Anti-Arthritic and Immunomodulatory Potential of Methanolic, n-Hexane, and Ethyl Acetate Fractions of Bark of Acacia modesta on Complete Freund’s Adjuvant-Induced Arthritis in Rats

Rheumatoid arthritis is an autoimmune disorder and topic of interest for researchers due to its increasing frequency and limited treatment. Acacia modesta Wall is known to treat rheumatic disorders in the traditional system of medicinal plants. Traditional medicines are still required for the treatment of this disease due to the large number of side-effects caused by commercial medicines. In the current study, the antiarthritic potential of methanolic extract (AM-metha), n-hexane (AM-hexa) fraction, and ethyl acetate (AM-etha) fraction of the bark of A. modesta against a complete Freund’s adjuvant rat model was evaluated. Evaluation using a digital plethysmometer, macroscopic evaluation, and histopathological evaluation were conducted to determine the paw volume and arthritic scoring. ELISA was performed to assess the PGE2 levels. RT-PCR was used to evaluate the expression levels of MMP2, MMP3, MMP9, NF-κB, IL6, IL1β, TNFα, and VEGF. Biochemical and hematological analyses were also conducted. GC/MS was also carried out to analyze the presence of medicinal compounds. The data revealed a marked reduction in the paw volume, arthritic scoring, and histopathological parameters, indicating the anti-arthritic potential of the plant. Treatment with plant extracts and fractions markedly down-regulated MMP2, MMP3, MMP9, NF-κB, IL6, IL1β, TNFα, and VEGF levels. Similarly, PGE2 levels were also found to be ameliorated in the treatment groups, indicating the immunomodulatory property of plant bark. Plant treatment nearly normalized hematological parameters such as counts of WBCs, RBCs, and platelets, along with Hb content, thereby validating the anti-arthritic activity. GC/MS analysis disclosed the presence of strong anti-inflammatory compounds such as lupeol, oleic acid, and squalene. The study showed that A. modesta possesses anti-arthritic and immunomodulatory potential linked to significant down-regulation of pro-inflammatory and inflammatory biomarkers.

[1]  A. Gabrielli,et al.  Inflammation and DNA damage: cause, effect or both , 2023, Nature Reviews Rheumatology.

[2]  É. Guiguer,et al.  Effects of Medicinal Plants and Phytochemicals in Nrf2 Pathways during Inflammatory Bowel Diseases and Related Colorectal Cancer: A Comprehensive Review , 2023, Metabolites.

[3]  Wei Peng,et al.  Targeting matrix metalloproteases: A promising strategy for herbal medicines to treat rheumatoid arthritis , 2022, Frontiers in Immunology.

[4]  Bowen Lei,et al.  Protective effect of lupeol on arthritis induced by type II collagen via the suppression of P13K/AKT signaling pathway in Sprague dawley rats , 2022, Environmental toxicology.

[5]  G. Gobe,et al.  Preclinical Rodent Models of Arthritis and Acute Inflammation Indicate Immunomodulatory and Anti-Inflammatory Properties of Juglans regia Extracts , 2022, Evidence-based complementary and alternative medicine : eCAM.

[6]  Irfan Anjum,et al.  Amelioration of Ovalbumin-Induced Allergic Asthma by Juglans regia via Downregulation of Inflammatory Cytokines and Upregulation of Aquaporin-1 and Aquaporin-5 in Mice , 2022, Journal of tropical medicine.

[7]  S. Bungău,et al.  Management of Rheumatoid Arthritis: An Overview , 2021, Cells.

[8]  T. Kuroda,et al.  Cytokine Networks in the Pathogenesis of Rheumatoid Arthritis , 2021, International journal of molecular sciences.

[9]  S. Jaganathan,et al.  Anti-arthritic activity of Tin oxide-Chitosan-Polyethylene glycol carvacrol nanoparticles against Freund’s adjuvant induced arthritic rat model via the inhibition of cyclooxygenase‑2 and prostaglandin E2 , 2021 .

[10]  M. Alshehri,et al.  Venlafaxine demonstrated anti-arthritic activity possibly through down regulation of TNF-α, IL-6, IL-1β, and COX-2 , 2021, Inflammopharmacology.

[11]  P. Calder,et al.  Anti-inflammatory effects of oleic acid and the anthocyanin keracyanin alone and in combination: effects on monocyte and macrophage responses and the NF-κB pathway. , 2021, Food & function.

[12]  B. Aslam,et al.  Anti-arthritic activity of Ricinus communis L. and Withania somnifera L. extracts in adjuvant-induced arthritic rats via modulating inflammatory mediators and subsiding oxidative stress , 2021, Iranian journal of basic medical sciences.

[13]  E. Sanmuga Priya,et al.  Molecular insights into phytochemicals exhibiting anti-arthritic activity: systematic review , 2021, Inflammation Research.

[14]  M. Muhaimin,et al.  Anti-inflammatory activities of squalene compound of methanol extract of Abroma augusta L , 2020, Jurnal Teknologi Laboratorium.

[15]  Saeed-ul-Hassan,et al.  Evaluation of Immunomodulatory and Antiarthritic Potential of Trigonella gharuensis Extracts , 2020, Evidence-based complementary and alternative medicine : eCAM.

[16]  A. Chinnathambi,et al.  Copper oxide nanoparticles from Rabdosia rubescens attenuates the complete Freund’s adjuvant (CFA) induced rheumatoid arthritis in rats via suppressing the inflammatory proteins COX-2/PGE2 , 2020, Arabian Journal of Chemistry.

[17]  D. Das,et al.  Ayurvedic Balarista ameliorate anti-arthritic activity in adjuvant induced arthritic rats by inhibiting pro-inflammatory cytokines and oxidative stress☆ , 2020, Journal of traditional and complementary medicine.

[18]  Muhammad Rashid Khan,et al.  Pharmacological evaluation of Acacia modesta bark for antipyretic, anti-inflammatory, analgesic, antidepressant and anticoagulant activities in Sprague Dawley rats. , 2020, Pakistan journal of pharmaceutical sciences.

[19]  N. Sheikh,et al.  Immunosuppressant-Induced Oxidative Stress and Iron: A Paradigm Shift from Systemic to Intrahepatic Abnormalities , 2020, Oxidative medicine and cellular longevity.

[20]  Kutty Selva Nandakumar,et al.  Molecular and Cellular Pathways Contributing to Joint Damage in Rheumatoid Arthritis , 2020, Mediators of inflammation.

[21]  N. Sreeharsha,et al.  Wogonin ameliorate complete Freund's adjuvant induced rheumatoid arthritis via targeting NF-κB/MAPK signaling pathway. , 2019, BioFactors.

[22]  X. Cui,et al.  Evaluation of antiarthritic activity of nimbolide against Freund’s adjuvant induced arthritis in rats , 2019, Artificial Cells, Nanomedicine, and Biotechnology.

[23]  Chengguo Su,et al.  Electroacupuncture on ST36 and GB39 Acupoints Inhibits Synovial Angiogenesis via Downregulating HIF-1α/VEGF Expression in a Rat Model of Adjuvant Arthritis , 2019, Evidence-based complementary and alternative medicine : eCAM.

[24]  S. Singh,et al.  Evaluation of adaptogenic potential of Polygonatum cirrhifolium (Wall.) Royle: In vitro, in vivo and in silico studies , 2019, South African Journal of Botany.

[25]  Cheng Peng,et al.  Gut Microbiota, Short-Chain Fatty Acids, and Herbal Medicines , 2018, Front. Pharmacol..

[26]  M. Sperandio,et al.  Omega-9 Oleic Acid, the Main Compound of Olive Oil, Mitigates Inflammation during Experimental Sepsis , 2018, Oxidative medicine and cellular longevity.

[27]  Z. Saleem,et al.  Investigations of Acacia modesta Wall. leaves for in vitro anti-diabetic, proliferative and cytotoxic effects , 2018, Brazilian Journal of Pharmaceutical Sciences.

[28]  S. Gan,et al.  5-Hydroxymethylfurfural (HMF) levels in honey and other food products: effects on bees and human health , 2018, Chemistry Central Journal.

[29]  S. Bae,et al.  Correlation between circulating VEGF levels and disease activity in rheumatoid arthritis: a meta-analysis , 2018, Zeitschrift für Rheumatologie.

[30]  Snehal S. Patel,et al.  Hecogenin exhibits anti-arthritic activity in rats through suppression of pro-inflammatory cytokines in Complete Freund’s adjuvant-induced arthritis , 2018, Immunopharmacology and immunotoxicology.

[31]  Young-Su Yi Role of inflammasomes in inflammatory autoimmune rheumatic diseases , 2017, The Korean journal of physiology & pharmacology : official journal of the Korean Physiological Society and the Korean Society of Pharmacology.

[32]  Chien-Chung Huang,et al.  Myostatin Promotes Interleukin-1β Expression in Rheumatoid Arthritis Synovial Fibroblasts through Inhibition of miR-21-5p , 2017, Front. Immunol..

[33]  Arif-ullah Khan,et al.  Anti-diarrheal, anti-secretory, anti-spasmodic and antiulcer activities of Acacia modesta (Mimosaceae) aerial parts , 2017 .

[34]  Alamgeer,et al.  Anti-arthritic activity of aqueous-methanolic extract and various fractions of Berberis orthobotrys Bien ex Aitch , 2017, BMC Complementary and Alternative Medicine.

[35]  Shao-Cong Sun,et al.  NF-κB signaling in inflammation , 2017, Signal Transduction and Targeted Therapy.

[36]  Z. Abbas,et al.  Nyctanthes arbor-tristis Ameliorated FCA-Induced Experimental Arthritis: A Comparative Study among Different Extracts , 2017, Evidence-based complementary and alternative medicine : eCAM.

[37]  T. Mimura,et al.  Matrix Metalloproteinase Gene Activation Resulting from Disordred Epigenetic Mechanisms in Rheumatoid Arthritis , 2017, International journal of molecular sciences.

[38]  M. Mbiantcha,et al.  Anti-arthritic property of crude extracts of Piptadeniastrum africanum (Mimosaceae) in complete Freund’s adjuvant-induced arthritis in rats , 2017, BMC Complementary and Alternative Medicine.

[39]  M. Shahzad,et al.  Discovery of New Benzothiazine Derivative as Modulator of Pro- and Anti-inflammatory Cytokines in Rheumatoid Arthritis , 2016, Inflammation.

[40]  B. Nowak,et al.  The Activity of JAK/STAT and NF-κB in Patients with Rheumatoid Arthritis. , 2016, Advances in clinical and experimental medicine : official organ Wroclaw Medical University.

[41]  I. Hameed,et al.  Analysis of bioactive chemical compounds of Euphorbia lathyrus using gas chromatography-mass spectrometry and Fourier-transform infrared spectroscopy , 2016 .

[42]  J. Sibilia,et al.  Pathogenic role of platelets in rheumatoid arthritis and systemic autoimmune diseases , 2016, Saudi medical journal.

[43]  E. Bryl,et al.  The role of cytokines in the pathogenesis of rheumatoid arthritis--Practical and potential application of cytokines as biomarkers and targets of personalized therapy. , 2015, Cytokine.

[44]  A. Wal,et al.  Lupeol as a magical drug , 2015 .

[45]  R. Giacomelli,et al.  The Role of IL-1β in the Bone Loss during Rheumatic Diseases , 2015, Mediators of inflammation.

[46]  M. A. Chaudhry,et al.  Evaluation of Antioxidant and Hepatoprotective Effect of Acacia modesta Wall against Paracetamol Induced Hepatotoxicity , 2015 .

[47]  N. Pathak,et al.  Phytochemical Evaluation, Antimicrobial Activity, and Determination of Bioactive Components from Leaves of Aegle marmelos , 2014, BioMed research international.

[48]  Azizullah Azizullah,et al.  Ethnobotanical assessment of plant resources of Banda Daud Shah, District Karak, Pakistan , 2013, Journal of Ethnobiology and Ethnomedicine.

[49]  A. Shrivastava,et al.  Inflammation and rheumatoid arthritis , 2013, Journal of Physiology and Biochemistry.

[50]  A. Mirshafiey,et al.  Prostaglandins and Rheumatoid Arthritis , 2012, Arthritis.

[51]  A. Aldosari,et al.  Ethnoecological appraisal of Acacia modesta Wall. common tree of dry ecosystem in Pakistan , 2012 .

[52]  Gurinder K. Singh,et al.  Comparative Study of Normal and Rheumatoid Arthritis Fibroblast-Like Synoviocytes Proliferation under Cyclic Mechanical Stretch: Role of Prostaglandin E2 , 2012, Connective tissue research.

[53]  M. Hashizume,et al.  The Roles of Interleukin-6 in the Pathogenesis of Rheumatoid Arthritis , 2011, Arthritis.

[54]  A. Gilani,et al.  Analgesic, anti-inflammatory and anti-platelet activities of the methanolic extract of Acacia modesta leaves , 2010, Inflammopharmacology.

[55]  Mohammad Saleem,et al.  Lupeol, a novel anti-inflammatory and anti-cancer dietary triterpene. , 2009, Cancer letters.

[56]  Sergei S Makarov,et al.  NF-kappaB in rheumatoid arthritis: a pivotal regulator of inflammation, hyperplasia, and tissue destruction , 2001, Arthritis research.

[57]  Saeed-ul-Hassan,et al.  Ziziphora clinopodioides ameliorated rheumatoid arthritis and inflammatory paw edema in different models of acute and chronic inflammation. , 2018, Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie.

[58]  M. Kamal,et al.  ANTI-RHEUMATIC POTENTIAL OF PAKISTANI MEDICINAL PLANTS : A REVIEW , 2016 .

[59]  L. Dima,et al.  Mechanism of anti-inflammatory and anti-nociceptive actions of Acacia modesta in animal models. , 2015 .

[60]  N. Chavez-Tapia,et al.  Bilirubin alone as a biomarker for short-term mortality in acute-on-chronic liver failure: an important prognostic indicator. , 2013, Annals of hepatology.

[61]  Y. Kumar,et al.  ANTIMICROBIAL AND ANTIHYPERGLYCEMIC ACTIVITIES OF ACACIA MODESTA LEAVES , 2011 .

[62]  C. Brinckerhoff,et al.  Matrix metalloproteinases: role in arthritis. , 2006, Frontiers in bioscience : a journal and virtual library.