Abstract

Mounting evidence support the potential benefits of functional foods or nutraceuticals for human health and diseases. Black cumin (Nigella sativa L.), a highly valued nutraceutical herb with a wide array of health benefits, has attracted growing interest from health-conscious individuals, the scientific community, and pharmaceutical industries. The pleiotropic pharmacological effects of black cumin, and its main bioactive component thymoquinone (TQ), have been manifested by their ability to attenuate oxidative stress and inflammation, and to promote immunity, cell survival, and energy metabolism, which underlie diverse health benefits, including protection against metabolic, cardiovascular, digestive, hepatic, renal, respiratory, reproductive, and neurological disorders, cancer, and so on. Furthermore, black cumin acts as an antidote, mitigating various toxicities and drug-induced side effects. Despite significant advances in pharmacological benefits, this miracle herb and its active components are still far from their clinical application. This review begins with highlighting the research trends in black cumin and revisiting phytochemical profiles. Subsequently, pharmacological attributes and health benefits of black cumin and TQ are critically reviewed. We overview molecular pharmacology to gain insight into the underlying mechanism of health benefits. Issues related to pharmacokinetic herb–drug interactions, drug delivery, and safety are also addressed. Identifying knowledge gaps, our current effort will direct future research to advance potential applications of black cumin and TQ in health and diseases.

Highlights

  • The plant kingdom, in addition to maintaining the balance of the environment and providing life-sustaining oxygen, plays an essential role in human diets, functioning as an inevitable source of modern medicines

  • non-alcoholic fatty liver disease (NAFLD) alleviating potential of black cumin oil has been studied in a randomized, double-blind, placebo-controlled clinical trial, which demonstrates a reduction in Fetal bovine serum (FBS) level, lipid profiles (TG, TC, low-density lipoproteins (LDL), VLDL), liver enzymes (AST and Alanine aminotransferase (ALT)), hs-CRP inflammatory marker, IL-6, tumor necrosis factor (TNF)-α, and an increase in the high-density lipoproteins (HDL)-C levels in the interventional group compared to the placebo group [163]

  • The therapeutic potential of black cumin against various diseases has not been investigated with equal emphasis as some chronic diseases, such as cancer, neurological disorders, and metabolic syndromes, have priority over other diseases

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Summary

Introduction

The plant kingdom, in addition to maintaining the balance of the environment and providing life-sustaining oxygen, plays an essential role in human diets, functioning as an inevitable source of modern medicines. Black cumin, in the form of essential oil, paste, powder, and extract, has been indicated in traditional medicine for many diseases/conditions, such as asthma, bronchitis, rheumatism, headache, back pain, anorexia, amenorrhea, paralysis, inflammation, mental debility, eczema, and hypertension, to name a few [4] These traditional uses of N. sativa seeds are largely attributed to their wide array of medicinal properties, including antioxidant, anti-inflammatory, immunomodulatory, anticancer, neuroprotective, antimicrobial, antihypertensive, cardioprotective, antidiabetic, gastroprotective, and nephroprotective and hepatoprotective properties [5]. The food value of black cumin, less focused on in scientific literature, is by no means low, because it contains an adequate quantity of protein and fat, and an appreciable amount of essential fatty acids, amino acids, vitamins, and minerals [7] Both active phytochemicals and the vital nutrients of black cumin contribute to the immunity and well-being of the human body, making this culinary herb a valuable source of nutraceuticals.

Methodology
Evolution of Trends in Research with Black Cumin
Ethnopharmacological Aspects
Phytochemical Profiles
Terpenes and Terpenoids
Miscellaneous Components
Antioxidant Effects
Anti-Inflammatory Effects
Immunomodulatory Effects
Protection against Neurological Disorders
Protection against Neuroinflammation
Protection against Alzheimer’s Disease
Protection Against Parkinson’s Disease
Protection Against Ischemic Stroke and Traumatic Brain Injury
Anti-Cancer Effects
Anti-Obesity and Anti-Dyslipidemic Effects
Anti-Diabetic Effects
Cardioprotective and Antihypertensive Effects
Hepatoprotective Effects
6.10. Pulmonary Protective Effects
6.11. Gastroprotective Effects
6.12. Effects on Fertility and Reproduction
6.13. Protection against Skin Diseases
6.13.1. Wound Healing
6.13.2. Acne Vulgaris
6.13.3. Vitiligo
6.14. Bone Regenerative Effects
6.15. Nephroprotective Effects
6.16. Anti-Arthritis Effects
6.17. Protection against Emerging Diseases
6.18. Black Cumin and TQ as a Promising Antidote
6.19. Black Cumin as a Galactagogue
Drug Interaction and Nanoparticle-Mediated Drug Delivery
Method of Preparation
Findings
10. Concluding Remarks and Future Perspectives
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