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Punica granatum L. (Dadim), Therapeutic Importance of World’s Most Ancient Fruit Plant

Kumari Isha, Kaurav Hemlata, Chaudhary Gitika*

Shuddhi Ayurveda, Jeena Sikho Lifecare Pvt. Ltd. Zirakpur, 140603, Punjab, India

 

Article Info:

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Article History:

Received 23 March 2021;     

Review Completed 20 April 2021

Accepted 26 April 2021;  

Available online 15 May 2021 

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Cite this article as:

Kumari I, Kaurav H, Chaudhary G, Punica granatum L. (Dadim), Therapeutic Importance of World’s Most Ancient Fruit Plant, Journal of Drug Delivery and Therapeutics. 2021; 11(3):113-121                                   DOI: http://dx.doi.org/10.22270/jddt.v11i3.4832                

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*Address for Correspondence: 

Chaudhary Gitika, Shuddhi Ayurveda, Jeena Sikho Lifecare Pvt. Ltd. Zirakpur 140603, Punjab, India

Abstract

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The custom of using plants for the therapeutic and dietary practices is as old as origin of humanity on the earth. One of the most ancient fruit plant is Punica granatum L., pomegranate belongs to Lythraceae family. The plant has a very rich ethnic history of its utilization around the world. The plant was used to symbolize prosperity, life, happiness, fertility etc. Apart from the ethnic beliefs associated with the plant, it is a well-considered plant based remedy used in treatment of many diseases in traditional system like Ayurveda and folk system of medicine. In Ayurveda it is esteemed as a Rasayana. It is used in many Ayurvedic polyherbal formulations which are used against many diseases. The plant consists of numerous phytochemical constituents in it such as polysaccharides, minerals, polyphenols, tannins, saponins, quinones, alkaloids, glycosides, coumarins, terpenoids, steroids etc. Each of the phytochemical constituent is associated with important therapeutic properties. This supper food is globally known for its high anti-oxidant potentialOther associated properties of this medicinal fruit plant are anti-microbial, hepatoprotective, cardioprotective, anti-diabetic, anti-cancer, immunomodulatory, anti-inflammatory, anti-hypertensive, anti-anemic etc. The aim of present review is to provide information related to phytochemistry, traditional uses in Ayurveda and folk medicinal system and therapeutic properties of Punica granatum L.

Keywords: Dadim, Rasapanchak, Punicalagin, Punicic acid, Anti-oxidant.

 


Introduction

Medicinal herbs play a major role in our day to day life from providing food, shelter, clothes to medicines. The plants are being in use for medicinal purpose since ancient times. Medicinal plants have beneficial effects on overall health of the humans. As per the reports, Hippocrates used almost 400 different plant species at that times for the medical purpose 1,2. In the ancient era, medicinal preparations were primarily derived from plants 3. The plants play a vital role in traditional medication system like Ayurveda, Siddha, Unani, Chinese, Egyptian 4. Some plants are greatly promoted due to the associated ethnobotanical beliefs of different cultures 5. Many modern drugs in the present era have developed from the plant sources because these contain phytochemicals which exhibit various biological properties 6,7. Almost half of the modern drugs have the presence of plant contents in them 8,9. WHO is continually promoting the use of herbal drugs as these drugs are considered superior than the synthetic drugs because these are easily available, less expensive, have suitable, and compatible actions mechanisms inside the living system, multi-target actions, and produce negligible side effects 10-14. Herbal medicines are preferably considered in each and every corner of the world. These are used almost everywhere for the health maintenance purposes 15. One of the most ancient medicinal plants with significant value in many cultures is Punica granatum L. (figure 1) the pomegranate (anar) an ancient, mystical edible fruit and an ornamental tree 16,17,18. It is commonly known as grenade, granats, and punica apple 19. It is popular around the world as super food with super therapeutic properties. Previously the genus Punica was placed under monogenic Punicaceae family but after several analyses on molecular and morphological levels revealed that it has close relationship with the family named as Lythraceae 20,21. This family consists of one genus and two species only 22. The genus Punica is derived from Roman word called “carthage”. In French and Spanish, the species granatum is known as grenade and granada respectively which means seeded (granatus) apple (pomum) 23,24. Punica granatum L. is a plant with rich ethnic history of its utilization in various cultures. It has a religious value in Zoroastrianism, Judaism, Buddhism, Christianity, and Islam. In an old testament of Bible, it was praised as “a sacred fruit conferring powers of fertility, abundance, and good luck” 25. In ancient Egypt, it was symbolized for prosperity and ambition. In the ancient paintings, the plant was depicted as the representation of life after death. Egyptians used this plant against parasitic infestation such as tapeworm 26,27. It is described as paradise fruit in the Holy Quran while in Christian Art it was symbolized as life. In Chinese art it was symbolized for fertility, posterity, abundance, numerous and virtuous offspring, and a blessed future. Persians used it as a sign of power during the battles 28,29. “Sefer ha Rimon: The Book of the Pomegranate” is an 800 years old Kabbalistic text which symbolizes pomegranate as Shekinah which is the female aspect of creation, and its creator 30. This plant has a significant value in Solomon's temple in Jerusalem. In ancient Rome it was known as "Phoenician Apple". Romanian women use to wear its branches as a headband as the symbol of marital status. In Zoroastrian temples, pomegranates were used as a symbol for eternal life and fertility 31. In Buddhism, pomegranate is worshiped as a sacred plant. Plant holds a significant value in Hindu religion. It is related with the Goddess Earth and Lord Ganesha. The plant signifies prosperity and fertility. Vedas denoted this plant as the food of God. The plant indicated life, regeneration, and marriage in the Greek mythology 32. Besides its ethnic value, the plant has wide range of important therapeutic properties. The plant is widely used in folk remedies for numerous human ailments. Each part of the plant is utilized in various folk remedies of numerous diseases like skin diseases and wound healing, fever, diarrhea and microbial infection, ulcers, helminthiasis, acidosis, dysentery, haemorrhage and issues related to respiration. In Ayurveda, the plant holds significant place in the treatment of many diseases. It is entitled as “a pharmacy unto itself” in Ayurveda and mainly used as anti-parasitic agent. It is consumed as blood tonic and used in the treatment of aphthae, diarrhea, and ulcers 33-36. Each part of the plant is medically important due to its phytochemical constituents like alkaloids, tannins, flavonoids, polyphenols etc. The primary polyphenols found in the plant are anthocyanins (impart red color to the fruit) and hydrolysable tannins. This plant is majorly known for its high anti-oxidant properties which is mainly exhibited by polyphenols which contribute almost 90% of the total antioxidant property whereas 50% of this property is contributed by punicalagin alone. The characteristic features of the plant are soft seed, rich peel and aril color. Aril is the edible part of this plant 37,38. folate and Vitamin C, K are present in great amount in the seeds 39. The plant exhibits important biological properties like anti-microbial, anti-cancer, anti-inflammatory, immunomodulatory etc. 40-43. Vernacular names and taxonomy of the Punica granatum L. are given in table no. 1 and 2.

 

Table 1: Vernacular Names of Punica granatum L. 44

India

Dadima, Dalima, Dalim , Anar

Persian

Dulim, Dulima

Guatemala

Granad

Indonesia

Gangsalan

Samoan

Limoni

Brazilian

Roma, Romeira, Romazeira

Thailand

Tab tim

Malaya

Delima

German

Granatapfel

French

Grenade

Dutch

Granaatappel

Spanish

Granada (the fruit), granado (the plant)

Italian

Melogranato, Melogranogranato, Pomogranato

Roman

Carthage (Punica)

 

Table 2: Taxonomic Classification of Punica granatum L. 45

Taxonomic Rank

Taxon

Kingdom

Plantae

Division

Tracheophyta

Class

Magnoliopsida

Order

Myrtales

Family

Lythraceae

Genus

Punica

Species

granatum

Common Name

Pomegranate/Anar

 

Morphology of Punica granatum L.

Punica granatum L. is an evergreen deciduous spiny shrub or small trees which reach up to the height of 5-10m. It has multiple thorny branches with smooth stem having bark of dark grey color. The leaves are simple bright green and glabrous, glossy in appearance and present in opposite or sub opposite manner on the lateral shoots. The petiole is short. The leaves may be ovate or oblong. The flowers are 1-5 in number and all of them are marginal except the one which grows terminally. These are short in size and are present without peduncle. Flowers are funnel shaped, bisexual and actinomorphic. There is presence of a fleshy tubular calyx with 5-8 lobes. Imbricate and wrinkled 5-7 petals of orange red color are present in between the calyx lobes. There is presence of numerous filaments free stamens on the calyx tube. Dorsifixed anthers and aperturate pollens are present.  There is presence of inferior ovary with the many locules. Punica granatum L. fruit are large sized and brownish yellow to red in color having round shape with 5-12 cm diameter with the presence of crown of tubular calyx. Fruit/berry is formed by two parts i.e, outer hard pericarp and inner mesocarp (albedo) of spongy nature. The mesocarp is divided into several chambers in non-symmetrical manner where triangular soft/hard seeds usually of red or white colour, are contained. Seeds are entirely covered by arils which are the edible juicy portion 46-51.

Geographical Distribution of Punica granatum

Punica granatum is a known native plant of Central Asia mainly Iran, Afghanistan, India, Pakistan, China, Japan. It is also found in Mediterranean countries (Tunisia, Turkey, Egypt, Spain and Morocco) and U.S.A. California, Russia. It is believed that this plant has been spread to other regions of the world primarily from Iran, such as to from Iran to the Mediterranean region, Turkish European borders, American southwest, California and Mexico. In India, it is mainly found in Northern regions of the country. As per the reports, the total Punica granatum production in Turkey was around 100,000 tons in the year 2007. It grows well adapted plant that can grow in climate ranges as well as soils and often grows in poor soils 52-59.

Phytochemistry of Punica granatum

Punica granatum consists of wide range of bioactive compounds in it such as vitamins, polysaccharides, minerals, polyphenols, tannins, saponins, quinones, alkaloids, glycosides, coumarins, terpenoids, steroids, betacyaninetc 60-64. The major organic acids and phenolic acids in the plant are malic acid, fumaric acid, oxalic acid, succinic acid, citric acid, and tartaric acid, ascorbic acid, citric acid, fumaric acid, L-Malic acid, oxalic acid, quinic acid, caffeic acid, chlorogenic acid, cinnamic acid, o-Coumaric acid, p-Coumaric acid, cis-p-coumaric acid, coutaric acid, 7,8-dihydroxy-3-carboxymethylcoumarin-5-carboxylic acid, ferulic acid, gallic acid, methyl gallate, neochlorogenic acid (5-O-Caffeoylquinic acid), protocatechuic acid, vanillic acid, coniferyl 9-O-[β-D-apiofuranosyl(1→6)]-O-β-D-glucopyranoside, Sinapyl 9-O-[β-D-apiofuranosyl(1→6)]-O-β-D-glucopyranoside. flavonoids present in the plant are luteolin, kaempferol, and narigenin found in glycoside forms. Glucose, fructose, sucrose are the simple sugars present in the juice. Polyphenols including ellagitannins, gallotannins (punicalin, punicalagin, pedunculagin, punigluconin, granatin B, and tellimagrandin I, punicacortein A-D, granatin A and B, punicafolin, corilagin, gallocatechins) are majorly present in the plant. Ellagitannins are majorly present in the root and bark. Six anthocyanins namely 3,5-diglucoside delphinidin, 3-glycoside delphinidin, 3,5- diglucoside cyanidin, 3-glycoside cyanidin, 3,5-diglucoside pelargonidin, and 3-glycoside pelargonidin are the compounds which impart a characteristic color to the plant. Pelargonidin are associated with orange and red colors, cyanidins imparts red and deep red color and delphinidins imparts blue and purple colors. Proline, valine, methionine are the major amino acids found in the plant. The plant has conjugated fatty acid like punicic acid and non-conjugated acids like linoleic acid, oleic acid, palmitic acid present in it.  Plant consists of conidendrin, isohydroxymatairesinol, isolariciresinol, matairesinol, medioresinol, phylligenin, pinoresinol, secoisolariciresinol, syringaresinol, pomegralignan, punicatannin C as lignans. The seeds contain sex steroids like 17-Estradiol, testosterone. Other compounds like catechol, coumesterol, phenyl aliphaticglycosides (icariside D1), phenylethylrutinoside, syringaldehyde, sitosterol have also been isolated from the plant 65-72.


 

 image

Figure 1: Punica granatum L.

 

image

Figure 2: Chemical Structures of Some of Phytochemical Constituents of Punica granatum L.

 

 

 

 


Traditional and Modern View of Punica granatum L.

Ayurvedic View of Punica granatum L.

As per Sushruta Samhita (surgical compendium of Ayurveda), health is a balanced state of Doshas (three biological humors i.e kapha (water & earth), pitta (fire) and vata (space &air), dhatus (seven body tissues), digestion, peace of soul, mind and senses 73-75. Punica granatum is a plant of great significance in Ayurveda commonly known as “dadim”. It balances the three Doshas of the body. It is considered as Rasayana which consists of properties like Pathya (wholesome properties), Balya (enhances strength), Dhatuvridhikara (tissue generation and development). It is also preferred for treating conditions like cardiac and anemic 76,77. In Ayurveda, the fruit rind is used as astringent, digestive, cardio tonic, stomachic. It is used in the treatment of chronic diarrhoea and dysentery, dyspepsia, colitis, piles and uterine related disorders 78. Rasapanchak of Punica granatum L. is given in Table 3

Table 3: Rasapanchak of Punica granatum L. as per Ayurveda79

Sanskrit/English

Sanskrit/English

Virya/Potency

Shita/Cold

Vipak/Metabolic property

 Madhur/Sweet, Amla/Sour

Guna/Physical property

Laghu/Light, Snigdha/Oily

Rasa/Taste

Kashaya/Astringent, Madhura/Sweet, Amla/Sour

 

Properties and uses Punica granatum L. 80,81

Sansthanik karam wah: It has anthelminthic properties and helpful in treatment of throat and buccal cavity diseases. It is useful in edema due to its healing properties.

Abhyantra naadi sansthan: It works as brain tonic.

Pachansansthan: It works as an appetizer. It relieves thirst and have stool binding properties. It is used in diarrhoea, dysentery and hyper acidity. It has anthelminthic property which is specifically effective against tapeworms.

Rakat wah sansthan: It works as a cardiac tonic. It is helpful in treating anemia and other blood related disorders.

Sawsansansthan: Due to the astringent property of flowers it balances the vitiated kapha dosha. It reduces cough and bronchi dryness.

Mootarwah sansthan; Due to its diuretic property it is used in oliguria.

Prajannan sansthan: It enhances the spermatogenesis.

Taapkram: It has antipyretic property. It subsides the further fever related complications.

Saatmikaran: It helps in reducing general body weakness.

Ayurvedic formulations of Punica granatum L. 82

Punica granatum L. is present in many Ayurvedic formulations like dadimashtak choorna, dadimadi choorna, dadimadi ghrut, dadimadya taila, dadim chatusama.

Folk View

There are many social and cultural beliefs associated with some plants representing their rich ethnobotany 83.  One of the plants with rich ethnobotany found many countries is Punica granatum L. It is the most beloved plant since the ancient times. Greek and Romans used the plant as remedy for many diseases. In Dir district Pakistan, the plant is used in medicinal folk practices for treating several diseases like cough, stomach and urine related issues, diarrhoea, bone and chest pain, dysentery, diabetes, throat infection. People used the plant as anthelminthic, refrigerant, astringent, and as expectorant 84. The fruit skin infusion is used to treat dysentery, vomiting, food poisoning in coastal areas of Pakistan 85. Tribal people of lesser Himalayas, Pakistan, use fruit of the plant diabetes, diarrhoea, piles, and dysentery 86. In the Altiplane region of Mexico, people use plant pericarp syrup to get relief from gum diseases, apthous ulcers and mouth sores 87. In Lorestan province of Iran, people treat peptic ulcers traditionally with the pomegranate seeds 88. Punica granatum fruit, seed and flower is used traditionally in Kerman Province, Iran for treating skin blisters, skin tissue integrity, diarrhea in children, hypertension, strengthening and bleeding gums 89. People in Fars Province of Iran, use fruits of Punica granatum, in jaundice and use as an appetizer 90. Pericarp is used against renal diseases in the North center region of Morocco 91. In Agadir Ida Ou Tanane Province (Southwest Morocco), the infusion, powder and decoction of leaf, fruit, seed, bark is used orally or externally to enhance digestion 92.  The Brazilian community Sobradinho, use the plant traditionally to get relief from sore throat 93. The local people of Turkey use flower decoction to treat asthma 94. People use roots of Punica granatum to treat diabetes mellitus in Limpopo Province, South Africa 95. In Boheratoli & Menkifanda, Netrokona ares of Bangladesh, people traditionally use root bark decoction to expel out the human worms 96. In some areas of Dhaka Bangladesh, the plant is used in the anemia treatment 97. The Garo tribal people of Bangladesh use the leaf paste of the plant to treat fungal infection of the nail called onycomycosis 98. In Sulawesi (Makassarese, Buginese), Java (Javanese, Sundanese), Madura, Vietnam the pericarp is used in many formulations to get relief from teeth blackening 99. In the southeast of the capital of Hodna (Algeria) the bark decoction is used to get relief from stomach ache, diarrhea, ulcer 100. In Jammu and Kashmir, seeds are used against anemia and jaundice. Seeds are used to recover from weakness. Whereas they consume juice as an appetizer 101. In Parinche valley of Pune Maharashtra, fruit rind is traditionally used to treat diarrhoea 102. The plant is used for various therapeutic purposes like treatment of fever, cardiac and throat problems in Satpuda region of Maharashtra. The plant is also used as anthelminthic, laxative, astringent and to enhance memory 103. The fruit powder is consumed orally to treat stomachache in Kani tribals in Tirunelveli hills of Western Ghats 104. In the in Southern part of Tamil Nadu, the plant made up of whole plant is used topically as an anti-venom 105.

Modern View

Herbal medicines are primarily known for their negligible adverse impacts and least toxicity than allopathic medicines around the world 106. But over the past few years some deliberate practices have been noticed which are majorly responsible for the gradual fall in quality of herbal products for example adulteration, contamination etc. The definition of adulteration as per the quality control (QC) guidelines of WHO is “herbal material, an herbal constituent or other substance that is either deliberately or non-intentionally (through cross-contamination or contamination) added to an herbal material, herbal preparation, or finished herbal product” 107.  The authenticity and quality of these drugs must be checked carefully as adulterated herbal products have so many health risks associated with them. More checkpoints need to be placed during the whole process from the processing of the raw material to the formation of the end product so that authenticity and quality are ensured 108.

Therapeutic Properties of Punica granatum L.

Punica granatum L. is associated with many important therapeutic properties. Some of the reported studies on therapeutic properties are discussed below:

Antioxidant

The anti-oxidant potential of Punica granatum L. was evaluated by Hossain et al., in an in-vitro study. The crude ethanolic extract of the plant was tested for its anti-oxidant activity by using tests like 2,2-diphenyl-1-picrylhydrazyl (DPPH) free radical scavenging, nitric oxide scavenging, reducing power, Fe++ ion chelating ability and total phenolic content. The findings revealed that IC50 values of crude ethanolic extract in each test were significant different from the IC50 values of reference standards. This study supports the use of Punica granatum as an anti-oxidant agent 109. In-vitro antioxidant analysis of Punica granatum L. by Boggula et al., suggested that the leaf extract of the plant is associated with anti-oxidant activities. They subjected the extract to reducing power, Hydrogen peroxide scavenging assay, DPPH methods. Results confirmed the significant anti-oxidant behavior of the plant 110. Singh et al., carried out an in-vitro study to investigate the anti-oxidant potential of Punica granatum fruit and peel. Methanol extract of both peel and fruit showed anti-oxidant in beta-carotene-linoleate and DPPH model systems. Extract exhibited inhibitory actions at 100 ppm using thiobarbituric acid method, hydroxyl radical scavenging activity, and LDL oxidation at the rate 56, 58, and 93.7% respectively 111.

Anti-microbial

Duman et al., studied the anti-microbial activity of arils of six Punica granatum L. varieties from Mediterranean region of Turkey. In this in-vitro study they used seven bacterial strains viz. (Bacillus megaterium DSM 32, Pseudomonas aeruginosa DSM 9027, Staphylococcus aureus Cowan 1, Corynebacterium xerosis UC 9165, Escherichia coli DM, Enterococcus faecalis A10, Micrococcus luteus LA 2971) and three fungal strains namely Kluvyeromyces marxianus A230, Rhodotorula rubra MC12, Candida albicans ATCC 1023. It was observed that the aril extracts showed potent inhibitory actions against the all microbial strains which confirms its anti-microbial property 112. Bassiri-Jahromi et al., studied the anti-fungal behavior of peel and pulp extract of this plant against Candida species viz. Candida albicans (ATCC 10231), Candida parapsilosis (ATCC 22019), Candida tropicalis (ATCC 750), Candida glabrata (PTCC 5297) and Candida krusei (PTCC 5295). Results revealed that the peel extract showed the maximum inhibitory actions against the Candida species. This study supports the use of peel extract of Punica granatum L. in the effective treatment of candidiasis 113. Antifungal property of Punica granatum L. has also been explored by Shjafighi et al. They conducted an in-vitro study on Candida albicans NCPF 3153 to evaluate the antifungal behavior of peel, flower, leaf and stem of the plant. It was observed that the methanolic extract of the flower showed maximum inhibitory actions in the concentration of 200 μl suggesting its antifungal potential 114. Pradeep et al., carried out an in-vitro study to evaluate the anti-bacterial potential of Punica granatum against ten bacterial strains causing Gastro Intestinal Tract (GIT) infection viz. Staphylococcus aureus, Escherichia coli, Pseudomonas aeruginosa, Salmonella typhi, S. paratyphi A, S. paratyphi B, S. typhimurium, Shigella dysenteriae Serotype 1, Shigella flexneri Serotype 2 and Vibrio cholera.  The pericarp extract namely crude, methanol and acetone extracts were screened out against the above mentioned bacterial strains. It was observed that methanol extract showed highest inhibitory actions against the used strains as compared to the selected other extracts. The maximum inhibition was seen against Salmonella typhimurium, Salmonella typhi and Shigella dysenteriae Serotype 1 115. Choi et al., studied., in-vitro as well as in-vivo anti-bacterial property of this plant. The ethanol extract of peel was investigated against 16 Salmonella strains. The minimal inhibitory concentrations (MIC) of ethanol extract against all the used strains revealed its anti-bacterial potential. Whereas in the in-vivo S. typhimurium growth was effectively inhibited by ethanol extract of peel in the mice models. This study confirms that Punica granatum is associated with potent anti-bacterial property 116.

Anti-hypertensive

Wang et al., conducted an in-vivo study on pregnant female rat models to investigate the anti-hypertensive activity of Punica granatum L. Pre-eclampsia (PE) is a term used for pregnancy hypertension. Hypertension was induced artificially in the models.  NG-nitro-L-arginine methyl ester (L-NAME) at the dosage of 50 mg/kg/day were administered orally in the models on days 14- 19 of pregnancy for inducing hypertension. The polyphenol named as punicalagin present in the plant was showed effective results by reducing diastolic, systolic, and mean arterial blood pressure and it significantly helped in restoring angiogenesis as well as the levels of placental nitric-oxide were increased. The reduction in levels of oxidative stress was observed. It also enhanced the antioxidant capacity of placenta 117.

Hepatoprotective

An in-vivo study was conducted by Kumar et al., in rat models where hepatotoxicity was induced artificially by administering carbon tetra chloride (CCl4). Results revealed that aqueous leaf extract is associated with hepatoprotective activity. The extract increased the level of total proteins and significantly lowered down the levels of enzymes like bilirubin, aspartate aminotransferase (AST), alanine transaminase (ALT) and alanine phosphatase (ALP) which are most reliable liver functioning markers 118.

Anti-diabetic

The reported in-vivo study conducted by Gharib et al., in alloxan-induced diabetic rats for the evaluation of anti-diabetic potential of Punica granatum suggested that the aqueous extract of the fruit is associated with significant anti-diabetic activity.  Plasma insulin, free fatty acids, and triglycerides levels and tissues contents of glycogen and triglycerides were compared with the control groups i.e. diabetic control (DC) and healthy control (NC). Insulin receptor substrate 1 (IRS-1), Protein kinase B (Akt), Glucose transporter 2 and 4 (Glut-2, 4) mRNAs expression levels were also analyzed. A significant reduction fasting blood glucose (FBG) was noticed in pomegranate fruits aqueous extract (PE) + Dc group 119.

Anti-peroxidative

Sudheesh et al., conducted an experimental study to evaluate the anti-peroxidative potential of Punica granatum. Oral administration of flavonoid fractions (B and C) to the rats showed effective decrease in malondialdehyde, hydroperoxides and conjugated dienes concentration in the liver, heart and kidney and significant elevation in the levels of enzymes such as catalase, superoxide dismutase (SOD), glutathione peroxidase and glutathione reductase was noticed 120

Wound Healing

An in-vivo study was conducted by Nasiri et al., for the evaluation of wound healing property of Punica granatum in the treatment of thermal injuries in rat models. Study revealed that tannin content in the extract effectively helped in decreasing the wound size and the healing of wound 121.

Cardioprotective

Sumner et al., conducted a clinical study in patients suffering from ischemic coronary heart disease (CHD). They observed that consumption of pomegranate juice for 3 months at regular basis effectively helped in reducing the stress-induced ischemia which indicates the use of Punica granatum as a cardioprotective agent 122.

Effect on Male Reproductive system

Turk et al., evaluated the effect of pomegranate juice on sperm quality, spermatogenic cell density, testosterone level in male rats. The observations of the study stated that the consumption of pomegranate juice had positive results by increasing epididymal sperm concentration, sperm motility, spermatogenic cell density, diameter of seminiferous tubules, and germinal cell layer thickness. It significantly lowered down the rate of abnormal sperms 123. Forest et al., evaluated the effect of pomegranate juice in the treatment of erectile dysfunctioning in 53 men. Subjects were administered with pomegranate juice, or placebo, for four weeks. The treatments were switched after washout period of two-week. The result stated that pomegranate juice consumption was associated with improved scores 124.

Anti-cancer

Joseph at el., studied the anti-cancer behavior of Punica granatum in in-vitro and in-vivo. Galactomannan polysaccharide (PSP001) a compound isolated from the fruit has proved to be an anti-cancer agent. Its cytotoxic impact was studied on human cancer cell lines A375, HCT116, and HepG2 as well as the murine cancer cell lines DLA and EAC. Compound showed significant cytotoxic activity against these cancer cell lines. In EAC and DLA bearing mice models the compound effectively reduce the volume of tumor. This compound improved the survival of the models which suggested that Punica granatum has anti-cancer properties 125.

Anti-inflammatory

Houstan et al., carried out an ex-vivo study to investigate the anti-inflammatory activity of Punica granatum. Pomegranate rind extract (PRE), total pomegranate tannins (TPT) and zinc (II) were evaluated for anti-inflammatory actions. When PRE alone and in combination with ZnSO4 topically applied to the skin, they downregulated the expression of COX-2 while the downregulation of COX-2 on the application of TPT was comparatively less than that of PRE. This study concluded that Punica granatum can be a good source of anti-inflammatory drugs 126.

Immunomodulatory

Ross et al., to evaluated the immunomodulatory property of the plants in rabbit models. Punica granatum fruit rind powder (PGFRP) is associated with this property. The administration of aqueous suspension of (PGFRP) significantly helped in the stimulation of cell-mediated components and humoral components of the immune system of the models. A significant boost in the inhibition of leucocyte migration was observed. A noticeable increase in the thickness of skin was seen in the PGFRP group. These findings of the study suggested that Punica granatum is associated with immunonodulatory effects 127.

Anti-anemic

The study reports of Riaz et al., confirms the anti-anemic property of Punica granatum. They conducted the study on healthy rabbit models. The pomegranate juice effectively worked on erythrocytes, hemoglobin, and mean corpuscular hemoglobin concentration. It also reduced the platelet aggregation and fibrinogen concentration whereas protein C, thrombin antithrombin complex levels were increased which showed the anti-anemic behavior of the juice 128.

Conclusion

The present study is an attempt to provide the detailed information about the most ancient medicinal fruit plant, Punica granatum L. The reported pharmacological studies indicated that this plant has extraordinary biological potential. It is strongly believed that the present review on the phytomedicinal value of Punica granatum, might draw the attention of researchers to use this plant in modern medicines. From the present review, it can be concluded that plants are the promising source of anti-oxidant and anti-microbial compounds.

Acknowledgement

Authors are very thankful to the Department of Research and Development of Jeena Sikho Pvt. Ltd. Zirakpur Punjab for giving us opportunity to explore this ancient medicinal fruit plant.

Conflict of Interest

None

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