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To cite this article: Rita de Cássia da Silveira e Sá, Reinaldo Nóbrega de Almeida & Jnanabrata
Bhattacharyya (2013) Pharmaceutical properties and toxicology of Dioclea�grandiflora,
Pharmaceutical Biology, 51:5, 659-667, DOI: 10.3109/13880209.2012.755208
REVIEW ARTICLE
Abstract Keywords
Context: Since the beginning of civilization, herbal medicines have been an important source for Bull’s-eye, phytochemicals, therapeutic prop-
human beings to treat their ailments. Despite the large number of synthetic remedies available erties, toxicology
in the market, the use of plants is seen as a great challenge in the search for new substances
endowed with therapeutic properties. One example is Dioclea grandiflora Mart. ex Benth. History
(Leguminosae) employed in traditional medicine to treat prostate disorders and kidney stones.
Objectives: This work presents a brief overview of D. grandiflora, including a description of the Received 12 September 2012
plant, its chemical composition and pharmacological properties. Revised 28 November 2012
Methods: This review gathers information available in the scientific literature compiled from Accepted 29 November 2012
databases such as Science Direct, PubMed, Dr. Dukes Phytochemical and Ethnobotany, Missouri Published online 1 February 2013
Botanical Garden and The International Plant Names Index.
Results: The information found in the literature showed that flavonoids are the major
constituents of D. grandiflora that account for most of the pharmacological properties so far
disclosed. Several studies have revealed that D. grandiflora possesses antinociceptive,
cardiovascular, antioxidant and anti-inflammatory activities.
Conclusion: Research shows that D. grandiflora is a potential source of compounds pertaining
medicinal applications. It provides an interesting subject in the search for new drugs of natural
origin.
Figure 2. Dioclea grandiflora major constituents. (a) dioclein, (b) dioclenol, (c) dioflorin, (d) agrandol, (e) diosalol, (f) paraibanol, (g) b-amyrin,
(h) 5,7,20 ,50 -tetrahydroxy-6-methoxy-8-prenylflavanone, and (i) floranol.
and the aqueous fractions exhibited a significant increase in (Abbott et al., 1995). The first phase (neurogenic pain)
the reaction time in rats, a feature considered an important involves the direct stimulation of sensorial afferent C-fibers
parameter of the central antinociceptive activity. When by formalin, while the second phase (inflammatory pain)
compared with morphine, dioclein displayed a prolonged involves a peripheral inflammatory process and is believed to
action by showing a significant analgesic activity 2 h after its arise from nociceptive spinal neuron hyperactivity (Tjolsen
administration in the rats (18.9 7.5 and 57.2 13.8 mg/kg, et al., 1992).
respectively). The attenuation of the antinociceptive action of EDgP produced a higher antinociceptive response on the
the aqueous fractions and dioclein after treatment with second phase than that displayed by morphine, particularly at
naloxone suggests that both substances acted centrally, the dose of 150 mg/kg. Thus, the antinociceptive effects of
possibly involving an opioid-like mechanism. D. grandiflora extract in the writhing test and in both phases
The intraperitoneal administration of the ethanol extract of the formalin test not only suggest a central (neurogenic)
from the seed pod of D. grandiflora (EDgP) at doses of 75, and peripheral (inflammatory) action, but also imply that this
150 and 300 mg/kg also exerted significant antinociceptive extract exerts anti-inflammatory activity. These results
effects in mice subjected to different algesiometric tests, such corroborate the findings of Batista and collaborators (1995)
as the acetic acid–induced writhing and formalin tests (Sá that showed the antinociceptive action of the aqueous fraction
et al., 2010). The acetic acid-induced writhing test in mice is obtained from the ethanolic extract of D. grandiflora, at a
an efficient nociceptive model for the screening of analgesic lower dose level (50 mg/kg, i.p.), in mice that underwent
and anti-inflammatory drugs and is also regarded as a useful acetic acid-induced writhings. However, contrary to the data
procedure to assess visceral inflammatory pain (Koster et al., reported by these authors, the administration of naloxone
1959; Tjølsen & Hole, 1997). The formalin test comprises (6 mg/kg, i.p.) did not reverse the antinociceptive effect of
two excitatory phases and one inhibitory interphase of the EDgP; instead, it increased this effect at the dose level of
nociceptive response by employment of tonic stimulus 300 mg/kg while considerably reducing the morphine
662 RCS Sá et al. Pharm Biol, 2013; 51(5): 659–667
antinociceptive effect. These data indicate that central or by caffeine. It also inhibited the sustained contractions
peripheral active endogenous opioids do not seem to be induced by the phorbol ester 12-O-tetradecanoyl phorbol-
mediating the antinociceptive effect of EDgP in the formalin 13-acetate in normal and calcium-free solution. According to
test (Sá et al., 2010). these authors, the endothelium-independent vasorelaxant
The treatment of mice with dioflorin (10 mg/kg) and effect of dioclein could be related to the inhibition of
dioclenol (10 mg/kg), administered intraperitoneally, showed contractions dependent on activation of protein kinase C,
that both substances have acute central analgesic activity voltage-dependent calcium influx and on the release of
(Almeida et al., 2000). In the tail-immersion, a test reported to intracellular calcium stores sensitive to noradrenaline.
be specific for agents producing central antinociception, both The effect of dioclein on coronary flow was investigated in
substances were effective, whereas in the acetic acid-induced isolated rat heart elsewhere. It was observed that dioclein
writhing test, dioflorin produced a near maximal inhibition of induced a sustained increase on the coronary flow without
the writhing response (4.8 2.1 writhings) similar to modification of inotropic and chronotropic contractions of the
morphine (5.2 2.7 writhings; dioclenol 11.2 6.0 wri- heart and electric activity, through a mechanism independent
things; vehicle/control 31.8 5.8 writhings). on the production of NO and cyclooxygenase-derived factors.
Despite the reported antinociceptive effects of D. grand- These effects suggest that dioclein could aid the treatment of
ifora, no precise receptor binding data has appeared in the vasospasm associated with myocardial ischemic complica-
literature to date; therefore it is unclear if this plant is tions (Almeida et al., 2002).
producing antinociception selectively through direct interac- A combined in vivo and in vitro study showed that dioclein
tion with opioid receptors. lowered arterial pressure in normotensive rats by decreasing
the peripheral vascular resistance. Pharmacological evidence
suggested that the mechanism involved in the hypotensive
Cardiovascular action
vasorelaxant effect of dioclein in the mesenteric arteries of
Flavonoids consist of a large group of compounds derived rats was mediated by activation of potassium (Kþ) channels,
from plants that are largely consumed in the daily diet (Yao namely the opening of Kca and Kv channels, and subsequent
et al., 2004). Its consumption is reported to prevent membrane hyperpolarization (Côrtes et al., 2001). Vascular
cardiovascular diseases (Riemersma et al., 2001) which tone of small arteries and arterioles is the basis for the
could be related to their pharmacological properties such as maintenance of peripheral resistance in the circulation and is
vasodilators, anti-inflammatory, inhibitors of platelet aggre- the major contributor to the control of blood pressure (White
gation and antioxidants (Rezende et al., 2009). The latter is et al., 1996). As Kþ channels play an important role in the
believed to delay the onset of atherogenesis by reducing control of vascular tone, it is believed that they are involved in
peroxidative reactions and decreasing thrombotic tendency controlling the cellular membrane potential. Various sub-
(Aviram & Fuhrman, 1998; Rice-Evans et al., 1997). stances that act on Kþ channels by increasing their open
The vasorelaxant effect of the flavonoid dioclein was probability are shown to dilate arteries by causing hyperpo-
investigated in the rat aorta. In phenylephrine pre-contracted larization in vascular smooth muscle cells (Quast, 1993).
vessels, dioclein induced an endothelium-dependent relaxa- Therefore, the effects of Kþ channels opener could be useful
tion, which probably involved increased production of nitric in the treatment of hypertension (Kuriyama et al., 1995;
oxide (NO) by endothelial cells. This effect was reduced after Lawson, 2000).
NO synthase activity inhibition by L-NAME (NG nitro-L- Despite the therapeutic benefits obtained from flavonoids,
arginine-methyl-ester) and absent after endothelium removal the expected outcome is still dependent on the improvement
(Lemos et al., 1999). The data available in the literature of their pharmacokinetic profile after oral administration
indicate that most flavonoids show a relaxant effect regardless (Rezende et al., 2009). As the use of pharmaceutics can be
of the presence of a functional endothelium, and a less potent limited due to the lack of oral activity or poor water solubility,
action than dioclein (Herrera et al., 1996). The stimulation of in their natural form, flavonoids are poorly absorbed in the
NO production by dioclein represents an important factor in intestine. They undergo extensive degradation by intestinal
vascular homeostasis by exerting modulatory effects on the microorganisms or enzymes, producing different metabolites,
vascular tone and growth of vascular smooth muscle cells, which, if absorbed, may undergo further degradation by
and decreasing platelet adhesion and aggregation (Scott- hepatic enzymes producing new metabolites of varying
Burden & Vanhoutte, 1993). NO deficiency in the vascular bioactivity (Stahl et al., 2002).
endothelial cells milieu can be related to endothelium Like many flavonoids, dioclein has been reported to have
dysfunction, a condition that may contribute to the develop- poor oral absorption (Rezende et al., 2009; Sildeberg et al.,
ment of severe pathologies, such as atherosclerosis and 2005) probably due to reduced dissolution rate (Liu et al.,
hypertension (Busse & Fleming, 1996). Hence, the discovery 2006) or degradation by enzymes in the gastrointestinal tract
of substances that enhance the production of NO by and liver (Stahl et al., 2002). In order to improve its intestinal
endothelium cells can become a useful tool in the treatment absorption, dioclein has been associated with cyclodextrins,
of cardiovascular diseases. natural macrocyclic oligosaccharides that are used as tools to
Trigueiro and collaborators (2000) demonstrated that generate aqueous drug solutions without the use of organic
dioclein induced relaxation of aortic rings in endothelium- co-solvents, surfactants or lipids, as formulation adjuncts
denuded vessels precontracted with noradrenaline and KCl. In (Polyakov et al., 2004). Cyclodextrins form inclusion com-
the absence of extracellular calcium, dioclein reduced the plexes that increase the guest’s in vivo stability against
contraction induced by noradrenaline but not that induced hydrolysis, oxidation, decomposition and dehydration,
DOI: 10.3109/13880209.2012.755208 Overview of D. grandiflora 663
consequently increasing bioavailability (Côrtes et al., 2001). Anti-inflammatory activity
The inclusion of dioclein in b-cyclodextrins has been shown to
Inflammation is a protective mechanism used by the organism
improve the hypotensive effect of this substance by increasing
to eliminate the injurious stimuli and is caused by release of
its bioavailability and to enable it to be effective after oral
chemicals, such as cytokines and chemokines, from tissues
administration, probably as consequence of a protective effect
and migrating cells. The assessment of the effects of dioclein
of b-cyclodextrins against in vivo biodegradation and possibly
on the production of mediators of inflammation in vitro using
increased water solubility (Rezende et al., 2009).
murine macrophages showed that dioclein efficiently
In addition to dioclein, floranol has also been reported to
decreased the production of cytokines, chemokines and NO
exert vasorelaxant activity in the rat aorta smooth muscle. In
more effectively than butylated hydroxytoluene (BHT), an
phenylephrine-precontracted aortic rings, floranol induced a
antioxidant, and rolipram, a PDE4 (cyclic nucleotide
vasodilator effect (IC50 ¼ 19.9 2.4 mM) probably by exerting
phosphosdiesterase type 4) inhibitor. Diocelin inhibited
a direct action in the smooth muscle cells as even after the
PDE4 activity (IC50 of 16.8 1.4 mM) and decreased the
removal of endothelium or pretreatment of vessels with
concentration of reactive oxygen species more effectively
L-NAME, the IC50 value for floranol-induced vasorelaxation
than BHT in cell and cell-free systems. These effects indicate
did no change (Lemos et al., 2006).
that dioclein exerted anti-inflammatory effects by reducing
the production of mediators of inflammation, such as
Ansiolitic effect cytokines, chemokines and reactive oxygen species by
macrophages (Guabiraba et al., 2010).
In recent years, anxiety disorders have been shown to have a
relatively high prevalence in modern society. The most
prescribed medications to treat this disorder are benzodiaze- Antioxidant activity
pines; however, their clinical use is limited by their side effects, Several studies have shown that the oxidative modification of
such as psychomotor impairment, potentiation of other central low-density lipoprotein (LDL) plays an important role on the
depression drugs, and dependence liability (Lader, 2008). The mechanism responsible for atherosclerosis. According to the
search for new remedies to treat anxiety is focused on the use of oxidation hypothesis of atherosclerosis, the initiating event in
medicinal plants because recent studies have suggested that the development of this condition is an oxidative modification
many substances present in plants affect the mind of mammals. of LDL that significantly increases its uptake into the arterial
For instance, the administration of caffeine (Tang et al., 1989) intima (Ylä-Herttuala et al., 1989). Moreover, studies of
and dietary soy phytoestrogens (Lund & Lephart, 2001) was atherosclerotic lesions led to the proposition that transition
reported to decrease anxiety in rats. metal ions are involved on the LDL oxidation in vivo.
The ansiolitic-like effect of D. grandifora was observed in The use of external antioxidants is of therapeutic
mice after the administration of the alcoholic fraction of the importance to maintain a proper internal redox environment.
stem bark of D. grandiflora (doses of 15, 30 and 60 mg/kg) As indicated by several reports in the literature, the most
and dioclenol (dose of 10 mg/kg) using several behavioral relevant biological property of flavonoids is the prevention of
assays (marble-burying, hole-board and elevated plus maze cardiovascular diseases, an ability associated with the
tests). In addition, the same treatment increased the duration decrease of LDL oxidation, macrophage foam cell formation
of the sleeping time induced by sodium pentobarbital and and atherosclerosis (Botelho et al., 2007). The antioxidant
showed a significant increase on protection against pentyle- activity could be explained by two possible factors: the
netetrazole-induced convulsion (De Almeida et al., 2010). scavenging of free radical or chelation of metal ions, such as
Since many flavonoids and many flavones derivatives were copper (Cu) and iron (Fe).
found to be ligands for the g-aminobutyric acid type A The antioxidant activity of floranol was assessed through
(GABAA) receptors in the CNS, it has been hypothesized that the evaluation of its capacity to inhibit Cu(II)- and Fe(III)-
these substances act as benzodiazepine-like molecules and mediated oxidation of LDL. It is known that Cu and Fe in their
bind to the benzodiazepine binding site with resulting reduced oxidation state can promote the formation of free
depressant actions in mice (Marder & Paladini, 2002). radicals, which can oxidize LDL. The high values of the
Therefore, the ansiolitic effect of the alcoholic fraction of stability constants observed in the experiment indicated that
the stem bark of D. grandiflora and dioclenol was suggested floranol efficiently bound Cu(II) and Fe(III) ions, thus
to occur in the benzodiazepine site of GABA receptors preventing their effect on LDL oxidation. Therefore, the
(De Almeida et al., 2010). In this same study, an antic- antioxidant activity of floranol, which probably involves
onvulsant effect has also been attributed to D. grandiflora and the sequestering of metals, may have an important role on
dioclenol; however, an earlier study reported that the the inhibition of lipid peroxidation in vitro, a property
intraperitoneal administration of the aqueous extract from that could be beneficial in reducing atherosclerosis (Botelho
the seeds of D. grandiflora to male Swiss mice (at doses of et al., 2007).
150, 342, 520 and 685 mg/kg, representing approximately 20,
50, 75 and 100 times the doses used by human beings,
Lectin
respectively) did not produce anticonvulsant action, although
a significant protection with regard to the latency time of the Lectins comprise a heterogeneous group of proteins posses-
occurrence of convulsion was observed. This particular factor, sing at least one non-catalytic domain that binds reversibly to
however, was not considered sufficient to justify the use of a specific mono- or oligosaccharide (Van Damme et al.,
this plant as an anticonvulsant (Mattei et al., 1995). 1998). Cells are coated with carbohydrate that can
664 RCS Sá et al. Pharm Biol, 2013; 51(5): 659–667
specifically bind to lectins and, because of this association, all the other lectins tested were able to reduce cell migration
several roles have been attributed to this class of molecules in into rat peritoneal cavities induced by N-formyl-methionine-
biological research (Silva Lima et al., 1993). For instance, leucine-phenylalanine (fMLP) or carrageenan, and rat hind
lectins were shown to act as inflammatory agents, such as paw edema induced by carrageenan (Assreuy et al., 1997).
concanavalin A (Con A) – a lectin from Canavalia ensiformes The assessment of the in vivo stimulatory actions of
(L.) DC. (Leguminosae), a species from the Diocleinae tribe Diocleinae lectins, including that of D. grandiflora, on Balb/c
that has been reported to induce histamine release from mice popliteal draining lymph nodes showed that these lectins
basophils and mast cells (Ennis et al., 1981). In addition, presented high stimulatory capacity on lymph node T cells.
lectins have been used as probes to differentiate diagnosis of Moreover, lectin stimulation was associated to apoptosis
tumor from inflammation (Kojima & Jay, 1987) or to detect induction in addition to causing other side effects such as
microheterogeneity of a-1-antichymotrypsin in sera from inflammation and high endothelial venule necrosis (Barbosa
patients with various inflammatory syndromes (Pos et al., et al., 2001).
1990). The toxicity of lectins of the Diocleinae tribe, including D.
The seed lectin from D. grandiflora is a D-mannose-(D- grandiflora, to Biomphalaria glabata Say and Artemia salina
glucose)-binding protein with a molecular mass of 100 kDa Leach has been used as a promising tool to the search for
(Moreira et al., 1983) that shows a high degree of sequence natural compounds with molluscicidal properties for the
similarity with C. ensiformes Con A, differing only in 53 out vector control of schistosomiasis. The results indicated that all
of 237 residues (Gupta et al., 1996; Richardson et al., 1984). lectins tested were toxic to A. salina and B. glabata, killing
The carbohydrate-binding specificity of D. grandiflora lectin 90% at a concentration of 10 mg/mL, and 100% at 50 mg/mL,
has been addressed in several studies through various respectively (Dos Santos et al., 2010). In a different context,
experimental protocols, including calorimetric analysis and the lectins were tested for their potential to inhibit the
fluorescence anisotropy titration, among others (Chervenak & adherence of five streptococci species to acquired pellicle
Toone, 1995, 1996; Dam et al., 2000, 2002, 2005; Lee et al., in vitro by the use of fluorescence micrography. Adherence
2000; Ramos et al., 1996; Weatherman et al., 1996). inhibition was carried out on saliva-coated microtiter plates at
Studies have shown that D. grandiflora lectin exhibits high which lectins solutions were previously incubated followed by
affinity for 3,6-di-O-(a-D-mannopyranosyl)-a-D-mannopyra- incubation with the oral streptococci. The lectin from
nose, the core trimannoside of asparagine-linked carbohy- D. grandiflora as well as the lectins from the other species
drates, but lower affinity for biantennary complex of the Diocleinae tribe effectively inhibited the adherence of
carbohydrates. The thermodynamics of D. grandiflora lectin the microorganisms, suggesting the lectins could be useful in
binding to deoxy analogs of the core trimannoside and to a anti-adhesion therapeutics (Teixeira et al., 2006).
biantennary complex carbohydrate determined by isothermal Lectin extracted from D. grandiflora was compared to Con
titration microcalorimetry showed that it recognizes specific A on the stimulation of lymphocyte proliferation and
hydroxyl groups of the trimannoside similar to that of Con A interferon gamma production by peripheral blood mono-
(Dam et al., 1998a; Rozwarski et al., 1998). In addition, the nuclear cells from normal volunteers. D. grandiflora lectin
thermodynamics data of binding of D. grandiflora lectin to a was able to induce intermediate levels of lymphocyte
complete set of monodeoxy analogs of the core trimannoside proliferation and stimulation of interferon gamma production
as well as a tetradeoxy analog also determined by isothermal when compared to that of Con A (Barral-Netto et al., 1992).
titration microcalorimetry showed that D. grandiflora lectin In another comparative study using Con A and D. grandiflora
recognizes the 2-, 3-, 4- and 6-hydroxyl groups of the a(1,6) lectin, the evaluation of peritoneal macrophage stimulation
Man residue, the 3- and 4-hydroxyl group of the a(1, 3) Man (rapid spreading on glass surface and hydrogen peroxide
residue, and the 2- and 4-hydroxyl groups of the central Man production) and inflammatory reaction (leukocyte accumula-
residue of the trimannoside. Despite the similarity in the tion) in C3H/HeJ mice revealed that the lectins improved
overall pattern of data for D. grandiflora lectin binding to the macrophage spreading three- to four-fold at 24–72 h and
deoxy analogs and Con A, there are differences in the data for stimulation of hydrogen peroxide release by Con A and
certain monodeoxy analogs binding to the two lectins and also D. grandiflora lectin that lasted 1 and 3 d, respectively. Con A
in the thermodynamics of binding of D. grandiflora lectin and induced a moderate increase in the total number of peritoneal
Con A to a biantennary complex carbohydrate (Dam et al., mononuclear cells, whereas administration of D. grandiflora
1998b). lectin increased the number of peritoneal cells two- to
Selectins are a family of cell adhesion molecules important three-fold (Rodriguez et al., 1992).
for leukocyte recruitment in inflammation. Because they Lectin from D. grandiflora was also compared with Con A
possess a lectin domain present in their structure, it has been for their ability to induce paw edema and peritoneal cell
postulated that plant lectin anti-inflammatory activity is immigration in rats. With a peak at 1 h after injection, Con A
probably the result of a competitive blockage of a common produced a slight edema, while D. grandiflora lectin induced
leukocyte and/or endothelial selectin carbohydrate ligand. a stronger and long-lasting edema with peak at about 6 h. The
The investigation of the anti-inflammatory activity of use of different anti-inflammatory drugs revealed that a-D-
mannose-glucose binding lectins from species belonging to glucose partially blocked the edema caused by Con A but did
the Diocleinae tribe (e.g., D. guianensis Benth., D. violacea not reduce the edema induced by D. grandiflora lectin, while
Mart. ex Benth., D. virgata Amsh. and Canavalia brasiliensis a-methyl mannoside blocked the edema caused by
Mart. ex Benth.) revealed that D. grandiflora lectin did not D. grandiflora lectin and Con A. At doses much lower than
exert any inhibitory effect on neutrophil migration, whereas those used to induce paw edema, the lectins promoted an
DOI: 10.3109/13880209.2012.755208 Overview of D. grandiflora 665
intense accumulation of neutrophil and mononuclear cells in present in D. grandiflora represent a rich investigative field as
the rat peritoneal cavity and D. grandiflora lectin was more this class of polyphenolic compounds have been reported to
potent than Con A. Despite the physicochemical similarities exert many biological actions such as anti-allergic, anti-
between the lectins, D. grandiflora lectin exhibited stronger inflammatory, anti-microbial and antioxidant activities.
pro-inflammatory effects than Con A. Such difference seems Extracts obtained from different parts of D. grandiflora
to be related to their sugar-binding properties (Bento et al., have shown that this plant is a potential pharmaceutical and
1993). Further studies showed that D. grandiflora lectin, therapeutic source, particularly with respect to its antinoci-
when subcutaneously injected in mouse, induced inflamma- ceptive activity. Despite the information available in the
tory cutaneous reaction whose histological analysis revealed literature regarding the biological activities of D. grandiflora,
hemorrhagic ulceration with exudative reaction accompanied further toxicological assessments need to be carried out,
by an influx of polymorphonuclear leukocytes and giant cells. namely long-term toxicological studies, in order to ensure a
It was suggested that D. grandiflora lectin acted as an safe use of this medicinal plant.
inflammatory agent probably promoting exocytosis and
release of mediators (Silva Lima et al., 1993).
Declaration of interest
Toxicology The authors report no declarations of interest.
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