DEPLETED LEVELS OF TESTOSTERONE INSTIGATED BY STATINS IN PATIENTS WITH HYPERLIPIDEMIA CAN BE AVOIDED IF SUBSTITUTED BY MORINGA LEAVES Authors: WAQAS M , MUNAWAR M1, ASIF S1, HABIB H2, LIAQAT M2, ALI Y2, IFTIKLHAR A2, TARIQ R1
ABSTRACT
Globallyamong all the factors of death Hyperlipidemia is considered as the mostmomentous one.
Therapeutically Statins has been used to control hyperlipidemic crises worldwide at primary and
secondary levels. Statins inhibit 3-hydroxy-3methylglutaryl-CoA (HMG-CoA) reductase,
anobligatory enzyme for de novo synthesis of cholesterol. Commonly reported unwanted effects
of Statins are myopathy, hepatobiliary disorders; rhabdomyolysis, peripheral neuropathy and
sexual dysfunctioning. Simvastatin is reported to reduce total testosterone level from 13.4 moll/l
to 11.4moll/l and it was also seen that there is a reduced sex hormone binding globulins SHBG
value from 35.3 nmol/l to 27.6nmol/l when compared with the subjects who were not treated
with simvastatin. The underlying mechanism for reduced testosterone is poor cholesterol
availability in lyding cells of testes which use cholesterol for testosterone synthesis. A medicinal
plant Moringa oleifera (M.oleifera) is commonly known for its reported anti-oxidant, antiinflammatory,
antihyperlipidemic and anti-hypertensive properties. Leaves of M.oleifera
decrease plasma cholesterol without depleting the testosterone levels. In this comparative cross
sectional study 30 male individuals having moderate hyperlipidemia (200-250mg/dl of total cholesterol level), were selected and divided into three groups (10 each) and given corn starch as
placebo to 1st group (G1), 20 mg simvastatin daily to 2nd group (G2) and capsules of 500mg of
ground M. oleifera leaf powder to 3rd group (G3), for 90 days. 5ml of blood from each member
of every group was collected at 0, 15, 30, 45, 60, 75, 90th day. Total serum testosterone was
measured by using commercially available testosterone (human) ELISA kit (Abnova- KA0236
Size 96 wells version 02). Analysis of variance ANOVA test were applied in which probability
value of 0.05 were considered as significance, Results exhibited statistically significant
differences (P ? 0.05) among means of G-1and G-2 at15thday and highly significant differences
(P ? 0.01) among means of G-1and G-2 at 30th, 75th and 90thday. Our study suggested that
M.oleifera is better, indigenous and less expensive therapeutic option as compared to statin. It
may be used to improve the quality of life in hyperlipidemic patients.
Keywords: HMG-COA reductase inhibitors, Hyperlipidemia, Statins, Testosterone,
Moringa oleifera