J Food Biochem. 2018;e12748. wileyonlinelibrary.com/journal/jfbc
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1 of 10
https://doi.org/10.1111/jfc.12748
© 2018 Wiley Periodicals, Inc.
1 | INTRODUCTION
Cytostatic chemotherapy is an efficacious modality in cancer treat‐
ment for causing an increase in long‐term survival of cancer patients.
However, literature shows that worrying observations in cancer
survivors is the effect of chemotherapy linked with unbearable
neurological symptoms (Yang et al., 2012). Currently, studies are
exploring its clinical side effects on non‐targeted organ systems, in‐
cluding the central nervous system.
Methotrexate (MTX) is an antineoplastic drug widely ap‐
plied in the treatment of cancers and non‐cancerous diseases like
rheumatoid arthritis and psoariasis (Kandemir et al., 2017). MTX
Received: 18 September 2018
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Revised: 23 November 2018
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Accepted: 26 November 2018
DOI: 10.1111/jfbc.12748
FULL ARTICLE
Moringa oleifera seed oil or virgin coconut oil supplementation
abrogates cerebral neurotoxicity induced by antineoplastic
agent methotrexate by suppression of oxidative stress and
neuro‐inflammation in rats
Ademola C. Famurewa
1
| Patrick M. Aja
2
| Onyebuchi E. Nwankwo
3
|
Joshua N. Awoke
2
| Ekenechukwu K. Maduagwuna
2
| Chinyere Aloke
1
1
Department of Medical Biochemistry,
Faculty of Basic Medical Sciences, College of
Medicine, Alex‐Ekwueme Federal University,
Ndufu‐Alike, Ikwo, Nigeria
2
Department of Biochemistry, Faculty of
Science, Ebonyi State University, Abakaliki,
Nigeria
3
Department of Biological Sciences,
Faculty of Science, Ebonyi State University,
Abakaliki, Nigeria
Correspondence
Ademola C. Famurewa, Department of
Medical Biochemistry, Faculty of Basic
Medical Sciences, College of Medicine, Alex‐
Ekwueme Federal University, Ndufu‐Alike,
Ikwo, Nigeria.
Email: ademola.famurewa@funai.edu.ng
Abstract
Methotrexate (MTX) is an effective antineoplastic drug associated with wide organ
toxicity. Accumulating evidence implicates oxidative stress to be a leading underlying
mechanism of MTX‐induced neurotoxicity. The study explores antioxidant potential
of virgin coconut oil (VCO) or Moringa oleifera seed oil (MOO) in MTX‐induced oxida‐
tive stress‐mediated cerebral neurotoxicity and inflammation in rats. Rats treated
with VCO or MOO (5 ml/kg bw) for 17 days were administered MTX (20 mg/kg, in‐
traperitoneally) on day 14 only. Cerebral activities of acetylcholinesterase, antioxi‐
dant enzymes, lipid peroxidation, reduced glutathione and nitric oxide levels as well
as cytokines were evaluated. MTX‐induced neurotoxic alterations were significantly
abrogated by MOO and VCO supplementation via inhibition of cholinesterase, oxida‐
tive stress, and anti‐inflammatory mechanisms. VCO and MOO showed comparable
antioxidant potentials with the standards in DPPH and FRAP assays. VCO and MOO
are promising natural oils for modulating MTX neurotoxicity in cancer patients.
Practical applications
Methotrexate chemotherapy induces neurotoxicity in cancer patients, and this is a
source of worry for clinicians. This study reports, for the first time, the beneficial
health effects of functional food oils, Moringa oleifera seed oil, and virgin coconut oil
against anticancer drug methotrexate‐induced cerebral neurotoxicity.
Supplementation of these natural oils may be beneficial in the prevention of cerebral
neurotoxic side effect in cancer patients undergoing methotrexate chemotherapy.
KEYWORDS
cerebrum, methotrexate, Moringa oleifera oil, neurotoxicity, oxidative stress, virgin coconut oil