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Research Detail

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Mehdi Bin Samad*
Department of Pharmacy, North South University, Dhaka, Bangladesh.

Ninadh Malrina D’Costa
Department of Pharmacy, North South University, Dhaka, Bangladesh.

Ashraf-ul Kabir
Department of Pharmacy, North South University, Dhaka, Bangladesh.

J. M. A. Hannan
Department of Pharmacy, North South University, Dhaka, Bangladesh.

Aims: Punarnavasava (PNR) is an Ayurvedic formulation approved by the “National Formulary of Ayurvedic Medicine 2011”, of Bangladesh. It is traditionally used in arthritic pain, lumbago and sciatia. Sparse scientific evidence is available to support the efficacy of this preparation. Hence, we planned to document scientific evidences of the pharmacological activity of this preparation. Study Design: Our present study aims to elucidate the probable anti-nociceptive and anti-inflammatory mechanisms of PNR. Place and Duration of the Study: The experiments were performed at the pharmacology lab of North South University during the period of October 2010 to July 2011. Methodology: Two thermal anti-nociceptive models were used, the hot-plate test and tail immersion test, to find out the possible role of the central nervous system in its action. Three in-vivo analgesic and anti-inflammatory models, carrageenan induced paw edema, acetic-acid writhing, and formalin induced paw lick tests, were carried out to test its potential anti-inflammatory and peripheral analgesic properties. Results: The dose dependent study of PNR (10mL/kg, 20mL/kg, and 40mL/kg) showed potential involvement of the CNS in anti-nociceptive activity of PNR. Carrageenan induced paw edema and acetic acid writhing tests both gave significant results (P=.05), indicating possible peripheral analgesic and anti-inflammatory action. Formalin induced paw-licking test (with and without naloxone co-administration), a differentiator of nurogenic pain (CNS modulated) and inflammatory pain (peripheral nociception), showed that PNR had significant effect in suppressing inflammatory pain (P=.05) but not neurogenic pain. Conclusion: Compiling the results of the experiments, it can be reported that Punarnavasava has both central and peripheral analgesic and anti-inflammatory action.

  Punarnavasava; Peripheral analgesic; Anti-inflammatory; Hot plate.
  Pharmacology lab of North South University
  00-10-2010
  00-07-2011
  Resource Development and Management
  Medicinal Plants

Five experimental models were chosen to test the analgesic and anti-inflammatory properties of this formulation.

2.1 Reagents Used All reagents and chemicals that were used in the experiments were of analytical grade. Distilled water, centrally circulated around the laboratory, was used for any dilution, washing, or control purpose. PNR were purchased from University Ayurvedic Research Centre, Jahangirnagar University, Savar, Bangladesh. Pharmaceutical grade Tramadol, and Diclofenac Sodium were purchased from Square Pharmaceuticals Bangladesh Ltd. Ketamine for anesthesia was purchased from Advanced Chemical Industries (ACI) limited. All other reagents were purchased from Sigma Aldrich (USA) unless mentioned otherwise.

2.2 Dose and Route of Administration 0.9% NaCl was administered to the animals Per Oral (p.o.) at a volume that would not cause any additional psychological or physiological stress to the animals. For experimental purpose 10mL/kg, 20mL/kg, and 40mL/kg doses of PNR were used.

2.3 Maintenance and Use of Test Animals Healthy Swiss Albino mice (5-6 weeks old, only males) weighing 20-25g and Sprague- Dawley rats weighing 130-160g were procured from Jahangir Nagar University Animal House. All test subjects were kept in the air-conditioned animal house of the Pharmacy Department North South University at a temperature of 25±2ºC with a 12h light/dark cycle. The rats were kept in white plastic cages of dimension 30×20×13 cm. Soft sterilized wood shavings were used as bedding. The test subjects were provided with standard rat pellet diet and filtered drinking water ad libitum. This study was approved by an ethics committee of North South University which gave its consent in absolute accordance with the recommendations of the international association for the study of pain.

2.4 Grouping and Drug Administration The animals were randomly divided into several groups of 8 mice or rats per group for the planned analgesic and anti-inflammatory tests. Control groups were treated with 0.9% NaCl p.o. at a volume that would not cause any additional psychological or physiological stress to the animals. Positive controls were treated with Tramadol and Diclofenac Na. Treatment groups were treated with three doses (10mL/kg, 20mL/Kg, and 40mL/Kg) of PNR (p.o.).

2.5 Determination of CNS Modulation in Analgesic Activity 2.5.1 Hot plate test The hot plate test was performed on the test subjects in a slightly modified version from the one described earlier. The animals were placed on hot plate apparatus (Model-35100, manufacturer-UGO Basile of Italy) maintained at a temperature of 54±0.5ºC for a maximum time of 20s per exposure to prevent blister formation and skin damage, both of which might affect the results. The mice were screened for initial nociceptive effect; only those which showed an initial response (jumping or paw-licking) within 8-13 seconds were retained to carry out the experiment. The control group was administered with 0.9% NaCl. The treatment groups were treated with PNR (10mL/kg, 20mL/Kg, and 40mL/kg, p.o.) and Tramadol (10mg/kg p.o.).Naloxone (5mg/kg i.p.) was administered with PNR (10mlL/kg, 20mL/Kg, and 40mL/Kg) and Tramadol to four different groups, other than the treatment groups, to ensure that the observed results were not caused due to activity of endogenous opoids. It would also reconfirm the role of opioid agonism of the PNR, if any, as Naloxone is an antagonist of opioid receptor and would inhibit any activity, if shown, by PNR. Reaction time was recorded as latency period, when the animals licked their fore and hind paws and jumped, at 0, 30, 60, 120, 180, 240 and 300 minutes after the treatment.

2.5.2 Tail immersion test The tail immersion test was performed according to the procedures used by Wang et al., with minor modifications. Briefly, the lower two-third of mouse’s tail was immersed in a constant temperature water bath at 50±0.20C. The reaction time, i.e. the amount of time it takes the animal to withdraw its tail, was measured at 0, 30, 60, 90, and 120 min after drug treatment. PNR (10mL/kg, 20mL/Kg, and 40mL/Kg p.o.), Tramadol (10mg/Kg p.o.), and 0.9% NaCl (p.o.) were administered to treatment groups. Naloxone (5mg/kg i.p.) was administered with PNR (10mL/kg, 20mL/Kg, and 40mL/Kg) and Tramadol to four different groups, other than the treatment groups, to ensure that the observed results were not caused due to activity of endogenous opoids. It would also reconfirm the role of opioid agonism of the PNR, if any, as Naloxone is an antagonist of opioid receptor and would inhibit any activity, if shown, by PNR. To avert any sort of tissue injury, the cut-off time for tail immersion was fixed at 20s.

  European Journal of Medicinal Plants 3(1): 146-162, 2013
  
Funding Source:
1.   Budget:  
  

In summary, our present study has successfully elucidated the likely mechanism of the anti-nociceptive and anti-inflammatory effects of PNR. We have drawn a sound conclusion that PNR have CNS modulated effect in pain inhibition, based on three different in-vivo models. Its peripheral analgesic activity has been also repeatedly confirmed by three in-vivo models. Through this study, it is apparent that the mechanism of action of PNR is similar to that of the commonly used centrally active opioid analgesics. Hence, its traditional use in arthritis, sciatia, and lumbago held the test of time, not by its mere placebo effect but by some potent analgesic and anti-inflammatory molecules hidden in this age-old Ayurvedic concoction.

  Journal
  


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