Antioxidative and anti-inflammatory effects of Thai traditional topical herbal recipe for osteoarthritis of knee

Authors

  • Jintana Junlatat Faculty of Thai Traditional and Alternative Medicine, Ubon Ratchathani Rajabhat University
  • Suphannachat Nusawat Faculty of Thai Traditional and Alternative Medicine, Ubon Ratchathani Rajabhat University
  • Warinee Sangprapai Faculty of Thai Traditional and Alternative Medicine, Ubon Ratchathani Rajabhat University
  • Saran Chaweerak Faculty of Thai Traditional and Alternative Medicine, Ubon Ratchathani Rajabhat University

Keywords:

Anti-oxidation, Anti-inflammation, Osteoarthritis of knee, Thai traditional recipe

Abstract

The purpose of the study was to evaluate the anti-oxidative and anti-inflammatory effects of a Thai traditional topical herbal recipe for osteoarthritis of knee (OA knee). This recipe has been used to treat and relieve pain and swelling around the knee, it was called Pok-Kao recipe (PK) in Thai. The recipe was prepared, extracted by maceration with 50%ethanol and then freeze-dried to obtain the extract (PKE). PKE was tested for anti-oxidation using DPPH, FRAP and ABTS assays. Anti-inflammatory mechanisms of PKE were investigated by measuring nitric oxide (NO) production using Griess reagent. In addition, the inflammatory-related gene expression and prostaglandin E2 (PEG2) inhibition level was investigated by reverse transcription-polymerase chain reaction technique (RT-PCR) and enzyme-linked immunosorbent assay (ELISA) in LPS-stimulated macrophages RAW264.7 cells. The results found that PKE extract showed anti-oxidant activity when tested by using DPPH assay (EC50 was 674.90±27.00 µg/ml), FRAP assay (14.03±2.45 µg Trolox equiv./mg) and ABTS assay (EC50 was 31.01±7.19 µg/ml). Besides, the extracts exhibited the anti-inflammatory effect at doses 50-200 µg/ml which inhibited the NO production and the expression of cyclooxygenase-2 (COX-2), inducible nitric oxide synthase (iNOS), interleukin-1β (IL-1β) and tumor necrosis factor-α (TNF-α) in the cells. And, the extract strongly inhibited the PGE2 production (EC50 was 18.97 µg/ml). The results support the traditional uses of this recipe for treating OA knee and are particularly useful for product development.

References

Amorndoljai P, Taneepanichskul S, Niempoog S, Nimmannit U. A comparative of ginger extract in nanostructure lipid carrier (NLC) and 1% diclofenac gel for treatment of knee osteoarthritis (OA). J Med Assoc Thail. 2017;100(4):447–56.

Teekachunhatean S, Kunanusorn P, Rojanasthien N, Sananpanich K, Pojchamarnwiputh S, Lhieochaiphunt S, et al. Chinese herbal recipe versus diclofenac in symptomatic treatment of osteoarthritis of the knee: A randomized controlled trial [ISRCTN70292892]. BMC Complement Altern Med. 2004;4:1–8.

Pinsornsak P, Kanokkangsadal P, Itharat A. The clinical efficacy and safety of the sahastara remedy versus diclofenac in the treatment of osteoarthritis of the knee: A double-blind, randomized, and controlled trial. Evidence-based Complement Altern Med. 2015;2015.

Scanzello CR, Loeser RF. Editorial: Inflammatory activity in symptomatic knee osteoarthritis: Not all inflammation is local. Arthritis Rheumatol. 2015;67(11):2797–800.

Huang ZA, Scotland KB, Li Y, Tan J, Kung SHY, Chew BH, et al. Determination of urinary prostaglandin E2 as a potential biomarker of ureteral stent associated inflammation. J Chromatogr B Anal Technol Biomed Life Sci. 2020;1145(April):122107.

Kumar A, Singh KP, Bali P, Anwar S, Kaul A, Singh OP, et al. iNOS polymorphism modulates iNOS/NO expression via impaired antioxidant and ROS content in P. vivax and P. falciparum infection. Redox Biol. 2018;15(December 2017):192–206.

Li WJ, Lin YC, Wu PF, Wen ZH, Liu PL, Chen CY, et al. Biofunctional constituents from Liriodendron tulipifera with antioxidants and anti-melanogenic properties. Int J Mol Sci. 2013;14(1):1698–712.

Lee CC, Chen YT, Chiu CC, Liao WT, Liu YC, David Wang HM. Polygonum cuspidatum extracts as bioactive antioxidaion, anti-tyrosinase, immune stimulation and anticancer agents. J Biosci Bioeng. 2015;119(4):464–9.

Verkleij SPJ, Luijsterburg PAJ, Bohnen AM, Koes BW, Bierma-Zeinstra SMA. NSAIDs vs acetaminophen in knee and hip osteoarthritis: A systematic review regarding heterogeneity influencing the outcomes. Osteoarthr Cartil. 2011;19(8):921–9.

Shimada K, Fujikawa K, Yahara K, Nakamura T. Antioxidative Properties of Xanthan on the Autoxidation of Soybean Oil in Cyclodextrin Emulsion. J Agric Food Chem. 1992;40(6):945–8.

Famurewa AC, Aja PM, Nwankwo OE, Awoke JN, Maduagwuna EK, Aloke C. Moringa oleifera seed oil or virgin coconut oil supplementation abrogates cerebral neurotoxicity induced by antineoplastic agent methotrexate by suppression of oxidative stress and neuro-inflammation in rats. J Food Biochem. 2019;43(3):1–10.

Sripanidkulchai B, Fangkrathok N. Antioxidant, antimutagenic and antibacterial activities of extracts from Phyllanthus emblica branches. Songklanakarin J Sci Technol. 2014;36(6):669–74.

Mosmann T. Rapid colorimetric assay for cellular growth and survival: Application to proliferation and cytotoxicity assays. J Immunol Methods. 1983;65(1–2):55–63.

Adebayo SA, Ondua M, Shai LJ, Lebelo SL. Inhibition of nitric oxide production and free radical scavenging activities of four south african medicinal plants. J Inflamm Res. 2019;12:195–203.

Won JH, Im HT, Kim YH, Yun KJ, Park HJ, Choi JW, et al. Anti-inflammatory effect of buddlejasaponin IV through the inhibition of iNOS and COX-2 expression in RAW 264.7 macrophages via the NF-κB inactivation. Br J Pharmacol. 2006;148(2):216–25.

Sripanidkulchai B, Junlatat J, Wara-aswapati N, Hormdee D. Anti-inflammatory effect of Streblus asper leaf extract in rats and its modulation on inflammation-associated genes expression in RAW 264.7 macrophage cells. J Ethnopharmacol. 2009;124(3):566–70.

Ben Ahmed Z, Yousfi M, Viaene J, Dejaegher B, Demeyer K, Mangelings D, et al. Determination of optimal extraction conditions for phenolic compounds from: Pistacia atlantica leaves using the response surface methodology. Anal Methods. 2016;8(31):6107–14.

Karan A, Karan MA, Vural P, Erten N, Taşçioǧlu C, Aksoy C, et al. Synovial fluid nitric oxide levels in patients with knee osteoarthritis. Clin Rheumatol. 2003;22(6):397–9.

Choi SE, Park KH, Han BH, Jeong MS, Seo SJ, Lee DI, et al. Inhibition of inducible nitric oxide synthase and cyclooxygenase-2 expression by phenolic compounds from roots of Rhododendron mucronulatum. Phyther Res. 2011;25(9):1301–5.

Barker T, Rogers VE, Henriksen VT, Levy M, Schneider ED, Templeton J, et al. Circulating cytokine concentrations are not altered by supplemental vitamin D in knee osteoarthritis: A pilot study. J Nutr Intermed Metab. 2019;18(March):100103.

Chongmelaxme B, Sruamsiri R, Dilokthornsakul P, Dhippayom T, Kongkaew C, Saokaew S, et al. Clinical effects of Zingiber cassumunar (Plai): A systematic review. Complement Ther Med. 2017;35(September):70–7.

Komakech R, Kim Y, Matsabisa GM, Kang Y. Anti-inflammatory and analgesic potential of Tamarindus indica Linn. (Fabaceae): a narrative review. Integr Med Res. 2019;8(3):181–6.

Poomanee W, Chaiyana W, Randall Wickett R, Leelapornpisid P. Stability and solubility improvement of Sompoi (Acacia concinna Linn.) pod extract by topical microemulsion. Asian J Pharm Sci. 2017;12(4):386–93.

Rahoui W, Merzouk H, El Haci IA, Bettioui R, Azzi R, Benali M. Beneficial effects of Aloe vera gel on lipid profile, lipase activities and oxidant/antioxidant status in obese rats. J Funct Foods. 2018;48(April):525–32.

Li YR, Fu CS, Yang WJ, Wang XL, Feng D, Wang XN, et al. Investigation of constituents from Cinnamomum camphora (L.) J. Presl and evaluation of their anti-inflammatory properties in lipopolysaccharide-stimulated RAW 264.7 macrophages. J Ethnopharmacol. 2018;221:37–47.

Wang J, Su B, Jiang H, Cui N, Yu Z, Yang Y, et al. Traditional uses, phytochemistry and pharmacological activities of the genus Cinnamomum (Lauraceae): A review. Fitoterapia. 2020;146(March):104675.

Downloads

Published

2022-04-30

How to Cite

1.
Junlatat J, Nusawat S, Sangprapai W, Chaweerak S. Antioxidative and anti-inflammatory effects of Thai traditional topical herbal recipe for osteoarthritis of knee. Health Sci Tech Rev [Internet]. 2022 Apr. 30 [cited 2024 Nov. 19];15(1):11-22. Available from: https://li01.tci-thaijo.org/index.php/journalup/article/view/249725

Issue

Section

Research articles