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Journal of Ethnopharmacology 242 (2019) 112039

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Journal of Ethnopharmacology
journal homepage: www.elsevier.com/locate/jethpharm

Antihypertensive activity of Petroselinum crispum through inhibition of T


vascular calcium channels in rats
Mohammed Ajebli, Mohamed Eddouks∗
Faculty of Sciences and Techniques Errachidia, Moulay Ismail University, BP 509, Boutalamine, 52000, Errachidia, Morocco

ARTICLE INFO ABSTRACT

Keywords: Ethnopharmacological relevance: Parsley (Petroselinum crispum; P. crispum) is among the popular aromatic vege-
Hypertension tables and a part of the daily diet in the Mediterranean area. This plant is widely used in alternative medicine as
Vasorelaxant a remedy against hypertension.
L-NAME The aim of the study: The aim of the study was to evaluate the antihypertensive activity of the aqueous extract of
Calcium
this plant.
Material and methods: In the current study, the aqueous extract of the aerial parts of parsley (AEPC) was pre-
pared and its antihypertensive activity was evaluated using in vivo and in vitro studies. In the in vivo investigation,
anesthetized L-NAME-hypertensive and normotensive rats received orally AEPC (160 mg/kg) during 6 h for the
acute experiment and during seven days for the sub-chronic treatment. Thereafter, systolic, diastolic, mean
arterial blood pressure and heart rate were recorded using a tail cuff and a computer-assisted monitoring device.
Concerning the in vitro investigation, isolated thoracic aortic rings were suspended in a tissue bath and the
tension changes were recorded to a data acquisition system.
Results: The results indicated that AEPC extract decreased the systolic, diastolic, mean arterial blood pressure in
normotensive and hypertensive rats. The data revealed that parsley extract exerts its hypotensive effects through
vasodilatory properties via an endothelium-independent pathway. More interestingly, the study demonstrated
here that the vasorelaxing ability of AEPC is exerted through both Voltage Operated and Receptor Operated
Calcium Channels (VOCC and ROCC).
Conclusion: The study illustrates the beneficial action of P. crispum as an antihypertensive agent.

1. Introduction agonists, peripheral adrenergic neuronal blocking agents, central/per-


ipheral adrenergic neuronal-blocking agents, direct-acting vasodilators,
According to World Health Organization (WHO), hypertension, also etc. However these drugs have some side effects like muscle cramps,
known as high or raised blood pressure, is a condition in which the dizziness, extreme tiredness, dehydration, blurred vision, abnormal
blood vessels have persistently raised pressure. It contributes to the heart rate, skin rash, etc (Singh et al., 2015). While some herbs and
burden of heart disease, stroke and kidney failure and premature their derivatives are often safe and do not lead to such side effects.
mortality and disability. It disproportionately affects populations in low Petroselinum crispum (Mill.) Fuss. is a medicinal and aromatic plant
and middle-income countries where health systems are fragile (WHO, commonly known as parsley and belonging to the Apiaceae family.
2013). The treatment of hypertension is becoming more difficult be- Parsley is a popular aromatic vegetable and part of the daily diet in
cause of the lower blood pressure (BP) targets set by evidence-based Morocco and around the world. This herb is widely consumed as spice
guideline recommendations (Krum and Martin, 2007). and flavoring agent used for improving the taste of a multitude of
Medicinal plants are used by different populations throughout the modern and traditional Moroccan foods. Parsley is also commonly used
globe for treating blood pressure problems based either on folkloric in Morocco for managing a range of illnesses such as gastrointestinal
practices or on phytotherapeutic usages. There are currently adequate disorders, diabetes mellitus, skin diseases, fever, ulcer, rheumatism and
therapeutic options for patients with hypertension and many conven- hypertension (Eddouks et al., 2017). Furthermore, it has been used in
tional antihypertensive agents are used for treating hypertension like different regions across the world as carminative, gastrotonic, diuretic,
thiazide, loop, and potassium-sparing diuretics, central α2-adrenergic antiseptic of urinary tract, anti-urolithiasis, anti-dote, and anti-


Corresponding author.
E-mail addresses: mohammedajebli@gmail.com (M. Ajebli), mohamed.eddouks@laposte.net (M. Eddouks).

https://doi.org/10.1016/j.jep.2019.112039
Received 3 January 2019; Received in revised form 23 June 2019; Accepted 23 June 2019
Available online 26 June 2019
0378-8741/ © 2019 Elsevier B.V. All rights reserved.
M. Ajebli and M. Eddouks Journal of Ethnopharmacology 242 (2019) 112039

Abbreviations L-Name N-nitro- l-arginine methyl ester


LVA low voltage-activated
AEPC aerial parts of parsley MBP mean blood pressure
BP blood pressure NSAID nonsteroidal anti-inflammatory drug
CCBs calcium channel blockers NO nitric oxide
cGMP cyclic guanosine monophosphate P. crispum Petroselinum crispum
DBP diastolic blood pressure SBP systolic blood pressure
EP epinephrine VSM vascular smooth muscle
HVA high voltage-activated WHO World Health Organization
HR heart rate

inflammatory, and for the treatment of amenorrhea, dysmenorrheal, water.


gastrointestinal disorder, hypertension, cardiac disease, urinary dis-
ease, otitis, sniffle, diabetes, and also various dermal disease in tradi- 2.4. Experimental protocol
tional and folklore medicines (Farzaei et al., 2013). Phenolic com-
pounds and flavonoids particularly apigenin apiin and 6"-Acetylapiin 2.4.1. Hypotensive activity
essential oil mainly myristicin and apiol and coumarins are the active Hypertension was induced in male albino Wistar rats by repeated
compounds identified in Petroselinum crispum. (once a day during a week) oral administration of L-NAME (80 mg/kg
Parsley is well known to be used traditionally to manage hy- body weight) dissolved in distillated water; normal control rats re-
pertension in Morocco. The hypotensive effect of a similar species ceived distilled water as vehicle. The animals which were confirmed to
(Petroselium sativa) has been demonstrated in normal rats (Campos be hypertensive by the raised systolic blood pressure ≥150 mmHg were
et al., 2009). However, until now no pharmacological study was con- used for the study.
ducted for testing the antihypertensive ability of Petroselinum crispum. Normotensive and hypertensive rats were randomly assigned to
Thus, this study was designed to evaluate the hypotensive effect of the three different groups consisting of six rats each. One control group
aqueous extract of Petroselinum crispum in L-NAME-induced hyperten- received distilled water a second treated group received the aqueous
sive and normotensive rats and to determine the pharmacological ef- extract of aerial parts of P. crispum (AEPC) at a dose of 160 mg/kg body
fects of this extract on rat isolated thoracic aorta. weight and the third group received a reference drug (lasilix at a dose of
20 mg/kg). For single oral administration distilled water (control), la-
2. Material and methods silix or the aqueous extract were administered and systolic blood
pressure (SBP) mean blood pressure (MBP) and heart rate (HR) of an-
2.1. Plant material and preparation of the aqueous extract imals were measured. For repeated oral administration rats were
treated once daily for 7 days and the three last parameters were fol-
Petroselinum crispum (Mill.) Fuss. was purchased fresh from a local lowed during this period. The rats (n = 6 in each group) were treated
market in Tafilalet region (semi-arid area) of Morocco in March 2017 orally. All experiments were performed after anesthetizing animals
and air-dried at 40 °C. The plant was taxonomically identified and au- using ether in order to avoid immobilization stress induction. For es-
thenticated and voucher specimen was deposited at the herbarium of timation of blood pressure rats were placed in the NIBP restrainers and
the Faculty of Sciences and Techniques Errachidia (ME1703). Plant appropriate cuff with sensor was then attached on the tail and warmed
material was prepared according to the traditional method used in to about 35 °C for 15–20 min to allow reproducible blood pressure
Morocco (decoction): 1 g of powdered leaves mixed with 100 ml dis- measurements (three measurements per animal per session) using a tail
tilled water was boiled for 10 min and then cooled for 15 min. cuff and a computer-assisted monitoring device (Harvard, Boyer,
Thereafter the aqueous extract was filtered using a Millipore filter Casablanca, Morocco). The tail cuff was inflated to a pressure above the
(Millipore 0.2 mm, St Quentin en Yvelines, France) to remove particu- expected systolic blood pressure (200 mmHg) and slowly released
late matter. Finally, the filtration of the extract was lyophilized in a during which the pulses were recorded by using PowerLab data ac-
Freeze dryer (Labcono, Boyer, Casablanca, Morocco). The yield of the quisition system and LabChart 5.0 software (Harvard, Boyer,
plant extract was 30.6% after lyophilization. The dose administered Casablanca, Morocco). Systolic blood pressure (SBP), mean blood
was 160 mg of lyophilized aqueous extract per kg of body weight pressure (MBP) and heart rate (HR) were measured directly using pulse
(Ajebli and Eddouks, 2017). This dose was selected after preliminary tracing while diastolic blood pressure (DBP) was calculated from SBP
experiments as it showed optimal responses. and MBP using formula: DBP= (3MBP-SBP)/2. After inflating the cuff
to 200 mmHg pressure, when all pulses disappear, the cuff was deflated
2.2. Experimental animals slowly but linearly. The pressure at which the pulses started to appear is
considered as SBP. Then the amplitude of the pulses continues to in-
Healthy albino adult male rats (Wistar strain) weight about crease gradually. When this amplitude reaches its maximum, it corre-
180–280 g were obtained from experimental center of Missour Morocco sponds to the mean blood pressure (MBP). All blood pressure mea-
and kept in individual polyethylene cages and maintained in standard surements were carried out at the same time of day for the sub-chronic
condition, and the animals were fed ad libitum with normal laboratory test.
chow standard pellet diet. Rats were allowed at least 3 weeks for a
better acclimation from shipping stress. 2.4.2. Vasorelaxant activity
Male Wistar rats (260–300 g) were raised and housed (n = 6 per
2.3. Chemical reagents and drugs cage) in rooms with a controlled light/dark cycle at 25 °C with food and
water ad libitum. Animals were sacrificed by stunning and ex-
Acetylcholine chloride, norepinephrine, N-nitro- l-arginine methyl sanguination after anesthesia by pentobarbital sodium. Aortas were
ester (L-NAME) and indomethacin were purchased from Sigma immediately excised and placed in cold buffer, then, quickly removed
Chemical Co. (St. Louis, USA). All other reagents were of analytical and carefully cleaned of adhering fat and connective tissue. The isolated
grade from local sources. All cited drugs were dissolved in distilled arteries were transversally cut into rings 2–3 mm length and suspended

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M. Ajebli and M. Eddouks Journal of Ethnopharmacology 242 (2019) 112039

at a resting force of 2 g in an tissue bath oxygenated (95% O2, 5% CO2) of the EP and KCl contraction. Each cumulative dose-effect curve for
and containing 40 ml Krebs-Henseleit solution (KH), maintained at AEPC-induced relaxation was plotted contingent on application of sig-
37 °C and pH 7.4 and containing (mM): NaCl (118), KCl (4.50), NaHCO3 moidal curve fitting and non-linear regression using Prism version 7
(25), MgSO4 (1.2), CaCl2 (1.8), NaHPO4 (1.2) and glucose (11). (GraphPad Softare Inc., San Diego, CA., U.S.A.) to generate the para-
Changes in force were recorded isometrically using force transducer meters Rmax (maximal relaxant response) and IC50 (the concentration
(LCM Systems Ltd, Erma, Tokyo). Aortic rings were mounted on two of AEPC dose required to give 50% of the maximum aortic-relaxant
stainless steel hooks, one fixed to the bottom of the chamber and the response). Differences were considered to be statistically significant
other to a UF1 force transducer connected to a PowerLab/400 when p < 0.05.
ADInstrument data acquisition system (Harvard, Boyer, Casablanca,
Morocco) in order to record signal corresponding to the isometric 3. Results
tension. The study was performed in endothelium intact aorta. In ex-
periment with endothelium intact aorta the integrity of endothelium 3.1. Effect of AEPC on body weight
was confirmed if acetylcholine (10 μM) could cause relaxation (40 or
60%) of aorta precontracted with Epinephrine (EP; 10–5 M) (Désiré Oral administration of AEPC (160 mg/kg) during 7 days of the sub-
et al., 2013). On the other hand, experiments with endothelium de- chronic test did not cause any significant change in body weight, either
nuded aorta, the endothelium was removed mechanically by gently for normal or hypertensive groups. The same result was observed in
rubbing the luminal surface with a wooden object before mounting it in control group treated by lasilix as compared to control untreated (data
the tissue bath chamber. The endothelium removal was checked by not shown).
acetylcholine with failed to produced relaxation of EP induced con-
tractions.
3.2. Hypotensive activity
Optimal tension selected from preliminary experiments was the
tension which gave the greatest response to 10−5 M EP. The rings were
3.2.1. Single oral administration
given 2 g (100%) of initial tension and allowed to equilibrate for 1 h.
Daily administration of L-NAME increased systolic blood pressure
Thirty minutes after setting up the tissue bath aortas rings were con-
levels in rats when compared to the control group. Table 1 represents
tracted with 10−5 M EP or 80 mM potassium chloride (KCl) solution to
the effect of the aqueous extract of aerial part of P. crispum on blood
test their contractile responses. After exposure to 10−5 M EP tissues
pressure levels on both normal and L-NAME-hypertensive rats after a
were washed three times with Krebs solution to restore basal tension
single oral administration (6 h of treatment) of the P. crispum extract at
and this solution was renewed every 40 min.
a dose of 160 mg/kg. In normal groups no change was observed con-
In order to determine the cumulative dose-dependent curves for
cerning arterial blood pressure levels (systolic, mean and diastolic
AEPC-induced relaxation and after equilibration rings were contracted
by EP (10 μM) and KCl (80 mM). After the plateau was reached AEPC
Table 1
was added cumulatively (0.02–2.5 μg/ml) at each dose of AEPC the
Effect of single oral administration of AEPC (160 mg/kg) on systolic, mean,
curve was allowed to reach a plateau before the addition of subsequent
diastolic arterial blood pressure (mm Hg) and heart rate (bmp) in anesthetized
dose. To determine the mechanistic route involved in the relaxant effect normal and L-NAME-induced hypertensive rats. Data are expressed as
induced by AEPC on EP pre-contracted rat aortic rings, the following means ± SEM, n = 6. *p < 0.05, **p < 0.01, ***p < 0.001,
experiment was carried out: 20 min before adding EP aortic rings were ****p < 0.0001.
pre-incubated for 20 min with one of various standard drugs. Drugs
Systolic blood pressure (mm Hg)
used for pre-incubation were: 1) 10−4 M L-NAME, a direct inhibitor of
nitric oxide (NO) synthase. 2) 10 μM glibenclamide an ATP-sensitive Control AEPC Lasilix
K+ channel blocker. 3) 10 μM indomethacin a prostaglandin synthesis
inhibitor. 4) 10 μM propranolol a beta-blocker. 5) 10 μM methylene Normal t0 132.00 ± 6.00 136.00 ± 6.00 120.00 ± 7.00
t6 138.00 ± 8.00 120.00 ± 13.00 111.00 ± 7.00
blue (MB), a NO-cyclic guanosine monophosphate (cGMP) blocker. 6) L-NAME t0 180.00 ± 5.00 166.00 ± 7.00 169.00 ± 7.00
10 μM nifedipine a calcium channel blocker. After the addition of EP t6 175.00 ± 7.00 138.00 ± 8.00** 142.00 ± 6.00**
(10−5 M) aortic relaxation was carried out by cumulative addition of
AEPC (0.02–2.5 μg/ml). The vasorelaxant effect on the aortic rings was Mean blood pressure (mm Hg)
calculated as a percentage of contraction in response to EP. Before
Control AEPC Lasilix
changing any of the compounds used in this experiment, the aorta ring
was washed three times (aorta ring should be incubated 5 min intervals Normal t0 115.00 ± 7.00 117.00 ± 7.00 108.00 ± 6.00
in each bath). The control was performed by cumulative addition of t6 113.00 ± 6.00 101.00 ± 12.00 97.00 ± 2.00
vehicle (distillated water) (0.02–2.5 μg/ml) to aortic rings pre-con- L-NAME t0 156.00 ± 6.00 137.00 ± 2.00 150.00 ± 3.00
t6 157.00 ± 6.00 108.00 ± 6.00** 125.00 ± 6.00*
tracted by EP (10−5 M) and KCl (80 mM) (Anwar et al., 2017). In order
to determine whether calcium channels are involved in the vasodilator Diastolic blood pressure (mm Hg)
activity of AEPC or not the effect of AEPC (IC50 = 0.380 μg/ml) was
tested after EP or KCl pre-treatment in a buffer containing CaCl2 or Control AEPC Lasilix
Ca2+ free. The contraction response induced by CaCl2 (0.3–10 mM) in
Normal t0 106.00 ± 5.00 105.00 ± 8.00 103.00 ± 5.00
the aortic rings pre-treated by EP (10 μM) or KCl (80 mM) was eval- t6 101.00 ± 6.00 91.00 ± 12.00 91.00 ± 4.00
uated as well as in Ca2+-free KH buffer. The contraction responses in- L-NAME t0 144.00 ± 7.00 122.00 ± 2.00 152.00 ± 5.00
duced by CaCl2 were expressed as percentages in the presence and t6 148.00 ± 10.00 93.00 ± 6.00** 129.00 ± 4.00*
absence of AEPC pre-treatment (Kim et al., 2017).
Heart rate (bpm)

2.5. Statistical analysis Control AEPC Lasilix

All the values ware expressed as mean ± SEM. Statistical sig- Normal t0 320.00 ± 10.00 332.00 ± 15.00 349.00 ± 19.00
t6 306.00 ± 8.00 328.00 ± 17.00 321.00 ± 9.00
nificance was tested between more than two groups using two-way
L-NAME t0 312.00 ± 15.00 325.00 ± 15.00 348.00 ± 22.00
ANOVA followed by the Bonferroni multiple comparisons test. t6 318.00 ± 12.00 318.00 ± 18.00 311.00 ± 17.00
Relaxations induced by AEPC were expressed as a percentage decrease

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M. Ajebli and M. Eddouks Journal of Ethnopharmacology 242 (2019) 112039

blood pressure) at the end of the acute experiment (6 h after the single evolution on normotensive rats after the oral administration of AEPC.
oral administration of AEPC), the same effect was observed for the The results show that this aqueous extract provoked a significant
standard drug lasilix for normotensive animals. Whereas a significant decrease of systolic arterial blood pressure after 2 and 4 days of
reduction of systolic, mean and diastolic blood pressure (p < 0.01) was treatment (p < 0.01 and p < 0.05 respectively); while for
observed at the end of the experiment (after 6 h of treatment) in hy- hypertensive group a significant decrease was observed in the 4th
pertensive rats treated by AEPC in comparison with baseline values and 7th days (p < 0.001 and p < 0.01) when compared to the control
(T0). Lasilix also provoked a significant reduction of systolic blood group. However standard drug used in this study (lasilix) leads to a fall
pressure (p < 0.01) mean and diastolic blood pressure after 6 h of oral on systolic blood pressure in hypertensive rats at the 4th and 7th days
administration of the standard drug (p < 0.05). (p < 0.0001) but no change was observed for normotensive rats during
Table 1 illustrates also the evaluation of heart rate 6 h after a single this period. Concerning the mean arterial blood pressure, a significant
oral administration of both AEPC and lasilix. Results showed non-sig- reduction was produced at the 2nd and 4th days after repeated oral
nificant effect in normal and hypertensive rats concerning this para- administration of AEPC (p < 0.01) in normotensive rats. In
meter. hypertensive rats this effect was interestingly manifested 4 and 7
days after the oral administration (p < 0.001 and 0.01 respectively).
3.2.2. Repeated oral administration Lasilix caused a severe reduction of MBP at the 4th and 7th day
3.2.2.1. Effect of AEPC on arterial blood pressure and heart rate. In this (p < 0.0001) in hypertensive animals, while no change was noted for
sub-chronic assay AEPC was administered orally at a dose of 160 mg/kg normotensive rats. Similarly a significant diminution of diastolic
body weight to anesthetized normal and L-NAME-induced hypertension arterial blood pressure was observed in normotensive group treated
during one week. Table 2 shows the systolic arterial blood pressure by AEPC during the sub-chronic period this significant reduction was

Table 2
Effect of repeated oral administration of AEPC (160 mg/kg) on systolic, mean, diastolic arterial blood pressure (mm Hg) and heart rate (bmp) in anesthetized normal
and L-NAME-induced hypertensive rats. Data are expressed as means ± SEM, n = 6. *p < 0.05, **p < 0.01, ***p < 0.001, ****p < 0.0001.
Systolic blood pressure (mm Hg)

Control AEPC Lasilix

Normal D0 134.00 ± 7.00 138.00 ± 6.00 120.00 ± 7.00


D2 136.00 ± 5.00 112.00 ± 6.00 115.00 ± 5.00
D4 140.00 ± 3.00 111.00 ± 7.00** 108.00 ± 3.00
D7 135.00 ± 6.00 120.00 ± 4.00** 99.00 ± 4.00*
L-NAME D0 180.00 ± 5.00 166.00 ± 3.00 169.00 ± 6.00
D2 176.00 ± 5.00 152.00 ± 3.00 122.00 ± 2.00****
D4 173.00 ± 9.00 132.00 ± 4.00**** 120.00 ± 4.00****
D7 172.00 ± 6.00 118.00 ± 7.00**** 109.00 ± 3.00****

Mean blood pressure (mm Hg)

Control AEPC Lasilix

Normal D0 111.00 ± 4.00 115.00 ± 7.00 109.00 ± 7.00


D2 112.00 ± 5.00 88.00 ± 6.00** 107.00 ± 5.00
D4 117.00 ± 6.00 92.00 ± 7.00** 101.00 ± 3.00
D7 112.00 ± 4.00 99.00 ± 5.00 96.00 ± 2.00
L-NAME D0 156.00 ± 6.00 137.00 ± 3.00 150.00 ± 3.00
D2 149.00 ± 6.00 129.00 ± 3.00 148.00 ± 5.00
D4 148.00 ± 9.00 106.00 ± 4.00**** 103.00 ± 5.00****
D7 147.00 ± 6.00 102.00 ± 3.00**** 95.00 ± 4.00****

Diastolic blood pressure (mm Hg)

Control AEPC Lasilix

Normal D0 100.00 ± 3.00 103.00 ± 8.00 103.00 ± 6.00


D2 101.00 ± 5.00 76.00 ± 7.00 98.00 ± 5.00
D4 106.00 ± 3.00 82.00 ± 6.00** 97.00 ± 6.00
D7 102.00 ± 8.00 89.00 ± 6.00* 95.00 ± 4.00
L-NAME D0 144.00 ± 7.00 122.00 ± 2.00 152.00 ± 5.00
D2 135.00 ± 7.00 118.00 ± 3.00 103.00 ± 4.00
D4 135.00 ± 6.00 93.00 ± 4.00*** 100.00 ± 4.00****
D7 136.00 ± 6.00 94.00 ± 7.00** 98.00 ± 3.00****

Heart rate (bpm)

Control AEPC Lasilix

Normal D0 312.00 ± 15.00 325.00 ± 15.00 348.00 ± 22.00


D2 320.00 ± 14.00 305.00 ± 14.00 341.00 ± 16.00
D4 312.00 ± 16.00 310.00 ± 16.00 341.00 ± 17.00
D7 319.00 ± 8.00 320.00 ± 6.00 305.00 ± 8.00*
L-NAME D0 308.00 ± 12.00 310.00 ± 15.00 348.00 ± 15.00
D2 310.00 ± 15.00 314.00 ± 10.00 343.00 ± 13.00
D4 307.00 ± 13.00 312.00 ± 12.00 315.00 ± 11.00
D7 318.00 ± 18.00 309.00 ± 16.00 311.00 ± 10.00

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M. Ajebli and M. Eddouks Journal of Ethnopharmacology 242 (2019) 112039

Fig. 1. Effect of AEPC extract on EP or KCl-induced contraction in aortic rings. Cumulative dose-dependent curves for AEPC-induced relaxation and of the vehicle
(distillated water) in rat aortic rings. n = 6. A: pre-contraction with epinephrine (10 μM); B: pre-contraction KCl (80 mM). *p < 0.05, ****p < 0.0001.

marked at the 2nd and 4th days (p < 0.01 and p < 0.05 respectively). (p < 0.0001). Whereas in aortic rings pre-contracted by KCl (Fig. 1B) a
In addition, AEPC revealed a significant reduction of DBP at the 4th and significant decrease from p < 0.05 to p < 0.0001 was noticed. The
the 7th of sub-chronic study (p < 0.0001 and 0.001 respectively) in appropriate parameter values are IC50 = 0.56 ± 0.09 μg/ml with 95%
hypertensive rats. Lasilix has led to a fall on DBP for the last group at confidence interval: 0.38–0.53 μg/ml. Similarly, Rmax was
the 4th and 7th day while no change was revealed for normotensive 125.80 ± 6.13% (p < 0.0001). In both endothelium-intact and en-
treated with this reference drug. dothelium denuded aortic rings, AEPC promoted the vasorelaxant effect
HR did not change after repeated oral administration of AEPC in with similar Rmax values (144.10 ± 10.49 and 135.20 ± 17.20%
both normal and hypertensive rats during the sub-chronic period. The respectively); In addition, no significant difference was found between
same result was noticed for lasilix except for normotensive rats at the the IC50 values (0.39 ± 0.06 and 0.36 ± 0.09 μg/ml, respectively)
7th day in which a decrease on HR was observed (p < 0.05). (Figs. 3 and 4).

3.3. Vasorelaxant activity 3.3.2. Aortic responses to AEPC in the absence and presence of L-NAME or
indomethacin
3.3.1. Effect of AEPC on relaxation of rat isolated aortic rings To establish if nitric oxide (NO) participates to the AEPC-induced
In this series of experiments the vasorelaxant effect of AEPC on relaxation the aortic rings were exposed to L-NAME. In L-NAME-treated
vascular smooth muscle was tested using rat aortic rings. As illustrated aortic rings the vasorelaxant effect of AEPC was potentiated (p < 0.01)
in Figs. 1 and 2 AEPC-induced relaxation in a dose-dependent manner (Fig. 5). In vehicle-treated rings the values were:
for vessels. In aortic rings pre-contracted by epinephrine a significant IC50 = 0.38 ± 0.07 μg/ml with 95% confidence interval:
decrease was observed (p < 0.0001) in the vasorelaxation produced by 0.194–2.122 μg/ml, while in L-NAME-treated aortas, the data were:
AEPC from a dose of 0.02–2.5 μg/ml (Fig. 1A). The relevant parameter IC50 = 0.024 ± 0.06 μg/ml with 95% confidence interval:
values are IC50 = 0.38 ± 0.07 μg/ml with 95% confidence interval: 0.019–0.053 μg/ml. On the other hand, the vasorelaxant effect of AEPC
0.194–2.122 μg/ml. Similarly, Rmax was 133.60 ± 8.67% on the prostacyclin pathway were examined in aortic rings pre-

Fig. 2. Representative tracings illustrating the re-


laxation response produced by the application of
AEPC on epinephrine and KCl-precontracted rat
aortic rings. AEPC produced a dose-dependent va-
sorelaxant response in epinephrine-precontracted rat
aortic rings (A); 1: addition of epinephrine, 2 to 9:
addition to different doses of AEPC (0.02–2.5 μg/ml)
and KCl-precontracted rat aortic rings (B); 1: addi-
tion of KCl, 2 to 9: addition to different doses of
AEPC (0.02–2.5 μg/ml).

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M. Ajebli and M. Eddouks Journal of Ethnopharmacology 242 (2019) 112039

activated potassium channels caused no effect on relaxant responses to


AEPC. Indeed, in vehicle-treated rings the values were:
IC50 = 0.38 ± 0.07 μg/ml with 95% confidence interval:
0.194–2.122 μg/ml. The following results were obtained with the same
rings pre-treated with glibenclamide an ATP-sensitive potassium
channels blocker where IC50 was 0.27 ± 0.12 with 95% confidence
interval of 0.15–0.37 μg/ml. Whereas Rmax was 133.60 ± 8.67% for
inhibitor-independent relaxation and 167.60 ± 6.87% relaxation in
the presence of glibenclamide (p > 0.05) (Fig. 6A). The results showed
also that the effect of propranolol did not affect the AEPC activity
(Fig. 6B). In vehicle-treated rings the values were: IC50 = 0.38 ±
0.07 μg/ml with 95% confidence interval: 0.194–2.122 μg/ml whereas
AEPC-pretreatment of the rings produced an IC50 value of
0.087 ± 0.10 with 95% confidence interval of 0.01–0.23 μg/ml. Si-
milarly, Rmax was 132.40 ± 10.77% for inhibitor-independent relaxa-
tion and 136.60 ± 20.13% of relaxation in the presence of propra-
nolol. These results show clearly that the vasorelaxing ability of AEPC
has not been affected by the presence of glibenclamide or propranolol.

3.3.4. Involvement of NO-cyclic guanosine monophosphate (cGMP) and


calcium channel blocker pathway
In this experiment the results showed that methylene blue (MB), a
NO-cyclic guanosine monophosphate (cGMP) blocker, did not alter
Fig. 3. Effect of AEPC on tension in EP (10 μM) pre-contracted aortic rings with
relaxant responses of rat aortic rings in response to AEPC (p > 0.05).
endothelium (E+) or without endothelium (E−). Tension (%) indicates the
In AEPC-treated rings, the values were: IC50 = 0.38 ± 0.07 μg/ml with
percentage of EP-induced contraction. Values are expressed as the
mean ± SEM. 95% confidence interval: 0.194–2.122 μg/ml. While in Nifedipine-
treated rings the values were: IC50 = 0.403 ± 4.478 μg/ml with 95%
confidence interval: 0.329–0.496 μg/ml. Similarly Rmax was
incubated with indomethacin (1 μM) for 15 min before EP (10 μM) pre-
132.40 ± 10.77% for untreated relaxation and 133.60 ± 7.21% for
contraction. IC50 was 0.145 ± 0.28 with 95% confidence interval of
MB-exposed relaxation (Fig. 7A). In addition, the results showed that
0.012–0.242 μg/ml (Fig. 5A). Likewise, Rmax was 132.40 ± 10.77% or
nifedipine, a calcium channel blocker, did not significantly alter re-
89.5 ± 11.5% in the presence of indomethacin (Fig. 5B); this result
laxant responses of rat aortic rings in response to AEPC (p > 0.05). In
suggested that the vasorelaxant effect of AEPC is independent of vas-
AEPC-treated rings the values were: IC50 = 0.38 ± 0.07 μg/ml with
cular prostacyclin pathway. These results indicate that L-NAME a NO
95% confidence interval: 0.194–2.122 μg/ml. While in nifedipine-
inhibitor potentiated the vasorelaxant effect of AEPC while in-
treated rings the values were IC50 = 0.36 ± 0.20 μg/ml with 95%
domethacin, a prostaglandin synthesis inhibitor, did not significantly
confidence interval: 0.21–2.71 μg/ml. Similarly, Rmax was
alter relaxant responses of rat aortic rings to AEPC.
132.40 ± 10.77% for untreated relaxation and 146.80 ± 19.18% for
nifedipine-exposed relaxation (Fig. 7B). These results show that MB and
3.3.3. Role of potassium channels and β-adrenergic receptors nifedipine did not alter vasodilator activity of AEPC.
Interestingly, prior inhibition of ATP-dependent or calcium-

Fig. 4. Representative tracings illustrating


the vasorelaxant effect of acetylcholine
(ACh) (10 μM) on endothelium-intact (A)
and endothelium-denuded (B) preparations
of rat aortic rings, precontracted with EP
(10 μM). And concentration–response
curves showing the vasorelaxant effect of
AEPC in endothelium-intact (C) and en-
dothelium-denuded (D) preparations of rat
aortic rings, precontracted with EP (10 μM).
1 to 10: addition to different doses of AEPC
(0.02–2.5 μg/ml).

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M. Ajebli and M. Eddouks Journal of Ethnopharmacology 242 (2019) 112039

Fig. 5. Effect of different drugs incubation on AEPC- relaxation of EP-induced contraction in aortic rings. Aortic rings were incubated with cumulative doses of AEPC in the
absence (circles) or presence (squares) of the following drugs: (A) L-NAME, (B) Indomethacin, Data represent mean ± SEM (n = 6) for AEPC versus drug plus AEPC.

3.3.5. Effect of AEPC on extracellular Ca2+-induced contraction (Figs. 8 and 9). These results suggest that AEPC significantly inhibited
The vasorelaxant effect of AEPC (IC50 = 0.380 μg/ml) on extra- the entry of extracellular Ca2+.
cellular Ca2+-induced contractions by EP or KCl pre-treatment was
tested. We examined the contraction response induced by calcium
4. Discussion
chloride (CaCl2, 0.3–10 mM) in aortic rings by EP (10 μM) or KCl
(80 mM) pre-contraction in Ca2+-free KH buffer, with and without
Petroselinum crispum is an aromatic and medicinal plant which has
(control) AEPC preincubation for 15 min. Compared to the control, the
been used from centuries both for nutritional as well as medicinal
contraction responses induced by CaCl2 were calculated as a percentage
purposes. This herb is used for managing a wide range of illnesses in-
in the presence and absence (control) of AEPC pre-treatment. In Ca2+-
cluding hypertension. High blood pressure is a risk factor for coronary
free KH buffer the cumulative addition of CaCl2 (0.3–10 mM) induced
heart disease, stroke and renal vascular disease (Patel et al., 2012). This
progressively increased tension in the rat thoracic aorta rings (Fig. 6).
study was carried out to assess the blood pressure lowering effect of the
As shown in Fig. 6, AEPC (IC50 = 0.380 μg/ml) pre-incubation sig-
aqueous extract of Petroselinum crispum on normotensive and L-NAME-
nificantly inhibited the contractions induced by extracellular CaCl2
induced hypertensive rats. Oral administration of Nω-nitro-L-arginine
(0.3–10 mM) in both aortic rings pre-contracted by EP (Fig. 8A) and
methyl ester (L-NAME) during one week led to induce hypertension in
those pre-contracted by KCl (Fig. 8B). However, it is well noted that the
male Wistar rats. This compound is used as an inhibitor of nitric oxide
inhibition provoked by AEPC in EP-precontracted aortas was more
synthase (NOS) activity both in vitro and in vivo. Acute and chronic L-
pronounced than the inhibition caused in KCl-pre-contracted aortas
NAME treatment caused a change in blood pressure and vascular

Fig. 6. Effect of different drugs incubation on AEPC-


relaxation of EP-induced contraction in aortic rings.
Aortic rings were incubated with cumulative doses of
AEPC in the absence (circles) or presence (squares)
of the following drugs: (A) Glibenclamide, (B)
Propranolol. Data represent mean ± SEM (n = 6)
for AEPC versus drug plus AEPC.

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M. Ajebli and M. Eddouks Journal of Ethnopharmacology 242 (2019) 112039

Fig. 7. Effect of methylene blue (MB) drug incubation on AEPC- relaxation of EP-induced contraction in aortic rings. Aortic rings were incubated with cumulative
doses of AEPC in the absence (circles) or presence (squares) of the drug. Data represent mean ± SEM (n = 6; for AEPC versus drug plus AEPC).

Fig. 8. Inhibitory effect of AEPC (IC50 μg/mL) on the


contraction induced by extracellular Ca2+ in rat
thoracic aorta rings that were pre-contracted with EP
(10 μM) (A) or KCl (80 mM) (B) in the presence
(squares) or absence (circles) of AEPC. Values are
expressed as mean ± SEM (n = 6). ***p < 0.001,
****p < 0.0001 vs. control.

Fig. 9. Representative tracings showing in-


hibitory effect of AEPC (IC50 0.3 μg/m L)
on the contraction induced by extracellular
Ca2+ addition (0.3–10 mM) in rat aortic
rings pre-contracted with epinephrine (NP,
10 μm) (A); 1: addition of AEPC, 2: addition
of epinephrine, 3 to 7: addition of Ca2+
concentrations and KCl (80 mM) (B); 1: ad-
dition of AEPC, 2: addition of KCl, 3 to 7:
addition of different concentrations of Ca2+
in Ca2+-free Krebs-Henseleit solution.
Illustrations C and D represent controls
(addition of extracellular Ca2+ concentra-
tions in aortic rings after pre-contraction by
epinephrine and KCl respectively without
pre-incubation in AEPC).

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M. Ajebli and M. Eddouks Journal of Ethnopharmacology 242 (2019) 112039

reactivity due to decreased nitric oxide (NO) bioavailability (Kopincová pre-treatment respectively. The contraction response induced by CaCl2
et al., 2012). Lasilix was used in this study as a standard drug. This was evaluated in the aortic rings after EP or KCl pre-contraction in
synthetic drug is usually used to treat high blood pressure. Interest- Ca2+-free KH buffer with and without AEPC preincubation. Smooth
ingly, lowering high blood pressure helps to prevent strokes, heart at- muscle is known to contract in response to the activation of voltage-
tacks and kidney problems. Lasilix, like other loop diuretics, is known dependent and receptor-operated Ca2+ channels (Rüegg et al., 1989;
to act by inhibiting the luminal Na-K-Cl cotransporter in the thick as- Horowitz et al., 1996; Taggart et al., 1997; Karaki et al., 1997). Find-
cending limb of the loop of Henle, by binding to the chloride transport ings of the last assay demonstrated that AEPC relaxed the aortic rings
channel, thus causing sodium, chloride, and potassium loss in urine. by blocking the entry of extracellular Ca2+. AEPC inhibited the EP
P. crispum is one of the important spices and flavoring embellishing (10−5 M) and less intensely the KCl (80 mM)-induced contractions.
Moroccan and Mediterranean cuisine. Although P. crispum is commonly These results are consistent with a previous study which has demon-
used in traditional Moroccan medicine as antihypertensive therapy, the strated that hydroalcoholic extract of parsley seeds is responsible of the
pharmacological evidences of its antihypertensive activity are lacking. relaxation in isolated adult male Wistar rat's ileum by blocking of vol-
The present study demonstrates that AEPC produced a significant re- tage-gated calcium channels (Moazedi et al., 2007). In the presence of
duction in blood pressure parameters (SBP, MBP and DBP) in normal EP the CaCl2-induced contractions were significantly altered at the
and L-NAME-hypertensive rats following a repeated oral administration CaCl2 concentration of 10 mM; while, in the same condition, the con-
of this extract. In contrast, a single oral administration of AEPC led to a traction was decreased in the presence of KCl, when compared to the
lowering effect in SBP, MBP and DBP in hypertensive rats without af- control groups. EP induced the influx of extracellular Ca2+ (Yu and
fecting arterial blood pressure parameters for normotensive rats. It Bose, 1991). Thus, the present study demonstrates that AEPC lowers
seems that the spectacular effect of AEPC was recorded in mean arterial blood pressure by a direct effect on the vascular smooth muscle leading
blood pressure of L-NAME hypertensive rats 4 and 7 days after the oral to vasodilation via blocking Ca2+ channels. Many studies have reported
administration of this extract with a maximum of reduction, which the vasorelaxing ability via inhibition of Ca2+ channels of a number of
reached 35 and 31 mm Hg respectively (p < 0.0001). The aqueous medicinal plants and their derivatives. Accordingly, an essential oil
extract was found more efficacious in lowering arterial blood pressure (citronellol) constituent from the medicinal plants Cymbopogon citratus,
in hypertensive than in normotensive rats. Several previous studies Cymbopogon winterianus and Lippia alba was demonstrated to possess
reported that secondary metabolites of medicinal herbs are capable to antihypertensive properties by its effect on Ca2+ channels leading to a
exert antihypertensive effects by different pathways (Rawat et al., smooth muscle vasodilation (Zhang et al., 2010). As it has been de-
2016). monstrated previously, a similar species (Petroselium sativum) exhibited
In order to seek one of the possible mechanistic actions by which hypotensive and diuretic effects in normal rats (Campos et al., 2009).
this medicinal herb elicits its antihypertensive effect, an in vitro study Similarly, P. crispum extract could lower blood pressure via the stimu-
was designed to evaluate the vasorelaxant activity on aortic rings iso- lation of diuresis. The possible pathway implicated by AEPC for its
lated from Wistar rats. The second part of the present study reports the hypotensive activity is schematically represented in Fig. 10. In the
vasorelaxant action of AEPC on the aortic rings at the accumulative current study, it was revealed that the vasorelaxant effect of AEPC in
concentrations ranging between 0.020 μg/ml and 2.5 μg/ml. This in- presence of L-NAME (Fig. 5A) has been significantly and unusually
vestigation demonstrated that AEPC was able to act in aortic rings potentialized. In fact, L-NAME is known as an inhibitor of nitric oxide
producing a concentration-dependent depressant effect on KCl- and EP- synthase (NOS). Accordingly, the presence of this drug in contact with
induced contractions. In addition, it provides evidence that AEPC de- the aorta leads to a vasoconstriction. However, when L-NAME was
creases tension in both endothelium-intact and endothelium-denuded added before the application of different doses of AEPC has led to po-
aortic rings. In our test, the functional removal of endothelium did not tentiating the vasodilator effect of our extract. In the same context, it
significantly attenuate the AEPC-induced relaxation in aortic rings was demonstrated that low doses of L-NAME enhanced endothelium-
precontracted with EP, thus suggesting that the vasorelaxant effect of dependent vasorelaxation and reduced vasoconstriction of the femoral
AEPC was endothelium-independent, suggesting also that its me- artery (Bernatova et al., 2007). Additional mechanistic and analytic
chanism did not involve the presence of endothelium-derived relaxing studies are necessary to explain this potentiating effect of L-NAME at
factor (EDRF) in vascular endothelium. In fact, endothelial function is low doses in the presence of P. crispum extract.
associated with a multitude of physiological processes that maintain Finally, the role of parsley (P. crispum) in managing hypertension
healthy homeostasis of the vascular wall. Furthermore, exposure of the can still be defined more clearly with other appropriate studies.
endothelium to cardiac risk factors results in endothelial dysfunction
and it is associated with an alteration in the balance of vasoactive 5. Conclusion
substances produced by endothelial cells (Muhiddin and Arshed, 2011).
Six reference drugs were used in this experiment in order to explore In the current study, the effect of the aqueous P. crispum extract on
the pathway involved in the vasorelaxing action of AEPC (L-Name, blood pressure was investigated in L-NAME and normotensive as well as
Indomethacin, Methylene blue, Indomethacin, Glibenclamide and its effect on vasorelaxant activity in vascular aortic rings. The study
Nifedipine). The present study showed that the six reference drugs used showed that the aqueous P. crispum extract induced a decrease of blood
had no effect on the vasorelaxant effect of AEPC except the potentiating pressure parameters in both L-NAME and normotensive rats. In addi-
effect of L-NAME on the vasorelaxant effect of AEPC. This finding in- tion, the extract induced a pronounced vasorelaxation response in
dicates that the vasorelaxant effect of AEPC was not mediated through vascular aortic segments of rats and this hypotensive ability is at least
the direct NO pathway, NO-cGMP pathway, vascular cyclooxygenase related to relaxation of the aortic rings through blockage of Ca2+ entry.
pathway, β-adrenergic receptors pathway, K+ channels pathway or L- Furthermore, AEPC induces vasorelaxation via an endothelium-in-
type calcium channels pathway. dependent pathway. The study demonstrates also that the vasorelaxant
In order to determine if calcium channels incorporated into the effect of AEPC was not mediated through NO-cGMP pathway, vascular
vascular smooth muscle cells are involved in this vasodilatation ac- cyclooxygenase pathway, β-adrenergic receptors pathway, K+ chan-
tivity, the vasorelaxant effect of AEPC (IC50 = 0.380 μg/mL) on ex- nels pathway or L-type calcium channels pathway. The anti-
tracellular Ca2+-induced contractions was examined after EP or KCl hypertensive activity of the AEPC may be through multiple pathways,

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M. Ajebli and M. Eddouks Journal of Ethnopharmacology 242 (2019) 112039

Fig. 10. Schematic illustration of the suggested mechanism of action involved by AEPC bioactive component (s) in the vasorelaxant and thereafter the hypotensive
activity. VOCC: Voltage Operated Calcium Channels; ROCC: Voltage Operated calcium Channels.

including increase synthesis of Nitric Oxide, inhibition of Ca2+ entry MA, Pharmacology, Phytochemistry, Ph.D.
channels such as voltage-operated Ca2+ channels (VOCC) and receptor- ME is supervisor of the PhD thesis of MA among the Team of
operated Ca2+ channels (ROCC). Since the AEPC causes dose-depen- Physiology and Endocrine Pharmacology at Faculty of Sciences and
dent relaxation of both EP and KCl-induced contraction, the most Techniques Errachidia. The objective of the team is to identify plants of
probable mode of action is through ROCC and VOCC (Fig. 10). The interest by ethnobotanical surveys, evaluating their pharmacological
results confirm and support the potential for AEPC as antihypertensive activity and active molecules. The main aimed pathologies are diabetes,
agent. Other phytochemical and pre-clinical studies are required to hypertension and obesity.
determine the active phytocompounds involved in this antihypertensive
activity. References

Funding Ajebli, M., Eddouks, M., 2017. Buxus sempervirens L Improves streptozotocin-induced
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This study was funded by National Center of Scientific Research and rat isolated thoracic aorta: role of the PI3K/Akt/eNOS/NO/cGMP signaling pathway.
Technology. Morocco (grant number PPR/2015/35). Sci. Rep. 7. https://doi.org/10.1038/s41598-017-00790-9.
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