ANXIOLYTIC PLANT DRUGS: A COMPENDIUM

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Zeichen Journal                                                                                 ISSN No: 0932-4747

                               ANXIOLYTIC PLANT DRUGS: A COMPENDIUM

                                 Neeraj Bainsal1, Jitender Singh2*, Pradeep Goyal3
                   1Research   Scholar, UIPS, Chandigarh University, Gharuan, Mohali, Punjab
        2
            Professor and Dean, IEC school of Pharmacy, IEC University, Kalujhanda, Baddi, Himachal

                                                       Pradesh
                  3Associate   Professor, UIPS, Chandigarh University, Gharuan, Mohali, Punjab

      ABSTRACT

      Authors while working on the anxiety disorders found numerous reports on the plant drugs exhibiting
      anxiolytic potential which were evaluated using animal experimentations. Compilation of the information
      collected from research and review articles published in various scientific journals by means of various
      search engines and databases like, Google Scholar, Pubmed, Science Direct, SciFinder, etc. was
      considered worth for the scholars, researchers, scientists, faculty, students and practitioners working on
      the medicinal plants, more specially, anxiolytic plants. Most of the plants reported to have anxiolytic
      activity were used as a traditional remedy for brain disorders, or used as nervine tonic. The bioactive
      principles reported from anxiolytic potential plant drugs were belongs to Alkaloids, triperpenoids,
      glycosides, flavonoids, sterols, coumarins, polyphenols, etc. class of compounds. The methods used for
      evaluation of anxiolytic activity were, elevated plus maze, open field test, hole board methods, mirror
      chamber test, light dark test, etc. The present compendium shall be a good source of information of the
      plants and the bioactive principles reported to possess anxiolytic activity. The information cited in the
      present report shall be a beneficial tool for the professionals working in the related fields.

      Keywords: Anxiety, bioactive principles, flavonoids, plants, elevated plus maze,

      INTRODUCTION

      Anxiety disorder is one of the most common mental disorders that experienced as a part of
      everyday life. It is a condition of fear and worry completely natural human feelings. If these
      feelings occur for a longer period, it affects both physical and mental health. It concerns one-eighth
      of the total population worldwide (Zouhra et al; 2015). It is a state of excessive fear and is
      characterized by motor sympathetic hyperactivity, feeling of apprehension, nervousness,
      restlessness, thanatophobia, sweating, stomach upset and dry mouth. In phobia, when the anxiety
      involves excessive fears of things or situations (e.g. open spaces, snakes, flying, fire) and a social
      disorder when the fear is related to social interactions (Iancu et al; 2006). Panic attacks are episodic
      and sudden attack which includes unexplainable terror reactions, triggering rapid heart rate,
      tachycardia, chest pains, trembling, chocking and sweating (Tharmalingam et al; 2006). In

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      generalized anxiety disorder (GAD), the individual experiences chronic anxiety that causes
      distress, impairment and depression [Gorman 2003].
      Post-traumatic stress disorder (PTSD) involves an anxiety triggered by insistent recall of past
      traumatic experience and life-threatening events (Kathryn et al; 2003). An individual who
      experience reoccurring & new disturbing thoughts and who act out repetitive and compulsive
      behaviors to relieve these distressing thoughts have obsessive compulsive disorder (OCD).
      Neurochemicals involve in anxiety are GABA, monoamines (Dopamine, noradrenaline,
      serotonin), neuropeptides (galanin, neuropeptides Y, arginine vasopressin, tackykinin, substance
      P), neurosteroids and cytokines (Gilhotra et al; 2008).
             The total estimated number of people living with anxiety disorders in the world is 264
      million. This total for 2015 reflects a 14.9% increase since 2005, as a result of population growth
      and ageing. (GBD 2015). The National Mental Health Survey conducted by the National Institute
      of Mental Health and Neuro Sciences in 2015 -2016, indicates that the total prevalence of anxiety
      disorders in India amount to 3.1 percent of the population (NIMHANS 2015)
             Antianxiety medicines are also called minor tranquilizers, are used for treating anxiety
      disorders. Before the introduction of benzodiazepines, the barbiturates were largely used as anti-
      anxiety medicines. Phenobarbital and other long-acting barbiturates were generally used to treat
      anxiety. In 1960s, the barbiturates were replaced by benzodiazepines for the treatment of anxiety.
      Benzodiazepines are prescribed more frequently than barbiturates because they have a higher
      margin of safety in overdose. On the other hand, benzodiazepines are associated with abuse,
      dependence, and withdrawal symptoms (Cloos et al; 2009). Antidepressants are also effective in
      the treatment various anxiety disorders, such as panic disorder, GAD, PTSD, and OCD.
              Furthermore, anxiety patients are faced with multifarious difficulties associated with the
      currently approved anti-anxiety drugs. Therefore, the demand of herbal medicines is increasing
      due to their wide application and therapeutic efficacy with least side effects. Plants reported to
      have anxiolytic activity are listed in Table 1.

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                          Table 1. Plants reported to have significant anxiolytic activity
       S.No Plant                             Chemical               Plant Part    Models           References
                                              Constituents           Extract/Fract
                                                                     ion
         1.   Lemon bee brush                 Flavonoids             Roots         Elevated         Agra et al,
              Aloysia triphylla               (Artemitin and                       plus maze        2008
              Fam: Verbenaceae                Hesperidin)
         2.                                   Flavanone              Flowers           Light/Dark   Retiveau and
              Orange                          glycosides,                              test         Milliken
              Citrus aurantium                                                                      2004
                                              hydroxycinnamic
              Fam: Rutaceae
                                              acids
         3.                                   Rosmarinic acid,       Leaves and        Elevated     Sayyah et al,
              Bugloss
                                              cyanidin, and          flowers           plus maze    2009
              Echium amoneum
                                              delphinidin                                           Mehrabani et
              Fam: Asteraceae
                                                                                                    all, 2005
         4.   Lavender                        Hydroxycinnamic        Flowers           Elevated     Umezu et al.,
              Lavandula angustifolia          acids and flavone                        plus maze    2006
              Fam: Lamiaceae                  glycosides
         5.                                   Gallic acid, caffeic   Leaves and        Light/Dark   Ulbricht et
                                              acid, vanillin, and    stems             test         al., 2005
              Lemon balm                      p-coumaric acid,
              Melissa officinalis
                                              myricetin, catechin,
              Fam: Lamiaceae
                                              epigallocatechin,
                                              gallate, rutin
         6.                                   methyl silicylate,     Leaves and        Elevated     Houghton
              Musk willow                     mucilage and           stem bark         plus maze    1999
              Salix aegyptiaca                vitamin C
              Fam: Salicaceae                 Cycloviolacin O2
                                              (CyO2)
         7.   Wood violet                     methyl salicylate      Leaves and        Elevated     Ebrahimzade
              Viola odorata                   and mucilage           flowers           plus maze    h et al.,
              Fam: Violaceae
         8.                                   Eugenol,               Leaves            Light/Dark   Roehrs and
              Garden valerian                 Cinnamaldehyde,                          test         Roth., 2000
              Valeriana officinalis           camphor,
              Fam: Caprifoliaceae             procyanidins and
                                              catechins
         9.                                   Gallic acid, caffeic   Stem bark and Light/Dark       Kim et al.,
              Cinnamon                        acid, myricetin,       leaves        test             2006
              Cinnamomum zeylanicum
                                              catechin,
              Fam: Lauraceae
                                              epigallocatechin

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                                     gallate, rutin,
                                     quercetin and
                                     salicin
         10. Pindrow fir                                   Leaves           Open field     Kumar et
             Abies pindrow                                 Ethanolic        exploratory    al,2000
             Family: Pinaceae                                               behavior,
                                                                            elevated
                                                                            zero maze,
                                                                            elevated
                                                                            plus maze,
         11. Yarrow                  Achillein             Flower           elevated       Malina et al,
             Achiellea millefolium                         Aquous           zero maze      2004
             Family: Asteraceae
         12. Pink silk tree                                Aqous            elevated       Kim et al
             Albizia julibrissin                                            plus maze,)    ,2004
             Family: fabaceae
         13. Albizzia lebbeck        Saponins              Leaves           elevated       Une et al
             Family: Mimosaceae                            Butanol          plus maze      ,2001
                                                           fraction
         14. Aloysia polystachya                           Leaves           elevated       Mora et al
             Family: Verbenaceae                           Hyrdoalcohlic    zero maze      ,2005
         15. Female ginseng          Lingustilide                           elevated       Chen et al
             Angelica sinensis                                              plus           ,2004
             Family: Apiaceae                                               maze,light/d
                                                                            ark test
         16. Nees                    Riparin I and         Unripe fruits    Elevated       De souse et
             Aniba riparia           Riparin III                            plus maze,     al ,2005
             Family: Lauraceae                                               hole-board
                                                                            tests
         17. Custard apple           β-cariophyllene, β-   Leaves           Open field     Lopez et al
             Annona cherimola        selinene,β-           Hexane           test           ,2006
             Annonaceaea             cubebene, linalool
         18. Luobuma                                       Ethanolic        Elevated       Grundmann
             Apocynum venetum                                               plus maze      et al,2007
             Family: Apocynaceae
         19. Neem                    Margosin, margosic    Leaves           Elevated       Jaiswal et al
             Azadirachta indica      acid, margosopicrin   Aquous           plus maze,     ,1994
             Family: Meliaceae                                              open field
                                                                            test
         20. White sapote                                  Leaves           Elevated       Hernandez et
             Casimiroa edulis                              Aquous           plus maze      al,2004
             Family: Rutaceae
         21. Red cecropia            orientin and iso-     Aquous           Elevated
             Cecropia glaziouri      orientin and          extract and n-   plus maze
             Family: umbelliferae    terpenes              butanolic
                                                           fraction

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         22. Centella                 Asiaticosides         Methanol and    Elevated       Wijeweera et
             Centella asciatica                             ethyl acetate   plus maze      al,2006
             Family: Umbelliferae
         23. Orange                   Essential oils        Peels           Elevated       Freitas and
             Citrus sinensis                                                plus maze      Costa, 2002
             Family: Rutaceae
         24. Butterfly pea            Tannins and resins                    Elevated       Jain et al
             Clitoria ternatea                                              plus maze,     ,2003
             Family: Fabaceae                                               light/dark
                                                                            test
         25. Chinese goldthread       Berberine             Rhizomes        Elevated       Peng et al,
             Coptis chinensis                                               plus maze      2004
             Family: Ranunculaceae
         26. Cilantro                                       Aqueous         Elevated       Emamghorei
             Coriandrum sativum                                             plus maze      shi et al,
             Apiaceae                                                                      2005
         27. Giant Himalayan lily     Lycorin               Aqueous         Hole-board     Amos et al,
             Crinum giganteum                                               test           2003
             Family: Amaryllidaceae
         28. Cipo´ -caboclo                                 Stem            Elevated       Guaraldo et
             Davilla rugosa                                 Hydroalcohlic   plus maze,     al, 2000
             Family: Dilleniaceae                                           open field
                                                                            test
         29. Borage                   Pyrrozolidines        Flower          Elevated       Rabbani et
             Echium amoenum                                 Ethanol         plus maze      al, 2004
             Family: Boraginaceae
         30. Mulungu                  Alkaloids                             Light-dark     Onusic et al
             Erythrina mulungu                                              transitional   ,2003
             Family: fabaceae
         31. Mulungu                  Flavanoids and        Stem-bark       Elevated T     Ribeiro et
             Erythrima velutina       terpenes              Hydoalcoholi    maze           al,2006
             Family: fabaceae                               c
         32. California poppy                                               Stairs and     Rolland et al,
             Eschzoltzia California                                         Light-dark     2001
             Family: Papaveraceae                                           test
         33. Dudhani                  Euphorbone            Lyophilised     Stairs and     Lanhers and
             Euphorbia hirta                                aqueous         Light-dark     Fleurentin,
             Family: Euphorbiaceae                                          test           1990
         34. Longan                   Adenosine                             Anti-          Okyama et
             Euphorbia longana                                              conflict       al, 1999
             Family: Sapindaceae                                            method
         35. Thor                     Steroidal saponins,   Leaves          Elevated T     Bigoniya and
             Euphorbia neriifolia     reducing sugars,      Hydro-          maze           Rana, 2005
             Family: Euphorbiaceae    tannins, flavanoids   alcoholic

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         36. Tongkat ali                Quassinoids,             Methanol,      Elevated T    Ang and
             Eurycoma longifolia        squalene                 chloroform,    maze, open-   Cheang,1999
             Family: Simaroubaceae      derivatives,             water and n-   field
                                        biphenylneolignans,      butanol        paradigms
                                        triucalane-type          fractions
                                        terpenes, canthine-
                                        6-one and β-
                                        carboline alkaloids.
         37. Gold shower                Nor-secotriterpene       Methanol       Elevated T    Ruiz et al,
             Galphimia glauca Family:   galphimine B                            maze, open-   2006
             Malpighiaceae                                                      field         Ruiz et al,
                                                                                paradigms     2006
         38. Tian ma                    Phenolic                                Elevated T    Jung and
             Gastrodia elata Family:    compounds like 4-                       maze          Yoon 2006
             Orchidaceae                hydroxybenzyl
                                        alcohol, 4-
                                        hydroxybenzaldehy
                                        de, vanillin, vanillyl
                                        alcohol, β-
                                        sitosterol, and
                                        gastrodin
         39. Maidenhair tree                                                    Elevated      Kuribara et
             Ginkgo biloba Family:                                              plus maze     al. ,2000
             Ginkgoaceae
         40. Saint John’s wort          Hypericin                Ethanol        Open field    Kumar et al.
             Hypericum perforatum       hyperforin                              exploratory   ,2000
             Family: Hypericaceae                                               behavior,
                                                                                elevated
                                                                                plus maze,
                                                                                novelty
                                                                                induced
                                                                                suppressed
                                                                                feeding
                                                                                latency and
                                                                                social
                                                                                interaction
                                                                                tests
         41. Justicia hyssopifolia      Elenoside                               Open field    Navarro et
             Acanthaceae                                                        test          al., 2004
         42. Pau santo                                           Leaves         Open field    Audi et al. ,
             Kielmeyera coriacea                                 Hydro-         test, Plus    2002
             Family: Calophyllaceae                              alcoholic      maze test
         43. Cloudforest magnolia       Magnolol                                Elevated      Martinez et
             Magnolia dealbata                                                  plus maze,    al.,2006
             Family: Magnoliaceae                                               head-
                                                                                dipping and

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                                                                                     exploratory
                                                                                     rearing test
         44. Moutan or tree peony            Paeonol                Root bark        Elevated        Mi et al.,
             Paeonia moutan Family:                                                  plus maze,      2005
             Paeoniaceae                                                             Light/Dark
                                                                                     box test
         45. Ginseng                         Ginsenoside,                            Open arm        Carr et
             Panax ginseng Family:           Ginsenoside Rb 1                        enteries        al.,2006
             Araliaceae
         46. Passion flower                  Saponins               Leaves, stem,    Elevated        Dhawan et
             Passiflora incarnata linn                              flower, whole    plus maze       al.,2003
             Familly: Passifloraceae                                plant
                                                                    methanol
         47. Kava kava                       Dihydrokavain          Leaves           elevated        Rex et al.,
             Piper methysticum                                                       zero maze       2002
             Family: Piperaceae
         48. Amorinha,                       Alkaloids              Ethanol          Elevated        Nogueira et
             Rubus brasiliensis                                                      plus maze       al. ,1998 and
             Family: Roseceae                                                                        Nogueira
                                                                                                     and
                                                                                                     Vassilieff
                                                                                                     ,2000
         49. Pineapple sage                  Saponins               Hydro-           Elevated        Herrera-Ruiz
             Salvia elegans                                         alcoholic        plus maze       ,et al. ,2006
             Family: Lamiaceae
         50. Garden sage                     Alkaloids                                               Kennedy et
             Salvia officinalis                                                                      al. , 2006
             Family: Lamiaceae
         51. Maryam goli esfahani            Alkaloids              Hydro-           Elevated        Rabbani et
             Salvia reuterana                                       alcoholic        plus maze       al. , 2005
              Family: Lamiacaea

      Conclusion
      In this present review we described about traditional medicinal plant which has been utilized in
      the treatment of anxiety disorder. Traditional medicinal plants are habitually utilized by rural area
      population, because of their abundantly availability of such plants in those areas. This data proves
      that 51 plant species belongs to different families are utilized for the anxiety treatment, many
      experiments confirmed that medicinal plants benefit anxiety. Commonly used plant part was fruits
      and other parts such as leaf, root, stem, bark are also used for curing purpose. The most common
      and involved active chemical constituent are alkaloids tannin, flavonoid, and essential oil.

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      Conflict of Interest
      No conflict of interest.
      Acknowledgement
      Acknowledged to Chandigarh University, Mohali, Punjab, India and IEC University, Baddi
      Himachal Pradesh, India for providing necessary facilities.

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