Department of Microbiology, Mrinalini Datta Mahavidyapith, Birati, Kolkata, India.
Department of Pharmaceutical Technology, Jadavpur University, Kolkata, India.
Phytother Res. 2023 Oct;37(10):4353-4374. doi: 10.1002/ptr.7936. Epub 2023 Jul 12.
Hepatitis C virus (HCV), a global malady, causes acute and chronic hepatitis leading to permanent liver damage, hepatocellular carcinoma, and death. Modern anti-HCV therapies are efficient, but mostly inaccessible for residents of underdeveloped regions. To innovate more effective treatments at affordable cost, medicinal plant-based products need to be explored. The aim of this article is to review plant constituents in the light of putative anti-HCV mechanisms of action, and discuss existing problems, challenges, and future directions for their potential application in therapeutic settings. One hundred sixty literatures were collected by using appropriate search strings via scientific search engines: Google Scholar, PubMed, ScienceDirect, and Scopus. Bibliography was prepared using Mendeley desktop software. We found a substantial number of plants that were reported to inhibit different stages of HCV life cycle. Traditional medicinal plants such as Phyllanthus amarus Schumach. and Thonn., Eclipta alba (L.) Hassk., and Acacia nilotica (L.) Delile exhibited strong anti-HCV activities. Again, several phytochemicals such as epigallocatechin-3-gallate, honokilol, punicalagin, and quercetin have shown broad-spectrum anti-HCV effect. We have presented promising phytochemicals like silymarin, curcumin, glycyrrhizin, and camptothecin for nanoparticle-based hepatocyte-targeted drug delivery. Nevertheless, only a few animal studies have been performed to validate the anti-HCV effect of these plant products. Again, insufficient clinical evaluation of the safety and effectiveness of herbal medications remain a problem. Selected plants products could be developed as novel therapeutics for HCV patients only after scrupulous evaluation of their safety and efficacy in a clinical set-up.
丙型肝炎病毒 (HCV) 是一种全球性疾病,可导致急性和慢性肝炎,进而导致永久性肝损伤、肝细胞癌和死亡。现代抗 HCV 疗法虽然有效,但对于欠发达地区的居民来说,大多无法获得。为了以可负担的成本创新更有效的治疗方法,需要探索药用植物产品。本文旨在根据推定的抗 HCV 作用机制,综述植物成分,并讨论其在治疗中的潜在应用所存在的问题、挑战和未来方向。通过科学搜索引擎(Google Scholar、PubMed、ScienceDirect 和 Scopus)使用适当的搜索字符串收集了 160 篇文献。参考文献使用 Mendeley 桌面软件编制。我们发现大量植物被报道可抑制 HCV 生命周期的不同阶段。传统药用植物,如 Phyllanthus amarus Schumach. and Thonn.、Eclipta alba (L.) Hassk. 和 Acacia nilotica (L.) Delile,表现出强烈的抗 HCV 活性。此外,几种植物化学物质,如表没食子儿茶素-3-没食子酸酯、旱莲醇、安石榴甙和槲皮素,具有广谱抗 HCV 作用。我们提出了有前途的植物化学物质,如水飞蓟素、姜黄素、甘草甜素和喜树碱,用于基于纳米颗粒的肝细胞靶向药物递送。然而,仅有少数动物研究已证实这些植物产品的抗 HCV 效果。此外,草药药物的安全性和有效性的临床评估不足仍然是一个问题。只有在临床环境中对这些植物产品的安全性和疗效进行严格评估后,才能将选定的植物产品开发为 HCV 患者的新型治疗药物。