A Review on Centella asiatica:
A Potential Herbal Cure
Anjali M. Wankhade, Poonam C. Rahangdale
Department of Pharmacology, Vidyabharti Collage of Pharmacy,
Amravati, Maharashtra, 444602, India.
*Corresponding
Author E-mail:
anjuwankhade7@gamil.com
ABSTRACT:
Southeast Asian nations frequently employ Centella
asiatica, also known as Centella asiatica (L.) Urb. or gotu kola, which
is a traditional Chinese herb with a wide range of medical benefits. It has been
noted that the medicinal plant Centella asiatica (L.) Urban, sometimes known
as gotu kola, exhibits a variety of pharmacological properties. There is a substantial
body of scientific study, in particular, on the therapeutic benefits of C. asiatica
preparations or its triterpenes in the treatment of skin conditions. The aerial
parts and roots are used medicinally, and the chemical components of this plant
have a wide range of therapeutic uses, including antibacterial, anti-inflammatory,
anticancer, neuroprotective, and treatments for Parkinson's disease, Alzheimer's
disease, and dopamine neurotoxicity. Sedative. Immunostimulant. hepatoprotective,
cardioprotective, anti-diabetic, cytotoxic and anti-tumor, antiviral, and reducing
oxidative stress. a wide variety of chemicals from many chemical classes are used
in antioxidant, wound healing, and other biological functions. Triterpene saponosides
are this plant's main chemical class. The principal ones include betulinic acid,
thankunic acid, and isothankunic acid, as well as asiatic acid, madecassic acid
(6-hydroxy-asiatic acid), asiaticoside, and madasiatic acid. Additionally, we conducted
a comprehensive analysis of the available literature for this review in order to
determine the significance of C. asiatica in terms of pharmacology. To determine
the precise method of action of other bioactive chemicals, more research will be
useful.
KEYWORDS: Centella asiatica, Gotu kola, Herbal medicine, therapeutic uses, leaves.
INTRODUCTION:
Since they contain secondary metabolites, plants have been
useful to humans for a very long time. Centella asiatica is a widely used
herb with a wide range of medical applications. In India, China, Sri Lanka, Nepal,
and Madagascar, Centella asiatica L, sometimes known as Indian Pennywort,
has been used as a medicine for thousands of years. The Apiaceae family includes
the herbaceous creeping plant Centella asiatica (L.) It is referred to as
Brabhnmi in Ayurveda, Madukparni in Unani medicine, and Gotu Kola in Western medicine1.
Centella asiatica is largely recognised as a "Brain food" in India
since it is one of the most widely used herbs for treating skin conditions, wound
healing, and rejuvenating the nerves and brain cells. Centella asiatica is
one of the significant medicinal plants traded internationally, according to reports
from the Export and Import Bank of India. However, due to extensive, unrestricted
extraction, inadequate cultivation, and insufficient measures to replace it, the
natural population of this plant species has been significantly reduced. Additionally,
it is currently recognised by the International Union for Conservation of Nature
and Natural Resources as a threatened plant species and an endangered species2.
Figure1.leaves and flower of
centella asiatica3
PLANT DISTRIBUTION:
TableNo.1: Vernacular names in different regions of India4
|
Region/
Language
|
VernacularName
|
Region/
Language
|
Vernacular
Name
|
|
Hindi
|
Bemgsag, Brahma-Manduld,
Gotukola, Khulakudi, Mandookaparni
|
Sanskrit
|
Bhekapami, Bheki,
Brahmamanduld, Divya, Supriya
|
|
Malyanam
|
Kodagam, Kodangal,
Kutakm, Kutannal, Muthal, Muttil, Muyalchevi
|
Kanarese
|
Brahmisoppu,
Urage, Vandelga-illikiwigidda, Vondelaga
|
|
Telugu
|
Bekaparnamu,
Bokkudu, Saraswatako, Mandukbrahmmi, Saraswatiplant
|
Gujarati
|
Barmi, MotiBrahmi
|
|
Marathi
|
Karinga
|
Tamil
|
Babassa, Vallarai
|
|
Tripura
|
Thankuni, Thunimankuni
|
Bengal
|
Thankuni, Tholkuri
|
|
Assam
|
Manimuni
|
Deccan
|
Vallarai
|
|
Bihar
|
Chokiora
|
Meghalya
|
Bat-maina
|
|
Orisa
|
Thalkudi
|
Sinhalese
|
Hingotukola
|
|
Urdu
|
Bramhi
|
|
|
CLASIFICATION:
Kingdom: Plantae Clade: Angiosperms Clade: Eudicots Clade
Order: Asterides Family: Apiales
Genus: Apiaceaa Species: C.asiatica
Binomialname: Centellaasiatica5
OCCURRENCEANDDISTRIBUTION:
The herb Centella asiatica (L) is widespread throughout
the world, but it is more prevalent during the rainy season and in wet, marshy areas.
Asia, Africa, Australia, the southern United States of America, Central America,
and South America are among the hemispheres' warmer regions where the plant is native.
It is particularly prevalent in India's marshy regions up to a height of roughly
700 m. According to reports, the plant can also be found at elevations of 1200 metres
in Mount Abu (Rajasthan) and 1550 metres in Sikkim6.
BOTANICALDESCRIPTION:
The herb Centella asiatica is a thin, trailing plant
that roots at the nodes. It has a vertical root stock with a long, reddish, prostate-shaped
stem that emerges from the leaf axils.
The leaves are 1.3–7 cm in diameter, orbicular, reniform,
whole, crenate, and glaborous.
Sessile, white or reddish flowers with bracts covering
them are arranged in umbels of three to six flowers each.
Fruits are 8 mm long, compressed, and have mericarps that
are broad, curved, and 7-9 ridged.
Lateral compression occurs with seeds. This has a distinctive
smell, is greyish green in colour, and tastes bittersweet.7
PHYTOCHEMISTRY:
Amino acids, flavonoids, terpenoids, essential
oils, alkaloids, and other compounds are abundant in Centilla asiatica. The
majority of phytochemical research centred on leaves, and the chemical composition
varies geographically.
Centilla asiatica's chemical makeup key groups Constituents Leucine,
iso-leucine, valine, methioine, tyrosine, proline, cystine, and glycine are
among the amino acids, along with amino butyrate, aspartate, glutamate,
histidine, lysine, threonine, and arginine. Carbohydrates Mesoinositol,
arabinogalactan, centellose, pectin, and glucose are all phenols. Flavonoids.8,9 Quercetin,
quercetin-3-o-d-glucuronide, castillicetin, apigenin, rutin, luteolin, and
naringin are among the compounds that make up kaempferol.) Chlorogenic acid,
3,4-di-o-caffeoyl quinic acid, 1,5-di-o-caffeoyl quinic acid, 3,5-di-o-caffeoyl
quinic acid, 4,5-di-o-caffeoyl quinic acid, and isochlorogenic acid are
examples of phenylpropanoids. Other components include the alkaloid
hydrocotylin, the bitter compound vallerine, phytosterols such campesterol,
sitosterol, and stigmasterol, and resin. 8-acetoxycentellynol, cadiyenol,
dotriacont-8-en-1-oic acid, and 11-oxoheneicosanyl cyclohexane are among the
several polyacetylenes10
TRADITIONAL USES:
It is a well-known rasayana medication in Ayurveda and
is used as medhyarasayana in conditions including epilepsy, schizophrenia, and cognitive
impairment. Additionally, leprosy, skin conditions, anorexia, and asthma can all
be treated with it. It has also been used as an antipyretic, analgesic, and anti-inflammatory
in other traditional systems to treat diarrhoea, cholera, measles, jaundice, leukorrhoea,
haematemesis, hepatitis, urethritis, toothache, syphilis, smallpox, neuralgia, rheumatism,
toothache, and varices. Poultices have been used to treat sprains, fractures with
closed ends, andcontusions.andfurunculosis.11
Figure 3: Pharmacological Action
of Centella asiatica12
PHARMACOLOGICALSTUDIES:
Skin disease:
Wound Healing: Made cassol, a plant extract containing made cassic acid, asiatic
acid, and Asiaticoside, has been shown to hasten wound healing and grafting. Asiaticoside
accelerates the production of extracellular matrix and fibroblast proliferation
during wound healing
Acne: Acne
is a common chronic inflammatory skin condition that affects the skin's pilosebaceous
cells. Propionibacterium acnes proliferation, abnormal follicular desquamation,
increased sebum production, and inflammation are the four primary pathogenic processes
that contribute to the onset of acne.14
Burns: A commercial cream called Cytol Centella was created using a titrated
extract of Centella asiatica. By promoting collagen synthesis, topical administration
of Cytol Centella® dramatically increased the contraction of burn wounds in male
Wistar rats15.
Atopic Dermatitis: Typically, animal models for AD that have been produced by phthalic
anhydride (PA) are used to assess a test substance's potential for treating AD.
By reducing the expression of iNOS and COX-2, NF-B activity, and the production
of TNF-, IL-1, IL-6, and IgE, titrated extract of C. asiatica (TECA) therapy slowed
the progression of PA-induced AD16.
Cytotoxic and Antitumour:
The growth of solid and ascites tumours
was similarly slowed down by oral administration of C. asiatica crude extract
and its partially purified components. The methanol extract of the plant included
a partly purified component that inhibited the growth of tumour cells without adversely
affecting lymphocytes. Ehrlich Ascites tumour cells underwent apoptosis due to C.
asiatica, and toxicity caused by chemotherapy drugs showed that the medicine
had an anti-cancer effect and decreased myelosuppression. Nitric oxide and tumour
necrosis factor are controlled by C. asiatica in murine macrophages. Asiaticoside
encourages the formation of collagen to aid in wound healing17.
Memory Enhancing:
The herb's aqueous extract significantly improved learning
and memory while lowering brain levels of norepinephrine, dopamine, and 5-HT as
well as their metabolites. Brahmicacid, isobrahmic acid, brahminoside, and brahmside
are all present in Centella asiatica. It has sedative, anticonvulsant, and
psychotropic effects. Additionally, it helps with anxiety, mental illnesses, and
dementia. Thus, children with learning disabilities benefit from Mentat, a polyherbal
formulation in which all of the herbs work in concert to increase memory, attention,
and concentration18.
Cardioprotective:
In order to reduce ischaemia-reperfusion-induced
myocardial infarction in mice, the alcoholic extract of the entire plant shown strong
cardio preventive action. In the hypoxia-induced pulmonary hypertension rat model,
asiaticoside decreased mean pulmonary artery pressure and right ventricular hypertrophy
via blocking the overexpressed TGF-1/Smad2/3 signaling pathway19.
Radioprotective:
During clinical irradiation, Centella asiatica may
be helpful in avoiding radiation-induced behavioural abnormalities20.
Antidepressant:
The serum level of corticosterone was significantly decreased
by the whole triterpenes' antidepressant action. Human adipocytes treated with Centella
asiatica extracts had a sharp spike in the amount of cyclic adenosine monophosphate,
which was followed by an increase in the amount of non-esterified fatty acids21.
Diabetes mallitus and obesity:
Extracts of C. asiatica show promise
in the treatment of endocrine disorders, particularly type 2 diabetes and obesity.
Regarding particular substances, asiatic acid proved successful in treating obesity,
while made cassoside may be an option for treating osteolytic bone disorders. In
human adipocytes, Centella asiatica extracts significantly increased the
amount of cyclic adenosine monophosphate, which was followed by an increase in the
amount of non-esterified fatty acids. Diabetes type 2 (T2DM) is characterized by
high blood sugar, insulin resistance, and a reduced insulin-stimulated response
when blood sugar levels are high22,23.
Immunomodulating:
Triterpenoids, saponins, and methanol extracts from pectin
extracted from Centella asiatica demonstrated preliminary immunomodulatory
effects24.
Antiprotozoa:
The entire plant's alcohol extract exhibited
antiprotozoal efficacy against Entamoeba histolytica25.
Improve the cognitive function:
Orally administered Centella asiatica pills significantly
improved general ability and behavioural patterns in mentally challenged youngsters.
Clinical research revealed that C. asiatica significantly enhanced stroke
patients' cognitive performance. Patients were separated into 3 groups and given
daily doses of 1,000mg, 750mg, and 3mg of folic acid, respectively26.
Neuroprotective effect:
Through several animal testing paradigms,
including passive avoidance and elevated-plus labyrinth tests for memory enhancement,
the neuroprotective impact of C. asiatica and its main triterpene saponosides
has been thoroughly examined. The effects of C. asiatica's aqueous extract
on intracerebrovascular streptozocin-induced memory linked to the sporadic type
of AD were studied in rats by administering the extract at dosages of 100, 200,
and 300mg/kg (b.w.)26. C. asiatica improves
the nervous system's performance. It disintegrates in water, ethanol, and methanol.
According to pertinent research on the nervous system, C. asiatica and its
triterpenes can treat a number of neurological conditions, but Alzheimer's disease
(AD) and Parkinson's disease are the two that have received the most attention27.
Antitubercular and Antileprotic:
Leprosy and a few forms of tuberculosis have been successfully
treated with asiaticoside. Clinical studies carried out on healthy adults revealed
that the medicine raised RBC, blood sugar, serum cholesterol, and total protein
levels. The rise in mean blood urea concentration. The body is calmed by it, and
the central nervous system is supported28.
Effects on Digestive Diseases:
Aside from improving liver fibrosis, colitis, and gastric
mucosal damage, C. asiatica and its triterpenoids also have therapeutic effects
on digestive problems. These effects even include a decreased colonisation of the
stomach with Helicobacter pylori. The current investigation discovered that the
C. asiatica extract significantly repaired gastric mucosal injury, decreased
H. pylori infection, and effectively mitigated drug-induced liver toxicity29.
Effects on Rheumatoid Arthritis:
The pharmacological investigation on madecassoside
showed that it can successfully reduce the linked inflammatory factors (TNF-, IL-1b,
IL-6, IFN-, and IL-17) in arthritis model rats. Madecassoside (30mg/kg) taken orally
has been shown in animal studies to considerably lessen the signs and symptoms of
arthritis and to stop the release of inflammatory cytokines29.
Anabolic effect:
Albino rats were fed a low-protein diet,
and centella reduced the mortality caused by a severe protein deficit. It
increased the level of blood protein nitrogen and blocked the entry of fatty acids
into the liver. A statistically significant and substantial increase in haemoglobin
content was observed. The typical blood urea level was decreased30.
SAFETY AND TOXICITY OF C. ASIATICA:
Regarding the safety of C. asiatica
extract, clinical investigations have demonstrated that oral dosages of 250 mg and
500 mg of the standard extract were both well tolerated and effective. Modern pharmacological
studies revealed that the extract's heavy metal level is within acceptable limits
and that there is little chance that the biologically active chemicals in C.
asiatica will interact with CYP isoenzymes31.
C. asiatica extract has been shown in animal studies to have anti-spermogenic
and anti-fertility effects on the male rat reproductive system. C. asiatica
extract is safe for rats, according to haematological parameters and histopathology
in acute oral toxicity studies, sub-chronic toxicity studies, and mutagenicity studies.
Additionally, in the Ames test, C. asiatica extract showed
no dose-related negative effects32.
CONCLUSION:
Since it has been established that plants
are a remarkable source of medicine, interest in studying medicinal plants has recently
increased. Centella asiatica is well known for its traditional uses and medicinal
properties in the treatment of a wide range of illnesses having effective chemical
present in Centella asitica. The active components in Centella asiatica
can be used to treat conditions like epilepsy, ageing, neurodegenerative illnesses,
skin issues, and diabetes, Cardiac disorders, Respiratory disorder etc. The herb
is important in the practise of Ayurvedic medicine.
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