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Journal of Ethnopharmacology 265 (2021) 113270

Contents lists available at ScienceDirect

Journal of Ethnopharmacology
journal homepage: www.elsevier.com/locate/jethpharm

Review

A review on phytochemistry and pharmacological uses of Tecoma stans (L.)


Juss. ex Kunth
Mukul Anand *, 1, R. Basavaraju 1
Department of Biosciences, Sri Sathya Sai Institute of Higher Learning, Prashanthi Nilayam, 515134, Dist. Anantapur, Andhra Pradesh, India

A R T I C L E I N F O A B S T R A C T

Keywords: Ethnopharmacological relevance: Tecoma stans (L.) Juss. ex Kunth (Bignoniaceae) is an attractive evergreen plant
Tecoma stans known as kusi urakame, koyawari, Palo amarillo, tronadora, yellow-elder, yellow trumpet bush, trumpet-flower, yellow-
Ethnopharmacological bells, trumpet bush, ginger-Thomas, esperanza, and timboco. It is widely used in traditional Mexican medicine, to
Constituents
treat hyperglycemia, gastrointestinal and urinary tract disorders, jaundice, toothaches, headaches, colds, skin
Therapeutic potential
infections, and scorpion, snake, and rat bites. Current research focusses on evaluating its bioactive components
Toxicity
and therapeutic potential.
Aim of the study: The current article reviewed the information available on Tecoma stans ethnopharmacology,
geographical distribution, chemical composition, phytochemistry, therapeutic effects, and toxicology.
Material and methods: Information of botanical description, distribution, traditional uses, chemical composition,
bioactive components, and therapeutic investigations was gathered from a comprehensive literature search of
electronic databases such as Science Direct, PubMed, Web of Science, Wiley, ACS, Springer, Taylor and Francis,
Google Scholar, and SCOPUS until 2020 for publications (peer-reviewed articles, eBooks, short communications,
reports from international organizations, and case letters). Information was also included from books, conference
proceedings, and thesis. Primary keywords for data collection were “Tecoma stans,” and “Ethnopharmacology,”
followed by secondary keywords such as “Constituents,” “Therapeutic effect,” and “Toxicity.”
Results: An exhaustive comparative study of the accessible sources of Tecoma stans confirmed its origin, ethno­
pharmacological and therapeutic uses. More than 120 chemical compounds have been isolated, and the main
active principles are alkaloids, phenolic acids, flavonoids, and fatty acids. The plant possesses vast therapeutic
benefits, such as lowering elevated blood sugar levels, anti-inflammatory, anti-cancer, anti-bacterial, anti-fungal,
anti-oxidant, hepatoprotective, and wound healing actions.
Conclusions: Comprehensive literature analysis exhibits that many populations have utilized Tecoma stans around
the globe with specific reference to different parts of Mexico. The above information shows that the plant holds
many hidden potentials and can, therefore, be studied extensively for its phytoconstituents and therapeutic ef­
fects. However, while going through the literature, it was observed that incomplete data is reported on in vivo
trials, especially concerning its dosage, positive and negative control groups, intervention time, and toxicity
studies. Additionally, there is a lack of information on its complete nutritional and phytochemical profiling. We
trust that this review will help lay the groundwork for encouraging pharmacological and pharmaceutical studies.
It will also direct us to understand the clinical relevance and applications of bioactive compounds from Tecoma
stans in the prevention and treatment of diseases.

trumpet bush, ginger-thomas, esperanza, timboco, is native in the high


altitude regions of South America and the drier habitats of North
1. Introduction
America. It has become naturalized in tropical and subtropical areas of
Africa, Asia, and Oceanica (https://www.cabi.org). It is grown as an
Tecoma stans (L.) Juss. ex Kunth (Bignoniaceae), also known as kusi
ornamental plant with attractive clusters of cup-shaped bright yellow
urakame, koyawari, Palo amarillo, tronadora (Irigoten-Rascon and Par­
faintly scented flowers, evergreen foliage, and abundance of fruits and
edes, 2015), yellow-elder, yellow trumpet bush, trumpet-flower, yellow-bells,

* Corresponding author.
E-mail addresses: mukulanand@sssihl.edu.in (M. Anand), rbasavaraju@sssihl.edu.in (R. Basavaraju).
1
Both authors share same contribution towards the paper.

https://doi.org/10.1016/j.jep.2020.113270
Received 11 July 2018; Received in revised form 1 August 2020; Accepted 9 August 2020
Available online 18 August 2020
0378-8741/© 2020 Elsevier B.V. All rights reserved.
M. Anand and R. Basavaraju Journal of Ethnopharmacology 265 (2021) 113270

Abbreviations IL Interleukin
LDL Low-Density Lipoprotein
AC Atherogenic Coefficient LD50 Lethal Dose
AI Atherogenic Index MCF-7 Michigan Cancer Foundation-7
ALP Alkaline Phosphatase MEF Mouse Embryonic Fibroblast
ALT Alanine Aminotransferase MCP-1 Monocyte Chemoattractant Protein-1
AMPK Adenosine Monophosphate-Activated Protein Kinase MDA Malondialdehyde
BAP 6-Benzylaminopurine MTT 3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium
BHT Butylated Hydroxyl Toluene bromide
bw body weight L-NAME NG-nitro-L-arginine Methyl Ester
CAE Catechin Equivalent 2-NBDG (2-[N-(nitrobenz-2oxa-1,3-diazol-4-yl)amino]-2-deoxy-D-
CCh Carbachol glucose)
CCl4 Carbon Tetrachloride PCM Paracetamol
DMSO Dimethyl sulfoxide PPAR-γ Peroxisome Proliferator Activated Receptor-γ
DPPH 2,2-Diphenyl-1-picrylhydrazyl KCl Potassium Chloride
2,4,-D 2,4-Dichlorophenoxy acetic acid QE Quercetin Equivalent
dw dry weight basis SGPT Serum Glutamate Pyruvate Transaminase
EAC Ehrlich Ascites Carcinoma SGOT Serum Glutamate Oxaloacetate Transaminase
EC50 Half-Maximal Effective Concentration SOD Superoxide Dismutase
FAO Food and Agriculture Organization TAA Thioacetamide
5-FU 5-Fluorouracil TC Total Cholesterol
GAE Gallic Acid Equivalent TGL Triglycerides
GLUT Glucose Transporter TNF-α Tumor Necrosis Factor-α
HbA1c Glycated Hemoglobin TPTZ 2,4,6-Tri(2-pyridyl)-s-triazine
GSH Reduced Glutathione VDCCs Voltage-Dependent Calcium Channels
HDL High-Density Lipoprotein VLDL Very Low-Density Lipoprotein
HEP-2 Human Epithelial Type 2 VERO Verda Reno
IC50 Half-Maximal Inhibitory Concentration

seeds (White, 2003). The plant has been approved and listed in the Plant in the field of biomedicine, food packaging, and wound healing (Arun­
List and the Medicinal Plant Names Services (https://www.theplantlist. kumar et al., 2013). The purpose of this review is to display its ethno­
org; https://mpns.science.kew.org). pharmacological uses, and gaps in phytochemistry, pharmacological
In 1570, Hernandez, a royal physician, first described this plant in his actions, and toxicity. As an essential traditional Mexican medicine,
work. Later, a few Mexican scientists gradually included this plant in further studies on Tecoma stans can lead to the development of new
their work, studied its medicinal potential, and recommended its role in drugs and therapeutics for various diseases.
treating hyperglycemia using leaf infusion. Indigenously the plant parts
find their use in the treatment of several diseases and conditions. Some 2. Data collection
of them include hyperglycemia, intestinal disorders, kidney problems,
jaundice, skin infections, toothaches, headaches, joint pains, sore eyes, 2.1. Method
and heart pain. Additionally, it is one of the commonly used antidotes
for snake, scorpion, and rat bites. A comprehensive data search on plant description, distribution,
Pharmacological studies have reported hypoglycemic, hypolipi­ traditional uses, chemical composition, and therapeutic effects was
demic, anticancer, antioxidant, immunomodulatory, analgesic, antimi­ gathered from peer-reviewed articles, eBooks, short communications,
crobial, antispasmodic, wound healing, and hepatoprotective properties reports from international organizations, and case letters. Multiple
(Pullaiah, 2002; Pullaiah and Naidu, 2003; Prajapati and Patel, 2010; recognized international electronic databases such as Science Direct,
Rajamurugan et al., 2013; Verma, 2016; Anburaj et al., 2016a,b,c; Bakr PubMed, Web of Science, Wiley, ACS, Springer, Taylor and Francis,
et al., 2019). Up to now, around 120 compounds have been identified Google Scholar, and SCOPUS were used to gather the information using
and isolated from the plant. Some of the major compounds include “Tecoma stans” and “Ethnopharmacology for the primary searches; and
monoterpene alkaloids, phenolic acids, flavonoids, carotenoids, terpe­ then “Constituents,” “Therapeutic potential,” and “Toxicity” for the
noids, glycosides, phytosterols, volatile oils, and unsaturated fatty acids secondary searches. Information was also included from books, confer­
(Taha, 1954; Sbihi et al., 2015; Taher et al., 2016; Alade et al., 2019; ence proceedings, and thesis. Also, the plant taxonomy was confirmed
Mohammed et al., 2019). Among these, monoterpene alkaloids, using certified databases such as the Plant List and the Medicinal Plant
phenolic acids, flavonoids, and fatty acids are the main bioactive com­ Names Services.
ponents that contribute to its therapeutic benefits. Tecomine and
chlorogenic acid from plant leaves have exhibited glucose-lowering 2.2. Results
ability (Rodriguez de Sotillo and Hadley, 2002; Constantino et al.,
2003a,b). Additionally, a potential pancreatic lipase enzyme inhibitory Information on ethnobotanical studies of the plant was obtained
drug consisting of chrysoeriol and apigenin isolated from leaves has using primary research papers. Table 1 gives data on plant’s traditional
been researched by Ramirez et al. (2012). The plant is useful as a medicinal uses, part(s) used, method of preparation, and its region of
lubricant, cosmetic, and flavoring component and in perfumery (Dr. use. Priority was given to those investigations which were carried out
Dukes Phytochemical and Ethnobotanical Database, Agricultural using the right experimental design and correct methodology. Research
Research Services, USDA). Recently, researchers have used plant leaf publications with inappropriate study designs and results were not
and flower for synthesizing silver nanoparticles, showing its application included in the review. Data published on chemical composition and in

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M. Anand and R. Basavaraju Journal of Ethnopharmacology 265 (2021) 113270

vitro therapeutic efficacy using a correct methodology (plant parts used 4.2. Habitat
for extraction, medium and method of extraction, positive and negative
controls, and units of expression) was retained. Papers and research It is a light-demanding plant and requires nearly full sunlight for
work published with experimental evidence in one or more human and survival. Roadsides and disturbed areas are the most common habitats.
animal models exhibiting plant’s therapeutic efficacy were also included The plant is found to be intolerant to heavy frost and wind, tolerant to
in the article. Studies with appropriate usage of controls, standard or moderate salt concentrations, and has a high resistance to drought
commercial drugs, a dose range of pharmacological relevance were conditions. It grows in most well-drained soils, receiving a mean rainfall
incorporated. This review is relatively exhaustive concerning its of 7001800 m. It prefers clay loams but stands most types of soils, and it
ethnobotanical uses, chemical composition, therapeutic potential, is particularly tolerant of alkaline soil conditions. It grows up to 10–20
toxicity, and side effects studied by various researchers on this plant. years following disturbance (Tipton, 1994; Lohmann, 2006; Orwa et al.,
2009).
3. Morphological description
4.3. Propagation
It is a medium-sized evergreen flowering perennial deciduous shrub;
the plant is 1.5–7.5 m tall and 1–2.6 m wide (Fig. 1 a). The basal stems The plant multiplies from seeds and can also be propagated from
have a smooth bark, which turns light grey, is lepidote when young, green cuttings. Seedlings are easy to transplant, which bloom within two
develops grooves, and furrows with age. The green leaves are compound years. The early growth of the plant is relatively rapid and can achieve
and saw-toothed (5–13), and the leaflets have an opposite arrangement approximately 1 m height. They can grow at higher altitudes but with
on the unwinged rachis except for a single terminal leaflet. They are less flowering. Young plants need frequent irrigation and protection
slightly hairy on the undersides near the midrib, and in the vein axils, from livestock, but once established, they can survive well on irregular
5–8 cm long and 4 cm wide with a short petiole, lanceolate (elliptic or watering and care. Annual pruning is necessary to keep them under
ovate), and the apex is acute with a narrow base (Fig. 1 b). The flowers of control. After massive bloom, some plants become partially deciduous
the plant are showy, bright yellow, about 4–5 cm long with a short and often chlorotic. Thus, it is the best time to prune, as there is more
petiole, tubular in shape, with faint orange to red strips running down convenient access to the interior part of the plant. Many insects, para­
the throat, and have five rounded lobes. They occur in series on clus­ sitic plants, and disease organisms attack the species, but none of them
tered racemes, with up to 50 flowers in each, at branch tips bending the seems to pose a severe threat (White, 2003).
twigs into arches and appearing like golden bells from far (Fig. 1 c). In
India, it blooms in abundance in the fall, with a shorter blooming period 5. Traditional uses
in spring. The flowers have a fragrance that attracts bees, humming­
birds, butterflies, and other pollinators. The fruit is 10–25 cm long; it has All the parts of the plant have been used in traditional medicine to
a bean-shaped capsule with two sections, each containing approxi­ treat many diseases and conditions. The plant is extensively used in
mately 10–20 seeds in each locule (Fig. 1 d). Initially, it is green, but as it Mexican traditional medicine to lower elevated blood glucose levels,
ages, a change in pod color from olive green to pale brown occurs. Dried treat disorders of the intestine, liver, and skin and relieve toothache,
fruits stay on the tree in untidy clusters for many months, slowly open headache, joint pain, and cold. Moreover, it is used as an effective
up, and release many papery and winged seeds (Fig. 1 e) that float away diuretic and an antidote against a scorpion, snake, and rat bite. Tara­
to nearby areas by breeze (Verma, 2011; Dhanya et al., 2013; Labhane humaras are indigenous people of America with significant populations
and Dongarwar, 2014). Fig. 1 a to e shows the whole plant and its parts living in Chihuahua, Durango, and Sonora of Mexico. They address
photographed in the Puttaparthi region of Andhra Pradesh, India. Tecoma as kusi urakame, koyawari, Palo amarillo, and tronadora, and it is
still used extensively as a home remedy by the group. Tea prepared from
4. Geographical distribution, habitat, and propagation flowers is used to relieve cold and is also used to rub chest during heart
pain. The plant also finds its use as a remedy for sore eyes among this
4.1. Geographical distribution population (Irigoten-Rascon and Paredes, 2015). The plant leaf is used
by the rural community of Kyaing Tong Township, Mynamar, for healing
The native distribution of the plant ranges from southern Texas, New cracked bones, relieving joint pains due to rheumatoid, and treating
Mexico, and Arizona to Bolivia and northern Argentina and from Flor­ fevers, and snake bites (Moe and Hlaing, 2019). In India, the plant finds
ida, The Bahamas, to The Caribbean. It has become naturalized in many its use as an antidiabetic agent and as an effective therapy against snake,
parts of tropical and subtropical countries, namely, Africa (Botswana, scorpion, and rat bite in the Satara and Salem districts of Maharashtra
Cabo Verde, Ethiopia, Kenya, Malawi, Mauritania, Mauritius, Nigeria, and Tamil Nadu (Thangadurai, 1998; Mishra et al., 2008). Table 1 shows
Rwanda, South Africa, Tanzania, Uganda, Zambia, Zimbabwe), Asia the traditional uses of the different parts of the plant.
(India, Indonesia, Philippines), Oceania (American Samoa, Western
Australia, Queensland, Christmas Island, Cook Island, Federated States 6. Chemical composition
of Micronesia, Fiji, French Polynesia, Guam, Kiribati, Marshall Islands,
New Caledonia, Niue, Northern Mariana Islands, Palau, Samoa, Solomon 6.1. Nutritional components
Islands, Tonga) (FAO, 1986; https://www.cabi.org). In India, it is widely
distributed from the Shiwalik ranges in the Himalayas to the plains The total moisture content in leaf ranged from 5.90 to 11.75%
extending to the tip of the southern part of India. It has been recorded in (Prajapati and Patel, 2010; Rao et al., 2010; Sunamola et al., 2012;
different regional floras of the country, namely, Shimla in Himachal Abere and Enoghama, 2015). The moisture content of 7.7% in seed has
Pradesh (Thakur et al., 2012); Nalgonda, Baptala, Tirumala hills, Put­ been reported by Vargas-Figueroa and Torres-Gonzalez (2018). Plant
taparthi, Simhachalam, and Warangal in Andhra Pradesh (Prasanna callus induced from leaf showed the presence of sugars such as glucose,
et al., 2013; Anand and Basavaraju, 2016); Bargarh and Cuttak in Orissa fructose, sucrose, and xylose (Dohnal, 1976, 1977). Sunamola et al.
(Das et al., 2010; Dash et al., 2011; Giri et al., 2012); Chennai, Hosur, (2012) reported carbohydrate and crude fiber content of 46.27 and 9.25
and Namakkal in Tamil Nadu (Ghandhi and Ramesh, 2010; Thirumal g/100 g dw in leaf. Protein content of 20.24 and 26.24 g/100 g dw in
et al., 2012; Kameshwaran et al., 2012; Rajendran et al., 2011; Raja­ leaf has been reported by Sunamola et al. (2012) and Rodriguez et al.
murugan et al., 2013); Pune in Maharashtra (Torane et al., 2011); (2015). The total ash content of leaf ranged between 5.02 and 13.00
Modasa in Gujarat (Prajapati and Patel, 2010); Karnataka and Western g/100 g on dw (Prajapati and Patel, 2010; Rao et al., 2010; Sunamola
Ghats (Shanmukha et al., 2013a,b). et al., 2012; Agarwal and Karthikeyan, 2014; Abere and Enoghama,

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M. Anand and R. Basavaraju Journal of Ethnopharmacology 265 (2021) 113270

Fig. 1. (a)–(e) Exhibits whole plant and parts of the plant photographed in Puttaparthi region of Andhra Pradesh, India. (a) Full image of the plant during
blooming period. (b) Saw-toothed leaves and aging bark of the plant. (c) Bell shape flower of the plant. (d) Bean-shaped fruit of the plant. (e) Seeds collected from the
dried fruits of the plant.

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Table 1 Table 1 (continued )


Ethnobotanical uses of Tecoma stans. S. Medicinal use and Part(s) used Traditional Region of use
S. Medicinal use and Part(s) used Traditional Region of use No. reference preparation
No. reference preparation
Relieve menstrual Flower Infusion –
Treat Leaf and Infusion Central cramps and as an
hyperglycemiaa,b,j,m,n,o,t flowera,j,m,n,o America and emmenagoguee
Mexico Immunostimulatori Aerial parts – Mexico,
Leafb,t – Central Central
America, America, and
Mexico, and the
Salem, India Caribbean
Used as eupeptic Leafa Infusion – Treat sore eyesk Flower Infusion Mexico
(alcoholic gastritis) and Leafm – California Relive heart pain Flower Infusion Mexico
treat dysenterya,m (rubbed over chest)k
Mild tonica,t Leaf and Infusion – Treat Joint paink Leaf The smoke of –
roota 10–12 dried
Roott – Salem, India brunt leaves
Treat stomach ulcersq Leaf and root – Kyaing Tong is given to the
Township, patient twice
Mynamar a day for 7–10
Reduce stomach painb,c, Leafb – Mexico, and days
Kyaing Tong Heal cracked bones and Leaf The leaf is Kyaing Tong
Township, relive rheumatoid joint mixed with Township,
Mynamar painq other Mynamar
Flower and Decoction Veracruz medicinal
barkc plants and
Treat piles h,p
Seedh Roasted seeds – rice water to
(100 g) in 1 L form a paste
mustard oil and applied
for few hours as a poultice
and applied to the
on the affected area.
affected area Heals cracked
twice a day bone within a
for 15 days week for
Leafp Infusion Bangladesh young and
Appetite stimulantb Leaf – – within 15
Reduce toothachesb Leaf – – days for
Treat coldk, jaundicem, Leaf and – – adults above
headache, and kidney flowerd,e 25 years.
problemsd,e,k Flowerk Infusion Mexico The leaf is
Leafm – California mixed with
Antipyreticc,f Leaf, wood, – – Mimusops
and oil elengi L. leaf
Antisyphilitic actiona,j Roota Infusion – with half cup
Leafj – Mexico rice and little
Treat skin infections g
Leaf and Poultice Mexico alcohol. The
flower paste of this
Diuretic and for treat Root and Strong Mexico and pounded
urinary flowera,c,e decoction Central mixture is
disordersa,c,e,i,j,l,m,n,o,t America applied to
Aerial partsi – Mexico, heal the
Central cracked
America, and bones within
the a week. This
Caribbean mixture is
Leafj,m,n,o – Central also used to
America and relieve
Mexico rheumatic
Rootl,t – – joint pain.
Salem, India Treat malaria feverq Leaf Roasted Kyaing Tong
Vermifuge c,j,l,t
Leaf c
Strong – leaves Township,
decoction decoction Mynamar
Leafj – Mexico Measlesq Leaf A decoction Kyaing Tong
Rootl,t – – of the leaf Township,
Salem, India along with Mynamar
Smooth muscle relaxant, Bark – – Passiflora
mild cardiotonic, and edulis leaf is
chlorecticc used for
Antidote for scorpion Rootc,e Decoction Mexico and bathing
and rat bitec,e,r, and India during
snake venomc,e,q,r Leafq,r – Kyaing Tong measles
Township, Relieve feverq Leaf A paste of Kyaing Tong
Mynamar fresh leaf Township,
and with salt is Mynamar
Jharkhand, applied on
India the anus to
relieve fever
(continued on next page)

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M. Anand and R. Basavaraju Journal of Ethnopharmacology 265 (2021) 113270

Table 1 (continued ) and sinapic acids; sitosterols; triterpenoids; and flavonoids, namely,
S. Medicinal use and Part(s) used Traditional Region of use flavonone, apigenin (Fig. 3 e), chrysoeriol (Fig. 3 f), kaempferol (Fig. 3
No. reference preparation g), luteolin (Fig. 3 h), quercetin (Fig. 3 i), rutin (Figs. 3 j), 7,8-dihy­
especially in
droxy-4,6-dimethoxy flavone, and verbascoside (Rastogi and Mehro­
children tra, 1993; Lins and Felicio, 1993; Srivastava, 1994; Marzouk et al., 2006;
Treat giddinesss Leaf A paste of 20 Assam, India Ramirez et al., 2016).
fresh leaves Bioactive components such as 2-(3,4-dihydroxy phenyl) ethyl – 2 – O
diluted in
- [6 – deoxy - α- L – mannopyranosyl 4 - (3, 4 - dihydroxy phenyl) -2-
water is
consumed to propenoate]-β-D-glucopyranose, 4-OE caffeoyl-α-L-rhamnopyranosyl-
treat (1–3)-α/β-D-glucopyranose, E/Z acteoside, isoacteoside, 5-hydroxysky­
giddiness tanthine hydrochloride, rutin, luteolin 7-O-β-D-neohespridoside, and
Same paste is luteolin 7-O-β-D-glucopyranoside have been reported in pod. Plant
also applied
on the
flowers have shown the presence of compounds such as luteolin 7-O-β-D-
forehead to glucuronopyranoside, diosmetin 7-O-β-D-glucopyranoside, diosmetin
get relief from luteolin 7-O-β-D-glucopyranoside, diosmetin 7-O-β-D-glucuronopyr­
the same anoside methyl ester, and acteoside (Anburaj et al., 2016a,b,c).
a
FAO, 1986.
b
Aarland et al., 2015. 6.2.1. Leaves, branches, and bark
c
Kandakatla et al. (2010). Govindappa et al. (2011) determined the total phenolic compound
d
Alarcon-Aguilar and Román-Ramos (2006). content (mg GAE/g extract) of 216, 206, and 177 in methanolic, etha­
e
Argueta (2014). nolic, and aqueous extracts. Among the phytochemicals (mg/100 g dw)
f
Sharma et al. (2010). analyzed in the leaf, Hussain et al. (2011) observed the highest amount
g
Quattrocchi (2012). of alkaloids (51.5), followed by saponins (11), flavonoids (0.53), and
h
– Shah and Lone (2018).
i tannins (0.19), and least amount of phenols (0.031) expressed as a
Del Amo (1979).
j percent dw. However, Dash et al. (2011) reported 5.7 for flavonoids, 5.4
Pelton (1964).
k
Irigoten-Rascon and Paredes (2015). for alkaloids, 0.4 for tannins, 0.38 for saponins, and 0.1 for phenols.
l
Khare, 2006. A study conducted by Salem et al. (2013) showed that methanolic
m
Winkelman (1986). extract exhibited the highest amount of polyphenols and flavonoids in
n
Lozoya et al. (1987). leaf and branch samples of Tecoma stans as compared to other extracts,
o
Shapiro (2002). namely, ethanolic, aqueous, and n-butanol. However, the chloroform
p
Rahmatullah et al. (2010). extract did not show the presence of both phytochemicals. Total
q
Moe and Hlaing (2019). phenolic content (mg GAE/g extract) determined in methanolic extract
r
Jaipuriar, 2007. was 37.7 in branch and 50.3 in leaf, followed by 30.33 and 44.1 in
s
Baishya and Bora (2007).
t
ethanolic extracts, 20.67 and 24.3 in n-butanol extracts, and 23.66 and
Mishra et al. (2008).
25.33 in branch and leaf aqueous extracts, respectively. A similar trend
was observed for flavonoid (mg CAE/g extract) content in branch and
2015). The fat content of 15 g/100 g dw has been determined by Sbihi leaf samples with 30.66 and 40.66 in methanolic extract, followed by
et al. (2015) in plant seed, which contained 89% unsaturated fatty acids. 25.33 and 35 in ethanolic, 17, and 19.66 in butanol, and 15 and 17.66 in
However, a lower crude fat content of 2.57 g/100 g dw Sunamola et al. aqueous extracts, respectively.
(2012) has reported in plant leaf. Aarland et al. (2015) analyzed the methanolic leaf extract (dw) and
Maiti et al. (2016) studied the presence of certain minerals (mg/100 identified bioactive components, namely, total phenols (411 GAE
g dw), which include potassium (5722), phosphorus (136), magnesium mEq/g), flavonoids (5.76 QE mEq/g), and chlorogenic acid (34.6 ppm).
(31.0), iron (2.64), zinc (2.95), and copper (2.57). The authors also However, caffeic acid was not reported in the study.
analyzed the percentage of carbon (48.8) and nitrogen (3.28) in the leaf Taher et al. (2016) determined total phenolic and flavonoid content
samples. Sunamola et al. (2012) presented the calcium, iron, zinc, and in leaf crude methanolic, methylene chloride, ethyl acetate, butanol, and
copper content of 145.99, 8.147, 2.636, and 0.66 mg/100 g dw, crude flavonoid extracts. Ethyl acetate showed the highest presence of
respectively, in leaf. total phenols (279.41 mg GAE/g extract) and flavonoids (59.91 mg
QE/g extract), followed by crude flavonoid (264.7 and 55.55), crude
6.2. Phytochemical profile methanol (230.3 and 51.19), butanol (232 and 45.75), and methylene
chloride (102.49 and 39.21) extracts, respectively. HPLC analysis
On screening, the plant parts showed the presence of compounds detected a total number of 23 phenolic compounds (mg/100 g dw) in the
such as polyphenols, flavonoids, terpenoids, alkaloids, glycosides, phy­ methanolic extract. Among them, rutin (112.7) was the predominant
tosterols, saponins, tannins, and fatty acids. Among the various solvents phenolic derivative, followed by ferulic acid (31.38), pyrogallol (29),
used, methanol and ethyl acetate showed maximum extraction and rosmarinic acid (27.1), 3,4,5-trimethoxy cinnamic acid (21.56), nar­
presence of the phytochemicals (Raju et al., 2011; Taher et al., 2016). ingin (21.4), chlorogenic acid (17.04), quercitrin (16.6), quercetin (14),
Hammouda and Motawi (1959) identified the first alkaloid from leaf protocatechuic acid (11.01), catechin (10.74), ellagic acid (8.91), hes­
and named it as tecomine (Fig. 2 d). Later, in 1966, Hammouda and peretin (7.97), p-hydroxybenzoic acid (6.28), vanillic acid (5.87), iso­
Amer reported the next alkaloid called tecostanine (Fig. 2 e). Other re­ ferulic acid (5.02), apigenin (3.9), kaempferol (2.8), p-coumaric acid
ported leaf alkaloids include boschniakine (Fig. 2 a), 4-hydroxytecoma­ (1.49), caffeic acid (1.40), gallic acid (0.9), 7-hydroxy-flavone (0.9), and
nine (Fig. 2 b), N-normethylskytanthine (Fig. 2 c), 5-hydroskytanthine, cinnamic acid (0.31).
7-hydroskytanthine, γ-skytanthine, tecomanine, and 4-noractinidine. Studies have explained that different physiological stages of a plant
Gradually, the interest shifted towards the identification and determi­ have a specific need for nutrients and phytochemicals to support its
nation of other functional molecules in the leaf as well as other parts of growth and dry period. Anand and Basavaraju (2016) performed a
the plant. Other functional components reported in the leaf include comparative analysis in the leaf at two physiological stages of the
phenolic acids, namely, chlorogenic (Fig. 3 a), cinnamic acid (Fig. 3 b), Tecoma plant, namely, flowering and pre-flowering. On qualitative
ferulic acid (Fig. 3 c), gallic acid (Fig. 3 d), caffeic, vanillic, o-coumaric, screening of the phytochemicals, solvents such as aqueous, methanol,

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M. Anand and R. Basavaraju Journal of Ethnopharmacology 265 (2021) 113270

Fig. 2. (a)–(e) Alkaloids identified in the plant leaf. (a) Boschniakine. (b) 4-hydroxytecomine. (c) N-normethylskytanthine. (d) Tecomine. (e) Tecostanine.

and ethyl acetate, showed a higher presence of polyphenols, flavonoids, 6.2.2. Flowers
and tannins during the flowering phase than the vegetative phase. Taha (1954) isolated two carotenoids from yellow bell flowers,
Chloroform and hexane extracts did not show phenolic components. namely, β-carotene and zeaxanthin. The total carotenoid content was
Alkaloids were slightly high in the pre-flowering stage with the highest 12.6 mg/100 g fw, of which 1.8 mg was β-carotene from the epiphasic
extractability in methanol and chloroform extracts. Saponins and ter­ fraction, and the remaining 10.8 mg was zeaxanthin from the hypo­
penoids did not show any variation based on changes in the physio­ phasic fraction. Ranjit et al. (2015) observed flavonoid (mg QE/g
logical stages and showed higher extraction in the methanolic extract. extract) content of 195 and 160.5 in aqueous and chloroform extract.
However, alkaloids and terpenoids were absent in the aqueous extract
during both plant stages. Phenolic compounds play a significant role in 6.2.3. Seeds
the development, regulation, and structuring of plants. In line with this, Various fatty acids determined in the plant seed oil include octadeca-
higher accumulation of these phytochemicals (mg/100 g dw), namely, trans-3, cis-9,12,15-tetraeonic, palmitic, stearic, octadecadienoic, octa­
3984.2 for polyphenols, 199.2 for flavonoids, and 14.8 for tannins, was decatrienoic, and octadecatetraenoic (Hopkins and Chisholm, 1965;
observed during the flowering stage than during the vegetative phase, Yoganarasimhan, 1996; Khare, 2007). Recently, Sbihi et al. (2015)
which exhibited comparatively lower levels of 2236.8, 118.4, and 11.5 studied the fatty acid composition of seed oil by gas chromatography,
for polyphenols, flavonoids, and tannins, respectively. Alkaloids are where UFAs accounted for 89.43% of the total fat content. Among the
known to vary between vegetative and generative stages of a plant and fatty acids identified, linoleic acid (45.47) was the highest, followed by
are at their peak during the budding phase. The levels tend to increase oleic (23.56), (11.48), palmitic (6.09), stearidonic acid (6.65), stearic
significantly during the seed bearing period, followed by a decline in the acid (4.12), and γ-linolenic acid (1.04). Fig. 4 (a and b) shows linoleic
levels as the seed ripens. The authors of the study also reported high acid and oleic acid. The extracted oil sample was further investigated for
alkaloid content of 2450 mg/100 g dw during the pre-flowering stage its vitamin E, polyphenol, and flavonoid contents. On HPLC analysis, the
than during the flowering stage (1783). Thus, both stages showed total vitamin E content observed was 266.06 mg/100 g oil, of which
different levels of phytochemicals in the leaves, which majorly depends γ-tocopherol (78.93%) was the highest followed by δ-tocotrienol
on the physiological stage of the plant, followed by the type of extraction (18.63%) levels. The extracted oil showed a polyphenol and flavonoid
medium, and extractability. However, plants resistance towards envi­ content of 168.69 mg GAE/100 g oil and 5.54 mg CAE/g oil, respec­
ronmental stress, namely, hot temperature, drought, high solar expo­ tively. The iodine value of 180.4 g/100 g oil supports high unsaturation
sure, and soil salinity, can also be the stimulating factor that allows of the extracted seed oil. Also, pigments (mg/kg) such as chlorophyll
biosynthesis and accumulation of these substances during different (1.84) and carotenoids (2.49), were also observed in the seed oil. The
phases of their growth. antioxidant components of the oil, namely, carotenoids, vitamin E,

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M. Anand and R. Basavaraju Journal of Ethnopharmacology 265 (2021) 113270

Fig. 3. 3 (a) to 3 (j) Phenolic acids and flavonoids identified in the plant leaf. (a) Chlorogenic acid. (b) Cinnamic acid. (c) Ferulic acid. (d) Gallic acid. (e)
Apigenin. (f) Chryseriol. (g) Kaempferol. (h) Luteolin. (i) Quercetin. (j) Rutin.

Fig. 4. 4 (a) and (b) Major unsaturated fatty acids of the plant seed oil. (a) Linoleic acid. (b) Oleic acid.

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M. Anand and R. Basavaraju Journal of Ethnopharmacology 265 (2021) 113270

polyphenols, and flavonoids, not only benefits the health but also keep animals. For the in vitro model, the isolated alkaloid fractions, namely,
the oil stable and provides good shelf life. Moreover, the UFAs identified tecomine, boschniakine, and 5β hydroxyskytanthine, were studied for
from the oil are of importance to food and pharmaceutical industries and their stimulating effect on the basal glucose uptake rate in normogly­
can be used in designing food supplements for general and therapeutic cemic rat white adipocytes at a concentration of 1 mM prepared in
health. Therefore, concerning its excellent fatty acid composition and DMSO. Among the extracts, tecomine produced a potent stimulating
presence of antioxidants, the seed oil can be valorized as a new source of effect on the basal glucose uptake rate with an EC50 value of 0.007 μM.
vegetable oil. However, studies need to be undertaken concerning its However, the other two extracts were inactive even at a concentration of
safety before consumption. 100 μM.
Similar results were observed by Aguilar-Santamaria et al. (2009)
7. Pharmacological properties where acute, and sub-chronic administration of Tecoma leaf aqueous
extract for 21 days at doses ranging between 125 and 1000 mg/kg and
7.1. Hypoglycemic 500 mg/kg, respectively did not modify fasting blood glucose levels in
healthy and streptozotocin induced diabetic Sprague-Dawley rats.
Mexican traditional medicine system has been using this plant for Additionally, the extract doses did not exhibit any change in the glucose
more than 100 years extensively for treating type 2 diabetes, which tolerance test. However, sub-chronic administration of 500 mg/kg
leads to scientific interest in identifying principal components respon­ bw/day extract showed a significant (p < 0.05) decrease in cholesterol
sible for this property. Initially, bigonine, a bitter alkaloid, and teco­ (75–70 mg/dl) and triglyceride (296–251 mg/dl) levels in streptozoto­
manine, a volatile alkaloid, were isolated, which did not yield promising cin induced diabetic rats. Dose-dependent inhibition of glucose from the
results in controlling elevated glucose levels. Later, it was explained that starch was observed in the starch tolerance curve where the leaf extract
the intake of plant leaf infusion attenuated sensations of hunger and at 250 and 500 mg/kg dose exhibited a decrease in the postprandial
thirst by decreasing the excretion of glucose in patients with diabetes glucose peak in both healthy and streptozotocin induced diabetic rats
(FAO, 1986). Studies carried out in Mexico created ripples all over with the same magnitude as that of standard drug acarbose (50 mg/kg
among the scientific community of other countries and led to a bw). The results revealed by the starch tolerance test and in vitro inhi­
considerable interest among them to further analyze this underutilized bition of intestinal α-glucosidase at EC50 < 1 mg/ml, propose that the
medicinal plant. Later, a few in vitro and in vivo models demonstrated the primary anti-diabetic mechanism of the plant leaf could be due to its
glucose lowering action of this therapeutic plant, and the reported inhibitory action against the intestinal enzyme.
bioactive components include monoterpene alkaloids (tecomine and Alonso-Castro et al. (2010) observed the efficiency of leaf plant
tecostanine) and chlorogenic acid (Perez et al., 1984; Lozoya et al., extract to stimulate 2-NBDG uptake by insulin-sensitive and
1987). insulin-resistant mature murine 3T3-F442A and human subcutaneous
Feeding healthy and alloxan treated fasting rabbits with extracted adipocytes in a concentration dependent manner. Extract concentrations
alkaloids, namely, tecomine and tecostanine, at doses of 20 and 50 mg/ ranging from 1 to 70 μg/ml stimulated the uptake of glucose by
kg bw confirmed the hypoglycemic potential of the plant (Hammouda insulin-sensitive human and murine adipocytes, ranging from 65 to
et al., 1964; Hammouda and Amer, 1966). Besides, the authors did not 193% and 56–115%, respectively. Following the same concentrations of
observe hypoglycemic action when similar doses of studied alkaloids the extract, the authors further studied the uptake of glucose by the
were given to fasting rabbits in the absence of pancreas. adipocytes, which were made resistant to insulin using human TNF-α.
Lozoya-Meckes and Mellado-Campos (1985) studied the effect of Both insulin-resistant human and mature murine adipocytes stimulated
intravenous administration of leaf infusion in healthy dogs, which pro­ glucose uptake ranging from 15 to 70% and 31–94%, respectively, with
duced early hyperglycemia and arterial hypotension, followed by a lower potency than observed for insulin sensitive adipocytes. The
slight decrease in blood glucose levels along with an increase in TGL and extract also produced minimum or null proadipogenic effects on murine
no change in insulin levels. Also, the authors observed a gradual increase and human preadipocytes. The authors propose that the stimulation of
in the heart rate after 1 h of administration, which persisted for several glucose uptake by insulin tissues is one of the anti-diabetic mechanisms
hours. Overall, early hyperglycemia observed in the experimental group of the leaf extract. They also suggested that the extract could stimulate
is related to hepatic glycogen metabolism involving activation of the uptake of glucose by activating the insulin signaling pathway and
glycogenolysis, followed by blood glucose lowering action of the infu­ also partially reverses the resistance induced by TNF-α. in fat cells.
sion in dogs. However, studies to confirm its action via the insulin signaling pathway
Chlorogenic acid is another hypoglycemic component isolated from are underway.
the plant which produces its action by attenuating the intestinal index of Rao et al. (2010) undertook a comparative study on the ethanolic
glucose absorption and postprandial hyperglycemia peak. The phenolic and aqueous leaf extracts of two Indian variants of the plant against
compound also decreased cholesterol TGL levels in the animals (Rodri­ α-glucosidase enzyme isolated from the small intestine of the goat. The
guez de Sotillo and Hadley, 2002). authors named the new cultivars as Tecoma stans (L.) Kunth cv. Nal­
Constantino et al. (2003a) did not report the hypoglycemic action of gonda 1 and Tecoma stans (L.) Kunth cv. Warangal 1 for variants 1 and 2,
tecostanine when fed to normoglycemic and hypoglycemic rats. Despite respectively. Both the cultivars differed slightly from each other
the above results, Constantino et al. (2003b), used in vivo and in vitro morphologically. Cultivar 1 had simple leaves, whereas cultivar 2 had
models and studied the hypoglycemic potential of the other significant both simple and compound leaves. The transverse section of cultivar 1
alkaloid fractions isolated from the plant. For in vivo model, feeding showed that the leaves had unicellular and sessile glandular trichomes.
purified alkaloid fractions, namely, tecomine hydrochloride and Cultivar 2 with simple leaf did not have trichomes; however, compound
boschniakine oxalate hemihydrate twice a day at a dose of 50 mg/kg bw leaves had sessile glandular trichomes present. The quantitative
and 5β hydroxyskytanthine oxalate at 63.4 mg/kg bw to 8 week old male microscopic study of cultivar 1 revealed epidermis having an actinocytic
db/db mice for seven days did not reduce plasma glucose or insulin type of stomata, with a stomatal number and index of 2 and 16.66,
levels. However, reference standard rosiglitazone at a dose of 5 mg/kg respectively. However, cultivar 2 exhibited the presence of anomocytic
bw produced a marked reduction of 373 mg/dl in the plasma glucose stomata with a stomatal number of 3 and an index of 25. Among the
levels compared to the control (621 mg/dl). Surprisingly, tecomine extracts and plant cultivars studied, aqueous extract and cultivar 2
hydrochloride fraction produced significant (p < 0.02) reduction (73) in exhibited a slightly higher percent inhibition against the enzyme. At 1
plasma cholesterol levels (mg/dl) as compared to the control group (95), mg/ml concentration, cultivars 1 and 2 revealed percent inhibition of
yet there was no significant change observed in the body weight, free 18.4 and 20.4 for aqueous and 13.2 and 17.6 for ethanolic extracts,
fatty acids, TGL, urea, food and water intake of the experimental respectively. At the same concentration, commercial hypoglycemic drug

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M. Anand and R. Basavaraju Journal of Ethnopharmacology 265 (2021) 113270

acarbose exhibited higher percent inhibition of 30.6 with ethanolic and 0.95 (mg/dl), ALT levels of 66.5 and 36.63 (U/L), and hepatic MDA
45.8 with aqueous preparations. Overall, both the extracts could sup­ levels of 42.14 and 18.77 (nmol/g tissue), respectively. Though met­
press the postprandial blood glucose levels by reducing the breakdown formin hydrochloride was fed at a higher dose of 500 mg/kg bw than the
of carbohydrates to simpler sugars, which could be due to the presence extracts and fractions, it could not produce a significant decrease in the
of phenolic components such as tannins and proanthocyanidins as levels of these biochemical parameters. Among the samples, feeding of
glucosidase inhibitors. These inhibitors form precipitates of the intesti­ ethyl acetate fraction resulted in lower levels of creatinine (1.54), uric
nal enzyme maltase and thereby decrease its action of breaking down acid (1.25), and ALT (39.37) in comparison to diabetic rats who received
the carbohydrates to monosaccharides. However, differences in plant standard reference drug. MDA is a biomarker of high lipid peroxidation,
cultivar’s morphology did not profoundly affect the in vitro anti-diabetic which was evident in diabetic control rats groups due to impaired
evaluation of the plant extracts. glucose metabolism. Lowest levels of MDA were observed in diabetic
Interestingly, Dhaked et al. (2011) reported significant glucose animals when fed with crude methanol extract (25.11 nmol/g tissue)
lowering potential of plant flower extracts fed to alloxan induced Wistar among the other fractions and crude flavonoid extract. The hepatic GSH
albino rats weighing 150 to 200 gm for seven days. Group 1, 2, and 3 levels (μmol/g tissue) depleted significantly in diabetic control rats
served as normal, diabetic, and standard control, which received saline (22.42) in comparison to healthy rats (50.50). A significant improve­
(2 ml/kg bw/day), alloxan monohydrate (150 mg/kg bw), and com­ ment of 46.22 was observed in animals treated with crude methanol
mercial drug glibenclamide (2.5 mg/kg bw/day), respectively. Group 4 extract followed by ethyl acetate (45.54), crude flavonoid fraction
and 5 animals received flower extracts at a dose of 200 mg/kg bw/day. (41.11), methylene chloride fraction (38.22), and least with metformin
The oral administration of the alcoholic and aqueous flower extracts hydrochloride (28.65). Overall, alkaloid fraction (crude methanol) and
produced a significant (p < 0.01) decrease in fasting blood glucose flavonoids (crude flavonoid and ethyl acetate) exhibited better hypo­
(mg/dl) levels from 265.3 to 114.8 and 248.6 to 129.6, respectively. The glycemic action than other extracts.fraction and crude flavonoid extract.
results obtained were found comparable to commercial hypoglycemic Several isolated hypoglycemic components from different plants are
drug glibenclamide, which decreased blood glucose levels from 262.3 to underuse as potential hypoglycemic drugs either as commercial or as
104.26 mg/dl. However, groups 1 and 2 that acted as normal and dia­ folk medicine. Inhibition of the intestinal enzyme α-glucosidase is one of
betic controls did not exhibit change in the blood glucose levels when the critical targets, as it delays the absorption of glucose, and therefore,
compared to the groups that received commercial and sample extracts. it is one of the primary and effective treatments for controlling diabetes.
Ramirez et al. (2012) studied the inhibitory effect of 23 Mexican Phenolic acids and flavonoids are well-known to act as regulators of
medicinal plants on glucosidase and lipase enzymes. One of the studied carbohydrate metabolism at the intestinal level by inhibiting glucosi­
plants was Tecoma stans, which displayed 27.2 and 32.3 percent inhib­ dase enzyme activity and decreasing absorption of glucose into the
itory effect toward lipase and glucosidase enzymes among the other bloodstream (Ueda et al., 2004), thus explaining the hypoglycemic role
selected hypoglycemic medicinal plants. In addition to the above of phenolic acids and flavonoids identified in Tecoma.
finding, Ramirez et al. (2016)isolated four flavonoids (chrysoeriol, PPARs are standard molecular targets for treating type 2 diabetes
apigenin, luteolin, and verbascoside) from leaf and studied their inhib­ and cardiovascular diseases. Thiazolidinediones are commercial phar­
itory action against pancreatic lipase. They developed the most active macological insulin-sensitizing agents that act either by systemic insulin
flavone mix of chrysoeriol (96%) and apigenin (4%), which exhibited sensitization or by the direct action of PPAR-γ. There are three human
84% inhibition against the enzyme at 0.25 mg/ml concentration and isoforms of PPAR, namely, α, δ, and γ. Among these isoforms, PPAR-γ
therefore promising its use in developing a potential plant based drug for plays a crucial role in adipogenesis and thereby regulates lipid and
patients with type 2 diabetes. glucose homeostasis. Phytonutrients such as flavonoids (luteolin, quer­
Taher et al. (2016) studied the hypoglycemic potential of the leaf cetin, catechin, kaempferol) and β-sitosterol bind to human PPAR-γ,
methanolic extract and its fractions using in vitro and in vivo models. activate PPAR-γ-dependent reporter gene expression, induce adipo­
Among the fractions studied, crude flavonoid and ethyl acetate showed genesis, improve glucose uptake in adipocytes, improve translocation of
maximum α-amylase inhibitory action with IC50 values of 0.801 and GLUT 2 and 4, and decrease insulin resistance (Kim and Ahn, 2004;
0.804, respectively. The crude methanolic extract, and butanol and Wang et al., 2014; Bharti et al., 2018). Additionally, luteolin is also
methylene chloride fractions exhibited IC50 values of 0.853, 1.04, and known to decrease circulating levels of inflammatory molecules, MCP-1,
1.21, respectively. For the carbohydrate tolerance curve, the healthy and resistin and elevate adiponectin and improve insulin secretion (Ding
adapted animals were fed with the oral dose of water, acarbose, leaf et al., 2010). Kaempferol and quercetin induce insulin-dependent
methanolic extract and fractions at 250 mg/kg dose followed by starch glucose uptake but not adipogenesis. However, catechin modulates the
(2 g/kg bw). At 240 min of oral administration, maximum reduction expression of PPAR-γ target genes and promotes adipocyte differentia­
(percent) of the glycemic peak was exhibited by crude flavonoid tion of human bone marrow mesenchymal stem cells (Wang et al.,
(rutin-rich) fraction (30.87), followed by butanol (18.86), ethyl acetate 2014). These bioactive compounds are also identified from the plant
(16.77), methylene chloride (12.08), and crude methanolic extract under review confirming plants hypoglycemic action.
(11.78). However, the commercial hypoglycemic drug acarbose showed Other hypoglycemic mechanisms of polyphenols and flavonoids
a postprandial reduction of 25.68, which was lower than the reduction include enhancing insulin receptor kinase activity, promoting insulin
obtained with the rutin-rich fraction. The normal control group did not signaling pathway, translocation of GLUT 4, inhibiting aldose reductase
show any reduction in glucose levels. The extracts or fractions and enzyme activity, increasing glycogen phosphorylase and glucose-6-
standard drug were further studied for their long-term hypoglycemic phosphatase enzyme activity, stimulating insulin secretion, activating
action by feeding (250 mg/kg bw) streptozotocin-induced diabetic al­ AMPK and acetyl-CoA, restoring energy balance, regenerating β-cell
bino rats for 28 days, which produced a significant (p < 0.05) reduction function, preserving β-cells from further damage, reducing caspase-3
in blood glucose, lipid profile, creatinine, uric acid, ALT, and hepatic activity in β-cells, and reducing IL-1β, IL-6, and TNF-α levels (Hakki­
MDA levels. An increase in hepatic GSH and HDL levels was another nen et al., 1999; Zhou et al., 2001; Panda and Kar, 2007; An et al., 2011;
important observation in the study. After 28 days of feeding, percent Nirmala and Ramanathan, 2011; Abo-Salem, 2014; Li and Gong, 2015).
reduction observed in blood glucose levels of the diabetic animals was Therefore, the hypoglycemic action of the plant could be due to the
62.6 with crude methanolic extract, 60.4 with methylene chloride synergistic action of bioactive components identified in the plant.
fraction, 56.89 with butanol fraction, 52.9 with ethyl acetate fraction, However, studies should be undertaken using human models, followed
46.9 with crude flavonoid fraction, and least with the reference drug by charting down the pathway of action for developing efficient hypo­
metformin hydrochloride (36.27). Diabetic and normal rats had serum glycemic drugs for patients with type 2 diabetes.
creatinine levels of 3.14 and 1.20 (mg/dl), uric acid levels of 4.65 and

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M. Anand and R. Basavaraju Journal of Ethnopharmacology 265 (2021) 113270

7.2. Cardioprotection decrease in triglycerides, LDL, VLDL, and AI levels. The ethyl acetate
fraction exhibited a maximum decline of 60.91 for TGL, 12.8 for VLDL,
Aqueous leaf extract produced excellent anti-aggregant potential and 0.83 for AI. However, the methylene chloride fraction (alkaloid
with an IC50 value of 1.21 in thrombin induced aggregated human abundant) reduced LDL levels up to 15.88 mg/dl. In addition, the crude
platelets at 0.075 U/ml concentration (Villar et al., 1997). Feeding of flavonoid fraction (rutin rich) increased HDL levels up to 42.13 mg/dl.
flower hydroalcoholic extract significantly (p < 0.001) controlled Among the fractions studied, quercetin, alkaloid, and rutin-rich frac­
elevated lipid levels in triton and high fat diet induced hypercholester­ tions alone could regulate the lipid profile of the diabetic rats. Role of
olemic Wistar albino rats. Intraperitoneal injection of Triton WR 1339 quercetin in lowering plasma lipid and hepatic cholesterol levels by
(200 mg/kg bw) increased the hepatic production of cholesterol decreasing the rate-limiting HMG-CoA reductase activity, inhibiting
(Rothwell et al., 1983 b), measured after 24 h of triton shot. Extract aggregation of platelets, decreasing blood pressure, preventing cardiac
treated rats at 125 and 250 mg/kg dose decreased (percent) elevated hypertrophy, and increasing the health of endothelium by inhibiting the
serum TGL levels by 17.1 and 41.5 and cholesterol levels by 19.3 and 32. production of oxidized LDL is well-known (Chopra et al., 2000; Egert
The author and coworkers confirmed the results obtained by testing the et al., 2009). In the present study, among all fractions, quercetin alone
lipid controlling potential of the extract in the diet induced hyper­ could significantly decrease the levels of LDL, VLDL, and AI.
lipidemic rats, where animals were first fed on 1% cholesterol for four Rutin is known to lower nitrotyrosine immune reactivity, prevent
weeks. One week of extract administration attenuated higher serum TC oxidative damage of aortic endothelial cells, restore impaired baroreflex
and TGL levels (mg/dl) from 75.6 to 63.4 and 134.8 to 111.3 at 125 sensitivity and vascular reactivity, augment NO production in human
mg/kg dose and 76.3 to 55.2 and 136.2 to 95.3 at 250 mg/kg dose, endothelial cells and inhibit platelet activating factor (Kim et al., 2009;
respectively. HDL levels increased in the extract and standard treated Mendes-Junior et al., 2013). However, a few in vivo reports have proved
groups, which could be due to the fast conversion of LDL to HDL and that supplementation of rutin to animals resulted in a decrease in TGL
clearance of circulating lipids. Positive controls, namely, atorvastatin (1 and LDL and an increase in HDL levels. In addition, similar results were
mg/kg) and gemfibrozil (50 mg/kg), exhibited slightly better activity in not observed when fed to human subjects. Most of the subjects with
terms of controlling the increased hepatic production of cholesterol in diabetes reported an increase in TGL levels, which clearly states that the
triton and high fat diet induced hyperlipidemic rats than the flower administration of rutin in humans as a pharmacological agent should not
extract treated animal group. There is always a higher risk of developing be recommended. Short-term consumption of rutin as a dietary sup­
cardiovascular diseases when AC > 4.5 (Al-Qaicy, 2015), while AC < 3.5 plement keeps the individual healthy by reducing bad cholesterol and
is considered a healthy ratio. On the 7th day of hyperlipidemia induc­ increasing good cholesterol (da Silva et al., 2001). Sattanathan et al.
tion, the control group showed the highest AC value of 5.28, followed by (2010) research is in agreement with the above findings. In the study,
3.02 for the experimental group at 125 mg/kg dose, 2.75 for the com­ diabetic patients were fed rutin supplement orally at 500 mg/day dose
mercial standard gemfibrozil group and least by 2.46 for the experi­ for 60 days, which increased TC, TGL, HDL, and VLDL but decreased LDL
mental group at 250 mg/kg dose. Therefore, this significant reduction in levels which was followed by no supplementation period, however, their
serum TC, TGL, and AC proves the protective efficacy of the flower blood lipid profile was checked after 60 days. At the end of 120 days, an
extract against cardiac health problems (Giri et al., 2012). increase in TC, TGL, LDL, and VLDL and decrease in HDL levels was
Kameshwaran et al. (2013) studied the effect of feeding methanolic observed in patients which clearly states rutin’s drawback for its use as a
flower extract at doses of 100 and 200 mg/kg bw in atherogenic diet long-term therapeutic agent in humans. The alkaloid-rich fraction alone
induced female albino Wistar rats for 42 days. The administration could reduce LDL levels. The results of the present study are in line with
significantly (p < 0.01) abridged the increase in body weight as well as the reported results of Constantino et al. (2003a), who explained the
corrected disturbed levels of lipids, enzymes (SGOT and SGPT), total cholesterol reducing action of tecomine hydrochloride from Tecoma
protein, urea, and blood glucose. The abnormal profile of lipids (mg/dl) plant leaf. Other antihyperlipidemic agents screened from the plant
decreased to normal from 294.6 to 150, 188.5 to 130, 83 to 42.5, 59.9 to include rosmarinic acid, hesperetin, α-linolenic acid, 3,4-dihydroxyben­
32.6, 45 to 55 for TGL, TC, LDL, VLDL, and HDL, respectively, when zoic acid, catechins, ferulic acid, saponins, tannins, β-carotene, vitamin
treated with a higher dose of extract. The same dose produced a sig­ E. These agents act by binding to cholesterol-binding sites, interfering in
nificant (p < 0.01) decline from 230.8 to 168.4 and 127.4 to 70.1 in hepatic cholesterol biosynthesis by inhibiting the rate-limiting enzyme
SGPT and SGOT levels. Animals fed with atherogenic diet alone showed HMG CoA reductase activity, inhibiting angiotensin-converting enzyme
reduced hepatic production of urea as well as uptake of amino acids; this activity, decreasing TGL levels, slowing the growth of atherosclerotic
condition reversed significantly (p < 0.01) in animals when fed with plaque, improving vascular endothelial function, reducing or inhibiting
sample extracts. Also, the intake of an atherogenic diet increased blood acyl-coenzyme A: cholesterol acyltransferase genes activity, inhibiting
glucose levels from 82.8 to 91.4 mg/dl. Administration of the flower microsomal TGL transfer protein activity, and upregulating LDL re­
extract at 100 and 200 mg/kg doses decreased glucose levels to 88.4 and ceptors, which help in decreasing the release of apoB-containing lipo­
82.36 mg/dl, respectively. Another important observation made in the proteins and thereby enhance their reuptake and lower cholesterol
experimental animals was concerning their inner organ weights. The levels (Milgate and Roberts, 1995; Pengelly, 2004).
introduction of flower extracts resulted in a decrease in the weight (g) of
the liver from 8.62 to 5.25, which represents the protective effect of 7.3. Cytotoxic and anticancer
flower extracts in decreasing hepatic damage from fatty liver. Similarly,
a decrease in the animals heart and kidney weights were observed when The traditional use of this plant as an anticancer agent has not been
treated with the plant extract. mentioned in the past. However, a few researchers have investigated this
Taher et al. (2016) studied the effect of feeding leaf extract and its potential of the plant flower, bark, and leaves using in vitro and in vivo
fractions on streptozotocin-induced diabetic rats for 28 days. Oral models. Thirumal et al. (2012) evaluated the in vitro antiproliferative
administration at a dose of 250 mg/kg bw produced a significant (p < activity of ethanolic leaf extract (7.8–1000 μg/ml) on MCF-7 using the
0.05) decline in the abnormal lipid profile of the experimental rats. MTT assay. The extract showed significant antiproliferative action in a
Decline in lipid levels with the ethyl acetate fraction (quercetin-rich, dose-dependent manner with a percent increase in cell death and a
59.91 mg as QE/g) was closer to the levels of normal rats. Diabetic rats decrease in viability from 14.6 to 95.9 and 85.4 to 4.1, respectively, with
had a total cholesterol level (mg/dl) of 103.37. With isolated fraction an IC50 value of 64.5 μg/ml. On a similar line, Thirumal et al. (2013)
feeding, the decrease in elevated cholesterol levels ranged from 70.68 undertook another study where they tested the anticancer potential of
for the methylene chloride fraction to 86.78 for the crude flavonoid ethanolic root, bark, and flower extracts on the MCF-7 cell line. The
fraction. Similarly, the authors observed a significant (p < 0.05) group observed a dose-dependent (7.8–1000 μg/ml) decrease in cell

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M. Anand and R. Basavaraju Journal of Ethnopharmacology 265 (2021) 113270

viability (percent) from 81.2 to 6.2, 89.5 to 10.4, and 91.6 to 12.5 for quercetin) used in the study. However, tamoxifen showed a slightly
ethanolic extracts of root, stem bark, and flower, respectively. In addi­ higher percent inhibition than quercetin, with IC50 values of 34.5 and
tion, cell death (percent) increased from 1.8 to 93.8 for root extract, 10.5 37.4, respectively. Another study carried out by Anburaj et al. (2016a,b,
to 89.6 for stem bark extract, and 8.4 to 87.5 for flower extract. The stem c) using ethanolic bark extract (12.5–400 μg/ml) showed
bark extract exhibited a maximum percent inhibition with an IC50 dose-dependent apoptosis of the human breast cancer MCF-7 cell line,
(μg/ml) value of 42, followed by 46 and 70 for root and flower extracts, with cytotoxicity and cell viability ranging from 6.05%–80.9% and
respectively. The extracts exhibited a significant anticancer action, but 93.5%–19.1%, respectively, with an IC50 value of 196.6 μg/ml.
the results obtained were not compared with those of positive control. To date, there are no in vitro or in vivo anticancer studies undertaken
Kameshwaran et al. (2012) investigated the anticancer effect of with pure isolated components from the plant. However, the studies
methanolic flower extract (250–1000 μg/ml) using in vitro and in vivo mentioned above show that the plant has significant potential for its use
methods. The extract showed a significant decrease in cell viability as a natural alternative agent in treating cancer. The role of polyphenols
(percent) from 42.8 to 18.2 and 53.5 to 23.5 and an increase in cytotoxic and flavonoids as potent anticancer agents through animal and human
action (percent) from 57.1 to 82.0 and 46.4 to 76.5 in VERO and HEP-2 models has already been established. The presence of some of these
pretreated cell lines in a dose-dependent manner, respectively. The re­ functional molecules, namely, quercetin, rutin, ellagic acid, kaempferol,
sults obtained with the highest concentration of the extract were found luteolin, apigenin, hydroxycinnamic acids, and its derivatives (ferulic
comparable with those of the standard anticancer drug 5-FU. The in vivo acid, and coumaric acids) in plant leaf and flower could have resulted in
model used EAC-induced Swiss albino mice for the study. The group of such remarkable reduction of cancer cell growth. Some of the anticancer
animals that received methanolic extract at doses of 200 and 400 mechanisms of these phytomolecules include disturbing cell division,
mg/kg/day and 5-FU at 20 mg/kg/day for 14 days showed higher mean decreasing the amount of cellular protein and thereby controlling the
survival time, increased lifespan, and the number of nonviable cells than proliferation of unhealthy cells, activating xenobiotic-metabolizing en­
those of the EAC control group. Change in body weight and food intake, zymes and inhibiting angiogenesis, inducting caspase-mediated
decrease in tumor volume and weight, and packed cell volume of the apoptosis, affecting signal transduction in cell proliferation and angio­
treated animals exhibited the therapeutic effect of flower extract as an genesis, reducing the formation of carcinogenic nitrosamines, inhibiting
anticancer agent. In addition, significant alterations observed in the p53 gene destruction by cancer cells, inhibiting mutagenesis and
hematological and biochemical parameters of the treated groups include carcinogenesis by forming DNA adducts, reducing the effect of estrogen
improvement in hemoglobin, red blood cells, white blood cells, and total in promoting the growth of breast cancer cells, and helping the liver in
serum protein and a decrease in SGOT, SGPT, SOD, catalase, and lipid breaking down or removing some cancer-causing substances from the
peroxidation as compared to the results of the healthy control group. blood (Middleton and Kandaswami, 1994; Harborne and Williams,
However, the results of the group treated with 400 mg/kg flower extract 2000; Owen et al., 2000; Le Marchand, 2002; Nandi et al., 2007;
were comparable with those of the 5-FU group, exhibiting its potential to El-Sayed et al., 2011).
kill tumor cells.
Al-Azzawi (2012) studied the genotoxic and cytotoxic effect of 7.4. Hepatoprotection
ethanolic and aqueous leaf extracts (0.25–250 mg/ml) in BALB/c male
albino mice. The selected animals were pretreated with the extracts for Winkelman (1986) has reported the ethnic use of plant leaf to treat
15 days. The control group received phosphate-buffered saline (1 jaundice. Recently, its yellow bell-shaped flowers have also exhibited
ml/100 g bw), while the positive control group received doxorubicin at significant liver protection role. Pretreated Wistar rats with ethanolic
10 mg/kg. The highest concentration of the extract did not produce a flower extract at doses of 250 and 500 mg/kg bw for 9 days showed
genotoxic effect on animal bone marrow cells, as there were no signif­ decreased levels of serum markers, namely, SGOT, SGPT, ALP, and
icant alterations observed in the mitotic index as well as in the total serum bilirubin, against acute liver injury induced on the 9th day using
number of chromosomal aberrations. In addition, the positive control TAA, CCl4, and PCM (Kameshwaran et al., 2013a,b). The authors
induced 16 chromosomal aberrations per 100 cells along with many observed a marked increase in serum enzyme and bilirubin levels after
chromosomal breaks as compared to those of the treated and control 48 h of administration of toxins at 1 ml/kg bw to the animals. In general,
groups (2.83–3.80 aberrations/100 cells), exhibiting higher side effects all three groups showed a significant (p < 0.001) reduction in the
of the commercial chemotherapeutic drug. However, the authors sug­ enzyme as well as bilirubin levels at 500 mg/kg dose and were found
gested that maybe the extracts would have undergone biotransformation comparable to positive control silymarin administered at 100 mg dos­
in the liver, causing their inactivation or rapid excretion of the metab­ e/kg bw. All the three toxins used in the study commonly produced some
olite, resulting in no effect on bone marrow cells, as the control and side effects on the liver. A common observation made during the study
treated groups have exhibited a similar range of aberrations produced was a significant weight loss of the animals, along with an increase in
per 100 cells. The extracts were also studied for their cytotoxic action on liver weight due to TGL accumulation and its blocked secretion from the
the MEF cell line. At 12 mg/ml, maximum cell growth inhibition (%) of liver. A higher dose of the extract could slightly prevent the increase in
78.6 for aqueous and 85.6 for ethanolic was observed. The commercially liver weight (2.89 g/100 g) as compared to that in the vehicle (3.29) and
used antineoplastic agent etoposide (positive control) produced cell control (3.59) groups. Reduction in liver weight could have resulted due
growth inhibition ranging from 80% to 86%, which was comparable to to reduced TGL accumulation. However, CCl4-induced increase in liver
that of both leaf extracts. Also, changes in the morphology of the treated weight could not be averted either with standard or with a lower dose of
and untreated cultured cells were observed. The leaf extracts produced flower extract (250 mg/kg). Hepatic tissue examination revealed that
specific structural changes in the treated cells, which include an use of PCM resulted in severe congestion of blood vessels, mild hydropic
increased number of vacuoles, condensation of nuclear chromatin, degeneration, pyknosis of nucleus and occasional necrosis; CCl4-induced
changes in the membrane, disintegration of cells, and reduced number of toxicity resulted in inflammation and congestion, especially in the si­
cells as compared to untreated cultured cells that appeared morpho­ nusoids, hydropic degeneration, and steatosis in the peripheral region;
logically normal. and TAA-induced perilobular hepatocyte necrosis, inflammation, and
Ranjit et al. (2015) evaluated the cytotoxic potential of aqueous and congestion with cytoplasmic vacuolation. Animal groups pretreated
chloroform flower extracts against MCF-7 cell lines using the MTT assay. with the flower extract reduced degeneration, steatosis, and periportal
Significant dose-dependent (12.5–200 μg/ml) percent inhibitions necrosis but produced mild inflammation. Treatment with the positive
ranged from 13.3 to 79.6 for aqueous extract and 10.7 to 53.9 for control produced mild toxic effects when compared with control groups.
chloroform extract, with IC50 values of 49.8 and 173, respectively. Re­ The authors also studied the hepatoprotective action of extract in
sults of aqueous extract compared well to the standards (tamoxifen and CCl4-induced chronic liver damage in Wistar rats. Silymarin and extract

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M. Anand and R. Basavaraju Journal of Ethnopharmacology 265 (2021) 113270

at a dose of 500 mg/kg bw exhibited a decrease in enzyme marker levels, cellular immune, hepatic function, the proliferation of lymphocytes,
prevented an increase in liver weight as compared to 250 mg/kg dose, modulation of T-cell functioning, improving hepatic cell growth, pro­
which did not prevent the increase in liver weight and enzyme levels. On tecting against hepatic mitochondrial damage, preventing hepatic
histological observation, the liver sections of the control group showed fibrosis, enhancing hepatocyte protein synthesis, providing membrane
mild congestion, changes in fatty and connective tissues, proliferation, stability, and suppressing toxin penetration into hepatic cells (Madri­
and cirrhosis. However, the standard-treated group showed a reduction gal-Santillan et al., 2014).
in all the symptoms observed in CCl4 control group animals. Extract at
250 mg/kg dose produced similar symptoms as those of the CCl4 control 7.5. Antimicrobial
group other than the proliferation of cells. However, a higher extract
dose decreased the degeneration changes in the treated group than in The research community at a large scale has investigated and iden­
the control group. tified antimicrobial agents for their effectiveness against various fungi,
Shanmukha et al. (2013) reported that feeding 70% ethanolic leaf bacteria, and viruses. However, recently, organisms have developed
extracts at doses of 250 and 500 mg/kg bw and standard silymarin at multiple drug resistance due to the overuse of various commercial
100 mg/kg bw for 9 days exhibited dose-dependent significant hep­ antimicrobial drugs. Hence, there is a pressing need to discover and use
atoprotective effects against TAA- and CCl4-induced toxicity in healthy natural sources as active antimicrobial agents without causing any side
male and female albino Wistar rats. The animals were induced with TAA effects to the host, such as hypersensitivity, suppressing the immune
hepatotoxicity on the 9th day of extract and commercial drug admin­ system, and allergies. Tecoma leaf, root, and flower have been used to
istration. After 48 h, the animals were sacrificed, followed by mea­ treat syphilis and other infectious diseases traditionally, but very few
surement of liver weight and volume; tissue GSH levels; serum lipid studies have explored this benefit of the plant. They have inhibition
peroxidation; serum enzymes, namely, SGOT, SGPT, and ALP; total and potential against gram positive and negative bacteria, fungi, and viruses,
direct bilirubin. For the histopathological study, the liver samples were which could be due to the presence of diverse bioactive compounds in
examined for extensive fat accumulation, ballooning of hepatocytes. the plant. Methanolic extracts of leaves and bark of the plant showed
However, induction of CCl4 toxicity was done on the 2nd and 3rd day at remarkable antimicrobial activity against a wide range of gram positive
2 ml/kg bw dose after standard and sample extract administration, and negative bacteria and fungi (Binutu and Lajubutu, 1994). In another
followed by their sacrifice on the 8th day after the treatment. Rats study by Govindappa et al. (2011), the methanolic, ethanolic, and
treated with the toxins exhibited a significant increase in liver weight, aqueous extracts of the plant were found effective against Pseudomonas
volume, lipid, and serum biochemical parameters, as well as a decrease fluorescens, Xanthomonas sp., Klebsiella pneumoniae, Aspergillus sp., and
in tissue GSH levels. Both extract doses and the commercial drug pro­ Alternaria sp.
duced a marked decline in the biochemical levels of animals induced Hussain et al. (2011) recorded the antimicrobial activity of water and
with TAA toxicity. Pretreatment with silymarin and extract at 500 chloroform leaf extracts against bacteria and fungi. Chloroform extract
mg/kg dose produced a significant (p < 0.001) fall in toxicity produced showed a slightly higher zone of inhibition (mm) than that of the water
by TAA from 125.7 to 26.8 U/L and 30.4 in SGOT, 129.9 to 32.65 and extract against 2 g-positive bacteria, namely, 15 and 10 against Bacillus
41.8 U/L in SGPT, 196.7 to 94 and 90.2 IU/L in ALP, 1.78 to 0.86 and subtilis and 14 and 12 against Staphylococcus aureus. Chloroform extracts
0.9 mg/dl in total bilirubin, and 0.45 to 0.36 mg/dl indirect bilirubin proved themselves better against negative strains of bacteria, namely,
levels, respectively. In addition, the percent decrease in lipid peroxi­ Escherichia coli and Pseudomonas aeruginosa. However, aqueous extract
dation levels was 41.02, 44.5, and 53.8 for extracts at 500 and 250 proved itself as a promising antibacterial agent by inhibiting the growth
mg/kg and silymarin. Treatment with plant extract produced significant of the harmful gram-negative bacteria Salmonella typhimurium by 6 mm
(p < 00.01) increase in tissue GSH levels. A decrease in liver weight with with no zone of inhibition shown by chloroform extract, which could be
the higher extract dose was another important observation made in the due to the extraction of specific potential antibacterial water-soluble
study. However, there was no decline observed in the liver volume with components such as polyphenols, flavonoids, and saponins. The
the treatment. On the other hand, CCl4-induced hepatotoxicity had aqueous extract also exhibited a one-point higher zone of inhibition (8)
resulted in extremely higher levels of hepatic and serum biochemical against Proteus vulgaris. Among the two fungal species studied, the
markers along with liver weight and its volume in than TAA-induced chloroform extract showed slightly higher inhibition of 4 against
toxicity. However, pre-treatment with standard and sample extracts Candida albicans than that of 2 with the water extract. However, both
resulted in a significant (p < 0.01) reduction in the parameters as extracts showed a similar zone of inhibition of 2 against Aspergillus niger.
mentioned above. The liver weight (g/100 g) and volume (ml/100 g) Besides, flower extract of the plant exhibited vigorous antibacterial ac­
reduced from 8.69 to 6.4 and 8.3 to 6.08 with 500 mg/kg extract tivity against the bacterial strains, namely, Escherichia coli, Bacillus
administration, respectively. Silymarin and same-dose levels of the subtilis, Klebsiella pneumoniae, and Staphylococcus aureus, with the zone
extract reduced toxicity produced by CCl4 from 328.68 to 141.2 and of inhibition ranging from 15 to 23 mm (Rajamurugan et al., 2013).
281.05 U/L for SGOT, 166.22 to 90.1 and 108.8 U/L for SGPT, 324.8 to
215.3 and 190.36 IU/L for ALP, 2.36 to 0.92 and 1.18 mg/dl for total 7.6. Antinociceptive and anti-inflammatory
bilirubin and 1.5 to 0.31 and 0.56 mg/dl for direct bilirubin, respec­
tively. Pre-treatment with standard and extracts at 250 and 500 mg/kg Prasanna et al. (2013) investigated the antinociceptive effect of
dose produced a marked increase in GSH levels (%) by 17, 10.52, and alcoholic and aqueous leaf extracts by oral administration of 250 and
7.89 along with a significant decline in the lipid peroxidation levels by 500 mg/kg bw doses in albino mice using three different models,
77, 27, and 17.5%, respectively. Histopathological examination showed namely, hot plate, acetic acid-induced writhing, and formalin-induced
that both toxicants had produced fatty liver and swelling in liver cells, paw licking method. The alcoholic leaf extracts produced higher activ­
especially around the central vein. Pretreatment with standard and plant ity than the aqueous extract, which was found comparable to the stan­
leaf extracts exhibited a marked improvement by decreasing the fat dards (pentazocine for the hot plate and formalin-induced paw licking
accumulation accompanied by no congestion in the liver. The results models and diclofenac sodium for the acetic acid-induced writhing
obtained could be due to the presence of functional components present model) used in the study at 10 mg/kg bw. The author and his co-workers
in the leaf and flowers having a liver-protective effect. Some of the also studied the anti-inflammatory potential of the leaf alcoholic and
identified components with this potential include phenolic acids, nar­ aqueous extracts by evaluating the percent inhibition of inflammation in
ingin, quercetin, kaempferol, apigenin, carotenoids, and condensed and animal paw produced using carrageenan at a dose of 10 mg/kg. Aqueous
hydrolyzable tannins. They act by decreasing hepatic lipid accumula­ extracts produced slightly higher percent inhibition against paw edema
tion, modification of lipid profiles by antioxidant action, improving after 3 and 24 h of carrageenan administration than alcoholic extracts.

13
M. Anand and R. Basavaraju Journal of Ethnopharmacology 265 (2021) 113270

The result of the alcoholic extract at 500 mg/kg dose was found to be extract exhibited a maximum percent wound closure of 82.6, followed
comparable to that of commercial anti-inflammatory standard diclofe­ by chloroform (76.3), petroleum ether (70.3), and least with the control
nac sodium. group (65.4). For the incision wound model, the control and experi­
Another recent study carried out by Kameshwaran et al. (2012) mental groups received 2% gum acacia suspension and 250 mg of ex­
investigated the antinociceptive and anti-inflammatory potential of tracts per kg body weight, respectively, for ten days. Two paravertebral
methanolic flower extract, which was orally administered to Swiss al­ straight incisions of 6 cm each were made on either side of the vertebral
bino mice at 100 and 200 mg/kg bw dose. The vehicle group received column, followed by removal of sutures on the 8th post-wounding day.
2% saline, whereas the standard group was given indomethacin (10 Among the extracts, methanolic stem bark extract (436.88) produced
mg/kg bw). Both extract doses produced significant action against significant (p < 0.05) increase in the breaking strength of the incised
acetic-induced writhing in mice and anti-inflammatory action by wound in comparison to chloroform (345.25), petroleum ether
reducing paw edema. The results were found comparable to the standard (319.22), and the control group (268.16). Overall, the methanolic stem
used in the study. Flavonoids are known to be effective analgesics and bark extract of the plant exhibited significant wound healing property in
work against inflammations by targeting prostaglandins involved in both the models than the other two extracts and control drugs. However,
inflammation and pain perception. They inhibit prostaglandin synthe­ there was no reference drug used in the study to compare the healing
tase enzyme and thereby decrease the synthesis of prostaglandins or effect of the plant extract. This significant potential could be due to
inhibit cyclooxygenase enzyme activity and its synthesis. Significant flavonoids, namely, quercetin-3-O-glucoside and kaempferol, found as
amounts of polyphenols and flavonoids are present in plant leaves and bioactive components in the plant and its parts. These compounds are
flowers, explaining their active role in controlling pain and well known for their beneficial role in treating and healing wounds
inflammation. (Ambiga et al., 2007; Muhammad et al., 2013) and may serve as a lead in
discovering and developing natural wound healing agents. These com­
7.7. Antiarthritic pounds are also known to exhibit significant antioxidant,
anti-inflammatory, and anti-microbial potentials, which are also crucial
Prajapati and Patel (2015) studied the role of Tecoma leaf as an for healthy wound healing.
antiarthritic agent using in vitro models, namely, inhibition of protein
denaturation and red blood cell stability. Among the extracts studied, 7.9. Antispasmodic
the aqueous extract exhibited maximum and significant (p < 0.01)
dose-dependent (100–250 μg/ml) inhibition (percent) of protein dena­ Gharib-Naseri et al. (2007) investigated the antispasmodic action of
turation ranging from 35.2 to 64.1, followed by ethanol (25.4–60.2), 70% hydroalcoholic leaf extract on rat ileum contractions induced by
successive methanol (27.5–59.2), successive chloroform (12.4–33.7), spasmogens, namely, KCl (60 mM) and CCh (10 μM). Application of the
and least by successive petroleum ether (4.5–9.2). However, the suc­ extract (0.125–2 mg/ml) on isolated rat ileum tissues significantly (p <
cessive aqueous extract did not show inhibition even with the least 0.001) attenuated contractions in a dose-dependent manner. To study
concentration of the extract used in the study. Diclofenac sodium the role of few receptors in the contractions induced by KCl, the tissues
(standard) exhibited the highest inhibition (%) against protein dena­ were washed and then treated with propranolol (1 μM) as the β-adre­
turation ranging from 69.12–94.01 among the plant extracts deter­ noreceptor antagonist, naloxone (1 μM) as a nonselective opioid re­
mined. The authors also studied the same extracts for their effect on ceptor antagonist, and L-NAME (100 μM) as a nitric oxide synthetase
membrane stability of the red blood cells. The extracts exhibited this inhibitor. None of the components could alter the spasmolytic effect of
potential in a significant (p < 0.01) and dose-dependent manner the leaf extract. However, naloxone alone slightly increased (p < 0.05)
(250–1000 μg/ml). Concerning membrane stability, the ethanolic the spasmolytic effect of the extract at 0.5 mg/ml. Therefore, their
extract showed a maximum percent stabilization of 80.7 against lysis ineffectiveness indicates that they were not involved in enhancing or
followed by successive methanol (75.3), aqueous (61.2), successive improving the spasmolytic action of the extract. Similarly, the effect of
chloroform (45.3), and least by successive petroleum ether (19.2). glibenclamide (10 μM) as an ATP-dependent potassium channel blocker
However, the standard showed the highest membrane lysis stability of and tetraethylammonium (1 μM) as a calcium-operated potassium
92.4 at 1000 μg/ml. Therefore, the above observations prove its bene­ channel blocker were also tested on the washed ileums of the rats. The
ficial effect as an anti-inflammatory agent for better bone health, espe­ treatment did not reduce instead increased the activity of the leaf extract
cially for arthritis. on CCh-induced ileal contractions; therefore, this confirms their role
again as not involved in the action. However, a significant (p < 0.001)
7.8. Wound healing spasmolytic action of the extract was observed in rat ileal contractions
induced through calcium chloride in a dose-dependent manner by
Few Indian medicinal plants, namely, Moringa oleifera, Kalanchoe VDCCs.
pinnata, Ipomoea carnea, Buddleja globosa, and Tephrosia purpurea have
been studied as well as extensively used as natural wound healing agents 7.10. Antidiarrheal
(Mensah et al., 2001; Lodhi et al., 2006; Nagori and Solanki, 2011;
Muhammad et al., 2013). However, the healing potential of the plant Kameshwaran et al. (2013) scientifically proved the traditionally
and its parts under review has not been reported. A few years ago, Das promised anti-diarrheal action of the plant by feeding 70% ethanolic
et al. (2010) studied the wound healing potential of plant stem bark flower extract to castor oil-induced diarrheal Wistar albino rats at doses
methanolic, chloroform, and petroleum ether extracts in Wistar albino of 150, 300 and 500 mg/kg bw. A significant (p < 0.05) dose-dependent
excision and incision in rat models. For the excision wound model, an­ antidiarrheal action was observed, with the frequency of wet fecal
imals’ skin on the dorsal thoracic region was impressed and excised to dropping decreasing up to 78.23% with the highest dose as compared to
full-thickness to get an area of about 50 mm2. The control group other low doses and control groups. However, commercial drug loper­
received an external application of vaseline alone, whereas experi­ amide given at a dose of 1 mg/kg bw was able to control diarrhea
mental groups received the extract dissolved in a simple ointment base completely.
(5% w/w) once a day for 18 days. The methanolic extract showed sig­
nificant (p < 0.005) re-epithelization concerning wound contraction in 7.11. Antiulcer
comparison to other extracts. The extract could produce incredible
wound healing potential by decreasing the wound size from 50 mm2 to 8 Oral administration of 70% methanolic leaf extract at doses of 250
mm2on the 4th and the 18th day of the study. Similarly, the methanolic and 500 mg/kg bw produced a significant protective effect in aspirin-

14
M. Anand and R. Basavaraju Journal of Ethnopharmacology 265 (2021) 113270

induced and pylorus-ligated gastric ulcers in Wistar albino rats. Dose undertaken on the nutritional and bioactive profiling of the plant part
dependent protection of 50.6 and 59.1% was observed in aspirin (s). Recently, plant seeds have been evaluated for their promising fatty
induced gastric ulcers at 250 and 500 mg/kg dose, respectively. How­ acid composition, which is beneficial for human health. Since seed oil is
ever, lansoprazole exhibited maximum inhibition of 70.7 at 8 mg/kg bw a good source of essential fatty acids, further studies need to be carried
dose. Similar observations were made with the pylorus-ligated model, out for establishing and utilizing it as a new source of healthy vegetable
where standard showed 80% protection against the ulcer followed by oil. Several bioactive components identified from leaves, fruits, and
74% and 20% for higher and lower doses of the extract, respectively. flowers need further extensive studies to trace their mechanism of action
Pylorus ligation was found to induce more damage to the gastrointes­ in treating disease conditions. According to current eye health statistics,
tinal tract as the mean ulcer index was found to be maximum (5.98) in many people over the globe are being identified with eye health issues,
comparison to the aspirin induced ulcer (2.99). The pressor receptor primarily age-related macular degeneration (AMD). The bright yellow
mediated vasovagal reflex would have resulted in a sudden increase in bunchy flowers, which are a good source of zeaxanthins, could be taken
the levels of acetylcholine, gastric acid, and pepsin and results in indi­ further for developing drugs for better eye health, especially for pre­
gestion and degradation of gastric mucosal lining along with the higher venting AMD. With the help of in vitro and in vivo models, the plant has
generation of radicals resulting in decreased GSH and higher lipid per­ shown several therapeutic properties. One of the known and vital
oxidation levels (Shanmukha et al., 2013b). Flavonoids are known for ethnobotanical uses of the plant leaf is lowering elevated blood glucose
their antiulcerogenic property, and phytochemical screening of the leaf levels in humans. Various in vivo models were implied to study the effect
has shown the presence of higher amounts of flavonoids, namely, rutin, of monoterpene alkaloids as hypoglycemic agents. Among the identified
chlorogenic acid, ferulic acid, pyrogallol, rosmarinic acid, naringin, alkaloids, tecomine alone exhibited glucose lowering action, which
quercetin, and catechin which could have resulted in significant pro­ clarifies that the plant could exhibit this action due to the synergistic
tection against gastric ulcers. effect of other phytochemicals present in the leaf. After thorough liter­
ature, screening it was observed that a dose of 500 mg/kg bw for flower
8. Side effects on health and leaf samples could be considered safe having therapeutic relevance
since at this dose the plant extracts have shown a significant increase
Mathur et al. (2010) studied the impact of 50% ethanolic plant and decrease of the appropriate biochemical parameters for elevated
extract on the reproductive system of male rats when fed at a dose of blood glucose and lipid profiles, liver health, and inflammation.
500 mg/kg bw for 60 days. The results revealed that intake of plant Nevertheless, a study showed that feeding male rats with ethanolic plant
extract caused fertility problems in treated animals by significant weight extract at the same dose on a long term basis harms their reproductive
loss in testes and accessory organs due to low levels of androgens, system by causing fertility problems. Therefore, in-depth and detailed
reduced conversion of cholesterol to testosterone, decreased sperm toxicity studies need to be carried out to develop a therapeutic window
count, and motility, and reduced diameter of seminiferous tubule and for Tecoma stans plant parts and thus their efficient usage in pharma­
Leydig cell nuclei. ceutical and herbal industries to develop effective drugs to treat diseases
A case letter by Lakshmi (2015) discussed the ill effect of Tecoma without side effects.
flowers, which resulted in hyperkeratotic fingertip eczema in a 46-year-­
old Indian woman along with painful fissures of thumbs. Patch and prick Declaration of competing interest
test revealed the side effect of the plant flower on women’s skin. This
plant has medicinal uses and is popularly used for its faintly scented None.
yellow bright bell flowers as an offering in temples of Tamil Nadu. No
allergies have been stated or discussed to date. Daily picking would have Acknowledgments
resulted in developing sensitivity in the patient. However, the specific
allergens need in-depth study. The authors are grateful to Sri Sathya Sai Institute of Higher Learning
for providing all the facilities for research work. We express our grati­
9. Toxicity studies tude to the Institute for providing an online digital library facility that
enabled exhaustive data collection on the research sample. We also
Earlier studies have discussed this plant as nontoxic, although honey thank the University Grants Commission, Government of India, for the
from its flower is toxic; however, milking animals remain unaffected award of BSR (Basic Scientific Research) sponsored Ph.D. scholarship.
with it. In Mexico, cattle and goats consume up to 20% of the leaves, and
100% of the available flowers with no toxicity reported (Susano Her­ Appendix A. Supplementary data
nandez, 1981; Jimenez-Ferrer et al., 2007). Low consumption of leaves
as fodder is due to the high content of alkaloids, which makes the leaf Supplementary data to this article can be found online at https://doi.
slightly unpalatable. Kameshwaran et al. (2013a,b) evaluated the org/10.1016/j.jep.2020.113270.
toxicity of 70% ethanolic flower extract in Wistar albino rats when fed at
different doses ranging from 5000 to 20,000 mg/kg bw. The lowest dose References
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