Journal of Ethnopharmacology 96 (2005) 87–91 Analgesic and anti-inflammatory activity of a crude root extract of Pfaffia glomerata (Spreng) Pedersen A.G. Netoa , J.M.L.C. Costaa , C.C. Belatia , A.H.C. Vinhólisa , L.S. Possebomc , A.A. Da Silva Filhob , W.R. Cunhaa , J.C.T. Carvalhoc , J.K. Bastosb , M.L.A. e Silvaa,∗ a Núcleo de Pesquisa em Ciências Exatas e Tecnológicas da Universidade de Franca, Av. Dr. Armando Salles Oliveira, 201, Parque Universitário, 1404-600 Franca, SP, Brazil b Faculdade de Ciências Farmacêuticas de Ribeirão Preto da Universidade de São Paulo, São Paulo, Brazil c Laboratório de Fitofármacos da Universidade de Alfenas-MG, Brazil Received 23 October 2003; received in revised form 17 August 2004; accepted 23 August 2004 Available online 28 October 2004 Abstract The anti-inflammatory and antinociceptive effects of the crude hydroalcoholic extract (PE) of Pfaffia glomerata roots was assessed in the carrageenan-induced rat paw edema at the doses of 100, 200 and 300 mg/kg, using different animal models. An anti-inflammatory dose effect response correlation of r = 0.997 and Y = 11.67x + 0.02 was found. At the same doses, the extract-inhibited acetic acid-induced writhing in mice, but no dose response correlation was found. Oral administration of 100 mg/kg of PE and 0.5 mg/kg of dexamethazone inhibited by 29 and 61%, the granulomatous tissue formation (p > 0.05), respectively. These results indicate the potential of this plant extract to treat chronic inflammation. At the assayed doses no significant activity was found in the hot plate test, as well as in the cell migration-induced by carrageenan. © 2004 Elsevier Ireland Ltd. All rights reserved. Keywords: Pfaffia glomerata; Amaranthaceae; Anti-inflammatory activity; Analgesic activity 1. Introduction Several Pfaffia species (Amaranthaceae) are commercialized in Brazil as substitutes for the Asian ginseng (Panax spp., Araliaceae). They are popularly known as “Brazilian ginseng” and “paratudo” and have been used as tonic and aphrodisiac, as well as for the treatment of diabetes and rheumatism (De Oliveira, 1986). There are many literature reports for Panax spp., while for Pffafia species there is still much to be done (Walker, 1994). The main components isolated so far from Pfaffia spp. roots are stigmasterol, sitosterol, allantoin, pfaffic acid and their glycosides (nortriterpene saponins) (Nishimoto et al., 1984; Nakai et al., ∗ Corresponding author. Tel.: +55 16 3711 8871; fax: +55 16 3711 8878. E-mail address: [email protected] (M.L.A. e Silva). 0378-8741/$ – see front matter © 2004 Elsevier Ireland Ltd. All rights reserved. doi:10.1016/j.jep.2004.08.035 1984; Shiobara et al., 1993a,b). The genus Pfaffia comprises about 22 species distributed in Brazil and, due to its difficult botanical identification, there is much confusion among the employed species. De-Paris et al. (2000) reported a study using six different behavioral animal models for the central activity, suggesting that the alcoholic extract of Pfaffia glomerata roots can act as a central nervous system depressant. In the state of Rio de Janeiro, the vernacular name of Pfaffia glomerata is “dipyrone”, but so far no analgesic or anti-inflammatory studies have been reported for this specie. For Pfaffia paniculata, Mazzanti and Braghirolli (1994) reported the analgesic and anti-inflammatory activity of its crude extract, bearing low toxicity for rodents. Therefore, the aim of this study was to carry out a pharmacological evaluation of the crude hydroalcoholic root extract (PE) of Pfaffia glomerata for analgesic and anti-inflammatory activities. 88 A.G. Neto et al. / Journal of Ethnopharmacology 96 (2005) 87–91 2. Material and methods 2.1. Plant material and crude extract preparation Pfaffia glomerata (Spreng) Pedersen (Amaranthaceae) was cultivated in Sı́tio Nova Esperança, Ribeirão Corrente, São Paulo, Brazil, from branches collected in São Gonçalo, Rio de Janeiro and identified by Dr. João C. Siqueira in the Botanical Institute of the University of Campinas, São Paulo, Brazil. Voucher specimens are deposited at the Herbarium of that Institute under the reference number 24200. The roots and rhizomes were harvested from 4 years old individuals and sliced into small pieces, dried in a circulating air stove and grounded (1600 g). The powder was extract with aqueous ethanol (7:3, v/v) solution by maceration for 3 weeks at room temperature. Ethanol was removed by distillation under reduced pressure and the remaining solution was lyophilized and stored under light protection, yielding 19% (360 g) of crude hydroalcoholic lyophilized extract (PE). For the pharmacological tests, the lyophilized extract was dissolved in saline solution prior to its use. 2.2. Animals Male Swiss albino mice weighting 20–25 g were used for the writhing test assay. Male Wistar rats weighting 160–170 g were used for the hot plate, paw edema, cell migration and the inhibition of granulomatous tissue assays. The animals were housed in standard cages at room temperature (25 ± 4 ◦ C) with food and water ad libitum. Twenty-four hours before the experiments they were transferred to the laboratory and were maintained only with water ad libitum. Animals used in this study were housed and cared for in accordance with the College of Medicine of Ribeirão Preto of the University of São Paulo. The experiments were authorized by the Ethical Committee for Animal Care of the University of São Paulo (Protocol number 02.1.597.53.1), in accordance with the Federal Government Legislation on Animal Care. 2.3. Drugs Morphine sulfate (Innovatec, Brazil), indomethacin (Prodome, Brazil), kappa carrageenan type III (Iota-FlukaBiochemika Co., St. Louis, USA) and dexamethazone (Sigma Co.), sodium chloride and acetic acid (Merck Co.) were used in the biological assays. 2.4. Anti-inflammatory activity The rat paw edema was induced by carrageenan (100 g/paw), which was injected into the right hind paw plantar surface to groups of five animals each (Winter et al., 1962). Saline solution (0.9%, 0.1 mL) was injected into the left paw as the control reference for the tested paw. The measurement of foot volumes was carried out following the plestimographic method described by Ferreira (1979). It was done by recording the rat paw volume before the drug injection and then at 1 h intervals for 5 h. Acute carrageenan-induced inflammatory reaction in the peritoneal cavity of rats. Four groups of five animals each received PE at 100, 200 and 300 mg/kg by gavage. The standard drug dexamethazone (0.5 mg/kg) was used as a positive control. The negative control group received 5% Tween in saline solution. One hour later, a volume of 3 mL of carrageenan at 100 g/mL in a 0.9% saline sterile solution was injected into the rat’s peritoneal cavity. Cell migration was quantified 4 h after the injection of carrageenan, according to the method described by Souza and Ferreira (1985). 2.5. Granulomatous tissue assay The assay was performed using groups of five animals each under aseptic condition and anesthesia using diethyl ether, and a ventral longitudinal scission was made in each animal. Then, four rolls of hydrofoils white cotton (Johnson & Johnson), measuring 5 mm of length and weighting 40 mg each, were implanted through the diffusion of the subcutaneous tissue at four equidistant sites of the incision. The cotton rolls were previously autoclaved and treated with 0.4 mL of 5% ampicilin (Ariston) aqueous solution, following the method of Meier et al. (1950) and Niemegeers et al. (1975). The groups were orally treated with 4 mL/kg of a 5% Tween solution, 0.5 mg/kg of dexamethazone and 100 mg/kg of PE, 2 h after cotton “pellets” implantation until the 6th day. At the 7th day, the animals were sacrificed using diethyl ether and the granulomatous tissue was removed by dissection and dried at 60 ◦ C. The weight of the granulomatous tissue was calculated by the difference between the initial and the final dry weight of the cotton pellets. 2.6. Antinociceptive activity The writhing test in mice was carried out using the method of Koster et al. (1959). The writhes were induced by intraperitoneal injection of 0.6% acetic acid (v/v) (80 mg/kg). Three different doses (100, 200 and 300 mg/kg) of PE were administered orally to groups of five animals each, 30 min before chemical stimulus. The number of muscular contractions was counted over a period of 20 min after acetic acid injection. The data represent the total number of writhes observed during 20 min and are expressed as writhing numbers. The hot plate test in rats was performed by the method of Woolfe and McDonald (1944), which was adapted for rats. The evaluated parameters were the latency time for paw licking and jumping responses on exposure to the hot plate surface, kept at 55 ± 1 ◦ C. The animal was kept on the hot plate until it lifted one of its hind paws. Three different doses (100, 200 and 300 mg/kg) of Pfaffia glomerata extract were administered orally to groups of five animals, 30 min before the thermal stimulus and the response was determined every 30 min, during 120 min. The data represent the mean reaction time for the animals. Latency time was recorded and the A.G. Neto et al. / Journal of Ethnopharmacology 96 (2005) 87–91 results are expressed as hot plate analgesic index (Yaksh et al., 1976). 2.7. Statistical analysis Data were statistically analyzed by analysis of variance (ANOVA) with the level of significance set at p < 0.05. Critical differences between means were evaluated by Dunnett’s multiple comparison test and Student’s t-test set at p < 0.05 (Sokal and Rohlf, 1995). 3. Results and discussion PE at 100, 200 and 300 mg/kg administered 30 min before the injection of carrageenan inhibited the formation of edema by 46.3, 56.8 and 63.2%, respectively, 3 h after injection of the inflammatory stimulus (Fig. 1). This result is quite similar to the one observed for indomethacin at 5 mg/kg, which inhibited the edema by 71.1%. Both results were statistically significant (Fig. 1, p < 0.05). Moreover, there was a dose response correlation for the tested concentrations for the paw edema test, with r = 0.997 and Y = 11.67x + 0.02. It is known that the third phase of the edema-induced by carrageenan, in which the edema reaches its highest volume, is characterized by the presence of prostaglandins (PGI2 ) and other compounds of slow reaction (Spector, 1960). Ueno et al. (2000) found that the injection of carrageenan into the rat paw induces the liberation of bradykinin, which later induces the biosynthesis of prostaglandin and other autacoids, which are responsible for the formation of the inflammatory exudate. Besides, in the carrageenan-induced rat paw edema model, the production of prostanoids has been through the serum expression of COX-2 by a positive feedback mechanism (Nantel et al., 1999). Therefore, it is suggested that the mechanism of action of CHAE may be related to prostaglandin synthesis inhibition, as described for the anti-inflammatory mechanism of indomethacin in the inhibition of the inflammatory process Fig. 1. Effects of the oral administration of Pfaffia glomerata extract (PE) on the rat paw edema-induced by intraplantar injection of carrageenan (n = 5) at 3rd hour. (1) Saline, (2) indomethacin (5 mg/kg), (3) PE at 100 mg/kg, (4) 200 mg/kg and (5) 300 mg/kg. Results are expressed as mean ± S.E.M. of paw edema volume. Significance relative to control values * p < 0.05. 89 induced by carrageenan (Di Rosa et al., 1971). In addition, the classification of antinociceptive drugs is usually based on their mechanism of action either on the central nervous system or on the peripheral nervous system (Planas et al., 2000). Moreover, the cell migration within the injured tissue is an important step of the inflammatory process. Thus, using carrageenan as stimulus it was possible to produce an acute inflammatory response inside of the peritoneal cavity of rats 4 h later, with a large number of polimorphonuclear cells in the exudate. Nevertheless, the administration of PE (100, 200 and 300 mg/kg) did not inhibit the cell migration, once the obtained result was similar to the one obtained for the negative control group (0.9% saline solution). On the other hand, dexamethazone inhibited 80% of cell migration. Accordingly to Larsen and Henson (1983), the direct participation of prostaglandins in the chimiotatic response is uncommon to occur. However, leucotrien B4 is a potent chimiotatic compound for the polimorphonuclear leukocytes and lipoxygenasis, an enzyme for the leucotriene synthesis, which is very sensible to steroidal anti-inflammatory drugs, such as dexamethazone (Blackwell et al., 1980). Likewise, the granulomatous tissue formation is related to the chronic inflammatory process, which is characterized by several phases (Swingle and Shideman, 1972). In this regard, the oral treatment with 100 mg/kg of the PE and 0.5 mg/kg of dexamethazone lead to 29 and 61% reduction of the granulomatous tissue formation, respectively (p < 0.05). With respect to the writhing test, the research group of Deraedt et al. (1980) described the quantification of prostaglandins by radioimmunoassay in the peritoneal exudates of rats, obtained after intraperitoneal injection of acetic acid. They found high levels of prostaglandins PGE2␣ and PGF2␣ during the first 30 min after acetic acid injection. Nevertheless, it was found that the intraperitoneal administration of acetic acid induces the liberation not only of prostaglandins, but also of the sympathetic nervous system mediators (Hokanson, 1978; Duarte et al., 1988). Thus, the results obtained for the writhing test using acetic acid are similar to those obtained for the edematogenic test using carrageenan, since Pfaffia glomerata crude hydroalcoholic extract (PE at 100, 200, 300 mg/kg was effective in inhibiting the writhings in mice by 69.1, 66.4 and 74.1%, respectively, in comparison to both the negative control group and the positive control group-treated with indomethacin, which inhibit the writhings by 94.1% (Fig. 2). Therefore, anti-inflammatory substances may also be involved in the peripheral analgesic activity. It is known that non-steroidal anti-inflammatory drugs usually do not increase the pain threshold in normal tissues, whereas local anesthetics and narcotics do (Ferreira et al., 1978). However, the hot plate test was undertaken to verify if PE would have any central analgesic effect. The results for the group-treated with PE did not differ significantly from those obtained for the negative control group. On the other hand, the group-treated with morphine (4 mg/kg, subcutaneously) 90 A.G. Neto et al. / Journal of Ethnopharmacology 96 (2005) 87–91 Fig. 2. Effect of oral administration of PE at 100 mg/kg (3), 200 mg/kg (4) and 300 mg/kg (5) on the writhing number-induced by intraperitoneal administration of a 0.6% acetic acid solution in mice (n = 5). Negative control was treated with 0.9% saline solution (1) and positive control was treated with indomethacin (5 mg/kg) (2). Results are shown as mean ± S.E.M. inhibition of writhing movements and a significant difference from the control group is shown as * p < 0.05. showed a highly significant result. Hence, it is assumed that PE has no analgesic effect on the central nervous system that would contribute to its peripheral analgesic effect. Therefore, despite of the mild effect observed for the doses of 200 and 300 mg/kg for this test in relation to the control group, it was not statistically significant, according to the linear correlation test, once this assay evaluates compounds with central activity like morphine. 4. Conclusion From these investigations, it may be concluded that PE showed both anti-inflammatory and analgesic effects, similar to those observed for non-steroidal drugs, such as indomethacin. It is also suggested that the mechanism of action of PE might be associated with the inhibition of prostaglandin synthesis, as observed for most non-steroidal drugs. 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