EVALUATION OF ANTIDEPRESSANT ACTIVITY OF TRAMADOL AND TRAMADOL PLUS IMIPRAMINE USING RESERPINE...

6
Inter. J. of Phytotherapy / Vol 3 / Issue 1 / 2013 / 18-23. ~ 18 ~ e - ISSN - 2249-7722 Print ISSN - 2249-7730 International Journal of Phytotherapy www.phytotherapyjournal.com EVALUATION OF ANTIDEPRESSANT ACTIVITY OF TRAMADOL AND TRAMADOL PLUS IMIPRAMINE USING RESERPINE INDUCED HYPOTHERMIA MODEL ON EXPERIMENTAL ANIMALS Mohd Riyaz 1 , Vinit Raj 1 , Ashish Kumar 2 , Satyajeet Singh 2 1,2 Roorkee College of Pharmacy (RCP Universe) 09 milestone Roorkee-Dehradun Highway, Vill. Kishanpur, P.B.NO.104, Roorkee, Distt. Haridwar Uttarakhand - 247667, India. INTRODUCTION The cause of depression was linked to decreased brain levels of the neurotransmitters NE, 5- HT, and DA, although the actual cause remains unknown [1, 2]. Although the reuptake blockade of monoamines (e.g., NE and 5-HT) occurs immediately upon administration of an antidepressant, the clinical antidepressant effects generally are not observed until after 4 weeks of dosing It is apparent that no single neurotransmitter theory of depressions adequate.[3, 5]. The 5-HT or NE link hypothesis maintains that both the serotonergic and noradrenergic systems need to be functional for an antidepressant effect to be exerted [6]. The 5-HTor NE link hypothesis is also consistent with the rationale of the postsynaptic alteration theory of depression, which emphasizes the importance of alpha adrenergic receptor downregulation for achieving an antidepressant effect [7]. Again, it has been proposed that both NE and 5-HT are necessary for homologous desensitization of central a-adrenergic receptors by antidepressants. Tramadol is a synthetic centrally acting opioid analgesic used mainly for the treatment of moderate to severe pain. It is a weak μ opioid receptor agonist and also produces analgesia by inhibiting uptake of norepinephrine and serotonin [8]. MATERIALS AND METRHODS All the drugs used in present study were of pharmaceutical grade. Tramadol was gifted by Pro- laboratories Pvt, Ltd, Roorkee, India, used as a test drug. All solvents were of analytical grade and procured from Corresponding Author:- Mohd Riyaz Email: [email protected], ABSTRACT The present study was carried out to evaluated antidepressant activity of Tramadol and Tramadol plus Imipramine in experimental animals by using Reserpine Induced Hypothermia Test. Standard drug used in tests was Imipramine (10 mg/kg p.o.). It is a tricyclic antidepressant and it is a monoamine reuptake inhibitor. It inhibits the reuptake of noradrenalin and serotonin (5-HT) by monoaminergic nerve terminals, and thus it facilitates transmission. So, the possible mechanism of Tramadol and combination of Tramadol and Imipramine to decrease the immobility time may be due to the inhibition of monoamine reuptake. These models suggest that Tramadol and combination of Tramadol and Imipramine increases availability of biogenic amines Hence, Tramadol may produces antidepressant due to inhibition of reuptake of noradrenalin and 5-HT (serotonin). Key words: Serotonin, Dopamine transport, Biogenic amines, Reserpine Induced Hypothermia Test, Imipramine, and Tramadol.

description

The present study was carried out to evaluated antidepressant activity of Tramadol and Tramadol plus Imipramine in experimental animals by using Reserpine Induced Hypothermia Test. Standard drug used in tests was Imipramine (10 mg/kg p.o.). It is a tricyclic antidepressant and it is a monoamine reuptake inhibitor. It inhibits the reuptake of noradrenalin and serotonin (5-HT) by monoaminergic nerve terminals, and thus it facilitates transmission. So, the possible mechanism of Tramadol and combination of Tramadol and Imipramine to decrease the immobility time may be due to the inhibition of monoamine reuptake. These models suggest that Tramadol and combination of Tramadol and Imipramine increases availability of biogenic amines Hence, Tramadol may produces antidepressant due to inhibition of reuptake of noradrenalin and 5-HT (serotonin).

Transcript of EVALUATION OF ANTIDEPRESSANT ACTIVITY OF TRAMADOL AND TRAMADOL PLUS IMIPRAMINE USING RESERPINE...

  • Inter. J. of Phytotherapy / Vol 3 / Issue 1 / 2013 / 18-23.

    ~ 18 ~

    e - ISSN - 2249-7722

    Print ISSN - 2249-7730

    International Journal of Phytotherapy

    www.phytotherapyjournal.com

    EVALUATION OF ANTIDEPRESSANT ACTIVITY OF TRAMADOL

    AND TRAMADOL PLUS IMIPRAMINE USING RESERPINE

    INDUCED HYPOTHERMIA MODEL ON EXPERIMENTAL

    ANIMALS

    Mohd Riyaz1, Vinit Raj

    1, Ashish Kumar

    2, Satyajeet Singh

    2

    1,2Roorkee College of Pharmacy (RCP Universe) 09 milestone Roorkee-Dehradun Highway, Vill. Kishanpur, P.B.NO.104,

    Roorkee, Distt. Haridwar Uttarakhand - 247667, India.

    INTRODUCTION

    The cause of depression was linked to

    decreased brain levels of the neurotransmitters NE, 5-

    HT, and DA, although the actual cause remains unknown

    [1, 2]. Although the reuptake blockade of monoamines

    (e.g., NE and 5-HT) occurs immediately upon

    administration of an antidepressant, the clinical

    antidepressant effects generally are not observed until

    after 4 weeks of dosing It is apparent that no single

    neurotransmitter theory of depressions adequate.[3, 5].

    The 5-HT or NE link hypothesis maintains that both the

    serotonergic and noradrenergic systems need to be

    functional for an antidepressant effect to be exerted [6].

    The 5-HTor NE link hypothesis is also consistent with

    the rationale of the postsynaptic alteration theory of

    depression, which emphasizes the importance of alpha

    adrenergic receptor downregulation for achieving an

    antidepressant effect [7]. Again, it has been proposed

    that both NE and 5-HT are necessary for homologous

    desensitization of central a-adrenergic receptors by

    antidepressants. Tramadol is a synthetic centrally acting

    opioid analgesic used mainly for the treatment of

    moderate to severe pain. It is a weak opioid receptor

    agonist and also produces analgesia by inhibiting uptake

    of norepinephrine and serotonin [8].

    MATERIALS AND METRHODS

    All the drugs used in present study were of

    pharmaceutical grade. Tramadol was gifted by Pro-

    laboratories Pvt, Ltd, Roorkee, India, used as a test drug. All solvents were of analytical grade and procured from

    Corresponding Author:- Mohd Riyaz Email: [email protected],

    ABSTRACT

    The present study was carried out to evaluated antidepressant activity of Tramadol and Tramadol plus

    Imipramine in experimental animals by using Reserpine Induced Hypothermia Test. Standard drug used in tests was

    Imipramine (10 mg/kg p.o.). It is a tricyclic antidepressant and it is a monoamine reuptake inhibitor. It inhibits the

    reuptake of noradrenalin and serotonin (5-HT) by monoaminergic nerve terminals, and thus it facilitates transmission.

    So, the possible mechanism of Tramadol and combination of Tramadol and Imipramine to decrease the immobility

    time may be due to the inhibition of monoamine reuptake. These models suggest that Tramadol and combination of

    Tramadol and Imipramine increases availability of biogenic amines Hence, Tramadol may produces antidepressant

    due to inhibition of reuptake of noradrenalin and 5-HT (serotonin).

    Key words: Serotonin, Dopamine transport, Biogenic amines, Reserpine Induced Hypothermia Test, Imipramine, and

    Tramadol.

  • Inter. J. of Phytotherapy / Vol 3 / Issue 1 / 2013 / 18-23.

    ~ 19 ~

    Division of Pharmaceutical Sciences, Shri Guru Ram Rai

    Institute of Technology and Science, Patel Nagar

    Dehradun. Reserpine was purchase from Rajesh

    Chemicals Mumbai, India and used for induction of

    hypothermia. Imipramine was gifted from Unicure

    Pharmaceuticals Pvt Ltd, Roorkee India.

    Animals

    Swiss albino mice weighing between 2025g. All the animals were acclimatized at least under standard

    husbandry conditions, i.e. room temperature of 24 1 C;

    relative humidity 45 55% and a 12 : 12 h light/dark cycle. The animals were free access to standard pellets of

    rat with water supplied under strict hygienic conditions.

    Each experimental group was separate set of animals and

    care was taken to ensure that animals used for one

    response was not employed anywhere. Animals were

    habituated to laboratory conditions for 48 hours prior to

    experimental protocol to minimize if any non- specific

    stress [9, 13].

    Experimental protocol

    Experimental designs for Reserpine Induced

    Hypothermia Test.

    Animals divided in to nine groups and each group

    containing six animals (n=6).

    Group 1- (Negative control) Give Saline (1ml/100gm

    body wt.)

    Group 2-(Positive control) Give Reserpine (2mg/kg

    body wt. s.c.)

    Group 3-(Standard control) Give Reserpine (2 mg/kg

    body wt. s.c.) and after 18 hr give Imipramine (10 mg/kg

    body wt. p.o.)

    Group 4- Give Reserpine (2 mg/kg body wt. s.c.) and

    after 18 hr give Tramadol (10 mg/kg body wt.p.o.)

    Group 5- Give Reserpine (2 mg/kg body wt. s.c.) and

    after 18 hr give Tramadol (20 mg/kg body wt.p.o.)

    Group 6- Give Reserpine (2 mg/kg body wt.s.c.) and

    after 18 hr give Tramadol (40 mg/kg body wt. p.o.)

    Group 7- Give Reserpine (2 mg/kg body wt.s.c.) and

    after 18 hr give Imipramine (5 mg/kg body wt. p.o.) +

    Tramadol (5mg/kg body wt.p.o.)

    Group 8- Give Reserpine (2 mg/kg body wt.s.c.) and

    after 18 hr give Imipramine (5 mg/kg body wt. p.o.) +

    Tramadol (10mg/kg body wt.p.o.)

    Group 9- Give Reserpine (2 mg/kg body wt.s.c.) and

    after 18 hr give Imipramine (5 mg/kg body wt. p.o.) +

    Tramadol (20mg/kg body wt. p.o.)

    METHODS

    Reserpine induced hypothermia

    Depletion of biogenic amines (noradrenalin, 5-

    hydroxytryptamine, and dopamine) in the brain induces

    not only catalepsy and apoptosis but also hypothermia in

    rodents. The decrease of body temperature induced by

    Reserpine is antagonized by antidepressants, MAO-

    inhibitors and central stimulants. The subcutaneous

    administration of 2 mg/kg Reserpine leads to a decrease

    of core temperature in mice to 2023 C after 18 h. The fall in temperature can be antagonized by antidepressants.

    Procedure

    Groups of 6 Swiss albino mice (20-25 g body

    weight) were used. On the day before testing, they were

    dosed with 2 mg/kg Reserpine s.c. They were housed in a

    climate controlled animal colony and have free access to

    food and water. Eighteen hours after Reserpine

    administration, the animals were placed into individual

    cages. The initial rectal temperature was determined by

    insertion of an electronic thermometer to a constant depth

    of 2 cm. Following administration of the test compound

    the rectal temperature were measured again at 60 min

    intervals for 7 hrs [14].

    Evaluation

    Rectal temperature was recorded every hour. The

    difference in temperature from vehicle controls were

    calculated for each time and the maximal difference were

    scored. The differences will be then statistically

    compared.

    Statistical analysis

    The values were expressed as mean SEM. The

    results were subjected to statistical analysis by using one-

    way ANOVA. Followed by Bonferroni Test, P

  • Inter. J. of Phytotherapy / Vol 3 / Issue 1 / 2013 / 18-23.

    ~ 20 ~

    Table 1. Effect of Tramadol (p.o.) on Body Temperature in the Reserpine Induce Hypothermia Test using Swiss albino mice.

    S.

    No. Treatment Basal Temp.

    Basal temp.

    (oC) after 18

    hrs.

    of Reserpine

    Treatment

    Temperature after treatment (oC)

    1 hrs 2 hrs 3 hrs 4 hrs 5 hrs 6 hrs 7 hrs

    1 Negative

    Control 37.760.16 37.580.16

    37.46

    0.10### @@

    37.44

    0.09@@@

    37.4

    20.

    08 @@@

    37.52

    0.1

    6 @@@

    37.56

    0.04@@@

    37.36

    0.09@@@

    37.76

    0.07@@@

    2 Positive

    Control 37.70.11 35.530.15

    35.54

    0.12 ***

    ##

    35.31

    0.06*

    **##

    35.4

    10.

    10***

    ###

    35.35

    0.1

    6***

    ##

    #

    35.76

    0.12*

    **###

    36.12

    0.19*

    **###

    36.34

    0.17*

    **###

    3

    Standard

    (IMP

    10mg/kg)

    37.660.20 35.610.20

    36.23

    0.12 ***

    36.66

    0.09*

    **@@@

    37.0

    7

    0.07 @@@

    37.38

    0.0

    6 @@@

    37.68

    006@@@

    37.67

    0.14@@@

    37.71

    0.15

    4 TMD

    (10mg/kg) 37.680.16 35.620.18

    35.89

    0.08 ***

    36.37

    0.18*

    **@@@

    36.7

    0.17*

    *

    @@@

    37.06

    0.1

    6 @@@

    37.48

    0.18@@@

    37.83

    0.16@@@

    37.97

    0.15@@@

    5 TMD

    (20mg/kg)

    37.780.13

    35.560.13

    35.99

    0.11 ***

    36.49

    0.11*

    **@@@

    36.7

    3

    0.11*

    *

    @@@

    37.21

    0.12 @@@

    37.61

    0.09@@@

    37.80

    0.08@@@

    38.08

    0.07@@@

    6 TMD

    (40mg/kg)

    37.840.11

    35.330.12

    36.06

    0.12 ***

    36.79

    0.12*

    @@@

    37.4

    1

    0.09 @@@

    37.86

    0.09 @@@

    38.07

    0.12@@@

    37.99

    0.16@@@

    37.99

    0.14@@@

    IMP is Imipramine as a standard drug and TMD is Tramadol as a test drug. When compared with Negative Control group (p<

    0.05 = *, p

  • Inter. J. of Phytotherapy / Vol 3 / Issue 1 / 2013 / 18-23.

    ~ 21 ~

    3

    Standard

    (IMP

    10mg/kg)

    37.660.2

    0 35.610.20

    36.23

    0.12 ***

    36.66

    0.09*

    **@@@

    37.07

    0.07 @@@

    37.38

    0.06 @@@

    37.68

    006@

    @@

    37.67

    0.14@@@

    37.71

    0.15

    4

    IMP+TMD

    (5mg+5mg/k

    g)

    37.810.1

    3

    35.480.13

    35.89

    0.12 ***

    36.31

    0.13*

    @@@

    36.70

    0.15

    *

    *

    @@@

    37.05

    0.13 @@@

    37.43

    0.14@@@

    37.68

    0.12@@@

    37.96

    0.12@@@

    5

    IMP+TMD

    (5mg+10mg/

    kg)

    37.820.1

    1

    35.340.11

    35.92

    0.03 ***

    36.46

    0.12*

    **@@@

    37

    0.11 @@@

    37.49

    0.12 @@@

    37.81

    0.15@@@

    37.91

    0.15@@@

    38.06

    0.14@@@

    6

    IMP+TMD

    (5mg+20mg/

    kg)

    37.780.1

    2

    35.350.13

    36.15

    0.04 *** @@

    36.91

    0.10*

    **@@@

    37.43

    0.13 @@@

    37.97

    0.15

    # @@@

    38.08

    0.15@@@

    38.12

    0.13*

    *@@@

    38.21

    0.14@@@

    IMP is Imipramine as a standard drug and TMD is Tramadol as a test drug. When compared with Negative Control group (p<

    0.05 = *, p

  • Inter. J. of Phytotherapy / Vol 3 / Issue 1 / 2013 / 18-23.

    ~ 22 ~

    Figure 2. Effect of combination of Tramadol and Imipramine (p.o.) on Body Temperature in the Reserpine Induce

    Hypothermia Test using Swiss albino mice

    The effect of combination of Imipramine and Tramadol (5+5, 5+10, 5+20 mg/kg p.o.) and Imipramine 10mg/kg p.o. in the

    five minute intervals on Reserpine induced Hypothermia Test. The results were analyzed for statistical significance using

    one-way ANOVA followed by Bonferroni test. p

  • Inter. J. of Phytotherapy / Vol 3 / Issue 1 / 2013 / 18-23.

    ~ 23 ~

    5. Siever LJ, Davis KL. Overview: Toward a dysregulation hypothesis of depression. Am J Psychiatry, 142, 1985, 10171031.

    6. Rothschild AJ. Management of psychotic treatment-resistant depression. Psychiatr Clin North Am., 19, 1996 237252. 7. Leo E, Hollister MD, Katzung BG. Basic pharmacology of Antidepressant agents: Basic and Clinical Pharmacology

    Editors. Mc Graw Hill Lange publisher Editors.10th

    , 2007,254.

    8. Hopwood SE, Owesson CA, Callado LF, McLaughlin DP, Stamford JA. Effects of chronic tramadol on pre- and post-synaptic measures of monoamine function. Journal of Psychopharmacology, 15 (3), 2001, 14753.

    9. Jubie S, Sikdar P, Antony S, Kalirajan R, Gowramma B, Gomathy S, Elango K. Synthesis And Biological Evaluation of Some Schiff Bases of [4-(Amino) -5- Phenyl- 4h-1, 2, 4-Triazole- 3- Thiol]. Pakistan Journals of Pharmaceutical

    Science, 24, 2011, 109-112.

    10. Srinath R, Pinkal D, Saravanan J, Pravin S, Prashant R, Shenoy A. Synthesis and Evaluation of Antdepressant Activity of Some Novel Thieno 1, 2, 3, triazine 4-ones. International Journal of Pharmaceutical Science, 1 (20), 2010, 143-150.

    11. Pemminati S, Gopalakrishna HN, Ashok KS, Sahu SS, Meti SV Nair. Antidepressant activity of aqueous extract of fruits of Emblica officinalis in mice. International Journal of Applied Biology and Pharmaceutical Technology, 1(2), 2010,

    448-454.

    12. Rahman H, Muralidharan P. Comparative study of antidepressant activity of methanolic extract of Nardostachys Jatamansi DC Rhizome on normal and sleep deprived mice. Scholars Research Library, 2 (5), 2010, 441-449.

    13. Sharma MC, Sharma S, Kohli DV. Some plant and Extracts used in Pharmacologically Activity of Anxiolytics, Antidepressant, Analgesic, and Anti-Inflammatory Activity. Digest Journal of Nonmaterial and Biostructures, 5, 2010,

    223-227.

    14. Vogel HG, Vogel WH, Scholkens BA, Shadow J, Mullar G, Vogel WF. Drug Discovery and Evaluation of Pharmacological Assays edition. 2, 545-585.