<?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">JBM</journal-id><journal-title-group><journal-title>Journal of Biosciences and Medicines</journal-title></journal-title-group><issn pub-type="epub">2327-5081</issn><publisher><publisher-name>Scientific Research Publishing</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.4236/jbm.2024.123008</article-id><article-id pub-id-type="publisher-id">JBM-131754</article-id><article-categories><subj-group subj-group-type="heading"><subject>Articles</subject></subj-group><subj-group subj-group-type="Discipline-v2"><subject>Biomedical&amp;Life Sciences</subject></subj-group></article-categories><title-group><article-title>
 
 
  Safety and &lt;i&gt;in Vivo&lt;/i&gt; Anti-Inflammatory Activity of Ethanolic Extract of &lt;i&gt;Ficus umbellata&lt;/i&gt; (Vahl.) Leaves
 
</article-title></title-group><contrib-group><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Atchadé</surname><given-names>Pascal Tchogou</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>Steven</surname><given-names>Amour Pyus Tanguy Vignon Chokki</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>Gbèssohèlè</surname><given-names>Justin Behanzin</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>Tétédé</surname><given-names>Rodrigue Christian Konfo</given-names></name><xref ref-type="aff" rid="aff3"><sup>3</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Perside</surname><given-names>Savoeda</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>Félicienne</surname><given-names>Agbogba</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>Léocardie</surname><given-names>Akpoli</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>Lamine</surname><given-names>Baba-Moussa</given-names></name><xref ref-type="aff" rid="aff4"><sup>4</sup></xref></contrib><contrib contrib-type="author" xlink:type="simple"><name name-style="western"><surname>Maximin</surname><given-names>Senou</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>Alphonse</surname><given-names>Sezan</given-names></name><xref ref-type="aff" rid="aff2"><sup>2</sup></xref></contrib></contrib-group><aff id="aff2"><addr-line>Laboratory of Pharmacology and Improved Traditional Medicines (LPMTA), Faculty of Science and Technology (FAST), 
University of Abomey-Calavi (UAC), Abomey-Calavi, Benin</addr-line></aff><aff id="aff3"><addr-line>National University of Agriculture (UNA), Schools of Science and Techniques for Preservation and Processing of Agricultural Prod-ucts (ESTCTPA), Sakété, Benin</addr-line></aff><aff id="aff1"><addr-line>Experimental and Clinical Biology Unit (UBEC), Biotechnology Research Laboratory Medical and Pharmaceutical (LaRBiMeP), Na-tional School of Biosciences and Biotechnology of Dassa-Zoumé (ENSBBA), National University of Science, Technology and Engi-neering of Abomey (UNSTIM), Dassa-Zoumé, Benin</addr-line></aff><aff id="aff4"><addr-line>Laboratory of Biology and Molecular Typing in Microbiology, Department of Biochemistry and Cell Biology, Faculty of Science and Technology, University of Abomey-Calavi, Cotonou, Benin</addr-line></aff><pub-date pub-type="epub"><day>05</day><month>03</month><year>2024</year></pub-date><volume>12</volume><issue>03</issue><fpage>94</fpage><lpage>112</lpage><history><date date-type="received"><day>29,</day>	<month>January</month>	<year>2024</year></date><date date-type="rev-recd"><day>12,</day>	<month>March</month>	<year>2024</year>	</date><date date-type="accepted"><day>15,</day>	<month>March</month>	<year>2024</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>
 
 
  Toxicity is the totality of adverse effects, which can be functional and morphological lesions in a living organism, caused by a substance introduced in relatively high single doses or in small, repeated doses. The aim of this study was to assess the OECD-recommended acute oral toxicity and anti-inflammatory activity of ethanolic extract of 
  <em>Ficus umbellata</em> leaves. Animals were given a single oral dose of 1000, 3000 and 5000 mg/Kg body weight (BW) of the extract. For the anti-inflammatory activity test, rats were given the ethanolic extract of F. umbellata leaves at doses of 100, 300 and 500 mg/Kg or aspirin
  &amp;reg; at a concentration of 100 mg/Kg PC orally, one hour before injection of 0.05 ml of 1% formalin under the plantar fascia of the rat’s right hind paw. Paw volume measurements were taken one, two and three hours after formalin injection, using an electronic caliper. After 14 days of observation, no deaths were observed in treated rats. The LD50 of ethanolic extract of 
  <em>Ficus umbellata</em> leaf powder is greater than 5000 mg/Kg body weight. This extract has no significant effects on hematological parameters and on the main markers of nephrotoxicity and hepatotoxicity for a single dose of less than 5000 mg/Kg PC. It reduces formalin-induced edema. Evaluation of the percentage inhibition showed that the extract had greater anti-inflammatory activity at 3 hours after the start of the experiment. However, better inhibition of inflammatory oedema of the paw of rats treated with 500 mg/Kg was observed at 5 hours after the start of the experiment, with a percentage inhibition of 69.23 &#177; 1.02, compared with the reference group treated with aspirin&amp;reg; 100 mg/Kg, which showed an inhibition of 63.50 &#177; 0.98. These results show that 
  <em>F. umbellata</em> leaves possess anti-inflammatory activity, which would justify their use in traditional African medicine to prevent or treat inflammation.
 
</p></abstract><kwd-group><kwd>&lt;i&gt;Ficus umbellata&lt;/i&gt;</kwd><kwd> Toxicity</kwd><kwd> Anti-Inflammatory</kwd><kwd> Edema</kwd><kwd> Inflammation</kwd></kwd-group></article-meta></front><body><sec id="s1"><title>1. Introduction</title><p>Medicinal plants play a very important role in the fight against the majority of diseases in sub-Saharan Africa [<xref ref-type="bibr" rid="scirp.131754-ref1">1</xref>] and have therefore become indispensable in the treatment of many pathologies. In fact, they contain secondary metabolites (phytochemical compounds) that give them these properties [<xref ref-type="bibr" rid="scirp.131754-ref2">2</xref>] . In sub-Saharan Africa, medicinal plants are used to treat metabolic diseases such as hypertension, diabetes, etc. [<xref ref-type="bibr" rid="scirp.131754-ref3">3</xref>] . Several works have revealed that many herbal medicines are toxic and affect the health of users [<xref ref-type="bibr" rid="scirp.131754-ref4">4</xref>] . It is therefore important that the safety of plant extracts is further investigated, despite the fact that we have information on their pharmacological properties. Toxicity is the set of adverse effects that can be functional and morphological lesions in a living organism, caused by a substance introduced at a relatively high single dose or at small, long-repeated doses [<xref ref-type="bibr" rid="scirp.131754-ref5">5</xref>] . Several parameters are used to assess the toxicity of a substance. These include its mode of administration (oral, intravenous, intraperitoneal), the dose administered, the mortality rate observed, the histology of certain organs, weight trends, changes in certain biochemical blood parameters known as toxicity markers such as transaminases (ALT, AST), bilirubin, creatinine, urea [<xref ref-type="bibr" rid="scirp.131754-ref5">5</xref>] .</p><p>Ficus umbellata is a plant that is widespread throughout Benin and whose leaves are used to treat several pathologies [<xref ref-type="bibr" rid="scirp.131754-ref6">6</xref>] . It is therefore necessary to assess the safety of this leaf in order to educate the population on the optimal doses not to be exceeded.</p><p>Inflammation is a reaction of the organism, implemented when the integrity of its morphological and biological constants is threatened [<xref ref-type="bibr" rid="scirp.131754-ref7">7</xref>] . Inflammation is caused by infections, physical and chemical agents. It can manifest itself through various symptoms such as edema (swelling or tumor), pain and heat or fever [<xref ref-type="bibr" rid="scirp.131754-ref8">8</xref>] .</p><p>The aim of the present study was to evaluate the acute oral toxicity and anti-inflammatory activity of the ethanolic extract of Ficus umbellata leaf powder.</p></sec><sec id="s2"><title>2. Materials and Methods</title><sec id="s2_1"><title>2.1. Animal Material</title><p>The animal material consisted of 120 - 180 g Wistar rats acquired from the laboratory. Pharmacology and Improved Traditional Medicines (LPMTA) from the Faculty of Science and Technology (FAST), University of Abomey Calavi (UAC) and with the Experimental and Clinical Biology Unit (UBEC), Biotechnology Research Laboratory Medical and Pharmaceutical (LaRBiMeP), National School of Biosciences and Biotechnology of Dassa-Zoum&#233; (ENSBBA), National University of Science, Technology and Engineering of Abomey (UNSTIM) in Benin. They were fed pelleted feed and water.</p></sec><sec id="s2_2"><title>2.2. Preparation of ethanolic extract</title><p>The collected sample was dried for three (3) weeks. It was then reduced to powder and stored in a suitable container for further handling. Extraction was dictated by bibliographical information on the chemistry of plant constituents. Ethanol was used as the solvent. Extraction took place in 3 stages: maceration, filtration and evaporation. 50 g of F. umbellata leaf powder is placed in 500 ml of ethanol. After maceration (for 72 hours), the product was filtered with filter paper, then with absorbent cotton placed in a funnel connected to a suction pump which accelerated filtration. After a few minutes, an exclusively liquid solution was obtained (the operation was repeated three times in succession). The filtrate obtained was placed in an oven at 45˚C to evaporate the ethanol. The dried extract was then scraped, weighed and the yield calculated.</p></sec><sec id="s2_3"><title>2.3. Phytochemical Screening</title><p>Phytochemical screening was carried out according to the method used by Koutchiko [<xref ref-type="bibr" rid="scirp.131754-ref9">9</xref>] .</p></sec><sec id="s2_4"><title>2.4. Secondary Metabolite Assay</title><p>&#183; Determination of total polyphenols</p><p>200 μl of extract was mixed with 1 ml of ten-fold diluted Folin-Ciocalteu reagent and 2 ml H<sub>2</sub>O, and incubated at room temperature for 4 minutes. After adding 0.8 ml of 7.5% sodium bicarbonate to the mixture, total polyphenols were determined after 2 hours incubation at room temperature. Blue color absorbance was measured at λmax = 765 nm with a Shimadzu UV-VIS spectrophotometer. Quantification was performed using a standard curve for gallic acid at different concentrations (standard curve equation: y = 0.02x + 0.014 with R2 = 0.99). Results were expressed in milligrams of gallic acid equivalents (GAE) per g of dry extract.</p><p>&#183; Determination of total flavonoids</p><p>1 ml of sample (prepared in methanol) was added to 1 ml of AlCl<sub>3</sub> solution (2% dissolved in methanol). After 10 minutes, absorbance was measured against the prepared reagent blank at λmax = 430 nm. Flavonoid concentrations were deduced from the calibration curve established with quercetin (0 - 35 μg/ml). Standard curve equation: y = 0.06x − 0.0002 with R2 = 0.98. Results were expressed in milligrams of quercetin equivalents per 1g of dry matter: mg EQ/1g of dry extract (mg EQ/g dry Ext).</p><p>&#183; Determination of condensed tannins</p><p>Condensed tannins were determined using the vanillin method described by Julkumen-Titto. Vanillin reacts with free flavan-3-ols and the terminal units of proanthocyanidins, producing a red color whose intensity is proportional to the level of flavanols present in the medium, with an absorption maximum at 500 nm wavelength. Aliquots of 0.1 to 1 ml of the catechin stock solution (0.5 mg/ml) and extracts were introduced into a series of test tubes, the final volume in each tube being made up to 1 ml by addition of absolute methanol. 1.5 ml of 4% vanillin solubilized in methanol and 750 μl of 37% HCl (12M) were added at 1-minute intervals to each tube in the series and then placed in a water bath at 30˚C for 20 minutes. Results were expressed as milligrams of Catechin Equivalents (mg CE) per 1g of dry matter.</p></sec><sec id="s2_5"><title>2.5. Acute in-Vivo Toxicity Tests</title><p>This study was conducted in accordance with OECD guideline 423 for the testing of chemicals [<xref ref-type="bibr" rid="scirp.131754-ref10">10</xref>] . At the start of the test, 8-week-old rats weighing between 120g and 180g were randomly selected. They were marked for individual identification and kept in their cages. Four (4) batches of three (3) rats were formed. One received only distilled water orally, while the other three received a single dose of 1000, 3000 and 5000mg/Kg B.W. respectively (as no information was available on the regulatory dose limit) of ethanolic extract of F. umbellata dissolved in physiological water. Animals were observed individually half an hour after administration of the extract, one hour later, and then daily. Samples were taken on D0 before and 14 days after administration of the extract. All observations were systematically recorded. Fourteen days later, the animals were sacrificed. Kidneys, liver and spleen were removed for histological study.</p></sec><sec id="s2_6"><title>2.6. Parameters Assessed</title><p>&#183; Body weight</p><p>Individual rat body weights were taken before extract administration, on D0 and then on D14. Weight variations were calculated and recorded.</p><p>&#183; Biochemical tests</p><p>Biochemical parameters (bilirubin, AST, ALT, ALP, urea, creatinemia, uric acid) were determined using a Mindray-BS 240 automated system.</p><p>&#183; Hematological tests</p><p>Hematological parameters were determined using a “SYSMEX XN-330” automated system. This machine counts white blood cells, red blood cells and platelets, and determines hemoglobin, hematocrit, Mean Corpuscular Volume, Mean Corpuscular Hemoglobin Concentration and Average platelet Hemoglobin Content.</p></sec><sec id="s2_7"><title>2.7. Histological Study of Harvested Organs (Kidneys, Liver and Spleen)</title><p>Kidneys, liver and spleen were removed, fixed in 10% buffered formalin and embedded in kerosene. Sections of the samples (5 μm) were mounted on glass slides, deparaffinized and hydrated. For histological analysis, sections are stained with hematoxylin and eosin (H&amp;E), following a standard protocol [<xref ref-type="bibr" rid="scirp.131754-ref11">11</xref>] . Photographs are taken at 400 X magnification.</p></sec><sec id="s2_8"><title>2.8. In Vivo Anti-Inflammatory Activity Test</title><p>The study of the anti-inflammatory activity of the ethanolic extract of F. umbellata was conducted following the method described by Rahmani [<xref ref-type="bibr" rid="scirp.131754-ref12">12</xref>] and slightly improved. Rats were given the extract at doses of 100, 300 and 500 mg/Kg or aspirin at a concentration of 100 mg/Kg PC orally, one hour before injection of 0.05 mL of 1% formalin under the plantar fascia of the rat’s right hind paw. Paw volume measurements were taken one, two and three hours after formalin injection, using an electronic caliper. Anti-inflammatory activity was assessed in terms of percentage reduction in edema in treated rats versus controls, using the following formula:</p><p>Percentage ( % ) ofinhibition = ( % ) increase control − ( % ) increase treaty ( % ) increase control &#215; 100</p><p>&#190; % increase control: percentage (%) of average increase in circumference of edematous leg in control group.</p><p>&#190; % increase treaty: percentage (%) of average increase in circumference of the edematized leg in the treatment group.</p><p>% increase = V t − V 0 V 0 &#215; 100</p><p>V<sub>0</sub>: volume of paw at t = 0 (before formalin injection).</p><p>V<sub>t</sub>: paw volume at any time t.</p></sec><sec id="s2_9"><title>2.9. Statistical Analysis</title><p>Data collected before and after treatment with the extract were tabulated and entered into Excel 2013. Normality and homogeneity of variances were checked with R Studio software using the Shapiro.test and Levene.test respectively; comparison of pre- and post-treatment data was carried out using the parametric paired two-sample test with R Studio software. Histograms showing the comparison of the mean rate of each parameter were produced using Graphpad Prism 9.5.1 (733) software. Significance is declared when the probability value P-value is less than 0.05.</p></sec></sec><sec id="s3"><title>3. Results</title><sec id="s3_1"><title>3.1. Extraction Yield</title><p>Extraction yield is calculated as the ratio between the mass of extract and the mass of leaf powder.</p><p>Yield = (Mass of extract/Mass of dry leaf powder) &#215; 100</p><p>Yield = (30.55/150) &#215; 100</p><p>The extraction yield was 20.37%. The extract has a black color.</p></sec><sec id="s3_2"><title>3.2. Chemical Group Detection Test</title><p>Phytochemical screening enabled us to identify the various secondary metabolites contained in F. umbellata dried leaf powder. The qualitative results of this phytochemical screening test are summarized in <xref ref-type="table" rid="table1">Table 1</xref>.</p></sec><sec id="s3_3"><title>3.3. Total polyphenol, flavonoid and tannin content</title><p>Total polyphenol, flavonoid and tannin contents are shown in <xref ref-type="table" rid="table2">Table 2</xref>. Total polyphenols are higher (125.65 &#177; 2.1 mgEAG/g dry extract) than flavonoids and tannins.</p></sec><sec id="s3_4"><title>3.4. Clinical Signs Observed</title><p>The actions of the animals were carefully observed during the first 30 minutes after administration of the extract and throughout the 14 days of experimentation. It was noted that, apart from drowsiness, rats treated with 1000 and 3000 mg/Kg∙BW showed no clinical signs, whereas those treated with 5000 mg/Kg∙BW showed diarrhea, tremors and accelerated breathing. The results obtained are summarized in <xref ref-type="table" rid="table3">Table 3</xref>.</p><table-wrap id="table1" ><label><xref ref-type="table" rid="table1">Table 1</xref></label><caption><title> Phytochemical screening (qualitative results)</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Compound group</th><th align="center" valign="middle" >Metabolites</th><th align="center" valign="middle" >Characterization</th></tr></thead><tr><td align="center" valign="middle" >Polyphenolic compounds</td><td align="center" valign="middle" >Flavonoids Gallic tannins Catechin tannins Anthocyanins Leuco-anthocyane Coumarin</td><td align="center" valign="middle" >+ − + + + −</td></tr><tr><td align="center" valign="middle" >Terpene compound</td><td align="center" valign="middle" >Steroids Triterpenoids</td><td align="center" valign="middle" >+ +</td></tr><tr><td align="center" valign="middle" >Nitrogen compound</td><td align="center" valign="middle" >Alkaloids</td><td align="center" valign="middle" >+</td></tr><tr><td align="center" valign="middle" >Heterosides</td><td align="center" valign="middle" >Saponosides Cyanogenic derivatives Reducing compounds Anthraquinones Mucilages</td><td align="center" valign="middle" >− − + + −</td></tr></tbody></table></table-wrap><p>(+): Presence; (−): Absence.</p><table-wrap id="table2" ><label><xref ref-type="table" rid="table2">Table 2</xref></label><caption><title> Secondary metabolite assays (quantitative results)</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Metabolites</th><th align="center" valign="middle" >Total polyphenols (a)</th><th align="center" valign="middle" >Flavonoids (b)</th><th align="center" valign="middle" >Tannins (c)</th></tr></thead><tr><td align="center" valign="middle" >Concentrations</td><td align="center" valign="middle" >125.65 &#177; 2.1 mgEAG/g of dry extract</td><td align="center" valign="middle" >28.80 &#177; 2.55 mgEQ/g of dry extract</td><td align="center" valign="middle" >20.98 &#177; 1 mgEC/g of dry extract</td></tr></tbody></table></table-wrap><p>a: milligram of gallic acid per 1 gram of dry extract (mg EAG/g of dry extract); b: milligram of quercetin equivalents per 1 gram of dry extract (mgEQ/g of dry extract); c: milligram of Catechin Equivalents per 1 gram of dry extract (mgEC/g of dry extract).</p><table-wrap id="table3" ><label><xref ref-type="table" rid="table3">Table 3</xref></label><caption><title> Clinical signs observed after extract administration</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Batch Signs</th><th align="center" valign="middle" >Control</th><th align="center" valign="middle" >1000 mg/Kg∙BW</th><th align="center" valign="middle" >3000 mg/Kg∙BW</th><th align="center" valign="middle" >5000 mg/Kg∙BW</th></tr></thead><tr><td align="center" valign="middle" >Drowsiness</td><td align="center" valign="middle" >−</td><td align="center" valign="middle" >+</td><td align="center" valign="middle" >+</td><td align="center" valign="middle" >+</td></tr><tr><td align="center" valign="middle" >Paralysis</td><td align="center" valign="middle" >−</td><td align="center" valign="middle" >−</td><td align="center" valign="middle" >−</td><td align="center" valign="middle" >−</td></tr><tr><td align="center" valign="middle" >Coma</td><td align="center" valign="middle" >−</td><td align="center" valign="middle" >−</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><td align="center" valign="middle" >−</td><td align="center" valign="middle" >+</td></tr><tr><td align="center" valign="middle" >Lethargy</td><td align="center" valign="middle" >−</td><td align="center" valign="middle" >−</td><td align="center" valign="middle" >−</td><td align="center" valign="middle" >−</td></tr><tr><td align="center" valign="middle" >Tremor</td><td align="center" valign="middle" >−</td><td align="center" valign="middle" >−</td><td align="center" valign="middle" >−</td><td align="center" valign="middle" >+</td></tr><tr><td align="center" valign="middle" >Accelerated breathing</td><td align="center" valign="middle" >−</td><td align="center" valign="middle" >−</td><td align="center" valign="middle" >−</td><td align="center" valign="middle" >+</td></tr></tbody></table></table-wrap><p>(+): Presence of sign; (−): Absence of sign.</p></sec><sec id="s3_5"><title>3.5. Determination of LD50</title><p>After 14 days of observation, no deaths were observed, so the LD50 value for ethanolic extract of Ficus umbellata leaves is greater than 5000 mg/Kg body weight.</p></sec><sec id="s3_6"><title>3.6. Variation in Animal Body Weight</title><p><xref ref-type="fig" rid="fig1">Figure 1</xref> shows the effect of the extract on animal body weight over the course of the experiment as a function of time. Analysis of the variation in body weight of animals given different oral doses of the extract showed a reduction in weight from Day 7 onwards. There was a downward trend in weight from Day 0 to Day 7 (p &gt; 0.05). On Day 14, the decrease was very pronounced (p &lt; 0.0024).</p></sec><sec id="s3_7"><title>3.7. Effects of F. umbellata Extract on Haematological Parameters in Rats</title><p>Statistical analysis of the haemograms of the control and test batches showed that only blood platelets showed a significant difference from the control for doses of 3000 and 5000mg/Kg∙BW (p &lt; 0.05). The results obtained are summarized in <xref ref-type="table" rid="table4">Table 4</xref>.</p><p>Statistical analysis of the blood counts of the control and test batches showed that only blood platelets showed a significant difference from the control for the 3000 and 5000 mg/Kg∙BW (p &lt; 0.05).</p></sec><sec id="s3_8"><title>3.8. Conjugated Bilirubin</title><p><xref ref-type="fig" rid="fig2">Figure 2</xref> shows the effect of F. umbellata ethanolic extract on conjugated bilirubin levels in rats. Conjugated bilirubin levels in the batches tested showed an upward trend at day 14. Analysis of variance results showed no significant difference whatever the dose administered (p &gt; 0.05).</p></sec><sec id="s3_9"><title>3.9. Effect of Ethanolic Extract of F. umbellata Leaves on Total Bilirubin Levels</title><p><xref ref-type="fig" rid="fig3">Figure 3</xref> shows the effect of ethanolic extract of F. umbellata on total bilirubin</p><table-wrap id="table4" ><label><xref ref-type="table" rid="table4">Table 4</xref></label><caption><title> Effects of ethanolic extract of F. umbellata leaves on haematological parameters in rats</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Settings</th><th align="center" valign="middle" >Control</th><th align="center" valign="middle" >1000 mg/Kg∙BW</th><th align="center" valign="middle" >3000 mg/Kg∙BW</th><th align="center" valign="middle" >5000 mg/Kg∙BW</th></tr></thead><tr><td align="center" valign="middle" >White blood cells/(mm<sup>3</sup>)</td><td align="center" valign="middle" >8797 &#177; 703.28</td><td align="center" valign="middle" >8745 &#177; 573.51a</td><td align="center" valign="middle" >8387.66 &#177; 94.29a</td><td align="center" valign="middle" >8785 &#177; 215.54a</td></tr><tr><td align="center" valign="middle" >Hemoglobin (g/l)</td><td align="center" valign="middle" >15.86 &#177; 0.45</td><td align="center" valign="middle" >14.9 &#177; 0.3a</td><td align="center" valign="middle" >14.9 &#177; 0.21a</td><td align="center" valign="middle" >14.36 &#177; 0.12a</td></tr><tr><td align="center" valign="middle" >Red cells (10<sup>6</sup>/mm<sup>3</sup>)</td><td align="center" valign="middle" >8.30 &#177; 0.65</td><td align="center" valign="middle" >8.50 &#177; 0.83a</td><td align="center" valign="middle" >9.75 &#177; 0.72a</td><td align="center" valign="middle" >9.78 &#177; 0.75a</td></tr><tr><td align="center" valign="middle" >Hematocrit (%)</td><td align="center" valign="middle" >41.05 &#177; 1.92</td><td align="center" valign="middle" >48.33 &#177; 3.05a</td><td align="center" valign="middle" >50.97 &#177; 3.48a</td><td align="center" valign="middle" >51.15 &#177; 3.1a</td></tr><tr><td align="center" valign="middle" >MCV (ftl)</td><td align="center" valign="middle" >50.58 &#177; 1.73</td><td align="center" valign="middle" >56.99 &#177; 2.18a</td><td align="center" valign="middle" >52.62 &#177; 7.34a</td><td align="center" valign="middle" >52.63 &#177; 6.92a</td></tr><tr><td align="center" valign="middle" >TCMH (Pg)</td><td align="center" valign="middle" >19.62 &#177; 1.93</td><td align="center" valign="middle" >17.62 &#177; 1.56a</td><td align="center" valign="middle" >15.33 &#177; 1.26a</td><td align="center" valign="middle" >14.75 &#177; 0.99a</td></tr><tr><td align="center" valign="middle" >MCHC (%)</td><td align="center" valign="middle" >38.53 &#177; 3.06</td><td align="center" valign="middle" >30.89 &#177; 1.61a</td><td align="center" valign="middle" >28.79 &#177; 0.96a</td><td align="center" valign="middle" >28.15 &#177; 1.97a</td></tr><tr><td align="center" valign="middle" >Platelets (g/l)</td><td align="center" valign="middle" >468.66 &#177; 49.86</td><td align="center" valign="middle" >411.66 &#177; 75.11a</td><td align="center" valign="middle" >311.33 &#177; 49.65b</td><td align="center" valign="middle" >297 &#177; 43.03b</td></tr></tbody></table></table-wrap><p>A = statistically insignificant difference (p &gt; 0.05); b = statistically significant difference (p &lt; 0.05); MCHC: Mean Corpuscular Hemoglobin Concentration; VGM: Mean Corpuscular Volume; AHC: Average platelet Hemoglobin Content.</p><p>levels in rats during experimentation. An increase in total bilirubin was observed in rat batches given 3000 and 5000 mg/Kg∙BW with p &lt; 0.01.</p></sec><sec id="s3_10"><title>3.10. Effect of Ethanolic Extract of F. umbellata Leaves on Blood Creatinine Levels in Wistar Rats</title><p><xref ref-type="fig" rid="fig4">Figure 4</xref> shows the effect of ethanolic extract of F. umbellata on creatinine levels in rats during experimentation. Creatinine levels in the test batches showed no significant difference from the control (p &gt; 0.05) on day 14.</p></sec><sec id="s3_11"><title>3.11. Effect of Ethanolic Extract of F. umbellata Leaves on Uremia</title><p><xref ref-type="fig" rid="fig5">Figure 5</xref> shows the effect of ethanolic extract of F. umbellata on urea levels in rats. The urea levels of experimental batches given 5000 mg/Kg∙BW increased with p &lt; 0.05 after 14 days.</p></sec><sec id="s3_12"><title>3.12. Effect of Ethanolic Extract of F. umbellata Leaves on uricemia in Rats</title><p><xref ref-type="fig" rid="fig6">Figure 6</xref> shows the effect of ethanolic extract of F. umbellata on uric acid levels in rats during experimentation. It shows that uric acid levels increased in batches of experimental animals given doses of 3000 mg/Kg∙BW (p &lt; 0.05) and 5000 mg/Kg∙BW (p &lt; 0.01) after 14 days. <xref ref-type="table" rid="table6">Table 6</xref> summarizes the effect of ethanolic extract of F. umbellata leaves on the various biochemical parameters assessed.</p></sec><sec id="s3_13"><title>3.13. Effect of Ethanolic Extract of F. umbellata Leaves on Transaminase Levels</title><p><xref ref-type="fig" rid="fig7">Figure 7</xref> and <xref ref-type="fig" rid="fig8">Figure 8</xref> show the effect of ethanolic extract of F. umbellata on AST and ALT levels in rats during the course of the experiment. After 14 days, the transaminase values (ALT and AST) of the test batches only really increased with the 5000 mg/Kg∙BW dose (p &lt; 0.05), precisely at the ALT level.</p></sec><sec id="s3_14"><title>3.14. Effect of Ethanolic Extract of F. umbellata Leaves on Alkaline Phosphatase Levels</title><p><xref ref-type="fig" rid="fig9">Figure 9</xref> shows the effect of F. umbellata ethanolic extract on alkaline phosphatase</p><p>levels in rats during experimentation. Alkaline phosphatase levels in the test batches increased on day 14 (p &lt; 0.05) with doses of 3000 and 5000 mg/Kg∙BW.</p></sec><sec id="s3_15"><title>3.15. Effect of Ethanolic Extract of F. umbellata Leaves on the Relative Weight of Harvested Organs</title><p>Ethanolic extract of Ficus umbellata had no significant effect on the weight of harvested organs. The results obtained are summarized in <xref ref-type="table" rid="table5">Table 5</xref>.</p></sec><sec id="s3_16"><title>3.16. Histological Study of the Liver, Kidneys and Spleen in the Acute Toxicity Test of Rats Treated with Different Doses of the Extract</title><p>&#183; Liver histology</p><p>Liver histology of rats treated with ethanolic extract of Ficus umbellata leaves was as follows:</p><p>The livers of rats treated with various doses of Ficus umbellata extract showed no visible atypia. Normal-looking hepatocytes (arrows) were arranged in radial cords around the centrilobular vein (CV). The venous sinusoids (S) are clearly</p><table-wrap id="table5" ><label><xref ref-type="table" rid="table5">Table 5</xref></label><caption><title> Effect of ethanolic extract of Ficus umbellata on the relative weight of harvestedorgans after 14 days</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Weight (g)</th><th align="center" valign="middle" >Control</th><th align="center" valign="middle" >1000 mg/Kg</th><th align="center" valign="middle" >3000 mg/Kg</th><th align="center" valign="middle" >5000 mg/Kg</th></tr></thead><tr><td align="center" valign="middle" >Liver</td><td align="center" valign="middle" >3.10 &#177; 0.08NS</td><td align="center" valign="middle" >3.05 &#177; 0.08 NS</td><td align="center" valign="middle" >3.03 &#177; 0.10 NS</td><td align="center" valign="middle" >3.01 &#177; 0.11 NS</td></tr><tr><td align="center" valign="middle" >Right kidney</td><td align="center" valign="middle" >0.30 &#177; 0.02 NS</td><td align="center" valign="middle" >0.31 &#177; 0.04 NS</td><td align="center" valign="middle" >0.30 &#177; 0.01 NS</td><td align="center" valign="middle" >0.30 &#177; 0.02 NS</td></tr><tr><td align="center" valign="middle" >Left kidney</td><td align="center" valign="middle" >0.31 &#177; 0.03 NS</td><td align="center" valign="middle" >0.31 &#177; 0.05 NS</td><td align="center" valign="middle" >0.31 &#177; 0.01 NS</td><td align="center" valign="middle" >0.30 &#177; 0.02 NS</td></tr></tbody></table></table-wrap><p>NS: Not Significant.</p><table-wrap id="table6" ><label><xref ref-type="table" rid="table6">Table 6</xref></label><caption><title> Effect of ethanolic extract of Ficus umbellata on the relative weight of harvestedorgans after 14 days</title></caption><table><tbody><thead><tr><th align="center" valign="middle" >Settings</th><th align="center" valign="middle" >Days</th><th align="center" valign="middle" >Control</th><th align="center" valign="middle" >1000 mg/Kg∙BW</th><th align="center" valign="middle" >3000 mg/Kg∙BW</th><th align="center" valign="middle" >5000 mg/Kg∙BW</th></tr></thead><tr><td align="center" valign="middle" >Conjugated bilirubin (mg/l)</td><td align="center" valign="middle" >D0 D14</td><td align="center" valign="middle" >0.39 &#177; 0.02 0.41 &#177; 0.02</td><td align="center" valign="middle" >0.52 &#177; 0.05 0.51 &#177; 0.03</td><td align="center" valign="middle" >0.51 &#177; 0.03 0.56 &#177; 0.04</td><td align="center" valign="middle" >0.53 &#177; 0.04 0.64 &#177; 0.04</td></tr><tr><td align="center" valign="middle" >Total bilirubin (mg/l)</td><td align="center" valign="middle" >D0 D14</td><td align="center" valign="middle" >2.37 &#177; 0.15 2.09 &#177; 0.13</td><td align="center" valign="middle" >2.93 &#177; 0.25 3.15 &#177; 0.22</td><td align="center" valign="middle" >2.07 &#177; 0.08 4.23 &#177; 0.35**</td><td align="center" valign="middle" >2.81 &#177; 0.02 4.12 &#177; 0.04**</td></tr><tr><td align="center" valign="middle" >Creat (mg/l)</td><td align="center" valign="middle" >D0 D14</td><td align="center" valign="middle" >6.90 &#177; 0.22 7.05 &#177; 0.13</td><td align="center" valign="middle" >6.80 &#177; 0.28 7.09 &#177; 0.15</td><td align="center" valign="middle" >7.22 &#177; 0.18 8.05 &#177; 0.62</td><td align="center" valign="middle" >7.22 &#177; 0.25 8.97 &#177; 0.82</td></tr><tr><td align="center" valign="middle" >Uremia (g/l)</td><td align="center" valign="middle" >D0 D14</td><td align="center" valign="middle" >0.28 &#177; 0.03 0.41 &#177; 0.03</td><td align="center" valign="middle" >0.28 &#177; 0.02 0.33 &#177; 0.03</td><td align="center" valign="middle" >0.40 &#177; 0.04 0.45 &#177; 0.04</td><td align="center" valign="middle" >0.34 &#177; 0.06 0.42 &#177; 0.06*</td></tr><tr><td align="center" valign="middle" >Uricemia (mg/l)</td><td align="center" valign="middle" >D0 D14</td><td align="center" valign="middle" >50.74 &#177; 3.03 50.11 &#177; 2.51</td><td align="center" valign="middle" >52.23 &#177; 1.9 50.16 &#177; 1.93</td><td align="center" valign="middle" >50.22 &#177; 3.05 59.54 &#177; 2.2*</td><td align="center" valign="middle" >51.39 &#177; 0.83 58.04 &#177; 1.91**</td></tr><tr><td align="center" valign="middle" >AST (UI/L)</td><td align="center" valign="middle" >D0 D14</td><td align="center" valign="middle" >32.77 &#177; 3.38 33.3 &#177; 2.61</td><td align="center" valign="middle" >37.21 &#177; 3.67 47.77 &#177; 2.25</td><td align="center" valign="middle" >38.54 &#177; 2.05 41.82 &#177; 3.55</td><td align="center" valign="middle" >41.25 &#177; 2.98 48.95 &#177; 3.25</td></tr><tr><td align="center" valign="middle" >ALT (UI/L)</td><td align="center" valign="middle" >D0 D14</td><td align="center" valign="middle" >79.14 &#177; 3.17 76.85 &#177; 2.02</td><td align="center" valign="middle" >91.36 &#177; 3.41 109.26 &#177; 8.67</td><td align="center" valign="middle" >95.06 &#177; 3.95 112.22 &#177; 5.98</td><td align="center" valign="middle" >91.95 &#177; 3.71 110.05 &#177; 1.5*</td></tr><tr><td align="center" valign="middle" >ALP (UI/L)</td><td align="center" valign="middle" >D0 D14</td><td align="center" valign="middle" >43.97 &#177; 3.84 45.13 &#177; 6.13</td><td align="center" valign="middle" >51.68 &#177; 2.45 56.85 &#177; 3.38</td><td align="center" valign="middle" >43.97 &#177; 1.38 55.67 &#177; 3.472*</td><td align="center" valign="middle" >49.34 &#177; 2.24 59.08 &#177; 1.76*</td></tr></tbody></table></table-wrap><p>Data are presented as mean &#177; standard deviation; *: significant difference p &lt; 0.05; **: significant difference at p &lt; 0.01.</p><p>visible, as observed in control rats (<xref ref-type="fig" rid="fig1">Figure 1</xref>0).</p><p>&#183; Renal histology</p><p>Renal histology of rats subjected to ethanolic extract of Ficus umbellata leaves is as follows:</p><p>The renal parenchyma of rats treated with Ficus umbellata extract retained its typical appearance as observed in control rats. Glomeruli (G), proximal tubules (PT), distal tubules (DT) and collecting ducts (CC) showed no visible atypia (<xref ref-type="fig" rid="fig1">Figure 1</xref>1).</p><p>&#183; Splenic histology</p><p>Splenic histology of rats under the influence of ethanolic extract of Ficus umbellata leaves was as follows:</p><p>The splenic parenchyma was not activated in the acute oral toxicity test. As in control rats, the periarteriolar (MA) lymphocyte mantles around the central arteries (CA) and the germinal centers (GC) of the white pulp showed the typical appearance. The same applies to the sinusoids (S) and Billroth cords of the red pulp (<xref ref-type="fig" rid="fig1">Figure 1</xref>2).</p></sec><sec id="s3_17"><title>3.17. Anti-Inflammatory Activity</title><p>&#183; Percentage increase in hind leg oedema in rats treated with ethanolic extract of F. umbellata as a function of time</p><p>Administration of ethanolic extract of F. umbellata at doses of 100 and 300 mg/Kg body weight (BW) significantly (p &lt; 0.05) prevented 1% formalin-induced edema of the rat paw. The percentage increase in inflammatory paw oedema was 34.54 &#177; 2.73; 41.49 &#177; 5.56; 59.61 &#177; 1.81 for rats treated with 100 mg/Kg and 23.21 &#177; 2.13; 40.14 &#177; 2.27; 53.83 &#177; 4.04 for rats treated with 300 mg/Kg. compared with the control group treated with physiological water, whose edema increased by 41.31 &#177; 1.79; 75.24 &#177; 2.86 and 114.32 &#177; 6.86, respectively at 1, 3 and 5 hours after injection of 1% formalin. At 500 mg/Kg body weight, F. umbellata ethanolic extract showed better prevention of 1% formalin-induced paw edema than at 100 and 300 mg/Kg body weight. The percentages of increase in inflammatory paw edema were lower, at: 15.98 &#177; 1.62; 26.26 &#177; 1.42 and 35.19 &#177; 2.84, respectively at 1, 3 and 5 hours after injection of 1% formalin. <xref ref-type="table" rid="table7">Table 7</xref> shows the percentage increase in hind leg oedema in rats as a function of time.</p><table-wrap id="table7" ><label><xref ref-type="table" rid="table7">Table 7</xref></label><caption><title> Percentage increase in rat hind paw oedema as a function of time</title></caption><table><tbody><thead><tr><th align="center" valign="middle"  rowspan="2"  >Lots</th><th align="center" valign="middle"  rowspan="2"  >Doses</th><th align="center" valign="middle"  colspan="3"  >Percentage (%) of increase in edema of the hind paw of rats as a function of time</th></tr></thead><tr><td align="center" valign="middle" >1 h</td><td align="center" valign="middle" >3 h</td><td align="center" valign="middle" >5 h</td></tr><tr><td align="center" valign="middle" >Control</td><td align="center" valign="middle" >Physiological water</td><td align="center" valign="middle" >41.31 &#177; 1.79</td><td align="center" valign="middle" >75.24 &#177; 2.86</td><td align="center" valign="middle" >114.32 &#177; 6.86</td></tr><tr><td align="center" valign="middle" >F. umbellata</td><td align="center" valign="middle" >100 mg/Kg</td><td align="center" valign="middle" >34.54 &#177; 2.73</td><td align="center" valign="middle" >41.49 &#177; 5.56*</td><td align="center" valign="middle" >59.61 &#177; 1.81</td></tr><tr><td align="center" valign="middle" >F. umbellata</td><td align="center" valign="middle" >300 mg/Kg</td><td align="center" valign="middle" >23.21 &#177; 2.13</td><td align="center" valign="middle" >40.14 &#177; 2.27*</td><td align="center" valign="middle" >53.83 &#177; 4.04</td></tr><tr><td align="center" valign="middle" >F. umbellata</td><td align="center" valign="middle" >500mg/Kg</td><td align="center" valign="middle" >15.98 &#177; 1.62</td><td align="center" valign="middle" >26.26 &#177; 1.42*</td><td align="center" valign="middle" >35.19 &#177; 2.84*</td></tr><tr><td align="center" valign="middle" >Aspirin</td><td align="center" valign="middle" >100 mg/Kg</td><td align="center" valign="middle" >7.76 &#177; 0.55</td><td align="center" valign="middle" >23.55 &#177; 1.81*</td><td align="center" valign="middle" >41.58 &#177; 1.77*</td></tr></tbody></table></table-wrap><p>Data are presented as mean &#177; standard deviation *: significant difference at p &lt; 0.05.</p><table-wrap id="table8" ><label><xref ref-type="table" rid="table8">Table 8</xref></label><caption><title> Percentage inhibition of rat hind leg oedema as a function of time</title></caption><table><tbody><thead><tr><th align="center" valign="middle"  rowspan="2"  >Lots</th><th align="center" valign="middle"  rowspan="2"  >Doses</th><th align="center" valign="middle"  colspan="3"  >Percentage (%) of inhibition of edema in the hind paw of rats as a function of time</th></tr></thead><tr><td align="center" valign="middle" >1 h</td><td align="center" valign="middle" >3 h</td><td align="center" valign="middle" >5 h</td></tr><tr><td align="center" valign="middle" >F. umbellata</td><td align="center" valign="middle" >100 mg/Kg</td><td align="center" valign="middle" >16.46 &#177; 3.34</td><td align="center" valign="middle" >54.81 &#177; 9.98**</td><td align="center" valign="middle" >47.76 &#177; 2.63**</td></tr><tr><td align="center" valign="middle" >F. umbellata</td><td align="center" valign="middle" >300 mg/Kg</td><td align="center" valign="middle" >43.62 &#177; 7.29</td><td align="center" valign="middle" >46.63 &#177; 2.22*</td><td align="center" valign="middle" >51.67 &#177; 7.23*</td></tr><tr><td align="center" valign="middle" >F. umbellata</td><td align="center" valign="middle" >500mg/Kg</td><td align="center" valign="middle" >61.15 &#177; 5.5</td><td align="center" valign="middle" >65.01 &#177; 3.12*</td><td align="center" valign="middle" >69.23 &#177; 1.02**</td></tr><tr><td align="center" valign="middle" >Aspirin</td><td align="center" valign="middle" >100 mg/Kg</td><td align="center" valign="middle" >81.22 &#177; 0.84</td><td align="center" valign="middle" >68.69 &#177; 2.08*</td><td align="center" valign="middle" >63.58 &#177; 0.98**</td></tr></tbody></table></table-wrap><p>Data are presented as mean &#177; standard deviation; *: significant difference at p &lt; 0.05; **: significant difference at p &lt; 0.01.</p><p>&#183; Percentage inhibition of hind paw oedema as a function of time in rats treated with Ethanolic extract of F. umbellata</p><p>Evaluation of the percentage inhibition showed that the extract had greater anti-inflammatory activity 3 hours later. However, a better inhibition of inflammatory paw edema at 500 mg/Kg∙BW was observed at 5 hours with a percentage of 69.23 &#177; 1.02 compared to the reference group treated with aspirin 100 mg/Kg which showed an inhibition of 63.50 &#177; 0.98. <xref ref-type="table" rid="table8">Table 8</xref> shows the percentage inhibition of hind-paw edema in rats as a function of time.</p></sec></sec><sec id="s4"><title>4. Discussion</title><p>Several works have revealed that to date many herbal medicines are toxic and affect the health of users [<xref ref-type="bibr" rid="scirp.131754-ref4">4</xref>] . It is important that the safety of herbal extracts be further investigated despite having information on their pharmacological properties. The total yield of ethanolic extraction of F. umbellata leaf powder was 20.37% &#177; 2.22%, with a black extract. Phytochemical analysis of the extract highlighted its richness in polyphenolic compounds, flavonoids, catechic tannins, leuco-anthocyanins, alkaloids, anthocyanins, anthraquinones, mucilages and sterols, as well as terpenes. Our results differ from those obtained by Yomakou [<xref ref-type="bibr" rid="scirp.131754-ref13">13</xref>] . In their work, we note the absence of anthocyanins, alkaloids, mucilages and sterols, as well as terpenes. This difference is linked to the plant’s geographical distribution, the nature of the soil and the harvesting period. The ethanolic extract of F. umbellata leaves is very rich in polyphenols compared with flavonoids and tannins, which are not negligible. This result is in agreement with those of Yomakou [<xref ref-type="bibr" rid="scirp.131754-ref13">13</xref>] who demonstrated that the level of polyphenols in the ethanolic extract of F. umbellata leaves is higher than that of flavonoids and tannins. In the acute toxicity study, single-dose administration of the extract showed that (for the first 4 hours after administration), apart from drowsiness, rats treated with 1000 and 3000 mg/Kg∙BW showed no clinical signs compared with the 5000 mg/Kg∙BW dose, which caused diarrhoea, tremors and accelerated breathing. The LD50 was determined with the highest dose used (5000 mg/Kg), according to OECD guideline 423 [<xref ref-type="bibr" rid="scirp.131754-ref10">10</xref>] . After 14 days of observation, no deaths were observed in the treated rats. This suggests that the LD50 value for ethanolic extract of Ficus umbellata leaves is greater than 5000 mg/Kg. Whatever the dose administered, there was a significant reduction in rat body weight after 14 days. This may be due to a probable reduction in food consumption, but also to possible dose/absorption interactions and a reduction in the amount of food absorbed [<xref ref-type="bibr" rid="scirp.131754-ref14">14</xref>] . Our results corroborate those of Niamien [<xref ref-type="bibr" rid="scirp.131754-ref15">15</xref>] , who had already shown a decrease in animal weight under the influence of ethanolic extract of Ficus umbellata leaves. Analysis of variance of the blood counts of control and treated rats showed that blood platelet levels were significantly reduced compared with the control (p &lt; 0.05) after 14 days for doses of 3000 and 5000 mg/Kg∙BW. The other hematological parameters showed no significant difference compared with the control batch. Blood platelets are cells that play a major role in primary hemostasis processes and play a key role in innate and adaptive immunity [<xref ref-type="bibr" rid="scirp.131754-ref16">16</xref>] . They are now recognized for their role in immunity, particularly antiviral immunity [<xref ref-type="bibr" rid="scirp.131754-ref17">17</xref>] [<xref ref-type="bibr" rid="scirp.131754-ref18">18</xref>] . With regard to the biochemical parameters explored, which provided information on the probable effects of the extract on the liver and kidneys, no significant differences were reported in rats given the 1000 m/Kg dose. However, doses of 3000 and 5000 mg/Kg∙BW of the extract significantly increased bilirubin, uric acid and alkaline phosphatase levels. As for urea and ALT, the variation was only significant for the 5000 mg/Kg∙BW dose. Transaminases are enzymes present in the liver, but also in muscle, kidney, pancreas and other tissues. They are synthesized in the cytoplasm of cells in these organs and discharged into the circulation, when these cells are damaged [<xref ref-type="bibr" rid="scirp.131754-ref19">19</xref>] . These enzymes increase in myopathy or myocardial infarction. ALT is more specific for liver damage, but AST is slightly more sensitive [<xref ref-type="bibr" rid="scirp.131754-ref20">20</xref>] . An increase in alkaline phosphatase (PAL) can have several causes such as liver disease, bone disease, or cancer [<xref ref-type="bibr" rid="scirp.131754-ref19">19</xref>] . Parameters such as uremia and uricemia are considered the main markers of nephrotoxicity [<xref ref-type="bibr" rid="scirp.131754-ref21">21</xref>] . In the case of this study, liver and kidney histology revealed no lesions. In general, the ethanolic extract of Ficus umbellata leaf powders has no significant effect on hematological parameters and the main markers of nephrotoxicity and hepatotoxicity for a single dose less than or equal to 5000 mg/Kg∙BW. However, prolonged use of Ficus umbellata leaves at doses of 5000 mg/Kg∙BW, could affect the liver and kidneys. In addition, anti-inflammatory tests indicate that this extract reduces formalin-induced oedema and has been shown to be effective at doses of 100, 300 and 500 mg/Kg, with similar activity to aspirin 100 mg. However, this anti-inflammatory effect is greater in the second phase (3 hours) of the inflammatory process. According to Sene [<xref ref-type="bibr" rid="scirp.131754-ref22">22</xref>] , this may be due to mediators involved in the late phase of formalin-induced rat paw edema. According to Dosso [<xref ref-type="bibr" rid="scirp.131754-ref23">23</xref>] , the reduction in edema could be explained by the inhibition of inflammatory mediators, notably histamine derived from the granulation of local basophils and mast cells, serotonins produced by the disintegration of blood platelets during the early hours of inflammation, and bradykinin released by a plasma protein system during the intervening hours.</p></sec><sec id="s5"><title>5. Conclusion</title><p>Acute toxicity testing of ethanolic extract of Ficus umbellata leaf powders on rats showed no toxic effect. However, at doses greater than or equal to 5000 mg/Kg, prolonged use of these leaves could affect the liver and kidneys, since the levels of the main markers of nephrotoxicity and hepatotoxicity increase significantly above this dose. In addition, ethanolic extract of Ficus umbellata leaves proved effective in preventing inflammatory edema at doses of 100, 300 and 500 mg/Kg body weight.</p></sec><sec id="s6"><title>Conflicts of Interest</title><p>The authors declare no conflicts of interest regarding the publication of this paper.</p></sec><sec id="s7"><title>Cite this paper</title><p>Tchogou, A.P., Chokki, S.A.P.T.V., Behanzin, G.J., Konfo, T.R.C., Savoeda, P., Agbogba, F., Akpoli, L., Baba-Moussa, L., Senou, M. and Sezan, A. (2024) Safety and in Vivo Anti-Inflammatory Activity of Ethanolic Extract of Ficus umbellata (Vahl.) Leaves. Journal of Biosciences and Medicines, 12, 94-112. https://doi.org/10.4236/jbm.2024.123008</p></sec></body><back><ref-list><title>References</title><ref id="scirp.131754-ref1"><label>1</label><mixed-citation publication-type="other" xlink:type="simple">Narcisse, B.H., Marie, G.N., Yves, T.O., Emilienne, P.Y., Legrand, N.N.B., Cynthia, A.E.D., et al. (2020) Pouvoir antibactérien des extraits aqueux et hydro-éthanolique du mélange d’écorces de tronc d’Albizia gummifera (J.F. Gmel.) C.A. Sm et Spathodea campanulata P. Beauv. Journal of Applied Biosciences, 154, 15881-15887.  
https://doi.org/10.35759/JABs.154.5</mixed-citation></ref><ref id="scirp.131754-ref2"><label>2</label><mixed-citation publication-type="other" xlink:type="simple">Victorin, H., Adjatin, A., Assogba, F., Gbénou, J. and Akoègninou, A. (2018) Etude Phytochimique et de cytotoxicité de quelques plantes utilisées dans le traitement de la stérilité féminine au sud-bénin. European Scientific Journal, 14, 156-171.  
https://doi.org/10.19044/esj.2018.v14n6p156</mixed-citation></ref><ref id="scirp.131754-ref3"><label>3</label><mixed-citation publication-type="other" xlink:type="simple">Mahamane, H., Diarra, M.L., Doumbia, S., Denou, A., Dembele, D., Diarra, B. and Sanogo, R. (2020) Plantes médicinales de l’Afrique de l’Ouest pour la prise en charge des affections respiratoires pouvant se manifester au cours de la Covid-19. Inter&amp;#45;national Journal of Biological and Chemical Sciences, 14, 2941-2950.  
https://doi.org/10.4314/ijbcs.v14i8.22</mixed-citation></ref><ref id="scirp.131754-ref4"><label>4</label><mixed-citation publication-type="other" xlink:type="simple">Aguinaga, Y.J., Claudiano, S.G., Marcusso, F.P., Ikefuti, C., Ortega, G.G., Eto, F.S., Cruz, C.D., et al. (2014) Acute Toxicity and Determination of Active Constituents of Aqueous Extract of Uncaria tomentosa Bark in Hyphessobrycon eques. Journal of Toxicology, 2014, Article ID: 412437. http://dx.doi.org/10.1155/2014/412437</mixed-citation></ref><ref id="scirp.131754-ref5"><label>5</label><mixed-citation publication-type="other" xlink:type="simple">Gisèle, E., Jacques, Y., Cécile, O.E., Vivien, M.B., Pascal, N.G., Emmanuel, M.M., et al. (2017) étude de la toxicité aigu&amp;#235; et subaigüe de l’extrait au vin des graines de Carica papaya Linn. Journal of Applied Biosciences, 120, 12077-12085.</mixed-citation></ref><ref id="scirp.131754-ref6"><label>6</label><mixed-citation publication-type="other" xlink:type="simple">Lawin, I.F., et al. (2016) Vulnérabilité et stratégies endogènes de conservation des plantes utilisées dans le traitement du diabète dans les communes de Glazoué et Savè au Centre-Bénin. International Journal of Biological and Chemical Sciences, 10, 1069-1085. https://doi.org/10.4314/ijbcs.v10i3.14</mixed-citation></ref><ref id="scirp.131754-ref7"><label>7</label><mixed-citation publication-type="other" xlink:type="simple">Joachim, G.D., Judith, A.F., Pierre, L., Wilfrid, A.K.D.D., Richard, T., Pierre, D. and Mansourou, M. (2011) Propriétés anti-inflammatoires des extraits aqueux de Sterculia setigera Delile et du mélange Aframomum melegueta K. Schum-Citrus aurantifolia Christm et Panzer. International Journal of Biological and Chemical Sciences, 5, 634-641. https://doi.org/10.4314/ijbcs.v5i2.72128</mixed-citation></ref><ref id="scirp.131754-ref8"><label>8</label><mixed-citation publication-type="other" xlink:type="simple">Abena, A.A., Yayi, E., Gbenou, J.D., Moudachirou, M., Ongoka, R.P., Ouamba, J.M. and Silou, T. (2007) Comparative Chemical and Analgesic Properties of Essential Oils of Cymbopogon nardus (L) Rendle of Benin and Congo. African Journal of Traditional, Complementary and Alternative Medicines, 4, 267-272.  
https://doi.org/10.4314/ajtcam.v4i3.31218</mixed-citation></ref><ref id="scirp.131754-ref9"><label>9</label><mixed-citation publication-type="other" xlink:type="simple">Sègla, K.A.H., Eugène, A.S., Félix, G., Maximin, S., Madjid, A.A., Latifou, L., et al. (2022) Antioxidative Effects and Mechanisms of Antihypertensive Potential of Croton gratissimus Burch and Schrankia leptocarpa DC in Rats. Annals of Hypertension, 2, Article No. 1011.</mixed-citation></ref><ref id="scirp.131754-ref10"><label>10</label><mixed-citation publication-type="other" xlink:type="simple">OCDE (2001) Acute Oral Toxicity—Acute Class Method. OECD Test Guideline for Chemicals. No. 423.</mixed-citation></ref><ref id="scirp.131754-ref11"><label>11</label><mixed-citation publication-type="other" xlink:type="simple">Senou, M., Khalifa, C., Thimmesch, M., Jouret, F., Devuyst, O., Col, V. and Gérard, A.-C. (2010) A Coherent Organization of Differentiation Proteins Is Required to Maintain an Appropriate Thyroid Function in the Pendred Thyroid. The Journal of Clinical Endocrinology &amp; Metabolism, 95, 4021-4030.  
https://doi.org/10.1210/jc.2010-0228</mixed-citation></ref><ref id="scirp.131754-ref12"><label>12</label><mixed-citation publication-type="other" xlink:type="simple">Smahia, R., Nasser, B., Khaled, S. and Abdelkrim, C. (2016) Evaluation de l’activité anti-inflammatoire d’extraits aqueux de feuilles limoniastrum feei (plumbaginacea). Algerian Journal of Arid Environment, 6, 80-86.</mixed-citation></ref><ref id="scirp.131754-ref13"><label>13</label><mixed-citation publication-type="other" xlink:type="simple">René, Y.B.G.G., et al. (2021) Phytochemistry, Metabolites Quantification and Antioxidant Activity of Calotropis procera (Ait.) and Ficus umbellata (Vahl.), Plants Traditionally Used against Hemorrhoids in Benin. International Journal of Current Research in Chemistry and Pharmaceutical Sciences, 8, 12-26.</mixed-citation></ref><ref id="scirp.131754-ref14"><label>14</label><mixed-citation publication-type="other" xlink:type="simple">Kajimura, S. and Saito, M. (2014) A New Era in Brown Adipose Tissue Biology: Molecular Control of Brown Fat Development and Energy Homeostasis. Annual Review of Physiology, 76, 225-249.  
https://doi.org/10.1146/annurev-physiol-021113-170252</mixed-citation></ref><ref id="scirp.131754-ref15"><label>15</label><mixed-citation publication-type="other" xlink:type="simple">Magloire, N.C.J., Blaise, K., Inza, K. and Eliézer, N.K. (2018) Distribution spatio&amp;#45;temporelle de la pression du braconnage sur Eidolon helvum (Kerr, 1792), espèce proche de la menace (C&amp;#244;te d’Ivoire, Afrique de l’Ouest). Journal of Applied Bio&amp;#45;sciences, 126, 12749-12757. https://doi.org/10.4314/jab.v126i1.12</mixed-citation></ref><ref id="scirp.131754-ref16"><label>16</label><mixed-citation publication-type="other" xlink:type="simple">Nguyen, A.K.T. (2013) Inflammatory Role of Blood Platelets: Application in Transfusion. Hematology. Universit&amp;#233; Jean Monnet, Saint-Etienne, Tel-0105875.</mixed-citation></ref><ref id="scirp.131754-ref17"><label>17</label><mixed-citation publication-type="other" xlink:type="simple">Flaujac, C., Boukour, S. and Cramer-Bordé, E. (2010) Platelets and Viruses: An Ambivalent Relationship. Cellular and Molecular Life Sciences, 67, 545-556.  
https://doi.org/10.1007/s00018-009-0209-x</mixed-citation></ref><ref id="scirp.131754-ref18"><label>18</label><mixed-citation publication-type="other" xlink:type="simple">Berthet, J. (2010) Functional Role of Toll-Like Receptor 4 Expressed by Blood Platelets as Inflammatory Immune Cells. Doctoral Dissertation, University Jean Monnet, Saint-Etienne, 121.</mixed-citation></ref><ref id="scirp.131754-ref19"><label>19</label><mixed-citation publication-type="other" xlink:type="simple">Natacha, A., Melanie, A., Behanzin, J. and Alphonse, S. (2018) Evaluation of the Toxicity of Annona muricata Leaf Extracts on Liver and Kidney Function and Investigation of Acute and Subacute Toxicity in Wistar Rats. American Journal of PharmTech Research, 8, 189-217. https://doi.org/10.46624/ajptr.2018.v8.i1.013</mixed-citation></ref><ref id="scirp.131754-ref20"><label>20</label><mixed-citation publication-type="other" xlink:type="simple">Bragan&amp;#231;a, D.S.A. (2017) élévation des tests hépatiques. Service de médecine de premier recours, Département de médecine communautaire, de Premier recours et des urgencies. H&amp;#244;pitaux universitaires, Genève, 13.</mixed-citation></ref><ref id="scirp.131754-ref21"><label>21</label><mixed-citation publication-type="other" xlink:type="simple">Rodrigue, A., Loetitia, M., Justin, B., Elisabeth, H. and Alphonse, S. (2017) Impact des extraits éthyliques des feuilles de Hexalobus Monopétalus sur le métabolisme protéiques des rats Wistar. International Journal of Multidisciplinary and Current Research, 6, 5.  
http://ijmcr.com/impact-des-extraits-ethyliques-des-feuilles-de-hexalobus-monopetalus-sur-le-metabolisme-proteiques-des-rats-wistar/</mixed-citation></ref><ref id="scirp.131754-ref22"><label>22</label><mixed-citation publication-type="other" xlink:type="simple">Madièye, S., Mamadou, N., Sylva, B.F., William, D., Abdou, S., Awa, N.-S.Y., et al. (2016) Activité anti-inflammatoire de l’extrait aqueux des feuilles d’Elaeis guineensis Jacq. (ARECACEAE) sur l’&amp;#232;dème aigu de la patte de rat induit par la carraghènine. International Journal of Biological and Chemical Sciences, 10, 2568-2574.  
https://doi.org/10.4314/ijbcs.v10i6.13</mixed-citation></ref><ref id="scirp.131754-ref23"><label>23</label><mixed-citation publication-type="other" xlink:type="simple">Mamadou, D., Eugène, K.A., Doudjo, S., Ali, T. and Nafan, D. (2021) Activités analgésique, antiinflammatoire et antipyrétique d’un extrait aqueux des tourteaux de la pomme de cajou (Anacardium occidentale L.). International Journal of Biological and Chemical Sciences, 15, 1842-1852. https://doi.org/10.4314/ijbcs.v15i5.12</mixed-citation></ref></ref-list></back></article>