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Indigofera cassioides Rottl. Ex. DC. is a large shrub, distributed throughout the hills of India. Because
of its reported robust antioxidant potential and phytoconstituents content, we were interested in
investigating the in vitro thrombolytic and in vivo cardioprotective effect of methanolic leaves extract of
Indigofera cassioides. An in vitro thrombolytic model was used to evaluate the clot lysis effect of different
concentrations of Indigofera cassioides along with streptokinase as a positive control and distilled water
as a negative control. Cardioprotective activity of methanolic leaves extract of Indigofera cassioides has
been evaluated in isoproterenol-induced myocardial infarction in rats. The treatment was designed as
four groups of six animals each as follows. Group I: Control, Group II: Isoproterenol alone, Group III:
Methanolic leaves extract of Indigofera cassioides (200 mg/kg) and Group IV: Methanolic leaves extract
of Indigofera cassioides (400 mg/kg). To evaluate the efficacy of methanolic leaves extract of Indigofera
cassioides treatment against isoproterenol-induced myocardial damage, biochemical parameters and
histopathological studies were carried out. High-performance thin-layer chromatography fingerprint
analysis of methanolic leaves extract of Indigofera cassioides revealed the presence of terpenoid and
flavonoid compounds. Methanolic leaves extract of Indigofera cassioides shows a dose-dependent clot lysis
effect. Isoproterenol-induced animals exhibited significantly altered lipid profile, alanine transaminase,
aspartate transaminase, alkaline phosphatase and also elevate serum cardiac activity markers creatine
phosphokinase-myocardial band and lactate dehydrogenase, which were reversed near to normal levels
in the pre-treatment of methanolic leaves extract of Indigofera cassioides. In conclusion, methanolic
leaves extract of Indigofera cassioides exhibited significant thrombolytic activity which might be an aid
to reduce the myocardial infarction. The cardioprotective effect of methanolic leaves extract of Indigofera
cassioides was confirmed by the reduction in cardiac marker enzymes, altered lipid profile and protection
histopathological changes on heart tissues.
Key words: Indigofera cassioides, thrombolytic, streptokinase, isoproterenol, cardioprotection
Myocardial Infarction (MI) is one of the foremost with the antioxidant deficit as well as increased
causes of death all over the world and the prevalence myocardial oxidative stress[4].
of this disease approaches three million worldwide.
Isoproterenol-induced MI in the rat is the widely used
In India, the number of patients being hospitalized
experimental model for evaluating the cardioprotective
for MI is increasing over the past 35 y[1]. MI is caused
due to an interrupted supply of blood in the coronary
circulation of the myocardium, which results in This is an open access article distributed under the terms of the Creative
Commons Attribution-NonCommercial-ShareAlike 3.0 License, which
myocardial necrosis[2]. Consequences of MI include allows others to remix, tweak, and build upon the work non-commercially,
hyperlipidemia, peroxidation of membrane lipids and as long as the author is credited and the new creations are licensed under
the identical terms
loss of plasma membrane integrity[3]. It has also been
suggested that heart failure after MI may be associated Accepted 11 March 2022
Revised 16 August 2021
Received 22 April 2020
*Address for correspondence
Indian J Pharm Sci 2022;84(2):319-327
E-mail: sudhakar00pharma@gmail.com
March-April 2022 Indian Journal of Pharmaceutical Sciences 319
www.ijpsonline.com
effect of drugs because pathological changes induced
[5]
in November. The plant was authenticated by Dr. G.V.S.
by isoproterenol in rats are comparable to the MI that Murthy, Joint Director, Botanical Survey of India,
occurs in humans[6]. Administration of isoproterenol, Coimbatore, Tamil Nadu, India. A voucher specimen is
a beta (β)-adrenergic agonist that causes severe stress preserved in our laboratory for future reference.
in the myocardium results in infract-like necrosis of
myocytes. Few proposed mechanisms of isoproterenol- Chemicals and drugs:
induced damage in cardiac myocytes include hypoxia Isoprenaline hydrochloride (isoproterenol) was
due to myocardial hyperactivity, coronary hypotension, purchased from Sigma Chemical Co. (St. Louis,
calcium overload, depletion of energy reserves and Missouri, United States of America (USA)). All the
excessive production of free radicals due to oxidative chemicals and reagents used in this study were of
metabolism of catecholamines[7]. Among the various analytical grade. A lyophilized streptokinase vial
proposed mechanisms, the generation of high cytotoxic (1 500 000 International Units (IU)) was purchased from
free radicals through autooxidation of catecholamines the manufacturer Cadila Pharmaceuticals, Ahmedabad.
induced by isoproterenol has been implicated as one of
the major causative factors[8]. Preparation of plant extract:
World Health Organization (WHO) recommended The leaves of I. cassioides were shade dried at room
the use of herbal medicines as alternative medicine, temperature. The dried plant materials were subjected to
particularly in developing countries. Because WHO size reduction to a coarse powder by using a dry grinder
estimated that 80 % of the World’s population are and passed through sieve no. 40 was used for extraction.
presently using herbal medicines for primary health Powdered plant material (500 g) was extracted with
care. Most of the current research showed that medicinal 80 % methanol at room temperature for 72 h. The extract
plants with antioxidant potential are also able to impart was filtered and concentrated to dryness under reduced
cardioprotection[9,10]. pressure and controlled temperature (40° to 50°) in a
Indigofera cassioides (I. cassioides) Rottl. Ex. DC. rotary evaporator until all solvent was removed to give
(Syn: Indigofera pulchella Roxb.) belonging to the a dark-colored molten extract. The percentage yield of
family Fabaceae, is a large shrub, distributed throughout the MEIC was 8.16 % w/w. The extract was stored in
the hills of India. The flowers and leaves of the plant are airtight containers in a refrigerator maintained below
reported to be antiscorbutic, diuretic and alternative. A 10° until further use.
decoction of the root is given for cough and its powder is High-Performance Thin-Layer Chromatography
applied externally for chest pains. The leaves and roots (HPTLC):
are used for swelling of the stomach[11,12]. The leaves
are used by various ethnic groups and native medical The 100 mg of MEIC was dissolved in 1 ml methanol
practitioners to treat many kinds of diseases such as and centrifuged at 3000 rpm for 3 min. A 2 µl of the
arthritis, inflammation, tumor and liver diseases. It was prepared test solution and 2 µl standard solutions were
also reported that it possesses potent antioxidant and loaded as 5 mm band length in the 3×10 Silica gel
anti-tumor activity[13,14]. 60F254 Thin Layer Chromatography (TLC) plate using a
Hamilton syringe and Linomat 5 instrument (CAMAG,
Considering the more robust antioxidant potential and Muttenz, Switzerland). The samples loaded plate was
higher terpenoid, phenolic and flavonoids content of kept in TLC twin trough developing chamber (after
I. cassioides leaves, we were interested in investigating saturated with Solvent vapor) with respective mobile
the effect of I. cassioides leaves on the oxidative stress- phases for terpenoids n-hexane:ethyl acetate, (7.2:2.8)
induced cardiac injury. Hence this study was aimed and for flavonoids chloroform:ethyl acetate:glacial
to investigate the in vitro thrombolytic and in vivo acetic acid (60:35:5) and the plate was developed in the
cardioprotective activities of Methanolic Leaf Extract respective mobile phase up to 90 mm. The developed
of I. cassioides (MEIC) were investigated. plate was dried by hot air to evaporate solvents from
the plate. The plate was kept in a photo-documentation
MATERIALS AND METHODS
chamber (Camag Reprostar 3) and captured the
Plant collection and authentication: images at daylight, Ultra Violet (UV) 254 nm and UV
366 nm. The developed plate was sprayed with
Leaves of I. cassioides were collected from in and respective reagents for terpenoids anisaldehyde
around the region of Yercaud hills, Salem, Tamil Nadu sulphuric acid reagent and flavonoids 1 % ethanolic
320 Indian Journal of Pharmaceutical Sciences March-April 2022
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aluminium chloride reagent and dried at 100° in a hot last, all the tubes were incubated at 37° for 90 min.
air oven. The plate was photo-documented in daylight After incubation, released fluid was removed and tubes
and at UV 366 nm mode using a photo-documentation were again weighed to observe the difference in weight
(Camag Reprostar 3) chamber. After derivatization, the after clot disruption. The difference in weight before
plate was fixed and scanning was done by TLC scanner and after clot lysis was expressed as a percentage of
3. The peak table, peak display and peak densitogram clot lysis[17]. The thrombolytic effects of I. cassioides
were recorded. leaf extracts were performed by the formula below:
Fig. 1: Chromatograms of MEIC in HPTLC analysis for terpenoid profile. Before derivatization under daylight, UV 254 nm and UV
366 nm; after derivatization under daylight, UV 366 nm; Track A: MEIC and Track STD: Standard (Lupeol)
Fig. 2: HPTLC chromatogram of MEIC at 500 nm, (A) Showing different peaks densitogram display and (B) Showing three
Dimensional (3D) display of both standard (Lupeol) and MEIC tracks. Mobile phase: n-hexane:ethyl acetate is (7.2:2.8)
and densitogram results for terpenoids profile, which revealed the presence of flavonoids before and after
revealed the presence of terpenoids before and after derivatization under daylight and UV 366 nm.
derivatization under daylight and UV 366 nm.
The in vitro thrombolytic activity of I. cassioides
Table 2 results show the presence of three different methanolic extract was determined as a part of exploring
types of flavonoids and six unknown compounds with its cardioprotection effect. The results presented in
Rf values of 0.03, 0.41, 0.64 and 0.01, 0.08, 0.20, 0.70, Table 3 and fig. 5 indicates that the streptokinase
0.80, 0.92 respectively, which confirms the presence which is known as a thrombolytic drug used as positive
of various flavonoids in I. cassioides. The standard control shown 55 % clot lysis, 100 µl of distilled
quercetin produces a clear zone with an Rf value of water (negative control) shown 1.94 % clot lysis. After
0.64. Fig. 3 and fig. 4 shows the chromatogram and treatment with MEIC showed significant (p<0.001)
densitogram results for flavonoids profile, which maximum 29.15 % clot lysis at the concentration
Fig. 3: Chromatograms of MEIC in HPTLC analysis for flavonoid profile. Before derivatization under daylight, UV 254 nm and UV
366 nm; after derivatization under daylight, UV 366 nm; Track A: MEIC; Track STD: Standard (quercetin)
Fig. 4: HPTLC chromatogram of MEIC at 254 nm, (A) Showing different peaks densitogram display and (B) Showing 3D display
of both standard (quercetin) and MEIC tracks. Mobile phase: Chloroform:ethyl acetate:glacial acetic acid (60:35:5)
324 Indian Journal of Pharmaceutical Sciences March-April 2022
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TABLE 3: IN VITRO THROMBOLYTIC EFFECT OF MEIC
Sample Concentration Percentage of clot lysis (%)
Negative control (Dil. Water) 100 μl 1.94±0.22
Positive control (streptokinase) 100 μl 55.00±7.94***
0.5 mg/ml 3.72±0.94
2.5 mg/ml 7.37±0.85
MEIC
5.0 mg/ml 14.17±1.50***
10.0 mg/ml 29.15±3.00***
Note: Values are expressed as Mean±SEM, n=3; statistical significance, p<0.05
10 mg/ml when compared with negative control. And LDL levels and decreased HDL cholesterol levels on
also, MEIC produces clot lysis in a concentration- isoproterenol-induced MI rats.
dependent manner. Some of the previous studies reported Administration of isoproterenol has been reported that
that the thrombolytic activity of plant extracts is mainly alter the membrane permeability and cause leakage of
due to the presence of rich secondary metabolites like cardiac inflammatory markers (LDH, CK-MB, AST,
alkaloids, flavonoids, tannins and terpenoids[21]. Hence ALT and ALP) into the blood circulation[25]. Significant
the thrombolytic activity of MEIC might be due to its elevation of these marker enzymes indicates myocardial
rich source of flavonoids and terpenoids content. necrosis[7]. The result of our study also indicates that
Isoproterenol-induced MI in rats elevates the serum significant (p<0.001) elevated level of marker enzymes
TC, TG, LDL levels and decreased level of HDL[22]. LDH, CK-MB, AST, ALT and ALP in isoproterenol
Results of this study also have shown significant alone treated group as compared to the normal control.
elevation of TC, TG, LDL and decreased level of On the contrary, MEIC treatment protected the structure
HDL (Table 4). These changes could be attributed and functional integrity of the myocardial membrane as
to enhanced lipid biosynthesis by cardiac cyclic evident from the significant reduction in the elevated
Adenosine Monophosphate (cAMP)[23]. Also increase levels of these serum marker enzymes in the rats
in serum phospholipids might be due to an increased when compared to the isoproterenol alone treated rats
peroxidation of membrane phospholipids released (Table 5). The significant reversal of these enzyme
via phospholipase A2[24], which in turn decreased the activities by pre-treatment of MEIC indicates its
phospholipid levels in heart tissue. The pre-treatment therapeutic potential against MI in a dose-dependent
of MEIC has shown a dose-dependent beneficial effect manner by preventing the isoproterenol-induced
on altered lipid profiles like elevated serum TC, TG, leakage of marker enzymes.
Fig. 6: Effect of MEIC on the histological morphology of rat heart shown by hematoxylin and eosin staining (100)
326 Indian Journal of Pharmaceutical Sciences March-April 2022
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markers. Oral administration of MEIC exhibited a release; 2002.
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Popular Prakashan Private Ltd.; 1976. p. 799.
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12. Kirtikar KR, Basu BD. Indian Medicinal Plants. Dehradun:
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aids to reduce MI. Hence this cardioprotective potential of Indigofera cassioides Rottl. Ex. DC. using various in vitro
assay models. Asian Pac J Trop Biomed 2012;2(4):256-61.
of MEIC was due to its potent antioxidant activity may
14. Kumar RS, Rajkapoor B, Perumal P. In vitro and in vivo
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flavonoid contents. Further investigations are needed to Asian Pac J Trop Med 2011;4(5):379-85.
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Conflict of interests: 17. Alam MN, Biozid MS, Islam MR, Abedin MJ, Chowdhury
S. In vitro comparative study of cytotoxic and thrombolytic
The authors declared no conflict of interest. effects of methanolic extract of Cissus pentagona and
Thunbergia grandiflora (Roxb.) leaves. J Coast Life Med
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