Research Article | DOI: https://doi.org/10.31579/2834-8389/015
Anti-Inflammatory Potential of some Medicinal Plants
1 Department of medicine, Hamdard university Karachi, Sindh Pakistan.
2 department of Zoology, Government Emerson College Multan, Punjab Pakistan,
3 Department of horticulture, Hamdard university Karachi.
*Corresponding Author: Muhammad Akhlaq, Department of medicine, Hamdard university Karachi, Sindh Pakistan
Citation: Muhammad Akhlaq, Muhammad Khaleeq Alum, Muhammad Waleed, (2024), Anti-Inflammatory Potential of some Medicinal Plants, International Journal of Clinical Case Reports, 3(2); DOI:10.31579/2834-8389/015
Copyright: © 2024, Muhammad Akhlaq. This is an open-access article distributed under the terms of The Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Received: 28 February 2024 | Accepted: 06 March 2024 | Published: 18 March 2024
Keywords: herbs;inflammation; medicinal plants; nsaid;potential
Abstract
Inflammation considered as a healthy phenomenon of the body immune system's reaction. Inflammation is characterised by four key symptoms: pain, redness, heat or warmth, and swelling. Herbal remedies are important therapies for a wide range of ailments all over the world. There are around 7500 species of medicinal plants, including representatives from over 17,000 flowering plant species. Even when synthetic chemistry has evolved out their expectations, the use of natural ingredients in the manufacture of drugs used in contemporary medicine is unparalleled. Several nonsteroidal anti inflammatory drugs have been shown to reduce inflammation and pain by decreasing the isoform of the cyclooxygenase enzyme's digestion of arachidonic acid, hence lowering prostaglandin production. Nonsteroidal anti inflammatory drugs (NSAIDs) have harmful effects. There are, however, medicinal herbs with anti inflammatory pharmacological properties that have few or no negative effects. This review contains data about medicinal herbs' having anti-inflammatory effects, and it will be helpful for new researchers and practitioners to find anti-inflammatory herbs.
Introduction
Inflammation is the body's extreme reaction to any type of injury. The four primary indicators of swelling are pain, warmth, redness and swelling. At the site of injury, the arterioles in the neighbouring tissue widens. This increases blood stream to the affected area, resulting in redness(Burke et al., 2006). Inflammation is a ubiquitous process that occurs when homeostasis is disrupted, such as when there is damage, exposure to contaminating substances, or infection, and it is also triggered by innate immune system receptors for the removal of pathogens when they are identified (Campos, 2014). Inflammation is classified into two types: Acute and chronic. Acute inflammation may be the system’s initial reaction to hurtful stimuli. In chronic inflammation, the inflammatory reaction is out of proportion, causing harm to the tissues. Cyclooxygenase(COX) is a crucial enzyme in the synthesis of prostacyclins, prostaglandins, & thromboxane’s, all of which are tangled in inflammation, platelet aggregation and pain (Pilotto et al., 2010). Vasoactive chemicals raise the permeability (pore size) of such arterioles, allowing blood cells, proteins, chemical substances and fluid to collect in that area. This fluid build-up causes swelling and can be painful because it compresses nerves in the site. Prostaglandins may also cause nerve irritation and contribute to pain (Grosser et al., 2011). Nonsteroidal anti inflammatory drugs (NSAIDs) are the most commonly prescribed medications worldwide (Virshette et al., 2019) and they are used to heal the acute & chronic pain caused by an inflammatory progression. NSAIDs are class of medications whose actions are all linked to COX inhibition in the release of prostaglandins and thromboxane (Pereira‐Leite et al., 2017)(Sostres & Lanas, 2016). The main pharmacology of NSAIDs is the central and peripheral inhibition of COX, affecting the translation of arachidonic acid into prostaglandins E2, thromboxane and prostacyclins. Both COX-1, COX-2, act in the body, are two enzymes involved in the action of NSAIDs. COX-1 is found in the majority of cells, including foetal/amniotic fluid and is involved in physiological functions as regulation and protection. COX-2 is triggered by inflammation and pro-inflammatory Cytokines (Patel et al., 2016). NSAIDs, or nonsteroidal anti-inflammatory drugs, have long been used in humans. As a consequence, long-term use of these drugs results in negative effects and harms human normal systems such as the hepatic and gastric system. As an outcome of adversative effects such as renal, cardiovascular, gastric lesions and gastrointestinal damage (Huerta et al., 2005)(Shih & Chang, 2007).
Natural products (NPs) are biological compound/substance produced by an alive entity (animals, microbes or plants) that possesses pharmacological activities and clinically beneficial in either raw or modified form (traditional remedies) (Goel et al., 2020). Traditional herbs and preparations for example, were regarded as drugs in the Ayurvedic medical system; the "Sushruta Samhita" (an Ayurvedic classic) contains approximately 700 plants for the treatment of 1100 ailments. A vast amount of information was provided by numerous traditional medical systems (Chinese materiamedica, Greek, Egyptian, Arab and Mesopotamian) as well as folk medicine (Ethnomedicine) and include Unani medicines as well. The separation of morphine from opium by Serturner (1804) marked the beginning of modern NP chemistry. Many of these discoveries resulted in the isolation of bioactive isolated chemicals as quinine (1820) derived from cinchona, cocaine (1859), strychnine (1818), penicillin, tubocurarine (1935) and other bioactive isolated compounds (Goel et al., 2020). Over 80% of approved therapeutic medicines were derivate of naturally occurring chemicals or were inspired by natural substance. The NPs have been extensively studied, and 33 percent of the 1394 small molecule approved drugs introduced between 1981 and 2019 were natural items or its derivates and 35 percent were built around pharmacophore from an NP (Newman & Cragg, 2020). Plants may synthesise a wide range of phytochemical constituents as secondary metabolites. Several phytochemicals have been used successfully in treatment of variety of human disorders. The World Health Organization (WHO) has attempted to identify medical plants used around the world, resulting in a list of over 20,000 species. The majority of medicinal plant parts are used as raw pharmaceuticals and have a variety of clinical properties (Verma, 2016). Plants have enormous potential in traditional medicine for the development of novel medications as well as the treatment of chronic and infectious diseases. By interfering with the biology of inflammation, anti inflammatory medications may assist to minimise tissue damaging and increase patient’s comfort. The effective development of novel naturally taking place anti inflammatory drugs is mostly dependent on a multidisciplinary approach to discovering new chemicals. (Thatoi & Dutta, 2009). The goal of this review is to look at the fundamental aspects of many medicinal herbs' anti-inflammatory properties.
Plants with anti-inflammatory potential:
Ajuga laxmannii (Lamiaceae):
Polymorphonuclear total leukocytes, leukocytes, oxidative stress & phagocytosis all decreased in response to the anti-inflammatory properties of Ajuga laxmannii ethanolic extract. In terms of anti oxidative stress and anti-inflammatory properties, A. laxmannii extract at 50 mg/ml outperformed diclofenac in tests. As a result of the findings, A. laxmannii is a valuable foundation of bioactive products that may be used as anti-inflammatory agents in a variety of herbal medicines (Toiu et al., 2018).
Allium sativum (Amaryllidaceae):
Garlic oil has anti-inflammatory properties because it inhibits the formation and disassembly of the cytoskeleton.(Arreola et al., 2015)
Aloe ferox (Asphodelaceae):
The antiinflammatory properties of Aloe ferox extract are attributed to its gel, which contains three malic acid acylated polysaccharides. Aloe resin, a plant-derived anti-inflammatory chemical, is also present. It also contains anti-inflammatory and anti-swelling enzymes carboxypeptidase and brady kinase (Devaraj & Karpagam, 2011).
Aegle marmelos (Rutaceae):
In albino rats, the anti inflammatory effect of an aqueous extract of Bilwa root bark was considered using a carrageenan induced paw oedema model and a cotton pellet induced granuloma model, as well as the standard medicines indomethacin and Bilwa. The findings showed that inhibition has anti-inflammatory properties (Benni et al., 2011).
Anacardium occidentale (Anacardiaceae):
Anacardium occidentale leaf extract has anti-inflammatory properties, and oleamide has been identified as one of the most bioactive components linked to the plant's anti-inflammatory properties (Awakan et al., 2018).
Cassia fistula (Caesalpiniaceae):
Cassia fistula bark extracts have a noteworthy anti inflammatory outcome in both acute & chronic anti inflammatory models of inflammation in rats. ROS, both endogenous and exogenous, have been linked to the pathophysiology of diseases as diabetes, atherosclerosis, cancer, arthritis and the ageing process. The presence of ROS complicates inflammatory disorders. Flavonoids and bioflavonoids are the main anti-inflammatory components of Cassia fistula (Ilavarasan et al., 2005).
Calamintha nepeta (Limiaceae):
Calamintha nepeta is anti-inflammatory because it inhibits COX-2 synthesis by 40.10% (Galasso et al., 2014).
Cassia occidentalis (Caesalpiniaceae):
Sreejith and colleagues investigated the antiinflammatory properties of the Cassia occidentalis plant as a whole using an ethanolic extract. In a carrageenan-induced paw oedema model, a dosage of 250 mg/kg was used to assess the anti inflammatory property. The results showed a noteworthy drop in malondialdehyde heights in murine liverwort microsomes and a significant reduction in carrageenan induced inflammation at a dosage of 250 mg/kg in mice (Sreejith et al., 2010).
Citrus limetta (Rutaceae):
The primary constituent of Citrus limetta essential oils (Eos) is limonene, a monoterpene hydrocarbon. When macrophages were pre-treated with C. limetta EOs, the amalgamation of pro inflammatory cytokines as interlukin-6, tumour necrosis factor- and interlukin-1 was inhibited in lipopolysaccharide-induced Inflammation, as was the amalgamation of ROS in H2O2-induced Oxidative stress. An in vivo study, on the other hand, discovered that on the application of volatile oil topically, it reduced 12-O-tetradecanoylphorbol-13acetate-induced ear weight, ear thickness, proinflammatory cytokine generation, lipid peroxidation, and improved histological damages in the ear tissues (Maurya et al., 2018).
Citrus limon (Rutaceae):
Citrus limon EOs administered orally at doses of 50mg, 100mg and 150 mg/kg significantly reduced the sum of writhes, while the maximum dose significantly reduced the sum of paw licking indicating an anti inflammatory effect (De Nunzio et al., 2020).
Cissampelos sympodialis (Menispermaceae):
The alkaloids total fraction and ethanolic extract derived from Cissampelos sympodialis aerial parts have antiinflammatory properties, as they reduced tumour necrosis factor- and interlukin-1 levels while increasing interlukin10 and glutathione–glutathione levels (Sami et al., 2021).
Coriandrum sativum (Apiaceous):
Coriander oil was found to have antiinflammatory properties in an in vivo ultraviolet erythema test (Reuter et al., 2008).
Cynodon dactylon (Poaceae):
Rat paw oedema was induced by serotonin, carrageenan, histamine, dextran and the cotton pellet technique were used to assess the anti inflammatory efficacy of an aqueous extract of Cynodon dactylon at various dosage. The experiment was done at 3 different dose levels: 200mg, 400mg, and 600 mg/kg orally. The extract of Cynodon dactylon was safe when taken orally at all dosages tested, with no mortality up to 4g/kg of Aq. extract Cynodon dactylon exhibited strong anti inflammatory properties in wholly of the models. The extract was recognised to significantly reduce (p<0>
Cyperus rotundus (Cyperaceae):
Cyperus rotundus EOs demonstrated a dose-dependent reduction in paw edoema rats from the second hour after carrageenan injection (p 0.01). This EO inhibited pain due to inflammation (p<0>
Cuminum cyminum (Apiaceae):
The anti inflammatory ability of Cuminum cyminum volatile’ oil in carrageenan-induced Rat-paw oedema revealed that at a dose of 0.1 ml/kg, i.p., cumin volatile oil inhibited rat paw oedema in a dose responded manner when equated to the control group. Anti inflammatory movement was also seen to be analogous to diclofenac sodium (Feng et al., 2016). Cumin EOs significantly suppressed the mRNA expressions of inducible nitric oxide synthase, cyclooxygenase-2, interleukin-1, and IL-6 in lipopolysaccharide-stimulated RAW 264.7 cells, as determined by real-time polymerase chain reaction, PCR. Furthermore, Western blotting studies revealed that cumin EOs inhibited the phosphorylation of ERK and c-Jun N-terminal kinase in response to LPS-induced transcriptional activation of nuclear factor kappa (NF-) (JNK). As a result, cumin EOs were found to inhibit the NF- and mitogen-activated protein kinases ERK and JNK signalling in LPS-stimulated RAW264.7 cells, resulting in antiinflammatory effects (Yin et al., 2020).
Dendropanax morbifera (Araliaceae):
Methanolic extracts of Dendropanax morbifera inhibited the production of LPS induced pro inflammatory cytokines and mediators by defeating the expression of inducible Nitric-oxide synthase and COX-2, as well as inhibiting the ERK1/2 signalling pathway. Furthermore, in leaf extracts phenolic compound analysis using high performance liquid chromatography discovered compounds such as quercetin, myricetin, rutin, resveratrol, chlorogenic acid catechin and ferulic acid which are thought to be responsible for the antiinflammatory activity (Noh et al., 2015).
Glycyrrhiza glabra (Fabaceae):
The roots of Glycyrrhiza glabra (liquorice) were known to Roman medics as Radix dulcis and to Arab physicians as a cough remedy, and the plant has been grown in Europe since the 18th century for its distinctive taste. Glycyrrhiza glabra contains the anti-inflammatory triterpenes glycyrrhizin (6–13%) and glycyrrhizic acid (Kaur et al., 2013).
Ipomoea pescaprae (Convolvulaceae):
Ipomoea pescaprae leaf extracts were effective in treating dermatitis caused by jellyfish stings and edoema caused by ethyl phenyl propiolate in animals (Pongprayoon et al., 1991).
Emblica officinalis (Euphorbiaceae):
Emblica officinalis is a tree native to China, Indonesia, India and Malay Peninsula. It is used in these areas for its anti inflammatory & antipyretic properties. Recent research has revealed that the aquas fraction of methanol extract of leaves has anti inflammatory properties. The effect of fraction on the releases of inflammatory mediators as leukotriene B4, thromboxane and platelet activating factor was studied. At low doses, the aquas fraction of methanol extract reduced human PMN migration (Asmawi et al., 1993).
Linn, Jasminum sambac (Oleaceae):
Jasminum sambac L is widely grown throughout India, and its roots and leaves have long been used to treat fever, discomfort, and inflammation. Its leaves have anti-inflammatory properties that have been demonstrated. (Sengar et al., 2015)
Nicotiana tobacum (Solanaceae):
Nicotiana tobacum leaf extract is used as an anti-inflammatory. Chemical elements that are mostly effective include 4-vinylguaiacol, 1,8-cineole, acetaldehyde, alkaloids, anabasine, nicotinic acid, acetophenone, nicotine, sorbitol, scopoletin, quercitrin, tocopherol, trigonelline, stigmasterol and trigonelline (Azab et al., 2016)
Leonotis ocymifolia (Lamiaceae):
In mouse models, the anti-inflammatory action of an 80 percent methanolic leaf extract of Leonotis ocymifolia reduced paw edoema by 75 percent after six hours of induction with carrageenan. Furthermore, it was discovered that all of the extract doses tested slowed granuloma synthesis significantly (Alemu et al., 2018).
Origanum ehrenbergii (Lamiaceae):
The anti-inflammatory action of Origanum ehrenbergii EOs in lipopolysaccharide-induced inflammation in RAW264.7 cells was investigated and significant reduction in nitrous oxide generation was reported (Miguel, 2010).
Persicaria chinensis (Polygonaceae):
The molecular mechanism of the methanolic extract of P. chinensis against lipopolysaccharide-induced nitric oxide and PGE2 in RAW264.7, macrophages discovered that it significantly reduced the expression of lipo-polysaccharide-induced pro inflammatory cytokines. The activation and phosphorylation of activator protein-1 & mitogen-activated-protein kinase were reduced in both U937 cells and lipopolysaccharide stimulated RAW 264.7 cells. As a result, these findings stalwartly suggested that a P. chinensis methanolic extract could be used as a treatment for mitogen activated protein kinase/activator protein mediated-inflammation (Hossen et al., 2015).
Olea europaea (Oleaceae):
Extra virgin olive oil from Olive tree was found to have anti-inflammatory activity comparable to dexamethasone treatment in rats with carrageenan-induced paw edoema (Fezai et al., 2013).
Phyllanthus acidus (Phyllanthaceae):
For many years, Phyllanthus acidus has been used to treat respiratory problems, gastrointestinal problems, hepatitis, bronchitis, rheumatism, and asthma. Kim and colleagues discovered that a methanolic extract of P. acidus aerial parts inhibited prostaglandin-E2 and nitric oxide production while also preventing morphological changes in lipo-polysaccharide-treated RAW 264.7 cells (Kim et al., 2015). Furthermore, this extract inhibited the expression of inducible nitric oxide synthase and COX-2, as well as lowering NF- nuclear levels. Among the flavonoids discovered in the methanolic extract of P. acidus aerial parts, kaempferol and quercetin were found to be somewhat active anti inflammatory substances. As a result, it was discovered that the methanol extract of P. acidus aerial parts inhibited downstream transcription NF gene in vivo and in vitro.(Kim et al., 2015)
Syzygium caryophyllatum (Myrtaceae):
The in-vitro capacity of various doses of Syzygium caryophyllatum aqueous root extract to prevent inflammation has also been demonstrated using a heat-induced egg albumin denaturation bio assay technique (Heendeniya et al., 2018).
Tephrosia purpurea (Fabaceae):
The anti-inflammatory effect of different dosages of 50 percent alcoholic extract of T. purpurea root was studied using carrageenan and the produced paw oedema method. (Praveena et al., 2011)



Solanum melongena (Solanaceae):
An aqueous extract of Solanum melongena L leaves was tried for anti inflammatory activity. In doses of 200 mg/kg & 400 mg/kg, the percentage of inhibition of the aqueous extract of S. melongena L was 42.62 percent, which was less than the 64.5 percent inhibition of the conventional pharmaceutical aspirin. Anti-inflammatory characteristics are possessed by chemical components such as ascorbic acid, alanine, arginine, and caffeic acid (Sharopov et al., 2015)(Im et al., 2016)
Zingiber officinale (Zingiberaceae):
Shimoda and colleagues [55] investigated Zingiber officinale's anti inflammatory effect by producing a 40% ethanolic extract from dried red ginger and testing its anti inflammatory efficacy in acute & chronic inflammation models. The results revealed a powerful suppressive result on acute & chronic inflammation, with macrophage activation inhibition appearing to play a role in this antiinflammatory action (Shimoda et al., 2010).
Sida cordifolia (Malvaceae):
Sida cordifolia is a Malvaceae family perennial mallow subshrub. Sida cordifolia is practised in traditional systems of medicine to treat oral mucosa inflammation, blennorrhoea, nasal congestion and asthmatic bronchitis (Franzotti et al., 2000). It has been explored as an anti-inflammatory, a cell-proliferation inhibitor and a promoter of liver-growth (Silva et al., 2006).

Conclusion:
Inflammatory disorders are common in the ageing societies of both developed as well developing countries, but the treatments used to treat them can have serious side effects. Curcumin, boswellic acid, resveratrol, baicalein, ursolic acid, botulinic acid and oleanolic acid are among the plant-derived compounds being studied as potential anti-inflammatory medications. This review will assist current and future researchers in identifying anti-inflammatory medicinal plants, the active ingredients of which have been isolated using various separation procedures. However, a more in-depth investigation could be conducted to determine the actual mechanism(s) of action.
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