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Cyperus rotundus Linn. (Cyperaceae) is a Tunisian medicinal plant used in folkloric (traditional) medicine to treat stomach disorders and inflammatory diseases. The present study explored the analgesic, anti-inflammatory and genotoxic activities of extracts from the aerial parts of C. rotundus. The antioxidant capacity and the modulation of splenocyte functions by these extracts were also investigated in mice. The phytochemical analysis was carried out using standard methods.
Aqueous, ethyl acetate, methanol and TOF-enriched extracts (300, 150, and 50μg/ml) were evaluated for their analgesic and anti-inflammatory activities. 4, 2, and 1mg/ml of each extract were tested to investigate their effect on lipid peroxidation. The genotoxic study was monitored by measuring the structural chromosome aberrations of mice treated with 300mg/kg of extract. The proliferation of lymphocytes in the absence and presence of mitogens was assessed at a concentration range 1–1000μg/ml.
The tested extracts were able to decrease the mouse ear oedema induced by xylene. Furthermore, it was shown that the same extracts reduced the number of abdominal contractions caused by acetic acid in mice, revealing the peripheral analgesic activity of these extracts. It is worth noting that mice treated with doses up to 300mg/kg b.w. of Cyperus rotundus extracts did not exhibit any toxicity. The tested extracts significantly enhance lymphocyte proliferation at 1mg/ml.
It appears that C. rotundus extracts contain potent components such as flavonoids that may potentially be useful for modulating the immune cell functions, provoking analgesic, anti-inflammatory and antioxidant effects.
Tunisia is a rich source of medicinal plants, and a number of plant derived extracts are used to fight against various diseases. Only few plants have been scientifically explored. Plant derived natural products such as alkaloids, tannins, terpenes and flavonoids have received considerable attention in the recent years due to their diverse pharmacological properties including their analgesic, anti-inflammatory and antioxidant activities .
Pain is a pathophysiological response of the living tissue to undesirable stimuli. Inflammation can be defined as a reaction of a living cell or tissue to injury, infection or irritation/infiltration. It is characterized by swelling, redness and heat/fever. It can be induced by conditions that bring about the release of inflammatory mediators such as histamine, prostaglandins, nitric oxide, serotonin, cytokinines, leukotrienes, platelet activating factors and substance P . In order to reduce the inflammatory response and damage to the human body, much effort has been made in the search for natural immunomodulatory products . The pharmacology of pain has become a complex field. More recently, completely synthetic compounds based on natural pharmacophores have been introduced into the market but, research and medical fields still struggle with the side-effect profiles from these analgesic substances that are undesirable. Therefore, the development of newer and more substantial analgesic drugs with fewer side-effects is necessary.
Cyperus rotundus Linn, a sedge of the family of Cyperaceae, order cyperales, is widely distributed in the Mediterranean basin areas. This plant, which grows naturally in tropical, subtropical and temperate region, is widespread in the North-East, Center and South of Tunisia . C. rotundus is a traditional medicinal plant appearing among the Indian, Chinese and Japanese natural drugs .It is used in the treatment of spasms, stomach disorder and inflammatory diseases [5-7]. Zhu et al.  described the ulcer inhibitory effect of decoction from the rizhomes of C. rotundus, related to the inhibition of gastric motility. Other pharmacological investigations have indicated that C. rotundus, has remarkable hypotensive  and antipyretic effects .
The aim of this study was to validate the phytochemical groups, the anti-inflammatory, analgesic and antioxidant effects of the different extracts from Cyperus rotundus aerial parts. Besides, we investigated the immunomodulatory activity of the same extracts on lymphocyte proliferation as well as their genotoxicity by measuring the chromosome aberrations in bone marrow cells.
Cyperus rotundus aerial parts were collected from the region of Monastir, located in the Center of Tunisia, in October 2008. The botanical identification was carried out by Prof. Med Chaieb (Department of Botany, Faculty of Sciences, University of Sfax, Tunisia), according to the flora of Tunisia . A voucher specimen (Cp.10-08) is kept in the laboratory of Pharmacognosy, Faculty of Pharmacy of Monastir, for future references.
The fresh aerial parts of Cyperus rotundus were dried at room temperature and reduced to coarse powder. 100g of the powdered leaves were boiled in water for 15 to 20min. The crude extract obtained was filtered and lyophilized (aqueous extract). The residue was dissolved in water.
In order to obtain an extract enriched with Total Oligomer Flavonoids (TOF), 100g of powder were macerated in water/acetone mixture (1v/2v) for 24hours with continuous stirring. The extract was filtered and the acetone was evaporated under low pressure in order to obtain an aqueous phase. The tannins were partially removed by precipitation with an excess of NaCl for 24hours at 5°C, then we recovered the supernatant. The latter was extracted with ethyl acetate, concentrated and precipitated with an excess of chloroform. The precipitate was separated and yielded TOF enriched extract which was dissolved in water.
Ethyl acetate and methanol extracts were obtained by soxhlet extraction (6h). The two types of extracts, with different polarities, were concentrated to dryness and the residue was kept at 4°C. These two extracts were resuspended in DMSO.
The polyphenol content of Cyperus rotundus extracts was quantified by the Folin-Ciocalteau reagent [11,12]. Aliquots of test samples (100μl) were mixed with 2.0ml of 2% Na2CO3 and incubated at room temperature for 2min. After the addition of 100μl 50% Folin-Ciocalteau phenol reagent, the reaction tube was further incubated for 30min at room temperature, and finally absorbance was read at 720nm. Gallic acid (0.2mg/ml) was used as a standard. A known volume of each extract was placed in a 10ml volumetric flask to estimate flavonoid content according to the modified method of Zhishen et al. . Distilled water was added to make the volume 5ml, and then 0.3ml NaNO2 aliquot (1:20w/v) was added to this dilution. Three milliliters of AlCl3 (1:10w/v) were added 5min later. After a 6- min incubation, 2ml of 1N NaOH was added to the mixture and the total absorbance was measured at 510nm . Quercetin was used as standard for constructing a calibration curve.
The method described by Pearson  was used for the determination of tannin content of the samples. The extraction of tannin in the sample was achieved by dissolving 5g of the sample in 50ml of distilled water in a conical flask, allowing the mixture to stand for 30min with shaking of the flask at 10-min intervals, and then centrifuging at 5000rpm for 15min to obtain a supernatant (tannin extract). The extract was diluted to 100ml in a standard flask using distilled water. Five milliliters of the diluted extract and 5ml of standard tannic acid (0.1g/L) were measured into different 50-ml volumetric flasks. One milliliter of Folin- Denis reagent was added to each flask, followed by 2.5ml of saturated sodium carbonate solution. The solutions were made up to the 50-ml mark with distilled water and incubated at room temperature for 90min . The absorption of these solutions was measured against that of the reagent blank (containing only 5ml of distilled water) in a Beckmann spectrophotometer at 760nm wavelength. Tannin content (tannic acid equivalents) was calculated in triplicate and the concentration of tannin in the extract was determined using pure tannic acid as standard.
Balb/c mice (6–8week-old males, 20–30g) were obtained from the Pasteur Institute (Tunis, Tunisia). The animals were housed in polypropylene cages with stainless steel grill tops and provided with bedding of clean paddy husk. The animals were acclimatized to laboratory conditions for one week prior to treatment. The temperature in the animal room was maintained between 25 ± 2°C with a relative humidity of 30–70% and illumination cycle set to 12h light and 12h dark. The mice were fed with standard laboratory pelleted feed. All animal experiments were performed in accordance with the guidelines for the care and use of laboratory animals published by the US National Institutes of Health. The study protocol was approved by the Ethics Committee of the University Hospital Fattouma-Bourguiba of Monastir, Tunisia.
Mice were randomly divided into groups of 5 animals and treated by i.p. injection: a first control group was given solvent Tween-80 (1%) and a second control group was treated with Tween-80 (5%). In fact, aqueous, methanol and TOF-enriched extracts were dissolved in Tween-80 (1%), whereas ethyl acetate extract was dissolved in Tween-80 (5%). The other groups of animals were treated by different doses of extracts, ranging from 125mg/kg to 1g/kg body weights. The number of dead animals was followed every day for one week after treatment.
The analgesic effect was tested according to the method described by Shibata et al. . The abdomen writhing is a model of visceral pain and it was produced by i.p. injection of 1% (v/v) acetic acid solution (volume of injection 0.1ml/10g b.w.) to each mouse, 30min after the administration of the the aqueous, the TOF-enriched extract, ethyl acetate and methanol extracts (50, 150, 300mg/kg, b.w, respectively). Tween-80 (1%, v/v) was used as negative control and diclofenac sodium was used as positive control (100mg/kg, b.w.). After the immediate injection of acetic acid, each mouse was isolated in an individual observation box and the number of writhes produced in these animals was counted for 15min.
The percentage analgesic activity was calculated as follows:
Where N is the average number of stretching of control animals per group
And Nt is the average number of stretching of treated animals per group.
The mice were divided into groups of five. Thirty minutes after i.p. injection of the extract (50 to 300mg/kg, b.w.) or dexamethasone (positive control) (300mg/kg, b.w.), 0.03ml of xylene was applied to the anterior and posterior surfaces of the right ear. The left ear was considered as control. Two hours after xylene application, the mice were sacrificed and both ears were removed. Circular sections were taken using a cork borer with a diameter of 7mm, and were later weighed. The increase in weight caused by the irritant was measured by subtracting the weight of the untreated left ear section from that of the treated right ear sections. The oedema was quantified as the weight difference between the two earplugs. The anti-inflammatory activity was evaluated as percent oedema reduction/inhibition in the treated animals relative to the control animals [17,18] using the relation:
Where Rt = mean weight of the right ear plug of the treated animals; Lt = mean weight of the left ear plug of the treated animals; Rc = mean weight of the right ear plug of the control animals; Lc = mean weight of the left earplug of the control animals.
TBA reacts with malondialdehyde (MDA) to form a diadduct, pink chromogen, which can be detected spectrophotometrically at 532nm . Normal male mice were used for the preparation of liver homogenate. The perfused liver was isolated, and 10% (w/v) homogenate was prepared with homogenizer at 0-4°C with 0.15M KCl. The homogenate was centrifuged at 800rpm for 15min and clear cell-free supernatant was used for the study of in vitro lipid peroxidation. One ml of 0.15M KCl, 0.1ml of rat liver homogenate, 100μl of ascorbic acid (0.5mM) and 0.2ml of each extract concentration (1 to 4mg/ml) were mixed and the peroxidation reaction was initiated by adding 100μl of 15mM FeSO4. After the incubation at 37°C for 1h, the reaction was stopped by adding 500μl of trichloroacetic acid (TCA) (28%, w/v) and 380μl TBA (2%, w/v). This final mixture was heated in a water bath for 20min at 80°C, then it was cooled, centrifuged and the absorbance of the supernatant was measured at 532nm. The inhibition percentage of lipid peroxidation was calculated by comparing the results of lipid peroxidation obtained with liver homogenates treated with FeSO4 and extracts to those of controls treated only with FeSO4, by using the following formula:
Spleen Balb/c lymphocytes were obtained as previously reported . Briefly, 8-week-old male Balb/c mice were killed by cervical dislocation. The spleen was isolated, aseptically removed and homogenized by mincing with a sterile forceps. The splenocytes were harvested by centrifugation (1500rpm, for 10min), and red blood cells were lysed with a lysis buffer (144mM NH4Cl, 1.7mM Tris Base). The cells were washed twice with phosphate-buffered saline (PBS), resuspended in complete RPMI medium and adjusted to 5×106cell/ml. The cell incubation was conducted at 37°C, in 5% CO2 enriched atmosphere.
The evaluation of lymphocyte proliferation was carried out by using the MTT [3-(4,5- dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide] coloration method . One hundred microliter of splenocyte suspension (3×106 cells/ml) in a 96-well plate were preincubated in RPMI 1640 medium (Control) for 24h before the addition of mitogens (LPS and lectin at 5μg/ml), alone or with increasing concentrations of each extract (1, 0.1, 0.01, 0.001mg/ml) solubilized in RPMI. The cells were incubated at 37°C in humidified 5% CO2 atmosphere for additionally 24h. After centrifugation at 1500rpm for 10min, the cell pellet was re-suspended in 50μl of MTT (5mg/ml) in RPMI media and incubated for 4h at 37°C in humidified 5% CO2 atmosphere. The culture medium was removed after centrifugation and dimethylsulfoxide was added. The absorbance was measured at 570nm.
The percentage of proliferation was calculated by the following equation:
The aim of this experiment was to investigate if C. rotundus extracts exhibit a genotoxic effect, using animal models. Blab/c mice were used (average body weight 20 ± 0.3g; age: 6weeks old). These mice were given a standard granulated food and drinking water, and were divided into four groups with 5 mice each, as follows:
Group 1: Mice given Tween-80 (1%).
Group 2: Mice given Tween-80 (5%).
Group 3: Mice given 40mg/kg b.w. of methyl methane sulfonate (MMS), as positive control.
Group 4: Mice given 300mg/kg b.w. of Cyperus rotundus extracts.
The animals within the different treatment groups were given a subcutaneous injection of yeast suspension, dissolved in water (20mg/ml), to accelerate the mitosis of bone marrow cells . Ten minutes later, they received a single intraperitoneal (I/P) injection of the tested substance solution (200μl of MMS, Cyperus rotundus extracts or Tween-80). Twenty-four hours later, the different animals were sacrificed by cervical dislocation. 200μl of vinblastin (250μg/ml) were injected (I/P injection) to animals 45minutes before they were sacrificed in order to block the dividing cells in metaphase. The cells of the bone marrow were collected from femurs and tibias, shielded with a hypotonic shock solution (KCl 0.075M), then harvested in the presence of a methanol–acetic acid mixture 3/1 (v/v) (3 repetitions) by centrifugation at 1200rpm for 10minutes, according to the technique described by Evans et al. . The cells were spread on glass slides that were blazed on a flame for 5s, then air-dried for conservation at room temperature and finally stained with a 4% (v/v) Giemsa solution in water, for 15min . After coding slides, the chromosomes of 100 cells blocked in metaphase were examined for chromosome abnormalities at a magnification of 100 × using an optical microscope (Olympus, France). Three replicates (300 metaphases per dose level) for each controls and treated groups were conducted. The chromosome aberrations were identified according to the criteria described by Savage . The metaphases with chromosome breaks, gaps, rings and centric fusions were recorded and expressed as percentage of total metaphases per group.
Data are expressed as mean ± SD (Standard Deviation). The biological activity was examined in three individual experiments, performed in triplicate for each dose. The statistical significance was determined using the Student’s t-test. P<0.05 was considered as indicative of significance as compared to the control group.
The chemical preliminary study of Cyperus rotundus extracts showed the presence of flavonoids, tannins and polyphenols. The Folin-Ciocalteu method is a rapid and widely-used assay investigating the total phenolic content, but it is known that different phenolic compounds gave different responses with this method . Therefore, we expressed the total polyphenol content of the extracts as gallic acid equivalents  following confirmation of linearity of the response of the assay using the extracts. The total flavonoid content of the C. rotundus extracts was determined by the method of Zhishen et al. . The results summarized in Table1 reveal that TOF-enriched extract exhibited the most important flavonoid and total polyphenolic contents, followed by methanolic, aqueous and ethyl acetate extracts. The aqueous extract showed the highest extracting yield (13.7%), whereas the TOF enriched extract showed the lowest one (0.16%) (Table1).
It appears that 1mg of TOF-enriched extract contains an amount of polyphenols equivalent to 700μg of gallic acid and an amount of flavonoids equivalent to 1610μg of quercetin. However, 1mg of each of ethyl acetate, methanolic and aqueous extracts contains respectively up to 175, 355 and 220μg equivalent of gallic acid and 315, 320 and 316μg equivalent of quercetin. The highest content of tannin was recorded in both ethyl acetate and aqueous extracts, with respectively, 200.84μg and 82.51μg equivalent of tannic acid. Yet, the methanolic and TOF-enriched extracts tannin contents were respectively, equivalent to 62.86 and 46.25μg of tannic acid.
When administered (I/P) to mice, the different doses of the extracts (50, 150 and 300mg/kg) provoke reduction of writhing response induced by acetic acid administered intraperitonally to mice (Table2), in a dose-dependent manner. The inhibition percentages of writhing obtained with aqueous, ethyl acetate and methanolic extracts were 65.7%, 63% and 43%, respectively at the same dose (300mg/kg, b.w.). The TOF-enriched extract showed the most significant inhibitiory effect (92.8% at the dose of 300mg/kg b. w.). The standard analgesic diclofenac sodium (100mg/kg, b.w.) reduced the abdominal constriction to 100%.
The aqueous, ethyl acetate, methanolic and TOF-enriched extracts from Cyperus rotundus administered at the dose of 300mg/kg, b.w showed a significant inhibiting effect against ear oedema induced by xylene. The inhibition percentages were 74.38%, 62.73%, 44.6% and 77.25%, respectively, while the positive control, dexamethasone (300mg/kg, b.w.) exhibited an inhibition percentage of ear oedema of 68.81% as shown in Table3.
The antioxidant activity of the plant extracts was evaluated by quantifying the ability of the different extract concentrations to suppress iron (Fe2+)-induced lipid peroxidation (LPO) in rat liver homogenate. In fact, the addition of FeSO4 in liver slices resulted in enhancing lipid peroxidation as observed earlier by other workers . The initiation of LPO by FeSO4 is known to take place through ferryl perferryl complex . The assessment of the extent of lipid peroxidation relied on individual determinations of MDA contents in sample supernatants by performing the TBARS assay, as described by Draper and Hadley . MDA is an end product of peroxidative decomposition of polyenoic fatty acids by the lipid peroxidation process. Its accumulation in tissues is indicative of the extent of lipid peroxidation . Ex vivo experiments showed that different concentrations (1, 2, 4mg/ml) of each extract produced dose-depending inhibitory effects on lipid peroxidation induced in rat liver cells (Figure1). IC50 values of MDA formation were 1.3mg/ml in the presence of the aqueous extract, 1.2mg/ml in the presence of the methanolic extract and 1.7mg/ml in the presence of the ethyl acetate extract. The TOF-enriched extract (IC50= 0.75mg/ml) exhibited the most significant lipid peroxidation inhibitory effect as compared to the others extracts. Thus, it is notable that lipid peroxidation (LPO) inhibition capacity of the extracts increases as the extract concentrations increase.
The different extracts of Cyperus rotundus did not exhibit acute toxicity up to the dose of 1g/kg b.w. The weight of the treated mice varied normally after 7days of observation. The common side effects such as mild diarrhea, loss of weight and depression were not recorded. In fact, the mice treated with doses up to 300mg/kg b.w. of C. rotundus extracts exhibited significant anti-inflammatory and analgesic activities. For this reason, we attempted to investigate whether this dose would provoke any genotoxic effect.
The metaphasic chromosome slides were observed for structural aberrations. The observations revealed the presence of centric fusions, rings and chromosomal breaks (Table4). The positive control (MMS) was found to induce statistically significant number of structural aberrations, mainly centric fusions, rings and chromosome breaks in bone marrow cells. The treatment of animals with the different extracts at 300mg/kg b.w. for 24h did not induce significant number of chromosome aberrations when compared to the negative control. These data indicate that C. rotundus extracts exhibit no genotoxic activity, and thus support the safety of C. rotundus extracts at the tested dose.
The lymphocyte-mediated immunity plays an important role in the cellular and humoral immune responses. The capacity to elicit an effective T- and B-lymphocyte immunity can be shown by the stimulation of lymphocyte proliferation response. It is generally known that Lectin stimulates T cells and LPS stimulates B cell proliferation [31,32]. In this study, we investigated the effects of the aerial part extracts from C. rotundus, on lymphocyte proliferation with and without mitogen stimulation. In the absence of mitogens, all the dose-dependently extracts stimulate splenocyte proliferation compared to untreated cells. As shown in Figure2-A, maximums of cell proliferation were observed at a concentration of 1mg/ml of aqueous extract (86.06%), ethyl acetate extract (126.22%), methanolic extract (249%) and TOF-enriched extract (260.11%). When we treated the mouse splenocytes with mitogen, we also observed a stimulation of cell proliferation. A dose of 5μg/ml LPS stimulates cell proliferation by 50.82%, whereas a dose of 5μg/ml of lectin stimulates proliferation by 69.67%. In the presence of lectin, the different extracts elicited an increase in splenocyte proliferation by 139.8%, 227%, 236.88% and 293.44% at 1mg/ml, respectively (Figure2-B), compared to the untreated cells. In the presence of LPS, the extracts at 1mg/ml enhanced the proliferation of splenocytes by 193.44%, 323.7%, 303.28% and 391.8% with respectively the same extracts (Figure2-C), compared to the untreated cells. A dose of 1mg/ml of each extract exhibits no toxicicity on mouse splenocytes as it was revealed by MTT assay (survival rates higher than 90%).
Previous studies conducted by our team revealed the presence of catechin, afzelechin and galloyl quinic acid in TOF-enriched extract from the aerial parts of C. rotundus, and luteolin, ferulic acid, quercetin, 3-hydroxy, 4-methoxybenzoic acid and 6,7 dimethoxycoumarin in the ethyl acetate extract . Among these secondary compounds, belonging to either tannin, polyphenol or flavonoid families, several are known to exhibit antinociceptive and anti-inflammatory effects [34,35], and we believe that the analgesic and anti-inflammatory activities we observed with extracts from the aerial parts of Cyperus rotundus should be ascribed to such compounds. Besides, i.p. administration of different doses (125mg/kg to 1g/kg b.w.) of Cyperus rotundus extracts to mice gives no toxic effect. This finding suggests that the plant extracts are, at the tested doses, safe in mice.
The peripheral analgesic effect may be mediated through the inhibition of cyclo-oxygenases and/or lipoxygenases (and other inflammatory mediators) . This hypothesis is in accordance with those of Adeyemi et al.  and Zhang et al. , who have postulated that acetic acid-induced writhing is a highly sensitive and useful test for analgesic drug development, especially peripherally acting analgesics. Acetic acid induces pain by liberating endogenous substances (bradykinin, serotonin, histamine, substance P) , which in turn excite the pain nerve endings. In our observation, aqueous, methanolic, ethyl acetate and TOF-enriched extracts significantly (P < 0.001) reduced the abdominal constriction response induced by the acetic acid in a dose-dependent manner. TOF-enriched extract exhibited the most analgesic potency, whereas methanolic extract showed the weakest one. This result could be explained by the presence of active compounds diluted and/or masked by various components in the methanolic extract and which are more accessible and/or more concentrated in the TOF- enriched extract. Besides, this test is useful for the evaluation of mild analgesic non steroidal, anti-inflammatory compounds [40,41]. This suggests a peripherally induced mechanism of the analgesic action for Cyperus rotundus extracts . Therefore, one possible mechanism of the analgesic activity by C. rotundus extracts could be due to the blockage of the effect, or the release of endogenous substances (arachidonic acid metabolites) that excite pain nerve endings by the pharmacologically active principles of C. rotundus extracts. From a mechanistic point of view, the lack of specificity in acetic acid-induced writhing test suggests the involvement of different nociceptive mechanisms in the reduction of muscular constriction, such as sympathetic system, through the release of biogenic amines, cyclooxygenases and their metabolites inhibition, and through opioids receptors mechanisms .
In evaluating the anti-inflammatory effect, it is important to estimate the activities of the extracts in the acute phase as well as in the chronic phase of inflammation. Xylene-induced ear oedema in mice was selected to evaluate acute anti-inflammatory activity and is a good in vivo test useful for evaluating lipoxygenase inhibitors and partially associated with substance P . The results in Table3 showed that the different extracts of C. rotundus caused significant inhibition of oedema as compared to the control group. These results may suggest that the plant extracts exert significant anti-inflammatory activity, especially in the acute inflammatory response. The suppression of this response is a likely indication of the antiphlogistic effect . The topical anti-inflammatory effect suggests that constituents of the extract may relieve rheumatism and offer the additional advantage of suppressing inflammatory response initiated by tissue injury when the leaves are used in folkloric treatment of arthritis and wounds respectively . In fact, the activity may be related to the inhibition of inflammatory mediators such as histamine, serotonin, bradykinin, and prostaglandins.
On the other hand, the anti-inflammatory and analgesic activities of many plant extracts have been attributed to their high sterol/triterpene  or flavonoid contents . Other studies have demonstrated that various flavonoids such as rutin, quercetin, luteolin, hesperidin and biflavonoids produced significant antinociceptive and/or anti-inflammatory activities . On the basis of these results, it can be concluded that the different extracts of C. rotundus possess antinociceptive and anti-inflammatory activities and this may be due to any one or a combination of their phytochemical constituents .
The difference in significance between ethyl acetate and TOF-enriched extracts concerning the analgesic and anti-inflammatory activities may be due to their different constituents. Several compounds obtained from C. rotundus extracts were identified as catechin, luteolin, quercetin and ferulic acid . Previous reports indicated that various flavonoids have an anti-inflammatory activity  suggesting that flavonoids should be responsible for the anti-inflammatory and analgesic effects obtained with the different C. rotundus tested extracts. In addition, we previously showed that ethyl acetate extract contains sterols , which are documented as anti-inflammatory constituents [50,51].
Several medicinal plants are considered immunomodulatory as they display a variety of anti-inflammatory, antimicrobial and antitumoral effects . The modulation of immune cell activities by molecules from medicinal plant origin is an area of active interest for inflammation, autoimmunity and cancer therapy. Investigating the effects of substances that promote or inhibit lymphocyte inflammatory response represents a potent means to study immunomodulation and drug discovery. In the present study, lymphocytes isolated from mice were used as models because of their critical role in controlling innate and immune inflammatory responses . Lymphocytes are the key effector cells of mammalian adaptive immune system and our studies show that the different subpopulations of lymphocytes are differentially activated by Cyperus rotundus extracts at varying levels. The extracts significantly increased the proliferation of splenocytes at concentrations of 1–1000μg/ml, and these effects were markedly enhanced in the presence of LPS. The concomitant presence of lectin and extracts (1mg/ml) enhance splenocyte proliferation, except with the methanolic extract. Lectin acts directly on lymphocyte T cells, which are involved in cell mediated immunity, while LPS acts on lymphocyte B cells that are responsible for humoral immune response . Therefore, C. rotundus extracts could enhance both cellular and humoral immunity depending on the concentrations. A dose of 1mg/ml stimulates cellular and humoral immunity. In fact, lymphocyte B cell proliferation as well as lymphocyte T cell response are stimulated by both high and low extract concentrations. We believe that phenolic compounds, especially flavonoids, might contribute to the immunomodulatory effects of C. rotundus extracts and their anti-inflammatory activity.
Injury of the mucous membranes cells may provoke the production of active oxygen species. The latter can directly injure the surrounding cells and extracellular matrices, such as hyaluronic acid, and produce lipid peroxides and metabolites of arachidonic acid. In general, active oxygen species are thought to promote inflammation through these processes . On the other hand, antioxidants, such as superoxide dismutase and catechins, are known to suppress inflammation. Antioxidants may offer resistance against the oxidative stress by scavenging the free radicals, inhibiting the lipid peroxidation, and/or by other mechanisms, and thus preventing some diseases . The different extracts of C. rotundus exhibited important antioxidant activities. The results obtained in the present study may be attributed to several reasons viz: the inhibition of ferryl-perferyyl complex formation; scavenging of OH or superoxide radicals or by changing the ratio of Fe3+ / Fe2+; reducing the conversion rate of ferrous to ferric iron or by chelating of the iron itself. The antioxidant activity of the extracts may probably be due to the rapid and extensive degradation of the oxidant principles in an ex vivo state. In our study, there seems to be a good correlation between the phenolic content and antioxidant activity of the extracts, since the TOF-enriched extract with higher phenolic content showed the highest antioxidant activity. However, it is known that nonphenolic antioxidants could also contribute to the antioxidant activity of an extract. Thus, we strongly believe that the anti-inflammatory activity revealed by C. rotundus plant extracts, should be ascribed, at least in part, to their antioxidant activity as far as radical-induced actions play a central role in the inflammatory condition. Thus, the antioxidant and free radical scavenging flavonoids could prevent generation of inflammatory mediators .
Based on these results, we chose to perform the genotoxicity assay on mice by numbering the chromosome aberrations in sample treated animal cells, and comparing them to control animal cells. The chromosomal aberrations (CA) are changes in chromosome structure resulting from a break or exchange of chromosomal material. Most of the CA observed in cells are lethal, but there are many aberrations that are viable and can cause genetic effects, either somatic or inherited . Our study showed no induction of chromosome or chromatid aberrations in the cells obtained from animals treated with each tested extract. To explain this result, we propose the following hypotheses:  mutagenic compounds were deactivated in the animal body,  mutagenic compounds did not reach bone marrow cells, C. rotundus extracts does not cause genetic damage at all, or does not cause genetic damage detected by using the chromosome aberrations assay.
The results of the present work clearly demonstrate the significant anti-inflammatory and peripheral analgesic activities of the different extracts from the aerial parts of Cyperus rotundus. The same extracts exhibited an anti-lipid peroxidation capacity. On the other hand, the tested extracts influence humoral-mediated immunity by stimulating B and T cell proliferation. These results indicate that Cyperus rotundus might have immunostimulatory properties that can be exploited in food and pharmaceutical industries. The analgesic, anti-inflammatory, antioxidant and immunomodulatory effects of the extracts may be ascribed to their flavonoid, tannin and polyphenol contents. The exact mechanism and the bioactive principles responsible for these actions still need to be explained. However, further in vivo studies are needed to evaluate the real use of these extracts in the anti-inflammatory and antioxidant therapeutics.
The authors declare that they have no competing interests.
KJS carried out polyphenols, flavonoids and tannins quantification, photochemical analysis, extract preparation and chromosome aberrations assay. MD carried out analgesic assay. CF carried out anti-inflammatory assay. GZ carried out lipid peroxidation assay. LI prepared solutions which have been used for splenocyte proliferation assay. GK assisted with Cyperus rotundus extraction and study design and interpretation. CGL helped conceive the study and helped in the preparation of the manuscript. All authors read and approved the final manuscript.
The pre-publication history for this paper can be accessed here:
The authors thank the Tunisian Ministry of higher Education, Scientific Research and Technology for the financial support of this study. They are grateful Pr. Hassen BACHA the head of laboratory for Research on Biologically Compatible Compounds, Faculty of Dentistry and all members of this laboratory for their help in culture cell experiments.