A surprising variety of natural substances inhibit the experimental growth of Leishmania parasites, which are responsible for the three main forms of the disease leishmaniasis - cutaneous, muco-cutaneous and visceral. Results obtained with plant extracts, sometimes in vivo, although more frequently in vitro, demonstrate that the activity can be found in a wide variety of botanical families. Notable examples include Crassulaceae (genus Kalanchoe), Annonaceae (many genera). Piperaceae (especially Piper spp), Rutaceae (notably the genus Galipea) and Apocynaceae (genus Peschiera among others). Chemical classes that are important include alkaloids and chalcones that act directly on the parasite, while other classes embrace a variety of substances - phenolics, terpenoids, including di- and triterpenoids, and polysaccharides, whose action is often on the macrophage, host cell to the parasite, stimulating it to produce nitric oxide, mediators such as TNFa and INFs or other factors of the immune system lethal to Leishmania without being harmful to the macrophage itself. The results obtained sometimes confirm traditional uses of the plants and together form a solid basis for the development of new drugs to treat this group of diseases.
References
ABREU, P.M.; MARTINS, E.S.; KAYSER, O., BINDSEIL, K.U.; SIEMS, K.; SEEMANN, A.; FREVERT, J. Antimicrobial, antitumor and antileishmania screening of medicinal plants from Guinea-Bissau. Phytomedicine, v.6, n.3, p.187-195, 1999.
ARAUJO, C.A.; ALEGRIO, L.V.; GOMES, D.C.; LIMA, M.E.; GOMES-CARDOSO, L; LEON, L.L. Studies on the effectiveness of diarylheptanoid derivatives against Leishmania amazonens. Memórias do Instituto Oswaldo Cruz, v 94, n.6, p.791-794, 1999.
BARATA, L.E.; SANTOS, L.S.; FERRI, P.H.; PHILLIPSON, J.D.; PAINE, A; CROFT, S.L. Anti-leishmanial activity of neolignans from Virola species and synthetic analogues. Phytochemistry, v.55, n.6, p.589-595, 2000.
CARMONA, D.; SAEZ, J. GRANADOS, H.; PEREZ, E.; BLAIR, S., ÂNGULO, A., FIGADERE, B. Antiprotozoal 6-substituted-5,6-dihydro-alpha-pyrones from Raimondia cf. monoica. Natural Product Research, v.17, n.4, p.275-280, 2003.
CHRISTENSEN, S.B.; MING, C.; ANDERSEN, L.; HJORNE, U.; OLSEN, C.E.; CORNETT, C.; THEANDER, T.G.; KHARAZMI, A. An antileishmanial chalcone from Chinese licorice roots. Planta Medica, v.60, n.2, p.121-123, 1994.
DA SILVA, S.A.; COSTA, S.S.; MENDONÇA, S.C.; SILVA, E.M.; MORAES, V.L.; ROSSI-BERGMANN, B. Therapeutic effect of oral Kalanchoe pinnata leaf extract in murine leishmaniasis. Acta Tropica, v.60, n.3, p.201-210, 1995.
DA-SILVA, S.A.; COSTA, S.S.; ROSSI-BERGMANN, B. The anti-leishmanial effect of Kalanchoe is mediated by nitric oxide intermediates. Parasitology. v. 118, n.6, p.575-282, 1999.
DELMAS, F; DI GIORGIO, C.; ELIAS, R.; GASQUET, M.; AZAS, N.; MSHVILDADZE, V.; DEKANOSIDZE, G.; KEMERTELIDZE, E.; TIMON-DAVID, P. Antileishmanial activity of three saponins isolated from ivy, alpha-hederin, beta-hederin and hederacolchiside A1, as compared to their action on mammalian cells cultured in vitro Planta Medica, v.66, n.4, p.343-347, 2000.
DELORENZI; J.C.; ATTIAS, M.; GATTASS, C.R.; ANDRADE, M.; REZENDE, C.; PINTO, A. C.; HENRIQUES, A.T.; BOU-HABIB; D.C.; SARAIVA, E.M.;. Antileishmanial activity of na indole alkaloid from Peschiera australis. Antimicrobial Agents Chemotherapy, v.45, n.5, p.1349-1354, 2001.
DELORENZI, J.C.; FREIRE-DE-LIMA, L.; GATTASS, C.R.; DE ANDRADECOSTA, D.; HE, L.; KUEHNE, M.E.; SARAIVA, E.M.. In vitro activities of iboga alkaloid congeners coronaridine and 18-methoxycoronaridine against Leishmania amazonensis. Antimicrobial Agents Chemotherapy, v.46, n.7, p.2111-2115, 2002.
FEVRIER, A.; FERREIRA, M.E.; FOURNET, A.; YALUFF, G.; INCHAUSTI, A.; ROJAS-DE-ARIAS, A.; HOCQUEMILLER, R.; WAECHTER, A.I. Acetogenins and other compounds from Rollinia emarginata and their antiprotozoal activities..Planta Med. v.65, n.1, p.47-9, 1999.
FOURNET, A.; ANGELO, A.; MUNOZ, V.; ROBLOT, F.; HOCQUEMILLER, R.; CAVE, A. Biological and chemical studies of Pera benensis, a Bolivian plant used in folk medicine as a treatment of cutaneous leishmaniasis. J Ethnopharmacology, v. 37, n. 2, p.159-164, 1992.
FOURNET, A.; BARRIOS, A.A. MUÑOZ, V.; HOCQUEMILLER, R.; ROBLOT, F.; CAVE, A. Antileishmanial activity of a tetralone isolated from Ampelocera edentula, a Bolivian plant used as a treatment for cutaneous leishmaniasis. Planta Medica, v.60, n.1, p.8-12, 1994.
FOURNET, A.; FERREIRA, M.E.; ROJAS-DE-ARIAS, A.; TORRES-DE-ORTIZ, S.; FUENTES, S.; NAKAYAMA, H.; SCHININI, A.; HOCQUEMILLER, R. In vivo efficacy of oral and intralesional administration of 2-substituted quinolines in experimental treatment of new world cutaneous leishmaniasis caused by Leishmania amazonensis. Antimicrobial Agents Chemotherapy, v.40, n.11, p.2447-2451, 1996.
FRANCA, F.; CUBA, C.A.; MOREIRA, E.A., MIGUEL, O.; ALMEIDA, M.; DAS VIRGENS, M.D.E.L.; MARSDEN, P.D. An evaluation of the effect of a bark extract from the cashew (Anacardium occidentale L.) on infection by Leishmania (Viannia) braziliensis. Revista da Sociedade Brasileira Medicina Tropical, v.26, n.3, p.151-155, 1993.
FRANCA, F.; LAGO, E.L.; MARSDEN, P.D. Plants used in the treatment of leishmanial ulcers due to Leishmania (Viannia) braziliensis in an endemic area of Bahia, Brazil. Revista da Sociedade Brasileira de Medicina Tropical, v.29, n.3, p.229-232, 1996.
HOCQUEMILLER, R.; CORTES, D.; ARANGO, G.J.; MYINT, S.H.; CAVE, A.; ANGELO, A.; MUNOZ, V.; FOURNET, A. Isolation and synthesis of espintanol, a new antiparasitic monoterpene. Journal of Natural Products, v.54, n.2, p.445-452, 1991.
HUNG, J.; CASTILHO, J.; JIMENEZ, G.; HASEGAWA, M.; RODRIGUEZ, M. Spectroscopic study of antileishmanial drug incubated in the promastigotes of Leishmania mexicana. Spectroquimica Acta pt. A, v.59, p.3177-3183, 2003.
IWU, M.M.; KLAYMAN, D.L.; JACKSON, J.E.; TALLY, J.D.; ANDERSEN, S.L. Alkaloids of Picralima nitida used for treatment of protozoal diseases. United States Patent 5,290,553, March 1, 1994.
IWU, M.M.; JACKSON, J.E.; TALLY, J.D.; KLAYMAN, D.L. Evaluation of plant extracts for antileishmanial activity using a mechanism-based radiorespirometric microtechnique (RAM). Planta Medica, v.58, n.5, p.436-441, 1992.
KAM, T.S.; SIM, K.M.; KOYANO, T.; TOYOSHIMA, M.; HAYASHI, M.; KOMIYAMA, K Cytotoxic and leishmanicidal aminoglycosteroids and aminosteroids from Holarrhena curtisii. Journal of Natural Products, v.61, n.11, p.1332-1326, 1998.
KAPIL, A.; SHARMA, S.; WAHIDULLA, S. Leishmanicidal activity of 2-benzoxazolinone from Acanthus illicifolius in vitro. Planta Medica, v.60, n.2, p.187-188, 1994.
KOLODZIEJ, H.; KAYSER, O.; KIDERLEN, A.F.; ITO, H.; HATANO, T.; YOSHIDA, T.; FOO, L.Y. Antileishmanial activity of hydrolyzable tannins and their modulatory effects on nitric oxide and tumour necrosis factor-alpha release in macrophages in vitro. Planta Medica, v.67, n.9, p.825-832, 2001.
LAVAUD, C.; MASSIOT, G.; VASQUEZ, C.; MORETTI, C.; SAUVAIN, M.; BALDERRAMA, L. 4-Quinolinone alkaloids from Dictyoloma peruviana. Phytochemistry, v.40, n.1, p.317-320, 1995.
LEDEZMA, E.; JORQUERA, A.; BENDEZU, H.; VIVAS, J.; PEREZ, G. Antiproliferative and leishmanicidal effect of ajoene on various Leishmania species: ultrastructural study. Parasitology Research, v.88, n.8, p.748-753, 2002.
LOUKACI, A.; KAYSER, O.; BINDSEIL, K.; SIEMS, K.; FREVERT, J.; ABREU, P.M. New trichothecenes isolated from Holarrhena floribunda. Journal of Natural Products, v.63, n.1, p.52-56, 2000.
LUETTIG, B.; STEINMULLER, C.; GIFFORD, G.E.; WAGNER, H.; LOHMANN-MATTHES, M.L. Macrophage activation by the polysaccharide arabinogalactan isolated from plant cell cultures of Echinacea purpurea. Journal of the National Cancer Institute, v.81, n.9, p.669-675, 1989.
LUQUE-ORTEGA, J.R.; MARTINEZ, S.; SAUGAR, J.M.; IZQUIERDO, L.R.; ABAD, T.; LUIS, J.G.; PINERO, J.; VALLADARES, B.; RIVAS, L. Fungus-elicited metabolites from plants as an enriched source for new leishmanicidal agents: antifungal phenyl-phenalenone phytoalexins from the banana plant (Musa acuminata) target mitochondria of Leishmania donovani promastigotes. Antimicrobial Agents Chemotherapy, v.48, n.5, p.1534-1540, 2004.
MAES, L.; BERGHE D.V.; GERMONPREZ, N.; QUIRIJNEN, L.; COS, P.; DE KIMPE, N.; VAN PUYVELDE, L. In vitro and in vivo activities of a triterpenoid saponin extract (PX-6518) from the plant Maesa balansae against visceral leishmania species. Antimicrob Agents Chemotherapy, v.48, n.1, p.130-136, 2004.
MAJESTER-SAVORNIN, B.; ELIAS, R,; DIAZ-LANZA, A.M.; BALANSARD, G.; GASQUET, M.; DELMAS, F. Saponins of the ivy plant, Hedera helix, and their leishmanicidic activity. Planta Medica, v.57, n.3, p.260-262, 1991.
MENDONCA-FILHO, R.R.; RODRIGUES, I.A.; ALVIANO, D.S.; SANTOS, A.L., SOARES, R.M.; ALVIANO, C.S.; LOPES, A.H.; ROSA, M.D.O.S. Leishmanicidal activity of polyphenolic-rich extract from husk fiber of Cocos nucifera Linn. (Palmae). Research in Microbiology, v.155, n.3, p, 136-143, 2004.
MONTENEGRO, H.; GUTIERREZ, M.; ROMERO, L.I.; ORTEGA-BARRIA, E.; CAPSON, T.L.; RIOS, L.C. Aporphine alkaloids from Guatteria spp. with leishmanicidal activity. Planta Medica, v.69, n.7, p.677-679, 2003.
MORETTI, C.; SAUVAIN, M.; LAVAUD, C.; MASSIOT, G.; BRAVO, J.; MUNOZ, V. A novel antiprotozoal aminosteroid from Saracha punctata. Journal of Natural Products, v.61, n.11, p.1390-1393, 1998.
MUNOZ, V.; MORETTI, C.; SAUVAIN, M.; CARON, C.; PORZEL, A.; MASSIOT, G.; RICHARD, B.; LE MEN-OLIVIER, L. Isolation of bis-indole alkaloids with antileishmanial and antibacterial activities from Peschiera van heurkii (syn. Tabernaemontana van heurkii). Planta Medica, v.60, n.5, p.455-459, 1994.
OKETCH-RABAH, H.A.; LEMMICH, E.; DOSSAJI, S.F.; THEANDER, T.G.; OLSEN, C.E.; CORNETT, C.; KHARAZMI, A.; CHRISTENSEN, S.B. Two new antiprotozoal 5-methylcoumarins from Vernonia brachycalyx. Journal of Natural Products , v.60, n 5, p. 458-461, 1997a.
OKETCH-RABAH, H.A.; DOSSAJI, S.F.; CHRISTENSEN, S.B.; FRYDENVANG, K.; LEMMICH, E.; CORNETT, C.; OLSEN, C.E.; CHEN, M.; KHARAZMI, A.; THEANDER, T. Antiprotozoal compounds from Asparagus africanus. Journal of Natural Products, v.60, n.10, p.1017-1022, 1997b.
OKUNJI, C.O.; IWU, M.M.; JACKSON, J.E.; TALLY, J.D. Biological activity of saponins from two Dracaena species. Advanced Experimental Medical Biolology, v.404, p.415-428, 1996.
PURI, A.; SAXENA, R.P.; SUMATI, GURU P.Y.; KULSHRESHTHA, D.K.; SAXENA, K.C.; DHAWAN, B.N. Immunostimulant activity of Picroliv, the iridoid glycoside fraction of Picrorrhiza kurroa, and its protective action against Leishmania donovani infection in hamsters. Planta Medica, v.58, n.6, p528-532, 1992.
QUEIROZ, E.F.; ROBLOT, F.; CAVE, A.; PAULO, M.Q.; FOURNET, A. Pessoine and spinosine, two catecholic berbines from Annona spinescens. Journal of Natural Products, v.59, n.4, p.438-440, 1996.
RASMUSSEN, H.B.; CHRISTENSEN, S.B.; KVIST, L.P.; KARAZMI, A. A simple and efficient separation of the curcumins, the antiprotozoal constituents of Curcuma longa. Planta Medica, v.66, n.4, p.396-398, 2000.
RAY, S.; MAJUMDER, H.K.; CHAKRAVARTY, A.K.; MUKHOPADHYAY, S.; GIL, R.R.; CORDELL, G.A. Amarogentin, a naturally occurring secoiridoid glycoside and a newly recognized inhibitor of topoisomerase I from Leishmania donovani. Jornal of Natural Products, v.59, n.1, p.27-29, 1996.
RICHOMME, P.; GODET, M.C.; FOUSSARD, F.; TOUPET, L.; SEVENET, T.; BRUNETON, J. A novel leishmanicidal labdane from Polyalthia macropoda. Planta Medica, v.57, n.6, p.552-554, 1991.
SAHPAZ, S.; BORIES, C.; LOISEAU, P.M.; CORTES, D.; HOCQUEMILLER, R.; LAURENS, A.; CAVE, A Cytotoxic and antiparasitic activity from Annona senegalensis seeds. Planta Medica, v.60, n.6, p.538-540, 1994.
SALEHEEN, D.; ALI, S.A.; YASINZAI, M.M. Antileishmanial activity of aqueous onion extract in vitro. Fitoterapia, v.75, n., p.9-13, 2004.
SAUVAIN, M.; DEDET, J.P.; KUNESCH, N.; POISSON, J. Isolation of flavins from the Amazonian shrub Faramea guianesis. Journal of Natural Products, v.57, n.3, p.403-406, 1994.
SCHMEDA-HIRSCHMANN, G.; PAPASTERGIOU, F. Naphthoquinone derivatives and lignans from the Paraguayan crude drug tayã-pytã (Tabebuia heptaphylla Bignoniaceae). Zeitschrift Naturforschung [C], v.58, n.7-8, p.495-501, 2003.
STEINMULLER, C.; ROESLER, J.; GROTTRUP, E.; FRANKE, G.; WAGNER, H.; LOHMANN-MATTHES, M.L. Polysaccharides isolated from plant cell cultures of Echinacea purpurea enhance the resistance of immunosuppressed mice against systemic infections with Candida albicans and Listeria monocytogenes. International Journal of Immunopharmacology, v.15, n.5, p.605-614, 1993.
TADESSE, A.; GEBRE-HIWOT, A.; ASRES, K.; DJOTE, M.; FROMMEL, D. The in vitro activity of Vernonia amygdalina on Leishmania aethiopica. Ethiopian Medical Journal, v.31, n.3, p.183-189, 1993.
TANDON, J.S.; SRIVASTAVA, V.; GURU, P.Y. Iridoids: a new class of leishmanicidal agents from Nyctanthes arbortristis. Journal of Natural Products, v.54, n.4, p.1102-1104, 1991.
TEIXEIRA, M.J.; DE ALMEIDA, Y.M.; VIANA, J.R.; HOLANDA-FILHO, J.G,; RODRIGUES, T.P.; PRATA JR, J.R.; COELHO, I.C.; RAO, V.S.; POMPEU, M.M. In vitro and in vivo Leishmanicidal activity of 2-hydroxy-3-(3-methyl-2-butenyl)-1,4-naphthoquinone (lapachol). Phytotherapy Research, v.15, n.1, p.44-48, 2001.
TORRES-SANTOS, E.C.; MOREIRA, D.L.; KAPLAN, M.A.; MEIRELLES, M.N.; ROSSI-BERGMANN, B. Selective effect of 2',6'-dihydroxy-4'-methoxychalcone isolated from Piper aduncum on Leishmania amazonensis. Antimicrobial Agents Chemotherapy, v.43, n.5, p.1234-1241, 1999a.
TORRES-SANTOS, E.C.; RODRIGUES JR, J.M.; MOREIRA, D.L.; KAPLAN, M.A.; ROSSI-BERGMANN, B. Improvement of in vitro and in vivo antileishmanial activities of 2', 6'-dihydroxy-4'-methoxychalcone by entrapment in poly(D,Llactide) nanoparticles. Antimicrobial Agents Chemotherapy, v.43, n.7, p.1776-1778, 1999b.
TORRES-SANTOS, E.C.; LOPES, D.; OLIVEIRA, R.R. CARAUTA, J.P.; FALCÂO, C.A.; KAPLAN, M.A.; ROSSI-BERGMANN, B. Antileishmanial activity of isolated triterpenoids from Pourouma guianensis. Phytomedicine, v.11, n.2-3, p.114-120, 2004.
WAECHTER, A.I.; CAVE, A.; HOCQUEMILLER, R.; BORIES, C.; MUNOZ, V.; FOURNET, A. Antiprotozoal activity of aporphine alkaloids isolated from Unonopsis buchtienii (Annonaceae). Phytotherapy Research, v.13, n.2, p.175- 177, 1999.
WAECHTER, A.I.; FERREIRA, M.E.; FOURNET, A.; ROJAS-DE-ARIAS, A.; NAKAYAMA, H.; TORRES, S.; HOCQUEMILLER, R.; CAVE, A. Experimental treatment of cutaneous leishmaniasis with argentilactone isolated from Annona haematantha. Planta Medica, v.63, n.5, p.433-435, 1997.
B. Gilbert
Instituto de Tecnologia em Fármacos, Far-Manguinhos, Fundação Oswaldo Cruz
Rua Sizenando Nabuco 100, Manguinhos, 21041-250
Rio de Janeiro, RJ, Brasil