Asian Paci Fic Journal of Tropical Medicine
Asian Paci Fic Journal of Tropical Medicine
Asian Paci Fic Journal of Tropical Medicine
H O S T E D BY
Contents lists available at ScienceDirect
Review http://dx.doi.org/10.1016/j.apjtm.2017.03.021
Alfred Maroyi✉
Medicinal Plants and Economic Development (MPED) Research Center, Department of Botany, University of Fort Hare, Private Bag X1314, Alice
5700, South Africa
A R TI C L E I N F O ABSTRACT
Article history: Acacia karroo (A. karroo) has been used as herbal medicine by the indigenous people of
Received 16 Jan 2017 southern Africa for several centuries. The potential of A. karroo as herbal medicine, its
Received in revised form 15 Feb 2017 associated phytochemistry and biological activities are reviewed. The extensive literature
Accepted 14 Mar 2017 survey revealed that A. karroo is traditionally used to treat or manage 32 and five human
Available online 6 Apr 2017 and animal diseases and ailments, respectively. The species is used as herbal medicine for
diseases and ailments such as colds, diarrhoea, dysentery, flu, malaria, sexually trans-
mitted infections (STIs), wounds, and also as colic and ethnoveterinary medicine. Mul-
Keywords:
tiple classes of phytochemicals such as flavonoids, phenols, phytosterols,
Acacia karroo
proanthocyanidin, tannin, terpenes as well as several minerals have been identified from
Ethnomedicinal uses
leaves and roots of A. karroo. Scientific studies on A. karroo indicate that it has a wide
Ethnopharmacology
range of pharmacological activities which include antibacterial, antifungal, anti-
Ethnoveterinary medicine
gonococcal, antihelmintic, antilisterial, antimalarial, antimycobacterial, antioxidant, HIV-
Southern Africa
1 reverse transcriptase, anti-inflammatory and analgesic. A. karroo has a lot of potential as
Traditional knowledge
a possible source of pharmaceutical products for the treatment of a wide range of both
human and animal diseases and ailments. Future research should focus on the mecha-
nisms of action of the different plant parts used as herbal medicines, isolated compounds,
their efficacy, toxicity and clinical relevance.
1995-7645/Copyright © 2017 Hainan Medical University. Production and hosting by Elsevier B.V. This is an open access article under the CC BY-NC-ND license (http://
creativecommons.org/licenses/by-nc-nd/4.0/).
352 Alfred Maroyi/Asian Pacific Journal of Tropical Medicine 2017; 10(4): 351–360
(Argentina, Bolivia, Chile and Paraguay), where it is often used ethnobotany, ethnomedicinal uses, ethnopharmacology, phar-
as live fence around agricultural fields [8,9]. A. karroo grows macology, phytochemistry and therapeutic value) and
from sea level to 1800 m on soils ranging from pure geographical coverage (i.e., southern Africa). The following
unconsolidated sand to heavy clays with an annual rainfall keywords were used to search literature sources: A. karroo and
from 1500 mm down to less than 200 mm where ground water V. karroo. Other literature sources included papers published in
is available along drainage lines and around pans and dams [8]. international journals, reports from international, regional and
The species can grow under different climatic conditions but its national organizations, conference papers, books, theses, web-
limiting factors are water availability and intense cold [8]. A. sites and other grey literature. References were also identified by
karroo is the most widespread Acacia in southern Africa, searching the library collections of the National Herbarium and
occupying a diverse range of habitats including dry thornveld, Botanic Gardens (SRGH), Harare, Zimbabwe and the University
river valley scrub, bushveld, woodland, grassland, river banks of Fort Hare, South Africa.
and coastal dunes [6]. A. karroo shows a huge variety in terms
of its growth form, with plants from different areas in the 3. Species description and ethnomedicinal uses
species' geographical range often having a different appearance.
In the formal taxonomic revision of the species, Ross [10] A. karroo varies from a multi-stemmed shrub to a tree of up
detailed the vast range in morphology in this species, to 15 m in height [15]. The stem of A. karroo is dark brown to
describing seven different informal taxonomic entities of the almost black characterized by rough and somewhat flaky,
species which were generally correlated to its distribution. revealing reddish underbark [8]. A. karroo has pairs of large
Recently, Taylor and Barker [6] evaluated the genetic variability white spines which occur on the twigs and branches. The
of the species throughout South Africa using the Inter-Simple leaves comprise about five pairs of leaflets, each divided into
Sequence Repeat (ISSR) DNA ‘fingerprinting’ to determine ten or more pairs of smaller leaflets of about 5 mm long [16].
whether there is any genetic structure that correlates to the The branches bear minute golden-yellow, ball-shaped flowers
morphological diversity of the species. The authors concluded and the fruit is a long, narrow, spirally twisted pod [8].
that A. karroo should be considered as an ochlospecies, as the A. karroo boasts a large number of recorded ethnomedicinal
evolution of the observed morphotypes has been recent and rapid, and traditional uses in southern Africa (Table 1). The roots of
and therefore the genetic variation observed represents the A. karroo are used as remedy for colic in infants in Lesotho
ancestral gene pool that has not yet undergone lineage sorting as [17,18] and South Africa [19,20] while bark, gum and leaf infusions
a consequence of isolation. are used as remedy for diarrhoea and dysentery in South Africa
According to Barnes et al [8], A. karroo is a multipurpose tree [19–23] and Zimbabwe [24]. A. karroo is also widely used as
with great potential for increasing productivity in agroforestry herbal medicine for sexually transmitted infections (STIs) such
and silvopastoral systems over a wide range of sites in the dry as gonorrhoea and syphilis in Zimbabwe [25,26], sexually
zones of the tropics and subtropics. It is also categorized as a transmitted diseases and venereal diseases in South Africa
species with potential commercial value in Botswana, South [20,27]. The bark, gum and leaves are used as emollient and
Africa and Zimbabwe [8,11,12]. In Botswana, A. karroo exudate astringent for colds, conjunctivitis and haemorrhage [28]. In
is used for pharmaceutical purposes and is considered to be of Zimbabwe, roots of A. karroo are also used as aphrodisiac, for
economic importance in this country [11] while the gum is general body pains, convulsions and dizziness [25]. In
collected and used as a substitute for gum arabic in Zimbabwe Mozambique, root bark infusion of A. karroo is taken orally
[8]. According to van Wyk [12], A. karroo bark and leaf have as remedy for malaria [29]. Gum of A. karroo is used with
commercial potential as remedies for diarrhoea, its exudates Capsicum spp. fruit and vinegar in a plaster dressing for acute
are used as an emollient for conjunctivitis and haemorrhage osteomyelitis [28]. The gum from A. karroo has been used
and also as pharmaceutical aid in solid formulations. The medicinally as emollient and as pharmaceutical aids such as
seeds are traditionally roasted and used as a coffee substitute emulsifiers, stabilisers of suspensions and additives for solid
in southern Africa [13,14]. Gum collected from A. karroo can formulations. In South Africa, the gum of A. karroo has been
be used in the commercial production of sweets and other applied to mouth ulcers and is diluted with water and used as
confectioneries [14]. Over the last three decades, various a mouthwash against oral thrush and sprue [13,30]. Thorns are
attempts have been made to investigate chemical constituents, used to relieve heart pains and for magical purposes [31].
biological activities of A. karroo and its ethnomedicinal uses A. karroo is used in ethnoveterinary medicine for diarrhoea,
in southern Africa. Unfortunately, no comprehensive review of coughs and opthalmia in cattle and dogs [19,32]. Root infusions
this important plant species in southern Africa has been of A. karroo are used in ethnoveterinary medicine as an
published, documenting the species’ biology, traditional uses, antidote to poisoning as a result of cattle and goats eating
phytochemistry and pharmacological properties. Therefore, in Moraea spp. [33]. A. karroo is used to treat cattle which have
this study, the advances in traditional utilization, botany, tulp poisoning, that is poisoning caused by consuming parts of
phytochemistry, pharmacology and safety aspects of A. karroo Homeria spp., a bulbous plant species known to be poisonous
are systematically reviewed. to stock [1,13]. A. karroo provides shade for livestock such as
cattle and goats in southern Africa [8]. The leaves, flowers,
2. Methodology of the review pods and its parasitic mistletoes are excellent fodder for
livestock and game in southern Africa [8]. The wood is an
The literature search was performed from June 2016 to excellent fuel, the bark can be used for tanning, the inner bark
January 2017 using electronic search engines such as Google, makes good cord and the sawn timber can be used for general
Google scholar, publishing sites such as Elsevier, scienceDirect, purposes. A. karroo gum is collected and used as a substitute
BioMed Central (BMC) and PubMed. The databases and liter- for gum arabic is Zimbabwe [8]. Seeds of A. karroo have been
ature sources were chosen based on the topic covered (i.e., used as a substitute for coffee [19].
Alfred Maroyi/Asian Pacific Journal of Tropical Medicine 2017; 10(4): 351–360 353
Table 1
Ethnomedicinal and other traditional uses of Acacia karroo in southern Africa.
4. Phytochemical and nutritional constituents of A. high levels of condensed tannins (Table 2), which have been
karroo documented by several other authors such as Mokoboki et al
[52], Dube et al [54], Ngambu et al [55], Gxasheka et al [56] and
The nutritional composition of A. karroo leaves is shown in Brown et al [57]. The inclusion of A. karroo leaves as
Table 2. A. karroo leaves contain high levels of crude protein supplementary feed in the diet of goats and other livestock
and minerals (Table 2) and the crude protein values for the could benefit the smallholder farmers in the communal areas
species are within the optimal range of (120–230) g/kg dry of southern Africa during the critical fodder scarcity.
matter required for body weight gain, maintenance and pro- Phytochemical screenings of various plant parts of A. karroo
duction requirements in growing goats [50,51]. A. karroo leaves demonstrated the presence of flavonoids, phenols, phytosterols,
also have moderate levels of detergent fibres which are proanthocyanidin, tannin and terpenes [54,57,61–64]. Nyila et al [63]
indication of high feeding values [52,53]. A. karroo contains isolated epicatechin 1, b-sitosterol 2 and epigallocatechin 3 from
354 Alfred Maroyi/Asian Pacific Journal of Tropical Medicine 2017; 10(4): 351–360
Table 3
Chemical compounds isolated and characterized from Acacia karroo.
ethanol extracts of A. karroo against C. albicans using the serial et al [69] found that the cattle that received the A. karroo leaf
broth micro-dilution assay. The extract demonstrated good ac- meal had lower H. contortus and O. colombianum worm
tivity with minimal inhibition concentration (MIC) value of burdens than those that received the control diet. Marume et al
0.8 mg/mL [27]. In a separate study, Tshikalange et al [66] [58] evaluated antihelmintic effects of A. karroo leaf extracts in
evaluated antifungal activities of ethanol extracts of A. karroo four month old Xhosa lop-eared goats exposed to a single dose
roots against C. albicans. The extract demonstrated some of 6000 freshly cultured L3 H. contortus larvae. Marume et al [58]
activity with minimal inhibition concentration (MIC) value of observed reduction in faecal larval counts and H. contortus worm
1.6 mg/mL against the fungus [66]. counts in goats that consumed A. karroo leaves (182 g/d). Based
on these evaluation reports, A. karroo presents an inexpensive,
5.3. Antigonococcal risk-free and eco-friendly approach to controlling worm popula-
tion in livestock in rural areas and other marginalized commu-
Mulaudzi et al [20] evaluated the antigonococcal activities of nities. According to Brown et al [57], the use of A. karroo for
aqueous, acetone, dichloromethane, ethanol, methanol and helminthic control can be used as a feasible alternative to
petroleum ether bark extracts of A. karroo against N. commercially manufactured antihelmintic or as part of an
gonorrhoeae through determination of clear zones of integrated system to reduce future occurrences of antihelmintic
inhibition with ciprofloxacin and dimethylsulfoxide (DMSO) resistance to commercial medicines.
as positive and negative controls respectively. A. karroo
showed moderate activity with dichloromethane, ethanol and 5.5. Anti-inflammatory and analgesic
petroleum ether extracts with %inhibition ranging from
44.0 ± 0.0 to 55.0 ± 2.0 [20]. The good activity observed from Adedapo et al [70] evaluated anti-inflammatory activities of
the plant extracts tested in this study could lead to the the aqueous extract of the stem bark of A. karroo using the
isolation of lead antigonococcal compounds. carrageenan-induced and histamine-induced rat paw oedema
models and analgesic activity was evaluated using acetic acid-
5.4. Antihelmintic induced writhing response in mice. The extract at 100 and
200 mg/kg reduced significantly the formation of oedema
Sparg et al [67] evaluated the antihelmintic effects of induced by carrageenan and histamine [70]. In the acetic acid-
A. karroo leaf extracts against schistosomules of the species induced writhing model, the extract showed a good analgesic
Schistosoma haematobium. A. karroo extracts at 50 mg/mL effect characterized by a significant reduction in the number of
killed 33% of schistosomula worms after 1 h, 66.7% of the writhes with two doses (100 and 200 mg/kg) used when
worms were killed at 25 mg/mL and A. karroo extracts were compared to the untreated control group [70]. In the tail
100% lethal at 12.5 mg/mL [67]. Mølgaard et al [24] evaluated immersion test, the extract at the doses used (100 and 200 mg/
the antihelmintic effects of A. karroo leaf and root extracts kg) increased reaction time to pain after 30 min of oral
against schistosomules of the trematode Schistosoma mansoni administration of the extract. Mamba et al [27] evaluated anti-
and cysticercoids of the cestode Hymenolepis diminuta. The inflammatory activities of ethanol extracts of A. karroo by
extracts killed the newly excysted cysticercoids within an determining the inhibitory effect of the extracts on the activities
hour, when incubated in a culture medium. The lethal of the pro-inflammatory enzyme, lipoxygenase and inducible
concentrations of A. karroo extracts varied from 0.8 to nitric oxide synthase with quercetin and dimethyl sulphoxide
17.0 mg/mL after 24 h [24]. The best results against H. (DMSO) as positive and negative controls respectively. A.
diminuta were obtained with leaf extracts with lethal karroo showed good 15-LOX inhibition activity with IC50 value
concentrations of 3.1 mg/mL and 0.8 mg/mL after 1 h and of 62.24 mg/mL, which is comparable to the IC50 value of the
24 h, respectively. A. karroo extracts showed some activity positive control quercetin which was 48.86 mg/mL [27].
against S. mansoni with lethal concentrations varying from Chattopadhyay et al [73] evaluated anti-inflammatory activ-
0.25 to 0.30 mg/mL [24]. A. karroo leaf extract was also tested ities of the methanol extracts of compound b-sitosterol 1 using
against schistosomules showing weak activity with lethal carrageenan-induced rat paw oedema (acute model), dextran-
concentrations of 103.0 mg/mL [24]. These pharmacological induced rat paw oedema (sub-acute model) and cotton pellet-
evaluations are of importance in the traditional use of induced granuloma (chronic model) with indomethacin as con-
A. karroo as an antihelmintic [39] and as herbal medicine trol. The anti-inflammatory activity of b-sitosterol 1 demon-
against urinary schistosomiasis [24] and future research strated maximum inhibition of 64.39% at 25 mg/kg dose in
focusing on control and management of schistosomiasis in carrageenan-induced rat paw oedema against 67.47% inhibition
sub-Saharan Africa. demonstrated by the standard indomethacin after 3 h of drug
Kahiya et al [68] evaluated the antihelmintic effects of treatment. In the dextran-induced rat paw oedema model, b-
A. karroo leaves (200 g/d) on Boer goats orally infected with a sitosterol 1 showed inhibition of 60.48% at 25 mg/kg nearly
single dose of Haemonchus contortus third stage larvae. Kahiya equal to the inhibition of 60.73% produced by indomethacin.
et al [68] observed a 34% decrease in the faecal egg counts in The results of the cotton-pellet granuloma model of inflamma-
A. karroo fed animals relative to the control group. Similarly, tion that b-sitosterol 1 significantly inhibited the granuloma
Xhomfulana et al [69] evaluated antihelmintic effects of weight in a dose dependent manner with a maximum inhibition
A. karroo leaf meal on H. contortus and Oesophagostomum of 51.54% at 25 mg/kg compared to 54.07% for indomethacin
colombianum in cattle. Faecal samples were collected from the [73]. These results gave a scientific basis to the traditional uses of
cattle recta every fortnight and examined for nematode egg A. karroo mainly for wound poultices, eye treatments and cold
types using the modified McMaster technique. Xhomfulana remedies.
Alfred Maroyi/Asian Pacific Journal of Tropical Medicine 2017; 10(4): 351–360 357
5.6. Antilisterial activity documented antioxidant activities A. karroo root extracts are
probably due to flavonoids and phenols that have been isolated
Nyila et al [63] evaluated antilisterial activity of ethyl acetate from leaves [54,57,61–64]. Flavonoids and phenolic compounds
and chloroform extracts of A. karroo against Listeria found in plants are known to have antioxidant properties [75].
monocytogenes using the disc diffusion method with
erythromycin as positive control. The ethyl acetate extract of 5.10. HIV-1 reverse transcriptase
A. karroo showed good antilisterial activity, exhibiting both
minimum inhibitory concentration (MIC) and minimum Mulaudzi et al [20] evaluated anti-HIV activities of aqueous and
bactericidal concentration (MBC) of 3.1 mg/mL, while MIC methanol bark extracts of A. karroo using a non-radioactive HIV-1
and MCB for chloroform extract were 6.25 mg/mL [63]. The RT colorimetric ELISA kit. The aqueous and methanol extracts of
same authors also evaluated the antilisterial activities of ethyl A. karroo bark showed good HIV-1 reverse transcriptase (RT)
acetate extracts of three compounds namely epicatechin 1, b- inhibition percentage (70%) at 1 mg/mL based on COX-assay,
sitosterol 2 and epigallocatechin 3 isolated from A. karroo with all tested extracts exhibiting dose dependent IC50 values of
against L. monocytogenes using the disc diffusion method with (0.03 ± 0.00) and (0.10 ± 0.01) mg/mL, respectively [20]. Moll et al
erythromycin as positive control. The three compounds [72] evaluated anti-HIV activities of 50% methanol:dichloro-
demonstrated good antilisterial activities with MIC and MCB methane (1:1) leaf and twig extracts of A. karroo using a reverse
values ranging from 0.031 to 0.500 mg/mL [63]. transcriptase test kit. A. karroo demonstrated some inhibitory ac-
tivity of reverse transcriptase [72]. Recently, Mamba et al [27]
5.7. Antimalarial evaluated anti-HIV activities of ethanol extracts of A. karroo
against recombinant HIV-1 enzyme using non-radioactive HIV-
Ramalhete et al [71] evaluated antimalarial activity of n- RT colorimetric assay with doxorubicin as positive control. A.
hexane, dichloromethane, ethyl acetate and methanol extracts karroo demonstrated moderate inhibition of HIV-1 reverse tran-
of aerial parts of A. karroo against Plasmodium falciparum. A. scriptase activity with 66.8% inhibition compared to 96.5%
karroo showed moderate to no significant activity with IC50 inhibitory activity demonstrated by doxorubicin, the positive
values ranging from (60.00 ± 12.30) mg/mL to > 100 mg/mL control. Therefore, the good inhibitory activity on HIV-1 reverse
[71]. However, it is important to note that A. karroo is transcriptase demonstrated by A. karroo extracts may imply that
frequently used to treat fever or malaria in Mozambique [29] the species could be a good source of potent compounds for
and therefore, an explanation for their lack of significant therapeutic strategy against HIV-1 reverse transcriptase.
in vitro antimalarial inactivity could be that these plants may
act as antipyretics or may enhance the immune system, rather 5.11. Cytotoxicity and toxicity
than having direct antiparasitic activity [74].
The aqueous extract from the shoot of A. karroo was eval-
5.8. Antimycobacterial uated for its acute toxicity by the oral route in mice and for the
sub-acute effect on haematological, biochemical and histological
Madureira et al [62] evaluated antimycobacterial activities of parameters in Wistar rats [76]. In the acute toxicity test, A. karroo
hexane, dichloromethane, ethyl acetate and methanol extracts of extract caused death in animals that received 1600 and 3200 mg/
aerial parts of A. karroo against Mycobacterium smegmatis kg doses. Oral treatments in rats with this extract at 800 mg/kg
using the broth microdilution method. The minimal inhibition did not cause any significant change in the red blood cell count
concentration (MIC) of the tested bacterium ranged from 31.0 (RBC), packed cell volume (PCV), haemoglobin concentration
to >250.0 mg/mL, with the best activity with MIC value of (HB), mean corpuscular volume (MCV), mean corpuscular
31.0 mg/mL displayed by n-hexane extract [62]. Similarly, haemoglobin concentration (MCHC), mean corpuscular
Nielsen et al [65] evaluated antimycobacterial activities of the haemoglobin (MCH), white blood cells and its differentials. It,
stem methanol extract of A. karroo against M. smegmatis and however, caused a significance decrease in the levels of
Mycobacterium tuberculosis using the radiometric respiratory platelets [76]. In the biochemical parameters, the extract caused
techniques with dimethylsulfoxide (DMSO) as control. Both a significant decrease in the levels of total protein, albumin,
M. smegmatis and M. tuberculosis demonstrated weak activity globulin, aspartate amino transferase (AST), alanine amino
with minimal inhibition concentration (MIC) values of 1250 transferase (ALT), total and unconjugated bilirubin. Adedapo
and 2500 mg/mL, respectively [65]. Therefore, these et al [76] noted changes in the body weights of the mice but
preliminary evaluations done by Madureira et al [62] and no significant changes were observed in the levels of some
Nielsen et al [65] provide baseline data for future research on electrolytes (sodium, potassium and chloride). Lung with
the species as a possible source of traditional medicine for multiple abscess, kidney and liver with mild congestion were
treatment of tuberculosis and other respiratory ailments. also observed histopathologically [76]. Cock and van Vuuren
[14] evaluated toxicity of aqueous and methanol leaf extracts of
zearalenone as positive control. Epicatechin 2 was the least toxic [2] Palmer E, Pitman P. Trees for southern Africa covering all known
compound with IC50 value of >200.0 mg/mL, while b-sitosterol indigenous species in Republic of South Africa, South West Africa,
1 and epigallocatechin 3 were found to be 63.82 and 28.91 mg/ Botswana, Lesotho and Swaziland. Cape Town: A.A. Balkema;
1972, p. 792.
mL, respectively [63]. Tshikalange et al [66] evaluated
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