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Chapter 10 Medicinal and aromatic plants used in respiratory diseases 383
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Amra Alispahić✶, Emina Boškailo, Alema Dedić, and Hurija Džudžević-Čančar
Chapter 11 Medicinal and aromatic plants with antioxidant properties
Abstract: Reactive oxygen and nitrogen species (ROS/RNS) are two substances that are
both naturally produced in the human body. They are required for the delivery of an oxidative burst to immune cells to kill microorganisms. However, their overproduction leads to several detrimental processes, including aging and cancer. Substances that eliminate the effects of free radicals are called antioxidants. Increased plant intake can be beneficial here because plants contain numerous natural antioxidants, mostly poly phenolics and flavonoids. These biologically active components in herbal essential oils have been used as therapeutic agents, as they are natural sources of antioxidants. They inactivate free radicals, reduce oxidative stress, and have been used in the pharmaceu tical, cosmetic, and food research fields. In fact, studies have shown that there is a posi­tive relationship between the total phenol content of medicinal plants and aromatic plants and their antioxidant capacity. Today, reliability concerns on synthetic antioxi dants are increasing. Therefore, the interest of the health and food industry in aromatic plants and the natural antioxidants obtained from these plants has also increased. Aro matic and medicinal plants have been used in many fields, such as food, medicine, cos­metics, and spices since the beginning of human history. This chapter focuses on the antioxidant properties of medicinal and aromatic plants, as aromatic plants are widely considered to be rich sources of antioxidants.
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Keywords: aromatic plants, medicinal plants, free radicals, antioxidants

11.1 Introduction

The human body converts at least 5% of the oxygen intake by breathing into reactive oxygen species (ROS). It has become clear in recent decades that ROS can have detri
Corresponding author: Amra Alispahić, Department of Chemistry in Pharmacy, University of Sarajevo-Faculty of Pharmacy, Sarajevo, Bosnia and Herzegovina, e-mail: amra.alispahic@ffsa.unsa.ba Emina Boškailo, Department of Ecology and Environmental Protection, Faculty of Social Sciences Dr. Milenko Brkić, Herzegovina University, Mostar, Bosnia and Herzegovina; International Society of Engineering Science and Technology, Nottingham, UK Alema Dedić, Hurija Džudžević-Čančar, Department of Chemistry in Pharmacy, University of Sarajevo-Faculty of Pharmacy, Sarajevo, Bosnia and Herzegovina
-
386 Amra Alispahić et al.
mental impacts on human health under some circumstances. By neutralizing the im­pacts of free radicals, antioxidants can help the body protect itself from a variety of harmful factors and illnesses. Recent research on antioxidants and free radicals has opened a new era of health management against a number of illnesses [1]. Recent ad­vancements in pharmaceuticals and functional foods derived from medicinal and nutritional plants (fruits and vegetables) have improved all facets of life, including ex­tending human lifespan, reducing the need for synthetic antibiotics, and alleviating physical disorders [2]. To prevent oxidative deterioration and prolong food storage, the food industry mostly uses synthetic antioxidants such as propyl gallates, butyl hy­droxytoluene, tertiary butyl hydroxyquinone, and butyl hydroxy anisole [3]. Despite their excellent efficacy, stability, and affordability, these synthetic antioxidants may have mutagenic, carcinogenic, and teratogenic adverse effects [3].
Free radicals are produced by a variety of external or environmental factors dur­ing the course of regular metabolic processes in both humans and animals. ROS are unstable and have a short lifetime. They may therefore readily interact with a wide range of biological components found in plant, animal, and human organism, includ­ing proteins, lipids, carbohydrates, and nucleic acids. They consequently contribute to the emergence of numerous illnesses and conditions (cancer, liver, deficiency in im­mune system, etc.), particularly aging in people [4].
The industry has been searching for natural sources of antioxidants due to con­sumer preferences and the understanding that antioxidants eliminate free radicals. As a result, medicinal and aromatic plants have gained increasing importance. Since plants are the primary natural source of antioxidants, plants, essential oils, and plant extracts are regarded as significant antioxidizing agents [5]. Flavonoids, coumarins, tocopherols, phenolic acids, cinnamic acid, and other phenolic and polyphenolic compounds are the most prevalent types of natural antioxidants. Furthermore, flavonoids and polyphenolic antioxidants derived from natural plants are efficient in defending against the free rad­icals that are produced within the human body, which is of great importance [6].
Under normal circumstances, the body’s powerful antioxidant defense system prevents the harm that oxygen radicals inflict. According to studies, certain phenolic antioxidants can stop or prevent oxidative stress-induced cell death. Numerous aro­matic and therapeutic plants from various plant groups have been shown to contain high levels of phenolic and flavonoid compounds [7].
Some medicinal and aromatic plants that have economic and industrial value in some countries of the world are produced using tissue or cell techniques under con­trolled conditions, as an alternative method, because of limited production quantities, challenges in obtaining products of standard quality, distance of production areas from industrial areas, and high extraction and purification costs [8].
In artificial nutritional settings and aseptic conditions, micropropagation is the process of creating new plants from plant parts (seed, leaf, root, stem, sprout, embryo, callus, etc.) that have the capacity to produce a whole plant [9]. Numerous plant sour­ces have been evaluated for antioxidants due to growing interest in finding natural
Chapter 11 Medicinal and aromatic plants with antioxidant properties 387
alternatives to synthetic antioxidants. The assessment of antioxidant activity is made more difficult by nutraceuticals that double the effect of natural antioxidants that sta­bilize foods and optimize health benefits. As a result, phytomedicine is gaining popu­larity again, and numerous species of medicinal plants are currently being evaluated for their pharmacological potential [9]. These plants, particularly those that contain high levels of phenolic components such as phenolic acids, flavonoids, tannins, stil­benes, and anthocyanins, have long been employed as sustainable, safe, and effective natural antioxidants or free radical scavengers [10]. These phenols are primarily thought to support the antioxidant activity of food and medicinal plants, which helps organism to fight a variety of pathological ailments like diabetes, cancer, aging, car­diovascular disease, and other degenerative diseases [10]. The food industry has been using aromatic and medicinal herbs for a long time, which serve a variety of func­tions, to enhance the flavor and taste of food products. Their aromatic properties also play a particularly important role. There are several plants that are rich in com­pounds, known to have antioxidant properties. Furthermore, plants also possess vari­ous antimicrobial and antiviral properties that vary, depending on the plant species, the type of microorganisms, and the concentration of essential oil in the plant [11, 12].

11.2 Oxidative stress

Oxidative stress is a global concept in biology, medicine, biochemistry, and nutritional science. Firstly, the term “oxidative stress” was introduced and explained in 1985, and since then, it has received significant attention through various research, especially in recent years [13]. The occurrence of oxidative stress is directly related to oxygen, one of the most abundant elements on the Earth, without which there is no life, but which can still be toxic to living beings, in certain states.
Oxidation and reduction reactions in living systems form the basis for numerous biochemical metabolic processes. One of the most important oxidation processes is the respiratory chain, which occurs in the mitochondria of eukaryotic cells. During this process, carbohydrate molecules, such as glucose, are oxidized to CO and the energy released during oxidation is used to create adenosine triphosphate (ATP), which is then use as an energy source in cells. This is where oxygen plays a key role in mammals, since it is the final electron acceptor in mitochondrial electron transport. However, during this process, toxic metabolites of ROS are also produced, which if they leave the mitochondria, cause cellular damage through the oxidation of biological molecules in the cytoplasm [13].
Oxidation process is the loss of one or more electrons from an atom, while reduc­tion process is the acceptance of one or more electrons in an atom. A reductant (anti­oxidant) is a substance that donates electrons, while an oxidant is a substance that accepts electrons [
14]. An imbalance in cellular redox processes toward oxidation or
and water,
2
388 Amra Alispahić et al.
an excessive production of free radicals is known as oxidative stress [15]. Individual characteristics, including genetics, gender, age, lifestyle, habits, and most importantly, diet, affect the body’s defense mechanisms’ capacity to reduce oxidative stress and enhance oxidative state. Many cells can withstand oxidative stress, and in certain cases, it is essential for their function (e.g., endothelium, lung, and blood cells) [16].
A class of extremely reactive chemical entities containing one or more unpaired electrons in the outer shell is known as free radicals [14]. In addition to interacting with other radicals, free radicals can also interact with non-radical molecules by removing or accepting electrons. While a chain reaction of generated radicals happens with non­radicals, resulting in oxidative stress, the first scenario involves a radical-radical reac­tion that ends without producing oxidative stress or cell damage. Although many chem­ical species include unpaired electrons, molecules, and chemical species that contain carbon, nitrogen, and oxygen perform the most significant roles in the human body [15]. ROS are among the most significant subgroups of extremely reactive chemical spe­cies. More than a hundred human diseases, including atherosclerosis, arthritis, ische­mia, disorders of the central nervous system, gastritis, cancer, and AIDS, are proved to be caused by free radicals [17]. Environmental pollution, radiation, chemicals, poisons, deep-fried and very spicy foods, and physical stress all produce free radicals, which weaken the immune system, alter gene expression, and produce aberrant proteins. Nat­ural antioxidants may be required as free radical scavengers because of the immune system’s fatigue in a number of diseases [18].
11.2.1 Reactive oxygen species
ROS are normally generated in essential physiological processes in biological organ­isms. Although ROS have an adverse effect on the organism, they also play an impor­tant role in the mechanisms of cellular repair and regeneration (e.g., in apoptosis), and can be secondary messengers, signaling molecules, and catalysts for the modula­tion of protein structures. They also participate in wound healing and immune re­sponse, and in the mobilization of cellular transport systems. Whether ROS will serve as a beneficial biological agent or as an initiator of oxidative damage depends on the balance of ROS generation and scavenging reactions [19]. ROS include both radicals and non-radical oxygen derivatives. The most important radicals of physiological and pathophysiological processes in humans include superoxide radical (O radical (OH peroxide (H
), and hydroperoxyl radical (HOO•), while non-radicals include hydrogen
), singlet oxygen (1O2), and ozone (O3) (Figure 11.1) [19].
2O2
In addition to ROS, other free radicals are lipid radical (L
), lipid peroxyl radical (LOO•), lipid alkyl radical (LO•), and protein radical (P•). Reactive nitrogen species (RNS) are nitrogen dioxide (NO
), nitrogen oxide (NO•), and peroxynitrite (ONOO–). Non-
2
radicals include lipid hydroperoxide (LOOH), iron-oxygen complex (Fe=O), and hypo­chlorite (HOCl) [15].
•–
), hydroxyl
2
superoxide radical
(O
2
•-
)
hydroxyl radical
(OH•)
hydroperoxyl radical
(HOO•)
Radicals
hydrogen peroxide (H2O2)
singlet oxygen (1O2)
ozone (O3)
Non-
radicals
Figure 11.1: Reactive oxygen species (ROS).
Chapter 11 Medicinal and aromatic plants with antioxidant properties 389
Overproduction of ROS causes oxidative damage to biomolecules like DNA, protein modification, and lipid peroxidation, which can contribute to the development of dis­eases because of increased apoptosis; ischemia damage to muscle tissue, necrosis, in­flammation; and also lead to insulin resistance [19]. Diseases associated with oxidative stress include cardiovascular diseases, atherosclerosis, diabetes and similar endocrine diseases, neurodegenerative diseases such as Parkinson’s and Alzheimer’s diseases, cancer, gastrointestinal diseases, etc. ROS significantly affect human ontogenesis, as well as the aging process itself [
19, 20]. HO
is considered the most reactive ROS and is responsible for many pathological processes. However, its half-life is very short (10 ns), which means that it reacts only with molecules that are in the immediate vicinity of the site where it was generated. On the other hand, the half-life of
1
O2 in aqueous solution is approximately 4 μs, which allows it to diffuse over a distance of 150–220 nm. Therefore, affect surrounding molecules and organelles more widely than HO
1
O2 can react at various sites outside of its site of origin, allowing it to
. However, this dis­tance is not sufficient for extracellularly generated 1O2 to penetrate the cell interior. Therefore,
1
O2 generated inside the cell can damage various cellular components, in-
cluding DNA and organelles [21].
11.2.2 Sources and generation of free radicals
Free radicals can originate from both external (exogenous) and internal (endogenous) sources. Internal sources include phagocytes, xanthine oxidase, mitochondria, arachi­donic acid pathways, ischemia/reperfusion, exercise, inflammation, xanthine oxidase, and processes involving iron and other transition metals. However, external sources include things like cigarette smoke, toxins in the environment, radiation, UV light, some medications, pesticides, anesthetics, industrial solvents, and ozone [22].
Oxygen is an element, whose molecule at temperatures compatible for life is in the lowest energy state, the triplet state. In order to more easily enter into chemical reactions, it must first pass into the singlet state by absorbing energy [19]. In the outer π nonbonding orbital, oxygen has two unpaired electrons (biradical) with equal spins,
π
2px
π
2px*
σ
2p*
σ
2p
3
O
2
E
π
2py*
π
2py
π
2px
π
2px*
σ
2p*
σ
2p
1
O
2
π
2py*
π
2py
Figure 11.2: Triplet and singlet state of oxygen (electronic configuration).
390 Amra Alispahić et al.
which is a paramagnetic property that makes the oxygen molecule more reactive. This is why oxygen in this state reacts very slowly with organic compounds, but reacts extremely quickly with radicals. In contrast, singlet molecules have electrons in their orbitals in pairs, where the electron spins are opposite, which does not cause a mag­netic moment and results in a lower orbital energy (Figure 11.2) [19, 23].
Singlet oxygen therefore readily reacts with and oxidizes most organic compounds. The state in which the electrons are paired is more energetically rich in the case of singlet oxygen. If one electron is received, triplet oxygen can change to superoxide radical [23].
In mammalian cells, about 95% of oxygen is metabolized to water by a tetravalent
reaction:
O
+ 4H++ 4e
2
! 2H2O
However, at least 5% of oxygen undergoes a gradual one-electron transfer reduction, whereby free radicals are formed as intermediates:
2
2O2
OH
O
2
Reaction 1: O2+ e ! O
Reaction 2: O
Reaction 3:H
Reaction 4:
+ e ! H
2
+ e !
2O2
OH +e ! H
The given reactions explain the formation of ROS during cellular respiration, which takes place in the mitochondria. Under normal conditions, reactive intermediates do not leave this process until the end of the reaction, but in certain pathophysiological conditions, ROS may leave this complex and initiate oxidative damage [14].
Chapter 11 Medicinal and aromatic plants with antioxidant properties 391
11.3 Consequences of oxidative stress
on human organism
11.3.1 Lipid peroxidation
The two most prevalent ROS that have the ability to profoundly impact lipids are hydro­peroxyl and hydroxyl radicals. The smallest, most mobile, water-soluble, and chemically most reactive kind of ROS is the hydroxyl radical. This short-lived molecule can be cre­ated from O droxyl radicals are produced by a cell every second. Each cell produces over 4 million hydroxyl radicals in a day, which can either attack or neutralize biomolecules [ development of atherogenesis in blood arteries, as a result of oxidative stress caused by lipid peroxidation, raises the risk of heart attack. At the systemic level, ROS play an ac tive role in cardiovascular contractility, hemostasis, angiogenesis, immunological and cognitive control, blood pressure regulation, and platelet activation, in response to in­jury [23]. Intrinsic or dietary phospholipids reside in the circulation as stable antioxi­dant-conjugate lipoproteins, which are selectively oxidized through a complex series of enzymatic and nonenzymatic pathways, resulting in unstable lipoids in serum and cell plasma. Although these oxidized metabolites play their part in signaling and cellular metabolism, their large amounts can cause atherogenic problems. Cells also include op­posing processes to preserve redox balance, such as antioxidants and stabilizers. But in conditions like atherosclerotic cardiovascular disease, the redox balance changes in favor of pro-inflammatory mechanisms, which either directly or indirectly inhibits the antioxidant activity and causes the system to produce more free radicals [25]. Three steps make up the entire lipid peroxidation process: start, propagation, and termina­tion. Prooxidants such hydroxyl radical abstract allylic hydrogen at the first stage of lipid peroxidation, creating a carbon-centered lipid radical (L
(LOOH) and a freshly formed L the lipid radical (L which extracts hydrogen from another lipid molecule. Antioxidants like vitamin E pro
vide the LOO
vitamin E radical that then combines with another LOO Following the initiation of lipid peroxidation, chain reactions will continue to spread until the termination products are produced [
during cellular metabolism and under a variety of stressors. About 50 hy-
2
24]. The
) quickly combines with oxygen to form a lipid peroxyl radical (LOO•),
species a hydrogen atom in the termination reaction, creating a matching
(which restarts the chain reaction) are produced when
). Lipid hydroperoxide
to create non-radical products.
24].
-
-
11.3.2 Protein oxidation
The two main types of oxidative protein changes are irreversible oxidation and re­versible oxidation, which can be specifically brought on by RNS and ROS. Protein car bonyls and 3-nitrotyrosine are involved in irreversible oxidation, whereas products of
-
392 Amra Alispahić et al.
cysteine modification, including sulfonic acid, nitroso thiols, and S-glutathione, are in­volved in reversible oxidation. Arginine, histidine, lysine, proline, threonine, and cys­teine are among the amino acid residues that generate protein carbonyls, which are frequently employed as biomarkers to quantify protein oxidation and oxidative stress in aging and disease states [26].
RNS and a protein’s tyrosine residue combine to generate nitrotyrosine, typically 3-nitrotyrosine. Glutathione (GSH), which, although a primary cellular antioxidant, can also affect proteins through the creation of mixed disulfides, leading to functional changes in target proteins. This can shield the target protein from permanent and ir­reversible harm, but it is also frequently linked to negative consequences on target protein function. This implies that some protein oxidation processes can still be ad­vantageous and reduce cellular oxidative damage [26].
11.3.3 DNA oxidation
Nucleic acids and 2-deoxyribose are also targets of ROS and other reactive chemical spe­cies, resulting in DNA damage manifested through mutagenesis and carcinogenesis. The most frequent ROS that causes oxidation at the DNA level is the hydroxyl radical [27]. The most prevalent and well-characterized indicators for oxidative DNA and RNA le­sions among the several nucleoside oxidation products are the guanosine oxidation products 8-hydroxyguanosine (8-OHG) and 8-oxo-7,8-dihydroguanosine (8-oxoG). De­spite being less deadly to cells than genetic changes, oxidative RNA damage is linked to a number of age-related illnesses, including cancer, type 2 diabetes, and neuropsychiat­ric disorders. Certain studies suggest that patients suffering from schizophrenia or de­pression have increased concentrations of oxidatively damaged RNA in their urine. Al­though cells possess DNA and RNA repair mechanisms, if oxidative stress exceeds the repair capacity, damage accumulation occurs in the form of base mismatches, abnor­mal cell signaling, and the synthesis of irregular protein structures [27].

11.4 Defense of the organism against ROS

The human body has several defenses against ROS, including free radicals. Because they target distinct oxidants or act in separate areas of the cells, these systems work in con­cert. A system of enzymes that lower the concentration of the most harmful oxidants, including glutathione peroxidases, superoxide dismutase, and catalase, is one of the main processes. Since catalase breaks down hydrogen peroxide, superoxide dismutase is especially crucial because it catalyzes the transformation of superoxide radicals into hy­drogen peroxide and oxygen. Selenium-containing glutathione peroxidases are crucial for reducing hydroperoxides, particularly those produced by lipid oxidation [28].