Phytochemistry and
Pharmacology of Anamirta cocculus Willd.
U. S. Jijith1,2*, C. R. Sudhakaran Nair1,
K. C. Ajithkumar2, K. Pramod1,2
1College of
Pharmaceutical Sciences, Govt.
Medical College, Thiruvananthapuram – 695011, Kerala, India.
2College of
Pharmaceutical Sciences, Govt.
Medical College, Kozhikode – 673008, Kerala, India.
*Corresponding Author E-mail: jijithus@gmail.com
ABSTRACT:
Anamirta cocculus
is a woody climber
of Menispermaceae family remains
popular folk remedy in Asia and adjacent regions. It crude drug is officially listed in many Pharmacopoeias. The fruits, especially
the seed contain picrotoxin, a very strong poison that was toxic to all
vertebrates affecting the CNS, stimulating the respiratory and vagus centres in
the medulla and acting on the heart and lungs with diminished pulse. The
toxicity results in vomiting, purging, profuse sweating, dimness of vision,
unconsciousness and clonic convulsions. Death occurs rapidly due to respiration
failure, or slowly from gastro-intestinal symptoms, particularly the medulla
oblongata and respiratory centre. In South-East Asia the fruit of Anamirta cocculus is used mainly as a
fish poison and as an insecticide. The plant was
large-stemmed and, stem and roots contains quaternary alkaloids, such as
beriberine, palmatine, magnoflorine, columbamine, oxypalmine, stepharine and
the major tertiary alkaloid as 1-8-oxotetrahydropalmatine. The alkaloids of Anamirta cocculus have antibacterial,
antimicrobial, sympatholytical (acetylcholine), and antifertility activities
and the isolated alkaloids were confirmed and characterized by
UV-spectrophotometry, Mass spectroscopy, H1-NMR and C13-NMR spectroscopy.
KEYWORDS: Anamirta cocculus; Picrotoxin; Quaternary alkaloids; Tertiary alkaloids;
Mass spectroscopy
INTRODUCTION:
Anamirta cocculus Wild are large woody climbing
plant of Menispermaceae family widely distributed in South-East Asia and in
India mainly the deep forest of Kadappa, Mysoor, Malabar etc1. The
plant was large stemmed (Up to 10cm in diameter) and the bark was “cokygray”
with white wood. A poisonous alkaloid named picrotoxin was present in its
fruit, Cocculus indicus have
good stimulant properties. It has small yellowish-white, sweet scented flowers
and drupe fruits. The fruits, also called as Levant berry have a diameter of
about 1cm when it was dry.
Medicinal properties and uses:
Levant berry is a popular folk remedy in Asia and
adjacent regions, but not widely used in Europe. In Philippines, the infusion
of the roots of Anamirta cocculus
is used to treat fevers, dyspepsia and menstrual problems, extract of the stem
is added to native wine and is drunk to make the blood strong and the leaves
used as a poultice for headache, stomachache or delayed menstruation. In Laos,
the fruit was used in very small doses to treat eruptive fevers and the
powdered fruit was used to treat acute barbiturate poisoning. In India, the
fruits and seeds are made into an ointment for external application to treat
skin diseases. The seeds are also externally applied to kill head lice. The
jungle tribes of the Malay Peninsula use the plant to poison their arrows and
their Kriss. The fresh leaves of Anamirta
cocculus are used for the treatment of quotidian ague in Bengal.
In Ceylon the bruised fresh bark is useful for the snake bite2. An ointment containing 80
grains of finely powdered seed to one ounce of Vaseline was used as external
application in ring worm2 and the fruits juice is useful for ulcers
and scabies. Fruits of Anamirta
cocculus are officially listed in the Pharmacopoeias of various
countries. The fruit and especially the seed contain picrotoxin, a very strong
poison. Picrotoxin has been used intravenously as an antidote against poisoning
by barbiturates and morphine3. However, the safe therapeutic dose
range is very narrow. Very minute doses of Picrotoxin were used as a nerve
tonic in schizophrenia, epilepsy and similar afflictions. In more recent time,
it has been used in the treatment of peripheral and vestibular nystagmus, and
in both long and short-term therapy for peripherally based dizziness and travel
sickness. In homeopathic medicine the drug is used for nervous exhaustion,
attacks of dizziness, cramps, paralysis, dysmenorrhoeal and occipital headaches3.
According to the Unani system of medicine, the fruit is slightly bitter, good
expectorant removes gas from the intestine, good for rheumatism and as an
application for inflammations4. It is used in morphine and chlorine
poisonings. In South-East Asia the fruit of Anamirta cocculus is used mainly as a
fish poison 5 and as an insecticide. For fish poison fresh or dry semi-ripe fruits
with or without the fruit pulp is ground with shell-fish, shrimp or small
crabs. The resulting paste is made into
pellets used as fish bait. Upon ingestion of these pills the fish become
stupefied and will float to the surface, after which the fish must be swiftly
eviscerated. This is done in order to reuse the bait and avoid contamination of
the fish with the poison6. In the Indian Medicine leaves are used as
a contracting agent for the womb after birth.
In the Philippines fruits are heated or roasted, crushed and powdered.
The resulting powder is simply thrown in the water to stupefy the fish. In the
past the fruit was sometimes used fraudulently in the United Kingdom to flavour
beers with its bitterness. The bast-fibres are used for basketry rope and belt
making. The traditional healers of southern Chhattisgarh use its seeds
externally in form of herbal oil. The seeds are boiled in base oil and continue
boiling until all watery contents were evaporated, then the special oil is kept
for future use for different purpose4. It is massaged gently on
painful parts along with mustard oil. It is also considered useful in treatment
of rheumatic pain and used to dress the wounds. Plant used in treatment of
skeletal fractures7. Seeds and berries used as piscicide8.
The traditional healers of Chhattisgarh specialized in the different types of
cancer treatment using its seeds internally as well as externally. It is also
used in combination therapy to nullify the toxic effects and the exact
mechanism of this plant is traditional secret so that the healers do not want
to disclose. They have acquired this unique knowledge from their ancestors4.
Phytochemistry of Anamirta cocculus:
The seed contains about 1.5% of a bitter, crystalline,
highly toxic substance, picrotoxin. This consists of equimolecular proportions
of picrotoxinin, C15H16O7. Picrotoxinine is a
highly oxygenated sequiterpene derivative9. The pericarp of Cocculus indicus contains two isomeric,
tasteless, crystallisable alkaloids, termed menispermine (C18H24O2N)
and paramenispermine (C18H24C2N), combined
with an acid called hypopicrotoxic acid1. The tasteless moieties
anamirtin and cocculin were also present along with fixed oil (11% to 24% of
the seed). The seed was also rich in fatty acids9. The stem and
roots of Anamirta cocculus contains quaternary alkaloids,
such as beriberine, palmatine, magnoflorine and columbamine3, 10 and
the major tertiary alkaloid as 1-8-oxotetrahydropalmatine10. The structure (figure 2) of the new alkaloids
further confirmed by Ultraviolet spectroscopy, Mass spectroscopy, 1H NMR and
13C NMR. The study also reported the chemical conversion in to
1-tetrahydropalmatine. Roy et al[11] isolated stearic acid from
seeds and fumaric acid from the flowers. Lalith et al 12 has
isolated one new triterpenoid and two new triterpenoid glycosides from the stem
of Anamirta cocculus. The major compounds isolated were already known
-arjunolic acid and its 28-O-β-D-glucopyranoside. None of the isolated
compounds showed any molluscicidal or antifungal activity. Agarwal et al13
isolated picrotoxin, picrotoxinine, methyl picrotoxate and two new
sesquiterpene lactones, dihydroxypicrotoxnin and picrotoxic acid whose
structure were determined by spectroscopic method. Chemical structures of some
major alkaloids of Anamirta cocculus are shown in Figure 1.
Figure 1:
Structure of isolated alkaloids from Anamirta cocculus
Pharmacology of Anamirta cocculus:
Picrotoxin had been used to manage epilepsy at a dose
of 0.3-0.6 mg and slightly higher dose to manage night sweating14.
The effect of drug was due to the picrotoxic content. Picrotoxin
paralyzes presynaptic blocking mechanism and like strychnine, has an analeptic
effect in low doses. The central ends of the parasympathetic nerve are
stimulated, as the medulla oblongata. Breathing frequency was initially
increased and subsequently decreased. The pulse slows due to the stimulation of
the vagus and increases in blood pressure.
Central Nervous system stimulated vomiting along with an increase in
perspiration3. Dhar et al reported the anticancer activity of Anamirta cocculus 15.
Fruits of Anamirta cocculus contain about 1.5% picrotoxin, which was also
known as cocculin. Picrotoxin was a crystalline equimolar mixture of 2
sesquiterpene dilactones, i.e. picrotoxinin and picrotin. In which only
picrotoxinin was pharmacologically active. When taken internally, the seed was
toxic to vertebrates affecting the central nervous system, stimulating the
motor and inhibitory centers (especially the respiratory and vagus centres) in
the medulla and acting on the heart and lungs with periodic stopping of motions
of the diaphragm and diminished pulse. The poisoning causes vomiting, purging,
profuse sweating, intoxication, dimness of vision and unconsciousness.
Breathing and the pulse become weak. The poisoning also results in clonic
convulsions; during spasms and intervals of relaxations, the pupils
correspondingly contract or dilate. Death occurs rapidly due to respiration
failure, or slowly from gastro-intestinal symptoms, particularly the medulla
oblongata and respiratory centre. Furthermore, the fruits contain the
isoquinoline alkaloids menispermine, paramenispermine, magnoflorine, stephorine,
berberine, palmatine and l, 8-oxotetrahydropalmatine. In addition, the stem and
roots contain only small amounts (about 0.1%) of the alkaloids berberine,
palmatine, magnoflorine, columbamine and l, 8-oxotetrahydropalmatine. The stem
also contains oxypalmine and stepharine. In general, the alkaloids isolated
from Anamirta cocculus
have antibacterial-, antimicrobial-, sympatholytical- (acetylcholine), and
antifertility activities12.
CONCLUSION:
Anamirta cocculus remains
a popular folk remedy in Asia and adjacent regions, contain a powerful
poison picrotoxin was a crystalline equimolar mixture of two sesquiterpene
dilactones, i.e. picrotoxinin and picrotin. The poisoning affects the CNS of
vertebrates causes vomiting, purging, profuse sweating, dimness of vision,
unconsciousness, intoxication and clonic convulsions. The fruits stem and roots
contain varieties of alkaloids have antibacterial, antimicrobial,
sympatholytica (acetylcholine), and antifertility activities. The alkaloids include menispermine,
paramenispermine, magnoflorine, columbamine, stepharine, berberine, palmatine,
oxypalmine and l, 8-oxotetrahydropalmatine. Although the use of the plant had been abandoned in US and Europe due to
safety concerns, it is still uses for research and as popular folk
remedy in Asia and adjacent regions.
CONFLICT
OF INTEREST:
None
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Received
on 04.01.2016 Modified on 10.04.2016
Accepted
on 27.01.2016 ©A&V Publications All right reserved
Res. J. Pharmacognosy and Phytochem. 2016; 8(2): 90-92
DOI: 10.5958/0975-4385.2016.00017.0