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PHYTOTHERAPY RESEARCH

Phytother. Res. 18, 706–712 (2004)


706 Published online in Wiley InterScience (www.interscience.wiley.com).
B. V. MANYAM ET AL. DOI: 10.1002/ptr.1514

Neuroprotective Effects of the Antiparkinson


Drug Mucuna pruriens

Bala V. Manyam1*, Muralikrishnan Dhanasekaran1 and Theodore A. Hare2


1
Department of Neurology, Scott & White Memorial Hospital and Clinic; Scott, Sherwood and Brindley Foundation; and the
Texas A&M University System, Health Science Center College of Medicine, Temple, TX, USA
2
Department of Chemistry and Biochemistry, Messiah College, Grantham, PA, USA

Mucuna pruriens possesses significantly higher antiparkinson activity compared with levodopa in the 6-
hydroxydopamine (6-OHDA) lesioned rat model of Parkinson’s disease. The present study evaluated the
neurorestorative effect of Mucuna pruriens cotyledon powder on the nigrostriatal tract of 6-OHDA lesioned
rats. Mucuna pruriens cotyledon powder significantly increased the brain mitochondrial complex-I activity but
did not affect the total monoamine oxidase activity (in vitro). Unlike synthetic levodopa treatment, Mucuna
pruriens cotyledon powder treatment significantly restored the endogenous levodopa, dopamine, norepinephrine
and serotonin content in the substantia nigra. Nicotine adenine dinucleotide (NADH) and coenzyme Q-10,
that are shown to have a therapeutic benefit in Parkinson’s disease, were present in the Mucuna pruriens
cotyledon powder. Earlier studies showed that Mucuna pruriens treatment controls the symptoms of Parkinson’s
disease. This additional finding of a neurorestorative benefit by Mucuna pruriens cotyledon powder on the
degenerating dopaminergic neurons in the substantia nigra may be due to increased complex-I activity and the
presence of NADH and coenzyme Q-10. Copyright © 2004 John Wiley & Sons, Ltd.

Keywords: Mucuna pruriens; Parkinson’s disease; complex-I activity; neuroprotection; nigrostriatal tract; 6-hydroxydopamine;
NADH and coenzyme Q-10.

tion following 6-hydroxydopamine (Beal, 1998). Vari-


INTRODUCTION ous neurotoxic mechanisms are implicated in
6-hydroxydopamine-induced neuronal impairment
Parkinson’s disease is a degenerative neurological dis- resulting in the development of a valid model for
order that is prevalent throughout the world. The very Parkinson’s disease to test various drugs and formula-
first description and treatment of Parkinson disease tions for its antiparkinson activity (Kaakkola and
was found in Ayurveda, the ancient Indian medical Teravainen, 1990).
system under the name Kampavata (Manyam, 1990). The major drug in the treatment of Parkinson’s
Numerous factors including reactive oxygen species disease is levodopa, the physiological amino acid pre-
induced damage, excitotoxicity, mitochondrial dysfunc- cursor of dopamine. Levodopa has been reported to
tion and inflammation-mediated cell injury are consid- be neurotoxic in vitro (Basma et al., 1995) and impairs
ered in the etiology of this disorder (Reiss and Kruger, the survival of metabolically stressed neurons in vivo
1999). Neuronal toxins such as 6-hydroxydopamine (Naudin et al., 1995). Levodopa dose-dependently
(Ungerstedt and Arbuthnott, 1970), 1-methyl-4-phenyl- increased hydroxyl radical formation leading to the
1, 2,3,6-tetrahydropyridine (Langston et al., 1984) and inhibition of mitochondrial complex-I activity (Smith
rotenone (Jenner, 2001) can induce Parkinsonism in et al., 1994). There is evidence that levodopa treatment
animals. is not toxic (Murer et al., 1998). Mucuna pruriens
6-Hydroxydopamine-induced neurotoxicity is medi- seeds contain a small amount of levodopa in addition
ated by its ability to inhibit complex-I, leading to the to other unknown compounds and have been used in
mitochondrial energy crisis of adenosine triphosphate the treatment of Parkinson’s disease patients in
(ATP) depletion and generation of reactive oxygen Ayurvedic medicine (Manyam, 1990).
species. 6-Hydroxydopamine also inhibits tyrosine A distinctive approach for the treatment of Parkinson
hydroxylase, which is the rate-limiting enzyme for disease was the reduced form of nicotinamide aden-
dopamine synthesis (Perese et al., 1989). N-methyl-d- ine dinucleotide (NADH) to increase mitochondrial
aspartate mediated toxicity and calcium accumulation complex-I activity and endogenous dopamine syn-
are also involved in dopaminergic neurodegenera- thesis, since NADH indirectly supplies reducing
equivalents to the rate-limiting tyrosine hydroxylase-
* Correspondence to: Dr B. V. Manyam, Department of Neurology, Scott catalysed step of dopamine synthesis (Birkmayer and
& White Clinic/Texas A&M University, 2401 South 31st Street, Temple, Birkmayer, 1989). The primary role of NADH is in
Texas, 76508 USA. the electron transport chain to synthesize the high-
E-mail: bmanyam@swmail.sw.org energy molecule, ATP. In earlier studies with the raw
Contract/grant sponsor: National Institutes of Health Office of Alter-
native Medicine; Contract/grant number: RFA 00-93-002.
powder obtained from Mucuna pruriens, increased
Contract/grant sponsor: Helen Vosburg McCrillus Plummer and Robert dopamine synthesis was shown (Manyam et al., in press).
Edward Lee Plummer, Jr. Endowed Fund. Coenzyme Q-n (ubiquinone, 2-methyl-5, 6-dimethoxy-1,
Copyright © 2004 John Wiley & Sons, Ltd. Received
Phytother. 23706–712
Res. 18, February(2004)
2004
Accepted 21 April 2004
Copyright © 2004 John Wiley & Sons, Ltd.
MUCUNA PRURIENS ON 6-OHDA NEUROTOXICITY 707

4-benzoquinone) is a biologically occurring fat-soluble Validation of the Parkinson’s disease model. The
quinone and is vital to the optimal functioning of an efficacy of 6-hydroxydopamine lesions was tested
organism. Coenzyme Q-10 primarily helps to transfer with amphetamine 1 week after surgery at a dose of
electrons between redox components of the electron 2.5 mg/kg. i.p. and 5 mg/kg i.p., and during weeks 2–4
transport chain to form a proton gradient across using an automated rotometer for rotational behavior
the inner mitochondrial membrane to synthesize ATP. (Ungerstedt and Arbuthnott, 1970). Following admin-
Numerous studies have confirmed that patients with istration of amphetamine, the rats were placed in trans-
Parkinson’s disease have reduced complex-I activity in lucent plastic buckets and allowed to rotate. With the
the brain and platelets. Platelet mitochondria from destruction of nigrostriatal dopaminergic neurons
parkinsonian patients were found to have lower levels on the right side, amphetamine induces the animals
of coenzyme Q-10 than mitochondria from age/sex- to turn ipsilaterally. The number of complete rota-
matched controls (Gotz et al., 2000). Coenzyme Q-10 tions, ipsilateral and contralateral to the side of 6-
is also known as ubiquinone due to its ubiquitous pres- hydroxydopamine lesions was recorded. Rats having
ence. This study investigated the presence of NADH more than seven ipsilateral rotations per minute were
and coenzyme Q-10 in Mucuna pruriens cotyledon considered to be valid animal models of Parkinson’s
powder. disease.
Mucuna pruriens belongs to the family Leguminosae
and is a twiner with trifoliate leaves, purple flowers and Mucuna pruriens cotyledon powder treatment. Mucuna
pods covered with hairs. Seeds from Mucuna pruriens pruriens cotyledon powder was prepared in a single
(Atmagupta) have been described as a useful therapeu- batch from the same harvest of organically cultivated
tic agent in various diseases of the human nervous and plant material (free of foreign material), uniformly
reproductive system including Parkinson’s disease in mixed to maintain consistency of active compounds
the ancient Indian medical system, Ayurveda. The pres- required and shipped to our location. Validated 6-
ence of a small amount of levodopa in Mucuna pruriens hydroxydopamine treated rats were randomized to five
seeds is known, however, the amount of Mucuna groups (n = 6, each group). Mucuna pruriens cotyledon
pruriens seed preparation used by the Ayurvedic phy- powder at 2.5 or 5.0 g/kg/day dose or synthetic levodopa
sicians was much too small to account for the improve- 125 or 250 mg/kg body wt/day were blended with
ment of Parkinson’s disease symptoms in the patients. powdered rat chow and administered orally ad libitum
Mucuna pruriens seeds, in addition to levodopa, for 4 weeks prior to necropsy. The dose of levodopa
contain several known compounds. However, none was kept constant whether in the ‘synthetic’ or the
of the compounds have proven antiparkinson activity. ‘natural’ form, as the Mucuna pruriens cotyledon
The details are discussed elsewhere (Manyam et al., in powder at a dose of 2.5 g contained 125 mg of levodopa
press). Mucuna pruriens showed significantly higher and the 5.0 g dose contained 250 mg of levodopa
antiparkinson activity compared with levodopa in the (Mahajani et al., 1996). The control group received
6-hydroxydopamine lesioned rat model of Parkinson’s no drug and was fed only powdered rat chow (Purina
disease (Hussain and Manyam, 1997). Mucuna pruriens Mills, Inc.). The mean body weight and the mean
has proven to be effective in the treatment of patients feed intake were used to calculate the amount of drugs
with Parkinson’s disease in modern times (HP-200 in for each group of animals. Brains were removed and
Parkinson’s Disease Study Group, 1995). The present immediately frozen following 4 weeks of treatment.
study examines the neuroprotective effects of Mucuna They were stored at −70 °C until analysis.
pruriens cotyledon powder on 6-hydroxydopamine-
induced neurotoxicity in the rat brain. Neurochemical determinations. The frozen brain
sections were thawed and further sectioned to obtain
striatum and substantia nigra. Each of the above
tissues (0.1–0.3 g net weight) was homogenized in
MATERIALS AND METHODS 0.1 N perchloric acid (105 µL). After centrifugation, the
clear supernatant (25–75 µL) was processed for further
Animals. Male Sprague-Dawley rats were purchased analysis. The HPLC-electrochemical detector method
from Harlan Sprague-Dawley (Indianapolis, IN). The was used for all estimations of neurotransmitters and
weight of the animals at the start of the study was in its metabolites. The system consisted of a Coulochem
the range of 200–225 g and the animals were housed electrode Array ESA460 HPLC with auto-sampler
two per cage, at 25° ± 2 °C and humidity was main- equipped with Neslab refrigerated circulating water bath
tained at 55%. Water was available ad libitum and to control temperature below 4 °C during the automated
12 h day/night cycles were maintained. All the animal run. The gradient elution was performed using two ESA
procedures were conducted in compliance with the 420 dual piston HPLC pumps and Kontron M800 gra-
United States National Institutes of Health Guide for the dient mixer. The C18 (Octadecyl silica) column 3 µm,
Care and Use of Laboratory Animals after obtaining 8 cm × 4.6 mm (i.d.) was used for the separation of the
approval from the Institutional Animal Experimenta- monoaminergic neurotransmitters and its metabolites.
tion Committee.
Preparation of mitochondrial (P2) fraction. Mito-
6-Hydroxydopamine lesioning. 6-Hydroxydopamine was chondrial (P2) fraction was obtained by homogenizing
injected into the right hemisphere following anesthesia the whole rat brain, with a glass-teflon homogenizer
using a stereotaxic frame (David Kopf Instruments, in 0.32 m sucrose in cold 10 mm potassium phosphate
Tujunga, CA) in the established manner (Perese et al., buffer (pH 7.2). The homogenate was centrifuged at
1989). The incision site was cleaned with Betadine 1000 × g for 10 min at 4 °C using a Sorvall centrifuge.
solution and closed with wound clips. The supernatant was again centrifuged at 10 000 × g for
Copyright © 2004 John Wiley & Sons, Ltd. Phytother. Res. 18, 706–712 (2004)
708 B. V. MANYAM ET AL.

30 min. The pellets were resuspended in cold 50 mm Quantification of NADH in Mucuna pruriens. NADH
Tris buffer and were centrifuged at 10 000 × g for 30 min. content was measured colorimetrically using the method
This step was repeated once more. The pellets thus of Stern et al. (2002). The reaction mixture for the
obtained were resuspended in cold 10 mm potassium assay consisted of Tris-HCl pH 8.2, alcohol
phosphate buffer (pH 7.2) and kept overnight at −20 °C. dehydrogenase, phenazineethosulfate, ethanol and 3-
Prior to analysis, the suspension was sonicated at low (4,5-dimethylthiazol-2-yl)-2,5 diphenyltetrazolium bro-
energy until the pellets were uniformly dispersed. This mide. The change in absorbance after 10 min of
suspension was used to evaluate the effect of Mucuna incubation was noted at 570 nm. A standard curve was
pruriens cotyledon powder on total monoamine oxidase obtained using NADH and the amount of NADH
activity and complex-I activity. Different doses of present in Mucuna pruriens cotyledon powder was quan-
Mucuna pruriens cotyledon powder were incubated with tified using the standard curve.
the mitochondrial (P2) fraction for 1 h to evaluate the
effect on total monoamine oxidase and complex-I Protein estimation. Protein was assayed using the
activity. Coomassie plus protein assay reagent kit (Pierce,
Rockford, IL). Bovine serum albumin (BSA) was used
Total mitochondrial monoamine oxidase activity. 4- as the standard for protein measurement.
Hydroxy-quinoline formed by the oxidation of
kynuramine was measured fluorimetrically and the Statistical analysis. Sigma stat. (2.03) one way ANOVA
monoamine oxidase activity was expressed as 4-hydroxy- was used for finding significant differences between two
quinoline formed/h/mg protein (Morinan and Garratt, means. Values of p less than or equal to 0.05 were
1985). considered significant.

Mitochondrial complex-I activity. Mitochondrial


complex-I activity (NADH dehydrogenase activity)
was based on the NADH oxidation. The oxidation of RESULTS
NADH was measured spectrophotometrically at 340 nm
(Ramsay et al., 1986). Complex-I activity was expressed Mucuna pruriens cotyledon powder treatment did not
as NADH oxidized/mg protein. produce any behavioral abnormalities or significant
difference in weight of the animals compared with
Quantification of coenzyme Q-10 in Mucuna pruriens. the control group.
Mucuna pruriens cotyledon powder was sonicated in
ethanol (10% w/v) and mixed with hexane (2:5 ethanol:
hexane v/v). The above mixture was shaken for 10 min Effect of Mucuna pruriens cotyledon powder on
in the dark. The hexane layer was removed by centrifu- 6-hydroxydopamine-induced levodopa depletion in
gation and evaporated using a Meyer N-EVAP analyti- nigrostriatal tract
cal evaporator. It was then redissolved in the mobile
phase (methanol 75% and hexane 25%). Coenzyme Q- 6-Hydroxydopamine significantly depleted levodopa in
10 was separated on a C-18 Hypersil-ODS silica based the substantia nigra by 58% (p < 0.03) and in the
column. Hypersil ODS phases are based on completely striatum by 67% (p < 0.007) (Fig. 1). Oral administra-
porous spherical silica particles with a pore size of 120Å. tion of the 5.0 g/kg Mucuna pruriens cotyledon powder
The column length was 125 mm, and the diameter was significantly restored the endogenous levodopa content
3 mm. Coenzyme Q-10 was quantified using a flow rate in the substantia nigra (p < 0.03) and striatum (p <
of 0.3 mL/min and UV-detection at 275 nm (Rousseau 0.004) while an equivalent amount (by weight present
and Varin, 1988). A standard curve was obtained for in Mucuna pruriens cotyledon powder) of synthetic
coenzyme Q-10 and the amount of coenzyme Q-10 levodopa treatment (250 and 500 mg/kg) and a lower
present in Mucuna pruriens cotyledon powder was quan- dose Mucuna pruriens cotyledon powder (2.5 g/kg) did
tified using the standard curve. not have any effect.

Figure 1. 6-ODHA caused significant levodopa depletion in the nigrostriatal tract (* p < 0.05, compared with the control). Mucuna
pruriens cotyledon powder (5.0 g/kg) significantly restored the levodopa in the nigrostriatal tract (a p < 0.05, compared with the 6-
OHDA-treated group). Values represent levodopa pmole/mg protein, mean ± SEM, n = 6.

Copyright © 2004 John Wiley & Sons, Ltd. Phytother. Res. 18, 706–712 (2004)
MUCUNA PRURIENS ON 6-OHDA NEUROTOXICITY 709

Figure 2. 6-ODHA caused significant dopamine depletion in the substantia nigra (* p < 0.05, compared with the control). Mucuna
pruriens cotyledon powder (5.0 g/kg) significantly restored the dopamine in the substantia nigra (a p < 0.05, compared with the
6-OHDA-treated group). Values represent dopamine pmole/mg protein, mean ± SEM, n = 6.

Figure 3. 6-ODHA caused significant norepinephrine depletion in the nigrostriatal tract (* p < 0.05, compared with the control).
Mucuna pruriens cotyledon powder (2.5 and 5.0 g/kg) and levodopa (500 mg/kg) significantly restored the norepinephrine content
(a p < 0.05, compared with the 6-OHDA-treated group). Values represent norepinephrine pmole/mg protein, mean ± SEM, n = 6.

Table 1. Mucuna pruriens cotyledon powder (2.5 and 5.0 g/kg) and levodopa (250 and 500 mg/kg) significantly restored the DOPAC
content in substantia nigra following 6-OHDA induced DOPAC depletion

Levodopa Levodopa MPCP MPCP


Control 6-OHDA (250 mg/kg) (500 mg/kg) (2.5 g/kg) (5.0 g/kg)

Substantia nigra 14.49 ± 2.38 3.66 ± 1.37a 15.01 ± 3.21b 13.22 ± 2.13b 7.34 ± 1.49b 12.16 ± 2.23b
Nucleus caudatus putamen 26.08 ± 2.08 14.33 ± 1.41a 9.98 ± 1.41a 11.63 ± 3.13a 13.05 ± 2.67a 7.95 ± 2.41a

DOPAC pmole/mg protein; mean ± SEM; n = 6; a p < 0.05, compared with the control; b
p < 0.05, compared with the 6-OHDA-treated
group.

Effect of Mucuna pruriens cotyledon powder on Effect of Mucuna pruriens cotyledon powder
6-hydroxydopamine-induced dopamine and its on 6-hydroxydopamine-induced norepinephrine
metabolite (DOPAC) depletion in nigrostriatal tract depletion in nigrostriatal tract

Dopamine, like its precursor, was also significantly de- 6-Hydroxydopamine significantly depleted norepine-
pleted in the substantia nigra by 83% (p < 0.002) and phrine in the substantia nigra by 60% (p < 0.03) and
in the striatum by 75% (p < 0.001) due to treatment in the striatum by 65% ( p < 0.04) (Fig. 3). Mucuna
with 6-hydroxydopamine (Fig. 2). Mucuna pruriens coty- pruriens cotyledon powder significantly restored the
ledon powder (5.0 g/kg) treatment significantly restored norepinephrine content in the nigrostriatal tract at both
the dopamine content only in the substantia nigra (p < doses of 2.5 g/kg (p < 0.01) and 5.0 g/kg (p < 0.07)
0.01) and had no effect on the dopamine content in the while synthetic levodopa restored the norepinephrine
striatum. However, levodopa treatment did not restore content at a dose of 500 mg/kg (p < 0.02) in the striatum
the dopamine content in both tissues analysed. 6- only.
Hydroxydopamine significantly (p < 0.008) reduced the
DOPAC content in the substantia nigra by 75% (Table
1). Mucuna pruriens cotyledon powder (5.0 g/kg) and Effect of Mucuna pruriens cotyledon powder on 6-
levodopa (250 and 500 mg/kg) significantly reversed hydroxydopamine-induced serotonin depletion in the
the 6-hydroxydopamine-induced toxicity. However, substantia nigra
both synthetic levodopa and Mucuna pruriens cotyle-
don powder administration did not effect the 6- The mean ± SEM serotonin level in the substantia nigra
hydroxydopamine-induced DOPAC depletion (44%, was 35.11 ± 4.53 pmol/mg protein in the control animals.
p < 0.01) in the striatum. 6-OHDA lesioning reduced the levels to 11.33 ±
Copyright © 2004 John Wiley & Sons, Ltd. Phytother. Res. 18, 706–712 (2004)
710 B. V. MANYAM ET AL.

Figure 4. Mucuna pruriens cotyledon powder (1 mg) increased the mitochondrial complex-I activity (* p < 0.05, compared with the
control). Values represent ng of NADH oxidized/min/mg protein, mean ± SEM, n = 6.

2.43 pmol/mg protein. This was significant at p < 0.05 the presence of antioxidant and mitochondrial energy
by t-test. Synthetic levodopa treatment at 250 mg/kg enhancing compounds such as coenzyme Q-10 and
resulted in a substantia nigra serotonin level of 14.32 ± NADH.
0.9 pmol/mg protein and a dose of 500 mg/kg resulted The medication for Parkinson’s disease has mainly
in a level of 16.69 ± 3.99 pmol/mg protein. Both were focused on alleviating motor symptoms. However, the
not significant. Mucuna pruriens cotyledon powder treat- current major focus of research is the development
ment at a dose of 2.5 g/kg resulted in a level of 18.29 ± of drugs to slow the degeneration of the dying
2.7 pmol/mg protein and a dose of 5.0 g/kg resulted dopaminergic neurons or their regeneration. Coenzyme
in a level of 23.31 ± 2.32 pmol/mg protein. This was NADH has been used in an open label trial as a novel
significant at the p < 0.05 level compared with the 6- medication in patients with Parkinson’s disease, using
OHDA-treated group showing that Mucuna pruriens a parenteral administration technique (Birkmayer
cotyledon powder significantly restored the serotonin and Birkmayer, 1989). Support for using NADH in
content in the dopaminergic cell body of the nigrostriatal Parkinson’s disease treatment includes claims that
tract following 6-ODHA induced serotonin depletion. NADH stimulates tyrosine hydroxylase and dopamine
biosynthesis in tissue culture and in humans. A bene-
ficial clinical effect was observed. The best results were
Effect of Mucuna pruriens cotyledon powder on obtained with a dose of 25 to 50 mg every second day
mitochondrial complex-I and monoamine oxidase by intravenous administration. Concomitantly with the
activity improvement in disability, urine homovanillic acid level
increased significantly, indicating a stimulation of en-
Mucuna pruriens cotyledon powder dose-dependently dogenous levodopa biosynthesis (Birkmayer et al., 1990).
increased the rat brain mitochondrial complex-I activ- The orally applied form of NADH also yielded an over-
ity (p < 0.05) (Fig. 4) and had no effect on the total all improvement and was comparable to that of the
monoamine oxidase activity. parenterally applied form (Birkmayer et al., 1993). Most
Parkinson’s disease treatments palliate symptoms by
increasing nigrostriatal dopaminergic tone (Birkmayer
Estimation of coenzyme Q-10 and NADH in Mucuna et al., 1989). This may be due to the presence of NADH.
pruriens cotyledon powder Mucuna pruriens cotyledon powder also has a sig-
nificant amount of NADH and hence it can possibly
NADH and coenzyme Q-10 have been used in the increase the mitochondrial complex-I activity and
therapeutic treatment of Parkinson’s disease due to their dopamine synthesis benefiting Parkinson’s disease
capacity to enhance mitochondrial respiration and anti- patients.
oxidant ability. NADH and coenzyme Q-10 were The antioxidant and neuroprotective activity of
present in significant amounts in Mucuna pruriens coty- coenzyme Q-10 was also proved in animal models where
ledon powder. The amount of NADH quantified was coenzyme Q-10 administered orally prior to treatment
1.41 ± 0.14 µg/mg powder. The amount of coenzyme with MPTP was found to protect the nigrostriatal
Q-10 quantified was 2.32 ± 0.33 ng/mg powder. dopaminergic system (Beal et al., 1998). Coenzyme Q-
10 also can protect against striatal lesions produced
by both malonate and nitropropionic acid (Matthews
et al., 1998). Phase II studies of high dose synthetic
DISCUSSION coenzyme Q-10 suggested a retardation of Parkinson’s
disease progression possibly through increased complex-
Mucuna pruriens treatment is known to increase the I activity (Shults et al., 1997). Mucuna pruriens cotyle-
dopamine content in the rat brain (Manyam et al., don powder contains natural coenzyme Q-10. Despite
2004). Mucuna pruriens exhibited twice the anti- smaller quantities, it may have an adjuvant effect and
parkinsonian activity compared with synthetic levodopa thus enhance the therapeutic effect of Mucuna pruriens
suggesting that Mucuna pruriens may contain uniden- cotyledon powder in Parkinson’s disease.
tified antiparkinsonian compounds in addition to Recombinant lentiviral vector has been used for
levodopa, or that it may have adjuvants that enhance gene delivery of glial cell line-derived neurotrophic
the efficacy of levodopa. The present study identified factor (GDNF) to the specific regions of the brain
Copyright © 2004 John Wiley & Sons, Ltd. Phytother. Res. 18, 706–712 (2004)
MUCUNA PRURIENS ON 6-OHDA NEUROTOXICITY 711

and assessed for its neuroprotective effects in 6- neuroprotective effect. Mucuna pruriens did not have
hydroxydopamine lesioned rat model of Parkinson’s any effect on the mitochondrial monoamine oxidase
disease. GDNF significantly protected the nigral activity, thus eliminating the possibility of monoamine
dopamine neurons against 6-hydroxydopamine lesions oxidase inhibition leading to neuroprotection. There is
(Georgievska et al., 2002). Neurotrophic factors pro- evidence that Mucuna pruriens seeds have an anti-
vide selective protection for basal ganglia circuits that oxidant effect (Tripathi and Upadhyay, 2002).
are affected in nigrostriatal degenerative disorders, in- In conclusion, the present study shows that Mucuna
cluding Parkinson’s disease. This raises the possibility pruriens cotyledon powder significantly restored the
of alternative mechanisms for Mucuna pruriens monoaminergic neurotransmitter levels in the substantia
cotyledon powder to render neuroprotection, such as a nigra and had a better neuroprotective effect compared
neurotrophic-like effect for its neurorestorative effect with levodopa. The mechanism of Mucuna pruriens
against 6-hydroxydopamine-induced toxicity. cotyledon powder induced neuroprotection may be
Dopamine agonists such as bromocriptine (Calne mediated by increasing the mitochondrial complex-I
et al., 1974) and SKF-38393 (Muralikrishnan and Ebadi, activity and by scavenging the free radicals. These re-
2001) have neuroprotective properties due to their anti- sults suggest that Mucuna pruriens cotyledon powder
oxidant capabilities. Kavapyrone extracts from Piper in addition to a symptomatic benefit to patients with
methysticum with an antiglutamatergic effect (Schmidt Parkinson’s disease may also provide neuroprotection
and Ferger, 2001), salicylic acid (Mohanakumar et al., through antioxidant activity.
2000) and deprenyl with its hydroxyl radical scavenging
property (Muralikrishnan et al., 2003), render protec-
tion against MPTP-induced neuronal toxicity. Similarly, Acknowledgements
Mucuna pruriens cotyledon powder, due to its anti-
oxidants and increased complex-I activity, might We thank K. M. Parikh, B Pharm, D Sc, Zandu Pharmaceutical Works,
have a protective effect on the 6-hydroxydopamine for Mucuna pruriens cotyledon powder; Du Pont Pharma for
carbidopa; Ghazala Hussain, PhD, Shari B Randall and Charles
damaged nigral neurons. Another possible mechanism Rodarte, for technical assistance, Glen Cryer and Jacqueline
could be monoamine oxidase inhibition providing a Whetteckey for editorial assistance.

REFERENCES

Basma AN, Morris EJ, Nicklas WJ, Geller HM. 1995. L-Dopa Hussain G, Manyam BV. 1997. Mucuna pruriens proves more
cytotoxicity to PC12 cells in culture is via its autoxidation. effective than L-DOPA in Parkinson’s disease animal model.
J Neurochem 64: 825–832. Phytother Res 11: 419–423.
Beal MF. 1998. Excitotoxicity and nitric oxide in Parkinson’s Jenner P. 2001. Parkinson’s disease, pesticides and
disease pathogenesis. Ann Neurol 3: 110–114. mitochondrial dysfunction. Trends Neurosci 24: 245–257.
Beal MF, Matthews RT, Tieleman A, Shults CW. 1998. Kaakkola S, Teravainen H. 1990. Animal models of Parkinsonism.
Coenzyme Q10 attenuates the 1-methyl-4-phenyl-1, 2,3,6 Pharmacol Toxicol 67: 95–100.
tetrahydropyridine (MPTP) induced loss of striatal dopamine Langston JW, Forno LS, Rebert CS, Irwin I. 1984. Selective nigral
and dopaminergic axons in aged mice. Brain Res 783: 109– toxicity after systemic administration of 1-methyl-4-phenyl-
114. 1, 2,5,6-tetrahydropyridine (MPTP) in the squirrel monkey.
Birkmayer GJ, Birkmayer W. 1989. Stimulation of endogenous Brain Res 292: 390–394.
L-dopa biosynthesis—a new principle for the therapy Mahajani SS, Doshi VJ, Parikh KM, Manyam BV. 1996.
of Parkinson’s disease. The clinical effect of nicotinamide Bioavailability of L-DOPA from HP-200—a formulation of
adenine dinucleotide (NADH) and nicotinamide adenine seed powder of Mucuna pruriens (Bak): pharmacokinetic
dinucleotidephosphate (NADPH). Acta Neurol Scand Suppl and pharmacodynamic study. Phytother Res 10: 254–256.
126: 183–187. Manyam BV. 1990. Paralysis agitans and levodopa in ‘Ayurveda’,
Birkmayer JG, Vrecko C, Volc D, Birkmayer W. 1993. ancient Indian medical treatise. Movement Disord 5: 47–
Nicotinamide adenine dinucleotide (NADH)—a new thera- 48.
peutic approach to Parkinson’s disease. Comparison of oral Manyam BV, Dhanasekaran M, Hare T. 2004. Effect of anti-
and parenteral application. Acta Neurol Scand 146: 32–35. parkinson drug HP-200 (Mucuna pruriens) on the central
Birkmayer W, Birkmayer GJ, Vrecko K, Mlekusch W, Paletta B, monoaminergic neurotransmitters. Phytother Res 18: 97–101.
Ott E. 1989. The coenzyme nicotinamide adenine Matthews RT, Yang L, Browne S, Baik M, Beal MF. 1998.
dinucleotide (NADH) improves the disability of parkinsonian Coenzyme Q10 administration increases brain mitochondrial
patients. J Neural Transm Park Dis Dement Sect 1: 297– concentrations and exerts neuroprotective effects. Proc Natl
302. Acad Sci USA 95: 8892–8897.
Birkmayer W, Birkmayer JG, Vrecko K, Paletta B. 1990. The Mohanakumar KP, Muralikrishnan D, Thomas B. 2000.
clinical benefit of NADH as stimulator of endogenous L- Neuroprotection by salicylic acid against 1-methyl-4-
dopa biosynthesis in parkinsonian patients. Adv Neurol 53: phenyl-1,2,3,6-tetrahydropyridine induced neurotoxicity.
545–549. Brain Res 864: 281–290.
Calne DB, Teychenne PF, Claveria LE, Eastman R, Greenacre JK Morinan A, Garratt HM. 1985. An improved fluorimetric assay
Petne A. 1974. Bromocriptine in parkinsonism. Br Med J 4: for brain monoamine oxidase. J Pharmacol Methods 13:
442–444. 213–223.
Georgievska B, Kirik D, Rosenblad C, Lundberg C, Bjorklund A. Muralikrishnan D, Ebadi M. 2001. SKF-38393, a dopamine
2002. Neuroprotection in the rat Parkinson model by receptor agonist, attenuates 1-methyl-4-phenyl-1,2,3,6-
intrastriatal GDNF gene transfer using a lentiviral vector. tetrahydropyridine-induced neurotoxicity. Brain Res 892:
Neuroreport 13: 75–82. 241–247.
Gotz ME, Gerstner A, Harth R, et al. 2000. Altered redox state of Muralikrishnan D, Ray S, Mohanakumar KP. 2003. D-
platelet coenzyme Q10 in Parkinson’s disease. J Neural Trans Deprenyl protects nigrostriatal neurones against 1-methyl-
107: 41–48. 4-phenyl-1,2,3,6-tetrahydropyridine-induced dopaminergic
HP-200 in Parkinson’s Disease Study Group. 1995. HP-200: An neurotoxicity. Synapse 50: 7–13.
‘alternative medicine’ treatment for Parkinson’s disease. J Murer MG, Dziewczapolski G, Menalled LB, et al. 1998. Chronic
Alternat Comp Med 1: 249–255. levodopa is not toxic for remaining dopamine neurons, but

Copyright © 2004 John Wiley & Sons, Ltd. Phytother. Res. 18, 706–712 (2004)
712 B. V. MANYAM ET AL.

instead promotes their recovery, in rats with moderate Schmidt N, Ferger B. 2001. Neuroprotective effects of (+/−)-
nigrostriatal lesions. Ann Neurol 43: 561–575. kavain in the MPTP mouse model of Parkinson’s disease.
Naudin B, Bonnet JJ, Costentin J. 1995. Acute L-DOPA pretreat- Synapse 40: 47–54.
ment potentiates 6-hydroxydopamine-induced toxic effects Shults CW, Haas RH, Passov D, Beal MF. 1997. Coenzyme Q10
on nigro-striatal dopamine neurons in mice. Brain Res 701: levels correlate with the activities of complexes I and II/III
151–157. in mitochondria from parkinsonian and nonparkinsonian
Perese DA, Ulman J, Viola J, Ewing SE, Bankiewicz KS. 1989. subjects. Ann Neurol 42: 261–264.
A 6-hydroxydopamine-induced selective parkinsonian rat Smith TS, Parker WD Jr, Bennett JP Jr. 1994. L-Dopa increases
model. Brain Res 494: 285–293. nigral production of hydroxyl radicals in vivo: potential L-
Ramsay RR, Salach JI, Dadgar J, Singer TP. 1986. Inhibition of dopa toxicity? Neuroreport 5: 1009–1011.
mitochondrial NADH dehydrogenase by pyridine derivatives Stern N, Hochman A, Zemach N, et al. 2002. Accumulation of
and its possible relation to experimental and idiopathic DNA damage and reduced levels of nicotine adenine
parkinsonism. Biochem Biophys Res Commun 135: 269– dinucleotide in the brains of Atm-deficient mice. J Biol Chem
275. 277: 602–608.
Riess O, Kruger R. 1999. Parkinson’s disease—a multifactorial Tripathi YB, Upadhyay AK. 2002. Effect of the alcohol extract of
neurodegenerative disorder. J Neural Transm 56: 113– the seeds of Mucuna pruriens on free radicals and oxidative
125. stress in albino rats. Phytother Res 16: 534–538.
Rousseau G, Varin F. 1988. Determination of ubiquinone-9 and Ungerstedt U, Arbuthnott GW. 1970. Quantitative recording of
10 levels in rat tissues and blood by high performance rotational behavior in rats after 6-hydroxy-dopamine lesions
liquid chromatography with ultraviolet detection. J of the nigrostriatal dopamine system. Brain Res 24: 485–
Chromatogr 36: 247–252. 493.

Copyright © 2004 John Wiley & Sons, Ltd. Phytother. Res. 18, 706–712 (2004)

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