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Beninese Medicinal Plants as a Source of Antimycobacterial Agents: Bioguided Fractionation and In Vitro Activity of Alkaloids Isolated from Holarrhena floribunda Used in Traditional Treatment of Buruli Ulcer

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BioMed Research International
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Buruli ulcer (BU) imposes a serious economic burden on affected households and on health systems that are involved in diagnosing the disease and treating patients. Research is needed to find cost-effective therapies for this costly disease. Plants have always been an important source of new pharmacologically active molecules. Consequently we decided to undertake the study of plants used in traditional treatment of BU in Benin and investigate their antimycobacterial activity as well as their chemical composition. Extracts from forty-four (44) plant species were selected on account of reported traditional uses for the treatment of BU in Benin and were assayed for antimycobacterial activities. Crude hydroethanolic extract from aerial parts of Holarrhena floribunda (G. Don) T. Durand and Schinz was found to have significant antimycobacterial activity against M. ulcerans (MIC = 125 µg/mL). We describe here the identification of four steroidal alkaloids from Mycobacterium ulcerans growth-inhibiting fractions of the alkaloidal extract of the aerial parts of Holarrhena floribunda. Holadysamine was purified in sufficient amount to allow the determination of its MCI (=50 µg/mL). These results give some support to the use of this plant in traditional medicine.
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Research Article
Beninese Medicinal Plants as a Source of
Antimycobacterial Agents: Bioguided Fractionation and In Vitro
Activity of Alkaloids Isolated from Holarrhena floribunda Used
in Traditional Treatment of Buruli Ulcer
Achille Yemoa,1Joachim Gbenou,2Dissou Affolabi,3
Mansourou Moudachirou,2André Bigot,1Séverin Anagonou,3Françoise Portaels,4
Anandi Martin,5and Joëlle Quetin-Leclercq6
1Unit´
e de Formation et de Recherche en Pharmacie, Facult´
e des Sciences de la Sant´
e (FSS), Universit´
edAbomeyCalavi(UAC),
04 BP 494 Cotonou, Benin
2LaboratoiredePharmacognosieetdesHuilesEssentielles(LAPHE),Facult
´
e des Sciences de la Sant´
e (FSS)
and Facult´
e des Sciences et Techniques (FAST), Universit´
e d’Abomey Calavi (UAC), 01 BP 188 Cotonou, Benin
3LaboratoiredeR
´
ef´
erence des Mycobact´
eries (LRM), Centre National Hospitalier de Pneumo-Phtisiologie (CNHPP),
01 BP 817 Cotonou, Benin
4Department of Biomedical Sciences, Institute of Tropical Medicine (IMT), Nationalestraat 155, 2000 Antwerpen, Belgium
5Laboratory of Microbiology, Department of Biochemistry and Microbiology, Faculty of Sciences, Ghent University,
K.L. Ledeganckstraat 35, 9000 Gent, Belgium
6Pharmacognosy Research Group, Louvain Drug Research Institute (LDRI), Universit´
eCatholiquedeLouvain(UCL),
B1 7203 Avenue E. Mounier 72, 1200 Bruxelles, Belgium
Correspondence should be addressed to Achille Yemoa; ayemoa@yahoo.fr
Received  July ; Accepted  August 
Academic Editor: Parisa Farnia
Copyright ©  Achille Yemoa et al. is is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Buruli ulcer (BU) imposes a serious economic burden on aected households and on health systems that are involved in diagnosing
the disease and treating patients. Research is needed to nd cost-eective therapies for this costly disease. Plants have always been
an important source of new pharmacologically active molecules. Consequently we decided to undertake the study of plants used
in traditional treatment of BU in Benin and investigate their antimycobacterial activity as well as their chemical composition.
Extracts from forty-four () plant species were selected on account of reported traditional uses for the treatment of BU in Benin
and were assayed for antimycobacterial activities. Crude hydroethanolic extract from aerial parts of Holarrhena oribunda (G. Don)
T. Durand and Schinz was found to have signicant antimycobacterial activity against M.ulcerans (MIC =  𝜇g/mL). We describe
here the identication of four steroidal alkaloids from Mycobacterium ulcerans growth-inhibiting fractions of the alkaloidal extract
of the aerial parts of Holarrhena oribunda. Holadysamine was puried in sucient amount to allow the determination of its MCI
(= 𝜇g/mL). ese results give some support to the use of this plant in traditional medicine.
1. Introduction
Buruli ulcer (BU), caused by the environmental organism
Mycobacterium ulcerans and characterized by necrotizing
skinandbonelesions,posesimportantpublichealthissuesas
the third most common mycobacterial infection in humans
[]. e disease has become substantially more frequent over
the past decade, particularly around the Gulf of Guinea, and
has been detected or suspected in at least  countries. Clinical
diagnosis of BU disease should be conrmed by PCR, as rec-
ommended by the World Health Organization (WHO), and
case patients should be treated with rifampin/streptomycin
Hindawi Publishing Corporation
BioMed Research International
Volume 2015, Article ID 835767, 5 pages
http://dx.doi.org/10.1155/2015/835767
BioMed Research International
daily for  weeks (therapy available since ), combined, if
necessary, with surgery.
In Benin, sociocultural believes and practices strongly
inuence the health-seeking behaviours of people aected by
BU. e rst recourse is oen traditional treatment. Most of
the components in the traditional treatment belong to the
plant kingdom []. Plants provide unlimited opportunities
for new drug leads because of the unmatched availability of
chemical diversity. Recently we carried out an ethnobotanical
survey involving seventeen traditional practitioners within
the Ouinhi community in the Zou Department (Benin). We
noted that about forty-nine dierent plants were used for the
traditional treatment of BU. Dierent parts of these plants
were included in various pharmaceutical forms for internal or
external use []. We realized a screening of  plant extracts
used in traditional medicine to treat BU [,]. Results showed
that crude hydroethanolic extract of Holarrhena oribunda
was eective in inhibiting the growth of Mycobacter ium
ulcerans (MIC  𝜇g/mL) and worth further investigations.
Holarrhena oribunda (G.Don)T.DurandandSchinz
growsasashrubortreeuptomtall,withastem
diameter of up to  cm. Its fragrant owers feature a white
corolla. Fruit is pale grey to dark brown with paired follicles,
each up to  cm long. is species is known as four syn-
onyms: Rondeletia oribunda G. Don, Holarrhena africana A.
DC., Holarrhena wulfsbergii Stapf, Holarrhena ovata. In the
Republic of Benin, the common names of this plant are: Fon:
“kpakpatoun” []; Yoruba and Nago: “ako ire,” “ire Ibedji;”
Mina: “gaoti” [].Hoyeretal.[]inisolatedfromthe
bark of the trunk a steroidal alkaloid called holarrhesine, but
no activity was reported for this compound. ey also iso-
lated conessine from the bark of the root. A chemical study of
the leaves of H. oribunda achieved by Janot team in  led
to the isolation of other new alkaloids including holaphylline
and holaphyllamine, while other alkaloids were isolated later.
Figure  shows the structures of the  chemical compounds
isolated from H. oribunda: holaphylline, holaphyllamine,
holamine, holaphyllinol, holaphyllidine, holadysamine, hol-
arrhesine, conessine, and progesterone []. Phytochemical
investigations on this plant have so far led to the identication
of a crude in vitro active alkaloid extract on M. tuberculosis
(MCI = . g/L) and other microorganisms [,].
Here we describe compounds identied from bioactive
fractions of the extract and evaluation of the inhibitory eect
of one of them on the growth of M. ulcerans.
2. Materials and Methods
2.1. Experimental
2.1.1. Plant Materials. Plant species was collected and iden-
tied by a botanist from the National Herbarium of Benin
and voucher specimens (Yemoa ) are deposited at the same
herbarium.
2.1.2. Preparation of Crude Hydroethanolic Extracts. Dried
plantsweregroundtoapowderwithapulverizator(National
Mixer Grinder Mx-N, Japan).  g of powder was then
macerated  h (at room temperature) in % ethanol in a
/ (w/v) ratio. e material was ltered through a Millipore
lterof.𝜇m (Acrodisc, USA). e ltrate was concentrated
under reduced pressure at less than Cusingarotary
evaporator (Buchi Rotavapor R-/, Switzerland) to
obtain a crude residue.
2.1.3. Fractionation of Crude Extracts and Isolation of Active
Constituents. Crude hydroethanolic extract was fractionated
on silica gel  (,–, mm Merck, Germany) by atmo-
spheric pressure liquid chromatography eluting with solvents
of increasing polarity, namely, hexane, dichloromethane,
ethyl acetate, and water, yielding  fractions (F, F, F, and
F). Of these, fraction F (dichloromethane) was found
to cause growth inhibition of M. ulcerans and was, as a
result, selected for further work. is fraction was monitored
usingTLCplates(TLCsilicagel60F254S, Merck) and led
to characterize the presence of alkaloids (toluene : ethyl ace-
tate:diethylamine: [::], detection-Dragendor’s spray
reagent). We then performed a more specic extraction to
obtain an enriched alkaloid extract (Figure ).
We therefore proceeded to fractionation of this enriched
extract by Atmospheric Pressure Liquid Chromatography
(APLC) and Medium Pressure Liquid Chromatography
(MPLC) followed by gel ltration on Sephadex LH to
purify this enriched alkaloid fraction.
Atmospheric Pressure Liquid Chromatography (APLC). Alka-
loids enriched extract was repeatedly fractionated on silica
gel  (,–, mm, Merck, Germany) eluting with
solvents of increasing polarity (mixture of CH2Cl2/MeOH
 :  to % MeOH followed by MeOH : H2O:and
MeOH : acetic acid  : ). Fractions were monitored by TLC
(toluene : ethyl acetate : diethylamine : [ :  : ], detection-
Dragendors spray reagent) and similar fractions were
combined and concentrated in vacuo. Prepuried fractions
obtained by APLC were rechromatographied by MPLC.
Medium Pressure Liquid Chromatography (MPLC). MPLC
wasperformedonglasscolumnspackedwithLiChroprepSi
 (– 𝜇m) from Merck with a mobile phase composed of
CH2Cl2/MeOH  :  to % MeOH. Prepuried fractions
obtained were monitored by TLC (toluene : ethyl acetate : di-
ethylamine: [ :  : ], detection-Dragendor ’s spray reagent)
and similar fractions were combined and concentrated in
vacuo followed by gel ltration on Sephadex LH (MeOH).
Five dierent puried fractions were obtained and analyzed
by high pressure liquid chromatography coupled to mass
spectroscopy (HPLC-MS or LC-MS) (ermo Scientic
Accela LC Systems, orbitrap).
LC-MS. High pressure liquid chromatography coupled to a
diode array detection and mass spectrometry with positive
electrospray ionization (HPLC-ESI-MSn)wasemployedto
rapidly separate and identify the constituents in these ve
puried fractions. e LC MS/MS system consisted in a
ermo Accela pump, autosampler, photodiode array detec-
tor, and ermo Scientic LTQ orbitrap XL mass spectrome-
ter.
BioMed Research International
N
O
HN
OH
O
O
HH
H
H
H
H
H
H
N
N
N
R1
R2
R1
R2
R1
R2
R3
R3
R4
CH3
R1=R2=H,
R1=R2=H,
Progesterone
Holadysamine: 3-methylamino pregn-5,16-dien-20-ol
holaphyllamine: 3𝛽-amino pregn-5-en-20-one
holamine: 3𝛼-amino pregn-5-en-20-one
holaphylline: 3𝛽-methylamino pregn-5-en-20-one
holaphyllinol: 3𝛽-methylamino pregn-5-en-20𝛽-ol
holaphyllidine: 3𝛽-methylamino pregn-5-en-20𝛼-ol
:
:
:
:
:
R1=H, R2=CH3–,
R1=H, R2=CH3–, R3=H, R4=OH,
R1=H, R2=CH3–, R3=OH, R4=H,
R1=R2=CH3–, R3=H: conessine
R1=H, R2=CH3–, R3=CH3C(CH3)CHCH2COO: holarrhesine
F : Structures of chemical compounds isolated from H. oribunda.
Hexane phase
Aqueous solution CH2Cl2dried with Na2SO4
(total alkaloids)
Aqueous phase
(NaOH 10%)
Hexane (3 × 200 mL)
CH2Cl2(3 × 200 mL)
Hydroethanolic extract
(acidied with H2SO42%)
F : Scheme for preparation of alkaloids enriched extract.
Separation was performed using an analytical RP-C
Lichrospher- column (× mm, particle size  𝜇m)
with a gradient using acetonitrile and , % triuoroacetic
acid (TFA) aqueous solution as the mobile phase. e gradi-
entusedstartsat%aqueoussolutionand%acetonitrile,
goingtoaplateauof%acetonitrileinmin.ese
conditionsareheldforminbeforereturningtotheinitial
conditions.egradientwaslinearandtheowratewas
. mL/min. e injection volume was  𝜇L; the column
temperature was C.
High-resolution MS was measured with ESI source in the
positive mode. e following inlet conditions were applied:
capillary temperature C, capillary voltage  V, tube lens
 V, sheath gas ow  u.a, auxiliary gas ow  u.a, and
sweep gas ow  u.a. Data acquisition and processing were
performed with Xcalibur soware version ...
NMR. NMR spectra (1H, 13C, 1H-1HCOSY,and1H-13C
HSQC) were recorded using a Bruker-,  MHz for 1H
and  MHz for 13C. Chemical shis were expressed in ppm
(𝛿) using TMS (tetramethylsilane) (Aldrich Sigma, Germany)
as reference. For NMR analysis, the sample was dissolved
in  𝜇LofCDCl
3-MeOD ( : ) and transferred to a NMR
tube.
3. Results and Discussion
Our previous investigations allowed determining that the
hydroethanolic extract of H. oribunda inhibited growth
BioMed Research International
of M. ulcerans with a MIC value of  𝜇g/mL using the
resazurin microtiter assay (REMA) []. e CH2Cl2fraction
of this extract also inhibited growth of M. ulcerans with a
MIC value of  𝜇g/mL and contained alkaloids. Fraction-
ation of an enriched alkaloid extract (MIC = . 𝜇g/mL)
was undertaken as described in the Experimental Section,
allowing the identication of four dierent alkaloids in ve
dierent fractions and isolation of one of them with high
purity. e structure of the major compound was identied
as holadysamine (-methyl amino pregna,-dien--ol) by
MS and NMR []. LC-MS was used to identify alkaloids in
the other fractions, named compounds A, B, and C, and
gave molecular formula of, respectively, C22H37ON (MW:
.), C21H33ON (MW: .), and C23H37ON (MW:
.). According to bibliographic data on compounds
isolated from H. oribunda [,], they could correspond
to holaphyllinol (MW: .), holamine, or holaphyllamine
(MW: .), N,N-dimethyl holamine, N-dimethyl hola-
phyllamine or methyl  holaphylline (MW: .).
HPLC-ESI-MS/MS allowed us to show that compound
A could correspond to holaphyllinol and B to holamine or
holaphyllamine while C seems to be a new compound. On
the basis of the analysis of spectroscopic data, we observed
the presence of a fragment at m/z  ([M-H2O+H]+)and
thelossofawatermoleculeintheMS/MSfragmentations
ofCallowingustoproposeanalcoholicandnotaketonic
function on C (Figure ).
Further studies must be performed to conrm these
chemicalstructures.Itcouldnotbedonebecauseofthelack
of compound.
Fraction containing pure holadysamine was found to be
more active (MIC =  𝜇g/mL) than fractions containing A,
B, or C or the crude hydroethanolic extract ( 𝜇g/mL) but
less active than the reference rifampicin (MIC =  𝜇g/mL).
is low activity could not totally explain the use of this
plant in traditional treatment but as this plant is used in
mixtures with other plants; the various compounds present
in these plant extracts can act synergistically as it is the
case with the antibiotics ethambutol, clarithromycin, and
rifampicin []. Rastogi and Labrousse in their study showed
that the use of these antibiotics in combination results in
increased bactericidal eects compared to drugs used alone
or in combination with two of them.
4. Conclusions
Our results show that extracts of aerial parts of H. oribunda,
used by traditional healers to treat BU, exhibited signicant
in vitro antimycobacterial activities. Four active alkaloids
have been identied. Holadysamine the major compound
was found to be the most active one (MIC =  𝜇g/mL), but
this activity is lower than that of rifampicine. As synergy
may be found between dierent compounds, it would be
interesting to analyze the ecacy of the other alkaloids and
their combinations. Furthermore, as this plant is used in
association with other ones, it is also interesting to test plant
associations as used by traditional practitioners. Remedies
that would prove eective activity should be applied for
OH
N
Chemical formula: C23H37 NO
Exact mass: 343.28751
F : Proposed chemical structure for compound C.
toxicological and pharmacological studies. ere is also an
urgent need of standardization of traditional remedies based
on plants.
Conflict of Interests
e authors declare that there is no conict of interests
regarding the publication of this paper.
Acknowledgments
Achille Yemoa was a doctoral student of the Wallonie
Bruxelles International (WBI). is research was nancially
supported by the WBI, the BURULICO Project no. INCO-
CT--, and CUD (Commission Universitaire pour
le D´
eveloppement). e authors gratefully thank the Bel-
gian National Fund for Scientic Research (FNRS) (FRFC
.. and CR) and the Special Fund for Research
(FSR). ey acknowledge the immense contribution of the
Ouinhi traditional practitioners to this study. ey also thank
Dr. M.-F. Herent for her help in LC-MS analysis.
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, pp. –, .
... Stapf (synonym: F. latifolia), conanine-type steroidal alkaloids were characterized, namely 12α-hydroxy-norcona-N(18),1,4-trienin-3-one (12), 11α,12α-dihydroxy-norcona-N(18),1,4-trienin-3one (13), and holonamine (14). 52 Latifoline (15), norlatifoline (16), latifolinine (17), funtuline (18), and funtessine (19) were isolated from the bark of F africana. [53][54][55][56] Irehdiamine E (20) was isolated from the leaves of the plant. ...
... 23,90,91 In addition, holafrin (62), holaline (63), holadienine (64), and alkaloid 4 were purified from the bark of H floribunda. 66,73,92 Investigation of the stem bark of H floribunda disclosed the presence of cona-4,6-dien-3-one (65), cona-3,5-dien-7-one (66), conessimine (67), holarrheline (68), together with 4, 14, and 64. 14,16,23 Holaromine (69), and compounds 63, 64, and 68 were also found in the husks of H floribunda, 93 while the seeds yielded conarrhimine (70), and 4. 69,94 Meanwhile, holadysamine (71) was purified from the aerial parts of H floribunda. 19 There was a report on the isolation of kurchicine and 3 from H floribunda; however, the journal in which this was published is no longer available. 88,95 The structure of kurchicine remains unknown, although it was reported in W. arborea (Apocynaceae). ...
... Holadysamine (71) isolated from H. floribunda inhibited Mycobacterium ulcerans with a MIC value of 50 µg/mL, which is significantly lower activity than that of rifampicin, with a MIC value of 2 µg/mL. 19 Antiplasmodial Activity Conessine (4) isolated from the bark of H pubescens showed antiplasmodial activity in the schizont maturation and parasite lactate dehydrogenase (pLDH) assays with the IC 50 values of 1.9 and 1.3 µg/mL, respectively. The activity was much lower than that of chloroquine (IC 50 = 0.07 and 0.051 µg/mL, respectively) in the schizont maturation and pLDH assays. ...
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Steroidal alkaloids are derived from the steroid skeleton with one or two nitrogen atoms. They are widely distributed in tropical and subtropical regions and possess a range of biological activities. The structures of steroidal alkaloids are comparable to those of anabolic steroids, steroidal hormones, and corticosteroids, making them a valuable source for drug discovery. Taxonomically, steroidal alkaloids are limited in distribution to certain plant families, predominantly the Apocynaceae, Buxaceae, Solanaceae, and Liliaceae. This review highlights the steroidal alkaloids from the Apocynaceae family and their biological activities. The articles published from 1919 to 2021 were included in this review. A total of 163 steroidal alkaloids and 12 biological activities were reported from plant species belonging to the Apocynaceae family in this period. Of the 410 genera in the Apocynaceae, only 10 contain steroidal alkaloids. Although some alkaloids from the Apocynaceae family were also reported in the Buxaceae family, especially tetracyclic triterpenes with a pregnane side chain, most steroidal alkaloids can only be found in several genera of the Apocynaceae family.
... Several medicinal plants have been documented in literature, following an ethnobotanical study both in Ghana and abroad in this regard. [1,11] Therefore, in continuation of research efforts by some scientists to scientifically validate the efficacy of these herbs used for the disease treatment, [1,12] the present study was undertaken to prove the efficacy of seven medicinal plants documented for the treatment of mycobacterial infections and related symptoms [1,13,14] in Ghana. Their cytotoxic activities were also evaluated. ...
... The assay was performed by adapting the standard operating procedures from the Department of Bacteriology, Noguchi Memorial Institute for Medical Research (NMIMR). The assay was performed by adapting the standard operating procedures from the Department of Bacteriology, NMIMR and methods described by [1,12] with slight modifications. and subcultured on Lowenstein-Jensen (L-J slant) medium and incubated at temperatures of 31°C-32°C for 6-10 weeks. ...
... The established criterion used in considering promising plant extract for further studies against M. ulcerans is a MIC value of <250 µg/mL. [12] Nevertheless, this does not rule out the fact that if MIC values are greater than this threshold, it cannot be considered. This convention was created to save time and resources when screening a large number of extracts against M. ulcerans. ...
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Background: Buruli ulcer (BU) is a neglected tropical disease caused by the Mycobacterium ulcerans. BU is an endemic disease in many communities in sub-Saharan Africa where population have long history of using medicinal plants for treatment. Indeed, several medicinal plants have been documented against BU and related conditions. The present study was undertaken to prove the efficacy of seven medicinal plants documented for the treatment of mycobacterial infections and related symptoms in Ghana. Method: Antimycobacterial activity of the stem bark extracts and reference control drugs were conducted using the resazurin microtiter assay (REMA) assay method in clear round bottom 96-well microtiter plates. The extracts that showed anti-mycobacterium ulcerans activity were assessed for cytotoxicity using the Alamar blue assay. Results: Overall, The Cryptolepis sanguinolenta root aqueous extract exhibited the highest antimycobacterial activity (MIC=64 μg/mL) followed by Cleistopholis patens (MIC=256 μg/mL). Based on the marked activity of the Cryptolepis sanguinolenta extracts, pure cryptolepine, its major metabolite recorded a MIC value of 32 μg/mL. These extracts with considerable antimycobacterial activity showed 50% cytotoxic concentration (CC50) ranging from 94 to 384 μg/mL. Conclusions: Thus, Cleistopholis patens and Cryptolepis sanguinolenta are primed for further studies and could afford novel drugs for the mitigation of buruli ulcer disease.
... Upon further examination, the ethanol extracts of 11 of those plants showed clear antimycobacterial activity (Table 3). There is also evidence that many plants from the Ivory Coast, Ghana, and Benin used to treat Buruli ulcer contain active ingredients with in vitro and in vivo activity against Mycobacterium ulcerans (150)(151)(152)(153)(154)(155)(156) (Table 3). Additionally, a plant-based treatment using Capparis zeylanica has been associated with a reduction of the diarrhea in patients suffering from cholera (157) ( Table 3). ...
... Other studies have demonstrated strong bacteriostatic effects of halicyclamine A (176) and plakinamide P (177), derived from the sponges Haliclona sp. and Plakina sp., respectively. In a study from Benin, four steroidal alkaloids (holadysamine, holophyllinol, holamine, and holaphyllamine) from the plant species Holarrhena floribunda showed bacteriostatic activity against Mycobacterium ulcerans (155). Several active natural products, including baicalin, luteolin, catechins, flavonoids, and polyphenols, from a variety of tropical plants have also been shown to improve the eyesight of patients infected with Chlamydia trachomatis (178). ...
Article
About half of the world's population and 80% of the world's biodiversity can be found in the tropics. Many diseases are specific to the tropics, with at least 41 diseases caused by endemic bacteria, viruses, parasites, and fungi. Such diseases are of increasing concern, as the geographic range of tropical diseases is expanding due to climate change, urbanization, change in agricultural practices, deforestation, and loss of biodiversity. While traditional medicines have been used for centuries in the treatment of tropical diseases, the active natural compounds within these medicines remain largely unknown. In this review, we describe infectious diseases specific to the tropics, including their causative pathogens, modes of transmission, recent major outbreaks, and geographic locations. We further review current treatments for these tropical diseases, carefully consider the biodiscovery potential of the tropical biome, and discuss a range of technologies being used for drug development from natural resources. We provide a list of natural products with antimicrobial activity, detailing the source organisms and their effectiveness as treatment. We discuss how technological advancements, such as next-generation sequencing, are driving high-throughput natural product screening pipelines to identify compounds with therapeutic properties. This review demonstrates the impact natural products from the vast tropical biome have in the treatment of tropical infectious diseases and how high-throughput technical capacity will accelerate this discovery process.
... 25,26 In addition to computational efforts, phytochemical studies of the leaves of Holarrhena floribunda and Sorindeia juglandifolia revealed some compounds with in vitro activities against M. ulcerans. 27,28 Currently, less attention has been focused on systemic genomic or transcriptomic (multi-omics) research for BU in different ethnic populations. Most studies are on the genome of the bacteria, but this is usually trying to understand the geographical distribution of the bacteria, transmission and evolution of the bacteria as the transmission is still not fully understood. ...
Article
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Buruli ulcer (BU), a severe skin disease is caused by Mycobacterium ulcerans. There are concerns of therapeutic inefficacy of existing drugs coupled with chemoresistance. Databases have been shown to augment data mining and integrative systems pharmacology approaches towards the search for novel therapeutic moieties. So far, there is no known integrated database solely dedicated to BU drug discovery. In this work, Buruli ulcer database (BuDb) is a “one-stop-shop” knowledgebase for supporting BU drug discovery. It contains both manually verified literature and database-curated data on BU. The BuDb provides comprehensive information on the various drug targets, tested compounds, existing drugs, ethnopharmacological plants and information on the genome of M. ulcerans. It also contains cross-referenced links to databases including PubMed, PubChem, DrugBank, NCBI, Gene Ontology (GO), UniProt, Prota4u, String database, KEGG Pathway and KEGG genome database. The BuDb has been implemented with accessibility features such as keyword and specific searches as well as browsing. BuDb is the first useful online repository of its kind integrated with enriched datasets that can aid in the discovery of new biotherapeutic entities for BU. BuDb can be freely accessed at http://197.255.126.13:3000/.
... As shown in Table 1, both S. aureus and E. coli are equally susceptible to alkaloid extract of H. mitis (MIC 6.7 mg mL -1 ). Research findings of this genus have identified, conessine (1), N-formylconessimine (12), holarrifine (13) and holadysamine (14) as potential antibacterial alkaloids out of the isolated alkaloids from this genus (Figure 2) (Li-Na et al., 2017;Patrice et al., 2007;Raman et al., 2004;Siriyong et al., 2018;Yemoa et al., 2015). From these four alkaloids, only conessine was reported from H. mitis. ...
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The scarcity of novel drugs has prompted scientific research to re-evaluate natural products as drug lead compounds with high chemical and biological potential. Among the many phytochemicals, alkaloids are an important group of natural products consisting of an extensive list of bioactivities such as antitumor, anti-inflammatory, antiviral, antihypertensive, antiulcer, diuretic and analgesic. The alkaloid mixture from the bark of Holarrhena mitis, which is an endemic plant to Sri Lanka, consists of 11 known compounds. This alkaloid mixture was assessed for its antibacterial, antifungal, antioxidant and acetylcholinesterase (AChE) inhibitory activities and brine shrimp lethality. Significant antifungal activity against standard strains of five Candida sp. mainly against C. krusei and C. glabrata, with inhibition diameter of 21 mm was identified. In addition, it showed moderate antibacterial activity (MIC 6.7±0.1 mg mL-1) against both Escherichia coli and Staphylococcus aureus, and AChE inhibitory activity (IC50 value of 58±0.5 μg mL-1) and non-toxicity to brine shrimp lethality assay (LC50 value of 1410.11±2.05 mg L-1). However, the alkaloid mixture did not exhibit potential antioxidant activity (IC50 399±1.3 mg L-1). These empirical results suggest that alkaloids isolated from this plant could be good potential candidates for further development of new antifungal and antibacterial lead compounds, and AChE inhibitors.
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Buruli ulcer (BU), a neglected tropical disease (NTD), is an infection of the skin and subcutaneous tissue caused by Mycobacterium ulcerans. The disease has been documented in many South American, Asian, and Western Pacific countries and is widespread throughout much of Africa, especially in West and Central Africa. In rural areas with scarce medical care, BU is a devastating disease that can leave patients permanently disabled and socially stigmatized. Mycobacterium ulcerans is thought to produce a mycolactone toxin, which results in necrosis of the afflicted tissue and may be involved in the etiology of BU. Initially, patients may notice a painless nodule or plaque on their skin; as the disease progresses, however, it may spread to other parts of the body, including the muscles and bones. Clinical signs, microbial culture, and histological analysis of afflicted tissue all contribute to a diagnosis of BU. Though antibiotic treatment and surgical removal of infected tissue are necessary for BU management, plant-derived medicine could be an alternative in areas with limited access to conventional medicine. Herein we reviewed the geographical distribution, socioeconomic, risk factors, diagnosis, biology and ecology of the pathogen. Complex environmental, socioeconomic, and genetic factors that influence BU are discussed. Further, our review highlights future research areas needed to develop strategies to manage the disease through the use of indigenous African plants.
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Medicinal plants play a crucial role in the primary health care of the population in developing countries such as Benin. The national universities of Benin conduct research on the pharmacological , toxicological, and phytochemical properties of these plants, but the resulting knowledge often does not lead to the development of phytomedicines for the improvement of public health. This study aims to assess the current status of research on medicinal plants in Benin. A literature review was conducted using various search engines, and the collected data was analyzed. The results indicate that research on the biological properties of medicinal plants is still in its early stages, with limited and inadequate methodological approaches. These limitations highlight the urgent need to enhance research practices and facilitate the development of effective and safe phytomedicines.
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Buruli ulcer is a devastating skin infection caused by Mycobacterium ulcerans . It is endemic in the Amansie West district of the Ashanti region of Ghana where patients rely mainly on herbal preparations from practitioners. This work aimed at validating some preparations employed by traditional healers in the Amansie West district for the management of Buruli ulcer. Four herbal preparations, obtained from practitioners in four communities were tested against the clinical M. ulcerans strain (NM203) using the resazurin microplate assay. Cytotoxicity test was done on the extracts using Chang liver cells. Chemical profiling of the active formulation was done using High-performance liquid chromatography. Some traditional herbal practitioners considered painless wounds in the extremities as diagnostic of BU whereas others relied on diagnosis of BU from a recognized conventional healthcare facility before proceeding to treat with herbal products. A formulation containing the roots of Cryptolepis sanguinole nta and seeds of Picralima nitida , as plant ingredients, was considerably active (MIC = 32µg/mL). The preparations were non-cytotoxic to Chang- liver cells. The herbal preparations showed considerable antimycobacterium ulcerans activity and are not toxic. A major peak in the HPLC chromatogram of the active formulation with a retention time of 17.86 min was identified as a marker for the quality analytics of the active formulation. A traditional herbal preparation used in Buruli ulcer endemic community was validated to show antimycobacterium ulcerans activity. Validation of similar preparations could afford novel drugs or products for this neglected tropical disease.
Chapter
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This chapter introduces Mycobacterium ulcerans , the causative agents of buruli ulcer and the effects of phytochemicals in buruli ulcer treatment. It starts by giving an overview of the organism and the disease burden. It then explains the ethnopharmacological use of plants and overview of plants used as treatment for buruli ulcer in traditional medicine as well as potency, phytochemistry and toxicity of anti‐buruli ulcer plants. By the end of the chapter the natural products with potential for treatment of buruli ulcer, activity of some selected plants against Mycobacterium ulcerans and medicinal plants with antimycobacterial activities will be known. A discussion on compounds with potency on Mycobacterium ulcerans and future prospects of phytochemicals against Mycobacterium ulcerans were included.
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A wide spectrum of traditional medical methods employs Holarrhena floribunda (HF). A major source of novel pharmaceutically active compounds has always been plants. When it comes to treating disorders that do not respond well to synthetic medications, the modern medical system offers a wide range of herbal choices. There are a number of plants that have been used as medicine from ancient times to heal illnesses. Medicinal properties of herbal plants can be found in their chemical components. It is widely used in Togolese folk medicine as Holarrhena floribunda. False rubber tree, Holarrhena floribunda, belongs to the Apocynaceae family and may reach a height of 17 metres. Many components of the plant are used medicinally in West Africa. This plant has a variety of chemical components that are used to cure malaria, amoebic illness, diarrhoea, fever, infertility, and diabetes through the usage of plant parts including stem bark and leaves. In addition to highlighting Holarrhena floribunda's chemical composition, this paper also examines the plant's pharmacological properties.
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Ethanolic extracts of six commonly used medicinal plants ( by traditional medicine practitioners in Uyo and Ikot-Ekpene), Vernonia amygdalina del. ("Etidod"), Ocimum gratissimum L. ("Nton"), Smilax anceps wild. ("Odufad"), Holarrhena floribunda ("Idid ikot"), Parkia biglobosa ("Epo igba"), and Khaya senegalensis ("Ogawo"), were analysed phytochemically and evaluated for their significant antimicrobial activity ( P < 0.05) against different multiple drug resistant, MDR ( pathogenic) organisms: Neisseria gonorrhea, Shigella flexineri, Escherichia coli, Staphylococcus aureus and Klebsiella pneumoniae. Mean inhibitory zones were calculated for each of the extracts. Five of the plant extracts contain saponins and tannins only; two contain salkowski, and keller-kilini only, while three extracts contain just one of alkaloids, plobatannins, liberman. The results revealed that each of the six plants extracts, at different concentrations of 80 and 40 mg/ml, exhibited various degrees of inhibition and activity index on the test organisms. The extract of the O. graissimum ("Nton"), had the highest mean inhibitory zone of 23 mm against S. flexineri. This was followed by H. floribunda ("Idid ikot") with a mean inhibitory zone of 22 mm against N. gonorrhoea, V. amygdalina ("Etidod") with a mean inhibitory zone of 19 mm against S. aureus and S. anceps wild ("Odufad") had a mean inhibitory zone of 17 mm against both N. gonorrhoea and S. aureus. The MIC results of S. flexineri in 26.24 mg/ ml of O. gratissimum excite us to analyse for its MBC which was 47.24 mg/ml. These results provide rationalization for the traditional use of these plants for the treatment of infectious diseases.
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Buruli ulcer (BU), caused by Mycobacterium ulcerans, has recently been recognized by the World Health Organization (WHO) as an important emerging disease. It is largely a problem of the poor in remote rural areas and has emerged as an important cause of human suffering. While antimycobacterial therapy is often effective for the earliest nodular or ulcerative lesions, for advanced ulcerated lesions, surgery is sometimes necessary. Antimycobacterial drugs may also prevent relapses or disseminated infections. Efficient alternatives different from surgery are presently explored because this treatment deals with huge restrictive factors such as the necessity of prolonged hospitalization, its high cost, and the scars after surgery. Traditional treatment remains the first option for poor populations of remote areas who may have problems of accessibility to synthetic products because of their high cost. The search for efficient natural products active on M. ulcerans should then be encouraged because they are part of the natural heritage of these populations; they are affordable financially and can be used at the earliest stage. This review provides a number of tests that will help to evaluate the antimycobacterial activity of natural products against M. ulcerans, which are adapted to its slow growing rate, and lists active extracts published up to now in Medline.
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In addition to the steroidal alkaloids Holadienine (I) and Conessine (II) a third one, the hitherto not known Holarrhesine (III) (Holarrheline–12–pyroterebic acid ester) was isolated from Holarrhena floribunda (G. Don.) Dur and Schinz. The structure has been elucidated by spectroscopic methods and by saponification to Holarrheline (IV).
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Buruli ulcer (BU), caused by the environmental organism Mycobacterium ulcerans and characterized by necrotizing skin and bone lesions, poses important public health issues as the third most common mycobacterial infection in humans. Pathogenesis of M ulcerans is mediated by mycolactone, a necrotizing immunosuppressive toxin. First-line therapy for BU is rifampin plus streptomycin, sometimes with surgery. New insights into the pathogenesis of BU should improve control strategies.
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Kutajarista is a well known polyherbal preparation of which the main ingredient is the stem bark of Holarrhena antidysenterica. This Ayurvedic medicine is prescribed to treat amoebic dysentery and other disorders such as fever, indigestion and malabsorption syndrome. Herbal medicines are very important since, in common with conventional medicines, they contain biologically active substances that may produce non-trivial side effects when taken in excessive amounts. Very low doses, on the other hand, may have no therapeutic value. In this paper we report the chemical standardisation of Kutajarista by HPLC analysis based upon the presence of the biomarker conessine in the formulation. The standardisation method is simple and reliable, and the precision of method has been tested for repeatability (n = 3) and reproducibility (n = 9). The response of a refractive index detector was linear in the concentration range of 0.1-1.0 mg/mL. Recovery studies were performed to check the method for accuracy. The recovery was found to be in range of 99-105%. The developed HPLC method can be used to quantify conessine for quality control of marketed Kutajarista samples.