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. 2021 Sep 14;19(9):1468–1495. doi: 10.2174/1570159X19666210712151556

Table 3.

Anti-anxiety effects of Ashwagandha (Withania somnifera, WS) in animal studies.

Nature of Extract, Standardization Dosage Model Behavioral
Effects
Biological Effects Refs.
Aqueous leaf extract (ASH-WEX), NR 140 mg/kg/day p.o. for 8 weeks Rat (LPS-induced neuroinflammation) ▼anxiety-like
behavior (EPM)
▼ pro-inflammatory cytokines
(TNFα, IL-1β, IL-6)*^
▼reactive gliosis and neuroinflammation
(Iba-1, GFAP, NOX2, iNOS,
COX2, MCP-1, HSP70)^
▼inflammatory pathways (NFκB, p38, JNK)^
[79]
Aqueous leaf extract (ASH-WEX), NR 140 mg/kg/bwt, p.o. for 15 days prior to acute sleep deprivation Rat (acute sleep deprivation) ▼anxiety-like
behavior (EPM)
▼reactive gliosis (GFAP), ▼OX-18
▼pro-inflammatory cytokines (TNFα, IL-6)^
▼cell survival proteins (NFκB, AP-1)
▼apoptosis (▲Bcl-xL, ▼Cytochrome c)
[76]
Aqueous leaf extract (ASH-WEX), NR 140 mg/kg/bwt, p.o. for 15 days prior to acute sleep deprivation Rat (acute sleep deprivation) ▼anxiety-like
behavior (▼grooming activity)
▼stress-induced
learning and memory impairments
▼stress-induced motor dysfunction
Modulated markers of synaptic plasticity (▼hippocampal PSA-NCAM and NCAM, ▲PSA-NCAM in the pyriform cortex)^
▼mortalin^, ▲Akt-1 phosphorylation^
[45]
Dry leaf powder, NR 1 mg/g/bwt p.o. for 12 weeks Rat (high fat diet-induced obesity) ▼anxiety-like behavior (EPM) ▼ pro-inflammatory cytokines (TNFα, IL-1β, IL-6)*^
▼reactive gliosis and neuroinflammation (GFAP, Iba1, PPARγ, iNOS, MCP-1, COX2)^
▼NFκB pathway^
▼apoptosis (▼AP-1, ▲Bcl-xL, ▼BAD)^
[88]
Aqueous leaf extract, NR 0.3% concentration (2.8 mg/L water), waterborne administration for 72 hrs Zebrafish (benzo[a]pyrene-induced neurotoxicity) ▼anxiety-like behavior (LDPT, NTDT) ▼pyknotic cells in periventricular gray zone
▼oxidative stress (▼lipid peroxidation
▼protein carbonylation, ▲catalase activity, ▲GSH)^
[86]
Withanolide-free root extract 3.3, 10, 33.3, and 100 mg/kg p.o. for 12 days Rat (stress) ▼anxiety-like or depression-like behavior (MBT) ▼stress-induced weight loss
▼stress-induced increase in rectal temperature
▼transient hyperthermic response
▼stress-induced increase in adrenal weight
▼stress-induced increase in plasma cortisol and blood glucose
[54]
Root extract, 2.7% (w/w) withanolides 10, 20, and 40 mg/kg/day p.o. for 12 days, or as a single dose Mouse (acute stress) ▼anxiety-like behavior (MBT) ▼stress-induced changes in weight, basal core temperature, and hyperthermic response [73]
Hydro-alcoholic root extract, standardized to 2% (w/w) withanolides 300 mg/kg/bwt p.o. for 30 days Rat (ischemic stroke) ▼anxiety-like behavior (EPM)
▲cognitive function (MWM)
▲locomotor function (NDS, NBW, RTT)
▲acetylcholinesterase activity^
▼lipid peroxidation^
▲antioxidant activity^
▼infarct volume
▼stroke-induced histopathological changes
[87]
Nature of Extract, Standardization Dosage Model Behavioral
Effects
Biological Effects Refs.
Methanolic (MEWS) and aqueous
root extracts (AEWS), NR
10, 25, 50, and 100 mg/kg i.p., 30 mins prior to assessment Mouse
(obsessive-compulsive
behavior)
▼obsessive compulsive behavior (MBT)
▲anti-OCD action of subtherapeutic dose of fluoxetine at subtherapeutic dose (50 mg/kg) of WS (MBT)
Not reported [83]
Several root extracts, using various solvents (alcohol, water, hydro-alcohol (50:50)), ratios
(1:6, 1:8, 1:10),
and methods
(hot continuous percolation (10 hrs) and maceration
(10 hrs)), NR
100 or 200 mg/kg p.o., 30 mins prior to assessment Mouse (acute stress) ▼anxiety-like behavior (EPM) for water and hydro-alcoholic extracts prepared by maceration and for hydro-alcoholic extract prepared by hot continuous percolation Not reported [74]
Withaferin A and Hydroalcoholic (4:1) root extract, NR Withaferin A:
10-50 mg/kg i.p., 1-2 hrs prior to assessment
Root extract:
100-500 mg/kg p.o., 1-2 hrs prior to assessment
Rat (acute stress) ▼anxiety-like behavior (EPM, OFT) Not reported [75]
Ethanolic root extract, NR 50, 100, 200, or 500 mg/kg p.o., one hr prior to assessment Rat (acute ethanol-induced anxiolysis and withdrawal from chronic ethanol consumption) ▼anxiety-like behavior (EPM)
▲anti-anxiety action of a subtherapeutic dose of ethanol at subtherapeutic dose
(50 mg/kg) of WS (EPM)
Not reported [80]
Root extract, NR 50, 100, 200, or 500 mg/kg p.o. on days 38-42 of social isolation and 1 hr prior to assessment Rat (social
isolation)
▼anxiety-like behavior (EPM)
▲anti-anxiety action of diazepam
at subtherapeutic dose
(50 mg/kg) of WS (EPM)
▼depression-like behavior (FST)
Not assessed [78]
Root extract, NR 100 and 200 mg/kg p.o. for 5 days, beginning 3 days prior to sleep deprivation Mouse
(sleep deprivation)
▼anxiety-like behavior (EPM)
▲locomotor activity
▼sleep deprivation-induced weight loss
▼oxidative stress
(▼lipid peroxidation, ▼nitrite activity, ▲catalase activity, ▲GSH)^
[77]
Glycowithanolide-rich fraction
(WSG, containing sitoindosides
VII-X and withaferin) isolated from aqueous
root extract,
standardized
to 1.13% total
steroid content
20 and 50 mg/kg p.o. for 5 days Rat (anxiety and depression) ▼depression-like behavior (LHT, FST)
▼anxiety-like behavior (EPM, SIT, NSFLT)
▼PTZ-induced increase in rat brain tribulin activity (PTZ) [81]
Nature of Extract, Standardization Dosage Model Behavioral
Effects
Biological Effects Refs.
Sitoindosides VII and VIII PTZ: 20 mg/kg i.p., 30 mins prior to assessment
FST: 20 and 50 mg/kg i.p.,
30 mins prior to assessment
OST, TCT: 50 mg/kg p.o. for
4 days prior to assessment
RST: 50 and 100 mg/kg p.o. for 4 days prior to restraint;
100 mg/kg i.p., 30 mins before morphine administration
Morphine toxicity:
50 mg/kg p.o. for 4 days
Mouse, rat (stress) ▼anxiety-like
behavior
(PTZ-induced)
▼depression-like behavior (FST)
▼stress-induced autoanalgesia, gastric ulcers (RST)
▼morphine-induced hypothermia (RST)
▼morphine toxicity (OST, TCT)
▼tribulin activity in urine (RST)
▲stress-induced decrease in adrenal content of ascorbic acid, corticosterone
[17]

*Peripheral; ^CNS; ▲ – Increased; ▼ – Decreased; AP-1 = Activator protein 1; Bcl-xL = B-cell lymphoma extra-large; BAD = Bcl-2 associated agonist of cell death; COX-2 = Cyclooxygenase 2; EPM = Elevated plus maze test; FST = Forced swim test; GFAP = Glial fibrillary acidic protein; GSH = Reduced glutathione; HSP70 = Heat shock protein 70; Iba1 = Ionized calcium binding adaptor molecule 1; IL-1β = Interleukin 1 beta; IL-6 = Interleukin 6; iNOS = Inducible nitric oxide synthase; JNK = c-Jun N-terminal kinase; LDPT = Light/dark preference test; LHT = Learned helplessness test; LPS = Lipopolysaccharide; MBT = Marble burying test; MCP-1 = Monocyte chemoattractant protein; MWM = Morris water maze test; NBW = Narrow beam walking test; NDS = Neurological deficit score; NFκB = Nuclear factor kappa B; NOX2 = NADPH oxidase 2; NSFLT = Novelty-suppressed feeding latency test; NTDT = Novel tank diving test; OFT = Open field test; OST = Overcrowding stress test; PPARγ = Peroxisome proliferator-activated receptor gamma; PTZ = pentylenetetrazol administration; RST = Restraint stress test; RTT = Rotarod test; SIT = Social interaction test; TCT = Tactile stress test; TNFα = Tumor necrosis factor alpha.