Documente Academic
Documente Profesional
Documente Cultură
Authors Priscila Batista Tessele 1, Franco Delle Monache 1, Nara Lins Meira Quinto 1, Gislaine Francieli da Silva 1,
Lilian Wunsch Rocha 1, Greice M. R. S. Lucena 2, Vania M. M. Ferreira 2, Rui D. S. Prediger 3, Valdir Cechinel Filho 1
are used in folk medicine to treat inflammation eleutherine partly depend on the interference
l
" inflammation
l
" hypernociception and pain. Four naphthalene derivatives have been with the synthesis or activity of mast cell prod-
isolated from the bulbs of this plant. Three of ucts, kinins, cytokine, chemokines, prostanoids,
them have been identified as the known naphtha- or sympathetic amines. Our findings show that
lene derivatives, eleutherine, iso-eleutherine, and two major compounds of C. paludosa contain
hongkonin. The structure of the fourth and new pharmacologically active constituents that pos-
component was determined as 11-hydroxyeleu- sess antinociceptive and anti-inflammatory activ-
therine by extensive NMR study. In addition, the ity, justifying, at least in part, its popular thera-
in vivo effect of the two major compounds, eleu- peutic use for treating conditions associated with
therine and iso-eleutherine, was evaluated in car- pain.
rageenan-induced hypernociception and inflam-
mation in mice. Eleutherine and iso-eleutherine
(1.0434.92 mol/kg), dosed intraperitoneally Abbreviations
(i. p.) or orally (p. o.), decreased the carrageenan- !
induced paw oedema (i. p. inhibitions of 36 NSAID: nonsteroidal anti-inflammatory drug
received April 6, 2010
7 % and 58 14 %, respectively; p. o. inhibitions PGE2: prostaglandin E2
revised Nov. 4, 2010 of 36 7 % and 58 14 %, respectively). Iso-eleu- LPS: lipopolysaccharide
accepted Dec. 17, 2010 therine, but not eleutherine, significantly reduced BK: bradykinin
(inhibitions of 39 4 %) the plasma extravasation SP: substance P
Bibliography
DOI http://dx.doi.org/ induced by intradermal (i. d.) injection of carra-
10.1055/s-0030-1250745 geenan. Likewise, eleutherine and iso-eleutherine Supporting information available online at
Published online January 31, (1.0434.92 mol/kg, i. p. or p. o.) were also effec- http://www.thieme-connect.de/ejournals/toc/
2011 tive in preventing the carrageenan-induced hyper- plantamedica
Planta Med 2011; 77:
nociceptive response (i. p. inhibition of 59 4 %
10351043 Georg Thieme
Verlag KG Stuttgart New York
ISSN 00320943
Introduction pharmacology, biochemistry, toxicology, and mo-
Correspondence
! lecular biology techniques [14].
Prof. Dr. Valdir Cechinel Filho
Ncleo de Investigaes Plants have been used by humankind since time Currently, progress is being made in the develop-
Qumico-Farmacuticas immemorial to cure and alleviate a variety of dis- ment of pain therapy. However, there is still a
(NIQFAR) and Programa
de Mestrado em Cincias eases. In recent years, there has been increasing need to discover new, effective, and potent anal-
Farmacuticas interest in the study of plants recommended by gesics, especially for the treatment of chronic
Universidade do Vale folk medicine. Natural products and their deriva- pain. In this regard, it has been widely shown that
do Itaja (UNIVALI)
Rua Uruguai, 458 tives are believed to be an important tool for find- many plant-derived compounds present signifi-
88302-202 Itaja SC ing new drugs, or prototypes of new drugs, and cant analgesic and/or anti-inflammatory effects
Brazil research into these has progressed significantly [57]. Cipura paludosa Aubl., a member of the Iri-
Phone: + 55 47 33 41 76 64
Fax: + 55 47 33 41 76 01 in the past decade, through the use of modern daceae family, may be an alternative treatment
cechinel@univali.br for these kinds of health problems. This species,
group) and the intensity of noxious stimuli used were the mini- [17]. In these experiments, the hot-plate was maintained at
mum necessary to demonstrate consistent effects. 56 1 C. Animals were placed into a glass cylinder, and the time
Hypernociception tests mechanical sensitisation: To induce me- (s) between placement and shaking or licking of the paws or
chanical hypernociception, the mice received an i. d. injection of jumping was recorded as the index of response latency. The reac-
50 L of carrageenan (300 g/paw), PGE2 (1 nmol/paw), epineph- tion time was recorded for animals pretreated with eleutherine
rine (3 nmol/paw), bradykinin (BK; 500 ng/paw), or LPS (100 ng/ or iso-eleutherine (3.49 mol/kg, i. p.) or with morphine (13.3
paw) under the surface of the right hindpaw [14, 15]. To assess mol/kg; s. c.; purity 95 %), which was used as a positive control.
the systemic effect of the drug treatment, the mice were previ- Animals that remained on the apparatus for an average of 8 s were
ously dosed with eleutherine or iso-eleutherine (MW = 286.29; selected 24 h previously based on their reactivity in the model. A
1.0434.92 mol/kg, i. p.) or vehicle (10 mL/kg, 0.9 % NaCl solu- latency period (cutoff) of 30 s was defined as complete antinoci-
tion), 30 min before carrageenan injection. The mechanical hy- ception. Animals were treated with the compounds or with mor-
pernociception of all the groups was assessed by means of von phine 30 min before. Control animals received the vehicle used to
Frey hair (VFH) for up to 48 h after the administration of irritant dilute these drugs. The maximal percentage of effect (%MPE) of
drugs, as described below. With the aim of evaluating the effect of glutamate-induced hyperalgesia was calculated as follows:
oral treatment, mice received eleutherine or iso-eleutherine
postdrug predrug 100
(34.98 mol/kg, p. o., 1 h) and were then submitted to the test. In- %MPEs
30 predrug
domethacin (13.9 mol/kg, i. p.) was used as a positive control for
the carrageenan model.
Inflammation models paw oedema: The animals were pretreated
with eleutherine or iso-eleutherine (1.0434.92 mol/kg, i. p.) or Drugs and reagents
vehicle (10 mL/kg, 0.9 % NaCl solution), and after 30 min, they re- The following drugs and reagents were used: PGE2, substance P,
ceived in one hindpaw (right paw) a 50 L i. d. injection of saline and carrageenan (Fluka Riedel-de Han); formamide (Merck do
0.9 % containing carrageenan (300 g/paw), histamine (10 nmol/ Brasil); histamine, LPS, and Evans blue (Sigma-Aldrich); indo-
paw), substance P (SP; 30 nmol/paw), PGE2 (3 nmol/paw), or BK methacin (All Chemistry do Brasil Ltda.); morphine (Dimorf)
(3 nmol/paw) [16]. The contralateral hindpaw (left paw) received was kindly provided by Cristlia; retention index mixture of lin-
50 L of saline and was used as the control. Oedema was mea- ear hydrocarbons for GC (Sigma-Aldrich Company). The vehicle
sured using a plethysmometer (Ugo Basile) at different time used for diluting the compounds and positive drugs was saline
points after phlogistics injection. Oedema is expressed in l as solution 0.9 %.
the difference between the right and left paws. With the aim of
evaluating the effect of oral treatment, mice received eleutherine Statistical analysis
or iso-eleutherine (34.98 mol/kg, p. o., 1 h) and were then sub- The results are presented as the mean SEM of 5 to 8 animals in
mitted to phlogistics injection. Indomethacin (13.9 mol/kg, i. p., each group, except for the ID50 values (i.e., the dose of eleutherine
30 min; purity 95%) or dexamethasone (1.27 mol/kg, s. c., 4 h; that reduced the hypernociceptive responses by 50 % relative to
purity 95 %) were used as positive controls. the control values) which are presented as means accompanied
Measurement of plasma extravasations: To evaluate plasma ex- by their respective 95 % confidence limits. The ID50 values and
travasations, the mice received Evans blue (25 mg/kg) intrave- the percentages of inhibition were based on AUC (area under
nously 24 h prior to the test. They were then pretreated with curve), calculated using the entire time course of each experi-
eleutherine or iso-eleutherine (1.0434.92 mol/kg, i. p.) or ve- ment and reported as the mean SEM of inhibitions obtained
hicle (10 mL/kg, 0.9 % NaCl solution) and after 30 min, the mice for each individual experiment. Statistical comparison of the data
received a 50 L carrageenan injection (300 g/paw). The mice was performed by two-way analysis of variance (ANOVA) fol-
were sacrificed 2 h after carrageenan injection, and the subcuta- lowed by Bonferronis post-test or one-way ANOVA followed by
neous tissue of the carrageenan-injected paw was removed and Dunnetts post-test. P values lower than 0.05 (p < 0.05 or less)
immersed in 1 mL of formamide solution for 12 h at 60 C. The ex- were considered significant.
travasated Evans blue was measured by ELISA at 650 nm.
Von Frey hairs-induced hindpaw withdrawal response: To evaluate Supporting information
mechanical hypernociception, the mice were placed individually The physicochemical data of the known compounds are available
in clear Plexiglas boxes (9 7 11 cm) on elevated wire mesh as Supporting Information.
platforms, to allow access to the ventral surface of the right hind-
paw. The withdrawal response frequency was measured follow-
ing 10 applications (duration of 1 s each) of von Frey hairs (VFH; Results
Stoelting). The stimuli were delivered from below, to the plantar !
surface of the right hindpaw. The animals were acclimatised for The methanol extract of the bulbs of C. paludosa was partitioned
30 min before behavioural testing, and mechanical hypernoci- with dichloromethane and ethyl acetate, and the first was sub-
ception was evaluated at several time points. A VFH of 0.6 g pro- mitted to a combination of column chromatography and prepar-
duces a mean withdrawal frequency of about 15%, which is con- ative TLC to afford three known naphthalene derivatives and one
sidered to be an adequate value for the measurement of mechan- new one. The three known compounds were identified as
ical hypernociception [14]. Therefore, 0.6 g VFH was used dimethyldihydropyrano-naphthoquinones eleutherine (1), iso-
throughout this study. To determine the basal mechanical thresh- eleutherine (2), and naphthodiol hongkonin (3), by comparing
olds, all the groups were evaluated before the test or surgical pro- their NMR data with those available in the literature [12, 13].
cedures. Conversely, the structure of (R)-11-hydroxyeleutherine was as-
Hot-plate test: The hot-plate test was used to measure the re- signed to the new compound 4, C16H16O5 (M+, m/z 288.0862 in
sponse latencies, according to the method described previously the HRMS).
Fig. 2 Effects of acute administration of eleutherine (1.0434.92 mol/kg, the mean of 5 to 8 animals, and the vertical lines indicate the SEM. * P < 0.05,
i. p., 30 min) on oedema formation (panels A and B) and Evans blue leakage significantly different from control values when compared with the control
(panel C) induced by carrageenan injection in mice. Each group represents group (one-way ANOVA followed by Dunnetts post hoc test).
kg, i. p., 30 min beforehand) produced a significant decrease in found to be effective in significantly preventing the carra-
mouse paw oedema induced by histamine and PGE2 (l " Fig. 6 A geenan-induced hypernociceptive response, with maximum in-
and B). Otherwise, iso-eleutherine did not interfere with the hibitions of 59 4% and 63 1 %, respectively, for i. p. administra-
paw oedema induced by different inflammatory mediators tion (l " Fig. 4 AD) and 78 6 % and 99 1 %, respectively, for p. o.
(l
" Fig. 6 AH). The percentages of inhibition, based on the AUC treatment (l " Fig. 5 C and D). The animals pretreated i. p. or orally
of each group, are listed in l " Table 2. with indomethacin (13.9 mol/kg) presented inhibition of
In addition, the pretreatment of the animals with iso-eleutherine 76 8 % and 95 4%, respectively. Furthermore, when the ani-
significantly reduced (MI% = 39 4 %) the plasma extravasations mals were submitted to injections of specific pain mediators,
induced by i. d. injection of carrageenan (300 g/paw) when com- both eleutherine and iso-eleutherine were capable of interfering
pared with the vehicle-treated animals (l " Fig. 3 C). Apart from with the mechanical sensitisation induced by i. d. injection of
the above, eleutherine slightly interfered with the plasma extrav- PGE2, epinephrine, BK, and LPS in mice (l " Fig. 7 AH). The per-
asations (l " Fig. 2 C). centages of inhibition, based on the AUC of each group, are listed
The results observed in l " Fig. 4 (A and C) demonstrate that i. d. in l" Table 2.
injection of carrageenan into the mouse hindpaw significantly re- l" Fig. 8 demonstrates that the pretreatment with the com-
duced the withdrawal threshold to mechanical stimulus pounds was not capable of interfering with the thermal with-
(p < 0.001), which lasts for up to 48 h. The treatment with eleu- drawal threshold, compared with the results for the mice treated
therine or iso-eleutherine (1.0434.92 mol/kg, i. p. or p. o.) was with vehicle. Otherwise, the animals treated with the opioid ago-
Fig. 3 Effects of acute administration of iso-eleutherine (1.0434.92 mol/ * P < 0.05 and ** p < 0.01, significantly different from control values when
kg, i. p., 30 min) on oedema formation (panels A and B) and Evans blue leak- compared with the control group (one-way ANOVA followed by Dunnetts
age (panel C) induced by i. d. injection of carrageenan in mice. Each group post hoc test).
represents the mean of 5 to 8 animals, and the vertical lines indicate the SEM.
nist morphine presented a significant increase in the latency of to the aforementioned signal at 3.89, as shown by a cross peak
paw withdrawal when submitted to increased temperature in the COSY spectrum. Therefore, 4 is an 11-OH derivative of eleu-
(p < 0.01). therine (1) or of iso-eleutherine (2), which differ in terms of the
cis or trans relationship, respectively, of the two secondary meth-
yl groups. The orientation of the substituents of the dimethylpyr-
Discussion an ring was deduced by NOE difference experiments. In particu-
! lar, the irradiation of H-11 ( 4.46) gave enhancement of both
This study presents, for the first time, the chemical characterisa- Me-13 and Me-15. Conversely, irradiating each of the methyl
tion of C. paludosa extract and the isolation of four compounds, groups, the NOE effect was observed or H-11, therefore they must
one of which is not found in the literature. Furthermore, we have be on the same side of the molecule, and the relative stereostruc-
also demonstrated, for the first time, the anti-inflammatory and ture is as depicted in 4 (l " Fig. 1).
anti-hypernociceptive effects of two isolated compounds, eleu- Naphthalene derivatives are the usual biologically active metab-
therine and iso-eleutherine, administered systemically, using olites of Eleutherine, a genus of the same family of Cipura [12, 13,
models of inflammation and hypernociception in mice. 1820]. Hara and coauthors [19] have described the inhibitory ef-
The chemical studies led to the isolation of three known com- fects of eleutherine and iso-eleutherine on the HIV replication in
pounds (13), 1 and 2 being the major components evidenced in H9 lymphocytes. Furthermore, it was also shown a vasodepres-
the plant, together with a new compound which is described sant activity in an isolated Guinea pig heart experiment [18]. It
here for the first time. was reported that tablets with a mixture of naphthalene deriva-
The complete NMR data for the new compound, 4, are reported in tives, called Hong-cong-su-piang, are effective on angina pecto-
l" Table 1 and are the result of HETCOR spectra for protonated ris, similar to the effect observed with Persantine (dipyrimadol)
carbons as well as long range HETCOR and selective INEPT ex- in a clinical trial [13]. A recent study has demonstrated that the
periments which established the C-H and HC correlations, re- antibacterial activities of these compounds present in the Eleu-
spectively. Examination of the signals in the aromatic region sug- therine genus are a potential for their application as natural food
gested the presence of a methoxy-naphthoquinone moiety com- preservatives [21].
mon to other substances of the same plant. In addition, there are Our data reveal that systemic treatment with eleutherine slightly
signals which accounted for the presence of two secondary reduced paw oedema induced by carrageenan injection, but
methyl groups at 1.59 (d, J = 6.2 Hz) and 1.40 (d, J = 6.8 Hz), without any significant effect on the plasma extravasations.
each linked to an oxygen-bearing carbon whose hydrogen is at Moreover, iso-eleutherine, administered at the same range of
4.94 and at 3.89, respectively. The last carbon, 67.6, is also an dose, clearly inhibited the carrageenan-induced paw oedema,
oxygenated methine, and its proton ( 4.46) is coupled (J = 8.0 Hz) similarly to indomethacin, an NSAID used to reduce inflamma-
tors, such as PGE2, PMA, and BK. The C. paludosa extract also re-
Fig. 8 Effects of mor-
duced the mechanical and thermal hypernociceptive response in-
phine (13.3 mol/kg,
s. c.), eleutherine, or duced by CFAwhen administered acutely or chronically in mice [9].
iso-eleutherine (3.49 The effect was also investigated of eleutherine and iso-eleuther-
mol/kg, i. p.) in the ine in mechanical hypernociception induced by isolated inflam-
paw withdrawal latency matory mediators, such as PGE2, epinephrine, and BK. The results
in the hot-plate test in of the present study demonstrate that both evaluated com-
mice. ** P < 0.01, sig-
pounds interfered with the mechanical sensitisation induced by
nificantly different from
PGE2, epinephrine, or BK. Verri and coworkers [29] have shown
control values (one-way
ANOVA followed by that the release of prostanoids and sympathetic amines during
Dunnetts post hoc the inflammatory process is preceded by a cascade of cytokines
test). and chemokines, such as IL-1, TNF, and KC/CINC1, culminat-
ing in sensory neuron sensitisation. On the other hand, the acti-
vation of the kinin B2 receptors was associated with direct activa-
tion of small-diameter afferent sensorial fibres, and it was also
This acute inflammatory response is sustained by the production found to induce the release of prostanoids and sympathetic
of prostaglandins and nitric oxide (product of iNOS activation) amines in a cytokine-independent mechanism [28].
[22]. Extending the results obtained with the carrageenan profile, We also demonstrated that eleutherine and iso-eleutherine were
the effects of eleutherine and iso-eleutherine on oedema forma- capable of interfering in mechanical hypernociception induced
tion induced by histamine, SP, PGE2, or BK were also assessed. by LPS. It is well recognised that the inflammatory hypernocicep-
Therefore, we might suggest that the anti-oedematogenic effects tion induced by LPS or antigen challenge involves the release of
observed for eleutherine or iso-eleutherine are related to one or several inflammatory mediators. Similar to carrageenan, the i. d.
more of these pathways. In fact, eleutherine has been found able injection of LPS also induces prostanoids and sympathetic amines
to significantly interfere with paw oedema induced by histamine release that acts on their specific metabotropic receptors present
or PGE2. On the other hand, iso-eleutherine did not interfere with on the sensory neurons [30]. The release of these hypernocicep-
the paw oedema induced by any of the inflammatory mediators tive mediators is commonly preceded by the cytokines cascade
used. [27]. We cannot discard the interference of eleutherine and iso-
Hong et al. [23] have provided clear evidence for the immuno- eleutherine in the inhibition of the antigen presentation and con-
modulatory activity of these compounds. The authors demon- sequently the immune cascade induced by LPS. It is important to
strate that both eleutherine and iso-eleutherine partially inhibit mention that eleutherine or iso-eleutherine appears to not inter-
T helper cell proliferation. In addition, the compounds cited fere with the opioid system, as no change was observed in the
above increased apoptosis and cytokine IL-2 levels. Indeed, T cells hindpaw withdrawal latency in the hot-plate test when com-
are responsible for coordinating the cellular response in the in- pared with the animals that received morphine.
flammation through the release of several cytokines. Mosmann Taken together, the present data demonstrate that the two main
et al. [24] suggested that CD4 + T cells can be functionally categor- compounds of C. paludosa, administered systematically, elicited a
ised into two groups based on their cytokine production. The Th1 pronounced anti-inflammatory and anti-hypernociceptive ac-
subtype is defined by its restricted cytokine production of IL-2, tion against chemical and mechanical models of pain in mice. Ex-
IFN-, and TNF- [25]. According to a recent report by Song et al. periments are currently in progress in our laboratory to investi-
[26], iso-eleutherine inhibits the production of NO in LPS-acti- gate the mechanism responsible for the anti-inflammatory ef-
vated macrophages cells. This effect was correlated with the inhi- fects of these compounds.
bition of iNOS protein and mRNA. Despite the existing in vitro re-
sults that indicate the activity of the compounds, our study
shows, for the first time, the anti-inflammatory activity of eleu- Acknowledgements
therine and iso-eleutherine using in vivo experimental models. !
It is also known that -carrageenan, when injected into the mi- This work was supported by grants from following Brazilian insti-
ces hindpaws, induces a local inflammatory response character- tutions, Conselho Nacional de Desenvolvimento Cientfico e Tec-
ised by paw oedema, neutrophil migration, and the release of nolgico (CNPq), Coordenao de Aperfeioamento de Pessoal de
several mediators, such as cytokines, chemokines, prostaglan- Nvel Superior (CAPES), and Fundao de Apoio a Pesquisa Cien-
dins, and sympathetic amines, culminating in the sensitisation tfica e Tecnolgica do Estado de Santa Catarina (FAPESC). P. B. T.
of sensorial afferent fibres [27]. In addition, the kinin B2 receptor, and G. F. S. are supported by scholarships from CNPq-Brazil.
activated after the injection of carrageenan, mediates the inflam- N. L. M. Q., R. D. S. P., G. M. R. S. L. and V. C. F. are supported by re-
matory hypernociception dependent on prostanoids and sympa- search fellowships from CNPq-Brazil.
thetic amines, in a cytokine-independent mechanism [28]. This
neuronal sensitisation causes a decrease in the mechanical Affiliations
1
threshold. Once again, eleutherine or iso-eleutherine, adminis- Ncleo de Investigaes Qumico-Farmacuticas (NIQFAR)
and Programa de Mestrado em Cincias Farmacuticas,
tered intraperitoneally or orally, was able to enhance the me- Universidade do Vale do Itaja (UNIVALI), Itaja, SC, Brazil
chanical threshold, reducing the number of hindpaw with- 2
Faculdade de Cincias da Sade, Curso de Cincias Farmacuticas,
drawals. Lucena and coauthors [9] have demonstrated the anti- Universidade de Braslia (UnB), Braslia, DF, Brazil
3
Departamento de Farmacologia, Centro de Cincias Biolgicas,
nociceptive effects of ethanol extract of C. paludosa bulbs in in- Universidade Federal de Santa Catarina (UFSC), Florianpolis, SC, Brazil
flammatory models of pain behaviour in rodents. The extract,
dosed systemically, inhibited the nociception induced by acetic
acid and the hyperalgesic response induced by different media-
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