IndianJResHomoeopathy11134-5257927 143619
IndianJResHomoeopathy11134-5257927 143619
IndianJResHomoeopathy11134-5257927 143619
178]
Original Article
Abstract
Background: The use of animal models in the development of new medicine and research is common in the conventional medicine. Animal
model for new drug discovery and efficacy testing for preclinical research is explored in Homoeopathy only by a few. This study explores the
possibility to test in a controlled way the effects of homoeopathic remedies on experimental model of acute inflammation in rats. Methods:
Wistar rats were divided into seven groups (seventy rats of 6–8 weeks’ age); medicines were evaluated by oral administration in the Complete
Freund’s adjuvant (CFA)‑induced arthritis. Two new homoeopathic preparations, a combination of Capsaicin and Dihydrocapsaicin (CP‑10),
tumor necrosis factor‑alpha (TNF‑α), and one existing homoeopathic medicine, Magnesium phosphoricum (0.6 ml oral), were evaluated against
vehicle control using Diclofenac as a standard. Edema was measured using a water‑based plethysmometer, before and at different times after
arthritis induction. Results: Magnesium phosphoricum showed good results, almost similar to Diclofenac at days 7 and 21, whereas CP‑10
and TNF‑α showed nonsignificant results. The body processes reversed the inflammatory condition on day 7 onward indicated by similar
paw volume of all the treatments. Arthritic index was higher with negative control, which was decreased by CP‑10 although nonsignificantly
on days 7 and 21. Diclofenac and Magnesium phosphoricum showed significant reduction in arthritic index on days 7 and 21. Conclusion:
Ultra‑diluted homoeopathic preparations of Magnesium phosphoricum exhibited definite antiarthritic activity. The same could have been
confirmed studying the levels of inflammatory biomarkers in a study with longer treatment period.
Keywords: Arthritic index, Capsaicin, Complete Freund’s adjuvant, Magnesium Phosphoricum, Tumor necrosis factor‑alpha, Homoeopathy,
Ultra‑dilute potency
2C potency. Likewise, 30C, 200C, and more potencies were group, and 10 mg/kg of Diclofenac every day for 21 days by
prepared. oral route. Animals were kept nil by mouth for 15 minutes
before the drug administration.
In this study, the antiarthritic activity of the three
potentized (30C) medicines was compared with Diclofenac (10 Evaluation of the severity of arthritis
mg/kg, source- Sigma Aldrich). The selection of medicines Severity of arthritis was evaluated based on the following
was based on the fundamental principle of Homoeopathy “like parameters, namely, body weight, paw volume, arthritic index,
cures like” and the phenomenon of hormesis, which state that and mechanical pain threshold. All animals were treated with
the substance known to produce inflammation or pain may CFA except normal control animals, and evaluation parameters
have built‑in capacity to relieve the same, if administered in were assessed before adjuvant injection and then on days 7,
small dose. The author had done anecdotal work using the new 14, and 21 after adjuvant injection. The body weights of all
homoeopathic preparations used in this study, where he had the rats were recorded, and the paw volumes were measured
observed activity against inflammation and arthritis. using a Digital Plethysmometer (UGO Basile [SRL], biological
research apparatus, 21025 Comerio VA Italy, Model 7141).
Materials and Methods For arthritic index, the physical symptoms of arthritis were
evaluated by the Arthritic Index Grading System [Table 1].
Animals The animals were sacrificed as per the approved method of
Male and female Albino Wistar rats (180–200 g) were procured euthanasia at the end of study.
from Haffkine Bio Pharmaceutical, Parel, Mumbai, and housed
under a controlled environment (room temperature: 23 ± 2°C, Arthritis index[4] for each group was calculated by adding the
relative humidity: 60 ± 5%, 12 h day/night cycle) with scores for each rat. Mechanical pain threshold was assessed
balanced diet and water ad libitum. The animals were using external mechanical force. The mechanical pain
acclimatized for a period of 1 week and were kept under threshold of hind paw was determined by compressing the paw
pathogen‑free conditions. All animal experiments were using a custom‑designed balance pressure apparatus consisting
approved by the Institutional Animal Ethics Committee (IAEC), of conical tip of 1 mm diameter. The load on the conical tip
Department of Pharmaceutical Sciences and Technology, ICT, was gradually increased and the load cell allowed visualization
Mumbai (ICT/IAEC/2012/P‑39). on the digital display of the force applied at each moment of
the test in grams. The threshold force of rats squeaking or
Complete Freund’s adjuvant‑induced arthritis struggling was expressed in grams.
Arthritis was induced in rats by injecting 0.1 ml of fine
emulsion of complete Freund’s adjuvant (CFA) in olive Statistical analysis
oil (1:2, v/v) (at a concentration of 0.25 mg heat‑killed The results were expressed as the mean for the parametric
Mycobacterium tuberculosis per milliliter of emulsion) in the data sets and as the median minimum, maximum for the
subplantar surface of rats’ left hind foot.[3-5] Equal amount of nonparametric data sets. The significant difference between
saline was injected at the same site of the right foot. Arthritis the means (parametric) was evaluated by one‑way ANOVA
was induced in all the animals except normal control. followed by Dunnett’s post hoc multiple comparison test for
A volume of 0.1 ml saline was injected in both paws of the normal data.
normal control animals. All rats were randomly divided into
seven groups each containing 5 males (M) and 5 females (F). Results
Group I: normal control (distilled water), Group II: CFA‑induced arthritis in rats is used as a model to evaluate
vehicle control (dispensing alcohol), Group III: untreated the antiarthritic activity of drugs in preclinical research. CFA
control (CFA), Group IV: homoeopathic formulation I induces a chronic immune‑mediated inflammation similar
Capsaicin and Dihydrocapsaicin 30C, Group V: homoeopathic to arthritis characterized by elevation of pro‑inflammatory
formulation TNF‑α 30C, Group VI: homoeopathic formulation mediators and development of swelling, pain, and deformity of
Magnesium phosphoricum 30C, and Group VII: Diclofenac. joints. Inflammation was indicated by increase in paw volume.
Dosage preparation and administration The reduction in inflammation due to treatment was indicated
Homoeopathic formulations Capsaicin and Dihydrocapsaicin by decreased paw volume for evaluation of therapeutic efficacy
and TNF-α in 30C potency and the vehicle control (Curative of the drug, administered in the ultra‑diluted form.
Power Lab Ltd., dispensing alcohol 91% v/v, Batch
number: HD‑18, Mfg. date: February 2013) were supplied Table 1: Arthritic index grading system
by Life Force Homeopathy, Mumbai, India. Formulation Redness and nodules in ear None=0, visible=1
Magnesium phosphoricum in 30C potency, liquid dilution, Swelling of connective tissue of nose None=0, visible=1
was sourced from Dr. Willmar Schwabe India Pvt Nodules in tail None=0, visible=1
Ltd. (Batch Number: 2981299, Mfg. date: November 2009) Forepaw inflammation None=0, slight=1,
CFA was obtained from Haffkine Biopharmaceuticals, Parel, moderate=2 and marked=3
Mumbai (Lot number 098K8729). The rats received 0.6 ml Hind paw inflammation None=0, slight=1,
of homoeopathic formulation or vehicle, in each respective moderate=2 and marked=3
Figure 1: Male rat paw volume Figure 2: Female rat paw volume
Präklinische Bewertung der anti-arthritischen Wirkung hochverdünnter Präparate von Capsaicin-Alkaloiden (CP-10),
TNF- α und Magnesium phosphoricum bei Wistar-Ratten
Auszug
Hintergrund: Die Verwendung von Tiermodellen in der Entwicklung neuer Arzneimittel und in Forschung ist in der
herkömmlichen Medizin üblich. Die Homöopathie wird seit über zwei Jahrhunderten praktiziert. Tiermodellversuche zur
Entdeckung neuer Wirkstoffe und Wirksamkeitstests in der präklinischen Forschung sind in der Homöopathie nur selten
angewandt. Diese Studie untersucht die Möglichkeit, die kontrollierte Wirkung homöopathischer Mittel im experimentellen
Modell akuter Entzündungen bei Ratten zu testen.
Methoden: Wistar-Ratten wurden in sieben Gruppen (siebzig Ratten im Alter von 6-8 Wochen) aufgeteilt; Arzneimittel wurden
evaluiert durch orale Anwendung bei CFA-induzierter Arthritis. Zwei neue homöopathische Präparate, eine Kombination von
Capsaicin und Dihydrocapsaicin (CP-10), Tumornekrose-Faktor-a (TNF-&) und ein bekanntes homöopathischen Arzneimittel
– Magnesium phosphoricum (0,6 ml oral) - wurden als Standard gegenüber der Lehrprobe unter Verwendung von Diclofenac
bewertet. Ödeme wurden mit einem wasserbasierten Plethysmometer vor und während verschiedener Zeitpunkte nach der
Arthritisinduktion gemessen.
Ergebnisse: Magnesium phosphoricum zeigte gute Ergebnisse, fast ähnlich dem von Diclofenac am 7. und 21. Tag, während
CP-10 und TNF-α nicht signifikante Ergebnisse erbrachten. Der körpereigene Prozess ließ den entzündlichen Zustand vom
siebten Tag an abklingen, angezeigt durch ein ähnliches Pfotenvolumen aller Behandlungen. Der arthritische Index war höher mit
einer negativen Kontrolle, was durch CP-10, obwohl nicht signifikant, am 7. und 21. Tag abnahm. Diclofenac und Magnesium
phosphoricum zeigten eine signifikante Reduktion des arthritischen Index am 7. und 21. Tag.
Fazit: Ein hochverdünntes homöopathisches Magnesium phosphoricum Präparat zeigte definitiv eine anti-arthritische Wirkung.
Das gleiche konnte in einer Studie, die über einen längeren Behandlungszeitraum ging und bei der der Gehalt an entzündlichen
Biomarkern untersucht wurde, bestätigt werden.
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