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Achyranthes aspera Attenuates epilepsy in

experimental animals: possible involvement


of GABAergic mechanism

Gollapalle Lakshminarayanashastry
Viswanatha, Marikunte
V. Venkataranganna, Nunna Bheema
Lingeswara Prasad & Ashok Godavarthi
Metabolic Brain Disease

ISSN 0885-7490

Metab Brain Dis


DOI 10.1007/s11011-017-9981-8

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Metab Brain Dis
DOI 10.1007/s11011-017-9981-8

ORIGINAL ARTICLE

Achyranthes aspera Attenuates epilepsy in experimental animals:


possible involvement of GABAergic mechanism
Gollapalle Lakshminarayanashastry Viswanatha 1,2 & Marikunte V. Venkataranganna 3 &
Nunna Bheema Lingeswara Prasad 4 & Ashok Godavarthi 1

Received: 30 August 2016 / Accepted: 23 February 2017


# Springer Science+Business Media New York 2017

Abstract The present study was aimed to examine the possi- seizures in mice. Alongside, the MeAA (400 mg/kg) showed
ble anticonvulsant property of aerial parts of Achyranthes a significant increase in GABA levels in the brain compared
aspera using various experimental models of epilepsy in mice. to control, and in line with these findings the anti-PTZ effect
Petroleum ether extract of aerial parts of A. aspera (PeAA), of MeAA (400 mg/kg, p.o.) was blocked when co-
methanolic eAA (MeAA) and aqueous eAA (AeAA) was ini- administered with flumazenil (5 mg/kg, i.p.). However, the
tially evaluated against six-hertz seizure model in mice, based MeAA has not shown significant protection against NMDA-
on the outcomes the effective extract was further evaluated induced mortality and also did not cause significant change
against maximal electroshock (MES) and pentylenetetrazole in locomotor activity compared to before treatment. These
(PTZ) models in mice. In addition, the potent extract was findings suggest that MeAA possess mild anticonvulsant ac-
evaluated against the PTZ model by co-administering with tivity and the outcomes further confirmed the involvement of
flumazenil (FMZ), and also evaluated for its effect on GABAergic mechanism behind the anticonvulsant activity
GABA levels in brain and NMDA-induced lethality in mice. of MeAA.
Furthermore, the probable locomotor deficit-inducing prop-
erty of the extract was evaluated by actophotometer test in
mice. In results, only MeAA showed protection against six- Keywords Achyranthes aspera . Anticonvulsant . Epilepsy .
hertz-induced seizures in mice, based on these outcomes on- Herbal medicine . Six-hertz seizures . MES –induced
ly MeAA was evaluated in MES and PTZ models. Notably, seizures . PTZ-induced seizures . Gamma-amino butyric acid .
the MeAA (200, 400 and 800 mg/kg) has offered mild and Diazepam
dose dependent protection against MES and PTZ-induced

Electronic supplementary material The online version of this article


(doi:10.1007/s11011-017-9981-8) contains supplementary material, Abbreviations
which is available to authorized users. PeAA Petroleum ether extract of Achyranthes aspera ae-
rial parts
* Gollapalle Lakshminarayanashastry Viswanatha MeAA Methanolic extract of Achyranthes aspera aerial
glv_000@yahoo.com parts
AeAA Aqueous extract of Achyranthes aspera aerial parts
1
Radiant Research Services Pvt Ltd, Peenya Industrial Area, MES Maximal Electroshock
Bangalore 560058, India PTZ Pentylenetetrazole
2
No.387/511/A, Megalabeedi, Kengeri, Bangalore, Karnataka 560 HLTE Hind limb Tonic extensor
060, India HLTF Hind limb Tonic flexion
3
Connexios Life Sciences Pvt Ltd, Basavanagudi, Bangalore 560 004, GABA Gamma amino butyric acid
India NMDA N-Methyl-D-aspartic acid
4
Oil Technological and Pharmaceutical Research Institute (OTPRI), LD lethal dose
JNT University Anantapur, Ananthapuramu 515 002, India ED Effective dose
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Metab Brain Dis

Introduction aspera and its current use in folk medicine for the manage-
ment of epilepsy, the present study was undertaken to evaluate
Epilepsy is a serious neurological disease affecting more than the anticonvulsant activity of various extracts of Achyranthes
50 million population worldwide (Behr et al. 2016), the inci- aspera aerial parts against experimental models of epilepsy.
dences of epilepsy are significantly higher in the elderly pop-
ulation than other age groups (Hauser et al. 1993). Currently,
many synthetic classes of anticonvulsant drugs are being used Materials and methods
either alone or in combination for the treatment of epilepsy
(Hernan and Holmes 2016). Moreover, recently many newer Drugs and chemicals
drugs like vigabatrin, levetiracetam, topiramate, lamotrigine,
zonisamide, lacosamide, rufinamide, stiripentol have been de- Phenytoin was purchased from Sun Pharma, (Mumbai, India),
veloped for epilepsy treatment (Satinder and Suvasini 2013; diazepam and flumazenil was procured from Ranbaxy (New
Mula 2016; Marvin 2010). Nonetheless, all the currently Delhi, India), and pentylenetetrazole was purchased from
available synthetic anticonvulsant drugs are prone to cause Sigma-Aldrich (Bangalore, India). All the liquid
one or more side/adverse effects such as impotence, dizziness, chromatography-mass spectrometry (LCMS/MS) grade sol-
mental slowing, ataxia, impaired concentration, mental confu- vents used in this study were procured from Merck Ltd.
sion, sleep disturbance, anorexia, somnolence, aggression and (Mumbai, India). All other chemicals and reagents were of
so on (Mula 2016; Hamed 2016; Yang and Wang 2016). In analytical grade and were purchased from HiMedia
this scenario, there is a tremendous scope for development of Laboratories Pvt. Ltd. (Mumbai, India).
safe and potent drug for the management of epilepsy, in these
lines plant based remedies are well known and got better edge Collection of plant material
over synthetic drugs, thus many researchers are extensively
working on herbal remedies to discover better and safe med- The aerial parts of Achyranthes aspera was collected from
icine for epilepsy. In this perspective, many plant based med- Kengeri, Bangalore (Karnataka, India), in the month of
icines such as Carum carvi L. (Showraki et al. 2016), June–July 2015, and it was identified and authenticated by
Kalanchoe pinnata Lam. (Mora and Hernandez 2016), D r. K . M a d h a v a c h e t t y, P r o f e s s o r o f B o t a n y, S r i
Citrus sinensis (Citraro et al. 2016), Abies webbiana Venkateshwara University, Tirupati. A voucher specimen of
Lindl.(Parkash et al. 2015),Crocus sativus (Khazdair et al. the plant material is preserved in the department with Voucher
2015), Laggera aurita (Linn. F) (Malami et al. 2016), and specimen number 2184.
Dodonaea viscosa (Linn) (Karim et al. 2015) have been sci-
entifically proved to possess potent anticonvulsantactivity Plant material preparation
against experimental models of epilepsy. In view of this,
Achyranthes aspera Linn., belongs to family The aerial parts of Achyranthes aspera was shade dried, pow-
Amaranthaceae, has been extensively used in the traditional dered, and subjected to extraction process with various sol-
system of medicine for the treatment of various ailments vents (petroleum ether, methanol and water) in the ascending
(Talukder et al. 2012). In line with its potential usage in folk order of their polarity. In brief, in a round bottom flask 100 g
medicine, various parts of the plant has been scientifically of the plant material was initially defatted with 1 l of petro-
proved to possess anti-hypergycemic (Talukder et al. 2012), leum ether for 24 h, at room temperature; the marc obtained
anticancer (Shagun 2014), diuretic (Saurabh et al. 2011), an- was completely dried and extracted with 1 l of methanol at 60o
tiobesity (Rani et al. 2012), antimicrobial (Ndhlala et al. c for 48 h in Soxhlet apparatus, subsequently the marc obtain-
2015), antineoplatic and immunomodulatory (Narayan and ed was extracted with 1 l of double distilled water in a round
Kumar 2014), antiherpes (Mukherjee et al. 2013), antiarthritic bottom flask at room temperature for 48 h. Extracts obtained
(Kothavade et al. 2015), antioxidant and hepatoprotective ac- were concentrated at room temperature under reduced pres-
tivities (Khan et al. 2015), furthermore, Achyranthes aspera is sure using Rota-evaporator (Rotavap-Remi instruments).
scientifically proved to possess various biological activities
related to central nervous system such as nootropic LC-MS/MS analysis of Achyranthes aspera methanol
(Gawande and Goel 2015), antianxiety (Chandana et al. extract
2012), antidepressant (Barua et al. 2009a, b), CNS depressant
(Bhosale et al. 2011a, b), and evidently various parts of the The LC-MS/MS instrument used in our study comprised
plant has been effectively used in the management of epilepsy an high-performance liquid chromatograph (HPLC)
by various folk medicine practicing communities in India coupled with an API 4000 mass spectrometer (Applied
(Sharma et al. 2013). Based on the available literature on Biosystem/MDS SCIEX, Canada) coupled with an
antioxidant and neuroprotective properties of Achyranthes electron-spray ionization source with an electron
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multiplier detector and a chromatographic system. Batch conducted according to the principles and guidelines of the
acquisition and data processing were controlled by using Committee for the Purpose of Control and Supervision of
Analyst® Software Version 1.5 (Applied Biosystems/ Experimentation on Animals (CPCSEA), India.
MDS Analytical Technologies, CA, USA).
The parameters of the mass spectrometer were opti- Experimental protocol
mized by using a 1-mg mL-1 sample solution of
Achyranthes aspera methanol extract (MeAA) prepared Acute oral toxicity studies
in Double distilled mineral (DM) water. The sample was
directly and continuously infused (flow injection analy- Acute oral toxicity of extracts of Achyranthes aspera aerial
sis) into the electron spray-MS (ES-MS) by using a parts were determined as per OECD guideline no. 425. In brief,
syringe pump. The intensity of the response was nulliparous and non-pregnant female mice weighing between
checked in both the positive and the negative ionization 25 and 30 g were fasted for 3 h and single dose of extract was
modes. A response with good intensity was obtained in administered by oral route, and the animals were observed for
the positive mode. Other parameters, such as the de- the toxic signs and mortality, initially for 48 h (short term tox-
clustering potential (DP: 60–100 V), ion spray voltage icity), and the survived animals were further observed for
(IS: 4500 V), pressures of the nebulizing gas (GS1 14 days (long term outcomes). LD50 was calculated using
45 pounds per square inch (psi)) and the heater gas AOT425 stat program (OECD guidelines no.425, 2001).
(GS2 = 55 psi), focusing potential (FP = − 400 V),
entrance potential (EP = 10–15 V), source temperature
Six-hertz seizure test
(TEM = 450–500 °C) and EP 10–15 V, were optimized
with respect to the ionization-intensity response.
This test was performed as per Brown et al., (Brown
The mobile phase consisting of water and 0.2% formic acid
et al. 1953; Kaminski et al. 2004). In short, Swiss albi-
in pump A, and acetonitrile in pump B. The system was op-
no mice were randomized based on the body weight
erated at 0.7 ml/min flow rate, injection volume 2–14 μL (lin-
and they were pretreated with extracts (100 to
ear gradient of 2 microleters) with total runtime of 4.5 min.
800 mg/kg, p.o.) for 3 days. On third day, sixty minutes
The outcomes of LC-MS/MS analysis showed presence of
after the last dose, tetracaine ophthalmic solution (0.5%
gallic acid, kaempferol, quercetin and rutin as chief active
tetracaine hydrochloride) was applied; after thirty mi-
ingredients, the LC-MS/MS chromatogram and compounds
nutes electrical stimulation was given to all the animals
identified from methanolic extract of Achyranthes aspera ae-
(3 s, 32-mA monopolar rectangular pulses at 6 Hz)
rial parts (MeAA) were given in Fig. 1.
through corneal electrodes using ECT Unit 5780 (Ugo
Basile, Comerio, Italy) constant current device. In gen-
Formulation of extracts for administration
eral, the electrical stimulation will induce a stunned
posture, associated with rearing and automatic move-
Various concentrations of PeAA, MeAA, and AeAA were
ments, which lasts from 60 to 120 s in control animals.
prepared in 3% tween 80 in distilled water. In short, required
After the seizures, animals will regain their normal ex-
quantity of the extract was weighed and suspended in tween
ploratory behavior.
80, and distilled water was slowly added with occasional stir-
The end point is considered as protection against the sei-
ring, and made up to the volume with distilled water, the
zures, and the animal gain its normal exploratory behavior
concentration of tween 80 in the final formulation would be
within 10 s of electrical stimulation is considered as being
3%. All the preparations were freshly prepared and adminis-
protected (Magdalena et al. 2014). The percentage protection
tered by oral route at 10 ml/kg dose volume.
is calculated using the equation given below.
  
Experimental animals No:of animal showed seizures
%Protection ¼ 100−  100
Total no:of animals used
Inbred Swiss albino mice (25–30 g) were used for the study.
The animals were maintained in polypropylene cages at a
temperature of 25 °C ± 1 °C and relative humidity of 45% Maximal electroshock-induced convulsions
to 55% in a clean environment under 12-h light/dark cycle.
The animals had free access to standard rat/mice pellets In this method, in bred male Swiss albino mice (25–30 g
(Pranav Agro Industry, Bangalore, India) and purified water weight) were randomized and assigned in to six groups,
ad libitum. each group consisting of eight animals (n = 8). Group 1
All the experimental protocols were approved by and group 2 were served as control and standard groups,
Institutional Animal Ethics Committee (IAEC) and were received 3% tween 80 (10 ml/kg) and Phenytoin (25 mg/
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Compound Molecular formula Actual mass (g/moL) Observed m/z value in


LC-MS/MS spectra
1 Gallic acid C7H6O5 170.12 171.9
2 Kaempferol C15H10O6 286.23 287.1
3 Quercetin C15H10O7 302.23 303.1
4 Rutin C27H30O16 610.52 611.1

Fig. 1 LC-MS/MS spectra of methanol extract of Achyrathes aspera aerial parts

kg) respectively. While, group 3, 4, 5, and 6 received 100, Pentylenetetrazole-induced convulsions


200, 400 and 800 mg/kg doses of MeAA respectively, all
the treatments were given orally for three days. On day-3, Similar to MES model, male Swiss albino mice (25–30 g)
sixty minutes after the drug administration, tetracaine oph- were divided into six (G-1 to G-6) groups (n = 8). Group
thalmic solution (0.5% tetracaine hydrochloride) was ap- 1 and group 2 served as control and standard groups,
plied to the cornea and corneal electrodes were applied to received 3% tween 80 (10 ml/kg) and diazepam (5 mg/
the cornea and electrical stimulation (60 mA of current for kg) respectively. While, group 3, 4, 5, and 6 received 100,
0.2 s) was given for all the animals. Subsequently, all the 200, 400 and 800 mg/kg doses of MeAA respectively, all
animals were individually observed in a rectangular the treatments were given orally for a three days. On day-
open top plastic cage for 30 min. The parameters like 3, one hour after the assigned treatments, PTZ (80 mg/kg,
period of hind limb tonic flexion (HLTF), hind limb i.p.) was administered intraperitoneally to all the animals,
tonic extensor (HLTE), stupor, and death/survival were and they were individually observed in an open top plastic
recorded, and the percentage protection was calculated cage initially for 30 min, and later up to 24 h. During the
using the survival rate (Chrościńska et al. 2016; Joshi observation period, the parameters such as onset of clonus,
et al. 2015; Mishra et al. 2015). onset of tonic convulsions, and survival/death were
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recorded and expressed as percentage protection (Showraki and Promethazine (80 mg/kg) respectively. While, group
et al. 2016). 3, 4, 5, and 6 received 100, 200, 400 and 800 mg/kg
doses of MeAA respectively, all the treatments were
Effect of MeAA on GABA levels in the brain given orally for three days. On day-3, one hour after
the last dose, all the animals were challenged with a
This test was performed to evaluate the effect of single dose lethal intraperitoneal dose (200 mg/kg) of NMDA.
(1 day) and multiple dose (3 days) administration of MeAA on Subsequently, all the animals were observed for a period
GABA levels in the brain. In this model, male Swiss albino of 3 h for their survival, and the results were expressed
mice (25–30 g) were grouped and treated similar to PTZ mod- as percentage protection against lethality (Moreau et al.
el, in two different sets of experiments. 1989; Yamaguchi et al. 1993).
The first set (1 day treatment) and second set (3 days treat-
Number of animals survived
ment) experimental animals were sacrificed on day-1 and day- Percentage protection ¼ 100
3 respectively, 1 h after the last dose of MeAA. The brain Total number of animals used
tissue was collected and frozen, and the cerebellum and whole
brain were separated using microtome blade. The whole brain
Actophotometer test
was weighed and transferred to 10 ml of ice-cold 0.1 M
Perchloric acid containing 15 μg/ml of Valine (internal stan-
The actophotometer test was performed to evaluate the effect
dard). Under the ice-cold conditions, the contents were ho-
of MeAA on locomotor activity. In short, forty male swiss
mogenized and centrifuged at 5000 rpm for 10 min at 4 °C;
albino mice (25–30 g) were assigned into five groups
the supernatant was separated and subjected for GABA esti-
(n = 8), and they were treated similar to PTZ model.
mation as per Suher et al. (Suher et al. 2000).
To measure locomotor activity, all the animals were
individually placed into actophotometer and photocell
Effect of flumazenil on anti-PTZ action of MeAA – to explore
counts were recorded for 10 min, the locomotor activity
the GABAergic mechanism
was measured before and after the treatment
(Viswanatha et al. 2013). The change in the locomotor
Similar to PTZ model, male Swiss albino mice (25–
activity was calculated using the following equation.
30 g) were divided into seven groups (G-1 to G-7,
n = 8). Group 1, group 2 and group 3 served as control,   
Photocell counts after treatment
standard and MeAA alone treated groups, received 3% %Reduction in locomotor activity ¼ 100−  100
Photocell counts before treatment
tween 80 (10 ml/kg), diazepam (5 mg/kg, p.o.) and
MeAA (400 mg/kg, p.o.) respectively; while group 4,
group 5, and group 6 received vehicle (3% tween 80) Statistical analysis
(10 ml/kg), diazepam (5 mg/kg, p.o.) and MeAA
(400 mg/kg, p.o.,) respectively, in combination with In Siz-hertz-seizure test and NMDA - induced lethality
the GABAA receptor antagonist flumazenil (3 mg/kg, test, the results were expressed as percentage protection.
i.p.); group 7 received diazepam (5 mg/kg, p.o.) along All other experimental findings were expressed as
with MeAA (400 mg/kg, p.o.). Everyday, 15 min after mean ± SEM. The outcomes of locomotor activity were
the assigned treatments the animals of the group 4, 5, statistically analyzed by paired t-test and the data of the
and 6 animals received flumazenil (3 mg/kg) intraperi- remaining experiments were statistically analyzed by
toneally and other groups (group 1, 2, 3 and 7) received one way ANOVA followed by Dunnett’s multiple com-
1% dimethyl sulfoxide (DMSO) in sterile water (5 ml/ parison test using GraphPad Prism version 5.0 for
kg) intraperitoneally; all the treatments were given for Windows, GraphPad Software, San Diego California
three days. On day-3, one hour after the assigned treat- USA. The minimum level of significance was fixed at
ments, PTZ (80 mg/kg, i.p.) was administered intraper- p < 0.05.
itoneally to all the animals and observed similar to the
PTZ model (Showraki et al. 2016; Ishola et al. 2013;
Nogueira and Vassilieff 2000). Results

N-methyl-D-aspartic acid (NMDA) -induced lethality test Extraction of plant material

Swiss albino mice were divided into six groups of 10 The extractive values of petroleum ether (PeAA), methanol
animals each, Group 1 and group 2 served as control (MeAA) and aqueous (AeAA) extracts were found to be 0.33,
and standard groups, received 3% tween 80 (10 ml/kg) 8.75, and 10.24% w/w (gram by gram) respectively.
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Table 1 Anticonvulsant activity of Achyranthes aspera on 6-Hz Anticonvulsant activity


induced seizures in mice

Sl.no Treatment No. of animals % Protection Six-hertz (6 Hz) seizure test


showed
seizures/Total In this test, various doses of PeAA (100, 200 and
animals used
400 mg/kg), MeAA (100, 200, 400 and 800 mg/kg)
1 Control (3% tween 80) 10/10 0% and AeAA (100, 200, 400 and 800 mg/kg) were evalu-
2 Diazepam 5 mg/kg, p.o. 0/10 100% ated for the possible anticonvulsant property. In the out-
3 PeAA 100 mg/kg, p.o. 10/10 0% comes, except MeAA none of the extracts showed pro-
4 PeAA 200 mg/kg, p.o. 10/10 0% tection against six-hertz-induced seizures. Further, the
5 PeAA 400 mg/kg, p.o. 10/10 0% effect of MeAA was found to be mild and dose depen-
6 MeAA 100 mg/kg, p.o. 1/10 10% dent, and attained saturation effect after 400 mg/kg
7 MeAA 200 mg/kg, p.o. 3/10 30% dose. Notably, the reference standard diazepam (5 mg/
8 MeAA 400 mg/kg, p.o. 4/10 40% kg) has completely abolished six-hertz-induced Seizures.
9 MeAA 800 mg/kg, p.o. 4/10 40% The results are given in Table 1.
10 AeAA 100 mg/kg, p.o. 10/10 0%
11 AeAA 200 mg/kg, p.o. 10/10 0%
12 AeAA 400 mg/kg, p.o. 10/10 0%
Maximal electroshock-induced convulsions
13 AeAA 800 mg/kg, p.o. 10/10 0%
In six-hertz-seizure test, except MeAA none of the extracts
PeAA Petroleum ether extract of Achyranthes aspera aerial parts, MeAA showed protection, therefore only MeAA was shortlisted for
Methanol extract of Achyranthes aspera aerial parts, AeAA,Aqueous ex- further evaluation in MES and PTZ models. In this model, the
tract of Achyranthes aspera aerial parts
MeAA (200, 400 and 800 mg/kg) has decreased the duration
of MES-induced HLTE (P < 0.05 and P < 0.01), HLTF
(P < 0.05 and P < 0.01) and stupor (P > 0.05 and P < 0.01),
Acute oral toxicity study and also increased the survival rate (25% and 50%) compared
to control group. Further, the protective effect of MeAA was
Acute oral toxicity study for the plant extracts were dose dependent in 200 and 400 mg/kg doses, however there
performed as per OECD guidelines no. 425 up and was no significant difference between 400 and 800 mg doses
down procedure. The outcome of the study showed that in terms of anticonvulsant activity, it may be due to saturation/
the PeAA, MeAA and AeAA were safe up to 5000 mg/ sealing effect. Noteworthy, the reference standard phenytoin
kg, p.o. Further, no signs of toxicity were observed (25 mg/kg) has completely abolished the MES-induced con-
during short term (48 h) and long term (14 days) ob- vulsions and mortality. The ED50 value of MeAA was found
servation period. to be 585.36 mg/kg (Fig. 2).

Fig. 2 Effect of MeAA on MES-


induced convulsions in mice.
Note- MES, Maximal
electroshock, MeAA, Methanolic
extract of Achyranthes aspera
aerial parts, HLTE, hind limb
tonic extensor, HLTF, hind limb
tonic flexion, ns, Not significant.
All the values are expressed as
mean ± SEM (n = 8); means of
various groups were statistically
compared by one way ANOVA
followed by Dunnett’s multiple
comparison test using Graph Pad
version 5.0. *P < 0.05, **P < 0.01
compared with MES control
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Pentylenetetrazole-induced convulsions sealing effect and there was no significant change in anticon-
vulsant activity upon increasing the dose beyond 400 mg,
In continuation with MES model, MeAA (100, 200, 400 and therefore for further studies 400 mg/kg dose of MeAA was
800 mg/kg) was evaluated against PTZ-induced seizures in used. Exceptionally, the reference standard diazepam (5 mg/
mice. The animals of control group exhibited clonic and tonic kg) has ameliorated the PTZ-induced convulsions and
convulsions, and all animals were found dead as a conse- completely inhibited the mortality rate. The ED50 value of
quence of intraperitoneal PTZ (80 mg/kg) administration. MeAA was found to be 428.65 mg/kg (Fig. 3).
Remarkably, MeAA at 200 and 400 mg/kg doses has dose
dependently prolonged the onset of clonus (P < 0.05 and Effect of MeAA on GABA levels in the brain
P < 0.01), onset of tonus (P > 0.05 and P < 0.05), and in-
creased the survival rate (25% and 62.5%) compared to con- The MeAA has evolved as a good anticonvulsant extract in all
trol group, further the anticonvulsant effect of MeAA at the anticonvultant tests (Six-hertz-seizure test, MES and PTZ
800 mg was almost similar to 400 mg, which implies the models); Furthermore, to explore the mechanism behind the

Fig. 3 Effect of MeAA on PTZ-


induced convulsions in mice.
Note- MeAA, Methanolic extract
of Achyranthes aspera aerial
parts, ns, Not significant. All of
the values are expressed as
mean ± SEM (n = 8); means of
various groups were statistically
compared by one way ANOVA
followed by Dunnett’s multiple
comparison test using Graph Pad
version 5.0. *P < 0.01,
**P < 0.001 compared with PTZ
control
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showed significant (90%) protection against NMDA-induced


mortality in mice. The results are given in Tables 2.

Actophotometer test

Since most of the currently available antiepileptic drugs pos-


sess the inherent character of inducing locomotor deficits, we
thought to evaluate the effect of MeAA on normal locomotor
activity of mice by actophotometer test; diazepam (5 mg/kg)
was used as a reference standard. Interestingly, MeAA did not
induce significant changes in locomotor activity in any of
tested doses (100, 200 and 400 mg/kg) compared to basal
locomotor activity. In contrary, the reference standard diaze-
Fig. 4 Effect of MeAA on GABA levels in brain. Note- MeAA, pam (5 mg/kg) has significantly decreased the photocell
Methanolic extract of Achyranthes aspera aerial parts; ns, Not counts and thereby showed significant reduction in locomotor
significant. The photocell counts are expressed as mean ± SEM (n = 8). activity (78.34%) compared to its basal values recorded before
The basal values of the respective treatments were compared with post
treatment (P < 0.001). Furthermore, the percentage reduction
treatment values by paired t-test using Graph Pad version 5.0. *P < 0.05,
**P < 0.01, ***P < 0.001 compared with control in locomotor activity in MeAA treatment was significantly
less compared to diazepam. The results are illustrated in
Anticonvulsant activity, 200 and 400 mg/kg doses of MeAA Fig. 6.
were evaluated for its effect on GABA levels in whole brain
other than cerebellum. The results showed significant eleva-
tion of GABA levels in whole brain, upon multiple dose Discussion
(3 days) (P < 0.01) administration of MeAA compared to
control. In similar lines, the reference standard diazepam In present study various extracts of Achyranthes aspera aerial
(5 mg/kg) also showed significant elevation of GABA com- parts were evaluated for anticonvulsant activity in three dif-
pared to control (Fig. 4). ferent experimental models in Swiss albino mice.
Based on the recent recommendations of anticonvulsant
discovery program, all the extracts (PeAA, MeAA and
Effect of flumazenil on anti-PTZ action of MeAA AeAA) were initially evaluated against six-hertz-seizure test
in mice (Wojda et al. 2009). The six-hertz-seizure test mimics
In this test, MeAA (400 mg/kg) per se treatment showed sig- the drug-resistant epilepsy observed in humans, and it is con-
nificant anticonvulsant effect against PTZ-induced convul- sidered as mild, effective, and economical model for the early
sions (anti-PTZ effect). In contrary, when MeAA (400 mg/ identification of anticonvulsant property of test samples
kg, p.o.) was co-administered with flumazenil (5 mg/kg, (Wolfgang 2011), and as per the guidelines, test drugs which
i.p.), the anticonvulsant effect of MeAA was completely fail in conventional models (MES, PTZ etc.) are strongly
abolished, due to GABAA receptor antagonistic action of recommended to screen against Six-hertz- seizure test
flumazenil. In support of this, the anticonvulsant effect of (Wojda et al. 2009;Jarogniew; Jarogniew et al. 2012).
reference standard diazepam (5 mg/kg, p.o.) was also blocked Indeed, six-hertz-seizure test resembles the clinical condition
when administered along with flumazenil, which further val- of partial or limbic epilepsy associated with a minimal clonic
idated the method to confirm the GABAergic mechanism of phase, followed by stereotyped and automatistic behaviors, in
MeAA. The results are given in Fig. 5. this model most of the currently available anticonvulsant
drugs will fail to show protection, and hence called as drug-
N-methyl-D-aspartic acid (NMDA) -induced lethality test resistant epilepsies (Wolfgang 2011). Hence, this model is
considered as highly useful in identifying even a very mild
N-Methyl-D-aspartic acid-induced lethality test is a most anticonvulsant drug, and thus valuable in avoiding false neg-
commonly used test to explore the possible role of atives. With the objective of identifying even a very mild
glutaminergic pathway in the anticonvulsant effect of the test anticonvulsant sample, all the extracts were initially evaluated
drug. In the present study, none of the tested doses of MeAA against six-hertz-seizure test. However, in this test only
(100, 200, 400 and 800 mg/kg) showed significant protection MeAA (100, 200, 400 and 800 mg/kg) has shown potent
against NMDA-induced behavioral changes, and lethality, at anticonvulsant effect. Conversely, PeAA and AeAA were fu-
high dose (800 mg/kg) MeAA showed 30% inhibition. tile and only high dose of AeAA (400 and 800 mg/kg, p.o.)
However, the reference standard, promethazine (80 mg/kg) showed very minimal inhibition. Based on these observations,
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Metab Brain Dis

Fig. 5 Effect of Flumazenil on


anti-PTZ action of MeAA in
mice. Note- FMZ, Flumazenil,
MeAA, Methanolic extract of
Achyranthes aspera aerial parts,
ns, Not significant. All of the
values are expressed as
mean ± SEM (n = 8); means of
various groups were statistically
compared by one way ANOVA
followed by Dunnett’s multiple
comparison test using Graph Pad
version 5.0. *P < 0.05,
**P < 0.01, **P < 0.001
compared with PTZ control

we thought to evaluate only MeAA against MES and PTZ-


Table 2 N-Methyl-D-aspartic acid (NMDA) -induced lethality test
induced convulsion models.
Sl.no Treatment No. of animals % Protection Furthermore, MES-induced epilepsy is a conventional and
survived/Total most widely accepted model for screening the drugs against
animals used
epilepsy, this model mimics the petit mal epilepsy observed in
1 Control (3% tween 80) 10/10 0% clinic (Carter et al. 2000). In principle, the electroshock deliv-
2 Promethazine 80 mg/kg, p.o. 9/10 90% ered in MES model is well known to potentiate the sodium
6 MeAA 100 mg/kg, p.o. 0/10 0% influx by opening of sodium channels, and also increases glu-
7 MeAA 200 mg/kg, p.o. 1/10 10% tamate levels, glutamate is an excitatory neurotransmitter, and
8 MeAA 400 mg/kg, p.o. 2/10 20%
it binds to NMDA receptors and induces the symptoms that
9 MeAA 800 mg/kg, p.o. 3/10 30%
exactly mimic the petit mal epilepsy in humans (Carter et al.
2000). With the detailed understanding of underlying mecha-
MeAA Methanol extract of Achyranthes aspera aerial parts, nism, it is stated and scientifically proved that, the agents
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Metab Brain Dis

Fig. 6 Effect of MeAA on


locomotor activity evaluated by
Actophotometer test. Note-
MeAA, Methanolic extract aerial
parts of Achyranthes aspera, ns,
Not significant. The photocell
counts are expressed as
mean ± SEM (n = 8). The basal
values of the respective
treatments were compared with
post treatment values by paired t-
test using Graph Pad version 5.0.
*P < 0.001 compared with their
respective basal values

which shows protection in this model will act either by abolished the MES and PTZ-induced convulsions and mortal-
blocking the voltage-dependent sodium channels (phenytoin, ity completely.
sodium valproate,) and/or by decreasing excitatory amino acid With the above finding it can be hypothesized that,
levels and/or by antagonizing their actions (e.g., felbamate) the MeAA is eliciting potent anticonvulsant activity by
(Viswanatha et al. 2013). increasing the inhibitory neurotransmitters (GABA) and/
Besides, PTZ is a potent antagonist at GABA receptor site, or, decreasing the excitatory neurotransmission and/or,
this model is equally old and widely used as MES model; by blocking the sodium channels and/or by neutralizing
however, this model mimics grand mal epilepsy in humans the PTZ binding site. To explore the possible mecha-
(Huang et al. 2001). In fact, PTZ binds to GABAA receptor nism of action, the effect of MeAA was evaluated for
and closes the chloride channel and thereby prevents the entry its influence on GABA levels in brain. Interestingly,
of chloride, and prevents the neurons from undergoing hyper- pretreatment with MeAA (200 and 400 mg/kg) showed
polarization, further PTZ is also known to decrease the GABA significant increase in GABA levels in whole brain
levels and density of GABAA receptors in various parts of the other than cerebellum, upon multiple dose (3 days)
brain (Psarropoulou et al. 1994), all these changes together administration, compared to control. Thus we can
leads to continuous stimulation of cortical neurons, and results conclude that one of possible mechanism behind the
in convulsions similar to absence seizures/grand mal epilepsy anticonvulsant effect of MeAA may be through GABA
observed in humans (Huang et al. 2001). Hence, it is thought mediated inhibition in brain. To confirm this hypothesis
that the agents which shows protection in this model would act further, the anticonvulsant effect of MeAA was exam-
either by acting as GABAA receptor agonists (like diazepam), ined in presence of flumazenil, which is a GABA A
and/or by enhancing GABA levels in brain, and/or through receptor antagonist; in literature many researchers have
enhancing GABAA receptor density in the brain (Viswanatha used this test to confirm the GABA mediated mecha-
et al. 2013). nism behind the anticonvulsant, sedative and hypnotic
In both MES and PTZ models, the MeAA (200 and activities (Shannon et al. 1997; Rundfeldt et al. 1995;
400 mg/kg) showed significant and dose dependent protec- John 2013; Li et al. 2006; Bruno et al. 2016). In these
tion. However, further increase in the dose of MeAA to studies, researchers have used GABAA receptor agonist
800 mg/kg did not show significant increase in anticonvulsant like benzodiazepine drugs (diazepam) along with
activity, and it may be due to sealing effect, notably, in none of GABAA receptor antagonists such as flumazenil, and
the tested doses the MeAA has showed complete inhibition of reported that the GABAA receptor mediated activities
MES and PTZ-induced convulsions. Interestingly, the phenyt- such as anti-seizure, sedative, hypnotic and addiction
oin (25 mg/kg) and diazepam (5 mg/Kg) were used as refer- properties of benzodiazepines were reversed in presence
ence standards in MES and PTZ models respectively, have of flumazenil, and these results were further confirmed
Author's personal copy
Metab Brain Dis

in receptor binding studies (Li et al. 2006; Sean et al. anxiolytic activity of Achyranthes aspera (Bhosale et al.
2012;Christiaan et al. 2012). In addition, flumazenil is 2011a, b). In similar lines, the plant constituents identified
also used as a tool to identify the putative endogenous in MeAA such as kaempferol (Calderón-Montaño et al.
and exogenous ligands at benzodiazepine receptor sites 2011), gallic acid (Maria et al. 2016), quercetin (Formica
(Uhlirova et al. 2004). Keeping this strong scientific and Regelson 1995; Gregory 2011), rutin (Aditya and Ajay
literature, in present study we have evaluated the anti- 2016 were scientifically well demonstrated to possess
convulsant effect of MeAA (400 mg/kg, p.o.) and diaz- neurological properties such as anticonvulsant, anxiolyt-
epam (5 mg/kg, p.o.) in presence of flumazenil (5 mg/ ic, sedative, and CNS depressant and so on (Anandhan
kg, i.p.) against PTZ-induced convulsions. Interestingly, et al. 2010; Chakraborty et al. 2010; Barua et al. 2009a,
the diazepam (5 mg/kg, p.o.) and MeAA (400 mg/kg, b; Sasso et al. 2010). Furthermore, triterpenoid saponins
p.o.) alone treated groups showed significant anticonvul- are well known exhibit agonistic/facilitatory activities at
sant activity compared to control. However, the anticon- GABAA receptor complex, which led to the hypothesis
vulsant effect of diazepam (5 mg/kg, p.o.) and MeAA that they act similar to benzodiazepine-like molecules,
(400 mg/kg, p.o.) was completely abolished when co- which is supported by their behavioral effects in animal
administered along with flumazenil. The blockade of models of CNS depression and anxiety (Anandhan et al.
anticonvulsant action of diazepam validates the test pro- 2010; Chakraborty et al. 2010; Barua et al. 2009a, ;
cedure, while blockade of MeAA anticonvulsant activity Gatta et al. 2016). In conclusion, based on these obser-
in presence of flumazenil (5 mg/kg, i.p.) confirmed the vations we can declare that, the MeAA contains mixture
GABAA mediated mechanism behind the anticonvulsant of few neuroprotective phytoconstituents and the syner-
effect of MeAA. Notably, the MeAA (400 mg/kg, p.o.) gistic interaction of the phytoconstituents present in
and diazepam (5 mg/kg, p.o.) combination showed syn- MeAA is eliciting anticonvulsant activity through
ergistic effect against PTZ-induced convulsion, the anti- GABAA receptor agonistic action by enhancing GABA
convulsant effect of the combination (p < 0.001) was levels in the brain.
more compared to their per se treated groups (MeAA
400 mg/kg (p < 0.05), diazepam 5 mg/kg (p < 0.01)).
Thus we can conclude that anticonvulsant effect of Conclusion
MeAA is mediating through GABAergic pathway.
In addition, to study the possible involvement of the excit- These findings demonstrate that MeAA possess signifi-
atory neurotransmitter (glutamate), the MeAA (100, 200, 400 cant anticonvulsant property, interestingly the MeAA
and 800 mg/kg) was evaluated against NMDA-induced lethal- showed significant increase in brain GABA levels, and
ity in mice, systemic administration of NMDA to mice notably the anticonvulsant action of MeAA was
showed variable effects such as scratching behavior, tile bit- abolished by flumazenil, thus confirmed the involve-
ing, tonic-clonic seizures and lethality. Since the behavioral ment of GABAergic pathway, and thus confirmed that
effects and convulsions produced are not consistent with the one of the possible mechanism/s behind the anticonvul-
animals, lethality was selected as a reliable end point (Leander sant activity of MeAA may be mediating through
et al. 1988). In this study, MeAA did not showed significant GABAergic pathway. Furthermore, the MeAA has failed
protection against NMDA-induced lethality, and thus con- to inhibit the NMDA-induced lethality, and thus con-
firmed the negligible role of glutaminergic pathway in the firmed the negligible role of glutaminergic pathway.
anticonvulsant effect of MeAA. All these findings together strongly confirmed the pos-
In addition, the effect of MeAA was evaluated for its pos- sible mechanism of GABAergic pathway behind the an-
sible locomotor deficits; however the MeAA did not show ticonvulsant activity of MeAA. Indeed, there is scope
significant influence on locomotor activity. for supplementary studies to isolate the component re-
In conclusion, all the findings in the present study are in sponsible for anticonvulsant activity of MeAA.
mutual relation and supports that MeAA possess potent anti-
convulsant activity and it could be a useful agent in treating Acknowledgements The authors acknowledge the technical help pro-
both petit mal and grand mal epilepsy. Furthermore, In support vided by Dr. Nandakumar K, Associate Professor, Department of
Pharmacology, Manipal college of Pharmaceutical sciences, Manipal.
of all these findings, the LC-MS/MS analysis of MeAA con-
The authors greatly acknowledge Ms.Radiant Research Services Pvt.
firmed the presence of kaempferol, gallic acid, quercetin and Ltd., Bangalore, Vitthartha Life Sciences, Bommasandra Industrial Area,
rutin; and previously various phytoconstituents such as quer- Bangalore, and Manipal College of Pharmaceutical Sciences, Manipal for
cetin. Triterpenoid saponins (A&B), achyranthine, betaine, providing all the neccesary facilities and Technical help in completing the
research work.
steroids and so on were isolated from Achyranthes aspera
(Bhosale et al. 2011b), and these phytoconstituents were Authors Contribution GLV, MVV, NBLP and AG have contributed
earlier reported to be responsible for CNS depressant and equally for designing, conducting the study, data collection, analysis
Author's personal copy
Metab Brain Dis

and preparation of manuscript, MVV and NBLP involved in critical anal- Chrościńska KM, Jargiełło BM, Andres MM, Łuszczki JJ, Czuczwar SJ
ysis and interpretation of findings, MVV, NBLP, AG have proof read and (2016) Influence of caffeine on the protective activity of gabapentin
approved the final version of manuscript. and topiramate in a mouse model of generalized tonic-clonic sei-
zures. Pharmacol Rep 68(4):680–685
Compliance with ethical standards Citraro R, Navarra M, Leo A, Donato Di Paola E, Santangelo E, Lippiello
P, Aiello R, Russo E, De Sarro G (2016) The anticonvulsant activity
Conflicts of interest The authors declare there are no conflicts of in- of a flavonoid-rich Extract from Orange juice involves both NMDA
terest and they guarantee no further ethical conflict among the authors and and GABA-benzodiazepine receptor complexes. Molecules 21.
the experimental methodology. Also, no formal funding from any agen- doi:10.3390/molecules21091261
cies was used for this project. Formica JV, Regelson W (1995) Review of the biology of quercetin and
related bioflavonoids. Food ChemToxicol 33(12):1061–1080
Gatta E, Cupello A, Di Braccio M, Grossi G, Robello M, Scicchitano F,
Russo E, De Sarro G (2016) Anticonvulsive activity in Audiogenic
DBA/2 mice of 1,4-benzodiazepines and 1,5-benzodiazepines with
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