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Corresponding author. Tel.: +216 73 461 000; fax: +216 73 461 830.
E-mail address: mahjoub.ouni@fphm.rnu.tn (M. Aouni).
tations, delirium, hypothermia and cerebral congestions (Meyer,
1989; Bellakhdhar, 1999).
In Tunisia, as in other Mediterranean countries (Al-Rawi and
Chaakravarty, 1964), the parts of plants most often used for medic-
inal purposes are fruits and/or seeds, though other parts of the
plants can be used, for example roots to treat urinary infection
(Nadkami, 1954) or leaves (Batanouny, 1999). Traditional heal-
ers seem to not pay attention to the plants degree of maturity.
The literature rarely mentions if seeds are present in preparations
involving ground fruit/pulp. Modes of preparation and administra-
tion vary, even for similar indications. Common preparations use
fresh, warmed or dried plant material (often ground), as well as
extracts used mostly in a liquid form. Extracts are prepared either
in water or in aqueous mixtures containing more lipophilic com-
pounds (hot milk extractions, water/olive oil at various ratios) at
a temperature ranged from tepid to boiling. Ground plant material
can be mixed with honey for ingestion or topical gynaecological
application or with other plants for poultices (for example with
0378-8741/$ see front matter 2009 Elsevier Ireland Ltd. All rights reserved.
doi:10.1016/j.jep.2009.11.027
16 B. Marzouk et al. / Journal of Ethnopharmacology 128 (2010) 1519
Lawsonia inermis and Capparis spinosa). Methods of administration
are topical, rectal or vaginal (fruit), enema, cervico-vaginal douche,
andby ingestion(Boukef, 1986; Marzouk et al., 2009). Extreme cau-
tion should be exercised with ingestion, due to the plants drastic
laxative properties, and with contact with leaves, due to risks of
syncope (for all mammals including domestic animals) (Marzouk
et al., 2009). Use is contraindicated during pregnancy as the plant is
abortifacient (Pottier-Alapetite, 1981; Delazar et al., 2006). Many of
todays traditional medicinal uses of the plant are found through-
out history (see the Ebers papyrus in ca. 1550BCE Egypt) (Riddle,
1999) over a large geographical zone fromMauritania toIndia, even
extending outside of the plant endemic zone, to Europe (Adams et
al., 2009).
The present investigation was undertaken to establish the acute
toxicity study and to evaluate the analgesic and anti-inammatory
activities of the reconstituted lyophilized extracts from vegeta-
tive organs (roots, stems and leaves) and two different maturation
states of reproductive organs (fruits and seeds).
2. Materials and methods
2.1. Sampling and identication
Citrullus colocynthis Schrad. plants were collectedinAugust near
Medenine, Tunisia in the municipality of Sidi Makhlouf (33
33N,
10
C). The mixture was then ltered using lter paper (Whatman
no.1) under the vacuumof a water pump. The ltrate obtained was
lyophilized, yielding the lyophilized aqueous extract.
2.3. Animals
Male adult Wistar rats weighing 160180g and Swiss albinos
mice (weighing 1825g) of both sex were obtained from Pas-
teur institute (Tunis, Tunisia). They were housed in polypropylene
cages and were left for 2 days for acclimatization to animal room
maintained under controlled condition (a 12h lightdark cycle at
222
1
9
Table 3
Effects of different Citrullus colocynthis Schrad. organ aqueous extracts and reference drug on carrageenan-induced paw edema.
Extract Dose (mg/kg) Mean swelling thickness (10
2
) S.E.M. (% inhibition)
1h 2h 3h 4h 5h 6h 24h
Control 1 15.00 1.76 24.00 2.66 49.00 4.77 57.50 5.56 59.50 5.25 64.50 8.20 32.50 3.51
Immature seeds 1 14.50 2.89
ns
(3.33) 19.25 2.21
**
(19.79) 33.25 2.21
***
(32.14) 32.50 2.38
***
(43.48) 39.00 3.91
***
(34.45) 29.25 3.86
***
(54.65) 14.25 0.96
***
(56.15)
4 1.75 0.96
***
(88.33) 2.00 0.82
***
(91.66) 3.50 0.58
***
(92.86) 1.50 1.29
***
(97.40) 2.50 1.29
***
(95.80) 1.25 0.50
***
(98.06) 0.75 0.95
***
(97.69)
Ripe seeds 1 15.00 0.82
ns
(0.00) 23.75 1.25
ns
(1.04) 42.00 6.16
*
(14.28) 37.50 3.87
***
(34.78) 42.25 2.22
***
(28.99) 29.50 3.41
***
(54.26) 14.50 1.29
***
(55.38)
4 5.25 1.26
***
(65.00) 2.25 0.50
***
(90.62) 1.75 0.96
***
(96.43) 1.25 0.50
***
(97.83) 1.50 0.58
***
(97.48) 1.50 0.58
***
(97.67) 1.25 0.50
***
(96.15)
Immature fruits 1 13.25 2.22
ns
(11.66) 16.75 3.30
**
(30.21) 29.00 2.16
***
(40.82) 31.75 3.86
***
(44.78) 34.50 1.29
***
(43.70) 21.75 3.95
***
(66.02) 16.75 2.22
***
(48.46)
4 1.50 0.58
***
(90.00) 1.75 0.96
***
(92.71) 2.75 0.50
***
(94.39) 1.75 0.95
***
(97.65) 2.75 0.96
***
(95.38) 0.75 0.96
***
(98.84) 0.50 0.58
***
(98.46)
Ripe fruits 1 14.00 1.41
ns
(6.66) 21.75 1.50
*
(9.37) 42.75 2.63
**
(12.75) 43.75 3.09
***
(23.91) 50.25 1.70
***
(15.55) 43.00 3.83
***
(33.33) 17.75 2.05
*
(45.38)
4 3.25 0.96
***
(78.33) 2.50 0.57
***
(89.58) 3.5 0.57
***
(92.86) 4.25 2.63
***
(92.61) 4.75 0.50
***
(92.02) 1.75 0.50
***
(97.29) 0.75 0.50
***
(97.69)
Control 2 15.00 1.76 34.50 4.33 57.00 6.22 61.50 6.42 67.00 7.37 71.00 6.39 40.50 5.84
Stems 1 14.00 1.41
ns
(6.66) 31.75 1.25
*
(7.97) 44.25 2.75
***
(22.37) 46.75 3.09
***
(23.98) 53.75 2.99
***
(19.77) 47.00 1.82
***
(33.80) 26.75 1.5
***
(33.95)
4 13.75 2.21
ns
(8.33) 30.50 1.91
*
(11.59) 33.25 2.98
***
(41.66) 27.00 3.37
***
(56.10) 36.00 2.16
***
(46.27) 32.00 2.16
***
(54.93) 13.00 1.15
***
(67.90)
Roots 1 15.00 2.45
ns
(0) 34.25 1.70
ns
(0.72) 55.00 3.74
ns
(3.51) 51.50 1.29
***
(16.26) 59.50 1.29
***
(11.19) 49.50 1.91
***
(25.00) 28.00 0.82
***
(30.86)
4 13.75 2.22
ns
(8.33) 31.50 2.38
ns
(8.69) 46.50 2.08
***
(18.42) 47.00 3.16
***
(23.58) 53.00 1.82
***
(20.89) 53.25 3.20
***
(30.28) 18.25 1.71
***
(54.94)
ASL 300 7.25 0.96
***
(51.66) 14.25 1.71
***
(58.69) 17.50 2.38
***
(69.30) 15.75 2.22
***
(74.40) 19.50 2.08
***
(70.89) 19.50 1.29
***
(72.53) 23.75 1.71
***
(41.36)
Values are expressed as meanS.E.M. (N=8); ns: not signicant from the control; ASL: acetyl salicylate of lysine.
*
p0.05 signicant from the control.
**
p0.01 signicant from the control.
***
p0.001 signicant from the control.
B. Marzouk et al. / Journal of Ethnopharmacology 128 (2010) 1519 19
injected locally into the rat paw, produced a severe inammatory
reaction, which was discernible within 30min (John and Nodine,
1999). The development of edema induced by carrageenan is a
biphasic event: the early phase (90180min) of the inammation
is due to the release of histamine, serotonin and similar substances.
The later phase (270360min) is associated with the activation of
kinin-like substances and the release of prostaglandins, proteases
and lysosome (Olajide et al., 1999). All organ extracts inhibited
hind pawedema and showed a dose-depending anti-inammatory
activity but the results were different for each organ depend-
ing on the early/later phases. Extracts from reproductive organs
(seeds and fruits: immature and ripe ones) inhibited the both
phases of the carrageenan-induced edema by reducing the release
of histamine and serotonin and also the kinin-like substances and
prostaglandins; while the extracts from vegetative organs (roots
and stems) inhibited particularly the later phases (424h) by
restraining the kinin-like substances and prostaglandins produc-
tions. This pharmacological property may be attributed to the plant
organcompositionandtoapossiblemolecular mechanismbyeffec-
tivelydecreasingthe productionof the pro-inammatorycytokines
of IL-6 and IL-1 and the expression of COX-2 and simultane-
ously elevating the level of anti-inammatory cytokine IL-4 in the
carrageenan-injected rat pawtissues (Moulin and Coquerel, 2002).
At any rate, these results indicate that the analgesic and anti-
inammatory activities could not be imputed to one family of
phytochemicals only (or its absence). Like for the antibacterial
and the anti-candidal activities, analgesic and anti-inammatory
ones may be attributed, possibly in combination, to various phy-
tochemicals detected (alkaloids, iridoids, avonoids, steroids, etc.)
(Marzouk et al., 2009). These compounds might be present in vari-
ous concentrations according to the maturation stage of seeds and
fruits (Marzouk et al., 2009). Alkaloids are commonly found to have
analgesic and anti-inammatory properties (Moulin and Coquerel,
2002); therefore their absence in roots could account for the lack of
activityof this organ. Iridoids, witchhave anti-inammatoryeffects
(Mesia-Vela et al., 2004), are detected in the aqueous root extract
but this extract showed no overall activity. However, alkaloids and
iridoids cannot be solely responsible for the activity. Flavonoids
(detected in all the seed extracts) are known to have analgesic and
anti-inammatory properties (Borgi et al., 2008); the same could
be said about steroids witch contribute to the better performance
as an anti-inammatory agent (Bames and Adcock, 2009).
With these analgesic and anti-inammatory properties, Citrul-
lus colocynthis Schrad. can be considered an effective agent to
treat inammation diseases. This plant, namely its seed and fruit
extracts, demonstrated a high activity at very low aqueous extract
doses (1 and 4mg/kg). The study corroborated the analgesic effects
of this specie, justied and supported scientically its ethnophar-
macological use as an anti-inammatory agent to treat pain and
rheumatoid arthritis. Therefore it could account for some of the
variations observedinthe Ethnopharmaceutical preparationmeth-
ods. From now the use of this plant is validated by the results
obtainedinthis work. Additional studies areongoingtoconrmthis
Citrullus colocynthis Schrad. properties with some ecological vari-
abilities. Further attempts to isolate and dene the active analgesic
and anti-inammatory fractions and its components.
Acknowledgements
Thanks to Dr. Zohra MARZOUK for the specimen identica-
tion and to Dr. Wahida BORGI and Dr. Rachel DECOR for their
help.
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