# Moringa oleifera L. leaf extract attenuates neuroinflammation and behavioral alterations in a fibromyalgia mice model: Modulation of serotonin and cytokine pathways

**Authors:** Ohoud H. Alhawiti, Ashwaq H. Batawi, Mona A. AL-Thepyani, Reham Tash, Asma Almuhammadi, Ashwaq Hassan Alsabban, Sheren A. Azhari, Badrah S. Alghamdi

PMC · DOI: 10.1016/j.ibneur.2026.02.010 · IBRO Neuroscience Reports · 2026-02-15

## TL;DR

Moringa oleifera leaf extract helps reduce pain and inflammation in a mouse model of fibromyalgia by affecting serotonin and cytokine pathways.

## Contribution

This study demonstrates the novel therapeutic potential of Moringa oleifera in treating fibromyalgia through modulation of serotonin and cytokine pathways.

## Key findings

- Moringa oleifera treatment improved behavioral and neurochemical parameters in fibromyalgia mice.
- The extract restored hippocampal architecture and normalized serotonin and pro-inflammatory markers.
- It suppressed inflammatory cytokine signaling, suggesting a protective effect against fibromyalgia.

## Abstract

Fibromyalgia (FM) is a complex, chronic disorder characterized by widespread pain, fatigue, cognitive impairment, and sleep disturbances, and it is considered the second most prevalent rheumatic condition. Current pharmacological therapies are often associated with undesirable side effects, underscoring the need for safer, natural therapeutic alternatives. Moringa oleifera leaves are rich in nutrients and bioactive antioxidants and have demonstrated therapeutic potential in inflammatory and immune-related disorders.

This study investigated the therapeutic effects of M. oleifera leaf extract in a reserpine-induced fibromyalgia model using multiple treatment groups of male mice. Behavioral, histological, and neurochemical assessments were conducted.

Mice with reserpine-induced FM exhibited reduced body weight, decreased paw withdrawal threshold and thermal latency, diminished locomotor activity and grooming behavior, impaired spontaneous alternation, and prolonged immobility time. Histopathological examination revealed marked structural disruption of hippocampal tissue, accompanied by reduced serotonin levels and elevated concentrations of IL-1β, TNF-α, and NO compared with control animals. Treatment with M. oleifera significantly attenuated these alterations by improving behavioral performance, restoring hippocampal architecture, and normalizing serotonin levels and pro-inflammatory markers.

These findings indicate that M. oleifera exerts a protective effect against reserpine-induced fibromyalgia, likely through modulation of serotonergic activity and suppression of inflammatory cytokine signaling pathways.

## Linked entities

- **Chemicals:** reserpine (PubChem CID 5770), serotonin (PubChem CID 5202), NO (PubChem CID 24822)
- **Diseases:** fibromyalgia (MONDO:0005546)
- **Species:** Mus musculus (taxon 10090)

## Full-text entities

- **Genes:** Il1b (interleukin 1 beta) [NCBI Gene 16176] {aka IL-1beta, Il-1b}, Tac1 (tachykinin 1) [NCBI Gene 21333] {aka 4930528L02Rik, NK-1, NK1, Nkna, PPT-A, PPTA}, Maoa (monoamine oxidase A) [NCBI Gene 17161] {aka 1110061B18Rik}, Tnf (tumor necrosis factor) [NCBI Gene 21926] {aka DIF, TNF-a, TNF-alpha, TNFSF2, TNFalpha, Tnfa}
- **Diseases:** Neurodegeneration (MESH:D019636), headaches (MESH:D006261), inflammation (MESH:D007249), sleep disturbances (MESH:D012893), anhedonia (MESH:D059445), Pain (MESH:D010146), muscle (MESH:D019042), mitochondrial dysfunction (MESH:D028361), diminished (MESH:D015354), impaired locomotor activity (MESH:D001523), muscle weakness (MESH:D018908), central nervous system (CNS) dysfunction (MESH:D002493), neuroinflammation (MESH:D000090862), anxiety (MESH:D001007), autoimmune myelitis (MESH:D009187), weight gain (MESH:D015430), mood disturbances (MESH:D019964), hemorrhagic (MESH:D006470), musculoskeletal pain (MESH:D059352), fatigue (MESH:D005221), neurotransmitter depletion (MESH:C536350), motivational deficits (MESH:D009461), convulsion (MESH:D012640), arthritis (MESH:D001168), hippocampal damage (MESH:D000092223), malnutrition (MESH:D044342), FM (MESH:D005356), immune-related disorders (MESH:D007154), weight loss (MESH:D015431), rheumatic condition (MESH:D012216), neuronal damage (MESH:D009410), inflammatory cytokines (MESH:D000080424), chronic pain (MESH:D059350), Depression (MESH:D003866), hypersensitivity (MESH:D004342), malaria (MESH:D008288), Mechanical allodynia (MESH:D006930), typhoid (MESH:D014435), cognitive decline (MESH:D003072), tissue injury (MESH:D017695), impaired spatial memory (MESH:D008569), motor impairment (MESH:D000068079)
- **Chemicals:** paraffin (MESH:D010232), methanol (MESH:D000432), isothiocyanate (MESH:C037152), Reserpine (MESH:D012110), Gallic acid (MESH:D005707), prostaglandin (MESH:D011453), quercetin (MESH:D011794), Rutin (MESH:D012431), water (MESH:D014867), kaempferol (MESH:C006552), phenolic acids (MESH:C017616), catechins (MESH:D002392), apigenin (MESH:D047310), biotin (MESH:D001710), norepinephrine (MESH:D009638), resveratrol (MESH:D000077185), isothiocyanates (MESH:D017879), Acetic acid (MESH:D019342), glutamate (MESH:D018698), NO (MESH:D009569), M. oleifera root extract (-), curcumin (MESH:D003474), H&amp;E (MESH:D006371), NO (MESH:D009614), penicillin (MESH:D010406), hematoxylin (MESH:D006416), amines (MESH:D000588), polyphenols (MESH:D059808), glutathione (MESH:D005978), aluminum chloride (MESH:D000077410), moringin (MESH:C000614007), lipid (MESH:D008055), sucrose (MESH:D013395), beta-carotene (MESH:D019207), eosin (MESH:D004801), dopamine (MESH:D004298), Caffeic acid (MESH:C040048), isorhamnetin (MESH:C047368), Chlorogenic acid (MESH:D002726), 5-HT (MESH:D012701), formalin (MESH:D005557), flavonoid (MESH:D005419), anthraquinones (MESH:D000880), ROS (MESH:D017382), saponins (MESH:D012503)
- **Species:** Mus musculus (house mouse, species) [taxon 10090], Withania somnifera (ashwagandha, species) [taxon 126910], Panax ginseng (Asiatic ginseng, species) [taxon 4054], Moringa oleifera (horseradish tree, species) [taxon 3735], Rattus norvegicus (brown rat, species) [taxon 10116], Homo sapiens (human, species) [taxon 9606]

## Full text

_Full body text omitted from this summary view._ Fetch the complete paper as Markdown: https://tomesphere.com/paper/PMC12926583/full.md

## Figures

12 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12926583/full.md

## References

72 references — full list in the complete paper: https://tomesphere.com/paper/PMC12926583/full.md

---
Source: https://tomesphere.com/paper/PMC12926583