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CHAPTER -4 In Vivo Anti-Inflammatory and Analgesic Activities of Nigella sativa L. Seed in Various Germination Phases “The good thing about science is that it's true whether or not you believe in it.” ~Neil deGrasse Tyson

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Page 1: CHAPTER 4shodhganga.inflibnet.ac.in/bitstream/10603/36846/10/15 chapter-4.pdf · CHAPTER-4 Integral University, Lucknow 124 4.1 Rationale Throughout the world inflammatory diseases

CHAPTER-4

In Vivo Anti-Inflammatory and

Analgesic Activities of Nigella

sativa L. Seed in Various

Germination Phases

“The good thing about science is that it's true whether or not

you believe in it.”

~Neil deGrasse Tyson

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Integral University, Lucknow 124

4.1 Rationale

Throughout the world inflammatory diseases are becoming common in aging

society. Recent studies indicate that the mediators and cellular effectors of

inflammation are important constituents of the local environment of tumors

(Mantovani et al., 2008). Inflammation is self-protective mechanism of the body to

eliminate the injurious stimuli as well as begin the healing process for the tissue.

However, if runs unchecked, leads to onset of diseases such as vasomotor

rhinnorrhoea, rheumatoid arthritis, and atherosclerosis (Henson et al., 1989).

Inflammation can increase pain independent of the direct experience of pain. Pain

can be defined as a somatic sensation of acute discomfort a symptom of some

physical hurt or disorder, or even emotional distress. Pain can be classified into two

types: acute pain and chronic pain. Acute pain “is a body’s warning of present

damage to tissue or disease. It is often fast and sharp followed by aching pain. It is

short-term pain or pain with easily identifiable causes. Chronic pain is a pain that last

much longer than pain normally would with a particular injury. Chronic pain can be

constant or intermittent and generally harder to treat than acute pain. Pain can also be

grouped by its source and related pain detecting neurons such as cutaneous pain

somatic pain, visceral pain and neuropathic pain (Niv et al., 2007).

The drugs which are used presently for the management of pain and

inflammatory conditions are either narcotics or non narcotics (NSAIDs), and have

known toxic and lethal effects. It is alleged that current drugs available such as

opoids and NSAIDs drugs are not helpful in all cases of inflammatory disorders,

because of their side effects, less effectiveness and economy (Ahmadiani et al.,

1998; Gambhire et al., 2009). Development of newer anti-inflammatory compounds

possessing no side effect still remains a challenge to the scientific community. On

the contrary, herbal medicines with good absorption, less toxicity, and easy

availability have been used since ancient times. Natural products in general and

medicinal plants in particular, are believed to be a key source of new chemical

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substances or phytoconsituents with potential therapeutic efficacy (Ameh et al.,

2009).

The present study was undertaken to investigate the anti-inflammatory and

analgesic effects of Nigella sativa L. (N. sativa) methanol extracts of successive

germination phases by using in vivo and in silico techniques. Anti-inflammatory drug

target receptors were draw out from literature survey for in silico study and docking

studies were carried out with the active constituents of N. sativa to identify the

possible leads using AutoDock 4.2 software.

4.2. REVIEW OF LITRATURE

4.2.1. Non-steroidal anti-inflammatory drugs (NSAIDs): Drugs to control

inflammation and pain

Non-steroidal anti inflammatory drugs (NSAIDs) have been commonly used

in both human and veterinary medicine for reduction or treatment of pain and

inflammation in different arthritic and postoperative conditions due to their anti-

inflammatory, antipyretic, and analgesic activities. Phenylbutazone, diclofenac,

aspirin, indomethacin, meloxicam and some other NSAIDs are being used as

therapeutic measures for pain, inflammation and fever. NSAIDs exert their anti-

inflammatory effect through inhibition of prostaglandin G/H synthase or

cyclooxygenase, which is the enzyme catalyzing the transformation of arachidonic

acid to prostaglandins and thromboxanes. This enzyme has two recognized forms:

Cyclooxygenase-1 (cox-1) and Cyclooxygenase-2 cox-2 (Vane et al., 2003).

Although they are classified as mild analgesics, NSAIDs have a more

significant effect on pain resulting from the increased peripheral sensitization that

occurs during inflammation and leads nociceptors to respond to stimuli that are

normally painless. In particular, it is believed that inflammation leads to a lowering

of the response threshold of polymodal nociceptors (Fitzgerald, 2003).

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Figure 4.1: Mechanism of selective and non selective NSAIDs (Vane et al., 2003;

Fitzgerald, 2003).

NSAIDs wield their antipyretic effect by inhibition of prostaglandin E2

(PGE2) synthesis, which is responsible for triggering the hypothalamus to increase

body temperature during inflammation (Fitzgerald, 2003).

4.2.2. Adverse effects of NSAIDs

The widespread use of NSAIDs has meant that the adverse effects of these

drugs have become increasingly prevalent. The main adverse drug reactions (ADRs)

associated with NSAIDs relate to gastrointestinal (GI) effects, renal effects of the

agents and hepatic toxicity.

4.2.2.1. Gastrointestinal (GI) toxicity

The main target of NSAID toxicity is gastrointestinal tract (GIT). It has also

been estimated that one third of the cost of treating arthritis patients relates to

treatment of the side effects of NSAIDs. Approximately 1,07,000 patients are

hospitalized annually for NSAIDs related gastrointestinal (GI) complications, and at

least 16,500 death occur among arthritis patients alone by NSAID using. Indian

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studies have shown that NSAIDs are among the most common drugs responsible for

adverse drug reactions seen in clinical practice (Doomra et al., 2001).

Non selective property induced GI ulcerations

Prostaglandins (PGs) have long been known to be mucous protective and

ulcer healing agents. Prostaglandins protect GI mucosa by forming a cytoprotective

layer and increasing the secretion of bicarbonate ions that neutralize the gastric

acidity. All therapeutically useful NSAIDs act by inhibiting the synthesis of PGs

(Tamblyn et al., 1997). Cyclooxygenase has two isoforms, one constitutive (COX-1)

and another inducible (COX-2). NSAIDs are now divided into selective (those

inhibiting COX-2) and non-selective (inhibiting both COX-1 and COX-2).

Conventional NSAIDs cause non-selective inhibition of cyclooxygenase, which

leads to reduction in bicarbonate secretion and reduced mucous production (Raskin

et al., 1999). Prolonged contact with most NSAIDs can result in ulceration due to

caustic properties. They can result in oesophagitis and even strictures (Vikas Dhikav

et al., 2003).

4.2.2.2. Renal toxicity

COX-1–related prostaglandins are largely constitutive and responsible for

maintaining the integrity of the gastrointestinal mucosa, platelet adhesion, and acid

secretion. In general, COX-1 functions in the control of renal hemodynamic and the

glomerular filtration rate (GFR); COX-2 functions affect salt and water excretion,

although there is some overlap. This separation of COX-mediated functions in the

kidney is based in part on the physiologic/anatomic distribution of COX-1 compared

to COX-2, blockade of either or both of these enzymes can have, therefore, different

effects on renal function (Nantel et al., 1999; Schnermann et al., 1999). However,

renal syndromes associated with the use of nonselective NSAIDs and COX-2–

selective inhibitors can be either prostaglandin-dependent (i.e. functional) or

prostaglandin-independent (i.e. anatomic). NSAID-induced decreases in PGE2 can

increase sodium and water re-absorption and can produce some weight gain and

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occasionally edema. NSAIDs can significantly decrease renal blood flow, with

resultant acute renal failure. NSAIDs can be the cause of acute renal failure,

exacerbation of renal insufficiency, hyperkalemia and interstitial nephritis (Murray et

al., 1990).

4.2.2.3 Hepatotoxicity

NSAIDs are consumed massively worldwide and along with antimicrobial

agents, are the most frequent causes of drug induced liver injury (Andrade et al.,

2005; Sgro et al., 2002; Hussaini et al., 2007). Indeed, roughly 10% of total drug-

induced hepatotoxicity is NSAIDs related. Long-term usage of NSAIDs at doses

sufficient to suppress inflammation has been implicated in serious adverse effects

mainly involving the gastrointestinal tract, kidneys, liver, haemovascular system, and

the lungs (Aucker et al., 1995; Gay et al., 1990).

Clinical trials were done with hospitalized patients, which demonstrated that

the increased risk of acute symptomatic hepatitis in patients using NSAID therapy is

approximately two-fold (Garcia et al., 1994). Indeed, a number of diseases treated

with NSAIDs can themselves be connected with mild or severe liver enzyme

abnormalities, and these must be distinguished from the cases of NSAID

hepatotoxicity (Mandell et al., 1999). Earlier all of the NSAIDs have been implicated

in causing liver injury and tend to be hepatocellular in nature: the mechanism is

thought to be immunological idiosyncrasy (Zimmerman 1990; Rabinovitz et al.,

1992). Diclofenac, and particularly sulindac, are reported to be more commonly

associated with hepatotoxicity (Bjorkman et al., 1998; Walker et al., 1997). There

are two main clinical patterns of hepatotoxicity due to NSAIDs (Rabinovitz et al.,

1992), the first is an acute hepatitis with jaundice, fever, nausea, greatly elevated

transaminases and sometimes eosinophilia. The alternative pattern is with serological

(ANF-positive) and histological (periportal inflammation with plasma and

lymphocyte infiltration and fibrosis extending into the lobule) features of chronic

active hepatitis.

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Ethno-botanical research done in last few decades have revealed the anti-

inflammatory and analgesic properties of plants cited in the traditional literature. Lot

of compounds were characterized from plants. The research into plants with alleged

folkloric use as pain relievers and anti-inflammatory agents is definitely a fruitful

and logical research strategy in the search for new analgesic and anti-inflammatory

drugs with no side effects.

4.2.3 Anti-inflammatory and analgesic activities of N. sativa L.

N. sativa L. regarding its therapeutic use, 1400 years ago Prophet

Muhammad (Peace and Blessings be upon Him) acclaimed that 'the black seed is a

cure for all the diseases'. Detailed scientific enquiries proved that N. sativa have an

immense array of diverse pharmacological activities. Extracts obtained from the

seeds of N. sativa are used as a spice or remedy for the treatment of various

inflammatory diseases. Al-Shebani investigated the antinociceptive activity of the

watery suspension of powdered N. sativa seeds in mice. Which implicate an opioid

activity of Nigella seeds constituents (particularly thymoquinone/TQ) participating

in its analgesic activity which characterized by inhibitory effect on nociceptive

system and / or inflammatory mediators (Al-Shebani et al., 2009).

Analgesic and anti-inflammatory effects of N. sativa seed polyphenols were

studied in mice and rats using the acetic acid-induced writhing, formalin, light tail

flick, carrageenan-induced paw edema, and croton oil-induced ear edema tests. In the

acetic acid-induced writhing test, oral administration of N. sativa polyphenols

decreased the number of abdominal constrictions. Both oral and intraperitoneal

administration of N. sativa polyphenols significantly suppressed in a dose-dependent

manner the nociceptive response. N. sativa polyphenols inhibited paw edema in a

dose-dependent manner. These results suggest that N. sativa polyphenols have

analgesic and anti-inflammatory effects (Ghannadi et al., 2005). The anti-

inflammatory activity of Nigella seed oil has also been evaluated using

carrageenan-induced paw edema in rats and croton oil-induced ear edema in

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mice by Hajhashemi and colleagues in 2004. The aqueous and methanolic extracts

of N. sativa showed analgesic effect in mice as it produced significant increases in

reaction times in the hot plate and pressure tests (Al-Naggar et al., 2003). The

aqueous extract also has an anti-inflammatory effect as demonstrated by its

inhibitory effects on carrageenan-induced paw edema in mice (Al-Naggar et al.,

2003).

TQ obviously has an important role in these pharmacological effects

(El-Gouhary et al., 2005). Thymoquinone has been reported to have potent

superoxide anion scavenging ability and to inhibit iron-dependent microsomal lipid

peroxidation. This is promising considering the fact that superoxide reacts with

protein and non-protein sulfhydryls and polyunsaturated fats and initiates specific

reactions, thus damaging cells and causing inflammation. Meanwhile free radical

oxidative stress is implicated in many inflammatory diseases. Therefore, it is

reasonable that the anti-inflammatory activities of thymoquinone are attributed to its

antioxidant effect. Interestingly, it was found that the whole oil had both antioxidant

and anti-eicosanoid effects greater than thymoquinone, the oil's active constituent.

The anti-inflammatory effect of thymoquinone was supported by its ability to

attenuate allergic airway inflammation by inhibiting Th2 cytokines and eosinophil

infiltration into the airways and goblet cell hyperplasia. Attenuation of airway

inflammation occurred concomitant to inhibition of COX-2 (cyclogenase) protein

expression and prostaglandin D2 production in a mouse model of allergic airway

inflammation induced with ovalbumin (Boskabady et al., 2004).

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4.3 MATERIALS AND METHODS

4.3.1 Collection of N. sativa seeds

Seeds of N. sativa were procured in September, 2010 from a herbal

shop in Lucknow, India and authenticated by a botanist at National Botanical

Research Institute, Lucknow. A voucher specimen of the seeds was kept in the

museum of the Department for future reference.

4.3.2 Germination of N. sativa seeds

Seed lots used for different experiments showed germination capacities

ranging from 80 to 98%. The seeds were surface sterilized with 0.1% HgCl2 for 3

min. They were rinsed thoroughly with double distilled water and soaked in de-

ionized water for 30 min.For germination of seeds, they were placed on four folds of

damp filter paper at 25°C and incubated in dark till the initiation of sprouting after

which they were placed at a light intensity of 100 µmol m-2

s-1

(that was measured by

LI-190SA quantum Sensor, Li-COR Co., USA) and a 14/10 h (day/night)

photoperiod till the complete plantlet with two leaves were obtained. The complete

germination took eleven days with emergence of epicotyl, hypocotyl, roots and green

leaves. Germination, defined as 1 mm radicle emergence, was followed for 11days.

No contamination by microorganisms was observed during this time period.

4.3.3 Harvest of germinated seeds

The germinated seeds of different days were harvested with a sterilized

forceps and were kept on blotting sheet to remove excess water. The germinated

seeds collected for different experiments were used immediately for preparing

extracts. Seeds were considered to be germinated after the radical emerged from the

testa. All the samples were stored at -80oC in a deep freezer until used further.

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4.3.4 Preparation of distilled extracts

The samples of seed and germinated phases 5th

, 7th

and 11th

day were shade-

dried and ground to a fine powder. The powder (20gm) was extracted with 200 ml

methanol solvent for 48 h in order to extract bioactive compounds using soxhlet

apparatus (AOAC method 1980). The extracts were filtered using Whatman filter

paper (No.1) and methanol was evaporated using rotary distillation apparatus to

obtained pure extract. Oily fraction of extracts was stored at 40C until use.

4.3.5 Animals

Male Wistar rats, weighing 150 - 200 g, were purchased from Central Drug

And Research Institute (CDRI), Lucknow, India and housed in a temperature

controlled room (22±2°C) with a 12 hour light-12 hour dark cycle and allowed free

access to a standard rat chow and filtered tap water for 7 days for acclimatization.

The study received the approval of the Institutional Animal ethics Committee

(IAEC) of Era’s Lucknow Medical College & Hospital. Animals were cared for in

accordance with the internationally accepted principles for laboratory animal use and

care and the procedures followed were in accordance with the standards set forth in

the Guide for the Care and Use of Laboratory Animals (published by the National

Academy of Science, National Academy Press, Washington, D.C.). They were

housed under controlled conditions of temperature of 23±20C, relative humidity of

30–70% and 12 h light–12 h dark cycle. The animals were housed individually in

polypropylene cages containing sterile paddy husk (procured locally) as bedding

throughout the experiment. All animals were fed with sterile commercial pelleted rat

chow supplied by Hindustan Lever Ltd. (Mumbai, India) and had free access to

water. Animals were kept under fasting for overnight and weighed before the

experiment.

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Plate 4.1 Rats in cages housed in a temperature controlled room.

4.3.6 Animal handling and care

Rats were usually held by the tail and handled in different ways for

various procedures, i.e., for feeding by gastric intubation, marking rats for

identification, blood retrieval etc. Rats were taken out of their respective cages

by gripping them by the tail. It might be necessary to calm them down by gently

patting them till they are still. The tail was held tightly close to the anal orifice

to keep the mouse under control while the middle finger and thumb of the

left hand is gently moved up from its rear end to the junction between its neck and

head. The rats were then held by gripping the skin on their neck right behind

the ears between the middle finger and the thumb while the index finger is used to

gently pull the skin from the tip of the snout in a swift but firm motion.

This method ensured that the mandible is pulled down and the maxilla held firmly in

place, and the mouth of the mouse is held wide open baring its teeth. The tail was

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usually trapped between the ring finger and little finger of the left hand

restricting all possible movements that might interfere with the procedure.

4.3.7 Oral administration of doses

Procedure

Doses were administered to the rats orally by the Gavage

method. An 18 G ball tipped needle known as the Gavage Canula was fitted

onto a one milliliter syringe and used for administering the respective doses on

the skin on their neck right behind the ears between the middle finger and the

thumb while the index finger was used to gently pull the skin from the tip of the

snout in a swift but firm motion. This method ensured that the mandible was pulled

down and the maxilla held firmly in place, and the mouth of the mouse was held

wide open baring its teeth. It also prevented the mouse from interfering while

the dose was being administered to it. The needle was inserted through the pharynx

into the oesophagus while the mouse was in the act of swallowing. Once the needle

went inside the esophagus the dose was injected. This method prevents the

mouse from regurgitating the dose.

Plate 4.2: Gastric intubation using a gavage canula.

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4.3.8 Drugs and chemicals

Indomethacin, Jagsonpal Pharmaceuticals, Gurgao, India.

4.3.9 Acute toxicity studies

The acute oral toxicity test of the extract was carried out by using Wistar rats

of either sex weighing between 150-200g. The methanolic extracts of N. sativa from

different germination phases were administered orally to overnight fasted animals at

the dose of 250 mg/kg, 500 mg/kg, 1000 mg/kg, 3000 mg/kg and 5000 mg/kg of

body weight. After administration of the extracts, the animals were observed

continuously for the first two hours, for any toxic manifestation. Thereafter,

observations were made at regular intervals for 48 hours. Further the animals were

kept under investigation up to a period of 2 weeks for mortality and general

behavior.

4.3.10 Anti-inflammatory activity

The rats were divided into six groups containing six rats in each group (one

control, one standard & four test groups) Paw oedema was induced by injecting

0.1ml of 5% suspension of kaolin into the sub plantar tissues of the left hind paw of

each rat (Lorenz, 1961; Wagner-Jauregg et al., 1964). Methanol extracts of N. sativa

from different stages of germination (Seed, 5th day, 7

th day and 11

th day germination

seed extract respectively) were administered orally in doses of 1 g/kg b.w. 1hr prior

to kaolin administration in test groups. Indomethacin (10 mg/kg b.w) was given to

standard group.

Control group: 1ml distilled water

Standard group: Indomethacin (10 mg/kg)

Test group 1: seed extract (1 g/kg b.w.)

Test group 2: 5th day extract (1 g/kg b.w.)

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Test group 3: 7th day extract (1 g/kg b.w.)

Test group 4: 11th day extract (1 g/kg b.w.)

Percentage inhibition of oedema = [Vc-V t /Vc ] × 100

Where, Vc is the inflammatory increase in paw volume in control group of

animals and Vt is the inflammatory increase in paw volume in drug-treated animals.

The paw volume was measured at 0, 1, 3, 6 and 18 hrs after induction of

inflammation using plethismometer. Anti-inflammatory activity was measured as the

percentage reduction in oedema level when drug was present, relative to control

(Duffy et al., 2001).

Plate 4.3: During anti-inflammatory test injection of kaolin into the sub plantar

tissues of hind paw and plethismometer.

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4.3.11 Analgesic study

Hot plate method

The analgesic activity of the extracts was measured by hot-plate method

(Eddy et al., 1957). The rats were divided into six groups containing six rats in each

group (one control, one standard & four test groups). Methanol extracts of Nigella

sativa at different stages of germination (Seed, 5th day, 7

th day and 11

th day

germination seed extract respectively) were administered orally in doses of 1 g/kg

b.w. Indomethacin (10 mg/kg b.w) was given to standard group.

Control group: 1ml distilled water

Standard group: Indomethacin (10 mg/kg)

Test group 1: seed extract (1 g/kg b.w.)

Test group 2: 5th day extract (1 g/kg b.w.)

Test group 3: 7th day extract (1 g/kg b.w.)

Test group 4: 11th day extract (1 g/kg b.w.)

Plate 4.4: During analgesic test rat on hot plate.

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The animals were positioned on Eddy’s hot plate kept at a temperature of

55±0.50C. The reaction time was taken as the interval from the instant animal

reached the hot plate until the moment animal licked its feet or jumped out. A cut off

period of 15s was observed to avoid damage to the paw. The reaction time was

recorded before and after 0, 30, 60 and 90 min and 120 min following administration

of test or standard drug (Eddy et al., 1957).

4.3.12 Statistical analysis

Statistical significance was determined by One Way Analysis of Variance

(ANOVA) followed by Dunnet’s t-test to compare group means. The level of

significance was P < 0.001.

4.3.13 In silico anti-inflammatory and analgesic study of active constituents of

N. sativa.

4.3.13.1 Selection of anti-inflammatory drug target receptors

Membrane Protein Prostaglandin H2 synthase-1 or cyclooxygenases-1(COX-

1) and Prostaglandin H2synthase-2 or cyclooxygenases-2(COX-1) is formed in many

different cells which is responsible for the physiological production of

prostaglandins (Kiefer et al., 2004). Prostaglandins are signaling molecules and are

chemical messengers of inflammation and pain (Sruthi et al., 2012). Hence inhibition

of this enzyme stops prostaglandin production and in turn regulation of inflammatory

activities. The 3-dimensional structure of cyclooxygenase1 (COX-1) and

cyclooxygenase1 (COX-2) used for the docking study was retrieved from protein

data bank PDB ID: 3N8V, 5COX respectively.

4.3.13.2 Ligand preparation

3D structures of active constituents of N. sativa, Thymoquinone (CID:

10281), thymol (CID: 6989), carvacrol (CID: 10364) and alpha hederin (CID:

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73296) and standard drug indomethacine (CID: 3715) were downloaded from

Pubchem.

4.3.13.3 Molecular docking using AutoDock

All the ligands were docked to the enzyme (Cox-1 and Cox-2) using

‘AutoDock 4.2’. For energy minimization of the ligands molecules, MMFF94 force

field was used. Gasteiger partial charges were added to the ligands atom. Non-polar

hydrogen atoms were merged, and rotatable bonds were defined. Docking

calculation was carried out on the protein molecule. Essential hydrogen atoms,

Kollman united atom type charges, and solvation parameters were added with the aid

of AutoDock tools (Michel et al., 1999). Prior to docking conserved water molecules

were duly added to the binding pocket in ordered to mimic the in vivo environment.

Affinity (grid) maps of 40 x 40 x 40 Å grid points were generated with the help of

Auto grid program aimed to target grid co-ordinates in proximity with the anionic

sub site of the catalytic site (CAS) of COX-1 and COX-2. The values of x, y and z

co-ordinates for targeting the active site were taken as 21.087, -39.12 and 25.098 for

cyclooxygenase1; 56.24, 38.19 and 68.34 for cyclooxygenase2 respectively.

AutoDock parameter set and the distance dependent dielectric functions were used in

calculation of the van der Waals and the electrostatic terms, respectively. Docking

simulation was performed using the ‘Lamarckian genetic algorithm’ and the ‘Solis

and Wets local search method’. Torsion of the ligands molecules was set randomly.

Each docking experiment was derived from 100 different runs that were set to

terminate after a maximum of 2,500,000 energy evaluations. The population size was

set to 150. The final figures were generated with the help of Discovery Studio

Visualizer (Accelrys). AutoDock results were analyzed to study the interactions and

the binding energy of the docked structure.

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4.4 RESULTS AND DISCUSSION

4.4.1 Acute Toxicity Studies

Acute toxicity studies were carried out to evaluate the toxicity of the different

extracts, using Wistar rats. No death was observed till the end of the study. The

extract was found to be safe up to the dose of 5000 mg/kg, hence 1/5th of the tested

dose, 1000 mg/kg dose was chosen as the experimental dose.

4.4.2 Effect of N. sativa treatment on kaolin induced paw oedema in rats

The acute anti-inflammatory activity of N. sativa extracts during different

phases of germination was measured plethysmographically using kaolin as

inflammatory agent, keeping indomethacin (10mg/kg b.w) as reference standard. All

tested extracts of N. sativa (1g/kg b.w) during different phases of germination

showed significant reduction in paw oedema in comparison to control (P<0.001).

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Table 4.1: Anti-inflammatory effect of N. sativa extracts of different germination phases against kaolin induced paw

oedema in rats.

* Data are expressed as Mean ± S.E.M of six animals in each group. **Values significantly differ from the control,

aP<0.001 vs Control and

bP<0.001 vs indomethacin group. ***Test group 1: seed extract, Test group 2: 5

th day extract,

Test group 3: 7th day extract, Test group 4: 11

th day extract.

Groups Volume of paw oedema after drug administration (ml)

0 hrs 1 hrs 3 hrs 6 hrs 18 hrs

Control 0.20±0.01 0.59±0.06 0.71±0.03 0.78±0.04 0.80±0.02

Indomethacin (10 mg/kg) 0.18±0.02 0.29±0.02a 0.33±0.03

a 0.37±0.03

a 0.39±0.03

a

Test group 1 0.20±0.02 0.35±0.03a 0.40±0.01

a 0.42±0.02

a 0.43±0.04

a

Test group 2 0.20±0.02 0.20±0.01a b

0.22±0.02ab

0.23±0.02a b

0.22±0.02ab

Test group 3 0.19±0.01 0.21±0.01ab

0.23±0.03ab

0.25±0.01ab

0.27±0.01ab

Test group 4 0.20±0.02 0.30±0.01a 0.34±0.01

a 0.38±0.01

a 0.40±0.01

a

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Table 4.2: % inhibition in inflammation after administration of N. sativa extracts

against kaolin induced paw oedema.

Figure 4.2: Anti-inflammatory effect of N. sativa extracts of different germination

phases against kaolin induced paw oedema.

Groups % inhibition in paw oedema after drug administration

1 hrs 3 hrs 6 hrs 18 hrs 24 hrs

Control - - - - -

Indomethacin (10 mg/kg) 50.84 53.52 52.56 51.25 48.78

Test group 1 (Seed) 40.67 43.66 46.15 46.25 24.39

Test group 2 (5th

day) 66.10 69.01 70.51 72.5 51.21

Test group 3 (7th

day) 64.4 67.60 67.94 66.25 51.21

Test group 4 (11th

day) 49.15 52.11 51.28 50.00 36.58

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Figure 4.3: % inhibition in inflammation after administration of N. sativa extracts

against kaolin induced paw oedema.

The increase in paw volume after 1st, 3

rd, 6

th and 18

th hour was calculated as

percentage compared with volume measured immediately after the injection of

kaolin in each rat. The result of anti-inflammatory studies was presented as mean ±

SEM. The values obtained showed a significant reduction in the growth of oedema in

the hind paw of the rats. Kaolin induced oedema significantly in all control rats.

After 1 hr administration of kaolin three times increase in oedema. Kaolin induced

long time oedema in rats. All tested extracts of N. sativa from different germination

phases as well as indomethacin (standard drug) showed inhibition in inflammation in

rats. The percentage inhibition was higher in 5th

day germination extract (1g/kg)

followed by 7th

day and Indomethacin (10 mg/kg) group. Extract of 5th day

germination caused 72.5% inhibition at 18 hrs while this was 51.25%, 46.25% in

indomethacin group and seed extract group respectively at the same time (Table 4.2

and Figure 4.3). So, extracts of germination stages showed higher inhibition of

inflammation than non-germinated seed extracts (Table 4.1and 4.2). The extracts of

different germination phases of N. sativa showed inhibition of the kaolin-induced rat

paw oedema in a time-dependent manner throughout the duration of the study. The

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extracts of germination stages significantly (P < 0.001) inhibited formation of

oedema in rat paw than Indomethacin and seed extract throughout the duration of the

study.

4.4.3 Effect of N. sativa extracts on analgesic activity in rats during hot plate test

The analgesic activity of N. sativa extracts during different phases of

germination was measured by hot plate method keeping indomethacin (10mg/kg

b.w) as reference standard. All tested extracts of N. sativa (1g/kg b.w) of different

germination phases showed significant increased (P<0.001) in the reaction time. The

increase in latency period at different time points significantly differed (P<0.01)

compared to control values within the same drug treated groups. The increase in the

reaction time was time-dependent and differed significantly among the groups of rats

receiving different germination extracts and indomethacin (Table 4.3).

Table 4.3: Analgesic effect of N. sativa extracts of different germination phases

during hotplate test.

*Data are expressed as Mean ± S.E.M of six animals in each group. **Values

significantly differ from the control, aP<0.001 vs Control and

bP<0.001 vs

Groups Mean latency (s) before and after drug administration

0 min 30min 60min 90min 120min

Control 2.62±0.41 2.75±0.42 2.68±0.40 2.68±0.42 2.63±0.46

Indomethacin (10 mg/kg) 2.62±0.30 3.50±0.41a 7.71±0.51

a 12.98±0.50

a 10.89±0.55

a

Test group 1 2.61±0.36 3.0±0.50 6.19±0.46a 10.89±0.56

a 9.89±0.52

ab

Test group 2 2.62±0.36 3.3±0.44ab

7.49±0.49ab

14.99±0.51ab

13.16±0.51ab

Test group 3 2.59±0.40 3.2±0.40a 7.38±0.50

ab 14.01±0.55

ab 12.41±0.53

ab

Test group 4 2.60±0.44 3.2±0.47a 6.90±0.41

a 12.97±0.42

a 11.93±0.45

ab

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indomethacin group. *** Test group 1: seed extract, Test group 2: 5th day extract,

Test group 3: 7th day extract, Test group 4: 11

th day extract.

Figure 4.4: Analgesic effect of N. sativa extracts of different germination phases

during hot plate test.

The result of analgesic studies was presented as mean±SEM. The values

obtained showed a significant increase in reaction time. All the rats showed a

reaction time of 2-3 seconds on hot plate before administration of any drug. The

reaction time was increased in the groups receiving N. sativa extracts from different

germination phases and indomethacin. However, compared to control group,

significant increase was seen at 60 and 90 minutes in the entire test group. All tested

extracts of N. sativa from different germination phases as well as indomethacin

(standard drug) showed increase in reaction time in hot plate test for rats. The

reaction time was higher in 5th

day germination extract (1g/kg) followed by 7th day

and Indomethacin (10 mg/kg) group. Extract of 5th day germination increased

reaction time of rats on hot plate up to 14.99s at 90 min This was 12.98s and 10.89s

in indomethacin group and seed extract group respectively at the same time. So,

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extracts of germination stages showed higher analgesic effect than non-germinated

seed extract (Table 4.3).

The extracts of germination stages significantly (P < 0.001) showed increase

in reaction time than indomethacin and seed extract throughout the duration of the

study. The onset of action was seen at 60-90 minutes in all the test groups. This

showed that the drug takes around 1 hour time in being absorbed passage through the

liver and reaching the systemic circulation and CNS. The peak effect occured at 90

minutes and the analgesic effect decreased at 120 minutes probably because of

metabolism and elimination of the drug.

4.4.4 In silico anti-inflammatory and analgesic study of active constituents of N.

sativa.

All the ligands (active constituents of N. sativa such as thymoquinone,

thymol, carvacrol and alpha-hederin) were docked to the enzyme (Cox-1 and Cox-2)

using ‘AutoDock 4.2’. For energy minimization of the ligands molecules. Results are

summarized in table 4.4.

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Table 4.4: Binding energies and interacting amino acids of cyclooxygenase enzymes

with ligands during docking.

Compound

Cyclooxygenase-1 Cyclooxygenase-2

BE

(kcal/

mol)

IC (Ki) Interacting amino acid

residues

BE

(kcal/

mol)

IC (Ki) Interacting amino acid

residues

Indomethacin

-6.40

140.22

ARG120,LEU92,

LEU112, VAL116,

LEU115, VAL119,

TRP100, PRO84,

ILE89, LEU93

-4.78

110.85

SER38, TYR55, ASN68,

PRO40 and GLU67

Thymoquinone

-4.47

526.27

ARG120, LEU93,

LEU112, LEU115,

VAL116, LEU357

-6.90

100.07

TYR385, SER530,

VAL349, LEU352,

PHE381, LEU384,

SER353, VAL523

Thymol

-3.89

229.14

ARG120, GLU524,

VAL119, LEU123

-5.17

162.11

VAL349, LEU352,

LEU384, TRP387,

MET522, SER353,

VAL523, ALA527

Carvacrol

-4.11

225.20

ARG83, ARG120,

GLU524, VAL119,

LEU123, PRO86

-6.11

105.30

ASN375, PHE209,

ILE377, ALA378,

PHE381, PHE529,

LYS532

Alpha-hederin

-6.82

635.37

AGG79, ILE89,

LEU93, LEU112,

LEU115, VAL119,

LEU123, TRP100,

ARG83, ASN122

-4.90

255.56

VAL228, ARG120,

TYR355, TYR385,

PHE205, TRP387,

PHE518, GLN208,

TYR348, VAL349

*BE: Binding energy, **IC: Inhibition constant.

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Figure 4.5: Interaction of indomethacin docked to the catalytic site of Cox-1

enzyme. The ligend indomethacin has been shown in ball and stick

representation.

Figure 4.6: Interaction of thymoquinone docked to the catalytic site of Cox-1

enzyme. The ligend thymoquinone has been shown in ball and stick

representation.

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Figure 4.7: Interaction of thymol docked to the catalytic site of Cox-1 enzyme. The

ligend thymol has been shown in ball and stick representation.

Figure 4.8: Interaction of carvacrol docked to the catalytic site of Cox-1 enzyme.

The ligend carvacrol has been shown in ball and stick representation.

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Figure 4.9: Interaction of alpha-hederin docked to the catalytic site of Cox-1

enzyme. The ligend alpha-hederin has been shown in ball and stick

representation.

Figure 4.10: Interaction of indomethacin docked to the catalytic site of Cox-2

enzyme. The ligend indomethacin has been shown in ball and stick

representation.

.

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Figure 4.11: Interaction of thymoquinone docked to the catalytic site of Cox-2

enzyme. The ligend thymoquinone has been shown in ball and stick

representation.

Figure 4.12: Interaction of thymol docked to the catalytic site of Cox-2 enzyme. The

ligend thymol has been shown in ball and stick representation.

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Figure 4.13: Interaction of carvacrol docked to the catalytic site of Cox-2 enzyme.

The ligend carvacrol has been shown in ball and stick representation.

Figure 4.14: Interaction of alpha-hederin docked to the catalytic site of Cox-2

enzyme. The ligend alpha-hederin has been shown in ball and stick

representation.

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Results showed that the active site of cyclooxygenase-1 (Cox-1) was found to

interact with indomethacine through the amino acid residues ARG120, LEU92,

LEU112, VAL116, LEU115, VAL119, TRP100, PRO84, ILE89 and LEU93 (Figure

4.5). The free energy of binding and estimated inhibition constant (Ki) were found to

be -6.40 kcal/mol and 40.221 µM respectively. One oxygen atoms of indomethacine

(O1) was found to be involved in polar interactions with amino acid residues

ARG120 of Cox-1 enzyme while eight carbon atoms named C1, C4, C8, C7, C14,

C16, C17 and C19 were observed to make hydrophobic interaction with amino acid

residues like LEU92, LEU112, LEU115, VAL116 and VAL119 of Cox-1 enzyme. π-

π interaction was observed where atoms C14, C16 and C18 interacted with amino

acid residue TRP100 of Cox-1 enzyme.

Cox-1 interact with thymoquinone (TQ) through amino acid residues

ARG120, LEU93, LEU112, LEU115, VAL116 and LEU357 (Figure 4.6). Free

energy of binding and estimated inhibition constant (Ki) were found to be -4.47

kcal/mol and 526.270 µM respectively. One oxygen atom named O2 of

thymoquinone was observed to make polar bond involving one amino acid residue

ARG120 of Cox-1 enzyme. Carbon atoms C1-C9 were involved in hydrophobic

interaction with amino acid residues LEU93, LEU112, LEU115, VAL116 and

LEU357 of Cox-1 enzyme.

Cox-1 was found to interacts with thymol through amino acid residues

ARG120, GLU524, VAL119 and LEU123 (Figure 4.7) and free energy of binding

and estimated inhibition constant (Ki) were found to be -3.89 kcal/mol and 229.200

µM respectively was observed. Two oxygen and two hydrogen atoms of thymol

named O1 and H1 were observer to be involved in polar interaction with amino acid

residues ARG120 and GLU524; and three carbon atoms namely C6, C9 and C3 were

found to make hydrophobic interaction with amino acid residues VAL119 and

LEU123 of the enzyme.

Carvacrol interacts with Cox-1 through amino acid residues ARG83,

ARG120, GLU524, VAL119, LEU123 and PRO86 (Figure 4.8). Free energy of

binding and estimated inhibition constant (Ki) were found to be -4.11 kcal/mol and

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225.200 µM respectively. Three hydrogen atoms named H1 and two oxygen atoms

(O1) of carvacrol were found to be involved in polar interaction with amino acid

residues ARG83, ARG120 and GLU524 of Cox-1 enzyme. There were five carbon

atoms named C6, C4, C2, C9 and C10 observed to be made hydrophobic interaction

with amino acid residues VAL119 and LEU123 of Cox-1 enzyme.

Alpha-hederin interacts with Cox-1 through amino acid residues ARG79,

ARG83, VAL119, ILE89, LEU93, LEU112, LEU115, VAL119, LEU123, TRP100,

ARG83 and ASN122 (Figure 4.9). Free energy of binding and estimated inhibition

constant (Ki) were found to be -6.82kcal/mol and 635.371 µM respectively. One

oxygen atom named O3 of alpha-hederin was found to make polar interaction with

amino acid residue ARG79 of cyclooxygenase1 enzyme. Fourteen carbon atoms

namely C26, C41, C25, C7, C40, C36, C37, C31, C34, C2, C10, C11, C21 and C30

were observed to make hydrophobic interaction involving amino acid residues

ILE89, LEU93, LEU112, LEU115, VAL119 and LEU123 as well as two hydrogen

atoms of ligand named H5 and H6 make cation-π interaction with amino acid residue

TRP100 of Cox-1 enzyme.

‘Van der Waals’, ‘hydrogen bond’ and ‘desolvation’ energy components for

indomethacine, thymoquinone, thymol, carvacrol and alpha-hederin interaction

with Cox-1 were found to be -7.48, -4.69, -4.30, -4.23 and -9.14, and kcal/mol

respectively, while the ‘electrostatic’ energy component was found to be -0.07, -

0.08, -0.20, -0.09 and -0.07kcal/mol respectively. Total interaction surface area for

Cox-1 complexes with different ligends such as indomethacine, thymoquinone,

thymol, carvacrol and alpha-hederin were found to be 937.265, 591.38, 639.304,

601.223 and 1452.88 Å2 respectively.

Docking results showed cyclooxygenase-2 (Cox-2) was found to interact with

indomethacine through the amino acid residues SER38, TYR55, ASN68, PRO40 and

GLU67 (Figure 4.10). Free energy of binding estimated inhibition constant (Ki) were

found to be -4.78 kcal/mol and 110.850 µM respectively. Two oxygen atoms of

indomethacin named O1 and O4 interacts with amino acid residue SER38 of Cox-2

enzyme by hydrogen bonding. Three carbon atoms of indomethacin named C1 and

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C4 were observed to make hydrophobic interaction with amino acid residues TYR55

of enzyme. Two oxygen atoms named O3 involved in polar interaction with amino

acid residues namely TYR55 and ASN68 of the enzyme. π-π interaction was found

between carbon atoms C2, C3, C12 and C14 with amino acid residue TYR55 of

Cox-2 enzyme.

Cox-2 and TQ interact through the amino acid residues TYR385, SER530,

VAL349, LEU352, PHE381, LEU384, SER353 and VAL523 (Figure 4.11). Free

energy of binding and estimated inhibition constant (Ki) were found to be -6.90

kcal/mol and 100.070 µM respectively. One oxygen atom of thymoquinone named

O1 was observed to make polar bond with amino acid residue TYR385. There were

ten carbon atoms C1, C3, C4, C5, C7, C9 and C10 of indomethacin observed to

make hydrophobic interaction with amino acid residues VAL349, LEU352, PHE381,

LEU384 and TYR385 of Cox-2 enzyme. Hydrogen bonding was found between O1

with amino acid residue TYR385 of Cox-2 enzyme.

Cox-2 and thymol interaction took place through amino acid residues

VAL349, LEU352, LEU384, TRP387, MET522, SER353, VAL523 and ALA527

(Figure 4.12). Free energy for binding and inhibition constant were found to be (Ki) -

5.17 kcal/mol and 162.110 µM respectively. Neither hydrogen bond nor polar

interactions were found between Cox-2 and thymol. Only polar and π-π interactions

were found between Cox-2 and thymol, where polar interaction was seen between

carbon atoms C3, C6 and C10 of thymol with amino acid residues VAL349,

LEU352, LEU384, TRP387 and MET522 of enzyme. One carbon atom C9 involved

in π-π interaction with amino acid residue TRP387 of Cox-2 enzyme.

Cox-2 and carvacrol interacted through amino acid residues ASN375,

PHE209, ILE377, ALA378, PHE381, PHE529 and LYS532 (Figure 4.13). Free

energy for binding and inhibition constant were found to be -6.11 kcal/mol and

105.300 µM respectively. In case of Cox-2 and carvacrol interaction one oxygen and

one hydrogen atom O1 and H1 made polar interaction involving amino acid residue

ASN375 of the enzyme. Eleven carbon atoms C1, C3, C6, C9, C2, C10 and C4 of

Carvacrol were observed to make hydrophobic interaction with amino acid residues

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PHE209, ILE377, ALA378, PHE381 and PHE529 of enzyme. Four carbon atoms

namely C6, C9, C2 and C7 were involved in π-π interaction with amino acid residues

PHE381 and PHE529 of Cox-2 enzyme.

Alpha-hederin interacted with Cox-2 through amino acid residues SER38,

GLU67, PRO40, TYR55, ASN68, LYS166, GLN54, VAL165 and GLU465 (Figure

4.14). Free energy for binding and inhibition constant were found to be -4.90

kcal/mol and 255.560 µM respectively. One oxygen atom of alpha-hederin O4 made

hydrogen bond with amino acid residue VAL228 of the enzyme. Three hydrogen H1,

H6 and one oxygen atom O2 of alpha-hederin were involved in polar interaction with

amino acid residues ARG120, TYR355 and TYR385 of Cox-2 enzyme. Fourteen

carbon atoms namely C22, C24, C29, C30, C9, C21, C12, C20, C1, C2, C4, C18,

C19, and C11 were observed to interact hydrophobically with amino acid residues

PHE205. Five hydrogen atoms H1, H2 and H3 made cation-π interaction with amino

acid residues TYR385, TRP387 and PHE518 of the enzyme.

‘Van der Waals’, ‘hydrogen bond’ and ‘desolvation’ energy components for

indomethacine, thymoquinone, Thymol, Carvocrol and alpha-hederin interaction

with Cox-2 enzyme were found to be -5.93, -6.18, -5.69, -6.65 and -6.13kcal/mol

respectively while the ‘electrostatic’ energy component was found to be -0.12, -0.03,

-0.18, -0.06 and -0.09 kcal/mol respectively. Total interaction surface area for

indomethacine, thymoquinone, thymol, carvocrol and alpha-hederin interaction to

make Cox-2 and legend complexes were found to be 572.029, 371.119, 371.065,

374.426, and 774.991 Å2 respectively.

Pain and inflammation are associated with pathology of various clinical

conditions like arthritis, cancer and vascular diseases (Collier et al., 1968). In various

traditional medical systems, a number of natural products are used to reduce the

symptoms of inflammation. The methanolic extract of N. sativa in different phases of

its germination exhibited a significant anti inflammatory activity. After the

administration of kaolin plasma leukotriene (LT) C4-like and prostaglandin (PG) E2-

like activities were increased (Melli, 1988). Kaolin induced oedema appears to have

a significant prostaglandin component since large amounts of prostaglandin-like

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materials production in kaolin blebs and indomethacin reduced the kaolin induced

paw oedema (Lewis et al., 1976). Indomethacin is a nonselective inhibitor

of cyclooxygenase (COX) 1 and 2 enzymes that participate in prostaglandin

synthesis from arachidonic acid. Prostaglandins are hormone-like molecules

normally found in the body, where they have a wide variety of effects, some of

which lead to pain, fever, and inflammation. In the study, injection of commonly

used NSAIDs (indomethacin) was observed to significantly reduce inflammatory

indices while histamine and 5- hydeoxytryp-tamine (5-HT) were not effective. This

observation is consistent with those of others (Gemmell et al., 1979; Masso et al.,

1993) that PGs are the major mediators of kaolin-induced inflammation. The

researchers suggested that kaolin-induced inflammation should be used as a model of

inflammation for assessing the efficacy of NSAIDs and other drugs acting via the

same mechanism. The advantages of kaolin induced inflammation compared to other

model of inflammation like carrageenan are its longer duration of inflammation and

being a clay mineral, it is unlikely to have anti-genicity or to cause hypersensitivity

reactions. It may therefore be suggested that the extracts of different germination

phases of N. sativa remission of kaolin-induced rat paw oedema observed through

inhibition of prostaglandins biosynthesis. Several investigations have been directed

towards N. sativa anti-inflammatory activity (Ghannadi et al., 2005).

In Present in vivo study oral administration of methanolic extracts of N.

sativa from different germination phases showed higher analgesic as well as anti

inflammatory activity compared to seed extract and indomethacin. As showen in

results (Table 4.1 and 4.2) during anti-inflammatory test extracts reduced paw

oedema up to 72 % comparison than control. Extract of 5th day germination caused

72.5% inhibition at 18 hrs while this was 51.25%, 46.25% in indomethacin group

and seed extract (non-germinated seed) group respectively at the same time (Table

4.2 and Figure4.3). During analgesic test extracts from germination phases increased

latency period on hot plate and reduced pain. In both test 5th

day germinated extract

showed highest activity followed by 7th

day of germination. Activity was high in

germination extracts when compared than non-germinated seed of N. sativa. This

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may be because of higher metabolic rates during germination which increased the

production of secondary metabolites such as thymoquinone, thymol and carvacrol as

explained in chapter t and two using LC-ESI-MS results which showed higher

amount of these metabolites. Thymoquinone and thymol both are the alcohol soluble

phenolic compounds (Abou Basha et al. 1995), which are probably responsible for

the analgesic and anti-inflammatory activities. Thymol is a promising compound to

be used in treatment of inflammatory processes as well as wound healing. It showed

helpful effects in controlling the inflammatory processes present in many infections

(Riella et al., 2012; Braga et al., 2006). Carvacrol and alpha-hederin also cause anti-

inflammatory and analgesic effects by reducing the production of inflammatory

mediators (Li et al., 2003; Gepdiremen et al., 2005; Lima et al., 2013). Carvacrol

inhibited production of prostaglandin E(2) catalyzed by COX-2, and showed anti-

inflammatory potential of this compound due to the inhibition of inducible COX-2

isoform (Landa et al., 2009).

These active compounds (thymoquinone, thymol, carvacrol and alpha-

hederin) of N. sativa may be responsible for analgesic and anti-inflammatory effects.

The purpose of structure-based in silico study in this respect was to discover whether

these compounds are potential to be used as COX-2 inhibitors. Docking was

performed to the binding pockets of both COX-1 and COX-2 enzymes, to examine

their selective character on COX-2 keeping indomethacin as standard. Cyclooxygenase (COX) enzyme plays an important role in inflammatory

response, i.e catalyze the prostaglandins biosynthesis. Two isoforms, knows as

COX-1 and COX-2,have similar amino acid residues composition and hydrophobic

channel as binding pocket (Fabiola et al., 2001). The use of non-steroidal anti-

inflammatory drugs (NSAIDs) for the treatment of inflammation and pain is often

accompanied by adverse gastrointestinal and renal side effects because of non-

selective inhibition of both COX-1 and COX-2 (Kurumbail et al., 1996). The anti-

inflammatory activities of these drugs are mediated by the inhibition of

cyclooxygenases (COXs), which catalyze the bioconversion of arachidonic acid to

prostaglandins (Surh et al., 2001) However, the inhibition of COXs may lead to

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undesirable side effects. The constitutively expressed COX-1 isozyme is produced in

a variety of tissues and appears to be important for the maintenance of physiological

functions such as gastro protection and vascular homeostasis (Kiefer et al., 2004).

On the other hand, the COX-2 isozyme is induced by mitogenic and pro-

inflammatory stimuli, suggesting the involvement of this isozyme in inflammatory

processes. Therefore, the selective inhibition of COX-2, but not COX-1 is useful for

treating inflammation and inflammation-associated disorders (Sruthi et al. 2012).

In this study active compounds of N. sativa thymoquinone, thymol, carvacrol

and alpha-hederin were investigated whether these compounds are potential to be

used as COX-2 inhibitors through structure-based in silico study. Based on the

docking study result it was apparent that thymoquinone, thymol, carvacrol and alpha-

hederin showed significant binding affinity towards Cox-2 enzyme.

The free energy for binding of these compound with COX-1 enzyme was

higher than indomethacin (-6.40 kcal/mol), for thymoquinone, thymol and carvacrol

it was -4.47, -3.89, and -4.11 kcal/mol respectively, that means these compounds not

show a good binding affinity for Cox-1 enzyme but indomethacin. While the free

energy for binding of these compounds with COX-2 enzyme was lower than

indomethacin (-4.78 kcal/mol), for thymoquinone, thymol, carvacrol and alpha

hederin it was -6.90, -5.17, -6.11 and -4.90 kcal/mol respectively, that means these

compounds showed a good binding affinity towards Cox-2 enzyme than

indomethacin. These results suggest that all these active constituents of N. sativa

significantly inhibit Cox-2 enzyme more than cox-1, that a sign of reduced toxicity

of these compounds as anti-inflammatory agents. The Ki values of the ligands

(thymoquinone, thymol, carvacrol and alpha-hederin) interaction with COX-2 are

smaller than COX-1 (Table 4.4) which means that the ligands better interacted with

COX-2 (Nyi et al., 2013). Binding Ki value of indomethacin with Cox 1 (40.22 µM)

was less than Cox 2 (110.22 µM) enzyme. This means indomethacin binds better

with Cox-1 in comparison with Cox-2. Among all compounds thymoquinone and

carvacrol were on first position as Cox-2 inhibitor followed by thymol and alpha-

hedrin on the basis of free energy for binding and inhibition constant (Ki ). Another

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recent study reported that N. sativa and thymoquinone may be an effective treatment

for rheumatoid arthritis (Hawkey et al., 2000). This comes as no surprise, since it has

been shown that thymoquinone is an inhibitor that is more potent than indomethacin

of COX-2-catalyzed PGE2 production (Abdel-Fattah et al., 2000). These in vivo and

in silico studies showed that N. sativa demonstrate anti-inflammatory and analgesic

effect activities possibly through inhibition of Cyclooxygenase enzyme especially

Cox-2.

4.5 CONCLUSION

To the best of our knowledge, no earlier study has been performed on anti-

inflammatory and analgesic activity of N. sativa in different germination phases and

this is being reported for the first time. The methanolic extracts of germinative

phases of N. sativa showed significant anti-inflammatory and analgesic activity as

compare to seed extract and standard drug indomethacin. The extracts showed

highest anti-inflammatory and analgesic activity from 5th day to 11

th day of

germination especially in 5th

day germinative extract. This is first in silico study with

active compounds of N. sativa thymoquinone, thymol, carvacrol and alpha-hederin to

investigate whether these compounds are potential to be used as COX-2 inhibitors.

All these active constituents bind significantly with Cox-2 compared with Cox-1

enzyme. High metabolic activity and higher contents of secondary metabolites

during germination phase of seed might also be responsible for the anti-inflammatory

and analgesic activity. Since, N. sativa may be used to develop analgesic and anti-

inflammatory herbal drugs in germination phases of seed.

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4.6 REFERENCES

Abdel-Fattah, A.M., Matsumoto, K., Watanabe, H. (2000). Antinociceptive

effects of Nigella sativa oil and its major component, thymoquinone, in mice.

Eur. J. Pharmacol., 400(1):89-97.

Abou Basha, L.I., Rashed, M.S., Aboul, E.H.Y. (1995). TLC assay of

thymoquinone in Black Seed oil (Nigella sativa Linn) and identification of

dithymoquinone and thymol. J. Liq. Chromato., 18(1): 105-115.

Ahmadiani, A., Fereidoni, M., Semnanian, S. (1998). Kamalinejad M and

Saremi S. Antinociceptive and anti-inflammatory effects of Sambucus ebulus

rhizome extract in rats. J. Ethanopharmacol., 61:229-35.

Al-Naggar, T.B., Gómez-Serranillos, M.P,, Carretero, M.E., Villar, A.M.

(2003). Neuropharmacological activity of Nigella sativa L. extracts. J.

Ethanopharmacol., 88: 63-68.

Al-Shebani, W.H., vAl-Tahan, F.J. (2009). Antinociceptive effect of watery

suspension of Nigella sativa Linn. seeds in Mice. Iraqi J. Vet. Sci.,

23(II):245-248.

Ameh, S.J., Obodozie, O.O., Afolabi, E.K., Oyedele, E.O., Ache, T.A.,

Onanuga, C.E., et al. (2009). Some basic requirements for preparing an

antisickling herbal medicine-Niprisan. Afr. J. Pharm. Pharmacol., 3:259-

264.

Andrade, R.J., Lucena, M.I., Fernández, M.C., Pelaez, G. ( 2005). Drug-

induced liver injury: an analysis of 461 incidences submitted to the Spanish

registry over a 10-year period. Gastroenterology, 129:512-521

Aucker, B. (1995). NSAIDs: What you don’t know can hurt you. J. Emerg.

Nurs., 21: 428-434.

Bjorkman, D., Nonsteroidal (1998). anti-inflammatory drug associated

toxicity of the liver, lower gastrointestinal tract and the esophagus. Am. J.

Med., 105:17–21S.

Boskabady, M.H., Shirmohammadi, B., Jandaghi, P., Kiani, S. (2004).

Possible mechanism(s) for relaxant effect of aqueous and macerated extracts

from Nigella sativa on tracheal chains of guinea pig. B.M.C. Pharmacolo.,

4:1-6

Page 40: CHAPTER 4shodhganga.inflibnet.ac.in/bitstream/10603/36846/10/15 chapter-4.pdf · CHAPTER-4 Integral University, Lucknow 124 4.1 Rationale Throughout the world inflammatory diseases

CHAPTER-4

Integral University, Lucknow 162

Braga, P.C., Dal Sasso, M., Culici, M., Bianchi, T., Bordoni, L., Marabini, L.

(2006). Anti-inflammatory activity of thymol: inhibitory effect on the release

of human neutrophil elastase. Pharmacology., 77(3):130-136.

Collier, H.O.J., Dinneen, L.C., Johnson, C.A., Schneider, C. (1968). The

abdominal constriction response and its suppression by analgesic drugs in the

mouse. Br. J. Pharmacol., 32:295-310.

Doomra, R., Gupta, S.K. (2001). Intensive adverse drug reaction monitoring

in various specialty clinics of a Tertiary Care Hospital In North India. Intern.

J. Me. Toxicol., 4 (1):1-4.

Duffy, J.C., Dearden, J.C., Rostron, C. (2001). Design, Synthesis and

biological testing of a novel series of anti- inflammatory drugs. J. Pharm.

Pharmacol., 53:1505-1514.

Eddy, N.B., Liembach, D. (1957). Synthetic analgesics II: Dithienylbuttenyl

and dithiennylbulyl-amines. J. Pharmacol. Exp. Ther., 107: 385–393.

El-Gouhary, I., Mohamed, A., Suleiman, S., Benghuzzi, H. (2005).

Comparison of the amelioration effects of two enzyme inducers on the

inflammatory process of experimental allergic encephalitis (EAE) using

immunohistochemical technique. Biomed. Sci. Instrum., 41:376-381.

Fabiola, G.F., Damodharan, L., Pattabhi, V., Nagarajan, K. (2001).

Cyclooxygenase-2 an attractive target for fruitful drug design. Curr. Sci.,80:

26-34.

Fitzgerald, G.A. (2003). COX-2 and beyond: approaches to prostaglandin

inhibition in human disease. Nat. Rev. Drug Discov., 2:879–90.

Gambhire, M.N., Wankhede, S.S., Juvekar, A.R. (2009). Antiinflammatory

activity of aqueous extract of Barleria cristata leaves. J. You. Pharmacists.,

1(3):220-224.

Garcia Rodriguez, L.A., Williams, R., Debry, L.E., Dean, A.D., Jick, H.

(1994). Acute liver injury associated with nonsteroidal anti-inflammatory

drugs and the role of risk factors. Arch. Intern. Med,.154: 311–315.

Gay, G.R. (1990). Another side effect of NSAIDs. JAMA. 264:2677–2678.

doi: 10.1001/jama..03450200085037v

Gemmell, D.K., Cottney, J., Lewis, A.J. (1979). Comparative effects of drugs

on four paw oedema models in the rat. Age. Acti., 9: 107–116.

Page 41: CHAPTER 4shodhganga.inflibnet.ac.in/bitstream/10603/36846/10/15 chapter-4.pdf · CHAPTER-4 Integral University, Lucknow 124 4.1 Rationale Throughout the world inflammatory diseases

CHAPTER-4

Integral University, Lucknow 163

Gepdiremen, A., Mshvildadze, V., Süleyman, H., Elias, R. (2005). Acute

anti-inflammatory activity of four saponins isolated from ivy: alpha-hederin,

hederasaponin-C, hederacolchiside-E and hederacolchiside-F in carrageenan-

induced rat paw edema. Phytomedicine., 12(6):440-444.

Ghannadi, A., Hajhashemi, V., Jafarabadi, H. (2005). An investigation of the

analgesic and anti-inflammatory effects of Nigella sativa seed polyphenols. J.

Med. Food., 8(4):488-93.

Hawkey, C., Laine, L., Simon, T., et al. (2000). For the Rofecoxib

Osteoarthritis Endoscopy Multinational Study Group. Comparison of the

effect of rofecoxib (a cyclooxygenase 2 inhibitor), ibuprofen, and placebo on

the gastroduodenal mucosa of patients with osteoarthritis: a randomized,

controlled, double-blind, placebo-controlled trial. Arthritis Rheum., 43:370–

377.

Henson, P.M., Murphy, R.C. (1989). Mediators of the inflammatory process,

Edn.6th, Amsterdam: Elsevier.

Hussaini, S.H., Farrington, E.A. (2007). Idiosyncratic drug-induced liver

injury: an overview. Expert Opin Drug Saf., 6:673-684.

Kiefer, W., Dannhardt, G. (2004). Novel Insights and Therapeutical

Applications in the Field of Inhibitors of COX-2.Current Medical

Chemistry.11:3147–3161.

Kurumbail, R.G., Steven, A.M., Gierse, J.K., McDonald, J.J., Stegeman, R.A.

et al., (1996). Structural basis for selective inhibition of cyclooxygenase-2 by

anti-inflammatory agents. Nature, 384:644-648.

Landa, P., Kokoska, L., Pribylova, M., Vanek, T., Marsik, P. (2009). In vitro

anti-inflammatory activity of carvacrol: Inhibitory effect on COX-2 catalyzed

prostaglandin E(2) biosynthesis. Arch. Pharm. Res., 32(1):75-78.

Lewis, A.J., Cottney, J., Nelson, D.J. (1976). Mechanisms of

phytohaemagglutinin-P-, concanavalin-A and kaolin-induced oedemas in the

rat. Eur. J. Pharmacol., 40(1):1-8.

Li, D.W., Hyun, J.E., Jeong, C.S., et al. (2003). Antiinflammatory activity of

alpha-hederin methyl ester from the alkaline hydrolysate of the butanol

fraction of Kalopanax pictus bark extract. Biol. Pharm., 26(4):429-33.

Lima Mda, S., Quintans-Júnior, L.J., de Santana, W.A., Martins Kaneto,

C., Pereira Soares, M.B., Villarreal, C.F. (2013) Anti-inflammatory effects of

Page 42: CHAPTER 4shodhganga.inflibnet.ac.in/bitstream/10603/36846/10/15 chapter-4.pdf · CHAPTER-4 Integral University, Lucknow 124 4.1 Rationale Throughout the world inflammatory diseases

CHAPTER-4

Integral University, Lucknow 164

carvacrol: evidence for a key role of interleukin-10. Eur. J. Pharmacol.,

699(3):112-117.

Lorenz, D. (1961). Die Wirkung von Phenylbutazon auf das Pfotenoedem der

Ratte nach oraler Applikation. Naunyn- Schmiedeberg's Arch. Exp. Path.

Pharm. 241:516-517.

Mandell, B.F. (1999). General tolerability and use of nonsteroidal anti-

inflammatory drugs. The American J. Med., 107(6A): 72S-76S.

Mantovani, A., Allavena, P., Sica, A. (2008). Cancer-related inflammation.

Nature, 454:436-444.

Masso, J.M., Conde, J.R., Villar, A.M., Martorell, J. (1993). Effect of

fepradinol on rat hind paw oedema induced by several inflammatory agents.

J. Pharm. Pharmacol., 45:959-962.

Melli, M. (1988). Assessment of plasma leukotriene and prostaglandin levels

during adjuvant arthritis and kaolin-induced paw oedema in rats. Pro. Leu.

Ess. Fatty Aci., 33(3):173-8.

Michel, F. Sanner (1999). A Programming Language for Software Integration

and Development. J. Mol. Graphics & Mode., 17:57–61.

Murray, M.D., Brater, D.C. (1990). Adverse effects of non-steroidals on renal

function. Ann. Intern. Med., 112: 559–560.

Nantel, F., Meadows, E., Denis, D., Connolly, B., Metters, K.M., Giaid, A.

(1999). Immunolocalization of cyclooxygenase-2 in the macula densa of

human elderly. FEBS Lett., 457:475–477.

Niv, D., Kreitler, S., Diego, B., Lamberto, A. (2007). Taxonomy and

classification of pain. The Handbook of Chronic Pain. Nova Biomedical

Books ISBN 1-60021-044-9:147-149.

Nyi, M.S., Evi, Y. S., Jutti, L. (2013). Structure-Based in Silico Study of 6-

Gingerol, 6-Ghogaol, and 6-Paradol, Active Compounds of Ginger (Zingiber

officinale) as COX-2 Inhibitors. Inte. J. Chem., 5(3):12-18.

Rabinovitz, M., Van, Thiel, D.H. (1992). Hepatotoxicity of non-steroidal

anti-inflammatory drugs. Am. J. Gastroenterol., 87:1696–704.

Raskin, J.B. (1999). Gastrointestinal effects of NSAID therapy. Am. J. Med.,

106 (S 5B): 3-12.

Page 43: CHAPTER 4shodhganga.inflibnet.ac.in/bitstream/10603/36846/10/15 chapter-4.pdf · CHAPTER-4 Integral University, Lucknow 124 4.1 Rationale Throughout the world inflammatory diseases

CHAPTER-4

Integral University, Lucknow 165

Riella, K.R., Marinho, R.R., Santos, J.S., Pereira-Filho, R.N., Cardoso, J.C.,

Albuquerque-Junior, R.L., Thomazzi, S.M. (2012). Anti-inflammatory and

cicatrizing activities of thymol, a monoterpene of the essential oil from

Lippia gracilis, in rodents. J. Ethnopharmacol., 143(2):656-63.

Schnermann, J., Briggs J.P. ( 1999). The macula densa is worth its salt. J.

Clin. Invest., 104:1007–1009.

Sruthi, H.V. et al., (2012). Insilico evaluation of Anti-inflammatory activity

of Natural compounds against Modeled COX2. J. Pharm. Res., 5(2):1091–

1097.

Sgro, C., Clinard, F., Ouazir, K., Chanay, H., Allard, C., Guilleminet, C.,

Lenoir, C., Lemoine, A., Hillon, P. ( 2002). Incidence of druginduced hepatic

injuries: a French population-based study. Hepatology, 36:451-455

Surh, Y.J., Chun, K.S., Cha, H.H., Han, S.S.; Keum, Y.S., Park, K.K., Lee,

S.S. (2001). Molecular mechanisms underlying chemopreventive activities of

anti-inflammatory phytochemicals: Downregulation of COX-2 and iNOS

through suppression of NF-kappa B activation. Mutat. Res., 480-481:243-

268.

Tamblyn, Robyn, et al., (1997). Unnecessary prescribing of NSAIDs and the

management of NSAID-related gastropathy in medical practice. Ann. Intern.

Med., 127: 429-38.

Vane, J.R., Botting, R.M. (2003). The mechanism of action of aspirin.

Thromb. Res., 110:255–258.

Vikas Dhikav, Sindhu Singh, Swati Pande, Atul Chawla, Kuljeet Singh

Anand. (2003). Non Steroidal Drug-induced Gastrointestinal Toxicity:

Mechanisms and Management. J.I.A.C.M., 4(4): 315-22

Wagner-Jauregg, Th., Jahn, U., Buch, O. (1964). Die antiphlogistische

prufung bekannter anti-rheumatica am rattenpfoten Kaolinodenm.

Arzneimittel-Forschung, 12:1160-1166.

Walker, A.M. (1997). Quantitative studies of the risk of serious hepatic injury

in persons using nonsteroidal anti-inflammatory drugs. Arthritis

Rheum., 40:201–8.

Zimmerman, H.J. (1990). Update on hepatotoxicity due to classes of drugs in

common clinical use: non-steroidal drugs, anti-inflammatory drugs,

antibiotics, anti-hypertensives and cardiac and psychotropic agents. Semin.

Liver Dis., 10:322–38.