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Table 7

Ethnopharmacology.

Plant Family Compounds (major/active) Leishmania species Effect References
In vivo mice (BALB/c)
Sterculia villosa Malvaceae Lupeol L. donovani In vitro, activity against promastigote and amastigote forms with an increase of NO. In vivo, 75 mg/kg/day treatment reduced splenic and hepatic burden and up regulated the release of pro inflammatory Th1 cytokines IL-12 and IFN-g, while down regulating release of anti-inflammatory IL-10 and TGF-b. Molecular docking revealed binding to 4 major potential drug targets (PTR1, APRT, biosynthetic LPG, and GP63). [22]
Croton caudatus Geisel. (var. tomentosus Hook) Euphorbiaceae Terpenoids/semi-purified hexane extract of C. caudatus leaves (JdHex) L. donovani In vitro, alteration of promastigote metabolism (lipids, proteins, carbohydrates) and integrity (DNA condensation, PS externalization, apoptosis). Reduced replication of amastigotes, increased release of NO, pro-inflammatory IL-12 and TNF-alpha, reduction of TGF-beta and IL-10. In vivo, reduction of parasite burden in liver and spleen, induction of Th1 response by IFN-g secretion and abrogation of IL-10 secretion. [25]
Murraya koenigii Rutaceae Mahanine L. donovani In vitro, apoptosis through phosphatidylserine externalization. Increased ROS and NO generation, suppression of Uncoupling protein 2 and Th1 cytokines through modulation of the STAT pathway. Molecular modeling revealed interaction with parasite antioxidant enzymes like ascorbate peroxidase. In vivo, reduction of parasite burden, upregulation of NO, iNOS, ROS, IL-12, and T cell proliferation [81]
Pentalinon andrieuxii Apocynaceae Pentalinonsterol L. donovani In vivo, targeted towards infected organs and reduction of parasite load in liver, spleen and bone marrow. Enhanced T cell proliferation. Strong Th1 protective response with enhanced IFN-g production and formation of mature hepatic granulomas. No modulation of anti-inflammatory cytokines. [39]
Bursera aptera Burseraceae Podophyllotoxin L. mexicana In vitro, promastigote apoptosis and decreased mitochondrial membrane potential. In vivo, reduction in lesion size and parasite burden. Increased Th1 cytokines TNF-α and IFN-g, and decreased Th2 cytokines IL-4 and IL-10 in sera of mice. [69]
Intracellular amastigotes
Rhynchostylis retusa, Tropidia curculioides, Satyrium nepalense Orchidaceae NA L. donovani Rhynchostylis retusa root extract was active against intracellular amastigotes with low cytotoxicity. [11]
Physalis angulata Solanaceae NA L. amazonensis Aqueous extract of P. angulata (AEPa) root increased ROS which induced Leishmania cell death by apoptosis. AEPa increased macrophage activation state and promoted synthesis of superoxide anion (O2). [18]
Euterpe oleracea “Açai” Arecaceae Anthocyanins, phenolic compounds L. amazonensis/L. infantum Clarified Açai juice increased ROS levels and externalization of PS marking apoptosis. Reduce amastigote load inside cells for L. amazonensis and L. infantum. Led to strong reduction in IL-17 levels in infected cells. [19]
Tetradenia riparia (Hochstetter) Codd Lamiaceae NA L. amazonensis Reversion of parasite mediated inhibition of IFN-gamma secretion, blocking of induction of IL-10, IL-4, and IL-5, and inhibition of secretion of IL-1B, IL-17, IL-33, and TNF-α. [24]
Croton cajucara Benth. “sacaca” Euphorbiaceae Trans-dehydrocrotonin (DCTN), trans-crotonin (CTN) and acetylaleuritolic acid (AAA) L. amazonensis Inhibition of trypanothione reductase enzyme. [51]
Stachytarpheta cayennensis (Rich.) Vahl. Verbenaceae Verbascoside, isoverbascoside (ratio 7:3) L .amazonensis Selective inhibition of parasite arginase. [55]
Zingiber zerumbet (L.) Smith (Shampoo ginger) Zingiberaceae Zerumbone L. donovani Increased ROS, led to DNA condensation and phosphatidylserine externalization followed by apoptosis. [62]
Syzygium cumini (L.) Skeels “jambolão” Myrtaceae α-pinene L. amazonensis Immunomodulatory activity by increase of NO secretion and phagocytic and lysosomal activity. [79]
Platonia insignis Mart. “bacurizeiro” Clusiaceae Lupeol L. amazonensis Led to increased lysosomal volume and phagocytic capacity of macrophages. [95]
46 plants Varying NA L. donovani Of the 46 plants, 15 extracts showed activity against Leishmania parasites. [104]
Stachytarpheta cayennensis Verbenaceae Verbascoside L. amazonensis Inhibition of parasite arginase, leading to reduced protective oxidative mechanisms with impaired trypanothione synthesis. [56]
Alternanthera brasiliana (L.) Kuntze, Eugenia uniflora L., Jatropha gossypiifolia, Schinus terebinthifolia Raddi Amaranthaceae, Myrtaceae, Euphorbiaceae, Anacardiaceae Tirucallane type triterpenoids schinol and masticadienoic acid (S. terebinthifolia), sesquiterpene atractylon, glucosylated flavonoids including quercitrin (E. uniflora) L. amazonensis E. uniflora extracts contained quercitrin already reported as an arginase inhibitor. [83]
Axenic amastigotes
Ajuga laxmannii Lamiaceae Harpagide, 8-O-acetylharpagide, cis-melilotoside, trans-melilotoside, dihydromelilotoside, verbascoside, galactosylmartynoside, isoorientin. L. donovani The iridoid glucoside 8-O-acetylharpagide, 8-O-acetylharpagide, and verbascoside were the most active against L. donovani. [7]
45 plants Varying NA L. donovani Study revealed over 80% of extracts with some anti-leishmanial activity. [97]

PTR1: Pteridine reductase 1; APRT: adenine phosphoribosyltransferase; LPG: lipophosphoglycan; GP63: Glycoprotein 63; NA: Not Assessed.

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