Kontakt 2012, 14(4):505-513 | DOI: 10.32725/kont.2012.050
Biologically active substances of the annual wormwood (Artemisia annua L.) and their use in the therapy of malariaBiomedicine - Review
- 1 Přírodovědecká fakulta Univerzity Karlovy v Praze, katedra botaniky
- 2 Jihočeská univerzita v Českých Budějovicích, Zdravotně sociální fakulta, katedra radiologie a toxikologie
The annual wormwood (Artemisia annua L.) is a plant from the family Asteraceae. It comes from China, where it is an important part of the traditional Chinese medicine. Terpenoids (particularly sesquiterpenic lactones), flavonoids, coumarins and other metabolites of shikimic acid are the prevalent substances in the species A. annua, as is also the case in many other species of the genus Artemisia. The most important substance is biologically active sesquiterpene artemisinine (Qinghaosu). Artemisinine, sesquiterpenic lactone with endoperoxide bond, found in above-ground parts of A. annua, is more effective, more rapid and less toxic in the treatment of malaria compared to chloroquine. Malaria is currently the most severe infectious disease worldwide with at least 300 million reported cases annually. The annual wormwood is the main natural botanical source of artemisinine and potential source of essential oil for the manufacture of perfumes. Contents of artemisinine are very dependent on the plant ecotype, ecological conditions and seasonal and geographical variations. The annual wormwood is currently cultivated in China, Vietnam, India, Romania, Kenya and Tanzania. Methods of the chemical and biological synthesis of artemisinine are ever being studied due to poor yields from natural sources, but the natural or cultivated forms of A. annua are still the main sources of this substance. The medicinal value of artemisinine is unfortunately limited due to its low solubility in both oil and water, which resulted in developing semi-synthetic derivatives exerting pharmacological characteristics superior to those of the original substance. The most important derivatives of this type are artemether, arteether and artesunate, which exert higher efficacy and also higher solubility and metabolic and hydrolytic stability compared to artemisinine. In addition, artemisinine and its semi-synthetic derivatives are characterized by their strong anti-cancer activity, antibacterial effects and by possibility of their use as pesticides.
Keywords: annual wormwood; Artemisia annua; sesquiterpene; artemisinine; malaria
Received: March 26, 2012; Accepted: August 23, 2012; Prepublished online: December 21, 2012; Published: December 30, 2012 Show citation
References
- Ando V, Čížek H, Potužák M, Valíček P (1994). Léčivé rostliny tradiční čínské medicíny. Svítání Hradec Králové. 321 s.
- Andrews KT, Haque A, Jones MK (2012). HDAC inhibitors in parasitic diseases. Immunol Cell Biol. 90/1: 66-77.
Go to original source...
Go to PubMed...
- Anonym (1982). Studies on the toxicity of qinghaosu and its derivatives. China Cooperative Research Group on qinghaosu and its derivatives as antimalarials. J Tradit Chin Med. 2/1: 31-38.
- Arab HA, Rahbari S, Rassouli A, Moslemi MH, Khosravirad F (2006). Determination of artemisinin in Artemisia sieberi and anticoccidial effects of the plant extract in broiler chickens. Trop Anim Health Prod. 38/6: 497-503.
Go to original source...
Go to PubMed...
- Balint GA (2001). Artemisinin and its derivatives. An important new class of antimalarial agents. Pharmacol Ther. 90/2-3: 261-265.
Go to original source...
Go to PubMed...
- Barat LM, Bloland PB (1997). Drug resistance among malaria and other parasites. Infect Dis Clin North Am. 11/4: 969-987.
Go to original source...
Go to PubMed...
- Bednář M, Souček A, Vávra J (1994). Lékařská speciální mikrobiologie a parazitologie. Triton Praha. 226 s.
- Bezirtzoglou C, Dekas K, Charvalos E (2011). Climate changes, environment and infection: facts, scenarios and growing awareness from the public health community within Europe. Anaerobe. 17/6: 337-340.
Go to original source...
Go to PubMed...
- Brown GD (2010). The Biosynthesis of Artemisinin (Qinghaosu) and the Phytochemistry of Artemisia annua L. (Qinghao). Molecules. 15/11: 7603-7698.
Go to original source...
Go to PubMed...
- Covello P (2008). Making artemisinin. Phytochemistry. 69/17: 2881-2885.
Go to original source...
Go to PubMed...
- Crespo-Ortiz MP, Wei MQ (2012). Antitumor activity of artemisinin and its derivatives: from a well-known antimalarial agent to a potential anticancer drug. J Biomed Biotechnol., 18 p. ID 247597.
Go to original source...
Go to PubMed...
- Cui L, Su XZ (2009). Discovery, mechanisms of action and combination therapy of artemisinin. Expert Rev Anti Infect Ther. 7/8: 999-1013.
Go to original source...
Go to PubMed...
- de Ridder S, van der Kooy F, Verpoorte R (2008). Artemisia annua as a self-reliant treatment for malaria in developing countries. J Ethnopharmacol. 120/3: 302-314.
Go to original source...
Go to PubMed...
- Delabays N, Benakis A, Collet G (1993). Selection and breeding for high artemisinin (Qinghaosu) yielding strains of Artemisia annua. Acta Hort (ISHS). 330: 203-208.
Go to original source...
- Dhingra V, Vishweshwar Rao K, Lakshmi Narasu M (2000). Current status of artemisinin and its derivatives as antimalarial drugs. Life Sci. 66/4: 279-300.
Go to original source...
Go to PubMed...
- Dupouy-Camet J (2004). New drugs for the treatment of human parasitic protozoa. Parassitologia. 46/1-2: 81-84. [article in French]
Go to PubMed...
- Efferth T, Herrmann F, Tahrani A, Wink M (2011). Cytotoxic activity of secondary metabolites derived from Artemisia annua L. towards cancer cells in comparison to its designated active constituent artemisinin. Phytomedicine. 18/11: 959-969.
Go to original source...
Go to PubMed...
- Fendrich Z (2005). Malárie a její léčba. Klin Farmakol Farm. 19/2: 89-94.
- Ferreira JF, Luthria DL, Sasaki T, Heyerick A (2010). Flavonoids from Artemisia annua L. as Antioxidants and Their Potential Synergism with Artemisinin against Malaria and Cancer. Molecules. 15/5: 3135-3170.
Go to original source...
Go to PubMed...
- Grulich V (2004). Artemisia L. In: Slavík B, Štěpánková J (eds.). Květena České republiky 7. Academia Praha, s. 163-185.
- Hsu E (2006). The history of qing hao in the Chinese materia medica. Trans Royal Soc Tropical Med Hyg. 100/6: 505-508.
Go to original source...
Go to PubMed...
- Jain DC, Mathur AK, Gupta MM, Singh AK, Verma RK, Gupta AP, Kumar S (1996). Isolation of high artemisinin-yielding clones of Artemisia annua. Phytochemistry. 43/5: 993-1001.
Go to original source...
- Kappagoda S, Singh U, Blackburn BG (2011). Antiparasitic therapy. Mayo Clin Proc. 86/6: 561-583.
Go to original source...
Go to PubMed...
- Kumar S, Gupta SK, Singh P, Bajpai P, Gupta MM, Singh D, Gupta AK, Ram G, Shasany AK, Sharma S (2004). High yields of artemisinin by multi-harvest of Artemisia annua crops. Ind Crops Prod. 19/1: 77-90.
Go to original source...
- Lévesque F, Seeberger PH (2012). Continuous-flow synthesis of the anti-malaria drug artemisinin. Angew Chem Int Ed Engl. 51/7: 1706-1709.
Go to original source...
Go to PubMed...
- Li Y, Hu H-B, Zheng X-D, Zhu J-H, Liu L-P (2011). Composition and antimicrobial activity of essential oil from the aerial part of Artemisia annua. J Med Plants Res. 5/16: 3629-3633.
- Liao F (2009). Discovery of Artemisinin (Qinghaosu). Molecules. 14/12: 5362-5366.
Go to original source...
- Liersch R, Soicke H, Stehr C, Tullner HU (1986). Formation of artemisinin in Artemisia annua during one vegetation period. Planta Med. 52/5: 387-390.
Go to original source...
Go to PubMed...
- Liu C, Zhao Y, Wang Y (2006). Artemisinin: current state and perspectives for biotechnological production of an antimalarial drug. Appl Microbiol Biotechnol. 72/1: 11-20.
Go to original source...
Go to PubMed...
- MacArthur W (1946). A brief story of English malaria. Postgrad Med J. 22/249: 198-200.
Go to original source...
Go to PubMed...
- Meshnick SR, Yang YZ, Lima V, Kuypers F, Kamchonwongpaisan S, Yuthavong Y (1993). Iron-dependent free radical generation from the antimalarial agent artemisinin. Antimicrob Agents Chemother. 37/5: 1108-1114.
Go to original source...
Go to PubMed...
- Meshnick SR, Taylor TE, Kamchonwongpaisan S (1996). Artemisinin and the Antimalarial Endoperoxides: from Herbal Remedy to Targeted Chemotherapy. Microbiol Rev. 60/2: 301-315.
Go to original source...
Go to PubMed...
- Nontprasert A, Pukrittayakamee S, Prakongpan S, Supanaranond W, Looareesuwan S, White NJ (2002). Assessment of the neurotoxicity of oral dihydroartemisinin in mice. Trans R Soc Trop Med Hyg. 96/1: 99-101.
Go to original source...
Go to PubMed...
- Nosten F, White NJ (2007). Artemisinin-based combination treatment of falciparum malaria. Am J Trop Med Hyg. 77/Suppl. 6: 181-192.
Go to original source...
- O'Neill PM, Barton VE, Ward SA (2010). The Molecular Mechanism of Action of Artemisinin - The Debate Continues. Molecules. 15/3: 1705-1721.
Go to original source...
Go to PubMed...
- Patočka J, Plucar B (2003). Pharmacology and toxicology of absinthe. J Appl Biomed. 1/1: 199-205.
Go to original source...
- Posner GH, O'Neill PM (2004). Knowledge of the Proposed Chemical Mechanism of Action and Cytochrome P450 Metabolism of Antimalarial Trioxanes Like Artemisinin Allows Rational Design of New Antimalarial Peroxides. Acc Chem Res. 37/6: 397-404.
Go to original source...
Go to PubMed...
- Ritter JM, Lewis LD, Mant TGK, Ferro A (2008). A Textbook of Clinical Pharmacology and Therapeutics. 5th ed. Hodder Arnold London. 465 p.
Go to original source...
- Toovey S (2006a). Are currently deployed artemisinins neurotoxic? Toxicol Lett. 166/2: 95-104.
Go to original source...
Go to PubMed...
- Toovey S (2006b). Safety of artemisinin antimalarials. Clin Infect Dis. 42/8: 1214-1215.
Go to original source...
Go to PubMed...
- Tu Y (2011). The discovery of artemisinin (qinghaosu) and gifts from Chinese medicine. Nat Med. 17/10: 1217-1220.
Go to original source...
Go to PubMed...
- van Wyk B-E, Wink M (2005). Medicinal plants of the world. Timber Press, Portland, Oregon, USA. 480 p.
- Vaništa J (2005). Farmakoterapie malárie v České republice. Klin Farmakol Farm. 19/2: 95-99.
- Wang Z, Qiu J, Guo TB, Liu A, Wang Y, Li Y, Zhang JZ (2007). Anti-inflammatory properties and regulatory mechanism of a novel derivative of artemisinin in experimental autoimmune encephalomyelitis. J Immunol. 179/9: 5958-5965.
Go to original source...
Go to PubMed...
- Weathers PJ, Arsenault PR, Covello PS, McMickle A, Teoh KH, Reed DW (2011). Artemisinin production in Artemisia annua: studies in planta and results of a novel delivery method for treating malaria and other neglected diseases. Phytochem Rev. 10/2: 173-183.
Go to original source...
Go to PubMed...
- White N (1999). Antimalarial drug resistance and combination chemotherapy. Phil Trans R Soc Lond B. 354/1384: 739-749.
Go to original source...
Go to PubMed...
- White NJ (2008). Qinghaosu (artemisinin): the price of success. Science. 320/5874: 330-334.
Go to original source...
Go to PubMed...
- WHO (2006). World Health Organization monograph on good agricultural and collection practices (GACP) for Artemisia annua L. Geneva.
- Williamson EM (2003). Potter's Herbal Cyclopaedia. The autoritative reference work on plants with a known medicinal use. Saffron Walden, The C. W. Daniel Company Limited. 503 p.
- Wright CW (2001). Artemisia (Medicinal and Aromatic Plants - Industrial Profiles). CRC Press, Taylor & Francis, London, New York. 344 p.
- Wu J-N (2005). An Illustrated Chinese Materia Medica. Oxford University Press New York. 706 p.
- Yeung S, Pongtavornpinyo W, Hastings IM, Mills AJ, White NJ (2004). Antimalarial drug resistance, artemisinin-based combination therapy, and the contribution of modeling to elucidating policy choices. Am J Trop Med Hyg. 71/Suppl. 2: 179-186.
Go to original source...
- Zeng Q, Qiu F, Yuan L (2008). Production of artemisinin by genetically-modified microbes. Biotechnol Lett. 30/4: 581-592.
Go to original source...
Go to PubMed...
- Zhang CZ, Zhang H, Yun J, Chen GG, Lai PB (2012). Dihydroartemisinin exhibits antitumor activity toward hepatocellular carcinoma in vitro and in vivo. Biochem Pharmacol. 83/9: 1278-1289.
Go to original source...
Go to PubMed...
- Zia M, Abdul-Mannan, Chaudhary MF (2007). Effect of growth regulators and amino acids on artemisinin production in the callus of Artemisia absinthium. Pak. J. Bot. 39/3: 799-805.