Abstract

Sceletium tortuosum (L.) N.E.Br. (Mesembryanthemaceae), commonly known as kanna or kougoed, is an effective indigenous medicinal plant in South Africa, specifically to the native San and Khoikhoi tribes. Today, the plant has gained strong global attraction and reputation due to its capabilities to promote a sense of well-being by relieving stress with calming effects. Historically, the plant was used by native San hunter-gatherers and Khoi people to quench their thirst, fight fatigue and for healing, social, and spiritual purposes. Various studies have revealed that extracts of the plant have numerous biological properties and isolated alkaloids of Sceletium tortuosum are currently being used as dietary supplements for medicinal purposes and food. Furthermore, current research has focused on the commercialization of the plant because of its treatment in clinical anxiety and depression, psychological and psychiatric disorders, improving mood, promoting relaxation and happiness. In addition, several studies have focused on the isolation and characterization of various beneficial bioactive compounds including alkaloids from the Sceletium tortuosum plant. Sceletium was reviewed more than a decade ago and new evidence has been published since 2008, substantiating an update on this South African botanical asset. Thus, this review provides an extensive overview of the biological and pharmaceutical properties of Sceletium tortuosum as well as the bioactive compounds with an emphasis on antimicrobial, anti-inflammatory, anti-oxidant, antidepressant, anxiolytic, and other significant biological effects. There is a need to critically evaluate the bioactivities and responsible bioactive compounds, which might assist in reinforcing and confirming the significant role of kanna in the promotion of healthy well-being in these stressful times.

Highlights

  • In a developing country such as South Africa, a feasible dual health care system is practiced by incorporating current Western medical practice with traditional medical health care

  • Research studies/papers were collected using a wide range of database platforms such as Scopus, PubMed, Google Scholar, Web of Science, and ScienceDirect. Keywords such as Sceletium tortuosum, kougoed, well-being, and biological properties were used to search for relevant studies

  • The results revealed that S. tortuosum extracts contained anthraquinones, polyphenols, terpenes, anthocyanin, alkaloids, tannins, glycosides, coumarins, and carbohydrates

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Summary

Introduction

In a developing country such as South Africa, a feasible dual health care system is practiced by incorporating current Western medical practice with traditional medical health care. 80% of the world’s population and 52% of South Africans, especially blacks, use traditional medicine and practices for primary health care. South Africa is rich in traditional healing methods and diverse fauna and flora, with approximately 30,000 flowering plant species, which account for 10% of the world’s higher plant species. There has been a universal trend toward the use of medicinal plants for various human diseases and aliments for social and economic benefits [5]. Bioactive compounds such as alkaloids, phenolic, flavonoids, tannins, glycosides, saponins, and terpenoids have been isolated from medical plants [6,7]

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