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PII: S0378-8741(17)33166-5
DOI: https://doi.org/10.1016/j.jep.2017.11.002
Reference: JEP11093
To appear in: Journal of Ethnopharmacology
Received date: 23 August 2017
Revised date: 1 November 2017
Accepted date: 2 November 2017
Cite this article as: Juliana Félix-Silva, Jacyra A.S. Gomes, Júlia M. Fernandes,
Angela K.C. Moura, Yamara A.S. Menezes, Elizabeth C.G. Santos, Denise V.
Tambourgi, Arnóbio A. Silva-Junior, Silvana M. Zucolotto and Matheus F.
Fernandes-Pedrosa, Comparison of two Jatropha species (Euphorbiaceae) used
popularly to treat snakebites in Northeastern Brazil: Chemical profile, inhibitory
activity against Bothrops erythromelas venom and antibacterial activity, Journal
of Ethnopharmacology, https://doi.org/10.1016/j.jep.2017.11.002
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1
a
Laboratório de Tecnologia & Biotecnologia Farmacêutica (TecBioFar), Faculdade de Farmácia,
Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN, Brazil
b
Laboratório de Biotecnologia, Faculdade de Farmácia, Universidade Federal do Rio Grande do
Norte (UFRN), Natal, RN, Brazil
c
Grupo de Pesquisa em Produtos Naturais Bioativos (PNBio), Laboratório de Farmacognosia,
Faculdade de Farmácia, Universidade Federal do Rio Grande do Norte (UFRN), Natal, RN, Brazil
d
Laboratório de Imunoquímica, Instituto Butantan, São Paulo, SP, Brazil
* Corresponding author. Av. Gal. Cordeiro de Farias, s/n, Petrópolis, CEP 59012-570, Natal, RN,
Brazil. Tel: + 55 84 33429820. Fax: + 55 84 33429822.
E-mail addresses: julianafelix_rn@outlook.com (J. Félix-Silva), jacyta@hotmail.com (J. A. S.
Gomes), fernandesjm@outlook.com (J. M. Fernandes), angelacunha311@gmail.com (A. K. C.
Moura), yamaraarruda@gmail.com (Y. A. S. Menezes), elizabethcgsantos@gmail.com (E. C. G.
Santos), denise.tambourgi@butantan.gov.br (D. V. Tambourgi), arnobiosilva@gmail.com (A. A.
Silva-Junior), szucolotto@hotmail.com (S. M. Zucolotto), mpedrosa@ufrnet.br (M. F. Fernandes-
Pedrosa).
1
These authors contributed equally to this work.
2
ABSTRACT
Abbreviations: AEJg, aqueous extract of Jatropha gossypiifolia; AEJm, aqueous extract of Jatropha
mollissima; ATCC, American type culture collection; ANOVA, analysis of variance; AUC0-120 min, area
under the time-course curves after 120 min; BeV, Bothrops erythromelas venom; CGEN, Brazilian
Genetic Heritage Management Council; CLSI, Clinical and Laboratory Standards Institute; CIOMS,
Council of International Organizations of Medical Sciences; CONCEA, National Council for the
Control of Animal Experimentation of Brazil; HEK-293, human embryonic kidney 293 cells; HPLC-
DAD, high-performance liquid chromatography with diode array detection; HPLC-MS, high
3
performance liquid chromatography coupled to mass spectrometry; i.p., intraperitoneal route; mAU,
miliabsorbance units; MIC, minimum inhibitory concentration; MPO, myeloperoxidase; PBS,
phosphate buffered saline; p.o., oral route; RENISUS, National List of Medicinal Plants of Interest to
Brazilian Public Health System; SEM, standard error of mean; SISBIO, Brazilian Biodiversity
Authorization and Information System; TLC, thin layer chromatography; Rt, retention time.
4
1. Introduction
Euphorbiaceae is considered one of the largest families of Angiosperms, covering about 7,800
species distributed in approximately 300 genera and 5 subfamilies around the world. Among the
main genera belonging to this family, there is Jatropha L., which belongs to the Crotonoideae
subfamily, Jatropheae tribe and is represented by about 200 species, widely distributed in tropical
and subtropical regions of Africa and Americas (Félix-Silva et al., 2014a; Webster, 1994).
In traditional medicine, Jatropha species are frequently used to treat various clinical conditions in
Africa, Asia and Latin America (Sabandar et al., 2013; Sharma and Singh, 2012). In fact, the name
“Jatropha” is derived from the Greek words “jatros”, which means “doctor”, and “trophe”, meaning
“food”, which could be associated with its popular medicinal uses (Sabandar et al., 2013). Several
species from this genus have been studied in relation to its medicinal uses, chemical constituents
and biological activities, such as Jatropha gossypiifolia, Jatropha mollissima, Jatropha curcas,
Jatropha elliptica, among others (Félix-Silva et al., 2014a; Gomes et al., 2016; Sabandar et al.,
2013; Sharma and Singh, 2012).
In Brazil, especially in the Northeastern Region, several Jatropha plants are popularly known as
“pinhão”, being this genus one of the richest in number of species in this Region (Albuquerque et
al., 2007). Jatropha species are often indicated in Brazilian traditional medicine from this Region as
antidotes for snakebites, for treatment of both animals and humans, being often used orally and/or
applied topically at the site of the bite (Agra et al., 2008; Albuquerque and Andrade, 2002;
Albuquerque et al., 2007; Félix-Silva et al., 2017b). Interestingly, the popular use of Jatropha
species is a known example of Zoopharmacognosy, since it is common the existence of reports by
local people about the behavior of reptiles that ingest Jatropha plants before facing snakes, what
the population associates with possible beneficial effects of these plants as antidotes for snakebites
(Albuquerque and Andrade, 2002).
Moreover, it is interesting to mention that these species are indicated as antiophidic not only in
the Northeast of Brazil, but also in other regions of the Country and even in other continents, such
as Asia and Africa (Coelho-Ferreira, 2009; Dharmadasa et al., 2016; Di Stasi and Hiruma-Lima,
2002; Félix-Silva et al., 2017b; Kadir et al., 2015; Sharma and Devi, 2013).
Snake envenoming is a serious public health problem, especially in tropical and subtropical
regions of the world. In Brazil, almost 90% of the snakebites are provoked by Bothrops snakes
(Brasil, 2016). Bothropic envenomation is mainly characterized by immediate and intense
development of local tissue damage, which may occasionally lead to permanent incapacitations of
the affected members of the victims (Brasil, 2010; Gutiérrez and Lomonte, 1989). In addition,
bacterial infection secondary to snakebites is a common complication in the victims, which can lead
to the formation of abscesses, and it is, therefore, an important risk factor for amputations (Hearn et
al., 2015; Jorge and Ribeiro, 1997).
The specific treatment for bothropic envenoming is the intravenous administration of
antibothropic serum, which is produced in Brazil through the hyperimmunization of horses with a
pool of Bothrops jararaca, Bothrops jararacussu, Bothrops moojeni, Bothrops alternatus and
Bothrops newiedi snake venoms, in order to neutralize all snakes of the genus Bothrops distributed
in Brazil, given the expected cross reactivity between the toxins of different bothropic venoms
(Brasil, 2010). However, some previous studies have shown pre-clinical evidence that this
antivenom may not fully neutralize the toxic activities induced by all bothropic venoms, suggesting
that new strategies should be developed for the preparation of a universal bothropic antivenom
(Félix-Silva et al., 2017a; Muniz et al., 2000; Queiroz et al., 2008). This situation is particularly
relevant in Brazilian Northeastern Region, since the main Bothrops snake responsible for
snakebites in this region is Bothrops erythromelas (Amaral, 1923), a venomous species popularly
5
known as Caatinga lancehead, which is not included in the antigenic mixture used for production of
bothropic antivenom distributed around the country (Félix-Silva et al., 2017a; Lira-Da-Silva et al.,
2009). Furthermore, the antivenom is able to neutralize venom toxins, but it is not able to reverse
tissue damage eventually caused by endogenous mediators released in response to venom
components, which makes this treatment, in most cases, little effective against local tissue damage
caused by snakebite (Gutiérrez and Lomonte, 1989; Gutiérrez et al., 2006). In addition to the low
inhibition of local tissue damage, there is a certain risk of developing adverse immune reactions,
high production costs and very difficult access in some regions (Gutiérrez et al., 2011; Silva et al.,
2015). Thus, the search for complementary therapies to antivenom serum therapy becomes
relevant, and in this context, the medicinal plants stand out as strong candidates (Félix-Silva et al.,
2017b; Mors et al., 2000; Santhosh et al., 2013).
Jatropha plants have been extensively studied in our research group aiming their potential
application as antiophidic agents, especially the species J. gossypiifolia and J. mollissima, which
demonstrated significant inhibitory activity against bothropic venoms (Félix-Silva et al., 2017a; Félix-
Silva et al., 2014d; Gomes et al., 2016). Considering that these species are used indistinctly in the
traditional medicine of Northeast Brazil to treat snakebites, and that the popular nomenclature of
these plants is often confusing and may cause errors in medicinal use, the present work aimed to
compare these Brazilian Jatropha species, in relation to their ability to inhibit the local edematogenic
effect of B. erythromelas snake venom in a murine model, their in vitro antibacterial activity and
phytochemical profile.
6
Dried leaves of each plant species were extracted by decoction with purified water to the ratio
1:10 (w/v) for 15 min at 100ºC, to obtain the aqueous leaf extracts of J. gossypiifolia (named AEJg)
and J. mollissima (named AEJm). The method of extraction was chosen based on previous
literature that indicates that this is one of the main form of utilization in folk medicine (tea decoction)
and on previous research by our group (Félix-Silva et al., 2014a; Félix-Silva et al., 2014d; Gomes et
al., 2016). The aqueous extracts obtained after vacuum filtration were freeze-dried and stored at -
20ºC. The yields of AEJg and AEJm were, respectively, 13.6 and 12.5%, relative to dry plant.
chromogenic reagents according to the class of compounds investigated (sulfuric vanillin + heating,
NP reagent + UV 365 nm, ferric chloride and Dragendorff reagent). The retention factors, color and
behavior of the spots were compared with chromatographic profiles of reference substances in the
literature (Wagner and Bladt, 2001). Additionally, standard samples of flavonoids were employed for
co-TLC analysis.
2.5.2. Animals
Swiss albino mice, with 25-30 g, 6-8 weeks old, from both sexes, supplied by the animal facility
of Centro de Ciências da Saúde from Universidade Federal do Rio Grande Norte, were used.
Animals were housed in standard polypropylene cages and maintained under controlled
temperature (22 ± 2ºC) in a 12 h light/ dark cycle. Mice were fed with standard laboratory extruded
food and water ad libitum. At the end of the experiments, the animals were euthanized by sodium
thiopental overdose (100 mg/kg) by intraperitoneal (i.p.) route.
Procedures involving animals were approved by the Ethics Committee on Animal Use from
Universidade Federal do Rio Grande do Norte (protocols no. 004/2013 and 053/2014), and
performed in agreement with the recommendations of the Brazilian National Council for the Control
of Animal Experimentation (CONCEA) and the International Guiding Principles for Biomedical
Research Involving Animals of the Council of International Organizations of Medical Sciences
(CIOMS).
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2.6.1. Microorganisms
For antimicrobial assays, the following strains of Gram-positive were used: Staphylococcus
aureus (ATCC 29213), Staphylococcus epidermidis (ATCC12228), Enterococcus faecalis (ATCC
9
29212) and Bacillus cereus (ATCC 11778). The Gram-negative strains used were: Escherichia coli
(ATCC 25922), Pseudomonas aeruginosa (ATCC 27853), Klebsiella pneumoniae (ATCC 10031)
and Enterobacter cloacae (ATCC 13047). All microorganisms were obtained from Clinical
Microbiology Laboratory from UFRN and maintained in nutrient agar at 4ºC, or stored in beads at -
80ºC.
3. Results
TLC analyses, using different spray reagents, suggested the presence of alkaloids, phenolic
compounds, steroids and/or terpenoids, flavonoids and tannins in AEJg, and phenolic compounds,
flavonoids and saponins in AEJm, according to the color spots compared with literature. In both
extracts, among the compounds detected, flavonoids can be considered as major compounds,
judging by the number and intensity of the spots. By TLC, in general, the flavonoid profile of both
extracts observed when the chromatoplates were revealed with NP reagent was qualitatively similar.
By co-TLC, it was possible to observe the presence of the flavonoids orientin and isoorientin
(orange spots), vitexin (green spot) and luteolin (orange spot) in both extracts. In addition, the
flavonoids isovitexin (green spot) and apigenin (yellow spot) were identified only in AEJg and AEJm,
respectively. To confirm the presence of these substances, additional analyzes were performed by
HPLC-DAD.
The HPLC-DAD chromatograms allowed to visualize and to distinguish the flavonoid profile of
the extracts (Figure 1). Analyzing the chromatographic profiles, it is possible to observe that the two
species have similar chemical profiles, but with marked differences in concentration of the major
compounds, even analyzing the extracts at the same concentration (2 mg/mL). Furthermore, AEJm
showed two compounds (peaks 1, Rt 19.07 min, and 2, Rt 22.16 min) that could not be detected in
AEJg.
The chromatographic profile of AEJg (Figure 1-A) exhibited at least four major peaks, showing
the peaks 3 and 4 UV spectra similar to C-glycosylated flavonoid derived from luteolin and the
peaks 5 and 6 showing UV spectra similar to C-glycosylated flavonoid derived from apigenin (Mabry
et al., 1970). By the other hand, the chromatographic profile of AEJm (Figure 1-B) exhibited at least
6 major peaks, also with UV spectrum similar to flavonoids derived from luteolin (peaks 3 and 4) and
apigenin (peaks 1, 2, 5 and 6) (Mabry et al., 1970), of which peak 2 (absent in AEJg) is the peak
with the highest intensity in AEJm.
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Fig. 1. HPLC-DAD chromatograms of aqueous extracts of J. gossypiifolia (AEJg) (A) and J. mollissima (AEJm) (B).
Detection at 340 nm.
To confirm the identity of the peaks, co-injections of the extracts with flavonoid standards were
performed, being possible to observe the increase in the area of the peak of each chromatographic
standard analyzed at the same Rt. Peaks 3, 4, 5 and 6 had their identity confirmed as, respectively,
isoorientin, orientin, vitexin and isovitexin (Figure 2). Rt values and UV spectra can be seen in Table
1.
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Fig. 2. Chemical structure of C-glycosylated flavonoids in common in the aqueous extracts of J. gossypiifolia (AEJg) (A)
and J. mollissima (AEJm) (B) detected by HPLC-DAD analysis.
Table 1
Major peaks identified in the aqueous extracts of J. gossypiifolia (AEJg) and J. mollissima (AEJm) by HPLC-DAD analysis.
Extract Peak Rt (min) Maximum UV (nm) Identified compound
AEJg 3 23.00 269 and 348 Isoorientin
4 24.08 256 (sh), 267 and 248 Orientin
5 29.61 268 and 337 Vitexin
6 31.63 269 and 337 Isovitexin
AEm 1 19.07 271 and 336 -
2 22.16 271 and 335 -
3 22.97 268 and 347 Isoorientin
4 24.13 267 and 345 Orientin
5 29.58 268 and 337 Vitexin
6 31.62 269 and 367 Isovitexin
Rt: Retention time.
By oral route, AEJg and AEJm significantly inhibited (P<0.001) the edematogenic activity of BeV
(around 50% inhibition), with intensity similar to dexamethasone (Table 2 and Figure 3). By this
route, there was no significant difference between the inhibitory capacity of the extracts (P>0.05).
By intraperitoneal route, however, AEJg presented anti-edematogenic effect (76.4% inhibition)
significantly higher (P<0.001 when compared to each other, at all times analyzed) than AEJm
(31.9% inhibition) (Table 2 and Figure 3). Interestingly, when administered intraperitoneally, AEJg
was more effective in reducing edema induced by BeV than dexamethasone (P<0.001 when
compared to each other, at all times analyzed). AEJm, by intraperitoneal route, started to inhibit the
edematogenic activity of BeV only after 60 min, while AEJg and dexamethasone, by the same route,
were active as fast as 15 min after venom injection.
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Table 2
Inhibition percentages of aqueous extracts of J. gossypiifolia (AEJg) and J. mollissima (AEJm) against paw edema
induced by B. erythromelas venom (BeV).
Treatment Route AUC0-120 min MPO
AEJg p.o. 49.2 ± 9.5*** 69.5 ± 8.4***
i.p. 76.4 ± 3.7*** 78.2 ± 4.1***
AEm p.o. 56.1 ± 9.3*** 61.5 ± 17.5**
i.p. 31.9 ± 4.3** 69.5 ± 2.6***
Dexamethasone p.o. 55.1 ± 18.5*** 83.9 ± 5.7***
i.p. 44.9 ± 7.1*** 57.3 ± 8.6***
AUC0-120 min: area under time-course curve after 120 min. MPO: myeloperoxidase. p.o.: oral route. i.p.: intraperitoneal
route. Data showed as mean ± SEM (n=5/group). **P<0.01 and ***P<0.001, when compared to vehicle control group in
one-way ANOVA followed by Tukey’s test. Inhibition percentage calculated as follows: [1 – (%Activitytest – %Activitynegative
control mean) ÷ (%Activityvechicle control mean – %Activitynegative control mean)] × 100.
Fig. 3. Inhibition of the edematogenic activity of B. erythromelas venom (BeV) by aqueous extracts of J. gossypiifolia
(AEJg) and J. mollissima (AEJm). A and C: Time-course of paw edema. **P<0.01 and ***P<0.001, when compared to the
BeV (vehicle control) group in two-way ANOVA followed by Bonferroni’s test. B and D: Area under the time-course curves
after 120 min (AUC0-120 min) values. **P<0.01 and ***P<0.001, when compared to BeV (vehicle control) group in one-way
ANOVA followed by Tukey’s test. Data showed as mean ± SEM (n=5/group). p.o.: oral route. i.p.: intraperitoneal route.
In the evaluation of the myeloperoxidase (MPO) enzyme extracted from mice paws, no
significant difference (P>0.05) was detected between the inhibitory potentials of the two plant
species. Both AEJg and AEJm inhibitory potential were similar to dexamethasone, either oral and
intraperitoneally (Table 2 and Figure 4).
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Fig. 4. Effect of aqueous extracts of J. gossypiifolia (AEJg) and J. mollissima (AEJm) on mieloperoxidase (MPO) activity in
mice paws injected with B. erythromelas venom (BeV). A: Treatment (with vehicle, dexamethasone or extracts) by oral
route (p.o.). B: Treatment (with vehicle, dexamethasone or extracts) by intraperitoneal route (i.p). **P<0.01 and
***P<0.001, when compared to BeV (vehicle control) group in one-way ANOVA followed by Tukey’s test. Data showed as
mean ± SEM (n=5/group).
Significant differences were also observed in the antibacterial activity of the extracts. In the initial
screening assay, using a fixed concentration of each extract incorporated in the culture medium, it
was observed that AEJg was able to inhibit the growth of S. epidermidis, S. aureus and B. cereus,
whereas no microorganisms were sensitive to AEJm at the concentration tested. Additional
experiments were performed to determine the MIC of each extract against sensitive
microorganisms. The broth microdilution method using the 2,3,5-triphenyltetrazolic chloride dye
showed a significant inhibitory activity of AEJg against S. epidermidis, S. aureus and B. cereus,
whereas AEJm was ineffective at the concentrations tested, reinforcing previous result of the initial
screening (Table 3).
Table 3
Minimum inhibitory concentration (MIC) of aqueous extracts of J. gossypiifolia (AEJg) and J. mollissima (AEJm) by broth
microdilution
Microorganisms AEJg (µg/µL) AEJm (µg/µL) Vancomycin (µg/mL)
Staphylococcus aureus (ATCC 29213) 6.0 >12.0 0.5
Staphylococcus epidermidis (ATCC 12228) 6.0 >12.0 0.5
Bacillus cereus (ATCC 11778) 6.0 >12.0 0.5
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4. Discussion
Several species of the genus Jatropha are frequently used interchangeable in traditional
medicine, especially in the Northeast region of Brazil, as antidotes for snakebites (Albuquerque and
Andrade, 2002; Albuquerque et al., 2007). However, in traditional medicine, there is no obvious
distinction between the uses of different species of this genus. In addition, the popular names of
different species are confusing (several species with the same popular name, or the same species
presents several popular names, according to the region), as well some species have leaves
morphologically similar, leading to the possibility of incorrect popular use of vegetal species.
Considering that, eventually, some of these species may present different levels of efficacy and/or
safety, a study comparing them becomes interesting. Thus, the objective of this work was to
compare two of the Jatropha species most popularly used in the Brazilian Northeast region (J.
gossypiifolia and J. mollissima), both in terms of efficacy and phytochemical constitution, in order to
contribute to the differentiation and future quality control of derivatives of these medicinal plants.
Studies comparing the flavonoid profile of species of the genus Jatropha are not found in the
literature. Thus, the analysis of the chemical constitution of these extracts is important to suggest
which compounds are related to the inhibitory activity of these species, as well as in the attempt to
obtain chemical parameters to differentiate them. From the analysis by TLC, a qualitatively similar
flavonoid profile was observed in the vegetal species, mainly composed of C-glycosylated
flavonoids derived from luteolin and apigenin. In the plant species studied, these flavonoids can still
be pointed out as major compounds, judging by the number, intensity and size of bands revealed
with NP reagent, a specific spray reagent for this class of compounds. Previous studies
demonstrated the presence of C-glycosylated flavonoids in the leaves of J. gossypiifolia (Félix-Silva
et al., 2014c; Pilon et al., 2013; Subramanian et al., 1971) and J. mollissima (Gomes et al., 2016),
as well as the presence of these and other types of flavonoids in other species of the genus
Jatropha (Zhang et al., 2009). For the confirmation of the presence of these substances and to
distinguish the flavonoid profile of the species, additional analyzes were performed by HPLC-DAD,
as shown in Figure 1. The analysis of the UV spectra of the predominant peaks in the extracts
revealed the presence of compounds with profile compatible with flavonoids derived from luteolin
and apigenin, which corroborates with the findings obtained by TLC. Analysis with the co-injection of
flavonoid standards confirmed the identity of these compounds as isoorientin (peak 3), orientin
(peak 4), vitexin (peak 5) and isovitexin (peak 6), present in both species (Figure 2). Despite the
similarity between the flavonoid profiles of the two extracts, the compounds common to both
species are at higher concentration in AEJg, as can be seen by the area of the peaks in Figure 1. In
addition, AEJm has two compounds apparently absent in AEJg, one of them being the major one in
J. mollissima (peak 2, Rt 22.26 min), whose identities could not be confirmed by co-injection.
However, Gomes et al. (2016) identified, through high performance liquid chromatography coupled
to mass spectrometry (HPLC-MS), two glycosylated flavonoids derived from apigenin named
schaftoside and isoschaftoside, whose UV spectra are similar to those from peaks 1 and 2 observed
in the present work. Thus, it can be concluded that the species have a similar qualitative flavonoid
profile, but can be quantitatively differentiated, especially in relation to the major flavonoids of each
species that are quantitatively different.
Comparisons were made between AEJg and AEJm in relation to their ability to inhibit the
edematogenic response to PBe. Considering the widespread use of these species in the Brazilian
Northeast region, we evaluated the efficacy of these species against B. erythromelas snake, since it
is the most frequent species of Bothrops of this Brazilian region (Lira-Da-Silva et al., 2009). The paw
edema model was chosen since bothropic envenoming is characterized by the rapid development of
an inflammatory process at the injection site (Gutiérrez and Lomonte, 1989). In addition, the in vitro
16
antimicrobial activity of the two plant species was compared in view of the possible complications
that could affect the victims of snake envenoming due to secondary bacterial infections (Jorge and
Ribeiro, 1997).
Bothropic envenoming is characterized by the rapid development of an inflammatory process at
the site of venom inoculation. The pathophysiology of the edematogenic process is multifactorial,
involving the direct action of venom components in the microvasculature and the effect of
endogenous inflammatory mediators released by components of the venom (Gutiérrez and
Lomonte, 1989; Gutiérrez et al., 2009). This response often leads to severe edema, ischemia and
neural compression, which can result in a compartment syndrome that can lead to permanent tissue
loss or amputation of the affected site due to necrosis (Teixeira et al., 2009). In the present study,
as shown in Table 2, both AEJg and AEJm were able to inhibit the edematogenic effect produced
by BeV, both orally and intraperitoneally, demonstrating the inhibitory potential of the two plant
species under study. However, although the effect of the extracts was similar orally (P>0.05), AEJg
was significantly (P<0.001) more active than AEJm when the evaluation was done intraperitoneally
(Figure 3 and Table 2).
As shown in Table 2, by intraperitoneal route, AEJg was more active than dexamethasone
(P<0.001). This is relevant since previous studies have shown that anti-inflammatory and/or
antioxidant drugs may inhibit the inflammatory response produced by snake venoms (Barreto et al.,
2017; Patrão-Neto et al., 2013; Sunitha et al., 2015). In fact, recent studies with the aqueous extract
of the leaves of J. gossypiifolia have shown significant anti-inflammatory and antioxidant activity of
this species (Félix-Silva et al., 2014b; Félix-Silva et al., 2014c). In addition, previous studies
demonstrate the inhibitory potential of this plant species against classes of toxins relevant to the
genesis of local tissue damage induced by bothropic venoms, such as metalloproteinases,
phospholipases A2 and hyaluronidases (Félix-Silva et al., 2017a; Félix-Silva et al., 2014d). Thus, it
may be suggested that possibly the best inhibitory action of AEJg is due to its indirect action, as an
anti-inflammatory and antioxidant agent to reverse the endogenous inflammatory mediators
released by venom toxins, as well as to a direct inhibitory action on these toxins, which
dexamethasone is not able to perform. This is one of the contexts that points out that the use of
antiophidic plants as adjuvant in the antivenom therapy is interesting, due to its potential ability to
neutralize a wide spectrum of toxins and to inhibit the local tissue damage efficiently by an indirect
action against endogenous inflammatory mediators (Félix-Silva et al., 2017a; Félix-Silva et al.,
2017b). Flavonoids, main compounds identified in the studied Jatropha species, are able to promote
strong hydrogen bonds with amides of protein chains and exhibit metal chelating activity, which
highlight the potentiality of this class of compound as interesting enzymatic inhibitors (Mors et al.,
2000).
Previous studies showed the antiophidic potential of these Jatropha species, showing their
activity against local effects induced by Bothrops venoms such as edema, hemorrhage and
myotoxicity (Félix-Silva et al., 2017a; Félix-Silva et al., 2014d; Gomes et al., 2016). The
effectiveness of an aqueous extract of J. gossypiifolia was evaluated against local toxicity and
enzymatic effects of B. erythromelas and B. jararaca snake venoms (Félix-Silva et al., 2017a; Félix-
Silva et al., 2014d). Interestingly, the extract was active when it was administered both before (pre-
treatment) or after venom injection (post-envenomation protocol), thus showing the great potentiality
of the extract of this species in the complementary treatment of snakebites (Félix-Silva et al.,
2017a). J. gossypiifolia was able to inhibit significantly almost 73% of edema and 43% of
hemorrhage caused by B. erythromelas (Félix-Silva et al., 2017a), while it was able to reduce about
50% of hemorrhage and almost 100% of edema and myotoxicity induced by B. jararaca snake
venom (Félix-Silva et al., 2014d). The aqueous extract of J. mollissima was also evaluated
previously against local toxicity induced by B. erythromelas and B. jararaca snake venoms, showing
17
promising inhibitory result against edema, hemorrhage and myotoxicity induced by these Bothrops
venoms (Gomes et al., 2016). J. mollissima was not able to inhibit significantly hemorrhage induced
by B. erythromelas, but reduced in about 46% and 80% the edematogenic and myotoxic activities of
this venom, respectively. By the other hand, this plant species were significantly active against
hemorrhage (44% of inhibition), edema (around 25% of inhibition) and myotoxicity (about 72% of
inhibition) induced by B. jararaca venom. So, in general, our results corroborate with previous ones
using different protocols and models.
Bacterial infections secondary to snakebites are a common complication in victims, which can
lead to abscess formation and is therefore an important risk factor for amputations (Hearn et al.,
2015; Jorge and Ribeiro, 1997; Saravia-Otten et al., 2007). The main source of microorganisms is
the oral cavity of the snakes, but the microbiota in the different layers of the skin of the victims or
even microorganisms coming from their clothes can participate in these secondary infections
(Dehghani et al., 2016). A large number of bacteria, including gram-negative bacilli and gram-
positive cocci, can be inoculated through snakebites and have been isolated from abscesses of
envenoming victims (Jorge and Ribeiro, 1997; Saravia-Otten et al., 2007). Microorganisms such as
Staphylococcus, Pseudomonas, Salmonella, Escherichia, Providencia, Proteus, Enterococcus and
Bacillus have been identified in the oral cavity of some venomous snakes (Dehghani et al., 2016).
The use of antimicrobial drugs is often therapeutically recommended to avoid possible
complications due to infections (Jorge and Ribeiro, 1997; Palappallil, 2015). In this context,
medicinal plants exhibiting antimicrobial activity may be useful as a complement to serum therapy
for the treatment and prevention of local tissue damage (Silva et al., 2016).
As shown in Table 3, AEJg was able to inhibit the growth of S. epidermidis, S. aureus and B.
cereus, whereas no microorganism was sensitive to AEJm at the concentrations tested. This is an
interesting finding, as it points to a possible additional benefit of AEJg in the treatment of local
effects of snake venoms. In fact, it is often discussed in the literature that the presence of
tranquilizing, antioxidant, antimicrobial, immunostimulatory and/or anti-inflammatory activity in
certain plants may be of great interest for the relief of symptoms of snake envenoming (Houghton
and Osibogun, 1993; Shenoy et al., 2013). Thus, the present study contributes with additional
evidence regarding the potentiality of the species J. gossypiifolia for the adjuvant treatment of
bothropic envenomation.
Regarding safety, it is important to mention that in vitro hemolytic tests were performed, in which
it was observed that none of the extracts presented hemolytic activity at the concentrations used in
the antimicrobial assays, which suggests their low toxicity (data not shown). Previous studies
evaluating the cytotoxicity of AEJg against human embryonic kidney cells (HEK-293) also
demonstrated absence of cytotoxicity (Félix-Silva et al., 2014c). These are particularly interesting
findings for AEJg, as they demonstrate a certain specificity of the bioactive compounds against
bacterial cells, instead to cells of animal origin.
Based in our results, it can be suggested that the different quantitative chemical profile may
justify the different biological effects observed. Compounds present in a higher concentration in
AEJg (orientin, isoorientin, vitexin and isovitexin) may be involved, at least partially, in the effects of
the Jatropha species investigated. Previous studies have demonstrated different biological activities
of luteolin and apigenin flavonoids, as well as their C-glycosylated derivatives. For example,
apigenin and its analogous synthetic molecules were able to inhibit a number of toxic effects
induced by metalloproteinases, which is a class of toxins extremely involved in the genesis of local
effects induced by several snake venoms (Srinivasa et al., 2014). The flavonoid luteolin, as
previously described in literature, presents inhibitory action against hyaluronidase activity of
Crotalus adamenteus snake venom, another class of toxins highly related with toxicity of snake
venoms (Kuppusamy and Das, 1993). Other studies demonstrate other biological activities of
18
orientin and isoorientin (luteolin-derived C-glycosylated flavonoids) and vitexin and isovitexin
(apigenin-derived C-glycosylated flavonoids), such as anti-inflammatory, antioxidant and
antimicrobial activity (Bae, 2015; Das et al., 2016; Lv et al., 2016; Rosa et al., 2016; Sumalatha et
al., 2015). Studies are being carried out in our laboratory in order to isolate and evaluate the
bioactivity of these compounds, especially with regard to their antiophidic potential. However, it is
relevant to emphasize that, considering that plant extracts are a complex mixture of miscellaneous
chemical groups, many other active constituents in these extracts besides flavonoids may be
involved, acting by different mechanisms against several different toxins in snake venoms. In fact, in
many cases, the whole herbal extracts are more powerful than the isolated herbal compounds
(Fernandes et al., 2016; Gomes et al., 2010). So, further studies are also needed to verify the
potential role of minor compounds from these species in their antiophidic activity.
Interestingly, it is important to mention that J. gossypiifolia, due to its ethnopharmacological
relevance, is included in the National List of Medicinal Plants of Interest to Brazilian Public Health
System (RENISUS), which is a report published by the Brazilian Health Ministry that includes 71
species of medicinal plants with the potential to generate pharmaceutical products of interest in the
Brazilian public health system (Brasil, 2009). So, the promising pharmacological results observed in
the present study justify the inclusion of J. gossypiifolia in this list, reinforcing its potentiality for the
generation of pharmaceutical products.
Thus, in conclusion, this approach demonstrates that although used indistinctly in traditional
medicine, the species J. gossypiifolia is shown to be significantly more effective than J. mollissima
in relation to its inhibitory action against B. erythromelas edematogenic activity and antibacterial
activities, which in turn may be justified by different chemical composition among plant species,
especially with respect to a higher content of C-glycosylated flavonoids in the most active species.
With this study, more scientific evidence on the potentiality of the species J. gossypiifolia as a
complementary treatment against the local effects produced by bothropic venoms is presented. The
results obtained may be useful for the species distinction and quality control of future herbal
products based on plants of the genus Jatropha.
19
Author contributions
JFS, JASG, JMF, SMZ and MFFP designed all the experiments. JFS and JASG conducted the
collection of plant material, preparation of plant extracts and in vivo experiments. JFS, JASG and
JMF conducted the phytochemical analysis of plant extracts. AKCM and YASM conducted the
antibacterial tests of plant extracts. JFS, JASG, JMF, AKCM, YASM, ECGS, SMZ and MFFP
analyzed the data. ECGS, AASJ, DVT, SMZ and MFFP contributed with reagents, materials and/or
analysis tools. JFS, JASG, JMF, AKCM and YASM contributed in manuscript preparation. ECGS,
AASJ, DVT, SMZ and MFFP refined the manuscript for publication. All authors read and approved
the final manuscript.
20
Declaration of interest
Acknowledgements
This research was supported by grants from CAPES (grant number: 23038000814/2011-83) and
FAPERN (grant number: PRONEM/2011). M. F. Fernandes-Pedrosa and D. V. Tambourgi are
CNPq fellowship-honored researchers. J. Félix-Silva, J. A. S. Gomes, J. M. Fernandes and Y. A. S.
Menezes thank CAPES for PhD Scholarships. The funders had no role in study design, data
collection and analysis, decision to publish, or preparation of the manuscript.
22
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Graphical abstract