Antinociceptive activity and effect of methanol extract of Salvia limbata on withdrawal syndrome in mice
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European Review for Medical and Pharmacological Sciences 2012; 16: 38-42 Antinociceptive activity and effect of methanol extract of Salvia limbata on withdrawal syndrome in mice Sh. ALEMY1, M. KARAMI2, E. HOSSINI3, M.A. EBRAHIMZADEH4, N. SHAHBI MAJD5 1 Department of Physiology and Pharmacology, Islamic Azad University Sciences and Research Branc fars (Iran) 2 Department of Toxico-Pharmacology and Pharmaceutical Sciences Research Center, School of Pharmacy, Mazandaran University of Medical Sciences, Sari (Iran) 3 Department of Physiology and Pharmacology, Islamic Azad University Sciences and Research Branc fars (Iran) 4 Departmnet of Medicinal Chemistry, School of Pharmacy, Mazandaran University of Medical Sciences, Sari (Iran) 5 Department of Physiology and Pharmacology, School of Medicine, Mazandaran University of Medical Sciences, Sari (Iran) Abstract. – Objectives: Salvia (S.) is an Conclusions: S. limbata extract produced sta- impor tant genus consisting of about 900 tistically significant inhibition of pain and devel- species in the Lamiaceae family. They are several opment of morphine dependence in mice. reports that some Salvia spp. has effects on the central nervous system (CNS). The present ex- Key Words: periments were undertaken to study the protec- tive effect of S. limbata on the development of Morphine dependence, Antinociceptive activity, dependence to morphine in mice. Salvia limbata, Jumping, Hot plate. Material and Methods: Antinociceptive ac- tivity of aerial parts of S. limbata was investigat- ed using the hot plate method. In addition, the effect of its aerial parts on morphine depen- dence was investigated in mice. After induction of dependence by morphine, different concentra- Introduction tions of plant aerial parts extract were injected to treated groups. To assess morphine with- It is well clear that repeated use of opioid drawal, mice were injected naloxone (5 mg/kg) drugs brings physical dependence and tolerance. i.p. on the 5th day. After four consecutive days Based on evidence from neurochemical, neuro- of morphine injection, withdrawal syndrome was assessed by placing each mouse in a 30 cm physiological and biochemical studies of opioid high glass box and recording the frequency of dependence, a variety of agents and systems such escape jumps for 60 minutes. as noradrenergic system1 , serotonergic2, adeno- Results: Animal receiving acute treatment sine receptor agonists3, excitatory amino acid an- with morphine displayed dependence. The ani- tagonists4,5, protein kinase C inhibitors6, gluco- mals treated with different extract concentra- corticosteroids7, benzodiazepines8,9 and arachi- tions could decrease frequency of escape jumps donic acid10 can modulate the morphine with- in number or decrease development of morphine dependence. Addiction was observed following drawal syndrome. naloxone administration. Methanol extract of S. Pain is still one of the main health problems of limbata produced a statistically significant inhi- the world’s populations11. Many bioactive sub- bition of pain induced by hot plate latency at stances are involved in the modulation of pain 500, 1000 and 1500 mg/kg i.p. A significant in- sensation 12 . Eclectic physicians relied upon crease in pain threshold was observed after 30 herbal medicins and natural remedies to treat dis- and 60 min (p < 0.001). The activity was compa- rable to that of morphine (30 mg kg-1 i.p., p > ease13. 0.05). The anti-nociceptive activity of S. limbata Salvia is an important genus consisting of about increased until the 60th min (p < 0.05 compared 900 species in the Lamiaceae family14. They are to morphine). several reports that some Salvia spp. has effects on 38 Corresponding Author: Mohamamd Karami, Ph.D; e-mail: toxkarami@gmail.com
Effect of Salvia limbata on withdrawal syndrome the central nervous system (CNS). S. haematodes freeze-dried.The extract was prepared in phos- has CNS depressant, antinociceptive and anticon- phate buffer (pH 7.4) and tween 80 (4:1) for vulsant activities15,16. The genus, Salvia (Labi- pharmacological studies. atae), is generally known for its multiple pharma- cological effects including analgesic and anti-in- Morphine Dependence flammatory activities17,18, S. leriifolia has an effect Morphine was injected intraperitoneally (i.p.) on morphine dependence19 and hypoglycaemic ef- to mice at doses of 50, 75,100 and 125 mg/kg fects morphine dependency as well20. Anti-noci- three times daily (8:00 a.m., 12:00 and 16:00 ceptive and anti-inflammatory activities have also p.m., respectively) for 4 days. On day 5, a single been reported for this species18. dose of morphine (50 mg/kg) was injected 2 h Jumping is most suitable sign of measuring before naloxone treatment 21. abstinence quantity as jumps are easily counted and jumping rate increases when dependence in- Morphine Withdrawal creases or dose of antagonist increased. Investi- Withdrawal signs were precipitated by injec- gation on plant S. limbata revealed its beneficial tion of naloxone (5 g/kg, i.p.) 2 h after the final effects to decrease dependence sign produced by administration of morphine. After the naloxone morphine and increase in pain threshold after 60 challenge, mice were immediately placed in a min, in comparison to the control. The present glass cylinder (30 cm high, 20 cm in diameter). experiments were undertaken to study the protec- The number of jumping episodes was counted tive effects of S. limbata extract on the develop- for 60 min after naloxone injection22. ment of dependence to morphine in mice. Extract Treatment After induction of dependence by morphine, mice were divided into 10 groups. Then the con- Materials and Methods trol group was injected distilled water and differ- ent concentrations of plant extract (100, 200, Drugs 500, 1000, 1500 mg/kg) were injected to the oth- Morphine sulphate was prepared from Daru er groups i.p. 1/5 h after the final dose of mor- Pakhsh Co. (Iran) and naloxone hydrochloride phine. was prepared from Tolid Daru Co. (Iran). Antinociceptive Study Animals The hot-plate test was assessed on male mice. Male albino mice 25-30 g was obtained from a The temperature of the metal surface was main- random bred colony, maintained on a special diet tained at 55± 0.2°C. Latency to a discomfort reac- in the animal house of Sari University of Medical tion (licking paws or jumping) was determined be- Sciences. The animals had free access to a stan- fore and after drug administration. The cut-off dard commercial diet and water ad libitum and time was 55 s. Morphine was injected i.p.) to were kept in rooms maintained at 25 ± 1°C with mice, as a single dose of 30 mg kg-1 (as a positive a 12/12h light/dark cycle. control). Solvent was injected to the negative con- trol group (10 mL kg -1 , i.p.). An aqueous Plant Material methanolic extract of the aerial parts of S. limbata Aerial parts (flowered browse) of S. limbata was given at doses of 500, 1000, 1500 mg kg-1 i.p. were collected from Tehran and was identified to the animals. Antinociceptive activity was as- and confirmed by Department of Pharmacognosy sessed by measuring the hot plate latency to heat, (Dr. Gohari). A voucher specimen (No. 783) has as described by Eddy and Leimbach23. been deposited in Tehran School of Pharmacy Herbarium. Aerial parts were dried at room tem- Statistical Analysis perature and coarsely ground before extraction. Statistical analysis was performed using the One hundred grams of the powdered sample was SPSS software for Windows Ver.10, (SPSS Inc., extracted at room temperature by percolation Chicago, IL, USA). Data were analyzed by one- with methanol/water (80:20, 400 ml × 3). The re- way analysis of variance (ANOVA) and present- sulting extract was concentrated over a rotary ed as Mean ± SD. Student-Newman-Keuls test vacuum evaporator, until a solid extract sample was used for statistical analysis and p < 0.05 was was obtained. The resulting crude extract was considered to be significant. 39
Sh. Alemy, M. Karami, E. Hossini, M.A. Ebrahimzadeh, N. Shahbi Majd Jumping count/60 min Control 100 mg/kg 200 mg/kg 500 mg/kg 1000 mg/kg 1500 mg/kg Salvia limbata (mg/kg) Figure 1. Relation between morphine withdrawal jumps and different concentration of plant methanol extract. Significant at p < 0.0, each value represents Mean ± SD. Results The extract reduced the jumping episodes dose- dependently. The maximum effect was observed at Animal receiving acute treatment with mor- a dose of 1 g kg-1. Results of the present study phine displayed dependency. The animals treated showed that the aqueous methanol extract of the with different Salvia limbata extract concentration aerial parts (flowered browse at 1000 mg kg-1) of could decrease or increase frequency of escape S. limbata produced a statistically significant in- jumps in number, following naloxone administra- crease in the pain threshold, after 30 min, in com- tion. Recently, we have shown that the high inhibi- parison to the control (Figure 1). The effect or ac- tion of morphine dependence in methanolic ex- tivity was rather low, however enough for treat- tract of S. limbata can decrease development of ment and blocking the pain. This activity was morphine dependence. However, mechanism of comparable to that of morphine (30 mg kg-1 i.p., p plant action to S. limbata to inhibit or decrease ab- > 0.05). The anti-nociceptive activity of extract in- stinence syndrome in dependent mice is unclear. creased until the 60th min. Latency (sec) Latency (sec) Saline Morphine S. limbata Saline Morphine S. limbata Figure 2. Anti-nociceptive activity of methanolic extract Figure 3. Antinociceptive activity of aqueous methanol of S. limbata aerial parts after 30 min. Values are presented extract of S. limbata aerial parts after 60 min. Values are as Mean ± SD (n = 7), ***p < 0.001 with respect to control presented as Mean ± SD (n = 7), ***p < 0.001 with respect (ANOVA followed by Newman-Keuls multiple comparison to control (ANOVA followed by Newman-Keuls multiple test). comparison test). 40
Effect of Salvia limbata on withdrawal syndrome Discussion leriifolia18 other genera33. This study and other research on aerial parts of S. limbata also con- The present results indicate that the macerated firm that Salvia genera are good candidates for methanolic extract of S. limbata reduced the anti-inflammatory and analgesic uses. It is con- withdrawal signs of morphine, dose-dependency. cluded that the methanol extract of S. limbata has Adenosine A1 receptor agonists such as 2- a central (no spinal) antinociceptive effect and chloroadenosine and R-phenylisopropyladeno- this may be mediated by opioid receptors. sine suppressed the withdrawal syndrome of morphine. Adenosine receptor antagonists such as caffeine and theophylline increased the jump- –––––––––––––––––––– ing episodes and blocked the effects of adenosine Acknowledgements analogues3. S. miltorrhiza extract increased the This work was supported by a grant from the Research ATP level in the brain24. As ATP is broken down Council of the Medical Sciences University of Mazan- to adenosine25, it might be possible that the ex- daran/Iran. tract decreased morphine dependence by an adenosine mechanism. Further study is needed to confirm this mechanism. Benzodiazepines, via GABAA receptors had an inhibitory effect on the References dependence to morphine 8,9. As some binding 1) AMBROSIO E, IGLESIAS V, GARCIA-LECUMBERRI C, OREN- sites were found on the GABA/benzodiazepine SANZ L, ALGUACIL LF. Effect of yohimbine on the de- receptor complex for some S. spp.26,27, there is al- velopment of morphine dependence in the rat: so a possibility that S. limbata acts through this lack of involvement of cortical beta-adrenoceptor complex to affect morphine dependency. modifications. Pharmacol Biochem Behav 1997; The involvement of other mechanisms may al- 56: 487-491. so be considered. S. miltorrhiza via danshen, a 2) H ARRIS GC, A STON JG. Augmented accumbal constituent in the root, inhibited adenylate cy- serotonin levels decrease the preference for a morphine associated environment during with- clase activity in rat brain28. It also inhibited the drawal. Neuropsychopharmacol 2001; 24: 75- phosphatidylinositol system in acute myocardial 85. ischaemia29. Therefore, some Salvia genus may 3) MICHALSKA E, MALEC D. Agonist and antagonists of potentially have inhibitory effects on the with- adenosine receptors and morphine withdrawal drawal syndrome of morphine via these second syndrome in rats. Pol J Pharmacol 1993; 45: 1-9. messenger systems, which have modulatory ef- 4) BELOZERTSEVA I, ZUARTAV E, BESPALOV A. Behavioral fects on morphine dependency30,31. effect of MK-801 in morphine dependent and In conclusion, the methanolic extract of S. lim- non-dependent mice. Life Sci 1996; 58: 55-61. bata can suppress the morphine withdrawal syn- 5) GONZALEZ P, CABELLO P, GERMANY A, NORRIS B, CON- TRERAS E. Decrease of tolerance to, and physical drome. The results of this study are valuable as a dependence on morphine by glutamate receptor step towards the search for different mechanism of antagonists. Eur J Pharmacol 1997; 332: 257- actions, which may be involved in the inhibitory 262. effect of the extract on morphine dependency. It is 6) TOKUYAMA S, FENG Y, WAKABAYASHI H, HO IK. Possible difficult to speculate on the exact mechanism of ac- involvement of protein kinases in physical depen- tion at this time. The present results indicate that dence on opioids: study using protein kinase C in- hibitors, H7 and H8. Eur J Pharmacol 1995; 284, the aqueous extract of S. limbata has central an- 101-107. tinociceptive activity, because it showed a signifi- 7) CAPASSO A, PINTO A, SORRENTINO L, CIRINO G. Dex- cant antinociceptive effect in the hot-plate test and amethasone inhibition of acute opioid physical also its effect was inhibited by naloxone, a specific dependence in vitro is reverted by anti-lipocortin- antagonist of opioid receptors. The inhibitory ef- 1 and mimicked by anti-type II extracellular PLA2 fect of naloxone on the antinociceptive activity of antibodies. Life Sci 1997; 61: 127-134. extract suggests a morphine-like activity profile for 8) SUZUKI T, TSUDA M, NARITA M, FUNADA M, MIZOGUCHI this plant. With regard to the LD50 value and in H, MISAWA M. Diazepam pretreatment suppresses morphine withdrawal signs in the mouse. Life Sci comparison with a toxicity classification32, the ex- 1996; 58: 349-357. tract was of low toxicity. 9) PUNTILLO K, CASELLA V, REID M. Opioid and benzodi- Antinociceptive and/or anti-inflammatory ac- azepine tolerance and dependence: application of tivities have been reported for some Salvia gen- theory to critical care practice. Heart Lung 1997; era such as S. hemaematodes15, S. aethiopis17, S. 26: 317-324. 41
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