<?xml version="1.0" encoding="utf-8" ?>
<article xml:lang="en" article-type="research-article" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">
    <front>
        <journal-meta>
            <journal-id journal-id-type="publisher-id">PSJFS</journal-id>
            <journal-title-group>
                <journal-title>Potravinarstvo Slovak Journal of Food Sciences</journal-title>
                <abbrev-journal-title abbrev-type="pubmed">Potr. S. J. F. Sci.</abbrev-journal-title>
            </journal-title-group>
            <issn pub-type="ppub">1338-0230</issn>
            <issn pub-type="epub">1337-0960</issn>
            <publisher>
                <publisher-name>Association HACCP Consulting</publisher-name>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="publisher-id">PSJFS-14-1-17</article-id>
            <article-id pub-id-type="doi">10.5219/1222</article-id>
            <article-categories>
                <subj-group subj-group-type="heading">
                    <subject>ARTICLE</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>INTERACTION OF POLYPHENOLS EXTRACT FROM <italic>POLYGONUM MULTIFLORUM</italic> THUNB. ROOTS WITH GELATIN AND TOXICITY OF EXTRACT IN MICE</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <contrib-id contrib-id-type="orcid">http://orcid.org/0000-0002-2309-5423</contrib-id>
                    <name>
                        <surname>Quoc</surname>
                        <given-names>Le Pham Tan</given-names>
                    </name>
                    <xref ref-type="corresp" rid="cor1">&#x002A;</xref>
                </contrib>
            </contrib-group>
            <author-notes>
                <corresp id="cor1">
                    <label>&#x002A;</label>Corresponding author: Le Pham Tan Quoc, Industrial University of Ho Chi Minh City, Institute of Biotechnology and Food Technology, 12 Nguyen Van Bao street, Ward 4, Go Vap district, Ho Chi Minh City, Vietnam, Tel.: <phone>+84906413493</phone>, E-mail: <email xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="lephamtanquoc@iuh.edu.vn">lephamtanquoc@iuh.edu.vn</email></corresp>
            </author-notes>
            <pub-date pub-type="ppub">
                <month>1</month>
                <year>2020</year>
            </pub-date>
            <volume>14</volume>
            <issue>1</issue>
            <fpage>17</fpage>
            <lpage>23</lpage>
            <history>
                <date date-type="received">
                    <day>22</day>
                    <month>10</month>
                    <year>2019</year>
                </date>
                <date date-type="accepted">
                    <day>14</day>
                    <month>1</month>
                    <year>2020</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>&#x00A9; Association HACCP Consulting. All rights reserved.</copyright-statement>
                <copyright-year>2020</copyright-year>
                <license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
                    <license-p>This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<uri xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0</uri>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <abstract>
                <p>The roots of <italic>Polygonum multiflorum</italic> Thunb. (Vietnamese name: Ha-thu-o-do, HTOD) are used in processed form or the raw state in traditional Vietnamese medicine for many diseases and in extract form in the food industry. Some studies pointed out that HTOD extract had toxicity in humans. However, the toxicity of this herb plant currently remains unclear. In addition, this material contained a large amount of bioactive compounds, especially phenolic compounds. They have a strong antioxidant capacity and they can also interact with many different substrates such as protein, enzyme, lipid and carbohydrate. In this study, the received extracts from HTOD had the polyphenols concentrations of 415, 277, 208 and 166 (mg GAE&#x0387;L<sup>-1</sup>), respectively. Besides, we only evaluated the gelatin-polyphenols interaction and the toxicity of HTOD extract in Swiss mice. The results show a strong gelatin-polyphenols interaction and no acute or subacute toxicity in mice. The polyphenols extract of HTOD at the concentration tested in this study is safe to use in food.</p>
            </abstract>
            <kwd-group>
                <kwd>Interaction</kwd>
                <kwd>gelatin</kwd>
                <kwd>polyphenols</kwd>
                <kwd>root</kwd>
                <kwd>toxicity</kwd>
            </kwd-group>
        </article-meta>
    </front>
<body>
    <sec sec-type="intro">
        <title>INTRODUCTION</title>
        <p><italic>Polygonum multiflorum</italic> Thunb. is a wild herbal plant
        distributed throughout the mountainous regions of North
        Vietnam (Cao Bang, Lang Son, Lai Chau, Hoa Binh
        province, etc.). It is known as Ha-thu-o-do (HTOD) in
        Vietnamese. In addition, HTOD is found in many other
        Asian countries such as China, Korea, Japan, etc.
        Ethnomedical uses of HTOD have been recorded for many
        centuries, and it contains more than 100 chemical
        bioactive compounds, for example, tannins,
        anthraquinones, stilbenes, flavonoids, phospholipids (<xref ref-type="bibr" rid="r15">Lin
        et al., 2015</xref>), saponins, and alkaloids (<xref ref-type="bibr" rid="r22">Quoc and Muoi,
        2018</xref>). Thus, it can be used as a traditional spice in
        Chinese food (<xref ref-type="bibr" rid="r13">Li and Gao, 2015</xref>) or drugs to prevent
        some diseases, such as certain forms of cancer (<xref ref-type="bibr" rid="r24">Way et al.,
        2014</xref>), and for its anti-aging effects, tonic tension (<xref ref-type="bibr" rid="r14">Lim et
        al., 2014</xref>), and antioxidant activity (<xref ref-type="bibr" rid="r25">Wang et al., 2008</xref>).
        Nowadays, polyphenols extract from HTOD is used in
        food processing, for example, it serves as an antioxidant
        during the storage of minced red tilapia (Le and Nguyen,
        2018) or combine with edible film (alginate) to store freshcut
        papaya (<xref ref-type="bibr" rid="r20">Quoc and Muoi, 2016</xref>). Moreover, HTOD has
        also been used in wine processing (<xref ref-type="bibr" rid="r7">Hoang and Thuat,
        2015</xref>).</p>
        <p>There are many methods to extract phenolic compounds
        from HTOD with various solvents (water, acetone,
        methanol, ethanol, etc.), such as the decoction method (<xref ref-type="bibr" rid="r12">Li et al., 2007</xref>), microwave-assisted extraction (<xref ref-type="bibr" rid="r19">Quoc and
        Muoi, 2015</xref>), ultrasound-assisted extraction (<xref ref-type="bibr" rid="r27">Wu et al.,
        2012</xref>), pectinase-assisted extraction (<xref ref-type="bibr" rid="r21">Quoc and Muoi,
        2017</xref>), etc. The total polyphenols content, antioxidant
        capacity, and type of phenolic compounds in all methods
        are significantly different. Thus, these results can strongly
        affect the protein-polyphenols interaction and toxicity of
        polyphenols extract in mice.</p>
        <p>Recently, many studies reported that HTOD can have
        hepatotoxic effects (<xref ref-type="bibr" rid="r9">Huang, Zhang and Sun, 2011;</xref> <xref ref-type="bibr" rid="r27">Wu
        et al., 2012</xref>); other studies noticed that HTOD is good for
        the liver (<xref ref-type="bibr" rid="r8">Huang et al., 2007;</xref> <xref ref-type="bibr" rid="r1">Bhadauria, 2010</xref>). The
        results of the above-described studies appear to be
        contradictory. Until now, there have been no studies on the
        interaction of gelatin with polyphenols extract from
        HTOD. Therefore, the main aim of this research was to
        investigate the gelatin-polyphenols interaction and toxicity
        of polyphenols extract in mice.</p>
        <sec>
            <title>Scientific hypothesis</title>
            <p>The objective of this study was to determine the capacity
          for interaction between polyphenols extracts of <italic>Polygonum
          multiflorum</italic> Thunb. roots and protein (gelatin). This
          interaction results in precipitation of the protein. An
          additional objective of the study was to determine the
          effect of the toxicity of various polyphenols extract concentrations in mice. We are expecting an insignificant
          effect of the extract on acute and subacute toxicity in mice.</p>
        </sec>
    </sec>
    <sec sec-type="materials|methods">
        <title>MATERIAL AND METHODOLOGY</title>
        <sec>
            <title>Extract preparation</title>
            <p><italic>Polygonum multiflorum</italic> Thunb. roots were harvested
          from Cao Bang province (Vietnam). The roots were then
          cleaned with tap water, sliced, and dried at 60 &#xB0;C until the
          moisture level was less than 12%. The slices were then
          ground into a fine powder (diameter less than 0.5 mm) and
          vacuum-packed. Polyphenols from the dried powder of
          <italic>Polygonum multiflorum</italic> Thunb. roots were extracted in
          a microwave system with an acetone concentration of
          57.35%, solid/solvent ratio of 1/39.98 (w/v), extraction
          time of 289 sec, and microwave power of 127 W. The
          crude extract was filtered through Whatman paper (<xref ref-type="bibr" rid="r19">Quoc
          and Muoi, 2015</xref>). The filtered extract was evaporated at
          45 &#xB0;C until the solvent was completely removed and the
          extract was used for the preparation of 415, 277, 208 and
          166 mg GAE.L<sup>-1</sup> solution in distilled water.</p>
        </sec>
        <sec>
            <title>Chemicals and reagents</title>
            <p>Folin-Ciocalteu reagent and gallic acid were purchased
          from Merck (Germany). All organic solvents and other
          chemicals were of analytical reagent grade.</p>
        </sec>
        <sec>
            <title>Determination of total polyphenols content (TPC)</title>
            <p>The TPC in the extracts was slightly modified and
          determined by the Folin-Ciocalteu colorimetric method
          (<xref ref-type="bibr" rid="r24">Siddiqua et al., 2010</xref>). The results were based on
          a standard curve obtained with gallic acid. TPC was
          expressed as mg of gallic acid equivalents per gram of dry
          weight (mg GAE.g<sup>-1</sup> DW) or per gram of solution volume
          (mg GAE.L<sup>-1</sup>).</p>
        </sec>
        <sec>
            <title>Interaction of polyphenols extract with gelatin</title>
            <p>Reactions took place in 10 mL volumetric flasks.
          Polyphenols were dissolved in water to 415, 277, 208 and
          166 (mg GAE.L<sup>-1</sup>). Gelatin solutions in water, at
          concentrations varying from 30 to 120 mg.mL-1 were
          prepared. Polyphenols and gelatin solutions were mixed
          quantitatively in flasks with shaking. After standing for
          24 h at 25 &#xB0;C, the mixture was centrifuged (3000 rpm,
          20 min), and the suspended substances (reaction products)
          were removed. The supernatant was analyzed at 280 nm in
          a UV spectrophotometer. Assuming that a polyphenols
          solution with a fixed concentration has an initial
          absorbance (A<sub>o</sub>), and after interaction with gelatin the
          absorbance decreases to A, RA can be defined as
          RA = (A<sub>o</sub>-A)/A<sub>o</sub> (<xref ref-type="bibr" rid="r2">Bi, He and Haslam, 1995</xref>).</p>
        </sec>
        <sec>
            <title>Animals</title>
            <p>Male and female Swiss mice (approximately 22 g) were
          obtained from the Pasteur Institute (Ho Chi Minh city,
          Vietnam). All mice were maintained in plastic cages under
          standard environmental conditions at 28 &#xB1;2 &#xB0;C with
          a relative humidity of 75 &#xB1;10%. The mice were fed on
          a standard chow diet and given water ad libitum. The mice
          were used for experimentation after 7 days’
          acclimatization. All experiments were performed during the daytime. The experimental procedure was strictly in
          compliance with the “Declaration of Helsinki” in 1964.</p>
        </sec>
        <sec>
            <title>Acute toxicity</title>
            <p>Both male and female healthy mice were fasted overnight
          and only allowed to access to water ad libitum. They were
          randomly divided into five groups (10 animals per group).
          The mice of the first group (control group) were fed with
          water only. All groups were given 0.2 mL of the extract on
          the first day by oral gavage. The mice of groups 2 – 5 were
          treated with acetone extracts of <italic>Polygonum multiflorum</italic>
          Thunb. root at doses of 138, 276, 414, and 552 mg dry
          extract.kg<sup>-1</sup> of body weight per day. The dosages were
          equivalent to 25, 50, 75, and 100 times the upper dosage
          for humans recommended in the study of <xref ref-type="bibr" rid="r18">Le and Nguyen
          (2018)</xref> (415 mg GAE.L<sup>-1</sup>, approximately 607 mg dry
          extract.L-1 or 5.52 mg dry extract.kg<sup>-1</sup> of body weight).
          The dosage was set at a high level to uncover any potential
          toxicity in order to investigate the hepatic risk. The general
          behavior, hazardous symptoms, and mortality of the mice
          were monitored for a period of 3 days after treatment. The
          LD50, clinical biochemistry analysis, gross morphology,
          and histology of the liver were also evaluated in this test.</p>
        </sec>
        <sec>
            <title>Subacute toxicity</title>
            <p>Both male and female healthy mice were also randomly
          divided into four groups (10 animals per group). The mice
          of the first two groups (control groups) were fed with
          water only. The mice of groups 3 and 4 were treated with
          the acetone extracts of <italic>Polygonum multiflorum</italic> Thunb. root
          for 3 and 6 weeks. Treated groups were given 0.2 mL
          extract at a concentration of 415 mg GAE.L<sup>-1</sup>
          (approximately 607 mg dry extract.L-1 or 5.52 mg dry
          extract.kg<sup>-1</sup> of body weight, the dosage for humans
          recommended in the study of Le and Nguyen (<xref ref-type="bibr" rid="r11">2018</xref>)). The
          body weight of the mice was recorded weekly, and signs
          of abnormalities in the mice were recorded during the
          treatment period. The clinical biochemistry, gross
          morphology, and histology of the liver/kidney were also
          evaluated every 3 weeks.</p>
        </sec>
        <sec>
            <title>Histopathologic examination, biochemical analysis, and hematological parameters</title>
            <p>The mice were dissected to collect the livers/kidneys for
          histopathologic examination. Biochemical analysis was
          performed for alanine aminotransferase (ALT), aspartate
          aminotransferase (AST), Urea/BUN (Blood Urea
          Nitrogen), and creatinine. In addition, a total leukocyte
          count and total hemocyte count were also performed.</p>
        </sec>
        <sec>
            <title>Statistical analysis</title>
            <p>The experimental data were analyzed by one-way
          analysis of variance (ANOVA) and significant differences
          between the means from triplicate analyses at <italic>p</italic> &#x3C;0.05 were
            determined by Fisher’s least significant difference (LSD)
            procedure using Statgraphics software (Centurion XV).
            The values obtained were expressed as mean &#xB1; standard
            deviation (SD).</p>
        </sec>
    </sec>
    <sec sec-type="results|discussion">
        <title>RESULTS AND DISCUSSION</title>
        <sec>
            <title>Research on the gelatin-polyphenols interaction</title>
            <p>Polyphenols concentrations of 415, 277, 208, and
          166 (mg GAE.L<sup>-1</sup>) react with gelatin concentrations of 30,
          60, 90 and 120 mg.L<sup>-1</sup> (gelatin/polyphenols ratio=1/1, v/v).
          The results show that relative absorbance (RA) increases
          with with an increase in the polyphenols concentration,
          and these results were significantly different (<italic>p</italic> &#x3C;0.05).</p>
            <p>The minimum and maximum RA are 0.246 and 0.718,
          meaning that 24.6% of the gelatin was precipitated at the
          minimum polyphenols concentration of 166 mg GAE.L<sup>-1</sup>
          and the minimum gelatin concentration of 30 mg.L<sup>-1</sup>.
          Besides, 71.8% gelatin was also precipitated at the
          maximum polyphenols concentration of 415 mg GAE.L<sup>-1</sup>
          and the maximum gelatin concentration of 120 mg.L<sup>-1</sup>
          (Figure <xref ref-type="fig" rid="F1">1</xref>). These results demonstrate that the interaction
          between gelatin and polyphenols is strong and
          significantly affects the RA. This is concordant with
          a study by <xref ref-type="bibr" rid="r6">He, Lv and Yao (2007)</xref>, who noted that
          polyphenols in tea extract interact with gelatin at a low
          gelatin concentration of 20 mg.L<sup>-1</sup> and a polyphenols
          concentration of 50 mg.L<sup>-1</sup> (22% of the gelatin was
          precipitated). The precipitate increased to 84% with an
          increase in the gelatin concentration (160 mg.L<sup>-1</sup>) and the
          polyphenols concentration (150 mg.L<sup>-1</sup>).</p>
            <fig id="F1" position="float">
                <label>Figure 1</label>
                <caption>
                    <p>The RA value of the interaction between polyphenols and gelatin.
                    </p>
                </caption>
                <graphic xlink:href="PSJFS-14-1-17_F1.jpg"/>
            </fig>
            <p>Gelatin was chosen in this study because gelatin is
          proline-rich, and has an open, random-coil conformation
          and a molecular weight of 100 kDa, thus it has a high
          affinity for polyphenols (<xref ref-type="bibr" rid="r6">He, Lv and Yao, 2007;</xref> <xref ref-type="bibr" rid="r4">Frazier
          et al., 2010</xref>). Phenolic compounds can form strong
          hydrogen bonds easily with the protein’s carboxyl group.
          They must be small enough to penetrate the inter-fibrillar
          regions of protein molecules but large enough to crosslink
          peptide chains at many points on the protein molecule
          (<xref ref-type="bibr" rid="r16">Mulaudzi et al., 2012</xref>). The protein-polyphenols
          interaction depends on many factors, such as pH,
          temperature, the type of protein, and the structure of
          polyphenols (<xref ref-type="bibr" rid="r17">Ozdal, Capanoglu and Altay, 2013</xref>).</p>
            <p>This interaction has both advantages and disadvantages.
          On the one hand, it can protect the polyphenols’s activity,
          and prevent oxidation of the surrounding environment
          (<xref ref-type="bibr" rid="r10">Jakobek, 2015</xref>). On the other hand, it decreases protein
          quality (<xref ref-type="bibr" rid="r28">Yuksel, Avci and Erdem, 2010</xref>), for example, by
          affecting protein solubility (<xref ref-type="bibr" rid="r23">Rawel et al., 2002</xref>) and by
          decreasing the in vitro digestion properties of proteins
          (<xref ref-type="bibr" rid="r18">Petzke et al., 2005</xref>).</p>
        </sec>
        <sec>
            <title>Acute toxicity of polyphenols extract</title>
            <p>This extract was concentrated and was administered to
          each treatment group at single doses of 25, 50, 75, and
          100 times the upper dosage for humans as recommended
          by Le and Nguyen (<xref ref-type="bibr" rid="r11">2018</xref>) (approximately 138, 276, 414,
          and 552 mg dry extract.kg<sup>-1</sup> of body weight), respectively,
          by oral gavage. The control groups were treated with the
          same volume of distilled water (0.2 mL).</p>
            <p>After a one-hour exposure to the extract, drowsiness and
          exhaustion were observed in all mice in the extract-treated
          group. No death or obvious clinical signs were found in
          any groups throughout the study. None of the extracttreated
          rats showed signs of toxicity in their skin, fur, eyes,
          sleep, salivation, diarrhea, and behavior after 72 hours.
          Table <xref ref-type="table" rid="T1">1</xref> shows that changes in clinical biochemistry analysis were not significantly different (<italic>p</italic> >0.05) at
          various concentrations compared with the control sample,
          and these results were also similar to those of other studies
          (<xref ref-type="bibr" rid="r3">Dieu, 2009;</xref> <xref ref-type="bibr" rid="r27">Wu et al., 2012;</xref> <xref ref-type="bibr" rid="r5">Ha et al., 2015</xref>).</p>
            <table-wrap id="T1" position="float">
                <label>Table 1</label>
                <caption>
                    <p>Clinical biochemistry analysis and hematological parameters of mice in acute toxicity.</p>
                </caption>
                <table frame="hsides" rules="none" width="100%">
                    <thead>
                        <tr>
                            <th rowspan="3">Criteria</th>
                            <th rowspan="3">Control sample</th>
                            <th colspan="4">Dry extract.kg<sup>-1</sup>of body weight ratio (mg.kg<sup>-1</sup>)</th>
                        </tr>
                        <tr>
                            <th colspan="4">
                                <hr/>
                            </th>
                        </tr>
                        <tr>
                            <th>138</th>
                            <th>276</th>
                            <th>414</th>
                            <th>552</th>
                        </tr>
                        <tr>
                            <th colspan="6">
                                <hr/>
                            </th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr align="center">
                            <td align="left">Urea/BUN (mmol.L<sup>-1</sup>)</td>
                            <td>10.51 &#x00B1;1.28<xref ref-type="table-fn" rid="T1FN1">b</xref></td>
                            <td>8.8 &#x00B1;0.75<xref ref-type="table-fn" rid="T1FN1">a</xref></td>
                            <td>9.03 &#x00B1;1.38<xref ref-type="table-fn" rid="T1FN1">a</xref></td>
                            <td>9.6 &#x00B1;2.22<xref ref-type="table-fn" rid="T1FN1">ab</xref></td>
                            <td>9.47 &#x00B1;1.17<xref ref-type="table-fn" rid="T1FN1">ab</xref></td>
                        </tr>
                        <tr align="center">
                            <td align="left">Creatinine (&#x00B5;mol.L<sup>-1</sup>)</td>
                            <td>36.53 &#x00B1;4.25<xref ref-type="table-fn" rid="T1FN1">b</xref></td>
                            <td>33.6 &#x00B1;1.64<xref ref-type="table-fn" rid="T1FN1">a</xref></td>
                            <td>32.6 &#x00B1;4.22<xref ref-type="table-fn" rid="T1FN1">a</xref></td>
                            <td>33.15 &#x00B1;1.38<xref ref-type="table-fn" rid="T1FN1">a</xref></td>
                            <td>33.17 &#x00B1;1.61<xref ref-type="table-fn" rid="T1FN1">a</xref></td>
                        </tr>
                        <tr align="center">
                            <td align="left">AST (SGOT) (U.L<sup>-1</sup>)</td>
                            <td>147.1 &#x00B1;44.45<xref ref-type="table-fn" rid="T1FN1">ab</xref></td>
                            <td>111.43 &#x00B1;25.82<xref ref-type="table-fn" rid="T1FN1">a</xref></td>
                            <td>173.5 &#x00B1;58.03<xref ref-type="table-fn" rid="T1FN1">b</xref></td>
                            <td>144.1 &#x00B1;52.91<xref ref-type="table-fn" rid="T1FN1">ab</xref></td>
                            <td>149.1 &#x00B1;47.5<xref ref-type="table-fn" rid="T1FN1">ab</xref></td>
                        </tr>
                        <tr align="center">
                            <td align="left">ALT (SGPT) (U.L<sup>-1</sup>)</td>
                            <td>83.57 &#x00B1;29.96<xref ref-type="table-fn" rid="T1FN1">b</xref></td>
                            <td>77.94 &#x00B1;11.59<xref ref-type="table-fn" rid="T1FN1">ab</xref></td>
                            <td>61 &#x00B1;7.54<xref ref-type="table-fn" rid="T1FN1">a</xref></td>
                            <td>82.5 &#x00B1;19.05<xref ref-type="table-fn" rid="T1FN1">b</xref></td>
                            <td>75.3 &#x00B1;12.21<xref ref-type="table-fn" rid="T1FN1">ab</xref></td>
                        </tr>
                        <tr align="center">
                            <td align="left">Total leukocyte count (K.&#x00B5;L<sup>-1</sup>)</td>
                            <td>1.97 &#x00B1;0.25<xref ref-type="table-fn" rid="T1FN1">a</xref></td>
                            <td>2.43 &#x00B1;0.91<xref ref-type="table-fn" rid="T1FN1">b</xref></td>
                            <td>2.03 &#x00B1;0.15<xref ref-type="table-fn" rid="T1FN1">ab</xref></td>
                            <td>1.97 &#x00B1;0.35<xref ref-type="table-fn" rid="T1FN1">a</xref></td>
                            <td>1.86 &#x00B1;0.24<xref ref-type="table-fn" rid="T1FN1">a</xref></td>
                        </tr>
                        <tr align="center">
                            <td align="left">Total hemocyte count (M.&#x00B5;L<sup>-1</sup>)</td>
                            <td>9.33 &#x00B1;0.49<xref ref-type="table-fn" rid="T1FN1">b</xref></td>
                            <td>8.92 &#x00B1;0.57<xref ref-type="table-fn" rid="T1FN1">a</xref></td>
                            <td>9.2 &#x00B1;0.2<xref ref-type="table-fn" rid="T1FN1">ab</xref></td>
                            <td>8.85 &#x00B1;0.44<xref ref-type="table-fn" rid="T1FN1">a</xref></td>
                            <td>8.94 &#x00B1;0.23<xref ref-type="table-fn" rid="T1FN1">ab</xref></td>
                        </tr>
                    </tbody>
                </table>
                <table-wrap-foot>
                    <fn id="T1FN1">
                        <p>Note: Different lowercase letters in the same row denote significant differences (<italic>p</italic>&#x003C;0.05).</p>
                    </fn>
                </table-wrap-foot>
            </table-wrap>
            <p>Gross morphology and histology of the liver did not
          show any unusual signs (Figure <xref ref-type="fig" rid="F2">2</xref> and Figure <xref ref-type="fig" rid="F3">3</xref>). There was
          no difference in parenchymal tissue, portal space and
          central vein structures in all experimental liver sections.
          Hepatocytes in all experimental groups had a polygonal
          shape with the nucleus in the middle of the cell and were
          well organized in plates. The structure of the portal space
          was normal without inflammation, and there were no
          degenerative lesions in the surrounding hepatocytes.
          Hence, polyphenols extract from <italic>Polygonum multiflorum</italic>
          Thunb. root did not cause acute toxicity in mice, and the
          LD50 could not be estimated at the studied concentrations.</p>
            <fig id="F2" position="float">
                <label>Figure 2</label>
                <caption>
                    <p>Gross morphology of the liver in acute toxicity. Note: a, b, c and d show the gross morphology of the liver at
138, 276, 414, and 552 mg dry extract per kg of body weight, respectively.
                    </p>
                </caption>
                <graphic xlink:href="PSJFS-14-1-17_F2.jpg"/>
            </fig>
            <fig id="F3" position="float">
                <label>Figure 3</label>
                <caption>
                    <p>Histology of the liver in acute toxicity. Note: a, b, c and d show liver histology at 138, 276, 414, and 552 mg
dry extract per kg of body weight, respectively.
                    </p>
                </caption>
                <graphic xlink:href="PSJFS-14-1-17_F3.jpg"/>
            </fig>
        </sec>
        <sec>
            <title>Subacute toxicity of polyphenols extract</title>
            <p>Using a polyphenols concentration of 415 mg GAE.L<sup>-1</sup>
          (5.52 mg dry extract.kg<sup>-1</sup> of body weight), we evaluated
          semi-chronic toxicity over 6 weeks. After 6 weeks, all
          groups gained the same amount of weight, and no
          statistically significant differences in clinical biochemistry
          analysis and hematological parameters were noted between
          the control and treated groups at the third and sixth weeks
          (<italic>p</italic> &#x3C;0.05) (Table <xref ref-type="table" rid="T2">2</xref>). Gross morphology and histology of
            the liver/kidney did not show any injuries or unusual signs.
            In addition, the glomerulus had a normal structure with
            wide Bowman‘s capsules, and the renal tubes were lined
            by a simple cuboidal epithelium with a uniform
            appearance. Furthermore, no damage to the structure of
            hepatocytes and nephrocytes was observed (Figure <xref ref-type="fig" rid="F4">4</xref> and
            Figure <xref ref-type="fig" rid="F5">5</xref>). Therefore, there was no subacute toxicity at this
            polyphenols concentration.</p>
            <table-wrap id="T2" position="float">
                <label>Table 2</label>
                <caption>
                    <p>Clinical biochemistry analysis and hematological parameters of mice in semi-chronic toxicity.</p>
                </caption>
                <table frame="hsides" rules="none" width="100%">
                    <thead>
                        <tr>
                            <th rowspan="3">Criteria</th>
                            <th colspan="2">3 weeks</th>
                            <th colspan="2">6 weeks</th>
                        </tr>
                        <tr>
                            <th colspan="4">
                                <hr/>
                            </th>
                        </tr>
                        <tr>
                            <th>Control samples</th>
                            <th>Experimental samples</th>
                            <th>Control samples</th>
                            <th>Experimental samples</th>
                        </tr>
                        <tr>
                            <th colspan="6">
                                <hr/>
                            </th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr align="center">
                            <td align="left">Change in weight (%)</td>
                            <td>6.2&#x2191;</td>
                            <td>5.7&#x2191;</td>
                            <td>8&#x2191;</td>
                            <td>7.4&#x2191;</td>
                        </tr>
                        <tr align="center">
                            <td align="left">Urea/BUN (mmol.L<sup>-1</sup>)</td>
                            <td>6.84 &#x00B1;0.72<xref ref-type="table-fn" rid="T2FN1">a</xref></td>
                            <td>7.36 &#x00B1;1.35<xref ref-type="table-fn" rid="T2FN1">a</xref></td>
                            <td>8.09 &#x00B1;0.71<xref ref-type="table-fn" rid="T2FN1">A</xref></td>
                            <td>7.2 &#x00B1;1.07<xref ref-type="table-fn" rid="T2FN1">A</xref></td>
                        </tr>
                        <tr align="center">
                            <td align="left">Creatinine (&#x00B5;mol.L<sup>-1</sup>)</td>
                            <td>37.3 &#x00B1;3.51<xref ref-type="table-fn" rid="T2FN1">a</xref></td>
                            <td>33.1 &#x00B1;5.21<xref ref-type="table-fn" rid="T2FN1">a</xref></td>
                            <td>34.1 &#x00B1;3.65<xref ref-type="table-fn" rid="T2FN1">A</xref></td>
                            <td>31 &#x00B1;2.91<xref ref-type="table-fn" rid="T2FN1">A</xref></td>
                        </tr>
                        <tr align="center">
                            <td align="left">AST (SGOT) (U.L<sup>-1</sup>)</td>
                            <td>105.38 &#x00B1;9.93<xref ref-type="table-fn" rid="T2FN1">a</xref></td>
                            <td>105.84 &#x00B1;23.7<xref ref-type="table-fn" rid="T2FN1">a</xref></td>
                            <td>116.23 &#x00B1;28.46<xref ref-type="table-fn" rid="T2FN1">A</xref></td>
                            <td>119.33 &#x00B1;22.92<xref ref-type="table-fn" rid="T2FN1">A</xref></td>
                        </tr>
                        <tr align="center">
                            <td align="left">ALT (SGPT) (U.L<sup>-1</sup>)</td>
                            <td>62.99 &#x00B1;9.09<xref ref-type="table-fn" rid="T2FN1">a</xref></td>
                            <td>63.67 &#x00B1;13.23<xref ref-type="table-fn" rid="T2FN1">a</xref></td>
                            <td>70.87 &#x00B1;33.46<xref ref-type="table-fn" rid="T2FN1">A</xref></td>
                            <td>51.27 &#x00B1;8.53<xref ref-type="table-fn" rid="T2FN1">A</xref></td>
                        </tr>
                        <tr align="center">
                            <td align="left">Total leukocyte count (K.&#x00B5;L<sup>-1</sup>)</td>
                            <td>2.24 &#x00B1;1.01<xref ref-type="table-fn" rid="T2FN1">a</xref></td>
                            <td>2.75 &#x00B1;0.61<xref ref-type="table-fn" rid="T2FN1">a</xref></td>
                            <td>2.28 &#x00B1;0.75<xref ref-type="table-fn" rid="T2FN1">A</xref></td>
                            <td>2.7 &#x00B1;1.08<xref ref-type="table-fn" rid="T2FN1">A</xref></td>
                        </tr>
                        <tr align="center">
                            <td align="left">Total hemocyte count (M.&#x00B5;L<sup>-1</sup>)</td>
                            <td>8.17 &#x00B1;1.42<xref ref-type="table-fn" rid="T2FN1">a</xref></td>
                            <td>8.28 &#x00B1;0.93<xref ref-type="table-fn" rid="T2FN1">a</xref></td>
                            <td>6.21 &#x00B1;1.49<xref ref-type="table-fn" rid="T2FN1">A</xref></td>
                            <td>7.04 &#x00B1;1.68<xref ref-type="table-fn" rid="T2FN1">A</xref></td>
                        </tr>
                    </tbody>
                </table>
                <table-wrap-foot>
                    <fn id="T2FN1">
                        <p>Note: Different lowercase letters in the same row for 3 weeks denote a significant difference (<italic>p</italic>&#x003C;0.05). Different uppercase letters in the same row for 6 weeks denote a significant difference (<italic>p</italic>&#x003C;0.05).</p>
                    </fn>
                </table-wrap-foot>
            </table-wrap>
            <fig id="F4" position="float">
                <label>Figure 4</label>
                <caption>
                    <p>Gross morphology of the kidney and liver in subacute toxicity for 6 weeks.
                    </p>
                </caption>
                <graphic xlink:href="PSJFS-14-1-17_F4.jpg"/>
            </fig>
            <fig id="F5" position="float">
                <label>Figure 5</label>
                <caption>
                    <p>Histology of the kidney and liver in subacute toxicity for 6 weeks.
                    </p>
                </caption>
                <graphic xlink:href="PSJFS-14-1-17_F5.jpg"/>
            </fig>
            <p>This result shows that the extract concentration employed
          in this study is safe for human health. Our results also
          differ from those of Wu et al. (<xref ref-type="bibr" rid="r27">2012</xref>), who noticed that
          both acetone and water extract from fresh <italic>Polygonum
          multiflorum</italic> Thunb. roots were toxic and had dosedependent
          hepatotoxicity. On the contrary, many studies
          reported that extract from this material is good for the liver
          (<xref ref-type="bibr" rid="r8">Huang et al., 2007;</xref> <xref ref-type="bibr" rid="r1">Bhadauria, 2010</xref>), thus the toxicity
          of the extract depends on many factors, such as the
          extraction method, the composition of the material,
          solvent, etc. Moreover, toxicity was also related to the
          following factors: improper drug compatibility, dose,
          mode of administration, physical condition of the patients,
          and processing methods. The above-described studies
          appear to be contradictory. However, <italic>Polygonum
          multiflorum</italic> Thunb. roots have still been used in different
          ways for a long time, such as in Heshouwu tea, Heshouwu
          wine, Heshouwu soup, etc. in Chinese daily meals (<xref ref-type="bibr" rid="r13">Li and
          Gao, 2015</xref>).</p>
        </sec>
    </sec>
    <sec sec-type="conclusion">
        <title>CONCLUSION</title>
        <p>In summary, polyphenols acetone extract from
        Polygonum multiflorum Thunb. roots can interact strongly
        with gelatin. At the same time, polyphenols extract at the
        studied concentrations was not acutely or subacutely toxic
        in mice.</p>
    </sec>
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