The Immunomodulatory Effect of Cinnamon (Cinnamomum Burmanii) Bark Extract On the C-Reactive Protein (CRP) Level, Leukocyte Count and Leukocyte Type Count of Wistar Rats Exposed to Staphylococcus Aureus

Astika Widy Utomo*  -  diponegoro university, Indonesia
Dwi Retnoningrum  -  Department of Clinical Pathology, Faculty of Medicine, Diponegoro University, Indonesia
Ainun Rahmasari Gumay  -  Department of Physiology, Faculty of Medicine, Diponegoro University, Semarang, Indonesia

(*) Corresponding Author

Introduction: Bacterial infection induces inflammation in human body. This process produceshumoral and cellular immune responses. Cinnamomum burmaniigrows very vast in Indonesia and contains cinnamaldehyde known to have an anti-inflammatory effect.

Objective: To prove the effect of C. burmanii bark extract on CRP level, leukocyte count and differential blood count.

Methods: Aposttest-only controlled group design with 25 Wistar Rats divided into 5 groups was employed. The CN-G group was giventhe standard feed, the CP-G group was given the standard feed and levamisole 2.5 mg/KgBW, while the CBE-100, CBE-200, and CBE-400 groups were respectively given the standard feed and cinnamon bark extract 100 mg/kgBW, 200 mg/KgBW and 400 mg/KgBW. The treatmentswereconducted for 7 consecutive days.On day 8, all rats were injected with the suspense of S. aureus intraperitoneally. The blood wasthen drawn on day 9, followed with CRP level measurement using the ELISA method. The total leukocyte count and differential blood count weremanually measured.

Results: There is no significant difference in the value of CRP level (One Way ANOVA; p = 0.749) with the total counts of leukocytes(p=0.685), monocytes (p=0.769), and eosinophil(p=0.123) between groups. The neutrophils and lymphocytes of CBE-100 group aresignificantly differentfrom the other groups.

Conclusion: C. burmanii extract has a potential benefit as immunomodulator.

 

Keywords: Cinnamomun Burmanii, CRP, Leukocytes, Differential Blood Counts, Staphylococcus Aureus

  1. Balekar, N., Bodhankar, S., Mohan, V., Thakurdesai, P.A., 2014. Modulatory activity of a polyphenolic fraction of Cinnamomum zeylanicum L. bark on multiple arms of immunity in normal and immunocompromised mice. J. Appl. Pharm. Sci. 4, 114–122. https://doi.org/10.7324/JAPS.2014.40720
  2. Chao, L.K., Hua, K.F., Hsu, H.Y., Cheng, S.S., Lin, I.F., Chen, C.J., Chen, S.T., Chang, S.T., 2008. Cinnamaldehyde inhibits pro-inflammatory cytokines secretion from monocytes/macrophages through suppression of intracellular signaling. Food Chem. Toxicol. 46, 220–231. https://doi.org/10.1016/j.fct.2007.07.016
  3. Chen, L., Yang, Y., Yuan, P., Yang, Y., Chen, K., Jia, Q., Li, Y., 2014. Immunosuppressive Effects of A-Type Procyanidin Oligomers from Cinnamomum tamala . Evidence-Based Complement. Altern. Med. 2014, 1–9. https://doi.org/10.1155/2014/365258
  4. Chen, P., Sun, J., Ford, P., 2014. Differentiation of the four major species of cinnamons (C. burmannii, C. verum, C. cassia, and C. loureiroi) using a flow injection mass spectrometric (FIMS) fingerprinting method. J. Agric. Food Chem. 62, 2516–2521. https://doi.org/10.1021/jf405580c
  5. Faishal, L.F., Utomo, A.W., Retnoningrum, D., 2017. Pengaruh Pemberian Ekstrak Kayu Manis ( Cinnamomum Studi Eksperimental Pada Tikus Wistar Yang Dipapar. Pengaruh Pemberian Ekstrak Kayu Manis ( Cinnamomum Stud. Eksp. Pada Tikus Wistar Yang Dipapar 6, 772–781.
  6. Kingsley, A., Jones, V., 2008. Diagnosing wound infection: The use of C-reactive protein. Wounds UK 4, 32–46.
  7. Lee, B.J., Kim, Y.J., Cho, D.H., Sohn, N.W., Kang, H., 2011. Immunomodulatory effect of water extract of cinnamon on anti-CD3-induced cytokine responses and p38, JNK, ERK1/2, and STAT4 activation. Immunopharmacol. Immunotoxicol. 33, 714–722. https://doi.org/10.3109/08923973.2011.564185
  8. Liao, B.C., Hsieh, C.W., Liu, Y.C., Tzeng, T.T., Sun, Y.W., Wung, B.S., 2008. Cinnamaldehyde inhibits the tumor necrosis factor-α-induced expression of cell adhesion molecules in endothelial cells by suppressing NF-κB activation: Effects upon IκB and Nrf2. Toxicol. Appl. Pharmacol. 229, 161–171. https://doi.org/10.1016/j.taap.2008.01.021
  9. Liao, J.-C., Deng, J.-S., Chiu, C.-S., Hou, W.-C., Huang, S.-S., Shie, P.-H., Huang, G.-J., 2012. Anti-Inflammatory Activities of Cinnamomum cassia Constituents In Vitro and In Vivo . Evidence-Based Complement. Altern. Med. 2012, 1–12. https://doi.org/10.1155/2012/429320
  10. Mendes, S.J.F., Sousa, F.I.A.B., Pereira, D.M.S., Ferro, T.A.F., Pereira, I.C.P., Silva, B.L.R., Pinheiro, A.J.M.C.R., Mouchrek, A.Q.S., Monteiro-Neto, V., Costa, S.K.P., Nascimento, J.L.M., Grisotto, M.A.G., da Costa, R., Fernandes, E.S., 2016. Cinnamaldehyde modulates LPS-induced systemic inflammatory response syndrome through TRPA1-dependent and independent mechanisms. Int. Immunopharmacol. 34, 60–70. https://doi.org/https://doi.org/10.1016/j.intimp.2016.02.012
  11. Muhammad, J.S., Zaidi, S.F., Shaharyar, S., Refaat, A., Usmanghani, K., Saiki, I., Sugiyama, T., 2015. Anti-inflammatory Effect of Cinnamaldehyde in Helicobacter pylori Induced Gastric Inflammation. Biol. Pharm. Bull. 38, 109–115. https://doi.org/10.1248/bpb.b14-00609
  12. Nassan, M.A., Mohamed, E.H., Abdelhafez, S., Ismail, T.A., 2015. Effect of clove and cinnamon extracts on experimental model of acute hematogenous pyelonephritis in albino rats : Immunopathological and antimicrobial study. https://doi.org/10.1177/0394632015572075
  13. Ranasinghe, P., Pigera, S., Premakumara, G.S., Galappaththy, P., Constantine, G.R., Katulanda, P., 2013. Medicinal properties of “true†cinnamon (Cinnamomum zeylanicum): A systematic review. BMC Complement. Altern. Med. 13. https://doi.org/10.1186/1472-6882-13-275
  14. Roth-Walter, F., Moskovskich, A., Gomez-Casado, C., Diaz-Perales, A., Oida, K., Singer, J., Kinaciyan, T., Fuchs, H.C., Jensen-Jarolim, E., 2014. Immune Suppressive Effect of Cinnamaldehyde Due to Inhibition of Proliferation and Induction of Apoptosis in Immune Cells: Implications in Cancer. PLoS One 9, e108402.
  15. Sproston, N.R., Ashworth, J.J., 2018. Role of C-reactive protein at sites of inflammation and infection. Front. Immunol. 9, 1–11. https://doi.org/10.3389/fimmu.2018.00754
  16. Tong, S.Y.C., Davis, J.S., Eichenberger, E., Holland, T.L., Fowler Jr, V.G., 2015. Staphylococcus aureus infections: epidemiology, pathophysiology, clinical manifestations, and management. Clin. Microbiol. Rev. 28, 603–661. https://doi.org/10.1128/CMR.00134-14
  17. Vallianou, N., Tsang, C., Taghizadeh, M., Davoodvandi, A., Jafarnejad, S., 2019. Effect of cinnamon (Cinnamomum Zeylanicum) supplementation on serum C-reactive protein concentrations: A meta-analysis and systematic review. Complement. Ther. Med. 42, 271–278. https://doi.org/10.1016/j.ctim.2018.12.005
  18. Vetal, S., Bodhankar, S.L., Mohan, V., Thakurdesai, P.A., 2013. Anti-inflammatory and anti-arthritic activity of type-A procyanidine polyphenols from bark of Cinnamomum zeylanicum in rats. Food Sci. Hum. Wellness 2, 59–67. https://doi.org/10.1016/j.fshw.2013.03.003
  19. Wardatun, S., Rustiani, E., Alfiani, N., Rissani, D., 2017. Study Effect Type of Extraction Method and Type solvent to cinnamaldehyde and trans-cinnamic acid dry extract cinnamon (Cinnamomum burmanii [Nees & T, Nees]Blume). J. Young Pharm. 9, S1–S4. https://doi.org/10.5530/jyp.2017
  20. Yu, W., Yao, D., Yu, S., Wang, X., Li, X., Wang, M., Liu, S., Feng, Z., Chen, X., Li, W., Wang, L., Liu, W., Ma, J., Yu, L., Tong, C., Song, B., Cui, Y., 2018. Protective humoral and CD4 + T cellular immune responses of Staphylococcus aureus vaccine MntC in a murine peritonitis model. Sci. Rep. 8, 1–13. https://doi.org/10.1038/s41598-018-22044-y

Open Access Copyright (c) 2020 Sains Medika: Jurnal Kedokteran dan Kesehatan
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

Sains Medika: Jurnal Kedokteran dan Kesehatan
is published by Faculty of Medicine Universitas Islam Sultan Agung, Indonesia in association with FOKI (FORUM KEDOKTERAN ISLAM INDONESIA).

Contact: Jl. Raya Kaligawe Km.4, PO BOX 1054/SM Semarang 50112, Indonesia
Phone+62 8122-9933-369
Website: https://fkunissula.ac.id
Email: sainsmedika@unissula.ac.id

ISSN: 2339-093X (Online) | 2085-1545 (Print)
DOI : 10.30659/sainsmed

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

Get a feed by atom here, RRS2 here and OAI Links here

apps