The traditional use of a plant provides indirect hints to investigators that the plant is the source of targeted phytochemicals. This information has been passed down from generation to generation, and in recent decades, scientists have been taking these local usage practices into great consideration. It has been estimated by the World Health Organization (WHO) that herbal remedies are relied upon by roughly 80% of people worldwide for some aspects of their primary healthcare requirements. The WHO has stated that there are around 21,000 plant species that possess medicinal properties. Based on available data, it has been concluded that over three-quarters of the global population primarily depends on plants and plant extracts for their healthcare needs [55, 56].
Curculigo orchioides, the origin of this plant, is traced back to India, where it is recognized as a powerful adaptogen and aphrodisiac in the Ayurvedic medical tradition. It is widely used in various Ayurvedic remedies and is believed to possess hepatoprotective, anticancer, antioxidant, antidiabetic, aphrodisiac, and immunostimulatory properties [57]. Its rhizomes are well used traditionally rather than leaf. The rhizomes of this plant have been utilized for numerous purposes in traditional practices, such as treating skin ailments, promoting wound healing, providing a cooling effect, combating bacterial infections, enhancing sensual experiences, managing jaundice and respiratory conditions like asthma and bronchitis, preventing cancer, and serving as a tonic for leucorrhea, hemorrhoids, pruritis, and sweetness, among others [58].
Plants contain a wide range of components that possess various bioactivities in both plant and animal systems. These components can regulate biological signaling pathways and are therefore potentially useful in treating and managing a wide range of diseases and disorders [59]. C. orchioides contains a diverse range of phytoconstituents, as indicated by qualitative analyses of extracts obtained from both the plant's rhizomes and the whole plant. These extracts contain saponins, phenolics, alkaloids, steroids, flavonoids, triterpenes, and ploysacchariedes [3, 60]. Major glycosides identified from C. orchioides plant includes syringic acid; glucopyranoside; curculigosaponins E, F, G, H, I, and J; curculigoside B; curculigines P and Q; curculigine B and C; orcinosides I-J; 2-beta-Dglucopyranosyloxy-5-hydroxybenzyl-2'-methoxy-6'-hydroxybe nzoate; 2,6-dimethoxyl benzoic acid; orcinol-β-D-glucoside) [61–65].
In our study, we found that C. orchioides contains flavonoids, sugar moieties, and glycosides in its ECO, CCO, and HCO extractions. The issue of antibiotic resistance is a significant challenge in the contemporary era, resulting in the failure of conventional antibiotics, chronic ailments, treatment complexities, and escalated costs. Multidrug-resistant bacteria can cause severe health consequences for both humans and animals. Phytochemicals offer a promising alternative by providing a diverse range of bioactive groups such as alkaloids, glycosides, polyphenols, and flavonoids, which are capable of combating various pathogens, including multidrug-resistant ones, by targeting their efflux pumps, biofilms, membrane-protein dysregulation, interapting cellular communications, and other biological processes [66]. It has evidence that C. orchioides has an anti-Streptococcus pyogenes effect with a minimum inhibitory concentration (MIC) value of 49 µg/ml [67]. Our research findings indicate that at a dosage of 250 µg/disc, the herb's CCO exhibited antibacterial properties against a range of gram-positive and gram-negative pathogenic bacteria. This confirms earlier reports of the plant's antibacterial effects.
Unbound radicals are chemical compounds containing atoms, molecules, or ions that contain one or more unpaired electrons in their outer shells, rendering them extremely responsive. Usually, these molecules play a double duty in our organisms: on one hand, they can inflict oxidative harm and tissue malfunction as poisonous byproducts of oxygen metabolism, while on the other hand, they also act as molecular signaling agents that promote advantageous stress cascades [68]. An overabundance of unbound radicals can inflict harm on a living system. Antioxidants counteract these radicals in a living system via various means. Medicinal plants and their byproducts, boasting a range of chemical groups, have the potential to act against an excess of hazardous unbound radicals that may affect our bodies [69].
As an antioxidant, C. orchioides is believed to possess the ability to scavenge radicals, according to previous reports. Furthermore, another study indicated that the antioxidant impact of C. orchioides is associated with its ability to protect the liver in experimental animals [34, 70]. In our investigation, it was discovered that every fraction of C. orchioides leaf could effectively and proportionally remove DPPH free radicals at a concentration range of 20 − 100 µg/ml. The overproduction of harmful free radicals is related to the destruction of important cellular macromolecules such as carbohydrates, proteins, lipids, and genetic molecules inside an organism. This phenomenon can stimulate both pro-inflammatory and inflammatory reactions, which may trigger the liberation of various mediators [71].
Nonetheless, microbial invasions can cause both oxidative stress and inflammatory responses within our bodies [72]. Though leaf extract was not previously studied, in a previous study conducted by [28], rhizome extracts of the plant, when administered at 150, 300, and 600 mg/kg doses, had a significant impact on reducing the levels of tumor necrosis factor alpha (TNF-α), interleukin (IL)-1β, and IL-6 when compared to the control groups in rats. Our investigation revealed that all the C. orchioides leaf extracts exhibited dose-dependent inhibition of egg protein denaturation and safeguarded HRBC within the range of 20 to 100 µg/ml. The improper management of blood sugar levels continues to pose a significant health challenge globally, leading to a surge in the prevalence of diabetes mellitus and related fatalities. Although conventional antidiabetic medications have been successful, they often come with inevitable side effects. Hence, alternative options, such as the development of novel and safe antidiabetic drugs, may be necessary to address this issue [73].
As per several prior studies, C. orchioides possesses antidiabetic characteristics [39, 74]. According to Umar [74], C. orchioides is capable of inhibiting alpha-glucosidase. In diabetic patients, enzymes such as alpha-amylase and alpha-glucosidase decompose carbohydrates and lead to elevated glucose levels in the blood after meals. Thus, compounds that can restrict these enzymes could regulate postprandial hyperglycemia, minimizing the likelihood of diabetes development [75]. Our research indicates that all the segments of C. orchioides leaves were able to dose-dependently restrain alpha-amylase. In addition, they also reduced the oral glucose level in experimental animals 30 minutes after extract administration at a 500 mg/kg oral dose. Diarrhea is a medical condition in which a person experiences frequent bowel movements that are unusually watery or loose in texture. The condition is triggered by a combination of factors, including osmotic and active secretion, impaired peristalsis, and exudation [75]. It has been estimated that diarrhea leads to about 1.7 billion cases annually in children and is responsible for almost 5.5 million child deaths below the age of 5. In South Asia, diarrhea causes nearly 2.75 million deaths among children under the age of 5. Luckily, diarrhea can be prevented and cured. Nevertheless, traditional antidiarrheal medications are hazardous, develop resistance, become ineffective, and are not recommended for numerous pathological conditions and therapeutic approaches [76].
The use of local medicinal plants for diarrhea treatment has a long history in many countries across the globe. As far as we know, this study represents the first antidiarrheal activity test conducted using the castor oil-induced diarrhea model in Swiss mice. Castor oil prevents water reabsorption, leading to an increase in the volume of intestinal contents and causing diarrhea in animals. The ricinoleic acid present in castor oil mediates irritation and inflammation of the intestinal mucosa, resulting in prostaglandin secretion that alters the transport of mucosal fluid and electrolytes, thereby preventing the reabsorption of NaCl and water. In experimental animals, ricinoleic acid was found to significantly increase the PGE2 content in the gut lumen, leading to the release of excessive water and electrolytes into the small intestine. Additionally, castor oil has the ability to synthesize nitric oxide (NO), which increases the permeability of the epithelial layer to calcium ions, resulting in increased intracellular Ca2+ levels and stimulation of NO synthase activity. As a result, both prostaglandins and NO can induce intestinal secretion and trigger inflammatory cascades [77].
Bacterial diarrhea is commonly caused by specific pathogens, including E. coli and Salmonella sp. According to Marasini et al.'s [67] study and our own findings, there may be a correlation between the antibacterial effects observed and the efficacy against E. coli and Salmonella sp. In our research, we found that administering CCO at a dose of 500 mg/kg and the standard antidiarrheal drug LOP at 3 mg/kg resulted in similar latency and diarrhea episodes in the castor oil-induced diarrhea model in mice. According to Islam [44], there are more than 600 known neurological diseases and disorders. Anxiety is a common mood disorder caused by stress that can cause disability and even premature death. Around 20% of adults experience anxiety at some point in their lives [78, 79]. The neurotransmission systems involving gamma-amino butyric acid (GABA) and serotonin play a role in anxiety. Although SSRIs are effective in treating anxiety, they are mainly used as antidepressants [80].
Benzodiazepines are commonly used to treat anxiety, but they have many unwanted effects like muscle dependence, relaxation, memory problems, sedation, and interaction with other treatments. Therefore, plant-based compounds can be a safe and effective source of anxiolytic agents. Our research indicates that CCO can be used as an alternative to benzodiazepines to treat anxiety [81]. The study found that CCO showed similar anxiolytic effects as the positive control group (DZP 3 mg/kg, i.p.) in Swiss mice at 500 mg/kg (p.o.). All the extracts significantly reduced the number of square and hole-crossing behaviors in animals compared to the control group (p < 0.05). Various solvents are used for extracting compounds from plants, such as ethanol, chloroform, n-hexane, methanol, and ethyl acetate, depending on the type of compound. Ethanol, methanol, and ethyl-acetate are used for extracting hydrophilic compounds, while chloroform, dichloromethane, or a mixture of dichloromethane and methanol are used for lipophilic compounds. Moreover, n-hexane is used to remove chlorophyll from plant extracts [82]. To obtain initial extraction, dried plant materials are usually extracted with chloroform. This solvent is often utilized to extract glycosidic contents from crude samples as well [83]. A preliminary phytochemical study suggests that CCO exhibited a higher intensity of glycoside contents in the leaf extract, which is consistent with previous studies that isolated glycosides from the plant. Furthermore, according to a study, the polysaccharides of this herb are evidently enhancing the rate of osteogenic mineralization in MC3T3-E1 cells. Osteoarthritis is related to oxidative stress and inflammation, which are promising factors [60, 84].
C. orchioides has been previously reported to have anti-arthritis effects [25, 85, 86]. Gong [85] attributed this effect to orcinol glucoside, present in C. orchioides, which attenuated oxidative stress and autophagic cascades in SAMP6 mice. The development of arthritis is associated with chronic inflammation of the synovial membrane and bone erosion, caused by autoantibodies and proinflammatory cytokines like TNF-α and IL-6 [87]. C. orchioides rhizome extract has been found to be active against TNF-α and IL-6 [28], and it also exhibits immunostimulatory effects in mice [29]. The CCO and HCO fractions of the plant contain bioactive sugars that might be responsible for their observed free radical scavenging and anti-inflammatory effects.
According to earlier reports [25, 85, 86], C. orchioides has anti-arthritis effects. Recently, Gong [85] found that the phenolic glycoside orcinol glucoside present in C. orchioides exerts an anti-arthritis effect by reducing oxidative stress and autophagic cascades in SAMP6 mice. Arthritis is a chronic inflammatory condition caused by autoantibodies and proinflammatory cytokines, such as TNF-α, and IL-6, which can lead to bone erosion and deformity. The C. orchioides extract is active against TNF-α, and IL-6 and has been shown to have immunostimulatory effects in mice. The observed free radical scavenging and anti-inflammatory effects of CCO and HCO may be due to the presence of bioactive sugars in these fractions[28, 29, 85, 87].