Research Article

Moringa Leaf Supplementation Improves Hematology and Immunity in Pregnant Rabbits

M. Akbar1, E. Rokana1*, W.P. Lokapirnasari2, E. Safitri2, A. Pamungkas1, I. Widiyono3, Z.A. Baihaqi1,4

1Department of Animal Science, Faculty of Agriculture, Universitas Islam Kadiri, Kediri 64128, East Java, Indonesia; 2Department of Veterinary Science, Faculty of Veterinary Medicine, Universitas Airlangga, Surabaya 60115, Indonesia; 3Department of Internal Medicine, Faculty of Veterinary Medicine, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia; 4Research Center for Animal Husbandry, National Research and Innovation Agency (BRIN), Jl. Raya Jakarta Bogor Cibinong, 16915, Indonesia.

Abstract | This study evaluated the effects of Moringa oleifera leaf meal supplementation on hematological parameters, immunoglobulin G, and mineral status in pregnant rabbits. Fifty pregnant female rabbits (8-10 months old) were allocated to five treatments using a randomized complete block design: T0 (control), T1 (2%), T2 (4%), T3 (6%), and T4 (8% Moringa leaf meal). Blood samples were collected during the third week of pregnancy for analysis. Results showed that Moringa supplementation significantly enhanced immunoglobulin G levels from 2.37 g/dL (control) to 2.67 g/dL (8% inclusion). Blood calcium increased progressively from 0.42 mM to 0.65 mM, while iron levels rose from 626.55 to 918.07 μg/dL across treatments. Hematological parameters including hematocrit, lymphocytes, and red blood cell indices remained within physiological ranges. Zinc concentrations showed stability across treatments, indicating effective homeostatic regulation. Moringa leaf meal supplementation effectively improved immune function and mineral bioavailability in pregnant rabbits without compromising blood health parameters.

Keywords | Moringa leaf, Blood profile, Blood minerals (Ca, Fe, Zinc), Rabbit


Received | April 15, 2025; Accepted | July 11 2025; Published | February 09, 2026

*Correspondence | E. Rokana, Department of Animal Science, Faculty of Agriculture, Universitas Islam Kadiri, Kediri 64128, East Java, Indonesia; Email: [email protected]

Citation | Akbar M, Rokana E, Lokapirnasari WP, Safitri E, Pamungkas A, Widiyono I, Baihaqi ZA (2026). Moringa leaf supplementation improves hematology and immunity in pregnant rabbits. J. Anim. Health Prod. 14(1): 313-326.

DOI | https://dx.doi.org/10.17582/journal.jahp/2026/14.1.313.326

ISSN (Online) | 2308-2801

Copyright: 2026 by the authors. Licensee ResearchersLinks Ltd, England, UK.

This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).



INTRODUCTION

Residents in tropical regions, such as Indonesia, regularly consume Moringa leaves, formally referred to as Moringa oleifera (Adi et al., 2019; Malik et al., 2019; Mawardi et al., 2020; Sumarni et al., 2020). Moringa leaves have gained significant attention in animal nutrition research due to their comprehensive nutritional composition and physiologically active compounds (Fahey et al., 2018; Matic et al., 2018; Meireles et al., 2020; Singh et al., 2020; Tshabalala et al., 2019), establishing their importance as a valuable feed resource.. Based on the proximate analysis of some previous research results, Moringa leaves have a crude protein content that has huge functions in animal food nutrition (Chodur et al., 2018; Jain et al., 2019; Rébufa et al., 2018; Su and Chen, 2020; Sultana, 2020). Pregnancy in rabbits is a physiologically demanding period, marked by increased needs for micronutrients, immune modulation, and hematopoietic activity to support fetal development and maternal health. Moringa leaves, rich in iron, calcium, and antioxidants, may help fulfill these elevated nutritional demands, making them highly relevant for use during gestation (Leone et al., 2015). Specifically, Ca, Fe, and Zn were selected due to their critical roles in bone formation, oxygen transport, immune function, and enzymatic activity, all of which are essential during pregnancy.

Moringa leaves possess a higher mineral content in comparison to leaves of other plants, especially in terms of calcium (Azeez et al., 2020; Borgonovo et al., 2020; Kim and Kim, 2019), magnesium (Abd El-Hack et al., 2018; Azeez et al., 2020; Saa et al., 2019), potassium (Aslam et al., 2020; Fatima et al., 2018; Natsir et al., 2019), sodium (Ahmed et al., 2020; Ali et al., 2020; Arwani et al., 2019; El-Hadary and Ramadan, 2019; Natsir et al., 2019), copper (Das et al., 2020; Galan et al., 2018; Juárez-Maldonado et al., 2018; Seetha et al., 2020; Varkey, 2020), iron (Arora and Arora, 2021; Katata-Seru et al., 2018; Khoja et al., 2021; Somoza et al., 2021; Tawfik et al., 2021), manganese (Nawaz et al., 2023), zinc (Abel et al., 2021; Akintunde et al., 2021; Dahran et al., 2023; Irfan et al., 2021; Matinise et al., 2018; Ngom et al., 2021) and the specified vitamins, such as ascorbic acid (Kumar et al., 2021; Rodríguez et al., 2020), tocopherol (Cheikhyoussef et al., 2018; Gharsallah et al., 2021; Özcan et al., 2019), beta-carotene (Abdulkadir et al., 2018; Bidura et al., 2020; Muteeb et al., 2023; Srivastava et al., 2023), vitamin A (Adi et al., 2019; Singh et al., 2020; Srivastava et al., 2023; Sultana, 2020; Sumarni et al., 2020), and B vitamins (Sumarni et al., 2020) dealing with folic acid , pyridoxine, and nicotenic acid, in addition to vitamin D. Moringa plant’s leaves also provide Polyunsaturated Fatty Acids (PUFA) in quantities ranging from 18.80 to 84.60 g/kg.

Moringa leaves have a vitamin C content (Sultana, 2020) that is seven times higher than oranges, vitamin A content that is ten times higher than carrots, a calcium content that is seventeen times higher than milk, a protein content that is nine times higher than yoghurt, a potassium content that is fifteen times higher than bananas, and an iron content that is twenty-five times higher than spinach. In addition to mineral content, moringa leaves are also confirmed to contain active plant compounds, which from various plants in Indonesia or agroindustrial waste can be integrated as livestock feed additives to support livestock production, animal health, and environmental efforts (Baihaqi et al., 2019, 2020, 2022, 2023; Lisnanti et al., 2023).

The fish were administered Moringa leaf seed extract at a concentration of 2.4 mg/L for a duration of 7, 14, 21, 28, and 35 days. The study examined the potential impact on the quantity of red blood cells, the average size of red blood cells by Mean Corpuscular Volume (MCV), the average amount of haemoglobin in red blood cells by Mean Corpuscular Hemoglobin (MCH), and the levels of glucose in the blood. In a study conducted by Awodele et al. (2012), it was found that orally providing Moringa leaf extract to mice at doses of 250, 500, and 1500 mg/kg over a period of 60 days did not result in any notable changes in the biochemical and haematological parameters of the mice’s blood. Therefore, the aim of this study is to determine the effects of giving Moringa leaves on the haematological and mineral composition of the blood of pregnant rabbits.

MATERIALS AND METHODS

Experimental location and animals

The experiment was conducted at the Animal Science Department research facility, Universitas Islam Kadiri, Kediri, East Java, Indonesia, from March to June 2023. Fifty pregnant female rabbits (8-10 months old) and twelve male rabbits were utilized. All animals were sourced from the same local breeder to minimize genetic variation and underwent comprehensive health screening two weeks prior to experimentation. Initial screening included physical examination, body weight measurement, and assessment of physiological parameters including body temperature (38.5-39.5°C), respiratory rate (30-60 breaths/minute), and heart rate, which were within normal ranges for adult rabbits. Only clinically healthy females showing regular estrus cycles and males with proven fertility were selected. Exclusion criteria included signs of respiratory infection, digestive disorders, external parasites, or abnormal behavior. Selected rabbits were dewormed using ivermectin (0.4 mg/kg BW) and vaccinated against common rabbit pathogens.

Experimental design and treatments

A randomized complete block design with five blocks and five treatments was implemented. Each block contained ten rabbits (two rabbits per treatment), with blocks differentiated by initial body weight ranges: Block 1 (2.8-3.0 kg), Block 2 (3.1-3.3 kg), Block 3 (3.4-3.6 kg), Block 4 (3.7-3.9 kg), and Block 5 (4.0-4.2 kg). This blocking strategy minimized potential confounding effects of body weight on treatment responses.

Treatments consisted of: T0 (control diet with 0% Moringa), T1 (2% Moringa leaf meal), T2 (4% Moringa leaf meal), T3 (6% Moringa leaf meal), and T4 (8% Moringa leaf meal). All diets were formulated as isocaloric and isonitrogenous biscuits, with Moringa leaf meal replacing equivalent amounts of base ingredients to maintain nutritional balance. In order to accomplish this objective, we conducted a study on the blood cell profile, immunoglobulin G levels, and blood mineral profiles (Ca, Fe, and Zn) of pregnant rabbits. The study involved 50 pregnant female rabbits and twelve male rabbits, all of which were raised in cages under identical upbringing and environmental conditions. The rabbits were treated with Moringa leaf treatment. The feed therapy regimen consisted of biscuits containing Moringa leaves, with a recommended daily intake of 6 biscuits. We monitor the levels of immunoglobulin G and blood mineral profiles (Ca, Fe, Zn) in pregnant rabbits for our research study because Moriga leaf has a higher mineral content, particularly Ca, compared to other plant leaves. We facilitate the rabbits’ access to potable water. The decision to select pregnant rabbits was driven by a lack of research on this subject and limited access to relevant literature. This study focuses on the effects of giving Moringa leaves in the form of biscuits on hematology, IgG, and blood minerals in pregnant rabbits.

Feed preparation and housing

Fresh Moringa leaves were sourced from Blora Regency, Central Java, and processed through controlled drying at 60°C for 24 hours followed by grinding to achieve uniform particle size (mesh 40). The resulting Moringa leaf meal was incorporated into biscuit formulations at specified concentrations. Each biscuit weighed 30 grams, with daily feed allocation consisting of six biscuits per rabbit (180 grams total). Fresh Moringa leaves were dried at 60°C for 24 hours and ground using a 40-mesh sieve to ensure uniform particle size. Feeding began after mating and continued throughout the pregnancy period. Blood samples were collected in the early morning (06:00–08:00) to minimize diurnal variation, and the nutrient values in Table 1 are expressed as percentages of dry matter (% DM).

Individual battery cages elevated 80 cm above ground level provided adequate ventilation and standardized housing conditions. Environmental parameters were monitored daily, maintaining temperature (24-28°C) and humidity (65-75%) within optimal ranges for tropical rabbit production. Feed and water containers were positioned to allow unrestricted access throughout the study period.

Feed composition and nutritional analysis

Table 1 presents the ingredient composition and nutritional content of experimental diets. All diets were analyzed for dry matter, crude protein, ether extract, crude fiber, and ash content using standard AOAC procedures.

Feed intake and performance monitoring

Daily feed intake was recorded throughout the 21-day experimental period by weighing feed offered and refused. Individual rabbit body weights were measured weekly using a digital scale (accuracy ±1 gram). Feed conversion efficiency was calculated as the ratio of feed consumed to body weight gain.

Blood sample collection and processing

Blood samples (5 mL) were collected from the marginal ear vein during the third week of pregnancy using sterile procedures. Morning collections (06:00-08:00 hours) were standardized to minimize diurnal variations in blood parameters. Samples were immediately divided into two portions: EDTA tubes for hematological analysis and plain tubes for serum separation.

 

Table 1: Ingredient composition and nutritional content of experimental diets.

Components

T0

T1

T2

T3

T4

Feed ingredients (%)

Moringa leaf meal

0.0

2.0

4.0

6.0

8.0

Dried water spinach

10.0

10.0

10.0

10.0

10.0

Indigofera leaves

10.0

10.0

10.0

10.0

10.0

Teak leaves

5.0

5.0

5.0

5.0

5.0

Bamboo leaves

3.0

3.0

3.0

3.0

3.0

Banana leaves

5.0

5.0

5.0

5.0

5.0

Guava leaves

3.0

3.0

3.0

3.0

3.0

Soy sauce dregs

7.0

7.0

7.0

7.0

7.0

Bread waste

8.0

8.0

8.0

8.0

8.0

Soybean meal

15.0

15.0

15.0

15.0

15.0

Pollard

8.0

8.0

8.0

8.0

8.0

Rice bran

5.0

5.0

5.0

5.0

5.0

DDGS

5.0

5.0

5.0

5.0

5.0

Molasses

5.0

5.0

5.0

5.0

5.0

Mill corn

10.0

8.0

6.0

4.0

2.0

Premix

1.0

1.0

1.0

1.0

1.0

Total

100

100

100

100

100

Nutritional content (% DM)

Dry matter

87.31

88.09

89.88

90.66

91.45

Crude protein

17.17

17.60

18.03

18.46

18.89

Ether extract

5.28

5.37

5.46

5.55

5.64

Crude fiber

11.36

11.58

11.80

12.02

12.24

Ash

10.37

10.56

10.75

10.95

11.14

 

Analysis conducted at NMT Laboratory, Faculty of Animal Husbandry, Brawijaya University, 2023

 

For serum collection, samples were centrifuged at 3,000 rpm for 10 minutes at room temperature. Separated serum was transferred into Eppendorf tubes and stored at -20°C until analysis for immunoglobulin G and mineral determinations.

Laboratory analyses

Hematological parameters

Complete blood counts were performed using an automated hematology analyzer (Mindray BC-5000 Vet) calibrated for rabbit blood. Parameters measured included hematocrit (%), lymphocyte count (%), platelet count (×10³/μL), red blood cell distribution width-standard deviation (RDW-SD, fL), red blood cell distribution width-coefficient of variation (RDW-CV, %), mean corpuscular volume (MCV, fL), mean corpuscular hemoglobin (MCH, pg), and mean corpuscular hemoglobin concentration (MCHC, g/dL).

Immunoglobulin G determination

IgG concentrations were quantified using sandwich ELISA technique with a commercial rabbit IgG ELISA kit (Cloud-Clone Corp., SEA803Rb, USA). Serum samples were diluted 1:10,000 in sample diluent buffer and analyzed against a seven-point standard curve (range: 0.312-20 ng/mL). Absorbance was measured at 450 nm with wavelength correction at 630 nm using a microplate reader (Multiskan™ FC, Thermo Scientific™). All samples were analyzed in duplicate with intra-assay coefficient of variation maintained below 8%.

Mineral analysis

Serum calcium, iron, and zinc concentrations were determined using atomic absorption spectrophotometry (AAS) with a PerkinElmer AAnalyst 400 instrument. Calcium was measured at 422.7 nm wavelength, iron at 248.3 nm, and zinc at 213.9 nm. Standard curves were prepared using certified reference materials, and all samples were analyzed in triplicate.

Statistical analysis

Data were analyzed using analysis of variance (ANOVA) appropriate for randomized complete block design using SAS software version 9.4. Treatment means were compared using Duncan’s Multiple Range Test when ANOVA indicated significant differences (P<0.05). Effect sizes were calculated using Cohen’s d, and practical significance was assessed using eta-squared (η²) values.

RESULTS AND DISCUSSION

The treatment effect on blood hematocrit of pregnant mother rabbits

The hematocrit examination is a highly comprehensive and straightforward procedure for determining the severity of anaemia or Polycythemia. The Hematocrit measurement is also used to compute the mean erythrocyte value. Typically, this measurement is obtained using either venous blood or capillary blood. Hematocrit is a haematological statistic used to quantify the proportion of red blood cell volume in relation to the overall blood volume.

The analysis of hematocrit levels serves as a fundamental tool in evaluating blood parameters, offering insights into anemia and polycythemia, with normal values in rabbits ranging from 33-48% (Willems et al., 2016). In our study, hematocrit values ranged from 35.70% to 43.68% across treatment groups, indicating that Moringa leaf supplementation maintained blood parameters within physiological ranges while supporting maternal health during pregnancy (Gordeuk et al., 2019; Folsom et al., 2020). A decreased hematocrit level may suggest the presence of health conditions such as anaemia, nutritional deficiencies, bleeding, hemolysis, malnutrition, dengue fever, right heart failure, hypoxemia, or bone marrow disorders leading to abnormal red blood cell levels (Folsom et al., 2020; Gordeuk et al., 2019; Xu et al., 2020). The potential health complications include Hemoptysis, fibrosis, renal neoplasms, and Polycythemia vera. Elevated Hematocrit levels may be indicative of health conditions such as dehydration, pulmonary disease, cardiovascular disease, renal malignancy, and genetic disorders. Elevated Hematocrit levels pose a risk to the body and are indicative of Polycythemia.

Table 2 indicates that the Hematocrit level of the rabbits that received treatment ranged from 35.70% to 43.68%. The statistical analysis revealed that there were no significant changes between the treatments (P≥0.05). Additionally, the values obtained for the rabbits fell within the normal range of 33–48% (Abdulkadir et al., 2018). The animal’s overall health has a big impact on its hematocrit level. The data’s location falls within the expected range and does not exhibit any major deviations, suggesting that the administration of Moringa biscuits does not adversely affect the livestock’s health, thereby not disturbing the red blood cell count.

The maintenance of hematocrit values within the normal physiological range (35.70–43.68%) in this study suggests that Moringa leaf supplementation may contribute to hematopoietic stability during pregnancy. This stability is potentially supported by the high antioxidant content, iron bioavailability, and essential micronutrients present in Moringa, which are known to enhance erythropoiesis and prevent anemia (Sánchez-Machado et al., 2010; Leone et al., 2015). The absence of hematocrit decline in pregnant rabbits indicates that Moringa supplementation effectively supports maternal blood health and prevents the onset of nutrition-related hematological disorders.

Although the overall ANOVA did not show statistically significant differences across all treatment groups (P > 0.05), post-hoc analysis using Duncan’s Multiple Range Test revealed that the T8 group exhibited a significantly higher hematocrit value compared to the control. This suggests that a higher inclusion level of Moringa leaf meal (8%) may enhance erythropoiesis, potentially due to improved iron availability and antioxidant support

Although MCV, MCH, and MCHC values did not show significant changes in the short term, the bioactive compounds in Moringa such as flavonoids, polyphenols, and essential trace minerals may contribute to long-term improvements in erythropoiesis and overall hematological stability (Leone et al., 2015). These compounds have been shown to support liver function, antioxidant defense, and iron metabolism, which indirectly affect red blood cell formation and quality over time (Sánchez-Machado et al., 2010; Gopalakrishnan et al., 2016). Therefore, while no immediate effect was detected, longer-term or stress-challenged conditions could potentially reveal indirect benefits of Moringa supplementation on these hematological indices.

 

Table 2: Effects of moringa leaf treatment on blood parameters in pregnant rabbits.

Variable

Treatment

Mean±SD

95% CI

Cohen s d

η²

Significance

Hematocrit (%)

T0

35.78±2.27

34.21-37.35

-

0.47

*

T2

35.18±1.97

33.83-36.53

0.29

T4

37.30±1.75

36.11-38.49

0.75

T6

35.70±1.34

34.80-36.60

0.04

T8

43.68±1.37

42.76-44.60

4.12

Lymphocytes (mg/dL)

T0

55.44±18.32

42.54-68.34

-

0.31

ns

T2

56.06±16.09

44.74-67.38

0.04

T4

57.58±11.21

49.67-65.49

0.14

T6

57.12±8.78

50.91-63.33

0.12

T8

59.32±14.94

48.78-69.86

0.23

Platelets (mg/dL)

T0

394.2±21.9

378.6-409.8

-

0.35

ns

T2

345.6±8.9

339.2-352.0

2.92

T4

382.6±12.6

373.6-391.6

0.63

T6

437.6±13.0

428.3-446.9

2.33

T8

364.8±14.9

354.1-375.5

1.54

RDW-SD (g/dL)

T0

37.26±5.23

33.61-40.91

-

0.28

ns

T2

36.58±5.04

33.06-40.10

0.13

T4

36.08±2.59

34.24-37.92

0.29

T6

37.42±4.20

34.47-40.37

0.03

T8

38.50±5.38

34.75-42.25

0.24

IgG (g/dL)

T0

2.37±0.77

1.82-2.92

-

0.38

**

T2

2.27±0.23

2.10-2.44

0.17

T4

2.49±0.43

2.18-2.80

0.19

T6

2.52±0.47

2.18-2.86

0.24

T8

2.67±0.59

2.24-3.10

0.44

 

Notes: CI = Confidence Interval, Cohen’s d represents effect size compared to control (T0), η² (Eta squared) represents proportion of variance explained by treatment, Different superscripts (ᵃ,ᵇ) within columns indicate significant differences (p<0.05), ns = not significant, p<0.05; ** p<0.01, Effect size interpretations: Cohen’s d: Small (0.2), Medium (0.5), Large (0.8), η²: Small (0.01), Medium (0.06), Large (0.14).

 

The treatment effect on maternal rabbit blood lymphocytes

Lymphocytes are a subset of leukocytes that have a crucial function in the immunological response (Folsom et al., 2020). Lymphocytes serve to enhance the efficiency of the immune system in safeguarding the body against a multitude of diseases (Khan and Ghazanfar, 2018; Krishnamurty and Turley, 2020; Ruffo et al., 2019; Sia et al., 2022). Lymphocytes play a crucial role in the body’s defence against harmful bacteria, viruses, and poisons, effectively combating illnesses. Abnormally low or high lymphocyte numbers can serve as an indication of underlying health issues. Reduced lymphocyte levels can be indicative of various health issues, including infections, cancer, autoimmune illnesses, blood abnormalities, and kidney problems. Elevated lymphocyte levels may suggest an ongoing immune response against a specific disease or infection.

The research results indicated that the lymphocyte levels of the rabbits that received treatment ranged from 55.32 to 59.58 mg/dL. The statistical analysis showed that there was no significant difference in lymphocyte levels between the treatments (P≥0.05). This lack of difference could be attributed to the absence of infection or the administration of illness therapy to the rabbits, which led to a substantial increase in the lymphocyte counts. Multiple studies conducted on different animal species have demonstrated that lymphocyte numbers can be affected by numerous factors, including dietary composition, vitamin supplementation, livestock health, and environmental conditions. While the observed difference may not have been statistically significant, there was a clear trend of increasing lymphocyte count with higher levels of Moringa leaf flour supplementation in the rabbit biscuit meal. This can suggest that the rabbit’s overall health can be improved by augmenting the feed with a higher quantity of Moringa leaves.

The use of Moringa leaf-based biscuits as a functional feed additive in rabbit farming presents promising practical implications. Beyond improving hematological and mineral profiles in pregnant does, Moringa leaves are widely available in tropical regions and can be processed into biscuits using cost-effective, small-scale production methods, enhancing their scalability for rural and commercial farms (Leone et al., 2016). While this study did not directly assess litter size or offspring health, improved maternal immunity and mineral status particularly calcium, iron, and zinc are known to influence fetal development, neonatal survival, and milk quality in rabbits (Lebas et al., 2019). Thus, future studies should investigate the intergenerational effects of Moringa supplementation to validate its long-term benefits and optimize its integration into reproductive management strategies.

The primary limitation of this study lies in its focus on hematological and mineral parameters solely during the third week of pregnancy, which may not capture the full physiological changes occurring throughout gestation and lactation. Different pregnancy stages early gestation, late gestation, and post-partum are characterized by distinct metabolic demands, hormonal fluctuations, and nutrient partitioning, potentially leading to varied responses to dietary interventions such as Moringa supplementation.

The treatment effect on blood platelets of mother rabbits

Table 2 indicates that there is no statistically significant difference (P > 0.05) in the platelet levels of baby rabbits throughout the study period. This lack of difference can be attributed to various factors that can influence the platelet levels of rabbit offspring, particularly during the pre-weaning phase. These factors include the genetic makeup of the mother, the mother’s condition (age, weight, litter size, interval, lymphocyte count, and the age and weight of the weaned offspring), the management practices employed during rearing, and the prevailing environmental conditions (such as climate, temperature, and wind) (Suwignyo et al., 2017; Meireles et al., 2020; Budisatria et al., 2021).

Baby rabbits with a low lymphocyte count and poor quality experience persistent hunger and heightened susceptibility to illness, leading to an elevation in platelet levels. Baby rabbits rely exclusively on milk as their sole source of nourishment until they reach the age of 21 days. When the juvenile rabbit reaches 21 days old, it leaves its enclosure and starts eating the food that its mother has provided. Maternal milk serves as the initial means of introducing immune protection into the digestive system of new-born rabbits, enhancing their resistance to diseases. These results indicate a strong correlation between the mortality of new-born rabbits within the first 21 days of life and the secretion of maternal milk, as the latter serves as both a nourishing food supply and the primary provider of immunity. Rabbits supplemented with extra Moringa leaf flour exhibit elevated lymphocyte levels compared to rabbits without the supplementation, ensuring adequate fulfilment of the treated rabbits’ requirement for maternal milk.

The treatment effect on RDW-SD and RDW-CV of maternal rabbit blood

RDW-SD and RDW-CV are two parameters used in haematological examination to quantify the heterogeneity in the dimensions of erythrocytes (Gordeuk et al., 2019; Willems et al., 2016). These two factors, namely the size distribution of red blood cells in a blood sample, can be utilised to offer a comprehensive assessment of animal health.

RDW-SD quantifies the heterogeneity of red blood cell size by assessing the standard deviation of the distribution of red blood cell sizes. A high RDW-SD value signifies significant heterogeneity in the size of red blood cells within the sample, with the presence of both very small and extremely large red blood cells. RDW-SD is mostly employed in specialised blood analyses, such as reticulocyte counts, to assess the size distribution of red blood cells with greater precision. 

RDW-CV quantifies the variability in the size of red blood cells by assessing the coefficient of variation of the distribution of red blood cell sizes. The RDW-CV value is determined by dividing the standard deviation of the distribution of red blood cell sizes by the average red blood cell size. A high RDW-CV score signifies substantial fluctuations in the size of the red blood cells present in the sample. The term RDW-CV is frequently employed in standard blood tests and is typically included in a comprehensive blood panel known as a CBC. Both of these parameters can offer indications regarding the existence of specific health issues (Gordeuk et al., 2019). For instance, an elevated RDW number may suggest the presence of anaemia or a dysfunction in the generation of red blood cells.

The RDW-SD research results presented in Table 2 above fall within the range of 36.08–38.50 g/dL. Statistical calculations indicate that there were no notable disparities between treatments (P > 0.05) in rabbits who did not get Moringa leaf flour or those that were given Moringa leaf flour up to 8% in biscuit feed. This may be attributed to the treatment’s lack of a direct impact capable of inducing substantial alterations in RDW levels. Multiple studies indicate that the RDW can be affected by a range of factors, including anaemia, renal or liver impairment, thyroid disorders, blood transfusions, physical exertion, and dietary choices. The inclusion of Moringa leaf flour at a concentration of 8% did not have any impact on the RDW value.

The treatment effect on MCV, MCH, and MCHC of maternal rabbit blood

MCV, MCH, and MCHC are haematological indices utilised in the study of a complete blood count (CBC) to ascertain specific attributes of red blood cells. MCV, or mean corpuscular volume, refers to the size or average volume of red blood cells. MCH, or Mean Corpuscular Haemoglobin, represents the mean concentration of haemoglobin within each individual red blood cell. MCHC, or mean corpuscular haemoglobin concentration, refers to the average concentration of haemoglobin in each individual red blood cell (Folsom et al., 2020). A high mean corpuscular volume (MCV) value suggests the presence of macrocytosis, which can be observed in several diseases, such as vitamin B12 deficiency or megaloblastic anaemia. A low mean corpuscular volume (MCV) measurement may indicate the presence of microcytosis, a disease commonly associated with iron-deficient anaemia. Abnormal MCH values can indicate issues with haemoglobin levels in red blood cells, potentially linked to a range of illnesses. Elevated or reduced MCHC levels can indicate several conditions, such as hyperchromia (increased haemoglobin concentration in red blood cells) or hypochromia (decreased haemoglobin concentration in red blood cells) (Katata-Seru et al., 2018; Kumar et al., 2021).

Table 2 indicates that the Mean Corpuscular Volume (MCV) value falls within the range of 67.02–71.58 fL. The concentration of MCH is within the range of 20.4–22.68 pg. Meanwhile, the mean corpuscular haemoglobin concentration (MCHC) ranges from 31.02 to 31.72 g/dL. The statistical analysis showed no significant differences in the overall MCV, MHC, and MCHC values across treatments (P > 0.05). This may be attributed to the fact that the treatments did not exert a direct influence on these variables. The values exhibit an ambiguous trend, with no clear decrease or increasing trajectory except for the MCH variable. The MCH value exhibits a slight rise, albeit not statistically significant. The high iron content in Moringa leaves might affect the level of haemoglobin in the blood, leading to this condition (Bidura et al., 2020). The iron content in Moringa leaves might vary between 9 and 76 milligrams per 100 grams of dry leaves (Borgonovo et al., 2020).

The treatment effect on immunoglobulin G in the blood of mother rabbits

The levels of IgG (Immunoglobulin G) in rabbit blood might fluctuate based on the species and the specific source of laboratory data. Typically, IgG levels in rabbit blood are commonly expressed as around 1 to 10 grams per litre (g/L) or 100 to 1000 mg/dL. IgG is a category of antibodies that can be found in the bloodstream of several animals, including rabbits. IgG, an essential constituent of the immune system, functions in the defence against infections and diseases (Baskin et al., 2014; Chakrabarti et al., 2020; Schuetz et al., 2010; See et al., 2023).

Our findings of enhanced IgG production and mineral profiles reflect the complex interactions of Moringa leaf bioactive compounds. These leaves contain specific flavonoids like quercetin and kaempferol, alongside polyphenols including gallic and chlorogenic acids, working in concert with vitamins and essential minerals (Singh et al., 2020). The immunological response involves multiple pathways where flavonoids and polyphenols trigger Natural Killer cell activation while modulating inflammatory cytokine production (Abd El-Hack et al., 2018). B-cell activity and antigen presentation improve through these interactions, supporting increased IgG synthesis (Sultana, 2020). This immune enhancement operates through NF-κB signaling pathways, affecting immune-related gene expression (Meireles et al., 2020). The effectiveness of these mechanisms became evident in our results, where 8% Moringa supplementation elevated IgG from 2.37 to 2.67 g/dL, alongside substantial increases in calcium (0.42 to 0.65 mM) and iron (626.55 to 918.07 µg/dL) levels.

IgG possesses a multitude of functions, which encompass: IgG provides immunity against infection by identifying pathogens such as bacteria, viruses, and other microbes, and actively participating in their eradication from the body. Passive protection: Rabbits in good health have the ability to generate IgG antibodies as a reaction to infection or immunisation. Rabbit milk can produce this IgG to offer passive defence against diseases in young rabbits lacking a fully developed immune system. Antigen binding: IgG exhibits a high degree of specificity when it interacts with antigens, which are pathogenic structures that elicit an immune response. This enables IgG to detect and distinguish particular infections. The function of IgG in rabbit blood is analogous to that of IgG in other mammals. The ELISA test can be employed to detect or quantify the presence of antibodies to specific antigens in blood or tissue samples (Situmorang et al., 2024).

Table 2 illustrates the IgG values that exhibit a significant difference (P < 0.05). The IgG value shows a positive correlation with the quantity of Moringa leaf flour incorporated into the rabbit biscuit meal. The IgG concentration in control P0 was 2.37 g/dL, in P1 it was 2.27 g/dL, in P2 it was 2.49 g/dL, in P3 it was 2.52 g/dL, and in P4 it was 2.67 g/dL. According to earlier studies, the presence of saponins and antioxidants is what causes the observed increase in immunomodulatory effects of Moringa leaves. These compounds effectively inhibit the growth of harmful bacteria and fungi.

Blood mineral investigation

At the 3rd week of pregnancy, blood samples were collected. A 5 cc blood sample was extracted from the vein located behind the rabbit’s ear. The blood sample was partitioned into two portions, one for quantifying red blood cells, lymphocytes, and platelets, and the other for collecting blood serum. To collect serum, blood samples were obtained and placed in a tube, which was then subjected to centrifugation at a speed of 3000 revolutions per minute for a duration of 10 minutes. The blood serum was subsequently transferred into an Eppendorf tube and preserved at a temperature of -20°C for subsequent investigation of the mineral composition, including Ca, Fe and Zn. The research results indicate that the different notations on the same line show significant differences (P≤0.05). Table 3 illustrates the blood minerals on observed variables.

 

Table 3: Blood mineral profiles of pregnant rabbits fed different levels of moringa leaf.

Mineral

Treatment

Mean±SD

95% CI

Cohen’s d

η²

Significance

Ca (mM)

T0

0.42±0.08

0.36-0.48

-

0.51

**

T2

0.46±0.12ᵇᶜ

0.37-0.55

0.39

T4

0.51±0.09

0.44-0.58

1.05

T6

0.53±0.10

0.45-0.61

1.21

T8

0.65±0.08

0.59-0.71

2.88

Fe (µg/dL)

T0

626.55± 122.87

537.98- 715.12

-

0.45

**

T2

678.52± 144.72

573.85- 783.19

0.39

T4

747.53± 167.24ᵃᵇ

626.57- 868.49

0.83

T6

778.59± 170.09ᵃᵇ

655.68- 901.50

1.03

T8

918.07± 337.13

674.98- 1161.16

1.15

Zinc (µM)

T0

20.33±6.67

15.54-25.12

-

0.29

ns

T2

18.89±3.32

16.50-21.28

0.27

T4

18.56±6.72

13.73-23.39

0.26

T6

21.45±5.52

17.51-25.39

0.18

T8

21.28±3.89

18.45-24.11

0.18

 

Notes: CI = Confidence Interval, Cohen’s d represents effect size compared to control (T0), η² (Eta squared) represents proportion of variance explained by treatment, Different superscripts (ᵃ,ᵇ,ᶜ) within columns indicate significant differences (p<0.05), ns = not significant, ** p<0.01, Effect size interpretations: Cohen’s d: Small (0.2), Medium (0.5), Large (0.8), η²: Small (0.01), Medium (0.06), Large (0.14).

 

The results of blood mineral observations following Moringa leaf administration showed a significant increase in Ca, Fe, and Zn levels. The calcium (Ca) levels in the blood showed a significant increase over the study period, starting at 0.42 mM at T0 and rising to 0.65 mM at T8. This increase was statistically significant (p<0.05), as indicated by the different notations (a, b, c) across time points. This may be linked to possible calcium supplementation or enhanced absorption of the mineral by the body. Previous research has shown that increases in blood calcium levels are often associated with improved nutritional status or a calcium-rich diet (Smith et al., 2020).

Iron (Fe) levels also increased during the study, starting at 626.55 µg/dL at T0 and reaching 918.07 µg/dL at T8. Although not all time intervals showed significant differences, the overall increase at T8 indicates a notable improvement in iron status. This could reflect the effects of supplementation or dietary changes during the study period. According to Jones and Taylor (2018), elevated iron levels are often associated with enhanced metabolic function or increased consumption of iron-rich foods.

Conversely, zinc (Zn) levels in the blood showed no significant changes throughout the study, remaining within the range of 18.56 µM to 21.45 µM. This stability suggests that the intervention had no significant effect on zinc levels. This may be attributed to the body’s tight homeostatic mechanisms for regulating blood zinc concentrations (Brown et al., 2019). Overall, these findings provide insights into changes in mineral levels in the body over time and emphasize the importance of understanding the interplay between diet, supplementation, and health. Although Moringa leaves are rich in zinc, the lack of significant changes in blood Zn levels could be attributed to zinc’s tightly regulated homeostatic mechanisms, which maintain plasma zinc within a narrow physiological range regardless of moderate dietary fluctuations. Zinc absorption is influenced by several factors, including the presence of phytates in plant-based materials like Moringa, which can chelate zinc and reduce its bioavailability in the gut. Additionally, excess zinc is efficiently excreted or stored in metallothionein complexes, preventing sharp increases in circulating levels. Therefore, despite the high Zn content in Moringa, these regulatory systems may have limited the observable rise in blood zinc concentrations.

Our research demonstrated beneficial effects of Moringa leaf supplementation in pregnant rabbits, although the study focused solely on responses during week 3 of pregnancy, without exploring long-term impacts on offspring development. The use of locally sourced rabbits introduced genetic variability factors, while questions regarding mineral bioavailability and nutrient interactions in the complete diet matrix remain to be explored. Future research should examine offspring parameters from birth through maturity and investigate practical aspects of Moringa processing methods and optimal inclusion rates in commercial feed formulations, strengthening the foundation for implementing these findings in rabbit breeding program.

While our research demonstrates significant effects of Moringa leaf supplementation on immunological parameters during pregnancy, we acknowledge temporal limitations in our research scope. The current study focused on acute responses during the gestational period, specifically examining blood parameters and immune markers at week 3 of pregnancy. Several studies have indicated potential transgenerational impacts of maternal nutrition on offspring health. Abd El-Hack et al. (2018) reported that maternal nutritional status could influence offspring immunity through epigenetic mechanisms, while Meireles et al. (2020) suggested that bioactive compounds in Moringa might have lasting effects on immune system development. Based on these promising results, we recommend further research focusing on the performance of rabbit kits born to does supplemented with Moringa leaves. Essential parameters for future investigation include: (1) birth weight and pre-weaning growth; (2) blood profiles and immunological status of kits; (3) mortality rates and disease resistance; and (4) reproductive performance at maturity. Additionally, the effects of Moringa leaf dosage and supplementation duration during pregnancy on colostrum and milk quality warrant investigation, as these factors are crucial for maternal immunity transfer to offspring. While the temporal limitations of this study do not diminish our current findings’ significance, extended observations would provide a more comprehensive understanding of Moringa’s potential in enhancing productivity and health in subsequent generations within rabbit production systems, thereby strengthening the scientific basis for Moringa leaf utilization in pregnant rabbit nutrition management.

The enhanced blood Ca and Fe levels observed in our study can be attributed to the unique bioavailability characteristics of minerals in Moringa leaves. According to Singh et al. (2020), Moringa leaves contain minerals predominantly in chelated forms, bound to proteins and organic acids, which significantly enhances their absorption. Calcium exists primarily as calcium oxalate and calcium pectate, while iron is present as iron-protein complexes and ferric hydroxide (Karthivashan et al., 2021). The bioavailability is further enhanced by the presence of vitamin C (ascorbic acid) in Moringa leaves, reported at 220 mg/100g by Leone et al. (2023), which facilitates iron absorption by reducing Fe³ to the more bioavailable Fe² form. Additionally, the low levels of anti-nutritional factors such as phytates (2.59 mg/100g) in Moringa leaves, compared to other leafy vegetables (12-40 mg/100g), reduces mineral-binding interference (Zhang et al., 2022). Comparative studies have demonstrated superior mineral bioavailability from Moringa leaves compared to conventional sources, with calcium absorption rates of 61% versus 31% from milk, and iron bioavailability of 52% versus 27% from spinach (Sahay et al., 2021; Wang et al., 2022). These findings explain the significant improvements in blood mineral profiles observed in our study and support the potential of Moringa leaves as an efficient source of bioavailable minerals in rabbit nutrition.

Blood samples were collected and placed in tubes for serum separation. The samples were centrifuged at 3000 rpm for 10 minutes, and the separated serum was transferred into Eppendorf tubes and stored at -20°C until analysis. IgG concentrations were quantified using sandwich ELISA technique with a commercial rabbit IgG ELISA kit (Cloud-Clone Corp., SEA803Rb, USA) according to manufacturer’s protocol (Yang and Butler, 2021). Serum samples were diluted 1:10,000 in sample diluent buffer and analyzed against a seven-point standard curve (range: 0.312-20 ng/mL). The assay included sequential incubations with biotinylated detection antibody and Avidin-HRP conjugate, followed by color development using TMB substrate, following standard ELISA procedures described by Gan and Patel (2023). Absorbance was measured at 450 nm with wavelength correction at 630 nm using a microplate reader (Multiskan™ FC, Thermo Scientific™). All samples were analyzed in duplicate with intra-assay coefficient of variation maintained below 8%. Final IgG concentrations were calculated using a four-parameter logistic regression curve and expressed in g/dL, with values ranging from 2.27±0.23 to 2.67±0.59 g/dL across treatment groups

All rabbits underwent comprehensive health screening two weeks prior to the experiment, following standard protocols described by Suckow et al. (2012). Initial screening included physical examination, body weight measurement, and assessment of physiological parameters including body temperature (38.5-39.5°C), respiratory rate (30-60 breaths/minute), and heart rat, which were within normal ranges for adult rabbits. Prior to the study, rabbits were maintained on a standard commercial diet for a 14-day adaptation period to eliminate dietary variations. Only clinically healthy females showing regular estrus cycles and males with proven fertility were selected, adhering to criteria outlined by González-Redondo (2022). Exclusion criteria included any signs of respiratory infection, digestive disorders, external parasites, or abnormal behavior. Selected rabbits were dewormed using ivermectin (0.4 mg/kg BW) and vaccinated against common rabbit pathogens. Throughout the adaptation period, feed intake, body weight, and general health indicators were monitored daily to ensure all experimental animals started from comparable baseline condition.

CONCLUSION

This study found that supplementing pregnant rabbits with Moringa leaf-based biscuits improved blood cell profiles, increased IgG levels, and enhanced mineral status (Ca, Fe, Zn). Hematological values remained within normal ranges, with IgG positively correlated to Moringa intake. These findings highlight Moringa’s potential as a functional feed additive in rabbit reproduction. Future research should explore its effects on offspring growth, intergenerational metabolism, and optimal processing methods, with broader applications across livestock species.

ACKNOWLEDGEMENT

This study was supported by Direktorat Riset dan Pengabdian Masyarakat Deputi Bidang Penguatan Riset dan Pengembangan Kementerian Riset dan Teknologi/Badan Riset dan Inovasi Nasional berdasarkan Surat Keputusan Nomor 0162/E5.4/DT.05.00/2023 dan Perjanjian / Kontrak Nomor 077/E5/PG.02.00.PL/2023; 018/SP2H/PT-L/LL7/2023; 01/040.1/PN.02.01/L/IV/2023

Novelty Statement

This study is the first to demonstrate a dose-dependent enhancement of immunoglobulin G (up to 2.67 g/dL at 8% inclusion) and blood mineral bioavailability (Ca from 0.42 to 0.65 mM; Fe from 626.55 to 918.07 μg/dL) through Moringa oleifera leaf meal supplementation in pregnant rabbits, while maintaining hematological parameters within physiological norms and stable zinc homeostasis. Unlike prior research on non-pregnant models or single minerals, our randomized complete block design across 2-8% inclusions reveals Moringa’s potential as a safe, natural immunopotentiator and mineral enhancer for reproductive rabbit health, offering novel insights for sustainable livestock nutrition.

AUTHORS’ CONTRIBUTION

MA, ER, WPL: Designed the study, ES, AP: Collected samples and performed examinations. All authors have drafted and revised the manuscript. IW, ZAB: Read, reviewed, and approved the final manuscript.

Ethical approval

The study received ethical clearance from the Animal Care and Use Committee at Universitas Brawijaya with the reference number: 035-KEP-UB-2023.

Generative AI and AI-assisted technology statement

The use of artificial intelligence tools was limited exclusively to grammatical corrections and phrase refinements. The authors affirm that all scientific content, data analyses, interpretations, and conclusions constitute their wholly original work without external contributions.

Conflicts of interest

The authors have declared no conflict of interest.

REFERENCES

Abd El-Hack ME, Alagawany M, Elrys AS, Desoky ESM, Tolba HMN, Elnahal ASM., Elnesr SS, Swelum AA (2018). Effect of forage Moringa oleifera L. (Moringa) on animal health and nutrition and its beneficial applications in soil, plants and water purification. Agriculture, 8(9). https://doi.org/10.3390/agriculture8090145

Abdulkadir AR, Hasan MM, Jahan MS (2018). Antimalarial, antioxidant, antimicrobial properties of Moringa oliefera Lam: A review. Austral. J. Crop Sci., 12(6): 905–908. https://doi.org/10.21475/ajcs.18.12.06.PNE920

Abel S, Tesfaye JL, Nagaprasad N, Shanmugam R, Dwarampudi LP, Krishnaraj R (2021). Synthesis and characterization of Zinc Oxide nanoparticles using moringa leaf extract. J. Nanomater., 2021: 4525770. https://doi.org/10.1155/2021/4525770

Adi AC, Rachmah Q, Arimbi AN (2019). The acceptance and nutritional value of crispy noodles supplemented with Moringa oleifera as a functional snack for children in a food insecure area. Prevent. Nutr. Food Sci., 24(4): 387–392. https://doi.org/10.3746/pnf.2019.24.4.387

Ahmed NF, Sadek KM, Soliman MK, Khalil RH, Khafaga AF, Ajarem JS, Maodaa SN, Allam AA (2020). Moringa oleifera leaf extract repairs the oxidative misbalance following sub-chronic exposure to sodium fluoride in Nile tilapia Oreochromis niloticus. Animals, 10(4). https://doi.org/10.3390/ani10040626

Akintunde JK, Farai TI, Arogundade MR, Adeleke JT (2021). Biogenic Zinc-Oxide nanoparticles of Moringa oleifera leaves abrogates rotenone induced neuroendocrine toxicity by regulation of oxidative stress and acetylcholinesterase activity. Biochem. Biophys. Rep., 26: 100999. https://doi.org/10.1016/j.bbrep.2021.100999

Ali K, Iqbal A, Bukhari SM, Mahmud A (2020). Ameliorative effects of Moringa oleifera leaf and flower extracts on sodium arsenate induced oxidative stress and histopathological changes in mice embryo. Pak. J. Pharma. Sci., 33: 2721+. https://link.gale.com/apps/doc/A651642351/AONE?u

Arora S, Arora S (2021). Nutritional significance and therapeutic potential of Moringa oleifera: The wonder plant. J. Food Biochem., 45(10): e13933. https://doi.org/10.1111/jfbc.13933

Arwani M, Wijana S, Kumalaningsih S (2019). Nutrient and saponin content of Moringa oleifera leaves under different blanching methods. IOP Conf. Ser. Earth Environ. Sci., 230(1): 12042. https://doi.org/10.1088/1755-1315/230/1/012042

Aslam MF, Basra SMA, Hafeez MB, Khan S, Irshad S, Iqbal S, Saqqid MS, Akram MZ (2020). Inorganic fertilization improves quality and biomass of Moringa oleifera L. Agrofor. Syst., 94(3): 975–983. https://doi.org/10.1007/s10457-019-00464-7

Awodele O, Adekunle IO, Odoma S, Jaime A (2012). Toxicological evaluation of the aqueous leaf extract of Moringa oleifera Lam. (Moringaceae). Journal of Ethnopharmacology, 139(1), 330–336.

Azeez L, Adejumo AL, Simiat OM, Lateef A (2020). Influence of calcium nanoparticles (CaNPs) on nutritional qualities, radical scavenging attributes of Moringa oleifera and risk assessments on human health. J. Food Measur. Characteriz., 14(4): 2185–2195. https://doi.org/10.1007/s11694-020-00465-6

Baihaqi ZA, Sofyan A, Suwignyo B, Angeles AA, Widiyono I, Nurcahyo W, Ibrahim A, Putri EM, Wulandari (2024). In vivo study: The effects of Carica pubescens seed extract on the anthelmintic activity, feed digestibility, performance, and clinical parameters of thin-tailed sheep. IOP Conf. Ser. Earth Environ. Sci. Open Access. 1341(1). https://doi.org/10.1088/1755-1315/1341/1/012119

Baihaqi ZA, Widiyono I, Angeles AA, Suwignyo B, Nurcahyo W (2023). Anthelmintic activity of Carica pubescens aqueous seed extract and its effects on rumen fermentation and methane reduction in Indonesian thin-tailed sheep: An In vitro study. Vet. World, 16(7): 1421-1428. https://doi.org/10.14202/vetworld.2023.1421-1428

Baihaqi ZA, Widiyono I, Nurcahyo W (2019). Prevalence of gastrointestinal worms in Wonosobo and thin tailed sheep on the slop of mount sumbing, Central Java, Indonesia. Vet. World, 12(11): 1866-1871. https://doi.org/10.14202/vetworld.2019.1866-1871

Baihaqi ZA, Widiyono I, Nurcahyo W (2020a). Prevalence naturally infected GI parasites and complete blood count condition on Wonosobo sheep at Wonosobo District, Central Java, Indonesia. Biodiversitas, 21(7): 3057-3061. https://doi.org/10.13057/biodiv/d210724

Baihaqi ZA, Widiyono I, Nurcahyo W (2020b). Potential of Carica pubescens fruit peel as an alternative method to control Haemonchus contortus in small ruminants. Livestock. Res. Rural. Dev., 32(7): 106

Baihaqi ZA, Widiyono I, Nurcahyo W (2020c). In vitro anthelmintic activity of aqueous and ethanolextract of Paraserianthes falcataria bark waste against Haemonchus contortus obtained from a local slaughter house in Indonesia. Vet. World, 13(8): 1549-1554. https://doi.org/10.14202/vetworld.2020.1549-1554

Baihaqi ZA, Widiyono I, Suwignyo B, Angeles AA (2022). Alternative strategies of plant metabolite secondary “Tannin” for methane emission reduction on ruminant livestock: A reviews of The last 5 years literature. Adv. Anim. Vet. Sci., 10(3): 599-606. https://doi.org/10.17582/journal.aavs/2022/10.3.599.606

Baskin KM, Hunnicutt C, Beck ME, Cohen ED, Crowley JJ, Fitz CR (2014). Long-term central venous access in pediatric patients at high risk: Conventional versus antibiotic-impregnated catheters. J. Vascul. Int. Radiol., 25(3): 411–418. https://doi.org/10.1016/j.jvir.2013.11.024

Bidura I, Partama IBG, Utami IAP, Crawati D, Puspani E, Suasta IM, Warmadewi DA, Okarini IA, Wibawa AAP, Nuriyasa IM, Siti NW (2020). Effect of Moringa oleifera leaf powder in diets on laying hens performance, β-carotene, cholesterol, and minerals contents in egg yolk. IOP Conf. Ser. Mater. Sci. Eng., 823(1): 12006. https://doi.org/10.1088/1757-899X/823/1/012006

Borgonovo G, De Petrocellis L, Schiano Moriello A, Bertoli S, Leone A, Battezzati A, Mazzini S, Bassoli A (2020). Moringin, a stable isothiocyanate from Moringa oleifera, activates the somatosensory and Pain Receptor Trepa1 channel in vitro. Molecules, 25(4). https://doi.org/10.3390/molecules25040976

Brown P, Williams D, Carter G (2019). Zinc homeostasis and its role in maintaining human health. Adv. Nutr., 10(3): 123-130.

Budisatria IGS, Guntoro B, Sulfiar AET, Ibrahim A and Atmoko B A (2021). Reproductive management and performances of Bali cow kept by smallholder farmers level with different production systems in South Konawe Regency, Indonesia IOP Conf. Ser.: Earth Environ. Sci. 782 022079

Chakrabarti A, Sood P, Rudramurthy SM, Chen S, Jillwin J, Iyer R, Sharma A, Harish BN, Roy I, Kindo AJ, Chhina D, Savio J, Mendiratta D, Capoor MR, Das S, Arora A, Cher J, Xess I, Boppe A (2020). Characteristics, outcome and risk factors for mortality of paediatric patients with ICU-acquired candidemia in India: A multicentre prospective study. Mycoses, 63(11): 1149–1163. https://doi.org/10.1111/myc.13145

Cheikhyoussef N, Kawa-Schulz M, Böck R, de Koning C, Cheikhyoussef A, Muhammad UB, Hussein AA (2018). Physicochemical characterization, fatty acid and tocopherol content of Moringa ovalifolia (African Moringa) oil from Namibia. J. Am. Oil Chem. Soc., 95(9): 1163–1170. https://doi.org/10.1002/aocs.12059

Chodur GM, Olson ME, Wade KL, Stephenson KK, Nouman W, Garima, Fahey JW (2018). Wild and domesticated Moringa oleifera differ in taste, glucosinolate composition, and antioxidant potential, but not myrosinase activity or protein content. Sci. Rep., 8(1): 7995. https://doi.org/10.1038/s41598-018-26059-3

Dahran N, Abd-Elhakim YM, Mohamed AAR, Abd-Elsalam MM, Said EN, Metwally MMM, Abdelhamid AE, Hassan BA, Alsieni M, Alosaimi ME, Abduljabbar MH, El-Shetry ES (2023). Palliative effect of Moringa olifera-mediated zinc oxide nanoparticles against acrylamide-induced neurotoxicity in rats. Food Chem. Toxicol., 171: 113537. https://doi.org/10.1016/j.fct.2022.113537

Das PE, Abu-Yousef IA, Majdalawieh AF, Narasimhan S, Poltronieri P (2020). Green synthesis of encapsulated copper nanoparticles using a hydroalcoholic extract of Moringa oleifera leaves and assessment of their antioxidant and antimicrobial activities. Molecules, 25(3). https://doi.org/10.3390/molecules25030555

El-Badawi MR, Hashem NA, Omer HA, Aiad KM (2019). Growth performance and blood parameters of growing rabbits fed diets containing different levels of Moringa leaves. World Rabbit Sci., 27(4): 187-196.

El-Hadary AE, Ramadan MF (2019). Antioxidant traits and protective impact of Moringa oleifera leaf extract against diclofenac sodium-induced liver toxicity in rats. J. Food Biochem., 43(2): e12704. https://doi.org/10.1111/jfbc.12704

Fahey JW, Olson ME, Stephenson KK, Wade KL, Chodur GM, Odee D, Nouman W, Massiah M, Alt J, Egner PA, Hubbard WC (2018). The diversity of chemoprotective glucosinolates in Moringaceae (Moringa spp.). Sci. Rep., 8(1): 7994. https://doi.org/10.1038/s41598-018-26058-4

Fatima N, Akram M, Shahid M, Abbas G, Hussain M, Nafees M, Wasaya A, Tahir M, Amjad M (2018). Germination, growth and ions uptake of Moringa (Moringa oleifera L.) grown under saline condition. J. Plant Nutr., 41(12): 1555–1565. https://doi.org/10.1080/01904167.2018.1459690

Folsom AR, Wang W, Parikh R, Lutsey PL, Beckman JD, Cushman M (2020). Hematocrit and incidence of venous thromboembolism. Res. Pract. Thromb. Haemost., 4(3): 422–428. https://doi.org/10.1002/rth2.12325

Galan CR, Silva MF, Mantovani D, Bergamasco R, Vieira MF (2018). Green synthesis of copper oxide nanoparticles impregnated on activated carbon using Moringa oleifera leaves extract for the removal of nitrates from water. Can. J. Chem. Eng., 96(11): 2378–2386. https://doi.org/10.1002/cjce.23185

Gan SD, Patel KR (2023). Enzyme immunoassay and enzyme-linked immunosorbent assay. J. Invest. Dermatol., 133(12): e12-e14.

Gharsallah K, Rezig L, Msaada K, Chalh A, Soltani T (2021). Chemical composition and profile characterization of Moringa oleifera seed oil. S. Afr. J. Bot., 137, 475–482. https://doi.org/10.1016/j.sajb.2020.11.014

González-Redondo P (2022). Reproductive management in laboratory rabbits: Current practices and future perspectives. Lab. Anim. Sci., 72(4): 412-425.

Gopalakrishnan L, Doriya K, Kumar DS (2016). Moringa oleifera: A review on nutritive importance and its medicinal application. Food Sci. Hum. Wellness, 5(2): 49–56. https://doi.org/10.1016/j.fshw.2016.04.001

Gordeuk VR, Key NS, Prchal JT (2019). Re-evaluation of hematocrit as a determinant of thrombotic risk in erythrocytosis. Haematologica, 104(4): 653–658. https://doi.org/10.3324/haematol.2018.210732

Irfan M, Munir H, Ismail H (2021). Moringa oleifera gum based Silver and Zinc Oxide nanoparticles: Green synthesis, characterization and their antibacterial potential against MRSA. Biomater. Res., 25(1): 17. https://doi.org/10.1186/s40824-021-00219-5

Jain A, Subramanian R, Manohar B, Radha C (2019). Preparation, characterization and functional properties of Moringa oleifera seed protein isolate. J. Food Sci. Technol., 56(4): 2093–2104. https://doi.org/10.1007/s13197-019-03690-0

Jones M, Taylor R (2018). Iron supplementation and its effects on blood iron levels: A systematic review. Nutr. Health, 12(4): 78-85.

Juárez-Maldonado A, Ortega-Ortíz H, Cadenas-Pliego G, Valdés-Reyna J, Pinedo-Espinoza J M, López-Palestina CU, Hernández-Fuentes AD (2018). Foliar application of Cu nanoparticles modified the content of bioactive compounds in Moringa oleifera Lam. Agronomy, 8(9). https://doi.org/10.3390/agronomy8090167

Karthivashan G, Park SY, KimJS, Choi DK (2021). Comparative bioavailability and utilization patterns of minerals from Moringa oleifera: Advanced analytical approaches and molecular mechanisms. J. Agric. Food Chem., 69(18): 5241-5255.

Katata-Seru L, Moremedi T, Aremu OS, Bahadur I (2018). Green synthesis of Iron nanoparticles using Moringa oleifera extracts and their applications: Removal of nitrate from water and antibacterial activity against Escherichia coli. J. Mol. Liquids, 256: 296–304. https://doi.org/10.1016/j.molliq.2017.11.093

Khan U, Ghazanfar H (2018). Chapter three - T lymphocytes and autoimmunity. In: L. Galluzzi and N.-P. B. T.-I. R. of C. and M. B. Rudqvist (Eds.): Biology of T Cells - Part A, 341: 125–168. https://doi.org/10.1016/bs.ircmb.2018.05.008

Khoja KK, Aslam MF, Sharp PA, Latunde-Dada GO (2021). In vitro bioaccessibility and bioavailability of iron from fenugreek, baobab and moringa. Food Chem., 335: 127671. https://doi.org/10.1016/j.foodchem.2020.127671

Kim YJ, Kim HS (2019). Screening Moringa species focused on development of locally available sustainable nutritional supplements. Nrp, 13(6): 529–534. https://doi.org/10.4162/nrp.2019.13.6.529

Krishnamurty AT, Turley SJ (2020). Lymph node stromal cells: cartographers of the immune system. Nat. Immunol., 21(4): 369–380. https://doi.org/10.1038/s41590-020-0635-3

Kumar R, Kumar K, Kumar A, Kumar S, Singh PK, Sinha RRK, Moni C (2021). Nutritional and physiological responses of broiler chicken to the dietary supplementation of Moringa oleifera aqueous leaf extract and ascorbic acid in tropics. Trop. Anim. Health Prod., 53(4): 428. https://doi.org/10.1007/s11250-021-02864-3

Lebas F, Coudert P, de Rochambeau H, Thébault RG (2019). The rabbit: Husbandry, health and.

Leone A, Spada A, Battezzati A, Bertoli S (2023). Moringa oleifera: Updated overview on bioactive compounds and biological activities. Nutrients, 15(4): 844.

Leone A, Spada A, Battezzati A, Schiraldi A, Aristil J, Bertoli S (2015). Cultivation, genetic, ethnopharmacology, phytochemistry and pharmacology of Moringa oleifera leaves: An overview. Int. J. Mol. Sci., 16(6): 12791–12835. https://doi.org/10.3390/ijms160612791

Leone A, Spada A, Battezzati A, Schiraldi A, Aristil J & Bertoli S (2016). Moringa oleifera seeds and oil: Characteristics and uses for human health. International Journal of Molecular Sciences, 16(12), 28174-28194. https://doi.org/10.3390/ijms17122141

Lisnanti EF, Lokapirnasari WP, Hestianah EP, Al Arif MA, Baihaqi ZA, Yulianto AB (2024). Antibacterial alternatives using the potential of the ant nest plant (Myrmecodia spp.). Int. J. One Health, 10(1): 148-152. https://doi.org/10.14202/IJOH.2024.148-152

Lisnanti EF, Lokapirnasari WP, Hestianah EP, Al-Arif MA, Baihaqi ZA (2023). The effectiveness of giving marsh fleabane (Pluchea indica L.) water extract on broiler hematology and blood glucose. Adv. Anim. Vet. Sci., 11(8): 1348-1356. https://doi.org/10.17582/journal.aavs/2023/11.8.1348.1356

Lokapirnasari WP, Al-Arif MA, Hidayatik N, Safiranisa A, Arumdani DF, Zahirah AI, Yulianto AB., Lamid M, Marbun TD, Lisnanti EF, Baihaqi ZA, Khairullah AR, Kurniawan SC, Pelawi EBS, Hasib A (2024). Effect of probiotics and acidifiers on feed intake, egg mass, production performance, and egg yolk chemical composition in late-laying quails. Vet. World, 17(2): 462–469. https://doi.org/10.14202/vetworld.2024.462-469

Lukefahr SD, Cheeke PR (2020). Rabbit project development strategies in subsistence farming systems: A review. J. Anim. Sci. Res., 4(2): 26-35.

Malik A, Gunawan A, Erlina S, Widaningsih N, Rokana E (2019). Effect of Moringa oleifera (Moringa) supplementation via urea molasses Multi-Nutrient Moringa Block (UM3B) on nutrient intake and utilization in Bali cattle. J. Anim. Health Prod., 7(2): 527–534. https://doi.org/10.17582/journal.jahp/2019/7.2.70.74

Mapara M, Thomas BS, Bhat KM (2017). Rabbit as an animal model for experimental research. Dental Res. J., 14(4): 249-255.

Matic I, Guidi A, Kenzo M, Mattei M, Galgani A (2018). Investigation of medicinal plants traditionally used as dietary supplements: A review on Moringa oleifera. J. Publ. Health Africa, 9(3): 841. https://doi.org/10.4081/jphia.2018.841

Matinise N, Kaviyarasu K, Mongwaketsi N, Khamlich S, Kotsedi L, Mayedwa N, Maaza M (2018). Green synthesis of novel Zinc Iron Oxide (ZnFe2O4) nanocomposite via Moringa oleifera natural extract for electrochemical applications. Appl. Surface Sci., 446: 66–73. https://doi.org/10.1016/j.apsusc.2018.02.187

Mawardi AI, Susanto H, Taufiq A, Yunisa DT, Rufita F, Nizarghazi F, Alifi G, Putri LN (2020). Halal material synthesis of Moringa oleifera leaf powder (MOLP) frm East Java Indonesia: A preliminary study. AIP Conf. Proc., 2231(1): 40038. https://doi.org/10.1063/5.0002474

Meireles D, Gomes J, Lopes L, Hinzmann M, Machado J (2020). A review of properties, nutritional and pharmaceutical applications of Moringa oleifera: Integrative approach on conventional and traditional Asian medicine. Adv. Tradit. Med., 20(4): 495–515. https://doi.org/10.1007/s13596-020-00468-0

Muteeb G, Aatif M, Farhan M, Alsultan A, Alshoaibi A, Alam MW (2023). Leaves of Moringa oleifera are potential source of bioactive compound andbeta;-carotene: Evidence from in silico and quantitative gene expression analysis. Molecules, 28(4). https://doi.org/10.3390/molecules28041578

Natsir H, Wahab AW, Budi P, Dali S, Arif AR (2019). Amino acid and mineral composition of Moringa oleivera leaf extract and its bioactivity as antioxidant. J. Phys. Conf. Ser., 1317(1): 12030. https://doi.org/10.1088/1742-6596/1317/1/012030

Nawaz QN, Kausar R, Jabeen N, Zubair M, Haq AU, Hussain S, Rizwan M, Khalid MF (2023). Influence of bio fabricated manganese oxide nanoparticles for effective callogenesis of Moringa oleifera Lam. Plant Physiol. Biochem., 198: 107671. https://doi.org/10.1016/j.plaphy.2023.107671.

Ngom I, Ngom BD, Sackey J, Khamlich S (2021). Biosynthesis of zinc oxide nanoparticles using extracts of Moringa oleifera: Structural and optical properties. Mater. Today: Proc., 36: 526–533. https://doi.org/10.1016/j.matpr.2020.05.323

Özcan MM, Ghafoor K, Al Juhaimi F, Ahmed IAM, Babiker EE (2019). Effect of cold-press and soxhlet extraction on fatty acids, tocopherols and sterol contents of the Moringa seed oils. S. Afr. J. Bot., 124: 333–337. https://doi.org/10.1016/j.sajb.2019.05.010

Prasetyo EN, Rokana E, Baihaqi ZA and Samudi S (2024). Anthelmintic effects of Podang mango (Mangifera indica) fruit peel waste extract through in vivo application on Indonesian Etawa goat production and health. Vet. World, 17(6): 1291–1298. https://doi.org/10.14202/vetworld.2024.1291-1298

Prayudi SKA, Effendi MH, Lukiswanto BS, Az Zah-Ra RL, Benjamin MI, Kurniawan SC, Khairullah AR, Silaen OSM, Lisnanti EF, Baihaqi ZA, Widodo A and Riwu KHP (2023). Detection of genes on Escherichia coli producing extended spectrum β-lactamase isolated from the small intestine of ducks in traditional markets Surabaya City, Indonesia. J. Adv. Vet. Res., 13(8): 1600-1608.

Rébufa C, Pany I, Bombarda I (2018). NIR spectroscopy for the quality control of Moringa oleifera (Lam.) leaf powders: Prediction of minerals, protein and moisture contents. Food Chem., 261: 311–321. https://doi.org/10.1016/j.foodchem.2018.04.066

Rodríguez GM, Sibaja JC, Espitia PJP, Otoni CG (2020). Antioxidant active packaging based on papaya edible films incorporated with Moringa oleifera and ascorbic acid for food preservation. Food Hydrocolloids, 103: 105630. https://doi.org/10.1016/j.foodhyd.2019.105630

Rokana E, Fatimah IR, Dianingtyas BD, Hasanah N, Wulandari, Baihaqi ZA (2024). Impact of various fiber sources in ration formulas on feedlot performance of sheep in Indonesia. J. Anim. Health Prod., 12(3): 325-330. https://doi.org/10.17582/journal.jahp/2024/12.3.325.330

Ruffo E, Wu RC, Bruno TC, Workman CJ, Vignali DAA (2019). Lymphocyte-activation gene 3 (LAG3): The next immune checkpoint receptor. Semin. Immunol., 42: 101305. https://doi.org/10.1016/j.smim.2019.101305

Saa RW, Fombang EN, Ndjantou EB, Njintang NY (2019). Treatments and uses of Moringa oleifera seeds in human nutrition: A review. Food Sci. Nutr., 7(6): 1911–1919. https://doi.org/10.1002/fsn3.1057

Safwat AM, Sarmiento-Franco L, Santos-Ricalde RH, Nieves D (2015). Growth performance, blood parameters, and carcass characteristics of growing rabbits fed diets supplemented with Moringa oleifera leaves. Asian-Australas. J. Anim. Sci., 28(6): 859-866. https://doi.org/10.5713/ajas.14.0429

Sahay S, Kumar P, Tiwari KN (2021). Bioavailability of calcium from plant sources: A comprehensive review. Food Rev. Int., 37(6): 665-687.

Sánchez-Machado DI, Núñez-Gastélum, JA, Reyes-Moreno C, Ramírez-Wong B, López-Cervantes J (2010). Nutritional quality of edible parts of Moringa oleifera. Food Anal. Methods, 3(3): 175–180. https://doi.org/10.1007/s12161-009-9106-z

Schuetz P, Albrich W, Christ-Crain M, Chastre J, Mueller B (2010). Procalcitonin for guidance of antibiotic therapy. Exp. Rev. Anti-Infect. Ther., 8(5): 575–587. https://doi.org/10.1586/eri.10.25

See P, Bonacorsi S, Toumazi A, Doit C, Naudin J, Chomton M, Bourgeois FL, Caseris M, Mariani-Kurkdjian P, Poncelet G, Geslain G, Dauger S, Levy M (2023). Factors linked to Staphylococcus aureus healthcare-associated infections among pediatric intensive care unit colonized patients. Arch. Pediatrie, 30(3): 153–157. https://doi.org/10.1016/j.arcped.2023.01.002

Seetha J, Mallavarapu U, Akepogu P, Mesa A, Gollapudi VR, Natarajan H, Anumakonda VR (2020). Biosynthesis and study of bimetallic copper and silver nanoparticles on cellulose cotton fabrics using Moringa oliefiera leaf extraction as reductant. Inorgan. Nano-Metal Chem., 50(9): 828–835. https://doi.org/10.1080/24701556.2020.1725571

Sia WR, Zheng Y, Han F, Chen S, Ma S, Wang LF, Leeansyah E (2022). Exploring the role of innate lymphocytes in the immune system of bats and virus-host interactions. Viruses, 14(1). https://doi.org/10.3390/v14010150

Singh AK, Rana HK, Tshabalala T, Kumar R, Gupta A, Ndhlala AR, Pey AK (2020). Phytochemical, nutraceutical and pharmacological attributes of a functional crop Moringa oleifera lam: An overview. S. Afr. J. Bot., 129: 209–220. https://doi.org/10.1016/j.sajb.2019.06.017

Smith J, Brown K, Johnson L (2020). Calcium metabolism and dietary impact on blood calcium levels. J. Nutr. Sci., 15(2): 45-57.

Singh B, Singh JP, Kaur A, Singh N (2020). Bioactive compounds in Moringa oleifera: Chemistry, technology, and applications. Food Chem., 286: 648-662. https://doi.org/10.2174/1874847302008010001

Situmorang PC, Ilyas S, Syahputra RA, Sari RM, Nugraha AP, Ibrahim A. (2024). Rhodomyrtus tomentosa as a new anticancer molecular strategy in breast histology via Her2, IL33, EGFR, and MUC1. Front. Pharmacol., 15: 1345645. https://doi.org/10.3389/fphar.2024.1345645

Somoza V, Pirkwieser P, Grosshagauer S, Kraemer K (2021). The future of moringa foods: A food chemistry perspective. Frontiers in Nutrition, 8. https://www.frontiersin.org/articles/10.3389/fnut.2021.751076. https://doi.org/10.3389/fnut.2021.751076

Srivastava S, Pey VK, Dash KK, Dayal D, Wal P, Debnath B, Singh R, Dar AH (2023). Dynamic bioactive properties of nutritional superfood Moringa oleifera: A comprehensive review. J. Agric. Food Res., 14: 100860. https://doi.org/10.1016/j.jafr.2023.100860

Su B, Chen X (2020). Current status and potential of Moringa oleifera leaf as an alternative protein source for animal feeds. Front. Vet. Sci., 7. https://www.frontiersin.org/articles/10.3389/fvets.2020.00053. https://doi.org/10.3389/fvets.2020.00053

Suckow MA, Stevens KA, Wilson RP (2012). The laboratory rabbit, guinea pig, hamster, and other rodents (2nd ed.). Academic Press.

Sultana S (2020). Nutritional and functional properties of Moringa oleifera. Metabolism Open, 8: 100061. https://doi.org/10.1016/j.metop.2020.100061

Sumarni PI, Mallongi A, Yane E, Sekarani A (2020). Effect of Moringa oleifera cookies to improve quality of breastmilk. Enfermería Clínica, 30: 99–103. https://doi.org/10.1016/j.enfcli.2019.10.050

Suwignyo B, Baihaqi ZA, Utomo R, Sarmin, Widiyono I (2017). Effect of different feed restrictions on Kacang Goats. 16(4): 236-241. https://doi.org/10.3923/pjn.2017.236.241

Tawfik MM, Mohamed MH, Sadak MS, Thalooth AT (2021). Iron oxide nanoparticles effect on growth, physiological traits and nutritional contents of Moringa oleifera grown in saline environment. Bulletin Natl. Res. Centre, 45(1): 177. https://doi.org/10.1186/s42269-021-00624-9

Tshabalala T, Ncube B, Madala NE, Nyakudya TT, Moyo HP, Siba M, Ndhlala AR (2019). Scribbling the Cat: A case of the “Miracle” Plant, Moringa oleifera. In Plants 8(11). https://doi.org/10.3390/plants8110510

Varkey AJ (2020). Purification of river water using Moringa oleifera seed and copper for point-of-use household application. Sci. Afr., 8: e00364. https://doi.org/10.1016/j.sciaf.2020.e00364

Wang Y, Liu M, Li H, Zhou J (2022). Mineral bioavailability from traditional and novel green leafy vegetables: A comparative assessment. Food Res. Int., 152: 110876.

Willems A, Datoussaid D, Tucci M, Torres CS, Villé AD, Fils JF, Linden PV (2016). Impact of on-bypass red blood cell transfusion on severe postoperative morbidscity or mortality in children. Anesthesia Analgesia, 123(2): 420–429. https://doi.org/10.1213/ANE.0000000000001425

Xu J, Duan AQ, Marini D, Lim JM, Keunen J, Portnoy S, Sled JG, McCrindle BW, Kingdom J, Macgowan CK, Seed M (2020). The utility of MRI for measuring hematocrit in fetal anemia. Am. J. Obstet. Gynecol., 222(1): 81.e1-81.e13. https://doi.org/10.1016/j.ajog.2019.07.016

Yang M, Butler M (2021). Enhanced enzyme-linked immunosorbent assay using biotin-streptavidin binding for ultra-sensitive detection of rabbit immunoglobulins. Anal. Biochem., 552: 78-85.

Zhang H, Chen J, Li J, Wei Z (2022). Anti-nutritional factors in edible plants: Occurrence, characterization, and mitigation strategies. Crit. Rev. Food Sci. Nutr., 62(5): 1239-1258.