About Authors:
*1Krishna Das Gupta, 2Dileep Bharti
1M.Pharm(P'cology), NRI Institute of Pharmaceutical Sciences(NIPS), Bhopal
2Asst professor, NIPS, Bhopal(MP)
*krishna.gupta384@gmail.com
1.INTRODUCTION
Inflammation is defined as the local response of living mammalian to injury due to agent. It is a body reaction in order to eliminate or limit the spread of injurious agent as well as to remove the consequent necroses cells and tissues.
Inflammation is protective and defensive mechanism of the body. During inflammatory conditions various pathological changes are take place. The production of active inflammatory mediators is triggered by microbial products or by host proteins such as proteins of the complement, kinins and coagulation systems that are themselves are activated by microbes and damaged tissues.
The inflammatory process is closely intertwined with the process of repair. Both of these processes proceed simultaneously; however the repair activities of either tissue regeneration or scarring predominate after the injurious agent has been eliminated. The inflammatory process may be destructive to tissues when activated repeatedly or in appropriately such as in autoimmune diseases in which native antigens are recognized as foreign by the individual’s immune system.
REFERENCE ID: PHARMATUTOR-ART-1638
Normally, the inflammatory-anti-inflammatory cycle is somewhat like an “on-off” switch: inflammation is turned on when needed for healing and repair (by inflammatory chemicals), then turned off when not needed (by anti-inflammatory chemicals).
The inflammatory response consists of a vascular and a cellular reaction. These reactions are mediated by chemical factors derived from plasma proteins or cells. The classic signs of inflammation are redness, swelling, heat, pain and loss of function. The physiologic explanations for these signs appear in Table I. Other signs of inflammation include fever, leucocytosis or an increase in the number of circulating white blood cells, the presence of acute-phase proteins including C-reactive proteins (CRP), fibrinogen and serum amyloid A protein (SAA), and sepsis.
There are two types of inflammation: acute and chronic. Acute inflammation is characterized by a rapid onset and short duration. It manifests with exudation of fluid and plasma proteins, and emigration of leukocytes, most notably neutrophills. Chronic inflammation is of prolonged duration and manifests histologically by the presence of lymphocytes and macrophages and results in fibrosis and tissue necrosis. When inflammation continues for prolonged periods of time, it can be thought of as the healing process in overdrive, and deleterious changes can occur to localized tissues as well as the entire body.
These inflammatory mediators come from plasma proteins or cells including mast cells, platelets, neutrophils and monocytes/macro-phages. They are triggered by bacterial products or host proteins. Chemical mediators bind to specific receptors on target cells and can increase vascular permeability and neutrophil chemotaxis, stimulate smooth muscle contraction, have direct enzymatic activity, induce pain or mediate oxidative damage. Most mediators are short-lived but cause harmful effects.1 Examples of chemical mediators include vasoactive amines (histamine, serotonin), arachadonic acids (prostaglandins, leukotrienes) and cytokines (tumor necrosis factor and interleukin–1).
Acute inflammation is the body’s initial response to a physical or chemical stress that requires healing and repair. Chronic inflammation is an abnormal condition that can cause or is associated with ill health and disease. When acute inflammation does not, or cannot, complete its task, chronic inflammation results. This transition may take place due to continued physical or chemical stress, such as smoking, or infection. More often it’s due to biochemical influences such as the imbalance of dietary fats, absence of specific substances that adversely affect our anti-inflammatory production, and specific nutrient problems.
1.1 SIGNS OF INFLAMMATION:-There are 4 cardinal signs of inflammation which was named by Roman Writer Celsus as:
(1) Rubor (redness)
(2) Tumor (swelling)
(3) Calor (heat)
(4) Dolor (pain)
2. PLANT PROFILE
2.1 Taxonomical classification
· Kingdom: Plantae
· Phylum: Angiosperm
· Class: Eudicots
· Sub-class Asterids
· Order : Gentinales
· Family: Apocynacae
· Subfamily: Asclepiadaceae
· Genus : Calotropis
· Species: gigantea
2.2 Botanical description
The plant is a large erect shrub or small tree up to 3m high. Two varieties of the plant are described by Sanskrit writer, viz; the white flowered or “alarka” (Calotropis procera) and the purple or red flowered or “arka” (Calotropis gigantea).The leaves are opposite, broad and sub sessile glaucous green and 5-20cm by 3.8-10cm. Flowers are 3.8-5cm diameter, inodorous, purplish (Calotropis gigantea) or white (Calotropis procera).Seeds are numerous, 6-5mm, broadly ovate, flattened, narrowly margined, minutely tanentose, brown, coma 2.5-3.2 cm long. It is found chiefly in waste land in Lower Bengal, Himalayas, Punjab, Assam, Madras, South India, Ceylon, Singapore, Malay Island and South China [7-11].
2.3 Synonyms
The plant is known by various names in different languages:
· Sanskrit: Arka, Alarka
· English: Gigantic swallow wort, Mudar
· Hindi: Madar
· Kannada:Ekkemale
· Telugu: Mandaramu, Ekke, Jilledu, Arka
· Malayalam: Errikka
2.4 Traditional uses
It has been reported as traditional medicinal plant in Ayurveda, Unani and Homeopathic system of medication for the treatment of different ailments [12, 13]. According to Ayurveda the milky juice of the plant is bitter, heating, oleaginous, purgative, cures leucoderma, tumors, ascites, and disease of the abdomen. According to Unani the milk is caustic, acrid, expectorant, depilatory, anthelmintic, useful in leprosy, scabies, ring worms of the scalp, piles, eruptions on the body, asthma, enlargement of spleen and liver, drop-sy, and also applied to painful joints and swelling. The root bark is diaphoretic, cures asthma, elephantitis, cough and syphilis (Ayurveda). The dried bark of the root is an excel-lent substitute for Ipecacuanha for the treatment of dysentery in small doses, but in large doses it is an emetic. Root bark is tonic, antispasmodic, expectorant, anthelmintic and laxative [7- 9]. In syphilitic infection it is regarded as a great remedy so much so that it is called as vegetable mercury. The mixture of the powder of root bark with black pepper twice a day is also used to cure jaundice [8]. As per Ayurveda the flowers are bitter, digestive, astringent, stomachic, anthelmintic, tonic and analgesic, normally used to cure inflammation, tumors, kapha, asthma, loss of appetite and ascites [7-9, 14-16]. According to Unani the flowers are stomachic and good for the liver, dried flowers in 1 to 2 grains doses with sugar is given in leprosy, secondary syphilis and gonorrhoea with milk diet [7, 8]. According to Unani the leaves are useful in the treatment of paralyzed parts, the oil in which leaves have been boiled, is also applied to paralyzed parts. The leaves are also used in the treatment of arthralgia, swelling and intermittent fever [7]. The powder of the dried leaves is dusted upon wounds and ulcer to prevent excessive granulation and promote healthy action [8]. Its expectorant, depurative, anthelmintic, fungicidal and insecticidal properties are also reported in Ayurveda which makes the plant medicinally most useful.
2.5 PHYTOCHEMISTRY
The latex of C. gigantea always was an area of interest for researchers. The latex contain calotropin, calotoxin, uscharin, voruscharin, uschridin, uzarigenin, syriogenin, calotonic acid, proceroside, calotropin DI and DII [17,18] a cysteine proteinases calotropain FI and FII and a proteinas-es [19]. Apart from these latex also contains constituents like α-amyrin, β-amyrin, taraxasterol, ψ tarexosterol and β-sitosterol [12]. Isorhamnetin-3-O- rutinoside, isorhamnetin-3-O-glucopyranoside, teraxosteryl acetate and a new flava-nol glycosideisorhamnetin- 3-O- [2-O- beta- D-galactopyranosyl -6- O-alpha-L-rhamnopyranosyl]-beta-D-glycopyranoside were isolated from aerial parts [21,22]. Cyanidine-3-rhamnoglucoside isolated from flowers of C. gigantea [21]. Two new cardinolides (19-Nor- and 18, 20-epoxy-cardinolides) have been isolated from the leaves of C. gigantea and the structural elucidation was accomplished by spectroscopic methods [23]. From the methanol extract of C. gigantea root bark a new novel non-protein amino acid giganticine has been isolated [24]. Three cardenolide glycosides, calotropin, frugoside, and 4’-O-beta-D-glucopyranosylfrugoside were also reported as the cytotoxic principles of root bark [25]. Along with calotroposides A and B, two new oxypregnaneoligo glycosides from the roots of C. gigantean
Taxonomical classification
· Kingdom: Plantae
· Phylum: Angiosperm
· Class: Eudicots
· Sub-class Asterids
· Order : Gentinales
· Family: Apocynacae
· Subfamily: Asclepiadaceae
· Genus : Calotropis
· Species: procera
Animals
Female albino rats (100-150 g) were used to study the anti-inflammatory activity. The animals (six per cage) were maintained under standard laboratory conditions (light period of 12 h/day and temperature 27° C ± 2° C), with access to food and water ad libitum.
The experiment was carried out according to Committee for the Purpose of Control and Supervision of Experiments on Animals (CPCSEA) guidelines and the Institutional Animal Ethical Committee (IAEC) approved all the procedures.(Provide CPCSEA Number of Institution where the work was carried out) Experimental studies were undertaken according to their rules and regulations.
Acute Toxicity
All the extracts were tested for acute toxicity test according to OECD guideline 423. No toxicity was observed at the doses of 500, 1000, 2000 mg/kg of body weight but it was observed that more than 50% of animals were died at the dose of 2000 mg/kg of body weight. Thus, for the screening of anti inflammatory activity, the dose selected was 200 mg/kg of body weight (i.e., 1/10 of the 2000 mg/kg of body weight) as per the OECD guidelines.
Chemicals
Ibuprofen 400mg tablet (Brufen, Abbott) was purchased from Anant Shri medical store, Bhopal. All other chemicals used for this study were of analytical grade.
ANTI-INFLAMMATORY ACTIVITY
PURPOSE AND RATIONALE
Among the many methods used for screening of anti inflammatory drugs, one of the most commonly employed techniques is based upon the ability of such agents to inhibit the oedema produced in the hind paw of the rat after injection of a phlogistic agent. Many phlogistic agents (irritants) have been used, such as brewer’s yeast, formaldehyde, dextran, egg albumin, kaolin, Aerosil®, sulphated polysaccharides like carrageenin ornaphthoyl heparamine. The effect can be measured in several ways. The hind limb can be dissected at the talocrural joint and weighed. Usually, the volume of the injected paw is measured before and after application of the irritant and the paw volume of the treated animals is compared to the controls. Many methods have been described how to measure the paw volume by simple and less accurate and by more sophisticated electronically devised methods. The value of the assessment is less dependent on the apparatus but much more on the irritant being chosen. Some irritants induce only a short lasting inflammation whereas other irritants cause the paw oedema to continue over more than 24 h.
Carrageenan-induced rat paw oedema
Acute inflammation was caused by injecting 0.1 ml of 1 % (w/v) carrageenan in saline into thesub-plantar region of the right hind paw of each rat. The paw volume was measured plethysmometrically, after the carrageenan injection. Oedema was expressed as mean increase in paw volume relative to control animals. The percentage inhibition of oedema was calculated by the following equation: % inhibition of oedema= 100 (1-Vt/Vc), where Vc is the oedema volume in the control group and Vt is the oedema volume in tested groups. A single daily dose of test drug pretreatment was given 1 h before the injection of carrageenan.[ Winter CA, et al, 1962]
ExperimentalDesign
In the experiment rats were divided into 5 groups comprising of 4 animals in each group.
Group I: Control, were inject carrageenan (0.1 ml.)
Group II: Were treated with Ibuprofen I.P.400mg (100mg/kg, orally),
GroupIII: Were treated with Calotropis procera (200mg/kg, p.o.) for 7 days
GroupIV: Were treated with Calotropis gigantia (200mg/kg, p.o.) for 7 days
GroupV: Were treated with combination of Calotropis gigantia & Calotropis procera (200mg/kg, p.o.) for 7 days
Cotton pellet induced granuloma
The five groups of rats, six in each group was included in this study. After shaving off the fur the animals were anaesthetized. Sterile preweighed cotton pellets (10 ± 1mg) were implanted in the axilla region of each rat through a single needle incision [15]. Ethanol extract of Calotropis procera, Calotropis gigantia, combination of Calotropis procera and Calotropis gigantia at 200 mg/kg, Ibuprofen at 100mg/kg (standard) or 1% w/v carboxymethyl cellulose (control) were administered orally to the respective group of animals for seven consecutive days, from the day of cotton-pellet implantation. On the eighth day, the animals were anaesthetized again; the cotton pellets were removed surgically and made free from extraneous tissues. The pellets were incubated at 37 °C for 24 h and dried at 60°C to constant weight. The increase in the dry weight of the pellets was taken as a measure of granuloma formation.
Experimental Design
In the experiment, a total of 30 rats were used. The rats were divided into 5 groups comprising of 6 animals in each group.
Group I: (negative control) were inject CMC 1%(1 ml.)
Group II: was treated with Ibuprofen I.P.400mg (100mg/kg, orally),
GroupIII: were treated with Calotropis procera (200mg/kg, orally)
Group IV: were treated with Calotropis gigantia (200mg/kg, orally)
GroupV: were treated with combination of Calotropis gigantia & Calotropis procera (200mg/kg, orally)
FIG. FEMALE ALBINO RAT TO BE OPERATED FOR INSERTION OF COTTON PELLET
5.1 EXTRACTION
Extraction of Calotropis gigantia was performed by Soxhlet apparatus
5.2 Extraction Procedure
5.2.a Solvent extraction:
* Flowers were collected from the vicinity of NRI College Bhopal (MP).the collected flowers was shed dried for 10-12 days.
* After drying the flowers were pulverized into the coarse powder.
* The weighed amount of the powdered drug was the first defatted with petroleum ether and then filtered.
* The filtrate and powder was separated and it was kept for drying for complete removal of petroleum ether.
* The dried powder drug was then extracted with 90% ethanol (90:10, ethanol and water) for about 32 hours.
* After the complete solvent extraction extract was separated and solvent was removed by solvent evaporator in reduced pressure by rotary evaporator until the solvent was completely removed and get dried extract with minimal solvent.
* After that weigh the accurate amount of dried extract and calculate the percentage yield of the extract.
* Determination of % yield:
* The percentage yield of each extract wsa calculated by using following formula:-
Weight of extract
% yield = ------------------------------ x100
Weight of powder drug taken
Solvent extraction steps
Powdered flower preliminary defatting petroleum ether Residue extracted with Ethanol: water (90:10) Hydro alcohol Filtrate(90%) Filtered, Concentrated Crude hydroalcoholic extract.
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(2) Chemical Evaluation
The extract obtained from the above mentioned procedure was subjected to qualitative test for the identification of various constituents.
6. RESULTS & DISCUSSION
6.1 PHYTOCHEMICAL INVESTIGATION
(1) Percentage yield of extract (w/w):
Percentage yield (%w/w) of hydroalcholic extract (CGE) obtained by solvent extraction was determined by following formula:
% yield = ---------------------------- x100
· Weight of Extract: 3.5 g
· Weight of powdered drug taken: 50 g
· Percentage yield was found to be : 7.0%w/w (table no 1)
Table 1 Percentage yield of extract (5w/w)
S.No. |
Solvent |
Yield(% w/w) |
Characteristics |
Consistency |
1. |
Hydro alcoholic (90%) |
7.0 |
Reddish brown |
Semisolid |
6.2 Qualitative Chemical Evaluation
S.N. |
Chemical Constituents |
Hydroalcoholic Extract |
1 |
Alkaloid |
+ve |
2 |
Steroid |
+ve |
3 |
Tannin |
+ve |
4 |
Saponin |
+ve |
5 |
Flavonoid |
+ve |
6 |
Anthraquinone |
-ve |
7 |
Triterpenoids |
+ve |
8 |
Carbohydrate |
-ve |
6.3 Table -3 Effect of Calotropis procera & Calotropis gigantia on carrageenan induced paw oedema in rats:
Serial no |
Group |
Paw volume (ml) (Mean±SEM) |
II |
Control |
0.62±0.06 |
III |
Standard Ibuprofen |
0.18±0.02** |
IV |
Test group 1 |
0.47±0.02* |
V |
Test group 2 |
0.55±0.03* |
VI |
Test group 3 |
0.36±0.04** |
All values are mean ± SEM, n = 4. *p<0.05,*p<0.01as compared to negative control group.
Statistical Analysis
The results were presented as mean ± SEM. One way analysis of variance (ANOVA) followed by Dunnett’s t-test for multiple comparisons were used for statistical evaluation. p values less than 0.05 were considered as significance
Graph 1
6.4 Table 4 : Effect of Calotropis procera & Calotropis gigantia on granuloma formation in rats :
Serial no |
Group |
Weight of Granulation(mg) (Mean±SEM) |
% Inhibition |
I |
Negative control |
20.66±0.55 |
27 |
II |
Standard Ibuprofen |
19.5±0.42 |
32 |
III |
Test group 1 |
34.5±0.61** |
23 |
IV |
Test group 2 |
22.16±0.79 |
36 |
V |
Test group 3 |
21.66±0.95 |
29 |
Each value represents the mean ± S.E.M.,n=6.*p<0.05 compared with control, Dunnett’s t-test after analysis of variance.
Graph 3
Statistical Analysis
The results were presented as mean ± SEM. One way analysis of variance (ANOVA) followed by Dunnett’s t-test for multiple comparisons were used for statistical evaluation. p values less than 0.05 were considered as significance.
The ethanolic flower extract of Calotropis gigantia & Calotropis procera were evaluated for anti inflammatory activity in acute and chronic experimental animal models and results are summarized in table 4& 5.
6.5 DISCUSSION
Carrageenan-induced paw oedema is the standard experimental model for acute inflammation. Carrageenan is the phlogistic agent of choice for testing anti inflammatory drugs as it is not known to be antigenic and is devoid of apparent systemic effects. Moreover the experimental model exhibits high degree of reproducibility. The development of oedema has been described as biphasic. [Vinegar R, et al, 1969]
Carrageenan induced rat paw oedema is commonly used as an experimental animal model for evaluation of the anti inflammatory potential of natural products [10] and is believed to be biphasic. The initial phase is due to the release of histamine, serotonin and kinin in the first hour after the administration of carrageenan, a more pronounced second phase is attributed to release of bradykinin, prostaglandin and lysosome. The later phase is reported to be sensitive to most of the clinically effective anti-inflammatory agents.
The cotton pellet granuloma bioassay is considered a model for studies on chronic inflammation and considered as a typical feature of established chronic inflammatory reaction [19]. Ethanolic extract of Calotropis gigantia exhibited significant reduction in the granuloma formation in the cotton pellet-induced granuloma in rats. This reflected that EECG may be effective in chronic inflammatory conditions. Anti-inflammatory activities of many plants have been attributed to their high sterol/triterpenoid saponins [20]. Though at this stage it is not possible to identify the exact phytochemical constituent(s) responsible for anti-inflammatory activities of Calotropis gigantia, it may be assumed that the effects could be due chemicals present in the methanolic extract examined by qualitative test and these constituents were confirmed using thin-layer chromatography (TLC). The result of present study indicates that ethanol extract of Calotropis gigantia flower possess significant anti-inflammatory activity on both acute and chronic inflammation. Further detailed investigation is underway to determine the exact phytoconstituents, which are responsible for the anti-inflammatory activity.
CONCLUSION
We may conclude that these results support the traditional use of Calotropis giagntia flower in some inflammatory conditions.
As for as the comparison between anti inflammatory activity in the flower extract of Calotropis gigantia & Calotropis procera is concerned, Calotropis gigantia flower extract at the dose of 200mg/kg is found to be more effective .
The ethanolic extract Calotropis gigantea showed significant anti – inflammatory activity, suggesting that it predominantly inhibits the release of inflammatory mediators. However, animal study and other studies are necessary to identify and isolate the active constituents responsible for its anti inflammatory activity and also there is a need to elucidate its mechanism/s of anti inflammatory action.
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