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Pharmacology of natural compounds as a potential for phytotherapy and natural extracts

Phytotherapy and the use of natural extracts from herbs, mushrooms, and plants is becoming increasingly popular among patients and practitioners. Natural compounds have a wide range of biological effects: anti-inflammatory, antioxidant, immunomodulatory, antibacterial.

Modern pharmacology seeks to scientifically evaluate the efficacy and safety of these agents, establish quality standards, and define limitations for clinical use.

The potential of natural compounds

If you look outside and towards the East, you will notice the huge bioresource and scientific base on plants of China, Vietnam, Cambodia and Thailand. For example, China has one of the richest floras in the world, and from it more than 13,000 official herbal preparations with a unified pharmacopoeia have been created and standards for harvest, drying, extraction, concentration have been introduced. That is, their “naturopathy” is actually industrialized pharmacology of plant origin.

However, let’s consider global, generally accepted and proven examples.

1. Herbal extracts

  • Turmeric (Curcuma longa). Scientifically proven effects of turmeric (curcumin) include powerful anti-inflammatory and antioxidant properties, which help reduce inflammation, fight free radicals, relieve arthritis pain, improve brain function (Alzheimer’s risk), support the heart, and may also have antidepressant, antibacterial, and antitumor potential, although further research and consideration of curcumin’s low bioavailability are needed for full understanding.
  • Echinacea is perhaps the most well-known immunostimulant. The polysaccharides and alkylamides it contains have been shown to activate macrophages and lymphocytes. Studies have shown that echinacea root extract increases the phagocytic activity of neutrophils (a type of phagocyte).
  • Ginkgo biloba. Scientific studies confirm that ginkgo biloba extract improves blood circulation (especially in the brain and extremities), has a powerful antioxidant effect, improves memory, concentration, reduces anxiety, and can help with dizziness, tinnitus, and maintain eye health, reducing symptoms of glaucoma and age-related degeneration by improving blood supply to the retina.

2. Mushroom extracts

Reishi, Shiitake, Maitake. The health benefits of extracts of reishi (Ganoderma lucidum), shiitake (Lentinula edodes), and maitake (Grifola frondosa) mushrooms have been confirmed by numerous laboratory studies and some clinical trials, which mainly focus on their immunomodulatory and potential anticancer properties.

Used as a supplement to support immunity and treat chronic diseases.

However, for countries other than Asia, most of the evidence comes from laboratory and animal studies, and while the results are promising, additional large-scale human clinical trials are needed. Mushroom extracts are commonly available as dietary supplements, which are not pharmaceuticals.

3. Phytonutrients and bioactive compounds

Flavonoids, terpenes, and saponins are a large class of naturally occurring organic compounds found in fruits, vegetables, herbs, and mushrooms. They are not essential nutrients like vitamins or minerals, but they play an important role in maintaining human health due to their biologically active properties.

Main properties and benefits for humans:

3.1. Flavonoids

Flavonoids are a group of polyphenolic compounds that are responsible for the bright colors of many plants (red, blue, purple, and yellow pigments) that have benefits for humans:

  • Powerful antioxidants. They neutralize free radicals in the body, reducing oxidative stress and preventing cell damage, which slows down the aging process and reduces the risk of chronic diseases.
  • Anti-inflammatory effect, as flavonoids help reduce inflammation levels in the body.
  • Cardiovascular support. They help strengthen blood vessel walls, improve circulation, and can lower blood pressure and cholesterol levels.
  • Neuroprotective properties: Some flavonoids (such as those found in cocoa and green tea) improve cognitive function and reduce the risk of neurodegenerative diseases.
  • Sources include berries (blueberries, strawberries), citrus fruits, green and black tea, red wine, dark chocolate, broccoli, and onions.

3.2. Terpenes (Terpenes)

Terpenes are a large and diverse class of hydrocarbons that give plants their characteristic aroma and flavor (e.g., pine, citrus, lavender), which provide the following benefits to humans:

  • Anti-inflammatory and analgesic effects. Many terpenes (e.g., myrcene, linalool, limonene) have pronounced anti-inflammatory and even analgesic properties.
  • Antimicrobial properties. They have antibacterial, antiviral, and antifungal effects. Many essential oils used in aromatherapy are rich in terpenes.
  • Anti-stress and sedative effects. Some terpenes (such as linalool in lavender) may have a calming effect, helping to reduce anxiety and improve sleep.
  • Potential anti-cancer activity: Limonene (found in citrus peels) is being studied for its ability to prevent the growth of certain types of cancer cells.
  • Sources: Essential oils of plants, conifers, citrus fruits, mint, lavender, hemp, cannabis (contain a high terpene profile).

3.3. Saponins

Saponins are bitter-tasting glycosides that form a stable foam when shaken (hence the name “sapo” – soap), beneficial to human health in the following ways:

  • Lowering cholesterol levels. Saponins can bind to cholesterol in the digestive tract and prevent its absorption, promoting its elimination from the body.
  • Immunostimulating effect. They can stimulate the immune system, in particular the activity of phagocyte cells.
  • Anti-carcinogenic potential. Some studies show that saponins may inhibit the growth of colon cancer cells.
  • Expectorant. Traditionally used in medicine (e.g., in licorice root) to facilitate expectoration and treat respiratory diseases.
  • Sources: Legumes (lentils, beans, chickpeas), quinoa, spinach, licorice root, ginseng, and soapwort.

These three groups of compounds are key components of a plant-based diet that work synergistically to support the human body’s defense systems and promote overall health.

Scientific approach and limitations

  1. Standardization
    • It is important that the extracts contain a controlled concentration of active ingredients.
    • Without standardization, efficiency may be minimal or unpredictable.
  2. Clinical trials
    • Not all natural remedies have undergone sufficient clinical trials.
    • Randomized controlled trials are needed to confirm therapeutic efficacy.
  3. Risks and interactions
    • Allergic reactions are possible.
    • Interaction with synthetic drugs (e.g., ginkgo biloba with anticoagulants).
    • Uncontrolled use can lead to overdose of some bioactive compounds.
  4. Long-term safety
    • Some compounds have not been studied for long-term use.
    • It is important to follow the recommended doses and times of use.

Real cases

Case 1: Curcumin in chronic inflammatory processes

Curcumin (the active component of turmeric) is the subject of intense scientific research due to its pronounced anti-inflammatory properties, which may be useful in the treatment of a variety of chronic inflammatory processes.

Curcumin works at the molecular level by blocking key inflammatory molecules. It inhibits the activity of NF-kB, a protein complex that acts as a “switch” for inflammatory genes. NF-kB plays a critical role in most chronic inflammatory diseases. By inhibiting it, curcumin effectively reduces the production of pro-inflammatory cytokines (e.g., TNF-alpha, interleukins IL-1, IL-6, IL-8) and other inflammatory mediators.

For example, in chronic inflammatory joint disease (osteoarthritis), there is evidence of reduced inflammatory markers. Clinical trials have shown that taking a standardized curcumin extract can significantly reduce levels of inflammatory biomarkers in the blood, such as C-reactive protein (CRP). Patients experience reduced pain, improved joint mobility, and a reduced need for nonsteroidal anti-inflammatory drugs (NSAIDs). Studies, including the one you reference (PMC5664031), emphasize that standardized formulas (which provide a stable dose of the active ingredient) show better and more reliable results.

Potential benefits for other chronic conditions:

In addition to osteoarthritis, curcumin is being investigated for use in other chronic inflammatory diseases:

  • Rheumatoid arthritis: Due to its ability to modulate the immune response.
  • Inflammatory bowel disease (IBD): Crohn’s disease and ulcerative colitis. Curcumin may help reduce inflammation in the lining of the intestine.
  • Metabolic syndrome and type 2 diabetes: Chronic low-level inflammation is a key factor in the development of these conditions, and curcumin helps control it.
  • Psoriasis: Due to its local and systemic anti-inflammatory effect.

The Importance of a Standardized Extract (PMC5664031)

Curcumin’s bioavailability (the body’s ability to absorb it) is inherently low. Using standardized extracts is critical, as they often contain additives (e.g., piperine from black pepper) or are formulated using special technologies (liposomal formulations, micellar solutions) that significantly increase its absorption and effectiveness in the body.

Case 2: Ginkgo biloba for cognitive impairment

Ginkgo biloba leaf extract is being widely studied for its potential benefits in treating and slowing cognitive decline.

Studies, including the one you reference (PMC6113112), as well as numerous other clinical trials, provide mixed but generally promising data.

The main mechanisms of action of ginkgo biloba include:

  1. Improves blood circulation. Active compounds (flavonoids and terpenes) dilate blood vessels, increasing blood and oxygen flow to the brain.
  2. Antioxidant protection. Neutralizes free radicals, protecting brain cells from damage.
  3. Neuroprotection. May protect nerve cells from damage associated with age-related changes or disease.

Research results in cognitive impairment

  • Mild to moderate cognitive impairment. Some studies suggest that standardized extracts of Ginkgo biloba may be effective for patients with mild to moderate cognitive impairment or mild Alzheimer’s disease. Small but statistically significant improvements in memory, attention, and social functioning have been observed.
  • Slowing progression: Studies often indicate that ginkgo may help stabilize or slightly slow cognitive decline in some patients, but it cannot completely cure dementia.
  • Healthy adults: Evidence for the effectiveness of ginkgo biloba for improving memory in healthy young or older adults without diagnosed disorders is weak or lacking.

The study, published under the number PMC6113112 (full title: Ginkgo biloba Extract EGb 761®: A Systematic Review of Efficacy and Safety in Psychiatric Disorders from a Registered Clinical Trials Database), analyzes the efficacy and safety of a specific standardized extract in psychiatric disorders.

This and other similar studies indicate that ginkgo may be useful as an adjunctive therapy or as a means to support cognitive function in the early stages of decline, but its effects are usually modest and require long-term use.

Case 3: Echinacea for immune support

Clinical studies confirm the immunomodulatory effects of Echinacea. Active components such as polysaccharides, alkylamides/alkamides, and caffeic acid derivatives (e.g., chicory acid) stimulate the activity of immune cells such as macrophages and natural killer cells.

Main confirmed effects:

  • Reducing the frequency of colds. Regular preventive use of echinacea extract can reduce the likelihood of getting a cold.
  • Shortening the duration of illness. If a person does get sick, using echinacea early on may help shorten the duration of symptoms (e.g., sore throat, cough, runny nose).
  • Reducing the severity of symptoms. Echinacea may also help ease the symptoms of a cold.

A systematic review and meta-analysis, including one published under the reference PMC5871213 (Echinacea for preventing and treating the common cold), analyzes data from numerous controlled trials. The findings often indicate a modest but statistically significant positive effect of echinacea in both preventing and treating cold symptoms.

Important recommendations for use

The effectiveness and safety of echinacea largely depends on proper use:

  1. Follow the dosage. Overuse does not increase effectiveness, but may increase the risk of side effects. Always follow the instructions on the package or your doctor’s recommendations.
  2. Course use. Echinacea is not recommended to be taken continuously for a very long time (usually courses are limited to 8-10 weeks). The immune system needs periods of “rest” from stimulation.
  3. Start taking. To treat a cold, it is most effective to start taking the extract as early as possible — when the first symptoms appear.
  4. Release form. The quality of the extract is important. Standardized commercial preparations often contain a stable amount of active ingredients, which guarantees the expected therapeutic effect.

Natural compounds from herbs, mushrooms, and plants have a wide range of therapeutic effects. To make the information as clear as possible, we have broken them down into major categories, showing mechanisms of action and potential risks.

Table: Main natural compounds, effects and limitations

Natural remedyActive ingredientsEffects on the bodyScientifically provenPossible risks
TurmericCurcuminAnti-inflammatory, antioxidantHigh doses may irritate the stomach
EchinaceaPolyphenols, alkylaminesImmunomodulatory, antibacterialAllergic reactions, limitations in autoimmune diseases
Ginkgo bilobaFlavonoids, terpenoidsImproves blood circulation, cognitive functionInteraction with anticoagulants
Reishi (mushroom)Polysaccharides, triterpenesImmunomodulatory, antioxidantPossible allergies
Shiitake (mushroom)Lentinan, ergosterolImmune support, cardiovascular benefitsUncontrolled use can cause digestive disorders
Maitake (mushroom)Beta-glucansImmunomodulatory, antioxidantDrug interactions
Plant flavonoidsQuercetin, rutinAntioxidant, heart and vascular supportHigh doses may affect blood clotting
SaponinsPlant glycosidesAnti-inflammatory, immunomodulatoryPossible digestive disorders in case of overdose

In light of the above, we conclude that the pharmacology of natural compounds offers great prospects for health maintenance and treatment of chronic conditions. At the same time, scientific standardization, quality control, and clinical research are necessary to ensure that natural remedies are effective and safe.

The experience of China shows that natural extracts become most effective when they are considered as part of a pharmacological system, and not as an alternative to medicine. They can become a bridge between pharmacology and naturopathy, allowing the use of natural resources with maximum benefit and minimum risk.

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