Browsing by Author "Asiimwe, Savina"

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    Acute and sub-acute toxicity assessment of methanolic stem bark extract of Khaya anthotheca (Meliaceae) in Wistar rats
    (Springer Nature, 2025-08-29) Akwongo, Betty; Kakudidi, Esezah K.; Nsubuga, Anthony M.; Andama, Morgan; Namaganda, Mary; Tugume, Patience; Asiimwe, Savina; Anywar, Godwin; Katuura, Esther
    Background: Khaya anthotheca (Meliaceae) is a medicinal plant with a wide range of therapeutic properties attributable mainly to the diverse limonoids it contains. Different parts of the plant are used in traditional health care for treatment of various diseases including candidiasis. However, inadequate information on its safety prompted this particular study. Methods: Acute toxicity was assessed according to OECD guidelines 425 in female rats administered with single oral doses of 2000 and 5000 mg/kg body weight (b.wt), and monitored for 14 days for any sign of toxicity and mortality. Sub-acute toxicity was evaluated in both male and female rats following OECD guideline 407, and were administered with extract doses of 500, 250 and 125 mg/kg b.wt repeatedly for 28 days. Body weights were measured weekly, while food and water intake were measured daily. Blood for biochemistry, hematology, and organs for histopathology were collected at the end of the experimental period. Data were analyzed using one-way ANOVA followed by Turkey’s post hoc tests, and repeated measures ANOVA. Results: Acute toxicity showed no mortality, with half-lethal dose (LD50) being greater than 5000 mg/kg b.wt. For sub-acute toxicity, both male and female rats presented significant increase in food and water consumption, increased body weight with increasing time and extract doses (p < 0.05). The 500 mg/kg dosed female rats showed significant increase in stomach weights and alanine aminotransferase (ALT), while renal function marker of chloride ions (Cl−) decreased. Male rats showed dose-dependent significant rise in albumin (ALB) (p = 0.024). For both male and female rats, prolonged use of high extract doses of 250 and 500 mg/kg b.wt for 28 days were toxic to the stomach and liver. Conclusions: The methanolic stem bark extract of K. anthotheca is practically non-toxic at acute dose of 5000 mg/kg b.wt, and safe for clinical use at low sub-acute doses of 125 mg/kg b.wt. However, long-term administration of high extract doses above 125 mg/kg was toxic to mainly the liver and stomach. Thus, long-term administration of high dosage of methanol stem bark extract of K. anthotheca, and phytomedicine development should be done with cautions of potential side effects.
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    Acute and sub‑acute toxicity assessment of methanolic stem bark extract of Khaya anthotheca (Meliaceae) in Wistar rats
    (Springer Nature, 2025-08-29) Akwongo, Betty; Kakudidi, Esezah K.; Nsubuga, Anthony M.; Andama, Morgan; Namaganda, Mary; Tugume, Patience; Asiimwe, Savina; Anywar, Godwin; Katuura, Esther
    Background: Khaya anthotheca (Meliaceae) is a medicinal plant with a wide range of therapeutic properties attributable mainly to the diverse limonoids it contains. Different parts of the plant are used in traditional health care for treatment of various diseases including candidiasis. However, inadequate information on its safety prompted this particular study. Methods: Acute toxicity was assessed according to OECD guidelines 425 in female rats administered with single oral doses of 2000 and 5000 mg/kg body weight (b.wt), and monitored for 14 days for any sign of toxicity and mortality. Sub-acute toxicity was evaluated in both male and female rats following OECD guideline 407, and were administered with extract doses of 500, 250 and 125 mg/kg b.wt repeatedly for 28 days. Body weights were measured weekly, while food and water intake were measured daily. Blood for biochemistry, hematology, and organs for histopathology were collected at the end of the experimental period. Data were analyzed using one-way ANOVA followed by Turkey’s post hoc tests, and repeated measures ANOVA. Results: Acute toxicity showed no mortality, with half-lethal dose (LD50) being greater than 5000 mg/kg b.wt. For sub-acute toxicity, both male and female rats presented significant increase in food and water consumption, increased body weight with increasing time and extract doses (p < 0.05). The 500 mg/kg dosed female rats showed significant increase in stomach weights and alanine aminotransferase (ALT), while renal function marker of chloride ions (Cl−) decreased. Male rats showed dose-dependent significant rise in albumin (ALB) (p = 0.024). For both male and female rats, prolonged use of high extract doses of 250 and 500 mg/kg b.wt for 28 days were toxic to the stomach and liver. Conclusions: The methanolic stem bark extract of K. anthotheca is practically non-toxic at acute dose of 5000 mg/kg b.wt, and safe for clinical use at low sub-acute doses of 125 mg/kg b.wt. However, long-term administration of high extract doses above 125 mg/kg was toxic to mainly the liver and stomach. Thus, long-term administration of high dosage of methanol stem bark extract of K. anthotheca, and phytomedicine development should be done with cautions of potential side effects.
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    In vitro antifungal activities of medicinal plants used for treatment of candidiasis in Pader district, Northern Uganda
    (Springer Nature, 2024-11-13) Akwongo, Betty; Kakudidi, Esezah K.; Nsubuga, Anthony M.; Andama, Morgan; Namaganda, Mary; Tugume, Patience; Asiimwe, Savina; Anywar, Godwin; Katuura, Esther
    Background: The emergence of multidrug resistant Candida species to available drugs has led to renewed interest in the use of herbal medicines globally. This study scientifically verified antifungal effectiveness of five commonly used plant species in Pader district, against selected pathogenic candida strains. Methods: Powdered roots of Momordica foetida, Sansevieria dawei and Distimake dissectus; and stem barks of Khaya anthotheca and Mitragyna rubrostipulata were extracted sequentially using petroleum ether and methanol, respectively; and total water extraction at 24.4 °C (maceration), 60 °C (decoction) and boiling water at 87 °C (hot water infusion). Extracts and their combinations, positive controls (amphotericin B, and fluconazole) and negative control (80% dimethyl sulfoxide, verified to be tolerable concentration to the tested Candida species) were screened and verified for their antifungal activity against Candida albicans (ATCC: American Type Culture Collection reference strain 10231, ATCC 90028, 0770a and 0796), C. glabrata (VVc 004, ATCC 2950) and C. tropicalis (ATCC 750 and 0210) using agar well diffusion and broth micro-dilution, respectively. Results: Aqueous extract (24.4 °C) of M. rubrostipulata (ZOI: 18.00 ± 1.00 to 38.33 ± 0.17; MIC: 3.13 ± 0.00 to 20.83 ± 4.17; MFC: 12.50 ± 0.00 to 200.00 ± 0.00), methanol extract of K. anthotheca (10.11 ± 0.31 to 15.11 ± 0.65; 1.04 ± 0.26 to 12.50 ± 0.00; 12.50 ± 0.00 to 100.00 ± 0.00), and combination of aqueous extract (60 °C) of D. dissectus + methanol extract of K. anthotheca (7.89 ± 0.26 to 19.67 ± 0.37; 0.78 ± 0.00 to 50.00 ± 0.00; 12.50 ± 0.00 to 200.00 ± 0.00) exhibited broad spectrum antifungal activities and were fungistatic against all tested Candida species, which comprised 8 clinical/control and susceptible/resistant strains. None of the conventional drugs used demonstrated broad spectrum antifungal activity across all tested Candida species/strains. Conclusion: Methanol extract of K. anthotheca, aqueous extract (24.4 °C) of M. rubrostipulata, and combination of aqueous extract (60 °C) of D. dissectus + methanol extract of K. anthotheca could be effective in the treatment of candidiasis. They demonstrated potential broad spectrum antifungal activity against different species and strains of tested Candida than the fluconazole and amphotericin B drugs. Their fungistatic nature showed their ability to inhibit fungal growth. Hence, these extracts/extract combination can offer better treatment option for candidiasis if they are standardized and also their active curative compounds isolated and made into antifungal drugs.
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    In vitro antifungal activities of medicinal plants used for treatment of candidiasis in Pader district, Northern Uganda
    (Springer Nature, 2024-11-13) Akwongo, Betty; Kakudidi, Esezah K.; Nsubuga, Anthony M.; Andama, Morgan; Namaganda, Mary; Tugume, Patience; Asiimwe, Savina; Anywar, Godwin; Katuura, Esther
    Background The emergence of multidrug resistant Candida species to available drugs has led to renewed interest in the use of herbal medicines globally. This study scientifically verified antifungal effectiveness of five commonly used plant species in Pader district, against selected pathogenic candida strains. Methods Powdered roots of Momordica foetida, Sansevieria dawei and Distimake dissectus; and stem barks of Khaya anthotheca and Mitragyna rubrostipulata were extracted sequentially using petroleum ether and methanol, respectively; and total water extraction at 24.4 °C (maceration), 60 °C (decoction) and boiling water at 87 °C (hot water infusion). Extracts and their combinations, positive controls (amphotericin B, and fluconazole) and negative control (80% dimethyl sulfoxide, verified to be tolerable concentration to the tested Candida species) were screened and verified for their antifungal activity against Candida albicans (ATCC: American Type Culture Collection reference strain 10231, ATCC 90028, 0770a and 0796), C. glabrata (VVc 004, ATCC 2950) and C. tropicalis (ATCC 750 and 0210) using agar well diffusion and broth micro-dilution, respectively. Results Aqueous extract (24.4 °C) of M. rubrostipulata (ZOI: 18.00 ± 1.00 to 38.33 ± 0.17; MIC: 3.13 ± 0.00 to 20.83 ± 4.17; MFC: 12.50 ± 0.00 to 200.00 ± 0.00), methanol extract of K. anthotheca (10.11 ± 0.31 to 15.11 ± 0.65; 1.04 ± 0.26 to 12.50 ± 0.00; 12.50 ± 0.00 to 100.00 ± 0.00), and combination of aqueous extract (60 °C) of D. dissectus + methanol extract of K. anthotheca (7.89 ± 0.26 to 19.67 ± 0.37; 0.78 ± 0.00 to 50.00 ± 0.00; 12.50 ± 0.00 to 200.00 ± 0.00) exhibited broad spectrum antifungal activities and were fungistatic against all tested Candida species, which comprised 8 clinical/control and susceptible/resistant strains. None of the conventional drugs used demonstrated broad spectrum antifungal activity across all tested Candida species/strains. Conclusion Methanol extract of K. anthotheca, aqueous extract (24.4 °C) of M. rubrostipulata, and combination of aqueous extract (60 °C) of D. dissectus + methanol extract of K. anthotheca could be effective in the treatment of candidiasis. They demonstrated potential broad spectrum antifungal activity against different species and strains of tested Candida than the fluconazole and amphotericin B drugs. Their fungistatic nature showed their ability to inhibit fungal growth. Hence, these extracts/extract combination can offer better treatment option for candidiasis if they are standardized and also their active curative compounds isolated and made into antifungal drugs.