Pharmacological Review of Plants and Natural Products with Antiepileptic Effects

E. O. Ohanme, O. Iganga, C. Ofor, Uzochukwu Ofonakara, Amucheukwu Veronica Nwafor, C. Eze, K. E. Etu, B. N. Nwakelu, Chiazor Prince Unekwe
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Abstract

Both recurrent and spontaneous seizures are indications of epilepsy, a disorder of the brain. Around the world, as many as sixty-five million individuals could be influenced, and 80 percent of cases are found in low-income countries. Medicinal herbs are widely utilized to treat and manage epilepsy and convulsions due to their unique healing properties. Through greater research and clinical use, medicinal plants are gaining attention on a global scale because of their potent therapeutic effects and few adverse effects. The development of innovative plant-based antiepileptic/anticonvulsant medications has drawn a lot of interest from the pharmaceutical industry. This article provides an overview of the study on medicinal plants that have been demonstrated to have antiepileptic and anticonvulsant qualities. It provides pharmacological and molecular mechanism of action data for the crude extracts and related active ingredients evaluated in preclinical research for the treatment of epilepsy and convulsions, and it works as a guide for the development of future pertinent studies in this area. Articles about ethnopharmacological and antiepileptic studies on plants or natural products from the most recent and recent years were obtained from PubMed, Web of Science, and Scopus, among other sources, using keywords related to epilepsy, medicinal plants, natural products, etc. Many plant species are commonly utilized in Asian and African countries to treat epilepsy and convulsions. It has also been discovered that natural chemicals derived from these medicinal plants may possess antiepileptic and anticonvulsant qualities. These compounds can be broadly classified as terpenoids, alkaloids, coumarins, flavonoids, and saponins. The antiepileptic capabilities of plant extracts and their active ingredients can be classified according to their ability to affect the GABAergic and glutamatergic systems, act as antioxidants, exhibit anti-neuroinflammatory characteristics, and provide neuroprotection. Additionally, we highlight the potential use of various medicinal plants as a therapeutic intervention for refractory epilepsy, as they may be able to pharmacologically reduce epilepsy and cognitive impairment. The research highlights how herbal remedies used in traditional medicine are a great source of potential candidates for antiepileptic drugs. This demonstrates and validates the antiepileptic and anticonvulsant qualities of various therapeutic herbs, which could inspire further study. To fully comprehend the ideas of metabolic processes, toxicity, clinical trials, structural optimization, and change, further research is still necessary.
具有抗癫痫作用的植物和天然产品药理学综述
反复发作和自发发作都是癫痫这种脑部疾病的表现。全世界有多达六千五百万人可能受到癫痫的影响,其中 80% 的病例发生在低收入国家。由于药草具有独特的治疗特性,因此被广泛用于治疗和控制癫痫和抽搐。通过加强研究和临床应用,药用植物因其强大的治疗效果和较少的不良反应而在全球范围内受到关注。以植物为基础的创新型抗癫痫/抗惊厥药物的开发引起了制药行业的极大兴趣。本文概述了对已被证实具有抗癫痫和抗惊厥作用的药用植物的研究。文章提供了临床前研究中评估过的用于治疗癫痫和惊厥的粗提取物和相关活性成分的药理学和分子作用机理数据,并为该领域未来相关研究的发展提供指导。我们使用与癫痫、药用植物、天然产品等相关的关键词,从 PubMed、Web of Science 和 Scopus 等来源获取了最近几年有关植物或天然产品的民族药理学和抗癫痫研究文章。亚洲和非洲国家通常利用许多植物物种来治疗癫痫和抽搐。人们还发现,从这些药用植物中提取的天然化学物质可能具有抗癫痫和抗惊厥的特性。这些化合物大致可分为萜类、生物碱类、香豆素类、黄酮类和皂苷类化合物。植物提取物及其活性成分的抗癫痫能力可根据其影响 GABA 能和谷氨酸能系统、作为抗氧化剂、表现出抗神经炎症特性以及提供神经保护的能力进行分类。此外,我们还强调了各种药用植物作为难治性癫痫治疗干预措施的潜在用途,因为它们可能能够从药理上减轻癫痫和认知障碍。这项研究强调了传统医学中使用的草药是抗癫痫药物潜在候选药物的重要来源。这证明并验证了各种治疗草药的抗癫痫和抗惊厥特性,从而激发了进一步的研究。要充分理解代谢过程、毒性、临床试验、结构优化和变化等观点,仍需进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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