Professional Documents
Culture Documents
Final Major Project Presentation (Autosaved) .PPTX - 20240503 - 112007 - 0000
Final Major Project Presentation (Autosaved) .PPTX - 20240503 - 112007 - 0000
Presented by
N. Navya [20Z31R0038]
T.Nikitha [20Z31R0039] GUIDED BY:
S.Shashanka [20Z31R0049] P. Easwari
G. Shivani[20Z31R0053] Asst. Professor
S. Supriya[20Z31R0062] Pharmacology department
S. Swathi[20Z31R0063]
INTRODUCTION
Aging is a major risk factor for neurodegenerative disorders, such as Alzheimer’s
disease (AD) and Parkinson’s disease (PD), and the number of people with these
conditions is increasing rapidly.
This incurable, degenerative, and terminal disease was first described by German
psychiatrist and neuropathologist named Alois Alzheimer in 1906, the disease that
bears his name largely remained an enigma until the twilight of the 20th century.
Generally, it is diagnosed in people over 65 years of age, although the less-
prevalent early-onset Alzheimer's can occur much earlier.
According to WHO in 2001, more than 24 million people had dementia, a number
that is expected to double every 20 years up to 81 million in 2040 because of the
anticipated increase in life expectancy.
LITERATURE REVIEW
Li-Kai Huang et al, (2023) Alzheimer's disease (AD) is the leading cause of dementia,
presenting a significant unmet medical need worldwide.
Wenwen Lian et al, (2017) Deficiency of the cholinergic system is thought to play a vital role
in cognitive impairment of dementia. DL0410 was discovered as a dual inhibitor of acetyl
cholinesterase (AChE) and butyrylcholinestease (BuChE), with potent efficiency in in-vitro
experiments, but its in vivo effect on the cholinergic model has not been evaluated, and its
action mechanism has also not been illustrated.
Hari Kumar Cheedella et al, (2023) Nature is the best source of complementary and
alternative medicine. The plant Biophytum reinwardtii has been used traditionally in pain,
inflammatory and oxidative stress related disorders.
Khalid Bashir Dar et al., (2016),⁵⁸ To evaluate the phytochemical screening, antibacterial and antifungal
potential of aqueous and methanolic extracts of Rheum spiciformis, a traditionally used edible
medicinal plant.
Shahet al (2008)⁵⁶ reported similar observations using methanol extract of C. anthelminticum. These
studies indicated that treatment with C. Anthelminticum is beneficial with less side effects, compared to
the standard drug glibenclamide.
RISK FACTORS OF ALZHEIMER’S DISEASE
a. Age: Most individuals with the illness are 65 and older. Developing of Alzheimer’s approximately
doubles every five years after age 65. After age 85, the risk reaches nearly 50 percent.
B. Family history and genetics: Research has shown that those who have a parent, brother or sister with
Alzheimer’s are two to three times more likely to develop the disease. The risk increases if more than
one family member has the illness. Scientists have so far identified one gene (Apolipoprotein E-e4
(APOE4)) that increases the risk of Alzheimer’s but does not guarantee an individual will develop the
disorder.
C. Other risk factors: The other risk factors include easily avoidable factors like severe head injury,
certain viral infections(herpes simplex virus), excessive consumption of alcohol and smoking, and
various heart diseases like stroke, diabetes, high blood pressure and high cholesterol. Oxidative stress
and life style modifications may play the major risk factor.
The
SYMPTOMS OF ALZHEIMER’S DISEASE
earliest observable symptoms are often mistakenly thought to be 'age-related' concerns, or
manifestations of stress. In the early stages, the most commonly recognized symptom is memory loss,
such as difficulty in remembering recently learned facts. When, AD is suspected, the diagnosis is
usually confirmed with behavioural assessments and cognitive tests, often followed by a brain scan if
available.
As the disease advances, symptoms include confusion, irritability and aggression, mood swings, language
breakdown, long-term memory loss, and the general withdrawal of the sufferer as their senses decline.
AD develops for an indeterminate period of time before becoming fully apparent, and it can progress
undiagnosed for years. The mean life expectancy following diagnosis is approximately seven years.
VARIOUS STAGES OF ALZHEIMER’S DISEASE
A. Pre-dementia: The first symptoms are often mistaken as related to ageing or stress. The most noticeable
deficit is memory loss, which shows up as difficulty in remembering recently learned facts and inability to
acquire new information .
B. Early dementia: Symptoms include difficulties with language, executive functions, perception (agnosia),
or executions of movements (apraxia) are more prominent than memory problems. Older memories of the
person's life, facts learned, and implicit memory are affected to a lesser degree than new facts or memories .
Language problems are mainly characterized. While performing fine motor tasks such as writing, drawing
or dressing, certain movement coordination and planning difficulties may be present but they are
commonly unnoticed .
C. Moderate dementia: subjects being unable to perform most common activities of daily living. Reading
and writing skills are also progressively lost. During this phase, memory problems worsen, and the person
may fail to recognize close relatives. Long-term memory, which was previously intact, becomes impaired.
D. Advanced dementia: During this last stage of AD, the patient is completely dependent upon caregivers .
Language is reduced to simple phrases or even single words, eventually leading to complete loss of speech.
Despite the loss of verbal language abilities, patients can often understand and return emotional signals .
DIAGNOSIS OF ALZHEIMER’S DISEASE
Alzheimer's disease is usually diagnosed clinically from the patient history, collateral history from relatives,
and clinical observations, based on the presence of characteristic neurological and neuropsychological
features and the absence of alternative conditions .
Approaches to early diagnostic marker discovery for Mild cognitive impairment (MCI) and AD include
neuroimaging, genetic testing and neurochemical testing for body fluid, such as cerebrospinal fluid (CSF),
plasma, serum, urine and blood cells.
Advanced medical imaging with computed tomography (CT) or magnetic resonance imaging (MRI), and
with single photon emission computed tomography (SPECT) or positron emission tomography (PET) can be
used to help exclude other cerebral pathology or subtypes of dementia.
Assessment of intellectual functioning including memory testing can further characterized the state of the
disease .
Changes in the cholinergic, serotonergic, noradrenergic, dopaminergic, GABAergic and
somatostatinergic neurons were investigated to determine their roles in Alzheimer's disease (AD).
The cholinergic abnormality is the most severe and most closely related to the severity of the disease.
Therefore, in pharmacotherapy of AD, attempts to restore deficits of the transmitter systems should be
directed foremost to the cholinergic system.
PATHOPHYSIOLOGY
There are two signature lesions in Alzheimer's disease. They are:
1. Neuritic plaques/ B-amyloid plaques, which are dense deposits of protein and cellular
material that accumulate outside and around nerve cells.
2. Neurofibrillary tangles (NFT's), which are twisted fibers that build up inside the nerve cell.
1. NEURITIC PLAQUES:
Deposits of a protein fragment called ẞ-amyloid, that accumulates in the spaces between the
nerve cells (neurons).
APP (amyloid precursor protein) is the precursor of amyloid plaque.
a) APP sticks through the neuron membrane.
b) Enzymes like ẞ-secretase and t-secretase cut the APP into fragments of protein (neurotoxic
Aẞ4 fragment), including ẞ-amyloid.
c) B-amyloid fragments come together in clumps to form plaques.
In AD, many of these clumps form, disrupting the work of neurons. This affects the
hippocampus and other areas of the cerebral cortex.
APP (amyloid precursor protein)
Directly neurotoxin
Alzheimer's disease
2. NEUROFIBRILLARY TANGLES (NFT'S):
Neurons have an internal support structure partly made up of microtubules. A protein called
"tau" helps to stabilize microtubules. In AD, "tau" changes, causing microtubules to collapse
and "tau" proteins clump together to form neurofibrillary tangles.
Although autopsy studies show that most people develop some plaques & tangles as they age
Those with AD tend to develop them far more & in a predictable pattern
They develop in the areas important for memory before spreading to other regions
Plaques & tangles disable/block communication among neurons
Gradually spread to other areas of brain
Causes symptoms of Alzheimer's disease
AIM: To study and evaluate neuroprotective and anti - alzheimer activity of
Centratherum anthelminticum against scopolamine induced memory
impairment in mice.
OBJECTIVE:
1. To evaluate the mechanism of action of Centratherum anthelminticum in
scopolamine induced dementia.
2. To carry out Pharamacognostical study of C. anthelminticum in scopolamine
induced dementia.
3. The main purpose of the present study is to compare the neuroprotective and
anti-alzheimer effect of C. anthelminticum with the standard drug donepezil on
scopolamine induced memory impairment in Wistar albino rats.
PLAN OF WORK
1. Collection and authentication of plant.
2. Preparation of extract and preliminary phytochemical screening.
3. Acute toxicity study of the plant extract and Drugs and Doses selection.
4. Scopolamine induced Alzheimer’ disease in animal
5. Treatment of animal with standardized dose of plant extract
COMMON NAMES
Siddha Kaattuseerakam
Kingdom Plantae
Division Magnoliophyta
Class Magnoliopsida
Order Asterales
Family Asteraceae
Feature Description
Height Up to 90 cm
Elliptic-lanceolate, 5 to 9 cm long, 2.5
Leaves
to 3.2 cm wide
Leaf Apex Acute
Test Procedure
g Interpretation
at the junction of two liquids indicates
Burchard test acetic anhydride was added to it followed by conc.H2SO4
presence of triterpenoids
Test for Naphthoquinones
Test Procedure
g , g Interpretation
junction of two liquids indicates
Molisch’s
Test fortest
Proteins added, Mixed it. 2mL of Conc, H2SO4 was added from
presence of carbohydrates
Principle Measurement of SOD activity by inhibition of NBT reduction, indicating enzyme activity
-The reaction mixture contained 1.3 ml of 50 mM sodiumcarbonate solution with 0.1 mM EDTA
(pH 10.0), 0.5 ml of 96 μM ofNBT and 0.1 ml of 0.6 % triton-X-100. Reaction was initiated by
theaddition of 0.1 ml of 20 mM hydroxylamine hydrochloride (pH 6.0) tothe reaction mixture
Procedure and the rate of NBT reduction in the absence ofthe enzyme source was recorded for about 30
seconds. Following unit of enzyme was expressed as inverse of the amount ofprotein (mg)
required for inhibiting the reduction rate of NBT by 50 %.
GLUTATHIONE-S-TRANSFERASE
Hematoxylin: 2 grams dissolved in 100 ml ethanol, filtered, then mixed with 3 grams
Hematoxylin Stain ammonium alum dissolved in 100 ml distilled water. 100 ml glycerine added after
mixing.
Eosin: 2 grams dissolved in 70% alcohol, diluted to 1000 ml with 0.9% saline. Diluted
Eosin Stain
further with equal volume of 70% alcohol, and 2-3 drops of acetic acid added.
Equal portions of egg white and glycerine mixed well. Thymol crystals added as
Mayer’s Egg Albumin
preservative.
PROCEDURE
The rats were euthanized by cervical dislocation, followed by transcardial perfusion with 0.9% saline and 10% formalin.
After dissecting out the brain, it was post-fixed in 10% formalin for 24 hours. Tissue dehydration occurred via an
alcohol series and clearing with xylene. Subsequently, the tissue was embedded in paraffin wax and sectioned into two-
micron thick slices. These sections were mounted on glass slides with Mayer's egg albumin glue and incubated at 60°C
for one hour. Following incubation, the sections underwent rehydration in a graded alcohol series for 3 minutes,
followed by washing in running water. Haematoxylin stain was applied to the sections, checked after 1 minute, then
washed and counter-stained with eosin for 3 minutes. Slides were dehydrated in alcohol, placed in xylene, and mounted
in DPX mountant with a cover slip for microscopic examination.
ANALYSIS: The histological preparations of all the groups were photographed and compared.
RESULTS
Extract and extractive value: The yield obtained was about 10%. i.e. from 500 gm C. anthelminticum seeds 50gms of
extract was obtained. It is of blackish green in colour.
Acute toxicity and dose determination: Acute oral toxicity test was carried out according to the OECD guideline No. 423.
Wistar Albino mice were kept for overnight fasting prior to drug administration. A total of three animals were used,
which received a single oral dose in 2000 mg/kg, body weight of methanol extracts of C. anthelminticum seeds. The
animals were observed for a period of 24 hr for the changes in behavior, hypersensitivity reactions etc. Mortality, if any,
was determined over a period of 2 weeks.
Phytochemical analysis The preliminary phytochemical analysis of methanol extract of C. anthelminticum
seeds was given in table 1.
1 Alkaloid -
2 Glycosides +
2 Flavonoid +
3 Triterpenoid -
4 Phytosterol +
5 Phenolic compound &Tannin +
6 Saponin +
7 Free anthraquinone -
8 Coumarin -
9 Carbohydrate +
10 Protein/Amino aci +
11 Lipid &Fat +
Behavioral studies: Table 2: Effect of C. anthelminticum on T-maze performance on dementia-induced mice
(n=7).
T-maze performance
Sl. No
1ˢᵗ day 8ᵗʰ day 15ᵗʰ day
Group I
1 73.14 ± 4.91 77.71 ± 2.92 77.42 ± 3.50
(Normal control)
Group II
2 37.43 ± 4.96** 29.00 ± 4.12 21.71 ± 4.54
(Scopolamine control)
Group III
3 (C.anthelminticum methanolic 74.57 ± 3.36* 78.85 ± 3.34* 80.57 ± 2.88*
extract control) 250 mg/kg
Group IV
4 (C.anthelminticum methanolic 71.43 ± 5.16** 73.00 ± 3.11** 75.57 ± 4.06**
extract 250 mg/kg +Scopolamine)
Group V
5 77.28 ± 1.70 79.86 ± 3.76 85.57 ± 3.15
(Donepezil control)
Group VI
6 71.71 ± 2.43* 74.00 ± 3.41* 77.71 ± 3.54*
(Donepezil +Scopolamine)
Effect of C. anthelminticum on dementia induced mice in different groups in Elevated plus maze test
The impact of all the drug-treated groups was evaluated at the top of 14th day. TL was recorded. It absolutely
was seen that TL for all the drug-treated groups was less on the 15th day as compared to the 14th day.
Group I
0.580 ±0.065 15.220 9.1
(Normal control)
Group II
0.479±0.113 35.43 26.67
(Scopolamine control)
Group III
(C.anthelminticummethanolic extract
0.685±0.071 23.25 13.11
control)
250 mg/kg
Group IV
(C.anthelminticum methanolic extract
0.493±0.042 26.44 16.3
250 mg/kg +
Scopolamine)
Group V
0.520±0.119 23 13.11
(Donepezil control)
Pharmacological study: Biochemical estimation
Biochemical parameter
Sl. No
AChE SOD GST MDA
Group I
1 126 ± 41.59 103 ± 10.23 17.59 ± 4.24 0.3847 ± 0.061
(Normal control)
Group II
2 196 ± 44.12** 88.9 ± 13.4** 11.53 ± 3.94** 0.04735 ± 0.068**
(Scopolamine control)
Group III
3 (C.anthelminticummethanolic extract 114 ± 22.18** 127 ± 25.96** 19.74 ± 2.16** 0.3526 ± 0.039**
control)250 mg/kg
Group IV
(C.anthelminticummethanolic extract
4 139 ± 26.78** 110 ± 24.83** 18.93 ± 1.75** 0.3708 ± 0.0522**
250 mg/kg +
Scopolamine)
Group V
5 88.4 ± 18.24 161 ± 5.008 22.06 ± 1.32 0.2584 ± 0.026
(Donepezil control)
Group VI
6 (Donepezil + 125 ± 40.97** 122 ± 25.53 18.98 ± 3.78** 0.3704 ± 0.0708**
Scopolamine)
HISTOLOGY
Histology of hippocampal neurons showed that the normalcontrol group with a row of normal hippocampal cells
(CA1, CA2 andCA3). But in scopolamine induced dementia group there were clearprominent white patches or
vaculation around the neuronal cells. Inthe case of control groups of C.anthelminticumandDonepezil it showed
almost normal hippocampal cells when comparedwith their corresponding scopolamine treated group