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Medicinal Plants Classification Biosynthesis and ... - Index of

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Biomolecules with Anti-Mycobacterial Activity<br />

<strong>of</strong> highly drug-resistant TB threaten to make TB into an untreatable <strong>and</strong> highly fatal disease,<br />

particularly in resource-poor countries with a high prevalence <strong>of</strong> AIDS [Chan et al, 2008].<br />

No new classes <strong>of</strong> specific drugs for TB have been developed in the past 30 years <strong>and</strong> the<br />

global number <strong>of</strong> TB cases is still increasing. Therefore there is an urgent need to develop<br />

faster acting <strong>and</strong> effective new anti-tubercular agents in order to control this infection. In this<br />

chapter we will describe some compounds found in plants that have been analyzed in<br />

different bioassays <strong>and</strong> showed anti-mycobacterial activity.<br />

Anti-TB Compounds Derived from <strong>Plants</strong><br />

Traditional medicine, particularly the use <strong>of</strong> plants or their extracts, has been the most<br />

important source for the screening <strong>and</strong> isolation <strong>of</strong> natural products with anti-mycobacterial<br />

activity. Use <strong>of</strong> traditional medicine for treatment <strong>of</strong> respiratory diseases, including<br />

tuberculosis, has been a source for many potential opportunities to find new anti-TB drugs.<br />

Several groups around the world have analyzed plants used by people as herbal medicines,<br />

looking for biological activities against infections <strong>and</strong> other illness. To date, only a few<br />

compounds with significant anti-mycobacterial activity have been isolated, <strong>and</strong> most <strong>of</strong> these<br />

compounds are in the phase <strong>of</strong> in vitro laboratory or animal models testing.<br />

Kolodziej et al [2003] reported the antibacterial activity <strong>of</strong> Pelargonium sidoides, plant<br />

species used in folk medicine by the Southern African native population. P sidoides extracts<br />

contained oxygenated coumarins <strong>and</strong> simple phenol gallic acids [Kayser et al, 1997]. Another<br />

medicinal plant from southern Africa used to treat chronic infections is Carpobrotus sp that<br />

by bio-autography, together with thin layer chromatography (TLC) analyses showed antibacterial<br />

activity [Springfield et al, 2003]. Bamuamba et al [2008] analyzed five African<br />

plant species for anti-mycobacterial activity. They found that extracts <strong>of</strong> Buddleja saligna<br />

<strong>and</strong> Leysera gnaphalodes exhibited significant anti-mycobacterial activity, primarily<br />

associated with the presence <strong>of</strong> non-cytotoxic triterpenoids oleanolic acid in B. saligna <strong>and</strong><br />

both oleanolic <strong>and</strong> ursolic acids in L. gnaphaloides. In fact, there are many plants used<br />

against TB in African traditional medicine. McGaw et al [2008] summarize the available<br />

knowledge on South African plants used to treat TB symptoms, <strong>and</strong> anti-mycobacterial<br />

efficacy <strong>of</strong> plant-derived extracts <strong>and</strong> compounds.<br />

The activity <strong>of</strong> cryptolepine hydrochloride, a salt <strong>of</strong> the main indoloquinoline alkaloid<br />

from the West African medicinal plant Cryptolepis sanguinolenta, was assessed against the<br />

fast growing mycobacterial species M. fortuitum, M. phlei, M. aurum, M. smegmatis, M.<br />

bovis BCG <strong>and</strong> M. abcessus <strong>and</strong> the MICs ranged over 2-32 µg/mL [Gibbons et al, 2003].<br />

Ethiopian medicinal plants used to treat various infectious diseases were assessed for<br />

their possible activity against TB in vitro. The authors studied fifteen crude extracts prepared<br />

from seven plants. Only the acetone fraction obtained from the stem bark <strong>of</strong> Combretum<br />

molle showed inhibitory activity at 100 µg/ml. Phytochemical analysis <strong>of</strong> the bioactive<br />

fraction led to the isolation <strong>of</strong> two major tannins identified as ellagitannin <strong>and</strong> punicalagin.<br />

The last compund was found to inhibit totally the growth <strong>of</strong> M. tuberculosis (ATCC 27294)<br />

<strong>and</strong> a clinical isolate fully sensitive to the st<strong>and</strong>ard antituberculosis drugs [Asres et al, 2001].<br />

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