Analysis of the central and
peripheral mechanisms underlying the analgesic effects of the extracts of Phyllanthus amarus and
Phyllanthus fraternus
Atul R. Chopade* and F. J. Sayyad
Dept. of Pharmacology and Pharmacognosy,
Government College of Pharmacy, Karad, Dist. Satara. 415124.
*Corresponding Author E-mail: chopadearv@gmail.com
ABSTRACT:
Ethnopharmacological relevance:
A great number of preclinical and clinical studies have
not only confirmed but have also extended the medicinal uses of species of the
genus Phyllanthus mentioned in traditional medicine.
Aim of the study:
To evaluate the central and peripheral mechanisms
underlying the analgesic effects of the extracts of Phyllanthus
amarus and Phyllanthus
fraternus in mice using the acetic acid-induced
writhing and hot plate tests.
Materials and methods:
a) Writhing was induced by intraperitoneal
injection of 0.6% acetic acid (v/v) (80 mg/kg body wt.) and the number of
muscular contractions were counted for 30 min following acetic acid injection with
animals treated with the extracts of Phyllanthus
amarus and Phyllanthus
fraternus.
b) The assay was performed
according to the classical hot-plate technique of Eddy and Leimbach.
The parameter evaluated was the latency time for paw licking and jumping
responses after exposure to the hot plate surface.
Results:
Results showed that the extracts of Phyllanthus
amarus and Phyllanthus fraternus given intraperitoneally
can significantly attenuate acetic acid-induced writhing in mice in a
dose-dependent manner. In the hot plate latency test, Phyllanthus
extracts showed common activity in prolonging duration time and caused marked
inhibition of acetic acid induced pain.
Conclusions: These findings of the current study imply the
involvement of both peripheral and central antinociceptive
mechanisms.
KEYWORDS: Phyllanthus amarus, Phyllanthus fraternus, analgesic
activity, writhing test and hot plate test.
INTRODUCTION:
The plants belonging to the genus Phyllanthus
(Euphorbiaceae) are widely distributed throughout
tropical and subtropical countries.[1-3]
These plants are used in folk medicine for treatment of several diseases,
such as disturbances of kidney and bladder calculi, intestinal infections,
diabetes and hepatitis B virus. A great number of preclinical and clinical
studies have not only confirmed but have also extended the medicinal uses of
species of the genus Phyllantus mentioned in
traditional medicine. [1-3]
Previous studies showed that the extracts of genus Phyllanthus revealed potent, dose related and long-lasting antinociceptive properties when tested in several models of
pain and nociception.
[4-9] However, the mechanisms that
underlying their analgesic effect still remains unclear. In the present study
we therefore attempt to evaluate the central and peripheral mechanisms
underlying the analgesic effects of the extracts of Phyllanthus
amarus and Phyllanthus
fraternus in mice using the acetic acid-induced
writhing and hot plate tests.
MATERIALS AND METHODS:
Plant material
Phyllanthus amarus Schum and Thonn and Phyllanthus fraternus Webster
family- Euphorbiaceae were obtained from different
places in Karad western Maharashtra. The plant
species were identified and authenticated by Botanical survey of India, Pune [Reference No:BSI/WC/ Tech./2012/644].
Preparation of the P. fraternus extract
The dried leaves, stems and roots of P. fraternus
was minced and extracted with 70% ethanol-water in the proportion of 70:30,
being stirred and macerated at room temperature (22-28°C) for 15 days. The
ethanol was evaporated and the extract (yield 5-7%) was concentrated to the
desired level and stored in a refrigerator. The extract was dissolved in DMSO [dimethyl sulphoxide] to the
desired concentration just before use.
Extracts of Phyllanthus amarus
The standardized extract
of Phyllanthus amarus whole
plant (water extract) Reference No: SR/KN/CL/1/2012-L12030241, was procured as
a gift sample from Chemiloids Ltd., Vijaywada.
While the
standardized methanolic extract of Phyllanthus amarus leaf
(Methanol extract contains >2.5% of Phyllanthin
and Hypophyllanthin) Report No: FP1112042- PA/11LOT05
and the standardized hydro methanolic extract of Phyllanthus amarus leaf
(60% Methanol Hydroalcoholic extract contains >5%
of Corilagen) - Report No: FP1102034 -PA/11LOT/02
were procured as a gift sample from Natural Remedies Pvt. Ltd., Bangalore.
Experimental Animals
Swiss albino mice (25-30 g) were used for the study.
The groups of animals (n = 4) animals were maintained under standard
environmental conditions and were fed with standard diet and water ad libitum. Twenty-four hours before the experiments, they had
access only to water ad libitum. A prior approval
[Approval number- GCOPK/2011-12/ CPCSEA/616] was obtained from the Animal
Ethics Committee of Govt. College of Pharmacy, Karad.
(GCOPK) for the study [Protocol Reference No: CPCSEA-IAEC/2011-NOV/01 and
CPCSEA-IAEC/2012-MAR/01]. GCOPK is registered under Committee for the Purpose
of Control and Supervision of Experiment on Animals (CPCSEA), Govt. of India,
CPCSEA Registration no- 209/GO/a/2000/ CPCSEA.
Acetic
acid-induced writhing test [10-11]
The
assay was performed according to the classical technique of Koster
et al. with slight modifications. Writhing was induced by intraperitoneal
injection of 0.6% acetic acid (v/v) (80 mg/kg body wt.) into a group of 4 mice.
Animals were treated with
standardized aqueous extract of P. amarus
whole plant (PAAE), standardized methanolic extract
of P. amarus leaf (PAME) and the standardized
hydro methanolic extract of P. amarus
leaf (PAHME) at dose of 50-100 mg/kg, i.p. and the
standardized hydro ethanolic extract P. fraternus
(PFHEE) (50-100 mg/kg, i.p.) 10
-15 min before the injection of 0.6% acetic
acid. Control animals received a similar
volume of vehicle (DMSO). Aceclofenac was used as positive control and
administered intraperitoneally at a dose of 30 mg/kg.
The number of muscular contractions was counted for 30 min following acetic
acid injection. Data represent the average of the total number of writhes
observed for 30 minutes are expressed as mean ± SEM (standard error of mean).
Hot
plate test [12-13]
The
assay was performed according to the classical hot-plate technique of Eddy and Leimbach the method described previously with little
modification. The parameter evaluated was the latency time for paw licking and
jumping responses after exposure to the hot plate surface. The hot plate
temperature was maintained at 55 ± 1 ºC. The animal was kept on the hot plate
until it lifted one of its hind paws. The response was determined over 150 min
after the injection of the phyllanthus extracts and
the data represent the mean reaction time for the animals. Latency time was
recorded and the results are expressed as the hot plate analgesic index.
The
phyllanthus extracts were administered intraperitoneally at a dose of 100 mg/kg body wt. The
standard (Pentazocine lactate, 10 mg/kg body wt.) was
administered to by intraperitoneal route. The latency time for paw licking was
recorded as pain threshold when mice were exposed to the hot plate surface
which is kept at 55 ± 1°C. Basic
pain threshold was measured, then all treatments were given 10-15 min before
the thermal stimulus and the response was determined at 30, 60, 120 and 180
min. Pain threshold inhibition (%) = (Pt − P0) ×
100/P0, P0 and Pt separately presents basic pain threshold and pain threshold
at time interval.
Statistical analysis
All the Statistical
calculation were performed using Graphpad Prism
software version 6.01, © 1992-2012.
Results are presented as means + SEM (standard error of mean). Data was analyzed
statistically using Dunnett’s Multiple Comparison
test, with the level of significance set at p < 0.05.
RESULTS:
Writhing test
In the writhing test, which
is more sensitive for non-steroidal analgesics, the effect of phyllanthus extracts was significant
at studied doses as compared to the control and standard. The intraperitoneal injection of phyllanthus
extracts reduced, the number of stretching episodes induced by the intraperitoneal injection of acetic acid (0.6%) Fig. 1
shows the effect of the phyllanthus extracts on
acetic acid-induced writhing in mice. The administration of phyllanthus
extracts significantly inhibited writhing response in a dose dependent manner. PAAE, PAME, PAHME and PFHEE produced 80.00 %, 89.143 %, 83.429 % and
86.857 % inhibition of writhing at dose of 50 mg/kg respectively. Whereas, PAAE,
PAME, PAHME and PFHEE produced 85.714
%, 96.00 %, 89.143 and 94.857% inhibition of writhing at dose of 100 mg/kg
respectively. Whereas the standard drug acelofenac
produced 96.00% inhibition of writhing.
Hot plate test
The intraperitoneal
injection of phyllanthus extracts increased the
reaction time of the mouse to the hot plate painful stimulus (Fig. 2). Phyllanthus extracts showed maximum analgesic activity at 30, 60, 120 and 150 min for 100 mg/kg dose. The mean
reaction time in normal control group at 30, 60, 120 and 150 min were found to
be 2.995 ± 0.4517, 2.332 ± 0.332, 1.8325 ± 0.1675,
1.747 ± 0.1606 and 2.165 ± 0.0952 Seconds respectively. The reaction time (paw
licking / jumping response) in rats pretreated with phyllanthus
(100mg/kg) and Pentazocine (10 mg/kg) were found to
be highly elevated, when compared to the control group rats. The duration of
analgesic effect was good compared to the control and reference drug pentazocine which significantly increased the reaction time
at each time point of testing. Effect
of phyllanthus extracts expressed as the % inhibition
threshold of pain response to heat
stimuli induced by hot plate is summarised in
figure 3.
DISCUSSION:
The previously reported results show that the active
principles present in some plants belonging to the genus Phyllanthus,
exhibit potent and long-lasting systemic analgesic effect when analyzed in
various models of inflammation and pain.
By both hot plate and writhing tests, we showed that the extracts of Phyllanthus amarus and Phyllanthus fraternus has marked analgesic properties. Deraedt et al. have described the quantification of
prostaglandins in the peritoneal exudates of rats by radioimmunoassay, obtained
after intraperitoneal injection of acetic acid.[14] They found high levels of
prostaglandins PGE2α e PGF2α during the first 30 min after acetic
acid injection. Nevertheless, it was found that intraperitoneal
administration of acetic acid induces not only the liberation of
prostaglandins, but also the liberation of sympathetic nervous system mediators
[15-16]. Therefore, we may state
that anti-inflammatory substances may also be involved in peripheral analgesic
activity. The phyllanthus extracts inhibited acetic acid
induced writhing in mice. It can therefore be suggested that the analgesic
effect of the extract is peripherally mediated. Phyllanthus extracts produced a reduction in the
number of writhes at two doses used, but the most significant effect was obtained
at the dose of 100 mg/kg body wt. (Fig. 1). The other algesimetric
test used was hot plate test that reveals the central analgesic response. The
extracts showed a significant increase in the pain threshold, corresponding to
a significant increase in the percentage of protection, as compared to the
control group and the pentazocine standard (Fig. 2).
Therefore, the analgesic effect of the extracts was significant by both
measures, a fact that can be explained by the presence of a mixture of
substances in the extract, bearing both peripheral and central analgesic
properties. Different classes of organic
compounds of medicinal importance have been isolated in phyllanthus
extracts including alkaloids, flavonoids,
hydrolysable, tannins (Ellagitannins), major lignans, polyphenols, triterpenes, sterols and volatile oil.[1-8] The lignins flavanoids and tannins
may be the active principles responsible for the observed analgesic effect. [1-8]The literature contains numerous
reports on the analgesic and anti-inflammatory properties of these classes of
compounds [1-8]. Overall, it can be
concluded that the phyllanthus extract possesses
central and peripheral analgesic activity, probably mediated by the inhibition
of prostaglandin synthesis, as well as by central inhibitory mechanisms.
Fig. 1. Peripheral analgesic effect of
phyllanthus extracts
Effect of phyllanthus extracts expressed as number of wriths
induced by intraperitoneal administration of a 0.6%
acetic acid solution in mice (n = 4). Negative Control was DMSO
(vehicle) and positive control was aceclofenac. The
results are shown as mean ± SEM of writhing movements at 30 minutes and a
significant difference from the control group is shown as *P < 0.001.
Fig. 2. Central nervous
system analgesic effect of phyllanthus extracts.
Effect of phyllanthus extracts expressed as
pain response in seconds induced by hot plate in mice (n = 4). The results are shown as mean ± SEM and a
significant difference from the control group is shown as *P < 0.001; #
P<0.05.
Fig. 3 % Pain threshold inhibition of phyllanthus extracts in
hot plate test.
Effect of phyllanthus extracts expressed as
the % inhibition threshold induced by hot plate in mice (n = 4). The results are shown as average mean
inhibition at that particular time point.
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Received on 20.01.2013 Accepted on 12.02.2013
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