Planta Med 2022; 88(13): 1123-1131
DOI: 10.1055/a-1676-4371
Biological and Pharmacological Activity
Original Papers

cis-Aconitic Acid, a Constituent of Echinodorus grandiflorus Leaves, Inhibits Antigen-Induced Arthritis and Gout in Mice

Diego Pinto de Oliveira
1   Department of Pharmaceutical Products, Faculty of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Eliana de Faria Garcia
1   Department of Pharmaceutical Products, Faculty of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Mariana Assíria de Oliveira
1   Department of Pharmaceutical Products, Faculty of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Luiza C. M. Candido
2   Department of Microbiology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Fernanda M. Coelho
2   Department of Microbiology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Vivian Vasconcelos Costa
2   Department of Microbiology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Nathália Vieira Batista
3   Department of Biochemistry and Immunology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Celso Martins Queiroz-Junior
3   Department of Biochemistry and Immunology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Larissa Froede Brito
4   Department of Clinical and Toxicological Analyses, Faculty of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Lirlândia Pires Sousa
4   Department of Clinical and Toxicological Analyses, Faculty of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Daniele G. Souza
2   Department of Microbiology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Flávio Almeida Amaral
3   Department of Biochemistry and Immunology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Rodrigo Maia de Pádua
1   Department of Pharmaceutical Products, Faculty of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
Mauro Martins Teixeira
3   Department of Biochemistry and Immunology, Institute of Biological Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
,
1   Department of Pharmaceutical Products, Faculty of Pharmacy, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
› Author Affiliations
Supported by: Conselho Nacional de Desenvolvimento Científico e Tecnológico 310755/2017-4
Supported by: Fundação de Amparo à Pesquisa do Estado de Minas Gerais APQ-01269-17

Abstract

cis-Aconitic acid is a constituent from the leaves of Echinodorus grandiflorus, a medicinal plant traditionally used in Brazil to treat inflammatory conditions, including arthritic diseases. The present study aimed to investigate the anti-arthritic effect of cis-aconitic acid in murine models of antigen-induced arthritis and monosodium urate-induced gout. The possible underlying mechanisms of action was evaluated in THP-1 macrophages. Oral treatment with cis-aconitic acid (10, 30, and 90 mg/kg) reduced leukocyte accumulation in the joint cavity and C-X-C motif chemokine ligand 1 and IL-1β levels in periarticular tissue. cis-Aconitic acid treatment reduced joint inflammation in tissue sections of antigen-induced arthritis mice and these effects were associated with decreased mechanical hypernociception. Administration of cis-aconitic acid (30 mg/kg p. o.) also reduced leukocyte accumulation in the joint cavity after the injection of monosodium urate crystals. cis-Aconitic acid reduced in vitro the release of TNF-α and phosphorylation of IκBα in lipopolysaccharide-stimulated THP-1 macrophages, suggesting that inhibition of nuclear factor kappa B activation was an underlying mechanism of cis-aconitic acid-induced anti-inflammatory effects. In conclusion, cis-aconitic acid has significant anti-inflammatory effects in antigen-induced arthritis and monosodium urate-induced arthritis in mice, suggesting its potential for the treatment of inflammatory diseases of the joint in humans. Additionally, our findings suggest that this compound may contribute to the anti-inflammatory effect previously reported for E. grandiflorus extracts.



Publication History

Received: 16 June 2021

Accepted after revision: 11 October 2021

Article published online:
11 November 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Hazes JMW, Luime JJ. The epidemiology of early inflammatory arthritis. Nat Rev Rheumatol 2011; 7: 381-390
  • 2 Mercuri LG, Abramowicz S. Arthritic conditions affecting the temporomandibular joint. In: Farah C, Balasubramaniam R, McCullough M. eds. Contemporary oral Medicine. Cham: Springer; 2017: 1-36
  • 3 Bradford BJ, Yuan K, Farney JK, Mamedova LK, Carpenter AJ. Invited review: inflammation during the transition to lactation: New adventures with an old flame. J Dairy Sci 2015; 98: 6631-6650
  • 4 Okada Y, Eyre S, Suzuki Y, Yamamoto K. Genetics of rheumatoid arthritis: 2018 status. Ann Rheum Dis 2019; 78: 446-453
  • 5 Roddy E, Doherty M. Epidemiology of gout. Arthritis Res Ther 2010; 12: 223
  • 6 So AK, Martinon F. Inflammation in gout: mechanisms and therapeutic targets. Nat Rev Rheumatol 2017; 13: 639-647
  • 7 Rock KL, Kataoka H, Lai JJ. Uric acid as a danger signal in gout and its comorbidities. Nat Rev Rheumatol 2013; 9: 13-23
  • 8 Tavares LD, Galvão I, Costa VV, Batista NV, Rossi LCR, Brito CB, Reis AC, Queiroz-Junior CM, Braga AD, Coelho FM, Dias AC, Zamboni DS, Pinho V, Teixeira MM, Amaral FA, Souza DG. Phosphoinositide-3 kinase gamma regulates caspase-1 activation and leukocyte recruitment in acute murine gout. J Leukol Biol 2019; 106: 619-629
  • 9 Feldmann M. Development of anti-TNF therapy for rheumatoid arthritis. Nat Rev Immunol 2002; 2: 364-371
  • 10 Laine J, Jokiranta TS, Eklund KK, Väkeväinen M, Puolakka KC. Cost-effectiveness of routine measuring of serum drug concentrations and anti-drug antibodies in treatment of rheumatoid arthritis patients with TNF-α blockers. Biologics 2016; 10: 67
  • 11 Gautam R, Jachak SM. Recent developments in anti-inflammatory natural products. Med Res Rev 2009; 29: 767-820
  • 12 Lorenzi H, Matos FJA. Plantas Medicinais no Brasil: Nativas e exóticas cultivadas. Nova Odessa: Instituto Plantarum; 2002: 39-40
  • 13 Garcia EF, Oliveira MA, Godin AM, Ferreira WC, Bastos LFS, Coelho MM, Braga FC. Antiedematogenic activity and phytochemical composition of preparations from Echinodorus grandiflorus leaves. Phytomed 2010; 18: 80-86
  • 14 Garcia EF, Oliveira MA, Candido LC, Coelho FM, Costa VV, Queiroz-Junior CM, Braga FC. Effect of the hydroethanolic extract from Echinodorus grandiflorus leaves and a fraction enriched in flavone-C-glycosides on antigen-induced arthritis in mice. Planta Med 2016; 82: 407-413
  • 15 Garcia EF, Oliveira MA, Dourado LP, Souza DG, Teixeira MM, Braga FC. In vitro TNF-α Inhibition elicited by extracts from Echinodorus grandiflorus leaves and correlation with their phytochemical composition. Planta Med 2015; 82: 337-343
  • 16 Oliveira DP, Moreira TV, Batista NV, Filho JDS, Amaral FA, Teixeira MM, Pádua RM, Braga FC. Esterification of trans-aconitic acid improves its anti-inflammatory activity in LPS-induced acute arthritis. Biomed Pharmacother 2018; 99: 87-95
  • 17 Pinto de Oliveira D, Guimarães Augusto G, Vieira Batista N, de Oliveira VLS, Santos Ferreira D, Castro E Souza MA, Fernandes C, Almeida Amaral F, Martins Teixeira M, Maia de Pádua R, Oliveira MC, Castro Braga F. Encapsulation of trans-aconitic acid in mucoadhesive microspheres prolongs the anti-inflammatory effect in LPS-induced acute arthritis. Eur J Pharm Sci 2018; 119: 112-120
  • 18 Wright HL, Moots RJ, Edwards SW. The multifactorial role of neutrophils in rheumatoid arthritis. Nat Rev Rheumatol 2014; 10: 593-601
  • 19 Firestein GS. Evolving concepts of rheumatoid arthritis. Nature 2003; 423: 356-361
  • 20 OʼNeil LJ, Kaplan MJ. Neutrophils in rheumatoid arthritis: breaking immune tolerance and fueling disease. Trend Mol Med 2019; 25: 215-227
  • 21 Sachs D, Coelho FM, Costa VV, Lopes F, Pinho V, Amaral FA, Silva TA, Teixeira AL, Souza DG, Teixeira MM. Cooperative role of tumor necrosis factor-α, interleukin-1β and neutrophils in a novel behavioral model that concomitantly demonstrates articular inflammation and hypernociception in mice. Br J Pharmacol 2011; 162: 72-83
  • 22 Tanaka D, Kagari T, Doi H, Shimozato T. Essential role of neutrophils in antitype II collagen antibody and lipopolysaccharide-induced arthritis. Immunol 2006; 119: 195-202
  • 23 Cascão R, Rosário HS, Souto-Carneiro MM, Fonseca JE. Neutrophils in rheumatoid arthritis: more than simple final effectors. Autoimmun Rev 2010; 9: 531-535
  • 24 Cecchi I, Arias RI, Menegatti E, Roccatello D, Collantes-Esteves E, Lopez-Pedrera C, Barbarroja N. Neutrophils: novel key players in rheumatoid arthritis. Current and future therapeutic targets. Autoimmun Rev 2018; 17: 1138-1149
  • 25 Amaral FA, Costa VV, Tavares LD, Sachs D, Coelho FM, Fagundes CT, Soriani FM, Silveira TN, Cunha LD, Zamboni DS, Quesniaux V, Peres RS, Cunha TM, Cunha FQ, Ryffel B, Souza DG, Teixeira MM. NLRP3 inflammasome-mediated neutrophil recruitment and hypernociception depend on leukotriene B(4) in a murine model of gout. Arthritis Rheum 2012; 64: 474-484
  • 26 Coelho FM, Pinho V, Amaral FA, Sachs D, Costa VV, Rodrigues DH, Vieira AT, Silva TA, Souza DG, Bertini R, Teixeira AL, Teixeira MM. The chemokine receptors CXCR1/CXCR2 modulate antigen-induced arthritis by regulating adhesion of neutrophils to the synovial microvasculature. Arthritis Rheum 2008; 58: 2329-2337
  • 27 Mitroulis I, Kambas K, Ritis K. Neutrophils, IL-1β, and gout: is there a link?. Semin Immunopathol 2013; 35: 501-512
  • 28 So A. How to regulate neutrophils in gout. Arthritis Res Ther 2013; 15: 118
  • 29 Souza MR, Paula CA, Resende MLP, Grabe-Guimarães A, Filho JDS, Saúde-Guimarães DA. Pharmacological basis for use of Lychnophora trichocarpa in gouty arthritis: anti-hyperuricemic and anti-inflammatory effects of its extract, fraction and constituents. J Ethnopharmacol 2012; 142: 845-850
  • 30 Chen L, Mola M, Deng X, Mei Z, Huang X, Shu G, Wei L, Hou X, Lan Z, Lin Q. Dolichos falcata Klein attenuated the inflammation induced by monosodium urate crystals in vivo and in vitro . J Ethnopharmacol 2013; 150: 545-552
  • 31 Wei H, Hu C, Xie J, Yang C, Zhao Y, Guo Y, Mei Z, Chen L, Lan Z. Doliroside A attenuates monosodium urate crystals-induced inflammation by targeting NLRP3 inflammasome. Eur J Pharmacol 2014; 740: 321-328
  • 32 Huang L, Ken N, Ye W. Pharmacological effect of the organic acid of Achillea alpina . Zhong Yao Tong Bao 1985; 10: 38-40
  • 33 Croft M, Benedict CA, Ware CF. Clinical targeting of the TNF and TNFR superfamilies. Nat Rev Drug Discov 2013; 12: 147-168
  • 34 Mitoma H, Horiuchi T, Tsukamoto H, Ueda N. Molecular mechanisms of action of anti-TNF-α agents – Comparison among therapeutic TNF-α antagonists. Cytokine 2018; 101: 56-63
  • 35 Alkalay I, Yaron A, Hatzubai A, Orian A, Ciechanover A, Ben-Neriah Y. Stimulation-dependent IκBα phosphorylation marks the NF-κB inhibitor for degradation via the ubiquitin-proteasome pathway. Proc Natl Acad Sci U S A 1995; 92: 10599-10603
  • 36 Huxford T, Malek S, Ghosh G. Structure and mechanism in NF-kappa B/I kappa B signaling. Cold Spring Harb Symp Quant Biol 1999; 64: 533-540
  • 37 Bonizzi G, Karin M. The two NF-kappaB activation pathways and their role in innate and adaptive immunity. Trends Immunol 2004; 25: 280-288
  • 38 Ives A, Nomura J, Martinon F, Roger T, LeRoy D, Miner JN, Simon G, Busso N, So A. Xanthine oxidoreductase regulates macrophage IL1β secretion upon NLRP3 inflammasome activation. Nat Commun 2015; 6: 1-11
  • 39 Pascart T, Lioté F. Gout: state of the art after a decade of developments. Rheumatology 2018; 58: 27-44
  • 40 Ruiz-Miyazawa KW, Pinho-Ribeiro FA, Borghi SM, Staurengo-Ferrari L, Fattori V, Amaral FA, Teixeira MM, Alves-Filho JC, Cunha TM, Cunha FQ, Casagrande R, Verri WA. Hesperidin methylchalcone suppresses experimental gout arthritis in mice by inhibiting NF-κB activation. J Agric Food Chem 2018; 66: 6269-6280
  • 41 Zimmermann M. Ethical guidelines for investigations of experimental pain in conscious animals. Pain 1983; 16: 109-110
  • 42 Healy AM, Izmailova E, Fitzgerald M, Walker R, Hattersley M, Silva M, Siebert E, Terkelsen J, Picarella D, Pickard MD, Le Clair B, Chandra S, Jaffee B. PKC-θ-deficient mice are protected from Th1- dependent antigen-induced arthritis. J Immunol 2006; 177: 1886-1893
  • 43 Queiroz-Junior CM, Madeira MF, Coelho FM, Costa VV, Bessoni RL, Sousa LF, Garlet GP, Souza DG, Teixeira MM, Silva TA. Experimental arthritis triggers periodontal disease in mice: involvement of TNF-α and the oral microbiota. J Immunol 2011; 187: 3821-3830
  • 44 Sugimoto MA, Silva MJA, Brito LF, Borges RS, Amaral FA, Boleti APA, Ordoñez ME, Tavares JC, Souza LP, Lima ES. Anti-inflammatory potential of 1-nitro-2-phenylethylene. Molecules 2017; 22: 1997
  • 45 Sousa LP, Lopes F, Silva DM, Tavares LP, Vieira AT, Rezende BM, Carmo AF, Russo RC, Garcia CC, Bonjardim CA, Rossu AG, Teixeira MM. PDE4 inhibition drives resolution of neutrophilic inflammation by inducing apoptosis in a PKA-PI3K/Akt-dependent and NF-kappaB-independent manner. J Leukoc Biol 2010; 87: 895-904