Publication Ref No.: IJPRD/2010/PUB/ARTI/VOV-2/ISSUE-9/NOV/014 ISSN 0974 – 9446 MEDICAL PROPERTIES OF IVY GOURD (CEPHALANDRA INDICA) : A REVIEW Goldy Yadav*, Amit Mishra, Archana Tiwari 1 Goldy Yadav School of Biotechnology, Rajiv Gandhi Proudyogiki Vishvidyalya,Airport Bypass Road, Bhopal(461033) Madhya Pradesh,India Email:[email protected] ABSTRACT Ivy Gourd (Coccinia indica) is extensively used as vegetable and grown wildly throughout Indian subcontinent. It is commonly known as ‘Kundru’ in India. Ivy plant has been used in traditional medicine as a household remedy for various diseases, including biliary disorders, anorexia, cough, diabetic wounds, hepatic disorders. For the last few decades, some extensive work has been done to establish the biological activities and pharmacological actions of Ivy Gourd and its extracts. Polyprenol (C60polyprenol (1) ) is the main yellow bioactive component of Ivy Gourd has been shown to have a antidyslipidemic of biological actions . Anti-inflammatory, antioxidant, antimutagenic, antidiabetic, antibacterial, antiprotozoal, antiulcer, hepatoprotective, expactorants, analgesis, antiinflamatory are the reported pharmacological activities of Ivy Gourd. This review gives a bird’s eye view mainly on the biological activities of some of the compounds isolated, pharmacological actions of the Ivy Gourd extracts, clinical studies and plausible medicinal applications of Ivy Gourd along with their safety evaluation. Key Words: Kundru,Mother tincture,Phytochemistry,glucose-6-phosphatase. INTRODUCTION Plants have always been an exemplary source of drugs and many drugs currently available have been derived directly or indirectly from them. A vast majority of population particularly those living in villages depend largely on medicinal plants for treating and curing diseases. One such medicinal plant is, Ivy Gourd (Syn. Coccinia indica, Cephalandra indica Wight & Arnott.) is indigenous plant of Central Africa, India and Asia. It is cultivated abundantly in india (Assam. Bihar, Orissa Maharashtra, Andhra Pradesh, Tamil Nadu) as a vegetable and its wild form is also found in many parts of India. This plant has been wildly used in traditional Indian medicinal system (Ayurvedic, Unani, Siddha). Cephalandra indica International Journal of Pharma Research and Development – Online www.ijprd.com 92 Publication Ref No.: IJPRD/2010/PUB/ARTI/VOV-2/ISSUE-9/NOV/014 • is an climbing shrub with white flower. Every part of the plant exhibit pharmacological activities, and is annual employed for treating various human ailments. • • • Its taxonomic position, botanical synonyms and various vernacular names as follows: • Order: Cucurbitaceae Family: Cucurbitaceae Class: Mangoliopsida Genus: Cephalandra Specific Epithet: indica noudin Botanical name: Cephalandra indica noudin.(1) • • • • • Botanical Synonyms’ Coccinia indica, Coccinia cordifolia, Coccinia grandis. ISSN 0974 – 9446 Skin diseases (ring worm, psoriasis itch, sores, pityriasis), skin eruptions of small pox, small lesions of scabies. Chronic sinuses. Causes cooling effect to eyes. Gastro-intestinal disturbance and diseases. Alleviate body heat by inducing perspiration in fever. Tincture is used internally in gonorrhea. Cure diabetes and intermittent glycosuria. Expectorant. Gastro-intestinal disturbance and diseases. Urinary tract infection and Respiratory tract related trouble. 2 Stem Vernacular Names English: Scarlet-fruited gourd, tindora, kovai fruit Chinese: hong gua Danish: skariagenagurk Hindi: parval, tindora (tindori or tindola), tinda, tendus, kundru, kunduzi Japanese: yasai karasuuri Malay: pepasan, papasan, kovai, kovakka Spanish: pepino cimarrón Ayurveda: Bimbi, Kunduru, Raktaphala, Piluparni (2) Medicinal use of various parts of Ivy Gourd Various parts of the Ivy Gourd plant have been used as traditional medicine in India from time immemorial. The medicinal utilities have been described, especially for leaf, fruit, root and stem. Several medicinal applications of various parts of Ivy Gourd are summarized in • • • • • • • Antispasmodic effect. Expectorant. Useful in Asthma and bronchitis. Cure diabetes and intermittent glycosuria. Gastro-intestinal disturbance and diseases. Skin diseases. Urinary tract infection and related troubles. 3 Fruit • • • Cures sores on tongue. Raw fruit used as vegetable. Cure eczema. 4 Root Medicinal uses of different parts of Ivy Gourd. Part used Medicinal value • • • • 1 Leaves • Remove pain in joints. Apthous ulcers. Wheezing and phlegm. Cure diabetes and intermittent glycosuria. Skin diseases, skin lesions (Tenia). International Journal of Pharma Research and Development – Online www.ijprd.com 93 Publication Ref No.: IJPRD/2010/PUB/ARTI/VOV-2/ISSUE-9/NOV/014 • ISSN 0974 – 9446 Treats urinary tract infection and related troubles. Anti-inflammatory, antipyretic and analgesic activities: Chemical Profile of Ivy Gourd (Coccinia indica) The aqueous extract of fresh leaves is effective against carrageenin-indused paw odema in Wistar rates and Swiss mice. The effect was equivalent to diclofenac 20mg/kg at 50mg/kg but it was significantly pronounced at higher doses. Antipyretic reduction in hyperpyrexia was observed with all doses of extract with maximum effect at 300mg/kg, comparable to paracetomol. The extract produced marked analgesic activity comparable to morphine which suggests the involvement of central nervous system. Fractionation of bioactive crude ethanolic extract led to isolation of three pure fractions from which one was characterized as 4-hydroxy-3-methoxy benzaldehyde (Fig. 1) by IR, 1H-NMR, 13CNMR, DEPT, HSQC and Mass spectral analysis. The isolated constituent was found to be significantly active in above mentioned animal models suggesting it to be one of the bioactive constituent (8). Chemical investigation of Cephalandra (Coccinia indica) done by some researchers are as follow. The phytochemical screening of the 50% methanolic extract obtained from whole parts of Cephalandra (Coccinia indica) done by Chandria et.al2010(3), reveals that it contains carbohydrates, glycosides, fix oils and fats, proteins and amino acids ,saponins ,tannins, phytosterol , alkaloids , phenolic compounds ,flavonoids, gum and mucilage. Methanolic extract obtained from fruits of Ivy Gourd (Coccinia indica) contains steroids, saponins, ellagic acid , lignin’s, triterpenoids, in addition to alkaloids, tannins, flavonoids, glycosides, phenols (4).The aqueous extract of fresh leaves of Ivy Gourd (Coccinia indica) exhibited anthraquinons in addition to alkaloids, carbohydrate, proteins and amino acids, tannins, saponins, flavonoids, phytosterol, Triterpenes(5). Presence of cephalandrol, tritriacontane, lupeol, b-sitosterol, cephalandrine A, cephalandrine B, stigma-7-en-3-one, taraxerone and taraxerol, have been reported by Rastogi et.al 1998(6),and “Ray and kundu” 1987(6). Presence of Polysaccharides, Xyloglucan, Carotenoids and Cryptoxanthin has been reported by Purohit et. al 1999(7). (fig.1) 4-hydroxy-3-methoxy benzaldehyde Gourd Antiulcer and Antioxidant effect of Ivy Gourd: Biological activity of Ivy Gourd is reported with the crude extracts and their different fractions from leaf, fruit, stem, roots. However, crude extract of different parts of Ivy Gourd have been used as traditional medicine for the treatment of various diseases. The effect of Ivy Gourd leaves powder extracted with water and methanol were tested on aspirininduced gastric model (Wistar rates) in rats. The leaf powder of Ivy Gourd showed a extensive dose related decrease in ulcer index, with significant increase in mucous discharge and decrease in level of lipid peroxidation (LPO) and superoxide dismutase (SOD) activity. Methanol Pharmacological extract: actions of Ivy International Journal of Pharma Research and Development – Online www.ijprd.com 94 Publication Ref No.: IJPRD/2010/PUB/ARTI/VOV-2/ISSUE-9/NOV/014 extract at a comparable dose to that of the powder also showed a significant decline in ulcer index with important changes in mucous secretion, LPO and SOD. The non-significant effect of aqueous extract was found to be in reducing ulcer index (9). Anti-microbial activity of Ivy Gourd: Anti-microbial activity of eight different solvent extracts (Petroleum ether, diethyl ether, chloroform, ethyl acetate, acetone, methanol, ethanol and aqueous extracts) of Ivy Gourd fruit were tested against six gram negative and gram positive bacteria. Petroleum ether extract was the most active and showed considerable antibacterial activity against all tested gram positive and gram negative bacteria producing a maximum inhibition zone of 19 mm against Stephylococcus. aureus. Other tested extracts also inhibited the growth of a number of test organisms but to a lesser extent and were mainly active against the gram-positive S.aureus. This study also revealed that methanol extract was found to be active against Bacillus cereus and Psedomonas putida producing inhibition zone 15 and 13 mm, respectively. The aqueous extracts of Ivy Gourd did not show much significant activity. Least activity was shown by chloroform extract against all the tested bacteria with inhibition zone ranging from 1 - 7 mm(10). Fharookh et al (2008) used leaves and stem extract of Ivy Gourd. Water extract of leaves and ethanolic extract of stem showed significant effect against Shigella boydii and Psedomonas aeruginosa respectively (11). ISSN 0974 – 9446 identifying there Larvicidal activity in which crude methanolic extract of Ivy Gourd showed the highest mortality(12). Mutagenic Effect of Ivy Gourd Ivy gourd leaf extract showed significant mutagenic effect on Neurospora crassa fungus.To determine the efficacy of Ivy gourd on the radial growth of N. crassa, different doses of leaf extracts (sterilized and nonsterilized) were used. Aqueous extracts of the leaves of Ivy gourd showed noteworthy inhibition of growth and mutagenesis on N. crassa. Result showed that 1 ml extract reacted with the test organism of N. crassa effectively. Doses ranges between 0.5, 1.0, 1.5, 2.0, 3.0 and 4.0 ml extract showed gradual decrease of growth of mycelia and these result indicates that this plant was appropriate for induction of mutation in N. crassa. 6 types of mutants were found namely- dirty, ropy, albino, mat, cauliflower, conidial brand. Albino (13). Anti-Stress and Free Radical Scavenging Activity The 50% methanolic extract of whole plant of Ivy Gourd –Coccinia indica ,showed the strong free radical scavenging activity almost same as that of Ginseng. The LD50 of 50 % ethanolic extract of Coccinia indica is 3163.28 mg/kg of body weight, on oral administration. The present study provides scientific support for the antistress and free radical scavenging activity of Coccinia indica extract and substantiates the traditional claims for the usage of Coccinia indica in stress induced disorders (14). Larvicidal efficacy of Ivy Gourd Leaves extract of Ivy Gourd is effective malarial against parasites. Mosquitoes are the major vector for the transmission of malaria, dengue fever, yellow fever, filarisis etc. Rahuman et.al. worked on the cucurbitaceous plant for Effect of the Fraction of Ivy Gourd on Ethanolic – Induced Cerebral Oxidative Stress in Rates For the investigation of cerebral oxidative stress various fraction of Ivy Gourd was used. The International Journal of Pharma Research and Development – Online www.ijprd.com 95 Publication Ref No.: IJPRD/2010/PUB/ARTI/VOV-2/ISSUE-9/NOV/014 various fraction of hydro-methanolic extract of Ivy Gourd leaves (pet-ether, chloroform, ethylacetate, and residual fraction) was used in which the chloroform fraction showed the appreciable anti-oxidant effect. The entire fraction derived from leaves of Ivy Gourd (except from residual fraction) prevented the peroxidative damage (15). Activity of Ivy-Gourd on GLUT 1 Promoter Ivy Gourd is majorly used as anti-diabetic in all over the world. It shows the both hypoglycemic and hyperglycemic activity in in-vitro and invivo. GLUT 1 is a ubiquitous glucose transporter that mediates the basal glucose transporter into the cell. For checking its activity against GLUT 1 promoter researchers used the L6 myocytes cell line. In this study, GLUT 1 promoter activity was significantly increased in response to Ivy Gourd extract in L6 myocytes cell line. Ivy Gourd extract acts directly through the stimulation of the GLUT 1 Promoter at the transcription initiation site (GC and TATA box) (16). ISSN 0974 – 9446 Coccinia indica significantly depressed the glucose-6-phosphates and fructose -1,6-bisphosphatese activities in both normal and (19) streptozotocin-diabetic rates . Hydromethanolic mixture of root of M. paradisiaca and leaf of C. indica in composite manner in STZ treated diabetic rats not only resets the blood glucose homeostasis to the control level but also corrects the protein metabolic disorders (20). Hepato-toxicity of Ivy Gourd: Alcoholic extract of the fruits of Ivy Gourd was evaluated in CCl4- induced hepato-toxicity in rats and levels of AST, ALT, ALP, total proteins, total and direct bilirubin were evaluated. At a dose level of 250 mg/kg, the alcoholic leaves extract extensively (p<0.05) lowered the activities of serum enzymes (AST, ALT and ALP) and of bilirubin which were comparable to that of silymarin (21). Antihyperglycemic Effects of Ivy Gourd: and Hypolipidemic Effect of Ivy Gourd on Diabetes Ivy Gourd is a wonderful plant having antidiabetic activity, different parts of the plant extracted with different solvents shows the antidiabetic effect. The hypoglycemic effect of orally administered extract of leaves and roots of Ivy Gourd has been reported earlier but none of the literatures or paper showed the antidiabetic activity of fruit of the above plant as in crude extract of fruit of the above plant as in crude extract .The pectin isolated from the fruit of the above plant at a dose of 200 mg/100g BW/day showed a significant hypoglycemic action in normal rats (17). The alcoholic extract of Ivy Gourd leaves are found to be safe for biological study as no lethal effect was observed at 600mg/kg orally in mice. Mira et al found that extract of leaves and stem is non toxic to human being (18). Leaf extract of Ivy Gourd is identified to be rich in β-carotene, a major precursor of vitamin A from plant sources as well. β-carotene of Ivy Gourd is a good source of protein, fiber and a moderate source of calcium. This plant has the higher efficiency of lowering serum triglycerides as co pair to the other plant. Extracts of Ivy Gourd (300 mg/kg) significantly reduced blood glucose by 47.4 and 37.1 % (P < 0.01) on 7th day and by 59.7 and 48.5 % on 14th day . A significant reduction (P < 0.01) in serum total cholesterol of 31.7 and 43.3 % and serum triglycerides of 45.5 and 39.4 % was observed on the 14th day with a single dose of the extracts of Ivy Gourd (300 mg/kg) most (22). Afia Akhtar,et.al 2007) Antidyslipidemic activity of polyprenol from Ivy Gourd International Journal of Pharma Research and Development – Online www.ijprd.com 96 Publication Ref No.: IJPRD/2010/PUB/ARTI/VOV-2/ISSUE-9/NOV/014 Ethanol extract of Ivy Gourd showed significant triglyceride (TG) and cholesterol-lowering effects in dyslipidemic hamster model. Ethanolic extract was fractionated into chloroform, n-butanol and water-soluble fractions and were evaluated. Activity was proved to be concentrated in chloroform-soluble fraction. Chloroform soluble fraction containing active component was subjected to frequent column chromatography, prepared a polyprenol characterized as C60-polyprenol isolated for the first time from this plant. It significantly decreased serum TG by 42%, total cholesterol (TC) 25% and glycerol (Gly) 12%, accompanied HDL-C/TC ratio 26% in high fat diet (HFD)-fed dyslipidemic hamsters at the dose of 50 mg/kg body weight. Based on these investigations, it was concluded that the compound polyprenol secluded from leaves of Ivy Gourd acquire marked antidyslipidemic movement ( 23). Compound 1(C60-Polyprenol) CONCLUSION In this review we summaries the phytochemicals constituents and medicinal activities of Ivy Gourd , generally the fruit of ivy gourd is used as vegetable in all over india but many few people are aware from its therapeutic properties. This review gives new dimension to researchers to find other valuable properties of this wonderful plant. Only few work has been done on its phytochemical parts .On the basis of present phytochemical examination done on Ivy gourd (Cephalandra indica), conclude that it might be possess anticancer activity. Scientist ISSN 0974 – 9446 need to further work on phytochemistry of this plant. ACKNOWLEDGEMENT I am very thankful to every one of my class member who give me courege to wright review on this wonderful plant. My special thanks to Mr. Rahul Ranjan and Miss Sonam Chawla for there help in wrighting and for moral REFERENCES: 1. Gayatri R. Nambiar & Raveendran K, Indigenous Medicinal Plants Scripted in Amarakosam Am-Euras, J of Bot, 3(2008) 68-72. 2. Narayanan C N,& Sasidharan M N, Ayurveda tharangam-Rogavum Chikilsayum (D.C. Books, Kottayam, Kerala, India) 1998, 5 3. Shaheen S J, Bolla K, Vasu K, & Charya M A S Antimicrobial activity of the fruit extracts of Coccinia indica African J of Biotech, 24(2009) 7073-7076. 4. 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