<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "https://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd">
<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta><journal-id journal-id-type="publisher-id">Int. J. Cur. Res. Physiol. Pharmacol.</journal-id><issn pub-type="epub">2523-6709</issn><publisher><publisher-name>Sumathi Publications</publisher-name></publisher></journal-meta><article-meta>
      <title-group>
        <article-title>Effects of Saccharum officinarum Molasses on Hematology and Hepatic Functions of Male Wistar Rats </article-title>
      </title-group>
      <contrib-group content-type="author">
        <contrib contrib-type="person">
          <name>
            <surname>OGUNWOLE</surname>
            <given-names>EUNICE</given-names>
          </name>
          <email>eogunwole@unimed.edu.ng</email>
          <xref ref-type="aff" rid="aff-1"/>
        </contrib>
        <contrib contrib-type="person">
          <name>
            <surname>Kunle-Alabi </surname>
            <given-names>Olufadekemi T</given-names>
          </name>
          <email>mrskalabi@yahoo.com</email>
          <xref ref-type="aff" rid="aff-2"/>
        </contrib>
        <contrib contrib-type="person">
          <name>
            <surname>Akindele</surname>
            <given-names>Opeyemi O</given-names>
          </name>
          <email>opeyemiakindele@gmail.com</email>
          <xref ref-type="aff" rid="aff-3"/>
        </contrib>
        <contrib contrib-type="person">
          <name>
            <surname>Raji </surname>
            <given-names>Yinusa</given-names>
          </name>
          <email>yinusaraji@gmail.com</email>
          <xref ref-type="aff" rid="aff-4"/>
        </contrib>
      </contrib-group>
      <aff id="aff-1">
        <institution>UNIVERSITY OF MEDICAL SCIENCES, ONDO STATE</institution>
        <country>Nigeria</country>
      </aff>
      <aff id="aff-2">
        <institution>University of Ibadan, Ibadan, Nigeria</institution>
        <country>Nigeria</country>
      </aff>
      <aff id="aff-3">
        <institution>University of Ibadan, Ibadan, Nigeria</institution>
        <country>Nigeria</country>
      </aff>
      <aff id="aff-4">
        <institution>University of Ibadan, Ibadan, Nigeria</institution>
        <country>Nigeria</country>
      </aff>
      
    <permissions><copyright-statement>© 2022 The Author(s)</copyright-statement><copyright-year>2022</copyright-year><copyright-license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/4.0" xml:lang="en"><license-p><inline-graphic xlink:href="https://mirrors.creativecommons.org/presskit/buttons/88x31/svg/by-nc-sa.svg"/>This work is published under the Creative Commons   License 4.0 (CC BY 4.0 ).</license-p></copyright-license></permissions><pub-date pub-type="epub"><day>21</day><month>04</month><year>2022</year><volume>6</volume></pub-date><history><date type="received" iso-8601-date="2022-01-11"><day>11</day><month>01</month><year>2022</year></date><date type="accepted" iso-8601-date="2022-04-13"><day>13</day><month>04</month><year>2022</year></date><date type="published" iso-8601-date="2022-04-21"><day>21</day><month>04</month><year>2022</year></date></history></article-meta>
  </front>
  
  
<body id="body">
    <sec id="sec-3">
      <title>Introduction</title>
      <p id="_paragraph-9">Sweeteners are a useful source of nutrients and epicurean facilitators for culinary preparation.<sup id="_superscript-7">1</sup> Their constituents improve and keep food texture and quality.<sup id="_superscript-8">2</sup> Refined sugar is a well-known non-lethal sweetener that is safe for use.<sup id="_superscript-9">3</sup> However, studies have reported that it adversely affects human health by causing several forms of diseases.<sup id="_superscript-10">4</sup><sup id="_superscript-11">,</sup><sup id="_superscript-12">5</sup>This brought the idea of substituting sugar intake by most consumers with artificial (non-nutritive) sweeteners, since they contain just a few calories or are calorie-free but still duplicate the effect of sugar in taste.<sup id="_superscript-13">6 </sup>Studies however revealed that these artificial sweeteners also contribute to ill-health by increasing the risk of occurrence of colorectal cancer, body weight gain, diabetes, and obesity.<sup id="_superscript-14">7</sup><sup id="_superscript-15">,</sup><sup id="_superscript-16">8</sup> As a result, a further search for suitable sweetening agents with lesser harmful effects, led to the discovery of other natural products believed to have improved nourishing value owing to their constituents.<sup id="_superscript-17">9</sup></p>
      <p id="_paragraph-10">Saccharum officinarum molasses (SOM) is one of such natural sweeteners, gotten during the production of refined sugar from S. officinarum (sugarcane) juice. It is the main by-product obtained during the processing of sugarcane syrup.<sup id="_superscript-18">1</sup><sup id="_superscript-19">0</sup><italic id="_italic-5">Saccharum</italic> officinarum molasses from being used as a supplement energy source in animal feeds, for eradicating dust and reducing feed wastage<sup id="_superscript-20">1</sup><sup id="_superscript-21">1</sup>became a popular ingredient for sweetening beverages, basting, and flavoring of food products.<sup id="_superscript-22">1</sup><sup id="_superscript-23">2</sup> Previous studies on S. officinarum molasses showed that it possesses antioxidant properties that prevented bone destruction and deoxyribonucleic acid damage.<sup id="_superscript-24">1</sup><sup id="_superscript-25">3</sup><sup id="_superscript-26">,1</sup><sup id="_superscript-27">4 </sup>However, contradicting evidence correlated <italic id="_italic-6">in vivo</italic> exposure of animals to S. officinarum molasses with immunosuppressive and endocrine-disrupting properties<sup id="_superscript-28">1</sup><sup id="_superscript-29">5</sup> resulting in some diseases. Thus, this study investigates the effects of S. officinarum molasses intake on hematology, serum electrolyte level, lipid profile, liver histology, and oxidant status of male Wistar rats.</p>
    </sec>
    <sec id="sec-5">
      <title>Materials and methods</title>
      <p id="_paragraph-11">Ethical approval for this study (Ethical committee number UI-ACUREC/18/0074) was provided by the University of Ibadan Animal Care and Use Research Ethics Committee. All procedures comprising the use of animals were by the EU Directive 2010/63/EU for animal experiments and the study conformed to the Animal Research: Reporting of <italic id="_italic-7">in Vivo</italic> Experiments (ARRIVE) guideline (2010).</p>
      <p id="_paragraph-12">The <italic id="_italic-8">Saccharum</italic> officinarum molasses (SOM) (Blackstrap®, Old English Incorporated, USA) extraction was by the method of Gandhi, et al.<sup id="_superscript-30">1</sup><sup id="_superscript-31">6</sup> resulting in two portions; SOM methanol fraction (SOMMF) and SOM aqueous fractions (SOMAqF) administered to the rats.</p>
      <fig id="fig1">
        <label>Figure 1</label>
        <caption>
          <p id="_paragraph-13"/>
        </caption>
        <graphic id="_graphic-1" mimetype="image" mime-subtype="png" xlink:href="image1.png"/>
      </fig>
    </sec>
    <sec id="sec-6">
      <title>Acute oral toxicity test</title>
      <p id="_paragraph-14">The dosage regime for S. officinarum molasses extracts was by the Limit test procedure.<sup id="_superscript-32">1</sup><sup id="_superscript-33">7</sup></p>
      <sec id="sec-6_1">
        <title>Experimental design</title>
        <p id="_paragraph-15">Thirty-five male Wistar rats (160-180) gotten from the Central Animal House, University of Ibadan, Ibadan, Nigeria, and acclimatized for two weeks to laboratory conditions, were allowed access to feed and water <italic id="_italic-9">ad libitum</italic> before the experiment began. The rats were randomly divided into seven groups (n=5) which received 1.0 mL/kg distilled water (group 1 - control); 1.0, 3.2, 10.0 mL/kgSOMMF (groups 2, 3, and 4) and 0.6, 2.0, 6.4 g/kg SOMAqF (groups 5, 6 and 7) daily by oral gavage for eight weeks, respectively. The dosage regime was by the Organization for Economic Co-operation and Development (OECD) test guideline.<sup id="_superscript-34">1</sup><sup id="_superscript-35">7</sup> Distilled water was used as the vehicle for both extracts. Measurement of the body weights of the animals was done once a week and at sacrifice.</p>
      </sec>
    </sec>
    <sec id="sec-7">
      <title>Blood collection and serum preparation</title>
      <p id="_paragraph-16">At the time of sacrifice, blood was collected through the cardiac puncture into EDTA and plain serum bottles. The blood in the EDTA bottle was for the determination of full-blood indices with an automated hematology analyzer (MSLAB45, China). The blood in the plain serum bottles was allowed to clot for about 45 minutes, and centrifuged at 3000 rpm for 15-minute afterward, to get the supernatant which was stored at −20°C for electrolytes and lipid profile assessment (Randox kits, UK). Afterward, thiopental anesthesia (40 mg/kg i.p.) was administered,<sup id="_superscript-36">1</sup><sup id="_superscript-37">8</sup><sup id="_superscript-38">,</sup> and the liver was exposed and harvested by opening the linea alba of the anterior abdominal wall to the thoracic cavity. It was fixed in 10 % formalin for histological examination.</p>
    </sec>
    <sec id="sec-8">
      <title>Electrolyte assessment</title>
      <p id="_paragraph-17">The serum electrolyte level assessment was by monoliquid colorimetric test using Randox kits (UK) in line with the manufacturer’s guide. The serum levels of zinc, sodium, potassium, Iron, and Inorganic phosphate were measured using a monoliquid colorimetric test. Calcium ion assessed with methylthmol blue (MTB) test.</p>
    </sec>
    <sec id="sec-9">
      <title>Lipid profile assessment</title>
      <p id="_paragraph-18">The assessment of serum lipid profile level (triglycerides, total cholesterol, and HDL cholesterol) was by enzymatic colorimetric test using Randox kits (UK) and low-density lipoprotein level (LDL) cholesterol was determined by Friedewald formula.</p>
    </sec>
    <sec id="sec-10">
      <title>Lipid peroxidation and antioxidant assessment</title>
      <p id="_paragraph-19">The liver lipid peroxidation assessment was done<sup id="_superscript-39">19</sup> where the level of malondialdehyde (MDA) produced during lipid peroxidation was measured. Liver catalase activity<sup id="_superscript-40">2</sup><sup id="_superscript-41">0</sup> Liver superoxide dismutase (SOD) activity<sup id="_superscript-42">2</sup><sup id="_superscript-43">1</sup> was determined. The reduced glutathione level of the liver was measured by a spectrophotometric assay kit (Oxford Biomedical Research, USA).</p>
    </sec>
    <sec id="sec-11">
      <title>Histological assessment of Liver</title>
      <p id="_paragraph-20">The assessment of the liver was via routine techniques for histology. Samples underwent sectioning and staining with hematoxylin and eosin (H&amp;E), the slides were cleared in xylene and mounted on the microscope for examination. Photomicrographs were at 100×magnification.</p>
    </sec>
    <sec id="sec-12">
      <title>Statistical analysis</title>
      <p id="_paragraph-21">Analysis of data was with GraphPad prism 5 and expressed as mean±SEM. The mean differences were compared by analysis of variance (one-way ANOVA) and p&lt;0.05 was considered statistically significant.</p>
    </sec>
    <sec id="sec-14">
      <title>Results</title>
      <sec id="sec-14_1">
        <title>Effect of S. officinarum molasses on hematological indices</title>
        <p id="_paragraph-22">The result (Table 1) shows a significant decrease (p&lt;0.05) in the packed cell volume (PCV) of groups treated with 3.2 mL/kg/day SOMMF, as well as 0.6 and 6.4 mg/kg/day SOMAqF when compared to the control, respectively. The 3.2 and 10.0 mL/kg/day SOMMF treated rats showed significant decreases (p&lt;0.05) in red blood cell count relative to the control and SOMAqF treated rats. Significant decreases (p&lt;0.05) were also noted in the hemoglobin concentration and mean corpuscular hemoglobin concentration of the SOMMF treated rats compared to the control, but the mean corpuscular hemoglobin concentration of the SOMAqF groups had a significant increase (p&lt;0.05) as compared to the control. The mean corpuscular volume increased significantly (p&lt;0.05) in 3.2 mL/kg/day SOMMF, nonetheless there were no significant differences in the mean corpuscular hemoglobin, white blood cell count, and platelet of all treated groups when compared to the control.</p>
        <table-wrap id="tbl1">
          <label>Table 1</label>
          <caption>
            <title>Effect of Saccharum officinarum molasses on hematological parameters.</title>
            <p id="_paragraph-23"/>
          </caption>
          <table id="_table-1">
            <tbody>
              <tr id="table-row-593330b7e2708e85318f66d281f949f0">
                <td id="5ae8b101840b07f20fc36dfda2d988e8" colspan="2"/>
                <td id="7cdac0636fc3364ede7a27948140b7e6" colspan="3">SOMMF (mL/kg/Day)</td>
                <td id="7285190fe22e8ee88670d6d83b1d7d05" colspan="4">SOMAqF (mL/kg/Day)</td>
              </tr>
              <tr id="table-row-235066de3fe8796d072250cf487e5540">
                <td id="36dc65066451201fae164d32f34db59f">Group</td>
                <td id="006153f7d0bd3a0a5ec55ee17ce0e5a4">Control</td>
                <td id="3de8c8c4b1e988f4f363f5a022365411">1.0</td>
                <td id="8e95d31269583a69135213bc164d79a8">3.2</td>
                <td id="9b78fed7f8e02ba044ebf8c930c0727a">10.0</td>
                <td id="826c9cdec0c772404842546e1b1b14da">0.6</td>
                <td id="83fb31910dc17175186ff3c0f58bd6a1">2.0</td>
                <td id="17d1d34be42d8f8f4731558bf307c070">6.4</td>
              </tr>
              <tr id="table-row-668f4285310b8407f64a70b99b78d22a">
                <td id="a3047b18a89f6c30f171253863d92fba">
                  <bold id="_bold-7">PCV (%)</bold>
                </td>
                <td id="dfee2222e5faf4dd1385368cb85aaab3">43.0±1.155</td>
                <td id="455d3c319d91a7dbb27ab2dd4a3d2568">43.33±1.41</td>
                <td id="944a6225866d19c4bcedf97a375faaf1">35.83±2.06<sup id="_superscript-44"><bold id="_bold-8">a</bold></sup></td>
                <td id="0d775bbbb8a94a916630cf1e6c298c63">42.5±1.18</td>
                <td id="bf5edc44c69c19e1ae946f7e86dde551">37.0±1.27<sup id="_superscript-45"><bold id="_bold-9">a</bold></sup></td>
                <td id="c3a3d505dc30043754be0c0be0250a09">41.67±1.12</td>
                <td id="5623e8993da4fa2d7d325ce35b9ea9ab">38.67±0.84<sup id="_superscript-46"><bold id="_bold-10">a</bold></sup></td>
              </tr>
              <tr id="table-row-f377e5c49cab56707e50ad4bce123666">
                <td id="80a768d3bbfb17f06c644d794a53e65d">
                  <bold id="_bold-11">HB (G/dL)</bold>
                </td>
                <td id="51025c950f73c428a48b2bc4be26a053">17.15±0.58</td>
                <td id="4578a7dc0998273757b6b0ade58c67b3">14.52±0.50<sup id="_superscript-47"><bold id="_bold-12">ab</bold></sup></td>
                <td id="6798db727bb2f5e68af72f715d9d53ab">11.93±0.68<sup id="_superscript-48"><bold id="_bold-13">ab</bold></sup></td>
                <td id="a8ebe378edc7dbec3cb3e028c6baf5b4">14.62±1.11<sup id="_superscript-49"><bold id="_bold-14">ab</bold></sup></td>
                <td id="558824c5aae214a8706accb4c1a4520d">17.9±0.309</td>
                <td id="5e0a063e06dc97ecac10832de85fec4f">17.67±0.29</td>
                <td id="41b27109bf39e628530d42a1c1c68645">17.2±0.58</td>
              </tr>
              <tr id="table-row-2bd8f4df74d8735a199f41f8b90031ef">
                <td id="2ba2c9ae8d43efff4896a5a55696b6b4">
                  <bold id="_bold-15">RBC (10</bold>
                  <bold id="_bold-16">
                    <sup id="_superscript-50">6</sup>
                  </bold>
                  <bold id="_bold-17">µL)</bold>
                </td>
                <td id="4a5dc83142293c8f009a23e00bddb89b">8.49±1.31</td>
                <td id="f6cae1cc08619ff34321315d236c7d1a">7.84±0.22</td>
                <td id="dd6f64c627787be8bbf1e0fb4890c28d">6.19±0.60<sup id="_superscript-51"><bold id="_bold-18">ab</bold></sup></td>
                <td id="d30836b46747e7842a945e11c318bade">7.58±0.36<sup id="_superscript-52"><bold id="_bold-19">a</bold></sup></td>
                <td id="5aa259de22f270d9419f986b0639ab63">8.38±0.09</td>
                <td id="8f3f12999108e371857cb2fb5ae21c55">8.26±0.81</td>
                <td id="14265a3e3e159df2b6b513e0f61b1bf1">7.95±0.23</td>
              </tr>
              <tr id="table-row-1333dc7884f92387b8c7633a701b019f">
                <td id="d5d738ab5697bd65404ef285a85136e3">
                  <bold id="_bold-20">WBC</bold>
                </td>
                <td id="eb2d36277b51b26ae832ec6646f14f64">4.662±0.23</td>
                <td id="69bfc401c47966080b907331181ac79d">5.275±0.52</td>
                <td id="638d89684e495c8ccf6298d8f68112f2">5.417±0.70</td>
                <td id="b7b5520ae03383e9e3e9dbc91b969f12">4.775±0.70</td>
                <td id="12074a58355905f0a3f455c189aa8e51">4.45±0.23</td>
                <td id="16be2d3b34f47eb7bcd276cb875d845a">4.57±0.51</td>
                <td id="713dfc87ac12d6cd23f899170d9a5866">4.583±0.32</td>
              </tr>
              <tr id="table-row-6c99fe97607b9e23ee6315ecda997d0c">
                <td id="f24d8b36b3f1c598c8b2e3e99ae64bcb">
                  <bold id="_bold-21">MCV(FL)</bold>
                </td>
                <td id="583842ccab661f3ad31328aaccebf0f1">50.67±1.09</td>
                <td id="80fa22c39108a650fbe81fd4f264fa5b">55.67±2.98</td>
                <td id="20781020c1d6abdfee578cf55fdfabe0">59.23±3.31<sup id="_superscript-53"><bold id="_bold-22">ab</bold></sup></td>
                <td id="f31a6f16a31d1bce76a50495f6b9680a">54.72±4.79</td>
                <td id="ee3c90bfa6b544b01c3f44e9bbca5dd8">43.48±1.28</td>
                <td id="7c62e06aef42cbf4267cfde8c4aad556">50.47±1.72</td>
                <td id="5ad0838831047308b5b916e607b39276">48.82±1.62</td>
              </tr>
              <tr id="table-row-ed8625fe3d7f2c0365d47468b81d66a1">
                <td id="170b0462ae1af3dc57aa21e8b84e8864">
                  <bold id="_bold-23">MCH(</bold>
                  <bold id="_bold-24">fmol</bold>
                  <bold id="_bold-25">)</bold>
                </td>
                <td id="854c0af317d547c9215156cafc4a19cc">202.28±7.31</td>
                <td id="cd3555301dc78a0fb1b69fdf9f834cd0">186.54±10.4</td>
                <td id="695c1d6137d092839c4ee37466676631">197.3±11.08</td>
                <td id="1c54cda7e2e8d427ec76c483fc2edbea">194.2±15.63</td>
                <td id="e0d8e3a63bcb6c1b762d639f6c8396fe">213.68±4.31</td>
                <td id="c508aab60798a6ca0937f6472fbf7164">214.08±4.94</td>
                <td id="bdc58e30ce09f4d12e5ffac9a1e319ca">216.59±6.03</td>
              </tr>
              <tr id="table-row-5187133f5d6d07284405e2121a698334">
                <td id="417f98f635662bc9b83918cd109b7035">
                  <bold id="_bold-26">MCHC %</bold>
                </td>
                <td id="6011c53061878953ef5b013527e30734">39.57±1.62</td>
                <td id="3c245829133b0b15ebcc9f3c8cb07cba">33.49±0.17<sup id="_superscript-54"><bold id="_bold-27">a</bold></sup></td>
                <td id="aad65666a1c99b01773ebb0ed6b3efe7">33.3±0.03<sup id="_superscript-55"><bold id="_bold-28">a</bold></sup></td>
                <td id="e026abecad754c0b27382f71c78872d6">35.70±1.57<sup id="_superscript-56"><bold id="_bold-29">a</bold></sup></td>
                <td id="0cad80cfa1d7315e4b040b6299a88bce">48.57±1.34<sup id="_superscript-57"><bold id="_bold-30">a</bold></sup></td>
                <td id="2bd9aaa482f42c6264640fc45c5a22d3">42.51±0.99<sup id="_superscript-58"><bold id="_bold-31">a</bold></sup></td>
                <td id="454d2abef9533a8deec7e173ecf72f24">44.67±2.15<sup id="_superscript-59"><bold id="_bold-32">a</bold></sup></td>
              </tr>
              <tr id="table-row-f565b8abd51f2b7dfb262517f954061a">
                <td id="97bc26606006498dc1f495fc6c06268d">
                  <bold id="_bold-33">PLATELET</bold>
                </td>
                <td id="1a350b56a335dcebc73afbcc0105e917">111500±415</td>
                <td id="8693b4c5b9033c32b2cbbe6b53f1137c">110667±125</td>
                <td id="7f94a43e2b9a6ead39d5aa56fca6d05f">104833±984</td>
                <td id="48e5f9b460c6cc35754717b0b5123226">109667±950</td>
                <td id="58587c1d021010928bf9e5e80c37a351">112167±430</td>
                <td id="1b77f271328c28ee1f878ddc0634c716">109333±582</td>
                <td id="e5e305d62b4219828f1ae99055630874">114333±277</td>
              </tr>
            </tbody>
          </table>
        </table-wrap>
        <p id="_paragraph-24">Data are presented as mean±SEM, n=5. <sup id="_superscript-60">a</sup>p&lt;0.05 compared with the control. <sup id="_superscript-61">b</sup>p&lt;0.05 compared with SOMAqF. SOM= Saccharum <italic id="_italic-10">officinarum</italic>molasses. SOMMF=Saccharum <italic id="_italic-11">officinarum</italic>molasses methanol fraction. SOMAqF = Saccharum <italic id="_italic-12">officinarum</italic>molasses aqueous fraction. PCV = packed cell volume. HB= Hemoglobin.RBC = Red blood cell. WBC=White blood cell. MCV=Meancorpuscular volume. MCH=Mean corpuscular hemoglobin. MCHC=mean corpuscular hemoglobin concentration.</p>
      </sec>
      <sec id="sec-14_2">
        <title>Effect of S. officinarum molasses on lipid profile</title>
        <p id="_paragraph-25">The result (Figure 2) shows there was a significant decrease (p&lt;0.05) in serum triglycerol levels of 1.0 and 3.2 mL/kg/day SOMMF treated rats when compared to the control. Also, serum total cholesterol level was significantly decreased (p&lt;0.05) in 1.0 and 10.0 mL/kg/day SOMMF when compared to the control. There were no significant differences in both the serum high and low-density cholesterol levels of all treated groups compared to the control.</p>
        <fig id="figure-panel-961c48a671449e709ae1afa69f02a238">
          <label>Figure 2</label>
          <caption>
            <title>Effect of<italic id="italic-411ea25dfd76184a65b1ac0e0c58a119"> Saccharum officinarum</italic> molasses on lipid profile level.</title>
            <p id="paragraph-3271f84693ff6f7d296bfb021bcb7198">(Columns represent mean±SEM, n=5, <sup id="_superscript-62">a</sup>p&lt;0.05 compared with the control. SOM=Saccharum <italic id="_italic-13">officinarum</italic>molasses. SOMMF=Saccharum <italic id="_italic-14">officinarum</italic>molasses methanol fraction. SOMAqF=Saccharum <italic id="_italic-15">officinarum</italic>molasses aqueous fraction)</p>
          </caption>
          <graphic id="graphic-92c5a0c20bae4ed25610c734afa4210f" mimetype="image" mime-subtype="png" xlink:href="Picture1.png"/>
        </fig>
      </sec>
      <sec id="sec-14_3">
        <title>Effect of S. officinarum molasses on some serum electrolytes levels</title>
        <p id="_paragraph-27">Serum level of zinc ion was significantly decreased (p&lt;0.05) in all SOMAqF treated rats when compared with the control and SOMMF groups. Serum sodium ion level was significantly decreased (p&lt;0.05) in 1.0 mg/kg/day SOMMF, 0.6 and 2.0 mg/kg/day SOMAqF treated rats compared to control and the 10.0 mL/kg/day SOMMF group. There were significant increases (p&lt;0.05) in the serum levels of potassium and iron in 0.6 and 2.0 mg/kg/day SOMAqF treated rats in comparison with the control and all treated groups, respectively. Calcium and inorganic phosphate did not show significant differences in serum concentrations (Table 2).</p>
        <table-wrap id="tbl2">
          <label>Table 2</label>
          <caption>
            <title>Effect of Saccharum officinarum molasses on serum electrolytes levels.</title>
            <p id="_paragraph-28"/>
          </caption>
          <table id="_table-2">
            <tbody>
              <tr id="table-row-b673e7ec4dd29ccf24964cda2bd23685">
                <td id="46f76bedc68290a407e1e42fad25dab5" colspan="2"/>
                <td id="f3c3011c87d9c74858a1a52007a1c10c" colspan="3">SOMMF (mL/kg/Day)</td>
                <td id="7a764edea1487166077f79985bd81c6c" colspan="3">SOMAqF (mL/kg/Day)</td>
              </tr>
              <tr id="table-row-041ac454c952c059ed0c1740101bd68a">
                <td id="41a6260e7dcc902aab3ebec7e3c5d605">Group</td>
                <td id="54dbb72785cd2ff2ff16c5904f73f19a">Control</td>
                <td id="10cf7ac664c45993c6e166cbd5241003">1.0</td>
                <td id="78bec5d65312ce411b2ae435a5f65dee">3.2</td>
                <td id="f23b712950c88a73919e2eac6cee19f7">10.0</td>
                <td id="5bffdcca127f9e32c9dc5b8a2525ef81">0.6</td>
                <td id="bff68e354119d502a30096b4b3c3a9e0">2.0</td>
                <td id="8e7c0c08929061709e52ebaef168a375">6.4</td>
              </tr>
              <tr id="table-row-5ae90800ce7917d8a0635d98483ecc42">
                <td id="3241009d96e94f98a7ffddfa1a31f085">
                  <bold id="_bold-34">Zinc (Mmol/L)</bold>
                </td>
                <td id="b709f769c05ed233c6b82b636162818d">25.37±5.803</td>
                <td id="d7e1740dfa4b0b08d63bbe0c43184846">26.35±5.947</td>
                <td id="82e1b6368e7177ba778c1ac0acea9c2f">23.54±3.114</td>
                <td id="368b3fa6326e42eeb2f6fbfc228050c7">25.32±3.11</td>
                <td id="ae447b7eb4441d0602528740ad984383">22.0±3.346 <sup id="_superscript-63"><bold id="_bold-35">ab</bold></sup></td>
                <td id="fa2d9b367dd5aaf5b80ad80e888f5275">20.74±6.677<sup id="_superscript-64"><bold id="_bold-36">ab</bold></sup></td>
                <td id="f8bf1472289087674cd17bea10223ccb">16.58±2.014<sup id="_superscript-65"><bold id="_bold-37">ab</bold></sup></td>
              </tr>
              <tr id="table-row-a0188a97faa7ca29927edccc6540eceb">
                <td id="ec45a7bf312e379f9d4e12392087e1e5">
                  <bold id="_bold-38">Sodium (Mmol/L)</bold>
                </td>
                <td id="0abc7b284595389f79b7cf0dbc29484a">108.3±5.65</td>
                <td id="4d8b3ef7750ea77fab9cfa5af294d5ba">73.58±11.08<sup id="_superscript-66"><bold id="_bold-39">ac</bold></sup></td>
                <td id="887f5f0b2423481cd38b087700555cef">110.8±15.25</td>
                <td id="0e961501502ee5da6b8c9c09b78f1598">124.9±17.73</td>
                <td id="69d5e4d1c4c6f8d4cd4306dab2697963">48.15±4.65<sup id="_superscript-67"><bold id="_bold-40">ac</bold></sup></td>
                <td id="99fdef14f4d2b4f15b477bdde1189bdd">53.41±10.36<sup id="_superscript-68"><bold id="_bold-41">ac</bold></sup></td>
                <td id="b4dd84cb970630245635c87395397406">106.7±3.874</td>
              </tr>
              <tr id="table-row-ee4a7d57f3b497b8e1486bc4d5359090">
                <td id="6ef9a0fa34924ddd24a8a9674aa6404f">
                  <bold id="_bold-42">Iron (Mmol/L)</bold>
                </td>
                <td id="de2359f1258f22a34b82b81b27e0b64e">41.13±2.828</td>
                <td id="0e434ee40ff6d6ba944be3378f07d86b">42.52±5.088</td>
                <td id="fbddfbfe5714537e0ed0aaaa4366be9f">46.8±3.509</td>
                <td id="0c2fe84c98ae2265c6ca15af80b5fd28">54.06±6.058</td>
                <td id="a88fd083a3173f2c60e82f7598acdfe7">51.68±6.57</td>
                <td id="6aadaca26156e03d220d24481c2dd409">64.51±10.99<sup id="_superscript-69"><bold id="_bold-43">a</bold></sup></td>
                <td id="b0b5cc1d06518bfb508a3c57bc4172b3">42.43±8.935</td>
              </tr>
              <tr id="table-row-207697668a039d6ac84be0da9c2c791a">
                <td id="8414dd4a2a59d92468c65084b38f9e90">
                  <bold id="_bold-44">Potassium (Mmol/L)</bold>
                </td>
                <td id="692c06e46c8294190dc9a24c8b6cb886">3.966±0.253</td>
                <td id="aa65b63b2706e6bf19d77b9b0700e18d">3.209±0.538</td>
                <td id="39a90e1e19ac57fb3c69324b28fcfebe">3.302±0.490</td>
                <td id="9401116af5b487f5660a4b77ae12505b">3.854±0.259</td>
                <td id="ed8e8a9db629d1015c5b2c0c7a8cf4c4">5.246±0.865<sup id="_superscript-70"><bold id="_bold-45">a</bold></sup></td>
                <td id="9393c4f746dc1faaacfc58b50e728a8b">3.397±0.244</td>
                <td id="32273cefdd5ccbcabaae40028e461c8f">3.328±0.191</td>
              </tr>
              <tr id="table-row-01fb3dafd1db2e4eee23b8f1a1ece587">
                <td id="286cbeef13633722405c1d47b5d9c278">
                  <bold id="_bold-46">Calcium (Mmol/L)</bold>
                </td>
                <td id="8daef64b3fecff09f849a95ab50fb18d">8.191±0.343</td>
                <td id="3c5aa92200c48e61c394f04a827af879">6.932±0.241</td>
                <td id="116cce100605ed6d860f15896a3b6928">8.866±0.878</td>
                <td id="0e13aae8b23c61f18b531dbfb383bec2">8.773±0.691</td>
                <td id="3dccd784184a1928a3253f387f0fb0e6">8.165±0.516</td>
                <td id="ad1d4147ac864fd06c00c97d0860d9e9">8.302±0.707</td>
                <td id="5d5859b3bd4022821e8c708725a35706">7.992±0.307</td>
              </tr>
              <tr id="table-row-5f91f13e15c671d5bc8c6474d43ff8f3">
                <td id="fd7710f4a8ccbd481109f1cb916eb203">
                  <bold id="_bold-47">Inorganic Phosphate (Mmol/L)</bold>
                </td>
                <td id="4aa95e25dda5fa091f14283b5d5583dd">2.581±0.195</td>
                <td id="36cd99589bc7484400d9c6d4812dbf01">2.38±0.069</td>
                <td id="30c992a3a19af389e6ace34d0e39c7d9">2.777±0.254</td>
                <td id="8d87a104a838b164ded4a66062dfdd52">2.988±0.333</td>
                <td id="2796c0b1bf64a0ee582b51845126fb3b">2.369±0.454</td>
                <td id="9540d7a7787331c5934f2ddffd755eca">2.051±0.082</td>
                <td id="2e540ee2349424606749567f76c6f6a8">2.158±0.097</td>
              </tr>
            </tbody>
          </table>
        </table-wrap>
        <p id="_paragraph-29">Data are presented as mean±SEM. n=5. <sup id="_superscript-71">a</sup>p&lt;0.05 compared with the control. <sup id="_superscript-72">b</sup>p&lt;0.05 compared with SOMMF.<sup id="_superscript-73">c</sup>p&lt;0.05 compared with 10.0 mL/kg/day SOMMF. SOMMF=Saccharum <italic id="_italic-16">officinarum</italic>molasses methanol fraction. SOMAqF = Saccharum <italic id="_italic-17">officinarum</italic>molasses aqueous fraction.</p>
        <p id="_paragraph-30">
          <bold id="_bold-48">Effect of S. </bold>
          <bold id="_bold-49">officinarum</bold>
          <bold id="_bold-50">molasses on lipid peroxidation and antioxidant enzymes of the liver.</bold>
        </p>
        <p id="_paragraph-31">The superoxide dismutase (SOD) activities of the lowest doses of SOMMF and SOMAqF treated rats significantly decreased (p&lt;0.05) compared to the control and other treated groups. Catalase activity of 0.6 g/kg/day SOMAqF treated rats significantly increased (p&lt;0.05) when compared to the control and SOMMF treated groups. There were no significant differences in the malondialdehyde (MDA) level and glutathione concentration (Table 3).</p>
        <table-wrap id="tbl3">
          <label>Table 3</label>
          <caption>
            <title>Effect of Saccharum officinarum molasses on lipid peroxidation and antioxidant enzymes of the liver.</title>
            <p id="_paragraph-32"/>
          </caption>
          <table id="_table-3">
            <tbody>
              <tr id="table-row-be45fca4e24dd842352367e034ff1bec">
                <td id="a2e56e579a0defdf2a0be1aca5695274" colspan="2"/>
                <td id="e2dbd9e3cbc6cdc42c373a16cb42d1f6" colspan="3">SOMMF (mL/kg/Day)</td>
                <td id="3047425d1995c510c0e62266e2b3b81e" colspan="3">SOMAqF (mL/kg/Day)</td>
              </tr>
              <tr id="table-row-0ea9b36d977f92401fe20d53717593a9">
                <td id="9b50e983f390846f424a0dc06bb13f3a">Group</td>
                <td id="4c367c4ec1225780898236875f73fdd7">Control</td>
                <td id="837775605e592b342e33e9ccb52febbc">1.0</td>
                <td id="675b59cbfc10edee60268ae3d6a73417">3.2</td>
                <td id="133ec013bbbd91b09906ced4d084993d">10.0</td>
                <td id="7c45b0637038975bc0681e17cc213496">0.6</td>
                <td id="f9e3cbff33df642a3add88764af220c8">2.0</td>
                <td id="2dbfb7b49ee1b23524bb12ff33759a73">6.4</td>
              </tr>
              <tr id="table-row-e2f6e936928c207530b1fb59fb8f90fd">
                <td id="d3e2831666e8684a480b7cae55ad7cc1">
                  <bold id="_bold-51">MDA (U/mg)</bold>
                </td>
                <td id="fb64aeea6f0cd4a745575594ae12d49b">4.572±0.52</td>
                <td id="f888b91122b01789d6ced08a736c0b0f">3.131±0.28</td>
                <td id="ba2dcd4a7c6faf32fdaf3b806c0d7fbd">3.878±0.79</td>
                <td id="c27797cfe0ed956a65c363ed9f85ad33">4.92±0.87</td>
                <td id="4c51294d393099c63daf72dbf4591f19">2.752±0.52</td>
                <td id="2365ad5a6c4e804161f566abbddd8d9a">2.288±0.41</td>
                <td id="016230acf293be5bc2099af8fe8eed95">3.75±0.88</td>
              </tr>
              <tr id="table-row-6cd9258f9f4266cff652429f20912e4e">
                <td id="df6474085dea8a3ff91ec37c1f01a5ff">
                  <bold id="_bold-52">SOD (U/mg)</bold>
                </td>
                <td id="b6664bfe53f04ceff10f980c0449f5a3">560.7±147.8</td>
                <td id="f82a9dda45400e46369222017f9ca41d">220.7±53.22<sup id="_superscript-74"><bold id="_bold-53">abc</bold></sup></td>
                <td id="a82f5808e1078fbd0d5ddd1ba3d078a5">430±103.2</td>
                <td id="f361473f149ed09baa37125f1590e2de">345.9±148.4</td>
                <td id="ea4cd4e8d1b3171775db81e2fe71e121">265.6±60.35<sup id="_superscript-75"><bold id="_bold-54">abc</bold></sup></td>
                <td id="ab40ebeed427f25ba9b080e053d7f5e1">288.7±64.81</td>
                <td id="3eac6aadc0a0b33b4e6983ff8571b652">609.8±82.1</td>
              </tr>
              <tr id="table-row-2d42ae1449a5c1c2f3b37894274819f6">
                <td id="295373f1564fb8ba94b6f79063014d53">
                  <bold id="_bold-55">Catalase (IU/L)</bold>
                </td>
                <td id="35e11137d2a75c19713c2ceaada48cca">698.2±62.94</td>
                <td id="cc7ca266ee07070545e8e694bcad5c8c">539.3±44.62</td>
                <td id="a605755d907eab5790780b481f081b3b">676±65.25</td>
                <td id="72f9e052b8be8b0279a54c04484f35a8">771.5±158.6</td>
                <td id="6d2bf9d0bb88584b2b47130ca4d6232c">1101±87.77<sup id="_superscript-76"><bold id="_bold-56">a#</bold></sup></td>
                <td id="1339dd633f6a96bb063d052f62afb47d">792.7±63.14</td>
                <td id="91273a82ae5b70b33d49fca686a57a39">833.9±111</td>
              </tr>
              <tr id="table-row-db5b689e6f16826b10c1d80861399dbe">
                <td id="5aac2ac233ed28648bf0eba6e5934046">
                  <bold id="_bold-57">GSH (</bold>
                  <bold id="_bold-58">uM</bold>
                  <bold id="_bold-59">/mg)</bold>
                </td>
                <td id="13bb88f8e453f09bf59df0920cc158d1">4.715±0.60</td>
                <td id="c9b6838701909dc17a4e172f7354e8a3">4.352±0.28</td>
                <td id="0b5ac5c1309d04df5c5c5b981a71417d">4.783±0.20</td>
                <td id="b0a750f445c290c8c9282b7342bf5292">4.197±0.33</td>
                <td id="03f56d1b44196e99c5335d1c4a3d1428">3.607±0.94</td>
                <td id="de62d68c0e042d4f532c64f51f73ef2f">3.589±0.4</td>
                <td id="3a59e49457ca1d85e74474d14b418af5">5.452±0.41</td>
              </tr>
            </tbody>
          </table>
        </table-wrap>
        <p id="_paragraph-33">Data are presented as mean±SEM, n=5, <sup id="_superscript-77">a</sup>p&lt;0.05 compared with the control. <sup id="_superscript-78">b</sup>p&lt;0.05 compared with 3.2 mL/kg/day SOMMF, <sup id="_superscript-79">c</sup>p&lt;0.05 compared with 6.4 mL/kg/day SOMMF, <sup id="_superscript-80">#</sup>p&lt;0.05 compared with SOMMF. SOM= Saccharum <italic id="_italic-18">officinarum</italic>molasses. SOMMF=Saccharum <italic id="_italic-19">officinarum</italic>molasses methanol fraction. SOMAqF = Saccharum <italic id="_italic-20">officinarum</italic>molasses aqueous fraction.</p>
      </sec>
      <sec id="sec-14_4">
        <title>Effect of S. officinarum molasses on histology of liver</title>
        <p id="_paragraph-34">The liver section of the 1.0 mL/kg/day SOMMF group shows mildly dilated sinusoids and infiltration of inflammatory cells. The liver sections of the SOMAqF groups show portal tracts with lymphocytes aggregating and mildly dilated sinusoids, as well as mild periportal infiltration of inflammatory cells in liver parenchyma (Figure 3).</p>
        <fig id="fig2">
          <label>Figure 3</label>
          <caption>
            <title>Photomicrograph of liver sections of control rat and Saccharum <italic id="italic-1">officinarum </italic>molasses treated rats. a- control, b, c and d (1.0.3.2 and 10.0 g/kg SOMMF, respectively), e, f and g (0.6, 2.0 and 6.4 g/kg SOMAqF, respectively). Note the central venules (white arrows), normal sinusoids (blue arrows), hepatocytes (slender arrows). Mild perivascular and periportal infiltration of inflammatory cells (yellow arrows). Mildly dilated sinusoids with infiltration of inflammatory cells (green arrows). Lymphocyte aggregation (red arrows). Stained by H&amp;E, ×100 magnification.</title>
            <p id="_paragraph-35"/>
          </caption>
          <graphic id="_graphic-2" mimetype="image" mime-subtype="png" xlink:href="image2.png"/>
        </fig>
      </sec>
    </sec>
    <sec id="sec-15">
      <title>Discussion</title>
      <p id="_paragraph-36">The widespread use of S. officinarum molasses sweetener may cause concerns for possible adverse health effects, but this study reveals that it has a wide safety margin as there was no lethality even at a dose of 2000-mg/kg weight. Hematological components are valuable in monitoring general health status and changes in the blood due to toxicity.<sup id="_superscript-81">2</sup><sup id="_superscript-82">2</sup><sup id="_superscript-83">,2</sup><sup id="_superscript-84">3</sup><italic id="_italic-21">Saccharum</italic><italic id="_italic-22">officinarum</italic>molasses caused significant decreases in hemoglobin (Hb) concentration, red blood cell (RBC) count, and hematocrit/packed cell volume (PCV). Hemoglobin (Hb) is the iron-containing metalloprotein that transports oxygen to tissues for the breakdown of food substances for the release of energy used by the body and transport of carbon dioxide out of the body.<sup id="_superscript-85">2</sup><sup id="_superscript-86">4</sup>Red blood cell carries hemoglobin that combines with oxygen to form oxyhemoglobin during respiration.<sup id="_superscript-87">2</sup><sup id="_superscript-88">5</sup><sup id="_superscript-89">,2</sup><sup id="_superscript-90">6</sup>The PCV is the percentage of RBC in blood and is also known as the hematocrit.<sup id="_superscript-91">2</sup><sup id="_superscript-92">7</sup>Thus, the significant reduction in hemoglobin, MCHC, RBC count, and PCV reveals that SOM may adversely alter the amount of oxygen that would be carried to the tissues and probably predispose to hypoxia.<sup id="_superscript-93">2</sup><sup id="_superscript-94">8,29</sup>The PCV, hemoglobin and mean corpuscular hemoglobin are major indices for evaluating bone marrow capacity to produce red blood cells, circulatory erythrocytes, and diagnosis of anemia.<sup id="_superscript-95">29</sup><sup id="_superscript-96">,3</sup><sup id="_superscript-97">0</sup>The findings of this study support an earlier report that blood toxicity is usually accompanied by significant decreases in the values of RBC, HB, PCV due to possible suppression of erythropoietic processes or hemolysis of the available RBC.<sup id="_superscript-98">3</sup><sup id="_superscript-99">1</sup>This may also result in an anemic condition in line with the study of<sup id="_superscript-100">3</sup><sup id="_superscript-101">2</sup> who noted that S. officinarum peel extract caused a decline in some of these blood indices.</p>
      <p id="_paragraph-37">Studies have shown that the amount, type, and composition of lipid sources in the diet are determining factors of the serum lipid profile.<sup id="_superscript-102">3</sup><sup id="_superscript-103">3</sup><sup id="_superscript-104">,3</sup><sup id="_superscript-105">4</sup>Lipids have effects on cardiovascular functions and a change of diet is the first strategy applied to prevent and treat cardiovascular diseases.<sup id="_superscript-106">3</sup><sup id="_superscript-107">5</sup>Saccharum officinarum molasses is incorporated as a sweetener in both animal and human diets, this study shows that it caused a significant reduction in serum triglycerol and total cholesterol levels. It had been earlier stated that a 1 % decrease in serum cholesterol results in a 3 % decrease in risk of congestive heart disease.<sup id="_superscript-108">3</sup><sup id="_superscript-109">6</sup>SOM may be regarded as safe since it does not pose a possibility of an adverse effect on the heart as implicated by the decrease in the lipid profile.</p>
      <p id="_paragraph-38">The electrolytes in plasma contribute to the osmotic balance which controls the movement of water between cells and their environment.<sup id="_superscript-110">3</sup><sup id="_superscript-111">7</sup>Potassium is the major intracellular cation, it establishes the resting membrane potential in neurons and muscle fibers after membrane depolarization and action potentials.<sup id="_superscript-112">3</sup><sup id="_superscript-113">8</sup>Along with sodium, it regulates water balance and the acid-base balance in the blood and tissues. The observed inadequate changes in potassium and sodium ions levels, implied that prolonged consumption of higher doses of Saccharum <italic id="_italic-23">officinarum</italic>molasses may cause hyponatremia or hyperkalemia and its related health effects. Serum iron concentration is a measure of the circulating iron (Fe<sup id="_superscript-114">3+</sup>)bound to transferrin, and only 0.1% of total body iron is bound to transferrin at any one time.<sup id="_superscript-115">39</sup>The slightly increased serum iron level by SOMMF is an indication that Saccharum <italic id="_italic-24">officinarum</italic>molasses may help improve iron level due to its usefulness in the synthesis of oxygen transport proteins (hemoglobin and myoglobin), and for the formation of heme enzymes and other iron-containing enzymes involved in electron transfer and oxidation-reductions. <sup id="_superscript-116">4</sup><sup id="_superscript-117">0</sup><sup id="_superscript-118">,4</sup><sup id="_superscript-119">1</sup></p>
      <p id="_paragraph-39">The ability of S. officinarum molasses to increase catalase activity is an indication that it possibly possesses some amount of antioxidant properties. Catalase is one of the main enzymes that act as an oxidant scavenger, via the degradation of hydrogen peroxide to oxygen and water.<sup id="_superscript-120">4</sup><sup id="_superscript-121">2</sup> The perivascular infiltration and lymphocytes aggregation caused by SOMAqF may be from inflammation of either the neutrophils, eosinophils, lymphocytes plasmacytes, macrophages,or mast cells that infiltrate around the blood vessels. The portal tract’s inflammation probably resulted from deposits of blood clots or bleeding in the blood vessels.<sup id="_superscript-122">4</sup><sup id="_superscript-123">3</sup><sup id="_superscript-124">,4</sup><sup id="_superscript-125">4</sup>The inflammatory cells in the hepatic tissue suggest that SOM may contain constituents that can interact with proteins and enzymes of the hepatic interstitial tissue interfering with the antioxidant defense mechanism to generate reactive oxygen species that may, in turn, imitate an inflammatory response.<sup id="_superscript-126">4</sup><sup id="_superscript-127">5</sup>Plausibly the observed mild dilation of the sinusoid was by peri-sinusoidal fibrosis nodular regenerative hyperplasia or hepatoportal sclerosis which has been related to xenobiotics.<sup id="_superscript-128">4</sup><sup id="_superscript-129">6</sup><sup id="_superscript-130">,</sup><sup id="_superscript-131">4</sup><sup id="_superscript-132">7</sup></p>
    </sec>
    <sec id="sec-16">
      <title>Conclusion</title>
      <p id="_paragraph-40">Saccharum officinarum molasses increased serum levels of iron, potassium, and liver catalase, but adversely disrupted the lipid profile, hematological and hepatic functions of male Wistar rats. Saccharum officinarum molasses possess harmful effects on health status.</p>
    </sec>
    <sec id="sec-17">
      <title>Acknowledgment</title>
      <p id="_paragraph-41">We extend our gratitude to the staff of Multidisciplinary Central Research Laboratory at the University of Ibadan for technical assistance while conducting this study.</p>
    </sec>
    <sec id="sec-18">
      <title>References</title>
      <p id="_paragraph-42">1.Piekara A, Krzywonos M, Szymańska A. Sweetening agents, and sweeteners in dietary supplements for children-analysis of the polish market. Nutrients.2020;12(8). doi: <ext-link id="_external-link-1" xlink:href="https://doi.org/10.3390/nu12082387">10.3390/nu12082387</ext-link>, PMID <ext-link id="_external-link-2" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/32784924">32784924</ext-link>.</p>
      <p id="_paragraph-43">2.Sanjay S. Food Preservatives and their harmful effects. Int J Sci Res Publ. 2015;5(4):1-2.</p>
      <p id="_paragraph-44">3. Daniels J, Roach BT. Taxonomy and evolution. In: Heinz DJ, editor Sugarcane improvement through breeding. Amsterdam: Elsevier;1987. p. 7-84.</p>
      <p id="_paragraph-45">4.Howard BV, Wylie-Rosett J. Sugar and cardiovascular disease: A statement for healthcare professionals from the Committee on Nutrition of the Council on Nutrition, Physical Activity, and Metabolism of the American Heart Association. Cir. 2002;106(4):523-7. doi: <ext-link id="_external-link-3" xlink:href="https://doi.org/10.1161/01.cir.0000019552.77778.04">10.1161/01.cir.0000019552.77778.04</ext-link>. Erratum in: Circ.2003;107(16):2166.</p>
      <p id="_paragraph-46">5.Lohner S, Toews I, Meerpohl JJ. Health outcomes of non-nutritive sweeteners: analysis of the research landscape. Nutr J.2017;16(1):55. doi: <ext-link id="_external-link-4" xlink:href="https://doi.org/10.1186/s12937-017-0278-x">10.1186/s12937-017-0278-x</ext-link>, PMID <ext-link id="_external-link-5" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/28886707">28886707</ext-link>.</p>
      <p id="_paragraph-47">6.Chattopadhyay S, Raychaudhuri U, Chakraborty R. Artificial sweeteners-A review. J Food Sci Technol.2014;51(4):611-21. doi: <ext-link id="_external-link-6" xlink:href="https://doi.org/10.1007/s13197-011-0571-1">10.1007/s13197-011-0571-1</ext-link>, PMID <ext-link id="_external-link-7" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/24741154">24741154</ext-link>.</p>
      <p id="_paragraph-48">7.Mahfouz EM, Sadek RR, Abdel-Latief WM, Mosallem FA, Hassan EE. The role of dietary and lifestyle factors in the development of colorectal cancer: a case-control study in Minia, Egypt. Cent Eur J Public Health.2014;22(4):215-22. doi: <ext-link id="_external-link-8" xlink:href="https://doi.org/10.21101/cejph.a3919">10.21101/<ext-link id="_external-link-9" xlink:href="https://doi.org/10.21101/cejph.a3919"/></ext-link><ext-link id="_external-link-10" xlink:href="https://doi.org/10.21101/cejph.a3919">cejph.a<ext-link id="_external-link-11" xlink:href="https://doi.org/10.21101/cejph.a3919"/></ext-link><ext-link id="_external-link-12" xlink:href="https://doi.org/10.21101/cejph.a3919">3919</ext-link>, PMID <ext-link id="_external-link-13" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/25622477">25622477</ext-link>.</p>
      <p id="_paragraph-49">8.Pang MD, Goossens GH, Blaak EE. The impact of artificial sweeteners on body weight control and glucose homeostasis. Front Nutr. 2020;7:598340. doi: <ext-link id="_external-link-14" xlink:href="https://doi.org/10.3389/fnut.2020.598340">10.3389/fnut.2020.598340</ext-link>.</p>
      <p id="_paragraph-50">9.Yannis K, Nikos C, Kimon AGK, Ibrahim MB. “Bioactive natural products 2016”, BioMed Research International, vol 2016, Article ID 9749305, 2 pages, 2016. https://doi.org/10.1155/2016/9749305.</p>
      <p id="_paragraph-51">10.Valli V, Gómez-Caravaca AM, Di Nunzio M, Danesi F, Caboni MF, Bordoni A. Sugar cane and sugar beet molasses, antioxidant-rich alternatives to refined sugar. J Agric Food Chem. 2012 Dec 26;60(51):12508-15. doi: 10.1021/jf304416d.</p>
      <p id="_paragraph-52">11.Heuzé V, Tran G, Archimède H, Renaudeau D, Lessire M, Lebas F. Sugarcane molasses. Feedipedia org A programme by INRA, CIRAD, AFZ and FAO. 2015. </p>
      <p id="_paragraph-53">12.Reyed R, El-Diwany A. Molasses as Bifidus Promoter on bifidobacteria and lactic acid bacteria growing in skim milk.Int J Microbiol.<italic id="_italic-25">2007</italic>;5(1):1-8.</p>
      <p id="_paragraph-54">13.Guimarães CM, Gião MS, Martinez SS, Pintado AI, Pintado ME, Bento LS, Malcata FX. Antioxidant activity of sugar molasses, including protective effect against DNA oxidative damage. J Food Sci.2007;72(1):C039-43. doi: <ext-link id="_external-link-15" xlink:href="https://doi.org/10.1111/j.1750-3841.2006.00231.x">10.1111/j.1750-3841.<ext-link id="_external-link-16" xlink:href="https://doi.org/10.1111/j.1750-3841.2006.00231.x"/></ext-link><ext-link id="_external-link-17" xlink:href="https://doi.org/10.1111/j.1750-3841.2006.00231.x">2006.00231.x<ext-link id="_external-link-18" xlink:href="https://doi.org/10.1111/j.1750-3841.2006.00231.x"/></ext-link>, PMID <ext-link id="_external-link-19" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/17995870">17995870</ext-link>.</p>
      <p id="_paragraph-55">14.Medeiros Júnior MD, Carvalho EJ, Catunda IS, Bernardino-Araújo S, Aguiar JL. Hydrogel of polysaccharide of sugarcane molasses as carrier of bone morphogenetic protein in the reconstruction of critical bone defects in rats. Acta Cir Bras.2013;28(4):233-8. doi: <ext-link id="_external-link-20" xlink:href="https://doi.org/10.1590/s0102-86502013000400001">10.1590/s0102-86502013000400001</ext-link>, PMID <ext-link id="_external-link-21" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/23568229">23568229</ext-link>.</p>
      <p id="_paragraph-56">15.Rahiman F, Pool EJ. Preliminary study on the effect of sugar cane(<italic id="_italic-26">Saccharum </italic><italic id="_italic-27">officinarum</italic>) molasses on steroidogenesis in testicular cell cultures. Afr J Food Sci.2010;4:37-40.</p>
      <p id="_paragraph-57">16.Gandhi AP, Joshi KC, Jha K, Parihar VS, Srivastav DC, Raghunadh P, Kawalkar J, Jain SK, Tripathi RN. Studies on alternative solvents for the extraction of oil I soybean. Int J Food Sci Technol. 2003;38(3):369-75. doi: <ext-link id="_external-link-22" xlink:href="https://doi.org/10.1046/j.1365-2621.2003.00683.x">10.1046/j.1365-2621.<ext-link id="_external-link-23" xlink:href="https://doi.org/10.1046/j.1365-2621.2003.00683.x"/></ext-link><ext-link id="_external-link-24" xlink:href="https://doi.org/10.1046/j.1365-2621.2003.00683.x">2003.00683.x<ext-link id="_external-link-25" xlink:href="https://doi.org/10.1046/j.1365-2621.2003.00683.x"/></ext-link>.</p>
      <p id="_paragraph-58">17.OECD test Guideline 425. Acute oraltoxicitystatisticalprogramme (AOT 425Stat Pgm). Version: 1.0. Available from: <ext-link id="_external-link-26" xlink:href="http://www.oecd.org/oecd/pages/home/displaygeneral/0,3380">http://www.oecd.org/oecd/pages/home/displaygeneral/0,3380</ext-link>. EN-document-524-nodirectorate-no-24-6775-8; 2001.</p>
      <p id="_paragraph-59">18.Pereda J, Gómez-Cambronero L, Alberola A, Fabregat G, Cerdá M, Escobar J, Sabater L, García-de-la-Asunción J, Viña J, Sastre J. Co-administration of pentoxifylline and thiopental causes death by acute pulmonary oedema in rats. Br J Pharmacol.2006;149(4):450-5. doi: <ext-link id="_external-link-27" xlink:href="https://doi.org/10.1038/sj.bjp.0706871">10.1038/sj.bjp.0706871</ext-link>, PMID <ext-link id="_external-link-28" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/16953192">16953192</ext-link>.</p>
      <p id="_paragraph-60">19.Buege JA, Aust SD. Microsomal lipid peroxidation. Methods Enzymol.1978;52:302-10. doi: <ext-link id="_external-link-29" xlink:href="https://doi.org/10.1016/s0076-6879(78)52032-6">10.1016/s0076-6879(78)52032-6</ext-link>, PMID <ext-link id="_external-link-30" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/672633">672633</ext-link>.</p>
      <p id="_paragraph-61">20.Sinha AK.Colorimetric assay of catalase.Anal Biochem.1972;47(2):389-94. doi: <ext-link id="_external-link-31" xlink:href="https://doi.org/10.1016/0003-2697(72)90132-7">10.1016/0003-2697(72)90132-7</ext-link>, PMID <ext-link id="_external-link-32" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/4556490">4556490</ext-link>.</p>
      <p id="_paragraph-62">21.Misra HP, Fridovich I. Superoxide dismutase: A photochemicalaugmentation assay.Arch BiochemBiophys. 1977;181(1):308-12. doi: <ext-link id="_external-link-33" xlink:href="https://doi.org/10.1016/0003-9861(77)90509-4">10.1016/0003-9861(77)90509-4</ext-link>, PMID <ext-link id="_external-link-34" xlink:href="http://www.ncbi.nlm.nih.gov/pubmed/18108">18108</ext-link>.</p>
      <p id="_paragraph-63">22.Etim NN, Williams ME, Edem UA, Offiong EA. Haematological parameters and factorsaffectingtheirvalues. Agric Sci. 2014;2(1):37-47. doi: <ext-link id="_external-link-35" xlink:href="https://doi.org/10.12735/as.v2i1p37">10.12735/<ext-link id="_external-link-36" xlink:href="https://doi.org/10.12735/as.v2i1p37"/></ext-link><ext-link id="_external-link-37" xlink:href="https://doi.org/10.12735/as.v2i1p37">as.v<ext-link id="_external-link-38" xlink:href="https://doi.org/10.12735/as.v2i1p37"/></ext-link><ext-link id="_external-link-39" xlink:href="https://doi.org/10.12735/as.v2i1p37">2i1p37</ext-link>.</p>
      <p id="_paragraph-64">23.Arika WM, Nyamai DW, Musila MN, Ngugi MP, Njagi ENM. Hematological markers of <italic id="_italic-28">in vivo</italic>toxicity. J Hematol Thrombo Dis. 2016;4:236.</p>
      <p id="_paragraph-65">24.Coates CJ, Decker H. Immunological properties of oxygen-transport proteins: hemoglobin, hemocyanin, and hemerythrin. Cell Mol Life Sci.2017;74(2):293-317. doi: <ext-link id="_external-link-40" xlink:href="https://doi.org/10.1007/s00018-016-2326-7">10.1007/s00018-016-2326-7</ext-link>, PMID <ext-link id="_external-link-41" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/27518203">27518203</ext-link>.</p>
      <p id="_paragraph-66">25.Chineke CA, AGO, CONI. Haematological parameters in rabbit breeds and crosses in humid tropics. Pak J Biol Sci.2006;9(11):2102-6. doi: <ext-link id="_external-link-42" xlink:href="https://doi.org/10.3923/pjbs.2006.2102.2106">10.3923/pjbs.2006.2102.2106</ext-link>.</p>
      <p id="_paragraph-67">26.Helms CC, Gladwin MT, Kim-Shapiro DB. Erythrocytes and Vascular Function: Oxygen and Nitric Oxide. Front Physiol. 2018; 9:125. doi:10.3389/fphys.2018.00125.</p>
      <p id="_paragraph-68">27.Turkson PK, Ganyo EY. Relationship between haemoglobin concentration and packed cell volume in cattle blood samples. Onderstepoort J Vet Res. 2015;82(1):863. </p>
      <p id="_paragraph-69">28.Ugwuene MC. ’Effect of Dietary Palm Kernel Meal for Maize on the Haematological and Serum Chemistry of Broiler Turkey.’ <italic id="_italic-29">Nig</italic>. J Ani Sci. 2011; 13:93-103.</p>
      <p id="_paragraph-70">29.Awodi S, Ayo JO, Atodo AD, Dzende T. Some haematological parameters and the erythrocyte osmotic fragility in the laughing dove (<italic id="_italic-30">Streptopellasenegalensis</italic>) and the village weaver bird (<italic id="_italic-31">Ploceuscucullatus</italic>). Proceedings of the 10th annual conference of Animal Science Association of Nigeria.Nigeria: University of AdoEkiti; September 12-15, 2005. p. 384-7.</p>
      <p id="_paragraph-71">30.Ebru DY, Abdullah T. Laboratory approach to anemia, current topics in anemia, Jesmine khan. IntechOpen;2017.</p>
      <p id="_paragraph-72">31.Uhrmacher S, Erdfelder F, Kreuzer KA. Flow cytometry and polymerase chain reaction-based analyses of minimal residual disease in chronic lymphocytic leukemia. Adv Hematol. 2010;2010. doi: <ext-link id="_external-link-43" xlink:href="https://doi.org/10.1155/2010/272517">10.1155/2010/272517</ext-link>, PMID <ext-link id="_external-link-44" xlink:href="http://www.ncbi.nlm.nih.gov/pubmed/20886004">20886004</ext-link>.</p>
      <p id="_paragraph-73">32.Ashade OO, Abubakar RO, Nguka OO, Yakubu AO, Oyesanya O, Ofoegbu CC, Bello ON, Osuntade BA. Impact of sugarcane peel (<italic id="_italic-32">Saccharum </italic><italic id="_italic-33">officinarum</italic>) extract on the blood status and gonadal integrity of Wistar Albino rat. Int J Adv Pharm Bio Chem. 2014;3(3):646-55.</p>
      <p id="_paragraph-74">33.Baum SJ, Kris-Etherton PM, Willett WC, Lichtenstein AH, Rudel LL, Maki KC, Whelan J, Ramsden CE, Block RC. Fatty acids in cardiovascular health and disease: A comprehensive update.J Clin Lipidol.2012;6(3):216-34. doi: <ext-link id="_external-link-45" xlink:href="https://doi.org/10.1016/j.jacl.2012.04.077">10.1016/j.jacl.2012.04.077</ext-link>, PMID <ext-link id="_external-link-46" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/22658146">22658146</ext-link>.</p>
      <p id="_paragraph-75">34.Kerr BJ, Kellner TA, Shurson GC. Characteristics of lipids and their feeding value in swine diets. J Anim Sci Biotechnol. 2015;6(1):30. doi: <ext-link id="_external-link-47" xlink:href="https://doi.org/10.1186/s40104-015-0028-x">10.1186/s40104-015-0028-x</ext-link>, PMID <ext-link id="_external-link-48" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/26207182">26207182</ext-link>.</p>
      <p id="_paragraph-76">35.Yu E, Malik VS, Hu FB. Cardiovascular disease prevention by diet modification: JACC Health Promotion series. J Am Coll Cardiol.2018;72(8):914-26. doi: <ext-link id="_external-link-49" xlink:href="https://doi.org/10.1016/j.jacc.2018.02.085">10.1016/j.jacc.2018.02.085</ext-link>, PMID <ext-link id="_external-link-50" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/30115231">30115231</ext-link>.</p>
      <p id="_paragraph-77">36.Manson JE, Tosteson H, Ridker PM, Satterfield S, Hebert P, O’Connor GT, Buring JE, Hennekens CH. The primary prevention of myocardial infarction. N Engl J Med.1992;326(21):1406-16. doi: <ext-link id="_external-link-51" xlink:href="https://doi.org/10.1056/NEJM199205213262107">10.1056/NEJM199205213262107</ext-link>, PMID <ext-link id="_external-link-52" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/1533273">1533273</ext-link>.</p>
      <p id="_paragraph-78">37.Bhave G, Neilson EG. Body fluid dynamics: back to the future. J Am Soc Nephrol.2011;22(12):2166-81. doi: <ext-link id="_external-link-53" xlink:href="https://doi.org/10.1681/ASN.2011080865">10.1681/ASN.2011080865</ext-link>, PMID <ext-link id="_external-link-54" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/22034644">22034644</ext-link>.</p>
      <p id="_paragraph-79">38.Parham WA, Mehdirad AA, Biermann KM, Fredman CS. Hyperkalemia revisited. Tex Heart Inst J. 2006;33(1):40-47. </p>
      <p id="_paragraph-80">39.Raghupathy R, Manwani D, Little JA. Iron overload in sickle cell disease. Adv Hematol.2010;2010:272940. doi: <ext-link id="_external-link-55" xlink:href="https://doi.org/10.1155/2010/272940">10.1155/2010/272940</ext-link>.</p>
      <p id="_paragraph-81">40.Hurrell RF. Bioavailability of iron. Eur J Clin Nutr.1997;51(1): S4-8.</p>
      <p id="_paragraph-82">41.McDowell LR. Minerals in animals and human nutrition. 2nd ed.Amsterdam: Elsevier Science BV;2003. p. 144.</p>
      <p id="_paragraph-83">42.Tremellen K. Oxidative stress and male infertility - a clinical perspective. Hum Reprod Update.2008;14(3):243-58. doi: <ext-link id="_external-link-56" xlink:href="https://doi.org/10.1093/humupd/dmn004">10.1093/<ext-link id="_external-link-57" xlink:href="https://doi.org/10.1093/humupd/dmn004"/></ext-link><ext-link id="_external-link-58" xlink:href="https://doi.org/10.1093/humupd/dmn004">humupd<ext-link id="_external-link-59" xlink:href="https://doi.org/10.1093/humupd/dmn004"/></ext-link><ext-link id="_external-link-60" xlink:href="https://doi.org/10.1093/humupd/dmn004">/dmn004</ext-link>, PMID <ext-link id="_external-link-61" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/18281241">18281241</ext-link>.</p>
      <p id="_paragraph-84">43.Décarie PO, Lepanto L, Billiard JS, Olivié D, Murphy-Lavallée J, Kauffmann C, et al. Fatty liver deposition and sparing: a pictorial review. <italic id="_italic-34">Insights Imaging</italic> 2011;<bold id="_bold-60">2</bold>(5):533-538.</p>
      <p id="_paragraph-85">44.  Nakhleh RE. The pathological differential diagnosis of portal hypertension. Clinical Liver Disease. 2017;10(3):57-62. doi: <ext-link id="_external-link-62" xlink:href="https://doi.org/10.1002/cld.655">10.1002/cld.655</ext-link>’</p>
      <p id="_paragraph-86">45.Johar D, Roth JC, Bay GH, Walker JN, Kroczak TJ, Los M. inflammatory response, reactive oxygen species, programmed (necrotic-like and apoptotic) cell death and cancer.Rocz Akad Med Bialymst. 2004; 49:31-9. PMID <ext-link id="_external-link-63" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/15631311">15631311</ext-link>.</p>
      <p id="_paragraph-87">46.Hillaire S, Bonte E, Denninger MH, Casadevall N, Cadranel JF, Lebrec D, Valla D, Degott C. Idiopathic non-cirrhotic intrahepatic portal hypertension in the West: a re-evaluation in 28 patients. Gut.2002;51(2):275-80. doi: <ext-link id="_external-link-64" xlink:href="https://doi.org/10.1136/gut.51.2.275">10.1136/gut.51.2.275</ext-link>, PMID <ext-link id="_external-link-65" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/12117894">12117894</ext-link>.</p>
      <p id="_paragraph-88">47.Riggio O, Gioia S, Pentassuglio I, Nicoletti V, Valente M, d’Amati G. Idiopathic noncirrhotic portal hypertension: current perspectives. Hepat Med.2016;8(8):81-8. doi: <ext-link id="_external-link-66" xlink:href="https://doi.org/10.2147/HMER.S85544">10.2147/HMER.S85544</ext-link>, PMID <ext-link id="_external-link-67" xlink:href="https://www.ncbi.nlm.nih.gov/pubmed/27555800">27555800</ext-link>.</p>
    </sec>
  </body><back/></article>
