Chemicals and Reagents
All the chemicals used during this study were all analytical grade and of purest quality available.
The Nitric Oxide Synthase; NOS inhibitor; [L-NAME] -Nitro-L-Arginine Methyl Ester that was used for hypertension induction was purchased from German Chemical Company, (Sigma Aldrich). The kits that were used for the determinations of conjugated bilirubin and alkaline phosphatase were purchased from Abnova (Taiwan). The Manufacturer’s instructions for the usage of the kits were strictly followed; including their storage at 2-8ºC and were left for at least 1 hr at room temperature prior to their initial use. De-ionized water and other chemicals used during this study were also of analytical grade.
Raw Camel Milk (CM) sample collection
Five (5) healthy lactating female camels (Camelus dromedarius) from Kwakwalawa village; Sokoto State, Nigeria whose ages were 5-10 years old was sources for the needed milk samples that was collected by hand milking following proper sterilization of the Camels udders. 5 L equivalent of milk from each female camel were collected by experienced and skilled camel attendant during morning time. Samples were first collected into properly labeled plastic containers [A-E] and were then carefully transferred into another labeled suitable sterile glass bottles (vials). Immediately, the obtained samples were transported via cold chain medium to the Research laboratory of the Usmanu Danfodiyo University, Sokoto and refrigerated at -20ºC until required for further use.
Ethics Statement
Animal studies were performed in accordance with recommended advice for the Use and Care of Animals in the Laboratory by the (OECD, 2008) procedures. Permission was granted by the University Research Ethics Committee of the Centre for Advance Medical Research and Training; CAMRET of the University (UDUS) via approval letter UDUS/UREC/2019/020 for this study to use albino rats.
Experimental Animals
Overall, forty-four albino rats (Wistar strains) of both sexes were used in both acute and sub-chronic toxicity research. Required albino rats used in this study were procured on purchase from the Animal House of Department of Pharmacology and Toxicology of Faculty of Pharmaceutical Sciences, College of Health Sciences, Usmanu Danfodiyo University, Sokoto, Nigeria. Weights of all the rats ranged between 150-250 g and they were acclimatized in wire mesh cages for 2 weeks to adapt to the new laboratory environment where they were caged before the commencement of conducted experiments. Rats were randomly divided and assigned into properly labeled cages and kept separately according to their sex to protect females from conceiving during study period. Animal feed and drinking water were provided ad libitum.
On premise of Up and Down Procedure; the acute toxicity test was performed in accordance with Organization for Economic Co-operation and Development; OECD 407 document Guidelines 407 with 6 rats chosen randomly for each sub group. Tests were conducted via 2 steps for; (i) 2000 mg/kg and (ii) 5000 mg/kg phases and each rat involved in the 2 steps represent its group with each among them receiving appropriate single oral dose of either 2000 or 5000 mg/kg of CM and their controls similarly given same volume content of distilled water (1 rat for each category) that made 14 rats in all for acute study. In sub chronic toxicity studies; there were (3) major sub groupings as A, B and C in which each sub group also has 5 rats housed in their labeled cages. Group D was the control set and it had 1 rat for each of A, B and C, making total of 18 rats. Detailed procedure was in the subsequent narration beneath
General procedure
Rats were handled in both acute and sub-chronic stage in a simple similar way. The feeding cannula used to give oral gavage of samples during animal handling was held by right hand and rat was held with left hand. The neck and head of rat were kept in straight posture to allow cannula enter rat mouth easily. After insertion of the cannula into any rat’s mouth by about 5 cm deep, it was then pushed slowly to allow cannula content being delivered into the rat body. Rats that agreed gently with minimal or no resistance, were given the whole milk content slowly. Those rats that resisted and engaged in struggle, their cannula was withdrawn paused a little and gently reworked.
Clinical monitoring started immediately after the simultaneous single oral dose CM gavage treatment then followed after 4 hr. From then after every 8 hr, the rat will be monitored to last for at least 7 days.
Reconstitution of CM oral doses for administration
Bulk refrigerated CM samples (A-E) were shaken to become uniform and homogenized; then poured separately in 5 big volumetric flasks each flask bearing appropriate sample identity as A-E, from where further measurements for subsequent analyses were made. Pipette and graduation flasks were used to measure and reconstitute CM samples to the required concentration dosages of 2000 mg/kg and 5000 mg/kg used in acute oral study. From same bulk homogeneous sample, appropriate volumes were taken and reconstituted into 100, 300 and 500 mg/kg concentration doses in the subsequent sub-acute toxicity studies where it was orally administered by gavage to assigned rats based on their determined body weights during continuous daily oral administration for up to 4 weeks.
Acute oral toxicity evaluation
In acute oral toxicity evaluation of raw camel milk; standard methods that complied with 2008 Organization for Economic Co-operation and Development; OECD 407 document 425 guidelines were followed. Thus, CM single oral dose at 2000 mg/kg were administered to 6 group of rats (each rat representing its group) at grace observation period of 48 hr and the rats were monitored for changes in their behavior; distress and toxic symptoms manifestation, abnormal pattern of food and water consumption and rat mortality from treatment-related incidence. Observation began immediately within first 4 (critical) hr, then at 8 and 16 hr for up to 24 hr period and there was their continuous close monitoring until next day (48 hr). Control rats used per each group was given similar volume of distilled water and was also monitored accordingly.
Similarly, in another separate study same CM single oral dose at 5000 mg/kg body weight were administered to another set of 6 groups of rats for similar grace observation period of 48 hr and those rats too were also observed for obvious signs of toxicity and symptoms of distress, food and water consumption pattern and rat mortality. The control rats for these 2nd set for each group were also treated similarly with similar volume of distilled water as done with the test. Observations made were recorded and documented appropriately.
Sub chronic toxicity evaluation
There were (3) sub groups of rats housed in respective cages A, B and C; with each cage having 5 rats which were all treated according to 407 guidelines. These groups of rats were all having both hypertension and treatment. Rats in treatment group received appropriate CM single dose once daily by gavage. In this sub chronic toxicity phase; the repeated CM single oral doses were daily administered at (100, 300 and 500 mg/kg/day) simultaneously to the different concentration dosing groups together with chronic hypertension induction with dissolved L-NAME solution at (50 mg/kg body weight) uniformly during morning time between 10-11 am for 28-days. Group A received 100 mg/kg body weights/day of raw CM, Group B received 300 mg/kg body weights/day and Group C received 500 mg/kg body weights/day respectively immediately after given dissolved L-NAME treatment.
Control groups
Another rat groups simultaneously treated were (i) normotensives- devoid of any treatment or intervention except being given distilled water (ii) hypertensive negative and (iii) positive controls respectively.
Positive control received amlodipine (10 mg/kg body weights/day) in addition to their hypertensive induction (50 mg/kg/day of dissolved L-NAME) and negative controls were only inducted with hypertension via dissolved L-NAME solution only at (50 mg/kg body weight/day) lacking any intervention or treatment.
Rats in sub chronic toxicity studies were closely monitored two times during the day for immediate abnormal clinical signs after treatment followed by the critical 4 hr post treatment for manifestation of signs and symptoms of distress and toxic effect, their movement pattern in cages, and their food/water consumption and rat mortality rate from beginning to end of study were all monitored and recorded appropriately.
The whole rats groups in the entire study were all monitored for change in body weight and weights obtained was recorded every day prior to treatment, also once a week within period of study and on final day of research when the rats were sacrificed. On 29th day of study, after overnight fast (though rats were not denied free access to water for their drinking) all rats were slaughtered and their blood samples collected through retro-orbital bleeding into specialized test tubes for further biochemical analysis.
LD50 Determination
LD50 is the median lethal dose capable of killing half the number of animals receiving treatment in up and down procedure of toxicological studies and it is calculated to be above the upper limit of the tested dose used in intoxicating animals by oral administration.
Renal parameters assay
Kidney Integrity Function Analyses
Assessment of Urea was based on combined methods of (Wybenga et al., 1971; Wills and Savory, 1981), creatinine was estimated through method of Jaffe’s reaction developed by (Kroll et al., 1987). The (Uriyo and Singh, 1974) method was used for the determination of renal electrolytes (sodium, potassium, chloride and bicarbonate).
Experimental Design in Brief
Blatant raw camel milk consumption has surged upwards in recent times; albeit for different reasons by diverse population have informed this decision; first to assess toxicity status of raw camel milk. If safe, then other ascribed attributes for its consumption can be carefully evaluated. This research interest primarily was focused on the determined LD50. Current determined LD50 dose in acute study was greater than 5000 mg/kg which have informed further decision in calculating subsequent doses to be used in sub-chronic oral toxicity tests. Three different doses in sub-acute study were arrived at (500, 300 and 100 mg/kg body weights) representing higher, medium, and lower doses, respectively, which were explored in the subsequent sub-acute study that followed.
Statistical analysis
The Levene's test for homogeneity of variance and one-way Analysis of Variance (ANOVA) using the SPSS software was deployed for the analysis of the statistical generated data from renal investigations. The graphs were drawn by GraphPad Prism 5.0 (GraphPad Prism, San Diego, USA). Multiple comparisons of the obtained data expressed as (mean±SEM) was done by Tukey’s tests. When p<0.05 and or when chi-square approximation value is less than 0.0001 (