Abstract

Phytotherapies have offered alternative sources of therapy for migraine and gained much importance in prophylactic treatment. Sapindus trifoliatus is a medium-sized deciduous tree growing wild in south India that belongs to the family Sapindaceae. The pericarp is reported for various medicinal properties. A thick aqueous solution of the pericarp is used for the treatment of hemicrania, hysteria or epilepsy in folklore medicine. We have investigated the antihyperalgesic effects of the lyophilized aqueous extract of S. trifoliatus in animal models predictive of experimental migraine models using morphine withdrawal-induced hyperalgesia on the hot-plate test and on 0.3% acetic acid-induced abdominal constrictions in adult male Swiss albino mice. The extract significantly (N = 10, P < 0.05) increased the licking latency in the hot-plate test when administered i.p. at 10 mg/kg (6.70 +/- 0.39 s in saline control vs 18.76 +/- 0.96 s in S. trifoliatus-treated animals) and significantly (N = 10, P < 0.001) reduced the abdominal constrictions when administered i.p. at 2 and 10 mg/kg (40.20 +/- 1.36 in saline control vs 30.20 +/- 1.33 and 23.00 +/- 0.98 for 2 and 10 mg/kg, i.p., respectively, in S. trifoliatus-treated animals). Furthermore, when administered i.p. at 20 and 100 mg/kg, the extract significantly (N = 10, P < 0.05) inhibited the apomorphine-induced climbing behavior in mice (climbing duration 15.75 +/- 5.0 min for saline control vs 11.4 +/- 1.28 and 3.9 +/- 1.71 min for 20 and 100 mg/kg, respectively, in S. trifoliatus-treated animals). In receptor radioligand-binding studies, the extract exhibited affinity towards D2 receptors. The findings suggest that dopamine D2 antagonism could be the mechanism involved in the antihyperalgesic activity of the aqueous extract of S. trifoliatus.

Highlights

  • Migraine is a common, chronic, incapacitating neurovascular disorder characterized by attacks of severe headache, autonomic nervous system dysfunction, and, in some patients, by an aura involving neurological symptoms [1]

  • Since intranasally applied Sapindus trifoliatus (ST) is used for hemicrania and epilepsy in traditional folk medicine [8], the objective of the present study was to investigate the antihyperalgesic effects of the aqueous extract of ST in animal models, which are believed to serve as models of experimental migraine and the relationship of these effects to dopamine receptor antagonism

  • Despite the observations that ST is effective in the treatment of hemicrania in folk medicine [8], there are no published reports of the effect of ST on experimental migraine models

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Summary

Introduction

Chronic, incapacitating neurovascular disorder characterized by attacks of severe headache, autonomic nervous system dysfunction, and, in some patients, by an aura involving neurological symptoms [1]. The drugs used for the treatment of migraine can be divided into two groups: agents that abolish the acute migraine headache and agents aimed at its prevention. In the last decade there has been a tremendous progress in the acute therapy of migraine, with sumatriptan, an agent be-. The success of sumatriptan in migraine therapy elicited further interest in research in the field of migraine. Prophylactic treatments for migraine include calcium channel blockers, 5-HT2 receptor antagonists, beta adrenoceptor blockers, dopamine antagonists, and γ-amino butyric acid agonists [4,5]. Many of these treatments are nonspecific and not always effective

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