Abstract:
Rheumatoid arthritis is an inflammatory condition that damages joints and cartilage over
time. It results in swelling of the synovial lining, which makes movement difficult.
Although the exact cause of RA is still unknown, it is well established that genetic and
environmental variables have a role in its development. The condition is shown to affect
females three times more frequently than males. The WHO estimates that it affects 0.3–1
percent of the world's population. In contrast, the incidence in Pakistan varies from 0.5 to
1.9 percent. There are numerous therapeutic options available for it, including NSAIDs,
DMARDs, and biologics. These therapies aid in reducing disease-related symptoms, but
their adverse effects have restricted their use. Thus, scientists are looking into herbal
plants as a modern remedy for RA that has a high potential for treatment while
minimizing side effects and is non-toxic, affordable, and cost-effective.
The therapeutic qualities of medicinal plants are derived from bioactive metabolites that
help them fight pathogenic diseases. Similarly, Dodonaea viscosa (L.) Jacq., an
ethnobotanical plant, was used in this study to assess the effectiveness of its components
in the treatment of rheumatoid arthritis. D. viscosa is widely distributed close to Margalla
Hills in Pakistan. It is an evergreen, blooming hardy shrub with a variety of plant parts
that are said to have anti-inflammatory, antibacterial, wound healing, and antioxidant
effects.
Phenols, flavonoids, steroids, sterols, saponins, coumarins, tannins, and terpenoids were
all detected in D. viscosa ethanol extract. The DPPH and FRAP experiments
demonstrated good antioxidant activity. Similarly, D. viscosa extract exhibited significant
anti-inflammatory potential in tests like the protein denaturation assay and the HRBC
membrane stabilization experiment.
In silico studies revealed that nine of the 480 compounds found in D. viscosa ethanol
extract had drug-like properties. TNF-α, STAT3, and IL-6 were found to be among the
top three RA-related genes in a HUB gene analysis of the top 200 RA genes. The
signaling pathways of these genes result in the activation of JAK/STAT, Nuclear factor
κB (NF-κB), and Mitogen-activated protein kinases (MAPKs) pathways, respectively.
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Significant findings were obtained from the molecular docking analysis of three protein
targets with nine ligands. The compound 06, 4-(1-Hydroxy-3-oxo-1H-isoindol-2-yl)
benzoic acid, had the lowest binding score for TNF-α. Comparatively, compound 7 (3-
(2,3-Dihydro-1,4-benzodioxin-6-yl)-3-hydroxy-2H-isoindol-1-one) displayed the lowest
binding energies for STAT3 and IL-6. The docked complex's highest stability is indicated
by its lowest binding energy. The MD simulation findings for these three complexes
showed that only compound 6-TNF complex remained stable, proving that compound 06,
4-(1-Hydroxy-3-oxo-1H-isoindol-2-yl) benzoic acid, is a good small molecule inhibitor
of TNF-α and may one day be employed as a potent drug.
The current study concludes that D.viscosa have excellent inhibitory potential against
TNF-α, which plays a significant role in the disease. However, additional in-vitro and in vivo testing is strongly advised to assess the efficacy of nine compounds in alleviating the
effects of Rheumatoid arthritis progression