Delving into the Antiurolithiatic Potential of Tribulus terrestris Extract Through -In Vivo Efficacy and Preclinical Safety Investigations in Wistar Rats

Himalayan Citrus jambhiri juice reduced renal crystallization in nephrolithiasis by possible inhibition of glycolate oxidase and matrix metalloproteinases

ETHNOPHARMACOLOGICAL RELEVANCE

Citrus fruits are a very rich source of electrolytes and citric acid. They have been used traditionally for treating urinary ailments and renal stones. Citrus jambhiri is indigenously used as a diuretic.

AIM OF THE STUDY

Present study aimed at establishing the antiurolithiatic potential of the juice of Citrus jambhiri fruits along with the elucidation of the mechanism involved in the urolithiasis disease defying activity.

METHODS

The antiurolithiatic activity was established by means of nucleation, growth and aggregation assay in the in vitro settings and by means of ethylene glycol mediated calcium oxalate urolithiasis in the male Wistar rats. Docking studies were performed in an attempt to determine the mechanism of the antiurolithiatic action.

RESULTS

Present study revealed the role of C. jambhiri fruit juice in reducing nucleation, growth and aggregation of calcium oxalate crystals by possible reduction in the urinary supersaturation relative to calcium oxalate and raising the zeta potential of the calcium oxalate crystals. C. jambhiri fruit juice treatment in experimental rats produced significant amelioration of hypercalciuria, hyperoxaluria, hyperphosphaturia, hyperproteinuria, hyperuricosuria, hypocitraturia and hypomagnesiuria and ion activity product of calcium oxalate. It exhibited nephroprotection against calcium oxalate crystals induced renal tubular dilation and renal tissue deterioration. Docking studies further revealed high binding potential of the phytoconstituents of C. jambhiri viz. narirutin, neohesperidin, hesperidin, rutin and citric acid with glycolate oxidase and matrix metalloproteinase-9.

CONCLUSION

C. jambhiri fruit juice possesses excellent antiurolithiatic activity. The study reveals antiurolithiatic mechanism that involves restoration of equilibrium between the promoters and inhibitors of stone formation; and inhibition of matrix metalloproteinases and glycolate oxidase.

Multi-Mechanistic and Therapeutic Exploration of Nephroprotective Effect of Traditional Ayurvedic Polyherbal Formulation Using In Silico, In Vitro and In Vivo Approaches

Based on traditional therapeutic claims, NEERI KFT (a traditional Ayurvedic polyherbal preparation) has been innovatively developed in recent time on the decades of experience for treating kidney dysfunction. Due to the lack of scientific evidence, the present investigations are needed to support the rationale use of NEERI KFT. Considering the facts, the study investigated the nephroprotective effect of NEERI KFT against kidney dysfunction using in silico, in vitro and in vivo approaches. In this study, phytochemical and network pharmacology studies were performed for the developed formulation to evaluate the molecular mechanism of NEERI KFT in the amelioration of kidney disease. In vitro nephroprotective and antioxidant effect of NEERI KFT was determined on HEK 293 cells against cisplatin-induced cytotoxicity and oxidative stress. In vivo nephroprotective effect of NEERI KFT was determined against cisplatin-induced nephrotoxicity in Wistar rats, via assessing biochemical markers, antioxidant enzymes and inflammatory cytokines such as TNF-α, IL-1β, CASP-3, etc. The results showed that the compounds such as gallic acid, caffeic acid and ferulic acid are the major constituents of NEERI KFT, while network pharmacology analysis indicated a strong interaction between polyphenols and several genes (CASPs, ILs, AGTR1, AKT, ACE2, SOD1, etc.) involved in the pathophysiology of kidney disease. In vivo studies showed a significant (p < 0.05) ameliorative effect on biochemical markers and antioxidant enzymes (SOD, CAT, GSH, etc.), and regulates inflammatory cytokine (TNF-α, IL-1β, CASP-3) expression in kidney tissue. Hence, it can be concluded that NEERI KFT subsequently alleviates renal dysfunction mediated by cisplatin via attenuating oxidative and inflammatory stress, thus preserving the normalcy of kidney function.

Medicinal plants with anti-SARS-CoV activity repurposing for treatment of COVID-19 infection: A systematic review and meta-analysis

The novel SARS-CoV-2 (severe acute respiratory syndrome coronavirus) has emerged as a significant threat to public health with startling drawbacks in all sectors globally. This study investigates the practicality of some medicinal plants for SARS-CoV-2 therapy using a systematic review and meta-analysis of their reported SARS-CoV-1 inhibitory potencies. Relevant data were systematically gathered from three databases, viz., Web of Science, PubMed and Scopus. The information obtained included botanical information, extraction method and extracts concentrations, as well as the proposed mechanisms. Fourteen articles describing 30 different plants met our eligibility criteria. Random effects model and subgroup analysis were applied to investigate heterogeneity. According to subgroup analysis, the substantial heterogeneity of the estimated mean based on the IC ₅₀ values reporting the most potent anti-SARS-CoV 3C--like protease (3CLpro) inhibitors (10.07 %, p < 0.0001), was significantly higher compared to the most active anti-SARS-CoV papain-like protease (PLpro) inhibitors (6.12 %, p < 0.0001). More importantly, the literature analysis revealed that fruit extracts of Rheum palmatum L. and the compound cryptotanshinone isolated from the root of Salvia miltiorrhiza (IC ₅₀ = 0.8 ± 0.2 μmol L^-1) were excellent candidates for anti--SARS-CoV targeting PLpro. Meanwhile, iguesterin (IC ₅₀ = 2.6 ± 0.6 μmol L^-1) isolated from the bark of Tripterygium regelii emerged as the most excellent candidate for anti-SARS--CoV targeting 3CLpro. The present systematic review and meta-analysis provide valuable and comprehensive information about potential medicinal plants for SARS-CoV-2 inhibition. The chemotypes identified herein can be adopted as a starting point for developing new drugs to contain the novel virus.

Ethnomedicinal Plants Used for Treatment of Urolithiasis in India: A Review

Background:

The kidney stone is the most commonly observed and painful disease of the urinary tract in human being. Numerous intrinsic and extrinsic factors are responsible for the formation of kidney stone, for instance, age, sex, heredity (intrinsic factors) and climate, dietary, geography, mineral composition, and water intake (extrinsic factors). The kidney stones are categorized into calcium, struvite or magnesium ammonium phosphate, uric acid or urate, cystine and other types of stones based on chemical composition and pathogenesis. Due to the multifactorial nature of kidney stone disease, the patient may need to rely on complex synthetic medication. However, in ancient Indian history, there are several pieces of evidence where natural resources such as plants were used to remediation this lethal disease.

Objective:

The present review attempts to provide exhaustive information of ethnomedicinal and ethnopharmacological information of medicinal plants used for kidney stone in India.

Result:

Hitherto, there are a total of 258 ethnomedicinal plants from 90 different families reported using for kidney stone application. The majority of the plant species are associated with three important families: Asteraceae, Amaranthaceae, and Fabaceae. Most of the plants are from Andhra Pradesh (43 plants), followed by East Bengal (38), Jammu & Kashmir (36), Uttarakhand (31), Panjab (27), Mizoram (23), Karnataka (20), Maharashtra (20) and Assam (18). The commonly used plant parts for the herbal preparation are roots (21.22 %) followed by leaves/leaf (20.15 %), and sometimes complete plant (17.77 %) is used. The most commonly used method for the formulation is decoction (46.41 %) followed by powder (18.66 %) and then extracts (15.78 %) of different aerial and non-aerial parts of the plant. To date, the in-vitro and in-vivo activities against the kidney stone assessed for more than sixty ethnomedicinal plants.

Conclusion:

The present review epitomizes the ethnomedicinal information of medicinal plants used for kidney stone and pharmacological evidence for anti-urolithiasis activity. Most reported medicinal plants are not yet scientifically explored and need immediate attention before we lose some important species due to excessive deforestation for farming and industrial needs.

Anti-inflammatory, analgesic activity, and toxicity of Pituranthos scoparius stem extract: An ethnopharmacological study in rat and mouse models

ETHNOPHARMACOLOGICAL RELEVANCE

Pituranthos scoparius is a medicinal plant that is used in traditional medicine in Algeria and other North African nations to treat several diseases such as asthma, rheumatism, measles, dermatoses, jaundice, and digestive disorders.

AIM OF THE STUDY

The present investigation was designed to investigate an ethnobotanical survey about Pituranthos scoparius in Setif region, Algeria, and assess the acute toxicity, in vivo anti-inflammatory potential and analgesic effect of Pituranthos scoparius hydromethanolic stem extract (PSSE) in rats and mice models.

MATERIALS AND METHODS

Acute toxicity of PSSE was carried out based on OECD guidelines 425. Both possible death and signs accompanying toxicity of animals were monitored for 14 days to establish the median lethal dose (LD₅₀) of PSSE. Anti-inflammatory effect of the extract was evaluated using the xylene, croton oil-induced ear edema, and carrageenan-induced paw edema, whereas the analgesic activity was evaluated using acetic acid-induced abdominal constriction in mice model.

RESULTS

Data from the ethnopharmacological survey showed that 24.47% of people used this plant in traditional (folk) medicine. Results also revealed that PSSE contains high amounts of polyphenols, flavonoids, and tannins, and that the extract did not cause any deaths or changes in the behavior of treated animals; LD₅₀ values were found to be higher than 5 g/kg BW. Additionally, no significant variations were observed in the alkaline phosphatase (ALP), alanine aminotransferase (ALT), and aspartate aminotransferase (AST) enzymes, or in the levels of urea and creatinine. Oral administration of PSSE at the doses of 100, 300, and 600 mg/kg produced a significant dose-dependent inhibition effect in both xylene and croton oil-induced ear edema in mice. Administration of PSSE at a dose of 100, 250, and 500 mg/kg significantly (P < 0.05) exhibited anti-edematogenic effect in the carrageenan-induced rat paw edema after 3 h. In acetic acid-induced writhing model, PSSE significantly (P < 0.05) reduced writhing at a dose of 500 mg/kg with 69.92% of inhibition.

CONCLUSIONS

Taken all together, PSSE is non-toxic, and exhibits potent anti-inflammatory and analgesic activities. Through the ethnomedicinal study, our findings highlight the medicinal use of PSSE in traditional medicine and as an additional source of natural and safe anti-inflammatory agents.