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  <front>
    <journal-meta id="journal-meta-6e1917dfaf1d4e64a43479c4b5430f39">
      <journal-id journal-id-type="nlm-ta">Sciresol</journal-id>
      <journal-id journal-id-type="publisher-id">Sciresol</journal-id>
      <journal-id journal-id-type="journal_submission_guidelines"/>
      <journal-title-group>
        <journal-title>Journal of Pharmaceutical Research</journal-title>
      </journal-title-group>
      <issn publication-format="electronic">2454-8405</issn>
      <issn publication-format="print"/>
    </journal-meta>
    <article-meta id="article-meta-d2432b2d285e4393830a300d00c1099c">
      <article-id pub-id-type="doi">10.18579/jopcr/v20i3.cp</article-id>
      <article-categories>
        <subj-group>
          <subject>RESEARCH ARTICLE</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title id="article-title-5ac2b5a557fe4725ba24a3e88116d235">Chemical Profiling and Antihyperglycaemic Study on Butanol Fraction of <italic id="e-f42559b103ed">Chlorophytum alismifolium</italic> Baker (Liliaceae)</article-title>
        <alt-title alt-title-type="right-running-head">Chemical Profiling and Antihyperglycaemic Study on Butanol Fraction</alt-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <name id="name-2d7e7c0e80e64afeb8bda43ac720d1f6">
            <surname>Abdulhakim</surname>
            <given-names>Abubakar</given-names>
          </name>
          <email>abdulhakimevuti@gmail.com</email>
          <xref id="xref-367c62c27550480ca8c1e25fb725d515" rid="aff-59a9017e83e147d781857a2c70154d22" ref-type="aff">1</xref>
        </contrib>
        <contrib contrib-type="author">
          <name id="name-66eadec5ef1a4d92b4b48bcf5eec6b9d">
            <surname>Inanemo</surname>
            <given-names>Omogbai E K</given-names>
          </name>
          <xref id="xref-f7edf2fb5d7243e085098175583a8287" rid="aff-5f21dcf31ff641808a1d6d5164b165c7" ref-type="aff">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <name id="name-27eeaf7886514acdb19df1cf9b1d06d9">
            <surname>Balarabe</surname>
            <given-names>Nazifi A</given-names>
          </name>
          <xref id="xref-7882cdb360264eec9b54c6971717b3b3" rid="aff-8b31c6639deb4d77a9ad2c8e0df0ee0e" ref-type="aff">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <name id="name-73c0b71caa74451badfe08b28bc3b02d">
            <surname>Bashir</surname>
            <given-names>Sani M</given-names>
          </name>
          <xref id="xref-ad461a63c6d34262bf152e95287e0cb1" rid="aff-59a9017e83e147d781857a2c70154d22" ref-type="aff">1</xref>
        </contrib>
        <aff id="aff-59a9017e83e147d781857a2c70154d22">
          <institution>Department of Pharmacology and Therapeutics, Ahmadu Bello University</institution>
          <addr-line>Zaria</addr-line>
          <country country="NG">Nigeria</country>
        </aff>
        <aff id="aff-5f21dcf31ff641808a1d6d5164b165c7">
          <institution>Department of Pharmacology and Toxicology, University of Benin</institution>
          <addr-line>Benin City</addr-line>
          <country country="NG">Nigeria</country>
        </aff>
        <aff id="aff-8b31c6639deb4d77a9ad2c8e0df0ee0e">
          <institution>Department of Pharmacology and Therapeutics, Bayero University</institution>
          <addr-line>Kano</addr-line>
          <country country="NG">Nigeria</country>
        </aff>
      </contrib-group>
      <volume>20</volume>
      <issue>3</issue>
      <firstpage>38</firstpage>
      <permissions>
        <copyright-year>2021</copyright-year>
      </permissions>
      <abstract id="abstract-abstract-title-181292b2d5a744f6bc113988ce6a7a12">
        <title id="abstract-title-181292b2d5a744f6bc113988ce6a7a12">Abstract</title>
        <p id="paragraph-1a531b182f5c4561acca28af828cbf04"><bold id="strong-8de7dcd7911b45b7896828f95329b72c">Purpose: </bold>Diabetes mellitus is a disorder associated with debilitating complications. This study was aimed at evaluating the chemical profile and antihyperglycaemic effect of butanol fraction of <italic id="e-dc0668165b3c">Chlorophytum alismifolium</italic>. <bold id="strong-9132e517811d4ffa91d798d2146d0dfd">Methodology:</bold><bold id="strong-2b0b20b0f8df45efb52cb64b4a2d4f7c"> </bold>The powdered plant was extracted sequentially using soxhlet apparatus with solvents of varying polarities until butanol fraction was obtained. GC-MS analysis, phytochemical screening and acute toxicity studies were carried out. Antihyperglycaemic study was carried out using alloxan-induced hyperglycaemia in rats. Male Wistar rats were injected with 120 mg/kg of alloxan intraperitoneally, the rats with fasting blood glucose levels between 200 and 350 mg/dL were considered hyperglycaemic. Experimental groups were set up using normal rats in group I and hyperglycaemic rats in five groups of six rats each. Group II was the hyperglycaemic control while groups III, IV and V received the butanol fraction of <italic id="e-da4553077ab6">C. alismifolium</italic> at 250, 500 and 1000 mg/kg respectively. Group VI received glimepiride 1 mg/kg. Blood glucose levels were monitored before treatment at 0 hour and 1, 2, 3 and 5 hours after treatment. <bold id="strong-2a170b5fe069418283b2632c38707e9c">Findings:</bold><bold id="strong-3b1f4ce602a3492e80af16942f47b68b"> </bold>Phytochemical screening revealed the presence of alkaloids, saponins, flavonoids, glycosides and triterpenes while GC-MS analysis revealed the presence of thirteen compounds some of which include; isoxazolidine, isothiazole and acetamide. Oral median lethal dose of the extract in rats was estimated to be &gt;5,000 mg/kg. The butanol fraction of <italic id="e-9217f5b6afaf">C. alismifolium</italic> at all the doses tested showed significant (p&lt;0.05) blood glucose lowering effect when compared over time. <bold id="strong-16e6f0d5726543b09b627ac110e5f818">Conclusion:</bold><bold id="strong-fca7e3eba77b48d6a603a8d7a8a2f562"> </bold>The findings from this research showed that butanol fraction of <italic id="e-5dac2007d342">Chlorophytum alismifolium</italic> possesses important compounds with antihyperglycaemic activity.</p>
      </abstract>
      <kwd-group id="kwd-group-1d44fd574f91424ea960c39e5b78974f">
        <title>Keywords</title>
        <kwd>Chlorophytum alismifolium</kwd>
        <kwd>Hyperglycaemia</kwd>
        <kwd>Gas chromatography-mass spectrometry</kwd>
      </kwd-group>
    </article-meta>
  </front>
  <body>
    <sec>
      <title id="title-f1d19f3ec0394d0793d9d20b082b7d9b">INTRODUCTION</title>
      <p id="paragraph-83fb50d9b43645ff9497aa5f960be55d">Diabetes mellitus (DM) is a complicated metabolic disor- der of the endocrine system which affects about 8.8 % of the global population <xref id="xref-ef1ca573833841619ed80437688b00fc" rid="R123049023340298" ref-type="bibr">1</xref>. The hallmark of type 1 diabetes is selective beta (β) cells destruction and severe or absolute insulin deficiency while type 2 diabetes is a heterogeneous group of conditions characterized by tissue resistance to the action of insulin combined with a relative deficiency in insulin secretion <xref id="xref-91ae490b59b04476b032bdb48abbf94b" rid="R123049023340295" ref-type="bibr">2</xref>. Chronic hyperglycaemia causes glycation of body proteins which lead to secondary complications <xref id="xref-bf3773198e0c4e418dbec581e48bdf1c" rid="R123049023340297" ref-type="bibr">3</xref>. Metabolic acute complications include; diabetic ketoacidosis and hyperosmolar non-ketotic coma while systemic late complications include; microangiopathy, diabetic nephropathy, diabetic neuropathy, diabetic retinopathy and cardiovascular diseases <xref id="xref-d07bc3028ba847b38d5c737d41f09154" rid="R123049023340316" ref-type="bibr">4</xref>. Due to a higher incidence of the risk factors, the prevalence of DM is increasing worldwide, but more evidently in developing countries<xref id="xref-5e883a5335dc4706af28278050150545" rid="R123049023340309" ref-type="bibr">5</xref> and the chronic complications resulting from diabetes mellitus are responsible for the majority of diabetes-related morbidity and mortality worldwide <xref id="xref-24c25be8dccf4e3da4a6f4e352c1bef4" rid="R123049023340307" ref-type="bibr">6</xref>. Globally, people living with diabetes were reported to be 425 million; Africa (15.9 million), Europe (58 million), Middle East and North Africa (38.7 million), North America and Caribbean (45.9 million), South and Central America (26 million), South and East Asia (82 million) and Western Pacific (158.8 million) and this alarming figures are projected to rise to a total of 629 million by the year 2045 <xref id="xref-86dbf8dddaa44a3fa28363956fdae85c" rid="R123049023340298" ref-type="bibr">1</xref>. Insulin is used in the management of type 1 DM while other classes of drugs are used for type 2 DM and they include; sulphonylureas, biguanides, meglitinides, alpha glucosidase inhibitors, thiazolidinediones, dipeptidyl-peptidase-4 inhibitors, amylin analogues, incretin mimetics, sodium-glucose transporter inhibitors, aldose reductase inhibitors and dopamine receptor agonists <xref rid="R123049023340295" ref-type="bibr">2</xref>, <xref rid="R123049023340322" ref-type="bibr">7</xref>, <xref rid="R123049023340293" ref-type="bibr">8</xref>.</p>
      <p id="paragraph-0f48a0d6a8c74b18af2284f9139ed140">The chronic intake of orthodox drugs, the cost of acquiring them and their side effects have led people to resort to alternative therapy<xref id="xref-fa33293fc64445e189753a7f333c8128" rid="R123049023340302" ref-type="bibr">9</xref> and a significant percentage of the global population use medicinal plants for the management of DM and its complications <xref id="xref-fcb807289d624b13bedfb0cd915b84d5" rid="R123049023340315" ref-type="bibr">10</xref>. One of such plants which is widely used by the people of Northern Nigeria is <italic id="e-6b963af7effe">Chlorophytum alismifolium</italic>. It belongs to the family liliaceae and commonly known as Alimsa-leaved ground lili. The local names include; Hausa- <italic id="e-807ef290db05">Rogon makwarwa</italic>, Fulfulde-<italic id="e-0386c453f095">Cigorodi</italic> and Agatu- <italic id="e-0b6b79754770">Ekuce</italic>. The tubers are used in the management of DM, pain and inflammatory conditions <xref rid="R123049023340311" ref-type="bibr">11</xref>, <xref rid="R123049023340323" ref-type="bibr">12</xref>, <xref rid="R123049023340300" ref-type="bibr">13</xref>.</p>
      <p id="paragraph-f4e191be76ab4bb587b8c33053e1d1be">Gas chromatography-mass spectrometry is a standard technique with a broad range of applications in many areas of research including pharmaceutical and drug analysis <xref id="xref-a28a7816a37b4972804ba77b9abc22aa" rid="R123049023340314" ref-type="bibr">14</xref>. It is also used in the identification and profiling of secondary metabolites found in natural products <xref id="xref-58859d27e3514577b55eb104f635a6c4" rid="R123049023340303" ref-type="bibr">15</xref>. This study is aimed at establishing the chemical profile and evaluating the antihyperglycaemic effect of the butanol fraction of <italic id="e-596075aa6e17">C. alismifolium</italic>.</p>
    </sec>
    <sec>
      <title id="title-728ec6db3d634434b7913802d2e95f9c">Materials and Methods</title>
      <sec>
        <title id="t-cd202db9d1df">Materials</title>
        <p id="paragraph-513e278464f64f7487e6920d34105530">Alloxan (250316, Chem Light Laboratories, India), 10% Dextrose (Dana Pharmaceuticals, Nigeria), Glimepiride (Sanofi Aventis, France) and Normal saline (Dana Pharmaceuticals, Nigeria), Glucometer and test strips (Accu-check Active, Roche, Germany).</p>
      </sec>
      <sec>
        <title id="t-a164d747d70c">Experimental animals</title>
        <p id="paragraph-84b1543c4c964568a0cd6bc75a1ba6ed">Male Wistar rats (150-200 g) obtained from the Animal House, Department of Pharmacology and Therapeutics, Ahmadu Bello University Zaria were used for this study. The animals were maintained in a well-ventilated room, fed on standard feed and granted access to water <italic id="e-f1066f3348cd">ad</italic> <italic id="e-05df682dd0d5">libitium</italic>.</p>
      </sec>
      <sec>
        <title id="t-01aaa9c53b0e">Preparation of butanol fraction of <italic id="e-2bfee6337e93">C. alismifolium</italic></title>
        <p id="paragraph-9b74af9873c74614be5c8700ccceb288">The whole plant of <italic id="e-22d33dcb7e1d">Chlorophytum alismifolium</italic> was collected from Tilden Fulani River in Toro Local Government Area of Bauchi state, Nigeria in June, 2018. It was identified and authenticated by Mallam Musa Muhammed of the Herbarium unit of the Department of Botany, Ahmadu Bello University Zaria, Nigeria. The plant was issued a voucher specimen number (No. 6785) for future reference.</p>
        <p id="paragraph-176915be364f47099b8fb9ac4117da2d">The roots (tubers) were washed and chopped into smaller sizes and then air dried under shade for five weeks. The dried plant was then crushed into fine powder using pestle and mortar. The powdered plant (1 kg) was extracted sequentially with solvents of varying polarities, starting with hexane followed by ethylacetate and then methanol extract was obtained which was then partitioned in butanol to obtain the final fraction. The extract was concentrated to dryness on a water bath set at 45<sup id="s-8859ec306949">o</sup>C and then stored in a desiccator until further use. The preliminary phytochemical screening of the butanol fraction of <italic id="e-9ec5a6a32ad5">C. alismifolium</italic> was carried out according to the methods of Evans <xref id="xref-0346413bac564b5e963e3a7de8335988" rid="R123049023340294" ref-type="bibr">16</xref>.</p>
      </sec>
      <sec>
        <title id="t-6598d0afe6c8">Chemical profiling using gas chromatography-mass spectrometry</title>
        <p id="paragraph-5c23579555174987986a88f1ac22d4f6">GC-MS analysis was performed using an Agilent 7890B GC system, 5977A mass spectrum detector (MSD) (Agilent Technologies, USA). The chromatography was performed on a HP-5 MS capillary column (30m×250μm×0.25μm). The carrier gas used was high purity helium and the con- stant flow rate of the helium was 3.6839 mL/min. Split injection ratio was 5:1. The temperature of the GC started at 50°C for 1 min, raised to 200°C at a rate of 3°C/min and then raised to 300°C at 3°C/min for 15 min and then held at 325°C (1 min). MS program scanned quality range of 30amu - 600amu, ionization voltage of 70eV, ionization current of 150μA (EI). The ion source and the quadrupole temperatures were set at 230°C and 150°C respectively. Compounds in the extract were identified on the basis of standards, isolation and structural determination in National Institute of Standards and Technology (NIST) 14. L database <xref id="xref-1ce8bea8ef5f43aebca6dd0fd754ebd3" rid="R123049023340291" ref-type="bibr">17</xref>.</p>
      </sec>
      <sec>
        <title id="t-b381ac180551">Acute toxicity study</title>
        <p id="paragraph-5ff7f66ee9ae4479bcd76b504968a786">The median lethal dose (LD50) of the extract was determined using the method described by Lorke <xref id="xref-8896599482884ab193dcb51b6262bba4" rid="R123049023340317" ref-type="bibr">18</xref>. The study was carried out in two phases: In the initial phase, three groups of three rats each were orally administered the extract of <italic id="e-159e89342ae1">Chlorophytum alismifolium</italic> in widely differing doses of 10, 100 and 1000 mg/kg body weight and observed for signs of toxicity and mortality for 24 hours. In the second phase, three rats were orally administered the butanol fraction at the doses of 1600, 2900 and 5000 mg/kg body weight respectively and then observed for signs of toxicity post-administration and mortality after 24 hours after which the LD50 was estimated.</p>
      </sec>
      <sec>
        <title id="t-b0650625c2ac">Alloxan-induced hyperglycaemia</title>
        <p id="paragraph-96873d7885e04aa4a80d813f6a8f26d5">The method described by Cooperstein and Watkins<xref id="xref-d1f77ece9b954e1abf1c189820e773bb" rid="R123049023340305" ref-type="bibr">19</xref> was employed in overnight fasted rats. Forty five (45) Wistar rats were injected with alloxan monohydrate dissolved in sterile 0.9% normal saline and a dose of 120 mg/kg bw i.p was administered. The rats were then kept for the next 24 hours on 10% glucose solution since alloxan is capable of producing initial fatal hypoglycaemia. Three days post-induction with alloxan, the rats were monitored for hyperglycaemia using a glucometer (Accucheck Active, Roche Diagnostics, Germany). Rats with fasting blood glucose levels between 200 and 350 mg/dL were considered hyperglycaemic and selected for the study.</p>
      </sec>
      <sec>
        <title id="t-bece1da908ca">Experimental design</title>
        <p id="paragraph-dc1bcc980a094925972b94c4720d8efe">The rats (thirty alloxan-induced and six normal) were randomly divided into six groups; Group 1 served as the negative control and received the vehicle only (normal saline, 1 mL/kg). Group 2 served as the hyperglycaemic control which also received normal saline (1 mL/kg). Groups 3, 4 and 5 received graded doses of the butanol fraction of <italic id="e-9d3a9d15af66">C. alismifolium</italic> at (250, 500 and 1000 mg/kg) respectively. Group 6 served as the positive control and received glimepiride (1 mg/kg b.w.). Blood samples were drawn from the tail vein prior to treatment at (0 h) and then at 1, 2, 3 and 5h after treatment. Fasting blood glucose levels were measured using the glucose-oxidase method.</p>
      </sec>
      <sec>
        <title id="t-564645ee4620">Statistical analysis</title>
        <p id="paragraph-0c8fc4f67ce646e7a75990d42443bda6">Data of antihyperglycaemic study were expressed as Mean ± Standard Error of the Mean (S.E.M.) and the differences between means were analyzed by Repeated Measure Analysis of Variance (ANOVA) followed by Bonferroni post hoc test using a computer software application package (SPSS, Version 20). Values of p&lt;0.05 were considered statistically significant.</p>
      </sec>
    </sec>
    <sec>
      <title id="title-2e332550fd0347d9a3a1b519dba8695d">Results</title>
      <sec>
        <title id="t-6d2df5a91d4d">Percentage yield and phytochemical constituents</title>
        <p id="paragraph-53a75ac3102e427cbca177c916ce0b34">The percentage yield of the butanol fraction of <italic id="e-59ebeedda1d5">Chlorophytum alismifolium</italic> was calculated to be 2.49 % w/w and the phytochemical screening revealed the presence of alkaloids, saponins, triterpenes, glycosides, cardiac glycosides, tannins and flavonoids (<xref id="x-bfbed40deb71" rid="table-wrap-ecb2b913d9d94d31920170502a577d2d" ref-type="table">Table 1</xref>).</p>
        <table-wrap id="table-wrap-ecb2b913d9d94d31920170502a577d2d" orientation="portrait">
          <label>Table 1</label>
          <caption id="caption-e3408f3a3ded41648589ca59f1a52839">
            <title id="title-c8ed50e85aee48eeb6e0d29634851b5c">Phytochemical constituents of butanol fraction of <italic id="e-5ad18b1fdb89">Chlorophytum alismifolium</italic></title>
          </caption>
          <table id="table-481f38b997cc46e7baf20ca3e1a323f0" rules="rows">
            <colgroup/>
            <tbody id="table-section-03e36912c0694bdd86a28dc1297510a7">
              <tr id="table-row-029ace34bdc64b5e8809228f2e6ae68c">
                <td id="table-cell-fcbc7bc5766146a9911247d2b270f8ce" align="left">
                  <p>
                    <bold>
                      <p id="paragraph-21006b2054fd4b41a8ac4f1da70720fe"> Constituents</p>
                    </bold>
                  </p>
                </td>
                <td id="table-cell-3d157b1d0baf4881977f8806cf59ca2d" align="left">
                  <p>
                    <bold>
                      <p id="paragraph-a910ab15cc7f4f488a57ad84da0c097c"> Inference</p>
                    </bold>
                  </p>
                </td>
              </tr>
              <tr id="table-row-73ce15f3e09c497d878d79c74e367f93">
                <td id="table-cell-cf632a3b39764cb28b04ba9c2103b609" align="left">
                  <p id="paragraph-60cd0f1d2a9c4fe7a0bfec444f95188d"> Anthraquinones</p>
                </td>
                <td id="table-cell-d353ede01b9a4eeab959bd468f72e60b" align="left">
                  <p id="paragraph-c0069b2aa1b74e09819260a4daeb625b"> ̶</p>
                </td>
              </tr>
              <tr id="table-row-70604cc389524a3fac3c20cb6571f436">
                <td id="table-cell-5d385c1326d244a7aa6884fd42dee8c3" align="left">
                  <p id="paragraph-43ee6fb09942418e99eaacf84fa4f501"> Glycosides</p>
                </td>
                <td id="table-cell-20ebafda26d641cb91ec39522feefbfe" align="left">
                  <p id="paragraph-3f7c8ae67ab24112b8d4572cbc119211"> +</p>
                </td>
              </tr>
              <tr id="table-row-6457bf115a7f424a8fb0bf848e03ca63">
                <td id="table-cell-102c5fe1741047599aba93c28ed6f401" align="left">
                  <p id="paragraph-8c49041a63f5487f8d34900afb5d3987"> Cardiac glycosides</p>
                </td>
                <td id="table-cell-58220f90372d4995bc9ccde174e5d16c" align="left">
                  <p id="paragraph-e1ce689a34cd4a28a5c7e8f7d86f42a7"> +</p>
                </td>
              </tr>
              <tr id="table-row-b98fd5b7912d410dae780b616accdb82">
                <td id="table-cell-a73ced6e639d4f409ada664a5e4230e5" align="left">
                  <p id="paragraph-ca9db2d27e4a437f81efbb4d3f2359d1"> Saponins</p>
                </td>
                <td id="table-cell-223495d1192b4b3c89389341cbc6a662" align="left">
                  <p id="paragraph-b9b073b1e8284d3ea17c8682e7da618f"> +</p>
                </td>
              </tr>
              <tr id="table-row-7d70c150c14344879868c147b4ad7fc1">
                <td id="table-cell-99007e7e2d0446abb925bda537837411" align="left">
                  <p id="paragraph-dccbff121f7b471faf2d843cc6a53062"> Flavonoids</p>
                </td>
                <td id="table-cell-57101089641e4a31894301b5ef221bbb" align="left">
                  <p id="paragraph-386472f9344d4c5ea1fcc5c87df24245"> +</p>
                </td>
              </tr>
              <tr id="table-row-0ef6150805de49c9a914bc1fda4b1ea8">
                <td id="table-cell-7c928345ddb043539b022f4e421e8c90" align="left">
                  <p id="paragraph-91ea27b615c84a689bb99a25508fae1e"> Alkaloids</p>
                </td>
                <td id="table-cell-448626e40fe64c3e91522720ce4b4124" align="left">
                  <p id="paragraph-92c0766a3ebd4d2abd36137ec3629493"> +</p>
                </td>
              </tr>
              <tr id="table-row-d0d7c781098342979850adfa562e9af5">
                <td id="table-cell-21e9a013cbec46f29e880aaf4618a745" align="left">
                  <p id="paragraph-f14e4c711d994c65963b1093fb2f4c13"> Triterpenes</p>
                </td>
                <td id="table-cell-57cf14eca7ca482d87aa2dd7841f2891" align="left">
                  <p id="paragraph-f9e1810ca6df460e82f33e854a8488e8"> +</p>
                </td>
              </tr>
              <tr id="table-row-7887cd1ce421486ba104439e748c6378">
                <td id="table-cell-ed84144fe4a3454a92c2ab4ba99b79ed" align="left">
                  <p id="paragraph-29d75cdd8385404ab99fbc9bbed50b5b"> Steroids</p>
                </td>
                <td id="table-cell-c57b3fb2082442ee8c9014349f1d1f7f" align="left">
                  <p id="paragraph-27127de769b04d9089ec9bf99f3c4be0"> _</p>
                </td>
              </tr>
              <tr id="table-row-da39fbb4def04f24a67687992139da08">
                <td id="table-cell-87cb1000aed549c18db9f9e2ab1e36e1" align="left">
                  <p id="paragraph-b5168c03eb2d4c55845f663af25ab380"> Tannins</p>
                </td>
                <td id="table-cell-a5e82cfb58f14430b6ec56fef9d0d9fd" align="left">
                  <p id="paragraph-df158861b4704b78a2e5ce8856f28f16"> +</p>
                </td>
              </tr>
            </tbody>
          </table>
          <table-wrap-foot>
            <fn-group>
              <fn id="f-977f921055cb">
                <p id="p-93954691dc85">Key: Absent – Present +</p>
              </fn>
            </fn-group>
          </table-wrap-foot>
        </table-wrap>
        <p id="paragraph-c9f41a8355594900ba359d589b43da3e"/>
      </sec>
      <sec>
        <title id="t-28625c9de46a">Chemical profiling</title>
        <p id="paragraph-61ff57e9517944fcabcdb0e637905c9c">The GC-MS revealed the presence of thirteen compounds covering the total area of 100.2 % (<xref id="x-d4939e5738d2" rid="table-wrap-db52a53f94454efeb0051fd818a1241d" ref-type="table">Table 2</xref>).</p>
        <table-wrap id="table-wrap-db52a53f94454efeb0051fd818a1241d" orientation="portrait">
          <label>Table 2</label>
          <caption id="caption-d613b0fba7ae496195171e4bce02c0a1">
            <title id="title-d302ac48f02c4692863ddfcf5d83d9ca">Chemical profile of butanol fraction of <italic id="e-b26f451bacec">C. alismifolium</italic> using GC-MS</title>
          </caption>
          <table id="table-b40f5a198ae449b9af47eb8f39530eaf" rules="rows">
            <colgroup/>
            <tbody id="table-section-3309c7dc2319429ca152a6b8d06a2da7">
              <tr id="table-row-bb5195f375604746a9ea71c7f9f0916a">
                <td id="table-cell-82c088f6b23845daa1f2c749acc50b39" align="left">
                  <p>
                    <bold>
                      <p id="paragraph-a5c1b3d59feb4a829c403cd9a6b84478"> S/ NO</p>
                    </bold>
                  </p>
                </td>
                <td id="table-cell-637d38c7cbed4688928a3ac0aa1e18d9" align="left">
                  <p>
                    <bold>
                      <p id="paragraph-74d9466571634d0d9fed392b498c714c"> Compounds</p>
                    </bold>
                  </p>
                </td>
                <td id="table-cell-8b278c2336ae4b14b671bf1f2fdd53a8" align="left">
                  <p>
                    <bold>
                      <p id="paragraph-ee0c5549191d45b7a3026faa49b18a36"> Area covered (%)</p>
                    </bold>
                  </p>
                </td>
                <td id="table-cell-89aee9014511466ca76c7b8af50f51fe" align="left">
                  <p>
                    <bold>
                      <p id="paragraph-f00f834fa3ed486a9ab70de1416c6669"> Retention time (min)</p>
                    </bold>
                  </p>
                </td>
              </tr>
              <tr id="table-row-9964dd1fd60945fbbc873f8601bf1513">
                <td id="table-cell-fa847355f59c49088f64011dfa8ff6d0" align="left">
                  <p id="paragraph-22cf4f08937041b4bdb982454cd8ae94"> 1</p>
                </td>
                <td id="table-cell-5e8bddcdc25b4ce0924b6880b52b7ad3" align="left">
                  <p id="paragraph-acafca59284c4d11a0ed4d1f9c646f24"> 1-Methoxycyclohexane</p>
                </td>
                <td id="table-cell-81218bfe45884460961c206960eebb59" align="left">
                  <p id="paragraph-fe3f0f1079be448987c6a35a2b0d1de0"> 4.8</p>
                </td>
                <td id="table-cell-ffaa6e3fac79493a9a34d07cac0b2d56" align="left">
                  <p id="paragraph-81f601615f744db98e832b72b0a7e964"> 5.33</p>
                </td>
              </tr>
              <tr id="table-row-72186ce801ae43c395cf3a35703bd68e">
                <td id="table-cell-ef4b9ac14a934b4fb834173f19500893" align="left">
                  <p id="paragraph-e4b7f542a0714bf09c4feb20a26c0212"> 2</p>
                </td>
                <td id="table-cell-818b0265062f4cada2e0895e8764655e" align="left">
                  <p id="paragraph-83a8b637c9e24b6bad84c4db3a7f89ff"> N-Buthyl ether</p>
                </td>
                <td id="table-cell-496bfe768ca14bee80f1b15c2b857366" align="left">
                  <p id="paragraph-51ebdccc48fc420ba00cecd9e5dfd3b7"> 13.21</p>
                </td>
                <td id="table-cell-8cc4c34310ce4ecc81372248f4c6a00f" align="left">
                  <p id="paragraph-217455848b1941289a09a2b184eaff26"> 5.56</p>
                </td>
              </tr>
              <tr id="table-row-e6d757a5c8d6423aa64ccf0e60c337ef">
                <td id="table-cell-213c49834b22443ca3d67b9d8f3b3632" align="left">
                  <p id="paragraph-a11b783a456641ed8281b7f6939ca9fd"> 3</p>
                </td>
                <td id="table-cell-46bf5d0d37e845d598ec3ff304d9f2b8" align="left">
                  <p id="paragraph-ff39a4fb72b84fd8ab8a39518073cdbc"> 1,3-Hexanediol</p>
                </td>
                <td id="table-cell-210fc476a5c543f4b13c2d73f533db2e" align="left">
                  <p id="paragraph-6437a428b0cf4049aed7a2f74444a702"> 1.32</p>
                </td>
                <td id="table-cell-2c2f02dd768a452aa63028e87a4aeee2" align="left">
                  <p id="paragraph-08113c614fcb4474841eaf95cdf18af0"> 5.84</p>
                </td>
              </tr>
              <tr id="table-row-fe75fd7355c34201b99cd49c5c44ecae">
                <td id="table-cell-acf424f055bd45b2be4166d39f8a38c3" align="left">
                  <p id="paragraph-d3939284692f4055b57fad66236c336e"> 4</p>
                </td>
                <td id="table-cell-62fec00ef6534f6f9a92e72eea3cf259" align="left">
                  <p id="paragraph-02a6f4fd00ee4f90b7da6f82aaf98579"> 2-Propanone, Oxime</p>
                </td>
                <td id="table-cell-e057e35fe9d949caac1e34933412a8f7" align="left">
                  <p id="paragraph-2ebe463596f3403a960195519ccc77b3"> 23.79</p>
                </td>
                <td id="table-cell-1f7029a20f4a4b6c87ed7dbb8243bba5" align="left">
                  <p id="paragraph-09c0d37eb58547f7b333f9fe9c35f02d"> 6.04</p>
                </td>
              </tr>
              <tr id="table-row-03379d5f247a456d97af321f3bddbac1">
                <td id="table-cell-49d566f81c4e454391efba8326160462" align="left">
                  <p id="paragraph-fc035d500781426ebcd995696989e67e"> 5</p>
                </td>
                <td id="table-cell-03ac3a50c3af45b19d542252e722a1a6" align="left">
                  <p id="paragraph-ab5a4334ec904283942cec10118fbefa"> Cis-1-Butene</p>
                </td>
                <td id="table-cell-89712f0b37f14b6c8b3c613c9008d28c" align="left">
                  <p id="paragraph-03a90837ef8d46b9b4ff1b6f51353de4"> 19.94</p>
                </td>
                <td id="table-cell-ee1331d2529f4cf19cbd97a88f812bdd" align="left">
                  <p id="paragraph-2054b322ec5644baba93ae87d6812019"> 6.51</p>
                </td>
              </tr>
              <tr id="table-row-78d4de4b6a3b46b7b3d8562b1df51517">
                <td id="table-cell-c2ccae7daaae43498af5eb776797dc25" align="left">
                  <p id="paragraph-29bbbc3140bd49949f82aa409781bea7"> 6</p>
                </td>
                <td id="table-cell-0e7b10e92c154a5fb023d8d90b85017e" align="left">
                  <p id="paragraph-6887dc01a12344a79a9d6712c07ff663"> 1-Propanone</p>
                </td>
                <td id="table-cell-b55b8e489b0f4273b5efc87c75420f8b" align="left">
                  <p id="paragraph-d53824af3ad74fca84f8ddbce98c897b"> 4.9</p>
                </td>
                <td id="table-cell-b3c0787439ce4a6d9ae09177e09cadeb" align="left">
                  <p id="paragraph-02f92ac7348c4b4f8aa7017b634fa969"> 9.8</p>
                </td>
              </tr>
              <tr id="table-row-5575d3886c194657ba75a2edd8c99b36">
                <td id="table-cell-3a0386b2a9af48daaeab7098ec10b84e" align="left">
                  <p id="paragraph-dfeeef371a9c4a918b0b16b884387ffe"> 7</p>
                </td>
                <td id="table-cell-da135614571b4950892a9b0c1b6921d7" align="left">
                  <p id="paragraph-0e26785b1ef74898bf2ebff9415e6839"> 1,10-Undecadiene</p>
                </td>
                <td id="table-cell-ad5f35ef4b544d9d92101923b87677bb" align="left">
                  <p id="paragraph-ef1cfa594f684c4fa9e824b2c237a690"> 0.98</p>
                </td>
                <td id="table-cell-e4f0faf8c0f042a8b550b4f157dc7040" align="left">
                  <p id="paragraph-3ea6f42841b54765a0318c7e0b962fc2"> 10.37</p>
                </td>
              </tr>
              <tr id="table-row-b4788c3c7c8b4783bff70749a539f591">
                <td id="table-cell-a2ac395f53fa42ad9a349dbecc3cc0a4" align="left">
                  <p id="paragraph-a4b4bdcfcd0b44a4b9d57dff9b01faa9"> 8</p>
                </td>
                <td id="table-cell-ffc9c410f59a42cd8fe76325525f73b7" align="left">
                  <p id="paragraph-e98dcca579014b76b662b6adff5abb2a"> Acetamide</p>
                </td>
                <td id="table-cell-df8de468a450420daddc05f269da8438" align="left">
                  <p id="paragraph-11285343a00b4b578e06d10122775afa"> 2.17</p>
                </td>
                <td id="table-cell-ac6fd345db5541d3857dc8db8834194b" align="left">
                  <p id="paragraph-a791d8a4edb14318b4692692f7812b2f"> 12.75</p>
                </td>
              </tr>
              <tr id="table-row-257da5403f254ff89e99ef979f3d80a3">
                <td id="table-cell-dc69358a5e094218aedfdc82a01f7438" align="left">
                  <p id="paragraph-52e8309bf83a45798351157ce48bdffa"> 9</p>
                </td>
                <td id="table-cell-ad39696a7dd04d9ab937bddf5120c1cc" align="left">
                  <p id="paragraph-291ecfec3d04494b8e9723991b630611"> Isoxazolidine</p>
                </td>
                <td id="table-cell-49344cd610704786a1a2ea3e2bae24ca" align="left">
                  <p id="paragraph-96acfc89d7b0494b83a798d7a1af5fb9"> 11.93</p>
                </td>
                <td id="table-cell-e34022310844435c91a0a89b51617c0f" align="left">
                  <p id="paragraph-49b82aa726764315b08b4f78139e52d1"> 15.1</p>
                </td>
              </tr>
              <tr id="table-row-c934f359bc69468d8707ea2580ce98ce">
                <td id="table-cell-73f3c25a1c234028a079b70c897477b5" align="left">
                  <p id="paragraph-05641b8151ec470f9c218f1bc9707d40"> 10</p>
                </td>
                <td id="table-cell-54dc803784ed41ef84cb46a90b4d3412" align="left">
                  <p id="paragraph-e530f8ca93e84d019024dcee4547a6e2"> Isothiazole</p>
                </td>
                <td id="table-cell-d4318979b8e247deadcbd57acae7152d" align="left">
                  <p id="paragraph-40cd4c2a65914430891f05b610d6ed39"> 8.23</p>
                </td>
                <td id="table-cell-a54b6c6cb3314ace85106440e3a76b88" align="left">
                  <p id="paragraph-8a99f15c804b45ca9fd7d45709caa3b2"> 22.81</p>
                </td>
              </tr>
              <tr id="table-row-d046385e5c354da9b460c160b62192ec">
                <td id="table-cell-aa18b1a361314ff194a46e0292080256" align="left">
                  <p id="paragraph-e2bcda0fb114443ea660b46f1b3f23b9"> 11</p>
                </td>
                <td id="table-cell-d958b4600ed147d2b76862bba26f1d36" align="left">
                  <p id="paragraph-d5ef9b6b07d44910a1e6988e6a49b7d2"> 6-Methyl-triazolo- triazine</p>
                </td>
                <td id="table-cell-44bd529c3bd841e4bcd945ff8c1a9c16" align="left">
                  <p id="paragraph-5043d0edead14994bfe7881ea5e85ee7"> 4.1</p>
                </td>
                <td id="table-cell-060cf248c5c54a628e1f10056b536749" align="left">
                  <p id="paragraph-02c3757034fc42fcbae6fdf380fdf3cf"> 31.25</p>
                </td>
              </tr>
              <tr id="table-row-58c628113432422a93b967a1a1440a0d">
                <td id="table-cell-ce5d69b2e6a142fa8e94232475a3597b" align="left">
                  <p id="paragraph-605a21f96c4947cca3df2314d133afb4"> 12</p>
                </td>
                <td id="table-cell-8c4672a057474a089f8641524547da47" align="left">
                  <p id="paragraph-1467a98c018844f7b4ed1ca7ffba8ba7"> N-Ethylformamide</p>
                </td>
                <td id="table-cell-1414a407dbee4b23aad454cf2eed75e1" align="left">
                  <p id="paragraph-0f1d86dd74fd441386452522ca7911b5"> 0.92</p>
                </td>
                <td id="table-cell-9248af0e46b4469085ccd12a911ac049" align="left">
                  <p id="paragraph-523dda82ad4b480caca82b8b204d2f18"> 31.58</p>
                </td>
              </tr>
              <tr id="table-row-2d78bd4ec6ed480996c417c323c538f4">
                <td id="table-cell-6f8554ca75164f6286cc5fc11b93efa3" align="left">
                  <p id="paragraph-31692d03b0ff43ca92f5159e58e6f03c"> 13</p>
                </td>
                <td id="table-cell-692315bda23a4e9a8abec128c1989f6f" align="left">
                  <p id="paragraph-fe5c57024bdf422d91abce0a6ee17519"> Propanamide</p>
                </td>
                <td id="table-cell-0135be447ba249e9bf5e030d879713c2" align="left">
                  <p id="paragraph-9312460bd4fa4e82bdf208a3247ddb24"> 3.9</p>
                </td>
                <td id="table-cell-3c1575ecf00c4f90a64a6cb52560188f" align="left">
                  <p id="paragraph-abc73b2ab1bc4159b76fa9e67262ccfd"> 36.04</p>
                </td>
              </tr>
            </tbody>
          </table>
        </table-wrap>
      </sec>
      <sec>
        <title id="t-d81a1f5c3468">Median lethal dose</title>
        <p id="paragraph-5edcd864c492451abce0b5245e6b2597">Oral administration of butanol fraction of <italic id="e-a78d59c5afc6">C. alismifolium</italic> (10-5,000 mg/kg) did not produce any visible sign of toxicity or mortality in the animals over a period of 24 hrs. The oral LD<sub id="s-559b5ce0a976">50 </sub>was estimated to be above 5,000 mg/kg.</p>
      </sec>
      <sec>
        <title id="t-29f70063ebf9">Effect of butanol fraction of <italic id="e-bb66d9bcdbfa">C. alismifolium</italic> on alloxan-induced hyperglycaemic rats</title>
        <p id="paragraph-b0a6172d5f54475cbbf39b6ef34246f6">A significant (p&lt;0.001) increase in blood glucose levels were observed in the hyperglycaemic control following the administration of alloxan when compared to the normal control. Administration of the butanol fraction at all the doses tested (250, 500 and 1000 mg/kg) reduced the blood glucose levels when compared to the hyperglycaemic control, though the reduction wasn’t statistically significant (p&gt;0.05). The results were also compared over time by comparing 0 hour with the 1<sup id="superscript-4981f6f05d1e4da1a46ddb988649e710">st</sup>, 2<sup id="superscript-f71f34be321f489db133178395ee44e7">nd</sup>, 3<sup id="superscript-6428512bc9b34a5b90c4fcf1270f4cd7">rd</sup>, and 5<sup id="superscript-a843e7a6155c45c0a45e76e678fb3ca0">th</sup>  hours. The extract at 250 mg/kg significantly (p&lt;0.05 and p&lt;0.001) reduced the blood glucose level in the 3<sup id="superscript-d356d6c8e89a4f7f99261854fba7c156">rd</sup>, and 5<sup id="superscript-c52d5b1e40154e27abcf66c83bb3da82">th</sup>  hours respectively when compared to 0 hour. At 500 mg/kg, a significant (p&lt;0.01 and p&lt;0.001) reduction in blood glucose levels in the 3rd and 5th hours respectively were also observed when compared to 0 hour. At 1000 mg/kg, the extract significantly (p&lt;0.05, p&lt;0.001 and p&lt;0.001) lowered the blood glucose level in the 2<sup id="superscript-69e2063aae7441538522b0ca9a855004">nd</sup>, 3<sup id="superscript-d86ddc2bdc214264832e2cd9bb395174">rd</sup>, and 5<sup id="superscript-09aa154a74e54b59ab8b41792a66cecc">th</sup>  hours respectively when compared to 0 hour. (<xref id="x-d56c495ed7e9" rid="figure-654b5eefd649481abb4db0da9797deec" ref-type="fig">Figure 1</xref>).</p>
        <fig id="figure-654b5eefd649481abb4db0da9797deec" orientation="portrait" fig-type="graphic" position="anchor">
          <label>Figure 1 </label>
          <caption id="caption-48209e3377f8400a92a2f5bcf34dd87f">
            <title id="title-a589feba650141d09586688d1df830fc">Effect of butanol fraction of <italic id="e-5f6ea996b3b7">Chlorophytum alismifolium</italic> on blood glucose levels of alloxan-induced hyperglycaemic rats</title>
            <p id="p-b91bd82f0540"><italic id="e-3f22c5bbc2b5">Chlorophytum alismifolium</italic>, GLP = Glimepiride)</p>
          </caption>
          <graphic id="graphic-6a98c41c9062485e98bd0ca1292a56a4" xlink:href="https://s3-us-west-2.amazonaws.com/typeset-prod-media-server/de215bad-913d-47b7-8fd7-82ffe3cc4e17image1.png"/>
        </fig>
      </sec>
    </sec>
    <sec>
      <title id="t-2adc8319be3f"/>
      <p id="paragraph-893553d0fb3d41e09a307b521f4b9de6">Diabetes mellitus is a metabolic disorder characterized by hyperglycaemia with an increased risk of many complications<xref id="xref-0e9ab17d01524b328fd466e6fffd0eed" rid="R123049023340319" ref-type="bibr">20</xref> and herbal medicines are used for treatment of diabetes in developing countries <xref id="xref-0d1d6a0c15bd4a4db656bb47816e953d" rid="R123049023340312" ref-type="bibr">21</xref>. In this study, the median lethal dose of the butanol fraction of <italic id="e-f61f84bedfd9">C. alismifolium</italic> was &gt; 5000 mg/kg implying that it is practically non-toxic when used orally.</p>
      <p id="paragraph-cdffcf7096514c2aa75d9af77e47bd4c">Alloxan is a diabetogenic agent which can impair the activity of pancreatic β- cells and trigger hyperglycaemia <xref rid="R123049023340318" ref-type="bibr">22</xref>, <xref rid="R123049023340292" ref-type="bibr">23</xref>. In this study, administration of alloxan caused hyperglycaemia in the rats and the butanol fraction of <italic id="e-b88a2dcd3a33">C. alismifolium</italic> at the tested doses significantly reduced the fasting blood glucose levels in the hyperglycaemic rats. The phytochemical screening of the butanol fraction of <italic id="e-a067c6f5e5da">C. alismifolium</italic> revealed the presence of secondary metabolites, some of which have been reported to have antihyperglycaemic activity. Several studies have linked phytochemicals like; flavonoids, alkaloids, triterpenes and saponins to antihyperglycaemic activity <xref rid="R123049023340301" ref-type="bibr">24</xref>, <xref rid="R123049023340308" ref-type="bibr">25</xref>. The phytochemical screening showed the presence of some of the aforementioned constituents which could probably be responsible for the observed antihyperglycaemic activity of the butanol fraction of <italic id="e-91d2c38ab328">C. alismifolium</italic>. The genus chlorophytum have been reported to be rich in biologically active saponins<xref id="xref-84d648da65384c6c973702471d746380" rid="R123049023340310" ref-type="bibr">26</xref> which are phytochemicals that elicit their antihyperglycaemic activity through the restoration of insulin response and improvement in insulin signalling <xref id="xref-0685c17e001a4be19c63d6d0b5ca7256" rid="R123049023340304" ref-type="bibr">27</xref>, increase in plasma insulin levels and stimulation of insulin release from the pancreas <xref id="xref-62e0120af5694786ad947db216e9ca81" rid="R123049023340299" ref-type="bibr">28</xref>, insulin sensitization and antihyperlipidemic effect <xref id="xref-83e289fc4c3244858925f1f518754c0e" rid="R123049023340306" ref-type="bibr">29</xref>.</p>
      <p id="paragraph-b6b40e9441144db083fc95acd507accc">GC-MS system is valuable in the identification of the bioactive constituents of herbal medicines <xref id="xref-20400d3edf1e4c74b26829b90f5fa0a5" rid="R123049023340320" ref-type="bibr">30</xref>. The chemical profiling of butanol fraction of <italic id="e-5162e6f67814">C. alismifolium</italic> through GC-MS revealed the presence of some compounds with antihyperglycaemic activity. Hyperglycaemia especially in type 2 diabetes mellitus is not only caused by impaired insulin secretion from the pancreas but also by the increased insulin resistance in the peripheral tissues <xref id="xref-71a631ce81ac4ae0a5038c0ff349d3d3" rid="R123049023340321" ref-type="bibr">31</xref>. Hence, a decrease of insulin resistance is necessary for achieving normoglycaemia and isoxazolidine, one of the compounds found in the butanol fraction of <italic id="e-1e7b583ccb77">C. alismifolium</italic> elicits its antihyperglycaemic activity by decreasing insulin resistance or improving insulin sensitivity in the target tissues <xref id="xref-2c92458e09a34790ba557396c5af6ccd" rid="R123049023340313" ref-type="bibr">32</xref>. Isothiazole is also one of the compounds found in the butanol fraction of <italic id="e-18adea6898fa">C. alismifolium</italic> and its derivatives have been reported to act through the selective inhibition of aldose reductase, an enzyme in the polyol pathway which catalyzes the formation of sorbitol and thereby reducing some diabetic complications <xref id="xref-93c24f39dd36450a853290a7a4ea27ed" rid="R123049023340296" ref-type="bibr">33</xref>. Synergism of these compounds with other phytochemical constituents may be attributed to the observed antihyperglycaemic activity of the butanol fraction of <italic id="e-acc511b6346e">C. alismifolium</italic>.</p>
    </sec>
    <sec>
      <title id="title-bcde6316000a4243a14030c27d8a8ece">Conclusion</title>
      <p id="paragraph-581aa265abda4272afaefcc5d8ab1c87">The butanol fraction of <italic id="e-78430327b6c0">Chlorophytum alismifolium</italic> contains bioactive compounds with potential blood glucose lowering effect and this justifies its use in the management of diabetes mellitus.</p>
    </sec>
    <sec>
      <title id="t-24e6456dde8d">Conflict of interest</title>
      <p id="paragraph-02252a55fe45442b8100e72e917ac00e">The authors have no conflict of interest with regards to this publication.</p>
    </sec>
    <sec>
      <title id="title-856aa1349b174404858d567568cfe23d">Acknowledgement</title>
      <p id="paragraph-7e2d12a4721749a5a56d9a83c8e1c568">The authors acknowledge the financial support from Qualitrends Nigeria Limited and are grateful to Mal. Muazu Mahmud of the Department of Pharmacology and Therapeutics, Ahmadu Bello University Zaria, Nigeria for his Technical Assistance in the course of this research work.</p>
    </sec>
  </body>
  <back>
    <ref-list>
      <title>References</title>
      <ref id="R123049023340298">
        <element-citation publication-type="book">
          <person-group person-group-type="author">
            <collab/>
          </person-group>
          <person-group person-group-type="editor"/>
          <source>International Diabetes Federation Diabetes Atlas</source>
          <edition>Eighth edition</edition>
          <year>2017</year>
          <fpage>1</fpage>
          <lpage>150</lpage>
        </element-citation>
      </ref>
      <ref id="R123049023340295">
        <element-citation publication-type="book">
          <person-group person-group-type="author">
            <name>
              <surname>Kennedy</surname>
              <given-names>M S N</given-names>
            </name>
            <name>
              <surname>Masharani</surname>
              <given-names>U</given-names>
            </name>
            <collab/>
          </person-group>
          <person-group person-group-type="editor">
            <name>
              <surname>Katzung</surname>
              <given-names>B G</given-names>
            </name>
          </person-group>
          <article-title>Pancreatic hormones and antidiabetic drugs</article-title>
          <source>In: Basic and Clinical Pharmacology</source>
          <publisher-name>McGraw-Hill Education</publisher-name>
          <year>2018</year>
          <fpage>747</fpage>
          <lpage>814</lpage>
        </element-citation>
      </ref>
      <ref id="R123049023340297">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Ayodhya</surname>
              <given-names>S</given-names>
            </name>
            <name>
              <surname>Kusum</surname>
              <given-names>S</given-names>
            </name>
            <name>
              <surname>Saxena</surname>
              <given-names>A</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Hypoglycaemic activity of different extracts of various herbal plants</article-title>
          <source>International Journal of Research in Ayurveda and Pharmacy</source>
          <year>2010</year>
          <volume>1</volume>
          <issue>1</issue>
          <fpage>212</fpage>
          <lpage>224</lpage>
        </element-citation>
      </ref>
      <ref id="R123049023340316">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Asmat</surname>
              <given-names>Ullah</given-names>
            </name>
            <name>
              <surname>Abad</surname>
              <given-names>Khan</given-names>
            </name>
            <name>
              <surname>Ismail</surname>
              <given-names>Khan</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Diabetes mellitus and oxidative stress—A concise review</article-title>
          <source>Saudi Pharmaceutical Journal</source>
          <year>2016</year>
          <volume>24</volume>
          <issue>5</issue>
          <fpage>547</fpage>
          <lpage>553</lpage>
          <issn>1319-0164</issn>
          <publisher-name>Elsevier BV</publisher-name>
          <uri>https://dx.doi.org/10.1016/j.jsps.2015.03.013</uri>
        </element-citation>
      </ref>
      <ref id="R123049023340309">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Ezuruike</surname>
              <given-names>Udoamaka F</given-names>
            </name>
            <name>
              <surname>Prieto</surname>
              <given-names>Jose M</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>The use of plants in the traditional management of diabetes in Nigeria: Pharmacological and toxicological considerations</article-title>
          <source>Journal of Ethnopharmacology</source>
          <year>2014</year>
          <volume>155</volume>
          <issue>2</issue>
          <fpage>857</fpage>
          <lpage>924</lpage>
          <issn>0378-8741</issn>
          <publisher-name>Elsevier BV</publisher-name>
          <uri>https://dx.doi.org/10.1016/j.jep.2014.05.055</uri>
        </element-citation>
      </ref>
      <ref id="R123049023340307">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Mclnnes</surname>
              <given-names>A D</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Diabetic foot disease in the United Kingdom: about time to put feet first</article-title>
          <source>Journal of Foot Ankle Research</source>
          <year>2012</year>
          <volume>5</volume>
          <issue>26</issue>
          <fpage>1</fpage>
          <lpage>7</lpage>
        </element-citation>
      </ref>
      <ref id="R123049023340322">
        <element-citation publication-type="book">
          <person-group person-group-type="author">
            <name>
              <surname>Satoskar</surname>
              <given-names>R S</given-names>
            </name>
            <name>
              <surname>Bhandarkar</surname>
              <given-names>S D</given-names>
            </name>
            <name>
              <surname>Ainapure</surname>
              <given-names>S S</given-names>
            </name>
            <collab/>
          </person-group>
          <person-group person-group-type="editor"/>
          <source>Pharmacology and pharmacotherapeutics</source>
          <publisher-loc>Mumbai, India</publisher-loc>
          <year>1999</year>
        </element-citation>
      </ref>
      <ref id="R123049023340293">
        <element-citation publication-type="book">
          <person-group person-group-type="author">
            <name>
              <surname>Tripathi</surname>
              <given-names>K D</given-names>
            </name>
            <collab/>
          </person-group>
          <person-group person-group-type="editor"/>
          <source>Essentials of Medical Pharmacology</source>
          <edition>seventh </edition>
          <publisher-name>Jaypee Brothers Medical Publishers Ltd</publisher-name>
          <year>2013</year>
        </element-citation>
      </ref>
      <ref id="R123049023340302">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Yusuff</surname>
              <given-names>Kazeem B.</given-names>
            </name>
            <name>
              <surname>Obe</surname>
              <given-names>Olubunmi</given-names>
            </name>
            <name>
              <surname>Joseph</surname>
              <given-names>Bonatson Y.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Adherence to anti-diabetic drug therapy and self management practices among type-2 diabetics in Nigeria</article-title>
          <source>Pharmacy World &amp; Science</source>
          <year>2008</year>
          <volume>30</volume>
          <issue>6</issue>
          <fpage>876</fpage>
          <lpage>883</lpage>
          <issn>0928-1231, 1573-739X</issn>
          <publisher-name>Springer Science and Business Media LLC</publisher-name>
          <uri>https://dx.doi.org/10.1007/s11096-008-9243-2</uri>
        </element-citation>
      </ref>
      <ref id="R123049023340315">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Abdel-Azim</surname>
              <given-names>Nahla S.</given-names>
            </name>
            <name>
              <surname>Shams</surname>
              <given-names>Khaled A.</given-names>
            </name>
            <name>
              <surname>Shahat</surname>
              <given-names>Abdel Aaty A.</given-names>
            </name>
            <name>
              <surname/>
              <given-names>Moustafa M. El Missi</given-names>
            </name>
            <name>
              <surname>Ismail</surname>
              <given-names>Shams I.</given-names>
            </name>
            <name>
              <surname>Hammouda</surname>
              <given-names>Faiza M.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Egyptian Herbal Drug Industry: Challenges and Future Prospects</article-title>
          <source>Research Journal of Medicinal Plant</source>
          <year>2011</year>
          <volume>5</volume>
          <issue>2</issue>
          <fpage>136</fpage>
          <lpage>144</lpage>
          <issn>1819-3455</issn>
          <publisher-name>Science Alert</publisher-name>
          <uri>https://dx.doi.org/10.3923/rjmp.2011.136.144</uri>
        </element-citation>
      </ref>
      <ref id="R123049023340311">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Abubakar</surname>
              <given-names>Abdulhakim</given-names>
            </name>
            <name>
              <surname>Danjuma</surname>
              <given-names>Nuhu M.</given-names>
            </name>
            <name>
              <surname>Odoma</surname>
              <given-names>Saidi</given-names>
            </name>
            <name>
              <surname>Nazifi</surname>
              <given-names>Abdullahi B.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Antinociceptive and anti-inflammatory activities of the methanol extract of Chlorophytum alismifolium tubers</article-title>
          <source>Journal of Pharmacy &amp; Bioresources</source>
          <year>2016</year>
          <volume>13</volume>
          <issue>2</issue>
          <fpage>155</fpage>
          <lpage>155</lpage>
          <issn>0189-8442</issn>
          <publisher-name>African Journals Online (AJOL)</publisher-name>
          <uri>https://dx.doi.org/10.4314/jpb.v13i2.11</uri>
        </element-citation>
      </ref>
      <ref id="R123049023340323">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Abubakar</surname>
              <given-names>A</given-names>
            </name>
            <name>
              <surname>Danjuma</surname>
              <given-names>N M</given-names>
            </name>
            <name>
              <surname>Chindo</surname>
              <given-names>B A</given-names>
            </name>
            <name>
              <surname>Nazifi</surname>
              <given-names>A B</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Ameliorative Effects of Methanol tuber Extract of Chlorophytum alismifolium Baker on Hyperglycaemia- induced Haematological and Hepato-renal Alterations in Rats</article-title>
          <source>Nigerian Journal of Pharmaceutical Sciences</source>
          <year>2017</year>
          <volume>16</volume>
          <fpage>30</fpage>
          <lpage>39</lpage>
        </element-citation>
      </ref>
      <ref id="R123049023340300">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Abubakar</surname>
              <given-names>Abdulhakim</given-names>
            </name>
            <name>
              <surname>Danjuma</surname>
              <given-names>Nuhu M.</given-names>
            </name>
            <name>
              <surname>Chindo</surname>
              <given-names>Ben A.</given-names>
            </name>
            <name>
              <surname>Nazifi</surname>
              <given-names>Abdullahi B.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Anti-hyperglycaemic activity of tuber extract of Chlorophytum alismifolium Baker in streptozotocin-induced hyperglycaemic rats</article-title>
          <source>Bulletin of Faculty of Pharmacy, Cairo University</source>
          <year>2018</year>
          <volume>56</volume>
          <issue>1</issue>
          <fpage>60</fpage>
          <lpage>67</lpage>
          <issn>1110-0931</issn>
          <publisher-name>Egypts Presidential Specialized Council for Education and Scientific Research</publisher-name>
          <uri>https://dx.doi.org/10.1016/j.bfopcu.2017.11.003</uri>
        </element-citation>
      </ref>
      <ref id="R123049023340314">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Sahil</surname>
              <given-names>K</given-names>
            </name>
            <name>
              <surname>Prashant</surname>
              <given-names>B</given-names>
            </name>
            <name>
              <surname>Akansha</surname>
              <given-names>M</given-names>
            </name>
            <name>
              <surname>Premjeet</surname>
              <given-names>S</given-names>
            </name>
            <name>
              <surname>Devashish</surname>
              <given-names>R</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Gas chromatography-mass spectrometry: applications</article-title>
          <source>International Journal of Pharmaceutical and Biological Archives</source>
          <year>2011</year>
          <volume>2</volume>
          <fpage>1544</fpage>
          <lpage>1560</lpage>
        </element-citation>
      </ref>
      <ref id="R123049023340303">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Thomas</surname>
              <given-names>E</given-names>
            </name>
            <name>
              <surname>Aneesh</surname>
              <given-names>T P</given-names>
            </name>
            <name>
              <surname>Della</surname>
              <given-names>G T</given-names>
            </name>
            <name>
              <surname>Anandan</surname>
              <given-names>R</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>GC-MS anal- ysis of phytochemical compounds present in the rhizomes of Nervilia aragoana Gaud</article-title>
          <source>Asian Journal of Pharmacy and Clinical Research</source>
          <year>2013</year>
          <volume>6</volume>
          <fpage>68</fpage>
          <lpage>74</lpage>
        </element-citation>
      </ref>
      <ref id="R123049023340294">
        <element-citation publication-type="book">
          <person-group person-group-type="author">
            <name>
              <surname>Evans</surname>
              <given-names>W C</given-names>
            </name>
            <collab/>
          </person-group>
          <person-group person-group-type="editor"/>
          <source>Trease and Evans Pharmacognosy</source>
          <publisher-name>Elsevier Health Sciences</publisher-name>
          <publisher-loc>London, U.K.</publisher-loc>
          <year>2009</year>
        </element-citation>
      </ref>
      <ref id="R123049023340291">
        <element-citation publication-type="misc">
          <person-group person-group-type="author">
            <name>
              <surname>Stein</surname>
              <given-names>S E</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>NIST Mass Spectral Search Program and NIST/ EPA/NIH Mass Spectral Library version 2.2. National Institute of Standards and Technology, U.S. Secretary of Commerce, USA; 2014</article-title>
          <publisher-loc>U.S. Secretary of Commerce, USA</publisher-loc>
        </element-citation>
      </ref>
      <ref id="R123049023340317">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Lorke</surname>
              <given-names>Dietrich</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>A new approach to practical acute toxicity testing</article-title>
          <source>Archives of Toxicology</source>
          <year>1983</year>
          <volume>54</volume>
          <issue>4</issue>
          <fpage>275</fpage>
          <lpage>287</lpage>
          <issn>0340-5761, 1432-0738</issn>
          <publisher-name>Springer Science and Business Media LLC</publisher-name>
          <uri>https://dx.doi.org/10.1007/bf01234480</uri>
        </element-citation>
      </ref>
      <ref id="R123049023340305">
        <element-citation publication-type="inproceedings">
          <person-group person-group-type="author">
            <name>
              <surname>Cooperstein</surname>
              <given-names>S J</given-names>
            </name>
            <name>
              <surname>Watkins</surname>
              <given-names>D</given-names>
            </name>
            <collab/>
          </person-group>
          <person-group person-group-type="editor"/>
          <article-title>Action of Toxic Drugs on Islet Cells</article-title>
          <source>The Islets of Langerhans</source>
          <year>1981</year>
          <publisher-name>Elsevier</publisher-name>
          <conf-loc>New York</conf-loc>
          <fpage>387</fpage>
          <lpage>425</lpage>
        </element-citation>
      </ref>
      <ref id="R123049023340319">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Schlienger</surname>
              <given-names>J L</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Type 2 diabetes complications</article-title>
          <source>La Presse Médicale</source>
          <year>2013</year>
          <volume>42</volume>
          <fpage>839</fpage>
          <lpage>848</lpage>
        </element-citation>
      </ref>
      <ref id="R123049023340312">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Saravanan</surname>
              <given-names>G</given-names>
            </name>
            <name>
              <surname>Pari</surname>
              <given-names>L</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Hypoglycaemic and Antihyperglycaemic Effect of Syzygium cumini Bark in Streptozotocin-Induced Diabetic Rats</article-title>
          <source>Journal of Pharmacology and Toxicology</source>
          <year>2007</year>
          <volume>3</volume>
          <issue>1</issue>
          <fpage>1</fpage>
          <lpage>10</lpage>
          <issn>1816-496X</issn>
          <publisher-name>Science Alert</publisher-name>
        </element-citation>
      </ref>
      <ref id="R123049023340318">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Szkudelski</surname>
              <given-names>T</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>The mechanism of alloxan and streptozoto- cin action in beta cells of the rat’s pancreas</article-title>
          <source>Physiological Research</source>
          <year>2001</year>
          <volume>50</volume>
          <fpage>537</fpage>
          <lpage>546</lpage>
        </element-citation>
      </ref>
      <ref id="R123049023340292">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Watkins</surname>
              <given-names>Dudley</given-names>
            </name>
            <name>
              <surname>Cooperstein</surname>
              <given-names>S. J.</given-names>
            </name>
            <name>
              <surname>Lazarow</surname>
              <given-names>Arnold</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Effect of alloxan on permeability of pancreatic islet tissue in vitro</article-title>
          <source>American Journal of Physiology-Legacy Content</source>
          <year>1964</year>
          <volume>207</volume>
          <issue>2</issue>
          <fpage>436</fpage>
          <lpage>440</lpage>
          <issn>0002-9513</issn>
          <publisher-name>American Physiological Society</publisher-name>
          <uri>https://dx.doi.org/10.1152/ajplegacy.1964.207.2.436</uri>
        </element-citation>
      </ref>
      <ref id="R123049023340301">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Marles</surname>
              <given-names>R.J.</given-names>
            </name>
            <name>
              <surname>Farnsworth</surname>
              <given-names>N.R.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Antidiabetic plants and their active constituents</article-title>
          <source>Phytomedicine</source>
          <year>1995</year>
          <volume>2</volume>
          <issue>2</issue>
          <fpage>137</fpage>
          <lpage>189</lpage>
          <issn>0944-7113</issn>
          <publisher-name>Elsevier BV</publisher-name>
          <uri>https://dx.doi.org/10.1016/s0944-7113(11)80059-0</uri>
        </element-citation>
      </ref>
      <ref id="R123049023340308">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Middleton</surname>
              <given-names>E</given-names>
            </name>
            <name>
              <surname>Kandaswami</surname>
              <given-names>C</given-names>
            </name>
            <name>
              <surname>Theoharides</surname>
              <given-names>T C</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>The effects of plant flavonoids on mammalian cells: Implications for inflammation, heart disease and cancer</article-title>
          <source>Pharmacological Review</source>
          <year>2000</year>
          <volume>52</volume>
          <fpage>673</fpage>
          <lpage>751</lpage>
        </element-citation>
      </ref>
      <ref id="R123049023340310">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Kaushik</surname>
              <given-names>Nutan</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Saponins of Chlorophytum Species</article-title>
          <source>Phytochemistry Reviews</source>
          <year>2005</year>
          <volume>4</volume>
          <issue>2-3</issue>
          <fpage>191</fpage>
          <lpage>196</lpage>
          <issn>1568-7767, 1572-980X</issn>
          <publisher-name>Springer Science and Business Media LLC</publisher-name>
          <uri>https://dx.doi.org/10.1007/s11101-005-2607-5</uri>
        </element-citation>
      </ref>
      <ref id="R123049023340304">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Kwon</surname>
              <given-names>Dae Young</given-names>
            </name>
            <name>
              <surname>Kim</surname>
              <given-names>Young Seob</given-names>
            </name>
            <name>
              <surname>Ryu</surname>
              <given-names>Shi Yong</given-names>
            </name>
            <name>
              <surname>Choi</surname>
              <given-names>Yeon Hee</given-names>
            </name>
            <name>
              <surname>Cha</surname>
              <given-names>Mi-Ran</given-names>
            </name>
            <name>
              <surname>Yang</surname>
              <given-names>Hye Jeong</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Platyconic acid, a saponin from Platycodi radix, improves glucose homeostasis by enhancing insulin sensitivity in vitro and in vivo</article-title>
          <source>European Journal of Nutrition</source>
          <year>2012</year>
          <volume>51</volume>
          <issue>5</issue>
          <fpage>529</fpage>
          <lpage>540</lpage>
          <issn>1436-6207, 1436-6215</issn>
          <publisher-name>Springer Science and Business Media LLC</publisher-name>
          <uri>https://dx.doi.org/10.1007/s00394-011-0236-x</uri>
        </element-citation>
      </ref>
      <ref id="R123049023340299">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Metwally</surname>
              <given-names>N S</given-names>
            </name>
            <name>
              <surname>Mohamed</surname>
              <given-names>A M</given-names>
            </name>
            <name>
              <surname>Elsharabasy</surname>
              <given-names>F S</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Chemical constituents of the Egyptian Plant Anabasis articulata (Forssk) Moq and its antidiabetic effects on rats with streptozotocin-induced diabetic hepatopathy</article-title>
          <source>Journal of Applied Pharmaceutical Science</source>
          <year>2012</year>
          <volume>2</volume>
          <fpage>54</fpage>
          <lpage>65</lpage>
          <publisher-name>Journal of Applied Pharmaceutical Science</publisher-name>
        </element-citation>
      </ref>
      <ref id="R123049023340306">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Lee</surname>
              <given-names>Kyoung-Tae</given-names>
            </name>
            <name>
              <surname>Jung</surname>
              <given-names>Tae Woo</given-names>
            </name>
            <name>
              <surname>Lee</surname>
              <given-names>Hak-Ju</given-names>
            </name>
            <name>
              <surname>Kim</surname>
              <given-names>Seul-Gi</given-names>
            </name>
            <name>
              <surname>Shin</surname>
              <given-names>Yu-Su</given-names>
            </name>
            <name>
              <surname>Whang</surname>
              <given-names>Wan-Kyunn</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>The antidiabetic effect of ginsenoside Rb2 via activation of AMPK</article-title>
          <source>Archives of Pharmacal Research</source>
          <year>2011</year>
          <volume>34</volume>
          <issue>7</issue>
          <fpage>1201</fpage>
          <lpage>1208</lpage>
          <issn>0253-6269, 1976-3786</issn>
          <publisher-name>Springer Science and Business Media LLC</publisher-name>
          <uri>https://dx.doi.org/10.1007/s12272-011-0719-6</uri>
        </element-citation>
      </ref>
      <ref id="R123049023340320">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Sridharan</surname>
              <given-names>S</given-names>
            </name>
            <name>
              <surname>Meena</surname>
              <given-names>V</given-names>
            </name>
            <name>
              <surname>Kavitha</surname>
              <given-names>V</given-names>
            </name>
            <name>
              <surname>Agnel</surname>
              <given-names>A</given-names>
            </name>
            <name>
              <surname>John</surname>
              <given-names>N</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>GC-MS study and phytochemical profiling of Mimosa pudica Linn</article-title>
          <source>Journal of Pharmaceutical Research</source>
          <year>2011</year>
          <volume>4</volume>
          <fpage>741</fpage>
          <lpage>742</lpage>
        </element-citation>
      </ref>
      <ref id="R123049023340321">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Taylor</surname>
              <given-names>S. I.</given-names>
            </name>
            <name>
              <surname>Accili</surname>
              <given-names>D.</given-names>
            </name>
            <name>
              <surname>Imai</surname>
              <given-names>Y.</given-names>
            </name>
            <collab/>
          </person-group>
          <article-title>Insulin Resistance or Insulin Deficiency: Which Is the Primary Cause of NIDDM?</article-title>
          <source>Diabetes</source>
          <year>1994</year>
          <volume>43</volume>
          <issue>6</issue>
          <fpage>735</fpage>
          <lpage>740</lpage>
          <issn>0012-1797, 1939-327X</issn>
          <publisher-name>American Diabetes Association</publisher-name>
          <uri>https://dx.doi.org/10.2337/diab.43.6.735</uri>
        </element-citation>
      </ref>
      <ref id="R123049023340313">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Shinkai</surname>
              <given-names>Hisashi</given-names>
            </name>
            <name>
              <surname>Onogi</surname>
              <given-names>Syoji</given-names>
            </name>
            <name>
              <surname>Tanaka</surname>
              <given-names>Masahiro</given-names>
            </name>
            <name>
              <surname>Shibata</surname>
              <given-names>Tsutomu</given-names>
            </name>
            <name>
              <surname>Iwao</surname>
              <given-names>Megumi</given-names>
            </name>
            <name>
              <surname>Wakitani</surname>
              <given-names>Korekiyo</given-names>
            </name>
            <collab/>
            <etal/>
          </person-group>
          <article-title>Isoxazolidine-3,5-dione and Noncyclic 1,3-Dicarbonyl Compounds as Hypoglycemic Agents</article-title>
          <source>Journal of Medicinal Chemistry</source>
          <year>1998</year>
          <volume>41</volume>
          <issue>11</issue>
          <fpage>1927</fpage>
          <lpage>1933</lpage>
          <issn>0022-2623, 1520-4804</issn>
          <publisher-name>American Chemical Society (ACS)</publisher-name>
          <uri>https://dx.doi.org/10.1021/jm970771m</uri>
        </element-citation>
      </ref>
      <ref id="R123049023340296">
        <element-citation publication-type="journal">
          <person-group person-group-type="author">
            <name>
              <surname>Settimo</surname>
              <given-names>Federico Da</given-names>
            </name>
            <name>
              <surname>Primofiore</surname>
              <given-names>Giampaolo</given-names>
            </name>
            <name>
              <surname>Motta</surname>
              <given-names>Concettina La</given-names>
            </name>
            <name>
              <surname>Sartini</surname>
              <given-names>Stefania</given-names>
            </name>
            <name>
              <surname>Taliani</surname>
              <given-names>Sabrina</given-names>
            </name>
            <name>
              <surname>Simorini</surname>
              <given-names>Francesca</given-names>
            </name>
            <collab/>
            <etal/>
          </person-group>
          <article-title>Naphtho[1,2-d]isothiazole Acetic Acid Derivatives as a Novel Class of Selective Aldose Reductase Inhibitors</article-title>
          <source>Journal of Medicinal Chemistry</source>
          <year>2005</year>
          <volume>48</volume>
          <issue>22</issue>
          <fpage>6897</fpage>
          <lpage>6907</lpage>
          <issn>0022-2623, 1520-4804</issn>
          <publisher-name>American Chemical Society (ACS)</publisher-name>
          <uri>https://dx.doi.org/10.1021/jm050382p</uri>
        </element-citation>
      </ref>
    </ref-list>
  </back>
</article>
