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Anupama A. Suralkar et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

IJAPR<br />

Available Online through<br />

www.ijapronline.org<br />

Research Paper<br />

ISSN: 2230 – 7583<br />

ANTIALLERGIC AND ANTIANAPHYLACTIC ACTIVITY OF Sida rhombifolia Linn IN<br />

MANAGEMENT OF ASTHMA<br />

Anupama A. Suralkar*, Kuldeep K. Gaikwad, Asha S. Jadhav, Gayatri S. Vaidya.<br />

Center for Innovation in Pharmaceutical Education, Research <strong>and</strong> Development (CIPERD), Padm. Dr. D.Y. Patil,<br />

Institute <strong>of</strong> Pharmaceutical Sciences & Research, Pimpri, Pune-411018<br />

Received on 10 – 08 - 2012 Revised on 17 – 09- 2012 Accepted on 01– 10 – 2012<br />

ABSTRACT<br />

Traditionally, Sida rhombifolia (SR) Linn is use in treatment <strong>of</strong> allergic diseases such as a bronchial asthma,<br />

bronchitis, wheezing, cough, short windedness, swelling, wounds, burns, itch, sores, eczema <strong>and</strong> skin diseases.<br />

Leaves are used in all kinds <strong>of</strong> inflammations. Leaves are reported to contain flavonoids which display several<br />

pharmacological properties in treating the allergic inflammations. Hence, the present study was undertaken to<br />

investigate the effect <strong>of</strong> ethanolic extract <strong>of</strong> Sida rhombifolia (SR) (Linn.) leaves on milk induced leukocytosis <strong>and</strong><br />

eosinophilia in mice, compound 48/80 induced mast cell degranulation in rats <strong>and</strong> egg albumin induced passive<br />

paw anaphylaxis in rats. In milk induced leukocytosis <strong>and</strong> eosinophilia SR showed significant decrease in<br />

difference in no. <strong>of</strong> leucocytes <strong>and</strong> eosinophils count (p


Anupama A. Suralkar et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

disorders from mild to life-threatening <strong>and</strong> affect<br />

many organs. Atopy is the tendency to produce an<br />

exaggerated IgE immune response to otherwise<br />

harmless environmental substances <strong>and</strong> an allergic<br />

disease may be defined as the clinical manifestation<br />

<strong>of</strong> this inappropriate IgE immune response. (4)<br />

The number <strong>of</strong> individuals suffering with allergic<br />

illnesses is increasing in the industrialized as well as<br />

in large cities <strong>of</strong> developing countries. Allergies also<br />

have reached high prevalence <strong>and</strong> incidence in all<br />

over the world. Allergy <strong>and</strong> anaphylaxis are the most<br />

responsible factor for diseases like asthma, rhinitis,<br />

bronchitis, cold, cough, pain; inflammation etc. (3)<br />

Allergic asthma is the most common type <strong>of</strong> asthma.<br />

About 90% <strong>of</strong> kids with childhood asthma have<br />

allergies, compared with about 50% <strong>of</strong> adults with<br />

asthma. Inhaling specific substances called allergens<br />

(allergy triggers such as pollen, mites, or molds)<br />

brings on the asthma symptoms associated with<br />

allergic asthma. Allergic asthma, airways are<br />

hypersensitive to the allergens. Once these allergens<br />

get into airways, immune system overreacts. The<br />

muscles around your airways tighten (an effect<br />

called bronchospasm).The airways themselves<br />

become inflamed <strong>and</strong> flooded with thick mucus. (5)<br />

Asthma is a chronic inflammatory lung disease that<br />

is characterized <strong>by</strong> airway edema <strong>and</strong> increased<br />

mucus secretion. A propensity for allergic responses,<br />

atopy, is associated with the development <strong>of</strong> asthma.<br />

(6)<br />

Allergic asthma, which affects an estimated 100<br />

million individuals worldwide is caused <strong>by</strong> chronic<br />

airway inflammation associated with IgE- synthesis<br />

<strong>and</strong> subsequent Th2 (T-helper type-2 cell)-responses.<br />

The pathophysiological hallmark <strong>of</strong> asthma is the<br />

infiltration <strong>of</strong> inflammatory cells, including<br />

eosinophils, neutrophils, lymphocytes <strong>and</strong><br />

macrophages. These cells release various<br />

inflammatory mediators, including histamine <strong>and</strong><br />

cytokines. (7) According to World Health<br />

Organization (WHO) statistics it is estimated that<br />

300 million have asthma, markedly affecting the<br />

quality <strong>of</strong> life <strong>of</strong> these individuals <strong>and</strong> their families<br />

<strong>and</strong> negatively impacting the socio-economic<br />

welfare <strong>of</strong> society <strong>and</strong> 250,000 avoidable asthma<br />

deaths occur in the world each year. (8)<br />

Modern approaches includes mast cell stabilizers,<br />

leukotriene receptor antagonists, histamine receptor<br />

blockers, β 2 receptor agonists, methylxanthines <strong>and</strong><br />

corticosteroids but clinical evaluations <strong>of</strong> these drugs<br />

have shown incidences <strong>of</strong> relapse, side effects <strong>and</strong><br />

drug interactions. For examples, β 2 receptor agonists<br />

like salbutamol may cause muscle tremors,<br />

palpitation, restlessness, nervousness <strong>and</strong> throat<br />

irritation while leukotriene receptor antagonists like<br />

montelukast <strong>and</strong> zafirlukast can cause headache <strong>and</strong><br />

(9, 10)<br />

gastrointestinal disturbances.<br />

These therapeutic limitations have provided<br />

incentive anti-asthmatic drugs. Due to those side<br />

effects, there is a need to find new anti-asthmatic<br />

compound(s) with potentially less or no side effects.<br />

Herbal medicines are being increasingly utilized to<br />

treat a wide variety <strong>of</strong> diseases, though the<br />

knowledge about their mode <strong>of</strong> action is relatively<br />

scanty. So there is a growing interest regarding the<br />

pharmacological evaluation <strong>of</strong> various plants used in<br />

(3)<br />

traditional system <strong>of</strong> medicine. The use <strong>of</strong><br />

traditional medicine is exp<strong>and</strong>ing to newer horizons<br />

<strong>and</strong> plants still remain as the novel source <strong>of</strong><br />

structurally important compounds that lead to the<br />

development <strong>of</strong> innovative drugs. Naturally<br />

occurring compounds from plants are still used in<br />

pharmaceutical preparations in pure or extracted<br />

forms. (11)<br />

Plants extracts, however are some <strong>of</strong> the attractive<br />

sources <strong>of</strong> new drug <strong>and</strong> have shown to produce<br />

promising results in treatment <strong>of</strong> allergic<br />

inflammatory diseases such as asthma. (12, 13) It is a<br />

short-lived perennial subshrub (woody stem <strong>and</strong><br />

herbaceous branches) commonly growing to 60 cm,<br />

but sometimes reaching 1.5 min height. The alternate<br />

leaves are variable in both shape <strong>and</strong> size <strong>and</strong> grows<br />

today in over 70 countries throughout the tropical,<br />

subtropical <strong>and</strong> warm temperate regions. (14) It is<br />

commonly known as Huang hua mu [China], Arrow<br />

leaf sida [English], Bala, Mahabala [India], Chikana,<br />

Sadeva [Marathi], Bariara, Swetbarela [Hindi],<br />

(15, 16, 17)<br />

Baladana [Gujarati] <strong>and</strong> Sittamutti [Madras].<br />

Leaves contains chemical constituents such as<br />

ascorbic-acid, beta-carotene, beta-phenethylamine,<br />

calcium, carbohydrates, fat, fiber, gums, rib<strong>of</strong>lavin,<br />

zinc, iron, niacin, thiamin <strong>and</strong> hipaphorine while<br />

phytochemical constituents such as flavonoids (&<br />

their glycosides),alkaloids (pseudoephedrine, vascin,<br />

vasicine.), phenolic compounds, saponins, steroids<br />

(& their glycosides), tannins, triterpenoids (& their<br />

glycosides). (13, 15) Roots contain alkaloids, choline,<br />

cobalt, copper, cryptolepine, <strong>and</strong> ephedrine. Stems<br />

contain magnesium, mucilage. (15) Fruits contain<br />

tannins, phenolics, alkaloids, flavonoids while seeds<br />

(18, 19)<br />

contain ecdysterone. Plant is reported to<br />

possess activities such as antinociceptive <strong>and</strong> antiinflammatory<br />

activity, (13) In-Vitro antioxidant, (20)<br />

(21)<br />

analgesic activity, anti-inflammatory <strong>and</strong><br />

hepatoprotective activity, (22) Free radical scavanging<br />

activity, (23) antiproliferative activity, (24) antigout<br />

activity, (25) antidirrhoeal activity, (26) antiarthritic<br />

(27)<br />

(28)<br />

activity, nephroprotective activity <strong>and</strong><br />

hypoglycemic <strong>and</strong> hypolipidemic activity (29) etc.<br />

Flavonoids display several pharmacological<br />

properties in treating the allergic inflammations,<br />

IJAPR / Oct. 2012/ Vol. 3 /Issue. 10 / 1193 – 1202 1194


Anupama A. Suralkar et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

acting as anti-inflammatory <strong>and</strong> antioxidant agents.<br />

(30)<br />

Saponins, (31) steroids, (7) tannins (32) <strong>and</strong> their<br />

related compounds are reported to possess antiinflammatory<br />

activity.<br />

Traditionally, Sida rhombifolia Linn ssp. rhombifolia<br />

commonly known as a “Mahabala” is use in<br />

treatment <strong>of</strong> allergic diseases such as a bronchial<br />

asthma, bronchitis, wheezing, cough, short<br />

windedness, swelling, wounds, burns, itch, sores,<br />

eczema, skin diseases, dermatosis, tonsilitis <strong>and</strong><br />

respiratory inflammations. (15) Traditionally leaves<br />

are used in all kinds <strong>of</strong> inflammations. It removes<br />

“Tridosha”. (16)<br />

Hence, taking into consideration the traditional<br />

claims, phytochemical constituents <strong>and</strong> reported<br />

activities, the present study was planned to evaluate<br />

the antiallergic <strong>and</strong> antianaphylactic activity <strong>of</strong> Sida<br />

rhombifolia Linn in management <strong>of</strong> asthma.<br />

MATERIALS AND METHODS<br />

Experimental animals<br />

Swiss albino mice weighing 20-25 gm <strong>and</strong> Wistar<br />

albino rats weighing 150-250g were housed in<br />

st<strong>and</strong>ard cages at room temperature 25 ± 2 °C <strong>and</strong><br />

50±5% relative humidity, under a light/dark cycle <strong>of</strong><br />

12/12 h, for 1 week before the experiments. Animals<br />

were provided with st<strong>and</strong>ard rodent pellet diet<br />

(Amrut laboratory animal feed, Sangli, Maharashtra,<br />

India) <strong>and</strong> water ad libitum. Laboratory animal<br />

h<strong>and</strong>ling <strong>and</strong> experimental procedures were<br />

performed in accordance with the guidelines <strong>of</strong><br />

CPCSEA <strong>and</strong> experimental protocol was approved<br />

<strong>by</strong> Institutional Animal Ethics Committee.<br />

(CPCSEA Approval No: 198/99).<br />

Selection, procurement <strong>of</strong> plant material <strong>and</strong><br />

preparation <strong>of</strong> extract<br />

The leaves <strong>of</strong> Sida rhombifolia (SR) Linn<br />

(33, 34)<br />

(Malvaceae) were selected for study. Fresh<br />

leaves <strong>of</strong> SR were collected from local areas <strong>of</strong><br />

Tiruvanantpuram, Kerala, India. The specimen was<br />

authenticated at Botanical Survey <strong>of</strong> India (BSI),<br />

Pune. The extractions <strong>of</strong> leaves <strong>of</strong> SR were carried<br />

<strong>by</strong> soxhlation method <strong>using</strong> soxhlate’s apparatus. (20)<br />

In this method 1000 gm <strong>of</strong> leaf powder was extracted<br />

with 95% ethanol. It was then filtered <strong>and</strong><br />

concentrated to obtain the ethanolic extract <strong>of</strong> SR.<br />

The % yield obtained from leaves was 25 gm. (25%<br />

w/w). Extract was subjected to qualitative chemical<br />

tests for the identification <strong>of</strong> various<br />

phytoconstituents. (35)<br />

Experimental design<br />

Acute oral toxicity study <strong>and</strong> selection <strong>of</strong> doses<br />

Dose was selected <strong>by</strong> <strong>using</strong> acute oral toxicity study.<br />

(36) The toxicity study for ethanolic extract <strong>of</strong> leaves<br />

<strong>of</strong> was performed <strong>using</strong> rats. The animals were<br />

fasted overnight prior to the experiment <strong>and</strong><br />

maintained under st<strong>and</strong>ard conditions. To find the<br />

LD50 <strong>of</strong> ethanolic extract <strong>of</strong> leaves <strong>of</strong> SR, six groups<br />

<strong>of</strong> rats, containing six in each group, were given SR<br />

in the doses <strong>of</strong> 500, 1000<strong>and</strong> 2000 mg/kg orally. The<br />

animals were observed for 5 min every 30 min till 2<br />

h <strong>and</strong> then at 4, 8 <strong>and</strong> 24 h after treatment for any<br />

behavioral changes/mortality. They were further<br />

observed daily for 7 days for mortality. No mortality<br />

up to 7 days after treatment was observed with the<br />

ethanolic extract <strong>of</strong> leaves <strong>of</strong> SR <strong>and</strong> therefore was<br />

found safe up to dose <strong>of</strong> 2000 mg/kg. Accordingly<br />

100,200 <strong>and</strong> 400 mg/kg p.o. doses were selected for<br />

rats <strong>and</strong> mice.<br />

Effect <strong>of</strong> ethanolic extract <strong>of</strong> Sida rhombifolia<br />

(EtOH-SR) leaves on milk induced leukocytosis<br />

(3, 31)<br />

<strong>and</strong> eosinophilia in mice:<br />

Mice were divided into five groups (n=5). Animals<br />

belonging to group I served as positive control <strong>and</strong><br />

was administered with only boiled <strong>and</strong> cooled milk<br />

(4 ml/kg, s.c.).Animals belonging to group II served<br />

as st<strong>and</strong>ard <strong>and</strong> were administered with<br />

Dexamethasone (50 mg/kg i.p.) while animals<br />

belonging to group III to V served as test group <strong>and</strong><br />

were received respective doses <strong>of</strong> ethanolic extract<br />

<strong>of</strong> Sida rhombifolia <strong>and</strong> 1 hr later boiled <strong>and</strong> cooled<br />

milk (4 ml/kg, s.c.) was administered to the same<br />

animals. After 24 hr, blood samples were collected<br />

from all animals from their retro orbital plexus,<br />

under light ether anesthesia. Total leukocytes <strong>and</strong><br />

eosinophils counts were recorded in each group 24<br />

hr after milk injection <strong>and</strong> difference in no. <strong>of</strong><br />

leucocytes <strong>and</strong> eosinophils count was calculated.<br />

Effect <strong>of</strong> ethanolic extract <strong>of</strong> Sida rhombifolia<br />

(EtOH-SR) leaves on compound 48/80- induced<br />

mast cell degranulation in rats: (37)<br />

Procedure:<br />

Rats were divided into five groups (n=5). On the 1st<br />

day <strong>of</strong> sensitization, all the animals from each group<br />

were injected with Compound 48/80 (1mg/kg, s.c.).<br />

Animals belonging to group II served as st<strong>and</strong>ard<br />

<strong>and</strong> were administered with Ketotifen fumarate<br />

(1mg/kg, p.o.). While animals belonging to group III<br />

to group V served as test group <strong>and</strong> were<br />

administered with respective doses <strong>of</strong> ethanolic<br />

extract <strong>of</strong> Sida rhombifolia for 15 days. On day 15th,<br />

2 hour after the assigned treatment, mast cells were<br />

collected from the peritoneal cavity. Ten ml <strong>of</strong><br />

normal saline solution was injected into peritoneal<br />

cavity <strong>and</strong> abdomen was gently massaged for 90<br />

second. The peritoneal cavity was carefully opened<br />

<strong>and</strong> the fluid containing mast cells were aspirated<br />

<strong>and</strong> collected in siliconised test tube containing 7 to<br />

10 ml <strong>of</strong> RPMI-1640 Medium (pH 7.2- 7.4).The<br />

IJAPR / Oct. 2012/ Vol. 3 /Issue. 10 / 1193 – 1202 1195


Anupama A. Suralkar et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

mast cells were then washed thrice <strong>by</strong> centrifugation<br />

at low speed (400-500 rpm) <strong>and</strong> the pallets <strong>of</strong> mast<br />

cells were taken in the RPMI-1640 medium. The<br />

mast cell suspension (approximately 1 x 10 6<br />

cells/ml) was challenged with 5 μg/ml <strong>of</strong> compound<br />

48/80 solution <strong>and</strong> stained with 0.1 % toluidine blue<br />

<strong>and</strong> observed under high power microscope (45<br />

X).Total 100 cells were counted from different<br />

visual areas. The numbers <strong>of</strong> intact <strong>and</strong> degranulated<br />

cells was counted <strong>and</strong> the percent protection was<br />

calculated <strong>using</strong> the formula,<br />

% Protection = [1-(T / C)] x 100<br />

Where,T- No. <strong>of</strong> degranulated cells <strong>of</strong> test, C-No. <strong>of</strong><br />

degranulated cells <strong>of</strong> control.<br />

Effect <strong>of</strong> ethanolic extract <strong>of</strong> Sida rhombifolia<br />

(EtOH-SR) leaves on egg albumin induced<br />

passive paw anaphylaxis in rats: (3)<br />

Wistar rats were divided into five groups (n=5).<br />

Antiserum to egg albumin was raised in rats <strong>by</strong> <strong>using</strong><br />

aluminum hydroxide gel as an adjuvant. On 1st, 3rd<br />

<strong>and</strong> 5th day, animals were given three doses <strong>of</strong> 250<br />

μg <strong>of</strong> egg albumin (s.c.) adsorbed on 12 mg <strong>of</strong><br />

aluminum hydroxide gel prepared in 0.5 ml <strong>of</strong> saline.<br />

On 10th day <strong>of</strong> sensitization, the blood <strong>of</strong> each<br />

animal was collected from the retro orbital plexus<br />

under light ether anesthesia. The collected blood was<br />

allowed to clot <strong>and</strong> serum is separated <strong>by</strong><br />

centrifugation at 1500 rpm. The animals were<br />

passively sensitized with 0.1 ml <strong>of</strong> the undiluted<br />

serum into the left hind paw. The right hind paw<br />

received an equal volume <strong>of</strong> saline. Animals<br />

belonging to group I served as control <strong>and</strong> was<br />

administered with only distilled water (10 ml/kg,<br />

p.o.). Animals belonging to group II served as<br />

st<strong>and</strong>ard <strong>and</strong> were administered <strong>by</strong> Dexamethasone<br />

(0.5 mg/kg, i.p.); whereas animals belonging to<br />

group III to group V served as test group <strong>and</strong> were<br />

administered with respective doses <strong>of</strong> ethanolic<br />

extract <strong>of</strong> Sida rhombifolia 24 hr after sensitization.<br />

One hr after drug administration, animals were<br />

challenged <strong>by</strong> giving 10 μg <strong>of</strong> egg albumin in 0.1 ml<br />

<strong>of</strong> saline in the left hind paw <strong>and</strong> the paw<br />

inflammation was measured <strong>by</strong> <strong>using</strong> a<br />

Plethysmometer (UGO Basile, 7140).The difference<br />

in the reading prior to <strong>and</strong> after antigen challenge<br />

represents the edema volume <strong>and</strong> the percent<br />

inhibition <strong>of</strong> edema was calculated <strong>by</strong> <strong>using</strong> the<br />

formula,<br />

% Inhibition = [1-(T / C)] x 100<br />

T - Mean relative change in paw volume in test<br />

group,C- Mean relative change in paw volume in<br />

control group.<br />

Statistical analysis<br />

The results were expressed as mean ± SEM from 5<br />

animals. Statistical analysis done <strong>by</strong> <strong>using</strong> one way<br />

ANOVA followed <strong>by</strong> Dunnett’s test. (12) p


Anupama A. Suralkar et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

3rd <strong>and</strong> 4th hrs time intervals <strong>and</strong> the percent<br />

inhibition was found to be 44.09 %, 53.39 %, 61.37<br />

%, 65.65 % <strong>and</strong> 74.68 % respectively. Treatment<br />

with ethanolic extract <strong>of</strong> Sida rhombifolia at the dose<br />

<strong>of</strong> 100 mg/kg, p.o. significantly reduced (p


Anupama A. Suralkar et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

Thus, the present study shows that Sida rhombifolia<br />

extract prevent the release <strong>of</strong> inflammatory<br />

mediators <strong>by</strong> decreasing the leucocytic <strong>and</strong><br />

eosinophilic count <strong>and</strong> which further may contribute<br />

in the management <strong>of</strong> allergic asthma.<br />

Compound 48/80 is a polymeric base having<br />

histamine releasing activity. Histamine release <strong>by</strong> the<br />

amine-exchange mechanism would require access <strong>of</strong><br />

the releaser to intracellular binding sites <strong>of</strong><br />

histamine. Alkalinity should enhance this process; it<br />

would favour the passage <strong>of</strong> the compound across<br />

lipoid barriers on the mast cell membrane.<br />

Approximately 4.5 times more histamine was<br />

released at pH 8.2 than at 7.4. (41)<br />

The pathological mechanisms involved in Type-I<br />

allergy has been explained as the degranulation <strong>of</strong><br />

mast cells, followed <strong>by</strong> the release <strong>of</strong> mediators such<br />

as histamine, leukotrienes <strong>and</strong> prostagl<strong>and</strong>ins from<br />

these cells . The degranulation <strong>of</strong> mast cells occurs<br />

in response to the immunological stimuli in which<br />

the antigen– antibody reaction on the cell surface<br />

predominates. The mast cell stabilizing effect can be<br />

attributed to a great extent to the presence <strong>of</strong><br />

flavonoids, as many <strong>of</strong> these compounds have been<br />

reported to possess this activity. (37) Stimulation <strong>of</strong><br />

mast cells with compound 48/80 or antiserum<br />

initiates the activation <strong>of</strong> signal transduction<br />

pathway, which leads to histamine release. Some<br />

recent studies showed that compound 48/80 <strong>and</strong><br />

other polybasic compounds are able to activate G<br />

proteins. The compound 48/80 increased the<br />

permeability <strong>of</strong> the lipid bilayer membrane <strong>by</strong><br />

ca<strong>using</strong> a perturbation <strong>of</strong> the membrane. These<br />

results indicated that the membrane permeability<br />

increase may be an essential trigger for the release <strong>of</strong><br />

the mediators from the mast cells. (42) It has been<br />

reported that agents that induce the elevation <strong>of</strong><br />

intracellular cAMP levels can attenuate the<br />

stimulated release <strong>of</strong> mediators from mast cells. (43)<br />

Mast cells are the primary effector cells involved in<br />

an allergic or immediate hypersensitivity response.<br />

Activation <strong>of</strong> mast cells occurs in response to a<br />

challenge <strong>by</strong> a specific antigen against which the<br />

surface immunoglobulin E (IgE) is directed, or <strong>by</strong><br />

other IgE-directed lig<strong>and</strong>s. Activated mast cells can<br />

produce histamine, as well as a wide variety <strong>of</strong> other<br />

inflammatory mediators such as eicosanoids,<br />

proteoglycans, proteases <strong>and</strong> several proinflammatory<br />

<strong>and</strong> chemotactic cytokines such as<br />

tumor necrosis factor-α, interleukin (IL) - 6, IL-4,<br />

IL-8, <strong>and</strong> IL-13. Among them, histamine remains the<br />

best-characterized <strong>and</strong> most potent vasoactive<br />

mediator implicated in the acute phase <strong>of</strong> immediate<br />

hypersensitivity. Various acute <strong>and</strong> chronic allergic<br />

responses are caused <strong>by</strong> these mediators. (43) Mast<br />

cell degranulation can also be elicited <strong>by</strong> the basic<br />

secretagogues. The most potent secretagogues<br />

include the synthetic compound 48/80 <strong>and</strong> polymers<br />

<strong>of</strong> basic amino acids. Compared with the natural<br />

process, a high concentration <strong>of</strong> compound 48/80<br />

induces an almost 90% release <strong>of</strong> histamine from<br />

mast cells. Thus, an appropriate amount <strong>of</strong><br />

compound 48/80 has been used as a direct <strong>and</strong><br />

convenient reagent to investigate the mechanisms <strong>of</strong><br />

allergy <strong>and</strong> anaphylaxis. The murine mast cell is a<br />

good experimental model for the study <strong>of</strong> compound<br />

48/80-induced histamine release. It is wellrecognized<br />

that compound 48/80 can induce a mast<br />

cell-dependent, non-specific anaphylactoid reaction.<br />

The mechanism <strong>of</strong> anaphylactoid response triggered<br />

<strong>by</strong> compound 48/80 is considered to be due to the<br />

massive release <strong>of</strong> vasoactive amines, such as<br />

histamine, from mast cells <strong>and</strong> basophils. As noted,<br />

histamine is a typical mediator that causes various<br />

pathophysiologic events in acute allergic reactions.<br />

(43)<br />

In the present study, control group treated with<br />

Compound 48/80 showed more mast cell<br />

degranulation where as group treated with Ketotifen<br />

fumarate significantly reduced the mast cell<br />

degranulation while group treated with Sida<br />

rhombifolia extract also significantly reduced the<br />

mast cell degranulation but reduction was found to<br />

be less as compared to Ketotifen fumarate <strong>and</strong> the<br />

effect may be due to its mast cell stabilizing activity<br />

<strong>and</strong> there<strong>by</strong> reduction in release <strong>of</strong> histamine <strong>and</strong><br />

other vasoactive amines <strong>and</strong> further array <strong>of</strong><br />

inflammatory cascade <strong>and</strong> which further may<br />

contribute in the management <strong>of</strong> allergic asthma.<br />

Egg allergy is one <strong>of</strong> the most common food<br />

allergies, affecting 1% to 2% <strong>of</strong> young children. It is<br />

overall second only to milk allergy in prevalence <strong>and</strong><br />

in most studies has been shown to be the most<br />

common food allergy in children with atopic<br />

dermatitis. In addition, early sensitization to egg is a<br />

marker <strong>of</strong> later sensitization to aeroallergens <strong>and</strong> the<br />

(44)<br />

development <strong>of</strong> asthma. There is much<br />

resemblance in clinical features between<br />

inflammation <strong>and</strong> immune reaction in the tissue. In<br />

both condition, there is local vasodilatation,<br />

increased capillary permeability <strong>and</strong> formation <strong>of</strong><br />

oedema due to local release <strong>of</strong> various vasoactive<br />

amines like histamine, bradykinin, SRS-A <strong>and</strong><br />

prostagl<strong>and</strong>ins. One <strong>of</strong> the most important<br />

approaches used in the examination <strong>of</strong> the immune<br />

pathological mechanisms <strong>of</strong> anaphylactic <strong>and</strong><br />

inflammatory disorder is to elicit the formation <strong>of</strong><br />

paw oedema, injecting various substances into the<br />

sub plantar injection <strong>of</strong> a number <strong>of</strong> substances in the<br />

hind paw <strong>of</strong> rats. (45)<br />

IJAPR / Oct. 2012/ Vol. 3 /Issue. 10 / 1193 – 1202 1198


Anupama A. Suralkar et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

Basophils, mast cells <strong>and</strong> their preformed de novo<br />

synthesized mediators, play a pivotal role in the<br />

pathogenesis <strong>of</strong> allergic disorders. These molecules<br />

are potent vasoactive <strong>and</strong> bronchoconstrictor agents<br />

<strong>and</strong> they modulate local immune responses <strong>and</strong><br />

inflammatory cell infiltration. Immunoglobulin E<br />

(IgE) mediated mast cell stimulation is an important<br />

initial event in the development <strong>of</strong> type I allergic<br />

reactions like asthma <strong>and</strong> atopic disorders. Clinical<br />

studies have found a close association between<br />

asthma <strong>and</strong> serum IgE levels as well as IgE<br />

dependent skin test reactivity to allergens. Antigen<br />

challenge, in sensitized animals, results in<br />

degranulation <strong>of</strong> mast cells, which is an important<br />

feature <strong>of</strong> anaphylaxis. The antigen <strong>and</strong> antibody<br />

(AG: AB) reaction taking place on the surface <strong>of</strong><br />

mast cells leading to release <strong>of</strong> mediators.<br />

Degranulated mast cells release a number <strong>of</strong><br />

mediators like leukotrienes, platelet activating factor,<br />

eosinophilic chemotactic factor <strong>and</strong> eosinophilderived<br />

neurotoxin. The prevention <strong>of</strong> degranulation<br />

process <strong>by</strong> the extract indicates a possible stabilizing<br />

effect on the biomembrane <strong>of</strong> mast cells. (46)<br />

Anaphylactic allergic reaction is a life-threatening<br />

syndrome induced <strong>by</strong> the sudden systemic release <strong>of</strong><br />

inflammatory mediators such as histamine <strong>and</strong><br />

proinflammatory cytokines <strong>and</strong> can be elicited <strong>by</strong><br />

various stimulators including compound 48/80 <strong>and</strong><br />

IgE. IgE is prominently related to atopic diseases<br />

such as allergy. (47)<br />

In the present study, control group treated with egg<br />

albumin showed increase in paw edema while group<br />

treated with Dexamethasone significantly inhibited<br />

the paw edema while group treated with Sida<br />

rhombifolia extract also significantly inhibited the<br />

paw edema but inhibition was found to be less as<br />

compared to Dexamethasone <strong>and</strong> the effect may be<br />

due to its antiallergic (inhibition <strong>of</strong> AG: AB<br />

reaction) <strong>and</strong> mast cell stabilizing activity <strong>and</strong> which<br />

further may contribute in the management <strong>of</strong> allergic<br />

asthma.<br />

Table 1: Effect <strong>of</strong> ethanolic extract <strong>of</strong> Sida rhombifolia (EtOH-SR) leaves on milk induced leukocytosis <strong>and</strong><br />

eosinophilia in mice<br />

Groups<br />

( n = 5)<br />

Difference in number <strong>of</strong> leukocyte<br />

count (per cu mm)<br />

Difference in number <strong>of</strong> eosinophil<br />

count (per cu mm)<br />

I (Control) 4508.6± 48.590 120.2±4.587<br />

II (Std) 837.6±24.266** 54.8±4.317**<br />

III (SR 100) 3793.6±61.845** 104.4±2.731*<br />

IV (SR 200) 2287.2±28.909** 80±3.162**<br />

V (SR 400) 978.2±23.865** 70.4±4.434**<br />

*p


Anupama A. Suralkar et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

Group-III (SR 100) = Ethanolic extract <strong>of</strong> leaves <strong>of</strong> Sida rhombifolia (100 mg/kg p.o.). + Compound 48/80<br />

(1mg/kg, s.c.).<br />

Group- IV (SR 200) = Ethanolic extract <strong>of</strong> leaves <strong>of</strong> Sida rhombifolia (200 mg/kg, p.o.) + Compound 48/80<br />

(1mg/kg, s.c.).<br />

Group- V (SR 400) = Ethanolic extract <strong>of</strong> leaves <strong>of</strong> Sida rhombifolia (400 mg/kg, p.o.) + Compound 48/80<br />

(1mg/kg, s.c.).<br />

Table 3: Effect <strong>of</strong> ethanolic extract <strong>of</strong> Sida rhombifolia (EtOH-SR) leaves on egg albumin induced passive<br />

paw anaphylaxis in rats<br />

Groups<br />

Paw edema volume (ml) (Mean ± SEM)<br />

(n=5)<br />

0.5 hr 1 hr 2 hr 3 hr 4hr<br />

I (Control) 0.49±<br />

0.53±<br />

0.57±<br />

0.6±<br />

0.65±<br />

0.005<br />

0.003<br />

0.004<br />

0.007<br />

0.005<br />

II (Std) 0.27±<br />

0.24±<br />

0.22±<br />

0.20±<br />

0.16±<br />

0.005**<br />

0.003**<br />

0.004**<br />

0.005**<br />

0.005**<br />

III (SR 100) 0.48±<br />

0.51±<br />

0.44±<br />

0.35±<br />

0.31±<br />

0.003<br />

0.005<br />

0.005**<br />

0.007**<br />

0.005**<br />

IV (SR 200) 0.47±<br />

0.50±<br />

0.35±<br />

0.33±<br />

0.29±<br />

0.005*<br />

0.005**<br />

0.004**<br />

0.007**<br />

0.002**<br />

V (SR 400) 0.45±<br />

0.42±<br />

0.31±<br />

0.30±<br />

0.25±<br />

0.005**<br />

0.003**<br />

0.003**<br />

0.005**<br />

0.003**<br />

Groups<br />

(n=5)<br />

Percent inhibition <strong>of</strong><br />

paw edema(%)<br />

0.5 hr 1 hr 2 hr 3 hr 4hr<br />

II (Std) 44.09 53.39 61.37 65.65 74.68<br />

III (SR100) 2.40 3.01 22.07 40.66 52.13<br />

IV (SR 200) 4.41 5.26 38.58 44.98 54.87<br />

V (SR 400) 7.64 19.55 44.19 48.98 60.67<br />

*p


Anupama A. Suralkar et al. / International Journal <strong>of</strong> Advances in Pharmaceutical Research<br />

CONCLUSION<br />

Thus, the results obtained in the present investigations indicates<br />

that ethanolic extract <strong>of</strong> leaves <strong>of</strong> SR may prove to be useful in<br />

preventing allergic conditions <strong>and</strong> diseases such as a asthma<br />

owing to its ability to decrease the increased eosinophilic,<br />

leucocytic count, prevention <strong>of</strong> mast cell degranulation <strong>and</strong><br />

inhibition <strong>of</strong> paw edema volume <strong>and</strong> the effect may be due to<br />

adaptogenic, antistress, mast cell stabilizing, inhibition <strong>of</strong> antigen:<br />

antibody (AG:AB) reaction <strong>and</strong> anti-inflammatory activity <strong>of</strong><br />

the extract <strong>and</strong> the presence <strong>of</strong> phytochemical constituents such as<br />

flavonoids, alkaloids, saponins, tannins <strong>and</strong> steroids. Thus, our<br />

studies established a significant antiallergic effect <strong>of</strong> EtOH-SR.<br />

However, further studies are required to establish its exact mode<br />

<strong>of</strong> action <strong>and</strong> the active principles involved in its antiallergic <strong>and</strong><br />

antianaphylactic effect.<br />

ACKNOWLEDGEMENT<br />

Authors are grateful to Dr. S. S. Chitlange, Principal, Padm. Dr.<br />

D. Y. Patil, Institute <strong>of</strong> Pharmaceutical Sciences <strong>and</strong> Research,<br />

Pimpri, Pune-411018, Maharashtra, India, for providing<br />

laboratory facilities.<br />

CONFLICT-OF-INTEREST<br />

The authors declare that they have no conflict <strong>of</strong> interest.<br />

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INTERNATIONAL CONGRESS IN PHARMACY AND HEALTH SCIENCES<br />

Pharma Science Tech Association, Foundation No: AP/PSTA/56/2012.<br />

Please visit for Details: www.icphsmembership.com<br />

Totally three types<br />

FICPHS (Fellowship in International Congress in Pharmacy <strong>and</strong> Health Sciences), MICPHS (Member in International Congress in<br />

Pharmacy <strong>and</strong> Health Sciences), AMICPHS (Associate Member in International Congress in Pharmacy And Health Sciences)<br />

Eligibility<br />

FICPHS: Ph.D in Chemistry/ Pharmacy / M.Sc / M.Pharm with 2 years experience, MICPHS: M.Sc / M.Pharm (or) B.Sc / B.Pharm with<br />

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