Antioxidant and Nitric Oxide Inhibitory Activities of Ya-Kae-Lom-Utthang- Ka-Ma-Va-Ta Thai Traditional Medicine Formula in ATDC-5 Cells

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Waluga Plaingam
Somporn Phonkrathok
Sanhajutha Puangmala
Moragot Chatatikun

Abstract

Introduction and objectives: Knee osteoarthritis (KOA), a disabling joint inflammatory disease, is caused by nitric oxide (NO) established as one of its major causes. Many previous studies have shown that bioactive compounds and plant extracts can exhibit chondroprotective effects by suppressing the expression of NO and inducible nitric oxide synthase (iNOS). The objectives of this research were to determine total phenolic content and total flavonoid content, and investigate antioxidant and inhibitory effects of nitric oxide by 95% ethanolic extract of Ya Kae Lom Utthangkhamawata (UKLU) formula in ADTC-5 mouse chondrogenic cells.


Methods: The total phenolic and total flavonoid contents were determined by folin ciocalteu and aluminium chloride methods, respectively. Antioxidant activity was also determined using DPPH and ABTS radical scavenging assays. Inhibitory activity against nitric oxide production was induced by lipopolysaccharide (LPS) used as the assay for anti-inflammation in ATDC-5 cells. In finally, the MTT assay was used to measure cytotoxicity.


Results: In the UKLU formula extract, 479.33±2.08 mg GAE/g and 177.89±3.02 mg GAE/g of total phenolics and total flavonoids, respectively, were found. In the formula extract’s antioxidant activity testing, the IC50 values were 137.72 µg/mL for DPPH method and 27.28 µg/mL in ABTS method. And finally, the formula extract was further tested for anti-inflammatory via inhibition of nitric oxide production and cytotoxicity in ATDC-5 cells. The ethanolic extract of the formula showed the nitric oxide inhibitory activities with the IC50 value at 41.88 µg/mL.


Discussion: This study provides scientific information on YKLU formula’s antioxidant and anti-inflammatory activities via NO inhibition effects, which are associated with KOA. The effects might mainly result from phenolic compounds and flavonoids with such antioxidant and anti-inflammatory capacities.


 Conclusion and recommendation: The present investigation indicates that the YKLU formula has antioxidant and anti-inflammatory activities. Further studies should be carried out on the feasibility of using the formula in treating KOA in the future.

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References

United Nations. Report of The world population ageing 2017. [Internet]. 2013. [cited 2023 Jan 16]; Available from: https://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2017_Report.pdf.

Tangtrakulwanich B, Suwanno P. Epidemiology and risk factors of patellofemoral osteoarthritis in adults: a population-based study in southern Thailand. J Med Assoc Thai. 2012;95(8):1048.

Pai YC, Rymer WZ, Chang RW, Sharma L. Effect of age and osteoarthritis on knee proprioception. Arthritis and Rheumatism. Arthritis Rheum. 1997;40(12):2260-5.

Arden N, Nevitt MC. Osteoarthritis: epidemiology. Best Practice and Research Clinical Rheumatology. 2006;20(1):3-25.

Scotece M, Gómez R, Conde J, Lopez V, Gómez-Reino JJ, Lago F, Gualillo O. Further evidence for the anti-inflammatory activity of oleocanthal: inhibition of MIP-1α and IL-6 in J774 macrophages and in ATDC5 chondrocytes. Life Sci. 2012;91(23-24):1229-35.

Scotece M, Conde J, Abella V, López V, Francisco V, Ruiz C, Gualillo O. Oleocanthal inhibits catabolic and inflammatory mediators in LPS-activated human primary osteoarthritis (OA) chondrocytes through mapks/nf-κb pathways. Cell Physiol Biochem. 2018;49(6):2414-26.

Santoro A, Conde J, Scotece M, Abella V, López V, Pino J, Gualillo O. Choosing the right chondrocyte cell line: Focus on nitric oxide. J Orthop Res. 2015;33(12):1784-8.

Fendrick AM, Greenberg BP. A review of the benefits and risks of nonsteroidal anti-inflammatory drugs in the management of mild-to-moderate osteoarthritis. Osteopath Med Prim Care. 2009,3(1):1. Doi: 10.1186/1750-4732-3-1. PubMed PMID: 19126235

Jeena K, Liju VB, Umadevi NP, Kuttan R. Antioxidant, anti-inflammatory and antinociceptive properties of black pepper essential oil (Piper nigrum Linn). Journal of Essential Oil Bearing Plants. 2014;17(1):1-12.

Meghwal M, Goswami TK. Piper nigrum and piperine: an update. Phytother Res. 2013;27(8):1121-30.

Nahak G, Sahu RK. Phytochemical evaluation and antioxidant activity of Piper cubeba and Piper nigrum. Journal of Applied Pharmaceutical Science. 2011;01(08):153-7.

Wang B, Zhang Y, Huang J, Dong L, Li T, Fu X. Anti-inflammatory activity and chemical composition of dichloromethane extract from Piper nigrum and P. longum on permanent focal cerebral ischemia injury in rats. Revista Brasileira de Farmacognosia. 2017;27(3):369-74.

Takooree H, Aumeeruddy MZ, Rengasamy KR, Venugopala KN, Jeewon R, Zengin G, Mahomoodally MF. A systematic review on black pepper (Piper nigrum L.): from folk uses to pharmacological applications. Crit Rev Food Sci Nutr. 2019;59(sup1):S210-43.

Harpalani AN, Taranalli AD, Otari KV, Karadi RV, Shete RV. An anti-inflammatory and anti-arthritic potential of aqueous and alcoholic extract of Euphorbia antiquorum Linn. Pharmacologyonline. 2011;2:287-98.

Jyothi T, Prabhu K, Jayachandran E, Lakshminarasu S, Setty R. Hepatoprotective and antioxidant activity of Euphorbia antiquorum. Pharmacognosy Magazine. 2008;4(13):25-30.

Ouncharoen K, Leelananthakul W. Antioxidant and anti-inflammatory activities of Prasa Khamin-Oi remedy and its herbal components. Journal of Khon Kaen Provincial Health. 2023;4(2):225-38. (in Thai)

Shebaby W, Saliba J, Faour WH, Ismail J, El Hage M, Daher CF, Mroueh M. In vivo and in vitro anti-inflammatory activity evaluation of Lebanese Cannabis sativa L. ssp. indica (Lam.). J Ethnopharmacol. 2021;270:113743. Doi: 10.1016/j.jep.2020.113743 PubMed PMID: 33359187.

El Badwi S, Elnabi J, Dahab M. Anti-inflammatory Activity of the Plant Cannabis sativa (L) petrolium ether extract in albino rats. Research in Pharmacy. 2011;1:18-25.

Rusmana D, Elisabeth M, Widowati W, Fauziah N, Maesaroh M. Inhibition of inflammatory agent production by ethanol extract and eugenol of Syzygium aromaticum (L.) flower bud (clove) in LPS-stimulated Raw 264.7 cells. Research Journal of Medicinal Plants. 2015;9(6):264-74.

Ahmad T, Shinkafi TS, Routray I, Mahmood A, Ali S. Aqueous extract of dried flower buds of Syzygium aromaticum inhibits inflammation and oxidative stress. J Basic Clin Pharm. 2012;3(3):323-7. Doi:10.4103/0976-0105.103813. PubMed PMID: 24826043.

Hossen MJ, Amin A, Fu XQ, Chou JY, Wu JY, Wang XQ, Yu ZL. The anti-inflammatory effects of an ethanolic extract of the rhizome of Atractylodes lancea, involves Akt/NF-κB signaling pathway inhibition. J Ethnopharmacol. 2021;277:114183. doi:10.1016/j.jep.2021.114183.