In Vitro Evaluation of Antioxidant Activity of Kusta Gaja Kesari (KGK) - A Siddha Herbo Mineral Formulation

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Human Journals Research Article May 2018 Vol.:12, Issue:2 All rights are reserved by A. Sureka et al. In Vitro Evaluation of Antioxidant Activity of Kusta Gaja Kesari (KGK) - A Siddha Herbo Mineral Formulation Keywords: Kusta Gaja Kesari, Anti Oxidant Activity, Siddha, Skin Diseases. ABSTRACT A.Sureka 1*, C. Mary Sharmila 2, R. Chithra Devi 3, N. J. MuthuKumar 4, V. Banumathi 5 1 Emergency Medical Officer, National Institute of Siddha, Tambaram Sanatorium. 2 Resident Medical Officer, National Institute of Siddha, Tambaram Sanatorium. 3 House Officer, National Institute of Siddha, Tambaram Sanatorium. 4 Associate Professor, Hospital Superintendent, National Institute of Siddha, Tambaram Sanatorium. 5 Director, National Institute of Siddha, Tambaram Sanatorium. Submission: 22 April 2018 Accepted: 28 April 2018 Published: 31 May 2018 www.ijppr.humanjournals.com AIM - The aim of the present study is to evaluate the In vitro free radical scavenging property of Kusta Gaja Kesari a herbomineral formulation mentioned in the Siddha classical texts Siddha Vaidhya Thirattu which is commonly and widely used to treat kuttam, Ven Kuttam, megham and chronic skin diseases. METHODS The evaluation of the In vitro antioxidant activity was carried out using DDPH ASSAY, Nitric Oxide Radical scavenging assay, ABTS Assay, Hydrogen Peroxide Radical scavenging assay at different concentrations (10 μg/ml, 20 μg/ml, 40 μg/ml, 60 μg/ml, 80 μg/ml, 100 μg/ml). RESULTS - The results obtained for the varied concentration levels showed a percentage inhibition of 6.17 to 58.33% in DPPH assay, 20.96 to 75.08% by NO radical scavenging assay, 30.04 to 76.42% by ABTS radical scavenging assay,11.06 to 59.95% by hydrogen peroxide radical scavenging assay. The IC 50 values of KGK for the above mentioned assays are 84.28, 64.61, 43.72, 78.47 respectively. CONCLUSION - It can be concluded that the Siddha herbo-mineral formulation KGK has a promising antioxidant activity in the estimated assays and hence can be effectively implemented in the treatment of skin diseases as indicated in the Siddha classical texts.

INTRODUCTION Skin diseases rank fourth in the list of ailments causing non- fatal disease burden. According to the Global Burden Disease Study 2010, fungal skin diseases, subcutaneous diseases, and acne are the most prevalent diseases worldwide 1. Skin diseases create a negative impact affecting the quality of life and are the most common diseases in the primary care settings in tropical areas. Reactive oxygen and reactive nitrogen species of free radicals are commonly produced in a normal healthy skin. These free radicals are responsible for a regulated cell multiplication, differentiation, senescence, and death 2. Oxidative stress sets in when there is an imbalance between the free radicals and the endogenous antioxidants. Review of various studies point out the role of free radicals in the etiopathogenesis of various dermatological disorders, onset of cutaneous neoplasia and the therapeutic benefits of antioxidants in skin diseases 3. In Siddha literature Yugi vaithiya chinthamani skin diseases are classified into 18 kuttam. All the skin pathologies under the 18 kuttam, in Siddha medicine are viewed as derangements of the three Doshas (vatam, pitham, kabham), the five elements (space, air, water, earth and fire) and the seven dhatus (Saaram, senneer, oon, Kozhuppu, enbu, Moolai, sukilam /sronitham). In Siddha system of medicine, numerous literature with elaborate medicinal preparations for skin diseases have been documented. One such of a Siddha medicinal preparation mentioned in "Siddha Vaidhya Thirattu is Kusta Gaja Kesari (KGK) indicated for skin diseases like kuttam, Ven Kuttam, megam, naatpatta thol noigal. KGK is a herbo-mineral formulation prepared with the extracts of the fruit of savuri pazham (Trichosanthes tricuspidata). The constituents of Kusta Gaja Kesari are known to possess the following properties in siddha system of medicine. Abraga chenduram (mica) is given along with old rice water to treat kuttam (leprosy). Aya chenduram - Ayam (iron) has the general property to cure venkuttam (leucoderma). Paandu venkuttam parunthoola noi sobai... Rasa parpam is indicated for thaemal (tinea infection) affecting head, limbs, trunk, and joints 4. Trichosanthes tricuspidata leaf juice is used in the oil preparation for venkuttam (leucoderma). The fruit is smashed well, mixed with coconut oil, boiled and is used for ulcers in ear, nose, and ears 5. 193

In this study, the author has aimed to study and evaluate the antioxidant activity of Kusta Gaja Kesari, a Siddha herbo-metallic drug commonly used in the treatment of various skin diseases. MATERIALS AND METHODS Sample Description State Solid Appearance Reddish Brown Nature Coarse Powder Odor Strong Metallic Solubility Assay 194

S.No Solvent Used Solubility 1. Water Sparingly Soluble 2. Methanol Freely Soluble 3. Ethanol Freely Soluble 4. Hydrogen Peroxide Soluble DPPH (2, 2-Diphenyl 1-2 picrylhydrazyl) Assay The antioxidant activity of test drug sample KGK was determined using the 2,2 -diphenyl 1-2 picrylhydrazyl (DPPH) free radical scavenging assay. Sample KGK was mixed with 95% methanol to prepare the stock solution in required concentration. From the stock solution 1ml, 2ml, 4ml, 6ml 8ml and 10ml of this solution were taken in five test tubes and by serial dilution with same solvent were made the final volume of each test tube up to 10 ml whose concentration was then10 μg/ml, 20 μg/ml, 40μg/ml, 60 μg/ml, 80 μg/ml and 100 μg/ml respectively. Ascorbic acid used as standard was prepared in the same concentration as that of the test drug by using methanol as solvent. Final reaction mixture containing 1 ml of 0.3 mm DPPH methanol solution was added to 2.5 ml of sample solution of different concentrations and allowed to react at room temperature. Absorbance in the presence of test sample KGK at different concentration of (10 µg, 20 µg, 40 µg, 60 µg, 80 µg and 100µg/ml) was noted after 15 min incubation period at 37 0 C. Absorbance was read out at 517 nm using double-beam U.V Spectrophotometer by using methanol as blank. % scavenging = [Absorbance of control - Absorbance of test sample/absorbance of control] X 100 The effective concentration of test sample KGK required to scavenge DPPH radical by 50% (IC 50 value) was obtained by linear regression analysis of dose-response curve plotting between % inhibition and concentrations 6. Nitric Oxide Radical Scavenging Assay The concentrations of test sample KGK are made into serial dilution from 10 100 μg/ml and the standard used is gallic acid. Griess reagent was prepared by mixing equal amounts of 1% sulphanilamide in 2.5% phosphoric acid and 0.1% naphthylethylenediaminedihydrochloride 195

in 2.5% phosphoric acid immediately before use. A volume of 0.5 ml of 10 mm sodium nitroprusside in phosphate buffered saline was mixed with 1 ml of the different concentrations of the test drug (10 100 μg/ml) and incubated at 25 C for 180 mins. The test drug KGK was mixed with an equal volume of freshly prepared Griess reagent. Control samples without the test drug but with an equal volume of buffer were prepared in a similar manner as was done for the test samples. The absorbance was measured at 546 nm using a Spectra Max Plus UV-Vis microplate reader (Molecular Devices, GA, USA). Gallic acid was used as the positive control. The percentage inhibition of the test drugkgk and standard was calculated and recorded. 7 The percentage nitrite radical scavenging activity of the test drug KGK and gallic acid were calculated using the following formula: ABTS Assay This assay carried out for the purpose of evaluating the anti-oxidant potential of test drug KGK against 2,2'-azino-bis(3-ethylbenzothiazoline-6-sulphonic acid) or ABTS radicals. The ABTS radical cation method was modified to evaluate the free radical-scavenging effect of one hundred pure chemical compounds. The ABTS reagent was prepared by mixing 5 ml of 7 mm ABTS with 88 μl of 140 mm potassium persulfate. The mixture was then kept in the dark at room temperature for 16 h to allow free radical generation and was then diluted with water (1 : 44, v/v). To determine the scavenging activity, 100 μl ABTS reagent was mixed with 100 μl of the test sample (10-100μg/ml) and was incubated at room temperature for 6 min. After incubation, the absorbance was measured at 734 nm. 100% methanol was used as a control. Gallic acid with same concentrations of test drug KGK was measured following the same procedures described above and was used as positive controls 8. The antioxidant activity of the test sample KGK was calculated using the following equation: The ABTS scavenging effect was measured using the following formula: 196

Hydrogen Peroxide Radical Scavenging Assay A hydrogen peroxide solution (2 mm) was prepared in 50 mm phosphate buffer (ph 7.4). Aliquots (0.1 ml) of the test sample KGK (different concentration ranging from 10-100μg/ml) were transferred into the test tubes and their volumes were made up to 0.4 ml with 50 mm phosphate buffer (ph 7.4). After adding 0.6 ml hydrogen peroxide solution, tubes were vortexed and the absorbance of the hydrogen peroxide at 230 nm was determined after 10 min, against a blank. BHA was used as the positive control. The percentage inhibition of the test drugkgk and standard was calculated and recorded 9. The percentage of radical scavenging activity of the test drug KGK and BHA were calculated using the following formula: RESULTS Table 1: Percentage inhibition of test drug KGK on DPPH radical scavenging assay Concentration (μg/ml) % Inhibition of KGK % Inhibition of Ascorbic Acid 10 μg/ml 6.176 ± 2.353 39.63 ± 2.796 20 μg/ml 19.51 ± 2.449 53.33 ± 2.222 40 μg/ml 30.1 ± 3.594 61.85 ± 2.796 60 μg/ml 35.98 ± 5.56 71.11 ± 2.94 80 μg/ml 47.75 ± 6.792 79.22 ± 8.569 100 μg/ml 58.33 ± 4.454 89.63 ± 0.2313 Data are given as Mean ± SD (n=3) Table 1a: IC50 Values for DPPH radical scavenging Assay by KGK and standard. Test Drug / Standard IC50 Value DPPH Assay ± SD (μg /ml) ASCORBIC ACID 20.45 ± 1.37 KGK 84.28 ± 9.896 Data are given as Mean ± SD (n=3) 197

Figure 1: Percentage inhibition of STD on DPPH radical scavenging assay Triplicate 1 Triplicate 2 Triplicate 3 198

Figure 1a: Percentage inhibition of KGK on DPPH radical scavenging assay Triplicate 1 Triplicate 2 Triplicate 3 199

Table 2: Percentage inhibition of test drug KGK on Nitric Oxide radical scavenging assay Concentration (μg/ml) % Inhibition of KGK % Inhibition of Gallic Acid 10 μg/ml 20.96 ± 2.151 31.49 ± 8.853 20 μg/ml 28.84 ± 2.706 43.09 ± 6.612 40 μg/ml 36.01 ± 1.075 52.14 ± 5.137 60 μg/ml 43.54 ± 2.151 63.01 ± 8.786 80 μg/ml 53.57 ± 4.346 72.07 ± 3.817 100 μg/ml 75.08 ± 5.922 86.2 ± 6.369 Data are given as Mean ± SD (n=3) Table 2a: IC50 Values for Nitric Oxide radical scavenging assay By KGK and standard. Test Drug / Standard IC50 Value NO Assay ± SD (μg /ml) KGK 64.61 ± 2.365 GALLIC ACID 37.21 ± 11.79 Data are given as Mean ± SD (n=3) Figure 2: Percentage inhibition of STD on NO radical scavenging assay Triplicate 1 200

Triplicate 2 Triplicate 3 Figure 2a: Percentage inhibition of KGK on NO radical scavenging assay Triplicate 1 201

Triplicate 2 Triplicate 3 Table 3: Percentage inhibition of test drug KGK on ABTS radical scavenging assay Concentration (μg/ml) % Inhibition of KGK % Inhibition of Gallic Acid 10 μg/ml 30.04 ± 1.883 48.74 ± 3.994 20 μg/ml 42 ± 4.981 57.88 ± 2.791 40 μg/ml 48.88 ± 3.817 66.67 ± 1.611 60 μg/ml 57.58 ± 8.158 74.05 ± 2.436 80 μg/ml 68.81 ± 4.901 79.33 ± 3.705 100 μg/ml 76.42 ± 3.817 94.45 ± 0.2196 Data are given as Mean ± SD (n=3) 202

Table 3a: IC50 Values for ABTS radical scavenging assay By KGK and standard. Test Drug / Standard IC50 Value ABTS Assay ± SD (μg /ml) KGK 43.72 ± 6.82 GALLIC ACID 7.346 ± 4.854 Data are given as Mean ± SD (n=3) Figure 3: Percentage inhibition of STD on ABTS radical scavenging assay Triplicate 1 Triplicate 2 203

Triplicate 3 Figure 3a: Percentage inhibition of test drug KGK on ABTS radical scavenging assay Triplicate 1 Triplicate 2 204

Triplicate 3 Table 4: Percentage inhibition of test drug KGK on Hydrogen peroxide radical scavenging assay Concentration (μg/ml) % Inhibition of KGK % Inhibition of BHA 10 μg/ml 11.06 ± 2.066 43.53 ± 3.342 20 μg/ml 18.63 ± 1.193 57.05 ± 4.687 40 μg/ml 30.68 ± 1.033 66.05 ± 8.119 60 μg/ml 38.95 ± 1.033 76.8 ± 4.801 80 μg/ml 53.07 ± 1.578 84.59 ± 3.538 100 μg/ml 59.95 ± 3.321 92.49 ± 1.68 Data are given as Mean ± SD (n=3) Table 4a: IC50 Values for Hydrogen peroxide radical scavenging assay by KGK and standard. Test Drug / Standard KGK IC50 Value Hydrogen peroxide radical scavenging Assay ± SD (μg /ml) 78.47 ± 1.137 BHA 12.1 ± 9.196 Data are given as Mean ± SD (n=3) 205

Figure 4: Percentage inhibition of STD on Hydrogen Peroxide radical scavenging assay Triplicate 1 Triplicate 2 Triplicate 3 206

Figure 4a: Percentage inhibition of KGK on Hydrogen Peroxide radical scavenging assay Triplicate 1 Triplicate 2 Triplicate 3 207

DISCUSSION DPPH radical scavenging activity: Trial drug KGK were screened for DPPH radical scavenging activity and the percentage inhibition ranges from 6.17 to 58.33 % when compared with standard ascorbic acid with percentage inhibition ranges from 39.63 to 89.6 %. The IC50 value of the trial drug was found to be 84.28 (μg /ml) when compared with standard ascorbic acid with (IC 50 value 20.45μg/ml). The results are given in tables 1,1a and graphically represented in figure 1,1a. NO radical scavenging activity: NO radical scavenging activity of the trial drug revealed that the percentage inhibition of the test drug ranges from 20.96 to 75.08 % when compared with standard gallic acid with percentage inhibition ranges from 31.49 to 86.2 %.The corresponding IC50 value of the trial drug was found to be 64.61(μg /ml) when compared with standard gallic acid with (IC 50 value 37.21μg/ml). The results are given in tables 2,2a and graphically represented in figure 2,2a. ABTS radical scavenging activity: Trial drug were screened for hydrogen peroxide radical scavenging activity and the percentage inhibition ranges from 30.04 to 76.42 % when compared with standard gallic acid with percentage inhibition ranges from 48.74 to 94.45%. The corresponding IC50 value of the trial drug was found to be 43.72 (μg /ml) when compared with standard gallic acid with (IC 50 value 7.34μg/ml). The results are given in tables 3,3a and graphically represented in figure 3,3a. Hydrogen peroxide radical scavenging activity: Trial drug were screened for hydrogen peroxide radical scavenging activity and the percentage inhibition ranges from 11.06 to 59.95 % when compared with standard BHA with percentage inhibition ranges from 43.53 to 92.49 %. The corresponding IC50 value of the trial drug was found to be 78.47 (μg /ml) when compared with standard BHA with (IC 50 value 12.1μg/ml). The results are given in tables 4,4a and graphically represented in figure 4,4a. CONCLUSION Based on the results obtained from the In vitro antioxidant assay for the sample KGK, it was concluded that the Siddha formulation KGK has promising antioxidant activity in the estimated assays. Hence KGK can be beneficial utilized in the management of skin diseases as mentioned in Siddha literature. 208

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