Ocimum basilicum L.: Antiinflammatory Actions and Potential Usage for Arthritic Conditions

Ocimum basilicum L.: Antiinflammatory Actions and Potential Usage for Arthritic Conditions

CHAPTER 27 Ocimum basilicum L.: Antiinflammatory Actions and Potential Usage for Arthritic Conditions Michel Mansur Machado, Luís Flávio Souza de Oli...

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CHAPTER 27

Ocimum basilicum L.: Antiinflammatory Actions and Potential Usage for Arthritic Conditions Michel Mansur Machado, Luís Flávio Souza de Oliveira, Luísa Zuravski Cellular Toxicology Research Group (ToxCel), Federal University of Pampa, Uruguaiana, Brazil

1. INTRODUCTION Arthritis is an inflammatory disease that leads to joint destruction and functional disability if not adequately treated.1 In this disease, autoantibodies such as rheumatoid factor or anticitrullinated peptide antibodies (ACPA) are typical serologic findings and are strongly associated with erosive disease.2 Aside from bone erosion, the pathognomonic features of arthritis comprise articular and periarticular bone loss and loss of trabeculation.3 A panel of effective and approved immunosuppressive drugs is available to treat inflammation and to avoid joint damage.4 Recent studies demonstrated poor adherence to these drugs, despite these treatment opportunities.5, 6 The reasons for this are multifactorial; however, they are mainly influenced by medical beliefs and lack of understanding of the disease.3 The use of natural products in folk medicine as a therapeutic resource is widely diffused in the population, and this inclination has contributed significantly to the consumption not only of natural products but also of herbal medicines. A work by the World Health Organization (WHO) that has evaluated the use of traditional medicine in different regions shows that the use of plants and their derivatives can reach more than 90% of certain regions of the world, such as China and Malaysia.7 Natural medicine is a very popular therapeutic resource in self-medication. However, due to the ease of access, it can aggravate its potential risks of toxicity. In addition, there is a large gap related to popular understanding that must be filled through actions that seek to improve the dissemination of knowledge about the safe and rational use of medicinal plants and herbal medicines. Among these is the availability of information with scientific evidence, which should be passed on to physicians, pharmacists, and users of these products.8 In this context, basil (Ocimum basilicum L.) appears as an alternative treatment, in addition to being widely used as an ornamental plant and a food condiment. This species belongs to the family Lamiaceae and originates from tropical Asia, but today it is Bioactive Food as Dietary Interventions for Arthritis and Related Inflammatory Diseases https://doi.org/10.1016/B978-0-12-813820-5.00027-1

© 2019 Elsevier Inc. All rights reserved.

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cultivated worldwide.9 Among its popular uses, O. basilicum is used as an antioxidant, antiinflammatory, anticarcinogenic, antimicrobial, and cardiovascular agent.10 It is also used in abdominal discomfort caused by colic in addition to its use in respiratory problems such as cough and asthma11 and as an antiplatelet agent.12 Several secondary metabolites with antioxidant and antiinflammatory activities have been identified in this species with the main ones being polyphenols, flavonoids, and terpenes.13

2. BASIL (O. BASILICUM L.) Basil is an herbaceous, aromatic, and medicinal plant, known since antiquity by Indians, Greeks, Egyptians, and Romans. It is enveloped in spiritual culture and symbolism, and is even considered sacred among some Hindu peoples as it represents Tulasi, the wife of the god Vishnu. It is related to feelings of hatred, love, and mourning, but it is certainly more widely known for its culinary powers.14 The basil shows a straight and branched stem and reaches about 1 m in height. Its leaves are delicate, oval, pubescent, and bright green. The inflorescences are of the spike type and composed of white, lilac, or reddish flowers. Its pollination is crossed, and the fruits are of the type acheno with a black-blue coloration. There are more than 60 different varieties of basil, with variations in the color, size, and shape of the leaves, the size of the plant and the concentration of the aroma. The basil leaves have a characteristic sweet and spicy flavor and aroma. They are used dry or fresh in the preparation of several hot or cold dishes, and are closely related to Italian gastronomy 15.

3. ISOLATED COMPOUNDS IN BASIL Numerous studies have attempted to establish a composition pattern for basil, both in the extract and in the oil. The greatest difficulty is the diversity of this species. Today, more than 25 different types of O. basilicum are known, with numerous constitutional differences.16, 17 Because of the variety of compounds and variability of concentrations found in this cultivation, four chemotypes were established based on the compound’s highest concentration in the extracted oil of basil: chemotype linalool, methylchavicol, eugenol, and 1,8-cineole.16 Among the main compounds isolated so far in the oil are the compounds linalool, methyleugenol, eugenol, methylcinnamate, chavicol, 1,8-cineol, α-terpinol,13, 15, 18 camphor, limonene, geraniol, and farmaseno.19 In the extract, the compounds identified to date were novadensin, salvigenin, circiseol, eupatorin, gardenina B,20 chicoric acid, caftaric acid,13, 20a p-coumaric acid, peonidin-3, 5-diglycoside,20b and rosmarinic acid (RA).9, 20–22

Ocimum basilicum L.

Several studies report that among the components of this plant, RA is the most biologically active compound.9, 13, 21

4. IMMUNOLOGICAL AND ANTIINFLAMMATORY ACTIVITIES Certainly, the activities described for basil are varied, but those related to the effects on the immune system, especially the antiinflammatory effects, are, in the case of this chapter, the focus to be approached more vehemently. In this thinking, we list below a series of studies that demonstrate the effectiveness of this condiment as a potential agent to assist in the treatment of inflammatory diseases, as discussed below. Mueller, Hobiger, and Jungbauer23 evaluated the effects of aqueous extract of O. basilicum at 0.5 mg/mL on a macrophage culture. The results showed a 57% reduction in interleukin 6 concentration, a 24% reduction in tumor necrosis factor α (TNF-α), a 19% reduction in cyclooxygenase 2 (COX-2) activity, and an increase of 54% in the concentration of interleukin 10 (IL-10). Duraisamy et al.24 evaluated the effects of in vitro ethanolic extract on inflammatory parameters. The results showed that the extract was able to reduce lipoxygenase activity in vitro. Another study published in 2009 by Rakha et al.25 demonstrated that the basil seeds extract reduced carrageenan-induced paw edema by 10%, thus showing antiinflammatory activity. And more currently, a paper from our research group also addressed this topic. In 2017, a paper from Guez et al.26 demonstrated that the production of the proinflammatory cytokines such as TNF-α and IL-6 was not affected in different doses of O. basilicum extract. However, the percentage of production of IL-10, the antiinflammatory cytokine, shows an increase in the percentage of more than 60% at the highest dose of the extract when compared with the positive control (ibuprofen). The percentage of production of IL-10 was also demonstrated to be dose-dependent. Also, the ability of the extract from O. basilicum to inhibit COX-2, which acts as the inducible isoform and is regulated by growth factors and different cytokines (IL1β, IL6, or TNFα), was demonstrated. The inhibition of COX-2 in some tested concentrations approximates to the inhibition caused by RA in our study and in several other reports.27, 28 Additionally, in this same paper, we verified an inhibitory effect of O. basilicum over nitric oxide, a powerful mediator from the immune system.

5. BIOLOGICAL ACTIVITY OF BASIL Basil has been a choice for a wide range of biological tests, usually in animals and experimental models in vitro. Among those that presented activities more related to the one proposed here are those related to free radicals, which are known to be involved in

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numerous pathological conditions to the organism. Among the published studies on basil, the following stand out: Beric et al.29 showed that basil’s essential oil, the linalool chemotype, is effective to protect salmonella strains from the deleterious effects of hydrogen peroxide (H2O2). In the same line of action, Thirugnanasampandan and Jayakumar30 evaluated the effects of the ethanolic extract of O. basilicum at concentrations of 50–350 μg/mL in a human liver cell culture and observed a reduction in the production of nitric oxide with dose-dependent effects. Still on the antioxidant activity, Sakr and Al-Amoudi10 reported that the administration of 20 mL/kg of basil aqueous extract in albino rats for 6 weeks increased the superoxide dismutase (SOD) and catalase (CAT) activities, in addition to reducing lipid peroxidation caused by the administration of deltamethrin. Results showing the antioxidant activity of basil are frequent and widely reported.29, 31–39 The mechanisms of action involved in these activities are directly related to the stabilization of the free radical by the polyphenols present both in the extract and in the plant. This mechanism of inhibition is already well understood and well established.40

6. BASIL TOXICITY STUDIES Despite the widespread use of this species in cooking and of the various popular uses, studies involving toxicity are rare for this species. Among the studies published in recent years involving animals, we have the work of Shiga et al.,9 who used male rats and evaluated doses between 4000 and 6000 mg/kg. In this work, no death or sign of toxicity was recorded. Fandohan and colleagues in 200841 determined that O. basilicum oil had toxicity in rats after 14 days of doses of 1500 mg/kg/day. This resulted in a lethal dose (LD50) (dose responsible for the death of 50% of test animals) of 3250 mg/kg. Already with cell cultures, the literature is more restricted. Bravo and collaborators12 performed a work on cell culture with macrophages, evaluating only cell viability. The results showed that up to 60 μg/mL (maximum value tested) did not change in this parameter. Koko et al.42 evaluated the viability of lymphocytes in vitro, with concentrations of 25–100 μg/mL reducing cell viability by about 70%. As for proliferation, GomezFlores and his team43 determined that the aqueous extract presented lymphoproliferative activity from 31.25 μg/mL and the same occurred with the methanolic extract at concentrations of 125 μg/mL.

7. CONCLUSIONS A natural product is not a miracle solution. It is not the purpose of this text to make you believe that. However, we have provided scientific evidence to prove that basil, which

Ocimum basilicum L.

has been known in mythology as the “God of Spices,” can be an important adjunct in the treatment of numerous diseases that are based on the formation of free radicals and/or the inflammatory process. Because they are in vitro studies, the results cannot be completely extrapolated, but the evidence is strongly in favor of its use as a complement of treatment; besides it is very tasty.

ACKNOWLEDGMENTS The authors would like to thank the entire staff of the Cellular Toxicology Research Group, both old and current. You are a fundamental part of this work and the reason for our smiles. Thanks for everything!

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