MODULATION OF KETAMINE-INDUCED MYOCARDIAL INFLAMMATION BY METHANOLIC EXTRACT AND BIOACTIVE FRACTIONS OF DACRYODES EDULIS IN WISTAR RATS: AN IMMUNOHISTOCHEMICAL EVALUATION OF TNF-Α AND IL-6 EXPRESSION
DOI:
https://doi.org/10.22159/ajpcr.2026v19i3.55942Keywords:
Dacryodes Edulis, ketamine, cardiotoxicity, flavanoids, Saponins, Interleukin-6, TNF-alpha,, Myocardial inflammation, mmunohistochemistry, Wistar ratsAbstract
Objective: Ketamine, a widely used anesthetic and recreational agent, is increasingly associated with dose-dependent cardiotoxicity, including inflammation and myocardial injury. This study evaluated the cardioprotective effects of Dacryodes edulis methanolic extract and its bioactive fractions (flavonoid, saponin, alkaloid) against ketamine-induced myocardial inflammation in adult Wistar rats, focusing on the immunohistochemical expression of pro-inflammatory cytokines interleukin-6 (IL-6) and tumor necrosis factor-alpha (TNF-α).
Methods: Forty-eight adult male Wistar rats (≈0.2 kg) were divided into eight groups. Myocardial inflammation was induced through intraperitoneal administration of ketamine at 100, 150, and 200 mg/kg/day for 21 days. Treatment groups received oral administration of “D. edulis” methanolic extract (142 mg/kg/day), saponin fraction (142 mg/kg/day), alkaloid fraction (192 mg/kg/day), or flavonoid fraction (164 mg/kg/day) for 21 consecutive days. Hearts were harvested for histological and immunohistochemical analysis, and IL-6 and TNF-α expressions were assessed semiquantitatively.
Results: Ketamine caused dose-dependent upregulation of IL-6 and TNF-α, with the highest expression observed at 200 mg/kg. Administration of the methanolic extract moderately reduced cytokine expression. The saponin fraction completely suppressed IL-6 and TNF-α, whereas the flavonoid fraction significantly attenuated expression, showing mild positivity. The alkaloid fraction failed to reduce cytokine levels and displayed marked expression similar to high-dose ketamine.
Conclusion: Ketamine induces dose-dependent myocardial inflammation through upregulation of IL-6 and TNF-α. The flavonoid and saponin fractions of D. edulis exert potent immunomodulatory and cardioprotective effects, with flavonoids showing the most consistent attenuation. These findings highlight the therapeutic potential of D. edulis phytochemicals in mitigating drug-induced cardiotoxicity and provide a basis for future studies exploring plant-based cardioprotective interventions.
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References
1. Kurdi MS, Theerth KA, Deva RS. Ketamine: Current applications in anesthesia, pain, and critical care. Anesth Essays Res. 2014;8(3): 283-90. doi: 10.4103/0259-1162.143110, PMID 25886322
2. Simmons B, Kuo A. Analgesics, tranquilizers, and sedatives. In: Brown DL, editor. Cardiac Intensive Care. 3rd ed. Netherlands: Elsevier; 2019. p. 421-31.e5. doi: 10.1016/b978-0-323-52993-8.00040-0
3. Duman RS. Ketamine and rapid-acting antidepressants: A new era in the battle against depression and suicide. F1000Res. 2018;7. doi: 10.12688/f1000research.14344.1, PMID 29899972
4. Kim JW, Suzuki K, Kavalali ET, Monteggia LM. Bridging rapid and sustained antidepressant effects of ketamine. Trends Mol Med. 2023;29(5):364-75. doi: 10.1016/j.molmed.2023.02.003, PMID 36907686
5. Yadav M, Jindal DK, Dhingra MS, Kumar A, Parle M, Dhingra S. Protective effect of gallic acid in experimental model of ketamine-induced psychosis: Possible behaviour, biochemical, neurochemical and cellular alterations. Inflammopharmacology. 2018;26(2):413-24. doi: 10.1007/s10787-017-0366-8, PMID 28577133
6. Uahomo PO, Isirima JC. Attenuating ketamine-induced nephrotoxicity with Bryophyllum pinnatum extract: Biochemical and histological investigation. J Complement Altern Med Res. 2025;26(1):21-36. doi: 10.9734/jocamr/2025/v26i1612
7. Afshar Ghahremani S, Raisi A, Minaei Beirami S, Kahroba H, Mardani M, Dezfoulian O, et al. Curcumin alleviates inflammatory effects of ketamine anesthesia in postnatal rats. Vet Res Forum. 2024;15(9): 473-80. doi: 10.30466/vrf.2024.2018359.4107, PMID 39564472
8. Uahomo PO, Isirima JC. Neuroprotective effects of Bryophyllum pinnatum against ketamine-induced neurotoxicity in Wistar rats: Neurochemical, oxidative stress, and histological investigation. Int Neuropsychiatr Dis J. 2024;21(6):19-40. doi: 10.9734/indj/2024/ v21i6452
9. Anyiom OP, Julius A, Raymond UO, Andrew Donatus A, Gbenga E, Ugbaka AC, et al. High doses of ketamine inflict myocardial injury and cause changes in the relative body weight to heart of adult albino Wistar rats. Asian J Pharm Clin Res. 2024;17(3):24-8. doi: 10.22159/ ajpcr.2024.v17i3.49464
10. Ölmeztürk Karakurt TC, Emir İ, Bedir Z, Ozkaloglu Erdem KT, Süleyman H, Sarıgül C, et al. Effects of carvacrol on ketamine-induced cardiac injury in rats: An experimental study. Drug Chem Toxicol. 2024 Mar;47(2):166-71. doi: 10.1080/01480545.2022.2155664, PMID 36511184
11. Cetin N, Suleyman B, Altuner D, Kuyrukluyildiz U, Ozcicek F, Coskun R, et al. Effect of disulfiram on ketamine-induced cardiotoxicity in rats. Int J Clin Exp Med. 2015;8(8):13540-7. PMID 26550292
12. Li Y, Shi J, Yang BF, Liu L, Han CL, Li WM, et al. Ketamine-induced ventricular structural, sympathetic and electrophysiological remodelling: Pathological consequences and protective effects of metoprolol. Br J Pharmacol. 2012;165(6):1748-56. doi: 10.1111/j.1476- 5381.2011.01635.x, PMID 21883145
13. Franco LG, Wilges CH, Junior DP, Cerejo SA, Nishimura LT, Bittar IP. Effects of ketamine constant rate infusions on cardiac biomarkers and cardiac function in dogs. Vet Anaesth Analg. 2018;45(3):250-9. doi: 10.1016/j.vaa.2017.10.007, PMID 29534859
14. Prabhu SD, Frangogiannis NG. The biological basis for cardiac repair after myocardial infarction: From inflammation to fibrosis. Circ Res. 2016;119(1):91-112. doi: 10.1161/circresaha.116.303577, PMID 27340270
15. Rolski F, Błyszczuk P. Complexity of TNF-α signaling in heart disease. J Clin Med. 2020 Oct 12;9(10):3267. doi: 10.3390/jcm9103267, PMID 33053859, PMCID PMC7601316
16. Agaba EA, Ujah WO, Anani SE, Umoh NM, Kenyoh EK, Bassey EK, et al. Protective effects of flavonoid-rich and saponin-rich fractions from Cyperus esculentus and Phoenix dactylifera on aluminum chloride-induced testicular damage in male Wistar rats. J Complement Altern Med Res. 2025a;26(3):18-34. doi: 10.9734/jocamr/2025/v26i3632
17. Isamoh TE, Mba EE, Oku ME, Umoh NM, Odom MI, Peter E, et al. Gallic acid: A potential therapeutic agent for managing diabetes-associated neuroinflammation and cognitive decline. Niger J Neurosci. 2015;16(1):1-8. doi: 10.47081/njn2025.16.1/001
18. Santiago LÂ, Neto RN, Santos Ataíde AC, Fonseca DC, Soares EF, De Sá Sousa JC, et al. Flavonoids, alkaloids and saponins: Are these plant-derived compounds an alternative to the treatment of rheumatoid arthritis? A literature review. Clin Phytosci. 2021;7(1):58. doi: 10.1186/ s40816-021-00291-3
19. Ullah A, Munir S, Badshah SL, Khan N, Ghani L, Poulson BG, et al. Important flavonoids and their role as a therapeutic agent. Molecules. 2020;25(22):5243. doi: 10.3390/molecules25225243, PMID 33187049
20. Jomova K, Alomar SY, Valko R, Liska J, Nepovimova E, Kuca K, et al. Flavonoids and their role in oxidative stress, inflammation, and human diseases. Chem Biol Interact. 2025;413:111489. doi: 10.1016/j. cbi.2025.111489, PMID 40147618
21. Kipkemoi DJ, Ireri AM, Ngugi MP. Cognitive enhancing properties of aqueous leaf extract of Vigna unguiculata in ketamine-induced memory damage in mice. J Adv Biotechnol Exp Ther. 2023;6(1):231-42. doi: 10.5455/jabet.2023.d121
22. Zhang Y, Sha R, Wang K, Li H, Yan B, Zhou N. Protective effects of tetrahydropalmatine against ketamine-induced learning and memory injury via antioxidative, anti-inflammatory and anti-apoptotic mechanisms in mice. Mol Med Rep. 2018;17(5):6873-80. doi: 10.3892/ mmr.2018.8700, PMID 29512789
23. Tee LH, Yang B, Nagendra KP, Ramanan RN, Sun J, Chan ES, et al. Nutritional compositions and bioactivities of Dacryodes species: A review. Food Chem. 2014;165:247-55. doi: 10.1016/j. foodchem.2014.05.084, PMID 25038673
24. Aponjolosun BS, Fasola TR. Phytochemical, antimicrobial and toxicity assessment of Dacryodes edulis (G. Don.) H. J. Lam leaf extracts. Afr J Biomed Res. 2022 Jan;25:101-6.
25. Rahul, Singh AP, Singh AP. Cardioprotective herbs: An updated review. Int J Curr Pharm Res. 2025 Jul;17(4):21-5. doi: 10.22159/ ijcpr.2025v17i4.7013
26. Seal T, Pillai B. Phenolic and antioxidant alterations in wild edibles under different cooking methods. Int J Pharm Pharm Sci. 2025 Sep;17(10):15-22. doi: 10.22159/ijpps.2025v17i10.55877
27. Priyanka LG, Bharat BJ, Krishna KL. Neuroprotective effects of donepezil and fluoxetine via GSK-3 pathway in a transgenic Drosophila model of Alzheimer’s disease: Neuropsychiatric and behavioural analysis. Int J Appl Pharm. 2025;17(6):232-40. doi: 10.22159/ ijap.2025v17i6.55475
28. Gonfa YH, Tessema FB, Bachheti A, Rai N, Tadesse MG, Nasser Singab A, et al. Anti-inflammatory activity of phytochemicals from medicinal plants and their nanoparticles: A review. Curr Res Biotechnol. 2023;6:100152. doi: 10.1016/j.crbiot.2023.100152
29. Anani SE, Nnenna WA, Agaba EA, Umoh NM, Bassey IF, Eru EM, et al. Neuroprotective effect of Dacryodes edulis ethanolic leaf extract on the hippocampus of rats of ketamine-induced neurotoxicity. Asian J Res Rep Neurol. 2024;7(1):130-45.
30. Ruparelia N, Digby JE, Jefferson A, Medway DJ, Neubauer S, Lygate CA, et al. Myocardial infarction causes inflammation and leukocyte recruitment at remote sites in the myocardium and in the renal glomerulus. Inflamm Res. 2013 May;62(5):515-25. doi: 10.1007/ s00011-013-0605-4, PMID 23471223, PMCID PMC3625409
31. Aydin M, Tekin IO, Dogan SM, Yildirim N, Arasli M, Sayin MR, et al. The levels of tumor necrosis factor-alpha and interleukin-6 in patients with isolated coronary artery ectasia. Mediators Inflamm. 2009;2009:106145. doi: 10.1155/2009/106145, PMID 19551157, PMCID PMC2699491
32. Hirano T. IL-6 in inflammation, autoimmunity and cancer. Int Immunol. 2021 Mar 1;33(3):127-48. doi: 10.1093/intimm/dxaa078, PMID 33337480, PMCID PMC7799025
33. Li H, Chen C, Wang DW. Inflammatory cytokines, immune cells, and organ interactions in heart failure. Front Physiol. 2021 Jul 1;12:695047. doi: 10.3389/fphys.2021.695047, PMID 34276413, PMCID PMC8281681
34. Bhat IU, Bhat R. Quercetin: A bioactive compound imparting cardiovascular and neuroprotective benefits: Scope for exploring fresh produce, their wastes, and By-Products. Biology (Basel). 2021 Jun 26;10(7):586. doi: 10.3390/biology10070586, PMID 34206761, PMCID PMC830114035. Nyamweya B, Rukshala D, Fernando N, de Silva R, Premawansa S, Handunnetti S. Cardioprotective effects of Vitex negundo: a review of bioactive extracts and compounds. J Evid Based Integr Med. 2023;28:2515690X231176622. doi: 10.1177/2515690X231176622. PMID: 37279951. PMCID: PMC10259128.
36. Majinda RR. Extraction and isolation of saponins. Methods Mol Biol. 2012;864:415-26. doi: 10.1007/978-1-61779-624-1_16
37. Yubin J, Miao Y, Bing W, Yao Z. The extraction, separation and purification of alkaloids in the natural medicine. J Chem Pharm Res. 2014;6(1):338-45.
38. Khaerunnisa S, Aminah NS, Kristanti AN, Kuswarini S, Wungu CD, Soetjipto S, et al. Isolation and identification of a flavonoid compound and in vivo lipid-lowering properties of Imperata cylindrica. Biomed Rep. 2020;13(5):38. doi: 10.3892/br.2020.1345, PMID 32934811
39. Pakale DP, Khanwelkar C, Thorat V, Jadhav S, Tiwari DD. Study of the analgesic activity of the aqueous and methanolic extracts of fresh rhizome of Zingiber officinale in Wistar rats. Cureus. 2024 Nov 22;16(11):e74219. doi: 10.7759/cureus.74219, PMID 39712735, PMCID PMC11663535
40. Cetin N, Menevse E, Ceylan C, Celik ZE, Akdam N, Rama ST, et al. Histopathological and biochemical evaluation of the protective efficacy of Prunus spinosa L. Extract in a rat model of indomethacin-induced gastric ulcer. Iran J Basic Med Sci. 2024;27(11):1464-74. doi: 10.22038/ ijbms.2024.78382.16941, PMID 39386230, PMCID PMC11459347
41. Kopra E, Mondelli V, Pariante C, Nikkheslat N. Ketamine’s effect on inflammation and kynurenine pathway in depression: A systematic review. J Psychopharmacol. 2021;35(8):934-45. doi: 10.1177/02698811211026426, PMID 34180293
42. Lisek M, Zylinska L, Boczek T. Ketamine and calcium signaling-a crosstalk for neuronal physiology and pathology. Int J Mol Sci. 2020;21(21):8410. doi: 10.3390/ijms21218410, PMID 33182497
43. Sleigh J, Harvey M, Voss L, Denny B. Ketamine - more mechanisms of action than just NMDA blockade. Trends Anaesth Crit Care. 2014; 4(2-3):76-81. doi: 10.1016/j.tacc.2014.03.002
44. Nwankwo NE, Ezeako EC, Nworah FN, Ogara AL, Oka SA, Aham EC, et al. Bioactive compounds, anti-inflammatory, anti-nociceptive and antioxidant potentials of ethanolic leaf fraction of Sida linifolia L. (Malvaceae). Arab J Chem. 2023;16(1):104398. doi: 10.1016/j.arabjc.2022.104398
45. Agaba EA, Ujah WO, Enang KB, Fischer VA, Emmanuel IO, Adie CU. Protective effects of Flavonoids-rich and saponins-rich extracts from tiger nuts and date fruits on prostate histoarchitechture in aluminum-exposed Wistar Rats. J Complement Altern Med Res. 2025;26(1):1-11. doi: 10.9734/jocamr/2025/v26i1610
46. Xiong B, Wang H, Song YX, Lan WY, Li J, Wang F. Natural saponins and macrophage polarization: Mechanistic insights and therapeutic perspectives in disease management. Front Pharmacol. 2025;16:1584035. doi: 10.3389/fphar.2025.1584035, PMID 40417220
47. Neag MA, Mocan A, Echeverría J, Pop RM, Bocsan CI, Crişan G, et al. Berberine: Botanical occurrence, traditional uses, extraction methods, and relevance in cardiovascular, metabolic, hepatic, and renal disorders. Front Pharmacol. 2018;9:557. doi: 10.3389/fphar.2018.00557, PMID 30186157
48. Gjorgieva Ackova D, Maksimova V, Smilkov K, Buttari B, Arese M, Saso L. Alkaloids as natural NRF2 inhibitors: Chemoprevention and cytotoxic action in cancer. Pharmaceuticals (Basel). 2023;16(6):850. doi: 10.3390/ph16060850, PMID 37375797
49. Simos YV, Verginadis II, Toliopoulos IK, Velalopoulou AP, Karagounis IV, Karkabounas SC, et al. Effects of catechin and epicatechin on superoxide dismutase and glutathione peroxidase activity, in vivo. Redox Rep. 2012;17(5):181-6. doi: 10.1179/1351000212y.0000000020, PMID 22889828
50. Rampogu S, Balasubramaniyam T, Lee JH. Phytotherapeutic applications of alkaloids in treating breast cancer. Biomed Pharmacother. 2022;155:113760. doi: 10.1016/j.biopha.2022.113760, PMID 36271547
51. Dey P, Kundu A, Kumar A, Gupta M, Lee BM, Bhakta T, et al. Analysis of alkaloids (indole alkaloids, isoquinoline alkaloids, tropane alkaloids). In: Recent Advances in Natural Products Analysis. Amsterdam: Elsevier; 2020. p. 505-67. doi: 10.1016/b978-0-12-816455-6.00015-9, PMCID PMC7153348
52. Yang JF, Gong X, Bakh NA, Carr K, Phillips NF, Ismail-Beigi F, et al. Connecting rodent and human pharmacokinetic models for the design and translation of glucose-responsive insulin. Diabetes. 2020 Aug;69(8):1815-26. doi: 10.2337/db19-0879, PMID 32152206, PMCID PMC8176262
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