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PHYTOTHERAPY RESEARCH

Phytother. Res. (2010)


Published online in Wiley Online Library
(wileyonlinelibrary.com) DOI: 10.1002/ptr.3325

Acute Effects of Bergamot Oil on


Anxiety-related Behaviour and Corticosterone
Level in Rats ptr_3325 1..5

Somrudee Saiyudthong1,2* and Charles A. Marsden3


1
Department of Physiology, Faculty of Medicine, Srinakharinwirot University, Bangkok, Thailand
2
Neuroscience Research Center, Srinakharinwirot University, Bangkok, Thailand
3
School of Biomedical Sciences, University of Nottingham, Nottingham, UK

Bergamot essential oil (BEO), Citrus aurantium subsp. bergamia (Risso) Wright & Arn. (Rutaceae), is used
widely in aromatherapy to reduce stress and anxiety despite limited scientific evidence. A previous study showed
that BEO significantly increased gamma-aminobutyric acid levels in rat hippocampus, suggesting potential
anxiolytic properties. The aim of this study was to investigate the effect of BEO (1.0%, 2.5% and 5.0% w/w)
administered to rats on both anxiety-related behaviours (the elevated plus-maze (EPM) and hole-board tests)
and stress-induced levels of plasma corticosterone in comparison with the effects of diazepam. Inhalation of
BEO (1% and 2.5%) and injection of diazepam (1 mg/kg, i.p.) significantly increased the percentage of open
arm entries on the EPM. The percentage time spent in the open arms was also significantly enhanced following
administration of either BEO (2.5% and 5%) or diazepam. Total arm entries were significantly increased with
the highest dose (5%), suggesting an increase in locomotor activity. In the hole-board test, 2.5% BEO and
diazepam significantly increased the number of head dips. 2.5% BEO and diazepam attenuated the corticos-
terone response to acute stress caused by exposure to the EPM. In conclusion, both BEO and diazepam
exhibited anxiolytic-like behaviours and attenuated HPA axis activity by reducing the corticosterone response
to stress. Copyright © 2010 John Wiley & Sons, Ltd.

Keywords: essential oil; elevated plus-maze; anxiety; HPA axis; stress.

Bergamot, Citrus aurantium subsp. bergamia (Risso)


INTRODUCTION Wright & Arn. (Rutaceae), has been used in many situ-
ations including the food, drug and cosmetic industries.
Anxiety disorders are among the most common type of In aromatherapy, BEO, normally extracted from berga-
psychiatric disorders and include generalized anxiety mot peel, has been suggested to reduce stress and
(GAD), panic disorder (PD), social anxiety disorder anxiety (Price and Price, 1999). Despite the growing
(SAD) and post-traumatic stress disorder (PTSD) application of this extract, there are only a few system-
(Kessler et al., 2005). Various classes of anxiolytic drugs atic investigations on these biological properties. A
have been specifically prescribed for each disorder previous study showed that intraperitoneal administra-
(Hoffman and Mathew, 2008). In addition, aroma- tion of BEO significantly increased the extracellular
therapy, one of the most popular complementary thera- levels of the inhibitory amino acid neurotransmitter
pies, has been used extensively to relieve stress and gamma-aminobutyric acid (GABA) in rat hippocampus
anxiety. In human studies, aromatherapy has been shown (Morrone et al., 2007). This effect of BEO on the
to reduce anxiety in both healthy subjects (Höferl et al., GABAergic system could indicate anxiolytic related
2006; Rho et al., 2006; Takeda et al., 2008) and patients behavioural effects as the existing benzodiazepine
(Imanishi et al., 2007). In animal studies, many essential anxiolytic drugs act by increasing GABA function in
oils, used in aromatherapy, show anxiolytic effects. For the brain. There are, however, no studies investigat-
example, lavender oil has anxiolytic effects in rats placed ing anxiety-related behaviour following BEO
in the open field (Shaw et al., 2007), rose oil demonstrates administration.
anxiolytic-like properties using the elevated plus-maze The aims of the present study were to investigate in
(de Almeida et al., 2004) and essential oil from Citrus the rat the effects of BEO on two anxiety-related behav-
aurantium L. induces anxiolytic activity in mice again ioural models, the elevated plus-maze and the hole-
detected using the elevated plus-maze (Carvalho-Freitas board, and to determine whether BEO altered the
and Costa, 2002). Although the effects of various essen- plasma corticosterone response to stress induced by
tial oils on anxiety have been examined, bergamot essen- exposure to the elevated plus-maze.
tial oil (BEO), also suggested to reduce anxiety, has been
subjected to very limited investigation.
MATERIALS AND METHODS
* Correspondence to: S. Saiyudthong, Department of Physiology, Faculty
of Medicine, Srinakharinwirot University, Bangkok, Thailand. Animals. Male Wistar rats weighing 200–250 g
E-mail: somrudee@swu.ac.th (National Laboratory Animal Centre, Mahidol Univer-
Received 30 January 2009
Revised 22 August 2010
Copyright © 2010 John Wiley & Sons, Ltd. Accepted 16 September 2010
S. SAIYUDTHONG AND C. A. MARSDEN

sity, Bangkok, Thailand) were housed in groups of four a video camera for later analysis. A head dip was scored
in a room with a 12 : 12 h light/dark cycle (light on at when the head was introduced into the holes at least to
0700 h) and maintained at a constant temperature of the level of the eyes.
22 ⫾ 0.5°C. Laboratory pellets (National Laboratory
Animal Center, Thailand) and water were available ad Inhalation. The inhalation apparatus used in this study
libitum.Animals were used after an adaptation period of was modified from that described by the previous study
1 week. The rats were inexperienced to the elevated (de Almeida et al., 2004). The floor was made of a stain-
plus-maze and hole-board apparatus as well as naïve to less steel grid. The apparatus was made of acrylic fibre
essential oil and drugs. For the behavioural test and and consisted of front and back walls with four holes
corticosterone measurement, the rats were divided into (2 cm in diameter each) into which cotton soaked with
six groups (n = 10), saline (i.p), saline (inhalation, INH), 0.9% saline or BEO was placed.The upper side, contain-
diazepam 1 mg/kg (i.p.) and BEO (1.0%, 2.5%, and 5.0% ing 30 small holes for ventilation, could be opened to
w/w, INH).All experiments in this study were carried out allow the animals to be placed into the box.After a 7 min
according to the Animal Ethics Committee of Srina- exposure for each rat, the cotton was removed and the
kharinwirot University, which is in compliance with the inside cleaned before placing another rat into the box.
International Guiding Principles for Biomedical
Research Involving Animals provided by the National Determination of plasma corticosterone. Enzyme
Research Council of Thailand. immunoassay (EIA) for corticosterone was carried out
using a corticosterone kit (Immunodiagnostic Systems
Chemicals. Diazepam (10 mg/2 mL ampoule), pur- Ltd, Tyne & Wear, UK). Briefly, plasma samples were
chased from Roche (Welwyn Garden City, UK), was defrosted, centrifuged at 5000 ¥ g for 5 min at 4°C.
diluted with 0.9% saline solution. BEO, extracted from Thirty microlitres of samples was diluted using 270 mL
Kaffir Lime peels and without bergapten, was supplied of diluents and then vortexed. One hundred microlitres
by Make Scent Limited (Bangkok, Thailand). The BEO of standard, control or diluted samples were transferred
samples were analysed using GC and confirmed using to antibody-coated plates and 100 mL of enzyme conju-
GC-MS to identify the major compounds (limonene, gate added. The plate was covered and incubated at 4°C
linalool and linalyl acetate). The GC-MS analysis was for 24 h, then washed three times with wash buffer. Two
carried out using an Agilent Technologies mass spec- hundred microlitres of TMB (tetramethylbenzidine)
trometer (Model 6890 N), with a thermo conductivity substrate were added and incubated at 25°C for 30 min.
detector with a HP-INNOWAX (30 m ¥ 0.25 mm ¥ Absorbance at 450 nm was measured after the addition
25 mm) column. The column temperature was kept at of 100 mL of HCl to stop the reaction.
50°C and programmed to 230°C (4°C/min). The pulse
split ratio was adjusted at 10:1, under an injector tem- Experimental procedures. The behavioural experi-
perature of 230°C. Electron impact ionization was at ments were performed in the early part of the light
70 eV. Emulsions (water/oil) of BEO 1.0%, 2.5% and phase (0900–1200 h) (Büttner and Wollnik, 1984). Rats
5.0% (w/w) were freshly prepared just before the start were transferred to the behavioural observation room
of the experiments. Control inhalations were performed about 30 min prior to the experiments. The behavioural
using 0.9% saline. assessment was later scored by two observers from the
video tapes. Either diazepam 1 mg/kg or 0.9% saline
Elevated plus-maze test. The procedures used for the was administered intraperitoneally 30 min before expo-
elevated plus-maze were as described previously sure to the behavioural experiments. For the inhalation
(Handley and Mithani, 1984; Pellow et al., 1985). The procedure, BEO in the form of an aqueous emulsion
elevated plus-maze comprised two open arms (45 ¥ (1%, 2.5% or 5%) was applied to the cotton and
15 cm) and two enclosed arms (45 ¥ 15 ¥ 10 cm) that inserted into the inhalation apparatus. The animals were
extended from a common central platform (10 ¥ 10 cm). exposed to the vapour for 7 min. For the control group,
The apparatus was made from black Perspex and 0.9% saline was applied to the cotton. At the end of the
elevated to a height of 70 cm above floor level. For the elevated plus-maze experiment, the animals were
test, the rats were placed individually in the centre of immediately decapitated. Trunk blood samples were
the cross of the elevated plus-maze and then allowed to taken and put into heparinized tubes and then centri-
explore for 5 min. The behavioural parameters mea- fuged (1500 ¥ g, 5 min, room temperature). Plasma was
sured were the percentage entries into the open arms, collected and subsequently stored at -20°C until
the percentage time spent in the open arms together required for the corticosterone EIA.
with total arm entries. The behaviour was recorded on a
video for later analysis. Statistical analysis. All data are expressed as mean ⫾
SEM. The data were analysed by one-way ANOVA with
Hole-board test. The procedures used for the hole- a post hoc Dunnett’s test when appropriate. Differences
board were modified from that described by File and were considered statistically significant when p < 0.05.
Wardill (1975). The hole-board apparatus, raised to a
height of 7 cm above floor level, was made of wood
covered with dark Formica (62 ¥ 62 ¥ 36 cm) with 16
holes, each 4 cm in diameter, equally spaced in the floor. RESULTS AND DISCUSSION
For the hole-board experiments, each rat was placed in
the centre of the hole-board and allowed to freely The results in the present study demonstrate for the
explore the apparatus for 5 min. The number of head first time that BEO has an anxiolytic effect, using two
dips and the time spent head dipping were recorded by behavioural measurements of anxiety, the elevated plus-
Copyright © 2010 John Wiley & Sons, Ltd. Phytother. Res. (2010)
ACUTE EFFECTS OF BERGAMOT OIL ON ANXIETY-RELATED BEHAVIOUR

80
A

Time head dipping


60

40

20

B 50
*

Number head dipping


#
40

30

20

10

0
CONT i.p. CONT INH DZP 1 mg/kg 1% BEO 2.5% BEO 5% BEO

Figure 2. Effects of bergamot essential oil (BEO inhalation, INH;


1%, 2.5% and 5% w/w) and diazepam (DZP; 1 mg/kg, i.p.) com-
pared with controls (0.9% saline (CONT) either i.p. or INH) on
time head dipping (A) and number head dipping (B). Data are
expressed as mean ⫾ SEM (n = 10). * p < 0.05 compared with
CONT (i.p.) and # p < 0.05 compared with CONT (INH).

increased the percentage of entries in the open arms (p


< 0.05) but did not change the percentage of time spent
in the open arms. The highest dose (5% BEO) increased
total arm entries (p < 0.05), suggesting increased loco-
motor activity in the elevated plus-maze.A saturation of
the total arm entries with (5% BEO) was not observed
(Fig. 1C). Further studies with higher doses may clarify
Figure 1. Effects of bergamot essential oil (BEO inhalation, INH; this issue. Diazepam produced a similar profile to 2.5%
1%, 2.5% and 5% w/w) and diazepam (DZP; 1 mg/kg, i.p.) com- BEO, increasing the percentage of entries in the open
pared with controls (0.9% saline (CONT) either i.p. or INH) on
percent time spent in open arm (A), percent open arm entries (B)
arms (p < 0.05) and the percentage of time spent in the
and total arm entries (C). Data are expressed as mean ⫾ SEM open arms (p < 0.01). These findings replicate previous
(n = 10). * p < 0.05 and ** p < 0.01 compared with CONT (i.p.) studies showing that acute diazepam treatment
and # p < 0.05 and ## p < 0.01 compared with CONT (INH). increases the percentage open: total entries and time
and time spent in the end of the open arms on the
elevated plus-maze (Wright et al., 1992; Nishino et al.,
maze test and the hole-board test. The results with BEO 2008). Moreover, the results also showed that total arm
were similar to those observed following diazepam entries were significantly increased after the inhalation
treatment. The BEO also reduced the corticosterone of the highest dose of BEO, suggesting an increase in
response to stress exposure. locomotor activity (p < 0.05) (Fig. 1).
The elevated plus-maze is a well-established animal The hole-board test has been used widely to assess
model used extensively to identify potential new anxi- anxiety, emotionality or responses to stress in animals
olytic drugs (Handley and Mithani, 1984; Pellow et al., (Takeda et al., 1998; Adamec et al., 2006; Harada et al.,
1985; Dawson and Tricklebank, 1995). In this test, it is 2006). An increase in head-dipping behaviour in the
assumed that animals feel safe in the closed arms but hole-board test reflects an anxiolytic-like state (Takeda
fear and anxiety during exploration of the open arms. et al., 1998). In the present study, 2.5% BEO signifi-
The percentage entries into the open arms and time cantly increased the number of head dips (p < 0.05).
spent in the open arms are generally used as indices of Diazepam (1 mg/kg) also produced a significant
anxiety and drugs increasing these measures show anxi- increase in head dipping, in agreement with a previous
olytic properties. The inhalation of the intermediate study (Wei et al., 2007) (p < 0.05) (Fig. 2). The data from
dose (2.5% BEO), significantly increased both the per- the present study indicate that 2.5% BEO has a signifi-
centage of entries in the open arms (p < 0.01) and time cant anxiolytic-like effect in this paradigm.
spent on the open arms (p < 0.01), indicating the anxi- The mechanism underlying the anxiolytic properties
olytic effect (Fig. 1A, B). The lowest dose (1% BEO) of BEO is unknown but may be due to alterations in
Copyright © 2010 John Wiley & Sons, Ltd. Phytother. Res. (2010)
S. SAIYUDTHONG AND C. A. MARSDEN

epam prior to exposure to the elevated plus-maze were


lower than those of the controls, consistent with previ-
ous studies (Bizzi et al., 1984; Tanaka et al., 1991). It is
well established that the GABA mediated inhibition of
the HPA axis at the level of the paraventricular nucleus
of the hypothalamus (PVN) (Cullinan et al., 2008).
Morphological studies have shown that GABAergic
axons terminate on corticotropin-releasing factor
(CRF) neurons (Roland and Sawchenko 1993; Miklos
and Kovács, 2002). Furthermore blockade of GABAer-
gic neurotransmission by a GABAA receptor antagonist
increased CRF release, suggesting the involvement of
GABA neuronal function in the regulation of HPA
activity (Bartanusz et al., 2004). The findings indicate
that the decreased anxiety-related behaviours following
Figure 3. Effects of bergamot essential oil (BEO inhalation, INH; inhalation of BEO may be related to attenuated activity
1%, 2.5% and 5% w/w) and diazepam (DZP; 1 mg/kg, i.p.) com-
pared with controls (0.9% saline (CONT) either i.p. or INH) on of the HPA axis.
plasma corticosterone following a 5 min exposure to the Although BEO obviously produces antianxiety-like
elevated plus-maze test. Data are expressed as mean ⫾ SEM effects, the active constituent(s) are largely unknown.
(n = 10). * p < 0.05 compared with CONT (i.p.) and # p < 0.05 With GC-MS analysis, BEO, used in our study, contains
and compared with CONT (INH).
three major components (26.70% limonene, 10.86%
linalool and 18.57% linalyl acetate). A previous study
GABA function, the major inhibitory neurotransmitter showed that subchronic treatment with limonene
in the brain. Our behavioural findings are supported by increased GABA concentration in the rat brain, indicat-
a previous study (Morrone et al., 2007) showing that ing its antistress effect (Zhou et al., 2009). In a human
intraperitoneal administration of BEO significantly study, inhalation of linalool reduced HPA activity
increased the extracellular levels of GABA in the hip- (Höferl et al., 2006). Therefore, the anxiolytic properties
pocampus of freely moving rats. It has been suggested of these major components of BEO should be investi-
that anxiety disorders are associated with dysfunction gated in a future study.
of GABAergic systems possibly due to reduced In conclusion, the present study indicates that BEO
receptor sensitivity and/or decreased levels of the neu- and diazepam exhibit anxiolytic-like profiles in the
rotransmitter (Nutt, 2001). Benzodiazepines bind to a elevated plus-maze test and the hole-board test. BEO
benzodiazepine-binding site on the GABAA receptor and diazepam also attenuated HPA axis activity by
complex, resulting in the facilitation of the action of reducing the corticosterone stress response. Future
GABA and anxiolytic effects. A previous study showed studies need to focus on the mechanism of action of
that lavender oil, mainly containing linalyl acetate and BEO involved in these anxiolytic properties.
linalool, potentiated the GABAA receptor response
caused by a low concentration of GABA, suggesting the
anxiolytic, anticonvulsant and sedative activity Acknowledgements
(Aoshima and Hamamoto, 1999).These two compounds
This research was supported by a grant from Faculty of Medicine,
are also present in BEO. Therefore, future studies need Srinakharinwirot University. Our thanks go to Dr Reinaldo Nóbrega
to investigate whether the anxiolytic properties of BEO de Almeida, Department of Physiology and Pathology/LTF, Univer-
are mediated by GABAA receptors. sidade Federal da Paraiba, for suggesting the inhalation apparatus. We
The stress hormone corticosterone was measured to also wish to thank colleagues from Faculty of Medicine, Srinakharin-
investigate the response of the HPA axis to BEO. The wirot University, Associate Professor Dr Surangrat Srisurapanon for
advice concerning the corticosterone measurements and Dr Alfredo
present data show that inhalation of 2.5% BEO, a dose Villarroel for invaluable comments.
that produced anxiolytic activity in the behavioural
experiments, attenuated the activity of HPA axis by
reducing the corticosterone response to the stress of Conflict of Interest
exposure to the elevated plus-maze (Fig. 3). Similarly,
plasma corticosterone levels of rats treated with diaz- The authors have declared that there is no conflict of interest.

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