| 
              
              
              Open Access  
 
              
              
              
              Research 
              
              
(Published 
				online: 17-11-2016)  
              17. 
				
              
              Benefits of pomegranate (Punica 
              granatum 
              
              Linn) fruit extracts to weight changes, total protein, and uric 
              acid in white rats (Rattus 
              norvegicus) 
              as an animal model of acute renal failure - 
              
              Hardany Primarizky, Wiwik Misaco Yuniarti and Bambang Sektiari 
              Lukiswanto 
              
              Veterinary World, 9(11): 1269-1274   
              
   
                
                
doi: 
              
				
				10.14202/vetworld.2016.1269-1274 
                
				  
                
                Hardany Primarizky: 
                
                Department of Veterinary Clinic, Faculty of Veterinary Medicine, 
                Universitas Airlangga, Surabaya, East Java, Indonesia; 
                kikken.zeyra@gmail.com 
              
              Wiwik Misaco Yuniarti: 
              
              Department of Veterinary Clinic, Faculty of Veterinary Medicine, 
              Universitas Airlangga, Surabaya, East Java, Indonesia; wiwikmisaco@yahoo.com 
              
              Bambang Sektiari Lukiswanto: 
              
              Department of Veterinary Clinic, Faculty of Veterinary Medicine, 
              Universitas Airlangga, Surabaya, East Java, Indonesia; bamsekti@yahoo.com   
              
              Received: 21-03-2016, Accepted: 13-10-2016, Published online: 
              17-11-2016   
				
              	
              	Corresponding author: 
              	
                
                Hardany Primarizky, e-mail: kikken.zeyra@gmail.com 
 
              Citation: 
				Primarizky H, Yuniarti WM, Lukiswanto BS (2016) Benefits of 
              pomegranate (Punica 
              granatum 
              
              Linn) fruit extracts to weight changes, total protein, and uric 
              acid in white rats (Rattus 
              norvegicus) 
              as an animal model of acute renal failure, 
              
              Veterinary World, 9(11): 
              1269-1274. 
 
              
				Abstract 
 
              
              
              Aim: 
              
              The occurrence of acute renal failure (ARF) cases continues to 
              increase every year. Some of the cases are due to nephrotoxic 
              effect caused by overdose of antibiotic consumption or abuse of 
              the drug, gentamicin. An antibiotic therapy that can be used to 
              overcome in such a case is the pomegranate extracts. However, 
              until now, studies using pomegranate for cases of ARF have not 
              been done. This study aims to determine changes in body weight, 
              the levels of total protein (TP), and the levels of serum uric 
              acid (UA) as a result of the pomegranate extract consumption. 
              
              
              Materials and Methods: 
              A 
              total number of 32 rats (Rattus 
              norvegicus) 
              were divided into four groups randomly. One group was assigned as 
              the control group (P0) and given intraperitoneal (i.p.) saline and 
              0.3% carboxy methyl cellulose sodium (CMC) Na; P1 was provided 
              with 80 mg/kg bw/i.p. gentamicin and 0.3% CMC Na orally, P2 was 
              supplied with 80 mg/kg bw/i.p. gentamicin and ellagic acid in 0.3% 
              CMC Na, and P3 was given 80 mg/kg bw/i.p. gentamicin and 150 mg/kg 
              bw pomegranate extract in 0.3% CMC Na. The provision of treatment 
              was carried out in 8 days and followed by making the overthrow of 
              body weight and blood sampling for the examination of study 
              variables. 
              
              
              Results: 
              
              The results taken by doing the analysis of variance method for the 
              four treatment groups show that the control group (P0) has 
              significant differences from P1, P2, and P3 (p<0.05), but there 
              are no significant differences among the other three treatment 
              groups. Meanwhile, the average values of serum UA levels among P1, 
              P2, and P3 indicate significant differences. 
              
              
              Conclusion: 
              
              In conclusion, the administration of pomegranate extracts in the 
              treatment of nephrotoxicity toward rats is effective to maintain 
              normal body weight, normal TP levels, and the UA blood serum of 
              the rats. As this study is a preventive therapy, it needs further 
              researches about the effective dose as a curative therapy, its 
              level of effectiveness and its long-term side effects. 
              
              Keywords: 
              
              acute renal failure, gout, pomegranate extract, total protein. 
 
              References 
 
                
                  | 1. Day, R.A., Beverly, W. and Pauline, P. (2009) Brunner and 
                  Suddarth's Textbook of Canadian Medical-Surgical Nursing. 6th 
                  ed. Lippincott and Wilkins, USA. |  
                  |  |  
                  | 2. Tambayong, J. (2001) Patofisiologi. Penerbit Buku 
                  Kedokteran, ECG, Jakarta. |  
                  |  |  
                  | 3. Bartges, J. and David, J.P. (2011) Nephrology and Urology 
                  of Small Animals. 1st ed. Willey-Blackwell, UK. https://doi.org/10.1002/9781118785546
 |  
                  |  |  
                  | 4. Sutardjo, B. and Fransisca, K. (2012) Dialife Magazine: 
                  Kidney Health Information Bulletin. June-July Edition 2012. PMid:22361136 PMCid:PMC3294181
 |  
                  |  |  
                  | 5. Eurel, J.A. and Brian, L.F. (2006) Textbook of Veterinary 
                  Histology. 6th ed. Blackwell Publishing, Asia. |  
                  |  |  
                  | 6. Guyton, A.C. and Hall, J.E. (2006) Textbook of Medical 
                  Phisiology. 11th ed. WB Saunders Co., Philadelphia, PA. 
                  p859-864. |  
                  |  |  
                  | 7. Ganong, W.F. (2001) Review of Medical Physiology. 
                  McGraw-Hill Companies, Inc., San Fransisco. p675-678. |  
                  |  |  
                  | 8. Junquiera, L.C. and Carneiro, L. (2003) Basic Histology: 
                  Text & Atlas. 10th ed. The McGraw-Hill Companies Inc., New 
                  York. |  
                  |  |  
                  | 9. Bijanti, R., Yuliati, M.G.A., Wahjuni, R.S. and Utomo, R.B. 
                  (2010) Buku Ajar Patologi Klinik Veteriner. Edisi Pertama. 
                  Airlangga University Press, Surabaya. |  
                  |  |  
                  | 10. Lansky, E.P. and Newman, R.A. (2007) Review: Punica 
                  granatum (pomegranate) and its potential for prevention and 
                  treatment of inflamation and cancer. J. Ethnopharmacol., 
                  109(2): 177-206. https://doi.org/10.1016/j.jep.2006.09.006
 PMid:17157465
 |  
                  |  |  
                  | 11. Budka, D. (2008) Active Ingredients, Their Bioavailibility 
                  and the Health Benefits of the Punica granatum Linn 
                  (Pomegranate). MSML Research Unit, London. |  
                  |  |  
                  | 12. Seeram, N.P., Adam, L.S., Henning, S.M., Niu, Y., Zhang, 
                  Y., Nair, M.G. and Heber, D. (2005) In vitro antiproliverative, 
                  apoptotic, and antioxidant activities of punicalagin, ellagic 
                  acid and a total pomegranate tannin extract are enhanced in 
                  combination with other polyphenols as found in pomegranate 
                  juice. J. Nutr. Biochem., 16: 360-367. https://doi.org/10.1016/j.jnutbio.2005.01.006
 PMid:15936648
 |  
                  |  |  
                  | 13. Koka, R.M., Huang, E. and Lieske, J.C. (2000) Adhesion of 
                  uric acid crystals to the surface of renal epithelial cells. 
                  Am. J. Physiol. Renal Physiol., 278: F989-F998. PMid:10836987
 |  
                  |  |  
                  | 14. Verdecchia, P., Schillaci, G., Reboldi, G.P., Santeusanioa, 
                  F., Porcellati, C. and Brunetti, P. (2000) Relation between 
                  serum uric acid and risk of cardiovascular disease in 
                  essential hypertension; the PIUMA study. Hypertension, 36: 
                  1072-1078. https://doi.org/10.1161/01.HYP.36.6.1072
 PMid:11116127
 |  
                  |  |  
                  | 15. Mazzali, M., Hughes, J., Kim, Y.G., Jefferson, J.A., Kang, 
                  D.H., Gordon, K.L., Lan, H.Y., Kivlighn, S. and Johnson, R.J. 
                  (2001) Elevated uric acid increases blood pressure in the rat 
                  by a novel crystal-independent mechanism. Hypertension, 38: 
                  1101-1106. https://doi.org/10.1161/hy1101.092839
 PMid:11711505
 |  
                  |  |  
                  | 16. Kang, D.H., Nakagawa, T., Feng, L., Watanabe, S., Han, L., 
                  Mazzali, M., Truong, L., Harris, R. and Johnson, R.J. (2002) A 
                  role for uric acid in the progression of renal disease. J. Am. 
                  Soc. Nephrol., 13: 2888-2897. https://doi.org/10.1097/01.ASN.0000034910.58454.FD
 PMid:12444207
 |  
                  |  |  
                  | 17. Singh, A.P., Muthuraman, A., Jaggi, A.S., Singh, N., 
                  Grover, K. and Dhawan, R. (2012) Review: Animal models of 
                  acute renal failure. Pharmacol. Rep., 64: 31-44. https://doi.org/10.1016/S1734-1140(12)70728-4
 |  
                  |  |  
                  | 18. Mahurkar, N., Mumtaz, M. and Ifthekar, S. (2012) 
                  Protective effect of aqueous and methanolic extracts of 
                  Lagenaria siceraria seeds in gentamicin induced nephrotoxicity. 
                  Int. J. Res. Ayurveda Pharm., 3(3): 443-446. |  
                  |  |  
                  | 19. Avdagic, N., Cosovic, E., Nakas-Icindic, E., Mornjakovic, 
                  Z., Zaciragic, A. and Hadzovic-Dzuvo, A. (2008) Spirulina 
                  platensis protects against renal injury in rats with 
                  gentamicin-induced acute tubular necrosis. Bosn. J. Basic 
                  Med., 8(4): 331-336. |  
                  |  |  
                  | 20. Soenanto, H. (2005) Musnahkan Penyakit Dengan Tanaman Obat. 
                  Puspa Swara, Jakarta. |  
                  |  |  
                  | 21. Palanysamy, D., Kannan, S.E. and Bhojraj, S. (2007) 
                  Protective and therapeutic effects of the Indian medicinal 
                  plant Pterocarpus santalinus on D-galactosamine-induced liver 
                  damage. Asian J. Tradit. Med., 2(2): 51-57. |  
                  |  |  
                  | 22. Ibrahim, M.A.L. and Sayed, A.A.S. (2012) Comparative study 
                  of quercetin or/and urate oxidase against gentamicin-induced 
                  nephrotoxicity and oxidative stress in rat kidneys. J. Am. Sci., 
                  8(1): 600-607. |  
                  |  |  
                  | 23. Roche (2010). Available from: http://www.roche-applied-science.com/wcsstore/CBCatalogAssetStore/Articles/05837880900_03.11.pdf. 
                  . Last accessed on 07-09-2013. |  
                  |  |  
                  | 24. Dalimunthe, A.(2008) Monitoring Effectiveness of Multiple 
                  Intravenous Dose of Gentamicin Against Pneumonia Patients 
                  Community at Center General Hospital H. Adam Malik. Thesis. 
                  University of North Sumatera, Medan. Indonesia. |  
                  |  |  
                  | 25. Toblli, J.E., Bevione, P., Di Gennaro, F., Madalena, L., 
                  Cao, G. and Angerosa, M. (2012) Review article; understanding 
                  the mechanisms of proteinuria: Therapeutic implications. Int. 
                  J. Nephrol., 2012: 1-13. https://doi.org/10.1155/2012/546039
 PMid:22844592 PMCid:PMC3398673
 |  
                  |  |  
                  | 26. Seeram, N.P., Schulman, R.N. and Heber, D. (2006) 
                  Pomegranate Ancient Roots to Modern Medicine. 1st ed. Taylor 
                  and Francis Group, New York. p2-99. |  
                  |  |  
                  | 27. Zhang, Y., Wang, D., Lee, R., Henning, S.M. and Heber, D. 
                  (2009) Absence of pomegranate ellagitannins in the majority of 
                  commercial pomegranate extract: Implications for 
                  standardization and quality control. J. Agric. Food Chem., 
                  57(16): 7395-7400. https://doi.org/10.1021/jf9010017
 PMid:20349921
 |  |