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PHYTOTHERAPY RESEARCH

Phytother. Res. 25: 1336–1341 (2011)


Published online 17 February 2011 in Wiley Online Library
(wileyonlinelibrary.com) DOI: 10.1002/ptr.3428

Protective Effect of Proteins Derived from the


Latex of Calotropis procera against Inflammatory
Hyperalgesia in Monoarthritic Rats

Vijay L. Kumar,1* Priyanka Chaudhary,2 Marcio V. Ramos,3


Madan Mohan2 and Mayara P. V. Matos3
1
Department of Pharmacology, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
2
Department of Plant Molecular Biology, Delhi University South Campus, Benito Juarez Road, Dhaula Kuan, New Delhi 110021, India
3
Departmento de Bioquimica de Biologia Molecular, Universidade Federal do Ceara, Campus do Pici, Cx. Postal 6033, Fortaleza‐Ce Brasil,
CEP 60451‐970, Brazil

Calotropis procera (family: Apocynaceae) is a plant growing in the wild and has been used in the traditional
medicinal system for the treatment of various diseases. The plant produces milky latex that possesses potent
antiinflammatory and analgesic properties. In present study the non‐dialysable protein fraction isolated from the
latex (LP) of this plant was evaluated for its efficacy against inflammation in rats where paw edema was induced
by sub‐plantar injection of carrageenin or monoarthritis was induced by intra‐articular injection of Freund's
complete adjuvant (FCA). The effect of LP was evaluated on edema volume in the paw model and on joint
diameter, stair climbing ability, motility, dorsal flexion pain, levels of oxidative stress markers and joint histology
in arthritis model. The protection afforded by LP was compared with that of standard antiinflammatory drug,
diclofenac (5 mg/kg). LP exhibited a dose‐dependent antiinflammatory effect and produced 32% and 60%
inhibition of paw edema at 10 and 25 mg/kg doses and 12% and 36% inhibition of joint inflammation at 50 and
150 mg/kg doses. The protective effect of LP was associated with normalization of joint functions, histology and
levels of oxidative stress markers in joint tissue. The findings of this study suggest that the protein fraction of
latex of Calotropis procera has the potential to relieve inflammation and pain associated with various arthritic
conditions. Copyright © 2011 John Wiley & Sons, Ltd.

Keywords: Calotropis procera; arthritis; latex proteins; inflammatory hyperalgesia.

aqueous suspension of dried latex (DL) induces inflam-


INTRODUCTION mation, its oral administration inhibits the inflammatory
response (Singh et al., 2000; Kumar and Basu, 1994; Arya
Calotropis procera Ait, R.Br. (Apocynaceae) is a wild and Kumar, 2005). Recently, the fresh latex has been
growing tropical shrub that is well known for its poisonous subjected to dialysis where the dialysable fraction and the
properties due to the presence of toxic substances in its non‐dialysable protein fraction (latex proteins, LP) have
latex. However, the plant has been used in the traditional been shown to exhibit proinflammatory and antiinflam-
medicinal system for the treatment of leprosy, ulcers, matory properties, respectively (Alencar et al., 2006). Both
tumors, piles and diseases of the liver, spleen and the DL and LP fractions of the latex also exhibit
abdomen (Kirtikar and Basu, 1935). The fresh or warmed antinociceptive properties (Dewan et al., 2000; Soares
leaves have been applied on painful rheumatic joints, et al., 2005). In view of the antiinflammatory and analgesic
swellings, sores and wounds (Wealth of India, 1992). properties of the LP fraction, the present study was carried
Experimentally various biological activities have been out to evaluate its efficacy against Freund's complete
demonstrated in different parts of this plant and these adjuvant (FCA) induced inflammatory hyperalgesia in a
include proteolytic, antimicrobial, larvicidal and anthel- well established rat model of monoarthritis (Chillingworth
mintic properties (Atal and Sethi, 1961; Malik and and Donaldson, 2003). A battery of tests were performed
Chugati, 1979; Ramos et al., 2006; Shivakar and Kumar, to evaluate its effect on edema formation, motility, stair
2003). The aerial parts of the plant possess latex in climbing ability, pain associated with dorsal flexion, joint
abundance which has been reported to exhibit medicinal histology and parameters of oxidative stress.
properties such as antidiarrhoeal, anticancer, antidiabetic,
antiarthritic and antioxidant (Kumar et al., 2001; Choedon
et al., 2006; Roy et al., 2005; Kumar and Roy, 2007, 2009).
The latex has also been reported to produce both MATERIALS AND METHODS
proinflammatory and antiinflammatory effects in various
experimental models. While local administration of an Latex protein isolation. The latex was collected from the
aerial parts of the plant, C. procera growing in the vicinity of
Fortaleza, Brazil. The plant was identified by a taxonomist
* Correspondence to: Professor Vijay L. Kumar, Department of
Pharmacology, All India Institute of Medical Sciences, Ansari Nagar,
and a voucher specimen (No. 32663) was deposited at
New Delhi 110029, India. Prisco Bezerra Herbarium of the Universidade Federal do
E-mail: kumarvl98@hotmail.com Ceará, Brazil. The fresh latex collected in water (1:1, v/v)
Received 02 November 2010
Revised 31 December 2010
Copyright © 2011 John Wiley & Sons, Ltd. Accepted 05 January 2011
ANTI‐ARTHRITIC EFFECT OF C. PROCERA LATEX PROTEINS 1337

was centrifuged at 5000 × g for 10 min at 10 °C and the Stair climbing ability (SCA). The trained rats were
rubber rich pellet was discarded. The supernatant was allowed to climb a staircase and their climbing ability
dialysed against distilled water using a membrane with a was scored 0, 1, 2, 3 if the rats did not climb any step,
cut‐off value of 8000 Da. The non‐dialysable material was climbed onto step 1, step 2 and step 3, respectively
centrifuged and the supernatant was lyophilized to obtain (De Castro Costa et al., 1981).
the latex protein fraction (LP). The LP fraction of the latex
comprises multiple protein bands as revealed by SDS Motility. The rats were observed for a period of 5 min
electrophoresis and proteins of high molecular weight and their motility was scored 0, 1 and 2 if the rats
present in this fraction exhibit antiinflammatory properties avoided touching the feet to ground, walked with
(Ramos et al., 2009). The LP fraction was reconstituted in difficulty with toe touching the ground and walked
normal saline (NS) and administered in rats by intraper- easily (De Castro Costa et al., 1981).
itoneal (i.p.) injection.
Dorsal flexion pain (DFP). The ankle joint of rat was
Animals. The experiments were carried out in Wistar flexed five times until the toes touched the front of
rats of either sex weighing 120–150 g and were obtained the leg with an inter‐test interval of 5 s. The pain was
from the Central Animal Facility of All India Institute scored as 0, if there was no squeaking or leg with-
of Medical Sciences, New Delhi, India. The rats were drawal; 1, if there was either squeaking or leg with-
housed in cages at ambient temperature and provided drawal; 2, if both squeaking and leg withdrawal were
food and water ad libitum. For arthritis related studies present, thus giving a maximum score of 10 (De Castro
the overnight fasted rats were trained for a week to Costa et al., 1981).
climb a staircase with steps at 5, 10 and 15 cm where
water was kept at step 2 and food at step 3. The Histological analysis of joint tissue. The arthritic limb
experiments were performed according to the guide- was removed above the stifle joint, degloved and fixed
lines of Institutional Animal Ethics Committee follow- in 1% formaldehyde in saline. The limbs were decal-
ing due approval (453/IAEC/08). cified, processed for paraffin embedding, sectioned,
stained with hematoxylin‐eosin and the sections were
Paw edema model. Edema was induced in the hind paw examined for arthritic changes (Anderson et al., 1996).
of rats by sub‐plantar injection of 0.1 mL of carrageenin
(0.5%) and the rats were divided into four groups Estimation of glutathione and thiobarbituric acid
comprising six animals each. The paw volume was reactive substances (TBARS). The levels of reduced
measured up to a fixed mark on the lateral malleolus glutathione (GSH) and TBARS, an index of malonyl-
just before and 3 h after injecting carrageenin using a dialdehyde (MDA) were measured in the joint tissue by
plethysmometer and the edema volume was calculated the method of Ellman (1959) and Ohkawa et al. (1979).
by taking the difference between the two volumes
(Winter et al., 1962). The LP fraction (10 and 25 mg/kg Statistical analysis. The values of edema volume,
intraperitoneally, i.p.; LP10 and LP25) and the standard increase in joint diameter and biochemical analysis are
antiinflammatory drug diclofenac (5 mg/kg orally, D5) expressed as mean ± SEM, and ANOVA followed by
were administered 30 min and 1 h before inducing post hoc test (LSD) was used to compare the groups.
inflammation, respectively. The antiinflammatory effect The stair climbing ability, motility and dorsal flexion pain
of the test drugs was expressed as the percent inhibition are expressed as median score and Kruskal‐Wallis test
with respect to the carrageenin control. was used to compare the groups. The statistical analysis
was carried out by SPSS program, version 11.5. A value
Monoarthritis model. Monoarticular arthritis was in- of p < 0.05 was considered statistically significant.
duced in rats by intra‐articular injection of 0.1 mL of 0.1%
FCA in the left ankle joint (day 0). The rats were
divided into five groups comprising six animals each and
arthritis was induced in groups II–V. Group I, normal RESULTS
control (NC); Group II, FCA control; Group III, LP
50 mg/kg i.p. (LP50); Group IV, LP 150 mg/kg i.p. Effect of LP on edema volume
(LP150); Group V, Diclofenac 5 mg/kg orally (D5). The
rats in Group I and II were given 1 mL NS orally and in The sub‐plantar injection of carrageenin produced
other groups LP and diclofenac were administered edema in the hind paw and the edema volume in this
30 min and 1 h before injecting FCA, respectively, and group was 0.44 ± 0.02 mL. Intraperitoneal administra-
then daily. The joint diameter and functional para- tion of LP at 10 and 25 mg/kg doses produced a dose‐
meters were recorded before injecting FCA and then dependent inhibition of the paw inflammation and the
daily for 3 days when the joint inflammation was edema volumes in LP10 and LP 25 groups were
maximum (Kumar and Roy, 2009). The animals were 0.30 ± 0.02 and 0.18 ± 0.02 mL, respectively. The inhibi-
killed to study joint histology and to measure the tory effect of LP was more pronounced than that of
biochemical parameters of oxidative stress in the joint 5 mg/kg dose of diclofenac (0.37 ± 0.01 mL) (Fig. 1).
tissue.

Measuring increase in joint diameter. The joint diam- Effect of LP on increase in joint diameter
eter was measured by a micrometer screw gauge on day
0 and then daily for 3 days. The increase in diameter Intra‐articular injection of FCA produced joint inflam-
was calculated by subtracting the day 0 values from the mation with a peak effect occurring on day 3 when the
daily measurements and expressed in millimeters (mm). increase in the diameter of the ankle joint was
Copyright © 2011 John Wiley & Sons, Ltd. Phytother. Res. 25: 1336–1341 (2011)
1338 V. L. KUMAR ET AL.

Effect of LP on motility

The motility of arthritic rats in the control group was


impaired with a median score of 0 against a median
score of 2 in the normal rats. The treatment of arthritic
rats with LP (LP50 and LP150) improved their motility
in a dose‐dependent manner and the median motility
score in LP150 group was comparable to that in the
D5 group (Fig. 2B).

Effect of LP on stair climbing ability (SCA)

Injection of FCA into the ankle joint of trained rats


impaired their ability to climb a staircase and a median
score of 1 was obtained in the FCA control group on
Figure 1. Effect of LP fraction on carrageenin induced paw edema. day 3 against 3 in the NC group. The treatment with LP
Paw edema was induced in rats by sub‐plantar injection of 0.1 mL produced a dose‐dependent improvement in the SCA
of 0.5% carrageenin and the paw volume was measured at 0 h and
at 3 h. LP and diclofenac were administered before injecting
of arthritic rats and a median score of 2 was obtained in
carrageenin and their antiinflammatory effect was evaluated at the LP150 group while the median SCA score in D5
3 h. Results are expressed as mean ± SEM (n = 6). *p < 0.05. group was 3 (Fig. 2C).

Effect of LP on dorsal flexion pain (DFP)


4.39 ± 0.09 mm against 0.15 ± 0.08 mm in the control
group where NS was injected into the joint. The Injection of FCA lowered the threshold for pain and a
treatment of arthritic rats with LP produced a dose‐ median score of 9 was obtained on day 3 when the
dependent decrease in joint inflammation and the inflammation was at its peak. The rats in the NC group
increase in joint diameter in LP50 and LP150 groups on the other hand experienced no pain when the limbs
was 3.84 ± 0.16 and 2.79 ± 0.22 mm (12% and 36% were flexed (DFP score 0). The treatment with LP
inhibition). The increase in joint diameter in the D5 significantly ameliorated pain in the arthritic rats where
group was 3.05 ± 0.08 mm (31% inhibition) (Fig. 2A). a median score of 5 was obtained. The beneficial effect

Figure 2. Effect of LP fraction on increase in joint diameter (A), motility score (B), stair climbing ability score (C) and dorsal flexion pain score
(D) in the monoarthritis model. Arthritis was induced in rats by intra‐articular injection of 0.1 mL of 0.1% FCA. LP and diclofenac were
administered before injecting FCA and then daily for 3 days following which their protective effect on parameters shown in this figure was
evaluated. The results in panel A are given as mean ± SEM (n = 6) and in panels B, C and D are given as box plots where bold lines represent
median values (n = 6), boxes represent interquartile ranges (25th and 75th percentiles). *p < 0.05; **p < 0.01.

Copyright © 2011 John Wiley & Sons, Ltd. Phytother. Res. 25: 1336–1341 (2011)
ANTI‐ARTHRITIC EFFECT OF C. PROCERA LATEX PROTEINS 1339

Figure 3. Effect of LP on the levels of GSH (A) and TBARS (B) in joint tissue of arthritic rats. Arthritis was induced by intra‐articular injection
of 0.1 mL of 0.1% FCA. LP and diclofenac were administered before injecting FCA and then daily for 3 days following which the rats were
killed for biochemical analysis of oxidative stress markers in the joint tissue. Results are expressed as mean ± SEM (n = 6). *p < 0.05,
**p < 0.001.

of LP was comparable to that of diclofenac where a in the paw edema model, it was further evaluated
median score of 6 was obtained (Fig. 2D). for its beneficial effect in FCA induced inflamma-
tory hyperalgesia in rats. The intra‐articular injection
of FCA in rats produced a peak inflammatory re-
Effect of LP on tissue levels of GSH and TBARS sponse on day 3. The treatment of rats with the LP
fraction produced a dose‐dependent inhibition of joint
In order to determine the effect of LP on oxidative inflammation, however, the dose of LP required to afford
stress in arthritic joints, the levels of GSH and TBARS protection in the arthritis model was higher than the dose
were measured in the joint tissue. Induction of arthritis exhibiting an antiinflammatory effect in the paw tissue.
with FCA resulted in a marked reduction in the tissue Such a difference in dose could be attributed to the low
levels of GSH and an increase in the levels of TBARS. intra‐articular concentration of LP due to its protein-
The treatment of arthritic rats with LP increased the aceous nature and tissue granulation in FCA induced
levels of GSH and decreased the levels of TBARS as arthritis (Oates et al., 2006; Kleinau et al., 1994). The
also observed with diclofenac (Fig. 3). antiinflammatory effect of LP has earlier been attributed
to its ability to inhibit edema formation and neutrophil
influx at the site of inflammation (Alencar et al., 2004).
Histological findings Neutrophil influx is one of the key features of FCA
induced arthritis and its inhibition by LP may signifi-
Microscopic examination of the joint tissue in arthritic cantly contribute to its efficacy in arthritis (Bjursten et al.,
rats on day 3 revealed inflammatory changes with influx 1983). The antiinfiltrative effect of LP was also evident
of neutrophils and edema. These changes were atten- from the histological analysis of the joint in the present
uated in LP50 and D5 groups while integrity of the joint study. Recently, the antiinflammatory activity of LP has
tissue was well preserved in LP150 group (Fig. 4). been attributed to its subfraction LPPI which comprises
multiple proteins of high molecular weight compared
with other subfractions. The LPPI has been shown to be
most effective in inhibiting both leukocyte rolling and
DISCUSSION adherence and its inhibitory effect on the inflammatory
response involves modulation of nitric oxide (NO) levels
The latex of the plant Calotropis procera has been (Ramos et al., 2009). Besides, the LP fraction of latex
demonstrated to exhibit antiinflammatory and analgesic used in the present study has been reported to prevent
properties in various experimental models. The aque- the lethal effect of systemic inflammatory response
ous suspension and methanol extract (MeDL) of the elicited by Salmonella infection (Lima‐Filho et al., 2010).
dried latex and non‐dialysable protein fraction of the The role of various cytokines, NO, reactive oxygen
latex (LP) have been shown to be effective in inhibiting species, free radicals and lipid peroxidation is well
edema formation and inflammatory influx of neutrophils established in the pathogenesis of arthritis (Szekanecz
(Arya and Kumar, 2005; Alencar et al., 2004). The oral et al., 2000; Remans et al., 2005). Treatment of arthritic
administration of MeDL has recently been demonstrated rats with the LP fraction maintained oxidative homeo-
to afford protection against FCA induced monoarthritis stasis in the joint tissue. The antioxidant properties of C.
in rats (Kumar and Roy, 2009). In the present study, the procera latex have earlier been reported in various
LP fraction prepared from the latex was first validated animal models (Kumar and Roy, 2007; Roy et al., 2005).
for its antiinflammatory properties in a carrageenin It is also well known for its free radical scavenging
induced paw edema model. The intraperitoneal admin- properties (Mueen Ahmed et al., 2003).
istration of LP produced a dose‐dependent inhibition of FCA induced inflammatory hyperalgesia in rat is a
paw inflammation induced by carrageenin and its anti- well established model for the evaluation of analgesic
inflammatory efficacy was more pronounced than that of activity of drugs. In this model a state of functional
diclofenac, a standard antiinflammatory drug. Since this disability is attained at the time of peak inflammatory
fraction produced a significant antiinflammatory effect response when the animal avoids weight bearing on the
Copyright © 2011 John Wiley & Sons, Ltd. Phytother. Res. 25: 1336–1341 (2011)
1340 V. L. KUMAR ET AL.

Figure 4. Effect of LP on joint histology in arthritic rats. Arthritis was induced by intra‐articular injection of 0.1 mL of 0.1% FCA. LP and
diclofenac were administered before injecting FCA and then daily for 3 days following which the rats were killed for the histological analysis
of the joint. Normal control (A), FCA control showing edema and neutrophilic infiltration (B) and attenuation of inflammatory changes with
D5 (C), LP50 (D) and LP150 (E). (Scale bar = 100 μm).

inflamed joint and is unable to freely move and climb proteins exhibiting similar properties but are effective
due to pain. Like diclofenac, LP produced improvement following parenteral administration (Kumar and Roy,
in motility, stair climbing ability and decreased the DFP 2007; Alencar et al., 2004).
score in arthritic rats. Such a protection has been The results of the present study show that the protein
reported for DL and its methanol extract, MeDL and fraction of the latex ameliorates inflammatory hyper-
could be attributed to its constituents that include algesia and has the therapeutic potential for use in
alkaloids, terpenes, flavonoids, lignans and flavanol various arthritic conditions.
glycosides (Kumar and Roy, 2007, 2009; Kumar and
Arya, 2006; Mueen Ahmed et al., 2003). Besides these
phytochemicals, the present study shows that the Acknowledgements
proteins derived from latex also exhibit antiarthritic
property that is comparable to that of standard This work was funded by DST under Indo‐Brazil S&T programme of
antiinflammatory drug, diclofenac. Earlier, the LP and Cooperation. M.V.R. is grateful to CNPq, FUNCAP and IFS for
its subfractions have been shown to exhibit antinoci- financial support. The Junior Research Fellowship to P.C. from
ceptive effect that was comparable to that of morphine Department of Biotechnology, New Delhi during the study period is
(Ramos et al., 2009). Taken together, these studies show acknowledged.
that the latex comprises various constituents that are
effective when administered through different routes.
On the one hand, it possesses orally active constituents Conflict of Interest
that could be extracted with solvents such as methanol as
reported earlier, while on the other hand, it comprises The authors have declared that there is no conflict of interest.

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