A Pharmacological Review: Passiflora Species
Saurabh Tiwari, Shweta
Singh*, Dr. Shalini Tripathi,
Mr. Sunil Kumar
Rameshwaram Institute of
Technology and Management, Lucknow, U.P. India
*Corresponding Author E-mail: singh.shweta252@gmail.com
ABSTRACT:
Plants
have been the basis of many traditional medicines throughout the world for
thousands of years and have continued to provide new remedies to mankind. They
are one of the richest sources of bioactive compounds. The genus Passiflora L. comprises about 520 species of dicotyledonous
plants in the family Passifloraceae.
Passiflora incarnata and
P. alata,
also commonly known as Passion flower, are two species of a perennial climbing
vine with beautiful exotic flowers and delicious fruit that grow worldwide,
preferring subtropical, frost-free climates. They are native to the tropical
and semi-tropical United States (Virginia to Florida and as far west as Texas),
Mexico, Central American, and from Brazil to Paraguay through northern
Argentina. It is used extensively for treatment of some diseases like as
anxiety, insomnia, convulsion, sexual dysfunction, cough and cancer.
Passionflower is currently official in the national pharmacopeias of Egypt,
France, Germany and Switzerland, and also mongraphed
in the British Herbal Pharmacopoeia and
the British Herbal Compendium, the
ESCOP monographs, the Commission E, the German Standard Licenses, the German Homeopathic Pharmacopoeia, and
the Homeopathic Pharmacopoeia of the
United States. The present article including the detailed exploration of
pharmacological properties of P. incarnata is
an attempt to provide a direction for further research.
KEY WORDS: Passifloraceae, Passiflora incarnate, Insomnia, Convulsion
1.
INTRODUCTION
The genus Passiflora
consists of 500 species that are mostly found in warm and tropical regions. Passiflora comes
from Latin word “Passio” that was first time
discovered by Spanish discoverers in 1529 and was described as a symbol for
“Passion of Christ”1, 2. The passion flowers or passion vines (Passiflora) have a genus of about 400 species of
flowering plants and the largest in the family of Passifloraceae3, 4. They are mostly vines, with some
being shrubs, and a few species being herbaceous. The species of this genus are distributed in
the warm temperate and tropical regions of the world, but they are much rarer
in Asia, Australia, and tropical Africa. The medical utility of very few species
of Passiflora has been scientifically studied5.
Passionflower extracts have
been classified into several categories of chemical activities like anxiolytic, spasmolytic,
hypnotic, sedative, narcotic and anodyne (Ozarko,
2001)6. These extracts are part of a treatment that has successfully
treated outpatients with adjustment disorder and anxious mood (Broutin et al., 1997) 7. Many species have been
found to contain beta-carboline harmala
alkaloids with anti-depressant properties. The flower and fruit has only traces
of these chemicals, but the leaves and the roots are often more potent and have
been used to enhance the effects of mind-altering drugs. Once dried, the leaves
can also be smoked. Passiflora quadrangularris is
used by traditional healers for snake bites. Snake bites causes blood clotting
and eventually burst blood vessels around the bite, this is known as
haemorrhaging8.
Classification:
Botanical source: Passiflora incarnata L.
Family: Passifloraceae
Genus: Passiflora L.
Species: Passiflora incarnata L.
Identifying
Characteristics:
The stems wiry; three-lobed
leaves, serrate; pale pink flowers 5-7 cm across; fruits ovoids
or globose, 3-5 cm long [Figures 1-3]9.
Figure 1:- Passion
flower
Figure 2:- Whole Plant
Figure 3:- Fruits
Bioactive Compounds:
Chemical content of Passiflora
species is also not well delineated. Investigators have differed on whether its
sedative effects are due to indole alkaloids such as harmane, harmaline, and harmol; flavonoids such as apigenin, luteolin, and scopoletin; or an isolated trisubstituted
benzoflavone. In addition, recently it was determined
that Passiflora
contains more gamma-amino butyric acid (GABA) than 20 other plants examined10.
One of six alkaloids isolated from P. incarnata has been called "passiflorine," and is
believed by some to be the plant's active compound, although the Agricultural
Research Service's web site describes passiflorine as
inactive. The Chemical Abstract Service's database's only similar entry is
"passiflorin,"
a steroid-like molecule found in P. edulis stems and leaves that is not an alkaloid.
Passionflower extracts consist of fresh or dried aerial parts of P. incarnata or
P. alata,
collected during the flowering and fruiting period. Botanical identity is
confirmed by thin-layer chromatography, microscopic and macroscopic
examination, and organoleptic evaluation. Extracts
contain 0.825% apigenin and luteolin
glycosides, vitexin, isovitexin
and their Cglycosides,
kaempferol, quercetin, and rutin; indole alkaloids (0.01%),
mainly harman, harmaline, harmine; coumarin derivatives; cyanogenic glycosides (gynocardin);
amino acids (including GABA); fatty acids (linoleic
and linolenic); gum; maltol;
phytosterols (stigmasterol);
sugars (sucrose); and a trace of volatile oil11, 12, 13, 14, 15, 16.
1.
Chrysin:
C15H10O4 (5, 7-dihydroxy-2-phenyl-(9CI)
Chrysin
is a naturally occurring flavone chemically extracted
from the blue passion flower (Passiflora caerulea).
Chrysin acts as an aromatase
inhibitor supplement to bodybuilders and athletes. It has been shown to induce
an anti-inflammatory effect, most likely by inhibition of COX-2 expression via
IL-6 signaling17. In
rodent in vivo studies, chrysin was found
anxiolytic18, 19. In herbal medicine, it is recommended as a remedy
for anxiety, but there are no controlled data in humans’ available20.
Chrysin exhibited
an anxiolytic effect, which was showed by an increase
in locomotor activity in rats when injected at 1
mg/kg. This effect was linked to GABA benzodiazepine receptors in the brain
because the anxiolytic effect was blocked by an
injection of Flumazenil, which is a benzodiazepine
antagonist21. Chrysin and apigenin have been shown to inhibit the growth of breast
carcinoma cells22, human thyroid cancer cells23 and human
prostate tumors24. Apigenin is considered
anti-mutagenic because it reduces the effects of mutagens in rats25.
2. Benzoflavone:
The β-Naphthoflavone, also known as 5, 6-benzoflavone, is a
potent agonist of the aryl hydrocarbon receptor and an inducer of
detoxification enzymes as cytochromes P450 (CYPs) and
uridine 5'-diphosphoglucuronosyltransferases (UGTs)
26. β -Naphthoflavone is a putative chemopreventive agent27.
3.
Harmala alkaloids:
C13H12N2O (7-Methoxy-1-methyl-9H-pyrido [3, 4-b] indole)
The passiflora family contains small amounts of harmala alkaloids, harmane (passaflorine), and possibly harmine
(telepathine), harmaline, harmol, and harmalol. The
presence of the last four in P. incarnata is
disputed28 because they are contained in only very small amounts
(0.01% or less) 29.
Furthermore, they have been
identified as stimulants and monoamine oxidase
inhibitors30, 31, 32 which would give antidepressant rather than
sedative effects. Wild rue (Peganum harmala) which
contains significant amounts of these substances (and after which they were
named) is used therapeutically as a stimulant rather than a sedative. The harmala alkaloid which is the active principle in passiflora might
also be a cause for concern for kidney toxicity, as these substances are toxic
to the kidneys33.
Extracts of the aerial
parts of P. incamata
L. contain the beta-carbolines: harman, hamun, hannalin, harmol, and harmalol, along with an aroma compound, maltol34.
Beta-carbolines, like those of P. incamata L.,
induce voluntary ethanol intake in rats35. Some people may be
interested in the fact that harman has been identified
in beer; wine36 and cigarette smoke37. Beta-carbolines have been found to prevent neuron damage to the
brain mitochondria of dopamine induced mice by acting as an antioxidant and
scavenging hydroxyl radicals38. Harman and related compounds are mutagenic
and have become more mutagenic after nitrosarion
occurs in the acidic conditions of the stomach. Harman acts as a vasorelaxant (something that reduces inflammation or edema), it functions by releasing GABA, serotonin and
noradrenaline39.
4. Glycosides
Orientin:
Glycosides are molecules in
which a sugar is bound to a non-carbohydrate moiety, usually a small organic
molecule. Glycosides play numerous important roles in living organisms. Many
plants store chemicals in the form of inactive glycosides which can be
activated by enzyme hydrolysis40.
Leaf and stem material of P.
edulis contain
the new cyanogenic glycosides
(2R)–α-allopyranosyloxy-2-phenylacetonitrile and
(2S)–α-Dallopyranosyloxy-2-phenylacetonitrile , along with smaller amounts
of (2R)–prunasin, (2S)-sambunigrin.
Many different types of glycosides are present in passion flower such as apigenin, homoorientin,
7-isoorientin, isoshaftoside, isovitexin,
kaempferol, lucenin, luteolin, norientin, passiflorine (named after the genus), quercetin,
rutin, saponaretin, saponarin, shaftoside, vicenin and vitexin. In some
cases this glycoside occurs with simple β-D-glucopyranosides:
tetraphyllin A, deidaclin, tetraphyllin B, volkenin, epivolkenin and taraktophyllin. P. citrine contains passicapsin,
a rare glycoside with the 2, 6- dideoxy- β -D-xylo-hexopyranosyl moiety, while
P. herbertiana contains tetraphyllin
A, deidaclin, epivolkenin
and taraktophyllin, P. discophora
tetraphyllin B and volkenin,
and P. xviolacea tetraphyllin
B41. Some other
glycosides present in Passiflora are the hydrocarbon nonacosane and the anthocyanidin
pelargonidin-3-diglycoside42.
Passiflora morifolia
extracts contain the cyanohydrins
glycoside and linamarin43. Linamarin
causes an increase of lactic acid and total cholesterol in the liver and brain
in addition to the depletion of brain phospholipids in rabbits44.
Isoorientin:
(Luteolin-8-C-glucoside)
Orientin is a flavone, a chemical flavonoid-like compound found in the passion flower, the Açai palm and Anadenanthera
peregrina. Orientin is
also reported to be in millets. Isoorientin (or homoorientin) is the luteolin-6-Cglucoside. It can be
isolated from the passion flower, Vitex negundo, the Açaí palm and Swertia japonica45.
Other organic compounds:
Passion flower contains
many alkaloids, flavonoids as well as many organic
compounds such as organic acids. This genus is rich in formic, butyric, linoleic, linolenic, malic, myristic, oleic and palmitic acids as well as phenolic
compounds, and the amino acid α-alanine. Some
species contain ester such as ethyl butyrate, ethyl caproate,
n-hexyl butyrate and n-hexyl
caproate which give the fruits their flavor and
appetizing smell. Sugars, contained mainly in the fruit, are mostly d-fructose,
d-glucose and raffinose. Among enzymes, Passiflora was
found to be rich in catalase, pectin methyl esterase
and phenolase. Apart from glycosides, phenols and
alkaloids, various miscellaneous phyto-constituents
which were also reported to be in P. edulis include, Edulans
I and II46 and pectins47.The pectin fractions contain
mainly sugars (83 - 85%, w/w). However, non-sugar components such as
nitrogen-containing material (3 -8%, w/w) and ash (5 - 7%, w/w) are also
present in these fractions48.
Pharmacology:
Cannabinoids reversal:
The newly reported benzoflavone (BZF) moiety from the plant P. incarnata (Linn) has been evaluated in light of
traditional reports on the use of this plant in breaking down cannabis
addiction. In the modern or allopathic system of therapeutics, there has been
no suitable remedy to combat the severe withdrawal effects of various cannabis
products, including marihuana, marijuana, bhang, hashish, ganja, etc., the
world-wide consumption of which has attained alarming proportions especially
among the younger generation. It has been reported that the BZF of P. incarnata, when administered concurrently with cannabinoids, prevented the development of tolerance and
dependence of cannabinoids in mice. Even an acute
administration of the BZF significantly blocked the expression of withdrawal
effects in cannabinoid dependence. So these studies
suggested that the BZF may have beneficial role in cannabinoids
reversal49.
Nicotine reversal:
Some of the pharmacological
studies on the BZF moiety also confirmed that the BZF moiety isolated from P.
incarnata was very effective in countering the
menace of addiction‑prone
substance nicotine in laboratory animals. In light of various reports
mentioning the usefulness of P. incarnata in
tobacco addiction, studies have been performed by using the bioactive BZF
moiety isolated from the aerial parts of P. incarnata. So these studies, although
preliminary, suggested that the BZF may have value in treating nicotine
addiction50.
Alcohol Withdrawal:
A BZF moiety has been
reported recently to be responsible for the multifarious CNS effects of P. incarnata Linn. In the light of the established
usefulness of the BZF moiety in counteracting the withdrawal effects of
substances like cannabinoids and nicotine by the
authors, the bioactive BZF moiety has been tested in mice treated with an
addictive dose of ethyl alcohol, in order to evaluate its effectiveness in
countering alcohol dependence. The chronic administration of P. incarnata with alcohol had better preventive effects
than the single acute treatment with P. incarnata in
alcohol‑dependent
mice. These results suggested that the treatment of P. incarnata
extract could be used as safe and alternative drug for alcohol withdrawal51.
Anticonvulsant Activity:
The current therapeutic
treatment of epilepsy with modern antiepileptic drugs (AEDs) is associated with
side effects, dose-related and chronic toxicity and teratogenic
effects, and approximately 30% of the patients continue to have seizures with
current AEDs therapy. Natural products from folk remedies have contributed
significantly in the discovery of modern drugs and can be an alternative source
for the discovery of AEDs with novel structures and better safety and efficacy
profiles. Evidence for anticonvulsant activity of P. incarnata
in the clonic seizure of the pentylenetetrazole
model has been tested. As the protective effects of P. incarnata
in clonic seizure, it suggests that it could be
useful for treatment of absent seizure. Furthermore, the important role of
benzodiazepine receptor in the effects of P. incarnata
should be considered52.
Antimicrobial activity:
In Passiflora species, many of the chemical
components of passion flower (passicol) have antimicrobial activity53,54,55.The
ethanol leaf extracts exhibited variable degrees of antibacterial activity
against P. putida,
V. choleraeand moderate activity
was noted in S. flexneri
and S. pyogenes
respectively. The
acetone extracts exhibited strong to moderate activity against V. cholerae followed
by P. putida,
S. flexneri and S. pyogenes. The ethanol fruit
extracts showed moderate activity against the bacterial pathogens namely V. cholerae, P. putida, S. pyogenes and S. flexneri.
Among the two parts tested, the leaf extracts exhibited better antibacterial
activity than the fruits56. The earlier reports focused on the
antibacterial properties of Passiflora species by different methods. Antibacterial activity of Passiflora which has got activity against Pseudomonas tetrandra,
Escherichia coli, Bacillus subtilis and Pseudomonas aeruginosa.
Antioxidant activity:
P.
nitida leaf and
P. palmeri stem
extracts were characterized by a high antioxidant power that correlates with
high catechin and odiphenol contents and shows
antimicrobial activity. However, P. foetida leaf extracts, which also show high
antimicrobial activity, have a low antioxidant power and low amounts of o-diphenol
and catechin. P.
tenuifila leaves show very high amounts of
flavones and total phenols, but intermediate levels of antioxidant activity,
probably due to the lower contribution of o-diphenols and gallocatechins
relative to the phenol content57. The antioxidant activity of leaf
and stem extracts of P. edulis was determined using the 1, 1-diphenyl-
2-picrylhydrazyl (DPPH) free radical scavenging assay58. DPPH offers
a convenient and accurate method for titrating the oxidizable groups of natural or synthetic anti-oxidants59.
The crude extracts (leaf and stem) of P.
edulis were mixed with 95% methanol to prepare
the stock solution (10 mg/100 mL).
Anti-inflammatory
activity:
The aqueous leaves extract
of Passiflora species exhibited potent anti-inflammatory action in the
experimental model in vivo60.
The aqueous leaves extract of P. edulis possess a significant
anti-inflammatory activity on mice61. The systemic administration of
P. edulis exhibited
pronounced anti-inflammatory actions, characterized by inhibition of leukocyte
influx to the pleural cavity and associated with marked blockade of myeloperoxidase, nitric oxide, TNF-α and IL-1α
levels in the acute model of inflammation caused by intra pleural injection of
mice. In one experiment, P. edulis was more effective in suppressing the
TNF-α and IL-1α levels than dexamethasone62. P. edulis therefore,
may be a source of new therapeutic candidates with a spectrum of activity
similar to the current anti-inflammatory steroids such as dexamethasone.
Anti-tumor activity:
Fruit’s decoction of
different passiflora species has been evaluated for the inhibition of activity of gelatinase matrix metalloproteinases
(MMP-2 and MMP-9). Two metallo-proteases were
involved in the tumour invasion, metastasis and
angiogenesis. Water extract of P. edulis, at different concentrations was inhibited by
the enzymes63.
Congestive heart failure:
An extract containing
passion flower and hawthorn has been studied as a possible treatment for shortness
of breath and difficult use of exercise in patients with congestive heart
failure. Although, the results are promising, the effects of passion flower
alone are unclear. The high quality human research of passion flower alone
compared to prescription drugs used for this condition is needed before a
strong recommendation can be made64.
Clinical Applications:
Allergies
few reports of the use of passion flower
products on allergic reactions, asthma, irritated sinuses, skin rashes, and
skin blood vessel inflammation (vasculitis) have been
reported in the available literature. It is believed that some reactions may
have been caused by impurities in combination products, not by passion flower
itself65.
Side effects and
warnings:
Passion flower is generally
considered to be a safe herb with few reported serious side effects. In cases
of side effects, the products being used have rarely been tested for
contamination, which may have been the cause. Cyanide poisoning has been
associated with passiflora fruit, but this has not been proven
in human studies. Rapid heart rhythm, nausea, and vomiting have been reported.
Side effects may also include drowsiness /sedation and mental slowness.
Patients should be cautious when driving or operating heavy machinery. Passion
flower may theoretically increase the risk of bleeding and affect blood tests
that measure blood clotting66. There is a reported case of liver
failure and death of a patient taking a preparation of passion flower with
kava. Caution should be applied in taking any kava-containing products, as kava
has been associated with liver damage. It has been suggested that the cause of
the liver damage is less likely related to the presence of passion flower.
Uses:
Traditional uses:
The uses here are based on
tradition or scientific theories of Passiflora species. Some of these conditions
are potentially serious, and should be evaluated by a qualified healthcare
provider. These traditional uses includes alcohol withdrawal, antibacterial,
anti-seizure, anti-spasm, aphrodisiac, asthma, attention deficit hyperactivity
disorder (ADHD), burns (skin), cancer, chronic pain, cough, drug addiction,
Epstein-Barr virus, fungal infections, gastrointestinal discomfort (nervous
stomach), Helicobacter pylori infection,
hemorrhoids, high blood pressure, menopausal symptoms (hot flashes), nerve
pain, pain (general), skin inflammation, tension and wrinkle prevention67.
Industrial uses:
A number of species of Passiflora are
cultivated outside their natural range because of their beautiful flowers. P. incarnatea L.
commonly used in many herbal remedies is well known for its sedative
properties, while several other species are cultivated for the production of
fruit juice (P. edulis,
P. quadrangularis,
P. ligularis)68. Passicol can also
be produced from fruit rinds of the purple passion fruit, which are waste
products from the manufacture of passion fruit juice. The resulting rich juice,
which has been called a natural concentrate, can be sweetened and diluted with
water or other juices (especially orange or pineapple), to make cold drinks. In
South Africa, passion fruit juice is blended with milk and an alginate; in
Australia the pulp is added to yogurt.
CONCLUSION:
Species of Passiflora are
commonly found throughout world. These studies place this indigenous drug as a
novel candidate for bio-prospection and drug development for the treatment of
such diseases as anxiety, insomnia, convulsion, sexual dysfunction, cough,
cancer and postmenopausal syndrome. The medicinal applications of this plant
and countless possibilities for investigation still remain in relatively newer
areas of its function. A comprehensive account of the chemical constituents is
given in this review. Various types of preparations, extracts and individual
compounds derived from this species have been found to possess a broad spectrum
of pharmacological effects on several organs such as the brain, blood,
cardiovascular and nervous systems as well as on different biochemical
processes and physiological functions including proteosynthesis,
work capacity, reproduction, and sexual function. Hence, phytochemicals
and minerals of these plants will enable to exploit its therapeutic use.
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Received on 29.10.2015 Accepted
on 16.11.2015
© Asian Pharma Press All
Right Reserved
Asian J. Pharm. Res. 5(4): October- December, 2015; Page 195-202
DOI: 10.5958/2231-5691.2015.00030.1