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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">ijms</journal-id>
<journal-title>International Journal of Molecular Sciences</journal-title>
<abbrev-journal-title>Int. J. Mol. Sci.</abbrev-journal-title>
<issn pub-type="epub">1422-0067</issn>
<publisher>
<publisher-name>Molecular Diversity Preservation International (MDPI)</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3390/ijms11103942</article-id>
<article-id pub-id-type="publisher-id">ijms-11-03942</article-id>
<article-categories>
<subj-group>
<subject>Article</subject></subj-group></article-categories>
<title-group>
<article-title>Pharmacological Proprieties of the Ethanol Extract of <italic>Muehlenbeckia platyclada</italic> (F. Muell.) Meisn. Leaves</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Fagundes</surname><given-names>Leopoldina Leonor</given-names></name><xref ref-type="aff" rid="af1-ijms-11-03942">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Vieira</surname><given-names>Glauciemar Del-Vechio</given-names></name><xref ref-type="aff" rid="af1-ijms-11-03942">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>de Pinho</surname><given-names>José de Jesus R. G.</given-names></name><xref ref-type="aff" rid="af1-ijms-11-03942">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Yamamoto</surname><given-names>Célia Hitomi</given-names></name><xref ref-type="aff" rid="af1-ijms-11-03942">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>Alves</surname><given-names>Maria Silvana</given-names></name><xref ref-type="aff" rid="af2-ijms-11-03942">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>Stringheta</surname><given-names>Paulo César</given-names></name><xref ref-type="aff" rid="af3-ijms-11-03942">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>de Sousa</surname><given-names>Orlando Vieira</given-names></name><xref ref-type="aff" rid="af1-ijms-11-03942">1</xref><xref ref-type="corresp" rid="c1-ijms-11-03942">*</xref></contrib></contrib-group>
<aff id="af1-ijms-11-03942">
<label>1</label> Departamento Farmacêutico, Faculdade de Farmácia e Bioquímica, Universidade Federal de Juiz de Fora, Campus Universitário, Martelos, 36036-330, Juiz de Fora, MG, Brazil; E-Mails: <email>dinafgs@hotmail.com</email> (L.L.F.); <email>glauciemar@gmail.com</email> (G.D.-V.V.); <email>jose.pinho@ufjf.edu.br</email> (J.J.R.G.P.); <email>hytomani@yahoo.com</email> (C.H.Y.)</aff>
<aff id="af2-ijms-11-03942">
<label>2</label> Departamento de Análises Clínicas, Faculdade de Farmácia e Bioquímica, Universidade Federal de Juiz de Fora, Campus Universitário, Martelos, 36036-330, Juiz de Fora, MG, Brazil; E-Mail: <email>alves_ms2005@yahoo.com.br</email></aff>
<aff id="af3-ijms-11-03942">
<label>3</label> Departamento de Tecnologia de Alimentos, Centro de Ciências Exatas e Tecnológicas, Universidade Federal de Viçosa, Campus Universitário, 36571-000 -Viçosa, MG, Brazil; E-Mail: <email>pstringheta@yahoo.com.br</email></aff>
<author-notes>
<corresp id="c1-ijms-11-03942">* Author to whom correspondence should be addressed; E-Mail: <email>orlando.sousa@ufjf.edu.br</email>; Tel.: +55-32-2102-3819; Fax: +55-32-2102-3812.</corresp></author-notes>
<pub-date pub-type="collection">
<year>2010</year></pub-date>
<pub-date pub-type="epub">
<day>15</day>
<month>10</month>
<year>2010</year></pub-date>
<volume>11</volume>
<issue>10</issue>
<fpage>3942</fpage>
<lpage>3953</lpage>
<history>
<date date-type="received">
<day>17</day>
<month>9</month>
<year>2010</year></date>
<date date-type="rev-recd">
<day>29</day>
<month>9</month>
<year>2010</year></date>
<date date-type="accepted">
<day>12</day>
<month>10</month>
<year>2010</year></date></history>
<permissions>
<copyright-statement>© 2010 by the authors; licensee Molecular Diversity Preservation International, Basel, Switzerland.</copyright-statement>
<copyright-year>2010</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<p>This article is an open-access article distributed under the terms and conditions of the Creative Commons Attribution license (http://creativecommons.org/licenses/by/3.0/).</p></license></permissions>
<abstract>
<p>Antinociceptive and anti-inflammatory activities of the <italic>Muehlenbeckia platyclada</italic> leaves’ ethanol extract were investigated in animal models. The extract (p.o.) reduced the number of abdominal contortions induced by acetic acid by 21.57% (400 mg/kg). After intraplantar injection of formalin, a dose of 400 mg/kg (p.o.) inhibited the time spent paw licking in the first phase (26.43%), while the second phase was inhibited by 10.90 and 36.65% at the doses of 200 and 400 mg/kg, respectively. The extract (p.o.) increased the reaction time on a hot plate at a dose of 400 mg/kg (32.68 and 40.30%) after 60 and 90 minutes of treatment, respectively. The paw edema was reduced by extract (p.o.) at doses of 100 (15.46 and 16.67%), 200 (22.68 and 25.64%) and 400 mg/kg (29.50 and 37.33%) after 3 to 4 h of carrageenan application, respectively. Doses of 100, 200 and 400 mg/kg (p.o.), administered 4 h after the carrageenan injection, reduced the exudate volume (11.28, 21.54 and 45.13%), while leukocyte migration was reduced by 21.21 and 29.70% at the doses of 200 and 400 mg/kg, respectively. These results indicate that the ethanol extract from <italic>M. platyclada</italic> may constitute a potential target for the discovery of new molecules with antinociceptive and anti-inflammatory activities that can be explored for their therapeutic use.</p></abstract>
<kwd-group>
<kwd>Muehlenbeckia platyclada</kwd>
<kwd>Polygonaceae</kwd>
<kwd>antinociceptive activity</kwd>
<kwd>anti-inflammatory activity</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>1. Introduction</title>
<p>Medicinal plants are one of the most important sources of active substances with therapeutic potential and these are often used to cure a variety of diseases in humans [<xref ref-type="bibr" rid="b1-ijms-11-03942">1</xref>,<xref ref-type="bibr" rid="b2-ijms-11-03942">2</xref>]. Moreover, the evaluation of pharmacological effects can be used as a strategy for discovering new drugs of plant origin [<xref ref-type="bibr" rid="b2-ijms-11-03942">2</xref>,<xref ref-type="bibr" rid="b3-ijms-11-03942">3</xref>]. In particular, the use of medicinal plants as anti-inflammatory and analgesic agents is a common practice and have been the target of recent studies [<xref ref-type="bibr" rid="b4-ijms-11-03942">4</xref>,<xref ref-type="bibr" rid="b5-ijms-11-03942">5</xref>].</p>
<p>The genus <italic>Muehlenbeckia</italic> is constituted by four species belonging to the family Polygonaceae. Plants of this genus, such as <italic>Muehlenbeckia platyclada</italic> (F. Muell.) Meisn., commonly known as carqueja de jardim or fita de moça, are found in South America, and have been traditionally used as diuretic, hypotensive, antihemorragic, sedative, antirheumatic, abortive, cicatrizant, antiulcerogenic, anti-inflammatory and anthelmintic agents [<xref ref-type="bibr" rid="b6-ijms-11-03942">6</xref>,<xref ref-type="bibr" rid="b7-ijms-11-03942">7</xref>].</p>
<p>Among the active compounds found in <italic>M. platyclada</italic>, the flavonoids (morin-3-<italic>O</italic>-α-rhamnopyranoside, kaempferol-3-<italic>O</italic>-α-rhamnopyranoside, kaempferol-3-<italic>O</italic>-β-glucopyranoside, quercetin 3-<italic>O</italic>-α-rhamnopyranoside and (+)-catechin), were reported [<xref ref-type="bibr" rid="b8-ijms-11-03942">8</xref>]. However, in species of <italic>Muehlenbeckia</italic>, such as <italic>M. tamnifolia</italic>, free anthraquinones (chrysophanic acid, emodin, and rhein) and glycoside anthraquinones have been identified [<xref ref-type="bibr" rid="b9-ijms-11-03942">9</xref>]. Epicatechin, emodin-8-glycoside and rutin were identified from the aerial part and the root of <italic>M. hastulata</italic> [<xref ref-type="bibr" rid="b10-ijms-11-03942">10</xref>]. Pheophorbide A, hypericin and protohypericin, isolated from this specie, demonstrated potent activity against influenza virus [<xref ref-type="bibr" rid="b11-ijms-11-03942">11</xref>].</p>
<p>Considering pharmacological studies, <italic>M. hastulata</italic> possesses significant oxytoxic and analgesic activities [<xref ref-type="bibr" rid="b10-ijms-11-03942">10</xref>]. The chloroform, butanol and aqueous extracts as well as flavonoids isolated from <italic>M. platyclada</italic> inhibited the generation of superoxide anion and elastase released by human neutrophils, indicating anti-inflammatory activity [<xref ref-type="bibr" rid="b8-ijms-11-03942">8</xref>]. Based on the anthelmintic property, the methanolic extract of <italic>M. platyclada</italic> did not exhibit activity against <italic>Bursaphelenchus xylophilus</italic> [<xref ref-type="bibr" rid="b12-ijms-11-03942">12</xref>].</p>
<p>In order to evaluate the pharmacological basis for a better understanding of the use of <italic>M. platyclada</italic> in folk medicine, the present study was designed to investigate the antinociceptive and anti-inflammatory effects of ethanol extract obtained from leaves using animal models.</p></sec>
<sec sec-type="results|discussion">
<title>2. Results and Discussion</title>
<sec>
<title>2.1. Phytochemistry Screening</title>
<p>The phytochemical screening results of the ethanol extract showed the presence of different types of active constituents like flavonoids, terpenoids, sterols, coumarins, tannins, saponins and volatile oils.</p></sec>
<sec>
<title>2.2. Acute Toxicity</title>
<p>At the doses administered per oral route (p.o.), the ethanol extract from <italic>M. platyclada</italic> leaves was toxic to animals with LD<sub>50</sub> of 2.67 g/kg (95% confidence intervals 1.65–4.31 g/kg). This result was applied as a parameter to establish the dosage definition in the experiments of pharmacological activities.</p></sec>
<sec>
<title>2.3. Writhing Response Induced by Acetic Acid in Mice</title>
<p>Dose (p.o.) of 400 mg/kg of <italic>M. platyclada</italic> extract significantly reduced (<italic>p</italic> &lt; 0.001) the abdominal contortions induced by acetic acid to 51.37 ± 0.84 compared to the respective control (65.50 ± 1.50) (<xref ref-type="fig" rid="f1-ijms-11-03942">Figure 1</xref>).</p></sec>
<sec>
<title>2.4. Effects on Formalin-Induced Nociception in Mice</title>
<p>The intraplantar injection of formalin promoted a biphasic characteristic response (<xref ref-type="fig" rid="f2-ijms-11-03942">Figure 2</xref>). The time spent licking in the first phase (0–5 min) was 84.62 ± 2.45 s and in the second phase (15–30 min) was 91.75 ± 1.79 s for the control group. After 60 min of treatment, a dose (p.o.) of 400 mg/kg of extract significantly inhibited (<italic>p</italic> &lt; 0.001) the first phase at 26.43% and the doses of 200 and 400 mg/kg reduced the second phase at 10.90 and 36.65%, respectively, when compared to the control.</p></sec>
<sec>
<title>2.5. Effects on Hot-Plate Latency Assay in Mice</title>
<p>The <italic>M. platyclada</italic> ethanol extract increased the latency time of mice exposed to the hot plate (<xref ref-type="table" rid="t1-ijms-11-03942">Table 1</xref>). After 60 and 90 min of treatment, dose (p.o.) of 400 mg/kg (32.68 and 40.31%) increased significantly (<italic>p</italic> &lt; 0.05 and <italic>p</italic> &lt; 0.01, respectively) the latency time in the respective control group. Morphine proved to be a potent analgesic, increasing the latency time within the evaluation periods. Naloxone, an opioid antagonist, blocked the morphine action but did not alter the antinociceptive effect of the tested extracts.</p></sec>
<sec>
<title>2.6. Effects on Carrageenan-Induced Edema in Rats</title>
<p>The <italic>M. platyclada</italic> ethanol extract anti-inflammatory effect evaluated by the paw edema method induced by carrageenan is shown in <xref ref-type="table" rid="t2-ijms-11-03942">Table 2</xref>. Edema inhibition was observed 3 h after carrageenan application of doses (p.o.) of 100 (0.82 ± 0.03; 1.46 %; <italic>p</italic> &lt; 0.05), 200 (0.75 ± 0.04; 22.70 %; <italic>p</italic> &lt; 0.01) and 400 mg/kg (0.63 ± 0.04; 35.05 %; <italic>p</italic> &lt; 0.001). 4 h after carrageenan injections, the doses of 100 (0.65 ± 0.02; <italic>p</italic> &lt; 0.05), 200 (0.58 ± 0.03; <italic>p</italic> &lt; 0.01) and 400 mg/kg (0.52 ± 0.02; <italic>p</italic> &lt; 0.001) reduced the respective paw edema (16.67, 25.64 and 33.33%). In this time, indomethacin also reduced the paw edema (39.74%).</p></sec>
<sec>
<title>2.7. Effects on Carrageenan-Induced Pleurisy in Rats</title>
<p>The pleurisy effects demonstrated that doses (p.o.) of 100 (<italic>p</italic> &lt; 0.05), 200 (<italic>p</italic> &lt; 0.01) and 400 mg/kg (<italic>p</italic> &lt; 0.001) of the extracts significantly reduced the exudate volume (<xref ref-type="table" rid="t3-ijms-11-03942">Table 3</xref>). The number of total leukocytes was inhibited at the doses of 200 (<italic>p</italic> &lt; 0.001) and 400 mg/kg (<italic>p</italic> &lt; 0.001) (<xref ref-type="table" rid="t3-ijms-11-03942">Table 3</xref>). The exudate volume was decreased by 11.28, 21.54 and 45.13% at doses (p.o.) of 100, 200 and 400 mg/kg compared to the respective control. Leukocyte migration inhibition also occurred from doses (p.o.) of 200 (13.00 ± 0.21 × 10<sup>3</sup> cells/mm<sup>3</sup>; <italic>p</italic> &lt; 0.001) and 400 mg/kg (11.60 ± 0.32 × 10<sup>3</sup> cells/mm<sup>3</sup>; <italic>p</italic> &lt; 0.001). Indomethacin reduced the exudate volume and the leukocyte migration.</p>
<p>The acute toxicity test showed that the <italic>M. platyclada</italic> leaves’ ethanol extract doses tested were toxic to mice. However, the largest dose administered (400 mg/kg) is less than the lowest dose applied for determination of the LD<sub>50</sub> (0.5 g/kg or 500 mg/kg). This is the first time that the toxic effect on plants of the genus <italic>Muehlenbeckia</italic> is described. Probably, the toxic effect of the ethanol extract is due to the presence of compounds, such as saponins [<xref ref-type="bibr" rid="b13-ijms-11-03942">13</xref>,<xref ref-type="bibr" rid="b14-ijms-11-03942">14</xref>]. In the present study, the LD<sub>50</sub> was used to define the doses that were administered to the animals.</p>
<p>Considering the antinociceptive activity, the intraperitoneal administration of acetic acid induces the synthesis of the prostaglandins and sympathomimetic system mediators like PGE2 and PGF2α [<xref ref-type="bibr" rid="b15-ijms-11-03942">15</xref>]. Thus, the antinociceptive effect of the ethanol extract could be due to the inhibition of these mediators. This effect was also demonstrated by the biphasic response time of paw licking induced by formalin [<xref ref-type="bibr" rid="b16-ijms-11-03942">16</xref>]. The first phase (0 to 5 min) corresponds to the neurogenic stage as an intensely painful process for the activation of nociceptive pathways, while inflammation mediators are produced after 15 minutes of formalin application (second phase) [<xref ref-type="bibr" rid="b16-ijms-11-03942">16</xref>,<xref ref-type="bibr" rid="b17-ijms-11-03942">17</xref>]. Substance P and bradykinin act as mediators in the first phase, while histamine, serotonin, prostaglandin and bradykinin are involved in the nociceptive response of the second stage [<xref ref-type="bibr" rid="b17-ijms-11-03942">17</xref>].</p>
<p>The central action was confirmed in the hot plate test (400 mg/kg), showing that the maximum effect was reached after 90 minutes. This test is considered to be sensitive to drugs acting at the supraspinal modulation level of the pain response [<xref ref-type="bibr" rid="b18-ijms-11-03942">18</xref>], suggesting a possible modulatory effect of the extract. Furthermore, antinociceptive action was not dependent on the opioid system, because naloxone treatment did not reverse the produced effect [<xref ref-type="bibr" rid="b19-ijms-11-03942">19</xref>,<xref ref-type="bibr" rid="b20-ijms-11-03942">20</xref>].</p>
<p>The algesia test induced by formalin also indicated a possible anti-inflammatory activity (the second phase was reduced from 200 mg/kg). This activity was confirmed by the paw edema induced by carrageenan in rats, an animal model widely used to investigate anti-inflammatory substances. Carrageenan induces paw edema resulting in the release of mediators such as histamine, serotonin, bradykinin, substance P, platelet activating factor and prostaglandins [<xref ref-type="bibr" rid="b21-ijms-11-03942">21</xref>–<xref ref-type="bibr" rid="b27-ijms-11-03942">27</xref>]. Oral treatment with the <italic>M. platyclada</italic> ethanol extract significantly inhibited the paw edema from 100 mg/kg. This result suggests that the anti-inflammatory actions of the extract are related to inhibition of one or more signaling intracellular pathways involved with the release of mediators mentioned above.</p>
<p>The formation of exudate in the pleural cavity [<xref ref-type="bibr" rid="b28-ijms-11-03942">28</xref>,<xref ref-type="bibr" rid="b29-ijms-11-03942">29</xref>] and leukocyte migration [<xref ref-type="bibr" rid="b29-ijms-11-03942">29</xref>,<xref ref-type="bibr" rid="b30-ijms-11-03942">30</xref>] were produced by intrapleural injection of carrageenan and this method was used to confirm the obtained paw edema results. Non-steroidal anti-inflammatory drugs, such as indomethacin, inhibit the accumulation of exudates and mobilization of leukocytes between 3 and 6 h after application of carrageenan [<xref ref-type="bibr" rid="b29-ijms-11-03942">29</xref>,<xref ref-type="bibr" rid="b31-ijms-11-03942">31</xref>]. The ethanol extract from <italic>M. platyclada</italic> reduced the volume of exudate and the leukocyte migration, also corroborating the anti-inflammatory activity (<xref ref-type="table" rid="t2-ijms-11-03942">Tables 2</xref> and <xref ref-type="table" rid="t3-ijms-11-03942">3</xref>).</p>
<p>Our phytochemical screening demonstrated the presence of flavonoids, saponins, tannins, terpenoids, sterols, coumarins, volatile oils, triterpenes and steroids. Flavonoids, like morin-3-<italic>O</italic>-α-rhamnopyranoside, kaempferol-3-<italic>O</italic>-α-rhamnopyranoside, kaempferol-3-<italic>O</italic>-β-glucopyranoside, quercetin 3-<italic>O</italic>-α-rhamnopyranoside and (+)-catechin, have been isolated from <italic>M. platyclada</italic> [<xref ref-type="bibr" rid="b8-ijms-11-03942">8</xref>]. These flavonoids inhibited the generation of superoxide anion and elastase released by human neutrophils, indicating anti-inflammatory activity [<xref ref-type="bibr" rid="b8-ijms-11-03942">8</xref>]. Compounds like flavonoids [<xref ref-type="bibr" rid="b32-ijms-11-03942">32</xref>] and triterpenes [<xref ref-type="bibr" rid="b33-ijms-11-03942">33</xref>] have demonstrated anti-inflammatory activity, which may explain the antinociceptive activity of <italic>M. platyclada</italic>.</p>
<p>Several mechanisms of action could explain the pharmacological activities found in the present study. Flavonoids, for example, are potent inhibitors of nitric oxide synthase type 2 and protein tyrosine kinases are important enzymes involved in the NO/cGMP pathway [<xref ref-type="bibr" rid="b34-ijms-11-03942">34</xref>]. Flavonoids also can stimulate NOS-2 via indirect inhibition of the COX and/or lipoxygenase pathways [<xref ref-type="bibr" rid="b35-ijms-11-03942">35</xref>] and of the protein kinase C and/or L-arginine/NO pathways [<xref ref-type="bibr" rid="b36-ijms-11-03942">36</xref>]. These pathways have been implicated in a series of molecular events related to the nociceptive [<xref ref-type="bibr" rid="b37-ijms-11-03942">37</xref>] and inflammatory [<xref ref-type="bibr" rid="b32-ijms-11-03942">32</xref>] processes. In addition, flavonoids have shown ability to block phospholipase A2 and phospholipase C, which are key enzymes in inflammation [<xref ref-type="bibr" rid="b38-ijms-11-03942">38</xref>]. The ability of flavonoids and triterpenes to inhibit the nuclear factor-kappaB (NF-κB) could clarify the anti-inflammatory activity of the extract [<xref ref-type="bibr" rid="b39-ijms-11-03942">39</xref>]. According to Suh <italic>et al</italic>. [<xref ref-type="bibr" rid="b40-ijms-11-03942">40</xref>], the antinociceptive activity of saponin has been associated with the modulation of the GABA<sub>A</sub>, NMDA and non-NMDA receptors at the supraspinal level. These authors have also reported that the nonopioid-mediated saponin antinociception is modulated via activation of the descending serotonin and α2-adrenergic pathways. However, additional studies are necessary to establish the possible correlation between activities and chemical composition of <italic>M. platyclada</italic> to ensure the appropriate medicinal use of this plant.</p></sec></sec>
<sec>
<title>3. Experimental Section</title>
<sec>
<title>3.1. Plant Material and Extraction</title>
<p>The plant material used in this study was collected in Juiz de Fora, in the state of Minas Gerais, Brazil, in June 2008. The species was identified by Dr Fátima Regina Gonçalves Salimena and a voucher specimen (CESJ number 53055) was deposited in the Herbarium of the Universidade Federal de Juiz de Fora, Brazil. Dried and powdered leaves (726 g) were exhaustively extracted in 95% ethanol (2.5 L) by static maceration for three weeks at room temperature with renewal of solvent every two days. The ethanol extract was filtered and evaporated under a rotary evaporator at controlled temperature (50–60 °C). This material was placed in a desiccator with silica to yield 42.72 g. The dried extract was dissolved using 1% DMSO in normal saline for pharmacological studies.</p></sec>
<sec>
<title>3.2. Phytochemical Screening of the Ethanol Extract</title>
<p>The screening of chemical constituents was carried out with the ethanol extracts using chemical methods and thin-layer chromatography (TLC), according to the methodology suggested by Matos [<xref ref-type="bibr" rid="b41-ijms-11-03942">41</xref>], including flavonoids, tannins, coumarins, alkaloids, saponins, terpenoids, steroids and volatile oils.</p></sec>
<sec>
<title>3.3. Chemicals</title>
<p>Drugs and reagents used in this study (and their sources) were as follows: acetic acid (Vetec Química Farm Ltda, Rio de Janeiro, RJ, Brazil), formaldehyde (Reagen Quimibrás Ind. Química S.A., Rio de Janeiro, RJ, Brazil), morphine hydrochloride (Merck Inc., Whitehouse Station, NJ, USA), naloxone and indomethacin (Sigma Chemical Co, St Louis, MI, U.S.).</p></sec>
<sec>
<title>3.4. Animals</title>
<p>Male Wistar rats (90–110 days) weighing 200–240 g and male Swiss albino mice (50–70 days) weighing 25–30 g were used in the experiments. The animals were provided by the Central Biotery of the Universidade Federal de Juiz de Fora. The animals were divided into groups and kept in plastic cages (47 × 34 × 18 cm) under a 12 h light/12 h dark cycle at room temperature (22 ± 2 ºC), with free access to Purina rations and water. Animal care and the experimental protocol followed the principles and guidelines suggested by the Brazilian College of Animal Experimentation (COBEA) and were approved by the local ethical committee.</p></sec>
<sec>
<title>3.5. Acute Toxicity</title>
<p>Groups of ten mice received oral doses of 0.5, 1, 1.5, 2 and 3 g/kg of ethanol extract from <italic>M. platyclada</italic>, while the control group received the vehicle (saline). The groups were observed for 48 h and mortality at end of this period was recorded for each group [<xref ref-type="bibr" rid="b42-ijms-11-03942">42</xref>]. The LD<sub>50</sub> (50% lethal dose) was determined by probit test using a log plot of percentage death <italic>versus</italic> dose [<xref ref-type="bibr" rid="b43-ijms-11-03942">43</xref>]. The determination of LD<sub>50</sub> served to define the doses used in experiments of pharmacological activities.</p></sec>
<sec>
<title>3.6. Acetic Acid-Induced Writhing Response in Mice</title>
<p>Antinociceptive activity was evaluated using the test of abdominal writhing induced by acetic acid in mice [<xref ref-type="bibr" rid="b44-ijms-11-03942">44</xref>]. Animals were divided into groups of eight mice. Control mice received an i.p. injection of acetic acid 0.6% (0.25 mL) and 10 min later the writhes were counted over a period of 20 min. One group of mice received indomethacin (10 mg/kg) by the per oral route (p.o.) as a reference compound, and the other three groups received the extract at doses (p.o.) of 100, 200 and 400 mg/kg, 1 h before the acetic acid injection.</p></sec>
<sec>
<title>3.7. Formalin-Induced Nociception in Mice</title>
<p>Mice received subplantar injections of 20 μL 2.5% formalin (in 0.9% saline) and the time of paw licking (in seconds) was determined over 0–5 min (first phase -neurogenic) and 15–30 min (second phase -inflammatory) after formalin injection [<xref ref-type="bibr" rid="b16-ijms-11-03942">16</xref>]. Animals (n = 8) were pretreated p.o. with extract (100, 200 or 400 mg/kg; 0.1 mL per 10 g body weight) or the reference compound, subcutaneous morphine (1 mg/kg), 1 h before administration of formalin. Control animals were treated with sterile saline (10 mL/kg).</p></sec>
<sec>
<title>3.8. Hot-Plate Latency Assay in Mice</title>
<p>Animals were placed on a hot-plate (Model LE 7406, Letica Scientific Instruments, Barcelona, Spain) heated at 55 ± 1 °C [<xref ref-type="bibr" rid="b45-ijms-11-03942">45</xref>]. Three groups of mice (n = 8) were treated p.o. with ethanol extract (100, 200 or 400 mg/kg; 0.1 mL per 10 g body weight); the control group received sterile saline (10 mL/kg). Measurements were performed at time 0, 30, 60 and 90 min after drug administration, with a cut-off time of 40 s to avoid lesions to the animals’ paws. The effect of pretreatment with naloxone (1 mg/kg, subcutaneously) on the analgesia produced by the ethanol extract (400 mg/kg) was determined in a separate group of animals. Morphine (1 mg/kg, subcutaneously), in the absence and presence of naloxone treatment, was used as a reference.</p></sec>
<sec>
<title>3.9. Carrageenan-Induced Edema in Rats</title>
<p>Anti-inflammatory activity was assessed on the basis of inhibition of paw edema induced by the injection of 0.1 mL of 2% carrageenan (an edematogenic agent) into the subplantar region of the right hind paw of the rat [<xref ref-type="bibr" rid="b46-ijms-11-03942">46</xref>]. Male Wistar rats were divided into groups of six animals which received p.o. doses of extract (100, 200 and 400 mg/kg; 0.1 mL per 10 g body weight), saline or indomethacin (10 mg/kg) 1 h before the injection of carrageenan. In the left paw, used as a control, 0.1 mL of sterile saline was injected. 1, 2, 3 and 4 h after injection of carrageenan, the measure of edema was made by the difference between the volume displaced by the right paw and the left paw using a plethysmometer (model LE 7500, Letica Scientific Instruments, Barcelona, Spain).</p></sec>
<sec>
<title>3.10. Carrageenan-Induced Pleurisy in Rats</title>
<p>Pleurisy was induced in male Wistar rats by intrapleural administration of 0.5 mL 2% carrageenan suspension in saline solution between the third and fifth ribs on the right side of the mediastinum [<xref ref-type="bibr" rid="b37-ijms-11-03942">37</xref>]. Extract (100, 200 and 400 mg/kg), saline or indomethacin (10 mg/kg) p.o. were given 60 min before injection of the irritant. Animals were killed 4 h after carrageenan injection, and the skin and pectoral muscles were retracted. A longitudinal incision was made between the third and fifth ribs on each side of the mediastinum. The exudate was collected and transferred to a 15 mL conical centrifuge tube and the total volume determined. A 20 μL aliquot of the exudate was used to determine the total leucocyte count in Neubauer chambers.</p></sec>
<sec sec-type="methods">
<title>3.11. Calculus and Statistical Analysis</title>
<p>Data are expressed as mean ± s.e.m. Statistical significance was determined by one-way analysis of variance followed by the Student–Newman–Keuls test. <italic>P</italic> values below 0.05 were considered significant. The percentage of inhibition was calculated by using</p>
<disp-formula>
<mml:math display="block">
<mml:semantics>
<mml:mrow>
<mml:mn>100</mml:mn>
<mml:mo>-</mml:mo>
<mml:mtext>T</mml:mtext>
<mml:mo>×</mml:mo>
<mml:mn>100</mml:mn>
<mml:mo>/</mml:mo>
<mml:mtext>C</mml:mtext>
<mml:mo stretchy="false">(</mml:mo>
<mml:mo>%</mml:mo>
<mml:mo stretchy="false">)</mml:mo>
<mml:mi> </mml:mi>
<mml:mtext>or T</mml:mtext>
<mml:mo>×</mml:mo>
<mml:mn>100</mml:mn>
<mml:mo>/</mml:mo>
<mml:mtext>C</mml:mtext>
<mml:mo>-</mml:mo>
<mml:mn>100</mml:mn>
<mml:mo stretchy="false">(</mml:mo>
<mml:mo>%</mml:mo>
<mml:mo stretchy="false">)</mml:mo></mml:mrow></mml:semantics></mml:math></disp-formula>
<p>where C and T indicate non-treated (vehicle) and drug-treated, respectively.</p></sec></sec>
<sec sec-type="conclusions">
<title>4. Conclusions</title>
<p>The present study demonstrated that the ethanol extract from <italic>M. platyclada</italic> leaves possesses antinociceptive and anti-inflammatory activities that could be related to the synergistic activity of the bioactive compounds, particularly flavonoids, triterpenes, saponins, and steroids. The results support the folklore use of this plant, but phytochemical studies together with pharmacological and toxicological investigations are essential for complete understanding of the medicinal application.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Fundação de Amparo à Pesquisa do Estado de Minas Gerais (FAPEMIG), and Universidade Federal de Juiz de Fora (UFJF).</p></ack>
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<sec sec-type="display-objects">
<title>Figures and Tables</title>
<fig id="f1-ijms-11-03942" position="float">
<label>Figure 1</label>
<caption>
<p>Effects of the ethanol extract from <italic>M. platyclada</italic> leaves on acetic acid-induced writhing in mice. Data are mean ± s.e.m. of eight mice.<italic>***P</italic> &lt; 0.001 <italic>vs.</italic> control group.</p></caption><graphic xlink:href="ijms-11-03942f1.gif"/></fig>
<fig id="f2-ijms-11-03942" position="float">
<label>Figure 2</label>
<caption>
<p>Effects of the ethanol extract from <italic>M. platyclada</italic> leaves on formalin-induced nociception in mice. First phase = 0–5 min after formalin injection; second phase = 15–30 min. Data are mean ± s.e.m. of eight mice. **<italic>P</italic> &lt; 0.01; <italic>***P</italic> &lt; 0.001 <italic>vs.</italic> control group.</p></caption><graphic xlink:href="ijms-11-03942f2.gif"/></fig>
<table-wrap id="t1-ijms-11-03942" position="float">
<label>Table 1</label>
<caption>
<p>Effects of the ethanol extract from <italic>M. platyclada</italic> leaves on the reaction time(s) of mice exposed to the hot-plate test.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">Group</th>
<th align="center" valign="top" rowspan="2">Dose (mg/kg)</th>
<th colspan="4" align="center" valign="top">Time after drug administration (seconds)<hr/></th></tr>
<tr>
<th align="center" valign="top">0 min</th>
<th align="center" valign="top">30 min</th>
<th align="center" valign="top">60 min</th>
<th align="center" valign="top">90 min</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">Control</td>
<td align="center" valign="top">Saline</td>
<td align="center" valign="top">5.25 ± 0.65</td>
<td align="center" valign="top">5.75 ± 0.59</td>
<td align="center" valign="top">6.12 ± 0.64</td>
<td align="center" valign="top">6.50 ± 0.57</td></tr>
<tr><td align="left" valign="top"/>
<td align="center" valign="top">100</td>
<td align="center" valign="top">5.12 ± 0.48</td>
<td align="center" valign="top">6.00 ± 0.73</td>
<td align="center" valign="top">6.37 ± 0.46</td>
<td align="center" valign="top">6.62 ± 0.62</td></tr>
<tr>
<td align="left" valign="top">Ethanol Extract</td>
<td align="center" valign="top">200</td>
<td align="center" valign="top">5.37 ± 0.73</td>
<td align="center" valign="top">6.12 ± 0.74</td>
<td align="center" valign="top">6.50 ± 0.63</td>
<td align="center" valign="top">6.75 ± 0.59</td></tr>
<tr><td align="left" valign="top"/>
<td align="center" valign="top">400</td>
<td align="center" valign="top">5.12 ± 0.83</td>
<td align="center" valign="top">6.37 ± 0.73</td>
<td align="center" valign="top">8.12 ± 0.40<xref ref-type="table-fn" rid="tfn2-ijms-11-03942">*</xref></td>
<td align="center" valign="top">9.12 ± 0.51<xref ref-type="table-fn" rid="tfn3-ijms-11-03942">**</xref></td></tr>
<tr>
<td align="left" valign="top">Morphine</td>
<td align="center" valign="top">1</td>
<td align="center" valign="top">5.50 ± 0.57</td>
<td align="center" valign="top">9.50 ± 0.82<xref ref-type="table-fn" rid="tfn3-ijms-11-03942">**</xref></td>
<td align="center" valign="top">14.37 ± 1.10<xref ref-type="table-fn" rid="tfn4-ijms-11-03942">***</xref></td>
<td align="center" valign="top">17.37 ± 0.86<xref ref-type="table-fn" rid="tfn4-ijms-11-03942">***</xref></td></tr>
<tr>
<td align="left" valign="top">Naloxone + Morphine</td>
<td align="center" valign="top">1 + 1</td>
<td align="center" valign="top">5.37 ± 0.70</td>
<td align="center" valign="top">7.50 ± 0.68</td>
<td align="center" valign="top">7.50 ± 0.38</td>
<td align="center" valign="top">6.87 ± 0.48</td></tr>
<tr>
<td align="left" valign="top">Naloxone + Extract</td>
<td align="center" valign="top">1 + 400</td>
<td align="center" valign="top">5.25 ± 0.88</td>
<td align="center" valign="top">6.50 ± 0.73</td>
<td align="center" valign="top">7.87 ± 0,40<xref ref-type="table-fn" rid="tfn2-ijms-11-03942">*</xref></td>
<td align="center" valign="top">8.50 ± 0.53<xref ref-type="table-fn" rid="tfn2-ijms-11-03942">*</xref></td></tr></tbody></table>
<table-wrap-foot><fn id="tfn1-ijms-11-03942">
<p>Data are mean ± s.e.m. of eight mice.</p></fn><fn id="tfn2-ijms-11-03942">
<label>*</label>
<p><italic>P</italic> &lt; 0.05</p></fn><fn id="tfn3-ijms-11-03942">
<label>**</label>
<p><italic>P</italic> &lt; 0.01</p></fn><fn id="tfn4-ijms-11-03942">
<p><italic>***P</italic> &lt; 0.001 <italic>vs.</italic> control group.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="t2-ijms-11-03942" position="float">
<label>Table 2</label>
<caption>
<p>Effects of the ethanol extract from <italic>M. platyclada</italic> leaves on carrageenan-induced paw edema in rats.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top" rowspan="2">Group</th>
<th align="center" valign="top" rowspan="2">Dose (mg/kg)</th>
<th colspan="4" align="center" valign="top">Volume of hind paw (mL)<hr/></th></tr>
<tr>
<th align="center" valign="top">1 h</th>
<th align="center" valign="top">2 h</th>
<th align="center" valign="top">3 h</th>
<th align="center" valign="top">4 h</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">Control</td>
<td align="center" valign="top">Saline</td>
<td align="center" valign="top">0.55 ± 0.04</td>
<td align="center" valign="top">0.70 ± 0.05</td>
<td align="center" valign="top">0.97 ± 0.05</td>
<td align="center" valign="top">0.78 ± 0.05</td></tr>
<tr><td align="left" valign="top"/>
<td align="center" valign="top">100</td>
<td align="center" valign="top">0.55 ± 0.08</td>
<td align="center" valign="top">0.68 ± 0.07</td>
<td align="center" valign="top">0.82 ± 0.03<xref ref-type="table-fn" rid="tfn6-ijms-11-03942">*</xref></td>
<td align="center" valign="top">0.65 ± 0.02<xref ref-type="table-fn" rid="tfn6-ijms-11-03942">*</xref></td></tr>
<tr>
<td align="left" valign="top">Ethanol Extract</td>
<td align="center" valign="top">200</td>
<td align="center" valign="top">0.53 ± 0.08</td>
<td align="center" valign="top">0.67 ± 0.08</td>
<td align="center" valign="top">0.75 ± 0.04<xref ref-type="table-fn" rid="tfn7-ijms-11-03942">**</xref></td>
<td align="center" valign="top">0.58 ± 0.03<xref ref-type="table-fn" rid="tfn7-ijms-11-03942">**</xref></td></tr>
<tr><td align="left" valign="top"/>
<td align="center" valign="top">400</td>
<td align="center" valign="top">0.52 ± 0.07</td>
<td align="center" valign="top">0.63 ± 0.07</td>
<td align="center" valign="top">0.63 ± 0.04<xref ref-type="table-fn" rid="tfn8-ijms-11-03942">***</xref></td>
<td align="center" valign="top">0.52 ± 0.02<xref ref-type="table-fn" rid="tfn8-ijms-11-03942">***</xref></td></tr>
<tr>
<td align="left" valign="top">Indomethacin</td>
<td align="center" valign="top">10</td>
<td align="center" valign="top">0.50 ± 0.09</td>
<td align="center" valign="top">0.60 ± 0.08</td>
<td align="center" valign="top">0.62 ± 0.05<xref ref-type="table-fn" rid="tfn8-ijms-11-03942">***</xref></td>
<td align="center" valign="top">0.47 ± 0.02<xref ref-type="table-fn" rid="tfn8-ijms-11-03942">***</xref></td></tr></tbody></table>
<table-wrap-foot><fn id="tfn5-ijms-11-03942">
<p>Data are mean ± s.e.m. of six rats.</p></fn><fn id="tfn6-ijms-11-03942">
<label>*</label>
<p><italic>P</italic> &lt; 0.05</p></fn><fn id="tfn7-ijms-11-03942">
<label>**</label>
<p><italic>P</italic> &lt; 0.01</p></fn><fn id="tfn8-ijms-11-03942">
<label>***</label>
<p><italic>P</italic> &lt; 0.001 <italic>vs.</italic> control group.</p></fn></table-wrap-foot></table-wrap>
<table-wrap id="t3-ijms-11-03942" position="float">
<label>Table 3</label>
<caption>
<p>Effects of the ethanol extract from <italic>M. platyclada</italic> leaves on pleural exudation and number of leucocytes in carrageenan-induced pleurisy in rats.</p></caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Group</th>
<th align="center" valign="top">Dose (mg/kg)</th>
<th align="center" valign="top">Exudate volume (mL)</th>
<th align="center" valign="top">Inhibition (%)</th>
<th align="center" valign="top">Nº Leucocytes (× 10<sup>3</sup> cells/mm<sup>3</sup>)</th>
<th align="center" valign="top">Inhibition (%)</th></tr></thead>
<tbody>
<tr>
<td align="left" valign="top">Control</td>
<td align="center" valign="top">Saline</td>
<td align="center" valign="top">1.95 ± 0.08</td>
<td align="center" valign="top">-</td>
<td align="center" valign="top">16.50 ± 0.50</td>
<td align="center" valign="top">-</td></tr>
<tr><td align="left" valign="top"/>
<td align="center" valign="top">100</td>
<td align="center" valign="top">1.73 ± 0.03<xref ref-type="table-fn" rid="tfn10-ijms-11-03942">*</xref></td>
<td align="center" valign="top">11.28</td>
<td align="center" valign="top">15.70 ± 0.43</td>
<td align="center" valign="top">4.85</td></tr>
<tr>
<td align="left" valign="top">Ethanol Extract</td>
<td align="center" valign="top">200</td>
<td align="center" valign="top">1.53 ± 0.07<xref ref-type="table-fn" rid="tfn11-ijms-11-03942">**</xref></td>
<td align="center" valign="top">21.54</td>
<td align="center" valign="top">13.00 ± 0.21<xref ref-type="table-fn" rid="tfn12-ijms-11-03942">***</xref></td>
<td align="center" valign="top">21.21</td></tr>
<tr><td align="left" valign="top"/>
<td align="center" valign="top">400</td>
<td align="center" valign="top">1.07 ± 0.07<xref ref-type="table-fn" rid="tfn12-ijms-11-03942">***</xref></td>
<td align="center" valign="top">45.13</td>
<td align="center" valign="top">11.60 ± 0.32<xref ref-type="table-fn" rid="tfn12-ijms-11-03942">***</xref></td>
<td align="center" valign="top">29.70</td></tr>
<tr>
<td align="left" valign="top">Indomethacin</td>
<td align="center" valign="top">10</td>
<td align="center" valign="top">0.92 ± 0.08<xref ref-type="table-fn" rid="tfn12-ijms-11-03942">***</xref></td>
<td align="center" valign="top">52.82</td>
<td align="center" valign="top">10.10 ± 0.35<xref ref-type="table-fn" rid="tfn12-ijms-11-03942">***</xref></td>
<td align="center" valign="top">38.80</td></tr></tbody></table>
<table-wrap-foot><fn id="tfn9-ijms-11-03942">
<p>Data are mean ± s.e.m. of six rats.</p></fn><fn id="tfn10-ijms-11-03942">
<label>*</label>
<p><italic>P</italic> &lt; 0.05</p></fn><fn id="tfn11-ijms-11-03942">
<label>**</label>
<p><italic>P</italic> &lt; 0.01</p></fn><fn id="tfn12-ijms-11-03942">
<label>***</label>
<p><italic>P</italic> &lt; 0.001 <italic>vs.</italic> control group.</p></fn></table-wrap-foot></table-wrap></sec></back></article>
