Review Article

Plant Extracts in the Bone Repair Process: A Systematic Review

Table 3

Main characteristics of the plant, extraction form, route, and dose administered in studies demonstrating the action of plant extracts in the bone repair process.

Study IDPlantUsed partsIndicationSolvent used for extractionObtaining plant materialDoseAdministrationSecondary metabolitesGeographic distribution

Selvakumar et al., 2016 [38]Aloe veraLeavesAnti-inflammatory, antioxidant activity, immune modulatory, and burn woundsWater??GraftsSaponins?
Huh et al., 2009 [24]Astragalus membranaceusRootVascular diseases, breast cancer, climacteric bone diseases (reports)Water/ethanolSeoul, Korea20 μg/kg/day and 200 μg/kg/dayOrally, ad libitumIsoflavone formononetin?
Pal et al., 2019 [50]Cassia occidentalisStem and leavesPurgative, febrifuge, diuretic, and treatment of fracture and bone diseasesEthanolLucknow, India250 mg/kg and 100 mg/kgOrally, ad libitumFlavonoidsSouth Asia and South America
Neto et al., 2015 [35]Chenopodium ambroisioidesLeavesContusions and fracturesWaterBrazil10 mLTopical?Brazil and Latin America
Neto et al., 2017 [46]Chenopodium ambroisioidesLeavesInflammatory conditions, contusions, and fracturesWaterBrazil20 gGraftsFlavonoids, alkaloids, and saponinsBrazil and Latin America
Kolios et al., 2010 [27]Cimicifuga racemosaRhizomesReduce climacteric complaints (proven)Water/ethanol?24.9 mg/dayOrally, ad libitum??
Lacerda et al., 2010 [28]Coffee?Protein expression of the vitamin D receptor, osteoblast activity, anti-inflammatory (reports)WaterSP, Brazil50 mg/mLOrally, ad libitumCaffeine (reports)?
Sakakura et al., 2007 [22]Comfrey (Shymphytum officinalis)?Fractured bone, tendon damage, joint disease, and ulcerations in the gastrointestinal tractEthanol?6CH (homeopathic dose)Grafts??
Karvande et al., 2017 [44]Dalbergia sissooHeartwoodStimulation of new cell growth, tissue regeneration (reports)
Fevers, anti-inflammation (traditional uses)
EthanolLucknow, India250, 500, and 1000 mg/kg/day?Neoflavonoids (reports)Indian subcontinent
Khedgikar et al., 2017 [45]Dalbergia sissooLeavesStimulation of new bone cells, tissue regeneration, anti-inflammatory (reports)EthanolLucknow, India250, 500, and 1000 mg/kg/dayOrally, ad libitumPhytoestrogens, flavonoids (reports)Indian subcontinent
Chow et al., 1982 [20]Davallina orientalis?Fractures (traditional uses)Methanol?10 mg/kg or 30 mg/kgIntraperitoneal??
Ngueguim et al., 2012 [31]Elephantopus mollis, Spilanthes africana, Urena lobata, Momordica multiflora, Asystasia gangetica, and Brillantaisia ovariensisLeaves, twigs, or whole plantBone diseases and fracture repair, anti-inflammatory (traditional uses)EthanolDschang region, Cameroon250, 500, and 750 mg/kgOrally, ad libitum??
Burim et al., 2016 [36]Epimedium sagittatumDried leavesBone repair, osteoporosis, anti-inflammatory (reports)Water/ethanolShaanxi, China0.3 mLGavageFlavonoid icariinAsian countries
Gurger et al., 2019 [49]Grape seedSeedVasodilator, antiallergic, immunostimulator, anti-inflammatory, cardioprotective, antiviral, antibacterial, and anticarcinogen activities1% carboxymethyl celluloseUnited States of America100 mg/kg/dayGavage??
Juma Ab, 2007 [21]Lepidium sativumSeedsDiuresis, bile function, cough, fracture healing, anti-inflammatory (traditional uses)?Saudi Arabia6 g/dayOrally, ad libitum??
Giaze et al., 2018 [48]Marantodes pumilum var. alataLeaves and rootsReproductive health problems and postmenopausal symptoms, known to protect the bone against osteoporosisWaterMalaysia20 and 100 mg/kg/dayOrally, ad libitumPhenolic compounds?
Ezirganli et al., 2016 [37]Nigella sativaSeedAnalgesic, antipyretic, anti-inflammatory, antimicrobial, antibacterial, antifungal, antiparasitic, antiasthmatic, antioxidant, antineoplastic??10 mg/kg/dayGavageProteins, alkaloids, essential oils, saponin?
Kumar et al., 2013 [32]Ormocarpum cochinchinenseLeavesFractures (traditional uses)MethanolKancheepuram district, Tamil Nadu, India100 mg/kg−1Topical/orally, ad libitum?Jungles of the Coromandel coast and dry forest from Tamil Nadu, India
Ngueguim et al., 2013 [33]Peperomia pellucida (L.) HBKWhole plantFractures, abdominal pain, headache, hypertension, anti-inflammatory (traditional uses)EthanolDschang region, Cameroon100 and 200 mg/kgOrally, ad libitum?Damp areas from Cameroon
Florence et al., 2017 [43]Peperomia pellucida (L.) HBKWhole plantAbdominal pain, anti-inflammatory, boils, colic, fatigue, gout, rheumatic, joint pain, fracture management (traditional uses)WaterLimbe, Cameroon100, 200, and 400 mg/kgOrally, ad libitumFlavonoids (reports)America, Africa, and Asia
Estai et al., 2011 [29]Piper sarmentosumLeavesDiabetes, hypertension, and joint aches (traditional uses)??125 mg/kg/dayOrally, ad libitumAlkaloids, amides, flavonoids, lignans, phenylpropanoids (reports)?
Porwal et al., 2017 [47]Psidium guajavaFruitsDiabetes, obesity, osteoporosis (traditional uses)EthanolSitapur, Uttar Pradesh, India250 mg/kg?Polyphenols, carotenoids (reports)?
Chen et al., 2017 [42]Salvia miltiorrhiza?Osteoporosis, osteogenesis, anti-inflammatory (reports)??25 and 50 mg/kgGavageTanshinol?
Yang et al., 2016 [39]Sambucus williamsii Hance (SWH)Root barkFractures, anti-inflammatory, osteoporosis (traditional uses)EthanolHarbin, China340 and 680 mg/kgOrally, ad libitumLignans, iridoidsChina
Kolios et al., 2009 [25]Soybeans?Osteoporosis (reports)??1 g/kgOrally, ad libitumIsoflavone genistein?
Giavaresi et al., 2010 [26]Soybean??Water/ethanol??GraftsIsoflavones, phytoestrogens?
Adhikary et al., 2017 [41]Spinacia oleraceaWhole plantIncreased satiety in females and lipid-lowering effects in postmenopausal women (previous reports)Ethanol?125, 250, 500, and 750 mg/kg/dayOrally, ad libitumAscorbate, carotenoids, tocopherols, phenolics, flavonoids, folate?
Zhuang et al., 2016 [40]Ulmus davidiana PlanchStem barkAnti-inflammation, edema, stomach cancer (traditional uses)Ethanol?50, 100, 250, and 500 mg/kgGavageFlavonoids (catechin)Korean Peninsula
Sharan et al., 2011 [30]Ulmus wallichianaStem barkFractures (traditional uses)Ethanol?1.0 mg/kg/day and 5.0 mg/kg/dayOrally, ad libitumFlavonoid quercetin?
Oztürk et al., 2008 [23]Vitex agnus-castus L.FruitsBone loss and resorption, heart disease (reports)Ethanol?0.75 mgIntramuscularFlavonoids (reports)Middle East and Southern Europe

?: not related; CH: diluted 100×.