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    American Journal of Neuroscience 3 (1): 17-24, 2012 ISSN1948-9900 2012 Science Publications

    Moringa Oleifera Leaves Extract Attenuates Male Sexual Dysfunction

    1,3Thawatchai Prabsattroo, 2,3Jintanaporn Wattanathorn,3 4 2 3 13, Sitthichai Iamsa-ard,, Supaporn Muchimapura and, Wipawee Thukhammee

    1Department of Physiology and Graduate School

    (Neuroscience Program), Faculty of Medicine,2Department of Physiology, Faculty of Medicine,3Intergrative Complementary Alternative Medicine

    Research and Development Group, 4Department of

    Anatomy, Faculty of Medicine, Khon Kaen University,Khon Kaen, Thailand

    Abstract: Problem statement: At present, the novel agent that is effective, cheap and easy to approach for treating

    male sexual dysfunction is required due to the current poor therapeutic efficacy. Though Moringa oleifera is

    reputed for aphrodisiac activity in traditional folklore, no scientific evidence is available. Therefore, we aimed to

    determine the effect ofM.oleifera leaves extract on male sexual behaviors in animal model of sexual dysfunction.

    Moreover, the possible underlying mechanisms were also investigated. Approach: Male Wistar rats, weighing

    200-250 g, had been orally given M.oleifera leaves extract at doses of 10, 50 and 250 mg kg -1 BW once daily at 30

    min before the exposure to 12-h immobilization stress for 14 days. They were assessed male sexual behaviors

    including mounting, intromission and ejaculation numbers and latencies after single administration and every 7

    days until the end of experiment. To further investigate the possible mechanisms of action, we also determined

    serum testosterone level of all rats at the end of experiment together with the determination of suppression effect of

    the plant extract on MAOB and PDE-5 activities. Results: The results showed that after single administration, rats

    subjected to M.oleifera extract at dose of 10 mg kg -1 BW significantly enhanced mounting number. When the

    treatment was prolonged to 7 days rats subjected to the low dose of extract showed the enhanced intromission

    number whereas rats subjected to high dose of extract showed the enhanced mounting number. Our data also

    showed no significant change in serum testosterone level. However, the extract could also suppress MAOB and

    PDE-5 activities. Taken all together, the extract could enhance male sexual desire and performance via the

    suppression of MAOB and PDE-5 activities. Conclusion: M.oleifera can be the potential sexual enhancer

    particularly for acute and short term application. However, further researches are necessary.

    Key words: Numerous health products, scientific evidence, sexual enhancer particularly, Erectile Dysfunction

    (ED), harvested during, room temperature

    INTRODUCTION

    Sexual dysfunction has been recognized as one of the

    important social and biological relationship in human life. This

    condition affects the sexual life of millions of men worldwide.

    The prevalence of male sexual dysfunction is increased as the

    age advanced (Wattanathorn etat., 2012; Moreira et al, 2006).

    Therefore, the sexual dysfunction is still increasing its

    prevalence and importance. Sexual dysfunction caused by

    various factors including stress. Despite the importance of

    sexual dysfunction, the therapeutic efficacy is still not in

    satisfaction level. The most well known drug used nowadays

    appears to target only at intromission phase, the main problem

    in Erectile Dysfunction (ED) which is the most commonly

    found sexual dysfunction. However, sexual dysfunction refers

    to a problem during any phase of the sexual response cycle.

    Therefore, the searching for new agent targeting at numerous

    phases of sexual response cycle which is more cheap has

    gained much concentration.

    Moringa oleifera Lam. or Drumstick tree, a plant in a

    family of Moringaceae, is widely cultivated in Thailand. Both

    leaves and fruit of this tree are edible. It is believed to be

    miracle herbs because it can be used not only as food but also

    as medicine which can cure

    Corresponding Author: Jintanaporn Wattanathorn, Department of Physiology, Faculty of Medicine and Integrative Complementary Alternative

    Medicine, Khon Kaen University, Khon Kaen 40002, Thailand

    17

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    Am J . Neuroscience 3 (1): 17-24, 2012numerous ailments. The leaves ofM.oleifera have been used as

    used as antiulcer, diuretic, anti-inflammatory and for wound

    healing (Kirtikar and Basu, 1935; Caceres etal., 1992; Udupa

    et al, 1994; Pal et a l , 1995). Moreover, it has been used to

    enhance male sexual functions including libido, improve

    sperm quality and anti-erectile dysfunction. Nowadays,

    numerous health products of M.oleifera are available in the

    market and claimed for the effect on male sexual functions as

    mentioned earlier, no scientific evidence was observed until

    now. Therefore, the current study aimed to determine the effect

    ofM.oleifera leaves extract on male sexual behaviors and the

    possible underlying mechanism in sexual dysfunction rats

    induced by stress.

    MATERIALS AND METHODS

    Plant material: The fresh Moringa oleifera Lam

    (Moringaceae) were harvested during November to December,

    2010 from the Khon Kaen province Thailand. The plant

    specimen was authenticated by Associate Professor Dr. Panee

    Sirisa-ard, Faculty of Pharmaceutical Sciences, Chiangmai

    University, Thailand. The voucher specimen was kept at

    Integrative Complementary Alternative Medicine Research

    and Development Group, Khon Kaen University, Khon Kaen,

    Thailand.

    Plant material preparation: The fresh leaves were

    immediately cleaned, than cut into small pieces and dried at the

    temperature less than 50C. The dried plant material was

    ground into fine coarse powder and extracted with 50%

    alcoholic. After that evaporation of solvent in rotary evaporator

    affords a crude extract of the soluble components and filtrate

    was lyophilized. The percent yield of extract was 17.49%. The

    extract contained total phenolic compounds at concentration of

    86.73-93.60.51 mg of GAE/g extract. The extracts were

    stored at -25C in a dark bottle until used. The crude extract

    was suspended in distilled water.

    Animals: Healthy male Wistar rats (200-250 g) were obtained

    from National Animal Center, Salaya, Nakorn Pathom and

    were housed in group of 6 per cage in standard metal cages at

    222C on 10:14 h light-dark cycle. All animals were given

    access to food and water ad labium The experiments were

    performed to minimize animal suffering in accordance with the

    internationally accepted principles for laboratory use and care

    of European Community (EEC directive of 1986;

    86/609/EEC).The experimental protocols were approved by

    the Institutional Animal Care and Use Committee.

    Stress procedure: The restraint stress was performed during

    the light cycle from 6.00 a.m. to 6.00 p.m. The restrainer was

    made of transparent perforated plastic tube, 20 cm long and 7

    cm in diameter. The rats were put into the restrainer, head first

    and once in, the tubes were closed with plexiglass lids. The

    animals fit tightly into the restrainers and it was not possible

    for them to turn around. None stressed control rats were at thesame time briefly handled and returned to their home cages.

    Evaluation of sexual behaviors: Male Wistar rats of proven

    fertility were randomly divided into 4 groups of 6 animals each

    as following; (1) Vehicle plus stress (2)- (4) M.oleifera plus

    stress. Rats in group 1 were administered with distilled water

    which used as vehicle for the plant extract then expose to the

    12 h-restraint stress whereas rats in group (2)-(4) were

    administered with the plant extract at doses of 10, 50 and 250

    mg kg-1 BW plus stress exposure as mentioned earlier.

    All substances treatments were administered 45 m prior

    to the 12 h-restraint stress exposure. The treatment and the

    stress-exposure were performed once daily and the sexual

    behaviors assessments were performed blindly. The animals

    were allowed to rest in order to refresh the animals 3 h after the

    removal from restraint cage and then they were assessed the

    sexual behaviors between 9.00 p.m. to 12.00 a.m. at roomtemperature 26-28C after single dose,1 and 2 weeks of

    treatment. In order to assess the sexual behaviors, estrous

    female rats were paired with male treated with single or

    repeated doses of extract. Female rats were induced to estrous

    by sequential administration of estradiol benzoate (Sigma, St.

    Louis, MO) at dose of 2 ^g kg-1 BW and progesterone (Sigma,

    St.Louis, MO) at dose of 500 ^g kg-1 BW were injected before

    the determination of copulatory behaviors via subcutaneous

    route 48 h and 6 h respectively. Sexual behaviors were

    monitored in a separate room for 3 h in a clear plastic box via

    blind observer 30 min at the start of first hour whereas the

    whole duration of observation (3h) was recorded by digital

    video recording. The assessed sexual parameters were

    including the following parameters:Mounting number: The number of mounts without

    intromission from the time of introduction of the female until

    ejaculation:

    Intromission number: The number of intromissions fromthe time of introduction of the female until ejaculation

    Mount latency: The time interval between theintroductions of the female to the first mount by the male

    Intromission latency: The interval from the time ofintroduction of the female to the first intromission by the

    male

    Ejaculation number: The number of ejaculation whichcharacterized by longer, deeper pelvic thrusting and slow

    dismount followed by a period of inactivity

    Ejaculation latency: The time interval between the firstintromission and ejaculation

    Determination of testosterone level: Separate groups of

    animals were used for the measurement of plasma testosterone

    level of rats subjected to 12-h immobilization stress. At the end

    of 14-day experimental period, the rat blood samples were

    collected and kept on ice and then centrifuged immediately at

    2000*g at 4C for 15 min. The obtained plasma was kept

    at-80C until analysis. Testosterone levels were measured

    using a commercially available radioimmunoassay (RIA) kit

    (TESTO-CT2, Cisbio International, France).

    Determination of monoamine oxidase type B inhibition:

    The inhibitory action of the plant extract on monoamine

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    Am J . Neuroscience 3 (1): 17-24, 2012oxidase type B was determined by incubating a series of

    concentrations of the test samples in the reaction mixture

    including rat brain homogenates. In brief, 2.75 mL Tris buffer

    (0.1 M, pH 7.4) and 100 ^L of 0.1 M benzylamine was mixed

    in quartz cuvette which was placed in double beam

    spectrophotometer and followed by the addition of 150 ^L

    solution of brain homogenate to initiate the enzymatic reaction.

    The change in absorbance was recorded at wavelength of 249.5

    nm for 5 min against the blank containing Tris buffer and

    5-hydroxytryptamine (Xu et al., 2005).

    Determination of Phosphodiesterase (PDE) activity:

    Testis was collected from healthy Wistar male rat in order to

    Determine Phosphodiesterase Enzyme (PDE) activity. The

    testis was washed with PBS and weighted before cut to small

    pieces. Then, it was homogenized with 5 volumes of lysate

    RIPA buffer. The testicular solution was centrifuged at

    14,000*g for 15 min at 4C and the supernatant was collected

    and used as PDE substrate. M.oleifera leaves extract at the

    various concentrations ranging from 2, 10, 100, 500, 2000 mg

    mL-1 were prepared together with the positive control sildenafil

    at dose of 10 mg mL-1. The standard curve was prepared from

    PDE (testicular lysate) at the various concentrations. The

    experiment was divide into 7 groups as following (1) control

    group (untreated group), (2-6) M.oleifera leaves extract treated

    groups at the various concentrations (2, 10, 100, 500, 2000 mg

    ml) and (7) positive control (10 mg mL-1 of sildenafil citrate).

    PDE-Glo Phosphodiesterase assays were performed in a

    white 96-well microplate. In brief, phosphodiesterase substrate

    or testicular lysate was incubated with cGMP. Then, PDE

    reaction solutions were added and incubated for 20 min at

    room temperature. The cGMP in the mixture then drives a

    kinase reaction leading to a reduction of ATP levels. Following

    the kinase reaction, an Kinase Glo reagent was added and

    reactions were mixed and incubated for 10 min at room

    temperature. Luminescence was measured using a SpectraMax

    L microplate luminometer (MSD AT (US) Inc). The

    luminescent signal produced is directly related to the amount of

    ATP remaining and correlates with phosphodiesterase activity.

    Statistic analysis: All data were expressed as meanSEM

    value. The significant differences among various groups were

    compared by ANOVA and followed by Duncan's test. The

    statistical difference was regarded at p

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    as mean SEM (n = 6 group )

    Fig. 2: Effect ofM.oleifera leaves extract (10, 50, 250 mg kg 1 BW) on mount number. Data were presented as mean SEM (n = 6

    group-1). * p

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    Fig. 6: Effect ofM.oleifera leaves extract (10, 50, 250 mg kg 1 BW) on ejaculation number. Data were presented as mean SEM (n

    = 6 group-1).

    Fig. 5:Effect ofM.oleifera leaves extract (10, 50, 250 mg kg 1 BW) on ejaculation latency. Data were presented as mean SEM (n

    = 6 group-1)

    Baseline Single dose Day 7 Day 14D Vehicle + stress n M.oleifera 10 mg kg"1 BW + stress

    M.oleifera 50 mg kgi BW + stress M.oleifera 250 mg kg i BW + stress

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    SEM (n = 6 group-1)

    Fig. 7: Effect ofM.oleifera leaves extract (0, 2, 10, 100, 500, 2000 g ml-1) and Sildenafil citrate (10 g mL-1) on phosphodiesterase

    (PDE) activity. Data were presented as mean SEM. a aa p

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    Effect of M.oleifera leaves extract on monoamine oxidase

    type B (MAOB) activity: The effect of M.oleifera leaves

    extract on MAOb activity was evaluated and the results wereshown in Fig. 8. Our data clearly revealed that the extract at

    concentration of 50,100, 250, 500 and 1000 mg mL-1 could

    significantly suppress MAOB activity (p-value

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    Project of Thailand, Office of the Higher Education

    Commission, through the Food and Functional Food Research

    Cluster of Khon Kaen University, Integrative Complementary

    Alternative Medicine Research and Development Group, Khon

    Kaen University. Moreover, we also would like to express our

    sincere thank to Associate Professor Bungorn Sripanidkulchai,

    Director of Center for Research and Development of Herbal

    Health Product, Khon Kaen University for her kindly

    management through Functional Food Cluster and Associate

    Professor Panee Sirisa-ard for her authentication.

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    A.R. Secrest and T.M. Smith, 2004. Restorative increases

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    963-972. PMID: 15477371 Udupa, S.L., A.L. Udupa and

    D.R. Kulkarni, 1994. Studies on anti-inflammatory and

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    Res. 21, 17-25 (2007)

    Published online 6 November 2006 in Wiley InterScience unci Juciivc

    (www.interscience.wiley.com) DOI: 10.1002/ptr.2023 0,1"

    http://www.interscience.wiley.com/http://www.interscience.wiley.com/http://www.interscience.wiley.com/http://www.interscience.wiley.com/
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    Copyright 2006 John Wiley & Sons, Ltd.

    REVIEWARTICLE

    Moringa oleifera: A Food Plant with MultipleMedicinal Uses

    Farooq Anwar1, Sajid Latif1, Muhammad Ashraf2 and Anwarul Hassan Gilani3*1Department of Chemistry, University of Agriculture, Faisalabad-38040, Pakistan 'Department of Botany, University of Agriculture, Faisalabad-38040,

    Pakistan3Department of Biological and Biomedical Sciences, Aga Khan University Medical College, Karachi-74800, Pakistan

    Mor inga oleiferaLam (Moringaceae) is a highly valued plant, distributed in many countries of the tropics and

    subtropics. It has an impressive range of medicinal uses with high nutritional value. Different parts of this plant contain

    a profile of important minerals, and are a good source of protein, vitamins, -carotene, amino acids and various

    phenolics. The Moringaplant provides a rich and rare combination of zeatin, quercetin, j3- sitosterol, caffeoylquinic acid

    and kaempferol. In addition to its compelling water purifying powers and high nutritional value, M. oleiferais very

    important for its medicinal value. Various parts of this plant such as the leaves, roots, seed, bark, fruit, flowers and

    immature pods act as cardiac and circulatory stimulants, possess antitumor, antipyretic, antiepileptic,

    antiinflammatory, antiulcer, antispasmodic, diuretic, antihypertensive, cholesterol lowering, antioxidant, antidiabetic,hepatoprotective, antibacterial and antifungal activities, and are being employed for the treatment of different ailments

    in the indigenous system of medicine, particularly in South Asia. This review focuses on the detailed phytochemical

    composition, medicinal uses, along with pharmacological properties of different parts of this multipurpose tree.

    Copyright 2006 John Wiley & Sons, Ltd.

    Keywords: Moringa oleifera; phytomedicine; food plant; medicinal uses; pharmacological properties; natural coagulant.

    INTRODUCTION

    Moringa oleifera Lam (syn. M. ptreygosperma Gaertn.) is one of

    the best known and most widely distributed and naturalized species

    of a monogeneric family Moringaceae (Nadkarni, 1976;

    Ramachandran et al., 1980). The tree ranges in height from 5 to 10

    m (Morton, 1991). It is found wild and cultivated throughout theplains, especially in hedges and in house yards, thrives best under

    the tropical insular climate, and is plentiful near the sandy beds of

    rivers and streams (The Wealth of India, 1962; Qaiser, 1973). It

    can grow well in the humid tropics or hot dry lands, can survive

    destitute soils, and is little affected by drought (Morton, 1991). It

    tolerates a wide range of rainfall with minimum annual rainfall

    requirements estimated at 250 mm and maximum at over 3000 mm

    and a pH of 5.0-9.0 (Palada and Changl, 2003).

    Moringa oleifera, native of the western and sub- Himalayan

    tracts, India, Pakistan, Asia Minor, Africa and Arabia (Somali et

    al., 1984; Mughal et al., 1999) is now distributed in the

    Philippines, Cambodia, Central America, North and South

    America and the Caribbean Islands (Morton, 1991). In some parts

    of the worldM. oleifera is referred to as the 'drumstick tree' or the'horse radish tree', whereas in others it is known as the

    * Correspondence to: Professor Anwarul Hassan Gilani, Department of

    Biological and Biomedical Sciences, Aga Khan University Medical College,

    Karachi-74800, Pakistan. E-mail:[email protected]

    kelor tree (Anwar and Bhanger, 2003). While in the Nile valley,

    the name of the tree is 'Shagara al Rauwaq', which means 'tree for

    purifying' (Von Maydell, 1986). In Pakistan, M. oleifera is locally

    known as 'Sohanjna' and is grown and cultivated all over the

    country (Qaiser, 1973; Anwaret al., 2005).

    Moringa oleifera is an important food commodity which has

    had enormous attention as the 'natural nutrition of the tropics'. The

    leaves, fruit, flowers and immature pods of this tree are used as ahighly nutritive vegetable in many countries, particularly in India,

    Pakistan, Philippines, Hawaii and many parts of Africa (D'souza

    and Kulkarni, 1993; Anwar and Bhanger, 2003; Anwar et al.,

    2005). Moringa leaves have been reported to be a rich source of

    -carotene, protein, vitamin C, calcium and potassium and act as a

    good source of natural antioxidants; and thus enhance the shelf-life

    of fat containing foods due to the presence of various types of

    antioxidant compounds such as ascorbic acid, flavo- noids,

    phenolics and carotenoids (Dillard and German, 2000; Siddhuraju

    and Becker, 2003). In the Philippines, it is known as 'mother's best

    friend' because of its utilization to increase woman's milk

    production and is sometimes prescribed for anemia (Estrella et al.,2000; Siddhuraju and Becker, 2003).

    A number of medicinal properties have been ascribed to various

    parts of this highly esteemed tree (Table 1). Almost all the parts of

    this plant: root, bark, gum, leaf, fruit (pods), flowers, seed and seed

    oil have been used for various ailments in the indigenous medicine

    of South Asia, including the treatment of inflammation and

    infectious diseases along with cardiovascular, gastrointestinal,

    hematological and hepatorenal disorders

    mailto:[email protected]:[email protected]:[email protected]:[email protected]
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    18 F. ANWARET AL.

    Copyright 2006 John Wiley & Sons, Ltd. Phytother. Res. 21, 17-25 (2DOI: 10.100

    Table 1. Some common medicinal uses of different parts ofMoringa oleiferaMedicinalUses

    Antilithic,rubefacient,vesicant,carminative,antifertility,anti-inflammatory,stimulantinparalyticafflictions;actasacardiac/circulatorytonic,usedasa

    laxative,abortifacient,treatingrheumatism,inflammations,articularpains,

    lowerbackorkidneypainandconstipation,

    Purgative,appliedaspoulticetosores,rubbedonthetemplesfor

    headaches,usedforpiles,fevers,sorethroat,bronchitis,eyeandear

    infections,scurvyandcatarrh;leafjuiceisbelievedtocontrolglucose

    levels,appliedtoreduceglandularswelling

    Rubefacient,vesicantandusedtocureeyediseasesandforthetreatment

    ofdeliriouspatients,preventenlargementofthespleenandformationof

    tuberculousglandsoftheneck,todestroytumorsandtohealulcers.The

    juicefromtherootbarkisputintoearstorelieveearachesandalsoplaced

    inatoothcavityasapainkiller,andhasanti-tubercularactivity

    Usedfordentalcaries,andisastringentandrubefacient;Gum,mixedwith

    sesameoil,isusedtorelieveheadaches,fevers,intestinalcomplaints,

    dysentery,asthmaandsometimesusedasanabortifacient,andtotreat

    syphilisandrheumatism

    Highmedicinalvalueasastimulant,aphrodisiac,abortifacient,cholagogue;

    usedtocureinflammations,musclediseases,hysteria,tumors,and

    enlargementofthespleen;lowertheserumcholesterol,phospholipid,

    triglyceride,VLDL,LDLcholesteroltophospholipidratioandatherogenic

    index;decreaselipidprofileofliver,heartandaortain

    hypercholesterolaemicrabbitsandincreasedtheexcretionoffaecal

    cholesterol

    Seedextractexertsitsprotectiveeffectbydecreasingliverlipidperoxides,

    antihypertensivecompoundsthiocarbamateandisothiocyanateglycosids

    havebeenisolatedfromtheacetatephaseoftheethanolicextractof

    Mo r i nga pods

    (The Wealth of India, 1962; Singh and Kumar, 1999; Morimitsu et

    al., 2000; Siddhuraju and Becker, 2003).

    The seeds ofMoringa are considered to be antipyretic, acrid,

    bitter (Oliveira et al., 1999) and reported to show antimicrobial

    activity (The Wealth of India, 1962). The seed can be consumed

    fresh as peas; or pounded, roasted, or pressed into sweet,

    non-desiccating oil, commercially known as 'Ben oil' of high

    quality. The unique property is the ability of its dry, crushed seed

    and seed press cake, which contain polypeptides, to serve as natu-

    ral coagulants for water treatment (Ndabigengesere and Narasiah,

    1998).

    So far no comprehensive review has been compiled from the

    literature encompassing the efficacy of this plant in all dimensions.Its versatile utility as a medicine, functional food, nutraceutical and

    water purifying potential motivated us to bridge the information

    gap in this area, and to write a comprehensive review on the

    medicinal, phytochemical and pharmacological attributes of this

    plant of high economic value.

    PHYTOCHEMISTRY

    Moringa oleifera is rich in compounds containing the simple

    sugar, rhamnose and a fairly unique group of compounds called

    glucosinolates and isothiocyanates (Fahey et al., 2001; Bennett et

    al., 2003). The stem bark has been reported to contain twoalkaloids, namely moringine and moringinine (Kerharo, 1969).

    Vanillin, -sitosterol [14], -sitostenone, 4-hydroxymellin and

    octacosanoic acid have been isolated from the stem ofM. oleifera

    (Faizi et al., 1994a).

    Purified, whole-gum exudate from M. oleifera has been found to

    contain L-arabinose, -galactose, -glucuronic acid, and L-rhamnose,

    -mannose and -xylose, while a homogeneous, degraded-gum

    polysaccharide consisting of L-galactose, -glucuronic acid and

    L-mannose has been obtained on mild hydrolysis of the whole gum

    with acid (Bhattacharya et al., 1982).

    Flowers contain nine amino acids, sucrose, D-glucose, traces of

    alkaloids, wax, quercetin and kaempferat; the ash is rich in

    potassium and calcium (Ruckmani et al., 1998). They have also

    been reported to contain some flavonoid pigments such as

    alkaloids, kaempherol, rhamnetin, isoquercitrin and kaempferitrin

    (Faizi et al., 1994a; Siddhuraju and Becker, 2003).

    Antihypertensive compounds thiocarbamate and isothiocyanateglycosides have been isolated from the acetate phase of the ethanol

    extract ofMoringa pods (Faizi et al., 1998). The cytokinins have

    been shown to be present in the fruit (Nagaret al., 1982). A new

    0-ethyl-4-(a-L-rhamnosyloxy)benzyl carbamate [11]

    Plantpart References Root The Wea l t h o f I nd ia , 1962;Padmaraoe t a l . ,

    1996;Dahot,1988;

    Ruckmani e t a l . , 1998

    Morton,1991;Fuglie,2001;

    Makonnen e t a l . , 1997;

    The Wea l t h o f I nd ia ,

    1962;Dahot,1988

    Bhatnagar e t a l . , 1961;

    Siddhuraju and Becker,

    2003

    Leave

    Stembark

    GumFuglie,2001

    Nair and Subramanian,

    1962;Bhattacharya e t a l . ,

    1982; Dahot, 1998;

    Siddhuraju and Becker,

    2003;Mehta e t a l . , 2003

    Flower

    Seed Faizi e t a l ., 1998; Lalas

    andTsaknis,2002

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    together with seven known bioactive compounds, 4(a-

    L-rhamnosyloxy)-benzyl isothiocyanate [3], niazimicin [4], 3-

    O-(6'- O-oleoyl--D -glucopyranosyl)- -sitosterol [15],

    ^-sitosterol-3-O-^-D-glucopyranoside [16], niazirin

    [12] , ^-sitosterol [14] and glycerol-1-(9-octadecanoate)[13] have been isolated from the ethanol extract of the Moringaseed (Guevara et al., 1999). Figure 1 shows the structures of

    selected phytochemicals fromMoringa.

    Lately, interest has been generated in isolating hormones/growth

    promoters from the leaves of M. oleifera. Nodulation of

    black-gram (Vigna munga L.)

    14: R= H

    15: R= 6'-0-oleoyl-P-D-glucop5Tanosyl 16: R =

    P-D-glucopyranosylFiqure 1. Structures of selected phytochemicals from Moringa: niazinin A [1], 4-(4'-0-acetyl-a-L-rhamnopyranosyloxy)benzyl isoth- iocyanate [2],4-(-L-rhamnopyranosyloxy)benzyl isothiocyanate [3], niazimicin [4], 4-(a-L-rhamnopyranosyloxy)benzyl glucosinolate [5], benzyl isothiocyanate [6], aglyconofdeoxy-niazimicine(N-benzyl,S-ethylthioformate) [7],pterygospermin [8],niaziminin [9 + 10], 0-ethyl-4-(a-L-rhamnosyloxy)benzylcarbamate [11],niazirin [12],glycerol-1-(9-octadecanoate) [13],^-sitosterol [14],3-0-(6'-0-oleoyl- -D-glucopyranosyl)-3-sitosterol [15],^-sitosterol-3-O-^-D-glucopyranoside [16].

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    has been shown to increase vigorously with the application of an

    aqueous-ethanol extract (Bose, 1980) of M. oleifera leaves,

    although the nature of the active ingredient is still unknown.

    Moringa leaves act as a good source of natural antioxidant due to

    the presence of various types of antioxidant compounds such as

    ascorbic acid, flavonoids, phenolics and carotenoids (Anwaret al.,

    2005; Makkar and Becker, 1996). The high concentrations of

    ascorbic acid, oestrogenic substances and -sitosterol [16], iron,

    calcium, phosphorus, copper, vitamins A, B and C, a-tocopherol,

    riboflavin, nicotinic acid, folic acid, pyridoxine, -carotene,

    protein, and in particular essential amino acids such as methionine,

    cystine, tryptophan and lysine present in Moringa leaves and pods

    make it a virtually ideal dietary supplement (Makkar and Becker,

    1996).The composition of the sterols of Moringa seed oil mainly

    consists of campesterol, stigmasterol, -sitosterol, A5-avenasterol

    and clerosterol accompanied by minute amounts of

    24-methylenecholesterol, A7-campestanol, stigmastanol and

    28-isoavenasterol (Tsaknis et al., 1999; Anwar and Bhanger, 2003;

    Anwaret al., 2005; Table 2). The sterol composition of the major

    fractions ofMoringa seed oil differs greatly from those of most of

    the conventional edible oils (Rossell, 1991). The fatty acid com-

    position ofM. oleifera seed oil reveals that it falls in the category

    of high-oleic oils (C18:1, 67.90%-76.00%). Among the other

    component fatty acids C16:0 (6.04%- 7.80%), C18:0

    (4.14%-7.60%), C20:0 (2.76%-4.00%), and C22:0 (5.00%-6.73%)

    are important (Tsaknis etal., 1999; Anwar and Bhanger, 2003;

    Anwar et al., 2005). Moringa oleifera is also a good source ofdifferent tocopherols (a-, y-and 5-); the concentration of those is

    reported to be 98.82-134.42, 27.90-93.70, and 48.0071.16 mg/kg,

    respectively (Anwar and Bhanger, 2003; Tsaknis et al., 1999).

    MEDICINAL USES AND PHARMACOLOGICAL

    PROPERTIES

    Moringa oleifera also has numerous medicinal uses, which have

    long been recognized in the Ayurvedic and

    Unani systems of medicine (Mughal et al., 1999). The medicinal

    attributes (Table 1) and pharmacological activities ascribed to

    various parts ofMoringa are detailed below.

    Antihypertensive, diuretic and cholesterol lowering

    activities

    The widespread combination of diuretic along with lipid and blood

    pressure lowering constituents make this plant highly useful in

    cardiovascular disorders. Moringa leaf juice is known to have a

    stabilizing effect on blood pressure (The Wealth of India, 1962;

    Dahot, 1988). Nitrile, mustard oil glycosides and thiocarbamate

    glycosides have been isolated from Moringa leaves, which were

    found to be responsible for the blood pressure lowering effect

    (Faizi et al., 1994a; 1994b; 1995). Most of these compounds,

    bearing thiocarbamate, carbamate or nitrile groups, are fully

    acetylated glycosides, which are very rare in nature (Faizi et al.,

    1995). Bioassay guided fractionation of the active ethanol extract

    of Moringa leaves led to the isolation of four pure compounds,

    niazinin A [1], niazinin [1] B, niazimicin [4] and niazinin A + B

    which showed a blood pressure lowering effect in rats mediatedpossibly through a calcium antagonist effect (Gilani et al., 1994a).

    Another study on the ethanol and aqueous extracts of whole

    pods and its parts, i.e. coat, pulp and seed revealed that the blood

    pressure lowering effect of seed was more pronounced with

    comparable results in both ethanol and water extracts indicating

    that the activity is widely distributed (Faizi et al., 1998).

    Activity-directed fractionation of the ethanol extract of pods ofM.

    oleifera has led to the isolation of thiocarbamate and

    isothiocyanate glycosides which are known to be the hypotensive

    principles (Faizi et al., 1995). Methyl p- hydroxybenzoate and

    -sitosterol (14), investigated in the pods ofM. oleifera have also

    shown promising hypotensive activity (Faizi et al., 1998).

    Moringa roots, leaves, flowers, gum and the aqueous infusion of

    seeds have been found to possess diuretic activity (Morton, 1991;Caceres et al., 1992) and such diuretic components are likely to

    play a complementary

    Table 2. Sterol composition (grams per 100 g of fatty acids) of the M. oleiferaoilsSterol AnwarandBhanger,

    2003

    LalasandTsaknis,

    2002

    Tsaknis e t a l . , 1999

    Cholesterol Notreported 0.10 0.13

    Brassicasterol Notreported 0.05 0.06

    24-methylenecholesterol 1.49 0.08 0.88

    Campesterol 16.00 15.29 15.13

    Campestanol Notreported 0.33 0.35

    A7-campestanol 0.50 Notreported Notreported

    Stigmasterol 19.00 23.06 16.87

    Ergostadienol Notreported 0.35 0.39

    Clerosterol 1.95 1.22 2.52

    Stigmastanol 1.00 0.64 0.86

    ^-sitosterol 46.65 43.65 50.07

    A -avenasterol 0.96 Notdetected 1.11

    A5-avenasterol 10.70 11.61 8.84

    28-isoavenasterol 0.50 0.25 1.40

    A7,14

    Stigmastadienol Notreported 0.39 Notreported

    A,

    Stigmastanol Notreported 0.85 0.44

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    role in the overall blood pressure lowering effect of this plant.

    The crude extract of Moringa leaves has a significant

    cholesterol lowering action in the serum of high fat diet fed rats

    which might be attributed to the presence of a bioactive

    phytoconstituent, i.e. -sitosterol (Ghasi et al., 2000). Moringafruit has been found to lower the serum cholesterol, phospholipids,

    triglycerides, low density lipoprotein (LDL), very low density

    lipoprotein (VLDL) cholesterol to phospholipid ratio, atherogenic

    index lipid and reduced the lipid profile of liver, heart and aorta in

    hypercholesteremic rabbits and increased the excretion of fecal

    cholesterol (Mehta et al., 2003).

    Antispasmodic, antiulcer and hepatoprotective

    activities

    M. oleifera roots have been reported to possess anti- spasmodic

    activity (Caceres et al., 1992). Moringa leaves have been

    extensively studied pharmacologically and it has been found that

    the ethanol extract and its constituents exhibit antispasmodic

    effects possibly through calcium channel blockade (Gilani et al.,

    1992; 1994a; Dangi et al., 2002). The antispasmodic activity of the

    ethanol extract of M. oleifera leaves has been attributed to the

    presence of 4-[a-(L-rhamnosyloxy) benzyl]- o-methyl

    thiocarbamate [3] (trans), which forms the basis for its traditional

    use in diarrhea (Gilani et al., 1992). Moreover, spasmolytic

    activity exhibited by different constituents provides

    pharmacological basis for the traditional uses of this plant in

    gastrointestinal motility disorder (Gilani et al., 1994a).

    The methanol fraction of M. oleifera leaf extract showed

    antiulcerogenic and hepatoprotective effects in rats (Pal et al.,

    1995a). Aqueous leaf extracts also showed antiulcer effect (Pal et

    al., 1995a) indicating that the antiulcer component is widely

    distributed in this plant.Moringa roots have also been reported to

    possess hepatoprotective activity (Ruckmani et al., 1998). The

    aqueous and alcohol extracts from Moringa flowers were also

    found to have a significant hepatoprotective effect (Ruckmani et

    al., 1998), which may be due to the presence of quercetin, a well

    known flavonoid with hepato- protective activity (Gilani et al.,

    1997).

    Antibacterial and antifungal activities

    Moringa roots have antibacterial activity (Rao et al., 1996) and are

    reported to be rich in antimicrobial agents. These are reported to

    contain an active antibiotic principle, pterygospermin [8], which

    has powerful antibacterial and fungicidal effects (Ruckmani et al.,1998). A similar compound is found to be responsible for the

    antibacterial and fungicidal effects of its flowers (Das et al., 1957).

    The root extract also possesses antimicrobial activity attributed to

    the presence of 4-a-L-rhamnosyloxy benzyl isothiocyanate [3]

    (Eilert et al., 1981). The aglyc- one of deoxy-niazimicine

    (N-benzyl, S-ethyl thiofor- mate) [7] isolated from the chloroform

    fraction of an ethanol extract of the root bark was found to be

    responsible for the antibacterial and antifungal activities (Nikkon

    et al., 2003). The bark extract has been shown to possess antifungal

    activity (Bhatnagaret al., 1961), while the juice from the stem bark

    showed antibacterial effect against Staphylococcus aureus (Mehta

    et al., 2003). The fresh leaf juice was found to inhibit the growth of

    microorganisms (Pseudomonas aeruginosa and Staphylococcus

    aureus), pathogenic to man (Caceres et al., 1991).

    Antitumor and anticancer activities

    Makonnen et al. (1997) found Moringa leaves to be a potential

    source for antitumor activity. O-Ethyl-

    4-(a-L-rhamnosyloxy)benzyl carbamate [11] together with

    4(a-L-rhamnosyloxy)-benzyl isothiocyanate [3], niazimicin [4] and

    3-O-(6'-O-oleoyl-^-D-glucopyranosyl)- -sitosterol [15] have been

    tested for their potential antitumor promoting activity using an in

    vitro assay which showed significant inhibitory effects on Epstein-Barr virus-early antigen. Niazimicin has been proposed to be a

    potent chemopreventive agent in chemical car- cinogenesis

    (Guevara et al., 1999). The seed extracts have also been found to

    be effective on hepatic carcinogen metabolizing enzymes,

    antioxidant parameters and skin papillomagenesis in mice (Bharali

    et al., 2003). A seed ointment had a similar effect to neomycin

    against Staphylococcus aureus pyodermia in mice (Caceres and

    Lopez, 1991).

    It has been found that niaziminin [9 + 10], a thio- carbamate

    from the leaves of M. oleifera, exhibits inhibition of

    tumor-promoter-induced Epstein-Barr virus activation. On the

    other hand, among the isothiocyanates, naturally occurring

    4-[(4'-O-acetyl-a-i-rhamnosyloxy) benzyl] [2], significantly

    inhibited tumor-promoter- induced Epstein-Barr virus activation,suggesting that the isothiocyano group is a critical structural factor

    for activity (Murakami et al., 1998).

    Other diverse activities

    Moringa oleifera has also been reported to exhibit other diverse

    activities. Aqueous leaf extracts regulate thyroid hormone and can

    be used to treat hyperthyroidism and exhibit an antioxidant effect

    (Pal et al., 1995a; 1995b; Tahiliani and Kar, 2000). A methanol

    extract of M. oleifera leaves conferred significant radiation

    protection to the bone marrow chromosomes in mice (Rao et al.,

    2001). Moringa leaves are effective for the regulation of thyroid

    hormone status (Tahiliani and Kar, 2000).

    A recent report showed that M. oleifera leaf may be applicableas a prophylactic or therapeutic anti-HSV (Herpes simplex virus

    type 1) medicine and may be effective against the

    acyclovir-resistant variant (Lipipun et al., 2003). Table 1 depicts

    some common medicinal uses of different parts of this plant. The

    flowers and leaves also are considered to be of high medicinal

    value with anthelmintic activity (Bhattacharya et al., 1982). An

    infusion of leaf juice was shown to reduce glucose levels in rabbits

    (Makonnen et al., 1997).

    Moringa oleifera is coming to the forefront as a result of

    scientific evidence that Moringa is an important source of naturally

    occurring phytochemicals and this provides a basis for future

    viable developments. Different parts of M. oleifera are also

    incorporated in various marketed health formulations, such as

    Rumalaya andSeptilin (the Himalaya Drug Company, Bangalore, India),

    Orthoherb (Walter Bushnell Ltd, Mumbai, India), Kupid Fort

    (Pharma Products Pvt. Ltd, Thayavur, India) and Livospin

    (Herbals APS Pvt. Ltd, Patna, India), which are reputed as

    remedies available for a variety of human health disorders (Mehta

    et al., 2003).

    Moringa seeds have specific protein fractions for skin and hair

    care. Two new active components for the cosmetic industry have

    been extracted from oil cake. Purisoft consists of peptides of the

    Moringa seed. It protects the human skin from environmental

    influences and combats premature skin aging. With dual activity,

    antipollution and conditioning/strengthening of hair, the M.

    oleifera seed extract is a globally acceptable innovative solution

    for hair care (Stussi et al., 2002).

    WATER PURIFYING ATTRIBUTES OF M.

    OLEIFERA SEED

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    Moringaseeds as coagulant

    Moringa seeds are one of the best natural coagulants discovered so

    far (Ndabigengesere and Narasiah, 1998). Crushed seeds are a

    viable replacement of synthetic coagulants (Kalogo et al., 2000).

    In Sudan, seed crude extract is used instead of alum by rural

    women to treat the highly turbid Nile water because of a traditional

    fear of alum causing gastrointestinal disturbances and Alzheimer's

    disease (Crapper et al., 1973; Milleret al., 1984; Martyn et al.,

    1989; Muyibi, 1994).

    Moringa seeds are very effective for high turbidity water and

    show similar coagulation effects to alum (Muyibi and Evison,

    1995b). The coagulation effectiveness of M. oleifera varies

    depending on the initial turbidity and it has been reported that M.

    oleifera could reduce turbidity by between 92% and 99% (Muyibi

    and Evison, 1995b). Moringa seeds also have softening properties

    in addition to being a pH correctant (alkalinity reduction), as well

    as exhibiting a natural buffering capacity, which could handle

    moderately high to high alkaline surface and ground waters. The

    Moringa seeds can also be used as an antiseptic in the treatment of

    drinking water (Obioma and Adikwu, 1997).

    Ongoing research is attempting to characterize and purify the

    coagulant components of Moringa seeds (Ndabigengesere et al.,

    1995; Gassenschmidt et al., 1995). It is believed that the seed is an

    organic natural polymer (Jahn, 1984). The active ingredients are

    dimeric proteins with a molecular weight of about 1300 Da and an

    iso-electric point between 10 and 11 (Ndabigengesere et al., 1995).

    The protein powder is stable and totally soluble in water.

    Moringa coagulant protein can be extracted by water or salt

    solution (commonly NaCl). The amount and effectiveness of the

    coagulant protein from salt and water extraction methods vary

    significantly. In crude form, the salt extract shows a better

    coagulation performance than the corresponding water extract

    (Okuda et al., 1999). This may be explained by the presence of ahigher amount of soluble protein due to the salting-in

    phenomenon. However, purification of the M. oleifera coagulant

    protein from the crude salt extract may not be technically and

    economically feasible.

    The coagulation mechanism of the M. oleifera coagulant protein

    has been explained in different ways. It has been described as

    adsorption and charge neutralization (Ndabigengesere et al., 1995;

    Gassenschmidt et al., 1995) and interparticle bridging (Muyibi and

    Evison, 1995a). Flocculation by inter-particle bridging is mainly

    characteristic of high molecular weight polyelectrolytes. Due to

    the small size of the M. oleifera coagulant protein (6.5-13 kDa), a

    bridging effect may not be considered as the likely coagulation

    mechanism. The high positive charge (pI above 10) and small size

    may suggest that the main destabilization mechanism could beadsorption and charge neutralization.

    Microbial elimination with Moringaseeds

    Moringa seeds also possess antimicrobial properties (Olsen, 1987;

    Madsen et al., 1987). Broin et al. (2002) reported that a

    recombinant protein in the seed is able to flocculate Gram-positive

    and Gram-negative bacterial cells. In this case, microorganisms

    can be removed by settling in the same manner as the removal of

    colloids in properly coagulated and flocculated water (Casey,

    1997). On the other hand, the seeds may also act directly upon

    microorganisms and result in growth inhibition. Antimicrobial

    peptides are thought to act by disrupting the cell membrane or byinhibiting essential enzymes (Silvestro et al., 2000; Suarez et al.,

    2003). Sutherland et al. (1990) reported that Moringa seeds could

    inhibit the replication of bacteriophages. The antimicrobial effects

    of the seeds are attributed to the compound 4(a-L-rhamnosyloxy)

    benzyl isothiocynate (Eilert et al., 1981).

    Moringaseeds as biosorbent

    Moringa seeds could be used as a less expensive bio- sorbent for

    the removal of cadmium (Cd) from aqueous media (Sharma et al.,

    2006). The aqueous solution of Moringa seed is a heterogeneous

    complex mixture having various functional groups, mainly low

    molecular weight organic acids (amino acids). These amino acids

    have been found to constitute a physiologically active group of

    binding agents, working even at a low concentration, which

    because of the ability to interact with metal ions is likely to

    increase the sorption of metal ions (Brostlap and Schuurmans,

    1988). The proteineous amino acids have a variety of structurally

    related pH dependent properties, generating a negatively charged

    atmosphere and play an important role in the binding of metals

    (Sharma et al., 2006).

    FUTURE PROSPECTS

    So far numerous studies have been conducted on different parts of

    M. oleifera, but there is a dire need to isolate and identify new

    compounds from different parts of the tree, which have possible

    antitumor promoters as well as inhibitory properties. Although

    preliminary studies are under way in different laboratories to use

    the antispasmodic, antiinflammatory, antihypertensive and diuretic

    activities ofM. oleifera seed, these studies should be extended to

    humans in view of the edible nature of the plant. Moringa roots and

    leaves have been used traditionally to treat constipation. Studies to

    verify these claims need to be carried out in the light of the reported

    antispasmodic activities, which are contrary to its medicinal use as

    a gut motility stimulant. Earlier studies on the presence of a

    combination of spasmogenic and spasmolytic constituents in

    different plants used for constipation (Gilani et al., 2000; 2005a;Bashiret al., 2006) might be of some guidance in designing experi-

    ments in which the presence of antispasmodic constituents at

    higher doses are explained as a possible mode to offset the

    side-effects usually associated with high dose of laxative therapy.

    Similarly, the known species differences in the pharmacological

    actions of medicinal plants (Ghayur et al., 2005; Ghayur and

    Gilani, 2006) may also be taken into account when planning

    studies involving contradictory results.

    Food plants are considered relatively safe as they are likely to

    contain synergistic and/or side effect neutralizing combinations of

    activities (Gilani and Atta-ur- Rahman, 2005). Moringa oleifera,

    known to be rich in multiple medicinally active chemicals, may be

    a good candidate to see if it contains effect enhancing and/or

    side-effects neutralizing combinations. Medicinal plants arerelatively rich in their contents of calcium channel blockers

    (CCBs) which are known to possess a wide variety of

    pharmacological activities such as antihyper- tensive,

    hepatoprotective, antiulcer, antiasthmatic, anti- spasmodic and

    antidiarroeal (Stephens and Rahwan, 1992; Gilani et al., 1994b;

    1999; 2005b; Yaeesh et al., 2006; Ghayur et al., 2006) and it

    remains to be seen whether such activities reported to be present in

    Moringa oleifera have a direct link with the presence of CCBs.

    Niazimicin, a potent antitumor promoter in chemical

    carcinogenesis is present in the seed; its inhibitory mechanism on

    tumor proliferation can be investigated by isolating more pure

    samples. The mechanism of action ofM. oleifera as prophylactic

    or therapeutic anti- HSV medicines for the treatment of HSV-1

    infection also needs to be examined.

    The available information on the -, - and y- tocopherol

    content in samples of various parts of this edible plant is very

    limited. -Carotene and vitamins A and C present in M. oleifera,

    serve as an explanation for their mode of action in the induction of

    antioxidant profiles, however, the exact mechanism is yet to be

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    elucidated. -Carotene of M. oleifera leaves exerts a more

    significant protective activity than silymarin against anti-

    tubercular induced toxicity. It would be interesting to see if it also

    possesses hepatoprotective effect against other commonly used

    hepatotoxic agents such as CCl4 and galactosamine, which areconsidered more suitable models and close to human viral hepatitis

    (Gilani and Janbaz, 1995; Yaeesh et al., 2006).

    Although Moringa leaves are considered a best protein source,

    it still has to be shown whether or not this protein source could

    compete with the more common protein sources in highly

    productive growing or milk- producing ruminants.

    Many studies have also been conducted on the performance of

    Moringa seeds as an alternative coagulant, coagulant aid and in

    conjunction with alum for treating waste water. Therefore, it is

    important to identify the active constituents ofMoringa seed for a

    better understanding of the coagulation mechanism. Reports on the

    antimicrobial effects of the protein purified from M. oleifera are

    very rare.

    Since this plant naturally occurs in varying habitats, it is naive to

    expect a great magnitude of variation in the concentration andcomposition of chemical ingredients in different parts of the tree.

    However, the extent to which the chemical composition varies in

    populations adapted to varying habitats is not known. Thus,

    detailed studies are required to examine this aspect.

    In view of its multiple uses, the M. oleifera plant needs to be

    widely cultivated in most of the areas where climatic conditions

    favor its optimum growth. In this way, a maximum yield of its

    different useable parts could be achieved to derive the maximal

    amount of commodities of a multifarious nature for the welfare of

    mankind.

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