Medicinal plants used by traditional medicine practitioners for the treatment of HIV/AIDS and related conditions in Uganda

Introduction and objectives

In Uganda, there are over one million people with HIV/AIDS. When advanced, this disease is characterized by life-threatening opportunistic infections. As the formal health sector struggles to confront this epidemic, new medicines from traditional sources are needed to complement control efforts. This study was conducted to document herbal medicines used in the treatment of HIV/AIDS and related opportunistic infections, and to document the existing knowledge, attitudes and practices related to HIV/AIDS recognition, control and treatment in Sembabule, Kamuli, Kabale and Gulu districts in Uganda.

Methods

In this study, 25 traditional medicine practitioners (TMPs) were interviewed using structured questionnaires.

Results

The TMPs could recognize important signs and symptoms of HIV/AIDS and its associated opportunistic infections. The majority of practitioners treated patients who were already receiving allopathic medicines including antiretroviral drugs (ARVs) prescribed by allopathic practitioners.There were 103 species of medicinal plants identified in this survey. Priority plants identified include Aloe spp., Erythrina abyssinica, Sarcocephalus latifolius, Psorospermum febrifugum, Mangifera indica and Warburgia salutaris. There was low consensus among TMPs on the plants used. Decoctions of multiple plant species were commonly used except in Gulu where mono-preparations were common. Plant parts frequently used were leaves (33%), stem bark (23%) and root bark (18%). About 80% of preparations were administered orally in variable doses over varied time periods. The TMP had insufficient knowledge about packaging and preservation techniques.

Conclusions

Numerous medicinal plants for treatment of HIV/AIDS patients were identified in the four districts surveyed and the role of these plants in the management of opportunistic infections warrants further investigation as these plants may have a role in Uganda's public health approach to HIV/AIDS control.     

Medicinal plants used by traditional medicine practitioners in the treatment of tuberculosis and related ailments in Uganda

Aim of the study

Tuberculosis (TB) remains one of the most difficult ailments to control in the world today. The emergence of drug resistant strains has made previously effective and affordable remedies less effective. This has made the search for new medicines from local traditional medicines urgent. The specific objectives of this study were to (1) identify plant species used in the treatment of TB, their methods of preparation and administration, (2) document TB recognition, and (3) document medicine processing and packaging practices by traditional medicine practitioners (TMPs).

Methods

We interviewed 32 TMPs from the districts of Kamuli, Kisoro and Nakapiripirit using a guided questionnaire.

Results

We documented 88 plant species used to treat TB. Seven of these, Eucalyptus spp., Warburgia salutaris (G. Bertol.) Chiov., Ocimum suave Willd., Zanthoxylum chalybeum Engl., Momordica foetida Schum., Persea americana Mill. and Acacia hockii De Wild. were mentioned by three or more TMPs. Medicines were prepared mostly as mixtures or infrequently as mono-preparations in dosage forms of decoctions and infusions. They were administered orally in variable doses over varying periods of time. The TMPs did not know how to preserve the medicines and packaged them in used water bottles. Almost all TMPs mentioned the most important signs by which TB is recognised. They also knew that TB was a contagious disease spread through poor hygiene and crowding.

Conclusions

Local knowledge and practices of treating TB exist in the districts surveyed. This knowledge may be imperfect and TMPs appear to be still experimenting with which species to use to treat TB. There is need to screen among the species mentioned to determine those which are efficacious and safe. The technology of processing, packaging and preserving traditional medicines for the treatment of TB is very basic and needs improving. The TMPs appear to be playing a significant role in primary health care delivery and this lends further justification for the ongoing Uganda government efforts to integrate the allopathic and traditional medicine systems.     

Medicinal plants traditionally used in the northwest of the Basque Country (Biscay and Alava), Iberian Peninsula

Ethnopharmacological relevance

Many ethnobotanical studies show that people in industrial countries still rely on their traditional knowledge of medicinal plants for self-treatment, although the trend might not be as common as some decades ago. Given the social and public health implications of ethnopharmacological practices, this survey aims at recording and analysing the medicinal plants used in the folk medicine of the Northwest of the Basque Country focusing on how medicinal plants knowledge and practices evolve.

Materials and methods

Fieldwork consisted of 265 orally consented semi-structured interviews with 207 informants about medicinal uses of plants. Interviews were conducted between September 2008 and January 2011. Informants were on average 76 years old (minimum 45, maximum 95), being more than half of them (112) men. Data collected were structured in use-reports (UR). Following informants' comments, medicinal use-reports were classified as abandoned-UR, when the informants reported that the use was only practiced in the past, and prevalent-UR, when the informants reported to continue the practice.

Results and discussion

A total of 2067 UR for 139 species that belong to 58 botanical families were recorded, being the most important families Asteraceae, Liliaceae sensu latu and Urticaceae. Some of the most important species are commonly used in other European areas (e.g., Chamaemelum nobile, Urtica dioica and Chelidonium majus). However, there are also plants commonly used in the area such as Helleborus viridis or Coronopus didymus, that are scarcely used in other areas, and whose record is an original contribution of the local pharmacopeia. It is also the case of remedies such as the use of Plantago leaves against strains in a local remedy called zantiritu. Overall, and for all variables analysed (total UR, medicinal use-categories, drug preparation and administration), the percentage of UR being currently practiced (prevalence ratio) was very low (near 30%) suggesting a strong decay in the use of traditional medicinal plants. Exceptionally, some species (Chamaemelum nobile, Verbena officinalis or Anagallis arvensis) had a high prevalence ratio, reflecting the fact that this erosion process is not evolving homogeneously. Informants also reported that new species and medicinal plant uses were entering into the local pharmacopeia via non-traditional sources such as books, courses, or the internet. These modern ways are now being used to spread some traditional remedies that in the past were only orally transmitted.

Conclusions

This study shows that traditional knowledge is continuously changing, evolving and adapting to the new social and environmental conditions. The image of the local folk medicine as a dying reality doomed to disappear should be reviewed. It also shows the need of a culturally sensitive approach by the official health systems to these practices.     

Promising medicinal plants for bioprospection in a Cerrado area of Chapada do Araripe,Northeastern Brazil

Ethnopharmacological relevance

Traditional medical systems represent an important source of knowledge about the use of biodiversity. Ethnobotanical and ethnopharmacological studies can encourage bioprospecting in the pursuit and selection of promising medicinal plants. This study investigated the diversity of medicinal plants in a disjunct area of cerrado in Chapada do Araripe, Ceará, Brazil, and assessed the species of interest for bioprospecting.

Materials and methods

Structured and semi-structured interviews were conducted through free listing, and the informants were recruited using the “snowball” technique. The relative importance and informant consensus factor were analyzed for the selection of plant species with therapeutic potential.

Results

A total of 68 species were recorded and cited for 91 therapeutic purposes. Of these, 10 species showed great versatility of use, including Copaifera langsdorffii Desf., Caryocar coriaceum Wittn., Himatanthus drasticus (Mart.) Plumel, Stryphnodendron rotundifolium Mart., and Dimorphandra garderiana Tull. The therapeutic citations were grouped into 16 categories of body systems, of which Injuries, Poisonings and Other Consequences of External Causes, and Neoplasias showed the highest agreement of use.

Conclusions

Regarding the diversity of the species, some including Tocoyena Formosa (Cham. & Schlecht.) Schum., Himatanthus drasticus, Caryocar coriaceum, Roupala montana Aubl. and Stryphnodendron rotundifolium showed both high relative importance and strong consensus among informants, and although many have already been investigated scientifically, others are almost unknown with respect to their medicinal properties and can be targets for bioprospecting.     

Medicinal plants used in malaria treatment by Prometra herbalists in Uganda

Ethnopharmacological relevance

The aim of the survey was to document medicinal plants used in malaria treatment by Prometra (Promocion de la medicina tradicional amazonica) Traditional Medical Practitioners (TMPs) of Uganda and for search of new antiplasmodial herbal medicines (HMs) for further phytochemical analysis.

Materials and methods

In this study, semi structured guided open and close ended questionnaires were used. Focus group discussions were conducted and key informants were chosen within the TMPs who helped in further discussions of how the herbal remedies where collected, prepared and administered.

Results

A sample size of 51 respondents was randomly selected among the TMPs with the help of their leader. 86 species distributed over 81 genera and 39 families were reportedly being used as herbal remedies in malaria treatment. The TMPs use symptoms like high temperature, shivering, among others in malaria diagnosis an indication that they understand malaria. They emphasized the use of leaves and bark in treatment because they can regenerate and therefore ensure sustainable use of plants rather than the use of roots which would be destructive. These TMPS treat and also advise their patients on preventive measures against malaria attacks like sleeping under mosquito nets, clearing bushes near homesteads, among others which is an indication that they help in the prevention and mitigation of malaria incidences and prevalence in the areas where they live. The Informant Consensus Factor (FIC) value of 0.8 demonstrated that the TMPs of Prometra-Uganda tend to agree with each other in terms of the plant species they use in malaria treatment an indication of quality control in as far as administration of the herbal remedies. Vernonia amygdalina Delile, Bidens pilosa L., Justicia betonica L. were highly cited as being used in malaria treatment with frequencies of mention of 38, 28 and 25, respectively.

Conclusion

TMPs of Prometra-Uganda understand and treat malaria using the available plant diversity from their huge forest and the herbal gardens within Buyija forest. The healers are very keen at plant conservation which is a good practice. Species like Justica betonica may be investigated further for antiplasmodial assays to justify its efficacy.     

Ethnobotanical study of medicinal plants traditionally used in the Arribes del Duero, western Spain

Aim of the study

We studied traditional knowledge (TK) and current uses of medicinal plants among the inhabitants of the Arribes del Duero-ARD-(Spain), documenting traditional medical practices.

Materials and methods

We interviewed 80 key informants (44 men and 36 women). Their average age was 72 years (range 48-98 years). We calculated the cultural importance for each species cited. To analyze how TK varies with the characteristics of the different informants, we performed an ANCOVA, taking the number of use-reports (URs) provided by each informant as a variable to model, and age and gender as explanatory variables.

Results and conclusions

156 medicinal remedies were recorded; they were based on a single species and were cited by at least three independent informants, and half of them are still in use today. These remedies are related to nine major organ systems and 54 therapeutic uses, and 70 species (belonging to 39 families) are used, most of which are herbs (64%). The most relevant family is the Lamiaceae (23 remedies, 8 species) and the species employed in the greatest number of remedies (8) is Urtica dioica L. However, the taxon with the greatest cultural value is Hypericum perforatum L. (CI = 0.71). 31% of the variability of the TK can be explained in terms of the age and gender of the informants (R² = 0.315), the age factor having a positive effect. Most of the remedies are related to the treatment of unimportant ailments, referring to disorders of the skin, and the respiratory and digestive systems. The leaves and fruits are the most frequently sought plant parts (40 and 17% of the plants mentioned, respectively), and infusions (34%) and decoctions (28%) are the main methods used for preparing the remedies. Likewise, we recorded remedies based on plant mixtures and ethnomedicinal novelties or rare uses, and comment on the influence exerted by superstition.Currently, many people preserve a rich TK about medicinal plants, and it may be affirmed that the folk medicine is still very much alive in the ARD, above all as regards the treatment of certain common afflictions or unimportant ailments.     

Antiplasmodial and cytotoxic activities of medicinal plants traditionally used in the village of Kiohima, Uganda

Aim of the study

In Uganda, malaria is the most common disease and Ugandan people largely rely on traditional medicine. In this context, we carried out an ethnobotanical study on the Kiohima village, located close to the Kibale National Park in South-Western Uganda and investigated in vitro the antiplasmodial and cytotoxic activities of selected medicinal plants.

Materials and methods

Seventy-five plants-using adults (men and women) were interviewed to find out their plant use. From these information, 48 plants used in traditional medicine were identified and according to their reported uses and to bibliographic data, several parts of 28 plants (leaves, barks, roots), were selected and collected for biological evaluations. These samples were dried, extracted with ethyl acetate and the crude extracts were assayed for in vitro antiplasmodial and cytotoxic activities at 10 μg/mL.

Results

One third of the screened plants showed a significant antiplasmodial activity with inhibition greater than 50% at 10 μg/mL.

Conclusion

These results may indicate a possible explanation of the use of some medicinal plant against malaria in the village of Kiohima and have also allowed to highlight a plant with potent antimalarial activity: Citropsis articulata root barks.     

Herbal medicines used in the treatment of malaria in Budiope county, Uganda

AIM OF THE STUDY: This study was conducted to document herbal medicines (HMs) used in the treatment of malaria as well as the existing knowledge, attitudes and practices related to malaria recognition, control and treatment in Budiope county, Uganda. METHODS: Data was collected using semi-structured interviews, and open- and close-ended questionnaires. RESULTS: The respondents had a good understanding of malaria, and could recognize it and distinguish it from other fever types. They were also aware that malaria was spread by mosquitoes. Malaria prevalence was high, and affected individuals an average of six times a year. Respondents avoided mosquito bites by using mosquito nets, clearing bush around their homesteads, and burning plant parts to generate smoke. They preferred treating malaria using allopathic medicines because, according to them, they lacked the appropriate traditional knowledge necessary to exploit plants for the treatment of malaria. Secondly, allopathic medicines were believed to be superior to HMs in the treatment of malaria. Twenty-seven species were used for the treatment of malaria. The most frequently mentioned were Vernonia amygdalina, Momordica foetida, Zanthoxylum chalybeum, Lantana camara and Mangifera indica. Drugs from these plants were prepared from single species as water extracts and were administered in variable doses over varied time periods.     

Assessment of anti-protozoal activity of plants traditionally used in Ecuador in the treatment of leishmaniasis

Aim of the Study

For the assessment of the in vitro anti-protozoal potential of plants traditionally used in Ecuador in the treatment of leishmaniasis, a combined approach based on interviews with healers as well as a literature search was carried out.

Materials and Methods

From three regions of Ecuador, 256 local healers called “Agents of Traditional Medicine” (ATMs) were interviewed about their knowledge of the use of plants to treat and heal the illness recognized by the ATMs as leishmaniasis. From literature sources, 14 plants were identified as being used in the treatment of leishmaniasis. Subsequently, plant material was collected from a representative selection of 39 species. A total of 140 extracts were screened in vitro against Leishmania donovani, Plasmodium falciparum, Trypanosoma brucei rhodesiense and Trypanosoma cruzi. Additionally, these extracts were evaluated for their anti-microbial activities using five gram-positive and -negative bacteria as well as Candida albicans.

Results and Conclusions

The survey resulted in 431 use-records for 145 plant-taxa used for the treatment of leishmaniasis. The 10 most frequently reported taxa accounted for 37.7% of all records. In the case of leishmaniasis, activity was observed for Elephantopus mollis, Minquartia guianensis, Bocconia integrifolia, Gouania lupuloides, Scoparia dulcis, an as-yet-unidentified species of Piper and Brugmansia. For the leaves of M. guianensis and the twigs and bark of G. lupuloides a good selectivity index (SI) was found. IC₅₀ values and the SI of active plant extracts are presented.     

Ethnomedicinal study of plants used by Sheko ethnic group of Ethiopia

Aim of the study

This study was conducted to document and evaluate knowledge on medicinal plant use by Sheko ethnic group in Southwest Ethiopia.

Materials and methods

Interviews and ranking exercises were the main methods employed to collect the ethnobotanical data. Fidelity level (FL) values were calculated for claimed Sheko medicinal plants to estimate their healing potentials.

Results

Seventy-one Sheko medicinal plants were reported, the majority of which were used to treat skin and gastro-intestinal ailments. Ocimum lamiifolium, Phytolacca dodecandra, Amaranthus dubius and Amaranthus graecizans were the medicinal plants assigned with the highest FL values, a possible indication of their better healing potential. The majority of Sheko medicinal plants were found to be herbs, and leaf was the most preferred plant part in remedy preparations. The study indicated that men, older people and illiterate ones had better knowledge of medicinal plants use as compared to women, younger people and literate ones, respectively.

Conclusions

The study showed that the Sheko people have rich knowledge of medicinal plant use. This knowledge is however, currently threatened mainly due to acculturation. Awareness should thus be created among Sheko community by concerned bodies regarding the usefulness of their medical practice. The efficacy and safety of the claimed medicinal plants need to be evaluated before recommending them for a wider use with priority given to those with high fidelity level values.     

Knowledge and use of medicinal plants by people around Debre Libanos monastery in Ethiopia

The study was conducted around Debre Libanos monastery from October 2005 to June 2006. A total of 250 villagers, 13 monks and 3 nuns were interviewed using semistructured questionnaire on the knowledge and use of medicinal plants. The informant consensus factor (ICF) and the fidelity level (FL) of the species were determined. Eighty medicinal plant species were reported. The average medicinal plant reported by a female is 1.67+/-0.33 and a male is 5.77+/-0.71 with significant difference between them (alpha=0.05, p=0.023). The ICF values demonstrated that local people tend to agree more with each other in terms of the plants used to treat 'Mich' and headache (0.69) and intestinal illness and parasites (0.68) but a much more diverse group of plants are cited to treat problems related to rabies (0.14) and unidentified swelling and cancer (0.11). The FL values are also similar to ICF values. The knowledge of the villagers close to the monastery is found to be higher than those distant from the monastery and the correlation between Abichu and Telaye (r=0.970, alpha=0.05, p=0.001), and Zegamel and Doreni (r=0.745, alpha=0.05, p=0.027) is significant indicating the relationships between the number of plants reported by the informants and the distance from the monasteries to the villages. This study was not able to determine the knowledge difference between the villagers and the monastery dwellers because the monks and nuns were not willing to give information on the knowledge and use of medicinal plants. This may result in the long run in loss of local knowledge in the surrounding area and the country at large for preparation of pharmacologically effective remedies.     

Medicinal plants used in Hmong women's healthcare in northern Thailand

Ethnopharmacological relevance

We studied traditional knowledge of medicinal plants used for women's healthcare in three Hmong villages in northern Thailand and determined how prevalent such knowledge is. We documented traditional medical practices and determined which of the species used are culturally important among the Hmong.

Materials and methods

We interviewed six key informants and 147 non-specialist informants about their traditional knowledge of medicinal plants used in Hmong women's healthcare. We selected nine species that were known in all three villages as the domain for questionnaire interviews with 181 additional and randomly selected non-specialist informants. We calculated the Cultural Importance index (CI) for each species and use category. We tested normality of the data, age correlations, and gender correlations with Kolmogorov-Smirnov tests, Spearman's rank correlation coefficient, Kruskal-Wallis test, and Mann-Whitney tests.

Results

We documented traditional knowledge of 79 medicinal plants used in women's healthcare. Of these, three species were culturally important to the Hmong. Our questionnaire interviews revealed significant difference in traditional medicinal plant knowledge between genders and age groups.

Conclusions

The Hmong people in northern Thailand possess large amounts of traditional knowledge related to women's healthcare and plants used for this purpose. However, this knowledge, even for the culturally important species, is not possessed by all Hmong and there were signs of knowledge erosion. Preservation of the Hmong intellectual heritage related to medicinal plants used in women's healthcare requires intensive traditional knowledge dissemination to the young Hmong generation.     

Ethnoveterinary medicinal plants used by the Maale and Ari ethnic communities in southern Ethiopia

Ethnopharmacological relevance

Livestock production is an integral part of the agricultural system in Ethiopia. Medicinal plants are used and are important for rural communities for the treatment of livestock diseases. We studied and analysed the traditional medicinal plants used for the treatment of livestock diseases by the Maale and Ari ethnic communities in southern Ethiopia.

Materials and methods

We used quantitative and qualitative ethobotanical methods, including individual and focus group discussions (n=18), field observations, and individual interviews (n=74) at three study sites.

Results

In total, 46 plant species (28 families) were used for the treatment of livestock diseases. Leaves with succulent stems were the most used part of the plant. The most frequently cited cattle disease was blackleg, for which 21 plant species were used. Our study showed variation in ethnoveterinary plant species used among sites (Jaccard’s similarity indices <0.25). The number of medicinal plant species used was significantly influenced by gender and site. Knowledge on ethnoveterinary plants was predominantly held by males, who cited more plant uses than females. The most widely used species were Lepidium sativum, Allium sativum, Clausena anisata, Croton macrostachyus, Ozoroa insignis, Sida rhombifolia, Centella asiatica, Cissampelos mucronata, Vernonia theophrastifolia and Vernonia amygdalina.

Conclusions

The study indicated that ethnoveterinary medicinal plants are important for the Maale and Ari ethnic communities. Phytochemical and pharmacological studies should focus on widely used and multi-use species.     

An ethnobotanical study of medicinal plants used in sacred groves of Kumaon Himalaya,Uttarakhand, India

Ethnopharmacological relevance

International organizations recognize the importance of sacred groves and place them into the context of sustainable development and also emphasize to conserve biodiversity through protection of sacred groves and sties. The significance of medicinal plants from Himalayan region is well known to the world. Therefore, present study was conducted in identified sacred groves of Kumaon Himalaya to investigate and document the utilization of medicinal plants by various local communities and tribal people.

Materials and methods

The study was conducted during 2008–2011 in four seasons of the year. Information was collected from 70 locals from different sacred groves by using free listing interviews with randomly selected informants and semi-structured questionnaires; plant specimens were collected, identified and deposited at the CSIR-NBRI herbarium (LWG), Lucknow, India.

Results

Seven sacred groves viz., Dhwaj, Haat Kali, Hokra, Malay Nath, Nakuleshwar, Narayan Swami Ashram and Patal Bhuvneshwar were identified from the Pithoragarh district of Kumaon Himalaya. 89 medicinal plants belonging to 52 families and 77 genera of which, 2 are lichens, 4 are pteridophytes, 3 are gymnosperms and remaining 80 plant species are angiosperms. 6 plant species are reported with new therapeutic uses for the first time in this paper. Highest informant?s consensus factor value was found in liver disorder (0.55) and least by body pains (0.23). 55 ethnomedicinal plants are showing 100% fidelity level against various diseases.

Conclusion

Sacred groves in Kumaon region of Indian Himalaya are rich sources and best repository of ethno-medicinally important plants with many rare, endangered and threatened species. It is an excellent example of unique traditional way of in situ conservation of different plant species.     

Ethnobotany of Montseny biosphere reserve (Catalonia, Iberian Peninsula): plants used in veterinary medicine

The present paper deals with plants used in veterinary medicine in Montseny. An ethnobotanical survey was carried out in the Montseny massif, which is situated in north-east Catalonia (Iberian Peninsula), covers 826 km(2) and has a population of 80,000. The information was obtained through 120 ethnobotanical interviews to 180 informants. Out of 584 species reported, 351 are claimed to be used in the health field (human and veterinary medicine), 280 in human and animal food and 236 have another kind of popular use. Medicinal species represent around 16.5% of Montseny's vascular flora. In a previous paper we addressed plant use in human medicine, and the present paper deals with veterinarian uses. As a reflection of the importance of rural life in the region, at least until recent times, a substantial number of medicinal plants (89 species, representing 6% of the flora of the territory and 6.4% of all medicinal use-reports in the region) is used in veterinary medicine. These remedies are mostly for cows, calves, sheep, pigs and horses, and secondarily, to poultry, rabbits and dogs. The main ailments treated are postnatal problems, intestinal troubles, wounds and dermatological problems. In many cases, the use of these remedies in veterinary medicine is fully consistent with their use in human medicine.     

Herbal medicines used in the treatment of diabetes mellitus in Arunachal Himalaya, northeast, India

Ethnopharmacological relevance

Medicinal plants have played an important role in treating and preventing a variety of diseases throughout the world. Khampti tribal people living in the far-flung Lohit district of the Eastern Arunachal Himalaya, India still depend on medicinal plants and most of them have a general knowledge of medicinal plants which are used for treating a variety of ailments. This survey was undertaken in Lohit district in order to inventory the medicinal plants used in folk medicine to treat diabetes mellitus.

Materials and methods

Field investigations were conducted in seventeen remote villages of Lohit district starting from April 2002 to May 2004 through interviews among 251 key informants who were selected randomly during our household survey. To elucidate community domains and determine differences in indigenous traditional knowledge of medicinal plants with anti-diabetic efficacy, we repeated our field survey starting from April 2008 to May 2010 with one hundred traditional healers locally called as “Chau ya” in Khampti of Lohit district. “Chau ya” traditional healers who know and use medicinal plants for treating diabetes mellitus were interviewed using a semi-structured questionnaire.

Results

This study reports an ethnobotanical survey of medicinal plants in Lohit district of Arunachal Pradesh reputed for the treatment of diabetes mellitus. Forty-six plant species were identified in the study area to treat diabetes mellitus by the Khamptis “Chau ya” traditional healers. Comparative published literature survey analysis of this study with other ethnobotanical surveys of plants used traditionally in treating diabetes mellitus suggests that eleven plant species make claims of new reports on antidiabetic efficacy. These plant species are Begonia roxburghii, Calamus tenuis, Callicarpa arborea, Cuscuta reflexa, Dillenia indica, Diplazium esculentum, Lectuca gracilis, Millingtonia hortensis, Oxalis griffithii, Saccharum spontaneum, and Solanum viarum. Some of the plants reported in this study have an antidiabetic effect on rodent models but none have sufficient clinical evidence of effectiveness.

Conclusions

The wide variety of medicinal plants that are used to treat diabetes mellitus in this area supports the importance of plants in the primary healthcare system of the rural people of Lohit district of Arunachal Pradesh. The finding of new plant uses in the current study reveals the importance of the documentation of such ethnobotanical knowledge.     

An ethnobotanical study of antimalarial plants in Togo Maritime Region

Background

: Malaria continues to be of great concern in Togo, as it accounts for high mortality rates, principally in children. Although plant-based medicines are the only means in major malarious regions of the country, still very little is known about the medicinal plants and medical practices of the indigenous people.

Objective

: The present study aimed to document the indigenous medicinal plant utilization for the management of malaria and related symptoms in Togo Maritime Region.

Methodology

Fifty Traditional Healers (TH) were selected with the help leaders of Togolese Traditional Healers Associations and information on their knowledge on the use of plants for malaria therapeutic purposes was gathered using a semi-structured interviews.

Results

After enquiries, 52 plant species belonging to 49 genera and 29 families were recorded. The most represented families were Rubiaceae and Rutaceae with four species each. Traditional healers agreed more in the treatment of malaria (ICF = 0.70), fever (ICF = 0.33) and anemia (ICF = 0.20). For the treatment of malaria, 38.46% (20/52) of the species cited in the study were of high fidelity level (FL = 100%). The leaves (58.22%), leafy stem (33.78%) and fruits (8.52%) were the most used parts in concoctions. The main mode of preparation was decoction (69%) and the administration was essentially by oral route (79%) and body-bath (14%).

Conclusion

The issue of the study showed that Togo Maritime Region TH have a good knowledge of antimalarial plants. However the study must be extend to the whole country to lead to innovative strategies in malaria control. Such results could be a starting point for in vitro antimalarial screenings.     

Tyrosinase modulation by five Rwandese herbal medicines traditionally used for skin treatment

Ethnopharmacological relevance

Traditional herbal medicines provide an interesting, largely unexplored source for the development of potential new drugs and skin-care cosmetics. Some herbal extracts are known to be inhibitors of melanin formation, sometimes more potent than the classical inhibitors, hydroquinone/arbutin or kojic acid, and are not associated with melanocytes cytotoxicity or mutagenicity. Such plants are used in traditional medicine in many countries, particularly in Africa, for skin lightening.

Aim of the study

To evaluate in vitro the ability of Rwandese medicinal plants, traditionally used for the treatment of skin (discoloration and attenuation of discolored spots), to modulate pigmentation and tyrosinase activity.

Materials and methods

Based on an ethnopharmacological survey, five herbs [Brillantaisia cicatricosa Lindau (Acanthaceae), Chenopodium ugandae (Aellen) Aellen (Chenopodiaceae), Dolichopentas longiflora Oliv. (Rubiaceae), Protea madiensis Oliv. (Proteaceae) and Sesamum angolense Welw. (Pedaliaceae)] were selected. Twenty-seven extracts, obtained by treating the herbs with increasing polarities solvents, were investigated for their effects on cell viability (MTT test) and on pigmentation: inhibition of the enzyme tyrosinase (colorimetry of reaction products, measurement of enzyme activity, TLC-autography; studies on crude cellular extracts obtained from normal melanocytes and on a mushroom tyrosinase) and measurement of melanogenesis by human melanoma cells.

Results

None of the tested plant extracts were cytotoxic on tested human melanoma cell lines, except for Dolichopentas longiflora (IC₅₀ of leaves n-hexane extract, 4 μg/ml for MM028 and 4.5 μg/ml for MM001; IC₅₀ of roots ethyl acetate extract, 0.8 μg/ml for MM028 and 3.9 μg/ml for MM001). Almost all extracts inhibited melanogenesis in a melanoma whole cells overall pigmentation assay, a model reflecting the entire cycle of melanogenesis. All the Protea madiensis extracts quite strongly inhibited melanogenesis and, surprisingly, one of the Dolichopentas longiflora leaves extracts was found to increase melanogenesis. These results were confirmed by the modulation of pigmentation reactions by crude cellular extracts obtained from normal melanocytes; interestingly, one of the extracts (Dolichopentas longiflora ethyl acetate extract) is even more active (61% at 500 μg/ml) than kojic acid (<3% at 142 μg/ml and 68% at 1421 μg/ml). In a mushroom tyrosinase inhibition assay, data obtained on some extracts fairly agree with pigmentation inhibition measured on melanocytes proteins as, for example, the methanol extract of Protea madiensis. While a few others extract display discording data, this probably reflects either differences between human and mushroom tyrosinase, interference with melanocytes enzymes at later steps than tyrosinase or the simultaneous presence of compounds with conflicting activities in a given extract.

Conclusions

Ethnopharmacological data represent an efficient approach to discover active herbs. Some of the selected medicinal plants clearly show potent tyrosinase inhibitions while one extract significantly increases cell pigmentation; one extract contains potent growth melanocytes inhibitors.     

Toxicological study on Glinus lotoides: a traditionally used taenicidal herb in Ethiopia

Extracts of five medicinal plants: Boscia angustifolia, Cissus quadrangularis, Securidaca longipedunculata, Stylosanthes erecta and Trichilia emetica, used traditionally in Malian traditional medicine were screened for in vitro antiplasmodial activity and GABA_A–benzodiazepine receptor binding activity. Four extracts showed significant antiplasmodial activities, with the dichloromethane extract of leaf of Securidaca longipedunculata being the most active (IC₅₀ of 7 μg/ml [95% CI: 5–9]). The dichloromethane extract of leaf of Trichilia emetica, in addition to its antiplasmodial activity (IC₅₀: 12 μg/ml [95% CI: 12–14]), exhibited a good binding activity to the GABA_A–benzodiazepine receptor, while water and methanol extracts of the same plant did not show any activity. A strong GABA_A-receptor complex binding activity was observed in the methanol extract of aerial part of Stylosanthes erecta. The results in this study justify some of the traditional indications of the plants investigated and may thus be candidates for Improved Traditional Medicines in Mali.