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Cette fiche a été compilée à partir de résumés PubMed (NIH) avec l'assistance d'une IA. Chaque affirmation factuelle est citée par un article PubMed réel (voir la liste des sources). Elle n'a pas encore été révisée par un humain — confirmez auprès d'un professionnel de santé avant utilisation.
Compilé à partir de 29 articles PubMed · modèle : gemma4:31b
Résumé
Neem (Azadirachta indica) is a tropical evergreen tree used for millennia as a traditional remedy for various human ailments [PMID:35712721, PMID:28899496]. It is recognized for its broad-spectrum antimicrobial, anticancer, and insecticidal properties [PMID:35712721, PMID:27687478].
Contexte
Azadirachta indica, commonly known as neem, is a fast-growing tropical evergreen tree belonging to the Meliaceae family [PMID:21743298, PMID:33995939]. It is native to the Indian subcontinent and widely used across tropical regions, including Africa and Asia [PMID:40901661, PMID:42320775].
Usages traditionnels
Traditionally, all parts of the tree—including leaves, flowers, seeds, fruits, roots, twigs, and bark—have been used in Ayurveda, Unani, and Homeopathic medicine to treat fever, infections, skin conditions, dental problems, and inflammation [PMID:40901661, PMID:15777222].
Composés actifs
Neem contains over 140 to 300 structurally diverse bioactive compounds [PMID:42320775, PMID:28899496]. Key active constituents include limonoids (such as azadirachtin, nimbin, nimbidin, nimbolide, gedunin, and salannin), flavonoids, phenols, catechins, gallic acid, and polyphenols [PMID:37589457, PMID:33753160, PMID:40901661].
Mécanisme d'action
Neem's effects are mediated through multiple pathways: azadirachtin prevents mitotic spindle formation and cell division [PMID:37589457]; gedunin inhibits heat shock protein 90 [PMID:37589457]; and metabolic effects are linked to the over-expression of transcription factor Nrf2, up-regulation of GLUT4, and inhibition of intestinal glucosidases [PMID:33995939]. It also exhibits antioxidant, anti-inflammatory, and apoptotic activities [PMID:33753160, PMID:33927969].
Preuves cliniques
Preuve AGingivitis and Plaque
Neem-based herbal mouthrinse was as effective as chlorhexidine mouthrinse when used as an adjunct to toothbrushing in reducing plaque and gingival inflammation [PMID:26876277]
Preuve CMetabolic Syndrome
Studies confirm anti-diabetic, anti-hypertension, anti-hyperlipidemia, and anti-obesity effects [PMID:33995939]
Preuve CCancer
Extracts and limonoids display antiproliferative and anticancer effects in diverse malignant cell lines and preclinical animal models [PMID:37589457]
Preuve CNeurological Disorders
Phytochemicals from neem have shown benefits against Alzheimer's, Parkinson's disease, mood disorders, and ischemic-reperfusion injury [PMID:33753160]
Grossesse et allaitement
Reversible effects on reproduction of both male and female mammals have been observed in toxicological studies [PMID:15261960].
Synthèse des preuves
The evidence consists primarily of reviews and preclinical/in vitro studies (Level C), with one systematic review of RCTs (Level A) supporting its use in dental hygiene. Most therapeutic claims are based on traditional use or animal models.
Sources PubMed
1.PMID: 31643748 (2012) — Alternative first-line malaria treatment. · Annals of African medicine
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7.PMID: 37589457 (2024) — Limonoids from neem (Azadirachta indica A. Juss.) are potential anticancer drug candidates. · Medicinal research reviews
8.PMID: 33995939 (2021) — The protective effect of Azadirachta indica (neem) against metabolic syndrome: A review. · Iranian journal of basic medical sciences
9.PMID: 42320775 (2026) — Ethnopharmacological landscape of Azadirachta indica (Neem): Phytochemical diversity bridging traditional heritage and modern medicine. · Journal of ethnopharmacology
10.PMID: 28899496 (2017) — Neem (Azadirachta indica): An indian traditional panacea with modern molecular basis. · Phytomedicine : international journal of phytotherapy and phytopharmacology
11.PMID: 33753160 (2021) — Potential benefits of phytochemicals from Azadirachta indica against neurological disorders. · Neurochemistry international
12.PMID: 34092456 (2021) — Azadirachta indica A. Juss (neem) as a contraceptive: An evidence-based review on its pharmacological efficiency. · Phytomedicine : international journal of phytotherapy and phytopharmacology
13.PMID: 26009692 (2015) — Azadirachta indica: A herbal panacea in dentistry - An update. · Pharmacognosy reviews
14.PMID: 40901661 (2025) — Neem (Azadirachta indica): A Miracle Herb; Panacea for All Ailments. · Food science & nutrition
15.PMID: 30738093 (2019) — Chemistry, bioactivities, extraction and analysis of azadirachtin: State-of-the-art. · Fitoterapia
16.PMID: 26876277 (2017) — Effectiveness of Azadirachta indica (neem) mouthrinse in plaque and gingivitis control: a systematic review. · International journal of dental hygiene
17.PMID: 29059091 (2017) — Contact Allergy to Neem Oil. · Dermatitis : contact, atopic, occupational, drug
18.PMID: 15261960 (2004) — Safety evaluation of neem (Azadirachta indica) derived pesticides. · Journal of ethnopharmacology
19.PMID: 30179391 (2016) — Importance of Neem Leaf: An insight into its role in combating diseases. · Indian journal of experimental biology
20.PMID: 34562010 (2022) — Azadirachta indica A. Juss (neem) against diabetes mellitus: a critical review on its phytochemistry, pharmacology, and toxicology. · The Journal of pharmacy and pharmacology
21.PMID: 33419112 (2021) — Azadirachta indica A. Juss. In Vivo Toxicity-An Updated Review. · Molecules (Basel, Switzerland)
22.PMID: 35957716 (2022) — Exploring the therapeutic potential of Neem (Azadirachta Indica) for the treatment of prostate cancer: a literature review. · Annals of translational medicine
23.PMID: 27034694 (2016) — Therapeutics Role of Azadirachta indica (Neem) and Their Active Constituents in Diseases Prevention and Treatment. · Evidence-based complementary and alternative medicine : eCAM
24.PMID: 33927969 (2021) — Exploring the role of Azadirachta indica (neem) and its active compounds in the regulation of biological pathways: an update on molecular approach. · 3 Biotech
25.PMID: 15777222 (2005) — Medicinal properties of neem leaves: a review. · Current medicinal chemistry. Anti-cancer agents
26.PMID: 21743298 (2011) — Anticancer biology of Azadirachta indica L (neem): a mini review. · Cancer biology & therapy
27.PMID: 33964199 (2022) — The anti-cancer properties of neem (Azadirachta indica) through its antioxidant activity in the liver: its pharmaceutics and toxic dosage forms. A literature review. · Journal of complementary & integrative medicine
28.PMID: 37663591 (2023) — Neem (Azadirachta Indica) and silk fibroin associated hydrogel: Boon for wound healing treatment regimen. · Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society
29.PMID: 28533783 (2017) — Progress on Azadirachta indica Based Biopesticides in Replacing Synthetic Toxic Pesticides. · Frontiers in plant science