Hepatoprotective activity of Erythrina × neillii leaf ... · Contents lists available at...

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Contents lists available at ScienceDirect Phytomedicine journal homepage: www.elsevier.com/locate/phymed Hepatoprotective activity of Erythrina × neillii leaf extract and characterization of its phytoconstituents Riham O. Bakr a, , Marwa A.A. Fayed b , Ahmed M. Fayez c , Salma K. Gabr a , Ahlam M. El-Fishawy d , Taha S.El-Alfy d a Department of Pharmacognosy, Faculty of Pharmacy, October University for Modern Sciences and Arts,, Giza 11787, Egypt b Department of Pharmacognosy, Faculty of Pharmacy, University of Sadat City, Egypt c Department of Pharmacology, Faculty of Pharmacy, October University for Modern Sciences and Arts, Giza 11787, Egypt d Department of Pharmacognosy, Faculty of Pharmacy, Cairo University, Cairo 11562, Egypt ARTICLE INFO Keywords: Erythrina × neillii Alkaloids Flavonoids Antihepatotoxic ABSTRACT Background: Natural antioxidants and anti-inammatory agents have the ability to restore normal balance to destructed liver cells. The genus Erythrina has attracted attention for its broad spectrum of physiological ac- tivities and its rich polyphenolic and alkaloid contents. Hypothesis/Purpose: The major phytoconstituents of Erythrina × neillii, an ornamental coral tree and a hybrid between E. herbacea and E. humeana that was not previously studied, were investigated. The hepatoprotective eect and underlying mechanisms were also assessed. Study design and methods: The main phytoconstituents in the dierent fractions of the alcoholic leaf extract (dichloromethane and ethyl acetate) were identied using high resolution high-performance liquid chromato- graphy coupled with mass spectrometry (HR-HPLC-MS-MS) based on the fragmentation pattern and molecular formula of the identied compounds and on previous literature. In addition, the hepatoprotective, anti-in- ammatory and antioxidant activities of three doses of E. × neillii alcoholic leaf extract (100, 250, 500 mg/kg) were investigated in methotrexate (MTX)-intoxicated rats and were compared with those of silymarin-treated rats. Liver function parameters were obtained, and a histopathological study was performed. In addition, the anti-inammatory mediators and the antioxidant system in the liver tissues were assessed. Results: The dichloromethane extract revealed an abundance of alkaloids (25), in addition to tentatively iden- tifying avone (1), avanone (1) and three fatty acids. Additionally, thirty-six compounds belonging to dierent classes of phytoconstituents with a predominance of avonoids (21), O/C-avone and avonol glycosides, fol- lowed by alkaloids (9), fatty acids (4) and (2), and phenolic glycoside were identied in the ethyl acetate extract. Compared with MTX, alcoholic leaf extract (500 mg/kg) ameliorated the MTX-induced alterations by improving several biochemical marker levels, ghting oxidative stress in serum and liver tissues, and decreasing in- ammatory mediators; this nding was further conrmed by the histopathological study. Conclusion: This study reveals E. × neillii, a rich source of avonoids and alkaloids, which could be further exploited to provide a promising and safe antihepatotoxic agent source. Introduction Liver diseases represent extremely serious health problems with large economic losses in modern society. In the traditional system of medicine, liver diseases have been successfully treated using medicinal plants and their formulations, as they increase the rate of the natural healing process of the liver. Hence, the search for an eective liver protective drug persists (Stickel and Schuppan, 2007). Experimental models are used to validate the hepatoprotective ac- tivity of those systems used in traditional medicine. Methotrexate https://doi.org/10.1016/j.phymed.2018.09.231 Received 10 February 2018; Received in revised form 26 August 2018; Accepted 28 September 2018 Abbreviations: MTX, methotrexate; HR-HPLC/MS/MS, high-performance liquid chromatography coupled with mass spectrometry; ROS, reactive oxygen species; TNF, tumour necrosis factor; SEM, standard error of the means; ANOVA, analysis of variance; ALT, alanine aminotransferase; AST, aspartate aminotransferase; ALP, alkaline phosphatase; MDA, malondialdehyde; GSH, blood reduced glutathione; SOD, superoxide dismutase; MPO, myeloperoxidase; DM, dichloromethane; EA, ethyl acetate; LC, liquid chromatography; LD 50 , lethal dose Corresponding author. E-mail address: [email protected] (R.O. Bakr). Phytomedicine 53 (2019) 9–17 0944-7113/ © 2018 Elsevier GmbH. All rights reserved. T

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Page 1: Hepatoprotective activity of Erythrina × neillii leaf ... · Contents lists available at ScienceDirect Phytomedicine journal homepage: Hepatoprotective activity of Erythrina×neillii

Contents lists available at ScienceDirect

Phytomedicine

journal homepage: www.elsevier.com/locate/phymed

Hepatoprotective activity of Erythrina× neillii leaf extract andcharacterization of its phytoconstituents

Riham O. Bakra,⁎, Marwa A.A. Fayedb, Ahmed M. Fayezc, Salma K. Gabra, Ahlam M. El-Fishawyd,Taha S.El-Alfyd

a Department of Pharmacognosy, Faculty of Pharmacy, October University for Modern Sciences and Arts,, Giza 11787, EgyptbDepartment of Pharmacognosy, Faculty of Pharmacy, University of Sadat City, Egyptc Department of Pharmacology, Faculty of Pharmacy, October University for Modern Sciences and Arts, Giza 11787, Egyptd Department of Pharmacognosy, Faculty of Pharmacy, Cairo University, Cairo 11562, Egypt

A R T I C L E I N F O

Keywords:Erythrina× neilliiAlkaloidsFlavonoidsAntihepatotoxic

A B S T R A C T

Background: Natural antioxidants and anti-inflammatory agents have the ability to restore normal balance todestructed liver cells. The genus Erythrina has attracted attention for its broad spectrum of physiological ac-tivities and its rich polyphenolic and alkaloid contents.Hypothesis/Purpose: The major phytoconstituents of Erythrina× neillii, an ornamental coral tree and a hybridbetween E. herbacea and E. humeana that was not previously studied, were investigated. The hepatoprotectiveeffect and underlying mechanisms were also assessed.Study design and methods: The main phytoconstituents in the different fractions of the alcoholic leaf extract(dichloromethane and ethyl acetate) were identified using high resolution high-performance liquid chromato-graphy coupled with mass spectrometry (HR-HPLC-MS-MS) based on the fragmentation pattern and molecularformula of the identified compounds and on previous literature. In addition, the hepatoprotective, anti-in-flammatory and antioxidant activities of three doses of E.× neillii alcoholic leaf extract (100, 250, 500mg/kg)were investigated in methotrexate (MTX)-intoxicated rats and were compared with those of silymarin-treatedrats. Liver function parameters were obtained, and a histopathological study was performed. In addition, theanti-inflammatory mediators and the antioxidant system in the liver tissues were assessed.Results: The dichloromethane extract revealed an abundance of alkaloids (25), in addition to tentatively iden-tifying flavone (1), flavanone (1) and three fatty acids. Additionally, thirty-six compounds belonging to differentclasses of phytoconstituents with a predominance of flavonoids (21), O/C-flavone and flavonol glycosides, fol-lowed by alkaloids (9), fatty acids (4) and (2), and phenolic glycoside were identified in the ethyl acetate extract.Compared with MTX, alcoholic leaf extract (500mg/kg) ameliorated the MTX-induced alterations by improvingseveral biochemical marker levels, fighting oxidative stress in serum and liver tissues, and decreasing in-flammatory mediators; this finding was further confirmed by the histopathological study.Conclusion: This study reveals E.× neillii, a rich source of flavonoids and alkaloids, which could be furtherexploited to provide a promising and safe antihepatotoxic agent source.

Introduction

Liver diseases represent extremely serious health problems withlarge economic losses in modern society. In the traditional system ofmedicine, liver diseases have been successfully treated using medicinal

plants and their formulations, as they increase the rate of the naturalhealing process of the liver. Hence, the search for an effective liverprotective drug persists (Stickel and Schuppan, 2007).

Experimental models are used to validate the hepatoprotective ac-tivity of those systems used in traditional medicine. Methotrexate

https://doi.org/10.1016/j.phymed.2018.09.231Received 10 February 2018; Received in revised form 26 August 2018; Accepted 28 September 2018

Abbreviations: MTX, methotrexate; HR-HPLC/MS/MS, high-performance liquid chromatography coupled with mass spectrometry; ROS, reactive oxygen species;TNF, tumour necrosis factor; SEM, standard error of the means; ANOVA, analysis of variance; ALT, alanine aminotransferase; AST, aspartate aminotransferase; ALP,alkaline phosphatase; MDA, malondialdehyde; GSH, blood reduced glutathione; SOD, superoxide dismutase; MPO, myeloperoxidase; DM, dichloromethane; EA, ethylacetate; LC, liquid chromatography; LD50, lethal dose⁎ Corresponding author.E-mail address: [email protected] (R.O. Bakr).

Phytomedicine 53 (2019) 9–17

0944-7113/ © 2018 Elsevier GmbH. All rights reserved.

T

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(MTX) is one of the drugs used to induce hepatotoxicity. The patho-genesis of MTX-induced hepatotoxicity has been attributed to a redoximbalance, either due to depletion of the antioxidant system and/orgeneration of reactive oxygen species (ROS), suggesting that anti-oxidants may have a therapeutic benefit (Pravenec et al., 2013).

The genus Erythrina is a member of flowering plants in the pea fa-mily (Fabaceae); it consists of more than 200 species and contributesgreatly to folk medicine. Various species are utilized as tranquilizersagainst insomnia, inflammation, colic, syphilis, rheumatic pain, jaun-dice and liver ailments (García-Mateos et al., 2001). Therefore, thespecies of Erythrina represent an interesting field of study. Phyto-chemical studies have demonstrated a variety of phytoconstituents,including terpenes and alkaloids, as well as flavonoids, especially iso-flavones, pterocarpans, flavanones and isoflavanones (Chawla andKapoor, 1995; Hussain et al., 2016; Majinda et al., 2005). Due to thiswide variation in active constituents, the documented bioactivities ofisolated metabolites showed a wide range of medicinal uses, includingantimicrobial activity with high efficacy against resistant organismsand anti-inflammatory, antidiabetic, antidepressant, cytotoxic andmuscle relaxant activities (Anupama et al., 2012; Nyandoro et al., 2017;Setti-Perdigão et al., 2013).

In a continuation of our investigation of Erythrina× neilliiMabberley & Lorence, the hybrid derived from the cross between E.herbacea and E. humeana (Gabr et al., 2017), where no reports dealingwith its phytoconstituents or biological activities were found. Herein,we report an investigation of dichloromethane and ethyl acetate ex-tracts using HR-HPLC-MS-MS, and we highlight some of its biologicalactivities.

Materials and methods

Plant material

Leaves of E.× neillii Mabberley & Lorence were collected during theflowering period in October 2012 from El-Zohria garden, Cairo. Theleaves were kindly identified by Dr. Gwilym P. Lewis, Legume ResearchLeader, Comparative Plant & Fungal Biology. Royal Botanic Gardens,Kew, UK. The voucher specimen was deposited at the Herbarium of theFaculty of Pharmacy, MSA University, under registration number(RS020) and at the Department of Pharmacognosy, Faculty ofPharmacy, Cairo University (no.1-11-2012), and duplicates werehoused in the Kew Herbarium (K).

Animals

Adult male Wistar albino rats, weighing 200–250 g, were purchasedfrom the National Institute of Ophthalmology, Giza, Egypt. The animalswere kept at the animal centre, Faculty of Pharmacy, OctoberUniversity for Modern Sciences and Arts (MSA), Egypt. The animalswere housed under appropriate temperature and humidity conditions(25 ± 2 °C and 60–70% humidity). Animals were fed standard pelletchow (El-Nasr Chemical Co., Abou-Zaabal, Cairo, Egypt) and weresupplied with water ad libitum. All the procedures involving animalsand their care were in conformity with the institutional guidelines(ethics committee for animal experimentation, Faculty of Pharmacy,Cairo University) and complied with national and international laws onthe care and use of laboratory animals.

Chemicals, biochemicals and instrumentation

For HR-HPLC-MS-MS, chromatographic separation was performedusing an HPLC system consisting of a liquid chromatograph (Agilent1200 Waldbronn, Germany), equipped with a high-performance autosampler, binary pump, and PDA detector G 1314 C (SL), and aSuperspher 100 RP-18 (75×4mm i.d.; 4 μm) column (Merck,Darmstadt, Germany). Acetonitrile and formic acid (LCMS grade) were

obtained from J.T. Baker (Deventer, Netherlands), MilliQ water wasused for LC analysis.

ALT, AST, ALP, MDA, GSH and SOD were obtained fromBiodiagnostic, Egypt. TNF-α ELISA kits were obtained from Uscn LifeScience Inc., USA. Silymarin and methotrexate (MTX) were obtainedfrom Loba-chemie Co. (Mumbai, Maharashtra, India). Petroleum ether,dichloromethane, ethyl acetate, n-butanol, and ethanol were obtainedfrom El-Nasr Pharm. Chem. Co. (Cairo, Egypt).

Plant extraction

Two hundred grams of powdered leaves were extracted with 70%ethanol and then fractionated beginning with petroleum ether(b.r.40–60 °C) followed by dichloromethane, ethyl acetate and butanol.The extraction with each solvent continued until exhaustion. Each ex-tract was distilled off under reduced pressure and dried to a constantweight. Dichloromethane (DM) and the ethyl acetate (EA) extracts weresubjected to HR-HPLC-MS-MS.

HR-HPLC-MS\MS analysis

The identification of the major metabolites in the DM and EAfractions was performed using HR-HPLC-MS-MS. The mobile phaseconsisted of 2% acetic acid (pH 2.6) (A) and 80% methanol (B) usinggradient elution; from 5 to 50% B at 30 °C at a flow rate of 100 μl/min(Hassaan et al., 2014). Eluted compounds were detected from 120 to1500m/z using a Bruker micro-TOF-Q Daltonics (API) time-of-flightmass spectrometer (Bremen, Germany) equipped with an ion spray(pneumatically assisted electrospray) in the negative and positive ionmodes using the following instrument settings: nebulizer gas, nitrogen,1.6 bar; dry gas, argon, 200 °C; capillary, 4000 V. The data were pro-cessed using X-Calibur 2.2 SP1 software from Thermo Scientific (Berlin,Germany), and the major compounds were tentatively identified bycomparing their mass spectra with the reference literature andsearching the phytochemical dictionary of natural products database.

Biological assays

Acute toxicity studyThe lethality test (LD50) was estimated orally in rats, according to

the OECD guideline no. 420. Overnight fasted rats were divided intosixteen groups of six rats each. The rats were treated with increaseddoses (1000, 2000, 3000, 4000 and 5000mg/kg body weight) of thealcoholic extract of the leaves of E.× neillii suspended in the vehicle.The control group was given vehicle alone (water) and was kept underthe same conditions. Animals were observed for 24 h for signs of toxi-city and number of deaths. They were observed continuously for onehour for any gross behavioural changes such as drowsiness, restlessness,writhing, convulsions, piloerection and symptoms of toxicity andmortality, if any, and then periodically for the next 6 h, and again at24 h for signs of acute toxicity. Furthermore, the incidence of mortalityfor each group was recorded. Food and water were provided ad libitum(no. 2001).

Experimental design for hepatotoxicityA total of forty-eight rats were divided into six groups of eight an-

imals each. Three different doses of E.× neillii alcoholic extract (100,250 and 500mg/kg) were tested, and the schedule of treatment was asfollows: Group (1): Rats received saline for five days and served as anormal control group. Group (2): Rats received MTX (20mg/kg, ip) at asingle dose and then received saline for four days and served as a ne-gative control group. Groups (3, 4 and 5): Rats received MTX (20mg/kg, ip) at a single dose and then received oral E.× neillii alcoholic ex-tract (100, 250, 500mg/kg, respectively) for four days. Group (6): Ratsreceived MTX (20mg/kg, ip) at a single dose and then received oralsilymarin (100mg/kg) for four days (De et al., 2015).

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Serum and tissue preparationBlood samples were collected from the retro-orbital plexus twenty-

four hours after the last dose of treatments under light ether anaesthesiain non-heparinized tubes, and the serum was separated after cen-trifugation and stored at −20 °C. Animals were later sacrificed; the li-vers were excised and divided into two portions: the first portion wasused for the histopathological study, and the second portion washomogenized for the determination of MDA, GSH and SOD levels.

Biochemical analysisBiochemical parameters assessing liver functions (ALT, AST and

ALP) were determined spectrophotometrically using commercial kits(Beutler et al., 1963). The liver homogenate was centrifuged, and theMDA, GSH and SOD tissue contents were determined for an estimationof antioxidant activity (Nishikimi et al., 1972). To determine the anti-inflammatory activity, MPO and TNF-α were evaluated using an ELISAkit (Hycult Biotechnology, USA) (Grisham et al., 1990).

Histopathological studyAutopsy samples from the liver were fixed in 10% formalin and

embedded in paraffin. Tissue sections (4 μm) were stained with hae-matoxylin and eosin (H&E) and then examined microscopically(Bott, 2014).

Statistical analysisThe results are expressed as the means ± standard error of the

mean (SEM). Comparisons between different groups were carried outby one-way analysis of variance (ANOVA) followed by the Tukey-Kramer test. The level of significance was set at p < 0.05. GraphPadsoftware InStat (version 2) was used to carry out statistical analysis.

Results and discussion

Chemical analysis

HR-HPLC/MS/MS analysisMass spectroscopy can be an extremely useful tool when dealing

with small quantities of material. The combination of ESI positive andnegative modes permitted the tentative identification of thirty com-pounds in the DM fraction and a total of thirty-six compounds in the EAfraction by the interpretation of their fragmentation patterns combinedwith information from the available literature. The identities, retentiontimes, and observed molecular and fragmentation information for thetentatively identified peaks are presented in Tables 1 and 2. Notably,this is the first comprehensive metabolite profile of E.× neillii plants.

Dichloromethane fractionThe DM fraction (Fig. 1) showed the prevalence of alkaloids. Ni-

trogenous compounds are better detected in the positive mode, war-ranting the importance of acquiring data in both positive and negativeionization modes. The Erythrina alkaloids are of the spiran system andare divided into two groups: those that contain a conjugated 1,6-dienesystem [e.g., erythraline] and those that contain an isolated l (6)-doublebond [e.g., erythratine]. The mass spectra of all the aromatic dienealkaloids showed essentially the same fragmentation pattern, whichshowed major peaks at [M+H] +, [M+H−15 / M+H−CH3]+, [M+H−31 / M+H−OCH3]+, [M+H−33 / M+H−OCH5]+, [M+H−58 / M+H−C3H6O]+, [M+H−71 / M+H−C4H7O]+, [M+H−72, [M+H−84 / M+H−C5H8O]+ and [M+H−85]+(Dyke and Quessy, 1981).

The fragmentations of the second group of Erythrina alkaloids, thosehaving a l (6)-double bond, were more complex and varied than thoseof the above group. The ions [M+H−15]+ and [M+H−31]+ were ofrelatively minor importance. One ion that was of general importance inthe spectra of this second group was that corresponding to a retro-Diels-Alder reaction (RDA) in ring A [M+H−58]+ (Wu and Huang, 2006).

Nitrogenous compounds in the DM fraction of E.× neillii detected inthe positive mode showed essentially similar fragmentation patterns.Most of the identified alkaloids showed methyl losses from the methoxygroup (15 Da). Pk 1, identified as erythratine/11-methoxyerysopine/erysotinone/ erysosalvine with a molecular ion peak at m/z316.15427 [M+H]+, and fragments at m/z 301 [M+H−CH3]+, 285[M+H−OCH3]+, 284 [M+H−OCH4]+, 283 [M+H−OCH5]+, 258[M+H−C3H6O]+, 245 [M+H−C4H7O]+ showed a typical fragmen-tation pattern as previously described (Chawla and Kapoor, 1995). Pk 2was tentatively identified as erysotine (m/z 318.16975, M+H) andshowed fragments at m/z 287 [M+H−OCH3]+ and 260 [M+H−C3H6O]+. Pk 4 was tentatively identified as erysopine (m/z286.14342, M+H), showing fragments at m/z 271 [M+H−15]+, 255[M+H−31]+, while the fragment at m/z 228 [M+H−58]+ corre-sponds to an RDA fragmentation (Amer et al., 1991). All other alkaloidstypically have the same fragmentation pattern and similar molecularion peaks, as shown in Table 1.

Flavonoids and fatty acidsA minor appearance of flavonoids was observed in the DM

(Table 1), where one flavanone (Pk 26, prenyl naringenin) and oneflavone aglycone (Pk 28, apigenin) have been tentatively identified inaddition to three fatty acids (Table 1, Pk 27, 29, 30) identified as 7-oxotetradecanedioic acid, 12 oxododecanoic acid and 10,16 dihydrox-yhexadecanoic acid, respectively, in comparison with previous litera-ture (Farag et al., 2016a,b; Stevens et al., 1997).

Ethyl acetate fractionAlkaloids. The elution order of secondary metabolites in the EA fraction(Fig. 2) followed a sequence of decreasing polarity, wherebycinnamates and alkaloids eluted first, followed by flavonoidglycosides, and finally triterpenes and fatty acids (Farag et al.,2016a). A glycosylated form of Erythrina alkaloids was identified inthe E.× neillii EA fraction analysed by HR-HPLC-MS-MS (Table 2). Thefragmentation of the glycoside is carried out by a neutral loss of theglycosyl unit to yield a protonated aglycone ion that fragments in thesame pattern as the free protonated alkaloid. Pk 1 was tentativelyidentified as 15-β-D-glucoerysopine or 16-β-D-glucoerysopine with apseudomolecular ion peak at m/z 448.19587[M+H]+, and fragmentsat m/z 433 denoting the loss of a methoxyl group followed by afragment at m/z 269 [M+H−OCH3-hex]+, showing the loss of ahexose moiety (Wanjala and Majinda, 2000)..Pk 2 (m/z 344.14913,M+H) with fragments at m/z 329 [M+H−CH3]+ and 311[M+H−33]+

helped in its tentative identification as 11-β-hydroxyerysotramidine(Juma and Majinda, 2004). Pk 3 (m/z 344.18560, M+H) showedcharacteristic fragments at m/z 329 [M+H−15]+ corresponding to theloss of a methyl group, in addition to a peak at 286 [M+H−58]+,which corresponds to an RDA fragmentation, beside fragments at m/z273 [M+H−71]+ and 272 [M+H−72]+, which helped in itstentative identification as erythristemine (Amer et al., 1991).Similarly, Pk 4 (m/z 316.15395, M+H) presented a similar MSfragmentation spectrum and fragments at m/z 314, 298 [M+H−18]+, which represents the loss of a molecule of water, and284 [M+H−31]+ corresponded to the loss of a methoxy group andwas therefore tentatively identified as erysovine-N-oxide (Cui et al.,2009). Pk 6 (m/z 298.14310, M+H) showed a characteristic base peakat m/z 267 denoting the loss of OCH3 in addition to the loss of theallylic substituent at C-3, which helped in its tentative identification aserythraline (Mohammed et al., 2012), while Pk 10 was tentativelyidentified as erythrartine-N-oxide (m/z 346.16382, M+H) with acharacteristic fragment at m/z 330 [M+H−O]+ (Juma andMajinda, 2004). Erythraline, erythrartine and erystrotrine werepreviously identified in E. herbacea (Garin-Aguilar et al., 2005).

Flavonoids. Analysis of the EA fraction of E.× neillii in the negativemode revealed the tentative identification of fifteen flavones with C-

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Table1

Thetentativelyiden

tified

metab

olites

intheE.

×neilliidich

lorometha

nefraction

usingHPL

C/M

S-MS.

Peak

no.

Rt(m

in)

Molecular

form

ula

Errorpp

mMolecular

ionm/z

±MS/

MS

Prop

osed

compo

und

13.87

C18H21NO4

−0.17

331

6.15

427[M

+H]+

301[M

+H−15

]+,2

85[M

+H−31

]+,28

4[M

+H−32

]+,2

83[M

+H−

33]+

,258

[M+H−58

]+,2

45[M

+H−

71]+

Erythratine

11-m

etho

xyerysop

ine

Erysotinon

eErysosalvine

24.66

C18H23NO4

−0.73

831

8.16

975[M

+H]+

300,

287[M

+H−

31]+

,260

[M+

H−

58]+

,259

[M+

H−59

]+,2

39,2

28Erysotine

34.79

C17H19NO3

0.17

528

6.14

382[M

+H]+

255,

254[M

+H−

32]+

,237

Erysoline

Eryson

ine

44.83

C17H19NO3

−1.22

328

6.14

342[M

+H]+

271[M

+H−15

],25

5[M

+H−31

]+,25

4[M

+H−

32]+

,253

[M+

H−33

]+,2

37,2

28.

Erysop

ine

55.19

C18H19NO4

−0.11

531

4.13

816[M

+H]+

299[M

+H−15

]+,296

,286

,270

,254

,240

,237

,226

Erythrinine

65.55

C24H31NO8

−1.71

646

2.21

145[M

+H]+

431[M

+H−31

]+,4

30,2

69,2

68,2

42Gluco

-erysodine

78.73

C19H23NO4

−0.65

033

0.16

977[M

+H]+

314[M

+H−15

]+,3

12,2

99[M

+H−31

]+,29

8,28

0,27

0,25

6,22

9,15

311

-β-hyd

roxy

erysotrine

orerysotrine

-N-

oxide

89.66

C17H17NO3

−0.84

428

4.12

788[M

+H]+

269[M

+H−15

]+,26

6,25

3[M

+H−

31]+

,252

[M+

H−32

]+,2

51[M

+H−

33]+

,234

,225

[M+H−58

]+,

217,

207

erythroc

arine

910

.70

C18H19NO4

−0.52

431

4.13

852[M

+H]+

299[M

+H−

15]+

,29

6,28

3[M

+H−31

]+,2

82[M

+H−32

]+,2

64,2

56[M

+H−

58]+

,243

[M+H−

71]+

,22

911

-oxo

erysod

ine

1010

.78

C18H19NO4

−0.28

531

4.13

840[M

+H]+

299[M

+H−15

]+,2

98,2

96,2

83[M

+H−31

]+,28

2,26

4,25

6,22

9,21

1Erysod

ieno

ne11

11.80

C18H21NO3

−0.60

030

0.15

924[M

+H]+

269[M

+H−31

]+,26

8[M

+H−

32]+

,251

Erysod

ine

Erysov

ine

1212

.18

C19H25NO4

−3.29

633

2.18

454[M

+H]+

314,

301[M

+H−

31]+

,300

[M+

H−32

]+,29

8,28

2,27

1,25

3,24

2,22

9Erythratidine

1313

.81

C19H23NO3

−0.25

531

4.17

489[M

+H]+

299[M

+H−15

]+,28

3[M

+H−

31]+

,270

,256

[M+

H−58

]+,2

54,2

42[M

+H−

72]+

,230

[M+H−84

]+,

229[M

+H−85

]+Erysotrine

1415

.83

C18H21NO4

−0.28

531

6.15

405[M

+H]+

298,

284,

266,

257,

229

Erythrav

ineor

erythram

ine

1517

.65

C18H19O4N

−0.58

831

4.13

850[M

+H]+

282,

264,

223,

176

Erythratinon

e16

17.89

C16H17NO4

0.81

728

8.12

327[M

+H]+

271,

253,

235,

217,

180,

161

8-ox

o-α/

β-erythroidine

1718

.00

C19H21NO4

−2.57

432

8.15

349[M

+H]+

310,

296[M

+H−

32]+

,266

,252

,178

Erysotramidine/

coreximine/

scou

lerine

1818

.25

C18H19NO3

−0.56

029

8.14

321[M

+H]+

283[M

+H−15

]+,28

0,26

7[M

+H−

31]+

,266

[M+

H−32

]+,2

65[M

+H−

33]+

,249

,240

[M+H−58

]+,

227[M

+H−71

]+,2

26[M

+H−72

]+,2

14[M

+H−

84]+

,175

,143

,137

Erythraline

1918

.43

C19H21NO4

−2.17

832

8.15

362[M

+H]+

313[M

+H−15

]+,2

98[M

+H−30

]+,2

97[M

+H−

31]+

,296

[M+

H−32

]+,2

86,2

71,2

37,1

91,1

7811

-metho

xyerythralineor

8-ox

oerythrinine

2019

.62

C19H19NO4

−3.05

032

6.13

769[M

+H]+

308,

294[M

+H−

32]+

,280

,267

Erythrab

ine

2120

.38

C21H25NO5

−1.50

337

2.17

999[M

+H]+

341[M

+H−31

]+,34

0[M

+H−

32]+

Erythrascine

2223

.56

C20H25NO4

−0.57

534

4.18

506[M

+H]+

329[M

+H−15

]+,3

13[M

+H−31

]+,3

12[M

+H−

32]+

,298

,286

[M+

H−58

]+,28

1,26

9,25

0,23

0Erythristemine

2327

.57

C25H33NO9

−1.01

849

2.22

179[M

+H]+

474,

330

11-β-m

etho

xygluc

oerysodine

2433

.58

C19H23NO5

−0.51

834

6.16

472[M

+H]+

330[M

+H−15

]+,32

8,31

4,29

6,26

8,25

8,23

8,19

2,18

3,16

5Erythratine-N-oxide

2544

.65

C18H15NO4

−1.82

031

0.10

682[M

+H]+

292,

279[M

+H−

31]+

,27

8[M

+H−

32]+

Crystam

idine

2646

.00

C20H20O5

−2.37

534

1.13

754[M

+H]+

323,

311,

281,

187,

175,

161,

137

Pren

ylna

ring

enin

2746

.65

C14H24O5

3.02

327

1.15

282[M

–H]–

253,

240,

227,

191,

173,

155,

135,

121,

111

7-ox

otetrade

cane

dioicacid

2864

.72

C15H10O5

3.04

826

9.04

527[M

–H]−

251,

225,

209,

201,

181,

161

Apige

nin

2968

.88

C12H22O3

0.46

421

3.14

862

[M+

H]+

195

12-oxo

dode

cano

icacid

3070

.87

C16H33O4

0.91

328

9.23

760[M

+H]+

271[M

+H−18

]+,2

53,2

29(10S

)-10

,16-dihy

drox

yhexad

ecan

oicacid

Boldface

digits

reflects

theba

sepe

ak(100

%ab

unda

nce).

Frag

men

tions

arelistedin

orde

rof

relative

abun

danc

es.

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and O-glycosylation, five flavonols, and one flavanone (Table 2),whereby the nature of the sugars could be revealed by elimination ofthe sugar residue, that is, 176 amu (hexuronic acid), 162 amu (hexose:glucose or galactose), and 132 amu (pentose) (Farag et al., 2016a).Apigenin showed twelve conjugates with the predominance of C-glycosylation detected by the neutral loss of 120 amu (0,2 cross-ringcleavage), 90 amu (0,3 cross-ring cleavage), and 18 amu (loss of H2O).Apigenin conjugates showed C-6 derivatives (Pk 24, 32), C-8 (Pk 13)and a combination of both (Pk 14, 20, 27) in addition to O-glycosylation (Pk 30). Luteolin conjugate appeared at Pk 15 and 16and was identified as luteolin pentosyl hexoside and luteolin C-6hexoside, in addition to diosmetin (Pk 19). Flavonols were alsoidentified, including quercetin (Pk 23, 26, 28) and kaempferol (Pk

18, 31), based on their MS/MS fragmentation. Pk 13 (593.15108,M–H) showed a base peak at m/z 473 [M–H−120]− in addition tofragments at m/z 503 [M–H−90]− and 575 [M–H−H2O]− denoting aC-hexosyl flavone. Additional hexose was revealed by fragments at m/z383 and 353. The very low intensity of a fragment at m/z 341[M–H−sugar-90]− and [M–H−sugar-H2O]− suggested a symmetricDi-C-glucoside (Becchi and Fraisse, 1989). Therefore, Pk 13 wastentatively identified as apigenin 6,8C-dihexoside. Pk 14 (m/z563.13998, M–H) showed a characteristic fragment at m/z 545 [M-H−18]−, denoting the loss of one molecule of water. The fragment atm/z 473 [M–H−90]−, appearing as a base peak in addition to afragment at m/z 443 [M–H−120]−, denotes a hexosyl moiety at C-8,while the fragment at m/z 503 [M–H−60]− >50% denotes the

Table 2The tentatively identified metabolites in E.× neillii ethyl acetate extract using the HR-HPLC/MS-MS technique.

Peak no. Rt min. Molecularformula

Δ mass ppm Molecular ion m/z± MS/MS Proposed compound

1 2.91 C23H29NO8 −1.614 448.19587 [M+H]+ 433 [M+H−OCH3]+, 269 [M+H−OCH3-hex]+ 15-β-D-glucoerysopineor16-β-D-glucoerysopine

2 5.24 C19H21NO5 −0.347 344.14913 [M+H]+ 329 [M+H−CH3] +, 311 [M+H−33] +, 299, 277, 271,267,255, 241, 223

11-β-hydroxyerysotramidine

3 8.12 C20H25NO4 −0.03 344.18560 [M+H]+ 329 [M+H−15]+, 313 [M+H−31]+, 312 [M+H−32]+, 286[M+H−58]+, 273 [M+H−71]+, 272 [M+H−72]+

Erythristemine

4 10.45 C18H21NO4 −1.217 316.15395 [M+H]+ 314, 298 [M+H−H2O]+, 284 [M+H−32]+, 266, 255, 237,176, 154

Erysovine-N-oxide

5 10.50 C19H23NO4 −2.286 330.16923 [M+H]+ 315, 312, 299, 283, 267, 251, 235, 223,214 11-β-hydroxyerysotrine

6 11.29 C18H19NO3 -0.670 298.14310 [M+H]+ 285, 283, 267, 239, 213, 175 Erythraline7 12.62 C20H23NO5 −0.277 358.16480 [M+H]+ 343 [M+H−CH3]+,327 [M+H−OCH3]+, 312, 297, 288, 281,

270, 255, 226, 209, 18211-β-methoxyerysotramidine

8 18.91 C15H18O8 2.541 325.09262[M–H]− 163 [M–H−162] Coumaroyl glucoside9 22.66 C19H23NO5 −1.587 346.16435 [M+H]+ 330 [M+H−O]+, 329, 315 [M+H−OCH3]+, 297, 283 11-α-hydroxyerysotrine N-oxide10 22.71 C19H23NO5 −3.118 346.16382 [M+H]+ 330 [M+H−O]+, 329, 315 [M+H−OCH3]+, 283, 255. 11-β-hydroxyerysotrine N-

oxide [(erythrartine-N-oxide)]11 24.02 C18H24O13 2.087 447.11425 385, 324, 310, 285 [M–H−162] 179, 153 [M–H−162−132] Gentisic acid pentosyl hexoside12 28.37 C21H22O11 3.211 449.10928 287 [M–H−162], 269, 259 Eriodyctiol hexoside13 39.15 C27H30O15 1.692

0.880593.15108 [M–H]−

595.16627 [M+H]+575 [M–H–H2O], 473 [M–H−120], 503 [M–H−90], 383, 353577, 559, 541, 529, 457, 433

Apigenin 6,8C-dihexoside

14 40.74 C26H28O14 0.448 563.13998 [M–H]− 545, 503, 473 [M–H−90], 443 [M–H−120], 425, 383, 353 Apigenin 6-C-pentoside 8-C-hexoside

15 42.08 C26H28O15 1.198 579.13514 [M–H]− 489 [M–H−90], 459 [M–H−120], 399 [459−60], 369[M–H−90]

Arabinopyranosylorientin

16 43.35 C21H20O11 2.085 447.09312 429 [M–H−H2O], 357 [M–H−90], 327 [M–H−120] Luteolin 6-C-hexoside (iso-orientin)

17 44.57 C25H26O13 1.769 533.12991 473 [M–H−60], 443 [M–H−90], 383, 353 Apigenin 6-C-dipentoside18 49.08 C21H20O11 2.0107 447.09313 [M–H]− 387, 327 [M–H−120], 285 [M–H−162] Kaempferol hexoside19 49.85 C22H22O11 1.891 461.10871 [M–H]− 341 [M–H−120], 371 [M–H−90], 443.23 Diosmetin glucoside20 51.41 C27H30O14 1.747 577.15619 [M–H]− 503 [M–H−74], 457 [M–H−120], 487 [M–H−90], 471

[M–H−106], 383, 353Apigenin -6-C-rhamnoside 8-C-hexoside

21 53.22 C20H18O9 2.497 401.09 [M–H]− 311 [M–H−120], 341 [M–H−90], 383 Apigenin pentoside22 54.40 C15H10O5 0.775 271.06031 [M+H]+ 253, 239, 226, 211, 198, 152 Apigenin23 54.41 C21H19O12 2.176 463.08811 [M–H]− 341, 301, 443 Quercetin hexoside24 54.78 C27H30O14 1.885 577.15627 559 [M–H−18], 487 [M–H−90], 473 [M–H−104], 457

[M–H−120], 383, 353Apigenin 6-C-hexoside-rhamnoside

25 55.15 C26H28O13 1.559 547.14547 [M–H]- 529, 473, 457, 443, 425, 383, 353 Apigenin -6-C-di-pentoside-methylether

26 55.46 C20H18O11 1.853 433.07734 [M–H]− 371, 301, 269, 179, 161 Quercetin pentoside27 55.94 C28H30O15 1.410 605.15095 545 [M–H−60], 515 [M–H−90], 473 [M–H−104], 443, 383,

353Apigenin-8-C-hexoside-6-C-pentoside acetate

28 56.10 C21H20O11 2.264 447.0932 [M–H]− 327, 301, 285, 269 Quercetin rhamnoside29 57.34 C21H18O11 0.833 447.09256 [M+H]+ 427, 333, 271 Apigenin glucuronide30 60.74 C20H32O10 2.079 431.19207 [M–H]− 371, 341, 311, 269, [M–H−162] Apigenin O-hexoside31 62.73 C21H20O10 2.335 431.09828 [M–H]− 371, 341, 311, 285, 269, 179, 161 Kaempferol rhamnoside32 65.92 C21H20O10 2.011 431.10 [M–H]− 369, 341, 311, 269 Apigenin 6-C-hexoside (isovitexin)33 71.93 C18H30O3 2.588 293.21188 [M–H]− 275, 265, 249, 231, 223, 211, 183 Hydroxy-octadecatrienoic acid34 72.93 C18H32O3 2.468 295.22750 [M–H]− 295, 277, 251, 235, 185, 183, 171, 155 15-hydroxy-9,11-octadecadienoic

acid35 75.97 C18H30O2 3.042 277.2175[M–H]− 259, 233, 231, 221, 195, 179 Linolenic acid36 78.77 C18H32O2 2.877 279.23[M–H]− 279, 266, 261, 259, 250, 235, 204, 96 Linoleic acid

Boldface digits reflects the base peak (100% abundance).Fragment ions are listed in order of relative abundances.

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attachment of an extra C-linked pentose at C-6. The fragment at m/z353 [M–H−120−90]− and 383 [M–H−120–60]− confirmed thetentative identification of Pk 14 as apigenin 6-C-pentosyl-8-C-hexoside. Pk17 (533.12991, M–H) was tentatively identified based onfragments at m/z 443 [M–H−90]−, appearing as the base peak and m/z473 [M–H−60]−, revealing a pentoside loss. Pk 17 was tentativelyidentified as apigenin 6-C-dipentoside. Pk 25 (547.14547, M–H)showed the same fragmentation pattern with an extra mass differenceof 14 amu in molecular ion and was identified as apigenin-6-C-di-pentoside-methyl ether.

Pk 20 (577.15619, M–H) showed a base peak at m/z 503[M–H−74]−, followed by fragments at m/z 457 [M–H−120]− and473 [M–H−104]−, assigning a typical rhamnoside fragmentation pat-tern. The appearance of fragments at m/z 487, 383 and 353 denoted anextra hexosyl moiety. The high intensity of rhamnosyl fragments con-firmed its attachment at 6-C and the hexosyl at 8-C. Therefore, Pk 20was tentatively identified as apigenin-6-C-rhamnoside 8-C-hexoside(Ferreres et al., 2003). The O-glycosides were also identified with api-genin O-hexoside (Pk 30) in addition to the tentatively identified fla-vonols as kaempferol hexoside (Pk 18).

Oxygenated fatty acids

With a delayed appearance, hydroxy-octadecatrienoic acid (Pk 33,293.21188, M–H), 15-hydroxy-9,11-octadecadienoic acid (PK 34,295.2275, M–H), linolenic acid (Pk 35, 277.2175, M–H), and linoleic

acid (Pk 36, 279.23, M–H) were identified in the negative mode in theEA (Farag et al., 2016a,b).

Biological assays

Preliminary acute toxicity studyTo assess the E.× neillii extract safety margin, acute toxicity was

monitored followed by any behavioural or apparent changes. In theacute toxicity study, compared to vehicle-treated rats, the treated ratswith different doses of E.× neillii extract (up to 4000mg/ kg b. wt.)were alive and had no adverse effects related to their general beha-viour, appearance, body weight and food consumption, while 5000mg/kg b.wt led to 20% mortality. This finding indicates a wide safetymargin of up to 4 g/kg according to (OECD, 2001). For further studies,the concentration was fixed as 1/20 LD50 (250mg/kg b.wt).

Hepatoprotective activityEffect of E.× neillii on liver function parameters. The ability of the totalalcoholic extract to protect against MTX-induced hepatotoxicity wasassessed in a rat animal model in which silymarin was chosen as apositive control. Treatment of the rats with MTX resulted in asignificant (P ≤ 0.05) increase in liver aminotransferases (AST andALT) and ALP levels, indicative of hepatocyte damage in accordancewith previously reported data (Tunali-Akbay et al., 2010). In addition,MTX led to a significant increase in MDA in accordance with(Kose et al., 2012) and a reduction of GSH activity; GSH is an

Fig. 1. Total ion chromatograms of E.× neillii dichloromethane fraction. A: positive mode. B: negative mode. Peak numbers follow those used for compoundidentification as listed in Table 1.

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endogenous protective antioxidant known to protect from free oxygenradicals in hepatic tissue. The silymarin control group, along with theE.× neillii-administered groups, ameliorated the MTX-inducedalterations, and a well-characterized antihepatotoxic activity wasobserved (Table 3).

Treatment of rats with different doses (100, 250 and 500mg/kg) ofthe alcoholic extract of the leaves of E.× neillii for 4 days resulted insignificant decreases in serum AST, ALT and ALP levels in a dose-de-pendent manner compared with those in the MTX and silymarin controlgroups (P < 0.05; Table 3). The best effect was observed at a dose of500mg/kg of E.× neillii, which contributed to a 76% decrease in AST

and ALT levels, in addition to a 58% decrease in ALP levels; these ef-fects were comparable to those of silymarin (80% and 60%, respec-tively).

At the oxidant status level, compared with silymarin, the adminis-tration of E.× neillii at 100, 250 and 500mg/kg in the MTX-intoxicatedrats significantly mitigated lipid peroxidation activity, with a sig-nificant decrease in the hepatic tissue content of MDA and a significantincrease in the hepatic tissue content of GSH and hepatic tissue activityof SOD in a dose-dependent manner (Table 4).

Anti-inflammatory activity of E.× neillii extract. The exposure of rats to

Fig. 2. Total ion chromatograms of E.× neillii ethyl acetate fraction. A: positive mode. B: negative mode. Peak numbers follow those used for compound identifi-cation as listed in Table 2.

Table 3Effects of the alcoholic extract of E.× neillii on various biochemical parameters in MTX-intoxicated rats.

Parameter Control MTX E.× neillii extract Silymarin (100mg/kg)100mg/kg 250mg/kg 500mg/kg

ASTc (U/ml) 10.85±1.09

117.50a

± 9.7555.89b

±4.3346.78b

± 3.6228.67b

± 2.1124.21b

± 1.83ALTd(U/ml) 24.16

±1.92137.33a

± 11.8646.37b

±3.2039.25b

± 3.1231.78b

± 2.6526.33b

± 1.67ALPe(U/ml) 59.89

±4.33156.44a

± 12.5878.23b

±5.4571.36b

± 6.6167.22b

± 4.1762.33± 5.88

Data are presented as the mean ± SEM, n=6.a Significantly different from the normal control group at P ≤ 0.05.b Significantly different from the MTX control group at P ≤ 0.05.c Aspartate aminotransferase.d Alanine aminotransferase.e Alkaline phosphatase.

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MTX resulted in a significant increase in the hepatic tissue content ofthe inflammatory mediators TNF-α and MPO compared with that of thecontrol group, while treatment of rats with 100, 250 and 500mg/kgalcoholic extract resulted in a significant decrease in the hepatic tissuecontent of TNF-α and MPO in a dose-dependent manner. Comparedwith silymarin, the dose of 500mg/kg of the alcoholic extractdecreased the hepatic tissue content of TNF-α and MPO significantly

(Table 5).Histopathological examination confirmed the improvement in bio-

chemical parameters. The liver excised from the normal control grouprats showed a normal histological structure of the hepatocytes andcentral vein with no histopathological alteration (Fig. 3A). In contrast,the liver of the MTX control rats showed severe dilatation and con-gestion in the central vein with degeneration in the surrounding

Table 4Effects of the alcoholic extract of E.× neillii on oxidative stress in MTX-intoxicated rats.

Parameter Control MTX E.× neillii extract Silymarin (100mg/kg)100mg/kg 250mg/kg 500mg/kg

MDAc

nmol/g.tissue96.27± 9.11

271.18a

± 17.02149.33b

± 13.50139.78b

± 10.23125.67 b

± 8.89110.75b

± 9.77GSHd

mg/g.tissue422.78± 32.65

128.93a

± 10.12171.67± 14.17

322.33b

± 23.83345.67 b

± 29.62351.27b

± 27.89SODe

U/mg.tissue96.25± 6.88

33.29a

± 3.1259.38b

± 4.5675.34b

± 7.2781.17b

± 7.6787.66b

± 6.97

Data are presented as the mean ± SEM, n=8.a Significantly different from the normal control group at P ≤ 0.05.b Significantly different from the MTX control group at P ≤ 0.05.c Malondialdehyde.d Reduced glutathione.e Superoxide dismutase.

Table 5Effects of the alcoholic extract of E.× neillii on inflammatory mediators in MTX-intoxicated rats.

Parameter Control MTX E.× neillii extract Silymarin (100mg/kg)100mg/kg 250mg/kg 500mg/kg

TNF-α1 pg/mg.tissue 85.28±7.02

297.30a

± 28.89139.67b

±11.11124.56b

± 10.18103.67b

± 9.27109.82b

± 8.76MPO2 U/mg.tissue 26.87

±1.1293.25a

± 8.9558.48b

±5.2344.50b

± 4.1137.75b

± 3.1240.33b

± 3.70

Data are presented as the mean ± SEM, n=8.1 Tumour necrosis factor-alpha.2 Myeloperoxidase.a Significantly different from the normal control group at P ≤ 0.05.b Significantly different from the MTX control group at P ≤ 0.05.

Fig. 3. Histological structure of the liver cells showing changes in the normal liver cells after the application of MTX and different doses of E.× neillii alcoholicextract compared with silymarin. A: Normal control group showing a normal histological structure of the central vein and surrounding hepatocytes, B:Methotrexate control group showing severely degenerated surrounding hepatocytes and fatty changes with a dilated and congested central vein, C: E.×neillii100mg/kg identifying inflammatory cell infiltration in the portal area and the few micro fat vacuoles in the cytoplasm of hepatocytes, D: E.× neillii 250mg/kgshowing few haemorrhages and mild dilatation in the central vein with fat vacuoles in the hepatocytes, E: E.× neillii 500mg/kg almost normal hepatocytes, anormal central vein with mild congestion in hepatic sinusoids. F: Silymarin 100mg/kg showing almost normal hepatocytes with mild vascular degeneration.

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hepatocytes in addition to the fatty changes (Fig. 3B). Treatment of theintoxicated rats with 100mg extract of E.× neillii resulted in a livershowing congestion in the central vein, few inflammatory cells in-filtrating in the portal area with few micro fat vacuoles in the cytoplasmof hepatocytes (Fig. 3C), while rats given 250mg extract of E.× neilliishowed mild dilatation in the central vein and very few micro fat va-cuoles in hepatocytes (Fig. 3D). The best effect was observed in the liverof rats given the 500mg extract of E.× neillii, showing almost normalhepatocytes and a normal central vein with mild congestion in hepaticsinusoids; a similar pattern was seen with silymarin (Fig. 3E and F,respectively).

This study showed that E.× neillii extract improved liver function,possibly due to the free radical scavenging and antioxidant activities ofits constituents, especially flavonoids, which can impair the activationof MTX into the reactive form. In addition, these extracts are capable ofprotecting normal cells from cell death by trapping lipid and peroxylradicals, abolishing the enhancement of lipid per-oxidative processes(Ercisli and Orhan, 2007; Mukherjee et al., 2013). This finding was inaccordance with the previous reports of hepatoprotective activities invarious Erythrina species (Donfack et al., 2008; Mujahid et al., 2017).

Conclusion

This study provides the first report for the characterization of thephytoconstituents of E.× neillii via HR-HPLC/MS/MS, revealing avariety of active constituents in the dichloromethane and ethyl acetatefractions (mainly alkaloids and flavonoids). In addition, this studydocuments the powerful hepatoprotective, anti-inflammatory and an-tioxidant activities of this hybrid plant correlated with traditional use inliver ailments.

Conflict of interests

There are no known conflicts of interests associated with this pub-lication, and there has been no financial support for this work thatcould have influenced its outcome.

Funding sources

This research did not receive any specific grant from fundingagencies in the public, commercial or not-for-profit sectors.

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