Alternanthera bettzickiana
is being
used as a folk remedy for treating arthritis by conventional healers
in Thailand. The current research was undertaken to explore the antiarthritic
potential of
A. bettzickiana
ethanolic
extract (ABEE). Plant characterization, molecular docking, and
in vitro
and
in vivo
(ABEE at 250, 500,
and 1000 mg/kg was administered orally to rats once daily for 28 days)
studies to explore the antiarthritic effect and enzyme-linked immunosorbent
assay (ELISA) and real-time polymerase chain reaction (RT-PCR) analyses
were performed. Oxidative stress biomarkers (superoxide dismutase
(SOD), catalase (CAT), malondialdehyde (MDA)) in the serum and histopathological
and radiographic assessment of joints were also carried out. Gallic
acid, catechin, chlorogenic acid, sinapic acid, quercetin, and γ-
and α-tocopherol were identified in high-performance liquid
chromatography (HPLC). Molecular docking revealed a strong interaction
between these compounds and cyclooxygenase (COX) enzymes. The extract
significantly subdued paw swelling and arthritic scoring, inhibited
cachexia, and considerably improved biochemical and hematological
modifications. SOD and CAT levels increased and the MDA level decreased
in ABEE-treated rats dose-dependently. Radiographic and histopathological
analyses also supported the antiarthritic effect of ABEE, which was
linked with the downregulation of nuclear factor (NF)-kB, COX-2, interleukin
(IL)-6, tumour necrosis factor (TNF)-α, and IL-1β and
upregulation of IL-10, I-kB, and IL-4 as compared to disease control
rats. Results suggested that
A. bettzickiana
possessed antiarthritic potential, supporting its folkloric use
for treating rheumatoid arthritis.