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Original Papers 211

Ocimum gratissimum Essential Oil and Its


Isolated Compounds (Eugenol and Myrcene)
Reduce Neuropathic Pain in Mice

Authors Lyvia Izaura Gomes Paula-Freire 1, Graziella Rigueira Molska 2, Monica Levy Andersen 1, Elisaldo Luiz de Araújo Carlini 2

1
Affiliations Departamento de Psicobiologia, Universidade Federal de São Paulo, São Paulo, Brazil
2
Departamento de Medicina Preventiva, Universidade Federal de São Paulo, São Paulo, Brazil

Key words Abstract kg for 14 days after surgery. Pregabalin (20 mg/

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" Ocimum gratissimum
l ! kg) was used as a standard in this study. The treat-
l
" Lamiaceae
Ocimum gratissimum is used in popular medicine ment with 20 and 40 mg/kg of O. gratissimum es-
l
" eugenol
to treat painful diseases. The antihypernocicep- sential oil and at doses of 5 and 10 mg/kg of the
l
" myrcene

tive properties of O. gratissimum essential oil and active components were able to promote antihy-
l
" neuropathic pain

l
" IL‑1beta two of its active components (eugenol and myr- pernociception in both mechanical (von Frey)
cene) were tested in a model of neuropathic pain and thermal (hot plate) tests. The treatment with
induced by a chronic constriction injury of the sci- the essential oil of the plant or eugenol was effec-
atic nerve. In tests to determine chronic antinoci- tive in reducing the levels of interleukin-1β in the
ception, adult male C57BL/6 J mice were treated sciatic nerve. Our findings demonstrate that O.
orally with corn oil (control group), O. gratissi- gratissimum essential oil and its isolated active
mum essential oil at doses of 10, 20, or 40 mg/kg components possess antihypernociceptive activ-
or eugenol or myrcene at doses of 1, 5, or 10 mg/ ity in neuropathic pain models.

Introduction guese) [6]. In the Amazon region, sumo leaves


! are used for healing, while a bath prepared with
The pain process alerts the organism about noxi- its leaves is considered useful against headaches,
ous stimuli that can cause tissue damage, allow- flu, and upper airway secretions [7].
ing for escape and defense mechanisms to be Many studies have been conducted with plants of
adopted [1]. However, neuropathic pain is defined this genus, with most yielding positive results in
received May 20, 2015 by persistence and is often associated with altera- showing its remarkable biological potential. Stud-
revised Sept. 23, 2015 tions in the pathways that transmit pain, leading ies with the aqueous extract of O. gratissimum
accepted Sept. 25, 2015 to a chronic transmission of pain signals [2]. have shown acute antinociceptive and anti-in-
Bibliography Studies have shown that the majority of patients flammatory activities in mice [8, 9]. This same re-
DOI http://dx.doi.org/ treated for this pathology usually do not respond sult was observed when the treatment was per-
10.1055/s-0035-1558165 to common analgesics, with tricyclic antidepres- formed with the essential oil of the same plant
Published online November 19,
sants and anticonvulsants as the main treatments via an oral route of administration [10, 11].
2015
Planta Med 2016; 82: 211–216
for this type of peripheral or central pain [3, 4]. The essential oil of O. gratissimum contains the
© Georg Thieme Verlag KG With the lack of effective treatments, certain sub- chemical constituents eugenol (usually a major
Stuttgart · New York · stances have emerged as analgesic prototypes, at- component) and myrcene [12], substances with
ISSN 0032‑0943 tracting the interest of researchers and the phar- proven activity in the central nervous system
Correspondence maceutical industry. Medicinal plants and their [13–15] and acute antinociception effects [11].
Lyvia Izaura Gomes de Paula isolated active components are examples of this, The present study was designed to investigate the
Freire as these natural products have contributed ameliorative role of O. gratissimum essential oil
Universidade Federal de São
Paulo greatly to the development of new therapeutic (OgEO) in a chronic constriction injury of sciatic
Departamento de Psicobiologia strategies through their secondary metabolites nerve-induced neuropathy and to further explore
Rua Napoleão de Barros, 925 [5]. the contribution of eugenol- and myrcene-medi-
Vila Clementino
São Paulo 04024–002, SP Ocimum gratissimum L. (Lamiaceae) is a plant ated beneficial effects on neuropathic pain in rats.
Brazil found throughout Brazil that is widely used in
Phone: + 55 (11) 21 49 01 55 cooking and as a condiment, and is commonly
Fax: + 55 (11) 21 49 01 55
lyviabiologia@gmail.com known as “manjericão” or “alfavaca” (in Portu-

Paula-Freire LIG et al. Ocimum gratissimum Essential … Planta Med 2016; 82: 211–216
212 Original Papers

Results
!
Pregabalin treatment (positive control) or 20 and 40 mg/kg OgEO
treatments significantly inhibited the mechanical hypernocicep-
tion induced by the chronic constriction injury, as evaluated by
the von Frey test, compared with the control group (p < 0.001)
on the 7th and 14th days post-surgery (l " Fig. 1 A). It is interesting

to note that mice treated with the doses of 20 and 40 mg/kg for
14 days showed greater resistance to paw pressure when com-
pared with animals treated with the same doses for seven days,
indicating that the longer the treatment time, the greater the ef-
fect.
l" Fig. 1 B shows that administration of all doses of eugenol (1, 5,

and 10 mg/kg, p.o) promoted mechanical antihypernociception


in mice subjected to chronic constriction injury (CCI) when com-
pared with the animals receiving vehicle (p < 0.05) on both the
7th and 14th days of the test. The 1 mg/kg eugenol dose also re-
sulted in differences from the sham and pregabalin groups. Ad-
ministration of myrcene (5 and 10 mg/kg, p. o.; l " Fig. 1 C) also

significantly attenuated hypernociception in response to von Frey


stimulation of the injured hind paw compared with control mice

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(p < 0.05) on the 7th and 14th days post-surgery.
l" Fig. 2 A shows that the OgEO at doses of 20 and 40 mg/kg statis-

tically increased the permanence of the animals on the heated


plate on the 7th and 14th days post-surgery when compared
with the control group (p < 0.05). The 10 mg/kg dose did not pro-
mote antihypernociception. Treatment with a dose of 40 mg/kg
was the most effective, as, in addition to the intergroup differ-
ences, the intragroup analysis showed a significant increase in
the permanence of mice on the hot plate compared with baseline
values and tests conducted on the 14th day post-surgery.
Regarding the active components (l " Fig. 2 B, eugenol; l " Fig. 2 C,

myrcene), doses of 5 and 10 mg/kg were effective in reducing


the pain caused by surgery and enhanced by the thermal stimu-
lus compared with the control group (p < 0.001) on the 7th and
14th days post-surgery. The 1 mg/kg dose of either drug did not
promote antihypernociception.
The IL-1β levels of the sham-operated animals were undetect-
able. Conversely, the positive control group showed increased
levels of this cytokine. The administration of OgEO at doses of 20
and 40 mg/kg (l " Fig. 3 A) and eugenol at doses of 1, 5, and 10 mg/

kg (l" Fig. 3 B) significantly reduced (p < 0.05) the levels of IL-1β in

mice subjected to surgery for chronic constriction of the sciatic


nerve. Myrcene was not effective in reducing the levels of IL-1β Fig. 1 Effects of varying doses of OgEO (A), eugenol (B), and myrcene (C)
in the sciatic nerve of the animals (l " Fig. 3 C, p > 0.05). on mechanical hypernociception in mice subjected to the von Frey test.
Data are expressed as the mean ± SEM. Statistical significance is indicated
by (*) from the control group at the respective times, (#) from sham-oper-
ated animals at the respective times, and (°) as the intragroup difference
Discussion between 7 and 14 days of treatment (repeated measures ANOVA followed
!
by the Newman-Keuls post hoc test, p < 0.05, n = 5/group).
Chronic pain generated after injury of the peripheral nervous
system is a serious condition and affects much of the worldʼs
population. However, classical analgesics, such as NSAID and
opioids, are only partially effective, exhibit significant side effects genus as that used in this study, was able to relieve the thermal
(addiction, tolerance, gastrointestinal effects, and abuse), and are and mechanical hypernociception and allodynia induced by sci-
ineffective in controlling neuropathic pain [16], making the treat- atic nerve transection in rats [17]. Recent works have shown that
ment of painful neuropathies more difficult. In tests conducted to O. gratissimum and O. sanctum have similar constituents in their
alleviate neuropathic pain induced by chronic constrictive sciatic chemical composition, with eugenol comprising the largest com-
nerve injury, mice treated with OgEO and their isolated active ponent (over 50% of the total oil composition) in both species
components (myrcene and eugenol) showed a marked decrease [18–20]. In addition to eugenol, myrcene is also found in two
in both thermal and mechanical hypernociception. plants of this genus [21]. It is believed that this antinociceptive
Studies have shown that the methanol extract of the leaves of activity is due to a high concentration of active ingredients with
Ocimum sanctum L. (100 and 200 mg/kg, p. o.), a plant of the same analgesic potential, mainly eugenol (major chemotype studied)

Paula-Freire LIG et al. Ocimum gratissimum Essential … Planta Med 2016; 82: 211–216
Original Papers 213

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Fig. 3 IL-1β levels in the sciatic nerve after a chronic constriction injury in
the presence or absence of OgEO (A), eugenol (B), and myrcene (C). Data
are expressed as the mean ± SEM. Statistical significance is indicated by (*)
from the control group (ANOVA followed by Tukeyʼs post hoc test, p < 0.05,
n = 5/group).

Fig. 2 The influence of OgEO (A), eugenol (B), and myrcene (C) on ther-
mal nociception after CCI of the sciatic nerve in mice. Data are expressed as generating antinociception. Our previous study showed that the
the mean ± SEM. Statistical significance is indicated by (*) from the control same essential oil used in this study was able to relieve the acute
group at the corresponding times, (#) from the sham group at the corre-
pain of animals subjected to the hot plate and the formalin paw
sponding times, and (°) as the intragroup difference at basal evaluation
tests, which confirms its antinociceptive effect [11].
(repeated measures ANOVA followed by the Newman-Keuls post hoc test,
p < 0.05, n = 5/group). The results demonstrated that mice treated with the doses of 20
and 40 mg/kg for 14 days showed greater resistance to paw pres-
sure when compared with animals treated with the same doses
for seven days, indicating that the longer the treatment time,
and 1,8-cineole [22, 23], or even due to synergism between these the greater the effect. A recent study showed that treatment with
and other substances found in smaller quantities, such as myr- another plant that belongs to the same genus (O. sanctum) also
cene and trans-caryophyllene. All of these substances have dis- demonstrated a time-dependent antihypernociceptive effect
tinct mechanisms of action, but all with a similar importance for [24]. Furthermore, it is known that the CCI model generates an

Paula-Freire LIG et al. Ocimum gratissimum Essential … Planta Med 2016; 82: 211–216
214 Original Papers

inflammatory process, with increased levels of proinflammatory oral antinociceptive properties in a CCI of the sciatic nerve model
substances. These substances, such as tumor necrosis factor-α in mice, making them possible substances with therapeutic po-
(TNF-α), prostaglandin E2 (PGE2) and the interleukins IL-1β and tential for chronic pain. The evidence for the biological activity
IL-6 are able to promote neurochemical alterations, leading to of the plant justifies its popular use, which in turn encourages
hypernociception over time [25, 26]. Studies have shown that further studies, particularly ones regarding its chemical constitu-
plants from this genus promote anti-inflammatory activity, pro- ents and their mechanisms of action.
ducing the reduction of these proinflammatory cytokines [27,
28]. This effect may be responsible for decreasing the sensitiza-
tion of the nociceptive pathway during treatment, leading to the Materials and Methods
time-dependent effect. !
Eugenol is similar in chemical structure to capsaicin, a vanilloid Animals
compound of hot chili. Capsaicin elicits pain by opening transient Male C57BL/6 J mice (3 months old and weighing 25–30 g) from
receptor potential vanilloid 1 (TRPV1) channels expressed in no- the Centro de Desenvolvimento de Modelos Experimentais para
ciceptive afferent neurons [29]. However, exposure to capsaicin Medicina e Biologia (CEDEME – UNIFESP) vivarium were used.
produces a long-lasting desensitization of the channels, which is Animals were housed in rooms with a controlled temperature
the basis for the capsaicin-induced analgesia. Likewise eugenol (22 ± 1 °C) and a 12-h light/dark cycle. Water and food were avail-
exhibits both irritant and analgesic actions [30]. Eugenol also in- able ad libitum. The C57BL/6 J strain was selected because of its
hibits voltage-dependent Na+ channels and N-methyl-D-aspar- higher sensitivity to behavioral tests and lower inter-animal var-
tate (NMDA) receptors; additionally, it potentiates ionotropic γ- iability compared with other inbred strains [41, 42]. All studies
aminobutyric acid (GABAA) receptors. These channels are in- were conducted ethically in accordance with the Research Ethical
volved in pain sensitivity [31, 32]. Furthermore, eugenol inhibits Committee of UNIFESP (protocol #0675/09, June 19, 2010). The

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compounds that are involved in action potential generation in number of animals (n = 5) and the intensity of painful stimuli
both A and C fibers which may explain its analgesic effects [33]. were as small as needed to consistently demonstrate the analge-
Myrcene also promoted antihypernociception in injured animals. sic effect of the drugs.
However, there are still no reports in the literature about the pos-
sible mechanism of action attributed to the antihypernociceptive Drugs
effect of myrcene [34] reported that in tests of acute pain, the ad- OgEO was acquired from Centro Pluridisciplinar de Pesquisas
ministration (subcutaneous and intraperitoneal) of myrcene at Químicas, Biológicas e Agrícolas (CPQBA-UNICAMP) and was
the dose of 10 mg/kg provided antinociception in mice. This ef- supplied with a species identification report and phytochemistry
fect was reversed by pretreatment with naloxone (opioid antag- analysis that confirmed the presence of the active compounds
onist) and yohimbine (α2 adrenergic antagonist), suggesting the (eugenol, 67.17 %; myrcene; 0.24 %). The doses of OgEO were cho-
involvement of the opioid and noradrenergic systems. The results sen based on our previous study [11]. Eugenol and myrcene were
suggest that the antinociceptive effect of myrcene is mediated by purchased from Sigma-Aldrich. Pregabalin was acquired from
the release of endogenous opioid-induced activation of α2 adre- Pfizer. The purity (%) of all chemicals was over 95 %. Drugs were
nergic receptors. freshly diluted in corn oil on the day of each experiment and ad-
The reversal of pain hypersensitivity may be associated with the ministered orally (p. o.) in a volume of 0.1 mL/10 g body weight,
local or plasma reduction of inflammatory mediators [35, 36]. always at 10 : 00 a. m.
With respect to IL-1β, treatment with OgEO and eugenol were ef-
fective in reducing the levels of this cytokine in the injured sciatic Chronic pain tests
nerve of animals. IL-1β is a cytokine belonging to the family of Induction of neuropathic pain: CCI was performed according to
proteins called interleukins and is released under conditions as- the method described by [43] and modified for mice [44]. Briefly,
sociated with persistent pain including inflammatory pain and mice were anesthetized (with a combination of xylazine and ke-
neuropathic pain [37]. Studies have shown an inadequate prod- tamine, 10 mg/kg, i. p.), and the sciatic nerve was exposed at the
uction of IL-1β in a range of pathologies, including painful neu- level of the mid-thigh just proximal to its trifurcation. Four liga-
ropathies such as peripheral nerve injuries [38, 39]. Other studies tures were loosely tied around the nerve at 1 mm intervals using
suggest that spinal IL-1β may be produced by glial cells and it is 8–0 silk thread ligatures (Ethicon™). Sham-operated animals
know that spinal glia contributes to the development and main- (with the sciatic nerve exposed but no ligature) were used as
tenance of central sensitization in neurophatic pain [40]. Because controls.
the elevation of this cytokine is important for the generation and Mechanical hypernociception (von Frey test): Withdrawal thresh-
maintenance of neuropathic and inflammatory pain, substances olds for mechanical stimuli were assessed with a von Frey elec-
capable of reversing this increase should be investigated more tronic device. For this test, groups of five mice were treated with
thoroughly for the development of new drugs. corn oil (control and sham-operated), pregabalin (20 mg/kg, pos-
Several significant proinflammatory substances are associated itive control, p. o.), OgEO (10, 20, or 40 mg/kg, p. o.), or eugenol or
with neuropathic pain process. Besides IL-1β, the levels of PGE2 myrcene (1, 5, or 10 mg/kg, p. o.) for 14 days after surgery. After
and TNF-α were verified on the lesioned tissue; nonetheless, the 1 h of treatment, the animals were evaluated for tactile stimula-
PGE2 and TNF-α levels for all groups were lower than the mini- tion by a von Frey electronic device before surgery (baseline val-
mum levels that might be detected by the kit. According to the ues) and on the 7th and 14th days post-surgery. The plantar sur-
guidelines provided by the ELISA kit (R&D System™), the levels face was touched perpendicularly with the von Frey device until
of these proinflammatory mediators are lower in the tissue when the animal exhibited a characteristic “flinch” withdrawal or lick-
compared to the plasma levels. ing response. The intensity of the hypernociceptive response was
The present study demonstrated that OgEO and its active compo- quantified as the change in pressure applied by subtracting the
nents tested in this work, eugenol and myrcene, showed marked mean of the three values obtained before the surgery from the

Paula-Freire LIG et al. Ocimum gratissimum Essential … Planta Med 2016; 82: 211–216
Original Papers 215

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!
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The authors are grateful to Fundação de Amparo a Pesquisa do Es- gal and antiaflatoxigenic activities of Ocimum sanctum L. essential oil
tado de São Paulo (FAPESP #09/51 881–1), Centro Brasileiro de and its safety assessment as plant based antimicrobial. Food Chem Tox-
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ção Fundo de Incentivo à Pesquisa (AFIP) for financial support.
mum species from northern India. Nat Prod Res 2011; 25: 569–575
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Conflict of Interest macol 2007; 562: 60–67
! 23 Park SH, Sim YB, Lee JK, Kim SM, Kang YJ, Jung JS, Suh HW. The analgesic
effects and mechanisms of orally administered eugenol. Arch Pharm
The authors have declared that there is no conflict of interest.
Res 2011; 34: 501–507
24 Kauar G, Bali A, Singh N, Jaggi AN. Ameliorative potential of Ocimum
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