Adejoke 2019
Adejoke 2019
Adejoke 2019
Article history: The importance of natural products in the pharmaceuticalindustrycannot be abated because it
Received: 27 August 2018 playsvital role in the prevention and treatments of diseasessuch as cancer, malaria, pile etc.
Revised: 13 January 2019 These natural products which include alkaloid, flavonoid, phenol, saponin and tannin are
Accepted: 8 March 2019 bioactive compounds in plant and essential in plant metabolic activities. All of these have been
tested for their huge medicinal properties and therefore could serve as an alternative medicine
Keywords: in treatment of myriad ailments. Although, through the modern-day technologies, these
Plants bioactive compounds have been separated from the plants and synthesized into capsules and
Alkaloids tablets for easy administration, usage and storage, there is a need to create awareness on the
structure side-effects associated with excess or abuse of medicinal plants and to encourage rational use
pharmacology of natural resources for sustainability. Thus, this review gives an overview on pharmacological
importance of named alkaloids, methods of extraction and purification of alkaloids in plant,
laying emphasis on side-effects associated to the abuse of alkaloids or alkaloid derivative
drugs.
GRAPHICAL ABSTRACT
Alkaloids exhibit a broad range of very specific or rectally.9 As stated above, morphine was first isolated
pharmacological characteristics which can be used as a strong between 1803 and 1805 by Friedrich Sertürner. This is
basis for the general classification of the wide spectrum of generally believed to be the first isolation of an active
alkaloids derived from the plant kingdom, such as analgesic, ingredientfrom poppy straw of the opium poppy. In 2013,
central nervous system stimulants and depressants, anti- approximately 523 tons of morphine was produced and
malarial, cardio-vascular drugs and the like. The role of approximately 45 tons were directly used for pain. About 70
alkaloids for the living organisms that produce them is still percent of morphine is used to make other opioids such
unclear. It was initially assumed that the alkaloids are the as hydromorphone, oxymorphoneand heroin. Morphine has
final products of nitrogenmetabolism in plants, as urea in also been used traditionally in the treatment of acute
mammals. It was later shown that alkaloid concentration pulmonary edema, although there is little evidence to support
varies over time, and this hypothesis was refuted. Most of the this practice.10 Morphine is beneficial in reducing the
known functions of alkaloids are related to protection e.g. symptom of shortness of breath due to both cancer and non-
morphine is a popular analgesic. In addition, the presence of cancer causes.11, 12 Low dosage sustained-release of morphine
alkaloids in the plant prevents insects and chordate animals significantly reduces breathlessness and minimal exertion
from eating it. However, some animals are adapted to from conditions such as advanced cancer or end-stage
alkaloids and even use them in their own metabolism. Such cardiorespiratory diseases.13
alkaloid-related substances as serotonin, dopamine and
histamine are important neurotransmitters in animals. The Side effects of morphine
superior potential of alkaloid-containing plants and their
contained alkaloids which continue to contribute to the health Adverse effects of morphine include constipation by reducing
and welfare of future generations in a sustainable manner gut motility. Clinical studies consistently conclude that
have been demonstrated in several articles alongside their morphine, like other opioids, often causes hypogonadism; a
potential side-effects.2 condition that causes poor functioning of testes in men and
ovaries in women and also responsible for hormone
Pharmaceutical importance of alkaloids imbalances in chronic users of both sexes. This side effect
morphine is dose-dependent and occurs in both therapeutic
The first alkaloids for medicinal use were isolated at the and recreational users. Morphine can interfere with
beginning of 19th century, by Derosne (opium salt, narcotine) menstruation in women by suppressing levels of luteinizing
and Sertürner (principium somniferum, morphine). The hormone. Many studies suggest that the majority (perhaps as
chemical identification of morphine was carried in 1923, by much as 90%) of chronic opioid users have opioid-induced
Robinson and Gulland. So far, there are more than 20000 hypogonadism. This effect may cause the increased likelihood
identified alkaloids and a number of them have played an of osteoporosis and bone fracture observed in chronic
important role in clinical practice.3 They present numerous morphine users. Studies suggest that the effect is temporary.
biological activities such as being emetic, anticholinergic, As of 2013, the effect of low-dose or acute use of morphine
antitumor, diuretic, sympathomimetic, antiviral, on the endocrine system is unclear.14 In terms
antihypertensive, analgesic, antidepressant, muscle relaxant, of cognitive abilities, morphine may have a negative impact
anti-inflammatory, antimicrobial, and antiulcer. The alkaloids on anterograde and retrograde memory15, but these effects are
have proton-accepting nitrogen atom and one or more proton- minimal and transient.
donating amine hydrogen atoms, which form hydrogen bonds Overall, acute doses of opioids in non-tolerant users
with proteins, enzymes, and receptors. Furthermore, they, produce minor effects in some sensory and motor abilities,
generally, have functional groups such as phenolic hydroxyl and also in attention and cognition. It is likely that the effects
which might be responsible for the exceptional bioactivity of of morphine will be more pronounced in opioid-naive subjects
the alkaloids.4 Antioxidant activities of alkaloids have also than chronic opioid users. One of the big risks of morphine
been presented in different experimental models and use is that addiction to the drug develops quickly. An
pathological conditions.5–7 Quinine and other cinchona addiction to the drug means that the user requires more and
alkaloids including quinidine, cinchonine and cinchonidine more of it to feel the same effects formerly felt from a smaller
are effective against malaria;alkaloids belonging to beta- dose. As higher and higher doses are regularly taken, the
carboline group possess antimicrobial, anti-HIV and chances of a deadly overdose increase. Furthermore,
antiparasitic activities.8 Morphine is used in suppressingthe morphine activates the brain’s “pleasure centers,” which
feeling of pain and boldine alkaloids have antioxidant means that taking the drug is usually considered highly
activities. enjoyable by the addict, causing him or her to focus all
energies and efforts on securing more morphine.
Pharmaceutical Importance of Named Alkaloids
Morphine
Malaria is one of the most widespread infectious diseases in Over the years, malaria parasites have developed resistance to
the world. Nearly 1 million deaths of mostly children were a number of commonly used anti-malarial drugs. However,
caused by malaria. Currently, there are over 100 countries the development of resistance to quinine has been slow with
battling with malaria, of which 45 of these countries are the drug retaining some activity but having its action delayed
within African region. In spite of the fact that malaria is or diminished. Diminished sensitivity of P. falciparum to
curable and preventable, its prevalence increased in the 1980s quinine has been widely documented in Asia and South
and 1990s as the malaria parasites developed resistance to the America 21 but it seems relatively uncommon in Africa where
commonly used malaria drugs. Migration, low standard of conflicting results of no resistance22, 23 or varying degrees of
living, poor health care and insufficient human and technical resistance 24 have been reported.
resources limit the effectiveness of various intervention
programs designed to control the disease. The principal goal Side effectof quinine
of WHO, UNICEF, UNDP and the World Bank was to reduce
the rate of malaria’s related mortality.18 As previously Quinine has a low therapeutic index, and adverse effects with
mentioned, quinine and other cinchona alkaloids including its use are substantial.25 The side effects commonly seen at
quinidine, cinchonine and cinchonidine are effective against therapeutic concentrations are referred to as cinchonism, with
malaria. The potency of these four cinchona alkaloids was mild forms including tinnitus, slight impairment of hearing,
evaluated in a clinical trial conducted from 1866 to 1868 in headache and nausea. Impairment of hearing is usually
over 3000 patients using sulfate salt of the alkaloids to depend on concentration and it is reversible.26 More severe
measure the cessation of febrile paroxysm. All four alkaloids manifestations include vertigo, vomiting, abdominal pain,
were found to be effective with cure rate greater than 95%. diarrhea, marked auditory loss, and visual symptoms,
However, quinine became the majorly used cinchona alkaloid including loss of vision. Hypotension may occur if the drug is
for the treatment of malaria in 1980 due to dominance of given too rapidly, and venous thrombosis may occur
South American cinchona bark which contains higher following intravenous injections. Intramuscular
proportion of quinine. administration is painful and may cause sterile abscesses.
Quinine has a swift action against intra-erythrocytic Hypoglycaemia is yet another common side effect of quinine
malaria parasites. It is rapidly absorbed both orally and therapy 27, 28 and is a particular problem in pregnant women.29
intravenously, reaching peak concentration within few hours. Hypoglycaemia has been reported to occur in up to 32% of
The combination of quinine and clindamycin has proven patients receiving quinine therapy. However in more recent
highly efficacious against multidrug-resistant strains of studies, hypoglycaemia occurred in only 3% of adults and
Plasmodium falciparum, with 42 day cure rates of 100% in 2.8% of African children receiving quinine.30 Less frequent
one study.19 The only concern with this combination is that it but more serious side effects of quinine therapy include skin
is usually not affordable for most people. During the second eruptions, asthma, thrombocytopenia, hepatic injury and
and third trimester of pregnancy, quinine monotherapy seems psychosis.
to have unacceptably low efficacy in areas with multidrug
resistant malaria when compared to ACT and therefore not Biosynthesis of quinine
effective in treatment of malaria for a pregnant woman. The
Interactions between HIV and malaria remain a major public Cinchona trees remain the only economically practical source
health concern in areas affected by both diseases. Very few of quinine. However, under wartime pressure, research
studies have evaluated the role of quinine in the management towards its synthetic production was undertaken. A formal
of malaria in HIV infected populations. The earliest study was chemical synthesis was accomplished in 1944 by American
done in the Congo in 1986 and it showed malaria cure rates of chemists R.B. Woodward and W.E. Doering. Since then,
92% in HIV infected patients treated with oral quinine with several more efficient quinine total syntheses have been
J. Med. Chem. Sci. 2019, 2(4): 130-139
http://jmchemsci.com
133
H. Louis et al Journal of Medicinal and Chemical Sciences Original Article
Boldine
action facilitates the rate that aqueous humor leaves the eye to the brain which can lead to chronic epilepsy. Epilepsy
decrease intraocular pressure. In ophthalmology, pilocarpine induced by injected pilocarpine has been used to develop
is also used to reduce the possibility of glare at night from animal models in rodents in order to study human epilepsy.
lights when the patient has undergone implantation of phakic
intraocular lenses; the use of pilocarpine would reduce the Caffeine
size of the pupils, relieving these symptoms.
The most common concentration for this use is pilocarpine Around sixty plant species are known to contain
1%, the weakest concentration. Pilocarpine is shown to be just caffeine. Common sources are the "beans" (seeds) of the two
as effective as apraclonidine in preventing intraocular cultivated coffee plants, Coffea arabica and Coffea
pressure spikes after laser trabeculoplasty.41 It is used to canephora (the quantity varies, but 1.3% is a typical value); in
stimulate sweat glands in a sweat test to measure the leaves of the tea plant; and in kola nuts. Other sources
the concentration of chloride and sodium that is excreted in include yaupon holly leaves, South American holly yerba
sweat. It is used to diagnose cystic fibrosis. mate leaves, seeds from Amazonian maple guarana berries,
Pilocarpine is available in both tablet and capsule and Amazonian holly guayusa leaves. Temperate climates
formulation as well as a liquid-based preparation. The latter, around the world have produced unrelated caffeine-containing
however, has inherent instability and degradation problems .42 plants. Caffeine in plants acts as a natural pesticide: it can
The drug exerts a broad spectrum of pharmacological effects paralyze and kill predator insects feeding on the plant. High
with predominant muscarinic action. It can increase secretion caffeine levels are found in coffee seedlings when they are
by the exocrine glands, including the sweat, salivary, lacrimal, developing foliage and lack mechanical protection.Caffeine is
gastric, pancreatic and intestinal glands, and the mucous cells the most widely consumed psychoactive drug in the world47
of the respiratory tract. In addition, pilocarpine also increases and one of the most comprehensively studied ingredients in
smooth muscle tone and motility in the intestinal the food supply. It occurs naturally in the leaves and seeds of
and urinary tracts, gallbladder, biliary ducts, and bronchi.43, 44 many plants and has a taste bitter enough to deter pests.48 It is
a constituent of many over-the-counter pain relievers and
prescription drugs because the vasoconstriction and anti-
inflammatory effects of the alkaloid act as a compliment to
analgesics, in some cases increasing the effectiveness of pain
relievers by up to 40%.49–53
Caffeine is used for general pain relief in medications such
as Midol and Vanquis, which contains doses ranging from 33
to 60 mg. It is used therapeutically in combination with
ergotamine to treat migraine headaches and in combination
with non-steroidal anti-inflammatory analgesics. Anacin™,
Excedrin, Goody’s headache powder, and pain reliever plus
Fig. 4. structures of pilocarpine contain between 32 and 65 mg of caffeine, and prescription
headache medications, including Fiorinal, Orphenadrine, and
Biosynthesis of pilocarpine Synalgos, contain between 30 and 60 mg of caffeine. Besides,
it is used as a somnolytic to counteract drowsiness (e. g.,
Pilocarpine is found exclusively in species of Pilocarpus and NoDoze and Vivarin each contain 200 mg of caffeine), to
the presence of other imidazole alkaloids has been reported in enhance seizure duration in electroconvulsive therapy, and to
several species of the genus. Pilocarpine has several important treat respiratory depression in neonates, postprandial
pharmaceutical applications. Although several imidazole hypotension, and obesity.55–57 Similar synergistic additive
alkaloids related to pilocarpine have been reported in the effects of caffeine and medications also occur in treatments
previous years, little is still known about its biosynthetic for asthma and gall bladder diseases, attention deficit-
route. At most, histidine has been reported as the precursor of hyperactivity disorder, shortness-of-breath in newborns, low
pilocarpine. blood pressure, and weight loss.58–62 Caffeine works by
binding to adenosine receptors located in the central and
Side effect of pilocarpine peripheral nervous systems as well as in various organs, such
as the heart, and blood vessels.It can have both positive and
negative health effects. It can treat and prevent the premature
Mild and tolerable adverse reactions are frequently reported
infant breathing disorders bronchopulmonary dysplasia of
during pilocarpine therapy, their incidence being dose-related
prematurity and apnea of prematurity.
.45, 46 Most of the adverse effect of pilocarpine is related to
its non-selective action as a muscarinic receptor agonist.
Pilocarpine has been known to cause excessive salivation,
sweating,bronchial mucus secretion, bronchospasm, bradycar
dia, vasodilation, and diarrhea. Eye drops can result in
brow ache and chronic use in miosis. Reports showed an
incidence of 65% for sweating in 31 patients treated with
pilocarpine 5mg 3 times daily for 5months.45 However, no
patients withdrew from therapy as a result of excessive
sweating.Systemic injection of pilocarpine can compromise
the blood brain barrier allowing pilocarpine to gain access to Fig. 5. structure of caffeine
Aconitine
Fig. 6. structure of Acontine
Aconitine is an alkaloid toxin produced by the Aconitum
plant, it is also known as devil's helmet or monkshood.
Monkshood is notorious for its toxic properties. In China, Biosynthesis of aconitine
aconitine is also used in small doses as an analgesic and blood
coagulant.The medicinal plant species of Aconitum are a rich Aconitine is naturally synthesized by the monkshood plant via
source of alkaloids and flavanoids, many of which exhibit the terpenoid biosynthesis pathway (MEP chloroplast
broad spectrum of activity. Also isolated and identified are pathway). Approximately 700 naturally occurring C19-
various polysaccharides and free fatty acids. The diterpenoid alkaloids have been isolated and identified, but
pharmacological analysis of Aconitum species and their the biosynthesis of only a few of these alkaloids is well
compounds have shown various therapeutic effects. The key understood. Likewise, only a few alkaloids of the aconitine
points of the scientific research have been the effects of the family have been synthesized in the laboratory.
diterpene alkaloids on the central nervous system and the
heart. Their antimicrobial and cytotoxic effects have also been Toxicity of aconitine
studied. As a widely used Chinese herbal medicine, the tubers
and roots of Aconitum (Ranunculaceae) are commonly The toxic effects of aconitine have been tested in a variety of
applied for various diseases, such as collapse, syncope, animals, including mammals (dog, cat, guinea pig, mouse, rat
rheumatic fever, painful joints, gastroenteritis, diarrhoea, and rabbit), frogs and pigeons. Depending on the route of
oedema, bronchial asthma, various tumours, and some exposure, the observed toxic effects were: local
endocrinal disorders like irregular menstruation. However, the anesthetic effect, diarrhea, convulsions, arrhythmias or death
cardio and neurotoxicities of this drug is potentially lethal, .74 According to a review of different reports of aconite
and the improper use of Aconitum in China, India, Japan and poisoning in humans, hypotension, palpitations, chest pain
some other countries still results in a high risk of severe , bradycardia, sinus tachycardia, ventricular ectopics and other
intoxications. Based upon the regulations stipulated by the arrhythmias, ventricular arrhythmias, nausea, vomiting,
State. Food and Drug Administration of China, only the abdominal pain, and diarrhea are the major side-effects of
processed, detoxified tubers and roots of Aconitum are aconitine. Others include dizziness, hyperventilation,
allowed to be administered orally, used in clinical decoctions
Alkaloids are alkaline and are present in salt form in the plant
and they can be extracted with water or acidic water. Usually,
Fig. 7. structures of harmine
inorganic acidic extraction is used, so that the organic acid of
alkaloids salt is replaced by inorganic acid salt increasing its
solubility. Acid extraction methods usually use 0.1% to 1%
sulfuric acid, hydrochloric acid or acetic acid, tartaric acid
solution as a solvent.81 The advantage of that acidic extraction
is changing alkaloids molecules into small molecule organic Separation by Precipitation method
acid salts of inorganic acids, increasing the solubility in water,
and the extraction method is relatively simple. However, the We can use precipitation reagent precipitate Water-soluble
main drawback of this method is the need for more extraction alkaloids from the aqueous solution, and separate water-
solution, difficulty concentrating, and presence of water- soluble impurities which are remaining in the filtrate, in order
soluble impurities. to obtain higher purity water-soluble alkaloids or salts.
Commonly, Reye ammonium salt precipitation reagent in the
Extraction of alcohol solvent laboratory is used.
Both free alkaloids and alkaloid salts which can be dissolved Separation by simple extraction method
in methanol, ethanol, alcohol reflux, percolation or immersed
can be used to extract them. The advantage of alcohol If the desired ingredients are fat-soluble, organic solvents
extraction is that different alkaloids or alkaline salts can be such as benzene, chloroform or ethers can be with water
suited, in addition to the water-soluble impurities such as conducting liquid-liquid extraction to remove water-soluble
polysaccharides, proteins are less extracted. But its drawback ingredients such as sugars and inorganic salts. If the desired
is that more fat-soluble impurities are co extracted. Acidic ingredients are hydrophilic substance, the water solution can
water- alkaline - extraction methods can be used to remove be extracted with the weak lipophilic solvents such as ethyl
fat-soluble impurities using appropriate lipophilic organic acetate, butanol, pentanol acetate. The extraction and
solvent such as chloroform, benzene, ether and methylene separation of alkaloids to obtain active ingredients by liquid –
chloride to extract and recover solvent.79 liquid extraction method is often done according to the
differences of the nature of active ingredients or in
Extraction with acid coexistence of impurities as certain type of component
distribution coefficient which changed significantly with
In the acidic extraction, the raw plant material is processed by some methods.79
a weak acidic solution (e.g., acetic acid in water, ethanol, or
methanol). A base is then added to convert alkaloids to basic Fractionation method
forms that are extracted with organic solvent (if the extraction
was performed with alcohol, it is removed first, and the For the separation of the system of immiscible liquids,
remainder is dissolved in water). The solution is purified as different boiling points can be used for fractionation, and then
described above.81 refining and purification, this method is often used in the
volatile oils and purification of liquid alkaloids. To prevent
Seperation and Purification of Alkaloids some of the ingredients in the volatile oil being destroyed
when boiling, vacuum distillation is often used. In general, the
Generally, medical plants which often contain a variety of boiling point of the liquid mixture is above 100 ℃, the
alkaloids, mostly obtained by extracting, are a mixture of solution can be repeatedly fractionated several times to
alkaloids. Alkaloids are separated from their mixture using achieve the purpose of separation. If the difference of the
their different solubility in certain solvents and different boiling point is below 25℃, the use of fractionating column is
reactivity with certain reagents or by distillation according to needed.
the solubility of different alkaloids or alkaloid salt. Each
monomer of total alkaloids has different polarity, their Conclusion
solubility varies in an organic solvent and the difference can
be used to separate the alkaloids. Considering the importance of the drugs from the natural
sources, a new era has been developed in which synthetic
Separation According to Special Functional Group Present drugs are replaced to a great extent by the herbal medicines
due to the serious side effects associated with the use of
Some alkaloid molecules contain phenolic hydroxyl or synthetic drugs. Nature has blessed us with numerous types of
carboxyl group such as Lactone or lactam structure, these medicines from plants, animals, marine sources and microbes
groups or structures can occur in reversible chemical reaction, and they are gaining more and more importance in the field of
so they can be used for separation. Phenolic alkaloids form a novel drug discovery.Isolation and purification of alkaloids is
salt which are soluble in water in alkaline conditions, so they the key and the most difficult aspect of herbal medicine
can be separated from the general alkaloids. For example, in research and development.Besides, some of the traditional
the opium alkaloids, morphine has phenolic hydroxyl and separation and purification technology problems are low yield
codeine possess no phenolic hydroxyl, with sodium hydroxide and high cost of purification. This review gives an overview
solution treating opium alkaloids solution; morphine forms on pharmacological importance of named alkaloids,
salt and dissolves and codeine precipitates, so the two can be toxicology and methods of extraction and purification of plant
separated. Lactone or lactam structure alkaloids can be alkaloids which may be useful for researchers to investigate
saponified by heating in an alkaline aqueous solution to the medicinal potentials of these alkaloids and may also help
generate open-loop and form carboxylic acid salt which is in the development of new drugs for the treatment of various
water-soluble, so can separate from other alkaloids, they can diseases.
synthesize primary alkaloids and precipitate in acid
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How to cite this article: Hamzat T. Adejoke, Hitler Louis*, Oluwatobi O. Amusan, Gloria Apebende.
A Review on Classes, Extraction, Purification and Pharmaceutical Importance of Plants Alkaloid,
Journal of Medicinal and Chemical Sciences, 2019, 2(4), 130-139. Link:
http://www.jmchemsci.com/article_84206.html