Abstract

Heliotropium indicum is used traditionally as a remedy for conjunctivitis in Ghana. This study therefore evaluated the antiallergic potential of an aqueous whole plant extract of Heliotropium indicum (HIE) in ovalbumin-induced allergic conjunctivitis and attempted to predict its mode of action. Clinical scores for allergic conjunctivitis induced by intraperitoneal ovalbumin sensitization (100 : 10 μg OVA/Al(OH)3 in phosphate-buffered saline [PBS]) and topical conjunctival challenge (1.5 mg OVA in 10 μL PBS) in Dunkin-Hartley guinea pigs were estimated after a week's daily treatment with 30–300 mg kg−1 HIE, 30 mg kg−1 prednisolone, 10 mg kg−1 chlorpheniramine, or 10 mL kg−1 PBS. Ovalbumin-specific IgG and IgE and total IgE in serum were estimated using Enzyme-Linked Immunosorbent Assay. Histopathological assessment of the exenterated conjunctivae was also performed. The 30 and 300 mg kg−1 HIE treatment resulted in a significantly (p ≤ 0.001) low clinical score of allergic conjunctivitis. Ovalbumin-specific IgG and IgE as well as total serum IgE also decreased significantly (p ≤ 0.01–0.001). The conjunctival tissue in HIE treated guinea pigs had mild mononuclear infiltration compared to the PBS-treated ones, which had intense conjunctival tissue inflammatory infiltration. HIE exhibited antiallergic effect possibly by immunomodulation or immunosuppression.

Highlights

  • Allergic conjunctivitis is a common problem that ophthalmic practitioners have to deal with, almost on daily basis, as it affects nearly 40% of the populace in advanced nation [1, 2]

  • The clinical scores for Ovalbumin-Induction Allergic Conjunctivitis (OIAC) indicated a U-shaped effect of HIE in mitigating the clinical signs of allergic conjunctivitis

  • Ovalbumin-induced allergic conjunctivitis model in the guinea pig has been used in preclinical studies in screening for potential antiallergic agents [22]

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Summary

Introduction

Allergic conjunctivitis is a common problem that ophthalmic practitioners have to deal with, almost on daily basis, as it affects nearly 40% of the populace in advanced nation [1, 2]. Various studies in Africa have indicated the prevalence of allergic conjunctivitis to range between 7.3 and 32% [3, 4]. Allergic conjunctivitis (AC), is clinically characterized by pruritus, hyperemia, chemosis, tearing, and photophobia [6]. These clinical symptoms are the reason for the high morbidity associated with AC and consequential impact on quality of life of AC victims [7, 8]. Due to the large burden of AC and its spate of increase all over the world and across all ages, it possesses a great challenge to the health care resources of many countries [9, 10]

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