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Accepted Manuscript Title: Anti-inflammatory and phytochemical properties of twelve medicinal plants used for treating gastro-intestinal ailments in South Africa Authors: O.A. Fawole, A.R. Ndhlala, S.O. Amoo, J.F. Finnie, J. Van Staden PII: S0378-8741(09)00153-6 DOI: doi:10.1016/j.jep.2009.03.012 Reference: JEP 5470 To appear in: Journal of Ethnopharmacology Received date: 23-12-2008 Revised date: 5-3-2009 Accepted date: 11-3-2009 Please cite this article as: Fawole, O.A., Ndhlala, A.R., Amoo, S.O., Finnie, J.F., Van Staden, J., Anti-inflammatory and phytochemical properties of twelve medicinal plants used for treating gastro-intestinal ailments in South Africa, Journal of Ethnopharmacology (2008), doi:10.1016/j.jep.2009.03.012 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Page 1: Journal Etho Phamarcology

Accepted Manuscript

Title: Anti-inflammatory and phytochemical properties oftwelve medicinal plants used for treating gastro-intestinalailments in South Africa

Authors: O.A. Fawole, A.R. Ndhlala, S.O. Amoo, J.F. Finnie,J. Van Staden

PII: S0378-8741(09)00153-6DOI: doi:10.1016/j.jep.2009.03.012Reference: JEP 5470

To appear in: Journal of Ethnopharmacology

Received date: 23-12-2008Revised date: 5-3-2009Accepted date: 11-3-2009

Please cite this article as: Fawole, O.A., Ndhlala, A.R., Amoo, S.O., Finnie, J.F.,Van Staden, J., Anti-inflammatory and phytochemical properties of twelve medicinalplants used for treating gastro-intestinal ailments in South Africa, Journal ofEthnopharmacology (2008), doi:10.1016/j.jep.2009.03.012

This is a PDF file of an unedited manuscript that has been accepted for publication.As a service to our customers we are providing this early version of the manuscript.The manuscript will undergo copyediting, typesetting, and review of the resulting proofbefore it is published in its final form. Please note that during the production processerrors may be discovered which could affect the content, and all legal disclaimers thatapply to the journal pertain.

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Anti-inflammatory and phytochemical properties of twelve medicinal 1

plants used for treating gastro-intestinal ailments in South Africa2

3

O.A. Fawole, A.R. Ndhlala, S.O. Amoo, J.F. Finnie, J. Van Staden*4

5

Research Centre for Plant Growth and Development, School of Biological and Conservation Sciences, 6

University of KwaZulu-Natal Pietermaritzburg, Private Bag X01, Scottsville 3209, South Africa7

* Corresponding author, e-mail address: [email protected] (J. Van Staden)8

Tel: +27 33 2605130; Fax: +27 33 26058979

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Received………………………..11

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Abstract14

15

Ethnopharmacological relevance: The investigated medicinal plants are commonly used for 16

the treatment of pains and cramps related to gastro-intestinal tract infections in South African 17

traditional medicine.18

Aims of the study: This study aimed to evaluate the ability of the plant extracts to inhibit 19

cyclooxygenase enzymes. Phytochemical analysis was also carried out in the quest to 20

determine some plant metabolites that may be responsible for the observed anti-inflammatory 21

activity.22

Materials and methods: The cyclooxygenase assay was used to test for the anti-inflammatory 23

activity of the plant extracts using cyclooxygenase-1 and -2 (COX-1 and COX-2) enzymes. 24

Total phenolic compounds including condensed tannins, gallotannins and flavonoids were 25

* Manuscript

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quantitatively determined using spectrophotometric methods. Qualitative tests for alkaloids 26

and saponins were also carried out.27

Results: Most of the plant extracts evaluated showed dose dependent activity against COX-1 28

and/or COX-2 enzymes. Agapanthus campanulatus root dichloromethane extract showed the 29

highest COX-2 inhibitory activity (83.7%) at 62.5 µg/ml. The presence and/or amounts of 30

phenolics, condensed tannins, gallotannins, flavonoids, alkaloids and saponins varied with 31

plant parts and species.32

Conclusion: The results support the use of the investigated plant in treating pain and cramp 33

related to gastro-intestinal tract infections. The observed anti-inflammatory activity could to 34

some extent be attributed to the various plant secondary metabolites detected in the plant 35

materials.36

37

Keywords: Anti-inflammatory; Cyclooxygenase; Gastro-intestinal ailments; Secondary 38

metabolites39

40

41

1. Introduction42

43

Gastro-intestinal ailments are associated with inflammation of the gastro-intestinal tract44

resulting in abdominal pains and cramps of varying degree (Barbara, 1998). Naik and Sketh 45

(1976) defined inflammation as a complex, vascular lymphatic and local tissue reaction 46

elicited in animals by the presence of viable and non-viable irritants. The intestine is 47

vulnerable to muscle spasm in patients suffering from gastro-intestinal infections, and most48

patients suffering from such conditions often complain of abdominal cramps and pains49

(Sleisenger and Fordtrand, 1993). Escherichia coli and other gastro-intestinal pathogens 50

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associated with food poisoning produce enterotoxins that induce watery diarrhoea and 51

abdominal tissue damage through plasmid-encoded invasion factors, resulting in acute or 52

chronic abdominal pains and cramps (Naik and Sketh, 1976; Sleisenger and Fordtrand, 1993).53

Non-steroidal anti-inflammatory drugs (NSAIDs) typically relieve inflammation and 54

associated pain by inhibiting cyclooxygenase enzymes involved in the production of 55

prostaglandins. These enzymes exist in two isoforms (COX-1 and COX-2) coded by distinct 56

genes on different chromosomes (Polya, 2003). The two isoforms show about 50% homology 57

and have similar catalytic activity, but are physiologically distinct (Pasinetti, 2001). 58

Compounds that inhibit COX enzymes could therefore be considered to be potential anti-59

inflammatory drugs. However, many of the commonly used anti-inflammatory agents are 60

becoming less acceptable due to serious adverse reactions such as gastric intolerance, bone 61

marrow depression and water and salt retention, resulting from prolonged use (Xiao et al., 62

2005). This necessitates the continued search for potent anti-inflammatory agents with 63

reduced or no side-effects. Studies based on the ethnobotanical use of plants have often 64

proved to be a more efficient method of drug discovery than random plant screening (Slish et 65

al., 1999; Khafagi and Dewedar, 2000). Some plant secondary metabolites such as alkaloids, 66

phenols, tannins, glycosides, terpenoids, saponins, flavonoids and steroids have been 67

implicated in their ability to inhibit the formation of pro-inflammatory signalling molecules 68

such as prostaglandin or leukotrienes (Polya, 2003). In the present study, we evaluated twelve69

medicinal plants used traditionally in the treatment of pain associated with gastro-intestinal 70

infections. The phytochemical components of these plants such as flavonoids, gallotannins, , 71

condensed tannins, other phenolic compounds, alkaloids and saponins were also evaluated.72

The antimicrobial and genotoxicity evaluation of the same plant materials have earlier been 73

reported (Fawole et al., 2009).74

75

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2. Material and methods77

78

2.1. Plant material79

80

Twelve traditional medicinal plants that are commonly used for the treatment of gastro-81

intestinal ailments (Table 1) were collected between November (2007) and February (2008)82

from Mt. Gilboa (29º 16.766' S, 30º 17.627' E), Midmar (29º 29.703' S, 30º 12.417' E), 83

University of KwaZulu-Natal Botanical Garden and Pietermaritzburg National Botanical 84

Garden in KwaZulu-Natal Province, South Africa. Due to availability and consideration of 85

potential sustainable harvesting of medicinal plants, the leaves of some plant species were 86

substituted for their roots. Voucher specimens were identified by and lodged in the University 87

of KwaZulu-Natal Herbarium, Pietermaritzburg. Plant materials were oven-dried at 50 ºC, 88

ground into powders and stored in airtight containers at room temperature in the dark.89

90

2.2. Anti-inflammatory activity91

92

2.2.1. Preparation of extracts93

Ground plant materials (5 g) were sequentially extracted with 100 ml of petroleum ether 94

(PE), dichloromethane (DCM) and 70% ethanol (EtOH) in a sonication bath (Julabo GMBH, 95

West Germany) at room temperature for 1 h each. The extracts were then filtered under 96

vacuum through Whatman No.1 filter paper. Water extracts were prepared non-sequentially 97

and freeze-dried while organic extracts were concentrated in vacuo using a rotary evaporator 98

at 30 ºC. The resultant extracts were air-dried at room temperature.99

100

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2.2.2. Cyclooxygenase assays101

The cyclooxygenase assays (COX-1 and COX-2), as described by Eldeen and Van 102

Staden (2008), were used to evaluate the anti-inflammatory activity of the extracts. Crude 103

extracts were screened at a concentration of 250 µg/ml for organic extracts and 2 mg/ml for 104

aqueous extract. Extracts showing good (≥ 50%) COX-2 inhibitory activity were then further 105

evaluated at concentrations of 125 µg/ml and 62.5 µg/ml in both COX-1 and COX-2 assays. 106

Indomethacin (Sigma) (5 µM for COX-1, 200 µM for COX-2) was used as a positive control, 107

while background in which the enzyme was inactivated with HCl before adding [14C] 108

arachidonic acid, and solvent blank were used as negative controls. Percentage inhibition by 109

the extracts was calculated by comparing the amount of radioactivity present in the sample to 110

that in the solvent blank using the equation below:111

112

COX Inhibition (%) = 113

114

where DPMsample = Disintegrations per minute for plant extract115

DPMbackground = Disintegrations per minute in which the enzyme was inactivated 116

DPMblank = Disintegrations per minute for solvent used in dissolving plant extracts117

118

Results are expressed as means ± standard errors of two independent experiments, each 119

experiment in duplicate.120

121

2.3. Phytochemical analysis122

123

2.3.1. Preparation of extracts124

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Phenolic compounds were extracted from plant materials as described by Makkar125

(1999). Dried plant samples (2 g) were extracted with 10 ml of 50% aqueous methanol by 126

sonication in cold water for 20 min. The extracts were then filtered under vacuum through 127

Whatman No.1 filter paper.128

129

2.3.2. Determination of total phenolics130

The amount of total phenolics in plant samples was determined using the Folin 131

Ciocalteu (Folin C.) assay for total phenolics as described by Makkar (1999). Fifty microlitres 132

of each extract from the plant samples were transferred into test tubes and 950 µl distilled 133

water were added to make up to 1 ml, followed by 1 N Folin C. reagent (500 µl) and 2% 134

sodium carbonate (2.5 ml). A blank that contained aqueous methanol instead of plant extracts 135

was also prepared. The test mixtures were incubated for 40 min at room temperature and the 136

absorbance read at 725 nm using a UV- visible spectrophotometer (Varian). Each extract had 137

three replicates and total phenolic concentrations were expressed as gallic acid equivalents138

(GAE).139

140

2.3.3. The butanol-HCl assay for condensed tannins141

Three millilitres of butanol-HCl reagent (95:5 v/v) were added to 500 µl of each extract, 142

followed by 100 µl ferric reagent (2% ferric ammonium sulphate in 2 N HCl). The test 143

combination was vortexed and placed in a boiling water bath for 60 min. The absorbance was 144

then read at 550 nm using a UV- visible spectrophotometer (Varian) against a blank prepared 145

by mixing extract (500 µl) with butanol-HCl reagent (3 ml) and ferric reagent (100 µl), but 146

without heating. Each extract had three replicates. Condensed tannin (% per dry matter) was147

calculated as equivalent amount of leucocyanidins using the formula developed by Porter et 148

al. (1986):149

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150

Condensed tannin = (A550 nm × 78.26 × dilution factor) ∕ (% dry matter)151

152

2.3.4. Rhodanine assay for gallotannins153

Plant extracts (50 µl) were made up to 1 ml with distilled water. One hundred 154

microlitres of 0.4 N sulphuric acid and 600 µl rhodanine were added to the diluted extracts.155

After 5 min, 200 µl of 0.5 N potassium hydroxide were added and 4 ml distilled water after 156

2.5 min. The mixtures were left for a further 15 min at room temperature, after which the 157

absorbance at 520 nm was read using a UV- visible spectrophotometer against a blank test 158

that contained methanol instead of sample. Each extract was evaluated in replicates and 159

gallotannin concentrations were expressed as gallic acid equivalents (GAE) (Makkar, 1999).160

161

2.3.5. Vanillin assay for flavonoids162

Plant extracts (50 µl) (in triplicate), were made up to 1 ml with distilled water in test 163

tubes before adding 2.5 ml methanolic-HCl (95:5 v/v) and 2.5 ml vanillin reagent (1 g/100 164

ml). Similar preparations of a blank that contained methanol instead of plant extracts were 165

made. After 20 min at room temperature, absorbance at 500 nm was read using a UV- visible 166

spectrophotometer (Varian Cary 50) against the blank. The flavonoids in the plant extracts 167

were expressed as catechin equivalents (Makkar, 1999).168

169

2.3.6. Thin layer chromatography for alkaloid detection170

Ten microlitres each of PE, DCM, EtOH and water extracts (50 mg/ml) (prepared as 171

described in Section 2.2.1.) were spotted on thin layer chromatographic (TLC) plates (Silica 172

gel 60 F254, Merck, Germany). The plates were developed using hexane:benzene:ethyl acetate 173

(5:2:3) for PE and DCM extracts, while ethyl acetate:methanol:water (100:16.5:13.5) was 174

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used for EtOH and water extracts. After development, the plates were dried, viewed under UV 175

(254,366 nm) and the fluorescence noted. The presence of alkaloids was indicated by red 176

coloration when the plates were sprayed with Dragendorff reagent (Robert, 1962; Wilfred and 177

Ralph, 2006).178

179

2.3.7. Froth test for saponins180

Distilled water (10 ml) was added to 0.1 g of ground plant sample in a test tube. The test 181

tube was corked and vigorously shaken for 2 min. The appearance of stable foam on the 182

liquid surface for 45 min indicated the presence of saponins (Makkar, 1999). To confirm the 183

presence of saponins, ten drops of olive oil were added to the aqueous extract (2 ml) in a test 184

tube. The test tube was then corked and vigorously shaken. The formation of an emulsion 185

confirmed the presence of saponins (Tadhani and Subhash, 2006).186

187

188

3. Results and discussion189

190

3.1. Anti-inflammatory activity191

192

The percentage inhibition of COX-1 and COX-2 by all the extracts at 250 µg/ml is193

presented in Table 2. Plant extracts showing a minimum inhibition of 50% are considered to 194

have good activity (Eldeen and Van Staden, 2008). All the PE and DCM extracts of the plant195

material (with the exception of Antidesma venosum leaf and Protea simplex bark) showed 196

good activity against both COX-1 and COX-2 (inhibition of prostaglandin synthesis ranging 197

from 58.8 to 103%). Generally, all the ethanol (except Diospyros lycioides leaf and Watsonia 198

tabularis corm) and water extracts showed weak or no activity (inhibition < 50%) against 199

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COX-2. However, water extracts of Agapanthus campanulatus leaf, Becium obovatum root, 200

Cyperus textilis root, Protea simplex leaf and bark, and Watsonia tabularis corm exhibited 201

good activity mainly against COX-1 enzyme with inhibition ranging from 50.3 to 90.5%.202

Most of the plant extracts evaluated showed dose dependent activity against COX-1 203

and/or COX-2 enzymes (Figs 1 and 2 respectively). Interestingly, at 62.5 µg/ml concentration, 204

16 out of 28 PE and DCM extracts evaluated still showed good activity (> 50%) against the 205

COX-2 enzyme. Generally, most of the extracts showed higher percentage inhibition for 206

COX-1 than for COX-2 at the highest screening concentration (250 µg/ml). Although COX-2 207

specific inhibitors have been suggested to be potential classical non-steroid anti-inflammatory 208

drugs due to their reduced or no side effects, some authors have reported that they also have a 209

non-negligible risk of gastro-intestinal toxicity in some patients (MacAulay and Blackburn, 210

2002; Bertin, 2004; Warner and Mitchell, 2008). However, the observed activity in many of 211

the extracts supports their uses in South African traditional medicine. In the case of extracts 212

showing weak or no activity in these assays, high dosages of extract are often used in 213

traditional medicine which may result in COX inhibition. Some of these extracts might be 214

active at other sites in the inflammatory pathways and/or contain compounds showing better 215

activity in vivo as they undergo metabolic transformation (McGaw et al., 1997; Garcia et al., 216

2003). In the human inflammatory process, for example, anti-inflammatory activity of 217

medicinal plants could be manifested in the inhibition of nuclear transcriptase factor (NFкB) 218

mediated signalling pathway in immune cells that lead to the production of inducible nitric 219

oxide synthase (iNOS), pro-inflammatory cytokines and inducible cyclooxygenase (iCOX) 220

(Polya, 2003). Moreover, the presence of comparable activities in the leaves and root or stem 221

of Agapanthus campanulatus, Cyperus textilis, Diospyros lycioides, and Protea simplex222

supports the idea of plant part substitution for sustainable use of many highly threatened 223

plants (Zschocke and Van Staden, 2000).224

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225

3.2. Phytochemical analysis226

227

3.2.1. Total phenolics composition228

Figure 3 shows the total phenolic compounds’ concentrations of the investigated plant 229

species. All the plant species evaluated contained some phenolic compounds. The highest 230

concentration of total phenolics was detected in C. textilis leaf (84.5 mgGAE/g). In addition, 231

B. obovatum root, P. simplex leaf and bark, and C. textilis root contained total phenolic 232

concentrations ≥ 50 mgGAE/g. Phenolic compounds are of important pharmacological value,233

some having anti-inflammatory properties (Bruneton, 1995). Different types of phenolic 234

compounds such as flavonoids, condensed tannins, and gallotannins are known to inhibit 235

some molecular targets of pro-inflammatory mediators in inflammatory responses (Sharma et 236

al., 1994; Iwalewa et al., 2007). Specific types of phenolic compounds present in these 237

species were therefore investigated.238

239

3.2.2. Condensed tannins contents240

The amounts of condensed tannins expressed as percentage per dry matter are shown in 241

Fig. 4. Highest amounts of condensed tannins were detected in C. textilis leaves and roots242

while low levels were detected in Gladiolus dalenii. No condensed tannins were detected in 243

B. obovatum root, A. campanulatus root and Vernonia natalensis leaf. Condensed tannins 244

(proanthocyanidins) are essentially derived from (+) gallocatechin, (–) epicatechin, (+) 245

catechin and epigallocatechin, and their derivatives via carbon to carbon (C-C) links. These 246

compounds are antagonists of particular hormone receptors or inhibitors of particular 247

enzymes such as cyclooxygenase enzymes (Polya, 2003).248

249

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3.2.3. Rhodanine assay for gallotannins250

Figure 5 presents the amounts of gallotannins present in the investigated plants. With 251

the exceptions of A. campanulatus root and G. dalenii corm, gallotannins are detected in all 252

the investigated species. The highest amount of gallotannin was detected in P. simplex leaf253

(13.5 µg/g dry matter). Gallotannins exert various biological effects ranging from anti-254

inflammatory to anticancer and antiviral properties (Erde`lyi et al., 2005). The mechanisms 255

underlying the anti-inflammatory effect of tannins include the scavenging of radicals and 256

inhibition of the expression of inflammatory mediators, such as some cytokines, inducible 257

nitric-oxide synthase, and cyclooxygenase-2 (Polya, 2003; Erde`lyi et al., 2005). The high 258

amounts of gallotannins present in some of the evaluated plant materials could in part be 259

responsible for the observed high anti-inflammatory activity.260

261

3.2.4. Vanillin assay for flavonoids262

The flavonoid concentrations present in the investigated plant materials are shown in 263

Fig. 6. The highest (7.4 mg/g) and the lowest (0.24 mg/g) amounts were detected in C. textilis264

and Haworthia limifolia leaves respectively. According to Talhouk et al. (2007), flavonoids 265

are known to act on the inflammatory response via many routes and block molecules like 266

COX, iNOS, cytokines, nuclear factor-кB and matrix metalloproteinases. Some flavonoids 267

have been reported to be effective against acute inflammation in vivo using a carrageenin-268

induced mouse paw oedema model (Pelzer et al., 1998).269

270

3.2.5. Alkaloids detection271

The presence or absence of alkaloids in the investigated plant extracts are summarized 272

in Table 3. Twelve out of 48 extracts evaluated showed the presence of alkaloids. Previous 273

researchers have reported the presence of alkaloids in A. venosum, Vernonia sp., and D. 274

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lycioides (Watt and Breyer-Brandwijk, 1962; Hutchings et al., 1996; Ndukwe et al., 2004).275

Some alkaloids such as isoquinoline, indole and diterpene are known to have good anti-276

inflammatory activity (Barbosa-Filho et al., 2006).277

278

3.2.6. Saponins detection279

All the evaluated plant materials except H. limifolia, P. simplex, A. venosum and D. 280

princeps leaves tested positive for saponins. The anti-inflammatory activities of some saponin281

derivatives such as triterpenoids saponins have been reported (Sahu and Mahato, 1994).282

According to Sparg et al. (2004), many saponins extracted from plant sources produce an 283

inhibition of inflammation in the mouse carrageenan-induced oedema assay.284

285

286

4. Conclusions287

288

As far as we can ascertain, the anti-inflammatory activity and phytochemical properties289

of many of the investigated plant species have not been reported, yet they are extensively used 290

in traditional medicine. To a large extent, the results in this study validate the traditional 291

medicinal use of the evaluated plant species in treating stomach pains and cramps associated 292

with gastro-intestinal infections. The study of their phytochemical constituents might be 293

considered sufficient for further studies aimed at isolating and identifying the active 294

principle(s) as well as potential combination effects (if any) of the isolated compounds as 295

some of these plants are frequently included in multiple decoctions.296

297

298

Acknowledgements299

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300

Mrs Alison Young of the University of KwaZulu-Natal Botanical Garden and Gary 301

Stafford of the Research Centre for Plant Growth and Development, UKZN are thanked for 302

assistance in plant collection. The National Research Foundation and the University of 303

KwaZulu-Natal are gratefully acknowledged for financial assistance.304

305

306

References307

308

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Barbosa-Filho, J.M., Piuvezam, M.R., Moura, M.D., Silva, M.S., Lima, K.V.B., Leitão da-310

Cunha, E.V., Fechine, I.M., Takemura, O.S., 2006. Anti-inflammatory activity of 311

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Bertin, P., 2004. Should gastroprotective agents be given with COX-2 inhibitors? A question 313

worthy of scrutiny. Joint Bone Spine 71, 454-456.314

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Hutchings, A., Scott, A.H., Lewis, G., Cunningham, A., 1996. Zulu Medicinal Plants. An 330

Inventory. University of Natal Press, Pietermaritzburg.331

Iwalewa, E.O., McGaw, L.J., Naidoo, V., Eloff, J.N., 2007. Inflammation: the foundation of 332

diseases and disorders. A review of phytomedicines of South African origin used to treat 333

pain and inflammatory conditions. African Journal of Biotechnology 6, 2868-2885.334

Khafagi, I.K., Dewedar, A., 2000. The efficiency of random versus ethno-directed research in 335

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Ethnopharmacology 71, 365-376.337

MacAulay, S., Blackburn, D., 2002. Selective COX-2 inhibitors for patients with arthritis: are 338

they safer than traditional nonsteroidal anti-inflammatory drugs? Canadian Pharmacists 339

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Makkar, H.P.S., 1999. Quantification of Tannins in Tree Foliage: A laboratory manual for the 341

FAO/IAEA co-ordinated research project on use of nuclear and related techniques to 342

develop simple tannins assays for predicting and improving the safety and efficiency of 343

feeding ruminants on the tanniferous tree foliage. Joint FAO/IAEA Division of Nuclear 344

Techniques in Food and Agriculture, Vienna, Austria.345

Margaret, R., 1990. Indigenous Healing Plants. Southern Book Publisher, South Africa.346

McGaw, L.J., Jäger, A.K., Van Staden, J., 1997. Prostaglandin synthesis inhibitory activity in 347

Zulu, Xhosa and Sotho medicinal plants. Phytotherapy Research 11, 113-117.348

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Naik, S.R., Sketh, U.K., 1976. Inflammatory process and screening methods for anti-349

inflammatory agents- A review. Journal of Postgraduate Medicine 22, 5-21.350

Ndukwe, K.C., Lamikanra, A., Okeke, I.N., 2004. Antibacterial activity in plants used as 351

chewing sticks in Africa. Drugs of the Future 29, 1221.352

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initiatives to slow the progression of clinical dementia. Archives of Gerontology and 354

Geriatrics 33, 13-28.355

Pelzer, L.E., Guardia, T., Osvaldo Juarez, A., Guerreiro, E., 1998. Acute and chronic anti-356

inflammatory effects of plant flavonoids. Farmaco 53, 421-424.357

Polya, G.M., 2003. Biochemical targets of plant bioactive compounds. A pharmacological 358

reference guide to sites of action and biological effects. CRC Press, Florida.359

Pooley, E., 1998. A Field Guide to Wild Flowers in KwaZulu-Natal and the Eastern Region. 360

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prodelphinidins to cyanidin and delphinidin. Phytochemistry 25, 223-230.363

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bioactivities in plant extracts. Journal of Medicinal Food 10, 1-10.381

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394

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Table 1395

Medicinal plants used against gastrointestinal problems in South Africa.396

Family Species Voucher number Traditional uses

Agapanthaceae Agapanthus campanulatus

Leighton

FAW 4 NU Root decoctions are taken orally or as enemas for stomach

problems in children (Watt and Breyer- Brandwijk, 1962).

Asphodelaceae Haworthia limifolia Marloth FAW 3 NU Decoction made from the leaves is used for stomach trouble

(Hutchings et al., 1996).

Asteraceae Vernonia natalensis Sch. Bip. ex

Walp.

FAW 6 NU Decoctions from leaves and stems are used for stomach

cramps, nervous spasms of the stomach and other stomach

ailments (Hutchings et al., 1996).

Cucurbitaceae Cucumis hirsutus Sond FAW 2 NU Leaf and root decoctions are used for abdominal pain as

well as diarrhoea (Hutchings et al., 1996).

Cyperaceae Cyperus textiles Thunb. FAW 9 NU Root infusions are used as enemas for children with various

stomach pains and cramps (Hutchings et al., 1996).

Ebenaceae Diospyros lycioides Desf. FAW 10 NU Bark and root decoctions are taken for bloody faeces and

dysentery (Hutchings et al., 1996).

Euphorbiaceae Antidesma venosum E. Mey.ex

Tul.

FAW 7 NU Leaf decoctions are used for abdominal cramps and

dysentery. (Hutchings et al., 1996).

Iridaceae Gladiolus dalenii van Geel

FAW 12 NU

Corm ground down to a fine meal and taken this mixed

with warm water in small quantities to relieve dysentery,

diarrhoea and stomach cramps (Margaret, 1990).

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Watsonia tabularis Bak FAW 5 NU Corms are used for diarrhoea in humans and calves

(Hutchings et al., 1996).

Lamiaceae Becium obovatum E. Mey. Ex

Benth.

FAW 8 NU Warm water infusions of pounded roots and leaf are

administered as enemas to treat children with stomach

ailments as well as abdominal pain (Pooley, 1998).

Melastomataceae Dissotis princeps (Kunth) Triana FAW 11 NU Leaf infusions are administered as enemas for dysentery

and diarrhoea (Hutchings et al., 1996).

Proteaceae Protea simplex E. Phillips FAW 1 NU Decorticated root and bark infusions are used for dysentery,

diarrhoea and stomach pains in humans (Hutchings et al.,

1996).

397

398

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Table 2399

Inhibitory activity (COX-1 and COX-2) of different plant extracts evaluated at 250 µg/ml400

Plant species

Plant

part

Percentage inhibition

COX-1 COX-2

PE DCM EtOH Water PE DCM EtOH Water

Agapanthus

campanulatus L 92.6 ± 1.1 78.4 ± 7.2 12.8 ± 0.8 74.2 ± 5.9 72.3 ± 9.1 68.1 ± 3.8 16.9 ± 9.5 47.5 ± 3.7

R 97.7 ± 1.4 98.4 ± 1.0 48.1 ± 9.3 33.4 ± 3.3 78.0 ± 4.4 97.0 ± 1.2 9.1 ± 21.0 28.8 ± 4.0

Antidesma venosum L 103.0 ± 0.8 72.8 ± 4.3 84.3 ± 7.0 36.2 ± 6.1 46.6± 12.3 40.9 ± 9.9 40.9 ± 10.5 0.0

Becium obovatum R 78.5 ± 4.0 86.4 ± 2.6 4.1 ± 3.0 85.3 ± 1.9 76.6 ± 0.8 62.6 ± 9.3 0.0 1.2 ± 17.0

Cucumis hirsutus L 91.7 ± 2.1 101.8 ± 1.1 29.1 ± 5.0 26.0 ± 9.4 80.3 ± 3.5 81.5 ± 4.1 0.0 0.0

Cyperus textilis R 91.7 ± 5.0 88.5 ± 4.9 81.4 ± 8.9 61.3 ± 0.69 75.6 ± 9.8 73.5 ± 2.4 47.9 ± 24.3 0.0

L 86.3 ± 0.7 88.4 ± 0.5 79.8 ± 8.9 0.0 75.0 ± 1.8 83.0 ± 0.1 32.8 ± 1.0 0.0

Diospyros lycioides L 92.8 ± 0.9 94.0 ± 5.7 90.4 ± 4.3 37.1 ± 0.2 91.6 ± 1.9 84.8 ± 1.3 72.0 ± 2.3 0.0

S 73.8 ± 3.6 81.0 ± 2.1 70.6 ± 1.2 13.1 ± 5.7 67.7 ± 0.3 65.9 ± 1.7 37.9 ± 10.1 0.0

Dissotis princeps L 58.8 ± 1.2 82.7 ± 2.3 87.1 ± 4.0 4.8 ± 2.8 60.6 ± 7.7 67.2 ± 9.5 22.1 ± 1.1 0.0

Gladiolus dalenii C 88.3 ± 1.5 101.8 ± 0.3 53.1 ± 4.4 34.4 ± 0.1 68.4 ± 5.7 100.6 ±3.5 35.6 ± 5.7 0.0

Haworthia limifolia L 88.3 ± 3.8 83.5 ± 1.9 1.3 ± 4.1 30.7 ± 10.5 82.4 ± 2.3 72.3 ± 2.8 0.0 0.0

Protea simplex L 100.1 ± 0.8 80.6 ± 8.7 23.7 ± 6.1 57.8 ± 14.4 72.4 ± 1.1 68.4 ± 3.7 0.0 20.9 ± 6.9

B 94.2 ± 3.7 86.1 ± 7.1 89.2 ± 7.8 90.5 ± 1.2 41.0 ± 7.4 35.8 ± 2.4 20.0 ± 2.1 16.7 ± 0.3

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Vernonia natalensis L 88.5 ± 3.2 77.5 ± 3.4 51.2 ± 12.4 38.7 ± 3.3 86.7 ± 0.9 63.4 ± 0.5 0.0 0.0

Watsonia tabularis C 97.6 ± 5.3 73.9 ± 5.1 90.3 ± 3.4 50.3 ± 1.8 91.5 ± 0.9 80.5 ± 8.7 51.1 ± 8.8 0.0

Percentage inhibition of prostaglandin synthesis by indomethacin was 70 ± 3.3 for COX-1 and 68.9 ± 2.5 for COX-2.401

B- bark, C-corm, L-leaf, R-root, S-stem402

403

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Table 3404

Detection of alkaloids in twelve medicinal plants traditionally used for treating gastro-405

intestinal ailments in South Africa.406

Plant name Plant part Extracts

PE DCM EtOH

Agapanthus

campanulatus

Leaves - - +

Roots - -

Antidesma venosum Leaves + - -

Becium obovatum Roots - + -

Cucumis hirsutus Leaves - - +

Cyperus textiles Roots - + -

Leaves - - -

Diospyros lycioides Leaves + - -

Stems - - -

Dissotis princeps Leaves - + -

Gladiolus dalenii Corms - - -

Haworthia limifolia Leaves + - +

Protea simplex Leaves - - +

Bark - - +

Vernonia natalensis Leaves + - -

Watsonia tabularis Corms - - -

- = absence

+ = presence

407

408

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Figure Legends409

410

Fig. 1. Dose-dependent COX-1 percentage inhibition by different plant extracts. (A) 411

Petroleum ether extracts (B) Dichloromethane extracts, and (C) Ethanol extracts. Percentage 412

inhibition of prostaglandin synthesis by Indomethacin was 70 ± 3.3.413

A.c = Agapanthus campanulatus; B.o = Becium obovatum; C.h = Cucumis hirsutus; C.t = 414

Cyperus textilis; D.l = Diospyros lycioides; D.p = Dissotis princeps; G.d = Gladiolus dalenii; 415

H.l = Haworthia limifolia; P.s = Protea simplex; V.n = Vernonia natalensis; W.t = Watsonia 416

tabularis.417

418

Fig. 2. Dose-dependent COX-2 percentage inhibition by different plant extracts. (A) 419

Petroleum ether extracts (B) Dichloromethane extracts, and (C) Ethanol extracts. Percentage 420

inhibition of prostaglandin synthesis by Indomethacin was 68.9 ± 2.5.421

A.c = Agapanthus campanulatus; B.o = Becium obovatum; C.h = Cucumis hirsutus; C.t = 422

Cyperus textilis; D.l = Diospyros lycioides; D.p = Dissotis princeps; G.d = Gladiolus dalenii; 423

H.l = Haworthia limifolia; P.s = Protea simplex; V.n = Vernonia natalensis; W.t = Watsonia 424

tabularis.425

426

Fig. 3. Total phenolic compounds per dry matter (DM) of twelve medicinal plants 427

traditionally used for treating gastro-intestinal ailments.428

1-Haworthia limifolia (leaf), 2-Cucumis hirsutus (leaf), 3-Becium obovatum (root), 4-Protea 429

simplex (leaf), 5-Protea simplex (bark), 6-Agapanthus campanulatus (root), 7-Cyperus textilis430

(root), 8-Cyperus textilis (leaf), 9-Vernonia natalensis (leaf), 10-Watsonia tabularis (corm), 431

11-Antidesma venosum (leaf), 12- Diospyros lycioides (leaf), 13-Diospyros lycioides (stem), 432

14-Dissotis princeps (leaf), 15-Gladiolus dalenii (corm).433

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434

Fig. 4. Percentage condensed tannins as leucocyanidins equivalents of twelve medicinal 435

plants traditionally used for treating gastro-intestinal ailments.436

1-Haworthia limifolia (leaf), 2-Cucumis hirsutus (leaf), 3-Becium obovatum (root), 4-Protea 437

simplex (leaf), 5-Protea simplex (bark), 6-Agapanthus campanulatus (root), 7-Cyperus textilis438

(root), 8-Cyperus textilis (leaf), 9-Vernonia natalensis (leaf), 10-Watsonia tabularis (corm), 439

11-Antidesma venosum (leaf), 12- Diospyros lycioides (leaf), 13-Diospyros lycioides (stem), 440

14-Dissotis princeps (leaf), 15-Gladiolus dalenii (corm).441

442

Fig. 5. Gallotannin concentrations per dry matter (DM) of twelve medicinal plants 443

traditionally used for treating gastro-intestinal ailments.444

1-Haworthia limifolia (leaf), 2-Cucumis hirsutus (leaf), 3-Becium obovatum (root), 4-Protea 445

simplex (leaf), 5-Protea simplex (bark), 6-Agapanthus campanulatus (root), 7-Cyperus textilis446

(root), 8-Cyperus textilis (leaf), 9-Vernonia natalensis (leaf), 10-Watsonia tabularis (corm), 447

11-Antidesma venosum (leaf), 12- Diospyros lycioides (leaf), 13-Diospyros lycioides (stem), 448

14-Dissotis princeps (leaf), 15-Gladiolus dalenii (corm).449

450

Fig. 6. Flavonoid concentration as catechin equivalent of twelve medicinal plants traditionally 451

used for treating gastro-intestinal ailments.452

1-Haworthia limifolia (leaf), 2-Cucumis hirsutus (leaf), 3-Becium obovatum (root), 4-Protea 453

simplex (leaf), 5-Protea simplex (bark), 6-Agapanthus campanulatus (root), 7-Cyperus textilis454

(root), 8-Cyperus textilis (leaf), 9-Vernonia natalensis (leaf), 10-Watsonia tabularis (corm), 455

11-Antidesma venosum (leaf), 12- Diospyros lycioides (leaf), 13-Diospyros lycioides (stem), 456

14-Dissotis princeps (leaf), 15-Gladiolus dalenii (corm).457

458

459

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24

460Pe

rcen

tage

Inhi

bitio

n

0

20

40

60

80

100

120

62.5 µg/ml 125 µg/ml 250 µg/ml

Leaf Root Corm Stem

Perc

enta

ge in

hibi

tion

0

20

40

60

80

100

120

Leaf Root Corm StemB

A

Plant species

Perc

enta

ge in

hibi

tion

0

20

40

60

80

100

D.l W.t

Leaf CormC

A.c C.h C.t D.l D.p H.l P.s V.n A.c B.o C.t G.d W.t D.l

A.c C.h C.t D.l D.p H.l P.s V.n A.c B.o C.t G.d W.t D.l

461

462

Figure 1463

464

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25

465Pe

rcen

tage

inhi

bitio

n

0

20

40

60

80

100

62.5 µg/ml 125 µg/ml 250 µg/ml

Perc

enta

ge in

hibi

tion

0

20

40

60

80

100

120

Plant species

Perc

enta

ge in

hibi

tion

0

20

40

60

80

D.l W.t

A.c C.h C.t D.l D.p H.l P.s V.n A.c B.o C.t G.d W.t D.l

A.c C.h C.t D.l D.p H.l P.s V.n A.c B.o C.t G.d W.t D.l

A Leaf Root Corm Stem

LeafB Root Corm Stem

C CormLeaf

466

Figure 2467

468

469

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26

470

1 2 3 4 5 6 7 8 9 10 11 12 13 14 150

25

50

75

100

Sample

Tot

al p

heno

lic

conc

entr

atio

n(m

g G

AE

/g D

M)

471

Figure 3472

473

474

475

476

477

478

479

480

481

482

483

484

485

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486

1 2 3 4 5 6 7 8 9 10 11 12 13 14 150.0

0.5

1.0

1.5

2.0

2.5

3.0

3.5

4.0

4.5

Sample

Con

dens

ed ta

nnin

s(%

per

dry

mat

ter)

487

Figure 4488

489

490

491

492

493

494

495

496

497

498

499

500

501

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502

1 2 3 4 5 6 7 8 9 10 11 12 13 14 150123456789

1011121314

Sample

Gal

lota

nnin

con

cent

rati

onµ

g G

AE

/g D

M

503

504

Figure 5505

506

507

508

509

510

511

512

513

514

515

516

517

518

519

520

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521

522

1 2 3 4 5 6 7 8 9 10 11 12 13 14 150

1

2

3

4

5

6

7

8

Sample

Flav

onoi

d co

ncen

trat

ion

(mg

Cat

echi

n eq

uiva

lent

/g D

M)

523

Figure 6524