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RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES KARNATAKA, BANGALORE M. PHARM SYNOPSIS YEAR OF ADMISSION-JULY 2011 TITLE OF THE SYNOPSIS “AN INVESTIGATION OF ANTI-EPILEPTIC AND ANTI-PSYCHOTIC ACTIVITIES OF IPOMOEA RENIFORMIS IN EXPERIMENTAL ANIMALS" BY Mrs. CHITRA KK M. PHARM., PART-I DEPARTMENT OF PHARMACOLOGY UNDER THE GUIDANCE OF Mrs. BABITHA S M.Pharm., (Ph.D) Lecturer DEPARTMENT OF PHARMACOLOGY INSTITUTION SREE SIDDAGANGA COLLEGE OF PHARMACY B. H. ROAD, TUMKUR-572 102. KARNATAKA RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES KARNATAKA, BANGALORE ANNEXURE-II PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION 1. NAME OF THE CANDIDATE AND ADDRESS Mrs. CHITRA KK M.Pharma Part-I Department of Pharmacology, Sree Siddaaganga College of Pharmacy, B.H.Road, Tumkur – 572 102 2. NAME OF THE GUIDE 3. NAME OF THE INSTITUTION SREE SIDDAGANGA COLLEGE OF PHARMACY B. H. ROAD, TUMKUR- 572 102 4. COURSE OF STUDY AND SUBJECT MASTER OF PHARMACY (PHARMACOLOGY) 5. DATE OF ADMISSION OF COURSE 29th JULY 2011 6. TITLE OF THE TOPIC Mrs. BABITHA S M.Pharn.,(Ph.D) Lecturer DEPARTMENT OF PHARMACOLOGY “AN INVESTIGATION OF ANTI-EPILEPTIC AND ANTI-PSYCHOTIC ACTIVITIES OF IPOMOEA RENIFORMIS IN EXPERIMENTAL ANIMALS” 2 6 BRIEF RESUME OF THE INTENDED WORK 6.1 NEED FOR THE STUDY The term Epilepsy, based on the Greek word “epilambaein” meaning “to seize” has been first mentioned by Hippocrates.1 Recognised from the drawn of history as ‘disease of lightening’, it was correctly described by JH Jackson over a century ago. 2 Epilepsy is one of the most common chronic neurological disorders with no age, racial, social, sexual or geographical boundaries and affects about 50 million people worldwide. 3 The prevalence is high in tropical countries, particularly in Africa, where it varies between 10 and 55 per 1000, with an estimated mean prevalence of 15. 4 In india, it affects about 7 million people. Approximately 40 % of them are women. The prevalence of epilepsy is 0.7 % in India, which is comparable to the U.S. and other developing nations. The estimated incidence rate range from 40 to 60 per 1000,000 population/year. The WHO estimated that approximately 80 % people with epilepsy live in developing countries and most of them do not get adequate medical treatment. 5 Modern drug therapy of epilepsy is complicated by the inability of drugs to control seizures in some patients and side effects that range in severity from minimal impairment of central nervous system (CNS) to death from a plastic anemia or hepatic failure. 6 A psychosis is the major CNS disorder which causes the serious distortion of capacity to recognize reality, affecting approximately 10 % of worlds population. All clinically effective antipsychotics (expect clozapine like) have potent post synaptic dopaminergic D2 receptor blocking action. Blockade of dopamine action in corpus striatum is responsible for the extrapyramidal symptoms (EPS) so often associated with antipsychotic drugs . Some of the antipsychotic drugs such as chlorpromazine have a number of adverse drug reactions such as parkinsonism (tremor, muscular rigidity and akinesia) and many of the endocrinal and metabolic disturbances such as gynaecomastia, galactorrhea and aggravation of diabetes. 7 Ipomoea reniformis has been used to treat diverse clinical conditions ranging from anemia to neuronal disorders. Hence, the present project has been undertaken for screening of the herbal drug Ipomoea reniformis,8 for anti-epileptic and anti-psychotic 3 activity in experimental animals, as Ipomoea reniformis has not been studied for its antiepileptic and anti-psychotic activity despite of its use in treatment of nervous disorders in traditional medicines. 6.2 REVIEW OF LITERATURE Ipomoea reniformis (Family: Convolvulaceae) is a procumbent herb spreading up to 1m and has yellow flowers. The leaves are simple, thin, and reniform with entire margin having auriculate base and retuse apex. Kingdom : Plantae Division : Magnoliophyta Class : Magnoliopsida Order : Solanales Family : Convolvulaceae Genus : Ipomoea Species : reniformis Synonym : Merremia emarginata 8 Synonyms Sanskrit : Mooshakarni Hindi : Musakani, Chuhakani English : Mouse Ear Wort Tamil : Perettaikkirai Telugu : Elike jimudu, Toinnuatali Kannada : Tigade, Valliharuhi Distribution: It is widely distributed all over the India, specially in damp places in upper gangetic plain, Gujarat, Bihar, West Bengal, Western-Ghats, ascending up to 900 m in the hills, Goa, Karnataka in India, Ceylon and Tropical Africa. It mainly grows in rainy and winter season.9 4 Chemical Constituents The presence of caffeic, p-coumaric, ferulic and sinapic acid esters has been identified in seeds. Petroleum ether extract contains fats and fixed oil while aqueous extract is reported to amino acids, tannins(condensed tannins, pseudo tannins) and starch.10 Preliminary phytochemical screening of methanolic extract of ipomoea reniformis revealed the presence of carbohydrates, glycosides, saponins, tannins, phenolic compounds, flavonoids. Medicinal uses Ipomoea reniformis has been claimed to be useful for cough, headache, neuralgia, rheumatism, diuretic, inflammation, troubles of nose, fever due to enlargement of liver and also in kidney diseases. Powder of leaves is used as a snuff during epileptic seizures. Juice acts as purgative and the root is having diuretic, laxative, and applied in the disease of the eyes and gums.11 Reported activities The methanolic extract of this plant has proven to have anti-inflammatory12, Antidiabetic13, antioxidant and antiobesity activities while ethanolic extract of this plant has proven to have nephroprotective activity. 6.3 OBJECTIVES OF THE STUDY 1. Collection of Ipomoea reniformis from market. 2. To investigate the anti-epileptic activity of Ipomoea reniformis by maximal electro shock induced seizures, isoniazid induced seizures and pentylenetetrazol induced seizures. 3. To investigate the anti-psychotic activity of Ipomoea reniformis by apomorphine induced stereotype behavior, pilocarpine induced purposeless chewing and apomorphine induced climbing behavior. 5 7 MATERIALS AND METHODS 7.1 Experimental animals Adult albino wistar rats of either sex weighing approximately 180-200 g will be used. They will be housed in standard laboratory conditions and fed with standard animal feed and will be given water ad libitum. 7.2 Dose of Ipomoea reniformis Suitable doses of Ipomoea reniformis will be detected as per the previously published data 7.3 Grouping of animals The albino wistar rat will be randomly distributed into four groups containing six animals in each group. Group I – control Group II – suitable dose of standard Group III – Ipomoea reniformis (Lower) Group IV – Ipomoea reniformis (Higher) 7.4 Experimental procedure Anti-epileptic study using maximal electro shock induced seizures The albino wistar rats will be randomly distributed into four groups containing six animals in each group. The test will be started 60 minutes after oral treatment with suitable doses of Ipomoea reniformis or the standard. An electro convulsometer with corneal or ear electrodes will be used to deliver the stimuli. The incidence and duration of extensor tonus will be noted. A complete abolition of hind limb tonic extension will be considered as 100 % protection. 14 6 Anti-epileptic study using isoniazid induced seizures The albino wistar rats will be randomly distributed into four groups containing six animals in each group. The groups will be treated with suitable doses of Ipomoea reniformis or the standard. 60 minutes after the treatment with Ipomoea reniformis, animals will be injected with subcutaneous doses of isoniazid. During the next 120 minutes the occurrence of clonic seizures and tonic seizures will be recorded. The percentage of seizures or deaths occurring in the control group is taken as 100 %. The suppression of these effects in the treated group is calculated as percentage of controls. 15 Anti-epileptic study using pentylenetetrazol (PTZ) induced seizures The albino wistar rats will be randomly distributed into four groups containing six animals in each group. The groups will be treated with suitable doses of Ipomoea reniformis or the standard. 60 minutes after the treatment with Ipomoea reniformis, animals will be injected with subcutaneous doses of PTZ. During the next 120 minutes the occurrence of clonic seizures, tonic seizures and death is required. The percentage of seizures or deaths occurring in the control group is taken as 100 %. The suppression of these effects in the treated group is calculated as percentage of controls. 16 Anti-psychotic study using apomorphine induced stereotypy The albino wistar rat will be randomly distributed into four groups containing six animals in each group. The suitable dose of Ipomoea reniformis or the standard will be administered 60 minutes prior apomorphine dosage. Apomorphine HCl (1.5 mg/kg) will be injected subcutaneous. The animals will be placed in individual plastic cages. A 10 second observation period is used to measure the presence of stereotypic activity such sniffing, licking and chewing 10 minutes after apomorphine administration. An animal is considered protected if this behavior is reduced or abolished. 17 7 Anti-psychotic study using pilocarpine induced purposeless chewing The albino wistar rat will be randomly distributed into four groups containing six animals in each group. The groups will be treated with suitable doses of Ipomoea reniformis or the standard. 60 minutes after the treatment with Ipomoea reniformis, animals will be injected with subcutaneous doses of pilocarpine. Then the animals will be placed individually in a large glass cylinder (height 30 cm, diameter 20 cm) at 21 ± 1oC and allowed to habituate for 15 minutes before injection of drugs. Numbers of chews are counted by direct observation immediately after drug administration. The results will be presented as numbers of chews in a 30 min period. 18 Anti-psychotic study using apomorphine induced climbing behavior The albino wistar rat will be randomly distributed into four groups containing six animals in each group. The groups will be treated with suitable doses of Ipomoea reniformis or the standard. 60 minutes after the treatment with Ipomoea reniformis, animals will be injected with haloperidol i.p. Then the animals are placed individually in wire- mesh stick cages; 30 minutes after the treatment is given. 10, 20 and 30 minutes after apomorphine administration, they are observed for climbing behavior and scored as follows: 0 = four paws on the floor 1 = forefeet holding the vertical bars 2 = forefeet holding the bars 8 7.5 Experimental design Anti-epileptic activity (single and multiple dose study) a. Maximal electro shock (MES) induced seizures GROUP TREATMENT AND N=6 DOSE I Vehicle (1 ml/kg, p.o.) + PARAMETERS MES II Phenytoin (90 mg/kg, i.p.) Hind limb tonic extension + MES III Ipomoea reniformis (Lower) + MES IV Ipomoea reniformis (Heigher) + MES Multiple dose study is conducted for duration of 15 days. b. Isoniazid (INH) induced seizures GROUP TREATMENT AND N=6 DOSE I Vehicle (1 ml/kg, p.o.) + PARAMETERS INH II III Diazepam (4 mg/kg, i.p.) + Occurrence of tonic – INH clonic seizure Ipomoea reniformis (Lower) + INH IV Ipomoea reniformis (Heigher) + INH Multiple dose study is conducted for duration of 15 days. INH is administered on 15th day. 9 c. Pentylenetetrazol (PTZ) induced convulsions GROUP TREATMENT AND N=6 DOSE I Vehicle (1 ml/kg, p.o.) + PARAMETERS PTZ II III Diazepam (4 mg/kg, i.p.) + Occurrence of tonic – PTZ clonic seizure Ipomoea reniformis (Lower) + PTZ IV Ipomoea reniformis (Heigher) + PTZ Multiple dose study is conducted for duration of 15 days. PTZ is administered on 15 th day. Antipsychotic activity (single and multiple dose study) a. Apomorphine induced stereotype behavior GROUP TREATMENT AND N=6 DOSE I Vehicle (1 ml/kg, p.o.) + PARAMETERS Apomorphine II Standard drug (1 mg/kg, i.p.) + Apomorphine III Stereotyped behavior Ipomoea reniformis (Lower) + Apomorphine IV Ipomoea reniformis (Heigher) + Apomorphine Multiple dose study is conducted for duration of 15 days. Apomorphine is administered on 15th day. 10 b. Pilocarpine induced purposeless chewing GROUP TREATMENT AND N=6 DOSE I Vehicle (1 ml/kg, p.o.) + PARAMETERS Pilocarpine II III Standard drug (1 mg/kg, i.p.) + Pilocarpine Numbers of chewing in 30 Ipomoea reniformis minutes period (Lower) + Pilocarpine IV Ipomoea reniformis (Heigher) + Pilocarpine Multiple dose study is conducted for duration of 15 days. Pilocarpine is administered on 15th day. c. Apomorphine induced climbing behavior GROUP TREATMENT AND N=6 DOSE I Vehicle (1 ml/kg, p.o.) + PARAMETERS Apomorphine II Standard drug (1 mg/kg, i.p.) + Apomorphine III Climbing behavior Ipomoea reniformis (Lower) + Apomorphine IV Ipomoea reniformis (Heigher) + Apomorphine Multiple dose study is conducted for duration of 15 days. Apomorphine is administered on 15th day. 11 7.6 Does the study require any investigation or interventions to be conducted on patients or other humans/animals? If so please describe briefly. Yes, the above study requires investigation to be done on the adult albino wistar rats of either sex for the anti-epileptic and anti-psychotic study. 7.7 HAS ANIMAL ETHICAL COMMITTEE CLEARNACE BEEN OBTAINED FROM YOUR INSTITUTION IN CASE? The study has been referred to the animal ethical committee of the institution for the clearance. (Approval no:SSCPT/IAEC.clear/114/11-12.Dated:30-11-11) 12 8 REFERENCES 1. Pandeya SN. A textbook of Medicinal Chemistry.3rd ed.SG Publisher Varanasi 158. 2. Anonymous. Neurological disorders: Public health challenges. Switzerland: World Health Organization; 2006. 3. Goodwin FK. Rationale for using lithium in combination with other mood stabilizers in the management of bipolar disorder. J Clin Psychiatry. 2003;64 Suppl 5:18-24. Review. 4. Seizures and Epilepsy: Hope through Research. Available from: http://www.ninds.nih.gov/disorders/epilepsy/epilepsy.html. date 25-11-11. 5. Reddy DS, Pharmacotherapy of catameninal epilepsy. Indian J pharmacol 2005;37:288-93. 6. Wang NN, Anuka Ja, Kwanashie HO, Gang SS, Auta A. Anti-seizure activity of the aqueous leaf extract of solanam nigram Linn (solanaceae) in experimental animals. Afr Health Sci 2008;8(2):74-9. 7. Leunson D.F. 1991 pharmacologic treatment of schizophrenia. Clini, Ther 16,326 8. Mental health as chronic disease. Available from: http://www.tsha.nhs.uk/strategic-framework/pirority/3/transforming-ling-termConditions-management/mental-illness/as-a-chronic-diseases. date 25-11-11. 9. Mehul KB, Kishore KD, Ajay KS. Ipomoea reniformis: A Scientific Review. International J Pharmacy Pharm Sciences 2010;(2):(4). 10. Agarwal VS, Drug Plants of India, 1st ed., Vol. 1, Kalyani Publishers, New Delhi, 1947; 440. 13 11. Sudhavani V, Chinnikrishnaiah V, Raghu Moorthy V, Raghavendra HG, Ranganayakulu D. Nephroprotective activity of Merremia emarginata burm against cisplatin induced nephrotoxic rats. J Adv Drug Res 2010;(1):(1). 12. Sanja SD, Sheth NR, Joshi DM, Golwala DK, Patel Dhaval, Raval MK. Antiinflammatory Activity of Ipomoea reniformis Methanolic Extract. International J pharmaceutical Sciences and Drug Res 2009;1(3):176-9. 13. Rajiv Gandhi G, Sasikumar P. Antidiabetic effect of Merremia emarginata Burm.F. in streptozotocin induced diabetic rats. Asian Pacific J Tropical Biomedicine(2012)1-6. 14. Achliya GS, Wadodkar SG, Dorle AK. Evaluation of CNS activity of brahmi ghrita. Indian J Pharmacol. 2005; 37(1): 33-6. 15. Pinelli A, Trivulzio S, Zefinetti GC, Tofanetti O. Anti-convulsant effects by reduced glutathione and related amino acids in rats treated with isoniazid. J Toxicol 1988; 48:103-7. 16. Maheshwar HG, Despande SV, Pramaod HJ. Anti-convulsant activity of fruits of terminalia chebulia retz. Against MES and PTZ induced seizures in rats. J Herb Med Toxicol 2010; 4(2): 123-6. 17. Vogel HG, editor. Drug discovery and evaluation. 2nd ed. New York: Springer Berlin Heidelberg. 2002. 488, 531-7. 18. Finn M, Jassen A, Baskin P, Salamone JD. Tremulous characteristics of the vacuous jaw movements induced by pilocarpine and ventrolateral striatal dopamine depletions. Pharmacol Biochem Behav 1995; 57(1): 243-9. 14 9. Signature of the candidate 10 Remarks of the Guide The above information and literature has been extensively investigated and verified. The present study will be carried out under my supervision and guidance. 11 11.1 Name and Designation of Guide Mrs. BABITHA S M.Pharm., (Ph.D) Lecturer DEPARTMENT OF PHARMACOLOGY 11.2 Signature 11.3 Co-Guide ( If any) N.A 11.4 Signature N.A 11.5 Head of the Department Dr. THIPPESWAMY B.S., M. Pharm., Ph. D. Professor & Head DEPARTMENT OF PHARMACOLOGY 11.6 Signature 12 12.1 Remarks of the Chairman and Principal The above mentioned information is correct and I recommend the same for approval. 12.2 Signature Dr. S. Badami M.Pharm., Ph.D. Principal Sree Siddaganga College of Pharmacy B. H. Road, Tumkur-572 102. 15