Keywords
antiasthma, Curcuma aeruginosa, spasmolytic
This article is included in the ICTROPS 2018 collection.
antiasthma, Curcuma aeruginosa, spasmolytic
Asthma is an inflammatory airway disease characterized by the occurrence of an respiratory airway hyper response and reversible narrowing of the airway1. Asthma is one of the major non-communicable diseases in the world. About 235 million people worldwide suffer from asthma, particularly children. The strongest risk factors for developing asthma are a combination of genetic susceptibility to certain inhalable allergens and environmental exposure to them2. Asthma medications are given to manage asthma sufferers3. Herbal preparations are one of the most popular complementary treatments used by asthmatic patients. Many important asthma drugs such as B2-agonists, anticholinergics, methylxanthines, and cromones have herbal origins4. Some medicinal plants have the effect of reducing smooth muscle stiffness, similar to the mechanism of asthma drugs, especially the anticholinergic drugs5. Research has also shown that some medicinal plants have the anti-inflammatory effects, following the same mechanism of corticosteroid drug used in asthma treatment6.
The genus Curcuma (family Zingiberaceae) consisting of more than 100 species is used widely as food a and in traditional medicines7. Indonesia is home to many species of Curcuma. The various species of Curcuma often used are C. longa (turmeric), C. xanthorrhiza, C. heyneana, C. aeruginosa, C. mangga, and C. zedoaria. Turmeric is the most frequently used plant for traditional medicine in Indonesia. C. aeruginosa considered as indigenous Curcuma species in Indonesia are currently not extensively studied, yet8.
Important medicinal plants from the genus Curcuma with anti-asthmatic potential include C. longa9. Other rhizomes of Curcuma species are traditionally used in the treatment of asthma, i.e. C. aeruginosa10, C. mangga11, C. caesia12, and C. zedoaria13. The antiasthma effects of C. aeruginosa are currently known, therefore, the objective of this study was to establish the tracheospasmolytic activity of C. aeruginosa applied on isolated tracheas of guinea pigs.
The sampling of medicinal plants was conducted in Kutai Kartanegara District, East Kalimantan (0°59’51.1”S 116°58’33.1”E). Plants were then identified in the Faculty of Mathematics and Natural Sciences, Mulawarman University by comparing to the university herbarium collection.
The rhizomes of C. aeruginosa were sliced and dried at room temperature for 3 days, crushed and transferred into a glass container. Approximately 1 kg of crushed rhizomes was soaked in 1 L of absolute ethanol (9401-03 Alcohol, Anhydrous, Reagent, J.T. Baker) for 5 days. The mixture was shaken occasionally with a shaker (3525 Incubator Orbital Shaker, Lab-Line, US). After 5 days, the materials were filtered (Whatman Filter Paper 11µm, Sigma-Aldrich) and evaporated using a rotary evaporator (RV06-ML Rotary Evaporator, IKA, Germany). The dried extracts were obtained and stored at 4°C in a dark bottle until use.
One male guinea pig (Cavia porcellus) (6 months old, 485 g) was obtained from Animal House Faculty of Medicine (Mulawarman University). They were treated in a controlled room temperature of 25°C, with a 12-hour light/dark cycle, and access to food pellets and filtered water ad libitum. The guinea pig was anesthetized intraperitoneally with a ketamine injection (Hameln Pharmaceuticals, Germany) at a dose of 60 mg/kg before the trachea was taken. After anesthetized, animals were euthanized by cervical dislocation. The trachea was quickly dissected by adhering fat and connective tissue of guinea pig.
The trachea rings were suspended in L-shaped wire loops in 10 ml organ baths (PL3508B6 Panlab Organ Bath System, ADInstruments), containing the Krebs solution (K3753 Krebs-Henseleit Buffer, Sigma-Aldrich) aerated with carbogen by maintaining the temperature at 37°C. Isometric contractions of tracheal rings were measured by the transducer (7004 Isometric Force Transducers, Ugo Basile) coupled to the amplifier (FE 221 BridgeAmp, ADInstruments) connected to PC running LabChart V5 software. An equilibration period of 90 minutes was done in Krebs solution. At the end of the equilibration period, the tracheal rings were stimulated with histamine in order to establish viability. After equilibration, the tracheal rings were exposed to DMSO (W387520 Methyl sulfoxide, Sigma-Aldrich) as the negative control, aminophylline (A1755 Aminophylline, Sigma-Aldrich) as positive control drugs and extract of C. aeruginosa according to the experimental protocol by Janbaz et al.14. The dosage for DMSO, aminophylline and plant extract were 0.0001, 0.0003, 0.001, 0.003, 0.01, and 0.03 mg/ml given 700, 750, 800, 850, 900, and 950 seconds after equilibration on the organ baths. The dose-response curve for trachea relaxation activity was obtained in every preparation.
Trachea relaxation activity is tabulated in the mean ± SD curve of the dose-response curve. The value of EC50 was calculated with Microsoft Excel 2016 as shown in Dataset 1. Data were analyzed using the Mann-Whitney because not normally distributed. All statistical analysis was performed using SPSS version 16.0 for Windows. A p-value of ≤ 0.05 was considered to be significant.
All protocols used in this experiment received approval from the Ethical Animal Care from the Medical and Health Research Ethics Commission, Faculty of Medicine, Mulawarman University No. 72/KEPK-FK/V/2018. All efforts were made to ameliorate any suffering of animals used in this research.
The results of trachea relaxation between negative control, aminophylline, and C. aeruginosa extract presented in Figure 1. The result showed that the decrease of spasmolytic activity of C. aeruginosa extract was significantly better (p=0.000) than that in negative control. Meanwhile, the EC50 value of aminophylline (0.019 ± 0.05) was not significantly different (p=0.454) with C. aeruginosa (0.024 ± 0.05), as shown in Figure 2.
C. aeruginosa (Supplementary File 1) is known in Indonesia as temu ireng or “pink and blue ginger” in English15. The color of fresh the rhizome can be yellows or greenish blue in color and mildly aromatic with a ginger-like aroma16. C. aeruginosa has been used as a traditional medicine in South and Southeast Asia17. The rhizomes have been used for gastrointestinal and uterine disorders, as well as parasitic and fungal infection18.
Other pharmacological activities of C. aeruginosa that have been reported include inhibition of HIV, anti-cancer activity, hepatoprotective, antiandrogenic, estrogenic properties, antimicrobial, antioxidant, antiplatelet-activating factor-like, antipyretic, antinociceptive, and anti-inflammatory19. Germacrone, zedoarone, dehydrocurdione, curcumenol, zedoarondiol, and isocurcumenol were chemical constituents from sesquiterpenes isolated from rhizomes of C. aeruginosa20. In this study, the examination of antiasthma effects of C. aeruginosa has been reported. Further research is needed to identify the chemical compounds from C. aeruginosa that could convey antiasthma activity.
The results of this study indicate that ethanol extract of C. aeruginosa has an antiasthma effect based on the tracheospasmolytic activity. Therefore, C. aeruginosa can be developed as a possible source of new antiasthma drugs.
F1000Research: Dataset 1. Trachea relaxation between C. aeruginosa (CA), aminophylline (A) and negative control (N) and EC50 result on trachea relaxation between C. aeruginosa (CA) and aminophylline (A)., 10.5256/f1000research.16416.d22169021
This study was supported with funding from the Directorate General for Research and Development, Ministry of Research and Technology Higher Education of the Republic of Indonesia, for financing this research, as part of the implementation of Basic Research of Flagship University Year of 2018 No. 0045/E3/LL/2018.
The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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Is the work clearly and accurately presented and does it cite the current literature?
No
Is the study design appropriate and is the work technically sound?
No
Are sufficient details of methods and analysis provided to allow replication by others?
Partly
If applicable, is the statistical analysis and its interpretation appropriate?
No
Are all the source data underlying the results available to ensure full reproducibility?
No
Are the conclusions drawn adequately supported by the results?
No
Competing Interests: No competing interests were disclosed.
Reviewer Expertise: Airway pharmacology; Translational asthma research
Is the work clearly and accurately presented and does it cite the current literature?
Partly
Is the study design appropriate and is the work technically sound?
Partly
Are sufficient details of methods and analysis provided to allow replication by others?
Partly
If applicable, is the statistical analysis and its interpretation appropriate?
Partly
Are all the source data underlying the results available to ensure full reproducibility?
Yes
Are the conclusions drawn adequately supported by the results?
Partly
References
1. Nurcholis W, Khumaida N, Syukur M, Bintang M: Variability of curcuminoid content and lack of correlation with cytotoxicity in ethanolic extracts from 20 accessions of Curcuma aeruginosa RoxB. Asian Pacific Journal of Tropical Disease. 2016; 6 (11): 887-891 Publisher Full TextCompeting Interests: No competing interests were disclosed.
Reviewer Expertise: Biochemistry
Is the work clearly and accurately presented and does it cite the current literature?
Partly
Is the study design appropriate and is the work technically sound?
Partly
Are sufficient details of methods and analysis provided to allow replication by others?
Yes
If applicable, is the statistical analysis and its interpretation appropriate?
Yes
Are all the source data underlying the results available to ensure full reproducibility?
Yes
Are the conclusions drawn adequately supported by the results?
Yes
Competing Interests: No competing interests were disclosed.
Reviewer Expertise: Paediatric asthma.
Alongside their report, reviewers assign a status to the article:
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Version 1 15 Nov 18 |
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