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See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/321288481 Orofacial antinociceptive effect of Mimosa tenuiflora (Willd.) Poiret Article in Biomedicine & Pharmacotherapy · November 2017 DOI: 10.1016/j.biopha.2017.11.001 CITATIONS 5 READS 124 25 authors, including: Some of the authors of this publication are also working on these related projects: Development and pharmacological study of pharmaceutical preparations containing cyclodextrins View project Antioxidant and pharmacological screening of natural product View project Francisco Ernani Alves Magalhães Universidade Estadual do Ceará 34 PUBLICATIONS 67 CITATIONS SEE PROFILE Angelo Silva Universidade de Fortaleza 12 PUBLICATIONS 39 CITATIONS SEE PROFILE Maria Izabel Florindo Guedes Universidade Estadual do Ceará 131 PUBLICATIONS 905 CITATIONS SEE PROFILE Sacha Aubrey A. R. 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Poiret Francisco Ernani A. Magalhãesa,b,c, Francisco Lucas A. Batistaa, Ohanna F. Serpaa, Luiz F. Wemmenson G. Mouraa, Maria da Conceição L. Limaa, Ana Raquel A. da Silvab, Maria Izabel F. Guedesb, Sacha Aubrey A.R. Santosc, Breytiner A. de Oliveirac, Andressa B. Nogueirac, Talita M. Barbosac, Dayse Karine R. Holandac, Marina B.M.V. Damascenoc, José de Maria A. de Melo Júniorc, Lana Karine V. Barrosoc, Adriana R. Camposc,⁎ a Laboratory of Bioprospecting of Natural Products and Biotechnology, Ceará State University, Department of Chemistry, CECITEC, Tauá, Ceará, Brazil b Laboratory of Biotechnology and Molecular Biology, Ceará State University, Department of Nutrition, Fortaleza, Ceará, Brazil c Experimental Biology Center, University of Fortaleza, Fortaleza, Ceará, Brazil A R T I C L E I N F O Keywords: Mimosa tenuiflora Antioxidant Orofacial pain Antinociception A B S T R A C T Mimosa tenuiflora (Willd.) Poiret, popularly known in Brazil as “jurema-preta” is widely used against bronchitis, fever, headache and inflammation. Its antioxidant, anti-inflammatory and antinociceptive potential has already been reported. To assess the orofacial antinociceptive effect of M. tenuiflora, ethanolic extracts of M. tenuiflora (leaves, twigs, barks and roots) were submitted to in vitro tests of antioxidant activity. The extract with the highest antioxidant potential was partitioned and subjected to preliminary chemical prospecting, GC–MS, measurement of phenolic content and cytotoxicity tests of the fractionwith the highest antioxidant activity. The nontoxic fraction with the highest antioxidant activity (FATEM) was subjected to tests of acute and chronic orofacial nociception and locomotor activity. The possible mechanisms of neuromodulation were also assessed. The EtOAc fraction, obtained from the ethanolic extract of M. tenuiflora barks, was the one with the highest antioxidant potential and nontoxic (FATEM), and Benzyloxyamine was the major constituent (34.27%). FATEM did not alter the locomotor system of mice and reduced significantly the orofacial nociceptive behavior induced by formalin, glutamate, capsaicin, cinnamaldehyde or acidic saline compared to the control group. FATEM also inhibited formalin- or mustard oil-induced temporomandibular nociception. In addition, it also reduced mustard oil-induced orofacial muscle nociception. However, FATEM did not alter hypertonic saline-induced corneal nociception. Neuropathic nociception was reversed by treatment with FATEM. The antinociceptive effect of FATEM was inhibited by naloxone, L-NAME and glibenclamide. FATEM has pharmacological potential for the treatment of acute and neuropathic orofacial pain and this effect is modulated by the opioid system, nitric oxide and ATP-sensitive potassium channels. These results lead us to studies of isolation and characterization of bioactive principles. 1. Introduction Pain in the oral and craniofacial system represents a medical and social problem. It is derived from many unique target tissues, such as the meninges, cornea, tooth pulp, oral/nasal mucosa and tempor- omandibular joint and thus has several unique physiologic character- istics compared with the nociceptive system. Thus, the treatment of orofacial pain conditions is a significant health inssue and a challenge for the pharmaceutical industry [1]. Trigeminal Neuralgia (TN) and Temporomandibular Disorder (TMD) represent the worst types of orofacial pain and some of the most common. TN is usually treated with anticonvulsants. About 75% of patients need neurosurgery at some time in their history of the disease. Surgical procedures are divided into percutaneous procedures and surgeries, with high success rates. TMD is a general term for mastica- tory musculoskeletal pains with multiple etiology. It is the main cause of chronic orofacial pain and is associated with psychosocial, cognitive- behavioral and emotional factors. Treatment Includes drug therapy, physiotherapy and surgery [2]. Currently, there is a gap in knowledge concerning the drug regimen https://doi.org/10.1016/j.biopha.2017.11.001 Received 13 August 2017; Received in revised form 17 October 2017; Accepted 3 November 2017 ⁎ Corresponding author at: Universidade de Fortaleza, Núcleo de Biologia Experimental (NUBEX), Av. Washington Soares, 1321, CEP 60811-905, Edson Queiroz, Fortaleza, Ceará, Brazil. E-mail address: adrirolim@unifor.br (A.R. Campos). Biomedicine & Pharmacotherapy 97 (2018) 1575–1585 0753-3322/ © 2017 Elsevier Masson SAS. All rights reserved. T http://www.sciencedirect.com/science/journal/07533322 https://www.elsevier.com/locate/biopha https://doi.org/10.1016/j.biopha.2017.11.001 https://doi.org/10.1016/j.biopha.2017.11.001 mailto:adrirolim@unifor.br https://doi.org/10.1016/j.biopha.2017.11.001 http://crossmark.crossref.org/dialog/?doi=10.1016/j.biopha.2017.11.001&domain=pdf for the treatment of pain. There are no ideal analgesic and/or anti-in- flammatory drugs available, i.e., drugs that will not cause potential side effects [3]. An alternative solution to this problem has been presented by sev- eral studies that have suggested the use of extracts of medicinal plants rich in antioxidant properties due to their antinociceptive activities [4] against acute and/or chronic and/or neuropathic orofacial pain, which may occur due to factors such as the scavenging of reactive oxygen species (ROS), which are formed and activate channels of pain mod- ulation during nociception [5], as well as due to inhibition of the ROS generating oxidases and/or direct inhibition of enzyme that catalyzes oxidation of cellular components [4]. These activities are generally mediated by phenolic compounds such as phenols, flavonoids, tannins, among others [6]. It should be noted that plants have also been used as sources of secondary metabolites for the treatment of many diseases caused by free radicals, such as atherosclerosis, arthritis, cardiovascular disorders, Alzheimer’s disease, and cancer [7]. Thus, the search for new plants sources of natural antioxidants with antinociceptive activity has be- come a challenge. Mimosa tenuiflora (Willd.) Poiret, popularly known in Brazil as “jurema-preta”, has been reported as a promising source of compounds with antioxidant, anti-inflammatory and antinociceptive potential [8,9]. It is commonly found in tropical forests in Mexico, Venezuela and Brazil [10]. In Northeastern Brazil, it is a common tree rich in several secondary metabolites (phenols, saponins, tannins and flavonoids) that has been widely used against bronchitis, cough, fever, headache, and skin ulcers [11]). Aqueous and ethanolic extracts of the bark exhibit anti-inflammatory activity [1,10]. Given the above, the present study reports the antinociceptive effect of M. tenuiflora (Willd.) Poiret on orofacial pain and its possible me- chanism of action. 2. Material and methods 2.1. Botanical material Mimosa tenuiflora (Willd.) Poiret was collected in August 2015 in the micro-region of the Inhamuns (Tauá, Ceará, Northeastern Brazil), (040°18′05.4″ W; 06°01′03.6″ S), using the methodology described by Cartaxo et al. [8]. The collection was approved by the Instituto Brasi- leiro do Meio Ambiente e dos Recursos Naturais Renováveis – IBAMA- SISBIO under approval No. 29145-4. After collection, the species was identified and deposited in the Dárdano de Andrade-Lima Herbarium of the Universidade Regional do Cariri (URCA), exsiccate No. 6675. 2.2. Animals Swiss mice (20 and 25 g) and Wistar rats (250 and 300 g) were obtained from the Núcleo de Biologia Experimental (NUBEX) of the Universidade de Fortaleza (UNIFOR), Ceará, Northeastern Brazil. The animals were housed in appropriate cages and kept at room tempera- ture of 22–24 °C on a 12:12 h light:dark cycle. They received standard feed (Purina, São Paulo, Brazil) and water ad libitum. All protocols were in strict compliance with the standards established by Brazil’s National Council on Animal Experimentation Control and received approval from the Committee on Animal Research and Ethics of UNIFOR (Aproval No. 0132015). 2.3. Drugs and reagents The following drugs and reagents were used in the study: 96% ethanol (Ciclo Farma). Hexane, Dichloromethane, Acetic acid, Folin–Ciocalteu, and ethyl acetate were purchased from Dinamica. Ferric chloride, Sodium Chloride, and Dimethyl sulfoxide were pur- chased from Synth. Formaldehyde was purchased from Dinamica. Saline was purchased from Arboreto. Naloxone was purchased from Tocris Bioscience. Gallic acid, amiloride, capsaicin, camphor, cynna- maldehyde, glutamate, glibenclamide, Ketamine, mustard oil (allyl isothiocyanate), quercetin, ruthenium red, 3-(4,5-Dimethylthiazol-2- yl)-2,5-Diphenyltetrazolium Bromide (MTT), 2,2-diphenyl-1-picrylhy- drazyl (DPPH), 2,2′-„azino-bis(3-ethylbenzothiazoline-6-sul- phonic acid) (ABTS), xylazine, and L-NAME were purchased from Sigma (USA). 2.4. Preparation of extracts and bioguided fractionation of antioxidant activity Crude extracts were obtained from leaves, twigs, barks and roots of M. tenuiflora (Willd.) Poiret using 96% ethanol [12]. The plant extract with the highest antioxidant potential was submitted to fractionation by liquid-liquid partition, as described by Seito et al. [13], using solvents of different polarities, such as: a) hexane (AR), b) dichloromethane (AR), and c) ethyl acetate (AR). Thus, three fractions were obtained: a) hexane fraction (Hex-F); b) dichloromethane fraction (Dic-F); c) ethyl acetate fraction (EtOAc-F); and d) hydroalcoholicfraction (Hyd-F), a residual fraction containing distilled water (2%). 2.5. Analysis of antioxidant activity 2.5.1. Thin layer chromatography (TLC) analysis of antioxidant activity The extracts were analyzed by TLC using quercetin and gallic acid as reference standards as suggested by Hidalgo et al. [14]. The plates were eluted with methanol and nebulized with FeCl3 or DPPH solutions. The plates were observed until the appearance of dark blue spots (phenolic compounds) or yellow spots on a purple background (antioxidant compounds). 2.5.2. In vitro antioxidant activity Solutions of DPPH (3.9mL, 6.5× 10–5 M) [15] or ABTS (5mL; 7mM) [16] were added to the solutions containing the samples (10–10,000 μg/mL). The tests were performed in triplicate. The absor- bance values were measured spectrophotometrically at 515 and 734 nm, respectively. The antioxidant capacity was compared with the standard, i.e., quercetin. EC50 was determined and Pearson’s correlation (r) was used to evaluate the relationship between the two methods [17]. 2.6. Chemical prospecting 2.6.1. Measurement of the potential of hydrogen (pH) The pH of the fractions of the extract of M. tenuiflora with the highest antioxidant potential was measured using a potentiometer. The pH of the distilled water was used as a standard of comparison (n= 3) [18]. 2.6.2. Preliminary phytochemical screening The extracts were subjected to preliminary phytochemical screening to detect the main classes of secondary metabolites through chemical reactions that result in changes in color and/or formation of pre- cipitates which are specific to each class of substances [12]. 2.6.3. Estimation of total phenolic (TP) content Folin–Ciocalteu reagent [19] was used with a gallic acid standard curve (1–500 μg/mL). The value obtained from the equation was C=0.0009 A, where C is the concentration of gallic acid, A is the ab- sorbance at 750 nm and the correlation coefficient R= 0.9916. The total phenolic content was expressed in mg GAE (gallic acid equiva- lents) per 100 g of extract. The results were presented as mean ± standard deviation (SD). Pearson’s correlation (r) was used to assess the relationship between total phenolic contents and antioxidant activities [17]. F.E.A. Magalhães et al. Biomedicine & Pharmacotherapy 97 (2018) 1575–1585 1576 2.6.4. Gas chromatography–mass spectrometry (GC–MS) analysis The fraction of M. tenuiflora with the highest antioxidant potential (FATEM) was subjected to silylation reaction [20]. The reaction medium was injected into a Shimadzu GCMS-QP2010 sE quadrupole gas chromatograph-mass spectrometer (GC–MS) using a Rtx®-5 MS capillary column (30m×0.25mm×0.25 μm) for the relative quanti- fication of the constituents present in the sample. GC–MS conditions were: 70 eV, helium (carrier gas) at 13.6 mLmin-1 and pressure of 53.5 kPa. The temperature program was as follows: 100 °C (3min) to 310 °C (3.5 °C/min). The compounds in the sample were identified by comparing them with those published in the mass spectral library (NIST). Mass spectra were recorded using a scan range of 10–1000 m/z. 2.7. Toxicity 2.7.1. Non-specific toxicity to Artemia salina L. Sample concentrations (100, 500 and 1000 μg/mL) were tested in triplicate. The surviving nauplii were counted after 24 h and the per- centage of dead nauplii was determined by calculating the concentra- tion to kill 50% (LC50) using Probit analysis with 95% confidence in- tervals [21]. The toxicity potential of the samples was classified into: a) Nontoxic (LC50 > 1000 μg/mL); b) Toxic (LC50≤ 1000 μg/mL). 2.7.2. Cytoxicity to Vero cells The fraction of M. tenuiflora with the highest antioxidant potential (FATEM) was subjected to the test of specific cytotoxicity to Vero cells (African green monkey kidney). The MTT colorimetric method was used [22]. Solutions (1000–62.5 μg/mL) were used and the percentage of cell viability was calculated. The concentration capable of reducing viability to 50% compared to cell control (CC50) was obtained by analyzing the non-linear regression of the concentration-effect curve. The cytotoxicity potential (CTP) of the sample was classified according to Fadeyi et al. [23] into (a) Toxic (CC50≤ 30 μg/mL), b) Nontoxic (CC50 > 30 μg/mL). 2.8. Orofacial antinociceptive activity Acute nociception tests were performed with three doses of FATEM (12.5; 25 or 50mg/kg). Neuromodulation mechanisms, tempor- omandibular joint nociception, craniofacial nociception, and chronic nociception (IONX) were assessed using the 25mg/kg dose since it presented the best effect in the acute nociception tests (see the Results Section). 2.8.1. Formalin-induced orofacial nociception Orofacial nociception was induced in mice (n= 6/group) by sub- cutaneous injection of 20 μL of 2% formalin [24] into the right vibrissal pad (perinasal area) using a 27-gauge needle. Orofacial nociception was quantified by measuring the time that the mice spent rubbing the in- jection site (Face rubbing, FR) with the fore or hind paw for 0–5min and 15–30min after induction. Treatments with vehicle (Control: 3% DMSO, i.p.) or FATEM (12.5; 25 or 50mg/kg, i.p.) were performed 30min prior to formalin injection (n= 6/group). A Naive group was included. In subsequent experiments, the animals were pretreated in- traperitoneally with the respective antagonists Naloxone (2mg/kg) [25], L-NAME (10mg/kg) [25] or Glibenclamide (2mg/kg) [26], 30 min prior to administration of FATEM (25mg/kg) to check for the possible involvement of opioid and nitrergic systems and ATP-sensitive potassium (KATP) channels. 2.8.2. Glutamate-induced orofacial nociception Using the method described above, orofacial nociception was in- duced with glutamate (40 μL, 25 μM) [27] to assess the effect of the test drug. Face rubbing was observed individually during 15 min. A Naive group was included. 2.8.3. Capsaicin-induced orofacial nociception Using the method described above, orofacial nociception was in- duced with capsaicin (20 μL, 2.5 μg, s.c.) [28] dissolved in ethanol, PBS and distilled water (1:1:8) to assess the effect of the test drug. Face rubbing was observed individually during 10–20min. A Naive group was included. In a subsequent experiment, ruthenium red (3 mg/kg; s.c.) [29] was administered 30min prior to FATEM (25 mg/kg) to check for possible effects on the TRPV1 channel. 2.8.4. Cinnamaldehyde-induced orofacial nociception Using the method described above, orofacial nociception was in- duced with cinnamaldehyde (20 μL, 0.66 μM, s.c.) [30] to assess the effect of the test drug. Face rubbing was observed individually during 0–5min. A Naive group was included. In a subsequent experiment, camphor (7.6 mg/kg; s.c.) [31] was administered 30min prior to FATEM (25mg/kg) to check for possible effects on the TRPA1 channel. 2.8.5. Acidic saline-induced orofacial nociception Using the method described above, orofacial nociception was in- duced with acidic saline (20 μL; 2% acetic acid, pH 1.98; s.c.) [32] to assess the effect of the test drug. Face rubbing was analyzed during 0–20min. A Naive group was included. In a subsequent experiment, amiloride (100mg/kg; s.c.) [32] was administered 30min prior to FATEM (25mg/kg) to check for possible effects on ASICs. 2.8.6. Hypertonic saline-induced corneal nociception Corneal nociception was induced in mice by applying 20 μL of hy- pertonic saline (5M NaCl) [33] onto the left eye cornea. Corneal no- ciception was quantified by measuring the number of times that the mice cleaned the eye with the fore or hind paw for 30 s. The animals (n= 6/group) were treated with vehicle (Control-3% DMSO, 10mL/kg; i.p.) or FATEM (12.5; 25 or 50mg/kg; i.p.) 30min prior to induction. A Naive group was included. 2.8.7. Formalin- or mustard oil-induced temporomandibular joint (TMJ) nociception Formalin (2%, 20 μL) [34] or mustard oil (2.5%, 50 μL) [35] were used as noxious agents applied to the left temporomandibular joint of rats. The animals (n= 6/group) were treated with vehicle (Control– 3% DMSO 10mL/kg, i.p.) or FATEM (25mg/kg; i.p.) 30min prior to induction. Nociception was quantified by measuring the time that the mice spent rubbing the injection site (Face rubbing, FR) with the fore or hind paw and head flinching (HF) for 36min after induction recorded 12 times at 3min intervals. A group of animals treated with vehicle and saline in the TMJ (Sham) and a Naive group were also assessed. 2.8.8. Mustard oil-induced craniofacial nociception Mustard oil (20%, 20 μL) was injected in the mid-region of the left masseter muscle of rats [36]. The animals (n= 6/group) were treated with vehicle (Control- 3% DMSO, 10mL/kg, i.p.) or FATEM (25mg/kg; i.p.) 30min prior to induction. Craniofacial nociception was quantified by measuring the time that the rats spent shaking hind paws within 4min recorded 8 times at 30-s intervals. A group of animals treated with vehicle and saline (Sham) and a Naive group were also assessed. 2.8.9. Assessment of mechanical sensitivity after infraorbital nerve transection Rats (n=6/group) were anesthetized with ketamine and xylazine (100 and 10mg/kg, respectively, i.p.) [29] prior to infraorbital nerve (ION) exposure at the infraorbital foramen using an intraoral incision (2mm) made in the oral mucosa of the left fronto-lateral maxillary vestibulum. The ION was cut and removed from the maxillary bone (IONX) without damaging adjacent nerves. Subsequently, the animals F.E.A. Magalhães et al. Biomedicine & Pharmacotherapy 97 (2018) 1575–1585 1577 were returned to their cages and fed with chow mash. For the assessment of mechanical sensitivity, the animals were monitored daily postoperatively with von Frey filaments. The rats were acclimatized, trained for 3 days prior to the surgery to obtain baseline values and then tested on postoperative days 1, 3, 5, 7, 10, 14 and 21. The animals were treated daily with a single dose of FATEM (25mg/kg) or saline (10mL/kg) intraperitoneally shortly after surgery. Naive and Sham-operated groups were also assessed. Facial mechanical sensitivity was evaluated as the animals’ head-withdrawal thresholds which were obtained by slowly applying graded von Frey filament hairs to the ip- silateral facial skin area 2mm below the lower lip. Escape responses to the mechanical stimulation were demonstrated as a sudden backward withdrawal movement of the head. The head-withdrawal threshold (HWT) was defined as the lowest filament intensity that evoked three or more escapes out of five stimulation trials with intervals of more than 10 s [37]. 2.9. Assessment of locomotor activity Mice (n=6/group) were treated with vehicle (3% DMSO 10mL/ kg, i.p.) or FATEM (12.5; 25 or 50mg/kg; i.p.). After 30min of treat- ment, the animals were positioned at the center of the open field arena (40× 40×40 cm) and the total number of line crossings was recorded over a 5-min period. A Naive group was also assessed. 2.10. Statistical analysis The results are presented as mean ± S.D or mean ± S.E.M. The statistical analysis consisted of one-way analysis of variance (ANOVA), followed by the Tukey or Bonferroni post-hoc tests for multiple com- parisons. The level of statistical significance was set at 5% (p < 0.05). 3. Results 3.1. Yields and antioxidant activity of ethanolic extracts Of the four extracts obtained, the ethanolic extract of the M. tenui- flora barks (EtEMtB) was the one with the highest extraction yield (28.58%), resulting in 75.01 g. The test of antioxidant activity by TLC identified phenolic compounds in all the extracts. They presented ra- dical scavenger activity against DPPH. EtEMtB showed the lowest EC50 values against DPPH (EC50= 132.99 ± 0.04 μg/mL) and ABTS (EC50= 189.14 ± 0.19 μg/mL) radicals and was therefore chosen for fractionation. 3.2. Fractionation of EtEMtB and in vitro antioxidant activity of obtained fractions A total of 55.28 g of the EtEMtB was partitioned. Four fractions (EtEMtB-F) were obtained: hexane (Hex-F), dichloromethane (Dic-F), ethyl acetate (EtOAc-F) and hydroalcoholic (Hyd-F). The fractionation yield (FY) ranged 6.19% (Hex-F) to 50.01% (Hyd-F). Of the four EtEMtB-F tested, only the EtOAc-F presented good antioxidant activity in both methods, with the lowest EC50 values against DPPH (EC50=141.20 ± 0.023 μg/ mL) and ABTS (EC50=273.00 ± 0.084 μg/mL). Pearson’s correlation coefficient (r) for the study with the EtEMtB-F indicated that the methods are 99.85% correlated (r=0.9985). Given these results, the EtOAc-F was selected as the fraction with the highest antioxidant potential and was then named FATEM. 3.3. Chemical prospecting of obtained fractions 3.3.1. Measurement of the potential of hydrogen and preliminary phytochemical screening FATEM presented the highest pH value (4.94). The preliminary phytochemical screening found phenolic compounds in all the EtEMtB- F. These results led to the determination of phenolic content. 3.3.2. Total phenolic (TP) content Total phenolic content varied significantly between the EtEMtB-F. However, FATEM (EtOAc-F) presented the highest total phenolic con- tent value (429.63 ± 0.002mg GAE/g). The total phenolic content of the EtEMtB-F is 92.72% correlated with the antioxidant activity by the DPPH method (r= 0.9272) and 97.90% by the ABTS method (r = 0.9790). 3.3.3. Gas chromatography–mass spectrometry (GC–MS) analysis of FATEM According to the GC–MS library (NIST08), FATEM is composed of 20 chemical compounds (Fig. 1), five of which are major (Table 1): Benzyloxyamine (34.27%); 3-Fluorophenol, diisopropylsilyl ether (14.7%); 1,2-Bis(trimethylsiloxy)ethane (21.83%); Trimethylsilyl ether Fig. 1. GC–MS Chromatogram of FATEM. F.E.A. Magalhães et al. Biomedicine & Pharmacotherapy 97 (2018) 1575–1585 1578 of glycerol (13.53%); and oleic acid (5.25%). 3.4. Toxicity Only the hydroalcoholic fraction (Hyd-F) killed 50% of the nauplii (LC50= 793.70 μg/mL). FATEM was not toxic to A. salina L. (LC50 ˃ 1000.00 μg/mL) or Vero cells (CC50 = 512.6 μg/mL). 3.5. Antinociceptive activity 3.5.1. Formalin-induced orofacial nociception FATEM (25 or 50mg/kg, i.p.) reduced (p < 0.001 or p < 0.01 vs control) face rubbing behavior in both phases of the formalin-induced orofacial nociception test (Fig. 2A and B). The dose of 12.5 mg/kg (i.p.) caused a significant reduction (p < 0.01 vs control) only in the 1st phase (Fig. 2A). The antinociceptive effect of FATEM was partially prevented by Naloxone (Fig. 3A and B), L-NAME (Fig. 4A and B) and Glibenclamide (Fig. 5A and B). 3.5.2. Orofacial nociception induced by glutamate, capsaicin, cinnamaldehyde and acidic saline Pretreatment with FATEM (12.5; 25 or 50mg/kg; i.p.) reduced (p < 0.001 vs control) face rubbing behavior induced by glutamate, capsaicin, or acidic saline (Figs. 6–8). However, only the doses of 25 and 50mg/kg caused a significant reduction (p < 0.01 and p < 0.001 vs control, respectively) in the nociceptive behavior induced by cinna- maldehyde (Fig. 9). Ruthenium red (TRPV1 antagonist), camphor (TRPA1 antagonist) or amiloride (ASIC antagonist) did not alter the antinociceptive effect of FATEM (Figs. 10–12). Such groups did not differ significantly (p > 0.05) when compared with the FATEM group, which rules out the involvement of such channels in the mechanism of the antinociceptive action of FATEM. 3.5.3. Hypertonic saline-induced corneal nociception FATEM did not prevent hypertonic saline-induced eye rubbing be- havior (Fig. 13). 3.5.4. Formalin- or mustard oil-induced temporomandibular joint (TMJ) nociception Injections of formalin or mustard oil in the TMJ induced nociceptive Table 1 Chemical constituents of FATEM according to GC–MS analysis (NIST08). Classification RT (min) Occurrence (%) Compounds 1 5.073 34.27 Benzyloxyamine, N,N-Bis(trimethylsilyl) 2 8.575 21.83 3-Fluorophenol, diisopropylsilyl ether 3 6.03 14.27 1,2-Bis(trimethylsiloxy) ethane 4 10.74 13.53 Trimethylsilyl ether of glycerol 5 25.07 5.25 Oleic acid 6 6.335 1.47 Acetic acid, [(trimethylsilyl)oxy]-, trimethylsilyl ester 7 8.994 1.13 Butane,1,2,3-tris(trimethylsiloxy)- 8 6.924 1.06 Hexamethyldisiloxane 9 36.459 0.85 22-tricosanoic acid 10 22.568 0.78 N-Hexadecanoic acid 11 42.690 0.75 Benzoic acid, 2,6-bis[(trimethylsilyl)oxy]- trimethylsilyl ester 12 23.135 0.73 Oxalic acid di-(bis 2,2,6,6-tetramethyl, 1-oxylpiperidyl) 13 38.694 0.71 Ethyl 9-hexadecenoate 14 20.521 0.63 β-D-Galactofuranose acetate 2,3,5,6-Tetrakis 15 8.765 0.45 2-Methylthio-5-nitroanisole 16 25.381 0.41 Octadecanoic acid, 2-hydroxy-1,3-propanediyl ester 17 21.043 0.40 Inositol, 1,2,3,4,5,6-hexakis-O-(trimethylsilyl) 18 5.583 0.39 Pentane, 2-methyl-4-keto-2-trimethylsiloxy 19 22.615 0.37 β-D-Glucopyranose, 6-O-methyl-1,2,3,4-Tetrakis 20 20.803 0.32 Inositol, 1,2,3,4,5,6-hexakis-O-(trimethylsilyl) RT – retention time. Control 12,5 25 50 Naive 0 20 40 60 80 ** *** *** *** ______________ 91.56% 59.91%64.14% 53.80% A i Control 12,5 25 50 Naive 0 50 100 150 200 250 ** ** *** ______________ 92.25% 65.83%62.84% 41.06% B )s( gnibbur ecaF Fig. 2. Effect of FATEM (12.5; 25 or 50 mg/kg, i.p.) on formalin-induced orofacial nociception in mice. Each column represents the mean ± S.E.M (n = 6/group). Numbers above the bars indicate the percentage of analgesia. One-way ANOVA with post-hoc Tukey’s test (**p < 0.01 and ***p < 0.001 vs control). Control: vehicle (3% DMSO). Naive: untreated group. F.E.A. Magalhães et al. Biomedicine & Pharmacotherapy 97 (2018) 1575–1585 1579 behaviors in mice characterized by face rubbing (A and C) and head withdrawal (B and D), as shown in Table 2. These behaviors were re- duced by pretreatment with FATEM (25mg/kg). These tests were per- formed with this single dose of FATEM because it presented the best antinociceptive effect in the previous tests. 3.5.5. Mustard oil-induced craniofacial nociception FATEM (25mg/kg) also reduced (p < 0.01 vs control) hind paw shaking behavior after nociception induced by mustard oil injected into the masseter muscle of rats (Fig. 14). 3.5.6. Assessment of mechanical sensitivity after infraorbital nerve transection FATEM (25mg/kg) significantly reduced (p < 0.05 vs control) neuropathic pain at days 1, 10 and 14 postoperatively (Fig. 15). 3.6. Assessment of locomotor activity FATEM (12.5; 25 or 50mg/kg) did not alter the locomotor activity of the animals in the open field test (Fig. 16). 4. Discussion Although the antinociceptive potential of Mimosa tenuiflora [10] has already been investigated, the present research is the first to report the assessment of M. tenuiflora capacity to attenuate orofacial pain in ex- perimental animal models. A bioguided assay detected the presence of phenolic compounds in the ethanolic extracts of M. tenuiflora. These compounds are DPPH re- ducers. After bioguided fractionation, the EtOAc fraction of the etha- nolic extract of M. tenuiflora barks (FATEM) presented the highest an- tioxidant action against DPPH and ABTS radicals. According to Sousa et al. [38], the antioxidant activity of plants may be associated with several groups of phenolic compounds present in plant extracts. Thus, because FATEM presented the highest total phe- nolic content we believe that such antioxidant action is due to the presence of these compounds. The results of the antioxidant action suggest that the phenolic compounds present in FATEM may be C F N N + F 0 50 100 150 *** *** *** Treatments i.p: C - Control (DMSO 3%; 10 mL/Kg); ____________________________ 81.26% 66.47%68.05% A C F N N + F 0 100 200 300 ** ________________________________________________________ Treatments i.p: C - Control (DMSO 3%; 10 mL/Kg); 26.91%22.30% 56.65% B )s( gnibbur ecaF Fig. 3. Effect of Naloxone (A and B) on the antinociceptive activity of FATEM (25mg/kg, i.p.) in the formalin-induced orofacial nociception model. Each column represents the mean ± S.E.M (n = 6/group). Numbers above the bars indicate the percentage of analgesia. One-way ANOVA with post-hoc Tukey’s test (**p < 0.01 and ***p < 0.001 vs control). Control: vehicle (3% DMSO). C F L-N L-N + F 0 20 40 60 80 ** ____________________________ A 33.76% 26.58% 74.47% C F L-N L-N + F 0 20 40 60 80 100 *** ** ____________________________ B 56.76% 19.13% 64.66% )s( gnibbur ecaF Fig. 4. Effect of L-NAME (A and B) on the antinociceptive activity of FATEM (25mg/kg, i.p.) in the formalin-induced orofacial nociception model. Each column represents the mean ± S.E.M (n = 6/group). Numbers above the bars indicate the percentage of analgesia. One-way ANOVA with post-hoc Tukey’s test (**p < 0.01 and ***p < 0.001 vs control). Control: vehicle (3% DMSO). F.E.A. Magalhães et al. Biomedicine & Pharmacotherapy 97 (2018) 1575–1585 1580 hydrophilic and/or lipophilic because they have reduced both radicals [39]. Benzyloxyamine was the major constituent (34.27%) of FATEM. Reports on the detection of this constituent as a natural product were not found in the literature. It is worth mentioning that compounds derived from benzyloxyamines have been found to have anti-in- flammatory, anticancer, anorexigenic and antimalarial effects [40]. C F G G + F 0 20 40 60 *** * # # ____________________________ A 28.72%23.61% 66.18% C F G G + F 0 50 100 150 200 *** * ____________________________ 47.22%33.91% 80.24% B )s( gnibbur ecaF Fig. 5. Effect of Glibenclamide (A and B) on the antinociceptive activity of FATEM (25mg/kg, i.p.) in the formalin-induced orofacial nociception model. Each column represents the mean ± S.E.M (n = 6/group). Numbers above the bars indicate the percentage of analgesia. One-way ANOVA with post-hoc Tukey’s test (*p < 0.05 and ***p < 0.001 vs control; ##p < 0.01 vs FATEM). Control: vehicle (3% DMSO). Control 12,5 25 50 Naive 0 20 40 60 ______________ *** *** *** *** 96.60% 72.45% 78.32% 76.17% Fig. 6. Effect of FATEM (12.5; 25 or 50mg/kg, i.p.) on glutamate-induced orofacial no- ciception in mice. Each column represents the mean ± S.E.M (n= 6/group). Numbers above the bars indicate the percentage of analgesia. One-way ANOVA with post-hoc Tukey’s test (***p < 0.001 vs control). Control: vehicle (3% DMSO). Naive: untreated group. Control 12,5 25 50 Naive 0 10 20 30 *** *** *** *** ______________ 96.76% 77.85% 86.47% 75.13% gnibbu Fig. 7. Effect of FATEM (12.5; 25 or 50mg/kg, i.p.) on capsaicin-induced orofacial no- ciception in mice. Each column represents the mean ± S.E.M (n= 6/group). Numbers above the bars indicate the percentage of analgesia. One-way ANOVA with post-hoc Tukey’s test (***p < 0.001 vs control). Control: vehicle (3% DMSO). Naive: untreated group. Fig. 8. Effect of FATEM (12.5; 25 or 50mg/kg, i.p.) on acid saline-induced orofacial nociception in mice. Each column represents the mean ± S.E.M (n=6/group). Numbers above the bars indicate the percentage of analgesia. One-way ANOVA with post-hoc Tukey’s test (***p < 0.001 vs control). Control: vehicle (3% DMSO). Naive: untreated group. Control 12,5 25 50 0 10 20 30 *** ** *** *** ______________ 89.17% 18.31% 56.02% 78.30% Fig. 9. Effect of FATEM (12.5; 25 or 50mg/kg, i.p.) on cinnamaldehyde-induced orofacial nociception in mice. Each column represents the mean ± S.E.M (n=6/group). Numbers above the bars indicate the percentage of analgesia. One-way ANOVA with post-hoc Tukey’s test (**p < 0.01; ***p < 0.001 vs control). Control: vehicle (3% DMSO). Naive: untreated group. F.E.A. Magalhães et al. Biomedicine & Pharmacotherapy 97 (2018) 1575–1585 1581 Nikodijevic et al. [41] report that benzyloxyamine acts as an inhibitor of dopamine beta-oxidase. Thus, we believe that Benzyloxyamine may be responsible for the anti-inflammatory potential of FATEM because benzyloxyamines are inhibitors of histidine decarboxylase [40]. 3-Fluorophenol, diisopropylsilyl ether was detected as the second major constituent of FATEM (14.7%). The compounds derived from fluorophenol are of pharmaceutical importance because they are pre- cursors of antidiabetic, gastroprotective and antiepilepticdrugs; in addition, they are used by the agrochemical industry in the production of fungicides [42]. According to Chatzopoulou et al. [43], fluorophenol derivatives have anti-inflammatory activity as they act as inhibitors of oxidative enzymes in inflammatory processes caused by diabetes, asthma and sepsis and in inflammation-mediated neoplasms such as colon, lung, breast, and prostate cancers. Thus, we believe that the 3- fluorophenol present in FATEM may also act as an anti-inflammatory agent in the tests used. Trimethylsilyl ether of glycerol (13.53%) and oleic acid (5.25%) were detected as the fourth and fifth major constituents of FATEM. Derivatives of these compounds are found to be antioxidants used in the chemical, food, and pharmaceutical industries, as well as in human medicine [44]. Figueroa et al. [45] report that fatty acids present acute and chronic antinociceptive action and anti-inflammatory responses. Thus, we believe that these constituents present in FATEM are also responsible for the antioxidant and antinociceptive potential presented in this study. The absence of toxicity points to the potential phytotherapeutic use of FATEM as samples nontoxic to A. salina and Vero cells will not be toxic to humans [21,23]. Sensory information from the face is processed by the trigeminal nerve, which is also related to motor activities such as biting, chewing and swallowing. This nerve is divided into three main branches (oph- thalmic nerve, maxillary nerve, and mandibular nerve) [46]. The an- tinociceptive effect of FATEM was assessed in animal models involving the three branches of the trigeminal nerve. FATEM prevented the no- ciception caused by chemical stimulation of the maxillary and man- dibular nerves. FATEM was effective in attenuating acute neurogenic and tonic inflammatory phases of the formalin response. The antinociceptive ef- fect of FATEM was partially prevented by Naloxone, an opioid an- tagonist, only in the 2nd phase (Fig. 3B), thus suggesting a potential direct effect on the inflammatory process, as reported by Hunskaar and Hole [47] and Clavelou et al. [48]. According to Capuano et al. [49], naloxone also inhibited the peripheral antinociceptive effect of an- algesic drugs in an in vivo model of trigenimal nociception. In the present study, it did not inhibit the action of FATEM in the first phase of the formalin test (Fig. 3A). However, Berg et al. [50] state that although peripheral opioid receptors are expressed by primary afferents, they are “inactive” under normal basal conditions and their functional activa- tion occurs during inflammation. Systemic administration of L-NAME, an inhibitor of nitric oxide (NO) synthesis, inhibited the antinociceptive effect of FATEM only in the first phase of the formalin test (Fig. 4A), thus suggesting its po- tential direct effect on peripheral nociceptors [51]. Moore et al. [52] reported that L-NAME produces both first- and second-phase anti- nociception in the formalin test, possibly by a direct effect within the central nervous system. However, the present results suggest that the Fig. 10. Effect of Ruthenium Red on the antinociceptive activity of FATEM (25mg/kg, i.p.) in the capsaicin-induced orofacial nociception model in mice. Each column re- presents the mean ± S.E.M (n= 6/group). Numbers above the bars indicate the per- centage of analgesia. One-way ANOVA with post-hoc Tukey’s test (**p < 0.01 and ***p < 0.001 vs control). Control: vehicle (3% DMSO). Fig. 11. Effect of camphor on the antinociceptive activity of FATEM (25mg/kg, i.p.) in the cinnamaldehyde-induced orofacial nociception model in mice. Each column re- presents the mean ± S.E.M (n= 6/group). Numbers above the bars indicate the per- centage of analgesia. One-way ANOVA with post-hoc Tukey’s test (**p < 0.01vs control). Control: vehicle (3% DMSO). Control F-25 A A + F-25 0 50 100 150 ** *** ** ___________________ 69.99% 83.47% 63.66% Fig. 12. Effect of Amiloride on the antinociceptive activity of FATEM (25mg/kg, i.p.) in the acid saline-induced orofacial nociception model in mice. Each column represents the mean ± S.E.M (n= 6/group). Numbers above the bars indicate the percentage of an- algesia. One-way ANOVA with post-hoc Tukey’s test (**p < 0.01 and ***p < 0.001 vs control). Control: vehicle (3% DMSO). Control 12,5 25 50 Naive 0 5 10 ______________ 100% 26.25% 21.34% 3.33% *** Fig. 13. Effect of FATEM (12.5; 25 or 50mg/kg, i.p.) in the hypertonic saline-induced corneal nociception model in mice. Each column represents the mean ± S.E.M (n= 6/ group). Numbers above the bars indicate the percentage of analgesia. One-way ANOVA with post-hoc Tukey’s test (***p < 0.001 vs control). Control: vehicle (3% DMSO). Naive: untreated group. F.E.A. Magalhães et al. Biomedicine & Pharmacotherapy 97 (2018) 1575–1585 1582 peripheral mechanism may also contribute in part to the effect of sys- temic L-NAME. Further, the dose of L-NAME did not result in complete suppression of formalin-induced orofacial nociceptive responses in the second phase (Fig. 4B), suggesting that NO is an important but not exclusive factor in the induction of the second-phase orofacial noci- ception. The antinociceptive effect of FATEM also was partially prevented by Glibenclamide, K+-ATP channel antagonist, thus suggesting the parti- cipation of these systems in its action. Drugs that modulate anti- nociception through the opioid system are also involved in the blockade of nitric oxide synthesis and K+-ATP channels [53,54]. Nociception induced by glutamate (Fig. 6), capsaicin (Fig. 7) or acidic saline (Fig. 8) was also attenuated by FATEM in mice, suggesting an antagonistic action on glutamatergic, vanilloid and ASIC receptors. This non-specific effect may be due to phenolic compounds with anti- oxidant activity present in the fraction, as reported by Jaios et al. [55]. In addition, it is important to emphasize the involvement of TRP channels, particularly the TRPV1 receptor and its interrelationship with the glutamatergic system. According to Dal Bó et al. [56], the activation of TRPV1 induces the release of glutamate; therefore, blocking this receptor may reduce the nociception induced by this amino acid. The results of the present study also suggest that the effect of FATEM on glutamate-induced nociception may occur, at least in part, due to the reduction of glutamate release via TRPV1 receptor blockade. However, the antinociceptive effect of FATEM was not blocked by ru- thenium red (TRPV1 channels antagonist; Fig. 10) or by amiloride (ASICs antagonist; Fig. 12). Thus, further studies are needed to detect the possible neuromodulatory effects of FATEM. FATEM inhibited the nociceptive behavior of mice induced by for- malin (Fig. 2A) or cinnamaldehyde (Fig. 6) – both are TRPA1 agonists. However, this effect was not reversed by camphor (TRPA1 antagonist) (Fig. 11), which suggests that the orofacial antinociceptive effect of FATEM is not related to the TRPA1 receptor. As reported previously, FATEM does not appear to act on TRPV1 channels; therefore, it did not prevent hypertonic saline-induced eye rubbing behavior, which is related to the activation of TRPV1 receptors in the trigeminal subnucleus caudalis [57]. Temporomandibular disorders are musculoskeletal pain conditions characterized by pain in the temporomandibular joint (TMJ) and/or masticatory muscles. They are the most common cause of chronic facial pain conditions [58]. Mustard oil (MO) [58] and formalin [34] have been used to activate nociceptors in a variety of animal models. In the present study, TMJ or craniofacial nociception induced by formalin or mustard oil was prevented by FATEM (25 mg/kg) (Table 2), thus sug- gesting its use for the treatment of these disorders. Trigeminal neuralgia is known as one of the most painful diseases in humans and is characterized by recurrent episodes of stabbing or electric shock-like pain localized to one side of the face, including the oral cavity [59]. This disorder wasassessed in the present study using an animal model of neuropathic orofacial pain after chronic constric- tion of the infraorbital nerve. FATEM (25mg/kg) increased the threshold of responsiveness to mechanical stimulation (Fig. 15). Table 2 Effect of FATEM on formalin- and mustard oil-induced TMJ nociception in mice. Group (Dose) Formalin Mustard oil A-Face Rubbing (s) (A%) B-Head Flinching (s) (A%) C-Face Rubbing (s) (A%) D-Head Flinching (s) (A%) Control 43.60 ± 13.96 (0.00%) 52.67 ± 13.41 (0.00%) 15.50 ± 3.94 (0.00%) 33.83 ± 3.54 (0.00%) Naive 2.33 ± 0.56**(94.66%) 2.33 ± 0.92***(95.58%) 1.67 ± 0.61**(89.23%) 3.67 ± 0.76***89.15% Sham 4.83 ± 1.08**(88.92%) 9.83 ± 3.82**(81.34%) 3.50 ± 1.06**(77.42%) 6.50 ± 1.61***(80.79%) FATEM(25mg/kg) 9.67 ± 3.49**(77.81%) 19.00 ± 3.28*(63.93%) 3.33 ± 1.36**(78.52%) 8.33 ± 2.19***(75.38%) A% – Percentage of analgesia [A%= FR% or HF% (Control) – FR% or HF% (Sample)], where FR – Face rubbing; HF – head flinching. Each column represents the mean ± S.E.M (n = 6/ group). Analysis of Variance ANOVA with post-hoc Tukey’s test (*p < 0.05; **p < 0.01; ***p < 0.001 vs control). Control: vehicle (3% DMSO). Naive: untreated group. Sham: treated with vehicle and saline in the TMJ. Control 25 Sham Naive 0 10 20 30 ** *** *** 100% 71.70% 93.97% _____ Fig. 14. Effect of FATEM (25mg/kg, i.p.) in the mustard oil-induced craniofacial noci- ception model in rats. Each column represents the mean ± S.E.M (n= 6/group). Numbers above the bars indicate the percentage of analgesia. One-way ANOVA with post- hoc Tukey’s test (**p < 0.01; ***p < 0.001 vs control). Control: vehicle (3% DMSO). Naive: untreated group. Sham: treated with vehicle and saline in the masseter muscle. BA SE 1P O 3P O 5P O 7P O 10 PO 14 PO 21 PO 60 80 100 120 CONTROLE SHAM NAIVE * * *s Fig. 15. Effect of FATEM (25mg/kg, i.p.) on neuropathic nociception induced by infra- orbital nerve transection in rats. PO=Postoperatively. Two-way ANOVA with post-hoc Bonferroni correction (*p < 0.05 vs control). Control: vehicle (0.9% saline). Naive: un- treated and unoperated group. Sham: Fake operation and treatment with saline. Fig. 16. Effect of FATEM (12.5; 25 or 50mg/kg, i.p.) on locomotor activity of mice (n=6/group) in the open field test. Each column represents the mean ± S.E.M (n=6/ group). One-way ANOVA with post-hoc Tukey’s test. Control: vehicle (3% DMSO). Naive: untreated group. F.E.A. Magalhães et al. Biomedicine & Pharmacotherapy 97 (2018) 1575–1585 1583 The antinociceptive effect of FATEM may be related to the presence of antioxidant compounds in the fraction. These compounds can elim- inate free radicals that are produced in nociceptive processes and which are responsible for modulating pain during these processes [4,6]. Stu- dies have shown that oxidative stress modifies experimental nocicep- tion [60–62] and antioxidants ameliorate nociception [63,64]. The antinociceptive potential of FATEM in the present study is consistent with earlier reports on plant-derived substances [65–67] with anti- oxidant properties. Therefore, studying the pain modulation effects of antioxidants is considered an emerging area of interest [68]. The fact that FATEM did not interfere with locomotor activities in the open-field test rules out non-specific FATEM-induced muscle re- laxation and supports the nociceptive test results of the present study. In conclusion, the present study showed the potential pharmacolo- gical relevance of FATEM as an inhibitor of orofacial nociception. Our findings suggest that the antinociceptive effect of FATEM on acute and neuropathic orofacial pain seems to be modulated, in part, by the opioid system, nitric oxide and ATP-sensitive potassium channels. These results encourage the continuation of the study in order to isolate and characterize the active agent, which may lead to the development of a new drug for the treatment of orofacial pain. Conflict of interest We declare that we have no conflict of interest. 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