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Topclass Journal of Herbal Medicine Vol. 2(11) pp. 254-260, 26 Nov.

, 2013
Available online at http://www.topclassglobaljournals.org
ISSN 2315-8840 ©2013 Topclass Global Journals

Submitted 28/10/13 Accepted 21/11/13

Full Length Research Article

Antiarthritic activity of hydroalcoholic seed extract of


Cassia tora Linn.
Neelam Balekar*, Anil Kumar Pasi, Gaurav Parihar and D. K. Jain
College of Pharmacy, IPS Academy, A.B. Road Rajendra Nagar, Indore, India- 452012

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Abstract

The hydroalcoholic (70%) extract of seeds of Cassia tora (at different doses 100, 250 and 500 mg/kg,
body weight) was screened for antiarthritic activity. In Complete freund's adjuvant (CFA) induced
arthritis model degree of inflammation was evaluated by hind paw swelling, body weight measurement,
haematological parameters and supported by radiological and histopathological analysis. Treatment
with extracts of C. tora showed dose dependant and significant (p < 0.05) inhibition of edema in
adjuvant induced arthritic rats. Hydroalcoholic extract of seeds of C. tora at a dose of 500 mg/kg body
weight showed most potent and significant activity which is supported by the results analysis in
complete freund's adjuvant arthritis model. The extract was qualitatively analyzed for alkaloids,
flavonoids and phenols and the contents were found to be greater in ethanolic than aqueous extracts.
The normal architecture of joints has been ameliorated by oral application of hydroalcoholic extract.
Thus the extract possesses antiarthritic activity which may be attributed to the presence of alkaloids,
phenols and flavonoids of the plant.

Key words: Rheumatoid arthritis, C. tora, Complete Freund’s adjuvant


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INTRODUCTION

Rheumatoid arthritis (RA), one of the commonest autoimmune diseases is a chronic, progressive, systemic inflammatory
disorder affecting the synovial joints and typically producing symmetrical arthritis that leads to joint destruction, which is
responsible for deformity and disability. The prevalence of RA in Indian subcontinent is 1.5-2 percent of the population.
The epidemiological ratio of female to male is 3:1 and the prevalence is 1% of the world population (Mishra et al., 2011).

*Corresponding Author’s E-mail: neelambalekar@gmail.com Tel.: +919039890627; Fax: +917314041627


Balekar et al., 2013..Topcls. J. Herb. Med. 2(11)255

RA is caused by pro-inflammatory molecules released by species of the same genus, Cassia uniflora are been
macrophages including reactive oxygen species and used in the treatment of rheumatoid arthritis and have
eicosanoids such as prostaglandins, leukotrienes and proven to be effective (Chaudhari et al., 2012). Taking
cytokines. The regulation of these mediators secreted by these facts into consideration, the present study deals
macrophages and other immune cells and modulation of with the evaluation of antiarthritic activity and its changes
arachidonic acid metabolism by inhibiting enzymes like in immunological, haematological, radiological and
cylco-oxygenase (COX) and lipo-oxygenase (LOX) are histopathology of the hydroalcoholic extract of C. tora
the potential target for chronic inflammatory conditions seeds in Freund's adjuvant induced arthritic rats.
(Kore et al., 2011).
The conventional treatment options are available for
the treatment for RA, the use of non-steroidal anti- MATERIALS AND METHODS
inflammatory drugs (NSAIDs), disease modifying anti-
rheumatic drugs (DMARDs) and corticosteroids are Plant material
available but associated with adverse effects. Due to this
reason, patients suffering from chronic musculoskeletal C. tora plants were collected from the region of Rajendra
disorders are likely to seek alternative methods for Nagar, Indore (M.P.) India, during the months of July -
symptomatic relief and are amongst the highest users of August 2012. The plant was identified and authenticated
complementary and alternative medicine. Thus evidence by Dr. R.K. Jaiswal, Agriculture College, Indore M.P. The
for effectiveness and safety of these complementary voucher specimen no. is (No. / Hort. /2013 / I-X), it was
therapies is limited (Singh et al., 2011). deposited in the department. Pods (Seeds) were
In the current scenario there is no ideal animal model for collected later in bulk during the months of October-
RA at this time, rat adjuvant arthritis shares many November 2012.
features of human RA (Barbier et al., 1984), and the
sensitivity of this model to antiarthritic agents support the
view that the adjuvant arthritis is the best available model Extraction
of rheumatoid arthritis (Ward and Cloud, 1966).
Complete Freund's adjuvant (CFA) contains heat killed The seeds were collected from the plant cleaned,
Mycobacteria in a water-in-oil emulsion. After crushed in a grinder and then passed through mesh sieve
subcutaneous injection, CFA induces adjuvant arthritis no. 40 to obtain a fine powder. Drug powder was packed
that can serve as a model to test the anti-arthritic and in a soxhlet apparatus and was defatted with petroleum
anti-inflammatory effects of investigational substances. ether for 72 h. After defatting the marc was extracted with
The effect observed in this model seems to be parallel to hydroalcohol (70% v/v) in Soxhlet apparatus. Extract
that observed in human arthritis (Abudoleh et al., 2011). obtained was concentrated and finally stored in tightly
C. tora is well known medicinal plant commonly known closed glass bottles and placed in desiccator which was
as sickle senna, wild senna is generally found in India kept in refrigerator at 2-8 °C until further experimental
and other tropical countries (Haritha and Maheshwari, studies. The percentage yield of extract was calculated.
2007; Shukla et al., 2013). Various medicinal properties (Chaurasia et al., 2011)
have been attributed to this plant in the traditional system
of Indian medicine. Several anthraquinone have been
isolated from the seeds of C. tora. Sennosides, which are Percentage yield = Weight of extract × 100
well known for their medicinal importance, have been Weight of powdered drug taken
detected in the leaves of the plants.
It is a well recognized traditional medicine as laxative
and useful as antitumor, antimutagenic, hepatoprotective, Animals
hypolipidemic, antifertility, anthelmintic, antibacterial,
antifungal, anti-inflammatory, spasmogenic, Albino Wistar rats of either sex, 150-200 g weight were
antinociceptive, antioxidant and as a purgative (Deore et used in the study. They were purchased from Sudhakar
al., 2009; Ingle et al., 2012). The seeds of C. tora have Rao Naik Institute of Pharmacy, Pusad, Maharashtra,
been used in Chinese medicine as aperients, India. Animals were housed under standard condition of
antiasthmatic, diuretic agent and for improving visual temperature (25±2°C), 12 h / 12 h light/dark cycle and fed
activity. Seeds and leaves are also useful in treating with standard pellet diet (Godrej Agrowet Ltd. Indore,
itching, ringworm and other skin diseases (Jain and Patil India) and water ad libitum. The animals were
2010). acclimatized for 1 week before the experiments. All
Although the seeds possess many potential therapeutic experimental protocols were approved by the Institutional
activities in traditional system of medicinal practice and Animal Ethics Committee (IAEC) under the supervision of
possessing rich phytoconstituents, they are not evaluated committee for the purpose of control and supervision on
for their pharmacological activities in detail. The other experiments on animals (CPCSEA).
Balekar et al., 2013..Topcls. J. Herb. Med. 2(11)256

Table 1. Qualitative phytochemical screening of hydroalcoholic extract of seeds of C. tora

Hydroalcoholic extract of C. tora seeds


Phytochemicals
Observation Inference
Alkaloids Colored precipitate Presence of Alkaloids (+)
Flavonoids Yellow color Presence of Flavonoids (+)
Glycosides Rose pink color Presence of Glycosides (+)
Saponin Forth formation Presence of Saponin (+)
Carbohydrates Violet ring junction Presence of Carbohydrate (+)
Phenols and Tannin - Absence of phenols and Tannin (-)

Chemicals 24, 28, the joint diameter was also measured and
recorded after vehicle/drug administration.
Complete Freund’s adjuvant (Sigma-Aldrich, Delhi), On day 29, bloods were withdrawn from each animal
diclofenac sodium, sodium CMC, ketamine hydrochloride, through retro-orbital veins puncture by anaesthetizing the
eosin-haematoxylin, formalin. All the reagents used were animals with anesthetic ether. The blood was collected
of analytical grade. into the vials containing potassium EDTA and the various
haematological parameters like WBCs count, RBCs
count and haemoglobin content were analyzed by
Phytochemical Screening automatic bloods analyzer. The animals X- rays were
taken at the joints of the hind paw of the animals for
The extract was tested qualitatively for presence of evaluating the soft tissue swelling, bony erosions,
different phytoconstituents like tannins, glycosides, narrowing of the space between the joints and bone
flavonoids, saponins, alkaloids, carbohydrates, sterols, damage. On day 30, the animals were sacrificed by
proteins using standard methods (Gill et al., 2011). cervical decapitation and for histopathology. The proximal
interphalangeal joints were removed, washed with saline
and stored in 10% formalin. The interphalangeal joint
Acute oral toxicity study sections were obtained, stained with eosin-haematoxylin
stain and viewed under 10 x and 40 x magnifications
The phytoconstituents were investigated for its acute oral (Abudoleh et al., 2011).
toxicity as per Organization for Economic Co-operation
and Development (OECD) guidelines no. 425.
Statistical analysis

Antiarthritic activity Data were expressed as mean ± standard error of mean


and statistical analysis was carried out employing one
5 groups of male Wistar albino rats (n=6) were used in way analysis of variance (ANOVA) Tukey’s - Kramer
this study. Group I: Control; Group II: Standard; Group III: multiple comparison test at p < 0.05 significance level
C. tora extract (100 mg/kg), p.o.; Group IV: C. tora extract using “Graphpad” version 5.00 for windows 7, graphpad
250 mg/kg, p.o.; Group V: C. tora extract 500 mg/kg, p.o. software, San Diego, California, USA
Animals were fasted overnight with free access to water (www.graphpad.com).
before the experiment. Thereafter (on day 0) group I
received the sodium CMC (0.2%), group II received
diclofenac sodium (10 mg/kg body wt) and groups III, IV RESULTS
and V received test drug 100, 250, 500 mg/kg
respectively. Percentage yield
After half hour of treatment, arthritis was induced by
administration of 0.1 ml of complete Freund’s adjuvant Percentage yield (%w/w) of hydroalcoholic extract of C.
(0.05% w/v Mycobacterium tuberculosis in mineral oil) at tora seeds was calculated and found to be 12.36% w/w.
the sub planter region of the left hind paw of rats.
Baseline recording of the joints diameter was measured Qualitative phytochemical screening
by using digital Vernier caliper and was designated as
day 0. After immunization with CFA, all the groups were The qualitative phytochemical screening of
maintained on vehicle/standard drug and test drug hydroalcoholic extract of seeds of C. tora showed the
treatment for 28 more days. Daily body weight presence of phytochemical like alkaloids, glycosides,
measurement was done and on days 1, 4, 8, 12, 16, 20, saponin, carbohydrate etc. (Table 1)
Balekar et al., 2013..Topcls. J. Herb. Med. 2(11)257

Table 2. Effect of hydroalcoholic extract of seeds of C. tora on body


weight

Dose Body Weight (g)


Treatment
mg/kg Day 0 Day 28
Sodium CMC 1 ml 182.5 ± 2.5 175.9 ± 3.9
a
Diclofenac sodium 10 186.7 ± 3.1 222.5 ± 10.9
C. tora extract 100 179.2 ± 4.2 193.33 ± 9.8
C. tora extract 250 187.5 ± 5.0 207.5 ± 6.3
a
C. tora extract 500 191.7 ± 8.0 219.16 ± 12.3

Values are mean ± SEM, n = 6 animal in each groups. Comparisons


were made with control group and data was analyzed by one way
ANOVA followed by Tukey – Kramer test. aP< 0.001 compared with
control

Table 3. Effect of hydroalcoholic extract of seeds of C. tora on paw volume

Dose Paw volume in mm ( % inhibition)


Treatment
mg/kg Day 1 Day 12 Day 28
Sodium CMC 1 ml 6.8 ± 0.2 6.4 ± 0.1 6.4 ± 0.2
a b
Diclofenac sodium 10 5.7 ± 0.4 3.4 ± 0.1 (46.8%) 2.5 ± 0.1 (60.9%)
C. tora extract 100 6.7 ± 0.3 4.7 ± 0.1 (26.5%) 3.3 ± 0.2 (48.43%)
b b
C. tora extract 250 6.0 ± 0.3 4.1 ± 0.3 (35.93%) 3.0 ± 0.1 (53.1%)
b b
C. tora extract 500 5.4 ± 0.5 3.8 ± 0.3 (40.6%) 2.8 ± 0.01 (56.2%)

Values are mean ± SEM, n= 6 animal in each groups. Comparisons made with control group and data was analyzed by one
– way ANOVA followed by Tukey–Kramer test. aP< 0.05 and bP< 0.01 compared with control

Acute oral toxicity study group (10 mg/kg p.o.) and C. tora 250 and 500 mg/kg)
showed a significant reduction in rats paw volume as
Determination of acute oral toxicity and LD 50 of compared to the control on days 12 and 28. The percent
hydroalcoholic extract of C.tora seeds was performed. It inhibition of C. tora (500 mg/kg) was found to be 56% on
was found that the hydroalcoholic extract of C. tora seeds day 28, whereas standard (Diclofenac sodium 10mg/kg
was safer at the dose greater than 5000 mg/kg. So the p.o.) showed 60.9% inhibition (Table 3).
th
extracts safe for long term administration, on the basis of The results are given in Table 2, up to the 12 day, the
toxicity study dose were selected 100, 250 and 500 inflammation in all the groups aroused gradually. The
th
mg/kg of body weight. inflammation was between 79 and 95%. On the 12 day,
the inflammation in standard group was 36%. The
Antiarthritic activity inflammation in test groups 100, 250 and 500 mg/kg b.w
was 75, 65 and 60% respectively. The arthritic control
Effect of hydroalcoholic extract of seeds of C. tora on group had maximum inflammation of 94%
body weight
Effect of hydroalcoholic extract of seeds of C. tora on
There was reduction in body weight in the arthritis haematological parameters
induced control group. The standard group and all test
groups showed an increase in body weight. The increase There was a significant change in WBCs, RBCs and
in the body weight observed with C. tora extract (500 haemoglobin count in control, standard and test treated
mg/kg) was comparable to that of standard group (Table group (Table 4).
2).
Effect of hydroalcoholic extract of seeds of C. tora on
Effect of hydroalcoholic extract of seeds of C. tora on immune organ coefficient
paw volume
The index of spleen and thymus of the adjuvant arthritic
There was a significant increase in paw volume in rats was determined on day 28. There was no change in
complete Freund’s adjuvant induced arthritic control rats spleen weight treated with standard and hydroalcoholic
when compared with normal control rats. The standard extract of C. tora seeds. There was a significant increase
Balekar et al., 2013..Topcls. J. Herb. Med. 2(11)258

Table 4. Effect of hydroalcoholic extract of seeds of C. tora on haematological parameters

3 6
Treatment Dose (mg/kg) WBC (×10 /µl) RBC (×10 / µl) Hb (g/dl)
Sodium CMC 1 ml 12.6 ± 1.4 6.7 ± 0.6 11.1 ± 1.0
a a
Diclofenac sodium 10 9.2 ± 0.5 9.0 ± 0.2 16.2 ± 0.7
b
C. tora extract 100 9.4 ± 0.3 16.2 ± 0.7 11.5 ± 1
a
C. tora extract 250 11.7 ± 1.1 9.5 ± 0.1 12.0 ± 0.3
b
C. tora extract 500 13 ± 0.6 7.6 ± 0.7 12.5 ± 1.7

Values are mean ± SEM, n = 6 animal in each groups. Comparisons made with control group
and data was analyzed by one way ANOVA followed by Tukey – Kramer test. aP< 0.05 and bP<
0.01 compared with control

Table 5. Influence on immune organ coefficient after injection of the


complete freund’s adjuvant

Dose Immune organ coefficient


Treatment
mg/kg Spleen (g/kg) Thymus (g/kg)
Sodium CMC 1 ml 2.60 ± 0.00 1.32 ± 0.02
a
Diclofenac sodium 10 2.87 ± 0.03 1.65 ± 0.02
C. tora extract 100 2.59 ± 0.00 1.29 ± 0.02
a
C. tora extract 250 2.64 ± 0.03 1.34 ± 0.01
C. tora extract 500 2.66 ± 0.03 1.55 ± 0.02

Values are mean ± SEM, n = 6 animal in each groups. Comparisons


made with control group and data was analyzed by one way ANOVA
followed by Tukey – Kramer test. ap< 0.001 compared with control

in thymus weight with standard and hydroalcoholic whereas test groups 100, 250 and 500 mg/kg showed
extract of C. tora seeds 500 mg/kg (Table 5). more.

Effect of hydroalcoholic extract of seeds of C. tora on DISCUSSION


radiological analysis
Plants have been a prime source of highly effective
The X- ray report of all the groups of the adjuvant conventional drug for the treatment of many form of
induced arthritic rats were obtained and it was found that arthritis. The hydroalcoholic extract of the seeds of C.
in the case of a control group, there was a lot of bone tora plants is safe at a high dose even 5000 mg/kg body
erosion, paw swelling, skin lesions and articular weight in oral dose is safe. The present study
deformity, while in standard and test groups (500 mg/kg) demonstrates the CFA induced arthritis in experimental
showed less erosion, swelling and skin lesions (Figure 1). rats, the treatment of the adjuvant induced arthritis rats
with seeds extract of C. tora showed a decline in
Effect of hydroalcoholic extract of seeds of C. tora on inflammation which was comparable to standard drug
histopathological analysis (Diclofenac sodium). Complete Freund’s adjuvant
induced arthritis is one of the most widely used models
The observed histopathological changes of proximal as it has been shown to share a number of clinical and
interphalangeal joints of the experimental groups are immunological features with human arthritis (Abudoleh et
shown in Figure 2. The histopathology of control groups al., 2011).
(Group I) the ankle joint showed prominent abnormalities Therefore, this model is used with a relatively high
from the normal joint like edema formation, degeneration degree of validity for evaluating agents with potential
with partial erosion of the cartilage, destruction of bone antiarthritic activity. There is structural similarity between
marrow and extensive infiltration of inflammatory proteoglycan content of cartilage in rats and
exudates in the articular surface. Mycobacterium responsible for induction of arthritis
The standard group (Group II) showed normal bone through adjuvant which is an autoimmune disorder (Singh
marrow with less cellular infiltrates. Test groups showed et al., 2011). Various phytoconstituents like glycosides
less inflammatory signs like scanty cellular infiltrate, such as emodin and chrysophanol are reported to
absence of edema formation and normal bone marrow, possess anti- inflammatory property (Shukla et al., 2013);
Balekar et al., 2013..Topcls. J. Herb. Med. 2(11)259

(a) (b)

(c) (d) (e)

Figure 1. Effect of hydroalcoholic extract of C. tora seeds on radiological analysis of the various
group of adjuvant induced arthritic rats.(a) Arthritic control sodium CMC 0.2%., (b) Standard
diclofenac sodium 10 mg/kg. (c) Test 100 mg/kg (d) Test 200 mg/kg (e) Test 500 mg/kg

(a) (b)

(c) (d) (e)

Figure 2. Effect of hydroalcoholic extract of C. tora seeds on histopathological


analysis of the various group of adjuvant induced arthritic rats. (a) Arthritic control
sodium CMC 0.2%., (b) Standard diclofenac sodium 10 mg/kg. (c) Test 100 mg/kg (d)
Test 200 mg/kg (e) Test 500 mg/kg

since these phytoconstituents found in the extract may dose of 500 mg/kg body weight. As revealed from
have contributed for exhibited antiarthritic activity by radiological analysis there is a significant antiarthritic
inhibiting the inflammation due to the Freund’s adjuvant. effect shown by extract indicated by reduction in paw
The result of the present study indicates that C. tora swelling and articular deformity. Paw swelling is an index
(500 mg/kg) exhibited antiarthritic effects in rats with of measuring the antiarthritic activity of test drug and is
freund’s adjuvant induced arthritis model. In the control compared with the standard drug (Ekambaram et al.,
group there was a continuous increase in the joint 2010).
diameter having been given adjuvant which can be Recent studies have revealed the key roles of pro-
attributed to the delayed immunological flare in the inflammatory cytokines such as tumor necrosis factor-a
disease. Blocking of the cytokines can thus suppress (TNF-a), interleukin-1b (IL-1b), IL-6 and IL-8 in the
inflammation and ameliorate cartilage destructions (Feng pathogenesis of RA. The increased body weight during
et al., 2011). There was less swelling in joint diameter in the treatment with diclofenac sodium and the extracts of
the standard group and in test group especially at the C. tora seeds as observed may be due to the restoration
Balekar et al., 2013..Topcls. J. Herb. Med. 2(11)260

of the absorption capacity of the intestine (Abudoleh et extract of C. tora seeds on proinflammatory mediators
al., 2011). like TNF- α, Interleukins and other relevant mediators will
The potent anti-arthritic effect of extracts is further be carried out in future to study its mechanism.
confirmed by radiological studies. The diagnosis of RA is
usually obvious clinically and it allows therapeutic
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