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    Effect of the extract of the tamarind (Tamarindus indica) fruit onthe complement system: Studies in vitro and in hamsters submitted

    to a cholesterol-enriched diet

    Ana Paula Landi Librandi a, Tas Nader Chrysostomo a, Ana Elisa C.S. Azzolini a,Carem Gledes Vargas Recchia a, Sergio Akira Uyemura b, Ana Isabel de Assis-Pandochi a,*

    a Departamento de Fsicae Qumica, Faculdade de Ciencias Farmaceuticas de Ribeirao Preto, Universidade de Sao Paulo, Av. do Cafe, s/n, 14040-903,

    Ribeirao Preto, SP, Brazilb Departamento de Analises Clnicas, Toxicologicas e Bromatologicas, Faculdade de Ciencias Farmaceuticas de Ribeirao Preto,

    Universidade de Sao Paulo, Av. do Cafe, s/n, 14040-903, Ribeirao Preto, SP, Brazil

    Received 2 August 2006; accepted 11 February 2007

    Abstract

    This work evaluated a crude hydroalcoholic extract (ExT) from the pulp of the tamarind (Tamarindus indica) fruit as a source of com-pounds active on the complement system (CS) in vitro. ExT, previously characterized by other authors, had time and concentrationdependent effects on the lytic activity of the CS. The activity of 0.8 mg/mL of the extract on the classical/lectin pathways (CP/LP)increased after 30 min of pre-incubation, while that of the alternative pathway (AP) decreased after 15 min at 1 mg/mL. Since the CSis a mediator of inflammation, studies were also madein vivo, taking advantage of a model of hypercholesterolemia in hamsters to inves-tigate the role of CS in the phase preceding the inflammatory process of atherosclerosis. Hamsters submitted to a diet rich in cholesterolshowed increased lytic activity of the CP/LP and AP after 45 days. The activity levels of C2 and factor B components on respectively,classical/lectin and alternative pathways of the CS also increased. Early events cooperating to trigger the process of atheroscleroticlesions are not completely understood, and these alterations of complement may participate in these events. When treatment with a dietrich in cholesterol was associated to the furnishing of ExT, evaluation of complement components and complement lytic activity showedvalues similar to those of the controls, showing that treatment with ExT blocked the increase of complement activity caused by the cho-lesterol-rich diet. By itself, ExT had no effect on the complement system in vivo. ExT activity on the CS may be of interest for therapy andresearch purposes.2007 Elsevier Ltd. All rights reserved.

    Keywords: Tamarind fruit extract; Complement system; Hyperlipidemia; Hamsters

    1. Introduction

    In recent years there occurred a renewed interest inplants for the treatment of diseases (Dubey et al., 1994;Prince et al., 1998; Ladeji et al., 2003). Epidemiologic stud-ies have shown that the consumption of diets rich in plant-derived foods high in phenolic compounds, is associatedwith a decreased incidence of cardiovascular mortality

    (Hertog et al., 1993, 1995; Keli et al., 1996; Geleijnseet al., 1999). Grape polyphenols decrease plasma triacylgly-cerols and of cholesterol accumulated in the aorta of ovari-ectomized guinea pigs (Zern et al., 2003). Components ofTamarindus indica, a tree indigenous to India and SouthEast Asia, have been used as spices, food componentsand in snacks. In Thai traditional medicine, the fruit ofT. indica is regarded as a digestive, carminative, laxative,expectorant and blood tonic (Komutarin et al., 2004).Recently, Pumthong (1999) demonstrated the antioxidantactivity of the T. indica seeds coat extract. This extract is

    0278-6915/$ - see front matter 2007 Elsevier Ltd. All rights reserved.

    doi:10.1016/j.fct.2007.02.008

    * Corresponding author. Tel.: +55 16 36024179; fax: +55 16 36332960.E-mail address:[email protected] (A.I. de Assis-Pandochi).

    www.elsevier.com/locate/foodchemtox

    Food and Chemical Toxicology 45 (2007) 14871495

    http://-/?-mailto:[email protected]:[email protected]://-/?-
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    composed of flavonoids including tannins, polyphenols,anthocyanidins, and oligomeric proanthocyanidins. Apolysaccharide isolated and purified from T. indica seedsshowed immunomodulatory activities, like the enhance-ment of phagocytosis and inhibition of leucocyte migrationand cell proliferation, suggesting possibly interesting bio-

    logical applications of this plant (Sreelekha et al., 1993).A recent study has shown the beneficial effects of the con-sumption of T. indica fruit extract in an experimentalmodel of atherosclerosis in hamsters, including decreasedlevels of serum cholesterol and triglycerides (Martinelloet al., 2006).

    Cardiovascular diseases (CVD) are the leading cause ofmorbidity and mortality in developed countries (Libby,2002). Classic major risk factors for CVD include hyperlip-idemia, elevated levels of LDL cholesterol, decreased HDLcholesterol and smoking. Atherosclerosis is an importantpathologic manifestation underlying CVD, and has beensuggested to be an inflammatory disease (Ross, 1999). Data

    from the literature indicate it to be a consequence of achronic inflammatory process induced by the activationof macrophages, the complement system (CS) and T-lym-phocytes. Several studies have implicated elements of thehumoral-mediated immune response in atherogenesis(Geertinger and Sorensen, 1973; Hollander et al., 1979;Hansson et al., 1984; Vlaicu et al., 1985a,b). Among them,activation of CS has been associated with the pre-lesionalstages, as well as with the progress of atherosclerosis(Torzewski et al., 1997).

    The CS is a complex cascade of enzymes and regulatoryproteins that normally participate in host defenses against

    microorganisms through opsonization, chemoattraction ofleucocytes, cell lysis and cell activation (Wallport, 2001).Several studies showed activated complement componentsin the atherosclerotic plaque, as well as membrane attack,the complex (MAC, C5b-9) that promotes cellular activa-tion, upregulates adhesion molecules, stimulates chemo-kine secretion and can cause cell lysis (Yasojima et al.,2001).

    The potential activity of tamarind extracts on the CShad not been previously investigated; it may be of interestfor application in research and therapy.

    The aim of the present study was to evaluate the effect ofExT on the activity of the CS in vitro, and on complementactivity in an experimental model of hyperlipidemia inhamsters submitted to a cholesterol-enriched diet and trea-ted or not with ExT. Components of the classical/lectin(CP/LP), or alternative pathways (AP) of the CS (Wall-port, 2001) and complement lytic activity wereinvestigated.

    2. Materials and methods

    2.1. Buffers

    Complement fixation diluent (CFD) containing 0.1% gelatin, was usedfor hemolytic assays of CP/LP, according to Harrison and Lachamnn

    (1986). Triethanolamine (TEA) 0.02 M buffer, pH 7.2, containing

    0.0005 M of azide, 0.08 M of ethyleneglycol-bis-(b-aminoethyl ether)

    N,N,N0,N0,-tetraacetic acid and 0.002 M magnesium (TEA/EGTA/Mg2+),was used for the evaluation of AP activity. Phosphate buffered saline(PBS) pH 7.4, maintained on ice, was used to stop hemolytic reactions.

    2.2. Plant material

    Ripe fruits of Tamarindus indica were collected in the region ofRibeirao Preto, SP, Brazil and peeled to obtain the pulp employed for theextract preparation.

    2.3. Preparation of hydroethanolic extract of the pulp of

    Tamarindus indica (ExT)

    Approximately 100 g of the fruit pulp were placed in a conical flaskand soaked at room temperature for 5 days, in 400 mL of 70% ethanol inwater. The resulting extract was filtered through a sieve and rotoevapo-rated twice, until complete alcohol evaporation had occurred.

    The composition of this ExT, previously determined by Martinelloet al. (2006), is shown inTable 1. Total sugars were determined by thephenolsulfuric acid method according to Dubois et al. (1956); the reac-

    tion mixture contained, respectively, 500lL of the sample (a solution at0.1 mg/mL of crude ExT (w/v)), the blank or a glucose standard (VetecQumica Fina LTDa, Rio de Janeiro, Brazil) (20100lg/mL solution),respectively, 500lL of an aqueous phenol 5% (w/v) solution and 2.5 mLof fuming sulfuric acid. After mixing and chilling, absorbance was mea-sured at 490 nm in a Beckman DU-70 spectrophotometer to determinehexose content.

    Total soluble phenolic derivatives were determined according toFolinand Ciocalteau (1927), using a reaction medium containing 50 lL of thesample (a solution of 20 mg/mL of crude ExT (w/v)), the blank or a gallicacid standard (Sigma) (1001000lM), respectively, 50lL of 7% (v/v)acetic acid, 50lL of the FolinCiocalteaus reagent, 50lL of 35% (w/v)sodium carbonate and 800lL of distilled water. After mixing, the reac-tants were incubated for 90 min at room temperature in the dark. Lightabsorbance was measured at 725 nm in a Beckman DU-70 spectropho-

    tometer, and the total phenolic content expressed as gallic acid equivalentsper mg of extract.

    Protein concentration was determined by Bradfords (1976), calori-metric method, using a commercially available kit (BIO-RAD ProteinAssay) and a bovine serum albumin (BIO-RAD standard II). Fiftymicroliter of sample (undiluted ExT) blank or albumin standard (2.525lg/mL), respectively, were added of 40lL of BIO-RAD reagent. Aftermixing, the reaction mixture was incubated for 5 min, at room tempera-ture. Its absorbance was measured at 600 nm in a Beckman DU-70spectrophotometer. SomogyiNelsons method was employed to evaluatethe concentration of reducing sugar (Kidby and Davidson, 1973). Briefly,1 mL of the sample (0.1 mg/mL of crude ExT (w/v)), of the blank or of thegalactose standard (Sigma) (20100lg/mL) were added to 1 mL ofSomogyis reactant and incubated for 10 min at 100 C. After cooling,1 mL of Nelsons reagent was added and the mixture made up to 10 mL

    with distilled water. Absorbance was measured at 540 nm in a BeckmanDU-70 spectrophotometer.

    For the uronic acid determination (Blumenkratz and Assboe-Hansen,1973), 200lL of sample solution of 0.1 mg/mL of crude ExT (w/v), of theblank or the glucuronic acid standard (Sigma) (2.5100lg/mL) weremaintained in ice and then 1.2 mL of 0.0125 M sodium tetraborate wereadded. After mixing and incubation for 5 min incubation at 100 C, 20lL

    Table 1Components of the ExT (%)a

    Totalsugars

    Reducingsugars

    Phenoliccompounds

    Uronicacid

    Protein

    61.5 27.6 0.25 3.70 0.57

    a Determined as referred to in Section 2.

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    The administration of ExT to hamsters had no effect onCP/LP or AP lytic activities after 1560 days of treatment(results not shown). Results obtained following 30 and 45

    days of treatments respectively, are from samples assayed

    on the same day, and are presented on Figs. 2a and 3afor convenience.

    After 45 days of consumption of a hyperlipidemic diet(Col), increased CP/LP (Fig. 2a) and AP (Fig. 3a) activi-ties, expressed by decreased values oft1/2compared to con-trols, were observed. Similar results were obtained in other

    groups treated following the same protocol, with some var-iation in the periods of treatment between assays. Consid-ering these results, we evaluated the activity of C2 andFactor B, components specific for respectively CP/LPand AP, by a hemolytic assay using reagents deficient inthese components (prepared in our laboratory, see Section2for details). When assayed using R(2), CP/LP lytic activ-ity (expressed as percentage relative to controls) (Fig. 2b),was significantly increased in the hyperlipidemic hamstersafter 45 days of treatment. Similar results were obtainedwhen Factor B was evaluated using R(B) (Fig. 3b). Inter-estingly, when ExT was administrated to animals given anormal diet, but also when given together with a diet

    enriched with cholesterol (CE), this effect did not occur.These results suggest that the increases of CP/LP and APlytic activity observed in these assays could be due to alter-ations of complement at the level of components C2 andFactor B as a consequence of the administration of a dietrich in cholesterol, but that treatment with ExT was ableto block this effect.

    Hyperlipidemia was evaluated by determination of totalcholesterol and triacylglycerols in serum (Fig. 4). Levels oftotal serum cholesterol were significantly higher in animalsreceiving the high lipid diet after all periods of treatmentcompared to controls (only periods of 15 and 45 days are

    shown for convenience). Increase of serum triacylglycerols

    0.0 0.3 0.6 0.9 1.20

    10

    20

    30

    40

    50

    0 250 500 750 10000

    25

    50

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    Pe

    rcentage

    oflysis

    Percentage

    ofinhibition

    oflysis

    Extract concentration

    (g/mL)

    Extract concentration

    (mg/mL)

    a

    b

    Fig. 1. Effect on the lytic activity of respectively CP/LP (a) and AP (b), ofpre-incubation of the ExT with normal hamster serum for respectively, 15and 60 min.

    C ExT COL CE

    2.0

    2.5

    3.0

    3.5

    4.0

    C ExT COL CE2

    3

    4

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    C ExT COL CE

    0

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    C ExT COL CE0

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    T1/2(minutes)

    PercentageofincreaseofCP/LPlyticactivity

    45 days

    30 days

    *

    *

    C ExT COL CE

    2.0

    2.5

    3.0

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    4.0

    C ExT COL CE2

    3

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    C ExT COL CE

    0

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    C ExT COL CE0

    10

    20

    30

    40

    PercentageofincreaseofCP/LPlyticactivity

    45 days

    30 days

    *

    *

    a b

    Fig. 2. Effects on the restoration of lytic serum activity CP/LP (a) and R(2) (b), by hamster serum from animal groups: c (controls, 814)#, ExT (extract-treated, 710), Col (hypercholesteremic 1118) and CE (hypercolesterolemic + extract-treated 810) treated respectively, for 30 and 45 days. #Number of

    animals tested.

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    (CFV) (Oberholzer et al., 1999), were decisive to under-

    stand the activation and regulation of the AP. Ourin vitro results showed that the ExT affects serum comple-ment leading to a concentration dependent increase ofCP/LP lytic activity. Since the ExT by itself did not lyseof EA or E (results not shown), we can conclude thatincrease in lysis through the CP/LP in vitro, is due to aneffect on complement. This effect was opposite to that onAP, where a decrease in lytic activity was observed. Theseopposite results could be a consequence of the complexcomposition of the ExT, with different substances actingon different points of the complement cascade causingdiverse effect on complement activity. Future studies are

    required to understand this discrepancy; they justify addi-tional efforts to isolate the substances responsible for theseactions and to investigate the mechanisms involved.

    Assaysin vivoin hamsters given a normal diet (controls)or a of cholesterol-enriched diet were performed employingan experimental model widely used in atherosclerosis stud-ies (Moghadasian, 2002; Kahlon et al., 1992; Dorfmanet al., 2003; Nistor et al., 1987), in which diet cholesterolcontent varied between 0.05% and 3% (w/w). This modelwas also chosen based on previous results obtained byour group (Martinello et al., 2006). Animals treated for10 weeks were hypercholesterolemic at the end of treatmentand a well-developed and mature atherosclerotic lesion wasdemonstrated. Our aim was to investigate the eventualinvolvement of the complement system in the mechanismthat triggers the inflammatory process of atherosclerosis,as well as the effect of the ExT on this condition. It wastherefore necessary to find a condition where developingincreases of serum total cholesterol and triacylglycerolswould occur preceding the inflammatory process of athero-sclerosis. Thus, we would be able to investigate if eventualcomplement alterations, possibly associated with altera-tions in serum lipid levels, would favor this triggering pro-cess and consequently the inflammation that leads to theatherosclerosis lesion. In animals treated with 1% choles-

    terol for periods between 15 and 60 days, total serum

    cholesterol was raised by all periods of treatment. These

    periods were chosen by us to investigate the role of theCS in the initial phase (pre-lesion) of the disease, inwhich the primary event is the initiation of an inflamma-tory process triggered by not completely understood mech-anisms (Ross, 1999).

    Serum from animals submitted to a standard diet plusExT (ExT group), showed lytic activity similar to that ofthe controls, indicating that such treatment did not affectthe complement system. Two different protocols were usedto evaluate the CS in animals receiving a diet with high lev-els of cholesterol. In the first group, hamsters receivedwater plus cholesterol (Col group), and in the second,

    received ExT plus the sterol (CE group). In the first group,CP/LP and AP lytic activities triggered by respectively,rabbit anti-sheep erythrocytes (EA) or rabbit E, (seeSection 2), were significantly increased compared to con-trols after 45 days of treatment. It is important to reinforcethe fact that a considerable number of additional assayswere performed using the 45-day and other periods oftreatment. Increases of CP/LP and AP lytic activity dueto the cholesterol-rich diet were regularly replicated. Atotal of 40 animals were evaluated. However, considerablevariability occurred related to the period of treatment inwhich the effect was statistically significant. We attributedthese observations to normal biologic variability, and werea measure taken to avoid the sacrifice of a higher numberof animals.

    This condition of hyperlipidemia possibly associated toan increased potential (increased concentration?) of com-plement to generate fragments such as C3a/C3b/C5a orsublytic doses of the membrane attack complex (MAC),could have important biological consequences. Pasquiet al. (2000) showed a significant increase of sC5b-9 (butnot of CH50, C3 or C4) in hypercholesterolemic subjectscompared to controls, indicating complement activation.The plasma sC5b-9 level was inversely and significantlyrelated to HDL-cholesterol. An increase of circulating

    immune complexes containing cholesterol was also demon-

    CEx

    T

    C

    OL

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    0.0

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    CExT

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    CE

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    COL

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    COL

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    CEx

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    0.0

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    CEx

    T

    C

    OL

    CE

    0.0

    2.5

    5.0

    7.5

    10.0

    CExT

    COL

    CE

    0.0

    2.5

    5.0

    7.5

    10.0

    CExT

    COL

    CE

    0.0

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    5.0

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    10.0

    CExT

    COL

    CE

    0

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    CExT

    COL

    CE

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    CExT

    COL

    CE

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    CEx

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    CE

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    CExT

    COL

    CE

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    CEx

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    TOTAL PROTEINS

    CExT

    COL

    CE

    0

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    COL

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    COL

    CE

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    COL

    CE

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    3

    CExT

    COL

    CE

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    2

    3

    CExT

    COL

    CE

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    2

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    4

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    COL

    CE

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    2

    3

    4

    CExT

    COL

    CE

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    3

    CExT

    COL

    CE

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    4

    ALBUMIN

    Seruml

    evelsofalbumin(g/dL)

    Seruml

    evelsoftotalproteins

    (g/dL)

    C

    COL

    CE0

    50

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    C

    COL

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    C

    COL

    CE0

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    AST ALT

    AST(

    U/L)

    ALT(

    U/L)

    Fig. 5. Serum levels of total protein, albumin, aspartate (AST) and alanine (ALT) transaminases in hamsters in the groups C, ExT, Col and CE.n= 10 forall groups. Animals were treated for 15 and 45 days, respectively.

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    strated, suggesting that complement activation in dyslipide-mia may be induced by this mechanism. Another impor-tant factor is the decrease of HDL in subjects under ahypercholesterolemic diet. Since complement regulatoryproteins such as CD59 are transported in serum by HDL(Vakeva et al., 1994), this decrease could in some way affect

    serum complement activity. The evidences available in theliterature about complement activation in established ath-erosclerosis, and our data showing that when activated,complement action is high in hyperlipidemia, may be ofinterest and as shown here, the effect of ExT under theseconditions justifies additional studies. In the CE group,lytic activity showed values similar to those of controls.The mechanism through which diets containing high levelsof cholesterol affect complement activity, and throughwhich ExT prevents this effect will be subjected to investi-gation.

    Similar results were obtained in assays using treated ani-mals serum samples to restore the lytic activity of serum

    deficient of C2 [R(2)] and of factor B [R(B)]. When serumfrom the Col (hypercholesteremic only) group was used,lysis was higher than in controls, but serum from the CEgroup restored lytic activity to values similar to those ofthe controls. These data point to alterations of CP/LPs atthe level of C2 and of AP at the level of factor B, possiblyinvolving the components themselves and/or regulators ofcomplement activation at these points of the cascade. Suchalterations were not observed when ExT was furnished toanimals in association with a diet containing high levelsof cholesterol, and to our knowledge, components of ham-ster complement or their respective antibodies are not com-

    mercially available. In order to enable us to presentlyfurther investigate the mechanism of these effects, the useof the R(2) and R(B) reagents for (indirect) evaluation ofthese components effects appears justified.

    We believe that a direct correlation between the resultsobtained in our in vivo and in vitro studies, is not to beexpected. Factors such as intake, absorption and metabo-lism of our study material can affect its bioavailabilityand bioefficiency (Ross and Kasum, 2002). The ExT is amixture of many compounds whose bioavailability dependson their structure. The activity of compounds present in thecrude tamarind extract could be modified or/and destroyedfollowing absorption and metabolism. Nevertheless,besides its use in research, we consider the possibility thatExT is a potential source of compounds that if properlyisolated, may eventually become of therapeutic use. Therationale to use drinking water containing 5% ExT wasthat this concentration is usually present in tamarind juicedrinks consumed by the human population.

    In order to rule out an eventual damage to the liver bythe hypercholestorlemic diet or by the ExT treatment, weinvestigated possible alterations of serum protein, albuminlevels and transaminase activity following experimentaltreatments. As shown in Fig. 5, hamster liver functionwas not affected by them. This is of importance considering

    that the liver is the site of the synthesis of the majority of

    the CS components (Paul, 1999), which could be alteredby hepatic lesions. However, even if this is occurring at lev-els not detectable by our analyses, it is important to restatethe protective action of the ExT in these conditions. Fur-thermore, besides its known role in the process of athero-sclerosis, increased activity of CS as a consequence of

    hyperlipemic diets could eventually enhance the triggeringof the inflammatory process that precedes atherosclerosis.Serum levels of total cholesterol and triacylglycerols

    were increased in animals given a high-cholesterol diet. Inthe CE group, triacylglycerol levels were normal, but totalcholesterol remained high, although it is worth consideringthat determinations of total cholesterol may mask varia-tions due to the different types of components measured,like high (HDL) and low (LDL) density lipoproteins; thiseffect was already observed in recent studies on the effectof the ExT on cholesterol levels in our experimental animalmodel (Martinello et al., 2006). A decrease in serum triglyc-erides may be associated with the epicatechins present in

    the ExT (Sudjaroen et al., 2005); they promote high fecalexcretion of total fatty acids, neutral and acidic sterols,suggesting that the hypolipidemic activity of this materialmay be mediated by its influence on the absorption ofdietary fat and cholesterol (Chan et al., 1999). Moreover,the ExT is rich in total sugars, and it has been describedthat consumption of b-glucan lowers total and non-HDL-cholesterol in plasma due to its soluble fiber content(Wilson et al., 2004). Nevertheless, the mechanism bywhich high-level cholesterol diets affect complement activ-ity and by which ExT prevents this effect, certainly deservesadditional investigation.

    To conclude, the apparent discrepancy between in vivoand in vitro results produced by the ExT, deserves furtherstudy of factors involved in its in vivo actions dependenton the intake, absorption and metabolism of its compo-nents possibly affecting bioavailability and bioefficiency.The finding that ExT appears to contain substances show-ing differing, even opposite effects on the complement sys-tem, deserves consideration, and justifies additional effortsto isolate the substances responsible for such effects and toinvestigate their mechanisms of action.

    Acknowledgements

    The authors are indebted to the Conselho Nacional deDesenvolvimento Cientfico e Tecnologico (CNPq) forfinancial support (Grant Nos. 475267/2003-6 and 306965/2003-8) and Fundacao de Amparo a Pesquisa do Estadode Sao Paulo (FAPESP) (Grant No. 05/00887-9). Wethank Denise Pimenta da Silva Leitao and Dr. AdolfoRothschild for manuscript revision, Ieda Maria RazaboniPrado for ExT components determinations, Alcides Pere-ira for animal handling, Antonio Zanardo Filho and JoaoJose Franco for biochemical determinations and the pri-sioners of the Ribeirao Preto, SP Penitentiary for helping

    in the peeling of the fruits ofT. indica.

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