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DOI: http://dx.doi.org/10.1016/j.jep.2015.01.031
Reference: JEP9278
Cite this article as: María I. Aguilar, Wendy V. Benítez, Arturo Colín, Robert
Bye, Ramiro Ríos-Gómez, Fernando Calzada, Evaluation of the diuretic activity
in two Mexican medicinal species: Selaginella nothohybrida and S. lepidophylla
and its effects with ciclooxigenases inhibitors, Journal of Ethnopharmacology,
http://dx.doi.org/10.1016/j.jep.2015.01.031
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Evaluation of the diuretic activity in two Mexican medicinal species: Selaginella
María I. Aguilara*, Wendy V. Beníteza, Arturo Colína, Robert Byeb Ramiro Ríos-
CORCE, 2° piso, Centro Médico Nacional Siglo XXI, IMSS, Av. Cuauhtémoc 330,
Corresponding author
*To whom correspondence should be addressed. Tel.: 525 55622 5281; Fax: +52 55
1
ABSTRACT
Mexican traditional system of medicine for gall and renal stones, diuresis, stomach and
Major components isolated from these plants include biflavonoids as amentoflavone (1),
(4). The aim of this study was to evaluate the diuretic effect of the decoction of S.
and compounds 1 – 4. We also explored the probable mode of action comparing the
Materials and methods: Three biflavonoids (1 – 3) were isolated from the ethyl acetate
extraction of the aqueous decoction and the carbohydrate trehalose (4) from the aqueous
phase. The structures of all compounds were elucidated by spectroscopic methods and
comparisons were made against published data. The diuretic activity was assessed in
mice by oral administration of the decoctions in doses of 1000 and 2000 mg/kg and
standard drug. Inhibitors of COX’s such as acetyl salicylic acid, sodium naproxen,
indomethacin and Celebrex were also assayed to analyze the involvement of renal
prostaglandins in diuresis. Water excretion rate, pH, density, conductivity, and contents
Results: Decoction of S. lepidophylla showed lower effect in the urine output at doses of
1000 and 2000 mg/kg, while decoction of S. nothohybrida produced an increase at 2000
mg/kg (P<0.05). Urinary electrolytes excretion was also affected by this last extract and
pure compounds: decoction diminished urinary excretion of sodium and potassium ions,
2
Pretreated mice with COX’s inhibitors and then with test compounds 1, 2, 4 and
decoction showed inhibition of diuresis in all cases exception for treatment with
trehalose (4); natriuretic effect was observed in all cases except for biflavonoid
diuresis.
prostaglandins.
3
1. Introduction
Medicinal plants are very commonly used to treat renal diseases; two examples of
agents used in ethnomedicine have been studied and activity confirmed in experimental
animals (Lahlou et al., 2007; Nedi et al., 2004; Abdala et al., 2008). In this context,
“doradilla” is the popular name given to a group of plants used in Mexican traditional
botanical characteristics and they are expended without distinction (Aguilar et al.,
Valdespino and S. lepidophylla Hook et Grev., which often represent commercially and
characteristics (Miquel and Valdespino, 1992). These species have the ability to resist
drought periods due to poikilohydric properties (Miquel and Valdespino, 1992) and
their high trehalose (4) content provides a protection mechanism against drought
(Richards et al., 2001). Under dry conditions, their branches curl inward to appear like
and turn green again (Korall et al., 1999; Korall and Kenrick, 2002), so “doradillas” are
lepidophylla grow in the Mexican states of Guerrero, Oaxaca and Veracruz. Other
common names that these plants have are “resurrection ferns” or “resurrection plants”,
“much-kok”, “texochitl yamanqui” and “flor de piedra” (Argueta et al., 1994; Martínez,
1989). Traditional treatments with “doradilla” include urinary obstruction, cystitis, renal
4
calculus, kidneys inflammation, and for waist and back pains. Most of these
preparations are based in the decoction of the whole plant. Other uses include treatment
infections (Argueta, et al., 1994; Márquez, et al., 1999; Martínez, 1989). A previous
Up to date there are not pharmacological reports of the diuretic effect of doradilla, so,
the purpose of this work is to evaluate the diuretic activities of S. nothohybrida and S.
lepidophylla to justify their common traditional use and to test a probable mechanism of
diuretic action.
2009. Both plants were identified by M. Sc. A. Reyes-García and voucher specimens
were deposited at the National Herbarium of this University under numbers SN-0805
5
2.2. Extracts preparation
Five hundred grams of each complete vegetal species were decocted with water (ten
min). The decoction was filtered, frozen at -20 °C and lyophilized to give 22 g of dry
independently suspended in water and partitioned with ethyl acetate, obtaining the
respective ethyl acetate extracts and the residual aqueous phases. The two lyophilized
CH3OH (1:1). Partitions with n-hexane, CHCl3 and ethyl acetate gave the corresponding
fractions. The ethyl acetate fraction with the biflavonoids contents, was applied in a
2008; Aguilar et al., 2013). Trehalose (4) was directly obtained by crystallization from
the decoction.
6
2.4. Animals
Male albino mice (25-30 g) obtained from bioterio Centro Médico Nacional Siglo XXI
were used in all experiments. Procedures involving animals and their care were
conducted according to the Mexican Official Norm for Animal Care and Handling
2.5. Drugs
Furosemide (Moléculas Finas de México, S.A. de C.V.) was used as the reference
compounds were used as inhibitors of COX-1 and COX-2: acetylsalicylic acid (5) (Pisa
C.V., México), indomethacin (7) (Kener, S. A. de C. V., México) and Celebrex (8)
The methods of Mazid et al. (2009) were used, with modifications, for the
determination of the diuretic effect. In all cases, samples were administered through a
gastric catheter. Animals were divided into eight groups (n=6); water (1.0 mL) was
orally administered to each one of the animals in the control group (I). Seven groups
were independently treated with furosemide (II, 10 mg/kg), with S. nothohybrida (III)
and S. lepidophylla (IV) decoctions (1 and 2 g/kg) and groups V, VI, VII and VIII with
7
compounds 1 - 4 (10 mg/kg). In a parallel experiment, with the exception of group VII
with compound 3 which did not observed diuretic activity in the previous experiment,
groups I, II, III, V, VI and VIII (n = 6), were independently administered with a) acetyl
salicylic acid (5), b) sodium naproxen (6), c) indomethacin (7), and d) Celebrex (8), in
extract, for the assessment of the role of these last ones on acute diuretic activity. Urine
samples were taken at two and four hours after administration in all cases. The animals
had free access to standard commercial diet and water ad libitum in a 12-h light/12-h
dark cycle at 22 °C. The mice were observed for symptoms of toxicity for 2 months in
terms of weight loss, and autonomic and neurobehavioral alterations. On the 60th day,
the animals were sacrificed and their vital organs were individually observed for overt
pathology.
Diuretic activity of all compounds was compared with control group, so as with the
inhibitors of COX-1 and COX-2 enzymes. The percentage of urine excreted during 4 h
for each animal in the group gives a measure of urinary excretion independent of the
animal weigh.
Urinary Na+ and K+ contents were analyzed by atomic absoption using a Jenway Corp.
model PF30 flame photometer. The instrument was calibrated with standard solutions
8
containing different concentrations of Na+ and K+, pH and conductivity were directly
estimation was made by weighing with an Ohaus Analytical Plus (±0.1 mg) analytical
Results are expressed as the mean values ± S.E.M. (standard error of mean). The
Dunett and Tukey test for multiple comparisons. When comparing with control groups,
values of P less than 0.05 were considered significant. Graphs were drawn and
statistical analysis was carried out using Graphpad prism version 5.0 for windows
3. Results
increased excretion levels ranging from 41.3 % to 47.8 % of those measured in the
untreated controls. In the case of S. lepidophylla, values ranged from 34.7 % to 32.6 %
(Table 1).
9
3.1.2. Effect on the excretion of electrolytes and urine volume, four hours after oral
Different parameters were analyzed for possible diuretic action in a) infusion and b) test
(Na+ and K+) (mmol/L) contents and the urinary volume on each case compared versus
control (water) and furosemide (reference drug) (Table 2). Amentoflavone (1) induced
significant excretion value for water (36.95%), but values of excretion of Na+ and K+
were 26.7% and 41.0% lower when compared with the untreated control group (Table
2). Robustaflavone (2) induced significant excretion for water of 45.6%, and 28.3%
major excretion of Na+, but lower elimination of K+ (36.9%) when compared with the
untreated control group (Table 2). Trehalose (4) induced the most significant excretion
value for water of 58.69% (14.5% for the excretion of Na+ and 9.0% for K+, being both
values lower, to those of the untreated control group) (Table 2). The 2 g/kg dose of the
aqueous extract of S. nothoybrida induced excretion values for water (19.5%), and
14.3% and 28.3% for the excretion of Na+ and K+ which were lower values than the
control (Table 2). (S)-2,3-dihydrorobustaflavone (3) induced less diuretic effect than
water (73.91%).
3.1.3. Effects on the excretion of electrolytes and urine volume 4 h after oral treatment
inhibition of prostaglandins.
Mice were pretreated with ASA (5) (10 mg/kg) and independently administered with an
10
results with the diuretic values of the tested compounds without ASA. Results showed
diuresis inhibition provoked by ASA in all cases (Fig. 2). Furosemide plus ASA had
29.4% of diuresis inhibition; in the case of the tested compounds, it was observed that
robustaflavone (2) plus ASA had the higher inhibition percentage (53.4%). Compound 1
and decoction presented the lowest value (10% inhibition) (Fig. 2).
There was an important increase in the urine conductivity of the mice treated with
same effect as the control (-042). In the case of compounds 3, 4 and the aqueous extract,
values were inferior in relation to the control group (-032, -036, -031). The pH values
were higher in the case of biflavonoids 1 and 2 (5.41, 5.17), and lower in compounds 3,
4 (4.17, 4.23) and in aqueous extract (4.15) and there was no statistically significant
differences in urine density among treated and control values (Table 2).
4. DISCUSSION
In the present study, the diuretic effect of two doses of aqueous extracts of Selaginella
administration was chosen as how these plants are consumed in Mexican traditional
medicine.
compared to a dose of 1 g/kg and also with respect to the control group at 4 h after the
extent compared to S. nothohybrida, the effect was rapid but not time constant; at a dose
of 2 g/kg, diuresis was even lower. Considering that S. lepidophylla and S. nothohybrida
11
contain mostly the same biflavonoids (Aguilar et al., 2013), S. lepidophylla decoction
Our results were closely similar with the values reported in the literature on the diuretic
effect of furosemide at a dose of 10 mg/kg (Lahlou, et al., 2007), when compared with
the untreated control group. In the other hand, furosemide showed its maximum effect
this time. All tested compounds presented different diuresis percentage values for each
The effect of increased diuresis induced by the aqueous extract was not reflected in
terms of ionic excretion when compared with controls since excretion of Na+ and K+
were lower with respect to control group. The specific conductivity, which is an indirect
measure of the ionic content of the urine and the pH, also decreased in the extract when
compared with the controls, probably related with its poor ionic excretion.
It is a known fact that compounds of the type of biflavonoids increase renal blood flow
and the glomerular filtration rate, which promotes a rise in urine formation (Loew,
1991). Of all tested biflavonoids, robustaflavone (2) induced the highest diuretic action
followed by amentoflavone (1) (Table 2). In contrast with that, urinary excretion of
mice treated with (S)-dihydrorobustaflavone (3) was lower than the exerted by the
control group. Consequently, this compound was not further studied. In this last case
saluretic values were the highest of all tested compounds, as urine was concentrated
(Table 2) but conductivity and pH values were the lowest of all and density was
augmented, as the result of the low water loss. The increase in diuresis promoted by
amentoflavone (1) showed a lower saluretic effect than that of control group in contrast
to robustaflavone (2) that induces an important Na+ excretion even that K+ excretion is
lower. Analysis of these values suggests that although these two isomeric biflavonoids
12
possess a similar structure, their mechanism of diuresis is different. We hypothesize that
(2) were administered, however, pH values increased. To this, it is reported that diuretic
compounds of furosemide type produce alkalosis (Abdala et al., 2008). Density values
Of all tested compounds and infusion, the highest percentage of diuresis was observed
by trehalose (4) whose ionic excretion effect diminished. This in turn induced a
concomitant low conductivity and pH values compared to the control group (Table 2),
(4) appears to induce diuresis of the osmotic type. This behavior has been observed in
related substances such as mannitol, other polisacarides and glucose (Segarra, 2003).
Aqueous extract in the other hand promoted diuresis in a less extent than pure
antagonist or no diuretic effect in the extract. Dunnet comparative analysis (data not
shown) indicated that all treatments were statistically different to control administered,
this means that all tested compounds have diuretic activity with the exception of (S)-
comparative analysis results showed that besides furosemide, the most active compound
treatments with amentoflavone (1) and robustaflavone (2) were not significant, so was
the case of amentoflavone (1) versus aqueous extract, which indicates that
13
amentoflavone (1) activity could be comparative to robustaflavone (2) and to aqueous
extract activities.
According to Jackson (1996), diuresis occurs in two events: increase in water excretion
(urine volume) and a net loss of solutes (i.e. electrolytes). These processes result from
suppression of renal tubular reabsorption of water and electrolytes into the blood
stream. The reference drug, furosemide, increases urine output and urinary excretion of
ascending limb of the loop of Henley (Jackson, 1996; Lahlou et al., 2007).
Once diuretic effects were observed, it was interesting to assess the probable
induced by these metabolites and the extract, evaluating the variation of excretion of
administered with unspecific COX’s inhibitors such as ASA (5), sodium naproxen (6)
and indomethacin (7) and then with test compounds and aqueous extract. The results
showed an important inhibition of diuretic action in all cases (Fig. 2). Administration of
were not significantly modified, as with the exception of trehalose (4) whose pH
diminished when it was treated with sodium naproxen (6); the pH turned slightly more
acidic in all cases, probably for the rise in Cl- elimination. Salicilates act over renal
tubules affecting uric acid reabsorption that induces a uricosuric effect potentially
H2CO3 could have occurred. Density of urine kept values of 1 g/mL and conductivity
14
When mice were previously treated with compound 5 (ASA) and then with furosemide,
an expected inhibition of diuresis was observed (Gasparotto et al., 2009). Under the
same conditions, with the exception of trehalose (4), inhibition of diuresis was observed
with all tested compounds, but with amentoflavone (1), a marked saluretic effect was
Trehalose (4) observed the opposite effect, increasing diuresis when it was administered
after ASA (5) (Fig. 2). With respect to the participation of indomethacin (7), all tested
compounds and extract observed higher inhibition of diuresis than furosemide (Fig. 2),
having trehalose (4), amentoflavone (1) and the extract the highest values, contrary to
the results obtained with ASA (5). Assaying test compounds, extract and furosemide
with mice previously administered with sodium naproxen (6) showed similar results to
treatment with ASA and indomethacin (Fig. 2), which inhibited diuresis. Mice treated
with naproxen (6) and then with aqueous extract showed the highest inhibition of
diuresis than the rest of the tested compounds (1, 2 and 4).
In treatment with Celebrex, aqueous extract presented the lowest inhibition of diuresis
compared to the rest of tested compounds (1, 2 and 4). This can be attributable to the
presence of additional compounds contained in the extract, which could have antagonist
effects to diuresis that compete with tested compounds effects. However, diuresis is the
net effect of the aqueous extract. When this specific COX-2 inhibitor (8) was
(Table 2). This situation could have been related to the loss of synthesis of
prostaglandins present in kidneys acting in the diuretic process and also because of
reduction of glomerular filtration rate, renal flux and renal circulation promoted by
biflavonoids (Lote, 1981). When the COX-1 inhibitor (a nonspecific inhibitor, sodium
15
naproxen, 6) was administered, inhibition of diuresis was also visualized, but in a lower
extent than with the COX-2 inhibitor (8), as prostaglandins synthesis was less affected.
Based on these results, we conclude that the different involved molecules may be acting
through different mechanisms. For instance, the two isomeric biflavonoids (1 and 2)
showed diuresis. When administered to mice with nonspecific COX’s inhibitors, they
had opposite activities, and same situation was observed after treatment with the
5. CONCLUSION
involved in the mechanism of diuresis. The present results provide a quantitative basis
Mexican population.
Acknowledgements
We thank Dr. Manuel Gutiérrez for critically reading the manuscript. W. Benítez thanks
16
References
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Farmacopea Herbolaria de los Estados Unidos Mexicanos (FHEUM), 2013, second ed.
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Korall, P., Kenrick, P., Therrien, J.P., 1999. Phylogeny of Selaginellaceae: evaluation of
Lahlou, S., Tahraoui, A., Israili, Z.B., 2007. Diuretic activity of the aqueous extracts of
110, 458-463.
Lote, C.J., 1981. Renal prostaglandins and sodium excretion. Quarterly Journal of
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Márquez, A., Lara, F., Esquivel, B., Mata, R., 1999. Plantas Medicinales de México II.
Martínez, M., 1989. Las plantas Medicinales de México. sixth ed, Ediciones Botas,
México.
Mazid, M.A., Datta, B.K., Nahar, L., Bashar, S.A., 2009. Antinociceptive,
Mickel, J., Valdespino, N.A., 1992. Five new species of Pteridophytes from Oaxaca
Nedi, T., Mekonnen, N., Urga, K., 2004. Diuretic effect of the crude extracts of Carissa
Quasim, M.A., Roy, S.K., Kamil, M., Llyas, M., 1985. Phenolic constituents of
Richards, A.B., Krakowa, S., Dexter, L.B., Schmid, H., Wolterbeek, A.P.M., 2001.
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20
Group Doses (g/kg) Urine volume (mL) Urinary effect
21
Table 2
Table 2. Effect of oral administration of the aqueous extract and compounds 1-4 on
urinary volume and electrolyte excretion and urinary excretion with simultaneous
Electrolyte
Urine
Dose Density Diuretic concentration
Treatment pH Conductivity volume
(mg/kg) (g/mL) index Na+ K+
(mL n=1)
(mmol/L) (mmol/L)
Control (water) 1 mL 4.9 1.06 -041 0.46±0.03 1 87.0±5.4 280.8±6.1
Furosemide 10 5.3 1.01 -077 0.95±0.01 2.06 132.2±5.9 315.5±5.0
Amentoflavone 10 5.4 1.03 -042 0.62±0.02 1.34 69.8±5.7 161.5±2.5
Robustaflavone 10 5.1 1.00 -064 0.67±0.03 1.45 122.3±5.7 181.9±8.5
(S)-2,3-dihydro
10 4.1 1.10 -032 0.34±0.02 0.76 139.0±7.4 377.2±8.8
Robustaflavone
Trehalose 10 4.2 1.02 -036 0.73±0.03 1.58 81.4±4.2 246.5±7.6
Aqueous
2000 4.1 1.04 -031 0.54±0.02 1.19 84.0±2.3 195.6±3.4
extract
Furosemide +
10 4.4 1.02 -037 0.82±0.03 1.7 125.2±1.6 186.7±9.5
NS
Amentoflavone
10 4.4 1.01 -037 0.52±0.01 1.13 97.0±1.7 510.6±4.6
+ NS
Robustaflavone
10 4.5 1.03 -045 0.47±0.02 1.02 84.9±4.1 214.7±3.0
+ NS
Trehalose + NS 10 4.4 0.96 -048 0.61±0.02 1.32 94.3±4.9 166.3±9.4
Aqueous
2000 4.2 1.02 -040 0.32±0.03 0.69 139.8±7.9 285.0±8.6
Extract + NS
Furosemide + C 10 4.2 1.02 -040 0.63±0.02 1.36 58.8±9.4 40.1±4.2
Amentoflavone
10 4.3 1.03 -046 0.25±0.02 0.54 102.7±1.8 190.4±3.7
+C
Robustaflavone
10 4.1 1.06 -036 0.39±0.03 0.84 48.3±3.2 114.4±0.5
+C
Trehalose + C 10 4.3 1.07 -045 0.28±0.03 0.60 87.0±5.4 175.4±5.0
Aqueous 0.43±0-
2000 4.0 1.02 -028 0.93 85.3±10.8 106.8±6.9
Extract + C 01
administration of COX’s inhibitors.
The results show the mean values ± S.E.M., NS= naproxen sodium, C= Celebrex, (-)
antidiuretic effect. Diuretic index= (volume problem group/volume control group)
22
Captions
Fig. 2. Urinary excretion induced by compounds 1, 2, 4 and aqueous extract (Aq. E.) in
mice administered with COX’s inhibitors
Table 1. Effect of two oral doses of the aqueous extract of Selaginella nothohybrida
and S. lepidophylla on urinary volume (4h).
Table 2. Effect of oral administration of the aqueous extract and compounds 1-4 on
urinary volume and electrolyte excretion and urinary excretion with simultaneous
administration of COX’s inhibitors.
23
Figure
(1) (2)
(3) (4)
Fig.1.
Figure
0.0
0.2
0.4
0.6
0.8
1.0
0.0
0.2
0.4
0.6
AS
Figure 2
A
I+ +
(1 (1
) )
AS
A
I+ +
(2
(2 )
)
AS
A
+
I+ (4
(4 )
) AS
A
+
I+ Aq
Aq .E
.E
0.0
0.2
0.4
0.6
NS
C +
+ (1
)
(1
)
NS
C +
+ (2
(2 )
)
NS
C +
+ (4
(4 )
)
NS
C +
+ Aq
Aq
.E .E
*Graphical Abstract (for review)