The herbal drink “Attoté” has been widely used in the Abidjan district to treat a number of illnesses, notably erectile dysfunction. Despite the popularity of its therapeutic effects, very few studies have been carried out on its effects on the health of users. The aim of this study was to identify the constituents contained in the phytomedicinal product and to assess their potential adverse effects in vivo. Phytochemical screening was conducted to identify the bioactive molecules in “Attoté” and to evaluate its hepatic effects in vivo. Forty (40) Wistar rats, randomly divided into 4 groups, with 10 animals per group (5 males and 5 females) were used to study potential hepatotoxic effects. Group 1 animals (control group) received distilled water. Batches I, II and III received by gavage a volume of Attoté extract corresponding to 1 ml/100 g body weight at 200 mg/kg, 400 mg/kg and 800 mg/kg, respectively. Attoté extract was administered daily at the same time for 28 days, and serum was collected every two weeks to assess hepatic biochemical markers by spectrophotometry using a Cobas C311? HITACHI biochemistry system. After one month of study, the rats were euthanized by ether overdose and the livers were harvested for morphological and histopathological analysis. Phytochemical screening revealed the presence of alkaloids, polyphenols, leucoanthocyanes, anthraquinones and quinones. Hepatic biochemical and hematological parameters such as red globular, hemoglobin, alanine aminotransferase (ALAT), aspartate aminotransferase (ASAT), alkaline phosphatase (ALPs) and gamma glutamyl transferase (GGT) showed no significant change (p > 0.05) in the treated rat group compared with controls. However, these variations were moderate and transient, with values remaining almost within their standard limits. Microscopic observations of liver tissue sections from treated rats showed no liver damage or dysfunction. This study merits further investigation, with a view to gaining a better understanding of the cytotoxic mechanisms of herbal medicinal beverages, with a view to their reformulation as improved traditional medicines (ITMs).
References
[1]
OMS (2013) Stratégie de l’OMS pour la médecine traditionnelle pour 2014-2023. Organisation mondiale de la Santé.
[2]
OMS (2004) Guidelines on Safety Monitoring of Herbal Medicines in Pharmacovigilance Systems.
[3]
Ouoba, K., Lehmann, H., Semde, R. and Pabst, J. (2022) Revue de la littérature sur la pharmacovigilance des médicaments issus des pharmacopées traditionnelles. Partie I: Identification des risques. Annales Pharmaceutiques Françaises, 80, 646-658. https://doi.org/10.1016/j.pharma.2021.11.008
[4]
Aké-Assi L. and Guinko, S. (1991) Plantes utilisées dans la médecine traditionnelle en Afrique de l’Ouest. Editions Roche Basel.
[5]
Guédé-Guina F. (1995) Étude de quelques effets physiologiques et biologiques de «Glow» un poison extrait du bois Bété: Mansonia altissima (Sterculiacée). The University of Abidjan.
[6]
Diabate, N. (2022) On Visuals and Selling the Promise of Sexual Plaisir and Pleasure in Abidjan. African Studies Review, 65, 863-885. https://doi.org/10.1017/asr.2022.118
[7]
El Khasmi M. and Farh, M. (2022) Impact des plantes médicinales sur le rein. Revue Marocaine de Néphrologie, 2, 32-40.
[8]
Najjaa, H., Zouari, S., Arnault, I., Auger, J., Ammar, E. and Neffati, M. (2011) Différences et similitudes des métabolites secondaires chez deux espèces du genre Allium, Allium roseum L. et Allium ampeloprasum L. Acta Botanica Gallica, 158, 111-123. https://doi.org/10.1080/12538078.2011.10516259
[9]
Rani, J., Dhull, S.B., Rose, P.K. and Kidwai, M.K. (2024) Drug-Induced Liver Injury and Anti-Hepatotoxic Effect of Herbal Compounds: A Metabolic Mechanism Perspective. Phytomedicine, 122, Article ID: 155142. https://doi.org/10.1016/j.phymed.2023.155142
[10]
Kamo, I.L.B.E., Kouassi, K.S., Atto, V., Djaman, A.J., N’guessan, J.D. and Dosso, M. (2024) Cardiac Tolerance of Hydroalcoholic Extract of Bark of Terminalia mantaly H. Perrier (HAEBTM) in Wistar Rats. American Journal of Molecular Biology, 14, 126-137. https://doi.org/10.4236/ajmb.2024.143010
[11]
Emilie, K.I.L.B., Otis, T.B.I., Serge, K.K., Joseph, D.A. and David, N.J. (2022) Biotolerance Study of the Hydroalcoholic Extract of Terminalia mantaly H. Perrier on Rat Renal Activity. Journal of Biosciences and Medicines, 10, 167-179. https://doi.org/10.4236/jbm.2022.1012014
[12]
Debelle, F.D., Vanherweghem, J. and Nortier, J.L. (2008) Aristolochic Acid Nephropathy: A Worldwide Problem. Kidney International, 74, 158-169. https://doi.org/10.1038/ki.2008.129
[13]
Arcese, A.A., Ferreira, K.S. and Hyder, S.M. (2021) S2726 Drug-Induced Liver Injury Attributed to Attote, an Herbal Supplement from the Ivory Coast. American Journal of Gastroenterology, 116, S1141-S1141. https://doi.org/10.14309/01.ajg.0000784436.33900.ae
[14]
OCDE (2008) OCDE Essai n° 407: Toxicité orale à doses répétées—Pendant 28 jours sur les rongeurs.
[15]
Rivière, C., Nicolas, J., Caradec, M., Désiré, O. and Schmitt, A. (2005) Les plantes médicinales de la région nord de Madagascar: Une approche ethnopharmacologique. Bulletin de la Société Française d’Ethnopharmacologie, 36, 36-49
[16]
Wagner, H. (1983) Drogen analyse, Dünschicht chromatographische Analyse von Arzneidrogen. Springer, 522.
[17]
OCDE (2002) OCDE Test No. 423: Acute Oral toxicity—Acute Toxic Class Method.
[18]
Osifo, U., Akpamu, U., Idehen, I., Adisa, A. and Azeke, E. (2012) The Effect of Chronic Ingestion of Crude Garcinia Kola on the Histology of the Liver. European Journal of Experimental Biology, 2, 404-409.
[19]
Koudou, D.D., Otis, T.I., E., K.Y., Yapo, A.P. and Djaman, A.J. (2017) Hepatic Tolerance of an Ethyl Acetate Extract of Holarrhena floribunda (G. Don) Durand and Schinz Leaves in Wistar Rats. The Journal of Phytopharmacology, 6, 322-328. https://doi.org/10.31254/phyto.2017.6603
[20]
Emilie, K.L.B., Otis, T.B.I., Goueh, G., Km, K.A., Joseph, D.A. and David, N.J. (2015) Hepatic Tolerance Study of Hydro-Alcoholic Extract of Terminalia mantaly H. Perrier (Combretaceae) in Rats. The Journal of Phytopharmacology, 4, 164-171. https://doi.org/10.31254/phyto.2015.4307
[21]
Toure Alassane, G.M., Oussou N’guessan Jean-Baptiste, K.Y., Diby Yao Bernard, K.M. and AngouePaul, Y. (2018) Toxicity Assessment of an Aqueous Extract of the Stem Bark of Spondias Mombin (Anacardiaceae) in Wistar Albino Rats. International Journal of Current Microbiology and Applied Sciences, 7, 3625-3635. https://doi.org/10.20546/ijcmas.2018.702.426
[22]
Dillon, J.F. and Miller, M.H. (2016) Gamma Glutamyl Transferase ‘to Be or Not to Be’ a Liver Function Test? Annals of Clinical Biochemistry: International Journal of Laboratory Medicine, 53, 629-631. https://doi.org/10.1177/0004563216659887
[23]
Jodynis-Liebert, J., Nowicki, M., Murias, M., Adamska, T., Ewertowska, M., Kujawska, M., et al. (2010) Cytotoxicity, Acute and Subchronic Toxicity of Ionic Liquid, Didecyldimethylammonium Saccharinate, in Rats. Regulatory Toxicology and Pharmacology, 57, 266-273. https://doi.org/10.1016/j.yrtph.2010.03.006
[24]
Adeneye, A.A., Ajagbonna, O.P., Adeleke, T.I. and Bello, S.O. (2006) Preliminary Toxicity and Phytochemical Studies of the Stem Bark Aqueous Extract of Musanga cecropioides in Rats. Journal of Ethnopharmacology, 105, 374-379. https://doi.org/10.1016/j.jep.2005.11.027
[25]
Lamchouri, F., Settaf, A., Cherrah, Y., El Hamidi, M., Tligui, N.S., Lyoussi, B. and Hassar, M. (2002) Experimental toxicity of Peganum harmala Seeds. Annales Pharmaceutiques françaises, 60, 123-129.