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Therapeutic uses of plant species for inflammation-related conditions in Limpopo province of South Africa: a mini-review and current perspectives
IJPPR
Therapeutic uses of plant species for inflammation-
related conditions in Limpopo province of South Africa:
a mini-review and current perspectives
Salmon A Adebayo1 and Peter Masoko2*
1,2
Department of Biochemistry, Microbiology and Biotechnology, Faculty of Science and Agriculture, University of
Limpopo, Private Bag X01, Sovenga 0727, Limpopo, South Africa.
Impaired inflammatory response could result in undesirable effects as seen in chronic diseases
such as tuberculosis (TB) and cancer. This study was based on an ethno-botanical survey of
6literature citations of medicinal plants used to treat inflammation-related conditions in Limpopo
province of South Africa. Plant species belonging to the Fabaceae family are mostly used for these
purposes, representing 16.1% of the recorded plants species. The root was the preferred plant part
(50.9%) used for inflammation-related conditions, followed by the leaves (18.4%), stem bark
(16.7%), whole plant (9.6%), the bulbs (3.5%) and the seed (0.9%) consecutively. The same plant
species or a different part thereof is sometimes used to treat inflammation caused by different
ailments. Traditional medicine continues to play a vital role in meeting the health care needs of
people in under-resourced areas such as the Limpopo province. However, a curious finding in this
review is the dearth of information on the traditional uses and exploitability of Harpagophytum
procumbens. Extracts from H. procumbens are well known for their anti-inflammatory activities.
Controlled harvesting of H. procumbens could potentially provide the much needed income for the
people in the areas of the Limpopo province where this plant species is available.
Keywords: Medicinal plants, Limpopo province, inflammation, Fabaceae
INTRODUCTION
Inflammation is a complex and highly regulated albeit
beneficial biological process which is a component of the
body’s response to infections, injury and diseases
(Adebayo et al, 2015). However, impaired or unabated
inflammatory response is implicated in the progression
and severity of infections and chronic diseases such as
tuberculosis (TB), type-2 diabetes mellitus (T2DM),
some forms of sexually transmitted infections (STI’s) and
cancer (Majeed et al, 2015; Falconer et al, 2012).
Infection by Mycobacterium tuberculosis, the causative
organism for TB remains a disease burden in developing
countries, especially in poor communities. Globally,
approximately one third of the human population has TB
(Lyadova, 2012).
Inflammation plays a key role in the progression of TB
infections as well as in the survival of the pathogen in the
host. Crucially, the prognosis of TB is highly dependent
on the host-pathogen interaction (Majeed et al, 2015).
This is because the pathogen utilizes the complex host
defence system as an offensive tool to proliferate within
the host (Lyadova, 2012) by inhibiting the synthesis of
pro-inflammatory mediators that subsequently leads to
host tissue destruction.
*Corresponding author: Prof. Peter Masoko, Faculty of
Science and Agriculture, Department of Biochemistry,
Microbiology and Biotechnology, University of Limpopo,
Private Bag X1106, Sovenga 0727, Limpopo, South
Africa. Tel.: (+27) 015-268 2340; fax: (+27)015 268
3012, E-mail address: peter.masoko@ul.ac.za.
Co-author: Dr. Salmon A Adebayo, Email:
salmon.adebayo@ul.ac.za
International Journal of Pharmacognosy and Phytotherapy Research
Vol. 1(1), pp. 002-008, June, 2017. © www.premierpublishers.org.ISSN: 2453-7172
Research Article
Therapeutic uses of plant species for inflammation-related conditions in Limpopo province of South Africa: a mini-review and current perspectives
Adebayo and Masoko 002
Sexually transmitted infections (STI’s) are caused by
micro-organisms such as bacteria, viruses and
parasites. During infection, the invading organisms are
recognized by the immune system, which, as part of the
body’s response to infection, initiates the inflammatory
process. This leads to the symptoms associated with
many STI’s, such as redness, swelling and pain. The
inflammatory process recruits more immune cells to the
site of the infection thereby increasing the concentration
of immune-competent cells in the area infected with the
STI’s. Although the inflammatory response is meant to
help fight the infection, the recruitment of cells such as
Cluster of differentiation 4 positive(CD4+) cells makes
them more susceptible to Human Immuno-Deficient
Virus (HIV) infection and replication (Giese et al, 2015).
On the one hand, chronic inflammation is considered as
a causative factor in a variety of cancers. In general, the
longer the persistence of inflammation, the higher the
risk of cancer. Examples of inflammatory mediators
include metabolites of arachidonic acid, cytokines,
chemokines, and free radicals. Chronic exposure to
these mediators leads to increased cell proliferation,
mutagenesis, oncogene activation, and angiogenesis.
The ultimate result is the proliferation of cells that have
lost normal growth control, known as cancerous cells
(Sun and Kato, 2016).
On the other hand, type 2 diabetes mellitus (T2DM)
characterized by persistent hyperglycemia causes a
chain of abrupt biochemical and physiological changes;
whose hallmark isimmune dys-regulation that could
contribute to prolonged inflammation which causes
transformation of wounds into non-healing chronic ulcers
(Falconer et al, 2012).
Pro-inflammatory cytokines such as interleukin (IL)-1β,
IL-6 and tumour necrosis factor (TNF) are involved in
thymus derived cell (T-cell) mediated immune response
associated with infections (Canal et al, 2016). The
persistent circulation of these potent drivers of
inflammation has been detected in various chronic
diseases such as arthritis, cancers and T2DM (Liu et al,
2016). If unabated, systemic inflammation is thus
believed to potentially lead to persistent pain (Huang et
al, 2016) and progressive loss of function of the affected
tissues and organ (Huang et al, 2016; Perruccio et al,
2016).
In the Limpopo province, the vast majority of the people
still depend on medicinal plants for their primary health
care needs. Not surprisingly, the traditional care givers
possess an inherently remarkable knowledge of plants
identification and therapeutic uses. Various parts of
medicinal plants are used for treating many diseases,
and are often used either alone or in combination with
other plant species or animal parts. The extracts are
usually administered in the form of decoctions,
concoctions or infusions for oral consumptions, enemas
and inhalations, or as paste for topical applications on
surface lesions including painful swellings and fractures
(Havinga et al, 2010). In addition, several plant species
are used in ethno-veterinary medicine to treat animal
diseases such as diarrhoea and wound healing
(Mathabe et al, 2006). One of the most widely exploited
medicinal plants for painful symptoms associated with
inflammation is Harpagophytum procumbens (Burch.)
DC. ex Meisn. (Devil’s Claw) from the Pedaliaceae
family. For instance, H.procumbens products for
osteoarthritis are used in the United States and are
among the most frequently prescribed botanicals by
medical herbalists in the United Kingdom (Conrozier et
al, 2014). Numerous European studies conducted over
the past twenty years support their safety and have
found them to be non-inferior to other established pain
treatments (Brendler et al, 2006; Brien et al, 2006;
Cameron et al, 2009). There are no literature citations on
the therapeutic uses of extracts of H. procumbens in the
Limpopo province, although the plants species are
available.
Therefore, the aim of this review was to investigate and
collate information on medicinal plants used to treat
inflammation-related conditions in the Limpopo province
and to provide an update on the ethno-medical uses of
the plant species as well as their phytochemistry.
MATERIALS AND METHODS
Study area
This study was focussed on the Limpopo province of
South Africa which lies in the northern-most part of the
South Africa in the Savanna biome, an area of mixed
grassland and trees generally known as bushveld (GPS
coordinates 23.4013° S, 29.4179° E). The five
district/regions are the Waterberg, Capricon, Vhembe,
Mopani and Sekhukhune. The Limpopo province (Figure
1) is one of the under-resourced of the nine provinces in
South Africa, and consequently majority of the
inhabitants rely on medicinal plants for their primary
health care needs. The continued reliance on traditional
form of therapy is further entrenched by factors such as
low cost, ease of accessibility and innate adherence to
traditional customs and beliefs. The principal home
language is Sesotho, spoken by more than 50% of the
5.8 million inhabitants, followed by Xitsonga and
Tshivenda (Statistics South Africa, 2016).
Ethno-botanical survey and data sourcing
An ethno-botanical survey of medicinal plants used to
treat inflammation-related conditions in Limpopo
province was conducted. The information was sourced
from citations in search engines such as Google scholar,
Web of science, Science Direct, Pubmed, Scopus etc.
RESULTS AND DISCUSSION
The continued utilisation of medicinal plants for
therapeutic purposes is common practice in developing
countries, especially in under-resourced areas such as
the Limpopo province of South Africa.
Ethno-botanical survey of the therapeutic uses of
medicinal plants by the various cultures of the Limpopo
province including the Venda (Mulaudzi et al, 2012),
Therapeutic uses of plant species for inflammation-related conditions in Limpopo province of South Africa: a mini-review and current perspectives
Int. J. Pharm. Phytothe. Res. 003
Figure 1. Map of South Africa and the five districts/regions of the Limpopo province, South Africa (www.municipalities.co.za)
Sepedi (Semenya et al, 2012a) and Tsonga (Luseba and
van der Merwe, 2006; Mashabane et al, 2001) speaking
people has been recorded. The study on the utilization
of Colophospermum mopane (Kirk ex Benth.) Kirk ex J.
Léonard from the Fabaceae family by the Vatsonga
people in the Gazankulu region was recorded by
Mashabane et al, (2001). The findings indicated that the
plant is utilized medicinally by traditional healers in
treating stomach ache, gout, diarrhoea, toothache and
menstrual pain. An investigation on the trade of
indigenous medicinal plants in the Venda region of the
Limpopo province together with their ethnobotanical
importance and sustainable use was done by
Tshisikhawe et al, (2012). Sixty-nine medicinal plants
species were recorded by the survey with the plant parts
most preferred being roots (Tshisikhawe et al, 2012).
The finding suggests that plant material is still
extensively used for medicinal purposes and they will
continue to do so for a considerable time to come. Botha
and Shackleton, (2004) previously conducted a study on
the market profiles and trade in medicinal plants in the
Limpopo Lowveld of South Africa. The findings indicated
that 70 different species were identified representing 40
families. The study also indicated considerable local
variation and complexities in the harvesting and
marketing of medicinal plants.
A comprehensive list of the plant species was compiled
and grouped according to their therapeutic uses for STI’s
(Table 1) (Mahwasane et al, 2013; Semenya et al,
2012a; Chauke et al, 2015), T2DM (Table 2) (Semenya
et al, 2012b; Chauke et al, 2015; Semenya et al,
2012a;Mahwasane et al, 2013), and other painful
conditions (Table 3) (Mathabe et al, 2006;Mulaudzi et al,
2012;Mahwasane et al, 2013; Chauke et al,
2015;Moeng, 2010) respectively. The results indicated
that plant species belonging to different families are used
to treat inflammation-related diseases and symptoms.
Plant species belonging to the Fabaceae family are
mostly used for these purposes, representing 16.1% of
the recorded plants species (Figure 2). This observation
is not surprising because the Fabacea family is
considered to be the second largest family of medicinal
plants used for therapeutic purposes (Gao et al, 2010).
This was followed by the Asteraceae family (8.6%) as
previously observed by Maroyi and Mosina, (2014) and
the Asparagaceae (4%). Furthermore, an ethnobotanical
survey of medicinal plants used for inflammation related
conditions in South Africa had 20% of the selected plant
species belonging to the Fabaceae family (Adebayo et
al, 2015). Fabaceae is the most common family found in
tropical rainforests and in dry forests in the Americas and
Africa (Rahman and Parvin, 2014). Phytochemical
investigation of plants species in the Fabacea family
indicated that they frequently synthesize alkaloids,
proanthocyanidins, and flavonoids such as kaempferol,
quercitin and myricetin. These secondary metabolites
are known to possess anti-microbial and anti-
inflammatory activities. The Fabacea family are the only
group that contains pterocarpans (Sun et al, 2015;
Kaennakam et al, 2015), a class of iso-flavonoids with
potent anti-cancer, analgesic and anti-inflammatory
activities (Tan et al, 2016).
The root was the preferred plant part (50.9%) used for
inflammation-related conditions, followed by the leaves
(18.4%), stem bark (16.7%), whole plant (9.6%), the
bulbs (3.5%) and the seed (0.9%) consecutively (Figure
3). This pattern of ethno-medicinal uses of plant parts
was previously reported by Semenya et al (2012a) and
Mahwasane et al (2013), suggesting that the same is
applicable to the whole province of Limpopo. It should be
noted that the same plant species is sometimes used to
treat inflammation caused by different diseases, and a
different parts of same plant species could be used for
different ailments. The parts of the plant species are
usually prepared and administered in the form of
decoctions, infusions, concoctions to be taken orally. In
addition, the herbs may be prepared with oil as a paste
to be applied externally in case of skin infections or
wound dressings. Water is the most commonly used
solvent for extraction, but locally available alcohol is
sometimes used.
Many plant species are used in the Limpopo Province;
however, a curiously ignored or overlooked plant species
with known therapeutic property is H. procumbens.
Devil’s Claw plants are found in the western reaches of
the Limpopo Province. According to the Limpopo
Therapeutic uses of plant species for inflammation-related conditions in Limpopo province of South Africa: a mini-review and current perspectives
Adebayo and Masoko 004
Table 1. Plant species used to treat sexually transmitted infections in Limpopo province of South Africa
Plant species Family Part used District of Limpopo References
Aloe marlothii Asphodelaceae Leaves/root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Callilepsis laureolia Asteraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Carica papaya Caricaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Carpobrotus edulis Aizoaceae Leaves Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Centella asiatica Apiaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Cussinia spicata Araliaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Englerophytum magalismontanum Sapotaceae Bark Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Ficus carica Moraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Gethyllis namaquensis Amaryllidaceae Bulb Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Grewia flavescens Malvaceae Root Mopani Chauke et al, 2015
Grewia villosa Malvaceae Root Mopani Chauke et al, 2015
Helichrysum caespititium Asteraceae Whole plant Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Hermanniaguartiniana Sterculiaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Hypoxis iridifolia Hypoxidaceae Tuber Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Kirkia wiimsii Kirkiaceae Tuber Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Lessertia microphylla Fabaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Mimusopszeyheri Sapotaceae Leaf Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Moringa oleifera Moringaceae Seed and leaf Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Mormodica balsamina Cucurbitaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Mormodica charantia Cucurbitaceae Leaves Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Opuntiaficus-indica Cactaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Persea Americana Lauraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Plumeria obtuse Apocynaceae Leaves Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Punita granatum Lythraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Schkuhria pinnata Asteraceae Whole plant Vhembe Mahwasane et al 2013
Tarchonanthus camphoratus Asteraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Triumfetta spp Tiliaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Figure 2. The percentage of plant species used for inflammation-related conditions grouped according to their families
16%
9%
4%
3%
3%
3%
3%
2%
2%2%2%2%2%
2%
2%
2%
2%
2%
2%
1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
1% 1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
1%
1% 1%
Fabaceae
Asteraceae
Asparagaceae
Amaranthaceae
Anarcardiaceae
Asphodelaceae
Verbanaceae
Amaryllidaceae
Apiaceae
Apocynaceae
Combractatceae
Cucurbitaceae
Hypoxidaceae
Loginiaceae
Malvaceae
Moraceae
Sapotaceae
Sterculiaceae
Therapeutic uses of plant species for inflammation-related conditions in Limpopo province of South Africa: a mini-review and current perspectives
Int. J. Pharm. Phytothe. Res. 005
Table 2. Plant species used to treat type-2 Diabetes mellitus in Limpopo province of South Africa
Plant species Family Part used District of Limpopo References
Aloe marlothii Asphodelaceae Leaves/root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a
Callilepsis laureolia Asteraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a
Carica papaya Caricaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a
Carpobrotus edulis Aizoaceae Leaves Capricon/Sekhukhune/Waterberg Semenya et al, 2012a
Centella asiatica Apiaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a
Cussinia spicata Araliaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a
Englerophytum magalismontanum Sapotaceae Bark Capricon/Sekhukhune/Waterberg Semenya et al, 2012a
Ficus carica Moraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a
Gethyllis namaquensis Amaryllidaceae Bulb Capricon/Sekhukhune/Waterberg Semenya et al, 2012a
Grewia flavescens Malvaceae Root Mopani Chauke et al, 2015
Grewia villosa Malvaceaee Root Mopani Chauke et al, 2015
Helichrysum caespititium Asteraceae Whole plant Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Hermannia guartiniana Sterculiaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Hypoxis iridifolia Hypoxidaceae Tuber Capricon/Sekhukhune/Waterberg Semenya et al, 2012a
Kirkia wiimsii Kirkiaceae Tuber Capricon/Sekhukhune/Waterberg Semenya et al, 2012a
Lessertia microphylla Fabaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a
Mimusopszeyheri Sapotaceae Leaf Capricon/Sekhukhune/Waterberg Semenya et al, 2012a
Moringa oleifera Moringaceae Seed and leaf Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Mormodica balsamina Cucurbitaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Mormodica charantia Cucurbitaceae Leaves Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Opuntiaficus-indica Cactaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a
Persea Americana Lauraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a
Plumeria obtuse Apocynaceae Leaves Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Punita granatum Lythraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Schkuhria pinnata Asteraceae Whole plant Vhembe Mahwasane et al 2013
Tarchonanthus camphoratus Asteraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Triumfetta spp Tiliaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b
Figure 3. The plant-parts used for treating inflammation-related conditions
Province Conservation Department officials, no
harvesting takes place. There is a dearth of information
on the numbers and location of Devil’s Claw plants in the
province, and no apparent information on the use of the
plant by indigenous people. The Limpopo Province
Conservation Authorities have indicated that Devil’s
Claw is found in a few nature reserves, such as Lanjan
Nature Reserve, near the town of All days, but
information on plant numbers and exact locations, as
well as people’s use of the resource is non-existent. The
0
10
20
30
40
50
60
70
Roots Leaves Whole plant Stem bark Bulb Seed
Therapeutic uses of plant species for inflammation-related conditions in Limpopo province of South Africa: a mini-review and current perspectives
Adebayo and Masoko 006
Table 3. Plant species used for pain relief in the Limpopo province of South Africa
Plant species Family Part used District Traditional uses References
Acacia rehmanniana Fabaceae Leaves Mopani Headache Chauke et al, 2015
Acanthus montanus Acanthaceae Root
Capricorn/Sekhuk
hune/Waterberg
Stomach aches
Semenya et al, 2012b
Alepidea amatymbica Apiaceae Root Capricorn Flu, colds Moeng, 2010
Aloe greatheadii Asphodelaceae Leaf Capricorn Diarhhoea Mathabe et al, 2006
Aloe spp Asphodelaceae Root Capricorn Flu, colds Moeng, 2010
Annona senegalensis Annonaceae Root/bark/leaf Vhembe Pain/fever Mahwasane et al 2013
Aptosimum linearize Scrophulariaceae Whole plant Mopani Toothache Chauke et al, 2015
Artemisia afra Asteraceae Leaves Capricorn Flu, colds Moeng, 2010
Asparagus cooperi Asparagaeceae Whole plant Capricorn Diarrhoea Mathabe et al, 2006
Bauhibnia galpinii Fabaceae Root Vhembe Stomach pains Mahwasane et al 2013
Bidens pilosa Astaeraceae Whole plant Capricorn Diarrhoea Mathabe et al, 2006
Boweiea volubilis Asparagaceae Bulb/tuber Vhembe Pain relief Aremu et al, 2015
Bulbine natalensis Asphodelaceaea Leaf Capricorn Diarrhoea Mathabe et al, 2006
Clerodendrum myricoides Lamiaceaee Leaves Vhembe Cold, cough Mulaudzi et al, 2012
Callilepis salcifolia Asteraceae Roots Capricorn Flu, colds Moeng, 2010
Carpobrotus edulis Aizoaceae Leaf Capricorn Diarhhoea Mathabe et al, 2006
Combrectum imberbe Combrectaceae Root/stem bark Mopani Cancer Chauke et al, 2015
Combrectum imberbe Combrectaceae Root Capricorn Diarrhoea Mathabe et al, 2006
Crinum bulbispermum Amaryllidaceae Root Capricorn Flu, colds Moeng, 2010
Diospyrosmes piliformis Ebenaceae Bark Vhembe Stomach pains Mahwasane et al 2013
Elephantorrhi zaburkei Fabacea Stem rhizome Capricorn Diarrhoea Mathabe et al, 2006
Elephantorrhiza elephantine Fabaceae Stem rhizhome Capricorn Diarrhoea Mathabe et al, 2006
Erythrinalysis temon Fabaceae Bark Vhembe Oedema Mahwasane et al 2013
Guillemine adensa Amaranthaceae Whole plant Capricorn Diarhhoea Mathabe et al, 2006
Gymnosporia senegalensis Celastraceae Root Capricorn Diarrhoea Mathabe et al, 2006
Ilex mitis Aquifoliaceae Root Capricorn Diarrhoea Mathabe et al, 2006
Indigofera daleoides Fabaceae Whole plant Capricorn Diarrhoea Mathabe et al, 2006
Lantana rugose Verbanaceae Root/leaves Vhembe Fever Mahwasane et al 2013
Leonotis leonorus Lamiaceae Leaves Capricorn Flu, colds Moeng, 2010
Lippia javanica Verbanaceae Leaves Capricorn Flu, colds Moeng, 2010
Mucuna coriacea Fabaceae Root Vhembe Toothache Mahwasane et al 2013
Ozoroa insignis Anacardiaceae Stem bark Capricorn Diarhhoea Mathabe et al, 2006
Piliostigma thonningii Fabaceae Root/leaves/bark Vhembe Stomach pains Mahwasane et al 2013
Punica granatum Punicaceae Root Capricorn Diarrhoea Mathabe et al, 2006
Schkuhria pinnata Asteracea Whole plant Vhembe Oedema Mahwasane et al 2013
Schotia brachypetala Fabaceae Stem bark Capricorn Flu, colds Moeng, 2010
Schotia brachypetala Fabaceae Stem bark Capricorn Diarrhoea Mathabe et al, 2006
Sclerocarya birrea Anacardiceae Stem bark Capricorn Diarrhoea Mathabe et al, 2006
Securidacalonge pedunculata Polygalaceae Root Capricorn Flu, colds Moeng, 2010
Senna obtusifolia Fabaceae Root Vhembe
Swollen penis,
Stomach ache
Mahwasane et al 2013
Siphonochilus aethiopicus Zingiberaceae Roots Capricorn Flu, colds Moeng, 2010
Solarum supinum Solanaceae Root Capricorn Diarhhoea Mathabe et al, 2006
Spirostachys africana Euphobiaceae Stem bark Capricorn Diarrhoea Mathabe et al, 2006
Spirostachys africana Euphobiaceae Stem bark Vhembe Colds, flu, fever Mulaudzi et al, 2012
Striga asiatica Orobanchaceae Whole plant/root Vhembe Oedema Mahwasane et al 2013
Syzygium cordatum Myrtaceae Stem bark Capricorn Diarrhoea Mathabe et al, 2006
Syzygium cordatum Myrtaceae Leaves Vhembe Colds, fever Mulaudzi et al, 2012
Tecoma capensis Bignoniaceae Root Capricorn Flu, colds Moeng, 2010
Waltheria indica Sterculiaceae Whole plant Capricorn Diarrhoea Mathabe et al, 2006
Ximenia caffra Olacaceae Stem bark Capricorn Diarhhoea Mathabe et al, 2006
Ximenia caffra Olacaceae Leaves Mopani Eye ache Chauke et al, 2015
Zantedeschia aethiopica Araceae Root Capricorn Flu, colds Moeng, 2010
Zanthoxylum capense Rutaceae Root Capricorn Flu, colds Moeng, 2010
trade in secondary tubers of H. procumbens constitute
the main source of income for many rural dwellers in
Namibia (Mncwangi et al, 2012) where exports in 2009
was estimated at 1.06 million euros. Extract from the
secondary tuber is used to treat fever, pain and arthritis,
with many commercialised products developed from the
extracts already on the markets.
Hence, there is a need to scientifically establish and
explore the potential of developing a sustainable used of
H. procumbens as a source of revenue generation for
the Limpopo province of South Africa.
CONCLUSION
Traditional medicinal plays a vital role in meeting the
health care needs of people in under-resourced areas
such as the Limpopo province of South Africa. Plant
Therapeutic uses of plant species for inflammation-related conditions in Limpopo province of South Africa: a mini-review and current perspectives
Int. J. Pharm. Phytothe. Res. 007
species from different families are widely used to treat
inflammation associated with several diseases such as
T2DM, TB, STD’s, and cancer. However, the most
frequently used plants species for treating these
ailments belongs to the Fabaceae family.
Currently, available information on the pharmacological
activities of extracts of the plant species in the Fabaceae
family includes antimicrobial and anti-inflammatory
activities in invitro assay systems. Considering the wide
range of medicinal plants used to treat inflammation-
related condition, with same plant species often used to
treat different ailments, it is imperative to continuously
record and compile an ethno-medicinal list. The list
provided in this review is not exhaustive, but it is an
attempt at providing a comprehensive list of plant
species used to treat inflammation-related conditions in
the Limpopo province. Inflammation is involved in the
pathogenesis and progression of many debilitating
diseases such as arthritis, TB and rheumatic pain, hence
it is not surprising that same plant species is often used
to treat different diseases.
One of the findings in this review is the dearth of
information on the traditional uses and exploitation of a
widely known plant species with demonstrated anti-
inflammatory activities. Extracts from the secondary
tubers of H. procumbens are well known for their anti-
inflammatory activities. The plant species is available in
the province, but little is known about its therapeutic
uses, cultivation, harvesting or exploitation. Harvesting
and exploitation and exportation of extracts of the plant
species could potentially be providing the much needed
income for the people in the areas of the Limpopo
province where this plant species is available.
Conflicts of interests
There are no conflicts of interest to be declared.
ACKNOWLEDGEMENT
Funding for this study was provided by the University of
Limpopo through the appointment of SAA as a
Postdoctoral Research Fellow. SAA and PM conceived,
drafted, edited, proof-read and approved of the final draft
of the manuscript for submission.
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008.
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Creative Commons Attribution License, which permits
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Therapeutic uses of plant species for inflammation-related conditions in Limpopo province of South Africa: a mini-review and current perspectives

  • 1. Therapeutic uses of plant species for inflammation-related conditions in Limpopo province of South Africa: a mini-review and current perspectives IJPPR Therapeutic uses of plant species for inflammation- related conditions in Limpopo province of South Africa: a mini-review and current perspectives Salmon A Adebayo1 and Peter Masoko2* 1,2 Department of Biochemistry, Microbiology and Biotechnology, Faculty of Science and Agriculture, University of Limpopo, Private Bag X01, Sovenga 0727, Limpopo, South Africa. Impaired inflammatory response could result in undesirable effects as seen in chronic diseases such as tuberculosis (TB) and cancer. This study was based on an ethno-botanical survey of 6literature citations of medicinal plants used to treat inflammation-related conditions in Limpopo province of South Africa. Plant species belonging to the Fabaceae family are mostly used for these purposes, representing 16.1% of the recorded plants species. The root was the preferred plant part (50.9%) used for inflammation-related conditions, followed by the leaves (18.4%), stem bark (16.7%), whole plant (9.6%), the bulbs (3.5%) and the seed (0.9%) consecutively. The same plant species or a different part thereof is sometimes used to treat inflammation caused by different ailments. Traditional medicine continues to play a vital role in meeting the health care needs of people in under-resourced areas such as the Limpopo province. However, a curious finding in this review is the dearth of information on the traditional uses and exploitability of Harpagophytum procumbens. Extracts from H. procumbens are well known for their anti-inflammatory activities. Controlled harvesting of H. procumbens could potentially provide the much needed income for the people in the areas of the Limpopo province where this plant species is available. Keywords: Medicinal plants, Limpopo province, inflammation, Fabaceae INTRODUCTION Inflammation is a complex and highly regulated albeit beneficial biological process which is a component of the body’s response to infections, injury and diseases (Adebayo et al, 2015). However, impaired or unabated inflammatory response is implicated in the progression and severity of infections and chronic diseases such as tuberculosis (TB), type-2 diabetes mellitus (T2DM), some forms of sexually transmitted infections (STI’s) and cancer (Majeed et al, 2015; Falconer et al, 2012). Infection by Mycobacterium tuberculosis, the causative organism for TB remains a disease burden in developing countries, especially in poor communities. Globally, approximately one third of the human population has TB (Lyadova, 2012). Inflammation plays a key role in the progression of TB infections as well as in the survival of the pathogen in the host. Crucially, the prognosis of TB is highly dependent on the host-pathogen interaction (Majeed et al, 2015). This is because the pathogen utilizes the complex host defence system as an offensive tool to proliferate within the host (Lyadova, 2012) by inhibiting the synthesis of pro-inflammatory mediators that subsequently leads to host tissue destruction. *Corresponding author: Prof. Peter Masoko, Faculty of Science and Agriculture, Department of Biochemistry, Microbiology and Biotechnology, University of Limpopo, Private Bag X1106, Sovenga 0727, Limpopo, South Africa. Tel.: (+27) 015-268 2340; fax: (+27)015 268 3012, E-mail address: peter.masoko@ul.ac.za. Co-author: Dr. Salmon A Adebayo, Email: salmon.adebayo@ul.ac.za International Journal of Pharmacognosy and Phytotherapy Research Vol. 1(1), pp. 002-008, June, 2017. © www.premierpublishers.org.ISSN: 2453-7172 Research Article
  • 2. Therapeutic uses of plant species for inflammation-related conditions in Limpopo province of South Africa: a mini-review and current perspectives Adebayo and Masoko 002 Sexually transmitted infections (STI’s) are caused by micro-organisms such as bacteria, viruses and parasites. During infection, the invading organisms are recognized by the immune system, which, as part of the body’s response to infection, initiates the inflammatory process. This leads to the symptoms associated with many STI’s, such as redness, swelling and pain. The inflammatory process recruits more immune cells to the site of the infection thereby increasing the concentration of immune-competent cells in the area infected with the STI’s. Although the inflammatory response is meant to help fight the infection, the recruitment of cells such as Cluster of differentiation 4 positive(CD4+) cells makes them more susceptible to Human Immuno-Deficient Virus (HIV) infection and replication (Giese et al, 2015). On the one hand, chronic inflammation is considered as a causative factor in a variety of cancers. In general, the longer the persistence of inflammation, the higher the risk of cancer. Examples of inflammatory mediators include metabolites of arachidonic acid, cytokines, chemokines, and free radicals. Chronic exposure to these mediators leads to increased cell proliferation, mutagenesis, oncogene activation, and angiogenesis. The ultimate result is the proliferation of cells that have lost normal growth control, known as cancerous cells (Sun and Kato, 2016). On the other hand, type 2 diabetes mellitus (T2DM) characterized by persistent hyperglycemia causes a chain of abrupt biochemical and physiological changes; whose hallmark isimmune dys-regulation that could contribute to prolonged inflammation which causes transformation of wounds into non-healing chronic ulcers (Falconer et al, 2012). Pro-inflammatory cytokines such as interleukin (IL)-1β, IL-6 and tumour necrosis factor (TNF) are involved in thymus derived cell (T-cell) mediated immune response associated with infections (Canal et al, 2016). The persistent circulation of these potent drivers of inflammation has been detected in various chronic diseases such as arthritis, cancers and T2DM (Liu et al, 2016). If unabated, systemic inflammation is thus believed to potentially lead to persistent pain (Huang et al, 2016) and progressive loss of function of the affected tissues and organ (Huang et al, 2016; Perruccio et al, 2016). In the Limpopo province, the vast majority of the people still depend on medicinal plants for their primary health care needs. Not surprisingly, the traditional care givers possess an inherently remarkable knowledge of plants identification and therapeutic uses. Various parts of medicinal plants are used for treating many diseases, and are often used either alone or in combination with other plant species or animal parts. The extracts are usually administered in the form of decoctions, concoctions or infusions for oral consumptions, enemas and inhalations, or as paste for topical applications on surface lesions including painful swellings and fractures (Havinga et al, 2010). In addition, several plant species are used in ethno-veterinary medicine to treat animal diseases such as diarrhoea and wound healing (Mathabe et al, 2006). One of the most widely exploited medicinal plants for painful symptoms associated with inflammation is Harpagophytum procumbens (Burch.) DC. ex Meisn. (Devil’s Claw) from the Pedaliaceae family. For instance, H.procumbens products for osteoarthritis are used in the United States and are among the most frequently prescribed botanicals by medical herbalists in the United Kingdom (Conrozier et al, 2014). Numerous European studies conducted over the past twenty years support their safety and have found them to be non-inferior to other established pain treatments (Brendler et al, 2006; Brien et al, 2006; Cameron et al, 2009). There are no literature citations on the therapeutic uses of extracts of H. procumbens in the Limpopo province, although the plants species are available. Therefore, the aim of this review was to investigate and collate information on medicinal plants used to treat inflammation-related conditions in the Limpopo province and to provide an update on the ethno-medical uses of the plant species as well as their phytochemistry. MATERIALS AND METHODS Study area This study was focussed on the Limpopo province of South Africa which lies in the northern-most part of the South Africa in the Savanna biome, an area of mixed grassland and trees generally known as bushveld (GPS coordinates 23.4013° S, 29.4179° E). The five district/regions are the Waterberg, Capricon, Vhembe, Mopani and Sekhukhune. The Limpopo province (Figure 1) is one of the under-resourced of the nine provinces in South Africa, and consequently majority of the inhabitants rely on medicinal plants for their primary health care needs. The continued reliance on traditional form of therapy is further entrenched by factors such as low cost, ease of accessibility and innate adherence to traditional customs and beliefs. The principal home language is Sesotho, spoken by more than 50% of the 5.8 million inhabitants, followed by Xitsonga and Tshivenda (Statistics South Africa, 2016). Ethno-botanical survey and data sourcing An ethno-botanical survey of medicinal plants used to treat inflammation-related conditions in Limpopo province was conducted. The information was sourced from citations in search engines such as Google scholar, Web of science, Science Direct, Pubmed, Scopus etc. RESULTS AND DISCUSSION The continued utilisation of medicinal plants for therapeutic purposes is common practice in developing countries, especially in under-resourced areas such as the Limpopo province of South Africa. Ethno-botanical survey of the therapeutic uses of medicinal plants by the various cultures of the Limpopo province including the Venda (Mulaudzi et al, 2012),
  • 3. Therapeutic uses of plant species for inflammation-related conditions in Limpopo province of South Africa: a mini-review and current perspectives Int. J. Pharm. Phytothe. Res. 003 Figure 1. Map of South Africa and the five districts/regions of the Limpopo province, South Africa (www.municipalities.co.za) Sepedi (Semenya et al, 2012a) and Tsonga (Luseba and van der Merwe, 2006; Mashabane et al, 2001) speaking people has been recorded. The study on the utilization of Colophospermum mopane (Kirk ex Benth.) Kirk ex J. Léonard from the Fabaceae family by the Vatsonga people in the Gazankulu region was recorded by Mashabane et al, (2001). The findings indicated that the plant is utilized medicinally by traditional healers in treating stomach ache, gout, diarrhoea, toothache and menstrual pain. An investigation on the trade of indigenous medicinal plants in the Venda region of the Limpopo province together with their ethnobotanical importance and sustainable use was done by Tshisikhawe et al, (2012). Sixty-nine medicinal plants species were recorded by the survey with the plant parts most preferred being roots (Tshisikhawe et al, 2012). The finding suggests that plant material is still extensively used for medicinal purposes and they will continue to do so for a considerable time to come. Botha and Shackleton, (2004) previously conducted a study on the market profiles and trade in medicinal plants in the Limpopo Lowveld of South Africa. The findings indicated that 70 different species were identified representing 40 families. The study also indicated considerable local variation and complexities in the harvesting and marketing of medicinal plants. A comprehensive list of the plant species was compiled and grouped according to their therapeutic uses for STI’s (Table 1) (Mahwasane et al, 2013; Semenya et al, 2012a; Chauke et al, 2015), T2DM (Table 2) (Semenya et al, 2012b; Chauke et al, 2015; Semenya et al, 2012a;Mahwasane et al, 2013), and other painful conditions (Table 3) (Mathabe et al, 2006;Mulaudzi et al, 2012;Mahwasane et al, 2013; Chauke et al, 2015;Moeng, 2010) respectively. The results indicated that plant species belonging to different families are used to treat inflammation-related diseases and symptoms. Plant species belonging to the Fabaceae family are mostly used for these purposes, representing 16.1% of the recorded plants species (Figure 2). This observation is not surprising because the Fabacea family is considered to be the second largest family of medicinal plants used for therapeutic purposes (Gao et al, 2010). This was followed by the Asteraceae family (8.6%) as previously observed by Maroyi and Mosina, (2014) and the Asparagaceae (4%). Furthermore, an ethnobotanical survey of medicinal plants used for inflammation related conditions in South Africa had 20% of the selected plant species belonging to the Fabaceae family (Adebayo et al, 2015). Fabaceae is the most common family found in tropical rainforests and in dry forests in the Americas and Africa (Rahman and Parvin, 2014). Phytochemical investigation of plants species in the Fabacea family indicated that they frequently synthesize alkaloids, proanthocyanidins, and flavonoids such as kaempferol, quercitin and myricetin. These secondary metabolites are known to possess anti-microbial and anti- inflammatory activities. The Fabacea family are the only group that contains pterocarpans (Sun et al, 2015; Kaennakam et al, 2015), a class of iso-flavonoids with potent anti-cancer, analgesic and anti-inflammatory activities (Tan et al, 2016). The root was the preferred plant part (50.9%) used for inflammation-related conditions, followed by the leaves (18.4%), stem bark (16.7%), whole plant (9.6%), the bulbs (3.5%) and the seed (0.9%) consecutively (Figure 3). This pattern of ethno-medicinal uses of plant parts was previously reported by Semenya et al (2012a) and Mahwasane et al (2013), suggesting that the same is applicable to the whole province of Limpopo. It should be noted that the same plant species is sometimes used to treat inflammation caused by different diseases, and a different parts of same plant species could be used for different ailments. The parts of the plant species are usually prepared and administered in the form of decoctions, infusions, concoctions to be taken orally. In addition, the herbs may be prepared with oil as a paste to be applied externally in case of skin infections or wound dressings. Water is the most commonly used solvent for extraction, but locally available alcohol is sometimes used. Many plant species are used in the Limpopo Province; however, a curiously ignored or overlooked plant species with known therapeutic property is H. procumbens. Devil’s Claw plants are found in the western reaches of the Limpopo Province. According to the Limpopo
  • 4. Therapeutic uses of plant species for inflammation-related conditions in Limpopo province of South Africa: a mini-review and current perspectives Adebayo and Masoko 004 Table 1. Plant species used to treat sexually transmitted infections in Limpopo province of South Africa Plant species Family Part used District of Limpopo References Aloe marlothii Asphodelaceae Leaves/root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Callilepsis laureolia Asteraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Carica papaya Caricaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Carpobrotus edulis Aizoaceae Leaves Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Centella asiatica Apiaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Cussinia spicata Araliaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Englerophytum magalismontanum Sapotaceae Bark Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Ficus carica Moraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Gethyllis namaquensis Amaryllidaceae Bulb Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Grewia flavescens Malvaceae Root Mopani Chauke et al, 2015 Grewia villosa Malvaceae Root Mopani Chauke et al, 2015 Helichrysum caespititium Asteraceae Whole plant Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Hermanniaguartiniana Sterculiaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Hypoxis iridifolia Hypoxidaceae Tuber Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Kirkia wiimsii Kirkiaceae Tuber Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Lessertia microphylla Fabaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Mimusopszeyheri Sapotaceae Leaf Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Moringa oleifera Moringaceae Seed and leaf Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Mormodica balsamina Cucurbitaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Mormodica charantia Cucurbitaceae Leaves Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Opuntiaficus-indica Cactaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Persea Americana Lauraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Plumeria obtuse Apocynaceae Leaves Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Punita granatum Lythraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Schkuhria pinnata Asteraceae Whole plant Vhembe Mahwasane et al 2013 Tarchonanthus camphoratus Asteraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Triumfetta spp Tiliaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Figure 2. The percentage of plant species used for inflammation-related conditions grouped according to their families 16% 9% 4% 3% 3% 3% 3% 2% 2%2%2%2%2% 2% 2% 2% 2% 2% 2% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% 1% Fabaceae Asteraceae Asparagaceae Amaranthaceae Anarcardiaceae Asphodelaceae Verbanaceae Amaryllidaceae Apiaceae Apocynaceae Combractatceae Cucurbitaceae Hypoxidaceae Loginiaceae Malvaceae Moraceae Sapotaceae Sterculiaceae
  • 5. Therapeutic uses of plant species for inflammation-related conditions in Limpopo province of South Africa: a mini-review and current perspectives Int. J. Pharm. Phytothe. Res. 005 Table 2. Plant species used to treat type-2 Diabetes mellitus in Limpopo province of South Africa Plant species Family Part used District of Limpopo References Aloe marlothii Asphodelaceae Leaves/root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a Callilepsis laureolia Asteraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a Carica papaya Caricaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a Carpobrotus edulis Aizoaceae Leaves Capricon/Sekhukhune/Waterberg Semenya et al, 2012a Centella asiatica Apiaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a Cussinia spicata Araliaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a Englerophytum magalismontanum Sapotaceae Bark Capricon/Sekhukhune/Waterberg Semenya et al, 2012a Ficus carica Moraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a Gethyllis namaquensis Amaryllidaceae Bulb Capricon/Sekhukhune/Waterberg Semenya et al, 2012a Grewia flavescens Malvaceae Root Mopani Chauke et al, 2015 Grewia villosa Malvaceaee Root Mopani Chauke et al, 2015 Helichrysum caespititium Asteraceae Whole plant Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Hermannia guartiniana Sterculiaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Hypoxis iridifolia Hypoxidaceae Tuber Capricon/Sekhukhune/Waterberg Semenya et al, 2012a Kirkia wiimsii Kirkiaceae Tuber Capricon/Sekhukhune/Waterberg Semenya et al, 2012a Lessertia microphylla Fabaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a Mimusopszeyheri Sapotaceae Leaf Capricon/Sekhukhune/Waterberg Semenya et al, 2012a Moringa oleifera Moringaceae Seed and leaf Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Mormodica balsamina Cucurbitaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Mormodica charantia Cucurbitaceae Leaves Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Opuntiaficus-indica Cactaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a Persea Americana Lauraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012a Plumeria obtuse Apocynaceae Leaves Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Punita granatum Lythraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Schkuhria pinnata Asteraceae Whole plant Vhembe Mahwasane et al 2013 Tarchonanthus camphoratus Asteraceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Triumfetta spp Tiliaceae Root Capricon/Sekhukhune/Waterberg Semenya et al, 2012b Figure 3. The plant-parts used for treating inflammation-related conditions Province Conservation Department officials, no harvesting takes place. There is a dearth of information on the numbers and location of Devil’s Claw plants in the province, and no apparent information on the use of the plant by indigenous people. The Limpopo Province Conservation Authorities have indicated that Devil’s Claw is found in a few nature reserves, such as Lanjan Nature Reserve, near the town of All days, but information on plant numbers and exact locations, as well as people’s use of the resource is non-existent. The 0 10 20 30 40 50 60 70 Roots Leaves Whole plant Stem bark Bulb Seed
  • 6. Therapeutic uses of plant species for inflammation-related conditions in Limpopo province of South Africa: a mini-review and current perspectives Adebayo and Masoko 006 Table 3. Plant species used for pain relief in the Limpopo province of South Africa Plant species Family Part used District Traditional uses References Acacia rehmanniana Fabaceae Leaves Mopani Headache Chauke et al, 2015 Acanthus montanus Acanthaceae Root Capricorn/Sekhuk hune/Waterberg Stomach aches Semenya et al, 2012b Alepidea amatymbica Apiaceae Root Capricorn Flu, colds Moeng, 2010 Aloe greatheadii Asphodelaceae Leaf Capricorn Diarhhoea Mathabe et al, 2006 Aloe spp Asphodelaceae Root Capricorn Flu, colds Moeng, 2010 Annona senegalensis Annonaceae Root/bark/leaf Vhembe Pain/fever Mahwasane et al 2013 Aptosimum linearize Scrophulariaceae Whole plant Mopani Toothache Chauke et al, 2015 Artemisia afra Asteraceae Leaves Capricorn Flu, colds Moeng, 2010 Asparagus cooperi Asparagaeceae Whole plant Capricorn Diarrhoea Mathabe et al, 2006 Bauhibnia galpinii Fabaceae Root Vhembe Stomach pains Mahwasane et al 2013 Bidens pilosa Astaeraceae Whole plant Capricorn Diarrhoea Mathabe et al, 2006 Boweiea volubilis Asparagaceae Bulb/tuber Vhembe Pain relief Aremu et al, 2015 Bulbine natalensis Asphodelaceaea Leaf Capricorn Diarrhoea Mathabe et al, 2006 Clerodendrum myricoides Lamiaceaee Leaves Vhembe Cold, cough Mulaudzi et al, 2012 Callilepis salcifolia Asteraceae Roots Capricorn Flu, colds Moeng, 2010 Carpobrotus edulis Aizoaceae Leaf Capricorn Diarhhoea Mathabe et al, 2006 Combrectum imberbe Combrectaceae Root/stem bark Mopani Cancer Chauke et al, 2015 Combrectum imberbe Combrectaceae Root Capricorn Diarrhoea Mathabe et al, 2006 Crinum bulbispermum Amaryllidaceae Root Capricorn Flu, colds Moeng, 2010 Diospyrosmes piliformis Ebenaceae Bark Vhembe Stomach pains Mahwasane et al 2013 Elephantorrhi zaburkei Fabacea Stem rhizome Capricorn Diarrhoea Mathabe et al, 2006 Elephantorrhiza elephantine Fabaceae Stem rhizhome Capricorn Diarrhoea Mathabe et al, 2006 Erythrinalysis temon Fabaceae Bark Vhembe Oedema Mahwasane et al 2013 Guillemine adensa Amaranthaceae Whole plant Capricorn Diarhhoea Mathabe et al, 2006 Gymnosporia senegalensis Celastraceae Root Capricorn Diarrhoea Mathabe et al, 2006 Ilex mitis Aquifoliaceae Root Capricorn Diarrhoea Mathabe et al, 2006 Indigofera daleoides Fabaceae Whole plant Capricorn Diarrhoea Mathabe et al, 2006 Lantana rugose Verbanaceae Root/leaves Vhembe Fever Mahwasane et al 2013 Leonotis leonorus Lamiaceae Leaves Capricorn Flu, colds Moeng, 2010 Lippia javanica Verbanaceae Leaves Capricorn Flu, colds Moeng, 2010 Mucuna coriacea Fabaceae Root Vhembe Toothache Mahwasane et al 2013 Ozoroa insignis Anacardiaceae Stem bark Capricorn Diarhhoea Mathabe et al, 2006 Piliostigma thonningii Fabaceae Root/leaves/bark Vhembe Stomach pains Mahwasane et al 2013 Punica granatum Punicaceae Root Capricorn Diarrhoea Mathabe et al, 2006 Schkuhria pinnata Asteracea Whole plant Vhembe Oedema Mahwasane et al 2013 Schotia brachypetala Fabaceae Stem bark Capricorn Flu, colds Moeng, 2010 Schotia brachypetala Fabaceae Stem bark Capricorn Diarrhoea Mathabe et al, 2006 Sclerocarya birrea Anacardiceae Stem bark Capricorn Diarrhoea Mathabe et al, 2006 Securidacalonge pedunculata Polygalaceae Root Capricorn Flu, colds Moeng, 2010 Senna obtusifolia Fabaceae Root Vhembe Swollen penis, Stomach ache Mahwasane et al 2013 Siphonochilus aethiopicus Zingiberaceae Roots Capricorn Flu, colds Moeng, 2010 Solarum supinum Solanaceae Root Capricorn Diarhhoea Mathabe et al, 2006 Spirostachys africana Euphobiaceae Stem bark Capricorn Diarrhoea Mathabe et al, 2006 Spirostachys africana Euphobiaceae Stem bark Vhembe Colds, flu, fever Mulaudzi et al, 2012 Striga asiatica Orobanchaceae Whole plant/root Vhembe Oedema Mahwasane et al 2013 Syzygium cordatum Myrtaceae Stem bark Capricorn Diarrhoea Mathabe et al, 2006 Syzygium cordatum Myrtaceae Leaves Vhembe Colds, fever Mulaudzi et al, 2012 Tecoma capensis Bignoniaceae Root Capricorn Flu, colds Moeng, 2010 Waltheria indica Sterculiaceae Whole plant Capricorn Diarrhoea Mathabe et al, 2006 Ximenia caffra Olacaceae Stem bark Capricorn Diarhhoea Mathabe et al, 2006 Ximenia caffra Olacaceae Leaves Mopani Eye ache Chauke et al, 2015 Zantedeschia aethiopica Araceae Root Capricorn Flu, colds Moeng, 2010 Zanthoxylum capense Rutaceae Root Capricorn Flu, colds Moeng, 2010 trade in secondary tubers of H. procumbens constitute the main source of income for many rural dwellers in Namibia (Mncwangi et al, 2012) where exports in 2009 was estimated at 1.06 million euros. Extract from the secondary tuber is used to treat fever, pain and arthritis, with many commercialised products developed from the extracts already on the markets. Hence, there is a need to scientifically establish and explore the potential of developing a sustainable used of H. procumbens as a source of revenue generation for the Limpopo province of South Africa. CONCLUSION Traditional medicinal plays a vital role in meeting the health care needs of people in under-resourced areas such as the Limpopo province of South Africa. Plant
  • 7. Therapeutic uses of plant species for inflammation-related conditions in Limpopo province of South Africa: a mini-review and current perspectives Int. J. Pharm. Phytothe. Res. 007 species from different families are widely used to treat inflammation associated with several diseases such as T2DM, TB, STD’s, and cancer. However, the most frequently used plants species for treating these ailments belongs to the Fabaceae family. Currently, available information on the pharmacological activities of extracts of the plant species in the Fabaceae family includes antimicrobial and anti-inflammatory activities in invitro assay systems. Considering the wide range of medicinal plants used to treat inflammation- related condition, with same plant species often used to treat different ailments, it is imperative to continuously record and compile an ethno-medicinal list. The list provided in this review is not exhaustive, but it is an attempt at providing a comprehensive list of plant species used to treat inflammation-related conditions in the Limpopo province. Inflammation is involved in the pathogenesis and progression of many debilitating diseases such as arthritis, TB and rheumatic pain, hence it is not surprising that same plant species is often used to treat different diseases. One of the findings in this review is the dearth of information on the traditional uses and exploitation of a widely known plant species with demonstrated anti- inflammatory activities. Extracts from the secondary tubers of H. procumbens are well known for their anti- inflammatory activities. The plant species is available in the province, but little is known about its therapeutic uses, cultivation, harvesting or exploitation. 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