Psidium guajava leaves decrease arthritic symptoms in adjuvant-induced arthritic rats

Main Article Content

Hanif Nasiatul Baroroh
Esti Dyah Utami
Anisyah Achmad

Abstract

BACKGROUND
Guava is an herbal with proven antioxidant and anti-inflammatory properties. The aim of this study was to investigate the anti-arthritic activity of the ethanol extract of Psidium gujava leaves (EEPG) against complete Freund’s adjuvant (CFA) induced arthritis in rats.

METHODS
An experimental study was conducted on 40 male Wistar Sprague Dawley rats, which were divided into 5 groups. Each group was induced with 0.2 mL CFA (1 mg/mL) on day 1 and 0.1 CFA mL booster injection on day 5. Group I served as an arthritic control, group II received dexamethasone (6.75 mg.kg-1 orally), group III, IV and V received EEPG at oral doses of 250, 500, and 750 mg/kg BW, respectively, on days 14 to 28. Anti-arthritic activity was observed from the arthritis score, the paw circumference was measured on days 0, 1, 4, 8, 12, 16, 20, 24, and 28, the mobility score was determined on days 12 and 28, and the histolopathology of the knee joint was examined on day 29.

RESULTS
Ethanol extract of Psidium guajava leaves significantly suppressed the swelling of the paws in chronic phase based on increasing of edema (%), while starting on day 20. EEPG at 250 mg/kg was most effective in significantly reducing arthritis scores (p<0.05). Histopathological examination showed repair of the knee joint synovial membrane and cartilage.
 
CONCLUSIONS
Psidium guajava leaf extract is effective in decreasing the inflammatory response and arthritic symptoms in rats with adjuvant-induced arthritis. Psidium guajava leaves can be developed into an alternative anti-arthritis treatment.

Article Details

How to Cite
Baroroh, H. N., Utami, E. D., & Achmad, A. (2015). Psidium guajava leaves decrease arthritic symptoms in adjuvant-induced arthritic rats. Universa Medicina, 34(3), 197–204. https://doi.org/10.18051/UnivMed.2015.v34.197-204
Section
Review Article

References

Mclnnes IB, Schett G. The pathogenesis of rheumatoid arthritis. N Engl J Med 2011;365: 2205-19.

National Collaborating Centre for Chronic Conditions. Rheumatoid arthritis: national clinical guideline for management and treatment in adults. London: Royal College of Physicians; 2009.

World Health Organization. Traditional medicine: growing needs and potential. Geneva: World Health Organization Policy Perspectives on Medicines; 2002.

Porwal V, Singh P, Gurjar D. A Comprehensive study on different methods of extraction from guava leaves for curing various health problem. IJERA 2012;2:490-6.

Barbalho SM, Machado FMV, Goulart RDA et al. Psidium guajava: A plant of multipurpose medicinal applications. Met Aromat Plant 2012; 4:1-6.

Jahagirdar K, Ghosh P, Adil SM, et al. Effect of hydroalcoholic extract of Psidium guyava Linn. on complete Freund’s adjuvant induced arthritis in laboratory animals. Pharmacologyonline 2010;3:706-19.

Dutta S, Das S. A study of the anti-inflamatory effect of the leaves of Psidium guajava Linn. on experimental animal models. Pharmacognosy Res 2010;2:313-7.

Ojewole JA. Antiinflammatory and analgesic effects of Psidium guajava Linn. (Myrtaceae) aqueous extract in rats and mice. Methods Find Exp Clin Pharmacol 2006;28:441-6.

Weni L, Harliansyah, Widayanti. Anti-inflammatory activity of the extract of guava leaves (Psidium guajava L) in the rat (Rattus norvegicus L). IJCC 2011;2:169-72.

Nagakura Y, Okada M, Kohara A, et al. Allodynia and hyperalgesia in adjuvant induced arthritis rats: time course of progression and efficacy of analgesics. J Pharmacol Exp Ther 2003;306:490-7.

Bevaart L, Vervoordeldonk MJ, Tak PP. Evaluation of therapeutic in animal models of arthritis, how does it relate to rheumatoid arthritis? Review arthritis and rheumatism. Arthritis Rheum 2010;62:2192-205.

Brand DD, Latham KA, Rosloniec EF. Collagen-induced arthritis. Nature Protocols 2007;2:1269-75.

Panchal AH, Patel RK, Bhandari A. Anti-arthritic and synergetic activity of Wedelia calendulacea L. with methotrexate in adjuvant induced arthtitis with cardioprotective activity in rat. Pharmacologyonline 2012;3:175-87.

Patil MVK, Kandhare AD, Bhise SD. Anti-arthritic and anti-inflammtory activity of Xanthium strumarium L. ethanolic extract in Freund’s complete adjuvant induced arthritis. Biomed Aging Pathol 2012;2:6-15.

Snekhalatha U, Anburajan M, Venkatraman B, et al. Evaluation of complete Freund’s adjuvant-induced arthritis in a Wistar rat model, comparison of thermography and histopathology. Rheumatol 2012;72:375-82.

Stills HF. Adjuvants and antibody production: dispelling the myths associated with Freund’s complete and other adjuvants. ILAR Journal 2005;46:280-93.

Ibiza S. The role of nitric oxide in the regulation of adaptive immune responses. CNIC 2008;2: 103-7.

Venkatesha SH, Rajaiah R, Berman BM, et al. Immunomodulation of autoimmune arthrits by herbal CAM. Evid Based Complement Alternat Med 2011:986797.

Florez M, Gutirez B, Sanchez S. Quercetin attenuates nuclear factor-B activation and nitric oxide production in interleukin-1 activated rat hepatocytes. J Nutr 2005;135:1359-65.

Chen JC, Ho FM, Chao PD, et al. Inhibition of iNOS gene expression by quercetin is mediated by the inhibition of IêB kinase, nuclear factor-kappa B and STAT1, and depends on heme oxygenase-1 induction in mouse BV-2 microglia. Eur J Pharmacol 2005;521:9–20.

Tachakittirungrod S, Ikegami F, Okonogi S. Antioxidant active principles isolated from Psidium guajava grown in Thailand. Sci Pharm 2007;75:179-93.

Vyas N, Tailang M, Gavatia NP. Antioxidant potential of Psidium guajava Linn. Intern J Pharm Tech Res 2010;2:417-9.