Phytochemical screening and in vivo antipyretic activity of the aqueous extracts of three Moroccan medicinal plants

Similar documents
Study on Antipyretic Activity of Hibiscus rosa sinensis Leaves in Yeast Induced Pyrexia

Journal of Chemical and Pharmaceutical Research

Toxicological Studies of the Aqueous Leaves Extracts of Combretum micranthum on Rats

ANTIPYRETIC EFFECT OF BEN-CHA-MOON-YAI REMEDY

Antipyretic Effect of Crude Methanolic Extract of Mitragyna speciosa in Mice

Analgesic and antipyretic activity of ethanolic extract of leaves of Catharanthus Roseus

PRECLINICAL ANTIPYRETIC ACTIVITY TEST OF AQUAEOUS EXTRACT OF AFRICAN LEAF (Vernonia amygdalina Del) Debi Meilani and Nadroh Sitepu

Evaluation of Diuretic Activity of Jussiaea Suffruticosa Linn.

PRELIMINARY PHYTOCHEMICAL SCREENING AND IN-VITRO FREE RADICAL SCAVENGING ACTIVITY OF MELOCHIA CORCHORIFOLIA PLANT EXTRACTS

Pharmacological evaluation of the central nervous system activity of Aframomum melegueta seed extract in mice

Journal of Chemical and Pharmaceutical Research

Pharmacologyonline 1: (2011) ewsletter Saini et al. EVALUATIO OF A TI-PYRETIC ACTIVITY OF TECOMARIA CAPE SIS LEAVES

Phytochemical,Screening,of,Various,Extracts,of,Root,of,Withania, Somnifera*(L)*Dunal*

Journal of Chemical and Pharmaceutical Research

Scholars Research Library

Pharmacologyonline 3: (2008)

Rational Therapy of Fever in Children: Special Emphasis on Hydrotherapy

S Nirmala et al. IRJP 2 (3)

International Journal of Pharma and Bio Sciences

Research Article. In vivo evaluation of analgesic activity of methanolic extract of Laportea interrupea (L.) leaves

ACUTE ORAL TOXICITY STUDY OF AQUEOUS AND METHANOLIC EXTRACT OF BLUMEA VIRENS IN SPRAGUE DAWLEY RATS

Pharmacologyonline 1: (2009) HYPOGLYCEMIC EFFECT OF PHOEBE LA CEOLATA O ALLOXA -I DUCED DIABETIC MICE

Scholars Research Library J. Nat. Prod. Plant Resour., 2017, 7(2): (

AQUEOUS EXTRACTION OF NIMBA PATRA (Azardirachta indica ITS PHYTOCHEMICAL ANALYSIS

ANTIPYRETIC ACTIVITY OF TBR-002, A HERBAL FORMULATION

A STUDY ON ANTIEPILEPTIC ACTIVITY OF EUGENOL EXCLUDED AQUEOUS EXTRACT OF EUGENIA CARYOPHYLLUS

Pelagia Research Library

International Journal of Research in Pharmacology & Pharmacotherapeutics

Evaluation of Analgesic Activity of Hydroalcoholic Extract of Curcuma longa Rhizomes in Albino Rats

Research Article GALLIC ACID AND FLAVONOID ACTIVITIES OF AMARANTHUS GANGETICUS

Journal of Chemical and Pharmaceutical Research

Jigna Parekh, Nehal Karathia and Sumitra Chanda*

International Journal of PharmTech Research CODEN (USA): IJPRIF, ISSN: Vol.9, No.4, pp , 2016

Pelagia Research Library

Available online at

Screening the Anti-ulcer Activity of Polyherbal Extract of Selected Medicinal Herbs Against Albino Wistar Rats

Determination of Tanninoids. Analytical Pharmacognosy

EVALUATION OF ANTI-INFLAMMATORY ACTIVITY OF ROOTS OF ATALANTIA MONOPHYLLA

An Oral Acute Toxicity Study of Extracts from Salvia Splendens (Scarlet Sage) As Per OECD Guidelines 423

Available online through ISSN

Journal of Medicinal Plants Studies Preliminary Phytochemical Studies Of Kalanchoe pinnata (Lam.) Pers

Phytochemical and pharmacological evaluations of Aristolochia bracteolata Lam.

Anticancer Properties of Phytochemicals Present in Indian Medicinal Plants.

Pharma Research Library. 2013, Vol. 1(1): 56-62

Pharmacological Screening of Ethanolic Extracts of Emblica Officinalis Gearth Plant on Animals

Phytochemical screening and toxicological implication of administration of aqueous cocoa powder extract obtained from Nigeria in albino rat

3. PRELIMINARY PHYTOCHEMICAL SCREENING

Evaluation of Analgesic Activity of Hydroalcoholic Extract of Cinnamomum zeylanicum Bark in Albino Rats

TOPICAL ANTI-INFLAMMATORY ACTIVITY OF PINDA THAILAM, A HERBAL GEL FORMULATION

Scholars Research Library

People maintain normal body temperature despite variations in both their metabolic activity and Ambient temperature Homeothermic animals (hot blooded)

Impact factor: 3.958/ICV: 4.10 ISSN:

International Journal of Pharma and Bio Sciences

Evaluation of anti-arthritic potential of NONI extract in experimental rats

International Journal of PharmTech Research CODEN (USA): IJPRIF, ISSN: Vol.7, No.4, pp ,

Pharmacognostic and preliminary phytochemical analysis of Aegle marmelos L. and Centella asiatica L.

International Journal of Pharma and Bio Sciences PHYTOCHEMICAL ANALYSIS OF LEAVES OF TECTONA GRANDIS LINN. ABSTRACT

PRELIMINARY PHYTOCHEMICAL SCREENING AND ANTIMICROBIAL ACTIVITY OF DIFFERENT EXTRACTS OF Saccharum officinarum Linn (Ikshu) ROOTS

South Asian Journal of Biological Sciences Vo.1. No.1 (September 2011)

Journal of Chemical and Pharmaceutical Research

Phytochemical screening and antibacterial properties of Garcinia kola

Evaluation of Synergistic Activity of Hemidesmus indicus and Terminalia catappa on Rheumatoid Arthritis in Rats

Pharmacologyonline 2: (2009)

Dr.N Damodharan Professor and Head. Department of Pharmaceutics SRM College of Pharmacy

Keywords- Hibiscus rosa- sinensislinn., phytochemical, extract.antibacterial, axillary solitary, companulate.

Scholars Research Library

Anti-inflammatory and Neuropharmacological activities of the seed extract of Setaria italica

Phytochemical Screening of Unripe Green Fruit Peel of Musa acuminata

Preliminary Phytochemical Screening Analysis and Therapeutic Potential of Tecoma stans (L.)

INTERNATIONAL JOURNAL OF INSTITUTIONAL PHARMACY AND LIFE SCIENCES

International Journal of Drug Research and Technology

International Journal of Modern Biology and Medicine, 2013, 3(2): International Journal of Modern Biology and Medicine

Anti-inflammatory activity of Aponogeton natans (Linn.) Engl. & Krause in different experimental animal models

PRELIMINARY PHYTOCHEMICAL STUDY OF FOUR PLANT SPECIES FROM MANGROVE AREA AT KURAU DISTRICT OF TANAH LAUT SOUTH BORNEO PROVINCE

Research Journal of Pharmaceutical, Biological and Chemical Sciences

Received: 08 th Nov-2012 Revised: 14 th Nov-2012 Accepted: 14 th Nov-2012 Research article

Pharmacological Evaluation of Sedative activity of methanolic extract of Thuja occidentalis in mice.

Pharmacologyonline 1: (2009) Diuretic, Laxative and Toxicity Studies of Viola odorata Aerial Parts

Wound healing activity of Kaempferia rotunda Linn leaf extract

Investigation of In Vivo Antipyretic Activity of Thottea dependens leaves

Comparative Physicochemical and Phyto-Chemical Screening of Glucomap: An Herbal Antidiabetic Tablet

Phytochemical Analysis and Antioxidant property of Aegle marmelos Extracts

ANTI-INFLAMMATORY ACTIVITY OF MORINDA CITRIFOLIA EXTRACT-AN INVITRO STUDY

ANALGESIC AND ANTIPYRETIC EFFECTS OF NEOLITSEA SCROBICULATA (MEINSER) GAMBLE (LAURACEAE)

HYPOGLYCAEMIC ACTION OF THE FLAVONOID FRACTION OF ARTOCARPUS HETEROPHYLLUS LEAF

Phytochemical Screening of some compounds from plant leaf extracts of Holoptelea integrifolia (Planch.) and Celestrus emarginata

Experiment Optional #2: The Synthesis of Aspirin

Scholars Research Library. Phytochemical studies of Svensonia hyderobadensis (walp.) Mold: A rare medicinal plant

Dhanashri Mestry, Vidya V. Dighe

Bioprospecting of Neem for Antimicrobial Activity against Soil Microbes

Journal of Global Trends in Pharmaceutical Sciences

QUALITATIVE AND QUANTITATIVE ANALYSIS OF SECONDARY PHYTOCHEMICAL IN GYMNEMA SYLVESTRE

Preliminary Assessment of Phytochemical Constituents and Antibacterial Activity of Crude Leaves Extracts of Simarouba glauca

In vitro antioxidant activity of a flavonoid compound isolated from methanolic extract of Helianthus annuus leaves (Asteraceae)

World Journal of Pharmaceutical Research SJIF Impact Factor 5.990

Phytochemical Screening of Tubers and Leaf extracts of Sagittaria sagittifolial.:newsa (Arrowhead)

SCIFED. Publishers. SciFed Journal of Public Health. Comparing Modified and Relationship Study of Gymnema Sylvestre Against Diabetes

Murugan M. et al / Journal of Pharmaceutical Science and Technology Vol. 1 (2), 2009, 69-73

Asian Journal of Phytomedicine and Clinical Research Journal home page:

INTRODUCTION MATERIALS AND METHODS

Transcription:

PHARMACEUTICAL AND BIOLOGICAL EVALUATIONS August 2017; Vol. 4 (Issue 4): 188-192. www.onlinepbe.com ISSN 2394-0859 Research Article DOI: http://dx.doi.org/10.26510/2394-0859.pbe.2017.30 Phytochemical screening and in vivo antipyretic activity of the aqueous extracts of three Moroccan medicinal plants Ghizlane Hajjaj 1 *, Aziz Bahlouli 2, Karima Sayah 1, Mouna Tajani 3, Yahia Cherrah 1, Amina Zellou 1 1 Laboratory of Pharmacology and Toxicology, Department of Drugs Sciences, Faculty of Medicine and Pharmacy, Mohammed V University, ERTP, BP 6203, Rabat Instituts, Agdal, Rabat, Morocco 2 Laboratory of Biotechnology, Environment and Quality (LABEQ), 3 Laboratory of Biological Testing, Department of Biology, Faculty of Sciences, Ibn Tofaïl University, BP 133; 14000 Kenitra, Morocco *For correspondence Dr. Ghizlane Hajjaj, Laboratory of Pharmacology and Toxicology, Department of Drugs Sciences, Faculty of Medicine and Pharmacy, Mohammed V University, ERTP, BP 6203, Rabat Instituts, Agdal, Rabat, Morocco. Email: hajjajghizlane1 @gmail.com Received: 04 June 2017 Accepted: 30 June 2017 ABSTRACT Objective: In this study, the antipyretic effect of different extracts obtained from Matricaria chamomilla L. (MC), Ormenis mixta L. (OM) and Pistacia atlantica DESF. (PA) was investigated experimentally in rats. Methods: Antipyretic activity of aqueous extracts was evaluated by yeast induced pyrexia method. The antipyretic effect was retained in all extracts tested and was comparable to that of paracetamol used as the standard drug negative control group (distilled water). The extracts were also phytochemically screened for alkaloids, tannins, saponins, flavonoids, terpenoids, quinones and anthraquinones. Results: Treatment with aqueous extracts at dose of 400 showed a significant (p 0.05) reaction of pyrexia in rodents. The results suggest that this Moroccan medicinal plants possesses potent antipyretic activity. Phytochemical screening of the plants showed the presence of flavonoids, terpenoids, saponins, tannins, alkaloids and quinons which may responsible for this activity. However, anthraquinones were absent in all plants and alkaloids from PA. Conclusions: This study might be the first formal report on antipyretic effects of these three plants in Morocco. Keywords: Anti-pyretic activity, Pistacia atlantica DESF., Matricaria chamomilla L., Ormenis mixta L. Introduction Nature is a source of biologically active compounds and natural products have been used as medicines throughout the history of mankind. Although natural products include plant, animal and microbial sources, plants have been the origin and basis of pharmacy and pharmacology, constituting remedies in traditional medical systems and still being used as a source of bioactive compounds. 188

Exploring natural resources for drug discovery and development may represent advantages compared to some other approaches. 1 Fever (also known as pyrexia) is when a human's body temperature goes above the normal range of 36.5-37.5 o C (98-100 o F); it is a common medical sign. Fever is usually accompanied by different general symptoms, such as sweating, chills, sensation of cold and other subjective sensations. Missing of these symptoms during high temperature may be a sign of a serious illness. Causes of fever include infections caused by parasites, viruses, bacteria, richetsia, Chlamydia, immune reactions (including the defects in collagen, immunological abnormalities and acquired immunodeficiency. Other causes of fever are destruction of tissues, such as trauma, local necrosis (infarction), and inflammatory reaction in tissues and vessels (flebitis, arthritis), pulmonary infarction, and rhabdomyolysis. An elevated body temperature (fever) is one of the ways our immune system attempts to combat an infection. Usually the rise in body temperature helps the individual resolve an infection. However, sometimes it may rise too high, in which case the fever can be serious and lead to complications. A fever is usually accompanied by sickness behaviour, which consists of lethargy, depression, anorexia, sleepiness, hyperalgesia, and the inability to concentrate. 2,3 The aim of this work was to carry out the Phytochemical screening and antipyretic activity of aqueous extract of Matricaria chamomilla L., Ormenis mixta L. and Pistacia atlantica DESF. Moroccan medicinal plants to enhance its use in folk medicine. Materials and Methods Plant material Aerial parts of Matricaria chamomilla L., Ormenis mixta L. and Pistacia atlantica DESF. were collected in different regions of Morocco (Rabat, Sidi Yahya and wajda). The plants were identified at the Department of Plant Biology, Ibn Tofail University, Morocco. Voucher specimens (N Rab78995, 101536 and 101537 respectively) of each are kept in the herbarium of Botany Department of Scientific Institute of Rabat. Preparation of the aqueous extract The aerial parts of M. chamomilla, O. mixta and P. atlantica were separated and cleaned and washed with distilled water and dried under shade at temperature between 21-30 C for 30 days. 50 g of powdered material of each plant was taken in beaker having 2 L capacities and 500ml of distilled water was added, soaked for 48 h with occasional shaking and stirring. The soaked material of plant was filtered through several layers of muslin cloth one by one for coarse filtration. The filtered extracts were concentrated under reduced pressure at 40 C, in rotary evaporator. The semi-solid mass was obtained and was weighed to calculate the yield, which was 16.76%, 7.84% and 15.3% (w/w) respectively and stored in a refrigerator (-8 C), until use. 4,5 Preliminary phytochemical screenings Phyochemical properties of Matricaria chamomilla L., Ormenis mixta L. and pistacia atlantica DESF. aqueous extracts were tested according to the method described by Trease and Evans using the following chemicals and reagents: Alkaloids with Mayer and Dragendoff s reagents, Saponins (frothing test) and tannins (FeCl 3 ), flavonoids (Nacl and HCl), terpenoids (Salkowski test), anthraquinones (H 2 SO 4 ). 6,7 Animals Female swiss mice (25-30 g) and Wistar rats (180-220 g) procured from the animal centre of Mohammed V University, Medicine and Pharmacy Faculty, Rabat, Morocco. The animals were group-housed in polypropylene cages and kept under standard environmental conditions (23±1 C, and 12h/12h dark/light cycle) and maintained on balanced ration with free access to clean drinking water. The experiments were performed following the guidelines set for the international association for the study of pain and the national institute of health (NIH 189

Rectal temperature in C Hajjaj G. et al. Pharmaceutical and Biological Evaluations 2017; Vol. 4 (4): 188-192. publication no. 85-23, 1985) regarding the care and treatment of experimental animals. 8,9 Lethal dose 50% determination The acute toxicity study was conducted in accordance with Organization for Economic Cooperation and Development (OECD) guidelines 423. 10 Mice were treated with different doses 300 and 2000, p.o. of extracts. After single dose administration, rodents were observed for death or any other deformities during 14 days. Antipyretic activity The antipyretic activity of the tested extracts was screened in adult Wistar rats by using yeastinduced hyperpyrexia method. 11 Pyrexia was induced by subcutaneous injection of 1 ml of 20% brewer's yeast suspension in saline solution. After 18 h of yeast injection, rats which showed a rise in temperature of at least 0.6 C were taken for the study. Hyperthermic rats were divided into seven groups. The 1 st group was kept as a control (received the vehicle) while the 2 nd one was given paracetamol in a dose of 100 (standard). The 3 rd 5 th groups were orally given the aqueous extract of M. chamomilla L. (AEMC), O. mixta L. (AEOM) and P. atlantica Desf. (AEPA) plants, respectively. Each extract was given in dose of 400. Rectal temperature of each rat was then recorded at 1 h interval after administration for 4 h. Statistical analysis Statistical analysis was carried out using one way ANOVA followed by student test. A value of p 0.05 was considered a statistically significant difference between analyzed groups. Results and Discussion Since, M. chamomilla, O. mixta and P. atlantica showed significant anti-inflammatory and analgesic activities in our previous studies, it is worthwhile to evaluate their effect on antipyretic activity. 4,5 Therefore, in the present study we investigated antipyretic activity of those plants aqueous extracts using experimental animal models. Phytochemical screening is one of the necessary steps to find out the chemical constituents which lead the isolation of compounds. The phytochemical screening performed in this study showed that aerial parts of MC, OM and PA are rich in Tannins, Saponins, Terpenoids, flavonoids and alkaloids and does not contain Anthraquinones of all this plants and does not contain alkaloids just from PA (Table 1). In acute oral toxicity study AEMC, AEOM and AEPA found safe at all tested doses (up to 2000 ) and did not show any noxious symptom in mice like convulsions, diarrhea, and irritation. During the 14 days of observation, no mortality was found. So, it suggested that LD 50 is more than 2 gm/kg. 40 39 38 37 36 35 34 33-18 0 1 2 3 4 Expiremental time h Control Paracétamol 100 AECM 400 AEOM 400 AEPA 400 Figure 1: Antipyretic effect of M. chamomilla, O. mixta and P. atlantica in rats; -18 = Temperature just before yeast injection; 0 = Temperature just before drug administration. The subcutaneous injection of 20% brewer's yeast suspension substantially increased the rectal temperature of the rats 18 h after administration. The aqueous extracts treatment of MC, OM and PA at 400 does significantly reduced the rectal temperature of the animals from the 1 st hour until the 4 th hours after administration, reaching peak antipyretic effect in the 2 nd hour (36.36± 0.09 C, P 0.05) for AEMC, (36.40±0.10 C, p 0.05) for AEOM and (36.47±0.14 C p 0.05) for AEPA compared to control (38.32±0.11 C) (Figure 1). Paracetamol treatment (100 ) caused 190

Table 1: Phytochemical screening of M. chamomilla, O. mixta and P. atlantica aerial parts. Phytochemicals Matricaria chamomilla L. Ormenis mixta L. Pistacia atlantica DESF. Tannins +++ +++ +++ Flavonoids + + +++ Saponins +++ +++ +++ Alkaloids ++ + - Terpenoids +++ +++ +++ Anthraquinones - - - +++ : Strong positive, + : Positive, : Negative. Table 2. Effects of M. chamomilla, O. mixta and P. atlantica on Brewer s yeast-induced pyrexia in rats. Drug Dose Rectal temperature in C at time (h) () -18 a 0 b 1 2 3 4 Control - 37.35± 0.21 38.55± 0.08 (+ 1.2) c 38.67± 0.10 38.32± 0.11 38.43± 0.25 38.46± 0.02 Paracetamol 100 37.6± 0.17 39.21± 0.15 37.15± 0.07* 36.90± 0.08* 36.93± 0.12* 36.62± 0.08* AEMC 400 37.22± 0.14 AEOM 400 36.95± 0.11 AEPA 400 37.3± 0.17 (+ 1.61) c 38.37± 0.13 (+ 1.15) c 38.3± 0.05 (+ 1.35) c 38.55± 0.26 (+ 1.25) c 37.10± 0.18* 37.47± 0.10* 37.65± 0.12* 36.36± 0.09* 36.40± 0.10* 36.47± 0.14* 36.66± 0.17* 36.62± 0.14* 35.40± 0.25* 36.80± 0.09* 35.62± 0.13* 35.625±0.19* n: six animals in each group; Values are mean + SEM. * P 0.05, when compared to control; a: temperature just before yeast injection; b: temperature just before drug administration; c: change in temperature following yeast injection significant reduction in rectal temperature at all periods of time, reaching peak antipyretic effect in the 2 nd hour among all groups (36.90± 0.08 C, p 0.05) compared to control group (38.32±0.11 C) (Table 2). Antipyretic fever may be a result of infection or one of the sequelae of tissue damage, inflammation, graft rejection, or other disease states. Antipyretic are drugs, which reduce the elevated body temperature. Regulation of body temperature requires a delicate balance between production and loss of heat, and the hypothalamus regulates the set point at which body temperature is maintained. In fever this set point elevates and a drug like paracetamol does not influence body temperature when it is elevated by the factors such as exercise or increase in ambient temperature. 12 The Brewer s yeast-induced pyrexia test is of great relevance, as most NSAIDs inhibit the hyperthermal response. The subcutaneous injection of 20% Brewer's yeast suspension causes release of pro-inflammatory cytokines which, upon reaching circulation, stimulate the synthesis of PGE 2 in the surroundings of the hypothalamic thermoregulator centers. 13 AEMC, AEOM and AEPA reduced the yeast- induced hyperthermia. The aqueous extracts of MC, OM and PA possesses a significant antipyretic effect in yeast-induced elevation of body temperature in rats and this may be due to anti-inflammatory 191

and analgesic effects based on the results of our previous studies and may be due to saponins, which according Gepdiremen et al. are potent inhibitors of prostaglandins. 14 Conclusions Based on these results, it can be concluded that water extracts of Matricaria chamomilla L., Ormenis mixta L. and Pistacia atlantica DESF. contain principles with antipyretic properties. It is now left for the therapeutic dosage to be determined for clinical applications. However, it needs isolation, structural elucidation, and screening of any of the abovementioned active principle/s to pin point activity of drug. Acknowledgements The authors wish to thank all the individuals and institutions who made this study possible. Funding: No funding sources Conflict of interest: None declared References 1. Lam KS. New aspects of natural products in drug discovery. Trends Microbiol. 2007;15:279-89. 2. Hart BL. Biological basis of the behaviour of sick animals. Neurosci. Biobehav. Rev. 1988;12(2):123-37. 3. Johnson RW. The concept of sickness behaviour: a brief chronological account of four key discoveries. Vet. immunol. Immunopathol. 2002;87(3-4):443-50. 4. Hajjaj G, Bounihi A, Tajani M, Cherrah Y, Zellou A. Anti-inflammatory evaluation of aqueous extract of Matricaria chamomilla L. (asteraceae) in experimental animal models from Morocco. World J Pharm Res. 2013;2(5):1218-28. 5. Hajjaj G, Bounihi A, Tajani M, Cherrah Y, Zellou A. In vivo analgesic activity of essential oil and aqueous extract of matricaria chamomilla L. (asteraceae). World J Pharmacy Pharm Sci. 2014;5:1-13. 6. Trease GE, Evans WC. Textbook of Pharmacognosy. 12th edition. Balliese Tindall and Company Publisher, London; 1983: 343-383. 7. Uddin G, Rauf A, Siddiqui BS, Shah SQ. Preliminary Comparative Phytochemical Screening of Diospyros lotus Stewart. Middle-East J Sci Res. 2011;10(1):78-81. 8. Directives du JOCE. Directive, 91/507/CEE:1991. 9. Journal officiel des communautés européennes. Directive, 86/609/CEE:1986. 10. OECD Guidelines for the Testing of Chemicals. Acute Oral Toxicity-Acute Toxic Class Method number 423 Adopted on 17 December 2011. 11. Loux JJ, De Palma PD, Yankell SL. Antipyretic testing of aspirin in rats. Toxicol. Appl. Pharmacol. 1972;22:672-5. 12. Goodman LS, Gilman AG. The pharmacological Basis of Therapeutics nineteenth ed. Mc Graw-Hill, New York; 1996: 959-975. 13. Chan GH, Fiscus RR. Exaggerated production of nitric oxide (NO) and increases in inducible NO-synthase mrna leves induced by the pro-inflammatory cytokine interleukin-beta in vascular smooth muscle cells of elderly rats. Exp Gerontol. 2004;39(3):384 94. 14. Gepdiremen A, Mshvildadze V, Suleyman H, Elias R. Acute and chronic antiinflammatory effects of Hedera colchica in rats. J Ethnopharmacol. 2004;94:191-5. 192