Review Article

Carica papaya L. Leaf: A Systematic Scoping Review on Biological Safety and Herb-Drug Interactions

Table 6

In vivo animal toxicity studies of orally administered C. papaya leaf.

Author, year [ref.]Animal model (species; gender)Intervention details (formulation; dose; frequency; duration; quantitative analysis of content)ComparatorQuantitation of toxic/safe doseDescription of toxicity findings

Akinloye, 2010 [53]Rat (Wistar; Male)Air-dried C. papaya leaf decoction;
500 mg/kg;
Daily;
21 days;
NS
0.9% sodium chlorideNA(i) Male reproductive toxicity
Omonkhua, 2011 [54]Rabbits (New Zealand; NS)C. papaya leaf aqueous extract;
200 mg/kg;
Daily;
24 weeks;
NS
WaterNA(i) Transient elevation of liver enzymes (ALP, GGT, and bilirubin) at initial periods of treatment (3 to 5 weeks);
(ii) Risk of bile duct obstruction
Halim, 2011 [55]Rat (Sprague Dawley; female)Freeze-dried C. papaya leaf aqueous extract;
5, 50, 300, and 2000 mg/kg;
Once;
Single dose;
NS
WaterNS(i) No mortality and acute adverse events at all doses;
(ii) Raised HGB, HCT, RBC, TG, and total protein levels at 2000 mg/kg;
(iii) No relative organ weight and gross histopathology changes
Afzan, 2012 [56]Rat (Sprague Dawley; male and female)Lypohilised fresh C. papaya leaf juice;
10, 140, and 2000 mg/kg;
Daily;
28 days;
NS
WaterNS(i) No mortality and acute adverse events at all doses;
(ii) No abnormalities in serum haematology;
(iii) Raised ALT and ALP levels at 10 mg/kg and 140 mg/kg (male and female);
(iv) Raised total protein, AST, and HDL at 140 mg/kg (female);
(v) No relative organ weight and histopathology changes
Ismail, 2014 [57]Rat (Sprague Dawley; male and female)Freeze-dried fresh C. papaya leaf juice;
10, 140, and 2000 mg/kg;
13 weeks;
NS
WaterNOAEL = 2000 mg/kg (male and female)(i) No mortality and acute adverse events, no changes in body weight and food and water intake at all doses;
(ii) No abnormalities in serum haematology;
(iii) Raised LDH at 2000 mg/kg (male);
(iv) Raised albumin at 140 mg/kg (male);
(v) Raised protein and albumin at 140 and 2000 mg/kg (female);
(vi) Reduced creatinine at 2000 mg/kg (male and female);
(vii) No relative organ weight and histopathology changes
Ansah, 2015 [58]Rat (Sprague Dawley; male and female)Air-dried C. papaya leaf decoction;
Acute:
100–5000 mg/kg;
Once;
Single dose;
NS
Subacute:
10–500 mg/kg;
Once daily;
2 weeks;
NS
Reproductive:
10–500 mg/kg;
10–500 mg/kg;
Once daily;
2 weeks (male),
throughout the gestation period (female, duration NS);
NS
Distilled waterLD50 > 2000 mg/kg(i) No mortality and acute adverse events;
(ii) No abnormalities in serum haematology;
(iii) Hepatotoxicity: abnormalities in liver enzymes and histology (subacute, male and female);
(iv) Male and female reproductive toxicity
Nghonjuyi, 2016 [59]Chicks (Kabir; male and female)Air-dried C. papaya leaf 70% hydroethanolic extract;
Acute:
40–5120 mg/kg;
Once;
Single-dose;
NS
Subchronic:
0–640 mg/kg;
Once daily;
6 weeks;
NS
Distilled waterLD50 > 5120 mg/kg(i) No mortality and acute adverse events, no changes in body weight, food, and water intake at all doses;
(ii) Transient raised WCC at 640 mg/kg (male, subchronic);
(iii) No abnormalities in serum biochemistry

ALP = alkaline phosphatase; ALT = alanine transaminase; AST = aspartate aminotransferase; GGT = gamma-glutamyl transferase; HGB = haemoglobin; HCT = haematocrit; HDL = high-density lipoprotein; LD50 = median lethal dose; LDH = lactate dehydrogenase; NA = not applicable; NOAEL = no-observed-adverse-effect level; NS = not specified; RBC = red blood cell counts; TG = triglyceride; WCC = white blood cell counts.