Therapeutic Effects of Persea americana L. Phytochemicals on Key Molecular Targets in Knee Osteoarthritis: An In-silico and In-vivo approach
DOI:
https://doi.org/10.54548/njps.v40i1.21Abstract
Knee osteoarthritis (KOA) is a prevalent degenerative joint disorder characterized by chronic inflammation, cartilage degradation, and altered bone remodelling. This study investigated the inhibitory effects of Persea americana L. phytochemicals on key molecular targets involved in KOA pathogenesis and compared them with clinically used drugs targeting these pathways. Specifically, Interleukin receptor-associated kinase 4 (IRAK4), Transforming Growth Factor-Beta (TGF-β), Microsomal Prostaglandin E Synthase 1 (mPGES1), Kelch-like ECH-Associated Protein 1 (Keap1), Carbonic Anhydrase 1 (CA1), and Collagen II. Molecular docking analyses were performed using Schrodinger (Maestro 12.12). All proteins' 3D X-ray crystallographic structures were screened based on the following properties (Organism, Expression system, and Resolution) using Protein Data Bank (RCSB PDB) https://www.rcsb.org/. Various lead compounds with significant binding affinities to these targets have been identified, outperforming conventional pharmacological agents. In vivo assessments using the hot plate test were conducted on 30 male Wistar rats, which were divided into six experimental groups. Chemical induction of KOA was performed by intra-articular injection of 25uL of saline dissolved 4 mg/kg of Sodium monoiodoacetate (MIA) in four of five groups: Control, Sham, and 3 treated with Ibuprofen, Low, and High Persea americana L. extracts, respectively, except the KOA only group. The docking scores from all the pathways showed higher binding energy when compared to the present drug samples, except for KEAP 1, where Chlorhexidine "STD" and Quercetin had binding scores of -6.576 and -6.557, respectively. Persea americana L. extracts treated rats showed significantly enhanced pain thresholds in KOA models compared to pathological untreated and ibuprofen-treated groups (p<0.006; 0.041 respectively) by Day 21 post-induction of KOA, indicating their analgesic efficacy. These results collectively highlight the potential of Persea americana L. phytochemicals as novel therapeutic agents for the management of knee osteoarthritis, with strong consideration of a systemic pharmacological approach
References
Allen, K. D., Thoma, L. M., & Golightly, Y. M. (2022). Epidemiology of osteoarthritis. Osteoarthritis and cartilage, 30(2), 184-195.
Alonso-Pérez, A., Franco-Trepat, E., Guillán-Fresco, M., Jorge-Mora, A., López, V., Pino, J., & Gómez, R. (2018). Role of toll-like receptor 4 on osteoblast metabolism and function. Frontiers in physiology, 9, 504.
Arendt-Nielsen, L. (2017). Pain sensitisation in osteoarthritis. Clin Exp Rheumatol, 35(Suppl 107), 68-74.
Bannon, A. W., & Malmberg, A. B. (2007). Models of nociception: hot‐plate, tail‐flick, and formalin tests in rodents. Current protocols in neuroscience, 41(1), 8-9.
Bonvehi, J. S., Coll, F. V., & Bermejo, J. O. (2019). Characterization of avocado honey (Persea americana Mill.) produced in Southern Spain. Food chemistry, 287, 214-221.
Chen, H., Wu, J., Wang, Z., Wu, Y., Wu, T., Wu, Y., ... & Shang, S. (2021). Trends and patterns of knee osteoarthritis in China: a longitudinal study of 17.7 million adults from 2008 to 2017. International Journal of Environmental Research and Public Health, 18(16), 8864.
Chen, X., Li, H., Tian, L., Li, Q., Luo, J., & Zhang, Y. (2020). Analysis of the physicochemical properties of acaricides based on Lipinski's rule of five. Journal of computational biology, 27(9), 1397-1406.
De Roover, A., Escribano-Núñez, A., Monteagudo, S., & Lories, R. (2023). Fundamentals of osteoarthritis: Inflammatory mediators in osteoarthritis. Osteoarthritis and Cartilage, 31(10), 1303-1311.
Deligiannidou, G. E., Papadopoulos, R. E., Kontogiorgis, C., Detsi, A., Bezirtzoglou, E., & Constantinides, T. (2020). Unraveling natural products’ role in osteoarthritis management—An overview. Antioxidants, 9(4), 348.
Dos Santos Nascimento, I. J., de Aquino, T. M., & da Silva Júnior, E. F. (2022). Computer-aided drug design of anti-inflammatory agents targeting microsomal prostaglandin E2 synthase-1 (mPGES-1). Current medicinal chemistry, 29(33), 5397-5419.
Farrokhi, S., Chen, Y. F., Piva, S. R., Fitzgerald, G. K., Jeong, J. H., & Kwoh, C. K. (2016). The influence of knee pain location on symptoms, functional status, and knee-related quality of life in older adults with chronic knee pain: data from the osteoarthritis initiative. The Clinical journal of pain, 32(6), 463-470.
Gauci, S. J., Stanton, H., Little, C. B., & Fosang, A. J. (2017). Proteoglycan and collagen degradation in osteoarthritis. Cartilage: Volume 2: Pathophysiology, 41-61.
Goodman, M. C. (2018). Investigations of the enzymatic mechanisms and inhibition of prostaglandin E2 biosynthesis. Vanderbilt University
Hawker, G. A. (2019). Osteoarthritis is a serious disease. Clin Exp Rheumatol, 37(Suppl 120), 3-6.
Jiang, W., Jin, Y., Zhang, S., Ding, Y., Huo, K., Yang, J., ... & Luo, J. (2022). PGE2 activates EP4 in subchondral bone osteoclasts to regulate osteoarthritis. Bone research, 10(1), 27.
Jiang, X., Guo, Y., Fang, M., Wang, X., Zhang, B., Song, Y., & Qian, J. (2024). Suppression of CGRP and TRPV1 Expression in Dorsal Root Ganglia of Knee Osteoarthritis Rats by Huojing Decoction via TrkA/MKK3/6/p38 Pathway. Journal of Inflammation Research, 5311-5326.
Jimoh-Abdulghaffaar HO, Ajibare AJ, Akintoye OO, Jimoh OS, Ananias EN, Owoyemi JO, Ibiyeye VO, Ojulari LS. Ficus exasperata leaves aqueous extract influences pathophysiolgic mechanisms of diabetic peripheral neuropathy in a rat model. J Appl Pharm Sci; 13(09):077–083 (2023). DOI: 10.7324/JAPS.2023.98174
Jrad, A. I. S., Trad, M., Bzeih, W., El Hasbani, G., & Uthman, I. (2023). Role of pro-inflammatory interleukins in osteoarthritis: a narrative review. Connective Tissue Research, 64(3), 238-247.
Kapoor, M. (2015). Pathogenesis of osteoarthritis. Osteoarthritis: pathogenesis, diagnosis, available treatments, drug safety, regenerative and precision medicine, 1-28.
Khan, N. M., Ahmad, I., & Haqqi, T. M. (2018). Nrf2/ARE pathway attenuates oxidative and apoptotic response in human osteoarthritis chondrocytes by activating ERK1/2/ELK1-P70S6K-P90RSK signaling axis. Free Radical Biology and Medicine, 116, 159-171.
Li, M., Li, H., Ran, X., Yin, H., Luo, X., & Chen, Z. (2021). Effects of adenovirus-mediated knockdown of IRAK4 on synovitis in the osteoarthritis rabbit model. Arthritis Research & Therapy, 23, 1-12.
MacFarlane, E. G., Haupt, J., Dietz, H. C., & Shore, E. M. (2017). TGF-β family signaling in connective tissue and skeletal diseases. Cold Spring Harbor perspectives in biology, 9(11), a022269.
Majid, D., Dar, B. N., Parveen, S., Jabeen, A., Allai, F. M., Sofi, S. A., & Ganaie, T. A. (2020). Avocado. Antioxidants in Fruits: Properties and Health Benefits, 103-123.
Mixon, A., Bahar-Moni, A. S., & Faisal, T. R. (2022). Mechanical characterization of articular cartilage degraded combinedly with MMP-1 and MMP-9. Journal of the mechanical behavior of biomedical materials, 129, 105131.
Mukherjee, A., & Das, B. (2024). The role of inflammatory mediators and matrix metalloproteinases (MMPs) in the progression of osteoarthritis. Biomaterials and Biosystems, 100090.
Omoboyowa DA, Karigidi KO, Aribigbola TC (2021) Nephro-protective efficacy of Blighia sapida s bark ether fractions on experimentally induced diabetes nephropathy. Comp Clin Pathol. https://doi.org/10.1007/s00580-020-03186-w.
Temidayo Ogunmoyole, Iretiogo Dada and Oluwatosin Adebukola Adebamigbe (2021) Ameliorative potentials of Persea americana leaf extract on toxicants - induced oxidative assault in multiple organs of wistar albino rat Clinical Phytoscience 7:27 https://doi.org/10.1186/s40816-020-00237-1
Oyesanmi Abisoye Fabunmi, Olabode Oluwadare Akintoye, Olutayo Folajimi Olaseinde, Ayonbo Adeolu Aderibigbe, Bamidele Victor Owoyele (2019). Anti-nociceptive effect of glycyrrhiza glabra root extract on chronic constriction injury of sciatic nerve induced neuropathic pain and some selected inflammatory biomarkers in experimental animals. Pacific Journal of Medical Sciences, Vol. 19(2); 13-22. ISSN: 2072 – 1625.
Primorac, D., Molnar, V., Rod, E., Jeleč, Ž., Čukelj, F., Matišić, V., ... & Borić, I. (2020). Knee osteoarthritis: a review of pathogenesis and state-of-the-art non-operative therapeutic considerations. Genes, 11(8), 854.
Riegger, J., Schoppa, A., Ruths, L., Haffner-Luntzer, M., & Ignatius, A. (2023). Oxidative stress as a key modulator of cell fate decision in osteoarthritis and osteoporosis: a narrative review. Cellular & molecular biology letters, 28(1), 76.
Sanchez-Lopez, E., Coras, R., Torres, A., Lane, N. E., & Guma, M. (2022). Synovial inflammation in osteoarthritis progression. Nature Reviews Rheumatology, 18(5), 258-275.
Schrödinger, LLC, Glide, 2020. Available at: https://www.schrodinger.com/glide.
Shen, J., Abu-Amer, Y., O’keefe, R. J., & McAlinden, A. (2017). Inflammation and epigenetic regulation in osteoarthritis. Connective tissue research, 58(1), 49-63.
Silvia Ravalli, Marta Anna Szychlinska, Rosalia Maria Leonardi, Giuseppe Musumeci. (2018) Recently highlighted nutraceuticals for preventive management of osteoarthritis. World J Orthop 2018 November 18; 9(11): 255-261. DOI: 10.5312/wjo.v9.i11.255
Sundararajan, N., Solomon, W. S., Jeevanandham, S., Ranganathan, K., Divakar, M. C., & Senthilkumar C (2023). in vitro and in vivo anti-alzheimer’s activities of ethanolic leaf extract of Persea americana mill on scopolamine induced dementia in rat models. Eur. Chem. Bull. 12( Issue 7), 2214-2221
Tirado-Rodriguez, B., Ortega, E., Segura-Medina, P., & Huerta-Yepez, S. (2014). TGF‐β: An Important Mediator of Allergic Disease and a Molecule with Dual Activity in Cancer Development. Journal of immunology research, 2014(1), 318481.
Tu, W., Wang, H., Li, S., Liu, Q., & Sha, H. (2019). The anti-inflammatory and anti-oxidant mechanisms of the Keap1/Nrf2/ARE signaling pathway in chronic diseases. Aging and disease, 10(3), 637.
Valenti, M. T., Dalle Carbonare, L., Zipeto, D., & Mottes, M. (2021). Control of the autophagy pathway in osteoarthritis: key regulators, therapeutic targets and therapeutic strategies. International Journal of Molecular Sciences, 22(5), 2700.
Vitaloni, M., Botto-van Bemden, A., Sciortino Contreras, R. M., Scotton, D., Bibas, M., Quintero, M., ... & Verges, J. (2019). Global management of patients with knee osteoarthritis begins with quality of life assessment: a systematic review. BMC musculoskeletal disorders, 20, 1-12.
Wang, M., Yu, P., Chittiboyina, A. G., Chen, D., Zhao, J., Avula, B., ... & Khan, I. A. (2020). Characterization, quantification and quality assessment of avocado (Persea americana Mill.) oils. Molecules, 25(6), 1453.
Wang, Z., Efferth, T., Hua, X., & Zhang, X. A. (2022). Medicinal plants and their secondary metabolites in alleviating knee osteoarthritis: A systematic review. Phytomedicine, 105, 154347.
Wen, Z., Liu, W., Li, X., Chen, W., Liu, Z., Wen, J., & Liu, Z. (2019). A protective role of the NRF2‐Keap1 pathway in maintaining intestinal barrier function. Oxidative medicine and cellular longevity, 2019(1), 1759149.
Yao, Q., Wu, X., Tao, C., Gong, W., Chen, M., Qu, M., ... & Xiao, G. (2023). Osteoarthritis: pathogenic signaling pathways and therapeutic targets. Signal transduction and targeted therapy, 8(1), 56.
Yunus, M. H. M., Nordin, A., & Kamal, H. (2020). Pathophysiological perspective of osteoarthritis. Medicina, 56(11), 614.
Yunus, M. H. M., Nordin, A., & Kamal, H. (2020). Pathophysiological perspective of osteoarthritis. Medicina, 56(11), 614.
Yves Henrotin, Romain Le Cozannet , Pascale Fança Berthon, Romain Truillet, Martine Cohen Solhal, Gillian DunnGalvin, Jean Marie Grouin and Andrea Doolan. (2022) Rubus idaeus extract improves symptoms in knee osteoarthritis patients: results from a phase II double-blind randomized controlled trial. BMC Musculoskeletal Disorders. 23:650 https://doi.org/10.1186/s12891-022-05612-2
Zhang, L., Li, X., Zhang, H., Huang, Z., Zhang, N., Zhang, L., ... & Wang, P. (2021). Agnuside Alleviates Synovitis and Fibrosis in Knee Osteoarthritis through the Inhibition of HIF‐1α and NLRP3 Inflammasome. Mediators of Inflammation, 2021(1), 5534614.
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Nigerian Journal of Physiological Sciences

This work is licensed under a Creative Commons Attribution 4.0 International License.