Using Soursop Extracts for Natural Gout Treatment
Mufeed Jalil Ewadh1, *, Maha Fadhil Smaism1, Ali Mohammed Jawad2, Samr Mkhlof3, Osama Muzahim Aljubouri4, Muna Mufeed Ewadh1
1Biochemistry Dept., College of Medicine, University of Babylon, Babylon, Iraq
2Ministry of Science and Technology, Baghdad, Iraq
3Tishreen University, Faculty of Medicine, Lattakia, Syria
4Babylon Health Office, Merjan Taching Hospital, Diabetology Center Medical Laboratory, Babylon, Iraq
To cite this article:
Mufeed Jalil Ewadh,Maha Fadhil Smaism, Ali Mohammed Jawad, Samr Mkhlof, Osama Muzahim Aljubouri, Muna Mufeed Ewadh. Using Soursop Extracts for Natural Gout Treatment. American Journal of Bioscience and Bioengineerin. Vol. 3, No. 5, 2015, pp. 37-39. doi: 10.11648/j.bio.20150305.12
Abstract: Soursop extract used to show its effects on the xanthine oxidase activity by inhibition its ability to produce uric acid, the principal reason for the gout and other inflammatory diseases. The fractionation results shows that the major fraction of phenolic compounds is cumarin separated by revise phase high performance chromatography (HPLC) which shows by in vitro test a considerable inhibition of the xanthine oxidase activity equal to 72.15 ± 0.70 compared with positive control (Allopurinol) (P < 0.05) which lead to reduce production of uric acid. The atomic absorption analysis (AA) of trace elements (Fe, Zn, Mg, P) shows the presence of such metals in soursop sample in an amount nessacery for many metabolic processes in human body. In conclusion the cumarin can used as treatment for gout instead of allpurinol because of its side effect. Further histopathological studies need to explore such study to show the effect of cumarin and trace elements on liver and other organs in animal samples.
Keywords: Soursop, Gout, Xanthine Oxidase, Trace Elements
Soursop is the fruit of Annona muricata, a broadleaf, flowering, evergreen treenative to Mexico, Cuba, Central America, the Caribbean islands of Hispaniolaand Puerto Rico,and northern South America, primarily Colombia, Brazil, Peru, Ecuador, Venezuela. Soursop is also produced in some parts of Africa, especially in Eastern Nigeria, Southeast Asia and the Pacific. It is in the same genus as the chirimoya and the same family as the pawpaw (papaya).
The soursop is adapted to areas of high humidity and relatively warm winters; temperatures below 5 °C (41 °F) will cause damage to leaves and small branches, and temperatures below 3 °C (37 °F) can be fatal. The fruit becomes dry and is no longer good for concentrate.
Soursop is widely promoted (sometimes as "graviola") as an alternative cancer treatment. There is, however, no evidence to show that graviola works as a cure for cancer. In laboratory studies, graviola extracts can kill some types of liver and breast cancer cells that are resistant to particular chemotherapy drugs. But there haven’t been any large-scale studies in humans. So we don't know yet whether it can work as a cancer treatment or not 
Gout is one of the most common metabolic disorders which affects around 13% of the male population and 5% of the female population  and characterized by an excessive concentration of uric acid in the blood, leading to acute gouty arthritis, tophi of the joints and extremities, and uric acid nephrolithiasis . Elevated levels of uric acid not only leads to gout, but also results in the development of hypertension, cardiovascular disorders, diabetes, obesity, hyperlipidemia and cancer . The therapeutic approach to treat gout is to use either uricosuric agents or xanthine oxidase inhibitors (XOI) in order to block the synthesis of uric acid from purines, however to prevent the side effect of drugs there is a need to develop natural compounds with XOI activity. A potential source of such compounds can be obtained from medicinal plants [5, 6], such as soursoup.
2. Materials and Methods
2.1. Plant Material and Preparation of the Extract and Fractionation
The plant material consists of dried powdered prepared as below of the soursoup:
The plant (350 gm without skin) was taken of seeds and slid sheet done and oven dried at 40ºC for seven days. The dried were ground to fine powder using mill, then finely powdered plant are kept in a dark place at room temperature until the time of use. About 3g of the dried powdered was soaked with 50 ml of methanol: water (7:3) incubated in room temperature for 48 hrs. The extract was filtered using What man No.1 filter paper, the solution was evaporated by rotary evaporator at 40 ºC. All extract were kept in vacuum desiccators over anhydrous calcium chloride and were kept in the fridge at 4 ºC to be test.
2.2. Phenolic Compound and Trace Elements Analysis
2.2.1. Determination of Total Phenolic Contents
The total phenolic content in extract were estimated by Folin-Ciocalteau reagent as desicribed by . Then samples allowed for analyzed by High Performance Liquid Chromatography (HPLC) system, model Shimadzu 10AV-LC equipped with binary delivery pump model LC-10AV, the eluted peaks were monitored by UV-VIS10A-SPD spectrophotometer. Standards of suspected compound were run similarly for identification and quantification, concentration of each isolated compound.
The fractions containing low-molecular weight phenolic compounds (5 ml) were collected using a fraction collector and their absorbance was measured at 278 nm. The fractions were eluted from the column with acetonitrile-water (80:20; v/v) . The elutes were then pooled into major fractions. Organic solvents were evaporated at 45°C using rotary evaporator.
2.2.2. Trace Elements Analysis
The water solution has been allowed for atomic absorption for trace element analysis such as (zinc, iron, manganese, Phosphorus) using Atomic Absorption Spectrophotometer PG990 (9), while the rest of the fractions was lyophilized .
2.3. In Vitro Xanthine Oxidase Inhibitory Activity Assay
The inhibitory effect on XO was measured following the method reported by  using allopurinol (100 μg/ml) as positive control for the inhibition test.
The inhibition percentage of xanthine oxidase activity was calculated according to the formula = (A control-A sample) / A control × 100% .
2.4. Statistical Analysis
Data obtained were expressed as mean ± standard deviation and the protocol for the statistical analysis applied throughout the experimental part by SPSS version 17 by using t test. The probability (P) of the measurements was considered to be significant (at < 0.05).
3. Results and Discussion
3.1. Total Phenolic Contents in Extract Plant
Table one shows the total phenolic as mg gallic acid equivalent / 100 mg dry weight of soursop.
|Extract of plant||Total phenolic (mg gallic acid equivalent/100 g)|
|Soursop||37 ± 0.65|
3.2. Phenolic Compound Analysis
HPLC analysis showed that fraction of coumarin has the major concentration (122.8 μg / ml) than other compounds. So all following results represent the effect of coumarin on different parameters.
3.3. In Vitro Xanthine Oxidase Inhibitory (XOI) Activity
The result shows that the highest XO activity of methanol extract soursop (coumarin fraction) with 70.15 ± 0.70 compared with positive control (Allopurinol) (P < 0.05) as show in the table (2). However it is worth to notify that Phytochemical screening of the plant revealed the presence of flavonoids, phenolics, saponins and triterpenoids accounting for its antioxidant properties .
|Extract of plant||Fraction||% xanthine oxidase inhibition|
|2-allopurinol (positive control)||67.11±5.01|
Result are expressed as mean ±SD (n=3) *indicates p < 0.05
Table (3) shows the amount of trace element present in plant juice which which in addition to phenolic compounds gives an indication that why the use of such plant as cancer fighter, however using herbal supplements while undergoing chemotherapy could reduce the efficacy of chemotherapeutic agents due to possible herb-drug interactions , but in any way the trace element here could also have catalytic agents for reducing uric acid in patients with gout.
|Trace element||Concentration in mg / 100 gm of sample|
In conclusion, this study is the first to demonstrate that coumarin fraction of soursop extract possesses significant antioxidant and anti-uricemic activities. Further studies on isolation of some active constituents may lead to the provision of new natural drugs for treatment of hyperuricemia and gout.
The authors would like to extend their appreciation to Mr. Mohammed M. Ewadh for his efforts in typing this manuscript.