Documente Academic
Documente Profesional
Documente Cultură
Volume-I, Issue-III
Anzar M.A et al.; International Journal of Pharmamedix India, 2013, 1(3), 460-74.
Anzar M.A.
Note- This article is property of International Journal of Pharmamedix India [ISSN: 2320-1304].
This Open Access Article available on www.pharmamedix.in only for private and non-commercial use.
Abstract:
Water extract of G. sylvester leaves stimulate Polypeptide-p, isolated from seeds, and tissue
insulin secretion from mouse cells and of M. charantia showed potent hypoglycemic
isolated human islets in vitro, without effect when administered subcutaneously to
compromising cell viability.[16] Oral gerbits, langurs and human.[19] In a clinical
administration of water soluble leaves extract trial, water soluble extract of the fruits of the
of G. sylvester at 400 mg/day to 27 insulin M. charantia significantly reduced blood
dependent diabetes mellitus patients on glucose concentration in the 9 NIDDM
insulin therapy lowered fasting blood glucose, diabetes on OGTT (50 gm). Fried karela
glycosylated haemoglobin(HbA1c), fruits consumed as a daily supplement to the
glycosylated plasma protein and insulin diet produced a small but significant
requirements but it remain higher than improvement in glucose tolerance in diabetic
control.[14] Water soluble G. sylvester leaves subjects without any increase in serum insulin
release insulin probably by causing levels.[20] M. charantia increases the renewal
regeneration of pancreatic β-cells both in vivo of partial cells in the pancreas or may permit
& in vitro.[12] the recovery of partially destroyed cells and
stimulates pancreatic insulin secretion.[22]
2.2 Kachnar (Bauhinia variegate)
Crude ethanolic extract of B. variegate 2.4 Tukhme Methi (Trigonella foenum-
contain active constituent roseoside have graecum)
insulinotropic activity in insulin cell line INS- Methi seeds contain specific amino acid
1 and it was found to be dose dependent.[17] known as,4-hydroxyisoleucin which posses
Insulin-like proteins from leaves of B. insulin –stimulating properties.[18] The
variegate, anti-hyperglycemic,[35] anti- hypoglycemic effect of methi seeds has been
hyperlipidaemic,[35] Hepatoprotective activity, demonstrated in experimentally induced
[36] [37]
antioxidant activity, immunomodulator diabetic rats, dogs, mice and healthy
volunteers both IDDM and NIDDM.[23,24,25] In
a clinical trial administration of methi seeds hypoglycemia in dogs (at the dose of 10
powder (50 mg each with lunch and dinner) in mg/kg I.V). Higher dose (20, 30 and
insulin dependent diabetic patients for 10 50mg/kg) caused initial hyperglycemia
days shows significant reduction in fasting followed by hypoglycaemia lasting for nearly
blood sugar and improved OGTT along with 5 hours.[31] Phenolic constituents such as
54% reduction in glycosuria. In addition, it marsupin and pterostilbene significantly
also showed significant hypolipidemic lowered blood glucose level in STZ diabetic
effect.[26] Methi seeds acts as anti-oxidant & rats and the effect was comparable to
hypocholesterolemic activity.[27,28] metformin.[32] One study shows claims its
anti-hyperlipidemic activity.[33] Oral
2.5 Dammul-akhwain (Pterocarpus administration of the bark decoction (1
marsupium) gm/100 gm body weight for 10 days) showed
Dammul-akhwain commonly known as a hypoglycemic action in alloxanized diabetic
vijasar/Indian kino which contain many rats.[34]
chemical constituents like, epicatechin,
pterostilbene and marsupin etc. Its active 2.6 Gilo (Tinospora cordifolia)
principle, epicatechin has been found to be Gilo contain many active chemical
insulinogenic thus enhancing insulin release constituents like- N-formylannonain, N-
and conversion of proinsulin to insulin.[29]An Methyl-2-pyrrolidone, 11-
Indian open multicentric study assessing Hydroxymustakone, cordifolioside A,
Vijayasar in the treatment of newly-diagnosed magnoflorine, tinocordiside and syringing.[44]
or untreated NIDDM showed that the extract Oral administration of an aqueous T.
controlled fasting and post-prandial blood cordifolia root extract to alloxan diabetic rats
glucose levels in 67 out of 97 patients (69%) caused a significant reduction in blood
by the 12th week at the dose of 2, 3 and 4 gm glucose and brain lipids.[41] Oral
in 73, 16 and 10% patients, respectively. Four administration of 400 mg/kg of aqueous
patients were withdrawn from treatment due extract of T. cordifolia for 15 weeks of
to excessively high post-prandial blood treatment showed maximum hypoglycemia of
glucose levels. No significant change was 70.37, 48.81 and 0% in mild (plasma sugar
observed in the mean levels of lipids. Other 180 mg/dl), moderate (plasma sugar >280
laboratory parameters remained stable during mg/dl) and severe (plasma sugar >/400 mg/dl)
the designated treatment period of 12 diabetic rats, respectively. Hypoglycemic
[30]
week. Pterostilbene (a constituent derived effect depended upon the functional status of
from wood of P.marsupium) caused the pancreatic beta cells.[42] anti-
plasma by increasing either the pancreatic the concentrations of fasting blood glucose,
secretion of insulin from β-cells of islets of total cholesterol and triglyceride,[75] P.
Langerhans or its release from the bound oleracea is a rich source of omega-3 fatty
[68]
form. Oral administration of alcoholic acids, which is important in preventing heart
jamun seeds extract to diabetic rats at a dose attack and strengthening the immune
of 100 mg/kg body weight resulted in a system,[76] antioxidant activity,[77] aqueous
significant reduction in blood glucose and extract of P. oleracea prevents the TNF-α-
urine sugar and lipids in serum and tissues in induced vascular inflammatory process in the
[69]
alloxan diabetic rats, S. cumini seed human umbilical vein endothelial cell.[78] The
extracts reduce tissue damage in diabetic rat aqueous extract of P. oleracea in combination
brain,[70] antioxidant activity,[68] ethanolic with lycopene (50 mg/kg body weight) acts as
extract of E. jambolana seed kernel hepatoprotective activity in rats against CCl4
[79]
on antioxidant defence systems of plasma and induced hepatotoxicity aquenous extracts
pancreas in streptozotocin-induced diabetes in of P. oleracea have neuroprotective effect
rats.[71] oral administration of E. against D-galactose induced neurotoxicity [80]
jambolana Lam. (doses 100, 200 and 400 aqueous extract of P. oleracea ameliorates
mg/kg.) significantly prevented carbon diabetic nephropathy through suppression of
tetrachloride induced elevation of serum renal fibrosis and inflammation in diabetic
SGOT, SGPT, ALP, ACP and bilirubin (total mice.[81] P. oleracea seeds showed a
and direct) level.[72] significant decrease in serum levels of
triglycerides, total cholesterol, low density
2.10 Tukhme Khurfa (Portucca oleracaea) lipoprotein cholesterol, liver alanine, aspartate
P. oleracaea (Purslane) contains many and gamma glutamyl transaminase, total and
biologically active compounds, including free direct bilirubin, fasting and post-prandial
oxalic acids, alkaloids, omega-3 fatty acids, blood glucose, in type-2 diabetes mellitus
coumarins, flavonoids, cardiac glycosides, patients.[82]
and anthraquinone glycosides.[73], [74]
Crude
polysaccharide from purslane on body weight, 2.11 Tukhme Kahu (Lactuca sativa)
blood glucose, total cholesterol, high-density Decoction of L. sativa decrease in the
lipoprotein cholesterol, triglyceride and serum intestinal glucose absorption and shows
insulin levels were studied in diabetes hypoglycemic effect.[83] Methanolic leaves
mellitus mice. Crude polysaccharide extract of L. sativa shows significant
treatment (200, 400 mg/kg body weight) for antioxidant potential both in vitro and in
28 days resulted in a significant decrease in vivo.[84] The seed oil is reported to have
sedative, hypnotic, analgesic and that a good number of compound drugs have
anticonvulsant properties[85] L. sativa is been described in Unani literature to be
capable of protecting neurons against effective in Diabetes Mellitus as large number
glucose/serum deprivation induced cell injury, of physicians of Unani medicine are using
an in vitro model of brain ischemia. L. sativa them successfully since times. This type of
exerts neuro protection and has the potential review will be of very much help for
to be used as a new therapeutic strategy for development of new drugs from natural
common neuro degenerative disorders such as resources which shows hypoglycemic
[86]
stroke it shows anti-inflammatory activity.
[87]
properties. Acknowledgements
The authors wish to express sincere thanks to
Conclusion: all the contributors. Special thanks go to Dr.
The role of Unani (traditional) Medicine in Tanzeel Ahmad, Lecturer, Department of
the management of Diabetes is being Moalajat (medicine) and for their guidance
appreciated on account of better and advice throughout the process of shaping
understanding of mechanism of action of such this article. There is no conflict of interest.
drugs. Unani physicians have been treating
Diabetes Mellitus since ancient times; they References:
have described a number of Unani drugs both 1. Patel DK, Kumar R, Prasad SK, Sairam
single and compound for the management of K, Hemalatha S. Antidiabetic and in
Diabetes Mellitus. Recently several single vitro antioxidant potential of
herbal drugs mentioned in classical unani Hybanthusennea spermus (Linn) F.
literature have been experimentally and Muell in streptozotocin-induced
clinically evaluated and reported as diabetic rats. Asian Pac J Trop Biomed.
hypoglycaemic agents. Numerous 2011; 1(4): 316-322.
mechanisms of actions have been proposed 2. Qarshi H. Jame-al-Hikmat. Basheer &
for plant extracts. Some hypothesis relates to sons, Lahore. YNM. 378-379.
their effect on the activity of pancreatic β- 3. Khan M Ajmal. Haziq. Jaseem Book
cells, increase in the inhibitory effect against Depo. Delhi. 1983; 387-390.
insulinase enzyme, increase of the insulin 4. Ibn-Sina. Al-Qanoon Fit Tib. Urdu
sensitivity or the insulin–like activity of plant translation by Kantoori G H. Published
extracts. However, the scientific study of by Idara Kitab Al-Shifa. New Delhi.
compound formulation is largely ignored by 2004; (3): 409-410.
the scientists and physicians despite the fact
5. Razi Z. Al Havi Fit Tib. Urdu plants. Acta Pol Pharm 2010; 67(2):
translation by CCRUM. Ministry of 113-118.
Health and family Welfare Govt. of 14. Grover JK, Yadav S, Vats V. Medicinal
India. New Delhi.1999; (10): 181-182. plants of India with antidiabetic
6. Khan M Azam. Al-Akseer. Urdu potential. J Ethnopharmacol 2002;
Translation by Kabiruddin M. Aijaz 81(1): 81-100.
Publishing House. New Delhi. 2003; 15. Schade WH. The History of Diabetes
(2):1196. mellitus in; Diabetes-its medical &
7. Li WL, Zheng HC, Bukuru J, De Kimpe cultural history, edited by Eugelhardt
N. Natural medicines used in the DV (Spring Verlag Berlin Heidelberg,
traditional Chinese medical system for printed in Germany). 989; 43 & 49-50.
therapy of diabetes mellitus. J 16. Rao MU, Sreenivasulu M, Chengaiah B,
Ethnopharmacol 2004; 92(1): 1-21. Reddy KJ, Chetty CM. Herbal
8. Ksper et al, Harrison Principles of medicines for diabetes mellitus: a
Internal Medicine. 15th edition. 2005; 2: review. Int J PharmTech Res 2010;
2109. 2(3): 1883-1892.
9. Longmore et al. Oxford hand book of 17. Frankish N, de Sousa MF, Mills C,
Clinical Medicine. 6th edition, Sheridan H. Enhancement of insulin
copyright, 2004 Oxford University release from the beta-cell line INS-1 by
Press. an ethanolic extract of Bauhinia
10. Cecil LG et al. Cecil text book of variegata and its major constituent
nd
medicine. 22 edition Elsevier. New roseoside. Planta Med 2010; 76(10):
Delhi. 2: 1425. 995-997.
11. Joel GH, Limbird LE. Goodman and 18. Kaczmar T. Herbal support for diabetes
Gilman’s Pharmacological basis of management. Clin Nutr Insights 1998;
Therapeutics. 10th edi. 2001:1701-1706. 6(8): 1-4.
12. Saxena A, Vikram NK. Role of selected 19. KhannaP, Jain SC, Panagariya A, Dixit
Indian plants in management of type 2 V.P. Hypoglycemic activity of
diabetes: a review. J Altern polypeptide-p from a plant source.
Complement Med 2004; 10(2): 369- Journal of Natural Products. 1981; 44
378. (6): 648-/655.
13. Malviya N, Jain S, Malviya S. 20. Leatherdale BA et al. Improvement in
Antidiabetic potential of medicinal glucose tolerance due to Momordica
charantia (karela). British Medical
reduces tissue damage in diabetic rat Different Growth Stages. Int. J. Mol.
brain. Journal of Ethno- Sci. 2012; 13: 10257-10267.
pharmacology.2003; 84: 205-209. 78. Lee SA, Kim SJ, Lee JY, Kang DG, Lee
71. K, Ramachandran B, Subramanian S. HS. Anti-TNF-α Activity of Portulaca
Effect of Eugenia Jambolana seed oleracea in Vascular Endothelial Cells.
kernel on antioxidant defense system in Int. J. Mol. Sci. 2012; 13: 5628-5644.
streptozotocin-induced diabetes in rats. 79. Anusha M et al. Hepatoprotective
Life Sciences. 2004; 75(22) 15: 2717- activity of aqueous extract of Portulaca
2731. oleracea in combination with lycopene
72. Sisodia S.S, Bhatnagar M. in rats. Indian Journal of Pharmacol.
Hepatoprotective activity of Eugenia 2011; 43(5):563-567.
jambolana Lam. in carbon tetrachloride 80. Hongxing Z et al. Neuroprotective
treated rats Indian. J Pharmacol. effects of purslane herb aquenous
February2009; 41(1): 23–27. extracts against D-galactos Induced
73. Xin HL et al. Analysis of Chemical neurotoxicity. Chemico-Biological
Constituents in Extract from Portulaca Interactions. 2007; 170(3):145–152.
oleracea L. with GC-MS Method (In 81. Lee AS et al. An aqueous extract of
Chinese). Pharmaceut. J. Chin. People's Portulaca oleracea ameliorates diabetic
Liberat. Army 2008; 24: 133-136. nephropathy through suppression of
74. Mohammad TB, Mohammad HB, renal fibrosis and inflammation in
Farhad M. Antitussive Effect of diabetic mice. Am J Chin Med. 2012;
Portulaca oleracea L. in Guinea Pigs. 40(3):495-510.
Iran. J. Pharmaceut. Res. 2004; 3: 187- 82. El-Sayed MK. Effects of Portulaca
190. oleracea L. seeds in treatment of type-2
75. Fayong G et al. Hypoglycemic Effects diabetes mellitus patients as adjunctive
of Crude Polysaccharide from Purslane. and alternative therapy Journal of
Int. J. Mol. Sci. 2009; 10: 880-88. Ethnopharmacology. 2011; 137(1):
76. Simopoulos, A.P. Omega-3 fatty acids 643–651.
and antioxidants in edible wild plants. 83. Roman RR, Flores S-JL, Alarcon AFJ.
Biol. Res. 2004; 37: 263–277. Anti-hyperglycaemic effect of some
77. Uddin MK, Juraimi AS, Ali ME, Ismail edible plants, J Ethnophramacol. 1995;
MR. Evaluation of Antioxidant 48:25-32.
Properties and Mineral Composition of 84. Munish Garg, Chanchal Garg,Pulok K.
Purslane (Portulaca oleracea L.) at Mukherjee & B.Suresh. Antioxidant