studies on analgesic activity -...
TRANSCRIPT
Chapter – VI
STUDIES ON ANALGESIC ACTIVITY
Introduction
Experimental methods
Pharmacological screening :
Ethanolic extract of the seeds and leaves of
Ricinus communis
Results and discussions
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ANALGESIC ACTIVITY
Introduction
The naked nerve endings are the sensing zones for pain found in almost
every tissue of the body. The pain impulses are transmitted to the CNS by two
fibre systems. The nociceptor system is made up of small myelinated A δ fibres
2-5 μ in diameter which conduct at 12- 30 m/s. The unmyelinated C fibres 0.4 -
1.2 μm in diameter conduct at slower rate of 0.5 -2 m/s and also called dorsal root
fibers. A δ fiber terminates in laminae 1 and V, where as the dorsal root C fibres
terminate in laminae I and II35
. There is evidence that the synaptic transmitter
secreted by primary afferents, subserving mild pain is glutamate and transmitter
subserving severe pain is substance P. The synaptic junction between the
peripheral nociception fibres and the dorsal horn cells in the spinal cord are sites
of considerable plasticity and hence called gate. Collateral branches from the
touch fibres in the dorsal column enter the substantia gelatinosa and it has been
postulated that the impulses in these collaterals or interneurons on which they end
inhibit transmission from dorsal root pain fibres to spinothalamic neurons. The
primary mechanism involved may be synaptic inhibition at the endings of the
primary conductors that transmit the pain impulses.
Some of the axons of the dorsal horn neuron end in the spinal cord and
brain stem. Others enter the anterolateral systems including lateral spinothalamic
tract. Some of the ascending fibres project to the ventral posterior nuclei, which
are specific sensory relay nuclei of thalamus and from there to cerebral cortex.
Pain activates these cortical areas: SI, SII and the cingulated gyrus on the side
opposite the stimulus. Fast pain is due to A δ pain fibres and slow pain is due to
C-pain fibres.
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The adequate stimulus for pain receptors is not specific as that for others.
Pain receptors respond to a variety of strong stimuli factors / effects originating
from thermal, electrical, mechanical and chemical changes.
It is suggested that the pain is chemically modulated and that stimuli in
common the ability to liberate a chemical agent that stimulates nerve endings
which may be due to ATP. It opens ligand gated channels on sensory neurons via
P2x receptors. Capsaicin is a component responsible for burning pain. A
capsaicin receptor that is non selective ion channel permits flow of Na+ and Ca
2+
into nociceptive neurons when activated producing depolarization. This channel
is activated by warmth.
Pain is as perception alone which does not require cortex. Nociception is
the mechanism by which nervous peripheral stimuli are transmitted to the central
nervous system. Pain is subjective not always associated with nociception.
Polymodal nociceptors (PMN) are the main types of peripheral sensory neurons
that responds to various stimuli. Chemicals stimulate by acting on PMN to cause
pain include bradykinin, 5-HT and capsaicin. PMN are sensitized by
prostaglandins which explains analgesic effect of aspirin like drugs particularly in
inflammation35
.
Post injury and Neuropathic pain
Post injury pain persists after injury. The stimuli in that injured region
produce exaggerated response (hyperalgesia) and stimuli such as touch cause
pain (allodynia). If the nerves are damaged the pain persist after injury heals
(neuropathic pain).
In post injury and neuropathic pain, there is increased sensitivity of
peripheral pain receptors due to local release of sensitizing substances. There is
also increased transmission at the synaptic junction between the first and the
second order neuron in dorsal horn.
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There is increased activity of pre-synaptic NMDA receptors on primary
afferents with increased release of substance P.
Afferent fibres incase of visceral structure reach C.N.S. via sympathetic
and parasympathetic pathways. There are visceral afferents in the facial,
glossopharyngeal and vagus nerves in the thoracic and upper lumbar dorsal seeds
and sacral seeds. In the C.N.S. visceral sensation travels along the same pathways
as somatic sensation in the spinothalamic tracts. Thalamic radiations and cortical
receiving areas for visceral sensations are intermixed with somatic receiving
areas35
.
Visceral pain initiates reflex contraction of near by skeletal muscles. It is
marked when visceral inflammatory process involve peritoneum.
Nociceptor
An orphan receptor that causes hyperalgesia rather than analgesia.
Chronic pain syndromes
Neuropathic pain in humans has various forms. In causalgia, there is
spontaneous, burning pain long after seemingly trivial injuries. The pain is
accompanied by hyperalgesia and allodynia. Nerve injury leads to sprouting and
eventual over growth of noradrenergic sympathetic nerve fibres into dorsal root
ganglia of the sensory nerves to injured area. Sympathetic discharge then brings
no pain. Alpha adrenergic blockade produces relief of causalgia-a type of pain in
humans.
Spontaneous pain may be generated at the level of thalamus for eg in
thalamic syndrome; there is damage to the posterior thalamo geniculate branch of
posterior cerebral artery.
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Experimental methods - Analgesic effects
Many methods are available for evaluation of analgesic effect. In all the
methods, one or other type of stimulus is applied to produce pain reaction. The
methods can be classified based on the type of stimulus used.
1. Thermal stimulus
a) Hot plate test
b) Radiant heat method using analgesiometer or electric bulb as the source.
2. Mechanical stimulus
a) Tail clip
b) Randal Sellito test
3. Chemical stimulus
a) Writhing by acetic acid or phenylquinone
4. Electric stimulus
a) Pododolorimeter
b) Rectodolorimeter
Of the methods available, the Randall Sellito test and the chemically
induced writhing tests are used for the evaluation of the analgesic activity of
peripherally acting drugs. The other methods enumerated are mainly meant to
evaluate drugs that act by central mechanisms. However, the tail clip, tail flick
and hot plate methods could be employed for screening of non-narcotic drugs.
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PHARMACOLOGICAL SCREENING–
ANALGESIC ACTIVITY
Ethanolic extracts of the seeds and leaves of Ricinus communis
Preparation of extracts
The preparation of ethanolic extracts from the leaves and seeds of
Ricinus communis was discussed under chapter-III (chemical investigations)
and chapter-IV (studies on hepatoprotective activity). These extracts were used to
evaluate analgesic activity of the seeds and leaves of Ricinus communis.
Selection of Method
Analgesic activity was evaluated by acetic acid induced Writhing method36
.
Selection of Materials
All the materials used for this experiment were of analytical reagent
grade. Acetic acid was procured from Loba Chemical Co., Bombay and
Aspirin sample was obtained as a gift from Astra zenica, Bangalore, India.
Selection of animals
Healthy albino mice of either sex weighing about 25- 30 g obtained from Kshema
Breeders, Deralakatte, and Mangalore, India were used for the study. They were housed in
polypropylene cages in an adequately ventilated room. The mice were
allowed standard feed pellets supplied by Hindustan Lever Co., Bombay and
water ad libitum throughout the course of the study.
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Preparation of Tween 80 (1%)
Stock solution of Tween 80 was prepared by triturating 1g of Tween 80 in
distilled water and made up to 100 ml. It was used for suspending the test
compound and standard drug.
Selection of the dose
As the ethanolic extracts from the seeds and leaves of Ricinus communis
were found to be safe upto a dose of 4000 mg/kg body weight. A dose of 250
mg/kg body weight was selected for the study of analgesic activity of the seeds
and leaves of Ricinus communis.
Analgesic activity
Healthy albino mice of either sex weighing 25 –30 g were used for the
study. The animals were divided into 4 groups of 6 animals each.
Group I
Animals were administered with 0.5 ml of 1% solution of Tween 80 and
served as control.
Group II
Animals served as positive control and received acetyl salicylic acid
(Aspirin) (50 mg/kg body weight, p.o.) as a suspension in Tween 80 (0.5 ml of
1% solution).
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Group III
Animals were treated with ethanolic extract (250mg/kg body weight, p.o.)
of the seeds of Ricinus communis obtained by the author as a suspension in
Tween 80 (0.5 ml of 1% solution).
Group IV
Animals were treated with ethanolic extract (250mg/kg bodyweight, p.o.)
of the leaves of Ricinus communis obtained by the author as a suspension in
Tween 80 (0.5 ml of 1% solution).
Further the animals in all the groups were administered with 1ml/100g
body weight of 0.6% v/v acetic acid after 45 minutes.
The analgesic activities of the extracts were assessed by the acetic acid
induced writhing test. The writhing movements such as extension of hind limb,
abdominal constriction and trunk twisting were observed and counted for 30 min.
Aspirin was used as a standard drug.
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RESULTS AND DISCUSSION
The results of acetic acid writhing test in mice showed a significant
decrease in number of wriths in ethanolic extracts of both seeds and leaves of
Ricinus communis suggesting peripheral analgesic effect.
In the acetic acid induced writhing method the standard analgesic drug
(Aspirin 50mg/ kg, p.o.) as well as the test drugs of ethonolic extracts of the
seeds and leaves of Ricinus communis obtained by the author in doses of (250
and 250 mg/kg, p.o.) showed a significant reductions in the number of writhing in
mice as compared to the control mice. Aspirin (50mg/kg) showed maximum of
72.73% of inhibition of writhing, where as the ethonolic extracts of the seeds and
leaves of Ricinus communis (250 and 250mg/kg) produced 56.82% and 68.18%
of inhibition of writhing respectively (Table 10). The results indicate that the
ethanolic extract of the seeds / leaves are more or less equally successful in
serving the cause of pain relief.
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Table-10
Analgesic activity of ethanolic extracts of the seeds and leaves of
Ricinus communis.
Treatment Dose Mean writhing
per 30 min ± SEM
Inhibition
%
Control Tween 80, p.o. 88± 0.8 ………..
Aspirin 50 mg/kg, p.o. 24±1.63* 72.73
Ethanolic extract (seeds) 250 mg /kg, p.o. 38±1.55* 56.82
Ethanolic extract (Leaves) 250 mg/kg p.o. 28.0±0.43* 68.18
*p < 0.001 compared to control
Values are mean ±SEM, of six animals in each group.
Data was analysed by unpaired„t‟ test.
Fig 10 : Percentage inhibition of acetic acid induced writhing in mice
0
10
20
30
40
50
60
70
80
P e
r c
e n
t a
g e
I
n h
i b
i t
i o n
Dose
50 mg/kg, p.o.of the standard drug
250 mg /kg, p.o. of ethanolic extract of the seeds of Ricinus communis
250 mg/kg p.o.of ethanolic extract of the leaves of Ricinus communis
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