men medicine and nature an overview

Page 1

View with images and charts Men, Medicine and Nature: An Overview. 1. INTRODUCTION Sound health and sound mind is the primary concern of a man. Again good health helps to maintain a happy mind. That’s why it is called that “health is wealth”. But very usually man is facing obstacles in keeping his good health right from the very beginning of his journey in this world. Naturally for the survival, man fights against any disastrous happening with him and thus wants to overcome any obstacle. Suffering from various ailments and injuries was the commonest occurrence for the ancient man. And whenever man used to become helpless with this type of incidents he used to apply his instinct and sixths senses to use something that were available in his surroundings to allay his sufferings. In most cases it was the plant or plant parts that were used as remedies. It is not certain when and how man learned to use the plant appropriately but it is thought that animal was the first guide to show him the use of plants. Because animals naturally know or feel how to get relief from the unusual internal conditions. We still observe such incidents incase of our pets-it’s an example. On the other hand, Muslim faith informs us that Adam was the first guide to make us understand about the virtue of plants by self-taking of ‘Gandam’ fruit. But previous one has much more logical and scientific basis. By and by, whether it was the guidance of animals or basic instinct of man or sudden practices on assumptions, man came to know about the therapeutic value of many plants or plant parts and thus their use are coming off from generation to generation. On the starting there was no particular writing method to preserve these experiences and verbally those were supplied to various persons and continuous using on similar conditions made man to keep the experience in their mind. Later these were written down and still these are being used as those were or in somewhat modified form. The most important thing today is that those are now being tried to prove scientifically and in this way synthetically development are being advanced to meet the greater necessity or to conform the purity and specificity. As for example, we can set some of our modern drugs like digitoxin, atropine and the narcotic analgesics like morphine that have been developed from plants. Again thousands of plant metabolites are being used in the treatment of variety of diseases. A few interesting examples of plant metabolites include taxol from Taxus brevifolia,


vincristine and vinblastine from Vinca rosea Linn., all of which are important anticancer agents being used clinically. In the current popular field of chemotherapy, cepheranthine isolated from Stephania cepharantha and Stephania sasaki is being used as a prophylactic in the management of tuberculosis. So it is clear that the primitive use of plants or herbs played a great role in the development of modern medicine. Though the plant or plant parts was the main concern of treatment, at that time whenever man became unsuccessful to overcome any injuries or diseased conditions, he used to apply religious beliefs and thus offered prayers for the relief. Thus often happening of these types of situations created some verses or phrases or words or prayers or tortures or other physical acts to reduce his sufferings. There was another reason for the development of those rhythmic verses or words or prayers or phrases-that was the intention of the religious chiefs to take or increase their power over the general people, because they claimed that these religious facts were given to them by the ancestral Gods. As a result this became confined in the hands of the religious chiefs for many countries and it became a sort of secret magic and once it took the secondary importance. However all those practices are collectively known as traditional medicine as these were being practiced from generation to generation with the traditional belief? The basic concept of this system of medicine has been very comprehensively described by the World Health Organization in this way: “Traditional medicine is the sum total of all knowledge and practice, whether explicable or not, used in the diagnosis, prevention and elimination of physical, mental, or social imbalance, relying exclusively on practical experience and observations handed down from generation to generation verbally or in writing� 1.2 Medicinal Plants-The Best Friend to Human Being in Nature The universe is the greatest store that includes everything for the suitable survival of animals and plants. For this reason, the greatest creation of God, man can enjoy a comfortable and smooth life by using the plants and other animal as sources of food, clothing, shelter and medicine. The contributions of the plants are numerous in every sector of human life. It helps to growing up of the human body and also protects human being from sickness by being


used as medicine. A large number of plants are used as medicinal agents in this world. Specifically in Bangladesh about two hundred fifty species are used as medicinal plants. In nature plants of several varieties are available which are responsible for various pharmacological actions. They are termed as medicinal plants. On the other hand, some of them produce harmful effects on animal systems. They are termed as toxic or poisonous plants. It has now been established that the plants which naturally synthesize and accumulate some secondary metabolites like alkaloids, glycosides, tannins, volatile oils and contain minerals and vitamins possess medicinal properties. A medicinal plant may thus be defined as a plant which, in one or more of its organs contains substances that can be used for therapeutic uses or which are precursors for the synthesis of useful drugs. However, ideally a definition of medicinal plants should include the following: a) Plants or plant parts used medicinally in galenical preparation (e.g. decoctions, infusions, etc). b) Plants used for extraction of pure substances either for direct medicinal use or for the synthesis of medicinal compounds (e.g. synthesis of sex hormones). c) Food, spice and perfumery plants used medicinally d) Microscopic plants, e.g. fungi, actinomycetes, used for isolation of drugs, especially antibiotics. Fibre plants, e.g. cotton, flax, jute, used for the preparation of surgical dressings. 1.3 Historical Background of Medicinal Plants Since disease, decay and death have always co-existed with life, the study of diseases and their treatment must also have been contemporaneous with the dawn of human intellect. The primitive man must have used as therapeutical agents and remedial measures those things which he was able to procure most easily. There is no authentic record of medicines used by the primitive man. Illness, physical discomfort, injuries, wounds and fear of death had forced early man to use any natural substance that he could lay his hand on, without any resistance, for


relieving the pains and sufferings caused by these abnormal conditions and for preserving his health against disease and death. Primitive peoples in all ages have had some knowledge of medicinal plants, derived as the result of trial and error. These primitive attempts at medicine were based on intuition, guesswork, superstition, or trial and error. Most savage people have believed that disease was due to the presence of evil spirits in the body and could be driven out by the use of poisonous or disagreeable substances calculated to make the body an unpleasant place in which to remain. The knowledge regarding the source and use of the various products suitable for this purpose was usually restricted to the medicine men of the tribe. As civilization progressed the early physicians were guided in great part by these observations. Rig Veda (4500-1600 BC), which is the oldest book in the library of man supplies various information on the medical use of plants in the Indian subcontinent. It was noted that Indo-Aryans used the soma plant (Amanita muscaria, a narcotic and hallucinogenic mushroom) as a medicinal agent. It is unfortunate that the Ayur Veda is no more available in its original form but the most authentic and original texts considered as the renowned representatives of the original Ayur Veda, are the encyclopedic Agnivesha or Charaka Samhita and Sushruta samhita. The Indo-Aryans used the plant for sacrificial purposes and its juice is described in the ancient Aryan literature as stimulating beverage. The word oshadhi literally means heat -producer. When the Indo-Aryans came to use the soma plant for therapeutic purposes, they came to possess knowledge of the medicinal properties and uses of herbs and plants. Hence, Oshadhi applied to all herbs and medicinal plants. The Vedas made many references to healing plants including Sarpagondha (Rauwolfia serpentina), while a comprehensive Indian herbal, the Charaka Samhita, cites more than 500 medicinal plants. As far as records go, it appears that Babylonians (about 3000years BC) were aware of a large number of medicinal plants and their properties. As evident from the Papyrus Ebers (about 1500 BC), the ancient Egyptians possessed a good knowledge of the medicinal properties of hundreds of plants. Many of the present day important plant drugs like henbane (Hyoscyamus spp.), mandrake (Mandragora officinarum), Opium (latex of Papaver somniferum fruit), pomegranate (Punica granatum), castor oil (oil of


Ricinus communis seeds), aloe (juice of Aloe spp.), onion (Allium cepa) and many other were in common use in Egypt about 4500 years ago. The Pen Tsao, the earliest known Chinese pharmacopoeia, appeared around 1122 BC attributed to the legendary emperor Shen Nung, this authoritative work described the use of Chaulmoogra oil (from the seed of Hydrocarpus kurzii ) to treat leprosy. The practice of herbal medicine flourished most during the Greek civilization. When historical personalities like Hippo crates (born in 460 BC) and Theophrastus (born in 370 BC) practiced herbal medicine as he was distinguished physician, practicing and researching into herbal medicine. His materia medica consists of some 300 to 400medicinal plants. The far ranging scientific work of Aristotle (384-322 BC), a Greek philosopher, included an effort to catalogue the properties of the various medicinal herbs at that time. The Greek writer–physician Dioscorides (60 AD) who wrote the famous treatise De Materia Medica, (published in78AD) which contained the description of 600 medicinal plants. Two of the 37 volumes of books written by Pliny De Elder (23-70 AD) which included a large number of medicinal plants. The great Greek pharmacist-physician Galen (133-200 AD), who wrote about 500 volumes of books describing hundreds of recipes and formulation of medicinal preparations containing both plant and animal ingredients. Allopathic and Homeopathic systems of medicine today are based on the doctrine expatiated by Galen. After the dark ages were over, there came the period of the herbalists and encyclopedists, and the monasteries of Northern Europe produced vast compendiums of true and false information regarding plants, stressing in particular the medicinal value and folklore. It was about this time that the curious “Doctrine of Signatures” came into being. It was developed by Paracelsus (1490-1541 AD), a Swiss alchemist and physician. According to this superstitious doctrine all plants possessed some sign, given by the Creator, which indicated the use for which they were intended. Thus a plant with heart-shaped leaves should be used for heart ailments, the liver leaf with its three lobed leaves for liver troubles, and so on. Many of the common names of our plants of today owe their origin to this curious belief.Such names as heartsease, Solomon’s-seal, dogtooth violet, and liverwort carryon the old superstition.


From this crude beginning the study of drugs and drug plants has progressed until now Pharmacognosy and Pharmacology are essential branches of medicine7. 1.4 Medicinal Plants Used In Traditional Medicine Hakim Mohammed Said, a noted traditional medicine expert, advocates that Arab, Chinese and Indian systems of medicines are not static but progressing from generation to generation. Recent trend is to integrate the traditional medicine with modern medicines. Best therapeutic results are said to be obtained often with the traditional Chinese system. We have seen that some manufacturers of traditional medicines use wrong parts of medicinal plants in preparing their medicines. Medicinal plants used in traditional medicine are often collected in the wrong season, at the wrong time of the day and at the wrong stage of their growth due to ignorance on the part of the collectors. These problems greatly affect the quality of traditional medicine, prepared from plant origin. 1.5 Contribution of Medicinal Plants to Modern Medicine Plants and man are inseparable. The human race started using plants as a means of treatment of diseases and injuries from the early days of civilization on earth and in its long journey from ancient time to modern age the human race has successfully used plants and plant products as effective therapeutic tools for fighting against diseases and various other health hazards. Scientists identified and isolated different chemical constituents from plants, which have been used to prepare modern medicines. In course of time their synthetic analogues have also been prepared. In this way, ancient uses of Datura plants have led to the isolation of hyoscine, hyoscyamine, atropine and tigloidine; Cinchona bark to quinine and quinidine, Rawolfia serpentina to reserpine and rescinnamine, Digitalis purpurea to digitoxin and digoxin, Opium to morphine and codeine, Ergot to ergotamine and ergometrine, Senna to sennosides, Catharanthus roseus to vinblastine and vincristine4. A recent survey by the United Nations Commission for Trade and Development (UNCTAD) indicated that about 33% of drugs, produced in the developed countries,


are derived from plants (UNCTAD/GATT 1974: Annual Report, Geneva, Switzerland) and that if microbes are added, 60% of medicinal products are of natural origin 5. According to some sources almost 80% of present-day medicines are directly or indirectly derived from plants10. Surprisingly, this large quantity of modern drugs comes from less than 15% of the plants, which are known to have been investigated pharmacologically, out of an estimated 250000 to 50000 species of higher plants growing on earth11. More than 47% of all drugs, used in Russia, are obtained from botanical sources12. At present, thousands of plant metabolites are being successfully used in the treatment of variety of diseases11. A few striking examples of plant metabolites include taxol from Taxus brevifolia13, vincristine and vinblastine from Vinca roseus14. All of which are important anticancer agents being used clinically. In the current popular field of chemotherapy, cepharanthine, isolated from Stephania cepharantha and Stephania sasaki15 is being used as a prophylactic in the management of tuberculosis. Even today 80% of the rural population of most developing countries of the world, depends on herbal medicine for maintaining its health and well being 16. The consumption of medicinal plants is increasing in many developed countries, where 35% of drugs contain active principles from natural origin17. In China, about 15000 factories are involved in producing herbal drugs, herbal medicines have been developed to a remarkable standard by applying modern scientific technology in many countries, such as, China, India, Bangladesh, Srilanka, Thailand and United Kingdom. In these countries, the dependence on allopathic drugs has been decreased to greater extent18. One hundred and seventy drugs from different plants, which are or once official in the USP or NF, were used by the North American Indians. In 1960, 47% of drugs, prescribed by physicians in the United States of America, were from natural sources 19. In 1967, 25% of the products, which appeared in 1.05 billion prescriptions filled in the United States, contained one or more ingredients derived from higher plants20. In the United States, in 1980, the consumers paid 8 billion dollars for prescription drugs in which the active ingredients are still derived from plants 5. 47% of some 300 million


new prescriptions written by physicians in America in 1961, contained as one or more active ingredients, a drug of natural origin21. “Modern medicine still has much to learn from the collector of herbs�, said Dr. Halfdan Mahler, Director General of the World Health Organization. Many of the plants, familiar to the witch doctor, really do have the healing power that tradition attaches to them. The age-old art of the herbalist must be tapped10. Thus it is apparent that whatever progress, science might have made in the field of medicine over the years, plants still remain as the primary source of supply of many important drugs, used in modern medicine. Indeed, the potential of obtaining new drugs from plant sources is so great that thousands of substances of plant origin are being studied for activity against such formidable foes as heart diseases, cancer, and aids6. In this way, modern medicine will continue to be enriched by the introduction of newer and more potent drugs from plant sources. 1.6 Chemical Constituents of Medicinal Plants Plants have been serving the animal kingdom as its source of energy (food, fuel) as well as its means of shelter and sustenance since the very beginning of its existence on earth’s surface habitable for the animals. In addition to providing the animal kingdom its food, fuel and shelter, each of these plants has been synthesizing a large variety of chemical substances since their first day of life on earth. These substances include, in addition to the basic metabolites, phenolic compounds, terpenes, steroids, alkaloids, glycosides, tannins, volatile oils, contain minerals, vitamins and a host of other chemical substances referred to as secondary metabolites which are of no apparent importance to the plants own life. But many of these compounds have prominent effects on the animal system and some possess important therapeutic properties which can be and have been utilized in the treatment and cure of human and other animal diseases since time immemorial. These secondary metabolites differ from plant to plant. Thus, the plant kingdom provides a tremendous reservoir of various chemical substances with potential therapeutic properties. The chemical constituents, which are capable of influencing the physiological systems of the animal body by exerting some pharmalogical actions, are designated as the active


chemical constituents or simply active constituents. In short, it may be said that the chemical constituents present in the medicinal plants constitute the most important aspect of all medicinal plants. Green leaves are the sites of a great deal of such chemical activity. The chemical substances with medicinal properties found in some plants are the products of such chemical processes. The occurrence of the active chemical substances in all parts of the plant body or they may be accumulated in higher concentrations in some specific part. The types of chemical constituents are as follows: A. Alkaloids and amides •

Pyridine group

Tropane group

Isoquinoline group

Quinoline group

Quinolizidine group

Indole group

Steroidal group

Imidazole group

Phenylthylamine group

Alkaloidal amines

B. Antibiotic and Anti-inflammatory principles C. Bitter and Pungent principles D. Volatile oils and Fixed oils E. Glycosides •

Anthraquinone glycosides

Cardiac glycosides

Saponin glycosides

Thiocyanate glycosides

Other glycosides

F. Gum-resins and Mucilage G. Vitamins and Minerals.


1.9 Inflammation – An Overview Inflammation is the characteristic response of mammalian tissue to injury. Whenever the tissue is injured there follows at the site of injury a series of events that tend to destroy or limit the spread of the injurious agent. Inflammation is fundamentally a protective response. It is closely intertwined with the process of repair. Inflammation serves to destroy, dilute, or wall off the injurious agent, but it in turn, sets into motion a series of events that, as far as possible, heal and reconstitute the damage tissue. Without inflammation, infections would go unchecked, wounds would never heal, and injured organs might remain permanent festering sores. However, inflammation may be potentially harmful, causing life-threatening hypersensitivity reactions, progressive organ damage, and scarring. Etiology of inflammations: The agents that injure tissue and therefore evoke the inflammatory response include: 1. Physical agents: e.g. Physical agents such as excessive heating or cooling, ultraviolet or ionizing radiation or mechanical trauma. 2. Chemical agents: e.g. Chemical substances including toxins from various bacteria. 3. Hypersensitivity: e.g. reaction of antibody or of sensitized lymphocytes with bacterial or other antigens. 4. Infection: Microbial infection is a very important cause of inflammation. Microorganism may injure tissue in several ways by release of exo- or endotoxins, by intracellular multiplication followed by cell death as seen in many viral infections. 5. Necrosis: From almost any cause leads to release of substances, which induce inflammation in adjacent living tissue. Cardinal signs of inflammation: 1. Redness 2. Swelling 3. Heat 4. Pain


5. Loss of function Types of inflammations: According to its duration and predominant inflammation cell type, inflammation is divided into acute or chronic pattern. The vascular and cellular responses of both acute and chronic inflammation are mediated by chemical factors derived from plasma or cells and triggered by inflammatory response. Acute Inflammation: Acute inflammation is the immediate and early response to an injurious agent. This is relatively non-specific, its main role, being to clear away dead tissues, protect against local infection, and allow the immune system access to the damaged area. The major components of acute inflammation are:1. Alteration in vascular caliber that lead to an increase in blood flow. 2. Structural changes in the microvasculature that permit the plasma proteins and leukocytes to leave the circulation. 3. Emigration of the leukocytes from the microcirculation and their accumulation in the focus of injury. i. Vascular changes Inflammation causes change in vascular process in the affected areas. Such changes are described in the following steps:

Fig 2: Blood pressure and plasma colloid osmotic forces in normal and inflamed microcirculation.


ii. Change in vascular flow and caliber Change in vascular flow and caliber being very early after injury and develop at varying rates, depending on the severity of the injury. The changes occur in the following order: Injurious agents cause an inconstant and transient vasoconstriction of arterioles then follow the vasodilation. The first involves the arterioles and then results in opening of new capillary bed in the area. Slowing of the circulation is brought about by increased permeability of the microvasculature, with the outpouring of protein-rich fluid into the extravascular tissues then leads to stasis. The increased permeability is the cause of edema. iii. Increased vascular permeability (vascular Leakage) Increased vascular permeability is the hallmark of acute inflammation. The loss of protein from the plasma reduces the intravascular osmotic pressure and increases the osmotic pressure of the interstitial fluid. Together with the increased hydrostatic pressure owing to vasodilation, this leads to a marked outflow of fluid and its accumulation in the interstitial tissue. The mechanisms purposed for endothelial permeability they are:i. Formation of endothelial gaps in venules (elicited by histamine, bradykinin, leukotrienes, substance-P, and many other chemical mediators). ii. Cytoskeletal reorganization. The endothelial cells undergo a structural reorganization of the cytoskeleton, such that endothelial cells retract from one another. iii. Increased transcytosis across the endothelial cytoplasm: Transcytosis occurs across channels consisting of clusters of interconnected, uncoated vesicles and vacuoles called the vesiculovacuolar organelle, many of which are located close to intercellular junctions. iv. Direct endothelial injury, resulting in endothelial cell necrosis and detachment: This effect is usually encountered in necrotizing injuries and is due to direct damage to the endothelium by the injurious stimulus, as, for example, by severe burns or lytic bacterial infections.


v. Delayed prolonged leakage is a curious but relatively common type of increased permeability that begins after a delay of 2 to 12 hours, lasts for several hours or even days, and involves venules as well as capillaries. vi. Leukocytes-mediated endothelial injury: leukocytes adhere to endothelium relatively early in inflammation. As seen subsequently, such leukocytes may be activated in the process, releasing toxic oxygen species and proteolytic enzymes, which then causes endothelial injury or detachment- resulting in increased permeability. vii. Leakage from new blood vessels: New vessels sprouts remain leaky until endothelial cells differentiate and form intercellular junctions. In addition, certain factors that cause angiogenesis also increase vascular permeability. iv.Cellular events: Leukocyte Extravasation and Phagocytosis A critical function of inflammation is the delivery of leukocytes to the site of injury. The sequence of events in this journey called extravasatyion, includes: ----1) Margination, rolling and adhesion of leukocytes in the lumen 2) Transmigration across the endothelium (also called diapedesis) 3) Migration in interstitial tissues toward a chemotactic stimulus

Fig 3: Sequence of leukocytic events in inflammation. The leukocytes first roll: then arrest and adhere to endothelium: and then transmigrate through and intercellular junction, pierce the basement membrane, and migrate toward chemo-attractants emanating from the source of injury. The roles of selectins, activating agents and integrins are also shown


v. Adhesion and transmigration These occur largely due to interactions between complementary adhesions molecules on the leukocytes and on the endothelium. Chemical mediator’s adhesion pairs include: 1) The selectins (E, P and L) which bind through their lectin (sugar binding) domains to oligosaccharides (e.g. sialylated Lewis X), which themselves are covalently bound to cell surface glycoproteins. 2) The immunoglobulin family,

which includes the4 endothelial ICAM-1

(intercellular adhesion molecule-1) and VCAM-1 (vascular cell adhesion molecule-1). 3) The integrins, which function as receptors some of the members of the immunoglubin family and the extracellular matrix. The principal integrin reveptors for ICAM-1 are the β-integrins LFA-1 and MAC-1 (CD11a/CD18 and CD11b/CD18), and those for VCAM-1 are the integrins α4β1 (VLA4) and α4β7. It is now thought that neutrophils adhesion and transmigration in acute inflammation occur by a series of overlapping steps: 1)

Endothelial activation: Mediators present at the inflammatory sites increase the expression of E-selectin and P-selectin be endothelial cells.

2)

Leukocyte rolling: There is an initial rapid and relatively loose adhesion, resulting from interactions between the selectins and their carbohydrate ligands.

3)

Firm adhesion: The leukocytes are then activated by chemokines or other agents to increase the avidity of their integrins.

4)

Transmigration: This is mediated by interaction between platelet endothelial cell adhesion molecule-1 (PECAM-1 or CD31) on leukocytes and endothelial cells.

vi. Chemotaxis and leukocyte Activation Adherent leukocytes emigrate through interendothelial junctions, traverse the basement membrane, and move towards the site of injury along a gradient of chemotactic agents. Neutrophils emigrate first and monocytes follow. Chemotactic agents for neutrophils


include bacterial products, complement fragments, arachidonic acid metabolites (e.g. Leukotriene B-4) and certain cytokines. Chemotaxis involves binding of chemotactic agents to receptors on leukocytes, phospholipase C activation, incteased intracellular calcium, activation of protein kinase-C, protein phosphorylation leading to activation of intracellular contractile proteins. Locomotion is controlled by the effects of calcium ions and phosphoinositols on actin regulatory proteins such as gelsolin and filamin. vii. Phagocytosis Phagocytosis involves attachment of opsonized particles to Fe and C3b receptors on the surface of leukocytes; Engulfment by pseudopods encircling the phagocytosed paricles, creating a phagosome; Fusion of lysosomal granules with the phagosome, leading to de-granulation; Killing and /degradation of bacteria.

CYTOPLASM

PHAGOCYTIC VACUOLE

Cytoplasmic oxidase

MPO +Cl-

O2

NADPH

Specific granule MPO

Active oxidase O2

NADP+

H2O2

OCl

Fe2+

Membrane

OH

Membrane

oxidase

Fig 4: Summary of oxygen dependent bactericidal mechanism within phagocytic vacuole

viii. Extracellular Release During phagocytosis, leukocytes release; Lysosomal enzymes by regurgitation during feeding, reverse endocytosis and cytotoxic release; Oxygen derived active metabolites; Products of arachidonic acid metabolism. ix. Defects in Leukocyte function


These interfere with inflammation and inctease susceptibility to infection. They include both genetic and acquired defects. Deficiency in the number of circulating cells (neutropenia) 1) Defects in adherence (e.g. leukocyte adhesion deficiency) type I and II 2) Defects in migration and chemotaxis 3) Defects in phagocytosis (e.g. diabetes mellitus) 4) Defects in mivrobicidal activity. In chronic grnulomatous disease there are ingerited defects in NADPH oxidase leading to a defect in the respiratory burst, hydrogen peroxide production and the MPO-hydrogen peroxide halide bactericidal mechanism. x. Major events in inflammation  Hyperemia  Exudation of fluid  Cellular Exudation  Emigration of leukocytes xi. Outcome of acute inflammation Acute inflammation may results in: 1. Complete resolution, with regeneration of native cells and restoration of the site acute inflammation to normal. 2. Healing by connective tissue replacement and scarring, which occurs after substantial tissue destruction, when the inflammation occurs in tissues that do not regenerate or when there is abundant fibrin exudation. 3. Abscess formation. 4. Progression to chronic inflammation.


Tissue damage or injury Marked neutrophilic response, with tissue destruction Abscess formation

Acute inflammation

Damage neutralized, tissue damage minimal

Re-growth of dead cells

Damage neutralized, some

tissue damage

Organization through phagocytosis and granulation tissue

Persisting, damaging agent, with tissue destruction

Organization with continued inflammation

formation Chronic inflammation Resolution

Healing by repair

Fig 5: Outcome of acute inflammation

Chronic Inflammation: Chronic inflammation is of longer duration and is associated histologically with the presence of lymphocytes and macrophages, the proliferation of blood vessels, fibrosis, and tissue necrosis. Chronic inflammation arises under the following settings: 1.Persistent infections by certain microorganism, such as tubercle bacilli having low toxicity and evoke an immune reaction called delayed hypersensitivity. i. Prolonged exposure to potentially toxic agents, either exogenous or endogenous. ii. Autoimmunity: under certain conditions, immune reactions are set up against the individual’ own tissues, leading to autoimmune diseases. 1.10. CENTRAL NERVOUS SYSTEM DEPRESSANT


Central nervous system depression or CNS depression refers to physiological depression of the central nervous system that can result in decreased rate of breathing, decreased heart rate, and loss of consciousness possibly leading to coma or death. CNS depression often results from the use of depressant drugs such as alcohol, opioids, barbiturates,

benzodiazepines,general-anesthetics,

and

anticonvulsants

such

as

valproate semisodium used to treat epilepsy. Drug overdose is often caused by combining two or more depressant drugs, although overdose is certainly possible by consuming a large dose of one depressant drug. CNS depression can also be caused by the accidental or intentional inhaling of certain volatile chemicals such as Butanone (contained in Plastic Cement). Other common causes of CNS depression are metabolic disturbances, such as hypoglycaemia. CNS depression is treated within a hospital setting by maintaining breathing and circulation. Individuals with reduced breathing may be given supplemental oxygen, while individuals who are not breathing can be ventilated with bag valve mask ventilation or by mechanical ventilation with a respirator. Sympathomimetic drugs may be used to attempt to stimulate cardiac output in order to maintain circulation. CNS Depression caused by certain drugs may respond to treatment with an antidote. 2. OBEJECTIVE AND RATIONALITY OF THE PRESENT STUDY: The use of plant products- crude extracts and metabolites in the treatment of various diseases has not been yet abolished from the modern world. Rather in many parts of the world, herbal medicine is being popular day by day and the usage rate is increasing. Besides in underdeveloped and developed countries, traditional herb based therapy has always got a significant contribution to the total health care system. Since Bangladesh is enriched with medicinal plants, the present study may direct a significant way of making best use of these resources. Majorities of our population, who are impoverished, have to rely on the indigenous system of medication due to their inability to meet the cost of modern medicine. Many of the indigenous plants of our country don’t have any scientific bases behind their folklore use. Again plants do have varied types of molecular entities within and it is not unlikely that a particular plant that has got traditional indication for a particular disease may exhibit beneficial role in some other ailments. That is why the present study- bioactivity guided phytochemical investigation of Piper betle Linn. (Piperaceae) is primarily aimed at ---


1. Rationalization of the traditional use of the selected plant 2. Exploration of possible newer medicinal activities of the same plant and 3. Isolation of the bioactive principles.

2.1. Present Study Protocol 1. Extraction of the powdered plant parts of leaf of Mimosa pudica. 2. Preliminary biological screening of the crude extract for analgesic,antiinflammatory activity and CNS depressant for which the plant has popular folklore usage. 3. Establishment of dose – response relationship. 4. Analysis of statistical significance of all the experiments conducted. 3. PLANT DESCRIPTION: Mimosa pudica: Mimosa pudica (from Latin: pudica "shy, bashful or shrinking"; also called sensitive plant and the touch-me-not), is a creeping annual or perennial herb often grown for its curiosity value: the compound leaves fold inward and droop when touched or shaken, re-opening minutes later. The species is native to South America and Central America, but is now a pantropical weed.

3.2. Description:


Mimosa is a deciduous, small to medium-sized tree that can grow 20 to 40 feet tall. It is a member of the legume (Fabaceae) plant family and is capable of fixing nitrogen. The bark is light brown and smooth while young stems are lime green in color, turning light brown and covered with lenticels. Leaves are alternately arranged and bipinnately compound (6 to 20 inches long), having 20 to 60 leaflets per branch. The leaf arrangement gives mimosa a fern-like or feathery appearance. The flowers are fragrant and pink in color, about 1½ inches long. Fruits are flat and in pods, a characteristic of many legumes. Pods are straw-colored and 6 inches long containing 5 to 10 light brown oval-shaped seeds about ½ inch in length. Pods typically persist on the plant through the winter months. Mimosa reproduces both vegetatively and by seed. Seeds require scarification in order to germinate. This characteristic allows the seed to remain dormant for many years. Normally seeds are dispersed in close proximity of the parent plant; however, seeds can also be dispersed by water. Wildlife may also contribute to the spread of mimosa through the ingestion and excretion of the seeds. Vegetative reproduction occurs when trees are cut back, causing quick resprouting and regrowth. Extracts of the plant have been shown in scientific trials to be a moderate diuretic, depress duodenal contractions similar to atropine sulphone, promote regeneration of nerves, and reduce menorrhagia (Modern-natural 2001). Anitdepressant activity has been demonstrated in humans (Martínez and others 1996). Root extracts are reported to be a strong emetic (Guzmán 1975)." The leaves are bipinnate, meaning that they are compound leaves consisting of many leaflets arranged on side-branches off the main axis. These leaflets are called pinnae, and these are sub-divided into many little leaflets called pinnules, thus giving the plant a fern-like appearance. The pinnae are 2.5 to 5cm long and are made up of elliptical, 0.5cm long pinnules arranged in rows of opposite pairs. 3.4. Taxonomy and nomenclature Scientific classification Kingdom: Plantae (unranked): (unranked):

Angiosprms Eudicots


(unranked): Order: Subfamily: Genus: Species:

Rosids Fabales Mimosoid eae Mimosa M. pudica

Biological: There are no known biological control agents for the control of mimosa. The plants like a warm sunny position and a relatively humid atmosphere. Chemical: Mimosa seedlings and small trees can be controlled by applying a 2% solution of glyphosate or triclopyr plus a 0.25% non-ionic surfactant to thoroughly wet all leaves. Systemic herbicides such as glyphosate and triclopyr can kill entire plants because the chemicals travel through a plant from the leaves and stems to the actively growing roots. Triclopyr is a selective herbicide for many broad-leaved plant species and should be considered for sites where native or other desirable grasses are meant to be conserved. The cut-stump and basal bark herbicidal methods should be considered when treating individual trees or where the presence of desirable species preclude foliar application. Stump treatments can be used as long as the ground is not frozen. Horizontally cut stems at or near ground level. Immediately apply a 25% solution of glyphosate or triclopyr and water to the cut stump making sure to cover the outer 20% of the stump. Basal bark applications are effective throughout the year as long as water is not standing at time of application. Apply a mixture of 25% triclopyr and 75% basal oil to the base of the tree trunk to a height of 12-15 inches from the ground. Thorough wetting is necessary for good control; spray until run-off is noticeable at the ground line. Applications should be made to cut stumps within one minute of cutting. For larger trees stem injections of imazapyr or triclopyr can be used. For trees already chopped down apply these herbicides to the stem and stump to prevent resprouting. For saplings, apply triclopyr as a 20% solution in commercially available basal oil, diesel fuel, or kerosene (2.5 quarts per 3-gallon mix) with a penetrant (check with herbicide


distributor) to young bark as a basal spray. For resprouts and seedlings thoroughly wet all leaves with a surfactant in water with and triclopyr or glyphosate herbicide as a 2% solution (8 ounces per 3-gallon mix between July to October) or clopyralid as a 0.2- to 0.4% solution (1 to 2 ounces per 3-gallon mix between July to September). PLANT DESCRIPTION Documented Properties & Actions:

Antibiotic, antimicrobial, anti-neurasthenic, antispasmodic, diuretic, nervine, poison, sedative

Plant Chemicals Include:

Ascorbic-acid, crocetin, crocetin-dimethyl-ether, Dglucuronic-acid, D-xylose, linoleic-acid, linolenic-acid, mimosine, mucilage, norepinephrine, oleic-acid, palmiticacid, sitosterol, stearic-acid

3.8. Chemical constituents Mimosa pudica contains the toxic alkaloid mimosine, which has been found to also have antiproliferative and apoptotic effects. The extracts of Mimosa pudica immobilize the filariform larvae of Strongyloides stercoralis in less than one hour. Aqueous extracts of the leaf of the plant have shown significant neutralizing effects in the lethality of the venom of the monocled cobra (Naja Kaouthia). It appears to inhibit the myotoxicity and enzyme activity of cobra venom. 4. MATERIALS AND METHODS 4.1 Preparation of the Plant Extract Sample The sample was the leaf of the plant, Mimosa pudica to study its analgesic,antiinflammatory activity and CNS depressant.. Collection of sample The samples were collected from the Botanical garden of the Jahangirnagar University and verified with Taxonomy Division of the Botany Department of the university. Method of drying and pulverizing The fresh leaf were washed with water immediately after collection. Then they were dried in oven under 40-500C for 48 hours. When the roots were properly dried they were ground by using a mechanical grinder to a coarse powder. Before grinding the


machine was cleaned to avoid contamination. The coarse powder was then taken in a clean airtight container and prepared for extraction. Method of extraction The powdered leaves were weight (116gm) and filled in a clean extraction bag. The bag was placed in a soxhlet extractor. Then petroleum ether (500mL) was used for extraction. The extraction process was repeated for 10 cycles and in the same way methanol was used subsequently. The extracts were collected and dried separately on water bath. The dried extracts were kept in desiccators. Application of the extracts Definite amount of the dried extract that was under study was weighed and dispersed in suitable amount of alcohol to get suitable means to administer to the experimental animals. The experiments were carried out on albino mice (Swiss Strain). They were obtained from animal house of the Department of Pharmacy, Jahangirnagar University, Savar, Dhaka. Rats of 2-3 months old, weighing 200-250g, were used. The rates were housed in plastic cages. They were maintained at room temperature under conditions of natural light and dark schedule. The rats were fed with ‘rat chow’- prepared according to the formula developed by the Bangladesh Council for Scientific and Industrial Research (BCSIR), Dhaka. They were allowed to drink water ad libitum. The standard drug and extracts were administered to the stomach with the help of feeding needle fitted to syringe. Standard Drug and its Solutions Acetyl Salicylic Acid (Aspirin) (Purity 99.99%) was obtained from the store of the Pharmacy Department of Jahangirnagar University and used as standard. Solutions of the drug were prepared according to various dosages regimens in 0.2 ml of ethanol/100 g. B.W. Which were adjusted to a volume of 1 ml/100 g. B.W. with distilled water during feeding. Doses of the drug were selected as reported in different literature and pilot experiments were carried out in the study. All drugs were administered orally.


Inflammatory Agent Among the many methods used for screening and evaluation of anti-inflammatory drugs, one of the most commonly employed techniques is based upon the ability of such agents to inhibit the acute inflammatory edema produced in the hind paw of the rat following injection of a phlogistic agent. In this experiment, the phlogistic agent of choice was carrageenin; a mucopolysaccharide derived from Iris sea moss, Chondrus carrageenin (Sigma, Japan) was prepared as 1% solution in water for injection. Experimental Design The following experimental study was designed to demonstrate the anti-inflammatory effect of Mimosa pudica extract and to compare the effect with a standard antiinflammatory drug (viz. Aspirin) on induced acute inflammation. 4.2.2 Carrageenin Induced Inflammation Acute inflammation was induced as described by Winter et all (1962). A volume of 0.05 ml, 1% carrageenin was injected through a 26-gauge needle into the planter aponeurosis of the right hind paw of the rats. The rats were pretreated with test drugs before an hour of carrageenin injection. The maximum linear cross section of the joint (between the central region of the planter aponeurosis and origin of the extensor hallucis dorsis) was measured before carrageenin administration and similar measurement were made 3 and 4-hours after the administration of carrageenin to assess the progress of local inflammation edema. The mean increase in anterior posterior diameter of paw of each group at 1st, 2nd and 3rd hour after carrageenin injection was calculated to observe the dependent activity of drugs. For standard drug testing, increase in paw-diameter 3 hours after carrageenin administration was considered as a measure of effect. The percentage of edema with test drugs at different doses compared to control group was calculated. 4.2.3 Formalin test The antinociceptive activity of the drugs was determined using the formalin test described by Dubuission and Dennis (1977). Control group received 5% formalin. 20 Âľl of 5% formalin was injected into the dorsal surface of the right hind paw 30 min


after administration of Mimosa pudica extract (100 and 200 mg/kg, p.o.) and 30 min after administration of Diclofenac Na (10 mg/kg, i.p.). The mice were observed for 30 min after the injection of formalin, and the amount of time spent licking the injected hind paw was recorded. The first 5 min post formalin injection is referred to as the early phase and the period between 15 and 30 min as the late phase. The total time spent licking or biting the injured paw (pain behavior) was measured with a stop watch. Grouping of Animals and Their Treatment The animals in which inflammation was induced by formalin and carrageenin injection were grouped as follows. The animals were pretreated with the vehicle or drugs one hour prior to formalin and carrageenin injection. Group I: This group consists of 3 mice. They were received vehicle, i.e., ethanol in a volume of 0.2 mo/100 g B.W. in dilute solution orally and served as control. Group II: This group consisted of 3 mice, which Received indomethacin 10 mg/Kg. B.W. orally. Group III (Methanolic extrac): This group included 3 mice that received Mimosa pudica 100 mg/mice orally. Group IV (Methanol extract): This group included 3 mice that received Mimosa pudica 200 mg/mice orally. 4.2.4 Analgesic Activity Experimental Animal Young Swiss-albino mice of either sex aged 7-8 weeks, average weight 20-35 gm were used for the experiment. The mice were purchased from the animal Research Branch of the International Centre for Diarrheal Disease and Research, Bangladesh (icddr, b). They were kept in standard environmental condition (at 24.0¹0°C temperature & 5565% relative humidity and 12 hour light/12 hour dark cycle) for one week for acclimation after their purchase and fed (icddr, b) formulated rodent food and water ad libitum. The set of rules followed for animal experiment were approved by the institutional animal ethical committee.


Experimental Design Twelve experimental animals were randomly selected and divided into four groups denoted as group-I, group-II, group-III and group-IV, consisting of 3 mice in each group. Each group received a particular treatment i.e. control, standard and the dose of the extracts of the plant respectively. Prior to any treatment, each mouse was weighed properly and the dose of the test sample and control materials was adjusted accordingly.

Method of Identification of Animals Each group consisted of three mice. As it was difficult to observe the biologic response of three mice at a time receiving same treatment, it was quite necessary to identify individual animal of a group during the treatment. The animals were marked as M1=Mice 1, M-2=Mice 2 and M-3=Mice 3, Preparation of Test Materials In order to administer the crude extract at dose of 100 mg/kg and 200mg/kg body weight of mice, required amount of extract was measured and was triturated unidirectional way by the addition of small amount of suspending agents (Tween-80). After proper mixing of extracts and suspending agent, normal saline was slowly added. The final volume of the suspension was made 5 ml. To stabilize the suspension, it was stirred well by vortex mixture. For the preparation of Indomethacin at the dose of 10 mg/kg-body weight, required amount of Indomethacin was taken and a suspension of 5 ml was made. Grouping of Animals and Their Treatment The animals in which pain was induced by acetic acid injection for writhing test were grouped as follows. The animals were pretreated with the vehicle or drugs half an hour prior to acetic acid injection. Group I: This group consists of 3 mice. They were received vehicle, i.e., ethanol in a volume of 0.2 mo/100 g B.W. in dilute solution orally and served as control.


Group II: This group consisted of 3 mice, which Received diclofenac 10 mg/Kg. B.W. orally. Group III (Methanolic extrac): This group included 3 mice that received Mimosa pudica root 100 mg/mice orally. Group IV (Methanol extract): This group included 3 mice that received Mimosa pudica root 200 mg/mice orally. Grouping of Animals and Their Treatment The animals in which pain was induced by formalin injection for licking test were grouped as follows. The animals were pretreated with the vehicle or drugs half an hour prior to formalin injection. Group I: This group consists of 3 mice. They were received vehicle, i.e., ethanol in a volume of 0.2 mo/100 g B.W. in dilute solution orally and served as control. Group II: This group consisted of 3 mice, which Received diclofenac 10 mg/Kg. B.W. orally. Group III (Methanolic extrac): This group included 3 mice that received Mimosa pudica root 100 mg/mice orally. Group IV (Methanol extract): This group included 3 mice that received Mimosa pudica root 200 mg/mice orally. Procedure: At zero hour test samples, and Diclofenac-Na were administered orally by means of a long needle with a ball-shaped end. For control group acetic acid was administered by means of a syringe at that time.

After 30 minutes acetic acid (0.7%) was administered intraperitoneally to each of the animals of all the groups.


30 minutes interval between the oral administration of test materials and intraperitoneal administration of acetic acid was given to assure proper absorption of the administered samples.

Five minutes after the administration of acetic acid, number of squirms or writhing were counted for each mouse for fifteen minutes. Figure 8: Schematic representation of procedure for screening of analgesic property on mice by acetic acid induced method for Mimosa pudica root extracts. Counting of Writhing Each mouse of all groups were observed individually for counting the number of writhing they made in 15 minutes commencing just 5 minutes after the intraperitoneal administration of acetic acid solution. Full writhing was not always accomplished by the animal, because sometimes the animals started to give writhing but they did not complete it. This incomplete writhing was considered as half-writhing. Accordingly two half writhing were taken as one full writhing. 5. CNS depressant activity 5.1. Hole Cross Test The method used was done as described by Takagi et al

[19]

. A steel partition was fixed

in the middle of a cage (30 cmĂ—20 cmĂ—14 cm h). A hole (diameter 3 cm) was made in the steel partition at a height of 7.5 cm above the floor of the cage. The animals were divided into control, standard and test groups (n = 3 per group). The control group received vehicle (1% Tween 80 in water at the dose of 10 ml/kg b.wt, p.o.) whereas the test group received the crude extract (at the doses of 100 and 200mg/kg b.wt, p.o.) and standard group received diazepam at the dose of 1mg/kg body weight orally. Each animal was then placed on one side of the chamber and the number of passages of each animal through the hole from one chamber to the other was recorded for 3 min on 0, 30, 60, and 90 min during the study period. 5.2. Open Field Test This experiment was carried out as described by Gupta et al

[20]

. The animals were

divided into control standard and test groups (n = 3 per group). The control group received vehicle (1% Tween 80 in water at the dose of 10 ml/kg b.wt,p.o.). The test


group received the crude extract (at the doses of 100 and 200 mg/kg b.wt,p.o.) and standard group received diazepam at the dose of 1mg/kg body weight orally. The animals were placed on the floor of an open field (100 cmĂ—100 cmĂ—40 cm h) divided into a series of squares. The number of squares visited by each animal was counted for 3 min on 0, 30, 60, and 90 min during the study period. Grouping of Animals and Their Treatment The animals in which experiment for central nervous system depressant were grouped as follows: Group I: This group consists of 3 mice. They were received vehicle, i.e., normal water in a volume of 1ml/mice in orally and served as control. Group II: This group consisted of 3 mice, which Received diazepam 5 mg/Kg. B.W. orally. Group III (Methanolic extract): This group included 3 mice that received Mimosa pudica root 100 mg/mice orally. Group IV (Methanol extract): This group included 3 mice that received Mimosa pudica root 200 mg/mice orally.

6. RESULT AND DISCUSSION 6.1 Anti-inflammatory activity Figure:1


To the carrageenan induced paw edema mice, the MeOH extract at dose 100 and 200 mg/kg b.wt, exerted a significant and dose dependent inhibition on paw edema compared to the control group (table 1). Carrageenan induced edema has been commonly used as an experimental animal model for acute inflammation and is believed to be biphasic. The early phase (1-2h) of the carrageenan model is mainly mediated by histamine, serotonin and increased synthesis of prostaglandins in the damaged tissue surroundings. The late phase is sustained by prostaglandin release and mediated by bradykinin, leukotrienes, polymorphonuclear cells and prostaglandins produced by tissue macrophages. Since the estract significantly inhibited paw edema induced by carrageenan in the second phase and this finding suggests a possible inhibition of cyclooxygenase synthesis by the extract and this effect is similar to the produced by non-steroidal antiinflammatory drugs such as indomethacin, whose mechanism of action is inhibition of the cyclooxygenase enzyme. 6.2 Formalin test Mimosa pudica root (100 and 200 mg/kg, p.o.) significantly (P<0.001) suppressed the licking activity in either phase of the formalin-induced pain in mice in a dose dependant manner (Table 2). Mimosa pudica root, at the dose of 200 mg/kg body


weight, showed the more licking activity against both phases of formalin-induced pain than that of the standard drug diclofenac Na. Figure:2

Values are mean Âą SEM, (n = 3); * p<0.05, Dunnet test as compared to vehicle control. Group I animals received vehicle (1% Tween 80 in water), Group II received Diclofenac Na 10 mg/kg body weight, Group III and Group IV were treated with 100 and 200 mg/kg body weight (p.o.) of the Mimosa pudica root.. Acetic acid induced writhing response is a sensitive procedure to evaluate peripherally acting analgesics and represents pain sensation by triggering localized inflammatory response. Such pain stimulus leads to the release of free arachidonic acid from the tissue phospholipid (Ahmed et al., 2006). The response is thought to be mediated by peritoneal mast cells (Ribeiro et al., 2000), acid sensing ion channels (Voilley, 2004) and the prostaglandin pathways (Hossain et al., 2006). The organic acid has also been postulated to act indirectly by inducing the release of endogenous medFiators, which stimulates the nociceptive neurons that are sensitive to NSAIDs and narcotics (Adzu et al., 2003). It is well known that non-steroidal anti-inflammatory and analgesic drugs mitigate the inflammatory pain by inhibiting the formation of pain mediators at the peripheral target sites where prostaglandins and bradykinin are proposed to play a significant role in the pain process (Hirose et al., 1984). In addition, it was suggested that non narcotic analgesics produce their action by interfering with the local reaction to peritoneal irritation thereby reducing the intensity of afferent nervous stimulation in the acetic acid induced writhing test, a model of visceral pain (Vogel and Vogel, 1997).


Therefore, it is likely that Mimosa pudica root might have exerted its peripheral antinociceptive action by interfering with the local reaction caused by the irritant or by inhibiting the synthesis, release and/or antagonizing the action of pain mediators at the target sites and this response in agreement with the previous studies with other parts of Mimosa pudica root. The above findings clearly demonstrated that both central and peripheral mechanisms are involved in the antinociceptive action of Mimosa pudica root.. The analgesic activity of Mimosa pudica root could also be linked to the mechanism of action either on central nervous system or peripheral nervous system. Interestingly, compounds like flavonoids (Kim et al., 2004) and steroids, triterpenes in part, have been shown to possess anti-inflammatory, analgesic activity and the claim made by Pritam et al. (2011). Based on the slasses of compounds detected in Mimosa pudica root extract, several mechanisms of action could be used ot explain the observed activities of Mimosa pudica root extract. The formalin model normally postulates the site and the mechanism of action of the analgesic (Chau, 1989). This biphasic model is represented by neurogenic (0-5 min) and inflammatory pain (15-30 min), respectively (Hunskaar and Hole, 1987). Drugs that act primarily on the central nervous system such as narcotics inhibit both as steroids and NSAIDs suppress mainly the late phase (Adzu et al., 2003). The suppression of neurogenic and inflammatory pains by the extract might imply that it contains active analgesic principle that may be acting both centrally and peripherally. This is an indication that the extract can be used to manage acute as well as chronic pain. The mechanism by which formalin triggers C-fibers activation remained unknown for a relatively long time. Recently, however, McNamara et al., (2007) demonstrated that formalin activates primary afferent neurons through a specific and direct on TRPA1, a member of the transient receptor potential family of cation channels, expressed by a subset of C-fiber nociceptors, and this effect is accompanied by increased influx of Ca2+ ions. TRPA1 cation channels at primary sensory terminals were also reported to mediate noxious mechanical stimuli (Kerstein et al., 2009). These experiments suggest that Ca2+ mobilization through TRPA1cation channels is concomitant with noxious chemicals and mechanical stimuli as they produce their analgesic action. It is likely that the inhibitory effect of Mimosa pudica root to pain response is due to inhibit the increase of the intracellular Ca 2+ through TRPA1, presumably evoked by formalin. So, the bark extract of Mimosa pudica root may


contain substances that affect the metabolism of Ca 2+. Literature survey revealed that tannins, triterpenoids and flavonoid are the major phytoconstituents of Mimosa pudica root . Flovonoids, for example, have been found to suppress the intracellular Ca 2+ ion elevation in a dose dependent manner, as well as the release of proinflammatory mediators such as TNFÎą (Kempuraj et al., 2005). 6.3 Analgesic Activity Acetic acid-induced writhing test Table 3 shows the effects of the extract of on acetic acid-induced writhing in mice. The oral administration of both doses of Mimosa pudica roots significantly (p<0.001) inhibited writhing response induced by acetic acid in a dose dependent manner. Table 1: Effects of the Mimosa pudica leaf on acetic acid-induced writhing in mice

Sample

Dose (mg/kg)

Vehicle Diclofenac Na MeOH

No. Writhing

of

26.00 8.00 54.00 23.00

10 200 400

% inhibition

69.23 -107.69 11.54

Values are mean Âą SEM, (n =3); * p<0.05, Dunnet test as compared to vehicle control. Group I animals received vehicle (1% Tween 80 in water), Group II received Diclofenac Na 10 mg/kg body weight, Group III and Group IV were treated with 100 and 200 mg/kg body weight (p.o.) of the Mimosa pudica root.. Table 2: Effect of Mimosa pudica leaf in hindpaw licking in the formalin test in mice

Sample

Dose (mg/kg)

Vehicle Diclofenac Na MeOH

10 200 400

Early % Protection Phase (sec)

Late Phase % Protection (sec)

36.00

45.33

11.67 35.00 21.67

67.59 2.78 39.81

12.67 24.67 17.67

72.06 45.59 61.03


6.4.Neuropharmacological activity 6.4.1.Open-field test In the open-field test, Mimusa pudica root extract exhibited a decrease in the movements of the test animals at all dose levels tested. The results were statistically significant for all doses and followed a dose-dependent response . Table 5: Effect of methanolic extract of leaf of Mimosa pudica on Open Field test in mice Values are mean Âą SEM, (n = 3); * p<0.05, Dunnet test as compared to vehicle control. open field Number of movements Groups

Dose (mg/kg)

0 min

30 min

60 min

90 min

Control

Vehicle

119.4

114.80

111.80

104.20

Diazepam

10

114.6

74.00

50.20

20.80

test 1

200

122.8

96.20

82.80

66.20

test 2

400

113.6

88.00

69.20

49.80

Group I animals received vehicle (1% Tween 80 in water), Group II received diazepam 1 mg/kg body weight, Group III and Group IV were treated with 100 and 200 mg/kg body weight (p.o.) of the Mimosa pudica root extract. 6.4.2 Hole-cross test Results of the hole-cross test followed a similar trend to the ones observed in the openfield test. They were statistically significant for all dose levels and followed a dosedependent response. The depressing effect was most intense during the second (60 min) and third (90 min) observation periods . Table 6: Effect of methanolic extract of leaf of Mimosa pudica on hole cross test in mice hole cross


Groups

Dose (mg/kg)

Number of movements 0 min 30 min

60 min

90 min

Control

Vehicle

15.80

18.60

17.80

16.60

Diazepam

10

16.00

6.20

2.60

1.40

test 1

200

16.60

10.20

8.40

6.60

test 2

400

17.00

8.80

6.00

4.00

Values are mean Âą SEM, (n = 3); * p<0.05, Dunnet test as compared to vehicle control. Group I animals received vehicle (1% Tween 80 in water), Group II received diazepam 1 mg/kg body weight, Group III and Group IV were treated with 100 and 200 mg/kg body weight (p.o.) of the Mimosa pudica root extract.. 6.4.3 DISCUSSIONS Locomotor activity considered as an increase in alertness and decrease in locomotor activity indicated sedative effect

[28]

. Extracts of Mimusa pudica root decreased

locomotor activity indicates its CNS depressant activity. Gamma-aminobutyric acid (GABA) is the major inhibitory neurotransmitter in the central nervous system. Different anxiolytic, muscle relaxant, sedative-hypnotic drugs are elucidation their action through GABA, therefore it is possible that extracts of Mimusa pudica may acts by potentiating GABAergic inhibition in the CNS via membrane hyperpolarization which leads to a decrease in the firing rate of critical neurons in the brain or may be due to direct activation of GABA receptor by the extracts Many research showed that plant containing flavonoids, saponins and tannins are useful in many CNS disorders .Earlier investigation on phytoconstituents and plants suggests that many flavonoids and neuroactive steroids were found to be ligands for the GABA A receptors in the central nervous system; which led to assume that they can act as benzodiazepinelike molecules .Phytochemical investigations also showed the presence of alkaloids, flavonoids, saponins and tannins in the extract, so might be this phytoconstituents are responsible for its CNS depressant activity. CONCLUSION Our preliminary pharmacological studies on the methanol extract of Mimusa pudica root provide in part scientific support for the use of this species in traditional medicine, particularly in various ailments related to CNS disorders, analgesic, and anti-


inflamation . However, further pharmacological investigations are required to understand its underlying mode of action on the CNS, mechanism of analgesic and anti-inflamatory activity. In addition, future bioactivity-guided phytochemical work should be carried out to identify any active constituent(s). REFERENCE 1.Adzu, B., S.Amo, S.D. Kapu, and K.S. Gamaniel, 2003. Anti-inflammatory an antinociceptive effects of Sphaeranthus senegalensis. J. Ethnopharmacol., 84: 169-174. 2.Ahmed, F., M.S.T. Selim, A.K. Das, and M.S.K. Choudhuri, 2004. Antiinflammatory and antinociceptive activities of Lippia nodiflora Linn. Pharmazie, 59: 329-330. 3.Ahmed, F., M.H. Hossain, A.A. Rahman, and I.Z. Shahid, 2006. Antinociceptive and sedative effects of the bark of Cerbera odollam Gaertn. J. Ori. Pharm. Exp. Med., 6: 344-348. 4.Ali, D.W. and M.W. Salter, 2001. NMDA receptor regulation by Src kinase signalling in excitatory synaptic transmission and plasticity. Curr. Opin. Neurobiol., 11:336–342. 5.Belfrage, M., A. Sollevi, M. Segerdahl, K-F. Sjolund, and P. Hansson, 1995. Systemic adenosine infusion alleviates spontaneous and stimulus evoked pain in patients with peripheral neuropathic pain. Anesth. Analg., 81: 713-717. 6.Besson, J.M. 1999. The neurobiology of pain. Lancet, 353: 1610-1615. 7.Bhakuni, D.S., M.L. Dhar, M.N. Dhar, B.N. Dhawan, and B.N. Mehrotra, 1969. Screening of Indian plants for biological activity, II. Indian J. Exp. Biol., 7: 250. 8.Calixto, J.B., D.A. Cabrini, J. Ferreira, and M.M. Campos, 2000. Kinins in pain and inflammation. Pain, 87(1):1–5.

9.Chapman, C.R., K.I. Casey, R. Dubner, K.M. Foley, R.H. Gracely, and A.E. Reading, 1985. Pain measurement: an overview. Pain, 22(1):1-31. 10.Chau, T.T., 1989. Analgesic Testing in Animal Models, Pharmacological Methods in the Control of Inflammation. New York, Liss, pp:195. 11.Chung, J.M., 2004. The role of reactive oxygen species (ROS) in persistent pain. Mol. Interv., 4(5): 248-250.


12.Dray, A. 1997. In Handbook of Experimental Pharmacology: The Pharmacology of Pain. Springer, Heidelberg. pp: 21-41. 13.Dubuission, D., and S.G. Dennis, 1977. The formalin test: A quantitative study of the analgesia effects of morphine, meperidine and brain stem stimulation in rats and cats. Pian, 4(1):167-174. 14.Eddy, N.B., and D. Leimback, 1953. Synthetic analgesic. II. Dithienyl Butenylanddithienyl Butylamines. J. Pharmacol. Exp. Ther., 107(3): 385-393. 15.Franzotti, E.M., C.V.F. Santos, H.M.S.L. Rodrigues, R.H.V. Mourao, M.R. Andrade, and A.R. Antoniolli, 2000. Anti-inflammatory, analgesic activity and acute toxicity of Sida cordifolia L. (Malva-branca). J. Ethnopharmacol., 72(1): 273-277. 16.Furst, S. 1999. Transmitters involved in antinociception in the spinal cord. Brain Res. Bull., 48: 129-141. 17.Hirose, K., H. Jyoyama, and Y. Kojima, et al. 1984. Pharmacological properties of 2-[44-(2-thiazolyloxy)-phenyl]-propionic acid (480156-5), a new non-steroidal antiinflammatory agent. Arzneim ittelf Forsch/Drug Res., 34(1): 280-286. 18.Hossain, M.M., M.S. Ali, A. Saha, and M. Alimuzzaman, 2006. Antinociceptive activity of whole plant extracts of Paederia foetida. Dhaka Univ. J. Pharm. Sci., 5(1): 67-69. 19.Hunskaar, S., and K. Hole, 1987. The formalin test in mice: Dissociation between inflammatory and non-inflammatory pain. Pain, 30(1):103-114. 20.Jothimanivannan, C., R.S. Kumar and N. Subramanian, 2010. Anti-inflammatory and analgesic activities of ethanol extract of aerial parts of Justicia gendarussa Burm. Int. J. Pharmacol., 6: 278-283. 21.Kempuraj, D., B. Madhappan, S. Kristodoulou, W. Boucher, J. Cao, N. Papadopoulou,

C.

Cetrulo,

and

T.

Theoharides,

2005.

Flavonols

inhibit

proinflammatory mediators, intracellular calcium ion levels and protein kinase C theta phosphorylation in human mast cells. Br. J. Pharmacol., 145(7):934-944. 22.Kerstein, P.C., D.D. Camino, M.M. Morgan, and C.L. Stucky, 2009. Pharmacological blockade of TRPA1 inhibits mechanical firing in nociceptors. Mol. Pain., 5(1):19-25. 23.Kim, H.K., S.K. Park, J.L. Zhou, G. Taglialatela, K. Chung, R.E. Coggeshall, and J.M. Chung, 2004. Reactive oxygen species (ROS) play an important role in a rat model of neuropathic pain. Pain, 111(1):116-124.


24.Kim, H.P., K.H. Son, H.W. Chang and S.S. Kang, 2004. Anti-inflammatory plant flavonoids and cellular action mechanism. J. Pharmacol. Sci., 96: 229-245. 25.Label, C.P., and S.C. Bondy, 1990. Sensitive and rapid quantization of oxygen reactive species formation in rat synaptosomes. Neurochem. Inter., 17(3): 435-441. 26.Malairajan, P., G. Geetha, S. Narasimhan, and K.J. Jessi, 2006. Analgesic activity of some Indian medicinal plants. J. Ethnopharmacol., 106(3): 425-428. 27.Merskey, H., and N. Bogduk, 1994. In Classification of Chronic Pain. IASP Press, Seattle. pp:. 209-214. 28.McNamara, C.R., J. Mandel-Brehm, D.M. Bautista, J. Siemens, K.L. Deranian, M. Zhao, N.J. Hayward, J.A. Chong, D. Julius, M.M. Moran, and C.M. Fanger, 2007. TRPA1 mediates formalin-induced pain. Proc. Natl. Acad. Sci. USA., 104(33):1352513530. 29.Millan, M.J. 1999. The induction of pain; an integrative review. Prog. Neurobiol., 57: 1-164. . 30.Parke, D.V., and A. Sapota, 1996. Chemical toxicity and reactive species. Int. J. Occup. Med. Environ. Health, 9(1):119-123. 31.Prieto, P., M. Pineda, and M. Aguilar, 1999. Spectrophotometric quantitation of antioxidant capacity through the formation of a phosphomolybdenum complex: Specific application to the determination of vitamin E. Anal. Biochem., 269(2): 337– 341. 32.Pritam S.J., T. Amol, B.B. Sanjay, and J.S. Sanjay, 2011. Analgesic activity of Abelmoschus monihot Extracts. Int. J. Pharmacol., 7(6): 716-720. 33.Raghavendra, V., F. Tanga, M.D.

Ruthowshi, and J.A. Deleo, 2003. Anti-

hyperalgesic and morphine-sparing actions of propentofylline following peripheral nerve injury in rats: mechanistic implications of spinal glia and proinflammatory cytokines. Pain, 104(3):655-664. 34.Rajnarayana, K., M.S. Reddy, M.R. Chaluvadi, and D.R. Krishna, 2001. Biflavonoids classification, pharmacological, biochemical effects and therapeutic potential. Ind. J. Pharmacol., 33(1):2-16. 35.Rao, M.R., Y.M. Rao, A.V. Rao, M.C. Prabhkar, C.S. Rao, and N. Muralidhar, 1998. Antinociceptive and anti-inflammatory activity of a flavonoid isolated from Caralluma attenuate. J. Ethnopharmacol., 62(1): 63-66.


36.Rechner, A.R., G. Kuhnle, P. Bremner, G.P. Hubbard, K.P. Moore, and C.A. RiceEvans, 2002. The metabolic fate of dietary polyphenols in humans. Free Radic. Biol. Med., 33(2): 220-235. 37.Ribeiro, R.A., M.L.Vale, S.M. Thomazzi, A.B. Paschoalato, S. Poole, S.H. Ferreira, and F.Q. Cunha, 2000. Involvement of resident macrophages and mast cells in the writhing nociceptive response induced by zymosan and acetic acid in mice. Eur. J. Pharmacol., 387(1):111-118. 38.Sanmugapriya, E., and S. Venkataraman, 2006. Toxicological investigations on Strychnos potatorum seeds in experimental models. J. Health Sci., 52(4):339-343. 39.Sawynok, J. 1998. Adenosine receptor activation and nociception. Eur. J. Pharmacol., 347(1): 1-11. 40.Sharma, H.K., L. Chhangte, and A.K. Dolui, 2001. Traditional medicinal plants in Mizoram, India. Fitoterapia, 72: 146-161. 41.Vanu, M.R., S. Palanivelu, and S. Panchanatham, 2006. Immunomodulatory and anti-inflammatory effects of Semecarpus anacardium Linn. Nut milk extract in experimental inflammatory conditions. Biol. Pharm. Bull., 29(4):693-700. 42.Vogel, H.G., and W.H. Vogel, 1997. Drug Discovery and Evaluation – Pharmacological Assays. Springer-Verlag, Berlin Heidelberg. pp: 1231. 43.Voilley, N., 2004. Acid-sensing ion channels (ASICs): New targets for the analgesic effects of Non-Steroid Anti-Inflammatory Drugs (NSAIDs). Curr. Drug Targets Inflamm. Allergy, 3(1): 71-79. 44.Zhang, X., J. Wu, and W.D. Willis, 2003. The effects of protein phosphatase inhibitions on nociceptive behavioral responses of rats following intradermal injection of capsaicin. Pain, 106(3): 443-451. 45.Rakh MS, Chaudhari SR. Evaluation of CNS depressant activity of Momordica dioica Roxb willd fruit pulp. Int J Pharm Pharm Sci 2010; 2(4): 124-126. 46.Kumara NKVMR. Identification of strategies to improve research on medicinal plants used in SriLanka. WHO Symposium; University of Ruhuna, Galle, Sri Lanka. 2001. 47.Ghani A. Medicinal Plants of Bangladesh: Chemical constituents and uses. 2 nd ed. Asiatic Society of Bangladesh: Dhaka, Bangladesh; 2008. 48.Harborne JB. Phytochemical Methods (A Guide to Modern Techniques to Plant Analysis). 2nd ed. Chapman and Hall, London; 1984.


49.Lorke D. A new approach to acute toxicity testing. Arch Toxicol 1983; 54: 275– 287. 50.Takagi KM, Watanabe, Saito H. Studies on the spontaneous movement of animals by the hole cross test: Effect of 2-dimethylaminoethane. Its acylates on the central nervous system. Jpn J Pharmacol 1971; 21: 797. 51.Gupta BD, Dandiya PC, Gupta ML. A psychopharmacological analysis of behavior in rat. Jpn J Pharmacol 1971; 21: 293. 52.Dubuission D, Dennis SG. The formalin test: A quantitative study of the analgesia effects of morphine, meperidine and brain stem stimulation in rats and cats. Pian 1977; 4(1):167-174. 53.Kolawole OT, Makinde JM, Olajide OA. Central nervous depressant activity of Russelia equisetiformis. Niger J Physiol Sci 2007; 22: 59-63. 54.Bhattacharya SK, Satyan KS. Experimental methods for evaluation of psychotropic agents in rodents: Anti-anxiety agents. Indian J Exp Biol 1997; 35: 565-575. 55.Ribeiro RA, Vale ML, Thomazzi SM, Paschoalato AB, Poole S, Ferreira SH, Cunha FQ. Involvement of resident macrophages and mast cells in the writhing nociceptive response induced by zymosan and acetic acid in mice. Eur J Pharmacol 2000; 387(1):111-118. 56.Voilley N. Acid-sensing ion channels (ASICs): New targets for the analgesic effects of Non-Steroid Anti-Inflammatory Drugs (NSAIDs). Curr Drug Targets Inflamm Allergy 2004; 3(1): 71-79 57.Adzu B, Amo S, Kapu SD, Gamaniel KS. Anti-inflammatory and anti-nociceptive effects of Sphaeranthus senegalensis. J Ethnopharmacol 2003; 84: 169-174. 58.Hirose K, Jyoyama H, Kojima Y, et al. Pharmacological properties of 2-[44-(2thiazolyloxy)-phenyl]-propionic

acid

(480156-5),

a

new

non-steroidal

anti-

inflammatory agent. Arzneim ittelf Forsch/Drug Res 1984; 34(1): 280-286. 1 59.Vogel HG, Vogel WH. Drug Discovery and Evaluation – Pharmacological Assays. Springer-Verlag, Berlin Heidelberg 1997. 60.Chau TT. Analgesic Testing in Animal Models, Pharmacological Methods in the Control of Inflammation. New York; Liss, 1989. 61.Hunskaar S, Hole K. The formalin test in mice: Dissociation between inflammatory and non-inflammatory pain. Pain 1987; 30(1):103-114.


62.McNamara CR, Mandel-Brehm J, Bautista DM, Siemens J, Deranian KL, Zhao M, et al. TRPA1 mediates formalin-induced pain. Proc Natl Acad Sci USA 2007;104(33):13525-13530. 63.Kerstein PC, Camino DD, Morgan MM, Stucky CL. Pharmacological blockade of TRPA1 inhibits mechanical firing in nociceptors. Mol Pain 2009; 5(1):19-25. 64.Kempuraj D, Madhappan B, Kristodoulou S, Boucher W, Cao J, Papadopoulou N, et al. Flavonols inhibit proinflammatory mediators, intracellular calcium ion levels and protein kinase C theta phosphorylation in human mast cells. Br J Pharmacol 2005;145(7): 934-944. 65.Nakayama T. Suppression of hydroperoxide-induced cytotoxicity by polyphenols. Cancer Res 1994; 54: 1991s–1993s. 66.Szkudelski T. The mechanism of alloxan and Streptozocin action in β cells of rat pancrease. Physiol Res 2001; 50: 536-546. 67.

Mimosa pudica information from NPGS/GRIN". www.ars-grin.gov.

Retrieve 2008-^ Cairns.com.au 03-27. 68. Chauhan, Bhagirath S. Johnson; Davi, E. (2009). "Germination, emergence, and dormancy of Mimosa pudica". Weed Biology and Management 9 (1): 38–45. doi:10.1111/j.1445-6664.2008.00316.x 69.ter H.; Evert, Ray F.; Eichhorn, Susan E. (January 2005). "Section 6. Physiology of Seed Plants: 29. Plant Nutrition and Soils". Biology of Plants (7th ed.). New York: W. H. Freeman and Company. p. 639. ISBN 978-0-7167-1007-3. LCCN 2004053303. OCLC 56051064. 70."Mimosa pudica". Australian Plant Name Index (APNI), IBIS database. Centre for Plant Biodiversity Research, Australian Government. 71. "Mimosa pudica L.". Germplasm Resources Information Network (GRIN). United States Department of Agriculture, Agricultural Research Service, Beltsville Area. Retrieved 2008-03-22. 72. "Mimosa pudica". Usambara Invasive Plants. Tropical Biology Association. Retrieved 2008-03-25.


73."The Sensitive Plant". Union County College Biology Department. Retrieved 2008-03-22. 74. Churchward, C. Maxwell (1959). Tongan Dictionary. Tonga: Government Printing

.

75."Declared Weeds in the NT - Natural Resources, Environment and The Arts". Archived from the original on 2008-02-26. Retrieved 2008-03-25. 76."Declared Plants- Sensitive plant common (Mimosa pudica)". Retrieved 200803-25. 77."Common Sensitive Plant". Invasive plants and animals. Biosecurity Queensland. Archived from the original on 2009-04-19. Retrieved 2008-03-25. 78.Distribution of Mimosa pudica in the United States of America Natural Resources Conservation Service, United States Department of Agriculture. 79."Mimosa pudica (PIER species info)". Retrieved 2008-03-25. 80.Elmerich, Claudine; Newton, William Edward (2007). Associative and endophytic nitrogen-fixing bacteria and cyanobacterial associations. Springer. p. 30. ISBN 978-1-4020-3541-8 82. "Antiproliferative effect of mimosine in ovarian cancer". Journal of Clinical Oncology. Retrieved 2010-01-13. 83. Robinson RD, Williams LA, Lindo JF, Terry SI, Mansingh A (1990). "Inactivation of strongyloides stercoralis filariform larvae in vitro by six Jamaican plant extracts and three commercial anthelmintics". West Indian Medical Journal 39 (4): 213–217. PMID 2082565. 84."Journal of Ethnopharmacology : Neutralisation of lethality, myotoxicity and toxic enzymes of Naja kaouthia venom by Mimosa pudica root extracts". ScienceDirect. Retrieved 2011-07-15


Turn static files into dynamic content formats.

Create a flipbook
Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.