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Compiled from 24 PubMed articles · model: gemma4:31b
Summary
Himatanthus sucuuba is an Amazonian tree used in traditional medicine for its anti-inflammatory, wound-healing, and leishmanicidal properties [PMID:11724243, 34686006, 17459622].
Background
Himatanthus sucuuba, also known as "Bellaco caspi", is a medicinal plant from the Apocynaceae family found in the Amazon [PMID:34686006, 11724243].
Traditional uses
In Peruvian traditional medicine, the latex is used to treat wounds, inflammation, ulcers, and cutaneous leishmaniasis (Uta) [PMID:32801553, 17459622]. It is also used in the treatment of gastritis and haemorrhoids [PMID:1795523].
Active compounds
The plant contains spirolactone iridoids such as plumericin and isoplumericin [PMID:11724243, 17459622], and pentacyclic triterpenes including lupeol acetate, lupeol cinnamate, lupeol beta-phenyl propionate, and alpha-amyrin cinnamate [PMID:11724243]. Other identified components include phenolic acids, beta-dihydro-plumbericinic acid, plumeridoid C, and fulvoplumierin [PMID:34686006, 21979978, 690844]. Bark also contains confluentic acid and 2'-O-methylperlatolic acid [PMID:8069971].
Mechanism of action
Plumericin acts as a potent inhibitor of the NF-κB pathway [PMID:24329519]. In intestinal models, it reduces the expression of inflammatory factors such as tumor necrosis factor-α (TNF-α), cyclooxygenase-2, and inducible nitric oxide synthase [PMID:31914614]. The latex has been shown to increase nitric oxide (NO) and TNF-α while decreasing Transforming Growth Factor-beta (TGF-beta) production in macrophages [PMID:20096374].
Clinical evidence
Evidence DCutaneous Leishmaniasis
Latex exhibited potent leishmanicidal activity against Leishmania amazonensis in vitro and reduced parasite load in vivo via oral administration [PMID:20096374]; plumericin showed reduction of macrophage infection similar to Amphotericin B [PMID:17459622].
Evidence DInflammation
Hexane fractions of latex inhibited carrageenan-induced rat paw edema by 35.9% at 200 mg/kg [PMID:10821061]; plumericin reduced intestinal inflammation and oxidative stress in DNBS-induced colitis models [PMID:31914614, 33445622].
Evidence DWound Healing
Latex is used traditionally for wounds [PMID:32801553], though one comparative study did not detect significant wound-healing activity for H. sucuuba compared to other plants [PMID:9080340].
Safety & adverse effects
High doses (500 mg/kg) in rats caused significant decreases in maternal weight gain, fetal weight, and placental efficiency [PMID:26339763]. A dose of 250 mg/kg in rats caused increased preimplantation loss rate and reduced placental efficiency [PMID:26339763].
Pregnancy & lactation
A stem bark decoction (40 mg/rat twice daily) suggested low reproductive toxicity and teratogenic potential in rats [PMID:1795523], however, higher doses of H. sucuuba (250-500 mg/kg) significantly impaired maternal reproductive outcomes and fetal weight in rats [PMID:26339763].
Evidence summary
The evidence is primarily based on in vitro studies and animal models (Level D), demonstrating significant anti-inflammatory and leishmanicidal activity, though high-dose toxicity in pregnant rats has been observed.
PubMed sources
1.PMID: 26339763 (2015) — Effect of Himatanthus sucuuba in Maternal Reproductive Outcome and Fetal Anomaly Frequency in Rats. · Birth defects research. Part B, Developmental and reproductive toxicology
2.PMID: 11724243 (2001) — A bioactive spirolactone iridoid and triterpenoids from Himatanthus sucuuba. · Chemical & pharmaceutical bulletin
3.PMID: 34686006 (2021) — Phytochemical Screening of Himatanthus sucuuba (Spruce) Woodson (Apocynaceae) Latex, In Vitro Cytotoxicity and Incision Wound Repair in Mice. · Plants (Basel, Switzerland)
4.PMID: 20096374 (2010) — Leishmanicidal activity of Himatanthus sucuuba latex against Leishmania amazonensis. · Parasitology international
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— Anti-inflammatory and analgesic activities of the latex containing triterpenes from Himatanthus sucuuba.
· Planta medica
6.PMID: 17459622 (2007) — Spirolactone iridoids might be responsible for the antileishmanial activity of a Peruvian traditional remedy made with Himatanthus sucuuba (Apocynaceae). · Journal of ethnopharmacology
7.PMID: 32801553 (2020) — Histopathological evaluation of latex of Bellaco-Caspi, Himatanthus sucuuba (Spruce) Woodson on wound healing effect in BALB/C mice. · Veterinary world
8.PMID: 31914614 (2020) — Plumericin prevents intestinal inflammation and oxidative stress in vitro and in vivo. · FASEB journal : official publication of the Federation of American Societies for Experimental Biology
9.PMID: 690844 (1978) — South American plants III: Isolation of fulvoplumierin from Himatanthus sucuuba (M. Arg.) Woodson (Apocynaceae). · Journal of pharmaceutical sciences
10.PMID: 8069971 (1994) — Confluentic acid and 2'-O-methylperlatolic acid, monoamine oxidase B inhibitors in a Brazilian plant, Himatanthus sucuuba. · Chemical & pharmaceutical bulletin
11.PMID: 21979978 (2011) — Plumeridoid C from the Amazonian traditional medicinal plant Himatanthus sucuuba. · Acta crystallographica. Section C, Crystal structure communications
12.PMID: 33445622 (2021) — Plumericin Protects against Experimental Inflammatory Bowel Disease by Restoring Intestinal Barrier Function and Reducing Apoptosis. · Biomedicines
13.PMID: 24329519 (2014) — Identification of plumericin as a potent new inhibitor of the NF-κB pathway with anti-inflammatory activity in vitro and in vivo. · British journal of pharmacology
14.PMID: 9080340 (1997) — Evaluation of the wound-healing activity of selected traditional medicinal plants from Perú. · Journal of ethnopharmacology
15.PMID: 1795523 (1991) — Screening for reproductive toxicity in rats for a decoction of Himathanthus sucuuba stem bark. · Journal of ethnopharmacology