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Sharma M et.al.

/ JPBMS, 2011, 6 (12)

Available online at www.jpbms.info


ISSN NO- 2230 - 7885
Review Article
JPBMS

JOURNAL OF PHARMACEUTICAL AND BIOMEDICAL SCIENCES

Ethnopharmacological importance of Asparagus racemosus : A review


*Manorma Sharma1, Archana Sharma1 , Ashwani Kumar2
1Department of Botany, Vedic PG Girls College, University of Rajasthan
Jaipur 302004, India.
2Department of Botany, University of Rajasthan, Jaipur 302004 , India.

Abstract
Tuberous plants are the vital source of medicinal drugs. Among these Asparagus racemosus is an important herb which is
well known for its pharmacological applications. A lot of medicinally importance attributes have been assigned to this
herb. It has been used by tribes located in distinct area of India from primeval time. Key component of this herb is
saponins. Recent developments in transgenic research have opened up the possibility of the metabolic engineering of
biosynthetic pathways to produce these high-value secondary metabolites. The present review is a pragmatic approach to
accrue the findings on this very important herb.

Keywords:- Asparagus racemosus, Saponins, Ethnopharmacology, Disease.

Introduction:
Use of plants as a source of medicine has been inherited Ayurveda describes Asparagus racemosus as rasayana and
and is an important component of the health care system in galactogogue, which is used to treat various diseases such
India. India is one of the 12 mega biodiversity centers as ulcer, dyspepsia and debility. It contains adventitious
having 45,000 plants species, its diversity is unmatched root system with tuberous roots. These tuberous roots
due to the 16 different agro climatic zones, 10 vegetative after proper processing and drying are used as ayurveda
zones and 15 biotic provinces. “The world Health medicine, with the name of Shatavari. Its leaves are
Organization" estimates that up to 80 % of people still rely reduced to form cladodes. Branches contain spines on
mainly on traditional remedies such as herbs to cure their them. In Indian medicine it is well known as an
disease. The World Health Organization (The World Health antispasmodic, aphrodisiac, demulcent, diuretic,
Report, 2003) has estimated that 80% of the population of galactogogue and refrigerant. It is also used in the
developing countries being unable to afford treatment of diarrhea, rheumatism, diabetes and brain
pharmaceutical drugs relies on traditional medicines complaints (Chadha 2003). During previous investigations
(Bopana and Saxena 2007). In the Indian system of influence of fertilizers on growth (Vijay and Kumar, 2005)
medicine, most practitioners formulate and dispense their and biochemical composition ( Vijay, Kumar and Bhoite,
own recipes (Sharma et al., 2005). The age-old tribal 2009) and in vitro propagation of Asparagus racemosus (
knowledge of plants is an important aspect of ethno Kumar and Vijay , 2008) was studied.
botanical research. The tribal tracts are the storehouse of
information and knowledge on the multiple uses of plants Chemical constituent
(Singh, et al., 2002). Potential plants for Ayurvedic A lot of chemical analysis has been carried out on the roots
medicines have been reported by Kumar (2008). of Asparagus racemosus. The major reported constituent
These plants are not only used for common diseases but include steroidal saponins, shatavarin I (3-O-{[a-L-
also for fetal diseases. Among these plants Asparagus rhamnopyranosyl(1!2)][b-D-glucopyranosyl(1!4)]-b-D-
racemosus is an important medicinal plant which has been glucopyranosyl}-26-O-(b-D-glucopyranosyl)-(25S)-5b-
used world wide. The Asparagus genus (Asparagaceae) has furostan-3b,22a,26-triol), shatavarin II (no reported
over 300 species, which are widely distributed in structure), shatavarin IV (3-O-{[a-L-
temperate and tropical regions. Asparagus racemosus rhamnopyranosyl(1!2)][b-D-glucopyranosyl(1!4)]-b-D-
Willd. or "Satavar" is a creeper of the plant genus glucopyranosyl}-( 25S)-5b-spirostan-3b-ol) and glycoside-
Asparagus. Its medicinal properties are reported in AR-4(incomplete structure elucidation) with the two major
traditional systems of medicine such as Ayurveda, Siddha ones being named shatavarins I and IV (Hayes et al., 2006).
and Unani (Sharma 1970). Shatawarin I is the major glycoside with 3 glucose and
rhamnose moieties attached to sarsasapogenin, whereas
*Corresponding Author shatavarin-IV contains Alkaloids, proteins, starch and
Manorma Sharma., Department of Botany, Vedic tannin. Isoflavones including 8-methoxy-5,6,4'-
PG Girls College, University of Rajasthan
trihydroxyisoflavone 7-O- beta-D-glucopyranoside.
Jaipur 302004,India.
Asparagamine, a polycyclic alkaloid. Racemosol, a cyclic

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hydrocarbon(9,10-dihydrophenanthrene).Polysaccharides, mucilage is present in the roots.

phytum borivilianum Sant. F., Curculigo orchioides


Gaertn, Dactylorhiza hatagirea (D. Don) Soo and Orchis
latifolia Linn. (200 mg/Kg body weight) } is formulated by
Thakur et al.,(Thakur et al., 2008) treat heat induced
testicular damage in mice. Administration of this recipe
results in significant amelioration of sexual behavior and
the mount, intromission and ejaculatory latencies were
significantly reduced (Thakur et al., 2009).

Cognitive disorders:
Neurological and psychiatric disorders together account
for more chronic suffering than all other disorders
combined (Cowan and Kandel 2001). In Alzheimer’s and
Parkinson’s diseases, ex-cito toxicity and oxidative stress
are the major mechanisms of neuronal cell death.
Toxicity profile of Asparagus racemosus Therefore, to combat neurodegenerative disorders, there is
The LD50 is >1g/kg. No toxic effects or mortality were a need for a compound that can retard or reverse this
observed with doses ranging from 50mg/kg to 1g/kg for neuronal damage.
four weeks. Acute and subacute (15-30 days In ongoing AD clinical trials, scientists are looking at many
administration) toxicity studies did not detect any changes possible interventions, such as cardiovascular treatments,
in vital organ function tests (Rege, et al., 1999). antioxidants, immunization therapy.

Pharmacological applications of Asparagus Ethanopharmacological approach


racemosus Asparagus racemosus Willd. is a well-known nervine tonic
Aphrodisiac : in the Ayurvedic system of medicine. Parihar and hamnani
An aphrodisiac is a substance that is used in the belief that (2004) investigated neuroprotective properties of extracts
it increases sexual desire. The name comes from Aphrodite, of Asparagus racemosus Willd, Convolvulus pleuricauas and
the Greek goddess of sensuality and love. Phytoestrogens Withania somnifera against free radicals induced damage
are defined as any plant compound structurally and/or in different brain regions in experimental animals.
functionally similar to ovarian and placental oestrogens Strategies to rescue or protect injured neurons usually
and their active metabolites (Whitten and Patisaul 2001) involve promoting neuronal growth and functions or
.Phytoestrogens affect the regulation of ovarian cycles and interfering with neurotoxic processes. ‘Mentat’, an herbal
oestrous in female mammals and the promotion of growth, psychotropic preparation containing Asparagus racemosus
differentiation and physiological functions of the female Willd has been found to be effective in the treatment of
genital tract, pituitary, breast and several other organs and alcohol abstinence induced withdrawal symptoms such as
tissues in both sexes. The interest in plant-derived tremors, convulsions, hallucinations and anxiety in ethanol
oestrogens or ‘phytoestrogens’ has increased due to the administered rats (Kulkarni and Verma 1993) due to its
realization that hormone replacement therapy is neither as anticonvulsant and anxiogenic action.
safe nor as effective as previously envisaged (Cornwell et
al., 2004) . Galactogague:
A galactagogue is a substance that promotes lactation in
Ethanopharmacological approach humans and other animals. It may be synthetic, plant-
The herbs have been traditionally used as Vajikaran derived, or endogenous. Generally hormone replacement
Rasayana herbs because of their putative positive influence therapy is used to increase lactation but it is neither safe
on sexual performance in humans. Detectable level of nor cheap (Singh and Goyal, 2004).
Phytoecdysteroids in Asparagus racemosus Willd. seeds
were reveled by Dinan et al., (Dinan et al., 2001) who did Ethanopharmacological approach
his research on 16 Asparagus species. Aphrodisiac Asparagus racemosus Willd. root are one of the chief source
property of this herb was investigated by Pandey et al., of galactagogue. It has been shown to promote growth as
(Pandey et al., 2005) The macroscopic findings revealed a well as increase in weight of mammary lobulo-alycolar
prominence of the mammary glands, a dilated vaginal tissue and milk yield in weaning rats by systemic
opening and a transversely situated uterine horn, administration of the alcoholic extract (Sabin et al., 1968).
proliferation in the lumen of the duct of mammary gland in The extract increased the weight of mammary glands in
the treated group of animals. The parenchyma of the post partum and estrogen-primed rats. A. racemosus along
genital organs showed abundant glycogen granules with with some other herbal substances in the form of a
dilated blood vessels and thickening of the epithelial lining. commercial preparation is reported to enhance milk
The oviduct in the treated group showed hypertrophied output in women complaining of scanty breast milk, on 5th
muscular wall, whereas the ovary revealed no effect of the day after delivery (Sholapurkar 1986). Patel and Kaniker
drug. The results suggest an estrogenic effect of Shatavari (Kaniker,1969) have also shown galactogogue effect of
on the female mammary gland and genital organs. Herbal roots of Asparagus racemosus in buffaloes. A mixture
preparation of Asparagus racemosus Willd. {lyophilized 'Lactare', containing Asparagus racemosus Willd. its major
aqueous extracts of Asparagus racemosus Willd, Chloro- component, has been reported to cause significant rise in

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serum prolactin levels (Ghosh et al., 1987). The alcoholic g) and Th2 (IL-4) cytokines suggesting its mixed Th1/Th2
extract of Asparagus racemosus has been shown to increase adjuvant activity. In Administration of Asparagus
the prolactin levels in female rats (Sabin et al., 1968). racemosus, Sida cordifolia in combination with Levamisole
Randomized controlled trial of Asparagus racemosus was the more effective in producing immunomodulatory
(Shatavari) as a lactogogue in lactational inadequacy was effect in immunosuppressed (by Cyclophosphamide) birds
also studied by Sharma et al.,( Sharma et al.,1996). (Tekade 2008).

Immunoadjuvant and immunomodulater activity: Anti-tussive activity:


Adjuvants are nonspecific substance acting to enhance the Anti-tussive means those drugs which are capable of
immune response to an antigen with which it is relieving or suppressing coughing. The plants have been
administered. Adjuvants are mostly pharmacological used as anti-tussives agents due to their anti-inflammatory,
agents of drug or biological origin used to modify the antibiotic, antiviral, demulcents, expectorant and mucolytic
antigenicity of immunization components, i.e., to stimulate properties, related with their ability to elaborate active
or depress the immune response or to inhibit or enhance principles such as aldehydes, alcohols, alkaloids, essential
specific subclasses of immunocytes. Adjuvants augment, or oils, glycosides, flavonoids, gums, ketones, lactones,
modulate the immune response at either the cellular or mucilages, oleoresins, pectin, phenols, tannins and
humoral level. terpenoids (Waizel-Bucay and Waizel-Haiat 2009).
Like immunoadjuvant which increase or decrease immune
response by binding to specific protein, immunomodulater Ethanopharmacological approach
bind at allosteric site of enzyme and modulate immune The plants have been used as antitussives agents due to
response, thus immunomodulater may be defined as a their anti-inflammatory, antibiotic, antiviral, demulcents,
substance, biology or synthetic, which can stimulate, expectorant and mucolytic properties, related with their
suppress or modulate any of the components of the ability to elaborate active principles such as aldehydes,
immune system including both innate and adaptive arms of alcohols, alkaloids, essential oils, glycosides, flavonoids,
the immune response (Agrawal and Singh 1999). Therefore gums, ketones, lactones, mucilages, oleoresins, pectin,
scientist attempts to extend the reported phenols, tannins and terpenoids. Asteraceae (Compositae),
immunopotentiating activity of botanical Lamiaceae (Labiatae), Boraginaceae, Rosaceae and
immunomodulators for their possible applications in Brassicaceae (Cruciferae), was the principal
immunotherapeutics and immunochemical industry. families reported, perhaps their secondary metabolites as
i.e. sesquiterpenes and essential oils (Waizel-Bucay and
Ethanopharmacological approach Waizel-Haiat 2009). The flowers, leaves, and aerial parts
The immunoadjuvant potential of Asparagus racemosus are most frequently used. The mainly common form of
Willd. aqueous root extract was evaluated by Gautam et al., preparation is as decoction or infusion (tea) and the
(2009) in experimental animals immunized with administration type is usually oral. The methanol extract of
diphtheria, tetanus, pertussis (DTP) vaccine. Asparagus racemosus root showed significant antitussive
Immunostimulation was evaluated using serological and activity on sulfur dioxide induced cough in mice (Mandal et
hematological parameters. Oral administration of al., 2000).
decoction of powdered root of A. racemosus has been
reported to produce leucocytosis and predominant Adaptogenic activity:
neutrophilia along with enhanced phagocytic activity of the The term adaptogen is used by herbalists to refer to a
macrophages and polymorphs (Goyal, Singh et al., 2003). natural herb product that is proposed to increase the
Asparagus racemosus Willd. was found to be significantly body's resistance to stress, trauma, anxiety and fatigue. In
reduced the mortality of experimental animals while the past, they have been called rejuvenating herbs, qi
survival rate was comparable to that of the group treated tonics, rasayanas, or restoratives. All adaptogens contain
with a combination of metronidazole and gentamicin antioxidants, but antioxidants are not necessarily
(Thatte et al., 1987). adaptogens and that is not proposed to be their primary
In immune system helper T cells (Th) are most important mode of action (Winston 2007). Mechanisms of action for
part of cell mediated immunity (Th1) and humoral adaptogenic activity seem to fall into 3 categories: those
immunity (Th2) and these cells are produced only in that act to regulate the stress response via the neuro-
childhood and after a certain age when its number start to endocrine HPA axis, those that act as antioxidants and
decrease it create problems. Alcoholic extract has been those that either inhibit or enhance CNS activity. Anti-
found to enhance both humoral and cell mediated inflammatory and enzyme inhibition or stimulation was
immunity of albino mice injected with sheep red blood also reported albeit rarely.
cells as particulate antigen (Muruganadan,
2000).Therefore Modulation of Th1/Th2 immunity is Ethanopharmacological approach
emerging as one of biological targets for such Adaptogenic drugs are those which are useful to counteract
immunostimulants (Romagnani, 2000).Gautam et al.,, stressful factors by promoting non-specific resistance of
(2009) have studied possible immunoregulatory effects of the body (Brekhman and Dardimov 1969). Adaptogens are
Asparagus racemosus Willd. ethanolic (ARE) extract on presumed to increase the resistance of the body to stress
murine Th1/Th2 immunity using sheep red blood cells as by modulating stress mediators such as corticosteroids,
antigenic stimulus. Treatment with ARE resulted in catecholamines, and nitric oxide (Rege et al., 1999).The
significant increase of CD3+ and CD4/CD8+ percentages stress indices for evaluation were gastric ulceration,
suggesting its effect on T cell activation. ARE treated adrenal gland and spleen weights, ascorbic acid and
animals showed significant up-regulation of Th1 (IL-2, IFN- corticosterone concentrations of adrenal cortex & plasma

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corticosterone levels (Bopana and Saxena 2007). The used traditionally in Ayurveda for the treatment of
prevention and management of stress disorders poses a diarrhoea and dysentery. Nanal et al., (1974) found
major clinical challenge. Benzodiazepines (BDZs) appear to Satavari to be extremely effective in the treatment of Atisar
be effective only against acute stress and not chronic (diarrhoea), Pravahika (dysentery) and Pittaj shool
stress. Also, the prolonged use of BDZs exasperates (gastritis) as described in Ayurvedic texts such as Sushruta
physical dependence on it and increases the tolerance Samhita and Sharangdhar Samhita. Ethanol and aqueous
thereby limiting the utility of the medication. Under such extracts of Asparagus racemosus Willd. roots exhibited
circumstances, plant derived agents could induce an significant anti-diarrhoeal activity against castor oil
increase in non-specific resistance. Rege et al., (1999) induced diarrhoea in rats demonstrating an activity similar
administered orally the aqueous, standardized extract of to loperamide(Venkatesan et al., 2005). The plant extracts
Asparagus racemosus to experimental animals, following showed significant inhibitor activity against castor oil
which they were exposed to a variety of biological, physical induced diarrhoea and PGE2 induced enteropooling in rats.
and chemical stresses. Antiulcerogenic action of an Both extracts also showed significant reduction in
ayurvedic herbo-mineral formulation ‘Satavari mandur’ gastrointestinal motility in charcoal meal test in rats
(SM) was investigated for its efficacy in the treatment of (Venkatesan et al., 2005). It has been reported that
coldrestraint stress-induced gastric ulcer in rats (Datta and asparagus decreases gastric emptying time (Dalvi et al.,
Goel 2002). Bhattacharya et al., (Bhattacharya 1990). Other studies have shown that the methanolic
2004)undertook a study to investigate the adaptogenic extracts of asparagus root reduced intestinal propulsive
activity of ‘Siotone’ (a herbal formulation consisting of movement, castor oil-induced diarrhoea and intestinal
Withania somnifera, Ocimum sanctum, Asparagus fluid accumulation (Nwafor et al., 2000).
racemosus Willd. , Tríbulus terristris and shilajit) against
chronic unpredictable, but mild, foot shock stress induced Anti ulceric activity:
perturbations in behaviour (depression), glucose Ulcers are sores on the lining of digestive tract (Peptic
metabolism, suppressed male sexual behaviour, ulcer), oral cavity (Oral ulcer and Aphthous ulcer), cornea
immunosuppression and cognitive dysfunction in albino (Corneal ulcer), valves of the veins (Venous ulcer) and
rats. genital area (Genital ulcer). Most ulcers are caused by an
infection. The infection is caused by a bacterium called
Anti-diarrhea activity: Helicobacter pylori. The usual treatment for peptic ulcers is
Diarrhea is increased fluidity, frequency or volume of endoscopic therapy to control active bleeding, drug
bowel movements. It may be acute or chronic. A study with therapy to suppress stomach acid (for example, proton-
partial results released in October 2009 suggests diarrhea pump inhibitor [PPI] and H2 blockers) and protecting the
is now estimated to cause 3 times more deaths than injured area so it can heal. Non-steroidal anti-inflammatory
previously thought, at 1.1 million annually for people aged drugs such as ibuprofen (iso-butyl-propanoic-phenolic
5 and over, up from 300,000 assumed in a 2002 study acid), Misoprostol (synthetic prostaglandin E1 (PGE1)
(Bhatnagar et al., 2010). According to UNICEF, diarrhea analogue) and Ketoprofen ((RS) 2-(3-benzoylphenyl)-
kills some 1.5 million children under the age of 5 annually. propionic acid) used widely for treatment of ulcers. But
Mainly diarrhea is of 6 types Secretary, Osmotic, Exudatic, long term use of anti-inflammatory drug can cause various
Motility, Inflammatory, and Dysentery. Principal causes of serious side effects like constipation, diarrhea, sores in the
diarrhea are bacteria, virus, parasites and food intolerance. mouth, headache, dizziness, nervousness, drowsiness etc
At present Loperamide and Bismuth subsalicylate are used (Sung et al., 2010). Therefore new researches have been
as antidiarrheal drug. Loperamide works by slowing down aimed to evaluate drug composition without side effects.
the speed of fluids moving through intestines (bowels).
Bismuth subsalicylate works by balancing the way fluid Ethanopharmacological approach
moves through intestines. It also reduces inflammation and In Ayurveda, Asparagus racemosus Willd. has also been
keeps certain bacteria and viruses that cause diarrhea from mentioned for the treatment of ulcerative disorders of
growing in the stomach and intestines. Probiotics, stomach and Parinama Sula, a clinical entity akin to the
particularly Bifidobacterium infantis, Sacchromyces duodenal ulcer diseases (Goyal et al., 2003). Singh et
boulardii, Lactobacillus plantarum and combination al.,(1986) showed that Shatavari promptly and persistently
probiotics, are also used to control bowel movements. relieve the pain and burning sensation as well as other
dyspeptic symptoms due to duodenal ulcer. The juice of
Ethanopharmacological approach fresh root of Asparagus racemosus Willd. has been shown
Diarrhea symptoms vary from mild to fatal. As today to have definite curative effect in patients of duodenal
loperamide and bismuth subsalicylate have been used ulcers (Kishore et al., 1980). Nanal et al., (1974) studied the
widely but both drugs can cause some side effects like effect of Asparagus racemosus Willd. on Amlapitta
abdominal pain, constipation, dizziness, nausea, blackened (hyperacidity), Grahani (ulcerative colitis), Parinam shool
stools, ringing sound in ear (called tinnitus). Therefore (septic ulcer) and Vataj shool (spastic colon) and observed
there is a need arise to discover such type of drug which an amelioration of symptoms. Mangal et al., (2006) had
have wide action spectrum and cure diseases without side done his study on human and found that Asparagus
effects. It have studied that saponins extract from racemosus Willd. treatment increase lifespan of gastric
Geranium incanum leaves (Amabeoku 2009),Cylico discus mucosal epithelium cells as well as secretion and viscosity
bark(Kouticheu et al.,2006)and Paullina pinnata of gastric mucus. Antiulcerogenic action of an ayurvedic
leavescontain anti diarrhea activity. Since the Asparagus herbo-mineral formulation ‘Satavari mandur’ (SM) was
racemosus Willd. root extract is composed of saponins, investigated for its efficacy in the treatment of
alkaloids, flavonoids, sterols and terpenes its root has been coldrestraint stress-induced gastric ulcer in rats (Datta and

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Goel 2002). In another study by Sairam et al.,(2003), the bupropion (Rush et al., 2006) and Venlafaxine. But regular
methanolic extract of fresh roots of Asparagus racemosus use of these drugs may cause some serious side effects like
showed significant protection against acute gastric ulcers Seizures, confusion, hallucinating (seeing things or hearing
induced by cold restraint stress, acetic acid, pylorus voices that do not exist), irrational fears, fever, rash or
ligation, aspirin plus pylorus ligation and cysteamine blisters, itching etc.
induced duodenal ulcers. In this study it was concluded
that the healing of gastric ulcers could be attributed to the Ethanopharmacological approach
effect of the Asparagus racemosus Willd. extract on the Ayurvedic rasayanas are those drugs, which prevent
mucosal defensive factors rather than the offensive ones. ageing, increase longevity, impartimmunity, improve
Also, the increase in the gastric emptying time aggravates mental functions and add vigor and vitality to the body
duodenal ulcers and the ability of Asparagus racemosus (Sharma, 1970). Anti stress drugs such as Benzodiazepines
Willd. to limit this gastric emptying time may also be the (BDZs) appear to be effective only against acute stress and
reason for the duodenal anti-ulcer activity. Bhatnagar et al., not chronic stress. Also, the prolonged use of BDZs
(2005) evaluated the anti-ulcer effect of Asparagus exasperates physical dependence on it and increases the
racemosus Willd. on indomethacin induced ulcers in rats. tolerance thereby limiting the utility of the medication.
They found a significant reduction in the ulcer index, free Under such circumstances, plant derived agents could
acidity, and volume of gastric secretion and total acidity induce an increase in non-specific resistance (Bopana and
which was comparable to the standard drug Ranitidine. In Saxena 2007). Singh et al.,(2009) administered orally the
addition they observed an increase in the antioxidant methanol, standardized extract of Asparagus racemosus
defense. Previously, extracts from Asparagus racemosus roots to rats, following which they were exposed to a
Willd. have been shown to exert potent antioxidant effects variety of biological, physical and chemical stresses. The
in vitro against membrane damage induced by free radicals results show that methanolic extract of Asparagus
produced by gamma radiation in rat liver mitochondria racemosus decreases immobility in forced swimming test
(Kamat et al., 2000). Both the crude extract as well as the and increases avoidance response in learned helpless
purified aqueous fraction was found to inhibit lipid indicating antidepressant activity. Same result previously
peroxidation and protein oxidation significantly which was received by Rege et al., (1999). Using a model of cisplatin
comparable to that of the established antioxidants induced alterations in gastrointestinal motility; the ability
glutathione and ascorbic acid though the mechanisms of this extract to exert a normalizing effect, irrespective of
responsible for the anti-oxidant properties are still unclear. direction of pathological change was tested.
Asparagus racemosus has been found to be effective in EuMil, is a herbal formulation comprising the standardised
dyspepsia, being associated with anti-ulcerogenic activity extracts of Withania somnifera (L) Dunal, Ocimum sanctum
(De et al., 1997). Asparagus racemosus Willd. along with L, Asparagus racemosus Willd and Emblica officinalis
Terminalia chebula reported to protect gastric mucosa Gaertn., the results indicate that EuMil has significant
against pentagastrin and carbachol induced ulcers, by adaptogenic and anti-stress, activity, against a variety of
significantly reducing both severity of ulceration and ulcer behavioral, biochemical and physiological perturbations,
index (Dahanukar et al., 1983). The antisecretory and induced by unpredictable stress, which has been proposed
antiulcer activity of Asparagus racemosus Willd. to be a better indicator of clinical stress than acute stress
(methanolic extract) and its action against indomethacin (a (Muruganandam, 2002).
non-steroidal anti-inflammatory drug) plus pyloric ligation
(PL)-induced gastric ulcers in rats have studied. The Anticancer:
results of this study suggest that Asparagus racemosus ancer is of two types benign and malignant. Any agent
Willd. causes an inhibitory effect on release of gastric which may chemically modify DNA known as carcinogen.
hydrochloric acid and protects gastric mucosal damage. Most of the medicine used today are immunosuppressant,
cytotoxic, and exert variety of side effects that are
Anti depressant: particularly evident in cancer chemotherapy. The
Depression is a common chronic recurrent syndrome, deleterious effects of ionizing radiation in biological
often refractive to drug treatment affecting quality of life systems are mainly mediated through the generation of
and overall productivity (Singh et al., 2009). reactive oxygen species (ROS) in cells as a result of water
Most antidepressant medications increase the levels of one radiolysis (Kamat et al., 2000). ROS/RNS are free radicals
or more of the monoamines (the neurotransmitters) which posses’ carcinogen activity (Cerutti, 1994) release
serotonin, norepinephrine and dopamine in the synaptic by radiation treatment. Among them, particularly, the
cleft. Reduction in brain serotonin (Drevets 2001; highly damaging hydroxyl radical (•OH) can cause injury
Anguelova and Turecki 2003) has been reported to be one by reacting with bio-molecules (Breen and Murphy 1995).
of the most important etiological factors for genesis of Hydroxyl radical attack upon DNA generates a whole series
depression and the most widely used antidepressants of modified purine and pyrimidine bases many of which
namely selective serotonin reuptake inhibitors (SSRIs such are known to be mutagenic. Therefore, there is a constant
as sertraline, escitalopram, fluoxetine, paroxetine, and need for the development of effective, non-toxic, radical
citalopram) act by inhibiting serotonin reuptake into the scavengers that can protect humans against free-radical
presynaptic cell, increasing the level of serotonin available genetic damage induced by radiation and other agents.
to bind to the postsynaptic receptor (Schreiber et al.,
1995). Further noradrenergic and dopaminergic systems Ethanopharmacological approach
are reported to be involved and act in tandem with the Rasayana are the medicine useful in strethening the
serotonergic system (Millan et al., 2000; Koch et al., 2002). immune system (Patwardhan et al., 1990).
Beside SSRIs ‘atypical’ antidepressants have been used like Immunomodulation is a procedure, which can alter the

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immune system of an organism by interfering with its cause side effects like fever, blisters, yellowing of the skin
function, which primarily implies stimulation of non- or eyes, excessive tiredness, unusual bleeding or bruising,
specific system (Neelam et al., 2001). Immunosupression lack of energy, nausea, loss of appetite, pain in the upper
right part of the stomach, flu-like symptoms etc.
implies mainly to reduce resistance against infections,
stress and may occur on account of environmental or Ethanopharmacological approach
chemotherapeutic factors. Asparagus racemosus is well Antilithiatic effect of Asparagus racemosus Willd on
known for its immunomodulater activity (Gautam et al., ethylene glycol-induced lithiasis in male albino Wister rats
2009), phytoestrogenic properties and use as a hormone was studied by Christina et al., (2005). Oral administration
modulator (Mayo 1998). Treatment with Asparagus of Asparagus racemosus ethanolic extract
racemosus Willd. Tinospora cordifolia, Withania somnifera, reduce oxalate, calcium and phosphate ions in urin which
and Picrorhiza kurrooa significantly inhibited ochratoxin A- are the main cause of renal stone formation (Chitme et
induced suppression of chemotactic activity and al.,2010). An in vitro assay technique was set up to
production of inflammatory cytokines interleukin (IL)-1 determine the phagocytic and microbicidal activity of a
and tumor necrosis factor (TNF)-alpha by macrophages monocyte-macrophage cell line using Candida species as
(Dhuley 1998). Moreover, Asparagus racemosus Willd. test organisms. The optimal doses for MDP, Metronidazole,
induced excess production of TNF-α when compared with Asparagus racemosus and Tinospora cordifolia were found
controls. The crude saponins obtained from asparagus to be 100 micrograms, 300 mg/kg, 200 mg/kg and 100
shoots were found to have antitumor activity. It inhibited mg/kg respectively. Patients with cirrhosis were screened
the growth of human leukemia HL-60 cells in culture and for defects in monocyte function. The depressed monocyte
macromolecular synthesis in a dose and time-dependent function (20.58 +/- 5% phago and 41.24 +/- 12.19% ICK; P
manner (Shao and Huang 1996). Total extract, polar and < 0.05) was observed indicating a compromised host
non-polar extracts, and their formulations, prepared from defense. The utility of this candidicidal assay in
medicinal plants mentioned in Ayurveda, namely, Withania experimental and clinical studies was discussed by Rege
somnifera (Linn Dunal) (Solanaceae), Tinospora cordifolia and Dahanukar(1993). The aqueous extract of the root was
(Miers) (Menispermaceae), and Asparagus racemosus lethal or inhibitory, in vitro studies to hatching
(Willd.) (Liliaceae) exhibited various of Meloidogyne javanica and M. arenaria. A 1% solution of
immunopharmacological activities in cyclophosphamide the active material contained in the nematicide, Nemaphos
(CP)-treated mouse ascitic sarcoma (Diwanay 2004). Rao O-O-diethyl-O-2-pyrazinyl phosphothionate suppressed
(1982), studied inhibitory action of DMBA induced hatching in dilutions up to 10000 times and was
mammary carcinogenesis. Agrawal et al., (2008) proved comparable to the activity of 1 ml undiluted plant extract
that the aqueous extract of the roots of Asparagus 10 g/100 ml (Swarup and Sharma 1967). Sairam et al.,
racemosus has the potential to act as an effective 2003 have reported antiulcerogenic activity of methanolic
formulation to prevent hepatocarcinogenesis induced by extract of fresh roots of AR in the cold restraint stress
treatment with diethylnitrosamine. Anti-cancer activity of (CRS), pyloric ligation, aspirin plus pyloric ligation induced
asparagus extract was also proved by Seena et al., (1993). gastric ulcer models and cysteamine induced duodenal
There are several studies that indicate a lower rate of ulcer model. AR was found to be effective in the CRU, AL,
breast cancer in populations with a high exposure to and cysteamine induced ulcer models, but was ineffective
phytoestrogens (Beral, 2003) which is found in PL and ASP models. Effectiveness of Asparagus
predominantly in asparagus However; contradictory racemosus ethanol extract compare to the methanol and
studies also exist regarding this evaluation. Studies found distill water extract of the same plant was reveled by
no association between phytoestrogens and breast cancer S.Alok et al.,2008. It was found that the ethanolic extract of
(Weinstein et al., 1993). Asparagus racemosus Willd. had an inhibitory potential on
lithiasis induced by oral administration of 0.75% ethylene
Antilithiatic effect: glycolated water to adult male albino Wistar rats for 28
Kidney stones are one of the most painful and common days. The ethanolic extract, significantly reduced the
disorders of the urinary tract. Depending on where they elevated level of calculogenic ions in urine and it elevated
are located, kidney stones are known as urinary calculi, the urinary concentration of magnesium,which is
urinary tract stone disease, renal calculi, nephrolithiasis, considered as one of the inhibitors of crystallization
ureterolithiasis and urolithiasis. Kidney stones are small, (S.Alok et al., 2008).
solid crystals that develop when salts or minerals in urine Parasitism is a type of symbiotic relationship
become solid inside the kidneys or uterus. Kidney stones between organisms of different species where one
can be due to underlying metabolic conditions, such organism, the parasite, benefits at the expense of the host.
as renal tubular cidosis (Moe 2006), Dent's disease (Lloyd In general, parasites are much smaller than their hosts,
et al., 1996), hyperparathyroidis and medullary sponge show a high degree of specialization for their mode of life,
kidney (Ginalski et al., 1991). There are two drugs have and reproduce more quickly and in greater numbers than
been used Ketorolac (Toradol), an injectable their hosts. Parasites reduce host fitness in many ways,
antiinflammatory drug and Tamsulosin may be used to ranging from general or specialized pathology (such as
help facilitate the passage of stones into the bladder. castration), impairment of secondary sex characteristics, to
Tamsulosin may cause side effects like Sleepiness, difficulty the modification of host behavior. Actions against parasite
falling asleep or staying asleep, weakness, back pain, depend on type of parasite and mode of infection. Drugs
diarrhea, runny or stuffy nose, pain or pressure in the face, are design according to these parasites to cure diseases.
sore throat, cough, fever, chills, or other signs of infection, Some of the antiparasitic drugs are DL-Propranolol,
blurred vision and difficulty ejaculating. Ketorolac may Nitrobenzamides, Diclazuril/Clazuril, Febrifugine,

6 Journal of Pharmaceutical and Biomedical Sciences (JPBMS), Vol. 06, Issue 06


Sharma M et.al. / JPBMS, 2011, 6 (12)

Halofuginone, Halogenated Hydrocarbons, Hetolin, Mycobacterium 607; and antifungal actions against four
Cyclosporin A, Quinuronium sulfate (= Acaprine), fungi viz., Microsporum gypseum, Trichophyton
Amicarbalide, Paraherquamide, Benzimidazoles mentagrophytes, Candida albicans and Helminthosporium
(Albendazole, Mebendazole, Triclabendazole) sativum (Bhawasar et al., 1965). The methanol fraction of
Nifutimox.etc. These drugs are isolated from plants as well the leaves using the disc diffusion test at a concentration of
as from microorganism. And former source is cheapest 4000 and 5000 ppm was found to inhibit Proteus
among all, thus from ancient time people have been used vulgaris while it was devoid of any activity
plants as antiparasitic agent. against Escherichia coli, Klebsiella
aerogenes and Pseudomonas aerogenes (Perumal et al.,
Ethanopharmacological approach 1998). The fresh juice of the plant showed antibacterial
Anticandidal activity of Asparagus racemosus Willd. against activity against Staphylococcus (Bhawasar et al., 1965). The
six species of candida (Candida albicans, Candida tropicalis, extract of the plant showed moderate toxicity
Candida krusei, Candida guillermondii, Candida parapsilosis against Rhizoctonia solaniI (Renu. 1983).
and Candida stellatoida) had evaluated by Uma et al.,
(2009). Asparagus racemosus extract showed high degree Antidiebetic activity:
of inhibition against candida in compare to any other Diabetes is a metabolic disorder. It is a condition in which a
antibiotics. Antibacterial activity of Asparagus racemosus person has a high blood sugar (glucose) level as a result of
was studied against Escherichia coli, Shigella dysenteriae, the body either not producing enough insulin, or because
Shigella sonnei, Shigella flexneri, Vibrio cholerae, Salmonella body cells do not properly respond to the insulin that is
typhi, Salmonella typhimurium, Pseudomonas putida, produced. Where in human body does not produce or
Bacillus subtilis and Staphylococcus aureus by Mandal et al., properly uses insulin, a hormone that is required to
(2000). Asparagus racemosus extract activity against convert sugar, starches, and other food into energy. There
leishmania and plasmodium has also been demonstrated. are three types of drugs have been used for the treatment
(Kigondu et al., 2009). of diabetes are Sulfonylureas (such as Glipizide, and
The alcoholic extract of the root was found to possess in Glyburide), Biguanides (such as metformin),
vitro antibacterial activity against Staphylcoccus Thiazolidinediones (such as Starlix® and Prandin®), Alpha
aureus and Escherichia coli. However, the aqueous extract glucosidase inhibitors (such as Precose®). Metformin
was found to be inactive (George et al., 1947). The hexane, improves hyperglycemia primarily through its suppression
aqueous and alcoholic extracts of the root at concentration of hepatic glucose production (Kirpichnikov et al., 2002).
of 200 mg /ml were devoid of any in vitro antibacterial Metformin decreases hepatic gluconeogenesis by
activity against Bacillus subtilis, Escherichia coli, Proteus interfering with respiratory oxidation in mitochondria. It
vulgaris, Salmonella typhimurium, Pseudomonas suppresses gluconeogenesis from several substrates,
aeruginosa and Staphylococcus aureus using the agar well including lactate, pyruvate, glycerol, and amino acids. In
diffusion test (Ahmad et al., 1998). The juice of the root addition, metformin increases intramitochondrial levels of
showed fungitoxicity against three plant fungi viz., calcium (Ca++), a modulator of mitochondrial respiration. In
Helminthosporium sativum (60. 7%) Colletotrichum insulin-sensitive tissues (such as skeletal muscle),
falcatum (58.2 ) and Fusarium oxysporum (60.7%) (Singh metformin facilitates glucose transport by increasing
and Shanna, 1978). tyrosine kinase activity in insulin receptors and enhancing
The root bark showed marked antibacterial, against eight glucose transporter (GLUT) trafficking to the cell
bacteria viz., Micrococcus pyogenes var. aureus, Bacillus membrane. Metformin inhibits fatty acid (FA) production
subtilis, Diplococcus pneumoniae, Streptococcus pyogenes, and oxidation, thereby reducing fatty acid–induced insulin
Escherichia coli, Salmonella typhosa, Vibrio resistance and hepatic glucose production
comma and Shigella dysenteriae; antitubercular against two
mycobacteria Mycobacterium phlei and
Figure 2: Mechanism of metformin (Kirpichnikov et al., 2002)

Some people have developed a life-threatening condition other hand Glipizide mechanism of action is produced by
called lactic acidosis while taking metformin. Symptoms of blocking potassium channels in the beta cells of the islets of
lactic acidosis are weakness, increasing sleepiness, slow langerhans. By partially blocking the potassium channels, it
heart rate, cold feeling, muscle pain, shortness of breath, will increase the time the cell spends in the calcium release
stomach pain, feeling light-headed, and fainting. On the stage of cell signaling leading to an
increase in calcium. The increase in calcium will initiate insomnia, paresthesia, anxiety, depression,nausea,
more insulin release from each beta cell. But some side dyspepsia, constipation and vomiting, rhinitis, pruritus,
effects are also associated with this drug are Pain,

7 Journal of Pharmaceutical and Biomedical Sciences (JPBMS), Vol. 06, Issue 06


Sharma M et.al. / JPBMS, 2011, 6 (12)

polyuria etc.therefore scientists are looking forward Ethanopharmacological approach


production of cheap drugs with lesser side effects. Ayurvedic treatment of aplastic anemia is basically
directed at treating the immune dysfunction and improving
Ethanopharmacological approach normal bone marrow production. Immuno-modulatory
Diabetes mellitus (DM) is a major cause of disability and herbal medicines like Ashwagandha (Withania somnifera),
hospitalization that presents a significant burden on Shatavari (Asparagus racemosus), Bala (Sida cordifolia),
societies worldwide (Booth et al., 2006). The recent Nagbala (Sida humilis), Yashtimadhuk (Glycerrhiza glabra),
explosion in the area of herbal medicine has lead to a Guduchi (Tinospora cordifolia) and Punarnava (Boerhaavia
resurgence of nutritional, clinical and scientific interest in diffusa) are used. Asparagus is high in folic acid, which is
the potential of plant treatments for diabetes across the essential for the production of new red blood cells and may
world (Swanston-Flatt et al., 1991; Gray and Flatt 1997). therefore be helpful in preventing anemia. It is a rich
More than 100 medicinal plants are mentioned in the source of folate and vitamin K. folate helps to get rid of the
Indian system of medicines including folk medicines for the problem of anemia. Vitamin K is found to play a role in
management of diabetes, which are effective either regulating the process of blood coagulation. Shatavari
separately or in combinations (Kar et al., 2003). Asparagus churna with milk or shatavarisidhdha
racemosus is consistently used by the tribal communities ghrut (medicated ghee) is recommended for women
for the treatment of diabetes (Rana et al., 1996; Rana et al., suffering from anemia especially due to the loss of blood
1999) as well as in modern medicine. As describe above through periods. Hence, asparagus is a vital drug to cure
metformin drug for diabetes increase Ca++ level in anemia.
mitochondria, same mechanism was evaluated by Hannan
et al., (2007). Hannan et al., (2007) revealed that Antioxytocic:
constituents of A. racemosus root extracts have wide- The alcoholic extract of the root exhibited antioxytocic
ranging stimulatory effects on physiological insulinotropic activity. The saponin-glycoside A4, mp 191-95° C in doses
pathways. They found that ethanol extract and each of the of 20-50 µg/ml produced a specific and competitive block
hexane, chloroform and ethyl acetate partition fractions of the pitocin syntocinon -induced contraction of rat,
concentration-dependently stimulated insulin secretion in guinea pig and rabbit uteri in vitro as well as in situ. The
isolated perfused rat pancreas, isolated rat islet cells and saponin also blocked the spontaneous uterine motility. It
clonal beta-cells. And it also increased intracellular Ca (2+), was also found that the hypotensive action of syntocinon in
consistent with the observed abolition of insulin secretory cat was unaffected by previous administration of saponin
effects under Ca (2+) -free conditions. The dried ethanolic A4 (Jetmalani and Gaitonde 1969).
extract 250 mg per kg body weight and the inorganic parts Conclusion
90 mg pure ash/kg body weight of the root revealed From the above description (concluded in Table 1), it may
hypoglycaemic activity in a single dose effect on the oral be concluded that Asparagus racemosus Willd. could be a
glucose tolerance test GTT in fasting albino rats (Kar et al., useful natural herb which posses no side effects compare
1999). to allopathic drugs and can be used to cure many fatal
dieses like cancer, gonorrhea, piles, diabetes etc. There are
Anti anemic: many unraveled applications of this herb remain
A condition in which there is a reduction in the number of uninvestigated in relatively newer areas of its function.
circulating red blood cells per cubic millimeter, the amount Hence, phytochemicals and minerals of these plants will
of hemoglobin per 100 milliliters, or the volume of packed enable to exploit its therapeutic use. The drug is without
red cells per 100 milliliters of blood. It exists when having any serious toxicity or side effects known till date
hemoglobin content is less than that required to provide and thus can be safely used in humans for acute and
the oxygen demands of the body. Anemia is not a disease; it chronic treatment regime.
is a symptom of various diseases. Anemia is classified on In order to have a excellent medicine it is very necessary to
the basis of mean corpuscular volume and by etiological coordinate the quality of raw materials, in process
(causes) factors. Anemia may result from excessive blood materials and the final products, it has become essential to
loss, excessive blood cell destruction, or decreased blood develop reliable, specific and sensitive quality control
cell formation. Due to excessive blood cell destruction: methods using a combination of classical and modern
treatment of specific hemolytic disorder. Due to decreased instrumental method of analysis. In vitro induction of
blood cell formation: replacement therapy to combat the stress response is in progress to increase secondary
specific deficiency (iron, vitamin B12, folic acid, ascorbic metabolites in this plant using various abiotic and biotic
acid). elicitors. This would help in conservation of this species
and provide pharmaceutical component in less time and
cheap cost.
Table 1: Therapeutic use of Asparagus racemosus,proposed mechanism of action.
Therapeutic use of
S.No. Proposed mechanism of action References
Asparagus racemosus
1. Aphrodisiac Plant compound structurally and/or functionally Thakur et al., 2009; (Pandey, Sahay et al.,
similar to ovarian and placental oestrogens. 2005);
Dinan et al., 2001(Dinan,Savchenko et al.,
2001; Dinan L 2001)
2. Alzheimer’s disease • Antioxidative mechanism Parihar and hamnani (2004)
• Regulate neurotransmitters
• Neuritis regeneration

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Sharma M et.al. / JPBMS, 2011, 6 (12)

3. Galactogague Activate adenohypophysis (anterior pituitary Sharma et al., 1996


gland) to produce prolactin Ghosh et al.,1987
Patel and Kaniker 1969
Sabin et al., 1968
4. Immunoadjuvant and • Modify the antigenicity of immunization Gautam et al.,2009
immunomodulater components. Tekade et al., 2008
activity • Activate T cells Singh and Goyal, 2004
• Up-regulation of Th1 (IL-2, IFN-g) and Th2 (IL- Gautam et al., 2004
4) cytokines. Romagnani, 2000
Thatte et al.,1987
5. Antitussive activiy Anti-inflammatory property Waizel and Waizel, 2009
Mandal et al., 2000

6. Adaptogenic activity Modulate stress mediators (corticosteroids, Bopana and Saxena 2007
catecholamines, and nitric oxide) Bhattacharya et al., 2004
Datta et al., 2002
Panossian et al.,1999
7. Anti-diarrhea activity • Balancing the way fluid moves through intestines Venkatesan et al., 2005
• Anti bacterial and anti viral activity Nwafor et al., 2000
• Reduce inflammation Dalvi et al., 1990
Nanal et al., 1974
8. Antiulceric activity Inhibit lipid peroxidation and protein oxidation. Singh et al.,2009
Antioxidant activity Mangal et al., 2005
Bhatnagar et al., 2005
Goyal and singh,2003
Sairam et al., 2003
Datta et al., 2002
Bhatnagar et al., 2005
Kamat et al., 2000

9. Anti depressant • Serotonin reuptake inhibitors Bopana and Saxena, 2007


• Antioxident activity Muruganandam et al.,2003
• Increase GABA level in the brain Sharma, 2001
Rege et al., (1999

10. Anticancer activity • Immunomodulater activity Gautam et al.,2009


• Enhance production of inflammatory cytokines Agrawal et al., 2008
interleukin (IL)-1 and tumor necrosis factor Diwanay et al., 2004
(TNF)-alpha by macrophages Neelam et al., 2001
• Inhibited the growth of human leukemia HL- Dhuley, 1997
60 cells Shao et al.,1996
Beral 1993
11. Antilithiatic effect Asparagus racemosus ethanolic extract reduce Chitme et al.,2010
oxalate, calcium and phosphate ions in urin which S.Alok et al.,2008
are the main cause of renal stone formation. Christina et al., 2005
Sairam et al.,2003
Rege and Dahanukar1993
Swarup and Sharma, 1967

12. Antiparasitic activity Inhibition of parasite through antiparasitic agents Uma et al., 2009
which break parasite resistance system. Kigondu et al., 2009
Biochemical of this plant act by two ways: Mandal et al.,2000
• Destruction of metabolic pathways of parasite. Perumal Samy et al., 1998]
• Disturb physical resistance system of parasite. Singh and Sharma, 1978
Bhatnagar et al., 1961
George et al., 1947

13. Antidiebetic activity Hypoglycaemic activity Hannan et al., 2007


Increased intracellular Ca (2+) Booth et al., 2006
Balami,N.P., 2004
Kar et al, 2003
Rana et al., 1999
Gray & Flatt 1997
14. Anti anemic Vitamin K coagulate blood Dr.Satish Kulkarni,2009
Folic acid produce new blood cells

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