Zingiber zerumbet (L.) Sm., a reservoir plant for therapeutic uses: A Review
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Transcript of Zingiber zerumbet (L.) Sm., a reservoir plant for therapeutic uses: A Review
ISSN 0976-111X
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INTERNATIONAL JOURNAL OF PHARMA WORLD RESEARCH
(An International Quarterly Published Online Research Journal)
www.ijpwr.com E-mail:[email protected]
Title:
Zingiber zerumbet (L.) Sm., a reservoir plant for therapeutic uses: A Review
Rout Om Prakash *1, Acharya Rabinarayan2, Mishra Sagar Kumar3
1Deptt. of Dravyaguna, Rajiv Lochan Ayurvedic Medical College, Chandkhuri, Durg,Chhatisgarh.
2 Deptt. of Dravyaguna, I.P.G.T & R.A., Gujurat Ayurved University, Jamnagar, Gujurat, India.
3 Pharmacognosy & Phytochemistry Division, University Deptt. of Pharmaceutical Sciences,Utkal University, Vani Vihar, Bhubaneswar, Odisha, India.
*Corresponding author:
Dr. Om Prakash Rout
Lecturer
Deptt. of Dravyaguna,
Rajiv Lochan Ayurvedic Medical College & Hospital, Chandkhuri,
Gundardehi Road, Durg,
Chhatisgarh.
Mail: [email protected]
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ABSTRACT
Zingiber zerumbet (L.) Sm. is a well known medicinal plant employed to cure various
diseases in Ayurvedic system of medicine. It is known to the india as Karpurharidra, Kolanjana,
Kumbhika, Sthulagranthi and Van adrak, and is a perennial herb found in many tropical
countries. Zerumbone is a monocyclic sesquiterpene that can be found abundantly in rhizomes.
The rhizome is used as stimulant, antihypertensive, carminative and flavouring agent to treat
dyspepsia wounds, hemorrhoids and flatulent colic for the cure of stomach troubles and fever.
Used in peptic ulcers and related stomach problems as well as infections. This paper presents the
botany, history & traditional uses, chemistry, pharmacology and medicinal uses of this plant.
KEYWORDS: Zingiber zerumbet, , sthulagranthi, indigenous medicine.
Introduction
Zingiber zerumbet (L) smith, a member of the family Zingiberaceae is well known as
Van Adrak. The plant is widely cultivated in village garden in the tropics for its medicinal
properties and as a marketable spice1. It grows in the edge of the forest, village thickest in the
partial shade. It is distributed in India, Bangladesh, Malaysia, Nepal, and Sri Lanka2. It has been
reported that plants from this family have anti –inflammatory3,4, anti-ulceration5, antioxidant6
and antimicrobial properties7. Rhizomes are employed against cough, stomachache, asthma and
also as a vermifuge. It is used in leprosy and other skin diseases. The rhizome yields an essential
oil, which is used as perfume in soap and other toilet articles8. It is used as stimulant, carminative
and flavorings agent; given in dyspepsia and flatulent colic; prescribed as an adjuna to many
tonic and stimulating remedies9. It is used to treat fish poisoning. It is used as a cough remedy
and to treat the bacterial diseases, thrush and diabetes. The rhizome is used as stimulant,
antihypertensive, carminative and flavouring agent; to treat dyspepsia wounds, hemorrhoids and
flatulent colic for the cure of stomach troubles and fever. It is used in peptic ulcers and related
stomach problems as well as infections10. Phytochemical investigations on this plant have
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revealed the isolation of several sesquiterpenes, flavonoids and aromatic compounds11-15. The
volatile oil of the rhizome contains zerumbone, humulene, camprene α-caryophyllene and
camphene16-18. The rhizomes of this plant are used as an anti-inflammatory agent in traditional
medicine19. A monocyclic sesquiterpene, zerumbone (2E, 6E,10E-humulatrien-1-one), which
was found as a major component of the essential oil of Z. zerumbet, has been studied intensively
for potential use in anti-inflammatory, chemopreventive, and chemotherapeutic strategies19-21.
Extracts of the rhizomes are known to have anti-inflammatory, chemopreventive, chemotherapy
applications22-23 and are anti HIV19, antitumour24, cytotoxic 25, antibacterial19 agents. It finds
prominent importance not only in Ayurvedic medicine, but also in modern medicine. During lat
two decades, the drug has been subjected to extensive phytochemical, pharmacological and
clinical investigating findings in the area of anticancer activity, antiartherosclerotic activity and
antioxidant activity are repoted.
Scientific classification26
Kingdom: Plantae – Plants
Subkingdom: Tracheobionta – Vascular plants
Superdivision: Spermatophyta – Seed plants
Division: Magnoliophyta – Flowering plants
Class: Liliopsida – Monocotyledons
Subclass: Zingiberidae
Order: Zingiberales
Family: Zingiberaceae – Ginger family
Genus: Zingiber Mill. – ginger
Species: Zingiber zerumbet (L.) Sm. – bitter ginger
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Vernacular names27, 10
Bengal: Mahabaribach, narkachur
Bicol: Laya
Canarese: Agalesunthi, Kallusunthi
French: Gingmbre, Sauvage
Hindi: Mahabaribach, Narkachur
Hora: Lakitra
Kanard: Kallusunthi
Malaya: Lammpayang
Malayalam: Katinji, kattinjikuva
Menabe: Sakarivondambo
Oriya: gada, Pasukedar
Punjab: Kachur, Narkachur
Sanskrit: Ahava, Avanti, Karpurharidra, Kolanjana, Kumbhika, Sthulagranthi, Viranam
Sinhalese: Waliguru
Tagalog: Tamo
Telgu: karallam, Karupasupu, Santapasupu, Karrallamu
Tulu: kallusonti
Uriya: Bonooda, Gondhosunthi
Visayam: dao, lampuyang
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Distribution25
It grows in the edge of the forest, village thickest in the partial shade. It is distributed
in India, Bangladesh, Malaysia, Nepal, and Sri Lanka2. Throughout India, Ceylon, Malya
peninsula-widely cultivated in the tropics of the world7. It is common in moist forests, beach
thickness, mangrove margins from sea-level to over 500 m.
Botanical and pharmacognostical descriptions10,28
Stem 0.9-1.2 m; rhizome whitish outside, pale yellow inside.
Root stock large, not much branched, hard, biennial, yellow inside, with a strong aromatic ginger
like taste, but with some bitterness; root fibrous vermiform; leafing stem 0.9-1.5 m high, about
13 mm. diameter, cylindrical, glabrous, annual.
Leaves 20-30 by 5-7.5 cm, sessile, oblong-lanceolate or oblanceolate, acuminate, glabrous, base
narrowed; ligule 111.3-2 cm. long, truncate, membranous.
Flowering stem 30-45 cm. long, stout, usually flexouous, clothed with long appressed obtuse
sheaths.
Flowers plae sulphur-yellow, in conico-oblong or ovoid obtuse spikes 7.5-10 by 5 cm; bracts
2.5-3.8cm long, closely imbricate, ovate-oblong or obovate, with rounded apex and pale
membranous margins, bright green at first but becoming red fruit.
Calyx-tube 3.2cm. long; lobes ovate-lanceloate, acuminate, the lateral smaller, adnate to the base
of the lip.
Lip shorter than the corolla-lobes and of a darker yellow, 3-fid; lobes obtuse, the midlobe the
longest.
Anther glabrous.
Style glabrous; stigma minute, funnel-shaped with ciliate mouth.
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Capsules ellipsoid, 2.5 cm long.
Seeds 4 mm. long, oblong, black.
Srivastava (2003)29 presented the pharmacognostic study. He deals with the
pharmacognostic studies including botanical description, macro and microscopic characters of
rhizome, root, physical constants, colour reaction, powder study and flurorescent analysis.
Oliveros et al. (1982)30 studied the Pharmacognostic Studies on Zingiber zerumbet (Linné) Smith
and its Proposed Variety (Family Zingiberaceae). The chemistry of the volatile oils and
morphology of Zingiber zerumbet (L.) Sm. and a second plant which is being proposed as a
variety reveals significant differences between these two plants. Their main physicochemical
differences are the following: dried rhizomes of Zingiber zerumbet (L.) Sm. yield a volatile oil
which is dextrorotatory, congeals at 3°C, and has zerumbone as its main constituent. Rhizomes
of the proposed variety yield an oil which is levorotatory, congeals at —27°C, and has 4-
terpinenol as its main constituent. Significant morphological and anatomical differences between
Zingiber zerumbet (L.) Sm. and its proposed variety are noted. On the strength of these
physicochemical and morphological differences, which are not sufficient to warrant erection of a
new species it is proposed that the other plant be classified as a variety of Zingiber zerumbet (L.)
Sm.
History and Traditional uses
No reference regarding the drug Sthulagranthi (Zingiber zerumbet (L.) Sm.) was found in
Vedic literature, Samhita granthas as well as in different Nighantu. Chopra et.al 1956:261,
Ramchandran et al. 1994:701, Kirtikar & Basu, 1935:2438, Prajapati et al., 2003: 552 have
describe this plant . Kirtikar & Basu28, 1935:2438 described vernacular names, the
morphological characters, distribution, ethno uses and its medicinal properties. Chopra et al.31
1956:261 describe the vernacular name, uses of this plant and also mentioned that, the rhizome
of the Z. zerumbet is used for same purposes as that of Z. officinale. Sharma PV’s32 1995:332;
Dravyaguna Vijnana described the plant in the Zingiber officinale under the heading types of
Sunthi. Chunekar KC 2008:4733 describe this plant in the name sthulagranthi. It is correlated
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with mahabhari bacha. It is used in kasa, swasa, krimi, kustha and othe skin diseases and also it’s
properties just like as sunthi. Prajapati et al.8 2003:552 describes the synonyms, vernacular
names, description, habitat, propagation, parts used, chemical constituents, and uses of this plant.
Sharma SK., Chunekar KC & Yadav CL., 1998:19834 described this plant in the book ‘Medicinal
plants used in Ayurveda’ as Zingiber zerumbet Rosc. Ex. Sm. syn. Amomum zerumbet Linn.,
family Zingiberaceae. It is used in Swasa, Kasa Udara sula, Krimi and kustha.
Phytochemical Contents
Dev35 isolated and determined the structure of zerumbone. Nigam and Levi36 identified,
among other constituents, α-humulene, zerumbone, and humulene monoxide. Damodaran and
Dev37 characterized humulene oxides I, II and III, humulenols I and II, caryophyllene oxide, β-
caryophyllene, dihydrophotozerumbone and photo-zerumbone. Chhabra et al.38 found
zerumbone epoxide. In oil from Fiji, Duve39 found highest levels of zerumbone (59%). Dung et
al.40 found high proportions of (Z)-nerolidol (22-36%), which was absent from rhizomes, in
extracts of stems, leaves and flowers, and found zerumbone to predominate in leaves. Srivastava
et al.17 found in similar proportions curzerenone (14.4%), zerumbone (12.6%) and camphor
(12.8%). Chane-Ming et al.41 reported that rhizomes were rich in zerumbone (37%), a -humulene
(14.4%) and camphene (13.8%) and leaves were rich in trans-nerolidol (21.4%), β-caryophyllene
(6.9%) and linalool (7.7%). The characteristics of the oils from the leaves and rhizomes of Z.
zerumbet allow them to be identified unequivocally. Vahirua Lechat et al.42 reported also the
presence of zerumbone (65.3%) as major compounds in the oil from French polynesia.
Z. zerumbet contains p-hydroxybenzaldehyde, vanillin, kaempferol-3,4',7-O-
trimethylether, kaempferol-3-O-methylether, kaempferol-3,4'-O-dimethylether, 4''-O-
acetylafzelin, kaempferol-3-O-(4-O-acetyl-alpha-L-rhamnopyranoside)], 2'',4''-O-diacetylafzelin,
kaempferol-3-O-(2,4-O-diacetyl-alpha-L-rhamnopyranoside)],3'',4''-O-diacetylafzelin,
kaempferol-3-O-(3,4-O-diacetyl-alpha-L rhamnopyranoside)], 5-hydroxyzerumbone (5-hydroxy-
2E, 6E, 9E-humulatriene-8-one) and zerumboneoxide43,44. The essential oil from the rhizomes
contained zerumbone (37%), alpha-humulene (14.4%) and camphene (13.8%) while the oils
from leaves and flowers contained (E)-nerolidol (21.4% and 34.9%, respectively), beta-
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caryophyllene (6.9% and 10.2%, respectively), and linalool (7.7% and 17.1%, respectively). The
leaf oil also contained a-and S-pinenes (10.3% and 31.4%, respectively)45. Recent study revealed
the presence of a sequiterpene, zederone in ethanol extract of rhizome46. phytochemical sceening
to the aqueous extract of rhizome was reported to contain phenolic, saponin and terpenoids47.
Pharmacological Properties
Various studies have revealed the different pharmacological potentials of Z. zerumbet in a
range of in vitro and in vivo test models. The rhizome, in particular, has been demonstrated to
possess antinociceptive, anti-inflammatory, antipyretic, hepatoprotective, antiallergic activity,
immunomodulatory activity, antiplatelet activities, antioxidant, cytotoxix activity, antiulcer,
anticancer, antimicrobial, antihyperglycemic, and at different doses/concentrations. These have
been described in detail in the following subheadings.
Acute Toxicity
Both the aqueous and ethanol extracts of Z. zerumbet were non toxic to rats at doses up to
500 mg/kg4. Zerumbone (0.1% added to food pellets) did not cause deaths in female mice given
the compound for 2 weeks48. Zerumbone showed selective cytotoxicity towards cancer cell lines
versus normal cell lines. Its IC50 values for antiproliferative effects against a liver cancer cell
line, HepG2, and non-malignant Chang liver and MDBK cells were 3.45 ± 0.026 μg/ml, 10.96 ±
0.059 μg/ml and 10.02 ± 0.03 μg/ml respectively49. The aqueous extract of Z. zerumbet at 2000
mg/kg body weight did not cause any behavioral changes to the broiler chickens immediately
after its administration indicated by normal movement and drinking behavior50.
Anti-inflammatory ActivityThe anti-inflammatory profile of intraperitoneally-administered AEZZ and EEZZ, at the
doses of 25–100 mg/kg, against prostaglandin-E2 (PGE2)-induced paw edema test has been
reported earlier by Somchit and Shukriyah4.
Analgesic and anti-pyretic activity
The ethanol extract (50 & 100 mg/kg) and the aqueous extract (25, 50 100 mg/kg) of Z.
zerumbet elicited antipyretic activity in Brewer’s yeast-induce pyrexia in rats. The antipyretic
activity of the ethanol extract was dose-dependent as a lower dose (25 mg/kg) was ineffective.
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Similarly, the ethanol extract showed a dose-dependent analgesic activity; doses of 25 and 100
mg/kg elicited similar analgesic effects as 0.2 and 0.8 mg/kg morphine, respectively, on acetic
acid-induced writhing in mice. The aqueous extract was devoid of analgesic activity. Both
analgesic and antipyretic effects of Z. zerumbet extracts may be related to its ability to inhibit
prostaglandins51.
Antiproliferative and anti-inflammatory activity
The zerumbone showed potential for the chemotherapy of human hepatoma. The IC50 of
zerumbone, an active component of Z. zerumbet, in Hep G2 cells, a human liver cancer cell line,
was 3.45 ± 0.026 µg/ml. The antiproliferative effects were time-dependent and were selective for
malignant cells as zerumbone’s IC50 values in non malignant Chang liver cells and non-
malignant MDBK cells were 10.96 ± 0.059 µg/ml and 10.02 ±0.03 µg/ml, respectively. The
mechanism of cell death in HepG2 cells was by apoptosis as zerumbone (3.45 µg/ml) up-
regulated the expression of Bax (a pro-apoptotic protein) while decreasing that of Bcl-2, anti-
apoptotic protein. This was confirmed by the finding that zerumbone enhanced DNA
fragmentation and induced a time-dependent increase in the apoptotic index which is a score of
the percentage of apoptotic cells and apoptotic bodies within the overall population of total cells.
Apoptosis-induced cell death by zerumbone was not related to the expression of p53, a tumor
suppressor protein, which was not changed by it4. Zerumbone also induced apoptosis in human
colorectal cancer cell lines52.
The zerumbone is also active as a chemopreventive through suppression of COX-2
expression, inhibition of cell proliferation in the colonic mucosa, and induction of phase II
detoxification enzymes. In this study, colonic aberrant crypt foci were induced in rats by three
weekly subcutaneous injections of azoxymethane (15 mg/kg body weight). The rats were fed
zerumbone (0.01% or 0.05% ) for five weeks beginning from a week before the first dose of
azoxymethane. The lower dose of zerumbone reduced the frequency of aberrant crypt foci by
14% while the higher dose reduced it by 46%. The expression of COX-2 and prostaglandins in
colonic mucosa were significantly reduced by zerumbone. The cell proliferation activity of
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crypts as assessed by silver-stained nucleolar organizer regions protein was also significantly
reduced by zerumbone53.
The zerumbone markedly suppressed dextran sodium sulfate (DSS)-induced colitis in
mice. Acute colitis was induced in female mice by including 5% DSS in the drinking water for 1
week. These mice showed pathological symptoms of diarrhea, bloody feces, body weight
reduction, mucosal ulceration, and shortening of the large intestine and exhibited colorectal
shortening. Zerumbone was given to the mice a week before the administration of DSS for a
total of 2 weeks. The effects of zerumbone (0.1%) given alone or in combination (0.1% each)
with nimesulide, a selective COX-2 inhibitor, on inflammatory biomarkers in colonic mucosa
and the histological alterations induced by these agents were assessed. Zerumbone given alone
suppressed DSS-induced colitis and produced significant inhibition of DSS-induced interleukin-
1b production (by 34%), reduced PGE2 formation by 73% whereas PGF2a levels were
unchanged. TNF-a levels were lowered by zerumbone (by 29%). Nimesulide alone suppressed
the histological changes induced by DSS but did not affect the inflammatory biomarkers. The
combination of zerumbone and nimesulide produced maximal suppression of inflammatory
biomarkers and also significantly suppressed colorectal shortening. Zerumbone alone or in
combination with nimesulide reduced the mean number of erosive or ulcerative lesions per colon
(by 33% and 52%, respectively) and attenuated edema formation (by 55% and 68%,
respectively) while tissue regeneration was enhanced54.
The diethyl ether extract of the fresh rhizome exhibited antiproliferative effects in
cultured P-388D cells which also showed enhanced DNA fragmentation. The diethyl ether
extract (5 mg/kg body weight) also prolonged the life span of P-388D-bearing mice. The same
findings were elicited by zerumbone which was isolated from the diethyl ether extract. The life
span of P-388D-bearing mice was also prolonged by zerumbone (2 mg/kg). The growth of HL-
60 cells, a human leukemia cell line, was inhibited by zerumbone in a time- and concentration-
dependent manner with IC50 values at 6, 12, and 18 h of 22.29, 9.12, and 2.27 µg/mL,
respectively. Zerumbone induced a time- and concentration-dependent G (2)/M cell cycle arrest
in these cells and lowered the protein levels of cyclin B1/cdk 155.
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The 6 kaempferol derivatives were extracted from Z. zerumbet, of these, kaempferol-3-O-
methyl ether and kaempferol-3,4'-O-dimethyl ether potently inhibited P-glycoprotein. This study
looked at the accumulation and efflux of 3H-daunomycin in P-glycoprotein overexpressing
multidrug resistant human breast cancer cells. The effect was similar to that of verapamil, a well
known inhibitor of P-glycoprotein. There was a three-fold increase in the accumulation of 3H-
daunomycin and a decrease in its efflux, suggesting that the kaempferol derivatives from Z.
zerumbet may form the basis for the development of anticancer agents that can reverse P-
glycoprotein -mediated multidrug resistance in human cancer chemotherapy56.
The antiproliferative and anti-inflammatory activities of zerumbone were mediated by
modulation of NF-kappaB activation. Zerumbone suppressed NF-kappaB activation induced by
tumor necrosis factor, okadaic acid, cigarette smoke condensate, phorbol myristate acetate, and
H2O2. The suppression was not cell type specific. Zerumbone also inhibited constitutively
active NF-kappaB. Consequently, NF-kappaB-regulated gene products were downregulated by
zerumbone and this lead to potentiation of apoptosis induced by cytokines and chemotherapeutic
agents. The reduced expression of NF-kappaB-regulated gene products showed correlation with
the suppression of TNF-induced invasion activity. This may be the molecular basis for the
prevention and treatment of cancer by zerumbone57.
The zerumbone (0.01-10 µM) potently inhibited Epstein Barr virus activation in Raji
cells that was induced by the tumour promoter, 12-O-tetradecanoylphorbol-13-acetate with an
IC50 value of 0.14 µM (Murakami et al,1999, Vimala et al,1999.). Concentrations of zerumbone
below 10 µM were not cytotoxic to Raji cells as well as to hepatoma cells in culture and to
normal mouse fibroblasts57-58. Structure-activity studies showed that the inhibitory activity
towards Epstein Barr virus activation was enhanced by a 100 fold with oxidation of the hydroxyl
group at C-3 of the triterpenoid, and presence of the enone group is important. An important
structural element for the chemopreventive activity of zerumbone is the presence of a carbonyl
group at the C-8 position57.
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Anthelminthic activity
The alcoholic extract of Z. zerumbet rhizomes exhibited good in vitro anthelmintic
activity against Ascaris lumbricoides59.
Antioxidant activity
Zerumbone’s potential as a chemotherapeutic agent against inflammation-related cancer
may be mediated by its antioxidant activity. Its ability to induce phase II detoxification enzymes
was determined in RL34 cells, a normal rat liver epithelial cell line. Induction of phase II
enzymes is well known to confer protection against toxicity and chemical carcinogenesis,
particularly during the initiation phase. Zerumbone (25 µM) produced a dose- and time-
dependent induction of glutathione S-transferase (by 1.5-fold) and elicited a significant increase
in the level of the GSTP1-1 protein (3.2 fold of control). Presence of thea,b-unsaturated
carbonyl group in zerumbone is essential for induction of glutathione S-transferase (GST).
CYP1A1 protein level was not affected by zerumbone indicating that it did not activate the
metabolic pathway dependent on xenobiotic response element which is contained in and is
required for carcinogen-induced expression of some cytochrome P450 isozymes. The
zerumbone also elicited significant induction in the nuclear localization of Nrf2, a transcription
factor that binds to the antioxidant response element (ARE) of phase II enzyme genes. Nrf2 is
involved in the activation of gene expression of phase II enzymes. Zerumbone (25 µM)
potentiated the gene expressions of Nrf2/ARE-dependent phase II enzyme genes, viz, g-
glutamylcysteine synthetase, glutathione peroxidase, and hemeoxygenase-1. Zerumbone did not
show scavenging activity against 1,1-diphenyl-2-picrylhydrazyl free radicals but it was able to
elicit a time-dependent increase in GSH levels. Lowering of GSH to 87% of controls was
observed at 1 hour after exposure to zerumbone (25 µM) but this was followed by a rebound
increase of up to 286% of control at 24 hour although maximal stimulation of g-glutamylcysteine
synthetase (the rate-limiting enzyme for GSH biosynthesis) had occurred at 3 hour. Glutathione
peroxidase activity was increased 2.5 fold by zerumbone (25 µM) at 24 hour. At this time,
hepatocyte lipid peroxidation induced by H2O2/Fe2+ was abolished by zerumbone (25 µM)60.
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Antiartherosclerotic activity
Zerumbone showed potential as an antiartherosclerotic agent (Eguchi et al,2007). Its
suppressive effects on TPA-induced oxidized low density lipoprotein (LDL) receptor-1 (LOX-1)
mRNA expression was studied in THP-1 human monocyte-like cells and in differentiated colonic
adenocarcinoma Caco-2 cells which models the human small intestine. Pretreatment of TPA-
treated THP-1 cells with zerumbone lead to suppression of LOX-1 mRNA levels that were
elevated by TPA with an IC50 value of 9.4 µM. A key event in artherosclerosis is the
unregulated uptake of oxidized LDL via scavenger receptors which are integral membrane
proteins. Zerumbone (10 µM) abolished or reduced the expression of several subclasses of the
macrophage scavenger receptors (SR), viz, SR-A, SR-PSOX, CD36 leading to blockade of the
uptake of a modified LDL, DiI-acLDL. The expression of other scavenger receptors, CD-68 and
CLA-1, were not affected by zerumbone. The down regulation in the expression of scavenger
receptors by zerumbone (10 µM) was postulated to be partly related to the inhibition of
transcriptional activities of activator protein-1 and nuclear factor kB52.
Antiprotozoal activity
Z. zerumbet is commonly used by AIDS patients of southern Thailand to treat diarrhoea. The
chloroform, methanol and water extracts of the rhizomes were tested for anti-giardial and for
anti-amoebic activities by incubation with trophozoites of Giardia intestinalis and with those of
E. histolytica (strains HTH-56:MUTM and HM1:IMSS), respectively, at 37oC under anaerobic
conditions for 24 hours. For anti-giardial activity, the chloroform extract of Z. zerumbet was
classified as active (IC50 of 69 µg/mL, MIC of 250 µg/mL) while the methanol and water
extracts were inactive with IC50 values of 500 µg/mL and MIC values greater than 1,000 µg/mL.
For anti- amoebic activity, the chloroform extract of Z. zerumbet was also classified as active
with a IC50 value of 200 µg/mL61-62.
Hepatoprotective activity
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Further study on hepatotoxicity potential of rhizome of Z. zerumbet demonstrated that the
crude aqueous extract, at the doses of 50 and 500 mg/kg, did not cause hepatotoxicity effect in
mice, which concurred with the insignificant changes in the serum level of ALT and AST after
treatment for 4 weeks63.
Anti-allergic Activity
The ethanol extract and aqueous extract and volatile oil of rhizome of Z. zerumbet were
subjected to an in vitro investigation for their anti-allergic activity. The extracts and oil, at the
concentrations of 0–100 β-
hexosaminidase from RBL-2H3 cell line. The ethanol extract and aqueous extract inhibited the
release of β-hexosaminidase from the cells between 10–100 µg/ml with the percentage of
inhibitory of 8.4–53.7% and 10.9–59.1%, respectively64.
Antihyperglycemic activity
Husen et al. carried out the screening of aqueous extract at doses of 50, 100 and 150
mg/kg BW, either subjected to freeze-drying process or not, for potential blood glucose lowering
effect in normoglycaemic and streptozotocin-induced hyperglycaemic rats. Comparison with
non-treated and 10 mg/kg BW-treated rats revealed that the aqueous extract caused no significant
reduction in blood glucose level in both groups of rats indicating that the aqueous extract did not
have antihyperglycemic activity65.
Medicinal uses
The rhizome is used like the officinal ginger. It is employed as a hot remedy for coughs,
asthma, special diseases worms, leprosy and other skin diseases. In Madagascars, the boiled
rhizome is given in polumnary affections66. Rhizomes employed against cough, stomachache and
asthma and also as a vermifuge. It is used in leprosy and othe skin diseases. Yields an essential
oil, used as a perfume in soaps and othe toilet articles8. It is used as stimulant, carminative &
flavorings agent; given in dyspepsia and flatulent colic; prescribed as an adjuna to many tonic
and stimulating remedies9. it is used to treat fish poisoning. It is used as a cough remedy and to
treat the bacterial disease, thrush and diabetes. The rhizome is used as stimulant,
antihypertensive, carminative and flavouring agent; to treat dyspepsia wounds, hemorrhoids and
flatulent colic for the cure of stomach troubles and fever. Used in peptic ulcers and related
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stomach problems as well as infections67. It is used to treat stomach aches in Indonesian
traditional medicine under the name Jamu. In Polynesia it is an ingredient of several medical
preparations used to treat ear inflammation and diarrhea68. It is used in local traditional medicine
as a cure for swelling, sores and loss of appetite. The juice of the boiled rhizomes has also been
used as a medicine for worm infestation in children. On Reunion Island Z. zerumbet is grown
only in gardens and is used to treat severe sprains in horses and to relieve rheumatic pain69. Z.
zerumbet is most widely known around the world as the "Shampoo Ginger". It is in fact used as a
shampoo in Asia and Hawaii, and is one of the ingredients in several commercial shampoos. Z.
zerumbet was applied for sprains, indigestion and other ailments. The pulp from the grounded
roots was wrapped in cloth and loosely bound around the injured area. The ground and strained
root material was mixed with water and drunk to ease stomach ache. In Polynesia and Hawaii, Z.
zerumbet is used against toothache and stomach ache70. For toothache or cavity, the cooked and
softened rhizome was pressed into the hollow until the pain subsides69. Z. zerumbet is also used
in local traditional medicine to treat swelling, sores and loss of appetite4. The rhizomes are
boiled and the juice used to treat worm infestation in children4. The rhizome is also used to
relieve stomachache and is macerated in alcohol for use as a tonic and depurative4,71. In some
South East Asian countries, the rhizome is used to treat inflammatory conditions72 and to relieve
fever, pain and constipation71. Young shoots and the inflorescence are used as condiments and as
a food supplement to reduce experimental ulcerative colitis4,72.
Conclusions
Zingiber zerurnbet has the distinction of being a rich source of many novel humulenoid
sesquiterpemoids and is widely cultivated in India. The rhizome of the Z. zerumbet has also been
famously used as medicinal herbs in the India, Bangladesh, Malaysia, Nepal, and Sri Lankas
traditional medicines since ancient times. The claimed medicinal uses of rhizome throughout the
world include for the treatment of inflammatory and pain-associated ailments, digestive system-
related ailments, cough, stomachache, asthma and also as a vermifuge. It is used in leprosy and
other skin diseases. The rhizomes are applied to the head of children in convulsions. In
Philippines, the pulverized rhizomes are used as antidiirrhoeal agent. This plant is widespread in
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South East Asii, Indii and Okiawa and has found use as spice and ethnomedicine. Zerumbone is
a natural cyclic sesquiterpene moiety that can be found abundantly in rhizome of the wild ginger,
Zingiber zerumbet Smith . It is known as a powerful tool in the implementation of green
chemistry with latent reactivity which contains three double bonds, two conjugated and one
isolated as well as a double conjugated carbonyl group in 11-membered ring structure. Most of
these claims have been confirmed via in vitro and in vivo techniques of biological evaluation.
Since anti HIV and cytotoxic components were isolated from Zingiber zerurnbet, the plant finds
a prominent place in modem medicine now a days.
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