Cashew (Anacardium Occidentale) tree has been used medicinally worldwide. The bark, leaves and shell oil of the plant are used medicinally to treat different ailments. (Agedah et al., 2010). All parts of the plant (apple, bark, leaves, gum, nut, and roots) have different ethno-medicinal uses for both man and animals alike (Ramiakajato et al., 2001). Medicinal plants are believed to be an important source of new chemical substances with potential therapeutic effects (Oyesomi and Ajao, 2011). However, investigation on the phytochemical constituents of the plant extracts also revealed, the presence of bioactive ingredients in the cashew leaves like carbohydrates, tannins, saponins, resins, alkaloids and flavonoids add to their antimicrobial activities. The phytochemical screening analysis on Anacardium Occidentale leaves has showed the presence of high concentrations of tannins in the aqueous extract of the leaf (Abulude et al., 2010). This could probably account for the effective action of aqueous form compared to the methanolic extract in the inhibitory activity (Varghese et al., 2013). Contrary to the above findings, deleterious effects were observed in the present study thereby suggesting that dose relativity may be responsible for the results obtained in this study. It is evident that Anacardium Occidentale has anti-protozoan properties (Obembe et al., 2012) and anti-microbial properties (Patrick et al., 2013) which complements our earlier studies on this plant.
This present study showed that administration of the ethanolic extract of Anacardium Occidentale resulted in histopathological changes in the liver, kidney and small intestine when administered in varying doses (200, 400, 600, 800mg/kg body weight) of the extract in wistar rats.
The results of the hematoxylin and eosin stain (H and E) reactions revealed that with increasing dose of ethanolic extract of Anacardium Occidentale, there was varying degrees of activation of Kupffer cells in the sinusoids of the liver. The liver sinusoids are lined with two types of cells, sinusoidal endothelial cells and phagocytic Kupffer cells. (Berg et al., 2010).
In 400mg/kg body weight and 800mg/kg body weight concentration, the activation of the Kupffer cells were noted as mild while in 200mg/kg body weight and 600mg/kg body weight concentrations, the activation of the Kupffer cells were noted to be moderate. The difference in the immunologic response to the concentration administered, could be due to the varying immune system of the rats before administration of the ethanolic extract (Bramstedt, 2006). This could also mean that, in 200 and 600mg/kg body weight, (Group B and E), the immune system of the rats before administration was weak compared to after administration of the dosage where the Kupffer cells became active (moderate) in response to the ethanolic extract induced in rats. From previous research work carried out on the role of Kupffer cells in the pathogenesis of liver disease, it was noted that, Kupffer cells are the first cells exposed to materials absorbed from the gastrointestinal tract. The ability to eliminate and detoxify microorganisms, endotoxins, degenerated cells, immune complexes, and toxic agents (e.g., ethanol) is an Important physiological function of the Kupffer cells (Nolan 1981). Therefore, comparing this with the present response of the Kupffer cells to the ethanolic extract in this study, the reaction observed can be said to be physiological and not pathological. This is because, the ethanol concentration used in the preparation of the extract is a toxic agent and triggers the activation of Kupffer cells in response to the toxic agent (ethanol) induced. This further proves that besides the ethanol used in the extraction of Anacardium Occidentale leave, the leave (Anacardium Occidentale) itself is not a toxic agent. Which further explains, that using a different means of extraction (aqueous extraction) would not have triggered the activation of Kupffer cells. In other words, the extracts administered to (Groups B and E) 200 and 600mg/kg body weight only served as a boost to the immune system of the rats, enabling elimination of the toxic agent (ethanol) introduced into the liver through blood circulation. In comparison of these findings in moderate activation (200 and 600mg/kg) of Kupffer cells to previous research work carried out on the ethanolic extract, it can be said that the Kupffer cells only reacted to the presence of ethanol as a toxic agent in the liver. However, the same could also be applied to group C and E (400 and 800mg/kg body weight) having mild activation of the Kupffer cells in which the immune system of the rat before administration was already said to be active and after administration of the concentrations, there was only a mild boost to the presence of ethanol (toxic agent) in the extract. This agrees to the previous studies carried out in anti-microbial activities regarding the hepatic stage of the malaria parasite Lifecyle. Whereby Anacardium Occidentale leaves has been reported for its amoebicidal, antioxidant and astringent properties. Anacardium Occidentale can be used to treat malaria (Razalia et al., 2008). As reported by Obambe et al., (2012) and kunle et al., (2013), cashew has been used extensively in the treatment of malaria. The tannins that is presence in the leaf extract of cashew was said to be responsible for the anti-microbial activity against plasmodium spp. Which is the causative organism of malaria. However, the mechanism of action is not yet known (Obambe et al., 2012).
The Periodic Acid Schiff Stain (a special stain) was used as a confirmation of the result and to rule out artifact that may be mistaken as hepatocytes and Kupffer cells.
Furthermore, the result of the hematoxylin and eosin (Hand E) staining reaction for the kidney, revealed that, with increasing dose of ethanolic extract (200, 400, 600 and 800mg/kg body weight) of Anacardium Occidentale, there was no presence of any deleterious effect of the ethanolic extract on the globurelli, tubules and the interstitial spaces of the kidney. Whereas from early studies carried out on dogs (Chiakoff et al., 1948), investigators observed several striking alterations after increased ethanolic extract administration. The basement membrane of the glomerulus became abnormally thickened and was characterized by cell proliferation included enlarged and altered cells in the kidney tubules. This was probably because a different experiment animal was used and a very high dosage of ethanolic extract was administered compared to this presence study. In another study, Van Thiel, and colleagues (1997) compared kidney structure and function in ethanol-fed and controlled rats. The ethanol-fed group experienced kidney swelling and significantly reduced kidney functions. Therefore, comparing this past study with this present study, the result obtained from this study differed from the previous study due to the high ethanolic extract concentrations administered to rats compared to the concentrations used in this study. Reasons for this difference could also be because the rats were fed for a longer duration compared to the duration of feeding in this study. Therefore, this further suggest that Anacardium Occidentale leaf is not toxic to the histology of the kidney despite the use of ethanol. These findings are also in agreement to earlier research works done on urinary insufficiency which is a medical condition in which the kidney fails to adequately filter waste products from the blood (medicine plus, 2012). Omotosho et al., (2012) found that the ethanolic extract of Anacardium Occidentale (EAO) has a cleansing effect on the kidney.
The Periodic Acid Schiff stain (A special stain) was used as a confirmation of the result and to determine whether the cytoplasm of the tubules involved in filtration, reabsorption, and secretion processes, was affected during administration which also proves to be normal.
In addition to this, the result of the hematoxylin and eosin (H and E) staining reaction for the small intestine revealed that with increasing dose of the ethanolic extract (200, 400, 600, and 800mg/kg b. w) of Anacardium Occidentale there was varying degrees of congestion.
The muscularis mucosa is a thin layer of smooth muscles that supports the mucosa and provides it with the ability to move and fold. (Gary et al., 2009). For 200mg/kg and 400mg/kg, there was mild muscularized mucosa congestion which also exhibited mild signs of inflammation of the result of the ethanolic concentration used. While, in the high dose, (600 and 800mg/kg) there was more effect on the mucosa and mucosa architecture of the small intestine. The mucosa consists of the cryptic and villi, primarily response for absorbing digested nutrients (silk, 1974). The effect of ethanolic extract of Anacardium Occidentale on the histology of the small intestine led to normal and moderate congestion in the mucosa architecture and mucosa respectively. Therefore, the varying degrees of congestion can be considered as a physiologic reaction due to the presence of high concentration of ethanol in the small intestine. From previous research works carried out on ethanolic extract and alcohol there was several alterations of the small intestinal histology and function after increased administrations which also resulted to diarrhea and absorptive dysfunction (person, 1991). This hereby suggests that by using an aqueous extract rather than an ethanolic extract, there would be no signs of congestion in the muscularis mucosa and mucosa, and this also indicates that Anacardium Occidentale leaf possess no toxic effect. The present findings agree with the previous research carried out in gastrointestinal tract disorder for diarrhea. Whereby, with the exemption of ethanol, the leaves of cashew which are a rich source of tannins a group of plant chemicals with documented medicinal activities demonstrated in anti-inflammatory and anti-astringent effect, are effective in treating diarrhea (Abdul garfa et al., 2008). Banso and Adeyemo (2007) had earlier reported that tannins isolated from the medicinal plants possessed remarkable toxic activity against bacterial and fungi and may assume pharmacological importance in the future. Furthermore, the present findings are also in agreement with the research work carried out for dyspepsia (a condition of impaired digestion). Which (talley et al., 2005) reported that the leave of cashew can be used in the treatment of dyspepsia. The ability of the cashew leave has also been attributed to the presence of flavonoids found in the leave of cashew (Jellin et al., 2002). Thus, the agreement can be clearly pointed out when coparing the evidence of the presence findings (using ethanolic extract) with the previous research work (using and aqueous extract), on Anacardium Occidentale in gastrointestinal tract disorder (diarrhea and dyspepsia) of the small intestine, it can be said that ingestion of high dose of ethanolic Anacardium Occidentale extract is more likely to cause not only congestion but alterations in the mucosa architecture and inflammatory effect on muscularis mucosa.
The Period Acid Schiff (a special stain) was used as a confirmation of the result and to rate the extent of the damage of the ethanolic extract on the epithelial mucin, goblet cells and mucosa glands of the small intestine, as PAS is used to detect epithelia mucin and glycogen in tissue (Avwioro, 2010).