1. Introduction
Since ancient times German chamomile has been used in both folk and official medicine. Chamomile (
Matricaria chamomilla L.) belongs to the family
Asteraceae and it is an essential oil-content medicinal herb widely known and used in Europe, Asia and America [
1,
2,
3]. Chamomile is usually consumed as tea or tincture. Essential oil and tincture are the components of several traditional and homeopathic medicinal drugs [
1,
4]. To date, the galenic preparations of German chamomile have been used to treat mild skin diseases, inflammation, and spasms, and such preparations have also been reported to have anxiolytic and sedative effects [
1]. They are also useful in treating many other diseases and disorders, such as flatulence, colic, ulcers, wound healing, hysteria, depression, etc. [
1]. In 2000, chamomile was assigned as an over-the-counter (OTC) dietary supplement by the US FDA. In addition, German chamomile and its essential oil, extracts, and distillates are stated as generally regarded as safe for use in food products [
1]. The national pharmacopoeia of total 26 countries recognizes chamomile as a drug [
1,
4]. Since chamomile is widely used for the treatment of various diseases, its pharmaceutical and medicinal value can not be ignored. Therefore, it is worth developing novel pharmaceutical formulations (galenic preparations) for chamomile to further improve the medicinal use and efficacy of the present medicinal herb.
Galenic preparations and dry raw materials of German chamomile are widely applied as medicines. One of the most common medicinal preparation of the present herb is chamomile tincture. The method for the preparation of chamomile tincture is well known [
5]. However, the major limitation of such tincture is poor chemical stability and, consequently, the changes in the pharmacodynamics of actives in medicinal uses. In addition, ethanol is used as an extracting solvent in preparing chamomile tinctures, thus excluding many patient groups who can not use this medicinal product (i.e., children, pregnant women, nursing mothers, and persons whose activities require increased attention, etc.). Ethanol can also directly affect the central nervous system (CNS) and modulate the effects of the active ingredients of the present medicinal herb. Therefore, chamomile decoction and tea are recommended for the abovementioned patients. Decoction and tea, however, also have limitations in medicinal uses since they are non-standardized preparations. Furthermore, the preparation of both decoction and tea takes a long time, and the chemical composition of such liquid preparations can change during storage (a limited storage time). Therefore, there is a true demand for new galenic preparations (dry extracts) to advance the medicinal use chamomile herb.
In our days, the global natural resources are becoming limited. Therefore, the interest in the development and preparation of new plant-origin materials and products for medicinal uses is steadily growing. This approach makes it possible to extend the selection of medicines, to use natural resources rationally, to increase the profitability of pharmaceutical companies, and to reduce the negative impact of pharmaceutical production on the environment [
6,
7,
8]. For preparing a chamomile tincture, one-time (single) extraction is used [
5], and there is still a significant amount of biological active substances (BAS) in the wastes. Therefore, it is important to find out and use the optimal process parameters (such as an extraction frequency) in the extraction of BAS from a chamomile herb. This is also valid for the isolation and preparation of chamomile essential oil by means of hydro-distillation. The waste of distillation extract and chamomile flower powder contains a significant amount of BAS. Thus, the development of standardized dry extracts of German chamomile flowers is still one of the key topic areas in the pharmaceutical formulation research of the present medicinal herb.
The aim of the present study was three-fold: (1) to develop novel methods for preparing essential oils and dry extracts from German chamomile flowers, (2) to disclose the phytochemical composition of such dry extracts, and (3) to verify the analgesic and soporific activity of extracts in vivo with mice and rats. Moreover, the study gains knowledge of the ethnomedical status of chamomile in the past and present.
3. Discussion
Our previous works have shown ethnomedicinal traditions as a valuable and inspired source of ideas for pharmaceutical studies [
15,
16,
17]. Total three folkloristic descriptions have been found in the ethnomedicine database of Estonia on the use of chamomile tea as a sedative aid [
18,
19]. Interestingly, two of these descriptions are related to the children stating the following indications: “to children against crying” and “if the children scream a lot”. The reason for crying and/or screaming may be a meteorism after feeding children. On the other hand, the Historical Estonian Folk Medicine Botanical Database (“Herba”) [
20] shows that the main sedative plants used in Estonia are chamomile, valerian, and lime flowers. The “Herba” database also suggests: “If there is a lack of sleep, drink chamomile tea.” In general, the use of chamomile for the treatment of diseases related to CNS has not been very common in the Estonian folk medicine. However, there are some descriptions related to the use of chamomile for curing CNS diseases, and this information is confirmed by scientific studies. Numerous clinical trials have shown the sedative and hypnotic effects of chamomile, thus supporting the treatment of anxiety, depression and insomnia [
21].
In our study, total 22 phenolic compounds were found in the German chamomile extracts, and of these compounds hydroxycinnamic acids were the predominant ones. The major hydroxycinnamic acids in the present dry extracts were 4.5-dicaffeoylquinic acid, 3.5-dicaffeoylquinic acid, 3.4-dicaffeoylquinic acid, chlorogenic acid, and neochlorogenic acid. In our chamomile dry extracts, however, the predominate substances were not the same as described in the literature [
22,
23]. Mulinacci et al. [
23] reported that the extracts of chamomile flowers contain 39% cinnamic acid derivatives, such as ferulic acid and caffeic acid.
In the dry extracts of German chamomile flowers, luteolin and quercetin derivatives were found as the predominate flavonoids, and apigenin, kaempferol and isorhamnetin derivatives were present in smaller contents. The most dominant flavonoids are luteolin-7-O-glucoside and isoquercitrin. Recently, Catani et al. [
22] reported that the major flavonoids present in the German chamomile raw material are apigenin, quercetin, patuletin, and luteolin at the concentrations of 16.8%, 9.9%, 6.5% and 1.9%, respectively. The results reported by Catani et al. [
22] are not in line with our findings in the current study.
It should be noted that the significant amount of 3,4-dihydroxyphenylacetic acid in the extract, could be related to analgesic activity [
24].
In chamomile essential oil, total nine main compounds were quantified representing more than 97% of the total oil.
Table 3 shows the RI values of the principal compounds on the two columns representing different polarity and concentration ranges (>1%). a-Bisabolol oxide A [44%), B [22%), and α-bisabolone oxide A [16%) were the main compounds in the essential oil. By the chemical content, the present chamomile essential oil belongs to the chemotype rich in bisabolol oxides described in the European Pharmacopoeia [
25]. Previously, we studied the essential oil of Pineapple weed [
Matricaria discoidea DC.), which is similar to a German chamomile oil but is poor in bisabolol oxides [
26].
According to the literature, the main components of German chamomile are terpenoids, such as -bisabolol and its oxide azulenes, chamazulene (1–15%) and apigenin [
1,
27,
28,
29]. The phenolic composition of our extracts, however, differed from the findings reported in the state-of-the literature.
We found that in preparing the dry extracts of chamomile the effective ratio of extractant to raw materials is in the range of DIR 1:16 - 1:18 (
Figure 1). With this ratio, the content of extractive substances reached a "plateau" and was not significantly increased with an increase in the amount of extractant used. When extracting hydroxycinnamic acids and flavonoids, it is advisable to use the ratio of extractant to raw material in the range of DIR 1:12-1:14. Increasing the amount of the extractant does not significantly increase the output of these BASs. At the same time, it is more appropriate to extract phenolic compounds in the range of DIR 1:14-1:16. In summary, for the highest yield of phenolic compounds in the extract, the ratio of extractant to raw materials should be 1:14-1:16, and a triple extraction is recommended to be used.
The present study demonstrates that the administration of German chamomile extracts via an intragastric route enhances an analgesic effect in mice in a hot-plate test. The administration of the extracts G1 and G3 resulted in a slight prolongation of the time of a discomfort occurrence. The administration of extract G1 at the dose of 50 mg/kg and 100 mg/kg extended the time period spent on the test plate with the mice (one hour after administration and before the discomfort reaction occurrence) by 38% and 43% (p<0.05), respectively. Interestingly, the administration of the extract G3 increased the corresponding time period only by 17% and 25%, respectively. The comparison was made to the corresponding time period observed with the control group of intact animals.
The administration of extract G2 to mice at all three doses studied and at different time points, resulted in a significant (p<0.05) analgesic effect in the rodents in comparison to the control group of intact animals and the group of animals that received acetaminophen. The maximum analgesia was found at 60 minutes after administration. The time of a discomfort occurrence in the animal group having the extract at the dose of 50 mg/kg and 100 mg/kg was 67% and 74% higher compared to that observed with a control group, respectively. Moreover, the analgesic activity of these extracts at the doses studied and one hour after the administration, was increased by 14% and 28%, respectively. The comparison was made to the analgesic activity found with the animal group treated with acetaminophen.
The present results obtained with a hot-plate test in mice show the analgesic activity of the German chamomile extracts studied. In the recent study reported by Chaves et al. [
30], the analgesic activity of a crude chamomile fraction was investigated with a formalin test. The Authors reported that reduced nociception (by 96%) was observed upon using a 30 mg/kg dose compared to the control (10 ml/kg of saline solution), thus demonstrating analgesic properties. These findings are consistent with our results. To our best knowledge, no other studies have been published on the analgesic activity of German chamomile preparations in the state-of-the-art literature.
The vast majority of the studies published to date have reported the anti-inflammatory activity of chamomile products [
1], while only little is known about their analgesic activity accompanied by anti-inflammatory activity. Lee et al. [
31] studied the applicability and efficiency of German chamomile fixed oil with an atopic dermatitis animal (mice) model [
31]. After the administration period of 4 weeks, there was a significant reduction in serum IgE and IgG1 levels in mice. Bhaskaran and co-workers [
32] investigated the dried chamomile flower extracts and their mechanism of action in inflammatory disorders. The role of luteolin (flavonoid) in generating the anti-inflammatory effects of chamomile has also been studied and discussed [
33]. Flemming et el. [
34] investigated the anti-inflammatory activity of matricine from chamomile flowers
in vivo with mice using a carrageenan-induced inflammation and air pouch models. The results showed a significant dose-dependent increase in anti-inflammatory responses in mice. The potential effects of matricin and chamazulene on inflammation were studied [
34]. Some earlier studies reported also the anti-inflammatory activity of essential oil components, such as α-bisabolol, bisabolonoxid [
35] and polyketides [
36]. However, there is still very limited information about the analgesic activity of chamomile and its preparations.
Chamomile tea has been used for centuries for inducing calmness and for the treatment of sleep disorders [
1]. It has been reported that the sedative effect is mainly due to the action of an apigenin flavonoid found in chamomile [
1,
37]. Apigenin acts by binding to benzodiazepine receptors present in the brain.
Thiopental sodium (barbiturate) induces efficiently sleep in both humans and rodents. A thiopental sodium-induced sleeping test is widely used for the study of the sedative-soporific activity of new active pharmaceutical ingredients [
38]. We found that the German chamomile extracts (G1-G3) in rats have a sedative effect of 30.5-117.3% compared to the control group. With the rat group having the extract G1, the average duration of sleep was 140.3±6.5 min at the dose of 25 mg/kg, 201.8±4.7 min at the dose of 50 mg/kg, and 148.8±3.9 min at the dose of 100 mg/kg. These values for a sleeping time period are significantly higher (by 33.9%, 92.5% and 42.0%, respectively) compared to the corresponding time period observed with a control group (p<0.05). The duration of sleep was prolonged in all groups having the extract G3 by 69.6%, 30.5%, and 58.7%, respectively.
The administration of extract G2 at a dose of 50 mg/kg resulted in the highest sedative effect in rats, and consequently, the duration of sleep increased by 117.3% compared to that observed with a control animal group. The duration of sleep was also longer than an average sleeping period in a reference group having a Valerian syrup. Reducing the extract G2 dose to 25 mg/kg led to a slight decrease in sedative activity (77.7%) in rats compared to the control group (p<0.05). The increase in the dose of G2 extract from 50 mg/kg to 100 mg/kg did not have any influence on the sedative activity in rats in comparison to a rodent group treated with the extract G2 at a dose of 50 mg/kg. This suggests that the administration of the extract G2 at a dose of 50 mg/kg provides a sedative action in rats with a pronounced pharmacodynamics effect.
We found that the German chamomile extracts exhibit a synergistic soporific effect with thiopental sodium. A dose-dependent decrease in locomotion was observed with mice, and the maximum effect was achieved at a dose of 30 mg/kg of the chamomile crude fraction. Mice usually demonstrate anxiolytic activity by burying noxious stuff. Several earlier studies report the anti-anxiety effects of chamomile products [
30]. Moreover, chamomile and its preparations could affect fluctuations in cortisol levels associated with CNS disorders [
39]. Carpenter et al. [
40] reported that the elevated levels of adrenocorticotropic (ACTH) are associated with stress and anxiety. Yamamoto et al. [
41] found that chamomile extracts possess neurokinin-1 receptor antagonist activity [
40]. Furthermore, the inhalation of chamomile oil vapors was shown to reduce the ACTH levels caused by the stress induced by ovariectomy in rats [
42]. Recently, Amsterdam et al. [
43] reported that flavonoid components in chamomile modulate central neurotransmitter activity (i.e., a reduction in serotonin, dopamine and monoamine oxidase activity), elevate catecholamine production and noradrenalin activity. In addition, chamomile possesses ingredients that play an important role in CNS diseases, such as epilepsy and Alzheimer’s disease. In the study carried out by Hashemi and co-workers, convulsions were induced by the administration of kainic acid [
44]. To date, numerous studies have been published on the effects of chamomile products on the CNS [
1]. However, only little is known about chamomile's effect on healthy users' sleep. This shows the novelty of our study.
Author Contributions
Conceptualization, O.K., V.J., I.K., J.H. and A.R.; methodology, O.K, V.J., I.K., O.Ku. J.H. and A.R.; software, V.Z., O.Ku., I.B. and J.S.; validation, O.K., A.R.; formal analysis, J.S., K.T., I.B., V.Z. and O.K.; investigation, J.S., I.B., O.K., V.Z. and O.Ku.; resources, O.K., I.K., J.H. and A.R.; data curation, I.K, O.K., O.Ku. and A.R.; writing original draft preparation, O.K., J.S., I.B., V.J., I.K., O.Ku., J.H. and A.R.; writing-review and editing, V.J., O.K., J.H. and A.R.; visualization, J.S., I.B., K.T. and O.Ku.; supervision, O.K., I.K., V.J., J.H. and A.R.; project administration, O.K., J.H. and A.R.; funding acquisition, O.K., J.H. and A.R. All authors have read and agreed to the published version of the manuscript.