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Keywords: Mitragyna speciosa Korth. leaves have been used for decades as a traditional medicine to treat diarrhea,
Mitragyna speciosa diabetes and to improve blood circulation by natives of Malaysia, Thailand and other regions of Southeast
Mitragynine Asia. Mitragynine is the major active alkaloid in the plant. To date, the role of mitragynine in psychological
Immobility time
disorders such as depression is not scientifically evaluated. Hence, the present investigation evaluates the
Forced swimming test
antidepressant effect of mitragynine in the mouse forced swim test (FST) and tail suspension test (TST),
Tail suspension test
Antidepressant-like activity two models predictive of antidepressant activity and the effect of mitragynine towards neuroendocrine
HPA axis system of hypothalamic-pituitary-adrenal (HPA) axis by measuring the corticosterone concentration of
Corticosterone mice exposed to FST and TST. An open-field test (OFT) was used to detect any association of immobility
in the FST and TST with changes in motor activity of mice treated with mitragynine. In the present
study, mitragynine at dose of 10 mg/kg and 30 mg/kg i.p. injected significantly reduced the immobility
time of mice in both FST and TST without any significant effect on locomotor activity in OFT. Moreover,
mitragynine significantly reduced the released of corticosterone in mice exposed to FST and TST at dose
of 10 mg/kg and 30 mg/kg. Overall, the present study clearly demonstrated that mitragynine exerts an
antidepressant effect in animal behavioral model of depression (FST and TST) and the effect appears to
be mediated by an interaction with neuroendocrine HPA axis systems.
© 2010 Elsevier GmbH. All rights reserved.
0944-7113/$ – see front matter © 2010 Elsevier GmbH. All rights reserved.
doi:10.1016/j.phymed.2010.08.011
N. Farah Idayu et al. / Phytomedicine 18 (2011) 402–407 403
open cylindrical container (diameter 14 cm, height 20 cm), with a the manufacturer’s instructions. The sensitivity of the assay was
depth of 15 cm of water at 25 ± 1 ◦ C. The immobility time, defined <1.631 nmol/l. Intra-assay and inter-assay coefficients of variations
as the absence of escape-oriented behaviors, such as swimming, were less than 4.09% and 6.36% respectively. Data were expressed
was scored during 6 min with the help of stop-watch, as described as nmol/l.
previously by (Eckeli et al. 2000; Zomkowsi et al. 2004; Kaster et
al. 2007). Each mouse was judge to be immobile when it ceased Statistical analysis
struggling and remained floating motionless in the water, making
Data were expressed as the mean ± standard error of mean
only those movements necessary to keep its head above water. The
(S.E.M.). Comparisons between experimental and control groups
parameter obtained was the number of seconds spent immobile.
were performed by one-way analysis of variance (ANOVA) followed
The water in the containers was changed after each trial.
by Tukey’s HSD test when appropriate. P < 0.05 was considered sig-
nificant.
Tail suspension test (TST)
Results
The total duration of immobility induced by tail suspension
test was measured according to the method described by Steru Effects of mitragynine on immobility time of FST
et al. (1985). Mice both acoustically and visually isolated were
suspended 50 cm above the floor by adhesive tape placed approx- After 30 minutes of treatment, mitragynine significantly
imately 1 cm from the tip of the tail. The total immobility period reduced (P < 0.05) the duration of immobility time at 10 mg/kg and
was scored manually during 6 minutes test session with the help of 30 mg/kg respectively as compared to control. Antidepressant drug
stop-watch. Immobility was defined as the absence of any limb or of selective serotonin reuptake inhibitor, fluoxetine at 20 mg/kg
body movements, except for those caused by respiration or when and tricyclic antidepressant drug amitriptyline at 10 mg/kg that
they hung passively and completely motionless. The parameter used as positive control, administered by i.p. route caused signifi-
obtained was the number of seconds spent immobile. Parameter cant reduction (P < 0.05) in the immobility time of mice forced swim
used was the number of seconds spent immobile. test (FST) as compared with control (Fig. 2).
In order to rule out any unspecific locomotor effect of mitragy- Mitragynine at 10 mg/kg and 30 mg/kg significantly reduced
nine on antidepressant-like effect of these compounds, mice were (P < 0.05) immobility time of mice in tail suspension test (TST) as
administered with the same regimen as in the FST or TST. Their compared to the control (vehicle). The clinically effective antide-
locomotor activities (crossing activity) were evaluated in the open- pressant fluoxetine at 20 mg/kg and amitriptyline at 10 mg/kg that
field paradigm. Before each test, animals were kept in the test used as positive control produced a marked significant reduction
room at least 1 hour before the open-field test (OFT) for habit- (P < 0.05) in the duration of immobility time as compared with con-
uation. The ambulatory behavior was assessed in open-field test trol (Fig. 3).
described by Rodrigues et al. (1996) and Peng et al. (2007) with
slight modifications. The main apparatus consisted of square arena Effects of mitragnine on locomotor activity of OFT
(50 cm × 50 cm × 40 cm) high with grey surface covering every wall.
The floor of the arena was divided equally into twenty-five squares Treatment with mitragynine at 10 mg/kg and mitragynine at
(10 cm × 10 cm) marked by black lines. All animals were used only 30 mg/kg which significantly reduced duration of immobility time
once in this test. These animals were different from those used in FST and TST produced no significant difference in number of
in the FST and TST. Each mouse was placed individually into the crossing activity of mice in OFT. The clinically effective antidepres-
center of the arena and allowed to explore freely. The number sant fluoxetine at 20 mg/kg and amitriptyline at 10 mg/kg which
of squares crossed with all paws (crossing) were observed and significantly reduced the duration of immobility time of mice FST
counted in 60 minutes. During the test session, the locomotor or and TST produced no significant difference in number of crossing
crossing activity of mice was recorded and saved using video cam-
era for permanent record (Moklas et al. 2008). The square arena
was cleaned with a solution of 10% alcohol between tests and dried
after occupancy by each mouse in order to hide animal clues and
to prevent each mouse from being influenced by the odors present
in the urine and feces of the previous mouse.
Corticosterone assay
activity as compared to control. However, psychostimulant drug, Effects of mitragynine on serum corticosterone levels in mice
amphetamine hydrochloride at 1 mg/kg which served as refer- exposed to TST
ence drug in open-field test (OFT) significantly increased (P < 0.05)
the number of crossing activity of mice as compared with control A significant increased (P < 0.05) in serum corticosterone con-
(Fig. 4). centrations were observed in mice exposed to TST of control
vehicle-treated mice. Mitragynine at 10 mg/kg and 30 mg/kg sig-
Effects of mitragynine on serum corticosterone levels in mice nificantly reduced (P < 0.05) the serum corticosterone levels in
exposed to FST mice as compared with control. Treatment of mice with fluoxetine
at 20 mg/kg and amitriptyline at 10 mg/kg significantly reduced
Swim stress procedure evoked a significant increased (P < 0.05) (P < 0.05) the serum corticosterone in TST as compared with control
in serum corticosterone levels of control mice as compared (Fig. 6).
to other treatment. Mitragynine elicited a significant reduction
(P < 0.05) in increased serum corticosterone levels induced by Discussion
forced swim test (FST). Mitragynine treatment of 5 mg/kg, 10 mg/kg
and 30 mg/kg significantly reduced (P < 0.05) the serum corticos- Behavioral studies have been shown to play an important part
terone levels in mice as compared with control. Amitriptyline at in the evaluation and development of antidepressant drugs (Xu
10 mg/kg and fluoxetine at 20 mg/kg decreased the serum cor- et al. 2008). Forced swimming test (FST) and tail suspension test
(TST) are among behavioral models that widely and routinely used
for screening new antidepressant compound (Cryan et al. 2005).
In the present study, statistically significant results were obtained
in FST with treatment of mitragynine at 10 mg/kg and 30 mg/kg
(33% and 48% reduction respectively). Positive control antidepres-
sant drugs fluoxetine and amitriptyline produced significant result
on immobility time (57% and 76% reduction respectively) similar In conclusion, our results obviously show that administration of
with previous study (Reneric and Lucki 1998). The highest dose of mitragynine is able to produce an antidepressant-like effect in FST
mitragynine shows comparable effect as fluoxetine and amitripty- and TST, which not due to effect of psycho-stimulant or hyperkine-
line in terms of its antidepressant actions revealing mitragynine sia. Besides, we provide convincing evidence that the effect is due to
might share some pharmacological mechanisms with established interaction with neuroendocrine HPA axis systems. Taken together,
antidepressant drugs in this investigation. our findings are somewhat in accordance with clinical results, fur-
Similar outcome were obtained in TST as mitragynine extract ther suggesting that mitragynine may exert a role in the modulation
at doses 10 mg/kg and 30 mg/kg significantly reduced the immo- of depression and has psychotherapeutic value in management of
bility time (47% and 58% reduction respectively). Fluoxetine at depression disorder. However, some consideration should be tak-
10 mg/kg and amitriptyline at 20 mg/kg decreased the immobility ing into account that FST and TST is not the only model of depression
time (75% and 76% reduction respectively). These results indicate by which the results obtained using this model should be consid-
that mitragynine extract has a dose-dependent antidepressant- ered and interpreted with caution due to some differences among
like effect that is comparable to established antidepressant drugs. experimental animals and clinical studies in human. Hence, further
Hence, the antidepressant action of mitragynine could possibly investigations are necessary to evaluate the effect of mitragynine in
through one of the mechanisms precipitated by established antide- other animal’s behavioral model including relevant antidepressant
pressant agents that manage to be detected in TST. doses of mitragynine on its safety and efficacy level.
Agents that able to enhance locomotor activity in OFT including
stimulants, convulsants and anticholinergic tend to produce a false
positive result in FST and TST (Bourin et al. 2001; Butterweck et al. Acknowledgements
2003). In fact, hyperkinesia also causes false positive effect in FST
and TST by shortening the immobility time in both tests (Takahashi This study was supported by Fundamental Research Grants
et al. 2008). Therefore, OFT was used to exclude these false effects Scheme, Universiti Putra Malaysia, UPM Serdang, Selangor,
that could be associated with hyperkinesia (Kwon et al. 2009). The Malaysia.
main difference between antidepressants and psycho-stimulant is
that antidepressants would not cause general increased in motor
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