<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article  PUBLIC "-//NLM//DTD Journal Publishing DTD v3.0 20080202//EN" "http://dtd.nlm.nih.gov/publishing/3.0/journalpublishing3.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" dtd-version="3.0" xml:lang="en" article-type="research article"><front><journal-meta><journal-id journal-id-type="publisher-id">PP</journal-id><journal-title-group><journal-title>Pharmacology &amp; Pharmacy</journal-title></journal-title-group><issn pub-type="epub">2157-9423</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/pp.2023.1412035</article-id><article-id pub-id-type="publisher-id">PP-130295</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Chemistry&amp;Materials Science</subject><subject> Medicine&amp;Healthcare</subject></subj-group></article-categories><title-group><article-title>
 
 
  Acute Oral Toxicity and Vasorelaxant Effects of Hydroethanolic Extract from &lt;i&gt;Lannea microcarpa&lt;/i&gt; Engl. &amp; K. Krause (Anacardiaceae) Trunk Barks in Mice Aortas: Possible Involvement of Intracellular Ca&lt;sup&gt; 2+&lt;/sup&gt; Mobilization
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Mathieu</surname><given-names>Nitiéma</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Bertrand</surname><given-names>Kafando</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Windingoudi</surname><given-names>Rimwagna Christian Ouédraogo</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Bibata</surname><given-names>Sawadogo</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Boukaré</surname><given-names>Kaboré</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Wendkouni</surname><given-names>Leila Marie Esther Bélem-Kabré</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Tata</surname><given-names>Kadiatou Traoré</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Jean</surname><given-names>Claude Romaric Pingdwindé Ouédraogo</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Salfo</surname><given-names>Ouédraogo</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Lazare</surname><given-names>Belemnaba</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Aristide</surname><given-names>Traoré</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Moussa</surname><given-names>Ouédraogo</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Noufou</surname><given-names>Ouédraogo</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Bondo</surname><given-names>Félix Kini</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Sylvin</surname><given-names>Ouédraogo</given-names></name><xref ref-type="aff" rid="aff1"><sup>1</sup></xref></contrib></contrib-group><aff id="aff2"><addr-line>Laboratoirede Développement du Médicament (LADME)/CEA-CFOREM, Université Joseph KI-ZERBO, Ouagadougou, Burkina Faso</addr-line></aff><aff id="aff1"><addr-line>Laboratoirede Recherche-Développement de Phytomédicaments et Médicaments, Institut de Recherche en Sciences de la Santé/Centre National de la Recherche Scientifique et Technologique, Ouagadougou, Burkina Faso</addr-line></aff><pub-date pub-type="epub"><day>20</day><month>12</month><year>2023</year></pub-date><volume>14</volume><issue>12</issue><fpage>530</fpage><lpage>549</lpage><history><date date-type="received"><day>27,</day>	<month>November</month>	<year>2023</year></date><date date-type="rev-recd"><day>26,</day>	<month>December</month>	<year>2023</year>	</date><date date-type="accepted"><day>29,</day>	<month>December</month>	<year>2023</year></date></history><permissions><copyright-statement>&#169; Copyright  2014 by authors and Scientific Research Publishing Inc. </copyright-statement><copyright-year>2014</copyright-year><license><license-p>This work is licensed under the Creative Commons Attribution International License (CC BY). http://creativecommons.org/licenses/by/4.0/</license-p></license></permissions><abstract><p>
 
 
  Lannea microcrapa Engl. &amp; K. Krause
   (Anacardiaceae)
   is a fruit and medicinal plant widely used in Burkina Faso. This plant is traditionally used in the treatment of hypertension. The aim of the present study was to evaluate the vasorelaxant effects of the hydroethanolic extract from 
  Lannea microcarpa trunk barks (HE_ELM) on the aorta isolated from NMRI mice. Phytochemical screening by HPTLC, assay of phenolic and flavonoid compounds, assessment of antioxidant activity (DPPH, ABTS, FRAP, and LPO), and myography of HE_ELM (1 - 2000 μg/mL) on mice thoracic aortas in the presence and absence of endothelium were carried out. Endothelium-dependent and endothelium-independant vasodilation were assessed by cumulative addition of Ach (1 nM - 10 μM) on aortic rings precontracted with the thromboxane analogue A2 agonist, 9,11-dideoxy9
  α,11
  α-methanoepoxy PGF2
  α (U46619). L-NAME was used to verify the involvement of NO production in the relaxation mechanism of the extract. Acute oral toxicity of HE_ELM was also evaluated. A phytochemical study revealed the presence of tannins, flavonoids, sterols and triterpenes, saponosides, and high levels of total phenolics and flavonoids. These compounds are thought to be responsible for the extract’s antioxidant and vasorelaxant properties. HE_ELM demonstrated significant antioxidant potential and induced aortic relaxation. Indeed, pharmacological parameters gave EC
  <sub>50</sub> values ranging from 596.45 &#177; 95.82 μg/mL to 749.48 &#177; 133.40 μg/mL and Emax values from 85.51% &#177; 9.59% to 96.81% &#177; 8.60% for the three conditions of vasodilation of the extract (p &gt; 0.05). A complete antagonism of the contractile effect of U46619 was noted with 1 mg/mL HE_ELM. These results suggest that HE_ELM induces aortic relaxation through a concentration-dependent, endothelium-independent mechanism, possibly involving intracellular calcium mobilization of vascular cells. Acute oral toxicity tests of HE_ELM (2000 mg/kg) showed no mortality or adverse effects, suggesting the extract’s safety and potential as a therapeutic agent for hypertension. This discovery scientifically validates the use of the plant in alternative medicine to treat hypertension.
 
</p></abstract><kwd-group><kwd>&lt;i&gt;Lannea macrocarpa&lt;/i&gt;</kwd><kwd> Hydroethanolic Extract</kwd><kwd> Phytoconstituents</kwd><kwd> Antioxidant</kwd><kwd> Vasorelaxant Effects</kwd><kwd> Safety</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>Abstract</title><p>Lannea microcrapa Engl. &amp; K. Krause (Anacardiaceae) is a fruit and medicinal plant widely used in Burkina Faso. This plant is traditionally used in the treatment of hypertension. The aim of the present study was to evaluate the vasorelaxant effects of the hydroethanolic extract from Lannea microcarpa trunk barks (HE_ELM) on the aorta isolated from NMRI mice. Phytochemical screening by HPTLC, assay of phenolic and flavonoid compounds, assessment of antioxidant activity (DPPH, ABTS, FRAP, and LPO), and myography of HE_ELM (1 - 2000 &#181;g/mL) on mice thoracic aortas in the presence and absence of endothelium were carried out. Endothelium-dependent and endothelium-independant vasodilation were assessed by cumulative addition of Ach (1 nM - 10 μM) on aortic rings precontracted with the thromboxane analogue A2 agonist, 9,11-dideoxy9α,11α-methanoepoxy PGF2α (U46619). L-NAME was used to verify the involvement of NO production in the relaxation mechanism of the extract. Acute oral toxicity of HE_ELM was also evaluated. A phytochemical study revealed the presence of tannins, flavonoids, sterols and triterpenes, saponosides, and high levels of total phenolics and flavonoids. These compounds are thought to be responsible for the extract’s antioxidant and vasorelaxant properties. HE_ELM demonstrated significant antioxidant potential and induced aortic relaxation. Indeed, pharmacological parameters gave EC<sub>50</sub> values ranging from 596.45 &#177; 95.82 &#181;g/mL to 749.48 &#177; 133.40 &#181;g/mL and Emax values from 85.51% &#177; 9.59% to 96.81% &#177; 8.60% for the three conditions of vasodilation of the extract (p &gt; 0.05). A complete antagonism of the contractile effect of U46619 was noted with 1 mg/mL HE_ELM. These results suggest that HE_ELM induces aortic relaxation through a concentration-dependent, endothelium-independent mechanism, possibly involving intracellular calcium mobilization of vascular cells. Acute oral toxicity tests of HE_ELM (2000 mg/kg) showed no mortality or adverse effects, suggesting the extract’s safety and potential as a therapeutic agent for hypertension. This discovery scientifically validates the use of the plant in alternative medicine to treat hypertension.</p><p>Keywords:</p><p>Lannea macrocarpa, Hydroethanolic Extract, Phytoconstituents, Antioxidant, Vasorelaxant Effects, Safety</p><disp-formula id="scirp.130295-formula9"><graphic  xlink:href="//html.scirp.org/file/2-1410169x6.png"  xlink:type="simple"/></disp-formula></sec><sec id="s2"><title>1. Introduction</title><p>Hypertension is one of the most widespread and modifiable risk factors for cardiovascular disease in the world [<xref ref-type="bibr" rid="scirp.130295-ref1">1</xref>]. Epidemiological studies over the last decade have shown that cardiovascular disease is the world’s leading cause of death and disability [<xref ref-type="bibr" rid="scirp.130295-ref2">2</xref>]. High blood pressure is expanding. In 2025, it is estimated that 1.56 billion of the world’s population will be affected [<xref ref-type="bibr" rid="scirp.130295-ref3">3</xref>]. In Africa, cardiovascular disease (CVD) has reached almost epidemic proportions. Hypertension is the leading risk factor for mortality from cardiovascular disease, cerebrovascular disease, and stroke [<xref ref-type="bibr" rid="scirp.130295-ref2">2</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref4">4</xref>]. The pathophysiological mechanism behind this disorder is multifactorial and includes vascular dysfunction, oxidative stress, inflammation, and the renin-angiotensin system [<xref ref-type="bibr" rid="scirp.130295-ref4">4</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref5">5</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>]. Hypertension is characterized by a chronic abnormal rise in blood pressure (greater than or equal to 140/90 mmHg), in which increased vascular tone plays a major role in maintaining high blood pressure [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>]. However, despite improvements in antihypertensive treatments, 20% to 30% of hypertensive patients are resistant to at least three antihypertensive drugs [<xref ref-type="bibr" rid="scirp.130295-ref7">7</xref>]. The use of non-pharmacological treatments, in particular the administration of nutraceutical supplements based on medicinal plants, traditional medicine, and pharmacopeia to lower blood pressure, has developed in recent years [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref8">8</xref>]. In this context, 80% of the African population uses traditional medicine to treat themselves, including hypertension. In addition, natural medicines are an alternative to synthetic drugs [<xref ref-type="bibr" rid="scirp.130295-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref9">9</xref>]. It has been suggested that a plant-based diet has a protective effect on the cardiovascular system. Polyphenols are one of the plant components most studied in this context [<xref ref-type="bibr" rid="scirp.130295-ref10">10</xref>], by promoting endothelium-dependent and endothelium-independent vasorelaxation and improving the lipid profile, antioxidant defenses and mitochondrial function [<xref ref-type="bibr" rid="scirp.130295-ref1">1</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>]. In addition to their use in alternative medicine, plants are a useful matrix for identifying phytochemical compounds, which are then optimized by the pharmaceutical industry [<xref ref-type="bibr" rid="scirp.130295-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref11">11</xref>]. Burkina Faso offers a great botanical treasure trove, given its geographical and climatic diversity, and is a major source of potentially therapeutic plants for the treatment of hypertension [<xref ref-type="bibr" rid="scirp.130295-ref12">12</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref13">13</xref>]. Among the multitude of medicinal plants, traditional remedies prepared from the bark, roots, leaves and fruit of Lannea microcarpa Engl K. Krause (Anacardiaceae) are used to treat a wide range of conditions, including high blood pressure [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref12">12</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref14">14</xref>]. From a pharmacological point of view, Lannea microcarpa trunk barks extract has antioxidant activity and can reduce the harmful effects of oxidative stress on cells [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref15">15</xref>]. The extracts also have anti-inflammatory properties [<xref ref-type="bibr" rid="scirp.130295-ref16">16</xref>] and induce vascular relaxation via inhibition of phosphodiesterases and intracellular calcium influx [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref17">17</xref>]. They also have antihypertensive properties by counteracting the hypertensive effects of Ang II and L-NAME [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref14">14</xref>]. However, depending on the polarity of the extraction solvent, the biological properties of plant extracts vary. A number of questions needed to be answered: does HE_ELM contain phytochemicals that are thought to be responsible for its antioxidant and vasodilatory properties? Is HE_ELM safe to use? This study was therefore undertaken to elucidate the phytoconstituents, pharmacological properties, and safety of the hydroethanol extract of Lannea macrocarpa trunk barks in the treatment of arterial hypertension.</p></sec><sec id="s3"><title>2. Material and Methods</title><sec id="s3_1"><title>2.1. Material</title><sec id="s3_1_1"><title>2.1.1. Chemicals and Reagents</title><p>Chloroform, Methanol, Ethyl acetate, formic acid, Hexane, Dimethyl sulfoxide, NEU reagent, aluminum trichloride, iron chloride, ferric trichloride, Folin Ciocalteu reagent (FCR), sulphuric anysaldehyde reagent, sodium phosphate dibasic, monobasic potassium phosphate, 15-lipoxygenase (EC 1.13.11.12), linoleic acid, sodium bicarbonate, potassium hexacyanoferrate, trichloroacetic acid (TCA), thiobarbituric acid (TBA), hydrogen peroxide solution, 2,2’-azino bis-[3-&#233;thylbenzothiazoline-6-sulfonique] (ABTS), 2,2-diphenyl-β-picrylhydrazyl (DPPH), L-NAME (Nω-Nitro-L-arginine methyl ester) and potassium persulfate were purchased from Sigma-Aldrich (St. Louis, MO, USA). Gallic acid, Quercetin, and Trolox were supplied by Sigma Aldrich. Silica gel TLC plates F 254 grade was from Macherey-Nagel (Germany).</p></sec><sec id="s3_1_2"><title>2.1.2. Plant Material</title><p>The stem barks of Lannea microcarpa were collected in June 2021 in the Loumbila region, 15 km East of Ouagadougou (Burkina Faso). After identification of the plant, reference specimen No. 361 was prepared and deposited at the “D&#233;partement Environnement et For&#234;ts/Centre National de la Recherche Scientifique et Technologique” (DEF/CNRST), Ouagadougou, Burkina Faso. The collected sample was dried in the open air, protected from sunlight and dust, and then ground to a powder. The powder obtained was used to prepare an extract for chemical and biological investigation.</p></sec><sec id="s3_1_3"><title>2.1.3. Experimental Animals</title><p>Male and female NMRI (Naval Medicinal Research Institute) mice, aged 3 months and weighing between 25 - 30 g, from the animal house of the “Institut de Recherche en Sciences de la Sant&#233;/Centre National de la Recherche Scientifique et Technologique (IRSS/CNRST), Burkina Faso” were used. The animals were placed in an enclosure at a temperature of 21˚C - 23˚C with a relative humidity of 50% - 60% and subjected to the light/dark cycle of 12 h/12h according to the rearing conditions of these species. Water and standard laboratory pellets enriched with proteins (29%) were provided for satiation and experiments were carried out following the procedures of the Guide of Good Practices in Animal Experimentation under the Declaration of Helsinki. Furthermore, all experimental animal procedures have been performed by the Guide for the Care and Use of Laboratory Animals of the US National Institutes of Health and the EU Directive 2010/63/EU for animal experiments [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref8">8</xref>] . They were used for toxicological and pharmacological testing of the prepared extract.</p></sec></sec><sec id="s3_2"><title>2.2. Methods</title><sec id="s3_2_1"><title>2.2.1. Phytochemical Study</title><p>1) Preparation of Hydroethanolic Maceration Extract</p><p>Extraction was carried out using the maceration exhaustion technique described [<xref ref-type="bibr" rid="scirp.130295-ref18">18</xref>] . Briefly, one hundred (100) g of each plant powder was macerated in 500 mL of 80% ethanol (absolute Ethanol/Water; 80/20; v/v) for 24 h at room temperature. After 24 h, the mixture was filtered using cotton wool and then Wattman filter paper. Each residual pomace was reworked twice under the same conditions with 80% ethanol. The filtrate obtained was concentrated in a rotavapor (ELECTRONIC MICROPROCESSOR CONTROLLER CPS ventilated type) under reduced pressure at a constant temperature of 60˚C and then frozen and freeze-dried. The hydroethanolic extract (10.35%), EH_ELM was then recovered and stored in a hermetically sealed plastic bottle protected from light and humidity for the various phytochemical, toxicological, and pharmacological tests.</p><p>2) Phytoconstituents Revealed by High-Performance Thin-Layer Chromatography</p><p>High-performance thin-layer chromatography (HPTLC) was used to detect flavonoids and tannins in the extracts. It was carried out on chromatoplates (60 F<sub>254</sub>, 10 &#215; 5 cm, glass support 10 &#215; 20 cm, Merck) following the literature [<xref ref-type="bibr" rid="scirp.130295-ref8">8</xref>] . Approximately 20 &#181;L of extract was streaked with a semi-automatic sample dispenser (CAMAG, Linomat 5, Switzerland) along the baseline 8 mm from the bottom edge of the plate. After deposition and drying, the plates were placed in a tank containing eluent previously saturated (20 &#215; 10 cm, saturation time: 30 min). The solvent system used depended on the metabolite to be identified: Ethyl acetate/formic acid/H<sub>2</sub>O, (8/2/1 v/v/v/) for flavonoids; Ethyl acetate/formic acid/H<sub>2</sub>O (18/2/4/2/1 v/v/v/v) for tannins; Ethyl acetate/hexane (8/2 v/v) for Sterol-triterpenes and Hexane/ethyl acetate/methanol (10/5/5 v/v/v) for Saponosides. After migration over 8 cm in length, the plates were dried, and Neu reagent for flavonoids, Sulphuric anisaldehyde reagent for Saponosides, Liebermann and Burchard reagent for Sterol-triterpenes and 5% FeCl<sub>3</sub> for tannins revealed the chromatographic profiles. The profiles were then observed under visible light (tannins) and at UV wavelengths of 366 nm.</p><p>3) Determination of Total Phenolic Compounds</p><p>The total phenolic content of the hydroethanolic extract (HE_ELM) was determined using the Folin-Ciocalteu Reagent (FCR) [<xref ref-type="bibr" rid="scirp.130295-ref18">18</xref>] . Gallic acid was used as the reference compound to produce the standard curve. Briefly, 25 &#181;L of sample at a concentration of 1 mg/mL was mixed with 125 &#181;L of FCR. 100 &#181;L of 7.5% w/v sodium carbonate solution was added to the mixture. After one (1) hour, absorbance at 760 nm was measured using a microplate reader (Spectro UV, Epoch Biotek, USA). Results were expressed as mg gallic acid equivalent (GAE)/g dry extract.</p><p>4) Determination of Flavonoid Compound</p><p>Total flavonoid content was assessed using an aluminum chloride reagent [<xref ref-type="bibr" rid="scirp.130295-ref18">18</xref>] . A standard calibration curve was plotted with quercetin as the reference. Briefly, 100 &#181;L of HE_ELM (1 mg/mL) was mixed with 100 &#181;L of a 2% w/v aluminium trichloride solution. After 10 min, absorbance was measured using a mass spectrophotometer. After 10 min, absorbance at 415 nm was measured using a spectrophotometer (Epoch Biotek, USA). Results were expressed as mg quercetin equivalent (QE)/g dry extract.</p></sec><sec id="s3_2_2"><title>2.2.2. Assessment of Antioxidant Properties</title><p>1) DPPH• Essay</p><p>Free radical scavenging activity by hydroethanolic extract of Lannea microcrapa trunk barks and Trolox was performed using 2,2-diphenyl-1-picrylhydrazyl (DPPH) as previously described [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>] . Brieﬂy, the absorbance of 10 μL of samples and Trolox added to 200 μL of DPPH (0.04 mg/mL) was measured at 490 nm after 30 min of incubation in the dark at room temperature using a Bio-Rad spectrophotometer (model 680, Japan). The result was expressed as antioxidant capacity equivalent to Trolox. As a function of sample concentration, a DPPH•-inhibition percentage curve was plotted. The percentage inhibition of the DPPH radical was calculated using the following formula:</p><p>Inhibition (%) = [(Ac − Ae)/Ac] &#215; 100;</p><p>Ae and Ac represent the absorbances of the extract/ascorbic acid and the control (DPPH solution without sample). The concentration required to inhibit 50% of DPPH (IC<sub>50</sub>) was determined on the curve.</p><p>Anti-radical power (ARP) was determined by the formula: ARP = 1/IC<sub>50</sub>; ARP: Anti Radical Power; IC<sub>50</sub>: 50% inhibitory concentration expressed in μg/mL.</p><p>2) Ferric Reducing Antioxidant Power (FRAP) Assay</p><p>The FRAP assay was performed on the hydroethanolic extract of L. microcrapa trunk barks and Trolox as previously described [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>] . The mixture of 0.5 mL samples with 1.25 mL phosphate buﬀer and 1.25 mL potassium hexacyanoferrate aqueous solution (1%) was incubated for 30 min at 50˚C. Next, 1.25 mL of trichloroacetic acid (10%) was added and centrifuged at 3000&#215;g for 10 min. Distilled water (0.625 mL) and FeCl<sub>3</sub> solution (0.125 mL, 0.1%) were added to the supernatant (0.625 mL), and absorbance was measured at 700 nm using a spectrophotometer (Agilent, Santa Clara, CA) equipped with ChemStation UV-visible software. Trolox was used to plot the calibration curve. The FRAP activity of the samples was expressed as mol Trolox equivalent/gram dry extract.</p><p>3) ABTS•<sup>+</sup> Assay</p><p>The ABTS free radical scavenging activity of HE_ELM and Trolox was assessed using the procedure described previously [<xref ref-type="bibr" rid="scirp.130295-ref18">18</xref>] . In a volume of 5 mL of distilled water, 19.2 mg of ABTS were dissolved. A mass of 3.312 mg potassium persulphate was added to the ABTS solution at 3.84 mg/mL. After adding the potassium persulphate, the solution was left for 16 h in the dark at room temperature before use. On the day of the experiment, 4.5 mL of the mixture was diluted in 220 mL of absolute ethanol. The range of 8 dilutions to be tested was prepared from the parent concentration of the samples (1 mg/mL). On a 96-well microplate, 200 μL of ABTS solution mixed with 20 μL of the extract or reference was added to each well. After incubation for 30 min at 25˚C, absorbances were read against a blank at 415 nm using an Agilent 8453 spectrophotometer with ChemStation UV-visible software. Measurements were performed in triplicate. The percentage inhibition of absorbance at 415 nm was calculated according to the formula:</p><p>% Inhibition = [(A0 − A)/A0] &#215; 100.</p><p>A0 is the absorbance of the control; A is the absorbance of the sample.</p><p>The absorbance inhibition curve as a function of the concentration of the extract or reference substance (Trolox) was constructed to determine the 50% inhibitory concentration (IC<sub>50</sub>). Anti-radical power (ARP) was determined using the formula: ARP = (1/CI<sub>50</sub>); ARP: Anti-radical power; IC<sub>50</sub>: 50% inhibitory concentration expressed in μg/mL.</p><p>4) Lipid Peroxidation Inhibition (LPO) Assay</p><p>The lipid peroxidation activity of rat liver was determined using 2-thiobarbituric acid [<xref ref-type="bibr" rid="scirp.130295-ref18">18</xref>] . FeCl<sub>2</sub>-H<sub>2</sub>O<sub>2</sub> was used to induce peroxidation of liver homogenate. A 0.2 mL volume of HE_ELM at a concentration of 1.5 mg/mL was mixed with 1 mL of 1% rat liver homogenate, then 50 &#181;L FeCl<sub>2</sub> (0.5 mM) and 50 &#181;L H<sub>2</sub>O<sub>2</sub> (0.5 mM) were added. The mixture was incubated at 37˚C for 60 min, then 1 mL trichloroacetic acid (15%) and 1 mL 2-thiobarbituric acid (0.67%) were added. The mixture was heated in boiling water for 15 min. The experiment was performed in triplicate and the absorbance was read at 532 nm. Trolox was used as the reference product. The percentage inhibition was calculated using the following formula: Percentage inhibition (%) = [1 − (A1 − A2)/A0] &#215; 100.</p><p>A1 is the absorbance of the control (without sample); A2 is the absorbance with the sample; A0 is the absorbance without liver homogenate.</p></sec><sec id="s3_2_3"><title>2.2.3. Pharmacological Study Using Vasorelaxant Test</title><p>1) Preparation of Mice Thoracic Aortic Rings for Isometric Tension Recording</p><p>This method consists of verifying vascular reactivity in the presence of different pharmacological substances. The experiment on ex-vivo vasorelaxant effects was carried out with the thoracic aorta isolated from mice using the method previously described [<xref ref-type="bibr" rid="scirp.130295-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref9">9</xref>] . Male mice were sacrificed by cervical dislocation and the thoracic aorta was removed. The aorta was placed in a petri dish containing Krebs solution and freed of adherent tissue. Segments of aorta (2 mm long) were mounted in myograph isolated organ vessels (Danish Myo Technology 620M, Aarhus, Denmark) filled with Krebs solution (in mM): 130 NaCl, 4.9 NaHCO<sub>3</sub>, 3.7 KCl, 1.2 MgSO<sub>4</sub> 7H<sub>2</sub>O, 1.6 CaCl<sub>2</sub> H<sub>2</sub>O, 1.2 KH<sub>2</sub>PO<sub>4</sub> and 11 D-glucose. The Krebs solution (pH 7.4) was maintained at 37˚C and aerated with a mixture from a pneumatic pump. Two tungsten wires were inserted through the vessel lumen to hold each aortic ring between the vessel hooks. Mechanical activity was recorded isometrically by a force transducer connected to one of the two tungsten wires; the other wire was attached to a support carried by a micromanipulator screw allowing the voltage to be varied in mN.</p><p>2) Carrying out the Test</p><p>The aortic rings were stretched with a passive wall tension of 5 mN for 60 min. During this period, the rings were washed every 15 min. After stabilisation, the aortic rings were contracted by the addition of KCl (80 mM). Once the contraction plateau was reached, cumulative concentrations (10<sup>−9</sup> - 3.10<sup>−7</sup> M) of U46619 were added. The maximum tension of the tissue was then recorded and considered as 100% contraction of the ring. Once maximum contraction had been reached, the rings were successively rinsed 3 times with Krebs solution followed by an hour’s rinsing at 20 min intervals. After returning to their baseline tension, HE_ELM was accumulated with increasing concentrations of ACh (10<sup>−9</sup> - 10<sup>−5</sup> M) after pre-contraction of the arteries with U46619 (80% of maximum contractile response). Rat aorta rings were considered to have functional endothelium when relaxation to ACh was greater than or equal to 80%. When relaxation of the aortic rings was less than 10%, the rings were considered endothelium-denuded. After checking the integrity of the endothelium, the rings were rinsed as before and recontracted with 80% of the maximum contractile response of U46619. At the contraction plateau, a cumulative increase in extract concentration (1 - 2000 &#181;g/mL) on aortic rings in the presence and absence of endothelium was performed. Nω-Nitro-L-arginine methyl ester (L-NAME) is an inhibitor of nitric oxide synthase (NOS). It was incubated with endothelium-intact aortic rings at a concentration of 10<sup>−4</sup> M for 20 min to test the ability of the extract to induce NO• production. The rings were then pre-contracted with U46619 and released by the addition of cumulative concentrations of the extract (1 - 2000 &#181;g/mL). The antagonistic effect of the most active extract (1000 &#181;g/mL) on the contraction of mouse aortic rings after incubation for 20 min followed by cumulative concentrations of U46619 (10<sup>−9</sup> M - 3.10<sup>−7</sup> M).</p></sec><sec id="s3_2_4"><title>2.2.4. Acute Oral Toxicity</title><p>The acute oral toxicity test for HE_ELM was performed on female NMRI (Naval Medicinal Research Institute) mice in accordance with OECD guideline 423 [<xref ref-type="bibr" rid="scirp.130295-ref19">19</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref20">20</xref>] . Two (02) batches, each consisting of three mice, were made up and placed separately in polypropylene cages: a control batch of three mice and a test batch of three mice. After fasting for 3 h, the extract was administered by gavage using an esophageal tube in a single dose to the test mice. A dose of 2000 mg/kg body weight (bw) of the extract was chosen as the starting dose. The white control batch received the solvent for dissolving the extract (distilled water, 10 mL/kg). The mice were observed individually for 2 h after administration, at the end of which food was restored. They were then observed twice daily for a period of 14 days to monitor for mortality and toxidrome (signs of toxicity) such as changes in skin and fur, eyes, mucous membranes, convulsions, salivation, diarrhea, sleep, and coma. The weight of each mouse and the quantities of water and food consumed were measured every 2 days during the 2 weeks of experimentation. On day 15, the mice were sacrificed and a necropsy was performed on the organs (liver, kidneys, lungs, spleen, and heart) then weighed. The relative weight of each organ was calculated [(Organ weight (g)/Fasting mouse weight on the day of sacrifice (g)) &#215;100]. This test was repeated after the mice were sacrificed under the same conditions as the 2 other batches (test batch and control batch).</p></sec></sec><sec id="s3_3"><title>2.3. Statistical Analysis</title><p>The experimental values were calculated by considering the maximum contraction produced by U46619 of each segment equal to 100%. The baseline tension before addition of U46619 was considered as 0%. The raw data have been normalized to the control (vehicle). The concentration-response curves were constructed using GraphPad Prism 8.4.3 Software, San Diego, CA, and two pharmacological parameters were obtained: the maximal effect generated by the agonist (Emax) and a concentration of agonist producing 50% of the maximum response (EC<sub>50</sub>). Statistical comparisons were performed using one-way ANOVA or two-way ANOVA. Post hoc test was performed using Bonferroni’s test analysis to compare all the groups. A p-value less than 0.05 was considered as statistically significant.</p></sec></sec><sec id="s4"><title>3. Results</title><sec id="s4_1"><title>3.1. Phytochemical Investigation</title><sec id="s4_1_1"><title>3.1.1. Compounds Revealed by HPTLC</title><p>The phytochemical analysis of HE_ELM highlighted the presence of saponosids, steroids and triterpenes, flavonoids, and tannins (<xref ref-type="fig" rid="fig1">Figure 1</xref>).</p></sec><sec id="s4_1_2"><title>3.1.2. Total Phenolic and Flavonoid Contents in L. microcarpa Extract</title><p>The contents of total phenolics and flavonoids in the HE_ELM were expressed as milligram equivalent of tannic acid per gram of dry extract for total phenolics (mg EAT/g ES) and as milligram equivalent of Quercetin per gram of dry extract (mg EQ/g ES) for flavonoids. The results for total phenolics and flavonoids in the extract were 58.88 &#177; 0.37 mg EAT/g ES and 22.5 &#177; 1.49 mg EQ/mg respectively.</p></sec></sec><sec id="s4_2"><title>3.2. Antioxidant Activity of Extract</title><p>The antioxidant activity of HE_ELM is shown in <xref ref-type="table" rid="table1">Table 1</xref>. The percentage inhibition of the ABTS test was 13.39 &#177; 2.27 &#181;g/mL with a better activity for Trolox (2.04 &#177; 0.12 &#181;g/mL) (p &lt; 0.001). As for the reduction of the DPPH radical, the inhibition percentages were 7.43 &#177; 1.73 &#181;g/mL for the extract, and 5.06 &#177; 0.05 &#181;g/mL for Trolox. There was no significant difference between the DPPH radical inhibition percentages of the two substances. The ferric ion reduction capacity (FRAP) of the extract varied from 883.75 &#177; 11.5 mmol EAA/g. The lipid peroxidation inhibitory (LPO) power of the extracts was expressed as a percentage (%) (at 100 μg/mL) with 52.64% &#177; 7.14% for extract, and 48.11% &#177; 3.88% for the Trolox.</p></sec><sec id="s4_3"><title>3.3. Pharmacological Properties of Extract</title><sec id="s4_3_1"><title>3.3.1. Ex-Vivo Vasodilatory Effects of HE_ELM Extract on Mice Aortic Rings</title><p>The hydroethanolic extract of Lannea microcarpa trunk barks (HE_ELM) was tested on mice arteries to assess its vasorelaxant effects. The <xref ref-type="fig" rid="fig2">Figure 2</xref> shows the recording of the vasorelaxant effect of HE_ELM on the aorta of NMRI mice. The results show a concentration-dependent relaxation (1 - 2000 &#181;g/mL) in the presence and absence of functional endothelium in arteries pre-contracted at U46619. The same was true for the relaxation of aortic rings pre-incubated with L-NAME (<xref ref-type="fig" rid="fig3">Figure 3</xref>A). The 50% effective concentrations (EC<sub>50</sub>) and maximum effects (E<sub>max</sub>) were determined for each relaxation curve. <xref ref-type="fig" rid="fig3">Figure 3</xref>B shows the maximum effects (E<sub>max</sub>) of HE_ELM on mice aortas of 94.91% &#177; 7.07%, 96.81% &#177; 8.60% and 85.51% &#177; 9.59% respectively in the presence of endothelium, in the presence of endothelium pre-incubated with L-NAME and in the absence of endothelium. The EC<sub>50</sub> for HE_ELM were 596.45 &#177; 95.82 &#181;g/mL, 718.65 &#177; 151.43 &#181;g/mL and 749.48 &#177; 133.40 &#181;g/mL respectively in the presence of endothelium, in the presence of endothelium preincubated with L-NAME and in the absence of endothelium (<xref ref-type="fig" rid="fig3">Figure 3</xref>C). No statistically significant differences were observed for the two pharmacological parameters.</p></sec><sec id="s4_3_2"><title>3.3.2. Ex-Vivo Evaluation of the Antagonistic Effect of HE_ELM on Aortic Contraction in Mice Induced by U46619</title><p><xref ref-type="fig" rid="fig4">Figure 4</xref> illustrates the antagonistic effect of HE_ELM on U46619-induced contraction. The results showed that HE_ELM significantly inhibited compared to control (p &lt; 0.001) and almost completely (<xref ref-type="fig" rid="fig5">Figure 5</xref>A) the contraction induced by cumulative U46619 (10<sup>−9</sup> M - 3.10<sup>−7</sup> M). E<sub>max</sub> was 0.97 &#177; 0.77 mN/mm for aortic rings pre-incubated with HE_ELM versus 6.42 &#177; 0.38 mN/mm for control (<xref ref-type="fig" rid="fig5">Figure 5</xref>B).</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> In vitro antioxidant activity of hydroethanolic extract of L. microcrapa trunk barks</title></caption><table><tbody><thead><tr><th align="center" valign="middle"  rowspan="2"  >Extract</th><th align="center" valign="middle"  colspan="2"  >ABTS</th><th align="center" valign="middle"  colspan="2"  >DPPH</th><th align="center" valign="middle" >FRAP</th><th align="center" valign="middle" >LPO</th></tr></thead><tr><td align="center" valign="middle" >IC<sub>50</sub> (μg/mL)</td><td align="center" valign="middle" >ARP</td><td align="center" valign="middle" >IC<sub>50</sub> (μg/mL)</td><td align="center" valign="middle" >ARP</td><td align="center" valign="middle" >mmol EAA/g</td><td align="center" valign="middle" >Inhibition (%) (at 100 μg/mL)</td></tr><tr><td align="center" valign="middle" >HE_ELM</td><td align="center" valign="middle" >13.39 &#177; 2.27***</td><td align="center" valign="middle" >0.08</td><td align="center" valign="middle" >7.43 &#177; 1.73</td><td align="center" valign="middle" >0.14</td><td align="center" valign="middle" >883.75 &#177; 11.5</td><td align="center" valign="middle" >52.64% &#177; 7.14%</td></tr><tr><td align="center" valign="middle" >Trolox</td><td align="center" valign="middle" >2.04 &#177; 0.12</td><td align="center" valign="middle" >0.49</td><td align="center" valign="middle" >5.06 &#177; 0.15</td><td align="center" valign="middle" >0.19</td><td align="center" valign="middle" >-----</td><td align="center" valign="middle" >48.11 &#177; 3.88</td></tr></tbody></table></table-wrap><p>IC<sub>50</sub>: Inhibition concentration 50%; ARP: Anti-free radical power; n = 3; ***p &lt; 0.001 vs Trolox; EAA: Ascorbic acid equivalent.</p></sec></sec><sec id="s4_4"><title>3.4. Acute Oral Toxicity</title><sec id="s4_4_1"><title>3.4.1. Mortality and Toxidrome</title><p>The dose of 2000 mg/kg body weight (bw) showed no mortality or remarkable behavioral changes in female mice at the first and second stages of administration of the HE_ELM (<xref ref-type="table" rid="table2">Table 2</xref>).</p></sec><sec id="s4_4_2"><title>3.4.2. Changes in Body Weight, Food, and Water Consumption of Mice</title><p><xref ref-type="fig" rid="fig6">Figure 6</xref> shows the mean weight gain, feed consumption (g/g of mice), and water consumption (mL/g of mice) for 14 days in female mice given a vehicle (1% Tween 80), and a single dose (2000 mg/kg) of the HE_ELM. There was no statistically significant difference in body weight gain between the treated and control batches. The same was true for feed and water consumption (p &gt; 0.05).</p></sec><sec id="s4_4_3"><title>3.4.3. Macroscopic Observation, and Relative Organ Weights of Mice</title><p>Fresh macroscopic examination of vital organs such as the heart, lungs, liver, kidneys, and spleen of control mice and mice treated with HE_ELM (2000 mg/kg) showed that there were no lesions, nor any change in color or appearance of the various organs. <xref ref-type="table" rid="table3">Table 3</xref> shows the relative organ weights of batches of control mice and mice treated with the extract. No statistically significant variation was observed between the relative organ weights of control and treated batches.</p></sec></sec></sec><sec id="s5"><title>4. Discussion</title><p>Herbal alternative medicine is widely used to treat a variety of conditions. This practice has been identified as complementary to modern medicine and can therefore be recommended in the treatment of cardiovascular disease [<xref ref-type="bibr" rid="scirp.130295-ref21">21</xref>] . L. microcarpa trunk bark is widely used in the treatment of hypertension [<xref ref-type="bibr" rid="scirp.130295-ref12">12</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref14">14</xref>] . The aim of this study was therefore to provide scientific evidence for the widespread use of this plant in the treatment of hypertension. Phytochemical analysis of the hydroethanolic extract of Lannea microcarpa trunk bark (HE_ELM) revealed</p><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> Mortality of female mice administered a single dose (2000 mg/kg) of extract (n = 6)</title></caption><table><tbody><thead><tr><th align="center" valign="middle"  rowspan="2"  >Extract administered</th><th align="center" valign="middle"  colspan="2"  >Mortality</th></tr></thead><tr><td align="center" valign="middle" >1<sup>st</sup> test</td><td align="center" valign="middle" >2<sup>nd</sup> test</td></tr><tr><td align="center" valign="middle" >Control (1% Tween 80)</td><td align="center" valign="middle" >0/3</td><td align="center" valign="middle" >0/3</td></tr><tr><td align="center" valign="middle" >HE_ELM (2000 mg/kg)</td><td align="center" valign="middle" >0/3</td><td align="center" valign="middle" >0/3</td></tr><tr><td align="center" valign="middle" >Excitement</td><td align="center" valign="middle" >-</td><td align="center" valign="middle" >-</td></tr><tr><td align="center" valign="middle" >Sleepiness</td><td align="center" valign="middle" >-</td><td align="center" valign="middle" >-</td></tr><tr><td align="center" valign="middle" >Hair standing up</td><td align="center" valign="middle" >-</td><td align="center" valign="middle" >-</td></tr><tr><td align="center" valign="middle" >Lack of appetite</td><td align="center" valign="middle" >-</td><td align="center" valign="middle" >-</td></tr><tr><td align="center" valign="middle" >Diarrhea</td><td align="center" valign="middle" >-</td><td align="center" valign="middle" >-</td></tr><tr><td align="center" valign="middle" >Vomiting</td><td align="center" valign="middle" >-</td><td align="center" valign="middle" >-</td></tr><tr><td align="center" valign="middle" >Hyperventilation</td><td align="center" valign="middle" >-</td><td align="center" valign="middle" >-</td></tr></tbody></table></table-wrap><table-wrap id="table3" ><label><xref ref-type="table" rid="table3">Table 3</xref></label><caption><title> Relative weights of vital organs of control and hydroethanolic extract of L. microcrapa trunk barks (HE_ELM) treated mice; n = 6</title></caption><table><tbody><thead><tr><th align="center" valign="middle" ></th><th align="center" valign="middle"  colspan="5"  >Relative average organ weight (g/100 g bw)</th></tr></thead><tr><td align="center" valign="middle" ></td><td align="center" valign="middle" >Heart</td><td align="center" valign="middle" >Kidneys</td><td align="center" valign="middle" >Lungs</td><td align="center" valign="middle" >Liver</td><td align="center" valign="middle" >Spleen</td></tr><tr><td align="center" valign="middle" >Control</td><td align="center" valign="middle" >0.52 &#177; 0.0.3</td><td align="center" valign="middle" >1.17 &#177; 0.03</td><td align="center" valign="middle" >0.82 &#177; 0.04</td><td align="center" valign="middle" >5.08 &#177; 0.23</td><td align="center" valign="middle" >0.42 &#177; 0.03</td></tr><tr><td align="center" valign="middle" >HE_ELM (2 g/kg)</td><td align="center" valign="middle" >0.48 &#177; 0.02</td><td align="center" valign="middle" >1.26 &#177; 0.09</td><td align="center" valign="middle" >0.86 &#177; 0.06</td><td align="center" valign="middle" >5.15 &#177; 0.0.05</td><td align="center" valign="middle" >0.43 &#177; 0.04</td></tr></tbody></table></table-wrap><p>the presence of flavonoids, saponosides, sterols, terpenes and tannins. These results corroborate phytochemical findings in the aqueous decoction and ethyl acetate fraction of the plant’s trunk bark. The authors also found anthracenosides, coumarin derivatives, reducing compounds and anthocyanins [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref17">17</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref22">22</xref>] . These compounds were also found in the trunk bark of Lannea velutina A. Rich (Anacardiaceae) [<xref ref-type="bibr" rid="scirp.130295-ref23">23</xref>] . According to the literature, saponosides [<xref ref-type="bibr" rid="scirp.130295-ref24">24</xref>] , tannins [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref8">8</xref>] , sterols and triterpenes [<xref ref-type="bibr" rid="scirp.130295-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref25">25</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref26">26</xref>] have diuretic, vasodilatory and antihypertensive properties, both on the conductance arteries of normotensive and spontaneously hypertensive rats (SHR). In addition, plant extracts rich in polyphenols and flavonoids can induce endothelium-dependent relaxation due to their ability to promote endothelial NO• formation and EDHF-mediated vasodilation [<xref ref-type="bibr" rid="scirp.130295-ref8">8</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref27">27</xref>] . In the metabolic process, oxygen undergoes a series of reduction steps leading to the production of free radicals represented by the superoxide (O<sup>2−</sup>), oxygen radical (O<sup>2−</sup>), hydroxyl (OH-), alkoxyradical (RO-) and peroxyl radical (ROO-). To combat the latter, natural antioxidants exert their protective effect by activating the Nrf2 (NF-E2-related factor 2) signalling pathway, which regulates the endogenous antioxidant defence system by stimulating the expression of antioxidants and detoxification enzymes [<xref ref-type="bibr" rid="scirp.130295-ref28">28</xref>] . The phytochemicals revealed have been shown to stabilize the reactive oxygen species known as peroxynitrite [<xref ref-type="bibr" rid="scirp.130295-ref18">18</xref>] . The properties of phenolic compounds, in particular flavonoids, tannins and triterpenes, are mediated by the scavenging of free radicals, the inhibition of certain pro-inflammatory enzymes, the chelation of heavy metals involved in the production of free radicals and the regulation or protection of the antioxidant defense system [<xref ref-type="bibr" rid="scirp.130295-ref29">29</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref30">30</xref>] . In addition, natural antioxidants exert actions that go beyond their ability to counter oxidative stress, including intracellular signaling cascades. The imbalance between oxidizing species and antioxidant compounds can increase harmful species that induce structural modification and functional modulation of proteins, lipids and nucleic acids [<xref ref-type="bibr" rid="scirp.130295-ref31">31</xref>] . This situation ultimately leads to a number of complex diseases, in particular chronic inflammatory diseases and cardiovascular diseases [<xref ref-type="bibr" rid="scirp.130295-ref32">32</xref>] . HE_ELM could therefore help combat hypertension, the spearhead of cardiovascular disease. In fact, these results are in line with the literature that has documented that freeze-dried aqueous extract and its ethyl acetate fraction of trunk barks [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref15">15</xref>] , the leaves and fruits of L. microcarpa [<xref ref-type="bibr" rid="scirp.130295-ref11">11</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref33">33</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref34">34</xref>] have properties against oxidative stress. In addition, in the management of cardiovascular diseases, including hypertension, blood vessels play a key role in the search for pharmacological targets. On this scientific basis, the beneficial effects of HE_ELM were investigated ex-vivo on the thoracic aorta of mice. Acetylcholine (ACh) was therefore used in this study to test the integrity of the vascular endothelium. In vessels with intact endothelium pre-contracted with U46619, a thromboxane A2 (TXA2) analogue known for its potent and stable vasoconstrictive eﬀect on vascular smooth muscle. ACh induced vasodilation via the release of NO• [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref8">8</xref>] . Experimental results showed that HE_ELM (1 - 2000 &#181;g/mL) produced concentration-dependent vasorelaxation in isolated mouse thoracic aorta in the presence of endothelium pre-contracted by U46619. The vasodilatory mechanism of the extract was also investigated in aortic rings with intact endothelium in the presence of L-NAME. Vasorelaxation can be induced by the endothelium through the production of NO•, prostacyclin or endothelium-derived hyperpolarising factors (EDHF) on the one hand and direct action on smooth muscle cells on the other [<xref ref-type="bibr" rid="scirp.130295-ref35">35</xref>] . Incubation of aortic rings with L-NAME, a competitive inhibitor of endothelial NO synthase, showed that NO•, a major contributor to vasorelaxing factors in the endothelium, did not influence vascular relaxation in HE_ELM with an E<sub>max</sub> of 96.81% &#177; 8.60% and an EC<sub>50</sub> of 718.65 &#177; 151.43 &#181;g/mL. Pre-incubation of the rings with L-NAME did not affect the vasodilatory effect of the extract. Also, in the absence of endothelium, vasorelaxation of HE_ELM was similar to that in the presence of endothelium. This was verified by the determination of E<sub>max</sub> and EC<sub>50</sub>, which were not statistically significant between the three conditions of vascular relaxation of the extract. HE_ELM therefore has an endothelium-independent effect. The convincing explanation for this observation would be linked to the ability of HE_ELM to orchestrate a decrease in [Ca<sup>2+</sup>]i concentration in VSMCs via transmembrane efflux [<xref ref-type="bibr" rid="scirp.130295-ref10">10</xref>] . U46619’s ability to bind to G protein-coupled receptors (GPCRs) induces a progressive and sustained contraction of vascular smooth muscle. This contraction involves increasing cytosolic calcium either by releasing calcium stored in the sarcoplasmic reticulum (SR) or by modulating transmembrane calcium channels leading to the entry of extracellular calcium [<xref ref-type="bibr" rid="scirp.130295-ref9">9</xref>] . HE_ELM, also contains sterols and triterpenes, tannins, flavonoids and saponosides. These compounds are known for their vasorelaxant properties [<xref ref-type="bibr" rid="scirp.130295-ref8">8</xref>] . These results corroborated previous studies carried out on the plant highlighting the endothelium-independent vascular component of the antihypertensive properties of extracts derived from the bark of the plant’s trunk in an ex vivo model [<xref ref-type="bibr" rid="scirp.130295-ref17">17</xref>] . The other part of this study focused on the ability of HE_ELM to block the release of intracellular calcium ([Ca<sup>2+</sup>]i). Aortic rings were incubated with 1 mg/mL HE_ELM and then supplemented with U46619 (10<sup>−9</sup> - 3.10<sup>−7</sup> M). The results showed that the extract almost completely blocked the release of [Ca<sup>2+</sup>]i in vascular smooth muscle cells. Previous work had shown that this vasorelaxation is partly due to the inhibition of phosphodiesterases (PDE<sub>1</sub>, PDE<sub>3</sub>, and PDE<sub>5</sub>) and the release of [Ca<sup>2+</sup>]i into the cytoplasm, an essential mechanism for cell contraction [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>] . Interestingly, HE_ELM offers advantages in the treatment of cardiovascular diseases, including arterial hypertension characterised by endothelial dysfunction. In fact, HE_ELM is said to be able to reduce blood pressure levels because its action is directly on smooth muscle, compared with substances whose action is mediated by vasorelaxant factors derived from the endothelium. This study reinforces the claim that extracts of this plant have antihypertensive effects [<xref ref-type="bibr" rid="scirp.130295-ref6">6</xref>] [<xref ref-type="bibr" rid="scirp.130295-ref14">14</xref>] being formulated as an antihypertensive phytomedicine, LAMIC [<xref ref-type="bibr" rid="scirp.130295-ref15">15</xref>] . However, a health product can only be used when it is both effective and free from toxicity. So, the use of plant extracts in alternative medicine requires vigilance about their safety. With this in mind, HE_ELM has been tested for acute oral toxicity. The results showed that acute oral administration of HE_ELM (2000 mg/kg bw) produced no mortality or visible changes in behaviour or any other physiological activity and indicated that the LD<sub>50</sub> of this extract was greater than 5000 mg/kg bw in NMRI female mice, according to the United Nations Globally Harmonised System [<xref ref-type="bibr" rid="scirp.130295-ref36">36</xref>] . These results showed that HE_ELM can be used in practically non-toxic. This finding is in agreement with previous work involving oral administration of the aqueous infusion showed no mortality up to a dose of 3000 mg/kg and no clinicals signs of toxicity for 14 days of observation in Wistar rats [<xref ref-type="bibr" rid="scirp.130295-ref37">37</xref>] . Subacute toxicity for 28 days showed that the freeze-dried aqueous decoction of the plant’s trunk bark was non-toxic up to a dose of 1000 mg/kg [<xref ref-type="bibr" rid="scirp.130295-ref38">38</xref>] . The subchronic toxicity of LAMIC, a prototype antihypertensive phytomedicine based on the aqueous decoction of the bark from the trunks of the plant, in Wistar rats was non-toxic up to a dose of 1500 mg/kg body weight administered daily for 90 days [<xref ref-type="bibr" rid="scirp.130295-ref15">15</xref>] .</p></sec><sec id="s6"><title>5. Conclusion</title><p>Our study showed that the hydroethanolic extract of Lannea microcarpa trunk barks has antioxidant activity and a powerful concentration-dependent and endothelium-independent vasorelaxant effect on aortic rings isolated from mice pre-contracted at U46619. The presence of flavonoids, tannins, saponosides, sterols and triterpenes in the extract could account for its antioxidant, and vasorelaxant properties. From a toxicological point of view, the extract is non-hazardous. The vasodilatory properties observed on aortic rings suggest the possible use of L. microcarpa in the treatment of cardiovascular disease, even in cases of endothelial dysfunction. These findings will help to scientifically validate the traditional therapeutic uses of this plant in the treatment of hypertension.</p></sec><sec id="s7"><title>Acknowledgements</title><p>We would like to thank the “Laboratoire de Recherche-D&#233;veloppement de Phytom&#233;dicaments et M&#233;dicaments (LR-D/PM)/IRSS/CNRST” and project N˚88 FONRID/APP8/NCP/PC/2021 for supporting and funding this research.</p></sec><sec id="s8"><title>Conflicts of Interest</title><p>The authors declare no conflicts of interest regarding the publication of this paper.</p></sec><sec id="s9"><title>Cite this paper</title><p>: Niti&#233;ma, M., Kafando, B., Ou&#233;draogo, W.R.C., Sawadogo, B., Kabor&#233;, B., B&#233;lem-Kabr&#233;, W.L.M.E., Traor&#233;, T.K., Ou&#233;draogo, J.C.R.P., Ou&#233;draogo, S., Belemnaba, L., Traor&#233;, A., Ou&#233;draogo, M., Ou&#233;draogo, N., Kini, B.F. and Ou&#233;draogo, S. (2023) Acute Oral Toxicity and Vasorelaxant Effects of Hydroethanolic Extract from Lannea microcarpa Engl. &amp; K. Krause (Anacardiaceae) Trunk Barks in Mice Aortas: Possible Involvement of Intracellular Ca2+ Mobilization. Pharmacology &amp; Pharmacy, 14, 530-549. https://doi.org/10.4236/pp.2023.1412035</p></sec></body><back><ref-list><title>References</title><ref id="scirp.130295-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Getiye, Y., Tolessa, T. and Engidawork, E. (2016) Antihypertensive Activity of 80% Methanol Seed Extract of Calpurnia aurea (Ait.) Benth. subsp. aurea (Fabaceae) Is Mediated through Calcium Antagonism Induced Vasodilation. Journal of Ethnopharmacology, 189, 99-106. https://doi.org/10.1016/j.jep.2016.04.056</mixed-citation></ref><ref id="scirp.130295-ref2"><label>2</label><mixed-citation publication-type="other" xlink:type="simple">World Heart Federation (2023) World Heart Report 2023: Confronting the World’s Number One Killer. World Heart Federation, Geneva, 49 p.  
https://www.google.com/url?sa=t&amp;rct=j&amp;q=&amp;esrc=s&amp;source=web&amp;cd=&amp;ved=2ahUKEwimkJjv1qCDAxWgVUEAHSEPB_EQFnoECBQQAQ&amp;url=https%3A%2F%2Fworld-heart-federation.org%2Fwp-content%2Fuploads%2FWorld-Heart-Report-2023.pdf&amp;usg=AOvVaw19nQe6vg9WW08C19d7Id0J&amp;opi=89978449</mixed-citation></ref><ref id="scirp.130295-ref3"><label>3</label><mixed-citation publication-type="other" xlink:type="simple">Kearney, P.M., Whelton, M., Reynolds, K., Muntner, P., Whelton, P.K. and He, J. (2005) Global Burden of Hypertension: Analysis of Worldwide Data. The Lancet, 365, 217-223. https://doi.org/10.1016/S0140-6736(05)17741-1</mixed-citation></ref><ref id="scirp.130295-ref4"><label>4</label><mixed-citation publication-type="other" xlink:type="simple">Getahun, G.K., Goshu, B.Y., Goshu, D.Y. and Mekuria, Z.N. (2023) Cardiovascular Disease Risk among Hypertensive Patients and Associated Determinants in Addis Ababa, Ethiopia: An Institutional-Based Cross-Sectional Study. BMJ Open, 13, e068948. https://doi.org/10.1136/bmjopen-2022-068948</mixed-citation></ref><ref id="scirp.130295-ref5"><label>5</label><mixed-citation publication-type="journal" xlink:type="simple"><name name-style="western"><surname>Mota</surname><given-names> A.H. </given-names></name>,<etal>et al</etal>. (<year>2016</year>)<article-title>A Review of Medicinal Plants Used in Therapy of Cardiovascular Diseases</article-title><source> International Journal of Pharmacognosy and Phytochemical Research</source><volume> 8</volume>,<fpage> 572</fpage>-<lpage>591</lpage>.<pub-id pub-id-type="doi"></pub-id></mixed-citation></ref><ref id="scirp.130295-ref6"><label>6</label><mixed-citation publication-type="other" xlink:type="simple">Nitiéma, M., Soleti, R., Koffi, C., Belemnaba, L., Mallegol, P., Ouédraogo, N., Kini, F.B., Ouédraogo, S., Guissou, I.P. and Andriantsitohaina, R. (2019) Ethyl Acetate Fraction of Lannea microcarpa Engl. and K. Krause (Anacardiaceae) Trunk Barks Corrects Angiotensin II-Induced Hypertension and Endothelial Dysfunction in Mice. Oxidative Medicine and Cellular Longevity, 2019, Article ID: 9464608.  
https://doi.org/10.1155/2019/9464608</mixed-citation></ref><ref id="scirp.130295-ref7"><label>7</label><mixed-citation publication-type="other" xlink:type="simple">Calhoun, D.A., Jones, D., Textor, S., Goff, D.C., Murphy, T.P., Toto, R.D., White, A., Cushman, W.C., White, W. and Sica, D. (2008) Resistant Hypertension: Diagnosis, Evaluation, and Treatment. Circulation, 117, e510-e526.  
https://doi.org/10.1161/CIRCULATIONAHA.108.189141</mixed-citation></ref><ref id="scirp.130295-ref8"><label>8</label><mixed-citation publication-type="other" xlink:type="simple">Ouedraogo, W.R.C., Belemnaba, L., Nitiéma, M., Kaboré, B., Koala, M., Ouedraogo, S., Semde, R. and Ouedraogo, S. (2023) Phytochemical Study, Antioxidant and Vasodilatation Activities of Leafy Stem Extracts of Flemingia faginea Guill. &amp; Perr. (Barker), A Medicinal Plant Used for the Traditional Treatment of Arterial Hypertension. Pharmacological Research-Modern Chinese Medicine, 7, Article ID: 100231. https://doi.org/10.1016/j.prmcm.2023.100231</mixed-citation></ref><ref id="scirp.130295-ref9"><label>9</label><mixed-citation publication-type="other" xlink:type="simple">Nitiéma, M., Koala, M., Belemnaba, L., Ouédraogo, J.C.W., Ouédraogo, S., Kini, F.B., Ouédraogo, S. and Guissou, I.P. (2019) Endothelium-Independent Vasorelaxant Effects of Anthocyanins-Enriched Extract from Odontonema strictum (Nees) Kuntze (Acanthaceae) Flowers: Ca2+ Channels Involvement. European Journal of Medicinal Plants, 29, 1-11. https://doi.org/10.9734/ejmp/2019/v29i330155</mixed-citation></ref><ref id="scirp.130295-ref10"><label>10</label><mixed-citation publication-type="other" xlink:type="simple">Ouedraogo, W.R.C., Belemnaba, L., Nitiema, M., Kabore, B., Ouedraogo, N. and Koala, M. (2023) Antioxidant and Vasorelaxant Properties of Phaseolus vulgaris Linn (Fabaceae) Immature Pods Extract on the Thoracic Aorta of NMRI Mice. Biomedical and Pharmacology Journal, 16, 533-548.  
https://doi.org/10.13005/bpj/2635</mixed-citation></ref><ref id="scirp.130295-ref11"><label>11</label><mixed-citation publication-type="other" xlink:type="simple">Bazongo, P., Bassolé, I.H.N., Nielsen, S., Hilou, A., Dicko, M.H. and Shukla, V.K. (2014) Characteristics, Composition and Oxidative Stability of Lannea microcarpa Seed and Seed Oil. Molecules, 19, 2684-2693.  
https://doi.org/10.3390/molecules19022684</mixed-citation></ref><ref id="scirp.130295-ref12"><label>12</label><mixed-citation publication-type="other" xlink:type="simple">Belemnaba, L., Nitiema, M., Traoré, S., Somé, N., Traoré, A., Ouédraogo, S. and Guissou, I.P. (2014) Recherche de plantes à potentialités antihypertensives dans la biodiversité du Burkina Faso. Pharmacopée et Médecine Traditionnelle Africaine, 17, 33-40.</mixed-citation></ref><ref id="scirp.130295-ref13"><label>13</label><mixed-citation publication-type="other" xlink:type="simple">Compaore, S., Belemnaba, L., Hounkpevi, A., Idohou, R., Zerbo, I., Ouedraogo, S. and Thiombiano, A. (2020) Diversity of Plants Used in the Management of Hypertension by Three Associations of Traditional Healers along a Climate Gradient in Burkina Faso. Advances in Traditional Medicine, 21, 151-162.  
https://doi.org/10.1007/s13596-020-00495-x</mixed-citation></ref><ref id="scirp.130295-ref14"><label>14</label><mixed-citation publication-type="other" xlink:type="simple">Traore, N.S.G.Y.V., Belemnaba, L., Nitiema, M., Ouedraogo, C.W.R., Traore, T.K., Compaore, S., Ouedraogo, S., Ouedraogo, N. and Ouedraogo, S. (2022) Antihypertensive Effect of the Lyophilized Aqueous Extract of Lannea microcarpa in L-NAME-Induced Hypertensive Wistar Rats. International Journal of Pharmacology, 18, 1401-1411. https://doi.org/10.3923/ijp.2022.1401.1411</mixed-citation></ref><ref id="scirp.130295-ref15"><label>15</label><mixed-citation publication-type="other" xlink:type="simple">Belemnaba, L., Soubeiga, M., Ouédraogo, G.G., Traoré, T.K., Nitiéma, M., Ilboudo, S., Belemlilga, B.M., Compaoré, S., Sondé, R., Ouédraogo, J.C.R.P., et al. (2019) Antioxidant Properties and Subchronic Toxicity of the Standardized Extract of LAMIC, A Phytomedicine Prototype Based on Aqueous Extracts from Trunk Bark of Lannea microcarpa Engl and K. Krause. Journal of Drug Delivery and Therapeutics, 9, 1-8. https://doi.org/10.22270/jddt.v9i5.3285</mixed-citation></ref><ref id="scirp.130295-ref16"><label>16</label><mixed-citation publication-type="other" xlink:type="simple">Antwi-Adjei, M., Owusu, G. and Ameade, E.P. (2017) Aqueous Extract of Lannea microcarpa Attenuates Dextran Sulphate-Induced Paw Oedema and Xylene-Induced Ear Oedema in Rodents. International Journal of Basic &amp; Clinical Pharmacology, 6, 1048-1053. https://doi.org/10.18203/2319-2003.ijbcp20171655</mixed-citation></ref><ref id="scirp.130295-ref17"><label>17</label><mixed-citation publication-type="other" xlink:type="simple">Ouédraogo, S., Belemnaba, L., Zague, H., Traore, A., Lompo, M., Guissou, I.P., Lugnier, C. and Bucher, B. (2010) Endothelium-Independent Vasorelaxation by Extract and Fractions from Lannea microcarpa Engl. and K. Krause (Anacardiaceae): Possible Involvement of Phosphodiesterase Inhibition. International Journal of Pharmacology and Biological Sciences, 4, 9-16.</mixed-citation></ref><ref id="scirp.130295-ref18"><label>18</label><mixed-citation publication-type="other" xlink:type="simple">Belem-Kabré, W.L.M.E., Nitiéma, M., Odjo, S.B., Noura, M.O., Yaro, B., Kaboré, B., Somda, D.G., Traoré, T.K., Koala, M., Ilboudo, S., et al. (2023) Phytochemical Analysis and Contractile Effects of Aqueous and Hydroethanolic Extracts of Anastatica hierochuntica L.(Brassicaceae) on the Isolated Uterus of Mice. Pharmacology &amp; Pharmacy, 14, 252-270.</mixed-citation></ref><ref id="scirp.130295-ref19"><label>19</label><mixed-citation publication-type="other" xlink:type="simple">OCDE (2001) OECD Guideline for Testing of Chemicals, Acute Oral Toxicity—Acute Toxic Class Method.  
https://www.google.com/url?sa=t&amp;rct=j&amp;q=&amp;esrc=s&amp;source=web&amp;cd=&amp;ved=2ahUKEwimmYbC_p2DAxXAT0EAHVJfDYwQFnoECAwQAQ&amp;url=https%3A%2F%2Fntp.niehs.nih.gov%2Fsites%2Fdefault%2Ffiles%2Ficcvam%2Fsuppdocs%2Ffeddocs%2Foecd%2Foecd_gl423.pdf&amp;usg=AOvVaw2vMjpM5rJ1RzitVvtwOj-D&amp;opi=89978449</mixed-citation></ref><ref id="scirp.130295-ref20"><label>20</label><mixed-citation publication-type="other" xlink:type="simple">Ouédraogo, W.R.C., Belemnaba, L., Nitiéma, M., Kaboré, B., Compaoré, S., Koala, M., Semdé, R. and Ouédraogo, S. (2023) Evaluation of Acute, Subacute Toxicity and in Vivo Impact of Aqueous Decoction of Flemingia faginea Guill. &amp; Perr. (Barker) Leafy Stems on NMRI Mice and Normotensive Wistar Rats. Journal of Drug Delivery and Therapeutics, 13, 1-10. https://doi.org/10.22270/jddt.v13i1.5819</mixed-citation></ref><ref id="scirp.130295-ref21"><label>21</label><mixed-citation publication-type="other" xlink:type="simple">Bachheti, R.K., Worku, L.A., Gonfa, Y.H., Zebeaman, M., Pandey, D. and Bachheti, A. (2022) Prevention and Treatment of Cardiovascular Diseases with Plant Phytochemicals: A Review. Evidence-Based Complementary and Alternative Medicine, 2022, Article ID: 5741198. https://doi.org/10.1155/2022/5741198</mixed-citation></ref><ref id="scirp.130295-ref22"><label>22</label><mixed-citation publication-type="other" xlink:type="simple">Ouedraogo, S., Ouedraogo, B., Kabore, B., Traore, T., Yaro, A., Koala, M., Yoda, J., Ouedraogo, S. and Semde, R. (2021) Research of Phytochemical Marker in Trunk Bark Extracts of Lannea microcarpa, A Traditional Herbal Used to Treat High Blood Pressure. Medicinal and Analytical Chemistry International Journal, 5, Article ID: 000171. https://doi.org/10.23880/macij-16000171</mixed-citation></ref><ref id="scirp.130295-ref23"><label>23</label><mixed-citation publication-type="other" xlink:type="simple">Kaboré, B., Koala, M., Nitiema, M., Ouedraogo, W.R.C., Compaoré, S., Belemnaba, L., Ouedraogo, S., Ilboudo, S., Ouedraogo, N. and Dabiré, C.M. (2022) Phytochemical Screening by High-Performance Thin-Layer Chromatography, Antioxidant Activities and Acute Toxicity of Trunk Barks Extracts of Lannea velutina A. Rich. American Journal of Analytical Chemistry, 13, 365-381.  
https://doi.org/10.4236/ajac.2022.1310025</mixed-citation></ref><ref id="scirp.130295-ref24"><label>24</label><mixed-citation publication-type="other" xlink:type="simple">Knox, M., Vinet, R., Fuentes, L., Morales, B. and Martínez, J.L. (2019) A Review of Endothelium-Dependent and -Independent Vasodilation Induced by Phytochemicals in Isolated Rat Aorta. Animals, 9, Article No. 623.  
https://doi.org/10.3390/ani9090623</mixed-citation></ref><ref id="scirp.130295-ref25"><label>25</label><mixed-citation publication-type="other" xlink:type="simple">Castro-Ruiz, J.E., Rojas-Molina, A., Luna-Vázquez, F.J., Rivero-Cruz, F., García-Gasca, T. and Ibarra-Alvarado, A.C. (2017) (Spilanthol), Isolated from Heliopsis longipes, Induces Vasodilation via Activation of Gasotransmitters and Prostacyclin Signaling Pathways. International Journal of Molecular Sciences, 18, Article No. 218. https://doi.org/10.3390/ijms18010218</mixed-citation></ref><ref id="scirp.130295-ref26"><label>26</label><mixed-citation publication-type="other" xlink:type="simple">Luna-Vázquez, F., Ibarra-Alvarado, C., Camacho-Corona, M., Rojas-Molina, A., Rojas-Molina, J., García, A. and Bah, M. (2018) Vasodilator Activity of Compounds Isolated from Plants Used in Mexican Traditional Medicine. Molecules, 23, Article No. 1474. https://doi.org/10.3390/molecules23061474</mixed-citation></ref><ref id="scirp.130295-ref27"><label>27</label><mixed-citation publication-type="other" xlink:type="simple">Schini-Kerth, V.B., Auger, C., étienne-Selloum, N. and Chataigneau, T. (2010) Polyphenol-Induced Endothelium-Dependent Relaxations: Role of NO and EDHF. Advances in Pharmacology, 60, 133-175.  
https://doi.org/10.1016/B978-0-12-385061-4.00006-4</mixed-citation></ref><ref id="scirp.130295-ref28"><label>28</label><mixed-citation publication-type="other" xlink:type="simple">Castro, C. (2022) Natural Plant Antioxidants and Cardiovascular Disease. Frontiers in Physiology, 13, Article ID: 848497. https://doi.org/10.3389/fphys.2022.848497</mixed-citation></ref><ref id="scirp.130295-ref29"><label>29</label><mixed-citation publication-type="other" xlink:type="simple">Shahidi, F. and Ambigaipalan, P. (2015) Phenolics and Polyphenolics in Foods, Beverages and Spices: Antioxidant Activity and Health Effects—A Review. Journal of Functional Foods, 18, 820-897. https://doi.org/10.1016/j.jff.2015.06.018</mixed-citation></ref><ref id="scirp.130295-ref30"><label>30</label><mixed-citation publication-type="other" xlink:type="simple">Singla, R.K., Dubey, A.K., Garg, A., Sharma, R.K., Fiorino, M., Ameen, S.M., Haddad, M.A. and Al-Hiary, M. (2019) Natural Polyphenols: Chemical Classification, Definition of Classes, Subcategories, and Structures. Journal of AOAC International, 102, 1397-1400. https://doi.org/10.1093/jaoac/102.5.1397</mixed-citation></ref><ref id="scirp.130295-ref31"><label>31</label><mixed-citation publication-type="other" xlink:type="simple">Hrelia, S. and Angeloni, C. (2021) New Mechanisms of Action of Natural Antioxidants in Health and Disease II. Antioxidants, 10, Article No. 1200.  
https://doi.org/10.3390/antiox10081200</mixed-citation></ref><ref id="scirp.130295-ref32"><label>32</label><mixed-citation publication-type="other" xlink:type="simple">Ali, J., Aziz, M.A., Rashid, M.M.O., Basher, M.A. and Islam, M.S. (2022) Propagation of Age-Related Diseases Due to the Changes of Lipid Peroxide and Antioxidant Levels in Elderly People: A Narrative Review. Health Science Reports, 5, e650.  
https://doi.org/10.1002/hsr2.650</mixed-citation></ref><ref id="scirp.130295-ref33"><label>33</label><mixed-citation publication-type="other" xlink:type="simple">Bationo, J., Hilou, A., Savadogo, P. and Nacoulma, O. (2012) Content of Polyphenolics Constituents and the Antioxidant and Antimicrobial Activities of Extracts from Leaves and Fruits of “Lannea microcarpa” Engl. &amp; K. Kraus (Anacardiaceae). Current Research Journal of Biological Sciences, 4, 290-296.</mixed-citation></ref><ref id="scirp.130295-ref34"><label>34</label><mixed-citation publication-type="other" xlink:type="simple">Hilou, A., Bougma, A. and Dicko, M.H. (2017) Phytochemistry and Agro-Industrial Potential of Native Oil Seeds from West Africa: African Grape (Lannea microcarpa), Marula (Sclerocarya birrea), and Butter Tree (Pentadesma butyracea). Agriculture, 7, Article No. 24. https://doi.org/10.3390/agriculture7030024</mixed-citation></ref><ref id="scirp.130295-ref35"><label>35</label><mixed-citation publication-type="other" xlink:type="simple">Belemnaba, L., Ouédraogo, S., Nitiéma, M., Chataigneau, T., Guissou, I.P., Schini-Kerth, V.B., Bucher, B. and Auger, C. (2018) An Aqueous Extract of the Anogeissus leiocarpus Bark (AEAL) Induces the Endothelium-Dependent Relaxation of Porcine Coronary Artery Rings Involving Predominantly Nitric Oxide. Journal of Basic and Clinical Physiology and Pharmacology, 29, 599-608.  
https://doi.org/10.1515/jbcpp-2017-0084</mixed-citation></ref><ref id="scirp.130295-ref36"><label>36</label><mixed-citation publication-type="other" xlink:type="simple">Heikkila, H., Maalouf, W. and Campello, G. (2021) The United Nations Office on Drugs and Crime’s Efforts to Strengthen a Culture of Prevention in Low- and Middle-Income Countries. Prevention Science, 22, 18-28.  
https://doi.org/10.1007/s11121-020-01088-5</mixed-citation></ref><ref id="scirp.130295-ref37"><label>37</label><mixed-citation publication-type="other" xlink:type="simple">Owusu, G. and Antwi-Adjei, M. (2017) Acute and Sub-Acute Oral Toxicity Studies of the Aqueous Extract of Lannea microcarpa Stem Bark on Rats. International Journal of Pharmacy &amp; Pharmaceutical Research, 9, 17-30.</mixed-citation></ref><ref id="scirp.130295-ref38"><label>38</label><mixed-citation publication-type="other" xlink:type="simple">Nitiéma, M., Ilboudo, S., Belemnaba, L., Ouédraogo, G.G., Ouédraogo, S., Ouédraogo, N., Sylvin, O. and Guissou, I.P. (2018) Acute and Sub-Acute Toxicity Studies of Aqueous Decoction of the Trunk Barks from Lannea microcarpa Engl. and K. Krause (Anacardiaceae) in Rodents. World Journal of Pharmacy and Pharmaceutical Sciences, 7, 30-42.</mixed-citation></ref></ref-list></back></article>