Cardioprotective Activity of Ocimum canum Hydro-alcoholic Leaf
Extracts Against Isoproterenol Induced Myocardial Infarction in Rats
Saiprasanna Behera1,
S. Manohar Babu2, Y. Roja Ramani3, Prasanta Kumar
Choudhury1, Rajeshree Panigrahi1
1Department of Pharmacology,
Royal College of Pharmacy and Health Sciences, Brahmapur, Odisha- 760002
2Department of
Pharmacology, SIMS College of Pharmacy, Mangaldas Nagar, Guntur- 522001
3Department of
Pharmacology, MKCG Medical College, Berhampur, Odisha- 760004
ABSTRACT:
Myocardial infarction (MI) was produced in rats with
200 mg/kg of isoproterenol (ISO) administered subcutaneously (sc) twice at an
interval of 24 h. Shift in antioxidant parameters, lactate dehydrogenase (LDH),
aspartate aminotransferase (AST), alanine aminotransferase (ALT), creatine
phosphokinase (CPK), Troponin T, Catalase together with morphological and
histopathological changes were investigated. Two hundred mg/kg ISO dose was
selected for the present study as this dose offered significant alteration in
biochemical parameters along with moderate necrosis in heart. Effect of pre-
treatment of hydro-alcoholic extract of Ocimum
canum (OC) at different doses (100, 200 and 400 mg/kg) was investigated
against ISO (200 mg/kg) induced myocardial infarction in rats. Modulation of
various biochemical parameters and membrane integrity was studied. OC at the
dose of 200 and 400 mg/kg reduced significantly glutathione (GSH), superoxide
dismutase (SOD) and LDH levels. It also inhibited the lipid peroxidation as observed
by the reduced thiobarbituric acid reactive substances (TBARS) levels. In the
present study OC at the dose of 400 mg/kg was found to demonstrate maximum
cardio-protective effect. Above results were further confirmed by
histopathological findings. Thus from the present study it is concluded that OC
may be of therapeutic and prophylactic value in the treatment of MI
KEYWORDS: Isoproterenol, Myocardial infarction, Ocimum canum, Antioxidant enzymes
INTRODUCTION:
Free radical reactions have been implicated in the
pathology of many human diseases including atherosclerosis, ischemic heart
disease, the aging process, inflammation, diabetes, immunodepression, the
neurodegenerative diseases and other disease states [1]. Radicals
and other reactive oxygen species are formed constantly in the human body and
are removed by the enzymic and non-enzymic antioxidant defense system.
Oxidative stress occurring when antioxidant defenses are inadequate can damage
lipids, proteins, carbohydrates and DNA [2].
Ischemic diseases in the cardiovascular system and CNS
account for the majority of morbidity and mortality worldwide, and the
incidence is increasing due to an aging population. Cardiovascular diseases
represent one of the most common disorders affecting Western societies. There
is accumulating evidence to support the notion that oxidative injury plays a
critical role in several cardiovascular diseases
including myocardial infarction, myocardial I/R (ischemia/reperfusion),
atherosclerosis, endothelial dysfunction, restenosis, hypertension as well as
cardiomyopathies and heart failure [3, 4]. The oxidative stress associated injury is a
direct result of an imbalance between an increase in ROS production and a
decrease in antioxidant reserve under various pathological processes Ischemic
injury occurs when there is reduced blood supply or complete occlusion of an
artery. The causes for ischemic insults vary from organ to organ, and rupture
of atherosclerotic plagues with resultant formation of thrombi represents a
major cause for acute ischemic injury in the heart, brain, lung, intestinal
tract and other organs. Intermittent constriction or compression from the
outside of vessels also causes a reduction or cessation of blood supply. Lung, heart
and liver transplantation remains the only effective therapy for end stage
lung, heart or liver diseases.
Ischemic insults occur as results of a variety of
conditions, leading to an accumulation of reactive oxygen species (ROS) and an
imbalanced redox status in the tissues [5,6]. The oxidant stress may
activate signaling mechanisms provoking more toxic events, and eventually
causes tissue damage. Reactive oxygen species (ROS) are largely generated from
mitochondrial energy metabolism via oxidative phosphorylation in the
respiratory chain of eukaryotes. Because of the existence of antioxidant
enzymes, such as superoxide dismutase (SOD) and catalase, and antioxidants,
such as the reduced form of glutathione (GSH), as well as vitamin C and E, the
redox balance is well maintained. Upon injurious insults including,
inflammation, drugs, alcohol intake, or environmental pollutants, there is
increased production of superoxide anion (O−) or other ROS
from various sources resulting in the disturbance of this delicate balance. The
increase in ROS consumes endogenous antioxidant compounds, such as GSH, and
induces expression of antioxidant enzymes in order to maintain the redox
balance [7, 8]. Thus, oxidant stress represents one of the major
causes of ischemic injury, and antioxidant therapy may ameliorate the injury
when it is properly delivered during an optimal time window and at right doses.
A variety of antioxidants, scavengers, or scavenger mimetics have been
evaluated in various ischemic conditions. Therefore, treatments with
antioxidants, free radical scavengers and their mimetics, as well as gene
transfer approaches to over express antioxidant genes represent potential
therapeutic options to correct the redox imbalance.
It is now well recognized that isoproterenol (
MI is a complex phenomenon affecting the mechanical,
electrical, and structural and biochemical properties of the heart [12].
Although modern drugs are effective in preventing cardiovascular disorders,
their use is often limited because of their side effects [13].
Recently, several plants of Indian origin have been found to possess antioxidant
properties and their beneficial effects in pathological conditions like
atherosclerosis, ischemia, cancer, cataract, and liver dysfunction have been
related to their antioxidant properties. Drugs with multiple mechanisms of
protective action, including antioxidant properties, may be one step forward in
human disease. Though many antioxidant drugs for the protection against
ischemic stroke are in the pipeline yet only few have successfully completed
clinical trial. So proper screening of plant source for finding potential
antioxidant drugs will definitely fulfill the dearth of suitable drugs for the
treatment and protection against ischemia.
O. sanctum (the holy basil) is reported to possess
antioxidant properties [14]. Ocimum
canum Sims. (Hairy Basil) is a traditional medicinal plant distributes
throughout Odisha and it is commonly known as Kala Tulasi in Odia has an
unusual mint-like flavor. The plant branches out from its base, with angle
stems and open foliage. The plant shows a pungent, aromatic flavor and is
commonly cultivated for culinary purposes.
O. canum is used specially for treating various types of diseases and
lowering blood glucose and also treats cold, fever, parasitic infestations on
the body and inflammation of joints and headaches [15].
Protective role of O. canum in
alcohol-induced oxidative stress has been already reported. Ocimum canum possess antibacterial [16]
and mosquito repellent properties [17] and also lowers blood
glucose level by facilitating the release of insulin from isolated pancreatic
β-cells [18]; however, very little is known about its
antioxidant properties. It is used in ritual as an incense as well to protect
the home and welcome newborns into the world. It is an unusual and very useful
addition to the medicinal garden. The hairy leaves and decorative flowers are
very aromatic and form a lush mound about 2 feet in height. This annual plant
grows well in full sun, well-drained soil and plenty of heat. The plant
branches from the base and has an angled stems and oval pubescent leaves. Its
leaves are tiny and fuzzy and have violet or white flowers, having a sweet
scent resembling that of the clove. The leaves of the Ocimum canum are opposite and toothed. It is irregular and occurs
in crowded whorls. The Ocimum canum
has a small corolla. These plants have intense floral-fruity aromas. The oil of
the Ocimum canum is composed of
Linalool. The seeds may provide fiber or reduce constipation. This study aims
to determine the role of O. canum as
a cardio-protective and antioxidant agent in isoproterenol induced myocardial
infarction in albino rats. A hydro-alcoholic extract of O. canum is evaluated for its abilities to scavenge free radicals,
protect cell viability and inhibit the formation of lipid peroxides.
MATERIALS
AND METHODS:
Method:
The experimental protocols were conducted with the
approval of the Animal Research Committee at Royal College of Pharmacy and
Health Sciences, Brahmapur. Odisha. All animals were maintained in accordance
with the recommendations of the CPCSEA
Drugs and Chemicals:
Isoproterenol HCl, dihydro-diphosphopyridine nucleotide
(DPNH), phenazinemethosulphate (PMS), nitrobluetetrazolium (NBT), 5,5-dithiobis (2-nitro benzoic acid)
(DTNB), bovine serum albumin (BSA), 1,1,3,3-tetra methoxy propane, reduced
glutathione (GSH), lactate dehydrogenase (LDH), superoxide dismutase (SOD) and
triphenyltetrazolium chloride (TTC), 1,1-diphenyl, 2- picrylhydrazyl (DPPH), 2,
2’-azino-bis (3-ethylbenzothiazoline-6-sulphonic acid) ABTS were purchased from
Sigma Chemical Co., USA through Nobel Enterprises, Brahmapur, Odisha.
Dinitrophenylhydrazine solution (DNPH), sodium pyrophosphate (SPP), sodium
dodecyl sulphate (SDS), thiobarbituric acid (TBA), and trichloroacetic acid
(TCA) were obtained from Nobel Enterprises, Brahmapur, Odisha, India. All other
chemicals were of analytical grade
Animals:
Adult rates of either sex (150-200gm) were obtained
from the animal house of R.C.P.H.S. and were housed and divided into 5 groups
containing 6 animals each. All the experimental procedures and protocols used
in this study were reviewed and approved by Institutional Animal Ethical
Committee.
Plant collection
Leaves of Ocimum
canum were collected in the month of December 2011 from its natural habitat
from nearby Mohuda village, Berhampur, Ganjam district of Odisha. The plant was
authenticated from Department of Botany, Khalikote College, Berhampur, Odisha.
The leaves were cleaned and dried under the shade to avoid degradation of
volatile oil. The leaves were dried in hot air woven at 55°C for 3 days and at
40°C for the next 4 days
Preparation of Plant Extracts:
The dried leaves were coarsely powdered and extracted
with a mixture of methanol: water (7:3, v/v) by a Soxhlet apparatus at 50°C. The
solvent was completely removed and obtained dried crude extract which was used
for investigation. Further the extracts were subjected for the antioxidant
study as well as pharmacological screening.
In vitro Antioxidant Study
[19]:
Ocimum canum hydro-alcoholic leaf extract was tested for
its antioxidant activity using different in vitro models as follows at
concentrations of 250, 500, 1000 and 2000µg/ml
a) DPPH radical scavenging assay
To the Methanol solution of DPPH (1 mM) an equal volume
of the extract dissolved in alcohol was added at various concentrations from
250 to 2000 μg/ml in a final volume of 1.0 ml. An equal amount of alcohol
was added to the control. After 20 min, absorbance was recorded at 517 nm.
Experiment was performed in triplicate.
b) ABTS radical scavenging assay
To the reaction mixture containing 0.3 ml of ABTS
radical, 1.7 ml phosphate buffer and 0.5 ml extract was added at various
concentrations from 250 to 2000 μg/ml.
Blank was carried out without drug. Absorbance was recorded at 734 nm.
Experiment was performed in triplicate
Toxicity Study:
The acute toxicity of the extract was evaluated in 56
normal albino rats. They were grouped into seven and each group contains eight
rats (four male and four female). Each group was kept for fasting for 24hrs,
after which they were treated once orally with one of the increasing doses of
extract: 100, 200, 200,300 or 400 g/Kg/b.
w. The volume of each administrated dose did not exceed one ml. the rats
were then observed for at least 48hrs and up to seven days, for death,
lethargy, jerkiness, sensitiveness to noise and touch, stools quality and
frequency
Treatment Protocol
The rats were divided into six groups of six animals
each.
·
Group I served as a control (saline
treated)
·
Group II rats were administered with
isoproterenol (200 mg/kg body weight administered subcutaneously twice at an
interval of 24 h) dissolved in normal saline, to induce Myocardial ischemia [20].
·
Group III rats were pretreated with Ocimum canum leaf extract (400 mg/kg)
for a period of 30 days.
·
Groups IV, V and VI animals were
pretreated with Ocimum canum
(hydro-alcoholic leaf extract) dissolved in distilled water was given to each
animal orally (100 mg/kg, 200 mg/kg and 400 mg/ kg, respectively) for a period
of 30 days [21] and isoproterenol (200 mg/ kg body weight
subcutaneously twice at an interval of 24 hours) at the end of the treatment
period on the 29th and 30th days. The animals were sacrificed 24 h after the
second dose of ISO, under chloroform anesthesia. Hearts were removed and
processed immediately for morphological and histopathological studies. For
performing biochemical estimations hearts were immediately stored in cold
formalin solution till further analysis
Determination of myocardial
necrosis by direct staining
Using triphenyltetrazolium chloride (TTC) dye described
by Lie et al. [22].
Myocardium of rat was frozen immediately after removal. When the tissue was firm,
the heart was sliced into 1 mm segments and incubated at 37°C for 20 min in 1%
TTC. The formazan precipitate resulting from the reaction of lactate
dehydrogenase in normal and ischemic regions delineated the area at risk from
the infarcted tissue.
Biochemical estimations
Hearts removed from liquid nitrogen were weighed. Ten
percent homogenate was prepared in 0.1M Tris-buffer, pH 7.4 and used for all
the assays.
The activities of aspartate aminotransferase (AST) and
alanine aminotransferase (
Histopathological studies
Myocardial tissue after removal was immediately fixed
in 10% buffered neutral formalin solution. After fixation was complete, tissues
were embedded in paraffin and serial sections were cut. Each section was
stained with hematoxylin and eosin. The sections were examined under light
microscope and photomicrographs were taken.
Statistical analysis
Descriptive statistics such as mean and standard
deviation has been calculated for each and every variable for each group.
One-way analysis of variance (ANOVA) has been applied for statistical analysis
with post-hoc analysis (Bonferroni Multiple Range Test) and a value of p <
0.05 has been considered as statistical significance level [32]
RESULTS:
DPPH radical scavenging assay
The proton radical scavenging action is known to be one
of the various mechanisms for measuring antioxidant activity. The DPPH test
provides information on their activity of the test compounds with a stable free
radical. This assay determines the scavenging of stable radical species of DPPH
by antioxidants. The degree of reduction in absorbance measurement by Ocimum canum is indicative of the
radical scavenging (antioxidant) power of the plant. The study showed that the
hydro-alcoholic extract have the proton-donating ability and can serve as free
radical inhibitors or scavenger, acting possibly as primary antioxidant.
Table 1:- Study on DPPH
scavenging activity in Ocimum canum
leaves
|
Concentration
(µg/ml) |
Ascorbic acid (%
scavenging activity) |
O. canum (% scavenging activity) |
|
0 |
0 |
0 |
|
250 |
90.2±0.004 |
46.8 ± 0.005 |
|
500 |
91 ±0.009 |
56.7 ± 0.003 |
|
1000 |
92.4 ±0.005 |
72 ± 0.005 |
|
2000 |
93±0.007 |
79.2 ± 0.004 |
Values are mean ± SEM of three separate experiments;
Statistical comparison has been done by student‘s t- test
Figure 1:- Study on DPPH
radical scavenging activity in Ocimum
canum leaves at 517 nm
ABTS radical scavenging activity
ABTS, a protonated radical, has characteristic
absorbance maxima at 734 nm which decreases with the scavenging of the proton
radicals (Mathew and Abraham 2006). The scavenging of the ABTS+ radical by the O. canum was found to be much higher
than that of DPPH radical.
Table 2:- Study on ABTS
scavenging activity in Ocimum canum
leaves
|
Ascorbic acid (% scavenging
activity) |
O. canum (% scavenging activity) |
|
|
0 |
0 |
0 |
|
250 |
68±0.014 |
52.65 ± 0.012 |
|
500 |
73.4±0.016 |
70.8 ± 0.013 |
|
1000 |
75±0.015 |
76.5 ± 0.014 |
|
2000 |
79.2±0.017 |
86.5 ± 0.011 |
Values are mean ± SEM of three separate experiments;
Statistical comparison has been done by student‘s t- test
Figure 2:- Study on ABTS
scavenging activity in Ocimum canum
leaves at 734 nm
Figure 3:- Level of Lipid
peroxide and reduced glutathione in plasma of normal and experimental groups
Table 3:- Level of lipid peroxide
(LPO) and reduced glutathione (GSH) in plasma and heart tissue of normal and
experimental groups of rats
|
Groups |
Group I |
Group II |
Group III |
Group IV |
Group V |
Group VI |
|
Plasma |
||||||
|
Lipid peroxide |
1.76 ± 0.15 |
4.26 ± 0.31a |
1.02 ± 0.17 |
3.52 ± 0.27 |
2.02 ± 0.19 |
1.47 ± 0.13 |
|
Reduced
glutathione |
12.32 ± 0.62 |
8.59 ± 0.65a |
14.09 ± 0.64 |
9.87 ± 0.63 |
11.87 ± 0.67 |
13.02 + 0.67 |
|
Heart tissue homogenate |
||||||
|
Lipid peroxide |
0.98 ± 0.09 |
1.97 ± 0.11a |
0.66 ± 0.05 |
1.02 ± 0.10 |
0.97 ± 0.08 |
0.78 +
0.08 |
|
Reduced
glutathione |
5.21 ± 2.17 |
2.75 ± 0.29a |
6.47 ± 2.01 |
3.87 ± 1.20 |
4.98 ± 2.05 |
5.80 +
2.43 |
Results are mean ± SEM for 6 animals. Values expressed:
Plasma lipid peroxide-nmol/ml, Reduced glutathione- mg/dl; Heart lipid peroxide
- nmol/mg protein, Reduced glutathione - µg/g wet tissue; a р < 0.001
significantly different compared with Group I control animals.
Figure 4:- Level of Lipid
peroxide and reduced glutathione in heart tissue of normal and experimental
groups
Figure 5:- Level
of MDA, SOD and CATALASE in heart tissue of normal and experimental groups
Table 4:- Level of
Malondialdehyde (MDA) and Superoxide dismutases (SOD) and Catalase in heart
tissue of normal and experimental groups of rats
|
Groups |
MDA |
SOD |
CATALASE |
|
Groups I |
109.50 ± 22.08 |
4.11 ± 0.08 |
1.07 ± 0.08 |
|
Groups II |
230.60 ± 44.82 |
1.77 ± 0.06 |
0.55 ± 0.23 |
|
Groups III |
90.56 ± 14.00 |
4.02 ± 0.45 |
1.15 ± 0.11 |
|
Groups IV |
165.00 ± 10.49 |
2.87 ± 0.38 |
0.78± 0.13 |
|
Groups V |
111.80 ± 17.52 |
3.74 ± 0.40 |
1.09± 0.14 |
|
Groups VI |
98.83 ± 9.61 |
4.12 ± 0.43 |
1.25± 0.10 |
Results are expressed as mean ± SEM for six animals. A
p- value < 0.05 was considered as statistically significant. Value
expressed: MDA, nmol/dl. SOD, one unit of SOD is described as the amount of
enzyme required to cause 50%of inhibition of pyrogallol auto oxidation.
CATALASE, units/ml of H2O2, decomposed/min
Table 5:- Effect
of O. canum pretreatment on
isoproterenol-induced changes in the activities of plasma AST, ALT, CK, LDH and
Troponin T
|
Groups |
ALT |
AST |
CPK |
LDH |
Troponin T |
|
Group I |
31.77± 0.32 |
14.62 ± 0.36 |
274.75 ± 0.31 |
78.8 ± 0.31 |
0.55 ± 0.24 |
|
Group II |
52.63 ± 0.38 |
25.68 ± 0.43 |
530.52 ± 0.41 |
145.43 ± 0.27 |
1.64 ± 0.22 |
|
Group III |
32.33 ± 0.88 |
13.75 ± 0.76 |
272.43 ± 0.68 |
78.23 ± 0.60 |
0.52 ± 0.24 |
|
Group IV |
36.77 ± 0.58 |
15.47 ± 0.60 |
280.45 ± 0.68 |
81.0 ± 0.42 |
1.14 ± 0.37 |
|
Group V |
35.37 ± 0.78 |
15.12 ± 0.47 |
277.70 ± 0.72 |
80.95 ± 0.55 |
0.88 ± 0.35 |
|
Group VI |
33.65 ± 0.65 |
14.07 ± 0.89 |
274.57 ± 0.48 |
80.23 ± 0.63 |
0.78± 0.48 |
Results are mean ± SEM for 6 animals. Values expressed:
ALT, AST and LDH-µmol pyruvate liberated/h/liter; CPK- µmol creatine liberated/
hr/ liter. Troponin T - mg/ dl.р< 0.001 significantly different
compared with Group I control animals
Figure 6:- Effect
of O. canum pretreatment on ISP
–induced changes in the activities of ALT, AST, CPK and LDH
Figure 7:- Effect of O. canum pretreatment on ISP –induced
changes in the activities of Troponin T
Table 6:- Levels of alanine
aminotransferase (ALT), aspartate aminotransferase (AST), lactate dehydrogenase
(LDH) and creatine phosphokinase (CPK) in heart of normal and experimental
groups of rats
|
Groups |
ALT |
AST |
LDH |
CPK |
|
Groups I |
43.51± 0.60 |
25.28 ±0.15 |
117.22 ± 0.15 |
13.13 ± 0.20 |
|
Groups II |
27.9 ± 0.73 |
16.45 ± 0.16 |
80. 43 ± 0.18 |
9.45 ± 0.23 |
|
Groups III |
44.46 ± 0.64 |
26.18 ± 0.16 |
115.43 ± 0.20 |
14.55 ± 0.23 |
|
Groups IV |
41.68 ± 0.80 |
25.35 ± 0.15 |
114.78 ± 0.21 |
11.96 ± 0.22 |
|
Groups V |
44.78 ± 0.75 |
25.92 ± 0.17 |
115.38 ± 0.14 |
13.28 ± 0.32 |
|
Groups VI |
43.45 ± 0.73 |
26.25 ± 0.20 |
116.85 ± 0.26 |
14.16 ± 0.27 |
Results are mean ± SEM for 6 animals. Values expressed:
ALT, AST and LDH- µmol pyruvate liberated/ h/mg protein; CPK- µmol creatine
liberated/ hr/ mg protein. р<
0.001 significantly different compared with Group I control animals.
Figure 8:- Photomicrograph
of rat heart
a) Photomicrograph showing normal
architecture of rat heart of sham group. Endocardium and pericardium are seen within
normal limits with no infiltration of inflammatory cells (H and E X100).
b) Photomicrograph of rat heart subjected
to isoproterenol-induced focal myonecrosis with myophagocytosis and lymphocytic
infiltration. In subendocardium vacuolar changes and prominent oedema along
with chronic inflammatory cells are clearly visible (H and E X100) and
c) Photomicrograph of rat heart of the Ocimum canum treated group administered
200 mg kg-1 showing decreased degree of myonecrosis and lesser infiltration of
inflammatory cells (H and E X100)
Biochemical estimations revealed a significant fall in
the levels of LDH and antioxidant parameters in all Isoprenaline treated groups
as compared to control. Table 3 and 4 depicts the levels of lipid peroxides and
reduced glutathione and antiperoxidative enzymes in the heart tissue of normal
and experimental groups of rats. There was a significant (p< 0.001) increase
in the level of lipid peroxidation along with a concomitant decline in the
level of GSH noted in the heart tissue of Group III isoprenaline-administered
rats as compared to controls.
Also a significant (p< 0.001) reduction in the
activities of reduced glutathione (GSH) and antiperoxidative enzymes (SOD and
CAT) was observed. The prior administration of Ocimum canum significantly reduced the isoprenaline induced adverse
effects and maintained the level of evaluated parameters at near normalcy. In
Group II rats the oral administration of O.
canum hydro-alcoholic leaf extracts resulted in a significant (p< 0.01)
elevation in the level of reduced glutathione.
Table 5 depicts the levels of diagnostic marker enzymes
(AST, ALT, LDH, CPK and Troponin T) in the plasma of normal and experimental
groups of rats. There was a significant (p<0.001) increase noticed in the levels
of these marker enzymes in the plasma of Group III isoprenaline-induced
myocardial infarcted rats as compared to that of Group I control rats. The oral
pre-treatment with O. canum
hydro-alcoholic leaf extracts significantly (p< 0.001) prevented the isoprenaline-induced
release of these enzymes from the myocardium into the systemic circulation and
maintained the rats at near normal status, indicating the cytoprotective action
of Ocimum canum.
DISCUSSION:
Animals develop ‘infarct like’ lesions when injected
with isoproterenol, a potent synthetic catecholamine. These lesions are
morphologically similar to those of ‘coagulativemyocytolysis’ (COAM) or
myofibrillar degeneration, one of the findings described in acute myocardial
infarction (AMI) and sudden death in
human [33].
Though the pathogenesis of AMI has not yet been
completely understood, the studies on ISO induced cardiotoxicity clearly
demonstrate the involvement of oxidative stress in this pathology [10, 34].
Therapeutic intervention that could improve impaired antioxidant defense
mechanisms or diminish free radical production in the ischemic myocardium has
been of great interest [10]. Recently there has been an increase in
interest to explore the cardio-protective potential of natural products [11].
A number of investigations have suggested that
catecholamines in large doses produce myocardial necrosis [9, 10, 35].
Various mechanisms have been proposed to explain this catecholamine-induced
necrosis which includes an increase in cAMP levels [36, 37],
intracellular calcium overload, and exhaustion of high-energy phosphates [38].
Since catecholamines readily undergo oxidation, it has been suggested that the
oxidation products of catecholamines, rather than catecholamine themselves, are
responsible for myocardial changes observed following the administration of the
parent compounds [39]. There is strong evidence that adrenochrome
and other oxidation metabolites of catecholamines can cause cell necrosis and
contractile failure in the rat heart [40, 41]. It is also proved
that autoxidation of catecholamines results in the generation of highly
cytotoxic free radicals [42]. Free radicals can initiate the
formation of alkyl, alkoxy and hydro-peroxy radicals plus hydro-peroxides from
polyunsaturated fatty acids. The localization of highly unsaturated fatty acids
in membrane makes the cell membranes vulnerable to free radical induced lipid
peroxidation [43]. These studies strongly suggests that free
radicals play an important role in catecholamine-induced cardiotoxicity by
causing peroxidation of membrane phospholipids, which can result in
permeability changes in the membrane as well as intracellular calcium overload.
Free radical scavenging enzymes such as catalase,
superoxide dismutase, glutathione peroxidase are the first line of cellular
defense against oxidative injury, decomposing O2 and H2O2before
their interaction to form the more reactive hydroxyl radical (OH·). The
equilibrium between these enzymes is an important process for the effective
removal of oxidative stress in intracellular organelles. The second line of
defense consists of the non- enzymatic scavenger’s like, ascorbic acid, α
tocopherol, ceruloplasmin and sulphydryl containing compounds, which can scavenge
residual free radicals escaping decomposition caused by the antioxidant
enzymes.
Besides, antioxidant enzymes and physiological
antioxidants, alteration in LDH has been considered as one of the most
important marker of myocardial infarction. Wexler and Kittinger [44]
in their study demonstrated that there was a dramatic rise and fall in serum
CPK and LDH following ISO induced MI in rats, and the degree of rise and fall
in serum enzyme activities were proportionate to the extent of the myocardium
infarcted. Various studies have shown and increase in plasma LDH activity with
the consecutive injections of ISO and appearance of degenerative changes in
myocardial cell membranes [45]. In the present study, LDH was
estimated in heart tissue and a significant (p < 0.001) fall in the levels
was observed in ISO treated rats to those of control. This observation is in
conformity with previous reports and can be attributed to the fact that LDH,
being the myocardial enzyme, leaked out from the tissue to plasma on development
of degenerative changes in myocardial cell membranes. Detection of myocardial
necrosis by direct staining using TTC dye, which forms a red formazan
precipitate with LDH of the viable myocardial tissue also confirmed that in all
ISO administered groups there was a significant leakage of LDH as compared to
control.
In this study, it was observed that 200 mg/kg dose of
ISO, induced marked lesions in myocardium and significantly altered various
biochemical parameters.The present study was designed to systematically
evaluate the hydro-alcoholic extracts of OC leaves for its potential as a
cardio-protective agent. For this, effect of OC on morphology, biochemistry and
histopathology of heart was studied against ISO induced myocardial infarction.
In the present study pre-treatment of OC exhibited
significant protection against ISO induced histopathological and biochemical
changes. The cadioprotective mechanism(s) appear to be through modulation of
various antioxidant parameters thereby improving the overall antioxidant
defense of the myocardial tissue. Present data on GSH, SOD, and MDA
demonstrated that antioxidant status of the myocardial cell in ISO treated
group is significantly hampered. Significant fall in GSH levels and impaired
SOD activity together with increased LP appears to be the initial insult to the
tissue making it more susceptible to oxidative damage. Increased ·OH production
in such a compromised situation may be responsible for the observed membrane
damage as evidenced by the elevated LP in terms of TBARS.
Glutathione is implicated in the removal of free oxygen
species such as H2O2superoxide radicals, alkoxy radicals,
and maintenance of membrane protein thiols and as a substrate for glutathione peroxidase
(GPX) and glutathione-stransferase (GST). Enhanced levels of GSH could either
be because of its increased synthesis or due to improved glutathione reductase
activity in presence of OC. Experiments performed in the present study
demonstrates inhibition of the LP, enhancement of SOD activity and improvement
in GSH levels in OC administered groups, which further implies that the
cardio-protective effect of OC may be by virtue of its antioxidant properties.
Antioxidant properties of OC could be attributed to its constituents like
eugenol, flavonols, flavones and anthocyanins etc. Pre-treatment of animals
with OC (100 and 200 mg/kg) offered a significant at p < 0.001 protection
against ISO induced MI. However OC at doses 400 mg/kg failed to exhibit any
significant cardio-protection in the present study, which might be due to the
pro-oxidant activity at higher doses.
The fall in SOD levels may be due to the involvement of
superoxide free radical in myocardial cell damage. A decrease in activity of
SOD can result in the decreased removal of superoxide ion, which can be harmful
to the myocardium [46]. It is possible that in presence of OC either
generation of free radical it is impaired or enhanced SOD activity could
effectively scavenge the first free radical superoxide from the system.
Serum lactate dehydrogenase has been reported to
elevate markedly in ISO induced MI due to its leakage from heart tissue as a
consequence of ISO induced LP and membrane damage [45]. In the
present study, the level of LDH falls significantly (p < 0.001) in heart
tissue following membrane damage. A significant protection in heart LDH levels
is indicative of the fact that OC have cardioprotective action and maintain
membrane integrity of myocytes.
A serum marker that once held promise as cardiac
specific marker for MI is the cardiac troponin. Troponin is a protein found in
cardiac tissue and located in the thin filament of striated muscles consisting
of the three subunits Troponin T, Troponin I and Troponin C. Out of the three
troponins; Troponin T and I are being used as the biochemical markers for the
diagnosis myocardial injury. When the myocardial damage occurs thecytosolic
troponins reach the blood stream quickly resulting in a rapid peak of serum
troponin observed during the first few hours.In this study, significant
increased level of Troponin T in serum of ISO-treated rats. Increased level of
Troponin T was due to the leakage from the damaged heart tissues into the blood
stream as a result of necrosis induced by isoproterenol in rats. Pretreatment
with Ocimum canum to ISO-treated rats
restored the level of Troponin T in serum indicates the protective action of Ocimum canum against peroxidative
damage.
On histopathological examination, ISO 200 mg/kg group,
(Fig. 8) demonstrates focal myonecrosis and chronic infiltration of
inflammatory cells. Marked vacuolar changes and edema were seen. Pre-treatment
with OC (200 mg/kg) demonstrated reversal of myonecrosis and lymphocytic
infiltration (myocarditis) seen with ISO treated group. Inflammatory cells were
seen with reduced density in the OC treated groups as compared to ISO 400 mg/kg
group confirming further the cardioprotective activity exerted by the
hydro-alcoholic leaf extract of OC in the present study. Our data indicate that
OC may provide potential therapeutic value in the treatment of MI. If the
beneficial effects of Ocimum canum
can be reproduced in human beings, these findings may represent a novel
prophylactic therapy for MI.
CONCLUSION:
Ocimum canum hydro-alcoholic extract decreased the
leakage of CK-MB and LDH enzymes from myocardium. Presence of antioxidant
constituents (flavanoids) in the extract might be responsible for its
cardioprotective effect
REFERENCES:
1.
Maxwell SR:
Prospects for the use of antioxidant therapies. Drugs 49: 345–361, 1995
2.
Halliwell B:
Drug antioxidant effects. A basis for drug selection? Drugs 42: 549–605, 1991
3.
Aviram M.,
Review of human studies on oxidative damage and antioxidant protection related
to cardiovascular diseases, Free Rad Res.
33; 2000:585-597.
4.
Banerjee S.K.,
Dinda A. K., Manchanda S. C., Maulik S.K., Chronic garlic administration
protects rat heart against oxidative stress induced by ischemic reperfusion
injury, BMC Pharmacology. 2;
2002:16.
5.
Begum S.,
Akhter N., Cardioprotective effect of amlodipine in oxidative stress induced by
experimental myocardial infarction in rats, Bangladesh J Pharmacol. 2; 2007: 55-60.
6.
Carmichael
S.T., Rodent models of focal stroke: Size, mechanism, and Purpose, The Journal of the American Society for
Experimental Neurotheraputics. 2; 2005: 396-409.
7.
Durukan A.,
Tatilisumak T., Acute ischemic stroke: Overview of major experimental rodent
models, pathophysiology, and therapy of focal cerebral ischemia, Pharmacology Biochemistry and Behaviour. 87;
2007:179-197.
8.
Hecker G.J.,
Antioxidant enzyme gene transfer for ischemic diseases; Advance Drug Delivery Reviews. 2009; 61: 351-363.
9.
Rona G, Chappel
CI, Balazs T, Gaudry R: An infarct like myocardial lesion and other toxic
manifestations produced by isoproterenol in the rat. Arch Pathol. 76; 1959: 443–445
10.
Singal PK,
Kapur N, Dhillon KS, Beamish RE, Dhalla NS: Role of free radicals in
catecholamine induced cardiomyopathy. Can
J Physiol Pharmacol. 1981; 60:
1390–1397
11.
Nirmala C,
Puvanakrishnan R: Protective role of curcumin against isoproterenol induced
myocardial infarction in rats. Mol Cell
Biochem. 1996; 159: 85–93,
12.
Petrich ER,
Schanne OF, Zumino AP. Electrophysiological responses to ischemia and
reperfusion. In: Karmazyn M, ed.
Myocardial Ischemia: Mechanisms, Reperfusion, Protection. Basel: Birkhäuser Verlag. 1996: 115-33.
13.
Rajadurai M,
Prince PSM. Comparative effects of Aegle
marmelos extract and alpha-tocopherol on serum lipids, lipid peroxides and cardiac
enzyme levels in rats with isoproterenol-induced myocardial infarction. Singapore Med J. 46; 2005:78-81
14.
Reinke LA,
Moore DR, Hague CM, McCay PB. Metabolism of ethanol to 1-hydroxyethyl radicals
in rat liver microsomes: comparative studies with three spin trapping agents. Free Radic Res. 21 (4); 1994: 213–22.
15.
Ngassoum, M .B.
Ousmaila, H., Ngamo, L.T., Maponmetsem, P.M., Jirovetz, L., Buchbauer, G.,
2004. Aroma compounds of essential oils of two varieties of the spice plant Ocimum canum Sims. from northern
Cameroon. J. Food Comp. Anal. 17,
197–204.
16.
Janssen AM,
Scheffer JJ, Nterzurubanza L, BaerheimSvendsen A. Antimicrobial activities of
some Ocimum species grown in Rwanda.
J Ethnopharmacol 1989; 26 (1): 57–63.
17.
Palsson K,
Jaenson TG. Plant products used as mosquito repellents in Guinea Bissau, West
Africa. Acta Trop. 72 (1); 1999:
39–52.
18.
Nyarko AK,
Asare Anase H, Ofosuhene M, Addy ME. Extract of Ocimum canum lowers blood glucose and facilitates insulin release
by isolated pancreatic beta-islet cells. Phytomedicine.
9; 1989: 346–51.
19.
Mathew, S. and
T.E. Abraham, 2006. In-vitro antioxidant activity and scavenging effect of Cinnamomum verum leaf extract assayed by
different methodologies. Food. Chem.
Toxicol. 44: 198-206
20.
Yogeeta SK,
Gnanapragasam A, Kumar SS, Subhashini R, Sathivel A, Devaki T. Synergistic
interactions of ferulic acid with ascorbic acid: Its cardioprotetive role
during isoproterenol-induced myocardial infarction in rats. Mol Cell Biochem. 283; 2006: 139-46.
21.
Pandry NR, Kaur
G, Chandra M, Sanwal GG, Misra MK. Enzymatic oxidant and antioxidants of human
blood platelets in unstable angina and myocardial infarction. Int J Cardiol. 76; 2000: 33-38.
22.
Lie JT,
Pairolero PC, Holley KE: Macroscopic enzyme mapping verification of large,
homogenous, experimental myocardial infarcts of predictable size and location
in dogs. J Thorac Cardiovasc Surg.
1975; 69: 599–605
23.
Reitman S,
Frankel S. A colorimetric method for the determination of serum glutamate
oxaloacetic and glutamate pyuruvuc transaminases. Am J
Clin Pathol. 28; 1957: 56-63.
24.
King J. The
dehydrogenases or oxidoreductase. Lactate dehydrogenase. In: Nostrand, Van Ed),
Practical Clinical Enzymology, London, 1965; 106.
25.
Okinaka S,
Kumaggai H, Ebashi S, Sugita h, Momoi H, Toyokura Y, Fujie Y. Serum creatine
phosphokinase. Activity in progressive muscular dystrophy and neuromuscular
diseases. Arch Neurol. 4; 1961:
520-525.
26.
Beuge JA, Aust
SD. The thiobarbituric acid assays. Methods in Enzymology. 52; 1978:
306-307
27.
Moron M.S.,
Depierre J.W. and Mannervik B.(1979):Levels of GSH,GR and GST activities in rat
lung and liver.Biochem.Biophys.Acta., 582, 67-78.
28.
Bhaskar I, Rao
SB. New, simple and cheap alternative to troponin test for diagnosis of acute
myocardial infarction. Indian J
ExperBiol.40; 2002: 628-630.
29.
Lowry OH,
Rosenbrough NJ, Farr AL, Randall RJ. Protein measurement with the Folin’s
reagent. J BiolChem. 193; 1951:
265-276.
30.
Saggu H,
Cooksey J, Dexter D, Wells FR, Lees A, Jenner P, et al. A selective increase in
particulate Superoxide dismutase activity in Parkinson in substansia nigra. J Neurochem. 531; 989: 692-7.
31.
Hagan TM,
IngerSoll RT, Laykkesfeld J, Liu J, Wehr CM, Vinarsky V, Bartholomew JC, Ames
BN. R)-2- Lipoic acid supplemented old rats have improved mitochondrial
function, decreased oxidative damage and increased metabolic rate. FASEB J. 13; 1999: 411-18.
32. Harvey
J, Paige SM. The Instat Guide to choosing and interpreting statistical tests: A
manual for Graph pad Instat, Version 5. San Diego, CA USA. 1998
33.
Baroldi G:
Myocardial necrosis: The need for definition. J Mol Cell Cardiol. 1974; 6: 401–402
34.
Milei J, Nunez
RG, Rapaport M: Pathogenesis of isoproterenol induced myocardial lesions: Its
relation to human coagulativemyocytolysis. Cardiology. 1978; 63: 139–157
35.
Rona G:
Catecholamine cardiotoxicity. J Mol Cell
Cardiol. 1985; 17: 291– 306
36.
Bhagat B,
Sullivan JM, Fischer VM, Nadel EM, Dhalla NS: cAMP activity and isoproterenol
induced myocardial injury in rats. Recent
Adv Stud Cardiac Struct Metab. 1978; 12: 465–470
37.
Dhalla NS,
Ziegelhoffer A, Singal PK, Panagia V, Dhillon KS: Subcellular changes during
cardiac hypertrophy and heart failure due to bacterial endocarditis. Basic Res Cardiol. 1980;75: 81–91
38.
Fleckenstein A,
Janke J, Doering HJ, Leder O: Myocardial fiber necrosis due to intracellular Ca
overload: A new principle in cardiac pathophysiology. Recent Adv Stud Cardiac StructMetab. 1974; 4: 563–580
39.
Yates JC,
Dhalla NS: Induction of necrosis and failure in the isolated perfused rat heart
with oxidized isoproterenol. J Mol Cell
Cardiol. 1975; 7: 807–816
40.
Beamish RE,
Dhillon KS, Singal PK, Dhalla NS: Protective effect of sulphinpyrazone against
catecholamine metabolite adrenochrome-induced arrhythmias. Am Heart J. 1981; 102: 149–152,
41.
Yates JC, Beamish
RE, Dhalla NS: Ventricular dysfunction and necrosis produced by adrenochrome
metabolite of epinephrine: Relation to pathogenesis of catecholamine
cardiomyopathy. Am Heart J. 1981;
102: 210– 221
42.
Cohen G,
Heikkila RE: The generation of hydrogen peroxide, superoxide radical and
hydroxyl radical by 6-hydroxydopamine, dialuric acid and related cytotoxic
agents. J BiolChem. 1974; 249:
2447–2452
43.
Chance B, Sies
H, Boveris A: Hydroperoxide metabolism in mammalian organs. Physiol Rev 59:
527–605, 1979
44.
Wexler BC, Judd
JT, Kittinger GW: Myocardial necrosis induced by isoproterenol in rats. Angiology. 1968;19: 665–682
45.
Ganguly PK,
Bora PS, Seth SD, Srivastava LM: Alterations in isoproterenol-induced cardiac
metabolic changes by a calcium antagonist, nifedipine. Curr Ther Res. 1982; 31: 56–66
46.
Liu J, Simon
LM, Philips JR, Robin ED: Superoxide dismutase (SOD) activity in hypoxic
mammalian systems. J Appl Physiol. 1977;
42: 107–110
Received on 26.05.2012
Modified on 30.05.2012
Accepted on 07.06.2012
© A&V Publication all right
reserved
Research J. Pharmacology and
Pharmacodynamics. 4(4): July
–August, 2012, 191-201