Commentary
India can be regarded as an agricultural country where 46% of its land is utilized for farming [1]. Since ancient times, plants have been utilized for their edible properties and for medicinal and therapeutic purposes. The ancient medicinal science Ayurveda strongly recommends the use of natural ingredients in the form of food to remain healthy and also to cure various ailments. No medicine is considered better than food, and what a person eats is not a medicine but a Mahabhaishya (equivalent to life). The food has a direct impact on the mind and body of a person, and purity of the mind depends on Sattvik (light and healthy) diet [2]. Even today majority of the Indian population is vegetarian in diet, eating only vegetables, fruits, cereals, grains, dairy products, etc. In an estimate, approximately 800 varieties of wild plant species are consumed in India for various uses, including the preparation of food cuisines [3]. However, many of the plant species in India are not of Indian origin and have been introduced and cultivated from other parts of the world through foreign settlers. Acorus calamus L., is used as a flavoring agent in Indian cuisines in the name of calamus or sweet flag. This plant is native to Kazakhstan and was introduced in India [4]. It is also widely used in mental ailments such as memory disorders, learning performance, and epilepsy, in the Indian system of medicine [5]. Fenugreek (Trigonella foenum-graecum) is native to Afghanistan, Iran, Iraq and Pakistan of today and is widely used as a spice and condiment in the preparation of Indian vegetables. It is also medicinally acclaimed for its health-promoting effects in traditional Chinese medicine and Indian Ayurveda [6]. Many more examples of this type can be traced out easily. There are many more examples of such plants brought to India centuries ago, like strawberry, tea, pistachio, potato, tomato, etc., and today they form an intricate part of Indian cuisines and the medicinal system. In a recent research, it was found that the plants commonly used as vegetables in India are also used medicinally for various diseases. Approximately 156 plants used as vegetables are also used medicinally. Seventy-one species from them were not of Indian origin but widely acclaimed for edible and medicinal purposes. These edible plants are also used for the treatment of neurological disorders, including Alzheimer disease, Parkinson's disease, headache, migraine, depression, insomnia, etc. (Table 1).
|
S. No |
Scientific name |
Common name |
Edible part |
Used in |
Medicinal part |
|
1 |
Bacopa monnieri |
Brahmi |
Leaf |
Memory disorder |
Leaf |
|
2 |
Benincasa hispida (Thunb.) Cogn |
Ash gourd, winter melon |
Leaf, fruit |
Insanity, schizophrenia and other psychological and mental disorders |
Fruit |
|
3 |
Celastrus paniculatus Willd. |
Jyotimati |
Leaf, root bark, seed oil |
Depression |
Leaf |
|
4 |
Cleome gyandra L. |
African spider powder, Tilaparnika |
Leaf |
Epilepsy |
Leaf, seed |
|
5 |
Centella asiatica |
Gotu katu |
Leaf |
Anxiolytic agent |
Leaf |
|
6 |
Colocasia esculenta (L.) Schott) |
Taro, arbi |
Tuber, leaf |
Neurological disorders |
Leaf, tuber |
|
7 |
Cucurbita maxima Duchesne |
Kumhada, Winter squash |
Fruits, seed |
Migraine, nervous debility |
Fruit, tender shoot, flower |
|
8 |
Cucurbita pepo L. |
Pumpkin |
Tender fruit |
Headache, fatigue, neuralgia |
Tender fruit |
|
9 |
Diplazium esculentum (Retz.) Sw. |
Fiddlehead greens |
Tender fruit |
Headache, |
Tender fruit |
|
10 |
Eruca vesicaria (L.) Cav. |
Rocket |
Leaf |
Neurodegenerative disease |
Leaf |
|
11 |
Ipomoea aquatica Forssk. |
Water spinach |
Leaf, tender shoot |
Mental illness, central nervous system depression |
Leaf, tender shoot |
|
12 |
Lagenaria siceraria (Molina) Standl. |
Bottle gourd, Lauki, Tumbi, Katutumbi |
Leaf, fruit, seed |
Headache, migraine |
Fruit, seed |
|
13 |
Lavandula angustifolia Mill. |
Lavender |
Leaf, oil |
Insanity |
Bud, shoot, leaf |
|
14 |
Luffa acutangula (L.) Roxb. |
Kosataki,Torai, Ridge gourd |
Root, leaf, seed, fruit |
Headache |
Fruit |
|
15 |
Marsilea minuta L. |
Sunisanaka, Water clover |
Leaf |
Insomnia, mental disorders |
Leaf |
|
16 |
Merremia emarginata (Burm.f.) Hallier f. |
Akhukarni, Musakarni |
Plant |
Headache |
Leaf |
|
17 |
Mucuna pruriens (L.) DC. |
Drumstick, Moringa |
Seed |
Parkinson's disease, nervous disorder |
Seed |
|
18 |
Murraya koenigii |
Curry patta |
Leaf |
Amnesia, memory disorder |
Leaf |
|
19 |
Nelumbo nucifera Gaertn. |
Sac red water lotus |
Buds, flower, anthers, stamens, fruits, leaf, stalks, rhizomes, roots |
Depression, insomnia |
Rhizome |
|
20 |
Oxalis corniculata L. |
Creeping wood sorel |
Whole plant, leaf |
Insomnia |
Shoot |
|
21 |
Pastinaca sativa L. |
Parsnip |
Leaf |
Headache |
Leaf |
|
22 |
Perilla frutescens (L.) Britton |
|
Leaf, seed |
Depression related disease, anxiety |
Tender shoot |
|
23 |
Sida cordifolia L. |
Bala, country mellow |
Root, seed, leaf |
Headache, nervous diseases |
Leaf, young fruit |
|
24 |
Trichosanthes cucumerina L. |
Kuloka, Snake gourd |
Aerial parts root, fruit |
Headache |
Fruit, root |
Some of those plants have been used for medicinal purposes in other traditional medicinal systems of the world [7]. Amaranthus is widely used as a green leafy vegetable and is used in Nepal and China as traditional medicine [8]. Ipomoea aquatic Forrsk., leaves are used to prepare vegetables in India and for mental illness in Tanzania and intestinal problems in Somalia [9]. The plants like Ginko biloba, Curcuma longa, Salvia officinalis and many others are used against neurological problems and are used for edible purposes in many types of preparations. The seeds of Ginkgo biloba are first steamed to open the hard outer shell; kernels are removed and boiled in water and sugar to make a sweet soup. They are also roasted and eaten dry. However, precautions must be taken not to consume excessively, as they contain certain toxic substances which are eliminated after boiling [10]. The rhizomes of Curcuma longa are first steamed and then dried. These may even be boiled first and then dried. The dried rhizomes are powdered and then used in food preparations. This powder form is widely used for its characteristic color in food. It can be used to prepare tea or as a spice in curries, smoked foods, pickles, and some cakes. Not only in India, but also in many other countries, it is used for culinary purposes. In Anatolia (Turkey) it is used in a dessert called zerde (saffron rice dessert, served at weddings) for its color. The essential oil of Salvia officinalis is used in food preservation. It is also used as a spice, providing a specific aroma and promoting the digestion of food, so widely used in the preparation of meat and poultry dishes. It is also used as a flavoring agent in the perfume and cosmetic industries. The plants are grazed by bees that produce honey with a characteristic aroma and high medical value [11]. Flowers of some plants, such as alliums (leeks, chives, garlic), thyme (Thymus vulgaris), summer savory (Satureja hortensis), marjoram (Origanum majorana), mint (Mentha spp.) and common sage (Salvia officinalis), are used to improve the flavor of dishes as well as to treat various neurological problems, including headache [12]. Glycyrhiza glabra is used for the production of liquorice honey, in various baked goods, alcoholic beverages, nonalcoholic beverages, chewing gum, candy, and as seasonings to add fragrance to food [13]. However, the exact curative mechanism for all the vegetable plants is very little known, and there is a need to trace and elucidate the exact mechanism behind their preventive and curative effects. The plant species used are either in raw form in salads, pickles, etc., or in cooked form as vegetables, fritters, or jams. Some of the species are used as spices and condiments added to various dishes to increase the flavor and aroma of the dish [7].
Neurodegenerative Diseases in Ayurveda
In Ayurveda, the description of degenerative disease has been mentioned, which mainly arises due to an imbalance of vata (humour of air and space) in the body and is commonly known as VataVyadhi. The imbalance of vata in the brain brings dryness in the tissues of the brain due to lack of proper nourishment, which can be due to physical or emotional factors or even both. The imbalance can also occur in any other part of the body [1]. The extent of these imbalances varies in each person and differs from one individual to another. Thus, emphasis is laid on the nourishment of the brain through preventive and responsive measures. Hence, the correction of the imbalance in body and mind can be achieved through a change of dietary habits, the use of herbo-mineral formulations, and lifestyle changes. The use of numerous plants has been mentioned in classical texts of Ayurveda, which provide therapeutic benefits for the treatment of neurodegenerative diseases. All these substances act on the principles of homologous (samanya) and antagonistic (visesha) action. The substances which possess samanya properties and actions help to increase relevant constitution or elemental properties in the body, and those having visesha action decrease those constituents or properties. In case of doshas (imbalance), the rational use of these naturally available substances helps to restore the balance in the mind and body, thereby curing the disease [14]. The plants rich in antioxidants help to limit neuronal dysfunction and help to maintain the integrity of cellular interaction in the brain, thereby maintaining neural stability and neural functions and thus play an important role as a therapeutic agent for neuroprotection. Even the practice of asana and yogic postures (physical and mental exercise), panchkarma therapies (bio-purification procedures), helps in the successful treatment of neurodegenerative disease [15]. In Ayurveda, the use of plants like Bacopa moneri (brahmi), Withamnia somnifera (ashwgandha), Centella asiatica (gotu kola), and Mucuna pruriens (velvet bean), is given for various neurological disorders.
Pathogenesis of Neurodegenerative Diseases
In scientific terminology of today, neurodegenerative disorders or diseases are characterized by progressive loss of neurons, thereby altering physicochemical properties of brain and in peripheral organs. The common neurodegenerative diseases Parkinson's and Alzheimer's were described more than 100 years ago and remain incurable due to an unclear understanding of its pathogenesis and exact mechanisms applicable for their cure. In an estimate, the patients with symptoms and signs of Parkinson's disease were estimated to be approximately 10 million globally, making up 0.3% of the total population of the world, and 1% were found to be more than 60 years in age [16]. Although in the past few years scientific research has led to elucidate the possible role played by various genes, trace mechanisms of neurodegeneration, along with some ways of neuronal protection [17,18]. The deposition of proteins in neurons is considered to be the molecular basis of neurodegenerative diseases. The proteins commonly involved in pathogenesis are prion protein, tau, amyloid, neuroserpin, ferritin, fused –in sarcoma protein, cerebral amyloidosis, etc. [19]. The common features in the mechanism of neurodegeneration are mitochondrial dysfunction and oxidative stress. Mitochondria are an organelle commonly called the power house of the cell, involved in energy production. It is considered to be a major reactive oxygen species producer and is also a vulnerable target of oxidative stress [20–22]. Oxidative stress is the result of an imbalance in the pro-oxidant /antioxidant homeostasis, which leads to the generation of toxic reactive oxygen species (ROS) and is thus tightly regulated in the body. These ROS are generated by the interaction of oxygen with redox-active metal ions and play a normal metabolic role in cell signaling. The extensive oxidative damage to proteins, lipids and DNA can lead to cell death by numerous mechanisms. Lipid peroxidation is regarded as one of the features of oxidative stress and is a hallmark of Parkinson's disease, Alzheimer’s disease and other neurological conditions. It is thus also involved in cell death mechanisms resulting in the pathogenesis of neurodegenerative disorders [20,21,23]. In many studies, the role of mitochondria and lipid peroxidation in the mechanism of neuronal loss and analysis of therapeutic mechanisms for its prevention have been studied [20]. The drugs targeting mitochondria can be those compensating for energy deficit involved in neurodegeneration or neuroprotectors helping to increase the resistance of mitochondria to open the MPT (mitochondrial permeability transition) pores. However, it is suggestive that these drugs developed should be combined with those targets providing cognitive stimulating, neuroprotective effects and possess the ability to affect specific diseases forming mechanism. Although the examples of such approaches are greatly influenced and affected by the level of preclinical and clinical trials [21]. There had also been development of therapeutic strategies which are meant to slow down or halt the progression of these diseases to a great extent [24].
Preventive and Management Action by Using Plants
The management of neurodegenerative diseases has become a worldwide challenge and as such, no specific therapy or complete cure has been found. Therefore, the strategies which help in prevention of these degenerative disorders are of utmost importance. The intake of plants in various culinary forms daily can help to prevent the progression of neurodegenerative disorders to some extent. The various scientific studies also highlight the probable specific mechanism responsible for the prevention and treatment of neurological disorders. In Table 2, the use of a few plant species for various neurological problems has been given along with their native range of origin. These species have been widely studied for their pharmacological actions responsible for their curative and preventive actions. Glycyrhiza glabra is widely used in the preparation of various delicacies in India. Since ancient times, it has also been used medicinally. In research it has been found that it presents excellent neuroprotective activity. The active component glycyrrhetinic acid inhibited apoptosis by decreasing the level of mitochondrial Bax/Bcl-2 protein and activating PI3K/Akt pathways [25]. In a study, it was found that liquiritin upregulated the expression of functional glucose 6-phosphate dehydrogenase and antioxidants [26]. Dehydroglysperin–C reduced glutamate-mediated cytotoxicity and ROS generation in HT 22 cells [27]. The compound isoliquiritin exhibited antidepressant effects by increasing the level of serotonin and norepinephrine in the mouse hippocampus and cortex, thereby exhibiting antidepressant effects [28]. Liochalcone –B exhibited anti –Alzheimer activity by inhibiting aggregation of the amyloid beta protein by blocking salt bridge interaction at the C–terminus [29]. Withania somnifera (ashwagandha) is widely used in Ayurveda for its aphrodisiac, diuretics and adaptogenic properties. Its leaves, berries and roots are mainly used. It helps to normalize physiological functions, which are disturbed by chronic stress. It helps in the correction of imbalances in the neuroendocrine and immune systems. It is regarded as “rasayana”, an elixir that works, in a nonspecific, global fashion, to increase human health and longevity. The berries and roots are widely used for edible purposes. The fresh roots are boiled in milk to leach out undesirable constituents. The berries are sometimes used as a substitute to coagulate milk in cheese making [30,31]. In Parkinson's disease, a selective loss of dopaminergic neurons in substantia nigra par compacta (SNc) region of the brain occurs. The symptoms, such as stiffness, tremor, bradykinesia, and cramps, showed significant improvements after treatment with a polyherbal preparation containing ashwagandha [32], which is attributed mainly to its capacity to reduce oxidative stress. It was also found that the extract of ashwagandha helped to decrease lipid peroxidation, improve the reduced content of catecholamine, glutathione and many more, thereby indicating its possible role to counter oxidative stress [33].
|
Scientific name |
Family |
Common name |
Alzheimer disease and other neurological conditions |
Native range |
|
Acorus calamus L. |
Araceae |
Sweet flag |
Memory impairment, learning performance, behavior modification |
Kazakhstan |
|
Angelica archangelica L. |
Umbelliferae |
Dudhachoraa (Laghu Coraka) |
Alzheimer disease |
Greenland, Europe to West Siberia |
|
Bacopa monnieri (L.) Wettst. |
Plantaginaceae |
Brahmi |
Alzheimer disease |
Tropics & Subtropics |
|
Celastrus paniculatus Willd. |
Celastraceae |
Jyotismati |
Alzheimer disease |
Indian Subcontinent to Southern China and Indo-China |
|
Centella asiatica (L.) Urb. |
Apiaceae |
Gotu kola, Manduka Parni |
Alzheimer disease |
Caucasus, Tropical & Subtropical Old World to Eastern Australia and West Pacific |
|
Clitoria ternatea L. |
Fabaceae |
Aparajita |
Alzheimer disease |
Cape Verde, Tropical & Southern Africa, Arabian Peninsula |
|
Codonopsis pilosula (Franch.) Nannf. |
Campanulaceae |
Poor man’s ginseng |
Alzheimer disease |
Mongolia to Korea and China |
|
Collinsonia canadensis L. |
Lamiaceae |
Stone root |
Protect blood brain barrier |
Southern Ontario to North Central & Eastern U.S.A |
|
Commiphora wightii (Arn.) Bhandari |
Burseraceae |
Guggulu |
Improve memory |
Oman, Southern Pakistan to North west & Western India |
|
Convolvulus prostratus Forssk. Syn. Convolvulus pluricaulis Choisy |
Convolvulaceae |
Shankhapusphi |
Memory enhancer |
Cape Verde to North West India |
|
Coptis chinensis Franch. |
Ranunculaceae |
Chinese goldthread |
Alzheimer disease |
Central & East Central China |
|
Crocus sativus L. |
Iridaceae |
Saffron |
Alzheimer disease |
Cultigen from Greece |
|
Curcuma longa L. |
Zingiberaceae |
Turmeric |
Alzheimer disease |
Cultigen from Southwestern India |
|
Galanthus nivalis L. |
Amaryllidaceae |
Snow drop |
Anticholinesterase |
Pyrenees to Ukraine |
|
Ginkgo biloba L. |
Ginkgoaceae |
Fossil tree |
Alzheimer's disease & cognitive impairment |
China (Zhejiang) |
|
Glycyrrhiza glabra L. |
Fabaceae |
licorice |
Alzheimer disease |
Central Mediterranean to Mongolia and Pakistan |
|
Huperzia serrata (Thunb ex.Murray) Trevis |
Lycopodiaceae |
Toothed club moss |
Alzheimer's disease & memory enhancer |
Russian Far East to Northeast China and Japan, Hawaiian Islands, Mexico, Cuba to Hispaniola |
|
Hypericum veronense Schrank syn. Hypericum perforatum L. |
Hypericaceae |
Klamath weed |
Alzheimer’s disease |
Macaronesia, Central Europe, Mediterranean to SW. Sudan and W. Himalaya |
|
Lepidium meyenii Walp |
Brassicaceae |
Maca |
Improve memory |
Southern Peru to Northwest Argentina |
|
Magnolia officinalis Rehder & E.H.Wilson |
Magnoliaceae |
Talauma |
Neurosis, anxiety,stroke, dementia |
China |
|
Matricaria chamomilla L. syn. Matricaria recutita L. |
Asteraceae |
Chamomile |
Relieve anxiety, counteract insomnia, stimulate brain |
Macaronesia, Northern Africa, Temperate Eurasia to Indo-China |
|
Melissa officinalis L. |
Lamiaceae |
Lemon balm |
Alzheimer’s disease |
Mediterranean to Central Asia |
|
Panax ginseng C.A.Mey. |
Araliaceae |
Ginseng |
Alzheimer's disease & brain disorders |
Russian Far East to Korea |
|
Platycladus orientalis (L.) Franco syn. Biota orientalis L. |
Cupressaceae |
Biota |
Alzheimer’s disease |
Russian Far East to East Central China and Korea |
|
Piper latifolium L.f. syn. Piper methysticum Frost. |
Piperaceae |
False kava |
Alzheimer’s disease |
Santa Cruz Islands to the Pacific |
|
Polygala tenuifolia Willd. |
Polygalaceae |
Japanese senga |
Alzheimer’s disease |
Siberia to China and Korea |
|
Salvia rosmarinus Spenn. Syn. Rosmarinus officinalis |
Lamiaceae |
Rosemary |
Alzheimer’s disease |
Mediterranean region |
|
Salvia officinalis subsp. lavandulifolia (Vahl) Gams syn. Salvia lavandulaefolia Vahl. |
Lamiaceae |
Sage |
Alzheimer’s disease |
Central & East Spain |
|
Salvia officinalis L. |
Lamiaceae |
Sage |
Alzheimer’s disease |
Southwest Germany to Southern Europe |
|
Scutellaria baicalensis Georgi |
Lamiaceae |
Wogon |
Alzheimer’s disease |
Siberia to the Russian Far East and Vietnam |
|
Tetradium ruticarpum (A.Juss.) T.G.Hartley |
Rutaceae |
Evodia fruit
|
Alzheimer’s disease |
Himalaya to Central & Southern China and Indo-China, Taiwan |
|
Tinospora cordifolia (Willd.) Hook.f. & Thomson |
Menispermaceae |
Guduchi |
Memory enhancer |
Indian Subcontinent to Indo-China |
The ongoing research are focused on scientifically validating the traditionally used plants for Alzheimer’s and Parkinson's disease. The experiments have been conducted both in vivo and in vitro, along with clinical trials using the specific plant constituents as a drug target for this disease. The other few plants considered for these studies are Panax notoginseng, Dipascus asper Wall, Paeonia suffructiosa Andrews, Polygala tenuifolia Willd., Radix salvia (Dashen), Uncaria rhynophylla , Lycium barbarum, Cassia obtisufolia and many more, including the fungus Ganoderma lucidum. This list can become endless as each day the researchers combine ancient traditional knowledge and bring results useful to mankind, not only in the form of medicine but also as a food component. Today, the plants described in Ayurveda for neurological disorders are in huge demand for various types of food production. Mostly, these plants like Ashwagandha, brahmi, etc., are widely investigated for their phytochemicals, pharmacological evidence, and are consumed as functional food in the form of powder, capsules, etc., and even in the preparation of cookies, biscuits, flavored drinks so that the body can be enriched with their health benefits. Bacopa monnieri (brahmi) is classified as a Medhyarasayana, in Ayurveda, a drug used to improve memory and intellect (medhya) and was used as a brain tonic to enhance memory development, learning, and concentration, and to provide relief to patients with anxiety or epileptic disorders. Besides its medicinal attributes, this plant is gaining popularity as one of the main ingredients in various products such as biscuits, flavored breakfast, cereals, drinks, chavyanprash (medicated jam) and many more [34,35]. The neurodegenerative diseases like Alzheimer's and Parkinson's can be prevented and cured to a great extent by changes in dietary habits. The daily intake of certain plants rich in antioxidants and other phytochemicals, which help in preventing oxidative stress and mitochondrial dysfunction, will certainly help in these diseases. However, it is a matter of curiosity globally how these phytochemicals in plants work on the pathogenesis of a particular disease. The ongoing research in various fields like ethnobotany, molecular biology, pharmacology, protein chemistry and many others will probably one day give the precise answer to this question and help to understand our traditional ancient medicinal science, which widely uses natural ingredients to prevent and cure diseases, even like Alzheimer’s and Parkinson’s.
Acknowledgements
The authors are thankful to Swami Ramdev ji Maharaj for his continuous support and blessings.
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