Evaluation of the in vitro trypanocidal activity of methylated flavonoid constituents of Vitex simplicifolia leaves

Background Trypanosomiasis is a neglected tropical disease with complex clinical manifestations, tedious diagnosis, and difficult treatments. The drugs available for the treatment of this endemic disease are old, expensive, and associated with other problems including safety and drug resistant parasites. Therefore, there is an urgent need for the development of new, effective, cheap, and safe drugs for its treatment. Plants are potentially rich sources of leads for new drugs against trypanosomiasis. Vitex simplicifolia (Verbenaceae) is used traditionally for the treatment of tooth ache, edema, skin diseases, gout and trypanosomiasis in Nigeria. In a preliminary study, the methanol extract of Vitex simplicifolia was shown to exhibit a pronounced trypanocidal activity against T. b. rhodesiense. The present study was undertaken to investigate the active component responsible for the acclaimed activity of the leaves of Vitex simplicifolia in the traditional treatment of trypanosomiasis in Nigeria and other African countries. Our investigations aim at assessing the plant as a new source of potential trypanocidal compounds. Methods The crude extracts were prepared from the dried leaves using methanol, successive extraction with hexane, dichloromethane, ethylacetate and butanol was also done. The ethylacetate fraction was further fractionated and compounds isolated using preparative chromatographic technique and their structures were elucidated by NMR, mass spectrometry and comparison with literature data. Trypanocidal activities and cytotoxicity, using rat skeletal myoblast (L6) cells were investigated and their selectivity indices were determined. Results The chromatographic separations of the methanol extracts gave rise to seven compounds. The isolated compounds 2, 3, 6 and 7 exhibited promising trypanocidal activity with IC50 values ranging from 4.7-12.3 μg/ml and cytotoxicity in the range of 1.58- 46.20 μg/ml. Compound 6, however, showed the most selective trypanocidal activity with a selectivity index of 9.8. This is the first report of trypanocidal activity of flavonoids from this plant genus. Conclusions The isolated compounds from Vitex simplicifolia exhibited noteworthy trypanocidal activities and hence may provide a source of new antitrypanosomal agents. These results also support the traditional use of Vitex simplicifolia in the treatment of trypanosomiasis. This is the first report of trypanocidal effect of flavonoids from this plant genus.


Background
Human African trypanosomiasis also known as African sleeping sickness is caused by the protozoan parasites Trypanosoma brucei rhodesiense and Trypanosoma brucei gambiense in countries of sub-Saharan Africa [1]. World Health Organization (WHO) categorized it among the neglected tropical diseases which threatens primarily rural populations and is fatal unless treated. The use of the currently available drugs for the treatment of sleeping sickness has been limited owing to their numerous side effects, difficulty in administration and a certain loss of efficacy [2]. There is a great need for new safe chemotherapeutic agents preferably with oral application. In the drug pipeline managed by the Drugs for Neglected Diseases initiative (DNDi) two molecules are in clinical trial phases, fexinidazole and SCYX-7158 [3,4]. Drug discovery efforts are also directed towards natural products as an alternative source to synthetic compounds. Studies have revealed that many plant species are potential sources of novel trypanocidal compounds [5][6][7][8][9].
Vitex simplicifolia (Verbenaceae) is a sprawling shrub that can grow as tall as 1.5 m in height [10]. The leaves are strongly aromatic, intensifying when crushed and measure 2-6.5 cm in length and 1-4.5 cm in width [11]. The leaves and the edible fruits of V. simplicifolia are used in traditional medicine for the treatment of malaria, skin diseases, toothache, edema, gout and dermatitis [12]. In southern China, V. simplicifolia is used for the treatment of various pain disorders, such as stomach ache, hernia ache, dysmenorrhea, arthralgia, and piles [13]. Over the years, folk medicine has remained a veritable platform for researchers for sourcing lead compounds for the development of potent therapeutic agents. Several trypanocidal molecules have been isolated from plants with undefined side effects [14,15]. Flavonoids are one of the largest and most abundant classes of secondary metabolites in plants and mainly found in fruits and vegetables. Many flavonoids of plant origin have shown to possess a variety of medicinal properties [16][17][18]. Previous studies have demonstrated some structure activity relationships among flavonoid derivatives and their trypanocidal and /or antileishmanial activities [19][20][21][22][23]. So far, no similar flavonoids or its derivatives have been reported to possess trypanocidal activity against African trypanosomes. In this study, we report for the first time the trypanocidal activity of some methylated flavonoid derivatives from Vitex simplicifolia.

Plant material
The leaves of Vitex simplicifolia were collected between March and April 2012 from Nsukka, Enugu State, Nigeria. The plant material was authenticated by Mr. Alfred Ozioko of the Centre for Ethnomedicine and Drugs Development, a subsidiary of Bioresources Development and Conservation Program (BCDP), Nsukka, Enugu State. The voucher specimens were deposited at the herbarium of the Department of Pharmacognosy, University of Nigeria, Nsukka. The leaves were cleaned, dried under room temperature and pulverized.

Determination of in vitro trypanocidal activity and cytotoxicity
Minimum essential medium (50 μl) supplemented according to a standard method [24], with 2-mercaptoethanol and 15% heat inactivated horse serum was added to each well of a 96-well microtiter plate. Serial three-fold compound dilutions were prepared covering a range from 90 to 0.123 μg/ml. Then 10 4 bloodstream forms of Trypanosoma brucei rhodesiense STIB 900 (a clone of a population isolated in 1982 from a patient in Tanzania) in 50 μl culture medium were added to each well and the plate incubated at 37°C under a 5% CO 2 atmosphere for 72 h. Ten microlitres of Alamar Blue (12.5 mg resazurin dissolved in 100 ml distilled water) were then added to each well and incubation continued for a further 2-4 h. The plate was then read in a Spectramax Gemini XS microplate fluorometer (Molecular Devices Cooperation, Sunnyvale, CA, USA) using an excitation wavelength of 536 nm and emission wavelength of 588 nm [25]. Fluorescence development was measured and expressed as percentage of the control. Data were transferred into the graphic programme Softmax Pro (Molecular Devices) which calculated IC 50 values. Melarsoprol was used as standard drug.
Cytotoxicity was determined using a rat skeletal myoblast cell line (L6 cells). The culture medium was RPMI 1640 supplemented with L-glutamine 2 mM, HEPES 5.95 g/l, NaHCO 3 2 g/l and 10% foetal bovine serum. Podophyllotoxin (Sigma-Aldrich) was used as the reference drug. The assay was performed following the antitrypanosomal assay protocol as described above. The IC 50 values were calculated from the sigmoidal growth inhibition curves using Softmax Pro software (Molecular Devices Corp.). Tests were done in three independent experiments in duplicate.

Results and discussion
In a previous preliminary study, the methanol extract of Vitex simplicifolia was shown to exhibit a moderate trypanocidal activity against T. b. rhodesiense with an IC 50 value of 14.2 μg/ml [26]. The methanol extract was therefore subjected to further fractionation and purification to identify the active components leading to the isolation of seven flavonoid derivatives (1-7).
All isolated compounds were subjected to in vitro assays assessing the trypanocidal and cytotoxic activities. The results are shown in Table 1.
Four of the isolated compounds 2, 3, 6 and 7 exhibited moderate trypanocidal activities with IC 50 values ranging from 4.7-13.8 μg/ml, however, selectivity versus mammalian L6 cells was completely missing for 2, 3, and 7. Compound 6 showed the most promising and selective trypanocidal activity (IC 50 = 4.7 μg/ml) with a selectivity index of 9.8. A close look at the structures of the isolated compounds reveals some structural features that can be correlated with the activities. The trypanocidal activity appears to increase with increase in the methylation of the hydroxyl groups. A plausible explanation for this observation is the corresponding increase in lipophilicity, which increases the permeability of the compounds across the parasite's membranes. This is in line with other investigations which stated that substitution at C-4" especially with methoxyl group seems relevant for antiplasmodial activity [20]. Similar studies inferred that methylation at C-4" of the flavonols potentiates the trypanocidal activities [18]. Another report stated that association of methoxyl group at C-7 with hydroxyl group at C-4" is responsible for the trypanocidal activities of some flavonoids [27]. It might as well imply that hydroxyl at C-7 associates with the methoxyl group at C-4". In this study, it can be inferred that the presence of methoxyl group at C-3, which is common to all the active compounds in this case, could be attributed to their activities. Furthermore, the absence of an OH group on the ring B which is the case with the most active compound could be another reason for its activity. According to a similar finding, the effect of the methoxyl groups on the flavonoid rings in relation to our findings needs further classifications [19].

Conclusions
In conclusion, the flavonoids isolated from V. simplicifolia showed low to moderate trypanocidal activity in vitro with compound 6 as the most active of the isolated molecules with a promising trypanocidal activity and some selectivity. A similar study shows compounds isolated from plants with IC 50s from 1.6 to 19.4 μM and selectivity indices between 0.5 and 6.5 [14]. To the best of our knowledge this is the first report on trypanocidal activity of this class of compounds from this plant genus. Future optimization of these compounds through structural alteration may lead to molecules with improved trypanocidal activity and selectivity.