Ashokrao Mane Institute of Pharmacy, Ambap, Kolhapur, Maharashtra, India. 416112.
One of the biggest health issues of the twenty-first century is neurodegeneration, which is the name for the state of neuronal death caused on by a long-term, degenerative disease. Neurodegenerative disorders (NDs) include epilepsy, Parkinson's, Alzheimer's, and Huntington's, pose a significant threat to global health, affecting millions worldwide. Traditional herbal medicine has garnered attention for its potential therapeutic benefits in preventing and managing these diseases. This review highlights the neuroprotective properties of six herbal plants such as Curcuma longa (Turmeric), Lavandula angustifolia (Lavender), Rosmarinus officinalis (Rosemary), Cardiospermum halicacabum (Balloon Vine), Careya arborea (Wild Guava), and Withania somnifera (Ashwagandha). These plants exhibit antioxidant, anti-inflammatory, and anti-apoptotic activities, inhibiting neurodegeneration and promoting neuronal survival. Their bioactive compounds, such as curcumin, linalool, and withanolides, demonstrate potential in preventing cognitive decline, neuroinflammation, and oxidative stress. This review provides an overview of some popular neuroprotective plants and their therapeutic roles in managing NDs, highlighting their pharmacological properties, mechanisms of action, and the current understanding of their efficacy.
As many persons with mental illnesses suffer severely from stigma and discrimination related to their health, neurological disorders are frequently not regarded as common illnesses, even though the majority of the public relies on traditional medicine for primary healthcare. Additionally, speaking, breathing, movement, mood, and memory are all impacted by nervous disorders. The neurological disorder affects the brain and spinal cord [1]. Neurodegeneration is the cause of neurodegenerative diseases (ND), which are characterized by a progressive loss of neurons. The neurological system may stop functioning with this condition. It is a long-term illness that harms the brain. Alzheimer's disease, Parkinson's disease, epilepsy, spinocerebellar ataxia, and Huntington's disease, myasthenia gravis disease, and stroke are examples of neurodegenerative diseases [2]. People who suffer from these acute or chronic disorders often experience a decline in their cognitive and intellectual abilities as a result of the CNS's neurons breaking down and deteriorating. The symptoms of NDs typically appear gradually and worsen over time, and include several functional losses, learning difficulties, motor coordination issues, and mostly short-term memory loss [3]. Neurodegeneration is a process that occurs in both aging of the brain and neuropathological diseases. With an incidence of roughly 2/1000 and an overall death rate of 8%, brain pathology in the form of cerebrovascular and neurodegenerative diseases is recognized as a major cause of death worldwide [4]. The substance that can maintain brain function and structure, they are referred to as neuroprotective medications. These chemicals can minimize and prevent oxidative stress, mitochondrial dysfunctions, inflammation, various forms of neurotoxicity (including excitotoxicity), and protein shortages. Currently, the oldest and most widely used medicinal system in the world is thought to be herbal remedies [5].
Plant parts like leaves, fruits, flowers, seeds, roots, stalks, and bark have been utilized in complementary and alternative medicine. Medicinal herbs contain a wide range of active compounds or phytochemicals, including flavonoids, alkaloids, isoprenoids, polyphenols, and tannins. Antioxidant-rich herbs have neuroprotective qualities as well. With some significant, well-known medicinal herbs derived from plants acting as neuroprotective agents, this article provides a quick summary of neurodegenerative disease and therapy options. These herbal plants helps to protect neurons damage by various mechanism such as oxidative stress, excitotoxicity, inflammation, apoptotic, Neurotrophic. The goal of these substances or systems is to maintain the nervous system's composition and functionality [6].
Overview of neurodegenerative disease:
1] Epilepsy disease:
A chronic neurological disorder called epilepsy is characterized by frequent, unplanned seizures that are caused by abnormal brain electrical activity. affecting more than 70 million individuals globally [7,8]. The hallmark of epilepsy is a persistent propensity to experience epileptic seizures, which can lead to subsequent neurologic, cognitive, psychosocial, and social repercussions [9].
2] Huntington’s disease:
Oxidative stress and the death of basal ganglia neurons are hallmarks of Huntington's disease, a progressive neurodegenerative illness. It is a hereditary autosomal dominant syndrome linked to dementia, emotional instability, and muscle dysfunction. Lack of focus, sadness, short-term memory loss, and issues with speech, language, and movement are all included [10].
3] Amyotrophic lateral sclerosis disease:
The most basic form of motor neuron disease, also referred to as amyotrophic lateral sclerosis (ALS), is a clinical condition that is simple to identify. Muscle weakness and atrophy in the arms, legs, trunk, and bulbar area are caused by a rapidly progressing degeneration of upper and lower motor neurons. Additionally, there is spasticity in the bulbar, arm, and leg areas. Breathlessness, difficulty speaking and eating, loss of arm and hand function, and loss of ambulation are examples of clinical symptoms. Respiratory insufficiency and aspiration pneumonia are frequent fatalities. Symptoms and signs typically begin at one location and spread to adjacent areas, frequently resulting in mortality within three to five years of the commencement of symptoms [11].
4] Myasthenia gravis disease:
Myasthenia gravis (MG) is a chronic autoimmune illness that damages the nerve-muscle connection [12]. MG, a classic autoimmune disease, has been linked to several types of autoantibodies (abs) against certain neuromuscular endplate proteins. MG can be classified as seronegative if no antibodies against the nicotinergic acetylcholine receptor (AChR), muscle tyrosine kinase (MuSK), or low density lipoprotein receptor type 4 (LRP4) are found using the methods now in use, and seropositive if such antibodies are found. Agrin, cortactin, collQ, acetylcholinesterase (AChE), Kv1.4, titin, and ryanodine receptor antibodies are among the various muscle antibodies that may be found in some MG patients; however, their pathophysiological significance has not yet been established.7–9 While abs directed against MuSK or LRP4 are detectable in around 6% and 2% of generalized MG patients alone, depending on demographic variance, abs against the nicotinergic type of AChR are present in up to 80% of patients with generalized MG[13].
5] Parkinsons disease:
More than 6.5 million people worldwide suffer from Parkinson's disease (PD), the most prevalent movement condition and the second most common neurodegenerative illness, accounting for 2-3% of the population over 65 [14]. Parkinson's disease (PD) is a progressive neurodegenerative disorder that primarily affects movement control. It occurs when nerve cells in the brain, particularly those in a region called the substantia nigra, become damaged or die. These nerve cells produce dopamine, a neurotransmitter that is essential for coordinating smooth and controlled movements. As dopamine levels decrease, people with Parkinson's disease experience a range of motor and non-motor symptoms. Motor deficits such as muscle rigidity, bradykinesia, rest tremor, loss of postural reflexes, freezing phenomenon, and flexed posture are hallmarks of Parkinson's disease (PD), a clinical condition. There have been reports of non-motor symptoms such dementia, sleep difficulties, anxiety, sadness, and exhaustion in addition to motor deficits [15,16,17].
6] Alzheimer’s disease:
Alzheimer's disease (AD), the most common type of dementia, affects at least 27 million individuals and is responsible for 60–70% of dementia cases[18]. Cognitive decline, personality changes, and memory issues or deficiencies are progressive and irreversible. Memory problems initially arise in the early stages of the illness, and as it worsens, motor and sensory function are also impacted. AD starts to show symptoms beyond the age of 65[19,20,21]. The development and accumulation of extracellular amyloid plaques from amyloid ? precursor protein (APP) and intracellular neurofibrillary tangles (NFTs) with an aberrantly phosphorylated tau protein are the neuropathological hallmarks of AD. These are accompanied by the loss of synapses and pyramidal neurons, resulting in severe cognitive decline and behavioral issues such as aggression, depression, and wandering. Tau is a protein involved with microtubules in neurons that is controlled by the phosphorylation of several protein kinases [22]. The main enzyme responsible for acetylcholine synthesis is choline acetyltransferase (ChAT). It has been shown that notable neocortical deficiencies in ChAT lead to reduced choline absorption, Ach release, and loss of cholinergic perikarya from the nucleus basalis of Meynert. Additionally, it impacts Ach functions like Learning and memory. This led to the "cholinergic hypothesis of AD"[24].
Herbal plants used against nervous disorder:
1] curcuma longa –
Kingdom: Plantae
Phylum: Magnoliophyta
Class: Liliopsida
Order: Zingiberales
Family: Zingiberaceae
Genus: Curcuma
Species: Curcuma longa
Turmeric, also called Curcuma longa (C. longa), is a belong to the Zingiberaceae family and is widely grown in Asia [24]. The primary components of turmeric include tigmastero, ketone, sesquiterpene alcohol, and curcuminoids, or curcumin. ? and ?-pinene, camphene, limonene, terpinene, linalool, curcumene,tigmasterol, and others are also found in turmeric[25].Curcumin has a number of biological and therapeutic properties, including anti-inflammatory and antioxidant properties. In recent years, there has been a lot of interest in curcumin’s potential as a treatment for neurodegenerative illnesses. Dopamine, norepinephrine, and 5-HT levels in the central nervous system can all be increased by the water-soluble extract of curcumin[26]. The neuroprotective effects of curcumin in PD also are related to its antioxidant properties[27]. Turmeric has been shown to bind A? peptides in Alzheimer’s disease, inhibit the formation of new amyloid deposits, and cause the disintegration of preexisting amyloid deposits. [28]. In addition, studies shows that curcumin and its derivatives demethoxycurcumin and bis-demethoxycurcumin may protect cells from oxidative stress induced on by A? [29]. Curcumin can improve A? uptake by macrophages, prevent A? oligomerization and fibril formation, and stop the beta-heme complex’s peroxidase activity [30]. Turmeric contains polyphenol chemicals called curcuminoids, which reduce oxidative stress and inflammatory reactions to inflammatory cytokines like COX-2 and iNOS caused by mitochondrial dysfunction. In order to prevent amyloid buildup and coagulation in the brain, curcuminoids also attach to A? plaques [31, 32].
2] Lavandula angustifolia-
Kingdom: Plantae
Phylum: Magnoliophyta
Class: Magnoliopsida
Order: Lamiales
Family: Lamiaceae
Genus: Lavandula
Species: L. angustifolia
Researches reveal that Lavandula angustifolia can put down and glutamate-induced neurotoxicity by inhibition cholinesterase [33]. Lavandula angustifolia extract has been shown to help with cognitive impairment [34].It contains tannins, coumaric acid, glycolic acid, valeric acid, ursoilic acid, anthocyanin, sugars, minerals, and essential oil. Decrease the glutamate induced neurotoxicity by inhibiting cholinesterase, so it helps in prevention of cognitive dysfunction and provide neuroprotection. Lavender oil has reported to possess anti-apoptotic properties that could help prevent cell death and protect the neurons affected in Huntington’s disease [35,36].
The mechanisms of action of lavender are complex and involve several biological systems, primarily related to its effects on the central nervous system, inflammation, and its antimicrobial properties. The primary mechanisms through which lavender exerts its effects are :
2. Anti-inflammatory and antioxidant properties
3. Neuroprotective Effects
Decrease in Excitotoxicity: Research has shown that lavender oil has neuroprotective properties, especially when it comes to oxidative stress and excitotoxicity-related disorders. Its anti-inflammatory and antioxidant qualities, which are useful in protecting neurons from harm and degeneration, are primarily responsible for this. [38] .
3] Rosmarinus officinalis-
Kingdom: Plantae
Phylum: Magnoliophyta
Class: Magnoliopsida
Order: Lamiales
Family: Lamiaceae
Genus: Rosmarinus
Species: Rosmarinus officinalis
Rosmarinus officinalis, Often referred to as rosemary, this perennial shrub is evergreen. Belonging to the Lamiaceae family [39]. In traditional medicine, rosemary has been used to treat a number of illnesses, such as headache, dysmenorrhea, stomachache, epilepsy, rheumatic pain, spasms, nervous agitation, memory enhancement, hysteria, sadness, and physical and mental exhaustion[40,41].In the brain that breaks down acetylcholinesterase (AchE) and butyrylcholinesterase (BchE), Rosmarinus officinalis has shown strong neuroprotective effects against neurodegenerative illnesses like Alzheimer’s. The terpene and rosemarinic acid constituents in the plant’s essential oil are probably what cause these anti-AchE and anti-BchE effects[42,43]. Rosemary may reduce Alzheimer’s disease, memory loss, anxiety, and sadness by raising the brain’s total choline levels[44]. Two other research demonstrate R. officinalis’s neuroprotective properties. In the first, it was discovered that the polyphenols in rosemary extract block stress proteins, which are involved in the neurodegenerative process[45]. According to the findings of the second study, rosemary stimulates the synthesis of a protein called nerve growth factor (NGF), which is essential for the development and upkeep of nerve tissue. Alzheimer's disease, dementia, and other neurodegenerative illnesses can be lessened by elevated NGF levels [46].
The pharmacological actions of rosemary are given to its bioactive components, such as essential oils like camphor, 1,8-cineole, and ?-pinene, as well as rosmarinic acid, ursolic acid, and caffeic acid. The main ways that Rosmarinus officinalis produces its medicinal effects are given below:
1.Antioxidant Mechanism
2. Anti-inflammatory Mechanism
3. Neuroprotective Mechanism
4] Cardiospermum halicacabum-
Kingdom: Plantae
Phylum: Magnoliophyta
Class: Magnoliopsida
Order: Sapindalesjavascript
Family: Sapindaceae
Genus: Cardiospermum
Species: Cardiospermum halicacabum
Fig 4: Cardiospermum halicacabum
Cardiospermum halicacabum is a belong to the family Sapindaceae. This herbaceous plant is found in tropical and subtropical areas all over the world. The plains of Africa and America, as well as Bangladesh, India, and Pakistan, are home to this plant. Among its common names are balloon vine, heart vine, heart pea, love-in-a-puff, and heart seed.[50]. The essential chemical components extracted from this plant are 80 luteolin-7-O-glucuronide, chrysoeriol-7-Oglucuronide, apigenin, apigenin-7-O-glucuronide, and arachidic acid[51]. It show neuroprotective activity. A degenerative brain disorder called dementia causes an ever-increasing limitation of daily tasks. Memory issues, linguistic problems, psychological and mental abnormalities, and difficulty in daily tasks are its hallmarks. The methanolic extract of C. halicacabum may enhance memory and reverse amnesia brought on by scopolamine treatment. Additionally, it markedly reduced the activity of acetyl cholinesterase across the whole brain[52].
The neuroprotective effects of Cardiospermum halicacabum (C. halicacabum) are primarily attributed to its bioactive compounds, which exert various mechanisms of action to protect neurons and the central nervous system (CNS) from damage. Here’s a detailed overview of the potential mechanisms of action:
1.Antioxidant Mechanism
2. Anti-Inflammatory Action
3. Neurotrophic Activity
4.Modulation of Neurotransmitter Systems
5. Inhibition of Apoptotic Pathways
5] Careya arborea-
Kingdom: Plantae
Phylum: Tracheophyta
Class: Magnoliopsida
Order: Ericales
Family: Lecythidaceae
Genus: Careya
Species: arborea
The wild guava, or Careya arborea roxob, is a medium-sized deciduous tree with thin, peeling bark strips and a dark gray tint. It is widely accessible in Malaysia, the Philippines, Sri Lanka, and India. Big tropical trees with woody skins that produce big fruits are members of the Lecythidaceae family. There are roughly 20 genera and 450 species of tropical trees in this family. The family is primarily found in South America, with a few genera also found in Africa and Asia. It contains various chemical constituents such as alkaloids : careyarine , careyiene ,arboreine flavonoids: quercetin, kaempferol, gallic acid, ellagic acid ; phenolic acids: ferulic acid,cinnamic acid ,vanillic acid ; terpenoids : careyol, ?-Pinene, ?-Pinene, limonene .This plant is used for the trearment of various disorder such as tumors, bronchitis, epileptic episodes, and skin disorders. Additionally, it is used to treat ear pain, diarrhea, and dysentery with bloody stools. It also shows various pharmacological activities such as neuroprotective ,anti-microbial, antioxidant ,anticancer[58-60]. Effects of anticoagulants i.e. The bark’s methanolic extract significantly increased the active prothrombin and thrombin times and shown anticoagulant efficacy similar to that of warfarin [61]. The mechanism of this plants are linked with chemical constituents present in this plant which give pharmacological properties.
According to certain research, Careya arborea may have an impact on neurotransmitter levels, which are critical for mood management, cognitive function, and motor control. These neurotransmitters include serotonin and dopamine. Numerous neurological conditions, such as depression and Parkinson's disease, are linked to changes in neurotransmitter systems. The plant may protect the central nervous system by altering the balance of neurotransmitters.
Careya arborea may also have neuroprotective effects via enhancing synaptic plasticity, which is the capacity of synapses to become stronger or weaker over time, and promoting neurogenesis, which is the formation of new neurons. Memory, learning, and general brain function may all be enhanced by this, particularly in diseases that cause cognitive decline. [62].
6] Withania somnifera-
Kingdom: Plantae
Phylum: Angiospermophyta
Class: Magnoliopsida (Dicotyledons)
Order: Solanales
Family: Solanaceae
Genus: Withania
Species : Withania somnifera
Ashwagandha is a belong to the Solanaceae family. Ashwagandha is also known as winter cherry, poison gooseberry, and Indian ginseng. In India's central and northwestern regions, ashwagandha is grown. The states that produce the most ashwagandha in India include Madhya Pradesh, Gujarat, Haryana, Maharashtra, Punjab, Rajasthan, and Uttar Pradesh. Yemen, China, and Nepal are also home to it. Ashwagandha may improve neurogenesis and memory and contains adaptogenic qualities that lower stress and anxiety. It also exhibits promise in preventing oxidative damage to neurons and regulating neuroinflammatory pathways[63]. The chemical components that are biologically active are saponins with an extra acyl group (sitoindoside VII and VIII), steroidal lactones (withanolides, withaferins), alkaloids (isopellertierine, anferine), and withanoloides with a glucose at carbon 27 (sitoindoside XI and X). Iron is also rich in Withania somnifera[64].One herbal remedy that has neuroprotective properties is Withania somnifera. The chemical molecule Withanoside IV is responsible for the health benefit. It has been shown that in rats induced with Ab (25–35), oral administration of Withanoside IV reduced axonal, dendritic, and synaptic loss as well as memory impairments. Following injection, withanoside IV is converted to sominone, which promotes neurite and synaptic repair. Rat cortical neurons were cultivated with Ab (25–35) for four days in an in vitro investigation. Sominone and withanoside were then added to the medium. Axons and dendrites were found to have significantly increased. A hydrophobic substance, sominone easily penetrates the blood-brain barrier [65]. Ashwagandha extract has been demonstrated to raise antioxidant activity and inhibit lipid peroxidation by raising the brain's levels of free-radical scavenging enzymes. Other components extracted from the aqueous methanol extract of Withania somnifera roots, including withaferin and sitoindosides VII–X, have been shown to reduce AChE activity in the brain [66].
Numerous studies have suggested that Withania somnifera may have neuroprotective properties that could help shield the brain from neurodegenerative conditions like Parkinson's disease, Alzheimer's disease, and stress-induced cognitive loss. Below are some of the proposed neuroprotective mechanisms of Withania somnifera:
1. Antioxidant Activity:
2. Anti-inflammatory Effects:
3. Neurogenesis and Synaptic Plasticity:
4. Reduction of Amyloid Plaques and Tau Tangles:
Marketed Herbal Formulations of Neurological Disease:
Herb |
Disease |
Mechanism |
Herbal Formulation |
Ashwagandha (Withania somnifera) |
Alzheimer’s Disease |
anti-inflammatory, antioxidant, inhibits the production of A?, and stops brain cell death [71,72] |
1.NeuroShield (by NOW Foods) 2. Brain Shield (by Jarrow Formulas) 3.Ashwagandha Neuro Protect (by Source Naturals) 4. Cognitive Support (by Gaia Herbs) 5. Neuro Optimize (by Double Wood Supplements) |
Ginkgo biloba |
Alzheimer’s Disease |
antioxidant, enhances mitochondrial performance, and increases blood flow to the brain [73,74] |
1.Ginkgo Smart (by NOW Foods) 2.Ginkgo Biloba Extract (Nature's Bounty |
Saffron (Crocus sativus) |
Alzheimer’s Disease |
anti-amyloidogenic, anti-inflammatory, antidepressant, immunomodulation, neuroprotection [75,76] |
1. Nature's Bounty Saffron 100mg tablet 2. NOW Foods Saffron 50mg tablet 3. Natrol Saffron 50mg Softgels |
Zingiber officinale |
Epilepsy |
Inhibits NO production Elevated intracellular cGMP level Block calcium channel [77,78] |
1. NOW Foods Ginger 550mg tablet 2. Jarrow Formulas Ginger 500mg tablet |
Turmeric (Curcuma longa) |
Alzheimer’s Disease |
anti-inflammatory, antibacterial, reduces the death of brain cells, and prevents the production of A? [79,80] |
1. Solgar Curcumin 500mg tablet 2. Gaia Herbs Turmeric Supreme 400mg tablet |
Ginseng |
Epilepsy |
blocks L-type Ca2+ channels, NMDA-dependent Ca2+ influx, and status epilepticus-induced Ca2+ influx, as well as hippocampal neurons. [81,82,83] |
1. Herb Pharm Ginseng Liquid Extract 2. Solgar Ginseng 400mg tablet
|
Shankhpushpi (Convolvulus pluricaulis) |
Alzheimer’s Disease |
enhances cognitive performance, reduces aging in the brain, and has anti-inflammatory and antioxidant properties[84,85] |
1. Himalaya Shankhpushpi Tablets (500mg 2. Organic India Shankhpushpi Powder (100g) |
Cat’s claw (Uncaria tomentosa) |
Alzheimer’s Disease |
decreases gliosis, prevents plaque and tangles, and enhances memory [86,87,88] |
1. NOW Foods Cat's Claw 2. Gaia Herbs Cat's Claw |
CONCLOSION
The increasing prevalence of neurodegenerative diseases necessitates innovative and effective treatment approaches. Traditional herbal medicine offers promising neuroprotective potential, demonstrated through various bioactive compounds found in plants such as Curcuma longa, Lavandula angustifolia, Rosmarinus officinalis, Cardiospermum halicacabum, Careya arborea, and Withania somnifera. These herbs have strong anti-inflammatory, anti-apoptotic, and antioxidant qualities that help reduce oxidative stress and neuroinflammation while also preventing cognitive decline. While further research is needed to fully elucidate the mechanisms and optimize the clinical applications, current evidence suggests that incorporating these herbal remedies could support conventional therapies, offering a complementary strategy for managing neurodegenerative diseases. Future studies should focus on the standardization of herbal extracts, dosage optimization, and comprehensive clinical trials to validate their efficacy and safety.
REFERENCES
Shravani Dhanve*, Dipali Patil, Tanvi Bhosale, Mayuri Bhadalekar, Nilesh Chougule, Review: Neuroprotective Effect of Herbal Extract, Int. J. of Pharm. Sci., 2024, Vol 2, Issue 12, 604-620. https://doi.org/10.5281/zenodo.14280170