elixir than those given honey had their stools cleared of parasites [23 of 30 (76.7%) vs. five of 30 (16.7%); z4.40, P
.0000109]. There were no harmful effects. The stool clearance rate for the various types of parasites encountered was between
71.4% and 100% following CPH elixir treatment compared with 0–15.4% with honey. Thus, air-dried C. papaya seeds are
efficacious in treating human intestinal parasites and without significant side effects. Their consumption offers a cheap, nat-
ural, harmless, readily available monotherapy and preventive strategy against intestinal parasitosis, especially in tropical com-
munities. Further and large-scale intervention studies to compare C. papaya with standard antiparasitic preparation are de-
sirous.
KEY WORDS: amoebiasis ascariasis giardiasis helminths honey ova parasites pawpaw stool
194
INTRODUCTION
H
UMAN INTESTINAL PARASITOSIS
constitutes a significant
global health problem with enormous financial impli-
cations.
1
Unfortunately, for reasons mainly attributable to
poor hygiene,
2
the burden is more in the tropics and sub-
tropics where, particularly among children,
3,4
parasites
cause noteworthy morbidity such as anemia, diarrhea and
dysentery, malnutrition, apathy, and underdevelopment as
well as severe acute abdominal and surgical conditions.
2
As most patients particularly from the tropics and partic-
ularly from Africa are from low socioeconomic groups who
can ill-afford imported and expensive medicines,
5
the need
for affordable and readily available local alternatives can-
not be overemphasized. Carica papaya, a fruit plant also
called papaya, papaw, pawpaw, mamao, or tree melon, is
found in virtually every tropical and subtropical country.
6
C. papaya contains proven antihelminthic
7
chemical agents
such as benzyl isothiocyanate and papain
8,9
and has other
antiparasitic properties.
10,11
In folk medicine, C. papaya
seeds have been used to treat helminthiasis.
12
Thus, we eval-
uated the antiparasitic effects of dried C. papaya seeds. It is
hoped that the information obtained will provide guidance
for further research that may ultimately assist in the formu-
lation of necessary preventive and treatment strategies
against intestinal parasitosis, particularly in tropical com-
munities.
MATERIALS AND METHODS
Between November 1, 2003 and January 30, 2004, in the
Children’s Welfare Clinic of the Wesley Guild Hospital,
Ilesa, Nigeria, consecutive children 2–6 years old with nor-
mal weight and height for age and no health complaints were
screened with light microscopic examination of wet prepa-
rations of freshly passed stools to confirm the presence of
intestinal parasites, their cysts, trophozoites, larvae, or ova.
Manuscript received 17 October 2005. Revision accepted 10 January 2006.
Address reprint requests to Dr. John A.O. Okeniyi at his present address: Department of
Paediatrics and Child Health, Wesley Guild Hospital, Ilesa. P.M.B. 5011, Ilesa, Osun
State, Nigeria, E-mail: akinyemiokes2@yahoo.com
Following informed parental consents, a total of 60 children
with seven different species of intestinal parasites were re-
cruited into this study.
C. papaya seeds and natural honey were harvested from
an apiary of one of the investigators (O.A.O). The seeds
were air-dried and then machine-blended. An elixir of the
air-dried C. papaya seeds and honey (CPH) was prepared
by mixing 500 g of the blend with honey to make a total
preparation volume of 1,000 mL, i.e., 0.2 g of dried C. pa-
paya seeds/mL. Each subject received immediately received
an oral dose of either 20 mL (equivalent to 4 g of dried,
blended C. papaya seeds) of the CPH elixir or honey alone
in two randomized treatment groups. Thus, honey served not
only as the means of administration of the C. papaya seeds
but also as the placebo/control. All the subjects were ad-
vised to abstain from honey and C. papaya during the study
period. The children then had repeat stool microscopic ex-
amination 7 days later conducted by the same laboratory sci-
entist (L.A.A), who was blinded to each subject’s treatment.
Histories of gastrointestinal symptoms and other possible
side effects were further documented. Data were analyzed
using with the computer program for epidemiologists (PEPI)
version 3.01.
13
Means and standard deviations were com-
pared using Student’s ttest and proportions by the z-scores
at 95% confidence interval (CI). Values of P.05 were
considered statistically significant.
RESULTS
Sixty children (41 boys and 19 girls) between 3 and 6
years of age (mean, 4.6 1.1 years) with stool microscopic
evidence of intestinal parasites were recruited, with 30
(50.0%) each treated with CPH elixir or honey. Table 1 de-
tails the types of intestinal parasites and the comparison of
stool clearance in both treatment groups. The most preva-
lent intestinal parasites were Ascaris lumbricoides, Enta-
moeba histolytica, Necator americanus, and Strongyloides
stercoralis, found in 26 (43.3%), 14 (23.3%), nine (15.0%),
and eight (13.3%) of the 60 children, respectively. Only two
(3.3%) children (one in each treatment group) had Taenia
saginata. Fifty-one (85.0%) of the children had single par-
asites only, while nine (15.0%) had polyparasitism; in ad-
dition to A. lumbricoides, six (10.0%) had E. histolytica, and
the remaining three (5.0%) had N. americanus. Among the
children with multiple parasites, five received CPH elixir,
and four had honey treatment.
CPH elixir demonstrated a high stool clearance efficacy
against A. lumbricoides (84.6%) and S. stercoralis (100%)
with statistically significant differences compared with
honey. Although CPH demonstrated 100% efficacy against
Trichuris trichuria, Giardia lamblia, and T. saginata, com-
pared with honey, the efficacy in each instance did not reach
the accepted level of statistical significance. Also, despite a
high stool clearance rate for E. histolytica (71.4%) and N.
americanus (80.0%), these were not statistically significant
relative to honey. Overall, the stools of 23 of 30 (76.67%)
subjects given the CPH elixir compared with five of 30
(16.67%) given honey alone were cleared of parasites (stan-
dard error 0.1029; 95% CI 0.3649; 0.8351, z4.40;
P.0000109).
There were no significant adverse effects, though two of
30 (6.7%) children given the CPH elixir had transient com-
plaints on the day the treatments were given. One had nau-
sea, while the other had an episode of loose stools. None of
the children who received honey alone had complaints. The
difference in the proportion of children with complaints in
either treatment group was not statistically significant (stan-
dard error 0.0456; 95% CI 0.0559, 0.1893; z0.72;
P.472).
DISCUSSION
Our high stool parasite clearance rates of between 71.4%
and 100% are an affirmation of the effectiveness of C. pa-
paya seeds against intestinal parasites.
7,12
A. lumbricoides,
the most prevalent intestinal helminth (a nematode), was ef-
fectively cleared. Probably because of the limited sample
population, our findings lacked statistical significance de-
spite demonstrable and absolute parasite clearance of cer-
tain other helminths, including a cestode, T. saginata. Our
IN VIVO ANTIPARASITIC EFFICACY OF PAPAYA SEED 195
T
ABLE
1. T
YPES OF
I
NTESTINAL
P
ARASITES AND THE
C
OMPARISON OF
S
TOOL
C
LEARANCE WITH
CPH
AND
H
ONEY
T
REATMENT
Clearance Statistical values
Parasite (number of children CPH elixir Honey-alone z
with parasite) group group score 95% CI P
A. lumbricoides (n26)
b
11/13 (84.6%)
a
2/13 (15.4%) 3.14 0.3376, 1.0464 .002
E. histolytica (n14 5/7 (71.4%) 1/7 (14.3%) 1.62 0.0047, 1.1373 .106
N. americanus (n9)
b
4/5 (80.0%) 1/4 (25.0%) 0.98 0.2255, 1.3255 .330
S. stercoralis (n8) 4/4 (100%) 0/4 (0%) 2.12 0.0075, 1.2500 .034
T. trichuria (n6) 3/3 (100%) 0/3 (0%) 1.63 0.6667, 1.3333 .102
G. lamblia (n4) 2/2 (100%) 1/2 (50.0%) 0.00 0.6930, 1.6930 1.000
T. saginata (n2) 1/1 (100%) 0/1 (0%) 0.00 0.0000, 2.0000 1.000
a
Number (%) of children with stools cleared on parasite/total number of children with the same parasite.
b
Some children had multiple parasites.
observation of over 70% effectiveness against E. histolytica
was also watered-down by the lack of statistical significance
compared with the honey placebo. Papaya had previously
been documented as having anti-amoebic properties.
10
Ezeoke
14
had earlier reported a case of hypersensitiv-
ity reaction to papaya. However, it was gratifying to note
the absence of untoward effects in both treatment groups.
This was indeed our expectation ab initio considering the
facts that C. papaya and its seeds are edible
6
and widely
consumed by both humans and animals in the tropics,
though the seeds are less favored because of less palata-
bility. This was why we opted to use honey, a natural
sweetener, as vehicle for our elixir. The transient nausea
and loose stools observed among two of our subjects may
be unrelated to our elixir in view of the fact that all our
subjects had intestinal parasitosis, which may present with
these features.
1,2,4
The mechanisms of action of C. papaya are not fully elu-
cidated,
7
though it clearly has antihelminthic activity
8,9
and
other immunomodulatory activities.
15
Though intestinal par-
asite clearance by honey, our placebo in this study, was un-
expected, it is still noteworthy. Could there be a possible
antihelminthic property to honey? Our observations are at
best inconclusive in view of the low clearance rate. This
finding may be a spurious occurrence or possibly a demon-
stration of minimal antihelminthic properties to honey. Also,
could the honey have had synergistic or inhibitory effects
on the therapeutic properties of the C. papaya seeds? Fur-
ther large-scale human studies are required to provide a con-
clusive clarification.
It is conceivable that C. papaya, which thrives effort-
lessly,
6
can be much more readily available and affordable
still if commercial and subsistence farming of the papaya
plant was encouraged in tropical communities. Also, future
studies may revolutionize preventive or therapeutic care
against intestinal parasites by determining the minimal
amounts of C. papaya seeds or its active ingredients required
to be consumed. There is that old English adage that “an ap-
ple a day keeps the doctor away.” Could a papaya a day also
do the same? Especially judging from its luxuriant growth
in the tropics and its richness in -carotene, the main pre-
cursor of vitamin A,
6,12
a vitamin reputed to be a magic bul-
let in childhood survival.
16
We conclude that C. papaya
seeds could be beneficial in the treatment and plausibly pre-
vention of intestinal parasites, more so being readily avail-
able, harmless, and cheap. We therefore recommend their
consumption for not only for their nutritive but their medi-
cinal value.
ACKNOWLEDGMENTS
We wish to thank our numerous subjects and their par-
ents for their cooperation.
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... In the present study, reduction of parasite loads with aqueous extracts of C. papaya was attributed to papain, which was capable to digest bacteria and parasitic cells (Fajimi and Taiwo, 2005). However, Okeniyi et al. (2007) reported that more large-scale intervention studies comparing C. papaya with standard anti-parasitic drugs was a must. Also, Cock et al. (2018) reported that many plant species used to treat amebic diarrhea must be tested against the E. histolytica itself. ...
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Background & objective: The kidney plays a dominant role in homeostasis by excreting the metabolic waste products and excess of necessary substances. It is a major excretory organ regulating water and electrolyte balance and conserving necessary products according to body needs. Nephrotoxicity is one of the most common kidney problems. A number of therapeutic agents can adversely affect the kidney resulting in acute renal failure, chronic interstitial nephritis and nephritic syndrome. Nephroprotective agents are the substances which possess protective activity against Nephrotoxicity. Early literatures have prescribed several herbal and medicinal plants, that are used as nephroprotective agents. Several herbal and medicinal plants are used as nephroprotective agents in experimental animals. Carica papaya was reported to have antioxidant and free radical scavenging activities. The present study was performed to determine the nephroprotective role of aqueous extract of Carica papaya seeds on carbon tetrachloride (CCl4) induced nephrotoxic rats. Methods: For the purpose of the study 28 healthy, male, wistar albino rats were taken and randomly divided into four groups (Group-A, Group-B, Group-C, and Group-D), each group formed of 7 rats. Group A received laboratory diet for 7 days. Group B received laboratory diet for 7 days. Group C and group D received aqueous extract of Carica papaya seeds (CPE) 250 mg/kg/day and 500 mg/kg/day respectively for 7 days. On 8th day a single intraperitoneal injection of 1.5 ml/kg of 20% CCl4 dissolved in olive oil was given to the rats of group B, group C and group D for induction of nephrotoxicity. All the animals were sacrificed on 11th day and their blood and kidney samples were collected. Serum creatinine, urea and uric acid were estimated and histopathology of kidney was done. Result: Result showed that the highest level of serum creatinine and urea were exhibited by the rats of Group-B and lowest level by the rats of Group-A. The levels of the same biochemical variables in Group-C and Group-D were in between the levels found in Group-A & Group-B (p = 0.004 and p = 0.001 respectively). The serum creatinine and urea levels remain normal and histopathological architecture was almost maintained in rats, treated with aqueous extract of Carica papaya seeds 500 mg/kg/day before nephrotoxicity induced in them by Carbon tetrachloride (CCl4) injection, although these biochemical values were elevated and histopathological structure was altered in rats, treated with Carbon tetrachloride (CCl4) injection and no CPE was given before (Group-B). The study also revealed that Carica papaya seeds 500 mg/kg/day was more protective than 250 mg/kg/day as was evidenced by lower serum urea level in the Group-D (31.73 ± 4.29 mg/dl) than that in Group-C (52.47 ± 5.38 mg/dl) (p < 0.001). Conclusion: The study concluded that Carica papaya seeds have nephroprotective activity against nephrotoxic effect of CCl4. Renal histological architecture was almost maintained by Carica papaya. Higher dose of Carica papaya provides better protection. Ibrahim Card Med J 2022; 12 (1): 9-17
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Food and agricultural by-products are leftovers or wastes from parts of foods, fruits, vegetables and animal sources which are obtained after processing. Agricultural by-products includes peels and rinds from citrus fruits, pineapple, mango, and banana. Other notable ones are pomace from apple, olive, red beet, and those from wine making. Also, whey from milk, straws, hulls, and brans from grains are among top agricultural by-products. These by-products often impact the environment and the social-economic sectors when they are disposed. But with the recent advances in biotechnology and scientific research, scientists have found usefulness in some of these byproducts as sources of valuable nutraceuticals, a term used to refer to chemical entities present in foods that has the propensity to impact health for disease prevention and treatment. This book entitled ‘Food and agricultural by-products as important source of valuable nutraceuticals’ presents detailed information about major agricultural byproducts that are rich in nutraceuticals. The nature and the type of nutraceuticals that they contains and their health promoting benefits were presented. The editors and chapter contributors are renowned experts from key institutions around the globe. This book will be useful to students, teachers, food chemists, nutritionists, nutritional biochemists, food biotechnologists among others.
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This research work covers the morphological characterization of banana peel powder as an adsorbent for effluent treatment. The aim of this research is to analyze the morphological characteristics of the banana peel sample using BET, SEM, TGA, FTIR, XRD, proximate and ultimate characterization techniques. The banana peel sample was washed, sun-dried for three days, blended, and sieved to obtain fine powder before undergoing characterization. SEM images showed the rough microstructure of the sample. The TGA plot showed that the sample degraded at 270-350 0 C and decomposed at 450-500 0 C. FTIR spectra showed peaks of 3441.00 cm-1 , 2969.96cm-1, 2929.20cm-1, 2870.92 cm-1 , 1799.38 cm-1 , 872.86 cm-1 , 707.79 cm-1 and 366.38 cm-1. The XRD diffractogram showed two major peaks at 2θ values of 12 and 28 degrees at intensities of 960 and 780 respectively. Ultimate analysis showed the values of carbon, hydrogen, oxygen, nitrogen, sulphur, and the calorific value as 65.50+0.3, 5.96+0.3, 10.80+0.2, 1.14+0.1, 0.80+0.3, and 20.62 respectively. Proximate analysis showed 7.60+0.4, 18.45+0.2, 30.70+0.4, and 43.45+0.7 for moisture, ash, fixed carbon, and volatile content. BET analysis showed that the sample had a surface area of 1065.435 m²/g, pore volume of 0.150060 cm³/g and pore size of 38.4041 A. In conclusion, banana peel powder can be used as a natural source of adsorbent that will benefit the society as a whole rather than being discarded as waste. This will not only conserve the environment, but it could also be a low-cost natural adsorbent.
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Objective: To determine the antimalarial activity of the ethanol leaf extract of Carica papaya (C. papaya), blood stages of CQ-sensitive and CQ resistant strains against Plasmodium falciparum (P. falciparum) as target species. Methods: C. papaya leaf was collected in and around Kalveerampalyam village, Coimbatore, Tamil Nadu, India. C. papaya leaf was washed with tap water and shade dried at room temperature. An electrical blender powdered the dried plant materials (leaves). The powder 500g of the leaf was extracted with 1.5 L of organic solvents of ethanol for 8 h using a Soxhlet apparatus. The crude plant extracts were evaporated to dryness in rotary vacuum evaporator. One gram of the plant residue was dissolved in 100 mL of acetone (stock solution) and considered as 1% stock solution. From this stock solution, different concentrations were prepared ranging from 2%, 4%, 6%, 8% and 10%, respectively. Results: The highest larval mortality in the ethanol leaf extract of C. papaya against the 1st to 4th instars larvae and pupae values of LC50= 3.65%, 4.28%, 5.41%, 6.70%, and 7.50%, respectively. The LC90 values of 9.61%, 11.75%, 13.53%, 16.36%, and 16.92%, respectively. Plant extracts showed moderate to good antiparasitic effects. These four concentrations (25, 50,100 and 150 µg/mL) of ethanol leaf extracts exhibited promising inhibitory activity against the CQ sensitive strain with (IC50) values 40.75%, 36.54%, 25.30%, and 18.0% and in CQ resistant 50.23%, 32.50%, 21.45%, and 23.12% against P. falciparum. Conclusions: In conclusion, the results indicate the effective plant extracts have the potential to be used as an ideal eco-friendly approaches for the control of vector mosquitoes.
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We investigated the antiplasmodial properties of crude extracts from Carica papaya leaves to trace the activity through bioassay-guided fractionation. The greatest antiplasmodial activity was observed in the ethyl acetate crude extract. C. papaya showed a high selectivity for P. falciparum against CHO cells with a selectivity index of 249.25 and 185.37 in the chloroquine-sensitive D10 and chloroquine-resistant DD2 strains, respectively. Carica papaya ethyl acetate extract was subjected to bioassay-guided fractionation to ascertain the most active fraction, which was purified and identified using high-pressure liquid chromatography (HPLC) and GC-MS (Gas chromatography-Mass spectrometry) methods. Linoleic and linolenic acids identified from the ethyl acetate fraction showed IC(50) of 6.88 μg/ml and 3.58 μg/ml, respectively. The study demonstrated greater antiplasmodial activity of the crude ethyl acetate extract of Carica papaya leaves with an IC(50) of 2.96 ± 0.14 μg/ml when compared to the activity of the fractions and isolated compounds.
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Over three-quarter of the world's population is using herbal medicines with an increasing trend globally. Herbal medicines may be beneficial but are not completely harmless.This study aimed to assess the extent of use and the general knowledge of the benefits and safety of herbal medicines among urban residents in Lagos, Nigeria. The study involved 388 participants recruited by cluster and random sampling techniques. Participants were interviewed with a structured open- and close-ended questionnaire.The information obtained comprises the demography and types of herbal medicines used by the respondents; indications for their use; the sources, benefits and adverse effects of the herbal medicines they used. A total of 12 herbal medicines (crude or refined) were used by the respondents, either alone or in combination with other herbal medicines. Herbal medicines were reportedly used by 259 (66.8%) respondents. 'Agbo jedi-jedi' (35%) was the most frequently used herbal medicine preparation, followed by 'agbo-iba' (27.5%) and Oroki herbal mixture® (9%). Family and friends had a marked influence on 78.4% of the respondents who used herbal medicine preparations. Herbal medicines were considered safe by half of the respondents despite 20.8% of those who experienced mild to moderate adverse effects. Herbal medicine is popular among the respondents but they appear to be ignorant of its potential toxicities. It may be necessary to evaluate the safety, efficacy and quality of herbal medicines and their products through randomised clinical trial studies. Public enlightenment programme about safe use of herbal medicines may be necessary as a means of minimizing the potential adverse effects.
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Air-dried and powdered seeds of unripe Carica papaya was administered orally at 60 mg/kg/day for 30 days on four pariah dogs naturally infected with Dirofilaria immitis. The treatment resulted in 80% reduction in microfilarial density on day 30 following the onset of treatment. Microfilarial density rose gradually and the level of reduction in the sampling on day 180 was 52%. In vitro, the drug did not produce any lethal effect on the microfilariae of D. immitis. The prolonged maintenance of the reduced level of microfilarial density may be due to the sizeable reduction of adult worm loads.
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The papaya is the fruit of the plant Carica papaya L. (Caricaceae) used in India. Fruit and latex are both rich in an enzyme called papain. It is used as a folk remedy for contraception and abortion. The present study explored the anti-hyperlipidemic effect of the ether- and water-soluble fractions of C. papaya ethanol extract in olive oil-induced hyperlipidemic rats. The study also involved chromatographic studies of extract and fractions. Flash chromatography was done for the most active fraction. The extract and fractions were administered orally at doses of 200 and 400 mg/kg body weight in rats. Olive oil (5 mL/kg oral dose) was administered 30 min after treatment. Blood was collected and centrifuged at 3000 rpm for 15-20 min and subjected to biochemical analysis. The study dose-dependently inhibited the total cholesterol (TC), triglycerides (TG), low-density lipoproteins (LDL) level, and significantly increased high-density lipoprotein (HDL) level. Phytochemical screening revealed the presence of fats in the ether fraction, whereas the water fraction revealed the presence of tannins, alkaloids, glycosides. UV λ(max) was found to be 217 nm with a melting point of 41°C for the isolated component. The anti-hyperlipidemic effect was evaluated in olive oil-loaded rats. Acute treatment caused stimulatory effect on HDL level and inhibition in TC and TG elevation induced by olive oil. The extract and water fraction showed protective action by increasing the HDL cholesterol level.
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The anti-ulcer potentials of aqueous (AE) and methanol (ME) extracts of whole unripe Carica papaya fruit were evaluated using ethanol- and indomethacin-induced gastric ulcer models in rats. The effect of the extracts on small intestinal propulsion was also investigated. The extracts significantly reduced the ulcer index in both experimental models (P < .05) compared to the control group. ME showed a better protection against indomethacin-induced ulcers, whereas AE was more effective against ethanol-induced gastric ulcers. The extracts also significantly (P < .05) inhibited intestinal motility, with ME showing greater activity. Oral administration of AE and ME up to 5,000 mg/kg did not produce lethality or signs of acute toxicity in mice after 24 hours. The extracts of unripe C. papaya contain terpenoids, alkaloids, flavonoids, carbohydrates, glycosides, saponins, and steroids. The cytoprotective and antimotility properties of the extracts may account for the anti-ulcer property of the unripe fruit.