Effect of an herbal extract Number Ten (NT) on body weight in rats
© York et al; licensee BioMed Central Ltd. 2007
Received: 24 July 2006
Accepted: 14 September 2007
Published: 14 September 2007
Chinese herbal extract Number Ten (NT) is a dietary herbal formulation prepared from rhubarb, ginger, astragalus, red sage and tumeric. This study tested the effectiveness of NT in reducing body weight gain in rats.
Sixty female Wistar rats were fed a high fat diet and acclimated to gavage feeding. The rats were divided into five treatment groups: (1) Control (n = 15); (2) NT-H (n = 15), 1.5 g/day; (3) NT-L (n = 10), 0.75 g/day; (4) Pr-fed (n = 10), pair fed to NT-H; (5) d-FF (n = 10), d-fenfluramine 2 mg/kg. Ten rats per group were sacrificed on day 56. Weight, food intake, clinical chemistry and body composition were evaluated. Five animals in the control and 1.5 g/day NT groups were left untreated during a two week recovery period.
The 0.75 g/day NT, 1.5 g/day NT, d-fenfluramine and pair fed groups gained 24.6%, 33.3%, 12.3% and 33.3% less than the control respectively (P < 0.0006). Leptin decreased 27.5% to 46.2% in the treatment groups vs. control (P < 0.009). Parametrial fat decreased 14.1% to 55.5% in the NT and pair fed groups vs. control (P < 0.006). The NT groups had soft stools, loss of hair around the mouth and coloration to the urine and stool without evidence of blood or bilirubin (attributed to chromogens in NT). There were no differences between groups in the clinical chemistry.
This study demonstrated the efficacy of NT in reducing weight gain in rodents.
Herbal treatments have been found effective for major diseases such as cancer, diabetes mellitus, and cardiovascular disease [1–4]. We are looking for effective herbal treatments for obesity. Obesity has a major influence on the morbidity and life expectancy of people. Increasing incidence of obesity suggests this epidemic of overweight will only worsen in the future [5–7]. The absence of effective treatments for the grossly overweight, other than bariatric surgery, has encouraged the search for new drugs and drug targets that might be more effective in inducing weight loss and/or preventing weight gain [8, 9].
Traditional Chinese herbal products were reported to be effective for the treatment of obesity [10, 11]. One such, an herbal decoction known as Number Ten (NT, which is not a trade name) was reported in a published patent specification to be effective in preventing obesity in rats when it was orally gavage fed. NT is developed from Rheum officinale Baill. (Dahuang), Astragalus complanatus R. Br. (Shayuanjili), Salvia miltiorrhiza Bge. (Danshen), Curcuma longa L. (Jianghuang), and Zingiber officinale Rosc. (Shengjiang). The effect of NT to reduce body weight was reported in otherwise normal rats that had been made very obese by feeding a high energy diet  and also in obese rats that had been treated with monosodium glutamate (to induce hypothalamic lesions) . In the former study, an improvement in blood lipid and blood glucose levels was also noted and in the latter one the obesity reducing effect was shown in rats of both genders. In a third study, NT was shown to be effective in attenuating the development of obesity without affecting the gain in lean body tissue in a young growing male rat that had been fed on high fat diet to induce obesity .
Animal models have been used extensively to test the efficacy of potential treatments for the prevention and treatment of obesity. In particular, rodents that are fed on high fat diet are thought to be an excellent model of obesity where dietary environment is a major contributor [13–15].
Preparation of NT
The herbal decoction NT consists of a combination of 40% Rheum officinale Baill. (Dahuang), 13.3% Astragalus complanatus R. Br. (Shayuanjili), 13.3% Salvia miltiorrhiza Bge. (Danshen), 26–27% Curcuma longa L. (Jianghuang) and 6–7% Zingiber officinale Rosc. (Shengjiang). The rhubarb root and stem were placed in a stainless steel pot with water 6–8 times the herb's weight and a mixture of the other four herbs were prepared in a similar manner. The herbs were allowed to soak for eight hours. The water in the pot with the four-herb mixture was boiled until the volume was reduced by half. A cold rhubarb decoction was then added to the four-herb mixture and heated to just below boiling point for 20 minutes before cooling. After filtering the large particulates from the decoction, the remaining liquid was freeze-dried to a powder form, producing 0.5 g of solids from 10 ml of liquid.
Sixty female Wistar rats (with an average weight of 220 g at the beginning of the study) were housed individually in hanging wire mesh cages. Room temperature was maintained at 22–24°C and light cycle was 12 hours with lights out at 18:00. The animals were accustomed to handling and daily gastric intubation over a one week period.
Rats were divided into five experimental groups. All were placed onto a high fat diet with 29% protein, 24% carbohydrate and 30% fat by weight for 56 or 70 days (energy density of diet = 4.78 kcal/g). Fresh food was placed in the cages immediately before lights out. The five groups of rats were tube-fed between 16:00 and 18:00 daily before lights out with water (Control, 15 animals), 1.5 g of freeze-dried NT powder (NT-H, 15 animals), 0.75 g of freeze-dried NT powder (NT-L, 10 animals), water while pair fed to NT-H (Pr-fed, 15 animals) and 2 mg/kg of d-fenfluramine (d-FF, 10 animals) respectively. The experimental protocol was approved by the Institutional Animal Care and Use Committee and conformed to all the federal guidelines.
Food intake was recorded daily throughout the experiment; body weight was recorded daily for the first 23 days and twice a week from day 23 to day 56. Except for 5 animals in the control and the 1.5 g NT groups, all rats were sacrificed by guillotine to collect trunk blood on day 56. The remaining ten animals were sacrificed on day 70. The parametrial and retroperitoneal fat pads were carefully dissected free of surrounding tissues by a single investigator to ensure consistency of dissection. Other tissues were individually dissected and weighed in a similar manner.
Trunk blood was collected from fed rats between 10:00 and 14:00 and serum was prepared. Serum cholesterol, triglycerides, glucose, sodium, potassium, chloride, alkaline phosphatase, alanine aminotransferase, aspartate aminotransferase, creatine phosphokinase, gamma glutamyl transpepdidase, amylase were assayed on a Beckman Coulter Synchron CX7 chemistry analyzer using standard methods. Rat insulin, leptin and corticosterone were assayed by commercial radioimmunoassays (Linco Corp, San Diego, California, USA). Platelets, white blood cell count, mean cell volume, hematocrit and hemoglobin were also assayed on a Beckman Coulter HMX.
During the 56 days of the experiment, all rats were observed daily by an animal technician, and weekly by a veterinarian who was blind to the individual treatments of each rat. Notations were made regarding their physical activity/lethargy, fur condition, skin condition, eye condition, stools and 'others'.
Body composition of the eviscerated carcasses was measured. The frozen carcasses were allowed to warm to room temperature and then dried in a 60°C oven to constant weight. The dried carcasses were homogenized repeatedly to produce a homogeneous sample. A sample of this homogenate was used to assay protein (Kjeldahl analysis), fat (Soxhlet extraction) and ash (combustion) for calculation of body composition.
Data were analyzed using the Statistical Package for Social Sciences (SPSS) version 12. Weight, food consumption, body composition, organ weights and clinical blood analytes were analyzed using one-way analysis of variance (ANOVA) followed by a Scheffe Comparison of Means analysis for unbalanced groups. After sample sizes were balanced, an additional Bonferroni and Tukey Comparison of Means analysis was performed. Feed efficiency was calculated from the amount of weight gained in grams per gram of food consumed. Correlation was estimated by Pearson's coefficients. The results with P values less than 0.05 were considered to be statistically significant.
There were no significant differences in the weights of the kidney, spleen, liver, and gastrocnemius muscle among the groups after the 56-day experimental period (data not shown). The hearts of the rats in the control group were significantly larger than those in all other groups. However, when the weight of the heart was taken as a percentage of the body weight of the respective rat, there were no significant differences between the groups.
Serum prepared from trunk blood obtained at time of sacrifice (day 56) was used for clinical chemistry assays. The analyses included quantification of glucose, triglycerides, cholesterol, alkaline phosphatase, alanine aminotransferase, amylase, aspartate aminotransferase, chloride, cholesterol, creatinine phosphokinase, γ-glutamyl transpeptidase, glucose, hemoglobin, hematocrit, mean cell volume, platelets, potassium, sodium, triglycerides and white blood cells. One-way ANOVA plus Scheffes' Comparison of Means for each variable indicated that there were no significant differences between any of the serum analysis variables from the treatment groups and control group, nor among the treatment groups.
Safety and toxicity
A small degree of alopecia during the first week of treatment was observed around the chins of the rats in the NT-H group. The alopecia disappeared within the next seven days after the animal technician was advised to be more scrupulous with the use of the intubation tube.
Rats in the NT treatment groups had yellowish urine which stained fur around the genitalia. Urine was tested negative for bilirubin. Rats in both NT-H and NT-L groups had loose stools for the first few days. By the end of the first week, the stools of the rats in the NT-L group were well formed and their consistency appeared normal, whereas the consistency of the stools of the rats in the NT-H group still appeared softer than those in other groups. Soft stools were observed among the rats in the NT-H group from time to time during the course of study. Moreover, the stools of the rats in both the NT-H and NT-L groups appeared reddish throughout the duration of the experiment. A test for hemoglobin was negative. The rats in the NT-H group liked to rub and groom the fur around their mouths after intubation, which was not observed in other groups. During the recovery period when the NT treatment was withdrawn, the color of the urine and stools returned to normal and the rats stopped grooming around the mouth. No other differences in activity/lethargy, fur condition, skin condition, eye condition or other physical characteristics were observed.
The results of this study demonstrate that NT was effective in reducing body weight gain in rats that had been fed a high fat diet to induce obesity. Rats in the high dose NT (NT-H) and low dose NT (NT-L) groups gained 33.2% and 24.6% less weight than those in the control group respectively. These results are consistent with the range of weight reductions in another study . Furthermore, weight reduction by NT appeared to occur in a dose-dependent manner. Several interesting characteristics of the weight reduction are as follows.
Firstly, the temporal changes in weight induced by NT and d-FF were very different. Rats treated with d-FF showed the classical response of rodents to anorectic drugs whereby the majority of weight loss occurred in the first few days of treatment, after which weight gain paralleled that of the control group [16, 18, 19]. By contrast, the initial weight loss and reduction in food intake were less pronounced with NT treatment, instead a steady and continued reduction in weight gain throughout the study period was observed.
Secondly, rats in the pair fed group had a similar reduction in weight gain and body fat as the high dose NT group, therefore, reduction in weight gain with NT treatment appears to be caused by reduction in food intake rather than any metabolic effects. On the other hand, the failure of NT treated rats to regain body weight during the recovery period despite similar levels of food intake to the control group would conversely suggest the possibility of a small, prolonged metabolic effect. It also suggests that the NT treatment may lead to a long lasting reduction in body weight.
Thirdly, changes in body composition suggest that decreases in body weight can be attributed to decreases in body fat. Both the changes in the level of body fat and in the weight of the two fat pads are supportive of this interpretation. The close correlation of serum leptin levels to body fat provides great confidence in these data and once again confirms the observation that serum leptin levels are an excellent index of body fat levels . There were no changes in body protein despite the reduction in food intake during this experimental period when the rats were still growing.
Overall, the data suggest that the effects of NT on body weight and body composition were mediated through changes in food intake rather than metabolic effects. The principal evidence for this is the similarity of the weight changes between the NT-H group and the Pr-fed group. It is important to recognize that the data on feed efficiencies should not be interpreted as indicative of any metabolic responses. Since the composition of the weight gain was different between control and NT-treated groups, the feed efficiency data underestimate the differences between control and NT-treated rats. However, the decrease in feed efficiency induced by NT reflects the differences in partitioning of energy into fat stores in the presence of reduced levels of food intake. The similarity in feed efficiency of NT-H group to the pair fed group support this suggestion. NT-treated rats protected their protein deposition at the expense of reducing their fat deposition, an entirely normal response in the face of diminished energy availability.
The mechanism through which NT reduced food intake is unknown. With any anorectic substances, it is important to ensure that the reduction in food intake is not induced through sickness or nausea. This is normally shown by performing a conditioned taste aversion assay (CTA) with the anorectic compound and comparing this to a known aversive agent such as lithium chloride . A CTA test was not performed in the current study. There were no physical symptoms to suggest that the rats treated with NT were unwell or nauseated. On the contrary, the rats remained active, alert and in good physical condition throughout the study.
The rats treated with high dose NT that were allowed a two week post treatment recovery period did not exhibit any catch-up growth during this period. This finding may suggest a continued response to NT or storage of the active components within the body.
There were no clinical symptoms that would cause concern in using this product in humans. The change in appearance of stools was related to the dietary fat and chromogens in the herbs. The negative testing for blood and bilirubin along with the disappearance of these color changes in the recovery period are consistent with this hypothesis. The loss of hair around the mouth and nose was possibly a result of the rats trying to wipe off residual NT around the feeding cannula. This activity decreased when the external part of the cannula was cleaned of NT prior to intubation and ceased during the recovery period.
There is historical precedence for the use of rhubarb in the treatment of obesity in China  although this may be prohibited by regulatory bodies in some countries. While these animal studies are encouraging for the possible use of NT to treat human obesity, a recent clinical trial did not demonstrate any efficacy probably owing to the dose limiting gastrointestinal toxicity .
NT is an effective herbal formulation for reducing weight gain in rats. Its effects are maintained throughout the treatment period as shown in the present study. No toxicity of NT was found in rats although gastric toxicity was reported in humans.
We wish to acknowledge Dr Kai-yuan Wei for the help with the preparation of the herbal decoction and Drs Jim Nofziger and Ron Amen (Westlake Partners) for their discussion on experimental design and their financial support of this work.
- Holubarsch CJ, Colucci WS, Meinertz T, Gaus W, Tendera M: Survival and prognosis: investigation of Crataegus extract WS 1442 in congestive heart failure (SPICE) – rationale, study design and study protocol. Eur J Heart Fail. 2000, 4: 431-437. 10.1016/S1388-9842(00)00109-4.View Article
- Campbell TJ, MacDonald PS: Digoxin in heart failure and cardiac arrhythmias. Med J Aust. 2003, 179: 98-102.PubMed
- Slichenmyer WJ, Von Hoff DD: New natural products in cancer chemotherapy. J Clin Pharmacol. 1990, 9: 770-88.View Article
- Ye F, Shen Z, Xie M: Alpha-glucosidase inhibition from a Chinese medical herb (Ramulus mori) in normal and diabetic rats and mice. Phytomedicine. 2002, 2: 161-166. 10.1078/0944-7113-00065.View Article
- Haslam DW, James WP: Obesity. Lancet. 2005, 366: 1197-1209. 10.1016/S0140-6736(05)67483-1.View ArticlePubMed
- Centers for Disease Control and Prevention (CDC): Prevalence of visual impairment and selected eye diseases among persons aged >/= 50 years with and without diabetes – United States, 2002. MMWR Morb Mortal Wkly Rep. 2004, 53: 1069-1071.
- Fontaine KR, Redden DT, Wang C, Westfall AO, Allison DB: Years of life lost due to obesity. JAMA. 2003, 289: 187-193. 10.1001/jama.289.2.187.View ArticlePubMed
- Blackburn GL: Solutions in weight control: lessons from gastric surgery. Am J Clin Nutr. 2005, 82 (Suppl 1): 248S-252S.PubMed
- Kaplan LM: Pharmacological therapies for obesity. Gastroenterol Clin North Am. 2005, 34: 91-104. 10.1016/j.gtc.2004.12.002.View ArticlePubMed
- Jin HM, Jiao DH: Effect of Jiangzhi jianfei yao on gastro-intestinal movement and adipose cell of abdominal wall. Zhongguo Zhongxiyi Jiehe Zazhi. 1994, 198: 230-231.
- Han LK, Gong XJ, Kawano S, Saito M, Kimura Y, Okuda H: Antiobesity actions of Zingiber officinale Roscoe. Yakugaku Zasshi. 2005, 125: 213-217. 10.1248/yakushi.125.213.View ArticlePubMed
- Wei K, Xu X: Herbal composition and method for controlling body weight and composition. United States Patent. 6541046, April 1, 2003
- Bruning JC, Gautam D, Burks DJ, Gillette J, Schubert M, Orban PC, Klein R, Krone W, Muller-Wieland D, Kahn CR: Role of brain insulin receptor in control of body weight and reproduction. Science. 2000, 289: 2122-2125. 10.1126/science.289.5487.2122.View ArticlePubMed
- Clegg DJ, Benoit SC, Reed JA, Woods SC, Dunn-Meynell A, Levin BE: Reduced anorexic effects of insulin in obesity-prone rats fed a moderate-fat diet. Am J Physiol Regul Integr Comp Physiol. 2005, 288: R981-986.View ArticlePubMed
- Elchebly M, Payette P, Michaliszyn E, Cromlish W, Collins S, Loy AL, Normandin D, Cheng A, Himms-Hagen J, Chan CC, Ramachandran C, Gresser MJ, Tremblay ML, Kennedy BP: Increased insulin sensitivity and obesity resistance in mice lacking the protein tyrosine phosphatase-1B gene. Science. 1999, 283: 1544-1548. 10.1126/science.283.5407.1544.View ArticlePubMed
- Arase K, York DA, Shargill NS, Bray GA: Interaction of adrenalectomy and fenfluramine treatment on body weight, food intake and brown adipose tissue. Physiol Behav. 1989, 45: 557-564. 10.1016/0031-9384(89)90073-5.View ArticlePubMed
- Guy-Grand B, Apfelbaum M, Crepaldi G, Gries A, Lefebvre P, Turner P: International trial of long-term dexfenfluramine in obesity. Lancet. 1989, 2: 1142-1145. 10.1016/S0140-6736(89)91499-2.View ArticlePubMed
- Smith BK, York DA, Bray GA: Chronic d-fenfluramine treatment reduces fat intake independent of macronutrient preference. Pharmacol Biochem Behav. 1998, 60: 105-114. 10.1016/S0091-3057(97)00549-2.View ArticlePubMed
- Blundell JE, Halford JCG: Serotonin and appetite regulation. Implications for the pharmacological treatment of obesity. CNS Drugs. 1998, 9: 473-495. 10.2165/00023210-199809060-00005.View Article
- Maffei M, Halaas J, Ravussin E, Pratley RE, Lee GH, Zhang Y, Pei H, Kim S, Lallone R, Ranganathan S, Kern PA, Friedman JM: Leptin levels in human and rodent: measurement of plasma leptin and obRNA in obese and weight reduced subjects. Nature Med. 1995, 1: 1155-1161. 10.1038/nm1195-1155.View ArticlePubMed
- Schafe GE, Thiele TE, Bernstein HL: Conditioning method dramatically alters role of amygdala in taste aversion learning. Learn Mem. 1998, 5: 481-492.PubMed CentralPubMed
- Greenway FL, Liu Z, Martin CK, Kai-yuan W, Nofziger J, Rood JC, Yu Y, Amen RJ: Safety and efficacy of NT, an herbal supplement, in treating human obesity. Int J Obes (Lond). 2006, 30: 1737-1741. 10.1038/sj.ijo.0803343.View Article
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