Evaluation of the acute and subchronic oral toxicity of ethanol extract from Valeriana pavonii
species in Wistar rats*
María del Pilar Olaya, QF, MSc1, María Constanza Lozano, MV, MSc2,
Lucía Botero, MV, MSc3, Javier Rincón, QF, PhD4, Mario Francisco Guerrero, MD, DSc5
* This project was
funded by the Research Direction Bogotá campus, Research
Vice-Presidency of the Universidad Nacional de Colombia. Materials and
reagents provided by the Department of Pharmacy, Faculty of Science,
Universidad Nacional de Colombia, Bogotá, DC, Colombia.
1. Professor,
Department of Toxicology, Faculty of Medicine, Universidad
Nacional de Colombia, Bogotá, DC, Colombia. e-mail: mpolayao@unal.edu.co
2. Professor,
Departamento de Farmacia, Faculty of Science, Universidad Nacional de
Colombia, Bogotá, DC, Colombia.
e-mail: mclozanoa@unal.edu.co
3. Assistant
Professor, Department of Animal Health Science, Faculty of Veterinary
Medicine and Animal Breeding, Universidad Nacional de Colombia,
Bogotá, DC, Colombia. e-mail: lboteroe@unal.edu.co
4. Associate
Professor, Department of Pharmacy, Faculty of Science,
Universidad Nacional de Colombia, Bogotá, DC, Colombia. e-mail: jrinconv@unal.edu.co
5. Titular Professor,
Department of Pharmacy, Faculty of Science, Universidad
Nacional de Colombia, Bogotá, DC, Colombia. e-mail: mfguerrerop@unal.edu.co
Received for publication July 23, 2009 Accepted for publication May 7, 2010
SUMMARY
Introduction:
One of the most frequent problems found in medicinal plants is the
absence of clinical, toxicological, and pharmacological studies.
Valeriana pavonii is one of the species used in Colombia as an
anxiolytic. Further study of this specie is rendered to add
information in the toxicological area.
Objective: The acute and subchronic oral toxicity of V. pavonii ethanolic extract was evaluated in Wistar rats of both sexes.
Materials and methods:
The rats were distributed into four groups: the control group received
the vehicle (0.5 mL/100 g of corporal weight) and the other three
groups received increasing levels of the dosage for 90 days to evaluate
characteristics like physical exam, laboratory test (blood chemistry
and haematology), and anatomopathological findings.
Results:
This study reveals that there were no signs of toxicity, mortality, or
significant alterations attributable to the ethanolic extract of V.
pavonii.
Conclusions:
The Not Observed Adverse Effect Levels (NOAEL) of V. pavonii ethanolic
extract were 2000 and 1000 mg/kg of body weight for the acute and
subchronic toxicity studies, respectively.
Keywords: Toxicity tests; LOAEL; Valerian; NOAEL; Anxiolytic; Medicinal plants.
Evaluación
de la toxicidad oral aguda y sub-crónica del extracto
etanólico de la especie Valeriana pavonii en ratas Wistar
RESUMEN
Introducción:
Uno de los problemas más frecuentes asociados con el uso de
plantas medicinales es la ausencia de evidencias farmacológicas,
toxicológicas y clínicas. Valeriana pavonii es una de las
especies más utilizadas popularmente en Colombia con fines
ansiolíticos. Es necesario avanzar en el estudio de esta especie
para aportar información en el campo toxicológico.
Objetivos: Evaluar la toxicidad oral aguda y sub-crónica del extracto etanólico de V. pavonii en ratas Wistar de ambos sexos.
Materiales y métodos:
En cada uno de los estudios se distribuyeron ratas en cuatro grupos; un
grupo control que recibió únicamente vehículo (0.5
ml/100 g de peso corporal) y tres grupos correspondientes a niveles
crecientes de dosis, así: para el estudio de toxicidad aguda se
administraron en dosis única 20, 200 y 2000 mg/kg con un
período de observación de 14 días y para el de
toxicidad sub-crónica, dosis diarias de 250, 500 y 1000 mg/kg
durante 90 días. Se evaluaron los parámetros de examen
físico, los exámenes de laboratorio (química
sanguínea y hematología) y el estudio
anatomopatológico.
Resultados:
No se presentaron signos de toxicidad, letalidad ni alteraciones
significativas atribuibles al consumo del extracto etanólico de
V. pavonii, según el examen físico, el examen
anatomopatológico y el análisis de las pruebas de
química sanguínea y hematología.
Conclusiones: Los
valores de nivel sin efectos adversos observados (NOAEL) del extracto
etanólico de V. pavonii, fueron 2000 y 1000 mg/kg de peso
corporal para los estudios de toxicidad aguda y sub-crónica,
respectivamente. No se encontraron valores de nivel más bajo de
efecto adverso observado (LOAEL).
Palabras clave: Pruebas de toxicidad; LOAEL; Valeriana; NOAEL; Ansiolítico; Plantas medicinales.
The use of medicinal plants has rapidly expanded throughout the world1.
Although there are no accurate data to assess the global use of
medicinal plants, the World Health Organization (WHO) has estimated
that over 80% of the world’s population uses traditional medicine
routinely as their source of primary health care. Frequently,
traditional treatments involve the use of plant extracts or their
active principles2. The quantity and quality of data on
safety and efficacy in traditional medicine, including medicinal
plants, are not enough to satisfy the necessary criteria to support
their use in the world3.
One of
the main problems found in the field of medicinal plants is the lack of
pharmacological, toxicological and clinical evidence. In many cases,
this practice is commonly associated with their traditional use4.
Only a small fraction among thousands of medicinal plants used in the
world has been rigorously tested in controlled studies; therefore, the
evidence of toxicity risks is even lower5.
Valeriana
is one of the genera of plants used as a sedative to treat anxiety.
However, their species show important differences regarding their
chemical composition V. pavonii is a species widely used in Colombia,
which contains 0.44% of alkaloid metabolites, whereas V. officinalis
contains less than 0.10% of these kinds of compounds6.
There
is a large trade in species of the genus Valeriana, not only as
phytotherapeutic product but also as fresh material in marketplaces. In
Colombia, both species are sold interchangeably, although their
morphological differences are notable7. V. pavonii, a native Colombian species approved for sedative purposes, has the same indications of V. officinalis8,
which is one of the best known and studied European species. However,
unlike the latter, V. pavonii lacks toxicological studies9.
In this research, the acute and subchronic toxicity of the ethanol
extract of V. pavonii was evaluated in Wistar rats for 90 days. Part of
the acute toxicity study was presented at the XI Congreso Nacional de
Farmacología y Terapéutica.
MATERIALS AND METHODS
Ethanol extract. Fresh
plant material was collected in San Antonio del Tequendama
(Cundinamarca, Colombia), located at 2,500 m above sea level in the
Cordillera Oriental (one of the three main Colombian mountain ranges)
in October 2006. Two specimens were classified and deposited in the
Colombian National Herbarium and were identified with the following
codes: 495179 and 495756. Aerial parts of the plants were dried in a
forced-air oven at 40°C for 48 hours and pulverized in a disc mill.
The powder obtained was subjected to percolation with 96% ethanol. The
solvent was removed by rotary evaporation at reduced pressure with an
average temperature of 40°C. Finally, the material was dried at
room temperature in a vacuum desiccator protected from light. The
vehicle used for dilution of the ethanol extract was obtained from the
mixture of 10% propylene glycol, 10% glycerol, 1% polysorbate-80 and
distilled water in sufficient quantity to make up 100%.
Animals.
Two groups of 60 Wistar rats per sex (seven to nine weeks old),
weighing between 140-202 g (females) and 180-270 g (males), provided by
the Department of Pharmacy, Faculty of Science, at Universidad Nacional
were used for the two toxicity studies. The animals were kept at room
temperature, 22 ± 1°C, and 12-hour light-dark cycles were
provided. Feed and water were given ad libitum.
Toxicity studies. This
study was designed based on the recommendations by the World Health
Organization (WHO). We took into account the guidelines for assessing
the toxicity of herbal medicines presented in its «General
guidelines for methodologies on research and evaluation of traditional
medicine» because they are suitable for medicinal plant products.
Recommendations were followed in terms of number and sex of animals
used.
Acute toxicity.
Forty rats were used and divided randomly into four treatment groups of
10 animals each (five females and five males). The control group
received the vehicle (0.5 ml/100 g body weight) and the other three
groups corresponding to three dosage levels: 20, 200, and 2000 mg/kg.
The extract or vehicle was admi-nistrated by oral gavage in a single
dose.
Subchronic toxicity. Eighty
rats were randomly assigned into four groups with 20 animals each (10
males and 10 females). The control group received the vehicle (0.5
ml/100 g body weight) and the other three groups received three dosage
levels: 250, 500, and 1000 mg/kg. The extract or vehicle was
administered daily by oral gavage during 90 days.
Parameters evaluated in toxicity studies
Physical examination. The
rats were observed daily for two weeks throughout the acute toxicity
study, and for 90 days in the sub-chronic toxicity study. Mortality was
recorded and the presence, absence, increase, or decrease of the
following signs were compared with the basal condition:
In the
central nervous system (CNS): motor activity, ataxia, analgesia,
anesthesia, righting reflex, corneal reflex, pineal reflex, paralysis
of paw, grasping activity, alarm reaction, tremors, head twitches, and
convulsions. In the eyes: enophthalmos, exophthalmos, ptosis, myosis,
mydriasis, nystagmus, lacrimation, chromodacryorrhea, relaxation of the
nictitating membrane, and corneal opacity. In skin appearance:
paleness, cyanosis, and hyperemia. In general signs: salivation,
piloerection, erection of the tail (Straub tail), diarrhea, priapism,
dehydration (Robichaud test), dyspnea, and nasal discharge. And
«other signs»: passivity, aggressiveness, fear, and
respiratory rate10. Body weight was recorded at the beginning and weekly thereafter in both studies.
Laboratory tests. At
the end of the acute and sub-chronic toxicity studies, all animals were
anesthetized with ether and the blood was collected from the abdominal
aorta. Blood samples were collected in two tubes (one with EDTA) for
determination of clinical chemistry tests [blood urea nitrogen (BUN),
creatinine, alanine aminotransferase (ALT), aspartate aminotransferase
(AST), bilirubin, sodium, glucose, amylase), and hematology
(erythrocyte count, total and differential leukocyte count, platelet
count, hemoglobin, hematocrit, and sedimentation rate]. These samples
were processed in a clinical laboratory certified in the Quality
Management System (QMS) according to ISO 9001. The sacrifice of
animals was performed under anesthesia by exsanguinations after
puncture of the aorta.
Pathology.
All animals were subjected to necropsy at the end of the toxicity
studies, or earlier in case of death. For histopathology, samples were
taken from the CNS, heart, lung, liver, kidney, spleen, pancreas, and
gastrointestinal tract and preserved in 10% buffered formaldehyde. The
tissues were processed by routine technique for hematoxylin-eosin and,
in some cases to confirm the presence of iron pigment, Perl’s
stain was used. Macro and micro procedures were carried out at the
Pathology Laboratory, Faculty of Veterinary Medicine, Universidad
Nacional. The lesions observed were classified as mild, moderate, or
severe.
Statistical analysis.
Longitudinal data-analysis with dichotomous outcome variables
(generalized estimating equations, GEE) were used for physical
examination data in which positive cases were analyzed with respect to
total11. The blood parameters were processed by a factorial
analysis of variance (ANOVA) followed by the Tukey test to determine
the treatments responsible for the significant differences. When
variance was not homogeneous, the Kruskal-Wallis test was applied.
Analysis of the pathological data was accomplished by using Chi-square
test in which categories such as normal, mild, moderate, and severe
were defined. The programs: Excel®, SPSS®16, and Stata®9 were used. The criteria for statistical significance was p<0.05 in all cases.
Ethical considerations.
This study was evaluated and approved in a meeting held on March 23,
2006 (Act No. 05) by the Faculty of Medicine Ethics Committee, at
Universidad Nacional in Bogotá, DC, Colombia.
RESULTS
Acute toxicity
Physical examination.
It was observed that no deaths or signs of toxicity occurred during the
assay. Signs of passivity (10 rats) and piloerection (eight rats) were
reported. The results were expressed as number of positive observed
cases (presence of the sign), taking into account that the total number
of cases in each para-meter was 560. Significant differences in
passivity (in sex and time) and piloerection (in time) parameters were
observed. Passivity was higher in males (26 males and one female)
during the two first days, while piloerection appeared during the last
three days. No significant differences were observed in body-weight
gain between treated and control groups (Table 1).
Clinical chemistry.
Female rats in the highest dosage group showed significant differences
of serum sodium (decreased) and AST (increased) levels. The direct
bilirubin increased significantly in the highest dosage group in both
females and males (Table 2).
Hematology. There were no significant differences in hematological parameters between treated and control groups (Table 3).
Pathology. There were no significant macroscopic and microscopic changes in any of the treatment groups (Figures 1a and 1b).
Subchronic toxicity
Physical examination.
Significant differences between the treated and control groups were
observed in the following parameters: passivity (42), piloerection (8),
loss of alarm reaction (11), aggressiveness (16), nasal discharge (21),
dyspnea (18), and fear (25) in a total of 80 rats.
Passivity
showed significant differences in time, dosage, and sex. This parameter
was higher in the high dosage group of males and during the last two
weeks. Significant differences were observed in time and dosage for
loss of alarm reaction (increased during the study in the low dosage
group). Aggressiveness was higher in the control group and between the
second and seventh weeks. Nasal discharge increased in the highest
dosage group and from the fifth week until the end of the study.
Dyspnea presented differences in time and sex. This parameter was
higher during the last two weeks and in males. Significant differences
were observed throughout time for piloerection (during the first three
weeks) and fear (higher during the first four weeks) (Table 4). No significant differences in body weight gain were observed between the treated and control groups (Table 5).
Clinical chemistry. Significant differences between females and
males were observed for blood urea nitrogen (higher in females),
glucose (higher in males) and direct bilirubin (lower in males) (Table 6).
Hematology.
The erythrocyte count was significantly reduced in the high dosage
group of females and males. There were no differences in other
hematological parameters (Table 7).
Pathology. There
were 13 deaths during the subchronic study (eight rats within the first
16 days, one rat on days 44, 48, and 86, respectively, and two rats on
day 90). The deaths occurred in a female rat from the control group,
and two females and two males from each treated group. The mortality
rate was low and similar in all groups. At necropsy, tracheitis was
observed in all cases.
Depletion of T areas was seen in spleen (higher in the lower dosage group) as the only significant finding (Figures 2a y 2b).
The following findings were not significant: Kupffer cell activation,
mild bile duct hyperplasia, megalocytosis in the liver (Figures 2c-2f), and hemoglobin pigment in the spleen (hematoxylin-eosin and Perl’s stain, Figures 2g and 2h).
DISCUSSION
The ethanol extract
from Valeriana pavonii could be classified according to the Globally
Harmonized Classification System for Chemical Substances and Mixtures
(GHS)12 under the fifth category, taking into account
that the administration of this extract in a single 2000-mg/kg
dose produced no deaths or signs of toxicity. While the acute and
subchronic toxicity studies revealed no weight loss of the rodents.
This finding was important because if an animal were to have lost
weight, it would have been indicative of an illness process13.
In these studies, passivity seems to respond to sedative effects of V. pavonii, which have been previously evaluated6. These effects have already been reported for other Valeriana species, e.g., V. officinalis14,15. This parameter was marked in the subchronic toxicity study in which a dosage-response relationship was observed.
Throughout
the acute study, it was observed that piloerection augmented slightly
with time. This reaction could be because of the animal’s level
of stress increasing due to the loss of the V. pavonii sedative effects
considering that the administration was done in a single dosage16.
In the subchronic study, this reaction appeared during the first three
weeks and it could be attributed to the stress produced by the daily
gavage administration. This effect decreased gradually as a result of
habituation and, possibly the anxiolytic effect of the extract6.
Aggressiveness
and fear decreased over time because the degree of distress caused by
the procedures was minimized given that animals are creatures of habit17. Although rats are not typically aggressive13,
they showed a dosage-response effect with the administration of V.
pavonii, suggesting that this species exerts sedative/anxiolytic effects6.
The
alarm reaction decreased over time. This seems to be related to the
sedative effects of V. pavonii found in other species such as V.
officinalis14,15. The sedative action of Valeriana has been
attributed to the presence of several compounds like iridoids
(valepotriates), decomposition products (baldrinals), and various
components of the essential oil; particularly, the valerenic acid
derivatives15. Furthermore, nasal discharge and
dyspnea can be attributed to complications associated with gavage
administration such as aspiration and airway injury16.
In the
acute toxicity test, female rats showed statistically significant
increases in serum AST levels, but there were no histopathological
findings. Moreover, AST is not specific to liver function in rats
and has low diagnostic value in this species13. The
mild hyponatremia could be due to a mild hypotonic dehydration, while
the direct bilirubin increase could be because it was not removed
quickly from the serum and it could lead to its accumulation.
Therefore, this finding will become significant if it is accompanied by
total hyperbilirubinemia, physical findings, and results from other
laboratory tests18.
The
decrease in erythrocyte count in the high-dosage group was compared
with the hemoglobin and hematocrit normal values, suggesting anemia by
hemodilution. This effect is frequently observed at high doses in
toxicology studies with rats and it is generally considered to lack
toxicological significance16.
Females
and males presented differences in BUN, ALT, and AST serum levels. This
could be due to variability associated with gender, strain, age, site
of collection, anesthetic agents, among others13,16,19.
Because of all these variations, it is important to compare with
control groups from each study and include both genders in the study16,20.
In the
histopathological study, the depletion of T areas in the spleen could
not be attributed to the extract since this is a nonspecific reaction
to stress, immune-suppression or to agonal changes21.
Kupffer
cells located in the liver are targeted by toxic agents. They are not
uncommon in toxicology studies and they show high variability16
but they are not considered as specific findings of toxicity. In bile
ducts, slight hyperplasia may be physiological due to the increase in
metabolic demand caused by the daily administration of a xenobiotic22.
Megalocytosis
is commonly found in rats under physiological conditions. Moreover, in
this study there were no alterations in liver enzyme levels and there
were no other histopathological findings; hence, it could not be
considered a finding of specific toxicity. The presence of pigments
derived from hemoglobin in the spleen was normal, considering that many
of the red blood cells destroyed were phagocytosed by
reticulo-endothelial cells23.
No
relationship was found between the altered values of clinical chemistry
(AST, sodium, direct bilirubin) and hematology (erythrocyte count),
with histopathological findings. In addition, most lesions in the
pathology and alterations in the blood parameters were presented in
both treated and control groups. The deaths that occurred during the
study were related to gastric gavage manipulation, leading first to
fibrino-suppurative tracheitis and then death.
Although
there were no signs of acute and subchronic toxicity attributable to
the ethanolic extract of Valeriana pavonii, in V. officinalis,
hepatotoxic reactions have been reported with valerian products; these
reactions could be idiosyncratic14,24. There is no reported
data on toxicity for long-term use of Valeriana. Toxicological studies
have reported for the ethanol extract of V. officinalis an
intraperitoneal LD50 of 3.3 mg/kg in rats14, while the LD50
for this study was higher than 2000 mg/kg. These values are not
comparable because the route of administration was different.
Through in vitro studies, it has been demonstrated that valepotriates
(valtrate and didrovaltrate) have significant cytotoxic and mutagenic
activity. However, toxicity was not demonstrated in vivo or in
human clinical trials25. Therefore, it is important to
complement this study with toxicity tests in vivo and in vitro to
discard cytotoxicity and mutagenicity effects, keeping in mind that
iridoids have been found in this species.
In
conclusion, in acute and subchronic toxicity studies we did not observe
mortality or signs of toxicity attributable to the administration of
ethanol extract from V. pavonii and no significant weight loss was
registered. Therefore, the NOAEL for the acute toxicity study was
2000 mg/kg and for the subchronic toxicity study was 1000 mg/kg weight.
According to the dosage levels evaluated in the subchronic and acute
toxicity studies, the LOAEL (Lowest Observed Adverse Effect Level) was
not found for the V. pavonii ethanol extract.
Conflict of interest. None of the authors has conflicts of interest related to this study.
ACKNOWLEDGEMENTS
This study was funded
by the Research Direction of the Bogotá campus, Research
Vice-Presidency of Universidad Nacional de Colombia (Project DIB code:
8009046). The authors would like to thank the Department of Pharmacy,
the Faculty of Sciences, and the Department of Toxicology, Faculty of
Medicine, Universidad Nacional de Colombia.
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