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Volume 5, Issue 1, 2024
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From Ayurveda to Global Practices: A Review on Polyherbal Formulations for Depression Management in Pre-Clinical and Clinical Studies
Authors: Arzoo Pannu and Ramesh K. GoyalThis review summarizes various polyherbal formulations investigated for antidepressant activity in preclinical and clinical studies. Ayurveda, an alternative medical system from India, employs both single herbs and polyherbal formulations to enhance therapeutic efficacy. Evidence suggests that whole herb extracts can be more potent than isolated compounds. Polyherbal formulations, combining multiple herbs with various active compounds, aim to maximize therapeutic effects and safety. This review compiles data from published research to provide insights for future studies and potential development of effective, marketable antidepressant formulations derived from natural sources.
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Evaluation of Anti-Depressant Potential of Standardized Hydroethanolic Extract of S. barbata D. Don Using Chronic Unpredictable Mild Stress Model
Authors: Arzoo Pannu and Ramesh K. GoyalBackgroundS. barbata D. Don is a Chinese herb, that belongs to the family Lamiaceae. It has established traditional use in ethnomedicine for treating various ailments, including mood disorders and sleep disorders, which led to growing interest in exploring its neurological potential, particularly as a potential anti-depressant agent.
AimsThis study explores the anti-depressant potential of the HSBE utilizing a Chronic Unpredictable Mild Stress-induced depression model in mice. Additionally, the research aims to elucidate the underlying mechanisms of action.
MethodsSwiss albino mice were subjected to a 3-week CUMS paradigm and subsequently administered HSBE at doses of 200 and 400 mg/kg via oral administration. The behavioral alterations were evaluated using the FST, TST, OFT, and SPT. Brain levels of serotonin, dopamine, and nor-epinephrine were estimated in different brain regions (cortex, hippocampus, and hypothalamus) to uncover the molecular mechanism. Additionally, assays for monoamine oxidase-A, monoamine oxidase-B, and antioxidant enzyme activities were conducted. Plasma nitrite and corticosterone levels were also measured to get further insight into potential mechanisms underlying the anti-depressant effects of HSBE.
ResultsHSBE significantly ameliorated depressive-like behavior induced by CUMS paradigm, as evidenced by reduced immobility in FST and TST, increased locomotor activity in OFT, and improved sucrose preference in SPT. Neurochemical analysis revealed a significant increase in serotonin, dopamine, and norepinephrine levels in the cortex, hippocampus, and hypothalamus of HSBE-treated mice, implying a potential regulation of monoaminergic neurotransmitter levels. Moreover, biochemical analyses demonstrated a significant inhibition of both MAO-A and MAO-B activity, contributing to the increase of the brain levels of neurotransmitters. The administration of HSBE also led to a significant enhancement of antioxidant enzyme activities and reduced brain lipid peroxidation, indicating a pronounced antioxidant effect of HSBE. Furthermore, decreased plasma nitrite and corticosterone levels provided additional insights into HSBE's potential multi-targeted anti-depressant mechanism.
ConclusionThis study indicates that HSBE exhibits robust anti-depressant properties, supported by behavioral, neurochemical, and biochemical alterations. These findings underscore the therapeutic promise of HSBE as a natural intervention for depressive disorders, warranting further clinical exploration.
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Investigation of Anti-Diabetic Properties of Ceylon Cinnamon Bark Extracts by In-Vitro α-Amylase and α-Glucosidase Inhibition, Molecular Modeling, and Postprandial Blood Glucose Regulation for Potential Nutraceuticals
BackgroundDiabetes Mellitus (DM) can appear due to the absence of insulin (DM1-type 1) or poor response of cells to insulin (DM2-type 2). Even though DM1 cannot be controlled using general treatments, DM2 can be easily controlled or prevented using pharmaceuticals, nutraceuticals, or dietary practices. Ceylon cinnamon (Cinnamomum zeylanicum) is one such natural remedy that has been consumed against elevated blood glucose levels in the past. Cinnamon and different types of cinnamon extracts have been scientifically tested for their activities on the inhibition of α-amylase and α-glucosidase enzymes that are responsible for carbohydrate metabolism and are effective in blood glucose regulation. However, the combined effect of aqueous and ethanol extracts of cinnamon bark on blood glucose regulation is still lacking. In this study, Water Extract of Cinnamon (CWE), Ethanol Extracts of Cinnamon (hot ethanol extract of cinnamon-CHEE, cold ethanol extract of cinnamon-CEE, and 50% ethanol extract of cinnamon- CEE-50) were studied for their sugar-controlling properties.
ObjectivesThis study was performed to identify the efficacy of different cinnamon extracts on the inhibition of α-amylase and α-glucosidase enzymes, followed by animal studies to confirm the use of the extracts in nutraceutical formulations.
MethodsWater and ethanol-based extraction method was used to prepare cinnamon extracts. These extracts have been scientifically tested for their activities on the inhibition of α-amylase and α-glucosidase enzymes. Molecular docking studies were used to identify the binding of the active molecules to the substrate binding sites of α-amylase and α-glucosidase. In vivo time dependence postprandial blood glucose regulation studies have been performed with healthy Wistar male rats.
ResultsYields of the CHEE, CEE, and CWE were 14±2%, 12±2%, and 8±1% respectively. According to the LCMS data, the major component in the CEE was cinnamaldehyde. Both CWE and CEE were subjected to the Total Polyphenol assay (TPC) and Total Flavonoids (TFC) assays. The TPC of CWE and CEE were 117±1 mg (Gal)/g and 170±10 mg (Gal)/g, while the TFC of CWE and CEE were 359±1 mg (Qc)/g and 254±4 mg (Qc)/g, respectively. In the α-amylase inhibition assay, Acarbose; a known α-amylase inhibitor, and CEE showed IC50 values of 65.4 ppm and 2.6 ppm, while CWE failed to show inhibition against α-amylase. In the α-glucosidase inhibition assay, Acarbose; a known α-amylase inhibitor, CEE, and CWE showed IC50 values of 312 ppm, 4.5 ppm, and 1.3 ppm, respectively. In vivo time dependence postprandial blood glucose regulation studies that have been performed with healthy Wistar male rats showed a lowering of blood glucose concentrations by 22%, 11%, and 10% of glucose at 30 min, 60 min, and 90 min compared to the control group.
ConclusionThe CEE contains polyphenols and flavonoids and is effective in inhibiting both α-amylase and α-glucosidase. The CWE also contains polyphenols and a comparatively higher level of flavonoids and is effective in inhibiting α-glucosidase while not affecting α-amylase inhibition. Overall, the IC50 data, TPC data, and TFC data proposed that the inhibition of carbohydrate hydrolyzing enzymes by polyphenols may depend on the polarity of particular polyphenols. Based on the rat trials, it can be concluded that the 1:1 combination of CWE and CEE may be useful in formulating postprandial blood glucose level-regulating nutraceuticals.
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The Synergistic Enhancement of Anti-Metabolic Diseases Function of Morus alba with the Combination of Cha (Camellia sinensis)
Authors: Shinji Sato and Tetsuya KonishiBackgroundFunctional foods play an important role in the prevention and amelioration of metabolic syndromes leading to type 2 diabetes. Plant resources that have anti-metabolic syndromes activity, such as Morus alba L. and Cha (Camellia sinensis L.), have been used in functional foods against diabetes. Since Morus and Cha have different mechanisms of action against metabolic syndromes, such as prevention of sugar uptake and lipidosis, respectively, the combination of both resources will be a reliable approach for developing more efficient functional food against type 2 diabetes because certain synergism is expected in their functions.
MethodsMale Wister Rats were fed the high fat-high sucrose (HFHS) diet for 12 weeks, with and without supplementation of Morus and Cha alone and their combination, and the effect of their supplementation on the markers of the metabolic syndrome such as obesity, lipidosis, and fatty liver formation, were examined.
ResultsSeveral metabolic syndrome markers, including body weight gain, lipid deposit, and fatty liver formation, were more significantly prevented by the diet supplemented with Morus and Cha combination compared to Morus or Cha given separately.
ConclusionAppropriate formulation of food resources with different functional mechanisms is a promising strategy for developing effective dietary treatment of type 2 diabetes that is a typical Mibyou.
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Nature's Remedy: Exploring Herbal Treatments for Polycystic Ovarian Syndrome
Authors: Meenakshi Attri, Asha Raghav and Hema ChaudharyPolycystic Ovarian Syndrome (PCOS) is a complex condition characterized by chronic ovulation issues and hyperandrogenism, affecting approximately 6% to 20% of women of reproductive age, depending on diagnostic criteria. Symptoms typically manifest during early adolescence, presenting as irregular menstrual cycles, anovulation, and acne. While some mechanisms underlying PCOS development have been identified, its precise etiology and pathophysiology remain elusive.
This article delves into the pathogenesis and management of PCOS by exploring relevant literature on PubMed. Various contributing factors to PCOS were meticulously examined, including epigenetics, environmental toxins, stress, diet, inflammation, oxidative stress, hyperandrogenism, insulin resistance, and obesity. This review examines the importance of herbal remedies in addressing Polycystic Ovarian Syndrome (PCOS), focusing on the chemical makeup, mode of action, and therapeutic uses of specific herbal medications targeting PCOS. However, despite this investigation, there remains a significant gap in completed clinical trials on repurposed drugs for PCOS, often with small sample sizes and inconclusive outcomes. Given the limited research in this area, further studies and carefully planned clinical trials are warranted to understand PCOS and its management better. Additionally, gaining deeper insights into PCOS could facilitate the development of novel drugs targeting newly discovered pathways, thereby improving treatment options for individuals affected by this syndrome.
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Diabetes Management: Herbal Remedies and Emerging Therapies
Diabetes is a chronic disease affecting millions worldwide, characterized by inadequate insulin production or malfunctioning insulin action, leading to elevated blood sugar levels. Its prevalence is escalating globally, with estimates projecting a rise from 2.8% to over 5.4% of the world's population by 2025. In India, diabetes poses a significant health challenge, especially in urban areas. While conventional medications are widely available, herbal remedies have gained popularity due to their potential for fewer side effects and lower costs. Herbal remedies have been employed for centuries in diabetes management and have been extensively studied for their blood sugar regulatory properties. Prominent herbs studied for their potential to manage diabetes include gymnema, cinnamon, fenugreek, and bitter melon. These herbs are believed to enhance insulin sensitivity, reduce glucose absorption in the intestines, and improve glucose metabolism. This review highlights emerging alternative treatment options, such as stem cell therapy and gene therapy, in the field of diabetes management. Stem cell therapy aims to regenerate insulin-producing cells or enhance their function, while gene therapy targets the underlying genetic factors contributing to diabetes. These innovative approaches hold promise for more effective and personalized treatments in the future. It is essential to emphasize that any diabetes treatment or remedy should be discussed with a healthcare professional. Diabetes management requires a personalized approach based on individual needs and medical history. The integration of herbal remedies and alternative treatment options into conventional diabetes management warrants further research to determine their efficacy, safety, and potential for widespread implementation.
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Preparation and Evaluation of Nutraceutical Capsules of Sunflower Seed Extracts for the Treatment of Anemia
Authors: Salome Amarachi Chime and Chinenye Justy OkoyeAimsThe study aimed to develop pharmaceutical nutraceutical capsules containing extracts from sunflower seeds to treat anemia and associated diseases. Sunflower seed extract (SFSE) was obtained from Helianthus annuus L, and the phytochemicals, antioxidant vitamins and mineral compositions were evaluated.
MethodsPharmaceutics evaluations were analyzed using the dried extracts to determine their flowability. The extracts were further formulated into capsule dosage forms and evaluated. The phytochemical screening of sunflower seed extract and powdered crude indicated the presence of tannin, flavonoid, phenol, saponins, phytate, oxalate, alkaloids and steroids. The quantitative phytochemical composition of sunflower seed extract revealed a high alkaloid content of 11.80 ± 0.02%, steroid composition of 2.80 ± 0.01% and a phenolic compound of 0.02 ± 0.00%. SFSE also showed different amounts of antioxidants, vitamins A, C, and E. Vitamin C (1924.20 µg/mg) was significantly the highest (p<0.05), followed by vitamin E (42.01±1.02 µg/mg), and the least was vitamin A (18.01 µg/mg). The micromeritics studies of the dried powdered extract revealed an excellent flow. The extracts were adequately formulated in capsules using hard-shell gelatin capsules in combination with compatible pharmaceutical-grade excipients. The uniformity of capsule weight showed an average weight of 488 mg ± 0.7377% and 492 mg ± 0.3252%.
ResultsThe data obtained from the extracts' content analysis showed that the extracts and all their constituents were neither affected by formulation procedures nor excipients. Hence, they exhibited an average content of 98 ± 0.07%. Zinc, iron, copper, manganese, and selenium in sunflower seeds could provide antioxidants, which can safely interact with free radicals and terminate the chain reaction, improving health status and the blood's red blood cell composition.
ConclusionSFSE capsules were stable and could be used to mask the taste and odor of this extract to enhance patient compliance.
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Exploring the Pharmacological Potential of Lobelia trigona and its Bioactive Compounds
AimThe aim of this in-depth review is to provide an overview of the pharmacological effects of Lobelia trigona and its bioactive components, highlighting its potential as a source of medicinal agents for various diseases.
MethodsThis review involved a comprehensive analysis of existing literature and research studies on the pharmacological effects of Lobelia trigona and its bioactive compounds. A bibliography survey was carried out using various electronic databases like Google Scholar, ScienceDirect, Springer, Scopus, PubMed, Wiley, etc., and other offline as well as online academic libraries were also used for the bibliography survey and compilation of data.
ResultsLobelia trigona was found to exhibit diverse pharmacological effects, primarily mediated by bioactive alkaloids, such as lobeline, lobelanidine, and lobelanine. It demonstrated bronchodilator effects with potential applications in respiratory conditions, analgesic and anti-inflammatory properties for treating painful and inflammatory conditions, and cardiovascular effects, including vasodilation and hypotensive effects. The alkaloid lobeline was reported to have promising anti-addictive effects, particularly in smoking cessation. Nanocarrier-based formulations have the potential to address limitations, improve dosing schedules, and enhance the pharmacological effects of Lobelia trigona.
ConclusionLobelia trigona demonstrates diverse pharmacological effects, primarily attributed to its bioactive alkaloids. It holds promise as a source of medicinal agents for a range of diseases. The potential synergy between the pharmacological effects of Lobelia trigona and nanocarrier technology highlights the significance of nanotechnology in improving Lobelia trigona-based therapeutics. However, further research is warranted to determine the clinical effectiveness, safety, biocompatibility, and long-term effects of nanocarrier-based Lobelia trigona formulations in different disease models.
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Abutilon indicum: Bioactive Compounds and Diverse Therapeutic Applications
A large variety of secondary metabolites are found in medicinal plants, and the majority are significant in medicine. One of the well-known plant species used to cure a wide range of human illnesses is Abutilon indicum. The plant Abutilon indicum has a wide range of therapeutic uses, and its varied parts have been employed to cure a wide range of ailments. Numerous bioactive substances, such as polyphenols, flavonoids, alkaloids, saponins, tannins, and glycosides are present in the plant. Potent antioxidant, anti-inflammatory, antibacterial, hepatoprotective, hypoglycaemic, analgesic, sedative, and diuretic activities have been demonstrated in these compounds. Additionally, the plant has been shown to have cytoprotective properties and to guard against DNA damage brought on by oxidative stress. Future research is required to pinpoint the specific bioactive chemicals responsible for the pharmacological effects of Abutilon indicum and the molecular mechanisms underlying the plant's therapeutic uses. Overall, Abutilon indicum has demonstrated great therapeutic potential and deserves further study as a possible source of homeopathic treatments for various illnesses. The present study covers a summary of the phytochemical and ethnomedicinal applications of Abutilon Indicum that would further help in exploring the research in natural medicine.
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- Food Science, Nutrition and Dietetics, Food Science & Technology
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Evaluation of Neuroprotective effect of Cassia occidentalis L. against Colchicine Induced Memory Impairment in Wistar Rats
Authors: Devika Jadhav, Nikita Saraswat, Neeraj Vyawahare and Devendra ShirodeBackgroundAlzheimer’s disease (AD) is a progressive neurological disorder that develops with aging.
ObjectiveIn this research, we have examined the anti - Alzheimer’s effect of ethanolic extract from roots of Cassia occidentalis L. on colchicine-induced Alzheimer’s in Wistar rats.
MethodsEthanolic extract was obtained and spectroscopic, chromatography analysis was performed. Acute toxicity studies using Organization of Economic Co-operation and Development (OECD) Guidelines 423 were performed to examine and make sure that there were no signs of toxic effects. The induction of AD was done using colchicine which leads to symptoms like neurotoxicity, neuroinflammation, and neurodegeneration. In this experiment, a thorough analysis of body weight, behavioral parameters, locomotor activity, and biochemical evaluation was performed to estimate the medicinal properties of Cassia occidentalis L in treating Alzheimer’s disease.
ResultsPharmacognostic analysis showed the presence of vascular bundles, starch grains, fibers, calcium oxalate crystals, elongated parenchyma, and collenchyma mucilage as shown in the supplementary files. Locomotor activity, Escape latency time, Conditioned avoidance response, and Transfer latency were improved with treatment. Interleukin- 6 (IL - 6) levels were reduced significantly in the Colchicine + 200 Cassia mg/kg group (739.2 ± 0.37 pg/ml) than in the Colchicine Group (850.6 ± 0.40 pg/ml). Tumor necrosis factor (TNF-α) was decreased in the Colchicine + 200 Cassia mg/kg Group (1030.93 ± 0.51 pg/ml) than in the Colchicine Group (1455.06 ± 1.25 pg/ml). A significant decrease in total protein level was observed in the Colchicine Group (2.52 ± 0.10 mg/ml), (3.33 ± 0.90 mg/ml) as compared to Colchicine + 200 Cassia mg/kg Group (5.27 ± 0.09 mg/ml, (5.01 ± 0.10 mg/ml) respectively, in the Hippocampus and Entorhinal cortex. The levels of antioxidant enzymes such as Catalase (CAT), Serum superoxide dismutase (SOD), Reduced glutathione (GSH) and Malondialdehyde (MDA) were measured. When compared to the Colchicine Group (7.33 ± 0.16 nM/ mg, the MDA level was lower in the Colchicine + 100 Cassia mg/kg Group (3.20 ± 0.01 nM/ mg). The level of CAT in Colchicine + 200 Cassia mg/kg Group (7.01 ± 0.03 μmoles of H2O2/mg of protein) was seen to be increased when compared to Colchicine Group (3.32 ± 0.17 μmoles of H2O2/mg of protein). The level of SOD in Colchicine + 200 Cassia mg/kg Group (7.43 ± 0.02 U mg -1 of protein) was seen to be increased when compared with Colchicine Group (4.55 ± 0.03 U mg -1 of protein). The level of GSH in Colchicine + 200 Cassia mg/kg Group (10.07 ± 0.19 nM/mg -1 of protein) was increased when compared with the Colchicine Group (5.82 ± 0.11nM/mg -1 of protein).
Histopathology of the Hippocampus and Entorhinal cortex showed diminished amyloid plaques, and neurodegeneration in the treatment groups.
ConclusionThe present study showed that ethanolic extract from the roots of Cassia occidentalis L. At 100 and 200 mg/kg doses in Wistar rats improved memory damage, by reducing oxidative stress. Levels of the antioxidant enzymes as CAT, and SOD, GSH were increased and MDA was decreased. The cytokine levels in the serum of Wistar rats of IL-6 level and TNF-α level were reduced significantly. Estimation of total protein level was found to be increased. It restored neuronal degeneration in the Hippocampus, and Entorhinal cortex and reduced oxidative stress. This suggests that the ethanolic extract of Cassia occidentalis L. could be an effective therapeutic treatment for neurodegenerative diseases like AD.
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A Comprehensive Review on Peptic Ulcer
Up to 10% people in the world are affected by a chronic condition known as peptic ulcer. Peptic ulcer development is influenced by the pH of gastric juice and a decline in mucosal defenses. Proton-pump inhibitors, histamine (H2) receptor antagonists, prostaglandin analogues and sucralfate have all been used to treat peptic ulcer disease. There has been a continuing search for an appropriate, palliative, and curative agent for the treatment of peptic ulcer disease using natural materials of plant and animal origin due to the complexity, cost, and toxicity of these medications. The goal of this review was to examine medicinal plants, phytochemicals, pathways, and research models that have been applied to the treatment of Peptic ulcer disease (PUD) in order to assess the potential contribution of natural substances to the development of herbal treatments for PUD. A literature search was used to find information utilising electronic databases such as Web of Science, Google Scholar, PubMed, Sci Finder, Reaxys, and Cochrane.
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Regulatory Pathways for Ayurvedic Formulations in India
Authors: Mohit Sanduja, Rishabh Gaur, Anuj Kumar Sharma, Devender Pathak and Mayank KulshreshthaAyurveda, a traditional system of medicine originating in India, focuses on teaching people how to live a healthy lifestyle. Ayurveda describes health as harmony between body, mind, emotions, and spirituality. It interprets illness as a symptom and result of disharmony. It is a system that is increasingly becoming an object of interest for people around the world. It is a way for healthy people looking for methods of prevention and patients looking for natural ways to heal. The regulatory requirements for its formulations have been a major challenge. Some regulations for Ayurveda are clubbed together with those of other systems of medicine, for example, Siddha, Unani, and Homeopathy due to their similarity, but the official books relevant to the Ayurvedic systems of medicine are separately compiled and conserved. Ayurveda does not prohibit anything, it does not act invasively or aggressively, and in the treatment of ailments it uses all naturally occurring bioactive substances, which, for example, in Western countries are associated with “functional food” or “dietary supplements”. In order to increase the quality and reliability of Ayurvedic formulations, various councils and departments under these ministries have been laying the foundation of standards and protocols as per the demands of regulatory authorities. The direct or indirect connection among the different Ministries of India governing the regulations for the production, standardization, and development of Ayurvedic formulations has also been viewed. Improvement in quality parameters has a higher level of acceptance of ayurvedic formulations. It has amplified the market size of the ayurvedic pharmaceutical industry. The synchronisation of various regulations in India could emerge as a powerful tool in establishing a novel platform for the whole world in the manufacturing and development of ayurvedic formulations for the benefit of mankind.
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Analysis of Anti-Cancer Effects in Grapefruit-based Drug Development: A Narrative Review
Authors: Jeetendra Kumar Gupta, Kuldeep Singh, Shivendra Kumar and Girdhar KhandelwalCancer remains a significant global health concern, and natural compounds found in fruits and vegetables have shown potential anti-cancer effects. Grapefruit (Citrus paradisi) has gained attention due to its rich phytochemical composition and biological activities, including anti-cancer properties. This narrative review analyzes the literature on grapefruit-based drug development and its potential as an adjunctive or alternative therapeutic strategy for cancer treatment. Grapefruit-derived compounds have been extensively studied for their anti-cancer effects, with preclinical studies showing promising outcomes in inhibiting cancer cell growth and proliferation. Compounds made from grapefruit also have anti-cancer effects. They do this in a number of ways, such as by affecting the cell cycle, apoptosis, angiogenesis, metastasis, and key signalling pathways. Petrified grapefruit compounds have potential synergistic effects with conventional chemotherapy drugs, enhancing cytotoxic effects while reducing adverse side effects. They have shown promising results in overcoming drug resistance, a major obstacle in cancer treatment. However, challenges such as bioavailability, drug interactions, and variability in compound composition remain. Overall, grapefruit-derived compounds possess significant anti-cancer properties and warrant further investigation for clinical application.
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