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SUMMARY INTRODUCTION
1. Centella asiatica, an Indian medicinal plant, has been Ageing and age-related neurodegenerative diseases are associated
described as possessing central nervous system activity, such as with various degrees of behavioural impairment. Important candi-
improving intelligence. In addition, we have demonstrated that dates for the production of neuronal changes mediating these
C. asiatica has cognitive-enhancing and anti-oxidant properties behavioural deficits are free radicals, which are responsible for the
in normal rats. Oxidative stress or an impaired endogenous generation of oxidative stress.1,2 Currently, there has been an
anti-oxidant mechanism is an important factor that has been increasing interest in the biochemical functions of natural anti-
implicated in Alzheimer’s disease (AD) and cognitive deficits oxidants contained in vegetables, fruits and medicinal plants,
seen in the elderly. which could be candidates for the prevention of oxidative damage
2. Intracerebroventricular (i.c.v.) streptozotocin (STZ) in and improving memory.3
rats has been likened to sporadic AD in humans and the In the Indian system of medicine (Ayurveda), Centella asiatica
cognitive impairment is associated with free radical generation (Umbelliferae) has been used in various locations throughout India
in this model. Therefore, in the present study, the effect of an for the treatment of different ailments, such as insanity, asthma,
aqueous extract of C. asiatica (100, 200 and 300 mg/kg for leprosy, ulcers, eczema and wound healing.4,5 Centella asiatica is
21 days) was evaluated in i.c.v. STZ-induced cognitive a small herbaceous plant growing predominantly in the southern
impairment and oxidative stress in rats. hemisphere that is closely related to Hydrcotyle species and pro-
3. Male Wistar rats were injected with STZ (3 mg/kg, i.c.v.) duces a characteristic essential oil and flavonoids.6 Some of the
bilaterally on the days 1 and 3. Cognitive behaviour was triterpenes and flavonoids from C. asiatica have antitumour
assessed using passive avoidance and elevated plus-maze activity.7,8 Centella asiatica has been reported to contain
paradigms on the days 13, 14 and 21. Rats were killed on the saponins, astiaticoside and medecassocide in its leaves.9 The use
day 21 for estimation of oxidative stress parameters (malondi- of asiaticoside in the treatment of leprosy and wound healing has
aldehyde (MDA), glutathione, superoxide dismutase and cata- shown encouraging results.10–12 Brahmic acid, an active triter-
lase) in the whole brain upon completion of the behavioural penoid present in the plant, has therapeutic value in the treatment
task. of ulcerations, extensive wounds and eczema,6,13–15 as well as an
4. Rats treated with C. asiatica showed a dose-dependent inhibitory effect on the biosynthetic activity of fibroblast cells.16
increase in cognitive behaviour in both paradigms. A signifi- Apart from these chemical constituents, C. asiatica also contains
cant decrease in MDA and an increase in glutathione and asiatica and madecassic acid, which are known to possess neuro-
catalase levels were observed only in rats treated with 200 and protective properties.17,18
300 mg/kg C. asiatica. The whole plant of C. asiatica has been shown to be beneficial
5. The present findings indicate that an aqueous extract of in improving memory19,20 and has also been reported to improve
C. asiatica is effective in preventing the cognitive deficits, as the general mental ability of intellectually disabled children.21,22
well as the oxidative stress, caused by i.c.v. STZ in rats. Nalini et al.23 have shown that fresh leaf juice improves the passive
Key words: ageing, Alzheimer’s disease, Centella asiatica, avoidance task in rats. Recently, in our laboratory, we have
learning and memory, oxidative stress, streptozotocin. demonstrated that an aqueous extract of C. asiatica has cognitive-
enhancing properties in different paradigms, such as the shuttle
box, step through, step down and elevated plus-maze, with associ-
ated decreases in brain oxidative stress parameters, in normal
rats.24
Intracerebroventricular (i.c.v.) injection of streptozotocin (STZ;
Correspondence: Professor YK Gupta, Neuropharmacology Laboratory,
Department of Pharmacology, All India Institute of Medical Sciences,
3 mg/kg, bilateral) in rats has been found to cause behavioural
Ansari Nagar, New Delhi 110029, India. Email: ykg@hotmail.com impairment that resembles Alzheimer’s disease (AD).25–29 There-
Received 2 March 2002; revision 18 August 2002; accepted fore, the aim of the present study was to evaluate the effect of
25 November 2002. chronic treatment of an aqueous extract of C. asiatica on learning
Centella asiatica in i.c.v. streptozotocin 337
SOD was determined within 24 h. Protein concentration was determined Measurement of SOD
according to the method of Lowry et al.33 using purified bovine serum The SOD activity of the brain tissue was analysed according to the method
albumin as the standard. of Kakkar et al.37 The assay mixture contained 0.1 mL sample, 1.2 mL
sodium pyrophosphate buffer (pH 8.3; 0.052 mol/L), 0.1 mL phenazine
Measurement of lipid peroxidation methosulphate (186 mol/L), 0.3 mL of 300 mol/L nitroblue tetrazolium
Malondialdehyde, a measure of lipid peroxidation, was determined as and 0.2 mL NADH (750 mol/L). The reaction was started by the addition
described by Jainkang et al.34 Acetic acid (1.5 mL; 20%; pH 3.5), 1.5 mL of NADH. After incubation at 30C for 90 s, the reaction was stopped by
thiobarbituric acid (0.8%) and 0.2 mL sodium dodecyl sulphate (8.1%) the addition of 0.1 mL glacial acetic acid. The reaction mixture was stirred
were added to 0.1 mL processed tissue samples, then heated at 100C vigorously and shaken with 4 mL n-butanol. The mixture was allowed to
for 60 min. The mixture was cooled with tap water and 5 mL n- stand for 10 min, centrifuged and the butanol layer was separated. The
butanol : pyridine (15 : 1) and 1 mL distilled water were added. The colour intensity of the chromogen in the butanol was measured spectro-
mixture was vortexed vigorously. After centrifugation at 2000 g for 10 min, photometrically at 560 nm. The concentration of SOD was expressed as
the organic layer was separated and absorbance was measured at 532 nm units/mg protein.
using a spectrophotometer. The concentration of MDA is expressed as
nmol/g tissue.
Statistical analysis
Measurement of reduced glutathione Data were processed by analysis of variance (ANOVA) followed by post-test
Glutathione was measured according to the method of Ellman.35 An equal and individual comparisons using Student’s t-test (two tailed).
quantity of homogenate was mixed with 10% trichloroacetic acid and
centrifuged to separate the proteins. To 0.01 mL of this supernatant, 2 mL
phosphate buffer (pH 8.4), 0.5 mL 55-dithiobis(2-nitrobenzoic acid) and RESULTS
0.4 mL double-distilled water were added. The mixture was vortexed and
Effect of C. asiatica on parameters of learning and
the absorbance read at 412 nm within 15 min. The concentration of reduced
glutathione was expressed as g/g tissue. memory in i.c.v. STZ-treated rats
Passive avoidance task
Measurement of catalase In the step-through apparatus, when tested on day 13, the mean
Catalase activity was measured according to the method of Aebi.36 initial latency in different groups (i.e. i.c.v. ACSF, vehicle plus i.c.v.
Briefly 0.1 mL supernatant was added to a cuvette containing 1.9 mL of STZ and the C. asiatica (100, 200 and 300 mg/kg) plus STZ rats)
50 mmol/L phosphate buffer (pH 7.0). The reaction was started by the
was 37.4 ± 8.4, 37.0 ± 5.7, 42.7 ± 5.4, 48.5 ± 4.8 and 51.0 ± 6.9 s,
addition of 1 mL freshly prepared 30 mmol/L H2O2. The rate of decompo-
sition of H2O2 was measured spectrophotometrically from changes in respectively. These values were not significantly different. On day
absorbance at 240 nm. The activity of catalase was expressed as units/mg 14, the mean 1st RL in the i.c.v. ACSF group was 394.2 ± 13.6 s
protein. and there was a significant reduction in the value in the i.c.v.
Fig. 1 Effect of aqueous extracts of Centella asiatica on step-through Fig. 2 Effect of aqueous extracts of Centella asiatica on transfer latency
latency in i.c.v. streptozotocin (STZ)-treated rats. Data are the mean±SEM. in i.c.v. streptozotocin (STZ)-treated rats. Data are the mean±SEM.
*P < 0.05, **P < 0.01, ***P < 0.001 compared with i.c.v. STZ-treated rats. *P < 0.05, **P < 0.01 compared with i.c.v. STZ-treated rats. ITL, initial
IL, initial latency after 13 days of i.c.v. STZ administration; 1st RL, first transfer latency after 13 days of i.c.v. STZ administration; 1st RTL, 1st
retention latency 24 h after IL; 2nd RL, 2nd retention latency 8 days retention transfer latency 24 h after ITL; 2nd RTL, 2nd retention transfer
after initial latency. ( ), i.c.v. artificial cerebrospinal fluid; (), i.c.v. latency 8 days after ITL. ( ), i.c.v. artificial cerebrospinal fluid; (), i.c.v.
STZ + vehicle; (), i.c.v. STZ + 100 mg/kg C. asiatica; ( ), i.c.v. STZ + vehicle; (), i.c.v. STZ + 100 mg/kg C. asiatica; ( ), i.c.v.
STZ + 200 mg/kg C. asiatica; ( ), i.c.v. STZ + 300 mg/kg C. asiatica. STZ + 200 mg/kg C. asiatica; ( ), i.c.v. STZ + 300 mg/kg C. asiatica.
Centella asiatica in i.c.v. streptozotocin 339
STZ-treated group (166.2 ± 11.2 s). The C. asiatica-treated groups trend of significant decreases, values being 18.4 ± 3.0, 51.5 ± 8.0,
showed significant dose-dependent recovery, the 1st RL values 42.1 ± 4.5, 30.1 ± 1.0 and 25.6 ± 2.7 s in the i.c.v. ACSF, vehicle
being 232.6 ± 25.5, 376.4 ± 49.5 and 439.0 ± 46.5 s for 100, 200 plus i.c.v. STZ and the C. asiatica (100, 200 and 300 mg/kg) plus
and 300 mg/kg C. asiatica extract, respectively. On day 21, the 2nd STZ rats, respectively. Groups treated with 200 and 300 mg/kg
RL showed a similar trend of significant reversal. The 2nd RL C. asiatica showed significant reductions in the RTL compared
values in the i.c.v. ACSF, vehicle plus i.c.v. STZ and the C. asiatica with the i.c.v. ACSF group. The results are summarized in Fig. 2.
(100, 200 and 300 mg/kg) plus STZ rats were 308.4 ± 32.6,
192.7 ± 21.0, 287.4 ± 36.4, 295.7 ± 34.0 and 341.5 ± 32.7 s, Locomotor activity
respectively. The results are summarized in Fig. 1. Spontaneous locomotor activity did not differ significantly between
the i.c.v. ACSF, vehicle-treated i.c.v. STZ group and the C. asiatica
Elevated plus-maze (100, 200 and 300 mg kg) i.c.v. STZ groups on days 13, 14 and 21
When tested on the elevated plus-maze, the mean ITL of i.c.v. (Fig. 3).
ACSF, vehicle-treated i.c.v. STZ and C. asiatica (100, 200 and
300 mg/kg) i.c.v. STZ groups was 50.8 ± 8.4, 48.0 ± 4.9,
Effect of C. asiatica on markers of oxidative stress in
51.1 ± 7.5, 51.6 ± 4.8 and 47.6 ± 5.3 s, respectively. These values
i.c.v. STZ-treated rats on day 21
did not differ significantly. On day 14, the mean 1st RTL of the
i.c.v. ACSF group was 20.2 ± 1.7 s and there was no significant Rat brain MDA levels
decrease in the value in the i.c.v. STZ-treated group (44.1 ± 4.9 s). The MDA level in the vehicle-treated i.c.v. STZ group was
The C. asiatica-treated group showed dose-dependent decreases in 438.5 ± 52.0 nmol/g tissue, which was significantly higher than
the 1st RTL values (47.1 ± 5.2, 34.1 ± 3.4 and 27.6 ± 3.1 s for 100, that seen in the i.c.v. ACSF group (253.9 ± 31.6 nmol/g tissue;
200 and 300 mg/kg C. asiatica, respectively); however, only the P < 0.001). The C. asiatica (200 and 300 mg/kg) i.c.v. STZ
group administered 300 mg/kg C. asiatica showed a significant groups showed significant (P < 0.001) decreases in MDA levels
decrease (P < 0.05). On day 21, the 2nd RTL showed a similar compared with the i.c.v. STZ group (210.1 ± 38.6 and
185.3 ± 27.8 nmol/g tissue, respectively; P < 0.001). However, the
100 mg/kg C. asiatica-treated i.c.v. STZ group did not show any
significant difference compared with the i.c.v. STZ group (Table 1).
Table 1 Effect of aqueous extracts of Centella asiatica on oxidative stress markers in i.c.v. streptozotocin-treated rats on day 21
i.c.v. ACSF 253.7 ± 51.000 161.8 ± 7.800 3.2 ± 0.1 5.4 ± 1.8
i.c.v. STZ 438.5 ± 52.0†0 32.0 ± 1.3†0 3.3 ± 0.2 6.9 ± 2.0
i.c.v. STZ + C. asiatica 100 mg/kg 422.3 ± 66.300 40.2 ± 2.700 3.2 ± 0.1 12.5 ± 2.90
i.c.v. STZ + C. asiatica 200 mg/kg 210.1 ± 38.6** 94.2 ± 8.0** 3.3 ± 0.2 10.1 ± 1.50
i.c.v. STZ + C. asiatica 300 mg/kg 185.3 ± 27.8** 94.5 ± 4.5** 2.9 ± 0.3 20.9 ± 3.5*
Data are the mean±SEM. †P < 0.001 compared with i.c.v. artificial cerebrospinal fluid (ACS)-treated rats; *P < 0.01, **P < 0.001 compared with i.c.v.
streptozotocin (STZ) vehicle-treated rats.
340 MH Veerendra Kumar and YK Gupta
compared with ACSF or vehicle-treated i.c.v. STZ groups. There also demonstrated cognitive impairment after i.c.v. STZ in
was a significant (P < 0.01) increase in catalase observed in rats.25–28,30
300 mg/kg C. asiatica-treated rats compared with the i.c.v. STZ However, i.c.v. STZ rats that were chronically treated with
group (20.9 ± 3.57 vs 6.9 ± 2.0 units/mg protein, respectively; C. asiatica at 200 and 300 mg/kg, p.o., for 21 days showed
Table 1). significantly increased retention latencies compared with the STZ
(vehicle)-treated animals in the passive avoidance apparatus and
significantly shorter transfer latencies on the elevated plus-maze.
DISCUSSION
The improvement in passive avoidance elevated plus-maze
The increase in life expectancy globally has also increased the behaviour indicates an improved acquisition and retention of
incidence of age-associated neurodegenerative diseases, such as memory in rats treated with C. asiatica. The general stimulant or
AD and Parkinson’s disease. Both ageing and age-related neuro- depression activity of a CNS-active drug may affect the response
degenerative disorders are associated with varying degrees of of an animal on behavioural paradigms. Therefore, the effect of
behavioural impairment that cause significant morbidity. Among C. asiatica was also studied on spontaneous locomotor activity.
the prime candidates responsible for producing the neuronal There were non-significant differences between the locomotor
changes mediating these behavioural deficits,appear to be free activity of i.c.v. ACSF, vehicle-treated i.c.v. STZ and C. asiatica
radicals and the oxidative stress they generate.1 However, it is (100, 200 and 300 mg/kg) i.c.v. STZ groups. This excludes the
difficult to establish whether the neuronal injury due to free radical possibility that any CNS depressant/stimulant activity of
generation is a primary or secondary event. However, even if it is C. asiatica may have contributed to changes in passive avoidance
secondary to other causes, it is still deleterious and can lead to and elevated plus-maze in vehicle-treated i.c.v. STZ rats and the
neuronal death.38,39 Thus, removing free radicals or preventing their C. asiatica-treated i.c.v. STZ group.
formation may be beneficial in the treatment and/or prevention of Free radicals are normal products of cellular aerobic metabo-
neurodegenerative disorders. Anti-oxidants from natural products lism. However, when the production of free radicals increases or
that have been used in the ancient Indian medical system of the defence mechanism of the body decreases, free radicals cause
Ayurveda for improving learning and memory have recently drawn cellular dysfunction by attacking polyunsaturated sites of bio-
much attention. logical membranes, leading to lipid peroxidation.51 In the present
Centella asiatica has recently been shown to be effective in study, the increase in levels of MDA, a marker of lipid peroxid-
reducing oxidative damage in the central nervous system (CNS), ation, indicates increased free radical generation in vehicle
which is attributed to its anti-oxidant properties.40 Furthermore, STZ-treated rats. The significantly lesser rise in MDA levels in the
C. asiatica has been shown to improve the mental capabilities/ brains of i.c.v. STZ rats treated with 200 and 300 mg/kg C. asiatica
function of rodents as well as humans.21,22 Therefore, we con- compared with the vehicle-treated i.c.v. STZ rats indicates attenu-
sidered it worthwhile to investigate whether an aqueous extract of ation of lipid peroxidation. There was a simultaneous significant
C. asiatica, at doses that showed cognitive-enhancing and anti- decrease in reduced glutathione levels in vehicle-treated i.c.v. STZ
oxidant properties in normal rats,24 had a protective role against rats. Glutathione is an endogenous anti-oxidant largely present in
i.c.v. STZ-induced oxidative stress and associated cognitive impair- its reduced form within cells. Glutathione reacts with the free
ment in rats. radicals and prevents the generation of hydroxyl radicals, the most
It has been reported that there is a decrease in glucose utilization toxic form of free radicals. During this defence process, reduced
in the brains of AD patients.41,42 This led to the hypothesis that the glutathione is converted to the oxidized form with the help of the
cognitive dysfunction of AD is related to a reduction in central enzyme glutathione peroxidase. The decreased level of reduced
glucose metabolism. It has been hypothesized that the cholinergic glutathione in vehicle-treated i.c.v. STZ seen in the present study
deficit and amyloid accumulation in the brain are caused by a indicates that there was an increased generation of free radicals and
significant decrease in glucose metabolism in the AD brain.43 that the reduced glutathione became depleted during the process of
Several studies have shown that i.c.v. administration of sub- combating oxidative stress.52 The increase in the glutathione levels
diabetogenic doses of STZ reduce central glucose in rats.44–46 in C. asiatica-treated i.c.v. STZ groups may be due the anti-oxidant
Concomitantly, decreases in cognitive function, cholinergic and properties of the extract.
monoaminergic neurotransmission and other related enzymes, such The levels of SOD and catalase did not differ significantly
as cholineacetyl transferase activity, were observed in the rat in any of the groups (i.c.v. ACSF, vehicle-treated i.c.v. STZ rats and
brain.25–28,47,48 Recently, it has been shown that the generation of C. asiatica-treated i.c.v. STZ rats). This could be because the
free radicals following i.c.v. STZ injection is an important factor in glutathione pathway may be playing a major role in combating
causing cognitive impairment in rats.49,50 Therefore, we used the oxidative stress in the brain in i.c.v. STZ rats. The non-significant
recently reported dose of i.c.v. STZ (3 mg/kg) to induce cognitive change in the levels of catalase may be due to the fact that catalase
impairment and oxidative stress in rats.49 These previous activity in the rat brain is very low, as reported previously.53
reports25–27,49 suggest that STZ-treated rats could be regarded as Therefore, there was a significant change in the level of glutathione,
a relevant animal model of sporadic AD. but not in the levels of SOD and catalase in C. asiatica-treated i.c.v.
In the present study, it was observed that the vehicle-treated i.c.v. STZ groups compared with the vehicle-treated i.c.v. STZ group.
STZ group showed significant reduction of retention latencies in The increase in the levels of glutathione induced by C. asiatica
passive avoidance behaviour and no significant improvement in suggests that the anti-oxidant property of C. asiatica was respon-
RTL in the elevated plus-maze compared with the ACSF-treated sible for combating the oxidative stress induced by i.c.v. STZ.
group, suggesting impairment of learning and memory in i.c.v. STZ Centella asiatica has recently been reported to have antilipid-
rats. These results are in accord with those of previous reports that peroxidative and anti-eplileptic activity in a lithium–pilocarpine
Centella asiatica in i.c.v. streptozotocin 341
model of status epilepticus.40 It has also been reported that 16. Veechai AD, Senmi J, Gassan G, Mohinaro M. Effect of Centella
astiaticoside, the chief constituent of C. asiatica, possessed wound- asiatica on the biosynthetic activity of fibroblast in culture. Farm. Edn
healing activity by increasing enzymatic (SOD, catalase, glutath- 1984; 39: 355–64.
17. Grimaldi R, Deponti F, D’Angelo L et al. Pharmacokinetics of the
ione peroxidase) and non-enzymatic (vitamin E and ascorbic acid)
total triterpenic fraction of Centella asiatica after single and multiple
anti-oxidant levels, thereby reducing lipid peroxide levels in administration to healthy volunteers. A new assay for asiatic acid.
wounds.54 Lee et al.18 reported that asiatic acid and its derivatives J. Ethnopharmacol. 1990; 28: 235–41.
protect cultured neurons from glutamate-induced excitotoxicity. 18. Lee MK, Kim SR, Sung SH et al. Asiatic acid derivatives protect
In conclusion, the present study demonstrates that C. asiatica cultured cortical neurons from glutamate-induced excitotoxicity. Res.
significantly prevented cognitive impairment and attenuated the Commun. Mol. Pathol. Pharmacol. 2000; 108: 75–86.
19. Mukerji B. Indian Pharmaceutical Codex. The Catholic Press, New
oxidative stress induced by brain glucose metabolism impairment
Delhi. 1953.
in i.c.v. STZ-treated rats by its neuroprotective property. However, 20. Vaidyaratnam PSV. Indian Medicinal Plants. A Compendium of 500
the possibility of an effect of C. asiatica on neurotransmitters in Species, Vol. 2. Orient Longman, Anna Salai. 1994.
improving cognitive deficits cannot be ruled out. 21. Apparao MVR, Srinivasan K, Rao K. Effect of Mandookaparni
(Centella asiatica) on the general mental ability (Medhya) of
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ACKNOWLEDGEMENTS 22. Kakkar KK. Mandukparni: Medicinal uses and therapeutic efficacy.
We are thankful to the Indian Council of Medical Research for a Probe 1990; XXIX: 176–82.
23. Nalini K, Arroor AR, Karanth KS, Rao A. Effect of Centella asiatica
financial grant for this study and the Dabur Research Foundation
fresh leaf aqueous extract on learning and memory and biogenic amine
for their help in preparing extracts. turnover in albino rats. Fitoterapia 1992; LXIII: 232–7.
24. Veerendra Kumar MH, Gupta YK. Effect of different extracts of
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