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International Journal of Science and Research (IJSR), India Online ISSN: 2319-7064
Volume 2 Issue 9, September 2013
www.ijsr.net
Effects of Spondias Mombin Leaf Extract on the
Cytoarchitecture of the Cerebal Cortex and on
Learning and Memory in Wistar Rats
Asuquo, O. R, Udonwa, U. N, Eluwa, M. A, Ekanem, T. B
Department of Human Anatomy, Faculty of Basic Medical Sciences, University of Calabar, Calabar, PMB 1115, Cross River State, Nigeria
Abstract: This study was carried out to determine the effects of aqueous extract of Spondias mombin on the histology of the cerebral
cortex and its possible learning and memory enhancing properties in adult male Wistar rats. 24 matured male Wistar rats (180g) were
randomly divided into three groups; 1 control and 2 treatment groups. Group A served as control, group B and C were administered with
4oomg/kg and 800mg/kg body weight of Spondias mombin aqueous extract respectively. The administration lasted for 28days. Morris
water maze was employed for the learning and memory protocol. Histopathology of the cerebral cortex was investigated. Section of the
cerebral cortex in the 400mg/kg rats showed no degenerative changes whereas the 800mg/kg showed degenerative changes and
intercellular degradation. Using the Morris water maze method, extract at 400mg/kg improved learning and retention with a significant
improvement established in memory tests using the reversal training. At 800mg/kg, the extract had no significant effect on learning and
memory, aqueous extract of Spondias mombin has a learning and memory enhancing potential at low dose. Caution must be taken in its
usage at high dose to avoid possible cerebral injury
Keywords: Cerebral cortex, Degenerative, Injury, Learning, Memory, Retention.
1. Introduction
Herbal medicinal preparations have become very popular in
developing countries due to the unavailability and costs of
orthodox medicines. A lot of the population in these
Countries do not have adequate financial freedom to procure
orthodox drugs and therefore rely mostly on herbal plants
especially in the rural areas. Several herbal preparations have
been employed in most developing Countries including
Nigeria for treating and alleviating ailments. Preparations are
made from herbs, fruits and spices; seeds of Abrus
precatorius can be used to treat diabetes [1]. Fruits of
Ananas comosus are employed for typhoid fever [2]. Ripe
seeds of Carica papaya are an effective treatment for
malaria [3]. Aspilia affricana leaves are used for wound
healing [4]. Sida acuta is used for the management and
treatment of ulcers[5].
Herbs have been known to have wide therapeutic usage,
suitable for chronic treatments and also acceptable by the
population [6]-[7]. Spondias mombin (SpM) is one of such
medicinal plants that have been investigated to have a wide
range of therapeutic use; it is antimicrobial [8], anti-
inflammatory [9], antimalarial [10], antihelmintic [11],
antispasmodic [12], has a lipid lowering effect [13and
antigonadotrophic [14. Ayoka et al, [15] had demonstrated
the hypnotic and sedative properties of the plant, also, Pauly
and Fleury [16] reported that it acts as an anti-aging agent; it
is possible therefore that it can improve learning. The ability
to acquire knowledge and retain the acquired knowledge can
be defined as learning and memory [17]. Several conditions
such as age, stress and emotions may lead to impairment of
learning [18]-[20]. However, ageing have been implicated
to affect learning and memory more [21]. It has been shown
to lead to memory loss, dementia and amnesia that may lead
to life threatening diseases such as schizophrenia and
Alzheimer’s disease. There is no record in literature on the
effect of Spondias mombin on the histology of the cerebral
cortex as well as learning and memory, hence, this research
was carried out.
2. Materials and Methods
Twenty-four adult male Wistar rats were bred in the animal
house of the department of Human Anatomy, University of
Calabar, Nigeria. The rats were kept under standard
condition at a temperature of 25-27o
C. The animals were
divided into three groups A, Band C with each consisting of
eight rats. The group A animals served as control and
groups B and C were the experimental animals. They were
fed with rat chow and water given ad libitum.
2.1 Preparation of herb extract
The leaves of Spondias mombin were procured from a local
community in Akpabuyo, Cross River State, Nigeria and
authenticated by the Chief Botanist in the University of
Calabar. The leaves were washed and air dried for 5 days,
blended into fine powder using a Binatone kitchen blender
and kept in a glass container with a cover lid. The extraction
method involved aqueous extraction, where 100g of
powdered sample was soaked in distilled water for 24 hours.
The extract was then filtered and evaporated to dryness at
room temperature to obtain a crude residue (yield of 40%).
2.2 Experimental protocol
400mg/kg and 800mg/kg per body weight of aqueous leaf
extract of Spondias mombin (SpM) were orally administered
to rats in groups B and C respectively for 28 days. Animals
in group A received corresponding volumes of distilled
water. Schedule of administration is represented in Table 1
below.
Paper ID: 12013146 5
International Journal of Science and Research (IJSR), India Online ISSN: 2319-7064
Volume 2 Issue 9, September 2013
www.ijsr.net
Table 1: Oral administration of the control and Spondias
mombin treated groups.
Group (8) Treatments Duration (days)
Control Distilled water 28
B 400mg/kg 28
C 800mg/kg 28
2.3 Learning and memory test
Morris water maze method of Brown [22] was used to test
for learning and memory in the animals. Testing in the
Morris water maze lasted eight days. The behaviors scored
during the test were swim latency and duration in each
quadrant
3. Results
3.1 Histological
The 6 cell layers of the cerebral cortex were well defined in
the control animals (Fig 1). The group B animals treated
with 400mg/kg SpM showed distinct cell layers similar to
that of control (Fig 2). Distorted cell layers with all the cell
types scattered within in the cytoplasm were seen in group C
treated with 800mg/kg SpM.
Figure 1: Cross section of cerebral cortex of control animals
showing normal appearance. ML- Molecular layer; OGL-
Outer granular layer; PL- Pyramidal layer; IGL- inner
granular layer; GaCL- Ganglionic cell layer; MuCL-
Multiform cell layer. ( H & E X 100).
3.2 Learning and memory
Figure 4 shows the swimming latency of the control and
experimental groups during the 3 days acquisition in the
Morris water maze. Mean values for the control were
39.55±4.52; 25.05±6.11 and 20.47±3.19. Group B treated
with 400mg/kg SpM that served as low dose recorded mean
values of 54.26±3.72; 34.01±6.34 and 30.77±6.59, while
group C treated with 800mg/kg (high dose) had values of
46.14±1.54; 38.33±2.76 and 38.38±2.76. The swimming
latency of the low dose were significantly (P<0.05)
Figure 2: Cross section of cerebral cortex of animals treated
with 400mg/kg SpM showing distinct features. ML-
Molecular layer; OGL- Outer granular layer; PL- Pyramidal
layer; IGL- inner granular layer; GaCL- Ganglionic cell
layer; MuCL- Multiform cell layer. (H & E X 100).
Figure 3: Cross section of cerebral cortex of animals treated
with 800mg/kg SpM showing distortion of cell layers and
scattered cell types. ML- Molecular layer; OGL- Outer
granular layer; PL- Pyramidal layer; IGL- inner granular
layer; GaCL- Ganglionic cell layer; MuCL- Multiform cell
layer. (H & E X 100
Figure 4: Comparison of the swim latencies during the
acquisition training of the Morris water maze task in the
different experimental groups of rats. Values are mean ±
SEM, n = 8.
The swim latency of reversal training for 3 days of control
and experimental groups is shown in Figure 5. The mean
values of control animals were 8.26±0.69secs,
12.21±1.97secs and 9.31±0.41secs respectively. Group B
recorded values of 12.41±8.01secs, 10.84±8.08secs and
8.72±2.58secs while group C had values of 29.53±5.59secs,
34.05±4.11secs and 37.50±4.36secs. Group C recorded a
significantly (P<0.05) higher time.
Figure 5: Comparison of the swim latencies during the
reversal training of the Morris water maze task in the
Paper ID: 12013146 6
International Journal of Science and Research (IJSR), India Online ISSN: 2319-7064
Volume 2 Issue 9, September 2013
www.ijsr.net
different experimental groups of rats. Values are mean ±
SEM, n = 8.
Figure 6 shows the swim latency of animals in the quadrant
during the probe trial. The groups from control to group C
had values of 11.76±0-51secs, 15.43±0.40secs and
18.76±0.34secs respectively. These values were not
significantly (P>0.05) different.
Figure 6: Comparison of the South East quadrant duration
in the probe trial of the Morris water maze task in the
different experimental groups of rats. Values are mean +
SEM, n = 8.
The swim latency during the visible platform task of the
Morris water maze is shown in Figure 7. Mean values were
5.62±0.4secs for control, 6.27±0.79secs for group B and
14.02±2.51secs for group C. The swim latency of group C
(800mg/kg) were significantly (P<0.05) higher compared to
control.
Figure 7: Comparison of swim latencies during the visible
platform task of the Morris water maze task in the different
experimental groups of rats. Values are mean + SEM, n = 8.
4. Discussion
The cerebral cortex is involved and responsible for the
coordination of learning and memory. Any distortion of the
cytoarchitectural design of the cerebrum may manifest in a
defect in memory and coordination of learning [23]. In this
study, SpM aqueous leaf extracts was administered at
varying doses (400mg and 800mg/kg) to adult Wistar rats
with adverse effect found in the histological appearance and
ability to learn and memorize at 800mg/kg with little or no
effect at 400mg/kg. The mechanism through which this is
affected is not clear, however, improved learning behavior
and enhanced memory at 400mg/kg may be due to the
structural changes observed in the cerebrum. Improved
learning and enhanced memory have been linked to
structural changes of the limbic system [24]-[26]. SpM may
also have probably positively affected the biosynthesis of
neurotransmitters such as acetylcholine, noradrenaline,
dopamine and 5HT that have been reported to be involved in
learning and memory mechanism [27]-[29]. Dashti and
Morshedi [30] have also stated that ‘’neuronal activities are
associated with learning and this leads to the expression of
several genes whose protein products play vital roles in the
process of memory formation’’. The use of traditional
medicines has been confirmed to improve cognitive function
and prevent the onset of age related deficits [31].
5. Conclusion
From this study aqueous extract of SpM has been found to
improve the cytoarchitecture of the cerebrum and also
enhances learning and memory capabilities. Therefore,
caution must be taken in its use in the treatment of various
ailments not to exceed a calculated safe dosage and duration
so as not to lead to impairment in learning and memory.
References
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International Journal of Science and Research (IJSR), India Online ISSN: 2319-7064
Volume 2 Issue 9, September 2013
www.ijsr.net
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Author Profile
Olaitan R. Asuquo received her B.Sc, M.Sc and Ph.D from
University of Calabar. She is a doctoral degree holder in
Reproductive Neuroendocrinology in the Department of Human
Anatomy, Faculty of Basic Medical Sciences, University of
Calabar.
Utibe N. Udonwa received her B.Sc in Human Anatomy from the
University of Calabar. She is currently serving her country in the
one year compulsory youth service.
Mokutima A. Eluwa received her B.Sc, M.Sc and Ph.D from
University of Calabar. She is a Senior Lecturer in Teratology in the
Department of Human Anatomy, Faculty of Basic Medical
Sciences, University of Calabar.
Theresa B. Ekanem received her B.Sc, M.Sc in Human Anatomy
from the University of Calabar and Ph.D in Neurobiology from
Obafemi Awolowo University, Ile-Ife. She is an Associate
Professor in Neurobiology in the Department of Human Anatomy,
Faculty of Basic Medical Sciences, University of Calabar.
Paper ID: 12013146 8

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Effects of Spondias Mombin Leaf Extract on the Cytoarchitecture of the Cerebal Cortex and on Learning and Memory in Wistar Rats

  • 1. International Journal of Science and Research (IJSR), India Online ISSN: 2319-7064 Volume 2 Issue 9, September 2013 www.ijsr.net Effects of Spondias Mombin Leaf Extract on the Cytoarchitecture of the Cerebal Cortex and on Learning and Memory in Wistar Rats Asuquo, O. R, Udonwa, U. N, Eluwa, M. A, Ekanem, T. B Department of Human Anatomy, Faculty of Basic Medical Sciences, University of Calabar, Calabar, PMB 1115, Cross River State, Nigeria Abstract: This study was carried out to determine the effects of aqueous extract of Spondias mombin on the histology of the cerebral cortex and its possible learning and memory enhancing properties in adult male Wistar rats. 24 matured male Wistar rats (180g) were randomly divided into three groups; 1 control and 2 treatment groups. Group A served as control, group B and C were administered with 4oomg/kg and 800mg/kg body weight of Spondias mombin aqueous extract respectively. The administration lasted for 28days. Morris water maze was employed for the learning and memory protocol. Histopathology of the cerebral cortex was investigated. Section of the cerebral cortex in the 400mg/kg rats showed no degenerative changes whereas the 800mg/kg showed degenerative changes and intercellular degradation. Using the Morris water maze method, extract at 400mg/kg improved learning and retention with a significant improvement established in memory tests using the reversal training. At 800mg/kg, the extract had no significant effect on learning and memory, aqueous extract of Spondias mombin has a learning and memory enhancing potential at low dose. Caution must be taken in its usage at high dose to avoid possible cerebral injury Keywords: Cerebral cortex, Degenerative, Injury, Learning, Memory, Retention. 1. Introduction Herbal medicinal preparations have become very popular in developing countries due to the unavailability and costs of orthodox medicines. A lot of the population in these Countries do not have adequate financial freedom to procure orthodox drugs and therefore rely mostly on herbal plants especially in the rural areas. Several herbal preparations have been employed in most developing Countries including Nigeria for treating and alleviating ailments. Preparations are made from herbs, fruits and spices; seeds of Abrus precatorius can be used to treat diabetes [1]. Fruits of Ananas comosus are employed for typhoid fever [2]. Ripe seeds of Carica papaya are an effective treatment for malaria [3]. Aspilia affricana leaves are used for wound healing [4]. Sida acuta is used for the management and treatment of ulcers[5]. Herbs have been known to have wide therapeutic usage, suitable for chronic treatments and also acceptable by the population [6]-[7]. Spondias mombin (SpM) is one of such medicinal plants that have been investigated to have a wide range of therapeutic use; it is antimicrobial [8], anti- inflammatory [9], antimalarial [10], antihelmintic [11], antispasmodic [12], has a lipid lowering effect [13and antigonadotrophic [14. Ayoka et al, [15] had demonstrated the hypnotic and sedative properties of the plant, also, Pauly and Fleury [16] reported that it acts as an anti-aging agent; it is possible therefore that it can improve learning. The ability to acquire knowledge and retain the acquired knowledge can be defined as learning and memory [17]. Several conditions such as age, stress and emotions may lead to impairment of learning [18]-[20]. However, ageing have been implicated to affect learning and memory more [21]. It has been shown to lead to memory loss, dementia and amnesia that may lead to life threatening diseases such as schizophrenia and Alzheimer’s disease. There is no record in literature on the effect of Spondias mombin on the histology of the cerebral cortex as well as learning and memory, hence, this research was carried out. 2. Materials and Methods Twenty-four adult male Wistar rats were bred in the animal house of the department of Human Anatomy, University of Calabar, Nigeria. The rats were kept under standard condition at a temperature of 25-27o C. The animals were divided into three groups A, Band C with each consisting of eight rats. The group A animals served as control and groups B and C were the experimental animals. They were fed with rat chow and water given ad libitum. 2.1 Preparation of herb extract The leaves of Spondias mombin were procured from a local community in Akpabuyo, Cross River State, Nigeria and authenticated by the Chief Botanist in the University of Calabar. The leaves were washed and air dried for 5 days, blended into fine powder using a Binatone kitchen blender and kept in a glass container with a cover lid. The extraction method involved aqueous extraction, where 100g of powdered sample was soaked in distilled water for 24 hours. The extract was then filtered and evaporated to dryness at room temperature to obtain a crude residue (yield of 40%). 2.2 Experimental protocol 400mg/kg and 800mg/kg per body weight of aqueous leaf extract of Spondias mombin (SpM) were orally administered to rats in groups B and C respectively for 28 days. Animals in group A received corresponding volumes of distilled water. Schedule of administration is represented in Table 1 below. Paper ID: 12013146 5
  • 2. International Journal of Science and Research (IJSR), India Online ISSN: 2319-7064 Volume 2 Issue 9, September 2013 www.ijsr.net Table 1: Oral administration of the control and Spondias mombin treated groups. Group (8) Treatments Duration (days) Control Distilled water 28 B 400mg/kg 28 C 800mg/kg 28 2.3 Learning and memory test Morris water maze method of Brown [22] was used to test for learning and memory in the animals. Testing in the Morris water maze lasted eight days. The behaviors scored during the test were swim latency and duration in each quadrant 3. Results 3.1 Histological The 6 cell layers of the cerebral cortex were well defined in the control animals (Fig 1). The group B animals treated with 400mg/kg SpM showed distinct cell layers similar to that of control (Fig 2). Distorted cell layers with all the cell types scattered within in the cytoplasm were seen in group C treated with 800mg/kg SpM. Figure 1: Cross section of cerebral cortex of control animals showing normal appearance. ML- Molecular layer; OGL- Outer granular layer; PL- Pyramidal layer; IGL- inner granular layer; GaCL- Ganglionic cell layer; MuCL- Multiform cell layer. ( H & E X 100). 3.2 Learning and memory Figure 4 shows the swimming latency of the control and experimental groups during the 3 days acquisition in the Morris water maze. Mean values for the control were 39.55±4.52; 25.05±6.11 and 20.47±3.19. Group B treated with 400mg/kg SpM that served as low dose recorded mean values of 54.26±3.72; 34.01±6.34 and 30.77±6.59, while group C treated with 800mg/kg (high dose) had values of 46.14±1.54; 38.33±2.76 and 38.38±2.76. The swimming latency of the low dose were significantly (P<0.05) Figure 2: Cross section of cerebral cortex of animals treated with 400mg/kg SpM showing distinct features. ML- Molecular layer; OGL- Outer granular layer; PL- Pyramidal layer; IGL- inner granular layer; GaCL- Ganglionic cell layer; MuCL- Multiform cell layer. (H & E X 100). Figure 3: Cross section of cerebral cortex of animals treated with 800mg/kg SpM showing distortion of cell layers and scattered cell types. ML- Molecular layer; OGL- Outer granular layer; PL- Pyramidal layer; IGL- inner granular layer; GaCL- Ganglionic cell layer; MuCL- Multiform cell layer. (H & E X 100 Figure 4: Comparison of the swim latencies during the acquisition training of the Morris water maze task in the different experimental groups of rats. Values are mean ± SEM, n = 8. The swim latency of reversal training for 3 days of control and experimental groups is shown in Figure 5. The mean values of control animals were 8.26±0.69secs, 12.21±1.97secs and 9.31±0.41secs respectively. Group B recorded values of 12.41±8.01secs, 10.84±8.08secs and 8.72±2.58secs while group C had values of 29.53±5.59secs, 34.05±4.11secs and 37.50±4.36secs. Group C recorded a significantly (P<0.05) higher time. Figure 5: Comparison of the swim latencies during the reversal training of the Morris water maze task in the Paper ID: 12013146 6
  • 3. International Journal of Science and Research (IJSR), India Online ISSN: 2319-7064 Volume 2 Issue 9, September 2013 www.ijsr.net different experimental groups of rats. Values are mean ± SEM, n = 8. Figure 6 shows the swim latency of animals in the quadrant during the probe trial. The groups from control to group C had values of 11.76±0-51secs, 15.43±0.40secs and 18.76±0.34secs respectively. These values were not significantly (P>0.05) different. Figure 6: Comparison of the South East quadrant duration in the probe trial of the Morris water maze task in the different experimental groups of rats. Values are mean + SEM, n = 8. The swim latency during the visible platform task of the Morris water maze is shown in Figure 7. Mean values were 5.62±0.4secs for control, 6.27±0.79secs for group B and 14.02±2.51secs for group C. The swim latency of group C (800mg/kg) were significantly (P<0.05) higher compared to control. Figure 7: Comparison of swim latencies during the visible platform task of the Morris water maze task in the different experimental groups of rats. Values are mean + SEM, n = 8. 4. Discussion The cerebral cortex is involved and responsible for the coordination of learning and memory. Any distortion of the cytoarchitectural design of the cerebrum may manifest in a defect in memory and coordination of learning [23]. In this study, SpM aqueous leaf extracts was administered at varying doses (400mg and 800mg/kg) to adult Wistar rats with adverse effect found in the histological appearance and ability to learn and memorize at 800mg/kg with little or no effect at 400mg/kg. The mechanism through which this is affected is not clear, however, improved learning behavior and enhanced memory at 400mg/kg may be due to the structural changes observed in the cerebrum. Improved learning and enhanced memory have been linked to structural changes of the limbic system [24]-[26]. SpM may also have probably positively affected the biosynthesis of neurotransmitters such as acetylcholine, noradrenaline, dopamine and 5HT that have been reported to be involved in learning and memory mechanism [27]-[29]. Dashti and Morshedi [30] have also stated that ‘’neuronal activities are associated with learning and this leads to the expression of several genes whose protein products play vital roles in the process of memory formation’’. The use of traditional medicines has been confirmed to improve cognitive function and prevent the onset of age related deficits [31]. 5. Conclusion From this study aqueous extract of SpM has been found to improve the cytoarchitecture of the cerebrum and also enhances learning and memory capabilities. Therefore, caution must be taken in its use in the treatment of various ailments not to exceed a calculated safe dosage and duration so as not to lead to impairment in learning and memory. References [1] CC. Manago, EO. Alumanah. Antidiabetic effect of chloroform-methanol extracts of Abrus precatorius Linn seed in alloxan diabetic rabbit. Journal of Applied Sciences and Environmental management, 9 (1), pp. 85- 88, 2005. [2] OI. Faleyimu, O. Akinyemi, YM. Idris. Survey of forest plants used in traditional treatment of typhoid fever in Chikun Local Government Area of Kaduna State, Nigeria. International Journal of Biomedical and Health Sciences, 6(1), pp 75-81, 2010. [3] P. Udoh, I.Essien, F. Udoh. Effect of Carica papaya (Pawpaw) seeds extract on the morphology of pituitary- gonadal axis of male Wistar rats. Phytotherapy Research, 19, pp 1065-1068, 2005. [4] OOK.Oko, EA. Agiang, EE. Osim, OR. Asuquo. Toxicological evaluation of Aspilia Africana leaf extracts in mice. American Journal of Pharmacology and Toxicology, 6(3): pp 96-101, 2011. [5] FG. Coee, G. Anderson. Screening of medicinal plants used by the Garifuna of Eastern Nicaragua for bioactive compounds. Journal of Ethnopharmacology, 53, pp29- 50, 1996. [6] S. Kanowski, WM. Herrmann, K. Stephen, W. Wierich, R. Horr. Proof of efficacy of the Gingko biloba special extract [7] EGb 761 in outpatients suffering from mild to moderate primary degenerative dementia of the Alzheimer type or multi-infarct dementia. Pharmacopsychiatry, 29, pp 47- 56, 1996. [8] NH. Masshour, GI. Lin, WH. Frishman. Herbal medicine for the treatment of cardiovascular disease. Archives of Internal Medicine, 158, pp 2225-2234, 1998. [9] KA. Abo, VO. Ogunleye, JS. Asindi. Antimicrobial potential of Spondias mombin, Croton zambesicus and Paper ID: 12013146 7
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Estradiol potentiates acetylcholine and glutamate-mediated post-trail memory processing in the hippocampus. Brain Research, 864, pp 263-269, 2000. [30]YH, Cho, E. Friedman, SJ. Silva. Ibotenate lesions of the hippocampus impair spatial learning but not contextual fear conditioning in mice. Behavioural Brain Research, 98, pp 77-78, 1999. [31]MH. Dashti-R, A. Morshedi. The effects of Syzygium aromaticum (clove) on learning and memory in mice. Asian Journal of Traditional Medicines, 4(4), pp 128- 133, 2009. [32]GP. Eckert. Traditional used plants against cognitive decline and Alzheimer disease. Frontiers in Pharmacology, 1(138), pp 1-10, 2010. Author Profile Olaitan R. Asuquo received her B.Sc, M.Sc and Ph.D from University of Calabar. She is a doctoral degree holder in Reproductive Neuroendocrinology in the Department of Human Anatomy, Faculty of Basic Medical Sciences, University of Calabar. Utibe N. Udonwa received her B.Sc in Human Anatomy from the University of Calabar. She is currently serving her country in the one year compulsory youth service. Mokutima A. Eluwa received her B.Sc, M.Sc and Ph.D from University of Calabar. She is a Senior Lecturer in Teratology in the Department of Human Anatomy, Faculty of Basic Medical Sciences, University of Calabar. Theresa B. Ekanem received her B.Sc, M.Sc in Human Anatomy from the University of Calabar and Ph.D in Neurobiology from Obafemi Awolowo University, Ile-Ife. She is an Associate Professor in Neurobiology in the Department of Human Anatomy, Faculty of Basic Medical Sciences, University of Calabar. Paper ID: 12013146 8