Salud Mental 2016;

ISSN: 0185-3325

DOI: 10.17711/SM.0185-3325.2015.066

Received first version: June 6, 2014. Second version: June 22, 2015. Accepted: August 3, 2015.

Anxiolytic and sedative-like effects of flavonoids from Tilia americana var. mexicana: GABAergic and serotonergic participation

Eva Aguirre-Hernández 1 , Ma. Eva González-Trujano 2 , Teresa Terrazas 3 , Josefina Herrera Santoyo 1 , Patricia Guevara-Fefer 1


1 Departamento de Ecología y Recursos Naturales. Facultad de Ciencias, Universidad Nacional Autónoma de México.

2 Laboratorio de Neurofarmacología de Productos Naturales. Dirección de Investigaciones en Neurociencias del Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz.

3 Instituto de Biología, Universidad Nacional Autónoma de México.

Correspondence: Ma. Eva González-Trujano. Laboratorio de Neurofarmacología de Productos Naturales. Dirección de Investigaciones en Neurociencias. Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Calz. México-Xochimilco 101, San Lorenzo Huipulco, 14370 México, DF. México. Phone: (+52 55) 4160 – 5084. Fax: (+52 55) 5655 – 9980. E-mail: evag@imp.edu.mx


Abstract

Introduction. The inflorescences of Tilia americana var. mexicana are used as an infusion in Mexican traditional medicine due to their tranquilizing effects; however, pharmacological and phytochemical studies of the leaves are lacking.

Objective. In this research, the anxiolytic and sedative-like efficacy of the Tilia americana var. mexicana leaves was compared to that obtained with its inflorescences and flavonoids therein identified, as well as the possible mechanism of action.

Methods. The sorted and dried inflorescences and leaves were macerated subsequently in hexane, ethyl acetate and methanol. The methanol extracts were qualitative- and quantitative-analyzed by HPLC, using commercial flavonoids standards selected on the basis of their previously reported presence in Tilia species. The pharmacological activity was evaluated in CD-1 mice in the tests: open-field, elevated plus-maze, hole-board, and the sodium pentobarbital-induced sleep potentiation test. In regard to the mechanism of action, participation of benzodiazepine and 5-HT1A serotonin receptors was tested with the respective antagonists: flumazenil and WAY100635.

Results. The presence of quercetin, rutin and isoquercitrin was confirmed in the extracts of the inflorescences and leaves. The anxiolytic-like effects were the same between the two organs, which were inhibited in the presence of flumazenil and WAY100635.

Discussion and conclusion. Our results provide evidence that the extracts of the leaves of T. americana var. mexicana are as efficacious as the inflorescences to produce anxiolytic and sedative-like effects, where flavonoids like quercetin, rutin and isoquercitrin are partially responsible for these activities by the involvement of GABA/BDZ and 5HT1A serotonergic receptors.

Key words: Anxiety, isoquercitrin, quercetin, rutin, sedative, Tilia.

Resumen

Introducción. En la medicina tradicional mexicana, la infusión de inflorescencias de Tilia americana var. mexicana es utilizada por sus efectos tranquilizantes; sin embargo, los estudios farmacológicos y fitoquímicos de sus hojas son deficientes.

Objetivo. En esta investigación, la eficacia ansiolítico-sedante de las hojas de T. americana var. mexicana se comparó con la obtenida con las inflorescencias y los flavonoides previamente identificados; se analizó además el posible mecanismo de acción.

Métodos. Inflorescencias y hojas separadas y secas se maceraron sucesivamente en hexano, acetato de etilo y metanol. Los extractos metanólicos se analizaron cualitativa y cuantitativamente por HPLC usando estándares comerciales de flavonoides previamente reportados en especies de Tilia. La actividad farmacológica se evaluó en ratones CD-1 en las pruebas de campo abierto, cruz elevada, tablero con orificios y la prueba de potenciación de hipnosis inducida por pentobarbital sódico. Respecto al mecanismo de acción, la participación de los receptores de benzodiazepinas y 5-HT1A de serotonina se examinó utilizando los antagonistas flumazenil y WAY100635, respectivamente.

Resultados. La presencia de quercetina, rutina e isoquercitrina se confirmó en los extractos de inflorescencias y hojas, donde se confirmó el efecto como ansiolítico, el cual fue inhibido en la presencia de flumazenil y WAY100635.

Discusión y conclusión. Nuestros resultados dan evidencia de que las hojas de T. americana var. mexicana son tan eficaces como las inflorescencias para producir efectos ansiolítico-sedantes, donde los flavonoides quercetina, rutina e isoquercitrina son responsables parciales y se involucra la participación de los receptores GABA/BDZ y 5HT1A de serotonina.

Palabras clave: Ansiedad, isoquercitrina, quercetina, rutina, sedante, Tilia.




Introduction

Tilia americana var. mexicana is distributed in 14 states of Mexico, from the north of Chihuahua and Coahuila to the south of Guerrero and Oaxaca. Its populations are mostly confined to the cloud forest, which covers less than 1% of the Mexican territory.1 In Mexico, the flowers infusion is used as a treatment for enterocolitis, gastroenteritis, hepatic and nephritic colics, but it is mostly generally used due to its depressant activity.2,3,4,5 To use Tilia as a tranquilizer, infusions are typically prepared with water brought just to a boil and afterward poured over the crushed inflorescences, but not the leaves; the concoction is covered and brewed for five minutes. The infusions can also be prepared directly in the drinking cup by merely pouring hot water over the vegetal material or by dropping powdered inflorescences into the water heating pot. In previous studies, a significant dose-dependent anxiolytic-like activity was demonstrated for methanolic and aqueous extracts of Tilia inflorescences, further glycosides of quercetin and kaempferol were characterized and suggested as the main active compounds.6,7

It is known that the quality and quantity of secondary metabolites particularly tend to fluctuate depending on factors such as genetic drift, physiological conditions, season, and harvesting time, as well as sample preparation and analytical method.8,9,10 Numerous investigations on the aforementioned factors have been conducted; as a result, it has been found that the phenological stage and collection site strongly influence the quantity of secondary metabolites.9,11 Moreover, it is acknowledged that flowers and leaves show considerable heterogeneity in their flavonoid contend when samples come from different sites.9,11 The flavonoid pattern differences between inflorescences and leaves and its potential contribution to the therapeutic properties of Tilia is unknown. Therefore, in this study we examined the flavonoid composition of methanolic extracts of either inflorescences or leaves of T. americana var. mexicana collected in three different regions of Mexico, and furthermore examined their anxiolytic and sedative-like activities as well as the mechanism of action. It has been reported that natural flavonoids possess a selective and relatively mild affinity for benzodiazepine receptors,12 but some of them might also produce their tranquilizing activity by acting on serotonergic receptors.13,14 In a preliminary study, the extract of T. americana var. mexicana inflorescences produced anxiolytic and sedative-like effects where, at the same 100 mg/kg, i.p. dosage, the methanol had a higher response than the hexane and ethyl acetate extracts.7 The antinociceptive activity of this species in an arthritic pain model involving 5-HT1A receptors was demonstrated in other study.15 Another study reports that the anxiolytic-like effects of a standardized fraction from inflorescences of T. americana is mediated by serotonergic receptors; the standardization was supported in the flavonoids contained: tiliroside, rutin, quercetin, a quercetin glucoside and kaempferol.14 Based on this evidence and given that the mechanism of action of the anxiolytic and sedative-like effects of Tilia extracts is poorly known, our hypothesis is that their leaves produce the same anxiolytic and sedative-like effects than the inflorescences because of the presence of these metabolites and it is mediated by the participation of benzodiazepines and 5-HT1A receptors.

Materials and methods

Plant material

Inflorescences and leaves of Tilia americana L. var. mexicana (Schltdl.) Hardin (Malvaceae)16 were collected in June 2010 in three regions of Mexico, viz.: Morelia, Michoacan (FCME131611), Santa María Ahuacatitlan, Morelos (FCME131612) and Honey, Puebla (FCME131613). The species identification was provided by José Luis Contreras; voucher specimens were deposited at the Herbarium of the Faculty of Sciences of the National Autonomous University of Mexico (UNAM), Mexico City.

Extracts preparation

The inflorescences (flowers and bracts) and leaves were sorted for each plant, and then air-dried. Powdered inflorescences (15 g) and leaves (15 g) were successively extracted with hexane (1 L x 3), ethyl acetate (1 L x 3) and methanol (1 L x 3) by maceration at room temperature (22°C). The solvents were separated from the residues by gravity filtration and then evaporated in vacuum. The dry weight percentage (% d.w.) obtained for the methanol extracts from the three regions mentioned were as follows: inflorescences (1.52 g, 10.13%; 1.81 g, 12.06%; and 1.73 g, 11.53%), and leaves (1.14 g, 7.60%; 0.56 g, 3.73% and 1.41 g, 9.40%, respectively).

High performance liquid chromatography (HPLC) analysis

For each extract, a methanolic stock solution (1 mg/mL) was prepared and passed through a 0.45µm pore size filter. A 20 µL aliquot was injected into a HPLC system (Agilent Technologies) equipped with a ODS hypersil C-18 column (125 mm x 4 mm i.d., 5 µm particle size). The mobile phase consisted in solvent A, water (pH 2.5, trifluoroacetic acid) and solvent B acetonitrile, in gradient elution as follows: 85:15 (min 0-4), 65:35 (min 5-12), 65:35 (min 13-14). The column temperature was constant at 30 ºC and the flow was 1 mL/min. Total running time was 14 min. Calibration curves were made for each commercial standard of the flavonoids: kaempferol, quercetin, rutin, astragalin, isoquercitrin and quercitrin. Chromatograms detection was set at 350 nm. The selection of the flavonoids present in Tilia species was based on the literature reports of T. americana var. Mexicana,7,14,17 T. Platyphyllos, T. rubra and T. Argentea,9 as well as T. Tomentosa.18

Animals

Male CD-1 mice (25-30 g body weight) were obtained from the animal housing facility of the Faculty of Medicine, UNAM, and kept under standardized conditions. All experimental procedures were carried out according to a protocol approved by the local Animal Ethics Committee (NC093280.2) in compliance with national (NOM-062-ZOO-1999) and international regulations on the care and use of laboratory animals.

Drugs

Commercial flavonoids such as kaempferol, quercetin, rutin, astragalin, isoquercitrin and quercitrin standards, as well as flumazenil and WAY100635, were purchased from Sigma (Sigma-Aldrich Co., St Louis, MO, USA). Sodium pentobarbital was obtained from SedalphorteTM from Salud y Bienestar Animal Laboratory (Mexico, DF). Extracts were prepared on the day of the experiments, resuspended in saline solution (s.s. 0.9%, NaCl) and administered intraperitoneally (i.p.) in a volume of 10 mL/kg body weight. Control animals received only vehicle in the same volume and administration route.

Pharmacological evaluation

Each treatment was considered as an independent group of six mice (n = 6). Experimental groups that received a dosage of methanol extract (100 mg/kg body weight, i.p.) from flowers or leaves were evaluated and compared with the control animals administered with only s.s. After 60 min, each mouse received sodium pentobarbital (42 mg/kg, i.p.) to induce hypnosis. Other independent groups (n = 6) that received an individual commercial flavonoid (kaempferol, astragalin, quercetin, isoquercetin, quercitrin and rutin) or the mixture made with the tree commercial flavonoids: quercetin (20 mg/kg), isoquercitrin (2 mg/kg), and rutin (15.70 mg/kg) were evaluated for anxiolytic and/or sedative-like responses 50 min after administration of the flavonoids. Finally, for the evaluation of the mechanism of action, independent groups of mice were treated with the antagonists flumazenil (5 mg/kg, i.p.) or WAY100635 (0.32 mg/kg, i.p.) fifteen min before the administration of the methanol extract (100 mg/kg) or the flavonoid mixture. After 50 min of the last administration, animals were successively evaluated in the following tests.

Ambulatory activity

Fifty minutes after the methanol extracts administration and prior to the anti-anxiety and sedative assay, each mouse was placed individually into a cage divided in 12 squares (6 cm × 6 cm). Ambulatory activity was registered as the number of squares explored by each mouse in a 2 min lapse.6

Anti-anxiety and sedative-like activities

After ambulatory activity, the anti-anxiety and sedative-like responses to the methanol extracts were successively evaluated with the following tests; it is important to mention here that the inner side of each apparatus and floor were cleaned with an alcoholic solution between each animal test session:

The elevated plus-maze: A modified test was used.19 The maze consists of two open arms (25 cm × 5 cm), facing each other, and two closed arms (25 cm × 5 cm × 15 cm) with open roof and walls of 40 cm height. A mouse was placed in the center and then an observer measured the total time spent in open-sided arms during a 5 min lapse.

Hole-board test: A mouse was placed in the center of a perforated board; the number of head-dips was registered for 3 minutes. The test board was made by boring 16 evenly spaced holes (3 cm in diameter) on a plastic floorboard, delimited by a glass box 20 cm height and 20 cm deep.20

Sodium pentobarbital-induced hypnosis: 60 min after the corresponding methanol extract (100 mg/kg i.p.) each mouse received sodium pentobarbital (42 mg/kg, i.p.) to induce hypnosis. Mice were immediately placed individually in a translucid acrylic box to be observed for the onset of uncoordinated movements (sedative phase) and hypnosis, and for sleep duration. The criterion for sleep or hypnosis is defined as the loss righting reflex. The time between loss and recovery of the righting reflex was recorded as sleeping time.21

Statistical analysis

Results are expressed as the mean SEM. Statistical differences were evaluated by analysis of variance (ANOVA), either a one-way ANOVA followed by Tukey test to explore differences among means or two-way ANOVA followed by Tukey s test to analyze data of flavonoids concentrations depending on the part of the plant and the collected region. A value of P 0.05 was considered significant. The GraphPad Prism version 4.00 software program was used.

Results

The ambulatory activity of mice treated with methanol extract from inflorescences or leaves of Tilia was not statistically different to the controls, with the exception of the inflorescences extract from Michoacan which significantly reduced (40%) the squares explored in the open field test when compared with animals treated with vehicle or other extract (figure 1A). With regard to the anxiolytic-like effects, all samples were associated with a significant diminution in head dips during the exploratory behavior in the hole-board (figure 1B), alongside an increase in time spent at the open-sided arms in the plus-maze; the effects were more pronounced with samples from leaves of Michoacan and Puebla (figure 1C). All treatments produced a similar significant potentiation in the sodium pentobarbital-induced hypnosis test in comparison to the vehicle group (table 1); only the Michoacan sample obtained from Tilia leaves produced a significant facilitation of sedation (table 1).

Differences in flavonoid concentrations of leaves or inflorescences were found among regions (figure 2). The flavonoid pattern of all the active samples showed in common the presence of quercetin and rutin (figure 3). In the present work, high concentrations of quercetin were observed in inflorescences, particularly from Puebla; the lowest concentrations were detected in samples from Morelos (figure 2 and figure 3). In contrast, rutin was observed mainly in leaves from Michoacan, followed by samples from Morelos and, in a lesser degree, in the samples from Puebla (figure 2 and figure 3). Isoquercitrin had similar concentrations in the leaf samples from the three regions, but it was only detected and quantified in the inflorescences from Puebla, and detected, but not in a quantifiably amount, in Morelos and Michoacan (figure 2 and figure 3). Quercitrin, astragalin and kaempferol were not detected in any sample of this study (figure 3).

Concerning the pharmacological activity of the identified flavonoids, only isoquercitrin, alone or mixed with rutin and quercetin, produced a sedative-like response with significant a diminution of the ambulatory activity of the mice (figure 4A). A significant decrease in head-dipping behavior was observed with all the flavonoids tested in the hole-board test (figure 4B). This anxiolytic-like response was reinforced with an increase in the time spent in open-side arms in the plus-maze model (figure 4C); however, this response was no detected for astragalin and quercitrin with this model (figure 4C). Individual administration of isoquercitrin and rutin showed a major effect in comparison with the mixture (figure 4C).

With regard to the mechanism of action, the administration of BDZs and 5-HT1A antagonists (flumazenil and WAY100635, respectively) in mice that received extract did not modify the ambulatory activity, whereas the flavonoid mixture in the presence of WAY100635 showed a significant decrease in the number of explorations (figure 5A). In the hole-board test, neither antagonist modified the response of the extract or flavonoid mixture (figure 5B). On the contrary, both antagonists inhibited the anxiolytic-like effects of the flavonoid mixture in the plus-maze test (figure 5C).

Discussion and conclusion

In this study, differences in the anxiolytic and sedative-like activities and flavonoid profile of inflorescences and leaves of T. americana var. mexicana were investigated in samples from three different regions of Mexico. This flavonoid pattern exhibited significant differences that depended on the plant part and the collection site. Regardless of these differences, anxiolytic and sedative-like responses were observed in all the samples. The partial involvement of BDZs and 5-HT1A receptors was suggested as a possible mechanism of action participating in the effect of the methanol extract of T. americana var. mexicana and the mixture of flavonoids obtained from it.

Traditional medicine information mentions the exclusive utilization of the inflorescences (flowers and bracts) of Tilia species due to their tranquilizing properties. Previous studies reported that inflorescences of T. americana var. mexicana collected in different regions of Mexico such as Michoacan,6 Estado de Mexico,17 Guerrero, Hidalgo and Veracruz7 produce anxiolytic and sedative-like effects on mice. These investigations agree with others from Latin American (T. tomentosa) and European (T. platyphyllos, T. rubra and T. argentea) species of Tilia9,18,22 corroborating such therapeutic property of flowers and bracts. Even though Tilia has as a genus a relatively large geographical distribution, the populations of T. americana var. mexicana covers less than 1% of the Mexican territory.1 It has been observed that during the flowering months (April–June), the marketing of inflorescences increases, due to the popular belief that the medicinal effect of the infusion is greater during this period.23 Tilia species are trees up to 20 m high and 1 m in diameter. This causes a disadvantage in its exploitation as a medicinal resource since the utilization of inflorescences reduces the production of seeds and the establishment of new Tilia individuals in their populations.23 Additionally, we made a preliminary analysis of the seeds using the tetrazolium test (data not shown) which showed low viability. Our results are in agreement in that inflorescences of T. americana var. mexicana collected from three different regions of Mexico produce anxiolytic and sedative-like effect equivalent to those of Tilia species previously reported and thus underline the medicinal properties accredited to the genus.7,14,17,18 Moreover, no difference in the tranquilizing activity was found between Tilia leaves and inflorescences. These findings reinforce the medicinal properties mentioned for Tilia and provide evidence that leaves can also be used for therapeutic purposes. It is important to notice that in contrast to the inflorescences, leaves can be collected in larger amounts so the endangerment of this species could be reduced by allowing an increase in the local population. In addition, the price of the product sold in markets may be also reduced and its availability extended all year round.

The selection of the studied flavonoids was based on previous research of Mexican (T. americana var. mexicana) and European (T. platyphyllos, T. rubra and T. argentea) species of Tilia.7,9,17 In a preliminary study, quercetin was not detected in samples from Guerrero, Hidalgo and Veracruz, and rutin was absent in samples from Hidalgo.7 Quercitrin, astragalin and kaempferol, previously reported in samples from other regions of Mexico,7,17 were not detected in any of the studied samples. Our results are in agreement in that the presence of flavonoids differs depending also on the part of the plant and on the region of collection. Quercetin and rutin had the higher concentrations observed. It has been described that quercetin, a flavonol, is abundant in flowers. The primary function of flavonoids in flowers is to attract insects and other animals thus helping cross pollination.24 They additionally provide protection against UV irradiation and act as chemical defenses against pathogens; these roles are similar in other plant parts such as leaves.25 Furthermore, flavonoids are important for pollen germination,24 therefore their presence is crucial for the primary function of flowers that is plant reproduction. With respect to their therapeutic importance as anxiolytic and sedative-like compounds, it has been demonstrated that flavonoids such as quercetin, rutin and kaempferol elicit Central Nervous System activity involving the inhibitory GABAergic system.18,26,27 As described, rutin was the other abundant flavonoid detected in the active extract; it is known that plants increase glycosylated aglicone production as a mechanism to avoid damage.28 This property of plants is also an advantage in folk medicine, since they can be used as tranquilizers, among other therapeutic properties. On the other hand, the low amount of isoquercitrin and absence of kaempferol, astragalin, and quercitrin in the samples from three regions of Mexico suggest the existence of chemotypes between Tilia species and indicate the environmental characteristics as a primordial factor for the production of these metabolites as has been previously reported for samples from other regions.7

The precise mechanisms of action of flavonoids might differ depending on the chemical structure and pharmacological activity, but regarding the anti-anxiety and sedative-like activities, the involvement of the GABAergic and serotonergic systems is typically reported.12,14,29,30 Nevertheless, many flavonoids have been described to produce depressant activity on the Central Nervous System mediated by other than GABAA/benzodiazepine or GABA/non benzodiazepinic receptors.14,31,32 In the present study, a crude methanol extract and a flavonoid mixture of T. americana var. mexicana leaves produced an anxiolytic-like effect that was reverted in presence of the benzodiazepine and 5-HT1A receptor antagonists, flumazenil (5 mg/kg, i.p.) and WAY100635 (0.32 mg/kg, i.p.), respectively. The flavonoid mixture, composed of quercetin, isoquercitrin and rutin, was identified as partially responsible for the found activity, suggesting a synergy between these and other likely constituents in relation to their anxiolytic and sedative-like activities, which are mediated by GABAergic and serotonergic systems. Our results are in agreement to that reported in the literature, where the anxiolytic effect of a flavonoid standarized fraction obtained from a methanol extract of T. americana was antagonized in the presence of WAY-100635,14 both studies give evidence that serotonergic system participates in the anxiolytic and sedative-like effects of this medicinal species.

In conclusion, our results demonstrate that the anxiolytic and sedative-like effects of leaves of T. americana var. mexicana leaves are as efficacious as those observed with the inflorescences due to the presence of flavonoids like quercetin, rutin and isoquercitrin, suggesting the involvement of GABAergic and serotonergic receptors. The tranquilizing activity of T. americana var. mexicana is unaltered by the differences in the profile and amount of the flavonoids contained in the extract, suggesting that these compounds may be useful for the extract standardization. Furthermore, the effects are also produced by leaf extracts; this offers a possibility for resource management, since promoting the use of leaves, instead of inflorescences for the infusion preparation, would maintain the therapeutic benefits, without affecting the proliferation of trees of this species.

Funding

This work was supported by grants CONACYT-80811, CONACYT-226454 and INP-NC093280.2.

Conflict of interests

The authors declare that there are no conflicts of interest.

Acknowledgements

The authors are grateful to Dr. Enrique Pinzón Estrada, Dr. Ismael Torres Saldaña, MSc Rubén San Miguel Chávez, Mr. Raúl Cardoso, Mr. José Luis Calderon and M Sc R Enrique Llanos-Romero for their technical assistance. We also thank Aidé M. González the proofreading of the English version of this manuscript.

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