Antioxidant and Anti-inflammatory Activities of “BAMRUNG-KHAIKHOR” Herbal Formula

Main Article Content

Rattiya Tangbuchakiat

Abstract

Osteoarthritis and rheumatoid arthritis cause joint pain in people over 40 years of age that have a chronic disease affecting quality of life. This study reviewed BAMRUNG-KHAIKHOR (herbal joint pain) formula in Thatwipang and Loaknithan scriptures of the first Thai medical textbook Tumra Paetsart Songkroh. The formula was extracted with various solvents (water, ethanol, ethyl acetate and hexane) and then analyzed for total phenolic content, antioxidant activities with ABTS radical scavenging assay and DPPH radical scavenging assay, and inhibitory effects of nitric oxide using cytotoxicity test in the ATDC5 cells. The findings showed that ethyl acetate extract contained the highest total phenolic content whereas the water extract had the lowest content (4.1218 and 2.3001 mg GAE/g, respectively). Concerning antioxidant activities with ABTS radical scavenging assay, the ethanol extract exhibited the highest and the water extract exhibited the lowest (1.8241 and 0.0378 mg EEAC/g, respectively). The results were consistent with those from the DPPH radical scavenging assay compared to standard vitamin E, i.e. the ethanol extract exhibited the highest, while the water extract exhibited the lowest IC50 values (0.0544, 0.0749 and 1.4145 g/mL, respectively). Tested for the inhibitory effects of nitric oxide in the ATDC5 cells, the ethyl acetate extract exhibited the highest IC50 value at 44.4961 g/mL, while the hexane extract had no inhibitory effects. For the cytotoxicity test in the ATDC5 cells, the water extract, and ethanol and ethyl acetate extracts at a maximum concentration of 50 g/mL were not toxic to the cells. Altogether, the results indicated that ethyl acetate and ethanol were the optimum solvents for extracting the active antioxidants and nitric oxide inhibitors. These results confirmed that active herbal ingredients in this formula are good sources of antioxidants and nitric oxide inhibitors, which scientifically verify the properties of BAMRUNG-KHAIKHOR for osteoarthritis and rheumatoid arthritis pain relief.

Article Details

Section
Original Articles

References

Sitthichaiyakuk P. Acute and chronic inflammation. Phitanulok: Faculty of Medicine Naresuan University; 2011. 19 p. (in Thai)

Van der Vliet A, Eiserich JP, Cross CE. Nitric oxide: a pro-inflammatory mediator in lung disease?. Respir Res. 2000;1(2):67-72.

Jung H-W, Seo U-K, Kim J-H, Leem K-H, Park Y-K. Flower extract of Panax notoginseng attenuates lipopolysaccharide-induced inflammatory response via blocking of NF-KappaB signaling pathway in murine macrophages. J Ethnopharmacol. 2009;122(2):313-9.

Coleman JW. Nitric oxide in immunity and inflammation. Int Immunopharmacol. 2001;1(8):1397-406.

Guzik TJ, Korbut R, Adamek-Guzik T. Nitric oxide and superoxide in inflammation and immune regulation. J Physiol Pharmacol. 2003;54(4):469-87.

Huang W-H, Lee A-R, Yang C-H. Antioxidative and anti-inflammatory activities of polyhydroxyflavonoids of Scutellaria baicalensis Georgi. Biosci Biotechnol Biochem. 2006;70(10):2371-80.

Aengpanit W. Oxidative stress. Free radicals and antioxidants. Chiang Mai: Innovation publishing, Faculty of Medicine, Chiang Mai University; 2012. p.50-1. (in Thai)

Häuselmann HJ, Stefanovic-Racic M, Michel BA, Evans CH. Differences in nitric oxide production by superficial and deep human articular chondrocytes: implications for proteoglycan turnover in inflammatory joint diseases. J Immunol. 1998;160(3):1444-8.

Boileau C, Martel‐Pelletier J, Moldovan F, Jouzeau J-Y, Netter P, Manning PT, Pelletier J-P. The in situ up‐regulation of chondrocyte interleukin‐1–converting enzyme and interleukin‐18 levels in experimental osteoarthritis is mediated by nitric oxide. Arthritis Rheum. 2002;46(10):2637-47.

Archanupap S. Osteoarthritis: textbook of medicine. Bangkok: Reankhaw Karnpim; 1989. p. 461-2.

Archanupap S. Rheumatoid arthritis: textbook of medicine. Bangkok: Reankhaw Karnpim; 1989. p. 463-5.

Zieliński H, Kozłowska H. Antioxidant activity and total phenolics in selected cereal grains and their different morphological fractions. J Agric Food Chem. 2000;48(6):2008-16.

Suthajit M, Khalsuwan U, Suthajit S, Kheawsuriya P, Sinchaikit P. Potential of herbal active ingredient. Chiang Mai: Faculty of Medicine Chiang Mai University; 2000. (in Thai)

Sánchez-Moreno C. Review: methods used to evaluate the free radical scavenging activity in foods and biological systems. Food Science and Technology International. 2002;8(3):121-37.

Iacono A, Gómez R, Sperry J, Conde J, Bianco G, Meli R, Gómez-Reino JJ, Smith AB, Gualillo O. Effect of oleocanthal and its derivatives on inflammatory response induced by lipopolysaccharide in a murine chondrocyte cell line. Arthritis Rheum. 2010;62(6):1675-82.

Ahmad R, Ali AM, Israf DA, Ismail NH, Shaari K, Lajis NH. Antioxidant, radical-scavenging, anti-inflammatory, cytotoxic and antibacterial activities of methanolic extracts of some Hedyotis species. Life Sci. 2005;76(17):1953-64.

Wacharakup O, Sripa K, Chathasas D. Anti-free radical. Bangkok: P.S. Print; 2006. (in Thai)

Jiménez-Ecrig A, Jiménez I, Pulido R, Saura-Calixto F. Antioxidant activity of fresh and processed edible seaweeds. Journal of the Science of Food and Agriculture. 2001;81(5):530-4.

Nagai T, Yukimoto T. Preparation and functional properties of beverages made from sea algae. J. Food Chem. 2003;81(3):327-32.

Inthranupakorm R. Herbal extraction, Preparation and Isolation of active Ingredient by chromatography. Bangkok: Chamchuri Production; 2013. (in Thai)

Calixto JB, Otuki MF, Santos ARS. Anti-inflammatory compounds of plant origin. Part I. Action on arachidonic acid pathway, nitric oxide and nuclear factor kappa B (NF-kappaB). Planta Med. 2003;69(11):973-83.

Kris-Etherton PM, Lefevre M, Beecher GR, Gross MD, Keen, CL. Etherton TD. Bioactive compounds in nutrition and health-research methodologies for establishing biological function: the antioxidant and anti-inflammatory effects of flavonoids on atherosclerosis. Annu Rev Nutr. 2004;24:511-38.

Kolb H, Kolb-Bachofen V. Nitric oxide: a pathogenetic factor in autoimmunity. Immunol Today. 1992;13(5):157-60.

Kim HK, Cheon BS, Kim YH, Kim SY, Kim HP. Effects of naturally occurring flavonoids on nitric oxide production in the macrophage cell line RAW 264.7 and their structure–activity relationships. Biochem Pharmacol. 1999;58(5):759-65.

Raso GM, Meli R, Carlo GD, Pacilio M, Carlo RD. Inhibition of inducible nitric oxide synthase and cyclooxygenase-2 expression by flavonoids in macrophage J774A.1. Life Sci. 2001;68(8):921-31.

Kobuchi H, Droy-Lefaix MT, Christen Y, Packer L. Ginkgo biloba extract (EGb 761): inhibitory effect on nitric oxide production in the macrophage cell line RAW264.7. Biochem Pharmacol. 1997;53(6):897-903.

Sakata K, Hirose Y, Qiao Z, Tanaka T, Mori H. Inhibition of inducible isoforms of cyclooxygenase and nitric oxide synthase by flavonoid hesperidin in mouse macrophage cell line. Cancer Lett. 2003;199(2):139-45.

Chan MM, Fong D, Ho CT, Huang HI. Inhibition of inducible nitric oxide synthase gene expression and enzyme activity by epigallocatechin gallate, a natural product from green tea. Biochem Pharmacol. 1997;54(12):1281-6.

Kang JS, Jeon YJ, Kim HM, Han SH, Yang K-H. Inhibition of inducible nitric-oxide synthase expression by silymarin in lipopolysaccharide-stimulated macrophages. J Pharmacol Exp Ther. 2002;302(1):138-44.

Komutarin T, Azadi S, Butterworth L, Keil D, Chitsomboon B, Suttajit M, Meade BJ. Extract of the seed coat of Tamarindus indica inhibits nitric oxide production by murine macrophages in vitro and in vivo. Food Chem Toxicol. 2004;42(4):649-58.

Surh YJ, Chun KS, Cha HH, Han SS, Keum YS, Park KK, Lee SS. Molecular mechanisms underlying chemopreventive activities of anti-inflammatory phytochemicals: down-regulation of COX-2 and iNOS through suppression of NF-Kappa B activation. Mutat Res. 2001;480-481:243-68.