2018_Effects of Zamzam Water on Mu-Opioid Receptor Gene Expression in Morphine Dependent Subjects

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date 2018-07-29
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internalnotes Sila masukkan subject wajib Dissertations, Academic. Terima kasih...
originalfilename EFFECTS OF ZAMZAM WATER ON MU-OPIOID RECEPTOR GENE EXPRESSION IN MORPHINE DEPENDENT SUBJECTS (PHD_2018).pdf
person Mohamad Halim Bin Mohamad Shariff
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spelling 15371 https://intelek.unisza.edu.my/intelek/pages/view.php?ref=15371 https://intelek.unisza.edu.my/intelek/pages/search.php?search=!collection3 General Document Malaysia Library Staff (Top Management) Library Staff (Management) Library Staff (Support) Terengganu Faculty of Medicine English application/pdf 20 1.7 Server storage Scanned document Universiti Sultan Zainal Abidin UniSZA Private Access Universiti Sultan Zainal Abidin PDFium 2018-07-29 EFFECTS OF ZAMZAM WATER ON MU-OPIOID RECEPTOR GENE EXPRESSION IN MORPHINE DEPENDENT SUBJECTS (PHD_2018).pdf 2018_Effects of Zamzam Water on Mu-Opioid Receptor Gene Expression in Morphine Dependent Subjects MU-Opioid Receptors Copyright©PWB2025 Mohamad Halim Bin Mohamad Shariff Zamzam water—Therapeutic use Methadone Maintenance Treatment (MMT) is introduced as a treatment program that involves the long-term prescribing of methadone as an alternative to the opioid. However, the percentage of the client dropped out of the MMT program is increasing proportional to time. Thus, it is important to take all steps needed to ensure that the client sustain in MMT Program. A series of study reported that the endocytosis of Mu Opioid Receptor (MOR) reduce the developments of both dependence and withdrawal. Sodium (Na), which is one of the important ion has been reported has the capability to activate MOR and promote endocytosis of the MOR. Hence, zamzam water, which is known as alkaline water that contain higher Na contain as compared to others mineral water might have effects on the regulation of MOR and thus prevent the developments of both dependence and withdrawal. The current study divided into two Phase of study. In Phase 1 in-vitro study, the level of ion in zamzam water was determined using ion chromatography, then, the safety doses of zamzam water on opioid receptor expressing cell line (U-87 MG glioblastoma cells) was determined by using MTT assay. Then, the cAMP level, which is the marker for dependence in cell, was determined using ELISA kit. The U-87 MG cell line was incubated with morphine (25 µl/mL) for 24 h, purposely to make cell become dependent and then the cell was co-treated with difference concentration of methadone (5, 10, 25 µM) and 3.2 mL volume of zamzam water. Meanwhile in Phase 2 in-vivo study, ten animal withdrawal symptoms of morphine-dependent rats, which received different treatments, were observed. Then, the Ventral Tegmental Area (VTA) of rat’s brain was dissected and subjected to real-time quantitative RT-PCR to determine the regulation of MOR gene expression. In this experimental study, male Sprague Dawley rats (180–220 g) were randomly divided into 5 groups of 10: namely negative control group, untreated group, methadone treated group, zamzam water treated group, and co-treatment of methadone with zamzam water. Morphine dependency was induced by intraperitoneal injection of increasing doses daily by 2 mg/kg increments per day until a maximum of 68 mg/kg for 30 days was achieved. The rats were treated with methadone (2.5 mg/100 mL), zamzam water (40 mL/daily) and co treatment methadone (2.5 mg/100 mL) with zamzam water (40 mL/ daily) for 30 days. On days one, seven, fourteen, twenty-one, thirty of treatment, the rats were placed individually into Plexiglas cages and being observed for spontaneous withdrawal symptoms. For gene expression study, rats’ brains were removed and the VTA was dissected in separate groups. A quantitative RT-PCR method was used to evaluate the gene expression profile. In Phase 1 study, the result indicated that the ion concentration of zamzam water significantly higher than the normal mineral water. Then, next result 3.2 mL of zamzam water or equally to 40 % volume of total medium incubation is a safety doses for this cell line while in cAMP assay, the result show that 3.2 mL of zamzam water incubated with 10 µl/mL of methadone prevented the overshoot of cAMP level (p<0.05) in U-87 MG cell line after 48h incubation. In Phase 2 study, co-treatment methadone (2.5 mg/100 mL) and zamzam water (40 mL/daily) was significantly attenuating the spontaneous withdrawal symptoms (body weight loss, diarrhoea, wet dog shake, rare standing and sniffing) of morphine dependent rat compared to others treatment group (p<0.05) after 30 days of treatment. Besides that, zamzam water treated group also shown a decrease in the number of jumping and face grooming. A significant reduction in amount was observed when compared to untreated group in the end of treatment day. Subsequently, in gene expression assay, the data obtained indicated that zamzam water, methadone and co treatment of methadone and zamzam water was significantly prevented the down regulation of MOR expression (p<0.05) in VTA area of morphine dependent rats which is explain the attenuated morphine withdrawal symptoms observed in these group. Besides that, the results also demonstrated that the co-treated rat with both methadone and Zamzam water significantly prevented the down-regulation of MOR expression compared to the rest of the treatment groups showing that Zamzam water has synergistic effects when combine together with methadone. This finding show that Zamzam water have an effects on the regulation of MOR through the down regulation of MOR and decreasing of cAMP level significantly. These effects probably due to the presence of sodium in Zamzam water which bind to MOR and promote the endocytosis of MOR. Dissertations, Academic Sila masukkan subject wajib Dissertations, Academic. Terima kasih... Zamzam Water Therapeutic Effects Thesis
spellingShingle 2018_Effects of Zamzam Water on Mu-Opioid Receptor Gene Expression in Morphine Dependent Subjects
state Terengganu
subject Zamzam water—Therapeutic use
Dissertations, Academic
summary Methadone Maintenance Treatment (MMT) is introduced as a treatment program that involves the long-term prescribing of methadone as an alternative to the opioid. However, the percentage of the client dropped out of the MMT program is increasing proportional to time. Thus, it is important to take all steps needed to ensure that the client sustain in MMT Program. A series of study reported that the endocytosis of Mu Opioid Receptor (MOR) reduce the developments of both dependence and withdrawal. Sodium (Na), which is one of the important ion has been reported has the capability to activate MOR and promote endocytosis of the MOR. Hence, zamzam water, which is known as alkaline water that contain higher Na contain as compared to others mineral water might have effects on the regulation of MOR and thus prevent the developments of both dependence and withdrawal. The current study divided into two Phase of study. In Phase 1 in-vitro study, the level of ion in zamzam water was determined using ion chromatography, then, the safety doses of zamzam water on opioid receptor expressing cell line (U-87 MG glioblastoma cells) was determined by using MTT assay. Then, the cAMP level, which is the marker for dependence in cell, was determined using ELISA kit. The U-87 MG cell line was incubated with morphine (25 µl/mL) for 24 h, purposely to make cell become dependent and then the cell was co-treated with difference concentration of methadone (5, 10, 25 µM) and 3.2 mL volume of zamzam water. Meanwhile in Phase 2 in-vivo study, ten animal withdrawal symptoms of morphine-dependent rats, which received different treatments, were observed. Then, the Ventral Tegmental Area (VTA) of rat’s brain was dissected and subjected to real-time quantitative RT-PCR to determine the regulation of MOR gene expression. In this experimental study, male Sprague Dawley rats (180–220 g) were randomly divided into 5 groups of 10: namely negative control group, untreated group, methadone treated group, zamzam water treated group, and co-treatment of methadone with zamzam water. Morphine dependency was induced by intraperitoneal injection of increasing doses daily by 2 mg/kg increments per day until a maximum of 68 mg/kg for 30 days was achieved. The rats were treated with methadone (2.5 mg/100 mL), zamzam water (40 mL/daily) and co treatment methadone (2.5 mg/100 mL) with zamzam water (40 mL/ daily) for 30 days. On days one, seven, fourteen, twenty-one, thirty of treatment, the rats were placed individually into Plexiglas cages and being observed for spontaneous withdrawal symptoms. For gene expression study, rats’ brains were removed and the VTA was dissected in separate groups. A quantitative RT-PCR method was used to evaluate the gene expression profile. In Phase 1 study, the result indicated that the ion concentration of zamzam water significantly higher than the normal mineral water. Then, next result 3.2 mL of zamzam water or equally to 40 % volume of total medium incubation is a safety doses for this cell line while in cAMP assay, the result show that 3.2 mL of zamzam water incubated with 10 µl/mL of methadone prevented the overshoot of cAMP level (p<0.05) in U-87 MG cell line after 48h incubation. In Phase 2 study, co-treatment methadone (2.5 mg/100 mL) and zamzam water (40 mL/daily) was significantly attenuating the spontaneous withdrawal symptoms (body weight loss, diarrhoea, wet dog shake, rare standing and sniffing) of morphine dependent rat compared to others treatment group (p<0.05) after 30 days of treatment. Besides that, zamzam water treated group also shown a decrease in the number of jumping and face grooming. A significant reduction in amount was observed when compared to untreated group in the end of treatment day. Subsequently, in gene expression assay, the data obtained indicated that zamzam water, methadone and co treatment of methadone and zamzam water was significantly prevented the down regulation of MOR expression (p<0.05) in VTA area of morphine dependent rats which is explain the attenuated morphine withdrawal symptoms observed in these group. Besides that, the results also demonstrated that the co-treated rat with both methadone and Zamzam water significantly prevented the down-regulation of MOR expression compared to the rest of the treatment groups showing that Zamzam water has synergistic effects when combine together with methadone. This finding show that Zamzam water have an effects on the regulation of MOR through the down regulation of MOR and decreasing of cAMP level significantly. These effects probably due to the presence of sodium in Zamzam water which bind to MOR and promote the endocytosis of MOR.
title 2018_Effects of Zamzam Water on Mu-Opioid Receptor Gene Expression in Morphine Dependent Subjects
title_full 2018_Effects of Zamzam Water on Mu-Opioid Receptor Gene Expression in Morphine Dependent Subjects
title_fullStr 2018_Effects of Zamzam Water on Mu-Opioid Receptor Gene Expression in Morphine Dependent Subjects
title_full_unstemmed 2018_Effects of Zamzam Water on Mu-Opioid Receptor Gene Expression in Morphine Dependent Subjects
title_short 2018_Effects of Zamzam Water on Mu-Opioid Receptor Gene Expression in Morphine Dependent Subjects
title_sort 2018_effects of zamzam water on mu-opioid receptor gene expression in morphine dependent subjects