Abstract
Introduction
Epilepsy is a common central nervous system (CNS) disorder characterized by seizures resulting from episodic neuronal discharges. The incidence of toxicity and refractoriness has compromised the clinical efficacy of the drugs currently used for the treatment of convulsions. Thus, there is a need to search for new medicines from plant origin that are readily available and safer for the control of seizures. Jobelyn® (JB) is a unique African polyherbal preparation used by the natives to treat seizures in children. This investigation was carried out to evaluate whether JB has anti-seizure property in mice.
Methods
The animals received JB (5, 10 and 20 mg/kg, p.o) 30 min before induction of convulsions with intraperitoneal (i.p.) injection of picotoxin (6 mg/kg), strychnine (2 mg/kg) and pentylenetetrazole (85 mg/kg) respectively. Diazepam (2 mg/kg, p.o.) was used as the reference drug. Anti-seizure activities were assessed based on the ability of test drugs to prevent convulsions, death or to delay the onset of seizures in mice.
Results
JB (5, 10 and 20 mg/kg, p.o) could only delay the onset of seizures induced by pentylenetetrazole (85 mg/kg, i.p.) in mice. However, it did not did not offer any protection against seizure episodes, as it failed to prevent the animals, from exhibiting tonic-clonic convulsions caused by pentylenetetrazole (85 mg/kg, i.p.), strychnine (2 mg/kg) or picrotoxin (6 mg/kg, i.p.). On the other hand, diazepam (2 mg/kg, i.p.), offered 100% protection against convulsive seizures, induced by pentylenetetrazole (85 mg/kg, i.p.). However, it failed to prevent seizures produced by strychnine (2 mg/kg, i.p.) or picrotoxin (6 mg/kg, i.p.).
Discussion
Our results suggest that JB could not prevent the examined chemoconvulsants-induced convulsions. However, its ability to delay the latency to seizures induced by pentylenetetrazole suggests that JB might be effective in the control of the seizure spread in epileptic brains.
Keywords: Anti-Seizure, Jobelyn®, Picrotoxin, Strychnine, Pentylenetetrazole
1. Introduction
Epilepsy is a common central nervous system (CNS) disorder characterized by seizures which take diverse forms and result from episodic neuronal discharges. Meanwhile, the form of the seizure depends on the part of the brain affected (Rang et al., 2000; Leonard, 2000). Epilepsy affects 0.5-1% of the population globally (Rang et al., 2000). Often, there is no recognizable cause, although it may develop after brain insults, such as trauma, infection, tumor growth, or other kinds of neurological disorders (Leonard, 2000).
Current anticonvulsant drugs are effective in controlling seizures in about 70% of cases; however, their use is often limited by severe side effects (Rang et al., 2000). As alternatives to these existing drugs, a number of compounds from plants that are readily available and well tolerated are being developed as potential medications for the management of seizures (Lobo et al., 2008; WHO, 1996). Jobelyn® (JB), manufactured by Health Forever Products Ltd, Lagos, Nigeria, is a commercial herbal preparation which has recently made its way into the medicine market in Nigeria. It is available as a powdered preparation specially formulated into capsules and suspensions for the treatment of anemia (Erah et al., 2003; Okochi et al., 2003). JB is made from three notable medicinal plants; Parquetina nigrescens, Harungana madagascariensis and Sorghum bicolor. Parquetina nigrescens (family: Periplocaceae) is a shrub found in the equatorial region of West Africa (Mabberley, 1987). Harungana madascariensis (family: Clusiaceae) is locally cultivated in Madagascar, Mauritius and Tropical Africa for its valuable medicinal properties (Hutchinson & Dalziel, 1954). Sorghum bicolor or Sorghum (family: Gramineae) is an important staple food crop in Africa, South Asia and Central America, and is also grown in some developed nations for its medicinal values (Erah et al., 2003; Okochi et al., 2003). Most of the compounds in JB including apigenin, luteolin and naringenin, have been reported to exhibit a wide range of CNS activities (Okochi et al., 2003; Olsen et al., 2008; Yi et al., 2010). Apigenin, luteolin and naringenin in particular have been shown to exhibit neuroprotection, anti-oxidation and to reduce neuroinflammation, suggesting their therapeutic efficacy in CNS disorders (Yi et al., 2010; Awika & Rooney, 2004).
Jobelyn® is claimed to be helpful in stress related ailments and has gained international recognition as energizer, immune enhancer and antioxidant supplement (Erah et al., 2003; Okochi et al., 2003). It has also gained popularity as a remedy for ensuring good joint health and relieving rheumatoid arthritis (Erah et al., 2003; Okochi et al., 2003). A recent survey carried out in Lagos, Nigeria, listed JB as a remedy used by the populace for the treatment of convulsive seizures in children (Oshikoya, 2008). However, no experimental studies have been carried out to confirm the efficacy of JB, as an anticonvulsant agent. Thus, the present study was designed to investigate the effect of JB on chemoconvulsants-induced seizure in mice.
2. Methods
2.1. Experimental Animals
Male albino Swiss mice (20-24 g) were obtained from the Central Animal House, University of Ibadan. The animals were housed in plastic cages at room temperature with 12:12 h light-dark cycle. They had free access to commercial food pellets and water ad libitum. They were acclimatized for at least one week before use for all experiments. The study was carried out in accordance with the ethical guidelines of the University of Ibadan for the care and use of laboratory animals for experimental studies.
2.2. Drugs and Treatment
Diazepam (Sigma, USA), Jobelyln® (Health Forever Products Ltd, Lagos, Nigeria), picrotoxin (Sigma-Aldrich, St. Louis, USA), strychnine (Sigma, USA) and pentylenetetrazole (Sigma-Aldrich, St. Louis, USA) were used in the current investigation. All drugs were dissolved in distilled water immediately before administration. The doses of 5, 10 and 20 mg/kg of JB used in the study were selected based on the results obtained from preliminary investigations.
2.3. Experimental Procedures
2.3.1. Effect of Jobelyn® on Picrotoxin-Induced Convulsion
Picrotoxin-induced convulsion test was carried out according to the method previously described (Das et al., 2010). Mice were randomly distributed into treatment groups (6 per group) and were given JB (5, 10, 20 mg/kg, p.o.), diazepam (2 mg/kg, p.o.) or distilled water (10 ml/kg; p.o.), 30 min prior to the administration of picrotoxin (6 mg/kg, i.p.). Animals were immediately placed individually in a transparent observation chamber and observed for the expression of convulsions for 30 min after picrotoxin injection.
2.3.2. Effect of Jobelyn® on strychnine-Induced Convulsion
The activity of JB against seizures was also assessed on strychnine-induced convulsions as described earlier (McAllister, 1992). Mice (5 per group) were given JB (5, 10 and 20 mg/kg, p.o.), diazepam (2 mg/kg; p.o.) or distilled water (10 ml/kg, p.o.), 30 min before strychnine (2 mg/kg, i.p.) injection. The time required for the expression of convulsive seizures was assessed by an observer as described before.
2.3.3. Effect of Jobelyn® on Pentylenetetrazole-Induced Convulsion
Pentylenetetrazole-induced convulsion test was employed to further evaluate the anti-convulsant activity of JB as previously described (Loscher et al., 1991). Mice (5 per group) received JB (5, 10 and 20 mg/kg, p.o), diazepam (2 mg/kg; p.o.) or distilled water (10 ml/kg, p.o.), 30 min before pentylenetetrazole (85 mg/kg, i.p.) injection. The animals were immediately placed individually in a transparent observation chamber and observed for a period of 30 min for the onset of convulsions after pentylenetetrazole injection.
2.3.4. Statistical Analysis
The data were expressed as mean ± S.E.M. The data were analyzed with Graph Pad Prism Software version 4.03. Statistical analysis of data was done by One-way ANOVA, followed by Dunnett's post-hoc test. A level of p < 0.05 was considered as statistically significant.
3. Results
The effects of JB (5-20 mg/kg; p.o.) on convulsions induced by picrotoxin (6 mg/kg, i.p.), strychnine (2 mg/kg, i.p) and pentylenetetrazole (85 mg/kg, i.p) in mice are shown in Tables 1, 2 and 3, respectively. As shown in the Tables, JB (5-20 mg/kg, p.o) did not provide any protection against convulsions induced by the chemoconvulsant agents in mice. However, JB (5, 10, 20 mg/kg, p.o.) significantly delayed the onset of pentylenetetrazole-induced seizures (85 mg/kg, i.p). In contrast, while diazepam (2 mg/kg, p.o.) prevented the convulsive seizures produced by pentylenetetrazole (85 mg/kg, i.p), it was ineffective against picrotoxin-(6 mg/kg, i.p.) or strychnine (2 mg/kg, i.p.)-induced seizure in mice (Tables 1–3).
Table 1.
Treatment | Onset of seizures (min) | Seizures (%) | Death (%) |
---|---|---|---|
Control | 6.60±0.24 | 100 | 100 |
JB (5 mg/kg) | 6.80±0.37 | 100 | 100 |
JB (10 mg/kg) | 7.00±0.44 | 100 | 100 |
JB (20 mg/kg) | 9.60±0.93* | 100 | 100 |
DZ (2 mg/kg) | 12.80±0.86* | 100 | 100 |
Values represent the mean ± S.E.M for 5 animals per group.
p < 0.05 compared to control group (ANOVA followed by Dunnett's post-hoc test).
Table 2.
Treatment | Onset of seizures (min) | Seizures (%) | Death (%) |
---|---|---|---|
Control | 2.40±0.25 | 100 | 100 |
JB (5 mg/kg) | 3.70±0.37 | 100 | 100 |
JB (10 mg/kg) | 2.40±0.51 | 100 | 100 |
JB (20 mg/kg) | 3.60±0.40 | 100 | 100 |
DZ (2 mg/kg) | 3.20±0.58 | 100 | 100 |
Values represent the mean ± S.E.M for 5 animals per group.
*p < 0.05 compared to control group (ANOVA followed by Dunnett's post-hoc test).
Table 3.
Treatment | Onset of seizures (min) | Seizures (%) | Death (%) |
---|---|---|---|
Control | 1.60±0.25 | 100 | 100 |
JB (5 mg/kg) | 3.00±0.32* | 100 | 100 |
JB (10 mg/kg) | 3.40±0.51 | 100 | 40 |
JB (20 mg/kg) | 2.80±0.20* | 100 | 60 |
DZ (2 mg/kg) | - | 0 | 0 |
Values represent the mean ± S.E.M for 5 animals per group.
p < 0.05 compared to control group (ANOVA followed by Dunnett's post-hoc test).
4. Discussion
The results of this study showed that JB did not did not provide any protection against the development of seizure episodes induced by pentylenetetrazole, strychnine or picrotoxin in mice. However, it delayed the onset of seizures and also reduced the mortality rate in pentylenetetrazole-treated animals. These chemoconvulsants are widely used to induce convulsions in experimental animals (McNamara, 1999). They also served as useful animal models for the development of potential anticonvulsant drugs as well as and in exploring the underlying mechanism(s) for their actions (McNamara, 1999). Convulsions may ensue from either a decreased inhibitory synaptic or enhanced excitatory synaptic neurotransmission (McNamara, 1994). The most common type of seizure is febrile convulsions, which occurs frequently in children (Gokhan & Ercument, 2010). It is an acute symptomatic convulsion triggered by fever without the presence of any form of known CNS abnormalities. Febrile seizure it is ranked among prevalent neurological disorders in the pediatric age (Gokhan & Ercument, 2010). Synaptic neurotransmitters implicated in convulsions are mostly glutamate, glycine and gamma-aminobutyric acid (GABA). These transmitter substances are linked to ion channels which regulate the rate of neuronal excitation (McNamara, 1999).
According to Kendall et al., 1981, the anticonvulsant activity of a novel compound is not measured only by its ability to prevent convulsions but also to delay the onset of seizures or to reduce death rate and/or to decrease the frequency of the episodes. Thus, the ability of JB to delay the onset of seizures, and to reduce death rate in pentylenetetrazole-treated animals suggests its possible effectiveness to control convulsive episodes. Previous studies have shown that compounds that could delay the onset of convulsions or reduce the frequency of the episodes in experimental animals are capable of halting the spread of seizures in epileptic brains (Corda et al., 1982). However, more detailed studies are required to verify how JB may be acting to arrest convulsive seizures in epileptic brains.
The differential effects of diazepam on convulsions induced by picrotoxin, strychnine or pentylenetetrazole, may be related to the dissimilarity in their mode of action. Pentylenetetrazole produced convulsions by blocking GABAA receptors thereby impairing GABA-mediated inhibitory neurotransmission (Gnyther, 1986; Oni et al., 2009). On the other hand, picrotoxin acts through blockade of chloride ion channel which is known to be resistant to most anticonvulsant agents (Corda et al., 1982; Zetler, 1981). However, strychnine acts by antagonizing glycine receptors, thereby increasing the rate of neuronal excitability (Sayin et al., 1993). Thus, the effectiveness of diazepam against pentylenetetrazoleinduced seizures may be related to its well known action of potentiation of GABA-mediated inhibitory neurotransmission (De Sarro, et al., 1999). However, its failures to prevent seizures induced by picrotoxin may be related to the inability of diazepam to reopen the closed chloride ion gates (Corda et al., 1982; Zetler, 1981).
Jobelyn® has been shown to possess various bioactive elements including the well-characterized compounds, such as apigenin, luteolin and naringenin (Erah et al., 2003; Okochi et al., 2003; Yi et al., 2010; Awika & Rooney, 2004). These compounds have been reported to show antidepressant, anti-amnesic, anti-inflammatory and membrane stabilizing properties (Yi et al., 2010; Awika & Rooney, 2004; Heo et al., 2004; Weichiel et al., 1999). However, the role of these compounds in convulsive disorders remains to be confirmed experimentally.
5. Conclusion
The data obtained from this study suggest that JB delayed the onset of seizures produced by pentylenetetrazole supporting the hypothesis of its relevance in controlling the spread of seizure in epileptic brains.
Acknowledgements
We thank Mr. W.B. Adegoke for his technical assistance.
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