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The Plant Cell, January 2013 © 2013The American Society of Plant Biologists
1/12/2013
www.plantcell.org/cgi/doi/10.1105/tpc.113.tt0113 1
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
The Past, Present and Future of Medicinal Plants
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Herbal medicines have been used for millennia
1000s of plants have medicinal uses
More people in the world depend on herbal medicines
than pharmaceutical medicines
More than half of the 150 most-
prescribed medicines have at
least one compound derived from plants
More than half of the 150 most-
prescribed medicines have at
least one compound derived from plants
Credits: WHO photo by D. Henrioud; Mycelium101
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Reprinted by permission from Macmillan Publishers Ltd from Last, R.L., Jones, A.D. and Shachar-Hill, Y. (2007). Towards the plant metabolome and beyond. Nat. Rev. Mol. Cell Biol. 8: 167-174.Image provided by S. O’Connor, reprinted from Glenn, W.S., Runguphan, W. and O’Connor, S.E. (2013) Recent progress in the metabolic engineering of alkaloids in plant systems. Curr. Opin. Plant Biol. (in press).
Traditional knowledge now can be augmented with modern approaches
Metabolomics to identify medicinally active compounds
Metabolic engineering to increase their production
and diversity
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Lecture Outline
• Historical uses of plants as medicines• From 1800 to the present
• Quest for active compounds• The best of both
• Plant-based medicines, present and future
• Health care for all
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
People have used plants as medicines since pre-history
Chemicals preserved in 50,000 year old Neanderthal teeth
suggest medicinal plants such as chamomile were eaten
Reprinted from Wadley, L., Sievers, C., Bamford, M., Goldberg, P., Berna, F. and Miller, C. (2011). Middle stone age bedding construction and settlement patterns at Sibudu, South Africa. Science. 334: 1388-1391 with permission from AAAS. CSIC Comunicación; Köhler’s medicinal plants
77,000 year-old South African Cryptocarya woodiileaves used for bedding – this plant is toxic to mosquitoes
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
University of Virginia, and Mexiclore; Powell, J. W. Seventh Annual Report of the Bureau of Ethnology. Washington: Government Printing Office, 1891. Page 159; Mycelium101
Historical records are scarce, but evidence suggests that cultures around the world have used plants as medicines for thousands of years
South America: The Badianus Manuscript, or Aztec Herbal
(1552), written and illustrated by two Aztec men, Martín de la Cruz
and Juan Badiano
North America: Ojibwa midewiwin preparing herbal medicine
Persia: Ibn Sina, also known as Avicenna, c. 1000 AD, wrote “The Book of Healing” and “The Canon of Medicine”
Healers who use traditional herbal remedies are the major health providers throughout much of sub-Saharan Africa
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Written records of medicinal plants date back 4000 years
NIH – Images from the history of medicine; Beijing Digital Museum of TCM;
Sumerian and Egyptian texts from more than 3500 years ago describe the use of medicinal plants
The use of herbal medicines in China and India date back at least 4000 years
These ancient texts mention hundreds of plants including aloe, peppermint, opium, willow, wormwood and many more
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Greek herbals remained in use through the middle ages
Historia Plantarumby Theophrastus
~200 BCThis edition printed 1644
De Materia Medicaby Pedanius Dioscorides
~50 AD This edition copied ~500 AD
Biodiversity heritage library
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
1500: Liber de arte distillandi simplicia et composita
NIH and BHL
“The same water withdryueth the spottys in the face / whan it is often wasshed and rubbed therwith / and let drye agayne by hym selfe”
Water of white lilies:
A manual for distilling herbs was published in 1500 by Hieronymus Brunschwig(English translation, 1527)
The book contains instructions for how make and use plant extracts
The Plant Cell, January 2013 © 2013The American Society of Plant Biologists
1/12/2013
www.plantcell.org/cgi/doi/10.1105/tpc.113.tt0113 2
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
The “Doctrine of Signatures”: Form reveals purpose
Image credits: Wellcome Library, AndonicO, Wellcome Library, London
"That to which a sign belongs, to it also the effect belongs; and that to which the effect belongs, equally to it the sign belongs; and those which lack the signs also lack the effects” G. della Porta (~1600)
Are pomegranates good for your teeth?
Are walnuts brain food?
Will daisies cure eye problems?
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Apothecaries and physic gardens used and cultivated medicinal plants
Botanic Garden Leiden University 1625
National Library of Medicine, NLM, NLM, Orto Botanica di Padova
The oldest existing botanical garden was founded in Padua, 1545
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Discovery of cardiac glycosides from foxglove, Digitalis purpura
“We shall sooner obtain the end proposed if we take up the subject as altogether new and, rejecting the fables of the ancient herbalist, build only upon the basis of accurate and well considered experiments’
William Withering (1741 – 1799) English botanist and doctor, he wrote the first book to apply Linnaean taxonomy to British flora. He applied modern, rational methods to the study of folk medicines
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
1785 “An Account of the Foxglove, and Some of its Medical Uses”
Krikler, D.M. (1985). The foxglove, “the old woman from Shropshire” and William Withering. Journal of the American College of Cardiology. 5: 3A-9A; Lee, M.R. (2001) William Withering (1741–1799): A Birmingham Lunatic. Proc. R. Coll. Physicians Edinb. 31: 77-83. Wilkins, M.R., Kendall, M.J. and Wade, O.L. (1985). William Withering and digitalis, 1785 to 1985. BMJ. 290: 7-8.
“…this medicine was composed of twenty or more different herbs; but ….the active herb could be no other than the Foxglove”
Digoxin, one of several cardiac glycosides
isolated from foxglove.
Withering spent years investigating optimal preparations and doses of foxglove leaves for the treatment of heart conditions
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
From 1800 to the present: Quest for active compounds
1805 – Morphine purified from opium poppy (Papaver somniferum)
Taxus breviola, Pacific yew
1966 - Taxol purified from Pacific yew (Taxus breviola)
1820 – Quinine purified from
Cinchona tree (Cinchona spp)
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Which is “better”, a plant extract or the purified compound?
TraditionalNaturalSafer
ScientificPure
Safer
No “middleman”, often cheaper
Multifactorial effects can
be beneficial
Single defined compound, no
unknowns
Overharvesting and supply shortages
are problems
Synthetic forms can preserve wild
plants, provide consistent supply
Batch-to-batch variation can be a problem
Prohibitively expensive for manyConsistent,
precise dosages
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Morphine, a powerful narcotic analgesic alkaloid from poppy
Photo courtesy of Toni Kutchan, Donald Danforth Plant Science Center
The pain-relieving properties of opium have been known for millenniaOpium is the dried latex from the seed capsule of the poppy, and contains many pharmacologically active alkaloids including morphine, codeine, noscapine and thebaine morphine
codeinethebaine
noscapine
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Morphine is the best and the worst of drugs - effective but addictive
US National Institute of Drug Abuse; UNODC, World Drug Report 2012 (United Nations publication, Sales No. E.12.XI.1)
Morphine and related opioids are extremely effective pain relievers, but also highly addictive. Prolonged use affects the activity or amount of neurotransmitter receptors, causing a chemical dependency
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Making a safer poppy for licit, but not illicit, purposes
Reprinted by permission from Macmillan Publishers Ltd: Millgate, A.G., Pogson, B.J., Wilson, I.W., Kutchan, T.M., Zenk, M.H., Gerlach, W.L., Fist, A.J. and Larkin, P.J. (2004). Analgesia: Morphine-pathway block in top1 poppies. Nature. 431: 413-414. See also Hagel, J.M. and Facchini, P.J. (2010). Dioxygenases catalyze the O-demethylation steps of morphine biosynthesis in opium poppy. Nat. Chem. Biol. 6: 273-275.
The thebaine oripavine poppy 1 (top1) variety accumulates thebaine and oripavine, but not morphine or codeine. These poppies can be used as precursors for synthetic opioid production, but carry “little risk of diversion for illicit purposes”
Wild type extract
top1 extract
The Plant Cell, January 2013 © 2013The American Society of Plant Biologists
1/12/2013
www.plantcell.org/cgi/doi/10.1105/tpc.113.tt0113 3
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Antimalarials: quinine and artemisinin
Hay, S.I., et al., (2009) PLoS Med 6(3): e1000048. doi:10.1371/ journal.pmed.1000048 Image by Ute Frevert; false color by Margaret Shear. Photo credit: CDC
Malaria kills and debilitates millions of people each year, and accounts for
20% of childhood deaths. It is caused by a mosquito-transmitted protozoan.
Quinine and artemisinin are effective antimalarial drugs
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Image credits: Köhler; CDC, H. Zell
Cinchona tree bark contains quinine, which kills Plasmodium
Cinchona bark was brought to Europe from Peru in the 17th century. Quinine was purified from it in 1820. Synthesis is very difficult and too expensive, so cinchona trees remain the source of the drug
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Artemisia annua produces artemisinin, an effective antimalarial
Artemisinin
Artemisia has been used by Chinese herbalists for thousands of years. In 1972 the active ingredient, artemisinin, was purified
Artemisia annua
Photo credit: www.anamed.net; Reprinted by permission from Macmillan Publishers Ltd. From Van Noorden, R. (2010) Demand for malaria drug soars. Nature 466: 672 – 673.
Demand for artemisinin exceeds supply
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Several approaches are being used to increase artemisinin production
Reprinted from Graham, I.A., et al. and Bowles, D. (2010). The genetic map of Artemisia annua L. identifies loci affecting yield of the antimalarial drug artemisinin. Science. 327: 328-331 with permission from AAAS; Reprinted by permission from Macmillan Publishers Ltd from Ro, D.-Ket al and Keasling, J.D. (2006). Production of the antimalarial drug precursor artemisinic acid in engineered yeast. Nature. 440: 940-943; see also Westfall, P.J. et al . and Paddon, C.J. (2012). Production of amorphadiene in yeast, and its conversion to dihydroartemisinic acid, precursor to the antimalarial agent artemisinin. Proc. Natl. Acad. Sci. 109: E111-E118. Covello, P.S. (2008). Making artemisinin. Phytochemistry. 69: 2881-2885. Lévesque, F. and Seeberger, P.H. (2012). Continuous-Flow Synthesis of the Anti-Malaria Drug Artemisinin. Angewandte Chemie International Edition. 51: 1706-1709.
Genetic approach: Identify genes that increase production for breeding strategy
Semisynthetic approach: Introduce plant genes into metabolically engineered yeast
Both methods have advantages, and its been said that both are needed to ensure adequate supply
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Reprinted from Horwitz, S.B. (2003). Personal Recollections on the Early Development of Taxol. Journal of Natural Products. 67: 136-138, copyright American Chemical Society. See also Jennewein, S.J. and Croteau, R.C. (2001). Taxol: biosynthesis, molecular genetics, and biotechnological applications. Applied Microbiology and Biotechnology. 57: 13-19 .
Taxus breviola, Pacific yew
Taxol was discovered through a random screening project
Taxol is an effective anticancer drug because it
stabilizes microtubules, and blocks cell division
Taxol - “It’s the kind ofstructure that only a tree would make’’
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Taxol’s success as a therapeutic agent threatened the Pacific yew
Methods for taxol synthesis were worked out in 1994, but they are far too expensive
Photo credit : Dave Powell USDA
In the 1980s thousands of trees were being killed and stripped of their bark for taxol extraction
Currently, taxol is produced semisynthetically, from a precursor harvested from the needles of Taxus baccata(European Yew) that occurs at much higher levels than taxol. Branches can be harvested from trees annually without sacrificing the tree
Another taxol -production method uses cultured plant cells
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Camptothecin, an antitumor drug from the happy tree, xi shu
Irinotecan
CamptothecinTopotecan
Natural product – too toxic for therapeutic use
Semisynthetic derivatives – used in the treatment of many cancers
The same project led to camptothecin, from Camptotheca acuminata, the “happy tree” 喜树
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Camptothecins block DNA replication via topoisomerase
Reprinted by permission from Macmillan Publishers Ltd from Pommier, Y. (2006). Topoisomerase I inhibitors: camptothecins and beyond. Nat. Rev. Cancer. 6: 789-802.
Camptothecin arrests cancer cell growth by targeting topoisomerase I, and identified a new cellular target for chemotherapy agents
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Vinca alkaloids, a fortuitous find
Vinblastine
Vincristine
Noble, R.L. (1990). The discovery of the vinca alkaloids—chemotherapeutic agents against cancer. Biochem. Cell Biol. 68: 1344-1351. Roepke, J., Salim, V., Wu, M., Thamm, A.M.K., Murata, J., Ploss, K., Boland, W. and De Luca, V. (2010). Vinca drug components accumulate exclusively in leaf exudates of Madagascar periwinkle. Proc. Natl. Acad. Sci. USA. 107: 15287-15292. Photo credit titanium22; figure © gtang
Vinca alkaloids bind free tubulin dimers and interfere with microtubule assembly, therefore blocking cell division
Periwinkle initially was used to treat diabetes. Animal studies revealed that the plant extract is toxic to white blood cells, and is an effective treatment for cancer of white blood cells such as lymphoma
Madagascar periwinkle,
Catharanthus roseus
The Plant Cell, January 2013 © 2013The American Society of Plant Biologists
1/12/2013
www.plantcell.org/cgi/doi/10.1105/tpc.113.tt0113 4
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Summary – medicinal compounds from plants
The medicinal properties of some plants can be traced to a single active compound, which can be purified or synthesized and precisely prescribed
These single purified compounds have specific actions; they are “magic bullets” that affect a very specific target
Not all medicinal plants can be purified to a single active compound
As an example opiates specifically target opiate receptors
National Institute on Drug Abuse
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Not all conditions will be treatable by single compounds
Some chronic diseases are pleiotropic in nature and unlikely to be treated by a single compound:
AIDSDiabetesMetabolic syndromeObesityAlzheimer’s
Disease
Many traditional medicines are composed of several plants –perhaps some of their effects arise from multiple factors acting together?
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
The best of both: Plant-based medicines, present and future
Traditional medicines
Untested plants
New Drug
Identification of clinical efficiency, optimization and standardization
Screening for bioactivity
Identification of active compound(s)
or fractions
Direct to consumer
Via healer
Regulatory approval
Mark de Fraeye, Wellcome Images N0027823; Rkitko
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Medicines from traditional Chinese medicine
Yinxingye
Xuanshen
Beijing Digital Museum of Traditional Chinese Medicine
Scrophularia spp.(figwort root)
Bilobalide
Qinghao
Artemisia annua
Artemisinin, for the treatment of malaria
Ginkgo biloba
May help slow memory decline in the elderly. Terpenoids including ginkgolides
and bilobalides are thought to be involved
Used in the treatment of arthritis, several compounds seem to contribute including iridoid glycosides
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Medicines from Ayurveda, traditional Indian medicine
Curcumin (haridra) from tumeric (Curcuma longa), thought to have many benefits
See Mukherjee, P.K. and Wahile, A. (2006). Integrated approaches towards drug development from Ayurveda and other Indian system of medicines. J. Ethnopharmacol. 103: 25-35.
Withfarin A, a compound with diverse functions including anti-cancer activity, Withania somnifera (ashwagandha)
Senna glycosides, used as laxatives and dieters’ tea, from Senna alexandrina
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Drawing by Gracia Lam and reprinted by permission from Macmillan Publishers Ltd: from Xu, Z. (2011) One step at a time. Nature 480: S90 – S92, and Gilbert, N. (2011). Herbal medicine rule book. Can Western guidelines govern Eastern herbal traditions? Nature 480: S98.
Identification of clinical efficiency, optimization and standardization
Identification of active compound(s)
or fractions
Traditional medicines can be used traditionally, or can benefit from standardization. They also can be sources for new drug discovery
Drugs and therapies from traditional
medicines
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Herb Common Name
黃苓 Huang QinBaical skullcap root, Scutellaria, Scute
大棗 Da Zao Jujube, Chinese date
白芍 Bai Shao White peony root, Chinese peony
炙甘草 Zhi Gan Cao Honey prepared licorice, Chinese licorice
Huang Qin Tang – from TCM to clinical trials
Callaway, E. (2010) How an 1,800-year-old herbal mix heals the gut. Nature News.
Huang Qin Tang has been used to treat nausea for nearly 2000 years. It is made from four plants, each of which is needed for its activity
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
A formulation of Huang Qin Tang called PHY906 is in clinical trials
From Lam, W., Bussom, S., Guan, F., Jiang, Z., Zhang, W., Gullen, E.A., Liu, S.-H. and Cheng, Y.-C. (2010). The four-herb Chinese medicine PHY906 reduces chemotherapy-induced gastrointestinal toxicity. Sci. Transl. Med. 2: 45ra59, with permission from AAAS. Liu, S.-H. and Cheng, Y.-C. (2012). Old formula, new Rx: The journey of PHY906 as cancer adjuvant therapy. J. Ethnopharmacol. 140: 614-623 with permission from Elsevier.
Rats treated with the chemotherapy agent CPT-11 experienced damage to their intestinal epithelium and death
With the addition of PHY906, the toxic effects were greatly reduced
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Ginseng (Panax spp.) – is it a panacea?
Ginseng (Panax spp.) is the most widely used and one of the most highly valued herbal medicines, and is believed to have many benefits. There are several species that have different properties and values
100 year old wild ginseng root sold for $250,000
300 year old ginseng root sold for $400,000
The Plant Cell, January 2013 © 2013The American Society of Plant Biologists
1/12/2013
www.plantcell.org/cgi/doi/10.1105/tpc.113.tt0113 5
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
The composition of ginsenosides in ginseng is variable
Briskin, D.P. (2000). Medicinal plants and phytomedicines. Linking plant biochemistry and physiology to human health. Plant Physiol. 124: 507-514; William M. Brown Jr., bugwood..org
Age and growth conditions affect the biochemical properties of the plant and extract
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Ephedra (ma huang), use and abuse
Ephedra sinica (ma huang)
麻黃
See Abourashed, E.A., El-Alfy, A.T., Khan, I.A. and Walker, L. (2003). Ephedra in perspective – a current review. Phytother. Res. 17: 703-712; NCCAM; Univ. Maryland Med. Center; Beijing Digital Museum of Traditional Chinese Medicine
ephedrine• Its use and abuse as a performance
enhancer and weight-loss agent is thought to have contributed to many deaths
• Since 2004 its sale in the US has been severely restricted
Ephedra dilates the bronchial passages of the lungs and relieves asthma and respiratory problems
It also stimulates the heart and metabolic rates
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
21st century science can be applied to ancient medicines
Reprinted from Liu, S.-H. and Cheng, Y.-C. (2012). Old formula, new Rx: The journey of PHY906 as cancer adjuvant therapy. J. Ethnopharmacol. 140: 614-623 with permission from Elsevier.
What are the active compounds? What are optimal dosages? What biochemical pathways do they affect in the patient? What side effects can arise?
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Standardizations and quality assurances of herbal medicines
See Betz, J., Fisher, K., Saldanha, L. and Coates, P. (2007). The NIH analytical methods and reference materials program for dietary supplements. Analytical and Bioanalytical Chemistry. 389: 19-25. Cordell, G.A. and Colvard, M.D. (2012). Natural Products and Traditional Medicine: Turning on a Paradigm. Journal of Natural Products. 75: 514-525.
In the United States, it is estimated that there is only a 50:50 chance of selecting an authentic product containing both the correct species and correct plant component at an appropriate strength
How can quality be assured?Quality refers to identity, purity and strength.
DNA barcoding to assess species identity
Biological assays for effectiveness
Mass spectroscopy to assess composition
Analytical tests for common contaminants (e.g. heavy metals, pesticides)
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Over-the-counter herbal medicines
Many people are exploring the use of herbs and other alternatives to Western medicine. Many of these are sold over-the-counter as dietary supplements
Percentage of people who have tried
complementary or alternative medicines
Drug Botanical Name
Echinacea Echinacea species
Garlic Allium sativum
Goldenseal Hydratis canadensis
Ginseng Panax species
Gingko Ginkgo biloba
Saw palmeto Serenoa repens
St. John’s wort Hypericum species
Kava kava Piper methysticum
10 best selling OTC herbal medicines
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Reprinted by permission from Macmillan Publishers Ltd: from Schmidt, B.M., Ribnicky, D.M., Lipsky, P.E. and Raskin, I. (2007). Revisiting the ancient concept of botanical therapeutics. Nat Chem Biol. 3: 360-366. See also FDA (2004) Guidance for Industry. Botanical Drug Products (FDA, DC, June 2004).
Flow chart and outcomes for the commercialization of medicines from plants. It’s more expensive to be approved as a “drug” than a dietary supplement, but the financial gains can be much higher
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Regulator’s main concern – is the product safe as sold?
Consumer has responsibility to ensure that it is used appropriately
Limited oversight of OTC herbal medicines (supplements)
“The Food and Drug Administration suggests that you consult with a health
care professional before using any dietary supplement”
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Echinacea, cure for the common cold?
Globally, sales of Echinacea-based products exceed $320 million
Echinacea products (Echinacea spp.) are among the top selling herbal medicines
They are thought to promote the immune system and deter respiratory infections, but do they work?
MAYBE
“Echinacea probably has only a small beneficial effect. Individual choices should be guided by personal health values and preferences…”
-Barrett et al., 2010.
See Barrett, B., Brown, R., Rakel, D., Mundt, M., Bone, K., Barlow, S. and Ewers, T. (2010). Echinacea for treating the common cold: A randomized trial. Ann. Internal Medicine. 153: 769-777.
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
How can we know which plants are good candidates for drugs?
Ray Carruthers, USDA
The Plant Cell, January 2013 © 2013The American Society of Plant Biologists
1/12/2013
www.plantcell.org/cgi/doi/10.1105/tpc.113.tt0113 6
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Bioprospecting: Drugs and medicines found by plant screening
Plant samples are collected and extracted
Chemical assays
Biological assays
Heydrienne; Jim Gathany, CDC image 7282;
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Collecting and selecting plants to screen
Reprinted by permission from Macmillan Publishers Ltd from Dalton, R. (2000). Political uncertainty halts bioprospecting in Mexico. Nature. 408: 278-278; Manfred Mielke USDA; Poppy photos by Forest and Kim Starr; Bonobo by Kabir Bakie
Random collecting
With indigenous guides
Zoopharmacognosy – many animals have been observed to self-medicate by eating pharmacologically active plants
By family - Certain plant families, such as Papaveraceaeare rich in medicinal compounds
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Medicinal compounds are unequally distributed in plant families
Zhu, F., Qin, C., Tao, L., Liu, X., Shi, Z., Ma, X., Jia, J., Tan, Y., Cui, C., Lin, J., Tan, C., Jiang, Y. and Chen, Y. (2011). Clustered patterns of species origins of nature-derived drugs and clues for future bioprospecting. Proc. Natl. Acad. Sci. 108: 12943-12948.
Plant families associated with drug-production are indicated in green, and red indicates families with endangered species
Solanaceae (tobacco, nightshade, peppers) Papavaraceae
(poppy)
Taxaceae(Pacific yew)
Apocynaceae (periwinkle)
Myrtaceae(eucalyptus, clove)
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Guilt by association – drug discovery by relatedness
Saslis-Lagoudakis, C.H., Savolainen, V., Williamson, E.M., Forest, F., Wagstaff, S.J., Baral, S.R., Watson, M.F., Pendry, C.A. and Hawkins, J.A. (2012). Phylogenies reveal predictive power of traditional medicine in bioprospecting. Proc. Natl. Acad. Sci. 109: 15835–15840. See also Zhu, F., Qin, C., Tao, L., Liu, X., Shi, Z., Ma, X., Jia, J., Tan, Y., Cui, C., Lin, J., Tan, C., Jiang, Y. and Chen, Y. (2011). Clustered patterns of species origins of nature-derived drugs and clues for future bioprospecting. Proc. Natl. Acad. Sci. 108: 12943-12948.
Some plant families are more likely to have medicinal value. Plant genera used medicinally in three indigenous cultures were mapped, and some overlaps identified; good candidates for further study!
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
• Plants produce >200.000 compounds
• Many of these chemicals function in defense
Classes of phytochemicals with medicinal properties
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Redrawn from Hartmann, T. (1996). Diversity and variability of plant secondary metabolism: a mechanistic view. Entomologia Experimentalis et Applicata 80: 177-188.
Photo-synthesis
Carbohydrate metabolism
Alkaloids
Coumarins
Terpenoids:e.g. Limonoids
SaponinsPinene
Phenolic: e.g. Flavonoids; Salicylic acid; Lignins etc
Alkaloids
Three structural classes of specialized metabolites
Although hugely diverse, specialized metabolites are derived from a few dozen highly versatile central intermediates, which are modified in lots of different ways
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Alkaloids are biosynthetically diverse; most derive from amino acids
There are approximately 2500 benzylisoquinoline alkaloids (BIAs), including morphine
Tropane alkaloidsinclude cocaine
The ~2000 monterpenoid indole alkaloids (MIAs) are derived from strictosidine
Caffeine is a purine alkaloid
Senecionine is a pyrrolizidine alkaloid
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
MIAs are mainly known from two plants “Indian snakeroot” aka Sarpagandha, and Madagascar periwinkle
Monoterpenoid indole alkaloids (MIAs) are derived from strictosidine
Reprinted from Loris, E.A., Panjikar, S., Ruppert, M., Barleben, L., Unger, M., Schübel, H. and Stöckigt, J. (2007). Structure-based engineering of strictosidine synthase: Auxiliary for alkaloid libraries. Chem. Biol. 14: 979-985 with permission from Elsevier; Forest and Kim Starr; Vinayaraj
Rauwolfia serpentina
Catharanthus roseus
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Benzylisoquinoline alkaloids (BIAs) share a benzylisoqunoline structure
Reprinted from Liscombe, D.K., MacLeod, B.P., Loukanina, N., Nandi, O.I. and Facchini, P.J. (2005). Evidence for the monophyletic evolution of benzylisoquinoline alkaloid biosynthesis in angiosperms. Phytochemistry. 66: 1374-1393 with permission from Elsevier; Richard Old, XID Services, Inc.
Benzylisoquinoline alkaloids (BIAs) are a family of about 2500 compounds that are all based on the elaboration of a simple skeletal structure
NoscapineCough suppressant from
Papaver somniferum
The Plant Cell, January 2013 © 2013The American Society of Plant Biologists
1/12/2013
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© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Papaver somniferum
Coffee
Nicotiana tabacum
Alkaloids contain nitrogen and include stimulants and narcotics
CocaCaffeine
Nicotine
Cocaine
Morphine
Vincristine
Catharanthus roseus
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Terpenoids are diverse compounds derived from isoprene units
Isoprene (C5)
Image sources: Calvero; Wilhelm Thomé; Forest & Kim Starr; Karan A. Rawlins, University of Georgia
Eucalyptol
Linalool
Many low-molecular weight terpenoids are volatile, and
components of essential oils
Limonene, a monoterpene (C10) Farnesol, a
sesquiterpene (C15)
Pinene
Isoprene
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Terpenoids are diverse compounds derived from isoprene units
GinkgolidePhoto credit: Dave Powell, USDA Forest Service, Bugwood.org
Tetrahydro-cannabinol (THC)
Cannibus sativa
Ginkgo biloba
Taxol
Taxus breviola
Ginsenoside
Panax ginseng
Artemisia annua
Artemisinin
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Phenolics: flavonoids, anthocyanins and related compounds
Curcumin from the spice turmeric
Genistein an isoflavonoid from soy beans
Epigallocatechin gallate (EGCG), a flavonoid from green tea
Syzygium aromaticum
Brian Arthur
Eugenol
Tannins Found in tea, wine, nuts and many plants
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Most plant phenolics are products of phenylpropanoid metabolism
From: Buchanan, B.B., Gruissem, W. and Jones, R.L. (2000) Biochemistry and Molecular Biology of Plants. American Society of Plant Physiologists.
Phenylalanine
Zingiber officinale
Gingerol
Cyanidin-glucosideVitis vinifera
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
-Omics, systems, semi-synthetic methods and metabolic engineering
Reprinted from Schilmiller, A.L., Pichersky, E. and Last, R.L. (2012). Taming the hydra of specialized metabolism: how systems biology and comparative approaches are revolutionizing plant biochemistry. Curr. Opin. Plant Biol. 15: 338-344, with permission from Elsevier.
High-throughput methods are being used to identify genes, proteins and metabolites found in various medicinal plants
Candidate genes, proteins and metabolites can be tested through biochemistry, reverse genetics and analysis of natural variation
Large scale approaches also suggest ecological roles and evolutionary histories
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
High-throughput methods to identify genes, intermediates and pathways
http://medicinalplantgenomics.msu.edu/index.shtml; http://metnetdb.org/mpmr/, http://www.phytometasyn.ca/, http://uic.edu/pharmacy/MedPlTranscriptome/, http://www.onekp.com/index.html
Goals of these projects include: To identify candidate metabolites, pathway genes and pathwaysTo introduce the synthetic pathways into other organisms (e.g. yeast) To increase production To identify novel derivatives
(See the links below for complete lists of species being investigated)
DNA –Genomics
mRNA ‐Transcriptomics
Protein ‐Proteomics
Metabolites ‐Metabolomics
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Genomic sequences are only part of the story…
Reprinted from Schilmiller, A.L., Pichersky, E. and Last, R.L. (2012). Taming the hydra of specialized metabolism: how systems biology and comparative approaches are revolutionizing plant biochemistry. Curr. Opin. Plant Biol. 15: 338-344, with permission from Elsevier.
Specialized metabolites often accumulate in only a few cell types, and their synthesis is regulated by the environment. Furthermore, there can be large variations amongst varieties within the same species.
Therefore, a sequenced genome is only one piece of the puzzle
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Many enzymes and metabolites are highly compartmentalized
Bird, D.A., Franceschi, V.R. and Facchini, P.J. (2003). A tale of three cell types: Alkaloid biosynthesis is localized to sieve elements in opium poppy. Plant Cell. 15: 2626-2635. See also Ziegler, J. and Facchini, P.J. (2008). Alkaloid biosynthesis: Metabolism and trafficking. Annu. Rev. Plant Biol. 59: 735-769. Dai, X., Wang, G., Yang, D.S., Tang, Y., Broun, P., Marks, M.D., Sumner, L.W., Dixon, R.A. and Zhao, P.X. (2010). TrichOME: A comparative Omics database for plant trichomes. Plant Physiol. 152: 44-54. Schilmiller, A.L., Miner, D.P., Larson, M., McDowell, E., Gang, D.R., Wilkerson, C. and Last, R.L. (2010). Studies of a biochemical factory: Tomato trichome deep expressed sequence tag sequencing and proteomics. Plant Physiol. 153: 1212-1223.
Companion cell
mRNA
proteinproduct
Sieve element
Lactifer
* For example, in morphine biosynthesis, the genes, proteins and products are found in different cell types; The alkaloid biosynthetic pathway in Catharanthus roseus is also highly compartmentalized
Many specialized metabolites accumulate in trichomes, and trichome –omics databases have been developed to learn more about these “biochemical factories”
The Plant Cell, January 2013 © 2013The American Society of Plant Biologists
1/12/2013
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© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
In vitro synthesis is complicated by natural products’ extensive chirality
Reprinted with permission from Feher, M. and Schmidt, J.M. (2002). Property Distributions: Differences between drugs, natural products, and molecules from combinatorial chemistry. J. Chem. Inf. Comput. Sci. 43: 218-227, copyright 2002 American Chemical Society. Facchini, P.J., Bohlmann, J., Covello, P.S., De Luca, V., Mahadevan, R., Page, J.E., Ro, D.-K., Sensen, C.W., Storms, R. and Martin, V.J.J. (2012). Synthetic biosystems for the production of high-value plant metabolites. Trends Biotechnol. 30: 127-131. See also De Luca, V., Salim, V., Atsumi, S.M. and Yu, F. (2012). Mining the biodiversity of plants: A revolution in the making. Science. 336: 1658-1661. Image source NASA.
Natural products have many chiral centers that are hard to reproduce synthetically. Engineered natural systems can produce high yields of compounds with appropriate stereochemistry
Metabolic engineering of natural systems is an important method for the production of plant-derived medicines
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Metabolic engineering can increase yields and make novel compounds
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Once a biochemical pathway is identified, it can be altered
Gene functions can be silenced by RNAi, mutations, viral-induced gene silencing or natural variations
Gene functions can be added or augmented by environmental or transgenic manipulations
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
The metabolic pathway can be introduced into other organisms
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Bacteria and yeast are widely used as chemical factories for the production of high value compounds, but plant cell cultures are used also
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© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
There are pros and cons to plant and microbial cells
Reprinted by permission from Macmillan Publishers Ltd from Leonard, E., Runguphan, W., O'Connor, S. and Prather, K.J. (2009). Opportunities in metabolic engineering to facilitate scalable alkaloid production. Nat. Chem. Biol. 5: 292-300.
Metabolic engineering
Metabolic engineering
Plant cells have pre-existing transcription factors (tfs) and intermediates, but also more types of organelles. Over (green)- or under (red)-expression of genes can have predicted or unintended consequences
To produce a plant specialized metabolite in yeast, often the whole pathway must be introduced (and engineered for efficient expression in yeast), and the necessary precursor (X) provided.
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Many medicinal metabolites have been objects of pathway engineering
De Luca, V., Salim, V., Atsumi, S.M. and Yu, F. (2012). Mining the biodiversity of plants: A revolution in the making. Science. 336: 1658-1661.
In bacteria and yeast (black)
In yeast (blue)
In plants (green)
Rare non-opioid pain reliever; higher desirable candidate for engineering
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Reprinted by permission from Macmillan Publishers Ltd from Keasling, J. (2008). From yeast to alkaloids. Nat Chem Biol. 4: 524-525; Hawkins, K.M. and Smolke, C.D. (2008). Production of benzylisoquinoline alkaloids in Saccharomyces cerevisiae. Nat. Chem. Biol. 4: 564-573.
Example: Metabolic engineering for
alkaloid production in yeast
Black arrows indicate normal pathway in plant cells. The pathway engineered in yeast used plant enzymes (red and blue arrows) and a human enzyme (purple) to produce several important alkaloids
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Metabolic engineering in plants and plant cell cultures
Reprinted by permission from Macmillan Publishers Ltd from Roberts, S.C. (2007). Production and engineering of terpenoids in plant cell culture. Nat. Chem. Biol. 3: 387-395; Muñoz-Bertomeu, J., Arrillaga, I., Ros, R. and Segura, J. (2006). Up-regulation of 1-ceoxy-d-xylulose-5-phosphate synthase enhances production of essential oils in transgenic spike lavender. Plant Physiol. 142: 890-900..
Enzymes affecting the production of terpenoids, phenolics and alkaloids have been enhanced or modified in cell cultures and whole plants
As an example, increasing the production of the terpenoid precursor isopentenyl diphosphate (IPP) can lead to sweeter smelling lavender
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Naturally decaffeinated coffee can be made by RNAi-mediated silencing
Reprinted by permission from Macmillan Publishers Ltd. From Ogita, S., Uefuji, H., Yamaguchi, Y., Koizumi, N. and Sano, H. (2003). RNA interference: Producing decaffeinated coffee plants. Nature. 423: 823-823.
Extracts from plants transformed with short (black) and long (grey) RNA interference constructs
7-methylxanthine
theobromine
caffeine
Theobromine synthase
Caffeine synthase
Transgenic silenced plants produced less theobromine and also less caffeine than controls
Theobromine synthase was silenced in coffee plants by RNA-intereference
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
“Gilding the periwinkle” – enhancing its diversity of alkaloid production
Reprinted by permission from Macmillan Publishers Ltd from Runguphan, W. and O'Connor, S.E. (2009). Metabolic reprogramming of periwinkle plant culture. Nat. Chem. Biol. 5: 151-153.
Example 1. A point mutation (V214M) in strictosidine synthase expands its substrate specificity so it accepts halogenated substrates, leading to the production of novel, halogenated products. The additional substrates and products are shown in blue
The Plant Cell, January 2013 © 2013The American Society of Plant Biologists
1/12/2013
www.plantcell.org/cgi/doi/10.1105/tpc.113.tt0113 9
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
“Gilding the periwinkle” – enhancing its diversity of alkaloid production
Reprinted by permission from Macmillan Publishers Ltd from Runguphan, W., Qu, X. and O'Connor, S.E. (2010). Integrating carbon-halogen bond formation into medicinal plant metabolism. Nature. 468: 461-464.
Example 2. Introducing bacterial tryptophan-modifying enzymes (red) means that new strictosidine synthase substrates are produced in vivo (and new products)
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Recognizing the value of and protecting biodiversity
Lew Diehl, Bugwood.org; http://www.cites.org
Goldenseal (Hydrastis canadensis) is being seriously overharvested and is on the CITES (Convention on International Trade in Endangered Species) list of threatened plants
Worldwide, between 50,000 and80,000 flowering plants are usedmedicinally. Of these, at least15,000 may face extinction due tooverharvesting and habitat loss.
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
"Peru offers a branch of
cinchona to Science”
In past centuries, explorers, scientists and botanists freely collected materials without compensating the people whose lands they were studying
This sense of entitlement is evident in this illustration
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
See Cordell, G.A. (2000). Biodiversity and drug discovery — a symbiotic relationship. Phytochem. 55: 463-480; Blaustein, R. (2006) Genetic resources and the convention on biological diversity. BioScience. 56: 560-563 (Photo by Phyllis Coley); Kursar, T.A., Cabellero-George, C.C., Capson, T.L., Cubilla-Rios, L., Gerwich, W.H., Gupta, M.P., Ibañez, A., Linington, R.G., McPhail, K.L., Ortega-Barría, E., Romero, L.I., Solis, P.N., and Coley, P.D. (2006) Securing economic benefits and promoting conservation through bioprospecting. BioScience 56: 1005-1012; Convention on Biological Diversity – Nagoya Protocol on Access and Benefit-sharing.
The Convention on Biological Diversity asks for the “fair and equitable sharing of the benefits arising out of the utilization of genetic resources”
Can bioprospecting and equitable sharing promote conservation?
In other words, compensate people who are good stewards of biodiversity for their stewardship
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Health care for all
Credit: Theresia Hofer, Mark de Fraeye Wellcome Images
Throughout much of the world, herbal medicines are the foundation of healthcare. Can science improve healthcare as dispensed in its traditional manner?
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
The World Health Organization provides invaluable information
Photo credits: World Health Organization
Since 1999, WHO has published 116 monographs on selected medicinal plants
Each monograph includes information about the plant’s appearance, synonyms, chemical constituents, medicinal uses, cautions, and references
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Medicine’s future draws from Western and traditional medicines
World Health Organization; Adapted from Cheng, Y.-C. (2011) Why and how to globalize traditional Chinese medicine. J. Tradit. Complement. Med. 1: 1 - 4.
The two systems of traditional and Western medicine need not clash…. they can blend together in a beneficial harmony, using the best features of each system, and compensating for certain weaknesses in each
Dr Margaret Chan, Director General of WHO
Traditional Knowledge
Zoopharmacognosy
Phytochemical studies
In vitro assays
GC‐MS
Genomics and metabolomics
Be
st p
rac
tice
s
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Summary
Plants produce many chemicals that can benefit human health
Traditional and modern methods can each contribute to finding and optimizing the use of these phytochemicals
Drawing by Gracia Lam and reprinted by permission from Macmillan Publishers Ltd: from Xu, Z. (2011) One step at a time. Nature 480: S90 – S92
© 2013 American Society of Plant Biologists© 2013 American Society of Plant Biologists
Future directions
Western medicine
Traditional medicine
Ethnobotany
Phyto-chemistry
Medicinal plants
Finding, optimizing and using plant-based medicines to treat human ailments requires many types of expertise
Finding new drugs to treat emerging diseases and chronic diseases is of particular interest