Antimalarial activity of nepodin isolated from Rumex crispus

Medicinal plants as a fight against murine blood-stage malaria

OBJECTIVE

Malaria is an infectious parasitic disease affecting most of countries worldwide. Due to antimalarial drug resistance, researchers are seeking to find another safe efficient source for treatment of malaria. Since many years ago, medicinal plants were widely used for the treatment of several diseases. In general, most application is done first on experimental animals then human. In this article, medicinal plants as antimalarial agents in experimental animals were reviewed from January 2000 until November 2020.

MATERIALS AND METHODS

In this systematic review published articles were reviewed using the electronic databases NCBI, ISI Web of knowledge, ScienceDirect and Saudi digital library to check articles and theses for M.Sc/Ph.D. The name of the medicinal plant with its taxon ID and family, the used Plasmodium species, plant part used and its extract type and the country of harvest were described.

RESULTS AND CONCLUSION

The reviewed plants belonged to 83 families. Medicinal plants of families Asteraceae, Meliaceae Fabaceae and Lamiaceae are the most abundant for use in laboratory animal antimalarial studies. According to region, published articles from 33 different countries were reviewed. Most of malaria published articles are from Africa especially Nigeria and Ethiopia. Leaves were the most common plant part used for the experimental malaria research. In many regions, research using medicinal plants to eliminate parasites and as a defensive tool is popular.

Evaluation of the Bioactivities of Rumex crispus L. Leaves and Root Extracts Using Toxicity, Antimicrobial, and Antiparasitic Assays

Traditional folks in different parts of the world use Rumex crispus L. for the treatment of microbial infections, malaria, and sleeping sickness in the form of decoction or tincture. In the search for a natural alternative remedy, this study aimed to evaluate the antimicrobial, antitrypanosomal, and antiplasmodial efficacy and the toxicity of R. crispus extracts. Antimicrobial potency of the extracts was evaluated using the agar dilution method to determine the minimum inhibitory concentration (MIC). The antitrypanosomal activity of the extracts was evaluated with the Trypanosoma brucei brucei model while the antimalaria potency was tested using Plasmodium falciparum 3D7 strain. Toxicity was then tested with brine shrimp assay and cytotoxicity (HeLa cells). The acetone extract of the root (RT-ACE) reveals the highest antimicrobial potency with the lowest MIC value of <1.562 mg/mL for all bacteria strains and also showed high potent against fungi. RT-ACE (IC₅₀: 13 μg/mL) and methanol extract of the leaf (LF-MEE; IC₅₀: 15 μg/mL) show a strong inhibition of P. falciparum. The ethanol extract of the root (RT-ETE: IC₅₀: 9.7 μg/mL) reveals the highest inhibition of T.b. brucei parasite. RT-ETE and RT-ACE were found to have the highest toxicity in brine shrimp lethality assay (BSLA) and cytotoxicity which correlates in the two assays. This research revealed Rumex crispus has potency against microorganisms, Trypanosoma, and Plasmodium and could be a potential source for the treatment of these diseases.

Inhibition of Biofilm Formation by Candida albicans and Polymicrobial Microorganisms by Nepodin via Hyphal-Growth Suppression

Candida albicans is an opportunistic pathogenic yeast and is responsible for candidiasis. It readily colonizes host tissues and implant devices, and forms biofilms, which play an important role in pathogenesis and drug resistance. In this study, the antibiofilm, antihyphal, and antivirulence activities of nepodin, isolated from Rumex japonicus roots, were investigated against a fluconazole-resistant C. albicans strain and against polymicrobial-microorganism-biofilm formation. Nepodin effectively inhibited C. albicans biofilm formation without affecting its planktonic cell growth. Also, Rumex-root extract and nepodin both inhibited hyphal growth and cell aggregation of C. albicans. Interestingly, nepodin also showed antibiofilm activities against Candida glabrata, Candida parapsilosis, Staphylococcus aureus, and Acinetobacter baumannii strains and against dual biofilms of C. albicans and S. aureus or A. baumannii but not against Pseudomonas aeruginosa. Transcriptomic analysis performed by RNA-seq and qRT-PCR showed nepodin repressed the expression of several hypha- and biofilm-related genes (ECE1, HGT10, HWP1, and UME6) and increased the expression of several transport genes (CDR4, CDR11, and TPO2), which supported phenotypic changes. Moreover, nepodin reduced C. albicans virulence in a nematode-infection model and exhibited minimal cytotoxicity against the nematode and an animal cell line. These results demonstrate that nepodin and Rumex-root extract might be useful for controlling C. albicans infections and multispecies biofilms.

The Genus Rumex: Review of traditional uses, phytochemistry and pharmacology

ETHNOPHARMACOLOGICAL RELEVANCE

The approximately 200 species of the genus Rumex (sorrel, Polygonaceae) are distributed worldwide (European, Asian, African and American countries). Some species have been used traditionally as vegetables and for their medicinal properties. Based on the traditional knowledge, different phytochemical and pharmacological activities have been at the focus of research. This review aims to provide an overview of the current state of knowledge of local and traditional medical uses, chemical constituents, pharmacological activities, toxicity, and safety of Rumex species, in order to identify the therapeutic potential of Rumex species and further directions of research.

MATERIALS AND METHODS

The selection of relevant data was made through a search using the keyword "Rumex" in "Scopus", "Google Scholar", "Web of Science", "PubMed", and "ScienceDirect" databases. Plant taxonomy was validated by the databases "The Plant List", and "Mansfeld's Encyclopedia". Additional information on traditional use and botany was obtained from published books and MSc dissertations.

RESULTS

This review discusses the current knowledge of the chemistry, the in vitro and in vivo pharmacological studies carried out on the extracts, and the main active constituents, isolated from plants of genus Rumex. Although, there are about 200 species in this genus, most of the phytochemical and pharmacological studies were performed on up to 50 species. The aerial parts, leaves and roots of the plants are used as vegetables and for the treatment of several health disorders such as mild diabetes, constipation, infections, diarrhoea, oedema, jaundice, and as an antihypertensive, diuretic and analgesic and in case of skin, liver and gallbladder disorders, and inflammation. Many phytochemical investigations on this genus confirmed that Rumex species are rich in anthraquinones, naphthalenes, flavonoids, stilbenoids, triterpenes, carotenoids, and phenolic acids. Moreover, it draws the attention that high level of oxalic acid in some species can cause toxicity (kidney stones) if consumed large quantity.

CONCLUSIONS

This review confirms that some Rumex species have emerged as a good source of the traditional medicine for treatment of inflammation, cancer and different bacterial infections and provides new insights for further promising investigations on isolated compounds, especially quercetin 3-O-glucoside, emodin, nepodin, torachrysone, and trans-resveratrol to find novel therapeutics and aid drug discovery. In addition, hepatoprotective, antiviral and antidiabetic activities should have priority in future pharmacological studies. However, for applying species to prevent or treat various diseases, additional pharmacological studies are needed to find the mechanism of actions, safety and efficacy of them before starting clinical trials.