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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5397_Библиотеки_им_академика_М_И_Перельмана

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20 Phytopharmaceutical Biotechnology: Integration of Botany, Pharmacology and…
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drug (https://www.cdsco.gov.in/opencms/opencms/en/Acts- and- rules/New-
Drugs/ NDCTR_G.S.R. 175(E) dt_09.03.2023_ Amendment in First Schedule
regarding use of induced Pluripotent Stem Cells additional testing methods).
20.3.2 Efcacy
Phytopharmaceutical compounds are complex mixtures of various lead com­pounds, their intermediates, by-products and precursors. The choice of a drug substance as a lead compound will depend on its therapeutic value at lower concentrations, safety at higher limits and interactions with other drug compo­nents in a given formula. The effectivity and harmlessness of any pharmaceuti­cal product are determined by its constituents and the response time taken to achieve the desired outcome and extent of recovery. In a clinical trial, efcacy is determined as primary and secondary outcomes. During a phase 2, multicen­tred, randomised controlled open-label, clinical trial evaluating potency and lack of toxicity of antiviral phytopharmaceutical drug AQCH (abbreviation for aqueous extract of Cocculus hirsutus) obtained from Cocculus hirsutus, treat- ment for COVID-19, the measurable outcomes were recorded as follows (Table20.2) (Joglekar etal. 2022).
However, this kind of in-depth study to ascertain efcacy and safety is usually lacking in traditional herbal medicines.
Table 20.2 Evaluation of safety and efcacy of a phytopharmaceutical drug
List of criteria for evaluation of safety and efcacy of a phytopharmaceutical drug derived from Cocculus hirsutus for treatment of COVID-19
Primary outcomes Secondary outcomes Safety outcomes Clinical improvement by 14th day Number of patients showing clinical
Reduction in disease severity Time to clinical improvement Serious adverse
betterment by 7th and 28th days
Time to normalisation of fever without the use of antipyretics in the past 24h
Time to alleviate cough Time to viral clearance (rst negative
respiratory tract SARS-Cov-2 RT-PCR test)
Duration of supplemental oxygen therapy
Proportion of patients showing deterioration of clinical condition
Duration of hospitalisation Number of deaths
Treatment­emergent adverse events
events
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S. Krishnaswamy
20.3.3 Consistency
The quality of phytopharmaceuticals depends on multiple factors such as accuracy in identication of plant, time and season of harvesting, improper harvesting (mix­ture of immature plant parts or plant parts that do not contain active ingredient resulting in dilution of bioactive concentration), presence of foreign matter such as soil, pebbles, seeds of weeds and sticks resulting in dilution and adulteration of the herb, improper drying and processing methods, pests, diseases and contaminants such as fungus and insect infestation. The consistent yield of biomass and phyto­pharmaceutical content in the biomass may be achieved only by the cultivation of specic herbs and standardising the agronomy protocols. For instance, the total alkaloid content in Holarrhena antidysenterica is highest (3.2–3.9%) only during the two owering seasons: March–May and September–October. Adhatoda vasica , grown in different agroclimatic zones during different seasons, still yields the high­est content of total alkaloids at 2.5% only between July and October. Thus, unsea­sonal harvesting may result in poor-quality raw materials with low or no efcacy. Cataloguing the different quality parameters for each herb may be valuable for establishing consistent herb quality leading to the quality of phytopharmaceuticals (Agrawal 2012).
20.3.4 Toxicity
Toxicity pharmacology refers to the preliminary tests for the evaluation of adverse reactions to a new phytopharmaceutical drug. Toxicity may be due to some factors that irritate the skin in the case of dermal products, due to the presence of heavy metals, drug interactions and unstable formulations leading to degradation of origi­nal drug and so on. The presence of alarming levels of heavy metals in herbs indi­cates the extent of pollution in soils, air and water. Heavy metal stress may possibly stimulate different, variable or enhanced bioactive production in some herbs. Growing specic herbs on heavy metal-contaminated soils may prove benecial provided they are tolerant to high concentrations of soil heavy metals and growth and secondary metabolite production are optimised (Maleki etal. 2017). Two of the traditionally used neuromodulators, Centella asiatica and Bacopa monnieri, are known to accumulate heavy metals such as lead, nickel, cadmium or arsenic from the soil (Biswas etal. 2020). This process, known as bioremediation, involves the uptake of metal ions by the plant’s roots and their translocation to different parts. It was found that both Centella asiatica and Bacopa monnieri store cadmium and lead in the roots with very little translocation to the aerial parts (Chandra etal. 2010). If the whole plant of either Centella or Bacopa is taken for processing as is the norm in the market, it is very likely that the resultant extract may have higher than accepted levels of cadmium or lead. Heavy metal contamination is a concern for both the phytopharmaceutical industry and consumers alike. This risk can be mitigated only
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with proper cultivation and harvesting practices, the adoption of heavy metal trap­ping strategies and strict quality control measures during production. Plants that are known hyperaccumulators may be cultivated through soil-less cultivation methods such as hydroponics and aquaponics that use inert growth substrates such as coco­peat and light expanded clay aggregate (LECA) balls, to reduce the risk of heavy metal contamination in herbs.
Toxicity could be due to drug–drug interactions between phytochemicals that are part of a polyherbal formulation. The physical parameters and solvents used to extract the bioactives may also impact the toxicity potential of a phytopharmaceuti­cal drug or ingredient.
Detailed toxicity studies of an investigational product, while evaluating the safety prole, also provide important information about the absorption, distribution, metabolism and excretion (ADME) of the compound in the body (Govindaraghavan and Sucher 2015). The preclinical toxicity testing on various biological systems reveals the species-, organ- and dose-specic toxic effects of the candidate com­pound being tested. The toxicity of substances can be observed by a. studying the accidental exposures to a substance, b. cells/cell line-based invitro study and c. invivo testing on experimental animals. The pre-clinical toxicity testing helps to derive the important “No Observed Adverse Effect Level” without which further clinical evaluation of investigational product cannot continue.
Though traditional herbal medicine has a long history of providing therapeutic benets, it is an undeniable fact that the risk potential for underdosing or overdosing has been quite high.
Plant-based medicines have indeed been traditionally derived based on approxi­mations or ratios that were often rooted in empirical knowledge and observations rather than precise scientic measurements. These approximations were used to determine the intended dosage of the active compounds or drugs within the plant material. Here are a few reasons why this approach was common:
• Speculative Knowledge: Traditional herbal medicine systems, such as ethno-
medicine, Ayurveda, Siddha, traditional Chinese medicine (TCM) and other
indigenous healing practices, have evolved through centuries based on trial and
error. Practitioners relied on their observations of the effects of various plant-
based remedies on patients to determine dosages. These observations formed the
basis for approximate dosing guidelines. Classical Ayurveda has clear-cut bound-
aries for harvesting, processing and mixing drugs in specic methods docu-
mented in the Samhitas, Nighantus and other treatises, which are considered best
practices. Ethical manufacturers usually conform to these recommendations with
no or few deviations.
• Variability in Plant Material: Plants are complex biological entities, and the con-
centration of active compounds can vary signicantly based on numerous factors
such as the plant’s age, growing conditions, seasons, agroclimatic differences
and even the time of harvest. This variability poses a great challenge to establish
unequivocal standards.
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• Lack of Analytical Tools: In the past, there were limited analytical tools and
techniques available to quantify the exact content of active compounds within
plant materials. Without these tools, it was difcult to determine precise dosages.
• Cultural and Historical Practices: Traditional medicine often incorporated cultural
and historical practices that were passed down verbally through generations. There
were few instances of documentation on palm leaves, but largely, oral transfer of
formulation details was the norm. Any deviations or misrepresentation of the origi-
nal formula or practices may have been lost through time. These practices included
specic preparation methods, combinations of herbs and dosing regimens that
were considered effective based on tradition or individual experiences.
In recent years, however, there has been growing interest to standardise herbal medi­cine by scientic validation of plant bioactives through exhaustive analysis, pre-clinical study and clinical trials, stringent quality control to standardise various parameters lead­ing to the consistency of potency, dosage and safety and governed by strict regulatory guidelines demanding accountability from the grower/collector, researcher, manufac­turer and medical practitioners alike. It was against this backdrop that a need for an integrated approach to standardisation of herbal therapeutics was envisaged. The Indian Pharmacopoeia, which is the ofcial book of standards for drugs, has also included phytopharmaceuticals and species quality standards of identication, purity and potency of the drugs imported, manufactured for sale, stocked or exhibited for sale or distributed in India (Phytopharmaceuticals—Indian Pharmacopoeia Commission (ipc.
gov.in)). The specic herbal monograph should state the title and synonym, if any, de-
nition, limits of active ingredient/marker compounds, description, category, identica­tion, relevant chemical tests, design of assay of the marker constituents, adulterants and contaminants, specic tests, stability and storage conditions, etc.
S. Krishnaswamy
20.4 Phytopharmaceutical Biotechnology
Phytopharmaceutical biotechnology, an interdisciplinary eld, integrates the botan­ical knowledge of plants, their efcacies and the use of plant biotechnology meth­ods to devise novel strategies to deliver the best therapeutic potential of herbs and other plant-derived compounds, best practices for the authentication, cultivation, extraction and utilisation of medicinal plants. Phytopharmaceutical biotechnology forms a vital bridge between traditional herbal medicine and modern science. It enables the development of evidence-based herbal remedies that can be integrated into mainstream healthcare systems, providing patients with safe and effective treat­ment options. Additionally, it contributes to the conservation and sustainable use of natural biodiversity. When built over the solid foundation of time-tested and proven tenets of ethnomedicine, phytopharmaceutical biotechnology can help develop innovative strategies for the optimisation of the processes that lead to evidence­based, safe, effective sets of novel bioactive compounds. The main aspects of the critical study of phytopharmaceutical biotechnology include:
20 Phytopharmaceutical Biotechnology: Integration of Botany, Pharmacology and…
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1. Botany
2. Standardisation
3. Plant biotechnology
4. Phytochemistry
5. Pharmacology
6. Formulation development
7. Validation and proof of concept
8. Preclinical Studies
9. Clinical trials
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20.4.1 Botany
A deep study and analysis of various features of an herb/medicinal plants such as morphology, anatomy, histochemistry, ecological preferences and associations and unique adaptations help identify morphological markers unique to each plant spe­cies. These markers serve as differentiators or identiers, aiding varietal authentica­tion and raw material validation. For instance, in an exhaustive botanical investigation of Andrographis serpyllifolia (Rottl. Ex. Vahl) Wight, an Acanthaceae member, presence of peltate and glandular trichomes on the leaves, presence of cystoliths (calcium carbonate crystals) and presence of numerous white hairs at the base of anthers were identied as markers unique to this species as all three features were preserved in crude drug powder as well (Figs.20.2 and 20.3) (Krishnaswamy and Kushalappa 2017).
Pharmacobotanical evaluation, a term used in the eld of pharmacognosy, explores the quality of herbs, their derivatives and their potential therapeutic proper­ties. Pharmacobotanical evaluation involves the comprehensive assessment and analysis of botanical materials, such as plants, plant parts (leaves, roots, stems, etc.) and plant extracts, to determine their pharmacological and medicinal potential. Further, pharmacobotanical analysis aids in highlighting the plant part most likely to be therapeutic by virtue of its structure and the presence of organs/organelles meant for producing and storing bioactives. These organs or organelles may be cul­tured through plant biotechnology processes to scale up targeted production of bio­active. This evaluation typically includes several key aspects:
• Botanical Identication: Accurate botanical identication of the live plant and
the features of dry material is essential. Taxonomical studies, chemotaxonomy
and DNA ngerprinting are conducted to ensure that the correct plant species or
variety is being used for medicinal purposes.
• Morphological Characterisation: The physical characteristics of the plant, includ-
ing its appearance, size, shape, colour and any distinctive features, are
documented.
• Microscopic Evaluation: Microscopic analysis involves examining the plant
material under a microscope to study its anatomical features and cellular struc-
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condions
2.Standardisaon
andadulterants,storage
Raw material authencaon,
cleaning methods contaminants
3. Plant Biotechnology
Callus and suspensioncultures,
vesicle culture, co-culture
techniquesfor biopharming
specialised culture likeTrichome,
S. Krishnaswamy
4.Phytochemistry
procedures, Purificaon,
Phytochemicals,Screening,
Bioacvesprofile, Extracon
5.Pharmacology
isolaon of marker compounds
phrmacokinecstudies
Bioequivalence, dermato-
drug molecule, Bioavailability,
Knowledgeof efficacy of herbal
1.Botany
Knowledge of plantecology,
morphology,plant-plant interacons,
10.MARKET
edaphicfactorinteracons
plant-predaon interacons, plant-
mullocaon, randomised /
studiesregulatory compliances
placebo basedpaent volunteer
9. Clinical Trials Mulcentric,
Development
6.Formulaon
Biotechnology
Phytopharmaceucal
Drug interacons, dose,dosage
Invitro, in vivo
8. Preclinical Tesng
safety,efficacy
tesng,toxicityBioassays,
formulaon properes,
analysis,mechanism of acon
Phytochemical, molecular and
7. Validaon Phytochemical
biomarkers,microbial analysis,
delivery methods, stability
form, green nano parcles,
microemulsions, liposomes, drug
heavy metals, stability
Fig. 20.2 Stages in the development of phytopharmaceutical drug/formulation
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Fig. 20.3 Biomarkers (persistent hairs on anther in fresh and dried ower) in dried herbage of
Andrographis serpyllifolia (Reused from Krishnaswamy and Kushalappa, 2017, distributed under Creative Commons Attribution 4.0 International Licence, which permits unrestricted use, distribu­tion and reproduction in any medium. http://creativecommons.org/licenses/by/4.0) (Krishnaswamy and Kushalappa 2017)
449
ture, which can reveal important information about the plant’s identity, cellular
contents and quality.
• Toxicological Assessment: Safety is an important aspect of pharmacobotanical
evaluation. Toxicological studies help determine whether the plant material or its
extracts have any harmful effects on humans or animals.
20.4.2 Standardisation
Establishing quality control parameters and standards for a safe, effective and stable phytopharmaceutical ingredient or formulation is necessary at multiple levels, start­ing from planting material to the conduct of clinical trials and post-market surveil­lance. Standardisation helps to set non-negotiable guidelines ensuring high levels of compliance to maintain standards, processes and documentation, which are abso­lutely necessary for achieving batch-to-batch consistency, efcacy and stability.
The preliminary standards of cultivation or collection of herbs need to be set at the eld level, with good cultivation practices or good collection practices at the source. The eld staff responsible for cultivation or collection need to be trained to be able to distinguish salient features of clones of selected varieties and their substi­tutes or adulterants. Authentication of the botanical specimen and periodical botani­cal analysis through DNA ngerprinting to ensure genetic purity are necessary. If the herb is cultivated using the conventional method, adopting soil test crop response (STCR) along with integrated pest management techniques that avoid the use of harmful chemical pesticides may be preferred. STCR is a nutrient management method of determining the optimal fertiliser dose for an herb based on the soil analysis values and the target yield. STCR is used to improve productivity, soil health, nutrient availability and nutrient use efciency. The use of hydroponics for the production of herbal biomass may be expensive as compared to the conventional cultivation model but is valuable in producing heavy metal-free herbage. However,
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the adoption of plant biotechnology techniques can ensure the production of pure plant material provided the tissue culture protocols are managed well under aseptic conditions that avoid microbial contamination and resultant endotoxins in the plant extract.
S. Krishnaswamy
20.4.3 Plant Biotechnology
Plant biotechnology takes advantage of modern techniques to improve the production, quality and consistency of herbs and their bioactive principles. This can include genetic modication, tissue culture, biopharming and other advanced methods. Plant biotechnology helps in developing high-yield and disease-resistant plant varieties, enhancing the production of bioactive compounds and ensuring product uniformity. Plant tissue culture has the potential to develop alternate phytochemical pathways generating de novo synthesis of new molecules that may be potentially valuable as phytopharmaceuticals. Thus, plant tissue culture may aid herbal drug discovery by creating a vast pool of bioactive intermediates. Plant stem cell extracts are derived from callus cultures of specic plants, and their pathways may be modulated to over­produce certain phytochemicals. Specic plant organ culture is a specialised tech­nique where minute plant parts storing a minuscule quantity of phytochemicals can be mass propagated to provide a valuable source of phytomedicine. Some plants have specialised hair-like structures called glandular trichomes on their leaves, owers or other aerial parts. These trichomes bear secretory glands that can produce and store phytochemicals, such as essential oils or secondary metabolites, which serve various ecological roles, including defence against herbivores and pathogens.
Phytopharmaceutical Biotechnology
Phytopharmaceutical biotechnology is an interdisciplinary eld that combines ele­ments of botany, pharmacology and plant biotechnology to utilise the therapeutic potential of herbs and other plant-derived compounds. This approach seeks to develop innovative strategies for the propagation, cultivation, extraction and utilisa­tion of medicinal plants to deliver safe and effective herbal medicines and natural remedies. The combination of phytopharmaceuticals and biotechnology has aided in the development of new drugs, dosage forms and treatments. By using contempo­rary methods of biotechnology, plants with unique chemical compositions are prop­agated and genetically upgraded for the mining of pharmaceuticals (Singh etal.
2022). Some key aspects of phytopharmaceutical biotechnology are to modify sec-
ondary product metabolic pathways by genetic modication of plants and the design of robust invitro plant regeneration systems. Continued advancements in genetic tools and techniques, such as gene cloning, advancement in the identication of secondary plant metabolites and high-throughput monitoring technologies, have made it easier to implement strategies for manipulating a plant’s secondary products.
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Plant Tissue Culture
Plant stem cells are propagated by adopting the technique of plant tissue culture, resulting in aseptic cultures of a whole new plant, tissue or specic types of single cells from which plant metabolites may be harvested. Tissue material obtained for culture from a selected elite plant is called an explant. Regeneration of new cells occurs along the cut surfaces and edges of the explant. This is similar to a wound­healing reaction. Normal plant cells undergo dedifferentiation to develop into a colourless/coloured cell mass called callus or plant stem cells. Totipotent meriste­matic tissues are the source of plant stem cells. The callus cells mimic the intact mother plants’ meristematic cells in terms of cell division rates, physiology and cell contents. Plant stem cells may be grown as individual cells or small cell clusters in a liquid culture for higher yield. In certain plant cells that accumulate compounds such as anthocyanins and carotenoids, the callus cells may be coloured, blue, pur­ple, red, pink, black or orange depending on the pH, light or dark conditions pro­vided during the culture regime.
Researchers globally are focused on the optimised development of high-value stem cell extracts with promising potential in the cosmetic, biomedical and thera­peutic domains (Aggarwal et al. 2020). Stem cells derived from plants such as grapes (Vitis vinifera), lilacs (Syringa vulgaris) and others possess strong antioxi- dant and anti-inammatory properties and are invaluable in cosmetic applications (Barthel and Aberdam 2005). Plant stem cells, their extracts and formulations have a wide range of cosmetic applications including skin whitening, de-tanning, mois­turising and cleansing. Despite all the promising developments, plant stem cell tech­nology remains hugely unexplored due to the staggering number of varieties of plant species and the exhaustive array of their phytochemical components.
In an experiment to enhance the production of metabolite β-pinene in callus cul­ture developed in light conditions, using petals of Rosa damascene (Olgunsoy etal.
2017), it was found that deep pink-coloured callus cells were formed, accumulating
about 236 times more metabolite than was found in intact petals. The inuence of light on anthocyanin production is visible in the rapidly proliferating callus where the rose petal stem cells grown in the dark appear creamish yellow, whereas those grown in light developed pigment-bearing stem cells. This exponentially increased bioactive production was achieved using phenylalanine as a precursor in light conditions.
The stem cell of a rare, bitter apple variety, Malus Domestica (“Uttwiler Spätlauber”), with excellent keeping quality over extended periods, perhaps due to the presence of certain unique metabolites, was derived through plant cell culture technology (Trehan etal. 2017). Large-scale cultivation of apple callus (stem) cells was undertaken to overproduce the metabolites. It was found that human young epidermal cells treated with this extract had the potential to grow into multi-layers resulting in skin renewal. Untreated older epidermal cells could not develop into layers under normal laboratory conditions but resumed epithelial growth on treat­ment with 2% emulsion of apple stem cell extract consisting of phytocomponents such as carotenoids and avonoids (Prhal etal. 2014).
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S. Krishnaswamy
Another product was developed by using biotechnological production methods in cloudberry (Rubus chamaemorus) cells (Martinussen etal. 2004). Bioreactors were used to develop entrenched callus and suspension cultures of Rubus chamaemorus. Optimal growth of callus was achieved on Murashige and Skoog medium, supplemented with kinetin and α-naphthalene acetic acid as plant growth hormones at specic concentrations. This process was standardised and proved to be a sustainable technique for consistent and continuous sources of fresh cells/ extracts from cell fractionation for isolating biologically potent compounds, freeze­dried cell products, aromatics or colouring agents. Stem cells cultured from tomato (Lycopersicon esculentum) cells possess tremendous potential to protect skin from adverse effects due to heavy metal toxicity (Tito etal. 2011).
A cosmetically active hydrophilic ingredient, extracted from liquid cultures of L. esculentum, consisted of comparatively higher concentrations of avonoids and phenolic acids such as quercetin, rutin, coumaric, protocatechuic and chlorogenic acids. The tomato stem cell extract also contained higher phytochelatins, an antioxi­dant and chelating agent responsible for capturing metal ions and protecting cellular materials and organelles from potential toxicity. Extracts obtained by this method were very effective at enhancing healthy skin growth and complexion, contributing a valuable phytopharmaceutical in the area of skincare cosmetics.
The short-wave (UVC 200–280nm), mid-wave (UVB 280–315nm) and long­wave (UVA 315–400nm) UV rays can cause cancer, erythema or photoageing on constant exposure. Ginger extract with skin-preserving bioactives (Zingiber ofci- nale) is derived through biotechnology-based cell multiplication of improved cos­metic cell lines. Reduced pores and mattifying effect, contributing to almost 50% enhancement of skin quality, were achieved in female subjects in a clinical study (http://www.naolys.com/media/rene_ginger_en.pdf. Accessed 15 Jul 2018). This effect was further augmented by a consequent reduction in skin sebum and oily shininess. Increased synthesis of elastin bres in the skin consequently reduced the rate of sebum production. The protective and potent anti-collagenase and hyaluroni­dase activity of an anti-ageing component obtained from stem cell extracts of edel­weiss (Leontopodium alpinum) was reported to be rich in leontopodic acids A and B, which are responsible for exhibiting a strong and potent antioxidant effect on the skin (Cho etal. 2020).
Specialised organ culture is another phytopharmaceutical biotechnology-driven route to elicit the overproduction of pure bioactives from plant cell cultures, with fewer intermediates, which may otherwise appear as impurities. The juice-bearing vesicles from the fruits of citrus species have been cultured using tissue culture techniques to harvest vitamin C, naringin and hesperidin (Einset 1978). Citrus ves­icle stem cells may also accumulate high concentrations of kinetin, a cytokine that strongly inhibits ageing processes in human cells. The innovations and technologi­cal advancement in the eld of plant biotechnology enable novel product designs such as nourishing and hydrating, easily absorbed skin nutrients. Such highly efca­cious plant stem cell-based cosmetics are in great demand.
The process ow for the production of phytopharmaceuticals using biotechnol­ogy methods is given in Fig.20.4.