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Revista da Sociedade Brasileira de Medicina Tropical 3 7 ( 2 ) :1 8 6 -1 8 8 , mar-abr, 2 0 0 4

Pr eliminar y assessment of medicinal plants used as antimalar ials

in the southeaster n Venezuelan Amazon

Avaliação preliminar de plantas medicinais usadas como

antimaláricos no sudeste amazônico Venezuelano

Ale ja ndr o Ca r a ba llo

!!!!!

, Br igida Ca r a ba llo

1

a nd Ale x is Ro dr ígue z - Aco sta

2

ABSTRACT

Ei gh te e n sp e c i e s o f m e d i c i n a l p la n ts u se d i n th e tre a tm e n t o f m a la ri a i n Bo lí va r Sta te , Ve n e zu e la we re re c o rd e d a n d th e y

b e lo n ge d to Co m p o si ta e , Me li a c e a e , An a c a rd i a c e a e , Bi x a c e a e , Bo ra gi n a c e a e , Ca ri c a c e a e , Cu c u rb i ta c e a e , Eu p h o rb i a c e a e ,

Le gu m i n o sa e , Myrta c e a e , Ph yto la c c a c e a e , Pla n ta gi n a c e a e , Sc ro p h u la ri a c e a e , So la n a c e a e a n d Ve rb e n a c e a e f a m i li e s.

An ti m a la ri a l pla n t a c ti vi ti e s ha ve b e e n li n k e d to a ra n ge o f c o m po u n ds i n c lu di n g a n thro q u i n o n e s, b e rb e ri n e , f la vo n o i ds,

li m o n o i d s, n a p h th q u i n o n e s, se sq u i te rp e n e s, q u a ssi n o i d s, i n d o l a n d q u i n o li n e a lk a lo i d s.

Ke y-words:

Ethn o m e di c i n e . Phyto the ra pe u ti c . Me di c i n a l pla n ts. Ma la ri a . Ve n e zu e la n a m a zo n .

RESUMO

De zo ito e spé c ie s de pla n ta s m e dic in a is u sa da s n o tra ta m e n to da m a lá ria n o Esta do Bo líva r, Ve n e zu e la , fo ra m e sta b e le c ida s

e p e rte n c i a m à s f a m i li a s Co m p o si ta e , Me li a c e a e , An a c a rd i a c e a e , Bi x a c e a e , Bo ra gi n a c e a e , Ca ri c a c e a e , Cu c u rb i ta c e a e ,

Eu pho rb i a c e a e , Le gu m i n o sa e , Myrta c e a e , Phyto la c c a c e a e , Pla n ta gi n a c e a e , Sc ro phu la ri a c e a e , So la n a c e a e e Ve rb e n a c e a e . As

a ti vi d a d e s a n ti m a lá ri c a s d e sta s p la n ta s p a re c e m e sta r li ga d a s a u m gru p o d e c o m p o sto s q u e i n c lu e m a n tro q u i n o n a s,

b e rb e ri n a , f la vo n o i d e s, li m o n o i d e s, n a f tq u i n o n a s, se sq u i te rp e n o s, q u a ssi n o i d e s, i n d o l e a lc a ló i d e s d e q u i n o li n a .

Palavr as-chave s:

Etn o m e di c i n a . Fi to te ra pê u ti c a . Pla n ta s m e di c i n a i s. Ma lá ri a . Am a zo n a s Ve n e zu e la n o .

1 . De par tame nto de B o tánic a, Fac ultad de Agr o no mía, Unive r sidad de l Zulia, Apar tado Po stal 5 2 6 , Mar ac aib o , Ve ne zue la. 2 . Instituto de Medic ina Tr o pic al, Univer sidad Ce ntr al de Ve ne zue la, Apar tado Po stal 4 7 4 2 3 -Car ac as 1 0 4 1 A, Ve ne zue la.

!

This pape r is de dic ate d In m e m o ri a m o f Dr. Ale j andr o Car ab allo who die d while this wo r k was b e ing finishing.

Addr e ss to: Dr. Ale xis Ro dr ígue z-Ac o sta. Apar tado 4 7 4 2 3 , Car ac as 1 0 4 1 , Ve ne zue la. e - m ail:r o dr iguf@ uc v. ve

Re c e b ido par a pub lic aç ão e m 7 /4 /2 0 0 3 Ac e ito e m 1 2 /1 /2 0 0 4

Malaria is the most important and devastating parasitic infection

in the world

1 6 2 3

. Malaria cases are frequently recorded in Bolívar

state territory, which comprises sweeping grassy plains, as well as

areas along the Orinoco River and tropical forests inhabited by gold

and diamond miners. The area is also inhabited by near nineteen

Amerindian groups who live scattered throughout the jungle and

highlands. For several years, the standard antimalarial drugs which

include quinoline derivates, sulpha drugs and antifolates have been

employed in the treatment of malaria by the National Malaria Control

Program. Preparations based on plants used in traditional medicine

have been widely employed in the Bolivar State as an alternative to

pharmaceuticals

14

.

The Amazo n has no t been bo tanic ally explo r ed as have the

savannas, sc r ub lands, the sur r o unding lo wland and upland

fo r est and even mo untains, mo st o f whic h ar e no w c o nsider ed

to be intensively studied and therefo re taxo no mic ally kno wn

1 4

.

As par t o f a pr o j e c t aim e d at im pr o ving the antim alar ial

therapeutic s in Venezuela, we organized a ethnobotanic al survey

on traditional medic inal plants used in the treatment of malaria

in B o lívar State , Ve ne zue la. Dur ing 5 ye ar s this study was

c o nduc te d in B o lívar State , in a tr o pic al humid fo r e st ar e a at

Domingo Sifontes municipality. This southeastern area ( 6 5 0 0 0 km

2

)

of the state is the most densely populated region and is situated

at 0 7 ° 1 5 ’N latitude and 6 1 ° 2 6 ’W longitude

1 5

. Data were obtained

using sta nda r d e thno b o ta nic a l c o lle c ting te c hniq ue s

1 9

. The

in fo r m a tio n wa s c o lle c te d fr o m Ka r iñ a , Ak a wa yo , No r th

Ar awak Am e r indians and m ine r po pulatio n. Thr e e r e gio ns

we r e e xplo r e d: Tume r e mo ( c apital o f the Do mingo Sifo nte s

m u n i c i p a l i ty) , E l D o r a d o a n d La s Cl a r i ta s . T h e m o s t

k no wle dge ab le me mb e r s o f e ac h c o mmunity we r e ide ntifie d

and inter viewed. The b asic questio n under lying the inter views

was “do yo u use any plants to tr e at o r to c ur e malar ia”?

Spe c ime ns o f the plants use d we r e the n c o lle c te d in the fie ld

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1 8 7

administration and use were recorded, as well as local names and

any other relevant data. Information was double-checked with more

than one interviewee. The standard herbarium spec imens were

collected for subsequent identification of the species.

Par ts o f the plants sc r e e ne d b y antimalar ial ac tivity we r e

those that people rec ommended ( roots, leaves, etc ) . The piec es

we r e air-dr ie d in the dar k whe n po ssib le , b ut in the sun whe n

the humidity was to o high.

Eighteen plants spec ies of 1 3 families used in the treatment

o f malar ia at Do mingo Sifo nte s Munic ipality we r e ide ntifie d.

De ta ils o f the use o f so m e o f the se pla nts to ge the r with

c o mparative data are presented in Table 1 .

The plants rec orded in this survey, were used in the treatment

of the disease and not as prophylac tic s. The majority were used

as dec oc tions and were generally administered three times daily

until malaria was c ured. Some plants were used both internally

and externally ( as baths) , and in a few c ases they were applied as

c ompresses to the swollen spleen.

The antimalar ial ac tivity has b e e n link e d to a r ange o f

c ompounds inc luding anthroquinones, berberine, flavonoids,

limonoids, naphthquinones, sesquiterpenes, quassinoids, indol and

quinoline alkaloids and many of the genera represented by the

plants c ollec ted in this work have been shown to c ontain these

c ompounds

2 1

.

The mo st fr e que ntly use d plant par ts we r e : le ave s ( 7 0 % ) ;

r o o ts ( 1 5 % ) ; fr uits ( 1 0 % ) ; and stalk s ( 2 % ) . The e no r mo us

fr e que nc y o f the le ave s in tr aditio nal c o mpo unds is r e late d to

their abundant availability and easy c o llec tio n.

The knowledge of plants used in the treatment of malaria in

the Domingo Sifontes munic ipality, c ombined with the high level

o f c o r r e latio n fo und with the use s o f the se plants ( o r r e late d

spe c ie s) in dive r se pa r ts o f La tin Am e r ic a , indic a te s the

inheritanc e of our anc estors’ knowledge in the whole c ontinent.

It r e pr e se nts so me time s the o nly availab le alte r native malar ia

tr e atme nt in r e mo te c o mmunitie s o f the munic ipality and its

sur r o undings.

REFERENCES

1 . Alb o r no z, A. Me dic ina Tr adic io nal He r b ar ia. Instituto Far mac o te r ápic o Latino , Car ac as, 1 9 9 7 .

2 . Altsc hul S, Lipp. Ne w So ur c e s fo r Dr ugs and Fo o ds fr o m the Ne w Ne w Yo r k B o tanic al Gar de n He r b ar ia. Har var d Unive r sity Pr e ss. Camb r idge , 1 9 8 2 . 3 . Aminuddin RD, Gir ac h A, Sub han KA. Tr e atme nt o f malar ia thr o ugh he r b al

dr ugs fr o m Or issa, India. Fito te r apia 6 4 : 5 4 5 - 5 4 8 , 1 9 9 3 .

4 . Aye nsu ES. Me dic inal Plants o f the We st Indie s. Re fe r e nc e Pub lic atio ns. Algo nac , Mic higan, 1 9 8 1 .

5 . B r andao MGL, Gr andi TSM, Ro c ha TMM, Sawye r DR, Kr e ttli AU. Sur ve y o f m e d i c i n a l p l a n ts u s e d a s a n ti m a l a r i a l s i n th e Am a zo n . J o u r n a l o f Ethno phar mac o lo gy 3 6 : 1 7 5 -1 8 2 , 1 9 9 2 .

6 . Delasc io-Chitty F. Algunas Plantas Usadas en la Medic ina Empíric a Venezolana. Dir ec c io n de Investigac io nes B io lo gic as, INPARQUES, Car ac as, 1 9 8 5 . 7 . Di Stasi LC, Hiruma CC, Guimaraes EM, Santos CM. Medic inal plants popularly

use d in B r azilian Amazo n. Fito te r apia 6 5 : 5 2 9 - 5 4 0 , 1 9 9 4 . Ta b le 1 - So m e pla nts use d in the tre a tm e nt o f m a la ria in the Do m ingo Sifo nte s m unic ipa lity, Bo liva r Sta te , Ve ne zue la .

B olívar State data Comparative data

Spec ies Family P U PP spec ies Details

Aza dira c hta in dic a A.Juss. Meliaceae 1 d Aza dira c hta in dic a A.Ju ss Used to treat malaria in India and Sudan3 9

Bixa o re lla n a L. B ixac ea 1 ,r d Bixa o re lla n a Used to treat malaria in B razil and Peru8 1 8

Ca ric a pa pa ya L Caric ac eae ft j Ca ri c a pa pa ya Used to treat malaria in B razil an Surinam1 8 1 9

Ce dre la o do ra ta L. Meliaceae s b mwv Ce dre la o do ra ta Used to treat malaria elsewhere1 2

Eu c a lyptu s glo b u lu s Labill. Myrtac ea 1 d Eu c a lyptu s glo b u lu s Used to treat malaria in Venezuela1 2 1 3

He lio tro pium indic um L. B oraginac eae 1 d He li o tro pi u m i n di c u m Used to treat malaria in Venezuela1

Mo m o rdic a c ha ra n tia L. Cuc urbitac eae 1 d Mo m o rd i c a c h a ra n ti a Used to treat malaria in B razil, Colombia, Guyana, Trinidad, West Indies, and Venezuela1 4 8 12 13 17 20 24

Pa rthe n i u m hyste ro pho ru s L. Compositae r d Pa rth e n i u m h yste ro p h o ru s Used to treat malaria in Venezuela1

Pe tive ria a llia c e a L. Phytolac c ac eae Ep d Pe tive ria a llia c e a Used to treat malaria in B razil8 2 0

Phylla n thu s n iru ri L. Phylla n thu s n i ru ri a n d P. niruri used to treat malaria elsewhere9 2 0

and Phylla n thu s n i ru ri spp other spp Used in B razil, Cuba and Surinam1 3 2 0 2 1

Pla nta go a ustra lis Lam. Plantaginaceae 1 d Pla n ta go a u stra li s Used to treat malaria in Venezuela1 4

Sc o pa ria du lc is L. Sc rophulariac eae 1 , r d Sc o pa ri a du lc i s Used to treat malaria in Colombia and Venezuela1 6 1 1 1 2

Se nna o c c ide nta lis L.Link. Leguminosae 1 , r d Se n n a o c c ide n ta lis Used to treat malaria in B razil, Colombia and Venezuela2 5 7 8 1 2 1 8 1 9

So la n u m spp. Solanac ea ep d So la n u m spp Used very widely to treat malaria5 2 0 2 1 2 2 2 3 2 4

Spo n dia s m o m b in L. Anac ardiac eae l d Sp o n d i a s m o m b i n Used to treat malaria in Venezuela1

Ta ra xa c um o ffic ina le Web. Compositae L,r d Ta ra xa c u m o ffic in a le Used to treat malaria in Venezuela1

Ve rb e na lito ra lis H.B .K Verbenac eae l d Ve rb e n a li to ra li s Used to treat malaria in Venezuela1

Ve rn o n i a sp p Compositae s b d Ve rn o n i a sp p Used to treat malaria in B razil, Colombia and Venezuela2 7 1 2 2 0

PU: part of the plant part used: ep = entire plant; ft = fruit; l = leaf; r = roots; s = seed; sb = stem bark. PP: preparations: d = dec oc tion; j = juic e; mwv = mac erate in white vine.

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Revista da Sociedade Brasileira de Medicina Tropical 3 7 ( 2 ) :1 8 6 -1 8 8 , mar-abr, 2 0 0 4

8 . Duke JA, Vasquez R. Amazo nian Ethno b o tanic al Dic tio nar y. CRC Pr ess. B o c a Rato n, 1 9 9 4 .

9 . El- Kamali HH, El- Khalifa KF.Tr e atme nt o f malar ia thr o ugh he r b al dr ugs in the Ce ntr al Sudan. Fito te r apia 6 8 : 5 2 7 - 5 2 8 , 1 9 9 7 .

1 0 . Estrella E. Plantas Medic inales Amazo nic as: Realidad e Perspec tivas. Tratado de Co o pe r ac ió n Amazo nic a. Lima, 1 9 9 5 .

1 1 . Gar c ía- B ar r iga H. Flo r a Me dic inal de Co lo mb ia. Te r c e r Mundo . B o go tá, 1 9 9 2 .

1 2 . Gi l - Ota i za R . P l a n ta s u s u a l e s e n l a Me d i c i n a P o p u l a r Ve n e zo l a n a . Unive r sidad de lo s Ande s. Me r ida, Ve ne zue la, 1 9 9 7 .

1 3 . Grenand P, Mo retti C, Jac quemin H. Pharmac o pées Traditio nelles en Guyane. ORSTOM. Par is, 1 9 8 7 .

1 4 . Hub e r O. Estado ac tual de lo s c o no c imie nto s so b r e flo r a y la ve ge tac ió n de la r e gió n Guayana, Ve ne zue la. In: We ib e zahn FH, Alvar e z H, Le wis J r WM ( e ds) The Or ino c o r ive r as e c o syste m. CVG-EDELCA, Fo ndo Edito r ial Ac ta Cie ntífic a, CAVN, USB , Car ac as, 1 9 9 0 .

1 5 . Hub e r O, Alar c ó n C. Ve ne zue lan Guayana Ve ge tatio n Map.CVG-EDELCA and Misso ur i B o tanic al Gar de n, Car ac as, 1 9 9 5 .

1 6 . Klayman DL. We e ding o ut malar ia. Natur al Histo r y 1 0 : 1 8 - 9 1 , 1 9 8 9 . 1 7 . Lac hman-White DA, Adams CD, Tr o tz UOD. A Guide to the Me dic inal Plants

o f Co astal Guyana. Co mmo nwr e alth Sc ie nc e Co unc il. Lo ndo n, 1 9 8 7 . 1 8 . Lo r e nzi H. Plantas Daninhas do B r asil: Te r r e str e s, Aq uátic as, Par asitas,

Tó xic as e Me dic inais. Edito r a Plantar um. No va Ode ssa, 1 9 9 1 .

1 9 . Millik e n W. Malar ia and antimalar ial plants in Ro r aima, B r azil. Tr o pic al Do c to r 2 7 ( suppl 1 ) : 2 0 - 2 5 , 1 9 9 7 .

2 0 . Morton JF. Atlas of Medic inal Plants of Middle Americ a. C. Thomas. Springfield, Illino is, 1 9 8 1 .

2 1 . Phillipso n J D, Wr ight CW. Antipr o to zo al age nts fr o m plant so ur c e s. Planta Me dic a 5 7 ( suppl) : 5 3 -5 9 , 1 9 9 1 .

2 2 . Pittie r H. Las Plantas Usuale s de Ve ne zue la. Fundac ió n Euge nio Me ndo za. Car ac as, 1 9 7 8 .

2 3 . Ro dr igue z- Ac o sta A, Do mingue z NG, Aguilar I, Gir ó n ME. Char ac te r izatio n o f Pla sm o d i u m f a lc i p a ru m glutam ate de hydr o ge nase - so lub le antige n. B r azilian Jo ur nal o f Medic al and B io lo gic al Resear c h 3 1 : 1 1 4 9 -1 1 5 5 , 1 9 9 8 . 2 4 . Wo ng E. Me dic inal Plants o f Tr inidad. Ec o no mic B o tany Lab o r ato r y, USDA,

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