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Wild Plants The Treasure of Natural Healers Editors Mahendra Rai Department of Biotechnology, SGB Amravati University Amravati, Maharashtra, India Shandesh Bhattarai Nepal Academy of Science and Technology Khumaltar, Lalitpur, Nepal Chistiane M. Feitosa Department of Chemistry, Federal University of Piaui Petronio Portela Campus, Teresina Brazil p, A SCIENCE PUBLISHERS BOOK Cover photo: Rauvolfia serpentina. Reproduced by kind courtesy of Dr. Shandesh Bhattarai. The figure used has not been taken from any copyrighted source. CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2021 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20200608 International Standard Book Number-13: 978-0-367-82087-9 (Hardback) Tis book contains information obtained from authentic and highly regarded sources. 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Feitosa, Department of Chemistry, Federal University of Piaui, Petronio Portela Campus, Teresina, Brazil. Description: Boca Raton : CRC Press, [2020] | Includes bibliographical references and index. Identifiers: LCCN 2020019435 | ISBN 9780367820879 (hardcover) Subjects: LCSH: Medicinal plants. | Wild plants, Edible. | Ethnopharmacology. Classification: LCC QK99.A1 W53 2020 | DDC 581.6/34--dc23 LC record available at https://lccn.loc.gov/2020019435 Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.routledge.com Foreword Traditional medicine, both codified (e.g., Chinese medicine, Ayurveda, Unani) and non-codified, has become a global movement with rapidly growing economic importance. In many Asian countries, traditional medicine is widely used, even though western medicine is often readily available. The number of visits to providers of traditional medicine in the US now exceeds the number of visits to primary care physicians. Many medicinal plant species are easily available in online trade, often without correct scientific identification, and possible contamination, which creates large safety concerns. In developing countries, uncodified traditional medicine is often the only accessible and affordable treatment available. Doctors are mostly located in cities and other urban areas, and are therefore inaccessible to rural populations. In Africa, up to 80% of the population uses traditional medicine as the primary healthcare system. In Latin America, the WHO Regional Office for the Americas (AMRO/PAHO) reports that 71% of the population in Chile and 40% of the population in Colombia have used traditional medicine. In many Asian countries, traditional medicine is widely used, even though western medicine is often readily available. In Japan, 60–70% of allopathic doctors prescribe traditional medicines for their patients. In China, traditional medicine accounts for about 40% of all healthcare, and is used to treat roughly 200 million patients annually. The expenses for the use of traditional and complementary-alternative medicine are exponentially growing in many parts of the world. Traditional and complementary-alternative medicine is also gaining more and more respect by national governments and health providers. As one example, Peru’s National Program in Complementary Medicine and the Pan American Health Organization recently compared complementary medicine to allopathic medicine in clinics and hospitals operating within the Peruvian Social Security System. However, this globalization of traditional remedies, in particular from non-codified traditional pharmacopoeiae, leaves many questions unanswered: does the use of traditional medicine reflect major health issues? Some plants may have beneficial properties, while others can cause adverse reactions. Even when the herbal ingredients themselves have proven benefits and no known safety concerns, some of the administration methods may be harmful. Most importantly, how can safety concerns associated with traditional medicines and practices be identified, monitored, and communicated to users and other stakeholders, and how can the safety and sustainability of the global supply of medicinal plants be ensured? The present volume addresses a variety of these crucial questions, while closely keeping focus on the tremendous wealth wild plants provide to the global community. The editors give a very wellplaced introduction to the complicated and often polemically discussed value of medicinal species, and the need for their sustainable use, while the following chapters ensure the outlining of the potential danger of disappearance of important species, including the tremendous danger of replacement of species once the original sources have been depleted. The editors have managed to include a wide range of case studies in this impressive volume, giving up-to-date information from countries as diverse as Peru, Nepal, Bangladesh, to name a few, and incorporating both general information, as well as examples on fungal use and plants as snake bite antidotes. In the final section of this impressive volume, specific species are used to illustrate the tremendous potential of medicinal plant species, as well as the dangers of their use without consultation and supervision of a trained specialist. iv Wild Plants: The Treasure of Natural Healers The present volume comes at a very important time, when dedicated programs aiming to establish in situ collections of important species, detailed phytochemical profiles for each species, as well as the repatriation of traditional knowledge in local languages, under the guidelines of the Nagoya Protocol, are urgently needed. Plants and their associated bio-cultural knowledge play an essential role in the ecosystem services that support all life on Earth. There is a great urgency to address the vital importance of traditional knowledge about plants, their utility, management, and conservation. This unique, often ancient, and detailed knowledge is typically held and maintained by local and indigenous communities. The implementation of the “Nagoya Protocol on Access to Genetic Resources and the Fair and Equitable Sharing of Benefits Arising from their Utilization to the Convention on Biological Diversity” has brought a great boost for the rights of indigenous and local communities. Benefit sharing in this context also needs to not only include the repatriation of the new data gathered, in a language and form accessible to the traditional owners, but also the translation and repatriation of the results of previous studies conducted in the same indigenous or local community, if not already done by the original researchers. In addition, informants, should they so desire, must be allowed full participation as authors in all publications of a study, rather than simply being mentioned as a sideline in the acknowledgments. Professor Rainer W. Bussmann Former Director and William L. Brown Curator of Economic Botany/Senior Curator William L. Brown Center at Missouri Botanical Garden Principal Scientist Department of Ethnobotany Institute of Botany Ilia State University Tbilisi, 0105, Georgia Preface In the earliest period of human history, people used wild plants and animals as their staple food and medicine. These resources are culturally acceptable, important, cheap, and easily reachable to local people across the globe, particularly in the remote areas and mountains. Aboriginals have developed their traditional knowledge regarding use of wild plants, its management, and sustainable conservation. Several useful plant-derived drugs were discovered as a result of scientific follow-up of well-known plants used in traditional medicine through the ethnopharmacological research. Many of today’s major diseases, such as HIV and cancer are being treated with a group of potential products derived from biodiversity. Thus, modern medicine has also benefited from wild plants that were originally used as home herbal remedies. The global diversity of wild plants is very high, but little is known about their food/medicinal significance. Wild plants offer great potential for the discovery of unique molecules and new sources of active compounds. Therefore, wild plants should be investigated by modern scientific techniques to establish their safety and efficacy and to determine their potential as a source of new drugs. In this context, the present book provides a comprehensive overview of the wild plants, their usage, status, and threats, as well as the growing interest in ethnopharmacology research. The book comprises of important issues, such as diversity of wild plants, with emphasis on medicinal and food plants, threats to wild plants, and traditional ethnobotanical knowledge of their uses in skin diseases, snakebites, and in cosmeceuticals. Moreover, the ethnopharmacological relevance of wild plants in Latin America has been discussed. This book will be useful for the researchers working in the areas of conservation biology, botany, ethnobiology, ethnopharmacology, national and international policymakers, etc. The principal aim of this book is to collect the dispersed global data about the wild plant resources and their usage. Some contributors from India, Nepal, Pakistan, Brazil, China, Bangladesh, etc., have provided important information regarding the importance of their wild plant resources. Hence, the proposed publication will be considered as the main source of information and will be entirely different from other related publications. We take the opportunity to thank all the contributors for their generous cooperation and efforts in offering up-to-date chapters. Further, we express our sincere thanks to the publisher and the authors of the chapters, whose research work has been cited in the present book. We are also thankful to the entire team of CRC Press for their cooperation, efforts, timely help, and patience in the publication of this book. Finally, MKR and CMF thank CNPq (National Council for Scientific and Technological Development, Brazil) for financial support (Process number 403888/2018-2), and SB acknowledges NAST (Nepal Academy of Science and Technology), Kathmandu, Nepal for varied support. Mahendra Rai, India Shandesh Bhattarai, Nepal Chistiane M. Feitosa, Brazil Contents Foreword iii Preface v General 1. Wild Plants as a Treasure of Natural Healers: The Need for Unlocking the Treasure Mahendra Rai, Shandesh Bhattarai and Chistiane Mendes Feitosa 2. The Disappearance and Substitution of Native Medicinal Species Nelida Soria 3 20 Specific Countries 3. Wild Plants of Northern Peru: Traditions, Scientific Knowledge, and Innovation Fidel A. Torres-Guevara, Mayar L. Ganoza-Yupanqui, Luz A. Suárez-Rebaza, Gonzalo R. Malca-García and Rainer W. Bussmann 37 4. Ethnic Uses of Plant species Among Magar People in Nepal Shanta Budha-Magar 64 5. Some Plants Used as Phytomedicine by Tribal Healers of Chittagong Hill Tracts, Bangladesh Khoshnur Jannat, Rownak Jahan, Taufiq Rahman, Md Shahadat Hossan, Nasrin Akter Shova, Maidul Islam and Mohammed Rahmatullah 90 6. Argentinian Wild Plants as Controllers of Fruits Phytopathogenic Fungi: Trends and Perspectives María Inés Stegmayer, Norma Hortensia Álvarez, María Alejandra Favaro, Laura Noemí Fernandez, María Eugenia Carrizo, Andrea Guadalupe Reutemann and Marcos Gabriel Derita 121 7. Plants from Brazil Used Against Snake Bites: Oleanolic and Ursolic Acids as 138 Antiophidian Against Bothrops jararacussu venom Jocimar de Souza, Bruna Stramandinoli Deamatis, Fernanda Mayumi Ishii, Ingrid Francine Araújo de Oliveira, Gustavo Rodrigues Toledo Piza, Jorge Amaral Filho, Edson Hideaki Yoshida, José Carlos Cogo, Angela Faustino Jozala, Denise Grotto, Rauldenis Almeida Fonseca Santos and Yoko Oshima-Franco 8. Latin American Endemic (Wild) Medicinal Plants with High Value: Ethnobotanical, 168 Pharmacological, and Chemical Importance Amner Muñoz-Acevedo, María C. González, Ricardo D.D.G. de Alburquerque, Ninoska Flores, Alberto Giménez-Turba, Feliza Ramón-Farias, Leticia M. Cano-Asseleih and Elsa Rengifo viii Wild Plants: The Treasure of Natural Healers 9. Phytochemicals from Wild Medicinal and Aromatic Plants of Argentina María Paula Zunino, Andrés Ponce, Alejandra Omarini and Julio Alberto Zygadlo 204 10. The Zigzag Trail of Symbiosis among Chepang, Bat, and Butter Tree: An Analysis on Conservation Threat in Nepal Tirth Raj Ghimire, Roshan Babu Adhikari and Ganga Ram Regmi 231 Specific Plants and Ailments 11. Role of Wild Plants in Curing and Healing the Skin Diseases Mudassar Mehmood and Rao Zahid Abbas 249 12. Choerospondias axillaris (Hog plum): Multiple Health Benefits Sajan L. Shyaula 274 13. Artemisia Species: Medicinal Values with Potential Therapeutic Uses Suroowan Shanoo, Jugreet B. Sharmeen and Mahomoodally M. Fawzi 308 14. The Potential Use of Mandacaru (Cereus spp.) Bioactive Compounds Maria Gabrielly de Alcântara Oliveira, Giovanna Morganna Barbosa do Nascimento and Gleice Ribeiro Orasmo 326 15. Subfamily Bombacoideae: Traditional Uses, Secondary Metabolites, Biological 338 Activities, and Mechanistic Interpretation of the Anti-Inflammatory Activity of its Species Mariam I. Gamal El-Din, Fadia S. Youssef, Mohamed L. Ashour, Omayma A. Eldahshan and Abdel Nasser B. Singab 16. Ayahuasca: Inherent Dangers in Its Consumption Raquel Consul, Flávia Lucas and Maria Graça Campos 401 17. Exploring the Plant Kingdom for Sources of Skincare Cosmeceuticals: From Indigenous 426 Knowledge to the Nanotechnology Era Mayuri Napagoda and Sanjeeva Witharana 18. Ethnomedicinal and Pharmacological Importance of Glycyrrhiza glabra L. Ashish K. Bhattarai and Sanjaya M. Dixit 444 Index 457 About the Editors 459 General 1 Wild Plants as a Treasure of Natural Healers The Need for Unlocking the Treasure Mahendra Rai,1,3 Shandesh Bhattarai2,* and Chistiane Mendes Feitosa3 Introduction Plants are primarily multicellular, mostly photosynthetic eukaryotes of the kingdom Plantae which are distributed worldwide. The evolution of plants has resulted from the earliest algal mats, through bryophytes, lycopods, ferns to gymnosperms, and angiosperms (www.encyclopedia.com). Plants in all of these groups continue to flourish in the environments in which they evolved and have some of the largest genomes among all organisms (Todd and Scott 2013). The largest plant genome (in terms of gene number) is that of Triticum asestivum, estimated to encode ≈ 94,000 genes (Brenchley et al. 2012), and thus nearly five times as many as the human genome. The first plant genome sequenced was that of Arabidopsis thaliana, which encodes about 25,500 genes ( Arabidopsis Genome Initiative 2000). In terms of sheer DNA sequence, the smallest published genome is that of the Utricularia gibba at 82 Mb (28,500 genes) (Enrique et al. 2013), while the largest, from the Picea abies, extends over 19,600 Mb (encodes about 28,300 genes) (Nystedt et al. 2013). The estimates for the number of described plant species in the world vary in literature (Groombridge and Jenkins 2002, Thorne 2002, Scotland and Wortley 2003, Chapman 2009, Funk et al. 2009, Chase et al. 2015, APG IV 2016, Christenhusz and Byng 2016, RBG Kew 2016, Shrestha et al. 2018). The updated publication revealed that the described and accepted number of plant species in the world to be about 374,000, of which nearly 308,312 are described and accepted, vascular plant species of which 295,383 are Angiosperms [monocots (74,273), eudicots (210,008), Gymnosperms (1,079), Ferns (10,560), and Lycopods (1,290)] (Christenhusz and Byng 2016). The estimated numbers of liverworts are 9,000 species (Crandall Stotler and Stotler 2000), 200–250 hornworts (Villarreal et al. 2010), 12,700 mosses (Crosby et al. 1999, Cox et al. 2010), about 44,000 algae (Guiry 2012), amounts to a total of about 374,000 (~374,262) plant species worldwide. These numbers differ from earlier estimates by Chapman (2009), which has substantially lower estimates, with 310,129 as the total number of plant species, of which 281,621 are vascular plants, but a higher estimate is by Pimm and Joppa (2015), which states that there are an estimated 450,000 species. The largest vascular plant families are Orchidaceae (about 28,000 species), followed by Asteraceae (about 24,700 species) (Funk et al. 2009, Chase et al. 2015, Shrestha et al. 2018). 1 Sant Gadge Baba Amravati University, Amravati, Maharashtra, India. Nepal Academy of Science and Technology, Khumaltar, Lalitpur. 3 Department of Chemistry, Federal University of Piaui, Petronio Portella Campus, Brazil. * Corresponding author: shandeshbhattarai@gmail.com 2 4 Wild Plants: The Treasure of Natural Healers Large parts of the world are still in need of additional biological expeditions (Christenhusz and Byng 2016). The key countries that yield the greatest numbers of new species are Australia, Brazil, China, and New Guinea, although much smaller African, American, Pacific, and Central and tropical Asian countries also contribute substantial numbers (Zhang et al. 2014), but the newest species are perhaps to be established in the world’s biodiversity hotspots (Joppa et al. 2011). The top ten countries in the world with the highest number of vascular plants are as follows: Brazil (56,215), Colombia (51,229 species), China (32,200 species), Indonesia (29,375 species), Mexico (26,071 species), South Africa (23,420 species), Venezuela (21,073), USA (19,473 species), Ecuador (19,362 species), and India (18,664 species) (Groombridge and Jenkins 2002, Shrestha 2016, Shrestha et al. 2018). The research on wild plants to identify the commercially valuable genetic and biochemical resources has been on for centuries, and is now well accepted. This review aimed to gather information about the treasures of wild plants and stress the necessity to unlock such treasures for the conservation of wild plant resources and traditional knowledge. Wild Plants as Natural Heritage Wild plants denote species that are neither cultivated nor domesticated, but available from the natural habitat (Beluhan and Ranogajec 2010). Commonly, wild plants are unnoticed (Scoones et al. 1992), which include herbs, shrubs, trees, and grasses that grow without human help and are an important part of nature’s biodiversity. In the earliest period of human history, people used wild plants and animals as their primary food and medicine. These resources are culturally acceptable, cheap, and easily accessible to local people, particularly in remote regions (Bhattarai et al. 2006, 2009). Indigenous people have developed their traditional knowledge regarding wild plant use, conservation, and management. The role of wild plants used for foods in peoples’ diets and medicine should not be underrated. There has been a growing interest in studying the consumption of wild food plants for sustainable use and management (Pfoze et al. 2011). Wild plants offer a diversity of food needed to sustain a rich and healthy diversity of insects, birds, and animals. Some insects feed off of specific plants so that a loss of a wild plant in an area could lead to the loss of an insect (www.praying-nature.com). Of the Earth’s half-million plant species, about 3,000 species have been used as crops, and only 150 species have been in large scale cultivation (Mohammed et al. 2008). The difference between wild and domesticated species is not easy. Domestication is an extended and difficult process, and many plants are found in various stages of domestication as a result of human selection (Pegu et al. 2013). In most civilizations, the use of wild plants forms part of indigenous systems of knowledge and practice that have developed and accrued over generations (Slikkerveer 1994). The global diversity of wild plants is very high but little is known about their food, medicinal, and other use-value. Wild plants are a potential source for the discovery of novel molecules and new bioactive compounds, mainly because of the environmental stress to which they are exposed (Cordell 2002, Balunas and Kinghorn 2005, Chin et al. 2006, Newman and Cragg 2007, Carvalho 2011, Atanasov et al. 2015). Many plant-derived drugs were revealed as a result of scientific follow-up of well-known plants used in ethnomedicine (Cordell 2002, Carvalho 2011), and main diseases, such as HIV and cancer, are being treated with an array of potential products derived from biodiversity (Balunas and Kinghorn 2005, Chin et al. 2006, Newman and Cragg 2007, Atanasov et al. 2015). Hence, modern medicine has also benefited from wild plants that were used as home herbal therapies (Cordell 2002, Balunas and Kinghorn 2005, Newman and Cragg 2007, Carvalho 2011). Wild plants have been playing a major part as a source of foods and medicines, and have a vital socio-economic role through their use in fuelwoods, dyes, poisons, shelter, fibers, religious and ritual ceremonies. The use of wild plants in providing sources of income and livelihoods in rural areas is acknowledged globally (Jain 1963, Agyemang 1996, Moreno-Black et al. 1996, Sajeev and Sasidharan 1997, LaRochelle and Berkes 2003, Kar 2004, Sawain et al. 2007, Yesodharan et al. 2007, Patiri and Borah 2007, Kar and Borthakur 2007, 2008, Misra et al. 2008, Aryal et al. 2009, Kalaba et al. 2009, Giliba et al. 2010, Kutum et al. 2011, Legwaila et al. 2011, Sarmah and Arunachalam 2011, Singh and Wild Plants as a Treasure of Natural Healers 5 Rawat 2011, Seal 2011, 2012, Dutta 2012). The sustainable harvest of wild plants is very important, as it can offer vital resources as well as generate income for local people. The usage of plants is not restricted to documented literature because copious knowledge is still available in traditional daily life (Cakir 2017). Globally, wild plants in traditional medicines have been increasingly used by various communities due to their significant role in maintaining good health (Mahapatra et al. 2019). About 50,000 plants are believed to be used in traditional medicine, but the exact number of medicinally useful constituents residing inside these 50,000 plants is still unknown (Gewali 2008). Hence, wild plants are becoming a part of a new way of thinking because of their hidden medicinal and food values, and in managing health, healthy food, food safety, and slow food movements (Yeşil et al. 2019). Today, an increasing number of plants used in traditional medicine are described to have diverse activities in infectious diseases (Mahapatra et al. 2019). A single plant as a medicine must have been selected after various hits and trials of experiments, of which useful species were treasured as medicines (Gewali 2008). Nowadays, we take an important medicine, aspirin, for the relief of the pain, but as early as in 400 BC, Hippocrates gave Greek women willow-leaf tea (the tea contained aspirin-like constituents) to relieve the pain of childbirth. Similarly, Quinine from Cinchona bark saved the life of many people from malaria and Reserpine from Rauvolfia serpentina (Figure 1.1) was instrumental in bringing the peace of mind as well as the relief of psychotic behaviors (Gewali 2008). Periwinkle constituents, vinblastine, and vincristine were the first effective drugs against different forms of cancer (Gewali 2008). Taxus species (e.g., Figure 1.2) has afforded taxol used to cure breast and ovary cancers. Thus, the list of successful drugs originated from wild plants is long (Gewali 2008), but even today, only a few facts regarding the medicinal usage of wild plants have been captured and used by the natural healers in natural healing practices and still, other facts are unexplored and hidden. Figure 1.1 Rauvolfia serpentina (L.) Benth. ex Kurz. Figure 1.2 Taxus species. 6 Wild Plants: The Treasure of Natural Healers Natural Healers—The key to Unlocking the Treasure Globally, natural healing systems are widely accepted. A natural healer is a person who prescribes natural medicine to the patient. Natural healers play an important role in continuing their indigenous medical knowledge and practices as their tradition and culture (Aryal et al. 2016). Traditional healers’ knowledge is a community-based scheme of knowledge that has been developed, preserved, and maintained over generations by the communities through their continuous interactions, observations, and investigations with their surrounding environment (Pushpangadan and Nair 2005). Natural healers (Figures 1.3a, b) have increasingly taken culture into account because traditional medicines are rich and rooted in their cultural heritage. Indigenous knowledge of medicine is generally transmitted orally over many generations through a community, family, and individuals. The elements of knowledge of traditional medicine may be known by many or may be collected and applied by those in a definite role of the healer (Acharya and Anshu 2008). Figure 1.3a Tharu People/Fisherman from Kailali District of Nepal carrying wild plant (Bauhinia sp.) leaves for domestic use. Figure 1.3b Tharu People from Bardiya District of Nepal collecting and hanging wild plant for home use. The Need for Recognition of Natural Healers The healing system is comprised of a wide range of medical beliefs, knowledge, and practices, including medical doctors (specialized in allopathic medicine), natural healers (long knowledge in natural medicine), and others. Natural healers have long been getting extensive public acceptance and playing a major role in meeting the health care needs of local people. In many parts of the world, the natural healing system has been recognized as the cheapest and most accessible health care means for the majority of the rural people. Healers’ knowledge is powerfully influenced by several factors, and they make safe, efficacious, quality, and affordable traditional medicines available to the vast majority of the people. Wild Plants as a Treasure of Natural Healers 7 In remote villages, where do people go for treatment when they are sick? Local people can cure their diseases with the help of modern or allopathic medicine, or with more traditional, alternative, or complementary medicine. The system of natural healing has been widely recognized, established, and well accepted in the remote villages in different regions of the world. Although modern allopathic medicine is known to be common, effective, fast curing, and frequently being improved through scientific research, many patients feel comfortable and find better results by using both the modern and complementary medicines and following both systems of medication. Thus, these days, in fact, complementary/alternative medical systems have increased in availability and scope, and are receiving more popularity. The Potential Role of Natural Healers Traditional or indigenous or folk medicine encompasses medical aspects of indigenous knowledge established over generations within various societies (WHO 2008, Carvalho 2011). In some Asian and African countries, up to 80% of the population relies on traditional medicine for their primary health care needs (WHO 2008, 2013). Traditional medicine is often the measured practice of alternative medicine. Traditional medicines comprise traditional European medicine, traditional Chinese medicine, traditional Korean medicine, traditional African medicine, Ayurveda, Siddha medicine, Unani, ancient Iranian Medicine, Iranian (Persian), Islamic medicine, Muti, and Ifá. Ethnobotany, ethnomedicine, ethnobiology, herbalism, and medical anthropology are some scientific disciplines that study traditional medicine (WHO 2008, 2013, www.en.wikipedia.org). From a global perspective, the socio-cultural and economic concerns in modern medicine may limit its potentiality to provide satisfactory health care (Cordell 2002, Bhattarai 2009, Rios 2011). Due to the safety, effectiveness, and quality of biomedical care, traditional medicines, along with the role of natural healers, are widely accepted for diagnosis and treatment (Cordell 2002, Balunas and Kinghorn 2005, Rios 2011). According to Mwu and Gbodossou (2000), three factors, i.e., their own beliefs, the success of their actions, and the beliefs of the community validate the role of the healer. Linking to this, Setswe (1999) divided the roles of natural healers in primary health care into two parts: (i) Protective and promotive health, (ii) Curative and psychosocial care, but here we have made a slight modification. (i) Protective and promotive health The defensive roles of traditional healers have been stressed in numerous programs commenced in different parts of South Africa (Setswe 1999). The national HIV/STD preventive program trained 1,510 healers in HIV/STD prevention in 1992, directing the kind of collaboration that healers could deliver in working with modern practitioners (Green et al. 1995). Abdool Karim et al. (1994) discovered potential preventive health roles that traditional healers could play concerning the AIDS epidemic. He further concluded that their role could go beyond education to actively influence the community’s views and attitudes to risk-associated behaviors. Some traditional healers have been actively involved in growth monitoring, oral rehydration, breastfeeding, immunization, family planning, food supplementation, and female education in South Africa, where traditional healers function in a similar role to that of village health workers (Freeman and Motsei 1992). Immunization against witchcraft, forecasts of future events, declaration of secrets, and annual check-ups are some of the known preventive roles of traditional healers (Abdool Karim et al. 1994, Kale 1995). (ii) Curative and psychosocial care Traditional medicines are generally effective with ailments, such as diarrhea, cough, cold, headaches, other pains, swellings, and sedating patients (Freeman and Motsei 1992). The key role of the natural healers is in the realm of psychiatry, considering the methodology used in natural medicine and the 8 Wild Plants: The Treasure of Natural Healers fact that mental illness is a product of society (Kelly 1995). The success of traditional healers in treating psychological problems is well documented and often recognized (Hoff 1992). To treat the psychological problems, a big part of healers’ practice is committed to counseling individuals whose problems are the consequences of quick social and economic changes in the community (Abdool Karim et al. 1994). The promotion of family planning, prevention and treatment of childhood diarrhea through oral rehydration therapy, improved nutrition, safe water and sanitation, personal hygiene, recognizing and managing tuberculosis, leprosy, malnutrition, and basic first aid information are recognized as the roles of traditional healers in other developing countries (Hoff 1992). Wild Plants as a Potential Source of Medicine Wild plants are often prescribed by natural healers to cure diseases. The use of plants as a source of medicine has been the earliest practice and an important component of the health care system (Bhattarai et al. 2009, Patro 2016). Even today, people residing in both rural and urban areas depend on a diverse group of wild plant products (Bhattarai 2009, Rios 2011). An estimated 50,000–70,000 medicinal and aromatic species are harvested from the wild (www.traffic.org). Herbal medicines can be more accessible than expensive biomedical treatments. Biomedical treatments are often unfriendly, corrupt, with treatments offering too many side effects, and in some cases, disappointing (Cordell 2002, Graz et al. 2011). Natural medicines are sold widely (Cunningham 1997) to treat diseases where modern medical facilities are limited and expensive. The belief in natural healers and healing systems, coupled with the decline of conservative medical treatments, has led to a search for natural medicines to treat various ailments (Cunningham 1997, Bhattarai et al. 2006). Medicinal plants are widely used in non-industrialized societies because they are widely available and cheaper than modern medicines (Cordell 2002, Bhattarai 2009, Rios 2011). However, during the last decade, there has been a growing concern in traditional and alternative systems of medicine in industrialized countries (Setswe 1999, Cordell 2002, Carvalho 2011). According to the World Health Organization, the global market for herbal products is over USD 60 billion (Nirali and Shankar 2015). The annual global export value of the thousands of types of plants with suspected medicinal properties was estimated to be USD 2.2 billion in 2012 (www.traffic.org). In 2017, the potential global market for botanical extracts and medicines was estimated at several hundred billion dollars (Ahn 2017). Bioprospecting for Therapeutic Plants Bioprospecting is the discovery and commercialization procedure of novel products, comprising economically valuable species and genes from biological resources. These novel products can be useful in many fields, including pharmaceuticals, agriculture, bioremediation, and nanotechnology (Oli and Dhakal 2009, Beattie et al. 2011). Biodiversity prospecting provides economic value to ensure sustainable conservation of natural biodiversity in developing countries (Eisner 1989), which are rich in biocultural diversity. The Himalayan medicinal plants offer great potential for the discovery of novel molecules and new sources of active compounds, mainly because of the environmental stress to which they are subjected (Jackson and Dewick 1984). Plants in harsh environmental conditions (e.g., freezing temperature, drought, defoliation, high-intensity light, etc.) have developed a morphological, chemical, and genetic modification for their success in respective habitats. At least a few out of a large number of ethnomedicinal plants may contain important phytochemicals that can be used for the treatment of serious diseases (Bhattarai 2009). The variety of medicinal plants is very high, but little is known about the biochemical and pharmacological properties. About 1.5% of the flowering plants of the world have been screened for pharmaceutical compounds (Farnsworth 1990), but the detailed biochemical analysis is limited to Wild Plants as a Treasure of Natural Healers 9 only a few species having very high use values (Cordell 2002). Considering the negative effects of synthetic drugs, people are looking for natural remedies, which are safe and effective (Cordell 2002). In this respect, medicinal plants used in the traditional therapy could be the alternative source for the development of new therapeutic agents to combat the resistant organisms, and at present, a number of drugs derived from medicinal plants have been shown to have various biological activities (Kashman et al. 1992, Cordell 2002, Balunas and Kinghorn 2005). Therefore, plants with medicinal values should be investigated by modern scientific techniques to establish their safety and efficacy, and to determine their potential as a source of new drugs (Balunas and Kinghorn 2005, Carvalho 2011). Numerous scientific studies are going on to isolate potent phytochemicals for antimicrobial therapy. Many useful plant-derived drugs were discovered as a result of scientific follow-up of well-known plants used in traditional medicine (Cordell 2002, Balunas and Kinghorn 2005, Carvalho 2011). Traditional medicine is the basis of healthcare to treat various infectious diseases. Although some infectious diseases have been oppressed by modern medicines, new diseases are constantly evolving (Cordell 2002). Thus, one of the fruitful approaches to overcome resistant microbes is to search for new anti-infective agents of plant origin (Farnsworth 1990). There is an enormous wealth of information on cheap and culturally accepted ethnopharmacology-based remedies (Balunas and Kinghorn 2005). Several medicinal plants have been used in traditional medicinal practices for centuries, but until now, scientists have not been able to capitalize on this herbal wealth adequately. Although exploration and preliminary screening of ethnomedicinal plants have been carried out for several species, biomedical research at chemical and molecular level warrants further research (Martin 1995, Balunas and Kinghorn 2005, Bhattarai et al. 2008a, b). It is well known that the use of natural plant products in drugs is the only answer to the problem of healthcare of the huge human population in the future. Although the isolation and identification of novel natural products to be used in drugs are costly and time-consuming, they are safe and their sustainable supply can be ensured (Cordell 2002). These days, the plant resources and the associated indigenous knowledge are disappearing at an alarmingly rapid rate, and scientists are deeply distressed over these losses and have pledged themselves to find a way to arrest the destruction of biodiversity and indigenous knowledge. Wild Plants for Food and Nutrition Wild plants are non-cultivated and non-domesticated plants (Tardio et al. 2006), which play a significant role in the life of rural people. Millions of people in developing countries still depend on wild plants to meet their food requirements, especially during food crisis (FAO 2004, Balemie and Kebebew 2006, Pfoze et al. 2011). Food and nutrition safety is vital for a healthy and productive life. The method of food production and ingestion has shaped human society and the environment (Desor 2017). Traditionally, humans may have consumed more than 7,000 wild edible plants (Grivetti and Ogle 2000), but many such food resources and treasured plants are still to be explored (Mohan Ram 2000). The people living in the mountainous region have been facing large challenges in food and nutrition security. Although progress has been made in calorie intake, malnutrition remains a serious challenge (Rasul et al. 2019). About 50% of the total population in the world suffers from malnutrition, but women and children suffer more (Rasul et al. 2019). The global population facing food and nutritional insecurity increased from 777 million in 2015 to 815 million in 2016 (FAO 2017). It was documented that wild edible plants raise the nutritional value of rural diets, incorporating micronutrients (vitamins and minerals), which are sometimes higher than those of domesticated varieties (Msuya et al. 2010). A large fraction of rural populations does not yield adequate food, and so meet their nutritional requirement by consuming various wild plants (Singh and Arora 1978, Bhattarai et al. 2009, Rasul et al. 2019). It was projected that approximately one billion people globally use wild food plants to supplement their diets (Shumsky et al. 2014). Thus, it is crucial to know the contribution of these plants to food and nutritional security in communities (Ojelel et al. 2019). 10 Wild Plants: The Treasure of Natural Healers Various studies reported that wild edible plants are potential sources of nutrition, but in many cases, are described to be more nutritious than conventionally eaten crops (Grivetti and Ogle 2000). The diverse foods from plants provide nutritional diversity, and are also a source of major food during famine or scarcity (Hatloy et al. 1998, Balemie and Kebebew 2006). It has been reported that wild plants are equivalent, in terms of nutritive values, with commercial fruits, and thus they can be promoted as alternative sources of nutrition (Bajracharya 1980, Sundriyal and Sundriyal 2001). Wild foods are components of diets and local economies from rural Africa (Ncube et al. 2016) to urban USA (McLain et al. 2014). In many regions, wild foods contribute considerably to household food security, dietary diversity, and nutritional safety (Kajembe et al. 2000), because they add diversity to the mostly starch-based, staple diets of households (Bharucha and Pretty 2010, Uusiku et al. 2010, Powell et al. 2011). In many regions, diets are in transition as a consequence of globalization and increasing market access (Pingali 2007, Damman et al. 2008, FAO 2010, Ncube et al. 2016). The former is connected to a decline in agrobiodiversity, dietary diversity, and knowledge of wild foods and local cultivars, whereas the latter brings exposure to and convenience of new foods that may be easily available (Van Vliet et al. 2015). Herbal Formulations Herbal formulations are important characteristics of designing medicines (Mohamed et al. 2010), which is a stable and acceptable structure formed following a particular formula (www.en.wikipedia.org), which is often used in a dosage form. Based on the method/route of administration, dosage forms come in several types, including many kinds of liquid, solid, and semisolid, but the common dosage forms include the pill, tablet/capsule, drink/syrup. The drug delivery route depends on the dosage form of the active compound. Various dosage forms may occur for a single particular drug, since different medical conditions can permit different routes of administration (www.bbc.co.uk). The formulation techniques are crucial to confirm the quality, taste, safety, and stability of the drug (Sharma et al. 2016). The traditional medicine formulation contains plant material as its primary component (Seema 2014, Thillaivanan and Samraj 2014), encompassing medicinal plants, minerals, organic matter, etc. Herbal drugs constitute those traditional medicines that principally use medicinal plant preparations for healing (Pal and Shukla 2003). Drugs derived from plant origin are recognized to have less risk and low side effects and single plants can provide the exact fraction of all the constituents for various ailments (Williamson 2001, Inamdar et al. 2008, Dandagi et al. 2009, Palav and D’mello 2009). The use of more than one herb in a medicinal preparation is polyherbal formulation, and the preparations are either as single herbs or as groups of herbs in composite formulae. Polyherbal formulations consist of several bioactive components that are responsible for synergistic activity, consequently enhancing the medicinal value. Each bioactive component of the polyherbal formulation is connected to each other and is very important (Musthaba et al. 2009, Thillaivanan and Samraj 2014). The prehistoric indigenous system of medicine mentions several single and compound drug preparations of plant origin to cure various disorders (Newman and Cragg 2007, Parasuraman et al. 2014). The Ayurvedic literature has also highlighted the concept of polyherbal formulation and mentioned combined extracts of plants rather than individual ones (Srivastava et al. 2013, Parasuraman et al. 2010). Ayurvedic herbals are prepared in several dosage forms, in which almost all of them are polyherbal formulations (Srivastava et al. 2013, Parasuraman et al. 2010). With the emerging nanotechnology, there has been significant progress on the improvement of new herbal formulations, including polymeric nanoparticles, nanocapsules, liposomes, phytosomes, nanoemulsions, microsphere, transferosomes, and ethosomes. These formulations have been described as having numerous benefits over the traditional formulations (Sharma et al. 2016). Herbal formulations are being patented in recent years, but the number of patents being filed for plant origin is lesser in the past few years (Mohamed et al. 2010). The reason for lesser number of patents is that the herbal Wild Plants as a Treasure of Natural Healers 11 formulations need a novelty to obtain a patent, which requires scientific proof of their pharmacological or pharmacodynamics property against the disease for which they are anticipated. However, most of the companies which produce herbal formulations do not have the scientific evidence of their biological activity, and they follow the orally transmitted traditional knowledge (Mohamed et al. 2010, Musthaba et al. 2009). Benefit-sharing, a Basic Need The Rio Declaration and the Convention on Biological Diversity (1992) explained the rights of traditional people and local communities. Also, various treaties and national laws have been ratified worldwide to control the use of the intellectual property and to establish equitable benefit sharing (Laird 2002, Dutfield and Suthersanen 2008, Oli and Dhakal 2009). Benefit sharing is the sharing of the consumption of biological resources, community knowledge, technologies, innovations, or practices. It also means the sharing of all forms of compensation for the use of genetic resources, whether monetary or non-monetary (CBDa, b). Monetary benefits may be open payments, access fees, milestone payments, license fees, salaries and infrastructure research funding, joint schemes, and joint ownership of intellectual property rights, whereas, non-monetary profits may enclose the sharing of research results, scientific research collaboration, participation in product development, collaboration in education and training and technology transfer (CBDa, b, Oli and Dhakal 2009). Benefit-sharing Arrangements with the Kani Tribe The Kani is a tribal community living in the Thiruvananthapuram district of the Western Ghats of South India, Kerala. The Kani people consider the plant (Trichopus zeylanicus) to be a very essential medicine with brilliant healing properties. At first, the juice of pounded mass of the fresh tuberous root is mixed with an equal quantity of the juice of coconut kernel. The mixture is then boiled for some time to get a semisolid form after cooling is administered. About 10–15 ml semisolid medicine is taken twice a day for 15 to 30 days to cure all kinds of peptic ulcers and related afflictions. It is also recommended for stamina as a roborant, and blood purifier (Pushpangadan et al. 1990). The plant was first described by Joseph and Chandrasekharan of the Botanical Survey of India in 1978 (Pushpangadan et al. 1990). It is a perennial herbaceous plant with milky latex under the family Dioscoreaceae. The roots are moniliform, tuberous, highly aromatic, and 30 cm long in clusters. A single healthy plant yields upto 5 kg of fresh roots (Pushpangadan et al. 1990). Based on the abovementioned indigenous knowledge of the Kani tribe, a benefit-sharing arrangement was prepared between the Tropical Botanical Garden and Research Institute (TBGRI) and the Kani tribe for the development of a drug called ‘Jeevani’ using Trichopus zeylanicus (Anuradha 1998, Pushpangadan et al. 1990, 1998, Oli and Dhakal 2009). The healers of the Kani tribe usually transfer their medicinal knowledge of herbs from one generation to another. These herbal healers are known as plathis. The knowledge was communicated by three Kani tribal members to the scientists of TBGRI, who isolated twelve active compounds from T. zeylanicus, and developed the drug Jeevani and filed two patent applications on the drug (Pushpangadan et al. 1990, Oli and Dhakal 2009). The prepared drug Jeevani is a restorative, immuno-enhancing, anti-stress, and anti-fatigue agent. Later, this technology was licensed to Arya Vaidya Pharmacy, Ltd, which is an Indian company producing Ayurvedic herbal formulations. Moreover, in order to share the profits arising from the commercialization of the herbal drug, a trust fund was established. This experience has provided insight for developing benefit-sharing provisions in the National Biodiversity Policy and Macrolevel Action Strategy, as well as in biodiversity legislation (Oli and Dhakal 2009). The utilization of the fund with the participation of all pertinent stakeholders and the sustainable harvesting of the plant has generated some glitches which offer lessons on the role of intellectual property rights in benefitsharing over medicinal plant and traditional medicinal knowledge (Pushpangadan et al. 1990, 1998, Oli and Dhakal 2009). 12 Wild Plants: The Treasure of Natural Healers The Cases of Biopiracy The traditional knowledge of tribal people being used by others for profit, without authorization or compensation to the tribals themselves is called biopiracy. There have been limited cases of biopiracy of traditional knowledge from underdeveloped biodiversity-rich countries, but developing countries, such as India, Brazil, and Malaysia also encountered numerous cases of biopiracy. Various foreign corporations achieved patents based on biological materials without acknowledging the source of their knowledge or sharing the benefits (Tripathi 2003). Some of these cases include patents obtained in other countries on Turmeric (Haldi), Bitter gourd (karela), Neem, Basmati rice, etc., but many of these patients were successfully opposed, and the patents got revoked. Neem Patent as an example of Traditional knowledge and Patent issues Traditional knowledge is sustained and passed on from elder to younger generation within a community. The invention should be protected using the patent system, but it is not easily protected by the current intellectual property system. Currently, the intellectual property system normally grants safety for a limited period to inventions and original works (www.wipo.int). The current international system for protecting intellectual property was shaped during the age of industrialization in the West, and developed subsequently in line with the perceived needs of technologically advanced societies. In the current approach, aboriginal people/local communities and administrations, mainly in developing countries, have claimed equal protection for traditional knowledge systems (www.wipo.int). The Indian texts printed 2,000 years back described the usage of Neem by local communities in agriculture, human and veterinary medicine, toiletries, cosmetics, as well venerated in the culture, religions, and literature (Porter 2006, Pankaj et al. 2011, Singh et al. 2011). The Neem (Azadirachta indica) plant, with multiple uses, originates from the Indian subcontinent (i.e., India, Nepal, Pakistan, Bangladesh, Sri Lanka, and the Maldives), and now grows in more than 50 tropical and semi-tropical regions around the world (Singh et al. 2011, www.en.wikipedia.org). Several powerful compounds, including the chemical Azadirachtin in the Neem seeds were found, which is used as an astringent. The barks, leaves, flowers, and seeds of Neem are used to treat a variety of diseases, ranging from leprosy to diabetes, skin disorders, and ulcers (DPR 2016, www. emedicinehealth.com), and the twigs are used as antiseptic toothbrushes. The pesticidal property of Neem was first described in India in 1928, but after 30 years, systematic research was started. After 1928, research on the Neem plant started globally, leading to isolation and identification of hundreds of the active compounds, from various parts (Keher et al. 1949, Devakumar et al. 1993, Brahmachari 2004, Akhila and Rani 1999, Biwas et al. 2002), with pesticidal, nematicidal, antifungal (Khan and Wassilew 1987, Iyer and Williamson 1991, Bhatnagar and McCromick 1988, Allameh et al. 2001, Mossini et al. 2004), antibacterial (Siddique et al. 1992), anti-inflammatory (Okapanyi and Ezeukwu 1981), antitumor, antiviral (Gogate and Marathe 1989, Rao et al. 1969, Badam et al. 1999, Parida et al. 1997, 2002), anti-ulcer (Febry et al. 1996, Garg et al. 1993, Srirupa et al. 2002, Chattopadhyay et al. 2004), antimalarial (Badam et al. 1987, Vasanth et al. 1990) antioxidant, antimutagenic, and anticarcinogenic activity (Hanachi et al. 2004, Baral and Chattopadhyay 2004, Sarkar et al. 2009), and found its applications in pesticide, medical, healthcare, and cosmetic industry (Murthy and Sirsi 1958, Bhargava et al. 1970, Pillai and Santhakumari 1981, Fujiwara et al. 1982, Pant et al. 1986, Biswas et al. 2002, Pankaj et al. 2011). Since the 1980s, many Neem-related processes and products have been patented. According to Rekhi (2006), 171 products of Neem have been patented in Japan (59), followed by USA (54), India (36), Germany (05), EPO (05), Great Britain (02), Austria, Belgium, Denmark, Ireland, France, Greece, etc. [PCT] (10). The patent for Neem was first filed by W.R. Grace and the Department of Agriculture, the USA in the European Patent Office. The Neem patent is a technique of controlling Wild Plants as a Treasure of Natural Healers 13 fungi on plants comprising of contacting the fungi with a Neem oil formulation. Legal disapproval has been filed by India against the grant of the patent (Singh et al. 2011). The legal opposition to this patent was lodged by the New Delhi-based Research Foundation for Science, Technology, and Ecology, in cooperation with the International Federation of Organic Agriculture Movements and Magda Aelvoet, former green Member of the European Parliament (MEP) (Singh et al. 2011, www.countercurrents.org). The opponents’ submitted evidence of ancient Indian ayurvedic texts that have described the hydrophobic extracts of neem seeds were known and used for centuries in India, for the cure of skin diseases, and in protecting crops from infections. The EPO identified the lack of novelty, inventive step, and possibly form a relevant prior art and revoked the patent. Conclusions Research in the different ethnobotanical fields on wild plants has advanced rapidly in the past decade. Traditional ethnobotanical knowledge of wild plants is passed orally from elders to younger generations through the word of mouth. The younger generations obtain names of wild plants at home and study to identify the collected plants by supporting their parents in fields and forests. Further, they utilize their experience to collect wild plants for foods. Wild plants offer great potential for the discovery of novel molecules and new sources of bioactive compounds. Therefore, wild plants should be studied by modern scientific techniques to establish their safety and efficacy, and to determine their potential as a source of new drugs. The main intention of several scientists for this kind of bioprospecting research is to support the scientific and economic development of the country through the discovery of new herbal drugs. Examples are from some countries, such as camptothecin from Camptotheca acuminata (India), Artemisinin from Artemisia annua (China) confirm that plants from ethnomedicine provide drugs which give therapeutical progress worldwide. 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Phytot. 191(1): 1–9. 2 The Disappearance and Substitution of Native Medicinal Species Nelida Soria Introduction Medicinal plants have been used since time immemorial to control human health problems, by preventing diseases, palliating symptoms, or even healing, and still today, it constitutes the first alternative for disease treatments in the populations of developing countries where there is a lack of effectiveness of health systems to respond to health problems in communities. Thus, in the 1970s, and in order to achieve “Health for All in the year 2000”, the World Health Organization, guided the research and application of Natural and Traditional Medicine (MNT), due the fact that this form of medicine is more natural, more innocuous, effective, with a rational cost, and accessible to large population groups. WHO supports member states in promoting the use of Traditional Medicines (TM) as a Primary Health Care (PHC), basing on ensuring the safety and quality of medicines and educating consumers to use them correctly (WHO 2002). In addition, TM could be effective as a frontline treatment and prevention, for conditions, such as colds, diarrhea, stomach aches, light fevers. Its wide use is favored because it is firmly rooted in the belief system which is accepted culturally (Soria and Ramos 2015). However, despite the fact that Medicinal Plants (PM) are used by the vast majority of the population, their incorporation into primary health care is still regulated due to the barriers presented by health systems, services, and personnel, and it is unusual to have traditional and allopathic medicine integrated in with the same service. Thus, many professionals of allopathic medicine, even in those countries with a strong history of TM, express great reservations and often serious disbelief about its benefits (WHO 2002). In some countries, the barriers that have limited the use of TM by health personnel have been identified, and also an insufficient preparation of doctors and nurses to orient population toward TM use has been indicated. This could be due to the hegemonic medical model, which presents features such as scientific rationality (Rodríguez Ramos 2014). There are also countries in Latin America in which medicinal plants are part of primary health care, for example, Brazil, where since 1996 this practice is incorporated in the Unified Health System (SUS) (Borges et al. 2010). The World Health Organization (WHO 2013) aims to promote the safety, effectiveness, and quality of traditional medicine by the broadening of the knowledge base and providing advice on Faculty of Applied Sciences, National University of Pilar; Scientific Society of Paraguay; nsoria2000@yahoo.com The Disappearance and Substitution of Native Medicinal Species 21 regulatory standards and quality assurance. Nevertheless, this objective may be difficult to achieve since the medicinal plants used by the communities are changing as environmental modifications occur, and a species currently used may not be the same as the one that the community used in the past, although it retains the same common name. On the other hand, research carried out in recent years to identify the native species used by the communities demonstrates that the use of the plants depends on the ethnic groups that are studied, as well as the natural habitat near which these communities settle. Also, many of the studied ethnic groups have medicinal gardens where they cultivate species that they consider effective for some health conditions, and that in general are exotic species, such as Aloe vera (aloe), Artemisia absinthium (wormwood), Mentha piperita (mint), and others. From a wide perspective, plant-based medicine can be considered, and it should be considered as the knowledge and the field of interaction between cultural resources, local practices and knowledge, natural resources, and the preservation of biodiversity. In other words, the users and their interactions with nature and the professionals of the healthcare team (Espinos Becerra et al. 2014). However, in the Latin American context, the experiences applied from an intercultural approach have generally been characterized by a health treatment that is disconnected from the rest of the problems of the populations and communities. This approach is not linked to the social and economic structure, and as a result the ancestral medicine moves away from the official health system. The concept of intercultural health has been frequently used to identify strategies that take into consideration the ethnic-cultural variables of the indigenous population within the healthcare process, and not the variables of the population in general (Almeida Vera and Almeida Vera 2014). Moreover, the evolution in the use of medicinal plants, from the consumption of fresh or dried herbs to processed products, has determined their use as raw materials in the production of phytopharmaceuticals, which are the remedies or drugs based on herbs, also referred to as botanical drugs or herbal medicine. Then, medicinal plants constitute the raw material for industrialization or semi-industrialization processes. This has an influence on the conservation of the species, as well as their replacement, especially because industrialization makes it necessary to have enough high-quality feedstock that is required by these industries. In fact, depending on the industry that demands the raw material, whether pharmaceutical, phytotherapy, cosmetics, or essential oils, the quantity required, as well as the quality of the material, and of course the farming method can vary, affecting the conservation of these plants. These factors can positively affect the conservation of medicinal plants, because generally, the raw material to be commercialized is obtained directly from their natural habitat, and it does not undergo domestication or cultivation processes. This happens mainly due to the lack of policies related to the conservation of medicinal plants as sustainable resources. The mentioned dynamics of medicinal plants over time allows one to find species that are replaced by one another, different species that are known with the same common name, and vulnerable species prone to disappear due to the over-exploitation to which they are subjected, especially when the plant part that is used is underground (root, root bark, rhizome, tuber, bulb, others) (Soria and Basualdo 2015). Factors Influencing the Disappearance of Medicinal Plant Species When the factors that influence the disappearance of the plant species are analyzed, we find that the anthropic actions that produce habitat modification, transculturation, and plant trade constitute the actions that affect the survival of the medicinal species (Figure 2.1). Also, the evolution of the communities causes some medicinal species to stop being used, and/or being replaced by others, so, for example, species that are used to lose weight or to cure various types of cancer become fashionable, increasing the number of species classified as medicinal, with no scientific evidence to confirm the effectiveness of the species. 22 Wild Plants: The Treasure of Natural Healers Figure 2.1: Factors that influence the disappearance of medicinal plant species. Anthropic Actions The modern society, which uses materials from nature for its development, usually does not consider the effects on biological diversity caused by its actions. Many times, the modifications that are carried out to build up or expand cities, roads, bridges do not take into account the necessity to have a territorial planning where all the important aspects for biodiversity, those that could allow the survival of a species, must be indicated. In fact, factors such as climate, soil fertility, temperatures, or rainfall are ecological principles that influence the distribution of plant and animal populations on Earth. Today’s society and its activities lead to important variations in these factors and as a consequence of this, certain populations are driven to the brink of extinction or led to the extinction of the whole species. Medicinal plants do not escape the effects of these anthropic actions and many of them disappear due to habitat modification, and their properties are lost without even being known or studied. Habitat modification is one of the most important anthropic actions for the species conservation. Habitat Modification Habitat modification occurs due to changes in ecosystem, for example, increase in the size of cities, road constructions, bridges, change to agricultural/livestock land, and other modifications due to anthropic action. Due to this, there is a reduction in the size of the original ecosystems, that is to say, the habitat is fragmented, and this produces a progressive loss of the species that inhabit the site, and the plant populations are reduced as the surface size of the sites decreases. In this context, medicinal species may be affected, populations decline, genetic erosion takes place, and eventually the population disappears. This loss of habitat can be regional, with the consequent reduction in the size of populations of medicinal species. As a consequence, the regional density of the species decreases (number of individuals per unit of area in the mentioned entire region), and this may result in a decrease in the capacity index to reduce point extinctions through the contribution of individuals from less altered areas. Therefore, the modification of ecosystems and habitat produces: • Increase of fragmented habitat. This trend progressively reduces the size of the populations maintained in each one of the single fragments, increasing the risk of reaching a threshold below which they are unfeasible, and causing genetic erosion. • Increase in the distance between fragments, which makes difficult the exchange of individuals among isolated populations, as well as to recover, to recolonize, leading the species to the possibility of further extinction. The Disappearance and Substitution of Native Medicinal Species 23 • Finally, there is an increase in the perimeter-area ratio and, consequently, greater exposure of fragmented habitat to multiple interferences from peripheral habitats, generically known as habitat matrix. Consequently, there is a growing edge effect that causes a deterioration of the quality of the habitat in regression, affecting the survival of the populations cliffed in the fragments (Group of Medicinal Plants Specialists 2006). Indeed, despite the numerous efforts that have been made in recent years to call attention to the problems faced by nature as a result of deforestation and destruction of ecosystems, mainly due to anthropogenic actions, the loss of biological diversity with the consequent disappearance of species has been increasing, and degradation is increasingly linked to factors associated with common economic and social problems in developing countries. An example is the fragmentation of habitat that occurs, for instance, with the disorderly growth of populations due to urban and rural development without planning processes, adding pressure on the available natural resources. In addition, overexploitation, livestock, industrialization, and road constructions and other road works have contributed significantly to the modification of ecosystems, accelerating the processes of wildlife extinction. All this anthropic modification affects medicinal plants, which decrease in quantity and tend to disappear from the places where they were collected, so the population replaces those species with others that are more easily accessible to be obtained, and that are morphologically similar to the traditional species. In this context, we must remember that the plants that are used for medicinal purposes are commercialized in almost all the countries of America, and they are obtained mainly from their natural habitat. In Mexico, more than 90% of the medicinal plants that are consumed come from wild populations with no kind of sustainable management being held. This situation is shared with the other countries of America, since to be sold they are extracted from their original areas, and sometimes they are over-exploited, putting their survival at risk (Gutiérrez Domínguez and Betancourt 2004, Basualdo et al. 2004). The overexploitation for commercial use, either locally or internationally, especially when they constitute the raw material of some herbal medicine, in more industrialized processes of phytotherapeutic products, or in various industrial processes (food, cosmetics), causes problems in the conservation of species. In addition, the vulnerability of the species is closely linked to the plant organ that is used as a medicinal product, so the disappearance of the medicinal species may be due to factors directly linked to its use, especially when the organ used as a medicinal product is the root, the rhizome, or part of them. In that case, for their use, the species must be totally extracted, endangering their survival (Basualdo et al. 1991, 1995, Soria and Basualdo 2015). There are numerous examples that show us how species can struggle with pressures of the extensive use, especially when they enter a cycle that can be called the “fashion cycle”, as happened with Petiveria alliacea and Momordica charantia that were the objects of an economic interest in Central America. These plants have applied a strong pressure to extractive activities on the natural populations, taking them to the risk of extinction and currently Uncaria tomentosa, which is the object of an intensive international trade that has propitiated domestication activities to satisfy the demand and to reach the correct management of these resources (Ocampo Sánchez and Valverde 2000). In addition, species that can be called “fashionable” come into a trade as those that are used to lose weight, considered the most important condition of our time, and therefore the most frequent disease today. Slimming species become fashionable and disappear from trade after some time, as has happened with Vernonia chamaedrys, Moringa oleifera, among others (Basualdo and Soria 2014). The implementation of conservation policies for species in general, and medicinal products in particular, in a first stage, involves a determination study of the degree of threat of each medicinal species, and the updating of inventories of medicinal plants is required for this purpose. 24 Wild Plants: The Treasure of Natural Healers The cultivation of medicinal plants needed to satisfy the world market seems to be a difficult problem to solve due to various factors, such as: • The lack of knowledge about the growth and reproduction requirements of most medicinal plant species. • Little experience and research is dedicated to domestication; in general crops are expensive and relatively few species have large and reliable markets necessary to maintain these budgets. • In many communities where collecting medicinal and aromatic plants is an important source of income, the availability of land for the cultivation of non-food products is limited (Group of Medicinal Plants Specialists 2006). It can be said that the low production of medicinal species is due, among other factors, to the lack of knowledge about the production strategies and the lack of training in breeding management by producers and technicians who provide technical assistance to the public and private sector. Population Movements Migration processes contribute to the variation of plants of medicinal uses. When a human population moves from a place to another, the inhabitants move with all their things, including the medicinal plants that are part of their therapeutic arsenal, which somehow influences traditional knowledge, because the mixture of cultures occurs. Transculturation Transculturation is the process in which a social group progressively adopts the cultural practices of another social group over time. This process can occur due to the migration of communities from one place to another, or in border cities where the trade of medicinal plants occurs between countries (Chiappe 2015). It is important to remember that the culture of the use of medicinal plants has evolved by itself and with the passage of time, plants that were not of traditional use or species that have similar characteristics to those originally known were incorporated into the pharmacopoeia, replacing one by the other. This happens because the commercialization is carried out by the common names. For example, we can mention that the plant known as “katuava” is used as an energizer and aphrodisiac; various species were identified by this common name, such as Anemopaegma arvense (Bignoniaceae), Psidium cinereum var. paraguariensis (Myrtaceae), Trichilia catigua (Meliaceae), and Erythroxylum vaccinifolium (Erytroxylaceae), all of which are species from different genus and families (Degen et al. 2005). All this dynamics of knowledge gave rise to what is currently called “Urban Ethnobotany”, which demonstrates how the traditional practices and plants used by migrants in a given area are used not only by them, but also by the local population where they live. These plants are incorporated into a new urban environment, with their own plant medicines, as well as the knowledge associated with them and the ways of use (Hurrel et al. 2016). These multicultural contexts can be considered complex systems in which the interrelationship between immigrants and the local population becomes very dynamic. These systems take place in a situation of change when immigrants try to recreate their cultural heritage as best they can in the new pluricultural context using the original natural resources of the area where they come from, as well as products derived from them, and they absorb the culture where they reside, increasing their knowledge about the use of medicinal plants. In this context, it can be said that immigrants in interaction with the local population are creating a cultural change, where botanical knowledge linked to group identity is mixed with local communities. This expands the “plant-based remedies” in the new residence site (Ladio and Albuquerque 2014). The Disappearance and Substitution of Native Medicinal Species 25 In general, the use attributed to the species is empirical, based on personal experiences, which are then enhanced by its use within the community. Thus, many chronic conditions, such as diabetes and hypertension, which are frequent diseases in our times, are frequently treated with numerous plant species that are not used for these conditions in other communities. As a consequence, there is an increase in the number of species in the “Herbal Pharmacopoeia” of the countries (Basualdo et al. 2003, Soria and Basualdo 2015). Considering that the species are often used without scientific studies, and only based on experience, it is common that different plant species, in gender and family, are used for the same condition, which could show a lack of therapeutic response of the plant to proposed use. However, there may be intrinsic and extrinsic reasons for the species, such as the type of soil where it grows or the time of collection, which could modify its therapeutic response. In some cases, more than 20 species can be used to treat the same condition, as mentioned by Degen de Arrúa and González (2014), citing 37 species used as anti-inflammatories in communities in Paraguay. Puentes (2016) includes 115 medicinal vascular plants species marketed as antidiabetics in the Buenos Aires-La Plata conurbation, Argentina, as a demonstration of the variety of species that are used to fight the same disease, and many of them are not sufficiently studied to support their indicated use. In some countries, such as Paraguay, the use of fresh plants for medicinal purposes is still common. Plants are used in cold water maceration, in a typical drink called “terere”, which consists of placing chopped up yerba mate, Ilex paraguariensis, in a bowl, and then cold water is poured along with the fresh herbs, which is considered to be “refreshing”, and have a diuretic effect. This is drunk using a special straw, and these herbs are often used as a refresher and preventive to avoid diseases (Basualdo et al. 2004). The disappearance of species and the substitution of some of them for others may be related to the lack of information from those who collect species from their natural habitat, or to premeditated acts of malice, considering that the raw material may be chopped, and not be obvious to the unaided eye. The conservation of medicinal species, and consequently, their sustainability over time, is based primarily on determining the degree of threat in order to ensure their survival, since the use of medicinal plants constitutes an ancestral tradition with the risk of disappearing, if measures that allow its conservation through sustainable management are not implemented. The low production rate at the commercial level is due, among other factors, to the lack of information about the production techniques and the lack of training in crop management by producers and technicians who provide technical assistance from the public and private sector (Fretes 2008). Variation in the Number of Medicinal Plant Species Given all the above, it is demonstrated that the dynamics in the use of medicinal plants, and the variation in use over time, can be maintained or changed. When we analyze the species used as medicinal in the different countries of America, it is shown that the number of medicinal plants varies, and in general, is related to the diversity of species cited for the country. For example, in Mexico, it is estimated that there are 4,500 medicinal species, in Ecuador 2,900, in Colombia 2,600 plants, in Argentina 1,529 species, while in Paraguay the number reaches 266 (Basualdo et al. 2004, Trillo et al. 2011, Ortega-Cala et al. 2019) (Table 2.1). Of the plants mentioned as medicinal by the different groups, there are very few studies that can guarantee their safe and effective use. Even so, the number of species used for medicinal purposes is increasing in the different countries of America, for example, Basualdo et al. (2003, 2004) indicated that in the capital and metropolitan areas of Paraguay, 266 species are marketed with medicinal purposes that are used to combat, prevent, or cure 57 conditions, while Pin et al. (2009) mention about 300 species used for medicinal purposes for the same area, representing a 15% increase in 5 years between publications. 26 Wild Plants: The Treasure of Natural Healers Table 2.1: Biodiversity Relationship of Medicinal Plants/Plants in American countries. Country Estimated Number of Vascular Species Estimated Number of Medicinal Species Mexico 30,000 4,500 Colombia 22,840 2,660 Ecuador 15,306 3,118 Peru 18,652 3,408 Bolivia 15,345 3,000 Argentina 15,000 1,529 Brazil 46,716 5,000 Paraguay 8,500 266 The variation in the amount of number of plants that are used as medicinal, may be due to factors, such as the interconnection that exists between the different communities since the borders between the countries have almost disappeared today, so, when there is movement of populations, the inhabitants move with all their things including the medicinal plants that are part of their therapeutic arsenal, which in some way influences traditional knowledge, because a transculturation takes place, that is, a mixture of culture. On the other hand, the irrational use of some species that leads to the overexploitation and degradation of the natural ecosystems where these resources grow, contributes to the disappearance of the medicinal species that are used in the different places. All this demonstrates the importance of elaborating inventories of medicinal plants in rural, indigenous, and urban communities, as well as developing programs for the rescue and conservation of traditional knowledge (Lastres et al. 2015). The process of transculturation mentioned in this paper can also have an effect on the knowledge of medicinal species, since young generations will only remember the species currently used in their community, and no longer remember the plants from the places where their ancestors previously lived. Plus, as the transmission is oral, it is very likely that their parents’ knowledge is forgotten. Thereby, the knowledge related to native medicinal species disappears, hence underlining the importance of registering and inventorying the species used in the communities. Furthermore, the population movements take into consideration other species that were unknown to the populations that receive migrants. Thereby, it makes visible and disseminates various resources of plant origin that, without these migratory processes, would not become part of the repertoire of local medicinal plants (Acosta et al. 2018). In addition, as the collection is carried out in the natural habitat in which the plant grows, these species become adulterated or replaced, either intentionally or due to lack of control, especially when the morphological characters are similar, as occurs with the species Thitonia rotundifolia that replace the species Jungia floribunda. Both of these species belong to the Asteraceae Family, which is used as a hypoglycemic and is known by its common name “yaguareté po” (Table 2.2). That is, as medicinal plants are collected from wild populations, they can become contaminated with other species or parts of plants, causing an incorrect identification. Contamination may be accidental or intentional adulteration may occur. These circumstances may adversely affect the safety of the products. Another aspect that contributes to the disappearance and/or replacement of medicinal species is the confusion of species, that is, the replacement of the species that were originally used in the communities. This can happen because plants are collected and marketed using their common name, while their botanical identification is unknown. Apart from that, there are species that morphologically resemble each other, and the communities group them together, giving them the same common name or similar common names. These species share some characters, so they end up forming a group of species that are traded for the same uses. Table 2.2: Medicinal species that are marketed with the same popular name, of similar or different use. Common name Species Family Habitat Plant part Use Hydrocotile bonariensis Lam. Apiaceae Wet ground Entire plant Skin. External use Asteraceae Countryside Flower, Roots Aldama linearifolia (Chodat) E.E. Schill. & Panero Asteraceae Countryside Flower, Roots Painkiller for joints, rheumatism, and muscles. External use Enfermedades renales. Internal use Costus arabicus L. Zingiberaceae Hedychium coronarium J.Köning Zingiberaceae Swamps Rhizome Lithiasis. Anti-sifilitic Calabacita Momordica charantia L. Cucurbitaceae Side road, ruderal Leaf Antidiabetic Cangorosa Maytenus ilicifolia Mart. Salacia pittieriana A.C. Sm. Celastraceae Celastraceae Countryside, Forest Countryside Root, Bark of the root Root, Bark of the root Anticancerous Anticancerous Equisetum arvense L. Equisetaceae Wet ground Aerial part Equisetum giganteum L. Equisetaceae Wet ground Aerial part Baccharis crispa Spreng. Baccharis trimera (Less.) DC. Baccharis microcephala (Less.) DC. Asteraceae Asteraceae Asteraceae Countryside Countryside Countryside Entire plant Entire plant Entire plant Anemopaegma arvense (Vell.) Stellfeld ex J.F. Souza Psidium cinereum var. paraguariensis Trichilia catigua A. Juss. Erytroxylum vaccinifolium Mart. Bignoniaceae Countryside Rhizome Myrtaceae Meliaceae Erytroxylaceae Countryside Forest Forest Leaf Leaf Leaf Energizer Gochnatia polymorpha (Less.) Cabrera Buddleja madagascariensis Lam Asteraceae Scrophulariaceae Countryside Farmed Leaf Leaf Antitussive Expectorant Antitussive Expectorant Sida cordifolia L. Malvaceae Countryside Aerial part Walteria albicans Turcz. Malvaceae Countryside Aerial part Árnica del campo Caña brava Cola de caballo (Horsetail) jaguarete ka’a katuava kambara Malva blanca (White mallow) Diuretic Digestive Antitussive Table 2.2 contd. ... The Disappearance and Substitution of Native Medicinal Species 27 Hydrocotile leucocephala Cham. & Schltdl. Arnica montana L. Acaryso Common name Family Habitat Plant part Passiflora cincinnata Mast. Passifloraceae Forest Flower, Fruit, seed Passiflora alata Dryand. Passifloraceae Forest Flower, Fruit, seed Rubiaceae Moraceae Forest Forest Leaf Leaf Palo azul (Blue stick) Genipa americana L. Sorocea bonplandii (Baill.) W.C.Burger, Lanj. & Wess Boer. Cyclolepis genistoides Don Eysenhardtia polystachya (Ortega) Sarg. Asteraceae Fabaceae Xerophytic vegetation Leaf Dry forest Leaf Moringa Moringa oleifera L. Moringaceae Farmed Entire plant Typycha Vernonia chamaedrys Less. Asteraceae Countryside Aerial part Suruvina Couepia grandiflora (Mart. & Zucc.) Benth. Chrysobalanaceae Country side Bark of the root Antidiabetic Tajuja Ceratosanthes sp. Cayaponia espelina Cogn. Cucurbitaceae Cucurbitaceae Side Road Roots Abortive. Antirheumatic. Against Hepatitis A. Toro rati Acanthospermum hispidum DC. Acicarpha tribuloides Juss. Asteraceae Calyceraceae Roadside Roadside Whole plant Whole plant Tonsillitis. Pharyngitis Uña de gato (cat nail) Uncaria tomentosa (Willd.) DC. Dolichandra unguis-cati (L.) L.G. Lohmann Rubiaceae Bignoniaceae Forest Forest Bark, root Bark Antidiabetic Antidiabetic Urusu katii Trixis nobilis (Vell.) Katinas Trixis pallida Less. Asteraceae Asteraceae Countryside Root Root Antiparasitic Yaguareté po Jungia floribunda Less. Tithonia diversifolia (Hemsl.) A. Gray Asteraceae Asteraceae Water stream shores Farmed Leaf Leaf Antidiabetic Yerba de lucero Pluchea sagittalis (Lam.) Cabrera Hyptis brevipes Poit. Asteraceae Lamiaceae Forest Forest Aerial part Aerial part Digestive. Indigestion Mburucuja Ñandypa Species Use Tranquilizer. Sedative Lowers cholesterol, Slimmer Antidiabetic Detoxifying, diuretic Especies de moda. Slimming 28 Wild Plants: The Treasure of Natural Healers ...Table 2.2 contd. The Disappearance and Substitution of Native Medicinal Species 29 These groups do not remain static or constant over time, but some species stop being used, while others are incorporated into the group. It is essential to develop descriptive and comparative studies that account for this dynamic in the use of medicinal plants (Pochettino et al. 2008). Medicinal Plants Trade As it was told, in the world, 17 mega-diverse countries have been identified, from which eight are in Latin America—Bolivia, Brazil, Colombia, Costa Rica, Ecuador, Mexico, Peru, and Venezuela. From the existing plant species on the planet, less than 10% have been scientifically evaluated for therapeutic purposes. And the estimates indicate that about 15,000 medicinal plants are already endangered (PAHO 2019). In America, it is estimated that about 23,000 plant species are used as medicinal, mostly in traditional medicine systems. Most species do not have scientific studies that can guarantee their effectiveness and safety. The trade of medicinal plants, then, has two characteristics: the small quantity trade or retail trade, and the collection in large quantities for sale as raw materials for industry or for export. It is important to mention that, from the number of species that are used, only a relatively small number is used in a significant volume as a raw material in the pharmaceutical, food, and/or cosmetic industries, although the vast majority comes from their natural habitat. Also, it is important to mention that the use and commercialization of medicinal plants is stimulated by the growing demands of industries, such as agribusiness companies, which trade medicinal species as bulk sale products, such as yerba mate in countries, such as Paraguay, Argentina, Brazil, increasing the growing demand of the industry for medicinal raw materials. The trade of medicinal plants in the different countries of America includes native, cultivated, and imported species. The preponderance of exotic species is very common in South America, and it can include up to 216 species from Europe, Asia, North America, Africa, and the Pacific (Giraldo et al. 2009, Zambrano et al. 2015). In addition, the foreign trade of herbs is stimulated by studies that show that medicinal herbs produce less side-effects in contrast to synthetic drugs. Retail Trade Medicinal plants trade in the various countries of America is carried out in local markets, and fresh or dried plants are offered. In almost all countries, it is considered a marginal economic activity, although some studies show that they move a significant amount of money every year. Despite this, market information is generally not collected in official statistics, and little attention is paid to its ecological, economic, and cultural impact (Giraldo et al. 2009). Retail merchants that are represented by market stalls do not have a record in terms of volumes of product sold, even though prices are relatively homogeneous within sales centers. Mostly fresh herbs are sold and when they are not fully sold, they are dried and packaged for sale as a dry product (USAID 2010). Wholesale Trade According to data from the International Trade Center (2001), the world market for medicinal plants has grown tremendously, and offers good development prospects for exports. It is estimated that sales of medicinal herbs increased from USD 12,500 million in 1994 to USD 30,000 million in 2000, representing a 5% to 15% annual growth rate depending on the region. It is considered that the segment of herbal food supplements has been registering an even greater annual growth, estimating that over time, the increase reaches 50% (Cañigueral et al. 2003). 30 Wild Plants: The Treasure of Natural Healers Thus, it shows that half of the plants used in the world market are used in human food, and the rest in cosmetics and in the pharmaceutical industry. The productive countries are mainly developing countries and the products are aimed to developed countries, mainly the United States of America, Japan, European countries such as Germany, United Kingdom, France, and Spain (Cañigueral et al. 2003). This growing global demand for medicinal plants has generated sustained and sometimes uncontrolled illegal trade of plant materials that are irregularly extracted, especially from developing countries, whose biodiversity has been highly affected by the indiscriminate collection of wild species threatened with extinction (Ocampo and Mora 2010). As an example of this, we have the case of the medicinal plants trade carried out by Paraguay, one of the less biodiverse countries in the America in terms of plants, where according to the data provided by the National Plant Quality Service (SENAVE 2017), 1,849.1 tons of medicinal species were exported in 2017 (Table 2.3). Among the marketed species, the blue stick is mentioned—Cyclolepis genistoides is included in the list of endangered species in the country (MADES, Resolution 470/2019), and it is not clear if that amount came from cropping for export. The list includes introduced species that are obtained from crops and native species which are not cultivated and that appear to come from their natural habitat. Although, in developed countries, and especially in Europe and the United States, the market for medicinal herbs is very regulated and its access is very difficult, for developing countries whose products are not subject to strict control procedures applied by the pharmaceutical industry, the trade with these plants continues to increase. The growing demand for phytotherapy and natural drugs, both local cultures and their biological resources, will become increasingly vulnerable to the ongoing pressure of market economies. In some cases, provisioning is becoming critical, as indicated by the increasing distances that collectors are required to go to collect medicinal plants. This would be demonstrating the overexploitation of the species, as occurs for example with the horsetail Equisetum arvense, E. giganteum, or with the yaguareté kaa Baccharis trimera, B. crispa. For these plants, the gatherers mention that they must walk long distances to find the species. Developing countries are origin centers of more than two two-thirds of the world’s plant species—of which at least 35,000 have potential medicinal value. According to the United Nations Environment Program, the estimated value of pharmaceutical materials in the southern hemisphere derived from medicinal species would range from USD 35,000 to 47,000 million. Table 2.3: Species exported by Paraguay (2017). Popular name Species Origin Conservation Status Amba’y Cecopia pachystachya Trec. Natural habitat Not evaluated Horsetail Equisetum arvense L. Natural habitat Vulnerable Jaguareté ka’a Baccharis trimera Less. Natural habitat Cropped Vulnerable Blue stick Cyclolepis genistoides Don. Natural habitat Endangered Ox limb Bahuinia sp. Natural habitat Cropped Not evaluated Cedar grass Cymbopogon citratus L. Cropped Not evaluated Cedar Paraguay Aloysia triphylla L´Herit. Cropped Not evaluated Moringa Moringa oleifera L. Cropped Not evaluated Source: SENAVE 2017 The Disappearance and Substitution of Native Medicinal Species 31 Conclusion As noted, there is a close relationship between medicinal plants and conservation of natural resources. In fact, it can be affirmed that the “extinction” of medicinal plants is not only a problem of characteristics of the species, but also a cultural, economic, and political problem. This was already stated in the Declaration of Chiang Mai (1988), which served as a starting tool for the analysis of the conservation of medicinal species and which we cite here literally: LA CHIANG MAI DECLARATION: “Save lives, saving plants” “We, health professionals and plant conservation specialists who have come together for the first time at the WHO/IUCN/WWF International Consultation on Conservation of Medicinal Plants, held in Chiang Mai, 21–26 March 1988, do hereby reaffirm our commitment to the collective goal of “Health for All by the Year 2000” through the primary health care approach, and to the principles of conservation and sustainable development in the World Conservation Strategy: - Recognize that medicinal plants are essential in primary health care, both in self-medication and in national health services; - Are alarmed at the consequences of the loss of plant diversity around the world; - View with great concern the fact that many of the plants that provide traditional and modern drugs are threatened; - Draw the attention of the United Nations, its agencies and the Member States, other international agencies, their members, and non-governmental organizations to: ▪ The vital importance of medicinal plants in health care; ▪ The increasing and unacceptable loss of these medicinal plants due to habitat destruction and unsustainable harvesting practices; ▪ The fact that the plant resources in one country are often of critical importance to other countries; ▪ The significant economic value of the medicinal plants used today and the great potential of the plant kingdom to provide new drugs; ▪ The continuing disruption and loss of indigenous cultures, which often hold the key to finding a new medicinal plant that may benefit the global community; ▪ The urgent need for international cooperation and coordination to establish programs for the conservation of medicinal plants to ensure that adequate quantities are available for future generations. We, the members of the Chiang Mai International Consultation, hereby call on all people to commit themselves to “Save plants, to save lives”.” Chiang Mai, (Thailand) -WHO, IUCN, WWF- March 26, 1988 Despite the time elapsed, and after all the efforts made worldwide, the disappearance of native medicinal species remains a big problem without a solution. References Acosta, M.E., Ladio, A.H., Vignale, N.D. 2018. Bolivian migrant herbalist in a context Argentine Northwest. Bol. Latinoam. Caribe Plant Med. Aromat. 17(2): 217–237. Almeida Vera, L., Almeida Vera, L. 2014. Foundation of the Ecuadorian intercultural management model in primary health care. MEDISAN 18(8): 1201–1214. Basualdo, I., Zardini, E., Ortíz, M. 1991. Medicinal Plants of Paraguay: Underground Organs. Econ. Bot. 45(1): 86–96. Basualdo, I., Zardini, E, Ortíz, M. 1995. Medicinal Plants of Paraguay: Underground Organs II. Econ. 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Geneve, Suiza. https://www.who.int/ traditional-complementary-integrative-medicine/en/. Zambrano, L.F., Buenaño, M.P., Mancera, N.J., Jiménez, E. 2015. Estudio etnobotánico de plantas medicinales utilizadas por los habitantes del área rural de la Parroquia San Carlos, Quevedo, Ecuador. Rev Univ. Ssalud. 17(1): 97–111. Specific Countries 3 Wild Plants of Northern Peru Traditions, Scientific Knowledge, and Innovation Fidel A. Torres-Guevara,1,2 Mayar L. Ganoza-Yupanqui,*,2,3 Luz A. Suárez-Rebaza,3 Gonzalo R. Malca-García4 and Rainer W. Bussmann5 Introduction The knowledge and the use of native plants by native healers of rural agrarian societies located in the moorland and cloud forests of the Northern Peruvian Andes constitute intangible and tangible treasures for sustainable development of these highly diverse ecosystems. Such development is a social opportunity in the hands of farming and peasant communities, and may become viable if a network or innovation system is created with other public and private agents of these territories in order to articulate regional, national, and international economic advantages. In this way, the role of rural Andean communities will be to sustainably establish the primary link between science and innovation chains for an economy based on the exploitation and conservation of wild plants, and the richness they possess and know well. The participative investigation of wild plant species to put a value on their diversity, incorporates the local traditional knowledge about the use and conservation of plants, with Western scientific knowledge about phytochemistry (phytochemical discovery) in an intercultural dialogue, in order to verify, standardize, and expand the former, then make it available to the wider society as an expression of mutual interest between academia and rural society. This implies a new relationship between the academic investigator(s) and the traditional investigator(s), getting away from the investigatorinformant relationship, to one as co-authors. Academic scientific knowledge has permitted corroborating and amplifying not only the chemical properties of culturally important plants, but also proving the validity and efficacy of traditional practices for efficient extraction of important plant-based active principles, and the important influence 1 The Mountain Institute INC, Vargas Machuca 408 Urb. San Antonio, Lima, Perú. Asociación para la Ciencia e Innovación Agraria de la Red Norte-AgroRed Norte, Mz O Lote 20 Urb. Los Cocos del Chipe, Piura, Perú. 3 Departamento de Farmacología, Facultad de Farmacia y Bioquímica, Universidad Nacional de Trujillo, Av. Juan Pablo II S/N, Ciudad Universitaria, Trujillo, Perú. 4 UIC/NIH Center for Botanical Dietary Supplements Research, Department of Medicinal Chemistry and Pharmacognosy, College of Pharmacy, University of Illinois at Chicago, 833 S. Wood St., Chicago, IL 60612, USA. 5 Department of Ethnobotany, Institute of Botany, Ilia State University, Tbilisi, 0105, Georgia. * Corresponding author: mganoza@unitru.edu.pe 2 38 Wild Plants: The Treasure of Natural Healers of growing location and harvest time on the biochemical proportions of wild plans, due to the influence of microclimates, microhabitats, and annual cycles in the cloud forest and Páramo ecosystems. The economic use of knowledge generated through a participative investigation based on traditional knowledge requires that any benefits are also collective property of the society involved in the investigation. This focus, with the idea to improve livelihoods and well-being of the participating community, implies it is a new form of organization, implying the necessity for organizational innovations, such as the conversion of natural or formal local organizations into legal entities in order to be able to access funding instruments for sustainable environmental projects. Thus, the community organizations participating in the investigation of wild plants become the owners of the results, through a change from their current role as sole providers of primary material and knowledge about plant use, to providers of crude drugs, essential oils, liquid extracts, or high quality natural products needed for phytochemical analyses of toxicity, pharmacological activity, concentration of phenolic compounds, antioxidant activity, antibacterial activity, and identification of the most important bioactive compounds (e.g., flavonoids, tanins). In order to allow an intensive use of studied species with potential for further development, it is necessary to establish propagation and production protocols to increase and guarantee the availability of prima material with added value. This can be achieved through three alternative efforts: (1) Cultivation in agro-ecologic fields or gardens through the uses of seeds or cuttings; (2) expansion of the wild population of the species, especially if it is as common and abundant, through community controlled, sustainable wild-collection; (3) in case of species that cannot be propagated through seeds due to difficult germination, through the establishment of in vitro protocols to establish clonal publications of the species. The challenge of innovation based on the great wealth that wild plant biodiversity represents, lies in the reality of a social system dominated by the exclusion of rural agrarian societies with low connectivity, due to a lack of public services, e.g., road infrastructure, transport, education, and information, both with regard to quality and quantity. This context of gaps in spacial and social connectivity leads to a significant increase in terms of the cost of the cooperation between academics or technicians and the community organizations that hold the natural resources and traditional knowledge for the development of markets for innovations based on the diversity of wild plants with high potential. In order to overcome this challenge, both public and private actors need to engage in a process of governance and policy change in order to establish a system of innovation that will allow a change in local development policies. Environment of Wild Plants of the Northern Andes Moorland and Cloud Forests of the Northern Peruvian Andes The moorland and cloud forest ecosystem complex of the Northern Peruvian Andes is located between 4°43’48¨/5°50´S and 79°36´/79°24¨W at 1,500 to 3,700 m above sea level. It occupies a surface area of about 120,000 ha (Perú 2015). These ecosystems are known as primary source of diversity for many groups of plants. In Peru, there are about 17,000 flowering plants and gymnosperms, with more than 8,000 endemics (approximately 47%). In the moorland-cloud forest of the Piura, Cajamarca, and Amazonas regions, there are more than 715 endemic species, which represent about 20% of the endemism of the entire country, in less than 8% of the national land area. Among these species, there are least 11 endemic genera within five flowering-plant families registered in northern Peru (Sagástegui et al. 1999). These ecosystems not only represent richness per se, but also, because of their vegetation type, they constitute hydric catchments and regulation areas for the fluvial basins in northern Peru, where the plains depend exclusively on water from the moorlands and cloud forests. Therefore, territorial agreements are required for their conservation. The best strategy is creating innovative territorial systems oriented toward the conservation of the biodiversity and hydric capacity of these ecosystems (Figure 3.1) (Gomez-Peralta et al. 2008, ANA 2017, Lindsay 2019). Wild Plants of Northern Peru 39 Figure 3.1: Moorland and cloud forests of the Northern Peruvian Andes (Ayabaca and Huancabamba): 2,700 y 3,500 masl. Andean Moorlands The Andean moorlands of Piura are located between 3,000 and 7,000 masl, and occupy a surface area of 66,300 hectares (More et al. 2013). It has been calculated that 46,184 hectares of them are in relatively pristine condition (Recharte et al. 2015). The moorland ecosystem possesses the greatest tropical mountain flower diversity in the world, with approximately 1,400 non-vascular, and 3,400 vascular plant species (Sánchez 2012, Hofstede et al. 2014). The importance of this flora lies not only in being a source of resources for health and nutrition for rural communities, but also because it is a layer of vegetative material that facilitates catchment, filtration, and distribution of water. As a consequence, agrarian societies that live within these ecosystems have a great environmental responsibility to maintain the biodiversity and the hydric regulation capacity of the watersheds where they live. Peruvian moorlands located in the Piura and Cajamarca regions are complex, and the study of their floristic composition is still emerging. According to Sánchez (2012), the physiognomy of the moorlands is very similar to the Peruvian high plateaus (jalca), but the vegetation communities possess their own distinct species composition: ecotonal communities of the woods and grassy scrubland (pajonal graminoso) with the species: Hypericum laricifolium, Brachyotum spp., Pernettya prostrata, and Podocarpus oleifolius. Communities of the grassy scrubland are made up of vegetation of the moorlands proper: Calamagrostis spp., Agrostis spp., Stipa spp., Paspalum bonplandianum, Neurolepis aristata. Accompanying pteridophytes include Huperzia spp., Lycopodium spp., Jamesonia spp., Niphidium spp., and Lophosoria spp. Angiosperms, dicots, as well as small herbaceous shrubs are also found within the pasture landscape. Besides the environmental services of protecting the hydric capacity of basins and providing sustenance for endemic animals in danger of extinction, such as the spectacled bear and tapir, the vegetation of the moorlands also offers a special vegetative diversity useful for human medicine and nutrition. This diversity contains a collection of bioactive molecules that act as pharmacological, cosmeceutical, and nutraceutical industrial feedstocks, as well as compounds that act as nutricosmetics, perfumes, fragrances, flavors, scents, bifunctional food, biocides, repellents, and natural pigments (Carhuapoma Yance 2011). 40 Wild Plants: The Treasure of Natural Healers Andean Cloud Forests The landscape of this type of forest is characterized by persistent humidity and precipitation. This dense, steep-sloped woodland is associated with a large amount of shrubby plants and epiphytes, such as mosses, ferns, orchids, bromeliads. Numerous thin waterfalls run through the hillsides. The tree stratum is not very high, but it is very tangled, and includes tree ferns up to 10 m high. The majority of tropical mountain cloud forests are considered highly fragile ecosystems because they play important hydrological and ecological roles, and they are becoming one of the most threatened ecosystems due to rapid human settlement and the small amount of land area the forests cover. Many institutions and decision-making bodies are still not aware of the serious consequences of the disappearance of these woodlands, whose deforestation could trigger catastrophic erosive consequences. The cloud forests of the western Andean slopes of Northern Peru and Southern Ecuador are habitats of high phytodiversity with a high endemism index. Indeed, these cloud forests have a larger number of endemic species than humid tropical forests; because of this, urgent measures are required for their study and protection (Amanzo et al. 2003, Weigend et al. 2006, Peña 2015). In addition to providing protection from erosion and their function as hydrological regulators, there are many other arguments in favor of protecting, investigating, managing appropriately, and providing information about the value and potential of mountain cloud forests to society in general, and in particular to the populations that depend on them (Llerena et al. 2010). The biodiversity of cloud forests is impressive compared to the lowland forest. However, the cloud forests have barely been studied and relatively little is known about them. Located on the slope of the Amazon and the Pacific-facing mountain slopes between 1,500 and 2,000 meters above sea level, the cloud forests catch sufficient humidity to sustain a high plant density. Cloud forests in Peru occupy about 10% of the national territory and are found in 11 regions of the country: Amazonas, Ayacucho, Cajamarca, Cusco, Huánuco, Junín, Madre de Dios, Pasco, Puno, San Martín, and Ucayali. The cloud forests are inhabited by 1.8 million people (Perú 2015). In northern Peru, the area surrounding the zone of the Huancabama Depression (Piura, Cajamarca, and Amazonas Regions) has been widely recognized as the primary source of diversity in many plant groups (Sagástegui et al. 1999, 2003). In the deflection zone, there are at least 715 endemic species that represent approximately 10% of the endemism in the entire country, but in less than 8% of its area. Also, there are 126 species concentrated in Ayabaca and Huancabamba. At the altitude range of 1,500–3,000 masl, where the cloud forests are distributed, conditions of humidity, temperature, and pressure vary significantly with altitude, thus generating a gradient of environmental changes that are important in the adaptation of species (Young et al. 2012). In Huancabamba Province, the cloud forest surrounding the Blanco River, a headwater of the Chinchipe river, is dominated by the “romerillo” (Podocarpus oleifolius), the only native tropical forest conifer of South America, and species such as “mountain cedar” (Cedrela lilloi), Grossulariaceae, Juglandaceae, Myrtaceae, Lauraceae, and Moraceae, and Chilean myrtle, which are typical species of mountain forests. Tree ferns of the genus Cyathea spp. and epiphytic bromeliads (Tillandsia spp.), as well as Puya spp., indicate the high humidity of the environment. The herbaceous vegetation is dominated by Asteraceae, Labiatae, Polemoniaceae (Cantua sp.), or Araceae (Anturium sp.). These herbs are accompanied by others with high potential for nutritional or medicinal use, such as wild species of Physalis spp., Solanum caripense, Solanum quitoense, Cucurbitaceae, and wild tomatoes (Lycopersicon spp.), as well as diverse types of bromeliads, a preferred food of the spectacled bear, and diverse species of orchids flowering in different months of the year (Torres Guevara 2006). These cloud forests are intermediate spaces between the lowland forests of the Amazon and the moorlands, with important functions for regional ecological dynamism, and provide high-potential economic opportunities. Wild Plants of Northern Peru 41 Traditional Knowledge: Ethnobotany in the Systematization and Documentation of Native Collective Knowledge Interculturality in Ethnobotanical Research. Botanical Culture of the High Andean Communities Culture consists in the expression of beliefs, stories, knowledge, language, and festivals. It is the feeling of belonging to the world around us: its mountains, lakes, and forests, according to where one lives, thinking that we form a part of the same world with both cultivated and wild plants and with domestic and mounted animals. Beliefs, feelings, and emotions that are shared and passed on comprise the culture of a village (Monroe Morante and Arenas Barchi 2003). The construction of the emotions about what has sense, meaning, and priority on what we think and do, represents our beliefs to decide on each moment and aspect of life. This construction is made from established communication with those with whom we frequently interact and form our social circle: this is what we call culture. Communication among people about plants and their uses, even if these uses are different for the same plant or same for different plants, allows for the organization and prioritization of their reality. In this way, daily experiences with plants of their environment become understandable, meaningful, and imaginable. This social relationship between children and adults causes the progressive formation of a mental model of reality that is similar to the models of the child’s parents and community. This model makes possible a framework or system of ideas and concepts that allows for the sharing of experiences and makes them feel like they inhabit the same world. However, no communication is made without encoding emotions. People also communicate and learn by observing the emotions of others; the seeds of these emotions are planted during childhood, when certain words are associated with an emotion (for example “healthy”). If there are different situations when the child is relieved from or cured of a disease with plants used by their parent, and the child hears the word “healthy”, this word unites the whole village in those cases where the word “healthy” generates the same sensation (relief and cure), and it is also associated with the plants that healed them. All of this constitutes the underpinnings of a health culture based on available medicinal plants (Samaja 2000, Castilla del Pino 2002, Pardo de Santayana et al. 2003, Barrett 2018). For communities living within the jalca, an ecosystem similar to the moorland, the significance of the value of plants is associated with myths their ancestors left them as an inheritance, and also with the protection and life generation power of the mountains. The plants of the jalca have a greater medicinal, nutritious, or reproductive power than plants of lower altitudes that have similar properties, because they thrive and reproduce in the extreme conditions present at high altitudes. Therefore, some transmit their strength, health, and fertility to people who know how to use and respect them, neither removing too much nor too often. This is due to the force transmitted by the mountains, to which they pay respect, worship, and offer payment before entering their summits, jalcas, or moorlands. (Walter 2017). Two types of knowledge are integrated during participative research of wild plants: ethnobotany (native or cultural knowledge of the use and preservation of herbal resources) and botanical discovery (western scientific knowledge, e.g., plant phytochemistry). The first one provides groundwork for scientific hypotheses, and the second one verifies, expands, and standardizes the first one in order to share it universally. This is a key concept in terms of applied interculturality. Research that involves peasant families and scientists requires the effort to maintain reciprocity between traditional and scientific knowledge. This type of participative research, results not only in the creation of new knowledge, but it is also the beginning of a new practice of use of wild plants for new innovations. As rural societies are involved, the understanding of the culture of the mountains of northern Peru is 42 Wild Plants: The Treasure of Natural Healers crucial to communicate and manage the results of innovation, in the fulfillment of reciprocal interests between local population and scientists. The current prestige of many Peruvian plant species as high-quality foods available worldwide (maca, quinoa, native potatoes, kiwicha, camu-camu, and others) is a result of the scientific verification of their nutritional and medicinal properties. This research was initially based on hypotheses drawn from the knowledge of inhabitants of Andean and Amazonian rural communities about the use, practice, and diversity of these foods. However, this has happened in an asymmetric and informal environment between Peruvian traditional knowledge and Western scientific knowledge, which has not benefited the country, much less the traditional owners of the knowledge base at the bottom of the research and innovation chain (Hersch-Martínez 2002, Bussmann and Sharon 2015). Therefore, traditional and scientific knowledge requires an innovative institutional shift that better promotes a national agenda of technological scientific innovation based on biodiversity. In the new economy of natural knowledge, the entrance of rural communities into the processing of herbal products that gives added value to the vegetation they know and use, can activate the use of the products and services offered by biodiversity, such as genes endemic to the bioeconomy, species with hydric functions, and climate change indicator species (Abramovay 2013). Changes in the Ethnobotanical Approach, from Traditional Individual to Organizational Knowledge Culturally, the traditional healer is the intellectual heir who remembers and represents the richness of collective traditional knowledge of medicinal plants present within a rural society. Their mastery over the diversity of plants for therapeutic use has been acquired as part of the construction of knowledge in the society. However, in order to generate wealth in community well-being, government investments to value collective traditional knowledge through scientific research should focus on the registry and systematization of knowledge, from the traditional healer to the communal organization in the society that the healer belongs to. This means that when registering the knowledge regarding plants of a territory, the knowledge of the healer should be integrated as part of the collective knowledge of that community instead of being considered as an exclusive reference. In this way, the knowledge of community members can complement and corroborate one another. Benefiting from the richness and knowledge of biodiversity for processes of social inclusion through scientific knowledge that revalues, adds value, and innovates from this diversity is a collective enterprise of wealth generation, provided that these innovations are aimed at the conservation of biodiversity. This requires a collective agreement and new institutional frameworks that can only be assumed by the community organizations as operational socio-economic units of this process. In order for scientific institutions to engage in discovery to provide added value to systematization of traditional knowledge, it is necessary that community organizations acquire joint roles in the research and innovation chain. The integration of research of traditional knowledge of medicinal plants and, e.g., phytochemical research to find bioactive molecules generates new knowledge that may be used to reevaluate traditional knowledge, as well as the development of new lines of phytochemical research oriented using native biodiversity to meet the demands of the health and bio-commerce industries. This equal relationship between traditional and scientific knowledge to establish a competitive process highlights the need for intercultural interaction between communal organizations and academic entities that establish common interest agreements based on their particular purposes (Horák 2015, Granda et al. 2015). This process requires two investments not commonly considered: (1) The investment necessary for permanent intercultural communication; and (2) The investment in the trust necessary to establish fair and reciprocal contracts between communal organizations and scientific entities. The traditional scientific approach aimed at the registration of local knowledge, in which rural experts are only individual informants, without faces or names as owners of knowledge, does not contribute to the participation of the communities. The communities wind up missing out on the Wild Plants of Northern Peru 43 Figure 3.2: Community organizations associated with participatory research (a and b). integration of scientific knowledge to improve and increase the added value of offered resources in the value chain of which they can be co-authors. The intercultural approach described here diverges from the one that assumes that rural societies can solely be suppliers of raw material and non-valuable knowledge to the scientific knowledge. The modern approach encourages development of innovations that use native species as well as scientific research programs that generate new knowledge about them. Although the generation of the new knowledge had started with traditional knowledge before being transformed and investigated, the communities that contributed to it were not included in the process as receptors of the resulting benefits. The non-inclusive behavior of certain industries and research entities establishes their innovation and research agendas as rationale for extraction of natural resources and knowledge without any interest in reciprocity to the communities that own those resources. Such behavior may be alien or create conflict with the interests and expectations of the communities of these regions and the country (Hersch-Martínez 2002). The growing Peruvian demand for medicinal plants and natural products because of their acceptance and use in traditional medicine and the expansion of complementary medicine (Villar López et al. 2016) has led to an increase in the demand for quality products by the consumer. This, in turn, has repercussions in product process quality, which creates a need to generate new knowledge to add value to the products in each segment of the production chain. The quality requirement in each link of the supply chain, including processing and marketing of medicinal plants, will encourage supply chain stakeholders to form new organizational arrangements, collective agreements, and organize research. New spaces for knowledge exchange will be required to establish priorities, strategies, division of responsibilities, and management of science and technological and institutional innovation of medicinal plants (Figure 3.2). Rural Societies Demanding Scientific Systematization of their Native Knowledge to Assess their Wealth The incipient knowledge and scientific use of plant species of the moorlands, which are rich in compounds of high therapeutic and nutritional interest, weakens the valorization and sustainable management of these ecosystems, which blocks their normalization, under uses their economic potential, and prevents the formulation of a defined policy of development based on biodiversity to face the challenges of climate change. In the last decades, Andean communities of the moorlands and cloud forests have notably evolved as a result of having their ecosystems threatened by large-scale metal mining operations in their territory, including changes in hydric services, and provided and used bioservices. Due to this, community members have begun to express demands for agroforestry knowledge and innovations in 44 Wild Plants: The Treasure of Natural Healers order to conserve the natural resources of the moorland and cloud forests of their territory, on which they depend for their life and culture. In 2012, they began to create formalized legal organizations to take advantage of financing from the Peruvian government to promote economically sustainable environmental projects based on business plans; this constitutes the first actions of innovation oriented toward the conservation of moorland and cloud forests. The participation of community organizations with co-financing of innovation projects based on demand represents a change in behavior in which passive participation of community organizations as a beneficiary of goods and services is replaced by competitive participation of the organization to co-finance the goods and services necessary to enhance the richness of wild plant diversity through participatory research. In 2014, the organizations of moorland communities that implement innovation and research projects with an innovation horizon evaluated the limitations that isolated enterprises have for sustainability, as well as the low incidence of individual action on local governments to achieve better conditions or facilities in the provision of support services to assess their natural resources. In response to this, the Platform for Coordination of the Management of the Moorlands was created as the first attempt to integrate the particular objectives of different organizations linked by the common interest to conserve the biodiversity of wild plants of the moorland and cloud forests. Scientific Knowledge Appropriate Botanical Discovery of Plants According to Local and Cultural Conditions Communal organizations of the moorlands and cloud forests that participate in scientific investigation designate which community members act as guides in the identification of species of interest, both for their taxonomic determination and for analysis of the active substances that they possess. This creates scientific knowledge about the identity of communally known species, as well as verifies and potentially discovers new therapeutic uses. This may increase the potential for use and possible processing. The selection of the representatives of the communal organization is carried out by consensus of assemblies, and is based on the approval of the participatory role in the research. It requires an agreement between the parties (scientific entities and community organizations), as well as a mutual interest based on intercultural learning and communication, in which traditional and scientific knowledge establish a relationship of mutual respect, which must be revealed in the mutual satisfaction of the achieved results. With the participation of knowledgeable people in collection expeditions, the community not only contributes with collective knowledge about the use of plants (useful structure, mode of use, condition that controls, and preparation), but also with information regarding its location, abundance, time of phenological development, access routes, meteorological conditions, social conditions, plant habits (if they can or not be domesticated), propagation method, varieties of useful species, their distribution in the moorland, and/or cloud forest at different altitudes. Together, this constitutes the ecophysiological knowledge of these species of plants (Table 3.1). One important aspect for the sharing of traditional knowledge through scientific knowledge is the identity of plants with therapeutic properties, so that the expected results may be repeated consistently. Clear identity of plant species removes the danger of using similar species or varieties which may produce inconsistent results. Accurate identification is particularly important because different species are registered with the same name and have different uses, or the same species has different names and is used for the same purpose from one community to another within the same territory. Also, the source or ecological niche of a species can change the physiology of plants according to altitude, especially in those who grow in both ecosystems. This has implications in use Part used Age of the plant Form of preparation Time of preparation Form of consumption Dosis Effect of the plant “hierba del toro” Cuphea cilliata Ruiz & Pav. Tree Cloud forests Fruit Adult Crude Direct Toasted Not applicable Child nutrition “ushpa” Vaccinium floribundum Kunth Bush Moorland Fruit Adult Crude/ Macerated Direct 15 days Fresh/ Drink Not applicable/ Half glass Nutritional/Respiratory conditions “zarcilleja” Brachyotum angustifolium Herb Wurdack Moorland Whole plant In bloom 10 g/l Raw juice or infusion 30 min in infusion Drink One cup 50 ml a day Antibiotic, depurative “pega-pega” Acaena ovalifolia Ruiz & Pav. Herb Moorland Leaves In bloom 30 g Dry powder in hot water 10 min Drink Half cup of 50 ml. Twice daily. Infection control “payana” Bejaria resinosa Mutis ex L. f. Bush Moorland Leaves Adult 20 g/l Infusion 15 min Drink Half cup of 50 ml. Twice daily. Anti-inflammatory, female matrix infection control “lanche colorado” Myrcianthes rhopaloides (Kunth) McVaugh Tree Cloud forest Leaves Adult 100 g/l Infusion 20 min Drink One cup 50 ml daily. Colds “lanche chiquito” Myrcianthes myrsinoides (Kunth) Grifo Tree Cloud forest Leaves Adult 100 g/l Infusion 15 min Drink Water time Digestive drink, regulates the body “chupicaure” Muehlenbeckia hastulata (Sm.) I.M. Johnst. Herb Cloud forest Whole plant In bloom 100 g Lotion 20 min Rub Not applicable Skin infections/chickenpox control Quantity to use (g) Scientific name Wild Plants of Northern Peru 45 Local name of plant Ecosystem Type of plant Table 3.1: Ethnobotanical description of moorland species and cloud forest of the Andeans from Piura prioritized by local experts. 46 Wild Plants: The Treasure of Natural Healers and processing because the same species of plant can vary its concentration of desired secondary metabolites depending on the environment. Although interviews contribute to the analysis and organization of traditional knowledge, the words used to transmit this knowledge have a local and culturally specific character which may not necessarily coincide with the meaning of the researcher’s questions. In this regard, the importance of intercultural communication is highlighted. The cultural exchange of knowledge lies within the agreement between both partners on the meaning of the concepts used for the uses and values assigned to the plants according to cultural traditions of the communities. The standardization and delimitation of these similarities and differences, the use and dissemination of the results of the studies in an interdisciplinary line of action are the aspects that make it possible to overcome the local character of the traditional knowledge. Thus, in order to standardize and share it, traditional knowledge can be reassessed by using the species with a new added value based on the conservation and sustainable use of the diversity of the ecosystem to which they belong. Phytochemical analyses have corroborated and expanded not only the knowledge of chemical properties of the selected plants, but have confirmed the efficacy of traditional practices in the extraction of the active chemicals of medicinal interest. Due to this, scientific standardization of these procedures allows peasant organizations to provide value-added products made on-site. Additionally, phytochemical analysis has shown the important influence microclimates have on the biochemistry of wild plants, where chemical content varies based on geography, temperature, humidity, and radiation even within the same ecosystem. The latitudinal-longitudinal difference includes combinations of these factors, such as relief changes with difference in exposure to solar radiation, wind speed, distribution, and intensity of rainfall and relief. These effects were verified in the significant difference that the same species show when grown in the moorland or cloud forests of Ayabaca or Huancabamba. It was found that the concentration of phenolic compounds and the mean oxidant inhibitory concentration and antioxidant activity was higher in Huancabamba despite having similar altitude and soil conditions as Ayabaca (Tables 3.2–3.4). As an example, an important contribution of phytochemical studies to traditional knowledge has been the analysis of properties of two species of the same genus with similar names (Myrcianthes myrsinoides “lanche chiquito” y Myrcianthes rhopaloides “lanche colorado”). Both are used intensively for the same purposes: as a digestive and flu medicine. It was demonstrated that M. rhopaloides contains greater amount of total phenolic compounds, higher free radical inhibitory Table 3.2: Phenolic compounds (PC) of moorland (3,000 to 3,700 masl) and cloud forest (1,900 to 2,900 masl) species of Huancabamba and Ayabaca, expressed in Gallic acid equivalent. Extract PC (mg GAE/g dried plant sample) Muehlembeckia hastulata Hbba Cuphea cilliata Ayabaca Hbba Ayabaca Acaena ovalifolia Hbba Ayabaca Vaccinium floribundum Hbba Ayabaca Ethanol 96% (A) 53.150 6.678 45.912 19.812 65.462 3.193 82.745 15.715 Ethanol 70% (B) 62.449 10.286 84.085 25.727 105.881 5.901 109.853 31.389 Ethanol 45% (C) 78.709 8.490 92.547 43.676 102.996 6.004 99.033 58.774 Infusion (D) 53.355 9.152 67.450 36.806 87.599 1.549 88.155 33.986 73.562 6.606 67.597 41.376 24.959 1.864 119.801 41.588 5.947 AD CE 1.727 AE BCD 6.436 DE 2.951 CE 7.715 BC 1.024 BC DE 9.003 AD 2.693 BD Decoction (E) a HSD (P < 0.01) b a: Express sublineing does not make statistical difference; b: Minimum significant difference Wild Plants of Northern Peru 47 Table 3.3: Antioxidant activity (AA) of moorland (3,000 to 3,700 masl) and cloud forest (1,900 to 2,900 masl) species of Huancabamba and Ayabaca, expressed in Quercetin equivalent. AA (mg Quercetin/g dried species sample) Muehlembeckia hastulata Extract Cuphea cilliata Acaena ovalifolia Hbba Vaccinium floribundum Hbba Ayabaca Hbba Ayabaca Ethanol 96% (A) 54.852 3.025 24.160 13.680 61.795 0.643 56.920 14.836 Ethanol 70% (B) 44.808 3.507 76.945 26.498 117.977 2.975 81.885 14.706 Ethanol 45% (C) 74.351 3.624 101.302 50.279 101.105 4.651 66.719 30.897 Infusion (D) 26.392 13.995 56.231 30.536 86.710 0.064 50.618 7.734 Decoction (E) 49.190 8.629 59.284 35.072 4.924 0.649 63.289 0.849 15.569 ABE 0.809 ABC 13.011 DE 7.156 BD DE 9.942 0.372 AE 12.004 ACDE 3.721 AB a HSD (P < 0.01) b Ayabaca Hbba Ayabaca a: Express sublineing does not make statistical difference; b: Minimum significant difference Table 3.4: Inhibitory concentration (IC50) of moorland (3,000 to 3,700 masl) and cloud forest (1,900 to 2,900 masl) species of Huancabamba and Ayabaca, expressed in Gallic acid equivalent. IC50 (mg GAE/ml of extract) Muehlembeckia hastulata Extract Ethanol 96% Cuphea cilliata Vaccinium floribundum Acaena ovalifolia Hbba Ayabaca Hbba Ayabaca Hbba Ayabaca Hbba Ayabaca 0.148 0.340 0.125 0.290 0.344 0.440 0.158 0.200 Ethanol 70% 0.142 0.390 0.114 0.200 0.126 0.290 0.143 0.330 Ethanol 45% 0.130 0.330 0.133 0.180 0.105 0.250 0.142 0.290 Infusion 0.179 0.150 0.128 0.220 0.139 0.650 0.201 0.490 Decoction 0.164 0.170 0.128 0.220 0.047 0.450 0.201 0.420 Table 3.5: Comparative analysis of two genera of Myrcianthes (M. myrsinoides “lanche chiquito” and M. rhopaloides “lanche colorado”) in concentration of phenolic compounds (PC), inhibitory concentration (IC50), and antioxidant activity (AA). Extract IC50 PC AA (mg GAE/ml) (mg GAE/g) (mg Quercetin/g) Mm Mr Mm Mr Mm Mr Ethanol 96% (A) 0.130 0.200 32.244 27.930 59.477 32.438 Etahnol 70% (B) 0.250 0.170 28.968 30.136 23.242 44.478 Etahnol 45% (C) 0.270 0.170 33.148 44.235 24.217 55.952 Infusion (D) 0.210 0.420 40.492 57.581 40.279 27.169 Decoction (E) 0.180 0.170 38.161 59.745 48.154 74.046 HSDa (P < 0.01)b 0.051 0.018 BCE 4.837 ABC DE 2.737 AB DE 3.464 BC 3.870 a: Express sublineing does not make statistical difference; b: Minimum significant difference Mm: Myrcianthes myrsinoides; Mr: Myrcianthes rhopaloides 48 Wild Plants: The Treasure of Natural Healers Table 3.6: Bactericidal and bacteriostatic activity of Myrcianthes myrsinoides “lanche chiquito” and Myrcianthes rhopaloides “lanche colorado” of Ayabaca (2,800 masl). Minimum Bactericidal Concentration (MBC)/Minimum Inhibitory Concentration (MIC) Extract S. aureus ATCC 25923 B. subtilis ATCC 6633 E. coli ATCC 25922 P. aeruginosa MRSA ATCC 43300 Mm Mr Mm Mr Mm Mr Mm Mr Mm Mr Decoction b b b B b b b b b B Infusion b b b b b B b B b B Ethanol 45% b b B B b b b B b B Ethanol 70% b b b B b b b B b B Ethanol 96% b b B B b B b B b B b: bactericide; B: bacteriostatic; S. aureus: Staphylococus aureus; B. subtilis: Bacillus subtilis; E. coli: Escherichia coli; P. aeruginosa: Pseudomonas aeruginosa Mm: Myrcianthes myrsinoides; Mr: Myrcianthes rhopaloides means efficiency and better antioxidant activity. However, M. myrsinoides showed better bactericidal effect against Gram-negative bacteria, such as Escherichia coli (Tables 3.5 and 3.6). Chromatograms of phenolic compounds may be used in fingerprinting to identify species and verify drug quality with certainty with the species that is being used. This represents one of the most important aspects of quality of natural products for complementary medicine and biobusiness (Figures 3.3 and 3.4). Figure 3.3: Identification of the retention times of the characteristic peaks of the chromatograms of the phenolic compounds purified with Amberlite XAD7HP of the extracts of Myrcianthes myrsinoides “lanche chiquito” (leaf) of Ayabaca by HPLC at 330 nm, ethanol 96% (1), ethanol 70% (3), ethanol 45% (4), infusion (5), and decoction (2). Wild Plants of Northern Peru 49 Figure 3.4: Identification of the retention times of the characteristic peaks of the chromatograms of the phenolic compounds purified with Amberlite XAD7HP of the extract Myrcianthes rhopaloides “lanche colorado” (leaf) of Ayabaca by HPLC at 330 nm, ethanol 96% (5), ethanol 70% (4), ethanol 45% (3), infusion (2), and decoction (1). Phytochemistry of Medicinal Plants The available electronic literature on the whole medicinal plants were collected using database searches, including Scopus, Google Scholar, Pubmed, web of Science, and Scifinder. The searches were limited to peer-reviewed English journals with the exception of books, and a few articles in foreign languages which were included. Interestingly, no data was found about the phytochemistry and biological activity of Cuphea cilliata, Brachyotum spp., Acaena ovalifolia, and Myrcianthes rhopaloides. Another example is Vaccinium floribundum, commonly known as “mortiño or ushpa”, a wild shrub native to the Andes region of South America. Its berries are widely consumed in Ecuador and Peru as fresh fruit or processed products, such as juice and jam (Schreckinger et al. 2010b). In addition to the nutritional value, local communities use the extracts of this plant to treat various medical conditions, including diabetes and inflammation (Schreckinger et al. 2010b, a). This medicinal plant is rich in vitamins, polyphenolic, and anthocyanin compounds (Prencipe et al. 2014, Kumar et al. 2019). However, there is only one study of the phytochemistry, describing tentative identification by LC-MS, as well as the identification of hydroxycinnamic acid, flavonoids, anthocyanidin (anthocyanin and proanthocyanidin), and cyclohexanecarboxylic acid using electrospray ionization tándem mass spectrosmetry (Figure 3.5) (Esquivel-Alvarado et al. 2019, Vasco et al. 2009). Fruits can also be used for wine preparation with antioxidant and antimicrobial properties due to the high content of phenolic compounds (Ortiz et al. 2013, Llivisaca et al. 2018). It has also been reported that fruits of V. floribundum Kunth showed a higher protective effect on human dermal fibroblasts compared to Rubus glaucus Benth (Alarcón-Barrera et al. 2018). 50 Wild Plants: The Treasure of Natural Healers Figure 3.5: Chemical structures proposed by Vasco et al. (2009). Bejaria resinosa is known as “pena de cerro” in Ecuador, and is a medicinal plant species used traditionally by the Saraguro ethnic group in Ecuador to treat nervous system, swollen wounds, and inflammations of genitals, liver, and cancer (Suárez et al. 2015). Ursonic acid was reported as the principal active component responsible for the in vitro cytotoxicity on tumor cells (Suárez et al. 2015). Unfortunately, a poor phytochemical and pharmacological investigation has been performed until now to identify other active components. Myrcianthes myrsinoides (Myrtaceae) essential oil was analyzed for phytochemical and antibacterial bio-assays. Performing gas chromatography and gas chromatography-mass spectrometry, it was possible to determine 28 compounds, such as p-terpinen-4-ol, o-cymene, spathulenol, and caryophyllene oxide (Araujo et al. 2017). The essential oil was reported to exhibit important effects against B. cereus, B. subtilis, and S. epidermidis (Araujo et al. 2017). Muehlenbeckia hastulata, commonly known as quilo mollaca and voqui, has been used for a long time in Peru, Argentina, and Chile as a diuretic, hypotensive, antihemorragic, sedative, and for reumatism treatment and burns. The chemical composition of the aerial part shows the presence of tannins, flavonoids, and anthraquinones (Figure 3.6) (Erazo et al. 2002, Mellado et al. 2012, 2013). The crude extract of quilo reported antioxidant activity on 2,2-diphenyl-1-pycrylhydrazil (DPPH) assay (Mellado et al. 2012). Interestingly, crude extract was evaluated in vitro for the biological activity against influenza virus proliferation in MDCK cells. On the other hand, three active compounds responsible for the biological activity, such as pheophorbide A, hepericin, and protohypericin were determined (Figures 3.7–3.14) (Yasuda et al. 2010). Wild Plants of Northern Peru 51 Figure 3.6: Compounds isolated from Muehlenbeckia hastulata (J.E. Sm) Johnst (Mellado et al. 2013). Figure 3.7: Bejaria resinosa “payana”. Figure 3.8: Brachyotum angustifolium “zarcilleja”. 52 Wild Plants: The Treasure of Natural Healers Figure 3.9: Acaena ovalifolia “pega-pega”. Figure 3.10: Myrcianthes myrsinoides “lanche chiquito”. Wild Plants of Northern Peru 53 Figure 3.11: Myrcianthes rhopaloides “lanche colorado”. Figure 3.12: Muehlenbeckia hastulata “chupicaure”. 54 Wild Plants: The Treasure of Natural Healers Figure 3.13: Cuphea ciliata “hierba del toro”. Figure 3.14: Vaccinium floribundum “ushpa”. Wild Plants of Northern Peru 55 Innovation Transaction costs in Linking Traditional and Scientific Knowledge for Innovation The wealth of native knowledge of wild plants of the moorlands and cloud forests of northern Peru may generate healthy rural societies that possess and conserve their knowledge, provided that conditions for the establishment of a territorial innovation system oriented to their conservation are created. It is the network formed by individuals, organizations, and companies for the creation, dissemination, and concerted use of knowledge for economic use in new products, processes, or organizational forms under the conditions of an institutional and policy that affect their behavior and performance (CEPAL 2004, Espinoza 2004, World Bank 2006, Rosas et al. 2014). An innovation system is comprised of agents of rural societies of the moorland and cloud forests that interact with agents of urban scientific and technological institutions. Two agents that simplify building this innovation system can be identified. First are the agricultural producers who have already integrated themselves into an economy that does not treat them with equity, but have inherited natural and intellectual advantages, but may or may not know of the opportunities existing in urban institutions, or how to express their demands. Second are technologists and scientists who are also seeking to integrate into the economy based on the specialized knowledge they have developed; but who do not know the opportunities existing in rural societies, or to whom they can present their offers; but they also have need for resources and knowledge to create new innovations and research. Also, community organizations demand new technological and scientific knowledge, as well as offer natural resources and traditional knowledge about them. Technological and scientific institutions offer and generate specialized knowledge, but in turn need new resources and traditional knowledge to continue investigating. Both agents, one from the countryside and other from the city, have needs and offers to exchange. Both are needed to implement a mutually beneficial innovation system that helps all stakeholders involved. The present situation of these two main agents needed for the construction of an innovation system in the moorland and cloud forests is that they have distinct problems that increase their costs in linking traditional knowledge and scientific innovation. Rural communities suffer from a lack of quality public services, such as good transportation options, education, and information. On the other hand, scientists, technologists, and project formulators are located in cities, both physically and culturally far away from the rural Andean societies, and have difficulty finding the proper channels to contact them and understand their needs. This hinders their ability to offer scientific or technological knowledge consistent with the needs of the rural community. Additionally, these spatial and social connectivity gaps mean that the transaction costs between academics or technologists and the peasant organizations possessing the natural resources and knowledge to which they seek to add value are significantly high. These investments include not only significant investment in travel to difficult to reach areas, but also include investment of a non-monetary nature accrued over time and with the intervention of local allies, which generates trust of communal organizations. Investments such as these need to be in place before the transaction of reciprocal interests as suppliers and demanders of goods and services can take place. Rural Innovation Based on Biodiversity: Vegetable Resources and High-Quality Natural Product Prepared in situ at High Biodiversity Zones Plant product discovery that explores the future possibilities of plants, based on historical and/or present evidence that has its source in traditional knowledge, does so through scientific research of chemical 56 Wild Plants: The Treasure of Natural Healers compounds, genetics, ecological functions, or principles of action contained in plants with potential utility (pharmaceutical, medical, cosmetic, perfumer, industrial gastronomy, etc.). This constitutes an area of opportunities for conservation, and economic, sustainable, and fair use of biodiversity. Within an appropriate legal context, it will benefit all parties, from businesses that risk capital investment to biological resources and knowledge providers who are usually poor towns or communities from mainly tropical or subtropical countries, such as Peru (Pastor and Sigüeñas 2008, Carhuapoma Yance 2011). However, if rural community farmers get involved at the beginning of the research by contributing what they know, they expect as a return a tangible benefit instead of a theoretical product from scientific knowledge, in terms of secondary metabolites from the studied species. Instead, they expect an operative alternative for use of those results, such as feasible practices and techniques for processing and transformation to give the species that they own an in situ added value. Local Experts in the in situ Detection of Key Phytoconstituents to Select Promising Species In order to integrate community experts in the research process of wild plants, the use of portable field equipment (prepared and tested by Mayar Ganoza and Fidel Torres) for in situ identification of highly important phytoconstituents (phenols, flavonoids, and tannins) in plants used in traditional medicine permits the orientation and optimization of selecting promising species with less uncertainty, reducing collection costs, identification of taxonomic details, stabilization, transport, and analysis. Although the in situ and rapid detection of medically important species by measurement of three groups of metabolites provides information for making a decision, it does not mean that species that do not have significant quantities of these compounds should be considered useless, as they may contain other important metabolites. However, due to the high cost of field collection and phytochemical analysis, prioritization by rapid field detection is justified for the preliminary stages of wild plant prospection, which also increases the capacities of local experts in the knowledge of their plant diversity (Figures 3.15 and 3.16). In the emerging natural products industry, very few businesses have implemented quality control products for raw materials in terms of agricultural and agroecological management, organic certification, post-harvest selection, and management. This is because most of what is used comes from intensive extraction of whole plants from their natural systems (Pastor and Sigüeñas 2008, Nolasco Cruz 2016). The innovation chain of natural products with possible links to biocommerce Figure 3.15: Community-oriented botanical collection. Wild Plants of Northern Peru 57 Figure 3.16: On-site test of the presence of bioactive substances. find its major limitation in the initial step: sourcing of appropriate vegetable raw materials containing bioactive substances of interest (taxonomic identity, origin, physiological status, cleanliness, and stability). This limitation sets up an informal system with deficient quality from the beginning, and expands to the following steps of the value chain. Also, this situation does not promote the need of doing research or generation of scientific-technological knowledge to improve the quality of the natural products that are offered (Vila 2009). This situation is explained by the gap between natural products companies located in the cities who demand vegetable raw materials and high-quality natural products, but do not know what the rural communities can offer them. Also, productive rural organizations offer their knowledge and species with the potential required; however, they are unaware of the existence of demand. The transaction costs to meet both rural farmer and companies are high in order to express their needs and reciprocal offers in order to create shared interest chains that increase their competitiveness. Currently, there is an unsatisfied demand for high quality natural products with added value in Peru. The complementary medicine system of the Peruvian Ministry of Health is the principal consumer, as a consequence of the increasing development of the complementary systems nationwide from 5 to 36 regional centers (oral communication from Dr Luis Fernandez, Head of Complementary Medicine Center, Trujillo-Peru). On the other hand, products offered by the natural herbals products industry do not provide guarantee of their origin, identity, and quality of the vegetable raw material used. Therefore, there is a great opportunity for the sustainable use of biodiversity based on innovation. Quality of Plant or Natural Products from Rural Communities Quality is a requirement for the supply of therapeutic plant and natural products. This means that rural communal organizations possessing traditional knowledge on how to use medicinal plants within their territories need to integrate this specialized knowledge already available for the improvement of these goods, or they must generate knowledge to add value to those already available. Therefore, communal organizations who participate in wild plant research and prospecting should appropriate the scientific results by changing their current role of suppliers of raw materials and as informants of the cultural use of wild plants to suppliers of raw drugs, essential oils, fluid extracts, or high quality natural products based on toxic-pharmacological and phytochemical analyses, concentration of phenolic compounds, analysis of antioxidant ability, studies of antibacterial activity, and identification of the most important bioactive substance (flavonoids, tannins). 58 Wild Plants: The Treasure of Natural Healers The quality of an improved good is determined as the safety of the reliable characteristics it possesses at the moment of its use or consumption. In the case of phytopreparations, its quality depends on the quality of the vegetable resource or raw drug (Figures 3.17–3.19). Agroecological Management Strategy of Promising Species Selected by Ethnobotanical and Phytochemical Studies by Organizations that Contribute with Traditional Knowledge. Sustainability from the Needs of EsSalud Ethnobotanical field studies result in the identification of species of interest to the communities because of their value, significance, and use. The identified species are then subjected to phytochemical analysis to measure their profile of secondary metabolites, level of toxicity, content of phenolic compounds, antioxidant activity, and antibacterial activity. These results determine whether or not the species is promising for innovation. However, in the approach of this type of research, the possibilities of innovation of a species are conditioned by the guarantee of its conservation. That is to say, the knowledge of the use and phytochemical richness of a species is not enough to start commercialization of a product if its conservation is not guaranteed. This means that it is not the extraction of plant resources from their environment that is the consequence of their use for innovation; but its ex situ propagation or controlled population management depending on its abundance, which does not degrade the ecosystem to which it belongs. From a grouping of 60 moorland and cloud forest species studied based on traditional knowledge and phytochemical analyses, seven showed promise to be considered for additional innovation: “payana” (Bejaria resinosa), “bull grass” (Cuphea cilliata), “paste-paste” (Acaena ovalifolia), “ushpa” (Vaccinium floribundum), “chupicaure” (Muehlenbeckia hastulata), “zarcilleja chiquita” (Brachyotum angustifolium), and “lanche” (Myrcianthes myrsinoides). For these species, controlled propagation is the next phase to increase the availability of raw materials that will be given added value. For the purposes of controlled management, there are three alternatives: (1) Its cultivation in plots or agroecological gardens through its sexual seeds or vegetative structures, such as “paste-paste”, “bull grass”, and “chupicaure”; (2) Promotion of the natural expansion of the population of the species if it is abundant, through measures of social control of the community aimed at preventing the intervention of these ecosystems by the agricultural or livestock expansion of families of the community; in this way, controlled, planned, and focused extractions can be carried out, as in the cases of “payana” and “ushpa”; (3) In the case that a species has difficult to germinate seeds and vegetative propagation is not viable, an in vitro propagation system is used to produce a clonal population of the species, such as the “lanche”. The north coast of Peru, being an arid region that depends completely on the water sourced from moorland and cloud forests, promotes reforestation programs aimed at maintaining the water capacity of the basins. Three appropriate species for this purpose are “lanche” which is a tree species, and “ushpa” and “payana” as shrub species, in which in all three cases play an important role in the ground cover for the collection, filtration, retention, and distribution of rainfall water (2,500 mm annual average); becoming a profitable way of conserving biodiversity and the hydrological cycle of the basins. This is possible due to collective agreements that can only be achieved by community organizations with the capacity to make the decision to convert the wealth of their wild plants into an economic strategy for the conservation of environmental services and biodiversity. Institutionalization of Research and Innovation of Biodiversity from Peasant Organizations as a Local Development Policy The sustainability of science and innovation based on the diversity of wild plants known and used by peasant societies around the moorland and cloud forests has possibilities of sustainability to the Wild Plants of Northern Peru 59 Figure 3.17: Phytopreparations module in Totora (2,600 masl) in the surroundings of the moorland and cloud forests. Figure 3.18: Phytopreparations by the community organization. Figure 3.19: Appropriation of research conducted by young people in training (a and b). 60 Wild Plants: The Treasure of Natural Healers extent that in a collective effort of the economic and social stakeholders from these ecosystems, they are able to build a territorial system of innovation. It is fostered as a local development policy, based on the management of their particular interests integrated by common objectives, which allows them to significantly increase their efficiency, management efficacy, and governance of a territorial system of innovation, framed as a local development policy. The new rules of the game or institutional systems needed for the establishment of an innovation system supported by the biodiversity integrate research, production, and commercialization chains. It requires a territorial emphasis that recognizes the farming rural organizations at the origin of the chains in order to guarantee the results obtained. On one hand, the scientific research chain demands systematized specialized native knowledge as sources of scientific hypotheses, as well as high quality vegetable resources. On the other hand, the innovation chain of natural products based on endemic wild plants requires formal communal organizations that offer raw drugs and high-quality natural products with added value. The encounter of suppliers and consumers of goods, services, and knowledge regarding wild plants for the generation of reciprocal benefits should be oriented towards the conservation of natural resources, as well as a need for an institutionality or rules that establish incentives and equal access to resources and services for an advantageous economical linkage that is possible by the establishment of a territorial innovation system (Roseboom et al. 2006, Glave and Jaramillo 2007). Institutional change can only be created with difficulty by those who exercise power to maintain inequality and exclusion. That is, a structural change from the top down is not possible, but it is from the bottom up. This implies organizations that manage to scale their governance capacities. Governance innovation using the approach of territorial innovation systems’ proposals can be imposed by force. This political power depends on the organizational capacity of governance through collective management units, such as dialogue platforms (Rendón Schneir 2010). In the summer of 2017, one of the most important expressions of climate change in northern Peru took place as extreme precipitation that resulted in a flood disaster. After this, the Peruvian state initiated a process of regional reconstruction, which includes the priority project “Integral Treatment for the Reduction of Vulnerability to Flooding and Water Scarcity in the Chira Piura Watershed” prepared by the Resources Council of the Chira-Piura Basin of the National Water Authority. This project involves, as a principal component, the conservation and protection of moorland and cloud forests that regulate the hydric cycle of where watersheds receive the main volume of precipitation annually. This represents an opportunity for an advantageous and sustainable economic articulation for communal organizations of the moorlands and cloud forests. With its new contingent, the communal organizations of the moorlands are expanding and diversifying with new organizational arrangements (Cooperativa Territorial de los Páramos) as an institutional innovation to advantageously manage their biodiversity conservation projects and their wild plants. The Territorial Multiservice Co-op of the Moorlands constitutes an advanced platform of business nature with economic interests in the development of the moorland territory. It has political influence to promote its conservation interests and principles in the different local governmental offices that are associated with its organizations. Its further development towards a new institutional innovation is creating a Territorial Commonwealth of the Moorlands. This commonwealth will be the strategy for the establishment of a territorial innovative system of the moorlands and cloud forests, based on the richness of vegetable diversity and native knowledge, and such innovations are sustained by the conservation of these ecosystems. The innovation process must inevitably be supported by the institutional structure of the desert plains that absolutely depend on the water supply of the moorlands and cloud forests. Both science and technology build new social realities, but also destroy or erode others by making contact with them. This has happened with the native or traditional knowledge of the wild plants of the Andean societies of northern Peru, which has been severely weakened and eroded by schools and universities that devalue its significance. This discrimination is effectively implemented through public Wild Plants of Northern Peru 61 health and education programs, which import food to combat malnutrition using funds generated by the export of natural resources. Biodiversity is not seen as something that can feed the poor. This fallacious formula is based on the fact that wild and cultivated plant diversity is dismissed in dietary surveys, laboratory analyses, by public health agencies, and those who determine nutritional status, and from any other platform from which decisions and policy formulation are taken (Johns 2004). In countries such as Peru, converting the wealth of knowledge of wild plants into a collective wealth of rural agrarian societies to which healers belong, means the construction of a new social reality, based on a new paradigm of knowledge sharing based on intercultural communication. It is given that innovation systems or networks are not just meetings of stakeholders, but the spaces of interaction for the exchange of knowledge that develop learning capacities by the principle that knowledge is the central engine of economic growth (Kuramoto 2007, Pomareda 2015). Conclusions The economically sustainable use of wild plants in the Páramos and cloud forests depends on the establishment of a territorial innovation system, which can integrate in strategic alliances involving rural agricultural organizations, scientific institutions, government institutions and private industries to systematize traditional collective knowledge, as well as plant diversity in an intercultural approach, as a first step in the prospective scientific research chain, orienting competition for innovations of complementary medicine system such as public health area and natural product industry. 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Cambio climático y biodiversidad en los Andes Tropicales: Instituto Interamericano para la investigación del cambio global. 4 Ethnic Uses of Plant species Among Magar People in Nepal Shanta Budha-Magar Introduction Ethnic communities depend on plant and plant products for their primary healthcare and to fulfill their daily basic needs (Coburn 1984, Ghimire et al. 2000). They are vastly known for the use of plant resources found around them (Pásková 2017). Furthermore, the use of such medicinal plants in primary healthcare is growing in urban areas too. There has been increasing plant-based medication in Europe and America as well (Eloff 1998). Traditional knowledge owned by indigenous people linked with market value chain of the resources has a major impact on the use of medicinal plants and is effective against different ailments (Salim et al. 2019). Today, thousands of species used by ethnic groups have been confirmed with potential medicinal properties in pharmaceutical and drug industries. Many drugs have been successfully discovered based on indigenous knowledge (Fabricant and Farnsworth 2001, Brijesh et al. 2009, Taye et al. 2011). Thus, the traditionally used medicinal plants by ethnic groups have been recognized as complementary in scientific and pharmaceutical studies (Taylor et al. 2001, Eisenberg et al. 2011, Sagar 2014). However, the traditional knowledge of plant use has been decreasing due to the reluctance of the young generation for the use of locally available resources and the unwillingness of elders to share their knowledge (Reyes-García et al. 2014, Sujarwo et al. 2014, Ianni et al. 2015). So, the documentation of indigenous knowledge on how local plant resources are utilized by the ethnic groups or communities is vital to save the indigenous knowledge of any country (Rao 2006, Luczaj et al. 2012). In this regard, an ethnobotanical study, which is the understanding of knowledge system by using both the anthropological and botanical approaches, is used in documentation of indigenous knowledge (Ford 1978, Davis 1995). Not only this, the plants consumed by local people or groups of people in a particular region and cultural context are necessary to be determined (Martin 1995). Now, there has been a snowballing interest to improve the traditional compilation-style of ethnobotanical studies (Hoffman and Gallaher 2007). One of the key issues to these studies is the relative importance of plant taxa to different human groups by elaborating indices of use values (Tardio and Santayana 2008). The consensus values are important to show the relationship between the use of the plant resources and knowledge of indigenous people about it (Singh et al. 2012). Nepal, a multicultural country endowed with about 60 ethnic groups within two broad categories distributed along contour lines, paralleling preferred climates, and crops having specific cultural norms Central Department of Botany, Tribhuvan University, Kirtipur, Kathmandu; shantabmgr@gmail.com Ethnic Uses of Plant species Among Magar People in Nepal 65 and values (Manandhar 2002), has diverse cultural contexts regarding natural resources. The ethnic groups have their own way to understand and interpret nature. Various studies related to dependency of ethnic groups on plant resources in different communities have been previously done in Nepal (Manandhar 2002, Rajbhandari 2001, Shrestha et al. 2004, Baral and Kurmi 2006, Luitel et al. 2014). However, studies on the Magar community about their relationship with plant and plant products are rare, although they completely depend on these resources. There are some studies regarding ethnic uses of plant species in Magar community (Sapkota 2008, 2010, Ale et al. 2009, Acharya 2012, Thapa 2012, Singh and Hamal 2013, Malla et al. 2015, Singh et al. 2018). Ethnobotany of Magar People in Nepal Magar, one of the main ethnic groups in Nepal, entered the country around 1100 B.C. They live mainly in Jajarkot, Rukum, Rolpa, Myagdi, Baglung, Pyunthan, Palpa, Parbat, Gorkha, and Tanahu in western and central Nepal, and Sindhuli and Udaypur toward eastern Nepal. They have subsequently migrated to most parts of the country. This tribe is genetically isolated because they marry among their community. They have Mongol features, medium build, white in complexion, oval or round face, black straight hair, and razor cut eyes. This generally describes the physique of Magar, and by nature, they are gentle, honest, brave, charming, and happy people. They are very jovial people who love to sing and dance. They have numerous kinds of dances, as well as tribal games that they frequently play. The Magar has their own language which is rooted in the Tibeto-Burman family and the script called Akkha Lipi. Magar language is old and native spoken, used by Magar community (Manandhar 2002). Based on the language, customs, and geographical distribution, the Magars are divided into Barha Magarat Magar, Atha Magarat Magar, High mountain Magars Chhantyal, and other Magars (Manandhar 2002). However, these four groups do not differ in their original traditions and other social affairs. Within the various Magar communities, there are also different clans: there are more than 700 sub thars (family name), such as Budha, Roka, Pun, Jhankri, Thapa, Rana, Aale, Benglasi, Gharti, Gurungachan, Thumsing, etc. The total population of Magar in the country is 1,887,733, among which the number of Magar-Kham speaking people is 27,113 (male—12,934 and female—14,179) (CBS 2011). Magar has a typical dress, where male Magar wears a short tunic, shirt, and vest. Female Magar wears a cholo (blouse with long sleeves), a short wrap instead of a full-length sari (skirt) and a patuka (sash wrapped around the waist) as a belt. The women are fond of wearing a lot of ornaments, especially during festivals. They live in small egg-shaped houses thatched with grass in western Nepal (Manandhar 2002). They also build two-story houses roofed with grass thatching, wooden planks, or slates. They use locally available materials for house building. They paint their houses white or red or grey depending on the availability of natural paints in their surrounding area (Manandhar 2002). Thus, Magar is one of the ethnic communities who are scattered all over the rugged terrain of the country (CBS 2011), and totally depends on the natural resources for their daily basic needs, and is rich in ethnomedicinal knowledge (Manandhar 2002, Singh et al. 2012, Acharya 2012). According to Singh et al. 2018, Magars are efficient in the use of various medicinal plants for their healthcare. They have acquired this knowledge from their long-term experiences and from their ancestors. He reported that Magars of Palpa use 70 ethnomedicinal plant species in different ways. According to Malla et al. (2015), Magar and Majhi are rich in ethnomedicinal knowledge. A total of 132 species were reported to be used by Magar and Majhi in Palpa district. Similarly, Acharya (2012) revealed 161 species in the treatment of various ailments, ranging from gastro-intestinal to headaches and fevers, respiratory tract related problems to dermatological problems, snake bites to ophthalmic and cuts and wounds. Thapa (2012) has reported 75 species to treat 39 different ailments by Magars in Parbat district. Out of a total of 221 plant species in and around Seti Hydropower Project, 43% of the plant species were ethnobotanically important and used by Magar ethnic community in food, 66 Wild Plants: The Treasure of Natural Healers medicine, and timber (Uprety et al. 2011). In east Nepal, they use medicinal plant species to treat particular diseases/disorders (Oli et al. 2005). However, the Magar-Kham community, one of the major Magar communities in Western Nepal with a unique lifestyle, has not been explored concerning their knowledge on plant and plant products, except about their culture for instance about the language, the shamanism, and social status by few international scholars (Molnar 1981, 1982a, b, Watters 2002, Noonan 2003, Hatlebakk 2009, De Sales 2010, 2017). Hence, this paper aims to fulfill this gap. This paper deals with an assessment of the use pattern of plant species and documentation of the ethnic uses of plant species among the Magar-Kham. Ethnic Uses of Plant species Among Kham Magar in Thabang: A Case Study Study Site The ethnobotanical data collection was conducted in Thabang, which lies in Thabang Rural Municipality to the northern part of Rolpa district in Province 5, Nepal. Thabang village was the main center of the civil war of the last ten years of Maoists’ revolution and was known as the capital of Maoists (Gellner 2007). Geographically, Rolpa lies between 28.80 to 28.380 N latitudes and 82.100 to 83.900 E longitudes, with an elevation range of 701-3639 masl. (DFO 2018). It covers an area of 187,150 sq. meters, which is surrounded by five districts- Baglung and Pyuthan to the East, Salyan to the West, Rukum to the North, and Dang to the South (Figure 4.1). Socio-demographic Structure There are several ethnic groups in Rolpa, but of the total population 224,506 ((male- 103,100 and female- 121406)) of the district, Magar (43.78%) are the dominant inhabitants, followed by Chhetris, Figure 4.1: Map of Study Area. Ethnic Uses of Plant species Among Magar People in Nepal 67 Dalits, Newars, Gurungs, and others (CBS 2011). Thabang RM is inhabited by ethnic groups Kham Magar, Kami, Damai, Gurung, and Chhetri (CBS 2011). The total population of the study site of Thabang village is 4,841, including 2,251 males and 2,391 females, with a total of 937 households (DPR 2015), which are populated by only Kham Magar, Gurungs, Dalit, and Thakuri. In Thabang, the majority of people- around 2,414 (out of 5,922 in the district), speak Magar Kham language dialect, whereas Dalits (Bishwokarma and Nepali) speak Khas Nepali (locally Khasanta), an IndoAryan language. Regarding Magar, there are five subtribes who entered Nepal from different directions around 2300 BC (Thapa 2014). Of the five subtribes, Kham Magar living in Athȃra magarȃt region (Manandhar 2002) use Kham (Tibeto-Burman) dialect. They have their own lifestyle and typical culture (TAAN 2013). They have their own specific festival calendars, different ways of covering haystacks (by means of goatskin or with straw roof), and the different itineraries they follow with their flocks (De Sales 2000). Male Kham Magar people wear a short tunic (locally sur), shirt (locally Chubandi), vest, and gada (locally khadi). Female Kham Magar people wear cholo (blouse with long sleeves; locally khyo), guniyo (locally bhey), a patuka (sash wrapped around the waist; locally waanfo), and gada (locally sur). They believe in nature rather than in gods and goddesses. They don’t have specific deities. They worship stones, trees, water, and directions. Some of them are adopting Hindu religion and a few are Christians. Agriculture (animal husbandry and crop production) is the main livelihood strategy adopted by Kham Magar. More than 80% of the total households are involved directly or indirectly in traditional agriculture and animal husbandry (CBS 2011). Local farmers rear cattle, goat, sheep, pig, and poultry for their subsistence. Besides these, non-timber forest products (NTFPs), including medicinal and aromatic plants are the next source of income for local people. About 14% people depend on resources from the forest (DFO 2018). The trend of young generation going to foreign countries to earn is also a common activity. Data Collection and Analysis The field study was conducted in two visits in September 2014 and April 2015. The procedure of requiring Prior Informed Consent (PIC) as established by CBD was followed before recording the indigenous knowledge of people and also before accessing the natural resources (plant vegetation) around them. Their rights on their knowledge and natural resources were not violated. Basic ethnobotanical information of useful plants regarding their local name, part(s) use, purpose, and mode of use were collected through organizing focus group (n = 5) discussions in Phuntibang village. There were 20–30 people, including traditional faith healers, village heads, and other key informants from different sex and age. Secondly, for personal interviews, a total of 50 (30 male and 20 female, including five Jhankris (four male and one female), the traditional healers) forest dwellers, women, herders who were involved in collection of useful plants, were interviewed, applying semi-structured questionnaires. Interviews were conducted in the places where respondents felt the most comfortable. The questionnaire covered plant taxa, their distribution, major use categories, part(s) used, mode of collection, trade status, and strategy for mainstay. Thirdly, the local people were asked to select knowledgeable villagers to participate in the field. Based on local suggestions, two local people participated in the field, during which time different plant specimens cited as useful by local people were collected, and detailed ethnobotanical information was recorded. Various kinds of recent literature reviews on the flora of Nepal and ethnobotany (e.g., Rajbhandari 2001, Lama et al. 2001, Manandhar 2002, Baral and Kurmi 2006, Bhattarai et al. 2006, Dutta 2007, DPR 2007, Ghimire et al. 2008, Rajbhandary 2013) were consulted to compare plant uses. The number of species in different categories, such as species composition, and use categories, were analyzed in Microsoft Excel 2010, which includes the graphical presentation of useful species 68 Wild Plants: The Treasure of Natural Healers based on their use categories, parts used, and the number of use categories for each plant species. Here, the useful plant species were analyzed under two categories: (i) useful only in the study area, and (ii) useful in the study area and other parts of the country. Species Composition A total of 175 plant species, belonging to 73 families and 144 genera were identified as ethnobotanically useful among Kham Magar. Of the total, 25 species cited were reported ethnobotanically new to Nepal (Table 4.1), and the other 150 species were found useful both in the study area and elsewhere, in other parts of the country. Out of 25 ethnobotanically new species in the list of useful flora of Nepal, 10 are medicinal, one poisonous, and 14 species have other uses (Table 4.1). Three species (Aconitum gammiei, Aconitum ferox, and Santalum album), not found in the study area, were taken from other places. The plant species were grouped into 11 use categories; the majority (47.42%) of species were medicines, followed by food (42.85%), fuelwood (26.85%), fodder (21.71%), and social and religious use (18.85%) (Figure 4.2). Female respondents hold good knowledge in overall (36.5) and food (15.5) species, where male respondents are efficient in medicinal (11.5) and other categories (11). Majority of useful species were herbs (n = 83, 47.42%), followed by tree (25.71%, n = 45), shrub (21.14%, n = 37), and climbers (6.28%, n = 11). Regarding parts use, eight different parts were used. The majority of the species were harvested for shoots (48.57%), followed by leaves (46.85%), roots (27.42%), and fruits (26.28%) (Figure 4.3). Some of the species (9.14%) were cherished for their whole plant parts. The medicinal plants were mostly used in the form of juice, followed by chewing, paste, decoction, and powder (Figure 4.4). Food plants were either eaten raw or cooked depending on their types. Raw food included fruits (45.33%), shoot tenders (4%), and seeds (5.33%). Cooked food included vegetables (30.67%), condiments and pickles (4% each), and oil and fermented food (2.67% each) (Figure 4.5). Figure 4.2: Plant use categories based on field surveys. Ethnic Uses of Plant species Among Magar People in Nepal 69 Figure 4.3: Plant parts used based on a field survey. Figure 4.4: Number of plant species used in different modes for medicinal purposes. Uses S.N. Botanical names of plant species 1 Abies spectabilis (D. Don) Mirb. Pinaceae 2 Acer caudatum Wall. * 3 Family Local name (Magar) Parts use Bhum Wd, Cn Sapindaceae Rijhyausai Aconitum ferox Wall. ex Seringe Ranunculaceae 4 Aconitum gammiei Stapf Ranunculaceae 5 Aconitum spicatum (Brühl) Stapf Ranunculaceae 6 Acorus calamus L. 7 Present findings Comparison to previous findings (Literature review) Wd: Fuel, Timber (2); Tr: Social, Religious (8); Cn: Dye (4); Lf: Medicine (2, 5, 9) Wd Cone extract used as dye, Whole flag pole (Murla) during religious festival “Bhume” Plants used as fuelwood and timber Chari bikh Rt, St, Lf Root as poison during hunting Rt, St: Poison (1, 2, 4, 5, 9) Bikhama Rt Root in heartburn (gastritis) and stomachache (Khayopiyo) Rt: Medicine (1, 2, 5) Ning Rt, Sh, Lf Leaf juice in cuts and wounds Zingiberaceae Baja Rt Rhizome is used during cough or sore throat, scabies in dog Wp: Medicine (4, 6); Rt: Poison (2), Trade, Medicine (3, 7); Tu: Poisonous (5, 9), Commercial (8) Rh: Medicine (1, 2, 4, 5, 9) Aesculus indica (Colebr. ex Cambess.) Hook. Sapindaceae Pangar Sh, Fr Seed paste used in Mumps (Baangle) 8 Agave americana L. Asparagaceae Siundi Lf Leaf paste is in joint-ache (Chhaare) 9 Ageratina adenophora (Spreng.) Asteraceae R. King and H. Rob. Maobaadi jangal Lf Leaf in bleedings and sick chicken 10 Albizia julibrissin Durazz. Fabaceae Bakar Wd Wood is used fuelwood 11 Allium sativum L. Amaryllidaceae No: Rt Bulbs used as anti-poison Br, Fl: Medicine (5); Br, Wd: Medicine, Fuel, Furniture (2); Br, Lf: Medicine (1) Bu: Medicine (1,5), Food (2) 12 Amaryllidaceae Haddi jhor Rt Bulb paste in bone fracture Lf, Sd: Medicine (1) 13 Allium tuberosum Rottler ex Spreng Allium wallichii Kunth Amaryllidaceae No:ngan Rt, Lf Young leaves as vegetable or condiment 14 Alnus nepalensis D.Don Betulaceae Jhaar Wd, Br Wood for fuelwood and timber. Bark extract to dye clothes Lf: Food (2, 3); Wp: Food (1, 8); Bu, Lf: Medicine (9) Wd: Furniture, Timber (2); Br, Lf: Medicine (1); Br: Medicine (1, 9); Rt, Lf: Medicine (5) Br, Lf: Medicine, Fodder (1); Sd: Food (1, 2, 4, 9) Medicine (5), Sh, Lf: Food (4); Wd: Material (4) Wp: Food, Medicine, Fiber, Material, Poison (1, 4, 5); Rt: Medicine (5) Lf: Medicine (1, 2, 9) 70 Wild Plants: The Treasure of Natural Healers Table 4.1: Plant species used by Kham Magar community in western Nepal. Ampelocissus rugosa (Wall.) Planch. Vitaceae Jiprang Lt, Fr Fruits food. Sap to treat conjunctivitis and latex is used to treat warts (Jojhai) 16 Anemonastrum polyanthes (D. Don) Holub Synonym: Anemone polyanthes D. Don* Arisaema griffithii Schott Ranunculaceae Rathabiratha Fl Flowers ornamental Araceae Dhokaya Lf Fermented leaves as gundruk (gundru) Rh: Medicine (3), Rh, Lf: Food (3); Lf, Cm: Medicine, Food (8) Araceae Bhinu Rt, Sh, Lf, Sd Seeds in worm infestation (Chanpakira) 19 Arisaema jacquemontii Blume ** Artemisia dubia Wall. ex Bess. Asteraceae Paati Sh, Lf Fresh leaf juice in wounds. Dried leaves as incense Wp: Medicine (1, 5); Lf, Cm: Food (2); Tu: Medicine (7) Lf: Medicine (2, 9); Lf, Fl: Social, Religious (1) 20 Asparagus racemosus Willd. Asparagaceae Kurilla Ts Tender shoots as vegetable 21 Begonia picta Sm. Begoniaceae Kumkum Fr Fruits in toothache Sh: Food (2, 4, 9); Rt: Medicine (1, 6) Wp: Medicine, Food (2, 10) 22 Berberis aristata DC. Berberidaceae Jhethe chyantro St, Br, Fr Stem bark in dye. Ripened fruits wine preparation Fr, St, Rt, Br: Medicine (1, 2, 3, 4, 5, 6, 9), Food (2, 3, 4, 8), dye (2, 8) 23 Berberis asiatica Roxb. ex DC. Berberidaceae Kattike chyantro Rt, Sh, Br, Fr, Fl Root extract in jaundice (Pihile) and diarrhea (fu). Stem bark extract in dye. Fr, St, Rt, Br: Medicine, Food (8), Dye (1, 2, 8, 9) 24 Bergenia ciliata (Haw.) Sternb. Saxifragaceae Hangawo Rt Rhizome juice in typhoid (Ghamjoro), diarrhea, dysentery, vomiting, headache and menstruation disorder 25 Betula alnoides Buch.-Ham. ex D. Don Betulaceae Puum Wd Woods as timber 26 Betula utilis D. Don Betulaceae Bhuja: Lf Leaves as fodder 27 Brucea javanica (L.) Merr. Simaroubaceae Bhakimla/ Kharga Fr Ripe fruits pickled, to cure diarrhea Wp, Fl, Rh, Lf: Medicine (2, 4, 5, 7, 9); Rh, Sd, Wp: Medicine (1, 8); Commercial (3); Rh, Rt: Medicine (4); Rt: Medicine (5) Wd, Br, Lf: Timber, Medicine, Fodder (2) Wp, Br: Medicine (1, 5, 9) Br, Wd: Medicine, Food, Material, Incense (2); St, Br: Medicine (1, 5); Sh, Br ,Rn, Wd: Medicine, Fuel, Social, Commercial, Material (3); Rt, Lf, Fl, Fr: Medicine (1, 9); Fl, Sd, Wd: Medicine, Food, Social (3); Br, Rn: Medicine (5); Wd, Rn: Material, Food Fr: Medicine (5); Lf, Fr: Dye, Medicine, Food (2, 4, 9) 17 18 St: Medicine (2) Table 4.1 contd. ... Ethnic Uses of Plant species Among Magar People in Nepal 71 15 S.N. Botanical names of plant species Uses Family Local name (Magar) Parts use Present findings Comparison to previous findings (Literature review) 28 Campylotropis speciosa (Schindl.) Schindl. Fabaceae Sangkhina Rt Root juice to cure diarrhea Fl: Food (2, 9) 29 Cannabis sativa L. Cannabaceae Bhango Br, Lf, Sd Bark fiber make rough clothes (Bhangaura), sacks, bags, etc. Resinous, young leaves and inflorescence to treat pneumonia and fever. Seeds in pickle Br, Lf, Sd: Fiber, Medicine, Food (1, 2, 4, 5, 9) 30 Capsella bursa-pastoris (L.) Medik. Brassicaceae Chaangan St, Lf Tender leaves vegetable 31 Poaceae Kajabhu Wp The plant as fodder Rosaceae Paiya St,Br Barks decoction in backaches (Pireko), swellings, and dye Wp, Br, Lf, Sd: Material, Fodder, Medicine (2); Br, Lf, Sd: Medicine (5); Br: Medicine (9) 33 Cenchrus flaccidus (Griseb.) Morrone Synonym: Pennisetum flaccidum Griseb Prunus cerasoides D. Don Synonym: Cerasus cerasoides (Buch.-Ham. ex D. Don) S.Ya. Sokolov Cheilanthus dalhausiae Hook. Wp, Lf: Medicine, Food (2); Wp: Medicine (1); Rt: Medicine (3); Lf: Food (8) Wp: Fodder (2) Pteridaceae Dumni sinka Lf Leaf paste in cuts and wounds 34 Chenopodium album L. Amaranthaceae Bithu St, Lf Tender leaves as vegetable 35 Chrysopogon gryllus (L.) Trin. Poaceae Syopal Lf Leaves as fodder Rh; Medicine (2); Wp, Rh, Lf: Medicine (1,9) Lf, Ts: Food (1, 2, 8, 9); Wp: Medicine (5); Lf, Fl, Sd: Medicine (1); Wh, Rt, Sd: Medicine (2, 9) Wp, Rt: Fodder, Medicine (2) 35 Cinnamomum glanduliferum (Wall.) Nees. Lauraceae Malegiri Wd, Fr Woods in religiously function. Dry seeds as spice and fish poison Wd, Lf: Material (1) 37 Cirsium verutum (D. Don) Spreng. Asteraceae Jhyankaal Rt, Sh Root juice in fever (Joro). Root to cure weeping disease. Stem culm eaten fresh Rt: Medicine (1, 2), Food (2); Rt, Sh: Food (9) 38 Clematis terniflora DC.* Ranunculaceae Abijale Sh, Lf, Br Plant paste in gout, itching 39 Coriaria nepalensis Wall. Coriariaceae Ghumil Fr, Sd Woods as fuel 32 Wd, Lf, Br, Fr: Material, Poison, Medicine, Food (2); Fr: Food (9), Poison (1); Lf: Poison (5) 72 Wild Plants: The Treasure of Natural Healers ...Table 4.1 contd. Cornus capitata Wall. Cornaceae Phuli Wd, Fr Ripe fruits eaten, brew to distill alcohol. Fruits in headache Wd, Fr: Fuel, Food (2) 41 Corylus ferox Wall. Betulaceae Ghyamo naa Fr Ripe fruits eaten Fr: Food (2) 42 Cotoneaster frigidus Wall. ex Lindl. Cotoneaster microphyllus Wall. ex Lindl. Rosaceae Kaali monjyar Wd Wood as sticks Sd: Medicine (2); Wd: Material (8) Rosaceae Saapithala Wd, Fr Ripe fruits eaten Fr, Wp, Lf: Food, Material, Incense (2); Fr: Medicine, Food (3) 44 Curcuma angustifolia Roxb. Zingiberaceae Kachur Rt Root paste bone fracture Rt: Medicine (2, 9) 45 Cynodon dactylon (L.) Pers. Poaceae Dubaa Lf Whole plant in social and cultural rituals Wp, Lf: Medicine, Fodder, Religious (2) 46 Cyperus cyperoides (L.) Kuntze* Cyperaceae Tolaagaathaa Rt Roots in gastritis (Gando) 47 Dactylorhiza hatagirea (D. Don) Orchidaceae Soó Paanchwaule Rt Root in stomachache, headache, and typhoid 48 Daphne bholua Buch.-Ham. ex D. Don Thymelaeaceae Barruwaa/Ratuwaai charo Rt, Br Root juice in fever. Bark for fiber 49 Debregeasia longifolia (Burm. f.) Wedd. Urticaceae Tooshaaraa Fr Ripe fruits eaten 50 Delphinium himalayae Munz Ranunculaceae Nirmasii Rt Root in headache 51 Delphinium grandiflorum L. * Ranunculaceae Atis Rt Root in stomach pain, typhoid, gout 52 Ranunculaceae Mangraamhul Rt, Lf 53 Delphinium vestitum Wall. ex Royle Desmodium elegans DC. Fabaceae Til daalaa Lf Root anthelmintic, during delivery for cattle Leaves as fodder 54 Dipsacus inermis Wall. Dipsacaceae Mipa/Taukejhaar Lf Leaf juice in burns and cuts Rt, Br, Lf: Medicine, Food, (1); Rt: Medicine (1, 9); Lf, St: Medicine, Food, Fuel, Material (3); Rt, Br: Medicine (5); St: Material (8) Wp: Fodder (2); Lf, Td: Food (8) 55 Drymaria cordata (L.) Willd. ex & Schult. Caryophyllaceae Nayaa jungle Sh, Lf Plant juice in wounds and itching Wp, Lf, Ts: Medicine, Food (2) 43 Rt, Lf: Medicine (2, 9); Tu: Medicine (1, 7), Tu: Medicine, Food, Commercial (3, 8) Rt, Br, Lf: Medicine, Material, Poison (2, 4); Rt: Medicine (9); Rt, Br: DPR (5) Br: Material, Medicine, Poison (3) Wd, Br, Lf, Fr: Fuel, Material, Fodder, Food (2); Lf, Br: Medicine, Material (9) Rt: Medicine (1); Tu: Medicine (1, 3, 8), Poison (1), Commercial (3, 8) Rt: Medicine (1, 2, 9), Poison (2) Table 4.1 contd. ... Ethnic Uses of Plant species Among Magar People in Nepal 73 40 S.N. Botanical names of plant species Uses Family Local name (Magar) Parts use Present findings Comparison to previous findings (Literature review) 56 Elaeagnus parvifolia Wall. ex Royle Elaeagnaceae Dhakari Lf, Fr Leaves as fodder. Ripe fruits eaten 57 Equisetum arvense L.* Equisetaceae Mikrop Rt, Sh Roots and stems in fever 58 Eriobotrya elliptica Lindl. * Rosaceae Mahaakhyaa Lf Leaves in social and religious rituals. Plant as fodder 59 Eriocapitella rivularis (Buch. Ham. ex DC.) Christenh. & Byng Synonym: Anemone rivularis Buch.-Ham. ex DC. Eriocapitella vitifolia (Buch.Ham. ex DC.) Nakai Syn. Anemone vitifolia Buch.Ham. ex DC. Eriophorum comosum (Wall.) Nees Eulaliopsis binata (Retz.) C.E. Hubb. Ranunculaceae Dhaskim Lf Leaf juice as anti-leech Wp: Medicine (1, 2, 5, 9); Sd: Food (2, 9); Fr, Sd: Medicine (7) Ranunculaceae Kapaso Fr Powdered achene in cuts and wounds Rt, Lf, Fr: Medicine (1, 2, 9) Poaceae Syambhun Sh The plant as fiber Wp: Fodder (2) Poaceae Babya Lf Plant in religious ceremony Wp: Material (2) 63 Euonymus lucidus D.Don* Celastraceae Gunamohar Wd, Lf The plant as fodder and fuelwood 64 Eurya acuminata DC. Theaceae Khoraasane Wd, Lf Woods as fuelwood. Leaves as fodder Wd, Lf: Fuel, Fodder (2) 65 Polygonaceae Baan bhade Rt Root in diarrhea Lf, Ts: Food (2,9) 66 Fagopyrum dibotrys (D. Don) H. Hara Ficus neriifolia Sm. Moraceae Dudeula Wd, Lf, Fr Woods as fuelwood. Plant as fodder and figs eaten Wp, Lt, Fr: Fodder, Medicine, Food (2) 67 Ficus religiosa L. Moraceae Peepal Wp Stems fuelwood. Planted as hedge 68 Ficus sarmentosa Buch. ex J.E. Sm. Flemingia strobilifera (L.) W.T. Aiton Moraceae Bidu Lf Leaves as fodder Fabaceae Bhuisnankhinaa Rt Root in diarrhea and dysentery Wp, Br, Lf, Lt, Fr: Religious, Medicine, Dye, Fodder (2) Sh, Lf, Fr: Fodder, Food (2). Br, Sp, Fr: Medicine (9) Rt, Br, Fr: Medicine Food (2), Rt, Br: Medicine (1, 9) 60 61 62 69 Fr: Medicine, Food (2); Fl: Medicine (1,3); Lf: Food, Fodder (3) 74 Wild Plants: The Treasure of Natural Healers ...Table 4.1 contd. 70 Fragaria nubicola Lindl. Rosaceae Jhompaasaii Fr Ripe fruits eaten Wp, Fr: Medicine, Food (2, 3, 7, 9); Lf, Fl, Fr: Medicine (1), Fr: Food (8) 71 Fraxinus floribunda Wall. Oleaceae Rhyankhuli Sh, Lf, Br Bark extract as dye 72 Galinsoga parviflora Cav. Asteraceae Raawande Sh, Lf Plant as fodder St, Rn: Medicine (1), Wd, Sh, Br: Material, Medicine (2) Wp: Medicine (1), Poison (2), Ts, Lf: Food, Medicine (9) 73 Galium asperuloides Edgew. Rubiaceae Khasare Lf Plant in cuts and wounds Wp: Medicine (1) 74 Gaultheria nummularioides D.Don** Geranium procurrens Yeo* Ericaceae Kaasai Fr Ripe fruits eaten and as dye Fr: Food (2); Lf, Fr: Medicine, Food (1, 9), 75 Chhaapaa Sh, Lf Root in wounds (Piriu) Urticaceae Puwa Br Bark as threads, ropes, and rough clothes 77 Urticaceae Barmitina Rt Root in bowls (Pilo). Roots eaten 78 Hedera nepalensis K. Koch Araliaceae Piplepaatte Lf Plant as fodder 79 Zingiberaceae Tunti Rt Root as anti-allergic, fever Apiaceae Tee Rt, Sh Roots in stomach pain. Tender shoots as vegetable Rt, Fr: Medicine (3, 7) 81 Hedychium coronarium J. Koenig* Heracleum candicans var. obtusifolium (Wall. ex DC.) F.T. Pu & M.F. Watson Holboellia latifolia Wall. Lardizabalaceae Banbaalu Fr Ripe fruits eaten Fr: Food (2, 9) 82 Ilex dipyrena Wall. Aquifoliaceae Syaru Sh, Lf Woods for fuelwood and leaves as fodder Wd, Fr: Fuel, Food (2, 9) 83 Impatiens urticifolia Wall.* Balsaminaceae Banbhaango Fr Seeds eaten raw Sd: Food (2) 84 Imperata cylindrica (L.) P. Beauv. Cyperaceae Siru Lf Plant for fodder and in worms and diarrhea in animals Wp, Rt: Fodder, Medicine (1, 2) 85 Jasminum humile L.** Oleaceae Phaadulla Fr, Fl Ripe fruits as dye Rt, Fl: Medicine (1, 2, 3); Rt, Br: Medicine (1, 3); Br: Medicine (9) 86 Juglans regia L. Juglandaceae Khaasai Sh, Br, Sd Bark in toothache and as dye and fish poison Br, Lf, Sd, Wd: Medicine (2, 9), Br, Lf: Medicine (1); Br, Nt: Medicine (7), Poison, Food, Commercial (3); Fr, Sd: food (8), Br, Lf, Fr: Medicine, Food, Dye (4) 80 Lf, Br: Food, Medicine, Fiber (2, 4, 8, 9) Wp, Rt: Medicine, Food, Material (1, 2, 9) Wp: Medicine, Fodder (2); Lf, Fr: Medicine; Lf, Fl: Medicine, Social (3) Lf: Medicine (9); Lf, Fr: Medicine (1) Table 4.1 contd. ... Ethnic Uses of Plant species Among Magar People in Nepal 75 Geraniaceae Girardinia diversifolia (Link) Friis Gonostegia hirta (Blume) Miq. 76 Uses S.N. Botanical names of plant species Family Local name (Magar) Parts use 87 Juniperus indica Bertol. Pinaceae Dhupa Lf 88 Asteraceae Jhula Sh, Lf 89 Leibnitzia nepalensis (Kunze) Kitam. Leucosceptrum canum Sm. Lamiaceae Phusare Rt Wd, Lf: Incense (2, 9), Material (8); Lf, Fr, Wd: Medicine, Social, Material, Fuel, Commercial (3) Root in stomachache. Leaf in wounds and St, Lf, Fr: Medicine (3) as tinder Root in wounds Lf, Fr: Fodder, Food (2) 90 Lilium nepalense D. Don Liliaceae Gaa Rt Bulbs as food 91 Lindenbergia muraria (Roxburgh ex D. Don) Brühl* Orobanchaceae Garichan Rt, Sh, Lf Plant in cuts, wounds, and burns 92 Lindera neesiana (Wall. ex Nees) Kurz Lindera pulcherrima (Nees) Hook. f. Lyonia ovalifolia (Wall.) Drude Lauraceae Tipa Fr Fruits antidotes, in flatulence Lauraceae Phusare Wd, Lf Woods as fuelwood. The plant for fodder Ericaceae Sirwaan Wd, Lf Woods as fuelwood and timber Machilus duthiei King ex Hook. fil. Synonym: Persea duthiei (King) Kosterm. Maharanga emodi (Wall.) A. DC. ** Mahonia napaulensis DC. Lauraceae Jyang Lf Leaves fodder Wd, Lf: Medicine, Poison, Fuel (2); Lf, Bd, Rt: Poison, Medicine (1, 5, 9); Wp. Rt. Lf: Medicine, Poison (4) Sh, Lf: Medicine (1, 9) Boraginaceae Mahaarangi Rt Root extracts as dye Rt: Medicine (2, 3) Berberidaceae Maadale chyantro Rt,Fr 98 Maianthemum purpureum (Wall.) LaFrankie Asparagaceae Jyabir Lf Ripe fruits eaten and as dye. Root bark as dye Tender shoots and leaves vegetable. Roots in trade Br, Fr: Medicine, Dye, Food (1, 2, 4, 9) Lf, Ts: Food (2) 99 Marsdenia lucida Edgew. ex Madden Moor ralaa Sh, Lf Tender shoots and leaves are poisonous to cattle Wp: Fencing (2) 100 Mentha spicata L. Baasmati Rt Leaves as pickle Lf: Medicine (1); Lf, Sd: Medicine, Food (2) 93 94 95 96 97 Apocyanaceae Present findings Comparison to previous findings (Literature review) Leaves as incense Bu: Food (1), Medicine (2) Rt, Br, Lf, Fr, Sd: Medicine (15); Fr, Sd: Medicine (2, 9) Wd, Lf: Fuel, Fodder (2) 76 Wild Plants: The Treasure of Natural Healers ...Table 4.1 contd. Morina longifolia Wall. ex DC. Capprifoliaceae Jhyankaatu Rt Root or latex in fever 102 Morus alba L. Moraceae Hoi/Toot Fr Ripe fruits eaten Wp: Incense (2); St, Lf, Fl: Medicine (1) Fr: Food (2, 4, 8) 103 Myriactis nepalensis Less. Asteraceae Lese kura Lf Plant in cuts, wounds and burns Fr: Food (2) 104 Myrsine semiserrata Wall. Primulaceae Makya Lf Leaves as fodder Wd, Lf: Fuel, Fodder (2) 105 Neohymenopogon parasiticus (Wall.) Bennet Rubiaceae Lf Dry leaves used by Witch-doctors Fr: Medicine (1, 2, 9) 106 Ophioglossum costatum R. Br. Synonym: Ophioglossum pedunculosum Desv. * Oreocnide frutescens (Thunb.) Miq. Ophioglossaceae Bargulaa Lf Fronds as vegetable Urticaceae Sarghil Lf Tender shoots as vegetable Lf: Medicine (1); Rt, Ts, Lf, Br: Medicine, Food, Material (2) 108 Paris polyphylla Sm. Melanthiaceae Satawaa Rt Root in cuts, wounds, and antidote 109 Persicaria nepalensis (Meisn.) Miyabe Polygonaceae Ratane Sh, Lf Plant as fodder Rh: Medicine (1, 2, 3, 4, 8, 9); Commercial (3); Rt: Medicine (1); Lf, Ts, Rt, Wp: Food, Medicine, Poison (2) 110 Phytolacca latbenia (Moq.) H. Walter Phytolaccaceae Jargo Rt. Sh Root in gastritis. Tender leaves and shoot as vegetable 111 Pinus roxburghii Sarg. Pinaceae Dang Wd 112 Pinus wallichiana A.B. Jacks. Pinaceae Dhupi Wd, Rn 113 Plantago asiatica subsp. erosa (Wall.) Z.Y. Li Hate/ Gandowasa/ Aantkatawa Rt 114 Pleione humilis (Sm.) D. Don Plantaginaceae Ghabhyato Rt Bulb in bone fracture Bu: Medicine (1, 2) 115 Polygonatum verticillatum (L.) All. Asparagaceae Rukan Lf Tender leaves and shoots as vegetable 116 Polygonum milletii (H. Lév.) H. Lév. Polygonaceae Paat wa:/Laapse Rt Root in dysentery and diarrhea, on cuts and wounds Tu, Lf, Sh: Medicine, Food, (2, 9), Rt: Medicine, Food (1, 3); Lf: Food (8) Sd: Food (2) 107 Lf, Ts: Food (2); Rt: Medicine (9); Rt, Fr: Medicine, Condiment (1); Rt: Medicine (5) Woods as fuelwood and timber Wd, Lf, Rn, Sd: Timber, Medicine, Food (2); Wd, Rn: Timber, Material, Medicine, Trade (1, 4, 5); Rn, Sd; Medicine, Food (9) Woods as fuelwood and timber. The resin Rn: Medicine (1, 5), Wd, Rn: in skin fracture Material, Commercial (2, 3); Rn: Medicine (1), Wd: Religious (8) Root in gastritis Rt: Medicine (2) Table 4.1 contd. ... Ethnic Uses of Plant species Among Magar People in Nepal 77 101 Uses S.N. Botanical names of plant species Family Local name (Magar) Parts use 117 Potentilla lineata Trevir. Rosaceae Baan mulaa 118 Prinsepia utilis Royle Rosaceae 119 Prunella vulgaris L. 120 Present findings Comparison to previous findings (Literature review) Rt, Sh Root in gastritis Rt: Medicine (1, 9) Kaaikiram Sh, Sd Seeds to extract oil Sd, Fr, Lf: Medicine, Food, Fodder (2); Sd: Food (8), Medicine (5, 9) Lamiaceae Dhaakar Lf Plant in backaches Wp: Medicine (2) Prunus cornuta (Wall. ex Royle) Steud. Synonym: Padus cornuta (Wall. ex Royle) Carrière Prunus napaulensis (Ser. ex DC.) Steud. Synonym: Padus napaulensis (Ser.) C.K. Schneid. Pyracantha crenulata (D. Don) M. Roem. Pyrus pashia Buch.-Ham. ex D. Don Rosaceae Gong rikureli Fr Ripe fruits eaten Fr: Food (2) Rosaceae Rikureli/Chhitu Wd, Lf, Fr Woods as fuelwood and timber. Ripe fruits as dye Fr, Wd, Lf: Food, Material, Poison (2); Fr: Food (8) Rosaceae Ghangaaru Fr Ripe fruits eaten Wp, Fr: Hedge, Medicine, Food (2) Rosaceae Mihel Sh, Fr Woods as fuelwood. Ripe fruits eaten Fr, Lf: Food, Medicine, Fodder (2, 9); Wd, Fr: Materials, Medicine (4) 124 Quercus lanata Sm. Fagaceae Mising Sh, Lf, Fr Plant as fodder. Woods as fuelwood and timber. Bark extract in sprains. Resin in soothing body aches Wd, Br, Rn, Lf: Fuelwood, Material, Medicine, Fodder (2); Br, Rn, Ct: Medicine (1) 125 Quercus leucotrichophora A. Camus Synonym: Quercus oblongata D. Don Quercus mespilifolia Wall. ex A.DC. Synonym: Quercus mespilifolioides A. Camus* Quercus semecarpifolia Sm. Fagaceae Saipaa Wd, Lf The plant as fodder. Woods as fuelwood. Acorns for pigs Wd, Br, Lf, Fr: Fuel, Material, Fodder, Food (2) Fagaceae Sari Wd, Lf, Fr Woods as fuelwood and timber. Plants for fodder. Fruits for pigs Fagaceae Kar Wd, Lf Plant as fodder. Woods as fuelwood and timber. Bark extract in sprains. Resin in soothing body aches 121 122 123 126 127 Wd, Br, Lf, Rn, Sp: Timber, Fuelwood, Medicine, Food (2) 78 Wild Plants: The Treasure of Natural Healers ...Table 4.1 contd. 128 Rheum australe D. Don Polygonaceae Chhikum Rt, Sh, Lf Root in stomach pain and as dye. Petioles Rh: Medicine (1, 2, 3, 6), Dye (2, 8), as pickle Trade (8); Pt: Food (3, 8) 129 Rhododendron arboreum Sm. Ericaceae Sarwaai Wd, Lf Fr Flower in fish bone plugins in throat. Woods as fuelwood and timber 130 Rhododendron barbatum Wall. ex G. Don* Rhododendron campanulatum D. Don Ericaceae Kanwaai Wd Woods as fuelwood and timber Ericaceae Chemalaa Sh, Lf, Fl Flower in scabies (Dhaada). Leaf as rat poison. The plant as fuelwood Lf, Sh; Medicine, Fuel (2); Fl: Medicine (1), Wd: Material (8) 132 Rhus succedanea L. Anacardiaceae Bhalaayo Wd, Lf Woods as fuelwood. Bark and leaves as corrosive and vesicant Lf, Fr: Allergy, Food (2, 4) 133 Ribes glaciale Wall. Grossulariaceae Rijhyaunsai Fr Ripe fruits eaten Fr: Food (2) 134 Ricinus communis L. Euphorbiaceae Aareda Sd Seed in vegetable ghee 135 Rosa brunonii Lindl. Rosaceae Dhankila Sh Plant as fuelwood Rt, Br, Lf, Fl, Sd, Ct: Medicine, Poison (2) Fr: Food (2) 136 Rosa macrophylla Lindl. Rosaceae Bhaarmase Rt Root in heartburn and stomach pain 137 Rubia manjith Roxb. ex Fleming Rubiaceae Khasare Lf Leaf on cuts and wounds 138 Rubus ellipticus Sm. Angselu Fr Ripe fruits eaten 139 Rubus hoffmeisterianus Kunth & Rosaceae Bouché* Zoosai Fr, Lf Fermented leaf in Marasmus and inappetite. Ripe fruits eaten 140 Rosaceae Naample Fr Ripe fruits eaten Fr: Food (2, 9) 141 Rubus nepalensis (Hook. f.) Kuntze Rumex hastatus D. Don Polygonaceae Kaapu Rt, Sh, Lf, Fr Roots, tender shoots and leaves as condiment in fish and as pickle Wp, Lf, Ts: Medicine, Food, Fodder (2) 142 Rumex nepalensis Spreng. Polygonaceae Theulaa Rt, Lf Root in gastritis and diarrhea Wp: Medicine, Food (1, 2, 3) 143 Sabia campanulata Wall. * Sabiaceae Kaalilara Sh Shoot tenders as vegetable 144 Salix babylonica L. Salicaceae Bainsa Sh, Lf 145 Salix sikkimensis Andersson* Salicaceae Kyang Sh, Lf Woods used as fuelwood. Leaves as fodder Woods as fuelwood and timber. Leaves as fodder 131 Fl, Lf: Medicine, Food, Fodder (2, 3); Fr: Medicine (7) Rt, St: Medicine, Dye (2); Lf: Medicine (1); Rt: Dye (8) Wp: Food, Medicine, Fodder (2, 9); Fr: Food (8) Br: Medicine (1, 5); Wd: Material (2) Table 4.1 contd. ... Ethnic Uses of Plant species Among Magar People in Nepal 79 Rosaceae Wd, Br, Lf, Fl: Material, Medicine, Food, Poison (2); Br, Lf, Fl: Medicine, Poison (4, 5, 9) Uses S.N. Botanical names of plant species Family Local name (Magar) Parts use 146 Santalum album L. Santalaceae Chandan 147 Satyrium nepalense D. Don Orchidaceae 148 Schisandra grandiflora (Wall.) Hook. f. & Thomson 149 150 151 Present findings Comparison to previous findings (Literature review) Sh Woods in religious functions Wd: Medicine (1, 5) Sirki Rt Roots in stomach pain Schisandraceae Ringhul Fr Ripe fruits are edible Rt: Medicine (1, 11); Bu, Lf: Food (2) Fr: Food (2) Scurrula elata (Edgew.) Danser Loranthaceae Jokhaare Fr Ripe fruits edible Fr: Food (2) Selaginella biformis A. Braun ex Kuhn Selinum wallichianum (DC.) Raizada & Saxena Selaginellaceae Pa Lf Plant in cuts and wounds Lf, Rh: Medicine (2) Apiaceae Surkun Lf Stem pith eaten. Tender leaves as vegetable Rt, Lf, Ts: Medicine, Food (2); Rh, St: Medicine, Food (9) 152 Setaria viridis (L.) P. Beauv. * Poaceae Ghundebanso/Nawang Sh, Lf The plant as fodder 153 Smilax aspera L. Smilacaceae Daangru Sh 154 Solena heterophylla Lour. Cucurbitaceae Bidumba Rt, Fr Tender shoots and leaves as vegetable pickle Plant juice in stomachaches. Fruits eaten 155 Sorbus cuspidata (Spach) Hedl. Synonym: Sorbus vestita (Wall. ex G. Don) Lodd. Stellaria vestita Kurtz Rosaceae Porou naa Wd, Lf, Fr Woods as fuelwood. Leaves as fodder. Ripe fruits eaten Caryophyllaceae Armaale Lf Tender shoots leaf as vegetable. Leaf on cuts wounds Acanthaceae Angaari Sh, Lf Poisonous to cattle 158 Strobilanthes lachenensis C.B. Clarke* Swertia chirayta (Roxb.) Karst. Gentianaceae Runka Taraxacum parvulum DC. * Asteraceae Dhaalmundraa Plant in cold, cough, headache and jaundice Leaf and latex in cuts and wounds. Roots in trade. Dried plant as tea Wp: Medicine (1, 2, 3, 4, 5, 9) 159 Rt, Sh, Lf, Br, Fr, Fl Rt, Sh, Lf 160 Taxus contorta Griff.** Pinaceae Jham chettri Sh, Woods as fuelwood and timber. Stem in cancer. Leaves as incense Wd, Lf: Incense, Medicine (2), Religious (8) 161 Thalictrum chelidonii DC. * Ranunculaceae Dhongare Sh, Lf Tender shoots and leaves as vegetable 162 Thamnocalamus spathiflorus (Trin.) Munro Poaceae Salma Sh, Lf Culms in social and religious ceremony. Shoot tender vegetable. Leaves as fodder 156 157 Lf, Ts, Fr: Food, Medicine (2) Wp, Fr: Medicine, Fodder, Food (2) Wp: Medicine (1, 2); Ts, Lf: Food (2) Cu, Lf: Material, Fodder (2) 80 Wild Plants: The Treasure of Natural Healers ...Table 4.1 contd. 163 164 Themeda arundinacea (Roxb.) A. Camus Toona sinensis (A. Juss.) M. Roem. * Poaceae Pusai Sh, Lf Plants for fodder Meliacaeae Tooni Sh, Lf Plant as woods. Leaves in social and religious rituals Cu: Construction (9) Tragopogon gracilis D. Don* Asteraceae Sorno Rt, Sh, Lf Root and latex in cuts and wounds (Chhedar). Shoots eaten 166 Typhonium diversifolium Wall. ex Schott Araceae Tin-chyo Lf Young leaves as vegetable or fermented (Gundru) Lf: Food (2, 3), Medicine (3); Cm: Food (8) 167 Urtica dioica L. Urticaceae Nganti Lf Tender shoots and leaves as vegetable Rt, Lf: Medicine, Food (2, 9); Wp: Medicine, Food (3), Lf, Ts: Food (8) 168 Valeriana hardwickii Wall. Capprifoliaceae Somaayaa Rt Root in trade, headache Lf, Rh: Medicine, Food, Religious (3); Rh: Incense, Medicine (8) 169 Verbascum thapsus L. Scrophulariaceae Yume Rt Root in diarrhea, dyspepsia, and fever 170 Viburnum cotinifolium D. Don Capprifoliaceae Huirong Sh Branches as walking sticks Wp, Rt: Medicine, Poison (1, 2, 9); Lf, Rt, St, FL; Medicine, Poison (5); Lf, St, Fl: Medicine (7) Br, Fr: Medicine (8), Fr: Food (9) 171 Viburnum cylindricum Buch. -Ham. ex D. Don * Capprifoliaceae Munumchornii Wd, Br, Lf, Fr Woods as fuelwood. Leaves as fodder. Bark extract and fruits as dye 172 Viburnum erubescens Wall. Capprifoliaceae Hyanbur Wd, Fr Woods as fuelwood. Ripe are edible 173 Viburnum mullaha Buch. -Ham. ex D. Don Capprifoliaceae Bataapsaii Wd, Fr 174 Viscum album L. Santalaceae Jokhaare Fr 175 Zanthoxylum armatum DC. Rutaceae Tinbur Fr, Sd Lf, Sd: Medicine (1); Rt, Fr: Medicine, Food (2); Lf, Fr, Sd: Medicine, Food (9) Woods as fuelwood. Ripe fruits eaten and Fr: Medicine (1), Food (9); Wd, Lf, fruits as dye Fr: Material, Medicine, Food, Dye (2) Ripe fruits eaten Wp: Medicine (1, 2, 4, 5, 9), Food (2, 9) Seeds in cold, stomach disorder, and Rt, Br, Lf, Fr, Sd: Medicine, Food poison. Fruits as pickle (1, 2, 4, 5, 9) Parts used: Rt: Root, Wd: Wood, St: Stem, Sh: Shoot, Br: Bark, Lf: Leaf, Fr: Fruit, Fl: Flower, Sd: Seed, Cu: Culm, Tu: Tuber, Rh: Rhizome, Rn: Resin, Ts: Tender shoot, Ct: Cotyledon, Wp: Whole Plant, Tr: Tree, Bu: Bulb, Lt: latex. Use categories: Dt: Dye and Tanning, Fb: fiber, Fd: Food, Fo: Fodder, FW: Fuelwood, Md: Medicine, Po: Poison, SR: Social and Religious, Tm: Timber, Tr: Trade, Ol: Oil. Previous findings based on: 1-Baral and Kurmi (2006), 2-Manandhar (2002), 3- Ghimire et al. (2008), 4- Dutta (2007), 5-DPR (2007), 6-Bhattarai et al. (2006), 7-Lama et al. (2001), 8-Gautam (2012), 9-Rajbhandari (2001), 10-Rajbhnadary (2013). *New use flora for Nepal, ** Documented different uses in previous literatures. Nomenclature based on: http://www.efloras.org/flora_page.aspx?flora_id=110, http://www.theplantlist.org/, and http://www.catalogueoflife.org/col/search/all/key/Valeriana+hardwickii+/ fossil/1/match/1 Ethnic Uses of Plant species Among Magar People in Nepal 81 165 82 Wild Plants: The Treasure of Natural Healers Figure 4.5: Percentage of plant species in different forms used for food purposes. Informant Consensus Factor (Fic), Use Frequency (UF), and Use Value (UV) The level of informant agreement was high (Fic = 1) for eight ailment categories and total consensus (Fic = 1) was obtained for dandruff, cancer, frightening, warts, pneumonia, jaundice, anesthetic, skin fracture, and eye problem (Table 4.2). Heartburn, vomiting, asthma, itching, joint ache, mumps, bone fracture, and the delivery problem showed a low level of consensus. Burns, cuts, wounds, and cancer ailments were very significant, since each of the 19 species in total was used against these ailments, followed by diarrhea and stomachache (16 species each), fever and gastritis (10 species each). Based on use frequency (UF), the most frequently used species of the study area were Taxus contorta (0.86), Juglans regia (0.78), Quercus semecarpifolia (0.76), Quercus lanata (0.76), Abies spectabilis (0.64), Lyonia ovalifolia (0.62), Quercus mespilifolioides (0.58), Berberis aristata (0.56), Cornus capitata (0.52), Fragaria nubicola (0.52), and Holboellia latifolia (0.52). The most frequently used medicinal species include Swertia chirayta (0.38), Paris polyphylla and Anemone vitifolia (0.34 each), Myriactis nepalensis (0.24), and Bergenia ciliata (0.22). Similarly, Cornus capitata and Polygonatum verticillatum (0.38 each), Holboellia latifolia (0.36), Fragaria nubicola (0.28), Arisaema griffithii (0.26), and Corylus ferox (0.24) were among the most frequently used food species. The most useful plant species in terms of overall use value considering all use categories were Berberis aristata (UV = 2.82), Aesculus indica (2.75), Cerasus cerasoides (2.53), Berberis asiatica (2.42), Ficus neriifolia (2.08), Pinus wallichiana (2.06), and Aconitum ferox (2.00). In terms of medicinal use value, Bergenia ciliata (UV = 3.29), Swertia chirayta (2.08), Aconitum ferox, Aconitum gammeie, and Acorus calamus (UV for each 2.00), Delphinium vestitum (1.93), and Dactylorhiza hatagirea (1.67) were highly important, with the highest use values for medicinal use category. Considering food use value, Polygonatum verticillatum (0.30 each), Arisaema jacquemontii and Lindera neesiana (0.04 each), Asparagus racemosus, Rumex nepalensis, Tragopogon gracilis, and Rhododendron arboreum (0.03 each) were highly important with highest use values. Table 4.2: Informant consensus factor (Fic) for different ailment categories. Use reports (Nur) Number of taxa (Nt) Fic Botanical Name of Plant species Dandruffs (Ghurul) 3 1 1 Urtica dioca Cancer 2 1 1 Tsuga dumosa Vomiting (Wakya) 3 2 0.5 Bergenia ciliata, Swertia chirayta Diarrhea (Phuu) 38 16 0.595 Berberis asiatica, Bergenia ciliata, Daphne bholua, Ageratina adenophora, Fagopyrum dibotrys, Imperata cylindrica, Campylotropis speciosa, Potentilla lineata, Brucea javanica, Polygonum milletii, Rumex nepalensis, Frightening (Sato) 2 1 1 Equisetum arvense Warts (Jojhai) 5 1 1 Ampelocissus rugosa Gastritis (Gȃndo) 31 10 0.7 Bergenia ciliata, Myriactis nepalensis, Fagopyrum dibotrys, Cyperus cyperoides, Plantago asiatica, Potentilla lineata, Rubus hoffmeisterianus, Rumex nepalensis, Zanthoxylum armatum, Phytolacca latbenia Typhoid (Ghȃmjoro) 4 4 0 Aconitum gammiei, Dactylorhiza hatagirea, Swertia chirayta, Delphinium grandiflorum Pneumonia (Sardi) 3 1 1 Cannabis sativa Jaundice (Pahenle) 4 1 1 Swertia chirayta Joint ache (Chhare ghȃsi) 11 8 0.3 Anemone rivularis, Arisaema jacquemontii, Cannabis sativa, Clematis terniflora, Agave americana, Swertia chirayta, Curcuma angustifolia Allergy (Jaabe) 5 4 0.25 Aconitum gammiei, Acorus calamus, Rumex nepalensis, Hedychium coronarium Burns, Cuts, and Wounds 52 19 0.647 Aconitum spicatum, Polygonum milleti, Delphinium vestitum, Dipsacus inermis, Myriactis nepalensis, Drymaria cordata, Ageratina adenophora, Lindenbergia muraria, Paris polyphylla, Pinus wallichiana, Galium asperuloides, Rubia manjih, Taraxacum parvulum, Leibnitzia nepalensis, Eriocapitella vitifolia, Selaginella biformis, Stellaria vestita, Cheilanthus dalhausiae, Fever (Joro) 12 10 0.182 Aconitum gammiei, Bergenia ciliata, Cirsium verutum, Cynodon dactylon, Daphne bholua, Paris polyphylla, Taraxacum parvulum, Verbascum thapsus, Morina longifolia, Hedychium coronarium Stomach pain 30 19 0.379 Aconitum gammiei, Aconitum spicatum, Solena heterophylla, Bergenia ciliata, Dactylorhiza hatagirea, Daphne bholua, Delphinium vestitum, Fagopyrum dibotrys, Paris polyphylla, Potentilla lineata, Quercus semecarpifolia, Rheum australe, Rhododendron campanulatum, Brucea javanica, Satyrium nepalense, Urtica dioica, Zanthoxylum armatum, Leibnitzia nepalensis, Rosa macrophylla, Delphinium grandiflorum Scabies (Khaira) 3 3 0 Acorus calamus, Rhododendron campanulatum, Rumex nepalensis Table 4.2 contd. ... Ethnic Uses of Plant species Among Magar People in Nepal 83 Use category (Local name) Use category (Local name) Use reports (Nur) Number of taxa (Nt) Fic Botanical Name of Plant species Mumps (Baangale) 4 3 0.333 Verbascum Thapsus, Gonostegia hirta, Aesculus indica Cough (Rughaa) 26 6 0.8 Acorus calamus, Bergenia ciliata, Lindera neesiana, Rhododendron arboreum, Swertia chirayta, Zanthoxylum armatum Bone fracture 4 3 0.333 Pleione humilis, Ageratina adenophora, Aconitum gammiei Skin problem 2 1 1 Pinus wallichiana Headache 4 2 0.667 Dactylorhiza hatagirea, Swertia chirayta Eye problem 5 1 1 Ampelocissus rugosa Asthma 3 2 0.5 Cotoneaster microphyllus, Rheum australe Poison 24 8 0.696 Aconitum gammiei, Allium sativum, Asparagus racemosus, Lindera neesiana, Solena heterophylla, Delphinium vestitum, Paris polyphylla, Zanthoxylum armatum Delivery 5 4 0.25 Lindera neesiana, Delphinium vestitum, Paris polyphylla, Zanthoxylum armatum Itching 3 2 0.5 Acorus calamus, Clematis terniflora Toothache 2 2 0 Juglans regia, Begonia picta 84 Wild Plants: The Treasure of Natural Healers ...Table 4.2 contd. Ethnic Uses of Plant species Among Magar People in Nepal 85 Diversity of Ethnic Uses of Plant species in Kham Magar Kham Magar of Rolpa district is highly knowledgeable about the use of plant species. The diverse wild plant resources, including medicinal, food, fiber, and dye yielding plants found in the region, and the remoteness of the region allows them to understand and use them. Specifically, the older generation was highly knowledgeable about the diverse use of the species. The use of a few species, such as Juglans regia, Fraxinus floribunda, and Maharanga emodi as dye was reported from two elders who were in their nineties. The very first case study conducted in Kham Magar community documented and provided the importance of plants for the fulfillment of their daily needs in the region. A total 175 species were identified as ethnobotanically useful species based on empirical ethnobotanical study. Twenty five new species have been added in the list of useful flora of Nepal from this study, of which 10 are medicinal, 1 is poisonous, and 14 species have other uses (Table 4.1). The findings of this study support the possibility of recording new information on ethnobotanical importance through extensive ethnobotanical in Kham Magar community. Most of the wild plant species were used for food and medicine, as reported in other parts of Nepal (Kunwar and Bussmann 2008, Gautam 2012, Uprety et al. 2012), as well as elsewhere in the world (Rossato et al. 1999). However, Kham Magar people are mainly dependent on agriculture and animal husbandry, and they use plant resources in different ways in their daily basic needs. This might not only be due to remoteness, insufficient basic infrastructures (transportation, health facilities), and poverty, but also due to traditional practice, which has been more culturally acceptable from their forefathers (Chaudhary 1998). Of the 50 interviewees, the majority of them were females (n = 30), and the rest of the 20 were males by gender, and 5 were Jhankries, the traditional healers. Some of the respondents were reluctant to share their experiences. This may be owing to continuous repression by the so-called dominant classes in the past (Pásková 2017). Considering the medicinal plant species, elders and Jhankries were more knowledgeable in comparison to other general local people and the young generation. Regarding gender, Kham Magar women hold good knowledge of food plants, but were less knowledgeable on medicine, fiber, and dye yielding plant species. This is because women are mainly involved in household activities, such as collection of fodder and cattle grazing (Uprety et al. 2012), rather than on treatment using medicinal plants. The majority of the plant species were used in medicine, followed by food, fuelwood, and fodder. This result was different from similar studies in different parts of the country. For instance, Gautam (2012) reported the majority of species used in food, and Thapa (2015) found the majority of species used in fodder. The use of high portion of plant in medicinal may be because Kham Magar have strong dependency on natural remedies for their primary healthcare. Moreover, this may be because of strong cultural beliefs and limited interactions with the outer world (Manandhar 2002). Kham Magar people are selective in the use of plant parts. They use achenes of Anemone vitifolia as an antioxidant and sap of Ampelocissus rugosa in cataract. They commonly use herbs for their shoots, which was different from the previous studies (Shrestha and Dillion 2003, Gautam 2012, Thapa 2015). This may be because herbs are more abundant and easier to collect, process, and transport. Furthermore, shoots contain a high concentration of bioactive compounds (Luitel et al. 2014). Kham Magars are proficient in formulation of medicinal plants for use. They formulate plant parts mostly as juice, which is followed by chewing, paste, decoction, and powder (Kunwar et al. 2013). In some cases, sap, latex, and resins of the plants are also used as ointment. Medicinal plant parts were mostly formulated as powder (Thapa 2015). Some plants are formulated in multiple preparation methods based on the knowledge provided by predecessors (Uprety et al. 2010, Bhattarai et al. 2006). The food plants were eaten mostly raw than cooked. Mainly fruits, seeds, and shoot tenders were eaten raw. 86 Wild Plants: The Treasure of Natural Healers Cultural Valuation of Plant species by Kham Magars Kham Magars are efficient in the valuation of plant species in different categories. Three quantitative techniques—Informant Consensus Factor (Fic), Use Frequency (UF), and Use Value (UV) have been used to analyze the usefulness of the ethnobotanical species among Kham Magar (Philips and Gentry 1993, Rossato et al. 1999, Tardio and Santayana 2008). Fic value was determined in order to know the agreement among the informants of the study area for the use of plants to treat certain ailment categories. The Fic value in eight ailment categories was found to be ‘1’, indicating a high level of informant agreement compared to similar studies conducted in Nepal Himalaya (Kunwar et al. 2010). The plant species having high value of Fic were supposed to be efficient in treating particular ailments. In this study, Urtica dioica with Fic = 1 may be sufficient in the treatment of dandruff. Similarly, Ampelocissus rugosa is useful in treatment of warts, Taxus contorta in cancer, and Swertia chirayita in jaundice. So, the plant species that have high consensus values are socio-economically significant and important for pharmacological research to elucidate the chemical compound responsible for the antibacterial activity of plants (Canales et al. 2005). The UF of overall useful plant species was high compared to medicinal and food plant species. This is because the UF value depends on the number of informants who cite plant species for its effectiveness and easy accessibility (Tardio and Santayana 2008). The medicinal plant species were mostly cited by Jhankries for the particular sub-use category, so the UF was less compared to overall useful species. Here, Taxus contorta with the highest UF value was the most frequently used species, as this species was cited by most of the informants (n = 43) because of its effectiveness. Similarly, the UV was also high for the overall species compared to medicinal and food species. This is because for medicinal plants, the number of use report for a species was less. The UV of food species was lowest compared to overall and medicinal species. This may be due to the low use reports for each species, because most of the species were cited for only single-use category (Tardio and Santayana 2008). Thus, the highest important (Fic, UF, and UV) values shown by useful plants indicate that these species are highly preferred by local people, which might be due to easy accessibility or easy to harvest and high phytochemical constituents. Conclusion Documentation of ethnic knowledge is important before they set with elders. Many elders in Magar community have passed away before they could transmit their knowledge to the next generation. The case study conducted in Kham Magar documented 175 ethnically used plant species, of which 25 species (nine medicinal, one poisonous, and 15 with other uses) were new to use flora of the country. There is further more possibility of recording new uses through extensive ethnobotanical study in adjoining areas among Magar Kham. Magar Kham is highly knowledgeable specifically in the use of medicinal plants, so a high diversity of medicinal species has been reported. The quantitative ethnobotanical analysis revealed that 47 species were used for various ailment categories. Species such as Taxus contorta, Juglans regia, Quercus semecarpifolia, Quercus lanata, Abies spectabilis, and Lyonia ovalifolia were frequently used species, and species such as Aconitum gammiei, Swertia chirayta, Acorus calamus, Bergenia ciliata, and Rheum austale were the most valuable species based on use value. The highest important (Fic, UF, and UV) values shown by medicinal plants indicate that these species are highly preferred by local people, which might be due to high phytochemical constituents. Many species were harvested by Kham Magar for their livelihood. 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Cambridge University Press. 5 Some Plants Used as Phytomedicine by Tribal Healers of Chittagong Hill Tracts, Bangladesh Khoshnur Jannat,1 Rownak Jahan,1 Taufiq Rahman,2 Md Shahadat Hossan,3 Nasrin Akter Shova,1 Maidul Islam1 and Mohammed Rahmatullah1,* Introduction Ethnobotany implies the study of interactions between plants and people, the study comprising of gathering and documentation of the traditional knowledge and culture of the people in their use of plants for food, clothing, and medicine. Food and medicine are closely related, so much so that Hippocrates said “let food be thy medicine and let medicine be thy food” (Smith 2004). It is a fact that a lot of plants consumed by early humans and even modern humans have dietary, preventive, and therapeutic values. For instance, garlic has food value as a spice, the cloves are cardioprotective, and eating garlic can reduce cholesterol in hypercholesterolemic subjects (Das et al. 2016). A more selective term in ethnobotany is ethnomedicine—understood by most scientists as traditional medicine based on plants and animals, practiced by various ethnic groups, and whose traditional medicine(s) differs from allopathic medicine. Ethnomedicine is increasingly gaining importance in recent years; plants have always formed a source of new drugs, and it is being more and more appreciated that instead of synthetic chemistry, plants can be rich sources of more drugs in the future. Traditional medicine has different names in different countries, but all have originated from the medicinal practices of indigenous people. In China, traditional Chinese medicine (TCM) dates back thousands of years ago; in India, Ayurveda developed around 4000 BC; Unani medicine developed in Greece around 2,500 years ago, and then through Arabs took root in India and some other Muslim countries; Kampo or traditional Japanese medicine came to Japan through Korea possibly in the 5th or 6th century AD; traditional medicines practiced by Australian aborigines and African tribal shamans have unknown time periods of origin; Russian herbal medicine developed in the 10th century (Yuan et al. 2016). All of these traditional medicinal systems are basically phytotherapeutic in nature. Human 1 Department of Biotechnology and Genetic Engineering, University of Development Alternative, Lalmatia, Dhaka-1207, Bangladesh. 2 Department of Pharmacology, University of Cambridge, Tennis Court Road, CB2 1PD, UK. 3 School of Pharmacy, University of Nottingham, Nottingham NG7 2RD, UK. * Corresponding author: rahamatm@hotmail.com Some Plants Used as Phytomedicine by Tribal Healers of Chittagong Hill Tracts, Bangladesh 91 beings, since their very advent either by trial and error, or through fortuitous circumstances, or even by watching animals, learned to use plants as medicines. Wild chimpanzees in Uganda are known to ingest medicinal plants during various sicknesses (Krief et al. 2005); the same has been observed for wooly spider monkeys in Brazil (Petroni et al. 2017). Interestingly, at least a good proportion of the medicinal plants believed to be ingested by chimpanzees or wooly spider monkeys were also used by humans residing in or near the same forests for what appeared to be similar therapeutic purposes. It can then be safely said that plants from time immemorial had formed the mainstay of human medicinal uses (besides satisfying nutritional needs). It is also self-evident that before the advent of the presently codified traditional medicinal systems and allopathic medicine, tribal medicinal practitioners were the repositories of medicinal knowledge, which in the absence of writing, were orally transmitted from generation to generation—a practice still present in recent times. Although allopathic medicine is in vogue for only about two centuries, a number of allopathic drugs have been discovered from observing and documenting the medicinal practices of indigenous people (Gilani and Rahman 2005). Major plant drugs for which no synthetic ones are available include vinblastine, reserpine, quinine, pilocarpine, cocaine, morphine, codeine, and artemisinin, to name only a few (Kumar et al. 1997). More plant-originating drugs are likely to enter the market or have done so, which include romidepsin, curcumin, ternatolide, camptothecin, and lovastatin (Yuan et al. 2016). Considering that the modern age is seeing the emergence of new diseases (Ebola, MERS. Nipah, Hanta, bird flu to name a few) and emergence of drug-resistant vectors, the modern world is in desperate need for new drugs that can combat these twin menaces. There are also other considerations, such as modern synthetic drugs may give adverse effects and are not affordable to people of developing countries. Just as an example, cisplatin, which is a chemotherapy medication used against a number of cancers, is nephrotoxic (Nasri 2013); on the other hand, garlic which has anti-cancer potential (Petrovic et al. 2018), has renoprotective effect (Nasri 2012). Other factors also necessitate the discovery of efficacious drugs, such as increase in non-contagious diseases, such as cardiovascular disorders, diabetes, cancer, and neurodegenerative disorders. There are about 391,000 vascular plants known to science, of which 369,000 are flowering plants, according to Planeta.com. Since all plants produce dozens to hundreds of secondary metabolites, which have pharmacological activities ranging from toxic to having therapeutic values, plants may be our main hope in preventing and curing diseases. However, instead of moving in the dark, the scientific first step would be to monitor the therapeutic uses of plants by traditional medicinal practitioners, preferably practitioners belonging to the indigenous people, for they are the persons who, for generations, have treated diseases with plants. This review will attempt to cover some medicinal plants used by the tribal people of Bangladesh. Bangladesh has perhaps over 100 large and small tribes within its borders (Chakma and Maitrot 2016), and it is a longstanding debate among the anthropologists about the number of tribes, and whether the tribes are indigenous or recent arrivals. We shall use the two terms interchangeably for the documented arrival of the most recent tribes (mainly tea plantation workers, who are essentially fragmented tribes brought to work in the tea estates by the then British rulers, dating around 1850). Research on Medicinal Plants of Chittagong Hill Tracts The list of plants used by the various tribal people and as presented here is not a complete list. Although we had been conducting surveys among various tribes since 2009 (Mia et al. 2009, Hossan et al. 2009, Shahidullah et al. 2009), we believe that we have surveyed only about 20% of the tribes, and that too not completely, since we did not visit all the communities of any given tribe. Tribes can be spread out over large and remote areas. For instance, the Garo tribe can be found in the districts of Tangail, Jamalpur, Sherpur, Mymensingh, Netrakona, Sunamganj, Sylhet, and Gazipur (Figure 5.1). The Chakmas, who form the largest ethnic group in Bangladesh, can be seen in the 92 Wild Plants: The Treasure of Natural Healers Figure 5.1: District map of Bangladesh. districts of Chittagong, Cox’s Bazaar, Khagrachhari, and Rangamati, as well as the states of Arunachal, Mizoram, and Tripura in neighboring India. The phytotherapeutic practices of tribal healers can vary widely; often two tribal or folk medicine healers in adjoining villages (or paras) will use different plant(s) to treat the same ailment (Mollik et al. 2010). The various medicinal plants of tribes residing in the Chittagong Hill Tracts region in the southeast portion of Bangladesh are shown in Table 5.1. This region comprises of four districts, Some Plants used as Phytomedicine by Tribal Healers of Chittagong Hill Tracts, Bangladesh 93 namely Bandarban, Cox’s Bazaar, Khagrachhari, and Rangamati (Figure 5.1). Cumulatively, the region is inhabited by several large and small ethnic groups (tribes), including the Chakmas, the largest ethnic group in Bangladesh. The whole region essentially comprises of low hills covered with dense forests in parts. In the last decade or two, the primary forest is mostly gone, possibly due to the shifting slash-and-burn (jhum) cultivation methods practiced by the various ethnic groups, and also an influx of mainstream population, who have totally cleared forest areas and have prepared the ground for year-round cultivation. A sizeable chunk of once forested area has also been taken over by commercial planters, who cultivate crops such as tobacco, banana, cashew nut, and various other exotic fruits, such as dragon fruit, oranges, peaches, and durian—the fruits being previously never known to be cultivated in Bangladesh. The tribal population cannot use the forest area as before. Even 30 years back, in their slash-and-burn cultivation, a small section of the forest would be burned and cultivated for 2–3 years. The forest part would then be left to regenerate for the next 20 years at least. As a consequence, primary forest (trees) would come back and be able to grow for a sufficient amount of time to bear fruits and seeds, and so attract insects, birds, and fauna. Secondary forests have now largely taken the place of primary forests (Figure 5.2). The forest area now mostly comprises of herbs, shrubs, and occasionally non-indigenous trees, such as Tectona grandis, planted for its wood. The primary forest area now comprises of around 15–20% of the total forest area (Ahammad and Stacey 2016). However, the remaining primary and secondary forests contain over 3,000 floral species, a large proportion of which are medicinally used by the various tribes. A number of facts need to be borne in mind regarding the present review. First, the data presented here on the medicinal plants of the various tribes has been collected by the authors and various other researchers in actual field surveys; the details can be found in the references. No other work has been consulted beyond what has been surveyed by the principal author’s (MR) team(s) at various periods since 2008. Second, this list (Table 5.1) is not a comprehensive list for a variety of reasons, such as not visiting all the tribes, not visiting all the residential communities (paras) of any given tribe, for selection of medicinal plants to treat a certain disease may vary widely between herbal practitioners of the same tribe, and not listing plants mentioned by other authors. Moreover, ethnomedicinal surveys are basically still at its infancy in Bangladesh, and much ground needs to be covered to get a comprehensive idea about the tribal medicinal plants. On the other hand, it is of utmost importance that such surveys be conducted in the quickest possible manner, for not only are forests dwindling because of human habitat pressure, but also that tribal knowledge and culture is being forgotten with the influx of the culture, habits, and education system(s) of the mainstream Bengali speaking population and foreign missionaries. It is the practical experience of the authors that young tribal people do not Figure 5.2: A section of forest land in Bandarban district, Bangladesh. Table 5.1: Plants used for therapeutic purposes by various tribes of Bangladesh (not a comprehensive list). Plant Name English name Family Local name Parts used Diseases treated Tribe References Acanthus ilicifolius L. Holy mangrove Acanthaceae Fereng-jubang Root Sex stimulant, rheumatic pain, cloudy urination Marma Rahmatullah et al. 2009 Andrographis paniculata (Burm.f.) Wall. Nees. Creat Acanthaceae Chirata Whole plant, leaf, stem Fever, pain, malaria, diabetes, stomachic, tonic, alterative, helminthiasis, cholagogue, general debility, dysentery, certain forms of dyspepsia, liver complaints mainly of children, flatulence, diarrhea in children, spleen complaints, colic, strangulation of intestine, constipation, diarrhea, cholera, phthisis, jaundice Chakma Tasannun et al. 2015, Malek et al. 2014 Dicliptera bupleuroides Nees Not known Acanthaceae Kala jaro Leaf, stem Fever, headache, wounds, sores between fingers Chakma Malek et al. 2014 Hemigraphis hirta (Vahl) T. Anderson Hairy Hemographis Acanthaceae Kakra giluk shak Whole plant Headache Chakma Malek et al. 2014 Justicia adhatoda L. Malabar nut tree Acanthaceae Bashok, Ludi bashok Leaf Coughs, mucus, hemorrhoids, rheumatic pain, breathing problems, asthma, helminthiasis, diarrhea, constipation Chakma, Pankho, Marma Malek et al. 2014, Sarker et al. 2013, Esha et al. 2012, Afroz et al. 2013, Rahmatullah et al. 2009 Justicia gendarussa Burm. Gendarussa Acanthaceae Kala jaro gach Leaf Constipation, asthma Chakma Malek et al. 2014, Afroz et al. 2013 Lepidagathis incurva Buch.-Ham. ex D.Don Curved Lepidagathis Acanthaceae Aarae uri nolakkher Leaf, bark, root Skin cancer Chakma Esha et al. 2012 Thunbergia grandiflora (Roxb. ex Rottler) Roxb. Blue Thunbergia Acanthaceae Del lota, Jonghaileng Stem. leaf Conjunctivitis, eye problem, inflammation, cuts and wounds, astringent Chakma Bawm Malek et al. 2014, Hossan et al. 2014 Acorus calamus L. Sweet Flag Acoraceae Paan Raja, Boch Leaf, root Constipation, alopecia, asthma, mental disorders Chakma, Pankho, Tonchongya Tasannun et al. 2015, Sarker et al. 2013, Wahab et al. 2013, Rashid et al. 2012 Acrostichum aureum L. Golden leather fern Adiantaceae Mou-chai-pang Leaf To increase physical strength, cloudy urination in women, sex stimulant Marma Rahmatullah et al. 2009 Adiantum lunulatum Burm.f. Walking maiden hair fern Adiantaceae Arthichum Wholeplant Swollen eye, conjunctivitis Bawm Hossan et al. 2014 Adiantum philippense L. Maiden hair fern Adiantaceae Goyali lota, Bandor thala, Kijau-pai-bang Leaf, root Fever, dysentery, crying in feverish children, sex stimulant Chakma, Marma Tasannun et al. 2015, Rahmatullah et al. 2009 Dracaena spicata Roxb. Dracaena Agavaceae Boang-kholapaing-da Leaf Long-term fever, coughs, and mucus in nose Marma Rahmatullah et al. 2009 Sansevieria roxburghiana Schultes & Schultes f. Indian bowstring hemp Agavaceae Lankh-hi-pang Leaf Leucorrhea, abscess Chakma, Marma Tasannun et al. 2015, Rahmatullah et al. 2009 Achyranthes aspera L. Prickly chaffflower Amaranthaceae Chirchiri, Obalenga Leaf, whole plant, root Abscess, having trouble during urination, passing of blood with urine, jaundice, respiratory problems Pankho, Tonchongya, Marma Sarker et al. 2013, Wahab et al. 2013, Rahmatullah et al. 2009 Aerva sanguinolenta L. Kapok bush Amaranthaceae Lal pata Leaf Insect or snake bite Pankho, Tonchongya Sarker et al. 2013, Wahab et al. 2013 Amaranthus spinosus L. Prickly amaranth Amaranthaceae Kanta marich, Kanta notay Root, leaf Excessive bleeding during menstruation, fever, diarrhea, malaria Pankho, Tonchongya, Marma Sarker et al. 2013, Wahab et al. 2013, Afroz et al. 2013 Celosia argentea L. Silver cockscomb Amaranthaceae Dhupful gach, Kheyang marek Leaf, stem, flower Irregular menstruation, impotency, skin infections Chakma Malek et al. 2014, Esha et al. 2012 Celosia cristata L. Crested cockscomb Amaranthaceae Morogful, Kromopa Branch, leaf, flower, root Leucorrhea, menstrual irregularity, uterus enlargement Chakma, Marma Afroz et al. 2013 Cyathula prostrata (L.) Blume Small prickly chaff flower Amaranthaceae Uvo langera, Aarihuri nolahar Leaf, root, whole plant Itching, expectorant, emetic, demulcent, vulnerary Chakma Tasannun et al. 2015, Malek et al. 2014 Crinum asiaticum L. Poison bulb Amaryllidaceae Hobaron, Shada roshun Stem, leaf, fruit Jaundice, Coughs, abscess on leg Chakma, Pankho Malek et al. 2014, Sarker et al. 2013 Gomphrena celosioides Mart. Globe amaranth Amaranthaceae Ranga ameleya Leaf, flower Paralysis Chakma Afroz et al. 2013 Pancratium maritimum L. Sea Daffodil Amaryllidaceae Khobarun Leaf Tumor Chakma Tasannun et al. 2015 Table 5.1 contd. ... ...Table 5.1 contd. Plant Name English name Family Local name Parts used Diseases treated Tribe References Leea macrophylla Roxb. Hathikana Ampelidaceae Bakaraj pata gach Leaf, stem, root Chest pain, back pain Chakma Malek et al. 2014 Anacardium occidentale L. Cashew Anacardiaceae Gasnak Fruit Skin rash, skin disorder, alopecia, and helminthiasis Bawm Hossan et al. 2014 Polyalthia longifolia (Sonn.) Thwaites (PL) False Ashok Annonaceae Debdaru Bark Burning sensations, fever, and diabetes Chakma Esha et al. 2012 Centella asiatica (L.) Urb. Asian pennywort Apiaceae Thankuni Leaf Dysentery and other stomach disorders Tripura Afroz et al. 2013 Alstonia scholaris (L.) R.Br. Devil tree Apocynaceae Sechsena gach, Chalai-bang, Nariath-ku-o Leaf, stem, root, bark Lack of milk in mother following childbirth, cold sores, fevers, and diabetes, typhoid fever Chakma, Marma, Bawm Esha et al. 2012, Rahmatullah et al. 2009, Hossan et al. 2014 Calotropis gigantea R.Br. Giant Milkweed Apocynaceae Akondo, Mru-na Leaf Pain, rheumatism, and joint pain Marma, Bawm Afroz et al. 2013, Hossan et al. 2014 Catharanthus roseus L. Madagascar periwinkle Apocynaceae Badam boot, Nayan tara Leaf, bark, stem, root Ear infection, hypertension, helminthiasis, and passing of blood with urine Chakma, Tripura Tasannun et al. 2015, Esha et al. 2012, Afroz et al. 2013 Holarrhena antidysenterica (Roxb. ex Fleming) Wall. Conessi tree Apocynaceae Kurok gach Bark Dysentery Pankho Sarker et al. 2013 Ichnocarpus frutescens R.Br. Black creeper Apocynaceae Monri chocha Leaf Chicken pox Chakma Malek et al. 2014 Rauwolfia serpentina (L.) Benth. ex Kurz. Serpentine Apocynaceae Sursang, Churmang Leaf, root, whole plant High blood pressure, hypertension, and stomach pain Chakma, Pankho, Tonchongya, Marma, Tripura Tasannun et al. 2015, Esha et al. 2012, Sarker et al. 2013, Wahab et al. 2013, Afroz et al. 2013 Tabernaemontana corymbosa Wall. Pinwheel flower Apocynaceae Sisaida Root Fever and flatulence Bawm Hossan et al. 2014 Tabernaemontana divaricata (L.) R.Br. ex Roem. & Schult. Pinwheel flower Apocynaceae Kathal khatya, Chanle-pang Leaf stalk, leaf, root, fruit Any disease in newborn infants, redness in eyes, conjunctivitis, ulcer, and breathing problems Chakma, Marma Malek et al. 2014, Esha et al. 2012, Rahmatullah et al. 2009 Thevetia peruviana (Pers.) K. Schum. Yellow Oleander Apocynaceae Korobi, Khungkrom Fruit Hair loss Tripura Afroz et al. 2013 Aglaonema hookerianum Schott. White dragon’s head Araceae Gach pettai Leaf, stem Rheumatism Chakma Malek et al. 2014 Alocasia cucullata (Lour.) G. Don. Chinese taro Araceae Bilae kochu Leaf Infections from being cutbythorns, and snake bite Chakma Esha et al. 2012 Areca catechu L. Betelnut palm Arecaceae Supari gach Root (eastsided) Dysentery in children aged between 1–6 months Marma Afroz et al. 2013 Cocos nucifera L. Coconut Arecaceae Daba Fruit, root Gonorrhea, syphilis, sedative, alopecia, flu, inflammation Bawm Hossan et al. 2014 Syngonium podophyllum Schott. African evergreen Araceae Patabahar Leaf Influenza and pneumonia Chakma Tasannun et al. 2015 Typhonium trilobatum (L.) Schott. Bengal arum Araceae Ghet Kochu, Nirbich Leaf, Tuber Snake bite Chakma Tasannun et al. 2015 Aristolochia tagala Cham. Dutchman’s pipe Aristolochiaceae Horinkan shak lota Leaf, root Fever, bloating, and fever Chakma Malek et al. 2014 Calotropis gigantea (L.) Ait.f. Bowstring hemp Asclepiadaceae Akon shak Leaf Whitish discharge in urine, hypertension, helminthiasis (hook worm) Chakma Esha et al. 2012 Aloe vera (L.) Burm.f. Indian Aloe Asphodelaceae Ghritokumari Fleshy pulp of leaf To cool head, heart problems, cholera, diarrhea, and physical weakness Tripura Afroz et al. 2013 Ageratum conyzoides L. Goat weed Asteraceae Moni muchaher, Mogojo gach Leaf Insomnia, external cuts, and wounds Chakma Malek et al. 2014, Afroz et al. 2013 Blumea clarkei Hook.f. Not known Asteraceae Tora gach Leaf Fracture and jaundice Chakma Malek et al. 2014 Blumea lacera (Burm.f.) DC. Malay blumea Asteraceae Chichaknu Leaf Acidity, gastrointestinal troubles, flatulence, and stomach discomfort Bawm Hossan et al. 2014 Blumea membranacea Wallich ex de Candolle Not known Asteraceae Kalo ambosh Leaf Crying in children with squirming Chakma Malek et al. 2014 Table 5.1 contd. ... ...Table 5.1 contd. Plant Name English name Family Local name Parts used Diseases treated Tribe References Calendula officinalis L. Pot Marigold Asteraceae Gada ful Leaf To stop bleeding from external cuts and wounds Tripura Afroz et al. 2013 Cirsium arvense (L.) Scop. Creeping Thistle Asteraceae Bhosh mola Leaf Scorpion or other poisonous insect bite Chakma Malek et al. 2014 Chromolaena odorata (L.) R. M. King & H.Rob. Siam weed Asteraceae Mojakkher, Khut toring Young leaf at top of stem, root Bleeding from external cuts and wounds, abscess with pain. Chakma, Pankho, Tonchongya Esha et al. 2012, Sarker et al. 2013, Wahab et al. 2013, Rashid et al. 2012 Elephantopus scaber L. Elephant foot Asteraceae Rambohok, Pauma-fang Leaf, root. Inflammation, edema, and astringent, stomach pains, during gastric ulcer Bawm, Marma Hossan et al. 2014, Rahmatullah et al. 2009 Eupatorium odoratum L. Christmas Bush Asteraceae Kaingja-pongja Leaf Stop bleeding, stimulate clot formation Marma Rahmatullah et al. 2009 Gynura nepalensis DC. Mollucan spinach Asteraceae Sidereh beshak Leaf Stomach tumor Chakma Malek et al. 2014 Mikania cordata Burm.f. Bitter vine Asteraceae Japai-nueh, Bache-a Leaf Bleeding from external cuts and wounds, stop bleeding; stimulate clot formation, emollient, gripes (sharp pains in the bowels), itch, wound Tonchongya, Marma, Bawm Rashid et al. 2012, Rahmatullah et al. 2009, Hossan et al. 2014 Spilanthes calva DC. Toothache plant Asteraceae Japan-ankhasha, Aankhasa Flower Energizer, toothache Bawm Hossan et al. 2014 Spilanthes paniculata Wall. ex DC. Not known Asteraceae Oshun shak Leaf Insomnia, oral lesion Tonchongya Rashid et al. 2012 Synedrella nodiflora Gaertn. Cinderella weed Asteraceae Lung-ankhasha Whole plant Helminthiasis Bawm Hossan et al. 2014 Tagetes erecta L. Marigold Asteraceae Ganda gach Leaf Hemorrhoids Chakma Esha et al. 2012 Vernonia cinerea L. Purple Fleabane Asteraceae Dondo Utphong Leaf, root Rheumatic pain, if somebody is afraid or possessed by genies or evil spirits, feeling afraid, being possessed by “genies” or “ghosts” Chakma, Pankho, Tonchongya Tasannun et al. 2015, Sarker et al. 2013, Wahab et al. 2013 Basella alba L. Malabar spinach Basellaceae Tharbak Leaf Dysentery, diarrhea, febrifuge, ulcer, edema, fever, wounds, nutritive Bawm Hossan et al. 2014 Begonia barbata Wall. ex A.Dc. Wax Begonia Begoniaceae Shiltedoi, Kukthur (white) Leaf, stem, wholeplant Pain in the urinary tract while urinating, diarrhea in children, menstrual difficulties, irregular menstruation Pankho, Tonchongya, Bawm Sarker et.al. 2013, Wahab et.al. 2013, Hossan et al. 2014 Begonia silhetensis (A. DC.) C.B. Clarke) Not known Begoniaceae Kukthur Leaf, stem, whole plant Diarrhea in children, irregular menstruation, dysmennorhea, headache Bawm Hossan et al. 2014 Heliotropium indicum L. Devil weed Boraginaceae Hatichora Leaf, root Snake bite Tripura Afroz et al. 2013 Oroxylum indicum Vent. Indian trumpet flower Bignoniaceae Kanai dinga, Khona gach Bark, leaf, root Jaundice, rheumatic fever, sudden unconsciousness, epilepsy, skin disorders, sexual stimulant, diarrhea, fever, wound Chakma, Pankho, Marma, Bawm Tasannun et al. 2015, Sarker et al. 2013, Rahmatullah et al. 2009, Hossan et al. 2014 Bombax ceiba L. Cotton tree Bombacaceae Kumpangkung Root Aphrodisiac, premature ejaculation, helminthiasis Bawm Hossan et al. 2014 Ananas comosus (L.) Merr. Pineapple Bromeliaceae Naindra-bang, Lothi Leaf, fruit Pneumonia, asthma, respiratory problems, helminthiasis, nutritive Marma Bawm Rahmatullah et al. 2009, Hossan et al. 2014 Opuntia dillenii (Ker Gawl) Haw. Prickly pear Cactaceae Rengkung Plant sap Joint pain, arthritis Bawm Hossan et al. 2014 Carica papaya L. Papaya Caricaceae Kukia, Kamkor Latex, leaf, fruit Hard stool, constipation, piles, ringworm Tripura, Bawm Afroz et al. 2013, Hossan et al. 2014 Casuarina equisetifolia L. Beach Casuarina Casuarinaceae Pailong-pang Root To maintain healthy teeth Marma Rahmatullah et al. 2009 Anogeissus acuminata Wall.ex C.B.Clarke Axle wood Combretaceae Sai-ki-bang, Sung-chubu Bark, leaf Toothache, loosening of tooth, lesions within the mouth or around the tooth, fever Marma, Bawm Rahmatullah et al. 2009, Hossan et al. 2014 Terminalia arjuna (Roxb.) Wight & Arn. Arjun Combretaceae Arjun Bark Dysentery, flatulency, sex stimulant, paralysis Chakma Malek et al. 2014, Afroz et al. 2013 Terminalia bellirica Roxb. Belliric Myrobalan Combretaceae Bohera, Bora gach Fruit, bark, leaf Anemia, asthma, gray hair, abscess, burning sensations on skin, hemorrhoids Chakma Tasannun et al. 2015, Esha et al. 2012 Table 5.1 contd. ... ...Table 5.1 contd. Plant Name English name Family Local name Parts used Diseases treated Tribe References Terminalia chebula (Gaertn.) Retz Chebulic Myrobalan Combretaceae Uttel gach, Uoal Fruits, leaf Against all kinds of diseases, hemorrhoids, diabetes Chakma Malek et al. 2014, Esha et al. 2012 Argyreia nervosa (Burm.f.) Bojer. Elephant Creeper Convolvulaceae Achar gach Leaf, bark Body ache Chakma Afroz et al. 2013 Ipomoea aquatica Forssk. Water spinach Convolvulaceae Hormoma shak Leaf Constipation Chakma Esha et al. 2012 Ipomoea triloba L. Aiea morning glory Convolvulaceae Del lodi Leaf Facial distortion Chakma Esha et al. 2012 Merremia umbellata (L.) Hallier f. Hog vine Convolvulaceae Demra gach Leaf To stop bleeding from external cuts and wounds Pankho Sarker et al. 2013 Costus speciosus (J. Koenig) Sm. Cane-reed Costaceae Ranga bishoma, Ketoki Leaf, stem, rhizome Hernia, hydrocele, ear pains, formation of pus in ear, eczema or itches around the nails, diarrhea, infertility, food Chakma, Marma, Bawm Tasannun et al. 2015, Esha et al. 2012, Rahmatullah et al. 2009, Hossan et al. 2014 Bryophyllum pinnatum (Lam.) Oken Air plant Crassulaceae Rokia-pangbang, Nasirkhaw Leaf, whole plant Pneumonia, cough, kidney or gall bladder stone, high blood pressure, cholera,constipation, diabetes, stomach or kidney stones, stone in urinary tract, muscle pain scabies, boils, rheumatism, nail inflammation, paronychia Chakma, Marma, Bawm Tasannun et al. 2015, Malek et al. 2014, Esha et al. 2012, Afroz et al. 2013, Rahmatullah et al. 2009, Hossan et al. 2014 Brassica juncea (L.) Czern. Mustard greens Cruciferae Shorisha Seed See Acorus calamus. Tonchongya Rashid et al. 2012 Coccinia grandis (L.) Voigt Ivy gourd Cucurbitaceae Hela hujur, Nichu-bang Root, leaf, fruit Diabetes, pain, frequent urination, menstrual problems like burning sensations during menstruation Chakma, Marma Tasannun et al. 2015, Hossan et al. 2014, Esha et al. 2012, Rahmatullah et al. 2009 Hodgsonia macrocarpa Cogn. Kapayang Cucurbitaceae Keha-pang Fruit Fevers, malaria Marma Rahmatullah et al. 2009 Momordica charantia L. Bitter melon Cucurbitaceae Tita pullo shak Leaf Diabetes, frequent urination Chakma Esha et al. 2012 Momordica cymbalaria Fenzl ex Naudin Not known Cucurbitaceae Khedatol Leaf Snake bite, piles Chakma Tasannun et al. 2015 Trichosanthes tricuspidata Lour. Redball snakegourd Cucurbitaceae Aak-um Leaf Itch, scabies Bawm Hossan et al. 2014 Thuja orientalis L. Northern whitecedar Cupressaceae Farthing Young stem Joint pain, edema, astringent Bawm Hossan et al. 2014 Cuscuta reflexa (Roxb.) Dodder Cuscutaceae Fayng, Jigro-bang Stem Jaundice, sexual stimulant, aphrodisiac, jaundice, liver disease, uterus pain, liver pain Chakma, Tripura, Marma, Bawm Afroz et al. 2013, Rahmatullah et al. 2009, Hossan et al. 2014 Cycas revoluta Thunb. Sago palm Cycadaceae Moniraj ful Leaf, flower Stomach ache, vomiting, diarrhea, eye diseases. Chakma Afroz et al. 2013 Cyperus laxus Lam. Not known Cyperaceae Kol Leaf, root . Urinary tract infection, urinary blockage, stone in urinary tract, irregular urination, burning sensation during urination Bawm Hossan et al. 2014 Dillenia indica L. Elephant Apple Dilleniaceae Debru-bang Leaf, fruit Stimulate appetite, scabies. Marma Rahmatullah et al. 2009 Diplazium esculentum (Retz.) Sw. Linguda Dryopteridaceae Dheki shak Root Abscess, overdose of any medicine Pankho, Tonchongya Sarker et al. 2013, Rashid et al. 2012 Dryopteris filix-max (L.) Schott. Male woodfern Dryopteridaceae Kraing-ha, Makokji Leaf Increase physical strength, headache, Marma, Bawm sedative, destroy adverse effects of any other medication Rahmatullah et al. 2009, Hossan et al. 2014 Tectaria heterosora (Baker) Ching Wild Fern Dryopteridaceae Baidya nath Root Diarrhea in infant Chakma Esha et al. 2012 Antidesma roxburghii Wall. ex Tul. Not known Euphorbiaceae Chung chungi prayjanga, Chung chunga fejang Leaf, stem, root, bark Rheumatic pain, stomach pain, waist pain, paralysis of hand or leg Chakma Malek et al. 2014, Esha et al. 2012 Baliospermum montanum Muell. Arg. Red physic nut Euphorbiaceae Shovon pal Leaf Joint pain, stomach tumor Chakma Malek et al. 2014 Cnesmone javanica Bl. Not known Euphorbiaceae Chagol chotta Leaf Abdominal tumor Chakma Malek et al. 2014 Table 5.1 contd. ... ...Table 5.1 contd. Plant Name English name Family Local name Parts used Diseases treated Tribe References Codiaeum variegatum (L.) A.Juss. Garden croton Euphorbiaceae Boangkhelapaingda Leaf Fevers, coughs, cold Marma Rahmatullah et al. 2009 Gelonium multiflorum A.Juss. Not known Euphorbiaceae Aam kurut (Bandor kola) Root Throat pain Pankho, Tonchongya Sarker et al. 2013, Wahab et al. 2013 Jatropha curcas L. Poison Nut Euphorbiaceae Khegoon gach Bark Irregular menstruation Chakma Esha et al. 2012 Mallotus philippinensis Muell. Arg. Monkey Face Tree Euphorbiaceae Sholok jhara Leaf Rheumatism Chakma Malek et al. 2014 Pedilanthus tithymaloides (L.) Poit. Jew’s Slipper Euphorbiaceae Borokhud Leaf Pneumonia, influenza Chakma Tasannun et al. 2015 Ricinus communis L. Castor bean Euphorbiaceae Ranga veron gach, Te-udol Young stem with leaves, new leaf, leaf Vomiting in children, blood dysentery, sexual disorders in men Pankho, Tonchongya, Chakma Sarker et al. 2013, Wahab et al. 2013, Afroz et al. 2013 Abrus precatorius L. Rosary pea Fabaceae Kawz Leaf Stone in kidney, urethra, urinary bladder Chakma Afroz et al. 2013 Acacia farnesiana (L.) Willd. Sweet acacia Fabaceae Ketna keshor, Aao-wia-pang Bark, root Insect bite, dog bite (rabies), fever, crying in children Tripura, Marma Afroz et al. 2013, Rahmatullah et al. 2009 Caesalpinia nuga (L.) W.T. Aiton Not known Fabaceae Krong-khai-bang Leaf, fruit Anintoxicant, skin disorders Marma Rahmatullah et al. 2009 Cajanus cajan (L.) Millsp. Pigeon pea Fabaceae Orolchoi, Kokleng Leaf, fruit Typhoid, pneumonia, jaundice, stomatitis, snakebite, bronchitis, coughs, hemorrhoids Chakma, Tonchongya, Bawm Afroz et al. 2013, Rashid et al. 2012, Hossan et al. 2014 Canavalia gladiata (Jacq.) DC. Sword bean Fabaceae Mogno bichi Seed pulp Measles Pankho, Tonchongya Sarker et al. 2013, Wahab et al. 2013 Cassia alata L. Ringworm Shrub Fabaceae Jowlong pata, Chakunda Leaf Skin disorder, eczema, skin infections, piles, ringworm, stomach pain due to bloating or ingigesion Pankho, Tonchongya, Marma, Bawm, Chakma Sarker et al. 2013, Wahab et al. 2013, Afroz et al. 2013, Rashid et al. 2012, Rahmatullah et al. 2009, Hossan et al. 2014, Esha et al. 2012 Cassia fistula L. Golden shower Fabaceae Sitolsua, Nafikeda-pang Black seeds within fruits, fruit, bark Constipation in children, fevers, to stimulate appetite Pankho, Tonchongya, Marma Sarker et al. 2013, Wahab et al. 2013, Rahmatullah et al. 2009 Clitoria ternatea L. Bluebellvine Fabaceae Ungeful gach, Koai-khi-bang Bark, root, leaf Pneumonia, infections of genital organs, boils, itches in children Chakma, Marma Malek et al. 2014, Rahmatullah et al. 2009 Crotalaria pallida Aiton Striped rattlepod Fabaceae Iji gach Leaf Kala azar Chakma Malek et al. 2014 Derris elliptica (Wallich) Benth. Tuba root Fabaceae Mahaga Root Constipation, to cleanse bowel Tonchongya Rashid et al. 2012 Desmodium alata L. Not known Fabaceae Ublangra Leaf Snake bite Tonchongya Rashid et al. 2012 Desmodium macrophyllum Desv. Not known Fabaceae Tongkhtochibang-khrungpang Leaf Stomach acidity, stomach aches, abnormal heart palpitations Marma Rahmatullah et al. 2009 Desmodium triquetrum (L.) DC. Trefle Gros Fabaceae Lori pata kher, Turgi modon Leaf Snake bite, dysentery, joint pain, sex stimulant. Chakma Tasannun et al. 2015, Malek et al. 2014 Erythrina variegata L. Indian coral tree Fabaceae Kasai-pang, Paiche-o Bark, root Helminthiasis Marma, Bawm Rahmatullah et al. 2009, Hossan et al. 2014 Flemingia congesta Roxb. ex W.T. Aiton Not known Fabaceae Gach archanga Leaf Rheumatism Chakma Malek et al. 2014 Mimosa pudica L. Action plant Fabaceae Lojjaboti, Lajori Root, leaf, flower Passing of blood during urination, burning sensations in urinary tract, wounds, labor pain Chakma, Bawm Esha et al. 2012, Afroz et al. 2013, Hossan et al. 2014 Moghania macrophylla (Willd.) Kuntze Not known Fabaceae Lungmul-turpa Leaf Itching due to contact with poisonous caterpillars, or due to poisonous ant bites Bawm Hossan et al. 2014 Saraca indica L. Asoka-tree Fabaceae Ker-shaye-a Leaf Chicken pox, small pox Bawm Hossan et al. 2014 Senna sophera (L.) Roxb. Not known Fabaceae Jhunjhuni, Shot rahong Root, leaf Stomach pain, burning sensations during urination, leucorrhea, irregular urination or urinary blockage, burning sensations in urinary tract Chakma, Bawm Malek et al. 2014, Hossan et al. 2014 Table 5.1 contd. ... ...Table 5.1 contd. Plant Name English name Family Local name Parts used Diseases treated Tribe References Senna tora (L.) Roxb. Sickle pod Fabaceae Ijibiji gach, Histacin gach Leaf Sleeplessness, leechbite, sleeping problem in female Chakma, Marma Esha et al. 2012, Afroz et al. 2013 Uraria crinita (L.) Desvaux ex Candolle Not known Fabaceae Billeh lengur Root Diarrhea or dysentery in children Chakma Malek et al. 2014 Elaeocarpus robustus Roxb. Ceylon olive Elaeocarpaceae Jolpaithing Root Gastric acidity (symptoms: heartburn, chest pain, stomach pain, gas formation in stomach) Bawm Hossan et al. 2014 Swertia chirata (Roxb. ex Fleming) H. Karst. Chiretta Gentianaceae Chirota Fruit Gastrointestinal disorders, helminthiasis Chakma Esha et al. 2012 Dicranopteris linearis (Burman f.) Underwood Old world forked fern Gleicheniaceae Horang veher Leaf Blood clotting on bones or muscle Chakma Esha et al. 2012 Helminthostachys zeylanica L. Kamraj Helminthostachyaceae Paing-jem Leaf, root Throat pain, pain in the larynx, sore throat, epistaxis (nose bleed) Bawm Hossan et al. 2014 Curculigo Latifolia Dryand. Palm grass Hypoxidaceae Meloni pata Leaf Cancer, piles, snake bite Chakma Tasannun et al. 2015 Curculigo orchioides Gaertn. Golden eye-grass Hypoxidaceae Dubo meloni, Jongli peyaz Leaf, stem, rhizome Snake bite, hydrocele, astringent, bleeding due to deep external wounds Chakma, Bawm Tasannun et al. 2015, Malek et al. 2014, Hossan et al. 2014 Curculigo recurvata W.T. Aiton Not known Hypoxidaceae Meloni gach, Nathial Root, rhizome Allergy, aphrodisiac Pankho, Tonchongya, Bawm Sarker et al. 2013, Wahab et al. 2013, Hossan et al. 2014 Molineria capitulata (Lour.) Herb. Palm grass Hypoxidaceae Dhubo melloni Leaf Rheumatism Chakma Malek et al. 2014 Eleutherine palmifolia (L.) Merr. Not known Iridaceae Jharpo peyaz Root Jaundice in babies Chakma Malek et al. 2014 Eleutherine plicata Herb. Tears of the Virgin Iridaceae Tong-krai-choi, Chikra-choi Root Difficulties in urination, elephantitis Marma Rahmatullah et al. 2009 Anisomeles indica (L.) Kuntze Catmint Lamiaceae Horin ching Leaf Colic, dyspepsia, fever in children arising from teething Chakma Malek et al. 2014 Lamiaceae Ram-thlung Root Stomachache, wounds Bawm Hossan et al. 2014 Ajuga macrosperma Wall. Ground pine ex Benth Gomphostemma crinitum Wall. Not known Lamiaceae Nykia Leaf Pain, swelling, pain due to trauma Bawm Hossan et al. 2014 Hyptis capitata Jacq. False ironwort Lamiaceae Chitra baishak Leaf Snake bite Chakma Tasannun et al. 2015 Hyptis suaveolens (L.) Poit. Pignut Lamiaceae Tunga dana, Chong gadana Stem, seed Stomachache, acidity, ulcer, diabetes, jaundice, burningsensations during urination, feeling of excessive fullness of stomach, gastrointestinal disorders, premature ejaculation Pankho, Chakma, Tonchongya, Bawm Sarker et al. 2013, Afroz et al. 2013, Rashid et al. 2012, Hossan et al. 2014 Leucas aspera (Willd.) Link. Tamba Lamiaceae Gousha khongor, Paing-sung-pang Leaf, flower Lesions on the tongue, pain due to hemorrhoids, lesions/infections within nostril Chakma, Marma Esha et al. 2012 Ocimum americanum L. American basil Lamiaceae Sabrang, Vipena Leaf See Acorus calamus, itching, scabies, skin infections on hands or legs Tonchongya, Bawm Rashid et al. 2012, Hossan et al. 2014 Ocimum basilicum L. Great basil Lamiaceae Sabarung gach, Jeth sabarang Leaf, bark Coughs, respiratory difficulties, fever, diabetes, skin diseases, if infant does not drink milk or cries incessantly, asthma, cold, chest pain in children Chakma, Pankho, Tonchongya, Tripura Esha et al. 2012, Sarker et al. 2013, Wahab et al. 2013, Afroz et al. 2013 Ocimum gratissimum L. Clove basil Lamiaceae Ram tulshi Leaf Sexual weakness in males Marma Afroz et al. 2013 Ocimum tenuiflorum L. Holy Basil Lamiaceae Khargi shukchand, Nikunta pata Leaf Coughs, respiratory difficulties, if infant does not drink milk or cries incessantly, sexual stimulant (males) Chakma, Pankho, Tonchongya, Tripura Esha et al. 2012, Sarker et al. 2013, Wahab et al. 2013, Afroz et al. 2013 Premna scandens Roxb. Dusky Fire Lamiaceae Aan-orai-na Leaf Energizer, anorexia Bawm Hossan et al. 2014 Vitex agnus-castus L. Chaste tree Lamiaceae Syamula Young leaf Cataract Tonchongya Wahab et al. 2013 Cinnamomum camphora (L.) J. Presl. Camphorwood Lauraceae Korpur gach Bark Stomach pain, food poisoning Tonchongya Rashid et al. 2012 Table 5.1 contd. ... ...Table 5.1 contd. Plant Name English name Family Local name Parts used Diseases treated Tribe References Cinnamomum tamala (Buch.-Ham.) Nees & Eberm. Synonym: Cinnamomum obtusifolium Roxb. ex Nees. Indian Bay Leaf Lauraceae Tejpata, Shimkung Leaf, bark Infections on skin, stomach upset, feeling of excessive stomach fullness Chakma, Bawm Esha et al. 2012, Hossan et al. 2014 Dehaasia kurzii King ex Hook.f. Not known Lauraceae Shigerae shik Stem If children bring out their tongue too often Chakma Malek et al. 2014 Litsea glutinosa (Lour.) C.B. Robinson Common Tallow Laurel Lauraceae Khara jora gach, Mewa pata Stem, leaf Headache, stomach pain, respiratory difficulties due to mucus Chakma Malek et al. 2014, Esha et al. 2012 Litsea monopetala (Roxb.) Pers. Not known Lauraceae Shurjo pata, Boro kukurchita Leaf Tumor Chakma Tasannun et al. 2015 Leea umbraculifera C.B. Clarke Not known Leeaceae Aash ura gach Leaf Abscess, infections arising out from wounds due to being hit with a sharp iron utensil Chakma Esha et al. 2012 Allium cepa L. Onion Liliaceae Peyaz Bulb See Acacia farnesiana Tripura Afroz et al. 2013 Asparagus racemosus Willd. Buttermilk Root Liliaceae Choti chora Fruit, root Swelling or enlargement of testicles, abscess, skin disease, pain in genital regions Pankho, Chakma Sarker et al. 2013, Malek et al. 2014 Lygodium flexuosum (L.) Sw. Maidenhair creeper Lygodiaceae Katto jug, Makla-pang Leaf, root Burns, rheumatism, fever and convulsion in children, sore throat, throat pain, inflammation Chakma, Marma, Bawm Malek et al. 2014, Rahmatullah et al. 2009, Hossan et al. 2014 Lagerstroemia speciosa (L.) Pers. Giant crepemyrtle Lythraceae Jarul Leaf Labor pain and related conditions Chakma Afroz et al. 2013 Abelmoschus moschatus Medikus Musk okra Malvaceae Khunae gach Leaf Headache Chakma Malek et al. 2014 Abroma augusta L.f. Devil’s cotton Malvaceae Gach Chula Leaf, bark, root Irregular menstruation Chakma Eshaet al. 2012 Abutilon indicum (L.) Sweet Indian mallow Malvaceae Flur-bang Root Diarrhea and other gastrointestinal disorders in both human and cattle Marma Rahmatullah et al. 2009 Gossypium arboreum L. Tree cotton Malvaceae Jom tula Leaf Epilepsy Marma Afroz et al. 2013 Hibiscus rosa sinensis L. Rose mallow Malvaceae Honduby, Chuila-bai-pang Flower, Leaf Diarrhea, infections on palm of hand, bacterial skin infection (cellulitis), cataract, abortifacient Chakma, Marma, Marma, Bawm Esha et al. 2012, Afroz et al. 2013, Rahmatullah et al. 2009, Hossan et al. 2014 Hibiscus sabdariffa L. Roselle Malvaceae Jarbo beroj, Kunae ful Leaf, root Rheumatism Chakma Malek et al. 2014 Pterospermum semisagittatu Buch.-Ham. ex. Roxb. Bayur tree Malvaceae Noah-labai-pang Leaf Poisonous insect bites Marma Rahmatullah et al. 2009 Sida cordifolia L. Flannel weed Malvaceae Khangra gilukonak Leaf Enlargement of uterus Chakma Afroz et al. 2013 Sida rhombifolia L. Arrow leaf sida Malvaceae Bilbili gach, Boi uli pata Leaf Scabies, eczema, abscess Chakma, Tonchongya Esha et al. 2012, Rashid et al. 2012 Urena lobata L. Caesar weed Malvaceae Fow-fi-i, Sujugmonglap Flower, leaf, root Chapped lips, skin lesions, urinary tract disorders, fever, cold sore, aphthae Marma, Bawm Rahmatullah et al. 2009, Hossan et al. 2014 Angiopteris evecta (J. R. Forst.) Hoffm. Giant fern Marattiaceae Adib Leaf Joint pain Chakma Esha et al. 2012 Maranta arundinacea L. Arrow-root Marantaceae Arraroot Stem Kidney stone Chakma Tasannun et al. 2015 Melastoma malabathricum L. Pink lasiandra Melastomataceae Moha purti, Tong Leaf, root Red color of urine, burning sensations during urination, jaundice Chakma, Bawm Esha et al. 2012, Hossan et al. 2014 Meliaceae Neem pata Young leaf, root, bark, stem Fever, pain, to prevent tooth infections, diabetes, itch, skin problem, scabies Pankho, Bawm Sarker et al. 2013, Hossan et al. 2014 Azadirachta indica A. Juss. Neem Anamirta cocculus (L.) Wight & Arn. Levant nut Menispermaceae Ludi chibang Leaf Spots on new-born baby’s skin Chakma Esha et al. 2012 Campylus sinensis Lour. Chinese tinospora Menispermaceae Hoiccholodi Leaf Fever Chakma Tasannun et al. 2015 Cyclea barbata Miers Green grass jelly Menispermaceae Bokpinem Leaf Skin infections in humans and animals, dermatitis, allergy, tetanus, throat sore Bawm Hossan et al. 2014 Parabaenas agittata Miers Not known Menispermaceae Horin kan Leaf Snake bite Chakma Tasannun et al. 2015 Table 5.1 contd. ... ...Table 5.1 contd. Plant Name English name Family Local name Parts used Diseases treated Tribe References Pericampylus glaucus (Lam.) Merill. Broad-leaved moonseed Menispermaceae Patal pur Root Constipation in children Pankho, Tonchongya Sarker et al. 2013, Wahab et al. 2013 Stephania glabra Miers Tape vine Menispermaceae Thanda manik Leaf, fruit Rheumatism, stomach pain Chakma Malek et al. 2014 Stephania japonica (Thunb.) Miers Snake vine Menispermaceae Thanda alu, Koang-khawri Leaf, root Stomach pain, menstrual pain, pneumonia, cold, coughs, fever in children. Chakma Bawm Tasannun et al. 2015, Esha et al. 2012, Hossan et al. 2014 Tinospora cordifolia (Willd.) Miers ex. Hook. f. & Thoms. Not known Menispermaceae Gulchi lota Leaf, stem Jaundice Chakma Afroz et al. 2013 Acacia catechu (L.f.) Willd. Wadalee gum Mimosaceae Khuamui Leaf, fruit Diarrhea, cold sore, chronic dysentery Bawm Hossan et al. 2014 Mimosa pudica L. Shame plant Mimosaceae Shra-pang Leaf Eczema, scabies, abscesses Marma Rahmatullah et al. 2009 Ficus hirta Vahl. Hairy fig Moraceae Thammang gach Leaf, root Insanity, mental disorders, memory loss Chakma Esha et al. 2012 Ficus hispida L.f. Hairy fig Moraceae Debida sura gach, Joana gach Fruit, seed Diabetes, hookworm Chakma Tonchongya Esha et al. 2012, Rashid et al. 2012 Ficus religiosa L. Sacred fig Moraceae Ashwoth Fruit Hypertension Chakma Esha et al. 2012 Streblus asper Lour. Siamee rough bush Moraceae Sharur gach Leaf To increase lactation in nursing mothers Pankho Sarker et al. 2013. Ardisia solanacea Roxb. Shoebutton ardisia Myrsinaceae Boro cholla Leaf, stem Rheumatism Chakma Malek et al. 2014 Eucalyptus citriodora Hook. Lemon-scented gum Myrtaceae Gaster-epil Leaf, root Neuralgia (pain in the nerves), wounds, cold, inflammation Bawm Hossan et al. 2014 Psidium guajava L. Guava Myrtaceae Goian, Koijem Leaf, bark, fruit Flatulence, gastrointestinal disorders, nutritive, toothache, gingivitis, scabie Chakma, Bawm Esha et al. 2012, Hossan et al. 2014 Syzygium cumini (L.) Skeels Java plum Myrtaceae Chabri-shaebang Seed Diabetes, urinary problems Marma Rahmatullah et al. 2009 Boerhavia repens L. Spreading hogweed Nyctaginaceae Punonama shak Leaf Edema, inflammation Chakma Afroz et al. 2013 Nymphaea nouchali Burm.f. Blue waterlily Nymphaeaceae Kra-pang, Rilipar Root, stem Men having urination difficulties, biliary disorders, menstrual problems, diabetes, nutritive Marma, Bawm Rahmatullah et al. 2009, Hossan et al. 2014 Nyctanthes arbor-tristis L. Coral jasmine Oleaceae Shefali phul, Shing guri phool gach Leaf Fever, skin diseases Pankho, Chakma Sarker et al. 2013, Esha et al. 2012 Helminthostachys zeylanica L. Not known Ophioglossaceae Somacchi Leaf, stem Piles Chakma Tasannun et al. 2015 Cymbidium aloifolium (L.) Sw. Aloe-leafed Cymbidium Orchidaceae Surimas Leaf, whole plant, root, seed Fever, tetanus, chest pain, cuts, injury, lesions Chakma Tasannun et al. 2015 Pandanus foetidus Roxb. Screwpine Pandanaceae Ramlethi Leaf, root Joint pain Bawm Hossan et al. 2014 Phyllanthus amarus Schumach. & Thonn. Black catnip Phyllanthaceae Baugari bhangaher Whole plant Burning sensations Chakma Malek et al. 2014 Phyllanthus emblica Gaertn. Indian gooseberry Phyllanthaceae Sosha-ban, Hadamala gach Leaf, fruit Stimulate appetite, hemorrhoids, gastrointestinal disorders, ulcer, gastric pain, anemia Marma, Chakma, Pankho Rahmatullah et al. 2009, Esha et al. 2012, Sarker et al. 2013 Phyllanthaceae Bauli banga her Leaf Skin rash, skin diseases. Chakma Esha et al. 2012. Phyllanthus niruri L. English: Carry-me-seed, Egg woman, Stonebreaker, Seed-under-leaf Peperomia pellucida L. Shining bush plant Piperaceae Roha Wholeplant Snake bite, gastrointestinal problems, skin problems, boils, eczema Bawm Hossan et al. 2014 Piper betle L. Betel leaf Piperaceae Paan Leaf, petiole Antiseptic, Also see Acacia farnesiana Tripura Afroz et al. 2013 Plantago ovata Forssk. Spogel seeds Plantaginaceae Isabgul, Tumka Seed See Cajanus cajan. Also see Melastoma sp. Tonchongya Rashid et al. 2012 Plumbago indica L. Fire plant Plumbaginaceae Agunitita Leaf Chest pain Chakma Tasannun et al. 2015 Table 5.1 contd. ... ...Table 5.1 contd. Plant Name English name Family Local name Parts used Diseases treated Tribe References Bambusa bambos (L.) Voss. Giant thorny bamboo, Poaceae Khai-wang-wah, Medi-wah Leaf, root Rheumatic pain, eczema, cough, leprosy Marma Rahmatullah et al. 2009 Chrysopogon aciculatus (Retz.) Trin. Love grass Poaceae Ramthek Root Astringent, wound Bawm Hossan et al. 2014 Digitaria setigera Roth ex Roemer & J.A. Schultes Bristly crabgrass Poaceae Chao mongra Root Spondylosis Tripura Afroz et al. 2013 Thysanolaena maxima (Roxb.) Kuntze Tigergrass Poaceae Shuinda gach Root Insect bite Tonchongya Rashid et al. 2012 Polygonum chinensis L. Chinese knotweed Polygonaceae Mon ijadar, Mone jojada Leaf Paralysis of hand or leg, wasting away of hands or legs Chakma Esha et al. 2012 Polygonum hydropiper L. Marsh pepper Polygonaceae Mra-che-bang Leaf, root Eczema, scabies, anthelmintic Marma Rahmatullah et al. 2009 Drynaria quercifolia (L.) J. Sm. Oak leaf fern Polypodiaceae Baiddonath Pata, Bokpinem Whole plant, root, leaf See Cymbidium aloifolium. Skin infections in humans, animals, dermatitis. Chakma Bawm Tasannun et al. 2015, Hossan et al. 2014 Cheilanthes belangeri (Bory in Belang.) C. Chr. Silver Fern Pteridaceae Ching fuchi, Sil fushi Leaf Headache, feeing of hotness in head Chakma Esha et al. 2012 Pteris vittata L. Chinese brake Pteridaceae Dingky shak Root Itch, scabies, any other type of skin disorders. Tripura Afroz et al. 2013 Ziziphus mauritiana Lam. Desert apple Rhamnaceae Kul, Mrai-ra Leaf, bark, fruit, root Fever, flatulence, diarrhea, nutritive, tumor (external swelling without any known cause) Chakma, Bawm Esha et al. 2012, Hossan et al. 2014 Rubus moluccanus L. Molucca raspberry Rosaceae Handa shoal Leaf, stem Rheumatism Chakma Malek et al. 2014 Adina cordifolia (Roxb.) Hook. f. ex Brandis Saffron Teak Rubiaceae Pang-kha-bang Leaf Eye disorders like conjunctivitis Marma Rahmatullah et al. 2009 Hedyotis scandens Roxb. Indian Madder Rubiaceae Rema-pang Leaf Itches, scabies, eczema Marma Rahmatullah et al. 2009 Hedyotis thomsonii Hook.f. Not known Rubiaceae Gou o jhil her Leaf Excessive itching in the eyes Chakma Esha et al. 2012 Hedyotis verticillata (L.) Lam. Mallow Rubiaceae Boithita Leaf Bursting of abscess followed by oozing of pus and reddish colored substance Chakma Esha et al. 2012 Hymenodictyon orixense (Roxb.) Mabberley Bridal couch tree Rubiaceae Dela gamari Top of stem Hemorrhoids Chakma Esha et al. 2012 Ixora athroantha Bremek. Jungle flame Rubiaceae Ludi choulla, Ludi choilla Bark Diarrhea Chakma Esha et al. 2012 Ixora pavetta Andr. Torchwood tree Rubiaceae Bath jora ful Stem Allergy Chakma Malek et al. 2014 Ixora parviflora Vahl. Torchwood Ixora Rubiaceae Tualthu Root Gastrointestinal troubles, diarrhea, scabies Bawm Hossan et al. 2014 Morinda persicifolia Buch.-Ham. Not known Rubiaceae Chui-tili-bang Root Jaundice Marma Rahmatullah et al. 2009 Mussaenda glabrata Hutch. ex Gamble Dhobi Tree Rubiaceae Metoni Leaf Headache Pankho, Tonchongya Sarker et al. 2013, Wahab et al. 2013 Mussaenda roxburghii Hook. f. East Himalayan Mussaenda Rubiaceae Rani thak, Hala garjan Leaf Burning sensations in hands or legs, rheumatism, abscess, rheumatism, malaria, hemolytic anemia. Chakma, Bawm Malek et al. 2014, Hossan et al. 2014, Esha et al. 2012 Paederia foetida L. Chinese fever vine Rubiaceae Gondo madok, Gondho batali Leaf Rheumatic pain, burning sensations during urination, rheumatic fever Chakma, Pankho, Tonchongya Esha et al. 2012, Sarker et al. 2013, Wahab et al. 2013 Psychotria calocarpa Kurz. Not known Rubiaceae Shudoma Leaf Paralysis of hands or legs Chakma Esha et al. 2012 Aegle marmelos (L.) Corr. Stone apple Rutaceae Urik phang, Shifal Leaf, fruit, root Jaundice, indigestion, gastrointestinal disorders like flatulence, constipation, diarrohea, dysentery, stomach disorders, stomachache, stress, sedative Chakma, Tripura, Marma, Bawm Esha et al. 2012, Afroz et al. 2013, Rahmatullah et al. 2009, Hossan et al. 2014 Citrus limonum Risso Lemon Rutaceae Khra-pang Fruit Stimulates appetite fever, skin disorders, hair loss, vomiting tendency, lesions within the mouth Marma Rahmatullah et al. 2009 Micromelum minutum Wight & Arn. Java brucea Rutaceae Chadi uraccha Leaf, root Tumors Chakma Malek et al. 2014 Table 5.1 contd. ... ...Table 5.1 contd. Plant Name English name Family Local name Parts used Diseases treated Tribe References Flacourtia jangomas (Lour.) Raeus. Runeala plum Salicaceae Hada annol Leaf Rheumatism, to improve health Chakma Malek et al. 2014 Santalum album L. Sandal wood Santalaceae Shet chondon Wood To remove scar marks or marks due to burns, skin diseases Chakma Esha et al. 2012 Allophylus cobbe (L.) Raeuschel Not know Sapindaceae Jendra ma Leaf Pain in hand or leg Chakma Esha et al. 2012 Litchi chinensis Sonn. Lychee Sapindaceae Lisuthing Fruit,root Nutritive, diarrhea, hiccups orchitis (inflammation of testis) Bawm Hossan et al. 2014 Cardiospermum halicacabum L. Heart pea Sapindaceae Keda foshka Leaf Chicken pox Pankho, Tonchongya Sarker et al. 2013, Wahab et al. 2013 Mimusops elengi L. Spanish cherry Sapotaceae Bokul Leaf, bark Skin wounds, skin infections, vitiligo Chakma, Tripura Esha et al. 2012, Afroz et al. 2013 Scoparia dulcis L. Licorice weed Scrophulariaceae Aadam fuchi, Mikram-boipang Lef, fruit, root Physical weakness, dysentery, swelling of fingers, pain in chin or throat, tonsillitis, throat cancer, facialredness, eczema, skin diseases, spermatorrhea, snake bite, insect bite, antidote to poisoning Chakma, Pankho, Marma, Bawm Malek et al. 2014, Esha et al. 2012, Sarker et al. 2013, Rahmatullah et al. 2009, Hossan et.al. 2014 Smilax macrophylla Roxb. Kumarika Smilacaceae Wisisong Leaf, root Toothache, skin disorder, rheumatism, joint pain Bawm Hossan et al. 2014 Smilax zeylanica L. Kumarika Smilacaceae Kumujja loti, Gumujjej lodi Leaf Skin cancer, skin infections, udoramoy (diarrhea) Chakma, Tonchongya Esha et al. 2012, Rashid et al. 2012 Datura metel L. Devil’s-trumpet Solanaceae Kalo dhutra, Dhutura phool Leaf, flower, root Snake bite, anesthetic purposes, to stop bleeding from external wounds, neck ache, asthma Chakma, Tripura Tasannun et al. 2015, Esha et al. 2012, Afroz et al. 2013 Physalis micrantha Link. Native gooseberry Solanaceae Pitting gulagach Leaf Flatulency in cows or buffaloes, urinary problem Chakma Malek et al. 2014 Solanum torvum Sw. Devil’s fig Solanaceae Khing khabang, Tita baegun Leaf Piles, gastric ulcer, hydrocele Marma Afroz et al. 2013 Solanum xanthocarpum Schrad. & Wendl. Yellow berried nightshade Solanaceae Changkhai, Hati baegun Fruit Pinworm (small thread-like worm infesting human intestine and rectum) Marma Afroz et al. 2013 Sterculia villosa Roxb. Elephant rope tree Sterculiaceae Sam being Bark Diarrhea Pankho Sarker et al. 2013 Aquilaria agallocha Roxb. Agarwood Thymeliaceae Akod Leaf Coughs, mucus, rheumatic pain Chakma Esha et al. 2012 Grewia paniculata Roxb. ex DC. Microcos Tiliaceae Ashar gach, Achat Leaf, flower Gastric troubles, bone fracture, indigestion, eczema, itch, small pox, typhoid fever, dysentery, syphilitic ulceration of the mouth Chakma, Tripura Esha et al. 2012, Afroz et al. 2013 Clerodendrum indicum L. Glory bower Verbenaceae Bamonhati, Pilae shak Leaf, root Epilepsy, sudden bouts of unconsciousness, stomach pain, diabetes, obesity, hypertension, abscess Chakma Tasannun et al. 2015, Malek et al. 2014 Clerodendrum infortunatum L. English: Hill glory bower Verbenaceae Beth gach Leaf Stomach ache Pankho Sarker et al. 2013 Clerodendrum serratum L. Blue-flowered glory tree Verbenaceae Risente Leaf, whole plant Umbilical sore Bawm Hossan et al. 2014 Clerodendrum viscosum Vent. Hill glory bower Verbenaceae Begh gach, Sujjara, Leaf, root Frequent urination, diabetes, malaria fever, any type of stomach pain, snake bite Chakma, Tonchongya, Marma, Bawm Esha et al. 2012, Rashid et al. 2012, Rahmatullah et al. 2009, Hossan et al. 2014 Vitex agnus L. Monk’s pepper Verbenaceae Samalu New leaf Cataract Pankho Sarker et al. 2013 Vitex negundo L. Five leaved chaste tree Verbenaceae Shada tulshi, Moru-bang Leaf, root, seed If infant does not drink milk or cries incessantly, fever, hearing problem, headache, malaria, rheumatic pains, joint pains Pankho, Tripura, Marma Sarker et al. 2013, Afroz et al. 2013, Rahmatullah et al. 2009 Cissus javana DC. Snake bitters Vitaceae Ajongma Leaf Jaundice, rheumatism Chakma Cissus quadrangularis L. Adamant Creeper Vitaceae Harjora lota Stem, leaves, young shoot Bone fracture, laxative, tonic, Chakma analgesic, piles, tumor, loss of appetite, constipation, complaints of back and spine, otorrhea, epistaxis, scurvy, irregular menstruation, asthma, dyspepsia, bowel complaints Tasannun et al. 2015 Alpinia conchigera Griff. Greater galangal Zingiberaceae Khet ranga Rhizome Dysentery, abdominal pain, stomach upset, gastric pain Malek et al. 2014 Chakma Malek et al. 2014 Table 5.1 contd. ... ...Table 5.1 contd. Plant Name English name Family Local name Parts used Diseases treated Tribe References Alpinia nigra (Gaertn.) B. L. Burtt. Bamboo leaf galangal Zingiberaceae Choia-bang Root Loss of sensation in hands and legs Marma Rahmatullah et al. 2009 Curcuma caesia Roxb. Black turmeric Zingiberaceae Kalo holud Rhizome Bloating, menstrual disorders Chakma Malek et al. 2014 Curcuma longa L. Turmeric Zingiberaceae Holud Rhizome Hypertension, abscess Chakma Esha et al. 2012 Curcuma zedoaria (Christm.) Roscoe Zedoary Zingiberaceae Ranga holla Stem Jaundice Chakma Esha et al. 2012 Kaempferia galanga L. Aromatic ginger Zingiberaceae Komla gach Leaf Bloating Chakma Malek et al. 2014 Zingiber montanum (J. Koenig) Link ex A. Dietr. Cassumnar ginger Zingiberaceae Mone ada, Meni ada Leaf Swelling of joints, rheumatic pain Chakma Esha et al. 2012 Zingiber officinale Roscoe Ginger Zingiberaceae Tumreng Rhizome Gastric acidity, gastrointestinal troubles, stomach upset Bawm Hossan et al. 2014 Some Plants Used as Phytomedicine by Tribal Healers of Chittagong Hill Tracts, Bangladesh 115 Figure 5.3: A Mogh (Marma) tribal healer in Bandarban district, Bangladesh. believe in their traditional treatments with plants any more, but prefer going to allopathic doctors. This was borne out by a visit to a Mogh (Marma) tribal healer in Bandarban (Figure 5.3), who could give us the names of only ten plants, even though the healer, by his own admission, was practicing for over 20 years (Rahmatullah et al. 2019). Medicinal Plants of Chittagong Hill Tracts for Drug Discovery A number of plants can prove very useful and interesting to the scientists. For instance, malaria is a mosquito-transmitted life-threatening disease against which allopathic medicine practically has only one treatment option left, which is treatment with artemisinin-based combination therapies (World Health Organization 2015). However, the causative agent of malaria, Plasmodium falciparum, besides developing resistance against other antimalarial drugs, such as quinine earlier, has now started to develop resistance against artemisinin (Blasco et al. 2017). So, the world is in desperate need of effective antimalarial drugs. The various anti-malarial plants of the tribes of Chittagong Hill Tracts (CHT) include Andrographis paniculata, Amaranthus spinosus, Hodgsonia macrocarpa, Mussaenda corymbosa, Clerodendrum viscosum, and Vitex negundo (Table 5.1). Interestingly, A. paniculata, A. spinosus and C. viscosum have been shown to possess antimalarial (Plasmodium inhibitory) activity (Rehman et al. 1999, Mishra et al. 2009, Tiningsih et al. 2012, Goswami et al. 1998), while V. negundo has strong mosquito larvicidal properties (Raj et al. 2009). Thus, the potential for an anti-malarial novel drug from these plants is strong; the other two plants H. macrocarpa and M. corymbosa are of interest because their anti-malarial effects, if any, are yet to be scientifically studied. Andrographis paniculata is known to contain a number of bio-active compounds, such as andrographolide, 14-deoxy-11-oxo-andrographolide, andrographosterol, andrographosterin, stigmasterol, and a-sitosterol (Bharati et al. 2011). The active anti-malarial compound has been reported to be andrographolide (Mishra et al. 2011). Betacyanins present in Amaranthus spinosus have been shown to possess antiplasmodial activity (Hilou et al. 2006). Clerodendrum viscosum is also rich in antioxidants and other bio-active compounds; these compounds include gallic acid, b-sitosterol, quercetin, oleanolic acid, clerodinin A, b-cubebene, viscosene, apigenin, and clerodolone (Kekuda et al. 2019). Apigenin is known to inhibit the growth of Plasmodium berghei (Amiri et al. 2018). The CHT tribal practitioners used five plants against cancer, namely Lepidagathis incurva against skin cancer, Carica papaya and Curculigo latifolia against cancer (form of cancer not mentioned by the practitioners), Scoparia dulcis against throat and skin cancer, and Smilax zeylanica against skin cancer. Cytotoxic activities have been reported for L. incurva (Charoenchai et al. 2010). Aqueous extract of C. papaya leaves has been shown to inhibit proliferation of human breast cancer cells MCF-7 (Nisa et al. 2017). Although C. latifolia is yet to be reported for any anticancer potential, fractions of a related species Curculigo orchioides have reported anticancerous potential on cancer cell lines 116 Wild Plants: The Treasure of Natural Healers HepG2, HeLa, and MCF-7 (Hejazi et al. 2018). The active principle of the plant against the metastasis of B16F10 melanoma cells was identified as curculigoside (Murali and Kuttan 2016). Benzoxazinoids from Scoparia dulcis (sweet broomweed) reportedly showed anti-proliferative activity against the DU-145 human prostate cancer cell line (Wu et al. 2012). In AGS human gastric adenocarcinoma cells, scopadulciol, isolated from Scoparia dulcis, has been found to induce β-Catenin degradation and overcome tumor necrosis factor-related apoptosis ligand resistance (Fuentes et al. 2015). Although no anticancer effect has been reported for S. zeylanica, other Smilax species reportedly possess anticancer properties (Fu et al. 2017, She et al. 2017). The structures of some bio-active plant constituents are shown in Figure 5.4, and some plant pictures are shown in Figure 5.5. O O HO OH O OH O OH HO OH O HO HO OH O OH andrographolide OH quercetin β-cubebene apigenin O HO OH O HO HO HO oleanolic acid β-stigmasterol clerodolone OH OH HO OH O OH O O O O O O O O O O O O O OH O O scopadulciol O curculigoside A clerodinin A O H N HO O OH HO HO O HO HO N+ O O OH O– betacyanin Figure 5.4: Some bio-active constituents isolated in various plants used by tribal healers of the Chittagong Hill Tract, Bangladesh. Some Plants Used as Phytomedicine by Tribal Healers of Chittagong Hill Tracts, Bangladesh 117 Figure 5.5: Some medicinal plants used by the tribals of CHT—(a) Acanthus illicifolius, (b) Calotropis gigantea, (c) Cuscuta reflexa, (d) Lygodium flexuosum, (e) Scoparia dulcis, (f) Vitex negundo. Taken together, the medicinal practitioners of various tribes in CHT area use several dozens of plants to treat a variety of diseases, including both common diseases, such as gastrointestinal disorders (diarrhea, constipation), and difficult to treat diseases, such as malaria, cancer, hypertension, and diabetes. Even successful treatment of common gastrointestinal disorders with plants can be beneficial to the tribal people. Tribal people’s incomes are at or below the poverty level for the most part. As such, treatment with readily available and affordable plants can reduce medical costs. Moreover, the plants can prove of value to scientists looking for newer drugs, as enteric microorganisms are also getting resistant to existing drugs. Multi-drug resistant Gram-negative enteric bacteria have been reported from China (Liu et al. 2013). Such antibiotic resistance in enteric bacteria has been reported from other parts of the world also (Mutuku 2017). Thus, the plants of the tribal practitioners used against diarrhea and dysentery have potential for novel drug discoveries against antibiotic-resistant enteric microorganisms. At the same time, new and more effective drugs against the other diseases treated by the tribal practitioners with plants can aid conservation efforts, raise incomes of tribal people, and decrease medical costs, while at the same time offering better drugs. 118 Wild Plants: The Treasure of Natural Healers Conclusion Plants have always been a source of new drugs, and many drugs derived from plants are now being used in allopathic medicine. 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Molecules 21: 559, DOI: 10.3390/molecules21050559. 6 Argentinian Wild Plants as Controllers of Fruits Phytopathogenic Fungi Trends and Perspectives María Inés Stegmayer,1 Norma Hortensia Álvarez,1 María Alejandra Favaro,1 Laura Noemí Fernandez ,1 María Eugenia Carrizo,1 Andrea Guadalupe Reutemann1 and Marcos Gabriel Derita1,2,* Introduction Plant diseases caused by phytopathogenic fungi are responsible for economic losses arising mainly from crop yield reduction, but also resulting from diminished product quality and safety; sometimes they also represent a risk for human and animal health due to food contamination and the accumulation of toxic residues in the environment. Due to market globalization and climate change, the problem is growing at an accelerated pace (Pergomet et al. 2018). Physical methods, some inorganic salts (Qin et al. 2010), and synthetic biocides that include sanitizing products (Mari et al. 2004) are among the main alternative strategies to diminish the threat posed by phytopathogens. However, they are complemented by emerging non-conventional approaches, such as biological control through the application of antagonistic microorganisms and biochemical control through natural antimicrobial substances (Grayer and Kokubun 2001). Treatments based on X-rays and radio frequency irradiation (Neven and Drake 2000), cold storage and cool/hot water have been tested, but their implementation requires large equipment, and sometimes exposure conditions may damage the sensory quality of fruits, including their firmness (Spadoni et al. 2013). In addition, the use of biological agents, including Saccharomyces cerevisiae, Aureobasidium pullulans, Bacillus subtilis CPA-8, and Metschnikowia fructicola, among many others, have also been explored (Mari et al. 2012). However, the choice of the microorganism must be judicious, and to date, these types of biocontrol tools lack the capacity for eradication, and their effectiveness has been limited and variable. 1 ICiAgro Litoral, Universidad Nacional del Litoral, CONICET, Facultad de Ciencias Agrarias, Kreder 2805, Esperanza, 3080HOF, Argentina. 2 Farmacognosia, Facultad de Ciencias Bioquímicas y Farmacéuticas, Universidad Nacional de Rosario, Suipacha 531, S2002LRK, Rosario, Argentina. * Corresponding author: mgderita@hotmail.com 122 Wild Plants: The Treasure of Natural Healers Since regulations on the use of new and existing fungicides are becoming more and more stringent, it urges to identify and develop new chemical entities with antifungal activity. Nontoxic chemicals have emerged as promising alternatives to synthetic fungicides, as they provide effective protection against post-harvest spoilage. Different naturally occurring compounds (Fu et al. 2017), semisynthetic derivatives (Zhang et al. 2015), chitosan-based formulations (Novaes Azevedo et al. 2014), and plant products (Gatto et al. 2016), including extracts or essential oils (Mohammadi and Aminifard 2012, Di liberto et al. 2019) have been reported as part of this strategy. The present chapter attempts to follow this line of thought and provide information about the reported use of wild plant species acting as antifungals, as well as some preliminary results based on in vitro studies performed in our laboratory. Statistical Data of Argentinean Main Fruit Productions Along the Last 20 Years Fruit and vegetable production in Argentina is carried out in almost the whole territory due to its climate diversity. The commercial production that provides to the main urban consumption centers is located in certain regions which offer competitive commercial advantages given by agro-climatic conditions, infrastructure (irrigation, roads), technology, and availability of supplies and services (technical assistance and qualified workforce) (Sordo et al. 2017). Argentinean production data of oranges, strawberries, and peaches were analyzed according to FAO (Food and Agriculture Organization of the United Nations), Comtrade (United Nations Comtrade Database-International Trade Statistic-Import/export Data), and the MCBA (Central Market of Buenos Aires). The parameters studied were production (tons), harvested area (hectare), major producing states/provinces, and varieties used from 1997 to 2017. The performance obtained for orange production (tons) indicates an upward behavior with a crop area (hectare) that remains more or less constant, showing a maximum between 2005 and 2010 (Figure 6.1a). Entre Ríos, Buenos Aires, Santa Fe, and Tucumán provinces are the ones with the highest production represented by the major varieties Lane late, Salustiana, Valencia late, and Sanguinelli. Regarding strawberry production and cultivated area, although an exponential behavior is observed worldwide, at the national level the trend is linear upward (Figure 6.1b). The provinces of Tucumán and Santa Fe turn out to be the ones with the highest production. Varieties Camarosa, Camino real, Cabrillo, and Sensación are the main ones that abound in the Central Market of Buenos Aires. Argentina exports mostly industrialized strawberry, and to a lesser extent, fresh fruit. With respect to peaches, world production follows an exponential trend and harvested area, while in our country these parameters show a constant behavior except for 2014 and 2017, when production fell due to adverse weather conditions (Figure 6.1c). Regions with the highest production of peaches in Argentina are—north of Buenos Aires, south of Santa Fe, and Mendoza province, all of which are affected by a fungal pest (Monilinia fructicola) that prevents export to the EU. The main varieties commercialized by Argentina are: Flavor crest, Rich lady, and Red globe, among others. Important Fruit Diseases caused by Phytopathogenic Fungi Penicillium digitatum (Pers.) Sacc, Botrytis cinerea (Pers.: Fr.), and Monilinia fructicola (G. Wint.) Honey are three of the main phytopathogenic fungi that affect Argentine production of citrus, strawberries, and peaches in fields as well as during harvest and post-harvest stage. The main characteristics, disease cycle, epidemiology, and management of these pathogens will be reviewed below. Argentinian Wild Plants as Controllers of Fruits Phytopathogenic Fungi 123 80000 1200000 70000 1000000 60000 50000 Ha Tons 800000 600000 30000 400000 200000 20000 y = 122,38x2 – 480412x + 5E + 08 R2 = 0,4936 2007 Year 2012 1997 2017 14000 1400 12000 1200 10000 1000 8000 800 Ha Tons 0 2002 2002 2007 2012 2017 A 2017 B 2017 C 600 6000 4000 400 y = 215,21x – 421248 R2 = 0,9562 2000 y = 51276ln(x) – 388922 R2 = 0,8348 200 0 0 1997 2002 2007 Year 2012 1997 2017 350000 40000 300000 35000 2002 2007 Year 2012 30000 250000 25000 200000 Ha Tons y = 9E + 07e–0,004x R2 = 0,1251 10000 0 1997 40000 20000 150000 15000 100000 50000 10000 y = –64,967x2 + 258991x – 3E + 08 R2 = 0,1382 5000 0 0 1997 y = 35,392x2 + 141284x – 1E + 08 R2 = 0,5838 2002 2007 Year 2012 2017 1997 2002 2007 2012 Year Figure 6.1: Production of oranges (A), strawberries (B) and peaches (C) in tons (left) and crop area data in hectare (right) between 1997 and 2017 in Argentina. Citrus Green mold Green mold rot disease caused by P. digitatum is the most important post-harvest disease of citrus fruit worldwide. In conditions conducive for disease, losses may reach 90% (Whiteside et al. 1988, Macarisin et al. 2007). P. digitatum is a necrotrophic wound parasite that requires a preexisting injury to penetrate the fruit peel. Inoculum sources for infection are present in rotten fruit on the ground of the orchard, in the packing house, or storage room. Infection occurs when masses of conidia are airborne, disseminated, and contact mature fruits which are highly susceptible. The optimum temperature is between 20–25ºC (Whiteside et al. 1988, Palou et al. 2008, Kellerman et al. 2016). The infection and sporulation cycle can be repeated many times through the season (Whiteside et al. 1988). Symptoms appear as a soft, watery, and decolorized spot which rapidly enlarges due to the production of pathogenic hydrolytic enzymes. White mycelium accompanied by a mass of green spores (Figure 6.2a) appears on the fruit rind surface (Whiteside et al. 1988, Papoutsis et al. 2019). 124 Wild Plants: The Treasure of Natural Healers Figure 6.2: Symptoms caused by (a) Penicillium digitatum in orange, (b) Botrytis cinerea in strawberry, and (c) Monilinia fructicola in peach. Management of green molds is currently based on an integration of measures, such as minimizing fruit injury, sanitary practices, and fungicide treatments (Whiteside et al. 1988, Sukorini et al. 2013). The high number of pre- and post-harvest application of chemical fungicides has caused the development of P. digitatum resistant strains to several chemical groups (Papoutsis et al. 2019). In Argentina, the continuous use of the fungicides thiabendazol, imazalil, and pyrimethanil in citrus packing houses has led to the development of resistant P. digitatum isolates (Panozzo et al. 2018). Therefore, the requirement for alternative control strategies is increasing. The control of green mold without the application of chemical fungicides has been recently reviewed (Papoutsis et al. 2019). Among these non-chemical treatments, natural compounds, irradiations, hot water treatments, salts, and biocontrol agents constitute promising strategies for P. digitatum management (Sukorini et al. 2013, Papoutsis et al. 2019). Strawberry Gray mold B. cinerea (teleomorph Botryotinia fuckeliana (de Bary) Whetzel) causes serious diseases in more than 200 crop species worldwide (Williamson et al. 2007). Between them, gray mold is among the most devastating diseases affecting strawberry fruits worldwide (Hu et al. 2018). Losses for fruit rot in field may reach or exceed 50%, and significant losses during post-harvest and storage might occur (Mertely et al. 2002). Gray mold is between the most important post-harvest diseases in strawberry producing regions of Argentina (Murillo et al. 2016). In this crop, B. cinerea also affect leaves, petioles, flower buds, petals, and stems (Maas 1998). Primary inoculum for flower infections is produced from overwintering sclerotia and plant debris in the form of conidia (Williamson et al. 2007). Infection is favored by high humidity, prolonged surface wetness, and moderate temperatures (15 to 25ºC), but the pathogen develops well at a wide range of temperatures between 0 and 30ºC (Mertely et al. 2002, Romanazzi and Feliziani 2014). After penetration, B. cinerea might remain latent until fruit maturity, when rot occurs and subsequent sporulation will provide inoculums for secondary infections (Williamson et al. 2007, Romanazzi and Feliziani 2014). Infections can also remain latent until storage, when the conditions of humidity and low temperatures slow down host defenses and favor disease development (Romanazzi and Feliziani 2014). Soft rot is most frequently found on the calyx end or on sides of fruits touching other rotten Argentinian Wild Plants as Controllers of Fruits Phytopathogenic Fungi 125 fruits. The fungus sporulates in the presence of free water, covering lesions with a gray mass of conidia and conidiophores (Maas 1987, Mertely et al. 2002, Williamson et al. 2007) (Figure 6.2b). Management of B. cinerea constitutes a challenge because of the great diversity present in the pathogen, the ability to survive in diverse hosts for extended periods, and the variety of inoculum sources which increase adaptation in the field (Williamson et al. 2007, Hu et al. 2018). Thus, integrated disease management, including cultural practices, biological control, and chemical control based on methods for predicting the risk of disease are strongly recommended. However, traditional treatments are applied based on calendar schedules, so optimum spray intervals are rarely determined, and numerous field application are carried out from flowering until harvest (Mertely et al. 2002, Romanazzi and Feliziani 2014). Thus, development of resistance to multiple chemical types of fungicides has been reported worldwide between B. cinerea isolates (Williamson et al. 2007, Romanazzi and Feliziani 2014, Hu et al. 2018). The more times the fungicide is applied, higher is the risk of resistance arising in B. cinerea. Consequently, mixed spray programs have been devised, ideally with each spray chosen from a different fungicide group, to reduce the risk of substantial field resistance arising (Williamson et al. 2007). Peach Brown-rot M. fructicola is the causal agent of brown rot, a destructive pathogen on stone fruits worldwide, which also causes blossom blight and twig cankers (Mondino 2014, Dowling et al. 2019). In peach, M. fructicola is responsible for the main fruit losses during the growing season and in post-harvest. The reduction in yield is estimated to be between 20 and 80% in years conducive for disease (Hrustić et al. 2018). In Argentina, the pathogen has been reported in almost all the producing regions, although the most affected region is the Pampean zone, where weather conditions favor the progress of disease (Mitidieri and Castillo 2014, Rista and Favaro 2014). Even though M. fructicola has recently been found to be present in many European countries, it is still considered a quarantine pest in the EPPO region (EPPO 2016). M. fructicola is a polycyclic pathogen which survives mainly in mummified fruits and cankers on twigs, serving as a source of primary inoculum to infect blossoms, buds, and young shoots. The conidia developed in cankers are of epidemiological significance as secondary inoculum source for fruit rot (Mondino 2014, Dowling et al. 2019). The optimum temperature for fruit infection is 25ºC, at which more than 79% of fruits could be infected under a wetting period of a minimum of 12 hours (h). However, if the wetting period is prolonged to 24 hours, infection can occur at a wider range of temperatures (Gell et al. 2008). Fruits are more susceptible to infection during ripening, since the fruit changes its color, and the presence of wounds facilitates penetration (Mondino 2014). Symptoms in fruits manifest as brown, firm rot, which rapidly enlarges, and after a few days post infection, the sign of the disease is visualized as a whitish to creamy powdery sporulation. Affected fruits might fall or remain mummified in plants (Figure 6.2c). The management of the disease in Argentina integrates application of fungicides with cultural measures, such as the removal of fruit mummies and the pruning of twigs with cankers to reduce inoculum levels. At present, management of M. fructicola with fungicides constitutes a challenge for several reasons (Mondino 2014). A high number of applications are required to protect flowers and fruits, taking into account the long susceptibility period for the infection. Fungicides, such as dithiocarbamates, which present low possibility to generate resistance, have long waiting periods, which make application at fruit maturity difficult. Other fungicides with shorter waiting periods show high risk of resistance build-up. Fungicide resistance between isolates of M. fruticola has been widely reported for several groups of fungicides, such as quinone outside inhibitor, dicarboxamides, benzimidazoles, and demethylation inhibitors (Tran et al. 2019). Furthermore, carbendazim-resistant isolates have been found in producing areas of Argentina (Mitidieri and Castillo 2014). 126 Wild Plants: The Treasure of Natural Healers For all those mentioned above, exploring the use of wilds plants in general to control fruit health constitutes an important field for interdisciplinary scientific research. In vitro Evaluation of 10 Wild Species that Grow in the Central Region of Argentina for their Antifungal activities against B. cinerea and M. fructicola In order to select plants for antifungal activity tests, it is necessary to take into account three important aspects: (1) if these plant species have proven to be antimicrobial against human pathogens; (2) if they are easy to find in nature; and (3) if they are available in good quantity (Petenatti et al. 2008). The antifungal activities of the plant species described below were evaluated against the fruit pathogens B. cinerea and M. fructicola. All of them are native or naturalized Argentinian species; they are widely distributed in the central region of the country, and they have potential antifungal activities. The scientific names of the plant and their botanical families are detailed in Table 6.1. Table 6.1: Plant species evaluated against fruit pathogens Botrytis cinerea and Monilinia fructicola. Plant Scientific Name Family Dysphania ambrosioides (L.) Mosyakin & Clemants Amaranthaceae Austroeupatorium inulifolium (Kunth) R.M. King & H. Rob. Asteraceae Wedelia glauca (Ortega) Hoffm. ex Hicken Asteraceae Rapistrum rugosum (L.) All. Brassicaceae Cyperus rotundus L. Cyperaceae Fimbristylis dichotoma (L.) Vahl Cyperaceae Schoenoplectus americanus (Pers.) Volkart ex Schinz & R. Keller Cyperaceae Schoenoplectus californicus (C.A.Mey.) Soják Cyperaceae Fumaria officinalis L. Papaveraceae Lantana camara L. Verbenaceae Plant species and their Activities Within the Amaranthaceae family, one of the most recognized medicinal species for its properties is Dysphania ambrosioides “paico” (Figure 6.3a-c), a perennial herb that reaches 1.5 m high (Giusti 1997). Its fragrance comes from its leaves, which together with the fruits, are used in infusions or decoctions for digestive, anthelmintic, stimulant, and sudorific purposes (Kliks 1985, Eyssartier et al. 2009, Navone et al. 2014). In the Argentinian northwest area, it is used to treat “empacho” and parasites in children (Campos-Navarro and Scarpa 2013). In other regions of South America, it is also used for other medicinal purposes (Alonso and Desmarchelier 2005), such as treatment of skin diseases. Extracts in different concentration demonstrated an inhibition of Aspergillus flavus, A. glaucus, A. niger, A. ochraceous, Colletotrichum gloeosporioides, C. musae, Fusarium oxysporum, and F. semitectum, all of which are pathogens of post-harvest cultures (Jardim et al. 2008). Asteraceae is another interesting family that includes species with potential antifungal value. This family is widely represented in Argentina, and some of its species are aggressive weeds in cultivated fields (Daehler 1998). In our work, two species of Asteraceae were studied—Austroeupatorium inulifolium and Wedelia glauca. The first one (Figure 6.3d-f), is a subshrub which is 1–2 m high, that grows up to 1,300 masl, in sandy soils, and humid fields. Their leaves are used as a cardiac stimulant, laxative, and anticoagulant (Dominguez 1924, Caius 1941, Arenas and Moreno Azorero Argentinian Wild Plants as Controllers of Fruits Phytopathogenic Fungi 127 Figure 6.3: (a-c) Dysphania ambrosioides, (d-f) Austroeupatorium inulifolium, and (g-i) Wedelia glauca. 1977, Martínez Crovetto 1981). It is one of the ten plants most used in empirical medicine in rural areas of the Colombian Andes (Grande-Tovar et al. 2016). The essential oil and extracts obtained from this species have shown biological activities, including anti-inflammatory, insecticides, and antibacterial against Staphylococcus aureus, Escherichia coli, Pseudomonas aeruginosa, and Bacillus subtilis (Sanabria-Galindo et al. 1998, Álvarez et al. 2005). In vitro antifungal assays performed with the essential oil of A. inulifolium inhibited up to 70% of the growth of Penicillium brevicompactum and Fusarium oxysporum (Grande-Tovar et al. 2016). On the other hand, W. glauca (Figure 6.3g-i) is a rhizomatous perennial herb, up to 80 cm tall, and widely distributed in Argentina. Several species of this genus are used as digestive herbs all over the world (Rahman 2013). Hepatoprotective properties, antipyretic-analgesic, bactericidal, and molluscicidal activities are attributed to it (Li et al. 2007, Gastón et al. 2008). The acetone extracts obtained from the stem are effective against bacteria of the 128 Wild Plants: The Treasure of Natural Healers genera Proteus sp. and Streptococcus sp. It also causes inhibition in fungal cultures of the genera Aspergillus and Candida (De Arias et al. 1995). Cyperaceae is another family widely represented in Argentina that includes aggressive weeds in crop fields. Moreover, many members of Cyperaceae form extensive populations in alluvial plains, streams, and ditches (Figure 6.4a). Cyperaceae, as many grass-like plants, have a high ability to reproduce vegetatively by rhizomes and stolons (Figures 6.4b and c) (Vrijdaghs 2006). Among their best known weeds are Cyperus rotundus and Fimbristylis dichotoma. C. rotundus (Figures 6.4c and d) is used for diarrhea, diabetes, pyresis, inflammation, malaria, stomach pains, and intestinal disorders (Peerzada et al. 2015). It synthesized bioactive components against numerous microorganisms (Adeniyi et al. 2014). Ethyl acetate extracts from its rhizomes have been cited as highly effective antifungal substances (Singh et al. 2011). For these characteristics, it is considered that C. rotundus has a high potential value to be used in the ecological control of plant diseases. Species of Fimbristylis (Figures 6.4e and f) are used in folk medicine to treat conditions, such as eczema, burns, diarrhea, intestinal infections, infestations, and fever, among other disorders (Simpson and Inglis 2001). However, unlike C. rotundus, its action against fungi has not been proven (Islam et al. 2011, Ismail and Siddique 2012, Kadam et al. 2018). On the other hand, sedges, such as Schoenoplectus americanus and Schoenoplectus californicus are important components of natural wetlands, where they form extensive “reeds” (Figure 6.4a). Schoenoplectus sp. has been proven as a phytoremediator in sediments contaminated with zinc, and in the purification of industrial waste as a constituent of wetlands (Poach et al. 2003, Arreghini et al. 2006, Thullen et al. 2008). The antimicrobial action has not been evaluated—neither in human fungi nor against phytopathogens. The Brassicaceae family plays an important role in human nutrition and has several representatives in the Argentine flora (Jahangir et al. 2009). One of them is Rapistrum rugosum “nabo”, an annual herb with glabrous or pubescent ellipsoid fruit that allow distinguishing it easily in the field (Figures 6.4g and h). The family which it belongs to is recognized for the production of glucosinolates (Holtz and Williamson 2004). These metabolites are responsible for the biocidal activity reported by several authors (Dubuis et al. 2005). Lazzeri and Mancini (2001), simulating this species as green manure, suppressed Pythium sp., and also induced an increase in total soil microbial activity. Many times, plant species owe their name to some related medicinal property that they perform. Fumaria officinalis, from the Latin fumus which means “smoke” and officinalis that denotes uses in medicine (Figure 6.4i), is a very polymorphous herb included in the Papaveraceae family. It is consumed in infusion, tincture or syrups as sedative, depurative, hypotensive, antiasthmatic, choleretic/ cholagogue, and spasmolytic (Alonso 1998, Rombi and Robert 1998). Its pharmacological action is situated in the regulation of choleresis (Del Vitto et al. 1998). It has shown activity against pathogens, such as Staphylococcus aureus and Cladosporium herbarum (Sengul et al. 2009). The plant fragrance is another criterion that suggests the presence of secondary metabolites which could be used for medicinal purposes. Lantana camara (Figure 6.4j), which belongs to Verbenaceae family, offers a great amount of polycyclic triterpenoids in its aerial parts (Randrianalijaona et al. 2005, Ganjewala et al. 2009, Begum et al. 2010), whose antifungal and antibacterial effects against P. aeruginosa, A. niger, F. solani, and C. albicans have been demonstrated (Deena and Thoppil 2000). Naz and Bano (2013) found that the methanolic extracts of its leaves inhibited the growth of A. fumigatus and A. flavus to 71% and 66%, respectively. It also showed a larvicidal effect against Aedes aegypti and Culex quinquefasciatus (Kumar and Maneemegalai 2008). Plant material Plants were collected, mostly from farms and sides of roads in areas surrounding the Litoral region of Argentina, between March 2016 and February 2017. Each vegetal material was identified by AGR and MIS (co-authors of the present work), and a voucher specimen was deposited at the Herbarium of the FCA-UNL “Arturo Ragonese” (SF Herbarium), Kreder 2805-(3080HOF)-Esperanza, Argentina. Argentinian Wild Plants as Controllers of Fruits Phytopathogenic Fungi 129 Figure 6.4: Species of (a-c) Cyperaceae family, (c and d) Cyperus rotundus, (e and f) Fimbristylis dichotoma, (g and h) Rapistrum rugosum “nabo”, (i) Lantana camara, and (j) Fumaria officinalis. 130 Wild Plants: The Treasure of Natural Healers After collection, plants were dried in a suitable environment, and different parts (leaves, flowers, fruits, seeds, bark, or the whole plant) were separated according to the extracts that had to be prepared. For extract preparation, air-dried products of different aerial parts of each species (100 g) were powdered and successively macerated (3 × 24 hours each) with hexane, acetone, and methanol, using mechanical stirring to obtain the corresponding extracts, after filtration and evaporation. Antifungal assays Microorganisms and media: Monosporic strains of each fungus were obtained from fruits that presented the correspondent symptom and were morphologically characterized by the Micology Reference Center (CEREMIC, Rosario, Argentina) and the National Institute of Agricultural Technology (INTA, San Pedro, Argentina). Strains of B. cinerea CCC-100 and M. fructicola INTA-SP345 were grown on Potato-Dextrose-Agar (PDA) medium using petri dishes for 7 days at 15–20°C (as needed for the growth of each one), and sub-cultured every 15 days to prevent pleomorphic transformations. The inoculum of spore suspensions were obtained according to the CLSI reported procedures and adjusted to 1 × 104 Colony Forming Units (CFU)/mL (CLSI 2008). Susceptibility tests: Diffusion tests were carried out using 9 cm in diameter sterile petri dishes provided with 4 divisions, so that each experiment was considered by quadruplicate. Extract solutions were prepared at a concentration of 50 mg/mL in DMSO, and once dissolved, 400 µL of this stock solution was taken and diluted in 20 mL of molten PDA culture medium. After vigorously shaking and before the mixture was solidified, 5 mL was poured into each of the 4 compartments of the petri dishes and cooled down. A conidia concentration between 104 and 105 CFU/mL was inoculated inside a well located in the center of each compartment once the medium containing 1000 ppm of each extract solidified. A negative control was performed using the commercial antifungal Carbendazim® and a positive one (growth control) employing the solvent DMSO without plant extract. Once the mycelium of the control plates completely covered the surface of the medium (in approximately 7 days), the measurements of the mycelium diameter developed in each plate treated with each plant extract were carried out by scanning the plates for later reading and analysis with ImageJ® software. The differences in the mean percentage of fungal growth in the presence of each extract were compared to positive and negative controls by statistical analysis with 95% confidence interval (CI). Antifungal evaluation against B. cinerea: Among all hexane extracts of the 10 species evaluated (Figure 6.5), the most active ones turned out to be D. ambrosioides (aerial parts) and W. glauca (leaves), showing no significant differences with respect to the negative control, that is to say that they inhibited 100% of the fungal growth. Aerial parts of C. rotundus and R. rugosum, flowers of F. dichotoma and R. rugosum, and rhizomes of two species of Schoenoplectus were evaluated, and they were moderately active, showing significant differences between both positive and negative controls. Finally, A. inulifolium (flowers and leaves), F. officinalis (arial parts), and L. camara (leaves) resulted to be inactive with no (or small) significant differences with respect to the control growth. Regarding acetone extracts (Figure 6.6), the most active ones were W. glauca (leaves), S. californicus (rhizomes), R. rugosum (flowers), and F. officinalis (aerial parts), showing no fungal growth (without significant differences respect to the negative control). Rhizomes of S. americanus and aerial parts of R. rugosum displayed moderate activity with significant differences between both controls. The rest of the extracts proved to be barely active or inactive without significant difference on their growth with respect to the positive control. Methanolic extracts demonstrated to be less active than hexane and acetone ones against B. cinerea (Figure 6.7). Among them, A. inulifolium (flowers and leaves) and R. rugosum (flowers) showed no significant differences with respect to the inhibition control. C. rotundus, S. californicus, R. rugosum (aerial parts), and F. officinalis allowed the fungal development in approximately 50% of the cases, suggesting a moderate antifungal activity. Argentinian Wild Plants as Controllers of Fruits Phytopathogenic Fungi 131 14,00 e e e 12,00 d d 8,00 c 6,00 c c c 4,00 bc ab 2,00 Comtrol + L. camara (L) F. officinalis (AP) R. rugosum (F) S. californicus (R) S. americanus (R) F. dichotoma (F) a C. rotundus (AP) A. inulifolium (L) A. inulifolium (F) D. ambrosioides (AP) W. glauca (L) a Comtrol - a 0,00 R. rugosum (AP) Growth (cm2) 10,00 Figure 6.5: Antifungal activity evaluation of hexane extracts of 10 wild plant species against B. cinerea. The Y axis corresponds to fungal mycelium growth (cm2) in each compartment of the petri plate. The X axis corresponds to different samples evaluated. Control +: growth control; Control -: inhibition control using the commercial antifungal Carbendazim. Different letters mean statistically significant differences. 14,00 e e e e 12,00 d d Growth (cm2) 10,00 d c 8,00 b 6,00 4,00 2,00 Comtrol + a L. camara (L) F. officinalis (AP) R. rugosum (AP) a Comtrol - a R. rugosum (F) S. americanus (R) F. dichotoma (F) C. rotundus (AP) W. glauca (L) A. inulifolium (L) A. inulifolium (F) D. ambrosioides (AP) S. californicus (R) a a 0,00 Figure 6.6: Antifungal activity evaluation of acetone extracts of 10 wild plant species against B. cinerea. The Y axis corresponds to fungal mycelium growth (cm2) in each compartment of the petri plate. The X axis corresponds to different samples evaluated. Control + = growth control; Control - = inhibition control using the commercial antifungal Carbendazim. Different letters mean statistically significant differences. Antifungal activity evaluation against M. fructicola: Among all hexane extracts of the 10 species evaluated (Figure 6.8), the most active ones turned out to be W. glauca (leaves) and rhizomes of S. californicus showing no significant differences with respect to the negative control, that is to say that they inhibited 100% of the fungal growth. Hexane extracts of R. rugosum (flowers and aerial parts) were active, allowing a minimum fungal growth (without significant difference respect to the inhibition control). On the other hand, D. ambrosioides, A. inulifolium, and F. officinalis were moderately active, showing significant differences between both the positive and negative controls. Finally, C. rotundus, F. dichotoma, S. americanus, and L. camara resulted to be inactive with no significant differences with respect to the control growth. 132 Wild Plants: The Treasure of Natural Healers 14,00 f f f 12,00 ef cd 10,00 de de cd 8,00 bc 6,00 4,00 ab a 2,00 Comtrol + L. camara (L) F. officinalis (AP) a R. rugosum (AP) R. rugosum (F) S. californicus (R) S. americanus (R) F. dichotoma (F) C. rotundus (AP) W. glauca (L) A. inulifolium (L) A. inulifolium (F) D. ambrosioides (AP) a 0,00 Comtrol - Growth (cm2) d Figure 6.7: Antifungal activity evaluation of methanolic extracts of 10 wild plant species against B. cinerea. The Y axis corresponds to fungal mycelium growth (cm2) in each compartment of the petri plate. The X axis corresponds to different samples evaluated. Control +: growth control; Control -: inhibition control using the commercial antifungal Carbendazim. Different letters mean statistically significant differences. 14,00 de e e e cde 12,00 10,00 cde cd Growth (cm2) bc cd 8,00 ab 6,00 4,00 ab 2,00 Comtrol - Comtrol + L. camara (L) F. officinalis (AP) R. rugosum (AP) a R. rugosum (F) S. californicus (R) S. americanus (R) F. dichotoma (F) a C. rotundus (AP) A. inulifolium (L) A. inulifolium (F) D. ambrosioides (AP) W. glauca (L) a 0,00 Figure 6.8: Antifungal activity evaluation of hexane extracts of 10 wild plant species against M. fructicola. The Y axis corresponds to fungal mycelium growth (cm2) in each compartment of the petri plate. The X axis corresponds to different samples evaluated. Control +: growth control; Control -: inhibition control using the commercial antifungal Carbendazim. Different letters mean statistically significant differences. Regarding acetone extracts (Figure 6.9), the most active ones were A. inulifolium (leaves), S. californicus (rhizomes), and both extracts of R. rugosum (flowers and aerial parts), showing no fungal growth (without significant differences respect to the negative control) or an incipient fungal development. Acetone extracts of F. dichotoma and F. officinalis displayed moderate activity, with significant differences between both controls. The rest of the extracts proved to be barely active or inactive without significant difference in their growth with respect to the positive control. Argentinian Wild Plants as Controllers of Fruits Phytopathogenic Fungi 133 14,00 e e e e e e de 12,00 10,00 Growth (cm2) bc 8,00 cd 6,00 4,00 ab 2,00 ab Comtrol + L. camara (L) F. officinalis (AP) R. rugosum (AP) R. rugosum (F) S. californicus (R) S. americanus (R) F. dichotoma (F) C. rotundus (AP) Comtrol - a a W. glauca (L) A. inulifolium (F) D. ambrosioides (AP) A. inulifolium (L) a 0,00 Figure 6.9: Antifungal activity evaluation of acetone extracts of 10 wild plant species against M. fructicola. The Y axis corresponds to fungal mycelium growth (cm2) in each compartment of the petri plate. The X axis corresponds to different samples evaluated. Control +: growth control; Control -: inhibition control using the commercial antifungal Carbendazim. Different letters mean statistically significant differences. 14,00 c c c b 12,00 b Growth (cm2) 10,00 b 8,00 b b 6,00 4,00 a a a 2,00 a Comtrol - Comtrol + L. camara (L) a F. officinalis (AP) R. rugosum (AP) R. rugosum (F) S. californicus (R) S. americanus (R) F. dichotoma (F) C. rotundus (AP) a W. glauca (L) A. inulifolium (L) A. inulifolium (F) D. ambrosioides (AP) 0,00 a Figure 6.10: Antifungal activity evaluation of methanolic extracts of 10 wild plant species against M. fructicola. The Y axis corresponds to fungal mycelium growth (cm2) in each compartment of the petri plate. The X axis corresponds to different samples evaluated. Control +: growth control; Control -: inhibition control using the commercial antifungal Carbendazim. Different letters mean statistically significant differences. 134 Wild Plants: The Treasure of Natural Healers Methanolic extracts (Figure 6.10) could be classified into three categories taking into account their activities against M. fructicola: (1) extracts that inhibited the fungal growth as strong as the negative control carbendazim (A. inulifolium, S. americanus, R. rugosum, and F. officinalis); (2) extracts which displayed a moderate antifungal activity showing significant differences between both controls (C. rotundus, F. dichotoma, S. californicus, and L. camara); (3) inactive extracts showing no significant differences with respect to the control growth (D. ambrosioides and W. glauca). Conclusions In this chapter, it has been demonstrated that certain wild plants that grow in the central zone of Argentina could be used as potential antifungal agents against phytopathogenic fungi that affect the health of strawberries and bone fruits. Particularly, isolated monosporic strains of B. cinerea and M. fructicola were submitted to in vitro assays in order to explore their susceptibility to hexane, acetone, and methanolic extracts of 10 wild plant species. Some extract type of each species tested to be active, to a greater or lesser extent, against some of the pathogens evaluated. Since the different types of extracts are constituted by different kinds of secondary metabolites present in the plant, they can vary in the antifungal potency. Thus, D. ambrosioides and W. glauca hexane extract; W. glauca, S. californicus, R. rugosum flowers, and F. officinalis acetone extracts; and A. inulifolium and R. rugosum flowers methanolic extracts, inhibited 100% of the in vitro growth of B. cinerea under experimental conditions. On the other hand, W. glauca and S. californicus hexane extracts; A. inulifolium and S. californicus acetone extracts; and A. inulifolium, S. americanus, R. rugosum and F. officinalis methanolic extracts, inhibited 100% of the in vitro growth of M. fructicola under experimental conditions. Future efforts will be focused in trying to determine the chemical composition of the active extracts, as well as their application procedures in field, or during harvest and post-harvest stages of strawberries and peaches. Acknowledgments Authors gratefully acknowledge Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET) and Agencia Nacional de Promoción Científica y Tecnológica (ANPCyT) for financial support (PIP N° 2015-0524, PICT N° 2015-2259). MIS, NHA, and LNF are also thankful to CONICET for their fellowships. References Adeniyi, T.A., Adeonipekun, P.A., Omotayo, A.E. 2014. Investigating the phytochemicals and antimicrobial properties of three sedge (Cyperaceae) species. Not. 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Whiteside, J.O., Garnsey, S.M., Trimmer, L.W. 1988. Compendium of Citrus Diseases. St. Paul, Minn., USA: APS Press, 88 p. Zhang, Y., Zeng, L., Yang, J., Zheng, X., Yu, T. 2015. 6-Benzylaminopurine inhibits growth of Monilinia fructicola and induces defense-related mechanism in peach fruit. Food Chem. 187: 210–217. 7 Plants from Brazil Used Against Snake Bites Oleanolic and Ursolic Acids as Antiophidian Against Bothrops jararacussu venom Jocimar de Souza,1 Bruna Stramandinoli Deamatis,1 Fernanda Mayumi Ishii,1 Ingrid Francine Araújo de Oliveira,2 Gustavo Rodrigues Toledo Piza,3 Jorge Amaral Filho,1 Edson Hideaki Yoshida,1 José Carlos Cogo,4 Angela Faustino Jozala,2 Denise Grotto,3 Rauldenis Almeida Fonseca Santos5 and Yoko Oshima-Franco1,* Introduction There are approximately 2,900 snake species in the world, of which only 410 are considered poisonous (Cardoso et al. 2003). In Brazil, it is possible to find approximately 69 of these poisonous species, distributed between two families (Viperidae and Elapidae) and belonging mainly to the genera Bothrops, Crotalus, Lachesis, and Micrurus (Pinho and Pereira 2001, Carrasco et al. 2012). Due to the large number of accidents and the severity of human events in tropical countries, snakebite accidents are considered a public health problem (Pinho and Pereira 2001). The clinical condition developed by the victim is very varied, depending on the amount of poison inoculated, the place of the bite, the age and physical condition of the victim, and especially the time between the accident and medical care (Borges et al. 1999). Around 2.5 million cases per year are reported worldwide, with a mortality rate between 4 and 10% (Chippaux and Goyffon 1998). In Brazil, these accidents are around 20,000 per year, with a fatality rate of 0.4% (Pinho and Pereira 2001, Araújo et al. 2003). However, it is important to remember that 1 Laboratory of Research in Neuropharmacology and Multidisciplinary (Lapenm), University of Sorocaba, Sorocaba, São Paulo, Brazil. 2 Laboratory of Industrial Microbiology and Fermentation Process (Laminfe), University of Sorocaba, Sorocaba, São Paulo, Brazil. 3 Laboratory of Toxicological Research (Lapetox), University of Sorocaba, Sorocaba, São Paulo, Brazil. 4 Bioengineering and Biomedical Engineering Programs, Technological and Scientific Institute, Brazil University, São Paulo, Brazil. 5 Federal Institute of Education, Science and Technology of Rondonia, Federal Institute of Rondônia, Calama, Rondônia, Brazil. * Corresponding author: yoko.franco@prof.uniso.br Plants from Brazil Used Against Snake Bites 139 the data is not homogeneous. For example, in Brazil, the state of Paraná had a death rate of 51% of the 54.737 cases recorded by snakebite accident (Moura and Mourão 2012). The toxins present in the venom of snakes have numerous properties, and act by different mechanisms—in paralysis, death, and digestion of prey, besides being a defense component against predators (Mebs 2002). They are constituted by a cocktail of chemical compounds mostly formed by enzymatic action proteins (Gutiérrez and Lomonte 1995, Gutiérrez 2002, Mebs 2002). Poisoning by these snakes causes disorders that affect blood clotting, induce hemorrhage, edema, and local necrosis (Gutiérrez and Lomonte 1989, 1995, Gutiérrez 2002, Gutiérrez et al. 2007). The medical practice officially used to treat ophthalmic poisoning as the administration of serum therapy, which neutralizes venom toxins (Gutiérrez 2002). However, recovery from tissue damage rarely occurs (Cardoso et al. 2003, Gutiérrez et al. 1998), and the delay in patient care, even with serum therapy, may be insufficient, especially whet it occurs in rural areas far from medical care. In addition, traditional serum therapy may lead to anaphylactic reactions and hypersensitivity caused by whey proteins. Thus, other complementary practices can be used, especially with the purpose of neutralizing local tissue damage, such as the use of medicinal plants (Cardoso et al. 2003, Da Silva et al. 2007). In different parts of the world, medicinal plants have been providing metabolites capable of inhibiting the action of toxins present in snake venoms, and the ehnopharmacological survey of species popularly used to treat snakebites grows over time (Nakagawa et al. 1982, Mors 1991, Martz 1992, Houghton and Osibogun 1993, Mors et al. 2000, Pereira et al. 1996, Otero et al. 2000a, Soares et al. 2004, 2005), including investigating the real inhibition efficiency in in vitro and in vivo tests using isolated extracts and metabolites (Houghton and Osibogun 1993, Da Silva et al. 1997, Pereira et al. 1996, Daros et al. 1996, Mors et al. 2000, Januário et al. 2004, Soares et al. 2004, 2005, Ticli et al. 2005, Dey and De 2012). Countries with high plant biodiversity stand out for the investigation of plants with antiophidic metabolites, and there has been an increase in scientific production associated with plants from the American continent, especially Central and South America (Otero et al. 2000a, Gutiérrez 2002, Cardoso et al. 2003, Soares et al. 2004, 2005). In Brazil, one of the milestones for the investigation of plants capable of neutralizing toxins from snake venom occurred in 1882, with the investigation by Nakagawa and collaborators of the inhibitory capacity of the “specific person” infusion, a species of panacea used by the indigenous population of Amazon rainforest and absorbed by the Jesuits in the colonial period, used to combat different types of animal poisons—snakes, spiders, bees, scorpions, etc. (Pereira et al. 1996). From this infusion, cabenegrin pterocarpanes A-I and A-II were isolated, which showed proven antiophidic activity (Nakagawa et al. 1982). The plant species present in the infusion was popularly known as “head of black”, however, many species have this popular name, making the botanical identification impossible at the time. Subsequently, the same pterocarpanes were found in the Harpalicia brasiliana species, called the “snake root” (Da Silva et al. 1997), also used as an infusion to combat snakebite accidents by the local population, thus being one of the species present in “specific person”. Another Brazilian milestone in the fight against snakebite accidents occurred through the creation of epidemiological surveillance programs, such as Butantan Institute, Ezequiel Dias Foundation, and the Vital Brazil Institute, in the early 20th century, specialized in the development of serum therapy (Fan and Monteiro 2018). Several scientific studies have been recording plant species popularly used to treat snakebite accidents. For example, Mors (1991) and Mors et al. (2000) listed 578 plant species popularly used to combat snake bites, Martz (1992) listed 11 species, and Soares et al. (2005) listed 850 species. In India, the main references are concentrated in the fight against venom of species of the genera Naja, Daboia, and Ophiophagus (Santhosh et al. 2013), where more than 520 plants have been registered for this purpose (Upasani et al. 2017). In Bangladesh, articles cite about 116 plants (Kadir et al. 2015), and in Sri Lanka there are reports of 341 plant species (Dharmadasa et al. 2015). 140 Wild Plants: The Treasure of Natural Healers On the African continent, more than 100 plant species used for antiophidic purposes were recorded, distributed among the following countries—Mali, Democratic Republic of Congo, South Africa (Molander et al. 2014), and Kenya (Owuor and Kisangau 2006). In Colombia, 70 species have been listed, widely studied from a phytopharacologic point of view (Otero et al. 2000a, b, c, d). In Central America, about 260 plant species are described (Giovannini and Howes 2017). In Brazil, different plants have already been registered and tested as snake venom inhibitors, described in different scientific articles, such as Soares et al. (2004), who report the use of 56 plants, Nishijima et al. (2009) report five plants, De Paula et al. (2010) report 12 plants, and Moura et al. (2015) described reports of 24 plants used by the community of Pará (state with the highest incidence of snakebite accidents in Brazil), and four species (Bellucia dichotoma, Connarus favosus, Plathymenia reticulata, Philodendron megalophyllum) showed 100% inhibition of induced hemorrhage by Bothrops poison. The number of plants used for this purpose is so large that digital databases have already been created in order to correlate the plant species with antiophidic tests (Amui et al. 2011). In addition, many other plant species are cited. However, they have never been evaluated pharmacologically (Moura et al. 2015, Indriunas and Aoyama 2018). Table 7.1 summarizes Brazilian native plants with proven action as antiophidians. Although extracts of plant species have their capacity to neutralize proven ophidian toxins (Mors 1991, Houghton and Osibogun 1993, Otero et al. 2000a, b, c, d), fewer scientific studies report the chemical compounds responsible for inhibitory capacity (Giovannini and Howes 2017, Mors et al. 2000, Soares et al. 2005) (Table 7.2). Plants containing triterpenes have antiophidic use described in several articles (Soares et al. 2005, Pereira et al. 1996, Daros et al. 1996, Mors et al. 2000), especially Lupane skeleton triterpenes, such as betulin, lupeol, and betulinic acid (Bernard et al. 2001, Ferraz et al. 2012, 2015). Due to the known venom inhibition activity of Bothrops species, the study of triterpenic acids becomes a good alternative to obtain new ophidian venom inhibiting agents, such as oleanolic (C30H48O3) and ursolic (C30H48O3) acids (Figure 7.1), which naturally coexist (Liu 1995, Yin and Chan 2007) in food and medicinal plants (Table 7.3), as the free acid form or as aglycone for triterpenoid saponins (Price et al. 1987, Mahato et al. 1988, Wang and Jiang 1992), and have been reported to be beneficial and have notable therapeutic effects (Zhang et al. 2013a). The pharmacological effects of oleanolic and ursolic acids comprise a vast list of properties. Wózniak et al. (2015) and Ayeleso et al. (2017) described the properties for ursolic and oleanolic acids, respectively, as being antibacterial, antimicrobial, anticancer/antitumour, antidiabetic, antihypertensive, anti-inflammatory, antioxidant, antiparasitic, and hepatoprotective, for both triterpenes. Besides, the properties attributed to ursolic acid also include protective effects on heart, brain, skeletal muscles, bones, and other organs (skin, kidney, and lung), although some studies point out negative effects of administration of this compound (Wózniak et al. 2015). Plants and derivatives have been assayed against snake venoms and other venomous animals, since complementary alternatives to antivenom therapy are desirable mainly by lack of this product in many communities (Knudsen and Laustsen 2018). Oleanolic and Ursolic Acids as Antiophidian against Bothrops jararacussu venom: A Case Study In this study, a new property of both triterpenes, isolatedly, was studied against the neurotoxic and myotoxic effects of Bothrops jararacussu snake venom, a snake of medical interest, on mouse phrenic nerve preparations, using a traditional myographic technique. Among the mechanisms by which snake venoms lead to toxic effects are the oxidative stress (Sunitha et al. 2015), and classic biomarkers were evaluated from bath samples of pharmacological assays. For the first time, the redox biomarkers were evaluated from the neuromuscular preparation’s bath. The antimicrobial and citotoxicological profile of both acids were also evaluated. Plants from Brazil Used Against Snake Bites 141 Table 7.1: Brazilian native plants with proven action against snakebites. Plant scientific name Family Parts used Reference(s) Aegiphila panamensis Moldenke Verbenaceae Leaves and Barks Otero et al. 2000d Aegiphila salutaris Kunth Verbenaceae - Mors 1991 Allamanda catartica L. Apocynaceae Leaves and Barks Otero et al. 2000d Alternanthera brasiliana (L.) Kuntze Amaranthaceae Flowers Félix-Silva et al. 2017, Moura et al. 2015 Anacardium occidentale L. Anacardiaceae Barks, Fruits, Leaves, and Roots Ushanandini et al. 2009 Anacardium humile Martius Anacardiaceae Barks Costa 2009 Aniba fragrans Ducke Lauraceae Barks Moura et al. 2015 *Aniba parviflora (Meisn.) Mez Lauraceae Leaves Félix-Silva et al. 2017, Moura et al. 2015 Annona furfuracea A.St. Hil. Annonaceae - Mors 1991 Annona montana Macfad. Annonaceae Leaves Félix-Silva et al. 2017 Apuleia leiocarpa (Vogel) J.F. Macbr. Fabaceae Roots Houghton and Osibogun 1993 *Arisaema psittacus E. Barnes Araceae Roots Breitbach et al. 2013 Aristolochia antihysterica Mart. ex Duch is the synonym of Aristolochia triangularis Cham. Aristolochiaceae - Mors 1991 Aristolochia barbata Jacq. Aristolochiaceae Roots Houghton and Osibogun 1993 *Aristolochia birostris Duch. Aristolochiaceae Whole plant França et al. 2005 Aristolochia cymbifera L. Aristolochiaceae Roots and Leaves Da Silva et al. 2017 Aristolochia pilosa Kunth Aristolochiaceae Roots Otero et al. 2000d Aristolochia sprucei Mast. Aristolochiaceae - Rodríguez 2010 Aristolochia theriaca Mart. Aristolochiaceae Roots Houghton and Osibogun 1993 Aristolochia trilobata L. Aristolochiaceae Latex Houghton and Osibogun 1993 Baccharis trimera Less. Asteraceae Aerial parts Januário et al. 2004, Bernard et al. 2001 Bellucia dichotoma Cogn. Melastomataceae Barks Moura et al. 2015 Bixa orellana L. Bixaceae Leaves and Branches Otero et al. 2000d Blutaparon portulacoides (A.St.-Hil.) Mears Amaranthaceae - Carvalho et al. 2013 Bredemeyera floribunda Willd. Polygalaceae Roots Houghton and Osibogun 1993, Soares et al. 2005 Brosimum guianensis (Aubl.) Huber Moraceae Leaves Da Silva et al. 2017 Brunfelsia uniflora D. Don Solanaceaae Leaves Houghton and Osibogun 1993 Bryonia bonariensis Miller Cucurbitaceae Leaves Indriunas and Aoyama 2018 Buddleja brasiliensis Jacq. Buddlejaceae Roots Mors et al. 2000 Bursera simaruba L. Sarg. Burseraceae Leaves Mors 1991 Byrsonima crassa Nied. Malpighiaceae Leaves Nishijima et al. 2009 Table 7.1 contd. ... 142 Wild Plants: The Treasure of Natural Healers ...Table 7.1 contd. Plant scientific name Family Parts used Reference(s) Byrsonima crassifolia (L.) Kunth Malpighiaceae Leaves and Barks Félix-Silva et al. 2017 Caesalpinia bonduc (L.) Roxb. Fabaceae Seeds Mors et al. 2000 Casearia gossypiosperma Briq. Salicaceae Leaves Camargo et al. 2010 Casearia mariquitensis Kunth Salicaceae Leaves Izidoro et al. 2003 Casearia sylvestris Sw. Salicaceae Leaves Mors et al. 2000, De Paula et al. 2010, Carvalho et al. 2013 Chiococca brachiata R. & Pav. Rubiaceae Roots Houghton and Osibogun 1993 Chiococca racemosa var. jacquiniana Griseb. Rubiaceae Roots Mors et al. 2000, Indriunas and Aoyama 2018 Cissampelos glaberrima A. St.-Hil. Menispermaceae Roots Mors et al. 2000 Cissampelos pareira L. Menispermaceae Whole plant Félix-Silva et al. 2017 Clibadium sylvestre (Aubl.) Baill. Asteraceae Whole plant Otero et al. 2000d Clusia fluminensis Guttiferae Juss. Clusiaceae Fruits Da Silva et al. 2017 *Cocos coronata Mart. Arecaceae Barks Félix-Silva et al. 2017 Combretum leprosum Mart. Combretaceae Roots Da Silva et al. 2017 Connarus favosus Planch. Connaraceae Barks Félix-Silva et al. 2017, Moura et al. 2015 Cordia verbenacea DC. Boraginaceae Leaves Soares et al. 2005, Ticli et al. 2005 Costus guanaiensis Rusby Costaceae Barks Otero et al. 2000d Costus lasius Loes. Costaceae Leaves and Bark Otero et al. 2000d Crateva tapia L. Capparaceae Leaves Félix-Silva et al. 2017, Moura et al. 2015 Croton urucurana Baill. Euphorbiaceae Barks Da Silva et al. 2017 Cynophalla flexuosa L. Capparaceae Barks Félix-Silva et al. 2017 Davilla elliptica St. Hill. Dilleniaceae Leaves Nishijima et al. 2009 Derris amazonica Killip Fabaceae Roots Félix-Silva et al. 2017 *Derris floribunda (Benth.) Ducke Fabaceae Roots Félix-Silva et al. 2017 Derris sericea (Poir.) Ducke Fabaceae Roots Mors et al. 2000 Derris urucu (Killip & Sm.) J.F.Macbr. Fabaceae Roots Soares et al. 2005 Dipteryx alata Vogel Fabaceae Seeds Ferraz et al. 2012 Dorstenia brasiliensis Lam. Moraceae Roots Soares et al. 2005, Houghton and Osibogun 1993 Dracontium polyphyllum L. Araceae Leaves Mors et al. 2000 Eclipta prostrata (L.) L. Asteraceae Aerial parts Soares et al. 2005 Erechtites valerianifolia (Wolf) DC. Asteraceae Leaves and Barks Otero et al. 2000d Eupatorium ayapana Vent. Asteraceae Aerial parts Indriunas and Aoyama 2018 Eupatorium triplinerve Vahl Asteraceae Leaves Mors et al. 2000 Euphorbia hirta L. Euphorbiaceae Whole plant Félix-Silva et al. 2017 Euterpe edulis Mart. Arecaceae Latex Félix-Silva et al. 2017 Table 7.1 contd. ... Plants from Brazil Used Against Snake Bites 143 ...Table 7.1 contd. Plant scientific name Family Parts used Reference(s) Euterpe oleracea Mart. Arecaceae Fruits Félix-Silva et al. 2017, Moura et al. 2015 Ficus nymphaeifolia Mill. Moraceae Leaves Mors et al. 2000, Otero et al. 2000d Gomphrena officinalis Mart. Amaranthaceae - Mors 1991 Handroanthus barbatus (E.Mey.) Mattos Bignoniaceae Leaves Félix-Silva et al. 2017, Moura et al. 2015 Harpalyce brasiliana Benth. Fabaceae Roots Da Silva et al. 1997 Heterothalamus psiadioides Less. Asteraceae Whole plant Mors et al. 2000 Humirianthera ampla (Miers) Baehni Icacinaceae Roots Da Silva et al. 2017 Hypericum brasiliense Choisy Hypericaceae Roots Carvalho et al. 2013 Hyptis capitata Jacq. Lamiaceae Leaves and Barks Otero et al. 2000d Ipomoea cairica (L.) Sweet Convolvulaceae Leaves and Barks Otero et al. 2000d Irlbachia alata (Aubl.) Maas Gesneriaceae Leaves Otero et al. 2000d Jatropha elliptica (Pohl) Oken Euphorbiaceae Leaves De Paula et al. 2010 Jatropha gossypiifolia L. Euphorbiaceae Leaves Da Silva et al. 2017 Jatropha ribifolia (Pohl) Baill. Euphorbiaceae Latex Félix-Silva et al. 2017 Justicia pectoralis Jacq. Acanthaceae Leaves Moura et al. 2015 Justicia secunda Vahl Acanthaceae Whole plant Otero et al. 2000d Kalanchoe brasiliensis Larrañaga Crassulaceae Leaves Moura et al. 2015 *Libidibia ferrea (Mart. ex Tul.) L.P.Queiroz Fabaceae Seeds Félix-Silva et al. 2017, Moura et al. 2015 Lindernia difusa (L.) Wettst. Scrophulariaceae Whole plant Otero et al. 2000d Macfadyena unguis-cati (L.) A.H.Gentry Bignoniaceae Whole plant Otero et al. 2000d Machaerium eriocarpum Benth. Fabaceae Resin Houghton and Osibogun 1993 Machaerium ferox (Mart. ex Benth.) Ducke Fabaceae Leaves Félix-Silva et al. 2017, Moura et al. 2015 *Mandevilla illustris (Vell.) Woodson var. Apocynaceae Roots and Leaves Biondo et al. 2004 *Mandevilla velutina K. Schum. Apocynaceae Roots Carvalho et al. 2013, Soares et al. 2005, De Paula et al. 2010 Manihot esculenta Crantz Euphorbiaceae Roots Félix-Silva et al. 2017 Marsypianthes chamaedrys (Vahl) Kuntze Lamiaceae Leaves Moura et al. 2015 Marsypianthes hyptoides Mart. ex Benth. Lamiaceae Whole plant Houghton and Osibogun 1993 Miconia albicans (Sw.) Melastomataceae Stems De Paula et al. 2010, Félix-Silva et al. 2017 Miconia fallax DC. Melastomataceae Stems De Paula et al. 2010, Félix-Silva et al. 2017 Miconia sellowiana Naudin Melastomataceae Stems De Paula et al. 2010 Mikania cordifolia (L.f.) Willd. Asteraceae Whole plant Houghton and Osibogun 1993 Table 7.1 contd. ... 144 Wild Plants: The Treasure of Natural Healers ...Table 7.1 contd. Plant scientific name Family Parts used Reference(s) Mikania glomerata Spreng. Asteraceae Leaves Mors et al. 2000, De Paula et al. 2010, Carvalho et al. 2013, Soares et al. 2005 *Mikania laevigata Sch.Bip. ex Baker Asteraceae Leaves Collaço et al. 2012 Mikania opifera Mart. Asteraceae Aerial parts Indriunas and Aoyama 2018 Mimosa pigra L. Fabaceae Roots Houghton and Osibogun 1993 Mimosa pudica L. Fabaceae Roots Houghton and Osibogun 1993 Momordica charantia L. Cucurbitaceae Aerial parts and Barks Otero et al. 2000d *Mouriri pusa Gardn. Melastomataceae Leaves Nishijima et al. 2009 Ocimum micranthum Willd. Lamiaceae Aerial parts and Barks Otero et al. 2000d Passiflora quadrangulares L. Passifloraceae Aerial parts Otero et al. 2000d Peltodon radicans Phol. Lamiaceae Leaves, Stems, and Flowers Costa et al. 2008 Pentaclethra macroloba (Willd.) Kuntze Fabaceae Barks Carvalho et al. 2013, Soares et al. 2005, Da Silva et al. 2007 Periandra mediterranea (Vell.) Taub. Fabaceae Roots Soares et al. 2005, Houghton and Osibogun 1993 *Periandra pujalu Taub. Fabaceae Roots Houghton and Osibogun 1993 Philodendron megalophyllum Schott Araceae Vines Moura et al. 2015 Philodendron tripartitum (Jacq.) Schott Araceae Aerial parts Otero et al. 2000d Phyllanthus acuminatus Vahl Euphorbiaceae Aerial parts Otero et al. 2000d *Phyllanthus klotzschianus Muell.-Arg. Euphorbiaceae Leaves Houghton and Osibogun 1993 Piper arboreum Aubl. Piperaceae Whole plant Otero et al. 2000d *Piper caldense C.DC. Piperaceae Whole plant Soares et al. 2005 Piper hispidum C.DC. Piperaceae Whole plant Otero et al. 2000d Piper marginatum Jacq. Piperaceae Whole plant Otero et al. 2000d Piper multiplinervium C.DC. Piperaceae Whole plant Otero et al. 2000d Piper peltatum L. Piperaceae Aerial parts and Barks Houghton and Osibogun 1993 Piper reticulatum L. Piperaceae Aerial parts and Barks Otero et al. 2000d Plathymenia reticulata Benth. Fabaceae Barks Moura et al. 2015 Polygala paniculata L. Polygalaceae Roots Félix-Silva et al. 2017 Polygala spectabilis DC. Polygalaceae Roots Félix-Silva et al. 2017 Portulaca pilosa L. Portulacaceae Leaves Félix-Silva et al. 2017 Table 7.1 contd. ... Plants from Brazil Used Against Snake Bites 145 ...Table 7.1 contd. Plant scientific name Family Parts used Reference(s) Pothomorphe umbellata Miq. Piperaceae Whole plant Mors et al. 2000 Prestonia coalita (Vell.) Woods. Apocynaceae Vines Mors et al. 2000 Psychotria ipecacuanh (Brot.) Stokes Rubiaceae Aerial parts and Barks Otero et al. 2000d Psychotria poeppigiana Müll. Arg. Rubiaceae Fruits Otero et al. 2000d Quassia amara L. Simaroubaceae Whole plant Otero et al. 2000d Renealmia alpinia (Rottb.) Maas Zingiberaceae Roots Otero et al. 2000d Da Silva et al. 2017 Sapindus saponaria L. Sapindaceae Aerial parts Schizolobium parahyba (Vell.) Blake Fabaceae Leaves Carvalho et al. 2013 Scoparia dulcis L. Plantaginaceae Whole plant Otero et al. 2000d Senna reticulata Willd. Fabaceae Whole plant Félix-Silva et al. 2017 Serjania erecta Radlk. Sapindaceae Leaves and Barks Da Silva et al. 2017 Sida acuta Burm.f. Malvaceae Whole plant Otero et al. 2000d Simaba cedron Planch. Simaroubaceae Whole plant Otero et al. 2000d Simarouba versicolor A. St.-Hil. Simaroubaceae Seeds Houghton and Osibogun 1993 Siparuna thecaphora (Poepp. & Endl.) A. DC Monimiaceae Aerial parts and Barks Otero et al. 2000d Solanum campaniforme Roem. & Schult. Solanaceae Leaves Da Silva et al. 2017 Solanum nudum Dunal Solanaceae Aerial parts and Barks Otero et al. 2000d Stachytarpheta dichotoma Vahl. Verbenaceae Whole plant Houghton and Osibogun 1993 *Staurostigma luschnathianum (Schott) K. Koch Araceae - Mors 1991 Struthanthus orbicularis (Kunth) Eichler Loranthaceae Leaves and Branches Mors et al. 2000 Strychnos pseudoquina St. Hil. Loganiaceae - Nishijima et al. 2009 *Strychnos xinguensis Krukoff Loganiaceae Barks Otero et al. 2000d Stryphnodendron adstringens (Mart.) Fabaceae Barks De Paula et al. 2010 Tabernaemontana catharinensis A. DC. Apocynaceae Roots and Barks Carvalho et al. 2013 Tibouchina stenocarpa (Schrank & Mart. ex DC.) Cogn. Melastomataceae Roots De Paula et al. 2010 Torresea cearensis Fr. Allem. Fabaceae Barks and Seeds Félix-Silva et al. 2017 Tournefortia cuspidata A. DC. Boraginaceae Leaves and Barks Otero et al. 2000d Tradescantia geniculata Jacq. Commelinaceae - Mors 1991 Wilbrandia ebracteata Cogn. Cucurbitaceae Roots Houghton and Osibogun 1993 Xiphidium caeruleum Aubl. Haemodoraceae Whole plant Otero et al. 2000d *: endemic species from Brazil 146 Wild Plants: The Treasure of Natural Healers Table 7.2: Chemical compounds isolated from plants with anti-snake venom activity found in the literature. Plant scientific name Family Isolated compounds Reference(s) Apuleia leiocarpa (Vogel) J.F. Macbr. Fabaceae Terpenoids: β-Amirin, Apuleína Phytosteroids: Sitosterol, Stigmasterol Flavonoids Houghton and Osibogun 1993 Aristolochia trilobata L. Aristolochiaceae Terpenoids Alkaloid: Aristolochic acid Houghton and Osibogun 1993 *Aristolochia birostris Duch. Aristolochiaceae Terpenoids, Lignoids, Antraquinone, and Vanillin Alkaloid: Aristolochic acid França et al. 2005 Félix-Silva et al. 2017 Aristolochia cymbiferae L. Aristolochiaceae Polyphenols Terpenoids Alkaloid: Aristolochic acid Da Silva et al. 2017, Soares et al. 2005 Baccharis trimera Less. Asteraceae Terpenoids: Clerodane Januário et al. 2004, Bernard et al. 2001, Soares et al. 2005, Dey and De 2012 Bredemeyera floribunda Willd. Polygalaceae Terpenoids: Bredemeyerosides B and D Houghton and Osibogun 1993, Soares et al. 2005 Bursera simaruba L. Sarg. Burseraceae Flavonoid and Others Mors 1991 Casearia gossypiosperma Briquet Salicaceae Quercetin Soares-Silva et al. 2014 Casearia sylvestris Sw. Salicaceae Fitosteroid: Sitosterol, Stigmasterol Rutin Mors et al. 2000, Cintra-Francischinelli et al. 2008b Cabeça de Negro - Pterocarpans: Cabenegrines A-I and A-II Nakagawa et al. 1982 Clusia fluminensis Guttiferae Juss. Clusiaceae Fitosteroid: Lanosterol Benzophenone: Clusianone Da Silva et al. 2017 Combretum leprosum Mart. Combretaceae Terpenoid: Arjunolic acid Da Silva et al. 2017 Cordia verbenacea DC. Boraginaceae Polyphenols: Rosmarinic acid e Chlorogenic acid Soares et al. 2005, Ticli et al. 2005 Derris sericea (Poir.) Ducke Fabaceae Chalcone: Derricidin Mors et al. 2000, Soares et al. 2005 Derris urucu (Killip & Sm.) J.F. Macbr. Fabaceae 2,5-dihydroxymethyl-3,4dihydroxypyrrolidine Soares et al. 2005 Dipteryx alata Vogel Fabaceae Isoflavone, Lupane triterpenoids, Betulin, Phemolic acids Ferraz et al. 2012, 2014, 2015, Yoshida et al. 2015 Dorstenia brasiliensis Lam. Moraceae Furanocoumarin: bergapten Monoterpenoid: dorstenin Mors et al. 2000, Soares et al. 2005, Houghton and Osibogun 1993 Eclipta prostrata (L.) L. Asteraceae Coumestan: Wedelolactone Fitosteroid: Sitosterol, Stigmasterol Others: D-mannitol Demethylwedelolactone Soares et al. 2005 Table 7.2 contd. ... Plants from Brazil Used Against Snake Bites 147 ...Table 7.2 contd. Plant scientific name Family Isolated compounds Reference(s) Euphorbia hirta L. Euphorbiaceae Flavonoid: Quercetin-3-O-αrhamnoside Polyphenols Félix-Silva et al. 2017 Eupatorium triplinerve Vahl Asteraceae Coumarins: Herniarin and Ayapin Mors et al. 2000 Harpalyce brasiliana Benth. Fabaceae Pterocarpans: Edunol Da Silva et al. 1997 *Mandevilla velutina K. Schum. Apocynaceae Steroids Carvalho et al. 2013, Soares et al. 2005, De Paula et al. 2010 Mikania glomerata Spreng. Asteraceae Coumarin Mors et al. 2000, De Paula et al. 2010, Carvalho et al. 2013 Mimosa pudica L. Fabaceae Fitosteroid: Sitosterol, Stigmasterol Others: D-mannitol Houghton and Osibogun 1993, Soares et al. 2005 Pentaclethra macroloba (Willd.) Kuntze Fabaceae Macrolobinas Terpenoids Fitosteroids Carvalho et al. 2013, Soares et al. 2005, Da Silva et al. 2007 Periandra mediterranea (Vell.) Taub. Fabaceae Fitosteroid: Sitosterol, Stigmasterol Triterpenes Soares et al. 2005, Houghton and Osibogun 1993 *Phyllanthus klotzschianus Muell.-Arg. Euphorbiaceae Flavonoids: Quercetin, Rutin Houghton and Osibogun 1993, Soares et al. 2005 *Piper caldense C.DC. Piperaceae N-methylaristolactam: Caldensin Soares et al. 2005 Sapindus saponaria Sapindaceae Flavonoids Da Silva et al. 2017, Soares et al. 2005 Serjania erecta Radlk. Sapindaceae Flavonoids, steroids, tannins, and catechins Da Silva et al. 2017 Solanum campaniforme Roem. & Schult. Solanaceae Steroidal Alkaloids Da Silva et al. 2017 Tabernamontana catharinensis A. DC. Apocynaceae Alkaloid: 12-methoxy-4-methylvoachalotine Carvalho et al. 2013 L. *: endemic species from Brazil Figure 7.1: Chemical structure of oleanólic (A, 3β-hydroxyolean-12-en-28-oic acid) and ursolic (B, 3β-hydroxyurs-12-en28-oic acid) acids. 148 Wild Plants: The Treasure of Natural Healers Table 7.3: Oleanolic and ursolic acids concurrently found in plants. Plant Scientific name Family Sambucus nigra L. Adoxaceae Plumeria obtusa L. Apocynaceae Reference(s) Gleńsk et al. 2017 Alvarado et al. 2018 Baccharis uncinella DC. Zalewski et al. 2011, Passero et al. 2011 Cichorium endivia L. Cynara cornigera Lindl. Hegazy et al. 2015 Helichrysum picardii Boiss. & Reuter Asteraceae Silphium perfoliatum L. Silphium trifoliatum L. Silphium integrifolium Michx. Ilex paraguariensis A. St. Kowalski 2007 Aquifoliaceae Mansoa hirsuta DC. Bignomiaceae Radermachera boniana Dop. Caprifoliaceae Hippocratea excelsa Kunth Celastraceae Davilla rugosa Diospyros kaki L. Hippophae rhamnoides L. Cornaceae Dilleniaceae Ebenaceae Elaeagnaceae Pereira et al. 2017 Yang et al. 2007a Cáceres-Castilho et al. 2008 Huang et al. 2018 David et al. 2006, Gerardo and Aymard 2007, Fraga and Stehmann 2010 Zhou et al. 2012 Zheng et al. 2009 Garcia-Risco et al. 2015, Szakiel et al. 2013 Calluna vulgaris (L.) Hull. Gaultheria procumbens L. Simões et al. 2011 Truong et al. 2011 Pterocephalus hookeri C.B. Cornus officinalis Siebold & Zuccarini Puangpraphant and Mejia 2009 Leite et al. 2006 Arrabidaea triplinervia (Mart. ex DC.) Distictella elongata (Vahl) Urb. Santos Rosa et al. 2007 Ericaceae Michel et al. 2017 Vaccinium myrtillus L. Szakiel et al. 2012 Vaccinium vitis-idaea L. Szakiel and Mroczek 2007 Homonoia riparia Lour. Euphorbiaceae Yang et al. 2007b Moussonia deppeana (Schltdl. & Cham.) Hanst Gesneriaceae Gutiérrez-Rebolledo et al. 2016 Cyclocarya paliurus Batalin Juglandaceae Lin et al. 2016 Eriope blanchetii L. e Silva et al. 2012 Eriope latifolia (Mart. ex Benth.) Harley Santos et al. 2011 Lepechinia caulescens (Ortega) Aguirre-Crespo et al. 2006 Lycopus lucidus Turcz. ex Benth. Lee et al. 2006 Ocimum basilicum L. Origanum vulgare L. Marzouk 2009 Lamiaceae Nowak et al. 2013 Prunella vulgaris L. Yang et al. 2016 Zhu et al. 2014 Rosmarinus officinalis L. var. subtomentosus Maire & Weiller Nowak et al. 2013 Salvia L. Kalaycioğlu et al. 2018 Table 7.3 contd. ... Plants from Brazil Used Against Snake Bites 149 ...Table 7.3 contd. Plant Scientific name Family Reference(s) Salvia chinensis Benth. Jiang and Zou 2014 Salvia chrysophylla Stapf. Çulhaoğlu et al. 2013 Salvia filipes Benth. Maldonado et al. 2016 Salvia lachnostachys Benth. Erbano et al. 2012 Salvia viridis L. Rungsimakan and Rowan 2014 Satureja parvifolia (Phil.) Epling van Baren et al. 2006 Thymus mastichina L. subsp. donyanae R. Gordo et al. 2012 Lecythis pisonis Cambess. Lecythidaceae Brandão et al. 2013, Silva et al. 2012 Cladocolea micrantha (Eichler) Kuijt Loranthaceae Guimarães et al. 2012 Punica granatum L. Lythraceae Vasconcelos et al. 2006 Miconia albicans Miconia ligustroides DC. Melastomataceae Miconia sp Ruiz & Pav. Cunha et al. 2010 Scalon Cunha et al. 2007 Eucalyptus globulus Labill. Syzygium aromaticum (L.) Merr. & L.M. Perry Katz et al. 2017 Domingues et al. 2012 Myrtaceae Nowak et al. 2013 Ugni molinae Turcz. Aguirre et al. 2006 Olea europeae L. Oleaceae Olmo-Garcia et al. 2016, Giménez et al. 2015, Allouche et al. 2009, Saimaru et al. 2007 Lopezia racemosa Cav. Onagraceae Moreno-Anzúrez et al. 2017 Paeonia lactiflora Pall. Paeoniaceae Zhou et al. 2011 Linaria alpina Mill. Plantago major L. Plantaginaceae Punica granatum L. Punicaceae Ziziphus jujuba Mill. Rhamnaceae Rosa canina L. Venditti et al. 2015 Stenholm et al. 2013 Salah et al. 2014, Banihani et al. 2013 Zhang et al. 2011 Saaby and Nielsen 2012, Wenzig et al. 2008 Chaenomeles sinensis (Dum. Cours.) Koehne Miao et al. 2016 Chaenomeles speciosa (Sweet) Nakai Crataegus pinnatifida var. major N.E. Br. Yang et al. 2004 Cydonia oblonga Mill. Lorenz et al. 2008 Eriobotrya japonica Lindl. Cao et al. 2016, Li et al. 2015, Shi et al. 2014, Kikuchi et al. 2011, Lu et al. 2009 Malus domestica Borkh. Rosaceae Andre et al. 2016 Brendolise et al. 2011 Prunus avium L. Peschel et al. 2007 Prunus dulcis (Mill.) D.A. Webb Amico et al. 2006 Prunus mume (Siebold) Siebold & Zucc. Hattori et al. 2013 Table 7.3 contd. ... 150 Wild Plants: The Treasure of Natural Healers ...Table 7.3 contd. Plant Scientific name Family Reference(s) Duroia macrophylla Huber Martins et al. 2013 Fadogia tetraquetra var. tetraquetra Mulholland et al. 2011 Hedyotis corymbosa L. Yang et al. 2013 Hedyotis diffusa Willd. Rubiaceae Keetia leucantha Bridson Beaufay et al. 2017, Bero et al. 2013 Mitracarpus scaber Zucc. Gbaguidi et al. 2005 Oldenlandia diffusa (Willd.) Roxd. var. polygonoides Hook. f. Gu et al. 2012 Psychotria viridis Ruiz & Pav. Soares et al. 2017 Vitellaria paradoxa C.F.Gaertn Sapotaceae Catteau et al. 2017 Solanum lycopersicum L. Solanaceae Kalogeropoulos et al. 2012 Lantana camara L. Verbenaceae Srivastava et al. 2011 Experimental Venom Bothrops jararacussu venom was collected manually from adult specimens in Serpentario of the Center for Nature Studies (CNS). They were fed with white Swiss mice every two weeks. The venom was certified by Dr. José Carlos Cogo (Universidade Brasil, SP, Brazil), lyophilized, and stored at –4ºC until use. Phytochemicals Oleanolic and ursolic acids were purchased commercially from Sigma®. The major pharmacological disadvantage of these phytocompounds is their poor water solubility (Oprean et al. 2016). Thus, the acids were solubilized using polyethylene glycol 400 (PEG 400, Mapric Produtos Farmacocosméticos Ltda, São Paulo, SP, Brazil) for using in biological preparations (Cintra-Francischinelli et al. 2008a). Phytochemicals Antioxidant Capacity Antioxidant activity was measured based on the reaction between 1,1-diphenyl-2-picrylhydrazyil (DPPH) and the oleanolic and ursolic acids solutions. Aliquots (250 µL) resulting from ex vivo experiments (see mouse phrenic nerve-diaphragm preparation) containing oleanolic and ursolic acids were added to 750 µLof ethanol solution (70 % v/v) DPPH 0.1 mM. Absorbance at 515 nm was measured at 0, 15, 30, 45, and 60 minutes. As a control, 250 µL of 70% ethanol was added to 750 µL of DPPH solution (Brand-Willians et al. 1995). The ability of the acids in scavenging DPPH radical, expressed as percent inhibition, was calculated according to the mathematical equation: % of Inhibition = (Abs1-Abs2)/Abs1 x100 where, Abs1 is the control absorbance and Abs2 is the sample absorbance. In vitro Antimicrobial and Citotoxicological Profile of Oleanolic and Ursolic Acids Oleanolic and ursolic acids (1 mg each) were firstly solubilized with 10 μL of dimethylsulfoxide (DMSO), and after that filled with NaCl 0.9%, to reach a final volume of 1 mL. To evaluate the Plants from Brazil Used Against Snake Bites 151 absence of the antimicrobial activity, the solution with DMSO were prepared in NaCl 0.9%, without acids, filled to a final volume of 1 mL. Minimal Inhibitory Concentration (MIC) analysis was performed using the microorganisms Staphylococcus aureus, Escherichia coli, and Pseudomonas aeruginosa. The microorganisms were grown in Erlenmeyer’s with 50 mL of the TSB broth (tryptone soya broth) at 37ºC for 24 hours (h). The suspension of each microorganism was diluted to the final concentration of 106 CFU/mL. MIC was determined in 96-well microplates according to the procedure by Ataide et al. (2017) and Santos et al. (2018). The results were evaluated after 24 hours of incubation at 37ºC, where 5 µL of each well was inoculated into petri plates with tryptic soy agar (TSA) culture medium. All the assays were made in triplicate. In vitro Cholinesterase (ChE) Inhibition Assay The ability of the facilitatory effect of oleanolic acid to inhibit ChE activity was assessed using a colorimetric assay (Labtest Diagnóstica S.A., Lagoa Santa, MG, Brazil) that was standardized with a human serum control of known ChE activity (Biocontrol N), as also carried out elsewhere (Werner et al. 2015). Biocontrol N (Bioclin Quibasa), a pool of normal human serum, was used as an internal quality control (20 µL), according to the manufacturer’s recommendations. The ChE activity was determined spectrophotometrically (UV-M51 spectrophotometer, BEL Engineering) at 405 nm. The percentage of enzyme inhibition was calculated by comparing the enzymatic activity in the presence of 1.0 mg of facilitatory oleanolic acid/mL, with PEG 400 (20 µL) used as solubilizer, and with the 1.0 mg concentration of neostigmine (Sigma®), as a cholinesterase inhibitor. The assays were done in triplicate. Ex vivo Pharmacological Experiments Animals Male white Swiss mice (25–30 g) were purchased from Anilab (Laboratory Animals, Paulinia, SP, Brazil). The animals were housed at 25ºC ± 3ºC (77ºF ± 3ºF) in a light/dark cycle of 12 hours, and had access to food and water ad libitum. This study was approved by the Animal Ethics Committee of Sorocaba University (protocol nº 093/2016), and the experiments were carried out according to the international guideline—ARRIVE (Animal Research: Reporting of in vivo Experiments (Kilkenny et al. 2010)). Mouse phrenic nerve-diaphragm muscle preparation The diaphragm and its phrenic nerve branch were obtained from mice anesthetized with Halothane (Cristália®) and sacrificed by exsanguination. Hemidiaphragms were mounted under a tension of 0.5 g in a 5 mL organ bath (Bülbring 1997) containing Tyrode solution, and aerated with 95% O2 and 5% CO2. Tyrode solution maintains the physiological conditions of the neuromuscular preparation at pH 7.0, and consists of (in mM): 137 NaCl, 2.7 KCl, 1.8 CaCl2, 0.49 MgCl2, 0.42 NaH2PO4, 11.9 NaHCO3, and 11.1 Glucose. The preparation is indirectly stimulated through the phrenic nerve (ESF-15D double physiological stimulator), using supraximal stimuli and a frequency of 0.06 Hz with duration of 0.2 ms. Recording of muscle contraction is produced through the isometric cat. transducer 7003, coupled with a 2-Channel Recorder Gemini cat.7070, containing Basic Preamplifiers cat.7080 (Ugo Basile®). After recording under control conditions for 10 minutes during the stabilization of the preparation, the pharmacological protocols were performed. The protocols for concentration-response curves of oleanolic and ursolic acids were—Tyrode control (n = 3); oleanolic acid at 200 μg/mL (n = 3), 300 μg/mL (n = 3), 400 μg/mL (n = 3); ursolic acid at 200 μg/mL (n = 4), 300 μg/mL (n = 4), and 400 μg/mL (n = 3). 152 Wild Plants: The Treasure of Natural Healers The pharmacological protocols were—Tyrode control (n = 3), B. jararacussu venom (Bjssu, 40 μg/mL, n = 5), selected concentration of oleanolic acid for the neutralization assays (preincubation of Bjssu + oleanolic acid, 30 minutes, before addition to the bath, n = 3), and selected concentration of ursolic acid for the neutralization assays (preincubation of Bjssu + ursolic acid, 30 minutes, before addition to the bath, n = 4). Histological analysis Resulting muscles from ex vivo pharmacological assays were routinely processed for light microscopy analysis, according to Ferraz et al. (2014). The muscle tissue was fixed in 10% formaldehyde for 12 hours, and maintained in 70% alcohol. For the dehydration process, a growing alcoholic grade (70%, 85%, 96%, and absolute) was used, where the tissue remained in absolute alcohol for a minimum period of 24 hours. After this storage, the dehydration began without interruption. In the first wash, the piece was left immersed in absolute alcohol I for 50 minutes, and continuing with another 50 minutes in absolute alcohol II. The diaphragm muscles were placed in three xylol exchanges for 40 minutes per exchange. At the end, the tissues were cut into approximately three equal parts (beginning, middle, and end). Muscles were submitted to inclusion in vials containing Paraplast Plus (Sigma-Aldrich®) kept in an oven at 56ºC ± 3ºC (132,8ºF ± 3ºF). Two exchanges of Paraplast Plus were performed, remaining for one hour in each bottle. The included muscle tissues were placed in silicone tray while drying and solidifying paraffin. The blocks were removed from the tray and fixed in a block of wood, which were taken to the microtome (Cryostat 300 Ancap®). It was thinned in sections of cuts of 30 μm until reaching the diaphragm muscle. At the time the muscle was reached, transversely sectioned, ultrathin 4 μm were placed in histological bath (Ancap®) at 39ºC ± 3ºC (102,2ºF ± 3ºF), and transferred to glass slides. For the dewaxing step, the slides were organized into supports and baked at 100ºC (212ºF) for five minutes. The slides were then dipped into three wells containing sufficient xylene to cover them— remaining for five minutes in the first vat, and for 10 seconds in the other two vats. Sequentially, the pieces are hydrated by immersing the slides in vats containing ethyl alcohol in decreasing graduation (absolute, 96%, 85%, and 70%) for 10 seconds each, and ending with running water for 5 minutes. After that, the staining was made using Modified Harris Hematoxylin (Sigma-Aldrich®) (for one minute, running water for 5 minutes, and 70% alcohol for 10 seconds), and further, submitted to Eosin in alcoholic solution (Sigma-Aldrich®) (for 2 minutes and again under running water for 5 minutes), and finally covered with Entellan (Merck®). Quantitative analysis was made selecting three random and virtual lines (Figure 7.2) by three examiners, and documented using the Zeiss AXIOSTAR Plus photomicroscope, at an increase of 400x (objective of 40x, where a bar of 1 cm = 40 μm). In order to qualify the cell damage, a score (Figure 7.3) was adopted: (a) normal cells (N) presenting an integrated polygonal structure and peripheral nucleus, (b) edema (e), (c) the condensation of myofibrils (arrow), (d) delta lesions (similar to the Δ symbol coming from the Greek, arrows), (e) ghost cells or phantoms (g), represented by remains of cell membranes, and (f) myonecrosis (m). Oxidative stress biomarkers Samples (200 µL) from the organ bath containing neuromuscular preparations in Tyrode solution and submitted to pharmacological protocols were collected at times zero and 2 hours. In these solutions, reduced glutathione (GSH), glutathione peroxidase (GSH-Px), catalase (CAT), and thiobarbituric acid reactive substances (TBARS) were evaluated. GSH was determined by quantification of total thiols (Ellman 1959). Tyrode solution (with each respective pharmacological protocol) (50 μL) was mixed with 900 μL of phosphate buffer, and it reacted with 50 μL of 5-5-dithio-bis-2-nitrobenzoic acid (DTNB) to form a yellow complex, which was read at 412 nm. GSH levels were expressed in μmol/mL solution. Plants from Brazil Used Against Snake Bites 153 Figure 7.2: Cross-section of preparation in Tyrode control, stained with Hematoxylin and Eosin. Bar = 40 µm (Ferraz et al. 2014). Vertical lines indicate virtual areas for counting. Figure 7.3: Characterization of the score used for qualifying the cell damage—(a) normal cells (N), (b) edema (e), (c) the condensation of myofibrils (arrow), (d) delta lesions (arrows), (e) ghost cells (g), and (f) myonecrosis (m). Bar = 40 µm (Ferraz et al. 2014). To measure GSH-Px antioxidant enzyme activity, Tyrode solution was diluted in a solution containing GSH, glutathione reductase, NADPH, sodium azide, and 70 μL of H2O2. GSH-Px activity was monitored for two minutes at 340 nm (Paglia and Valentine 1967). GSH-Px activity was determined by decaying the absorbance of NADPH, which is proportional to the consumption of NADPH. Data was expressed as μmol NADPH/min. Catalase method is based on the decomposition of H2O2 by the enzyme over three minutes, monitored at 240 nm. For this purpose, an aliquot of the Tyrode solution was diluted in potassium phosphate buffer, and 70 μL of H2O2 was added. A constant- κ assists in the expression of activity values (κ/min) (Aebi 1984). Lipid peroxidation was measured by quantification of thiobarbituric acid reactive substances (TBARS method) (Ohkawa et al. 1979). An aliquot of 750 μL of H3PO4, 250 μL of thiobarbituric acid (TBA), and 50 μL of sodium dodecyl sulfate were mixed with 125 μL of Tyrode solution, which were taken in a 90ºC bath for 45 minutes. Lipids-TBA product was monitored spectrophotometrically at 532 nm. 154 Wild Plants: The Treasure of Natural Healers MIC results were evaluated through Basic Statistical Methods as mean ± standard deviation. All results from ex vivo pharmacological and histological assays were shown as mean ± SEM, and were statistically analyzed using t-Student’s test. For oxidative stress biomarkers, results were shown as mean ± standard deviation, and Student’s t-test (paired samples) were applied to compare initial (zero) and final (2 hours) times in the same group, and ANOVA One Way test for comparison among groups. The level of significance was 5% for all experiments. Antioxidant Activity of Oleanolic and Ursolic Acids The in vitro antioxidant activity test of ursolic and oleanolic acids was performed (Figure 7.4). Oleanolic acid showed an expressive antioxidant activity (mean of 52.1%) over one hour, while ursolic acid maintained basal levels (mean of 9.2%) throughout the experiment time, thus showing little or no antioxidant activity. It is worth pointing out, according to Alam et al. (2013) “among in vitro free radical scavenging methods, DPPH method is furthermore rapid, simple (i.e., not involved with many steps and reagents), and inexpensive in comparison to other test models”. Besides, regarding ex vivo antioxidant evaluation, this is the first study using the nutrient solution (Tyrode) as sample for bathing the phrenic-diaphragm nerve preparation, which justifies the importance of the study. 100 Antioxidant capacity (%) 90 80 70 Oleanolic Acid 60 50 40 Ursolic Acid 30 20 10 0 0 15 30 45 60 Time (minutes) Figure 7.4: Percentage of the antioxidant capacity of oleanolic and ursolic acids isolated (at the concentration of 300 μg/mL), by the DPPH method. Antimicrobial Activity of Oleanolic and Ursolic Acids No activity was observed in DMSO solution, which demonstrated antimicrobial activity from ursolic acid. In this way, the ursolic acid showed antimicrobial activity only against S. aureus, Gram-positive bacteria, at 125 ug/mL. Fontanay et al. (2008) were able to prove that oleanolic acid, and more particularly ursolic acid, showed moderate to good antibacterial activity, but limited to Gram-positive bacteria. Despite having a relatively similar chemical structure, ursolic acid, oleanolic acid, and betulinic acid harbored different antibacterial activities, most significant of which was that of ursolic acid. Pereira (2015) used 16 compounds derived from ursolic acid, among them was oleanolic acid, which were also prepared using DMSO to obtain a final concentration of 1 mg/mL. With the studied concentration, the author obtained excellent results with the microdilution in 96 well plates. In the presence of ursolic and oleanolic acid, the MIC result was equivalent to 125 μg/mL for E. coli ATCC 25922. For P. aeruginosa ATCC 27853 in the presence of ursolic acid, the MIC value was 62.5 μg/mL, and with oleanolic acid, the MIC value was 125 μg/mL. And for S. aureus ATCC 29213, which in the presence of ursolic acid, presented 31.3 μg/mL, with oleanolic acid, the MIC value was 62.5 μg/mL. Plants from Brazil Used Against Snake Bites 155 Vieira (2003) analyzed the MIC of ursolic acid, which was dissolved only in DMSO, reaching a concentration of 2.56 mg/mL. It was observed that ursolic acid did not inhibit the growth of S. aureus, but there was inhibition of growth for S. epidermidis and Proteus mirabilis with MIC value of 32 μg/mL. The other microorganisms were tested, but there was no inhibition of the microorganisms, similar with our results. Nascimento et al. (2014) observed the MIC value for S. aureus (ATCC 6538) of 32 μg/mL. Ursolic acid was also effective against E. coli (ATCC 25922), K. pneumoniae, and S. flexneri, with a MIC of 64 μg/mL in all three cases. For P. aeruginosa (ATCC 15442), the MIC value was 512 μg/mL. Kurek et al. (2012) also confirmed that oleanolic acid and ursolic acid have potential as a new class of antibacterial agents because they are active against many bacterial species, both Gram-positive and Gram-negative. Comparing the results obtained during the research with the literature, we can conclude that the concentration of 500 μg/mL, diluted 1:10 in saline solution (NaCl 0.9%), was not enough to obtain a positive result in antimicrobial activity for Gram-negative microorganisms. In vitro Cholinesterase (ChE) Inhibition Assay Oleanolic acid (1 mg/mL) was evaluated in its ability to inhibit cholinesterase activity as neostigmine (1 mg/mL) does (Table 7.4), due to its facilitatory effect shown in ex vivo experiments (see next item). It is known that one of the strategies available for treating Alzheimer’s disease includes the increase in acetylcholine levels in brain regions, such as frontal cortex and hippocampus, and possibly preventing neuronal degeneration with antioxidants (Youdim and Buccafusco 2005). The progressive neurodegenerative disorder named Alzheimer’s disease is related to genetic predisposition and characterized by the presence of neurofibrillary tangles, formation of extracellular deposition of β-amyloid peptide, oxidative stress, increased production of superoxide radicals, and reduced neurotransmitter levels (Mattson 2004, Verri et al. 2012). Here, oleanolic acid showed no ability in inhibiting cholinesterase activity found as 2924 ± 33.5 U/L, when compared to neostigmine (87.1 ± 58.1 U/L), since the value is between the range of Bio Control N (2450 to 4000 U/L). PEG 400 used as solubilizing agent did not cause any effect on cholinesterase (2837 ± 197.7 U/L). The facilitatory effect elicited by oleanolic acid on mouse phrenic nerve-diaphragm preparation was not due to enzymatic inhibition, as shown after ChE evaluation, and the mechanism of action remains to be done in future studies. Table 7.4: Cholinesterase determination (in triplicate). Treatment Time (min) ChE (U/L) Mean ± S.E.M 1669 1646 1638 3166 3341 3341 3283.1 ± 100.6 1653 1561 1663 1618 1525 1627 2614 2905 2992 2837.6 ± 197.7 1816 1817 1846 1813 1815 1843 1810 1812 1840 145.2 29.0 87.1 87.1 ± 58.1 1763 1754 1696 1730 1718 1661 1695 1683 1628 2905.4 2963.5 2905.4 2924.7 ± 33.5 A0 A1 A2 A3 BioControl N (Range: 2450–4000 U/L) 1778 1761 1753 1742 1719 1716 1706 1684 1676 Polyethylene glycol 400 1708 1625 1730 1687 1594 1699 Neostigmine 1 mg/mL 1815 1813 1843 Oleanolic acid 1 mg/mL 1795 1785 1728 S.E.M. = Standard error of mean. 156 Wild Plants: The Treasure of Natural Healers Ex vivo Pharmacological Experiments Continuing, the two triterpenes—oleanolic and ursolic acids—were exploited in their effects against the paralysis induced by Bothrops jaracussu venom, in an experimental nerve and muscle synapsis. Figure 7.5 shows the concentration-response curves of (a) oleanolic and (b) ursolic acids. Oleanolic acid (300 µg/mL) showed a transitory facilitatory effect visualized by an augment of twitch tension amplitude, during the first 30 minutes. This response could elicit an anticholinesterasic effect, resulting in acetylcholine accumulation on synaptic cleft. Nowadays, acetylcholinesterase inhibitors have been revisited as a promise to treat Alzheimer’s disease (AD) (Giménez-Liort et al. 2017), but the facilitatory effect of oleanolic acid is not due to anticholinesterasic action, as already commented above, and needs to be clarified in further studies. Figure 7.6 shows experiments of venom + OA (Figure 7.6a) or venom + UA (Figure 7.6b) preincubated for 30 minutes before addition into the bath containing the biological preparation. Note that oleanolic, but not ursolic, protected significantly against the blockade induced by snake venom, an effect which can be related to the facilitatory effect as seen with fractions of Casearia B 180 160 160 140 Ursolic acid (200 μg/mL, n = 4) Ursolic acid (300 μg/mL, n = 4) 140 Ursolic acid (400 μg/mL, n = 3) Tyrode control (n = 3) Twitch tension (%) Twitch tension (%) A 180 120 100 80 60 Tyrode control (n = 3) Oleanolic acid (200 μg/mL, n = 3) Oleanolic acid (300 μg/mL, n = 3) 40 20 120 100 80 60 40 20 Oleanolic acid (400 μg/mL, n = 3) 0 0 0 20 40 60 80 100 120 0 20 40 Time (min) 60 80 100 120 Time (min) Figure 7.5: Mouse phrenic nerve-diaphragm preparation (indirect stimuli). Concentration-response of (a) oleanolic acid and (b) ursolic acid, at 120 minutes. The number of experiments (n) is shown in the legend of the figure. * p < 0.05 compared to Tyrode control (only shown for the selected concentration, 300 µg/mL for both phytochemicals). B 180 160 160 140 140 120 120 Twitch tension (%) Twitch tension (%) A 180 100 80 60 40 Preincubation (UA + Bjssu venom, n = 4) 100 80 60 40 Tyrode control (n = 3) Bjssu venom (n = 5) Oleanolic acid (300 μg/mL, n = 3) 20 Tyrode control (n = 3) Bjssu venom (n = 5) Ursolic acid (300 μg/mL, n = 4) 20 Preincubation (OA + Bjssu venom, n = 3) 0 0 0 20 40 60 Time (min) 80 100 120 0 20 40 60 80 100 120 Time (min) Figure 7.6: Mouse phrenic nerve-diaphragm preparation (indirect stimuli). Preincubation as a neutralizing model against the paralysis induced by B. jararacussu venom (Bjssu, 40 µg/mL) for 120 minutes. The concentration of 300 µg/mL of both, (a) oleanolic acid and (b) ursolic acid, respectively, was selected for preincubation assays. The number of experiments (n) is shown in the legend of figure. * p < 0.05 in a was compared to venom, wheras * in b was compared to Tyrode control. Plants from Brazil Used Against Snake Bites 157 sylvestris Sw. (Werner et al. 2015), a plant able to inhibit the paralysis induced by the same snake venom and experimental model (Cintra-Francischinelli et al. 2008b). It is known that these isomers differ in their protective effect depending on the adopted experimental model. For example, Senthil et al. (2007) found UA > OA activity against isoproterenol-induced myocardial ischemia in rats. Histological analysis Preparations resulting from pharmacological protocols were further analyzed histologically. Myofibril condensation and edema were the most common cell changes, in varying degrees, seen in all treatments, as shown in Table 7.5. Myonecrosis was a determinant type of cell damage to assign myotoxicity, showing the ability of oleanolic acid to avoid this effect of the venom. Ghost cells were practically absent in treatments involving oleanolic acid, but not involving ursolic acid when in mixture with the venom. The interaction (venom + ursolic acid) resulted in additive effect shown by intense edema and ghost cells. Figure 7.7 shows the efficacy of oleanolic (#, p < 0.05 compared to the venom), but not ursolic acid to counteract against the myotoxic effects of B. jararacussu venom. The mixture of ursolic acid Table 7.5: Score (results given in %) used as parameter to classify the damaged cells exposed to different treatments. Parameters Treatments Normal Myofibril condensation Ghost cells Edema Delta lesion Myonecrosis 70.8 13.7 4.2 9.1 0 2.2 Venom (V) 23.2 31.6 5.4 25.3 1.1 13.4 Oleanolic acid (OA) 58.0 29.3 0.5 12.6 0 0.5 OA + V 45.7 29.6 1.0 18.3 0 4.0 Ursolic acid (UA) 41.1 30.1 2.9 0.1 0.2 7.7 UA + V 36.8 24.5 8.0 26.6 0.3 7.9 Tyrode control Figure 7.7: Neuromuscular preparations quantified by light microscopy. All type of injury was grouped to determine the efficacy of both phytochemicals, oleanolic acids (OA) and ursolic acids (UA), against the myotoxicity of B. jararacussu venom (V). Oleanolic acid statistically protected the preparation against the toxic effect of the venom (#, p < 0.05 compared to the venom). * p < 0.05 compared to the Tyrode control. 158 Wild Plants: The Treasure of Natural Healers + venom and protocols using venom alone were statistically significant (*, p < 0.05) when compared to Tyrode control. Comparing the results from neurotoxic and myotoxic effects induced by snake venom, there was a positive correlation between these parameters, showing again the major ability of oleanolic rather than ursolic in protecting against myonecrosis-induced by B. jararacussu venom. Neurotoxicity in vitro and myotoxicity of this venom are intrinsically related effects, and there is a tendency to assume that in vitro neuroblocking is due to the presence of bothropstoxin-I (BthTX-I), a myotoxin with pre and post-synaptic action (Oshima-Franco et al. 2004, Correia-de-Sá et al. 2013). Oxidative stress biomarkers Redox biomarkers were evaluated only in the pharmacological protocols. Table 7.6 shows the GSH levels, an important endogenous antioxidant. It is observed that, comparing T0 to T1, the concentration of GSH increased significantly over the course of 120 minutes in all groups submitted to this test. The increase in GSH concentration can be attributed to its release from the phrenic nerve-diaphragm structure to the Tyrode solution. However, this increase occurred independently from the antioxidant acids action, and in the presence or absence of the venom. When the groups within T0 are compared, there is no statistical difference. Likewise, no statistical difference was found when the groups within T1 were compared. This fact shows that B. jararacussu venom or ursolic/oleanolic acids had no effect on GSH levels. da Silva and colleagues corroborated our results; they also found no difference in GSH levels while evaluating the venom of Crotalus durissus terrificus in rat liver (da Silva et al. 2011). The lipid peroxidation test evaluates thiobarbituric acid reactive substances (TBARS). These substances are products of lipid degradation, and data is presented in Table 7.7. A significant increase in the level of TBARS was observed in B. jararacussu group comparing T1 to T0. When the groups within T0 are compared, there is no statistical difference. However, a significant difference was Table 7.6: Reduced Glutathione (GSH) levels, in mM, at time zero (T0) and after 120 minutes (T1) of venom action. Groups T0 (mean ± SD) T1(mean ± SD) TY (Tyrode) 0.40 ± 0.02 0.49 ± 0.04* V (Venom B.jssu) 0.45 ± 0.03 0.53 ± 0.07* Ursolic acid (UA) 0.41 ± 0.01 0.47 ± 0.02* Oleanolic acid (OA) 0.42 ± 0.01 0.48 ± 0.01* UA + V 0.43 ± 0.01 0.50 ± 0.04* OA + V 0.39 ± 0.04 0.47 ± 0.04* *: Statistically different from T0, using Student’s t-test, p < 0.05. Table 7.7: Thiobarbituric Acid Reactive Substances (TBARS) levels, in millimolar (mM), at time zero (T0) and after 120 minutes (T1) of venom action. T0 (mean ± SD) T1(mean ± SD) TY (Tyrode) Groups 3.53 ± 0.50 1.84 ± 0.74 V (Venom B.jssu) 3.38 ± 0.86 10.42 ± 0.09*# Ursolic acid (UA) 4.76 ± 1.77 4.80 ± 0.58 Oleanolic acid (OA) 4.15 ± 1.40 3.72 ± 2.39 UA + V 5.05 ± 1.18 2.84 ± 0.21 OA + V 3.58 ± 0.89 3.01 ± 1.43 *: Statistically different from T0, using t-Student’s tests (p < 0.01). #: Statistically different from all groups within T1, using ANOVA One-Way (p < 0.05). Plants from Brazil Used Against Snake Bites 159 found among venom group and all other groups within T1, which means that the venom affected the redox state and induced lipid peroxidation over time. On the other hand, TBARS levels decreased when ursolic and oleanolic acids were administered simultaneously to the venom, which is a very advantageous fact since the acids showed antioxidant protection on the lipid peroxidation induced by the venom. In agreement, the increase in lipid peroxidation was also found by Asmari et al. (2015), in a study about the hepatotoxicity induced by Echis pyramidum venom in rats. The study was performed with another snake species, but the venom had the same neuroblocker effect of B. jararacussu, showing that the higher the venom concentration, the longer venom action in the tissue, and the greater the amount of fatty acids released and lipid peroxidation, increasing the amount of TBARS. Regarding the enzymatic results of GPx and catalase, they were very low, even without reading in some samples. This fact leads us to believe that it is not possible to evaluate the activity of these biomarkers in the phrenic-diaphragm nerve model in Tyrode’s solution. In this case, blood samples or tissues are more indicated. According to da Silva et al. (2011), catalase activity decreased when the concentration of Crotalus durissus terrificus venom increased, proving the oxidative effect of the venom. However, these authors used liver as a biological sample organ that contains great concentration of catalase. Conclusions Brazilian plants with antiophidic properties were contextualized in the world stage. Bioprospecting of plants leads naturally to phytochemicals, which can avoid certain effects of snake venoms. In this case-study, oleanolic acid (OA), but not ursolic acid (UA), minimized the blockade induced by the venom and also its myotoxicity. 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Cano-Asseleih5 and Elsa Rengifo6 Introduction The traditional healer is a trained individual from rural (or urban) zone (where financial or cultural barriers persist that limit the access to healthcare systems) belonging to a specific community (indigenous/peasant/afro-descendant), and mainly uses plants (herb/shrub/tree) for the preparation and application of therapeutic substances in one or more primary healthcare activities. The term traditional healer includes the traditional midwives and birth attendants, and herbalists, but does not exclude the spiritual or faith healers (shamans), as all of them contribute in the provision of healthcare and family planning service. Therefore, “traditional healers are an invaluable human resource” (Raden and Werner 1985, Hoff 1992). In most developing countries, the healthcare systems place the common people (least favored) in a dilemma because these countries could continue to provide the same type of healthcare that cannot be extended to those most in need; however, the indigenous/native population has a historical tradition in the use of medicinal plants as a treatment for different ailments/disorders/diseases (e.g., Ayurvedic, Unani, Kampo Siddha, or Chinese traditional medicines), which makes them an affordable/ accessible resource as a palliative alternative to primary healthcare (Raden and Werner 1985, Hoff 1992, Rauf and Jehan 2015). At this moment, the traditional medicine has an imperative role to play in society; for more than two decades, the World Health Organization has encouraged the Programme on 1 Departamento de Química y Biología, Universidad del Norte, Barranquilla, Colombia. Laboratório de Tecnologia em Productos Naturais, Universidade Federal Fluminense, Niterói, Brasil. 3 Instituto de Investigaciones Fármaco Bioquímicas, Universidad Mayor de San Andrés, La Paz, Bolivia. 4 Instituto de Ecología, Xalapa, México. 5 Centro de Investigaciones Tropicales, Universidad Veracruzana, Xalapa, México. 6 Instituto de Investigaciones de la Amazonía Peruana, Iquitos, Perú. * Corresponding author: amnerm@uninorte.edu.co 2 Latin American Endemic (Wild) Medicinal Plants with High Value 169 Traditional and Complementary Medicine and their relevance to public health in 179 WHO member states (developed and developing countries), monitoring health trends by supporting countries in generating evidence-based policies and strategic plans; Bolivia, Brazil, Colombia, Mexico, and Peru are a part of this programme (WHO 2019). Consequently, under the coverage of complementary medicine, herbal medicine is one of the most important forms of traditional medicine, and at the present time, almost 80% of humanity has been related to or used medicinal plants in the form of herbal drugs according to WHO; and it has stated that about 25% of modern medicines are developed from traditionally used plant sources, and the research on traditional medicinal plants leads to the discovery of 75% of the herbal drugs (WHO 2002, Alamgir 2018). These natural drugs contain chemical substances (active ingredients) responsible for their therapeutic effects (Rauf and Jehan 2015, Ezekwesili-Ofili and Okaka 2019). Despite the benefits that these plants can offer, most of them (about 67–90%) are found/acquired in the wild, as reported by Edwards (2004) and Vines (2004). The high value of these plants could be attributed not only to the medicinal uses they have, but some can be used with other purposes (e.g., spices/seasoning/in culinary), and for a specific population (indigenous/peasant/afro-descendant), they can provide it an economic means for survival. Also, for different systems of traditional medicine, the same plants could be valuable. Eventually, these plants are a potential source of “lead” molecules, which are pharmacologically active, and used for the pharmaceutical industry and medicine. Each co-author is representative of at least one Latin American country, and was invited to contribute to this chapter, selecting two/three wild medicinal plant of great importance for the indigenous/afro-descendant/peasant inhabitants of their countries (Bolivia, Brazil, Colombia and Venezuela, Mexico and Central America, and Peru), conforming the ethnobotanical uses (particular/specific) and therapeutical actions/properties (specific/unique), along with those chemical constituents isolated/identified (distinctive/unique structures) which are possibly responsible for the pharmacological effects. This chapter is divided into the scientometric analysis of the topic, so that the plants selected by each country (region) mentioned above are described in the text, together with exploitation/sustainability, and opportunity for drug development (patent analysis). Analysis of Text Mining for Latin American Wild Medicinal Plants In order to assess the science activity correlated with the ethnobotanical/pharmacological/chemical importance of wild medicinal plants in Latin America, an analysis of text mining was carried out on articles indexed in the Scopus database (Elsevier 2019) using the search equation: (title-abs-key (“wild medicinal plants*”) and title-abs-key (“ethnobotany and pharmacology*”), and title-abs-key (Latin America)) and doctype (ar) and pubyear > 1980. As a result, 717 records were found in the 1980–2019 timeline (Figure 8.1), with 2017 and 2018 being the most productive years, with 107 records and 86 records, respectively. In addition, an exponential increase (R2: 0.857), as the dynamic behavior of this topic, was observed in Figure 8.1. On the other hand, the trend of publication in the 2011–2018 timeline (excluding 2017 and 2019) was relatively similar between these years according to the dispersion of the data (67 ± 10 articles/year). Referring to the tendency of publications on this topic by countries, in the top three were Brazil (156 articles), United States (97 articles), and India (65 articles), which were highlighted for having the highest number of records. However, if only Latin American countries are considered (excluding Brazil), according to the number of published articles, in descending order were Argentina, Mexico, Colombia, Chile, and Bolivia each with 40, 34, 13, 10, and 6 articles, respectively. Another important classification was performed from the text mining pursuant to different areas of application/knowledge (Figure 8.1, pie chart); thus the main areas were agricultural and biological sciences (~ 23%), followed by pharmacology, toxicology, and pharmaceutics (~ 20%), and finally, medicine (~ 14%). 170 Wild Plants: The Treasure of Natural Healers Figure 8.1: Distribution according to the number of articles published per year related to the topic of interest (1985–2019 timeline), along with areas of application/knowledge (pie chart). Calculations based on Scopus information (Elsevier 2019). Graph elaborated by authors. The plants to be described below are native and very important in traditional medicine in at least one of the following countries: Bolivia, Brazil, Colombia/Venezuela, Mexico (or Central America), and Peru. However, it is important to mention that the same plants could be distributed in other Latin American countries. Promising Plants from Bolivia According to the expertise of the Bolivian co-authors (from Instituto de Investigaciones Fármaco Bioquímicas—UMSA) and the revised scientific literature, three Bolivian medicinal plants (Galipea longiflora K. Krause., Hyptis brevipes Poit., and Tessaria integrifolia Ruiz and Pav.—Figure 8.2) with high value for the indigenous populations were selected. Each of these plants will be briefly described, considering other scientific and common names, distribution, and botanical description. Galipea longiflora K. Krause—synonyms—Angostura longiflora (K. Krause) Kallunki. Common names—Yuruma huana epuna (Tacana language), evanta (Bolivia), matapira, mata-rabujo (Brazil). Tree or shrub (2–12 m), with pubescent young shoots, and alternate and trifoliate leaves; entire, and glabrous leaflets; narrow inflorescences. “Evanta” grows in the last spurs of the Andes Cordillera, between cities of La Paz and Beni, and it is distributed in Bolivia, Brazil, Peru, and Venezuela. The plant bark/leaves are used in traditional medicine by Tsimane, Mosetene, and Tacana communities (Bolivia) for the treatment of skin and digestive disorders, espundia (leishmaniasis), and as a fortifier for babies, children/adults (Fournet et al. 1989, Quenevo et al. 1999, Bourdy et al. 2000, Grandtner and Chevrette 2014). Hyptis brevipes Poit.—synonyms—H. acuta Benth., H. lanceolata Poir., H. melanosticta Griseb., H. radiata Kunth, H. tweedii Benth., Lasiocorys poggeana Baker, Leucas globulifera Hassk., Mesosphaerum brevipes (Poit.) Kuntze, M. lanceolatum (Poir.) Kuntze, M. melanostictum Kuntze, M. tweedii (Benth.) Kuntze, Pycnanthemum subulatum Blanco, Thymus biserratus Blanco. Common Latin American Endemic (Wild) Medicinal Plants with High Value 171 (a) Taken by IIFB 2007. Source: Bolivian co-authors. (b) Taken by IIFB 2014. Source: Bolivian coauthors. (c) Taken by IIFB 2014. Source: Bolivian coauthors. Figure 8.2: Images of the three promising plants—(a) G. longiflora; (b) H. brevipes; (c) T. Integrifolia. names—Id´ene eidhue, hierba bolita, coke, kikarugrag, lesser roundweed. Annual erect herb (up to 1 m), square stem, opposite and ovate/lanceolate leaves (both surfaces hairy), serrated margins, with glandular trichomes; racemose inflorescence, with axillar/terminal globose heads. H. brevipes is native to America, but it is widely distributed in another tropical region of the world (e.g., Asia); besides, the plant is listed in some traditional pharmacopeias to be used as a post-partum remedy, against asthma, malaria, cancer, intestinal parasites, and as mosquito repellents (Limachi et al. 2019, Gupta et al. 1996, Roosita et al. 2008, Quattrocchi 2012). Tessaria integrifolia Ruiz and Pav.—synonyms—T. ambigua DC.; T. dentata Ruiz and Pav.; T. legitima DC.; T. mucronata DC.; Gynheteria dentata (Ruiz and Pav) Spreng; G. incana Spreng; G. salicifolia Willd. ex Less.; Conyza riparia Kunt. Common names—Kkallakasa (quechua, Argentina) cahuara, mwirai, palo bonito, shita (Moseten and Tacana, Bolivia), pájaro bobo (Perú). Tree or shrub (3–5 m), leaves alternate, whole, bright green, with short petiole; terminal inflorescence with many orange-yellow flowers; green/dark-green globose fruits when ripe. This plant is used in the traditional medicine of Bolivia and Peru to treat digestive and respiratory disorders, infectious processes, against leishmaniasis, malaria, inflammation, stingray (Grandtner and Chevrette 2014, Muñoz et al. 2000, Arévalo-Lopéz et al. 2018, Vásquez-Ocmín et al. 2018). Table 8.1 contains information about the pharmacological effects, the useful parts, and the ethnobotanical uses, together with the communities that exploit the plants. The reviewed literature revealed that 13 different quinoline alkaloids, substituted at the C-2 and C-4 positions, have been isolated and characterized (1H-13C-NMR, MS) as the active components in the extracts of different organs from Evanta (Fournet et al. 1989, 1993a). The novelty of four quinoline structures, named Chimanines A-D, found mainly in the leaves, together with the antiparasitic activities, is derived in a Franco-Bolivian patent on quinolines with leishmanicidal action (Fournet et al. 1996). The total alkaloid content of bark (TAB) was conformed mainly by low molecular weight quinolines. According to GC-MS analysis, 2-phenyl-quinoline (1; 67%) was the main alkaloid in all organs, followed by 4-methoxy-2-phenyl-quinoline (2; 11%), which together with 2-pentil-quinoline (3; 9%), 2-(3,4-methylendioxy-phenyl-ethyl)-quinoline (4), 4-methoxy-2-pentyl-quinoline (5), cusparine (6), and 2-propyl-quinoline (7) represented ca. 93 ± 3% of TAB composition. It is interesting to point out that G. longiflora contained compounds 1-3, 5-7, as main alkaloid constituents, with ratios changing with the age of the seedling, and that 1 has been detected at the dicotyledon stage of the plant (Quiroga-Selez et al. 2016). The in vitro leishmanicidal (promastigote) and trypanocidal (epimastigote) activities were attributed to the alkaloid fractions, with reported IC90 values of 25 µg/mL [Chimanines B and D], 50 µg/mL [7 and 2], and 100 µg/mL [1, 2 and others] (Fournet et al. 1993b, 1994a). In vitro studies indicated that TAB interfered with the activation of both mouse and human T cells, by reduction of interferon-gamma (INF-γ) production (Calla-Magarinos et al. 2009). Therefore, TAB had a direct leishmanicidal effect and due to the effect on INF-γ production, it might contribute Plant (Family) Galipea longiflora (Rutaceae) Hyptis brevipes (Lamiaceae) Tessaria integrifolia (Asteraceae) Communities Ethnobotanical uses/ plant part (preparation/ application) Chimane, Tacana, Mosetene, Tsimane Diarrhea, diarrhea with blood, intestinal parasites, fortifier for babies, children and adults, espundia (leishmaniasis) Bark/powder (decoction/ poultice) Tacana (Bolivia) Native regions of Panamá Guarani, Moseten, Tacana (Bolivia) Ethnic groups of Amazon (Peru). Intestinal infections, postpartum remedy Leaves (decoctionheating/pounding) Stomach ache, diarrhea, liver injury, malaria, leishmaniasis, asthma, urinary tract infection, fever. Leaves, stem, aerial part (decoction/juices) Pharmacological effectsin vitro/in vivo evaluation Trypanosoma cruzi- IC90 25 μg/mL Balb/c mice infected with T. cruzi at 25 mg/kg Isolated compounds [Chimanine B and 2-Propylquinoline (7)] Antiparasitic Isolated compounds (2-substituted quinolines) Nematocidal and trichomonacidal Caenorhabditis elegans, Heligmosomoides polygyrus, Trichomonas vaginalis, 100 µM Total alkaloids (bark) Antiparasitic on Leishmania spp. IC50 (μg/mL) L. amazonensis: 12.2 ± 0.9, L. braziliensis: 12 ± 4, L. aethiopica: 7 ± 2, L. lainsoni: 10 ± 1 MeOH extract (aerial part) DNA intercalation % DNA intercalation 20 ± 4 CH2Cl2 extract/essential oil (aerial part) Antimicrobial and antifungal S. aureus 100 mg/mL, Phytoptora parasítica 100 mg/mL, S. aureus, B. subtilis, P. aeruginosa, Fusarium graminearum; MIC 3 μg/mL CH2Cl2 extract 5% CH2Cl2 extract 4% Insecticidal Larval mortal. Spodoptera littoralis100%, 77 ± 6% EtOH extract (leaves) Antiparasitic IC50 (μg/mL) L. amazonensis: 5.3 ± 0.4, T. cruzi: 15 ± 3 Essential oil Free radical scavenging DPPH. radical (μg/mL) SC50: 2.0 ± 0.2 Isolated compound (8-10, brevipolides G,L,M) Cytotoxic IC50 (μM) MCF-7: 4, HeLa: 3.3, KB: 2 IC50 (μg/mL) L. donovani axenic amastigote: 5±1 intra-macrophage amastigoste: 0.51±0.09 L. braziliensis: 32±15 EtOH extract (leaves) Antiparasitic Inh. on Leishmania sp. M. auratus: 250 mg/kg, 95% EtOH extract (leaves and roots) Inh. on P. falciparum ClQR:10 μg/mL, 100% and 84% EtOH extract (roots) Inh. on P. vincke: 1000 mg/kg, 66% References 172 Wild Plants: The Treasure of Natural Healers Table 8.1: Pharmacological effects, useful parts, ethnobotanical uses, and communities that exploit the selected Bolivian plants. Fournet et al. 1994a, b, Nakayama et al. 2001, Martínez-Grueiro et al. 2005, Giménez et al. 2005, Gadisa et al. 2016 Gupta et al. 1996, Goun et al. 2003, Xu et al. 2013, Sakr et al. 2013, Sakr 2014, Suárez-Ortiz et al. 2017, Deng et al. 2009, Limachi et al. 2019 Muñoz et al. 2000, ArévaloLopéz et al. 2018, SilvaCorrea et al. 2018, VásquezOcmín et al. 2018 Latin American Endemic (Wild) Medicinal Plants with High Value 173 to the control of chronic inflammatory reaction that characterizes Leishmania infection pathology (Calla-Magariños 2012, Calla-Magariños et al. 2013). TAB and most of the pure components were tested on in vivo models, showing the absence of toxicity in mice; alkaloids 1, 3, 7, and Chimanine D, provided promising results related to the reduction of the liver parasitic load (52– 96%), depending on both the way of administration (oral or intralesional) and leishmania strains. The intralesional administration of raw alkaloid extract was the most efficient (96–99%) (Fournet et al. 1994b,1996). Other in vivo studies reported the gastro-protective and anti-nociceptive effects of TAB, and the action mechanism of 1 (Zanatta et al. 2009, Campos-Buzzi et al. 2010, Breviglieri et al. 2017). Interestingly, it has been found that quinolines substituted in position C-2, such as 1, were not easily detected in plasma, suggesting these compounds can be sequestrated by blood components (Desrivot et al. 2007). Some studies of field validation with Evanta syrup on helminth parasites (Ascaris spp., Strongyloides vermicularis, Trichuris trichura, and Uncinaria spp.) in children from first to fifth primary grade (5–14 years old, with entero-parasite infestation diagnosed by copro-parasitology) at the Charcas II Community school (tropical zone Departamento de La Paz) showed promising results in their elimination/control. The efficacy was similar to those obtained with mebendazole and/or albendazole, but none of the treatments had an effect against Hymenolepis nana. While the efficacy on protozoan parasites was more complicated and less clear; despite that, Evanta was able to reduce populations of Chilomastix mesnili, Endolimax nana, and Iodamoeba bütschlii, but it had few effects against Giardia lamblia, Entamoeba coli, and Blastocystis hominis (IDH project 2010–2014). Otherwise, some chemical studies on H. brevipes reported the brevipolides A-O as main constituents, whose framework is a 5,6-dihydro-α-pyrone. These kinds of compounds were isolated from plants from Indonesia (Deng et al. 2009), Mexico (Suárez-Ortiz et al. 2013, 2017), and Bolivia (Limachi et al. 2019); additionally, flavonoids, steroidal glycosides, and triterpenoids were isolated. The brevipolides G (8), L (9), M (10), and H (11) were active against MCF-7, HeLa, and KB cell lines. Lastly, Tessaria species contain flavonoids, caffeoylquinic acid derivatives, and eudesmanetype sesquiterpenes as the main secondary metabolites (Peluso et al. 1995, Ono et al. 2000). The ethanol extract from Tessaria integrifolia leaves had leishmanicidal activity at a dose 250 mg/kg/ day with significant inhibition of ulcerative lessons, when it was evaluated in an in vivo model on Mesocricetus auratus inoculated with Leishmania sp. strain isolated from Peruvian patients diagnosed with leishmaniasis (Silva-Correa et al. 2018). The main isolated compound was a eudesmane sesquiterpene (12), and the leishmanicidal activity could be attributed, at least in part, to the presence of this compound. 174 Wild Plants: The Treasure of Natural Healers Plants with High Potential from Brazil Three Brazilian medicinal plants (Caesalpinia pyramidalis Tul., Eugenia punicifolia Kunth., and Jacaranda caroba Vell.—Figure 8.3), with high value for the indigenous and/or afro-descendants communities were selected according to the scientific literature revised. Each plant will be briefly described below. Caesalpinia pyramidalis Tul.—Synonyms—C. gardneria Benth., Cenostigma pyramidale E. Gagnon and G.P. Lewis. Common names—Catingueira, pau-de-rato, catinga-de-porco. The perennial plant developed as a tree (4–10 m) or a shrub (up to 2 m) depending on whether the environment is wet or semi-arid; leaves are biped, with leaflets and glandular dark brown/black hairs. Axillary-terminal yellow flowers, slightly hairy, presenting small glandular spots (back). Oblong-ellite fruit, minimal hairiness alva, and sparse yellow glandular trichomes. This species is native to Peru and Brazil, and particularly it is distributed in the caatinga biome (northeastern Brazilian states and part of Minas Gerais state). C. pyramidalis presents economic potential in these regions, due to its uses for reforestation, obtaining wood, and medicinal properties. Local populations and afro-descendant communities have used some parts (leaves, flowers, stem, and bark) to relieve certain disorders of respiratory and digestive systems. In addition, “catingueira” is the main vegetable species used by an afro-descendant community in the state of Bahia (Quilombolas from Raso da Catarina), and its use was cited by 100% of the respondents (Pereira et al. 2003, Maia 2004, Nishizawa et al. 2005, Sampaio et al. 2005, Agra et al. 2007a, Gomes and Bandeira 2012, Grandtner and Chevrette 2014, Braga 2015, Gagnon et al. 2016). (a) Source: https://www.amigosjb.org.br/wpcontent/uploads/2015/07/046Caesalpinia -pyramidalis.jpg. (b) Taken by F. Souza; Source: (c) Source: http://www.abq.org.br/cb http://faunaefloradorn.blogspot.com/2017/09/ q/2017/trabalhos/7/1247924348.html. cereja-do-cerrado-eugenia-punicifolia.html. Figure 8.3: Images of the three promising plants: (a) C. pyramidalis; (b) E. punicifolia; (c). J. caroba. Latin American Endemic (Wild) Medicinal Plants with High Value 175 Eugenia punicifolia (Kunt) DC.—Synonyms—E. ovalifolia Cambess., E. pyramidalis O. Berg., Emurtia punicifiolia (Kunt) Raf., Myrtus punicifolia Kunth., Pseudomyrcianthes kochiana (DC.) Kausel. Common names—pedra-ume-caá, pitanga-do-campo, cereja-do-cerrado, or murta-vermelha. Shrub (up to 1.5 m) with single leaves, bi-color, entire margin, primary vein and prominent secondary on both sides, abaxial/adaxial surfaces with hardening of the hair type; berry fruit when it is immature and has a persistent chalice with four lobes. “Pitanga-do-campo” has been found in Trinidad, Colombia, Venezuela, Peru, Bolivia, Guianas, Argentina, Paraguay, and Brazil. In the latter, the plant is widely/ mainly distributed in the northern region, and the natives and other communities have used it as medicine to alleviate some health problems, e.g., metabolic, respiratory, and liver disorders (Coelho de Souza et al. 2004, Cruz and Kaplan 2004, Grangeiro et al. 2006, Grandtner and Chevrette 2014, Morais et al. 2014, Sobral et al. 2015). Jacaranda caroba (Vell.) DC.—Synonyms—J. clausseniana Casar., J. elegans Mart. ex DC., J. mendoncaei Bureau and K. Schum., J. oxyphylla Cham., Bignonia caroba Vell. Common names— caroba, carobinha, caroba jacaranda, Brazilian caroba-tree, camboatá, and camboté. Shrub/tree (2–10 m) with long oblongolanceolate and coriaceous leaves, composite, bipinate with leaflets; purplish flowers, tubular and arranged in panicles; elliptical, dry and dehiscent fruits. “Caroba” is an endemic species of Brazil distributed in the Cerrado and Atlantic Forest biomes (states of Rio de Janeiro, São Paulo, Minas Gerais, Goiás, Bahia, and Federal District). In folk medicine, the plant is widely used as a treatment for syphilis, fungal infections, blood purification, skin wounds, and stomach ulcers, as tonic, diuretic, and astringent (Hiruma-Lima and Di Stasi 2002, Cesar et al. 2004, Botion et al. 2005, Fenner et al. 2006, Agra et al. 2007b, 2008, Gachet and Schühly 2009, Grandtner and Chevrette 2014, Lohmann 2015, Pereira 2018). The ethnobotanical uses, the pharmacological effects (including in vitro/in vivo assessments), and the useful parts together with the communities that use the three plants are reported in Table 8.2. According to the continuous exploration of C. pyramidalis, based on bioprospecting and chemical analysis of extracts and derivatives, the species has contained phytosterols, phenolic acids, phenylpropanoids, lignans, flavonoids (e.g., caesalflavone (13, a new biflavonoid)), and tannins as the main secondary metabolites (Mendes et al. 2000, Bahia et al. 2005, Saraiva et al. 2012, Chaves et al. 2015, Oliveira et al. 2016). In addition, the anti-inflammatory (100 mg/kg v.o.), antinociceptive (30 mg/kg v.o.) (Santos et al. 2011, 2013, Santana et al. 2012,), antiulcerogenic (30 mg/kg; 29% protection) and gastroprotective properties of the ethanol extract of barks (Ribeiro et al. 2013), the antioxidant effect (IC50: 43 ± 2 µg/mL) of the methanol extract from leaves by DPPH (1,1-diphenyl2-picrylhydrazyl radical) method (Melo et al. 2010), antibacterial (Novais et al. 2003, Saraiva et al. 2012), and antifungal effectiveness from different extracts (Barbosa-Junior et al. 2015), anthelmintic activity of the aqueous leaf extract (on H. contortus: 2.5 mg/kg) (Borges-Santos et al. 2012), molluscicide and larvicidal actions of leaf and stem ethanol extracts on B. glabrata and A. aegypti (Luna et al. 2005), as well as the cytotoxic and antimutagenic activities of the aqueous extracts of barks (Silva et al. 2015) were established. Furthermore, lupeol (14), one of the main phytosterols of C. pyramidalis is related to the gastroprotective effect (30 mg/kg; 69% protection) (Lira et al. 2009), as well as anticancer, anti-inflammatory, and enzyme-inhibition activities, which in turn are also related to b-sitosterol (15) found in this plant (Gallo and Sarachine 2009, Saeidnia et al. 2014). For the case of E. punicifolia, the volatile products of its secondary metabolism (essential oils, yields 0.2–0.8%) are one of the particular characteristics; that is, there are quantitative and chemical (regarding the major component) variabilities of the essential oils from plant leaves, depending on the collection site. Among the main constituents that have been identified are β-caryophyllene (10–34%, Amazonas, Pará), linalool (16) (44–61%, Pernambuco), and β-elemene (22%, restinga biome from Rio de Janeiro) (Maia et al. 1997, Oliveira et al. 2005, Pereira et al. 2010, Ramos et al. 2010). In addition, other non-volatile compounds (e.g., flavonoids), such as myricetin-3-O-rhamnoside (17), quercetin3-O-galactoside, quercetin-3-O-xyloside, quercetin-3-O-rhamnoside, kaempferol-3-O-rhamnoside, along with phytol and gallic acid (18) were found (Sales et al. 2014). Chiefly, one of these compounds Plant (Family) Communities Ethnobotanical uses/ plant part (preparation/ application) Pharmacological effectsIn vitro/in vivo evaluation References Antinociceptive and anti-inflammatory from EtOH extract of bark Antiulcerogenic (EtOH extract of barks: 30 mg/kg) Free radical scavenging activity (MeOH extract of leaves, IC50: 43 ± 2 µg/mL) Caesalpinia pyramidalis (Fabaceae) Natives from Northeast Brazilian and Quilombolas Treatment for diarrhea, dysentery and catarrhal infections, as diuretic, aphrodisiac. Stem, barks, leaves, flowers (decoction/maceration) Antibacterial (EtOAc extract from bark/leaves on S. aureus: ϕ inhibition: 10 mm) Antifungal (Leaves infusion against Cryptococcus neoformans) Anthelmintic (H2O extract of leaves against Haemonchus contortus) Molluscicide (EtOH extract of stem: 100 ppm, 14% mortality of Biomphalaria glabrata eggs) Novais et al. 2003, Luna et al. 2005, Melo et al. 2010, Borges-Santos et al. 2012, Ribeiro et al. 2013, Barbosa Junior et al. 2015, Silva et al. 2015 Larvicidal (EtOH extract of stem: 500 ppm, 20% mortality of larvae from Aedes aegypti) Cytotoxic/Antimutagenic (H2O extract of barks: 1 g/500 mL with IM: 8%) Cholinergic activity on nicotinic receptors (H2O extract of leaves) Eugenia punicifolia (Myrtaceae) Jacaranda caroba (Bignoniaceae) Natives from different regions of Brazil From Vale do Ribeira (São Paulo, Brazil) and natives from Mata Atlantica region. Treatment for diabetes, fever, cold and liver disorders. Fresh leaves, roots (infusion/ decoction) Against syphilis, fungal skin infections, skin wounds, stomach ulcers, for blood purification, as tonic, diuretic, astringent Leaves and barks (bath infusion, internal infusion, macerate spirit and decoction) Enzyme inhibition (α-amylase, α-glucosylase and xanthine-oxidase) and free radical scavenging activity (EtOH extract of leaves) Control of diabetes type 2 (Dried leaf powder) Antinociceptive (20–35% inhibition), anti-inflammatory (50–90%), and gastroprotective activities (88–99%) (EtOH extract of leaves: 125–500 mg/kg) Enzyme inhibition (MAO-A: IC50: 17 ± 3 µg/mL and 23 ± 2 µg/mL, AChE: EC25: 6705 ± 48 µg/mL and 1006 ± 69 µg/mL, and BChE: EC25: 1111 ± 103 µg/ mL and 626 ± 55 µg/mL), (H2O and H2O/MeOH extracts of leaves, respectively) Antioxidant and anti-inflammatory (H2O and H2O/MeOH extracts of leaves) Anti-Leishmania (EtOH extract of leaves on L. amazonensis) Antimicrobial (EtOH extract of leaves on Helicobacter pylori) Anti-ulcerative (H2O/EtOH extract and CH2Cl2 fraction from leaves: 70–100% reduction) Grangeiro et al. 2006, Basting et al. 2014, Galeno et al. 2014, Sales et al. 2014 Bacchi et al. 1999, Ferreres et al. 2013, Ribeiro et al. 2014, Hernandes 2015 176 Wild Plants: The Treasure of Natural Healers Table 8.2: Ethnobotanical uses, pharmacological effects, useful parts, and communities that benefit from the selected Brazilian plants. Latin American Endemic (Wild) Medicinal Plants with High Value 177 (17) showed a significant antioxidant capacity (IC50 220 µg/mL by DPPH. method), inhibition (59%, 100 µg/mL) on xanthineoxidase, and insulin-like and insulin-sensitizing effects (from 0.08 μM) on adipocytes (Hayder et al. 2008, Manaharan et al. 2012). As mentioned in the previous table, aqueous extract from E. punicifolia leaves showed cholinergic activity, reversing the nicotinic antagonism induced by gallamine or pancuronium in rats, more efficiently than neostigmine (5% of extract caused 89–94% inhibition) (Grangeiro et al. 2006). Furthermore, ethanol leaf extract showed different enzymatic inhibitions, as well as a remarkable antioxidant effect [IC50 (μg/mL): 10 ± 1, 28.8 ± 0.5, and 38 ± 3, by ABTS+., DPPH., and O2−. scavenger methods, respectively], which may suggest the contribution of this plant to metabolic interferences, and among them, in the regulation of glycaemia, correlated to the popular medicinal use (Galeno et al. 2014). In fact, Sales et al. (2014) demonstrated the usefulness of E. punicifolia leaf powder (dry) as a regulator of type 2 diabetes (lower levels of glycosylated hemoglobin, basal insulin, thyroid stimulating hormone, C-reactive protein, and blood pressure) in an uncontrolled clinical trial during three months. Moreover, the ethanol extract showed antinociceptive, anti-inflammatory, and gastroprotective activities in rodents (Basting et al. 2014). Also, the anti-inflammatory power was observed by reducing the effects on muscle injury in mice treated with isolated pentacyclic triterpenes from plant leaves, decreasing levels of metalloproteases, and tumor necrosis, and NFκB transcription factors (Leite et al. 2014). Another interesting study related to metabolic parameters revealed that the leaf methanol extracts reduced liquid intake and glucose and urea levels in urine without altering the markers of liver function (Brunetti et al. 2006). Regarding the chemical composition of J. caroba, the main components include derivatives of caffeic acids, flavonoids as quercetin, kaempferol, and isorhamnetin (19) (Ferreres et al. 2013), phytoquinoids (Martins et al. 2008), ursolic acid, oleanolic acid (20), 3-epichorosolic acid (21), and b-sitosterol (Valadares 2009, Pereira 2018). Based on the scientific evidence of the pharmacological effects of the aqueous/alcohol (methanol or ethanol) extracts from J. caroba, the inhibitory capacities (low to moderate) on enzymes could be mentioned, e.g., MAO-A, AChE, and BChE, as well as noticeable antioxidant and anti-inflammatory activities, specifically, inhibiting the action of superoxide-anion and releasing nitric oxide (ethanol extract—EC50 (µg/mL): 99 ± 4 and 113 ± 18; aqueous extract—EC50 (µg/mL): 31.5 ± 0.3 μg/mL and 165 ± 23, respectively) (Ferreres et al. 2013). The ethanol extract of leaves also showed important activities against L. amazonensis (IC50 13 μg/mL) (Ribeiro et al. 2014) and against H. pylori (MIC 125 µg/mL) (Hernandes 2015). Moreover, in 1999, Bacchi et al. reported the in vivo antiulcerogenic activity of both the hydroalcohol extract and dichloromethane fraction from leaves, which were active on the reduction of ulcers induced by ethanol and HCl (70% and 100% reduction, respectively); thus, the last two science reports verified 178 Wild Plants: The Treasure of Natural Healers the effectiveness of the plant as a treatment for stomach disorders according to ethnomedicinal use. Probably, oleanolic acid (20) (main triterpene from J. caroba) could be responsible for the gastroprotective effect of the extract, as reported by Astudillo et al. (2002); 20 inhibited the appearance of gastric lesions induced by ethanol, aspirin, and pylorus ligature (50–200 mg/kg). Furthermore, 20 also had anti-inflammatory, antitumoral, and antibacterial properties, which could be seen as factors that promote gastric protection (Pollier and Goossens 2012). High-potential Plants from Colombia and Venezuela Based on the revised literature and the bibliometric analysis, three wild medicinal plants [Acanthospermum australe Kunth., Jacaranda copaia Aubl., and Symphonia globulifera L.—Figure 8.4] with high value for the indigenous, peasants, and/or afro-descendants communities from Colombia and Venezuela were selected. Each of the species is briefly described as follows. Acanthospermum australe (Loefl.) Kuntze.—synonyms—A. brasilum Schrank, A. hirsutum DC., A. xanthioides (Kunth) DC., Centrospermum xanthioides Kunth, Melampodium australe Loefl., Orcya adhaerens Vells. Common names—cáncer de loma/yerba del cáncer, carrapicho/amor de negro/erva mijona/espinho de carneiro, tuyá/tapé, tapekue/tapequé/Paraguay-bur/Paraguay star-bur, sheepbur. Annual prostrate flowering shrub (10–60 cm), pilosa with pubescent stem with hairs and both sides of the leaves containing glands; the fruits in a star form are ellipsoid-fusiform-akenes, and they are covered with numerous uncinate hooks/spines. This species is native to South America from Colombia to Paraguay (at altitudes ranged 950–1800 m), except for Ecuador, Chile, and Argentina. The plant is used in traditional medicine by different communities (indigenous and/or peasants) as antitumor, ulcer, and antimalarial (García-Barriga 1992, Duke et al. 2009, Roth and Lindorf 2002, Quattrocchi 2012). Jacaranda copaia Aubl.—synonyms—J. amazonensis Vattimo, J. procera (Willd.) R.Br., J. paraensis (Huber) Vattimo, J. spectabilis Mart. ex A. DC., J. superba Pittier, Bignonia copaia Aubl., B. procera Willd., Kordelestris syphilitica Arruda. Common names—aipay/cimarua(o), amchiponga/ aspingo, arabisco, copaia, curnite(a)/chingalé, chapereke, guachipilin, huamans(z)amana, gualanchy, gualanday(i), jacaranda(á), palo de buba, pinguasí, vai-cuima-yek, wei-oima-yek. Perennial tree (a) Taken by Germaine Parada; Source: (b) Taken by A. Sanchún; Source: http://www.tropicos.org/Image/100188419. https://www.especiesrestauracion-uicn.org/data_ especie_img.php?sp_name=Jacaranda%20copaia. (c) Taken by Steven Paton; Source: https://biogeodb.stri.si.edu/bioinformatics -dfm/metas/view/10949. Figure 8.4: Images of the three promising plants—(a) A. australe; (b) J. copaia; (c) S. globulifera. Latin American Endemic (Wild) Medicinal Plants with High Value 179 (up to 45 m) with exestipulated, opposite/bipinnate leaves; paniculated inflorescences with bluishpurplish colors and dehiscent dried elliptical fruits. The plant is distributed in rainy forests (at altitudes 0–1000 m) from Central America to Bolivia/Brazil, including Suriname. In traditional medicine of the indigenous and/or peasant communities, different parts of the plants have been used to treat skin conditions (healing), and respiratory and digestive disorders (García-Barriga 1992, Duke et al. 2009, Quattrocchi 2012, Grandtner and Chevrette 2014, UEIA 2014, IUCN 2019). Symphonia globulifera L.—synonyms—S. coccinea (Aubl.) Oken, S. gabonensis (Vesque) Pierre, S. microphylla R.E. Schult., S. utilissima R.E. Schult., Chrysopia microphylla Hils. and Bojer ex Cambess., Moronobea coccinea Aubl., M. globulifera (L.f.) Schltdl., M. grandiflora Choisy. Common names—azufre, azufre caspi, barillo, bogum, brea amarilla, chuchuy, leche amarilla(o), machare, machasi, madroño, manie/miraña, pa(e)ramá(a)n, puenka, tomé, supute, yapí. Perennial tree (up to 30 m), with elliptical, opposite and simple leaves, no stipules; cymoso-subumbelated inflorescences, with obsolete peduncles and bracteoles; red-bright or pink flowers, chalices with quincuncial sepals; subglobose/ellipsoidal fruits, crowned by the style and its ramifications, yellowish to brown-pale when ripe; this species produces a thick yellow latex/resin that indigenous/peasant communities traditionally used it as medicine. Furthermore, other parts of the plant are also used for medicinal purposes. In Colombia, it is used to treat skin conditions (healing), and digestive disorder (Correa and Bernal 1993, García-Barriga 1992, Quattrocchi 2012, Grandtner and Chevrette 2014, UEIA 2014, IUCN 2019). Table 8.3 registers the communities that use the three plants along with the useful parts, the ethnobotanical information, and the pharmacological effects (including in vitro/in vivo assessments). Based on the plants mentioned in Table 8.3, the extracts (ethanol/aqueous) from A. australe aerial parts presented in vitro antimicrobial, antiparasitic, antitumoral, and antiviral capacities together with enzymatic inhibition (on aldoreductase), with values from moderate to high (IC50: 1 × 10–7–5 × 10–6 M; EC50: 6–70 µg/mL), with the antitumoral and antiviral properties standing out. Some molecules have been isolated which would be responsible for several bioactivities; thus, from A. australe (whole plant), an interesting sesquiterpene lactone of germacranolide type (acanthrostal 22) with antineoplastic activity against L1210 cell (ED50 value: 5 × 10–6 M) was insulated, as reported by Matsunaga et al. (1996). The anticancer activities of this plant could be attributed to molecules of melampolide series (germacranolides); some of which were also isolated, e.g., acanthoaustralide derivatives (23/24) and acanthospermolide derivatives (25–30) (Bohlmann et al. 1981, Glasby 2005, Sánchez et al. 2009). Besides, Shimizu et al. (1987) isolated five flavonoids (type flavones) of A. australe aerial parts from Argentina; four of them were quercetin, rutin, hyperin, and trifolin. The most active flavonoid was 5,7,4´-trihydroxy-3,6-dimethoxyflavone (31), with IC50 value of 0.1 µM on rat lens aldose reductase and Ki value of 2 × 10–7 M (non-competitive inhibitor). Meanwhile, “gualanday” had a distinctive chemical constituent called jacaranone (32, benzoquinone alkyl ester) insulated from methanol extract of trunk bark, along with ursolic acid (33). Both compounds were evaluated by in vitro Leishmaniasis test, and were effective (ED50: 0.02 mM) Plant (Family) Acanthospermum australe (Asteraceae) Jacaranda copaia (Bignoniaceae) Communities Native (Venezuela; Brazil) or peasant (Colombia) Andoque, Wao-Shuar indigenous (amazon region); Vaupés river natives (Colombia); Los Jívaros (Perú); Alter do Chão (Pará, Brasil); Waimiri Atroari, Chácobo, El Tiriyó, Wayãpi (French Guaina) Ethnobotanical uses/plant part (preparation/application) Against cancers/tumor, jaundice, vomiting, seizures, epilepsy, constipation, blenorrhea, malaria, snake bite, hepatobiliary disorders, microbial/viral infections, as tonic, diaphoretic, vermifuge, eupeptic, antianemic, antidiarrheal, antigonorrheic, and febrifuge. Whole plant [leaf, flower, or branch] (decoction/infusion-/ maceration/poultice) Against skin infections, colds, pneumonia, diarrhea, leishmaniasis, cancer, rheumatism, syphilis; as preventive, repellent, purgative. Leaves, bark, tubers, sap (infusion/decoction/fluid extract/ dry powder/syrup/poultice/hot bath/fumes). Pharmacological effectsIn vitro/in vivo evaluation Essential oil (leaves) Antimicrobial C. glabrata - MIC 100 µg/mL BuOH/EtOH:H2O/H2O/ CHCl3 extracts (aerial parts) Five flavonoids isolated Aldosareductase inhibition (IC50) Extracts: 2–4 µg Flavonoids: 0.1–9 µM Ki: 2 × 10–7 M (Flav. 1) H2O/EtOH, H2O, BuOH, CH3Cl extracts (roots and aerial parts) Acanthrostal (22) isolated (hexane:EtOAc 2:1 fraction) H2O/EtOH extract (aerial parts) EtOH extract (young leaves) Jacaranone (32) and ursolic acid (33) isolated (CH2Cl2 fraction, trunk bark) Ehrlich ascites tumor Antitumoral L1210 cell line IC50 5 × 10–6 M Antiviral Herpes and poliovirus EC50 6–70 μg/mL Antiparasitic P. falciparum in rats Anticancer GI50/LC50 (µg/mL) Antiparasitic MeOH extract (leaves/branch bark) GI50- 145 - PC-3; 15- MCF7; 324T1; 27-RAW-267 ED50 (mM) L. amazonensis 32: 0.02 (promastigote) 33: 0.02 (amastigote) P. falciparum ClQR- 8 ± 2 µg/mL Antimicrobial MIC (mg/mL) Shimizu et al. 1987, Carvalho et al. 1991, Matsunaga et al. 1996, Mirandola et al. 2002, Martins et al. 2011; Carvalho et al. 2014 36/223- PANC-1 74/228- HT-29 L. amazonensis- 16 ± 4 µg/mL EtOH extract (leaves) References 5/0.6- S. epidermidis 0.2/1.2- S. lugdinensis 180 Wild Plants: The Treasure of Natural Healers Table 8.3: Useful parts, ethnobotanical uses, pharmacological effects, and communities that use the selected Colombian/Venezuelan plants. Sauvain et al. 1993, Villasmil et al. 2006, Gachet and Schühly 2009, Valadeau et al. 2009; Taylor et al. 2013; Roumy et al. 2015 Antiviral Cytotoxicity MeOH extract (bark) Heart, lung, and stomach problems; anemia, malaria, as pain reliever Resin, leaves, and bark (decoction/poultice) IC50 (µM)- P. falciparum- 1-4 P. falciparum- 2-7 L. donovani- 0.2-1 Guttiferone A (34) Xanthone V1 (50) Acylphloroglucinols/ benzophenones/xanthones/ biflavonoids (34-59) isolated from EtOAc/ MeOH extract (leaves/root bark/seed) Free radical scavenging DPPH. radical inhibition: 34-89% S. aureus/B. subtili 46, 48, 51, 52, 54-56 0.6-14/1-12 Antimicrobial MIC (µg/mL) E. feacalis/K. pneumoniae/E. coli 52: 8/15/21 55/56: 0/0/4-8 300- seed extract on all strain Anti-HIV EC50 1–10 μg/mL CH2Cl2/MeOH extract Guttiferones A-D Gustafson et al. 1992, Lopez et al. 2001, Ngouela et al. 2005, Ndjakou Lenta et al. 2007, Mkounga et al. 2009, Marti et al. 2010, Cottet et al. 2015, Fromentin et al. 2015, Sarquis et al. 2019 Latin American Endemic (Wild) Medicinal Plants with High Value 181 Emberá indigenous reserve; Orinoco river indigenous, Tukuna (Amazonas), Paracou (French Guiana) IC50 (µg/mL)- L-6 cell line: 52 ± 6 4.1 ± 0.5- P. falciparum 11.5 ± 0.5- T. brucei rhodesiense 2.1 ± 0.8- L. donovani Antiparasitic Symphonia globulifera (Clusiaceae) HSV (25 µg/mL) 182 Wild Plants: The Treasure of Natural Healers on the promastigote and amastigote stages of L. amazonensis, correspondingly. However, in the in vivo test on L. amazonensis in mice, they had a weak anti-leishmanicidal activity. According to Table 8.3, all bioactivities registered of leaf/bark extracts (alcohol) from Jacaranda were promisingantitumoral [against MCF7 and 4T1 (mouse breast tumor)], antiparasitic (on L. amazonensis and P. falciparum), and antibacterial (against Staphylococcus spp.). As a final point, the S. globulifera tree is a valuable species due to the remarkable chemistry it contains related to the acylphoroglucinols/xanthones/benzophenones type compounds (34–59), which would be responsible for promising biological actions, such as antimicrobial, antiviral, antiparasitic, cytotoxic, and anti-HIV. The main isolated secondary metabolites were polycyclic polyprenylated acylphloroglucinols (15 compounds from roots (barks)), followed by polyhydroxylated polyprenylated xanthones/ benzophenones (21 compounds from roots (barks)/seed/leaves/heartwood), and biflavonoids (3 compounds from leaves). The higher demonstrated biological potential was against parasites (e.g., leishmaniasis and malaria) and microorganisms (Escherichia coli, Staphylococcus aureus, Bacillus subtilis, Enterococcus feacalis, and Klebsiella pneumoniae). For instance, compounds 34,47,49,52 were highly active on P. falciparum W2 with IC50 values of 1.3–3.9 µg/mL; while, symphonones A-I (37–39, 41–45, 58, 59) along with molecules 35, 36, 40 were effective on P. falciparum FcB1, with IC50 values of 2.1–10.1 µg/mL. Furthermore, on L. donovani strain, guttiferone A (34) and xanthone V1 (50) exhibited the highest effectiveness, with IC50 values of 0.2 µg/mL and 1.4 µg/mL, respectively. In addition, globulixanthones A (53) and B (57) presented a good cytotoxic effect on KB cells with IC50 values of 2.2 µg/mL and 1.8 µg/mL, individually. A surprising biological potential was determined by Gustafson et al. (1992), when they isolated guttiferones A-D (e.g., 34) from S. globulifera and established its anti-HIV activity. The four molecules Latin American Endemic (Wild) Medicinal Plants with High Value 183 showed a good efficacy (similar level of activities) to inhibit the cytophatic effects against in vitro HIV infection in human lymphoblastoid CEM-SS cells, with EC50 values of 1–10 µg/mL, which were lower than the cytotoxic concentration (> 50 µg/mL). For closure, the tested microorganisms were highly susceptible to the globulixanthones C-F (46, 48, 51, 54) with MIC values of 4.5–14.0 µg/mL on S. aureus, and 1.2–12.5 µg/mL on B. subtili; as well as to the biflavonoids 55,56 with MIC values of 8.5 µg/mL on S. aureus, and 4.5–7.5 µg/mL on E. coli. Finally, globuliferin (52) was effective against S. aureus, E. feacalis, K. pneumoniae, and E. coli with MIC values of 0.6 µg/mL, 8.2 µg/mL, 15.2 µg/mL, and 21.2 µg/mL, respectively. Promising Plants from Mexico and Central America Based on reviewed literature and the bibliometric analysis, three wild medicinal plants (Byrsonima bucidaefolia Standl., Croton draco Schltdl. and Cham., and Smilax aristolochiifolia Mill.— Figure 8.5), with high value for the indigenous and/or peasants communities from Mexico and Central America were selected. Below, each plant will be described according to synonyms, common names, distribution, and botanical description. 184 Wild Plants: The Treasure of Natural Healers Byrsonima bucidaefolia Standl.—synonyms—none. Common names—sakpah, Saak´pah, sak bo’ ob, nan che’, craboo, nance agrio, nance blanco, nance silvestre, sak paj, zapote blanco, matasano, matasan, ajachel (K’aqchikel), ahache (Pocomchí). Small tree (5 m) with branches covered with soft and bushy fluff, rounded/broad leaves, reddish-yellowish flowers, and succulent globose yellow fruits. This species is native to Yucatan Peninsula (Mexico, Belize, and Guatemala), and it is distributed at altitudes of 5–400 m, mainly in savanna biome. The indigenous and/or peasants communities use the plant as food and against different skin and respiratory disorders and infections (Maya, Quintana Roo, and Yucatán) (Standley and Steyermark 1946, Argueta-Villamar et al. 1994, Arellano-Rodríguez et al. 2003, Castillo-Ávila et al. 2009, Polanco-Hernández et al. 2012, Tropicos 2019). Croton draco Schltdl. and Cham.—synonyms—C. callistanthus Croizat, C. gossypiifolius Vahl. Croton panamensis (Klotzsch) Müll. Arg., Croton steyermarkianus Croizat, C. tacanensis Lundell, Croton triumfettoides Croizat, Cyclostigma denticulatum Klotzsch, C. draco (Schltdl.) Klotzsch, C. panamense Klotzsch, Oxydectes draco (Schltdl.) Kuntze, O. panamensis (Klotzsch) Kuntze. Common names—targuá(a), sangre de draco/drago/perro, sangragrado, llora sangre, palo muela/de sangre, balsayu, cuate, sangreg(r)ado, escuahuitl (náhuatl), xix(z)t(l)e (huasteco), chucum (lacandón), peesnum-quina (qui-ui), pocsnum-quina (totonaca), negpinkuy (popoluca,). Shrub or tree (up to 18 m) with acute apex, irregularly dented and alternate/simple leaves, with stipules (the base of the leaf presents orange glands); racemose inflorescences, and white-creamy/yellow-green flowers; trilocular and subglobose fruits; the trichomes cover the entire plant. Sangregrado is native to Mexico and it is distributed in Central America (e.g., Guatemala, Nicaragua, Costa Rica to Panama) at altitudes ranged from 100–1700 m. The plant is used in ethnomedicine by indigenous and/or peasants communities, and once it is injured/cut, it emits a red exudate/latex that has medicinal properties against disorders of the digestive, skin, circulatory systems (Pennington and Sarukhán 1968, Castro et al. 1999, Murillo et al. 2001, González 2006, García and García 2008). Smilax aristolochiifolia Mill.—synonyms—S. kerberi F.W. Apt., S. medica Schltdl. and Cham., S. milleri Steud., S. ornata Lem. Common names—bigote de cozol/camalla/cosole, cuaumecapatli, mecapatli, cuculmeca, t’oknal ts’aah, es‘co’ka, coco(l)meca, z(s)arz(s)aparrilla, gray/Mexican/ Veracruz sarsaparilla. Perennial climbing plant (up to 5 m) with prickly stems and tendrils, thin branches; leathery, extended, and alternate/ovate leaves; small and green dioecious flowers and red small globose fruits. The species is native to Mesoamerica region (Mexico, Belize, Guatemala, etc.) at altitudes of 100–800 m. The most used part of the plant is the root which is exploited as medicine and food by indigenous/peasant communities. The known therapeutic uses are against renal, digestive, reproductive, skin, respiratory and joint disorders, and cancer (Argueta-Villamar et al. 1994, Martínez et al. 2007, Duke et al. 2009, Ferrufino-Acosta and Greuter 2010, Tropicos 2019). The pharmacological effects and ethnobotanical uses of the three selected plants along with useful parts are contained in Table 8.4. Based on the revised scientific literature, a few records on the active components of B. bucidaefolia were found; although, it is known that species of Byrsonima contain (a) Taken by José L. Tapia, 2019; Source: Mexican co-authors. (b) Taken by F. Ramón-Farías, 2019; Source: Mexican co-authors. (c) Taken by Leticia M. Cano, 2018; Source: Mexican co-authors . Figure 8.5: Images of the three promising plants—(a) B. bucidaefolia; (b) C. draco; (c) S. aristolochiifolia. Tabla 8.4: Useful parts, pharmacological effects, ethnobotanical uses, and communities using the selected Mexican plants. Plant (Family) Byrsonima bucidaefolia (Malpighiaceae) Communities Mayas (Mexico, Belize, and Guatemala) Ethnobotanical uses/plant part (preparation/ application) MeOH extract (leaves) and isolated compounds MeOH extract (bark and leaves) Antiparasitic EtOH extract (leaves, stem and bark) Croton draco (Euphorbiaceae) Native of Mexico (Nahuatl, Totonacos, Popolucas, Zoques, Huastecos, Tzotzil, Lacandones, Tzeltal), Guatemala Antimicrobial, wound healing, antitumoral, antihemorrhagic, anti-inflammatory, to reduce pain, against flu, cough, diarrhea, tuberculosis Latex, bark (maceration) Free radical scavenging References DPPH. radical (µg/mL) EC50: 0.9; 60,61 IC50 (µg/mL) extracts L. mexicana (promastigote) Bark: 36; Leaves: 60 Peraza-Sánchez et al. 2007, Castillo-Ávila et al. 2009, PolancoHernández et al. 2012 T. cruzi (amastigote)- Leaf extract 100 Cytotoxic Vero cell: 211 ± 4 EtOAc/(Et)2O/BuOH extracts (latex) Hemolytic IC50 (mg/mL) Latex/EtOAc: 0.43, (Et)2O: 0.49, BuOH: 0.59 0.9 mM-%Inhibition: 62, 63, and cyclopeptides P1/ P2- 83,91-78/63 EtOH extract (roots) Antiproliferative 0.001-1 µg/mL Inhibition > 50% on MDCK, Hep-2, MCF7, A549 EtOH:H2O extract, hexane/EtOAc/H2O fractions (latex, bark) Antihemorrhagic Bothrops asper venom applied on skin of SwisWebster mice-%Inhibition 1 mg extract- Bark/latex: 100; H/EA/W fraction; Bark: 37/100/100; Latex: 0/0/100 Essential oil/ CH2Cl2:MeOH extract (bark) Individual constituents (essential oil) Papain-like cysteine protease inhibition IC50 (µg/mL) Essential oil (bark) Cytotoxic Cruzain inhibition Extract: 516 ± 9 Essential oil: 15.8 ± 0.1 68: 112 ± 14 Castro et al. 1999, Tsacheva et al. 2004, Setzer et al. 2007, Cruz 2015, Alamillo 2017 100 µg/mL -%Inhibition HCT-15: 16, MCF-7: 37, MDA-MB-468: 9, SKMEL-28: 10, SW620: 17, UACC-257: 16 Table 8.4 contd. ... Latin American Endemic (Wild) Medicinal Plants with High Value 185 Fever, skin infections, dysentery Bark, leaves (infusion/ decoction) Pharmacological effectsin vitro/in vivo evaluation Plant (Family) Smilax aristolochiifolia (Smilacaceae) Communities Mayas (Belize, Guatemala, and Mexico), nahuatl, tének y zoquepopolucas (Mexico) Ethnobotanical uses/plant part (preparation/ application) Menstrual pain and other gynecological disorders, syphilis, kidney cleaning, depurative, diuretic, caugh, pneumonia, rheumatism, diabetes, antitumor, dermatosis, and dysentery Root (infusion) Pharmacological effectsin vitro/in vivo evaluation (CH3)2CO extract (root) 71-riched fractions Hypolipidemic, hypoglycemic, and hypotensive % Reduction in mice 71-fraction: 60% hyperlipidemic; 40% insulin resistance; 31% and 37% systolic and diastolic pressures Ethanol:H2O extract (root) Chlorogenic acid/ anastilbin-rich fractions α-Amylase/αglucosidase inhibition IC50 (µg/mL) α-amylase Extract: 90 ± 4, 72-F: 59 ± 1 α -glucosidase TE: 12.4 ± 0.3, 72-F: 9 ± 2, 73-F: 12.3 ± 0.9 H2O extract (root) Hematopoietic Mice with aplastic anemia Dose 0.4 g/kg, erythrocytes, platelet, and bone marrow cell recovery (9 days) Antifungal MIC (µg/mL) C. albicans, C. glabrata, C. tropicalis 74-76: 12–50 77-78: 6–50 Cytotoxicity IC50 (µg/mL) NF, HeLa, HT29, MCF7, MM96L, K562 79-81: 3.4–42 Isolated saponins (aqueous root extract) References Sautour et al. 2005, 2006, Velasco-Lezama et al. 2009, Challinor et al. 2012, Botello et al. 2014, Pérez-Nájera et al. 2018 186 Wild Plants: The Treasure of Natural Healers ...Table 8.4 contd. Latin American Endemic (Wild) Medicinal Plants with High Value 187 saponins, flavonoids, tannins, and triterpenes as the main families of compounds, which have been related to antibacterial and cytotoxic activities. Castillo-Ávila et al. (2009) isolated and identified two compounds (methyl gallate (60) and methyl m-trigallate (61)), from the leaf extract when it was evaluated for its antioxidant power by DPPH.. However, methanol or ethanol extracts were effective againts the parasites L. mexicana or T. cruzi. On the other hand, C. draco has a variety of chemical constituents in all parts of the plant from proanthocyanins (e.g., procyanidin B2), anthocyanins, 1,4-naphthoquinones, sesquiterpene lactones, cardiotonic glycosides, saponines, terpenes to alkaloids (e.g., magnoflorine). Nevertheless, it is attributed that certain molecules are responsible for the biological properties, e.g., myricitrin (62), taspine (63), (epi-)catechin (64/65), and other flavonoids (Salatino et al. 2007). In accordance with Table 8.4, different authors described powerful antihemolytic and antihemorrhagic effects along with antiparasitic and antiproliferative/cytotoxic properties for both extracts/essential oils and isolated compounds. For the case of hemolytic effect of extracts, IC50 values were 0.43–0.59 mg/mL and the isolated compounds with the highest activity values (%inhibition: 63–91%) at 0.9 mM were 63, 62, and cyclopeptides P1/P2 based on Tsacheva et al. (2004); while 1 mg of bark or latex extracts/fractions showed antihemorrhagic effect with inhibition values between 37–100%; flavonoids 64–67 were the isolated molecules from the ethyl acetate extract (most active) of plant bark (Castro et al. 1999). And, as a last point, Setzer et al. (2007) reported the astonishing inhibition of the cysteine protease cruzain (related to T. cruzi) by bark essential oil (IC50 15.8 ± 0.1 μg/mL), which was composed of β-caryophyllene (32%) and caryophyllene oxide (22%). Between some individual terpene constituents 188 Wild Plants: The Treasure of Natural Healers tested, three presented promising IC50 values (μg/mL), i.e., caryophyllene oxide (68) (112 ± 14), β-pinene (69) (155 ± 10), and α-pinene (70) (160 ± 9). The cytotoxicity evaluated for the essential oil on six cell lines showed low to moderate effects (100 μg/mL, %inhibition: 10–37%). The extracts/fractions and isolated constituents from the endemic and wild medicinal plant S. aristolochiifolia root have evidenced particular bioactivities related to metabolic syndrome (e.g., antihyperlipidemy, antihypertensive, antidiabetes), anemia, antifungal, and cytotoxicity. In the first case, based on a report by Botello et al. (2014), the second fraction enriched with N-trans-feruloyl tyramine (71, 600 µg/kg) produced a decrease of 60% on trygliceride levels in mice; the acetone extract along with all N-trans-feruloyl tyramine-riched fractions decreased until 40% the insulin resistance parameter and among 31–37% systolic (78–98 mmHg) and diastolic (55–65 mmHg) blood pressures. Likewise, Pérez-Nájera et al. (2018) determined the inhibitions of α-amylase (IC50: 59 ± 1–90 ± 4 μg/mL) and α-glucosidase (IC50: 9 ± 2–12.3 ± 0.9 μg/mL) by the extract or enriched-fractions with chlorogenic acid (72) or anastilbin (73) as a measure of the potential for diabetes regulating. These components (72 and 73) were isolated and chemically characterized. The hematopoietic effectiveness of the aqueous extract of the root was reported by Velasco-Lezama et al. (2009); these authors demonstrated that the extract was able to increase the number of erythrocytes, platelets, and bone marrow cells on mice with aplastic anemia. Lastly, an important group of constituents from S. aristolochiifolia root are saponins (steroidal compounds), which were insulated by Sautour et al (2005, 2006) and Challinor et al. (2012) and have presented antimicrobial and cytotoxic activities. The isolated smilagenins (spirostane-type saponins) (74-78) from “gray sarsaparilla” by Sautour et al. (2005, 2006) were tested against C. albicans, C. glabrata, and C. tropicalis; the MIC values determined on all strains were—74/75: 12.5–50 μg/mL, 76: 25–50 μg/mL, 77: 6.25–25 μg/mL, and 78: 12.5–50 μg/mL. While, isolated sarsaparillosides Latin American Endemic (Wild) Medicinal Plants with High Value 189 (furostane-type saponins) (79–81) by Challinor et al. (2012) showed antineoplastic effects against six cell lines, i.e., for each cell line and three sarsaparillosides, the IC50 values were—NFF: 4.5–27 μg/mL, HeLa: 12–42 μg/mL, HT29: 4.8–14 μg/mL, MCF7: 3.4–24 μg/mL, MM96L: 3.8–23 μg/mL, and K562: 4.3–28 μg/mL. Plants with High Potential from Peru In agreement to the expertise of the Peruvian co-author (from Instituto de Investigaciones de la Amazonía Peruana—IIAP) and revised scientific literature, two Peruvian wild medicinal plants [Ambrosia peruviana Willd., and Mansoa alliacea Lam.—Figure 8.6] with high value for the Peruvian Amazon indigenous/peasant communities were selected. Some information on each of them can be found below. Ambrosia peruviana Willd.—synonyms—Ambrosia cumanensis Kunth; Ambrosia elatior L.; Ambrosia orobanchifera Meyen; Ambrosia paniculata Michx. var. cumanensis (Kunth) O.E. Schulz; Ambrosia paniculata var. peruviana (Willd.) O.E. Schulz. Common names—ajenjo, altamis(z)a, amargo, ambrosia silvestre, artemisa, cumana/peruvian ragweed, maki, mal(r)co(u), markhu/marquito, mashi paico. Annual herb or shrub plant (0.8–2 m), with alternate/ovate/lanceolate leaves (hairy both surface); spike-shaped inflorescences, hermaphrodite flowers, glabrous, yellowish; obovoid fruits, glandulous-hairy; the whole plant is fragrant. Although this species is native to Peru, it is distributed in Central and South America (at altitudes of 0–1500 m). The herb is used for treatment of respiratory, digestive, reproductive, and joint disorders, and against malaria, by the indigenous and/or peasant communities (Duke et al. 2009, Rengifo 2005, Mostacero et al. 2011, Quattrocchi 2012, Bussman and Sharon 2015, Tropicos 2019). Mansoa alliacea Lam.—synonyms—Adenocalymma alliaceum (Lam.) Miers, A. pachypus Bureau and K. Schum., A. sagotii Bureau and K. Schum., Anemopaegma pachypus K. Schum., Bignonia alliacea Lam., Pachyptera alliacea (Lam.) A.H. Gentry, Pseudocalymma alliaceum (Lam.) Sandwith, P. sagotii (Bureau and K. Schum.) Sandwith. Common names—ajo sacha/macho/silvestre, araruta, sacha árbol, boens, nia boens, bejuco de ajo, madre de Dios. Evergreen climbing shrub (up to 4 m), bifoliolate leaves, acute/obtuse apex; with trifid tendrils coming out of the stem; white-purplish flowers, with flared tubular corolla; racemose inflorescences; oblong linear capsular fruit; all vegetative parts are fragrant, smelling reminiscent of garlic/onion. The liana is native to Peru and it is distributed in Central and northern South America (at altitudes of 0–500 m). The Amazon indigenous/peasants (a) Taken by Indiana Coronado; Source: (b) Taken by Rodolfo Vásquez; Source: http://www.tropicos.org/Image/100177393. http://www.tropicos.org/Image/100362051. Figure 8.6: Images of the two promising plants—(a) A. peruviana; (b) M. alliacea. 190 Wild Plants: The Treasure of Natural Healers traditionally use it as a treatment for skin, respiratory, digestive, and joint disorders, and as analgesic, antimalarial, etc. (Duke et al. 2009, Rengifo 2005, Mostacero et al. 2011, Quattrocchi 2012, Tropicos 2019). The communities that use the two plants together with the ethnobotanical information, pharmacological effects (including in vitro/in vivo assessments), and useful parts are registered in Table 8.5. Referring to science literature consulted, the most abundant secondary metabolites isolated from A. peruviana leaves have been its essential oil. Based on Yánez et al. (2011), the EO that showed antibacterial potential was constituted by γ-curcumene (24%), ar-curcumene (14%), and bornyl acetate (10%), and the most susceptible strains were Salmonella typhi (MIC 350 μg/ mL) and S. aureus (MIC 400 μg/mL). Furthermore, Mesa et al. (2017) determined the larvicidal effects on A. aegypti and antibacterial capacity against B. cereus and B. subtilis of extracts (hexane, dichloromethane, ethyl acetate, and ethanol) and EO from “altamisa”. All extracts and EO (at 200 μg/mL) were effective on A. aegypti from the larvae to adult stages, with 100% of mortality, as well as on B. subtilis and B. cereus. At 500 μg, the inhibition halos (mm) were—hexane extract—10 ± 1–11 ± 1; dichloromethane extract—10 ± 2–15 ± 6; ethyl acetate extract—9 ± 1–11.5 ± 0.7; ethanol extract—10 ± 2 (it was not determined on B. subtilis); EO—9.5 ± 0.7–10 ± 2. The most powerful extract was dichloromethane, which had an inhibition on B. cereus equivalent to the tetracycline antibiotic (positive control). The sesquiterpene lactones (pseudoguaianolides or ambrosanolide-class) that have been isolated from A. peruviana are interesting, e.g., damsin (82), confertin (83), cumanin (84), peruvin (85), peruvinin (86), ambrosin (87), psilostachyin C (88), and psilostachyin B (89). The first ambrosanolides isolated and structurally characterized were peruvin (85) and peruvinin (86) by Joseph-Nathan and Romo (1966), and Romo et al. (1967). In 1969, Herz et al. reported the isolation of three pseudoguaianolides: 87, 82, and 88 (Herz et al. 1969). Afterwards, 89 and a new aromadendrane-type sesquiterpene diol (allo-aromadendrane-4β,10α-diol (90)) were insulated and reported by Goldsby and Burke in 1987 (Goldsby and Burke 1987). Later, 83 was isolated/reported by Aponte et al. (2010), and in 2013, Sülsen et al. secluded/reported 84 from the aerial parts from the plant (Sülsen et al. 2013). Lastly, in 2016, Jiménez-Usuga et al. isolated three new sesquiterpene lactones (91-93) of methanol extract from aerial parts (Jiménez-Usuga et al. 2016). Of all the ambrosanolides mentioned above, six (82–85, 88, 93) have been tested to determine their biological potential. Thus, damsin and confertin were active against the 14 cell lines evaluated (Aponte et al. 2010); nonetheless, the most significant GI50 values (µM) of 82 were 7.6 (on DU145 cells), 8.1 (on U937 line), and 10.3 (on DU145 cells). Meanwhile, 83 showed the highest GI50 values (3.6–9.2 µM) on 12 of the 14 lines tried (except MCF7 and HeLa). Other molecules, 84, 85, and 88 were active on BW5147 cell line (EC50: 4.9–24.5 µg/mL) and normal T lymphocytes (CC50: 35– > 50 µg/mL) (Martino et al. 2015); and 93 was highly cytotoxic against Jurkat (IC50: 6 µM), U937 (IC50: 8 µM), and HeLa (IC50: 30 µM) lines (Jiménez-Usuaga et al. 2016). Additionally, when the compounds 82 and 83 were tested on parasites L. amazonensis and L. braziliensis, both compounds showed promising activity on L. amazonensis, with IC50 values of 1.9 µM and 3.3 µM; while on Latin American Endemic (Wild) Medicinal Plants with High Value 191 L. amazonensis, only 83 had a satisfactory IC50 value of 13.2 µM. Another valuable manuscript on bioproperties of a pseudoguaianolide (84) along with extract/fractions was reported by Sülsen et al. (2013). Firstly, these authors found that CH2Cl2:MeOH extract and its fractions (eight) from A. peruviana aerial parts inhibited the growth (%) of T. cruzi at different concentrations; that is, 1 μg/mL—extract: 9 ± 3%, F2-9: 8/9–41 ± 3%; 10 μg/ mL—extract: 35 ± 1%, F2-9: 25 ± 3–94.7 ± 0.5%; and 100 μg/mL—extract: 94 ± 1%, F2–9: 40 ± 5–96.5 ± 0.2%. Once the most active fraction was established, then cumanin was isolated. This ambrosanolide was notably active against T. cruzi epimastigotes of two strains (RA and K98), with IC50 values of 12 µM and 4 µM, respectively; as well as on L. amazonensis and L. braziliensis epimastigotes, with IC50 values of 3 µM and 2 µM, correspondingly. Finally, the last species under discussion is M. alliacea. In this way, Olivera-Condori et al. (2013) evaluated the antibacterial power and free-radical scavenging capacity of the “ajo sacha” EO from leaves; the authors found that EO presented low antibacterial power and anti-radical capacity. The EO was mainly constituted by allyl trisulfide (68%) and diallyl disulfide (19%). This chemical composition differed from that reported by Granados-Echegoyen et al. (2014), which identified to diallyl disulfide (50%), diallyl sulfide (12%), and di-2-propenyl trisulfide (10%). They determined the larvicidal effect (on C. quinquefasciatus) of EO/hydrolate/extracts (aqueous/MeOH/EtOH) from the shrub; the most active extracts were hydrolate (LC50/90: 8–16 μg/mL, 24–72 hours) and MeOH/aqueous (42–46% mortality, at 10% concentration). Considering the determination of other potential bioproperties of the extracts (Table 8.5), the authors Freixa et al. (1998), Rana et al. (1999), Valadeau et al. (2009), Domínguez and Neves (2014), Towne et al. (2015), and Hamann et al. (2019) reported some of them. Thus, the antifungal effects on T. mentagrophytes and M. gypseum using CH2Cl2 and MeOH extracts at 5–10 mg/disk were measured by Freixa et al. (1998); both extracts were active on M. gypseum [ϕ inh.: 17–19 mm and 17–20 mm], while CH2Cl2 extract was only active on T. mentagrophytes [ϕ inh.: 21–23 mm]. Rana et al. (1999), for its part, determined the percentage inhibition on spore germination (as a measure of antifungal susceptibility) of eight fungal strains (Alternaria alternata, A. brassicae, A. brassicicola, A. carthami, Colletotrichum capsici, Curvularia lunata, F. oxysporum, and F. udum) of H2O leaf extract; all of them were susceptible to the extract in a dose-dependent manner. The antinociceptive, immunostimulant, anti-inflammatory, and anticancer properties determined for the aqueous/alcohol extracts were promising, according to Hamann et al. (2019), Dominguez and Neves (2014), and Towne et al. (2015). The inhibitions were higher than 70% for the inflammation and nociception (based on allodynia prevention/reversion), and cell growth (T3-HA line). Lastly, Valadeau et al. (2009) and Ruiz et al. (2011) established the antiparasitic potential on L. amazonensis and P. falciparum (chloroquine resistance) of the ethanol extract from bark; these authors found IC50 values of 22 ± 9 μg/mL and 24 ± 10 μg/mL for each strain; and on ferriprotoporphyrin biocrystallization inhibition test (FBIT), a IC50 value of 2.0 μg/mL. At the end, from methanol extract of wood, two naphthoquinone-type molecules (91 and 92) were isolated, which showed a high cytotoxic potential (on V-79 line) with IC50 values of 5.6 μg/mL and 6 μg/mL, individually. Exploitation/Sustainability and Opportunity of Drug Development (patents) from these Plants As most of the medicinal plants used in traditional medicine are collected as wild, they are suffering inappropriated and unmeasured exploitation by unqualified/inexpert people, which is causing loss of biological availability (genetic diversity) and habitat destruction, and therefore, the non-sustainability of the natural resource. Additionally, certain populations related to medicinal plants (e.g., local groups, herbalists, and herbal traders) take some vital parts of plants (roots, stem, trunk) and/or whole plants, which would put the preservation of the species at risk (categorization as threatened), or in the worst case, lead to them becoming endangered. Part of the solution to those problems described above could be the domestication of plants and the implementation of cropping systems, which would Plant (Family) Communities Ethnobotanical uses/ plant part (preparation/ application) Pharmacological effectsin vitro/in vivo evaluation Essential oil (leaves) Antimicrobial Hexane/CH2Cl2/EtOAc/ EtOH extracts, and essential oil (leaves) Ambrosia peruviana (Asteraceae) Shipibo-Conibo, Ashaninka, Amazon riverside mestizo Santa Clara-Loreto. San Antonio de Saniyacu-Loreto Antimalarial, insecticide, intestinal parasitosis, vermifuge, emenagogue, amenorrhea, depurative, neuralgia, antidepressant, rheumatism. Leaves/aerial parts/flowers (infusión/decoction/bath/ poultice-macerate) EtOH extract (leaves) Extract/fractions/isolated ambrosanolides (leaves, aerial parts) ϕ inhibition-mm, MIC-μg/ mL S. aureus: 8, 400; E. faecalis: 11, 500; E. coli: 7, 500; S. typhi: 8, 350 ϕ inhibition-mm, 500 μg B. cereus: 10 ± 1–15 ± 6 B. subtilis: 9 ± 4–11 ± 1 Larvicidal A. aegypti, %mortal., 200 μg/mL Extr. 5%, 24 hours; 100% 144 hours (larvae to adults) Toxicity LC50- Artemia salina, 64 μg/mL Anthelmintic 100% mortalility- Toxocara canis, 50 μg/mL, 4 hours Cytotoxityantiproliferative GI50 (µM)- Active on 14 cell lines 82: 8–23; 83: 4–17 IC50 (µM) L. amazonensis- 82: 2; 83: 3; T. cruzi - 82: > 200; 83: 13 Antiparasitic %GI-T. cruzi; 1-100 μg/mL; ext.: 9 ± 3–94 ± 1; F2-9: 25 ± 3–96.5 ± 0.2 IC50 (µM), 84: 12 (RA), 4 (K98); trypomast.- 84: 180 (RA), 170 (K98); amastig.- 84: 8. L. amazonensis/L. braziliensis- 84: 3/1 References 192 Wild Plants: The Treasure of Natural Healers Table 8.5: Pharmacological effects, ethnobotanical uses, useful parts, and communities that use the selected Peruvian plants. Aponte et al. 2010, Guauque et al. 2010, Yánez et al. 2011, Sülsen et al. 2013, Bussmann and Sharon 2015, Martino et al. 2015, Jimenez-Usuga et al. 2016, Mesa et al. 2017 Free radical scavenging DPPH. Radical- CE50: 234 mg/mL Antibacterial ϕ and%inhibition 5 mg/mL S. aureus: 8 mm, 26% B. subtilis: 9 mm, 28% Essential oil (leaves) CH2Cl2/MeOH extracts (leaves) Antifungal % inhibition spore germ.; extract (1:2): 98-100% on all fungi tested. H2O extract (leaves) Anticancer Analgesic, antipyretic, antimalarial, repellent/ fumigant, against arthritis, abdominal pain, epilepsy, and cephagia Aerial parts/leaves/bark/root/ capitule/stems (infusión/ decoction/tincture/poultice) EtOH extract (bark) Antiparasitic T3-HA line; extract equal to 0.03– 0.09 g plant/mL,%GI: 70–100 IC50 (μg/ mL)- L. amazonensis: 22 ± 9; P. falciparum ClQR: 24±10 P. falciparum ClQR: >10, FBIT: 2 H2O:EtOH extract (leaves) Antinociceptive/antiinflammatory CFA in mice Extract: 100/90% prevention/ reversion (allodynia); reversed hyperalgesia (4 time); antiallodynic effect non-selective and δ-selective opioid rec. antagonists: 98% and 93% Lyophilized H2O extract (leaves) Immunostimulant % Activ. albino rats HoltzmanDoses 13.2/26.4 mg/kg, 75/76% H2O/MeOH/EtOH extracts/ Essential oil/ hydrolate (leaves) Larvicidal (4th instar larvae) LC50/LC90 (μg/mL) Culex quinquefasciatus EO: 267-147/494-312, 24–72 hours; hydrol: 10-8/16-12, 24-72 hours 10% extract,% mortal., RGI- MeOH: 32, 0.76; EtOH: 46, 0.7; H2O: 42, 0.6 Isolated component (from MeOH extract of wood) Cytotoxicity (V-79 cells) IC50 (μg/ mL) Extract: +; 91: 5.6; 92: 6 Itokawa et al. 1992, Freixa et al. 1998, Rana et al. 1999, Valadeau et al. 2009, Ruiz et al. 2011, Olivera-Condori et al. 2013, Domínguez and Neves 2014, GranadosEchegoyen et al. 2015, Towne et al. 2015, Hamann et al. 2019 Latin American Endemic (Wild) Medicinal Plants with High Value 193 Mansoa alliacea (Bignoniaceae) Shipibo, Conibo, Ashaninka, Lamas, Amuesha, Yanesha, Quechua, Lupuna, Tamshiyacu, Achuales, Ese´eja, Cuna (Panama), Wayapi (French Guiana), Gresol (Guyana), Tapajos (Brazil). 5–10 mg/disk, ϕ (mm) Tricophyton mentagrophytes and Microsporum gypseum: 0-23/17-20 194 Wild Plants: The Treasure of Natural Healers satisfy the current and future demands for production of plants and/or herbal drugs, as well as to relieve the pressure of wild populations (Alamgir 2018). According to the query in the webpage of the IUCN red list of threatened species (IUCN 2019), the greater part (64%) of the plants included in this manuscript were not registered. The remaining part (36%) of the plants (T. integrifolia, C. pyramidalis, J. caroba, S. globulifera, and C. draco) were listed, although their status are of “least concern”, because the current population trends are stable. Based on this information, it could be considered that the plants are not overexploited or at apparent risk. The review of the current state of patents and/or marketing of phytotherapeutic products related to the plants under study generated the following results: Evanta herb (G. longiflora) recorded two patents related to (i) preparation method of chimanine A (CN102838538A) from China, and (ii) extraction of 2-substituted quinolines for the treatment of leishmaniasis (FR2682107A1) from France (expiration date: August 2019). In the case of J. caroba, it is marketed as an extract/mother tincture for homoeophatic medicine by SBL Pvt Ltd, Natural Heatlh Supply, Willmar Schwabe India Pvt Ltd, Washington Homeophatic Products, Rappen Apohteke and Herbal Foods; or as ground material by Folha e Raiz. The patent US20060165812A1 (method and topical formulation for treating headaches) includes J. caroba and J. copaia as active ingredients for such formulation. J. copaia is included as an active ingredient in the patent code JP2002316936A (antibacterial agent and antiinflammatory agent). Although there is no exclusive patent on J. copaia, a patent (US4078145A, expired 1995) associated with jacaranone (32) from J. caucana (species native to Colombia and closely related to J. copaia) was found. The patent title was “phytoquinoid possessing anti-tumor activity”. C. draco has been mentioned in three patents as an active ingredient—(i) code US20030099727A1, entitled “compositions and methods for reducing cytotoxicity and inhibiting angiogenesis”, (ii) code US20020041906A1, entitled “compositions and methods for enhancing therapeutic effects”, and (iii) code WO2006078848A1, titled “compositions containing botanical extracts rich in phlorizin and methods for using such compositions in blood glucose modification and to affect aging”. A patent, entitled “smilagenin and its use” (code US7368137B2), mentions S. aristolochiifolia as a natural source for the isolation of this molecule. In addition, A. peruviana is marketed as a liquid herbal supplement (or tincture) called Marco (by Irae® herbal rejuvenation, Salvia Paradise, Dr. Clark) or solid (capsules) by Salvia Paradise, Herbis® and Čajový Dom. To conclude, Rainforest Pharmacy, Raintree Nutrition and Bioaurora market M. alliacea as a solid herbal supplement (capsules) called ajo sacha, ajos sacha, and Huanarpo macho, respectively, and Bio Deli Organico, as a liquid supplement called 20% ajo sacha. On M. alliacea, only one patent was found, entitled “tissue culture method of Mansoa alliacea” (code CN105724253A). Conclusion The species that were selected and described in this chapter are some examples of Latin American wild medicinal plants that have a strong rooting (are well-known) in the native and mestizo communities (of each country) that use them for different therapeutic purposes, which in most cases (or not) have been validated taking into account the results of the determined biological activities. Therefore, they would constitute a promising source to be candidates for phytotherapeutic products. In addition, these plants have a broad ethnomedicinal description in the different regions, varying their purposes of use, diversity of preparations, and chemical constituents. The 14 plants had some ethnobotanical uses (against intestinal parasites, leishmania, malaria, microbial infections, cancers/ tumors, snake bites, and/or rheumatism), preparations (decoction, maceration, and/or infusion), and wide pharmacological effects (anti-leishmanial/trypanosomial/plasmodial, anti-tumoral/cancer/ proliferative/cytotoxic, anti-HIV, anti-bacterial/fungal, antihemorrhagic/hemolytic, hematopoietic, larvicidal, anthelmintic, antinociceptive/anti-inflammatory) along with specific, isolated, and active chemical constituents (chimanines, brevipolides, melampolides, flavones/flavanones/biflavonoids, phytosterols, acylphloroglucinols, xanthones/benzophenones, alkaloids, smilagenins/sarsaparillosides, Latin American Endemic (Wild) Medicinal Plants with High Value 195 ambrosanolides, organosulfur compounds, naphthoquinones) in common. 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Gastroprotective activity of alkaloid extract and 2-phenylquinoline obtained from the bark of Galipea longiflora Krause (Rutaceae). Chem. Biol. Interact. 180: 312–317. 9 Phytochemicals from Wild Medicinal and Aromatic Plants of Argentina María Paula Zunino,1 Andrés Ponce,2 Alejandra Omarini3 and Julio Alberto Zygadlo1,* Introduction In the rural and indigenous communities of Argentina, medicinal plants play a very important role in the care of people’s health (Goleniowski et al. 2006, Martinez and Barboza 2010, Martinez and Escobar 2017, Suarez 2018, Lujan and Martinez 2019). This strong relationship between people and medicinal plants could be explained because some rural or aboriginal communities are isolated not only as a result of the territorial extension, but also because of economic factors and the absence of modern medicine. Moreover, in these communities the traditional medicine is better accepted from a spiritual and cultural point of view. The number of medicinal plants collected and used by the first inhabitants of the current Argentine territory was increased with the contribution received by the European migrants related to their pharmacological or medicinal properties (Kujawska et al. 2017, Bermejo et al. 2019, Lujan and Martinez 2019). Currently, the market related to the aromatic and medicinal plants has grown in urban areas as a result of increasing interest to use natural products for healthcare (Bach et al. 2014, Lujan and Martinez 2019). In Argentina, the use of traditional medicine involves more than 60% of the population, and many of the medicinal plants are sold in pharmacies, street markets, or natural products shops (Bach et al. 2014, Lujan and Martinez 2019) (Figure 9.1). In recent years, the advancement of the agricultural practices over natural areas has led to a significant loss of the medicinal plants’ diversity, and this fact negatively impacts the continuous supply of the urban markets. A systematic literature survey was carried out in scientific databases, PubMed, Scopus, and Google Scholar about the research carried out on the folkloric practice versus evidence-based medicine, using medicinal plants. Thus, this chapter provides molecular, phytochemical, genetic, and pharmacological evidence to support the traditional indigenous phytotherapy practiced in Argentina. 1 Universidad Nacional de Córdoba, Facultad de Ciencias Exactas, Físicas y Naturales. Instituto Multidisciplinario de Biología Vegetal (CONICET-IMBIV). Avenida Vélez Sarsfield 1611. Córdoba. Argentina; paula.zunino.254@unc.edu.ar 2 Universidad Nacional de Córdoba, Cátedra de Fisiología Humana. Facultad de Medicina. Universidad Nacional de Córdoba. E-mail: andresaponce@daad-alumni.de 3 Instituto de Ciencias de la Tierra y Ambientales de La Pampa (CONICET-UNLPam). Mendoza 109 (L6302EPA) Santa Rosa, La Pampa; aomarini@yahoo.com.ar * Corresponding author: jzygadlo@unc.edu.ar Phytochemicals from Wild Medicinal and Aromatic Plants of Argentina 205 Figure 9.1: Photograph of a shop selling aromatic and medicinal plants. In this chapter, we have not provided information about aromatic plants that produce essential oils responsible for bioactivity. This topic was previously reviewed by our group (Bigliani et al. 2012, Zunino et al. 2012, Zygadlo et al. 2017). Wild Medicinal and Aromatic Plants of Argentina Each indigenous community culture in Argentina makes its own selection of medicinal plants. This indicates that the same plant can be used as medicinal by one community, but it is not accepted by others. For example, the selection of medicinal plants made by the native inhabitants of the northwest of Argentina follows an analogy between the plant to be used and the disease. However, in the Mapuches community, in Patagonia, the sense of smell and taste played a very important role in the selection of medicinal plants. Cosmological concepts exist between medicinal plants and the Comechingones community (Goleniowski et al. 2006). In the Guarani culture, the plants operate as a vehicle for healing to occur (Kujawska et al. 2017). The province of Neuquén (Argentina), where the influence of the Mapuche community was strong, led the integration of the traditional with modern medicine, which concluded with the creation of an intercultural hospital called Ranguiñ Kien. The main phytochemical compounds studied from medicinal plants were essential oils, flavonoids, phenolic acids, and phenols. In some groups, such as Solanaceae or Apocynaceae, the emphasis was placed on nitrogenated compounds, such as alkaloids and its derivatives. The most popular medicinal plants used in traditional medicine by aboriginal communities, to treat the signs or symptoms of ailments related to microbial infection, are Asteraceae, Fabaceae, Polygonaceae, Solanaceae, and Euphorbiaceae. However, 85% of the extracts did not show activity against Candida spp., or dermatophytes (Cordisco et al. 2019). 206 Wild Plants: The Treasure of Natural Healers Phytochemicals from Wild Medicinal and Aromatic Plants of Argentina The objective of this chapter was to validate the medicinal use of plants traditionally used in Argentina. To accomplish this objective, we only reviewed those plants that have been characterized (chemical, pharmacological, molecular biology, or bioactivity test (antimicrobial or antiparasitic)). Several studies revealed the information about the traditional medicinal plants native from Argentina and their use for medicinal purposes (Goleniowski et al. 2006, Barboza et al. 2009, Martinez and Barboza 2010, Martinez 2015, Martinez and Escobar 2017, Suarez 2018, Lujan and Martinez 2019). The scientific names of the medicinal plants were revised carefully using different websites, such as www.plantlist.org, www.tropicos.org, www.gbif.org, www.darwin.edu.ar (Darwinian Institute), and www.floraargentina.edu.ar (Flora Argentina). The number of medicinal plants described by different authors related to the ethnobotanical used by native communities from Argentina exceeds 600 species (Goleniowski et al. 2006, Barboza et al. 2009, Martinez and Barboza 2010, Martinez 2015, Martinez and Escobar 2017, Suarez 2018, Lujan and Martinez 2019). However, it is interesting to highlight that only a few studies have been conducted to know the active ingredients present in the plant extracts or their pharmacological properties (Alvarez 2019), leaving to date only the empirical information. The phytochemical composition revealed the presence of flavonoids (quercetin, kaempferol, rutin), coumarin (umbelliferone), organic acids (quinic, chlorogenic, caffeic acids), amines (ephedrine, pseudoephedrine), alkaloids (aspidospermine, quebrachamine, crotosparine), and anthraquinones, among other compounds. However, Solanaceae and Apocynaceae showed a big diversity of alkaloids than other medicinal plants, whereas in Ephedraceae, the amines were the most abundant metabolite. Acanthaceae Ruellia ciliatiflora Hook. R. hygrohila Mart., R. simplex Wright and Justicia comata (L.) Lam. are species within the Acanthaceae family with medicinal properties, but only J. pectoralis Jacq. was chemically studied; several secondary metabolites were founded, such as umbelliferone, betain, flavonoids, saponins, and amino acids (Barboza et al. 2009). Justicia pectoralis Jacq. J. pectoralis is popularly used for stomach upset, anxiolytics, expectorant, soothing, hypotensive, leg pain, cough, or aphrodisiac problems (Leal et al. 2017). Phytochemical studies revealed the presence of coumarins, flavonoids, steroids, triterpenoids, and alkaloids. Ellagic acid and coumarin contributed to the anti-inflammatory activity (Nunes et al. 2018). The toxicology studies of hydroalcoholic extracts showed that the lethal dose (LD50) in rats was 3.0 g/kg, while the oral administration of 2.0 g/kg was not lethal. The Global Harmonized System of Classification and Labeling of Chemicals classified the J. pectoralis extract as nontoxic (Leal et al. 2017). Nunes et al. (2018) showed lower toxicity and cytotoxicity of J. pectoralis extracts. Manchishi (2017) evaluated the anticonvulsant effects of this plant. Results also showed potentiation of GABAergic activity as the mode of action. Acetone/ water extracts showed bacteriostatic activity against Acinetobacter baumannii (MIC 500 μg/mL) and Klebsiella pneumoniae (MIC 500 μg/mL). Aquifoliaceae Ilex argentina Lillo, I. brevicuspis Reissek, I. dumosa var. guaranina Loes, I. theazans Mart. ex Reissek and I. paraguariensis, are the most important medicinal species of this family. However, biological and pharmacological studies were carried out only with I. paraguariensis. Phytochemical studies revealed the presence of trimethylxanthine, dimethylxanthine, quercetin, kaempferol, rutin, Phytochemicals from Wild Medicinal and Aromatic Plants of Argentina 207 chlorogenic and caffeic acids, matesaponin, matesaponin 2, 3, 4 and 5, guaicin B, nudicaucin, dicaffeoylquinic acids, and glycosides of ursolic acids (Alvarez 2019). Ilex paraguariensis St. Hill It is a medicinal plant commonly known as “Yerba Mate” (YM), which is consumed as a tea in Argentina, Uruguay, Paraguay, and Brazil. The tea modulates redox homeostasis of the immune and central nervous systems (Cittadini et al. 2015). Methylxanthines are heterocyclic compounds known as purine alkaloids (caffeine, theobromine, and theophylline). The contents of theobromine and caffeine in ethanolic extracts of leaves were 895.79 mg/kg and 5100 mg/kg, whereas in the aqueous extracts, the values were 837 and 4800 mg/kg of leaves, respectively (Mateos et al. 2018, Meinhart et al. 2019). Besides the alkaloids, the YM infusions are a rich source of phenolic acids and flavonoids, such as chlorogenic acid and rutin (Correa et al. 2017, Gan et al. 2018, Mateos et al. 2018). These compounds contributed to a weight loss with additional hypocholesterolemic effects (Balsan et al. 2019), and to avoid cardiovascular risk factors (Cardozo Junior and Morand 2016). It was demonstrated that the oral intake of YM exerted palliative effects on the neurological paraneoplastic syndrome, and it can contribute to neuroprotection (Cittadini et al. 2018, 2019). The quinic acid derivatives represented the most important fraction, with more than 70 percent. The most abundant compounds were 5-caffeoylquinic, 4-caffeoyl quinic acid, 1-caffeoylquinic acid, 1.3- and 1,4-dicaffeoylquinic acids, whereas hydroxycinnamic acid derivatives were present in lower quantities. The flavonoids quercetin rutinoside and isorhamnetin rutinoside were identified in the YM tea (Cittadini et al. 2018). Chlorogenic acid and quercetin from dietary YM were available and bioactive in brain, and showed a significant reduction of interleukin-6, thereby attenuating neuroinflammation and damage (Cittadini et al. 2019, 2018, de Lima et al. 2019). The extraction temperature of the water produced changes in the composition of phenolic acids and flavonoids (Gerke et al. 2018). Therefore, the different temperatures used for preparation and consumption of the mate infusions (hot or room temperature) have a specific composition (Correa et al. 2017). Moreover, the phenolic composition also changes with the YM varieties (Mateos et al. 2018). The post in vitro digestion, in the large and small intestines and in the liver, reduced about 20 to 33% of the total phenolic compounds (Cardozo-Junior et al. 2016, Correa et al. 2017). In the biological fluids, mainly sulfated conjugates of ferulic and caffeic acids were identified (Gómez-Juaristi et al. 2018). The colonic microbiota is mainly involved in the bioavailability of phenolic compounds (Cardozo-Junior et al. 2016, Gómez-Juaristi et al. 2018). The 13% of ingested phenolic compounds were excreted after 24 hours by urine (Gómez-Juaristi et al. 2018). Beverages prepared with YM showed antioxidant capacity by increasing serum levels of paraoxonase-1, which is associated with the antioxidant functions of high-density lipoprotein and weight loss. The YM infusions showed a strong beneficial effect in the treatment of obesity (Kim et al. 2015) by reducing lipogenesis, improvement in glucose tolerance (Oh et al. 2016), and anorexigenic effects in the short term (Rocha et al. 2018, Sahebkar-Khorasani et al. 2019). The YM infusion (1 g/kg body weight/day) adjusted antioxidant enzyme activities and decreased lipid peroxidation in overfeeding Wistar rats (Conceição et al. 2017). Furthermore, the consumption of YM infusions prevented atherosclerotic diseases (Balsan et al. 2019). The YM aqueous extract reduced the hyperglycaemia, a clinical condition caused by a carbohydrate metabolic disorder. This result was explained by the reestablishment of the redox status and the reduction of glycosylated proteins levels in the blood (de Lima et al. 2018, 2019). de Lima et al. (2019) found that YM extract reduced peripheral neuropathy. The major constituents of the flavor of YM were 2,6-dimethyl-1,7-octadien3-ol, linalool, and α-terpineol (Polidoro et al. 2016). In addition, a polysaccharide was identified as a rhamnogalacturonan I with anti-inflammatory and antimicrobial properties (Kungel et al. 2018). The 4, 5-dicaffeoylquinic acid was the most active molecule against DU-145 prostate cancer cell, with an IC50 = 5 μM (Lodise et al. 2019). When the patients drink YM infusion, there is decreasing bone resorption because the YM inhibiting the osteoclastogenesis reduces oxidative stress by decreasing the receptor activator of nuclear factor kappa-B ligant and increasing osteoprotegerin (Pereira et al. 208 Wild Plants: The Treasure of Natural Healers 2017a). However, da Veiga et al. (2018) described a neutral effect on the bone metabolism without changes in the serum levels of total calcium of the subjects drinking YM infusions. The antimicrobial activity of the YM aqueous extract is related to the high content of phenolic acids and flavonoids. Rempe et al. (2017) suggested that the mechanism of action of the YM as an antimicrobial impacted the carbon metabolism and not the cell membrane. Anacardiaceae The secondary products identified in the medicinal species of this family were—a-amyrin, catechin, quercetin, rutin, kaempferol, quercetin-3-O-galactoside, shikimic acid, acylated quercetin glycosides, chamaejasmin, and isomasticadienonic acid (Romero et al. 2016, Alvarez 2019). Species of this family are used in traditional medicine, such as Schinopsis lorentzii (Griseb.) Engl., Schinus bumelioides I. M. Johnst, S. johnstonii F.A. Barkley, S. longifolius (Lindl.) Speg., S. meyeri F.A. Barkley, and S. odonellii F.A. Barkley, with a lack of biological or pharmaceutical studies. Schinus sp. Many illnesses in Peru are treated with aqueous or alcoholic extracts of leaves or fruit of S. molle L. The extracts showed low toxicity (LC50= > 10000 mg/mL (Bussmann et al. 2011). This medicinal plant is used in folk medicine for the treatment of depression. It was demonstrated that the treatment with ethanolic extract showed antidepressant-like effects through serotonergic, dopaminergic, and noradrenergic systems, and it was attributed to the presence of high content of rutin (Machado et al. 2008). The administration of 0.3–3.0 mg/kg of rutin showed antidepressant effect in mice (Rabiei and Rabiei 2017), and also displayed important cytotoxic effects on human leukemic monocyte lymphoma cells line (EC50 from 9.5 mg/kg) (Calzada et al. 2018). The extracts of S. areira L. and S. fasciculata (Griseb) I.M. Johnst. showed antifungal properties against dermatophytes with MIC values of 0.5 to 1.0 mg/mL (Svetaz et al. 2010). The cholesterol esterase plays an important role in the hypercholesterolemia of obese people, and it was inhibited by aqueous or methanolic extracts of leaves or fruit of S. molle. The inhibition percentage of pancreatic cholesterol esterase was in the range of 8.98 to 15.47% (Asmaa and Ream 2016). Several phytochemicals with antibacterial activities, such as terebinthene and pinicolic acid were isolated from bark resin of S. molle (Malca-Garcia et al. 2017), whereas lupeol and phenolic lipids showed antifungal activity (Aristimuño Ficoseco et al. 2014). Brazilian traditional medicine used S. lentiscifolia Marchand as antiseptic medicament. The aqueous extract of S. weinmannifolia leaves exhibited antibacterial activities (MIC from 125 to 250 μg/mL), whereas the hexane extract was very effective against Candida species (Gehrke et al. 2013). The main phytochemical isolated from S. weinmanniifolia was moronic acid (3-oxoolean18-en-28-oic acid), a diterpene with antimicrobial activity (Gehrke et al. 2013). Terán Baptista et al. (2018) founded an IC50 of 0.9 mg/mL against several bacterial strains using ethyl acetate extract. The main bioactive compounds identified in the ethyl acetate extract of S. fasciculata were kaempferol, quercetin, and agathisflavone. The agathisflavone was also founded in S. polygamus (Cav.) Cabrera. Dumitru et al. (2019) found that this flavone ameliorated memory and decreased anxiety by regulation of AChE activity and by controlling the oxidative stress. The methanolic extract of S. polygamus showed higher antipyretic, anti-inflammatory, and analgesic activities. Quercetin was isolated from methanolic extract, and this flavonol could be contributing to its pharmacological effects (Erazo et al. 2006). The presence of b-sitosterol in the hexane extract was associated with the analgesic effects (Erazo et al. 2006). Previous reports revealed that b-sitosterol decreased myeloperoxidase activity, inhibited neutrophil migration, and increased pain tolerance (Erazo et al. 2006). The chagas disease represents a major health issue in Latin America, and is caused by Trypanosoma cruzi, a protozoan parasite. It was reported that S. molle represents a valuable source of compounds that can be used for the treatment of trypanosomiasis, and methanolic extract showed 100% of growth inhibition at a dose of 150 μg/mL with an IC50 = 16.31 μg/mL (Molina-Garza et al. 2014). Phytochemicals from Wild Medicinal and Aromatic Plants of Argentina 209 Apocynaceae Phytochemicals compounds isolated from species of this family were caudatin glycoside, araujiain hI, hII, hIII, bufadienolides, flavonoids, kaurene, aspidospermine, quebrachamine, normacusine B, coronaridine, aspidosamine, aspidospermine, quebrachamine, vobasine, hydroxyindolenineine, alkahimineine, alkaline alkaloimine (Alvarez 2019). Medicinal species without biological or pharmacological evaluations were Amblyopetalum coccineum (Griseb.) Malme, Araujia angustifolia (Hook. and Am.) Decne., Asclepias flava Lillo, A. mellodora A. St.-Hil., Forsteronia glabrescens Müll. Arg., Funastrum flavum (Decne.) Malme, F. gracile (Decne.) Schltdl., Macrosiphonia petraea (a. S. –Hil) K. Schum. and Mandevilla laxa (Ruiz and Pav.) Woodson. Aspidosperma quebracho blanco Schltdl. Aspidosperma quebracho-blanco is used in folk medicine for respiratory diseases. The indole alkaloids are the main phytochemical founded in the bark, and they exhibited antimalarial activity against Plasmodium falciparum (Bourdy et al. 2004) and analgesic activity (Benoit et al. 1973). The intake of A. quebracho-blanco extracts resulted in a wide variation of the redox state in the different encephalic regions (Canalis et al. 2014). For centuries in Latin America, the male impotence was treated in folk medicine with the bark of Aspidosperma; Sperling et al. (2002) showed that the effect may be caused by its yohimbine content. Asteraceae Asteraceae represents the botanical family with the largest number of medicinal species, and constitutes more than 39% of the total medicinal flora of Argentina. The principal genus reported were Baccharis, Senecio, and Eupatorium (Barboza et al. 2009). However, most of the phytochemical studies were related to the essential oil composition of Senecio (Zhao et al. 2015) and Eupatorium species (Zygadlo et al. 2017). The principal phytochemicals identified in different medicinal species of the Asteraceae family were 5-7-4’-trihydroxy-3-6-dimethoxyflavone, apigenin, fhamnazin, chlorogenic acid, caffeic acid, nevadensin, quercetin, 3-0-methyl quercetin, isochlorogenic acid, dicaffeoyl quinic acids, glucuronic acids, 3-methoxy galangin, 3,7-dimethoxy-5,8-dihydroxyflavone, alkamides, ageconyflavones, chalcones, jaceidin-7-methylether, chrysoeriol, bartemidiolide, articulinudies, articulin acetate, and eupafolin (Barboza et al. 2009, Romero et al. 2016, Alvarez 2019). Although, a large number of ethnobotanical studies showed that Asteraceae represents a botanical family with a large number of species used by traditional medicine. Only a few species have been investigated in order to identify their chemical composition, or have had their biological or pharmacological effects evaluated, for example, the species of the genus Gamochaeta or Heterosperma (Barboza et al. 2009). Achyrocline sp. Ethanolic extracts of the leaves or flowers of A. satureioides (Lam.) DC. showed lysis effects on T. cruzi (Rojas de Arias et al. 1995), and A. flaccida (Weinm.) DC. showed antileishmanial activity against L. braziliensis (Rocha et al. 2005). However, contradictory results related to the toxicity and mutagenic effects were reported (Rojas de Arias et al. 1995, Bussmann et al. 2011). The extracts of A. satureioides or A. tomentosa Rusby showed inhibitory activity on AChE. The organic fraction of A. tomentosa inhibited 85% of AChE, while the aqueous extract only inhibited 21.4% of AChE (Carpinella et al. 2010). The apigenin, rhamnazin, 7-hydroxy-3, 5, 40-trimethoxyflavanone, quercetin3-methyl ether, galangin-3-methyl ether, isokaempferide, quercetine, and 3, 5-dihydroxy-6, 7, 8-trimethoxy flavone were extracted from A. alata. The presence of these flavonoids explains the potential to treat respiratory or digestive diseases. Many flavonoids and caffeic acid derivatives also showed antiproliferative activity on human hepatocellular carcinoma cell line Hep3B (IC50 = 16.6 μg/mL) 210 Wild Plants: The Treasure of Natural Healers (Carraz et al. 2015). Murine T-Lymphoma cells were inhibited by aqueous extract of A. flaccida (IC50 = 30.2 μg/mL) (Fernández et al. 2002). Diabetics, alcoholics, smokers, or older persons represent the sector of the population that is susceptible to have chronic wounds. The extracts of A. alata (Kunth) DC., A. flaccida, and A. satureioides exhibited reepithelization and collagen remodelling of wounds. The mechanism of action showed a reduction in the inflammatory response in combination with an induction in the proliferation of keratinocytes (Cazander et al. 2012, Pereira et al. 2017, Carvalho et al. 2018). The high quantity of chlorogenic acid and quercetin, with antioxidant and antiinflammatory properties, in the extracts of A. alata and A. satureioides, can explain the fast close of the wound (Pereira et al. 2017b). The extract of A. alata with a large concentration of gnaphaliin, helipyrone, obtusifolin, and lepidissipyrone showed to be effective against S. mutans, a cariesproducing bacteria (Demarque et al. 2015). The results of Santin et al. (2010) related to the anti-ulcer effect showed that the hydroalcoholic extract of the inflorescences A. satureioides (500 mg/kg of extract) displayed curative ratio of 86.2%, although it was not related to the anti-secretor mechanisms. The effect was associated with an increase of mucus production (Santin et al. 2010), and with the presence of luteolin, quercetin, and 3-O-methyl-quercetin in the extracts (Santin et al. 2014). Baccharis sp. The diterpene ent-3α, 19-disuccinyloxy-kaur-16-ene, oleanolic acid, and the flavones irsimaritin and cirsiliol were isolated from B. rufescens Spreng (Simirgiotis et al. 2003). B. trimera (Less.) DC. (Figure 9.2) inhibited reactive oxygen species production through the PKC signalling pathway and inhibition subunit p47phox phosphorylation of nicotinamide adenine dinucleotide phosphate oxidase (de Araujo et al. 2017). Furan neo-clerodane diterpenes obtained from B. flabellata Hook. and Arn. showed superoxide radical scavenging activities—the monomer was more effective toward ROS, and the dimers were an excellent RNS scavenger (Funes et al. 2018). Hydroalcoholic extracts of B. burchellii Baker and B. crispa Spreng. showed antioxidant activity and antiradical capacity (Oliveira et al. 2014). Cold aqueous extract of B. articulata (Lam.) Pers. induced the death of human peripheral blood mononuclear cells by apoptosis, increased the frequency of micro-nuclei in the bone marrow, and exerted low mutagenic effects. The phytochemicals presented in the cold aqueous extract were luteolin, acacetin, chlorogenic acid, and tannins (Cariddi et al. 2012), with antioxidant activities (Borgo et al. 2010). When obese rats were treated with methanolic extract of B. trimera, inhibition of the pancreatic lipasa, the enzyme that hydrolyzed triglycerides and α- or β-glucosidases was observed (Cercato et al. 2015, Rabelo et al. 2018). Moreover, B. trimera extracts also exhibited anti-adipogenic effects (de Souza Marinho Do Nascimento et al. 2017). Echinocystic acid (saponin), Figure 9.2: Photograph of Baccharis trimera plant in the paleontological park of Ischigualasto (San Juan, Argentina). Phytochemicals from Wild Medicinal and Aromatic Plants of Argentina 211 rutin, apigenin, quercetin, luteolin, and eupafolin hispidulin were the main compounds presented in aqueous or alcoholic extracts of B. trimera (Cercato et al. 2015). According to a previous report, the supplementation of diet with luteolin, apigenin, and quercetin reduced the body weight (Cercato et al. 2015). On the other hand, genotoxic effects were described when a dose of 42 mg/kg of aqueous extract of B. trimera was administered. The administration of 8.4 mg/kg of B. trimera extract showed toxic effects on kidney and liver cells (Cercato et al. 2015). The 4, 10-aromadendranediol isolated from B. gaudichaudiana DC. showed benefits to treat brain diseases, because it induced neurite outgrowth activity in neurons via activation of the ERK signalling pathway (Chang et al. 2017). The antimicrobial activity of B. trimera against S. aureus and methicillin-resistant S. aureus (MIC = 6.56 mg/mL) was explained by the high concentration of flavonoids (da Silva et al. 2018). Two diterpenes isolated from B. grisebachii Hieron. showed activity toward dermatophytes with MIC value of 12.5 μg/mL (Feresin et al. 2003). Baccharis articulata, B. crispa, B. phyteumoides (Less.) DC., and B. trimera were tested as antifungal against dermatophytes; the active compounds identified were the flavonoids aforementioned and genkwanin, ent-clerodanes bacrispin, bacchotricuneatin A, and hawtriwaic acid. The bacchotricuneatin A and bacrispine showed synergistic antifungal effects (Rodriguez et al. 2013). Organic and aqueous extracts of B. gaudichaudiana and B. spicata (Lam.) Baill. were active against PV-2 and VSV virus. Apigenin was identified as the main compound in the organic extract of B. gaudichaudiana with a strong antiviral effect (Visintini Jaime et al. 2013). The antinociceptive activity of B. flabellata extract was reported by Funes et al. (2018); the analgesic activity is mainly due to the presence of ent-clerodane and its dimer. The hydroethanolic extract of B. trimera exhibited lower toxicity than lapachol (do Nascimento Kaut et al. 2018), and it was able to decrease glycemia and increased the insulin after 7 days of treatment. This hypoglycaemic effect could be associated with the presence of flavonoids and chlorogenic acids (do Nascimento Kaut et al. 2018, Rabelo et al. 2018). The supplementation of aqueous extract of B. trimera leaves (100 mg/kg of animal) showed 70% liver regeneration after hepatectomy (Lima et al. 2017). The oxidative stress in brain and liver could be prevented by infusions of B. trimera (100 mg/kg) (Sabir et al. 2017). The hydroalcoholic extract of B. trimera reduced the lesion area induced by acute and chronic ethanol consumption (Rabelo et al. 2018), but it did not protect against gastric wall mucus depletion. The better anti-ulcerogenic activity was observed with 30 mg/kg (Livero et al. 2016). B. grisebachii extract exhibited the highest gastroprotective effect (750 mg/kg) with 93% damage inhibition, using the ethanol-induced gastric damage in a standard rat model (Gómez et al. 2019). Senecio sp. The parasitic infection of Haemonchus contortus, an endoparasitic nematode, was related to the death of sheep. On the other hand, endoparasitic diseases result in economic losses linked to use of anthelmintic drugs. An aqueous extract of Senecio brasiliensis (Spreng.) Less. displayed ovicidal activity against H. contortus, but its larvicidal property was less pronounced (Soares et al. 2019). Thus, the egg hatching inhibition was associated with high concentration of integerrimine (a macrolide alkaloid) from leaves extract of S. brasiliensis. (Soares et al. 2019). Among liver diseases, the hepatic sinusoidal obstructive syndrome is mainly linked in rural areas with ingestion of pyrrolidine alkaloid, present in S. brasiliensis. The treatment of menopause by drinking Senecio tea daily is another cause of the disease (Barcelos et al. 2019). These poisoning products of the alkaloids are frequent with the consumption of Senecio as a medicinal plant, although in the ethnobotany studies, the use of this plant in different communities was mentioned (Bolzan et al. 2007). Ephedreacea Boff et al. (2008) reported the absence of ephedrine and pseudoephedrine in Ephedra triandra, whereas N-methylephedrine, ephedrine, 6-hydroxykynurenic acid, and pseudo-ephedrine were isolated from 212 Wild Plants: The Treasure of Natural Healers E. americana Humb. and Bonpl. ex Willd., E. breana Phil., E. chilensis C. Presl., E. ochreata Miers and E. tweediana Fisch. and C.A. Mey. Ephedra triandra Tul In Argentina, E. triandra is called “tramontane” or “pico de loro”, and its aerial parts are used in alcoholic preparation as an anti-inflammatory, with veterinary use. Moreover, it is used as a decoction to reduce uric acid in the blood or to treat antirheumatic, stomatic, and antidiarrheal effects in humans. In modern medicine, Ephedra sp. is used in the treatment of the respiratory tract and bronchospasm diseases; its medical properties are connected with the presence of alkaloids. Euphorbiaceae Most phytochemical studies conducted in the medicinal species of this family are focused on the analysis of essential oils (Zygadlo et al. 2017). However, the following compounds were reportedcrotosparine and isoquinoline alkaloid in Croton bonplandianus Baill., quercetin and tannic acid in Euphorbia collina var. andina (Phil.) Subils and E. serpens var. microphylla Müll. Arg., carpinusin, astragalin, chlorogenic acid and glucogallin in E. helioscopia L. and Sapium haematospermum Müll. Arg., quercetin, gallic, syringic, caffeic acids, kaempferol, isorhamnetin, coumarin, and scopoletin in Sebastiania brasiliensis Spreng. and S. commersoniana (Baill.) L. B. Sm. and Downs. The 36% of the medicinal species of this family do not have biological evaluations or phytochemical analysis (Alvarez 2019). Acalypha communis Müll. Arg. Its popular name is “albahaquilla del campo”. In Córdoba’s hills (Argentina), healing properties are attributed to this species, the leaves are used in a decoction to treat wounds, sores, and ulcers (Martínez 2015). A. communis was evaluated for its antioxidant activity, which was related to the total phenol content (Aguirre and Borneo 2013). Three cycloartane-type triterpenes isolated from aerial parts of the plant showed moderated antimicrobial activity against Gram-positive and Gram-negative bacteria. They exhibited a MIC of 8, 32, and 8 µg/mL, respectively, against vancomycin-resistant enterococci, and the 16-α-hydroxymollic was active against methicillin-resistant staphylococci (Gutierrez-Lugo et al. 2002). Seebaluck et al. (2015) reported anti-candidiasis activity of the methanolic extract of A. communis. Croton sp. The popular name “Cachamia” corresponds to C. argentinus Müll. Arg., which is an endemic species. In Córdoba province (Argentina), its aerial parts are used in decoction and infusion to treat digestive and liver disorders (Martínez 2015). Borneo et al. (2009) determined that the water extract presented a high antioxidant power (554.6 µmol of Fe(II)/g). The extract had 50.5 mg gallic acid/g of phenolics compounds, and it could be used as a natural substitute for artificial antioxidants currently used in food processing. The methanol extract of C. hieronymi Griseb. showed strong activity against lung carcinoma cells A-549 (IC50 = 0.25 mg/mL), mouse lymphoma (IC50 = 1.0 mg/mL), and human colon carcinoma (IC50 = 2.5 mg/mL). Catalán et al. (2003) described new compounds, the acetophenone derivative xanthoxylin, and the peptide derivatives aurentiamide acetate and N-benzoylphenylalanylN-benzoylphenylalaninate. Euphorbia sp. Euphorbia hirta var. ophthalmica (Pers.) Allem and Irgang have 47 patents in the last five years about medicinal uses. In the folk medicine of Córdoba province, Argentina, its latex is used to treat Phytochemicals from Wild Medicinal and Aromatic Plants of Argentina 213 skin conditions, such as warts and mycosis (Martinez 2015). Scientific studies reported that E. hirta L. possesses antibacterial, antiasthmatic, sedative, antidiarrheal, antispasmodic, anti-inflammatory, antifungal, anti-allergic, diuretic, antioxidant, antitumor, antidiabetic, anxiolytic, sedative, antiplasmodial, and galactogenic properties, and anti-snake venom activity (Kausar et al. 2016, Ndjonka et al. 2018). The ethanolic extracts presented high inhibitory activity against C. albicans and S. aureus (MIC of 12.5 mg/mL and 25.0 mg/mL, respectively) (Gupta et al. 2018). Silver nanoparticles containing ethanolic extract showed anticancer activity against neuroblastoma and breast cancer cells (Selvam et al. 2019), whereas the nanoparticles containing flavonoid and tannin were toxic against P. aeruginosa and B. subtilis. All the nanoparticles were able to disturb the cell membrane, released internal proteins, and were more effective against Gram-negative than Gram-positive bacteria (Raji et al. 2019a). The ethanolic extract showed the presence of 9, 12, 15-octadecatrien-1-ol, pentadecylic acid, ethyl linoleate, 1, 2, 3-trihydroxy benzene, γ-tocopherol, 5-hydroxymethyl-2furancarboxaldehyde, myristic acid, 7, 10-octadecadienoic acid methyl ester, phytol, ethyl palmitate, and squalene. The extract showed anti-inflammatory and anxiolytic effects on neonatal asthmatic rats with inflammation (Xia et al. 2018). Sharma et al. (2018) showed that ethanolic extracts induced cardiorenal protection, which may be associated with its antihyperglycemic, antidyslipidemia, and antioxidant potential. Promprom and Chatan (2018) showed that ethanolic extracts presented weak estrogenic effects in ovariectomized rats, and it could be useful for health benefits during menopause. Abdelkhalek et al. (2018) reported that ethyl acetate extract of E. hirta was effective against S. aureus (MRSA) (MIC 25 mg/mL). The anti MRSA compounds were identified as hydroquinone and O-coumaric acid. Moreover, this extract showed anti-onchocerca activity (Ndjonka et al. 2018). The saponin fraction (from alcoholic extract) had antibacterial activity against P. aeruginosa, and the flavonoid and tannin fractions (from aqueous extract) showed antioxidant properties (Raji et al. 2019b). On the other hand, from ethyl acetate and methanol extracts, four pure compounds were isolated—quercitrin, luteolin, quercetin, and caffeic acid. The results showed that the ethyl acetate extract and quercetin possess strong protective effects with cell viability of 81% and 82% at the dose of 0.1 mg/mL. This plant could be used in the treatment of oxidative stress, which could be related to neurodegenerative diseases (Bach et al. 2018). Methanol extract presented antioxidant and antipsoriasis activity. The maximum cell death (88.37%) was observed at 0.781 μg/mL concentration, and the IC50 was 12.20 μg/mL (Jeba et al. 2018). Methanol extract induced apoptotic cell death, which suggests that E. hirta could be used as an apoptosis-inducing anticancer agent for breast cancer treatment and malignancy cell line MCF-7 (Kwan et al. 2016, Behera et al. 2016). E. portulacoides L. has 25 patents about skin treatments and cancer. Only a few researches about phytochemistry, and the presence of diterpenes and phloroacetophenones were described. Other compounds, such as lathyrane, abietane, kaurane, and ingenane were described (Bittner et al. 2001). The root infusion of E. serpens Kunth is used as diuretic by the people of Córdoba hills (Argentina), however in Yemen Republic, the leaves are used as infusions for female infertility (Al-Fatimi 2019). In Brazil, this plant is used in popular medicine to treat kidney stones, bladder affections, inflammation in the kidneys, and as a diuretic. The chemical composition of leaves and latex indicated the presence of phenols, flavonoids, cyanidines, tannins, and saponins (Aita et al. 2009). Phyllanthus niruri L. A review about the use and phytochemistry of this species was conducted by Zunino et al. (2003), Tewari et al. (2017), and Kaur et al. (2017). The clinical evidence demonstrating the beneficial properties of P. niruri as immunomodulatory for the treatment of various infectious diseases were reviewed by Tjandrawinata et al. (2017). The anti-hyperglycemic and antioxidant potential effect was demonstrated by Kumar et al. (2019) for streptozotocin-induced diabetic rats. In northeastern Brazil, this species is used in infusion as abortive, or to treat urinary calculus, diabetes, loss of appetite, and cholecystitis (Magalhães et al. 2019). A 35 kDa herbal antioxidant protein molecule (PNP) was isolated and purified from this plant as therapeutic agents. The two active ingredients, phyllanthin 214 Wild Plants: The Treasure of Natural Healers and corilagin were isolated and characterized (Bhattacharyya et al. 2017). This PNP could confer protection against indomethacin (non-steroidal anti-inflammatory drugs) mediated hepatic oxidative impairments (Bhattacharyya et al. 2017). Moreover, the plant has long been used as a hepatoprotection and for treatment of hepatitis B. Li et al. (2017) showed that the ethanol fraction inhibited the growth of HBV-infected HepG2/C3A cells, and its active compound ellagic acid exerted a cytotoxic effect against those cells, but did not affect HBV replication. Baiguera et al. (2018) investigated the efficacy and safety of 12-month treatment with aqueous extract of P. niruri (250 mg, 10% lignans) in subjects with chronic hepatitis B virus infection. This study does not support the use of P. niruri for the treatment of chronic hepatitis B. Besides, two lignans (hypophyllanthin and phyllanthin) were responsible for the in vitro anticancer activity shown against human lung cancer cell line A549, hepatic cancer cell line SMMC-7721, and gastric cancer cell line MGC-803. On the other hand, the methanolic extract showed selective cytotoxicity against MCF-7 breast cancer cells (Wan Omar and Zain 2018). The phytochemicals identified in ethanolic extract of P. niruri, including hypophyllanthin, catechin, epicatechin, rutin, quercetin and chlorogenic, caffeic, malic, and gallic acids showed a positive correlation with antioxidant and α-glucosidase inhibitory activities (Mediani et al. 2017). The tannin corilagin was a major component extracted from P. niruri, and it inhibited the growth of ovarian cancer cells via the TGF-β/AKT/ERK signalling pathways. It was demonstrated that corilagin enhanced the sensitivity of ovarian cancer cells to chemotherapy (Jia et al. 2017). Klein-Júnior et al. (2017) showed that this tannin reduced the lesion area of ethanol-induced gastric ulcers in mice by 88 percent. The use of P. niruri as infusion intake was safe and did not cause significant adverse effects on serum metabolic parameters in humans. The consumption of P. niruri contributed to the elimination of urinary calculi (Pucci et al. 2018). The property of promoting protection against ulcers is attributed to the regeneration of the mucosal layer and substantial prevention of the formation of hemorrhage and edema (Mostofa et al. 2017). Fabaceae Apigenin, tannin, quercetin, cynaroside, rhamnetin, rutin, quercitrin, diosmetin, kaempferol, protocatechuic acid, saponins, anthraquinones, and metabolites with nitrogen as a characteristic structure, such as pyrrolizidine, isoquinoline, quinolizidine, and cyanogenic glycosides were founded in Fabaceae species (Alvarez 2019). More than 100 medicinal plants were reported that belong to this botanical family, however there is a lack of information about t the pharmacological action or chemical composition of 65% of the species (Barboza et al. 2009). Bauhinia forficata Link This plant is used in Argentina and Chile for diabetes diseases. It is known as “pezuña de vaca” (Figure 9.3). Fuentes Mardones and Alarcon Enos (2010) suggested that the leaves extract increases endothelium-dependent relaxation of aortic rings of ALX-rats, and this effect may be due to its antioxidant activity. Also, this extract significantly reduced fasting blood sugar. Butanol extract performed a stimulatory effect of glucose uptake in isolated gastric glands of normal and alloxandiabetic rabbits (Fuentes and Alarcón 2006). Caesalpinia gilliesii (Hook.) D. Dietr Its popular name is “Lagaña de Perro” or “Bird of Paradise”. The compounds described for this plant were diterpenoids, isovouacaperol, sitosterol, flavonoids, gallic acid, tannins, resin, benzoic acid, and homoisoflavonoids (Kheiri Manjili et al. 2012). Moreover, cardiac glycosides, cyanogenic glycosides, saponins, and coumarins were identified in extracts studied by Osman et al. (2013), with different ratios. On the other hand, Osman et al. (2016) described a new 12, 13, 16-trihydroxy-14(Z)-octadecenoic Phytochemicals from Wild Medicinal and Aromatic Plants of Argentina 215 Figure 9.3: Photograph of flowers, branches, and leaves of Bahuinia forficata, popular name “pezuña de vaca or “cow hoof ”, in the natural reserve of the city of Cordoba. acid, and Emam et al. (2019) identified a new polyoxygenated flavonol. The proteins derived from the seeds showed that it was possible to upregulate and to counteract the inflammatory process, and to minimize the damage of the liver (Rizk et al. 2016). The polysaccharide galactomannan isolated from seed aqueous extract improved inflammatory and apoptotic markers (Abdel-Megeed et al. 2019). Erythrina crista-galli L. It is the national tree and flower of the Argentine Republic. Methanolic extract of the stems showed the presence of phytosterols, stigmast-4-en-3-one, stigmast-4, 22-dien-3-one, 6β-hydroxystigmast4-en-3-one, lup-20 (29)-en-3-one, oleanonic acid, oleanolic acid, olean-12-en-3β,28-diol, and olean12-en-3β,22β,24-triol (Lee and Huang 2004). Erythrinan alkaloids from the bark exhibited a range of pharmacological properties. Three phenolic compounds have also been isolated—phaseollidin, sandwicensin, and lonchocarpol A. They showed antimalaria and antioxidant activities (Tjahjandarie et al. 2014). The alkaloid erythraline showed an effect on inflammatory diseases (rheumatism and hepatitis) through inhibition of TAK1 (Etoh et al. 2013). The compounds apigenin-7-O-rhamnosyl6-C-glucoside, a flavonoid glycoside, and luteolin-6-C-glucoside were described in aqueous leaf extracts (Ashmawy et al. 2016). Prosopis alba Griseb. This tree is known in Argentina as “algarrobo blanco”. The fruits and bark are used in folk medicine as diuretic. Prosopis is considered a multipurpose tree and shrub by FAO. The exudate gum showed a higher concentration of phenolics, flavonoids, and tannins compared to the Arabic gum, which was positively correlated with antioxidant properties (Vasile et al. 2019). The edible ripe pods contain mainly quercetin O-glycosides and apigenin-based C-glycosides (Pérez et al. 2014). Hypericaceae The flavonoids isoquercetrin, kaempferol, quercertin, hyperine, quercitrin, amentoflavone, and guaijaverine were founded in the medicinal species of this family (Alvarez 2019). 216 Wild Plants: The Treasure of Natural Healers Hypericum connatum Lam. The rutin and apigenin were the main components presented in the ethanolic extract, while caffeic acid, (–)-epicatechin, and p-coumaric acid were abundant in the ethyl acetate extract. These extracts exerted antibacterial activity, whereas the ethanolic extract showed antiquorum-sensing Chromobacterium violaceum activity, and this effect was attributable to the presence of rutin and apigenin (Fratianni et al. 2013). The compound luteoforol inhibited the cytopathic effect and reduced the viral titer of HSV-1 DNA viral strains KOS and VR733 (ATCC) (Fritz et al. 2007). On the other hand, H. connatum was used as an antidepressant, and the extracts could be used as a natural source of antidepressant medication for pregnant women. Da Conceição et al. (2014) showed that methanolic and hexane extracts can interfere with trophoblast differentiation and Ca2+ influx. The effects were concentrationdependent. This study suggested that attention must be paid to the potential toxic effects of this plant. It has been shown that tincture of this plant (ethanol 70% extract) exhibited an important antispasmodic effect mainly due to non-competitive antagonism of the agonist and of Ca2+ influx to smooth muscle (Matera et al. 2016). Solanaceae The literature on phytochemical studies is numerous; the most important chemical groups identified were pyridyl-pyrrolidine, steroidal, pyrrolidine, tropane alkaloids, glycoalkaloids, coumarins, lignans, sapogenins, steroidal saponins, spirosten-δ-lactone saponin, and withanolides (Barboza et al. 2009, Romero et al. 2016, Alvarez 2019) Capsicum annuum L. This species is widely studied for its extensive pharmacological actions, for example, antibacterial (Alinia-Ahandani 2018), antifungal, anticancer, antioxidant, antiprotozoal, hypocholesterolaemic/ hypolipidemic (Arumugam et al. 2008), immunomodulatory, antimutagenic, and pesticidal. Recent studies showed that carotenoid extract exhibited good anti-inflammatory activity (Boiko et al. 2017). The capsaicin (trans-8-methyl-N-vanillyl-6- nonenamide) is the major pungent ingredient of the fruits and it was effective against pain in rheumatoid arthritis, post-herpectic neuralgia, diabetic neuropathy, and anticancer (Kundu and Surh 2009, Zheng et al. 2016). Solanum sisymbriifolium Lam. It is known as “Espina colorada”, and it is used in traditional medicine in South America for antihypertensive and diuretics purposes. Other pharmacological actions included soothing, colics, liver disease, jaundice, cirrhosis, gallstones, rheumatism, anti-inflammatory, or as diuretic. Recent studies have partially validated the antihypertensive effects of the extracts, making the species a promising natural source for future developments (Simões et al. 2016). The nuatigenin-3-O-βchacotriose was identified as the main hypotensive compound (Ibarrola et al. 2011). Another compound isolated from this plant was solasodine, which showed anticonvulsant and sedative properties (Chauhan et al. 2011). However, the toxicity of the unripe fruits, together with the popular belief that the plant possesses contraceptive properties, suggested that “Espina colorada” should be used with precaution. Table 9.1 describes the bioactivity of different plant extracts and their popular uses, while Table 9.2 shows the antimicrobial and antiparasitic activities. Table 9.1: Bioactivity of different plant extracts with evidence based-medicine and folkloric uses (*). Family Ethanolic extract Aqueous extract *(infusion or decoction) Alternanthera pungens Kunth Amaranthaceae 100 mg/kg extract/body weight reduced 80% blood glucose concentration1 *Antidiarrheal, carminative propierties 2 Gomphrena celosioides Mart. Inhibition HepG2 cell IC50= µg/mL1 Dose 100 mg/kg reduce mean arterial pressure. GC extract acted as diuretic.2 Inhibition HepG2 cell IC50= 250 µg / mL 1 Doses between 250/750 mg/kg of body weight decrease hepatotoxic effect of carbon tetrachloride 3 *carminative, anticonceptive 4 Amaranthus hybridus L. 200 and 400 mg/kg caused reduction in blood glucose levels3 Anticarcinogenic effect 1 250 g extract/100 mL showed antiulcerogenic effect2 20g extract/100mL showed antiulcerogenic effect2 *fruits, digestive 4 IC50 values (µg /mL) activity inhibitory, angiotensin-1= 53.4; OH radical scavenging act. = 58.0; DPPH radical scavenging act. 36.3 4 *diuretic 5 Lithraea molleoides (Vell.) Engl Anacardiaceae Mulinum crassifolium Phil. Apiaceae Infusion, dose 100mg/kg, Lesion reduction 74%. Gastroprotective effect *antidiabetes, bronchial and intestinal disorders Aristolochia argentina Griseb. Aristolochiaceae 62.5 mg/kg antidiarrheal activity1 *anti-inflammatory, to relieve hemorrhoids 2 Methanolic extract Other extracts References 1 2 Olugbemiga et al. 2016 Zunino et al. 2003 1 Promraksa et al. 2019 de Paula Vasconcelos et al. 2018, 2017 3 Sangare et al. 2014 4 Zunino et al. 2003 2 1 Adewale and Olorunju 2013 2 Al-Mamun et al. 2016 3 Balasubramanian et al. 2017 4 Oboh et al. 2016 5 Martínez 2015 Antioxidant effect, IC50= 28 µg/mL. Ehrlich´s ascites carcinoma cells were inhibited with 25 µg of extract.2 Hidro alcoholic extract: Dose 1 g/kg antiulcerogenic activity1 IC50= 50 ug/mL against human hepatocellular carcinoma cell line, HepG23 Araujo et al. 2006 Garro et al. 2015 3 Ruffa et al. 2002 4 Martínez 2015 1 2 Areche et al. 2019 Paredes et al. 2016 Martínez 2015 1 2 Phytochemicals from Wild Medicinal and Aromatic Plants of Argentina 217 Plant Scientific Name Table 9.1 contd. ... Plant Scientific Name Family Artemisia copa Phil Asteraceae Tecoma ipe Mart. ex K. Schum. T. stans (L.) Juss. ex Kunth Bignonaceae Ephedra triandra Tul. Ephedreaceae Adesmia boronioides Hook. Fabaceae Ethanolic extract Nephroprotective capacity3 Anti-inflammatory (aerial parts)1 Aqueous extract *(infusion or decoction) Anti-virus action against Herpes simplex virus-1 (HSV-1) Urtica circularis (Hicken) Soraru Urticaceae Anti-inflammatory activity1 antinociceptive effect3 1 Anticancer, anti-inflammatory properties1 Lipase inhibition2 *barks, leaves: astringent, antiseptic, diuretic, antidiabetic; flowers: expectorant4 1 2 Niwa et al. 2013 Mopuri and Islam 2017 3 Chandra Mo et al. 2016 4 Zunino et al. 2003 2 1 *Reduce uric acid in blood, antirheumatic2 *bark: respiratory conditions4 Solanaceae References Gorzalczany et al. 2013a Gorzalczany et al. 2013b 3 Miño et al. 2010 4 Zunino et al. 2003 Antinociceptive action (fruits extract)3 Petunia nyctaginiflora Juss. Other extracts Antispasmodic activity on gastrointestinal system1 Vasorelaxing and hypotensive effects2 Sedative principles, potential anxiolytic and anticonvulsant activities3 *reduce blood pressure, antirheumatic, antispasmodic 4 Antioxidant activity (aereal part), antiproliferative activity on human cancer cell lines1 *rheumatic pains, hair loss, colds, digestive disorders, aphrodisiac2 Geoffroea decorticans (Gill ex Hook & Arn.) Burkart Methanolic extract 218 Wild Plants: The Treasure of Natural Healers ...Table 9.1 contd. 2 Martínez and Luján 2011 Martínez 2015 1 Inhibit 5-lipoxygenase (proinflammatory pathways)2 2 Methanol:water 70:30 fruit extract: Antioxidant activity and inhibited pro-inflammatory enzymes1,2 Gastaldi et al. 2018 González et al. 2003 1 Costamagna et al. 2016 Jiménez-Aspee et al. 2017 3 Reynoso et al. 2013 4 Martínez 2015 2 Padma et al. 1998 *Astringent, diuretic, antirheumatic and antiinflammatory2 hydro-ethanolic (20:80) of aerial parts, sedative activity2 1 Marrassini et al. 2011 Anzoise et al. 2013 3 Gorzalczany et al. 2011 2 Table 9.2: Antimicrobial and antiparasitic properties of different medicinal plant extracts. Family L. molleoides (Vell.) Engl. Anacardiaceae Mulinum spinosum (Cav.) Pers Apiaceae Araujia brachystephana (Griseb.) Fontella & Goyder (syn. Morrenia brachystephana Griseb.) Apocynaceae Ethanolic extract Aqueous extract Methanolic extract H. pylori HP105 and HP109 MIC = 16 ug/mL Doses 100 µg/mL. 97.9% growth inhibition T. cruzi. (Aerial parts) 54.0% growth inhibition T. cruzi. (Roots)2 Slime S. aureus MIC/MBC = 0.5/1 mg/mL1 S. aureus methicillin resistant MIC/MBC = 0.5/1 mg/mL1 Antifungal activity (dermatophytes) MIC > 1 Aristolochia argentina Griseb. Aristolochiaceae Aspilia silphioides (Hook. & Arn.) Benth. & Hook. f. Asteraceae MIC = 64 mg/mL E. coli 3 MIC = 16 mg/mL S aureus 3 MIC = 32 mg/mL E. coli3 MIC = 0.03 mg/spot F. verticillioides1 H. pylori HP105, MIC = 8 ug/mL4 MICagainst dermatophytes 0.5 to 1 mg/mL1 IC50 = 3.75 µg/mL against P. falciparum2 MIC = 500 ug/mL Dermatophytes3 1 Echenique et al. 2014 Sülsen et al. 2006 2 Muschietti et al. 2005 IC50= 12 µg/mL against Leishmania amazonensis Vallesia glabra (Cav.) Link. References Ibañez et al. 2017 Peschiera australis (Mull. Arg.) Miers Ambrosia tenuifolia Spreng. Other extract IC50 = 22.3µg/mL against L. amazonensis2 93.4% growth inhibition epimastigotes T. cruzi (10 ug/mL) de Oliveira et al. 2017 1 Svetaz et al. 2010 Bourdy et al. 2004 3 Bussmann et al. 2010 2 1 Carpinella et al. 2010 Cortés et al. 2006 3 Cordisco et al. 2018 4 Ibañez et al. 2017 2 Selener et al. 2019 Sülsen et al. 2016 Sülsen et al. 2007 1 1 2 2 Anti-T cruzi activity IC50 hispidulin = 46.7 µM against T. cruzi, and 6.0 µM against L. mexicana Table 9.2 contd. ... Phytochemicals from Wild Medicinal and Aromatic Plants of Argentina 219 Plant Scientific Name Plant Scientific Name Family Artemisia copa Phil. Ethanolic extract Aqueous extract antifungal activity MIC = 80 to 100 µg/mL antifungal activity MIC = 80 to 100 µg/mL Methanolic extract 98% growth inhibition epimastigotes T. cruzi (10 ug/mL) 66% anti-biofilm activity against Bacillus spp. MIC = 250 ug/mL Tessaria absinthioides (Hook & Arn.) ex DC. Fabaceae Staphylococcus aureus(MIC = 4) Geoffroea decorticans (Gill ex Hook & Arn.) Burkart Key: MIC, Minimum Inhibitory Concentration (mg/mL) References Ortiz et al. 2019 Gaillardia megapotamica (Spreng.) Baker. Acacia caven Molina Other extract Selener et al. 2019 Romero et al. 2016 Staphylococcus aureus ATCC (MIC=2) Martinez et al. 2014 Bark extract: Staphylococcus aureus ATCC 8095 (MIC = 0.125); Enterococcus faecium (MIC = 0.31); Pseudomas aeroginosa (MIC = 0.5); Salmonella typhimurium (MIC = 0.31); Klebsiella pneumonia (MIC > 1); Escherichia coli (MIC = 0.8) Salvat et al. 2004 220 Wild Plants: The Treasure of Natural Healers ...Table 9.2 contd. Phytochemicals from Wild Medicinal and Aromatic Plants of Argentina 221 Conclusion Based on all the species cited here, only 34% had scientific studies to support their bioactivities or pharmacological actions, and half of them matched well between popular use and the experimentally proven studies. 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Editorial Universitas, Córdoba. Zygadlo, J.A., Zunino, M.P., Pizzolitto, R.P., Merlo, C., Omarini, A., Dambolena, J.S. 2017. Antibacterial and antibiofilm activities of essential oils and their components including modes of action. In: Rai, M., Zacchino, S., Derita, M. (eds.). Essential Oils and Nanotechnology for Treatment of Microbial Diseases. CRC Press/ Taylor and Francis. ISBN 978-1138630727. 10 The Zigzag Trail of Symbiosis among Chepang, Bat, and Butter Tree An Analysis on Conservation Threat in Nepal Tirth Raj Ghimire,1,* Roshan Babu Adhikari2 andGanga Ram Regmi2 Introduction The Oxford Advanced Learner’s Dictionary has defined “indigenous” (adj) as belonging to a particular place rather than coming to it from somewhere else and “ethnic” (adj) as connected with or pertaining to a nation, race, or tribe that shares a cultural tradition (Hornby 2015). Although these terms are difficult to define unequivocally, depending on countries, “indigenous peoples” are also referred to as “indigenous ethnic minorities”, “aboriginals”, “hill tribes”, “minority nationalities”, “scheduled tribes”, or “tribal groups” (World Bank 2013). It has been estimated that 370 million indigenous peoples constitute more than 5,000 different indigenous cultures, and more than 4,000 languages in more than 90 countries (United Nations 2009). Notably, their identities and cultures are exclusively connected to the lands and the available natural resources, which play a crucial role in their sustainable development (World Bank 2013). Therefore, their future is closely connected to the solutions to the crises in biodiversity and climate change. While the roles of indigenous people in participatory biodiversity conservation around the globe have already been an exciting topic, they have been recently prioritized in Nepal. Equal and inclusive participation might be difficult, probably due to the presence of multireligious, multiethnic, multiracial, multilingual, and multicultural people within this small country. The country possesses 125 castes/ ethnic groups, 123 language speakers, and ten religious groups (CBS 2012). There are officially 59 groups (37% of the population) that are recognized as indigenous communities (Adivasi Janajati in Nepali) (CBS 2012). The indigenous groups include Chepang and others, such as Tamang, Kumal, Sunuwar, Majhi, Danuwar, Thami/Thangmi, Darai, Bhote, Baramu/Bramhu, Pahari, Kusunda, Raji, Raute, Hayu, Magar, Chyantal, Rai, Sherpa, Bhujel/Gharti, Yakha, Thakali, Limbu, Lepcha, Bhote, Byansi, Jirel, Hyalmo, Walung, Gurung, and Dura living in the hill and mountains in Nepal (Bennett et al. 2008). Chepang possesses direct and close contact with natural resources, biodiversity, and 1 Animal Research Laboratory, Faculty of Science, Nepal Academy of Science and Technology, Khumaltar, Lalitpur, Nepal. Third Pole Conservancy, GPO Box 26288, Kathmandu, Nepal. * Corresponding author: tirth.ghimire@nast.gov.np. 2 232 Wild Plants: The Treasure of Natural Healers nature. For example, they are exclusively dependent on the fauna, such as bats, monkeys, dogs, birds, and others, and flora, such as butter tree (BT) (Diploknema butyracea), fiddlehead ferns, Dioscorea deltoidea, D. alata, Urtica dioica, and others in many areas within the country. However, in this chapter, we aim to explain the trends of symbiotic pathways among Chepang, bats (Eonycteris spelaea and others), and BT. Chepang, their Life, and Environment The term Chepang (Che: dog, Pang: bow; Chepang language) is derived by their lifestyle, because they live by hunting animals with the help of a dog and the bow. Chepang was first mentioned as “Amid the dense forests of the central region of Nepal, to the westward of the great valley, dwell, in scanty numbers and nearly in a state of nature,…….. they pay no taxes, acknowledge no allegiance, but, living entirely upon wild fruits and the produce of the chase,…………. They have bows and arrows, of which the iron arrow-heads are procured from their neighbors, but almost no other implement of civilization, and it is in the very skillful snaring of the beasts of the field and the fowls of the air that all their little intelligence is manifested” by Brian Houghton Hodgson, a British resident in Colonial India (Hodgson 1848). Although it is believed that Chepang were the first settlers in the Mahabharat ranges, they may be living since time immemorial (Gurung 1990). Chepang is a highly marginalized group in Nepal. The majority of them lived a semi-nomadic life, marked by hunting and gathering, fishing, slash and burn cultivation, and spent most of their lives in the forest and caves (Gurung 1990, Rijal 2011). They reside in the northern part of Chitwan, the western part of Makwanpur, the southern part of Dhading, and the southern part of Gorkha districts (Thapa 2013), as well as in the upper hills of Lamjung and Tanahu districts of central Nepal (Sharma 2011). Their population is 68,399, which represents 0.26% of the total population of the country (CBS 2012). In the year 1977, late King Birendra visited Chepang settlements in Makawanpur and provided them with the surname “Praja” (King’s Subjects), and He officially launched “Praja Development Program” to empower them (Maharjan et al. 2010, Acharya 2015). Since then, Praja had been a matter of dignity for these groups, although they prefer to use Chepang instead of Praja to maintain their ethnic identity and dignity (Maharjan et al. 2010, Acharya 2015). Although Chepang is one of the oldest groups of the country, it started agricultural practices only 80 to 120 years ago (Gurung 1990, Thapa 2013). Its agriculture is still the primitive type, and prefers along the slopes and nearby forest areas (Gurung 1990, Maharjan et al. 2010, Sharma 2011, Thapa 2013), and is a significant source for their livelihood (Gurung 1990, Nakarmi 1995, Aryal 2013). However, due to arid and stony landscapes, unproductive land with no irrigation at all, their annual harvest is lower, and it lasts just for a few months (e.g., six months) (Rijal 2011). It has also been reported that the harvest covers only 60% of the families for this duration, although only one percent of them have cereal food surplus (Aryal 2013). That is why Chepang has been facing severe starvation and chronic food deficiency for many years (Aryal 2013, Thapa 2013). To cope with the dearth of nutrition, Chepang depends on the forest and its products (Maharjan et al. 2010, Rijal 2011). They use forest products, such as fiddlehead ferns, Dioscorea deltoidea, D. alata, Asparagus racemosus, and Urtica dioica for personal use, for barter with rice or grains, and for business (Maharjan et al. 2010, Rijal 2011, Thapa 2013; Acharya et al. 2017, Lamichhane 2017). Many of them are experts in fishing and catching honeycombs, wasps, hornets, bats, and wild birds, and fulfill their necessities of food as well as cash. While Chepang are said to be traditional, their trends have changed over a few years. For example, males temporarily migrate to other neighboring cities and follow labor and driving. Many households rear pigs, goats, cows, oxen, and chicken as a part of their additional source of income. They sell honey, black gram, beans, mustard, ginger, cabbage, tomato, cucumber, and BT fruits. They also prepare and trade alcoholic products derived from BT fruits, millet, and rice for an alternative income, although all their income gets spent on buying food. The Zigzag Trail of Symbiosis among Chepang, Bat, and Butter Tree 233 Bats Bats (Raniwain for Pteropus; Rowin for Cynopterus; Syawin for Myotis; and Dhankacha for Rhinolophus; Win for all bats: Chepang; Chamero: Nepali) are highly diversified mammals that fall in the Order Chiroptera. The Order contains 227 genera and 1,411 species of bats, and is quantitatively the second largest after the Order Rodentia (Jones and MacLarnon 2001, American Society of Mammalogists 2019). They are traditionally classified into megachiroptera and microchiroptera (Mickleburgh et al. 2009, Fenton and Simmons 2015). The formerly known megabats include mostly fruit-eating and non-echolocating bats, whereas the latter microbats include mostly insectivorous and echolocating bats. However, molecular evidences show that they are to be classified into the suborders Yinpterochiroptera and Yangochiroptera (Tsagkogeorga et al. 2013). Yinpterochiroptera includes species of megabats, and five of the microbat families (Tsagkogeorga et al. 2013). In contrast, Yangochiroptera consists of the megabats, and most of the microbat families (Tsagkogeorga et al. 2013). By feeding habit, they may be frugivory, insectivory, nectarivory, carnivory, or sanguivory. In Nepal, there are 53 valid species with the probable occurrence of 7 species of bats (SMCRF 2010). Our field survey recorded few dominant species, such as Cynopterus sphinix, Eonycteris spelaea, Nyctalus noctula, Pipistrellus javanicus, P. coromandra, P. tenuis, Rhinolophus pusillus, Rhinolophus macrotis, R. pearsonni, and Rousettus leschenaultii in the Chepang-dwelling regions in the study areas, although other species may be present. Butter Trees The butter tree (BT) or Nepal Butter Fruit (Chiuri: Nepali; Madhupushpa: Sanskrit; Yoshi, Yelsi, or Waksi: Chepang). It is a deciduous tree that belongs to the family Sapotaceae. Its scientific name is synonymously called Aesandra butyracea, Bassia butyracea, Diploknema butyracea, Illipe butyracea, and Madhuca butyracea. There are ten species of the Genus Diploknema, although two species (D. butyracea and D. butyraceoides) are predominant in Nepal, Bhutan, and India (Shu 1996). It is naturally present in subtropical and warm temperate areas throughout the Himalayan landscapes from Nepal to Sikkim, Darjeeling, and Arunanchal Pradesh in India, and Bhutan. It is distributed in many parts, principally in the sub-Himalayan tracts on open hillsides (150–1620 m asl) (Devkota et al. 2012) in almost 50 districts of Nepal (Joshi 2010). Out of 5,859 square kilometers estimated potential areas for BTs in Nepal, only 1,934 square kilometer areas are covered with an estimation of 1,08,13,713 trees (Joshi 2010). Notably, the current study areas and their periphery possess 117 sq km BT potential forest area, with an estimated 39 sq km BT area comprising about 216,167 BTs (Joshi 2010). In Chitwan and Makwanpur districts, these trees have been naturally found near the inhabitants of Chepang. Interestingly, it has been quantitatively estimated that average fruit yield per tree is 67.33 kg, butter yield per 100 kg is 39.35 kg, oil yield per weight is 44.5%, nectar production per tree is 13 liters, and nectar secretion per flower per day is 27.9 mg (Joshi 2010). Another study [De la Court 1995 cited in (Paudel and Wiersum 2002)] reported that a mature BT can produce 13 to 40 kg seeds that can generate 4–12 kg of butter per annum. In Nepal, the overall production of seeds is 1,825 tonnes, which can generate 640 tonnes of butter per annum, indicating its potential role in the livelihood of Chepang and other associated inhabitants. Symbiosis among Chepang, Butter Tree, and Bat (i) Existing Strengths Since ancient times, the relationship among Chepang, BTs, and bats have been an indispensable part along with various landscapes of the country. The relation can be expressed in terms of a triad involving 234 Wild Plants: The Treasure of Natural Healers the close-association among these three members of the ecosystem (Figure 10.1). This triad forms triangular regulations involving caring and being cared for, and benefiting and being benefitted by one another. These three members in an area determine the symbiotic relationship. Their associations have been shared or represented by the triangular structure in the figure. Interestingly, BT has been planted, loved, and cared for like their own children by Chepang for many years, and has been culturally and traditionally associated with them. They worship BTs as the milk-producing cattle. There was a popular tradition of providing at least two butter trees as dowry by the parents to their daughter at her marriage, and this tradition is still in practice. The Chepang possessing large numbers of butter trees are regarded as affluent and superior in their community. They are so connected with these trees that they never chop off the plants, although they use the naturally dead plants as firewood. It is remarkable that if any new BT is observed in the forest area, the Chepang who first visited and saw it cleans the surrounding and claims it. In this situation, nobody can use that plant and its products without his/her permission. Ethnologic researches suggest that BTs have been associated with the livelihood of Chepang. In the study area, there are four types of BTs depending on the differences in the seasonal fall off of leaves, flowering, and fruiting. For example, their leaves fall down from September to November, the flowering season continues from December to February, and fruiting occurs from June to September. Thus, when the leaves of most of the plants are fallen, especially from February to May, those of BTs remain green, as well as create heavenly landscapes by blooming (Figure 10.2). The blooming allures many bats, bees, and birds that visit the flowers for nectars and juices, which consequently results in an eco-friendly environment. It is impressive that the income collecting their seeds, processing them to butter, and selling them would be four times as much as that obtained by the grain cultivation [De la Court 1995 cited in (Paudel and Wiersum 2002)]. Its seeds are given to the priests who perform Figure 10.1: Symbiotic Triad of Chepang-Bat-Butter Tree. Figure 10.2: BT flower blooming. The Zigzag Trail of Symbiosis among Chepang, Bat, and Butter Tree 235 religious activities in Chepangs’houses. Butter extracted from the seeds is of a high quality, possessing an agreeable smell and flavor with 46% olein and 54% palmitin (FAO 1982). Field observation and interviews taken by us found that Chepang are efficient in generating butter or seed oil and oilcake by using a seed-squeezing indigenous equipment (Figure 10.3). BT seed butter is used as an ingredient for cooking vegetables, as fuel for lighting lamps, and as oil for hair beauty. Besides, it is used for treating boils, cuts, cracked feet, fungal infections, headaches, pimples, and rheumatism. Importantly, the seeds are one of the best parasiticides fed to the goats in a controlled dose-dependent manner. The oilcake is used as fertilizer and pesticide in the crop fields, especially during rice seedlings, as repellants to the leech infestation to the animals and humans, and poison fish. Several studies support the information obtained from our surveys (Khanka et al. 2009, Koirala et al. 2009, Joshi 2010). Similarly, its fruit is an important source of a dietary supplement and is the only food for some Chepang households during its ripening season. The fruits are also used to prepare alcohol after distillation, especially to use during their festivals. The flowers are used to treat cough, relieve constipation, heart pain, burns, and earache, and increase sexual potentialities. The juice of the corolla is boiled, resulting in the sweet liquid that is a crucial source of alternative sugar. The leaves are used to serve food, to prepare leafy bowl (tapari: Nepali language), to make bread and steamed-rice, to feed domestic animals, such as goats and cows, and to make bedding materials. Its bark juice is used to treat asthma, boils, diabetes, helminthic infestations, hemorrhage, indigestion, leprosy, and tonsillitis. These applications have also been listed in the earlier literatures (Khanka et al. 2009, Koirala et al. 2009, Joshi 2010). In addition to cultural, traditional, and social values, BT is an economically significant plant for the Chepang. For example, they sell BT fruits (USD 0.7/kg) and exchange oilcakes with rice in equal quantity. In recent years, beekeeping and honey production have been developing into a professional system by outsiders, and they bring their hives in the BT areas for foraging activities (Figure 10.4). It is because honey obtained from the collected nectar of BTs has been in high demand in the city areas. In this context, Chepang is allowing the beekeepers to forage their bees in the BT forests seasonally; in turn, they charge about USD 4–6 per hive. Besides, few local people have sustained traditional honey production (rock honeybee), and sell honey (USD 7–9/kg), which has also supported the financial status of the Chepang. Income generation via honeybee has been explained earlier (Joshi 2010). Not only the BT, but also bats are connected to the traditional, social, and economic contexts of the livelihood of the Chepang. Chepang has traditionally believed that bat meat can be used for nutrition, for the treatment of asthma, gastrointestinal illnesses, joint pain, renal diseases, and tuberculosis. Few traditional healers consume its meat to prevent various diseases and to get energy. Our field observation recorded that very few youths were found to drink its raw blood, believing the fact that it could increase the sexual potentialities. They also sell the captured bat (USD 0.5–1.0/bat) to the local restaurant that can sell the cooked meat to the restaurant visitors or outsiders (USD 1–1.5/cooked bat), indicating its medicinal and economic values for Chepang. It has been observed that the bat-consuming habit of the Chepang is unusual. They steam bats in boiling water for about 10–15 minutes. They pinch it via a sharp wooden stick. Then, they dry the bat in the fire for a few minutes and hang them from the ceiling of their houses for further drying and future use (Figure 10.5). They can consume the dried bats till 3–4 months. They fry the dried bats in oil. It is interesting that they also consume visceral masses, including intestinal materials. Few people are also found to consume raw meat, fresh blood, smoked meat, and powdered meat directly, or by turning into pickles in daily dishes. Since time immemorial, there has been a long relation among these three groups—Chepang, bats, and BTs. BT produces fleshy fruits and provides humans and animals, including bats, nutrition and several other chemicals required for them. In turn, different bats help in the dispersal of this plant in several ways. Firstly, nectarivores initiate pollination, especially the cross-one that leads to better development and production of fruits and seeds. Compared to the pollination performed by insects and birds, bats deposit a large amount and variety of pollen genotypes on the plant stigmas 236 Wild Plants: The Treasure of Natural Healers Figure 10.3: A locally installed seed-squeezing equipment to release butter and oilcake. Figure 10.4: Bee hives established for foraging activities near BTs. Figure 10.5: Roast of frugivorous/nectarivorous bats. and disperse the pollen to a considerable distance (Fleming et al. 2009). Bats are sophisticated, faster, and reliable pollinators because they have a larger body size, higher energy requirements, and can carry larger pollen loads compared to any other pollinators (Fleming et al. 2009). Thus, bats play an The Zigzag Trail of Symbiosis among Chepang, Bat, and Butter Tree 237 essential role in maintaining genetic continuity as well as promote outcrossing in plant populations. In these contexts, BT flowers may control the visits by bats, and in turn, bats effectively manage the productivity of the BT flowers, seeds, and fruits. The BT flower is composed of the calyx with 4–5 sepals, corolla with a campanulate tube surrounded by 8–12 petaloid lobes, which are longer than tubes (FAO 1982). It has 30–45 stamens with glabrous filaments and 10-locular ovary surrounded by a linear style (FAO 1982). Bats have been shown to be attracted by large white (or brown) flowers with a musty or no smell. Besides, for nocturnal feeding, bats are equipped with visual sensitivity for sensing either reflection or absorption of the wavelengths by flowers at dusk (Giraudoux 2007). Both echolocation and olfaction are critical to locate food in nectarivores and frugivores (von Helversen and von Helversen 1999), suggesting the coevolution of both bats and their host trees. Secondly, it is interesting to know that frugivore bats do not eat the fruits hanging on the parent plant, but pick the fruit and carry them to near or far distances, hang on to another plant, and consume them. They suck up all the inner fleshy materials and let the seeds and peel drop down to the ground, ensuring the continuous propagation of the BT. Eonycteris spelaea, a cave-dweller and long distance-traveler for foraging activities, seems to be a critical mammal in pollinating and dispersing seeds of the BT in the current study area (SMCRF 2010, Acharya et al. 2015, Sharma et al. 2018). Long-distance pollination by bats is crucial in the conservation of the species. It is because human disturbance fragments plant populations and increases geographic isolation. In the absence of longdistance pollination, plants within habitat fragments experience self-fertilization compared to those in continuous forests (Fleming et al. 2009). Although frugivores such as Eonycteris spelaea, Cynopterus sphinx, and Rousettus leschanaultii take part in the pollination and seed dispersal of many plants, such as banana, jackfruit, litchi, mango, papaya, palm, sacred fig, East Indian shade tree, Eucalyptus, Indian lilac, they may assist in the livelihood of the Chepang alternatively. While the association of frugivores, nectarivores, and BT are found in ample literature, how insectivores play a role in Chepangs’ livelihood is lacking. For a few years, Nepalese chiroptologists have argued that insectivore bats could be used as an important biological control method. Scientists believe insectivore bats consume mosquitoes and many insects (Schalk and Brigham 1995, Fenton and Simmons 2015), which would be critical in controlling outbreaks of vector-borne diseases, such as malaria, Japanese encephalitis, dengue, and others. Although we are researching the role of bats in zoonotic transmission of the parasites (Adhikari et al. 2018, 2019), it is not included in this chapter. (ii) The Zigzag Trail of Symbiosis The field and interview surveys found that when negative pressure on bats (hunting, natural calamities, diseases) was increased, bat populations, BT productivity, and their economic status decreased (Figure 10.6). In contrast, when the pressure on bats was reduced, bat populations, BT productivity, and their economic status were subsequently increased. The ups and downs patterns can be observed to be seasonal—for example, during bat visits in winter and summers, BT productivity is increased if negative pressure for bats is decreased. However, when this pressure is increased, BT productivity is reduced. There are mainly four consequences on the survival and productivity of bats and BTs—via the hunting pressure, overlap niche, and other factors in bats and BT productivity. The lines are expressed on the basis of views of the local indigenous Chepang people. The slightly tilted lines with respect to time represent that the trends of bat populations, BT productivity, and economic status have been decreasing for many years. Hunting Pressure on Bats While bats are one of the members in symbiotic triads, they have been suffering from the hunting pressure by the Chepang as well as other local people in the study area. For example, for many years, extreme hunting pressure has been experienced by Rousettus leschenaultii, which is listed as 238 Wild Plants: The Treasure of Natural Healers Figure 10.6: A hypothetical trend line representing the ups and downs of symbiosis among the Chepang, bats, and BTs with respect to time. Least Concern by IUCN (Bates and Helgen 2008) and as Near Threatened by the National Red List (Jnawali et al. 2011). Another species Eonycteris spelaea listed as Least Concern by IUCN (Francis et al. 2008) and as Data Deficient by the National Red List (Jnawali et al. 2011). In these contexts, one or more of the socio-economic factors, such as lack of awareness, lack of sufficient foods, existing ethnic values of bat meat, unemployment, recreational experiences, entertainment, grouping among adolescents and youths, increasing bat meat demands at the nearby restaurants and city, and poverty might be critical in determining the initiation of bat hunting in the area. To capture bats, although boys of age groups 10–30 years are engaged, older men also actively take part. They usually hunt bats during foraging on BTs. During the flowering and ripening periods, when nectarivores and frugivores visit flowers or ripening fruits, hunters put the fine and strong net (Bhuwa: Nepali) near the BTs at night (8–12 pm) (Figure 10.7). They keep nails in their mouths and produce bat-calling sound. The young boys also use unique rubber toys to imitate bat sounds. Bats are then attracted to the sound. When they approach the area, they get trapped in the net. The hunters immediately tie up their wings, put them inside their bags, squeeze their hearts, or break their necks. Each household may, thus, capture hundreds of bats during nights. The scenarios are pathetic when people catch the cave-rooster insectivore bats. The situation of hunting pressure becomes worse if hunters catch the pregnant female bats during predominant seasons and consume them to fulfill their hunger and taste (Figure 10.8). Thus, bat hunting pressure has resulted in the reduction of the number of bats visiting Figure 10.7: Net installed at the BT to capture frugivorous bats. The Zigzag Trail of Symbiosis among Chepang, Bat, and Butter Tree 239 Figure 10.8: A captured pregnant bat. the area. Old and experienced people were aware of this, and they enumerated that the trend of bat visits had been lowering compared to previous years. Hunting Pressure of Bats on BT Productivity Increasing hunting pressure on bats has resulted in the reduction of the productivity of fruits of BT each year compared to the past years. There is a negative trend in BT production, due to decreasing fruit production per tree (reduced by 1/3rd to 1/5th over the last ten years) (Paudel and Wiersum 2002). It has been reported that due to a reduction in fruit production, the amount of seeds sold per household in the southern parts of the study area fell from about 40 kg in 1990 to 250 kg in 1995, and 70 kg in 2000 (Paudel and Wiersum 2002). Some farmers hypothesized that catching of birds and bats reduced pollination and decreased productivity (Paudel and Wiersum 2002). Local people believe that although flowering is best in each season, this does not synchronize with the fruit production, indicating reducing pollination via bats. Overlapped Niche and BT Productivity In addition to hunting, another factor is the competition between bat and honeybee for the flower niche. Chepang is earning cash by allowing the beekeepers to forage the bees of outsiders. As a result, both nectarivorous bats and bees have to share similar food sources. Although hybrid bees have increased honey production, the productivity of BT fruits has decreased, indicating that the bees are not the best pollinators for these plants. Also, bees obtain the optimum nectar from the single BT flower at a time and return to the hive. In contrast, sucking a single flower is not enough for the bat due to large body size. Therefore, the bats revisit another flower of either the nearby or distant BT flowers, which enhances the probability of pollination. In our study, a few Chepang suspected that if the number of bat visits declines with the current frequency, the BTs will suffer a lot with zero pollination and zero production of fruits as well as seeds soon. Other Pressures on Bats and Consequences Recently, due to the decentralization and local development of indigenous populations, several factors, such as the construction of roads, deforestation, and destruction of many bat caves are inducing pressures to bats and BT productivity. Human disturbance accompanied by deforestation 240 Wild Plants: The Treasure of Natural Healers and shaking the bat-roosting trees may also add additional problems. It has been predicted that flying foxes usually roost in a huge colony outside the protected areas and may undergo mass mortality because of either habitat clearance or human-induced activities (SMCRF 2010). A few local people believe that the aging of BTs, slow regeneration, and lack of reforestation might be the cause of declining BT productivity. However, we have observed that local people in Siddi area have recently started plantation of BTs, indicating the Chepangs’ awareness of the importance of BT conservation. The area has experienced many forest fires in the dry season, leading to a reduction in the numbers of bats. Landslides during heavy rains destroyed many old caves, and ignorance of concerned authorities to restore them led to nothing in conservations. Besides, human encroachment and frequent visits to the caves, and either local or foreign tourism, have led bats to migrate to new places for the search of survival factors. Storing dry straw of rice, maize, and wheat inside the cave also hinder the entry and exit of the bat and may enhance stress. Cave-dwelling bats, especially those that are pregnant, are extremely sensitive to microclimatic conditions such as temperature and humidity. The situation is harsh for those species which have meager fertility rates; for example, many species produce one pup per birth and one birth in a year (SMCRF 2010). Besides, climate change may also have negative and positive effects on the survival of bats. For example, it can affect the flowering characteristics of plants, and subsequently may break migratory behavior, foraging strategy, and reproductive patterns of bats (Frick et al. 2019). On the other hand, it may induce the mobility of these fauna, leading to increased adaptation for the survival in the diverse habitats (Frick et al. 2019). Interestingly, these dichotomous views can be applied for the relation between BTs and bats in changing climates. Conservation Threat in Nepal: Current Gaps and Future Directions Chepang are rich in their indigenous knowledge of medicinal values of bats and BT. Thus, searching for an evidence-based indigenous culture on the conservation of bats and BTs and its roles in the health of these members of the society will be the best protocols for future research. We have formulated the following specific topics for the analysis: • How does climate change affect the livelihood of the Chepang, bats, and BTs? • How are Chepang, bats, and BTs distributed in the landscape, and what are the most critical landscape co-variates for their distribution? • How does taxonomic status of bats and their preferences affect the exploitation of BTs? • How could the consumption of bats affect the pathology, physiology, and immunology of the body? • What is the role of bats in the control and prevention of human diseases? • What are the biochemical, physiological, and immunological effects of the butter, oilcake, fruits, flowers, and barks in vitro and in vivo? • Can One Health concept be used for the welfare of Chepang, bats, and BTs at the landscape level? • What are the possible threats to BTs and community-based conservation of bats? A Case Study in Chitwan, Nepal The current study was conducted in Shaktikhor and Siddi areas of Eastern Chitwan in central Nepal (Figure 10.9). These areas are almost 152 kilometers away from Kathmandu, the capital city of Nepal. The area is rich in vegetation, such as Acacia catechu, Artemisia spp., Bambusa spp., Bombax ceiba, Diploknema butyracea, Mangifera spp., Prunus spp., Shorea robusta, Utrica dioica, and The Zigzag Trail of Symbiosis among Chepang, Bat, and Butter Tree 241 Figure 10.9: Landscape of the study area. U. parviflora. Although the study area has been reported to harbor a total of 13 species of birds, eight species of mammals, and six species of reptiles by the latest survey (IDML 2019), we only focused on bats because of our purpose of the study. To find out the associations among bats, BT, and Chepang, we conducted a two-year field observation, data collection via interviews, and questionnaires to the focus groups. The groups included the persons of age 14 to 94 years. The interviews were taken in the Nepali language and individually to ensure the independence of data, and lasted for 20–30 minutes each. The interview data have been expressed in Annex-1 of this chapter. Conclusions Conservation is solely determined by the psychology and necessities of the concerned people. After a two-year survey, we found that rather than awareness, necessities have played significant roles in the hunting of bats. The hand-to-mouth problem is stronger than the knowledge of these indigenous people. We observed that people are fully aware of the bat-human interaction and its biodiversity values. Although school awareness programs, radio-awareness programs, hoarding board displays, and training have been conducted around the country, their roles during BT flowering and producing seasons have not fully worked. These initiatives are just imposing them to initiate conservation. Conservation of small mammals such as bats should be felt necessary in daily lifestyle rather than being imposed by the government and others. Thus, we think there is a gap of something that could stop their preference to kill bats. The reduction in poverty should be targeted to address the existing gap. In this context, if the State focuses on the production of BT seeds, and subsequently butter and oilcake via the household, and indigenous technology training, such as installation and processing of seed pressure or squeezer and others, as well as subsidies in the form of grants and fellowship, it could enhance their knowledge on mass production of seeds and sustainable income generation. That could act as an inducer of their feelings on the necessity of bats for the improved rates of the output of BT pollination, fruits, and seeds. Besides, BT nectar is an important food source for commercial beekeeping. Therefore, the beekeeping training to the Chepang community and local women groups would be beneficial, and open alternative livelihood options for them. Such development of alternative income generation source fosters the Chepang community in the conservation of both BTs and bat species. In addition, the State should think about establishing a breeding center of bats, although these mammals are common and least concerned. The breeding center will help increase their populations as well as rare species. By creating an indigenous focus group, the breeding center can be managed, run, and regulated. 242 Wild Plants: The Treasure of Natural Healers Bats, BT, and the local environment are the properties of Chepang. We should respect, protect, nurture, and manage their traditional, cultural, religious, and economic values by initiating the best approach of sustainable development programs. Only by developing all the members of the triad will we be able to conserve them and their rights to live in a natural habitat. Acknowledgments We are grateful to Dr. Pushpa Raj Acharya, Central Campus of Science and Technology (CCST), Faculty of Science and Technology, Mid-Western University, Nepal for his discussion about bat identification and distribution, and to the local people who voluntarily took part in our study and gave lots of information regarding the conservation of bats, BTs, and Chepang. References Acharya, A.K., Joshi, B.K., Gauchan, D., Poudel, Y.P. 2017. Chapter V, Associated biodiversity for food and agriculture in Nepal. pp. 60–77. In: Joshi, B.K., Acharya, A.K., Gauchan, D., Chaudhary, P. (eds.). The state of Nepal’s biodiversity for food and agriculture. Ministry of Agricultural Development (MoAD), Kathmandu, Nepal. Acharya, P.R. (ed.). 2015. Chepang, Chiuri ra Chamera. 1 ed. Kathmandu, Nepal: Friends of Nature, welt hunger hilfe. 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United Nations. 2009. State of the world’s indigenous peoples. Department of Economic and Social Affairs, Division for Social Policy and Development, Secretariat of the Permanent Forum on Indigenous Issues, The United Nations, New York. von Helversen, D., von Helversen, O. 1999. Acoustic guide in bat-pollinated flower. Nat. 398(6730): 759. World Bank. 2013. Operational Manual: OP 4.10—Indigenous Peoples. [accessed September 18, 2019]. https:// policies.worldbank.org/sites/ppf3/PPFDocuments/090224b0822f89d5.pdf. 244 Wild Plants: The Treasure of Natural Healers Annex 1 Interview and Self-description of the Zigzag Trail of Symbiosis among the Chepang, Bats, and Butter Trees Male; 32; Farmer My family has been living in this place for 100 years. We usually see them during the evening and nights. However, the numbers have been decreasing year-by-year due to deforestation, construction activities, and landslides. Bee keepers from outside visit the BT forest and give about USD 0.5 per hive for keeping the hive for foraging in BTs. Thus, the plantation of BT has been increased, and its numbers are increasing. BT is useful for bats because it is the main food. Conserving bats is helpful for Chepang because it is a source of food, seed dispersal, and means of collecting seeds of BT fruits. Conserving bats is useful for nature because it helps in insect control and pollination. Conserving BT is also helpful for Chepang because it is the main source of income. The cost of two BT plants is equal to one newly delivered buffalo. Conserving BT is also helpful for nature because it provides shelter to birds, food for birds, oxygen, and food for rocky (wild) bees. We can conserve bats and BT by increasing awareness and plantations. Male; 90; Traditional Healer My family has been living in this place for 90 years. The numbers of bat visits have been decreasing year-by-year due to population growth and extreme hunting, encroachment in the forest and caves. For example, during the construction of the road from Kaule to Hugdi, several caves were destroyed. We have not planted, but reared or taken care of BTs because they provide shelter to birds, food for birds, oxygen, and food for rock (wild) bees. Beekeepers from outsides visit the BT forest and give about USD 0.5 per hive for keeping the hive for foraging in BTs. Thus, plantation and numbers of BT have been increased. Conserving bats is helpful as it is a source of seed dispersal. Conserving bats is useful for nature because it helps in insect control and pollination. Conserving BT is also helpful for Chepang because it is the primary source of income. The cost of ten BT plants is equal to one newly delivered buffalo. We can conserve bats and BT by increasing awareness and plantations. Male; 45; Farmer My family has been living in this place for 100 years. We usually see the bats during the flowering and ripening season of BTs in the evening and nights. However, the number of bats visiting these areas has decreased in recent years. Bats might have migrated to other better places in search of food and water sources. Many bats were killed due to habitat destruction during the construction of roads and hunting. Oilcakes are used to treat infection caused by rice bug and rice borer. Butter products such as nectar and fruits are the main and nutricious foods for bats. BTs provide more oxygen than other plants. It also serves as fodder for domestic animals such as goats and cows. Conservation of bats is important because bats are beautiful and unique creatures. Bats are taken as the Chepang’s traditional flying bird. Bats are also the foods for Panthera pardus found in this area. BTs are homes of birds, monkeys, and others. However, the introduction of hybrid breeds of large body-sized bees in the butter forests had led to a reduction in the production of butter fruits and seeds. BTs have been cut The Zigzag Trail of Symbiosis among Chepang, Bat, and Butter Tree 245 down in few local areas for the construction of roads. Afforestation and public awareness programs can play a better role in the conservation of both bats and BTs. Male; 43; Farmer My family has been living in this place for 60 years. Bats are usually seen in this area, but the number is on a decreasing trend in the past few years. The reason might be extensive hunting during the seasons. Local people used to hunt hundreds of bats daily during peak season; they used to even hunt pregnant bats. The present BTs in the forest were planted by our forefathers, and were successfully handed over to us, and we owned most of the BTs in the forest. The major benefit of BTs includes butter and fruits. Further, oilcakes can also be used as manure in the fields. BTs provide the nectar and fruits for bats, bees, birds, and others. Bats are one of our traditional food, and they help in pollination and insect control by consuming them. BTs call bats and serve as shelter and food for animals. Similarly, bats are also part of nature and naturally help in pollination. Thus, their conservation is a must. An awareness program may be effective for it. Male; 35; Laborer My family has been living in this place for 100 years. We usually see the small bats that sometimes come to our houses. However, the fruit-eating bats are seen only during the flowering and ripening period of BTs. The number of bats visiting the area has decreased in the past few years significantly. Kids usually kill the small bats in caves for fun and consume them. The locals extensively hunt the larger fruit-eating bats during the flowering and ripening periods of BTs. BTs are the sources of fodder for domestic animals and the sources of butter, fruits, and medicines. BTs are liked by bats as the nectar and fruits are their favorite food. Bats help in seed dispersion, natural pollination, and control the insects. Afforestation and awareness programs can play a role in the conservation of both bats and BTs. Male; 14; School Dropout (Bat Hunter) I started hunting bats when I was 10. I enjoy hunting at night with friends. I like the sweet taste of bats. I also sell bats and buy food for the family. I have heard from my grandfather and his friends that they used to hunt more than 50–80 bats per day, but in the past few years, it is deficient, for example, 6–8 bats per day. We have lots of BTs in the forest, but still, only a few bats visit the areas. Extensive hunting is the primary cause of their decreased population. BTs are relevant, especially because they call bats and are the foods of birds, bees, monkeys, and domestic animals. BTs protect us from the extreme heat of the sun during summer days. Conserving bats can be useful for Chepang as it is a popular food, and source of income. It also helps us by controlling the mosquito populations. Conservation of BTs helps protect the shelter and meals for animals, such as dogs, monkeys, bees, and birds. Afforestation and awareness programs can be useful for the conservation of both BTs and bats. Female; 28; Farmer and Household Worker My family has been living in this area for 50 years. I usually see the bats during evening time while roaming around, but I have heard that the number of bats visiting our areas has decreased, from the people who typically go for hunting at night. Increased population growth, deforestation, natural calamities such as landslides in bat habitat, and hunting may be the reason for the decreased bat population. BTs are highly essential for us as their seeds are pressed to extract oil. The oilcakes are of high economic value. We exchange oilcakes with rice in the nearby market. BTs are also the right 246 Wild Plants: The Treasure of Natural Healers food for bats, bees, birds, monkeys, and many others. Conservation of bats doesn’t affect Chepang; however, their presence makes an environmental balance by controlling the insect population. The introduction of a good market for butter products and generation of public awareness can be an effective way for the conservation of both BTs and bats. Male; 47; Agriculture and Goat keeper My family has been living in this area for 200 years. I usually see bats flying around. However, their numbers have drastically changed, as few bats are seen these days. I used to hunt 40–50 bats per night a few years back regularly, but now, although I rarely go hunting, it is challenging to kill 8–10 bats. Extensive hunting, destruction of habitats as a result of landslide, and construction of roads are the major causes of the decline of bats. Most of the BTs in the forest are natural, and bats disperse the seeds and help in the growth of the plants to new areas. The nectar and the ripe BT fruits are the most favorite foods of bats. The tree provides us butter, oilcakes, fodders, and firewood. Bats are an essential part of nature and help to maintain environmental balance by seed dispersal, pollination, and controlling insect population. BTs also serve as sources of food and shelters for bees, birds, monkeys, and dogs. Decreasing the hunting activities and increasing afforestation can be useful for the conservation of both BTs and bats. Specific Plants and Ailments 11 Role of Wild Plants in Curing and Healing the Skin Diseases Mudassar Mehmood 1,* and Rao Zahid Abbas1 Introduction Man and nature are the two sides of the same coin. The relationship between man and nature works on both levels, the spiritual and the physical. It enlightens the human soul on one hand and nourishes the human body on the other. Wordsworth, the poet of nature, expresses the strength of this relation as “Away from nature, man is poor creature”. Having the mother-like tenderness, nature celebrates both colors of man’s life, as all the shades of happiness and the pangs of sorrow. As nature is very kind, so it is this power that can only offer the most effective and the least harmful treatment to all the physical diseases of human beings. The association among mankind and restorative plants exists legitimately from the beginning stages of the universe. As nature is the mother of creation, so recognition with the use of restorative plants is an eventual outcome of the various significant lots of man’s fight against diseases that urges man to look for active compounds in roots, seeds, and aerial parts of plants. Present-day science has attested to their dynamic movement and gives it a status in current pharmacotherapy by showing the extent of drugs from plants. Man’s treatment of remedial plants was totally established in his regular procedure because there was not satisfactory information either concerning the clarifications behind the infirmities or concerning which plant and how it could be utilized as a fix. The reasons behind the utilization of helpful plants for treatment of explicit diseases were being found, and the use of therapeutic plants to gradually enhance. The unique and complex structures in the extracts of wild plants show their action. In the 16th century, iatrochemistry asserted the plants as a wellspring of treatment and prophylaxis. The utilization of normal medicine has ended up being topical again as a result of the reducing reasonability of fabricated medicines, and the growing contraindications of their usage. Ethnomedicinal plants have excelled the synthetic medicines due to their fewer side effects, rapid action, and low price. In old times, the magic and superstition overwhelmed the ethnomedicinal practice. Today, the scientific tests have proven the remarkable curative power of many traditionally used herbs. Nowadays, the dangerous and costly drugs are replaced by the safe alternative medication in the form of ethnomedicinal plants. Ethnomedicine has imparted a significant contribution to the 1 Department of Parasitology, University of Agriculture, Faisalabad * Corresponding Author: mudassar2711@gmail.com 250 Wild Plants: The Treasure of Natural Healers world of medicine. Ethnobotany enjoys the features of the wide scope application and understanding of primitive societies and plant utilization. Skin is the most sensitive organ and covers all the body of the human. In all animals and humans, skin serves as the first line of defense, and combats the infection when it tries to enter the body through it. The skin contains numerous specific cells and structures. It is secluded into three rule layers, as epidermis, dermis, and hypodermis. Each layer has a substitute assignment to do in keeping up the skin prosperity. The aim of this chapter is to analyze the treatment of skin diseases with the help of wild plant extracts, their inhibitory concentrations, active ingredients, and mode of action. So this discussion has confirmed the role of wild plants and their secondary metabolites as therapeutic agents. This herbal treatment saves us from any drug resistance and the side effects of drugs, which is the part and parcel of allopathic treatment. Herbal Drugs for Skin Diseases Extracts of medicinal wild plants prove their significant potential as compared to antimicrobial drugs used against skin diseases. The most engaging nature of common medication is their few symptoms and a better understanding of resilience. Thus, a few plants have been examined for the treatment of skin sicknesses, extending from tingling to skin disease. There are numerous kinds of wild plants that are highly utilized for treatment of skin maladies. Some wild plants are talked about as follows. Bauhinia variegata L. Vernacular names: Kachnar (Hindi); Devakanchanamu (Telugu); Arisinaaaatige (Kannada); Shemmandarai (Tamil) (Figure 11.1.). Figure 11.1: Scientific name: Bauhinia variegata L. Specimen: K000780146. Image credit to: "© copyright of the Board of Trustees of the Royal Botanic Gardens, Kew." Role of Wild Plants in Curing and Healing the Skin Diseases 251 General characteristics It is a medium deciduous tree, having a bark with longitudinal splits. Leaves are straightforward, alternate, bilobed, and more extensive than long (Vaz 1979). Flowers are variously colored in lateral sessile or short peduncle corymbs. Fruit is long, hard, flat, dehiscent, and glabrous. Seeds are flat and numerous (Desai and kapoor 2010). Medicinal uses Bark concentrates are remotely regulated for treating skin maladies and dermis abscess. In the dermis papillary tumor model, huge anticipation, with the deferred appearance, and decrease in the combined number of papillomas was observed in the DMBA + B. varigata + croton oil regarded bunch when contrasted with the DMBA + croton oil gathering (Das et al. 2004). Different skin diseases, wound healing, leprosy, and stomatitis have been traditionally cured in India by B. variegata (Rajkapoor et al. 2006). The calming capability of the leaves, bark, and underlying foundations of this tree are generally utilized in vitro models, and various distributed reports have declared its status (Singh et al. 2019). The isolation of a bioactive triterpenesaponin from the leaves and a flavonol glycoside from the roots has also been confirmed by authentic reporting (Zaka et al. 2006). Curcuma longa L. Vernacular names: Haldi (Hindi); Haridra (Telugu); Arishina (Kannada); Manjal (Tamil) (Figure 11.2). Figure 11.2: Scientific name: Curcuma longa L. Specimen: K0001096893. Image credit to: "© copyright of the Board of Trustees of the Royal Botanic Gardens, Kew." 252 Wild Plants: The Treasure of Natural Healers General characteristics Curcuma longa is a flowering plant having light colored yellow flowers, about 5 cm long. Its plants are 1 m tall. Rhizomes have many branches having an orange or bright yellow color. The initial structure of the rhizome is ovate-oblong, or pear-shaped. It also has an aromatic characteristic. Peduncles are white and green in color (Kirtikar et al. 1993). Medicinal uses The juice of the new rhizome is applied to late injuries, wounds, and parasite nibbles (Mortellini et al. 2006). When it is blended with ginger oil, it avoids dermal infections. A glue of turmeric alongside the mash of Azadirachta indica leaves is utilized in the treatment of ringworm disease tingling, dermatitis, and other parasitic infections of the skin. For the treatment of unending dermatitis and tingles, a balm that is made of C. longa, Cannabis leaves, onion, and gushing mustard oil gives prompt and enormous alleviation (Apisariyakul et al. 1995). Cichorium intybus L. Vernacular names: Kasni (Hindi); Kasini (Telugu); Chikory (Kannada); Kasinikkerai (Tamil). General characteristics Cichorium intybus is a ragged perennial herb with blue or lavender blooms. Its stature is 1 to 4 feet. Blooms exist as single on almost leafless branches, and furthermore in bunches in leaf axils. Its plants have the characteristics of bitter and milky sap. Its root resembles a tail of a cow and is beefy, having caramel shading from outside and white shading from the inside (Barcaccia et al 2016). Medicinal uses The dose of aqueous extracts of C. intybus (CIAE) inhibited mast cell-immediate allergic reactions. These extracts dose-dependently prohibited the anaphylactic reactions induced by compound 48/80 in mice. At the dose rate of 1000 mg/kg it is also remarkably reduced local anaphylactic reactions that are initiated by anti-dinitrophenyl IgE. The watery concentrate of C. intybus denies shaft cell-intervened brisk sort of unfavorable susceptible responses in vivo and in vitro. It is found that C. intybus prohibits prostaglandin E (2) and cyclooxygenase (2), and besides diminishing immunotoxicity incited by ethanol, have moderating properties (Jippo et al. 2000). A cosmetic composition is additionally created that anticipates maturing of the skin in which the active fixing is an extract of the elevated pieces of C. intybus. Its effectiveness consists of its capacity to preclude radical reactions, in particular by the chelation of iron. Dodonaea viscosa (L.) Jacq. Vernacular names: Sanatta (Hindi); Pullena (Telugu); Bandaru (Kannada); Virali (Tamil). General characteristics Dodonaea viscose is a bush that consists of a single stem short tree, which is up to 7 m high. It has a black bark, of fluctuating harshness, dainty, and shedding in extended slim strips (ICRAF 1992). Florets have shining blue or often ultra-white or light pink color. Leaves are simple and alternate, excreting the gummy exudate that adds apparent sheen to the leaves; the petiole is extremely short, up to 2.5 mm long (Turnbull 1986). Role of Wild Plants in Curing and Healing the Skin Diseases 253 Medicinal uses In the event of both extracted and chiseled injury model in rodents, the injury healing movement could be animated by the utilization of ethanolic concentrate of dried leaves. In the extraction model, a quicker pace of wound withdrawal and epithelization could be seen in 10% concentrate treated injuries. In wound models, such as smashing quality of dermis, neoplasm, and lesion withdrawal are the outstanding reactions achieved by the utilization of ethanolic suspension. It also delivered a critical reaction against hostile the healing properties of dexamethasone (Prassana et al. 2007). 30% to 60% of edema and aggravation could be diminished by the compelling utilization of D. viscosa. A portion of 1,000 mg/kg of half ethanolic concentrate demonstrated greatest (56.67%) mitigating impacts with carrageenan-incited edema in the rear paw of rodents and that were equal to 100 mg/ml of phenyl butazone (66%) given Intraperitoneal route. A critical mitigating action inside the carrageenan-initiated rodent paw edema method was also expanded by the water removed in the portion of 100 mg/kg (Rani et al. 2009). Various sorts of parasites, such as Aspergillusniger, Aspergillusflavus, Paecilomycesvarioti, and Trichophytonrubrum causing skin illnesses have been treated with the concentrates of leaves and shoot of D. viscosa. All the rough concentrates were demonstrated as a critical enemy of fungal impact against these tried organisms. Various kinds of concentrates, for example, chloroform, ethanol, methanol, ethyl acetate, and fluid concentrates are utilized as a viable enemy of fungal operator. Among this enemy of fungal specialists, chloroform has noteworthy hindrance action against growths. Azadirachta indica A. Juss. Vernacular names: Nim (Hindi); Veppachetta (Telugu); Turakabevu (Kannada); Vembu (Tamil) (Figure 11.3). Figure 11.3: Scientific name: Azadirachta indica A. Juss. Specimen: K000657065. Image credit to: "© copyright of the Board of Trustees of the Royal Botanic Gardens, Kew." 254 Wild Plants: The Treasure of Natural Healers General characteristics It is a medium evergreen tree. Blooms are small and white with shading, and nectar-scented. The fruit is a drupe, single-seeded, beefy, which at that point turns yellow on aging. Leaves are densely present around the end of the branches. These are about 20 to 40 cm in length and are light green in color. Seeds are hard and ellipsoid (Muñoz et al. 2007). Medicinal uses Seed oil is utilized to treat scabies and infection. It is also applied to the head to advance hair development. Delicate leaves are bitten to control allergies (Bhowmik et al 2010). For the treatment of wounds, leaf glue is topically connected to them. Dandruff and loss of hair are also treated by its leaf paste (Lodha 2019). A paste of the leaf mixed with turmeric powder is externally applied to treat skin infections, smallpox, and chickenpox (Pai et al. 2004). Flowers of Azadirachta indica boiled in gingelly oil are applied on the head against dandruff once a day after taking bath till recovery (Niharika et al. 2010). Gum of Azadirachta indica is mostly successful against skin infections, such as ringworms, scabies, wounds, and ulcers. A glue arranged with neem and turmeric was observed to be successful in the treatment of scabies. With no unfavorable impacts, the glue was found to fix scabies within 3 to 15 days (Charles and Charles 1992). The biological action of neem is usually finished with its unrefined concentrates just as its various parts from leaf, bark, root, seed, and oil (Anyaehie 2009). The chloroform concentrates of stem bark chiefly demonstrated calming activities. This concentrate is compelling against carrageenan–incited paw edema in rodent and mouse-ear irritation (Mahabub et al. 2009). Fiery stomatitis in kids is relieved by its bark separately (Reardon 2016). Ficus carica L. Vernacular names: Anjir (Hindi); Anjooramu (Telugu); Anjura (Kannada); Simaiyatti (Tamil); (Figure 11.4). General characteristics It is a huge bush that grows up to 7 to 10 meters tall, with smooth white bark that droops as the tree grows. Its flowers are mini in structure and unnoticeable. The structure of the leaf blade consists of the broken upper surface and smooth underside. Its fragrant foliage is 12–25 centimeters in length and profoundly lobed with 3 or 5 flaps (Papadopoulou et al. 2002). Medicinal uses In the treatment of warts, the fig tree is traditionally used in few rustic areas of Iran. Low recurrence rate, patient compliance, ease of use, no detail of any reactions, and short-duration therapy are the useful effects observed in the patients with warts due to this therapy of F. carica (Bohlooli et al. 2007). The removal of lump action of fig tree latex is probably going to be the consequence of proteolytic movement of the latex compounds. Murraya koenigii (L.) Spreng Vernacular names: Kathnim (Hindi); karipaku (Telugu); Gandhabevu (Kannada); karivempu (Tamil). General characteristics It is a gigantic aromatic shrub or small tree. Leaves are imparipinnate, fragrant, and gland-dotted, leaflets, 9–12 in number, ovate or lanceolate pubescent below (Mhaskar et al. 2000). Fragrant white Role of Wild Plants in Curing and Healing the Skin Diseases 255 Figure 11.4: Scientific name: Ficus carica L. Specimen: K001050164. Image credit to: "© copyright of the Board of Trustees of the Royal Botanic Gardens, Kew." flowers bloom unevenly throughout the year. Usually, it is cultivated for its scented leaves. Their fruits are edible, but the seeds are inedible. Fruits are purple to black and have two seeds (Handral et al. 2012). Medicinal uses Its leaves boiled in gingelly oil along with Lawsoniainermis leaves is applied (as a hair tonic) on the head to prevent hair loss (Kumar et al. 1999). The paste of its leaf is used for the treatment of bruises, discoloration, and wounds. Wound healing activity was checked by male albino rats, and screened by ethanolic extracts of leaves of Murraya koenigii. It is found from the injury recovery model that the three groups taken for the injury relief activity show a decrease in wound area each day. Due to the treatment with Murraya koenigii, the entry point model demonstrated an expansion in the elasticity of the injury which is 12-day old. Thus, the leaves of Murraya koenigii have a significant healing capacity of wounds (Anand et al. 2011). The most important point of the present-day study is the investigation of the drug which reduces inflammation and the substance that inhibits oxidation activities of Murraya koenigii leaves. Alkaloids have a wide range of pharmacological properties, including the anti-inflammatory activity. Sub planter injection of carrageenan (Khan et al. 1996) produced hind paw edema in rats. Pet ether extract (PMK) of M. koenigii leaves and alkaloids (AMK) isolated from PMK at doses of 100 and 300 mg/kg/day, was given for 11 days to observe the percentage of inhibition of paw edema which was comparable to aspirin, used as a reference drug. PMK and AMK produced a significant inhibition of paw edema. PMK and AMK treatment significantly reversed the carrageenan induced 256 Wild Plants: The Treasure of Natural Healers and also decreased Superoxide dismutase (SOD), Catalase (CAT), glutathione (GSH) levels in paw as compared to Carageenan treated rats. Leaves of Murraya koenigii were dried in the shade and powdered mechanically. Powdered leaves were defatted with the petroleum ether. The filtrate was concentrated to get the pet ether extract of M. koenigii (PMK). The extract was further subjected to isolation of alkaloids according to the method of Cordell GA (Reddy et al. 2012). The detailing of cream with essential oil of leaf of M. koenigii has a sun insurance factor. It was postulated that sun pigment factor for curry leaf oil cream has minimum sun protection ability against sunlight and erythema as compared to M. koenigii leaf oil cream.. The natural skin pigmentation can be kept up by the utilization of this cream. It can also be utilized as the expansion in an arrangement of something to upgrade the movement (Handral et al. 2012). Melia azedarach L. Vernacular names: Bakain (Hindi); TurkaVepa (Telugu); Bevu (Kannada); MalaiVembu (Tamil). General characteristics The grown-up tree has an adjusted crown, and regularly measures 7–12 meters tall, and in exceptional conditions M. azedarach can achieve a stature of 45 meters. Young trees are easy prey to uncertain weather, whereas the old trees can fight. The leaflets are dull green above and lighter green underneath, with serrated edges. The blossoms are small and fragrant, with five pale purple or lilac petals, developing in groups. The seeds can sustain their vitality up to two years (Rubae 2009). Medicinal uses M. azedarach possesses significant wound healing potential in alloxan-induced diabetic rats. The result shows that its methanol leaf extract has a strong activity of wound healing in alloxan-induced diabetic rats. Some basic mechanisms are responsible for the delay of the wound healing process in diabetic Mellitus. Such mechanisms increase blood sugar, weaken local immune systems, lower cell defenses, and increase the chance of microbial infections. It has been shown in this study that the topical application of its leaf extract is the powerful wound healer in diabetic rats, and its effect was comparable in certain aspects to standard povidone-iodine. The enhancement of wound healing activity in diabetic rats may be due to the antimicrobial activity of M. azedarach (Vijaya et al. 2012). The extracts of M. azedarach flower were prepared and used for the treatment of bacterial skin diseases in children (Rahman et al. 1991). For the cream preparation, methanolic extracts of flowers were used. Neomycin was used for the activity comparison of skin drug and the prepared cream. The diameter of the infected area before and after two weeks of treatments was measured. The results showed that in several cases the prepared cream was significantly more powerful, and the flower extract was a potent cure for rabbits suffering from a skin infection that was produced by Staphylococcus aureus (Saleem et al. 2008). Plumbago zeylanica L. Vernacular names: Chitrak (Hindi); Agnimaata (Telugu);Chitramulika (Kannada); Kodivaeli (Tamil) (Figure 11.5). General characteristics It is a widely spread evergreen bush that ranges around 6 feet in nature. Dull green leaves are 6 inches in length. The stems bear the lax habit and often a more climbing habit (Manu et al. 2012). They are 1 to 2 m long. They are quickly developing plants. Role of Wild Plants in Curing and Healing the Skin Diseases 257 Figure 11.5: Scientific name: Plumbago zeylanica L. Specimen: K001134413. Image credit to: "© copyright of the Board of Trustees of the Royal Botanic Gardens, Kew." Medicinal uses Caustic, vesicant, and aphrodisiac are the characteristics of P. zeylanica leaves. They are used in the treatments of diseases, such as scabies, swelling, and infectious skin. Its paste is effective in the cure of painful rheumatic areas and itchy skin problems. The plant is crushed and the prepared paste is topically administrated over the affected area. It is investigated that a medicinal plant plumbagin (5-hydroxy-2-methyl-1,4-napthoquinone) is separated from the roots of the P. zeylanica showing that, in mice, the topical application of plumbagin prevented UV-induced development of squamous cell carcinomas (Sand et al. 2012). The antiviral exercises of the 80% methanolic extractions of Plumbago zeylanica were tried against Coxsackie Virus B3 Coxsackie Virus B3 (CVB3), influenza A virus and herpes simplex virus type1 Kupka (HSV-1) utilizing cytopathic impact (CPE) inhibitory measures in HeLa, MDCK, and GMK cells separately. The plaque decreasing measures were utilized as a corroborative analysis of their antiviral movement. It is accounted for that plumbagin, a naphthoquinone disconnected from Plumbago species, demonstrated its inhibitory movement against amastigotes of Leishmaniadonovani and L. amazonesis. The base of P. zeylanica is harsh and furthermore valuable in the treatment of scabies (Sharma and Kaushik 2014). 258 Wild Plants: The Treasure of Natural Healers Abutilon indicum (L.)Sweet Vernacular names: kanghi (Hindi); Adavibenda (Telugu); Srimudrigida (Kannada); Thuththi (Tamil). General characteristics It is a small bush. Leaves are straightforward, alternate, shaggy, have a serrated edge, and pinnacle intense. Fruit is round in shape, having 11 to 20 carpels that change into brown color in dry form (Rahuman et al. 2008). Its seeds are kidney-like in shape. Flowering happens in September-April. Blooms are yellow, axillary, and the stamens various and monodelphous. Medicinal uses To treat the ringworm infection, a paste made from fresh leaves with water is applied externally on the skin thrice a day (Abdul et al. 2010). Leaf paste is also applied over the spot of a snake bite not scorpion sting (Shrikanth et al. 2014). Portulaca oleracea L. Vernacular names: Lunia (Hindi); Boddupavilikoora (Telugu); Dudagorai (Kannada); Paruppukeerai (Tamil) (Figure 11.6). Figure 11.6: Scientific name: Portulaca oleracea L. Specimen: K000313628. Image credit to: "© copyright of the Board of Trustees of the Royal Botanic Gardens, Kew." Role of Wild Plants in Curing and Healing the Skin Diseases 259 General characteristics It is a summer annual plant that has a thick series of branches at the base. The leaves of P. oleraceae can alternate. Seeds are brownish dark and kidney-shaped in form. Blossoms have five customary parts. They are yellow in shading. Blossoms initially show up pre-summer and proceed into mid-fall (Amirul et al. 2014). The morning sun rays open the loosely hanging petals for a small time period. Medicinal uses During scorching heat, this herb protects the body from rashes and skin inflammations. It also has natural cooling and soothing effects. A viable mixture of the leaves is utilized in the treatment of burns and skin emissions, such as bubbles and carbuncles. Its fluid concentrates go about as antibacterial and antifungal specialists during the topical application onto the skin (El-Sayed et al. 2019). Its herb is utilized as a poultice in the treatment of bug stings, irritations, skin injuries, ulcers, tingling skin, dermatitis, and abscesses. The essential injury healing capacity of P. oleracea was tried on Musmusculus JVI-1. The extraction wound surface was topically covered with the new homogenized unadulterated aerial pieces of Portulaca oleracea by utilizing its single and numerous dosages. The impact of P. oleracea on wound healing was evaluated by observing the injury withdrawal and rigidity measurements. It is inferred that the injury healing capacity of P. oleracea was animated by diminishing the surface territory of the injury and expanding the rigidity. A solitary portion of 50 mg of P. oleracea brought about the biggest compression of the wound. A similar consequence of wound withdrawal was also achieved by utilizing its two dosages of 25 mg (Rashed et al. 2003). Atopic dermatitis is an endless fiery skin sickness. An examination confirmed that P. oleracea concentrate was filling in as a viable specialist against LPS-treated Raw 264.7 cells and keratinocytes and the skin of NC/Nga mice with atopic dermatitis, just as smooth mice with pruritus. The levels of NO, PGE2, and pro-inflammatory cytokines were measured in the media after the treatment of different concentrations for P. oleracea extract in LPS-treated Raw 264.7 cells and keratinocytes. H&E staining and toluidine blue staining were used for the skin tissue identification of all NC/Nga mice. The compound 48/80 having an antipruritic effect was treated by the number of scratching behaviors of the hairless SKH-1 mice. It is concluded that there is a remarkable reduction in the productions of NO and PGE2 due to LPS- and IFN-gamma-treated Raw 264.7 cells as compared to non-treated Raw 264.7 cells. So in the case of atopic dermatitis in NC/Nga mice, there is a great reduction in the thicknesses of epidermis and dermis that is revealed by H&E and toluidine blue staining while treating with P. oleracea extract (XueYuan et al. 2010). Rubia cordifolia L. Vernacular names: Majith (Hindi); Chiranji (Telugu); Chitravalli (Kannada); Manjitti (Tamil) (Figure 11.7). General characteristics Rubia cordifolia is a climbing herb that develops to 1.5 m in height. Its evergreen leaves are 5–10 cm long and 2–3 cm expansive and are heart-like in shape (Santhan 2014). In structure, the stem is long, irregular, and woody at the end. The blooms are small, with five greenish-yellow or pale yellow petals, in thick racemes. Medicinal uses Rubia cordifolia is utilized for the treatment of malignant growths, ulcers, and swellings. It also functions as a disinfectant specialist for wounds (Karodi et al. 2009). There are numerous employments 260 Wild Plants: The Treasure of Natural Healers Figure 11.7: Scientific name: Rubia cordifolia L. Specimen: K001123313. Image credit to: "© copyright of the Board of Trustees of the Royal Botanic Gardens, Kew." of R. cordifolia in present-day pharmacology. A gel formulation having anthraquinone rich fraction of R. cordifolia showed anti-acne ability against Propiobacterium acne, Staphylococcus epidermidis and Malassezia furfur when it is compared with standard Clindamycin gel. Various portions of R. cordifolia roots concentrates were demonstrated enemies of malignancy exercises in vitro and in animal models. The development prohibitory action on chosen malignancy cell lines, just as on normal human mammary epithelial cells, was shown by its unrefined watery concentrates (Shoemaker et al. 2005). The quinones and RC-18 demonstrated astounding enemy of malignancy movement against L1210, L5178Y, P388 leukemia, B16 melanoma (Adwanker and Chitnis 1982), S-180 and the cyclic hexapeptides against leukemia. The blockage of protein union was shown by restricting the hexapeptides to eukaryotic 80S ribosomes, bringing about preclusion of aminoacyltRNA authoritative and peptidyl-tRNA translocation. An enemy of tumor movement was the cyclic hexapepetide disengaged from dried roots (Itokawa et al. 1984). Human nasopharynx carcinoma, P388 lymphocytic leukemia, and MM2 mammary carcinoma cells were influenced by the alkyl ether and ester subordinates of RA-V. The proximity of rubimallin in R. cordifolia root concentrate has been going about as a calming specialist. It is investigated that the rats with carrageenan paw edema treated with aqueous extract of R. cordifolia root, in a dose dependent manner, show significant anti-inflammatory ability by comparing with standard drug phenylbutazone (Antarkar et al. 1983). The lipoxygenase protein pathway, which invigorates the generation of various fiery arbiters, for example, leukotrienes that are engaged with numerous provocative issue, and the creation of cumene-hydroperoxides, is also restrained by this watery concentrate (Tripathi et al. 1995). Role of Wild Plants in Curing and Healing the Skin Diseases 261 R. cordifolia is mainstream all over the world for its medicinal uses in wound healing. The injury healing proficiency on the extraction twisted model in mice was examined by its alcoholic concentrate and the hydrogel. A solitary portion of alcoholic concentrate was connected to the outside of the extraction wound. Its impact on wound healing was evaluated by watching the injury zone and histopathology. In the treatment of the mice, the various impacts were created by this gel in type of wound conclusion, the decline in surface region of the wound, and wound contracting capacity, tissue recovery at the injury site, and histopathological attributes. R. cordifolia is also used as an anti-aging agent. It is mainly used in the treatment of photoaging that results in a form of skin wrinkles. For the treatment of photoagaing, the “Anti-Wrinkle cream” is formulated with R. cordifolia and other ingredients that have antioxidant, anti-inflammatory, and UVR protective properties. Beta-sitosterol and daucosterol (Qiao et al. 1990), gallic acid, rubimallin, hydroxyanthraquinones, tannins aliz (Cai et al. 2004) are the main parts of Rubiacordifolia. Rubiadin, isolated from R. cordifolia, has a great power of antioxidant property that keeps lipid peroxidation from happening in a dose-dependent manner (Tripathi et al. 1997). Sesbania sesban (L.) Merr. Vernacular names: Jainti (Hindi); Samintha (Telugu); Arisina (Kannada); Chittagathi (Tamil) (Figure 11.8). Figure 11.8: Scientific name: Sesbania sesban (L.) Merr. Specimen: K001121605. Image credit to: "© copyright of the Board of Trustees of the Royal Botanic Gardens, Kew." 262 Wild Plants: The Treasure of Natural Healers General characteristics It is a delicate, lush, and quickly developing bush. Its root system is penetrative and the length of the stem is probably 12 cm in diameter (Manjunath and Habte 1991). It has fruits that are a bit turned and have length up to 30 cm. Leaves are paripinnate compound, leaflets, direct to elliptical, glabrous. It has yellow flowers with brown lining. Medicinal uses A high quantity of saponin content is present in the leaves of S. sesban (Dande et al. 2010). The leaves of S. sesban are a laxative, demulcent, maturant, and helpful for the treatment of all pains and inflammations. A legitimate examination was proposed to assess the topical calming action of the rough saponins removal via carrageenan actuated rodent paw edema strategy by setting up the gel definition. There is a significant anti-inflammatory activity shown by the group treated with crude saponins extract of 2% w/w gel formulation, as compared to control gathering, and the outcomes were practically identical to the action that appeared by the reference drug (Kendra 2000). Santalum album L. Vernacular names: Chanda (Hindi); Bhadrasri (Telugu); Agarugandha (Kannada); Anukkam (Tamil) (Figure 11.9). Figure 11.9: Scientific name: Santalum album L. Specimen: K000880539. Image credit to: "© copyright of the Board of Trustees of the Royal Botanic Gardens, Kew." Role of Wild Plants in Curing and Healing the Skin Diseases 263 General characteristics Sandalwood is an evergreen tree, and its bark surface is black with irregular cracks. Leaves are simple, opposite 12 to 18 mm long. Flowers are reddish-purple in color (Rakesh et al. 2010). α-santalol that is isolated from Sandalwood has useful therapeutic abilities as anti-inflammatory, anti-oxidant, antiviral and anti-bacterial. Medicinal uses Sandalwood oil and their derivatives are used in preparing medicaments for the prevention and treatment of viral-induced tumors in humans. This oil and its components are also used to cure genital warts and HPV of the genital tract, and also help in the prevention of skin cancer. Its capacity to initiate cell-cycle capture and apoptosis in diseased cells is its most detailed anticancer component of activity. In India, sandalwood helps to cure the eruptive skin diseases. A study is done to investigate, the chemopreventive effects of sandalwood oil on 7,12-dimethylbenz(a)anthracene-(DMBA)-initiated and 12-O-tetradecanoyl phorbol-13-acetate(TPA)-promoted skin papillomas, and TPA-induced ornithine decarboxylase (ODC) activity in CD1 mice. There was a significant decrease in papilloma incidence by 67%, stops its multiplication by 96%, and TPA-induced ODC activity is lowered by 70% by this oil. Thus, it is proved that sandalwood is a very effective chemopreventive agent used for skin diseases, mainly cancer (Dwivedi and Abu-Ghazaleh 1997). Sida acuta Burm.f. Vernacular names: Bariara (Hindi); Muttavapulagamu (Telugu); Bheemanakaddi (Kannada); Arivalmanaipoondu (Tamil). General characteristics S. acuta is a bush having a place with Malvaceae family. Structure wise, its petals are of light yellow color, having a length of 6 to 8 mm. Seeds are trigonous and 2 mm in length. In the subtropical areas, the plant is broadly spread in shrubs, in ranches, and around homes (Mann et al. 2003). Medicinal uses In India, it is known as Pillavalttichedi, and traditionally it is used for the treatment of skin diseases and ulcer (Ignacimuthu et al. 2006). For killing dandruff and for the strengthening of the hair, the paste made of its leaves mixed with coconut oil is applied regularly on the head. It is helpful for curing wounds, cancer, and different inflammatory skin diseases. A study showed the antimicrobial effect of the ethanolic and aqueous extracts of S. acuta. The extracts of S. acuta consist of saponins; tannins, cardiac glycosides, alkaloids, and anthraquinones that were revealed by photochemical analysis. Test isolates from human skin infections were Vacillussubtilis, Escherischia coli, Aspergillus niger, and Aspergillus fumigatus. The zone of inhibition shows the different potential of ethanolic and aqueous extracts against these skin infections (Ekpo and Etim 2009). Sapindus emarginatus Vahl. Vernacular names: Reetha (Hindi); Kukudu-kayalu (Telugu); Kookatakayi (Kannada); Ponnankottai (Tamil). General characteristics The Sapindus emarginatus tree is 10 m high with a dim, dark-colored bark. Leaves are paripinnate, alternate, forceful, tomentose, and swollen at the base (Arora et al. 2012). Its seeds are yellow and brown in color. Pollination of the flowers is done by insects. Blooms are polygamous, greenish-white. 264 Wild Plants: The Treasure of Natural Healers Medicinal uses Squashed products of this tree are utilized for the removal of dandruff (Harsha et al. 2002). Natural products are also utilized for the treatment of face patches. Exocarp of organic products are kept in water and attached on these patches for the treatment (Upadhye et al. 1986). An examination demonstrated the analgesic and mitigating action of the methanolic concentrate of pericarps of S. emarginatus. The nearness of saponins, terpenoids, tannins, flavonoids, glycosides, and sugars was inspected by the phytochemical screening of the pericarps (Gogte 2000). By utilizing formalin test and swirl’s hot plate method, the central analgesic action of the concentrate was looked at. It was considered that the concentrate was utilized for calming movement in carrageenan-instigated rear paw edema in rodents, and the value of the paw was estimated plethysmometrically. The investigation has executed the portion of (200 and 400 mg/kg, p.o) of this concentrate. For the centrally acting analgesic action, pentazocin (10 mg/kg, i.p.) is utilized as standard medication. Furthermore, for peripheral acting analgesics and calming movement, indomethacin (10 mg/kg, i.p.) is utilized as standard medication. The methanolic concentrate of S. emarginatus was fundamentally utilized for the decrease of carrageenan-incited paw edema in rodents and analgesic action demonstrated by an increment in the response time by swirl’s hot plate method. This methanolic concentrate demonstrated astounding analgesic and mitigating impact similar to the standard medications (Chah et al. 2006). Thymus vulgaris L. Vernacular names: Jangliajwain (Hindi); Maruvam (Telugu); Balukambi (Kannada); Omam (Tamil); (Figure 11.10). Figure 11.10: Scientific name: Thymus vulgaris L. Specimen: K001070039. Image credit to: "© copyright of the Board of Trustees of the Royal Botanic Gardens, Kew." Role of Wild Plants in Curing and Healing the Skin Diseases 265 General characteristics T. vulgaris is a blooming plant in the mint family Lamiaceae. Its leaf has a length of 4 to 12 mm and width of 3 mm. It has aromatic odor. It is developed in a large portion of the European nations. It is a small perennial bush with a semi-evergreen groundcover (Christopher 2008). The stems become woody with age and its leaves are pretty much nothing. Medicinal uses It is a curing agent of bacterial skin infections that leads to pain, tenderness, edema, and reddening of the skin. It is also affected in the treatment of anti-fungal infections, but has no beneficial effects on cellulitis (Renu 2011). The oil of T. vulgaris is a combination of monoterpenes. The natural terpenoidthymol and its phenol chemical compound carvacrol (Nickavar et al. 2005, Amiri 2012) are the main constituents of this oil. It is a medicinal drug that has many beneficial effects, such as antioxidative, anti-tissue, antimicrobial, and antibacterial. There were some additional acids, such as terpenoids, flavonoids, glycosides, and synthetic resin found in Thymus spp. The aqueous extracts from species of the Lamiaceae family were examined for their antiviral activity against Herpes simplex virus (HSV). It showed inhibitory activity against Herpes simplex virus type 1 (HSV-1) and type 2 (HSV-2). The acyclovir-resistant strain of HSV-1 was tested in vitro on RC-37 cells in a plaque reduction assay (Nolkemper et al. 2006). Tephrosia purpurea (L.) Pers. Vernacular names: Dhamasia (Hindi); Vempali (Telugu); Empali (Kannada); Kolingi (Tamil) (Figure 11.11). Figure 11.11: Scientific name: Tephrosia purpurea (L.) Pers. Specimen: K000921528. Image credit to: "© copyright of the Board of Trustees of the Royal Botanic Gardens, Kew." 266 Wild Plants: The Treasure of Natural Healers General characteristics It is a perennial herb or subshrub. Flowers are 7 mm long, found in different colors. They have compound leaves which are 5 to 15 cm in length. The upper surface of leaflets is smooth and lower surface is silky and tapered (Santhan 2014). Seeds are ellipsoid and dark brown in color. Medicinal uses An outstanding herb, T. purpurea is utilized in the treatment of malignant growth and ulcer. An investigation was led in rodents by utilizing three sorts of wound models, for example, entry point wound, extraction wound, and dead space wound that was treated with ethanolic concentrate of T. purpurea as a basic balm. A standard medication Fluticasone propionate treatment was contrasted, and the after-effects of this salve (ethanolic concentrate of T. purpurea), regarding wound withdrawal, elasticity, histopathological and biochemical parameters was studied. There is a wonderful increment in fibroblast cells, collagen strands, and veins arrangement demonstrated by histopathological study (Svobodova et al. 2003). The screening of T. purpurea areial parts was traditionally used for curing burn wounds was the topic of present investigation was the topic of the present investigation. Basic salve base B.P was used for the planning of Flavonoid division treatment for topical application. Partial thickness and full thickness burn wound models were successfully restored by the silver sulphadiazine treatment and straightforward salve base B.P. The treatment of partial-thickness burn was trailed by wound compression and rigidity, while protein, hydroxyproline, hostile to oxidant compounds were determined by full-thickness model. In case of flavonoid rich fraction, when it is compared with control group, the wound contraction and tensile strength of skin tissue were observed significantly greater (Sinha et al. 1982). Vernonia scorpioides (Lam.) Pers. Vernacular names: Sahadevi (Hindi); Sahadevi (Telugu); Menasina kase (Kannada); Naichottepoonde (Tamil). General characteristics V. cinerea is a small shrub growing worldwide in the temperate climate. Its height is 0.5 feet to 3 feet. Its fruit is kernel-like in shape and has 1.5 mm length with white tuft-like appendage. Petioles are small and curved. Its leaves have a hairy surface beneath and the flowers are purple or pink-colored, blooming in the rainy season (Keeley and Jones 1979). Medicinal uses Skin issues, including mending of unending injuries, for example, ulcers of the lower appendages and diabetic injuries are treated with Vernonia scorpioides. It is investigated that treatment having 20% of the ethanol concentrate of the leaves of V. scorpioides were utilized every day for the recuperating procedure of extraction wounds in the skin of mice, compared with the control. About a 4 mm skin wound region was extracted on anesthetized mice, and after a treatment of 3, 7, and 14 days, the injuries were surgically evacuated and histologically analyzed. The level of putrefaction zone, mononuclear incendiary cells, fibroblasts, and veins determined injury healing action. In the intense period of healing, the sores were broadened and the rot region was escalated by treating with V. scorpioides compared with the control group. At any rate, the treatment did not deny either the enrollment and incitement of incendiary cells or the healing procedure. The expanded territory of necrotic tissue, ordering and exudates framed in the treated gatherings are the unsafe consequences of Role of Wild Plants in Curing and Healing the Skin Diseases 267 the quick utilization of this concentrate on extracted tissue. In any case, the arrangement of granulation tissue was not restricted by this concentrate (Dalazen et al. 2005). An examination was conducted on the topical mitigating impact of the ethanolic concentrate, of Vernonia scorpioides (EEVS) on intense and incessant cutaneous irritation models in mice. The topical anti-inflammatory activity of EEVS was checked out against acute models (12-O-tetradecanoylphorbol acetate (TPA)- and arachidonic acid (AA)- induced mouse ear oedema) and chronic models (multiple applications of croton oil). A portion related disallowance of edema in both the TPA-and AA-initiated intense models (DI50 = 0.24 and 0.68 mg/ear with the restraint of 80 ± 5%and 65 ± 5%, separately, for 1 mg/ear) was coming about by the impact of the ethanolic concentrate of V. scorpioides (EEVS) (Laryssa et al. 2011). In addition, the topical utilization of EEVS diminished the TPA-initiated increment in myeloperoxidase action (MPO) in the ear. In the interminable model, all parameters evaluated: edema development (31 ± 2%), epidermal hyperproliferation (histology), and MPO (25 ± 10%) were decreased by the EEVS. In this way, the EEVS is working reasonably in exceptional and perpetual ignitable systems, and its working is additionally strikingly affected by the prevention of neutrophil migration into energized tissue, similar to epidermal hyper-proliferation (Young et al. 1989). Waltheria indica L. Vernacular names: Ratti (Hindi); Nallebenda (Telugu); Gulaganji (Kannada); Shembudu (Tamil) (Figure 11.12). Figure 11.12: Scientific name: Waltheria indica L. Specimen: K000447628. Image credit to: "© copyright of the Board of Trustees of the Royal Botanic Gardens, Kew." 268 Wild Plants: The Treasure of Natural Healers General characteristics An erect pubescent perennial herb or undershrub. Leaves are simple and margin serrated. Flowers are small, yellow, sessile in dense axillary clusters (Verdoorn 1981). The seed is oval-shaped, 2.5 mm in length, 1.5 mm in width, and black in color. Fruit capsule is one-seeded and enclosed within hairy calyx (Irvine 1961). Medicinal uses The powder of this plant is used for drying and healing of wounds. Pain due to inflammation is controlled by using root decoction. An investigation demonstrated that rough concentrates and disengaged mixes diminished the pain-relieving, calming, antibacterial, and antifungal exercises (Ahmadiani et al. 1998). Phytochemical examinations demonstrated that the unrefined concentrates and confined mixes comprise of the components of cyclopeptide alkaloids, flavonoids, quercetin, kaempferol, tannins, sterols, terpenes, saponins, anthraquinones (Zongo et al. 2013). Ziziphus oenoplia (L.) Mill Vernacular names: Makai (Hindi); Paragi (Telugu); Barige (Kannada); Suraimullu (Tamil) (Figure 11.13). Figure 11.13: Scientific name: Ziziphus oenoplia (L.) Mill. Specimen: K001038516. Image credit to: "© copyright of the Board of Trustees of the Royal Botanic Gardens, Kew." Role of Wild Plants in Curing and Healing the Skin Diseases 269 General characteristics A large, dense, straggling thorny pubescent shrub. Branchlets are densely tomentose and thorns are in pairs. The leaves are simple, alternate, and 3–6 cm long. Its fruit has a smooth surface and is 8–10 mm in length. Its seeds are uncovered with endocarp (Hosne et al. 2008). The flowers are small, greenish, and short in length. Medicinal uses The aqueous and alcoholic extracts of fruits of Z. oenoplia, affected the wound healing activity and also reported that activity was established in alcoholic, followed by aqueous extracts when related to control. As a result, it is stated that alcoholics followed by aqueous extracts seemed to control the powerful wound healing activity. The results were compared to the farm cetin sulphate cream as a reference standard drug. The essence of present examination is to peep through the antiulcer activity of Z. oenoplia (Jena et al. 2012). One of the natural remedies for ulcers is powdered root of Z. oenoplia that was extracted with alcohol. Conclusion Succinctly, due to the decreasing efficacy of many synthetic drugs due to the development of drugresistant strains and increasing contraindications of their usage on the skin due to awful side effects, people needed an alternative for their skin problems. Extracts from plants proved to be an alternative, as nature is the best medical caretaker to fix all human and animal illnesses. Medicines from plants have a traditional foundation that demonstrates the way that over 80% of individuals are reliant on traditional healthcare, especially for skin-related issues. Herbal items are not too expensive, as compared to allopathic medications, and offer advantages to all its consumers. Herbals serve mankind by offering dynamic fixings and viable treatment for skin sicknesses, extending from rashes to loathsome skin malignancy. These valuable gems of human comfort exist in the backwoods and the materialistic exercises, for example, deforestation, living space pulverization, and urbanization add toxic substances to these life-sparing medications, offered for free. 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Waltheria americana): A review 148: 14–26. 12 Choerospondias axillaris (Hog plum) Multiple Health Benefits Sajan L. Shyaula Introduction In recent years, there has been growing interest in studying phytochemicals in fruits and vegetables due to their health-promoting properties. Epidemiological studies have indicated that consumption of fruits and vegetables is negatively associated with some age-related and non-communicable diseases in humans. The arrays of secondary metabolites that are restricted in distribution within the particular plant species are responsible for its potent protective properties. Glucosinolates from Brassicaceae, cucurbitacins from Cucurbitaceae, capsaicinoids from capsicum, thiosulfides from allium, and spirostanol glycosides from Dioscoreaceae are some representative classes of secondary metabolites having significant biological activities (João 2012). The inclusion of diversity of fruits and vegetables in the food habit can thus contribute significantly to improve health by providing these arrays of secondary metabolites. Many secondary metabolites isolated from fruits and vegetables are relatively nontoxic and can be consumed as dietary supplements too. In addition, the extracts prepared from these fruits and vegetables are typically compositionally complex materials and can exhibit biological activities by different mechanisms than those of isolated drug molecules. It is thus necessary to include varieties of fruits and vegetables in daily consumption as they can provide more effective ways to struggle against diseases than conventional drugs because of their multi-targeting attributes, low cost, low toxicity, and wide availability. Choerospondias axillaris (Roxb.) B.L. Burtt and A.W. Hill is an important plant with multiple health benefits, but remains to be explored more scientifically. To date, C. axillaris fruit is considered as an underutilized fruit and is included in the diet of a limited ethnic population. It has been used in various traditional medicinal systems either as a major constituent or as a part of constituents of herbal formulations for treatment of cardiac and other problems. C. axillaris is known as a hog plum, lapsi, chanchin, modoki, jujube, and many others that are specific to host country and ethnicity. Lapsi is a large, deciduous, edible native fruit tree of the family Anacardiaceae, and grows between 900 m and 2,000 m asl in the Himalayan range (Jackson 1994, Paudel et al. 2002a). Lapsi trees are reported to be native to Nepal. Its distribution is not restricted to the Himalayas, and they are also found in Thailand (Jackson 1994), Vietnam (Nguyen et al. 1996), India, and China (Hau et al. 1997, Zhou et al. 1997, Feng et al. 1999). The tree is largely known for its delicious fruits, timber, and medicinal Faculty of Science, Nepal Academy of Science and Technology, Khumaltar, Lalitpur, Nepal; shyaulasajan@gmail.com Choerospondias axillaris (Hog plum) 275 values in Nepal, China, Vietnam, and Mongolia. Seed stones are used as the fuel in brick kilns. It has a growing popularity and economic importance due to its nutritive value and medicinal effects, but comprehensive information on the chemical composition and bioactivity of its fruits is still lacking. Considering the multiple health benefits of Choerospondias axillaris, botanical characteristics, commercial products, domesticating techniques, phytochemicals, and pharmacological properties have been described in this chapter. With the aim of utilization of wild plant resources, the literature has been reviewed, and we hope that the knowledge offered in this chapter serves as an updated comprehensive database contributing to the development of plant-derived foods from C. axillaris with multiple health benefits. Botany This deciduous lapsi tree can grow up to 20 meters tall. The outer bark of lapsi is dark grey or redbrown and the inner bark is red. The bark is cracked, and peeling in vertical flakes. Branchlets are observed to be red-brown to gray-brown. Juvenile lapsi trunks are green, lenticellate, and smooth. The midribs of juvenile leaves displayed red-brown to red-orange coloration. Lapsi leaves as described by Shu are petiolulate, imparipinnate compound with opposite leaflets (Shu 2008). The leaf can be ovate, to ovate-lanceolate, or oblong-ovate. Lapsi leaves are age dimorphic, with the young leaves with scattered teeth, and mature leaves without teeth. The leaf petiole is inflated at the base. The bases of the leaflets are rounded to cuneate with an acuminate leaf apex. Gardner stated that lapsi flowers are 0.4–0.5 cm and dark red (Gardner et al. 2000). The trees producing pistillate flowers are called pothilapsi (female tree), and others producing staminate flowers are called bhalelapsi (male trees). Pistillate flowers have empty anthers and staminate flowers lack gynoecium. The pollens are transported by insects, honey bees, and wind. The male flowers are found in branched clusters at the end of twigs and upper leaf axils. Bisexual flowers are found in leaf axils in groups of 2–3. The calyx is less than 2 mm and has 5 lobes. The female flowers are dark red-purple, smooth on the outer surface, and glandular-hairy on the inside. Lapsi flowers bloom from February to March and to a lesser degree in April and May. The duration of flowering is about two weeks long. The majority of the growing season coincides with the monsoon season. Lapsi trees begin to lose their leaves beginning mid to late November, with the majority of leaf drop occurring early to mid-December. Dormancy lasts until February, when bud break occurs. Flowers develop soon after bud break and continue for about two weeks. Flowering only occurs after 7 to 10 years of growth (Seber 2016). Fruit Characteristics Lapsi fruit ranges in mass from 8 to 18 g. The fruit produced by female lapsi trees is drupes. Lapsi fruit can be ellipsoidal, obovate-ellipsoidal, or spherical. The fruit is green until maturity, at which point it turns yellow. The flesh is light yellow in color, fibrous, and acidic, having a specific aromatic flavor. The endocarp of lapsi fruit contains five seeds enclosed in a woody mesocarp capsule. Each seed is isolated from the others by woody septa. Inside the endocarp box, the seeds are fused to the mesocarp at their bases. The superior portions of the seeds are unattached and free inside the cavities of the stone (Hill 1937). During the germination of lapsi seeds, longitudinal slits at the apices of the woody mesocarp separate due to cell expansion of the hypocotyls. The separated seed cavity becomes a pore for the embryo to grow out from it. Lapsi is a climacteric fruit. It can be harvested unripe or ripe. The fruit quality is extremely variable. The genetic diversity of the trees, elevation, light availability, and water availability are factors affecting fruit quality. Many types of frugivores consume lapsi fruits (Brodie et al. 2009, Lai et al. 2014). Farmers have categorized lapsi into different types according to their indigenous indicators that are based on fruit size being small/large, time of maturity being early and late, taste being sweet and sour, and pulp content being high and low. The 276 Wild Plants: The Treasure of Natural Healers fruit had a pulp content range of 23–45%, with an average of 37.6 percent. The peel content ranged from 18–33%, with an average of 22.8 percent. The stone weight ranged from 18% to 33% of the total weight of the fruit. The average weight of the stone was 27% of the total mass. The seed weight comprised 20–38% of the fruit weight, with an average of 22.8 percent. Horticulture Lapsi grows best in full sun and saturated soil. The lapsi tree has a low tolerance of shade and frost, and is moderately tolerant of low fertility and drought (Tyystjarvi 1981). Lapsi trees used to be grown on slopes between terraces, mixed with other fruit trees and fodder trees. Many lapsi trees are grown on the margins of unirrigated farms. This is a common practice because harvesting lapsi is perceived to be damaging to crops on the farm. Over a century ago, farmers started protecting lapsi trees on their farmlands, mostly to make use of their timber. These days the trees are used mainly for their fruit; they are only occasionally cut for timber and never the fruiting trees. As such the use of lapsi trees in agroforestry systems has made a gradual shift from agrosilviculture to agrohorticulture. Lapsi is propagated primarily by seed. Lapsi can be vegetatively propagated by chip budding, grafting, propagation of hardwood and softwood cuttings, and by tissue culture. Expansion of lapsi cultivation for quality production is limited due to associated risk of non bearingness, as only female trees produce fruits. Local people are consulting forest officers looking for methods to identify female trees and to select the best seedlings, but the forest offices have limited experience with domestication techniques. Therefore, there is a need for research regarding the identification of the fruiting tree and its management. The selection of female plants is a vital part of domestication, and farmers have developed their own techniques for identifying male and female trees. Their assumptions in this regard are: (i) female plants sprout earlier than male plants under the same conditions at the beginning of the growing season; (ii) only female plants release milky latex when leaves are pricked; (iii) wood from female plants does not blast while burning whereas that from males does so loudly; and (iv) wood from male trees splits easily. Though these assumptions were found to be valid, they are yet to be studied further (Paudel 2003a, Paudel et al. 2003b, Paudel and Parajuli 1999). Cultural Importance The tree has social, cultural, ecological, and economic value in Nepal. The existence of lapsi as the prehistoric vegetation types of Sleshmantak Ban (meaning lapsi forest) around Pashupatinath in Kathmandu has been quoted in Swathani Brata katha, an anthology of mythical stories. Lapsi is said to be important to many Nepali people and people of the Hindu faith. Lapsi fruits are used in Hindu rituals, Newari feasts, festivals, and celebrations. In Hinduism, the fruits are used as offerings to the gods and goddesses, and are grown on many religious sites in the Kathmandu valley (Chhetri and Gauchan 2007). Lapsi may have some cultural significance to Newari people. A traditional feast (Sukubhoye) for Newari people contains lapsi soup, which is believed to aid in digestion and “purify the elements” (Bajracharya 2015). Due to the superstition that the presence of lapsi tree makes a site prone to lightning strikes during thunderstorms, people have tended not to plant the tree around their homesteads. However, lapsi trees have been protected as fruit trees. Commercial Products Lapsi is recognized as having great potential as a cash-generating commodity. Lapsi is still a relatively unknown commodity outside Nepal and China. Observations of lapsi production resulted in an estimated average yield per a tree of 200 kg. The average weight of the fruit at maturity was Choerospondias axillaris (Hog plum) 277 estimated at 13 g. Lapsi is increasing in value and popularity, and varieties of processed products are available in the market. Further research should aim to increase efficiency of processing techniques based on local knowledge and skills. Processing facilities turn the raw fruit into products, such as mada, candy, pickle, powder, pastilles, vinegar, and drugs (Gautam 1997, 2004). Mada Mada is a collective name for dried Lapsi mat prepared from the pulp and peel of Lapsi fruits. The fruits are boiled in water for two hours in a drum, and salt is added. Seeds are separated from the boiled fruits manually. The pulp and peel are placed on a polythene sheet and laid in a pit in the ground, where it can be stored for a longer time. Whenever it is convenient,the pulp is taken out, spread on wooden planks and dried in the sun for two days. The mada is used for the sour topping in vegetable pickles. Candy or Titaura Only fully ripened fruits are selected. They are washed thoroughly with water and boiled in a minimum amount of water for 20 minutes. The boiled fruits are then emptied into a bamboo basket for filtration. The fruits are peeled and the seeds are separated. A quantity of sugar equal to the quantity of pulp is mixed in, and the mixture is stored in a polythene container. A tray with thick lining on all sides is taken, and the surface is greased with cooking oil. The stored mixture is then spread over the greased surface of the tray and solar dried for 4 to 19 days, depending upon the intensity of sunlight. The degree of dryness can be checked by testing the stickiness of the surface. Once dry, the mixture is diced and packaged. It is one of the most popular dry foods in supermarkets in Nepal. Lapsi Pickle Fruits are washed and boiled in water. The skins are split from fruit and strained for a few minutes. The appropriate amount of mustard oil is taken and brought to a simmer. Usually fenugreek seeds are fried in oil. Black cumin, fennel, asafetida, turmeric, salt, and other additives are added into it. Lapsi is then added to the mixture and stirred thoroughly. Chilly powder and sugar are added. The thick paste pickle is allowed to cool overnight, then packed into jars. Powdered Skins The producers of lapsi candy manually separate the skin and seeds. The dried skin is made to a powder by grinding, which is widely used as the sour toppings. Skin Vinegar Using C. axillaris skin-like material, skin vinegar was made by submerged fermentation with the inoculation of bifidobacteria. The skin vinegar was bright, glossy, smooth, and uniform with a delectable flavor of sour and sweet, and without any peculiar smell. The optimal fermentation conditions were as follows: fermentation temperature of 45ºC, inoculum of 5%, fermentation time of 72 hours,and the total acid being 3.15 g/100 ml (Dingjian et al. 2009). Pastilles A pastille is a type of candy made of a thick liquid that has been solidified and is meant to be consumed by light chewing and allowing it to dissolve in the mouth. In China, the fruits of C. axillaris are 278 Wild Plants: The Treasure of Natural Healers used for production of pastilles. The texture properties (hardness, chewiness, gumminess, stickiness, and springiness) of C. axillaris pastilles gradually increased with the decrease of moisture content (Wu 2012). Taste and Flavor The fruits are sour in taste. The content of total organic acids is in significant amounts, upto 8.13% (Liu and Chen 2000). The fresh pulps of fruits are light yellow in color, but on storage it slowly turns into yellow-brown. The browning index and 5-hydroxymethylfurfural content kept positive correlation with temperature and storage period. Reducing ascorbic acid and total polyphenol content was negatively associated with temperature and storage period. Under the conditions of low temperature, reducing ascorbic acid oxidation was the major browning reaction. When the system temperature rose to 30ºC, Maillard reaction was the chief factor that caused browning (Yu et al. 2013). Nutritional Value The nutrient content of lapsi fruits can vary according to the genetic variation and the environmental conditions that affect growth and development. There are wide variations in the analytical results carried out by the different groups of researchers. A comparison of the analytical results is presented in a tabulated form (Table 12.1). From the above comparative results, lapsi is rich in potassium, calcium, and magnesium content. The results also show that the fruit of lapsi contains less fat and a higher amount of protein. C. axillaris pulp contains indispensible amminoacids and high vitamin C 88.7 mg/100 g which is a high nutrition material for health protection foods. Table 12.1: Comparison of nutritional composition in fruits of C. axillaris. Moisture Gupta et al. 2019 Pandey et al. 2018 Chen et al. 2001 78.7 % 83% Zhai et al. 2015 Bhutia et al. 2011 Rai et al. 2005 Paudel et al. 2002b 84% 83% 3% Total sugar 3.4% Crude fat 2.10% 0.6% 0.05% 0.9% Crude protein 6.31% 2.7% 4.11% 2.2% 3.0% 9.99% 6.37% Total soluble solid Ash 2.89% 1.7% Total titratable acid Total crude fiber 1.55% 1.9% 12.37 μg/L 0.7% 3.53% 6.8% Total acid Ca 6.22% 269.88 μg/g Mg 40.16 μg/L 0.2% 195.30 μg/g K 280.12 μg/L 1.6% 2,970.11 μg/g Mo 2.63 μg/L Na 6.96 μg/L 130.6 μg/g Zn 0.11 μg/L 28.3 μg/g 202 mg/ 100 g 57 mg/100 g 639 mg/100g 355 mg/100 g 34.6 mg/100 g 5 mg/100g 1.51 μg/g 2.05 mg/100 g 0.08 mg/100 g Fe 26.47 μg/L 0.2% 27.37 μg/g 0.1 mg/100 g Cu 9.06 μg/L 30.9 μg/g 2.45 μg/g 0.07 mg/100 g Mn 11.57 μg/L 0.1% 133.94 μg/g P 2.45 μg/g Choerospondias axillaris (Hog plum) 279 During the analysis of the elements for the bioavailability of minerals for human body in C.axillaris flesh, peels, aqueous extractives, and gastric digesta, determined by the inductively coupled plasma atomic emission spectrometry (ICP-AES), there is difference of distribution and release of mineral elements between peels and flesh of C. axillaris. The content of minerals are lower in flesh than that of peel, and the release rates of minerals in the flesh were found to be higher than those in the peels (Zhai et al. 2015). The contents of microelements in the extracts are also determined by atomic absorption spectrophotometry (Zhang and Meiyan 2003). Phytochemical Composition The uses of different parts of Choerospondias in traditional medication system have resulted in considerable chemical analysis of the plant and their active principles (Lian et al. 1984, Chong et al. 2008, Tang and Eisenbrand 2013, Wang et al. 2014, Li et al. 2008, Shi et al. 2007). The phytochemical investigation of C. axillaris has resulted in different classes of compounds, which include organic acids, phenolics, flavonoids, proanthocyanins, ellagic acids, aromatics, polysaccaharides, alkenyled bridge ring ketones, sterols, proteases and fatty acids, as shown in Table 12.2. Organic Acids The sweet and sour taste of C. axillaris is mainly due to the significant amount of organic acid present in it. The content of total organic acid amounts up to 8.13%. Citric acid and L-malic acid (Figure 12.1) are two main organic acids of C. axillaris, the content of which accounted for 26.36% and 22.95% of total organic acids, respectively. These organic acids have cardioprotective effects (Tang et al. 2013, Xiaogeng and Yousheng 2000). Besides citric and malic acids, the fruits are rich in vitamin C (Shah 1978). The vitamin C contents are significantly different in the ultrasonic treatment and the non-ultrasound treatment when measured by the xylene-dichloro-indophenol colorimetry. The average content of vitamin C with the ultrasound treatment group and no ultrasound treatment group are 51.626 mg/mL and 33.113 mg/mL, respectively (Jun et al. 2012). Other organic acids and their derivatives reported in C. axillaris are quininic acid, succinic acid, monoglyceride citrate, methylcitrate, comenic acid, triethyl citrate, 2-isopropyl malic acid, and jasmonic acid (Figure 12.1). Phenolics The total phenolic content of C. axillaris was reported to be higher than that of other fruits (Li et al. 2016a). The quantitative assay demonstrated that peel contained a significantly higher amount of phenolics than flesh. The phenolic compound comprises of simple phenol to a different class of compounds and its condensed polymer forms. These phenolic constituents were considered to be the major contributor to the reported medicinal use. The most abundant phenolic acid in peel was ellagic acid followed by gallic acid, while the most abundant phenolic acid in flesh was gallic acid followed by protocatechuic acid. The variety of phenolic compounds in flesh was a little more than that in the peel, though the total phenolic content (TPC) and total flavonoid content (TFC) of flesh were much lower than those of the peel. The simple phenolics (Figure 12.2) found in C. axillaris are protocatechuic acid, vanillic acid, syringaldehyde, p-hydroxybenzoic acid, protocratechualdehyde, and salicylic acid. The galloylglucosidic constituents have been isolated from stem barks of C. axillaris by chromatographic technique (Li et al. 2014a), and further supported by HPLC-Q-TOF-MS/MSbased analysis (Yang et al. 2016). The reported gallic acid derivatives (Figure 12.3) are gallic acid, ethyl gallate, gallic acid ethyl ether, l-O-galloyl-β-D-glucose, 1,6-di-O-galloyl-β-D-glucose, 1,4-diO-galloyl-β-D-glucose, 1,4,6-tri-O-galloyl-β-D-glucose, and 1,3,4,6-tetra-O-galloyl-β-D-glucose. In a study, oral ration of Choerospondias fruit with Sandalwood extract results in earlier plasma peaks of protocatechuic acid and gallic acid, lower clearance rate, and longer half-life, indicating 280 Wild Plants: The Treasure of Natural Healers Table 12.2: Different classes of compounds isolated from C. axillaris. Plant parts Class of compounds Name of compounds References Organic acids Citric acid L-Malic acid Tang et al. 2013 Vitamin C Jun et al. 2012 Quininic acid Succinic acid Monoglyceride citrate Methylcitrate Comenic acid Triethyl citrate 2-Isopropyl malic acid Chebulic acid Jasmonic acid Yang et al. 2016 Protocatechuic acid Vanillic acid Li et al. 2016a Zhang et al. 2013 Deng et al. 2006 Syringaldehyde Shen et al. 2009 p-Hydroxybenzoic acid Protocratechualdehyde Salicylic acid Yang et al. 2016 Gallic acid derivatives Gallic acid Ethyl gallate l-O-galloyl-β-D-glucose 1, 6-di-O-galloyl-β-D-glucose 1, 4-di-O- galloyl-β-D-glucose 1,4,6-tri-O-galloyl-β-D-glucose 1, 3, 4, 6-tetra-O-galloyl-β-D-glucose Li et al. 2014a Flavonoids and proanthocyanins (+)-Catechin Li et al. 2016a Li et al. 2016c Phenolic Epicatechin Epicatechin gallate Dimer of catechin Trimer of epicatechin Dimer of catechin and epicatechin gallate (+)-Catechin-7-O-β-D-glucopyranoside (+)-Catechin-4’-O-β-D-glucopyranoside Li et al. 2009a (+)-Catechin (6′-8) (+)-catechin Li and Cui 2014 Dehydrodicatechin A Dihydroquercetin7-O-β-D-glucopyranoside Narigenin-4′-O-(6″-O-galloyl-β-Dglucopyranoside) Pinocembrin-7-O-β-D-glucopyranoside Naringenin-4′-O-βD-glucopyranoside Dihydrokaempferol-7-O-β-D-glucopyranoside Pinocembrin Naringenin Choerospondin Lü et al. 1983 Gambiriin A3 Li and Cui 2014 Table 12.2 contd. .. Choerospondias axillaris (Hog plum) 281 ...Table 12.2 contd. Plant parts Class of compounds Name of compounds Flavonoids and proanthocyanins Gambiriin A1 References Kaempferol Zhang et al. 2013 Kaempf ero1-5-O -arabinoside Khabir et al. 1987 Kaempferol-7-O-glucopyranoside Gao et al. 2017 Chrysin Li et al. 2005 Lü et al. 1983 Quercetin Quercetin-3-O-glucoside Quercetin-3-O-arabinoside Quercetin-3-O-rhamnoside Yang et al. 2016 Quercetin-3- O - (arabinoside - glucoside Rutinum Li et al. 2009b Quercetin-7-O-β-D-glucopyranoside Li and Cui 2014 Dihydroquercetin Lian et al. 2003 Hyperin Lueolin-3’-O-beta-D-glucopyranoside Li et al. 2009b Ellagic acid 3-Methylellagic acid Methyl ellagic acid glucoside Dimethoxy ellagic acid glycoside 3,3’ Di- O- methylellagic acid Ellagic acid Yang et al. 2016 Shen et al. 2009 Sterols β-Sitosterol Zhang et al. 2013 Daucosterol Li et al. 2009b Ursolic acid Yang et al. 2016 Ergosterol Gao et al. 2017 Tetradecyl-E-ferulate Li et al. 2005 Aromatics Dibutyl phthalate Fatty acids Miscellaneous Stem barks Alkenyled bridged-ring ketones Hexadecanoic acid Correctitude forty-two alkyl acid Li et al. 2009b Stearic acid Triacontanoic acid Octacosanol Lian et al. 2003 Zhu et al. 2003 Deoxyuridine Fan et al. 2005 Jatrorrhizine Wang et al. 1983 5-Hydroxymethylfurfural 6-Hydroxy indole lactic acid Scopoletin Yang et al. 2016 Proteases Upadhyay et al. 2013a Upadhyay et al. 2013b Karki et al. 2009 Polysaccharides Wang et al. 2009 Choerosponins A and B Li et al. 2017 282 Wild Plants: The Treasure of Natural Healers Figure 12.1: Organic acids from C. axillaris. Figure 12.2: Phenolic class of compounds from C. axillaris. Choerospondias axillaris (Hog plum) 283 Figure 12.3: Gallic acid derivatives from C. axillaris. Sandalwood can promote the absorption of phenolic compounds in Choerospondias fruit (Liang et al. 2010). Flavonoids and Proanthocyanins The content of proanthocyanins (PAs) in C. axillaris peels is relatively high, with a yield of 17.8 percent. The main phenolic components within the peels are proanthocyanins, which were composed of (+)-catechin, (–)-epicatechin, (–)-epicatechin gallate, and (–)-epigallocatechin and their galloylderivatives. Proanthocyanins, also known as the condensed tannins, are oligomers and polymers of flavan-3-ol that are bound together with B-type and A-type linkages. The mean degree of polymerization (mDP) of the total PAs from C. axillaris peels was 4.61 (Li et al. 2016b). Compositional analysis indicated that the proanthocyanins had extension units mainly 284 Wild Plants: The Treasure of Natural Healers consisting of epicatechin gallate or epicatechin, and terminal units mainly consisting of catechin (Li et al. 2015a). Most of the C. axillaris fruits are peeled when processed as the raw material for the food industry, which leads to a large amount of fruit peel being generated as a by-product. Peels have an astringent taste due to their high PAs content. There is a direct relationship between the bioactivities of PAs and structural factors, such as monomer compositions, the linkage types of the interflavan bonds, degree of polymerization, and galloylation. Numerous studies have reported that the degree of polymerization and galloylation of PAs influence their bioactivities, although these results are often contradictory. MALDI-TOF-MS and HPLC-MS analysis of different fractions of C. axillaris have shown that degree of polymerization upto 14 units and with various gallyol derivatives have been detected (Li et al. 2018). The total flavonoids were always assumed to be the effective constituents for its medicinal use. Quercetin, kaempferol, naringenin, and its derivatives are also present in a significant amount as the flavonoid constituents. Different methods have been applied for extracting flavonoids from C. axillaris (Xu et al. 2013). Active constituents in C. axillaris were extracted using cellulase, with the aim of exploring a more efficient method for extraction of polyphenols from C. axillaris. Enzymatic hydrolysis with cellulase can break down β-D-glucose bonds in plants more gently, damage cell walls, decompose plant tissues, and accelerate the release of active constituents, thereby improving the extraction yield (Sun et al. 2015b). The isolated flavonoids and proanthocyanin (Figures 12.4a–d) compounds are presented in Table 12.2. The in vitro stability, bioaccessibility, and biological activity of PAs from C. axillaris peels were investigated following passage through a simulated gastrointestinal tract. Simulated gastric digestion caused little change in the total phenolic content (TPC) and mean degree of polymerization (mDP) of the extracts. Polyphenols from the C. axillaris peels are relatively stable during passage through a simulated gastrointestinal tract and maintain their biological activities. After the simulated intestinal digestion, the TPC and mDP of both extracts decreased compared to the non-digested initial extracts, which was attributed to polyphenolprotein interactions (Li et al. 2015b). Others Similarly, the ellagic acid and its derivatives (Figure 12.5) have also been reported, such as ellagic acid, 3,3’-di O-methylellagic acid, methylellagic acid, methyl ellagic acid glucoside, dimethoxy ellagic acid glycoside. Sterols (Figure 12.6) reported from C. axillaris are β-sitosterol, daucosterol, ursolic acid, and ergosterol. The aromatic derivatives (Figure 12.7) isolated are tetradecyl-E-ferulate and dibutyl phthalate (Li et al. 2005). Fatty acid derivatives (Figure 12.8) isolated are stearic acid, octacosanol, and triacotanoic acid, etc. 5-Hydroxymethylfurfural, deoxyuridine, jatrorrhizine, scopoletin, and 6-hydroxyindol-3-lactic acid (Figure 12.9) have also been isolated by a different group of researchers. Activity-guided isolation of antitumor compounds from the CHCl3 extract partitioned from the 95% ethanol extract led to isolation of two new cytotoxic alkenyled bridged-ring ketones, namely choerosponins A and B (Figure 12.10). These compounds possess rare dioxatricyclo skeleton (Li et al. 2017). Enzymes and Polysaccharides The protease was extracted from the root of C. axillaris with 0.1 M phosphate buffer of pH 7 and then precipitated successively with TCA and ammonium sulfate (Upadhyay et al. 2013a, b Karki et al. 2009). The water-soluble polysaccharide was extracted by water immersion, ethanol precipitation method preliminarily purified, and precipitated by adding calcium solution under hydrothermal synthesis to form polysaccharide-Ca(II) (Wang et al. 2009). Choerospondias axillaris (Hog plum) 285 a 286 Wild Plants: The Treasure of Natural Healers b Choerospondias axillaris (Hog plum) 287 c d Figure 12.4a-d: Flavonoids and proanthocyanins from C. axillaris. 288 Wild Plants: The Treasure of Natural Healers Figure 12.5: Ellagic acid derivatives of C. axillaris. Figure 12.6: Sterols from C. axillaris. Figure 12.7: Aromatics from C. axillaris. Traditional Uses Choerospondias has been used as traditional Chinese medicine (TCM) to treat cardiovascular diseases for a long time (China Pharmacopoeia Committee 2010). The Guan-Xin-Shu-Tong capsule (GXSTC) is well-known in traditional Chinese medicine, and is used for the treatment of coronary heart disease and angina pectoris, which mainly consists of C. axillaris. Angina pectoris usually happens because one or more of the heart’s arteries is narrowed or blocked, also called ischemia (Gao et al. 2017). Similarly, Guang-Zao-Qi-Wei-Wan (Meng 2012), San-Wei-Guang-Zao capsule (Liga et al. 2002), Guangzaofufang (Li 2009) and GuangZao and RouDouKou (Lu et al. 2018), etc. are used for angina pectoris and coronary heart diseases. Choerospondias axillaris (Hog plum) 289 Figure 12.8: Fatty acids from C. axillaris. Figure 12.9: Miscellaneous class of compounds from C. axillaris. Figure 12.10: New alkenyled bridged-ring ketones from C. axillaris. Several properties, such as treatment of myocardial ischemia, calming nerves, ameliorating blood circulation, and improving microcirculation, have been reported for C. axillaris. C. axillaris is one of the commonly used medicinal materials in Mongolian medicine with the effects of improving Qi and blood circulation, nourishing heart, and tranquilization, and has the functions of treating the stagnation of Qi and blood stasis, the obstruction of Qi in the chest with pain, the shortness of breath, feeling uneasy, and so on. According to preliminary statistics, 101 kinds of medicines for the oral 290 Wild Plants: The Treasure of Natural Healers administration containing C. axillaris were recorded based on Inner Mongolia Medicine Standard (Liu et al. 2013, Shi et al. 1985, Wang and Yang 2004). The medicinal importance of C. axillaris has been mentioned by Labh and Shakya (2016d). The bark has medicinal value for treating secondary burns. The mean healing time was significantly shorter for patients treated with C. axillaris compared to patients treated with saline gauze, and the number of wound infections was significantly lower in the C. axillaris group (Quang 1994, Nguyen et al. 1996). Pharmacology Various reports provide evidence for cardiovascular protective effects of C. axillaris, which have been demonstrated using in vitro and in vivo assays (Tang et al. 2009). These cardiovascular protective effects have been shown using such parameters as anti-arrhythmatic, hypoxic tolerance, myocardial ischemia protection, antioxidative and immune function (Table 12.3). Different other activities are also coupled with cardiovascular protective property, which is described briefly in the following headings. Cardioprotective Properties Myocardial infarction (MI) remains a major cause of morbidity and mortality worldwide. Preventing or even reversing myocardial fibrosis has been a key goal in the prevention and treatment of severe cardiovascular events. Nuclear factor-kappa B (NF-κB) plays a vital role in a variety of physiological and pathological processes, and has been shown to be activated after MI. Activation of NF-κB induces the activation of the genetic program that leads to the transcription of chemokines, cytokines, and matrix metalloproteinases (MMPs), and further promotes inflammatory and fibrotic response that participate in the progression of ventricular remodeling. Total flavonoid of Choerospondias (TFC) significantly improved cardiac dysfunction, the heart coefficient, and myocardial fibrosis in MI rats. TFC also decreased the levels of tumor necrosis factor (TNF-α) and interleukin 6 (IL-6), but increased interleukin 10 (IL-10) content. Moreover, treatment with TFC protected the heart from chronic MI injury by decreasing the expressions of MMP-2, 9, transforming growth factor (TGF-β1), and phosphor IKBα (p-IKBα). The results suggested that TFC attenuated cardiac dysfunction and myocardial interstitial fibrosis by modulating the nuclear factor-kappa B (NF-κB) signaling pathway. TFC could be a promising candidate for therapies against myocardial fibrosis and progression of initiate myocardial injury and dysfunction (Sun et al. 2015a). Acute myocardial infarction (AMI) is the sharp decline in the coronary artery or the interruption of blood supply to a part of the heart, resulting in heart cells to die. The resulting ischemia (restriction in blood supply) and ensuing oxygen shortage induce myocardium infarction or heart damage, and can induce a cascade of events that will paradoxically produce additional myocardial cell dysfunction and cell apoptosis. Inhibiting cardiomyocyte apoptosis and oxidative stress could serve as the basis for the potential development of drugs for ischemic heart diseases. TFC could protect the heart from ischemia/reperfusion (I/R) injury by increasing the levels of catalase, glutathione peroxidase, and superoxide dismutase in hearthomogenate and decreasing that of malondialdehyde level. These beneficial effects were associated with the decrease in TUNEL-positive nuclear staining, Bax and caspase-3 levels, and the increase in Bcl-2 expression and decreased activation of p38 mitogenactivated protein kinase (MAPK) and Jun N-terminal kinase. TFC improved ischemia/reperfusioninduced myocardium impairment via antioxidative and anti-apoptotic activities, and these beneficial effects were intervened by MAPK signaling pathway (Li et al. 2014b, Zhou et al. 1994). Total flavonoids are considered to be the main active constituents responsible for the pharmacological actions of C. axillaris. The content of total flavonoids in C. axillaris is comparatively low, whereas the contents of total organic acids are in significant amounts, up to 8.13 percent. Thus, protective effects of two organic acids, citric acid, and L-malic acid, which are the main components of C. axillaris, were investigated on myocardial ischemia/reperfusion injury and the underlying Choerospondias axillaris (Hog plum) 291 mechanisms. The in vivo results showed that citric acid and L-malic acid have protective effects on myocardial ischemia/reperfusion injury by anti-inflammatory, antiplatelet aggregation, and direct cardiomyocyte protective effects. In vitro experiments revealed that both citric acid and L-malic acid significantly reduced LDH release, decreased apoptotic rate, downregulated the expression of cleaved caspase-3, and upregulated the expression of phosphorylated Akt in primary neonatal rat cardiomyocytes subjected to hypoxia/reoxygenation injury. These results suggest that both citric acid and L-malic acid have protective effects on myocardial ischemia/reperfusion injury (Tang et al. 2013). In an experiment, the myocardial ischemia was induced by isoproteronol in the rat. The prophylactically intragastrical administration of TFC at the dose of 200 mg/kg body weight effectively suppressed the variation of J points in electrocardiogram and inhibited the upregulated serum level of creatine kinase, creatine kinase-MB, and lactate dehydrogenase in myocardial ischemia, revealing its cardioprotective effect. Part of its cardioprotective mechanism may relate to the induction of TGF-β1 to competitively inhibit NF-κB signaling pathway. TGF-β1, a multifunctional polypeptide, is believed to influence cardiac development and function. Preventive treatment with TFC significantly increased TGF-β1, TβRI, and TβRII mRNA. Prophylactically exogenous administration with the C. axillaris component may serve as a novel therapeutic strategy for ischemic cardiovascular diseases (Ao et al. 2007, Li 1985, Dai et al. 1992). TFC can protect the heart and liver by maintaining the integrity of the structure and function of cytomembrane, scavenging free radicals, enhancing activity of antioxidation enzyme, inhibiting lipid peroxidation. By producing free radicals from adriamycin, it injures the rat’s heart and liver in vivo. The activity of antioxidant enzymes superoxide dismutase (SOD), phospholipid hydroperoxide glutathione peroxidase (GSH-Px) in rat cardiac muscle and liver is lower in adriamycin groups than the control group, and content of malonaldehyde (MDA) is higher. After added TFC in the system, activity of SOD, GSH-Px goes up, and content of MDA falls (Bagenna et al. 2002). In another experiment, adriamycin-induced rat cardiac peroxidation, activity of lactate dehydrogenase (LDH), aspartate aminotransferase (AST), creatine kinase (CK) in serum, and content of MDA in cardiac muscle decreased, activities of SODand GSH-Px in cardiac muscle increased, and activities of LDH and content of MDA in cultured fluid decreased. These results showed that TFC has a cardiac muscle protecting effect (Zhang et al. 2001). TFC may improve heart function in hypoxic conditions. The heart rate and the amplitude of cardiac contraction and electrocardiogram were measured by polygraph in the isolated perfused rat heart of Langendorff. It decreases the heart rate and the amplitude of cardiac contraction caused by perfusing with a hypoxic solution (Yang et al. 2000). Antiarrhythmic Lapsi fruit is commonly used for the treatment of cardiovascular diseases in Vietnam, Mongolia, and China. The maintenance of balanced ion channels in cardiac myocytes is essential for normal cardiac functions. If the balance among ion channels is disturbed under pathological conditions, consequently induced arrhythmia develops. Drugs that acted to restore normal balance in ion channels produced an effective antiarrhythmic effect. The arrhythmogenic effects of aconitine include various ventricular rhythm disorders. Total flavones derived from C. axillaris folium produced antiarrhythmic effects using a rat model of aconitine-induced arrhythmia. With respect to hemodynamics, high-dose TFC were effective in reducing heart rate (HR) without associated changes in blood pressure (BP) in all groups. TFC decreased left ventricular systolic pressure and maximal velocity rate of ventricular pressure with no marked effect on left ventricular end-diastolic pressure. It is worth noting that TFC produced actions equivalent to those of verapamil, a standard therapeutic drug used currently (Qiu et al. 2016). The alcoholic extract has inhibitive effects in arrhythmia induced by aconitine, ouabain, and myocardial ischemia (Zhang et al. 2013). Activities Assays Results References Cardioprotective properties Blood samples were collected to determine tumor necrosis factor-α (TNF-α) and interleukin 6, 10 (IL-6, IL-10) levels. Expressions of matrix metalloproteinases-2, 9, phosphor-IKBα (p-IKBα) and transforming growth factor- β1 (TGF-β1) were assayed by Western blot Block of NF-κB signaling pathway, resulting in the inhibition of MMPs levels, and p-IKBα and TGF-β1 express ions Sun et al. 2015a Total flavonoid AMI rat model was used to assess the cardioprotective effects of TFC on hemodynamics and histopathological changes, and focused on the correlate to oxidative damage and cell apoptosis Increase the levels of catalase, glutathione peroxidase and superoxide dismutase in heart homogenate, and decrease that of malondialdehyde level. Decrease in TUNEL-positive nuclear staining, Bax and caspase-3 levels, and the increase in Bcl-2 expression decreased activation of p38 mitogen-activated protein kinase (MAPK) and Jun N-terminal kinase Li et al. 2014b Malic and citric acid In vivo and in vitro experiments rat model of myocardial ischemia/reperfusion injury Significantly reduced myocardial infarct size, serum levels of TNF-α, and inhibited ADP-induced platelet aggregation Significantly reduced LDH release, decreased apoptotic rate, downregulated the expression of cleaved caspase-3, and upregulated the expression of phosphorylated Akt in primary neonatal rat cardiomyocytes subjected to hypoxia/ reoxygenation injury Tang et al. 2013 TFC Effect on myocardial ischemia induced by isoproteronol in rat Cardioprotective effect during ischemia injury by inhibiting the variation of J point in ECG and in preventing the increase in serum CK, CK-MB and LDH level. Ao et al. 2007 Reverse transcriptase-polymerase chain reaction (RT-PCR) methods for expression of transforming growth factor β1 Significantly increased TGF-β1, TβRIand TβRII mRNA levels, Adriamycin-induced peroxidation model on rat Activity of SOD, GSH-PX goes up, and content of MDA falls gradually Bagenna et al. 2002 Adriamycin-induced peroxidation model on rat Activity of LDH, AST, CK in serum and content of MDA in cardiac muscle decreased; activities of SOD and GSH-Px in cardiac muscle increased; activities of LDH and content of MDA in cultured fluid decreased Zhang et al. 2001 Measured by polygraph in the isolated perfused rat heart of Langendorff Decrease of the heart rate and the amplitude of cardiac contraction caused by perfusing with a hypoxic solution Yang et al. 2000 Plant parts/ constituents TFC TFC 292 Wild Plants: The Treasure of Natural Healers Table 12.3: Pharmacological activities of C. axillaris. Total flavonoid Antiarrhythmic actions Inhibition of ventricular contraction without altering ventricular diastolic function Qiu et al. 2016 Inhibitive effects in arrhythmia induced by aconitine, ouabain and myocardial ischemia Zhang et al. 2013 Resisted the occurrence of arrhythmias induced by aconitine, ouabain and ligation of coronary artery Altered the time of ventricular ectopic beats, ventricular tachycardia, ventricular fibrillation and heart arrest Yang et al. 2008 Langendorff perfuse applied on the isolated cardiac function Slowed the heart rate and don’t affect the myocardial contraction Wang et al. 2005b Resisted the occurrence of arrhythmias induced by aconitine Wang et al. 2005a Counteracted significantly the arrhythmia caused by perfusing with an anoxic solution Xu et al. 2001 Counteracted the atrial fibrillation induced by I.V. CaCl2ACh in mice Li et al. 1984 Antiarrhythmic effects using a rat model of aconitine-induced arrhythmia Arrhythmia induced by I.V. aconitine in anesthetized rats was markedly retarded Elevated the doses of I.V. ouabain to induce VP, VT, VF, and HS in anesthetized guinea pigs Adrenaline induced arrhythmia in conscious rabbits was reduced Yang et al 2004 L-type Ca2+ current and transient outward K+ were recorded by pach-clamp whole cell recording technique L-type Ca2+ current had not markedly changed transient outward K+ was markedly inhibited Intracellular free Ca2+ was measured by calcium fluorescent probe Fluo-3/AM and laser confocal microscope Intracellular free Ca2+ of resting phase and systole phase was decreased Table 12.3 contd. ... Choerospondias axillaris (Hog plum) 293 Arrhythmia induced by I.V. BaCl2 13 mg/kg in rats was immediately recovered to a normal sinus rhythm Plant parts/ constituents Activities Assays Results References Proanthocyanin Anticancer activity Caco-2 cell viability test Induced morphological changes of Caco-2 cells in a dose-dependent manner Li et al. 2018 Inhibition of HepG2 and Caco-2 cancer cell proliferation Reduced in number and appeared to be less dense. Exhibited the cell shrinkage, aggregation and partial detachment Li et al. 2016a Inhibit angiotensin II-induced proliferation of cardiac fibroblasts Proliferation of TFC-treated fibroblasts was significantly less Lei et al. 2015 Total flavonoid Inhibitory effects were partly blocked by pretreatment with NG-nitro-L-arginine methyl ester (L-NAME) and 1H-[1,2,4]-oxadiazole[4,3-a]-quinoxalin-1-one (ODQ) Inhibited collagen synthesis induced by angiotensin II in cardiac fibroblasts Yang et al. 2012 Gambiriin A3 and gambiriin A1 Proliferation-inhibiting effect on K562 were evaluated by the MTT method Inflated cell membranes and cell content leakage Li and Cui. 2014 Li et al. 2009a Pinocembrin, Naringenin Inhibited the proliferation of human cancer HCT-15 and HeLa cells Inhibited the cell cycle of tsFT210 cells at the G_2/M phase Li et al. 2005 Proanthocyanidins Antiangiogenic effects using HUVECs in vitro, and zebrafish embryo angiogenesis model in vivo Attenuated the phosphorylation of Akt, ERK, and p38MAPK dose-dependently in endothelial cells from human umbilical veins Li et al. 2016c Choerosponins A and B Flow cytometry and SRB methods were employed against tsFT210, HCT-15, HeLa, A2780 and MCF-7 cell lines Showed strong cytotoxicity Li et al. 2017 In vitro differentiation of human umbilical cord blood stem cells Promote in vitro proliferation of hUCBSCs Sa et al. 2010 294 Wild Plants: The Treasure of Natural Healers ...Table 12.3 contd. Flavan-3-ol monomers, procyanidins Proanthocyanins Antioxidant activity DPPH scavenging activity phosphomolybdenum assay FRAP assay Antioxidant activity of peel was significantly higher than that of flesh Li et al. 2016b DPPH scavenging activity Ethanolic extract scavenged more than aqueous extract Labh et al. 2015 DPPH, ABTS radical scavenging activity, ferric-reducing antioxidant power, and phosphomolybdate assay Cellular antioxidant activity PBS wash protocol/no PBS wash protocol Positive correlation existed between activity and the total phenolics contents Li et al. 2016b In cellular-based method, activity increased as their molecular weight decreased Significant antioxidant activity Chalise et al. 2010 Tested in vitro by using pyrogallol autoxidation method, potassium ferricyanide reduction method and Fenton method Crude extracts had strong capacity to scavenge both ·OH and O–2·,while the ion exchange chromatography extracts had strong scavenging capability of ·OH, but weak capacity to scavenge O–2. Di et al. 2010 Scavenging effects on active oxygen species Scavenge active oxygen efficiently Wang et al. 2008b In vivo D-galactose induced mouse aging model Inhibited D-galactose induced oxidative damage Wang et al. 2008a Scavenging effects on the superoxide anions High antioxidant effect RBC’s oxidate injury TFFC inhibited RBC’S self oxidation and cultivated oxidation, protected hemoglobin, inhibited the formation of LPO and green pigments Wu et al. 2002 Table 12.3 contd. ... Choerospondias axillaris (Hog plum) 295 DPPH assay Plant parts/ constituents Total flavonoid Activities Assays Results References Immunological Effects Carbon clearance method, cutaneous delayed hypersensitivity reaction method, serum hemolysin method, and index of immune organs Enhance the phagocytic function of mononuclear macrophage and the cutaneous delayed hypersensitivity reaction of mice, and increase the content of hemolysin antibody and the thymus index in mice Liu et al. 2013 Hou et al. 1998 Immunity and survival of juvenile tilapia (Oreochromis niloticus Significant improvement offeed conversion ratio, protein digestibility and energy retention in tilapia. Decreased AST and ALT activity in both liver and muscle activity Labh et al. 2017 Respiratory burst activity Elevated phagocytic Survival, growth and protein profile of common carp Cyprinus carpio fingerlings Increased in weight gain, SGR, total protein Labh and Shakya 2016a Survival, growth and hepatic enzyme activities in Cyprinus carpio fingerlings Significant decreasing trend in SGOT, SGPT and ALP Labh and Shakya 2016b Effect of higher levels of dietary vitamin C on growth and protein levels in the brain and liver of common carp Higher weight gain and specific growth rate Concentrations of vitamin C was found higher in liver as compared to brain. Labh and Shakya 2016c Immunologic function and sports endurance of mice Significantly differences in antihypoxic effect, weightcarrying swimming time, biochemical index of blood serum and immunologic index for experimental mouse Deng and Ji 2002 Cells of apoptosis were observed with microscope for counting the proportion of apoptosis Adenine deaminase defficiency activity was detected with spectrophotometer Inhibit dexamethason induced thymocyte apoptosis Li et al. 1998 TFC also could facilitate the restoration of ADA activation TFC strengthened functions of cellular immunity and humoral immunity in normal mice as well as in immunodepressed mice induced by cyclophosphamide Wang et al. 1991 296 Wild Plants: The Treasure of Natural Healers ...Table 12.3 contd. Antibacterial gambiriin A1 (+)-catechin (6′-8) (+)-catechin Agar diffusion test Inhibit Gram-positive S. aureus and B. subtilis bacteria and Gram-negative E. coli bacteria Li et al. 2016a Paper disc method Inhibited the growth of Staphylococcus aureus ATCC6538 Li and Cui 2014 Inhibition effects on gram positive bacteria than Gramnegative bacteria. Xu et al. 2013 Antidiabetic activity Inhibitory effects on α-amylase and α-glucosidase Inhibition of α-amylase and α-glucosidase by PAs occurred in a dose-dependent manner Li et al 2015a Flavonoids Anti-hypoxia activities MTT assay Cell viabilities of ECV304 cells and PC12 cells increased Li and Cui. 2014 Li et al. 2009a MTT Assay Protective effects on anoxia-induced injury in cultured ECV304 and PC12 cells Li et al. 2014a Protection of injured neuron Detected by MTT method Improve the activity of injured neuron decrease the extraction of lactate dehydrogenase (LDH) released by injured neuron Guo et al. 2007 Treatment of renal calculus Determination of concentration of calcium and oxalate in mice fed with 1% ethylene alcohol and 1α (OH)VitD3 Inhibit renal calculus Yang et al. 2010 Antiviral effect Anti-Coxsackievirus B_3 effects by Cell-based viral myocardial model Significantly inhibit CVB_3viral reproduction, decrease release of LDH and CK-MB and suppress secretion of TNF-α from cardiomyocytes infected by CVB_3 Liu et al. 2007 Galloyal derivatives Anti-herpes simplex virus activities by plaque reduction assay using Exhibited appreciable inhibitory activities against HSV-1 Vero cells Jo et al. 2005 Choerospondias axillaris (Hog plum) 297 Proanthocyanins 298 Wild Plants: The Treasure of Natural Healers Aconitine was used to induce arrhythmia in the rats, ouabain was used to induce arrhythmia in guinea pigs, and arrhythmia was induced by ligation of coronary artery in the rats. C. axillaris extract significantly prolonged the lasting time of ventricular ectopic beats, ventricular tachycardia, ventricular fibrillation, and heart arrest induced by using aconitine in the rats. Similarly, the extract significantly prolonged the lasting time of arrhythmias induced by using ouabain in guinea pigs. The extract greatly reduced ectopic beats, delayed the beginning time of arrhythmias, shortened the persisting time of ventricular tachycardia, and decreased the frequency of ventricular fibrillation in the rats of ligation of coronary artery (Yang et al. 2008). Langendorff perfuse is a predominant in vitro technique used for examination of cardiac contractile strength and heart rate. Langendorff perfuse was applied in the experiment to observe the influence of the three flavone ingredients in C. axillaris on the isolated cardiac function, and the flavone ingredient slowed the heart rate and didn’t affect the myocardial contraction. The flavones resisted the occurrence of arrhythmias induced by aconitine by concentration-dependent ways (Wang et al. 2005b). TFC significantly counteracted the arrhythmia caused by perfusing with an anoxic solution. TFC markedly prolonged arrhythmia appearance time, and evidently decreased the frequency of arrhythmia and cardiac arrest. TFC also markedly increased ventricular fibrillation threshold, and showed a good dose-effect and time-effect relation (Xu et al. 2001). Total flavones have anti-arrhythmic properties. Arrhythmia induced by CaCl2-ACh (acetylcholine), ovabain, adrenaline, BaCl2, and aconitine was markedly retarded. The action of intravenous (I.V.) TF against arrhythmia was more remarkable than that of diphenylhydantoin, propranolol, and lidocaine (Li et al. 1984). The actions of anti-arrhythmia and anti-myocardia-ischemia are concerned with the L-type Ca 2+ current, transient outward K+ and intracellular free Ca of ventricular myocytes in rats. TFC could markedly prolongate the action potential phase because of the reduction of transient outward K+, but TFC has no effect on L-type Ca 2+ current. TFC also could markedly decrease intracellular free Ca 2+ of resting phase and systole phase in myocardia cells (Yang et al. 2004). Anticancer Activity C. axillaris peel is a potential source of natural chemopreventive agents for the treatment of cancer. When proanthocyanin (PAs) fractions isolated from C. axillaris fruit peels with a different mean degree of polymerization (mDP) were investigated for antiproliferative effects on Caco-2 cells, the results indicated that proanthocyanidin fractions induced dose and time-dependent reductions of Caco-2 cell viability. There was a positive correlation between the degree of polymerization and galloylation of the PAs and their antiproliferative activity in vitro. The observed reduction in Caco2 cell viability was due to apoptosis via the activation of caspase-9, caspase-3, caspase-8, and the elevation of intracellular ROS generation (Li et al. 2018). Both peel and flesh polyphenolic extracts from C. axillaris fruit possessed antiproliferative properties on cancer cells, with the effects of peel being superior to those of flesh. Phenolic extracts inhibited the growth of HepG2 and Caco-2 cells in a dose- and time-dependent manner (Li et al. 2016a). The proliferation of cardiac fibroblasts and the accumulation of excessive amounts of proteins in the extracellular matrix are the basic pathologic processes of myocardial fibrosis. Furthermore, Angiotensin (Ang II) activates a series of signaling molecules to induce cardiac fibrosis. Total flavonoid of C. axillaris inhibited angiotensin II-induced proliferation of cardiac fibroblasts via a mechanism that probably involves activation of the NO-cyclic guanosine monophosphate signaling pathway (Lei et al. 2015, Bao et al. 2014). Collagen types I and III are the major fibrillar collagens that comprise approximately 80% and 10% of the extracellular matrix. TFC inhibited collagen synthesis in cardiac fibroblasts in a dose-dependent manner, and the inhibitory effects were blocked by pretreatment with NG-nitro-L-arginine methyl ester (L-NAME) and 1H-[1,2,4]-oxadiazole-[4,3-a]-quinoxalin1-one (ODQ). The inhibitory effect might associate with the activation of the NO/cGMP signaling pathway (Yang et al. 2012). The proliferation-inhibiting effect on human myeloid leukemia (K562) Choerospondias axillaris (Hog plum) 299 cells of compounds was detected by an MTT assay. Compounds gambiriin A3 and gambiriin A1 had apparent cytotoxicity on K562 cells. The morphology of the cells treated with compounds showed inflated cell membranes and cell content leakage, and thus had apparent cytotoxicity on K562 cells (Li and Cui 2014, Li et al. 2014a). The production of new capillaries (angiogenesis) is critical for tumor growth and metastasis. Angiogenesis involves a number of highly coordinated processes, such as endothelial cell proliferation, migration, tubule formation, and remodeling. The coordinated activation of numerous signaling pathways is necessary during angiogenesis, such as the PI3K/Akt and MAPK/ERK/p38MAPK signaling pathways. The antiangiogenic effect of PAs extract was demonstrated by the inhibition of migration of human umbilical vein endothelial cells (HUVECs) and tube formation. The origin of inhibition was attributed to a reduction in ROS production and to inhibition of the activation of MAPK/ERK/ p38MAPK and PI3K/Akt signaling pathways. The antiangiogenic effect of PAs was also seen in an in vivo zebrafish model (Li et al. 2016c). Human umbilical cord blood stem cells have been widely used in the study of spinal cord injury. In Mongalian medicine, C. axillaris fruit extract could promote in vitro proliferation of human umbilical cord blood stem cells (Sa et al. 2010). Flow cytometry and sulforhodamine B (SRB) methods were employed to evaluate the antitumor activity of the compounds. In SRB assay, the compounds inhibited the proliferation of human cancer HCT-15 and HeLa cells. Flow cytometric analysis indicated that compounds pinocembrin and naringenin slightly inhibited the cell cycle of tsFT210 cells at the G2/M phase at higher concentrations, while dibutyl phthalate showed strong cytotoxicity at a higher concentration, but at a lower concentration, inhibited the cell cycle at the G0/G1 phase (Li et al. 2005). Antioxidant The oxidative damage caused by reactive oxygen species (ROS), such as the superoxide radical and hydroxyl radicals, on lipids, proteins, and nucleic acids may trigger various diseases, including cardiovascular disease. Epidemiological studies have shown that the administration of antioxidants may decrease the probability of cardiovascular diseases. C. axillaris fruit extracts have excellent antioxidant activity. PAs fractions from C. axillaris peels were obtained by solvent extraction and further fractionated on size-exclusion gel column chromatography. The total phenolics contents of the five collected fractions were determined, and their antioxidant activities were evaluated by both chemical-based methods (DPPH, ABTS, FRAP, PM) and a cellular antioxidant assay. Each fraction exhibited potent antioxidant activity in a dose-dependent manner as determined by chemical-based methods. A significant positive correlation existed between the total phenolics contents of all fractions and reducing powder. However, the antioxidant activity of the PAs determined by the cellular-based method increased as their molecular weight decreased, which was not consistent with the results observed in the chemical-based methods (Li et al. 2016b). When the antioxidant activity was evaluated by DPPH radical scavenging, phosphomolybdenum assay, and FRAP assay, the peel had higher radicalscavenging activity than the flesh. UPLC/ESI-QTOF-MS analysis revealed that flavan-3-ol monomer and oligomeric procyanidins were the most abundant compounds in peel and flesh. The peel has more flavan-3-ol monomers and procyanidins than the flesh. Thus, the antioxidant potential was dependent on the contents of flavan-3-nol monomers and procyanidins, and there is a dose-dependent relation between antioxidant effect and the contents of flavan-3-ol monomers and procyanidins (Li et al. 2016b). During another antioxidant study, the ethanolic extract has shown greater DPPH antioxidant activity than aqueous extract (Labh et al. 2015). The antioxidant activities of each extract from Mongolian medicine C. axillaris fruit were tested in vitro by using pyrogallol autoxidation method, potassium ferricyanide reduction method, and Fenton method. The crude extracts and ion exchange 300 Wild Plants: The Treasure of Natural Healers chromatography extracts exhibited antioxidant activity by different mechanisms (Di et al. 2010). Among the 15 edible wild fruits of Nepal studied by Chalise, the antioxidant activities have shown a direct correlation with the total phenolic content (TPC). Antioxidants and polyphenols rich fruits are used as a part of their culture and C. axillaries also showed significant antioxidant activity (Chalise et al. 2010). Scavenging effects of Choerospondias on active oxygen species was studied by Wang et al., and they found that Choerospondias could scavenge active oxygen efficiently (Wang et al. 2008b). Rodents injected with D-galactose display symptoms that resemble accelerated aging. The long-term administration of galactose induced changes in these redox-related biomarkers in mice, including decrease in SOD, GSH-Px activities, and GSH levels, as well as increase of the MDA level. C. axillaries could increase the activity of SOD and decrease the level of MDA. Thus, the intragastric administration of the extract inhibited D-galactose induced oxidative damage. For its in vitro scavenging effects on the superoxide anions, DPPH, H2O2, OH–, the reducing power, and Fe2+ – chelating ability, as well as the inhibition of lipid peroxidation was also evaluated, and showed a high antioxidant effect (Wang et al. 2008a). During RBC’s oxidate injury study, TFC inhibited RBC’s self oxidation and cultivated oxidation, protected hemoglobin, and inhibited the formation of lipid peroxidation (LPO) and green pigments (Wu et al. 2002). Immunological Effects In the development of aquaculture, the main concern is the control of infectious diseases and maintenance of the health of cultured fish. Immune-protection by dietary manipulation has emerged as an important area of research. The feeding trial with different concentration of lapsi fruit extract (LFE) in fingerlings of O. niloticus, resulted in improvement in the growth, heamato-immunological responses, and protected the animals against Aeromonashydrophila infection at 0.2% LFE, while a higher dose of LFE incorporation led to stress and immunosuppression (Labh et al. 2017). When experiments were conducted to study the effects of lapsi on some hematological parameters of common carp Cyprinuscarpio fingerlings, a minimum amount 0.4 g kg–1 of lapsi fruit extracts in fish feeds elicited a higher increase in hematological parameters of common carp (Labh and Shakya 2016a). In an experiment, carp were fed with basal diet containing 40% protein supplemented with ethanol extract of lapsi fruit at 0, 0.1, 0.2, 0.4, 0.8, and 1.6 g kg–1 at the rate of 3% of their body weight twice daily for 70 days. The minimum amount of 0.4 g lapsi fruit extracts per kg is sufficient to be added to a diet for good serum enzyme levels and growth performances of common carp (Labh and Shakya 2016b). To examine the effect of higher levels of dietary vitamin C on growth and protein levels in the brain and liver of common carp, Cyprinuscarpio was supplemented in the diets through lapsi fruits. Fish fed with a diet supplemented with lapsi fruits showed higher weight gain and specific growth rate (Labh and Shakya 2016c). The study of the mononuclear phagocyte system, thymus, and serum hemolysin gives information about the immunity system. The mononuclear phagocyte system has phagocytosis and bactericidal action and antitumor effects. The thymus is the central immune organ for the differentiation and maturation of T lymphocytes. Serum hemolysin is a sensitive marker to reflect and test the humoral immune function. TFC may influence cellular immunity and humoralimmunity by enhancing the phagocytic function of mononuclear macrophage. TFC may enhance cellular immunity and increase the thymus weight. TFC increased the content of serum hemolysin in normal mice and the antibody titer induced by contact again antigen, indicating that TFC could enhance humoral immunity, relating to IgM and IgG. Thus, TFC could improve the celiac macrophage activity and specific immunity of mice (Liu et al. 2013). C. axillaries could enhance cellular, humoral immune function, and sports endurance of mice (Deng and Ji 2002). Dexamethason induces immunodeficiency in the patients who take it for a long time due to thymus atrophy, and as a result, thymocyte apoptosis as well as adenine deaminase deficiency activity Choerospondias axillaris (Hog plum) 301 is lowered. TFC can promote the immune responses of the body, which provides powerful evidence for the treatment of immunodeficiency. TFC could inhibit dexamethason induced thymocyte apoptosis and promote proliferation differentiation of the thymocytes in different periods. TFC could also facilitate the restoration of adenine deaminase activation of the thymocytes in the thymus atrophy mice (Li et al. 1998). TFC markedly strengthened functions of cellular immunity and humoral immunity in normal mice, as well as in immune depressed mice induced by cyclophosphamide. TFC caused a significant increase of the weights of spleen and thymus and the production of serum hemolysin in normal and immune depressed mice. TFC elevated normal titer of antibody induced by secondary antigen stimulation, and increased alfa-naphthyl acetate esterase ANAE (+) cell percentage of lymphocyte and phagocytic activity of macrophages of the abdominal cavity in normal and immune depressed mice (Wang et al. 1991). Antibacterial In the agar diffusion test, peel phenols (PP) exhibited a higher antibacterial potential than flesh phenol (FP). PP showed a significantly higher antimicrobial effect against Gram-positive S. aureus and B. subtilis bacteria, and somewhat weaker against Gram-negative E. coli bacteria in a dose-dependent manner. In the case of S. typhimurium and L. monocytogenes, no inhibition was obtained (Li et al. 2016a). In another experiment done by disc method, gambiriin A1(+)-catechin (6′-8) (+)-catechin isolated from C. axillaries inhibited the growth of Staphylococcus aureus ATCC6538 (Li and Cui 2014, Li et al. 2014a). When bacteriostatic activities of the extracts on foodborne pathogen were investigated, the extracts had better inhibition effects on Gram-positive bacteria than Gram-negative bacteria (Xu et al. 2013). Inhibitory Effects on α-amylase and α-glucosidase Bioactive proanthocyanins were isolated from the peel of C. axillaris fruit, which is a waste product of the food processing industry. Inhibition of enzymes capable of digesting carbohydrates within the human gastrointestinal tract (GIT), such as α-amylase and α-glucosidase, may be an effective therapeutic tool for the prevention or treatment of type 2 diabetes. The inhibition of α-amylase and α-glucosidase by PAs occurred in a dose-dependent manner. Furthermore, there was a close relationship between the ability of the PAs to inhibit α-amylase and α-glucosidase, and their degree of polymerization and galloylation (Li et al. 2015a). Anti-hypoxia activities Hypoxia is a deficiency in the amount of oxygen reaching the tissues. Anti-hypoxia activity was tested by the MTT method. Cell viabilities of ECV304 cells and PC12 cells, two cell lines treated with isolated compounds, notably increased, which suggested that the compounds exhibited good anti-hypoxia activities (Li and Cui 2014, Li et al. 2009a). In another similar type of experiment, glycol derivatives showed protective effects on anoxia-induced injury in cultured ECY304 and PC12 cells (Li et al 2014a). Protection of Injured Neuron Experiment on rat cultured cortex neuron injury induced by Serum-Free DMEM and effects of astrocytes culture stimulated showed that C. axillaris significantly improves the activity of injured neurons detected by MTT method, and decreases the extraction of lactatedehydrogenase (LDH) released by injured neuron (Guo et al. 2007). 302 Wild Plants: The Treasure of Natural Healers Treatment of Renal Calculus Mice were fed with 1% ethylene alcohol and 1α(OH)VitD3 to cause renal calculus. The concentrations of calcium and oxalate acid in urine and kidney were determined in mice to evaluate the effects of C. axillaris. C. axillaris demonstrated a decrease in the concentration of oxalic acid and calcium in urine and kidney (Yang et al. 2010). Anti-Coxsackievirus B_3 effects The cell-based viral myocardial model was established using Coxsackievirus B (CVB_3) to infect cardiomyocytes. The protection effects of TFC on virus-infected Hela cells and cardiomyocytes were detected by MTT assays. TFC could protect Hela cells and cardiomyocytes from CVB_3. TFC at high and middle dosages can significantly inhibit viral reproduction, decrease the release of LDH and CK-MB, and suppress secretion of TNF-α from cardiomyocytes infected by CVB_3 (Liu et al. 2007). Anti-herpes Simplex Virus Activities Mice were infected cutaneously with an anti-herpes simplex virus (HSV-1), and the extracts were orally administrated three times daily. When extracts were screened for HSV-1 activity determined by using a plaque reduction assay using Vero cells, methanol extracts of C. axillaries showed therapeutic effects (Jo et al. 2005). Conclusion C. axillaris is a potential agroforestry tree species for domestication for a human nutrient supplementation and income generation. There is an incredible market opportunity for processed lapsi products, and further research should be carried out to increase the efficiency of processing and domesticating techniques based on local knowledge and skills. The multiple health benefits of C axillaris should be enough to tap its potential benefits. Scientific research demonstrated by usage in vitro and in vivo provides evidence for cardioprotective effects and other health-promoting effects, and further research should be done to validate its claimed medicinal properties. Comprehensive information on the chemical compositions and bioactivities of this plant are lacking, and in this situation, a compilation of cumulative research efforts is attempted for knowledge sharing on C. axillaris. References Ao, J., Feng, H., Xia, F. 2007. Transforming growth factor and nuclear factor Kappa B mediated prophylactic cardioprotection by total flavonoids of fructusChoroespondiatis in myocardial ischemia. Cardiovasc. 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Zhou, D.M., Zhu, G.Q., Wu, S.Y., Wu, Y.F., Hu, H.J., Ye, C.W. 1997. Preliminary report on tree species selection for the cultivation of Lentinusedodes. J. Zhejiang For. Sci. Tech. 17(1): 18–23. Zhu, L., Chengzhong, Z., Chong, L., Yawei, Z. 2003. Studies on chemical constituents of Choerospondias axillaris. J. Chin. Med. Mater. 1. 13 Artemisia Species Medicinal Values with Potential Therapeutic Uses Suroowan Shanoo, Jugreet B. Sharmeen and Mahomoodally M. Fawzi* Introduction Artemisia is one of the largest heterogeneous genus of the plant species and an important member of the Asteraceae (Koul et al. 2018). It occurs well in temperate regions of the globe, such as in Asia, Africa, Australia, China, Europe, India, Iran, Japan, North America (Canada, Mexico, and the United States), and Turkey with around 500 known species (Koul et al. 2018, Watson et al. 2002, Liu et al. 2009). The origin of the name Artemisia can be traced back from the ancient Greek word “Artemis” which means goddess, and “absinthium” which relates to unenjoyable or without sweetness. Generally, Artemisia is known as “Worm wood”, as it is traditionally employed to treat intestinal worms. Other common names of the genus include “Mug word”, “Sagebrush”, or “Tarragon” (Obistioiu et al. 2014, Tajadod et al. 2012). Most Artemisia species occur as annual, herbaceous, ornamental, aromatic, biannual, medicinal, perennial plants or shrubs (Abad et al. 2012). Their colors range from blue-green, dark green, as well as silver green, with a bitter taste and pungent smell, given the biosynthesis of terpenoids and sesquiterpene lactones as part of the plant’s metabolism. In general, their morphological characteristics include an alternate leaf with a small capitula and tubular florets, obovoid achenes with an absent pappus, or in some species a small scarious ring occurs (Heywood et al. 1977, Mucciarelli and Maffei 2002). Traditionally, several species of the Artemisia are cultivated as crops, which are subsequently prepared as tonics, teas, and medicinal potions (Koul et al. 2018). In this advent, the most medicinally employed and scientifically investigated species around the world include Artemisia absinthium, A. annua, A. afra, A. arborescens, A. capillaris, A. arboratum, A. asiatica, A. douglasiana, A. dracunculus, A. indica, A. japonica, A. judaica, A. tripartite, A. verlotiorum, A. vestita, and A. vulgaris (Bora and Sharma 2011). Indeed, these species are rich in a panoply of secondary metabolites, such as acetylenes, caffeoylquinic acids, coumarins, flavonoids, sterols, and terpenoids, among others. Artemisia species are also profuse in volatile phyto-constituents, which constitute a fountain of treasured pharmacologically active compounds. The most common essential oils emanating from the genus Department of Health Sciences, Faculty of Science, University of Mauritius, Réduit, Mauritius. * Corresponding author: f.mahomoodally@uom.ac.mu Artemisia Species 309 include cadinene, phellandrene, pinene, thuiyl alcohol, and thujone (Koul et al. 2018, Watson et al. 2002, Liu et al. 2009, Bora and Sharma 2011). The biological activities of these essential oils are diverse, ranging from being acaricidal, anti: arthritis, cancer, convulsant, diabetic, fertility, fungal, herpes virus, hyperlipidemic, hypertensive, malaria, migraine, oxidant, parasitic, pyretic, rheumatic, spasmodic, tumor, viral, hepato, and neuro protective. They are also abortifacient, analgesic, choleretic, urine stimulant, and an antidote against insect poisoning (Rajeshkumar and Hosagoudar 2012, Mojarrab et al. 2016, Taherkhani 2014, Tariku et al. 2010). Given the profuse number of members in the Artemisia genus and the panoply of pharmacologically active secondary metabolites they biosynthesize, it is worth highlighting in a single documentation the ethno-pharmacological, phytochemical, and therapeutic potential of the most affluent species. Essential Oils and Artemisia Species Essential oils (EOs) are colorless liquids composed mostly of volatile and aromatic compounds present naturally in all parts of the plants, including bark, flowers, peel, seeds, stem, and the whole plant (Sánchez-González et al. 2011). EOs are secondary metabolites which are important as a part of plants’ defence mechanism, thus having various medicinal properties in addition to antimicrobial properties (Tajkarimi et al. 2010). Furthermore, as potent free radical scavengers, they play an imperative role in the prevention of diseases arising from cellular damage due to free radicals, such as cancer, brain dysfunction, decline in immune system, and cardiovascular diseases (Aruoma 1998, Kamatou and Viljoen 2010). Their significance in aromatherapy has also been highlighted as therapeutic agents (Ali et al. 2015). In addition, the antiviral, antidiabetic, anti-inflammatory, antispasmodic, as well as hepatoprotective and antiallergic properties of EOs have been revealed by several studies (Özbek et al. 2003, Pérez et al. 2011, Mitoshi et al. 2014, Gavanji et al. 2015, Al-Hajj et al. 2016, MoralesLópez et al. 2017, Guo et al. 2018, Heghes et al. 2019). The distinctive odor of EOs relies on the plants’ origin, organ, and species. Moreover, these volatile oils have a high refractive index and optimal rotation, due to the presence of several asymmetrical compounds. In addition, EOs commonly have a relative density lower than that of water, although there are some exceptions. EOs are usually acknowledged as being hydrophobic, however they are mostly soluble in alcohols, fats, and organic solvents. Moreover, they are sensitive to oxidation forming resinous products via polymerization (Li et al. 2014). About 3,000 EOs have been produced from at least 2,000 species of plants, out of which 300 are important commercially (Djilani and Dicko 2012), for instance in industries such as cosmetics, perfumery, food, and agriculture (Burt 2004). Broadly, EOs constituents can be classified into two distinct chemical classes, namely terpenes and phenylpropanoids. Terpenes can be divided into two main groups: (1) terpenes containing a hydrocarbon structure (the mono-, sesqui-, and di-terpenes) and (2) their oxygenated derivatives (alcohols, acids, aldehydes, ketones, esters, lactones, oxides, and phenols) (Moghaddam and Mehdizadeh 2017). Additionally, there are three biosynthetic pathways from which the main components of EOs are derived, notably (1) the mevalonate pathway leading to sesquiterpenes, (2) the methylerythritol pathway leading to monoterpenes and diterpenes, and finally (3) the shikimic acid pathway leading to phenylpropenes (Baser and Buchbauer 2010). Although EOs are very complex mixtures containing about 20–60 chemical compounds at quite different concentrations, they are characterized by 2–3 major components at relatively high concentrations (20–70%), compared to other components present in trace amounts. In general, these major components determine the biological properties of the EO (Abad et al. 2012). EOs can vary greatly in their composition and yield, depending on several internal (type of soil, plant maturity, genetics) and external factors (geographical origin, climate, seasonal variation, method of extraction, etc.) (Marotti et al. 1994, Hussain et al. 2008, Anwar et al. 2009). Besides, the quality of EOs strongly depends on all these factors that may interfere and also limit their yield (Zuzarte 310 Wild Plants: The Treasure of Natural Healers and Salgueiro 2015). Like EOs from other plants, the composition and yield of EOs from Artemisia species are also subjected to variation, as evidenced by several studies. Thus, this section will aim to provide a brief overview of factors influencing the yield and composition of Artemisia EOs. For instance, Padalia et al. (2014) showed in their study that EOs obtained from the aerial parts of A. nilagirica var. septentrionalis differed significantly in their composition during different seasons (autumn, spring, summer, rainy, and winter). Although the Artemisia ketone was the major constituent present in the EOs irrespective of the season, it was found in the highest amount in winter (61.2%), while its content varied from 60.7–38.3% in the other seasons. The other major components, namely germacra-4,5,10-trien-1-α-ol, germacrene D, Artemisia alcohol, β-caryophyllene, and chrysanthenone also varied as a result of seasonal variations (1.9–4.9%, 3.1–6.8%, 1.4–3.6%, 1.9–6.8%, and 1.5–7.7%, respectively). Besides, changes in the yield of EOs in different seasons were also noted, whereby the highest EOs yield was obtained during the rainy season (0.70%), followed by summer (0.68%), while the lowest yield was in winter and autumn (0.45%), followed by spring (0.58%) season. The influence of different extraction techniques, such as steam- and hydro-distillation, including extraction by organic solvent and headspace technique on flowers and leaves of the wild grown A. annua EO was also investigated (Vidic et al. 2018). Even though EOs extracted by steam- and hydro-distillation demonstrated significant resemblance in their chemical composition, they fluctuated in quantity, particularly in the content of one of the major constituents, camphor, which was 24.0% and 16.9% in steam-distilled and hydro-distilled EO, respectively. Furthermore, only EOs obtained by distillation yielded oxygenated sesquiterpene compounds, of which caryophyllene oxide was the most abundant (8.2% in EO obtained by extraction with petroleum ether as a solvent, followed by steam distillation). In addition, all samples of EOs contained oxygenated monoterpenes (70.6% for headspace of plant material EO, and 42.6% for steam-distilled fraction of petroleum ether extract). Additionally, steam-distilled EO yielded the highest number of 47 total identified components, while only 11 components were identified in EO obtained by headspace of petroleum ether extract. Also, while Artemisia ketone was the major compound of steam- and hydro-distilled EO as well as headspace sample of plant material (30.2%, 28.3%, and 46.4%), camphene (25.6%) was the dominant compound headspace of petroleum ether extract (Vidic et al. 2018). In the study of Badoni and colleagues (2009), the effect of altitudinal variation (500 m, 1,200 m, 2,000 m) on A. nilagirica EOs was inspected. Interestingly, EOs isolated from plants collected from the lowest altitude (500 m) contained α-thujone (36.94%) as the principal constituent, whereas only a small amount of α-thujone was identified in the plants collected from the other two altitudes. Furthermore, the highest concentration of 4-nitrobenzonoic acid-4-methoxyphenyl ester (22.12%) was afforded by EO of plants collected at an altitude of 1,200 m, compared to those at 500 m and 2,000 m altitudes, which yielded only 1.77 and 3.59%, respectively. Likewise, l-linalool (32.47%) was the leading constituent of plants at 2,000 m altitude, but was detected in very low proportions in others. Similarly, Behtari et al. (2012) demonstrated that growth stages (flowering and vegetative), altitudes (1,100 m, 1,200 m, 1,280 m, and 1,380 m), and their interactions positively affected the EOs content (ml g–2) of A. herba-alba. For example, the maximum mean values of EOs content (0.8 and 0.92 ml g–2) were gained at 1,280 m altitude during vegetative and flowering stages, respectively. Additionally, cis-pinocarveol and Artemisia ketone were identified as the main components of the EOs. However, the highest content of main components was obtained during the flowering stage. The comparative level for several constituents were increased, decreased, or disappeared within the EOs of plants at different growth stages. Rana et al. (2013) also reported considerable variation in A. annua EOs at various growth stages, notably at vegetative, pre-bloom, bloom, and post-bloom phases. The percentage (%) yield ranged from 0.14–0.64% (w/w), with the highest yield at the bloom stage and the lowest at the vegetative stage. Oxygenated monoterpenes (39.0–57.0%) were found to be the principal EO fractions, followed by sesquiterpene hydrocarbons (11.8–26.2%), and monoterpene hydrocarbons (4.2–15.1%). Besides, although all EOs samples contained the same major constituents, they did show variation in quantitycamphor (28.6–31.7%), 1,8-cineole (2.1–20.8%), germacrene D (3.8–12.0%), β-caryophyllene Artemisia Species 311 (2.8–6.9%), trans-β-farnesene (0.7–4.5%), α-pinene (0.5– 2.4%), p-cymene (0.8–2.3%), and terpinen4-ol (0.9–2.1%). The effect of two different types of soil on the EOs composition and content of Artemisia sieberi grown in central Iran (Hossein Abad, site A and Golchegan, site B) was also evaluated by Bidgoli et al. (2013). The percentage of potassium (K), nitrogen (N), phosphorus (P), and organic carbon (OC) in the soils, as well as other soil factors, such as pH, percent of soil particles (clay, sand, and silt), electrical conductivity (EC), and exchangeable sodium percentage (ESP) were determined. Air-dried aerial parts of A. sieberi were subjected by hydro-distillation for EOs extraction, followed by GC/ GC-MS analysis. The highest percentage of EOs yield was obtained at site B (0.79% w/w), while only 0.32% (w/w) was yielded at site A. Furthermore, soil analysis revealed that the soil at site A contained higher levels of K, N, P, and OC than site B. Similarly, greater EC, pH, and EPS was observed in the soil at site A. For instance, the soil at site A had an EPS and EC of 18.07 and 8.45, whilst they were 12.91 and 7.43 in the soil at site B, respectively. Besides, while 23 compounds were identified in EOs from plants collected at site A, only 14 were detected in EOs extracted from plants in site B. Variation in the major constituents of the EOs from plants at site A (trans-Methyl isoeugenol, 32.60%; trans-caryophyllene, 9.62%; myrcene, 6.92%; allo-ocimene, 6.37% and α-pinene, 6.05%) and site B (β-Bisabolene, 33.53%; α-pinene, 32.20%; trans-isodillapiole, 9.73% and myrcene, 8.98%) was also noted. Hence, from the comparative analysis of EOs compounds and soil characteristics, it can be deduced that the physical (texture and structure) and the chemical (EC, ESP, and pH) properties of the soil can significantly affect the quantity and quality of the plants’ EOs. Moreover, the drying process at different temperatures was seen to have an effect on EOs amount and composition of A. annua harvested at full blooming stage (Khangholil and Rezaeinodehi 2008). The aerial parts were subjected to complete drying by placing the plants in the shade (room temperature) and in the oven at temperatures 35, 45, 55, and 65ºC, followed by extraction using hydro-distillation in a Clevenger apparatus and GC/MS analysis. The results demonstrated that higher drying temperatures caused the EO yield to reduce, notably 1.12% at room temperature, 0.88% (35ºC), 0.55% (45ºC) to 0.50% (55ºC), and 0.37% (65ºC). The monoterpenes content was also seen to decrease gradually while sesquiterpenes content increased. Besides, at 35ºC, 45ºC, and 55ºC, Artemisia ketone (14.4–17.2%), 1,8-cineole (9.9–11.4%), and camphor (9.3–9.8%) were the three most dominant components. At room temperature, the EOs afforded the highest amount of artemisia ketone (21.6%) and 1,8-cineole (14.7%), but contained pinocarvone (8.8%) rather than camphor as the third abundant compound. On the contrary, β-caryophyllene (12.5%), germacrene D (9.0%), and trans pinocarveol (7.8%) were the major compounds present at 65ºC. Younsi et al. (2018) also investigated the relationship between the chemotypic and genetic diversity of natural populations of Artemisia herba-alba growing wild in Tunisia. For this purpose, 80 individuals collected from eight populations growing wild in different geographic areas were included to evaluate the intraspecific variability of EOs composition, genetic diversity, and population structure of A. herba-alba. The EOs composition was observed to differ considerably between populations. Moreover, EOs chemical profiles were categorized into four chemotypes, namely, camphor, α-thujone/trans-sabinyl acetate, trans-sabinyl acetate, and α-thujone/camphor/β-thujone. Despite significant relationship between a set of climatic data and the quantity of some EOs compounds, the global chemical deviation among populations was not linked to their geographic and bioclimatic appurtenances. Besides, a high level of genetic diversity within populations was detected. The level of genetic diversity also varied across populations and chemotypes. While populations from the α-thujone/trans-sabinyl acetate chemotype displayed the highest genetic diversity, populations from α-thujone/camphor/β-thujone chemotype showed significant genetic variation. Also, an important genetic differentiation was noted among populations as well as chemotypes. The combined analysis demonstrated a significant link between the molecular and chemical markers. The PCA, conducted on percentages of major oil components and the frequencies of polymorphic RAPD and ISSR bands, enabled the division of populations in relation to their chemotypic classification. Table 13.1 shows common essential oil components derived from Artemisia species. Artemisia Species bearing essential oil Country A. sieberi Besser Iran Part(s) used Extraction procedure used Main components Biological activities reported References Hydrodistillation 1, 8 cineole (45.88%), 4-terpineol (3.89%), camphor (3.40%), chrysanthenone (3.00%), α-terpineol (2.97%), methyleugenol (6.44%) and eugenol (2.75%) Antimicrobial Sardashti et al. (2015) Sardashti et al. (2015) 1, 8-cineole (21.07%), comphor (13.13%), chrysanthenone (6.98 %), trans-methyl cinnamate (5.56%), lyratyl acetate (5.20%), 4-terpineol (4.39%), and borneol (3.75%) A. santolina Schrenk Iran A. dracunculus L. Iran Aerial parts Romania Leaves Turkey Aerial parts Steam distillation Hydrodistillation Iran Hinokitiol (17.47%), estragole (17.28%), pulegone (10.23%), limonene (7.57%), methyl eugenol (7.46%) and bornyl acetate (7.12%) Antispasmodic Jalilzadeh-Amin et al. (2012) Sabinene (42.38%), isoelemicin (12.91%), methyl eugenol (9.09%), elemicin (7.95%), and betaocimene (6.46%) Antioxidant Fildan et al. (2019) 1,8-cineole (35.88%), camphor (32.28%), camphene (9.13%), borneol (7.07%), thymene (3.31%), terpinen-4-ol (3.26%), γ-terpinene (1.32%), α-terpineol (1.29%), caryophyllene oxide (1.28%), and β-pinene (1.10%) Antibacterial Kumlay et al. (2015) Trans-anethole (21.1%), α-trans-ocimene (20.6%), limonene (12.4%), α-pinene (5.1%), allo ocimene (4.8%), methyl eugenol (2.2%), β-pinene (0.8%), α-terpinolene (0.5%), bornyl acetate (0.5%), and bicyclogermacrene (0.5%) Anti-convulsant Sayyah et al. (2004) Methyl eugenol (35.8%), Terpinolene (19.1%), and methyl chavicol (16.2%) Antimicrobial Lopes-Lutz et al. (2008) 312 Wild Plants: The Treasure of Natural Healers Table 13.1: Summary of common Artemisia species and their corresponding essential oils. Canada Aerial parts A. abrotanum L. India Leaves and Flowering tops Hydrodistillation 1, 8-cineole, davanone, and nerolidol Anti-convulsant Dhanabal et al. (2007) A. vulgaris L. Brazil Leaves Hydrodistillation Caryophyllene (37.45%), germacrene-D (16.17%), and humulene (13.66%) Antimicrobial Malik et al. (2019) America Leaves Germacrene D (25%), caryophyllene (20%), alpha-zingiberene (15%), and borneol (11%) Anticancer Williams et al. (2012), Saleh et al. (2014) Buds 1,8-cineole (32%), camphor (16%), borneol (9%), and caryophyllene (5%) A. gmelinii Weber ex Stechm China A. absinthium L. India Aerial parts Leaves Hydrodistillation Cyclobutaneethanol, endo-borneol, germacrene D, eucalyptol, selin-6-en-4α-ol, bisabolone oxide A, caryophyllene, and terpinen-4-ol. Hydrodistillation Chrysanthenyl acetate (49.15%) and L-β-pinene (39.62%) Antioxidant Wani et al. (2014) Trans-Sabinyl acetate (26.4%), myrcene (10.8%), trans-Thujone (10.1%) Antimicrobial Lopes-Lutz et al. (2008) Piperitone (30.4%), camphor (16.1%), and ethyl cinnamate (11.0%) Antifungal and antiinflammatory Abu-Darwish et al. (2016) Hydrodistillation Verbenol (21.83%), bisabolone oxide (17.55%), farnesene epoxide (17.08%), and β-thujone (6.14%) Anti-proliferative Tilaoui et al. (2011) Hydrodistillation Camphor (19.31%), 1,8-cineole (19.25%), borneol (18.96%), camphene (4.64%), and β-caryophyllene (3.46%) Antibacterial Yu et al. (2003) Canada A. judaica L. Jordan Aerial parts A. herbaalba Asso. Morocco Aerial parts A. iwayomogi Kitam Korea Aerial parts Antidiabetic Xu et al. (2019) Aerial parts China Flowers (post-flowering stage) Hydrodistillation Camphor (16.62%), caryophyllene (16.27%), β-caryophyllene oxide (15.84%), β-farnesene (9.05%), and (-)-spathulenol (7.21%) Anti-acetylcholinesterase Yu et al. (2011) A. scoparia Waldst. & Kit. India Residues Hydrodistillation Citronellal (15.2%), acenaphthene (11.08%), b-citronellol (11.02%), caryophyllene oxide (10.03%), b-caryophyllene (9.37%), and eugenol (6.03%) Antioxidant Singh et al. (2009) A. Montana (Nakai) Pamp. Japan Leaves Hydrodistillation 1,8-cineole, camphor, borneol, α-piperitone, and caryophyllene oxide Sedative Kunihiro et al. (2017) A. biennis Willd. Canada Aerial parts Hydrodistillation (E)-beta-Farnesene (40.0%), (Z)-beta-Ocimene (34.7%), (Z)-enyn-Dicycloether (10.0%) Antimicrobial Lopes-Lutz et al. (2008) Lopes-Lutz et al. (2008) Lopes-Lutz et al. (2008) A. cana Pursh A. frigida Willd. A. longifolia Nutt. A. ludoviciana Nutt. Aerial parts Aerial parts Aerial parts Aerial parts Camphor (37.3%), 1,8-cineole (21.5%) 1,8-cineole (25.1%), camphor (20.6%) 1,8-cineole (27.6%), camphor (18.5%) 1,8-cineole (22.0%), camphor (15.9%), davanone (11.5%) Artemisia Species 313 A. annua L. Table 13.1 contd. ... Artemisia Species bearing essential oil Country Part(s) used Extraction procedure used Main components Biological activities reported References A. arborescens L. Italy Aerial parts Distillation Camphor (35.73%), β-thujone (23.97%), and chamazulene (7.6%) Antiviral Sinico et al. (2005) ?? A. campestris L. Tunisia Leaves and Stems Hydrodistillation β-pinene (36.4%), 2-undecanone (14.7%), limonene (10.57%), and benzene (3.6%) Anthelmintic Abidi et al. (2018) Artemisia argyi Lévl. et Vant China Leaves Hydrodistillation Neointermedeol (9.652%), caryophyllene oxide (8.713%), α-Thujone (7.989%), β-Caryophyllene (7.495%), and borneol (6.482%) Antimicrobial Guan et al. (2019) Leaves Subcritical Extraction β-Caryophyllene (20.022%), α-Thujone (11.312%), borneol (8.273%),(+)-2-Bornanone (7.253%) neointermedeol (1.16%), and caryophyllene oxide (0.133%) Simultaneous distillationextraction Caryophyllene oxide (21.553%), neointermedeol (16.779%), borneol (16.356%), α-Thujene (14.551%), α-Thujone (14.551%), and β-caryophyllene (13.687%), (+)-2-Bornanone (10.022%) Leaves 314 Wild Plants: The Treasure of Natural Healers ...Table 13.1 contd. Artemisia Species 315 Other Artemisia Species: Traditional uses and Pharmacological Activities Artemisia abrotanum L. (Southernwood) This species is characterized by a cylindrical, erect, and green color stem. The leaves are petiolate, pubescent on the underside, and glabrous on the upper side. Being a perennial undershrub, the plant grows up to 1 meter high, while the bark is smooth and brown. The leaves are alternate with a long footstalk, while the flowers are greenish in color, and the seeds are naked and solitary (Quattrocchi 2012). It has in general a lemon-like odor. Among the lower leaves, around 2–3 are pinnatipartite, while the upper leaves are non-auriculate and pinnatipartite (French Pharmacopoeia 2008). It is also commonly known as European sage, lady’s love, oldman wormwood, and is grown in France, India, Italy, Spain, Saudi Arabia, and the United States. In ancient Greek and Roman systems of traditional medicine, Artemisia abrotanum L. was employed to relieve respiratory complications to enhance the clearing of the respiratory tract and improve breathing, and as a spasmolytic. The leaves are useful for gastrointestinal problems and aid digestion, menstrual flow as a febrifuge, antispasmodic, and serve as an anthelmintic (Thomson 1826). Various secondary metabolites have been isolated and identified from the plant, with the most bountiful being 1,8-cineole, davanone, germacrene D, piperitone, and silphiperfol-5-en-3-ol A. Other constituents present in minor proportions are—1.8-cineole, 2E-hexanal, α-thujene, α-pinene, α-phellandrene, α-terpinene, β-pinene, dehydro-1.8-cineole, p-cymenene, γ-terpinene, z-myroxide, benzene acetaldehyde, camphene, camphor, cis-p-menth-2-en-1-ol, cis-piperitol, cis-sabenene hydrate, cryptone, linalool, menthone, myrcene, nonanal, o-cymene, piperitone, sabina ketone, sabinene, terpinolene, trans-sabinene hydrate, σ-terpineol, borneol, terpinen-4-ol, trans-piperitol, trans-carveol, terpnen-4-ol acetate (Kowalski et al. 2007). Pharmacological investigations of the plant have revealed spasmolytic and anthropod repellant activity. Isolated flavonols from the plant have been demonstrated to normalize trachea and smooth muscle contraction induced by carbacholine in guinea pigs. The toluene extract is effective against ticks and the fever mosquito Aedes aegypti, with the coumarins and the thujyl alcohol being the most prominent insect repellants (Bergendorff and Sterner 1995, Tunón et al. 2006). When tested clinically as a nasal spray among 12 patients suffering from allergic conjunctivitis, rhinitis, and other bronchial symptoms, it relieved the patients to the same efficacy as other antihistamine or cromoglicate preparations the patients had employed previously (Remberg et al. 2004). Laboratory investigations of this species have demonstrated that its ethanolic extracts bear antibacterial and antifungal activities. The formulations from this species are employed as astringent, febrifuge, antiseptic, stimulant, among other uses (Abad et al. 2012, Suresh et al. 2010). Secondary metabolites derived from this species, including cineole, borneol, and p-cymene protect against bites from Aedes aegypti (Mohamed et al. 2010). Medicinal preparations from the essential oil of A. abrotanum are useful against allergic rhinitis and other respiratory complications (Koul et al. 2018). Artemisia herba-alba Asso (White Wormwood) Artemisia herba-alba Asso is a perennial shrub known as “white herb” in Latin, given its white and woolly stems and leaves, grows between 20–40 cm in height (Samy and Francis 1999). It occurs mostly in Northern Africa, South Western Europe, and Western Asia (Ali et al. 2019). The leaves of the species are extremely aromatic and covered with glandular hairs that reflect sunlight. The shoots bear leaves which are grey, petiolate, ovate to orbicular. Flowering stems occur mostly in winter and are much smaller (Samy and Francis 1999). Traditionally known as the desert wormwood in English, or Armoise Blanche in French, and even as Shih in Arabic culture, this plant is traditionally employed by many cultures to manage 316 Wild Plants: The Treasure of Natural Healers and/or treat cold, diabetes, hypertension, respiratory disorders, including bronchitis, cough, and infectious diseases of the skin, such as syphilis and scabies (Moufid and Eddouks 2012, Mighri et al. 2010). The aqueous extracts possess both antioxidant and antimicrobial activities (Gurib-Fakim and Mahomoodally 2013). The herbal tea is known to be analgesic, antibacterial, and antispasmodic. In Algeria, it is employed as a fodder plant for livestock (Bora and Sharma 2011). The essential oil from A. herba-alba is rich in oxygen, containing monoterpenes 1,8-cineole (20.1%), α-thujone (22.9%), β-thujone (25.1%), and camphor (10.5%), and was active against the fungal strains Epidermophyton floccosum and Trichophyton rubrum. It also inhibited the formation of germ tube in Candida albicans. Interestingly, the oil has the potential to inhibit nitric oxide production induced by lipolysaccharides without cytotoxicity up to a concentration of 1.25 µL/ml in macrophages and 0.32 µL/ml in microglia, respectively (Abu-Darwish et al. 2015). Artemisia absinthium L. (Wormwood) This species is known by various names in different parts of the globe. The most common names include wormwood, grand wormwood, absinthe, absinthium, and absinthe wormwood. It grows in Canada, Eurasia, Northern Africa, and the United States. The stems grow up to 1.2 meters high, and are branched and silvery green. The leaves are arranged in spirals, being greenish-grey above and white below. The basal leaves are up to 2.5 cm long. The flowers are clustered, pale yellow and tubular, with the flowering season being in early autumn or summer (Goud and Swamy 2015). This species has a long-standing use in Turkish traditional medicine against fever, sepsis, stomachache, and as a diuretic (Joshi 2013). On the other hand, in traditional Chinese medicine, it is known to relieve gastric pain and enhance cardiac and cognitive functions (Tajehmiri et al. 2014). Based on its desirable aromatic nature, it has been employed in various alcoholic drinks, such as the spirit absinthe, foods, and soft drinks, with as close as 206 flavoring agents derived from the plant. The leaves are rich in caffeic, ferulic, and gallic acid, as well as myricetin, which confers them a strong antioxidant potential (Altunkaya et al. 2018). The essential oil from A. absinthium has demonstrated good antibacterial activity, being useful against Saccharomyces cerevisiae and Candida albicans (Seddiek et al. 2011). When subjected to an antioxidant assay, the methanolic extract of the dried plant demonstrated a positive effect as an antioxidant. In sheep intestines nematodes, the aqueous and the ethanolic extract exhibited significant anthelmintic activity when compared to the conventional anthelmintic drug albendazole (Hristova et al. 2013, Lee et al. 2013). Several other biological activities are reported from the ethanolic and aqueous extracts of this species, with the most common being hepatoprotective, antimicrobial, and antiparasitic (Altunkaya et al. 2018, Lee et al. 2013). Clinical studies conducted on the plant have demonstrated that it is a good antiparasitic agent and reduces the number of Toxocara cati or Toxocara canis eggs in rat feces (Tariq et al. 2009). It is also lethal against Trichinella spiralis, and hence offers protection against roundworm infection, as shown in a study conducted on rats. It protects the liver and restores the potential of its enzymes, such as catalase, glutathione, and superoxide dismutase. It may also be of benefit in Crohn’s disease and against yeast infection (Omer et al. 2007, Juteau et al. 2003). Artemisia afra Jacq ex Wild (African Wormwood) This species grows in clumps with ridged woody stems of height 0.5 to 2 meters. The leaves are dark green in color and are fern-shaped. Below, the leaves are light green and covered with white bristles. The flowers are butter-colored, and are between 3–5 millimeter in diameter, and the flowering season is in late summer. When the plant is bruised, it diffuses a mixture of a sweet and pungent smell (Watt and Breyer-Brandwijk 1962, Van Wyk et al. 1997). Artemisia Species 317 It is one of the most used and oldest medicinal plants in South Africa (Koul et al. 2018). It is a perennial woody shrub growing up to 2 meters high (Van Wyk et al. 1997). Despite its widespread use, limited research has been conducted on this species. For example, in the year 2008, only 42 publications and two patents were available for this plant (Van Wyk 2008). A wide array of traditional uses are associated with this plant, ranging from minor ailments, such as cold, cough, dyspepsia, headaches, to chronic ailments, including diabetes, diseases of the bladder and kidney, and malaria. Modern uses of the species overlap with the ancient ones, and it is still employed to treat colds, coughs, and diabetes, and also respiratory disorders (Koul et al. 2018). In different parts of Africa, it is known by different names based on its ethnobotanical uses and the language spoken in that region. The aqueous leaf extracts exhibit antimicrobial potential (Muleya et al. 2014). Various traditional formulations are prepared from this plant in Africa. For example, its syrup relieves bronchial symptoms, while an infusion of the roots is claimed to be effective against diabetes; the lotion is employed for the management of hemorrhoids and ear problems, while the fresh tips inserted between the nose and teeth soothe cold and flu, as well as toothache (Erasto et al. 2005, Mahop and Mayet 2007). Artemisia afra is rich in secondary metabolites, as demonstrated by metabolites retrieved by extraction techniques, such as hydro-distillation and microwave-assisted and ultrasound techniques. The main monoterpenoids detected in the plant include artemisia acetate, alcohol and ketone, ascaridole, azulene, borneol, bornyl acetate, camphene, camphor, cis-carveol, caryophylla-2(12),6(13)dien-5-one, cis-chrysanthenol, chrysanthenone, cis-chrysanthenyl acetate, 1,8-cineole, cumin alcohol, cumin alcohol, dehydro carvyl acetate, dehydro-1,8-cineole, dehydrosabinaketone, limonene, linalool, myrcene, myrtenal, myrtenol. It is also a reservoir of sesquiterpenes, such as davanone, calamenene, cubebol, germacrene, germacrene D, globulol, intermedeol, intermediol, t-muurolol, spathulenol, and other metabolites, such as artemisal, berbenone, cuminaldehyde, p-cymene, octadecanol, among others (Liu et al. 2009). Thujone present in the volatile oil of Artemisia is a toxic constituent, and prolonged use or when employed in large doses can give rise to unpleasant adverse effects, most of which include convulsions, fatty degeneration of the liver, restlessness, vertigo, and vomiting. Thujone is a mixture of α and β isomers, with the first one being the most toxic with an LD50 of 87.5 mg/kg when administered subcutaneously in mice, compared to 442.2 mg/kg for the second isomer (Oyedeji et al. 2009). Thujone has a very low solubility in water, and despite this fact, it is better to limit the use of A. annua to not more than two weeks, and it should not be employed among pregnant women (McGaw et al. 2000). Artemisia annua L. (Sweet Wormwood, Sweet Annie, Annual Wormwood, qinghao, huang hua hao) With a brownish or violet-brown erect stem, the plant is hairless, growing between 30 to 100 centimeter (cm) tall. When cultivated, it has been recorded that this plant can grow up to 200 cm in height. The leaves are divided by profound cuts into 2 or 3 small leaflets, and range between 3 to 5 cm in length, and have an intense aromatic smell (Anonymous 2015). The plant grows well in China, Korea, Japan, and Vietnam, among other countries and is famous for its use in traditional medicine. In Chinese traditional medicine, A. annua has been employed to treat fevers and chills where malaria has been the root cause for more than 2,000 years (Abad et al. 2010). It is widely cultivated in Africa and has been naturalized in Europe, South America, and the United States. It biosynthesizes the secondary metabolite Artemisinin, which is a key molecule in the global fight against malaria. Indeed, in 2015, the Chinese scientist Youyou Tu was awarded the Nobel prize in medicine for discovering artemisinin and its efficacy against malaria (Dlugónska 2015). The spread of malaria is still a major challenge, given an increase in resistance of Plasmodium falciparum to conventional drug agents, such as amodiaquine, chloroquine, and sulfadoxine– pyrimethamine (SP). In addition, the development of the multi-drug resistant Plasmodium falciparum 318 Wild Plants: The Treasure of Natural Healers in South East Asia and South America has complicated the treatment of the disease. Hence, combination artemisinin-based therapies are a favorable approach to fight off the Plasmodium parasite, and is also advocated by the World Health Organization (WHO 2006). Compared to conventional drug agents employed, artemisinin has almost no side–effects, with dihydroartemisinic acid being its precursor (Tian et al. 2017). Artemisin has been an invaluable contribution, and has enabled significant relief among malaria sufferers following the development of resistance among malaria parasites against quinines (Bhakuni et al. 2001, Sen et al. 2007). Besides the generalized pharmacological activities of the Artemisia genus, A. annua is also a potent anticancer and anti-leishmaniasis agent (Bhakuni 2001, Sen et al. 2007, Crespo-Ortiz and Wei 2011). In an attempt to prevent the development of resistance against artemisinin, its combination with other antimalarial drugs can be envisaged, following results retrieved from validated clinical trials to prevent any occurrences of possible hepatotoxicity (Efferth 2017, Steketee and Eisele 2017). As the yield of artemisin within the dried aerial parts of the plant is generally low, a few techniques are employed to boost the yield. For example, crop improvement and microbial synthesis of the compound is a viable approach to meet the demands of pharmaceutical companies (Alejos-Gonzalez et al. 2011). Breeding the plant and mapping its genetic map is another route that can be employed in this effort (Graham et al. 2010). In addition, techniques which enable the production of seeds of good quality can also be explored (Graham et al. 2010, Wetzstein et al. 2014). Dried leaves of A. annua have demonstrated antiplasmodial activity and have been found effective in malaria patients unresponsive to artemisinin combination therapy and intravenous artesunate (Desrosiers and Weathers 2016). When the essential oil was combined with the dried leaves of A. annua, an enhanced solubility and availability of artemisinin was obtained. These techniques and the use of artemisinin in general is more cost-effective than conventional drug regimens, and is hence more affordable to patients residing in low income countries (Aderibigbe 2017). Artemisia capillaris Thunb. (Capillary wormwood, Yerba Lenna Yesca) Artemisia capillaris Thunb. can grow up to 1 meter high, with the stems becoming woody mostly at the base. It is an important component of Chinese and Korean medicine, where it is employed to cure fever, hepatitis, inflammation, jaundice, and malaria, among other ailments. The plant is rich in secondary metabolites, such as apigenin, capillarisin, coumaric acid, and hesperidin, all of which possess important anticancer and antimicrobial activities. The tablet derived from the plant is an effective treatment for hepatitis B infection since it prevents the replication of the virus (Tajehmiri et al. 2014). Techniques such as GC-MS and TLC have enabled the discovery of other pharmacologically valuable metabolites from the plant. These include achillin, 1-borneol, camphor, and coumarin, all with an interesting anti318 carcinogenic activity. On the other hand, the use of the abovementioned techniques has also permitted the discovery of five other antibacterial compounds, which are α-pinene, β-pinene, β-caryophyllene, capillin, and piperitone. Analysis of its essential oil has shown the presence of germacrene D, which has significant fumigant activity (Koul et al. 2018). Artemisia dracunculus L. (Estragon) It is a perennial plant in the sunflower family. It grows between 120–150 cm in height, and possesses slender branches. Its leaves are glossy green, lanceolate with dimensions—2–8 cm long and 2–10 mm broad, and has an entire margin. The flowers occur in small capitula, which are around 2–4 mm in diameter, where each capitulum can house up to 40 yellow or greenish yellow florets (Stuckey and McGee 2002). Artemisia dracunculus has been employed in traditional Arabic, Asian, and Russian medicine for diverse ill-health conditions. This herb is famous for its use in allergic rashes, as antiepileptic, Artemisia Species 319 carminative, anticoagulant, antihyperlipidemic, dermatitis and other skin irritations and fevers, laxative, and antispasmodic properties, vermifuge, and against wounds. The plant’s extract is a good candidate as a potential coronary heart disease risk reducer. Two isolated compounds from the plant, namely estragole and methyleugenol demonstrated hyperglycemic activity in rats in vivo (Koul et al. 2018). Following GC-MS (gas chromatography-mass spectrometry) analysis of the plant’s essential oil, it was found that it is copious in (E)-β-ocimene (3.1%), limonene (3.1%) methyleugenol (1.8%), (Z)-anethole (81.0%), and (Z)-β-ocimene (6.5%). When the essential oils of A. dracunculus, A. absinthium, A. santonicum, A. spicigera, and A. indica were investigated for their antimicrobial potential, the weakest activity was recorded for A. dracunculus essential oil (Kordali et al. 2005). Altogether 32 components have been identified following GC-MS of the aerial parts in the full flowering stage found in the Himalayan region. The essential oils is most abundant in davanone and other volatile phytoconstituents present in small amounts, namely 1,8-cineol, β-thujone, cis chrysanthenyl acetate, davanone oil, estragole, herniarin, sabinyl acetate, and terpineol have been identified from the plant—all of which are known to be antifungals. The alcoholic extract is rich in selin-11-en-ol and 1,8-cineole, which are both known to be antibacterial and antifungals. The star component artemisolide is an inhibitor of the NF-KB. Another compound from the plant eupatilin extracted from different artemisia species has potential anticancer activity (Haider et al. 2014). Artemisia verlotiorum Lamotte (Chinese mugwort, Chinese wormwood, Mugwort, Verlot’s mugwort) In general, the leaves of the Artemisia species are described as alternate, capitula small, usually racemouse, paniculate or capitate, inflorescence, rarely solitary; involucral bracts in few rows, receptacle flat to hemispherical, without scales and sometimes hirsute; florets all tubular, achenes obovoid, pappus absent or sometimes a small scarious ring (Heywood et al. 1977, Bora and Sharma 2011). Strongly rhizomatous, Artemisia verlotiorum grows up to 30–60 cm in height, while the branches are sparsely distributed. In addition, it has a potent wormwood scent (Bittencourt De Souza et al. 2010). The plant grows well in almost all parts of the northern hemisphere, and is native to eastern Asia and found mostly in the southwest of China, where it originated. It is also widely available in South Central Europe (Geissman 1970). It grows naturally in various countries as weed, for instance in Australia, Mauritius, and Rodrigues (Gurib-Fakim 1996). In Italy, mainly in Tuscany, the plant infusion is administered as a remedy against hypertension (Martinotti et al. 1997). In Mauritius, the plant decoction is employed against fever, psoriasis, and influenza (Gurib-Fakim 1996). On the other hand, in Brazil, it is considered as a highly beneficial plant medically, since it can treat any disease related to the circulatory, digestive, genito-urinary, and respiratory disorders (Bittencourt De Souza et al. 2010). The primary investigation of the A. verlotiorum demonstrated that it is rich in three crystalline sesquiterpenoid lactones, namely artemorin, anhydrovertolorin, and vertolorin, respectively (Geissman 1970). It also biosynthesizes a plethora of volatile constituents—α-phellandrene, β-thujone, cadinene, 1 camphene, cineole, fenchone, and thujyl alcohol. In addition, it contains the following fatty acidspalmitic and valeric acid. Investigation of the volatile constituents of A. verlotiorum of French origin have identified the following constituents present in majority—α-thujone, 1,8-cineole, and β-thujone. Other populations, from Italy, have characterized the constituents, including caryophyllene oxide, borneol, camphor, and 1,8-cineole as the main constituents of the whole plant oil, among others. In Mauritius, Gurib-Fakim has identified germacrene D and myrcene occurring as the major constituents from the Mauritian samples (Gurib-Fakim 1996). In vitro and in vivo investigations have demonstrated that A. verlotiorum exerts anti-hypertensive, mycotic, and viral activities, respectively (Calderone et al. 1999, 1998, Macchioni et al. 1999). 320 Wild Plants: The Treasure of Natural Healers In addition, A. verlotiorum has demonstrated possible muscarinic stimulation action in vitro. It is hypothesized that it contains a metabolite which serves as a remarkable agonist of muscarinic receptors, and results in vasorelaxant and negative inotropic actions that can evoke the antihypertensive response. Nonetheless, since this metabolite is unknown and no antihypertensive drugs act on muscarinic receptors, efforts to establish a plausible link between these are in progress (Martinotti et al. 1997). When the aqueous infusion of the plant was assayed in normotensive rats in vivo, a strong and transient reduction of the mean arterial pressure was recorded. The marked hypotensive activity was inhibited by atropine. It is believed that A. verlotiorum extract mediates a strong vasodilatory activity by inducing the release of nitric oxide after activation of the nitric oxide-guanosine 3’–5’-cyclic monophosphate (cGMP) pathway, following muscarinic receptor agonism (Calderone et al. 1999). An in vitro investigation was conducted of the aqueous and the methanolic extracts of A. verlotiorum against Saprolegnia ferax. A minimum inhibitory concentration of 1% was recorded from the aqueous extract, while the methanolic extract was more active with an MIC of 0.25% (Macchioni et al. 1999). Artemisia verlotiorum extract exhibited strong antiviral activity against the feline immunodeficiency virus model, which is a significant model of the human immunodeficiency virus type 1, which causes AIDS infection in humans. The aqueous lyophilized extract of A. verlotiorum inhibited the syncytia, viral reverse transcriptase activity, and the viral capsid protein P24 expression significantly. The cytotoxicity assay resulted in a negative finding. Hence, it may be concluded that the plant metabolizes phytochemicals which have a potent antiviral activity, but they must also be isolated, and the mechanisms through which they act must be identified (Calderone et al. 1998). Conclusion The Artemisia family is undeniably a large family, incorporating a plethora of medicinally valuable plant species. Based on their long term traditional use by the world’s population, its members can be considered as being generally safe for consumption. Nonetheless, the presence of thujone, a toxic metabolite, in certain species warrants that a safe and standard dose in humans is established for each species. Results from diverse laboratory and clinical investigations demonstrate that species from this genus hold promise as antimicrobial, antimalarial, and anticancer agents. 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Springer, Cham. 14 The Potential Use of Mandacaru (Cereus spp.) Bioactive Compounds Maria Gabrielly de Alcântara Oliveira, Giovanna Morghanna Barbosa do Nascimento and Gleice Ribeiro Orasmo* Introduction Mandacaru (Cereus spp.) is a characteristic columnar cactus of the Caatinga biome (Rizzini 1992), but throughout Brazil, this genus is very expressive in the flora constitution of several states. The Cactaceae family is composed of 100 genus and 1,500 species, distributed almost exclusively in the dry regions of the Americas (Barthlott and Hunt 1993). The family is divided into three subfamiliesOpuntioideae, Pereskioideae, and Cactoideae. The latter contains the genus Cereus, which comprises upright and succulent stem plants, and was first described by Hermann in 1698 and later by Miller in 1754, and includes 900 species published (Davet 2005). Mandacaru plants have similar morphology, but are termed as distinct species. Among the bestknown species of Cereus are C. adeemani, C. bicolor, C. comarapanus, C. friccie, C. jamacaru, C. hildmannianus, C. peruvianus, C. repandus, C. trigonodendron, and C. vargasianus (Davet 2005). The species Cereus jamacaru De Candolle is found in the Brazilian northeast region, having been classified by Taylor and Zappi (2004) as a predominantly caatinga species, although it also occurs in other types of environments. Also noteworthy is the species Cereus peruvianus Miller, found in southern Brazil, as well as C. repandus Miller; and in the southeast region mandacaru is classified as C. hildmannianus K. Schum, but this species also occurs in Santa Catarina (southern region), where it is known as “tuna” (Colonetti 2012). According to Britton and Rose (1963), plants of the genus Cereus can be trees or shrubs with erect stems, being described as consisting of columnar type stem with number and arrangement of variable longitudinal ribs, where the axillary buds containing thorns are inserted, known as areolas. It is also noteworthy that the mandacaru stem is richly mucilaginous (Colonetti 2012). This mucilage plays a very important role in plant physiology, ensuring low transpiration for adaptation in arid climates, as cacti normally grow under stress conditions (Alvarez et al. 1992), and this mucilage is commercially exploited in the manufacture of cosmetics (Figure 14.1). These plants are considered important because they are widely used as ornamental and forage, mainly in northeastern Brazil, but also because they have a number of characteristics that are of Department of Biology, Natural Sciences Center, Federal University of Piaui, Teresina, Piauí, Brazil. * Corresponding author: gleice@ufpi.edu.br The Potential Use of Mandacaru (Cereus spp.) Bioactive Compounds 327 Figure 14.1: Mandacaru plant. Source: author’s collection. economic, commercial, industrial, and medicinal interest. Studies aiming to search for natural products (metabolites) from mandacaru showed that C. peruvianus plants produce amine alkaloids (Vries et al. 1971, Oliveira and Machado 2003), esters with potential for application as a waterproofing barrier (Rezanka and Dembitsky 1998), and a viscous gum with various industrial applications (Alvarez et al. 1992, 1995, Nozaki et al. 1993, Barros and Nozaki 2002). The species Cereus jamacaru presents a great diversity of biological compounds, such as alkaloids, steroids, triterpenes, glycosides, oils, and waxes that are used by the pharmaceutical industry (Davet 2005). Mandacaru also has great medicinal importance, and is widely used in the traditional medicine of northeastern Brazil. In other countries, such as Mexico, plants of the genus Cereus are widely used in folk medicine. According to Hollis and Scheinvar (1995), cactus is used by healers in Mexico as analgesics, antibiotics, diuretics, for the treatment of bowel problems, coughs, and cardiac and nervous disorders, to cure some types of ulcers, and also to control diabetes and cholesterol. Mandacaru plants in northeastern Brazil, species C. jamacaru De Candolle, remain in edaphoclimatic conditions characterized by high temperatures, irregular rainfall, and low natural soil fertility. According to Cavalcanti and Resende (2007), mandacaru presents good development in areas degraded soils, and may repopulate areas where traditional crops are no longer possible, thus being important in the sustainability and conservation of the Caatinga biome’s biodiversity. Use of Mandacaru Plants and their Importance in the Semiarid In the northeastern region of Brazil, Cactaceae are of great economic importance in forage activity (Davet 2005), especially during the dry season, and are used to feed cattle, goats, and sheep (Rocha and Agra 2002, Santos 2007). C. jamacaru is the main species used as animal feed. The highlight of these plants in the semiarid regions is their efficiency in remaining succulent during the drought, ensuring their continuous use as fodder due to a large amount of mucilage (Colonetti 2012) (Figure 14.2). Mandacaru is harvested manually by removing the thorns using a machete, and preserving the main stem. The material is ground and offered to the animals, pure or mixed with forage sorghum 328 Wild Plants: The Treasure of Natural Healers Figure 14.2: Use of mandacaru as forage. Source: www.calilanoticias.com/2012/05/mandacaru-vem-sendo-a-ultimaalternativa-para-alimentacao-do-gado. silage, and/or aggregated with other foods. Silva et al. (2010a, b) showed higher values of weight gain in cattle and heifers fed with mandacaru and sorghum silage. Milk yield in goats also increased with a silk flower hay diet associated with mandacaru (Silva et al. 2011). These data show the nutritional value of mandacaru, and in fact, Cavalcanti and Resende (2007) concluded that mandacaru biomass is an important component of drought feeding. Andrade et al. (2006) add that mandacaru plants, besides being used for animal feeding, have other economic highlights in northeastern Brazil, such as human food, ornamentation of squares and gardens, filling saddles and pillows, painting of houses, and as a source of wood for the manufacture of doors, windows, slats, and rafters. In fact, the species C. jamacaru can reach 10 m in height and its core is used as a raw material for the manufacture of doors (Scheinvar 1985). Silva (2015) also reports 12 categories of use of mandacaru in the semiarid, highlighting its use as medicinal, forage, and food. In the jewelry design sector, a significant amount of products has been developed using the mandacaru thorn, in which local designers and artisans associate conventional materials (silver and crystals) and regional products (stone and leather) with the mandacaru thorn, producing jewelry with regional cultural identity, and differentiating their products from others (Lopes 2016). Mandacaru Fruits and Genetic Improvement Mandacaru fruits are exported to Asian countries for candy manufacturing (Santos 2007), and fruits produced by breeding in Israel are exported to Europe for fresh consumption, and sold as exotic fruit at a high cost (Mizrahi 2014). C. peruvianus has been domesticated since the 1990s in the Israeli region (Nerd et al. 1993, Weiss et al. 1993, Mizrahi and Nerd 1999), where it is characterized as a fruit crop, and commercially grown on a small scale. Due to the high commercial value of its fruits, a breeding program has been implemented in Israel to obtain larger, tastier fruits that remain intact (without early cracking) until their full ripeness. In this program, the species C. peruvianus was pointed to as being limited by the low genetic variability found in clones that have been cultivated for this purpose (Gutman et al. 2001). The predominant form of propagation of mandacaru plants in the northern and northeastern regions of Brazil should also contribute to the reduction of genetic variability, which is an important factor for the formation of strategic reserve banks and for improvement proposals. The development of faster-growing mandacaru varieties with reduced thorn numbers and size should lead to a reduction in production costs to provide food to animals and humans, as well as providing raw material of industrial interest. Thus, broadening the genetic basis of the species of Cereus may even provide an increase in the diversity of substances of interest, which these plants already exhibit (Figure 14.3). The Potential Use of Mandacaru (Cereus spp.) Bioactive Compounds 329 Figure 14.3: Mandacaru fruit. Source: http://jardimdesuculentas.net76.net/apostila/07.html. Mandacaru Mucilage: Important in Cosmetics Manufacturing The production of mucilage is the main characteristic of Cactaceae, being composed of complex polysaccharides, with varied composition, depending on the species (Sáenz et al. 2004). Mucilage polysaccharides swell in the presence of water, taking gummy consistency, with adhesive and thickening properties, and may be considered as a potential hydrocolloid (Colonetti 2012). Many of these polysaccharides found in Cactaceae have been used to modify the rheological properties of some products. In traditional medicine, they are widely used for treating skin and epithelial wounds and also for mucosal irritation (Cai et al. 2008). Plant polysaccharides are generally an interesting source of additives for various industries, especially the food and pharmaceutical industries. In the food industry, it is used in the preparation of jams and jellies, and in the pharmaceutical industry to give stability to emulsions and ointments, as well as in cosmetology for the production of creams based on the mucilaginous content of these plants (Hou et al. 2002). As reported by Lopes (2016), since mid-2013 the French industry L’Occitane® has been commercially exploiting mandacaru extract for the development of products in cosmetology, such as the production of moisturizers, soaps, scrubs, hand creams, and deodorants, according to the author, and the company has provided the population of the semiarid with income generation (Figure 14.4). Habit Cosméticos® has developed products based on mandacaru mucilage, and according to the company, the shampoo ensures deep hydration in damaged hair, which besides moisturizing, forms a film preventing water loss, stimulating the natural form of hydration, reports Bittes Cosméticos (2019). The moisturizing cream “Flor de Mandacaru”, developed by the company Pedaços de Aromas Brasil®, is made with natural ingredients, free of artificial colors and parabens and, according to the manufacturer, is considered a vegan product, being free of testing in animals and ingredients of animal origin (Pedaços de Aromas Brasil 2019). Figure 14.4: Moisturizing cream based on mandacaru mucilage, L’Occitane company. Source: https://br.loccitaneaubresil. com/product/creme-hidratante-desodorante-corporal-mandacaru-2.html. 330 Wild Plants: The Treasure of Natural Healers The Potential Use of Compounds Found in Mandacaru Among the most frequently found substances in Cactaceae are phenylethylamine alkaloids, such as hordenine, mescaline, and lofophorine. Phenylethylamine alkaloids have been found in Echinocereus merkeri (Agurell et al. 1969). Mandacaru plants of the species Cereus jamacaru have a great diversity of biological compounds—alkaloids, steroids, triterpenes, glycosides, oils, and waxes that are used by the pharmaceutical industry (Davet 2005). In Cereus jamacaru was also identified the presence of tyramine alkaloid, known for its sympathomimetic activity and probably responsible for cardiotonic activity (Brhun and Lindgren 1976). This alkaloid is also common in other cactus species (Scheinvar 1985). Phytochemical studies in mandacaru, in the species C. jamacaru, detected the amines- tyramine, hordein, and N-methylthiramine (Davet 2005). Brhun and Lindgren (1976) identified tyramine (or 2-p-hydroxyphenylethylamine) on fresh stems of Cereus jamacaru. According to Burret et al. (1982), the species C. jamacaru has no flavones, with predominance of kampferol and methyl-3-flavonols. Studies with the crude ethanolic extract of C. jamacaru stem detected β-sitosterol and tyramine (Davet et al. 2009). In the ethanolic and aqueous extracts of Cereus jamacaru cladodes, the alkaloids— tyramine, n-methyl tyramine and hordein, and amino acid tyrosine were also detected, and only in the ethanolic extract, the irritating compounds—anthracnone, hydroquinone, phenol, and geranyl acetone were detected (Medeiros 2011). The metabolic profile of Cereus peruvianus mandacaru callus culture using mass spectrometry confirmed the presence of tyramine alkaloids in this species (Ferrarezi et al. 2015). The use of plant cell culture for the production of substances of interest has greatly contributed to advances in various areas of plant physiology and biochemistry. Different strategies using in vitro culture systems have been studied with the objective of increasing the production of secondary metabolites. Thus, an increase in alkaloid production was achieved in callus culture medium in Cereus peruvianus (Machado et al. 2006, Oliveira and Machado 2003, Rocha et al. 2005). Flavonoids are a class of secondary metabolites commonly found in plants. Araújo et al. (2008) evaluated mandacaru, among other medicinal plants of Caatinga, for the number of tannins and flavonoids. The study showed a low tannin index for C. jamacaru, considering the average for the other evaluated plants, as well as the flavonoid indices, were considered below the average obtained by the evaluated plants. In order to establish the presence and distribution of flavonoids as a factor for chemotaxonomy, Burret et al. (1982) concluded that the species C. jamacaru would fall into the group Cereoideae, a group characterized by not having flavones. Similar to the work of Araújo et al. (2008), Burret et al. (1982) detected a little amount of flavonoids in C. jamacaru. However, studies using High-Performance Liquid Chromatography (HPLC) revealed the presence of flavonoids in mandacaru samples, which showed relevant bands of these compounds in C. jamacaru (Nascimento and Orasmo 2017, Oliveira and Orasmo 2018) (Figure 14.5). In order to chemically evaluate the fruits of the species Cereus fernambucensis, known as “manacaru” in southeastern Brazil, for possible use as a functional food, Souza (2013) identified the substances 3-O-rubinosidio and isoramnetina-3-O-raminosidium from the aqueous and methanolic extract by High-Performance Liquid Chromatography (HPLC). The study also revealed that the antioxidant capacity was high, ranging from 60 to over 90%, depending on the fraction and/or extract evaluated. The hydrolyzable tannins in the extract were not detected and the vitamin C content of the “manacaru” fruit is more concentrated in the peel than in the pulp, presenting a significant concentration compared to other Cactaceae and other commonly used fruits, since the sugars were concentrated significantly in the fruit pulp. Mayworm and Salatino (1996) reported that the oils of the seeds of the Cereus jamacaru are rich in unsaturated fatty acids, mainly oleic acid and linoleic acid. In addition, saturated oils, such as palmitic and stearic oils were found. In order to improve the potential use of mandacaru polysaccharides in the industry, Alvarez et al. (1995) evaluated the pectic content quantitatively and qualitatively. The Potential Use of Mandacaru (Cereus spp.) Bioactive Compounds 331 Figure 14.5: Ethanolic extract from mandacaru samples for HPLC analysis. Source: author’s collection. The authors concluded that the waxy pecto-cellulosic cuticle of columnar cactus cladodes Cereus peruvianus is a source of α-D-polygalacturonic acid or pectic acid. Cellulose nanowhishers were obtained from mandacaru spines, providing a new renewable source of reinforcement with potential nanocomposite applications (Nepomuceno et al. 2017). Industrial Use of Mandacaru Mandacaru has been used as a source of primary metabolism products as well as secondary metabolites for the pharmaceutical, food, and chemical industries. The stems of C. peruvianus plants produce wax esters with potential application as an impermeable barrier (Dembitsky and Rezanka 1996, Rezanka and Dembitsky 1998), and a viscous gum with various industrial applications (Alvarez et al. 1992, 1995). From the gum produced, arabinogalactan was isolated, which inhibited the formation of gastric lesions in ethanol-treated mice, suggesting its potential use in phytotherapeutic processes (Tanaka et al. 2010). The studies by Nozaki et al. (1993) and Barros and Nozaki (2002) showed that the complex heteropolysaccharides constituting the stem of C. peruvianus can replace the application of synthetic polyelectrolytes used in industrial wastewater treatment processes. In a similar study, Zara et al. (2012) reports that mandacaru has also been used as a low-cost natural polymer for turbidity removal and as an aid in coagulation and flocculation in water treatment, making it clear by balancing its pH and total alkalinity. The author concludes that mandacaru polymers are efficient and are an alternative for water treatment, especially in the Brazilian semiarid region, where mandacaru is abundant. According to Almeida et al. (2006), the fruit of mandacaru (C. jamacaru) has great potential for industrial use, as it has relatively high levels of total soluble solids and total sugars, and important constituents in biotechnological processes, such as alcoholic fermentation. Aiming at the physicochemical and chromatographic characterization of mandacaru fermented beverage, Almeida et al. (2011) found that fermented mandacaru had qualities comparable to other fermented fruit, such as cashews, oranges, and “cajá” (Spondias mombin) produced by other researchers. The authors reported that the production of fermented mandacaru is a way to obtain products with higher added value, generate profit, contribute to the development of the Northeast region, and enable the use of mandacaru fruit in agroindustry. Phytochemical study using extracts from the peel and pulp of the fruits, as well as seeds of C. jamacaru, showed that the fruit has potential antioxidant compounds, and can be used both in natural consumption, in the manufacture of juices from pulp, as well as industry for the extraction of antioxidant compounds, which can be used as food additives (Brito 2015). 332 Wild Plants: The Treasure of Natural Healers Use of Mandacaru in Folk Medicine Mandacaru also has great medicinal importance, being widely used in the folk medicine of northeastern Brazil. Tourinho (2000) described the Cactaceae as constituting of therapeutic properties and cite the mandacaru, of the species Cereus jamacaru as of great efficiency to treat renal diseases. Agra (1996) also reported the effectiveness of C. jamacaru in the treatment of kidney problems, especially kidney stones, as well as its use as a syrup for the treatment of coughs, bronchitis, and ulcers. Andrade et al. (2006) also report that the association of mandacaru with legumes Senna uniflora and Senna obtusifolia in the form of tea is efficient to alleviate intestinal problems. In folk medicine, in the northeastern semiarid, the roots and stems of the C. jamacaru cactus are used as diuretics, and the stem is used to reduce blood pressure as it has emenagogue properties. Whole plant syrup is used to combat scurvy and treat respiratory tract disorders, such as coughs, bronchitis, and ulcers (Scheinvar 1985). According to Lucena et al. (2012), as for the use of C. jamacaru in folk medicine, users report that the most used parts of the plant are the pulp of the stem and the root, which are macerated, used as sauces, sitz bath, to relieve abnormalities in the intimate region, and by decoction, which consists in extracting the active ingredients from the plant through cooking. Such processes are used for various purposes, such as clearing veins, wounds in the womb, gastritis, inflammation, kidney problems, ulcer, discharge or “infection of the woman” (Figure 14.6). Popular reports and studies of ethnopharmacology and ethnobotany have shown numerous uses of aqueous extracts of mandacaru. Its stem and root, used as infusions or decocos, are touted as diuretics and improve heart and kidney disease. Stem barks are scraped and macerated, diluted with water, and also used for kidney disorders and cholesterol control (Albuquerque et al. 2007a). According to Guedes et al. (2009), popular culture also utilizes the infusion of mandacaru stem, the control of albuminuria, diabetes, the treatment of vesicular problems, and the alleviation of respiratory problems, such as cough and bronchitis. Gonzáles and Villarreal (2007) report that the needy population of northeastern Brazil makes use of flowers of C. jamacaru, infused or in nature, for the treatment of worms, boils, abscesses, and the mitigation of fevers. Cereus jamacaru hydroethanolic extract showed evident tumor inhibition on mouse-induced tumors (Sarcoma 180), however, the authors consider further pharmacological studies are necessary to evaluate the potentiality of this species as antitumor (Souza et al. 2001). Messias et al. (2010) found that C. jamacaru methanolic extract showed no toxic reactions on most of the hematological and biochemical parameters studied in pregnant adult Wistar rats. However, increased serum levels appear to have liver overload, so the authors suggest further investigation. Figure 14.6: Flowers of mandacaru are used in folk medicine. Source: https://www.flickr.com/photos/egbertoaraujo /6006758911. The Potential Use of Mandacaru (Cereus spp.) Bioactive Compounds 333 Medeiros et al. (2019) reported a new phytochemical characterization of C. jamacaru, indicating its use as a herbal medicine in the treatment of obesity. The study showed that mandacaru extract reduced food intake and body weight gain in rats. However, the extract showed significant intrinsic genotoxic potential. The treatment also altered the expression of the enzymes ABCB1 and CYP2D4, suggesting to contribute to the pharmacokinetic effects of C. jamacaru extract. Via Farma® produces a dried extract of mandacaru or koubo (Cereus spp.), marketed as an appetite suppressant due to the presence of the tiramide alkaloid, according to the manufacturer’s information; The site also reports that Cereus cactus extract is diuretic because it has betalain and indicaxanthin, which eliminate fluids and toxins besides acting in the reduction of the cholesterol, because it contains omega 6 and 9, and has antioxidant activity because it is rich in vitamin C (Via Farma 2019). Andrade et al. (2006) concluded that C. jamacaru in natural stem has been shown to have antiinflammatory and contraceptive properties. The authors also reported that the action of tyramine, found on the stem and roots, has healing and antifungal action on rodent skin. Likewise, Santana (2016) showed anti-inflammatory activity from C. jamacaru extract, showing an effect on the reduction of acute inflammatory processes. In addition, the results show that mandacaru has contraceptive properties. Cereus peruvianus constitutes 1.7% of the herbal medicine Sanativo® (SAN) of traditional use in the northeast region of Brazil, and the mandacaru is responsible for the asepsis of the affected regions. SAN is indicated for the treatment of wounds, burns, sore throats, and injured epithelial tissues, and is also composed of 20% “angico” (Piptadenia colubrina), which has hemostatic and healing action, 20% “aroeira” (Schinus terebinthifolius), anti-inflammatory and antibacterial, 1.7% of “camapu” (Physalis angulata), with balsamic and analgesic activity. In order to evaluate the healing activity and the possible toxic effects of oral administration of herbal medicine, Lima (2006) concluded that Sanativo® has a significant healing property and that oral treatment produces low toxicity in Wistar rats. An extensive review by Silva (2015) recorded several cactus species, classifying them by number of users and categories of use. The species C. jamacaru stood out, being the most cited by the members of needy communities approached, for its use as medicinal, as well as the diversity of use and the number of citations. According to the author, communities in northeastern Brazil cited the use of mandacaru in the treatment of genitourinary, digestive, and respiratory disorders (Andrade et al. 2006, Agra et al. 2007a, 2008, Albuquerque et al. 2007a, Almeida et al. 2010, Lucena et al. 2014), as well as in the treatment of renal diseases (Albuquerque et al. 2007b, Marinho et al. 2011, Cordeiro and Felix 2014), of stomach ulcer and indication as diuretic (Agra et al. 2007a, 2008), and inflammation in general (Lucena et al. 2014). The species is still cited in wound healing and inflammation of the urethra (Andrade et al. 2006, Albuquerque et al. 2007a, Lucena et al. 2014), in the treatment of rheumatism (Albuquerque et al. 2007b, Marinho et al. 2011) and enteritis (Marinho et al. 2011), liver problems (Agra et al. 2007b, Alves and Nascimento 2010), and care after snake bite (Cordeiro and Felix 2014). Lucena et al. (2015) listed the use categories of various cactus species cited by residents of the rural Santa Rita community in the municipality of Congo, Paraíba, northeastern Brazil. The species C. jamacaru was considered the most versatile, falling into the 11 categories recorded. For medicinal use, informants cited its use for influenza and cough, allergy, back problems, diabetes, rheumatism, kidney and worm problems, bronchitis, skin problem and tuberculosis, appendix and gallbladder, prostate disease, colic, and menstrual problems. In order to investigate the anticholinesterase action of plant species with the potential to inhibit enzymes responsible for the emergence of degenerative diseases, such as Alzheimer’s disease, Queiroz et al. (2011) tested in vitro ethanolic extracts of Croton urucurana, Heteropterys aphrodisiac, Chenopodium ambrosioides, and Cereus jamacaru. C. urucurana extract provided superior inhibitory action than Solanum tuberosum extract, used as a positive control, and C. jamacaru cactus exerted discrete anti-acetylcholinesterase activity. However, the authors report that further studies are needed for better and further information. 334 Wild Plants: The Treasure of Natural Healers According to Davet (2005), Cactaceae are rich in steroids, which may be related to the antimicrobial activity presented by mandacaru, and mandacaru also presents tyramine, which has bactericidal action. So the prospects for obtaining natural antibiotics from the Brazilian cactus seem to be good, concludes Lopes (2016). Conclusion From north to south of Brazil, mandacaru plants, classified as different species, are of great economic, industrial, pharmacological, and medicinal importance. However, further studies are needed to detect new bioactive compounds and their mechanisms of action for their use. 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They are regarded as the backbone of traditional medicinal systems used throughout the whole world since antiquity (Thabet et al. 2018b). Traditional medicinal practices have formed the basis of most of the early medicines, followed by subsequent clinical, pharmacological, and chemical studies. Probably the most famous and well known example to date would be the synthesis of the anti-inflammatory agent, acetylsalicylic acid (aspirin), derived from the natural product salicin, isolated from the bark of the willow tree Salix alba L. The investigation of Papaver somniferum L. (opium poppy) resulted in the isolation of several alkaloids, including morphine, a commercially important drug, first reported in 1803 (Rishton 2008). Recently, there is a focus on alternative therapies and the consumption of natural products for remedial purposes, especially those derived from plants. More than 13,000 plants have been studied during the last five years. Moreover, there has been a rapid elevation in the discovery of molecular targets that may be applied to the discovery of novel tools for the prevention and treatment of various human diseases (Rates 2001). Besides, natural products continue to provide unique structural diversity in comparison to standard combinatorial chemistry, which presents opportunities for discovering novel low molecular weight lead compounds. A huge number of natural product-derived compounds in various stages of clinical development highlighted the existing viability and significance of the use of natural products as sources of new drug candidates (Veeresham 2012). The past 15 years have evidenced an explosion in the number of phylogenetic and taxonomic studies of the order Malvales. According to a recent Kubitzki system (2003) and the APG III system (APG, 2009), the previously recognized family Bombacaceae is recently being treated as subfamily Department of Pharmacognosy, Faculty of Pharmacy, Ain-Shams University, 11566, Cairo, Egypt. * Corresponding authors: dean@pharma.asu.edu.eg; ashour@pharma.asu.edu.eg Subfamily Bombacoideae 339 Bombacoideae under family Malvaceae (Bayer and Kubitzki 2003). Bombacoideae (alternatively Bombacaceae) is unchanged, except for the exclusion of the Asian tribe Durioneae in the recent Durionaceae. Bombacoideae comprises around 30 genera of tropical trees mostly present in tropical regions of the world, especially tropical America. The largest genera include Bombax, Ceiba, and Adansonia (Baum and Oginuma 1994). Bombacoideae members are mostly present as large trees, with the tallest Ceiba pentandra, reaching a height of 70 meters (m). Trees are often spiny, buttressed, or have swollen trunks due to storage of water in the parenchyma. Leaves are often spiral, alternate, with undistinguished stipules, and pulvinate petioles. The leaves lamina are usually compound palmate with entire margin except for Ochroma species that are simple lobed. The existence of large showy actinomorphic flowers is a characteristic feature of Bombacoideae, with their short cylindrical epicalyx and pentamerous petals (Robyns 1964). Phytochemical investigations of Bombacoideae resulted in the identification of almost 160 secondary metabolites belonging to various chemical classes, including flavonoids, lignans, procyanidinds, naphthoquinones, sesquiterpenes, and triterpenes. Different promising biological properties have been investigated, including antiproliferative, immunomodulatory, antiviral, antimicrobial, and anti-inflammatory activities. The aim of this chapter is to shed light on the recently isolated constituents, as well as the pharmacological activities of different genera of this medicinally valuable Bombacoideae. Data was collected from different databases, comprising Web of Knowledge (http://www.webofknowledge.com), PubMed (http://www.ncbi.nlm.nih.gov/pubmed/), and Scifinder (https://scifinder.cas.org/scifinder/login) until August 2019. Ethnopharmacological and Traditional uses of Bombacoideae Bombacoideae is the subfamily of many economically important plants. Many of its members are of considerable ecological and economic importance. Adansonia digitata L. (Baobab) is also termed the chemist tree as well as the small pharmacy, and is famous for its countless medicinal and non-medicinal uses. Different plant parts have been widely used in folk medicine; the pulp was traditionally used for treating dysentery and fevers. Pulp extract was administered as eye-drops to alleviate measles. Various herbal remedies are composed mainly of leaves. Meanwhile, its dried powdered roots can be formulated as a mash, and is administered as a tonic to patients suffering from malaria. Moreover, its bark is found to be effective in treating sores owing to its semi-fluid gum (De Caluwé et al. 2010, Gebauer et al. 2002, Kaboré et al. 2011, Kamatou et al. 2011, Wickens 1980). Bombax ceiba L. plant is an economical plant source of cotton and timber in addition to its use in the manufacture of matchsticks. According to Ayurveda, Bombax pods have stimulant, haemostatic, and astringent effects. The bark is mucilaginous and was given as infusion for demulcent and emetic effects. A paste of flowers and leaves is employed externally for the relief of skin troubles. The roots are used as a tonic in syphilis. Meanwhile, its bark gum is used in menorrhagia and leucorrhoea. Besides, the stem bark is used as a tonic in boils, acne, and pimples, whereas the seeds are applied on the skin to alleviate smallpox and chickenpox (Hossain et al. 2011a, Singh and Panda 2005, Williamson 2002). Ceiba pentandra L. Gaertn., the tropical tree, gains its popularity in the industry of lifejackets and cushions owing to the water-resistant and elastic floss of their capsules that are known as kapok. Besides, it is used in folk medicine to relieve fever, parasitic infections, diarrhea, as well as gonorrhea in Central America, Asia, Oceania, and Africa. Water infusion of C. pentandra bark is traditionally used for the management of asthma in the Samoan Islands (Cox 1993, Dunstan et al. 1997, Noreen et al. 1998). 340 Wild Plants: The Treasure of Natural Healers Chiranthodendron pentadactylon Larreat., is well known as the monkey’s, the Devil’s, or Mexican hand tree for its distinct red flowers, resembling human hands. The flowers were used for the treatment of heart diseases and the management of lower abdominal pain. Besides, they were used to lower edema and serum cholesterol levels. In Mexican traditional medicine, it was used to relieve different ailments, including headache, eye pain, diarrhea, dysentery, epilepsy, and cancer (Etkin 2000, Velázquez et al. 2009). Pachira P. aquatica and P. glabra are commercially sold under the name money trees as they are supposed to bring good luck and money into the owner’s home (Cheng et al. 2017). Medicinally, the skin of the immature green fruit of P. aquatica is sometimes used in the treatment of hepatitis. The seeds are used as an anesthetic. A cold water infusion of the crushed leaves is used to treat burning sensation in the skin. The bark is sometimes used medicinally to treat stomach complaints and headaches, and herbal tea of the boiled bark is used as a blood tonic (Barwick and Schokman 2004). Secondary Metabolites Isolated from Subfamily Bombacoideae (i) Flavonoids Flavonoids constitute the major class of secondary metabolites that are predominant in Bombacoideae (Tables 15.1–15.5). Forty seven flavonoid compounds were isolated from different organs of Adansonia, Bombax, Bombacopsis, Ceiba, Chorisia, Pachira, and Ochroma. Flavones and flavonols are highly represented along with their hydroxy and methoxy derivatives, amounting up to 30% of the total previously isolated phytoconstituents of the subfamily (Tables 15.1 and 15.2). Polyhydroxy and methoxy derivatives occur mostly as flavones and flavonols isolated from different organs. Only four flavonols have been reported, including the benzopyran dimer, shamimicin flavonol (41) that has been isolated from Bombax ceiba stem bark (Saleem et al. 2003). Flavanones, flavanonols, and isoflavones are not highly represented in Bombacoideae, although a few compounds have been reported, represented by hesperidin (43), vavain (45), and its glycosides (46, 47) (Ngounou et al. 2000, Noreen et al. 1998, Ueda et al. 2002, Qi et al. 1996). (ii) Xanthones Xanthones represent another class of complex phenolic compounds that is closely related to flavonoids, both in structure and chromatographic behavior. Despite the rareness of xanthone C-glycosides in the Malvaceae (Negi et al. 2013), four xanthone-C-glucosides, namely, 2-C-β-Dglucopyranosyl-1,3,6,7-tetrahydroxy-xanthone (Mangiferin) (48), 2-C-β-D-glucopyranosyl-1,6,7trihydroxy-3-O-(p-hydroxybenzoyl)-xanthone (49), 4-C-β-D-glucopyranosyl-1,6,8-trihydroxy-3,7di-O-(p-hydroxybenzoyl)-xanthone (50), and 4-C-β-D-glucopyranosyl-1,3,6, 8-tetrahydroxy-7-O(p-hydroxybenzoyl)-xanthone (51) were isolated from Bombax ceiba leaves (Zoghbi et al. 2003) (Table 15.6). Moreover, the acetoxy xanthone, xanthone-3-acetoxy-1-hydroxy-6-methoxy-8-Oβ-D-glucopyranosyl-(1→3)-α-L-rhamnoside (52), was isolated from Bombax ceiba flowers (Sati et al. 2011). (iii) Procyanidins Procyanidins (condensed tannins) have gained a great attention in the last few years owing to their strong observed radical scavenging, antioxidant, anti-HIV, and antiviral activities (Shahat 2006). Four oligomeric procyanidins were isolated from the methanol extract of Adansonia digitata fruits, which are epicatechin-(4-β-8)-epicatechin (53), epicatechin-(4-β-6)-epicatechin (54), epicatechin- Table 15.1: Chemical structures of the isolated flavones and their distribution in subfamily Bombacoideae. Compound name Structure Plant name Parts used References R5 R6 R4 R3 O R2 R1 O R1 R2 R3 R4 R5 R6 Apigenin (1) OH H OH H H OH Bombax ceiba Flowers (El-Hagrassi et al. 2011) Apigenin-7-O-α-L-rhamnoside (2) OH H O-α-Rha. H H OH Chorisia crispiflora Leaves (Ashmawy et al. 2012) Apigenin 7-O-β-D-glucoside (Cosmetin) (3) OH H O- β- Glc. H H OH Bombax ceiba Flowers (El-Hagrassi et al. 2011) Chorisia crispiflora (Ashmawy et al. 2012) Leaves Apigenin 7-O-neohesperidoside (Rhoifolin) (4) OH H O-neohesperidoside H H OH Leaves (Ashmawy et al. 2012, Coussio 1964) Flowers (Refaat et al. 2015a) Table 15.1 contd. ... Subfamily Bombacoideae 341 Chorisia insignis C. crispiflora C. speciosa C. pubiflora C. chodatii C. speciosa Compound name Structure Apigenin 7-O-β-D-rutinoside (5) OH H Oβ-rutinoside H H Vitexin (6) OH H OH C-βGlc. H Plant name Parts used References OH Chorisia insignis Leaves (El-Alfy et al. 2010) OH Bombax ceiba Flowers (Joshi et al. 2013) Ochroma pyramidale Leaves (Vázquez et al. 2001) Isovitexin (Saponaretin) Apigenin-6-C-β-D-glucoside (7) OH Cβ-Glc. OH H H OH Bombax ceiba Flowers (El-Hagrassi et al. 2011, Joshi et al. 2013) Apigenin-6-C-β-D-glucosyl-7-O-β -D-glucoside (Saponarin) (8) OH Cβ-Glc. O- β-Glc. H H OH Bombax ceiba Flowers (El-Hagrassi et al. 2011) Vicenin 2 (9) OH Cβ-Glc. OH C-βGlc. H OH Bombax ceiba Flowers (El-Hagrassi et al. 2011, Joshi et al. 2013) Apigenin-4`-methylether-7-O-β-rutinoside (Linarin) (10) OH H O-βrutinoside H H OMe Bombax ceiba Flowers (El-Hagrassi et al. 2011) Luteolin 7-O-β-D-glucoside (11) OH H O- β-Glc. H OH OH Chorisia chodatii Flowers (Refaat et al. 2015a) Luteolin 7-O-β-D-rutinoside (12) OH H Oβ-rutinoside. H OH OH Chorisia insignis Leaves (El-Alfy et al. 2010) 5,7-Dimethoxyflavone (13) OMe H OMe H H H Bombax anceps Roots (Sichaem et al. 2010) 5-Hydroxy-7,4’-dimethoxyflavone (14) OH H OMe H H OMe Bombax anceps Roots (Sichaem et al. 2010) Xanthomicrol (4`,5-dihydroxy-6,7,8-trimethoxyflavone) (15) OH OMe OMe OMe H OH Bombax ceiba Flowers (El-Hagrassi et al. 2011) 342 Wild Plants: The Treasure of Natural Healers ...Table 15.1 contd. Table 15.2: Chemical structures of the isolated flavonols and their distribution in subfamily Bombacoideae. Compound name Structure Plant name Parts used References R7 R8 R6 R5 R4 O R9 R3 R1 R2 O R1 R2 R3 R4 R5 R6 R7 R8 R9 Kaempferol (16) OH OH H OH H H H OH H Bombax ceiba Flowers (Jain and Verma 2012) Kaempferol-3-O-β-D-glucoside (Astragalin) (17) O-β-Glc. OH H OH H H H OH H Chorisia chodatii Chiranthodendron pentadactylon Flowers (Refaat et al. 2015a) Flowers (Velázquez et al. 2009) O-β-rutinoside OH H OH H H H OH H Chorisia crispiflora Bombax ceiba Leaves Flowers (Ashmawy et al. 2012) (Joshi et al. 2013) Kaempferol-3-O-β-D-glucuronoside (19) O-β-Glucurono. OH H OH H H H OH H Bombax ceiba Flowers (Joshi et al. 2013) Kaempferol-3-O-β-D-(6``-E-pcoumaroyl)-glucopyranoside (Tiliroside) (20) O-β(6``-p-coumaroyl)Glc. OH H OH H H H OH H Chorisia chodatii Chiranthodendron pentadactylon Flowers Flowers (Refaat et al. 2015a) (Velázquez et al. 2009) Kaempferol-3- O-β-D- (6``-acetyl)glucoside (21) O-β-(6``-acetyl)Glc. OH H OH H H H OH H Chorisia chodatii Flowers (Refaat et al. 2015a) Sexangularetin-3-O-sophoroside (22) 2(β-glucosyl) -O-β-Glc. OH H OH OMe H H OH H Bombax ceiba Flowers (Joshi et al. 2013) Quercetin (23) OH OH H OH H H OH OH H Bombax ceiba Flowers (Joshi et al. 2013) Quercetin-3-O-β-D-glucuronoside (24) O-β-glucuronide OH H OH H H OH OH H Bombax ceiba Flowers (Joshi et al. 2013) Table 15.2 contd. ... Subfamily Bombacoideae 343 Kaempferol-3-O-β-D-rutinoside (18) Compound name Structure Quercetin-3-O-β-D-gluco side (Isoquercitrin) (25) O-β-Glc. OH H OH H H OH OH H Plant name Parts used References Adansonia digitata Bombax ceiba Chiranthodendron pentadactylon Fruits (Shahat 2006) (Joshi et al. 2013) (Velázquez et al. 2009) Flowers Flowers Quercetin-3-O-β-Dglucuronoside (26) O-βglucuronide OH H OH H H OH OH H Bombax ceiba Flowers (Joshi et al. 2013) Quercetin-3-O-β-Dgalactouronoside (27) O-βgalacturonide OH H OH H H OH OH H Bombax ceiba Flowers (Said et al. 2011) Quercetin-3-O-β-D-rutinoside (Rutin) (28) O-βrutinoside OH H OH H H OH OH H Bombax ceiba Chorisia insignis Flowers Leaves (Joshi et al. 2013) (El-Alfy et al. 2010) Santin-7-methyl ether (29) OMe H OMe OMe H H H OMe H Pachira aquatica Stems (Cheng et al. 2017) 3,5,7-Trimethoxyflavone (30) OMe OMe H OMe H H H H H Bombax anceps Roots (Sichaem et al. 2010) 5-Hydroxy-3,7,3’,4’tetramethoxyflavone (31) OMe OH H OMe H H H OMe H Bombacopsis glabra Stem barks Root barks Bombax ancepskae Roots Pachira aquatica Stems 5-Hydroxy-3,7,4’-trimethoxyflavone (Retusin) (32) OMe OH H OMe H H OMe OMe H Pachira aquatica 5-Hydroxy-3,6,7,4’tetramethoxyflavone (33) OMe OH OMe OMe H H H OMe H Bombacopsis glabra Stems Root barks 5,4′-Dihydroxy-3,6,7,8tetramethoxyflavone (34) OMe H OMe OMe OMe H H H H Pachira aquatica 5-Hydroxy-3,6,7,8,4’pentamethoxyflavone (5-Hydroxyauranetin) (35) OMe OH OMe OMe OMe H H OMe H Bombacopsis glabra Stem barks 5,4′-Dihydroxy-3,7dimethoxyflavone (36) OMe H H OMe H H H H 3,5,6,7,8,3′,4′-Heptamethoxyflavone (37) OMe OMe OMe OMe OMe H OMe Shamimin (38) OH OH C-βGlc. H OH OH H Stems Stems (Paula et al. 2002) (Sichaem et al. 2010) (Cheng et al. 2017) (Cheng et al. 2017) (Paula et al. 2006a) (Cheng et al. 2017) (Paula et al. 2002) Pachira aquatica Stems (Cheng et al. 2017) H Pachira aquatica Stems (Cheng et al. 2017) OMe H Pachira aquatica Stems (Cheng et al. 2017) OH OH Bombax ceiba Leaves (Shahat et al. 2003) 344 Wild Plants: The Treasure of Natural Healers ...Table 15.2 contd. Table 15.3: Chemical structures of the isolated flavanols and their distribution in subfamily Bombacoideae. Compound name Structure Plant name Parts used References Ceiba pentandra Stem barks (Noreen et al. 1998) Chiranthodendron pentadactylon Ochroma pyramidale Flowers (Velázquez et al. 2009) OH OH HO O R2 R1 OH (+)-Catechin (39) R1 R2 β-OH H Leaves (Vázquez et al. 2001) (-)+Epicatechin (40) α-OH H Adansonia digitata Chiranthodendron pentadactylon Ochroma pyramidale Fruits Flowers (Shahat 2006) (Velázquez et al. 2009) Leaves (Vázquez et al. 2001) 5,7,3’.4’-Tetrahydroxy-6-methoxyflavan-3O–β–D-glucopyranosyl-α-D-xyloside (41) O-β-Glc.-α-Xyl. OMe Bombax ceiba Roots (Chauhan et al. 1980) Bombax ceiba Stem barks (Saleem et al. 2003) OH OH OH OH HO OH O O O O O O HO HO HO OH OH O O HO Subfamily Bombacoideae 345 Shamimicin (42) (1```,1``````-bis-2-(3,4-dihydroxyphenyl)-3,4-dihydro-3,7-dihydroxy-5-Oxylopyranosyloxy2H-1-benzopyran) Compound name Structure Plant name Parts used References R4 R5 R3 O R1 R2 O R1 R2 R3 R4 R5 Hesperidin (43) H OH O-rutinoside OH OMe Bombax ceiba Roots (Qi et al. 1996) 3,7-Dihydroxy flavan-4-one-5-O-β-Dgalactopyranosyl (1→4)-β-D-glucoside (44) OH 4-O-(β–galactosyl) β-Glc. OH H H Adansonia digitata Roots (Chauhan et al. 1984) 346 Wild Plants: The Treasure of Natural Healers Table 15.4: Chemical structures of the isolated flavanones and flavanonols and their distribution in subfamily Bombacoideae. Table 15.5: Chemical structures of the isolated isoflavones and their distribution in subfamily Bombacoideae. Compound name Structure MeO Plant name Parts used References O R OH O OMe OMe Vavain (45) (5,3`-dihydroxy-7,4`,5`-trimethoxyisoflavone) R: OH Ceiba pentandra Stem barks (Ueda et al. 2002), (Ngounou et al. 2000) Vavain 3′-O-β–D-glucoside (5-hydroxy-7,4`,5`-trimethoxyisoflavone-3`O-β–D-glucoside) (46) R: O-β-Glc. Ceiba pentandra Stem barks (Ueda et al. 2002), (Ngounou et al. 2000) 5-Hydroxy-7,4`,5`-trimethoxyisoflavone 3`-O-α-L-arabinofuranosyl(1→6)-β-Dglucoside (47) R: 6-O-(α-arabinosyl)-β-Glc. Ceiba pentandra Stem barks (Ueda et al. 2002) Subfamily Bombacoideae 347 Compound name Structure Plant name Parts used References R3 4 R2 5 O R4 3 6 2 7 R1 1 R5 8 OH O R6 R1 R2 R3 R4 R5 R6 2-C-β-D-Glucopyranosyl-1,3,6, 7-tetrahydroxy-xanthone (Mangiferin) (48) C-βGlc. OH H OH OH H Bombax ceiba Leaves (Versiani 2004) 2-C-β-D-Glucopyranosyl-1,6,7trihydroxy-3-O-(p-hydroxybenzoyl)xanthone (49) C-βGlc. O-p-hyroxybenzoyl H OH OH H Bombax ceiba Leaves (Versiani 2004) 4-C- β-D-Glucopyranosyl-1,6,8trihydroxy-3,7-di-O-(p-hydroxybenzoyl)-xanthone (50) H O-p-hyroxybenzoyl C-βGlc. OH O-p-hyroxybenzoyl OH Bombax ceiba Leaves (Versiani 2004) 4-C-β-D-Glucopyranosyl-1,3,6, 8-tetrahydroxy-7-O-(phydroxybenzoyl)-xanthone (51) H OH C-βGlc. OH O-p-hyroxybenzoyl OH Bombax ceiba Leaves (Versiani 2004) Xanthone 3-acetoxy-1-hydroxy-6-methoxy-8-O-β-Dglucopyranosyl-(1→3)-α-L-rhamnoside (52) H OAc H OMe H 3-O-(α-Rham.)β-Glc. Bombax ceiba Flowers (Sati et al. 2011) 348 Wild Plants: The Treasure of Natural Healers Table 15.6: Chemical structures of the isolated xanthones and their distribution in subfamily bombacoideae. Subfamily Bombacoideae 349 (2β-O-7,4β-8)-epicatechin (55), and epicatechin-(4-β-8)-epicatechin-(4-β-8)-epicatechin (56). It is noteworthy to mention that they mainly consist of 2–3 interlinked 2–3 flavan-3-ol units (Table 15.7). (iv) Simple Phenolics and Phenylpropanoids Simple phenolic acids and phenolic esters have been reported from Bombax ceiba and Chorisia crispiflora, including protocatechuic acid (57), gallic acid (58), ethyl gallate (59), 1-galloyl-β-glucose (60), trans-3-(p-coumaroyl) quinic acid (61), and neochlorogenic acid (62) (Ashmawy et al. 2012, Dhar and Munjal 1976, Wu et al. 2008). Other miscellaneous phenolic compounds, including Shamiminol (63), Bombalin (64), and (2R, 3R, 4R, 5S)-5-(6-(2, 3-dimethylbutyl)-7-hydroxy-2-(4-hydroxyphenyl)-2H-chromen-5-yloxy)6-methyl-tetrahydro-2H-pyran-2,3,4-triol (65), were isolated from B. ceiba leaves and flowers (Table 15.8) (Faizi and Ali 1999, Khan et al. 2012, Wu et al. 2008). (v) Lignans Lignans, a subgroup of non-flavonoid polyphenols, are widely distributed in Bombax and Ochroma. Six lignan compounds, including (+)-pinoresinol (66), matairesinol (67), 5,6-dihydro-xymatairesinol (68), bombasin (69), bombasin-4-O-β-glucoside (70), and dihydro-dehydro-diconiferylalcohol- 4-O-βD-glucoside (71) were isolated from the flowers and roots of B. ceiba (Wu et al. 2008, Wang et al. 2013). Besides, another ten lignans compounds were isolated from Ochroma lagopus heartwood ethanol extract, including boehmenan A-D (72-75), carolignan A-F (76-81), and secoisolariciresinoyl diferulate (82) (Paula et al. 1995) (Table 15.9). (vi) Coumarins Coumarins are not widely represented in subfamily Bombacoideae, except for scopoletin (83) and cleomiscosin (84), which were reported from the heartwood of Ochroma lagopus and Pachira aquatica stem (Cheng et al. 2017, Paula et al. 1996) (Table 15.10). (vii) Naphthoquinones Naphthoquinone, a class of compounds biosynthesized via shikimic acid pathway, is not widely represented in the subfamily Bommbacoideae. Only six compounds were isolated restricted to three genera Bombax, Ceiba, and Pachira. Bombaxquinone B (2-O-Methyl-isohemigossypolone) (86) was the most representative naphthoquinone isolated from roots, heartwood of Bombax ceiba, roots of Bombax anceps, as well as the root barks of Ceiba pentandra and Pachira aquatica. Isohemigossypolone (85) and other methyl derivatives, including 11-nor-2-O-methylisohemigossypolone (87), 2,7-Dimethoxy8-formyl-5-isopropyl-3-methyl-1,4-naphthoquinone (88), and bombamalone D (87) were isolated from B. ceiba (Table 15.11). (viii) Sesquiterpenes Cadinane sesquiterpenes constitute the second most representative constituents of this subfamily after flavonoids. Hemigossypol (90), isohemigossypol (93) and their methyl ether derivatives, hemigossypol-6-methylether (91), hemigossypol-1,6,7-trimethy) ether (92), isohemigossypol-1methyl ether (94), isohemigossypol-2-methylether (95), isohemigossypol-1,2-methylether (96), 2-acetyl-isohemigossypol-1-methylester (97), 7-hydroxycadalene (98), and Lacinilene C (99) have been isolated from Bombax ceiba, B. anceps (Sankaram et al. 1981, Seshadri et al. 1973) and Ceiba pentandra roots (Sichaem et al. 2010). In addition, sesquiterpene lactones are widely distributed in Compound name Structure Epicatechin-(4-β8)-epicatechin (53) OH Plant name Parts used References Adansonia digitata Fruits (Shahat 2006) Adansonia digitata Fruits (Shahat 2006) OH HO O OH OH OH OH HO O OH OH Epicatechin-(4-β6)Epicatechin (54) HO HO OH HO OH O O OH OHHO OH HO 350 Wild Plants: The Treasure of Natural Healers Table 15.7: Chemical structures of the isolated procyanidins and their distribution in subfamily Bombacoideae. Epicatechin-(2-β-O-7,4 β -8)-epicatechin (55) OH Adansonia digitata Fruits (Shahat 2006) Adansonia digitata Fruits (Shahat 2006) OH HO O O OH OH O OH OH HO OH Epicatechin-(4-β-8)-epicatechin -(4-β-8)epicatechin (56) OH OH HO O OH OH OH O OH OH OH OH HO O OH OH Subfamily Bombacoideae 351 OH HO Compound name Structure Plant name Parts used References COOR2 R1 OH OH R1 R2 H H Chorisia crispiflora Leaves (Ashmawy et al. 2012) Gallic acid (58) OH H Bombax ceiba Seeds (Dhar and Munjal 1976) Ethyl gallate (59) OH -C2H5 Bombax ceiba Seeds (Dhar and Munjal 1976) 1-Galloyl-β-glucose (60) OH -Glc. Bombax ceiba Seeds (Dhar and Munjal 1976) Bombax ceiba Flowers (Wu et al. 2008) Bombax ceiba Flowers (Wu et al. 2008) Protocatechuic acid (57) trans-3-(p-coumaroyl) Quinic acid (61) HO COOH O O OH OH HO Neochlorogenic acid (62) HO COOH O HO OH O OH HO 352 Wild Plants: The Treasure of Natural Healers Table 15.8: Chemical structures of miscellaneous phenolic compounds and their distribution in subfamily Bombacoideae. Shamiminol (3,4,5-trimethoxy-phenol 1-O-β-Dxyloside-(1→2) -β-D-glucoside) (63) OMe OH Bombax ceiba Leaves (Faizi and Ali 1999) Bombax ceiba Flowers (Wu et al. 2008) Bombax ceiba Flowers (Khan et al. 2012) O O OMe HO 1` HO O O OMe 1`` OH HO HO Bombalin (6-O-4’-(hydroxycinnamoyl)-3-methylD-gulono-ɣ-lactone) (64) O O O OH O OH OMe HO OH HO O O O HO OH OH Subfamily Bombacoideae 353 (2R, 3R, 4R, 5S)-5-(6-(2, 3-dimethylbutyl)-7-Hydroxy-2-(4hydroxyphenyl) -2H-chromen-5-yloxy)-6-methyltetrahydro-2H-pyran-2,3,4-triol (65) Compound name Structure Plant name Parts used References Bombax ceiba Roots (Wang et al. 2013) R:H Bombax ceiba Roots (Wang et al. 2013) R: OH Bombax ceiba Roots (Wang et al. 2013) (+)-Pinoresinol (66) OH O OMe H H MeO O HO O O OMe R R OH MeO Matairesinol (67) 5,6-Dihydro-xymatairesinol (68) OH OH R2 O OMe R 1O OMe 354 Wild Plants: The Treasure of Natural Healers Table 15.9: Chemical structures of isolated lignans and their distribution in subfamily Bombacoideae. Bombasin (69) R1 R2 H -COMe Bombax ceiba Flowers (Wu et al. 2008) Bombasin-4-O-β-glucoside (70) Glc. -COMe Bombax ceiba Flowers (Wu et al. 2008) Dihydro-dehydrodiconiferylalcohol- 4-O-βD-glucoside (71) Glc. -(CH2)3OH Bombax ceiba Flowers (Wu et al. 2008) Ochroma lagopus Heartwood (Paula et al. 1995) O O 7 7`` O 8 HO O 8`` R O OMe OH OMe HO OMe R: H; Δ7,8 (E), Δ7``8``(E) Boehmenan A (72) Boehmenan B (73) R: H; ; Δ (E) , Δ (Z) Ochroma lagopus Heartwood (Paula et al. 1995) Boehmenan C (74) R: H; ; Δ7,8 (Z) , Δ7``8``(E) Ochroma lagopus Heartwood (Paula et al. 1995) Boehmenan D (75) R: OMe; ; Δ7,8 (E) , Δ7``8`(E)` Ochroma lagopus Heartwood (Paula et al. 1995) 7,8 7``8`` O O O O HO H OMe HO O OH H OMe MeO OH Table 15.9 contd. ... Subfamily Bombacoideae 355 R Compound name Structure Plant name Parts used References Carolignan A (76) R: H; 7` α-OH; Δ (E), Δ (E) Ochroma lagopus Heartwood (Paula et al. 1995) Carolignan B (77) R: H; 7` β-OH; Δ7,8 (E), Δ7``8``(E) Ochroma lagopus Heartwood (Paula et al. 1995) Carolignan C (78) R: H; 7` β-OH; Δ7,8 (E), Δ7``8``(Z) Ochroma lagopus Heartwood (Paula et al. 1995) Carolignan D (79) R: H; 7` β-OH; Δ (Z), Δ 7,8 7,8 7``8`` 7``8`` Ochroma lagopus Heartwood (Paula et al. 1995) Carolignan E (80) R: OMe; 7` α-OH; Δ7,8 (E), Δ7``8``(E) Ochroma lagopus Heartwood (Paula et al. 1995) Carolignan F (81) R:OMe; 7` β-OH; Δ7,8 (E), Δ7``8``(E) Ochroma lagopus Heartwood (Paula et al. 1995) Ochroma lagopus Heartwood (Paula et al. 1995) Secoisolariciresinoyl diferulate (82) (E) OH MeO O OMe O OH OH O OMe O MeO OH 356 Wild Plants: The Treasure of Natural Healers ...Table 15.9 contd. Subfamily Bombacoideae 357 Table 15.10: Chemical structures of isolated coumarins and their distribution in subfamily Bombacoideae. Compound name Structure Scopoletin (83) H3CO HO Cleomiscosin (84) O Parts used References Ochroma lagopus Pachira aquatica Heartwood (Paula et al. 1996) Stems (Cheng et al. 2017) Ochroma lagopus Heartwood (Paula et al. 1996) O H3CO O Plant name O O O OH HO OCH3 subfamily Bombacoideae, where 16 compounds (100-115) have been isolated from B. ceiba, Pachira aquatica (Zhang et al. 2008, Zhang et al. 2007) and C. pentandra (Puckhaber and Stipanovic 2001, Rao et al. 1993) (Table 15.12). (ix) Triterpenes Different triterpenes with a C27 and C30 skeleton have been isolated from different Bombacoideae. Ursolic acid (116), α-amyrin (117), and β-amyrin palmitate (123) were isolated from Adansonia digitata pulp (Al-Qarawi et al. 2003). Lupeol (118), lupenone (120), 2α, 3β-dihydroxylup-20(29)-ene (121), (24R)-9,19-cyclolanost-25-ene-3β,24-diol (126), (24S)-9,19-cyclolanost-25-ene-3β,24-diol (127), and 9,19-cyclolanost-23-ene-3β,25-diol (128) were reported from Bombacopsis glabra stem bark and Pachira aquatica stem (Cheng et al. 2017, Paula et al. 2002). The asymmetric bis-norsesquiterpenoid, aquatidial (130), was isolated from the outer bark of P. aquatica root together with lupeol (118) (Paula et al. 2006b). Oleanolic acid (125), gossypol (129), as well as lupeol (118), lupeol aceate (119), α-amyrin (117), and β-amyrin (122) were isolated from Bombax ceiba root, stem bark, and flowers (Jain and Verma 2012, Qi et al. 1996, Seshadri et al. 1973). β-Amyrone (124) and lupeol (118) were isolated from Chorisia crispiflora flowers (Hassan 2009). Lupeol (118) was also isolated from Bombax anceps roots, Cavanillesia hylogeiton, and Ochroma pyramidale leaves, representing the major prevalent triterpene in Bombacoideae (Sichaem et al. 2010, Bravo et al. 2002, Vázquez et al. 2001) (Table 15.13). (x) Sterols The sterol content of seed lipid unsaponifiable matter of six Adansonia s (Adansonia digitata, A. fony, A. za, A. madagascariensis, A. suarezensis, A. grandidiera) was investigated. In all s, β-sitosterol (24-ethyl-cholesterol) (133) was the major component, followed by campesterol (24-Methyl-cholesterol) (132), and isofucosterol (24-ethylidene-cholesterol) (136). Cholesterol (131), stigmasterol (24-ethyl-5,22-cholestadien-3-β-ol) (137), Δ7-avenasterol (24-Ethylidene-7-cholesten3-β-ol) (139), and Δ7-stigmasterol (24-ethyl-7-cholesten-3-β -ol) (140) were found at much lower concentrations at all investigated Adansonia (Bianchini et al. 1982). β-Sitosterol (133) was also isolated from Bombax ceiba, Ceiba pentandra, Chorisia chodatii, C. crispiflora, Ochroma pyramidale, Compound name Structure R4 Parts used References O 8 R3 Plant names 1 2 4 3 R1 7 6 R2 5 O Isohemigossypolone (85) Bombaxquinone B (86) (2-O-Methyl-isohemigossypolone) R1 R2 R3 R4 OH Me OH CHO Pachira aquatica Pachira glabra Root barks Root barks (Shibatani et al. 1999a) (Paula et al. 2006a) OMe Me OH CHO Bombax anceps Bombax ceiba Roots Heartwood Root barks Roots Root barks Root barks, Stems (Sichaem et al. 2010) (Sankaram et al. 1981) (Reddy et al. 2003) (Zhang et al. 2007) (Rao et al. 1993) (Shibatani et al. 1999a), (Cheng et al. 2017) Bombax ceiba Pachira aquatica Heartwood Root barks (Sreeramulu et al. 2001) (Shibatani et al. 1999a) Ceiba pentandra Pachira aquatica 11-nor-2-O-Methyl isohemigossypolone (87) OMe Me OH H 2,7-Dimethoxy-8-formyl-5-isopropyl-3-methyl-1,4naphthoquinone (88) OMe Me OMe CHO Bombax ceiba Root barks (Sankaram et al. 1981) Bombamalone D (89) (5,8-Dihydro-2-hydroxy-4-isopropyl-7-methoxy-6-methyl-5,8dioxonaphthalene-1-carboxylic acid) OMe Me OH COOH Bombax ceiba Roots (Zhang et al. 2007) 358 Wild Plants: The Treasure of Natural Healers Table 15.11: Chemical structures of isolated naphthoquinones and their distribution in subfamily Bombacoideae. Table 15.12: Chemical structures of isolated sesquiterpenes and their distribution in subfamily Bombacoideae. Compound name Structure R5 Plant name Parts used References R1 R4 R2 R3 R1 R2 R3 R4 R5 Hemigossypol (90) OH H OH OH CHO Bombax ceiba Roots Hemigossypol-6-methylether (91) OH H OMe OH CHO Bombax ceiba Roots (Seshadri et al. 1973) (Seshadri et al. 1973) Hemigossypol-1,6,7-trimethylether (92) OMe H OMe OMe CHO Bombax ceiba Roots (Seshadri et al. 1973) OH OH H OH CHO Bombax ceiba Roots (Seshadri et al. 1976) Isohemigossypol-1-methyl ether (94) OMe OH H OH CHO Bombax ceiba Roots Bombax anceps Roots (Seshadri et al. 1973, Sankaram et al. 1981) (Sichaem et al. 2010) Isohemigossypol-2-methylether (95) OH OMe H OH CHO Bombax ceiba Bombax anceps Roots Roots (Sankaram et al. 1981) (Sichaem et al. 2010) Isohemigossypol-1,2-methylether (96) OMe OMe H OH CHO Bombax ceiba Roots (Sankaram et al. 1981, Puckhaber and Stipanovic 2001) 2-Acetyl-isohemigossypol-1methylester (97) OMe OCOMe H OH CHO Bombax ceiba Root barks (Sankaram et al. 1981) 7-Hydroxycadalene (98) H OH H OH Me Bombax ceiba Roots Heartwood Root barks (Sankaram et al. 1981) (Sreeramulu et al. 2001) (Rao et al. 1993) Ceiba pentandra Table 15.12 contd. ... Subfamily Bombacoideae 359 Isohemigossypol (93) Compound name Structure Lacinilene C (99) OH O Bombamalone A (100) Plant name Parts used References Bombax ceiba Roots (Zhang et al. 2007) Bombax ceiba Roots (Zhang et al. 2007) Pachira aquatica Stems (Cheng et al. 2017) OH O O HO OCH3 OH O Hibiscone D (101) O O OH 360 Wild Plants: The Treasure of Natural Healers ...Table 15.12 contd. O-Methyl hibiscone D (102) O O Pachira aquatica Stems (Cheng et al. 2017) Bombax ceiba Roots (Zhang et al. 2007) Bombax ceiba Roots (Zhang et al. 2007) OCH3 Bombamalone B (103) OH O O O O Bombamalone C (104) O O OCH3 OH Subfamily Bombacoideae 361 Table 15.12 contd. ... Compound name Structure Hibiscone C (Gmelofuran) (105) O O O Plant name Parts used References Bombax ceiba Roots (Zhang et al. 2008) Pachira aquatica Stems (Cheng et al. 2017) Bombax ceiba Roots (Zhang et al. 2007) Bombax ceiba Roots (Zhang et al. 2008) H Bombamaloside (106) O O O O R1 O R2 R3 Bombaside (107) R1 R2 R3 H H Apiosyl-(1-6)-glucosyl 362 Wild Plants: The Treasure of Natural Healers ...Table 15.12 contd. Bombaxone (108) H OH H Bombax ceiba Roots (Zhang et al. 2008) 7-O-β-Gluco-pyranosyl bmbaxone (109) O-Glucosyl OH H Bombax ceiba Roots (Zhang et al. 2008) O O R4 R1 R3 R2 R2 R3 R4 OH H H OH Pachira aquatica Stems (Cheng et al. 2017) 5-Isopropyl-3-methyl-2,4,7-trimethoxy8,1-naphthalene carbolactone (111) OMe OMe H OMe Bombax ceiba Roots (Reddy et al. 2003) Isohemigossylic acid lactone 2-methyl ether (112) OMe H H OH Bombax ceiba Roots (Puckhaber and Stipanovic 2001, Zhang et al. 2007) Isohemigossylic acid lactone-7-methyl ether (113) OH H H OMe Bombax ceiba Ceiba pentandra Pachira aquatica Roots Root barks Stems (Puckhaber and Stipanovic 2001) (Rao et al. 1993) (Cheng et al. 2017) Isohemigossylic acid lactone-2,7-dimethyl ether (114) OMe H H OMe Bombax ceiba Ceiba pentandra Roots Root barks (Puckhaber and Stipanovic 2001) (Rao et al. 1993) Pachira aquatica Stems (Cheng et al. 2017) 11-Hydroxy-2-O-methylhibiscolactone A (115) O O HO OMe HO Subfamily Bombacoideae 363 R1 Hibiscolactone A (110) Compound Structure H Plant name Parts used References R H HO Ursolic acid (116) R: COOH Adansonia digitata Pulps (Al-Qarawi et al. 2003) α-Amyrin (117) R: Me Adansonia digitata Bombax ceiba Pulps Flowers (Al-Qarawi et al. 2003) (El-Hagrassi et al. 2011) H H R2 H R1 H R1 R2 364 Wild Plants: The Treasure of Natural Healers Table 15.13: Chemical structures of isolated triterpenes and their distribution in subfamily Bombacoideae. Lupeol (118) OH H Bombax ceiba Bombax anceps Cavanillesia hylogeiton Ochroma pyramidale Bombacopsis glabra Pachira aquatica Stem barks Roots Roots Stem bark Leaves Stem barks Root barks (Saleem et al. 2003) (Jain and Verma 2012) (Sichaem et al. 2010) (Bravo et al. 2002) (Vázquez et al. 2001) (Paula et al. 2006a) (Paula et al. 2006c) Lupeol acetate (119) OCOCH3 H Bombax ceiba Flowers (Jain and Verma 2012) Lupenone (120) =O H Bombacopsis glabra Pachira aquatica Stem barks Stems (Paula et al. 2002) (Cheng et al. 2017) 2α,3βDihydroxylup-20(29)-ene (121) OH OH Pachira aquatica Stems (Cheng et al. 2017) H R2 H R1 R1 R2 OH Me Bombax ceiba Flowers (Jain and Verma 2012) β-Amyrin palmitate (123) β-O-palmitoyl Me Adansonia digitata Pulps (Al-Qarawi et al. 2003) β –Amyrone (124) =O Me Chorisia crispiflora Flowers (Hassan 2009) Oleanolic acid (125) OH COOH Bombax ceiba Ochroma pyramidale Roots Leaves (Qi et al. 1996) (Vázquez et al. 2001) Table 15.13 contd. ... Subfamily Bombacoideae 365 β-Amyrin (122) Compound Structure Plant name Parts used References Bombacopsis glabra Stem barks (Paula et al. 2002) Pachira aquatica Stems (Cheng et al. 2017) Bombacopsis glabra Stem barks (Paula et al. 2002) Bombacopsis glabra Stem barks (Paula et al. 2002) Pachira aquatica Stems (Cheng et al. 2017) R H HO (24R)-9,19-Cyclolanost25-ene-3β,24-diol (126) (24S)-9,19-Cyclolanost25-ene-3β,24-diol (127) R: β-OH R: α-OH 9,19-Cyclolanost-23-ene3β, 25-diol (128) OH H HO 366 Wild Plants: The Treasure of Natural Healers ...Table 15.13 contd. Gossypol (129) Bombax ceiba Roots (Seshadri et al. 1973) Pachira aquatica Root barks (Paula et al. 2006b) OH O OH HO OH OH O HO Aquatidial (130) O HO H H H HO O OH O CH3 H3C O O Subfamily Bombacoideae 367 368 Wild Plants: The Treasure of Natural Healers O. lagopus, and Pachira glabra (Azab et al. 2013, Chauhan et al. 1980, Jain and Verma 2012, Ngounou et al. 2000, Paula et al. 1996, Paula et al. 2006a, Refaat et al. 2015a, Vázquez et al. 2001). Moreover, β-sitorstenone (141) was isolated from Cavanillesia hylogeiton stem bark, and cholestenone (142) was isolated from Bombax anceps roots (Bravo et al. 2002, Sichaem et al. 2010). Sterol glycosides were also reported, including 24-β-ethylcholest-5-en-3-β-yl-α-l-arabinosyl-(1→6)-β-D-glucoside (135) from B. ceiba flowers (Antil et al. 2013), stigmasterol-3-O-β-D-glucoside (138) from Chorisia crispiflora leaves (Azab et al. 2013), and β-sitosterol-3-O-β-D-glucoside (Daucosterol) (134) from B. ceiba, C. pentandra, Chorisia crispiflora, Cavanillesia hylogeiton, and Ochroma pyramidale (Antil et al. 2013, Azab et al. 2013, Bravo et al. 2002, Ngounou et al. 2000, Qi et al. 1996, Vázquez et al. 2001) (Table 15.14). (xi) Fatty Acids The oil content of several members of Bombacoideae were evaluated for their fatty acid composition, including Adansonia digitata, A. fony, A. za, A. madagascariensis, A. suarezensis, A. grandidiera, Bombax costatum, Chorisia speciosa, Lagunaria patersonii, Pachira glabra, P. aquatica, and Ochroma lagopus. Among normal fatty acids, palmitic acid (147), stearic acid (152), oleic acid (154), linoleic acid (155), linolenic acid (156), and sterculic acid (164) were observed in most species. Caproic (143), caprylic (144), arachidic (157), lignoceric (160), and vernolic (161) acids were found in B. costatum seed oil. Investigation of different Adansonia species demonstrated the existence of myristic (tetradecanoic acid) (145), pentadecanoic acid (146), palmitoleic acid (148), heptadecanoic acid (149), heptadecenoic acid (150), heptadecadienoic acid (151), octadec-7-enoic acid (153), arachidic acid (157), eicosenoic acid (158), and behenic acid (159) (Table 15.15). (xii) Alkaloids Alkaloids are not accumulated to any significant extent in Bombacoideae. Only three compounds were isolated from Quararibea funebris flowers, which are funberine (165), funberal (166), and funebradiol (167) (Table 15.16). (xiii) Other Miscellaneous Compounds Other compounds were reported, including bombaxoin (3-methyl-3,4-dihydrobenzo[c][1,2]dioxine5-carbaldehyde) (168), a minor compound isolated from Bombax anceps roots. Also, benzophenone (169) and triacontyl p-coumarate (170) were isolated from Bombacopsis glabra and Pachira aquatica (Table 15.17). Comprehensive phytochemical investigations of different Bombacoideae species resulted in the isolation and identification of almost 170 natural compounds belonging to different major phytochemical classes (Figure 15.1). Although the subfamily comprises of about 30 genera, only a few of them have been investigated for their secondary metabolites, including B. ceiba, Adansonia, Ceiba pentandra, Pachira, Chorisia, Pseudobombax, Ochroma, Cavanillesia hylogeiton, and Quararibea. Biological Activities of Subfamily Bombacoideae (i) Antioxidant Activity The methanol extracts of Adansonia digitata demonstrated significantly high antioxidant activity comparable to orange juice activity when evaluated using DPPH and SO (super oxide) radical scavenging assays. The integral antioxidant capacity (IAC) of hydroalcoholic extracts obtained from A. digitata leaves and fruit pulp were evaluated by means of a photochemiluminescence method, Table 15.14: Chemical structures of isolated steroids and their distribution in subfamily Bombacoideae. Compound name (No.) Structure Plant name Parts used References Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A.grandidiera Bombax anceps Bombax ceiba Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A.grandidiera Bombax ceiba Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A.grandidiera Bombax ceiba Seeds (Bianchini et al. 1982) Roots Flowers Seeds (Sichaem et al. 2010) (El-Hagrassi et al. 2011) (Bianchini et al. 1982) Flowers Seeds (El-Hagrassi et al. 2011) (Bianchini et al. 1982) Roots Stem barks Stem barks Flowers Leaves Leaves Heartwood Stem barks Root barks (Chauhanm et al. 1980) (Jain and Verma 2012) (Ngounou et al. 2000) (Refaat et al. 2015a) (Azab et al. 2013) (Vázquez et al. 2001) (Paula et al. 1996) (Paula et al. 2006a) R2 H H H H R1 Cholesterol (131) R1 OH R2 22 21 24 26 25 20 23 27 Campesterol (24-Methyl-cholesterol) (132) OH 22 21 26 24 20 25 23 27 β-Sitosterol (24-ethyl-cholesterol) (133) OH 22 21 26 25 23 27 Ceiba pentandra Chorisia chodatii Chorisia crispiflora Ochroma pyramidale Ochroma lagopus Pachira glabra Table 15.14 contd. ... Subfamily Bombacoideae 369 24 20 Compound Structure Plant name Parts used References β-Sitosterol-3-O-β-Dglucopyranoside (Daucosterol) (134) O-β-Glc. Bombax ceiba Bombax ceiba Ceiba pentandra Chorisia crispiflora Cavanillesia aff. hylogeiton Ochroma pyramidale Flowers Roots Stem barks Leaves Stem barks (Antil et al. 2013) (Qi et al. 1996) (Ngounou et al. 2000) (Azab et al. 2013) (Bravo et al. 2002) Leaves (Vázquez et al. 2001) Bombax ceiba Flowers (Antil et al. 2013) Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A.grandidiera Seeds (Bianchini et al. 1982) Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A.grandidiera Bombax ceiba Ochroma pyramidale Ochroma lagopus Pachira glabra Seeds (Bianchini et al. 1982) Chorisia crispiflora Leaves 22 21 26 24 20 25 23 27 24-β-Ethylcholest-5-en-3βyl-α-l-arabinosyl-(1→6)-β-Dglucopyranoside (135) O- β-Glc. (6→1)- α-Ara. 22 21 26 24 20 25 23 27 Isofucosterol (24-ethylidene-cholesterol) (136) OH 22 21 26 24 20 25 23 27 Stigmasterol (24-Ethyl-5,22-cholestadien-3β-ol) (137) OH 22 21 26 24 20 25 23 27 Stigmasterol-3-O-β-D-glucopyranoside (138) O- β-Glc. 22 21 26 24 20 25 23 27 Flowers (El-Hagrassi et al. 2011) Leaves (Vázquez et al. 2001) Heartwood (Paula et al. 1996) Stem barks Root (Paula et al. 2006a) barks (Azab et al. 2013) 370 Wild Plants: The Treasure of Natural Healers ...Table 15.14 contd. R H H H HO Δ -Avenasterol (24-Ethylidene-7-cholesten-3βol) (139) 7 R: 22 21 26 24 20 25 23 Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis Seeds (Bianchini et al. 1982) Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A.grandidiera Seeds (Bianchini et al. 1982) Cavanillesia aff. hylogeiton Stem barks (Bravo et al. 2002) Bombax anceps Roots (Sichaem et al. 2010) 27 Δ7-Stigmasterol (24-Ethyl-7-cholesten-3 β -ol) (140) R: 22 21 26 24 20 25 23 27 β-Sitostenone (141) H H Cholestenone (142) H H O H Subfamily Bombacoideae 371 O 372 Wild Plants: The Treasure of Natural Healers Table 15.15: List of identified fatty acids and their distribution in subfamily Bombacoideae. Compound name (No.) Lipid no. Plant name Parts used References Caproic (Hexanoic) (143) 6:07 Bombax costatum Seeds (Ogbobe et al. 1996) Caprylic (Octanoic) (144) 8:0 Bombax costatum Seeds (Ogbobe et al. 1996) Myristic (Tetradecanoic acid) (145) 14:0 Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A. grandidiera Seeds (Ralaimanarivo et al. 1982) Pentadecanoic acid (146) 15:0 Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A. grandidiera Seeds (Ralaimanarivo et al. 1982) Palmitic acid (Hexadecanoic acid) (147) 16:0 Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A.grandidiera Bombax ceiba Bombax costatum Chorisia speciosa Lagunaria patersonii Pachira insignis Pachira glabra Pachira aquatica Ochroma lagopus Seeds (Ogbobe et al. 1996) (Osman 2004), (Ralaimanarivo et al. 1982) Seeds Seeds Seeds Seeds Seeds Seeds Seeds Heartwood (Dhar and Munjal 1976), (Bohannon and Kleiman 1978) (Bohannon and Kleiman 1978) (Rao et al. 1989) (Yeboah et al. 2012) (Cornelius et al. 1965) (Bohannon and Kleiman 1978) (Paula et al. 1996) Palmitoleic acid (148) 16:1 Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A.grandidiera Seeds (Ralaimanarivo et al. 1982) Heptadecanoic acid (149) 17:0 Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A.grandidiera Seeds (Ralaimanarivo et al. 1982) Heptadecenoic acid (150) 17:1 Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A.grandidiera Seeds (Ralaimanarivo et al. 1982) Heptadecadienoic acid (151) 17:2 Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A.grandidiera Seeds (Ralaimanarivo et al. 1982) Stearic acid (152) 18:0 Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A. grandidiera Pachira glabra Pachira aquatica Ochroma lagopus Seeds (Ralaimanarivo et al. 1982) Seeds Seeds Heartwood (Cornelius et al. 1965) (Bohannon and Kleiman 1978) (Paula et al. 1996) Table 15.15 contd. ... Subfamily Bombacoideae 373 ...Table 15.15 contd. Compound name (No.) Lipid no. Octadec-7-enoic acid (153) 18:1 ω7 Oleic acid (154) 18:1 ω9 Linoleic acid v(155) Linolenic acid (156) Arachidic acid (157) 18:2 ω6 18:3 ω3 20:0 Plant name Parts used References Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A. grandidiera Seeds (Ralaimanarivo et al. 1982) Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A. grandidiera Bombax costatum Chorisia speciosa Lagunaria patersonii Pachira glabra Pachira aquatica Ochroma lagopus Seeds (Osman 2004, Ralaimanarivo et al. 1982) Seeds Seeds Seeds Seeds Seeds Heartwood (Ogbobe et al. 1996) (Arafat et al. 2011) (Rao et al. 1989) (Cornelius et al. 1965) (Bohannon and Kleiman 1978) (Paula et al. 1996) Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A.grandidiera Bombax costatum Chorisia speciosa Lagunaria patersonii Pachira glabra Pachira aquatica Ochroma lagopus Seeds (Osman 2004), (Ralaimanarivo et al. 1982) Seeds Seeds Seeds Seeds Seeds Seeds (Ogbobe et al. 1996) (Arafat et al. 2011) (Rao et al. 1989) (Cornelius et al. 1965) (Bohannon and Kleiman 1978) (Paula et al. 1996) Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A. grandidiera Bombax ceiba Seeds (Ralaimanarivo et al. 1982) Flowers Chorisia speciosa Ochroma lagopus Seeds Heartwood (Jain and Verma 2012, ElHagrassi et al. 2011) (Arafat et al. 2011) (Paula et al. 1996) Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A.grandidiera Bombax costatum Seeds (Ralaimanarivo et al. 1982) Seeds (Ogbobe et al. 1996) Eicosenoic acid (158) 20:1 Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A. grandidiera Seeds (Ralaimanarivo et al. 1982) Behenic acid (159) 22:0 Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A. grandidiera Bombax ceiba Seeds (Ralaimanarivo et al. 1982) Flowers (Jain and Verma 2012, ElHagrassi et al. 2011) Table 15.15 contd. ... 374 Wild Plants: The Treasure of Natural Healers ...Table 15.15 contd. Compound name (No.) Lipid no. Plant name Parts used References Lignoceric acid (tetracosanoic acid) (160) 24:0 Bombax costatum Seeds (Ogbobe et al. 1996) Vernolic acid (161) Linoleic acid 12:13-oxide Bombax costatum Seeds (Ogbobe et al. 1996) Malvalic acid (162) 8,9-Methylene -heptadec8-enoic Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A. grandidiera Bombax oleagineum Ceiba pentandra C. acuminata Seeds (Ralaimanarivo et al. 1982) Seeds Seeds (Bravo et al. 2002) (Bohannon and Kleiman 1978) Dihydromalvalic acid (163) 8,9-Methylene dihydroheptadec8-enoic Ceiba pentandra Seeds (Kaimal and Lakshminarayana 1972) Sterculic acid (164) 9,10-methylene-octadec-9-enoic Adansonia digitata A. fony, A. za A. madagascariensis A. suarezensis A. grandidiera Bombax oleagineum Ceiba pentandra Ceiba acuminata Pachira aquatica Pachira glabra Seeds (Ralaimanarivo et al. 1982) Seeds Seeds Seeds Seeds Seeds (Bravo et al. 2002) (Bohannon and Kleiman 1978) (Yeboah et al. 2012) (Cornelius et al. 1965) and compared to those antioxidants derived from other natural sources, with particular consideration to ascorbic acid existing in orange, kiwi, apple, and strawberry. Results demonstrated an excellent antioxidant potency of A. digitata fruit pulp, showing an IAC value 10 times higher than that of orange pulp, being 11.1 and 0.3 mmol/g, respectively. This powerful antioxidant activity of Adansonia fruit pulp was attributed to its high content of vitamin C, ranging between 2.8–3 g/kg (Vertuani et al. 2002). Besides, the antioxidant activity of different fractions as well as the pure isolated compounds from A. digitata fruit pericarp were investigated by DPPH· assay. The ethyl acetate fraction in addition to the isolated proanthocyanidins compounds (53-56) showed high antioxidant activity with IC50 values between 2.40–9.60 µg/mL when compared to the reference Trolox that showed IC50 value of 12.18 µg/mL (Shahat et al. 2008). The methanol, hydroethanol, and dichloromethane extracts of A. digitata stem bark were examined for their in vitro antioxidant activities using 1, 1-diphenyl-2-picrylhydrazyl (DPPH) scavenging test. Both methanol and hydroethanol extracts showed promising free radical scavenging activities at a dose of 10 μg/mL with inhibition percentages of 79.81% and 77.39%, respectively, compared to the positive control (quercetin) that showed a value of 75.9% as an inhibition percentage (Lagnika et al. 2012). The antioxidant activities of the different parts of A. digitata represented by the leaves, stem, fruit pulp, seeds, and bark were also evaluated using DPPH scavenging test and revealed powerful antioxidant activities (Gahane and Kogje 2013). Moreover, the methanol extract of A. digitata leaf was additionally evaluated for its in vitro antioxidant activities, using both DPPH scavenging assay, as well as oxygen-radical-absorbance capacity (ORAC) assay. The extract demonstrated a strong ROS scavenging effect and showed higher potency, by about 10.2 times, comparable to vitamin C (Ayele et al. 2013). Subfamily Bombacoideae 375 Table 15.16: Chemical structures of isolated alkaloids and their distribution in subfamily Bombacoideae. Compound name Structure Funberine (165) O Plant name Parts used References Quararibea funebris Flowers (Raffauf et al. 1984) Quararibea funebris Flowers (Zennie et al. 1986) Quararibea funebris Flowers (Zennie and Cassady 1990) O O O N N HO Funberal (166) O O N CHO HO Funebradiol (167) O O N HO OH The methanol extract of Bombax ceiba flowers was evaluated for its capacity to scavenge hydroxyl free radicals as well as DPPH. Its activity against lipid peroxidation induced by ascorbyl radicals and peroxynitrite was also evaluated using soybean phosphatidylcholine liposomes and rat liver microsomes, and the extract demonstrated promising antioxidant activity in all assays (Vieira et al. 2009). The aqueous and ethanol extracts of B. ceiba bark also demonstrated potent in vitro antioxidant activity using different antioxidant models, and subsequently compared to ascorbic acid that acts as a standard (Gandhare et al. 2010). The n-hexane and methanol extracts of B. ceiba flowers were evaluated for their ability to scavenge free radical DPPH assay. The effective antioxidant concentrations of the extracts were found to exist between 0.55–0.03 and 0.5–0.03 mg/mL regarding the n-hexane and the methanol extract, respectively (El-Hagrassi et al. 2011). Also, the aqueous 80% acetone and the 50% ethanol extracts of B. ceiba flowers were evaluated for their in vitro antioxidant activities using ORAC, DPPH, and prohibition of phosphatidylcholine liposome peroxidation, in addition to estimating the total phenolic content as well as the total flavonoid content. Potent antioxidant capacities of the extracts were demonstrated compared to standard ascorbic and gallic acids, in which the 80% acetone extract revealed the highest total phenolic content (Yu et al. 2011). Besides, bioassay-guided fractionation of B. ceiba leaf methanol extract led to the isolation of the three known constituents, mangiferin, stigma-5-en-3-O-β-glucoside, and β-amyrin, in addition to the new xanthone C-glucoside, shamimoside. The activity was observed to increase with the polarity of the extracts and fractions, where mangiferin (48) demonstrated the most potent 376 Wild Plants: The Treasure of Natural Healers Table 15.17: Chemical structures of other miscellaneous compounds and their distribution in the subfamily Bombacoideae. Compound name Structure Plant name Parts used References Bombax anceps Roots (Sichaem et al. 2010) O Pachira aquatica Stems (Cheng et al. 2017) OCH2[CH2]28CH3 Bombacopsis glabra Stem barks Root barks (Paula et al. 2006a) Pachira aquatica Root barks Bombaxoin (3-Methyl-3,4-dihydrobenzo[c][1,2]dioxine-5carbaldehyde) (168) O O CHO Benzophenone (169) Triacontyl p-coumarate (170) O (Paula et al. 2006b) OH Figure 15.1: Prevalence of different classes of secondary metabolites in Bombacoideae (X axis denotes the percent, Y axis denotes the class of secondary metabolites). Subfamily Bombacoideae 377 antioxidant activity adopting the DPPH assay (Faizi et al. 2012). A comparative study was conducted between the antioxidant activities of different solvent extracts of B. ceiba root grown in Bangladesh using DPPH radical scavenging assay. The methanol extract demonstrated the most potent DPPH radical scavenging activity, followed by dichloromethane (DCM) and petroleum ether extracts. The activity was correlated to the phenolic and flavonoid content, which was the highest in the methanol extract, representing (187.42 ± 3.77 mg/g, GAE) and (74.67 ± 4 mg/g, QE), respectively (Chauhan et al. 2017). Different extracts of Ceiba pentandra spike and young fruit were also examined for their in vitro antioxidant activities, including the aqueous, methanol, chloroform, and ethyl acetate extracts. Among all the tested extracts evaluated using DPPH and TBARS models, the methanol extracts of C. pentandra spike and young fruit exhibited the maximum scavenging activities compared to ascorbic acid that is used as a positive control (Divya et al. 2012). On the contrary, the ethanol extract of C. pentandra root demonstrated weak antioxidant potential when evaluated using DPPH, FRAP, and ORAC models that is ultimately owing to the poverty of the extract with polyphenolic constituents (Bothon et al. 2012). In addition, the phenolic extract of C. pentandra seeds as well as its oil also demonstrated potent in vitro antioxidant activity using different systems in which the extract exhibited dose-dependent reducing power activity as well as dose-dependent DPPH● radical and hydroxyl radical scavenging activity (Ch et al. 2012, Loganayaki et al. 2013). The aqueous and 70% alcohol extracts, together with the ethyl acetate and n-butanol fractions of Chorisia insignis leaves, demonstrated significant in vivo antioxidant activities, as indicated by the rise in blood glutathione levels in diabetic rats, as compared to vitamin E (El-Alfy et al. 2010). In a comparative study, the free radical scavenging potentials of the total ethanol extracts of Chorisia chodatii and C. speciosa leaves, flowers, fruits, and seeds, in addition to four main fractions of their leaf and flower extracts were investigated. Different extracts and fractions of both Chorisia species demonstrated concentration-dependent scavenging abilities by quenching DPPH radicals, except petroleum ether fractions. The aqueous, ethyl acetate, and chloroform fractions exhibited the highest scavenging activities. On the other side, the total ethanol extracts of seeds of both species showed the least scavenging properties among the tested total extracts of other plant parts (Refaat et al. 2015b). Moreover, the soluble and insoluble phenolic fractions from P. aquatica seeds demonstrated high antioxidant activity measured by the oxygen radical absorption capacity (ORAC) and the trolox equivalent antioxidant capacity (TEAC) assays (Rodrigues et al. 2019). (ii) Anti-inflammatory, Analgesic, and Antipyretic Activities The aqueous extract of Adansonia digitata fruit pulp also displayed significant in vivo antiinflammatory activity at 400 as well as 800 mg/kg against formalin-induced rat paw oedema at different intervals of time. The extract anti-inflammatory activity was 80–90% of the activity of standard phenylbutazone (15 mg/kg) after 12 and 24 hours, respectively. Besides, at a dose of 800 mg/kg, the extract displayed marked analgesic activity at the dose of 800 mg/kg when evaluated using hot plate method. The ability of the extract to induce analgesia was 90% that of standard acetyl salisylic acid analgesia at a dose of 50 mg/kg (Ramadan et al. 1994). Moreover, the aqueous extract produced significant antipyretic activity at the doses of 400 and 800 mg/kg by significantly decreasing the rectal temperature of hyperthermic rats at 1, 2, 3, and 4 hours (h) post treatment, when compared to the control group (Ramadan et al. 1994). Besides, a comparative study on cytokine modulatory activities of different sources of A. digitata was conducted. Aqueous, methanol, and DMSO extracts of commercial products of A. digitata leaves, fruits, and seeds, which were standardized were evaluated for their ability to secrete cytokine (IL-6 and ILr-8) in human epithelial cell cultures. The behavior of their bioactivities was variable for the three plant sources (Selvarani and Hudson 2009). The methanol extract of A. digitata leaf proved to possess potent in vitro anti-inflammatory activity. It significantly inhibited lipopolysaccharide (LPS)-induced iNOS expression within murine macrophage RAW264.7 cells, demonstrating an IC50 of 28.6 μg/mL. The extract failed to change the cell viability, as revealed 378 Wild Plants: The Treasure of Natural Healers from the MTT assay. Consequently, this indicated that the prohibition of NO synthesis by the extract was not simply attributed to its toxicity. The extract was proved to inhibit both NF-κB activation as well as IκBα degradation. So the potent anti-inflammatory effects of A. digitata methanol extract was assigned to its inhibitory effect on IκBα-mediated NF-κB signal transduction (Ayele et al. 2013). Also, mangiferin isolated from B. ceiba leaf methanol extract had no detectable anti-inflammatory activity in carrageenan-induced rat paw edema, whereas, it exhibited significant in vivo analgesic activity in acetic acid-induced writhing and hot plate models. The induced analgesia was attributed to mangiferin interaction with opioid receptors at peripheral site with a minimal significance at the neuronal level (Dar et al. 2005). Bombax ceiba bark ethanol extract demonstrated significant in vivo analgesic activity at the dose of 500 mg/kg. The extract significantly inhibited acetic acid-induced writhing in mice when compared to diclofenac sodium as a standard at the dose of 25 mg/kg (Sharker 2009). The 70% methanol extract of B. ceiba flowers demonstrated both in vivo anti-inflammatory, as well as analgesic effects. The extract (at doses 25 and 50 mg/100 g body weight) significantly reduced acetic acid-induced writhing in mice relative to indomethacin, in addition to prolonging the reaction time in the hot-plate test compared to tramadol (2 mg/100 g), indicating both central and peripheral analgesic activities of the extract. Besides, the extract significantly reduced carrageenaninduced rat paw edema comparable to standard indomethacin (2 mg/100 g), indicating the extract’s anti-inflammatory effect, which was attributed to its flavonoid content (Said et al. 2011). Methanol extract from B. ceiba leaves also proved significant in vivo dose-dependent antipyretic activity at the doses of 200 and 400 mg/kg. The extract significantly reduced rectal temperature in Baker’s yeastinduced hyperthermic rats within 3 hours, compared to 6 hours for standard paracetamol (150 mg/ kg) drug (Hossain et al. 2011a). Additionally, the extract proved to possess significant in vivo antiinflammatory effects at the doses of 100, 200, and 400 mg/kg, decreasing carrageenan-induced rat paw edema, which was attributed to its dose-dependent inhibition of the production of NO (Hossain et al. 2013). Different extracts of B. ceiba bark (petroleum ether, ethanol, and aqueous) were also evaluated for their in vitro anti-inflammatory activity using Human Red Blood Corpuscles (HRBC) membrane stabilization method. The ethanol extract revealed the most significant (p < 0.001) antiinflammatory activity, followed by the aqueous extract (p < 0.01), and finally petroleum ether extract (p < 0.05) (Anandarajagopal et al. 2013). The methanol extract of Bombax buonopozense leaves also proved to possess potent in vivo analgesic, anti-inflammatory, and antipyretic activities. The extract at doses of 50 and 100 mg/kg caused late phase inhibition of the formalin pain test in rats, as well as a notable decline in acetic acid-induced writhing in mice, indicating analgesic activity superior to aspirin activity at 150 mg/kg. Besides, the extract significantly inhibited albumin-induced oedema over a period of 120 minutes (min) with 59.71% inhibition, compared to standard aspirin. Antipyretic activity of the extract was ascertained by its significant and dose dependant reduction in the yeast induced elevated rectal temperature (Akuodor et al. 2013). Besides, the isoflavone compounds isolated from Ceiba pentandra stem bark- Vavain 3’-O-βd-glucoside (46), as well as its aglycone, vavain (45), and (+)-catechin (39) demonstrated inhibitory effects against cyclooxygenase-2-catalyzed prostaglandin biosynthesis, with IC50 values of 381, 97, and 80 μM, respectively, compared to indomethacin activity (IC50 of 1.1 μM). Compounds (45) and (46) were found to be inactive against cyclooxygenase-2-catalyzed prostaglandin biosynthesis (Noreen et al. 1998). The petroleum ether and ethanol extracts of C. pentandra seeds significantly reduced carrageenan-induced paw edema in rats at 200 and 400 mg/kg, compared to aspirin activity (300 mg/kg) (Alagawadi and Shah 2011). Ceiba pentandra thorn extract demonstrated marked in vivo anti-inflammatory activity with doses of 50 and 500 mg/kg by inhibiting carrageenan-induced rat paw edema compared to dexamethasone at 5 mg/kg (Hashim et al. 2014). The aqueous extract of C. pentandra stem bark also demonstrated potent in vivo analgesic in addition to anti-inflammatory activities. The extract at the doses of 400 and 800 mg/kg reduced carrageenan-induced paw edema, inhibiting acute inflammation, but not comparable to standard diclofenac drug (5 mg/kg). On the other side, it significantly inhibited cotton pellet granuloma formation and inhibited edema progression Subfamily Bombacoideae 379 to varying degrees. The mechanism of the extract’s anti-inflammatory activity was postulated to be via the extract inhibition of the release of pro-inflammatory substances. The aqueous extract also exhibited significant analgesic activity evidenced by analgesymeter, Koster, and hot plate methods when compared to standard morphine drug (2 mg/kg), in which the central analagesic mechanism was considered (Itou et al. 2014). Also C. pentandra seed oil demonstrated excellent in vitro and in vivo anti-inflammatory activities evidenced by membrane stability assay in addition to C-reactive protein evaluation. The membrane stability percentage exerted by the oil was found to be concentration dependent and comparable to that of standard diclofenac. Besides, the oil significantly reduced the acute phase reactant C-reactive protein (Ravi Kiran and Raghava Rao 2014). In a comparative study, the in vivo antipyretic activity of extracts of C. pentandra and G. arboretum leaves were evaluated in yeast-induced hyperthermic mice. Both extracts exhibited promising antipyretic activities. However, the activity of C. pentandra extract was better with effective dose of 189 mg/kg, compared to 1120 mg/kg of G. arboretum extract (Saptarini and Deswati 2015). The methanol extract of C. pentandra stem bark demonstrated significant in vivo anti-inflammatory and analgesic activities. The extract at doses of 100, 200, and 300 mg/kg significantly reduced carrageenaninduced paw edema and increased the reaction time in both Eddy’s hot plate and tail-flick methods, when compared to standard indomethacin and pentazocine drugs (Kharat et al. 2015). Different extracts of Chorisia insignis leaves, including petroleum ether, aqueous, and 70% alcohol extracts displayed significant in vivo anti-inflammatory activities at 100 mg/kg, versus carrageenan-induced rat paw oedema, as compared to indomethacin (20 mg/kg). Also, successive fractions of 70% alcohol extract were investigated with the ethyl acetate fraction, exhibiting the highest inhibitory activity at 100 mg/kg (El-Alfy et al. 2010). Besides, Rhoifolin isolated from different Chorisia s proved to possess potent anti-inflammatory activity against carrageenin-induced rat paw edema. At doses of 2.5, 25, and 250 mg/kg, rhoifolin showed both a time—as well as dosedependent decline in rat paw edema volume estimated by 14, 25, and 45%, respectively, with respect to the control group (Eldahshan and Azab 2012). (iii) Antimicrobial Activity The petroleum ether, aqueous extracts, and ethanol of Adansonia digitata were evaluated for their antimicrobial activities against Escherichia coli that was isolated from both urine and water specimens using cup plate agar diffusion method. The ethanol extract showed prominent activity at concentrations of 100 and 75 mg/mL towards both urine and water isolates compared to different tested standard antibiotics. The aqueous extract showed greater antimicrobial activity against urine isolates. On the contrary, the petroleum ether extract showed no activity, indicating that the active phytoconstituents are not extracted by petroleum ether (Yagoub 2008). Crude ethanol and aqueous extracts of A. digitata stem, as well as root barks, demonstrated potent antimicrobial activities when evaluated using agar-well method. The extracts exhibited Minimum Inhibitory Concentrations (MICs) ranging from 6 to 1.5 mg/mL, compared to standard gentamicin antibiotic. Although the stem bark extracts demonstrated broad spectrum antimicrobial activity, the root bark antimicrobial activity was restricted to Gram positive bacteria only (Masola et al. 2009). Comparing the antimicrobial activities of the ethanol and chloroform extracts of A. digitata stem bark, the ethanol extract proved to be more active against tested bacterial isolates of Proteus mirabilis, Escherichia coli, Staphylococcus species, and Klebsiella pneumoniae, irrespective of the extraction method employed (Yusha’u et al. 2010). The dichloromethane, methanol, and hydroalcoholic extracts of A. digitata stem bark also exhibited potent antimicrobial activity when evaluated against six Gram positive as well as Gram negative strains using the microplate dilution method. Besides, they demonstrated antifungal activities against different Aspergillus species with maximum activity exhibited by the hydroethanolic extract. Results also showed that the antifungal activities of the extracts were related to the inhibition of sporulation rather than inhibition of fungi mycelia development (Lagnika et al. 2012). The ethanol of A. digitata leaves also showed significant 380 Wild Plants: The Treasure of Natural Healers antimicrobial activity against Aspergillus niger and Pseudomonas aeruginosa, with moderate activity against E. coli, Bacillus subtilis, and Candida albicans, compared to different standard antibiotics and antifungals (Kabbashi et al. 2014). Bombax ceiba root methanol extract was successively fractionated using n-hexane, followed by carbon tetrachloride, and then chloroform. Then the factions were investigated for their antimicrobial activities against 16 microorganisms, comprising Gram-positive as well as Gram-negative bacteria and three fungi strains. Inhibition zones were measured using standard disc diffusion method at a concentration of 200 μg/disc, and compared to kanamycin standard (30 µg/disc). The n-hexane fraction showed significant activity versus P. aeruginosa and Sarcina lutea. The chloroform fraction showed promising activity, combating Vibrio mimicus with promising activity versus both Bacillus megaterium and Vibrio parahemolyticus. Carbon tetrachloride fraction showed potent activity versus almost all bacterial strains. On the other side, chloroform and carbon tetrachloride fractions showed prominent antifungal activities against Aspergillus niger and Candida albicans (Islam et al. 2011). Comparing the antimicrobial activities of the n-hexane and methanol extracts of Bombax ceiba flower against different bacterial, fungal, and yeast strains, the methanol extract exhibited prominent activity against Bacillus subtilis, Staphylococcus aureus, S. faecalis, and Neisseria gonorrhoeae, Pseudomonas aeruginosa, and Candida albicans. On the other side, the n-hexane extract displayed moderate to weak activities against the same microorganisms. Also, methanol extract displayed weak to moderate activities against Aspergillus niger and A. flavus, although the hexane extract displayed no antifungal activity against them (El-Hagrassi et al. 2011). The aqueous extracts of Bombax ceiba bark also displayed significant antibacterial effects at the dose of 100 µg/mL. The extract activity was investigated using the Pour plate method against six medically important bacterial strains and compared to standard Gentamicin. The extract exhibited more significant activity against Gram-positive bacteria (Bacillus subtilis, B. aureus, and Staphylococcus aureus) than Gram-negative bacterial strains (Escherichia coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa) (Kuthar et al. 2015). Biosynthesized silver nanoparticles (AgNPs) incorporating Bombax ceiba thorn extract also proved to exhibit remarkable antimicrobial activity against S. aureus with MIC of 25 μg/mL (Telrandhe et al. 2017). Moreover, a comparative study was performed on the antimicrobial activity of different solvents of B. ceiba root extracts using different solvents. The petroleum ether, dichloromethane, as well as the alcohol extracts demonstrated intermediate in vitro antibacterial activity against the tested Gram-positive as well as Gram-negative bacterial strains, showing an inhibition zone in the range of 7 mm to 13 mm (Hoque et al. 2018). Bombax buonopozense leaf and root extracts were evaluated for their antimicrobial activities against Bacillus subtilis, Staphylococcus aureus, Proteus spp., Klebsiella pneumoniae, and Escherichia coli using agar diffusion method. The leaf extract demonstrated antimicrobial activity against S. aureus and Bacillus subtilis only while the root extract showed activity against all tested organisms (Akuodor et al. 2012a). The methanol extract of Ceiba aesculifolia bark as well as its methanol and hexane fractions were investigated for their antibacterial as well as their antifungal activities. The hexane fraction exhibited no antibacterial activity. The methanol extract and methanol fraction were active against all tested Gram-positive bacteria. The extract was active against six Gram-negative bacteria, with the lowest MIC in Staphylococcus aureus, S. epidermidis, and Vibrio cholerae .The methanol fraction exhibited bactericidal activity against five Gram-negative bacteria. Neither the extract nor any of the fractions exhibited any antifungal activity against tested strains (Orozco et al. 2013). The ethanol extracts of the leaves and stem bark of Ceiba pentandra and their combination were evaluated for their antibacterial activities against Escherichia coli, Staphylococcus aureus, Klebsiella pneumoniae, as well as Pseudomonas aeruginosa. The three extracts showed mean diameter of inhibition zone less than 12 mm at concentrations ranging between 30–50 mg/mL. The combined extract did not show any significant difference in activity with respect to that obtained from stem bark as well as the leaves. It was concluded that the combined extract lacked any synergistic or Subfamily Bombacoideae 381 additive antibacterial activities on the test organisms (Asare and Adebayo 2012). Different extracts of Ceiba petandra stem bark, including n-hexane, acetone, and ethanol were investigated for their antimicrobial activities against Staphylococcus aureus, Pseudomonas aeruginosa, and Klebsiella pneumoniae compared to ampicillin standard. The acetone extract revealed the greatest antimicrobial activity at a concentration of 300 mg/mL, followed by the ethanol extract with lower activity at a concentration of 100 mg/mL. On the other side, the n-hexane extract exhibited no activity against all test organisms (Ezigbo et al. 2013). The methanol and dichloromethane extracts of Ceiba pentandra leaf and stem bark were evaluated for their antimycobacterial activities against Mycobacterium fortuitum, M. smegmatis, M. abscessus, and M. phlei. Different extract concentrations (10, 20, 100, and 200 mg/mL) were investigated using agar cup diffusion method; MIC and MBC were estimated for different extracts using agar dilution method. The most susceptible organism was M. fortuitum, while the most resistant one was M. abscessus. The stem bark methanol extract demonstrated the most potent antimycobacterial activity, producing the lowest MIC value of 20 mg/mL for some of the bacteria (Lawal et al. 2014). The ethyl acetate extract of Ceiba pentandra bark was evaluated for its antibacterial activity against Imipenem and Ceftazidime resistant Pseudomonas aeruginosa and resistant Staphylococcus aureus. The extract proved to be active against studied bacteria, with MIC ranging between 0.78 and 6.25 mg/mL, and MBC between 1.04 and 8.33 mg/mL. The study proved that purification of the ethyl acetate extract did not influence the activity against tested bacteria, since the most active fraction demonstrated MIC ranging from 0.52 to 6.25 mg/mL and MBC from 1.04 to 10.42 mg/mL (Julien et al. 2015). Investigation of antimicrobial activity of 70% alcohol extract of Chorisia insignis leaves as well as its successive fractions revealed that the ether and the ethyl acetate fractions have prominent antibacterial activity versus Bacillus subtilis and B. cereus (El Sawi et al. 2014). Isohemigossypolone (85) isolated from Pachira aquatica root bark proved to possess antifungal activity against Pythium ultimum at a minimum dose of 10 ug/disk. It was suggested it had a defensive function protecting storage tissues of Pachira aquatica (Shibatani et al. 1999). Besides, the essential oils of many members in the plant kingdom in general (Ayoub et al. 2015, Youssef et al. 2014), and specifically belonging to Malvaceae, revealed a notable antimicrobial activity (Thabet et al. 2018a). Thus, a comparative study was performed comparing the antimicrobial activities of P. aquatica and P. glabra leaf essential oils. Only P. aquatica oil demonstrated effectiveness against both Helicobacter pylori and Mycobacterium tuberculosis infections, with MIC values of 20 and 50 μg/mL, respectively (Gamal El-Din et al. 2018). (iv) Antiviral Activity The methanol extracts of Adansonia digitata leaves and root bark demonstrated the most potent antiviral activities against Herpes simplex, Sindbis, and Poliovirus, among other evaluated plants grown in Togo. Besides their virucidal activity (direct inactivation of virus particles), they proved to have intracellular antiviral activities as well (Anani et al. 2000). In a comparative study, standardized preparations of A. digitata leaves, seeds, and fruit pulp extracted with water, methanol, and DMSO were evaluated for their antiviral activities against H. simplex, Influenza, and respiratory syncytial viruses. Leaf extracts demonstrated the most potent antiviral activity. Seeds and pulp extracts demonstrated significant but less active antiviral properties (Selvarani and Hudson 2009). The methanol extract of A. digitata root bark also demonstrated in vivo antiviral activity against Newcastle disease in poultry birds, especially at doses of 200 and 250 mg/mL (Sulaiman et al. 2013). The ethyl acetate extract of Bombax ceiba flowers demonstrated significant inhibitory effects on activation of the early antigen Epstein-Barr virus at different concentrations (1, 10, and 100 μg/mL (Said et al. 2011). Besides, the lignan compounds isolated from B. ceiba roots represented by (+)-pinoresinol (66), matairesinol (67), and 5,6-dihydroxymatairesinol (68) were evaluated for their anti-Hepatitis B Virus (HBV) activity. The examined samples revealed inhibitory activity against 382 Wild Plants: The Treasure of Natural Healers HepG2 2.2.15 cell lines. Lignans isolated exhibited relative differences in their abilities to inhibit HBsAg secretion, with IC50 values of 123.7, 118.9, and 218.2 mM, respectively (Wang et al. 2013). (v) Amoebicidal, Larvicidal, and Anthelmintic Activities The 95% ethanol extracts of both Adansonia digitata leaves and Ceiba pendantra bark proved their anthelmintic activity against the nematode, Haemonchus contortus among 60 different plants species gathered in the Ivory Coast based on their ethnobotanical history. The extracts induced mortality of 80–94% of the larva supporting their traditional uses (Diehl et al. 2004). Powdered leaves as well as leaf methanol extract of Bombax ceiba were evaluated for their larvicidal activity against different larval forms of the filarial vector Culex quinquefasciatus. Mortality rates, LC50 and LC90 were estimated at a different time interval. Different graded concentrations (0.1%, 0.2%, 0.3%, 0.4%, 0.5%) of powdered leaves exhibited significant (p < 0.05) larval mortality. The mortality rate was higher in 50 ppm doses of the methanol extract, demonstrating LC50 value of 6.97 ppm after 24 hours of exposure. The study suggested B. ceiba leaf methanol extract to be safely used in the aquatic ecosystem against larva of C. quinquefasciatus since no mortality occurred in the non-target organisms (Hossain et al. 2011b). Different extracts of Adansonia digitata leaves represented by benzene, hexane, chloroform, and methanol were investigated for their larvicidal and repellent activities against malarial vector, Anopheles stephensi. The larvae were exposed to various concentrations of extracts (30–180 mg/L) for 24 hours, and mortalities were subjected to log-probit analysis. Repellent activities of crude extracts at the dosages of 2, 4, and 6 mg/cm2 were evaluated in a net cage containing 100 blood-starved female mosquitoes of A. stephensi using the protocol of (Organization 1996). The LC50 and LC90 values of different extracts were estimated against A. stephensi larvae in 24 h with the lowest LC50 and LC90 values demonstrated by the benzene extract (88.55, 78.18 mg/L, respectively). The methanol extract demonstrated the most effective repellent activity against A. stephensi (Krishnappa et al. 2012). The methanol extract of Adansonia digitata seeds was investigated for in vivo anti-trypanosomal activity at doses ranging from 50–500 mg/kg. The extract at the dose of 400 mg/kg exhibited significant antitrypanosomal activity in albino mice infected with Trypanosoma brucei (Ibrahim et al. 2013). The aqueous extract of A. digitata stem bark demonstrated promising antimalarial activity against Plasmodium berghei tested in vivo. The extract demonstrated the highest chemosuppression of parasitaemia, greater than 60% in P. berghei infected mice model (Musila et al. 2013). Various concentrations represented by 500, 250, as well as 125 μg/mL of the ethanol extract of Adansonia digitata leaves were investigated for their amaebicidal activity against Entamoeba histolytica. The extract demonstrated 100% inhibition at a concentration of 500 μg/mL after 72 hours, which was comparable to Metronidazole standard (312.5 mg/kg) demonstrating 75% inhibition (Kabbashi et al. 2014). In a similar study, the aqueous and methanol stem bark extracts of A. digitata were evaluated for their antimalarial activities in mice infected with chloroquine sensitive Plasmodium berghei. Two different doses (200 and 400 mg/kg) of each extract were evaluated against chloroquine as positive control. Significant dose dependent chemosuppressive effect was exhibited by the extracts in the two doses at different levels of infection. However, the dose of 400 mg/kg proved to be more effective in parasite clearance. Remarkable elevation in Packed Cell Volume (PCV) was also observed in the groups treated with extracts, compared to control ones (Adeoye and Bewaji 2015). Moreover, the ethyl acetate extract of Adansonia digitata seeds demonstrated significant (P < 0.05) in vivo antitrypanosomal activity at a dose of 400 mg/kg comparable to control treated group with berenil at dose of 3.5 mg/kg (Ibrahim et al. 2017). The aqueous extract of Bombax buonopozense stem bark was determined for in vivo antiplasmodial effect in mice with infection triggered by chloroquine sensitive Plasmodium berghei. The extract at doses (100–400 mg/kg) exhibited dose-dependent activity with p < 0.05 versus the parasite in Subfamily Bombacoideae 383 suppressive and curative tests (Iwuanyanwu et al. 2012). The methanol extract of B. buonopozense leaves also proved to possess significant in vivo antiplasmodial activity at the doses of 200–600 mg/kg. The activity was evaluated versus chloroquine sensitive Plasmodium berghei in mice through early and occurred infections. The established LD50 of the extract was found to be greater than 5,000 mg/kg (Akuodor et al. 2012b). Bombax ceiba leaves methanol extract demonstrated highly significant anthelmintic activity against the trematode, Paramphistomum explanatum belonging to phylum Platyhelminthes, responsible for the acute parasitic gastroeneritits known as paramiphistomosis with elevated rates of morbidity as well as mortality. The extract at the doses of 10, 25, 50, and 100 mg/mL caused death of all trematodes within a short period of time (less than 45 minutes) compared to standard albendazole drug (10 mg/mL) (Hossain et al. 2012). The hydroalcoholic extract of Cavanillesia hylogeiton was evaluated against chloroquine-resistant and sensitive strains of Plasmodium falciparum with an activity index of IC50 0f 1 μg/mL. Bioassay guided fractionation of the extract was performed, where only two fractions of 25 were obtained, which showed a complete inhibition of parasitaemia of P. falciparum at less than 1 μg/mL (Bravo et al. 2002). (vi) Antidiarrheal Activity The ethanol extract of the fruit pulp of Adansonia digitata proved to possess a significant potency in vivo antidiarrheal activity at 500 mg/kg with respect to Loperamide reference drug (3 mg/kg). The extract significantly and dose-dependently prevented castor oil-induced diarrhea in rats by decreasing the frequent defecation and feces weight. The activity was related to the astringent action of Adansonia tannins as well as the inflammatory action of mucilage on the intestinal mucous membrane (Abdelrahim et al. 2013). In a similar experiment, the methanol extract of A. digitata fruit demonstrated potent dose-dependent in vivo antidiarrhoeal activity at doses of 300 and 700 mg/kg. The extract significantly decreased the intestinal transit time in mice and significantly prohibited diarrhea triggered by magnesium sulphate as well as castor oil in mice (Suleiman et al. 2014). The methanol extract of Bombax buonopozense leaves also displayed a significant in vivo antidiarrheal effect at doses of 100–400 mg/kg. The extract was evaluated against castor oil-induced diarrhea, showing significant dose-dependent decrease in stooling frequency, enter-pooling, and intestinal motility in rats. The antidiarrheal activity of the extract was related to its anticholinergic effect (Akuodor et al. 2011). Ceiba pentandra stem bark methanol extract showed significant in vivo antidiarrheal effect at the dose of 1,000 mg/kg. The extract displayed a promising protection versus castor oil-induced diarrhea without a pronounced delay in intestinal transit time (Sule et al. 2009). The methanol extract of Chiranthodendron pentadactylon flowers was found to possess antisecretory activity against in vivo toxin Vibrio cholerae in rat jejunal loops model. Bioassay-guided fractionation of the extract revealed three anti-secretory flavonoids. Epicatechin (40) displayed a potent anti-secretory action with ID50 of 8.3 mM/kg close to the activity of loperamide reference drug (ID50 = 6.1 mM/kg). Isoquercitrin (25) and catechin (39) showed moderate and weak activities, with ID50 of 19.2 mM/kg and 51.7 mM/kg, respectively (Velázquez et al. 2009, 2012). Additionally, the methanol extract of Chiranthodendron pentadactylon flowers as well as isolated fractions and major isolated flavonoids were evaluated for their in vitro antiprotozoal activities against Entamoeba histolytica and Giardia lamblia, and their antibacterial activities against nine bacterial enteropathogens. In vivo antiarrheal activities were also evaluated using cholera toxin-induced diarrheal model in male Balb-c mice. Tiliroside (20) and epicatechin (40) proved to be the most potent isolated compounds responsible for the potent antidiarrheal, antiprotozoal, and antibacterial properties of C. pentadactylon flowers extract (Calzada et al. 2017). 384 Wild Plants: The Treasure of Natural Healers (vii) Antidiabetic and Anti-hyperlipidemic Activities The methanol extract of Adansonia digitata stem bark proved to possess in vivo antihyperglycaemic activity in streptozotocin-induced diabetic Wistar rats. The plant extract was intraperitoneally administered at 100, 200, and 400 mg/kg. Treatment with the extract significantly reduced the blood glucose levels in streptozotocin diabetes rats comparable to insulin. The highest antidiabetic activity was shown at 100 mg/kg with 51% percentage glycemic alteration after 7 hours of extract administration, while the other two doses of 200 and 400 mg/kg showed 39% and 31% glycemic change, respectively after 7 hours of extract administration (Tanko et al. 2008). The ethanol extract of A. digitata bark also demonstrated anti-hyperglycemic as well as hypolypidimic activity in alloxaninduced diabetic rats. The extract administered at 250 and 500 mg/kg significantly reduced plasma glucose levels by 26.7% and 35.9%, and stimulated glycogenesis by 11.3% and 32%, respectively. Plasma and hepatic lipid profiles were significantly reduced as well. Results were compared to standard Glipizide drug at the dose of 500 mg/kg (Bhargav et al. 2009). The methanol extract of A. digitata leaves also proved to possess strong antidiabetic and hypolipidaemic properties when evaluated in streptozotocin (STZ)-induced diabetic rats at doses of 200 mg/kg and 400 mg/kg. The extract administration caused a significant reduction in the blood glucose, glycosylated hemoglobin, cholesterol, triglycerides, low-density lipoprotein (LDL), interleukin 6 (IL-6), tumor necrosis factoralpha (TNF-α), and malondialdehyde (MDA) levels after the sixth week of treatment compared to the diabetic group (Ebaid et al. 2019). Bombax ceiba bark ethyl acetate extract also proved hypoglycemic and hypolipidemic activities in streptozotocin-induced diabetic rats when oral doses of 200, 400, 600 mg/kg were administered for 21 days. The most significant hypoglycemic and hypolipidemic activity was observed at the dose of 600 mg/kg, significantly lowering blood glucose level, total cholesterol, and triglyceride level (Bhavsar and Talele 2013). Bombax ceiba methanol extract of stem bark proved a significant ameliorative potential against high fat diet induced obesity in rats (Gupta et al. 2013). B. ceiba bark and seed powders were evaluated for their in vivo antihyperlipidaemic activities on high fat high cholesterol (HFHC) fed rats group. Significant decrease in serum and tissue phospholipid, triglycerides, total cholesterol, free fatty acid, LDL-C levels were demonstrated on feeding rats with B. ceiba bark and seed powder at 200 mg/kg body weight of rats. Elevation of albumin, protein, and HDL-C level was also demonstrated in experimental groups (Singh et al. 2018). The methylene chloride/methanol extract of Ceiba pentandra root bark proved its hypoglcaemic activity in diabetes induced by streptozotocin in rats. The effect of graded doses of the extract (40, 75, 150, and 300 mg/kg) was evaluated in fasted normal and diabetic groups. The extract at the two doses (40 and 75 mg/kg) caused a significant decrease in both blood as well as urine glucose levels relative to the initial values. The blood glucose level was reduced by 59.8 and 42.8% at 40 and 75 mg/kg, respectively, while the urine glucose level was reduced by 95.7 and 63.6%, respectively (Djomeni et al. 2006). In a similar study, the methylene chloride/methanol extract of C. pentandra root bark also proved its antihyperglycaemic activity in streptozotocin-induced type-2 diabetic rats at 40 and 75 mg/kg. The extract significantly reduced both water and food intake, enhanced glucose tolerance, and reduced the levels of serum cholesterol, triglyceride, creatinine, and urea, in addition to reducing blood glucose levels. Ceiba pentandra root bark extract proved to possess hypoglycaemic effect in normal and alloxan induced diabetic rats at the dose of 150 mg/kg. Significant reduction in blood glucose level was observed after seven weeks of treatment with the extract (Saif-ur-Rehman et al. 2010). Different fractions of C. pentandra methanol leaf extract, including petroleum ether, chloroform, ethyl acetate, and methanol fractions were investigated for their antihyperglycemic effect. Different doses were administered to normal in addition to alloxan-induced diabetic rats, using glibenclamide as a standard drug. The methanol fraction of C. pentandra extract at the dose of 200 mg/kg exhibited the maximal lowering of blood glucose level in diabetic rats (Dolui et al. 2011). The ethanol extract of C. pentandra leaf proved to have promising potential in obesity management. Subfamily Bombacoideae 385 Administration of 125 mg/kg of the extract significantly reduced body weight gain, weight of liver and fat pads, as well as Body Mass Index (BMI) in obese rats. The intestinal activity of enzyme Alkaline Phosphatase (ALP) was found to be reduced in C. pentandra treated rats, suggesting the mechanism of the extract’s anti-obesity activity to be mediated through inhibition of intestinal lipid absorption and thermogenesis (Patil et al. 2012). C. pentandra root hydroalcoholic extract was assessed for its hypoglycemic and anti-hyperlipidemic activity in both normal as well as alloxan-induced diabetic rats. At the dose of 300 mg/kg, the extract significantly decreased the elevated blood glucose level, glycosylated haemoglobin, as well as cholesterol, triglycerides, phospholipids, LDL, and VLDL. The extract also significantly elevated liver insulin, glycogen, and HDL levels, confirming its promising antidiabetic and antihyperlipidemic potential (Parameshwar et al. 2012). The hypoglycaemic as well as the antihyperglycaemic activities of C. pentandra bark ethanol extract were determined in both normal as well as streptozotocin-induced diabetic rats. In the single dose study of the extract at the doses of 200 and 400 mg/kg, significant elimination in blood glucose level was noticed in diabetic rats at the dose of 200 mg/kg, although insignificant effect was noticed in normal rats. In oral glucose tolerance test, significant decrease in glucose level was noticed in both normal and diabetic rats. Long term treatment with 200 mg/kg for 21 days significantly reduced blood glucose level, triglycerides, and total cholesterol. Levels of serum insulin and liver glycogen were significantly elevated. The study suggested the extract to be beneficial in the management of type I diabetes (Satyaprakash et al. 2014). In another study, C. pentadra stem bark extract and its combination with Amaranthus viridis aerial parts extract were evaluated for their antidiabetic and hypolipidaemic activities. Three test groups of albino rats received subcutaneous plant extracts of C. pentandra, A. viridis, as well as their mixture at 400, 450, and 450 mg/kg, respectively, after pretreatment with dexamethasone (10 mg/kg) for ten days. Significant reduction in serum glucose TG, LDL, VLD, TC, and significant elevation in body weight, HDL, tissue glycogen levels, and liver glycogen were noticed on the administration of both the extracts as well as their combination. They proved their antihyperglycaemic and antihyperlipidemic potentials without hypoglycaemic activity in normal individuals (Paramesha et al. 2014). The ethyl acetate fraction of Ceiba pentandra leaf extract was evaluated for its hypoglycaemic effect in alloxan-induced diabetic rats. Significant reduction in blood glucose was noticed in all the treated groups compared to standard drug (glibenclamide) with the highest hypoglycaemic activity observed at the dose of 200 mg/kg. Opposite to untreated groups body weight remaining stable, hematological abnormalities accompanied with diabetes mellitus were ameliorated, including red blood cells, platelet, and hemoglobin count, as well as packed cell volume (Lami et al. 2015). Both the aqueous and methanol extracts of Ceiba pentandra trunk bark were evaluated for their antidiabetic properties on an experimental model of type 2 diabetes induced by the combination of a high-fat diet and a single dose of streptozotocin (40 mg/kg, intraperitoneal) on the seventh day of experimentation. Both extracts significantly reduced the hyperglycemia by up to 62%, and significantly improved the oral glucose tolerance test. The impaired levels of cholesterol and triglycerides registered in diabetic control were also significantly reversed by both extracts. The antidiabetic effects of the extracts could result from their ability to improve the peripheral use of glucose, lipid metabolism, or from their capacity to reduce oxidative stress (Fofie et al. 2019). The aqueous and 70% alcohol extracts of Chorisia insignis leaves as well as the ethyl acetate fraction of the alcohol extract demonstrated significant in vivo antihyperglycemic activities in alloxan-induced diabetic rats. Results were compared to metformin reference drug (150 mg/kg) (El-Alfy et al. 2010). The ethanol extracts of various parts of C. chodatii and C. speciosa as well as their successive fractions were evaluated to study their effect on adipogenesis using the 3T3L1 preadipocytes model. The extracts and their fractions demonstrated dose-dependent induction of 3T3-L1 preadipocytes differentiation, but with a remarkable reduction in the size of the lipid droplets at the lower concentrations of 5 and 10 μg/mL. The aqueous, ethyl acetate, and chloroform fractions of different plant parts demonstrated the greatest effects on adipogenesis, as well as the 386 Wild Plants: The Treasure of Natural Healers highest polyphenol contents. The study suggested the potential value of Chorisia in obesity-related disorders (Refaat et al. 2015b). (viii) Hepatoprotective Activity The aqueous extract of Adansonia digitata fruit pulp also displayed a pronounced in vivo hepatoprotective effect at the dose of 1 mg/kg. The activity was postulated to be due to the steroids and triterpenoids content of the fruit, and thus the anti-inflammatory, analgesic, immunostimulant, and antimicrobial activities of A. digitata fruit pulp play a role in hepatic protection (Al-Qarawi et al. 2003). The ethyl acetate fraction of A. digatata leaf ethanol extract exhibited potent in vivo liver protection versus hepatic toxicity triggered by carbon tetrachloride. Furthermore, at 100 mg/kg as well as 200 mg/kg, the extract significantly decreased the pronounced elevation in Alkaline Phosphate (ALP), Aspartate Aminotransferase (AST), Lactate Dehydrogenase (LDH), and alanine aminotransferase (ALT) levels, showing more pronounced effect at the lower dose (Oloyede et al. 2013). Besides, mangiferin (48), isolated from Bombax ceiba leaf methanol extract, proved to possess significant in vivo hepatoprotective activity at the doses of 0.1, 1, 10 mg/kg, combating carbon tetrachloride triggered hepatic damage, which consequently supported its free radical scavenging ability (Dar et al. 2005). The hepatoprotective activity of B. ceiba flower methanol extract was evaluated in vivo using hepatotoxicity model produced by combining the two anti-tubercular drugs isoniazid and rifampicin. Pretreatment with the methanol extract at the doses of 150, 300, and 450 mg/kg significantly reduced AST, ALT, alkaline phosphatase (ALP), TBARS, and total bilirubin levels, and elevated the level of total protein and GSH after anti-tubercular challenge when compared to silymarin control (2.5 mg/kg). Histopathological studies together with the obtained biochemical parameters suggested that although the extract was not able to completely resolve the antitubercular drugs induced hepatotoxicity, but it could limit their effect to necrosis extent (Ravi et al. 2010). In a similar study, the 70% methanol extract of B. ceiba flowers at 250 and 500 mg/kg significantly reduced the elevated ALT and AST levels caused by pracetamol-induced hepatotoxicity. The hepatoprotective activity of B. ceiba flower extract was assigned to its antioxidant activity related to its flavonoid content (Said et al. 2011). In another study, the aqueous methanol extract of B. ceiba flowers proved to ameliorate hepatosteatosis induced by ethanol and relatively moderate fat diet in rats at a dose of 200 mg/kg/d. Treatment with Bombax ceiba flower extract ameliorated the alcohol-induced increase of liver enzyme activities, and significantly increased the level of hepatic liver antioxidants and decreased malondialdehyde (MDA) level (Arafa et al. 2019). Moreover, the ethyl acetate fraction of Ceiba pentandra stem bark methanol extract at the dose of 400 mg/kg also proved to possess potent in vivo hepatoprotective activity against paracetamol-induced liver injury. Histopathological screening as well as the significant reduction in serum enzymes ALT, AST, ALP, and total bilirubin content compared to standard silymarin drug (100 mg/kg) confirmed its hepatoprotective potential (Bairwa et al. 2010). Besides, different extracts of Chorisia insignis leaves were evaluated for their in vivo hepatoprotective activities against CCl4 induced liver damage. The aqueous, 70% alcohol extracts, as well as the ethyl acetate fraction at the doses of 100 mg/kg significantly declined the levels of ALT, AST, and ALP with respect to standard silymarin drug (25 mg/kg), proving their potent hepatoprotective activities (El-Alfy et al. 2010). (ix) Cytotoxic Activity Bombax ceiba stem bark methanol extract proved to possess a potent in vitro inhibitory effect on tube formation of human umbilical venous endothelial cells (HUVEC). Bioactivity-guided fractionation afforded lupeol as the active principle, showing marked inhibitory activity at doses of 50 and 30 μg/mL. However, it didn’t show significant inhibition for growth of tumor cell lines represented Subfamily Bombacoideae 387 by SK-MEL-2, A549, as well as B16-F10 melanoma (You et al. 2003). The antitumor potential of B. ceiba root methanol extract was measured using the lethality bioassay in brine shrimp. It exhibited pronounced cytotoxic activity with LC50 value of 3.90 μg/mL. Meanwhile, vincristine sulphate, the standard cytotoxic agent, has LC50 value of 0.625 μg/mL (Islam et al. 2011). The aqueous ethanol extract (80%) of B. ceiba flowers was evaluated for its cytotoxic activity on Ehrlich ascites carcinoma cells (EACC) using Trypan blue exclusion method in a dose-dependent manner. B. ceiba flower extract showed a mild inhibition of tumor volume as well as viable tumor cell count with concomitant elevation in the life span of the tumor-bearing mice. The study suggested that the activity of the extract is attributed to the reduction in the nutritional fluid volume in addition to arresting the tumor growth, resulting in elevating the life span of EACC bearing mice (El-Toumy et al. 2013). The diethyl ether and petroleum ether extracts of B. ceiba flowers were investigated for their antiproliferative responses against seven human cancer cell lines, including MCF-7, LNCaP, HeLa, ACHN, COR-L23, A375, and C32 and compared to human normal cell line. In a concentration-dependent manner, both extracts showed the highest activity against human renal adenocarcinoma (ACHN) (Tundis et al. 2014). Besides, Ceiba pentandra stem methanol extract showed the most potent inhibitory effect upon the tube-like formation of HUVEC adopting angiogenesis in vitro assay of 58 Vietnamese medicinal plants with inhibition percentage of 87.5% at a dose of 100 μg/mL (Nam et al. 2003). The n-hexane, ethyl acetate, butanol, and methanol extracts of Chorisia crispiflora leaves were investigated for their cytotoxic effect in MCF-7 breast cancer cells. The ethyl acetate extract was the most active extract, exhibiting IC50 of 5.2 and 4.2 μg/mL for 48 and 72 hours, comparable to standard doxorubicin. Further molecular characterization of the extract was performed, leading to the conclusion that down-regulation of NF-κB as well as up-regulation of p21 levels may be the underlying mechanism by which the extract inhibits MCF-7 proliferation (Ashmawy et al. 2012). (x) Antiurolithiatic Activity Bombax ceiba fruits aqueous and ethanol extracts were evaluated for their curative efficacy in calcium oxalate urolithiatic rats at 400 mg/kg. The extracts significantly reduced the increased urinary oxalate levels due to ethylene glycol, demonstrating a regulatory action on endogenous oxalate synthesis. Besides, the extracts significantly decreased the elevated precipitation of stone forming compounds in the kidneys of calculogenic rats when compared to standard cystone (750 mg/kg) as a reference antiurolithiatic drug. They also proved to possess potent diuretic activity, evidenced by increasing total urine volume and electrolytes excretion at the doses of 200 and 400 mg/kg, comparable to hydrochlorothiazide and Frusemide (25 mg/kg each) as standard diuretic drugs (Gadge et al. 2009, Jalalpure and Gadge 2011, Gadge and Jalalpure 2012). The aqueous, n-butanol, and ethyl acetate extracts of B. ceiba leaves were assessed for their in vivo protective effects against gentamicin-induced renal toxicity. 200 mg/kg of the aqueous, n-butanol extracts reduced renal oxidative damage triggered by gentamicin induced in rats, showing a pronounced decline in serum levels of urea, uric acid, creatinine, and malondialdehyde (Vasita and Bhargava 2014). The aqueous and alcohol extracts of Ceiba pentandra bark also proved to possess curative potential for calcium oxalate urolithiasis in albino rats. Extracts administration significantly decreased the increased urinary oxalate levels due to ethylene glycol and reduced the precipitation of stone forming agents enhanced by ammonium chloride administration (Choubey et al. 2010). (xi) Anti-ulcer Activity The aqueous extract of Bombax buonopozense leaves was assessed for its anti-ulcer activity at 100, 200, and 400 mg/kg in vivo using ethanol-induced ulcer model. It showed a pronounced dosedependent effect comparable to ranitidine. Oral LD50 value was found to be 2828.42 mg/kg in mice 388 Wild Plants: The Treasure of Natural Healers (Nwagba et al. 2013). Also, B. ceiba flower extract was investigated for its protective and curative effects against ethanol-induced gastric injury in rats. Treatment with the extract reduced the severity of ethanol gastric mucosal damage, the elevated ulcer index, and cell organelle marker enzymes, and suppressed gastric inflammation at a dose of 300 mg/kg (Barakat et al. 2019). Ceiba pentandra stem bark methanol extract proved to possess in vivo protective properties against indomethacin and ethanol-induced gastric ulcers. At 100, 200, and 400 mg/kg, potent dosedependent ulcer inhibition was observed and confirmed by the pronounced reduction in the ulcer index of the groups receiving the treatment. Moreover, histological examination of the gastric wall of rats pre-treated with the extract revealed a reduced ulcer area and sub-mucosal edema in addition to the absence of leucocytes infiltration owing to administration of 50 mg/kg indomethacin, as well as of 0.5 mL of 95% absolute ethanol (Anosike and Ofoegbu 2013). Ceiba pentandra leaves methanol extract also exhibited a protective activity against indomethacin and ethanol-induced gastric ulcer. It prohibited indomethacin-induced gastric ulcer at 100, 200, and 400 mg/kg in a dose-dependent manner by 70, 82, and 84%, and ethanol-induced gastric ulcer by 19, 53, and 58%, respectively (Anosike et al. 2014). (xii) Immuno-modulatory Activity The methanol extract of Bombax ceiba bark proved to possess promising in vivo immunostimulatory activity at 150 and 300 mg/kg. The extract activity was investigated both in normal and immunosuppressed mice by evaluating its efficacy on Hemagglutinating antibody (HA) titer, hematological profile (Hb, WBC, RBC), delayed type of hypersensitivity (DTH) response, lipid peroxidation (LPO), superoxide dismutase (SOD), reduced glutathione (GSH), catalase (CAT), and cytokine release. The methanol extract increased the antibody titer values, and produced a significant dose-related elevation in DTH reactivity in mice responding to cell-dependent antigen, which revealed the stimulation of T cells by the extract. Besides, the extract elevated the hematological profile, SOD, CAT, GSH activity, accompanied by a pronounced decline in LPO levels in immunosuppressed mice triggered by cyclophosphamide. Moreover, the animals administered the extract displayed a significant up regulation of cytokines represented by IL-6 and TNF-α relative to the control group. Results suggested that the methanol extract showed that the promising immunostimulatory principle is strongly correlated to its ability to stimulate humoral immunity via acting by different mechanisms (Wahab et al. 2014). (xiii) Cardioprotective Activity The aqueous extract of Bombax ceiba flower proved its in vivo protective activity against Adriamycin (Adr)-induced cardiotoxicity. The extract co-administered at the doses of 150, 300, and 450 mg/kg with vitamin E significantly elevated the level of cardiac antioxidant enzymes (myocardial superoxide dismutase), catalase as well as reduced glutathione with concomitant decline in the level of lipid peroxidation compared to Adr-treated animals. Besides, it significantly reduced the serum level of cardiac marker enzyme, LDH and AST enzyme, and this protective effect was further supported by the microscopic studies of the aqueous extract (Patel et al. 2011). (xiv) Hypotensive Activity Shamimin (38), the C-flavonol glucoside isolated from the leaves of Bombax ceiba proved to possess prounonced potency as a hypotensive agent at 1, 3, and 15 mg/kg. Studies also showed that it causes mortality in rats at 500 mg/kg, which is considered as a lethal dose (Saleem et al. 1999). Subfamily Bombacoideae 389 (xv) Antiangiogenic Activity Bombax ceiba stem bark methanol extract proved to possess a promising in vitro inhibitory activity on tube formation in HUVEC. Bioactivity-guided fractionation afforded lupeol as the active principle, showing marked inhibitory activity at doses of 50 and 30 μg/mL. However, it didn’t show significant inhibition of A549, SK-MEL-2 in addition to B16-F10 melanoma cells (You et al. 2003). (xvi) Antivenom Ceiba pentandra leaves aqueous methanol extract was evaluated for its antivenom effect versus Echis ocellatus snake venom. The extract demonstrated potent in vivo snake venom-neutralizing capacity with an LD50 value of 0.280 ± 0.065 mg/kg. The extract administration significantly reduced haemolysis due to venom from 66% to 27.4%. It also inhibited venom-induced changes in packed cell volume, total protein, haemoglobin contents, and phospholipase A2 activity (Sarkiyayi et al. 2010). (xvii) Testicular Protection The aqueous extract of Adansonia digitata leaf was tested in vivo for its activity versus carbon tetrachloride-induced testicular toxicity (2.5 mL/kg). The extract significantly ameliorated the low levels of follicle stimulating hormone, testosterone, and luteinizing hormone, as well as superoxide dismutase due to carbon tetrachloride toxicity. Cyto-architecture of testis also revealed minimum degree of testis distortion in treated animals relative to the control group. The study supported the therapeutic role of the extract in free radical mediated diseases (Oyetunji et al. 2015). (xviii) Anti-osteoporotic Activity Treatment with the petroleum ether and methanol extract of Bombax ceiba stem bark for 28 days significantly ameliorated the consequences of ovariectomy-induced bone porosity, and restored the normal architecture of bone at two doses: 100 and 200 mg/kg. The in vitro osteogenic activity was related to the presence of lupeol, gallic acid, and β-sitosterol constituents of the plant (Chauhan et al. 2018). (xix) Entomototoxicity Biological assays demonstrated the nectar toxicity of Ochroma lagopus flower, causing great mortality of bees and other insects. Chemical investigation of the nectar identified glucose, fructose, sucrose, and sixteen proteic amino acids. The toxicity proved not to be related to any sugar or nonproteic amino acids, although the toxic substance in the nectar was not yet identified (Paula et al. 1997). (xx) Aphrodisiac Activity Bombax malabaricum root extract showed potent aphrodisiac activity at the dose of 400 mg/kg/day evidenced by reduction of post-ejaculatory interval, intromission latency, mount latency, as well as ejaculation latency with concomitant elevation intromission frequency, mounting frequency, and ejaculation frequency in sexually active and inactive male mice (Chaudhary and Khadabadi 2012). 390 Wild Plants: The Treasure of Natural Healers Mechanistic Interpretation of the Anti-inflammatory Activity of Reported Bombacoideae Members Possessing Anti-inflammatory Potential After thoroughly reviewing the vast biological activities of Bombacoideae, it was observed that many extracts of various parts of the studied Bombacoideae plants demonstrated significant antiinflammatory potential either in vitro or in vivo. It has been believed recently that inflammation is the cause of most diseases, being a common symptom in many disease conditions (Otimenyin 2018). Thus, it was encouraging to do further in-depth studies of the underlying mechanisms of the antiinflammatory activities of different bombacoideae plants, as well as the phytoconstituents behind this potential. Inflammation is a complex pathophysiological process mediated by a cascade of signaling molecules elicited by macrophages, leukocytes, and mast cells. Infiltration of leukocytes and extravasation of fluid and proteins at the inflammatory site by the activation of different complement factors results in the accompanying edema (Ashour et al. 2018). Natural products proved to be a promising reservoir of anti-inflammatory phytoconstituents, inhibiting inflammation through numerous mechanisms. (i) Inhibition of Nitric Oxide Synthase (NOS) Nitric oxide (NO) is a signaling molecule playing a crucial role in the pathogenesis of inflammation. NO is generated biochemically through the oxidation of the terminal guanidine nitrogen atom from L-arginine by nitric oxide synthetase (NOS). Having three isoforms, endothelial NOS (eNOS), neuronal NOS (nNOS), and inducible NOS (iNOS), nitric oxide synthase is an important cellular mediator of both physiological and pathological inflammatory processes. Endothelial NOS (eNOS) and neuronal NOS (nNOS) are constitutively expressed in the body under normal physiological conditions. However, inducible NOS (iNOS) is an inducible enzyme highly expressed by inflammatory stimuli. Overproduction of NO by inducible NOS occurs in response to different inflammatory mediators (e.g., tumor necrosis factor-α (TNF-α), interleukine-1β (IL-1β), and bacterial lipopolysaccharide (LPS)), aggravating the inflammatory process and acting synergistically with other inflammatory mediators. Many plants have recently proved to possess strong inhibitory potential of inducible NOS enzyme (iNOS), inhibiting overproduction of nitric oxide. The methanol extract of Adansonia digitata leaf proved to possess significant anti-inflammatory activity through inhibiting iNOS expression in lipopolysaccharide (LPS)-stimulated Raw264.7 cells (Ayele et al. 2013). Besides, the anti-inflammatory activity of the methanol extract of Bombax ceiba leaves demonstrated significant anti-inflammatory activity, demonstrated in reducing carrageenaninduced rat paw edema. The activity was attributed to its dose-dependent inhibition of nitric oxide production (Hossain et al. 2013). Moreover, different studies reported the ability of flavonoids to inhibit the expression of inducible nitric oxide synthase isoform in several models. Meanwhile, differences may exist among several flavonoids in their inhibiting capacity to iNOS. Although kaempferol (16) and quercetin (23) demonstrate little differences in their inhibiting capacity of the expression of iNOS in RAW264.7 cells, the former demonstrated a greater extent of inhibition than quercetin in nitrite accumulation in culture medium of lipopolysaccharide (LPS)-stimulated J774.2 cells (González-Gallego et al. 2014). (ii) Inhibition of Cyclooxygenases (COX) The inflammatory processes may also activate some biomarkers, such as cyclooxygenases, which are enzymes that allow the body to produce prostaglandins from arachidonic acid. This type of enzymes can act as dioxygenase or peroxidase, as they are peripheral membrane proteins having two isoforms Subfamily Bombacoideae 391 (Salinas et al. 2007). COX1, present in most tissues, such as stomach, synthesize prostaglandins and perform maintenance of the gastric mucosa, which regulates the proliferation of normal cells and intervenes indirectly in physiological processes, such as protection and neutrophil migration to the epithelium. COX2, the other isoform, is formed from an increase of prostaglandins in tissues where an inflammatory response occurs. It is expressed after induction of inflammation caused by erosion of the mucosa (Díaz-Rivas et al. 2015). Inhibition of both COX-1 and COX-2 was found to be the basic mechanism of different anti-inflammatory plant extracts. However, selective COX-2 inhibitor mixes both the anti-inflammatory activity and minimum side effects usually related to COX-1 inhibition. The isoflavone compounds isolated from Ceiba pentandra stem bark were evaluated for their inhibition of cyclooxygenase-1-catalyzed prostaglandin biosynthesis together with the known flavan-3-ol, (+)-catechin (39). Vavain (45), vavain 3‘-O-β-D-glucoside (46), and (+)-catechin (39) demonstrated inhibitory effects with IC50 values of 97, 381, and 80 μM, respectively, compared to indomethacin activity (IC50 of 1.1 μM) (Noreen et al. 1998). Besides, several flavonoids, such as apigenin, luteolin, kaempferol, and quercetin, as well as some of their glycosides, were repeatedly reported as inhibitors of COX (Ribeiro et al. 2015). This may explain the potent in vivo anti-inflammatory potential of Bombax ceiba flowers containing these flavonoids (Joshi et al. 2013, El-Hagrassi et al. 2011). Studying the structure-activity relationships (SAR) of the COX-2-inhibiting properties of various flavonoids, it was revealed that hydroxylation at the 4’-position and a free 5’-position are the only sufficient requirements for COX-2-inhibiting activity (Rosenkranz and Thampatty 2003). (iii) Inhibition of Pro-inflammatory Cytokines Cytokines are regulators of the human body, and react to infection, trauma, immune responses, and inflammation. Some cytokines act to increase the body’s reaction to inflammatory stimulus, making it worse (pro-inflammatory), while others help to decrease inflammation, and induce the healing process (anti-inflammatory). The major pro-inflammatory cytokines include Interleukin-1alpha (IL-1α), IL1-beta (IL-1 β), IL-6, and TNF-alpha (TNFα). Inhibiting the expression of these pro-inflammatory cytokines has been demonstrated as the mechanism of action of many anti-inflammatory medicinal plants and their isolated compounds (Dinarello 2000). Conducting a comparative study on cytokine modulatory activities of different sources of Adansonia digitata, the aqueous, methanol, and DMSO extracts of commercial products of A. digitata leaves, fruits, and seeds were evaluated for their ability to secrete cytokine (IL-6 and ILr-8) in human epithelial cell cultures. Many of the extracts, especially leaf extracts, proved to be active as cytokine modulators, some of which were pro-inflammatory, and others anti-inflammatory. The overall results concluded the presence of multiple bioactive compounds in different parts of the plant, explaining the variable medical benefits in the treatment of infectious diseases and inflammatory conditions among the three plant sources (Selvarani and Hudson 2009). The flavone glycoside, rhoifolin (4), isolated from different Chorisia species, was reported to possess significant anti-inflammatory activity against carrageenin-induced rat paw edema. It demonstrated a dose-dependent decline in rat paw edema volume compared to the control group. Diminishing the TNF-α release was one of the mechanisms which proved to be behind the potent anti-inflammatory activity of rhoifolin (Eldahshan and Azab 2012). Also, the potent anti-inflammatory activity of Ceiba pentandra stem bark aqueous extract against carrageenan and cotton pellet was attributed to its flavonoid content. The mechanism of the anti-inflammatory activity was postulated to be the inhibition of pro-inflammatory cytokines release (Itou et al. 2014). Moreover, the anti-inflammatory activity of C. pentandra seed oil was evaluated both in vitro and in vivo via membrane stability assay and C-reactive protein evaluation, respectively. The percentage of membrane stability demonstrated in vitro by the seed oil was concentration dependent and comparable to standard diclofenac. Meanwhile, the level of C-reactive protein was diminished significantly, reflecting systemic anti-inflammatory activity of the tested oil. The potent 392 Wild Plants: The Treasure of Natural Healers anti-inflammatory potential was attributed to the complex mixture of various fatty acids present in C. pentandra seed oil (Ravi Kiran and Raghava Rao 2014). (iv) Antioxidant Activity An additional mechanism which could participate in the anti-inflammatory properties of different Bombacoideae species is the modulation of the redox state by enhancing the different endogenous antioxidant defense mechanisms. Many extracts demonstrating significant anti-inflammatory activity proved to possess potent antioxidant activities as well. Examples of these extracts include Adansonia digitata fruit pulp extract, Bombax ceiba bark, leaf, and flower extracts, and Chorisia insignis leaf extracts (Eldahshan and Azab 2012, Yu et al. 2011, Faizi et al. 2012, Refaat et al. 2015b). Moreover, the potent anti-inflammatory rhoifolin (4) isolated from different Chorisia species proved to elevate the total antioxidant capacity in the inflammatory exudates when evaluated in carrageen-induced rat oedema model (Eldahshan and Azab 2012). Figure 15.2: Mechanistic interpretation of the anti-inflammatory activity of reported Bombacoideae species with antiinflammatory potential. Conclusions Bombacoideae, the worldwide distributed subfamily, comprises of a vast collection of economically important plants. Many of the Bombacoideae species were extensively used in traditional medicine for the management of various ailments. A chemical survey of Bombacoideae revealed great diversity in the secondary metabolites isolated from the different species. Classes of the isolated secondary metabolites included flavonoids, xanthones, procyanidins, lignans, naphthoquinones, sesquiterpenes, triterpenes, steroids, and alkaloids. Flavonoids constituted the most prevailing class of secondary metabolites, representing 27% of total isolated compounds, followed by sesquiterpenes and fatty acids. The biological survey illustrated a wide range of pharmacological and biological activities exhibited by different species of Bombacoideae. Activities extended from the antioxidant, immunomodulatory, hepatoprotective, cardioprotective, anti-inflammatory, antimicrobial, antifungal activity, and antiviral activities to antidiarrheal, antidiabetic, antihyperlipidaemic, and many other pharmacological activities. The great diversity in the biological activities of Bombacoideae is mainly attributed to the wide variety of chemical classes present in the different species. Subfamily Bombacoideae 393 The anti-inflammatory potential of different Bombacoideae species was studied in-depth, revealing the various mechanisms beyond these activities. Inhibition of nitric oxide synthase, cyclooxygenases, and pro-inflammatory cytokines, together with the antioxidant potentials were the major mechanisms adopted by the most-studied Bombacoideae members and their isolated compounds. The anti-inflammatory potential was most commonly ascribed to the flavonoid content and to a lesser extent to other metabolites, such as fatty acids, despite the possibility of contribution of other reported secondary metabolites having anti-inflammatory potential, such as tannins and triterpenes (Mohammed et al. 2014). Moreover, chemical investigations of the genus Pachira resulted in the identification of almost 20 secondary metabolites belonging to diverse classes. Major compound classes identified include naphthoquinone derivatives, flavonoids, coumarins, sesquiterpenes, and triterpenes. Only a few pharmacological activities have been evaluated, including antimicrobial, antifungal, and insecticidal activities. It’s worth mentioning that Pachira aquatica is the most studied Pachira species, from which most compounds have been isolated. Meanwhile, studies in literature addressing the biological activities or the phytochemicals of P. glabra were very scarce. So, in-depth phytochemical investigation of the methanol extract of P. glabra leaves in an attempt to discover new molecules with promising pharmacological value is highly recommended. Abbreviations DPPH: 2,2-Diphenyl-1-picrylhydrazyl, ORAC: oxygen-radical-absorbance capacity, IAC: integral antioxidant capacity, TBARS: thiobarbituric acid reactive substances, FRAP: ferric reducing ability of plasma, HA: Hemagglutinating antibody, Hb: hemoglobin, WBC: White blood cells, RBC: red blood cells, DTH: delayed type of hypersensitivity, LPO: lipid peroxidation, SOD: superoxide dismutase, GSH: reduced glutathione, CAT: catalase, ALP: alkaline phosphate, AST: aspartate aminotransferase, LDH: lactate dehydrogenase, ALT: alanine aminotransferase, LPS: lipopolysaccharide, MTT: 3-[4,5-dimethylthiazol-2-yl]-2,5 diphenyl tetrazolium bromide, DMSO: Dimethyl sulfoxide, MeOH: methanol, LD50: Median lethal dose, MIC: minimum inhibitory concentration, HBV: hepatitis B Virus, PCV: packed cell volume, TG: triglycerides, LDL: low density lipoprotein, VLDL: very-low-density lipoprotein, TC: total cholesterol, BMI: body mass index, TNF-α: tumor necrosis factor-α, IL-1β: interleukine-1β, LPS: bacterial lipopolysaccharide, COX: cyclooxygenases. 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In this context of searching for physical and spiritual cures, the Ayahuasca drink emerged in the Amazon (Zanela et al. 2018). The Amazon rainforest is a true example of biculturalism,a due to its immensity, botanical wealth, its people, and suis generis customs, which give this region of the globe the fullest symbolism of what life in communion with nature is like, whilst exclusively relying on it. Ayahuasca is a drink made by the decoction of Psychotria viridis Ruiz and Pav leaves, with the woody parts of the Banisteriopsis caapi (Spruce ex Griseb) Morton vine. It has been used by indigenous people to communicate with their ancestors, for prophetic purposes, divination, witchcraft, and healing. This state of soul liberation, which makes it possible to “travel to the world of the dead”, is at the root of the term “Ayahuasca”, which in Quechua means “wine of souls”, and may also be called “Yagê”, “Hoasca”, “Caapi”, “Dápa”, “Mihi”, “Kahí”, “Natema”, or “Pindé” (Schultes et al. 1992). The altered state of consciousness reached by those who consume this drink, commonly called “tea”, is due to its chemical composition, which highlights the metabolite N, N-dimethyl tryptamine (DMT), and the β-carbolines: harmine, harmaline, and tetrahydro harmine (THH) compounds, extracted from Psychotria viridis and Banisteriopsis caapi, respectively (Lorenzi and Matos 2008). 1 Observatory of Drug-Herb Interactions/Faculty of Pharmacy, University of Coimbra, Health Sciences Campus, Azinhaga de Santa Comba, Coimbra, Portugal. 2 Universidade do Estado do Pará, Belém, Pará, Brasil. 3 Herbário MFS, Universidade do Estado do Pará, Belém, Pará, Brasil, Rua do Una, n°156, Telégrafo. 4 Coimbra Chemistry Centre (CQC, FCT Unit 313) (FCTUC) University of Coimbra, Rua Larga, Coimbra, Portugal. * Corresponding author: quel.consul@hotmail.com a Term that combines “culture” and “diversity” and refers to the area of knowledge that interdisciplinarily articulates knowledge, languages, customs, and values derived from the relationship of man in a cultural and social context and nature, consisting of ecosystems and miscellaneous features (Salick et al. 2014). 402 Wild Plants: The Treasure of Natural Healers By inhibiting the enzyme monoamine oxidase (MAO), β-carbolines enable the action of DMT in the Central Nervous System (CNS), which induces both mental and physical manifestations. The effects are mainly reflected in mood swings, synaesthesia, distortion of perception of space and time, as well as certain immobility, which occurs sometimes, uncoordinated movement, and more often nausea, diarrhea, and vomiting (Camargo 2014). Although of a tribal origin, Ayahuasca is no longer unique to the forest, but has been integrated into peri-urban religious ceremonies, which have sprung up in northern Brazil and have spread throughout the world (Lorenzi and Matos 2008). It is estimated that over 20,000 people currently participate in these syncretic movements (UDV 2018). The neo-psychedelic revival occurred in the 1980s, which brought to societies around the world the renewed desire to seek out the most varied ways to reach altered states of consciousness (Labate and Goulart 2005), a trend which seems to continue today. Analyzing the results of the research on the most used drugs in the United States of America (USA), there was a relative increase of 273% in use of tryptamines between 2007/2008 and 2013/2014, DMT being one of the most preferred substances. This is perhaps a result of its wide availability and ease of purchase online, allied to the anecdotal evidence presented by the media (Palamar and Le 2018). At the same time, and possibly related, there is growing popularity of Ayahuasca, as it is a subject which has been increasingly referenced by the media, and heavily influenced by celebrity endorsement. This mainstreaming and prevalent exposure to Ayahuasca, given its composition, constitutes a danger to the health of those who seek it (Stiffler 2018). Although indigenous religions bind care and control to the use of Ayahuasca, the non-compliance with the traditional context can culminate in detrimental situations (Balick and Cox 1996). The imprudent use of Ayahuasca has increased in Amazonian cities, especially by the tens of thousands of tourists who travel to Ecuador, Peru, and Colombia, motivated to experience shamanism, ignorant of the contraindicated combination of MAO inhibitors with certain drugs, food, and even natural herbal products, and their adverse effects (Bauer 2018). In this text, in order to assess the inherent dangers of this drink, after a distinction of its ritualistic and religious use from recreational use has been made, followed by a detailed discussion of Ayahuasca pharmacology and its possible interactions, evidence from different tests performed in vivo in humans and cases reported in the literature were collected, with the purpose of reviewing the consequences of acute and chronic exposure of the beverage in question. Although the main objectives are to evaluate its most harmful aspects, the potential therapeutic effects, already published in several studies (Domínguez-Clavé et al. 2016), will also be presented here. Ritualistic and Religious Use: An Ethnopharmacobotanical Reflection The Shamanism Archaeological evidence of Ayahuasca ritual use, dating back to 500 B.C., is perfectly contestable, and may belong to any other ritualistic plant. In fact, there is no botanical evidence to accurately confirm when it was discovered, and that the combination of B. caapi and P. viridis resulted in an entheogen feeling (Bianchi 2005). The “entheogen” concept was proposed by ethnologists Gordon Wasson, Karl Ruck, and Schultes in 1978 to characterize and encompass the complexity of the psychophysiological effects which invoking plants of divine entities can provide. It is not a theological or pharmacological term, but a cultural one, which means “internalizing God”. This would be impossible to express through the term “hallucinogenic”, as much by its negative connotation as by its limiting character, dispensable in the ethnopharmacobotanical understanding of a shamanic ritual (Camargo 2014). Ayahuasca 403 Shamanism corresponds to the belief system of hunter and collector societies, and where the shaman, a charismatic figure, is the leader and is responsible for conducting the main community rituals, especially those to heal and protect the group. From an anthropological perspective, “cure” and “disease” are universal expressions of religiosity. The belief is that disease is caused by spiritual aggression and healing is achieved through religious practices. The shamanic ritual is unique and is also the most relevant activity in communities (Winkelman and Baker 2016). Notwithstanding its lost temporal genesis, the use of Ayahuasca originated in the upper Amazon basin (Luna 2005), ingested by the shaman for healing purposes. By interpreting the visions, the shaman can identify the cause of the disease and wage a symbolic fight, which is described to the sick person through chanting until the evil spirit is released. The visions may involve their ancestors, mystical figures, or animals, especially snakes and jaguars (Camargo 2014). The plants themselves enable communication with the spirits and entities which determine the fate of the human being because they also have their own spirit (Cruz 2016). They are “Teacher Plants” or “Power Plants” because they grant spiritual revelation to the shaman when they are ingested and teach others to be the best version of themselves, healing them and guiding them in the best path towards spiritual evolution. This religious implication is evident in shamanic traditions (Winkelman and Baker 2016, Labate and Goulart 2005). It reaches dimensions which exceed material life and leads to a “gateway” for the sacred purposes, perceived and interpreted in the human sphere. With power plants, other types of diseases are treated as cultural diseases (Amorozo 2002). These, although not recognised by biomedicine, are characterized by presenting a consensus among individuals in the same community regarding their signs and symptoms, their origins, denominations, and their own sense and ways to cure them. These diseases have psychological, symbolic, and moral meaning, and have a direct and indirect impact on the suffering experienced by the individual. The Preparation of the Ayahuasca Beverage Despite not knowing when its use was transformed since pre-Columbian times (Bianchi 2005), Schultes et al. (1992) note that there are different ways to prepare Ayahuasca. Typically, in East Amazon regions, they use about two meters of B. Caapi, cut into smaller pieces, which are then placed in a container with plenty of water, together with the leaves of P. viridis, until a drink with a syrupy consistency is obtained. This is then ingested in small doses. In other regions, the B. caapi stems can be pulverised, layered with P. viridis leaves, and boiled for one hour. The preparation is finished after it has cooled. Due to its more liquid consistency, larger amounts are ingested, contrary to what was previously stated (Camargo 2014). Other botanical species can also be added, especially those belonging to the Rubiaceae and Solanaceae families, in order to enhance the effects of the drink or provide the desired cure for specific diseases (Cruz et al. 2017, Camargo 2014). For example, Brugmansia spp. is used when the disease is caused by magic arrows or incantations or Brunfelsia spp. in the case of fever, rheumatism, and arthritis (Schultes et al. 1992), by producing the sensation of cold, through shivering, drives away evil spirits (Camargo 2014). Ayahuasca’s Effects The various ways of preparation, taking into account the plants which are mixed and the different dosages, influence the manifestations of Ayahuasca (Balick and Cox 1996). Spruce, the driver of ethnobotanical studies in the Amazon, was a leading English botanist who devoted part of his life to researching the flora and the culture of this region (Spruce Project 2005). Also responsible for identifying the species B. caapi, he reported that the effects of the beverage are manifested two minutes after ingestion: initially observable by pallor and shaking, followed by perspiration, agitation, and intense delirium. After, approximately ten minutes, the shaman returns to calm and lull the person 404 Wild Plants: The Treasure of Natural Healers to sleep (Camargo 2014). The description outlined by Schultes et al. (1992) in “Plants of the Gods”, states that, initially, symptoms are characterized by dizziness, nervousness, and nausea, as well as perspiration and intense tremors associated with increased heart rate and mydriasis. The moment fatigue is manifested, the most impetuous chromatic and luminous experience begins, visions occur with the eyes closed, going from white to a bluish mist which gradually becomes more intense. However, deep sleep is interrupted by dream-like states, and occasionally feverish ones can also occur. At no time are movements negatively affected, with the only noticeable unpleasant effect being the severe diarrhea, which remains even after re-establishing a normal state of consciousness (Schultes et al. 1992). Ayahuasca is one of the most powerful tools of Amazonian shamans, but its use can also be extended to other members who wish to see their gods or ancestors, humans, or animals (Balick and Cox 1996). Although in the scope of healing, the shaman is the vehicle of the “therapeutic” properties of this drink, the others are invited to consume Ayahuasca when the group goes through crisis situations that last longer than usual. In these cases, they take advantage of the emesis and purging which often occurs, which is a sign of soul purification and cleansing (Camargo 2014). The Value of Indigenous Knowledge Indigenous knowledge is often considered folkloric for its excessive superstition, but whenever an Indian uses a plant to cure a particular disease, the effectiveness of this treatment is empirically verified, as occurs in modern science, which acquires knowledge based on careful observation and is then subsequently tested. Obviously, the context of study and the experiments performed are different. However, epistemologically, they are very similar, empiricism being reflected in both (Albuquerque et al. 2005, Balick and Cox 1996). For example, traditional communities have developed plant classification systems based on trial-and-error processes, distinguishing the different types of “vine” (B. caapi) based on the different colors and visions they provide in the hallucination (Balick and Cox 1996). In all medical systems, the disease underlies an imbalance. From a shamanic perspective, disturbances to homeostasis may be caused naturally, by excessive exposure to environmental elements or personally, caused by both mythical beings and the intervention of witches. However, diagnosis and treatment are always made by a specialist, in this case, by a shaman. Therefore, traditional medical knowledge is a coherent system of notions, concepts, models, and rituals, with a tendency towards health conservation (Cruz 2016). Ethnobotany is dedicated to the study of the relationship between people and plants (Balick and Cox 1996), and ethnopharmacobotany is a more specific branch of this field of study, focusing on plants with therapeutic properties, based on ethnopharmacology, which scientifically and interdisciplinarily explores the bioactive compounds used in the medical systems of pre-literate people (Camargo 2014). One of the biggest obstacles is correlating the aetiology of disease and its corresponding therapy, characteristic of healing rituals in the light of conventional medicine. It is utopian to draw a clear line between the magical and the rational, the spiritual and the scientific when the great emphasis of traditional medical systems associates illness with psychological and sociopathological causes. Therefore, the set of disorders caused by extra physical forces, of a magical-supernatural character, recognised in the culture of an ethnic group is referred to as “cultural disease” (Gruca et al. 2014). Banisteriopsis caapi, for example, is used against the evil eye (Cruz 2016), also called the “cultural evil eye syndrome” (Camargo 2014). This plant is used as a purifier when prepared by bark infusion or to treat diabetes when stalk decoction is carried out (Cruz et al. 2017). Due to its alkaloid composition, the vine also provides an anthelmintic action, which has been demonstrated by a harmine inhibitory effect of 70% of the epimastigote, Trypanosoma cruzi, after 96 hours, due to the antagonism exerted on the parasite’s neuromuscular system. Considering this gastrointestinal infection is endemic to tropical regions, the medicinal value of Ayahuasca is unquestionable, and Ayahuasca 405 it is through the physiological manifestations that the shaman takes advantage of this antiparasitic property, the psychoactivity serving as an effective dose marker (Pomilioet al. 1999). Shamanism has existed since time immemorial and is currently practised in communities which still seek to live in harmony with nature (Camargo 2014). However, with the increasing westernization of these people, many of the traditions have begun to disappear because there ceases to be a transmission of knowledge, which was passed on exclusively to some members of the community, a fact determined by the cultural erosion, which,together with the loss of biodiversity, has become a real threat (Aswani et al. 2018, Balick and Cox 1996). Therefore, ethnobotany plays a key role in the preservation of indigenous traditions, taking into account the scientific and cultural value of ethnobotanical collections and the educational content they contain. These are a source of awareness of the importance of flora and its diversity, which also constitute a way to achieve the goals proposed by the 2011–2020 Global Plant Conservation Strategy (Melo et al. 2019). The traditions and knowledge of each community are unique and the interaction with the environment influences healing, so it is essential that national laws and international conventions consider and respect the rights related to traditional plant knowledge and its use, and intellectual property (Cruz et al. 2017). Today, there is a renewed interest in lifestyles that favor ecological and ancestral use of plants, which reflects the growth of alternative and traditional medicine (Cruz 2016). Although these societies have been transposed into more modern contexts, traditional medicine is still often the primary health care available, due to the limited access of the rural indigenous population to biomedicine, because of the cultural resistance which still exists, as well as the costs and insufficient coverage of public health (Cruz et al. 2017). Thus, and according to the World Health Organization strategy on traditional medicine (2014–2023), member states should make a careful assessment, based on sound scientific evidence, ensuring adequate protection of intellectual property, safeguarding against the inappropriate use of ancestral practices (such as Ayahuasca) (WHO 2013). From the Forest to the City Ayahuasca was used by at least 72 indigenous communities throughout Brazil, Bolivia, Colombia, Ecuador, Peru, and Venezuela by the end of the 19th and mid-20th century, a period in which the East Amazon region was occupied because of the exploration of rubber tree latex (Zanela et al. 2018). Especially in Brazil, the ancestral use of Ayahuasca was transposed into a non-indigenous context through rubber tappers, giving rise to syncretic religious movements, such as “Santo Daime” and “União do Vegetal” (UDV) (Labate and Goulart 2005, Zanela et al. 2018). In these churches, communion with Ayahuasca, also known as “daime” or “vegetable”, takes place collectively, sometimes with the participation of hundreds of people. It occurs at least twice a month (Mello et al. 2019) and administered doses are relatively low, but the celebration is rich in sensory stimuli, including music and many dances (Ott 2013). Although the stages in the obtainment of Ayahuasca may differ slightly between the “Ayahuasqueiros” movements (Zanela et al. 2018, Albuquerque 2007), it is common to exclusively use “mariri” (B. caapi) and “chacrona” (P. viridis); by decoction and subsequent reduction, a thick/viscous, oily, brownish liquid is obtained from these plants (Figure 16.1) (Lanaro et al. 2015). It is impossible to separate belief systems in Brazil from popular medical practices, since there is a large indigenous influence. Therefore, in the same way, the high point of these religions is working with mediumship, focusing on individual healing. Emphasizing the influence of the sociocultural context, the migration process of this drink to urban centers implies different hallucinatory responses from those found in the forest (Camargo 2014), since the mind plays a high-level function in the brain, as it receives previously filtered, structured, and organized information. With the constant acquisition of information about the outside world and inside our body, in connection with personal and cultural ideas, the mind produces a global scenario of reality (Winkelman and Baker 2016). 406 Wild Plants: The Treasure of Natural Healers Figure 16.1: Ayahuasca – photo by Raquel Cônsul Lourenço. The psychoactive substances which comprise Ayahuasca give it an illicit character, but in Brazil its use in a religious context is protected by Resolution No 01, of 25th January 2010, by the National Council on Drug Policy (CONAD), published in the Official Government Gazette of Brazil (CONAD 2010). The report presented by the CONAD Multidisciplinary Work Group, which establishes the ethics of Ayahuasca use as the means of preventing its misuse, highlights the distinction of the term “therapy”. This term is based on ethical and scientific principles aimed at treatment, health maintenance or development—which, at no time, should be confused with the act of faith which takes place in a religious context, considering all the cures and personal problem-solving, without a necessary relation of cause and effect with Ayahuasca (GMT 2006). Psychoactive substances, when interacting with serotonergic receptors, induce spiritual experiences and altered states of consciousness. They function as psychointegrators due to the overstimulation of crucial brain regions in the management of processes related to fundamental aspects of self, emotions, memories, and relationships. A feature of these substances is the enhancement of theta brain waves, which create feelings of healing, fullness, and cosmic awareness, when synchronised along the cerebrospinal axis (Winkelman and Baker 2016). In a study aimed to understand the impact of Ayahuasca’s repeated use, in a religious context, on psychological well-being, mental health, and cognitive processes, a psychopathological assessment, neuropsychological performance, and attitude to life in members of “Ayahuasca” religion, compared to a control group, was carried out for a year. The results showed better neuropsychological performance, high levels of spirituality, and better psychosocial adaptation in the study group (Bouso et al. 2012). The results of a comparative evaluation carried out on the state of health, psychosocial wellbeing, and lifestyle of individuals who make religious use of Ayahuasca is consistent with this data. It showed that participants in the study had, in general, a better perception of health and a healthier lifestyle, taking into account public health indicators (Ona et al. 2019). Considering the religion-healing interconnection, characteristic of these syncretic religions, the healing effects must be understood in their universe, as a way to restore the balance and re-integration of the individual in a social environment, taking advantage of these benefits (Zanela et al. 2018). Ayahuasca, which has been transposed from the forest to Brazil’s urban environment, has expanded through these religions to other countries, including Portugal, and it is in continuous transition, marked by a certain decontextualization, as much due to the cultivation of plants in exotic phytogeographies as by non-religious use, and even by demographic and ethnic differences (Zanela et al. 2018). Due to this “internationalization”, there is an interest in studying its mechanism of action and understanding the neuronal correlation which exists between the altered states of consciousness induced by Ayahuasca (Schenberg et al. 2015). Ayahuasca 407 Ayahuasca Pharmacology At this point, a brief description will be given of the plants used in Ayahuasca preparation, with the main focus being the pharmacokinetic and pharmacodynamic behavior of the most abundant phytochemical compounds in the beverage. Psychotria viridis Ruiz and Pav. Psychotria viridis is a plant of the Rubiaceae family, commonly known as “chacrona” or “rainha” (Figure 16.2). It is a non-endemic native shrub of the Amazon and Atlantic Forest, characteristic of clayey and sandy soils, with abundant water (Taylor et al. 2015). It has dark green leaves, flexible, with a circular petiole in the proximal part and flat-convex in the distal part, with lateral projections. The limbus is lanceolate, narrow at the base, and acute at the apex (Quinteiro et al. 2006). DMT is the alkaloid found in the highest concentration in P. viridis leaves. When present, it represents about 99% of the total alkaloids, showing trace amounts of N-monomethyl tryptamine (NMT) and 2-methyl-1,2,3,4-tetrahydro-β-carboline (MTHC). It was found that, when DMT is not present, the NMT and MTHC become the dominant compounds (Rivier and Lindgren 1972, ParraEstrella-Parra et al. 2009). The amount of DMT in leaves of P. viridis can vary between zero to 17.75 mg/g of dehydrated materials, and it appears that such production suffers circadian fluctuations, being reduced in the warmer periods of the day (Callaway et al. 2005). In addition to temperature, soil characteristics and season also determine the biosynthesis of alkaloids, a condition which also occurs in B. caapi. Considering the quantitative variations in phytochemical content, the portions used of each raw material and the different forms of obtaining them, make each Ayahuasca preparation distinct, triggering psychotropic responses of varying intensities (Lanaro et al. 2015). Figure 16.2: Exsicata of P. viridis from MFS Herbarium – photo by Raquel Cônsul Lourenço. 408 Wild Plants: The Treasure of Natural Healers DMT Endowed with ubiquity, DMT is present in several plant and animal species, and can also be chemically synthesized. In humans, it results from tryptophan metabolism, but its function is not yet well understood. The biosynthetic mechanism seems to be common to the plant kingdom (Cameron and Olson 2018). DMT is a classic hallucinogenic compound considered illicit by the 1971 United Nations Convention on Psychotropic Substances (UN 1971). It belongs to the class of indolamines due to its bicyclic structure, through the combining of a benzene group with a pyrrole group, which forms the indole nucleus, common to serotonin and melatonin (Araújo et al. 2015, Cameron and Olson 2018). Pharmacokinetics When ingested, it does not cause any activity in the body due to the extensive first-pass effect, essentially by the action of the monoamine oxidase (MAO) enzymes present in the liver and intestine, which convert DMT into inactive metabolites before it can permeate the blood-brain barrier to interact with target receptors. DMT is only orally active if co-administered with substances that inhibit the enzyme system in question, a condition guaranteed by β-carbolines in Ayahuasca (Barker 2018). To cause the hallucinogenic effects, sufficient Ayahuasca must be ingested to achieve plasma concentrations in the range of 12–90 µg/L in an apparent distribution volume of 36–55 L/kg body weight (bw), which corresponds approximately to 0.06–0.50 µM of DMT in the plasma. If 0.1–0.4 mg/kg bw of only DMT is administered intravenously, the peak of the psychedelic effect occurs after five minutes and lasts roughly half an hour. In contrast, when MAO inhibitors are present, the half-life (t1/2) increases, and consequently, the hallucinatory state is longer-lasting, because co-administration with β-carbolines can result in increased levels of DMT in the bloodstream (Carbonaro and Gatch 2016). According to the pharmacokinetic evaluation of Ayahuasca, performed in a clinical trial, it was found that after equivalent administration of 0.6 mg/kg bw and 0.85 mg/kg bw of DMT, half an hour elapsed until the maximum plasma concentration (Cmax) was reached (12 ng/mL and 17.44 ng/mL, respectively), coinciding with the peak of subjective effects, which began at 30 minutes and lasted up to six hours (Riba et al. 2003). Oxidative deamination by MAO is the main detoxification pathway of DMT, but it is not exclusive, so it can be quantified in urine, in addition to the metabolite major indole-3-acetic acid (IAA), N-oxide-DMT (NO-DMT), NMT, and MTHC, resulting from N-oxidation, N-demethylation, and cyclization, respectively (Araújo et al. 2015). When co-administered with β-carbolines, there is a significant increase in NO-DMT quantified in urine. Therefore, it can be concluded that N-oxidation also becomes a major pathway. However, the degree to which the shift of the MAO metabolic pathway to cytochrome P450 (CYP450) occurs, induced by the alkaloids in question, is not yet well understood (Riba et al. 2012). Interestingly, at a high dose, DMT itself can have an inhibitory action of MAO-A for which it is selective, albeit of short duration. The maximum effect is found at 50 mg/kg bw and is reflected in decreased oxidative deamination of serotonin and dopamine (Carbonaro and Gatch 2016). From the administration of Ayahuasca corresponding to 1 mg/kg bw DMT, less than 1% is recovered intact in the urine after 24 hours, and 95–97% of the quantified total is excreted within the first eight hours after ingestion (Riba et al. 2012). Vitale et al. (2011) found that, after intravenous administration of radiolabelled DMT in rabbits, blood-brain barrier permeation and receptor binding occurs within 10 seconds. Despite being excreted in the urine in less than 24 hours, it is still detectable in the brain after 7 days, which proves the storage mechanism at the cerebral level. The release of stored DMT is triggered by specific stimuli, in this case, by stimulation of the rabbit’s olfactory receptors. The aforementioned transport and storage mechanism can be summarized in three steps: first DMT is actively transported by the blood-brain barrier by an ATP-dependent Mg2+ uptake mechanism through the endothelial membrane. It is then internalized in neuronal cells by serotonin transporters Ayahuasca 409 (SERT) on the surface of neurons. Finally, DMT is sequestered in synaptic vesicles by the action of the monoamine vesicular transporter 2 (VMAT2). An inhibitory effect of serotonin uptake via SERT and VMAT2 by DMT was demonstrated (Carbonaro and Gatch 2016). Given these data, it appears unquestionable that this mechanism also reflects the influence of DMT in the CNS (Frecska et al. 2013). Pharmacodynamics Due to its structural simplicity, DMT has high affinity for many receptors. Serotonergic system The 5-HT2A receptor agonism is the most well-understood mechanism and explains the introspective and hallucinogenic effect, by increasing the frequency and amplitude of postsynaptic excitatory signals of the V pyramidal layer of the cortex, in addition to stimulating other regions, such as the amygdala, hippocampus, striated body, where the receptor in question has high expression. Stimulation of this receptor is also responsible for the neuroplasticity of DMT, which causes increased dendritic tree complexity of cortical neurons and promotes an increase in dendritic backbone density (Cameron and Olson 2018). In the 5-HT1A somatodendritic receptors, which mediate inhibitory neurotransmission, DMT agonist action can result in a decreased release of serotonin in other brain regions because of the acute inhibition of the Raphe dorsal nucleus (Cameron and Olson 2018). Moreover, this mechanism also appears to be related to the visual effects (Carbonaro and Gatch 2016). DMT also has affinity at the 5-HT2C receptor, although to a lesser extent compared to binding to a 5-HT2A receptor. However, it is believed that this mechanism has no implication in interoceptive effects due to the desensitisation phenomenon which occurs (Cameron and Olson 2018). DMT also has an affinity for 5-HT1D, 5-HT5, 5-HT6, and 5-HT7 receptors, but little is known about the consequences of these interactions (Barker 2018), so further study is essential, in this sense. For example, 5-HT7 receptors are implicated in learning and memory processes, so it is essential to understand the behavioral effects of DMT (Cameron and Olson 2018) as a result of Ayahuasca. Sigma-1 receptor The sigma-1 receptor is distributed throughout the body, including the CNS, lungs, heart, adrenal gland, spleen, and pancreas, and it is located between the endoplasmic reticulum and mitochondria. It is a target receptor in the treatment of depression, in addition to the numerous effects which result from its agonism (Carbonaro and Gatch 2016, Cameron and Olson 2018). DMT agonises the sigma-1 receptor, but the relationship of this mechanism to hallucinogenic activity is not yet clear. The effects are more physiological. It was found that the DMT, to activate the sigma-1 receptor, influences the regulation of intracellular calcium and the expression of proapoptotic genes, which may result in a neuroprotective effect (Frecska et al. 2013). The cells of the immune system also express the sigma-1 receptor. In an in vitro study with monocytes derived from human dendritic cells, it was shown that DMT can interfere with the innate and adaptive immune response via the sigma-1 receptor. Pro-inflammatory cytokines decreased, namely Interleukin (IL)-1b, IL-6, IL-8, and Tumor Necrosis Factor-α, and anti-inflammatory cytokine IL-10 increased. In the adaptive immune response, monocytes previously treated with DMT decreased the ability of Th1 (T helper) and Th17 effector T cells to differentiate, with an immunomodulatory effect of DMT upon interaction with the sigma-1 receptor (Szabo et al. 2014). Trace amine-associated receptor-1(TAAR-1) TAAR-1 belongs to a recently discovered class of receptors which can mediate the effects of DMT. As most research has focused on the action of DMT in the 5-HT receptor2A, there is little information on the role of TAAR-1 in the triggered effects. It is only known that there is a high affinity for the binding of DMT to this receptor and that it activates adenyl cyclase, leading to the accumulation of AMPc (Carbonaro and Gatch 2016, Barker 2018, Cameron and Olson 2018). 410 Wild Plants: The Treasure of Natural Healers Dopaminergic system The action of DMT on the dopaminergic system is controversial. On the one hand, the affinity of DMT for dopamine receptors is low, and in addition there is no stimulation of the dopamine-sensitive adenyl cyclase system. On the other hand, one study reported that DMT was able to reverse dopamine system damage, which led to increased dopamine concentrations. Distinctly, other authors found that DMT can interact with dopamine receptors, blocking overactive DMT action, after treatment with antagonists. However, these studies were performed long before the pharmacological understanding of such substances, and the interruption of DMT action could be explained by antipsychotic substances also used in those tests, which also have an affinity for serotonergic receptors, particularly for 5-HT2A (Cameron and Olson 2018). Cholinergic system Little has been studied about the action on the cholinergic system, but the administration of DMT provoked substantially lower levels of acetylcholine in the corpus striatum region. However, there was no change in the levels of acetylcholine in the cortex. It is likely that stimulation of the serotonergic system by DMT has an influence in this regard (Cameron and Olson 2018). Metabotropic Glutamate Receptor II (mGlu2/3) and N-methyl-D-Aspartate Receptor (NMDA) The interest in understanding the interactions between the functions of serotonin and glutamate, as mediators of DMT effects, has been increasing over the last decade, where the mGlu2/3 and NMDA receptors can be highlighted. The mGlu2/3 receptor agonism appears to suppress the release of glutamate at the presynaptic level, while the antagonism results in increased levels of glutamate in the synaptic cleft, enhancing hallucinogenic effects. However, the possible influence of this mechanism on the effects of DMT has not been systematically studied (Carbonaro and Gatch 2016). With regard to the NMDA receptor, there is evidence that it plays a role in the effects triggered by DMT, since the receptor in question may be potentiated by the activation of sigma-1 receptor (Carbonaro and Gatch 2016). Banisteriopsis caapi (Spruce Ex Griseb.) Morton Also known as “mariri”, “caapi”, “jagube”, or even “ayahuasca”, B.caapi is a woody, robust vine with thick, sinuous stems, native to solid ground forests of the Amazon region, belonging to the Malpighiaceae family (Figure 16.3) (Lorenzi and Matos 2008). It has quite a different alkaloid profile in composition and concentration, ranging from 0.5% to 1.95% of dry weight (Mckenna et al. 1998), but the three most prominent compounds exist in the leaves, stem, and roots. They are harmine, harmaline, and THH (Pomilio et al. 1999). The harmine is the major component, followed by THH, harmaline being the compound found in the least amount. Through the phytochemical analysis of 33 samples of dry material of B. caapi stems, it was observed that the harmine composition can vary between 0.31 and 8.43 mg/g, harmaline presents values Figure 16.3: Example of B. caapi from MFS Herbarium – photo by Raquel Cônsul Lourenço. Ayahuasca 411 between 0.03 and 0.83 mg/g, and THH can vary between 0.05 and 2.94 mg/g. Harmine and harmaline composition is uniformly proportional in a 1:10 ratio. THH has a more variable distribution and is not clearly related to the other two β-carbolines. It was also found that the lowest values presented correspond to older plants, whereby plant age is also a factor which influences alkaloid biosynthesis, as already referenced (Callaway et al. 2005). B-carbolines: harmine, harmaline, and THH These compounds are related by the structure they share of the tricyclic indole alkaloids, for which reason they are called “β-carbolines” or also “harmala alkaloids”, because they were first discovered in the Peganum harmala L. plant (Domínguez-Clavé et al. 2016). Their MAO inhibitory action defines the hallucinatory response and physiological effects of Ayahuasca, which may contain a varied range of β-carbolinic alkaloids, and this amount can vary substantially for the reasons already mentioned. In a quantitative evaluation of Ayahuasca samples from different times of the year, the range of harmine, harmaline, and THH concentrations was recorded, ranging from 294.5 to 2893.8 µg/mL, 27.5 to 181.3 µg/mL, and 849.5 to 2052 g/ml of Ayahuasca, respectively (Lanaro et al. 2015). Pharmacokinetics After ingestion of a dose of Ayahuasca equivalent to 3.4 mg/kg bw of harmine, 0.4 mg/kg bw of harmaline, and 2.14 mg/kg bw of THH, it was shown that the compound with the highest t1/2 is THH, with 532 minutes, reaching Cmax. (91 ng/ml) at 174 minutes. The Cmax reached by harmine and harmaline were 114.8 ng/mL and 6.3 ng/mL at 102 and 145 minutes, respectively. The t1/2 of the harmine is substantially short compared to THH, about 115 minutes. For harmaline, this parameter could not be accounted for (Mckenna et al. 1998). The presence of harmine appears to be of a short duration, since THH plasma levels appear to have a dose-dependent relationship, with reduced elimination. However, in general, the peak plasma concentrations of β-carbolines are temporally offset from the acute vision effects. Therefore, DMT plays the greatest role in the pharmacology of this complex alkaloid combination (Riba et al. 2003). From a metabolic point of view, β-carbolines essentially suffer O-demethylation, and it is possible to identify harmol, harmalol, and tetrahydroharmolin urine, as glucuronide and sulphate conjugates, but the existence of alternate pathways cannot be excluded (Riba et al. 2012). It is important to emphasise the role of the 2D6 isoenzyme of the P450 cytochrome (CYP 2D6) in the harmine and harmaline biotransformation, and the inherent polymorphic degree of this isoenzyme in the population. In this sense, Callaway (2005) wanted to verify what the implication was of slow or fast metabolization of harmine and harmaline in the metabolism of DMT and THH, but the differences were not significant, highlighting the existence of an alternative route for THH. However, the similarities between DMT and harmine profiles clearly illustrate the dependence of DMT on plasma harmine levels. In order to compensate for metabolic changes, Callaway (2005) describes that in religious worship, it is the “master”, the ceremony officiant, who decides the amount of “vegetable” each person should ingest, taking into account the Ayahuasca’s “strength”. It is an empirical method, hardly concrete, but it enables the neutralization of the effects caused by inter-individual metabolic differences. Pharmacodynamics The action of Ayahuasca β-carbolines relates to their ability to reversibly and preferentially inhibit MAO-A, although it is recognised that at high concentrations their action can extend equally to MAO-B. However, there are no Ayahuasca preparations with those amounts (Santos 2007). The inhibitory power of these alkaloids decreases with the increase of the saturation of the pyridine ring, but THH still has some blocking activity. In addition, the β-carboline effects are additive, not synergistic or antagonistic, and the mixture of only THH and harmine together can explain Ayahuasca 412 Wild Plants: The Treasure of Natural Healers activity. Although harmaline’s inhibitory power is similar to harmine, its action contributes little to the overall action of Ayahuasca, given its prevalence (Pomilio et al. 1999). Additionally, it was also found that β-carbolines have a direct effect on serotonin levels in the synaptic cleft by the action of THH, which acts as a selective serotonin reuptake inhibitor (DomínguezClavé et al. 2016, Estrella-Parra et al. 2019). As MAO is responsible for endogenous neurotransmitter degradation, its inhibition alters, albeit indirectly, the homeostasis of the dopaminergic, adrenergic, and serotonergic systems, which is reflected in greater dopamine circulation, for example (Alsuntangled 2017). In addition to other less-studied mechanisms, the dopamine transport inhibition at high concentrations, specific inhibition of tyrosine-1A-phosphorylation regulatory kinase, as well as affinity for the imidazoline binding site contributes to this. Harmine, by way of example, also acts in the regulation of the excitatory amino acid transporter-2, as a primary mechanism of synaptic glutamate inactivation, as well as causing an inverse agonist effect at the benzodiazepine binding site on the GABAA (γ-aminobutiric acid) receptor (Hamill et al. 2018). Some β-carbolines are known to have affinity for the 5-HT2A and 5-HT2C receptors, as is the case with harmine. However, it does not bind to the dopamine receptor, suggesting that dopamine efflux in the Accumbens nucleus is mediated by the 5-HT2A mechanism (Hamill et al. 2018). Ayahuasca’s Biological Effects Although the isolated understanding of the biological activity of Ayahuasca components is essential, its effects should be considered in light of the dynamic combination of β-carbolines with DMT. By measuring the cerebral electrical activity, using the electroencephalogram, it was possible to confirm a biphasic effect of the brain waves, which is characterized by the reduction of alpha waves 50 minutes after ingestion, and the potential increase of fast and slow gamma waves between 75 and 125 minutes. Correlating with the pharmacokinetics of the substances, it was possible to understand that DMT and harmine participate in the initial phase of the hallucinatory experience, with harmaline and THH being responsible for the later phase (Schenberg et al. 2015). It was verified that Ayahuasca ingestion promotes the activation of several brain regions, including the insula, the parahippocampal and the inferior frontal gyrus, the anterior and frontomedial cingulate cortex and amygdala, which are involved in the modulation of feelings and emotions, in perception and self-awareness (Dos Santos et al. 2017b). Also, interestingly, the neuronal activation of the primary visual cortex area, produced by Ayahuasca whilst the eyes are closed, is comparable to the activation levels of natural image receiving whilst the eyes are open (De Araujo et al. 2012). The induced altered state of consciousness is always difficult to compare and describe because of its abstract character. However, the most referenced subjective effects are introspection, serenity, almost biographical memories of experiences, sensation of well-being, hallucinations and synaesthesia, more specifically, visual and auditory, as well as mystical and religious experiences (Dos Santos et al. 2017b). From a somatic perspective, Ayahuasca causes mydriasis, tachycardia, and increased blood pressure, tingling sensation, muscle contraction, increased body temperature, and increased secretion of prolactin, cortisol, and growth hormone (Domínguez-Clavé et al. 2016). It also causes vomiting due to vagus nerve stimulation (Lanaro et al. 2015), and severe diarrhea by stimulation of the peripheral serotonergic receptors (Hamill et al. 2018). From a psychological perspective, profound mood swings may occur, during which a depressive state quickly changes to a euphoric state or vice versa, as well as feelings of panic, apathy, fear, depersonalization, and insomnia (Pires et al. 2010). Addiction and tolerance Ayahuasca, like almost all hallucinogenic substances, does not seem to cause physical dependence, which can be reflected in the pattern of use at the religious level, which is characterized by intermittent consumption without an increase of the dose (Santos 2007). Ayahuasca 413 However, repeated exposure demonstrates some signs of tolerance observable due to the slight increase in growth hormone and prolactin secretion after a second administration, as well as a reduced effect on heart rate and diastolic pressure (Hamill et al. 2018). Possible interactions with other bioactive molecules Concomitant use of Ayahuasca with medicinal products is always risky and should be avoided, especially with those medications which may potentiate the serotonergic pathway, namely: selective serotonin reuptake inhibitors, MAO-A inhibitor drugs, tricyclic antidepressants, opioids, central antitussives or drugs used to treat migraines, such as triptans. This occurs because excessive accumulation of serotonin in nerve endings can result in a set of adverse effects called “serotonergic syndrome”, which is characterized by intense CNS and peripheral serotonergic activity. Typical symptoms begin with an initial state of euphoria, followed by tremors and seizures, loss of consciousness, and may even occasionally result in death (Lanaro et al. 2015, Hamill et al. 2018). Although these are the most evident interactions, the same applies for herbal medicines containing Panax ginseng CA Mey or Hypericum perforatum L. (Hamill et al. 2018). Pharmacokinetic interactions should also be taken into consideration. The β-carbolines are CYP2D6 substrates and competitively inhibit this isoenzyme. More specifically, harmine and its harmol metabolite are capable of competitively inhibiting the 3A4 isozyme of cytochrome P450. Therefore, special care must be taken in the administration of drugs which use the aforementioned pathways, either because of potential intoxication triggered by the drug and/or Ayahuasca, or because of the possibility of therapeutic inefficacy (Hamill et al. 2018). For example, Valeriana officinalis L, the root of Glycyrrhiza glabra L., Curcuma longa L., Actaea racemosa L., or Camellia sinensis (L.) Kuntze contain compounds which inhibit CYP2D6, and therefore, their simultaneous consumption with Ayahuasca should be avoided (Campos et al. 2018). Tyramine-rich foods, usually fermented foods, such as cheese, beer, and meat, are also potential sources of interaction. Tyramine is degraded by MAO and the impediment of this pathway by Ayahuasca can lead to increased sympathetic stimulation, and consequently blood pressure increases, and the risk of stroke and intracranial haemorrhaging increases (Alsuntangled 2017). Ayahuasca’s Potential Therapeutic Effects Preclinical and observational studies state that Ayahuasca has anxiolytic, antidepressant, and antiaddictive effects. The anxiolytic and antidepressant effects have already been tested in controlled trials, where a single dose of Ayahuasca has been shown to reduce the feeling of panic. A link has also been verified between Ayahuasca and a rapid reduction of depressive symptoms after seven days in patients with treatment-resistant major depression (Dos Santos et al. 2017b). Regarding the potentiality of addiction treatment, based on animal models, Ayahuasca seems to modulate the dopaminergic system (Nunes et al. 2016), but there are no controlled human studies yet. There are only observational studies in religious contexts which suggest such an effect (Dos Santos et al. 2017b). Given the low prevalence of drug use by individuals belonging to religious groups and the reduced tendency of illicit drug use after their integration in the group, it remains to be seen whether it is due to Ayahuasca’s mechanism of action or the result of the support found in religion (Cameron and Olson 2018). Acute and Chronic Exposure Effects In order to understand the potential dangers of Ayahuasca use, a systematic review of the literature was performed with the data-based resource, “PubMed”, of in vivo studies, clinical studies, and reported cases, from ten years ago to the present day, using the terms “ayahuasca” and “chronic”, “acute”, “intoxication”, “long-term” or “risks”. From the 63 results, systematic reviews, articles 414 Wild Plants: The Treasure of Natural Healers which directly studied potential therapeutic effects, or trials whose Ayahuasca preparation included plants other than Banisteriopsis caapi and Psychotria viridis, were excluded, and literature not written in English, Portuguese, or Spanish was also excluded. The following is the results analysis and discussion of eight trials, three reported cases, and a descriptive analysis of the notifications sent to Poison Control Centers (PCC) in the USA. Table 16.1: Methods and main results of citations included in the literature review. Study Focus Evaluation of acute toxicity in Danio rerio (zebrafish) embryos and the implications of exposure on their development Investigation of Ayahuasca high-dose acute intoxication in female Wistar rats by determining lethal dose, behavioral impact and neurotoxic potential Methods and main results Ref. The assay of embryo toxicity consisted of subjecting the eggs, immediately Andrade et after fertilization up to 96 hours, at concentrations ranging from 0 to al. 2018 1000 mg of lyophilised Ayahuasca per liter of culture water, and thus assess the mortality incidence of pericardial oedema, defects, hatching balance, and developmental delays. Concentrations that did not induce any abnormalities or mortality (between 0.0064 to 20 mg /L) were selected for behavioral assessment by tracking the locomotor activity of zebrafish larvae. The lethal concentration (LC50 = 236.3 mg/L) corresponding to 0.02 mg/mL of DMT, 0.017 mg/mL of harmaline, and 0.22 mg/mL of harmine was quantified. All embryos exposed to 1000 mL/L died up to 48 hours and at 200 mg/ml fatal cases occurred only after hatching, reaching 90% mortality 96 hours after fertilization. Occurrence of oedema and clots was observed at higher concentrations. Embryonic development was affected, with early hatching at lower concentrations (0.3 mg/mL and 1.6 mg/mL) and the inability to complete this process at higher concentrations, showing a decreased dose-dependent hatching rate. Reduction in locomotion was observed, with shorter total swimming distance at higher doses. Observations: Ayahuasca sample provided by UDV with the following composition: DMT: 0.141 mg/mL; Harmine: 1.56 mg/mL; Harmaline: 0.122 mg/mL; THH: no information (ni). Analytical results cited from Pic-Taylor et al. 2015. Acute oral toxicity of Ayahuasca at an initial dose which was 30 times higher Pic-Taylor et than the religious dose (30x) was evaluated and gradually tested at higher al. 2015 concentrations. Rats were treated at 15x (4.5 mg/kg bw DMT) and 30x (9 mg/kg bw) higher concentrations to assess behavior in forced swim, open field, and elevated maze tests. Neuronal activity and neurotoxicity were assessed after exposure to 30x dosage by brain dissection and evaluation of the Raphe dorsal nucleus, amygdaloid nucleus, and hippocampal formations (dentate gyrus and 1, 2, and 3 areas from Cornuammonis). It was not possible to determine the lethal dose for technical reasons, but it was estimated to be greater than 15 mg/kg bw DMT, that is 50 times the dose used in a ritual context. In the behavioral assessment, decreased exploratory and locomotor activity was observed in the open field test and higher number of entrances with longer stay in the open arms in the elevated maze test, compared to the control group, which indicates low levels of anxiety. In the forced swim test, rats exposed to Ayahuasca showed less immobility and more swimming activity compared to the control group. The involvement of serotonergic neurotransmission in the observed brain structures was confirmed, but without apparent brain damage. Observations: Ayahuasca sample provided by UDV with the following composition: DMT: 0.141 mg/mL; Harmine: 1.56 mg/mL; Harmaline: 0.122 mg/mL; THH: ni. The authors consider that the amount of tea ingested in a religious context is 150 mL, equivalent to 0.302 mg/kg bw of DMT, 3.34 mg/ kg bw of harmine and 0.261 mg/kg bw of harmaline. Table 16.1 contd. ... Ayahuasca 415 ..Table 16.1 contd. Study Focus Methods and main results Ref. Assessment of maternal toxicity and developmental consequences in Wistar rats Three different concentrations of Ayahuasca, the typical dose used in the religious Oliveira et context, and doses 5 and 10 times higher were tested during the gestational al. 2010 period, namely in the period of organogenesis and foetal development. It evaluated the reproductive capacity of pregnant rats and possible changes of the organs and tissues. Foetuses were also evaluated and all results compared to the control group. Maternal toxicity was observed with decreased food intake and consequently lower weight gain in the groups exposed to the highest concentration, which was also reflected in the lower weight of the corresponding foetuses. Skeletal changes were found in all foetuses of the groups exposed to the highest and intermediate concentrations, demonstrating a risk of dose-dependent toxicity. The group treated with the highest dose had higher liver mass. Observations: Ayahuasca sample provided by an unspecified religious group with the following composition: DMT: 0.42 mg/mL; Harmine: 1.37 mg/mL; Harmaline: 0.62 mg/mL; THH: 0.35 mg/mL. Analytical results cited by another author. The authors consider that the amount of tea ingested in a religious context is 100 mL per 70 kg bw, equivalent to 0.6 mg/kg bw of DMT, 1.95 mg/kg bw of harmine, 0.88 mg/kg bw of harmaline and 0.5 mg/kg of THH. Effect of intermittent consumption on liver function Biochemical parameters were evaluated: alanine aminotransferase, aspartate Mello et al. aminotransferase, creatinine, bilirubin, lactate dehydrogenase, alkaline 2019 phosphatase, and gamma glutamyl transpeptidase in 22 subjects taking Ayahuasca more than two times a month for at least one year. The tests were performed at 0, 4, 24, and 168 hours after ingestion. No changes were observed in any of the parameters, even during the acute effects of the drink, which corresponds to the first 4 hours after ingestion. Observations: Ayahuasca sample provided by Luz de Vegetal Integrated Development Centre with the following composition: DMT: 2.07 mg/ mL; Harmine: 2.89 mg/mL; Harmaline: 0.15 mg/mL; THH: 1.89 mg/mL quoted from Lanaro et al. 2015 corresponding to sample 7. The equivalent of 3.10 mg/kg bw of DMT, 4.33 mg/kg bw of harmine, 0.22 mg/kg bw of harmaline and 2.83 mg/kg of THH. Ontogenic study of the behavioral effect of intermittent exposure to Ayahuasca in mice Mice of different age groups were exposed to 1.5 mL/kg bw of Ayahuasca twice Correaa week to mimic exposure in ritual context. In order to evaluate the effect of Netto Ayahuasca on memory and anxiety, the mice were subjected to the Morris water et al. 2017 maze test, open field test, and high cross maze test. The results suggest that locomotor activity is not affected in any of the development phases; anxiogenic effects and memory impairment, respectively, were confirmed in the representative mice from infancy in the high cross maze test results and in the results of the Morris water maze test from the adolescent group. These effects are not maintained in subsequent age groups. Observations: Ayahuasca sample provided by Luz de Vegetal Integrated Development Centre with the following composition: DMT: 2.07 mg/ mL; Harmine: 2.89 mg/mL; Harmaline: 0.15 mg/mL; THH: 1.89 mg/mL quoted from Lanaro et al. 2015 corresponding to sample 7. The equivalent of 3.10 mg/kg bw of DMT, 4.33 mg/kg bw of harmine, 0.22 mg/kg bw of harmaline and 2.83 mg/kg of THH. Effect of acute and chronic exposure on aorta artery of Wistar rats 2 mL or 4 mL of Ayahuasca was administered once and for 14 days, thus Pitolet al. forming four treated groups. The rats were killed and the aorta was removed for 2015 qualitative and quantitative morphometric analysis. Stretching and flattening of vascular smooth muscle cells and alteration in the arrangement and distribution of collagen fibers and elastic fibers were observed in all treated groups compared to the control group. In chronic treatment, at the highest dose, a significant increase in wall thickness was observed, as well as an increase in the average wall thickness: lumen diameter ratio. Observations: Ayahuasca sample provided by Santo Daime with the following composition: DMT: 0.24 mg/mL; Harmine: ni mg/mL; Harmaline: ni mg/mL; THH: ni mg/mL. Two different doses, equivalent to 0.48 mg/kg bw and 0.96 mg/kg bw of DMT were administered. Table 16.1 contd. ... 416 Wild Plants: The Treasure of Natural Healers ..Table 16.1 contd. Study Focus Methods and main results Ref. Interference of acute and chronic exposure in the zebrafish learning process Zebrafish were subjected to two different concentrations of Ayahuasca: Lobao0.1 mL and 0.5 mL per liter of aquarium water for one hour over a period of Soares et al. 13 days to assess chronic exposure. In the acute exposure assessment, this 2018 procedure was performed only once. Discrimination tests were used to assess the process of memorization and learning. Acute exposure to low concentrations did not seem to interfere, but prolonged use even at low concentrations negatively affected memory and learning processes. Observations: Ayahuasca sample provided by Igreja da Barquinha with the following composition: DMT: 0.36 mg/mL; Harmine: 1.86 mg/mL; Harmaline: 0.24 mg/mL; THH: 1.20 mg/mL. Cited analytical composition of another author. Effect of long-term Ayahuasca exposure on memory and anxiety in Wistar rats Male Wistar rats were subjected to 120, 240, and 480 mg/kg bw of freeze-dried Favaro et al. Ayahuasca for 30 days and were evaluated 48 hours after discontinuation of treatment. 2015 The tests were performed in the elevated cross maze and the Morris water maze. Results show that long-term exposure did not affect task performance in the two specified tests. There was also a higher contextual conditioned fear response which remained for several weeks compared to the control group. Observations: Ayahuasca sample provided by an unspecified religious group with the following composition: DMT: 0.26 mg/mL; Harmine: 0.56 mg/mL; Harmaline: 0.17 mg/mL; THH: 0.44 mg/mL. Reported case A 25-year-old man was admitted to a hospital in the United States, with a Bilhimer et clearly altered state of consciousness and seriously disturbed after ingestion al. 2018 of Ayahuasca acquired over the internet. He suffered from schizophrenia and had a history of drug abuse; however, he did not take any medication. He was given I.V. solutions for fluid restoration and was discharged on the fourth day of hospitalization, accompanied by a primary care provider. Reported case In Australia, a 40-year-old man was admitted to a hospital for suffering Pope et al. persecutory delusions, becoming physically and verbally threatening after 2019 drinking Ayahuasca and alcohol. He had a previous history of substance abuse and was diagnosed with acute mania and psychosis. The situation was resolved within one day after receiving olanzapine and valproate treatment. Reported case In Spain, a 36-year-old man went to emergency services with behavioral changes after recreational consumption of Ayahuasca. He had hyperactivity, euphoria, reduced sleep, and feeling of well-being, being partially aware of his condition. He had a history of manic disease and psychosis, having been under the care of a psychiatrist since the age of 15 due to cannabis use. The patient also reported occasional cocaine and LSD use. He was diagnosed with organic psychosis, because of drug use, and was treated with antipsychotics until his emotional state was stabilized. Descriptive analysis of notifications sent to US PCCs between 2005 and 2015 Márquez and GómezLuengo 2017 A total of 538 cases of exposure to Ayahuasca were reported, of which 83% Heise and reported health care providers as notifiers. Most of the reported exposures were Brooks 2017 acute situations, affecting mainly men between 18 and 29 years of age. Major clinical manifestations occurred in 7% of the cases, with 12 cases of seizures, 7 cases of respiratory arrest, and 4 cases of cardiac arrest, and 55% of cases involved moderate manifestations. The most common clinical manifestations were hallucinations, agitation, confusion, mydriasis, hypertension, and tachycardia. Three fatal cases were reported, two of which were indirectly related to Ayahuasca. Regarding the duration of the effects, it was not always possible to obtain this information, but in 27 cases, the manifestations lasted less than 2 hours, in 144 cases they lasted from 2 hours to 8 hours, in 105 cases they lasted from 8 hours to 24 hours, in 57 cases there was a duration of between 24 hours and 3 days, in 25 cases between 3 days and 1 week, 6 cases lasted more than 1 week but less than 1 month, 2 cases lasted more than 1 month, and there was 1 case with permanent effects. About 48% of cases were treated and discharged from the institution; however, 17% were admitted to the critical care unit and 11% to the non-critical care unit. Hospitalization in a psychiatric unit occurred in 6% of the situations, and the remaining 18% were not screened. In 35% of cases, treatment was by intravenous fluid restoration, and 30% by benzodiazepines, in addition to 28 cases requiring tracheobronchial intubation. Ayahuasca 417 Reported cases In the descriptive analysis of the notifications sent to the US PCCs, from 1st September 2005 to 1st September 2015, it was possible to identify 538 cases of Ayahuasca exposure. Most of the cases resulted from acute exposure, encompassing mostly male individuals, aged between 18 and 29 years old. Moderate to severe clinical manifestations occurred in 63% of the cases, including twelve cases resulting in seizures, four cases in cardiac arrest, and seven cases in respiratory arrest. The most common clinical manifestations observed were hallucinations, agitation, confusion, mydriasis, hypertension, and tachycardia. Three fatal cases and one which resulted in permanent damage were reported (Heise and Brooks 2017). However, the context of its use, whether recreational or religious, has not been reported, as the doses administered may vary substantially. In a religious context, about 120 mL of Ayahuasca (Estrella-Parra et al. 2019) is normally ingested, although the alkaloid composition may vary, as previously described. According to the results of compositional analysis of Ayahuasca samples, those seized due to illicit use, compared to those used in religious contexts, have been shown to contain more than four times the DMT content (Lanaro et al. 2015). There is also no evidence of the actual qualitative composition of Ayahuasca, which may be tampered with by the addition of other more toxic psychotropic molecules (Dos Santos et al. 2017a). Nor has the concomitant use of other substances been described, nor the pre-existence of pathologies. In the reported case in Spain in 2017, and in the USA in 2018, the individuals involved needed medical assistance due to their psychological situation. Drug abuse history and the existence of underlying psychiatric illness, such as manic disorder and schizophrenia respectively, is common in both situations (Márquez and Gómez-Luengo 2017, Bilhimer et al. 2018). This seems to corroborate the reviewed data by Dos Santos et al. (2017a) on the incidence of psychosis in Ayahuasca users, who concluded that individuals with a personal or family history of any psychotic or manic pathology are predisposed to the onset of such adverse reactions and should avoid ingestion of psychomimetic substances. In Australia, an individual, who went to hospital in a state of persecutory delirium after drinking Ayahuasca and alcohol, was diagnosed with acute mania and psychosis. Since it was not possible to detect DMT in the urine sample, due to its low T1/2 and lower percent recovery, a simpler way to confirm its consumption was explored: through the detection of β-carbolines. Thus, and with strong suspicions that the reported drink would be Ayahuasca, harmine, harmaline, and THH were detected and included in the drug screening test database, thus facilitating detection in future situations (Pope et al. 2019). Studies In order to assess acute toxicity, in a study of zebrafish embryos, it was possible to determine the lethal concentration in these organisms corresponding to 0.02 mg/mL of DMT, 0.017 mg/mL of harmaline, and 0.22 mg/mL of harmine. Exposure to Ayahuasca has also been found to induce developmental and behavioral changes in the embryonic and larval phase, visible due to hatching delay, oedema, and erythrocyte accumulation, as well as decreased locomotor activity, which is characteristic of zebrafish when an accumulation of serotonin in the synaptic clefts occurs (Andrade et al. 2018). However, the results were not extrapolated to humans, and can therefore only be interpreted as an indicator of possible toxicity. In adulthood, according to the results of another test also conducted with zebrafish, it has been shown that acute exposure to low concentrations does not interfere with memory processing. However, at higher doses the locomotor activity is affected. In prolonged exposures, cognitive performance, namely memory and learning, may be negatively affected (Lobao-Soares et al. 2018). In the same context, a study in female Wistar rats concludes that the lethal dose of Ayahuasca is more than 50 times the dose used in religious contexts. It was also observed that exposure to concentrations 30 times higher than those usually administered in a religious context, triggers a strong serotonergic activation of several brain regions involved in emotional information processing and behavior modulation, and that, despite causing neurodegenerative signs, there were no permanent 418 Wild Plants: The Treasure of Natural Healers changes in the brain structures concerned. In the behavioral assessment of the rats, an antidepressant effect similar to fluoxetine and lower levels of anxiety in mice treated with Ayahuasca was observed (Pic-Taylor et al. 2015). Despite the anxiolytic power so often claimed in literature and contrary to what was reported by Pic-Taylor et al. (2015), there was no evidence of changed anxiety levels in male Wistar rats exposed to Ayahuasca for 30 days. Furthermore, in the study, it was found that long-term exposure can interfere with contextual association of emotions, probably resulting from biological plasticity in certain areas of the brain, which appears to enhance the process of contextual learning and may even endure a few weeks after treatment ends. Once again, these results cannot be directly extrapolated to humans, but they emphasize the importance of including emotional memory tests for a better understanding of Ayahuasca’s role at the cerebral level (Favaro et al. 2015). The results of the ontogenic study in mice intermittently exposed to Ayahuasca are consistent with the results of the study described above, as no changes in anxiety parameters have been reported in adult mice. However, it has been shown that infancy seems to be a sensitive period to the possible anxiogenic effect of Ayahuasca. Likewise, in adolescence, there was also memory impairment, which reveals, once again, its action in the hippocampus. Both effects were transient, suggesting that neuroplasticity induced by Ayahuasca is probably reversible (Correa-Netto et al. 2017). This study is very important, because although the religious use of Ayahuasca is considered a safe practice, according to CONAD’s 2010 Resolution No 1 of 25th January, its consumption by children and pregnant women in the aforementioned context, when properly authorised, by their guardians, or by personal decision, in the respective cases, is allowed (CONAD 2010). In this sense, the assay performed in pregnant Wistar rats, proved Ayahuasca’s possible teratogenic effect, namely, in the organogenesis and foetal development period. Decreased food intake, and consequent decrease in weight gain by pregnant rats, seems to be at the origin of this possible toxicity, as dietary restrictions may cause malformations, delays in growth, and development of the foetus, as noted. The incomplete ossification of the hyoid and nasal bones and asymmetry of the sternum were the most frequently observed skeletal variations, as well as third ventricle and lateral brain ventricle defects, the incidence of which is dose dependent (Oliveira et al. 2010). Toxic effects on the foetus at lower doses appear to be indirect, resulting from maternal toxicity. At higher doses, the results suggest an accumulative effect of indirect and direct toxicity (Oliveira et al. 2010), which is consistent with what is reported in literature about the ability of β-carbolines to cross the placental barrier (Estrella-Parra et al. 2019). However, despite being pioneering, this study does not reflect the actual pattern of Ayahuasca religious-context consumption, either due to the frequency of administration, or the concentration tested, so no deductions can be made about the existence of actual risks. However, considering the relevance of this issue, the probable toxicity in pregnant women should be further studied (Dos Santos 2010). In the studies by Oliveira et al. (2010), it was found that exposure to the highest dose of Ayahuasca led to increased liver mass in rats. Despite there being no changes in biochemical parameters, the authors consider this information as a sign of hepatotoxicity due to the induction of microsomal enzymes, which act on the DMT metabolism. However, in the evaluation of liver function of Ayahuasca users in a religious context, no changes in biochemical markers were found. It was considered that the pattern of consumption in question does not appear to compromise the liver. However, the sample size of the study in question is very limited (Mello et al. 2019). In the cardiovascular system, it was demonstrated that in mice, acute and chronic exposure produces changes in the smooth muscle cells in collagen and elastic fibers, suggesting a vascular remodelling effect. In addition, acute exposure to higher doses has been found to produce arterial hypertrophy—a classic structural change produced by hypertension (Pitol et al. 2015). Even if, at lower doses, the hypertensive potential is more modest, long-term exposure must be better clarified (Dos Santos et al. 2017b). Ayahuasca 419 Conclusion From the results presented, it was possible to infer that there are risks in the acute and chronic use of Ayahuasca, as there are several factors which may influence the triggering of harmful health situations. In the studies conducted in animals, behavioral changes, teratogenic effects, memory and learning impairment, as well as morphological changes in the cardiovascular system were observed. Yet, these data are always difficult to extrapolate to humans, so further research in this regard is essential. It was also verified that there is no uniformity in composition and administered dose of tested Ayahuasca. Additionally, there are even studies which cite the Ayahuasca chemical composition from other studies. This practice undermines the strength of the experiments, jeopardizing the true dose-effect relationship. Another important aspect is the clear distinction between use in a religious context, inherent to conduct, and recreational use, often associated with marginalization. In the religious use of Ayahuasca, there seems to be an awareness of the behaviors to be adopted regarding interactions and underlying diseases, as can be seen in the interview with Master “João” from an Ayahuasca religious center, which was held in Belém-Brazil—on March of 2019, transcribed below, which has been attached. Nevertheless, increasing globalization has made Ayahuasca an easily accessible drug, and therefore, it is important for the public to be aware of the consequences of its use. Attachment Interview with Master “João”—Transcript of Audio Recording When did you start using Ayahuasca and why? “I started using it 1st January of 2002, around 3:30h in the morning. There was no reason to start, I went to a place that served the vegetable without knowing what it was and someone offered it to me. And so, that’s why I started!” What are the main differences in your daily life? “I can’t talk about the differences in my current daily life, only in the differences I noticed when I started using it. Now it is my daily life but when I started, I felt great differences. My biggest priorities no longer persisted and others came up. For example, I had completely abandoned the spiritual part of me and church matters were no longer important, even though I had a lot of knowledge and interest in it. When I first drank Ayahuasca, I felt the need to seek God, with a free thinker spirit, instead of thinker free spirit. I think because I wanted to, not because I was imposed to. I smoked for 46 years, around 6 packs a day (120 cigarettes) and suddenly, I stopped without any side effects, like shaking. Not only smoking, but I also stopped drinking sodas. Another thing I did was stop eating meat for one year, which allowed me to detox my body (cigarettes, meat, and sugar). I felt an almost immediate physical improvement and some people didn’t even recognize me after two months.” 420 Wild Plants: The Treasure of Natural Healers Is Ayahuasca a cure? Because of the “vegetable” itself or for the monitoring provided? “Ayahuasca is not a cure, not a curative medicine, or a medication. If you have a heart condition, you have to take the right medication. Ayahuasca works as a conditioning of the human being with its own ideology. As I seek to be a good person, Ayahuasca gives me these good thoughts. I want to be a person who is dedicated to helping others and it gives me the strength to dedicate and sacrifice for them. There is no monitoring, you drink whenever you can or want, as I told you (Belém meeting), it is not addictive, there’’s no need for continuous use. When I go to São Paulo-Brazil (when I don’t have access to Ayahuasca), I don’t drink for 2 or 3 months and I don’t feel the need to do it. It is not an addictive psychoactive drug that requires you to use it continuously. It’s an entheogenic drink that puts you in touch with a divine entity. It’s like in Portugal, everyone believes in “Our Lady” and the “Fátima miracle”. There isn’t a single Portuguese person who doesn’t believe, unless you don’t believe in anything. So how can you say that it didn’t happen? Then I have to question the 3 little shepherds. Lúcia could hear and see “Our Lady” but the other girl could only see and the boy could only hear Her or vice versa. Each of them had a process, let’s say, I wouldn’t say clairvoyance or maybe I shouldn’t say it because science puts it in another way, right? A contact with a divine entity has occurred but it stopped there. The vegetable allows you to keep in touch with a divine entity and reach an epiphany, that’s the right word to describe it, when you get involved with something you can’t explain it, but it is related with the personal “me”. It happened to me; I don’t know whether it will happen to others.” What makes people seek Ayahuasca? “I ask you the same question, what was your motivation to study Ayahuasca? “Because everybody talks about it”. So, if everybody talks about it, it’s because lots of people search for it. “Because I read an article that says it’s addictive and a drug”. Is that a motive to seek it out?” No, but you did it anyway, even knowing you were going to study the negative effects of Ayahuasca. We believe that when someone has the need to search for Ayahuasca, that person has received the call. Ayahuasca is for everyone, but not everybody is for Ayahuasca. There’s one thing that explains it really well. There aren’t enough plants to make Ayahuasca for 8 billion people, because there aren’t enough plants in the world. It’s only for some, the chosen ones.” What are the hallucinations like? Do they have specific a color? Does it happen with your eyes open or closed? “It is a very interesting phenomenon. Once, before I knew Ayahuasca, I tried to impress on my students the effects of trying new things. If I tried to teach about Portuguese grammar exposition, I had to give examples of other grammatical cycles. If you don’t have any foundation in Latin, you won’t be able to understand some grammatical issues of Neo Latin languages. So, I posed a question to my students. You know Brazil is a very rich country (minerals, food production), but the money is in the hands of a few people. Most of the people are very poor and live in those neighborhoods called “favelas”. I asked my students “If you go to a favela and ask the people if they like lobster, they won’t even know what a lobster is because they never tried it, but they will say that they did and that they didn’t like it. It’s called truth distortion. The hallucinations can only be understood if you try Ayahuasca. It can’t be explained, it’s like a miracle! Why didn’t anybody believe in Lúcia, except for the priest and her mother and father? Because it was really difficult for someone who didn’t experience it to believe in such a miracle. Only after the “Miracle of the Sun” did people believe in Lúcia. It is impossible to describe the hallucinations, unless you drink Ayahuasca and feel it. It has specific colors, but not Ayahuasca 421 only one. Thousands of colors at the same time, it’s a really divine event. Eyes open or closed? It can occur both ways, it’s a strange, mysterious force, beyond our capacity of understanding.” How long do the hallucinations last? “The hallucinations can last from an hour, an hour and a half, to two days if necessary. There is no correct time. It depends on the need that the spiritual plan defines for you. But they usually last 2 hours” After communion, do you feel changes in your psychological state in the following days? If so, how long exactly? “Let’s see, feeling a change in the psychological state is thinking, “I feel regret”, “I shouldn’t have done it” or “I did it and want to do it again…”. It is not exactly those types of questions you ask after a day or two. You feel a deep peace you cannot explain. Even if you’re feeling boredom, even if you’re having difficulties, this peace totally envelopes you and your thinking is not focused on that act, but on what you can do because of that. For example, if you feel “I have to work on the dissertation, I’ll wait for next week to start”, Ayahuasca makes you feel that at that moment what you need is to start working. It is natural and spontaneous. This time of sensation is not specific. Once a change occurs, that change can be for life. I will give a practical example: how does love occur? How do you fall in love? How long does it last? How do you feel in the following days? If you can answer these questions, you will answer the question you asked me.” What type of selection is made? Who can or who cannot take drink the “vegetable”? “There is no selection. This is not a joke, it is not a place that you buy a ticket, or go to try on some clothes. That’s not it. First, you feel the urge to know and get in touch with a nearby place where they serve it, then they will ask what your intentions are and you have to answer that your intentions are the best and you want to know how it works. From the moment you demonstrate this interest, you will surely be well accepted within the group. Who can and cannot drink it? This is an interesting question. Imagine that a person has neurological problems. People who are undergoing psychiatric treatment, they take very strong medicines. So, if the plant activates the mind, bringing a sense of heightened awareness, a sense of responsibility, but the person is not right, they may perhaps have, not a psychological outbreak, but enter a state they do not need at that moment. We avoid giving the “vegetable” to those who take these medicines. What is done is they are asked to stop taking the medicine by medical order for a week, if the doctor thinks it is possible, then the person can drink the “vegetable”.” What is your opinion regarding the marginalized use of Ayahuasca? Do you consider there are risks in it use? “I will not give my opinion because it is the worst possible. I think that something so serious might fall so low because of some individuals, but there is everything in this world. Just as there still is trafficking of white female slaves, organ trafficking, especially in richer countries that take advantage of poverty. Children sacrificed to take their little hearts and kidneys to favor children who were born in a more golden cradle! So, when we speak of marginalization, not only of Ayahuasca, but in all things, today, even medicines are falsified. There are a lot of pills you pay their weight in gold for 422 Wild Plants: The Treasure of Natural Healers from Swiss industries which are nothing more than flour. You have to be careful about that. If you enter this side of marginalization, it is better not to even talk about the “vegetable” anymore. Forget it because it’s not for that kind of conversation. I will not consider the risks, as they are the worst possible! I don’t know what you believe about what might happen to us in the future, if you believe in the afterlife, in karma, I don’t know, because we didn’t have the time to get to know each other, but if you have a materialistic point of view, that life is only this, forget Ayahuasca, it’s not for that kind of thinking. I’m sorry to be this way, frank, but it’s something that we consider divine. It’s a serious thing, not child’s play.” What diet should be followed before ingestion? And after? What is the preparation? “In addition to diet, there is behavior. To drink Ayahuasca, you have to go three days without sex, three days without smoking, and no drinking alcohol. Preferably on the day you drink it, you should go at least 4 hours before without eating meat. Out of respect for the drink, for it is a sanctified drink. If your body is dirty, it will not have the effect it should.” List of Abbreviations bw CCE Cmáx CONAD – – – – CYP 2D6 CYP 450 DA DMT EUA 5-HT receptor IAA I.V. IL MAO MFS mGlu2/3 MTHC NMDA NMT SERT CNS t1/2 TAAR-1 Th THH UDV VMAT-2 – – – – – – – – – – – – – – – – – – – – – – – Body weight Centros de Controlo de Envenenamento (Poison Control Centers) Maximum plasma concentration Conselho Nacional de Políticassobre Drogas (National Council on Drug Policy) Isoenzyme 2D6 from Cytochrome P450 Cytochrome P450 Dopamine N, N-dimethyltryptamine Estados Unidos da América (United States of America) 5-hydroxytryptamine receptor (serotonin receptor) Indoleacetic acid intravenously Interleucine Monoamine Oxidase Dr. Marlene Freitas da Silva Herbarium Metabotropic glutamate receptor II 2-Methyl-1,2,3,4-tetrahydro-β-carboline N-methyl-D-aspartate N-monomethyl-tryptamine Serotonin transporter Central Nervous System Half-life time “Trace Amine-Associated”-1 Receptor Helper T cells Tetra-hydro-harmine União do Vegetal (Vegetable Union) Vesicular monoamine transporter 2 Ayahuasca 423 References Albuquerque, M.B.B. 2007. Abc Do Santo Daime. 1ª Ed. Belém: Eduepa. 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P. 19-34. 17 Exploring the Plant Kingdom for Sources of Skincare Cosmeceuticals From Indigenous Knowledge to the Nanotechnology Era Mayuri Napagoda1,* and Sanjeeva Witharana2 Introduction The skin is the outer covering of the human body and is considered as the largest organ in a human. It is comprised of three major structural layers viz., epidermis, dermis, and hypodermis (Tabassum and Hamdani 2014). The epidermis is the outermost layer of the skin which encompasses five sub-layers/ strata; stratum corneum, stratum lucidum, stratum granulosum, stratum spinosum, and stratum basale. The dermis lies beneath the epidermis and is attached to an underlying hypodermis or subcutaneous connective tissue (Tabassum and Hamdani 2014). As the outermost barrier of the body, the skin is constantly being challenged by invading microorganisms, parasites, as well as environmental factors, such as solar ultraviolet radiation (UV), humidity, airborne allergens, and pollutants, etc. For example, the exposure of the skin to solar UV radiation leads to photochemical generation of reactive oxygen species (ROS). When the production of ROS overwhelms the cellular intrinsic antioxidant capacity, a phenomenon known as oxidative stress occurs (Varma et al. 2011, Nita and Grzybowski 2016). The oxidative stress is usually associated with inflammation, immunosuppression, impaired wound healing, DNA damage, and activation of signaling pathways that affect gene transcription, cell cycle, proliferation, and apoptosis. These alterations ultimately promote carcinogenesis, and are also responsible for the induction of several chronic and degenerative disease conditions (Amaro-Ortiz et al. 2014, Pizzino et al. 2017, Dunaway et al. 2018). Moreover, environmental factors, such as air pollutants, significantly contribute to the premature/extrinsic skin aging process by inducing the generation of ROS, telomere-based DNA damage, and activation of aryl hydrocarbon receptor (AhR) signaling (Vierkötter and Krutmann 2012). Exogenous factors, such as dry climate, colder temperatures, repeated washing, and exposure to various alkali and detergents could deteriorate the ability of the skin to maintain moisture, thus impairing the normal functions of the skin, such as thermoregulation, gaseous exchange, protection against pathogens, and maintenance of proper hydration (Wan et al. 2014). 1 Department of Biochemistry, Faculty of Medicine, University of Ruhuna, 80 000, Sri Lanka Faculty of Engineering, Higher College of Technology, PO Box 4793, United Arab Emirates * Corresponding author: mayurinapagoda@yahoo.com 2 Exploring the Plant Kingdom for Sources of Skincare Cosmeceuticals 427 In order to protect the skin from numerous harmful factors and to improve skin regeneration, elasticity, and smoothness, and to reduce the degradation of primary structural constituents of skin (collagen, elastin, etc.), a diverse array of products are available in the market. These range from skin moisturizers to skin rejuvenation products, sunscreens, anti-wrinkle and antiaging agents, antiacne products, and skin whitening agents, which act by different mechanisms, i.e., as protectives from ultraviolet light, maintaining healthy skin, as well as by enhancing attractiveness of person by improving skin radiance (Goh 2009, Yadav and Chaudhary 2015). The aforementioned products could be better described as “cosmeceuticals”, rather than using the conventional term “cosmetics”. The aim of this chapter is to describe the significance of various herbal ingredients in cosmeceutical preparations based on the scientific evidence of their biological activities, and to emphasize modern day approaches to develop more consumer-friendly and biologically-enhanced products. Cosmeceuticals: The Hybrids between Cosmetics and Pharmaceuticals The term “cosmetics” was supposed to be originated from the word “cosmetae”, which was used for Roman slaves whose role was to bathe royal men and women in perfume (Chaudhri and Jain 2009, Ahsan 2018). However, some believe that it is derived from the Greek “Kosmetos”, which means “adornment” or “ornament” (González-Minero and Bravo-Díaz 2018). According to the United States Federal Food, Drug, and Cosmetic Act (FFDC), cosmetics are defined as “articles intended to be rubbed, poured, sprinkled, or sprayed on or introduced into, or otherwise applied to the human body or any other part thereof for cleansing, beautifying, promoting attractiveness, or altering the appearance without affecting structure or function” (Schneider et al. 2001, Pandey and Sonthalia 2019). This signifies that cosmetic agents are meant for beautification and decorative purposes. Nevertheless, since the onset of the concept of “cosmeceuticals” in the late 1970s, more efforts have been dedicated to developing cosmeceutical products that contain functional ingredients with pharmaceutical benefits to the skin (i.e., therapeutic, disease-fighting, or healing properties), thus capable of providing goodness beyond the typical decorative function of the conventional cosmetic agents. As a result, cosmeceuticals are considered to be cosmetic-pharmaceutical hybrids intended to enhance the health as well as the beauty of skin (Wanjari and Waghmare 2015). Moreover, the active ingredients in cosmeceutical products can penetrate the stratum corneum, and act at the cellular level of the skin, whereas cosmetic products could only deliver their ingredients at a very superficial level into the skin (Verma et al. 2016). The field of cosmeceuticals is an interdisciplinary integration of physics, chemistry, and biology that involves the application of techniques, such as chromatography and spectrometry along with the use of active ingredients in in vitro and in vivo tests (González-Minero and Bravo-Díaz 2018). Active ingredients in cosmeceutical products could be of synthetic or natural origin. However, with the increasing awareness of the negative side-effects of chemicals used in synthetic products, there has been a rise in demand for natural cosmeceutical preparations that are mainly based on traditional herbal formulations for skincare (Ahmad et al. 2008, Rekha and Gokila 2015, Bodeker et al. 2017). The present-day herbal skincare cosmeceuticals are formulated with the incorporation of one or more herbal ingredients, particularly those that had been used since time immemorial for beautification purposes, or for the treatment of various ailments of the skin. These products are available in the market in the form of ointments, creams, emulsions, powder solutions, compacts, etc. (Sagbo and Mbeng 2018). Herbal Preparations in Ancient Cosmetology The use of natural ingredients in skincare dates back to the ancient civilizations (Figure 17.1). For example, castor oil (Ricinus communis), anise (Illicium verum), belladonna (Atropa belladonna), 428 Wild Plants: The Treasure of Natural Healers (a) (b) Figure 17.1: The concept of beauty in ancient Greece- Evidence from the National Archaeological Museum in Athens, Greece. (a) The Judgment of Paris: A story on a beauty contest in Greek mythology (b) Mycenaean perfumes: The scent of antiquity cinnamon (Cinnamomum), cardamom (Elettaria cardamomum), myrrh (Boswellia sacra), and mustard (Sinapis alba) were used by Sumerians, Assyrians, and Babylonians to remove skin devils. Cosmetics played a prominent role in ancient Egyptian skincare. From the tombs of Egyptian pharaohs, vessels filled with rare species and exquisite oils and portraits were discovered, showing female faces enhanced by beauty products (Oumeish 2001). The Egyptian queen Cleopatra was known to bathe in goat’s milk, almond, and honey to soften her skin. Scented oils and ointments were used by Egyptians to clean and soften their skin and mask body odor. Oils and creams containing myrrh, thyme (Thymus), chamomile (Matricaria), lavender (Lavandula), peppermint (Mentha), rosemary (Rosmarinus officinalis), cedar (Cedrus libani), rose (Rosa), aloe (Aloe barbadensis), olive (Olea europaea), sesame (Sesamum indicum), and almond (Prunus dulcis) were used by them to protect their skins from desert sun and winds (Chaudhri and Jain 2009, González-Minero and Bravo-Díaz 2018). Clay and herbal masks were popular among Egyptian women in the time as far back as 69 BC (Oumeish. 2001). Malachite (copper) and “kohl” (made of lead and antimony) were applied to decorate eyelids. A mixture of beeswax, virgin olive oil, cypress resin (Cupressus), and milk were applied as a face mask (González-Minero and Bravo-Díaz 2018). The famous “Papyrus Ebers” records the use of aloe in various cosmetic preparations, in addition to its usage as a medication for burns, cut wounds, and skin rashes (Oumeish 2001). The Egyptian traditions were transmitted to Greece and Italy over time, triggering the development of various ointments, perfumes, and facial creams of herbal origin. The Greeks were considered as the first Europeans to use aromatic oils of Eastern origin (from India and Arabia through the opening of trade routes) and ointments as a form of make-up. Greeks and the Romans applied ointments composed of cypress, cedar, and incense resins at night. Olive oil was reputed as a cleanser and also employed to combat wrinkles, while rose water was used to extract perfumes. A customary facial cream of Romans was made up of figs (Ficus carica), banana (Musa), oats (Avena), and rose water, while the roots of Asparagus, wild anise, wild lily bulbs in goat’s milk, and manure were filtered and applied with soft bread on the face (González-Minero and Bravo-Díaz 2018). Historical records further reveal that the Arabs learned cosmetology through their interaction with the Egyptian, Roman, Persian, and Medieval European cultures. Arabic “aromatherapy” used the oils extracted from flowers and pine trees. Creams made of fruit acids obtained from sugar cane, mangos, avocados, apples, etc., were used as skin peelers. The extracts of roses and lemon flowers diluted in water or mixed with glycerine were commonplace as cleansers and moisturizers for the face, neck, and hands (Oumeish 2001). The prominence of cosmetology in Arab culture is further evidenced in the medical encyclopedia compiled by Doctor Abu’al-Qasim Al Zahrawi (936–1013). He dedicated one full chapter for this cause, and considered cosmetics as a branch of medicine, and referred to it as Adwiyat al-Zinah (Medicine of Beauty) (González-Minero and Bravo-Díaz 2018). Exploring the Plant Kingdom for Sources of Skincare Cosmeceuticals 429 In the Middle Ages, “Schola Medica Salernitana” was founded in the south Italian city of Salerno, where the first written work about cosmetics, i.e., “De Ornatu Mulierum” was published. This work was aimed at teaching women about conserving and improving the beauty and treating skin diseases through a series of precepts, advice, and natural remedies. It depicted 96 plant species of cosmetic value, some of which are still in use in this 21st century (Cavallo et al. 2008, González-Minero and Bravo-Díaz 2018). Furthermore, a kind of “phytotherapy research” had taken place within monasteries that were converted into knowledge hubs during the Middle Ages, with the custom of using plants and minerals for medicinal and cosmetic purposes by the monks (Cavallo et al. 2008). Ancient Indian literature provides a wealth of knowledge for numerous cosmeceutical preparations and self-beautification concepts in ancient India. Influenced by Indian traditional medical schools such as Ayurveda, and social and cultural factors, these practices were targeting both the external and internal beauty and happiness. Lip balms, deodorants, skin lightening and exfoliating scrubs, anti-dandruff preparations, breast developers, face packs, anti-acne preparations, mouth fresheners, and hair care products were known to be used in ancient India. As far as medical plants are concerned, Emblica officinalis, Euphorbia nivulia, Acorus calamus, Pongamia pinnata, Berberis aristata, Coriandrum sativum, Cinnamomum camphora, and Punica granatum were common in them (Patkar 2008). The women in India used a turmeric cream, and the formulation composed of gram flour or wheat husk mixed with milk, instead of soap. Even today, cosmetic preparations comprised of turmeric, almonds, sandal, etc., are popular among Indians (González-Minero and Bravo-Díaz 2018). As much as in Europe and Middle-East, herbal cosmetics were an integral part of the traditional Chinese and Japanese cultures. The historical data reveals that China imported sesame oil scented with Murraya paniculata and rose water from Persia along the Silk Road, and also aromatic compounds, such as cloves (Syzygium aromaticum), ginger (Zingiber officinale), and nutmeg (Myristica fragrans) from Indonesia. The Japanese used crushed safflower petals (Carthamus tinctorius) to paint the eyebrows, the edges of eyes, and the lips, while rice powder (Oryza sativa) was employed to whiten the face and back (González-Minero and Bravo-Díaz 2018). After the renaissance, there was a rapid development in the field of cosmetics. Yet, the indigenous knowledge of natural skincare agents plays a vital role in expanding the horizons of modern cosmetics and cosmeceutical industry. In this respect, ethnobotanical surveys could contribute significantly to gather folklore knowledge and rationalize the traditional claims in the limelight of modern science. Ethnobotanical Surveys on Cosmetics and Skincare Agents Gathering and preservation of knowledge on traditional uses of natural ingredients such as plants and minerals for cosmetic purposes, and harnessing their potential for body care products is referred to as “cosmetopoeia” (Ansel et al. 2016, Jost et al. 2016). Preservation of traditional knowledge through ethnobotanical studies is an effective approach to reveal the hidden potential as well as the sustainable use of medicinal plants (Napagoda et al. 2019). It has been reported that 90% of the medicinal species are used by the people who are native to a particular geographic area (Baquar 1989). This undocumented vast indigenous knowledge is fast diminishing due to cultural changes, migration, urbanization, modernization, and the descent of western medicinal practices (Rashid and Arshad 2002). Therefore, it is imperative that a concerted effort should be made to document and preserve this residual knowledge. Catering to this need, a large number of ethnobotanical studies have emerged over the recent years, particularly in plant-rich African and Asian regions (Ekpendu et al. 1998, Singh and Singh 2001). Although the information on medicinal plants is being documented this way, the local knowledge on cosmetic and cosmeceutical plants is still large. The handful of studies reported in the literature are summarized below. The use of plant materials by tribal women of Kashmir Himalayas for cosmetic purposes assessed by Shaheen et al. (2014) revealed the traditional use of 39 plants species belonging to 20 families and the practice of 70 different herbal recipes for conditions, such as treating acne, boosting hair 430 Wild Plants: The Treasure of Natural Healers growth, treating facial spots and wrinkles, enhancing fairness, and for eye and lip care. Citrus limon, Lycopersicum esculentum, Mentha longifolia, Raphanus sativus, Rosa indica, Allium sativum, and Allium cepa were listed among the major plant species having cosmetic applications. Cosmetic ethnobotany was the only choice the women in that region had, due to the geographic remoteness, poverty, and their faith in folklore herbal remedies (Shaheen et al. 2014). An ethnobotanical study of herbal cosmetics conducted in the Northern Province of Sri Lanka enabled the identification of 62 plant species belonging to 36 families. These plants were used for acne treatment, fairness, antiaging, pigmentation, allergy, hair loss, dandruff, hair cleansing, hair coloring, nail care, eye care, lip care, and body odor. Either fresh paste of these plants were used or they were dried for cosmetics preparations. Out of the recorded plant species, Curcuma longa, Coscinium fenestratum, Mentha arvensis, Azardiracta indica, and Cinnamomum zeylanicum were widely present in acne treatments, while Santalum album, Cassia auriculata, Carica papaya, and Daucus carota were used as fairness enhancers. Cocos nucifera, Coffea arabica, and Hemidesmus indicus were found in antiaging formulations, whereas Colocynthis citrullus and Trigonella foenumgraecum were present in the formulations against pigmentation problems (Nirmalan 2017). A recent study on the use of phytocosmetics in three districts of North-eastern Algeria revealed that the soap and a fixed oil were popular preparation forms. Aloe vera, Matricaria recutita, Lavandula angustifolia, Citrus limon, and Ricinus communis were reported as common ingredients in these preparations, and the highest relative citation frequency (RFC) was attributed to A. vera (Bouzabata 2017). A phytocosmetics study conducted in Marquesas Islands (French Polynesia) recorded over 500 cosmetic recipes. Plant species, such as Calophyllum inophyllum, Cananga odorata, Citrus aurantifolia, Cocos nucifera, Curcuma longa, Gardenia taitensis, Mentha spp., Ocimum basilicum, Rauvolfia nukuhivensis, and Santalum insulare var. marchionense were identified with high use-values. Coconut (Cocos nucifera) water and coconut oil were the main excipients used in the preparation of cosmetic recipes. These plant species were used for perfumes, skin hydration, and medicinal care. Most of these preparations were applied on skin, hair, and on genital organs (Jost et al. 2016). For the purpose of documenting the plant species used as natural-based cosmetics and cosmeceuticals by the Vhavenda women in Vhembe district municipality, Limpopo province, South Africa, an ethnobotanical study was conducted by Ndhlovu et al. (2019). This study led to the identification of 49 plant species from 31 plant families. Dicerocaryum zanguebaricum and Ricinus communis were the most commonly cited plants. The cultural importance index (CI) was highest in Dicerocaryum zanguebaricum, followed by Ricinus communis, and Helinus integrifolius. In terms of the plant families, Fabaceae had the highest number of plants (04), while Meliaceae and Rhamnaceae were reported with three plants. Leaves and barks of the plants were widely used to prepare herbal cosmetics and cosmeceuticals, and the preparation methods included infusions, decoctions, poultice, or juice from fresh plants. The majority of plant preparations were applied topically (Ndhlovu et al. 2019). A similar study was conducted in four states in the South West region of Nigeria to investigate and to prepare an inventory of plants used in traditional cosmetics recipes. It permitted the identification of 80 plant species belonging to 39 families, which were used mainly in dried form or after extracting the juice of the plants. High use values were reported for Lawsonia inermis, Cocos nucifera, Butyrospermum paradoxum, and Pterocarpus osun. Some of the species identified in the aforementioned study as a part of cosmetics recipes—Achyranthes aspera, Allium sativum, C. nucifera, Elaeis guineensis, Ageratum conyzoides, Chromolaena odorata, Vernonia amygdalina, Baphia nitida, Azadirachta indica, Aloe vera, Curcuma longa, etc., have also been identified as being useful in the treatment of skin diseases in Nigeria in the previous studies. Thus, it is suggested that there is no clear demarcation between phytocosmetics and plants used for skin diseases in folklore medicine (FredJaiyesimi et al. 2015). Therefore, ethnobotanical studies focused on the utility of medicinal plants against skin diseases would also provide indispensable information on cosmetic and cosmeceutical herbal preparations. Nevertheless, the number of such investigations conducted so far is also scarce. Exploring the Plant Kingdom for Sources of Skincare Cosmeceuticals 431 A study conducted in northern Maputaland, South Africa by De Wet et al. (2013) reported the utility of 47 plant species from 35 families for the treatment of 11 different skin disorders, including abscesses, acne, burns, boils, incisions, rashes, shingles, sores, wounds, and warts. Out of the abovedocumented plant species, nine species, i.e., Acacia burkei, Brachylaena discolor, Ozoroa engleri, Parinari capensis subsp. capensis, Portulacaria afra, Sida pseudocordifolia, Solanum rigescens, Strychnos madagascariensis, and Drimia delagoensis were recorded for the first time globally as therapeutics for skin disorders. The most frequently cited species was Senecio serratuloides, a medicinal plant that is well-reputed in South Africa for the treatment of various skin disorders and wounds (De Wet et al. 2013). A review carried out using the ethnobotanical literature of 105 plant species utilized by the people of Eastern Cape Province in South Africa for various cosmetic purposes indicated that the majority of those plants were used for skincare. Those plant materials were applied topically or used as a paste or infusion by the local communities. Although bioactivities that are directly associated with skincare, such as wound healing, antioxidant, antityrosinase, and anti-inflammatory activities have been reported for some of the documented plant species, further scientific explorations are warranted in order to rationalize the traditional claims (Sagbo and Mbeng 2018). Several studies were carried out in different regions in India to gather information about the utilization of herbal remedies for the treatment of skin diseases by local communities. Twenty-one plant species belonging to 15 different plant families were recorded by Balaraju et al. (2015) in their study conducted in Mahabubnagar district. According to their findings, the paste of the entire plant of Aloe vera was used by the tribal communities to cure burns, wounds, wrinkles, and for fairness, while plant species such as Citrus niman, Cocos nucifera, and Tagetes erecta were used to cure dark spots (Balaraju et al. 2015). The knowledge of medicinal plants used for the treatment of skin diseases in Balod District, Chhattisgarh was collected through an ethnobotanical survey, and it recorded 75 important medicinal plant species belonging to 42 families (Gupta and Gupta 2018). In another study conducted in India, a total of 57 medicinal plants representing 34 families were reported for their therapeutic use against skin ailments and for skincare. The most preferred species were identified as Andrographis paniculata, Annona squamosa, Azadirachta indica, Calophyllum inophyllum, Cissampelos pareira, Croton sparsiflorus, Glinus oppositifolius, Lantana camara, Ocimum sanctum, Pongamia pinnata, and Tridax procumbens (Panda et al. 2016). In summary, ethnobotanical observations play a crucial role in the selection of plants for pharmacological screening, as well as means of documenting and preserving local knowledge, which is obtained by trial and error and transferred over generations. Some of the scientific investigations conducted on pharmacological aspects of popular phyocosmetic and phytocosmeceutical ingredients are described in the following section. Bioactivity Studies on Herbal Cosmeceutical Ingredients Since most of the skincare cosmeceuticals are used as sunscreens, skin lightening, and antiaging agents, more emphasis is given in this section to elaborate the scientific evidence related to these activities in the context of herbal extracts and secondary metabolites thereof. Photoprotective Potential Ultraviolet (UV) component of the solar electromagnetic radiation is capable of causing skin damage either via direct absorption or photosensitization mechanisms (Saewan and Jimtaisong 2015). In the direct absorption mechanism, cellular chromophores, such as nucleic acids, amino acids, quinines, flavins, porphyrins, etc., absorb UV radiation that gets transformed into a biochemical signal, initiating biological responses. On the other hand, photosensitization mechanisms involve endogenous and/ or exogenous sensitizers that change from a ground state to an excited state upon the absorption of 432 Wild Plants: The Treasure of Natural Healers UV radiation, resulting in further reactions that lead to the formation of reactive oxygen species (ROS), such as hydroxyl radical, superoxide anion, peroxyl radicals, and their active precursorssinglet oxygen, hydrogen peroxide, and ozone. Reactive nitrogen species (RNS), such as nitric oxide and nitric dioxide are also produced due to the photosensitization mechanisms. Although ROS are constantly generated in keratinocytes and fibroblasts, the nonenzymatic and enzymatic antioxidants are involved in the removal of these ROS, thereby maintaining a balance between prooxidant and antioxidant levels, ensuing cell structure stabilization. However, the excessive generation of free radicals due to prolonged and repeated exposure of the skin to UV light overwhelm these defense mechanisms, leading to modifications of DNA and abnormal expression of cellular genes, ultimately resulting in a loss of cellular integrity (Ziegler et al. 1994, Goihman-Yahr 1996, Schwarz et al. 2005, Saewan and Jimtaisong 2015). The UV-generated ROS affect the mitogen-activated protein kinase (MAPK) pathway and initiate the activation of transcription factor families, nuclear factor kappa B (NF-κB), and activator protein 1 (AP-1) that are involved in the processes of cell proliferation, cell differentiation, and cell survival, hence having significant roles in tumorigenesis. The activation of NF-κB and AP-1 may contribute to the induction of heme oxygenase-1 and matrix metalloproteinases in the skin (Cooper and Bowden 2007). Induction of heme oxygenase-1 could elevate cellular iron levels and promote further ROS generation, while the increase in matrix metalloproteinases results in the extracellular matrix protein degradation, causing wrinkle formation and metastases (Cooper and Bowden 2007, Saewan and Jimtaisong 2015). In addition, excessive generation of ROS/RNS will lead to oxidative damage that may trigger inflammation, and local and systemic immunosuppression (Saewan and Jimtaisong 2015). In order to overcome the harmful effects caused by the UV radiation, a novel concept known as “photochemoprevention/photoprotection” was introduced. This involves the use of various photochemopreventive/photoprotective agents. These agents are capable of preventing the damage caused by UV radiation and/or manipulating different cellular responses to UV radiation to prevent, stop, or correct tumor promotion and progression (Napagoda et al. 2016). In this respect, a number of plant extracts and secondary metabolites thereof have been subjected to extensive investigations, and proven to be beneficial as photochemopreventive agents by inhibiting the expression of UVinduced AP-1, NF-κB, and several other pathways. For example, epigallocatechin-3-gallate (EGCG) (Figure 17.2a), one of the major polyphenolic compound in green tea, is found to be effective in inhibiting UVB-induced nitric oxide, NF-kB activation, and also the expression of IL-6, a cytokine which plays pathological roles in chronic inflammatory condition (Xia et al. 2005, Song et al. 2006, Cooper and Bowden 2007). Resveratrol (Figure 17.2b), which is found at high levels in red wine and grapes, has been reported with strong anti-inflammatory and antiproliferative properties, suggesting the necessity of developing resveratrol-containing emollient, sunscreens, and other skincare products for the prevention of skin cancer and other conditions caused by UV radiation (Aziz et al. 2005). Silibinin (Figure 17.2c), a naturally occurring flavonoid, has also displayed chemopreventive effects on UVB-induced skin carcinogenesis by interfering several cellular mechanisms, including the modulation of cell cycle regulators and mitogen-activated protein kinases (Mallikarjuna et al. 2004). (a) (b) (c) Figure 17.2: Some examples of natural photochemopreventive agents capable of modulating cellular responses. (a) Epigallocatechin 3-gallate (b) Resveratrol (c) Silibinin Exploring the Plant Kingdom for Sources of Skincare Cosmeceuticals 433 (a) (b) (c) (d) (e) (f) Figure 17.3: Examples of some secondary metabolites effective as UV-blockers. (a) Curcumin (b) Quercetin (c) Rutin (d) Genistein (e) Apigenin (f) Vanillic acid Furthermore, a wide array of plant secondary metabolites have been reported as effective UV blockers. This includes phenolic acids, flavonoids, lichen polyphenols, terpenoids, and mycosporinelike amino acids (Saewan and Jimtaisong 2015). The structures of some well-known UV blockers are presented in Figure 17.3. These compounds are capable of preventing the penetration of UV radiation into the skin, thus reducing inflammation, oxidative stress, and DNA damaging effects (Nichols and Katiyar 2010). In addition, a large number of plant extracts have exerted photoprotection potential by interfering with different cellular mechanisms (F’guyer et al. 2003), and some examples are summarized in Table 17.1. The effectiveness of a sunscreen is usually expressed by its sun protective factor (SPF), and the sunscreens with SPF value of 15 or greater are highly recommended (Napagoda et al. 2016). Several plant species used in traditional medicine in Sri Lanka as dermatological remedies were reported with high sunscreen potential. The aqueous-methanolic extracts prepared from Atalantia ceylanica, Hibiscus furcatus, Leucas zeylanica, Mollugo cerviana, Olax zeylanica, and Ophiorrhiza mungos were identified as strong photoprotectants with high UV-filtering and antioxidant activities (Napagoda et al. 2016). Further, the in vitro SPF analysis of hydroalcoholic extracts of 12 commonly used vegetables revealed that extracts prepared from beetroot, green pea, drumstick, and sweet potato possess high SPF values (Mazumder et al. 2018), while a sunscreen formulated using a mixture of Pongamia pinnata and Punica granatum in 3:2 ratio also showed effective sunscreen potential (Patil et al. 2015). Skin Lightening Activity Skin color is primarily determined by the amount of melanin present in the skin. Melanin is a pigment produced by melanocytes through a process known as melanogenesis, from which the amino acid L-tyrosine gets converted by the enzyme tyrosinase into dopaquinone (Cooksey et al. 1997). Although melanogenesis and skin pigmentation are considered as natural photoprotective approaches in response to UV-induced skin photocarcinogenesis, the increased melanin synthesis and accumulation of these pigments give rise to many aesthetic and dermatological problems, such as melasma, periorbital hyperpigmentation, freckles, or lentigines (Smit et al. 2009, Zolghadri et al. 2019). Pigmentation is either dependent on the number, size, composition, and distribution of melanocytes, or activity of melanogenic enzymes. Furthermore, cutaneous pigmentation is resulted from melanin synthesis by melanocytes and transfer of melanosome to keratinocytes (Lin et al. 2008). 434 Wild Plants: The Treasure of Natural Healers Table 17.1: Multiple mechanisms of photoprotection by various plant extracts. Plant extract Mechanism of action References Green tea, Black tea (Camellia sinensis) Inhibit, reverse, or retard the process of the skin photodamage via sunscreen and antioxidant properties, regulation of signal transduction pathway and gene expression, alleviation of DNA damage, and modulation immunological function Li et al. 2014 Aloe vera Decrease UVA-induced redox imbalance, decrease UVA associated lipid membrane oxidation and increase overall cell survival Rodrigues et al. 2016 Dunaway et al. 2018 Walnut extract (Juglans regia) Prevent ROS generation and lipid peroxidation as well as UVBactivated inflammatory markers Muzaffer et al. 2018 Turmeric (Curcuma longa) Exert anti-inflammatory effects by inhibiting NFkB and MAPK signaling pathways with reduction of the expression of inducible nitric oxide (iNOS) and COX2 Inhibit UVB-induced TNF-α at the mRNA level and reduce the expression of matrix metalloproteinase-1 (MMP-1) expression in keratinocytes and fibroblasts Guo et al. 2008 Garlic (Allium sativum) Decrease UVB and cis-urocanic acid- induced immunosuppression Reeve et al. 1993 Red clove (Trifolium pretense) Reduce UV-induced erythema and edema Widyarini et al. 2000 Capparis spinosa Protect phospholipidic biomembranes from UV light-induced peroxidation and protect against UVB-induced erythema Bonina et al. 2002 Saija et al. 2000 Culcitium reflexum Inhibit UV light-induced peroxidation in phosphatidylcholine multilamellar vesicles and protect against UVB-induced erythema Aquino et al. 2002 Ginseng (Panax ginseng) Exert anti-inflammatory activity by reducing nitric oxide production and iNOS mRNA synthesis, Inhibit the UVB-induced COX2 expression and TNF-α transcription Lee et al. 2012 Dunaway et al. 2018 Jang et al. 2012 Dunaway et al. 2018 Although becoming tan is a desirable feature in Western culture, a light complexion is considered to be equivalent to youth and beauty in Eastern countries. Consequently, interest in skin whitening has grown tremendously over recent years, and more attention has been paid on the identification of tyrosinase inhibitors from natural sources (Napagoda et al. 2018). There are six different classes of tyrosinase inhibitors—reducing agents, O-dopaquinone scavengers, alternative enzyme substrates, nonspecific enzyme inactivators, specific tyrosinase inactivators, and specific tyrosinase inhibitors. Among these six types, only specific tyrosinase inactivators and specific tyrosinase inhibitors actually bind to the enzyme and inhibit its activity, hence only they are regarded as “true inhibitors” (Chang 2009). Several plant species commonly found in the Indian subcontinent, such as Aloe vera, Carica papaya, Cinnamomum zeylanicum, Curcuma longa, Rosa alba, Syzygium aromaticum, and Cassia auriculata (Adhikari et al. 2008, Vaibhav and Lakshaman 2012, Vardhan and Pandey 2014, Gupta and Masakapalli 2013, Napagoda et al. 2018) have been already identified with anti-tyrosinase activity. Out of 299 parts of 263 plant species collected from Jeju Island of the Korean Peninsula, Cornus walteri, Maackia fauriei, Toxicodendron succedaneum, and Sophora flavescens have shown potent tyrosinase inhibition (Moon et al. 2010). Meanwhile, a study conducted using Amazonian plants indicated that the extracts obtained from the leaves and stem of Ruprechtia sp. and from the aerial organs of Rapanea parviflora were most active in inhibiting the tyrosinase activity (Macrini et al. 2009). Also, a study conducted on tyrosinase inhibitory activity of 91 native plants from central Argentina revealed significant inhibition of tyrosinase by the extracts prepared from Dalea elegans, Lepechinia meyenii, and Lithrea molleoides with IC50 values of 0.48, 10.43, and 3.77 μg/mL, respectively (Chiari et al. 2010). Exploring the Plant Kingdom for Sources of Skincare Cosmeceuticals 435 Moreover, tyrosinase inhibitory potential has been evaluated in numerous plant secondary metabolites by various research groups. Phenolic compounds and their derivatives, as well as some terpenoids, coumarins and quinones, have displayed strong tyrosinase inhibitory action. For example, an apigenin flavone glucoside vitexin and a C-glycosylflavone isovitexin isolated from Vigna radiata extracts inhibited the enzyme with IC50 values of 6.3 and 5.6 mg/mL, respectively (Yao et al. 2012). Also, significant inhibition of tyrosinase was observed in five flavones isolated from the stem barks of Morus lhou-viz., mormin (IC50 = 0.088 mM), cyclomorusin (IC50 = 0.092 mM), morusin (IC50 = 0.250 mM), kuwanon C (IC50 = 0.135 mM), and norartocarpetin (IC50 = 1.2 µM) (Ryu et al. 2008). Glabridin (IC50 = 0.43 µM), isolated from the root of Glycyrrhiza glabra has exhibited excellent inhibitory effects on tyrosinase (Chen et al. 2016), while Glyasperin C isolated from Glycyrrhiza uralensis also showed a strong tyrosinase inhibitory activity with an IC50 value of 0.13 µg/mL (Kim et al. 2005). The tyrosinase inhibitory studies on several other isoflavones, such as formononetin, genistein, daidzein, texasin, tectorigenin, odoratin, and mirkoin isolated from the stems of Maackia fauriei, revealed that, out of the above-isolated compounds, mirkoin (IC50 = 5 µM) possessed a stronger tyrosinase inhibition than the positive control kojic acid, and it could inhibit the enzyme reversibly in a competitive manner (Kim et al. 2010). In a recent study aimed at the screening of natural products for the development of cosmetic ingredients, two major compounds in Humulus japonicus, trans-Ncoumaroyltyramine (IC50 = 40.6 µM) and cis-N-coumaroyltyramine (IC50 = 36.4 µM) displayed potent tyrosinase inhibition (Yang et al. 2018). In addition, several studies were focused on the evaluation of the synergistic strategy for tyrosinase inhibitors for the improvement of their inhibitory activities. In this respect, the mixtures of 4-methyl catechol:catechol, aloesin:arbutin, glabridin:resveratrol, glabridin:oxyresveratrol, and resveratrol:oxyresveratrol have shown a synergistic effect on tyrosinase inhibition (Schved and Kahn 1992, Jin et al. 1999, Wang et al. 2018). Antiaging Activity The causes of skin aging are hitherto uncertain. Current theories are assigned to the damage concept, whereby the accumulation of damage within the cell may cause biological systems to fail, or to the programmed aging concept, whereby internal processes may cause aging (Gems et al. 2009, Jin 2010). In the DNA damage concept, one of the theories explains the damage caused by the free radicals that are originated from exogenous sources, such as UV and ionizing radiations, and from several intracellular sources (Beckman and Ames 1998). Ultimately, these damages lead to skin aging with wrinkles, dryness, spots, discoloration, and sagging. Skin health is considered as one of the principal factors of beauty. Hence, the antiaging treatments have come up with major cosmetic consideration and several antiaging treatments have become more prominent during the past years. These include non-invasive and even invasive procedures (Ganceviciene et al. 2012). The extracellular matrix provides a structural framework essential for the growth and elasticity of the skin, and contains fibroblasts and proteins, including collagen and elastin. Degradation of the extracellular matrix has directly been linked to skin aging, and is correlated with increased activity of several enzymes-elastase, collagenase, and hyaluronidase (Ndlovu et al. 2013). Eighty percent of the dry weight of skin is considered to be collagen and is responsible for the tensile strength of the skin. Collagenases are a type of metalloproteinase that can cleave molecules in the extracellular matrix. Elastase is a proteolytic enzyme involved in the degradation of the extracellular matrix that contains elastin. Elastin provides much of the elastic recoil properties of skin, arteries, lungs, and ligaments. Loss of elastin is a major part of what causes visible signs of aging in the skin. Hyaluronic acid has a role in retaining the moisture, structure, and elasticity of the skin while facilitating rapid tissue proliferation, regeneration, and repair. The levels of collagen, elastin, and hyaluronic acid would decrease with aging, and this could lead to a loss of strength and flexibility in the skin, causing the emergence of wrinkles (Ndlovu et al. 2013). Moreover, the high levels of ROS 436 Wild Plants: The Treasure of Natural Healers Figure 17.4: Aloin, a major constituent in Aloe vera. induce the action of collagenase, elastase, and hyaluronidase, which can further contribute to skin aging (Labat-Robert et al. 2000, Ndlovu et al. 2013). However, natural materials with anti-collagenase, anti-elastase, and anti-hyaluronidase properties can help to prevent the undesirable age-associated destruction of collagen, elastin, and hyaluronic acid (Thring et al. 2009, Ndlovu et al. 2013). The anti-aging properties of four southern African medicinal plants—Clerodendrum glabrum, Schotia brachypetala, Psychotria capensis, and Peltophorum africanum, were investigated by Ndlovu et al. (2013). Their study revealed high anti-elastase activity in ethyl acetate extract of bark of S. brachypetala and leaves of P. capensis. Moreover, the methanol extract of S. brachypetala bark displayed the highest anti-hyaluronidase activity, whilst the ethyl acetate extract of P. africanum bark exhibited the highest antioxidant activity (Ndlovu et al. 2013). In another study, high anti-elastase activity was observed in the extracts prepared from Aesculus turbinata, Taxillus yadoriki, and Cornus walteri (Moon et al. 2010). The anti-elastase activity of 150 medicinal plants was investigated by Lee et al. Out of these plants, six plant extracts, i.e., Areca catechu, Cinnamomum cassia, Myristica fragrans, Curcuma longa, Alpinia katsumadai, and Dryopteris cassirhizoma exhibited more than 65% of inhibition of elastase activity at a concentration of 1 mg/mL. Only Areca catechu showed a high inhibitory effect on hyaluronidase activity (Lee et al. 1999). The flowers of Tagetes erecta are traditionally used to treat skin diseases, such as sores, burns, wounds, ulcers, eczema, and several other skin ailments. Hyaluronidase, elastase, and matrix metalloproteinase (MMP-1) inhibitory activity of this flower extract was investigated to determine its anti-wrinkle potential. The methanol extract showed significant hyaluronidase and elastase inhibition with IC50 of 11.70 g/mL and 4.13 g/mL, respectively, along with a moderate inhibition of MMP-1. Syringic acid and β-amyrin isolated from this extract were also capable of inhibiting the above enzymes, rationalizing the traditional uses of the plant (Maity et al. 2011). Furthermore, procyanidins extracted from Vitis vinifera, curcumin present in Curcuma longa, as well as phenolic compounds, such as epicatechin, resveratrol, galangin, kaempferol, quercetin, and myricetin had also exhibited potential elastase inhibition (Maffei Facino et al. 1994, Chainani-Wu 2003, Hrenn et al. 2006, Kanashiro et al. 2007). Aloin (Figure 17.4) in Aloe vera plant inhibited Clostridium histolyticum collagenase reversibly and noncompetitively. Aloe gel and aloin were also proved to be effective inhibitors of stimulated granulocyte matrix metalloproteinases (Barrantes and Guinea 2003) Other Important Bioactivities for the Purpose of Skincare Apart from the abovementioned bioactivities, antimicrobial activity is also important for natural skincare cosmeceuticals, particularly, the antimicrobial activity against acne-causing bacterial species. Acne vulgaris is considered as the most abundant dermatologic condition which affects late adolescents, and is characterized by follicular hyperkeratinization, seborrhea, microbial colonization, and inflammation (Lynn et al. 2016). This condition is triggered by the activity of some bacterial species, such as Propionibacterium acnes, Staphylococcus aureus, and Staphylococcus epidermidis. Although antibiotics are prescribed to treat acne vulgaris, more emphasis is paid on the application of natural remedies as an alternative strategy to treat acne vulgaris. In the search for natural anti-acne Exploring the Plant Kingdom for Sources of Skincare Cosmeceuticals 437 agents, a number of plant extracts and phytochemicals thereof have been investigated for antibacterial activity against acne-causing bacterial species. The extracts, such as Punica granatum, Morus alba, and Angelica anomala have exhibited potent antibacterial activity against P. acnes and S. epidermidis. Similarly, the essential oils of Citrus obovoides, Citrus natsudaidai, Cryptomeria japonica, and Cymbopogon nardus, as well as phytochemicals, such as pulsaquinone, hydropulsaquinone, rhodomyrtone, and rhinacanthin-C, were found to possess strong antimicrobial activity against P. acnes (Sinha et al. 2014). Moreover, a recent study revealed a strong antibacterial activity in novel topical gel formulations comprising of N. sativa. These formulations did not exhibit undesirable side effects on human subjects. The results suggested the suitability of the prepared gel formulations to be developed for commercial products (Nawarathne et al. 2019). Another important aspect of cosmeceuticals is its moisturizing ability. The balance between the water content of the stratum corneum and skin surface lipids is detrimental to the appearance and function of the skin. When this balance gets disrupted, a dermatological condition known as dry skin ensues. This is a phenomenon commonly observed in atopic dermatitis patients. Under these circumstances, effective cosmetic products must be used to improve skin hydration (Dal’Belo et al. 2006). In this regard, the polysaccharide-rich Aloe vera extracts, which are often used in cosmetic formulations, were investigated using skin bioengineering techniques, and the results confirmed its effectiveness in improving skin hydration (Dal’Belo et al. 2006). In another study, Corchorus olitorius leaves that are rich in mucilaginous polysaccharide were proved to be effective in increasing skin hydration (Yokoyama et al. 2014). Similarly, the polysaccharide gel extracted from the fruit hulls of durian (Durio zibethinus) had a significant effect on skin capacitance in human subjects, and exerted a positive but moderate effect on skin firmness (Futrakul et al. 2009). The above-discussed bioactivities in herbal extracts and the secondary metabolites provide clear justification for the traditional utility of those plants as skincare agents while highlighting their potential in cosmeceutical industry. The potency of these natural materials could be further improved with nanotechnology, and some examples for novel nano-based approaches in herbal cosmeceutical field are discussed below. Nanotechnology, the Paradigm in Herbal Cosmeceuticals Nanotechnology has opened up new avenues in the field of herbal cosmeceuticals with the introduction of nanoemulsions, nanocapsules, nano pigments, liposome formulations, fullerenes, niosomes, nanocrystals, and solid lipid nanoparticles, etc. This new technology has provided solutions to the long-lasting issues in the development of herbal cosmetics, where the lower penetration and high compound instability had hindered the sustained and enhanced delivery of the active phytoconstituents. The nano-sized delivery systems are beneficial in many aspects—enhance the encapsulation and stability of active ingredients, increase the penetration of cosmeceuticals through the epidermis, target the active ingredients to the desired site, and controlled release of those ingredients for a prolonged effect. Moreover, these nano-systems can increase the aesthetics of the products (Lohani et al. 2014). Antioxidants are able to delay the aging of the skin and to protect it. However achieving the stability of these compounds remains a challenge (Vinardell and Mitjans 2015). To address this need, types of nanomaterials have been developed to encapsulate antioxidant molecules. For example, niosomes prepared with polyglyceryl-3 dioleate or glycerol monooleate and cholesterol resulted in high cutaneous accumulation of resveratrol (Pando et al. 2013), while the simultaneous encapsulation of resveratrol with curcumin in lipid-core nanocapsules, resulted in increased delivery of resveratrol into deeper skin layers. This was attributed to the interaction of curcumin with the lipid bilayers of the stratum corneum that would have facilitated the penetration of less lipophilic resveratrol across the skin barrier into the epidermis and dermis (Friedrich et al. 2015). Apart from this, the co-encapsulation of resveratrol and curcumin in niosomal systems enhanced the ability to reduce free radicals due to a synergic antioxidant action (Tavano et al. 2014). On the other hand, tocopherol has been incorporated 438 Wild Plants: The Treasure of Natural Healers into nanostructured lipid carriers to produce a non-irritant, stable, and cosmetically appealing aqueous formulation, which is capable of inducing a high release of tocopherol (Mahamongkol et al. 2005, Ben-Shabat et al. 2013). Furthermore, a nanoemulsion system formulated with prenylated flavanones isolated from Eysenhardtia platycarpa was capable of enhancing antiaging activity (DomínguezVillegas et al. 2014). Encapsulation of curcumin in photo-stable nanospheres was able to protect curcumin from photodegradation, and hence prolong its antioxidant activity (Suwannateep et al. 2012). In another study, curcumin along with lauric acid was delivered to the skin for the inhibition of P. acnes via niosomes. The antimicrobial activity of curcumin and lauric acid against this acnecausing bacteria was significantly enhanced due to the development of nano-sized vehicles (Liu and Huang 2013). The bioavailability and skincare properties of Aloe vera leaf gel extract were enhanced by liposome encapsulation, and this has significantly increased the collagen synthesis, in comparison to the Aloe vera leaf gel extract alone (Takahashi et al. 2009). Similarly, the bioavailability and antioxidant activity of catechin have been significantly enhanced by the preparation of nanoformulation using biodegradable polymer Eudragit L 100 (Monika et al. 2017). Furthermore, a novel herbal nanoemulsion containing lemon juice and/or rose water has been developed for topical treatment of acne and other skin disorders, with increased stability and percutaneous penetration, low skin irritation, and with reservoir effect that enabled the controlled delivery of the active therapeutic agents (Chaudhary and Naithani 2011). The efficacy of some of the photoprotective herbal extracts could be markedly increased by developing into nano-preparations. This could be attributable to the improved solubility, permeability, and stability of the nanoformulations. Advanced lipid nanocarriers based on rice bran oil and raspberry seed oil were developed and incorporated into creams containing synthetic UV-B and UV-A filters, and these formulations have exhibited improved antioxidant activity and photoprotection due to the synergistic effect between rice bran and raspberry seed oil and organic filters (Niculae et al. 2014). Similarly, a significant enhancement in the photoprotection was observed for green coffee oil in combination with the synthetic sunscreen ethylhexyl methoxycinnamate, which is also due to the synergistic effect between plant oils and organic filters (Chiari et al. 2014). Another example of the synergistic photoprotective action was the incorporation of inorganic filters to oil-in-water emulsions containing flavonoid compounds quercetin and rutin. Interestingly, the addition of TiO2 significantly enhanced the photoprotective capability, while a moderate effect was observed with the incorporation of ZnO, signifying that ZnO has exerted purely an additive effect (Choquenet et al. 2008). On the contrary, the combination of zinc oxide nanoparticles into lyophilized methanolic extract of the top flowerings of Teucrium polium has considerably increased the SPF value. Thus, the addition of nanoparticles into herbal sunscreens has plausible outcomes, such as reducing the photodecomposition of the compounds in the sunscreen and controlled release of the UV absorbents into the skin (Sharififar et al. 2013). In addition, the novel sunscreen formulations comprised of polymeric nanoparticles of morin displayed high SPF values and antioxidant activities without any cytotoxic effects (Shetty et al. 2015). Based on these observations, it is obvious that nanotechnology-based herbal cosmeceuticals could offer the advantages of diversified products, increased bioavailability of active constituents, and increased aesthetic appeal with prolonged effects. 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Chem. 34(1): 279–309. 18 Ethnomedicinal and Pharmacological Importance of Glycyrrhiza glabra L. Ashish K. Bhattarai* and Sanjaya M. Dixit Introduction Glycyrrhiza glabra is a medicinal plant that belongs to Fabaceae/Leguminosae family (Sharma et al. 2018). It is commonly known as jethimadhu in Nepali, and liquorice or licorice in English. The name Glycyrrhiza was derived from the Greek words “glykys” meaning sweet and “rhiza” meaning root. The species name glabra was derived from the Latin “glaber”, which means smooth or bald and refers to the smooth husks or pod-like fruit. Its common names are licorice, licoriceroot, liquorice in English; réglisse in French; Lakritze, Süßholz in German; Jethimadhu in Nepali; Mulhatti, Jethimadhu, Mithilakdi in Hindi; gan-cao in Chinese; Sus, IrikSus, rib el-sus in Arabic; liquirizia in Italian; alcaçuz, pau-doce in Portuguese; alcazuz, licorice, orozuz, regaliz in Spanish; lakritsrot in Swedish (Esmail 2018). In ancient times, plants were the major source of drugs- the word drug itself comes from the French word “drogue” which means “dry herb” (Wadud et al. 2007, Gootz 2010). In the traditional system of medicine, various indigenous plants were used for diagnosis, prevention, and treatment of both acute and chronic diseases. G. glabra is used in traditional medicine across the world for its ethnopharmacological value (Thakur and Raj 2017). The roots and rhizomes are the main medicinal parts of liquorice. Liquorice is essentially the dried rhizome and root of G. glabra, commercially known as Spanish licorice, or of G. glabra var. glandulifera, commercially known as Russian licorice, or of other varieties of G. glabra that yield a yellow and sweet wood (Tyler et al. 1998). Glycyrrhiza contains a saponin-like glycoside, glycyrrhizin (glycyrrhizic acid), which is 50 times as sweet as sugar (Omar et al. 2012). Glycyrrhizin is the major active constituent obtained from liquorice roots. Glycyrrhiza is considered to possess ulcer-protective, demulcent, antitussive, expectorant, and laxative properties (Kaur et al. 2013). It is also used as a flavoring agent to mask the taste of bitter drugs, such as aloe, quinine, and others (Zheng et al. 2018). Department of Pharmacology, Kathmandu Medical College, Kathmandu University, Nepal * Corresponding author: ashishakb33@gmail.com Ethnomedicinal and Pharmacological Importance of Glycyrrhiza glabra L. 445 Distribution The genus Glycyrrhiza consists of about 30 species and is distributed all over the world (Thakur and Raj 2017). It is native to central and south western Asia, Europe, North and South America, Australia, and the Mediterranean region. Among these species, G. uralensis, G. inflata, and G. glabra are the only species mentioned in the Chinese Pharmacopoeia (Marisa et al. 2013). A monograph on G. glabra has also been mentioned in British Herbal Pharmacopoeia (Marisa et al. 2013). Cultivation Glycyrrhiza glabra is a perennial herb. It grows to about 1 m in height. Its roots are stoloniferous and fruit is oblong pod. In the Indian subcontinent it is popularly known as JethiMadhu or Mulhatti. In many parts of this region, it is also cultivated for medicinal purposes (Badkhane et al. 2014). Morphology The root is approximately 1.5 cm long and subdivides into subsidiary roots, about 1.25 cm long, from which the horizontal woody stolons arise. They may reach 8 m and when dried and cut, together with the root, constitute commercial licorice. It may be found peeled or unpeeled. The pieces of root break with a fibrous fracture, revealing the yellowish interior with a characteristic odor and sweet taste. The leaves are compound, imparipinnate, alternate, and have 4–7 pairs of oblong, elliptical, or lanceolate leaflets covered with soft hairs on the abaxial side. The flowers are narrow, typically papilionaceous, borne in axillary spikes, and violet in color. The calyx is short, campanulate, with lanceolate tips, and bearing glandular hairs. The fruit is a compressed legume or pod, upto 1.5 cm long, erect, glabrous, somewhat reticulately pitted, and usually contains 3–5 brown, reniform seeds (Pandey et al. 2017). Physiochemical Properties Glycyrrhiza glabra roots reveal that extractive values are (petroleum ether 4.67 ± 0.23%, chloroform 10.56 ± 1.53%, n-butanol, 6.54 ± 0.84%, and methanol 13.89 ± 2.42%); ash values are (total ash 4.67 ± 0.35%, acid-insoluble ash 0.56 ± 0.34%, and water-soluble ash 6.54 ± 0.22%); loss on drying 5.87 ± 0.65%, moisture contents 0.56 ± 0.054%, pH of the extract (1% solution) 5.04 ± 0.65, pH of the extract (10% solution) 6.26 ± 0.54 (Esmail 2018). Chemical constituents Glycyrrhiza glabra roots contain alkaloids, glycosides, carbohydrates, starches, phenolic compounds, flavonoids, proteins, pectin, mucilage, saponins, lipids, tannins, sterols, and steroids. Liquorice root contains triterpenoidsaponins (4–20%), mostly glycyrrhizin. A mixture of potassium and calcium salts of 18β-glycyrrhizic acid (also known as glycyrrhizic or glycyrrhizinic acid and a glycoside of glycyrrhetinic acid) is 50 times sweeter than sugar (Omar et al. 2012). Other triterpenes present are liquiritic acid, glycyrretol, glabrolide, isoglaborlide, and liquorice acid (Isbrucker and Burdock 2006). The root also contains an isoflavane known as Glabridin. EMA (2013) was the first to isolate 18β-glycyrrhizic acid from the roots of Glycyrrhiza glabra and he called 18β-glycyrrhizic acid as glycyrrhizin (EMA 2013). Glycyrrhizin is the major bioactive compound in the underground parts of Glycyrrhiza plants, which possess a wide range of pharmacological properties, and are used worldwide as a natural sweetener. Due to its economic value, the biosynthesis of glycyrrhizin has received substantial importance in many parts of the world. The percentage of Glycyrrhizin present in the root as potassium and calcium salts depends on plant species, geographic, and climatic conditions (Sabbioni et al. 2005). It is the flavonoids and chalcones which impart the 446 Wild Plants: The Treasure of Natural Healers Figure 18.1: Structures of important constituents of Glycyrrhiza. yellow color to liquorice (Damle 2014). Examples of such flavonoids and chalcones include liquiritin, liquiritigenin, rhamnoliquiritin, neoliquiritin, isoliquiritin, isoliquiritigenin, neoisoliquiritin, licuraside, glabrolide, and licoflavonol (Damle 2014). Structures of important constituents of Glycyrrhiza have been given in Figure 18.1 (Pandey et al. 2017). Traditional Uses It had extensible uses in traditional Ayurveda and Chinese medicine for different liver and skin diseases for hundreds of years (EMA 2013). The earliest evidence of the use of liquorice comes from the ancient catacombs of Egyptian rulers. One of the earliest record of its use in medicine is found in “code Hummurabi” (2100 BC). It is also one of the important plants mentioned in Assyrian herbal studies (2000 BC) (Kaur et al. 2013). The people in ancient Greece and Rome commonly used liquorice as a tonic and as a cold remedy (Marisa et al. 2013). Theophrastus is known to have suggested liquorice as a remedy to combat infertility, to heal wounds and ulcerations of the mouth, and to treat malaises of the throat. Among the ancient Hindus, it was believed that liquorice, administered as a mixture with milk and sugar, increased sexual potency (Marisa et al. 2013). The ancient Chinese believed that liquorice root gave them strength and endurance, and they prepared it most often as tea for its tonic, expectorant, rejuvenating, laxative, and nutritive properties (Marisa et al. 2013). During the middle ages, Arabic medical scientists such as IbnSinna wrote about licorice. English physician Nicholas Culpeper documented numerous uses of licorice in his work, the “Complete Herbal” (Marisa et al. 2013). In the 19th century, American Samuel Stearns and John Monroe proclaimed that the liquorice root has soothing, demulcent, expectorant, detergent, and diuretic property (Marisa et al. 2013). In India, licorice was believed to ease thirst, and has antitussive and demulcent activity. It was also thought to serve as a treatment for nausea, influenza, and urinary tract diseases (Marisa et al. 2013). In the Chinese subcontinent, licorice was used as a guide to enhance the effectiveness of the other ingredients, reduce toxicity, provide flavor, and improve the taste (Marisa et al. 2013). Licorice in present days also continues to serve as a flavoring agent, sweetening the bitter taste of many drugs (Zheng et al. 2018). It is still used as a filler for pills, as an essential ingredient in ointments for treating different skin diseases, for prolonging the effects of strong tonic medicines, and to potentiate glucocorticoid actions (Marisa et al. 2013). In 1949, Costello and Lynn suggested that this plant can be used for the medicinal purposes for the hormonal imbalances associated with menstruation. He extracted the estrogenic constituents from G. glabra (Marisa et al. 2013). At present, licorice extracts have been commonly used in many European countries to relieve gastric and duodenal ulcers. Carbenexolone sodium, an antipeptic ulcer drug, which is a succinate derivative of 18β-glycyrrhetinic acid, has been extensively employed for the purpose of alleviating ulcers (Yano et al. 1989). Licorice is the most-used crude drug in Kampo medicines (traditional Chinese medicines modified in Japan) (Fukai et al. 2002). Anemia: A decoction of licorice powder is generally prescribed with honey to treat anemia. Aphrodisiac: A mixture of licorice powder with honey taken with milk is used as an aphrodisiac and as an intellect-promoting tonic. Ethnomedicinal and Pharmacological Importance of Glycyrrhiza glabra L. 447 Burns and Bruishes: Warm clarified butter mixed with licorice, is used topically on wounds, bruises, and burns. Cardiotonic: A paste of licorice and Picirrhizakurroa with sugar water is used as a cardiotonic. Edema: In edema, a paste of licorice and Sesamumindicum milk mixed with butter is used. Greying of hair: A decoction of the root is considered a good wash for falling and greying of hair. Haematemesis: A mixture of licorice and Santalum album, powdered with milk is used to treat haematemesis. Hoarseness: A confection of rice milk, prepared with licorice, is used for the treatment of hoarseness of voice. Lactation: After mixing with cow’s milk, it is used for promoting lactation. Menmetrorrhagia: Equal parts of root powder and sugar are pounded with rice water and are commonly prescribed in menometrorrhagia. Clinical Studies and Therapeutic Implications The main constituents with pharmacological value of licorice are glycyrrhizin and its aglycone, namely 18β-glycyrrhetinic acid. These two compounds were found to show wide biological activities. They exhibit anti-ulceric, anti-inflammatory, anti-allergic, antioxidative, antiviral, anticarcinogenic, antithrombotic, hepatoprotective, neuroprotective, and antidiabetic activities (Zhang and Ye 2009). The glycyrrhizin has also been used as a potential therapeutic agent for different viral diseases such as chronic hepatitis B and C, human immune deficiency virus (Zhang and Ye 2009). It has traditional applications in stimulating digestive system functions, eliminating phlegm, relieving coughing, nourishing qi, and alleviating pain (Yang et al. 2017). Other studies have elaborated its other effects, such as nootropic action (Dhingra et al. 2004), anticariogenic action (Ajagannanavar et al. 2014), anti-tussive action (Kuang et al. 2018), and hair growth (Roy et al. 2014). Anti-inflammatory Effects The effect of glycyrrhizin on inflammatory mediators, such as neutrophil functions, including reactive oxygen species (ROS) generation was examined. The finding was that glycyrrhizin is not an ROS scavenger, but exerts an anti-inflammatory action by inhibiting the generation of ROS by neutrophils, which is a potent inflammatory mediator (Akamatsu et al. 1991). The alcoholic and petroleum ether extracts of licorice roots can be safely used as anti-inflammatory agents determined in carrageenan-induced edema in experimental rats (Anmar et al. 1997). Topical application of extracts of raw licorice obtained by ethanol (LE) or roasted licorice obtained by ethanol (rLE) onto the mouse ear prior to 12-O-tetradecanoylphorbol-13-acetate (TPA) treatment inhibited TPA-induced acute inflammation, and oral administration of LE or rLE effectively suppressed the inflammatory response and tissue damage in collagen-induced arthritis (CIA) mouse model. rLE exhibited a more potent inhibition on TPA-induced acute inflammation than LE, but the antiarthritic effect of rLE was similar to that of LE in the CIA model (Kim et al. 2010). Overall, these data suggest that supplementation with LE and rLE may be beneficial in preventing and treating both acute and chronic inflammatory conditions, including rheumatoid arthritis. Furthermore, LE and rLE treatment also prevented oxidative damages in liver and kidney tissues of CIA mice (Kim et al. 2010). The G. glabra extract has a significant anti-inflammatory action when compared to aspirin when the anti-inflammatory activity of it was screened by protein denaturation assay using aspirin as control (Jitesh 2017). 448 Wild Plants: The Treasure of Natural Healers Antiulcer Effects The pathogenesis of peptic ulcer disease includes an imbalance between gastric offensive factors such as acid, pepsin secretion, Helicobacter pylori, bile salts, ethanol, some medications such as NSAIDS, lipid peroxidation, nitric oxide (NO), and defensive mucosal factors such as prostaglandins (PG’s), gastric mucus, cellular renovation, blood flow, mucosal cell shedding, glycoproteins, mucin secretion, proliferation, and antioxidant enzymes such as catalase (CAT), Superoxide dismutase (SOD), and glutathione level (Kaur et al. 2012). Licorice causes the inhibition of 15-hydroxyprostaglandin dehydrogenase and delta13prostaglandin reductase. 15-hydroxyprostaglandin dehydrogenase converts prostaglandins E2 and F2α to 15-ketoprostaglandins, which are inactive. This prevents the concentration of prostaglandin E2 and F2α towards degradation into inactive compounds (Baker 1994). Different prostaglandins have gastro shielding role. They help to maintain the mucosal integrity, and PGE2 is basically more important for this action. Increase in concentration of local prostaglandins promote the mucous secretion and cell proliferation in the stomach that ultimately promotes the healing of ulcers (Takeuchi and Amagase 2018). The saponins and flavonoids are both considered to be the major bioactive constituents of licorice. The protective effect of licorice extract against gastric ulcer was recognized to glycyrrhizic acid-free fractions. And the role of flavonoids was also identified as part of the pharmacological activities of licorice (Zhang and Ye 2009). The antioxidative mechanism of GutGard (a standardized extract of G. glabra) against gastric mucosal lesions was supported by its in vitro antioxidant potency, as evidenced by its high oxygen radical absorbance capacity assay (ORAC) value. These results support the ethnomedical uses of licorice in the treatment of ulcers (Mukherjee et al. 2010). The different chemical constituents of the plant, glabridin and glabrene, which are the components of G. glabra, exhibited inhibitory activity against the growth of Helicobacter pylori in vitro. These flavonoids also showed anti-H. pylori activity against a Clarithromycin and Amoxicillin resistant strain (Fukai et al. 2002). A study even suggested licorice could be promoted as a replacement in the treatment for quadruple therapy when this regimen is not available as licorice has a low-cost, is highly tolerable, and has minimal side-effects (Rahnama et al. 2013). In a study where anti-ulcer activity of DGL (Deglycyrrhizinated licorice) was evaluated in some common etiologies of ulcer, its extract was found to lower the frequency of ulcers, reduce the severity and inflammation of ulcers in all the three ulcer models, i.e., ethanol-induced ulcer model, aspirin-induced ulcer model, and stress-induced ulcer model (Kulkarni 2017). Carbenoxolone Carbenoxolone is a glycyrrhetinic acid derived from the root of licorice plant. It is one among few ulcer healing drugs used for treatment of esophageal, peptic, oropharyngeal inflammations, and ulceration (Pinder et al. 1976). Carbenoxolone sodium accelerates the rate of healing of both gastric and duodenal ulcers. Carbenoxolone may act by affecting both the proliferative activity of gastric epithelium and the differentiation of the epithelial cells to produce mucus, as well as favorably altering the physicochemical properties of mucus and by reducing peptic activity. These factors may be useful for the prevention of acute gastric ulcers. Optimum therapeutic effect in gastric ulcer with the least side-effects is achieved with a dosage of 100 mg Carbenoxolone tablets three times daily for the first week, followed by 50 mg three times daily thereafter, best taken before meals. A lower dosage is recommended in the elderly and in patients with other medical conditions, such as those with renal, cardiac, or liver disease (Pinder et al. 1976). The exact mechanism of the action of Carbenoloxone is still undecided. However, its benefits in treatment of gastric and duodenal ulcers are well established. Carbenoxolone is a compound developed as glycyrrhizate analog, and has shown to be effective in clinical trials in the treatment of Ethnomedicinal and Pharmacological Importance of Glycyrrhiza glabra L. 449 gastric ulcer at the medium dose of 100 mg three times a day (Horwich and Galloway 1965, Turpie and Thomson 1965, Fraser et al. 1972, Langman et al. 1973) and duodenal ulcers (Brown et al. 1972, Doll et al. 1968, Montgomery et al. 1968). Antimicrobial and Immune-stimulatory Effects The presence of secondary metabolites such as saponins, alkaloids, flavonoids in hydro-methanolic root extract of Glycyrrhiza glabra, exhibits potent antibacterial activity (Sharma et al. 2013). In vitro studies have proved that aqueous and ethanolic extracts of licorice show inhibitory activity on cultures of Staphylococcus aureus and Streptococcus pyogenes. Isoflavonoids such as glabridin, glabrol, and their derivatives are responsible for in vivo inhibition of Mycobacterium smegmatis and Candida albicans (Alonso 2004). Methanolic extract of licorice was reported to have fungicidal activity against Arthrinium sacchari M001 and Chaetomium funicola M002. Glabridin was found to be the active compound giving antifungal activity (Hojo and Sato 2002). A constituent of licorice “Licochalcone A” was reported to possess very good antimalarial action. In vivo studies against P. yoelii in mice with oral doses of 1000 mg kg–1 have shown to eradicate the malarial parasite completely. The toxicity was also not reported with this (Sianne and Fanie 2002). Different studies have confirmed that the Glycyrrhiza glabra derived compound glycyrrhizin and its derivatives have antiviral activities. Animal studies demonstrated a reduction of mortality and viral activity in herpes simplex virus encephalitis and influenza. In vitro studies revealed antiviral activity against HIV 1, Severe Acute Respiratory Syndrome (SARS) related corona virus, respiratory syncytial virus, arboviruses, vaccinia virus, and vesicular stomatitis virus. Mechanisms for antiviral activity of Glycyrrhiza spp. include reduced transport to the membrane and sialylation of hepatitis B virus surface antigen, reduction of membrane fluidity leading to inhibition of fusion of the viral membrane of HIV 1 with the cell, induction of interferon-gamma in T cells, inhibition of phosphorylating enzymes in vesicular stomatitis virus infection, and reduction of viral latency (Fiore 2008). Glycyrrhizin has been reported as the most active in inhibiting replication of the SARS associated corona virus. This study suggests that glycyrrhizin should be assessed for treatment of SARS (Cinati et al. 2003). The observations done by Wolkerstorfer et al. (2009) lead to the conclusion, that the antiviral activity of GL is mediated by an interaction with the cell membrane, which most likely results in reduced endocytosis activity, hence reducing the virus uptake. These understandings can help in the development of structurally related anti-influenza compounds. Future research needs to explore the potency of compounds derived from licorice in the prevention and treatment of influenza A virus pneumonia and as an adjuvant treatment in patients infected with HIV resistant to antiretroviral drugs (Fiore et al. 2008). The Glycyrrhiza glabra at 100 μg/ml concentration, showed increased production of lymphocytes and macrophages from human granulocytes in in vitro studies. In in vivo studies, licorice root extract was found to prevent the rise in the number of immune-complexes in different auto-immune diseases (Alonso 2004). Antioxidant Activity Powdered dry roots of licorice were extracted with methanol. Licorice extract was tested for antioxidative activity in comparison to antioxidants sodium metabisulfite and Butylatedhydroxytoluene (BHT) at 0.1%, 0.5%, 1.0%, and 2.0% w/w in 2% w/w hydroquinone cream. The extract demonstrated more antioxidant activity than two other commercial antioxidants at all concentrations, suggesting the possibility of using a licorice extract as an effective natural antioxidant for substances that are oxidation-susceptible (Morteza-Semnani et al. 2003). A group of neolignan lipid estersand phenolic compounds isolated from the roots and stolons of licorice Glycyrrhiza glabra were found to have chemo preventive properties. Of these compounds, 450 Wild Plants: The Treasure of Natural Healers hispaglabridin B isoliquiritigenin, and paratocarpin B were found to be the most potent antioxidant agents (Chin et al. 2007). The phytochemical composition, antioxidant, cytotoxic, and antimicrobial activities of a methanol extract from Glycyrrhiza glabra (Ge) was investigated. The antioxidant activity was evaluated by scavenging 2, 2-diphenyl-1-picrylhydrazyl (DPPH) and 2, 20-azino-bis (3-ethylbenzothiazoline-6sulphonic acid) (ABTS) radicals, and reducing ferric complexes, and the total phenolic content was tested with the Folin–Ciocalteu method. According to this study, Ge has no antioxidant potential by this method, but suggested to be further studied for their potential to be developed as antioxidant. Instead, Ge showed moderate antibacterial activity against the 5 bacterial strains (Zhou et al. 2019). Antiatherogenic Effects The root extract of G. glabra was described to have antilipidemic and antihyperglycemic activity at low doses when its extract was studied on serum lipid profiles and liver enzymes in albino mice (Revers 1956). Supplementation of licorice root extract (0.1 g/d) to patients for 1 month resulted in moderate hypercholesterolemia patients. It reduced the plasma LDL cholesterol level, plasma triacylglycerol levels, and after consumption of placebo for one month, the parameter reversed towards the baseline. Licorice extract supplementation also reduced systolic blood pressure by 10%, which was sustained during the placebo consumption (Fuhrman et al. 2002). The antioxidant property of Glycyrrhiza glabra root extracts using in vitro models was evaluated. The dose-dependent aqueous and ethanolic extracts demonstrated the scavenging activity against nitric oxide, superoxide, hydroxyl radicals. Further, both extracts showed strong reducing power and iron-chelating capacities. The ethanolic extract of G. glabra possesses considerable antioxidant activity and protective effect against the human lipoprotein oxidative system (Visavadia et al. 2009). Hepatoprotective effects The in vivo protection of glycyrrhizin against CCl4-induced hepatotoxicity was illustrated by Jeong et al. (2002). Glycyrrhizin showed a significant reduction in the release of CCl4 induced AST and LDH at the concentration of 25–200 ug/ml. It has been speculated that this function was due to an alteration of membrane fluidity by the glycyrrhizin, or an inhibition of CCl4-induced membrane lipid peroxidation. 18β-glycyrrhetic acid (an aglycone of glycyrrhizic acid) shows hepatoprotective activity by inhibiting both free radical generation and lipid peroxidation. The depletion of hepatic glutathione was also reduced in a dose-dependent manner by glycyrrhizin treatment. Besides this, glycyrrhizin also showed efficacy in reducing different drug-induced toxicities. It has shown usefulness in treating acetaminophen-induced hepatotoxicity (Xu ying et al. 2009) and diclofenac-induced hepatotoxicity in rats (Alaaeldin 2007). Alpha-naphthylisothiocyanate (ANIT) is a common hepato-toxicant experimentally used to reproduce the pathologies of drug-induced liver injury in humans, but the mechanism of its toxicity remains unclear. Pre-treatment of glycyrrhizin (GL) and glycyrrhetinic acid (GA) prevented ANITinduced liver damage and reversed the alteration of bile acid metabolites. These results suggested that GL/GA could prevent drug-induced liver injury and ensuing disruption of bile acid metabolism in humans (Wang et al. 2017). Anticarcinogenic activity Constituents of licorice include triterpenoids, such as glycyrrhizin and its aglycone glycyrrhizic acid, various polyphenols, and polysaccharides. A number of pharmaceutical effects of licorice are known or suspected (anti-inflammatory, antivirus, anti-ulcer, anticarcinogenesis, and others). Licorice and Ethnomedicinal and Pharmacological Importance of Glycyrrhiza glabra L. 451 its derivatives may protect against carcinogen-induced DNA damage and may be suppressive agents as well. Glycyrrhizic acid is an inhibitor of lipoxygenase and cyclooxygenase, inhibits protein kinase C, and downregulates the epidermal growth factor receptor. Licorice polyphenols induce apoptosis in cancer cells (Wang and Nixon 2001). When normal serum-free mouse embryo (SFME), tumorigenic human c-Ha-ras and mouse c-myccotransfected highly metastatic serum-free mouse embryo-1 (r/m HM-SFME-1) cells were treated with various concentrations of clinically available antitumor agents or glycyrrhetinic acid (GA), the anti-proliferative effects of these compounds were determined by the MTT assay. Western blotting analysis, RT-PCR, fluorescence staining, and confocal laser scanning microscopic observation were adopted to analyze H-Ras regulation. GA exhibited the tumor cell-selective toxicity through H-Ras downregulation, and its selectivity was superior to those of all the clinically available antitumor agents examined (Tao et al. 2010). For the selective toxicity of tumor cells, GA was most effective at 10 μM. Amusingly, this concentration was the same as the previously reported maximum plasma GA level reached in humans ingesting licorice. The result suggests that GA with its cytotoxic effects could be utilized as a suitable antitumor chemo therapeutic agent (Tao et al. 2010, Yamaguchi et al. 2010). GA induces actin disruption and has tumor cell-selective toxic properties, and its selectivity is superior to those of all the clinically available antitumor agents tested in this study. The cytotoxic activity of GA and the tested antitumor agents showed a better correlation with the partition coefficient (log P) values rather than the polar surface area (PSA) values. For selective toxicity against tumor cells, GA was most effective at 10 μM (Yamaguchi et al. 2010). Licorice and its derivatives may protect against carcinogen-induced DNA damage and may be suppressive agents as well. Glycyrrhizic acid is an inhibitor of lipoxygenase and cyclooxygenase, inhibits protein kinase C, and downregulates the epidermal growth factor receptor. Licorice polyphenols induce apoptosis in cancer cells (Wang 2001). Persistent Hepatitis C Virus (HCV) infection and necro-inflammatory changes in chronic hepatitis C accelerate the development of liver cirrhosis and can promote in Hepatocellular carcinoma (HCC). When intravenous injection with Stronger Neo-Minophagen C (SNMC) was started in patients with chronic hepatitis or liver cirrhosis, most of them turned out to be infected with hepatitis viruses (Kumada 2002). In a multicenter double-blind study, Alanine AminoTransferase (ALT) levels decreased in the patients who received 40 ml/day of SNMC for four weeks at a rate significantly higher (p < 0.001) than controls receiving placebo. Furthermore, 100 ml/day of SNMC for eight weeks improved liver histology in 40 patients with chronic hepatitis, in correlation with improved ALT levels in serum. Liver cirrhosis occurred less frequently in 178 patients on long-term SNMC than in 100 controls (28 vs 40% at year 13, p < 0.002) (Kumada 2002). HCC developed less frequently in the 84 patients on long-term SNMC than in the 109 controls (13 vs 25% at year 15, p < 0.002). These results indicate that long-term treatment with SNMC prevents the development of HCC in patients with chronic hepatitis. SNMC is also helpful in patients with chronic hepatitis C who fail to respond to interferon, and in cases where interferon cannot be given due to many reasons (Kumada 2002). Glycyrrhetinic acid (GA) and some of its derivatives may offer a role in combating cancer types having bad prognosis. Some GA derivatives are indeed able to target both the proteasome and Peroxisome Proliferator-Activated Receptors (PPARs), two proteins that play major roles in cancer cell biology, but are not related to Multi-Drug Resistant (MDR) and/or apoptosis-related resistance phenotypes (Lallemand et al. 2011). Anticariogenic The effect of licorice and its active sweet component glycyrrhizin was tested on the growth and adherence to glass of the cariogenic Streptococcus mutans. Neither licorice nor glycyrrhizin promoted growth or induced plaque formation. In the presence of sucrose, glycyrrhizin did not affect bacterial growth, but instead the plaque formation was markedly repressed. At 0.5–1% glycyrrhizin, inhibition 452 Wild Plants: The Treasure of Natural Healers was almost complete. These results support that glycyrrhizin might serve as an efficient vehicle for topical oral medications (Segal et al. 1985). The effect of Aqueous and Alcoholic Licorice root extract against Streptococcus mutans and Lactobacillus acidophilus in comparison to Chlorhexidine was studied. At the end of 48 hours, statistically significant antimicrobial activity was demonstrated by all the test specimens used in this study. The inhibitory effect shown by alcoholic licorice root extract against S. mutans and L. acidophilus was found superior when compared to that of Chlorhexidine (CHX) and aqueous licorice (Ajagannanavar et al. 2014). According to (Jatav et al. 2011) in the presence of sucrose, 0.5–1% glycyrrhizin had no effect on growth, but significantly inhibited bacterial adherence to glass by nearly 100% at the highest concentration tested. This also implies its anticariogenic role. Antitussive and Expectorant Activity Glycyrrhiza roots are useful for treating cough because of their demulcent and expectorant properties. The licorice powder and extract were found to be effective in treatment of sore throat, cough, and bronchial catarrh. It decreases irritation and produces expectorant effects. Licorice extract may stimulate tracheal mucous secretions producing demulcent and expectorant effects, although exact mechanism is not known. It efficiency is compared to be equivalent to that of codeine in sore throat (Murray 1998). Licorice has been used as an antitussive and expectorant herbal medicine for a long time. Cough is produced in different medical conditions, such as common cold, bronchitis, and other respiratory illnesses. Expectorants help to bring up mucus and other materials from the lung, bronchi, and trachea. The activities of 14 major compounds and crude extracts of licorice, using the classical ammoniainduced cough model and phenol red secretion model in mice was evaluated. Liquiritinapioside, liquiritin, and liquiritigenin at 50 mg/kg (i.g.) could significantly decrease cough frequency by 30–78% (p < .01). The compounds Liquiritinapioside, liquiritin, and liquiritigenin showed potent expectorant activities after 3 days of treatment (p < .05). The water and ethanol extracts of licorice, which contain abundant Liquiritinapioside and liquiritin, could decrease cough frequency at 200 mg/kg by 25–59% (p < .05). The result indicates liquiritinapioside and liquiritin are the major antitussive and expectorant compounds of licorice. Their antitussive effects depend on both peripheral and central mechanisms (Kuang et al. 2018). Glycyrrhizin is responsible for demulcent action of licorice. Liquiritinapioside, an active compound present in the methanolic extract of licorice, is found to inhibit capsaicin-induced cough (Kamei et al. 2003). Hair growth The hydro-alcoholic extract of 2% licorice showed better hair growth activity than 2% of the standard drug Minoxidil. Thus, its further study for alopecia after efficacy and safety analysis is suggested (Roy et al. 2014). Anti Coagulant Glycyrrhizin is one of the first plant-based inhibitors of thrombin. It is found to prolong the thrombin and fibrinogen clotting time (Mendes-Silva et al. 2003). Glycyrrhizin causes inhibition in thrombininduced platelet aggregation (Mauricio et al. 1997). Nootropic action Nootropics are drugs, supplements, and other substances that may improve cognitive functions, such as memory, creativity, etc., in healthy individuals. Significant improvement in learning and Ethnomedicinal and Pharmacological Importance of Glycyrrhiza glabra L. 453 memory of mice was reported at the dose of 150 mg/kg when investigated in mice. Three doses of aqueous extract of licorice were administered (75, 150, and 300 mg/kg p.o) for seven successive days in separate groups of animals. Elevated plus-maze and passive avoidance paradigm were used as experimental setup to test learning and memory (Dhingra et al. 2004). Uses in Skin In vitro tyrosinase enzyme inhibition studies have showed that 21.2 μg/ml of methanolic extract of licorice caused 50% tyrosinase enzyme inhibition. The inhibition of tyrosinase enzyme and reduction in enzyme activity is caused due to modification of action site of the enzyme. Due to good tyrosinase inhibition activity, licorice extract can be used for depigmenting activity (Zuidhoff and Rijsbergen 2001). Some other active compounds in licorice extract, such as glabrene, Licochalcone A, Isoliquiritin are also responsible for inhibition of tyrosinase activity. Liquiritin present in licorice extract disperses melanin, thereby inducing skin lightening (Nohata et al. 2005). Safety and Side-effects of Licorice and its Constituents Different genotoxic studies have shown that glycyrrhizin is neither teratogenic nor mutagenic, and may possess antigenotoxic properties under certain conditions. Based on the in vivo and clinical evidence, it is proposed that a daily intake of 0.015–0.229 mg glycyrrhizin/kg body weight/day is acceptable (Isbrucker and Burdock 2006). High intake of licorice can cause hyper mineralocorticoidism with sodium retention and potassium loss, oedema, increased blood pressure, and depression of the renin-angiotensin-aldosterone system. As a result, the number of related clinical symptoms are reported. There is increased cortisol level in the kidneys and other mineralocorticoid selective tissues because of the inhibition of enzymes involved in the metabolism of corticosteroids. Glycyrrhetic acid inhibits the enzyme 11β-hydroxysteroid dehydrogenase involved in the metabolism of corticosteroids which is produced after glycyrrhizic acid is hydrolyzed in the intestine. This cortisol results in hyper mineralocorticoid effect. The compensatory physiological mechanisms following hyper mineralocorticoids, which is depression of the renin-angiotensin system, can last several months. The inhibitory effect on 11β-hydroxysteroid dehydrogenase is reversible. So after the withdrawal of consumption of licorice, there is physiological reversal of hyper mineralocorticoids, but it takes several months (Størmer et al. 1993). The continuous, high-level exposure to glycyrrhizin compounds can produce hyper mineralocorticoid-like effects in both animals and humans. The glycyrrhizinates inhibit 11betahydroxysteroid dehydrogenase, the enzyme responsible for inactivating cortisol. And these effects are reversible upon withdrawal of glycyrrhizin (Isbrucker and Burdock 2006, Yang et al. 2017). Severe mineralocorticoid-like toxic effects, such as sodium and water retention and hypokalemia appear, most frequently in those receiving excessive doses of Carbenoxolone. It should be used in patients with careful and regular observation of serum electrolytes, especially potassium. If the signs of the toxicity appears, it should be stopped and the complication is treated (Pinder et al. 1976). Short-term use of less than 4–6 weeks of licorice preparations is regarded safe. The most common serious side-effects reported following chronic use of high dose of licorice root are hypokalemia and hypertension. Especially in vulnerable people, prolonged daily intake even of low doses of licorice, corresponding to 80–100 mg of glycyrrhizic acid, may provoke severe hypertension. More rarely, cardiac rhythm disorders can occur. And there is insufficient data to support the safety of licorice root during pregnancy and lactation in children and adolescents under 18 years, therefore the use is not recommended for these patient groups (EMA 2013). 454 Wild Plants: The Treasure of Natural Healers Conclusion Glycyrrhiza glabra is a plant with huge ethno-pharmacological importance. Its role has been identified in many clinical conditions, such as anti-inflammatory, anti-ulcer, antiviral, antimicrobial, antioxidants, antiatherogenic, anticarcinogenic, antimutagenic, antitussive expectorant, and hepatoprotective, etc. Carbenoxolone is a glycyrrhetinic acid derived from the root of this plant. It is one of the established commercial drugs found to have good clinical efficacy for esophageal, peptic, oropharyngeal inflammations, and ulceration. In medieval times, Glycyrrhiza glabra was used for soothing, demulcent, expectorant, detergent, and diuretic properties. In the middle ages, it was used for maintaining hormonal balance in menstrual irregularities, to combat infertility, and increase the sexual potency. As a traditional herbal use, it has been considered for the dyspepsia and expectorants as herbal infusion in boiling water or as a decoction. Its use as soft extract indicated to improve the gastric function, and dry extract in combination with other expectorants is also available in markets around the world. It has been suggested for depigmenting and skin lightening property. Thus, licorice extract has a possibility to be used solely or as an ingredient for making different cosmetic preparations. It is claimed to have better hair re-growing activity than Standard Minoxidil preparation in some studies. It is implied to have anticaries role as well. Short term and appropriate use of licorice preparations is regarded as safe. Still, serious side effects, such as hypokalemia and hypertension are reported following chronic use of high dose of licorice root. And there is insufficient data to support the safety of licorice root during pregnancy, lactation, and in children. Therefore, it requires more extensive study before recommending the use in those age groups. The constituents of licorice are found to have anticarcinogenic activity. However, there is still a need of ample tests on reproductive toxicity, teratogenicity, and carcinogenicity before its actual benefits can be acclaimed. Licorice in present days also continues to serve as a flavoring agent, sweetening the bitter taste of many drugs. 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Index A G Active chemical constituents 194 Acute Effects 415 Anti-arrhythmatic 290 Antifungal 122, 126–128, 130, 131–134 Anti-inflammatory mechanism 379, 390–393 Antimicrobial activity 151, 154, 155 Argentina 204–207, 209, 210, 212–215, 217, 219 Artemisinin 317, 318 Ayahuasca 401–422 Glycyrrhiza glabra 444, 445, 449, 450, 454 Glycyrrhizin 444, 445, 447–453 B Indigenous groups 231 Innovation 37, 38, 41–44, 55–58, 60, 61 Interculturality 41 Bangladesh 90–94, 115, 116, 118 Bioactive compounds 38 Biological activities 338, 368, 390, 392, 393 Bombacoideae 338–341, 343, 345–350, 352, 354, 357–359, 364, 368, 369, 372, 375, 376, 390, 392, 393 Bothrops jararacussu 138, 140, 150 Butter trees 231–234, 244 H Herbal 427–431, 437–439 Herbal Medicines 269 Hunting pressure 237–239 I L Latin America 169 Liquorice 444–446 Long-Term Effects 416, 418 C M Cacti 326 Cancer 91, 94, 104, 112, 115–117, 309, 318 Cardiovascular 288, 290, 291, 299 Chittagong Hill tracts 90–92, 115, 118 Choerospondias axillaris 274, 275 Cloud forests 37–40, 43–47, 55, 58–61 Conservation of natural resources 31 Cosmeceuticals 426, 427, 430, 431, 436–438 Malaria 309, 317, 318 Medicinal plants 91–93, 115, 117, 118, 204–208, 211, 214, 219, 444 Medicine 4–12, 66, 68, 70–81, 85 Metabolites 327, 330, 331 Moorland 37–41, 43–47, 55, 58–60 D Nanotechnology 426, 437, 438 Nature 4 Diabetes 91, 94, 96, 100, 105, 107–109, 113, 117 Disappearance of medicinal plants 21, 22 Diseases 249–251, 256, 257, 263 E Economic value 8 Essential oils 308, 309, 311, 312, 314–316, 318, 319 Ethnic communities 64, 65 Ethnobotanical uses 169, 171, 172, 175, 176, 180, 184–186, 192, 194 Ethnobotany 430 F Flowering 234, 238–241, 244, 245 Folk medicinal uses 339 Fruits 121–126, 128, 130, 134 N O Oleanolic acid 140, 151, 152, 154–159 Oxidative stress 140, 152, 154, 155, 158 P Participatory research 43, 44 Pharmacological effects 169, 171, 172, 175–177, 179, 180, 184–186, 190, 192, 194 Phrenic nerve-diaphragm preparation 150, 155, 156 Phytochemicals 204–206, 208–210, 212, 214, 216 Phytopathogenic 121, 122, 134 Phytotherapy 204 Plant 3–6, 8–13 458 Wild Plants: The Treasure of Natural Healers Plant resources 64, 65, 85 Pollination 235, 237, 239, 241 Proanthocyanins 279–281, 283, 287, 295, 297, 301 R Risks 413, 415, 418, 419, 421, 422 S Scientific knowledge 37, 41–44, 55, 56 Secondary metabolites 338–340, 368, 376, 392, 393 Semiarid 327–329, 331, 332, 334 Significant consensus 82, 86 Skin 249–254, 256–259, 261, 263, 265, 266, 269 Skincare 426–429, 431, 432, 436–439 Sour toppings 277 Sustainable utilization 11 T Traditional healer 6–8 Traditional knowledge 37, 38, 41–44, 46, 55, 57, 58, 60, 64 Traditional medicine 204, 205, 208, 209, 216 Traditional use 315, 317, 320, 446, 454 Transculturation 21, 24, 26 Treatment 249, 250, 252, 254–257, 259, 261–266, 269 Tribes 91–94, 115, 117 U Ursolic acid 138, 140, 148, 150–152, 154–159 Use of mandacaru 326–328, 330–334 W Wild medicinal plants 168, 169, 178, 183, 188, 189, 194 Wild plants 37, 38, 41, 44, 46, 55–58, 60, 61, 121, 134 About the Editors Dr. Mahendra Rai is a Senior Professor and UGC-Basic Science Research Faculty at the Department of Biotechnology, Sant Gadge Baba Amravati University, Maharashtra, India. He was a visiting scientist at the University of Geneva, Debrecen University, Hungary; University of Campinas, Brazil; Nicolaus Copernicus University, Poland; VSB Technical University of Ostrava, Czech Republic, and National University of Rosario, Argentina. He has published more than 400 research papers in national and international journals. In addition, he has edited/authored more than 55 books and 6 patents. Dr. Shandesh Bhattarai is a Senior Scientific Officer at Nepal Academy of Science and Technology, Khumaltar, Lalitpur, Nepal. He worked in the collaborative research projects funded by NUFU-Norway, VW Foundation-Germany, Darwin Initiative-UK, DFID-UK, IUCN-Bangkok, UGC-Nepal, etc. He is a coordinator of the Flora of Nepal Project, an international initiative of the institutions of Nepal, UK, and Japan. He has published more than 35 research papers in national and international journals and has authored one book. Dr. Chistiane M. Feitosa is a Professor at the Department of Chemistry, Federal University of Piaui, Teresina-Piaui, Brazil. Her research area includes natural products with the potential for the treatment of neurodegenerative diseases. She has published more than 50 research papers in national and international journals. In addition, she has edited/authored more than 10 books/chapters and 5 patents.