Lachoo Memorial College of Science and Technology (Autonomous), Pharmacy Wing, Sector-A, Shastri Nagar, Jodhpur 342003, Rajasthan, India.
Lachoo Memorial College of Science and Technology (Autonomous), Pharmacy Wing, Sector-A, Shastri Nagar, Jodhpur 342003, Rajasthan, India.
J Ethnopharmacol. 2014 Mar 14;152(2):349-57. doi: 10.1016/j.jep.2014.01.020. Epub 2014 Jan 29.
ETHNOPHARMACOLOGICAL RELEVANCE: Calotropis procera (Ait.) R.Br. is one of an ancient traditional shrub, which has been used for the treatment of diabetes, pain and inflammation for thousands of years in India. The root extract of Calotropis procera has been widely used by the tribal׳s of district Udaipur, Rajasthan (India) for treatment of diabetes mellitus and its associated complications like diabetic neuropathy. The present study was performed to explore the protective effect of root, stem and leaf extracts of Calotropis procera in diabetes and diabetic neuropathy against tactile allodynia, mechanical hyperalgesia and thermal hyperalgesia in streptozotocin induced diabetic rats. MATERIALS AND METHODS: Diabetes and peripheral neuropathy were induced in Wistar rats by injection of streptozotocin (45 mg/kg/intraperitoneally). The roots, stem and leaves of Calotropis procera were sequentially extracted with petroleum ether, chloroform, ethyl acetate and methanol. All the extracts were assessed by oral administration at 100 and 250 mg/kg in streptozotocin diabetic rats. The following compounds were used as positive controls: insulin NPH (1 IU/kg/day), metformin (500 mg/kg/day), glibenclamide (2.5 mg/kg/day) and a combination of acarbose (20 mg/kg/day) with methylcobalamine (500 µg/kg/day). In contrast, the streptozotocin induced untreated diabetic rats termed as negative control. Thermal hyperalgesia, mechanical hyperalgesia and tactile allodynia were evaluated in all groups of streptozotocin diabetic rats to assess the extent of neuropathy by Eddy׳s hot plate, tail immersion, Randall-Selitto and Von Frey hair tests. The basal nociceptive thresholds were assessed in week 4 of post streptozotocin injection. All groups received their treatment on a regular basis from 28 to 42 days following a confirmation of diabetic neuropathy. The nociceptive thresholds were assessed in all groups in week 5 and 6. The histopathology of pancreas and biochemical estimations of plasma insulin and glycosylated haemoglobin (HbA1C%) levels were also performed in week 6 of post streptozotocin injection. RESULTS: The negative control rats developed diabetes and diabetic neuropathy after 6 week of streptozotocin administration distinguished by significant (p<0.01) hyperalgesia and tactile allodynia with enhanced HbA1C% level compared to normoglycemic rats. Chronic administration of root methanol, stem methanol and leaf ethyl-acetate extracts of Calotropis procera for 2 weeks at 100 and 250 mg/kg doses significantly (p<0.01) attenuated the diabetes induced mechanical hyperalgesia, thermal hyperalgesia, tactile allodynia and HbA1C% level in streptozotocin diabetic rats as compared to negative control rats. Further, the root methanol extract of Calotropis procera in 100mg/kg dose showed the regeneration capability of β cells in the histology of pancreas with significant (p<0.01) improvement in plasma insulin level in streptozotocin diabetic rats compared to negative control rats. CONCLUSION: Root methanol extract of Calotropis procera (100mg/kg) has shown ameliorative effect in diabetic neuropathy which may be attributed by its multiple actions including potent hypoglycemic and antioxidant.
民族药理学相关性:Calotropis procera(Ait.)R.Br. 是一种古老的传统灌木,数千年来,印度一直将其根用于治疗糖尿病、疼痛和炎症。Calotropis procera 的根提取物已被拉贾斯坦邦乌代浦尔地区的部落广泛用于治疗糖尿病及其相关并发症,如糖尿病性神经病变。本研究旨在探索 Calotropis procera 的根、茎和叶提取物对链脲佐菌素诱导的糖尿病大鼠触觉过敏、机械性痛觉过敏和热痛觉过敏的保护作用。
材料和方法:通过注射链脲佐菌素(45mg/kg/腹腔内)在 Wistar 大鼠中诱导糖尿病和周围神经病变。Calotropis procera 的根、茎和叶分别用石油醚、氯仿、乙酸乙酯和甲醇进行提取。所有提取物均以 100 和 250mg/kg 的剂量通过口服给予链脲佐菌素糖尿病大鼠。以下化合物用作阳性对照:NPH 胰岛素(1IU/kg/天)、二甲双胍(500mg/kg/天)、格列本脲(2.5mg/kg/天)和阿卡波糖(20mg/kg/天)与甲钴胺(500μg/kg/天)的组合。相比之下,未经治疗的链脲佐菌素诱导的糖尿病大鼠称为阴性对照。通过 Eddy 热板、尾巴浸泡、Randall-Selitto 和 Von Frey 毛发试验评估所有链脲佐菌素糖尿病大鼠组的热痛觉过敏、机械性痛觉过敏和触觉过敏,以评估神经病变的程度。在链脲佐菌素注射后第 4 周评估基础痛觉阈值。所有组均在确认糖尿病性神经病变后,从第 28 天到第 42 天定期接受治疗。在第 5 周和第 6 周评估所有组的痛觉阈值。在链脲佐菌素注射后第 6 周还进行了胰腺组织病理学和血浆胰岛素和糖化血红蛋白(HbA1C%)水平的生化测定。
结果:阴性对照大鼠在链脲佐菌素给药 6 周后发展为糖尿病和糖尿病性神经病变,与正常血糖大鼠相比,机械性痛觉过敏和触觉过敏显著增加(p<0.01),HbA1C%水平升高。根甲醇、茎甲醇和叶乙酸乙酯提取物以 100 和 250mg/kg 剂量连续 2 周给药,可显著(p<0.01)减轻链脲佐菌素诱导的糖尿病大鼠的机械性痛觉过敏、热痛觉过敏、触觉过敏和 HbA1C%水平,与阴性对照大鼠相比。此外,Calotropis procera 的根甲醇提取物以 100mg/kg 剂量显示β细胞的再生能力,与阴性对照大鼠相比,可显著(p<0.01)改善链脲佐菌素诱导的糖尿病大鼠的血浆胰岛素水平。
结论:Calotropis procera 的根甲醇提取物(100mg/kg)在糖尿病性神经病变中显示出改善作用,这可能归因于其多种作用,包括有效的降血糖和抗氧化作用。
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