Home / Current Issue / Paper 1718798
Ziziphus mauritiana: Phytochemistry, Pharmacognosy, and Evaluation of Antiarthritic Properties in a CFA-Induced Arthritis Model in Rats — A Comprehensive Review
Subject area: Science,Engineering and Technology · Area of research: Pharmacy
DOI: 10.64388/IREV9I12-1718798
Abstract
Background: Arthritis, encompassing rheumatoid arthritis (RA) and osteoarthritis (OA), represents one of the most debilitating inflammatory joint disorders worldwide, imposing a significant socioeconomic burden. Conventional pharmacotherapy, while effective, is associated with numerous adverse effects, prompting growing interest in plant-based therapeutic alternatives. Objective: This review aims to comprehensively summarize the pharmacognostic characteristics, phytochemical profile, and documented anti-inflammatory and antiarthritic potential of Ziziphus mauritiana Lam. (Rhamnaceae) with special focus on CFA-induced arthritis models. Methods: Extensive literature from PubMed, Scopus, Google Scholar, Science Direct, and Web of Science was reviewed, along with ethnomedicinal data. Studies published between 2003 and 2025 were evaluated. Results: Z. mauritiana contains an abundance of flavonoids (quercetin, kaempferol, myricetin), triterpenoids (betulinic acid, oleanolic acid), alkaloids (nummularine, mauritine), tannins, saponins, and glycosides. Preclinical studies confirm significant inhibition of carrageenan-induced paw edema and CFA-induced polyarthritis in rat models, linked to downregulation of TNF-α, IL-1β, IL-6, COX-2, and NF-κB pathways. Standardization of leaf powder revealed ash value 7.2±0.3%, moisture content 5.1±0.2%, and notable alcohol- and water-soluble extractive values. Conclusion: Z. mauritiana exhibits robust anti-inflammatory and antiarthritic properties. Further mechanistic, toxicological, and clinical studies are warranted to translate these findings into therapeutic applications.
Keywords
Ziziphus mauritiana, Antiarthritic, CFA-induced arthritis, Inflammation, Phytochemistry, Flavonoids, COX-2, TNF-α, NF-κB
References
[1] Prakash O, Usmani S, Gupta A, Jafri A, Ullah MF, Wahab S, Arshad M, Kumar S. Bioactive extracts of Ziziphus mauritiana induces apoptosis in A549 human lung epithelial carcinoma cells through the generation of reactive oxygen species. Current Cancer Therapy Reviews. 2022 Feb 1;18(1):57-68.
[2] Guo Q, Wang Y, Xu D, Nossent J, Pavlos NJ, Xu J. Rheumatoid arthritis: pathological mechanisms and modern pharmacologic therapies. Bone Research. 2018 Apr 27;6(1):15.
[3] Charlesworth J, Fitzpatrick J, Perera NK, Orchard J. Osteoarthritis — a systematic review of long-term safety implications for osteoarthritis of the knee. BMC Musculoskeletal Disorders. 2019 Dec;20:1-2.
[4] Firestein GS, McInnes IB. Immunopathogenesis of rheumatoid arthritis. Immunity. 2017 Feb 21;46(2):183-196.
[5] Arend WP, Dayer JM. Inhibition of the production and effects of interleukin-1 and tumor necrosis factor alpha in rheumatoid arthritis. Arthritis and Rheumatism. 1995 Feb;38(2):151-160.
[6] Pettit AR, Walsh NC, Manning C, Goldring SR, Gravallese EM. RANKL protein is expressed at the pannus-bone interface at sites of articular bone erosion in rheumatoid arthritis. Rheumatology. 2006 Sep;45(9):1068-1076.
[7] Wang W, Niu Y, Jia Q. Physical therapy as a promising treatment for osteoarthritis: a narrative review. Frontiers in Physiology. 2022 Oct 14;13:1011407.
[8] KD Tripathi. Essentials of Medical Pharmacology. 6th ed. Jaypee Brothers Medical Publishers; 2007. pp. 202-208.
[9] Kshirsagar AD, Panchal PV, Harle UN, Nanda RK, Shaikh HM. Anti-inflammatory and antiarthritic activity of anthraquinone derivatives in rodents. International Journal of Inflammation. 2014;2014:690596.
[10] Ixora coccinea leaves (EEICL) antiarthritic study. Antiarthritic potential of ethanolic extract of Ixora coccinea leaves on CFA-induced arthritis. Indian Journal of Pharmacology. 2024 Mar-Apr. [Received 2023 Apr 12; Accepted 2024 Mar 18].
[11] In vitro antioxidant and antiarthritic effects of Persicaria lanigera R. Br. leaf extract in CFA-induced rheumatoid arthritis model via immunomodulatory regulation of NF-κB, IL-1β, TNF-α, and COX-2 signaling pathways. ScienceDirect. 2025 Jan.
[12] Maruza IM, Musemwa L, Mutenje MJ, Mushunje A, Chimonyo VGP. A review of Ziziphus mauritiana potential for food security, income generation and ecosystem benefits. African Journal of Agricultural Research. 2017;12(37):2660-2668.
[13] El Maaiden E, El Kharrassi Y, Qarah NA, Essamadi AK, Moustaid K, Nasser B. Genus Ziziphus: a comprehensive review on ethnopharmacological, phytochemical and pharmacological properties. Journal of Ethnopharmacology. 2020;259:112950.
[14] Prakash O, Usmani S, Singh R, Singh N, Gupta A, Ved A. A panoramic view on phytochemical, nutritional, and therapeutic attributes of Ziziphus mauritiana Lam.: a comprehensive review. Phytotherapy Research. 2021;35:63-77.
[15] Stankov SV. Definition of inflammation, causes of inflammation and possible anti-inflammatory strategies. Open Inflammation Journal. 2012 Jul;5(1):1-9.
[16] In vivo antiarthritic activity of Rosa centifolia L. flower extract. PMC/PubMed. 2016. PMC4895764.
[17] Kim PK, Deutschman CS. Inflammatory responses and mediators. Surgical Clinics of North America. 2000 Jun;80(3):885-894.
[18] Levy BD, Serhan CN. Resolution of acute inflammation in the lung. Annual Review of Physiology. 2014 Feb;76(1):467-492.
[19] Morris P, Ali K, Merritt M, Pelletier J, Macedo LG. A systematic review of the role of inflammatory biomarkers in acute, subacute and chronic non-specific low back pain. BMC Musculoskeletal Disorders. 2020 Dec;21(1):1-2.
[20] Schmid-Schönbein GW. Analysis of inflammation. Annual Review of Biomedical Engineering. 2006 Aug;8(1):93-151.
[21] Papi S, Ahmadizar F, Hasanvand A. The role of nitric oxide in inflammation and oxidative stress. Immunopathologia Persa. 2019 Apr;5(1):e08.
[22] Aquilano K, Baldelli S, Rotilio G, Ciriolo MR. Role of nitric oxide synthases in Parkinson's disease: a review on the antioxidant and anti-inflammatory activity of polyphenols. Neurochemical Research. 2008 Dec;33(12):2416-2426.
[23] Chen L, Deng H, Cui H, Fang J, Zuo Z, Deng J, Li Y, Wang X, Zhao L. Inflammatory responses and inflammation-associated diseases in organs. Oncotarget. 2017 Dec;9(6):7204.
[24] Stastny P. Association of the B-cell alloantigen DRw4 with rheumatoid arthritis. New England Journal of Medicine. 1978 Apr;298(16):869-871.
[25] Firestein G, Zvaifler N. Immunopathogenesis of rheumatoid arthritis. Systemic Autoimmunity. 1991;54:141.
[26] Chandrashekara S, Sachin S. Measures in rheumatoid arthritis: are we measuring too many parameters? International Journal of Rheumatic Diseases. 2012 Jun;15(3):239-248.
[27] Brand DD, Latham KA, Rosloniec EF. Collagen-induced arthritis. Nature Protocols. 2007 May;2(5):1269-1275.
[28] Hsieh FH. Primer to the immune response. Annals of Allergy, Asthma & Immunology. 2014 Sep;113(3):333.
[29] Ali KA, Maity A, Roy SD, Pramanik SD, Das PP, Shaharyar MA. Insight into the mechanism of steroidal and non-steroidal anti-inflammatory drugs. Elsevier; 2023.
[30] Matera MG, Calzetta L, Annibale R, Russo F, Cazzola M. Classes of drugs that target the cellular components of inflammation under clinical development for COPD. Expert Review of Clinical Pharmacology. 2021 Aug;14(8):1015-1027.
[31] Baliga MS, Latheef L, Haniadka R, Fazal F, Mane PP, Kalekhan F, Chacko J. Ginger (Zingiber officinale Roscoe) in the treatment of osteoarthritis: clinical observations. In: Foods and Dietary Supplements in the Prevention and Treatment of Disease in Older Adults. Academic Press; 2015. pp. 111-117.
[32] Zamani-Garmsiri F, Emamgholipour S, Rahmani Fard S, Ghasempour G, Jahangard Ahvazi R, Meshkani R. Phytotherapy Research. 2022;36:415.
[33] Deepa KI, Panchal PV, Harle UN, Nanda RK, Shaikh HM. Evaluation of anti-arthritic effects of hecogenin in Complete Freund's adjuvant-induced arthritis. International Journal of Inflammation. 2017.
[34] Mittal S, Soni P, Sharma RK, Dhama K. Phytochemical screening and anti-inflammatory/antiarthritic activity of Asparagus racemosus hydroalcoholic root extract. International Journal of Pharmaceutical Sciences and Research. 2013.
[35] Suchita Mittal et al. Anti-inflammatory and anti-arthritic effects of Asparagus racemosus root hydroalcoholic extract (ARHE) in vivo. 2013.
[36] Baeza C. Acute, subclinical, and subacute mastitis. Clinical Lactation. 2016 Jan;7(1):7-10.
[37] Dewitt S, Hallett M. Leukocyte extravasation: leukocyte adhesion cascade and diapedesis. Current Opinion in Immunology. 2007.
[38] Kurniawan MF, Nugraha AD, Hasanah UF, Hanafy DA. Combined gel formulation of plant extracts: immunohistochemical analyses and COX-2/TNF-α expression. Journal of Ethnopharmacology. 2021.
[39] Ramar MK, Henry LJ, Ramachandran S, Chidambaram K, Kandasamy R. Ziziphus mauritiana Lam attenuates inflammation via downregulating NF-κB pathway. Journal of Ethnopharmacology. 2022.
[40] Goyal M, Nagori BP, Sasmal D. Sedative and anticonvulsant effects of an alcoholic extract of Ziziphus mauritiana. Journal of Natural Medicine. 2009;63:203-208.
[41] Maruza IM, Musemwa L, et al. A review of Ziziphus mauritiana potential for food security in arid and semi-arid zones. 2017.
[42] Butt MS, Sultan MT, Akhtar N, Shahid M, Naz A, Ahmed W, Kumar N. Nigella sativa: reduces the risk of various maladies. Critical Reviews in Food Science and Nutrition. 2021.
[43] Maruza IM, Musemwa L. Socioeconomic significance of Ziziphus mauritiana in Zimbabwe's Zambezi Valley. Journal of Pure and Applied Sciences. 2022 Jul;13(1):433-438.
[44] Gupta MK, Bhandari AK, Singh RK. Pharmacognostical evaluations of the leaves of Ziziphus mauritiana. International Journal of Pharmaceutical Sciences and Research. 2012 Mar;3(3):818.
[45] Sumathi G, Pushpanathan T, Abhirami M. Chemical composition and mosquitocidal activity of methanolic leaf extracts from Ziziphus mauritiana L. against Aedes aegypti and Culex quinquefasciatus. Journal of Vector Borne Diseases. 2024 Oct;61(4):555-563.
[46] Atak SG. Pharmacological evaluation of Ziziphus mauritiana L. leaves extracts for anti-amnestic activity. International Journal of Sciences and Research. 2023;12(8):353-357.
[47] Shivanandappa TB, Chinnadhurai M, Kandasamy G, Vasudevan R. Ziziphus mauritiana leaves normalize hormonal profile and total cholesterol in polycystic ovarian syndrome rats. Plants. 2023 Jul.
[48] World Health Organization. Quality Control Methods for Herbal Materials. WHO Press; 2011.
[49] Indian Pharmacopoeia Commission. Indian Pharmacopoeia. Government of India; 2018.
[50] Khanam A, Hussain AI, Mohammed EH, Nahar L, Rathore HA. Phenolic profile of seedless Ziziphus mauritiana fruits and leaves with in vivo antioxidant and anti-inflammatory activities. Chemistry & Biodiversity. 2024 Dec;10.1002/cbdv.202401728.
[51] Youl EN, Ouédraogo CA, Gambo M, Ouédraogo M, Kiendrebéogo M, Traoré A, Guissou IP. Antioxidant activity of crude ethanolic extract and fractions of Ziziphus mauritiana Lam. (Rhamnaceae) leaves from Burkina Faso. Journal of Medicinal Plants Research. 2011.
[52] Shravya S, Vinod BN, Sunil C. Pharmacological and phytochemical studies of Alangium salvifolium Wang. A review. Bulletin of Faculty of Pharmacy, Cairo University. 2017 Dec;55(2):217-222.
[53] Khanam A, Ahmad A, Iftikhar N, Ali Q, Fatima T, Alswailmi FK, Hussain AI, Alnasser SMA, Akhtar J. Phenolic profiling (HPLC) of Ziziphus mauritiana. Life. 2022;12:1446.
[54] Batiha GES, Beshbishy AM, Ikram M, Mulla ZS, El-Hack MEA, Taha AE, Algammal AM, Elewa YHA. The pharmacological activity, biochemical properties, and pharmacokinetics of the major natural polyphenolic flavonoid. Foods. 2020;9:374.
[55] Ramar MK, Dhayanandamoorthy Y, Ramachandran SS, Kandasamy R. NF-κB mediated anti-inflammatory activity of Ziziphus mauritiana. Journal of Ethnopharmacology. 2020;246:112216.
[56] Mukhtar M, Ansari S, Ali M, Naved T, Bhat Z. New ursane-type triterpenes from Zizyphus vulgaris roots. Pharmaceutical Biology. 2005;43:92-95.
[57] Mroczek A. Phytochemistry and bioactivity of triterpene saponins from Amaranthaceae family. Phytochemistry Reviews. 2015;14:577-605.
[58] Phytochemical diversity and pharmacological effects of triterpenes from genus Ziziphus: a comprehensive review. Phytochemistry Reviews. 2022 Sep. https://doi.org/10.1007/s11101-022-09835-y.
[59] Nesseem DI, Michel CG, El-Alfy TS. Formulation and evaluation of antihyperglycemic leaf extracts of Zizyphus spina-christi (L.) wild. Pharmaceutical Biology. 2009.
[60] Bioactivities and potential health benefits of Ziziphus mauritiana. Journal of Food Measurement and Characterization. 2025. https://doi.org/10.1007/s11694-025-03878-3.
[61] Ambrin M, Jilani MS, Ahmad T, Kamaran S, Manan A, Jilani TA, Sajid M. Chemical profiling and biological activities of Ziziphus mauritiana var. spontanea and Oenothera biennis. Journal of Food Quality. 2024;10.1155/2024/7318407.
[62] Meena VS, Gora JS, Singh A, Ram C, Meena NK, Rouphael Y, Basile B, Kumar P. Horticulturae. 2022;8:171.
[63] Kumari S, Manohar S, Kumari P, Krishnan V, Maheshwari C, Narwal S, Gupta OP, Gowda VT, Bansal N, Dahuja A. Phytochemical screening methods in plants. IntechOpen. 2023.
[64] Izu GO, Mfotie Njoya E, Tabakam GT, Nambooze J, Otukile KP, Tsoeu SE, Fasiku VO, Adegoke AM, Erukainure OL, Mashele SS. Antioxidants. 2024;13:456.
[65] Dahiru D, Sini JM, John-Africa L. Antidiabetic and antioxidant effects of Ziziphus mauritiana root bark extract in alloxan-induced diabetic rats. Evidence-Based Complementary and Alternative Medicine. 2011;2011:1-12.
[66] Rahman S. Antioxidant, analgesic, cytotoxic and antidiarrheal activities of ethanolic Ziziphus mauritiana bark extract. Oriental Pharmacy and Experimental Medicine. 2012 Mar;12:67-73.
[67] El Maaiden E, El Kharrassi Y, Qarah NA, Essamadi AK, Moustaid K, Nasser B. Genus Ziziphus: a comprehensive review on ethnopharmacological, phytochemical and pharmacological properties. Journal of Ethnopharmacology. 2020;259:112950.
[68] Maruza IM, Musemwa L, Mutenje MJ, Mushunje A, Chimonyo VGP. A review of Ziziphus mauritiana potential: culinary, fodder, and medicinal applications. African Journal of Agricultural Research. 2017.
[69] Guzik T, Korbut R, Adamek-Guzik T. Nitric oxide and superoxide in inflammation and immune regulation. Journal of Physiology and Pharmacology. 2003;54(4):469-487.
[70] Baeza C. Acute, subclinical, and subacute mastitis: inflammation stages. Clinical Lactation. 2016;7(1):7-10.
[71] Chen L, Deng H, Cui H, Fang J, Zuo Z, Deng J, Li Y, Wang X, Zhao L. Inflammatory responses and inflammation-associated diseases in organs. Oncotarget. 2017;9(6):7204.
[72] Khanam A, Hussain AI, Mohammed EH, Nahar L, Rathore HA. Phenolic profile of seedless Ziziphus mauritiana: in vivo antioxidant, anti-inflammatory activities, and influence on pro-inflammatory mediators. Chemistry & Biodiversity. 2024.
[73] Ramar MK, Henry LJ, Ramachandran S, Chidambaram K, Kandasamy R. Ziziphus mauritiana Lam attenuates inflammation via downregulating NF-κB pathway. Journal of Ethnopharmacology. 2022.
[74] Kurniawan MF, et al. Combined gel formulation of Ziziphus mauritiana: immunohistochemical analyses and therapeutic outcomes. Journal of Ethnopharmacology. 2021.
[75] Anti-arthritic property of crude extracts of Piptadeniastrum africanum in CFA-induced arthritis in rats. PMC. 2017. PMC5311858.
[76] Zhang X, et al. Anti-inflammatory and antiarthritic properties of phlomisoside F from Phlomis younghusbandii Mukerjee in CFA-induced arthritic rats. Phytomedicine. 2017.
[77] Ingawale DK, Mandlik SK, Naik SR. Evaluation of anti-arthritic effects of hecogenin in CFA-induced arthritic rats. International Journal of Inflammation. 2017.
[78] Mittal S, Soni P, Sharma RK. Anti-inflammatory and anti-arthritic effects of Asparagus racemosus root hydroalcoholic extract (ARHE) in vivo. International Journal of Pharmaceutical Sciences and Research. 2013.
How to cite this paper
@article{1718798,
author = {Pooja Chauhan, Radhika Patel},
title = {Ziziphus mauritiana: Phytochemistry, Pharmacognosy, and Evaluation of Antiarthritic Properties in a CFA-Induced Arthritis Model in Rats — A Comprehensive Review},
journal = {Iconic Research And Engineering Journals},
year = {2026},
volume = {9},
number = {12},
pages = {936-949},
issn = {2456-8880},
url = {https://www.irejournals.com/formatedpaper/1718798.pdf},
abstract = {Background: Arthritis, encompassing rheumatoid arthritis (RA) and osteoarthritis (OA), represents one of the most debilitating inflammatory joint disorders worldwide, imposing a significant socioeconomic burden. Conventional pharmacotherapy, while effective, is associated with numerous adverse effects, prompting growing interest in plant-based therapeutic alternatives.
Objective: This review aims to comprehensively summarize the pharmacognostic characteristics, phytochemical profile, and documented anti-inflammatory and antiarthritic potential of Ziziphus mauritiana Lam. (Rhamnaceae) with special focus on CFA-induced arthritis models.
Methods: Extensive literature from PubMed, Scopus, Google Scholar, Science Direct, and Web of Science was reviewed, along with ethnomedicinal data. Studies published between 2003 and 2025 were evaluated.
Results: Z. mauritiana contains an abundance of flavonoids (quercetin, kaempferol, myricetin), triterpenoids (betulinic acid, oleanolic acid), alkaloids (nummularine, mauritine), tannins, saponins, and glycosides. Preclinical studies confirm significant inhibition of carrageenan-induced paw edema and CFA-induced polyarthritis in rat models, linked to downregulation of TNF-α, IL-1β, IL-6, COX-2, and NF-κB pathways. Standardization of leaf powder revealed ash value 7.2±0.3%, moisture content 5.1±0.2%, and notable alcohol- and water-soluble extractive values.
Conclusion: Z. mauritiana exhibits robust anti-inflammatory and antiarthritic properties. Further mechanistic, toxicological, and clinical studies are warranted to translate these findings into therapeutic applications.},
keywords = {Ziziphus mauritiana, Antiarthritic, CFA-induced arthritis, Inflammation, Phytochemistry, Flavonoids, COX-2, TNF-α, NF-κB},
month = {June},
doi = {https://doi.org/10.64388/IREV9I12-1718798}
}