APPLICABILITY OF REVERSE PHARMACOLOGY FOR THE ANTI MALARIAL AYURVEDA HERBAL DRUG DEVELOPMENT: AN OVERVIEW
Dr Chakrapany Sharma and Dr Manju Singhi, Dr Chandan Singh, Dr P. K. Dam
Abstract
Ayurveda, the ancient life science, has a history of over 4000 years of
practice. It is a great living tradition that addresses health with a unique
holistic approach. Currently, the Government of India has developed
formal structures to regulate issues related to quality, safety, efficacy
and practice of herbal medicines. Thus basic principle of Ayurveda is
based on personalized approach can be used for creating personalized,
customized or designer medicines. Therefore science of Ayurveda has
the potential to revolutionize modern medicine and drug discovery
processes. The credit for stimulating interest of Indian chemists and
pharmacologists in medicinal plants should rightfully go to Sir Ram
Nath Chopra who has been acclaimed as the „Father of Indian
Pharmacology”. Gananath Sen laid the foundation of Reverse Pharmacology of medicinal
plants by pursuing clinically documented effects of Ayurvedic drugs. Reverse Pharmacology
(RP), designed as an academic discipline to reduce three major bottlenecks of costs, time and
toxicity. RP (Reverse Pharmacology) can be perceived to comprise of three phases. The
scope of reverse pharmacology is to understand the mechanisms of action at multiple levels
of biology and to optimize safety, efficacy and acceptability of the leads in natural products
based on relevant science. In this approach as the candidate travels a reverse path from
„clinics to laboratory‟ rather than classical „laboratory to clinics. A wide array of modern drugs included the international pharmacopoeia have an origin in ethnopharmacology and
traditional herbal medicine. Numerous plant extracts and their ingredients have unique
pharmacological activities, such as anti-inflammatory, anti-diabetic, anti-carcinogenic,
vasodilatory, anti-bacterial, anti-viral, anticonvulsant, sedative and antipyretic effects.
Recently, a study carried out in Kenya and has proved the applicability of R P for new drug
discovery for the treatment of Malaria. However, very few randomized-controlled studies
have been carried out to precisely evaluate their therapeutic efficacy and safety. Nonetheless,
for some of the botanical materials, there are relatively well-organized database available
describing the therapeutic potential, and their active ingredients can be tested by exploiting
modern scientific methods These desirable accidental discoveries are referred to as drug
serendipity.
There are many examples of medicinal plants and their constituents that have provided
serendipitous bedside observations. Such clinical hits can be a basis of drug discovery and
development. Advances in combinatorial chemistry and systems biology have created many
drugable new entities. Reverse pharmacology integrates documented serendipitous clinical
and experimental hits into leads that are further developed into drug candidates or
formulations through more systematic and precisely designed preclinical and clinical
research. A salient feature of this approach is the combination of knowledge learned from
traditional or folk medicine and the modern technology to provide better and safer leads. RP
is now getting formally established in India as an organized trans-discipline through efforts
by the Indian Council of Medical Research (ICMR). Authors made an attempt to explore the
Reverse Pharmacology applicability to the Ayurveda Herbal Drug for the Development of
Anti-malarial drug.
Keywords: Ayurveda, RP, Ethno-pharmacology, Pharmacoepidemiology, Phytomedicine, transdiscipline.
[Full Text Article]