Exploring the pharmacological potential of Moringa oleifera folium in health applications: A review

  • Kadek Rahayu Darma Yanti Department of Pharmacy, Faculty of Mathematics and Natural Science, Udayana University, Bali 80361
  • Kadek Tania Wirawati Department of Pharmacy, Faculty of Mathematics and Natural Science, Udayana University, Bali 80361
  • Gabrios Bonauli Ompusunggu Department of Pharmacy, Faculty of Mathematics and Natural Science, Udayana University, Bali 80361 https://orcid.org/0009-0001-0178-6952
  • Luh Wardani Department of Pharmacy, Faculty of Mathematics and Natural Science, Udayana University, Bali 80361
Keywords: Moringa oleifera, Antioxidant, Anti-inflammatory, Cardiovascular, Neuroprotection, Diabetic nephropathy

Abstract

This review synthesizes current knowledge on the therapeutical potential of Moringa oleifera leaf extract in health. M. oleifera has transitioned from traditional medicine to the forefront of scientific investigation due to its exceptional phytochemical diversity and pharmacological versatility. Evidence supporting cardiovascular, metabolic, and renal benefits is assessed, highlighting mechanisms including nitric oxide modulation, anti-adipogenic effects, protein glycation inhibition, and renoprotection in diabetic conditions. The anti-inflammatory properties of M. oleifera are examined across gastrointestinal, neurological, and pulmonary systems, with significant findings in inflammatory bowel disease models, microglial enzyme modulation, and cancer suppression. Recent research on specific bioactive fractions, molecular targets, and signaling pathways provides mechanistic insights into M. oleifera's therapeutic actions. While substantial preclinical evidence supports M. oleifera's potential, it identifies critical research gaps, particularly in clinical validation, standardization, and pharmacokinetics. M. oleifera represents a promising sustainable resource for addressing global health challenges, especially in chronic disease prevention and management.

References

Leone A, Spada A, Battezzati A, Schiraldi A, Aristil J, Bertoli S. Moringa oleifera Seeds and Oil: Characteristics and Uses for Human Health. Int J Mol Sci. 2016;17: 2141. https://doi.org/10.3390/ijms17122141

Segwatibe MK, Cosa S, Bassey K. Antioxidant and Antimicrobial Evaluations of Moringa oleifera Lam Leaves Extract and Isolated Compounds. Molecules. 2023;28: 899. https://doi.org/10.3390/molecules28020899

Anwar F, Latif S, Ashraf M, Gilani AH. Moringa oleifera: a food plant with multiple medicinal uses. Phytotherapy Research. 2007;21: 17-25. https://doi.org/10.1002/ptr.2023

Mbikay M. Therapeutic Potential of Moringa oleifera Leaves in Chronic Hyperglycemia and Dyslipidemia: A Review. Front Pharmacol. 2012;3. https://doi.org/10.3389/fphar.2012.00024

Kumar S, Malhotra R, Kumar D. Antidiabetic and free radicals scavenging potential of Euphorbia hirta flower extract. Indian J Pharm Sci. 2010;72: 533. https://doi.org/10.4103/0250-474X.73921

Polo-Castellano C, Mateos RM, Visiedo F, Palma M, Barbero GF, Ferreiro-González M. Optimizing an Enzymatic Extraction Method for the Flavonoids in Moringa (Moringa oleifera Lam.) Leaves Based on Experimental Designs Methodologies. Antioxidants. 2023;12: 369. https://doi.org/10.3390/antiox12020369

Abdull Razis AF, Ibrahim MD, Kntayya SB. Health Benefits of Moringa oleifera. Asian Pacific Journal of Cancer Prevention. 2014;15: 8571-8576. https://doi.org/10.7314/APJCP.2014.15.20.8571

Page MJ, Moher D, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. PRISMA 2020 explanation and elaboration: updated guidance and exemplars for reporting systematic reviews. BMJ. 2021; n160. https://doi.org/10.1136/bmj.n160

Usman A, Kawu MU, Shittu M, Saleh A, Bilbonga G. Comparative effects of Moringa oleifera and ascorbic acid on biochemical changes induced by subchronic lead toxicity in male Wistar rats. Pharmacological Research - Modern Chinese Medicine. 2022;4: 100140. https://doi.org/10.1016/j.prmcm.2022.100140

Akorede GJ, Ambali SF, Olatunji AO, Aremu A, Basiru A, Ahmed AO, et al. Mitigative potentials of methanol leaf extract of Moringa oleifera on chronic carbamazepine-induced haemo-biochemical and thyrotoxicity in male Wistar rats. Pharmacological Research - Modern Chinese Medicine. 2022;2: 100055. https://doi.org/10.1016/j.prmcm.2022.100055

Aekthammarat D, Tangsucharit P, Pannangpetch P, Sriwantana T, Sibmooh N. Moringa oleifera leaf extract enhances endothelial nitric oxide production leading to relaxation of resistance artery and lowering of arterial blood pressure. Biomedicine & Pharmacotherapy. 2020;130: 110605. https://doi.org/10.1016/j.biopha.2020.110605

Matsuoka I, Hata K, Katsuzaki H, Nakayama H, Zang L, Ota M, et al. Zebrafish obesogenic test identifies anti‐adipogenic fraction in Moringa oreifera leaf extracts. Food Sci Nutr. 2022;10: 1248-1256. https://doi.org/10.1002/fsn3.2758

Ahmad S, Pandey AR, Rai AK, Singh SP, Kumar P, Singh S, et al. Moringa oleifera impedes protein glycation and exerts reno-protective effects in streptozotocin-induced diabetic rats. J Ethnopharmacol. 2023;305: 116117. https://doi.org/10.1016/j.jep.2022.116117

Hu X-H, Yang X-Y, Lian J, Chen Y, Zheng C-Y, Tao S-Y, et al. Moringa oleifera leaf attenuate osteoporosis in ovariectomized rats by modulating gut microbiota composition and MAPK signaling pathway. Biomedicine & Pharmacotherapy. 2023;161: 114434. https://doi.org/10.1016/j.biopha.2023.114434

Zhang S, Cao Y, Huang Y, Zhang S, Wang G, Fang X, et al. Aqueous M. oleifera leaf extract alleviates DSS-induced colitis in mice through suppression of inflammation. J Ethnopharmacol. 2024;318: 116929. https://doi.org/10.1016/j.jep.2023.116929

Noubissi PA, Njilifac Q, Fokam Tagne MA, Dongmo Nguepi MS, Foyet Fondjo A, Kouémou Emégam N, et al. Anxiolytic and anti-colitis effects of Moringa oleifera leaf-aqueous extract on acetic acid-induced colon inflammation in rat. Biomedicine & Pharmacotherapy. 2022;154: 113652. https://doi.org/10.1016/j.biopha.2022.113652

Adefegha SA, Assmann CE, Schetinger MRC, de Andrade CM, Emanuelli T. Moringa oleifera modulates cholinergic and purinergic enzymes activity in BV-2 microglial cells. Metab Brain Dis. 2021;36: 627-638. https://doi.org/10.1007/s11011-020-00659-3

Ibrahim MA, Mohamed SR, Dkhil MA, Thagfan FA, Abdel-Gaber R, Soliman D. The effect of Moringa oleifera leaf extracts against urethane-induced lung cancer in rat model. Environmental Science and Pollution Research. 2022;30: 37280-37294. https://doi.org/10.1007/s11356-022-24813-9

Published
2024-12-31
How to Cite
Kadek Rahayu Darma Yanti, Wirawati, K. T., Ompusunggu, G. B., & Wardani, L. (2024). Exploring the pharmacological potential of Moringa oleifera folium in health applications: A review. Pharmacy Reports, 4(3), 93. https://doi.org/10.51511/pr.93