phylogenetic and phytochemical characteristics ch2 klein

Upload: robynklein

Post on 04-Jun-2018

231 views

Category:

Documents


0 download

TRANSCRIPT

  • 8/13/2019 Phylogenetic and Phytochemical Characteristics Ch2 KLEIN

    1/5

    1

    CHAPTER 2

    DESCRIPTIVE SURVEY OF THE LITERATURE

    Methods

    In order to identify a list of taxa with adaptogenic activity (adaptogens) it was first necessary to define

    an adaptogen, then find physiologic factors and possibly chemical constituents to validate the definition of

    an adaptogen.

    It appears there has not been an organized attempt to define adaptogenic plant species (adaptogens)

    according to any set rules, except for the initial definition given by Lazarev in 1958 (Brekhman and

    Dardymov, 1969). That is, there is no authority that defines an adaptogen. It has apparently been left up to

    ones judgment whether a plant has adaptogenic properties, that is, increases resistance to stress in a

    widespread, innocuous and normalizing fashion (see Chapter 4 for elaboration of adaptogenic criteria).

    Therefore, it appears that there may be plant species that are not really adaptogenic, which are labeled as

    such in the popular literature and possibly in the scientific literature.

    Searching the PubMed database (http://www.ncbi.nlm.nih.gov/entrez/query.fcgi) using the termadaptogen resulted in limited success with only 48 hits. However, it was possible that plant species with

    adaptogenic activity would be found using other terms than adaptogen. Very few researchers seemed to

    use this description, perhaps because it is not an accepted pharmacological term in conventional science.To uncover plant species with potential adaptogenic properties not labeled as such I searched the

    scientific literature using related descriptive terms associated with stress pathogenesis and amelioration

    such as those listed in Table 1.

    Some terms too often resulted in false positives such as tonic, antiinflammatory, nootropic, and

    antioxidant. Though many adaptogenic plants have these activities as well, they are ubiquitous among

    medicinal plants.

    Table 1. A listing of terms used to search for adaptogenic activity.

    Symptomatic terms:

    Stress, anorexia, fatigue, asthenia, aging, rejuvenation, longevity, restorative, memory deficit, cognitive

    performance, insomnia, anxiety, depression, metabolic syndrome, diabetes, impotence, and panicdisorder.

    Pathophysiological clues:

    Dysregulation of catecholamines (epinephrine/adrenaline)

    Dysregulation of glucocorticoids (cortisol)

    Dysregulation of cytokines (interleukins, tumor necrosis factor, Th2 dominance)Motor activation problems (suppressed systems)

    Anorexia/cachexia and loss of lean muscle mass (loss of anabolic activity)

    Atrophy of nerve cells in the amygdala and hippocampus (neurodegeneration)

    Terms not as useful due to confusion with later effects of stress dysfunction:

    Anxiety and depression (antidepressant)

    Cognition and memory (nootropic)

    Tissue damage (antioxidant, antiinflammatory, protection of lipid oxidation)

    Hypofunctioning or suppression of immune system (immunomodulation)

    Hyperimmune response and autoimmune conditions

    Bone mineral loss (phytoestrogenic)

    Hypercholesteremia (hypoglycemic, hypocholesteremic)

    Abdominal obesity (hypoglycemic, hypocholesteremic)

    Cardiovascular disease (cardioprotective)

  • 8/13/2019 Phylogenetic and Phytochemical Characteristics Ch2 KLEIN

    2/5

    2

    Liver damage and detoxication dysfunction (hepatoprotective)

    Oxidation and free radicals (radioprotective)

    Loss of libido (aphrodisiac)

    I continued to add plant species that could possibly have adaptogenic properties to a list that

    included their bioactivity, chemical constituents, and citations. In the final steps I reduced this list to 183

    species that had some evidence of adaptogenic activity. These 183 species are shown in Appendix A.Over 1500 papers from a broad array of scientific disciplines were synthesized in this study (Appendix

    B). Although many adaptogen remedies have been extensively studied, their properties remain largely

    unknown in the West. Most of the research on adaptogens is found in the scientific literature of Armenia,

    Russia, Czechoslovakia, Scandinavia, China, and India. Despite this, I was able to attain review papers

    published in English that synthesized the history of adaptogen research.

    Some authors assumed an adaptogenic property for a plant based only on ethnomedical use forstress-related conditions. That is, not all published papers validate the plant species using the original

    Russian definition of adaptogen (e.g., innocuous, nonspecific and normalizing; see Chapter 4). Conversely,

    many papers should have, but did not suggest an adaptogenic property for the plant species despite studies

    elsewhere indicating such activity. The adaptogen term was perhaps not familiar to these researchers, or

    the term was possibly not a comfortable one for researchers to employ because it is not one that is widely

    accepted by the scientific community in the United States.

    The majority of scientific and ethnobotanical literature involving adaptogenic species, cited tests of

    these species using good scientific methods, primarily with laboratory animals or in vitrocell culture, such

    as induction of growth hormone (Kim et al., 2003a). Few human clinical studies exist (See Chapter 4 for

    an in-depth look at the human clinical studies on adaptogens). This is a significant problem for most

    medicinal plant species and is not unusual, especially in North America where the use of medicinal plantsin conventional medicine and in pharmacological research is uncommon.

    Despite these problems, I identified and read a sufficiently thorough and wide representation of the

    literature involving plant species used to treat stress-related conditions, including the adaptogen research.

    A prior familiarization with medicinal plant species was extremely useful as a basis for understanding the

    complex issues surrounding adaptogens as botanical dietary supplement products (see Vita).

    The candidate list of 183 potential species was subjected to more rigorous scrutiny. Whether a

    particular plant species had enough weight of evidence to be labeled as an adaptogen in this investigation

    depended on several factors. Weight of evidence included primarily, a long history of use by a culture and

    scientific in vitro and in vivo research on the chemistry and mechanism of action of the plant species.

    These were the main factors in selecting the final 33 species for phylogenetic analysis. The remainingspecies were dismissed as not having enough support. It is still possible the discarded species have

    adaptogenic properties, however, more scientific study is needed. In Chapter 4, I will discuss the definitionof an adaptogen and how it is possible to differentiate an adaptogen from false positives.

    Throughout the decision process, the established definition of adaptogen was employed, however a

    critical view of this definition was maintained, in case a revision of the term was needed. It is beyond this

    thesis to attempt such a modification, although others may use this investigation to provide a basis for fine-

    tuning the definition. Overall, I found the original Russian adaptogen definition quite applicable and useful

    (see Chapter 4).

    Terminology used to search the literature is given in Table 1 and includes terms from a wide variety of

    disciplines involving medicinal plants and stress pathology (see Appendix B for a listing of the references

    cited). Thus, this project required the investigation of many related disciplines such as plant and human

    physiology, pathology, biochemistry, phytochemistry, toxicology, and a new discipline specifically related

    to stress, psychoneuroendocrinology.

    Complementary and Alternative Medicine (CAM)

    The literature of CAM is very limited and difficult to access because it is such a specialized field and

    is not included in the MSU-Bozeman Library subscription of on-line journal packages such as Springer-

    Science Server! or Kluwer Online Journals!. The few papers I did locate in the CAM literature were

    primarily focused on the adaptogenic activities ofRhodiola rosea(Kelly, 1999; Kelly, 2001).

  • 8/13/2019 Phylogenetic and Phytochemical Characteristics Ch2 KLEIN

    3/5

    3

    Conventional Medicine

    The conventional medicine literature was not as thoroughly searched as other disciplines. The two

    primary journals investigated were The Journal of the American Medical Association and The New

    England Journal of Medicine. This literature did contribute some information concerning regulation of

    dietary supplements (Marcus, 2002), trends in alternative medicine (Eisenberg et al., 1998), safety concerns

    of botanical dietary supplements (Straus, 2002), and the adverse events of conventional medicine (Fremont-

    Smith, 1998; Lazarou et al., 1998). However, no references to adaptogens were found.

    Natural Products Research

    Despite the rare use of botanical products in conventional medicine and the belief that interest in

    natural products has waned (Newman et al., 2003), the natural products research literature is robust on the

    pharmacological properties of plants. The particular journals that were most helpful werePhytochemistry

    and the Journal of Ethnopharmacology. Other specific journals involving the bioactivity of plant

    compounds werePhytomedicine,Planta Medica, and theJournal of Agricultural and Food Chemistry.A renewed effort is emerging towards natural products as biologically validated starting points for

    drug design (Breinbauer et al., 2002, Newman et al., 2003, Rouhi, 2003). Advances in genetics and

    automated nucleotide sequencing have led to new knowledge of genes and their function (functionalgenomics) along with new discoveries in systems biology, whereby biological processes are studied as an

    integrated system (Sumner et al., 2003). Regardless of the emphasis on genomics and proteonomics, the

    investigation of plant compounds in traditional plant remedies, foods, and dietary supplements continues to

    be an important focus of research.

    Plant Science

    The plant science discipline indicated an interest in the comparison of growth and development

    strategies between plants and mammals such as hormone biosynthesis (Clouse, 2002), and metabolism

    (Rosati et al., 2003), defense strategies (Grassman et al., 2002), and free radicals in pathogenesis (Hippeli

    et al., 1999). Key journals were Current Opinion in Plant Biology, Trends in Plant Science, and Plant

    Physiology .

    Plant Systematics

    The literature on plant systematics for this project was primarily found in the journals, Biochemical

    Systematics and Ecologyand theAmerican Journal of Botany. However,Plant Systematics and Evolution,

    Molecular Phylogenetics and Evolution,Systematic Botany, and theAnnual Review of Ecology and

    Systematicswere somewhat helpful.

    A review of the chemotaxonomic work by Hegnauer (Grayer et al., 1999) suggested a close

    relationship between the Asteraceae and the Apiaceae because of shared chemical traits, which is reflected

    in the database of the Angiosperm Phylogeny Group. Apiaceae phylogenetic systematics was also detailed

    by Plunkett and Lowry (2001) and Downie et al. (2001). The following papers were instrumental in this

    project: the taxonomic distribution of phytoecdysteroids (Dinan et al., 1998), flavonoid glycosides ofOcimum(Grayer et al., 2002), reclassification of the Dioscoreaceae (Caddick et al., 2002), phylogeny of the

    Berberidaceae (Kim and Jansen, 1998), and the phylogeny and biogeography ofLepidium(Mummenhoff et

    al., 2001).

    Human Nutrition

    The interest in secondary compounds of plants is quite active in the field of nutrition. The focus tends

    to be on the antioxidant properties of flavonoids (Murota and Terao, 2003). I was able to find a few papers

  • 8/13/2019 Phylogenetic and Phytochemical Characteristics Ch2 KLEIN

    4/5

    4

    on the antioxidant activity of adaptogenic plants such as Rhodiola sacra (Ohsugi et al., 1999), Serratula

    strangulata (Cai et al., 2002), and Schisandra chinensis (Chiu et al., 2002). The journalsFood Chemistry

    andNutrition were particularly useful.

    Pharmacology

    In general, the journals in the pharmacology discipline did not evidence much interest in the medicinal

    properties of plants. The journal, Trends in Pharmacological Sciences, clarified the research bias toward

    the damaging rather than beneficial role of nitric oxide (Cirino et al., 2003). Biochemical Pharmacology

    evidenced interest in the adaptogen, Panax ginseng and nitric oxide (Gillis, 1997), as did Bioorganic &

    Medicinal Chemistry(Wang et al., 2000). Ferrari and Torres (2003) reviewed the pharmacology of dietary

    nutrients and aging inBiomedicine and Pharmacotherapy.

    Human Pathophysiology

    Connections have been suggested between phytochemicals and stress hormones such as the effect offlavonoids on cortisol production in humans (Ohno et al., 2002), plants and the central nervous system

    (Houghton, 2003), and plants used for memory and cognition (Howes and Houghton, 2003). Adaptogenic

    properties of Withania somnifera (Bhattacharya and Muruganandam, 2003) have been described in thecontext of pathophysiology, and a comparison has been made between the cognitive enhancing properties

    of Bacopa monniera and Gingko biloba (Das et al., 2002). Some of the more useful journals were

    Psychoneuroendocrinology,Neuroendocrinology, andPharmacology, Biochemistry and Behavior.

    Biochemistry and Molecular Biology

    Leaders in this area include Michael E. Baker (Baker 1992; 1995; 1998a; 1998b; 2001a; 2001b; 2003)

    who has studied the evolution of nuclear receptors and the hormonal properties of plant flavonoid

    compounds. Ohno et al. (2002) and Tanahashi et al. (2002) studied the hydroxysteroid dehydrogenase

    enzymes that are involved in the biosynthetic pathway of flavonoids, neurosteroids and hormones. Li et al.

    (2003b) studied the ability of plant compounds to stimulate nerve growth factor. Similarly, Ohara and

    Ohira (2003) determined the effect of plant compounds on plant growth regulation. Dietary plantcompounds have been suggested to be involved in signaling transduction via interaction with kinase

    enzymes (Cock et al., 2002; Owuor and Kong, 2002). The following journals were most useful

    Biochemical Pharmacology,Bioorganic and Medicinal Chemistry , andLife Sciences.

    Entomology

    The investigation of three plant species, in particular, Leuzea carthamoides, Rhaponticum uniflorum ,

    and Serratula coronata, led to the investigation of the adaptogenic effects of insect steroids synthesized in

    plants (see Chapter 6) on mammals and humans (Slma, 1993; Lafont, 1997; Dinan et al., 2001a;

    Kholodova, 2001). Chemotaxonomic studies of taxa in eight angiosperm families revealed that the

    Asteraceae adaptogens are most commonly associated with presence of ecdysteroids (Dinan et al., 1998;

    Whiting et al., 1998; Zibareva et al., 2002).

    Phytotherapy

    The recently developed academic discipline of phytotherapy is represented primarily by the journals,PhytomedicineandPhytotherapy Research. Of the two,Phytomedicinecontained the majority of published

    adaptogen research, of which there were eleven papers. Of these, Panossian et al. (1981; 1983; 1997;

    1999a; 1999b; 1999c; 2003), authored the most informative papers on the bioactivity, chemistry, and

    potential mechanisms of actions of adaptogens.

  • 8/13/2019 Phylogenetic and Phytochemical Characteristics Ch2 KLEIN

    5/5

    5

    Traditional Medicine and Ethnopharmacology

    Medicinal plants from traditional healing practices is a very active area of research. The World Health

    Organization has documented the importance of traditional medicine as a source of primary health care

    throughout the world (WHO Traditional Medicine Strategy 2002-2005). WHO has defined traditional

    medicine as

    The sum total of the knowledge, skills, and practices based on the theories, beliefs and

    experiences, indigenous to different cultures, whether explicable or not, used in the maintenance

    of health as well as in the prevention, diagnosis, improvement and treatment of physical and

    mental illnesses. The terms complementary/alternative/non-conventional medicine are used

    interchangeably with traditional medicine in some countries.

    WHO is actively developing a strategy for the training of indigenous practitioners in herbal medicine

    and the interaction of these practitioners with conventional medicine in countries throughout the world.

    Ethnobotany reports are best found in the Journal of Ethnopharmacology, which produced asubstantial review of the adaptogen, Eleutherococcus senticosus (Davydov and Krikorian, 2000).

    Fitoterapia ,Phytochemistry, and theJournal of Agricultural and Food Chemistrywere also rich sources of

    ethnobotanical uses of plants. Traditional medicine, which included adaptogenic species are reflected bestin the Asian and Indian scientific journals, in particular, Zhong Yao Cai,Zhongguo Zhong Yao Za Zhi, Yao

    Xue Xue Bao,Indian Journal of Pharmacology, and theIndian Journal of Experimental Biology.

    Toxicology

    The safety of herbs is of great concern, especially regarding regulation of botanical supplements and

    adverse event reporting (Bast et al., 2002). Phytoestrogens are of some concern (Adlercreutz, 1999).

    Adaptogens are intrinsically innocuous by definition (see Chapter 4), but there is some apprehension

    surrounding the use of botanical supplements to enhance athletic performance (Bucci, 2000). An in vitro

    study on Bryonia alba root extract showed no genotoxicity (DNA damage) and in fact decreased

    clastogenicity (chromosome abnormality) in bone marrow cells of rats and mice (Nersesyan and Collins,

    2002). The toxicology literature revealed a concern not for dietary supplements and herbal remedies butfor mutation and free radical damage surrounding deficiencies in dietary nutrients (Ames, 2001; 2003;

    Fenech, 2002; Steinkellner et al., 2001). Calabrese and Baldwin (2002a; 2002b; 2003) and Welsons et al.

    (2003) indicate a renewed interest in hormesis (U-shaped dose responses) as an explanation for the

    mechanism of action of small doses of natural and synthetic substances.

    Summary

    A list of taxa with adaptogenic activity was identified through a search of journals and publications

    from a wide variety of related disciplines of both plant science and human science. Access to the scientific

    literature has never been better at this time in history. Direct information on adaptogens was not common.

    Nonetheless, sufficient information was gathered on the characteristics of adaptogens, their chemical

    compounds and potential mechanisms of action. Though there is a dearth of human clinical studies onadaptogens, a vast indirect body of literature suggests that adaptogenic plant species are a valid subject of

    investigation.

    Robyn Klein 2006 www.rrreading.comPhylogenetic and phytochemical characteristics of plant species with adaptogenic properties

    MS Thesis, 2004, Montana State University

    Chapter 2 of 8