Rheumatoid arthritis is a systemic disorder which involves the activation of immune system against the self-tissues. The main targets of this disease are the joints. Being systemic the development of this disease involves different mechanisms and thus the exact cause of this disease remains unknown. Although different drugs have been developed, none has been found to be the cure for this disease. In the current study the rat carrageenin paw was used as a model for acute inflammation and mycobacterium induced adjuvant arthritic model was used for exploring the antiarthritic potential of methanolic extract of Gentiana kurroo. In this study the different extracts tested showed less inhibition of acute inflammation than methanolic extract. The methanolic extract was further used in different doses and the anti-inflammatory efficacy was found to be dose dependent. The results obtained were significant with the control and the standard groups. In the arthritic model the methanolic extract showed decrease in the paw volume of arthritic animals and also in the arthritic symptoms. Again the results obtained were found to be significantly dose dependent. From the results obtained it can be concluded that this extract may serve as a source of drug against the rheumatoid arthritis. 1. Introduction Rheumatoid arthritis (RA) is an autoimmune disorder characterized by synovial inflammation and irreversible joint destruction and leads to significant disability [1]. It has affected about 1% of the population throughout the world with male and female ratio of 1?:?2.5 [2]. The etiology of this disease is still unknown [3]. The various proinflammatory molecules including reactive oxygen species, prostaglandins, leukotrines and cytokines released by macrophages are involved in the cause of this disorder [4, 5]. The potential target for the treatment of chronic inflammatory conditions can be the regulatory checks of these mediators secreted by immune cells and the inhibition of enzymes like COX and LOX for the metabolic modulation of arachidonic acid [6, 7]. RA being a systemic disease can affect the whole body and internal organs (with exceptions) such as the lungs, heart, and eyes [8, 9]. Although different categories like nonsteroidal anti-inflammatory drugs (NSAIDs), immunosuppressants, and steroidal anti-inflammatory drugs are in use, the limitation is their potential side effects. The development of new safe, potent, less toxic antiarthritic drug is the growing concern all over [10, 11]. The remedy for arthritis cannot be thought beyond nature. A number of herbs are
References
[1]
G. Kingsley, G. Panayi, and J. Lanchbury, “Immunotherapy of rheumatic diseases—practice and prospects,” Immunology Today, vol. 12, no. 6, pp. 177–179, 1991.
[2]
R. S. Cotron and R. N. Mitchell, Basic Pathology, W. R. Saumders, New Delhi, India, 1999.
[3]
F. Montecucco and F. Mach, “Common inflammatory mediators orchestrate pathophysiological processes in rheumatoid arthritis and atherosclerosis,” Rheumatology, vol. 48, no. 1, pp. 11–22, 2009.
[4]
B. Henderson, E. R. Pettipher, and G. A. Higgs, “Mediators of rheumatoid arthritis,” The British Medical Bulletin, vol. 43, no. 2, pp. 415–428, 1987.
[5]
G. Snedegard, “Mediators of vascular permeability in inflammation,” Progress in Applied Microcirculation, vol. 7, pp. 96–112, 1985.
[6]
J. E. Kinsella and B. Lokesh, “Dietary lipids, eicosanoids, and the immune system,” Critical Care Medicine, vol. 18, no. 2, pp. S94–S113, 1990.
[7]
J. Hong, M. Bose, J. Ju et al., “Modulation of arachidonic acid metabolism by curcumin and related β-diketone derivatives: effects on cytosolic phospholipase A2, cyclooxygenases and 5-lipoxygenase,” Carcinogenesis, vol. 25, no. 9, pp. 1671–1679, 2004.
[8]
M. Hegen, J. C. Keith Jr., M. Collins, and C. L. Nickerson-Nutter, “Utility of animal models for identification of potential therapeutics for rheumatoid arthritis,” Annals of the Rheumatic Diseases, vol. 67, no. 11, pp. 1505–1515, 2008.
[9]
G. Murugananthan and S. Mohan, “Anti-arthritic and immune modifying potential of Delonix elata bark extracts,” Research Journal of Pharmaceutical, Biological and Chemical Sciences, vol. 4, no. 2, pp. 1819–1821, 2013.
[10]
G. Kingsley, J. Lanchbury, and G. Panayi, “Immunotherapy in rheumatic disease: An idea whose time has come—or gone?” Immunology Today, vol. 17, no. 1, pp. 9–12, 1996.
[11]
A. M. Badger and J. C. Lee, “Advances in anti-arthritic therapeutics,” Drug Discovery Today, vol. 2, no. 10, pp. 427–435, 1997.
[12]
J. S. Bang, D. H. Oh, H. M. Choi et al., “Anti-inflammatory and antiarthritic effects of piperine in human interleukin 1β-stimulated fibroblast-like synoviocytes and in rat arthritis models,” Arthritis Research & Therapy, vol. 11, no. 2, article R49, 9 pages, 2009.
[13]
S. S. Agrawal and M. Paridhavi, Herbal Drugs Technology, Universities Press, 2007.
[14]
R. H. Chitme and P. N. Patel, “Anti-arthritis activity of Aristolochia bracteata extract in experimental animals,” The Open Natural Products Journal, vol. 2, pp. 6–15, 2009.
[15]
V. K. Baranwal, R. Irchhaiya, and S. Alok, “Anti-arthritic activity of some indigenous plants: a review,” International Journal of Pharmaceutical Sciences and Research, vol. 3, pp. 981–986, 2012.
[16]
K. R. Kirtikar and B. D. Basu, Indian Medicinal Plants, Bishen Singh Mahendra Pal Singh, Dehradun, India, 1935.
[17]
B. A. Wani, D. Ramamoorthy, and B. A. Ganai, “Preliminary phytochemical screening and evaluation of analgesic activity of methanolic extract of roots of Gentiana kurroo Royle in experimental animal models,” International Journal of Pharmacy and Pharmaceutical Sciences, vol. 3, no. 4, pp. 164–166, 2011.
[18]
A. Lateef, T. F. Khan, and S. H. Afaq, “Anti-inflammatory activity of flower tops of Gentiana kurroo Royale extract,” Pharmacologyonloine, vol. 3, pp. 575–580, 2006.
[19]
C. A. Winter, E. A. Risley, and G. W. Nuss, “Carrageenin-induced edema in hind paw of the rat as an assay for antiiflammatory drugs,” Proceedings of the Society for Experimental Biology and Medicine: Society for Experimental Biology and Medicine, vol. 111, pp. 544–547, 1962.
[20]
C. M. Pearson, “Development of arthritis, periarthritis and periostitis in rats given adjuvants,” Proceedings of the Society for Experimental Biology and Medicine, vol. 91, no. 1, pp. 95–101, 1956.
[21]
B. B. Newbould, “Chemotherapy of arthritis induced in rats by mycobacterial adjuvant,” British Journal of Pharmacology and Chemotherapy, vol. 21, pp. 127–136, 1963.
[22]
C.-T. Lin, C.-J. Chen, T.-Y. Lin, J. C. Tung, and S.-Y. Wang, “Anti-inflammation activity of fruit essential oil from Cinnamomum insularimontanum Hayata,” Bioresource Technology, vol. 99, no. 18, pp. 8783–8787, 2008.
[23]
Y.-T. Tung, M.-T. Chua, S.-Y. Wang, and S.-T. Chang, “Anti-inflammation activities of essential oil and its constituents from indigenous cinnamon (Cinnamomum osmophloeum) twigs,” Bioresource Technology, vol. 99, no. 9, pp. 3908–3913, 2008.
[24]
Y. Yin, F.-Y. Gong, X.-X. Wu et al., “Anti-inflammatory and immunosuppressive effect of flavones isolated from Artemisia vestita,” Journal of Ethnopharmacology, vol. 120, no. 1, pp. 1–6, 2008.
[25]
M. W. Whitehouse, “Rat polyarthritis: induction with adjuvants constituted with mycobacteria (and oils) from the environment,” Journal of Rheumatology, vol. 9, no. 4, pp. 494–501, 1982.
[26]
J. S. H. Gaston, P. F. Life, L. C. Bailey, and P. A. Bacon, “In vitro responses to a 65-kilodalton mycobacterial protein by synovial T cells from inflammatory arthritis patients,” The Journal of Immunology, vol. 143, no. 8, pp. 2494–2500, 1989.
[27]
J. S. H. Gaston, P. F. Life, K. Granfors, et al., “Synovial T lymphocyte recognition of organisms that trigger reactive arthritis,” Clinical and Experimental Immunology, vol. 76, no. 3, pp. 348–353, 1989.
[28]
W. van Eden, J. Holoshitz, Z. Nevo, A. Frenkel, A. Klajman, and I. R. Cohen, “Arthritis induced by a T-lymphocyte clone that responds to Mycobacterium tuberculosis and to cartilage proteoglycans,” Proceedings of the National Academy of Sciences of the United States of America, vol. 82, no. 15, pp. 5117–5120, 1985.
[29]
A. J. Quayle, K. B. Wilson, S. G. Li et al., “Peptide recognition, T cell receptor usage and HLA restriction elements of human heat-shock protein (hsp) 60 and mycobacterial 65-kDa hsp-reactive T cell clones from rheumatoid synovial fluid,” European Journal of Immunology, vol. 22, no. 5, pp. 1315–1322, 1992.
[30]
K. Mubashir, K. Ghazanfar, B. A. Ganai, S. Akbar, A. H. Malik, and A. Masood, “Scientific validation of Gentiana kurroo Royle for anti-inflammatory and immunomodulatory potential,” ISRN Inflammation, vol. 2014, Article ID 701765, 5 pages, 2014.