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Journal of Ethnopharmacology 112 (2007) 380–385

Antinociceptive activity of Syzygium jambos leaves extract on rats


D. Ávila-Peña a,∗ , N. Peña a , L. Quintero b , H. Suárez-Roca b
a Laboratorio de Productos Naturales, Faculty of Science, University of Zulia, PO Box 526, Maracaibo 4001-A, Venezuela
b Section of Neuropharmacology and Neuroscience, Instituto de Investigaciones Clı́nicas, Faculty of Medicine,

University of Zulia, PO Box 23, Maracaibo 4001-A, Venezuela


Received 29 May 2006; received in revised form 22 March 2007; accepted 26 March 2007
Available online 30 March 2007

Abstract
Syzygium jambos (L.) Alston (Myrtaceae) (syn Eugenia jambos) is a widespread medicinal plant traditionally used in sub-Saharan Africa to treat
several diseases. The analgesic potential of leaf hydro-alcoholic extracts was assessed in rats. Hot plate and formalin tests were used to estimate
cutaneous nociception whereas measurements of forelimb grip force were done to assess muscular nociception under normal and inflammatory
conditions. In the hot plate test, Syzygium jambos extract produced a significant increase in the withdrawal response latencies in a dose-dependant
manner (10–300 mg/kg i.p.) and with a maximal effect (analgesic efficacy) similar to that of morphine. The extract (100–300 mg/kg i.p.) significantly
reduced pain scores in all the phases of the formalin test with an analgesic efficacy higher than that shown by diclofenac. Although the extract
(300 mg/kg) did not alter grip force in intact rats, it reversed the reduction in grip force induced by bilateral injection carrageenan in the forelimb
triceps. This analgesic effect of the extract on muscle hyperalgesia was not antagonized, but enhanced, by naloxone. Thus, the Syzygium jambos
extract has remarkable analgesic effects on both cutaneous and deep muscle pain that is not mediated by opioid receptors.
© 2007 Elsevier Ireland Ltd. All rights reserved.

Keywords: Syzygium jambos; Myrtaceae; Antinociceptive activity

1. Introduction Slowing et al. (1994a,b, 1996) reported an anti-inflammatory


activity for Syzygium jambos leaves extract and its isolated
The genus Syzygium is one of 75 genera (about 3000 species) flavonoid glycosides. The anti-inflammatory activity is closely
belonging to the family Myrtaceae which are native in the trop- related to analgesic activity. In fact, leaves infusions of Syzy-
ics, particularly in tropical America and Australia (Hutchinson, gium jambos, which grows in some locations of the Venezuelan
1960). This genus has been reported for their different uses in Andes Mountains and is known under the name of Pomarrosa,
medicine. Syzygium cumini, Syzygium aromaticum, Syzygium are used in folk medicine as febrifuge and remedy for the relief
jambolanum and Syzygium jambos are the most pharmacolog- of inflammatory pain, especially in sore throats. Thus, we have
ically studied species, and have been recommended to treat now evaluated the potential analgesic activity of Syzygium jam-
haemorrhage, dysentery and gastrointestinal disorders (Moreira, bos leaf hydro-alcoholic extract on cutaneous and muscle pain
1978; Cruz, 1979), diabetes (Kelkar and Kaklij, 1996; Stanely rat models under normal and inflammatory conditions.
Mainzen et al., 1998), inflammation (Chaudhuri et al., 1990;
Kim et al., 1998; Muruganandan et al., 2001). They have also 2. Materials and methods
been used as sedative and anticonvulsant (De Lima et al., 1998),
as antihypertensive (Bhargava et al., 1968), against herpesvirus The species were collected in Betijoque, Trujillo State
(Kurokawa et al., 1998), as inhibitor of histamine release (Kim (Venezuela) in January 2002, based on ethnopharmacological
et al., 1998), and antimicrobial (Djadjo Djipa et al., 2000). information. The botanical identity of plants was authenticated
in the Biology Department of the University of Zulia. Voucher
specimens are preserved in the Science Herbarium of the Uni-
∗ Corresponding author. Tel.: +58 261 798 77 04; fax: +58 261 798 77 04. versity, under No. MP-3888. Dried and powered aerial parts
E-mail addresses: dinavila@cantv.net (D. Ávila-Peña), (2.6 kg) were extracted with petroleum ether by means of soxh-
hsuarezroca@yahoo.com (H. Suárez-Roca). let, followed by an exhaustive extraction with MeOH at room

0378-8741/$ – see front matter © 2007 Elsevier Ireland Ltd. All rights reserved.
doi:10.1016/j.jep.2007.03.027
D. Ávila-Peña et al. / Journal of Ethnopharmacology 112 (2007) 380–385 381

temperature. After evaporation a dark residue was obtained with plate response latencies were sequentially measured 15, 30,
a yield of 14.5% (w/w), which was washed with water–ethanol 60, 90 and 120 min later. Syzygium jambos extract (300 mg/kg,
(1:1). The resultant hydro-alcoholic extract was dried under i.p.) was given immediately after the second measurement of
reduced temperature and pressure using a rotary evaporator to response latency, that is, 15 min after the injection of vehicle or
yield 284 g. naloxone. To verify that dose of naloxone was sufficient to antag-
onize opioid-mediated analgesia, in a set of rats, we administered
2.1. Animals morphine chlorhydrate (7.5 mg/kg) 15 min after the injection of
either vehicle or naloxone. To determine the effect of the block-
Male Sprague–Dawley rats (250–300 g) (Centro Tecnológico ade of opioid receptors per se on thermal nociception, in a set
IVIC, Caracas, Venezuela), were used for experiments (five of rats, we administered naloxone 15 min after the injection of
rats/group for each test). The rats were maintained under stan- vehicle.
dard animal housing conditions and had access to standard
laboratory food and water ad libitum. The experimental pro- 2.5. Assessment of muscle nociception
tocol was approved by the Technical Committee of Faculty of
Science. Muscle nociception was evaluated using force grip test as
described by Kehl et al. (2000). At the beginning of the exper-
2.2. Assessment of thermal cutaneous nociception iment, baseline forelimb grip force was obtained. Then the
animals were injected i.p. with either vehicle (0.33 ␮l NaCl,
To evaluate cutaneous thermal nociception, we used hot plate 0.9%), sodium diclofenac (30 mg/kg) as positive control, or
test at 52.5 ± 0.5 ◦ C (IITC, Inc., California, USA) as previously Syzygium jambos extract (300 mg/kg) and after 30 min another
described by Woolfe and Mcdonald (1944). Thermal nocicep- force grip measurement was done. Then, muscle inflammation
tion was estimated by measuring withdrawal response latency, was induced by the bilateral injection of carrageenan (2.5%
that is, time elapse from the placement of the animal on the p/v; 100 ␮l per triceps) in the forelimb triceps muscles of rats
hot plate surface until animal jumps or licks any of its hind briefly anesthetized with ether. After 24 h, vehicle, Syzygium
paws. A pre-treatment measurement was performed to determine jambos extract or sodium diclofenac were again administered
baseline nociception. Then rats were treated i.p. with either iso- and 30 min later grip force was estimated.
tonic saline solution (0.9% NaCl) as control vehicle or different In a separate set of experiments, we evaluated the role of
doses of Syzygium jambos hydro-alcoholic extract (10, 100 and opioid receptors in the analgesic activity of Syzygium jambos
300 mg/kg); response latencies were measured 15, 30, 60, 90 extract on muscle nociception. Grip force values were obtained
and 120 min later. The opioid analgesic morphine chlorhydrate before (baseline) and 30 min after the injection of either mor-
(7.5 mg/kg, i.p.) was used as a positive control for the test. phine chlorhydrate (7.5 mg/kg, i.p.), 0.9 % NaCl (vehicle, i.p.),
or opioid receptor antagonist naloxone (1 mg/kg, s.c.).
2.3. Assessment of inflammatory cutaneous nociception
2.6. Statistical analysis
To evaluate inflammatory pain, we used the formalin test
as described by Dubuisson and Stephen (1977). Nociceptive All the data were expressed as mean ± standard error of the
response was induced by subcutaneous injection of formalin mean. Since collected data were normally distributed according
(100 ␮l, 1%) into the plantar region of the right hind paw. Pain to the Kolmogorov and Smirnov Normality Test, we used para-
behavior was recorded at 180-s intervals, using a rating scale metric statistics. The effect of the Syzygium jambos extract on the
as described by Dubuisson and Stephen (1977). An observer pain tests was evaluated by performing either a one- or two-way
unaware of rat’s treatment did a computer-assisted scoring of ANOVA, followed by two-tailed Bonferroni test. Significance
the nociceptive behavior. Rats were treated i.p. with either iso- was assumed at α = 0.05.
tonic saline solution (0.9% NaCl) as control vehicle or different
doses of Syzygium jambos hydro-alcoholic extract (10, 100 and 3. Results and discussion
300 mg/kg), 30 min before the formalin injection in the hind
paw. In a group of rats, the non-steroidal anti-inflammatory drug Syzygium jambos extract produced a marked and significant
sodium diclofenac (30 mg/kg, i.p.) was used as a positive control dose-dependant elevation of the hot plate response latencies at
for the test. the doses of 100 and 300 mg/kg (Fig. 1B). The onset of analgesic
effect was observed at 15 min and lasted for almost 2 h after
2.4. Antagonism of Syzygium jambos extracts effects the injection, indicating that the extract produces a long-lasting
analgesia for thermal pain. The extract showed an effect onset
To determinate the involvement of opioid receptors, we evalu- time and analgesia efficacy comparable to that of morphine, a
ated the effect of the opioid antagonist naloxone on the analgesic potent opioid analgesic (Shavit et al., 1986; Moore et al., 2006)
activity of Syzygium jambos extracts on thermal nociception. (Fig. 1A).
Immediately after obtaining basal response latencies in the hot On the other hand, the rats submitted to the formalin test dis-
plate test, either vehicle or naloxone hydrochloride (0.1 mg/kg played two excitatory phases and one inhibitory interphase of the
s.c.; RBI-Sigma, Natick, MA, USA) was administered. The hot nociceptive behavior (Figs. 2 and 3). The first phase occurred by
382 D. Ávila-Peña et al. / Journal of Ethnopharmacology 112 (2007) 380–385

Fig. 1. Analgesic effect of morphine (positive control) and the hydro-alcoholic


extract of Syzygium jambos. Ordinate represents latency time (in seconds) for
nociceptive withdrawal response of the animal. Abscissa shows time (in minutes)
since administration of the agent. E10, E100, and E300 stand for 10, 100, and
300 mg/kg of extract, respectively. * represents a significant difference respect
to corresponding vehicle. Two-way ANOVA followed by Bonferroni test: (A)
for treatment, F1,60 = 46.13, p < 0.0001; for time, F5,60 = 0.74, p < 0.5979; for
Fig. 2. Effect of 30 mg/kg, i.p. sodium diclofenac (diclofenac) and Syzygium
interaction, F5,60 = 0.87, p < 0.5040 and (B) for treatment, F15,120 = 24.52,
jambos extract on inflammatory cutaneous nociception estimated with the for-
p < 0.0001; for time, F3,120 = 4.68, p < 0.0006; for interaction, F5,120 = 1.69,
malin test. Ordinate shows pain intensity expressed as pain scores generated by
p < 0.0619.
Dubuisson rating scale. Abscissa displays observation intervals (3 min each)
following intraplantar injection of formalin (0.1 cm3 , 1%) in the right hind
paw of the rats. Veh, E10, E100, and E300 stand for vehicle and 10, 100, and
direct stimulation of sensorial fibers type C by formalin action, 300 mg/kg of extract, respectively. * represents a significant difference respect
inhibitory interphase is mediated by descendent fibers, and the to control vehicle (0.9% NaCl). Two-way ANOVA followed by Bonferroni
second excitatory phase is mediated by both a peripheral inflam- test: (A) for treatment, F1,100 = 24.25, p < 0.0001; for interval, F9,100 = 13.84,
p < 0.0001; for interaction, F9,100 = 1.14, p < 0.3405 and (B) for treatment,
matory process sensible to anti-inflammatory drugs and spinal
F3,200 = 68.14, p < 0.0001; for interval, F9,200 = 20.17, p < 0.0001; for inter-
central sensitization (Jolsen et al., 1992). The rats pre-treated action, F27,200 = 4.34, p < 0.0001.
with 100 and 300 mg/kg Syzygium jambos extracts obtained sig-
nificantly lower pain scores in the two excitatory phases and
the inhibitory interphase, as compared to vehicle treated rats mal. Fig. 4 shows that the injection of the vehicle, diclofenac,
(Figs. 2B and 3B). This analgesic effect was dose-dependent and and the Syzygium jambos extract did not produce any signifi-
lasted for all the observation period (30 min). In rats pre-treated cant change on the rat’s grip force. After 24 h of the injection
with diclofenac, a known non-steroidal anti-inflammatory, non- of carrageenan, the rats became more sensitive to the pain as
selective cyclo-oxygenase inhibitor (Tegeder et al., 2000; Grace expressed by a significant drop in the grip force values. This
et al., 2001), pain scores were lower than vehicle-pre-treated drop in grip force was blocked by sodium diclofenac while the
only during the inhibitory interphase but not during the first extract (300 mg/kg) reversed the effect, increasing significantly
and second excitatory phases (Figs. 2A and 3A). These find- grip force (Fig. 4). This finding of the present study suggests that
ings of our study indicate that the Syzygium jambos extract had the Syzygium jambos extract did not alter physiological muscle
an analgesic efficacy for inflammatory pain higher than that of nociception, but it potently reduced muscle hyperalgesia, that
diclofenac. is, the exaggerated nociception seen under inflammation of the
To evaluate if the Syzygium jambos extract possesses anal- muscle.
gesic action on deep pain, we evaluated the effect of the extract Since the analgesic efficacy of Syzygium jambos extract was
on the grip force. This procedure allows estimating muscle comparable to that of morphine and higher than that display by
nociception under normal conditions and hyperalgesic states diclofenac, we assessed the involvement of opioid receptors by
present during inflammation. We induced muscle inflamma- using the selective antagonist naloxone. Fig. 5A and B show
tion by the injection of carrageenan, a phlogistic agent that that naloxone alone produced cutaneous thermal hyperalgesia
caused severe inflammation and pain in the triceps of the ani- (a decrease in hot plate response latency), suggesting a tonic
D. Ávila-Peña et al. / Journal of Ethnopharmacology 112 (2007) 380–385 383

Fig. 4. Effect of Syzygium jambos extract on muscle nociception under normal


and inflammatory conditions, estimated by changes in grip forces. Ordinate rep-
resents changes in grip forces measured before (baseline) and 30 min after the
i.p. administration of either vehicle, 7.5 mg/kg sodium diclofenac or 300 mg/kg
Syzygium jambos extract (E300). Then, inflammatory conditions were induced
by the injection of carrageenan (2.5% p/v; 100 ␮l) into both triceps of the ani-
mals; 24 h later, vehicle, diclofenac or extract were administered 30 min before
the last grip force estimation. * represents significant difference compared to
the respective vehicle (one-way ANOVA followed Bonferroni: for inflammatory
conditions, F2,15 = 6.130, p = 0.0113).

Fig. 3. Effect of sodium diclofenac and Syzygium jambos extract on the forma-
lin test phases. Ordinate shows intensity pain (estimated as pain scores) in rats
treated with agents. Abscissa represents the different phases of pain produced
by the intraplantar injection of formalin: phase 1 (0–6 min after the injection);
interphase (6–15 min after the injection); phase 2 (15–30 min after the injec-
tion). Veh, E10, E100, and E300 stand for vehicle and 10, 100, and 300 mg/kg
of extract, respectively. * represents a significant difference respect to the cor-
responding vehicle group. Two-way ANOVA followed by Bonferroni test: (A)
for treatment, F1,30 = 9.47, p = 0.0044; for phases, F2,30 = 11.73, p = 0.0002;
for interaction, F2,30 = 1.69, p < 0.2009 and (B) for treatment, F3,60 = 28,37,
p = 0.0001; for phases, F2,60 = 16,84, p = 0.0001; for interaction, F6,60 = 5.09,
p < 0.0003.

inhibitory modulation of pain by an endogenous opioid system.


Surprisingly, naloxone increased, instead of reducing, the anal-
gesic effect of the extract, indicating that the analgesic effect
of Syzygium jambos extract on thermal cutaneous pain was not
mediated by opioid receptors. Similarly, the analgesic effect of
the extract on muscle hyperalgesia was increased by naloxone
since grip force was higher in carrageenan-injected rats treated
with both naloxone and the extract than with the extract alone
(Fig. 6). Thus, the remarkable analgesic effects of Syzygium jam- Fig. 5. Effect of naloxone on the analgesic effect of Syzygium jambos extract.
bos extract had on both cutaneous and deep muscle pain was not Ordinate shows latency time for rat the nociceptive response. Abscissa represents
mediated by opioid receptors (Choi et al., 2003). It is impor- the time elapsed since administration of naloxone or vehicle. Veh = vehicle (0.9
tant to note that the extract-induced analgesia detected in tests % NaCl), Nal = naloxone 0.1 mg/kg s.c., E300 = 300 mg/kg i.p. of extract. * rep-
resents a significant difference respect to respective control. Two-way ANOVA
designed for cutaneous pain (hot plate and formalin test) can-
followed by Bonferroni test: (A) for treatment, F1,70 = 13.32, p < 0.0005; for
not be attributed to motor impairment since the extract did not time, F6,70 = 0.23, p = 0.9668; for interaction, F6,70 = 0.3810, p = 0.8888 and
significantly diminish grip force in the intact muscle conditions (B) for treatment, F1,70 = 10.76, p < 0.0016; for time, F6,70 = 3.817, p = 0.0024;
(Figs. 4 and 6). for interaction, F6,70 = 1.083, p = 0.3813.
384 D. Ávila-Peña et al. / Journal of Ethnopharmacology 112 (2007) 380–385

4. Conclusions

Syzygium jambos extract (100 and 300 mg/kg i.p.) produced


a long-lasting analgesia for thermal cutaneous pain that had an
onset time and efficacy comparable to that of morphine, a potent
opioid analgesic. Syzygium jambos extract also had an analgesic
effect on inflammatory cutaneous pain with an efficacy higher
than that of diclofenac, a known anti-inflammatory drug. On
the other hand, the extract did not alter muscle nociception in
normal conditions but it markedly reduced muscle hyperalgesia
seen under inflammation of the muscle. These analgesic effects
of Syzygium jambos extract on both cutaneous and deep muscle
pain were not mediated by opioid receptors since they were
abolished by the selective blockade of opioid receptors with the
antagonist naloxone.
The present study demonstrated the analgesic activity of the
infusion used in Venezuelan folk medicine.

Acknowledgments

The authors wish to thank Dr. Miguel Pietrangeli (Depart-


ment of Biology, University of Zulia) for botanical identification.
This study was supported by FONACIT (Grants S1-97001209
and Lab-97000665).

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