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NIS - libdoc.who.int - World Health Organization

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Folium Plantaginis majoris<br />

Studies using individual components of the P. major leaf extracts were<br />

conducted on lymphocyte transformation by the BrdU immunoassay.<br />

Also studies of secretion of gamma-<strong>int</strong>erferon using an enzyme-linked<br />

immunosorbent assay (ELISA) were performed. The results showed that<br />

the water-soluble components, namely aucubin, chlorogenic acid, ferulic<br />

acid, p-coumaric acid and vanillic acid, enhanced the activity of human<br />

lymphocyte proliferation and secretion of gamma-<strong>int</strong>erferon. Among the<br />

water-insoluble components, with the exception of luteolin, both baicalein<br />

and baicalin resulted in an enhancement of the human peripheral<br />

blood mononuclear cells. Although oleanolic acid and ursolic acids did<br />

not significantly affect the proliferation of peripheral blood mononuclear<br />

cells they exhibited a strong stimulation of gamma-<strong>int</strong>erferon secretion.<br />

Linalool, a monoterpenoid, showed immunomodulatory activity similar<br />

to that of the triterpenes (46).<br />

An endotoxin-free methanol extract from P. major leaves, at doses of<br />

50, 100, 250 and 500 µg/ml, increased nitric oxide production by 4.4 ± 1,<br />

6 ± 1, 12 ± 0.4 and 18 ± 0.4-fold, and increased tumour necrosis factor<br />

alpha (TNFα) production by 621 ± 31, 721 ± 36, 727 ± 36 and 1056 ±<br />

52 U/ml, respectively in rat peritoneal macrophages. Nitric oxide and<br />

TNFα production in untreated macrophages was negligible. In addition,<br />

the extract dose-dependently potentiated concanavalin A-induced lymphoproliferation<br />

(3- to 12-fold increases), as compared with concanavalin<br />

A alone. The regulation of immune parameters induced by the plant extract<br />

may be clinically relevant in numerous diseases (68).<br />

Haematopoietic effects<br />

Aqueous, methanol, chloroform and hexane extracts of P. major leaves<br />

were tested for immunostimulant and haematopoietic activities (independent<br />

and <strong>int</strong>erdependent) on cultures of Escherichia coli, Bacillus subtilis<br />

and Candida albicans and also on CD(1) mice bone marrow and splenocyte<br />

cultures (37 °C for 72 hours). Aqueous and methanol extracts at concentrations<br />

of 0.4 and 0.2 mg/ml increased the bone marrow cell concentration<br />

by 2.70-fold and 3.15-fold, and also increased the spleen cell<br />

concentration by 3.38-fold and 6.39-fold, respectively (p < 0.001). The<br />

data demonstrated in vitro haematopoietic activity of P. major (69).<br />

Antimicrobial activity<br />

A 50% aqueous-ethanol extract of dried leaves of P. major had antibacterial<br />

activity against Shigella dysenteriae at a concentration of 50 µl/agar<br />

plate (70) in vitro. A tincture (1:10) was active against Bacillus subtilis<br />

(0.1 ml/agar plate), Escherichia coli (30 µl/disc), and Staphylococcus aureus<br />

319

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