Generic placeholder image

Current Hypertension Reviews

Editor-in-Chief

ISSN (Print): 1573-4021
ISSN (Online): 1875-6506

Mini-Review Article

Review on Pharmacognostic, Phytochemical and Pharmacological Characteristics of Medicinal Plants which can be used to Design a Novel Ayurvedic Formulation to Treat Hypertension in Multidimensional Approaches

Author(s): Rahul Maurya*, Thirupataiah Boini, Lakshminarayana Misro, Thulasi Radhakrishnan and Ravindra Singh

Volume 19, Issue 2, 2023

Published on: 31 March, 2023

Page: [67 - 78] Pages: 12

DOI: 10.2174/1573402119666230221084859

Price: $65

Open Access Journals Promotions 2
Abstract

Background: Hypertension is a cardiovascular disorder that is an incurable clinical condition. It requires lifelong therapy for its management along with long terms application of synthetic drugs associated with severe toxicity in multiple organs. However, the therapeutic application of herbal medicines to treat hypertension has gained considerable attention. The limitations and hurdles associated with conventional plant extract medications are their safety, efficacy, dose, and unknown biological activity.

Objective: In the modern era, the active phytoconstituent-based formulation has come into trend. Various extraction techniques have been reported to extract and isolate active phytoconstituents. Pharmacognostic, physiochemical, phytochemical, and quantitative analytical methods were developed for their qualitative and quantitative analysis. The passage of time and changes in lifestyle also modulate the variable cause of hypertension. Single-drug-based approach therapy cannot efficiently control the cause of hypertension. Designing a potent herbal formulation with different active constituents and modes of action against hypertension is necessary to effectively manage hypertension.

Methods: This review comprises a selection of three different plants, Boerhavia diffusa, Rauwolfia Serpentina, and Elaeocarpus ganitrus exhibiting antihypertension activity.

Results: The objective behind selecting individual plants is their active constituents which have different mechanisms of action for the treatment of hypertension. This review comprises the various extraction methods of the active phytoconstituents and pharmacognostic, physiochemical, phytochemical, and quantitative analysis parameters, respectively. It also lists active phytoconstituents present in plants and the different pharmacological modes of action. Selected plant extracts have different antihypertensive mechanisms. Extract of Boerhavia diffusa consisting of Liriodendron & Syringaresnol mono β-D-Glucosidase exhibit Ca2+ channel antagonistic activity; where Reserpine is a phytoconstituent of Rauwolfia serpentina, which depletes catecholamine, Ajmalin shows an antiarrhythmic effect by blocking the sodium channel and the aqueous extract of E. ganitrus seeds reduces mean arterial blood pressure by inhibiting the ACE enzyme.

Conclusion: It has been revealed that poly-herbal formulation of respective phytoconstituent can be used as potent antihypertensive medicine to treat hypertension effectively.

Keywords: Boerhavia diffusa, Elaeocarpus ganitrus, Rauwolfia serpentina, hypertension activity, phytoconstituents, herbal formulations.

Graphical Abstract
[1]
Valenzuela PL, Carrera-Bastos P, Gálvez BG. et al. Lifestyle interventions for the prevention and treatment of hypertension. Nat Rev Cardiol 2021; 18(4): 251-75.
[http://dx.doi.org/10.1038/s41569-020-00437-9] [PMID: 33037326]
[2]
Omboni S, Volpe M. Angiotensin receptor blockers versus angiotensin-converting enzyme inhibitors for treating arterial hypertension and the role of olmesartan. Adv Ther 2019; 36(2): 278-97.
[http://dx.doi.org/10.1007/s12325-018-0859-x] [PMID: 30591990]
[3]
Suchard MA, Schuemie MJ, Krumholz HM. et al. Comprehensive comparative effectiveness and safety of first-line antihypertensive drug classes: a systematic, multinational, large-scale analysis. Lancet 2019; 394(10211): 1816-26.
[http://dx.doi.org/10.1016/S0140-6736(19)32317-7] [PMID: 31668726]
[4]
Mukherjee PK, Harwansh RK, Bahadur S. et al. Development of Ayurveda–tradition to trend. J Ethnopharmacol 2017; 197: 10-24.
[http://dx.doi.org/10.1016/j.jep.2016.09.024] [PMID: 27633405]
[5]
Vaidya VN, Tatiya AU, Elango A, Kukkupuni SK, Vishnuprasad CN. Need for comprehensive standardization strategies for marketed Ayurveda formulations. J Ayurveda Integr Med 2018; 9(4): 312-5.
[http://dx.doi.org/10.1016/j.jaim.2018.09.002] [PMID: 30545738]
[6]
Najam A, Akhilesh KS, Verma HN. Ancient and modern medicinal potential of Boerhaavia diffusa and Clerodendrum aculeatum. Res Environ Life Sci 2008; 1(1): 1-4.
[7]
Mahesh AR, Kumar H, Ranganath MK, Devkar RA. Detail study on Boerhaavia diffusa plant for its medicinal importance-A review. Res J Pharm Sci 2012; 1(1): 28-36.
[8]
Dennis TJ. Rudraksha - not just a spiritual symbol but also a medicinal remedy. Sacitra Ayurveda 1993; 46: 142.
[9]
Rungsung W, Dutta S, Mondal DN, Ratha KK, Hazra J. Pharmacognostical Profiling on the Root of Rauwolfia serpentina. Int J Pharmacog Phytochem Res 2014; 6: 612-6.
[10]
Hardainiyan S, Nandy BC, Kumar K. Elaeocarpus ganitrus (Rudraksha): A reservoir plant with their pharmacological effects. Int J Pharm Sci Rev Res 2015; 34(1): 55-64.
[11]
Singh B, Chopra A, Ishar MPS, Sharma A, Raj T. Pharmacognostic and antifungal investigations of Elaeocarpus ganitrus (Rudrakasha). Indian J Pharm Sci 2010; 72(2): 261-5.
[http://dx.doi.org/10.4103/0250-474X.65021] [PMID: 20838538]
[12]
Babu K, Dharishini MP, Austin A. Comparative root anatomy and thin layer chromatographic identification of Boerhavia diffusa L. and Boerhavia erecta L. J Phytopharmacol 2017; 6(6): 318-21.
[http://dx.doi.org/10.31254/phyto.2017.6602]
[13]
Chaudhary G, Dantu PK. Morphological, phytochemical and pharmacological studies on Boerhaavia diffusa L. J Medi Plants Res 2011; 5(11): 2125-30.
[14]
Patil VS, Rajput KS, Malpathak NP. Comparative study on morpho-anatomy of leaf, stem and root of Boerhaavia diffusa L. (Nyctaginaceae) and its adulterant plants. Braz J Pharm Sci 2016; 52(3): 433-42.
[http://dx.doi.org/10.1590/s1984-82502016000300009]
[15]
AYUSH Government of India. The Ayurvedic Pharmacopeia of India, Part-I, Vol. 5. 1st ed. New Delhi: Ministry of health and family welfare 2006; 194-6.
[16]
AYUSH Government of India. The Ayurvedic Pharmacopeia of India, Part-I, Volume-IV. 1st ed. New Delhi: Ministry of health and family welfare 2004; 118-9.
[17]
AYUSH Government of India. The Ayurvedic Pharmacopeia of India, Part-I, Volume-I. 1st ed. New Delhi: Ministry of health and family welfare 1989; 126-9.
[18]
Satheesh MA, Pari L. Antioxidant effect of Boerhavia diffusa L. in tissues of alloxan induced diabetic rats. Indian J Exp Biol 2004; 42(10): 989-92.
[PMID: 15511002]
[19]
Sharma R, Goyal A, Singh R. et al. Effect of Ayurveda intervention in the integrated management of essential hypertension- a retrospective observational study. J Ayurveda Integr Med 2021; 12(3): 521-8.
[http://dx.doi.org/10.1016/j.jaim.2021.04.012] [PMID: 34362604]
[20]
Alam P, Shahzad N, Gupta AK. et al. Antidiabetic effect of Boerhavia diffusa L. root extract via free radical scavenging and antioxidant mechanism. Toxicol Environ Health Sci 2018; 10(3): 220-7.
[http://dx.doi.org/10.1007/s13530-018-0367-z]
[21]
Apu AS, Liza MS, Jamaluddin ATM. et al. Phytochemical screening and in vitro bioactivities of the extracts of aerial part of Boerhavia diffusa Linn. Asian Pac J Trop Biomed 2012; 2(9): 673-8.
[http://dx.doi.org/10.1016/S2221-1691(12)60208-1] [PMID: 23569993]
[22]
Rajagopal RR. Investigation of in vitro anthelmintic activity of ethanolic leaf extract of Boerhavia diffusa (Nyctaginaceae) including pharmacognostical and phytochemical screening. J Pharm Res 2013; 7(8): 774-80.
[http://dx.doi.org/10.1016/j.jopr.2013.08.009]
[23]
Thai HV, Kim E, Kim SC. et al. Boerhavia diffusa L. ethanol extract suppresses inflammatory responses via inhibition of Src/Syk/TRAF6. J Funct Foods 2015; 17: 476-90.
[http://dx.doi.org/10.1016/j.jff.2015.06.004]
[24]
Borrelli F, Milic N, Ascione V. et al. Isolation of new rotenoids from Boerhaavia diffusa and evaluation of their effect on intestinal motility. Planta Med 2005; 71(10): 928-32.
[http://dx.doi.org/10.1055/s-2005-871282] [PMID: 16254824]
[25]
Lami N, Kadota S, Kikuchi T, Momose Y. Constituents of the roots of Boerhaavia diffusa L. III. Identification of Ca2+ channel antagonistic compound from the methanol extract. Chem Pharm Bull 1991; 39(6): 1551-5.
[http://dx.doi.org/10.1248/cpb.39.1551] [PMID: 1934177]
[26]
Khanal H, Joshi RK, Upadhyay A. Anti- hypertensive activity of Ayurvedic medicinal plants. Int J Complement Altern Med 2020; 13(1): 7-12.
[http://dx.doi.org/10.15406/ijcam.2020.13.00485]
[27]
Kaur M, Goel RK. Anti-convulsant activity of Boerhaavia diffusa: plausible role of calcium channel antagonism. Evidence-Based Comple Altern Med 2011; 2011: 310420.
[28]
Shah SMA, Naqvi SAR, Munir N, Zafar S, Akram M, Nisar J. Antihypertensive and antihyperlipidemic activity of aqueous methanolic extract of Rauwolfia serpentina in albino rats. Dose Response 2020; 18(3)
[http://dx.doi.org/10.1177/1559325820942077] [PMID: 32782448]
[29]
Kumar S, Chainy GBN, Dandapat J, Hati AK, Nanda L. Comprehending the role of homeopathic preparations of Rauwolfia serpentina on oxidative stress parameters of cardiac tissue of DOCA-salt induced hypertensive male rats: An experimental approach. Phytomedicine Plus 2021; 1(4): 100115.
[http://dx.doi.org/10.1016/j.phyplu.2021.100115] [PMID: 35403086]
[30]
Sakat SS, Wankhede SS, Juvekar AR, Mali VR, Bodhankar SL. Antihypertensive effect of aqueous extract of Elaeocarpus ganitrus Roxb. seeds in renal artery occluded hypertensive rats. Int J Pharm Tech Res 2009; 1(3): 779-82.
[31]
Ojewole JA, Adesina SK. Effects of hypoxanthine-9-Larabinofuranoside, a nucleoside from the roots of Boerhaavia diffusa L. (Nyctaginaceae) on isolated coronary artery of the Goat. Fitoterapia, in AGRIS 2013; 54(4): 163-9.
[32]
Manu KA, Kuttan G. Effect of Punarnavine, an alkaloid from Boerhaavia diffusa, on cell-mediated immune responses and TIMP-1 in B16F-10 metastatic melanoma-bearing mice. Immunopharmacol Immunotoxicol 2007; 29(3-4): 569-86.
[http://dx.doi.org/10.1080/08923970701692676] [PMID: 18075866]
[33]
Saraswati S, Alhaider AA, Agrawal SS. Punarnavine, an alkaloid from Boerhaavia diffusa exhibits anti-angiogenic activity via downregulation of VEGF in vitro and in vivo. Chem Biol Interact 2013; 206(2): 204-13.
[http://dx.doi.org/10.1016/j.cbi.2013.09.007] [PMID: 24060680]
[34]
Dhingra D, Valecha R. Punarnavine, an alkaloid isolated from ethanolic extract of Boerhaavia diffusa Linn. reverses depression-like behaviour in mice subjected to chronic unpredictable mild stress. Indian J Exp Biol 2014; 52(8): 799-807.
[PMID: 25141543]
[35]
Perviz S, Khan H, Pervaiz A. Plant alkaloids as an emerging therapeutic alternative for the treatment of depression. Front Pharmacol 2016; 7: 28.
[http://dx.doi.org/10.3389/fphar.2016.00028] [PMID: 26913004]
[36]
Contreras CM, Rodríguez-Landa JF, García-Ríos RI, Cueto-Escobedo J, Guillen-Ruiz G, Bernal-Morales B. Myristic acid produces anxiolytic-like effects in Wistar rats in the elevated plus maze. BioMed Res Int 2014; 2014: 1-8.
[http://dx.doi.org/10.1155/2014/492141] [PMID: 25328885]
[37]
Dohle W, Jourdan FL, Menchon G. et al. Quinazolinone-based anticancer agents: synthesis, antiproliferative SAR, anti-tubulin activity, and tubulin co-crystal structure. J Med Chem 2018; 61(3): 1031-44.
[http://dx.doi.org/10.1021/acs.jmedchem.7b01474] [PMID: 29227648]
[38]
Phanse MA, Patil MJ, Abbulu K. Review on pharmacological studies of Thespesia populnea linn. Int J Pharm Pharm Sci 2013; 5: 1-5.
[39]
Gharate M, Kasture V. Evaluation of anti-inflammatory, analgesic, antipyretic and antiulcer activity of Punarnavasava: an Ayurvedic formulation of Boerhavia diffusa. Orient Pharm Exp Med 2013; 13(2): 121-6.
[40]
Singh S, Kalia NP, Joshi P. et al. Boeravinone B, A novel dual inhibitor of NorA bacterial efflux pump of Staphylococcus aureus and human P-glycoprotein, reduces the biofilm formation and intracellular invasion of bacteria. Front Microbiol 2017; 8: 1868.
[http://dx.doi.org/10.3389/fmicb.2017.01868] [PMID: 29046665]
[41]
Rathor L, Pandey R. Age-induced diminution of free radicals by Boeravinone B in Caenorhabditis elegans. Expe gerontol 2018; 111: 94-106.
[42]
Gour R. Boerhaavia Diffusa Linn plant: a review – one plant with many therapeutic Uses. Int J Pharm Sci Med 2021; 6(4): 25-41.
[http://dx.doi.org/10.47760/ijpsm.2021.v06i04.003]
[43]
Seidlova-Wuttke D, Christel D, Kapur P, Nguyen BT, Jarry H, Wuttke W. β-Ecdysone has bone protective but no estrogenic effects in ovariectomized rats. Phytomedicine 2010; 17(11): 884-9.
[http://dx.doi.org/10.1016/j.phymed.2010.03.021] [PMID: 20554186]
[44]
Ma WW, Saif MW, El-Rayes BF. et al. Emergency use of uridine triacetate for the prevention and treatment of life-threatening 5-fluorouracil and capecitabine toxicity. Cancer 2017; 123(2): 345-56.
[http://dx.doi.org/10.1002/cncr.30321] [PMID: 27622829]
[45]
Cabeza M, Bratoef E, Heuze I, Ramírez E, Sánchez M, Flores E. Effect of beta-sitosterol as inhibitor of 5alpha-reductase in hamster prostate. In Proceedings-Western Pharmaco Society 2003; 46: 153-5.
[46]
Paniagua-Pérez R, Flores-Mondragón G, Reyes-Legorreta C. et al. Evaluation of the anti-inflammatory capacity of beta-sitosterol in rodent assays. Afr J Tradit Complement Altern Med 2016; 14(1): 123-30.
[http://dx.doi.org/10.21010/ajtcam.v14i1.13] [PMID: 28480389]
[47]
Nogueira AO, Oliveira YI, Adjafre BL, de Moraes ME, Aragao GF. Pharmacological effects of the isomeric mixture of alpha and beta amyrin from Protium heptaphyllum: a literature review. Fundament clin pharmacol 2019; 33(1): 4-12.
[http://dx.doi.org/10.1111/fcp.12402]
[48]
Deshmukh SR, Ashrit DS, Patil BA. Extraction and evaluation of indole alkaloids from Rauwolfia serpentina for their antimicrobial and antiproliferative activities. Int J Pharm Pharm Sci 2012; 4(S5): 329-34.
[49]
Pepin JM, Therien B, Vitye B, Lemieux G, Genest J. Treatment of arterial hypertension with recanescine: a new alkaloid isolated from Rauwolfia. Can Med Assoc J 1957; 76(6): 486-8.
[PMID: 13413770]
[50]
Kaur A. Pharmacobotanical and pharmacological evaluation of ayurvedic crude drug: Rauwolfia serpentina (Apocynaceae). Int J of Green Pharm 2018; 11(4): S686-93.
[51]
Chen CZ, Shinn P, Itkin Z. et al. Drug repurposing screen for compounds inhibiting the cytopathic effect of SARS-CoV-2. Front Pharmacol 2021; 11: 592737.
[http://dx.doi.org/10.3389/fphar.2020.592737] [PMID: 33708112]
[52]
Prusoff WH. Effect of reserpine on the 5-hydroxytryptamine and adenosinetriphosphate of the dog intestinal mucosa. Br J Pharmacol Chemother 1961; 17(1): 87-91.
[http://dx.doi.org/10.1111/j.1476-5381.1961.tb01107.x] [PMID: 13738310]
[53]
Mehrotra S, Goel MK, Srivastava V, Rahman LU. Hairy root biotechnology of Rauwolfia serpentina: a potent approach for the production of pharmaceutically important terpenoid indole alkaloids. Biotechnol Lett 2015; 37(2): 253-63.
[http://dx.doi.org/10.1007/s10529-014-1695-y] [PMID: 25326172]
[54]
Soni R, Jaiswal S, Bara JK, Saksena P. The use of Rauwolfia serpentina in hypertensive patients. J Biotech Biochem 2016; 2(5): 28-32.
[55]
Kumar A, Kumar M, Verma RK, Kumar A, Punar S, Ram L. et al. Comprehensive review on phytochemical, pharmacological, dielectric and therapeutic attributes of multifarious Rudraksha (Elaeocarpus ganitrus Roxb.). App Sci 2021; 9(1): 97-109.
[56]
Mohie El-Dien RT, Maher SA, Abdelmohsen UR. AboulMagd AM, Fouad MA, Kamel MS. Antiulcer secondary metabolites from Elaeocarpus grandis, family Elaeocarpaceae, supported by in silico studies. RSC Advances 2020; 10(57): 34788-99.
[http://dx.doi.org/10.1039/D0RA06104B] [PMID: 35514372]
[57]
Watson RR, Preedy VR, Zibadi S. Polyphenols: prevention and treatment of human disease. (2nd ed.). Cambridge: Academic press 2018; pp. 63-84.
[58]
Rosas EC, Correa LB. Antiinflammatory properties of Schinus terebinthifolius and its use in arthritic conditions.In: Bioactive food as dietary interventions for arthritis and related inflammatory diseases. (2nd ed.). Cambridge: Academic press 2019; pp. 489-505.
[59]
Ali OM, Bekhit AA, Khattab SN. et al. Synthesis of lactoferrin mesoporous silica nanoparticles for pemetrexed/ellagic acid synergistic breast cancer therapy. Colloids Surf B Biointerfaces 2020; 188: 110824.
[http://dx.doi.org/10.1016/j.colsurfb.2020.110824] [PMID: 32023511]
[60]
Haidara M, Haddad M, Denou A. et al. In vivo validation of anti-malarial activity of crude extracts of Terminalia macroptera, a Malian medicinal plant. Malar J 2018; 17(1): 68.
[http://dx.doi.org/10.1186/s12936-018-2223-7] [PMID: 29402267]
[61]
Zou H, Ye H, Kamaraj R, Zhang T, Zhang J, Pavek P. A review on pharmacological activities and synergistic effect of quercetin with small molecule agents. Phytomedicine 2021; 92: 153736.
[http://dx.doi.org/10.1016/j.phymed.2021.153736] [PMID: 34560520]
[62]
Kaur N, Gupta RC. Simultaneous determination of kaempferol and quercetin in Heteropogon Contortus (L.) Beauv. by validated high-performance thin layer chromatography. Commun Soil Sci Plant Anal 2018; 49(18): 2247-55.
[http://dx.doi.org/10.1080/00103624.2018.1499760]
[63]
U GP, R B, K K, G P. Investigations into the phytochemical profile in the seeds of Elaeocarpus variabilis fruits: A potential untapped source endemic to Western Ghats. J Pharmacogn Phytochem 2020; 9(4): 566-71.
[http://dx.doi.org/10.22271/phyto.2020.v9.i4h.11762]
[64]
Ilyas UK, Katare DP, Ambardar N, Aeri V. HPTLC densitometric quantification of caffeic acid and boeravinone B in Boerhavia diffusa Linn. Int J Phytopharm 2013; 4: 184-9.
[65]
Singh A, Sharma H, Singh R, Srikanth N. High-performance thin-layer chromatography estimation of boeravinone-B in Boerhavia diffusa L. and its polyherbal dosage form (capsule). Pharmacognosy Res 2019; 11(3): 267-72.
[http://dx.doi.org/10.4103/pr.pr_161_18]
[66]
Pandey DK. Radha, Dey A. A validated and densitometric HPTLC method for the simultaneous quantification of reserpine and ajmalicine in Rauvolfia serpentina and Rauvolfia tetraphylla. Rev Bras Farmacogn 2016; 26(5): 553-7.
[http://dx.doi.org/10.1016/j.bjp.2016.04.002]
[67]
Hazra AK, Pal A, Sur TK. Assessment Of reserpine content by hptlc in some ayurvedic formulations containing sarpagandha (Rauwolfia serpentina). Int J Current Med Pharma Res 2018; 4(10): 3794-9.
[68]
Striessnig J, Ortner N, Pinggera A. Pharmacology of L-type calcium channels: novel drugs for old targets? Curr Mol Pharmacol 2015; 8(2): 110-22.
[http://dx.doi.org/10.2174/1874467208666150507105845] [PMID: 25966690]
[69]
DeWitt CR, Waksman JC. Pharmacology, pathophysiology and management of calcium channel blocker and β-blocker toxicity. Toxicol Rev 2004; 23(4): 223-38.
[http://dx.doi.org/10.2165/00139709-200423040-00003] [PMID: 15898828]
[70]
Saurabha N, Shobha N, Deba PD, Brajaraj D. A Clinical Study on the Effect of Boerhaavia diffusa (Punarnava) in Essential Hypertension. AYUSHDHARA 2015; 2(6): 297-303.
[71]
Rutwick Surya U, Praveen N. A molecular docking study of SARS-CoV-2 main protease against phytochemicals of Boerhavia diffusa Linn. for novel COVID-19 drug discovery. Virusdisease 2021; 32(1): 46-54.
[http://dx.doi.org/10.1007/s13337-021-00683-6] [PMID: 33758772]
[72]
Horackova H, Karahoda R, Vachalova V, Turkova H, Abad C, Staud F. Functional characterization of dopamine and norepinephrine transport across the apical and basal plasma membranes of the human placental syncytiotrophoblast. Sci Rep 2022; 12(1): 11603.
[http://dx.doi.org/10.1038/s41598-022-15790-7] [PMID: 35804076]
[73]
Ukwubile CA, Odugu JA, Malgwi TS, Bingari MS. Evaluation of in vitro anthelminthic, antiproliferative and antihypertensive potentials of Rauwolfia vomitoria Afzel.(Apocynaceae) leaf extract. Int J Adv Biochem Res 2019; 3(1): 64-74.
[74]
Rai DV, Sharma S, Rastogi M. Scientific research on Elaeocarpus ganitrus (Rudraksha) for its medicinal importance. Pb Univ Res J 2018; 68(1): 1-6.
[75]
Teralı K, Baddal B, Gülcan HO. Prioritizing potential ACE2 inhibitors in the COVID-19 pandemic: Insights from a molecular mechanics-assisted structure-based virtual screening experiment. J Mol Graph Model 2020; 100: 107697.
[http://dx.doi.org/10.1016/j.jmgm.2020.107697] [PMID: 32739642]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy