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Vital Júnior AC, da Silva MB, Monteiro SS, Pasquali MADB. The Therapeutic Potential of Harpagophytum procumbens and Turnera subulata and Advances in Nutraceutical Delivery Systems in Neurodegenerative Diseases. Pharmaceuticals (Basel) 2024; 17:660. [PMID: 38794230 PMCID: PMC11125440 DOI: 10.3390/ph17050660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2024] [Revised: 05/01/2024] [Accepted: 05/09/2024] [Indexed: 05/26/2024] Open
Abstract
This review article covers the therapeutic potential of the plants Harpagophytum procumbens and Turnera subulata in the treatment of neurodegenerative diseases. Despite the recognition of their beneficial properties, there is notable shortage of specific clinical and in vitro studies on these species regarding neurodegenerative diseases. Compounds such as harpagosides and vite-xin-2-O-rhamnoside, found in Harpagophytum procumbens and Turnera subulata, respectively, as well as other antioxidants and anti-inflammatory agents, are associated with mechanisms of action that involve reducing oxidative stress and modulating the inflammatory response, indicating their therapeutic potential in these pathologies. Additionally, the use of nutraceuticals derived from medicinal plants has emerged as a promising approach, offering natural therapeutic alternatives. However, the pressing need for studies focusing on the pharmacokinetics, safety, and pharmacological interactions of these extracts for the treatment of neurodegenerative diseases is emphasized. This review also evaluated advances in nutraceutical delivery systems, highlighting technological innovations that can optimize the precise delivery of these compounds to patients. Such findings highlight the gaps in the study of these plants for the treatment of neurodegenerative diseases and, at the same time, the potential for opening new perspectives in the treatment of neurodegenerative diseases, providing expectations for innovative solutions in this critical domain of medicine.
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Affiliation(s)
- Antonio Carlos Vital Júnior
- Post-Graduate Program in Biochemistry and Molecular Biology, Federal University of Rio Grande do Norte, Natal 59078-970, Brazil
| | - Mikaelly Batista da Silva
- Center for Technology and Natural Resources, Federal University of Campina Grande, Campina Grande 58429-900, Brazil
| | - Shênia Santos Monteiro
- Center for Technology and Natural Resources, Federal University of Campina Grande, Campina Grande 58429-900, Brazil
| | - Matheus Augusto de Bittencourt Pasquali
- Post-Graduate Program in Biochemistry and Molecular Biology, Federal University of Rio Grande do Norte, Natal 59078-970, Brazil
- Graduate Program in Food Engineering, Federal University of Campina Grande, Campina Grande 58429-900, Brazil
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Caroline Paz Gonçalves G, Lizandra Gomes Rosas A, Carneiro de Sousa R, Regina Rodrigues Vieira T, César de Albuquerque Sousa T, Ramires T, Ferreira Ferreira da Silveira T, Barros L, Padilha da Silva W, Renato Guerra Dias Á, da Rosa Zavareze E, Dillenburg Meinhart A. A green method for anthocyanin extraction from Clitoria ternatea flowers cultivated in southern Brazil: Characterization, in vivo toxicity, and biological activity. Food Chem 2024; 435:137575. [PMID: 37776651 DOI: 10.1016/j.foodchem.2023.137575] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Revised: 08/28/2023] [Accepted: 09/21/2023] [Indexed: 10/02/2023]
Abstract
This study aimed to develop a green method to obtain an anthocyanin-rich edible extract of Clitoria ternatea flowers grown in southern Brazil. The extract was characterized by UHPLC-MSn and analyzed for toxicological potential in an in vivo model, total phenolic content, and biological activities. By using a 23 multivariate design to study the effects of temperature, acidified solvent, and time on the total anthocyanin content (487.25 mg/g), total phenolic content (2242.47 mgGAE/g), it was possible to determine the optimal point (45 °C, 16 min, and 22.5 mL extraction solution). Thirteen anthocyanins and nine non-anthocyanins were quantified. In vivo toxicity assay using Galleria mellonella showed a safe concentration when administered up to 2.2 g of extract per body kg. The extract showed antioxidant activity and antibacterial action against food pathogens, the method proved to have a low environmental impact, in addition to producing an extract with potential for application in food.
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Affiliation(s)
- Glória Caroline Paz Gonçalves
- Federal University of Pelotas (UFPel), R. Gomes Carneiro, no. 1, Balsa, Pelotas, 96010-610, Rio Grande do Sul, Brazil
| | | | - Rafael Carneiro de Sousa
- Federal University of Pelotas (UFPel), R. Gomes Carneiro, no. 1, Balsa, Pelotas, 96010-610, Rio Grande do Sul, Brazil
| | - Thaís Regina Rodrigues Vieira
- Federal University of Pelotas (UFPel), R. Gomes Carneiro, no. 1, Balsa, Pelotas, 96010-610, Rio Grande do Sul, Brazil
| | | | - Tassiana Ramires
- Federal University of Pelotas (UFPel), R. Gomes Carneiro, no. 1, Balsa, Pelotas, 96010-610, Rio Grande do Sul, Brazil
| | - Tayse Ferreira Ferreira da Silveira
- Centro de Investigação de Montanha (CIMO), Instituto Politécnico de Bragança, Campus de Santa Apolónia, Bragança 5300-253, Portugal; Laboratório Associado para a Sustentabilidade e Tecnologia em Regiões de Montanha (SusTEC), Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal.
| | - Lillian Barros
- Centro de Investigação de Montanha (CIMO), Instituto Politécnico de Bragança, Campus de Santa Apolónia, Bragança 5300-253, Portugal; Laboratório Associado para a Sustentabilidade e Tecnologia em Regiões de Montanha (SusTEC), Instituto Politécnico de Bragança, Campus de Santa Apolónia, 5300-253 Bragança, Portugal.
| | - Wladimir Padilha da Silva
- Federal University of Pelotas (UFPel), R. Gomes Carneiro, no. 1, Balsa, Pelotas, 96010-610, Rio Grande do Sul, Brazil
| | - Álvaro Renato Guerra Dias
- Federal University of Pelotas (UFPel), R. Gomes Carneiro, no. 1, Balsa, Pelotas, 96010-610, Rio Grande do Sul, Brazil
| | - Elessandra da Rosa Zavareze
- Federal University of Pelotas (UFPel), R. Gomes Carneiro, no. 1, Balsa, Pelotas, 96010-610, Rio Grande do Sul, Brazil
| | - Adriana Dillenburg Meinhart
- Federal University of Pelotas (UFPel), R. Gomes Carneiro, no. 1, Balsa, Pelotas, 96010-610, Rio Grande do Sul, Brazil.
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Nikolaichuk H, Choma IM, Morlock GE. Effect-Directed Profiling of Akebia quinata and Clitoria ternatea via High-Performance Thin-Layer Chromatography, Planar Assays and High-Resolution Mass Spectrometry. Molecules 2023; 28:molecules28072893. [PMID: 37049655 PMCID: PMC10096148 DOI: 10.3390/molecules28072893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2023] [Accepted: 03/16/2023] [Indexed: 04/14/2023] Open
Abstract
Two herbal plants, Akebia quinata D. leaf/fruit and Clitoria ternatea L. flower, well-known in traditional medicine systems, were investigated using a non-target effect-directed profiling. High-performance thin-layer chromatography (HPTLC) was combined with 11 different effect-directed assays, including two multiplex bioassays, for assessing their bioactivity. Individual active zones were heart-cut eluted for separation via an orthogonal high-performance liquid chromatography column to heated electrospray ionization high-resolution mass spectrometry (HPLC-HESI-HRMS) for tentative assignment of molecular formulas according to literature data. The obtained effect-directed profiles provided information on 2,2-diphenyl-1-picrylhydrazyl scavenging, antibacterial (against Bacillus subtilis and Aliivibrio fischeri), enzyme inhibition (tyrosinase, α-amylase, β-glucuronidase, butyrylcholinesterase, and acetylcholinesterase), endocrine (agonists and antagonists), and genotoxic (SOS-Umu-C) activities. The main bioactive compound zones in A. quinata leaf were tentatively assigned to be syringin, vanilloloside, salidroside, α-hederin, cuneataside E, botulin, and oleanolic acid, while salidroside and quinatic acids were tentatively identified in the fruit. Taraxerol, kaempherol-3-rutinoside, kaempferol-3-glucoside, quercetin-3-rutinoside, and octadecenoic acid were tentatively found in the C. ternatea flower. This straightforward hyphenated technique made it possible to correlate the biological properties of the herbs with possible compounds. The meaningful bioactivity profiles contribute to a better understanding of the effects and to more efficient food control and food safety.
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Affiliation(s)
- Hanna Nikolaichuk
- Chair of Food Science, Institute of Nutritional Science, Justus Liebig University Giessen, Heinrich-Buff-Ring 26-32, 35392 Giessen, Germany
- Department of Chromatography, Faculty of Chemistry, Maria Curie-Sklodowska University, Maria Curie-Sklodowska Sq. 3, 20031 Lublin, Poland
- Department of Bioanalytics, Faculty of Biomedicine, Medical University of Lublin, Jaczewskiego St. 8b, 20090 Lublin, Poland
| | - Irena M Choma
- Department of Chromatography, Faculty of Chemistry, Maria Curie-Sklodowska University, Maria Curie-Sklodowska Sq. 3, 20031 Lublin, Poland
| | - Gertrud E Morlock
- Chair of Food Science, Institute of Nutritional Science, Justus Liebig University Giessen, Heinrich-Buff-Ring 26-32, 35392 Giessen, Germany
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Ganapathi P, Ganesan K, Dharmasivam M, Alam MM, Mohammed A. Efficient Antibacterial Dimeric Nitro Imidazolium Type of Ionic Liquids from a Simple Synthetic Approach. ACS OMEGA 2022; 7:44458-44469. [PMID: 36506216 PMCID: PMC9730758 DOI: 10.1021/acsomega.2c06833] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/23/2022] [Accepted: 11/08/2022] [Indexed: 06/17/2023]
Abstract
Synthesis of dimeric nitro-substituted imidazolium salts under the conventional/solvent-free method is reported. The solvent-free method is more important than the conventional one because of its shorter reaction time, higher yield from easily available starting material, environmental safety, and so forth. Counter anion exchange is carried out using inorganic salt, which is dissolved in deionized water at room temperature. In antibacterial studies, dimeric nitro-substituted imidazolium cations with bromide counter anions showed excellent inhibition against E. coli and P. aeruginosa bacteria. These experimental results were further supported by molecular docking studies. All the compounds (3-6) (a-d) showed excellent antibacterial activity than the standard drugs (gentamycin, nalidixic acid, oflaxacin, ciproflaxacin, and amikacin). Molecular docking studies showed strong hydrogen bonding, polar and hydrophobic interactions between the dimeric imidazolium salts, and Escherichia coli/Pseudomonas aeruginosa/Proteus vulgaris/Staphylococcus aureus receptors.
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Affiliation(s)
- Pandurangan Ganapathi
- PG
& Research Department of Chemistry, Presidency College (Autonomous), Chennai 600 005, India
| | - Kilivelu Ganesan
- PG
& Research Department of Chemistry, Presidency College (Autonomous), Chennai 600 005, India
| | - Mahendiran Dharmasivam
- Centre
for Cancer Cell Biology and Drug Discovery, Griffith Institute for
Drug Discovery, Griffith University, Nathan, Brisbane, Queensland 4111, Australia
| | - Mohammed Mujahid Alam
- Department
of Chemistry, College of Science, King Khalid
University, P.O. Box 9004, Abha 61413, Kingdom of Saudi Arabia
| | - Amanullah Mohammed
- Department
of Clinical Biochemistry, College of Medicine, King Khalid University, Abha 61413, Kingdom of Saudi Arabia
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Li C, Tang W, Chen S, He J, Li X, Zhu X, Li H, Peng Y. Phytochemical Properties and In Vitro Biological Activities of Phenolic Compounds from Flower of Clitoria ternatea L. Molecules 2022; 27:molecules27196336. [PMID: 36234873 PMCID: PMC9573559 DOI: 10.3390/molecules27196336] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 09/18/2022] [Accepted: 09/20/2022] [Indexed: 11/16/2022] Open
Abstract
Phenolic compounds from the flower of Clitoria ternatea L. (PCFCTL) were extracted using a high-speed shearing extraction technique and purified by AB-8 macroporous resins, and the phytochemical composition of the purified phenolic compounds from the flower of Clitoria ternatea L. (PPCFCTL) was then analyzed. Subsequently, its bioactivities including antioxidant properties, enzyme inhibitory activities, and antiproliferative activities against several tumor cell lines were evaluated. Results indicated that the contents of total phenolics, flavonoids, flavonols, flavanols, and phenolic acids in PPCFCTL were increased by 3.29, 4.11, 2.74, 2.43, and 2.96-fold, respectively, compared with those before being purified by AB-8 macroporous resins. The results showed PPCFCTL have significant antioxidant ability (measured by reducing power, RP, and ferric reducing antioxidant power method, FRAP) and good DPPH, ABTS+, and superoxide anion radical scavenging activities. They can also significantly inhibit lipase, α-amylase, and α-glucosidase. In addition, morphological changes of HeLa, HepG2, and NCI-H460 tumor cells demonstrated the superior antitumor performance of PPCFCTL. However, the acetylcholinesterase inhibitory activity was relatively weak. These findings suggest that PPCFCTL have important potential as natural antioxidant, antilipidemic, anti-glycemic and antineoplastic agents in health-promoting foods.
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Affiliation(s)
- Chao Li
- College of Food and Bioengineering, Xuzhou University of Technology, Xuzhou 221018, China
| | - Wei Tang
- College of Food and Bioengineering, Xuzhou University of Technology, Xuzhou 221018, China
| | - Shanglong Chen
- College of Food and Bioengineering, Xuzhou University of Technology, Xuzhou 221018, China
| | - Juping He
- College of Food and Bioengineering, Xuzhou University of Technology, Xuzhou 221018, China
| | - Xiaojing Li
- College of Light Industry and Food Engineering, Nanjing Forestry University, Nanjing 210037, China
| | - Xucheng Zhu
- School of Life Sciences, Guangzhou University, Guangzhou 510006, China
| | - Haimei Li
- School of Life Sciences, Guangzhou University, Guangzhou 510006, China
- Correspondence: (H.L.); (Y.P.)
| | - Yao Peng
- School of Life Sciences, Guangzhou University, Guangzhou 510006, China
- Correspondence: (H.L.); (Y.P.)
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Pestana-Nobles R, Aranguren-Díaz Y, Machado-Sierra E, Yosa J, Galan-Freyle NJ, Sepulveda-Montaño LX, Kuroda DG, Pacheco-Londoño LC. Docking and Molecular Dynamic of Microalgae Compounds as Potential Inhibitors of Beta-Lactamase. Int J Mol Sci 2022; 23:1630. [PMID: 35163569 PMCID: PMC8836116 DOI: 10.3390/ijms23031630] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2021] [Revised: 01/21/2022] [Accepted: 01/22/2022] [Indexed: 01/07/2023] Open
Abstract
Bacterial resistance is responsible for a wide variety of health problems, both in children and adults. The persistence of symptoms and infections are mainly treated with β-lactam antibiotics. The increasing resistance to those antibiotics by bacterial pathogens generated the emergence of extended-spectrum β-lactamases (ESBLs), an actual public health problem. This is due to rapid mutations of bacteria when exposed to antibiotics. In this case, β-lactamases are enzymes used by bacteria to hydrolyze the beta-lactam rings present in the antibiotics. Therefore, it was necessary to explore novel molecules as potential β-lactamases inhibitors to find antibacterial compounds against infection caused by ESBLs. A computational methodology based on molecular docking and molecular dynamic simulations was used to find new microalgae metabolites inhibitors of β-lactamase. Six 3D β-lactamase proteins were selected, and the molecular docking revealed that the metabolites belonging to the same structural families, such as phenylacridine (4-Ph), quercetin (Qn), and cryptophycin (Cryp), exhibit a better binding score and binding energy than commercial clinical medicine β-lactamase inhibitors, such as clavulanic acid, sulbactam, and tazobactam. These results indicate that 4-Ph, Qn, and Cryp molecules, homologous from microalgae metabolites, could be used, likely as novel β-lactamase inhibitors or as structural templates for new in-silico pharmaceutical designs, with the possibility of combatting β-lactam resistance.
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Affiliation(s)
- Roberto Pestana-Nobles
- Life Science Research Center, Universidad Simón Bolívar, Barranquilla 080002, Colombia; (R.P.-N.); (Y.A.-D.); (E.M.-S.); (J.Y.); (N.J.G.-F.)
| | - Yani Aranguren-Díaz
- Life Science Research Center, Universidad Simón Bolívar, Barranquilla 080002, Colombia; (R.P.-N.); (Y.A.-D.); (E.M.-S.); (J.Y.); (N.J.G.-F.)
| | - Elwi Machado-Sierra
- Life Science Research Center, Universidad Simón Bolívar, Barranquilla 080002, Colombia; (R.P.-N.); (Y.A.-D.); (E.M.-S.); (J.Y.); (N.J.G.-F.)
| | - Juvenal Yosa
- Life Science Research Center, Universidad Simón Bolívar, Barranquilla 080002, Colombia; (R.P.-N.); (Y.A.-D.); (E.M.-S.); (J.Y.); (N.J.G.-F.)
| | - Nataly J. Galan-Freyle
- Life Science Research Center, Universidad Simón Bolívar, Barranquilla 080002, Colombia; (R.P.-N.); (Y.A.-D.); (E.M.-S.); (J.Y.); (N.J.G.-F.)
| | | | - Daniel G. Kuroda
- Department of Chemistry, Louisiana State University, Baton Rouge, LA 70803, USA; (L.X.S.-M.); (D.G.K.)
| | - Leonardo C. Pacheco-Londoño
- Life Science Research Center, Universidad Simón Bolívar, Barranquilla 080002, Colombia; (R.P.-N.); (Y.A.-D.); (E.M.-S.); (J.Y.); (N.J.G.-F.)
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Samuel MS, Selvarajan E, Chidambaram R, Patel H, Brindhadevi K. Clean approach for chromium removal in aqueous environments and role of nanomaterials in bioremediation: Present research and future perspective. CHEMOSPHERE 2021; 284:131368. [PMID: 34225115 DOI: 10.1016/j.chemosphere.2021.131368] [Citation(s) in RCA: 22] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2020] [Revised: 06/14/2021] [Accepted: 06/26/2021] [Indexed: 05/25/2023]
Abstract
Chromium is an insidious ecological pollutant that is of huge value for its toxicity. The existing ecological objective to lower the heights of toxic materials in marine systems and to stimulate the existing water to recycle after suitable treatment of wastewater. Chromium is a hazard element that appears in discharges of numerous industries that must be diminished to accomplish the goals. Nearly all of the findings described in the literature related to the usage of various materials such as fungal, algal, bacterial biomass, and nanomaterials for chromium adsorption. The current work evaluates the findings of research commenced in the preceding on the use of a variety of adsorbents to decrease chromium concentrations in contaminated waters. This review article focuses on the issue of chromium contamination, its chemistry, causes, consequences, biological agent remediation techniques, and the detailed process of chromium detoxification in microbial cells. It also lists a description of the in situ and ex situ chromium bioremediation methods used. This can help design more effective Cr(VI) removal methods, thus bridging the difference between laboratory discoveries and industrial chromium remediation applications.
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Affiliation(s)
- Melvin S Samuel
- Department of Materials Science and Engineering, CEAS, University of Wisconsin-Milwaukee, Milwaukee, WI, 53211, United States
| | - E Selvarajan
- Department of Genetic Engineering, School of Bioengineering, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India
| | | | - Himanshu Patel
- Applied Science and Humanities Department, Pacific School of Engineering, Kadodara, Palasana Road, Surat, 394305, Gujarat, India
| | - Kathirvel Brindhadevi
- Faculty of Electrical and Electronics Engineering, Ton Duc Thang University, Ho Chi Minh City, Viet Nam.
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Chandra H, Singh C, Kumari P, Yadav S, Mishra AP, Laishevtcev A, Brisc C, Brisc MC, Munteanu MA, Bungau S. Promising Roles of Alternative Medicine and Plant-Based Nanotechnology as Remedies for Urinary Tract Infections. Molecules 2020; 25:E5593. [PMID: 33260701 PMCID: PMC7731396 DOI: 10.3390/molecules25235593] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 11/24/2020] [Accepted: 11/25/2020] [Indexed: 12/22/2022] Open
Abstract
Urinary tract infections (UTIs) are considered to be the most common infections worldwide, having an incidence rate of 40-60% in women. Moreover, the prevalence of this disorder in adult women is 30 times more than in men. UTIs are usually found in many hospitals and clinical practice; as disorders, they are complicated and uncomplicated; in uncomplicated cases, there is no structural or functional abnormality in the urogenital tract. However, obstruction, retention of urine flow and use of catheters increase the complexity. There are several bacteria (e.g., E. coli, Klebsiella pneumoniae, Proteus vulgaris, etc.) successfully residing in the tract. The diagnosis must not only be accurate but rapid, so early detection is an important step in the control of UTIs caused by uropathogens. The treatment of UTIs includes appropriate antimicrobial therapy to control the infection and kill the causal microbes inside the body. A long-time usage of antibiotics has resulted in multidrug resistance causing an impediment in treatment. Thus, alternative, combinatorial medication approaches have given some hope. Available treatments considered Homeopathic, Ayurvedic, Unani, and other herbal-based drugs. There are new upcoming roles of nanoparticles in combating UTIs which needs further validation. The role of medicinal plant-based nanotechnology approaches has shown promising results. Therefore, there must be active research in phyto-based therapies of UTIs, such as Ayurvedic Biology.
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Affiliation(s)
- Harish Chandra
- Department of Botany and Microbiology, Gurukula Kangri (Deemed to be University), Haridwar 249404, India;
| | - Chanchal Singh
- Department of Microbiology, Faculty of Science and Technology, Mewar University, Chittorgarh 312901, India;
| | - Pragati Kumari
- S-02, Scientist Hostel, Chauras Campus, Srinagar Garhwal, Uttarakhand 246174, India;
| | - Saurabh Yadav
- Department of Biotechnology, H.N.B. Garhwal University (A Central University), Srinagar (Garhwal) 246174, Uttarakhand, India
| | - Abhay P. Mishra
- Adarsh Vijendra Institute of Pharmaceutical Sciences, Shobhit University, Gangoh 247341, India
| | - Aleksey Laishevtcev
- Federal Research Center, Russian Scientific Research Institute of Experimental Veterinary Medicine Named after K. I. Skryabin and Y. R. Kovalenko of the Russian Academy of Sciences, 109428 Moscow, Russia;
- Laboratory of Biocontrol and Antimicrobial Resistance, Orel State University, Named after I. S. Turgenev, 302026 Orel, Russia
| | - Ciprian Brisc
- Department of Medical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania; (C.B.); (M.C.B.); (M.A.M.)
| | - Mihaela Cristina Brisc
- Department of Medical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania; (C.B.); (M.C.B.); (M.A.M.)
| | - Mihai Alexandru Munteanu
- Department of Medical Disciplines, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania; (C.B.); (M.C.B.); (M.A.M.)
| | - Simona Bungau
- Department of Pharmacy, Faculty of Medicine and Pharmacy, University of Oradea, 410028 Oradea, Romania;
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