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      Appraising the therapeutical potentials of Alchornea laxiflora (Benth .) Pax & K. Hoffm ., an underexplored medicinal herb: A systematic review

      systematic-review

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          Abstract

          Ethnopharmacological relevance: Alchornea laxiflora (Benth.) Pax & K. Hoffm. (Euphorbiaceae) is an important traditional medicinal plant grown in tropical Africa. The stem, leaves, and root have been widely used in the folk medicine systems in Nigeria, Cameroon, South Africa, and Ghana to treat various ailments, including inflammatory, infectious, and central nervous system disorders, such as anxiety and epilepsy.

          Material and methods: The scientific name of the plant was validated using the “The Plant List,” “Kew Royal Botanic Gardens,” and Tropicos Nomenclatural databases. The literature search on A. laxiflora was performed using electronic search engines and databases such as Google scholar, ScienceDirect, PubMed, AJOL, Scopus, and Mendeley.

          Results: To the best of our knowledge, no specific and detailed review has been reported on A. laxiflora. Consequently, this review provides an up-to-date systematic presentation on ethnobotany, phytoconstituents, pharmacological activities, and toxicity profiles of A. laxiflora. Phytochemical investigations disclosed the presence of important compounds, such as alkaloids, flavonoids, phenolics, terpenoids, and fatty acids. Furthermore, various pharmacological activities and traditional uses reported for this botanical drug were discussed comprehensively.

          Conclusion: This systemic review presents the current status and perspectives of A. laxiflora as a potential therapeutic modality that would assist future researchers in exploring this African botanical drug as a source of novel drug candidates for varied diseases.

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          Most cited references104

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          Development of the EUCAST disk diffusion antimicrobial susceptibility testing method and its implementation in routine microbiology laboratories.

          With the support of ESCMID and European countries, EUCAST has developed a disk diffusion test with zone diameter breakpoints correlated with the EUCAST clinical MIC breakpoints. The development of the EUCAST disk diffusion method and quality control criteria are described, together with guidance on quality control and implementation of the method in clinical microbiology laboratories. The method includes the use of Mueller-Hinton agar without supplements for non-fastidious organisms and with 5% mechanically defibrinated horse blood and 20 mg/L β-NAD for fastidious organisms, a standardized inoculum resulting in confluent growth, an incubation time of 16-20 h, a reading guide on how to read zone diameters on individual species-agent combinations and zone diameter breakpoints calibrated to the EUCAST clinical MIC breakpoints. EUCAST recommendations are described in detail and updated regularly on the EUCAST website (http://www.eucast.org).
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            Best practice in research – Overcoming common challenges in phytopharmacological research

            The pharmacology, toxicology and pharmacokinetics of bioactive preparations derived from natural sources has become a flourishing field of research. However, researching complex extracts and natural products faces numerous challenges. More broadly in recent years the critique of pharmacological research, and specifically its design, the methods used and reporting has intensified.
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              Herbal Medicine Today: Clinical and Research Issues

              Herbal medicine is the use of medicinal plants for prevention and treatment of diseases: it ranges from traditional and popular medicines of every country to the use of standardized and tritated herbal extracts. Generally cultural rootedness enduring and widespread use in a Traditional Medical System may indicate safety, but not efficacy of treatments, especially in herbal medicine where tradition is almost completely based on remedies containing active principles at very low and ultra low concentrations, or relying on magical-energetic principles. In the age of globalization and of the so-called ‘plate world’, assessing the ‘transferability’ of treatments between different cultures is not a relevant goal for clinical research, while are the assessment of efficacy and safety that should be based on the regular patterns of mainstream clinical medicine. The other black box of herbal-based treatments is the lack of definite and complete information about the composition of extracts. Herbal derived remedies need a powerful and deep assessment of their pharmacological qualities and safety that actually can be realized by new biologic technologies like pharmacogenomic, metabolomic and microarray methology. Because of the large and growing use of natural derived substances in all over the world, it is not wise to rely also on the tradition or supposed millenarian beliefs; explanatory and pragmatic studies are useful and should be considered complementary in the acquisition of reliable data both for health caregiver and patients.
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                Author and article information

                Contributors
                Journal
                Front Pharmacol
                Front Pharmacol
                Front. Pharmacol.
                Frontiers in Pharmacology
                Frontiers Media S.A.
                1663-9812
                02 December 2022
                2022
                : 13
                : 958453
                Affiliations
                [1] 1 School of Pharmacy , ITM University, Gwalior , Gwalior, Madhya Pradesh, India
                [2] 2 School of Studies in Pharmaceutical Sciences , Jiwaji University , Gwalior, Madhya Pradesh, India
                [3] 3 School of Sciences , ITM University, Gwalior , Gwalior, Madhya Pradesh, India
                [4] 4 Faculty of Pharmacy , Philadelphia University , Amman, Jordan
                [5] 5 Department of Pharmacology , College of Pharmacy , King Khalid University , Abha, Saudi Arabia
                [6] 6 Department of Microbiology and Clinical Parasitology , College of Medicine , King Khalid University , Abha, Saudi Arabia
                [7] 7 Center for Stem Cell Research , College of Medicine , King Khalid University , Abha, Saudi Arabia
                [8] 8 Department of Anatomy , College of Medicine , King Khalid University , Abha, Saudi Arabia
                [9] 9 Department of Pharmacy , Pranveer Singh Institute of Technology , Kanpur, India
                [10] 10 College of Pharmacy and Nursing , University of Nizwa , Nizwa, Oman
                Author notes

                Edited by: Abdelhakim Bouyahya, Mohammed V University, Morocco

                Reviewed by: Smith B. Babiaka, University of Buea, Cameroon

                Suman Chowdhury, The State University of New Jersey, United States

                *Correspondence: Balakumar Chandrasekaran, dhillbalu@ 123456gmail.com ; Kumarappan Chidambaram, kumarappan@ 123456kku.edu.sa

                This article was submitted to Ethnopharmacology, a section of the journal Frontiers in Pharmacology

                Article
                958453
                10.3389/fphar.2022.958453
                9761395
                3061e027-37ef-4471-8bb0-d644bb39b42b
                Copyright © 2022 Jain, Tailang, Kumar, Chandrasekaran, Alghazwani, Chandramoorthy, Kumar, Deshpande, Wal, Balamurugan and Chidambaram.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                : 31 May 2022
                : 31 October 2022
                Categories
                Pharmacology
                Systematic Review

                Pharmacology & Pharmaceutical medicine
                alchornea laxiflora,ethnopharmacology,african plants,traditional medicine,phytochemistry,pharmacology

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