Abstract

Understanding the potential for adverse drug reactions (ADRs), from herb-drug interactions, is a key aspect of medicinal plant safety, with particular relevance for public health in countries where medicinal plant use is highly prevalent. We undertook an in-depth assessment of extracts of Hyptis verticillata Jacq., via its impact on activities of key cytochrome P450 (CYP) enzymes (CYPs 1A1, 1A2, 1B1, 3A4 and 2D6), its antioxidant properties (determined by DPPH assays) and chemical characterisation (using LC-MS). The dried plant aqueous extract demonstrated potent inhibition of the activities of CYPs 1A1 (7.6 µg/mL), 1A2 (1.9 µg/mL), 1B1 (9.4 µg/mL) and 3A4 (6.8 µg/mL). Further analysis of other crude extracts demonstrated potent inhibition of CYP1A2 activity for a dried plant ethanol extract (1.5 µg/mL), fresh plant ethanol extract (3.9 µg/mL), and moderate activity for a fresh plant aqueous extract (27.8 µg/mL). All four extracts demonstrated strong antioxidant activity, compared to the positive control (ascorbic acid, 1.3 µg/mL), with the dried plant ethanol extract being the most potent (1.6 µg/mL). Analysis of the dried plant aqueous extract confirmed the identity of seven phytochemicals, five lignans and two triterpenes. Individual screening of these phytochemicals against the activity of CYP1A2 identified yatein as a moderate inhibitor (71.9 μM), likely to contribute to the plant extract’s potent bioactivity. Further analysis on the impact of this plant on key drug metabolizing enzymes in vivo appears warranted for likely ADRs, as well as furthering development as a potential chemopreventive agent.

Highlights

  • The use of medicinal plants continues to be high, with the World Health Organisation (WHO)estimating 80% prevalence in developing countries [1], and many people continuing to rely on them as their main or only type of primary healthcare [2]

  • We reported that 27% of Jamaican medicinal plant users take pharmaceutical drugs concomitantly

  • H. verticillata potently inhibited the activity of all four enzymes, with the concentration needed to inhibit 50% of activity, IC50 values all being under 10 μg/mL: cytochrome P450 (CYP) 1A2 (1.9 μg/mL), 1A1 (7.6 μg/mL), 1B1 (9.4 μg/mL) and 3A4 (6.8 μg/mL)

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Summary

Introduction

The use of medicinal plants continues to be high, with the World Health Organisation (WHO)estimating 80% prevalence in developing countries [1], and many people continuing to rely on them as their main or only type of primary healthcare [2]. A survey of cancer patients attending the oncology and urology clinics at the University Hospital of the West Indies in Kingston, and two earlier surveys of Jamaican prescription drug users identified high levels of herb-drug use (80% [4] 80% [5] and 81% [6], respectively), while awareness of such herb-drug use amongst health care professionals was low across all four surveys (13% [5], 15% [4], 18% [6] and 19% [3], respectively). High levels of concomitant herb-drug use and low physician awareness are reported elsewhere. A survey of 381 patients in Norwegian general practice reported 44% prevalence for medicinal plant use, 45% concomitant use with pharmaceutical drugs, and 25% awareness amongst attending physicians [7]

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