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The Potential of Gotu Kola in Neuroprotection : A Comprehensive Review

  1. Introduction

    1. Brief Overview of Gotu Kola

      Centella asiatica, also known as Gotu kola, is a perennial herbaceous plant that is endemic to Asia, more specifically India and Sri Lanka. Anxiety, sadness, skin problems, and wound healing are just some of the illnesses that this ancient remedy has been used to cure for ages. Gotu Kola is also known as the “herb of longevity” due to its purported ability to improve cognitive function and memory, as well as its potential to promote healthy aging.

    2. Importance of Neuroprotection and Neurodegenerative Diseases

      The term “neuroprotection” describes the process of protecting neurons in the central nervous system. Neurodegenerative illnesses, such as Alzheimer’s, Parkinson’s, and multiple sclerosis, are defined by the loss of neurons and their connections, therefore preventing or slowing the progression of these diseases is crucial. These Illnesses pose a serious threat to public health and can have devastating effects on those who are afflicted as well as their loved ones

    3. Purpose of the Article

      This article’s goal is to give readers an introduction to the research around Gotu Kola’s potential neuroprotective effects. We will explore the chemical composition of Gotu Kola, its pharmacological properties, and its effects on neuroprotection and neurodegenerative diseases. We will also examine the mechanisms of action of Gotu Kola and its implications for clinical practice.

  2. Gotu Kola: Background and Properties

    1. Brief History and Traditional Use

      Gotu Kola has a rich history in traditional medicine, particularly in Ayurveda and Chinese medicine. It has been employed for its anti-inflammatory, antimicrobial, neuroprotective, and life-extending qualities.

      In Ayurveda, Gotu Kola is known as “Brahmi,” which translates to “God-like.” It is believed to enhance brain function, promote mental clarity, and improve memory. In Chinese medicine, it is called “Ji Xue Cao,” which means “herb that strengthens the bones and muscles.” Conditions of the skin, the gastrointestinal tract, and the respiratory system are all treated with it.

    2. Chemical Composition of Gotu Kola

      Several bioactive chemicals found in Gotu Kola are responsible for the plant’s therapeutic effects. Asiaticoside and asiatic acid are two of the most vital components.

      Asiaticoside

      Gotu kola contains a potent triterpenoid saponin called asiaticoside. Many pharmacological actions, such as anti-inflammatory, antioxidant, and wound-healing, have been demonstrated.
      Asiaticoside has been shown to hasten the recovery time of skin wounds by boosting blood flow and encouraging collagen formation. It may also aid in cognitive improvement and has been demonstrated to have neuroprotective properties.

      Asiatic Acid

      Gotu kola also contains a third triterpenoid component called asiatic acid. Collagen synthesis and wound healing are boosted, and it also possesses anti-inflammatory and antioxidant properties.

      Furthermore, asiatic acid has showed promise as an anti-cancer agent. Inhibiting cancer cell development and inducing apoptosis (cell death) have both shown promise in laboratory studies of various cancers (Wu et al., 2017).

    3. Pharmacological Properties of Gotu Kola

      Anti-inflammatory, antioxidant, anti-apoptotic, and anti-amyloidogenic actions are only some of the pharmacological benefits associated with Gotu Kola. It has also been shown to improve mood and lessen feelings of worry and sadness in addition to boosting cognitive performance and memory.

  3. Neuroprotection and Gotu Kola

    1. Overview of Neuroprotection

      The term “neuroprotection” describes the process of protecting neurons in the central nervous system. Neurodegenerative illnesses, such as Alzheimer’s, Parkinson’s, and multiple sclerosis, are defined by the loss of neurons and their connections, therefore preventing or slowing the progression of these diseases is crucial.

    2. Research Studies on Gotu Kola and Neuroprotection

      Protection Against Oxidative Stress and Inflammation

      Research suggests that Gotu Kola’s antioxidant and anti-inflammatory qualities can shield neurons from damage caused by free radicals and inflammation. Gotu kola extract, for instance, has been shown to lessen oxidative stress and inflammation in the brains of Alzheimer’s disease rats, according to a study published in the journal inflammopharmacology (Giribabu et al., 2020). Gotu kola extract decreased inflammation and oxidative stress in the brains of PD rats, according to another study published in Advances in Pharmacology (Wong et al., 2021).

      Effects on Cognitive Function and Memory

      Several studies have found that Gotu Kola extract may improve cognitive function and memory in both healthy individuals and those with cognitive impairment. For example, a study published in the journal of Exercise Rehabilitation found that Gotu Kola extract improved cognitive function and memory in healthy individuals (Phoemsapthawee et al., 2022). Another study published in Basic Clinical Neuroscience found that Gotu Kola extract improved cognitive function and memory in rats with Alzheimer’s disease (Sahraei et al., 2022).

    3. Potential Use In The Prevention And Treatment Of Neurodegenerative Diseases

      Gotu Kola May Make It Useful In Lowering Alzheimer’s Risk

      Gotu kola extract has been shown to diminish beta-amyloid-induced neurotoxicity in cell cultures, suggesting it may be useful as a treatment agent for Alzheimer’s disease, according to a study published in the Journal of Alzheimer’s Disease (Gray et al., 2015). The results of another study on aged rats suggest that Gotu kola extract may be useful in reducing age-related cognitive decline by enhancing cognitive performance and decreasing oxidative stress (Amala Soumyanath, 2012).

      Loss of dopaminergic neurons in the brain is a hallmark of neurodegenerative disorders like Parkinson’s disease. Many factors, including oxidative stress, mitochondrial malfunction, and inflammation, contribute to the development of Parkinson’s disease. The loss of dopaminergic neurons is a hallmark of Parkinson’s disease, but recent research suggests that Gotu kola may help guard against this loss.

      Gotu kola extract enhanced motor performance and decreased oxidative stress in a rat model of Parkinson’s disease, according to research published in the Journal of Medical Sciences (Lokanathan et al., 2016). Dopaminergic neurons in cell cultures were also protected from oxidative stress-induced cell death by Gotu kola extract, suggesting its potential as a treatment agent for Parkinson’s disease (Orhan, 2012).

  4. Mechanisms of Action

    1. Overview of the Mechanisms Of Action

      • Antioxidant properties: Gotu kola contains various antioxidants that help to reduce oxidative stress and inflammation. These include flavonoids, triterpenoids, and ascorbic acid, which scavenge free radicals and protect cells from damage.
      • Anti-inflammatory effects: The anti-inflammatory properties of gotu kola have been demonstrated by its ability to reduce the generation of cytokines that contribute to chronic inflammation and many illnesses.
      • Wound healing: Gotu kola has been used for generations for its beneficial effects on wound healing. It has been demonstrated in studies to hasten recovery times by increasing collagen synthesis and blood flow.
      • Neuroprotective effects: Gotu kola’s neuroprotective properties suggest it may be useful for warding off cognitive decline and neurodegenerative conditions. It has been demonstrated to increase levels of BDNF, a neurotrophic factor crucial to cell proliferation and survival
    2. Role of Asiaticoside and Asiatic Acid

      Two of the key compounds in Gotu kola are asiaticoside and asiatic acid. Asiaticoside has been shown to have wound healing properties and may help to reduce scarring by inhibiting the production of collagen. Anti-inflammatory properties have been observed, which suggests it may alleviate pain and inflammation.

      Cognitive decline and neurodegenerative illnesses may be averted with the use of asiatic acid, which has been demonstrated to have neuroprotective benefits. It has been proven to increase BDNF production, which is critical for neuronal survival and development.

    3. Effects on Neurotransmitters and Brain-Derived Neurotrophic Factor (BDNF)

      In order to promote neuronal growth and survival, gotu kola has been demonstrated to increase the synthesis of brain-derived neurotrophic factor (BDNF). Decreased levels of BDNF have been linked to cognitive decline and neurodegenerative illnesses, where it plays a crucial role in learning and memory.

      Gotu kola may also affect neurotransmitter levels in the brain. Studies have shown that it can increase the levels of dopamine, norepinephrine, and serotonin, which are important for mood regulation and cognitive function.

  5. Implications for Clinical Practice

    1. Potential Use of Gotu Kola in Neurodegenerative Diseases

      The gradual death of brain cells called neurons is a hallmark of neurodegenerative disorders including Alzheimer’s and Parkinson’s disease. Patients suffering with these conditions often experience a decline in their quality of life due to the severe cognitive and motor impairments they experience as a result of their illness.

      The potential neuroprotective properties of Gotu Kola in the treatment of neurodegenerative illnesses have been the subject of extensive study. Gotu kola extract was shown to improve cognitive function in rats exhibiting Alzheimer’s disease-like symptoms, according to a study published in the Journal of Alzheimer’s Disease (Soumyanath et al., 2012). Gotu kola was discovered to have protective effects on dopamine-producing neurons in rats with Parkinson’s disease-like symptoms, according to another study published in Frontiers pharmacology (Boju Sun, 2020).

    2. Dosage and Administration Considerations

      Gotu kola can be purchased as a tea, a powder, or a pill. The recommended dosage is different for each product and brand. Adhere to the dosing instructions on the product label or as given by your doctor.

      The safety of long-term use of Gotu Kola has not been established. Therefore, it is recommended to use Gotu Kola for short periods of time and to take breaks between usage.

    3. Possible Side Effects and Drug Interactions

      When taken properly, Gotu Kola has a low risk of adverse effects. Unfortunately, there is a chance that some people will develop unwanted side effects.

      Medications like diuretics and blood thinners may interact negatively with Gotu Kola. Because of this, people who are already taking medications or who have preexisting health conditions should talk to their doctors before starting Gotu Kola

  6. Conclusion and Future Directions

  1. Summary of the Findings

    Gotu kola’s effects on cognitive performance and memory suggest it might be useful as a neuroprotective agent due to its antioxidant and anti-inflammatory qualities. However, more research is needed to determine its effectiveness and safety in humans, particularly in the treatment of neurodegenerative diseases.

  2. Limitations of the Research

    Most of the research on Gotu Kola and neuroprotection has been conducted in animal models, and there is limited research on its effectiveness in humans. Additionally, the optimal dosage and administration of Gotu Kola for neuroprotection and neurodegenerative diseases are not well established.

  3. Future Directions For Research on Gotu Kola and Neuroprotection

    Future research on Gotu Kola and neuroprotection should focus on determining its effectiveness and safety in humans, particularly in the treatment of neurodegenerative diseases. Additionally, research is needed to determine the optimal dosage and administration of Gotu Kola for neuroprotection.

  4. Implications of the Findings for Healthcare and Research

    The findings on Gotu Kola and neuroprotection have implications for healthcare and research. Gotu Kola may have potential as a treatment for neurodegenerative diseases, and more research is needed to determine its effectiveness and safety in humans. Additionally, research on Gotu Kola may provide insights into the mechanisms of action of neuroprotective agents.

  5. Final Thoughts

    Based on its antioxidant and anti-inflammatory characteristics as well as its impact on cognitive function and memory, Gotu Kola is a herb with possible neuroprotective benefits. Although it shows promise in treating neurodegenerative illnesses, additional research is needed to determine its efficacy and safety in humans. Those considering using Gotu Kola should do so cautiously and only after consulting with a healthcare professional due to the possibility of negative effects and drug interactions.

References:

  • Amala Soumyanath, Y.-P. Z., Edward Henson. (2012). Centella asiatica Extract Improves Behavioral Deficits in a Mouse Model of Alzheimer’s Disease: Investigation of a Possible Mechanism of Action. International Journal of Alzheimer’s Disease, 2012.
  • Boju Sun, L. W., You Wu, Chengfei Zhang, Lingling Quin. (2020). Therapeutic Potential of Cantella asiatica and Its Triterpenes: A Review. Frontier Pharmacology, 11.
  • Giribabu, N., Karim, K., Kilari, E. K., Nelli, S. R., & Salleh, N. (2020). Oral administration of Centella asiatica (L.) Urb leave aqueous extract ameliorates cerebral oxidative stress, inflammation, and apoptosis in male rats with type-2 diabetes. Inflammopharmacology, 28(6), 1599-1622. https://doi.org/10.1007/s10787-020-00733-3
  • Gray, N. E., Sampath, H., Zweig, J. A., Quinn, J. F., & Soumyanath, A. (2015). Centella asiatica Attenuates Amyloid-β-Induced Oxidative Stress and Mitochondrial Dysfunction. J Alzheimers Dis, 45(3), 933-946. https://doi.org/10.3233/jad-142217
  • Lokanathan, Y., Omar, N., Ahmad Puzi, N. N., Saim, A., & Hj Idrus, R. (2016). Recent Updates in Neuroprotective and Neuroregenerative Potential of Centella asiatica. Malays J Med Sci, 23(1), 4-14.
  • Orhan, I. E. (2012). Centella asiatica (L.) Urban: From Traditional Medicine to Modern Medicine with Neuroprotective Potential. Evid Based Complement Alternat Med, 2012, 946259. https://doi.org/10.1155/2012/946259
  • Phoemsapthawee, J., Ammawat, W., Prasertsri, P., Sathalalai, P., & Leelayuwat, N. (2022). Does Gotu kola supplementation improve cognitive function, inflammation, and oxidative stress more than multicomponent exercise alone? – a randomized controlled study. J Exerc Rehabil, 18(5), 330-342. https://doi.org/10.12965/jer.2244388.194
  • Sahraei, R., Aminyavari, S., Hosseini, M., Hassanzadeh-Taheri, M., Foadoddini, M., & Saebipour, M. R. (2022). The Ameliorative Impact of Centella asiatica on the Working Memory Deficit in Streptozotocin-induced Rat Model of Alzheimer Disease. Basic Clin Neurosci, 13(1), 25-34. https://doi.org/10.32598/bcn.2021.144.4
  • Soumyanath, A., Zhong, Y. P., Henson, E., Wadsworth, T., Bishop, J., Gold, B. G., & Quinn, J. F. (2012). Centella asiatica Extract Improves Behavioral Deficits in a Mouse Model of Alzheimer’s Disease: Investigation of a Possible Mechanism of Action. Int J Alzheimers Dis, 2012, 381974. https://doi.org/10.1155/2012/381974
  • Wong, J. H., Barron, A. M., & Abdullah, J. M. (2021). Mitoprotective Effects of Centella asiatica (L.) Urb.: Anti-Inflammatory and Neuroprotective Opportunities in Neurodegenerative Disease. Front Pharmacol, 12, 687935. https://doi.org/10.3389/fphar.2021.687935
  • Wu, T., Geng, J., Guo, W., Gao, J., & Zhu, X. (2017). Asiatic acid inhibits lung cancer cell growth in vitro and in vivo by destroying mitochondria. Acta Pharm Sin B, 7(1), 65-72. https://doi.org/10.1016/j.apsb.2016.04.003
Team PainAssist
Team PainAssist
Written, Edited or Reviewed By: Team PainAssist, Pain Assist Inc. This article does not provide medical advice. See disclaimer
Last Modified On:April 20, 2023

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