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Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 | 93 4 Biological Activities and Phytochemicals of the Fruits of Vitex Plants J.F. Pío-León1, J. Montes-Avila1, S.P. Díaz-Camacho1 and F. Delgado-Vargas1* ABSTRACT The Vitex genus (Lamiaceae) is composed of 270 species, trees or shrubs; that are distributed in tropics worldwide. Vitex has been the source of a large number of compounds with pharmacological activities, many of them associated with their fruits. In spite of the high number of Vitex spp., fruit studies have been mainly focused in a reduced group; Vitex agnuscastus is the best studied, and several fruit-derived drugs, used to treat premenstrual syndrome, are commercialized in the United States of America and Europe. Other species with a good number of studies are V. rotundifolia, V. trifolia, V. negundo and V. doniana. Interesting activities associated with Vitex fruits are antitumoral (e.g., against breast, gastric, colon, leukemia and cervix cells), antioxidant, antimicrobial and anti-diarrhea. Identified fruit compounds belong to different phytochemical families such as flavonoids (e.g., casticin, orientin, and isoorientin), terpenes (e.g., rotundifaran, ferruginol), iridoids (e.g., agnoside, aucubin) and essential oils (e.g., 1,8-cineolene, sabinene). Interestingly, these fruits showed dark colors that have been poorly studied; these pigments could be associated with important biological activities based on the actual knowledge about natural pigments. In this review, we are showing the main studies about the chemicals and biological activities of Vitex spp. fruits, and it will be a reference material for future studies. Keywords: Vitex fruits, Biological activities, Chemical composition, Nutritional and nutraceutical properties, Essential oils, Chocolate berries, Gynecologic disorders, Anti-diarrheal. ——————— 1 Facultad de Ciencias Químico Biológicas de la Universidad Autónoma de Sinaloa. Ciudad Universitaria s/n, Culiacán, Sinaloa, México, CP 80010 * Corresponding author: E-mail: fdelgado@uas.edu.mx PDF created with pdfFactory Pro trial version www.pdffactory.com 94 | Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 Introduction Linnaeus described the genus Vitex (Lamiaceae before Verbenaceae) in 1753 and four species were registered (V. agnus-castus, V. negundo, V. pinnata and V. trifolia); nowadays, this genus includes between 250 and 300 species of trees and bushes (rarely lianas). These plants are mainly distributed in tropical or sub-tropical areas over the world (Chantaranothai, 2011; de Kok, 2008; Munir, 1987). Vitex agnus-castus shows a wide distribution in Mediterranean Europe and Central Asia and it is the best known and studied plant of this genus (Padmalatha et al., 2009). The leaves of Vitex spp. are opposite, decussate with three to five folioles, rarely two or one as in V. rotundifolia; flowers are zygomorphic, calyx with five fused sepals, persistent, tubular-like or bell-shaped like, sometimes dentate; corolla with five fused petals, deciduous of tubular-like form with internal villous and sometimes pubescent (Munir, 1987). Historically, Vitex spp. have been widely used in traditional medicine; and up to date, they have a large number of ethnopharmacological applications such as: treatment of premenstrual and gynecologic affections, bacterial infections, gastrointestinal problems and inflammation; as well as insect repellent and against stings of venomous animals (Padmalatha et al., 2009). A large number of the medicinal properties of Vitex spp. are associated with their fruits; some of them are important as foods in highly marginated and low income areas. Vitex spp. fruits are small succulent drupes, globular or ovoid of 0.2-2 cm size (usually smaller than 2 cm); they possess a hardened endocarp that is divided in four pyrenes, each one with a seed (Chantaranothai, 2011; de Kok, 2008; Munir, 1987). Fruits of different Vitex spp. have similar morphology and sometimes they are difficult to differentiate. The ripe pulp of these fruits is characterized by dark-purple to brown colors (Figure 4.1) (Chantaranothai, 2011; Munir, 1987; NRC, 2008; Webster, 2008). In this review, we are showing the main characteristics of the Vitex spp. fruits, emphasizing their phytochemicals (more than 100 identified compounds) and biological activities. The current knowledge of these fruits is discussed as well as the future research trends. Nutritional Characteristics of Vitex Fruits Fruits are important foods in human diet; they mainly provide vitamins, minerals and fiber. Recently, functional and nutraceutical foods, which provide benefits for the prevention/treatment of diseases in addition to their nutritional components, have acquired an increased relevance; within these food groups, fruits are highly represented (e.g. grapes, cranberries, blueberries, pomegranate) and their consumption have been associated with a healthy condition and longevity (Kaliora and Dedoussis, 2007; Kalra, 2003; Kaur and Kapoor, 2001; Rissanen et al., 2003). Many of the Vitex fruits are edible; about 70 species have been registered just in Africa, where they are known as “chocolate berries”. These wild berries have a significant contribution to food security and sustainable rural development for some African communities and many of them are valuable commercial products in those regions (NRC, 2008). The most representative chocolate berries are V. doniana, V. payos, V. fischeri, V. grandifolia, V. simplicifolia, V. madiensis, V. mombassae, V. ferruginea PDF created with pdfFactory Pro trial version www.pdffactory.com Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 PDF created with pdfFactory Pro trial version www.pdffactory.com | 95 96 | Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 and V. pooara (Maundu, 1999; NRC, 2008). Vitex fruits are consumed fresh, dried or in boiled preparations with sugar (e.g. jelly, marmalade) (NRC, 2008). Research groups have developed new products based on the properties of chocolate berries, for example, the V. doniana pulp was used to prepare a syrup with sensorial characteristics and acceptability similar to those of honey (Egbekun et al., 1996); a pasteurized juice of V. mombassae showed good acceptability and its physicochemical characteristics were preserved up to 3 months of storage (Ndabikunze et al., 2010). In Mexico, V. mollis is used for sweet preparations that can be consumed alone or mixed with milk; however, the properties of such products have not been established (Montiel-Herrera et al., 2004). Table 4.1: Physico-chemical and nutritional parameters of Vitex spp. fruits. V. mollis1 V. doniana2 V. keniensis3 V. fischerii3 87 39.42 40.56 37.74 Protein 0.60 0.85 0.87 0.98 – Lipids 0.38 2.44 2.35 2.66 – Ash 0.66 3.41 3.40 3.66 – Fiber 1.92 11.48 10.42 12.38 – 9.48 43.12 42.49 42.67 – Ca 45 320 – – 55 Mg – 72 – – 156 Na 300 100 – – 43 K 1610 880 – – 1757 P – 200 – – 309 Fe 4 – – – 2.69 Zn 4.4 – – – 1.53 Cu 0.38 – – – 0.27 Ascorbic acid (mg/100g f.w.) 5.8 81.6-100 – – 40.4 pH 4.86 4.38 – – 3.56 Acidity (per cent) 0.13 0.36 – – 0.14 14 5.2 – – 12.3 Parameter V. mombassae5 Proximate (per cent f.w.) Moisture Carbohydrates Minerals (mg/100 g d.w.) Soluble solids (°Brix) –: Non reported. Cited papers–1: Montiel-Herrera et al. (2004); 2: Egbekum et al. (1996); and 2,3: Ochieng and Nanwa (2010). In spite of the use of chocolate berries as foods, their physicochemical, phytochemical and nutritional/nutraceutical characteristics have been poorly studied (NRC, 2008). Nevertheless, it has been clearly demonstrated that Vitex fruits are good sources of fiber, vitamin C and some minerals; they showed an uncommon low content PDF created with pdfFactory Pro trial version www.pdffactory.com Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 | 97 of water (40 per cent) (Table 4.1). After moisture and carbohydrates, the most important component of Vitex spp. is the fiber. Vitex doniana fruits are rich in calcium and vitamin C; V. mombassae in potassium; and V. mollis in copper and zinc (Table 4.1). Consumption of 100 g fresh weight (f.w.) of V. doniana provides 100 and 19.4 per cent of the recommended daily intakes for vitamin C and calcium (90 and 1000 mg, respectively) (FNB/FNIC, 2010). Vitex fruits show characteristic odor and color. Odor is influenced by the composition of fruit essential oils which will be discussed in section 7 of this review. With respect to color, the dark hue of Vitex fruits has not been associated with specific components. The dark intense colorations of common fruits such as blackberry, chokeberry or elderberry, are produced by anthocyanins, soluble pigments of low to intermediate molecular weight which are characterized for color changes induced by pH variation, property used to quantitate anthocyanins (Delgado-Vargas and ParedesLópez, 2003; Wrolstad, 2002). Our research group is studying the dark pigment of V. mollis. This pigment is very stable to pH and thermal treatment; it presents high antioxidant activity and a relative high molecular weight (personal communication). Thus, V. mollis pigment is not an anthocyanin and we have hypothesized that melanin pigments are responsible of the dark colors of Vitex fruits. Melanins are amorphous polymers, of dark colors, low solubility in common solvents and high molecular weight; in plants, these pigments are produced by the oxidation-polymerization of phenolic compounds, as it has been demonstrated for the black tea (Sava et al., 2001). On the other hand, some fungi have edible melanins which are associated with sugars and they are water soluble (Seniuk et al., 2010). The chemical and biological characterization of the Vitex pigments is an unexplored and promising research area. Characterized Phytochemicals of Vitex Fruits Vitex fruits have been the source of many new compounds; considering the most studied fruits (i.e. V. agnus-castus, V. rotundifolia, V. trifolia, V. negundo and V. cannabifolia), 100 chemicals are presented in Table 4.1 and Figure 4.2. The main components of Vitex spp. are terpenoids, mainly diterpenes, and flavonoids. Casticin (also known as vitexicarpin) is the Vitex spp. compound with the highest number of demonstrated biological activities (e.g., estrogenic, opioid, antitumoral, antioxidant, anti-inflammatory) (Lee et al., 2011; Xu et al., 2012; Ye et al., 2010). The properties of other interesting Vitex compounds, such as agnoside and rotundifaran, are discussed in following sections. Gynecologic Properties of Vitex Fruits The main traditional uses of Vitex fruits have been for gynecologic and hormonal problems such as premenstrual syndrome (PMS), post-menopause disorders, and libido modulation. As a matter of fact, V. agnus-castus has been used since before Christ by Greek and Roman cultures; fruit preparations have been applied as antiinflammatory; to diminish the libido, the dysmenorrhoea and menopause symptoms, PMS and acne; to treat infertility and to stop lactation (AMR, 2009; Halaska et al., 1999; Webster, 2008). Nowadays, many of the traditional uses of V. agnus-castus have PDF created with pdfFactory Pro trial version www.pdffactory.com 98 | Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 Figure 4.2: Chemical structures of compounds obtained from Vitex spp. fruits. Terpenoids HO NH OH H O H HO O O O O OAc (1) (2) (3) O O O HO HO O HO OH OH H H R1 R2 O H (4) O (5) OCH3 (6) H (7); R1 = OH, R2 = CH3 O O O O OH O OH O H O O (8) OAc (9) (10) Contd... PDF created with pdfFactory Pro trial version www.pdffactory.com | 99 Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 Figure 4.2–Terpenoids–Contd... R1 R2 O OH OH HO O H O HO HO H OH (11) R1 = Me, R 2 = H (12) R1 = H, R2 = Me OH HO (13) (14) OH O O O OH O H H OCOCH3 O (15) OCOCH3 (16) O OH OCOCH3 O H O O HO (18) HO (17) H H H H HO H ( 44) (19) O HO OH OH OCOCH 3 OCOCH3 ( 45) OH OCOCH3 ( 46) OCOCH 3 OH ( 47) AcO H (48) Contd... PDF created with pdfFactory Pro trial version www.pdffactory.com 100 | Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 Figure 4.2–Terpenoids–Contd... O O OH O OH OH OH HO O OH ( 49) H (51) (50) (52) HO HO O OCOCH3 H O O HO O H H (75) HO HO (89) H (90) (91) O O O O O O O O H O H H OAc O (92) H OAc (93) O (94) (95) O OH OH OH OO OH H OCOCH 3 HO H OH (96) PDF created with pdfFactory Pro trial version www.pdffactory.com (97) Contd... | 101 Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 Figure 4.2–Contd... Flavonoids R4 OR5 R3 O O R2 R1 OH OH O RO (20) R 1 = R2 OMe, R3 = R5 Me, R4 = OH (21) R1 = R2 = OMe, R3 = Me, R 4 = R5 = H (22) R1 = R 2 = R 3 = R4 = R5 = H (23) R1 = OMe, R2 = R3 = R4 = R5 = H (24) R1 = R2 = R3 = R5 = H, R4 = OH (25) R1 = OH, R 2 = R3 = R4 = R5 = H (26) R1 = OMe, R2 = R3 = R5 = H, R4 = OH (27) R 1 = OMe, R2 = R5 = H, R3 = Me, R4 = OH OH OH O R OH H3 CO OH OH O GlU HO O OH (28) R = H (29) R = Me OCH3 H3 CO O O O (31) H (32) OH (30) R4 Glu HO OH R3 OH HO O O R2 Rha OH OH OH O OH O O (33) HO R1 O (61) R1 = R3 = H, R2 = Glc, R4 = OH (62) R1 = R2 = H, R3 = Glc, R4 = OH HO O OH (78) PDF created with pdfFactory Pro trial version www.pdffactory.com O (79) OH Contd... 102 | Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 Figure 4.2–Flavonoids–Contd... OH OH HO O OH HO O OH OH O OH OCH3 (80) (81) OR1 OCH3 O H3 CO OR2 H3 CO O H3 CO OH OCH3 OH H3 CO O OCH3 OH O (98) R1 = R2 = CH 3 (99) R1 = R2 = H (100) Simple phenolics O O OR2 OH O HO R1 OH OH OH HO (34) R1 = OMe, R2 = H (35) R1 = H, R2 = p-hydroxyphenylenanol (36) R1 = R2 = H HO (37) (82) HO CO2 H O HO O OH OH OH (83) Contd... PDF created with pdfFactory Pro trial version www.pdffactory.com | 103 Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 Figure 4.2–Contd... Iridoids OH OH OH H O OH HO O O H H O H HO HO O GlcO OH OH OH H O (42) HO (60) (43) HO HO H O H 3CO O HO H H OCH3 O O OH OGlc HO O H O (71) H OGlc COOCH 3 O H HO OGlc (73) (72) Lignan derivatives O R2 OMe OMe O O H OR3 HO O H 3CO R1 O OH HO OCH 3 R OH HO (38) R = -CHO (39) R = -CH 2CH2CH2OH (40) R = -(E)-CH=CH-CHO (63) R1 = OCH 3 , R2 = H, R3 = Glc (64) R1 = H, R 2 = OCH3 , R3 = Glc (65) R1 = H, R 2 = OCH3 , R3 = H (66) R1 = H, R 2 = OCH3 , R3 = OH OCH 3 OH (67) Contd... PDF created with pdfFactory Pro trial version www.pdffactory.com 104 | Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 Figure 4.2–Lignan derivatives–Contd... O H 3CO H R HO OCH3 O H 3CO OH H OCH 3 H HO OH O (68) R = H (69) R = OH (70) Catechins OH OH OH HO OH OH O HO O OH OH OH OH (84) (85) Anthraquinones O OH OH O OH OH O O O (86) OH (87) Others OGlc OH H3C OH HO O 7 O O 4 O (41) (74) PDF created with pdfFactory Pro trial version www.pdffactory.com O CH3 N N N N CH 3 (88) Vitex spp. Vitex agnus-castus Vitex trifolia Family of Compounds: Identified Compounds References Terpenoids: Vitexlactam A (1) Li et al. (2002) Viteagnusin A (2), viteagnusin B (3), viteagnusin C (4), viteagnusin D (5), viteagnusin E (6), 8-epi-sclareol (7), (rel 5S,6R,8R,9R,10S,13R)-6-acetoxy-9,13-epoxy-15-methoxy-labdan-16, 15-olide (8) Ono et al. (2008) Viteagnusin I (9), 8-epi-manoyl oxide (10), 3-epi-maslinic acid (11), 3-epi-corosolic acid (12), aromadendrane-4a,10a-diol (13), ilelatifol D (14) Chen et al. (2011) Vitetrifolin B (15), vitetrifolin C (16), rotundifaran (17), vitexilactone (18), spathulenol (19) Hajdu et al. (2007), Webster et al. (2011) Flavonoids: Casticin (20), penduletin (21), apigenin (22), 3-methylquercetin (23), luteolin (24), Kaempferol (25), 3,7-dimethylquercetin (26), 3-O-methylkaempferol (27), 5,7,32,52tetrahydroxyflavanon (28), 5,32,52-trihydroxymethoxylflavanone (29), eupatorin (30), vitexin (31), orientin (32), apigenin 3, 8-di-C-glycosides (33) Chen et al. (2011), Hajdu et al. (2007), Webster et al. (2011), Ibrahim et al. (2008) Phenolics: Ferulic acid (34), phydroxyphenylethanol-p-coumarate (35), p-Coumaric acid (36), 4-hydroxybenzoic acid (37). Neolignans: Ficusal (38), vladirol F (39), balanophonin (40), Glycerides: Glyceryl linoleate (41). Chen et al. (2011) Iridoids: Agnuside (42) Webster et al. (2011) Aucubin (43) Ibrahim et al. (2008) Terpenoids: Vitetrifolin A (44), vitetrifolin B (15), vitetrifolin C (16), vitetrofilin D (45), vitetrofolin E (46), Ono et al. (2000), Li et al. vitetrifolin F (47), vitetrifolin H (48), vitetrifolin I (49), rotundifaran (17), Dihydrosolidagenone (50), (2005), Wu et al. (2009) abietatriene 3b-ol (51), vitexilactone (18), (rel 5S,6R,8R,9R,10S)-6-acetoxy-9-hydroxy-13(14)labden-16,15-olide (52). Gu et al. (2008) Vitexoid (56), 6-acetoxy-9-hydroxy-13(14)-labdane-16,15-olide (57), previtexilactone (58), 6-acetoxy-9,13;15,16-diepoxy-15-methoxylabdane (59) Wu et al. (2009) Flavonoids: Casticin (20) Xu et al. (2012) Iridoids: Eucommiol (60) Gu et al. (2008) Contd... | 105 Vitrifol A (53), dihydrodehydrodiconifenyl alcohol (54), stigmast-4-en-6b-ol-3-one (55) Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 PDF created with pdfFactory Pro trial version www.pdffactory.com Table 4.2: Characterized phytochemicals obtained from Vitex spp. fruits.* Vitex spp. Vitex cannabifolia Family of Compounds: Identified Compounds References 106 | Flavonoids: 5,4’-dihydroxy-3,6,7,8,3’-pentamethoxyflavone (61), isoorientin (62), orientin (32) Lignans: vitecannaside A (63), vitecannaside B (64), vitedoin A (65), 6-hydroxy-4-(4-hydroxy-3methoxyphenyl)-3-hydroxymethyl-7-methoxy-3,4-dihydro-2-naphthaldehyde (66), detetrahydroconidendrin (67), vitrofolal E (68), vitrofolal F (69), pinoresinol (70). Yamasaki et al. (2008) Iridoids: agnuside (42), 10-O-vanilloyl aucubin (71), nisindaside (72), geniposide (73). Phenylbutanone glucoside: 4-(3,4-dihydroxyphenyl)-butan-2-one-4 O b D-glucoside (74). Vitex negundo Terpenoids: vitedoin B (75). Lignans: Vitedoin A (65), vitedoamine A (76), 6-hydroxy-4-(4-hydroxy- Ono et al. (2004)Guha et al. 3-methoxyphenyl)-3-hydroxymethyl-7-methoxy-3,4-dihydro-2-naphthaldehyde (66), detetrahydro(2010) conidendrin (67), vitrofolal E (68), vitrofolal F (69), 2a,3b-7-O-methylcedrusin (77). Flavonoids: naringenin (78), genistein (79), biochanin A (80), delphinidin (81). Phenolics: 4-Hydroxybenzoic acid (37), gallic acid (82), chlorogenic acid (83). Catechins: (-)-gallocatechin (84), epicatechin (85). Anthraquinones: alizarin (86), rhein (87). Others: Caffeine (88). Vitex rotundifolia Diterpenoids: Vitexifolin A (89), vitexifolin B (90), vitexifolin C (91), vitexifolin D (92), vitexifolin E (93), Ono et al. (1998; 1999; 2002) vitetrifolin D (45), trisnor-g-lactone (94), iso-ambreinolide (95), ferruginol (96), abietatrien-3b-ol (51), viteoside A (97) Rotundifaran (17) Hu et al. (2007) Flavonoids: Casticin (20), luteolin (26), artemetin (98), quercetagetin (99), 5,3’-dihydroxy-6,7,4’– trimethoxyflavanone (100). Kobayakawa et al. (2004), Ko et al. (2000), Ono et al. (2002), Hu et al. (2007) Iridoid: agnuside (42) Hu et al. (2007) * Bold type numbers within parenthesis correspond to the structure presented in Figure 4.2. Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 PDF created with pdfFactory Pro trial version www.pdffactory.com Table 4.2–Contd... Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 | 107 been demonstrated and in particular its use for PMS (Roemheld-Hamm, 2005; Webster, 2008; Wuttke et al., 2003). In herbal medicine, a tincture was employed for PMS and prepared by mixing 1/5 of dried V. agnus-castus fruits with alcohol (50 per cent or 70 per cent), with a recommended dose of 20 drops/day (about 1 mL/day); alternatively, the German Commission E has suggested the consumption of 30-40 mg of dried fruit/day to treat not only PMS but also mastalgia and irregular menstruation (Webster, 2008). Now, diverse standardized extracts are commercialized: Agnolyt (caps and solution), Agnucaston (tablets), Mastonynon (tablets and solution), Femarpim and Ze 440 (tablets). These preparations were obtained by extraction with ethanol (50-70 per cent) and standardized for the content of casticin or agnoside (0.3-0.6 per cent). To date, the effect of these extracts in libido modulation has not been demonstrated (Roemheld-Hamm, 2005; Webster, 2008). In general, the commercial preparations of V. agnus-castus are well tolerated and secondary effects (i.e., headache, seasickness, tiredness or thirst) are non-frequent or slight (Daniele et al., 2005; Roemheld-Hamm, 2005). It has been proposed that V. agnus-castus extracts are good for the symptoms but not for curing, since symptoms return within some days of leaving the treatment (Berger et al., 2000). The mechanism of action of the V. agnus-castus on PMS has not been established but multiple targets have been proposed; one of them involves the inhibition of hyperprolactinemy during the premenstrual stage. High prolactin in serum stimulates breast milk production and induces mastalgia. The V. agnus-castus compounds bind dopamine receptors and inhibit the pituitary liberation of prolactin; the proposed chemicals involved are diterpenes (Wuttke, et al., 2003) and the flavonoid casticin (Ye, et al., 2010); remarkably, these compounds have also been isolated from other Vitex spp. (Table 4.2). Other proposed mechanisms are the estrogenic (Hu et al., 2007; Ibrahim et al., 2008; Liu et al., 2001), contributing to the hormonal homeostasis, and opioid activities (Webster et al., 2011; Webster et al., 2006) of Vitex fruits. Extracts and flavonoids of V. agnus-castus (e.g. casticin, apigenin, 3-methylkaempferol, and luteolin) show affinity for the µ and d opioid receptors, acting analogously to b-endorphin, but not for the ê receptor. During PMS, opioid activity decrease and the appearance of pain and mood changes are facilitated; thus, V. agnus-castus is acting in PMS by reactivation of opioid activity (Webster, et al., 2011; Webster, et al., 2006). Among the evaluated flavonoids, casticin shows the highest affinity for the opioid receptors (Chen et al., 2011). Similar effects have been obtained with other opiaceous such as morphine; the advantage of the Vitex extracts over morphine is that after hundred years of use, they do not induce secondary effects (Webster et al., 2011). In some places, V. agnus-castus is not available and people use the fruits of V. rotundifolia or V. trifolia. These fruits share similar ethnopharmacological applications. Some commercial preparations of V. agnus-castus are adulterated with V. rotundifolia or V. trifolia and up to date, the use of these mixtures have not induced secondary effects but it is suggested that the desirable pharmacological effect is reduced (Webster, 2008). Essential oils of V. agnus-castus have been used for treatment of post-menopausal symptoms. The oils obtained from fruits or leaves diminished the hot flashes, night sweets, dry vagina with pain during sex and insomnia. Moreover, treatment with the PDF created with pdfFactory Pro trial version www.pdffactory.com 108 | Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 oil of leaves reduces depression symptoms, changes in personality, prolonged bleedings, loss of memory, confusion and libido. Within the adverse effects of essential oil application are queasiness, headache, depression and nightmares. It has been suggested that these preparations must not be used in combination with anticonceptives, progesterone or anti-neuroleptics (Lucks, 2003; Lucks et al., 2002). Studies with chimpanzees of the Gombe National Park, Tanzania, showed that consumption of V. fischeri fruits by females increased the urinary progesterone in contrast with seasons of non-consumption or the levels of estrogens or male testosterone; these last two parameters did not change (Emery-Thompson et al., 2008). Antitumoral Properties of Vitex Fruits Vitex fruits have shown antitumoral activity (Table 4.3). Vitex agnus-castus, V. trifolia and V. rotundifolia preparations induce apoptosis in tumoral cell lines; some of the identified compounds do not affect the growth of normal cells. The mechanism of action is still unknown but it has been proposed that apoptosis induction is mediated by inhibition of the cell cycle (G0/G1, G2-M), of the dynamics microtubule formation/degradation or by inducing cell oxidative stress. Amongst the Vitex compounds, casticin has shown the highest antitumoral activity. It has been suggested that substituent hydroxyls (3’ and 5) and methoxyls (3 and 4’) are important structural characteristics associated with its activity. Ono et al. (2002) showed higher activity of casticin against tumoral colon cells (HCT116) (IC50 = 119 ng/mL) than cisplatin (IC50 = 794 ng/mL). On the other hand, rotundifaran was also better against leukemia cells K562 and tsFT210 than cisplatin (IC50, 33.3 and higher than 100 µg/mL, respectively) (Table 4.3). In rats, the availability of oral casticin was good (45.5 per cent) with a half life of 36.48 min; it was suggested that casticin has high potential for future clinical applications (Xu, et al., 2012). Antioxidant Properties of Vitex Fruits A large body of evidence has established a correlation between fruit and vegetable consumption and a decreased risk of chronic degenerative diseases (Liu et al., 2000; Rissanen, et al., 2003). Nevertheless, the main causes of morbidity and mortality over the world are associated with an inadequate alimentation (WHO, 2008). Fruits and vegetables not only provide essential nutrients (e.g., vitamins and minerals) but also useful compounds for prevention/treatment of different diseases and those materials are catalogued as “functional foods” or “nutraceuticals” (Kaur and Kapoor, 2001). Oxidative stress is common to a large number of diseases (e.g., atherosclerosis, hypertension, cardiac failure, Alzheimer, diabetes); thus, antioxidant activity is one of the most evaluated properties of plant foods to designate them as nutraceutical (Kaliora and Dedoussis, 2007; Mladµnka et al., 2010). Some Vitex fruits are characterized by their high antioxidant capacity. The antioxidant activity of methanol-acetone-water (6: 3: 1 v/v) extracts of three Vitex spp. (V. doniana, V. keniensis and V. fischeri) from Kenya were analyzed by three methods (DPPH, FRAP y NO scavenging) (Ochieng and Nanwa, 2010); ripe fruits showed higher activity than green-ripe fruits and similar to that of the standards used (i.e., vitamin C, rutin and gallic acid). Moreover, total phenolics contents of the three Vitex PDF created with pdfFactory Pro trial version www.pdffactory.com Fruit Vitex rotundifolia Cell Line Evaluated Responsible Compounds Vitex agnuscastus References HL-60 (myeloid leukemia) (99) IC50 = 4.03 µM; (20) IC50 = 0.12 µM; Apoptosis induction (DNA fragmentation (98) IC50 = 30.98 µM; (17) IC50 = 22.5 µM. and releasing of nucleosomes to cytoplasm Ko et al. (2000; 2001) PC-12 (lung cáncer), HCT116 (colon cancer). Inhibition of tubulin polymerization. Substituent groups are important for activity: 3’,5-hydroxyl and 3,4’ methoxyl Ono et (2002) Casticin stop the cell cycle at G2/M by inhibition of the processing of microtubules. Groups 3’,5-hydroxyl and 3,4’ methoxyl are important for the activity Kobayakawa et al. (2004) (20) IC50 PC-12 = 114 ng/mL, IC50 = HCT116 = 119 ng/mL; (98) IC50 PC-12= 2270 ng/mL, IC50 HCT116 = 2200 ng/mL. KB (nasopharynx cancer) (20) IC50 = 0.23 µM; (98) IC50 = 16 µM; (99) IC50 = 15.3 µM; (100) IC50 = 18.6 µM Vitex trifolia Proposed Mechanism of Action al. tsFT210 y K562 (myeloid (17) IC50 tsFT210 = 36.2 µg/mL, IC50 K562 Apoptosis and inhibition of the cell cycle leukemia) = 26.5 µg/mL; (45) IC50 tsFT210 = 41.3 progression in the G0/G1 phase µg/mL, IC50 K562 = 35.2 µg/mL; (18, 52, 46) IC50 tsFT210 >80 µg/mL, IC50 K562 >50 µg/mL. Li et al. (2005) HeLa (cervical cancer) Wu et al. (2009) (49) IC50 = 4.9 µMol/L; (18) IC50 = 9.5 µMol/L; (45, 46, 48) IC50 = 15 µMol/L KATO-III (gastricsignetEthanolic extract ring carcinoma), SKOV-3 (breast cancer), COLO 201 (colon cancer), Lu-134-A-H (small cell lung carcinoma), MCF-7 (ovarian cancer), SKG-3ª (cervical cancer) Inhibition of the cell cycle in the stage G0/G1 Apoptosis in the cell lines: KATO-III, SCOV-3, Ohyama et al. COLO 201 and Lu-134-A-H. In the KATO-III (2003; 2005) is induced by cell oxidative stress Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 PDF created with pdfFactory Pro trial version www.pdffactory.com Table 4.3: Cytotoxic activity and suggested action mechanism of compounds isolated of Vitex spp. fruits.* *IC50 = Half maximal (50 per cent) inhibitory concentration. Bold type numbers within parenthesis corresponds with structures of Figure 4.2. | 109 110 | Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 fruits were high and similar among them; phenolics were also higher in ripe fruit (572-719 mg of gallic acid equivalents/100 g f.w.) than green-ripe fruit (290-371 mg of gallic acid equivalents/100g f.w.). Fruit ripening of Vitex fruits is accompanied by color changes from green to dark intense hue, which could be correlated with the phenolics content. Aqueous extracts of V. agnus-castus show higher antioxidant activity than low polarity preparations; the activities of aqueous extracts from fruits and leaves (2.27 and 2.50 mM Trolox equivalents, respectively) were better than those of ethanolic and hexanic extracts (0.097-1.57 mM Trolox equivalents) evaluated by the ABTS method (Saglam et al., 2007). Similar results were reported by Sirikurkcy et al. (2009), who found that the aqueous extract of V. agnus-castus fruits was more active than the low polarity extracts and essential oils by using the methods of DPPH, b-carotene bleaching and iron reducing power; in addition, the antioxidant results by the bcarotene bleaching method with the aqueous extract were similar to those registered for the food approved antioxidants butylated hydroxytoluene (BHT) and butylated hydroxyanisole (BHA) (93 – 99 per cent). Total phenolics of the aqueous extracts (112.5 mg of gallic acid equivalents/g of extract) were higher than those of the other preparations (21.7 – 46.6 mg/g of extract); however, dichloromethane extract had a higher concentration of flavonoids (43.5 mg of quercetin equivalents/g of extract). Hajdu et al. (2007) identified casticin as the antioxidant molecule in an ethyl acetate fraction obtained from a methanolic extract of V. agnus-castus; they also demonstrated that casticin shows higher inhibition of lipid peroxidation (IC50 = 0.049 mM) than vitamin C (IC50 = 0.703 mM) in a rat brain homogenate. The Masateru Ono group from Japan analyzed the antioxidant activity of phytochemicals obtained from the methanolic extracts of different Vitex spp. fruits; they identified ferruginol (abietane-type diterpene) from V. rotundifolia which showed higher antioxidant activity than BHT by the ferric thiocyanate method, but lower by the DPPH method (Ono et al., 1999); isoorientin and orientin were obtained from V. cannabifolia and identified as better antioxidants than L-cysteine and a-tocopherol by the DPPH method (Yamasaki et al., 2008); this group also characterized the two new lignans viteodin A and vitedoamine A (structures 65 and 76, Figure 4.2) from V. negundo seeds, which were more potent than L-cysteine by the DPPH method (Ono et al., 2004). Essential Oils of Vitex spp. Fruits Vitex fruits are an interesting source of essential oils and the best studied species is Vitex agnus-castus (Table 4.4). The main components of the Vitex agnus-castus essential oil are 1,8-cineole, sabinene and a-pinene and its composition is almost the same at different maturity stages (Novak et al., 2005; Stojkovic et al., 2011). However, a clear variation between species has been registered and essential oil composition can be used for species identification; based on this consideration, pharmacological applications associated with essential oil composition must change with the Vitex sp. On the other hand, contrasting the essential oil composition of fruits and leaves from Vitex agnus-castus, they were similar (Novak, et al., 2005; Stojkovic, et al., 2011). It has been registered that secondary effects of treatment with V. agnus-castus essential PDF created with pdfFactory Pro trial version www.pdffactory.com | 111 Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 oil depends on the source (leaf or fruit), but both have reduced the symptoms associated with gynecologic problems (see section 4) (Lucks, 2003; Lucks, et al., 2002). Table 4.4: Composition (per cent) of essential oils of Vitex spp. fruits. Compound 1,8 Cineole V. agnus-castus V. agnus-castus (Ripe fruit) (Unripe fruits) V. negundo V. pseudonegundo 14-30.2 13.7-28.2 Sabinene 11.6-48.2 11.8-48.2 2.9 a-Pinene 1.1-25.5 1.1-19.4 31.7 Limonene tr-6.8 tr-5.3 11.5 trans-b-Farnesene 0-9.3 0-7.5 a-Terpinyl acetate 0-6.6 0-6.5 Caryophyllene oxide 0-4.6 0-3.8 3 0.6-6.7 1-6.4 5 3 0.7 Terpinen-4-ol 0.3-3.6 0.4-3 a-Terpineol 0.6-3.6 0.6-4.5 0-2 0-1.7 Geranyl linalool 2.25-2.3 0.7 Myrcene 1.4-2.9 1.1-3 1.2 1 trans-Sabinene hydrate 0-0.9 0-0.9 b-Pinene 0-2.2 1.0-1.8 cis-b-Farnesene 0-0.7 0-0.5 Ledol 0-1.8 0.3-1.6 b-Selinene – – 22 a-Cedrene – – 14 0-2.1 0-1.4 8 trans-b-Caryophyllene ô-Cadinol Sclarene Abietatriene Germacrene D 1.2 1.7 4.6 Germacrene B 4.3 2.0 Aristolene 8 Hexadecanoic acid 8 a-Copaene 5.4 a-Humulene 4 Guaia-3,7-diene 2 Bicyclogermacrene 1.8 1.9-9.9 1.2-9.4 14.5 Citronellyl acetate 1.4 allo-Aromadendrene 2.7 a-Phellandrene 1.2 b-Sesquiphellandrene 1.2 a-Gurjunene 1.1 trans-a-Bergamotene 1.1 PDF created with pdfFactory Pro trial version www.pdffactory.com 112 | Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 The essential oil of V. agnus-castus showed low antioxidant activity when evaluated in aqueous media (DPPH and ferric ion reducing power), but high activity was obtained in an emulsion system (b-carotene bleaching) (Sarikurkcu, et al., 2009). The essential oils of V. agnus-castus and V. doniana were potent antimicrobials (Khokra et al., 2008; Stojkovic, et al., 2011; Suleiman and Yusuf, 2008). The V. agnus-castus oil was effective against Staphylococcus aureus ATCC 6538, Micrococcus flavus ATCC 9341, Bacillus subtilis ATCC 10907, Salmonella typhimurium ATCC 13311 and Escherichia coli ATCC 35210 (minimal inhibitory concentration, MIC = 44.5 X“p”X“ 445 µg/ mL), and also against the fungi Alternaria alternata DSM 2006, Aspergillus flavus ATCC 9643, Aspergillus niger ATCC 6275, Aspergillus ochraceus ATCC 12066, Fusarium tricinctum CBS 514478, Penicillium ochrochloron ATCC 9112, Penicillium funiculosum ATCC 36839 and Trichoderma viride JCM 22452 (MIC = 44.5 X“p”X“ 219 µg/mL). The active constituents of this essential oil were 1,8-cineole and a-pinene and their MIC values for bacteria and fungi (4-8 µg/mL) were better than those of streptomycin (MIC = 50-100 µg/mL) and bifonazole (MIC = 100-150 µg/mL). The V. doniana essential oil inhibited the growth of S. aureus, B. subtilis and E. coli, in the disc diffusion assay; diameters were slightly smaller than those obtained with ciprofloxacin (Khokra, et al., 2008; Stojkovic, et al., 2011; Suleiman and Yusuf, 2008). Other Biological Activities of Vitex spp. Fruits Vitex mollis and V. doniana are commonly employed for diarrhea and gastrointestinal disorders. Fractions of the methanolic extract of V. mollis were active against enteropathogenic bacteria; the ethyl acetate fraction was enriched in phenolics (tannins and flavonoids) and showed the highest activity, being specially effective vs. Shigella dysenteriae (causal agent of dysentery) (MIC = 2 mg/mL) (Delgado-Vargas et al., 2010). On the other hand, the aqueous extract of V. doniana (0.3 – 2.4 mg/mL) inhibited the pig intestine contractions induced by treatment with acetylcholine; in addition, it showed a dose-response effect (150 – 650 mg/kg) in the reduction of the gastrointestinal transit time and in the diarrhea index produced by treating mice with castor oil (Suleiman and Yusuf, 2008). As it happened with other Vitex spp., V. doniana was also rich in flavonoids and tannins. It has been proposed that phenolics are useful for diarrhea treatment because of their antibacterial activity and effect in the reduction of the gastrointestinal transit time (Palombo, 2006; Ríos and Recio, 2005), supporting the observations registered for the Vitex spp. fruits and their use as antidiarrheic agents. A flavonoid rich extract obtained from V. negundo seeds induced infertility in rats (15 and 30 mg/rat/day/15 days). The treated rats showed reduced weight of sexual organs and lower density, motility and morphological abnormalities of spermatozoids (double headed and separation of head and tail); in addition, they had reduced the a-glucosidase activity in the epididymis, the citric acid in prostate and the fructose in the seminal vesicles. Some arthropods bite humans and animals and can be vectors of a range of diseases such as borreliosis, malaria, yellow fever and dengue; natural repellents have been used to prevent the attack of these insects. At this respect, a supercritical CO2 extract of V. agnus-castus seeds was repellent, up to 8 h, against ticks (Ixodes PDF created with pdfFactory Pro trial version www.pdffactory.com Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 | 113 ricinus and Rhipicephalus sanguineus), fleas (Ctenocephalides felis), mosquitoes (Culex quinquefasciatus, Anopheles stephensi and Aedes aegypti) and flies (Stomoxys calcitrans), evaluated in human and animal models. Remarkably, the extract (1-3 per cent) did not produce allergic responses (Mehlhorn et al., 2005). The aqueous extract of V. rotundifolia shows antiallergenic effects. The polymer 48/80 is produced by condensation of N-methyl-p-methoxyphenethylamine with formaldehyde and induces mast cells to release histamine; then, an anaphylactic allergic reaction is produced that can end with the death of the affected animal. All rats injected (i.p., 8 mg/kg) with the 48/80 compound died; but mortality was avoided when rats were treated with 1 g/kg of the aqueous extract of V. rotundifolia, 1 h before or 5 to 10 min after the injection of 48/80. The analysis of the rat plasma showed that the aqueous extract decreased by 70 per cent the histamine release, related with the peak of histamine produced when only the allergen was applied (Shin et al., 2000). These results support the traditional use in Korea of V. rotundifolia for treatment of diverse allergenic diseases. Concluding Remarks Vitex spp. fruits show a variety of biological properties that can be used for humanity benefits. These species are widely distributed around the world and people could benefit from those available in every region. Many species share ethnopharmacological uses and compounds, suggesting that Vitex spp. share biological activities, but this needs to be scientifically tested. For example, some of the Vitex spp. are used to treat pre-menstrual syndrome but it has been validated only for V. agnus-castus. Other research area involves the chemical and biological characterization of the less studied Vitex fruits; casticin, agnoside and rotundifaran are markers for these species and they are associated with specific biological activities. Moreover, essential oils of the Vitex fruits share components and some of them have shown high antibacterial and antifungal activity. It is particularly interesting that Vitex pigments have not been studied and preliminary results have showed their high antioxidant activity. Outstandingly, aqueous extracts of V. agnus-castus showed higher antioxidant activity than low polarity extracts, while those of V. doniana and V. rotundifolia were effective against diarrhea in mice and as antiallergenic, respectively. It is possible that such biological properties could be related to the dark soluble pigments. This hypothesis remains to be tested as most of the chemicalbiological studies of Vitex fruits have been carried out with low to intermediate polarity extracts without analyzing the aqueous extract. Briefly, we are pointing out the following research areas with the Vitex spp. fruits: ✰ Scientific validation of the ethnopharmacological properties of Vitex spp. with similar uses. ✰ Isolation and characterization of representative compounds of the genus Vitex and their association with pharmacological relevant activities (e.g. casticin and agnoside). PDF created with pdfFactory Pro trial version www.pdffactory.com 114 | Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 ✰ New product development of foods and standardized extracts based on Vitex spp. and demonstration of their nutritional and nutraceutical properties. ✰ Chemical and biological characterization of the dark pigments of Vitex fruits. 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PDF created with pdfFactory Pro trial version www.pdffactory.com 120 | Bioactive Phytochemicals: Perspectives for Modern Medicine Vol. 2 PDF created with pdfFactory Pro trial version www.pdffactory.com aaaa PDF created with pdfFactory Pro trial version www.pdffactory.com | 95 Figure 4.1: Fruits of different Vitex spp.: V. mollis (A), V. agnus-castus (B), V. rotundifolia (C), V. vestita (D), V. cymosa (E), V. schliebenii (F), V. polygama (G), V. payos (H), V. doniana (I), V. fischeri (J) and V. cochinchinensis (K)Sources of the images: (A) Authors of this work, (B) http: //www.biodiversidadvirtual.org/herbarium/Vitex-agnus-castus-L-img57586.html, (C) http: //eol.org/data_objects/1990800, (D) Chantaranothai (2011) (E) http: //eol.org/data_objects/13508823, (F) http: //eol.org/data_objects/19246219, (G) http: //www.bananasraras.org/ frutasrarasingles/vitex2.htm, (H) Mandu (1999), (I) http: //www.prota4u.org/searchresults.asp, (J) Emery-Thompson et al. (2008), (K) Chantaranothai (2011).