Generic placeholder image

Current Traditional Medicine

Editor-in-Chief

ISSN (Print): 2215-0838
ISSN (Online): 2215-0846

Systematic Review Article

Therapeutic Potential of the Herbal Plant Uncaria gambir: A Systematic Review

Author(s): Farina Pramanik*, Mieke Hemiawati Satari and Azhari Azhari

Volume 10, Issue 7, 2024

Published on: 11 September, 2023

Article ID: e300823220511 Pages: 11

DOI: 10.2174/2215083810666230830125306

Price: $65

Abstract

Background: Uncaria gambir is an Indonesian medicinal herb with healing effects. This plant contains flavonoids, which can be used as antioxidants and anti-inflammatory agents to accelerate healing. In Indonesia, Uncaria gambir is widely accessible, simple to grow, and has a long history of use as an alternative medicine. Following this, studies are conducted in the medical industry using Uncaria gambir.

Objective: This study aimed to comprehensively review the use of Uncaria gambir extract as an herbal plant for treating experimental animals.

Methods: This review followed the Preferred Reporting Items for Systematic Reviews and Meta- Analyses guidelines, and the risk of bias was evaluated by modifying the ARRIVE guidelines.

Results: A report was presented on review articles from 12 publications sourced from PubMed, ScienceDirect, Wiley Online Library, ProQuest, EBSCO Host, and other relevant studies. The Uncaria gambir isolates tested were catechin and ethyl acetate, used primarily for lesions, pain, edema, and diabetes in experimental Wistar rats.

Conclusion: Uncaria gambir is an herbal plant that contains flavonoids, which can be used as antiinflammatory, antioxidant, antibacterial, and hepatoprotective agents and can potentially be applied in the medical field as adjuvant therapy.

Graphical Abstract

[1]
Yunarto N, Sulistyaningrum N, Kurniatri AA, Elya B. Gambir (Uncaria gambir Roxb.) as a potential alternative treatment for hyperlipidemia. Media Penelitian dan Pengembangan Kesehatan 2021; 31(3): 183-92.
[2]
Zain ER, Ashadi RW. Paridah. Uji efektivitas antimikroba pada ekstrak daun gambir (Uncaria Gambier ROXB.) dan daun sirih hijau (Piper Betle LINN.) terhadap Streptococcus mutans, Eschericia coli dan and Candida albicans. J Agroindustri Halal 2015; 1(1): 64-71.
[3]
Sabarni S. Teknik pembuatan gambir (Uncaria gambir Roxb) secara tradisional. J Islam Sci Technol 2015; 1(1): 105-12.
[4]
Frinanda D. Efektivitas gambir (Uncaria gambir Roxb.) sebagai anti hiperkolesterolemia dan stabilisator nilai darah pada mencit putih (Mus musculus) jantan. J Biol Univ Andalas 2014; 3(September): 231-7.
[5]
Irramah M. Pengaruh uncaria gambir roxb terhadap ulkus gaster dan kadar malondialdehid hewan coba yang diinduksi etanol. Majalah Kedokteran Andalas 2017; 40(1): 1.
[http://dx.doi.org/10.22338/mka.v40.i1.p1-10.2017]
[6]
Nanang Y, Intan PR, Kurniatri AA, Sulistyowati I, Aini N. Anti-inflammatory activities of ethyl acetate fraction from Uncaria gambir leaves through the inhibition of edema, COX-2 and iNOS expression. 4th International Symposium on Health Research (ISHR 2019). 22 February 2020.
[7]
Bella R, Desi H, Putri H, Mieke HS, Dikdik K. The potency of catechin from gambir (uncaria gambir roxb.) as a natural inhibitor of mura (1uae) enzyme: In vitro and In silico studies. Letters in Drug Design & Discovery 2020; 12(12)
[8]
Munggari IP, Kurnia D, Deawati Y, Julaeha E. Current research of phytochemical, medicinal and non-medicinal uses of uncaria gambir roxb.: A review. Molecules 2022; 27(19): 6551.
[http://dx.doi.org/10.3390/molecules27196551] [PMID: 36235088]
[9]
Ginwala R, Bhavsar R, Chigbu DI, Jain P, Khan ZK. Potential role of flavonoids in treating chronic inflammatory diseases with a special focus on the anti-inflammatory activity of apigenin. Antioxidants 2019; 8(2): 35.
[http://dx.doi.org/10.3390/antiox8020035] [PMID: 30764536]
[10]
Peggie OH, Syamsulina RYRW. Pengaruh pemberian ekstrak nannochloropsis oculata terhadap penurunan kadar TNF-α pada tikus yang diinduksi bakteri Actinobacillus actinomycetemcomitans. Dent J Kedokt Gigi 2015; 9(1)
[11]
Alioes Y, Sukma RR, Sekar SL. Effect of gambir catechin isolate (Uncaria Gambir Roxb.) against rat triacylglycerol level (Rattus novergicus). IOP Conf Ser Earth Environ Sci 2019; 217: 012020.
[http://dx.doi.org/10.1088/1755-1315/217/1/012020]
[12]
Nelson AE, Smith MW, Golightly YM, Jordan JM. “Generalized osteoarthritis”: A systematic review. Semin Arthritis Rheum 2014; 43(6): 713-20.
[http://dx.doi.org/10.1016/j.semarthrit.2013.12.007] [PMID: 24461078]
[13]
Pal D, Dubey P. Flavonoids: A powerful and abundant source of antioxidants. Int J Pharm Pharm Sci 2013; 5(3): 95-8.
[14]
Panche AN, Diwan AD, Chandra SR. Flavonoids: An overview. J Nutr Sci 2016; 5: 47.
[15]
Bahney CS, Zondervan RL, Allison P, et al. Cellular biology of fracture healing. J Orthop Res 2019; 37(1): 35-50.
[http://dx.doi.org/10.1002/jor.24170] [PMID: 30370699]
[16]
Thalji G, Cooper LF. Molecular assessment of osseointegration in vitro: a review of current literature. Int J Oral Maxillofac Implants 2014; 29(2): e171-99.
[http://dx.doi.org/10.11607/jomi.te55] [PMID: 24683582]
[17]
Gurtner GC. Wound healing: Normal and abnormal; grabb and smith’s plastic surgery. Lippincott-Raven Publishers 2007; pp. 15-22.
[18]
Ernawati DS, Puspasari A, Harijanti K, Soebadi B, Hendarti HT, Radithia D. Effects of topical application of propolis extract on fibro-blast growth factor-2 and fibroblast expression in the traumatic ulcers of diabetic Rattus norvegicus. J Oral Maxillofac Pathol 2018; 22(1): 54-8.
[http://dx.doi.org/10.4103/jomfp.JOMFP_82_17] [PMID: 29731557]
[19]
Indra B, Budhy TI, Ardani IGAW. The potentiation of Mangifera casturi bark extract on interleukin- 1 β and bone morphogenic protein-2 expressions during bone remodeling after tooth extraction. Maj Kedokt Gigi Dent J 2017; 36(56): 36-42.
[20]
Widarena R, Marlie H, Rubianto M, Setiawatie EM. Number of osteoblasts and osteoclasts in combination carbonate hydroxyapatite, platelet rich fibrin (prf) and antioxidant in socket rats wistar after tooth extraction. Indon J Dent Med 2021; 4(1): 15-8.
[http://dx.doi.org/10.20473/ijdm.v4i1.2021.15-18]
[21]
Halim PO, Revianti S, Wedarti YR. Pengaruh pemberian ekstrak nannochloropsis oculata terhadap penurunan kadar TNF- α pada tikus yang diinduksi bakteri Actinobacillus actinomycetemcomitans. DENTA 2015; 9(1): 101-13.
[22]
Rahman HA. Test activity of gambir catechin isolate (Uncaria gambir roxb.) on sprague dawley white rat with maximum activity expense. Bachelor Thesis. 2016.
[23]
Methley AM, Campbell S, Chew-Graham C, McNally R, Cheraghi-Sohi S. PICO, PICOS and SPIDER: A comparison study of specificity and sensitivity in three search tools for qualitative systematic reviews. BMC Health Serv Res 2014; 14(1): 579.
[http://dx.doi.org/10.1186/s12913-014-0579-0] [PMID: 25413154]
[24]
Percie du Sert N, Hurst V, Ahluwalia A, et al. The ARRIVE guidelines 2.0: Updated guidelines for reporting animal research. PLoS Biol 2020; 18(7): e3000410.
[http://dx.doi.org/10.1371/journal.pbio.3000410] [PMID: 32663219]
[25]
Oswari L, Hidayat R, Fatmawati F, Hayati L, Alisa BS. Gambir extract (Uncaria gambir) decreases inflammatory response and increases gastric mucosal integrity in wistar rats - model gastritis. Open Access Maced J Med Sci 2019; 7(19): 3149-52.
[http://dx.doi.org/10.3889/oamjms.2019.758] [PMID: 31949507]
[26]
Yimam M, Lee YC, Kim TW, et al. Analgesic and anti-Inflammatory effect of UP3005, a botanical composition Containing two standardized extracts of Uncaria gambir and Morus alba. Pharmacognosy Res 2015; 7(5) (Suppl. 1): 39.
[http://dx.doi.org/10.4103/0974-8490.157995] [PMID: 26109786]
[27]
Yimam M, Lee YC, Kim TW, et al. UP3005, a Botanical composition containing two standardized extracts of uncaria gambir and morus alba, improves pain sensitivity and cartilage degradations in monosodium iodoacetate-induced rat oa disease model. Evid Based Complement Alternat Med 2015; 2015: 1-10.
[http://dx.doi.org/10.1155/2015/785638] [PMID: 25802546]
[28]
Armenia AA, Permatasari D, Sinamar LP, Estera K, Ahmadin A. The impact of sub acute administration of purified gambier (Uncaria gambir Roxb.) to the liver and kidney functions and its reversibility on rats. Pharmacogn J 2021; 13(1): 44-51.
[http://dx.doi.org/10.5530/pj.2021.13.7]
[29]
Fasrini UU, Lipoeto NI. Gambir catechins modulates amyloid-β concentration in cerebrospinal fluid of Alzheimer’s model rat. Paper resented at. IOP Conf Ser Earth Environ Sci 2021; 741(1): 012068.
[http://dx.doi.org/10.1088/1755-1315/741/1/012068]
[30]
Fitri S, Anggraini DR, Ichwan M. Effects of gambir leaves extract (Uncaria gambir Roxb.) in preventing the aging process inducted D-galactose on pancreas mice. IOP Conf Ser Earth Environ Sci 2020; 425: 012021.
[http://dx.doi.org/10.1088/1755-1315/425/1/012021]
[31]
Zebua EA, Silalahi J, Julianti E. Hypoglicemic activity of gambier (Uncaria gambir robx.) drinks in alloxan-induced mice. Paper presented at. IOP Conf Ser Earth Environ Sci 2018; 122: 12088.
[32]
Wibowo DA, Nailufar F, Tjandrawinata RR. Antidiarrheal Effect of DLBS1Y62, a bioactive fraction of uncaria gambir roxb. dried sap extract, in wistar rats. J Exp Pharmacol 2021; 13: 669-75.
[http://dx.doi.org/10.2147/JEP.S299001] [PMID: 34290534]
[33]
Rosada S, Dewi S, Ardita I. Antibacterial effect of gambir extract (Uncaria gambir Roxb) to bacterial colonies in male Wistar strain rats. Proceeding of the FDI-PDGI Continuing Education: Good Oral Health for Brighter Smile 2016; 143-50.
[34]
Dewi SRP, Pratiwi A. Teodorus. The effect of gambier extracts (Uncaria gambir RoxB.) as antiseptic on gingival wound in rats. ODONTO. Dent J 2018; 5(1): 80-7.
[35]
Rauf A. Rahmawaty, Siregar AZ. The Condition of Uncaria gambir Roxb. as one of important medicinal plants in North Sumatra Indonesia. Procedia Chem 2015; 14: 3-10.
[http://dx.doi.org/10.1016/j.proche.2015.03.002]
[36]
Setyowati H. Gambir (Uncaria gambir Roxb) as natural cosmeceutical agent. Cermin Dalam Kedokt 2017; 44(3): 2017.
[37]
Al-Khayri JM, Sahana GR, Nagella P, Joseph BV, Alessa FM, Al-Mssallem MQ. Flavonoids as potential anti-inflammatory molecules: A review. Molecules 2022; 27(9): 2901.
[http://dx.doi.org/10.3390/molecules27092901] [PMID: 35566252]
[38]
Chávez-González ML, Sepúlveda L, Verma DK, et al. Conventional and emerging extraction processes of flavonoids. Processes 2020; 8(4): 434.
[http://dx.doi.org/10.3390/pr8040434]
[39]
Roy A, Khan A, Ahmad I, et al. Flavonoids a bioactive compound from medicinal plants and its therapeutic applications. BioMed Res Int 2022; 2022: 1-9.
[http://dx.doi.org/10.1155/2022/5445291] [PMID: 35707379]
[40]
Procházková D, Boušová I, Wilhelmová N. Antioxidant and prooxidant properties of flavonoids. Fitoterapia 2011; 82(4): 513-23.
[http://dx.doi.org/10.1016/j.fitote.2011.01.018] [PMID: 21277359]
[41]
Ullah A, Munir S, Badshah SL, et al. Important flavonoids and their role as a therapeutic agent. Molecules 2020; 25(22): 5243.
[http://dx.doi.org/10.3390/molecules25225243] [PMID: 33187049]
[42]
Farzaei MH, Singh AK, Kumar R, et al. Targeting inflammation by flavonoids: Novel therapeutic strategy for metabolic disorders. Int J Mol Sci 2019; 20(19): 4957.
[http://dx.doi.org/10.3390/ijms20194957] [PMID: 31597283]
[43]
Krishna S, Chandrasekaran S, Dhanasekar D, Perumal A. GCMS analysis, antioxidant and antibacterial activities of ethanol extract of Anisomeles malabarica (L.) R.Br. ex. Sims leaves. Asian J Pharm Pharmacol 2018; 5(1): 180-7.
[http://dx.doi.org/10.31024/ajpp.2019.5.1.26]
[44]
Bernatoniene J, Kopustinskiene D. The role of catechins in cellular responses to oxidative stress. Molecules 2018; 23(4): 965.
[http://dx.doi.org/10.3390/molecules23040965] [PMID: 29677167]
[45]
Hilmi HL, Rahayu D. Aktivitas farmakologi gambir (Uncaria gambir Roxb.). Farmaka 2018; 16(2): 134-41.
[46]
Spiegel M, Andruniów T, Sroka Z. Flavones’ and flavonols’ antiradical structure-activity relationship-a quantum chemical study. Antioxidants 2020; 9(6): 461.
[http://dx.doi.org/10.3390/antiox9060461] [PMID: 32471289]
[47]
Alexanian A, Sorokin A. Cyclooxygenase 2: Protein-protein interactions and posttranslational modifications. Physiol Genomics 2017; 49(11): 667-81.
[http://dx.doi.org/10.1152/physiolgenomics.00086.2017] [PMID: 28939645]
[48]
Menezes JCJMDS, Campos VR. Natural biflavonoids as potential therapeutic agents against microbial diseases. Sci Total Environ 2021; 769: 145168.
[http://dx.doi.org/10.1016/j.scitotenv.2021.145168] [PMID: 33493916]
[49]
Papuc C, Goran GV, Predescu CN, Nicorescu V, Stefan G. Plant polyphenols as antioxidant and antibacterial agents for shelf-life extension of meat and meat products: Classification, structures, sources, and action mechanisms. Compr Rev Food Sci Food Saf 2017; 16(6): 1243-68.
[http://dx.doi.org/10.1111/1541-4337.12298] [PMID: 33371586]
[50]
Nanasombat S, Bubpasawana T, Tamaputa N, Srimakhan Y. Antimicrobial activity of Thai medicinal plants against beverage spoilage microorganisms and their potential in retarding Alzheimer’s disease progression. Pharmacogn Commun 2014; 4(3): 77-87.
[http://dx.doi.org/10.5530/pc.2014.3.8]
[51]
Teodoro GR, Ellepola K, Seneviratne CJ, Koga-Ito CY. Potential use of phenolic acids as anti-candida agents: A review. Front Microbiol 2015; 6: 1420.
[http://dx.doi.org/10.3389/fmicb.2015.01420] [PMID: 26733965]
[52]
Katu H, Sumintarti S, Mattulada IK, Samad R, Hatta M, As S. Inhibitory concentration and minimum contact time gambir extract (Uncaria gambier Roxb) against bacterial growth Enterococcus faecalis. Int J Sci Basic Appl Res 2016; 27: 239-46.
[53]
Hayek SA, Gyawali R, Ibrahim SA. Antimicrobial natural products. Microb Pathog Strateg Combat them Sci Technol Educ 2013; 910-21.
[54]
Tsuchiya H. Membrane interactions of phytochemicals as their molecular mechanism applicable to the discovery of drug leads from plants. Molecules 2015; 20(10): 18923-66.
[http://dx.doi.org/10.3390/molecules201018923] [PMID: 26501254]
[55]
Makarewicz M, Drożdż I, Tarko T, Duda-Chodak A. The interactions between polyphenols and microorganisms, especially gut microbiota. Antioxidants 2021; 10(2): 188.
[http://dx.doi.org/10.3390/antiox10020188] [PMID: 33525629]
[56]
Tong Z, He W, Fan X, Guo A. Biological function of plant tannin and its application in animal health. Front Vet Sci 2022; 8: 803657.
[http://dx.doi.org/10.3389/fvets.2021.803657] [PMID: 35083309]
[57]
Tomiyama K, Mukai Y, Saito M, et al. Antibacterial action of a condensed tannin extracted from Astringent persimmon as a component of food addictive pancil PS-M on oral polymicrobial biofilms. BioMed Res Int 2016; 2016: 1-7.
[http://dx.doi.org/10.1155/2016/5730748] [PMID: 26981533]
[58]
Mierziak J, Kostyn K, Kulma A. Flavonoids as important molecules of plant interactions with the environment. Molecules 2014; 19(10): 16240-65.
[http://dx.doi.org/10.3390/molecules191016240] [PMID: 25310150]
[59]
Krishnan RKM. Bactericidal potentiality of flavonoids extracted from cell suspension cultures of Marchantia linearis Lehm & Lindenb. Int J Pharm 2016; 6(2): 100-12.
[60]
Kanagalingam J, Feliciano R, Hah JH, Labib H, Le TA, Lin JC. Practical use of povidone‐iodine antiseptic in the maintenance of oral health and in the prevention and treatment of common oropharyngeal infections. Int J Clin Pract 2015; 69(11): 1247-56.
[http://dx.doi.org/10.1111/ijcp.12707] [PMID: 26249761]
[61]
Bigliardi PL, Alsagoff SAL, El-Kafrawi HY, Pyon JK, Wa CTC, Villa MA. Povidone iodine in wound healing: A review of current concepts and practices. Int J Surg 2017; 44: 260-8.
[http://dx.doi.org/10.1016/j.ijsu.2017.06.073] [PMID: 28648795]
[62]
Musdja MY, Suryani N, Pitriyah P. Anti-inflammatory activity of catechins isolate of Uncaria gambir Roxb on carrageenan induced paw edema in wistar male rats. Int J Recent Adv Multidiscip Res 2019; 6(1): 4518-21.
[63]
Aprely KJ, Misfadhila S, Asra RA. Review: The phytochemistry, pharmacology and traditional use of gambir (Uncaria gambir (Hunter) Roxb.). EAS J Pharm Pharmacol 2021; 3: 21-5.
[64]
Tadesse WT, Hailu AE, Gurmu AE, Mechesso AF. Experimental assessment of antidiarrheal and antisecretory activity of 80% methanolic leaf extract of Zehneria scabra in mice. BMC Complement Altern Med 2014; 14(1): 460.
[http://dx.doi.org/10.1186/1472-6882-14-460] [PMID: 25465058]
[65]
Smith AH, Mackie RI. Effect of condensed tannins on bacterial diversity and metabolic activity in the rat gastrointestinal tract. Appl Environ Microbiol 2004; 70(2): 1104-15.
[http://dx.doi.org/10.1128/AEM.70.2.1104-1115.2004] [PMID: 14766594]
[66]
Suleiman J, Mohamed M, Bakar A. A systematic review on different models of inducing obesity in animals: Advantages and limitations. J Adv Vet Anim Res 2020; 7(1): 103-14.
[http://dx.doi.org/10.5455/javar.2020.g399] [PMID: 32219116]
[67]
Frianto F, Fajriaty I, Riza H. Evaluasi faktor yang mempengaruhi jumlah perkawinan tikus putih (Rattus novergicus) secara kualitatif. J Mhs Farm Fak Kedokt UNTAN 2015; 3(1-4): 298-305.
[68]
Sengupta P. The laboratory rat: Relating its age with human’s. Int J Prev Med 2013; 4(6): 624-30.
[PMID: 23930179]

Rights & Permissions Print Cite
© 2024 Bentham Science Publishers | Privacy Policy