Browsing by Author "Kiwanuka Nakiguli, Caroline"

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    Medicinal Plants Used as Snake Venom Antidotes in East African Community: Review and Assessment of Scientific Evidences
    (Journal of Medicinal and Chemical Sciences, 2021) Omara, Timothy; Kiwanuka Nakiguli, Caroline; Naiyl, Rania Awad; Atieno Opondo, Florence; Otieno, Sadia Benard; Ndiege, Merab Lilian; Mbabazi, Immaculate; Nassazi, Winfred; Nteziyaremye, Papias; Kagoya, Sarah; Okwir, Augastine; Etimu, Edmond
    Poisonous snake envenomation is a complex neglected health problem implicated in mortality, disability, psychological morbidity, and socio-economic losses recorded worldwide. An antivenin serum, the only medically recommended treatment for snakebites, has several drawbacks including, hypersensitivity, inability to prevent local tissue damage, are scarce and unaffordable in most snakebite endemic areas. In many rural communities all over the world, plants have been utilized for managing snakebites. This review seeks to identify plants reported as antivenom remedies in the East Africa and the scientific studies thereof which could support their use in the treatment of snake envenomation. A review of scientific articles was undertaken to identify information on traditional knowledge of medicinal plants used to treat snake envenomation in East Africa and their antivenom efficacy. A total of 361 plant species were retrieved to have been reported as traditional therapies for snakebites in East Africa. The review identified distinct cases of doctrine of signatures and zoopharmacognosy in snakes using Opilia amentacea, Hugonia castaneifolia and Microglossa pyrifolia respectively. Evaluations of the antivenom efficacy of 44 species (12.2%) have been done globally, and most species found to be effective in neutralizing the lethal activities of snake venoms. Ethnomedicinal plants play a revered holistic role in East African antisnake venom therapy. Conyza sumatrensis, Hyptis pectinata, Justicia betonica, and Maesa lanceolata used to treat specific snakebites merit further studies.
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    Medicinal Plants Used in Traditional Management of Cancer in Uganda: A Review of Ethnobotanical Surveys, Phytochemistry, and Anticancer Studies
    (Evidence-Based Complementary and Alternative Medicine, 2020) Omara, Timothy; Kiprop, Ambrose K.; Ramkat, Rose C.; Cherutoi, Jackson; Kagoya, Sarah; Moraa Nyangena, Decrah; Azeze Tebo, Tsedey; Nteziyaremye, Papias; Nyambura Karanja, Lucy; Jepchirchir, Abigael; Maiyo, Alfayo; Jematia Kiptui, Betty; Mbabazi, Immaculate; Kiwanuka Nakiguli, Caroline; Nakabuye, Brenda Victoria; Chepkemoi Koske, Margaret
    )e burden of neoplastic diseases is a significant global health challenge accounting for thousands of deaths. In Uganda, about 32,617 cancer cases were reported in 2018, accompanied by 21,829 deaths. In a view to identify some potential anticancer plant candidates for possible drug development, the current study was designed to compile the inventory of plants with reported anticancer activity used in rural Uganda and the evidences supporting their use in cancer therapy. An electronic survey in multidisciplinary databases revealed that 29 plant species belonging to 28 genera distributed among 24 families have been reported to be used in the management of cancer in Uganda. Anticancer plants were majorly from the families Bignoniaceae (7%), Caricaceae (7%), Fabaceae (7%), Moraceae (7%), and Rutaceae (7%). Most species occur in the wild (52%), though some are cultivated (48%). )e growth habit of the plants is as trees (55%) or herbs (45%). Anticancer extracts are usually prepared from leaves (29%), bark (24%), roots (21%), and fruits (13%) through decoctions (53%), as food spices (23%) or pounded to produce ointments that are applied topically (10%). Prunus africana (Hook.f.) Kalkman, Opuntia species, Albizia coriaria (Welw. ex Oliver), Daucus carota L., Cyperus alatus (Nees) F. Muell., Markhamia lutea (Benth.) K. Schum., and Oxalis corniculata L. were the most frequently encountered species. As per global reports, Allium sativum L., Annona muricata L., Carica papaya L., Moringa oleifera Lam., Opuntia species, Prunus africana (Hook.f.) Kalkman, and Catharanthus roseus (L.) G. Don. are the most studied species, with the latter having vincristine and vinblastine anticancer drugs developed from it. Prostate, cervical, breast, and skin cancers are the top traditionally treated malignancies. )ere is a need to isolate and evaluate the anticancer potential of the bioactive compounds in the unstudied claimed plants, such as Cyperus alatus (Nees) F. Muell., Ficus dawei Hutch., Ficus natalensis Hochst., and Lovoa trichilioides Harms, and elucidate their mechanism of anticancer activity.
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    Mobility of Chromium, Copper and Arsenic in Amended Chromated Copper Arsenate Contaminated Soils
    (Asian Journal of Applied Chemistry Research, 2020) Kiwanuka Nakiguli, Caroline; Ojok, Walter; Omara, Timothy; Wasswa, John; Ntambi, Emmanuel
    The use of copper-based preservatives such as chromated copper arsenate (CCA) and creosote to prolong the life of lumber present environmental concerns because they contain heavy metals and polycyclic aromatic hydrocarbons which are toxic to humans. The aim of this study was to investigate the effects of sewage sludge biosolid amendment on the distribution and mobility of chromium, copper and arsenic in chromated copper arsenate contaminated soils subjected to phytoremediation using maize (Zea mays L.). Place and Duration of the Study: Random composite soil samples from Kitetika wood factory, Wakiso, Uganda and sewage sludge biosolid from National Water and Sewerage Corporation plant in Bugolobi, Kampala, Uganda were collected and prepared. Maize grains were obtained from FICA Seeds Limited (Uganda). The pot experiments and analysis of samples were done at Mbarara University of Science and Technology (Mbarara) and Directorate of Government Analytical Laboratory, Kampala (Uganda), respectively. Methodology: The fresh CCA contaminated soils and sewage sludge biosolid were analyzed for physicochemical parameters and heavy metals (chromium, copper and arsenic). Sewage sludge biosolid was added to 1 kg of the contaminated soils at 5-25% (w/w) in 2 L plastic containers, watered and maintained at 25 ℃ for 14 days to stabilize. Controls were set up with unamended soils. Thereafter, maize was planted in the potted soils for 40 days. The concentrations of the trace metals in the soils were determined after 20 and 40 days of maize growth by atomic absorption spectroscopy. Results: The concentrations of chromium, copper and arsenic in fresh CCA contaminated soils were 365.8 ± 6.18 mg/kg, 109.72 ± 14.04 mg/kg and 28.22 ± 3.8 mg/kg, respectively. Basing on mobility factor, bioavailability of the trace metals followed the chemical sequence copper (8.9%) < chromium (17.1%) < arsenic (30.2%). Conclusion: The maize variety experimented could be used to phytoextract or phytostabilize the trace metals in the CCA contaminated soils without or with 5-25% amendment. Amendment with sewage sludge biosolid improved the phytoremediation potential of maize. Arsenic was the most mobile and bioavailable metal in CCA contaminated soils. Further studies should use other local maize varieties such as Longe series.
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    The Scourge of Aflatoxins in Kenya: A 60-Year Review (1960 to 2020)
    (Journal of Food Quality, 2021) Omara, Timothy; Kiprop, Ambrose K.; Wangila, Phanice; Wacoo, Alex Paul; Kagoya, Sarah; Nteziyaremye, Papias; Odero, Mark Peter; Kiwanuka Nakiguli, Caroline; Obakiro, Samuel Baker
    Aflatoxins are endemic in Kenya. +e 2004 outbreak of acute aflatoxicosis in the country was one of the unprecedented epidemics of human aflatoxin poisoning recorded in mycotoxin history. In this study, an elaborate review was performed to synthesize Kenya’s major findings in relation to aflatoxins, their prevalence, detection, quantification, exposure assessment, prevention, and management in various matrices. Data retrieved indicate that the toxins are primarily biosynthesized by Aspergillus flavus and A. parasiticus, with the eastern part of the country reportedly more aflatoxin-prone. Aflatoxins have been reported in maize and maize products (Busaa, chan’gaa, githeri, irio, muthokoi, uji, and ugali), peanuts and its products, rice, cassava, sorghum, millet, yams, beers, dried fish, animal feeds, dairy and herbal products, and sometimes in tandem with other mycotoxins. +e highest total aflatoxin concentration of 58,000 μg/kg has been reported in maize. At least 500 acute human illnesses and 200 deaths due to aflatoxins have been reported. +e causes and prevalence of aflatoxins have been grossly ascribed to poor agronomic practices, low education levels, and inadequate statutory regulation and sensitization. Low diet diversity has aggravated exposure to aflatoxins in Kenya because maize as a dietetic staple is aflatoxin-prone. Detection and surveillance are only barely adequate, though some exposure assessments have been conducted. +ere is a need to widen diet diversity as a measure of reducing exposure due to consumption of aflatoxin-contaminated foods.