# Maternal physiological responses to oral neem leaf extract supplementation during late gestation in ewes

**Authors:** Mona M. M. Y. Elghandour, Armando Manglorio Parra García, Angela Gabriella D’Alessandro, Ekaette N. Mbaba, Emmanuel F. Istifanus, José Luis Ponce-Covarrubias, Abdelfattah Z. M. Salem

PMC · DOI: 10.1007/s11250-026-04939-5 · Tropical Animal Health and Production · 2026-02-24

## TL;DR

This study shows that giving neem leaf extract to pregnant sheep in late gestation improves blood health and immune function without causing harm.

## Contribution

The study introduces a safe and effective use of neem leaf extract to enhance maternal health during late pregnancy in sheep.

## Key findings

- Ewes receiving neem extract had higher erythrocyte counts and improved glucose levels.
- Treatment increased total blood protein and supported immune function without toxicity.
- Liver and kidney biomarkers remained within normal physiological limits.

## Abstract

This study investigated the hematological and serum biochemical responses of pregnant ewes administered Azadirachta indica leaf extract (NE) during late gestation. Twenty-four pregnant ewes were assigned in a Completely Randomized Design to a 2 × 3 factorial arrangement comprising two sampling days (Day 1 and Day 30) and three Neem extract doses: 0 mL (NE0), 20 mL (NE20), and 40 mL (NE40), with three replicates per treatment. Blood samples were collected through the jugular vein on Days 1 and 30 and analyzed using an automated hematology analyzer and spectrophotometric kits. Data were subjected to analysis of variance using SAS 9.4, and means were separated by the Duncan multiple range test. Significant treatment effects were detected from the results for erythrocytes (P = 0.0187), mean corpuscular volume (P = 0.0032), glucose (P = 0.0002), total blood protein (P = 0.0269), monocytes (P = 0.0261), and eosinophils (P = 0.0453). Treatment × day interactions occurred for monocytes (P = 0.0261) and GGT (P = 0.0101). By Day 30, NE20 and NE40 ewes exhibited higher erythrocyte counts, reduced mean corpuscular volume, improved glucose preservation, and increased total protein relative to NE0, while liver and kidney biomarkers remained within physiological limits. These findings demonstrate that weekly administration of A. indica leaf extract at 20 mL/ewe is a safe and effective phytogenic strategy that enhances erythropoiesis, mitigates gestational hypoglycemia, improves protein status, and supports immune function without eliciting toxicity during late pregnancy.

## Linked entities

- **Species:** Ovis aries (taxon 9940)

## Full-text entities

- **Genes:** ALPP (alkaline phosphatase, placental) [NCBI Gene 250] {aka ALP, PALP, PLAP, PLAP-1}, GPT (glutamic--pyruvic transaminase) [NCBI Gene 2875] {aka AAT1, ALT, ALT1, GPT1, SGPT}, SLC17A5 (solute carrier family 17 member 5) [NCBI Gene 26503] {aka AST, ISSD, NSD, SD, SIALIN, SIASD}
- **Diseases:** hemolysis (MESH:D006461), metabolic disorders (MESH:D008659), hypoglycemic (MESH:C000721848), pregnancy toxemia (MESH:D011225), diabetic (MESH:D003920), inflammation (MESH:D007249), metabolic syndrome (MESH:D024821), macrocytosis (MESH:C564004), hepatic and kidney damage (MESH:D007674), toxicity (MESH:D064420), hypoglycemia (MESH:D007003), hypoproteinemia (MESH:D007019)
- **Chemicals:** hydroxyl radicals (MESH:D017665), Cu (MESH:D003300), acetic acid (MESH:D019342), NE (MESH:D009356), ferulic acid (MESH:C004999), Cinnamic acid (MESH:C029010), aspirin (MESH:D001241), water (MESH:D014867), methane (MESH:D008697), N (MESH:D009584), sodium sulphite (MESH:C025026), acid (MESH:D000143), P (MESH:D010758), Zn (MESH:D015032), salicylic acid (MESH:D020156), oxygen (MESH:D010100), Gallic acid (MESH:D005707), methanol (MESH:D000432), Glucose (MESH:D005947), chlorogenic acid (MESH:D002726), ether (MESH:D004986), Mn (MESH:D008345), creatinine (MESH:D003404), Syringic acid (MESH:C001945), Mg (MESH:D008274), Ca (MESH:D002118), ROS (MESH:D017382), Ellagic acid (MESH:D004610), caffeic acid (MESH:C040048), anthocyanin (MESH:D000872), A (MESH:D001151), lipid (MESH:D008055), polyphenol (MESH:D059808), lignin (MESH:D008031), GSH (MESH:D005978), Co (MESH:D003035), Se (MESH:D012643), urea (MESH:D014508), silica (MESH:D012822), K (MESH:D011188), Na (MESH:D012964), caffeic and ellagic acid (-), S (MESH:D013455)
- **Species:** Ovis aries (domestic sheep, species) [taxon 9940], A. indica [taxon 316126], Azadirachta indica (Indian-lilac, species) [taxon 124943], Capra hircus (domestic goat, species) [taxon 9925], Sorghum bicolor (broomcorn, species) [taxon 4558], Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

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Source: https://tomesphere.com/paper/PMC12932287