2 Department of Medical Laboratory Science, Faculty of Basic Medical Sciences, Ambrose Alli University, Ekpoma, Edo state, Nigeria
3 Department of Medical Laboratory Science, Faculty of Health Sciences, Madonna University, Elele, Nigeria
4 Haematology and Blood Transfusion Department, Federal Medical Centre, Yenagoa Bayelsa State, Nigeria
Author Correspondence author
Medicinal Plant Research, 2018, Vol. 8, No. 5 doi: 10.5376/mpr.2018.08.0005
Received: 05 Mar., 2018 Accepted: 28 Mar., 2018 Published: 20 Apr., 2018
Izah S.C., Uhunmwangho E.J., and Eledo B.O., 2018, Medicinal potentials of Buchholzia coriacea (wonderful kola), Medicinal Plant Research, 8(5): 27-42 (doi: 10.5376/mpr.2018.08.0005)
Wonderful kola (Buchholzia coriacea) is geographically distributed in some Africa countries. The seed of the kola contain phytochemicals/bioactive, compounds, while the essential oil contains several chemical compounds that depict the medicinal properties of the plant. Several traditional claims and scientific validations have been made on the efficacy of leaves and seeds of the wonderful kola plant. Hence, this study reviews the medicinal properties of the plant. The study found that it has been scientifically validated that wonderful plant have analgesic, anti-depressant, anti-malaria, anti-anxiety, anti-diabetes, anti-microbial, anti-oxidants, anti-helminthes, anti-ulcer, anti-inflammatory, anti-oxidants, hyperlipidemia, anti-hypercholesterolemic, anti-atherogenic, anti-trypanosomal, anti-modulatory, anti-spasmodic, anti-diarrhoea and anti-fertility activities. Therefore, there is the need for research to focus on other traditional claim that the plant effective toward including fever, cough, hypertension, headache, sinusitis, catarrh, small pox, scabies, chest pains, boils, syphilis, earache, headache, gonorrhea, rheumatism, cold and catarrh. Based on scientific validation, research should also focus on the actual dose, purification of the chemical constituents, mechanisms of action, most suitable solvent needed for extraction for each of the disease condition that have been scientifically proven.
Background
Despite the advances in the field of pharmaceutical microbiology, the challenge of drug resistance, emerging and remerging microbial infections still occurs (Izah et al., 2018). According to Ezeigbo et al. (2016), Ejikeugwu et al. (2014), drug resistant to different microbial strain is a major factor leading to search of new antimicrobial agents. Plants have proven to be a suitable alternative for the synthetic and semi-synthetic based drug for the cure of several disease conditions. Buba et al. (2016) reported that plants are major source of novel drug compounds, and as such it has contributed immensely to human health and well-being. Several plants have demonstrated their usefulness in the field of phytomedicine, pharmacognosy, herbal science, pharmaceutical chemistry among others. Their usefulness could have stemmed from the presences of bioactive and chemical compounds in the essential oil found in different parts of plants.
Authors have variously reported that medicinal plants are plants whose one or more parts (including leaves, fruits, barks, stems, roots, flowers, latex/juice) have medicinal properties (Kigigha et al., 2015, 2016; Epidi et al., 2016a, b; Kalunta, 2017; Kigigha and Kalunta, 2017). As such, plants are used for the treatment of several disease conditions. Medicinal plants are used in child delivery processes (including ante-natal, post-natal, cure of miscarriage, etc.) by traditional birth attendants especially in rural areas in developing countries. Medicinal plants are also plants whose active ingredients and/or part are involved in the production of drugs.
Several plants species are found all over the world and are distributed into several families. Some plants are found in a particular region under specific environmental conditions. Plants are grown in soil, surface water (macrophytes) and another plant (epiphytes). As such, the use of plant for the treatment of disease conditions depends on its availability in particular region, education status of the users, and knowledge about its efficacy.
According to Ikpeazu et al. (2017), plants are used globally in the treatment of different diseases using varying approach. According to the world health organization, about 80% of the world’s population depends on traditional medicine for cure of several diseases (Akinmoladun, 2007; Fatima et al., 2011; Gahlaut and Chhiller, 2013; Minochecherhomji and Vyas, 2014; Momoh et al., 2014; Kigigha et al., 2015, 2016; Buba et al., 2016; Epidi et al., 2016a, b). Most of the dependants of traditional medicine are in rural areas in many developing countries. The patronize of traditional medicine attendants is associated to low income size, unavailability of medical facilities to the inhabitants of rural dwellers in many developing countries. Furthermore, Amole and Ilori (2010) also attributed the use of herbal remedies to inaccessibility of modern drugs probably due to economic factor.
Medicinal plants have been widely been use as stimulants, analgesic, anti-pyretic, anti-inflammatory, anti-convulsant, anti-microbial, anti-malaria, anti-leukemia, anti-hypertensive, anti-platelet, anti-oxidant, anti-tumor, anti-asthmatics, anti-inflammatory, anti-diarrhoea, anti-spasmodic, anti-depressants, anti-rheumatism, immunomodulatory, anti-epilepsy, anti-convulsant, anti-thyroids, hepato-protective, anti-apoptotic, anti-metastatic, anti-mutagenic/anti-tumor, anti-spermatogenic, anti-colon toxin, pesticidal efficacy against insect, treatment of skin diseases, catarrh, headache, ear ache, memory booster, cough and eye effects. Medicinal plants have also been applied in the management of diabetes (Kalunta, 2017; Kigigha and Kalunta, 2017). The efficacy of some medicinal plants has been confirmed against specific ailment. While traditional medicine practitioners also claim that some of the plants have specific activities which have not been scientifically proven.
Some of the medicinal plants can be used to treat more than one disease condition. In addition, some are also major food resources to humans. Some medicinal plants that are taken have some traditional backing. For instance, several species of Kola nut is used to receive visitors in several part of Nigeria. Furthermore, some Kola used in Nigeria has been validated to have medicinal plants against some ailment. Some of this Kola nut include Garcinia kola (bitter kola) (Okigbo and Mmeka, 2008; Ghamba et al., 2011; Ezeigbo et al., 2016), Buchholzia coriacea (Wonderful Kola) (Ezekiel and Onyeoziri, 2009; Mbata et al., 2009; Nwachukwu et al., 2014; Eze et al., 2015; Umeokoli et al., 2016), Cola nitida and C. acuminata. For instance, Buba et al. (2016), Faphonda et al. (2017) have reported that Garcinia kola have anti-oxidant, anti-microbial, anti-inflammatory, anti-hypocholesterolemic, anti-viral, anti-diarrhoea, anti-proliferative, anti-androgenic and anti-coronary activities. Like, nutmeg, clove, cinnamon, lime, garlic, moringa and pepper fruit, wonderful kola have been used as alternative medications to promote good health in Nigeria through treatment of different ailments. This practice is still on till date (Ejikeugwu et al., 2014).
Wonderful Kola which belonging to the Capparidaceae family is an evergreen shrub found in some African countries including Cameroon, Central African Republic, Gabon, Congo, Angola, Nigeria, Ghana, Liberia, etc. (Ezekiel and Onyeoziri, 2009; Ibrahim and Fagbohun, 2014; Ijarotimi et al., 2015; Umeokoli et al., 2016). The medicinal efficacy of the seed earned the plant its common name “wonderful kola” (Ezekiel and Onyeoziri, 2009; Ibrahim and Fagbohun, 2014; Nwachukwu et al., 2014; Ijarotimi et al., 2015; Lapshak et al., 2016). Wonderful kola can grow up to 20 meter in height and are characterized by large, glossy, leathery leaves and conspicuous creamy white flower (Mbata et al., 2009; Anowi et al., 2012). Wonderful kola bears edible fruit which taste peperish (Mbata et al., 2009; Nwaichi and Olua, 2015) with sharp pungent taste (Ezekiel and Onyeoziri, 2009). The fruit is usually about 5 inches in length and 2-3 inches in width which contain 1 inch seed (Mbata et al., 2009). The seed is consumed by humans, and studies have demonstrated that it medicinal properties to several disease conditions (Ezekiel and Onyeoziri, 2009; Mbata et al., 2009; Nwachukwu et al., 2014; Eze et al., 2015; Umeokoli et al., 2016).
Therefore, this study assessed the medicinal potential of wonderful kola. The proximate and mineral composition, phytochemical and chemical constituent and all possible medicinal properties were discussed. The study concludes by suggesting future direction of research into wonderful kola.
1 Proximate and Mineral Composition of Wonderful Kola
Proximate analysis is one of the parameters used in assessing the nutritional value of edible plant. Beside plant, proximate composition has been analyzed in biomass of microorganisms such as Saccharomyces cerevisiae (Izah et al., 2017a). In this study, the proximate composition of wonderful kola varies; this could be due to differences in processing. For instance, Ijarotimi et al. (2015) reported that there is difference in raw, blanched and fermented seed of wonderful kola. In addition, the moisture content (Ezekiel and Onyeoziri, 2009; Okoli et al., 2010), age and environmental condition could also affect the proximate compositions. Based on Table 1, carbohydrate content ranged from 66-77%. This indicates that wonderful kola is a carbohydrate plant. Furthermore, the protein content ranged from 10-15%. The seed also have calorific value of 375.75 kcal (Ibrahim and Fagbohun, 2012) and 384.33 kcal (Amaechi, 2009). The energy value further elucidate that the seed is an energy plant.
Table 1 Proximate composition of wonderful kola seed
Note: *Fresh wonderful kola
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Wonderful kola seed contain essential trace metals, cations, and phosphorus (Table 2). The presents of amino acids, fatty acids, mineral such as cations (calcium, magnesium, sodium and potassium), phosphorus, trace metals (copper, zinc, manganese, cobalt and nickel) and absence of non-essential trace metals such as lead and chromium is an indication that it could promote good health through diet. The role of trace metals in human nutrition as well as pathological effects high concentration in human body have been various reported by Izah et al. (2016, 2017a, b), Izah and Angaye (2016). The health benefits of cations such as sodium, magnesium, potassium and calcium have been documented by Izah et al. (2015), Izah et al. (2017d), Aigberua et al. (2018), Ibrahim and Fagbohun (2012).
Table 2 Mineral composition of wonderful kola seed
Note: * Data were expressed as mg/g; ^ data were expressed in %; ^^ were expressed in ppm; NA not analyzed
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Wonderful kola also contains amino acids and essential oil. Ijarotimi et al. (2015) reported that fermented, raw, and blanched seed of wonderful kola contain amino acids such as alanine, arginine, aspartic, cysteine, glutamic, glycine, histidine, isoleucine, leucine, lysine, methionine, phenylalanine, proline, threoinine, tryptophan, tyrosine, serine, valine with total amount of 68.96-73.31 mg/100 g. The authors further reported that the seed also contain varying fatty acids including palmitic, palmitoleic, stearic, oleic, linoleic, linolenic, arachidic and behenic acid. Furthermore, the authors conclude by indicating that blanched seed flour has superior effect with regard to most of the parameters.
2 Phytochemical Constituent of Wonderful Kola
Bioactive constituents have been reported in seed of wonderful kola. Authors have reported the presence of alkaloids, saponins, tannins, flavonoids, oxalates, phytates cardiac glycosides, steroids, resins, carbohydrate, anthraquinone, glycosides in seed of wonderful kola (Mbata et al., 2009; Ibrahim and Fagbohun, 2012; Nwachkwu et al., 2014; Obiudu et al., 2015; Okere and Ladeji, 2016; Umeokoli et al., 2016). Authors have variously reported that different extracts of wonderful kola have different effects depending on the specific bioactive ingredients. For instance, Umeokoli et al. (2016) reported seed extracts of wonderful kola contain weak alkaloid using methanol and strong alkaloids using n-hexane, chloroform and aqueous extract. The authors have also reported that chloroform extract do not contain steroids. In a quantitative determination of dried seed of wonderful kola, Ibrahim and Fagbohun (2012) reported that methanol extract of wonderful kola have superior effect compared to ethanol extract with regard to alkaloids, glycosides, saponins, steroids, tannins, flavonoids and sugar content while ethanol extract is superior with regard to phenols and terpenes.
Mbata et al. (2009) reported that both hot water and methanol extracts of wonderful kola seeds/leaves contain anthraquinone, whereas Umeokoli et al. (2016), Osadebe et al. (2011) reported that absence of anthraquinone. Furthermore, Osadebe et al. (2011) reported that alkaloid is not found in leaves of wonderful kola. Ejikeugwu et al. (2014), Anowi et al. (2012) reported the presence of phlobatannins, carbohydrates, proteins, tannins, saponins, alkaloids and flavonoids in leave of wonderful kola.
Age is one of the essential considerations often made in determining bioactive constituents in plants. The presence of phytochemicals/bioactive ingredients or compounds in plants is an indication that they have biological activity (Kigigha et al., 2015, 2016; Epidi et al., 2016a, b). Ibrahim and Fagbohun (2012) considered alkaloids as the most efficient therapeutic constituents of plant. Alkaloids have some medicinal potential including central nervous system, stimulant, pain reliever, pyretic action, anesthetics in ophathalmology (Heikens et al., 1995). Agu and Thomas (2012), Epidi et al. (2016a, b), Kigigha et al. (2015) reported that alkaloids have mechanisms to wade off pests including microorganisms. Probably due to the pain relieving potentials of alkaloids, it can be used as analgesics. Doherty et al. (2010), Okwu (2005), Ibrahim and Fagbohun (2012), Opoku and Akoto (2015), Osuntokun and Oluwafoise (2015) reported that derivatives of alkaloids can be used as analgesic, antispasmodic and anti-bacteria.
The presents of phenol compounds in plants are an indication of its pesticidal properties. Typically, phenolic compounds are used for disinfection, and it also remain a standard which other bacteria are compared (Ibrahim and Fagbohun, 2012). Phenol compounds can easily oxidize to form phenolate ion, an electron acceptor (Ibrahim and Fagbohun, 2012). Flavonoids which is an example hydroxylated phenolic compounds help plants to resist disease causing microbes (Opoku and Akoto, 2015; Epidi et al., 2016a, b). Probably due to this, it has anti-oxidant, anti-microbial and anti-tumor properties (Osuntokun and Oluwafoise, 2015; Epidi et al., 2016a, b), anti-allergies, anti-inflammation, platelet aggregation, free radicals, anti-ulcer and hepatoxins potentials (Okwu, 2004; Ibrahim and Fagbohun, 2012).
The hot taste of wonderful kola seed is probably due to the presence of tannin (Ibrahim and Fagbohun, 2012). Tannin is highly toxic to microbes. Tannins also play essential role in wound healing including varicose ulcers, hemorrhoids, frostbite and burns (Okwu and Okwu, 2004; Doherty et al., 2010; Ibrahim and Fagbohun, 2012; Kigigha et al., 2015; Osuntokun and Oluwafoise, 2015; Epidi et al., 2016a, b). Saponin helps to inhibit sodium ion efflux by blockage of the entrance of the sodium ion out of the cells (Ibrahim and Fagbohun, 2012). The presence of saponin suggests that the plant could be used as cough suppressant (Osuntokun and Oluwafoise, 2015). Many other bioactive constituents of plants also have medicinal potentials.
3 Chemical Constituents of Essential Oil from Wonderful Kola
The essential oil of wonderful kola contains chemical constituents (Table 3) (Omorogie et al., 2015; Umeokoli et al., 2016; Ikpeazu et al., 2017). Most wonderful kola seed oil contains both long chain saturated and unsaturated fatty acids, alcohols and their esters and high concentration of Estra-1, 3, 5 [10]-trien-17ß-ol (Umeokoli et al., 2016). Steroid is the major constituents which differs from estradiol (a sex hormone), with the absence of an OH functional group at carbon atom number 3 (Umeokoli et al., 2016). Oleic acid is unsaturated fatty acid and is considered as a healthy source of fat in human diets (Umeokoli et al., 2016). Many fatty acids constituents of wonderful kola contain anti-microbial properties (Umeokoli et al., 2016).
Table 3 Chemical constituents wonderful kola seed oil
Note: NA – Not Applicable
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2-Methyl-pyrrolidine-2-carboxylic acid which a major constituent of wonderful kola essential oil is a Methyl-Guanidine-Inhibitor (Duke, 1996; Ikpeazu et al., 2017), and it can hinders the action of the hydrolase enzyme which hydrolyzes methyguanidinase to urea (Nakajima, 1980; Ikpeazu et al., 2017). Hexadecanoic acid is an arachidonic acid inhibition, while Beta-vinyl acrylic acid is beta-glucuronidase inhibitor (Ikpeazu et al., 2017). n-Hexadecanoic acid has haemolytic, 5-alpha reductase inhibitor, anti-oxidants, anti-hypocholesterolemic, anti-inflammatory, anti-androgenic, flavour, nematicide, pesticidal, anti-oxidant, anti-microbial activities and larvicidal effect (Bodoprost and Rosemeyer, 2007; Falodun et al., 2009; Hema et al., 2011; Omorogie et al., 2015; Fapohunda et al., 2017). Like, hexadecanoic, 15-methyl-, methyl ester, (Z)-Docos-13-enoic acid has antioxidant properties (Omorogie et al., 2015).
9-Octadecynoic and linoelaidic acid is urine acidifier (Duke, 1996) that play essential role in the body pH, food digestion especially in achlorhydria patients (Ikpeazu et al., 2017). 9, 12-Octadecadienoic acid tends to inhibit uric acid production (Ikpeazu et al., 2017). According to Ikpeazu et al. (2017), Pasalic et al. (2012), uric acid inhibitor inhibits the acidification of urine thereby minimizing the risk of formation of uric acid stones and deposition of uric acid crystals in the joints. 9, 12-Octadecadienoic acid and 9, 12 Octadecadienoyl chloride (Z,Z) have anti-inflammatory, anti-hypocholesterolemic, anti-tumor, anti-arthritic, anti-coronary, anti-ache, anti-histaminic, anti-eczemic, anti-androgenic, hepato protective, nematicide, 5-alpha reductase inhibitor and insectifuge properties (Yu et al., 2005; Maruthupandian et al., 2011; Omorogie et al., 2015; Fapohunda et al., 2017). Phenol, 3, 5-bis (1, 1-dimethylethyl), Cyclopropaneoctanoic, 2-hexyl-, methyl-, methyl ester has antimicrobial activities (Omorogie et al., 2015).
Methyl 14-methylpentadecanoate (catechol-O-methyl transferase) is an inhibitor that can be used to treat Parkinson disease (Duke, 1996; Ikpeazu et al., 2017). Furthermore, Ikpeazu et al. (2017) reported that Catechol-O-methyltransferase is involved in the degradation of neurotransmitters but the inhibitors oppose the degradation of neurotransmitters. Typically, dopamine, noradrenaline, anandamide and adrenaline are neurotransmitters (Ikpeazu et al., 2017). Based on Table 3, different extraction solvent lead to variation in the chemical constituents of wonderful kola seed essential oil. The difference may be attributed to the polarity of the solvents.
4 Medicinal Properties of Wonderful Kola
Traditional medicine practitioners have variously claimed that fruits/seeds and leaves of wonderful kola have medicinal properties to various disease conditions. Furthermore, scientific claims have been made with regard to the decoction containing different parts of wonderful kola plant as active ingredients. Therefore, this section discusses the medicinal properties of wonderful plant with regard to traditional claims and scientific validations.
4.1 Scientific validation of wonderful kola
In the scientific validation of the medicinal potency of wonderful kola, several species of microbes including bacteria (gram positive and negative) and fungi have been studied. Also in the non- microbial caused disease condition, organisms such as rat and mice have been widely used as experimental organisms. For helminthes studies, Trypanosoma brucei.brucei and T. congolense have been used. This section of the paper elucidates the scientific claims using these organisms as test subjects.
4.1.1 Anti-microbial
Studies have variously shown that wonderful kola seed contain antimicrobial (antibacterial and antifungal) activities (Ezekiel and Onyeoziri, 2009; Mbata et al., 2009; Osadebe et al., 2011; Ejikeugwu et al., 2014; Ibrahim and Fagbohun, 2014; Umeokoli et al., 2016). Furthermore, the antimicrobial properties have been widely attributed to bioactive components (Doherty et al., 2010; Kigigha et al., 2015, 2016; Epidi, 2016; Epidi et al., 2016a, b; Kalunta, 2017; Kigigha and Kalunta, 2017) such as alkaloids and tannins. Studies have indicated that seed of wonderful kola is sensitive to both gram positive and gram negative organisms (Table 4). This is an indication that the plant can be further studied and be used as broad spectrum antibiotics.
Table 4 Antimicrobial activities of wonderful kola
Note about the choice of solvent: Ibrahim and Fagbohun(2014) studied the antimicrobial potentials of the seed of wonderful plant using methanol and ethanol; Umeokoli et al. (2016) used methanol, aqueous and n-hexane for the extraction; Mbata et al. (2009) used methanol and hot water extracts; Osadebe et al. (2011) used methanol and aqueous leaf extract; Nwachukwu et al. (2014) reported fresh express extract, oven dried uncooked and cooked seed; Ejikeugwu et al. (2012) showed varying efficacy of chloroform, n-hexane and methanol leaf extract of wonderful kola; Ejikeugwu et al. (2014) reported ethanol and methanol leaf extract of wonderful kola.
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In sensitivity studies of plant materials, the solvent used for extraction have effect on the final result. For instance, Fagbohun (2014) reported methanolic extracts of seed of wonderful plant have superior effect compared to ethanol extract against a wide range of microorganisms. Ezekiel and Onyeoziri (2009) reported that fresh express extract of wonderful kola has better effect compared to methanol and hexane extracts. Nwachukwu et al. (2014) reported that fresh express extract of wonderful kola seed have superior efficacy compared to oven dried uncooked and cooked seed. Osadebe et al. (2011) reported that methanol has better effect compared to aqueous leaf extract of wonderful kola. Mbata et al. (2009) also reported that methanol extract has better effect against some gram positive and negative bacteria compared to hot water extracts. Umeokoli et al. (2016) also reported that methanolic extracts of seed of wonderful plant had better performance against most microbes compared to n-hexane and aqueous extracts. The authors further showed that not all aqueous and n-hexane extracts of seed of wonderful kola have effect on some microbes. The variation could be due to differences in polarity (Ezekiel and Onyeoziri, 2009), specificity and affinity level of the solvents. Furthermore, the zone of inhibition produces could be due to the concentration of the plant extract used for the study. Also, the physiology, metabolism, nutrition and biochemistry of the microbial isolates could influence the sensitivity of an extract against and organisms (Kigigha et al., 2016; Epidi et al., 2016a, b; Izah et al., 2018). The age and part of the plants used, environmental influence etc. could also contribute to variation in the sensitivity (Kigigha et al., 2016; Epidi et al., 2016a, b).
Ejikeugwu et al. (2012) reported that n-hexane, methanol and chloroform extracts of wonderful kola leave possess modest antibacterial activities against E. coli, Staphylococcus aureus, Shigella species, Klebsiella pneumoniae and Bacillus subtilis. The authors further reported that chloroform extract exhibited no activity against ESBL positive E. coli isolates, with n-hexane and methanol extracts showing moderate inhibitory effects. Osadebe et al. (2011) findings showed that methanolic leave extracts of wonderful kola have minimum inhibitory concentration and minimum bactericidal concentration in the range of 0.5-9.0 mg/ml and 2.0-9.0 mg/ml, respectively for E.coli, K. pneumonia, B. subtilis, B. cereus, S.aureus, S.typhi, P.aeruginosa.
Based on comparison methanol extract appears to have superior anti-microbial properties compared to ethanol, n-hexane, chloroform and aqueous (hot and cold) extract of different parts of wonderful kola plant. The superior effect may be associated to polarity and affinity level of methanol.
The anti-microbial potential could also be due to the presence of flavonoids, n-Hexadecanoic acid, 9,12-Octadecadienoic acid and 9,12 Octadecadienoyl chloride (Z,Z), Phenol, 3,5-bis (1,1-dimethylethyl), Cyclopropaneoctanoic, 2-hexyl-, methyl ester.
4.1.2 Anti-diabetes
Diabetes mellitus is a metabolic disorder that has mainly two forms viz: Type 1 and Type 2 (Nwaehujor et al., 2012; Ndiok et al., 2016; Eledo et al., 2017). Type 1 diabetes mellitus is characterized by autoimmune-mediated destruction of pancreatic β-cells of the islets and the patients rely on exogenous insulin for survival, while Type 2 diabetes mellitus is characterized by dysfunctioning of normal insulin levels to stimulate glucose uptake and patients are not dependent on exogenous insulin (Nwaehujor et al., 2012; Eledo et al., 2017). The disorders is characterized by hyperglycaemia and associated abnormalities in the metabolism of carbohydrate, fat and protein (Okoye et al., 2012). The incidence of Type 2 accounts for more than 90% of the diabetic cases worldwide. Nwaehujor et al. (2012) is with the opinion that approximately 80% of rural dwellers in Africa communities use herbs control diabetes mellitus. Furthermore, botanicals have demonstrated positive effects towards the control of diabetes. Adisa et al. (2011) demonstrated that ethanol and butanol seed extracts of wonderful kola is potent to hypoglycemic agent. The authors further reported that hypoglycemic and antioxidant properties of wonderful kola ameliorated the secondary effects of diabetes such as nephropathy, hepatotoxicity, and deranged lipid metabolism in diabetic animals. Nwaehujor et al. (2012) reported that methanol fruit extract of wonderful kola have significant anti-diabetic, hypolipidemic properties and also known to reduce lipid peroxidation in diabetic rats. Okoye et al. (2012) reported that methanol seed extracts of wonderful kola has hypoglycaemic activity, and in laboratory study, it exhibited synergistic actions with metformin, a standard oral hypoglycaemic agent. Egwu et al. (2017a) reported that ethanol seed extract of wonderful kola at high dose and vildagliptin reduces plasma glucose levels in alloxan-induced diabetic rats. Egwu et al. (2017b) reported that ethanol seed-extract at high doses improves lipid profile of rat under diabetic condition and concludes by indicating that the plant could be used for effective medication for addressing dyslipidemia in diabetes. Obiudu et al. (2015) reported that crude and methanolic seed extracts of wonderful kola has the tendency to reduce blood glucose level and this could be the reason while its used in the management of diabetes. Lapshak et al. (2016) reported that aqueous seed extract of wonderful kola has hypolidemic and hypoglycemic properties, and therefore, a possible botanical for the management of diabetes. Ijarotimi et al. (2015) reported that blanched, raw and fermented seed of wonderful kola has anti-diabetic potential. The authors further reported blanched seed has higher effect compared to when its used raw and fermented. Ezeigbo (2011) reported that methanolic seed extract of wonderful kola have anti-diabetic properties.
4.1.3 Anti-depressant
Several decades ago psychiatric conditions are managed with herbs, and it was discovered that some patients showed significant relief from severe psychotic depression (Onasanwo et al., 2016). Approximately 70% of the depressed patients respond to treatment using available therapies but with some level of disappointment (Onasanwo et al., 2016). The pathophysiology of depression is associated with the deficiency of one or more monoamines among psychiatric patients (Onasanwo et al., 2016). Hence, plants have demonstrated positive efficacy for the management of neurological problems such as depression, epilepsy, convulsion (Romeiras et al., 2012). Onasanwo et al. (2013) reported that methanolic seed extract of wonderful kola has antidepressant activity. Furthermore, Onasanwo et al. (2016) reported that methanol seed extract of wonderful kola have antidepressant potentials may be mediated by cholinergic, adrenergic systems.
4.1.4 Anti-plasmodial activity
Mosquitoes transmit several diseases including malaria (Bassey and Izah, 2017a). Authors have variously reported that malaria is endemic in over 109 countries, infecting 190-330 million people and causing about 1 million deaths per annum (Ndiok et al., 2016; Owoeye et al., 2016; Bassey and Izah, 2017a). Africa is the major endemic area of malaria in the world (Bassey and Izah, 2017b). Nigeria, Democratic Republic of Congo, Ethiopia and Uganda are the most endemic region of malaria in Africa. Malaria is caused by Plasmodium falciparum, and other species of Plasmodium including P. ovale, P. vivax and P. malariae. Instance of drug resistance have been reported. As such, research is ongoing for the discovery of more effective drugs. Plants have also join the host of materials/substances that new drug can be synthesis from for effective control of malaria. Malaria leads to dysfunctioning of the liver function, which could lead to complications if not properly managed (Enechi et al., 2016; Ndiok et al., 2016). Bassey and Izah (2017a) have reported several botanicals that are used to control mosquito at its various stage of development in Nigeria. Furthermore, Okoli et al. (2010) reported that aqueous seed extract of wonderful kola have anti-malarial activity using mice as experimental animal. Enechi et al. (2016) reported that methanol seed extract of wonderful kola significantly reduce parasitaemia level in infected experimental mice and restored altered haematological indices in malaria parasite infected mice as well.
4.1.5 Analgesic, anti-anxiety and anti-inflammatory activity
Analgesics are drugs or agents temporarily used minimize and/or block the sensation of pain (Patel et al., 2016). Typically, pain is an unpleasant sensation leading to abnormality in or part of the body. Pain can either physical or psychic/mental depending on its source. Like inflammation, analgesics are used to treat pain caused by physical stimuli, while mental pain is treated with antipsychotic agents (including anti-depressant, anti-anxiety and anti- manic drugs) (Patel et al., 2016). Plants have demonstrated positive potential for the used as analgesics (Patel et al., 2016). Some of the plants such as wonderful kola have demonstrated potential for pain reliving. Olaleye et al. (2012) reported that ethanol seed extracts of wonderful kola have analgesics and anti-inflammatory activity based on their study in which male rats was used as experimental animal. Ezeja et al. (2011) reported that methanolic seed extract of wonderful kola has analgesic activity. Umeokoli et al. (2016) reported that hexane seed extract of wonderful kola has anti-inflammatory potential. Ezike et al. (2015) reported that leave extract of wonderful kola plant have anti-inflammatory activity. Enechi et al. (2009) reported that ethanol seed extracts of wonderful kola have anti-inflammatory and analgesic activities. Okere and Ladeji (2016) reported that aqueous and methanol seed extract of wonderful kola have positive potency on carrageenan-induced inflammation in rats. Onasanwo et al. (2013) reported that methanolic seed extract of wonderful kola has anxiolytic (anti-anxiety) and analgesic potentials. The authors further reported that it has stabilizing effect on the motor activity probably due to secondary metabolites. The anti-inflammation may be associated to the presence of n-Hexadecanoic acid, 9,12-Octadecadienoic acid and 9,12 Octadecadienoyl chloride (Z,Z).
4.1.6 Anti-oxidants
Anti-oxidants are essential in maintaining optimum cellular functions in humans (Akinyede et al., 2015). According to Akinyede et al. (2015), humans have evolved highly complex antioxidant systems that work together to protect the body from aging and pathogenesis of age related disorders such as cancer, hypertension, atherogenesis, alzheimer and parkinson disease. Anti-oxidants also play essential role in detoxifying some toxicant in the human body. Adisa et al. (2011) also reported that seed extract of wonderful kola have antioxidant activity. Nwaehujor et al. (2012) reported that reported that methanol fruit extract of wonderful kola possesses antioxidant activities. Adisa et al. (2011) demonstrated that ethanol and butanol seed extracts of wonderful kola is has antioxidant activity. The anti-oxidant potency of wonderful kola may be associated to the presence of n-Hexadecanoic acid, hexadecanoic, 15-methyl-, methyl ester, (Z)-Docos-13-enoic acid, 9,12-Octadecadienoic acid and 9,12 Octadecadienoyl chloride (Z,Z).
4.1.7 Hyperlipidemia, anti-hypercholesterolemic and anti-atherogenic activity
Nwaichi et al. (2017) described hyperlipidemia as an anomalistic increase of lipids in the blood, abundance of triglycerides and cholesterol. This is due to uneven rise in lipoproteins that play essential role in the transportation of lipids in the blood, branded as hyperlipoproteinemia (Nwaichi et al., 2017; Saunders, 2017). Rerkasen et al. (2008), Nwaichi et al. (2017) reported that hypercholesterolemia is the most prevalent variety of dyslipidemia that could predispose an individual to cardiovascular diseases such as atherosclerosis, and pancreatitis. Botanicals such as wonderful kola have demonstrated clinic efficacy for the management of hyperlipidemia using male wistar rats as test organisms (Nwaichi et al., 2017).
Hypercholesterolemia is a condition characterized with high level of cholesterol in the blood (Olaiya and Omolekan, 2013) and it’s the major cause of atherosclerosis (Omolekan and Olaiya, 2013). According to Omolekan and Olaiya (2013), atherosclerosis is a major cause of chronic non –infectious diseases such as stroke and some other cardiovascular. Hypercholesterolemia has the tendency to predispose an individual to hypertension and cardiovascular diseases (Edijala et al., 2005; Olaiya and Omolekan, 2013). The disease is basically cause by both genetic and environmental factors. Botanicals have showed to have positive effect towards its management. Olaiya and Omolekan, (2013) demonstrated that ethanolic seed extract of wonderful kola contain anti-hypercholesterolemic agent using rat as experimental organisms. Omolekan and Olaiya (2013) reported that ethanolic seed extract of wonderful kola has anti-atherogenic activity which the authors attributed to the presence of flavonoids, saponins and plant sterols. Furthermore, anti-hypocholesterolemic potentials of wonderful kola may be associated to the presence of n-Hexadecanoic acid, 9,12-Octadecadienoic acid and 9,12 Octadecadienoyl chloride (Z,Z).
4.1.8 Anti-trypanosomal
Trypanosoma genus is a flagellated protozoan that causes trypanosomiasis (Abubakar et al., 2017; Assefa, 2017) sleeping sickness. Trypanosomiasis has been reported in human and animals especially in Africa and South America. In Africa, animal trypanosomiasis has adverse impact on livestock’s and is presently characterized by toxicity and resistance development to trypanocidal drugs (Assefa, 2017). This has necessitated to the search of alternative drugs. Botanicals have emerged as a credible substitute. Several plants species have demonstrated positive efficacy towards some species of Trypanosoma including T. brucei, T. congolense, T. evansi etc. (Abubakar et al., 2017; Assefa, 2017). Nweze et al. (2011a) have reported that crude seed extract of wonderful kola have anti-trypanosomal activities against T. brucei. Brucei in an in-vitro study. Nweze et al. (2011b) have reported that methanolic seed extract of wonderful kola have no anti-trypanosomal activities against T. congolense in a field study. This suggests that the efficacy of the extracts depends on dose and choice of solvent, species of Trypanosoma as well as its source. Nweze et al. (2009) reported that ethanolic seed extract of wonderful kola have Trypanocidal activity against T. brucei. brucei. Abubakar et al. (2017) reported that ethanol seed extract of wonderful kola is effective against T. brucei. brucei.
4.1.9 Anti-modulatory activities
The immune system can be manipulated by the use of immunomodulators. This is usually done to achieve immunostimulation or immune suppression (Eze et al., 2015). Modulation of immune response is a vital method through which some disease conditions can be control (Eze et al., 2015). Eze et al. (2015) studied immunomodulatory activity of methanolic seed extract of wonderful kola on Trypanosoma brucei. brucei infected mice and reported that the extract possess immunostimulatory activity.
4.1.10 Anti-spasmodic and anti-diarrhoea properties
Diarrhoea is one of the major disease conditions that cause morbidity and mortality (Fletcher et al., 2013; Gautam et al., 2015; Varela et al., 2015). Diarrhoea is caused by diverse group of organisms including viruses, fungi, parasites and bacteria (Nguyen et al., 2006; Sang et al., 2012; Gautam et al., 2015). Some of the bacteria associated diarrhoea includes Salmonella, Shigella, Campylobacter, Yersinia enterocolitica, Vibrio cholera, diarrheagenic E. coli pathotypes (Varela et al., 2015). Diarrhoea is transmitted from person-to-person and consumption of foods and water contaminated with human fecal materials with a pathogenic strain (Ali et al., 2014; Gautam et al., 2015). Botanicals have proven to be effective toward managing diarrhoea. While anti-spasmodic are medicines used to relax muscle cramps. Anowi et al. (2012) reported that methanol leave extract of wonderful kola has anti-diarrhoea and anti-spasmodic activity. The authors further reported that the metabolites in the leaves could act in synergism to produce the anti-diarrhoea effects.
4.1.11 Anti-ulcer
Stomach or gastric ulcers, are painful sores in the lining of the stomach lining and if not properly managed could lead to complications. Botanicals have demonstrated positive effect toward effective management of ulcer. Salami et al. (2017) reported that seed of wonderful kola enhanced gastric healing on ischemic reperfused gastric ulcer. Enechi and Nwodo (2014) reported ethanol seed extract of wonderful kola has anti-ulcer properties. The authors further stated that the anti-ulcer activities of the seed extract could be due to the ability of the extract to suppress histamine-induced gastric acid secretion as well as to antagonize histamine-induced contractile response.
4.1.12 Anti-helmintic
Helminths are invertebrates characterized by elongated, flat or round bodies and are generally called worm. The parasite has several types including flukes (trematodes), tapeworms (cestodes), roundworms (nematodes) etc. Botanicals have been used to managing helminthes. Nweze and Asuzu (2006) reported that seed of wonderful kola have anti-helmintic properties. Ajaiyeoba et al. (2001) demonstrated that the leaves of wonderful kola are effective against Fasciola hepatica, Phertima posthuma and Taenia solium. Nweze et al. (2006) reported that ethanolic seed extracts of wonderful kola have larvicidal action against Haemonchus contortus and Heligmosomoides polygyrus. Fred-Jaiyesimi et al. (2011) reported chloroform and methanol seed extracts of wonderful kola have anti-helmintic potentials against Eudrilus eugeniae (earthworm) and Bunostomum phlebotomum (cattle hookworm).
4.1.13 Anti-fertility
Fertility is the natural tendency to produce offspring. Fertility rate is the number of offspring born per mating pair within a given population. In recent times, fertility issues are becoming a major challenge in some part of the world. Some botanicals have demonstrated the potentials to be used as anti-fertility agents. Obembe et al. (2012) demonstrated that seed extracts of wonderful kola have anti-fertility effects in male rats and indicated that epididymis is the most probably site of action.
4.2 Traditional claims
Traditionally, several claims have been made on the medicinal efficacy of wonderful kola. Erhenhi and Obadoni (2015) reported that the seeds are crushed into paste and applied on the stomach of pregnant woman under labour. Other traditional claims include its potential for stimulant, tonic, aphrodisiac (Anowi et al., 2012), memory booster (Ibrahim and Fagbohun, 2012; Nwachukwu et al., 2014), expelling worms (anti-helmintics), treatment of ulcer (Anowi et al., 2012; Erhenhi and Obadoni, 2015), malaria and fever (Titanji et al., 2008), cough, hypertension (by drinking the fluid squeezed out of the leaves with pea leaves and small quantity of salt), relieving headache, sinusitis, and nasal congestion especially in Ivory Coast, small pox for skin itching in Gabon (by inhaling the pulp made from the bark) (Anowi et al., 2012; Erhenhi and Obadoni, 2015; Nwaichi et al., 2017). Anowi et al. (2012) also reported that the extracts from the bark of wonderful kola plant is used as a lotion against scabies. The pulp made from bark is robbed in the chest as treatment against chest pains and boils (Anowi et al., 2012; Erhenhi and Obadoni, 2015). Wonderful kola is also used for the treatment of syphilis, sinusitis, earache, smallpox, headache, gonorrhea and convulsion in children (Ajaiyeoba et al., 2003; Nwaichi et al., 2017). Decoction made from the seed of wonderful kola together with lime or local gin is used for the treatment of diabetes mellitus, hypertension, rheumatism, cold, cough and catarrh by traditional medicine practitioners (Adisa et al., 2011).
5 Conclusion and the Future Direction
The wonderful kola has been scientifically found to have analgesic, anti-depressant, anti-plasmodial, anti-anxiety, anti-diabetes, anti-inflammatory, anti-oxidants, anti-hypercholesterolemic, anti-atherogenic, anti-trypanosomal, anti-modulation, anti-spasmodic, anti-diarrhoea, anti-ulcer, anti-helmintics, anti-fertility activities. The scientific studies validates the claim of traditional medicine practitioners on the potency of wonderful kola. Therefore, further studies need to be carried out to elucidate on the mode/mechanisms of action, the dose that is required, purification of the chemical constituents, most suitable solvent to be used for extraction, age of the plants for the leave extract, and environmental conditions suitable for cultivation of wonderful kola with regard to its nutritional values. Also, studies need to be focused on effect on stimulant, tonic, aphrodisiac, fever, cough, hypertension headache, sinusitis, and catarrh, small pox, scabies, chest pains, boils, syphilis, earache, headache, gonorrhea, rheumatism, cold and catarrh potentials of the wonderful plants so as to validate its efficacies as widely claimed by traditional medicine practitioners.
Author’s contributions
Author SCI conceived the idea, managed literature search, wrote the initial draft and managed correspondence. Authors EJU and BOE proof read the manuscript and corrected tense. All authors read and approved the final manuscript.
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