Journal of Ethnopharmacology 75 (2001) 125– 132 www.elsevier.com/locate/jethpharm Topical anti-inflammatory activity of Sal6ia officinalis L. leaves: the relevance of ursolic acid D. Baricevic a,*, S. Sosa b, R. Della Loggia b, A. Tubaro b, B. Simonovska c, A. Krasna c, A. Zupancic a a Agronomy Department, Biotechnical Faculty, Uni6ersity of Ljubljana, 1111 Ljubljana, Slo6enia b DEMREP, Uni6ersity of Trieste, Via A. Valerio 6, 34100 Trieste, Italy c National Institute of Chemistry Ljubljana, Hajdriho6a 19, 1111 Ljubljana, Slo6enia Received 15 September 2000; received in revised form 6 November 2000; accepted 5 December 2000 Abstract Sal6ia officinalis L. leaves, obtained from four plant populations of different origin, were investigated for their topical anti-inflammatory properties. The n-hexane and the chloroform extracts dose-dependently inhibited the Croton oil-induced ear oedema in mice, the chloroform extracts being the most active. By contrast, the methanol extracts showed a very low effect and the essential oil was inactive. Chemical and pharmacological investigation of the most potent chloroform extract, issued from an autochthonous sage population grown in the submediterranean climatic region of Slovenia, revealed ursolic acid as the main component involved in its anti-inflammatory activity. The anti-inflammatory effect of ursolic acid (ID50 = 0.14 mMoles/cm2) was two fold more potent than that of indomethacin (ID50 = 0.26 mMoles/cm2), which was used as a reference non-steroidal anti-inflammatory drug (NSAID). The content of ursolic acid in sage and sage-based remedies for the topical treatment of inflammatory diseases is proposed as a parameter for quality control purposes. © 2001 Elsevier Science Ireland Ltd. All rights reserved. Keywords: Sal6ia officinalis; Lamiaceae; Anti-inflammatory activity; Plant extracts; Ursolic acid 1. Introduction The leaves of sage (Sal6ia officinalis L., Lamiaceae) are well known for their anti-oxidative properties (Chipault et al., 1956; Farag et al., 1989; Lamaison et al., 1990; Schwarz and Ternes, 1992; Cuvelier et al., 1994; Hohmann et al., 1999; Baricevic and Bartol, 2000), used in the food processing industry but applicable also to the area of human health (Pearson et al., 1997). The plant is reported to have a wide range of biological activities, such as anti-bacterial, fungistatic, virustatic, astringent, eupeptic and anti-hydrotic effects (Dobrynin et al., 1976; Cherevatyıˆ et al., 1980; Anonymus, 1985; Farag et al., 1986). The anti-microbial properties as well as the tannins’ based astringent activities of sage (active ingredient of dental-care herbal medicinal preparations) benefit the reduction in plaque * Corresponding author. Fax: +386-61-4231161. E-mail address: [email protected] (D. Baricevic). growth, the inhibition of gingival inflammation and have positive effects on caries prophylaxis (Willershausen et al., 1991). Furthermore, due to the anti-viral activity of its water and alcohol extracts, sage is included as an active ingredient also in combined plant preparations for the treatment of acute and chronic bronchitis, officially approved for clinical use in Bulgaria (Manolova et al., 1995). Other experimental studies on sage extracts or sage essential oil showed hypotensive properties, central nervous system-depressant actions and anti-spasmodic activity (Newall et al., 1996), while the antimutagenic potential of sage extracts was demonstrated on Escherichia coli repair proficient strains (Baricevic et al., 1996; Filipic and Baricevic, 1997, 1998). Some constituents of the plant, such as the triterpenes oleanolic and ursolic acids or the diterpene carnosol, were shown to present anti-inflammatory properties or related biological activities (Tokuda et al., 1986; Huang et al., 1994; Liu, 1995). Nevertheless, the anti-inflammatory 0378-8741/01/$ - see front matter © 2001 Elsevier Science Ireland Ltd. All rights reserved. PII: S 0 3 7 8 - 8 7 4 1 ( 0 0 ) 0 0 3 9 6 - 2 126 D. Barice6ic et al. / Journal of Ethnopharmacology 75 (2001) 125–132 activity of sage and the role of these components in the anti-phlogistic action of the plant are not yet clearly defined. Therefore, S. officinalis leaves were investigated for their anti-inflammatory property in order to identify the main compounds involved in this pharmacological activity. Four different samples of sage were used also to verify possible variations in the activity due to the genotype impact. One sample was obtained from autochthonous plants of the submediterranean area of Slovenia, while the other three samples were obtained from sage populations of known origin, introduced in the Slovenian prealpine area. Each sample was extracted by different solvents and the obtained extracts were evaluated for their ability to inhibit the Croton oil-induced ear oedema in mice, after topical application (Tubaro et al., 1985). The most active extract was fractionated in order to find the active principles. Suspected active ingredients were identified by HPLC-UVMS/MS method (Andrensˇek et al., 1999), and fragmentation spectra of parent ion of external standard were compared to those of the most pharmacologically active fraction to assure the identity of the active compound. 2. Materials and methods 2.1. Plant material Samples of Sal6ia officinalis L. leaves were obtained from spontaneous plants grown in their natural habitat (sample 1): ‘Petrinje’, autochthonous population of the submediterranean area of Slovenia, Voucher Nr.DB 13/6-1) or from introduced plant populations grown in the prealpine region of Slovenia (Genebank Collection of Medicinal and Aromatic Plants MEDPLANT; sample 2: ‘Petrinje’-population original from the submediterranean area, Voucher Nr.DB 13/6; sample 3: ‘Extracta’-population original from Wies, Austria, Voucher Nr. Pelz 13/1; sample 4: ‘SALV 25/89’-population original from Gatersleben Genebank, Germany, Voucher Nr. Ham 13). The plants, harvested at their full bloom period, were dried in hot-air dryer at 40°C until constant weight was recorded. The dried leaves, separated from the stems, were pulverised (sieve No. 0.75) in a mortar grinder and preserved in dark glass containers until their extraction. and extracts were dried under a nitrogen gas flow. The dry plant samples (20 g) were submitted also to steam distillation in a Clevenger-type apparatus with 200 ml of water for 2 h to obtain the relevant essential oil. 2.3. Fractionation of the chloroform extract The dry chloroform extract obtained from sample 1 was fractionated following the scheme presented in Fig. 1. The extract, dissolved in acetone, was bleached with active carbon and, after filtration, fraction I and a residue adsorbed on the carbon were obtained. Fraction I was then separated into fractions II and III, following the method of Wu et al. (1982), slightly modified: 20 ml water were added to 20 ml of fraction I — acetone solution obtaining a precipitate (fraction II) and a supernatant (fraction III). 2.4. High performance thin-layer chromatography (HPTLC) Silica gel 60 HPTLC plates (10× 20 cm) with or without fluorescent indicator (Merck, Darmstadt, Germany) were used. The mobile phase consisted of benzene, ethyl acetate and formic acid (36:12:5, v/v). The samples and reference substances under analysis were dissolved in methanol or in acetone (carnosol and n-hexane extracts) and 20 ml solutions (0.1 mg/ml) were applied as 8 mm bands 15 mm from the lower edge of the plate by means of the Linomat IV spotter (Camag, Muttenz, Switzerland). The plates were developed in an ascending one-dimensional mode in a saturated glass chamber. The migration distance of the eluent was 6 cm (separation time: about 15 min). After separation, the plates were dried and the chromatographic bands were 2.2. Extraction of plant material Dried and pulverised leaves (about 30 g) were submitted to three successive extractions with 400 ml of n-hexane, chloroform or methanol in a Soxhlet apparatus for 24 h. After each extraction, the solvents were evaporated by Rotavapor (Bu¨chi, Flawil, Switzerland) Fig. 1. Fractionation scheme of the chloroform extract of sage sample 1. D. Barice6ic et al. / Journal of Ethnopharmacology 75 (2001) 125–132 detected after spraying the plates with anisaldehyde-sulphuric acid reagent or molybdophosphoric acid reagent, and observing the plates at 254, 366 or 560 nm (Jork et al., 1989). The following reference substances were used: oleanolic acid, ursolic acid (Sigma-Aldrich Chemie GmbH, Germany), b-sitosterol, kaempferol, p-coumaric acid, rosmarinic acid, luteolin, luteolin-7-glucoside, apigenin, apigenin-7-glucoside (K. Roth, Karlsruhe, Germany; Fluka, Buchs, Switzerland; Aldrich, Milwaukee, USA) and carnosol (a kind gift from our colleague M. Pukl). Densitometric analysis of the developed plate was carried out to quantify the carnosol and ursolic acid. The carnosol was quantified by densitometric scanning of the developed plate at 300 nm without derivatization, while the ursolic and oleanolic acids were evaluated after derivatization with anisaldehyde or molybdophosphoric reagent at 560 nm (Camag TLC scanner under software control, Muttenz, Switzerland). Both derivatization reagents gave comparable results. However, anisaldehyde was more convenient for separation purposes due to the broader colour range for different compounds. 2.5. High performance liquid chromatography (HPLC) -UV-Mass spectrometry (MS) The detection and identification of ursolic acid in fraction II of chloroform extract was performed on HPLC-UV-MS system consisting of a pump LDC ConstaMetric 4100 (Thermo Separation Products-TSP, Riviera Beach, CA, USA), a Rheodyne 8125 injector (20 ml) (contact closure; Rheodyne, USA), a LDC Spectromonitor 3200 (TSP) and ion trap LCQ mass spectrometer (Finnigan, MAT, San Jose, CA, USA). Chromatographic conditions: a stainless-steel column (150×4.6 mm I.D.; Merck, Darmstadt, Germany) packed with Hypersil ODS (5 m) was used for in line separation of ursolic acid with mobile phase consisted of acetonitril/bi-destilled water mixture in volume ratio 4/1. Flow rate was 2 ml/min. Retention time of ursolic acid standard was 3.71 min. Injection volume was 20 ml. Mass detection conditions: capillary temperature was set at 139.1°C, capillary voltage at −17.25 V, vaporiser temperature at 403°C, sheat gas flow (N2) rate at 0.46 MPa; auxiliary gas flow (N2) rate at 0.16 MPa, tube lens offset at − 15.0 V, discharge voltage at 2.3 kV, discharge current was 5.0 mA and multiplier voltage was − 950 V. An atmospheric pressure chemical ionisation (APCI) interface was used for direct in-line sample introduction into mass detector after HPLC separation and UV detection at 225 nm and negative ions scan mode was used. For identification of ursolic acid HPLC/UV/MS measurement of fraction II was made and compared with external standard of ursolic acid 127 (Sigma-Aldrich Chemie GmbH, Germany). Parent ion mass of ursolic acid (standard) was 455.5 and isolation peak width was 1.0 mass unit (Fig. 2A). 2.6. Topical anti-inflammatory acti6ity Topical anti-inflammatory activity was evaluated as an inhibition of the Croton oil-induced ear oedema in mice (Tubaro et al., 1985). Male Albino Swiss mice (28 –32 g; Harlan Italy, S. Pietro al Natisone, Italy) were anaesthetised with Ketalar® (145 mg/kg, intraperitoneally; Parke Davis, Milano, Italy). Cutaneous inflammation was induced by application of 15 ml of an acetone solution containing the irritant (75 mg of Croton oil; Sigma, St. Louis, USA) and the appropriate amount of the substances under testing to the inner surface of the right ear of mice (surface: about 1 cm2). The left ear remained untreated. Control animals received only the irritant. Six hours later, the mice were sacrificed and a plug (6 mm ¥) was removed from both the treated and the untreated ears. The oedematous response was measured as the weight difference between the two plugs. The anti-inflammatory activity was expressed as a percentage of the oedema reduction in treated mice compared to the control mice. At least two experimental groups of five animals were tested for each dose level. As a reference, the non-steroidal antiinflammatory drug (NSAID) indomethacin was used. The experimental design was approved by the ethical committee of the University of Trieste. 2.7. Statistical analysis The pharmacological data were analysed by Student’s t-test, and a probability level lower than 0.05 was considered to be significant. The doses inhibiting the oedematous response by 50% (ID50) were calculated by graphic interpolation of the dose-effect curves. 3. Results 3.1. Extraction yields of plant material The essential oil contents (%) and extraction yields (w/w) of the four sage samples are reported in Table 1, while the yields of fractionation of the chloroform extract from sample 1 (the most active extract; see the pharmacological activity) are reported in Fig. 1. 3.2. High performance thin-layer chromatography (HPTLC) HPTLC analysis of n-hexane, chloroform and methanol extracts revealed different chromatographic profiles. In particular, the n-hexane (with carnosol as 128 D. Barice6ic et al. / Journal of Ethnopharmacology 75 (2001) 125–132 Fig. 2. Chromatograms and spectra — A, shows the standard solution of ursolic acid and B shows the chromatrograms and related spectra of the fraction II of the chloroform extract of sage (Sal6ia officialis L.) sample 1. The fitting of Rt and fragmentation spectra of standard and extracted specie clearly confirms the presence of ursolic acid in the fraction II. the main band at Rf =0.62) and the methanol extracts (with prevalent rosmarinic acid at Rf =0.15 and caffeic acid at Rf = 0.41) were characterised by chromatographic lanes in the upper and in the lower part of the plate, respectively, whereas the chloroform extracts showed the presence of several bands along the entire developing path. The chloroform extracts revealed a pronounced band (Rf =0.65), corresponding to ursolic and oleanolic acid. This band was observed also in fractions I and II obtained from the chloroform extract of sample 1, and, less pronounced, in the n-hexane extracts. Amongst the reference substances tested, bsitosterol (Rf = 0.66) was well separated from ursolic and oleanolic acid. The band of carnosol (Rf =0.62) coloured green with fresh anisaldehyde reagent and turned to red in a few hours. Kaempferol (orange with anisaldehyde) and p-coumaric acid (pink) were not separated (Rf = 0.45). Apigenin and luteolin gave yellow bands at Rf = 0.35 and Rf =0.23, respectively, while luteolin-7-glucoside and apigenin-7-glucoside remained at start as expected. No differences in qualitative composition of four plant samples were identified. Qualitative HPTLC analyses of the chloroform extract of sample 1 differentiated the ursolic and oleanolic acid through their different fluorescence after deriva- tization with anisaldehyde and observation at 366 nm, i.e. the yellow fluorescence of ursolic acid and the blue one of oleanolic acid. Moreover, a subsequent densitometric evaluation of the developed plate identified ursolic acid as the main constituent of the band. The densitometric method was then adopted to quantify ursolic acid in the chloroform extract of sample 1, in fractions I, II and III as well as in the relevant n-hexane extract. The sage constituent carnosol, known for its anti-inflammatory activity (Huang et al., 1994), was quantified too. Table 2 shows the results of densitometric quantification of ursolic acid and of carnosol in pharmacologically active sage extracts of sample 1 and their fractions. 3.3. High performance liquid chromatography (HPLC) -UV-Mass spectrometry (MS) The identity of HPLC/UV peak (Rt= 3.73) recorded on fraction II sample was subjected to MS/MS spectral analysis. Comparison of the MS/MS spectra of ursolic acid standard (Fig. 2A) and that of fraction II (Fig. 2B) after fragmentation of parent ion at m/z range 454.5 – 456.5, together with retention time (UV-MS detection) clearly confirms ursolic acid as the main component of the fraction II. D. Barice6ic et al. / Journal of Ethnopharmacology 75 (2001) 125–132 129 Table 1 Essential oil contents and extraction yields of samples of Sal6ia officinalis L. leaves Sample 1 2 3 4 Essential oil content Dried plant n-hexane extract Chloroform extract Methanol extract (%) (g) (g) (%) (g) (%) (g) (%) 1.91 1.74 1.99 1.76 30.44 27.21 29.10 27.93 4.10 2.58 2.04 2.05 13.47 9.48 7.01 7.34 1.51 1.41 1.07 1.24 4.96 5.18 3.68 4.44 6.83 2.71 2.77 3.29 22.44 9.96 9.52 11.78 3.4. Topical anti-inflammatory acti6ity The essential oil of S. officinalis L. samples did not show any anti-inflammatory effect after topical application (data not shown). By contrast, the n-hexane and chloroform extracts obtained from all the four sage samples induced a dose-dependent oedema-inhibition, whereas the methanol extracts were almost inactive (Table 3). Moreover, considering the extraction yields for each extract, a drug equivalent (D.E.) value can be derived from the ID50 values. It represents the amount of crude drug yielding the ID50 of that extract. The D.E. value of an extract represents therefore the contribution of this extract to the activity of the crude drug, in the sense that a low D.E. value indicates a high contribution to the activity. From the D.E. data reported in Table 3 it can be seen that for all samples the chloroform extracts gave a higher contribution to the activity of the S. officinalis L. leaves than the n-hexane ones. Furthermore, sample 1 proved to be the most active since both the D.E. of its chloroform and n-hexane extracts were lower than those of the other three samples. Therefore, the chloroform extract from sample 1 was further investigated, evaluating the activity of its fractions I, II and III, at doses corresponding to 300 mg/cm2 of the extract (Table 4). Fraction I revealed an activity similar to that of the chloroform extract (85 and 91% inhibition, respectively), showing that the bleaching procedure of the extract did not remove significant amounts of its active principles. The activity passed entirely from fraction I into fraction II, which induced 91% oedema reduction, whereas fraction III inhibited the oedematous response only by 18%. The same doses of fractions II and III, given together, provoked an almost complete inhibition of the oedematous response (Table 4). 4. Discussion The results of the study showed, that chloroform extracts of all four sage samples tested were more active that the n-hexane extracts since their ID50 values (dose inducing 50% oedema inhibition) ranged between 105.9 and 139.7 mg/cm2, being lower than those of the n-hexane extracts (ID50 = 438.5 –683.2 mg/cm2). When considering chloroform extracts derived from different sample sources, the extract of sample 1 proved to be anti-inflammatory the most potent (ID50 = 105.9 mg/ cm2). Fractionation of sample 1 (spontaneous sage population from the submediterranean area) chloroform extract yielded about 60% of fraction I, 45% of fraction II, 15% of fraction III and about 40% of fraction IV, fraction II being anti-inflammatory the most active. Since the chemical analyses of fraction II revealed ursolic acid as its main component, the antiinflammatory activity of this triterpenoid was evaluated, in comparison to that of oleanolic acid and of the NSAID indomethacin. Both triterpenoid acids induced a dose-dependent oedema inhibition. In particular, ursolic acid reduced the oedematous response by 35% at the dose of 0.1 mMoles/cm2, reaching 84% inhibition at 0.4 mMoles/cm2, whereas the oedema inhibition induced by oleanolic acid was lower and ranged from 11 to 74%, at the dose range of 0.1 –1 mMole/cm2. The reference drug indomethacin, administered at 0.12 –0.50 mMoles/cm2, provoked an oedema inhibition ranging from 29 to 77% (Table 5). The ID50 values of ursolic acid, oleanolic acid and indomethacin were 0.14, 0.36 and 0.26 mMoles/cm2, the first compound being about three and two-fold more potent than oleanolic acid and the NSAID, respectively. In the chloroform extract carnosol was detected, but quantification was not possible, because of interference with a high amount of ursolic acid present in this Table 2 Ursolic acid and carnosol contents in the active fractions of sage sample 1 Sample Ursolic acid (mg/g) Carnosol (mg/g) n-hexane extract Chloroform extract Fraction I Fraction II Fraction III 66 480 756 980 88 82.5 15.0a 25.5a n.d. 102.5 a Calculated from the yield and content of carnosol in fraction III, where interference with ursolic acid was eliminated. D. Barice6ic et al. / Journal of Ethnopharmacology 75 (2001) 125–132 130 Table 3 Percent oedema inhibition and ID50 values of Sal6ia officinalis L. extracts Substance Dose (mg) Sample 1 Sample 2 Sample 3 Sample 4 n-hexane extr. 100 300 1000 18.6 28.6 60.0 20.6 26.5 67.6 4.2 47.9 69.0 26.8 46.5 60.6 ID50 (mg) D.E. (mg)a 683.2 5.07 549.6 5.80 438.5 6.26 448.4 6.11 50 75 100 150 200 300 1000 14.3 – 52.9 – 78.6 91.4 98.6 – – 35.3 55.9 – 86.8 92.6 – 14.1 – 63.4 – 83.1 – 26.8 39.4 60.6 – 88.7 95.8 ID50 (mg) D.E. (mg)a 105.9 2.13 135.0 2.61 139.7 3.80 124.3 2.80 100 300 1000 2.9 22.9 28.6 1.5 22.1 22.1 – – 9.9 – – 26.8 ID50 (mg) D.E. (mg)a \1000 \4.46 \1000 \10.04 \1000 \10.51 \1000 \8.49 Chloroform extr. Methanol extr. a D.E.=ID50 expressed equivalents of crude drug. extract. So, carnosol was quantitatively determined after separation of ursolic acid (in fractionation procedure), i.e. in fraction III, where ursolic acid was found in a much lower concentration. The obtained results, reported in Table 2 show, that ursolic acid was more concentrated in the chloroform extract than in the n-hexane one. The triterpenic acid passed from the chloroform extract into fraction I and then into fraction II, which was constituted almost completely of ursolic acid. By contrast, the carnosol was more concentrated in the n-hexane extract than in the chloroform one; the little amount present in the chloroform extract passed almost completely into the fraction III. Since ursolic acid represents about 50% of the chloroform extract, its potency (ID50 =0.14 mMoles/ cm2, corresponding to 63.9 mg/cm2) was sufficient to account for the activity of the extract (ID50 = 105.9 mg/cm2). By contrast, the potency of oleanolic acid (ID50 =0.36 mMoles/cm2, corresponding to 164.4 mg/cm2) was too low to justify the chloroform extract activity. Therefore, in accordance with the chemical results which showed ursolic acid as the main component of the chloroform extract and of its fractions I and II, these findings demonstrate the crucial role of this triterpenoid in their anti-inflammatory activity. 5. Conclusions The chloroform extracts of Sal6ia officinalis L. leaves showed strong anti-inflammatory properties after topical application. This activity was influenced by the plant source. Sample 1, which originated from a spontaneous plant population of the Slovenian submediterranean area, proved to be the most active among the four samples. Furthermore, ursolic acid, as a component of sage, exhibited strong anti-inflammatory properties, and could explain anti-phlogistic activity of the official plant drug Sal6iae folium. The ursolic acid content could thus be considered as a convenient quality control measure in those sage preparations that are used for their topical anti-inflammatory activity. Table 4 Anti-inflammatory activity of fractions I–III Substance Dose (mg) N°. animals Oedema (mg) m 9S.E. % Red. Controls Fraction I Fraction II Fraction III Fractions II+III – 10 10 10 10 10 7.1 90.3 1.1 90.3* 0.6 90.1* 5.8 90.7* 0.2 90.1* – 84.5 90.7 18.3 97.2 180 135 45 135+45 * PB0.05 at the Student’s t-test. D. Barice6ic et al. / Journal of Ethnopharmacology 75 (2001) 125–132 131 Table 5 Anti-inflammatory activity of ursolic acid, oleanolic acid and indomethacin Substance Dose (mMoles) N°. animals Oedema (mg) m 9 S.E. % Red. Ursolic acid 0.00 0.10 0.20 0.40 10 10 10 10 6.5 9 0.3 4.2 90.7a 1.8 90.5a 0.9 90.3a – 35.4 72.3 86.2 0.00 0.10 0.20 0.40 1.00 10 14 14 12 11 7.2 90.3 6.4 90.3 4.1 9 0.4a 3.4 90.5a 1.9 90.4a – 11.1 43.0 52.8 73.6 0.00 0.12 0.25 0.50 10 10 20 10 6.5 90.3 4.6 90.4a 3.5 90.4a 1.5 90.2a – 29.2 46.1 76.9 Oleanolic acid Indomethacin a ID50 (mMoles) 0.14 0.36 0.26 PB0.05 at the Student’s t-test. 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