It has been estimated that 300–500 million malaria infections occur on an annual basis and causes fatality to millions of human beings. Most of the drugs used for treatment of malaria have developed drug-resistant parasites or have serious side effects. Plant kingdom has throughout the centuries proved to be efficient source of efficacious malarial drugs like quinine and artemisinin. Since these drugs have already developed or in the process of developing drug resistance, it is important to continuously search the plant kingdom for more effective antimalarial drugs. In this aspect, the medicinal practices of indigenous communities can play a major role in identification of antimalarial plants. Bangladesh has a number of indigenous communities or tribes, who because of their living within or in close proximity to mosquito-infested forest regions, have high incidences of malaria. Over the centuries, the tribal medicinal practitioners have treated malaria with various plant-based formulations. The objective of the present study was to conduct an ethnomedicinal survey among various tribes of Bangladesh to identify the plants that they use for treatment of the disease. Surveys were conducted among seven tribes, namely, Bawm, Chak, Chakma, Garo, Marma, Murong, and Tripura, who inhabit the southeastern or northcentral forested regions of Bangladesh. Interviews conducted with the various tribal medicinal practitioners indicated that a total of eleven plants distributed into 10 families were used for treatment of malaria and accompanying symptoms like fever, anemia, ache, vomiting, and chills. Leaves constituted 35.7% of total uses followed by roots at 21.4%. Other plant parts used for treatment included barks, seeds, fruits, and flowers. A review of the published scientific literature showed that a number of plants used by the tribal medicinal practitioners have been scientifically validated in their uses. Taken together, the plants merit further scientific research towards possible discovery of novel compounds that can be used to successfully treat malaria with less undesirable sideeffects. 1. Introduction According to World Health Organization (WHO), malaria has afflicted human beings since antiquity [1]. The disease is caused by a protozoan of the genus Plasmodium and is transmitted through bites by female mosquitoes of the genus Anopheles. Five subspecies of Plasmodium, including P. falciparum, P. malariae, P. ovale, P. knowlesi, and P. vivax can cause malaria, and 90% of known human deaths are caused by P. falciparum. Plasmodium enters the blood stream
References
[1]
L. J. Bruce-Chwatt, Chemotherapy of Malaria, World Health Organization, Geneva, Switzerland, 2nd edition, 1986.
[2]
G. Bodeker, “Introduction,” in Traditional Medicinal Plants and Malaria, M. Willcox, G. Bodeker, and P. Rasoanaivo, Eds., pp. 1–3, CRC Press, New York, NY, USA, 2004.
[3]
J. A. O. Achan, A. Talisuna, A. Erhart, et al., “Quinine, an old anti-malarial drug in a modern world: role in the treatment of malaria,” Malaria Journal, vol. 10, pp. 144–155, 2011.
[4]
A. S. Fabiano-Tixier, A. Elmori, A. Blanckaert, E. Seguin, E. Petitcolas, and F. Chemat, “rapid and green analytical method for the determination of quinoline alkaloids from Cinchona succirubra based on microwave-integrated extraction and leaching (MIEL) prior to high performance liquid chromatography,” International Journal of Molecular Sciences, vol. 12, no. 11, pp. 7846–7860, 2011.
[5]
W. R. Taylor and N. J. White, “Antimalarial drug toxicity: a review,” Drug Safety, vol. 27, no. 1, pp. 25–61, 2004.
[6]
R. L. Clark, K. C. Brannen, J. E. Sanders, and A. M. Hoberman, “Artesunate and artelinic acid: association of embryotoxicity, reticulocytopenia, and delayed stimulation of hematopoiesis in pregnant rats,” Birth Defects Research B, vol. 92, no. 1, pp. 52–68, 2011.
[7]
C. Wongsrichanalai, T. D. Nguyen, N. T. Trieu, et al., “In vitro susceptibility of Plasmodium falciparum isolates in Vietnam to artemisinin derivatives and other antimalarials,” Acta Tropica, vol. 63, no. 2-3, pp. 151–158, 1997.
[8]
S. Y. Whegang, R. Tahar, V. N. Foumane et al., “Efficacy of non-artemisinin- and artemisinin-based combinationtherapies for uncomplicated falciparum malaria in Cameroon,” Malaria Journal, vol. 9, no. 1, pp. 56–65, 2010.
[9]
W. A. Khan, D. A. Sack, S. Ahmed, et al., “Mapping hypoendemic, seasonal malaria in rural Bandarban, Bangladesh: a prospective surveillance,” Malaria Journal, vol. 10, article 124, 2011.
[10]
U. Haque, T. Sunahara, M. Hashizume, et al., “malaria prevalence, risk factors and spatial distribution in a hilly forest area of Bangladesh,” PLoS One, vol. 6, no. 4, Article ID e18908, 9 pages, 2011.
[11]
S. M. Ahmed, “Differing health and health-seeking behaviour: ethnic minorities of the Chittagong Hill Tracts, Bangladesh,” Asia-Pacific Journal of Public Health, vol. 13, no. 2, pp. 100–108, 2001.
[12]
A. A. Shahat, “Procyanidins from Adansonia digitata,” Pharmaceutical Biology, vol. 44, no. 6, pp. 445–450, 2006.
[13]
A. R. Sannella, L. Messori, A. Casini et al., “Antimalarial properties of green tea,” Biochemical and Biophysical Research Communications, vol. 353, no. 1, pp. 177–181, 2007.
[14]
T. Banerjee, S. K. Sharma, N. Surolia, and A. Surolia, “Epigallocatechin gallate is a slow-tight binding inhibitor of enoyl-ACP reductase from Plasmodium falciparum,” Biochemical and Biophysical Research Communications, vol. 377, no. 4, pp. 1238–1242, 2008.
[15]
V. Ramanandraibe, P. Grellier, M. T. Martin et al., “Antiplasmodial phenolic compounds from Piptadenia pervillei,” Planta Medica, vol. 74, no. 4, pp. 417–421, 2008.
[16]
Y. J. Park, I. M. Chung, and H. I. Moon, “Antiplasmodial procyanidins derivatives from Chinese Hawthorn,” Immunopharmacology and Immunotoxicology, vol. 32, no. 4, pp. 607–610, 2010.
[17]
L. Ruiz, L. Ruiz, M. Maco, M. Cobos, A. L. Gutierrez-Choquevilca, and V. Roumy, “Plants used by native Amazonian groups from the Nanay River (Peru) for the treatment of malaria,” Journal of Ethnopharmacology, vol. 133, no. 2, pp. 917–921, 2011.
[18]
M. A. Riel, D. E. Kyle, and W. K. Milhous, “Efficacy of scopadulcic acid A against Plasmodium falciparum in vitro,” Journal of Natural Products, vol. 65, no. 4, pp. 614–615, 2002.
[19]
M. K. Das and M. K. Beuria, “Anti-malarial property of an extract of the plant Streblus asper in murine malaria,” Transactions of the Royal Society of Tropical Medicine and Hygiene, vol. 85, no. 1, pp. 40–41, 1991.
[20]
K. Mukherjee and L. N. Roy, “Chemical examination of Streblus asper leaves,” International Journal of Crude Drug Research, vol. 21, no. 4, pp. 189–190, 1983.
[21]
A. S. Chawla, V. K. Kapoor, R. Mukhopadhyay, and M. Singh, “Constituents of Streblus asper,” Fitoterapia, vol. 61, no. 2, p. 186, 1990.
[22]
E. O. Ajaiyeoba, J. S. Ashidi, L. C. Okpako, P. J. Houghton, and C. W. Wright, “Antiplasmodial compounds from Cassia siamea stem bark extract,” Phytotherapy Research, vol. 22, no. 2, pp. 254–255, 2008.
[23]
J. Fotie, D. S. Bohle, M. L. Leimanis, E. Georges, G. Rukunga, and A. E. Nkengfack, “Lupeol long-chain fatty acid esters with antimalarial activity from Holarrhena floribunda,” Journal of Natural Products, vol. 69, no. 1, pp. 62–67, 2006.
[24]
S. Kumar, N. Misra, K. Raj, K. Srivastava, and S. K. Puri, “Novel class of hybrid natural products derived from lupeol as antimalarial agents,” Natural Product Research, vol. 22, no. 4, pp. 305–319, 2008.
[25]
H. I. Moon, J. C. Jung, and J. Lee, “Antiplasmodial activity of triterpenoid isolated from whole plants of Viola genus from South Korea,” Parasitology Research, vol. 100, no. 3, pp. 641–644, 2007.
[26]
K. Pudhom, D. Sommit, N. Suwankitti, and A. Petsom, “Cassane furanoditerpenoids from the seed kernels of Caesalpinia bonduc from Thailand,” Journal of Natural Products, vol. 70, no. 9, pp. 1542–1544, 2007.
[27]
T. Z. Linn, S. Awale, Y. Tezuka et al., “Cassane- and norcassane-type diterpenes from Caesalpinia crista of Indonesia and their antimalarial activity against the growth of Plasmodium falciparum,” Journal of Natural Products, vol. 68, no. 5, pp. 706–710, 2005.
[28]
S. K. Kalauni, S. Awale, Y. Tezuka et al., “Antimalarial activity of cassane- and norcassane-type diterpenes from Caesalpinia crista and their structure-activity relationship,” Biological and Pharmaceutical Bulletin, vol. 29, no. 5, pp. 1050–1052, 2006.