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PHARMACEUTICAL AND BIOLOGICAL EVALUATIONS

February 2017; Vol. 4 (Issue 1): 37-46.


www.onlinepbe.com ISSN 2394-0859

Research Article

Antihypertensive activity of Beta vulgaris on dexamethasone


induced hypertension in rats
Dignesh Patel1, Rupali Patil1, Alkesh Patel2*
1
Department of Pharmacology, M. G. V.’S Pharmacy College, Panchavati, Nashik, India
2
Department of Pharmacology, Parul Institute of Pharmacy, Vadodara, India

*For correspondence ABSTRACT


Mr. Alkesh Patel,
Department of Pharmacology, Objective: Investigation of methanolic extract for detecting the presence
Parul Institute of Pharmacy, of Betanin by phytochemical analysis, to induce experimental
Vadodara, India.
hypertension and to carry out measurement of BP by invasive (direct)
Email: alkesh.patel@
paruluniversity.ac.in
method (IBP) and vascular reactivity to various catecholamines after
completion of treatment schedule.
Methods: The animals were divided into six main groups. Each group
contains 5 animals. Group I received vehicle , group II received
dexamethasone injection (20 µg/kg/day, s.c.) for 14 days , group III
received extract of Beta vulgaris (100 mg/kg/day, p.o.) for 14 days ,
group IV received extract of Beta vulgaris (300 mg/kg/day, p.o.) for 14
days , group V received dexamethasone injection (20 ug/kg/day, s.c.) and
extract of Beta vulgaris (100 mg/kg/day, p.o.) for 14 days and group VI
received dexamethasone (DEXA) injection (20 µg/kg/day, s.c.) and
extract of Beta vulgaris (300 mg/kg/day, p.o.) for 14 days. After 14 days
of dosing period body weight, ECG and changes in vascular reactivity to
various catecholamines were recorded using Powerlab 4SP (AD
Instrument, Australia).
Results: Animals treated with dexamethasone along with Beta vulgaris
(100 and 300 mg/kg p.o. for 14 days) showed a significant (p<0.05)
decrease in heart rate compared to Dexamethasone treated group.
Dexamethasone administered rats showed a significant elevation
(p<0.05) in systolic blood pressure (SBP), vascular reactivity changes to
Catecholamine as compared to control group. Beta vulgaris extract (100,
300 mg/kg/day, p.o.) treatment for 14 days in dexamethasone
administered rats significantly (p<0.05) reduced systolic blood pressure,
vascular reactivity changes to catecholamines as compared to
dexamethasone administered group.

Received: 29 December 2016


Conclusions: The methanolic-HCl extract of Beta vulgaris has
Revised: 16 January 2017 antihypertensive activity in dexamethasone model.
Accepted: 27 January 2017 Keywords: Hypertension, Dexamethasone, Beta vulgaris

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Patel D. et al. Pharmaceutical and Biological Evaluations 2017; Vol. 4 (1): 37-46.

Introduction libitum. The experiment was carried out


according to the guidelines of the Committee for
Hypertension is defined conventionally as a the Purpose of Control and Supervision of
sustained increase in blood pressure up to Experiments on Animals (CPCSEA), New
140/90 mmHg. Hypertension is the prevalent Delhi, India, and approved by the MGV’s
cause of cardiovascular disease that leads to Institutional Animal Ethics Committee (Protocol
heart failure, stroke, renal failure and ultimately number: MGV/PC/XXVI/01/2011-12).
death. The syndrome of hypertension is more Drugs and chemicals
than just an elevation of arterial pressure,
although it is this aspect that the general public Adrenaline (Adr), noradrenaline (NA),
is most familiar. The occurrence of hypertension phenylephirne (PE), serotonin (5-HT) and
increases with old age. About 50% of people Urethane were purchased from Sigma-Aldrich,
between the ages of 60 and 69 years old found st. Louis, MO, USA. All other chemicals used in
with hypertension, and the prevalence is further the study were of analytical grade.
increased beyond age 70.1 The striking impact of
aging was seen among participants in the Plant
Framingham Heart Study in that normotensive
Roots of Beta vulgaris were obtained from local
person at either age 55 or 65 after 20 years
market, Nasik and were identified by Dr. J.
follow-up it was found that, hypertension
Jayanti, Scientist, Botanical Survey of India,
developed in 90% of those who were now aged Pune where a voucher specimen (DRP-1) has
75 or 85 (providing 2 cohorts).2 Hypertension been retained.
caused 57% of all stroke deaths and 24% of all
coronary heart disease deaths in India.3 Preparation of extract6
High blood pressure (BP) is estimated to account The extraction was carried out by maceration
for 6% of deaths worldwide and is the most process. Roots of Beta vulgaris (1 kg) were
common treatable risk factor for cardiovascular purchased from local market, cleaned with
disease (CVD).4 During the last 3 decades, water. The roots were uniformly chopped. The
hypertension therapy has improved well, chopped pieces were subjected to maceration
contributing to a decrease in the incidence of with 1% methanolic HCl for two days with
mortality due to stroke and coronary heart frequent shaking the macerating flask. The
disease (CHD). macerated product was then air dried for
removal of methanol (yield: 5.2% w/w).
According to analysis of worldwide data for the
global burden of Hypertension, 20.6% of Indian Phytochemical investigation6
men and 20.9% of Indian women were suffering
from HTN in 2005 that is expected reach up to 1. The extracted samples were heated in 2 M
22.9%and 23.6% for Indian men and women, HCl for 5 min at 100º C. The colour was
respectively by 2025.5 vanished, this showed the presence of
betacyanin.
Materials and Methods 2. To the extracted sample solution 2M NaOH
was added drop wise and the colour changed
Animals to yellow, which shows the presence of
Adult male albino Wistar rats of either sex, betacyanin.
weighting 150-200 g, obtained from Bharat Acute toxicity study
Serum and Vaccines Ltd., Thane, India, were
used for the study. They were housed in Acute toxicity study was performed according to
polypropylene cages lined with husk, renewed OECD guideline 425 for oral dose in that Beta
every 48h under 12:12 h light dark cycle at vulgaris extract dissolved in water and
around 25 ± 5°C. They were fed with administered at 2000 mg/kg dose and observed.
commercial pellet rat chow and given water ad
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Patel D. et al. Pharmaceutical and Biological Evaluations 2017; Vol. 4 (1): 37-46.

After administration, Irwin’s test was conducted c. Vascular reactivity to Catecholamines9


in which animals were observed for gross
behavioral changes like responsiveness, The animals were anesthetized with urethane
awareness, irritability, passivity, grooming, and (120 mg/100 gm). The body temperature was
restlessness with neurological profile like monitored and maintained at 37°C during the
spontaneous motor activity, reactivity and experimental protocol. The neck was opened
tremor, touch and pain stimuli response was also with a ventral midline incision to perform
evaluated. Autonomic profile like writhing, tracheotomy and rat was ventilated with room
defecation and urination was evaluated. air. The left femoral vein was used for infusion
of saline and various catecholamines during the
Experimental design experiment. The right carotid artery was
cannulated and the cannula was filled with
The animals were divided into six main groups. heparinized saline (100 IU/ml) and using
Each group contains 5 animals. Group I received pressure transducer the systolic blood pressure
vehicle, group II received dexamethasone was recorded. The animals were allowed to
injection (20 mcg/kg/day, s.c.) for 14 days, stabilize for 15 min before recording the ECG
group III received extract of Beta vulgaris (100 and heart rate and after that vascular reactivity to
mg/kg/day, p.o.) for 14 days, group IV received Adr (1 µg/kg) , NA (1 µg/kg), PE (1 µg/kg) and
extract of Beta vulgaris (300 mg/kg/day, p.o.) 5-HT (1 µg/kg) were recorded.
for 14 days, group V received dexamethasone
injection (20 mcg/kg/day, s.c.) and extract of Results and Discussion
Beta vulgaris (100 mg/kg/day, p.o.) for 14 days
and group VI received dexamethasone injection Acute toxicity study
(20 mcg/kg/day, s.c.) and extract of Beta
vulgaris (300 mg/kg/day, p.o.) for 14 days. After At the dose of 2000 mg/kg, no any sign of
14 days of dosing period body weight, ECG and toxicities were found in all animals.
changes in vascular reactivity to various
catecholamines were recorded using Powerlab Heart rate
4SP (AD Instrument, Australia).
The heart rate in control animals was recorded
Estimation of parameters as 237.7 ± 13.74 beats per minute. The DEXA
administered group exhibited significant
a. Measurement of invasive blood pressure increase in heart rate compared to control
animals. Animals treated with DEXA along with
After completion of treatment schedule, rats Beta vulgaris (100 and 300 mg/kg p.o. for 14
from each group were anesthetized with days) showed a significant (p<0.05) decrease in
urethane (120 mg/100 g). Tracheotomy was
heart rate compared to DEXA treated group.
performed; left common carotid artery was
cannulated and means arterial blood pressure
was recorded using pressure transducer direct
method on chart data system (Power Lab/4sp
AD Instrument, Australia). Heparinized saline
(100 IU/ml) was filled in the transducer and in
the fine polyethylene catheter cannulated to the
carotid artery to prevent clotting. After 15 min
of stabilization, mean arterial blood pressure and
heart rate were recorded.7

b. Pressure-rate index (PRI)

The PRI, a parameter used as an index of Figure 1: Effect of Beta vulgaris on heart rate
myocardial oxygen demand, was calculated as in dexamethasone induced hypertension in
the product of MABP x HR/10008. rats.

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Patel D. et al. Pharmaceutical and Biological Evaluations 2017; Vol. 4 (1): 37-46.

All values are expressed as mean ± SEM, n=5. All data are significant (p<0.05) decrease in PRI compared
subjected to One-Way ANOVA followed by Dunnett’s test. to DEXA treated group.
* p<0.05 when compared to control and # p<0.05 when
compared to DEXA group. Vertical lines represent SEM.
CTR: Control. DEXA: Dexamethasone. BV: Beta vulgaris.

Figure 3: Effect of Beta vulgaris on pressure


Figure 2: Effect of Beta vulgaris on mean rate index in dexamethasone induced
invasive blood pressure in dexamethasone hypertension in rats.
induced hypertension in rats. All values are expressed as mean ± SEM, n=5. All data are
subjected to One-Way ANOVA followed by Dunnett’s test.
All values are expressed as mean ± SEM, n=5. All data are * p<0.05 when compared to control and # p<0.05 when
subjected to One-Way ANOVA followed by Dunnett’s test. compared to DEXA group. Vertical lines represent SEM.
* p<0.05 when compared to control and # p<0.05 when CTR: Control. DEXA: Dexamethasone. BV: Beta vulgaris.
compared to DEXA group. Vertical lines represent SEM. PRI: Pressure rate index.
CTR: Control. DEXA: Dexamethasone. BV: Beta vulgaris.
MIBP: Mean invasive blood pressure.
Vascular Reactivity to Catecholamines
Measurement of invasive blood pressure (mean a. Effect of Beta vulgaris on adrenaline (1
arterial blood pressure) mcg/kg i.v.) induced change in vascular
The blood pressure in control animals was reactivity.
recorded as 73.6 ± 5.87 mmHg. The DEXA The increase in blood pressure by adrenaline (1
administered group showed significant increase
mcg/kg i.v.) in control animals was recorded at
in the blood pressure compared to control 78.2 ± 2.728 mmHg. The DEXA administered
animals. No significant alterations in blood group exhibited significant increase in the blood
pressure were observed in the animals treated pressure compared to control animals. No
with Beta vulgaris (100 and 300 mg/kg p.o. for significant alterations were found in animals
14 days) compared to control animals. Rats treated with Beta vulgaris (100 and 300 mg/kg
treated with DEXA along with Beta vulgaris p.o. for 14 days). Rats treated with DEXA along
(100 and 300 mg/kg p.o. for 14 days) showed a with Beta vulgaris (100 and 300 mg/kg p.o. for
significant (p<0.05) decrease in blood pressure
14 days) showed a significant (p<0.05) decrease
compared to DEXA treated group. in blood pressure compared to DEXA treated
Pressure-rate index (PRI) group.

The PRI in control animals was recorded as b. Effect of Beta vulgaris on noradrenaline (1
17.68 ± 2.124 mmHg/min. The DEXA mcg/kg i.v.) induced change in vascular
administered group significantly increases the reactivity.
PRI as compared to control animals. Animals The increase in blood pressure by NA (1 mcg/kg
treated with DEXA along with Beta vulgaris i.v.) in control animals was recorded as 92.4 ±
(100 and 300 mg/kg p.o. for 14 days) showed a
2.977 mm of Hg. The DEXA administered

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Patel D. et al. Pharmaceutical and Biological Evaluations 2017; Vol. 4 (1): 37-46.

group exhibited significant increase in the blood compared to DEXA group. Vertical lines represent SEM.
pressure compared to control animals. Animal CTR: Control. DEXA: Dexamethasone. BV: Beta vulgaris.
MIBP: Mean invasive blood pressure.
group treated with Beta vulgaris (300 mg/kg p.o.
for 14 days) per se showed significant decrease c. Effect of Beta vulgaris on phenylephrine
in blood pressure compared to control group. (1mcg/kg i.v) induced change in vascular
Rats treated with DEXA along with Beta reactivity
vulgaris (100 and 300 mg/kg p.o. for 14 days)
showed a significant (p<0.05) decrease in blood The increase in blood pressure by PE (1 mcg/kg
pressure compared to DEXA treated group. i.v.) in control animals was recorded as 91 ±
3.194 mmHg. The DEXA administered group
120 * # exhibited significant increase in the blood
#
Mean IBP(mm of Hg)

100 pressure compared to control animals. Animal


80
60 group treated with Beta vulgaris (300 mg/kg p.o.
40 for 14 days) per se showed significant decrease
20 in blood pressure compared to control group.
0
Rats treated with DEXA along with Beta
vulgaris (100 and 300 mg/kg, p.o. for 14 days)
showed a significant (p<0.05) decrease in blood
pressure compared to DEXA treated group.
Treatment Groups

Figure 4: Effect of Beta vulgaris on


adrenaline (1 mcg/kg i.v.) induced change in
vascular reactivity.
All values are expressed as mean ± SEM, n=5. All data are
subjected to One-Way ANOVA followed by Dunnett’s test.
* p<0.05 when compared to control and # p<0.05 when
compared to DEXA group. Vertical lines represent SEM.
CTR: Control. DEXA: Dexamethasone. BV: Beta vulgaris.
MIBP: Mean invasive blood pressure.
Figure 6: Effect of Beta vulgaris on
phenylephrine (1 mcg/kg i.v) induced change
in vascular reactivity.
All values are expressed as mean ± SEM, n=5. All data are
subjected to One-Way ANOVA followed by Dunnett’s test.
* p<0.05 when compared to control and # p<0.05 when
compared to DEXA group. Vertical lines represent SEM.
CTR: Control. DEXA: Dexamethasone. BV: Beta vulgaris.
MIBP: Mean invasive blood pressure.

d. Effect of Beta vulgaris on 5-HT (1 mcg/kg i.v.)


induced change in vascular reactivity.

The increase in blood pressure by 5-HT (1


Figure 5: Effect of Beta vulgaris on mcg/kg i.v.) in control animals was recorded as
noradrenaline (1 mcg/kg i.v.) induced change 59 ± 4.794 mm of Hg. The DEXA administered
in vascular reactivity. group exhibited significant increase in the blood
pressure compared to control animals. Animal
All values are expressed as mean ± SEM, n=5. All data are group treated with Beta vulgaris (300 mg/kg p.o.
subjected to One-Way ANOVA followed by Dunnett’s test.
* p<0.05 when compared to control and # p<0.05 when
for 14 days) showed significant decrease in
blood pressure compared to control group. Rats
©Pharmaceutical and Biological Evaluations 41
Patel D. et al. Pharmaceutical and Biological Evaluations 2017; Vol. 4 (1): 37-46.

treated with DEXA along with Beta vulgaris treatment is affordable for the hypertension and
(100 and 300 mg/kg p.o. for 14 days) showed a many of the cardiovascular diseases.
significant (p<0.05) decrease in blood pressure
compared to DEXA treated group. Despite of the vast literature of drugs being
available for the treatment of hypertension, the
Hypertension is the most common primary last two decades have observed the introduction
diagnosis and most common cause of death in of a large number of newer antihypertensive
the United States. The incidence and prevalence drugs. The worldwide increasing demand for
of hypertension is about 50% higher in African- medicine from natural sources has prompted to
American adults compared with their search for plants with potential antihypertensive
counterparts who are white or Mexican- effect. Beta vulgaris (Beet root) is claimed to
American.10 It is estimated that 50 million possess potential antioxidants betanin and also
Americans are affected by hypertension. Of the inorganic nitrite which are claimed to have a
these 50 million, only 70% (35 million) are good antihypertensive activity.12
aware of their condition. In addition, only 50%
(17.5 million) of those aware of their condition Several models have been proposed for the
are receiving treatment. Remarkably, only 25% induction of hypertension in rats. Here in the
of all hypertensive patients have their blood present study dexamethasone was used for the
pressure under control.11 The life-long risk of induction of hypertension in rats.
developing hypertension in normotensives after Dexamethasone has been proposed to induce
the sixth decade of life is approximately 90%. hypertension by several pathways. Hypertension
may be associated with an increase in oxidative
stress as a possible mechanism for the increased
vascular tone and organ injury. It was also
reported that an increased production of reactive
oxygen species and endothelial cell death in the
microcirculation were the causes of hypertension
in rats.

Tracings

Figure 7: Effect of Beta vulgaris on 5-HT (1


mcg/kg i.v.) induced change in vascular
reactivity.
All values are expressed as mean ± SEM, n=5. All data are
subjected to One-Way ANOVA followed by Dunnett’s test.
* p<0.05 when compared to control and # p<0.05 when
compared to DEXA group. Vertical lines represent SEM.
CTR: Control. DEXA: Dexamethasone. BV: Beta vulgaris.
MIBP: Mean invasive blood pressure.

According to one survey, only 25% of the


people taking modern treatment of hypertension
are able to keep their arterial BP within normal
range. The reasons for this are many, including
the adverse effects of drugs and relatively high
cost of treatment. The Ayurvedic approach gives
emphasis on the individualization of the
treatment and it also makes sure that the Figure 8: Tracing of MIBP record of control
group.

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Patel D. et al. Pharmaceutical and Biological Evaluations 2017; Vol. 4 (1): 37-46.

It was hypothesize that xanthine oxidase (XO) Although there are no published data on the role
may be a potential source of oxidants induced by of NO based on acute NO synthase blockade or
glucocorticoid induced hypertension. sequential blockade of vasoactive systems in
Mammalian cells are capable of generating DEX-HT, there is accumulating evidence
metabolites of oxygen, referred to as reactive suggesting a role for NO deficiency in the
oxygen species (ROS) via the action of several pathogenesis of DEX-HT. Plasma nitrate/nitrite,
enzymes. In vascular cells, ROS are a marker of total body NO synthesis, are reduced
predominantly produced by the NADPH in rats and mice made hypertensive by
oxidases, uncoupled nitric oxide synthase, dexamethasone treatment. The reduced
xanthine oxidase and by mitochondrial sources. availability of NO might result from a range of
In hypertension, ROS production by these influences on the NO biosynthetic pathways: i)
sources is increased, and this not only alteration in the activity and expression of NO
contributes to hypertension, but also causes synthases ii) decreased availability of
vascular disease and dysfunction. ROS tetrahydrobiopterin (BH4), a NOS cofactor, iii)
production in other organs, particularly the decreased NO precursor L-arginine and iv)
kidney and the centers within the brain, likely increased NO removal via its interaction with
participate in blood pressure regulation13. superoxide to form peroxynitrite14. Ingestion of
Perturbations in the various pathophysiological dietary nitrate (beetroot juice) results in
systems affecting blood pressure such as plasma increased plasma nitrite concentration via
volume, renin-angiotensinaldosterone system, bioconversion in vivo. This bioactive nitrite
sympathetic activity, vasopressor and substantially decreases BP, inhibits platelet
vasodepressor systems have been proposed as aggregation and prevents endothelial
contributing to dexamethasone-induced dysfunction in healthy volunteers. These
hypertension. findings suggest that dietary nitrate likely plays
a major role in mediating the beneficial effects
of a vegetable-rich diet. Beetroot commonly
have high inorganic nitrate (NO3−) content. In
humans, following absorption through the
stomach wall, ~25% of consumed nitrate enters
the enterosalivary circulation where it is reduced
to nitrite (NO2−) by bacterial nitrate reductases
from facultative anaerobes on the dorsal surface
of the tongue. This nitrite is swallowed and in
the acidic environment of the stomach is reduced
to nitric oxide (NO) or re-enters the circulation
as nitrite. Indeed, it has been hypothesized that
dietary nitrate represents an intravascular source
of the pleiotropic, vasoprotective molecule nitric
oxide (NO), that supplements conventional NO
generation by NO synthases.15

The DEXA administered group showed


significant increase in the blood pressure
compared to control animals. Normal animals
treated with Beta vulgaris (100 and 300 mg/kg)
showed normal blood pressure. Rats treated with
Beta vulgaris (100 and 300 mg/kg p.o. for 14
days) and DEXA a showed a significant
Figure 9: Tracing of MIBP record of DEXA
(p<0.05) decrease in blood pressure compared to
group.
DEXA treated group.

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Patel D. et al. Pharmaceutical and Biological Evaluations 2017; Vol. 4 (1): 37-46.

Figure 10: Tracing of MIBP record of BV 100


mg/kg group.

Figure 12: Tracing of MIBP record of DEXA


+ BV 100 mg/kg group.

Figure 11: Tracing of MIBP record of BV 300


mg/kg group.

Figure 13: Tracing of MIBP record of DEXA


+ BV 300 mg/kg group.

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Patel D. et al. Pharmaceutical and Biological Evaluations 2017; Vol. 4 (1): 37-46.

For pressure rate index the DEXA administered group. Beta vulgaris extract (100, 300
group significantly increase the PRI as mg/kg/day, p.o.) treatment for 14 days in
compared to control animals. Animals treated dexamethasone administered rats significantly
with DEXA along with Beta vulgaris (100 and (p<0.05) reduced systolic blood pressure,
300 mg/kg p.o. for 14 days) showed a vascular reactivity changes to Adr, NA, PE, and
significant (p<0.05) decrease in PRI compared 5-HT as compared to dexamethasone
to DEXA treated group. For heart rate the administered group. The basal arterial blood
DEXA administered group significantly increase pressure, pressor responses to Adr, NA, PE and
in heart rate as compared to control animals. 5-HT were not significantly altered in Beta
Animals treated with DEXA along with Beta vulgaris extract (100, 300 mg/kg/day, p.o)
vulgaris (100 and 300 mg/kg p.o. for 14 days) treated rats as compared to control rats .
showed a significant (p<0.05) decrease in heart
rate compared to DEXA treated group. Thus in conclusion the methanolic-HCl extract
of Beta vulgaris has antihypertensive activity in
For vascular reactivity to catecholamines, the dexamethasone model.
DEXA administered group exhibited significant
increase in the blood pressure compared to Funding: No funding sources
control animals. Normal animals treated with Conflict of interest: None declared
Beta vulgaris (100 and 300 mg/kg p.o. for 14
days) showed normal blood pressure. Rats References
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