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Folia Medica Indonesiana Vol. 44 No. 2 April – June 2008 : PHARMACODYNAMIC EFFECTS OF LIGUSTROSIDE GLYCOSIDE (A CNS ACTIVE SUBSTANCE) ISOLATED FROM FRAXINUS GRAFFITHII Clarke AGAINST CHEMICALLY INDUCED SEIZURES ON MICE Achmad Basori Department of Pharmacology Airlangga University School of Medicine ABSTRACT A study was conducted to prove whether ligustroside (A CNS Active substance) isolated from bark of Fraxinus Graffithii Clarke has antiseizure effects against chemically induced seizure. antiseizure test indicated that ligustroside increased seizure treshold on epileptic animals injected by CD90 metrazol i.p. (ED50 anti Met : 278.54 mg/kg BW), CD90 bicuculline (ED50 anti Bicuc : 424.57 mg/kg BW), and CD90 picrotoxin (ED50 anti Picro : 466.53 mg/kg BW). These experiments also reported that ligustroside decreased metrazol lethality test on animals. The capability of ligustroside to increase seizure threshold against anti metrazol test , anti bicuculline test, and anti picrotoxin test, meant that ligustroside may have antiseizure effects by increasing GABA- facilitated inhibition in CNS through interaction with benzodiazepine receptor of GABA-BZD-BARB/PICRO-CL receptor complexes. It is strongly supposed that clinically ligustroside would be active against absence seizures and myoclonic seizures. Further research will be needed to explore interaction between ligustroside and GABA-BZD-BARB/PICRO-CL receptor complex. Keyword: ligustroside, chemically induced seizure, antiseizure effect Correspondence: Achmad Basori, Department of Pharmacology, Airlangga University School of Medicine, Jl Prof Dr Moestopo 4-7, Surabaya 60131, phone 62-31-5020251 ext. 174 INTRODUCTION Fraxinus griffithii Clarke (trees: 10 – 20 m) usually grows in forest margins, near villages, by rivers; 100– 2000 m in several regions in Bangladesh, India, Ryukyu Islands, Myanmar, Philippines, Vietnam and Indonesia. In Java island, Fraxinus griffithii Clarke is known as Pohon Tiken (Kabupaten Lumajang), Bedali Gombong (Kabupaten Probolinggo), and Pohon Orang Aring (Perkebunan Pancur Angkrek, Prajekan) (Heyne 1987). Extract of the bark and the leaves of Fraxinus griffithii Clarke (so called: ekstrak Tiken) have been used as an adulterant of illegal opium in certain areas in Indonesia (Boerlage & Kooders 1987; Heyne 1987; Sutarjadi & Zaini 1973; Wehmer 1931). Phytochemical studies found that Tiken extract contains saponin, tannine, and glycosides, and no alkaloids (Sutarjadi & Zaini 1973). Survey in 1975 reported that the workers who prepared this extract felt sedation and sometimes went to sleep (Ahaditomo 1975). Explorative study in mice showed that Tiken extract caused little sedation and reduced motor activity (Husein 1975). Furthermore, Basori et al (1998) found that Tiken extract 1500 mg/kg BW up to 2500 mg/kg BW given orally to animals caused little sedation, reduced locomotor activity, did not cause coordination disturbances and muscle paralysis, and did not have hypnogenic effects. All those findings strongly suggested that Fraxinus griffithii Clarke may contain a CNS (Central Nervous System) active substance. In 1980, Sutarjadi modified the method of Inouye (1975) to isolate ligustroside glycoside from the bark of Fraxinus griffithii Clarke. For further research and development of ligustroside to be lead compound of CNS depressant drug, a large amount of ligustroside and high quality is needed. Basori (1997) modified the method of Sutarjadi to isolate ligustroside by doing pre extraction process with dichlormethane. This modification proposed to remove all non glycoside compounds from the solution and expected to give a more pure ligustroside. The previous pharmacodynamic screening showed that ligustroside at doses of 100 mg/kg, 200 mg/kg , and 400 mg/kg given intraperitoneally to mice caused little sedation, reduced locomotor activity, did not cause motor coordination disturbances and muscle paralysis, and did not have hypnogenic effect. These results suggested that ligustroside may have CNS activity as CNS depressant (Basori 1999). However, the precise pharmacodynamic profile of its CNS depressant has not been studied in detail yet. Further research is needed to explore pharmacodynamic profile of its CNS depressant effect. Pharmacodynamic Effects of Ligustroside Glycoside … (Achmad Basori) A very detailed pharmacodynamic study was conducted by Basori (2000), to explore the profile of CNS depressant effects of ligustroside. Those studies concluded that ligustroside has pharmacodynamic activity as CNS depressant, did not have neuromuscular blocking properties. The primary site of action of its CNS depressant is in the brain, and the mechanism of action may involve the enhancement of GABAfacilitated inhibition in the brain neurons. Pharmacodynamic study with electrical stimulation indicated that ligustroside has anti seizure effect and to prevent seizure spreads on animals. Pharmacologically, ligustroside was very potential to be developed as antiseizure drug candidate (Basori 2004). Further research will be needed to investigate the other effects of ligustroside against chemically induced seizure. The present research aimed to identify whether ligustroside isolated from bark of Fraxinus Graffithii Clarke has an effect to increase seizure thresholds against some chemically induced seizures on mice. MATERIALS AND METHODS Material used for the present work was dried bark of Fraxinus griffiti Clarke (Pohon Orang Aring). Wet bark was collected from plants used as shade trees at a Pancur Angkrek coffee plantation of PTP XXVI located near Prajekan, East Java. The bark was cut into pieces and dried at room temperature, avoiding direct sunlight, for 1 month. This was done in order to keep active substances from degradation by direct sunlight. Later on, the dried bark was milled with a milling machine into smaller particles, sieved into pulves, and stored in tightly sealed plastic bottles. ligustroside was isolated, identified and purified according to the previous method (Basori 1999). Male BULB/c mice (25–30 g, age: 2 months) used in all experiments were purchased from Pusvetma, Surabaya. Animals were acclimatized for at least one week before starting the experiments. They were kept in a soundless room with normal room temperature. During the experiments the animals were not allowed to drink or eat. Finally, the animals were given a code for experiments. The following drugs and dosages were used: ligustroside 100, 200, 300, 400 and 500 mg/kg. This drug was dissolved in solutio Petit (10% absolute alcohol; 20% Propylene glycol : 80% water pro injection) and administered to animals by i.p. injection. Control animals (positive and negative control) were dosed with Solutio Petit and water pro injection. The previous study found that solutio Petit did not have antiseizure effects (Basori 2000). To find the effect of ligustroside against metrazole induced seizure, the animals were randomly divided into 4 groups (each group consisted of 20 mice). Each group of animals were given ligustroside 100 mg/kg BW, 200 mg/kg BW, 300 mg/kg BW, and 400 mg/kg BW i.p. Animals were placed in individual transparent plastic cages. Forty minutes after ligustroside administration, all animals were injected with metrazole 66.75 mg/kg BW i.p (Convulsive Dose 90). The capability of a substance to protect animals against clonic seizure regarded as anti–metrazole activity (anti Met effect) (Krall 1978; Leppik 1993, 1994; Swinyard 1972; Swinyard et al. 1985; White et al. 1995). In this experiment, the dose – responses curves were estimated by testing four doses and twenty animals per dose. The calculation of ED50 anti metrazol (a dose that protects 50% of the animals against metrazol induced clonic seizure), and the statistical analyses were performed according to Probit method by using SPSS 9. To find the effects of ligustroside against bicuculline induced seizure, the animals were randomly divided into 3 groups (each group consists of 20 mice). Each group of animals was given with ligustroside 200 mg/kg BW, 400 mg/kg BW, and 500 mg/kg BW i.p. Animals were placed in individual transparent plastic cages. Forty five minutes after given with ligustroside, all animals were injected with bicuculline 3.18 mg/kg BW i.p (Convulsive Dose 90). The capability of a substance to protect animals against clonic seizures regarded as anti – bicuculline test (Leppik 1993, 1994; White et al. 1995). In this experiment, the dose–responses curves were estimated by testing three doses and twenty animals per dose. The calculation of ED50 anti bicuculline and the statistical analyses were performed according to Probit method by using SPSS 9. To find the effects of ligustroside against picrotoxin induced seizures, the animals were randomly divided into 3 groups (each group consisted of 20 mice). Each group of animals was given with ligustroside 200 mg/kg BW, 400 mg/kg BW, and 500 mg/kg BW i.p. Animals were placed in individual transparent plastic cages. Forty five minutes after given with ligustroside, all animals were injected with picrotoxin 3.20 mg/kg BW i.p (Convulsive Dose 90). The capability of a substance to protect animals against clonic seizures regarded as anti – picrotoxine test (Swinyard et al. 1985; Leppik 1993, 1994; White et al. 1995). In this experiment, the dose–responses curves were estimated by testing three doses and twenty animals per dose. The calculation of ED50 anti picrotoxine and the statistical analyses were performed according to Probit method by using SPSS 9. To find the effects of ligustroside against strychnine nitrate induced seizures, the animals were randomly Folia Medica Indonesiana Vol. 44 No. 2 April – June 2008 : divided into one group (consisted of 20 mice). One group of animals was given with ligustroside 500 mg/kg BW i.p. Animals were placed in individual transparent plastic cages. Forty five minutes after given ligustroside, all animals were injected with Strycnine Nitrate 0.88 mg/kg BW i.p. (Convulsive Dose 90). The capability of a substance to protect animals against maximal tonic extensor regarded as anti–Strychnine Nitrate test (Leppik 1993, 1994; Swinyard et al. 1985; White et al. 1995). Finally, to find the effects of ligustroside against INH induced seizures, the animals were randomly divided into one group (consisted of 20 mice). One group of animals was given with ligustroside 500 mg/kg BW i.p. Animals were placed in individual transparent plastic cages. Forty five minutes after given ligustroside, all animals were injected with INH 136.28 mg/kg BW i.p (Convulsive Dose 90). The capability of a substance to protect animals against clonic seizures regarded as anti–INH test (Leppik 1993, 1994; Swinyard et al. 1985; White et al. 1995). RESULTS The specific objective of these pharmacodynamic studies was to identify antiseizure effect of ligustroside against chemically induced seizure. This experiment used many models of chemically induced seizures by giving many epileptogens to animal. After being given with epileptogen, animal experiences seizure. Every type of seizures i.e. : clonic , clonic–tonic, or tonic extensor seizures, depends on every underlying cellular seizure mechanism (Table 1). In this research, it was proved that ligustroside had anti metrazol, anti bicuculline, and anti picrotoxin test. Those results can be seen in Table 2, Table 3, and Table 4. Table 2 also showed that ligustroside depressed mortality rate of animals on metrazol lethality test. While up to the dose of 500 mg/kg BW i.p. both animal groups given CD90 Strychnine Nitrate and INH showed no seizure response. These results can be seen in Table 5 and 6. While Safety Ratio (SR) analysis (SR = TD3/ED 97) showed that SR of anti metrazole = 1.73, anti picrotoxin = 1.16, and anti bicuculline = 1.18 (Table 7). Table 1. Cellular mechanism of various chemically induced seizures on mice No Chemical epileptogen Cellular mechanism of seizures Type of seizures 1 Bicuculline Treshold clonic seizures GABA-A receptor Antagonist 2 Metrazole Clonic-tonic seizures GABA-A receptor Antagonist 3 Strychnine Nitrate Tonic extensor seizures Glycine receptor Antagonist 4 INH Treshold clonic seizures GABA-transaminase inhibitor 5 Picrotoxin Treshold clonic seizures Picrotoxin receptor Antagonist From: Steve White et al (1995); McDonald & Meldrum (1995); Brazil & Pedley (1995) Table 2. Effects of ligustroside against seizure threshold on mice after given with CD90 metrazol intraperitoneally Ligustrosid Dose (mg/kg BW, i.p) 100 200 300 400 No. of seizure mice / no. of total mice 20 / 20 16 / 20 10 / 20 2 / 20 Antiseizure treshold (%) 0 20 50 90 No. of dead mice / no. of total mice 14 / 20 8 / 20 2 / 20 0 / 20 Mortality rate (%) 70 40 10 0 Table 3. Effects of ligustroside against seizure threshold on mice after given with CD90 bicuculline intraperitoneally Ligustroside Dose (mg/kg BW, ip) No. of seizure mice / no. of total mice 200 400 500 20 / 20 10 / 20 6 / 20 Antiseizure treshold (%) 0 50 70 Table 4. Effects of ligustroside against seizure threshold on mice after given with CD90 picrotoxin intraperitoneally Ligustrosid Dose (mg/kg BW, ip) No. of seizure mice / no. of total mice 200 400 500 20 / 20 14 / 20 6 / 20 Antiseizure treshold (%) 0 30 70 Table 5. Effects of ligustroside against seizure threshold on mice after given with CD90 Strychnine Nitrate intraperitoneally Ligustrosid Dose mg/kg BW, ip) No. of seizure mice / no. of total mice 500 20 / 20 Antiseizure treshold (%) 0 Pharmacodynamic Effects of Ligustroside Glycoside … (Achmad Basori) Table 6. Effects of ligustroside against seizure threshold on mice after given CD90 INH intraperitoneally Ligustrosid Dose mg/kg BW, ip) No. of seizure mice / no. of total mice 500 20 / 20 Antiseizure treshold (%) 0 Table 7. ED50 antiseizure effects ligustroside, safety ratio, and Protective Index on experimental epileptic mice after being given with various chemical epileptogen intraperitoneally Epileptogen Bicuculline Metrazol Picrotoxin Strychnine Nitrate INH )* No effects ED50 (mg/kg BW i.p) S.R (TD3/ED 97) 424.57 290.88 466.53 --- )* --- )* 1.18 1.73 1.16 - DISCUSSION Based on those results as shown in Table 2, 3, 4, 5, and 6, it was proved that antiseizure mechanism of ligustroside was to enhance GABA-ergic inhibitory neuron in CNS (GABA-facilitated inhibition). As we know that GABA-ergic inhibitory neuron can be enhanced by several mechanism of actions, namely: GABA release, inhibition of GABA destruction by GABA-T enzyme, agonist effect at benzodiazepine receptor, agonist effect at Barbiturate receptor, agonist effect at GABA receptor, antagonist effect at picrotoxin receptor, and antagonist effect at Cl ion channel (Brazil & Pedley, Nestler et al. 1995; McDonald and Meldrum, 1995; Nestler et al. 2001; White et al. 1995). Further research was needed to determine anti seizure mechanism of ligustroside action. This safety ratio (TD3/ED97) is an indicator of the most effective anti seizure (ED97) with the less toxic effect of substance. Based on SR values (Table 7), it was seen that anti seizure potency of anti metrazol was more potent than anti bicuculline and anti picrotoxin. This means that anti metrazol effects could be sensitive indicator of antiseizure effect of ligustroside against chemically induced seizure. The previous research showed that there was strong linear correlation between Diazepam affinity and benzodiazepine derivation against anti metrazol effect to benzodiazepine receptor (Baestrup and Squires 1977; Okada 1977 1978; Speth et al. 1979). Marangos et al (1979) proved that metrazol displaced competitively binding between Diazepam and benzodiazepine receptor. IC20 (20% Inhibition Concentration) and IC50 (50% Inhibition Concentration) values of metrazol to displace competitive binding between Diazepam with benzodiazepine receptor was in the range of in vivo level in causing seizure on animal. Both research indicated that anti metrazol effect was an indicator of interaction between a substance with benzodiazepine receptor at GABA-benzodiazepine-Barbiturate-Picro supramolecular complex. Furthermore, if these findings was to be correlated with anti metrazol effect and anti metrazol lethality test of ligustroside (Table 1), hence it was strongly suspected that ligustroside might bind to benzodiazepine receptor in CNS. Further research is needed to explain the molecular interaction beetwen ligustroside and GABA-benzodiazepine-BarbituratePicro supramolecular complex. CONCLUSION Pharmacodynamic study with chemical epileptogen proved that ligustroside has an effect to increase seizure threshold of chemically induced seizure on animals. This effect indicated that ligustroside enhanced GABA– ergic inhibitory system in CNS. Clinically, it is strongly concluded that ligustroside would be very effective against absence seizures and myoclonic seizures. Further research will be needed to investigate deeply further antiseizure mechanism of ligustroside. 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