Aqueous Basella alba Mitigates Cyclosporine-Induced Nephrotoxicity in Wistar Rats: Relevance in Adjuvant Therapy
PDF

Keywords

Cyclosporin
Nephrotoxicity
Basella alba
Pro-inflammatory pathway
Oxidative stress

Date

How to Cite

1.
Eseigbe IC, Gracious OO, Esther Opeyemi OA, Kehinde AA. Aqueous Basella alba Mitigates Cyclosporine-Induced Nephrotoxicity in Wistar Rats: Relevance in Adjuvant Therapy. ASIDE Health Sci. 2025;1(1):27-32. doi:10.71079/ASIDE.HS.090325203

Abstract

Introduction: Cyclosporine A (CsA) is an immunosuppressant agent that is usually considered as a first-line therapy against organ rejection after a transplant procedure. However, its administration is often associated with nephrotoxicity and a compromise of kidney function. There is a paucity of literature on the effects of aqueous Basella alba leaf extract (ABALE) in this condition. This study aimed to bridge the knowledge gap.

Methods: Thirty male Wistar rats were divided into 6 groups of 5 rats each, such that the experimental groups received graded doses of ABALE at 100mg/kg, 200mg/kg, and 400mg/kg for 21 consecutive days, after inducing nephrotocity with CsA at 20mg/kg/day (i.p).

Results: Treatment with ABALE resulted in a dose-dependent reduction of oxidative stress, inflammation, and elevated plasma markers of kidney dysfunction, with the highest dose showing the greatest protective effect (p < 0.05). Histological analysis of the kidneys also revealed near-normal architecture following ABALE treatment, while CsA administration was associated with marked vacuolation of the kidney interstitium and glomerular atrophy. However, no significant difference was observed between the untreated recovery group and the nephrotoxicity model group.

Conclusion: ABALE mitigated cyclosporine-induced nephrotoxicity by suppressing plasma pro-inflammatory cytokines and restoring antioxidant balance. These findings suggest that the extract may serve as a promising adjuvant therapy in CsA-induced nephrotoxicity.

PDF

References

1. Stuart IF. Human Physiology, vol. 12, McGraw-Hill, 2011 (ISBN:978-0-07-337811-4).

2. Valerie C, Scanlon TS. Essentials of Anatomy and Physiology, 5th edition, F.A.Davis Company, Philadelphia, 2007.

3. Adekunle IA, Imafidon CE, Oladele AA, Ayoka AO. Ginger polyphenols attenuate cyclosporine-induced disturbances in kidney function: Potential application in adjuvant transplant therapy. Pathophysiology. 2018; 25: 101-115 https://doi.org/10.1016/j.pathophys.2018.02.001

4. World Kidney Day: Chronic Kidney Disease. Accessed from http://www.worldkidneyday.org/faqs/chronic-kidney-disease/ [Access date: 2nd of August, 2025].

5. Faulds D, Goa KL, Benfield P. Cyclosporin: A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic use in immunoregulatory disorders. Drugs. 1993: 45(6):953-1040 https://doi.org/10.2165/00003495-199345060-00007

6. Elsayed AS, Bayomy MFF, Azab AE. Effect of acute and chronic treatment of cyclosporin A on liver and kidney functions in rats. Journal of Applied Pharmaceutical Sciences. 2016: 6(03): 116-119 https://doi.org/10.7324/JAPS.2016.60320

7. Chaurasiya A, Pal RK, Verma PK, Katiyar A, Kumar R, Kumar N. An updated review on Malabar spinach (Basella alba and Basella rubra) and their importance. Journal of Pharmacognosy and Phytochemistry. 2021: 10(2); 1201-1207 https://doi.org/10.22271/phyto.2021.v10.i2p.13974

8. D’souza OJ, Gasti T, Hiremani VD, Pinto JP, Contractor, SS, Shettar AK, Olivia D, Arakera SB, Masti SP, Chougale RB. Basella alba stem extract integrated poly (vinyl alcohol)/chitosan composite films: A promising bio-material for wound healing. Int J Biol Macromol. 2023: 15: 225-673. https://doi.org/10.1016/j.ijbiomac.2022.11.130

9. Sheik A, Kim E, Adepelly U, Alhammadi M, Huh YS. Antioxidant and antiproliferative activity of Basella alba against colorectal cancer. Saudi Journal of Biological Sciences. 2023: 30(4); 103609 https://doi.org/10.1016/j.sjbs.2023.103609

10. Shantha TR, Patchaimal P, Reddy MP, Kumar RK, Tewari D, Bharti V, Venkateshwarlu G, Mangal AK, Padhi MM, Dhiman KS. Pharmacognostic standardization of Upodika- Basella alba.: An important ayurvedic antidiabetic plant. Anc Sci Life. 2016: 36(1); 35-41.https://doi.org/10.4103/0257-7941.195411

11. Rekha YH, Zabin KB, Khan TMY, Shamsudeen SM, Investigating compounds from Basella alba for their antioxidant, anti-inflammatory, and anticancer through in vitro and network pharmacology, molecular simulation approach. 2025: 2481945 https://doi.org/10.1080/17518253.2025.2481945

12. Omotoso DR, Olubowale VO, Aina FM, Daramola OOO. Phytochemical profiling of Basella alba using gas chromatography-mass spectrometry. Tropical Journal of Natural Product Research. 2024: 8(6); 7561-7565 https://doi.org/10.26538/tjnpr/v8i6.36

13. Guide for the Care and Use of Laboratory Animals, 2011, eighth ed. . https://grants.nih.gov/grants/./Guide-for-the-Care-and-use-of-laboratory-animals , [Accessed date: 2nd of August, 2025].

14. Krishna CB. Anti-Inflammatory activity of Basella alba Linn. In Albino rats. J. Appl. Pharm. Sci. 2012: 02(04); 87-89. https://doi.org/10.7324/JAPS.2012.2413

15. Beutler, E., Duron, O., Kelly, B.M., 1963. Improved method for the determination of blood glutathione. J Lab Clin Med. 61:882–8. [PMID: 13967893]

16. McCord JM, Fridovich I. Superoxide dismutase, an enzymic function forerythrocuprein (hemocuprein), J. Biol. Chem. 1969; (244) 6049–6055. [PMID: 5389100]

17. Ohkawa, H., Ohishi, N., Yagi, K., 1979. Assay for lipid peroxides in animal tissues by thiobarbituric acid reaction. Anal Biochem. 95:351–8.

https://doi.org/10.1016/0003-2697(79)90738-3

18. Imafidon CE, Akomolafe RO, Abubakar SA, Ogundipe OJ, Olukiran OS, Ayowole OA. Amelioration of Cadmium-Induced Nephropathy using Polyphenol-rich Extract of Vernonia amygdalina (Del.) Leaves in Rat Model. OA Maced J Med Sci. 2015 Dec 15; 3(4):567-577. https://doi.org/10.3889/oamjms.2015.120

19. Bamidele O, Okeke NC, Adedeji TG, Adedayo LD, Akinnuga AM. Methanol extracts of Basella alba leaves alleviate stress in rats. Chin. Herb. Med. 2020: 12(2); 163-170. https://doi.org/10.1016/j.chmed.2019.11.004

20. Bamidele O, Fasipe O, Tomoloju EE, Adedayo LD, Ajayi AF, Afolabi AO. Protective activity of Basella alba l. Leaf extract on cardiac injury markers following intestinal ischemia-reperfusion: potential for cardiovascular therapy. Pharm. Sci. Adv. 2025: 3; 100083. https://doi.org/10.1016/j.pscia.2025.100083

21. Kumari R, Goldar WA, Mondal S, Patra S, Bhattecharya S, Haldar PK. Protective effect of Basella alba leaf against diabetic nephropathy in rats. ADTM. 2021: 21; 111-119.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Copyright (c) 2025 ASIDE Health Sciences