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An evidence-based review: the effects of Malaysian traditional herbs on osteoporotic rat models

Nur Adlina, Mohammad and Norfarah Izzaty, Razaly and Mohd Dzulkhairi, M. R. and Muhammad Shamsir, M. A. and Nadia Mohd, Effendy

MJMS The Malaysian Journal of Medical Sciences (2018) 25: 6–30

DOI: 10.21315/mjms2018.25.4.2

Abstract

Osteoporosis is considered a silent disease, the early symptoms of which often go unrecognised. Osteoporosis causes bone loss, reduces mineralised density, and inevitably leads to bone fracture. Hormonal deficiencies due to aging or drug induction are also frequently attributed to osteoporosis. Nevertheless, the phytochemical content of natural plants has been proven to significantly reduce osteoporotic conditions. A systematic review was conducted by this study to identify research specifically on the effects of Malaysian herbs such as Piper sarmentosum, Eurycoma longifolia and Labisia pumila on osteoporotic bone changes. This review consisted of a comprehensive search of five databases for the effects of specific herbs on osteoporotic bone change. These databases were Web of Science (WOS), Medline, Scopus, ScienceDirect and PubMed. The articles were selected throughout the years, were limited to the English language and fully documented. Duplication, irrelevant titles, different herbs and in vitro studies were excluded, including those that are not original research papers. A total of 399 potential studies were identified, but only 21 samples were accepted based on the inclusion and exclusion criteria. Six of the twenty one studies were on Piper sarmentosum, six on Eurycoma longifolia, and the remaining nine studies were on Labisia pumila. Overall, in three of the studies a glucocorticoidinduced model was used, while in 12 of the studies an ovariectomised model was used, and for the other six studies an orchidectomised model was used as the osteoporotic model. All of the studies reported varied results based on the type of herbs used, but in comparison to Eurycoma longifolia, Piper sarmentosum and Labisia pumila recorded better anti-osteoporotic effects, while the majority of studies on Eurycoma longifolia were unable to preserve bone strength.

Citation

Nur Adlina, M., Norfarah Izzaty, R., Mohd Dzulkhairi, M. R., Muhammad Shamsir, M. A., & Nadia Mohd, E. (2018). An evidence-based review: the effects of Malaysian traditional herbs on osteoporotic rat models. MJMS The Malaysian Journal of Medical Sciences, 25(4), 6–30. https://doi.org/10.21315/mjms2018.25.4.2 reviews, animal models, plants, Information and Documentation [CC300], medicinal plants, plant extracts, databases, data banks, traditional medicines, Animal and in vitro Models for Pharmaceuticals [VV450], Animal Models of Human Diseases [VV400], rats, Malaysia, drug plants, Horticultural Crops [FF003], medicinal herbs, officinal plants, Non-food/Non-feed Plant Products [SS200], osteoporosis, bone strength, Eurycoma longifolia, Marantodes pumilum, Piper sarmentosum, Primulaceae

Keywords