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ORIGINAL ARTICLE

Cardioprotective Effects of Sesbania grandiflora in


Cigarette Smoke–exposed Rats
Thiyagarajan Ramesh, PhD, Ramalingam Mahesh, PhD, Chandrabose Sureka, PhD,
and Vavamohaideen Hazeena Begum, PhD

enough to induce platelet aggregation, endothelial damage,


Abstract: Cigarette smoke is a major risk factor of coronary heart endothelial dysfunction, and measurable changes in antiox-
disease, myocardial infarction, and cardiac death. It has been reported idant defense and lipid peroxidation2,3 due to the toxic
to contain large amounts of oxidants. This study was undertaken constituents of cigarette smoke.
to evaluate the cardioprotective effects of Sesbania grandiflora Cigarette smoke contains high concentrations of two
(S. grandiflora) against cigarette smoke–induced oxidative damage in different populations of free radicals, one in the tar component
rats. Adult male Wistar-Kyoto rats were exposed to cigarette smoke and the other in the gas component phase of smoke.4 About
for a period of 90 days and consecutively treated with S. grandiflora
4700 constituents of mainstream cigarette smoke have been
aqueous suspension (SGAS, 1000 mg/kg body weight per day orally)
identified5; thus tobacco smoke causes a mixed oxidative
for a period of 3 weeks. Lactate dehydrogenase activity in serum and
challenge to the cells. Free radicals, as reactive species of
cardiac lipid peroxidation product level were significantly increased
oxygen, induce the functional and structural damages of
while the activities of cardiac superoxide dismutase, catalase,
cardiac myocytes and may play an important role in diverse
glutathione peroxidase, glutathione reductase, glutathione-S-trans-
acute coronary syndromes and heart failure, in which an
ferase, and glucose-6-phosphate dehydrogenase then the levels of
imbalance of oxidative stress status is present.6 Smoking may
reduced glutathione, vitamin C, and vitamin E were significantly
enhance oxidative stress not only through the production of
decreased in rats exposed to cigarette smoke. Besides, copper level
reactive oxygen radicals in smoke but also through weakening
was elevated, whereas zinc, manganese, and selenium levels were
of the antioxidant defense mechanisms. Antioxidants consti-
significantly diminished in the heart of rats exposed to cigarette
tute the primary defense system that limit the toxicity
smoke. Treatment with SGAS restored the antioxidant status and
associated with cigarette smoke induced free radicals. Hence,
retained the levels of micronutrients. These results suggest that
these antioxidants mainly enzymic antioxidants such as
chronic cigarette smoke exposure increases the oxidative stress,
superoxide dismutase (SOD), catalase (CAT), glutathione
thereby disquieting the cardiac defense system and S. grandiflora
peroxidase (GPx), and glutathione-S-transferase (GST) and
protects the heart from the oxidative damage through its antioxidant
nonenzymic antioxidant like reduced glutathione (GSH) were
potential.
expected to be consumed by enhanced radical reactions.7 Bio-
Key Words: antioxidant, cigarette smoke, lipid peroxidation, heart, logical compounds with antioxidant properties contribute to
micronutrients, Sesbania grandiflora the protection of cells and tissues against deleterious effects of
cigarette smoke generated reactive oxygen species (ROS) and
(J Cardiovasc Pharmacol TM 2008;52:338–343) other free radicals.8 Experimental studies have suggested
a protective role for micronutrients, vitamins, and antioxidants
of natural origin in modifying the major diseases related to
C igarette smoking increases the risk of coronary heart
disease (CHD), myocardial infarction, and cardiac death.
An analysis of recent epidemiological studies showed that
cigarette smoking. Hence, the current study was planned to
evaluate the cardioprotective effects of S. grandifora on
cigarette smoke–exposed rats.
passive smoking increases the risk of CHD by 25%.1 Thus, the
Sesbania grandiflora L. pers (Febaceae), commonly
heart disease risk of a passive smoker is almost half of the risk
known as sesbania and agathi, has been used as an important
of an active smoker, even if the quantity of inhaled smoke is
only 1% of that coming from a daily pack of cigarettes.1 dietary nutritive source in Southeast Asian countries. S.
Furthermore, it has been suggested that in nonsmokers, even grandiflora leaves are the richest source of amino acids,
a short period (10–30 min) of exposure to cigarette smoke is minerals and vitamins (vitamin A, vitamin C, thiamine,
riboflavin, and nicotinic acid).9,10 Various parts of this plant are
used in Indian traditional medicine for the treatment of a broad
Received for publication May 3, 2008; accepted July 28, 2008.
From the Department of Siddha Medicine, Faculty of Science, Tamil spectrum of illness including leprosy, gout, rheumatism and
University, Thanjavur-613010, Tamil Nadu, India. liver disorders.11,12 It also possess anti-inflammatory, analgesic,
The authors declare no conflicts of interest. antipyretic, anxiolytic, and anticonvulsive activities.13,14 Our
Reprints: Dr. T. Ramesh, PhD, Division of Cardiology, Department of Internal previous studies reported that S. grandiflora has protective
Medicine, Seoul National University College of Medicine, 28 Yongon-dong.
Chongno-gu, Seoul 110-744, South Korea (e-mail: thiyagaramesh@
effect against oxidative damage and hypolipidemic property on
gmail.com). cigarette smoke–exposed rats.15–18 However, the mechanisms
Copyright Ó 2008 by Lippincott Williams & Wilkins underlying its beneficial effects against smoking-associated

338 J Cardiovasc Pharmacol ä  Volume 52, Number 4, October 2008


J Cardiovasc Pharmacol ä  Volume 52, Number 4, October 2008 Cardioprotective Role of Sesbania grandiflora

diseases are to be fully elucidated. Thus, the present study a period of 90 days. Similarly, control rats were exposed to air
has been undertaken to assess the cardioprotective role of instead of smoke.
S. grandiflora leaves against oxidative damage in the heart of At the end of the experimental period, the animals were
rats exposed to cigarette smoke by measuring the level of lipid sacrificed by cervical decapitation. Blood was collected and
peroxidation product and the activities of lactate dehydroge- separated serum by centrifugation for enzyme analysis. Heart
nase (LDH), enzymic antioxidants, and also the levels of was isolated, cleaned of adhering fat, and connective tissues.
nonenzymic antioxidants and micronutrients. Known weight of tissue was homogenized in 0.1M tris-HCl
buffer (pH 7.4) containing 0.25 M sucrose and used for the
biochemical estimation.
METHODS
Biochemical Analyses
Chemicals The activity of serum LDH was assayed spectrophoto-
Thiobarbituric acid, reduced glutathione, oxidized glu- metrically according to the standard procedures using
tathione, nicotinamide adenine dinucleotide (reduced), nico- commercially available diagnostic kits. Lipid peroxidation
tinamide adenine dinucleotide phosphate, ascorbic acid, and was estimated by measuring thiobarbituric acid reactive sub-
a-tocopherol were obtained from Sigma Chemical Company stances (TBARS) by the method of Beuge and Aust.20 SOD
(St. Louis, MO). All other chemicals and reagents used were of and CAT activities were assayed by the method of Kakkar
analytical grade with highest purity obtained from Glaxo et al21 and Sinha.22 GSH and activities of GSH-related enzymes
Laboratories (Mumbai, India). such as GPx, GR, GST, and glucose-6-phosphate dehydroge-
nase (G6PDH) were determined by the method of Moron
Plant Material et al,23 Rotruck et al,24 Stall et al,25 Habig et al,26 and Ellis and
Fresh S. grandiflora leaves were collected from a local Kirkman27 respectively. Vitamin C and vitamin E were esti-
plantation (Poovathur, Thanjavur, India). The leaves were mated according to the methods of Omaye et al28 and Baker
washed thoroughly to remove the contaminants, shade dried, et al.29 Protein was quantified by the method of Lowry et al.30
and powdered finely. The powdered leaves of S. grandiflora Copper (Cu), zinc (Zn), and manganese (Mn) were analyzed
were reconstituted in distilled water to form a suspension. using an atomic absorption spectrophotometer and selenium
Thus aqueous suspension of S. grandiflora leaves was (Se) was estimated by coupled atomic emission spectropho-
prepared freshly every day prior to the administration. tometer and fluorometer after digestion of tissue with nitric acid
and perchloric acid.
Experimental Animals
Male Wistar-Kyoto rats weighing 125 to 150 g were Statistical Analysis
obtained from Venkateshwara Animal Breeding Centre Results were expressed as means 6 SD (n = 6). The
(Bangalore, India). Animals were housed in polypropylene observed differences were analyzed for statistical significance
cages with filter tops under controlled conditions of a 12-hour by one-way analysis of variance with Tukey’s multiple
light/dark cycle at 27 6 2°C. All the rats received standard comparison as a post-hoc test. Significant P , 0.05, we used
pellet diet (Amrut rat feed, Pune, India) and water ad libitum. a software for statistical analysis (Graphpad Instat).
All animal experiments and maintenance were carried out
according to the ethical guidelines suggested by the Insti- RESULTS
tutional Animal Ethics Committee.
Effect of SGAS on Serum LDH Activity in
Experimental Protocol Cigarette Smoke–Exposed Rats
The animals were divided into four groups of six animals Figure 1 shows the activity of serum LDH. In cigarette
each: group I (control), administered only vehicle (distilled smoke–exposed rats, the activity of serum LDH was
water 10 ml/kg body weight per day orally); group II (S. significantly increased (P , 0.001) when compared with the
grandiflora aqueous suspension [SGAS]), administered SGAS control rats. Administration of SGAS to cigarette smoke–
alone (1000 mg/kg body weight per day orally) for a period of exposed rats showed significant reduction (P , 0.001) in the
3 weeks; group III (CSE), cigarette smoke–exposed rats; group activity of serum LDH when compared with the untreated
IV (CSE+SGAS), cigarette smoke–exposed rats administered cigarette smoke–exposed rats. Significant changes were not
SGAS (1000 mg/kg body weight per day orally) for a period of observed in the activity of this enzyme in SGAS-only treated
3 weeks. Group III and Group IV rats were exposed to rats.
cigarette smoke by modified method of Eun-Mi et al19 as
follows. In this method, the rats were placed in a polypropylene Effect of SGAS on Lipid Peroxidation in
cage with a lid made of polythene paper. A lighted cigarette Cigarette Smoke–Exposed Rats
was placed in a flask connected to the cage and air was Cigarette smoke produced a significant elevation in
supplied into the flask for 10 min by a small air pump. A cardiac TBARS levels in cigarette smoke–exposed rats (P ,
length of 5.9 cm of each cigarette was allowed to be burned by 0.001) as compared with control rats. Administration of SGAS
clamping the butt when it was placed in a flask. Each rat was significantly decreased (P , 0.001) the value of TBARS
subjected to inhale the cigarette smoke seven times a day at produced in cigarette smoke–exposed rats as compared with
regular intervals of an hour (from 11 a.m. to 5 p.m.) for untreated cigarette smoke–exposed rats. SGAS-only treated

q 2008 Lippincott Williams & Wilkins 339


Ramesh et al J Cardiovasc Pharmacol ä  Volume 52, Number 4, October 2008

Effect of SGAS on GSH- and GSH-Related


Enzymes in Cigarette Smoke–Exposed Rats
Cigarette smoke–exposed rats showed significant reduc-
tion in the level of cardiac GSH and activities of GPx, GR,
GST, and G6PDH (P , 0.05 and P , 0.001, respectively) as
compared with control rats. The diminished level of GSH and
activities related to GSH enzymes were significantly increased
(P , 0.001) by SGAS treatment as compared with untreated
cigarette smoke–exposed rats. By the same time, GSH level
and its related enzymes activities were not significantly altered
in SGAS-only treated rats when compared with control rats
(Table 1).
Effect of SGAS on Vitamin C and Vitamin E in
Cigarette Smoke–Exposed Rats
Cardiac vitamin C and vitamin E levels were signifi-
cantly lowered in cigarette smoke–exposed rats (P , 0.001) as
FIGURE 1. Effect of SGAS on serum LDH activities in control compared with control rats. Administration of SGAS was
and cigarette smoke–exposed rats. Values are expressed as restored (P , 0.001) the concentrations of vitamin C and
means 6 SD (n = 6). Statistical comparisons were made vitamin E in cigarette smoke–exposed rats when compared
between controls vs. SGAS and CSE; CSE vs. CSE+SGAS. *P , with untreated cigarette smoke–exposed rats. Significant
0.001. NS, nonsignificant. alterations were not found in the levels of vitamin C and
vitamin E in SGAS-only treated rats as compared with control
rats showed no significant changes on TBARS levels when rats (Fig. 4A and B).
compared with control rats (Fig. 2). Effect of SGAS on Micronutrients in Cigarette
Smoke–Exposed Rats
Cu level was significantly elevated while Zn, Mn, and Se
Effect of SGAS on SOD and CAT Activities in levels were reduced markedly (P , 0.001) in cigarette smoke–
Cigarette Smoke–Exposed Rats exposed rats when compared with that of the control rats.
Cardiac SOD and CAT activities were significantly These alterations were reverted to near normal after SGAS
decreased (P , 0.001) in cigarette smoke–exposed rats as treatment with cigarette smoke–exposed rats (P , 0.001).
compared with control rats. The decreased activities of SOD Significant changes were not observed in the concentrations of
and CAT were significantly increased (P , 0.001) after the Cu, Zn, Mn, and Se in SGAS-only treated rats when compared
SGAS treatment as compared with untreated cigarette smoke– with control rats (Table 2).
exposed rats. Significant changes were not observed in the
activities of SOD and CAT in SGAS-only treated rats when
compared with control rats (Fig. 3A and B). DISCUSSION
Cigarette smoke has been identified as a major risk
factor for cardiovascular diseases because the sustained release
of reactive free radicals from the tar and gas phases of smoke
impose oxidative stress, promote lipid peroxidation, and
consequently perturb the antioxidant defense systems in blood
and tissues of smokers.4 Cell membranes being primarily
composed of lipids, especially polyunsaturated fatty acids, are
particularly susceptible to attack by these free radicals from
cigarette smoke, leading to increased permeability and altered
fluidity of the membrane and thereby causing cellular
leakage.31 In the present study, LDH activity was increased
in the serum of cigarette smoke–exposed rats. The increased
activity of LDH is an indication of the severity of cigarette
smoke–induced necrotic damage to the myocardial membrane.
SGAS administration minimized the deleterious effects of
cigarette smoke by maintaining the levels of LDH in serum.
Oxidant balance in the heart has a very important role in
FIGURE 2. Effect of SGAS on cardiac TBARS in cigarette smoke– protecting the heart and in allowing normal cardiac contractile
exposed rats. Values are expressed as means 6 SD (n = 6). performance. Results from the current study support the
Statistical comparisons were made between controls vs. SGAS suggestion that the cigarette smoke exposure leads to
and CSE; CSE vs. CSE+SGAS. *P , 0.001. NS, nonsignificant. important changes in the heart, evidenced by an increase in

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J Cardiovasc Pharmacol ä  Volume 52, Number 4, October 2008 Cardioprotective Role of Sesbania grandiflora

FIGURE 3. Effect of SGAS on heart of


cigarette smoke–exposed rats. A,
Cardiac SOD activity. Unit of SOD:
50% inhibition of NBT reduction/
min/mg protein. (B) Cardiac CAT
activity. Unit of CAT: mmol of H2O2
decomposed/min/mg protein. Val-
ues are expressed as means 6 SD (n
= 6). Statistical comparisons were
made between controls vs. SGAS
and CSE; CSE vs. CSE+SGAS. *P ,
0.001. NS, nonsignificant.

lipid peroxidation product, mainly TBARS, which is in line mitochondrion. This suggests that GPx is the main scavenger
with the observation of previous finding.32 The increased lipid of H2O2 in these subcellular compartments. In the present
peroxidation might be a reflection of decreased levels of study, the cardiac GPx activity was decreased in cigarette
enzymatic and nonenzymatic antioxidant defense system. smoke–exposed rats. The observed decreased activity of GPx
SOD and CAT are antioxidant enzymes that protect the with cigarette smoke suggests an increased production of
cellular constituents against oxidative damage. SOD is the first H2O2 and decreased level of GSH in cigarette smoke–exposed
enzyme in antioxidant defense that scavenges superoxide rats. Administration of SGAS to cigarette smoke–exposed rats
radicals to form H2O2 and hence diminishes the toxic effects of showed that the increased activity of cardiac GPx. The
the radical. In the present study, cardiac SOD activity was increased activity of GPx may be due to ameliorated level of
significantly decreased in cigarette smoke–exposed rats. In cardiac GSH in cigarette smoke–exposed rats.
addition, cardiac CAT activity, which is involved in the GR is an important enzyme for maintaining the
detoxification of high concentrations of H2O2, also decreased intracellular level of GSH. In this study, the activity of cardiac
in cigarette smoke–exposed rats. These results are consistent GR was found to be decreased in cigarette smoke–exposed
with an earlier report.33 Treatment with SGAS significantly rats. The decreased activity of GR might be mainly due to
enhanced the activities of cardiac SOD and CAT to near depletion of GSH level. Gad and Hassan33 also reported that
normal and concomitantly decreased TBARS levels. This the level of GSH which is a substrate of GR was decreased in
shows the antioxidant potential of the SGAS against cardiac the heart of cigarette smoke–exposed rats. SGAS treatment
injury caused by cigarette smoke. with cigarette smoke–exposed rats showed increased activity
GSH is involved in the protection from dangerous of cardiac GR by enhancing the level of GSH.
effects of free radicals, particularly in ischemia. In this study, GST is involved in the detoxification of ROS and
cigarette smoke increased the production of free oxygen tobacco smoke carcinogens, including monohalomethanes,
radicals and decreased the levels of GSH. Decreased GSH ethylene oxide, dichloromethane, and the polycyclic aromatic
level may be due to its increased utilization during the burst of hydrocarbons from cigarette tar, by conjugating them to
ROS production that protects sulfhydryl group containing glutathione.34 In this study, the activity of cardiac GST was
proteins from lipid peroxidation. Our observation is in found to be decreased in cigarette smoke–exposed rats. The
correlation with previous finding.33 Besides, the GSH decreased activity of GST may be due to lowered level of GSH
depletion affects mainly GSH-dependent enzymes such as and elevated level of lipid peroxidation in cigarette smoke–
GPx, GR and GST making the cells more susceptible to any exposed rats. Administration of SGAS to cigarette smoke–
further challenge. exposed rats showed increased activity of cardiac GST. The
GPx is widely distributed in almost all tissues. The enhanced activity of GST may be due to increased level of
predominant subcellular distribution is in the cytosol and cardiac GSH in cigarette smoke–exposed rats. In addition, the

TABLE 1. Effect of SGAS on Cardiac GSH- and GSH-Related Enzyme Activities in Cigarette Smoke–exposed Rats
Parameters Control SGAS CSE CSE+SGAS
GSH (mg/mg protein) 3.13 6 0.16 3.48 6 0.12* 2.87 6 0.13† 3.55 6 0.11‡
GPx (mmol GSH oxidized/min/mg protein) 7.17 6 0.67 7.05 6 0.66* 5.53 6 0.44‡ 6.79 6 0.67†
GR (mmol NADPH oxidized/min/mg protein) 0.31 6 0.03 0.33 6 0.03* 0.26 6 0.03§ 0.31 6 0.03§
GST (mmol CDNB-GSH conjugated/min/mg protein) 0.53 6 0.04 0.50 6 0.04* 0.38 6 0.02‡ 0.47 6 0.03‡
G6PDH (U/min/mg protein) 1.24 6 0.06 1.21 6 0.06* 0.94 6 0.05‡ 1.18 6 0.06‡
Values are means 6 SD (n = 6). Statistical comparisons were made between controls vs. SGAS and CSE; CSE vs. CSE1SGAS.
*Not significant.
†P , 0.01.
‡P , 0.001.
§P , 0.05.

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Ramesh et al J Cardiovasc Pharmacol ä  Volume 52, Number 4, October 2008

Figure 4. Effect of SGAS on hearts


of cigarette smoke–exposed rats. A,
Cardiac vitamin C level (mg/mg
protein). B, Cardiac vitamin E level
(mg/mg protein). Values are
expressed as means 6 SD (n = 6).
Statistical comparisons were made
between controls vs. SGAS and CSE;
CSE vs. CSE+SGAS. *P , 0.001. NS,
nonsignificant.

increased activity of GST may accelerate the reactions of the diminished antioxidant level in cigarette smoke–exposed rats.
ROS and aldehydes with GSH to give less toxic conjugates in Decreased cardiac vitamin E level was reverted to near normal
heart. by SGAS treatment on cigarette smoke–exposed rats. This
The enzyme G6PDH is not directly involved in GSH might be attributed to vitamin C, which is present in SGAS.
synthesis but it catalyses the first step in the hexose Vitamin C is able to regenerate vitamin E.36
monophosphate pathway, the primary pathway that generates Moreover, micronutrients (trace elements) such as Cu,
reducing equivalents, NADPH, and thus effectively acts as an Zn, Mn, and Se also play major roles in cardiac defense
indicator for intracellular redox status.35 NADPH is utilized by mechanism. In the present study, cardiac Cu level was
GR to convert oxidized glutathione to reduced glutathione. In significantly increased in cigarette smoke–exposed rats. The
the present study, the activity of cardiac G6PDH was increased concentration may be related to the delivery of Cu to
decreased in cigarette smoke–exposed rats. The decreased the body by cigarettes.37 Notably, the present study demon-
activity of G6PDH led to impairment of GSH regeneration. strated a positive and significant correlation between the levels
SGAS treatment with cigarette smoke–exposed rats showed of Cu and those of lipid peroxidation in cigarette smoke–
increased activity of G6PDH by producing more reducing exposed rats. It is known that Cu is a powerful catalytic
equivalents and by the reduction of oxidized glutathione to element, showing a high second-order rate constant in
reduced glutathione. catalyzing Fenton chemistry reactions and a peculiar capacity
Vitamin C has been demonstrated to be an efficient to promote lipid peroxidation.38 The cardiac lipid peroxide
antioxidant that acts both directly by reaction with aqueous burden represents a remarkable finding, considering the
peroxyl radicals and indirectly by restoring the antioxidant recognized susceptibility to coronary heart disease. Indeed,
properties of fat-soluble vitamin E.36 In the present study, oxidant injury and lipid peroxidation are crucial in myocardial
cardiac vitamin C level was decreased in cigarette smoke– infarction. Elevated cardiac Cu level was significantly reduced
exposed rats. This might be due to increased utilization to by SGAS treatment in cigarette smoke–exposed rats.
scavenge free radicals, which are released from cigarette Zn, Mn, and Se mainly constitute cofactors for various
smoke. Administration of SGAS to cigarette smoke–exposed antioxidant enzymes like SOD and GPx. The present study
rats showed increased level of vitamin C. This result proved showed decreased levels of Zn, Mn, and Se in the heart of rats
that vitamin C, which is present in S. garandiflora, restored the exposed to cigarette smoke. This may be due to heavy metals
level of cardiac vitamin C in cigarette smoke–exposed rats. like cadmium, arsenic, and lead, which are present in cigarette
Vitamin E as an integral part of cell membranes, acts as smoke.39 The heavy metals from cigarette smoke replace the
cytosolic antioxidant, scavenges the free radicals that promote trace elements that are present in antioxidant enzymes and
peroxidative chain reactions. In the present study, the level of decreases the enzyme activities.40 Treatment with SGAS
cardiac vitamin E was decreased in cigarette smoke–exposed restored the levels of Zn, Mn, and Se in the heart of cigarette
rats. The observed low level of cardiac vitamin E with cigarette smoke–exposed rats. Earlier reports showed that mineral
smoke suggests an increased production of free radicals and mixture of Ca/P, Zn, and Fe replaced the heavy metals from the

TABLE 2. Effect of SGAS on Cardiac Micronutrients in Cigarette Smoke–exposed Rats


Parameters Control SGAS CSE CSE+SGAS
Cu (mg/g) 3.80 6 0.21 3.90 6 0.18* 5.10 6 0.21† 4.62 6 0.21†
Zn (mg/g) 20.00 6 1.04 21.00 6 1.16* 14.00 6 0.76† 18.00 6 1.17†
Mn (mg/g) 1.14 6 0.05 1.20 6 0.06* 0.63 6 0.03† 0.97 6 0.05†
Se (mg/g) 0.31 6 0.02 0.33 6 0.01* 0.12 6 0.02† 0.28 6 0.01†
Values are means 6 SD (n = 6). Statistical comparisons were made between controls vs. SGAS and CSE; CSE vs. CSE+SGAS.
*Not significant.
†P , 0.001.

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J Cardiovasc Pharmacol ä  Volume 52, Number 4, October 2008 Cardioprotective Role of Sesbania grandiflora

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