Abstract
Withania somnifera L. Dunal (Ashwagandha), a key medicinal plant native to India, is used globally to manage various ailments. This review focuses on the traditional uses, botany, phytochemistry, and pharmacological advances of its plant-derived constituents. It has been reported that at least 62 crucial and 48 inferior primary and secondary metabolites are present in the W. somnifera leaves, and 29 among these found in its roots and leaves are chiefly steroidal compounds, steroidal lactones, alkaloids, amino acids, etc. In addition, the whole shrub parts possess various medicinal activities such as anti-leukotriene, antineoplastic, analgesic, anti-oxidant, immunostimulatory, and rejuvenating properties, mainly observed by in vitro demonstration. However, the course of its medical use remains unknown. This review provides a comprehensive understanding of W. somnifera, which will be useful for mechanism studies and potential medical applications of W. somnifera, as well as for the development of a rational quality control system for W. somnifera as a therapeutic material in the future.
Keywords: Withania somnifera, ashwagandha, traditional use, botany, phytochemistry, pharmacological and biological activity
1. Introduction
The World Health Organization (WHO) stated that approximately 30% of drugs contain plant-derived compounds, and approximately more than half of the global population depends upon plant-derived medicines, including those of Ayurveda, the traditional plant-based medicine of India [1,2]. The Botanical Survey of India (BSI) reported that approximately 7500 of the 15,000 plant species in India are used for medicinal purposes [3]. A list of 32 therapeutically important plants of India prioritized by the National Bank for Agriculture and Rural Development (NABARD) includes Withania somnifera, regularly called as ashwagandha. The National Medicinal Plant Board (NMPB), India, has also described Withania species as a valuable therapeutic plant in great demand in domiciliary and global markets [4,5].
W. somnifera, indigenous to the Indian sub-continent, is used as indigenous medicine throughout Southeast Asia. Its roots, seeds, and leaves have been used for over 3000 years for multiple health purposes, and are included in Ayurvedic, Allopathic, Unani, homeopathic, and other medical systems [6]. Due to its superlative therapeutic properties, it is also known as the Queen of Ayurveda or a Rasayana herb. Withania spp. are members of the Solanaceae family (Bentham and Hooker, 1862–1883), also known as the deadly nightshade family. The Solanaceae family embraces 84 genera, comprising 3000 species, distributed all over the globe [6]. The genus Withania contains 26 species, only 2 of which, W. somnifera and W. coagulans (known as Paneer booti, Ashutosh booti or rishyagandha), are economically and medicinally important in many regions [7]. Other potentially important species are W. simonii, W. adunensis, and W. riebeckii.
Two subspecies have also been reported—W. somnifera Dunal and W. somnifera Kaul [8]. Both species of Withania, i.e., W. somnifera and W. coagulans, are cultivated on a large scale in India [9]. In Sri Lanka, two cultivars of W. somnifera are used, but the Indian cultivar is more suitable for drug development due to its starchy nature, whereas the local cultivar has fibrous roots that are difficult to transform into powder [10]. Its common name, ashwagandha, is a combination of two Sanskrit words, ashwa and gandha, and means “horse’s smell”, referring to the sweaty horse-like smell of the roots [9,11]. Other names include winter cherry, poison gooseberry [12,13], or “Indian ginseng”, due to its restorative properties.
However, the mechanism of drug use by W. somnifera has not been elucidated. Accordingly, there are unreasonable points in the current W. somnifera quality management system. In fact, its medicinal value has received less attention, despite its long history of clinical application. In this review, information regarding various aspects of W. somnifera was collected from peer-reviewed journals for the period 2000–2022. PubMed, Shod Ganga, Web of Science, Google Scholar, etc., was used to retrieve electronic information. Based on this information, we performed a full review of W. somnifera aiming to provide information to better understand the pharmacological mechanism and potential medicinal applications of this species, and to develop a reasonable quality control system for W. somnifera as medicinal material in the future.
2. Biodiversity of W. somnifera
W. somnifera is a drought-resistant, small, perennial shrub 30–150 cm in height (Figure 1). It is cultivated throughout the dry tropical parts of Afghanistan, Baluchistan, Canary Islands, China, Congo, Egypt, India, Iran, Israel, Jordan, Madagascar, Morocco, Nepal, Pakistan, South and East Africa, Spain, Sri Lanka, Sudan, and Yemen [14].
According to the biological classification, Withania belongs to the kingdom Plantae (plants), the sub-kingdom Tracheophytes (vascular plants), division Angiospermae, class Eudicots, clade Asterids, order Solanales, family Solanaceae, sub-family Solanoideae, tribe Physaleae, genus Withania, and species somnifera (2n = 48), adpressa, coagulans, frutescens [5,7,15,16,17] (Table 1).
Table 1.
Biological Genus | Availability | Bioactive Compound | Uses | References |
---|---|---|---|---|
Withania somnifera | Subtropical regions of India, Africa, Asia, Australia, and Europe | Alkaloids, phenols, flavonoids, saponins, tannins, carbohydrates, steroidal lactones, β-sitosterol, scopoletin, sitoindosides, somniferiene, somniferinine, pseudotropine, anaferine, anahygrine, cysteine, chlorogenic acid, cuscohygrine, withanine, withaferine, withanolides, withananine, tropanol, 6,7β-Epoxywithanon, 14-α-hydroxywithanone, etc. | Antimicrobial, anticancer, anti-inflammatory, antistress, antidiabetic, antioxidant, and reproductive impotence | [5,7,16,17,18,19,20,21] |
Withania adpressa | North Africa, Morocco, Algeria, Mediterranean Basin, and India | Wadpresine, withanolide Fand J, coagulin L, nicotiflorin | Antiproliferative immunomodulatory | [13,22] |
Withania coagulans | Mediterranean region, North Africa to South Asia, Iran, Pakistan, Afghanistan, and East India | Protein, fat, fiber, carbohydrates, minerals, amino acid, fatty acid, phenols flavonoids, tannins, withanolides, coagulans, coagulanolide, coagulins, anthocyanins, etc. |
Antifungal, anti-cytotoxic, antidiabetic, hypolipidemic, neuroprotective, anti-inflammatory, anticancer, anthelmintic, and antioxidant | [14,23,24] |
Withania frutescens | North Africa, South and Western Asia and Southern Europe | Polyphenols, tannins, mucilage, terpenoids, flavonoids, and saponins | Antifungal, antibacterial, anti-inflammatory, antidiabetic, and wound healing | [15,25,26] |
Withania aristata | North Africa and the Mediterranean Basin | Withanolide A, withanoside IV, withaferin A, 27-hydroxywithanone, withanoside V, withastramonolide withanone, withanolide, and physagulin | Anticholinesterase, anti-cancereous, anti-inflammatory, analgesic, and antioxidant properties | [24] |
According to Charaka, one of the main donors of Ayurveda, W. somnifera has miraculous potential. A person treated with this plant “can live for longer, regain youth, have a sharper memory and intellect and freedom from diseases, and acquire a lustrous complexion and horse-like vigor’.
2.1. Leaves
The aerial part of the plant is covered with minute trichomes. The branches are round and leaves are up to 30–80 × 20–50 mm, narrowed into 5–20 mm long petioles. Morphologically, leaves are simple, exstipulate, oblique, petiolate, broadly ovate to oblong, entire, shiny smooth, dull green in color, globose, and elliptical. Leaves are alternate on vegetative shoots and opposite on floral shoots, having margins entirely to slightly wavy. The leaves are almost hairless above, densely hairy below, and bitter in taste. Its leaves have many advantages as shown in Table 2 [5,27].
Table 2.
Name of Phytoconstituents | Biological Activities | References |
---|---|---|
Free amino acids, 0.09% unidentified alkaloids, chlorogenic acid, condensed tannins, flavonoids, glucose, glycosides, N-heterocyclic compounds, withaferin A (steroidal lactone), twelve withanolide, withanone | Anti-helmantic, anti-inflammatory, anti-stress, anti-anxiety, anti-carcinogenic, anti-microbial, and anti-oxidant | [5,28,29] |
2.2. Roots
Roots are long tap roots, 15–25 cm in length, stout and fleshy, tapering, and brownish-white or light-yellow-colored root with a horse-like smell and bitter taste. Its roots possess many valuable biological activities as shown in Table 3 [5,27].
Table 3.
Name of Phytoconstituents | Biological Activities | References |
---|---|---|
Alkaloids (0.13–0.31%), alanine, anahygrine, anahydrine, anaferine, aspartic acid, chlorogenic acid, choline, condensed tannins, cuscohygrine, cysteine, dulcitol, flavonoids, free amino acids, glucose, glutamic acid, glycosides, glycine, starch, volatile oil, reducing sugars, hentriacontane, withanicil, withaniol, steroidal lactones, iron, somniferine, somnine, somniferinine, withananine, withanine, withasomnine, tropine, psuedotropine, 3-α-gloyloxytropane, isopelletierine, tyrosine, tryptophan, visamine, withaferin A, withanolide A, sitoindoside VII, VIII, IX, and X. | Anti-inflammatory, anti-insecticides, improves fertility, improves memory, cerebellar ataxia, cardiotonic, anti-oxidant, and anti-peroxidative | [30,31] |
2.3. Flowers and Fruits
Flowers are inconspicuous, solitary, green or dull yellow in color, 4–6 mm in diameter, bisexual, pedicellate, highly protogynous, small, and bell-shaped. Cross-pollination is carried out by ants and bees [32]. Inflorescences are axillary umbellate cymes. The calyx is gamosepalous with valvate aestivation. The corolla is greenish-yellow, valvate, campanulate, and has 5–8 mm lobes. Stamens (5) are polyandrous and epipetalous. Anthers are dithecous, basifixed, and introse. The ovary is superior, bilocular, and has axile placentation. Fruit are orange-red berries containing very light seeds, which are small, smooth, lens-shaped, or kidney-shaped, 2–2.5 mm length × 1.5–2 mm width × 0.5 mm height. Its flowers and fruits are having many phytoconstituents which helps in anti-microbial activities as well as works as a milk thickening agents as shown in Table 4 [33].
Table 4.
Parts of Plant | Name of Phytoconstituents | Biological Activities | References |
---|---|---|---|
Fruits and flowers | Amino acids, aspartic acid, alanine, chamase, condensed tannins, cystine, flavonoids, glutamic acid, glycine, hydroxyproline, isopsoralen, peroxidases, proteolytic enzyme, Psoralen, proline, tyrosine, and valine. | Anti-microbial, milk thickening agent, and treats respiratory problems | [34,35,36] |
2.4. Ayurvedic Properties
W. somnifera has played a role in human society since prehistoric times. Its medicinal nature is specified in Ayurvedic books, such as Astanga Hridaya, Bhava Prakasha Nighantu, Charaka Samhita, and Sushruta Samhita [12,28,37]. Its Ayurvedic properties are Atishukrala, boosts semen quality and quantity; Balya, which provides power; Vajikara (andrology), which enhances sensual problems; Kshayapaha, which helps to treat weakness and provides nutritive conditions; Rasayani (chemotaxis), which rejuvenates the body and removes toxins; Shwitrapaha, which heals white discoloration of the skin; and Shothahara, which treats swelling in tissue and clears impurities (Ama). Some Ayurvedic qualities includes Rasa (taste) Tikta (bitter), Kasaya (astringent), Madhura (sweet), katu (pungent), Guna (characteristics), Snigdha (Softness, unctuous), Laghu (light), Virya (potency), Usna (hot potency), Vipaka-Madhura and Doshakarma-Kapha (natural coolants), Vata, and Samaka (pain management) [38].
3. Biochemical Profiling of W. somnifera
Withania somnifera contain many important phyto-chemicals that perform various antimicrobial actions against pathogens. Different metabolic constituents such as secondary metabolites may differ with the tissue type, growth conditions, and variety of W. somnifera. These variations leading to unpredictable medication and health-promoting properties of various commercially available preparations developed with the help of Withania spp. [39]. In a multi-component therapeutic system, this makes standardization of the composition of herbal preparations and commercial exploitation of this plant difficult, because different components can influence health effects through complex multi-target interactions.
It has been reported that 62 major minor primary and secondary metabolites are present in the leaves, and 48 are present in roots, 29 of which are found in both the leaves and roots [40]. Among the bio-active constituents of Withania somnifera reported in the literature are steroidal flavanol glycosides, glycowithanolides, steroidal lactones, and phenolics as shown in Table 5 and Figure 2 [40,41].
Table 5.
Bioactive Compounds | Part of Plant | Derivatives | Yield | Uses | References |
---|---|---|---|---|---|
Alkaloids | Leaves Roots Stems |
Ashwagandhine, Isopelletierine, Pseudotropine, [3]-Tigloyloxtropine, Tropeltigloate, Dlisopelletierine, Hygrine, Mesoanaferine, Choline, Somniferine, Withanine, Withananine, Hentriacontane, Visamine, Withasomnine, Somniferinine, Somninine, Nicotine, Cuscohygrine, Pseudotropin, Anahygrine, Anaferine, Tropine |
0.013–119 mg/gm | Anti-microbial, sedative, relaxant, anti-spasmodic; used to treat tumors, nocturnal leg cramps, diarrhea, and psychiatric palpitation | [42,43,44] |
Tannins | Roots Leaves Fruits Flowers |
N/A |
9.46–23.02 mg/gm | Anti-fungal, anti-biotic, anti-inflammatory, analgesic, astringent, and wound healing | [36,42,43,44] |
Glycosides | Roots Stems |
Withanosides I–VII, Withanamides | 19.01–122.26 mg/gm | Sedative, muscle relaxant, diuretic, anti-microbial, anti-inflammatory, and anti-cancer | [42,43,44] |
Saponins | Roots Berries |
Sitoindoside VII And VIII | 3.02–5.26 µg/gm | Anti-inflammatory, anti-hepatotonic, hypoglycemic, anti-microbial and antiviral; used in detergents and molluscicides | [43,44] |
Flavonoids | Roots Stems |
Quercetin, 7-hydroxyflavone Kaempferol |
5.1–80.23 mg/gm | Anticancer, antioxidant antimicrobial strengthen capillary walls, improves blood cholesterol levels as well as reduces the risk of cancer, osteoporosis, and coronary heart diseases | [36,42,43,44,45] |
Steroids | Roots | β-sitosterol, Cholesterol, Diosgenin, Ergostane, Sitoindosides IX, X, Stigmastadien, Stigmasterol | 0.1–0.45 mg/gm | Aphrodisiac, reduces cholesterol levels, affects the immune system, and tumor cells | [43,44] |
Steroidal lactones | Leaves Roots |
Withaferin–A, Withanone Withasomidienone, Withanolides A-Y, Withasomniferine, Withasomniferols A-C |
0.01–0.8 mg/gm | Anti-inflammatory, anti-anxiety, and improves fertility | [5,36,46,47] |
Phenolic | Roots Stems |
Coumaric acid, caffeic acid, chlorogenic acid, gallic acid, ferulic acid, and catechin. | 90.325 mg/gm | Anti-inflammatory, anti-oxidants, anti-cancer, and anti-septic | [43,44] |
As per the literature, 12 alkaloids, 40 withanoloids, and several sitoindosides have been isolated from the Withania species [48]. Several amino acids, alanine, aspartic acid, glycine, glutamic acid, cysteine, tyrosine, chlorogenic acid, glycosides, glucose, condensed tannins, iron, and flavonoids have also been reported [49].
Therefore, these phytochemicals have been reported in the well-explored species W. coagulans and W. somnifera. In contrast, few studies have explored W. aristate, W. obtusifolia, W. adpressa, and W. frutescens, reporting antimicrobial [32], diuretic [50], anti-proliferative cytotoxic [22], and antifungal [51] properties. Phytochemicals in leaves such as withanolides, 14α, 15α, 17β, 22R withanolide F, and withanolide J have been evaluated, but other plant parts have not yet been studied.
3.1. Withanolides
Withanolides are unique classes of steroidal lactones. Over 130 withanolides are present in 15 genera of the Solanaceae family. As per some studies, withanolides are isolated from some other Leguminosae and Labiatae families, as well as from some marine organisms [5].
W. somnifera plants fabricate the largest number of withanolides comprising highly diversified functional group. Withanolides are key biochemicals, ranging from 0.001% to 0.5% dry weight concentration in the leaves and roots of Withania somnifera. Withanolides are a 28-carbon-containing natural steroidal lactone built on an ergostane skeleton, in which C-22 and C-26 are oxidized to form six- or five-membered lactone rings. Withanolides are also known as 22-hydroxy ergostan-26-oic acid-26, 22-lactone. Its characteristic feature is that the C8 or C9 side chains exhibit a lactone or lactol ring. However, lactone ring may be either five- or six-membered and may be fused with the carbocyclic moiety of the molecule via a C–C bond or through an O-bridge.
Many structures are also isolated from W. somnifera, which are the modifications or structural variants of withanolides which cause modifications to the carbocyclic backbone or side chains, such as withaferin A, withanolide A and D, withanone. These compounds are polyoxygenated and oxidize all C atoms of the steroid nucleus [5]. A new dimeric thiowithanolide also isolated from roots from W. somnifera, is named ashwagandhanolide as shown in Figure 3.
Withanolides act as a precursor hormone, in that it can be transformed into human physiology as needed [7]. W. somnifera is also sometimes referred to as Indian Ginseng because it structurally resembles ginsenosides (the active constituents of Panax ginseng). In addition, Withanolide A also possesses anti-dementia activities, and can thus be used for neuronal regeneration.
Withanolides Biosynthesis
Although the formation of withanolides in W. somnifera has not been fully elucidated, two pathways are reported:
2-C-methyl-D-erythritol-4-phosphate (DOXP/MEP) pathway;
The cytosolic mevalonate (MVA) pathway;
The plastidic1-deoxy-D-xylulose 5-phosphate [52].
The biosynthesis starts with the formation of cholesterol by the action of acetyl co-enzyme A. Acetyl-co A is combined and converted into two types of mevalonic acid; only the R-type is used in triterpene biosynthesis, the S-type being inert in nature. Following the reduction of a C-atom, the R-type is transformed into isopentenyl pyrophosphate (IPP) which, together with its isomer 3,3-dimethyl allyl pyrophosphate (DMAPP), undergoes condensation to form geranyl pyrophosphate (GPP) and, after further condensation, farnesyl pyrophosphate (FPP). Two molecules of FPP condense in the presence of NADPH and squalene synthase to generate squalene which, after oxidation, forms a squalene 2,3-epoxide undergoes ring closure to form lanosterol, an intermediate of various steroidal triterpenoid structures. The formation of 24-methylenecholesterol has still not been determined, and it is unknown whether it is a precursor of steroidal lactones or not. Nevertheless, it has been observed that hydroxylation at C-22 and the δ-lactonization between C22 and C26 of 24-methylenecholestrol are part of the Withanolide pathway as shown in Figure 4.
3.2. Withaferins
4β,27-dihydroxy-1-oxo-5β, 6β-epoxywitha-2-24-dienolide, also known as Withaferin A, was first isolated from the leaf of South Asian W. somnifera, in 0.13–0.31% concentration of dry weight. Quantitative analysis of Indian chemotypes of W. somnifera by TLC densitometry showed that withaferin A was completely absent in whole plants, but present in leaves by 1.6% concentration [53].
Withaferin A and withanone (Figure 5) act as angiogenesis inhibitors and have anti-cancer properties [54,55]. Withaferin A also exhibits antibiotic activity due to its unsaturated lactone ring [56], and is applied to cure ulcers and skin carbuncles, inhibit tumor growth, exhibit radio-sensitizing effects in cancer treatment, and induce immune-suppressive activities on B- and T-lymphocytes. It also shows other activities such as antibacterial, antitumoral, anti-arthritic, and immunomodulating actions [43]. Withaferin A also ceases the growth of some bacteria and fungi [57].
3.3. Withanamides
Withanamides A-I (Figure 6) are purified from the methanolic extract of fruits of W. somnifera. Its structure contains a 5-hydroxy tryptamine (serotonin) base with hydroxy fatty amide and diglucosidic moieties. The difference between the structural variation in Withanamide A and Withanamide C is only in the fatty acid side chain, because Withanamide A has two double bonds in its side chain compared with Withanamide C.
Withanamide A and Withanamide C help neutralize the toxicity of β-amyloid protein (BAP) and protect the cells from cell death. Withanamide A is more effective in treating Alzheimer’s disease. It also exerts anti-oxidant properties, because it has the ability to inhibit lipid peroxidation (LPO). It inhibits tumor cell proliferation because it has selective cyclooxygenase (COX-1 and -2) enzymes [58,59].
3.4. Sitoindosides
Sitoindoside is a type of withanolide which contains glucose molecule at carbon 27, isolated plants of W somnifera. From its roots, two acyl glucosides sitoindoside VII and VIII, and two glycowithanoloids, sitoindoside IX and X are isolated. These phytochemicals possess anti-stress activity and also help in retaining the memory [47,48].
3.5. Alkaloids
As per the literature, in addition to steroidal compounds, many alkaloids are reported from the W. somnifera which are named somniferin (bitter in taste), somniferinine, somine, cuscohygrine, nicotine, pseudo-withanine, withananinine, tropine, 3α-trigloyloxytropane, anaferine, anhygrine, choline, withananine, and Withanine. The total alkaloid content present in roots varies from 0.13% to 0.31%, although it elevates up to 4.3% as was reported from different regions/countries, whereas there are five unidentified alkaloids present in leaves which yield approximately 0.09% (Figure 7). The differences in the yield of alkaloids may be because of some factors such as the method of isolation, environmental interactions, or variability in genotypes. These alkaloids show sedative and hypotensive effect [60].
3.6. Other
Other phytochemicals have been reported, such as Ipuranol, tannins, resin, fatty acids, organic acids, amino acids, reducing sugars, phytosterol, and saturated and unsaturated acids. The roots are reported to contain starch, reducing sugars, glycosides, dulcitol, withanicil, hentriacontane, and peroxidases, whereas in leaves, flavonoids, withanone, chlorogenic acid, calystegines (N-polyhydroxylated heterocyclic compounds), and tannin have been reported; in the berries, amino acids have been reported. Several amino acids have also been isolated from the root, including alanine, aspartic acid, cysteine, glycine, glutamic acid, and tyrosine [60].
4. Extraction of Phytochemicals
Extraction methods generally include traditional techniques such as digestion, infusion, maceration, decoction, infusion, infiltration, and Soxhlet extraction [61]. Microwave-assisted solvent extraction (MASE) techniques, ultrasound-assisted solvent extraction (UASE) techniques, and supercritical fluid extraction (SPE) techniques are the most common approaches used in the extraction of bioactive compounds of Withania somnifera [62,63]. The UASE and MASE methods have special advantages over the amount of solvent and extraction time and achieve higher yield than traditional extraction techniques. Fractionation and purification of the photochemical is performed using a variety of chromatographic techniques such as high-performance liquid chromatography (HPLC), gas chromatography (GC), paper chromatography, and thin-layer chromatography (TLC) [63]. The extraction of secondary metabolites from Withania spp. Is affected by many factors, such as the nature, its origin, degree of processing, moisture content, and particle size of the plant material. The results will differ according to the type of extraction technique and variables such as temperature and time. The phytochemicals in the extract may also be affected by the type of solvent and its concentration and polarity [64]. Thus, the extraction first depends on the type of plant material used, and whether it is fresh or dry, because different parts of the plants will vary in chemical composition according to their water content. The solvent choice depends on the polarity of target compounds. These should be non-toxic, evaporate at a low temperature, and not interfere with the assay. Many types of solvent, such as methanol, ethanol, ether, and water (traditionally used) [65], are used to extract anthocyanins, starches, tannins, saponins, terpenoids, polypeptides, lecithin, etc. (Table 6).
Table 6.
Phytochemicals | Test | Plant Parts | Extraction Methods | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Ethanol | Methanol | Chloroform | Aqueous | Ethyl Acetate | Hexane | Benzene | Petroleum ether | Acetone | |||
Alkaloids | Mayer test Wagner test |
Roots | + | + | - | + | + | - | + | + | + |
Leaves | + | + | + | - | + | - | + | + | + | ||
Stem bark | + | + | + | - | + | - | + | + | + | ||
Tannins | Lead acetate Test 5% FeCl3 Test |
Roots | + | + | + | + | + | - | + | + | + |
Leaves | - | - | + | - | + | + | - | - | + | ||
Stem bark | - | - | + | - | + | + | - | - | + | ||
Glycosides | Benedict’s test Fehling’s test |
Roots | + | + | - | + | + | + | + | + | + |
Leaves | - | + | - | - | + | - | + | - | + | ||
Stem bark | - | - | - | - | + | - | + | - | + | ||
Saponins | Foam test | Roots | - | - | - | + | + | - | - | + | + |
Leaves | + | + | + | - | + | - | - | - | + | ||
Stem bark | + | + | + | - | + | - | - | - | + | ||
Flavonoids | Lead acetate test Sulfuric acid test 5% FeCl3 test NaOH test |
Roots | - | + | + | + | + | + | + | + | + |
Leaves | - | + | + | + | + | + | + | + | + | ||
Stem bark | - | + | + | + | + | + | + | + | + | ||
Steroids | Salkowski Liebermann–Burchard test |
Roots | + | + | + | + | + | - | + | - | + |
Leaves | + | + | - | + | + | + | + | - | + | ||
Stem barks | + | + | - | + | + | + | + | - | + | ||
Phenolic | 5% FeCl3 test Gelatin test |
Roots | + | + | + | - | + | - | + | - | - |
Leaves | + | - | + | - | + | + | - | + | + | ||
Stem bark | + | + | + | - | + | - | - | - | + | ||
Cardiac glycosides | Keller–Killiani test Fehling’s test Sodium nitroprusside test |
Roots | + | - | - | - | + | - | + | + | + |
Leaves | + | + | - | - | + | + | + | - | + | ||
Stem barks | + | + | - | - | + | + | + | - | + | ||
Terpenoids | Liebermann–Burchard test | Roots | + | + | + | + | + | + | - | N/A | + |
Leaves | + | + | - | - | + | + | + | + | + | ||
Stem barks | + | + | - | - | + | + | + | + | + | ||
Proteins | Ninhydrin test Xanthoproteic test |
Roots | - | - | - | - | + | - | - | - | + |
Leaves | - | - | + | + | + | - | + | + | + | ||
Stem bark | - | - | + | + | + | - | + | + | + |
“+” shows presence and “-” shows absence.
5. Biological Activity
W. somnifera possesses many vital biological activities because of the presence of valuable phytoconstituents in it. Some of its activities are as shown in Figure 8.
5.1. Anti-Stress and Anti-Anxiety/Psychotropic Activity
Withanolide glycosides show anti-stress properties and having positive effects on boosting memory [69]. They help treat stress-induced conditions such as gastric ulceration, cognitive deficit, irregular glucose homeostasis, sexual dysfunction, changes in plasma corticosterone levels, and immunosuppression [7].
Withania somnifera root and seed extracts show anti-stress activity. An in vivo study was performed in mice to determine the anti-stress activity of the plant. An alcoholic extract of roots and seeds was prepared in normal saline and a single dose (100 mg/kg) was administered intraperitoneally to 20–25 g mice to test their swimming performance in water at 28′–30′ C. The experiment showed a promising result; the swimming rate was almost double that of the control [70].
Research conducted at University of Texas Health Science Center showed that Withania somnifera extract slows down the brain by reducing neuron excitability and inhibiting nerve transmission, closely related to the primary inhibitor Gama-Aminobutyric acid (a neurotransmitter) [71].
Glycowithanolides of Withania somnifera, sitoindoside IX and sitoindoside X at a concentration of 50–200 mg/kg, and glycosides (sitoindosides VII and VIII) at a concentration of 50–200 mg/kg orally, showed significant anti-stress activity in albino mice and rats and resulted in increased memory retention [8].
Double-blind, placebo-controlled studies were performed to determine the anti-stress activity of W. somnifera in human trials. Sixty adults were randomly assigned to take 240 mg of a standardized ashwagandha extract (Shoden) once daily. The results were measured using the Depression, Anxiety, Stress Scale-21 (DASS-21), hormonal changes in cortisol, dehydroepiandrosterone-sulphate (DHEA-S), the Hamilton Anxiety Rating Scale (HAM-A), and testosterone levels. It was found that ashwagandha extract was associated with greater reductions than placebo for mean mHAM-A score, morning cortisol C-reactive protein, pulse rate, and blood pressure, and increased significantly for mean serum DHEAS and hemoglobin [72,73,74].
Studies suggest that the stress-relieving property of ashwagandha is due to modulation of the HPA axis. The HPA axis is an important hormonal response system which controls stress. This axis ensures that the body quickly responds to nerve-racking moments and returns to a normal state.
5.2. Anti-Spasmodic Activity
The alkaloids present in the plant have relaxant and antispasmodic effects against many spasmogens in uterine, intestinal, bronchial, tracheal, and blood vascular muscles. For example, Ashwagandholine exerts relaxant and antispasmodic effects [75].
5.3. Anti-Inflammatory Activity
W. somnifera possesses anti-inflammatory properties in both acute and chronic types of inflammation. Cultures of cartilage from patients with osteoarthritis and rheumatoid arthritis have been used to demonstrate its protective effects on chondroblasts [76]. Related effects on cytokines, transcription factors, and the suppression of nitric oxide (NO) have also been observed [77]. A decoction of root and leaf extracts containing alkaloids and withanolides proved effective against the denaturation of protein in vitro. Additionally, anti-inflammatory properties have been described for constituents such as withaferin A and 3-b-hydroxy-2,3-dihydrowithanolide F [78]. Thus, W. somnifera also exerts anti-arthritis effects and is used to treat osteoarthritis. It may be taken together with other supplements such as Articulin-F. This also works as an analgesic and helps to soothe the nerve system from pain.
5.4. Anti-Microbial Activity
W. somnifera has anti-microbial components in leaves and roots [79], which are effective against human pathogenic bacteria, fungi, and viruses [80,81]. The leaves of W. somnifera have anti-bacterial properties, and are effective against bacteria such as Pseudomonas aeruginosa and Staphylococcus aureus. Its antibacterial phytochemicals identified so far include withaferin A and 3-b-hydroxy-2,3-dihydrowithanolide F. The plant contains many alkaloids and other polar compounds with anti-bacterial activities which activate the immune system of the host [82]. Withaferin A inhibits the growth of various bacteria and pathogenic fungi; it is also active against Micrococcus pyogenes, partially active against Bacillus subtilis, and inhibits Ranikhet disease, vaccinia virus, and Entamoeba histolytica [43]. W. somnifera helps to provide protection against systemic Aspergillus infection by activating the macrophage function, which increases phagocytosis and the intracellular killing of peritoneal macrophages [83], while W. somnifera shows anti-fungal activity against Helminthosporium sativum [84]. Some glycoproteins derived from W. Somnifera inhibit the growth of phytopathogenic fungi (Aspergillus flavus and Fusarium verticilloides) by prohibiting their spore formation and the growth of hyphae [79]. Withaferin A has been found to inhibit infectious bursal disease virus [85], herpes simplex virus [86], HIV infection [87], and coronavirus [19].
5.5. Insecticidal Activity
Phytochemicals from W. somnifera have insecticidal activities and can protect from many insects such as Callosobruchus chinensis, Sitophilus oryzae, Triboliumcastaeneum [88,89], and Spodoptera litura, mosquito vectors such as Anopheles stephensi, Aedes aegypti, and Culex quinquefasciatus [90], and termites [91]. They also show herbicidal activity against the noxious weed Parthenium hysterophorus.
5.6. Anti-Diabetic Activity
W. somnifera acts as an anti-diabetic, reducing blood sugar and cholesterol levels [29]. It decreases streptozocin, which is particularly toxic to insulin-producing beta cells of the pancreas and induces hyperglycemia. The anti-diabetic effect of the plant may arise from pancreatic islet free radical scavenging activity. The hyperglycemic activity of streptozocin results from reduced pancreatic islet cell superoxide dismutase (SOD) activity, which leads to the accumulation of degenerative oxidative free radicals in islet beta cells [92].
5.7. Hepatoprotective Activity
Histopathological studies confirm that the alcoholic extract of W. somnifera leaves inhibits CCl4-induced alterations in transaminase activity and pentobarbitone sleeping time, indicating hepatoprotective properties [93]. This also inhibits ochratoxin A, which causes liver inflammation and suppresses macrophage chemotaxis [83].
5.8. Anticarcinogenic Activity
Various studies have demonstrated the anticarcinogenic effects of W. somnifera secondary metabolites in animals and cell cultures, especially withaferin A and withanone [94]. Due to a broad spectrum of cytotoxic and tumor-sensitizing actions, the plant has potential applications in novel complementary therapies for integrative oncology. Effects against the HL-60 leukemia cell line, myeloid leukemia, and bladder, breast [95], prostate, colon, kidney, gastric, and lung cancer, have been described [96]. The mechanisms of W. somnifera-derived anticarcinogenic activity include antiproliferative effects [97], apoptosis [98], radio-sensitization, mitotic arrest, antiangiogenics, and the enhancement of cell defense mechanisms [99]. Leaf extracts have been used for the selective killing of cancer cells. Withaferin A is more effective than doxorubicin in inhibiting breast and colon cancer cell growth [58]. Due to these functions, W. somnifera bioactive agents have the potential to fight cancer by reducing tumor cells [100,101]. W. somnifera displays activity against urethane-induced lung tumors in mice and radio-sensitizing actions. Withaferin A, 3-hydroxy-2,3-dihydrowithanolide F, and withanolides D and E all showed anti-tumor activity in vitro against human epidermoid nasopharynx carcinoma and in vivo against Ehrlich ascites carcinoma, sarcoma, and mammary adenocarcinoma. They also acted as mitotic poison against human larynx carcinoma cells at the metaphase. The effect of Withaferin A also increased with the help of Methyl-thiodeacetyl colchicine. W. somnifera has many phytochemicals with unsaturated lactones in the side chain attached to the allelic primary alcohol group at C25 and highly oxygenated rings at the other end of the molecule, which may afford them cariostatic properties [43]. This also helps to reverse the harmful effects of urethane on lymphocytes, improve the leukocyte count, increase body weight, and reduce mortality [70]. Fibroid tumors of the uterus are also treated and help to reduce uterine bleeding [102].
Withania somnifera exhibits anticancerous property due to its phytochemicals (Withanolide and withaferin). Withanolide suppresses the inducible and constitutive expression of the “NF-kappa B” signaling pathway involved in extensive cancer development [103]. In addition, Withaferin induces apoptosis in tumor cells and prevents their spreading [104].
5.9. Cardiotonic Activity
W. somnifera helps to purify blood. It is used to treat heart weaknesses and blood disorders [29]. The effects of digoxin (a drug used to treat irregular heartbeat and heart failure) are similar to this plant. W. somnifera helps to reduce blood pressure by blocking the action of autonomic ganglia and exerting myocardial depressant, as well as positive inotropic and chronotropic effects [70]. W. somnifera also exhibits hypercholesteremic, hypolipidemic, and anti-atherogenic activities. It works against atherogenesis and vascular intimal damage. It inhibits lipid peroxidation, platelet aggregation, delays the plasma re-calcification time, and improves the release of the lipoprotein lipase enzyme. It reduces body weight and increases high-density lipoprotein cholesterol levels [105]. The root powder has anti-aging effects, as it increases red blood cells and hair melanin, and decreases serum cholesterol [58,71,78].
5.10. Central Nervous System (CNS)
W. somnifera helps to treat depressive disorders and exhibits a tranquilizing effect. Animal studies suggest that the plant components affect the central nervous system, including the modulation of acetylcholinesterase and butyrylcholinesterase activity, the inhibition of calcium ion influx, blockade of gamma-aminobutyric acid receptors, modulation of 5-HT 1 and 5-HT 2 receptors, and the regeneration of neurites. [70,106] Glycowithanolides, withaferin-A, and sitoindosides VII–X obtained from the roots reduce the effect of ibotenic acid, which induces cognitive defects. Roots of W. somnifera are used as a sedative, a treatment for insomnia, and nervine tonic. They are useful in cases of fainting, dizziness, and insomnia. A well-known adaptogen, W. somnifera helps to protect the body from damaging effects and promotes normal physiological functioning. It also works on the neuroendocrine system [7] and is thought to help the body cope with stress, boost the whole nervous system, and improve attention and concentration power. They are used in the treatment of Parkinson’s, Alzheimer’s, neurotic atrophy, synaptic loss, and other neuro-degenerative diseases because of its radical quenching properties [107].
5.11. Thyrotropic Effect (Hypothyroidism)
Research has revealed that W. somnifera has thyrotropic effects [108]. Its constituents decrease thyroid activity and lipid peroxidation in the liver homogenate and affect cellular antioxidant systems by increasing catalase activity while T3 levels remain constant. Additionally, urine volume and sodium are increased, and serum cholesterol and triglycerides are reduced.
5.12. Immunomodulatory Activity
W. somnifera works as an immunomodulator in indigenous medicines [75], and its phytochemicals, such as withaferin A, 3-b-hydroxy-2,3-dihydrowithanolide F, glycowithanolides and sitoindosides IX and X have proven immunomodulatory properties. The activities are similar to some immunosuppressive drugs such as cyclophosphamide, azathioprine, and prednisolone. For example, spleen cell proliferation is inhibited by withanolides. Murine macrophages and phagocytosis are activated by withanolide glycosides, which also increase lysosomal enzymatic activity secreted by the macrophages. W. somnifera helps to increase hemoglobin concentration, white and red blood cells, platelets, and body weight, and reduces leukopenia induced by cyclophosphamide (CTX) or sublethal doses of gamma radiation. Moreover, it helps to slow hypersensitivity reactions. It increases the cytotoxic effect of nitric oxide synthase of macrophages, which works against microorganisms and tumor cells [70,71,108].
5.13. Antioxidant Activity
W. somnifera contains many powerful antioxidant phytochemicals such as polyphenols, [16] sitoindosides VII–X, withaferin A, and glycowithanolides [70,71]. The brains and nervous systems of humans are rich in lipids and iron; therefore, they are particularly susceptible to damage by reactive oxygen species (ROS). Our brain uses approximately 20% of the total oxygen supply of the organism, and free radical damage to the nervous system causes heavy neuronal losses [69].
5.14. Anti-Peroxidative Activity
Root extracts of W. somnifera regulate the effects of lead toxicity and the lipid peroxidative process in liver and kidney tissues [109]. This treatment enhances hepatic and renal lipid peroxidation, decreases lipid peroxidation, and increases the activities of antioxidant enzymes such as superoxide dismutase (SOD) and catalase (CAT), thereby helping to maintain normal oxidative status of the tissues [110].
5.15. Male Infertility
W. somnifera helps in maintaining fertility in men by improving the quality of sperm but not the sperm count [29,70]. The root extract, taken as an aphrodisiac, increases the sex hormones testosterone and cortisol [111]. It also increases semen volume, sperm concentration, and sperm motility [31,112]. Overall, it works against stress and infertility [113]. W. somnifera is also known as sukrala, i.e., it helps to increase semen, and is regarded as an aphrodisiac. The powdered plant mixed with ghee, sugar and milk is taken to treat puerperal backache and leucorrhea caused by endometritis [28,29].
5.16. Anti-COVID-19 Activity
COVID-19 (novel coronavirus infectious disease) is caused by SARS-CoV-2, a positive-sense single-stranded RNA virus whose genome encodes four major proteins: a nucleocapsid, envelope, spike, and membrane [114,115]. By blocking the main virus, a protease or 3-chymotrypsin-like protease, Withanoside V, produced by W. Somnifera, delays maturation [19,78,116,117].
6. Applications in Medical and Food Systems
W. somnifera is rapidly advancing and is used for wide range of applications in medicinal and food sectors. Its potential is widely studied and can be used tradionally to treat number of health problems. The Table 7 shows some of its functions in different modes of uses which are as follows.
Table 7.
Scheme | Plant Parts | Mode Of Uses | Functions | Reference |
---|---|---|---|---|
1. | Leaves | Paste | On enlarged cervical and other glands, reduce edema and pain | [28,29,37,78,118] |
Applied to burns and wounds | ||||
Used as a sunscreen | ||||
Treat skin diseases, carbuncles, syphilitic sores, tumors, ulcers, tubercular inflammation, and also helps to heal ulcers and bronchitis | ||||
Juice | As eardrops, decreases ear discharge problems | [28,29] | ||
Treating conjunctivitis and anthrax pustules | ||||
Fodder | Given to livestock | [5] | ||
Powder | Applied to burns and wounds | [28] | ||
Warm Leaves | Provides relief against eye illnesses | [29] | ||
Infusions | Treat fevers | [5,8,78] | ||
Decoctions | Treat sore eyes, boils, swellings in limbs and piles | [29,118] | ||
Ointment | Serves as an insecticide to kill lice infesting the body, and is also useful to treat bed sores, wounds, and cuts | [29,37] | ||
2. | Roots | Milk boiled with fresh roots | To leach out undesirable waste from the body | [28,37] |
Paste | Treats swellings and ulcers | [28,37] | ||
Tonic | Treat sexual deficiency in males | [29,37,119] | ||
Powder | To slow the growth of tumors, and improve male sperm count | [37] | ||
Decoctions | To treat sterility in females, chest complaints, scrofula, and colds | [5,37] | ||
Black ashes | To heal blisters and swellings | [5] | ||
Others | To treat rheumatism, loss of appetite, cough, dropsy, dyspepsia, joint pain, leukoderma (a skin disorder), inflammation, nervous breakdown, senility, debility, loss of memory, goiter, lower back pain, sciatica, boost immunity, increase white blood cells in the body, treat insomnia, the regulation of blood sugar, and reduction in bad cholesterol | [5,8,29,37] | ||
3. | Seeds | N/A | To expel parasites out of the body, to treat chest problems, to thicken milk | [29,37,78] |
4. | Berries | N/A | To coagulate milk Sedative, emetic, blood-purifying, febrifuge, and diuretic Treats dyspepsia, to promote growth, treats liver problems, asthma, and biliousness |
[5,8,29,37] |
5. | Barks | Decoction | To treat asthma and bed sores | [5,29] |
6. | Twigs | Chewed Non-Fibrous Twigs | To clean teeth | [5] |
Steaming | Provides relief from toothache |
6.1. Medical Applications
Withania somnifera have wide range of pharmacological activities and numerous medicinally important products in the form of capsules, tablets, gummy, and powder have been developed by different manufactures, as shown in following Table 8.
Table 8.
Form | Product Name | Ingredient(s) | Functions | Manufacturers | Reference |
---|---|---|---|---|---|
Capsules | Kapiva Capsules Ashwagandha | Ashwagandha extract Withania somnifera (root) | Vital immunity booster, nourishes and strengthens the nervous system, and increase stamina | Kapiva | [120] |
KSM-66 Ashwagandha | KSM-66® Ashwagandha root extract | Reduced anxiety, better immunity, better sleep quality, and improves male fertility | Better Veda | [121] | |
Ashwagandha Veg Capsule | Organic Ashwagandha root extract | Stress, anxiety, immune deficiency, low energy, chronic fatigue, general exhaustion, cold flu, premature aging, and depression | Organic India | [122] | |
HK Vitals Ashwagandha Powder | Ashwagandha extract Withania somnifera (root) | Focus, stress relief, and muscle strength | Health Kart | [123] | |
Ashwagandha | Withania somnifera powder | Boost energy, muscle recovery, anxiety relief, and brain health | Himalayan Organics | [124] | |
Tablet | Ashwagandha General Wellness | Ashwagandha (Withania somnifera) root extract | Stress relief, overall health, and fatigue | Himalayan | [125] |
Ashwagandha | Ashwagandha (Withania somnifera) root extract | Immunity booster, immune modulator, relieve mental stress, body rejuvenated, and rich in anti-oxidants | Dabur | [126] | |
Ashwagandha | Root extract | General health, anxiety and stress relief, energy, and endurance | True Basics | [127] | |
Ashwagandha | Withania somnifera extract (3.5% Withanolides), Piper nignum extract (Piperine 95%), Vitamin E (d-alpha tocophery acetate), B-complex (Vitamin B6, Vitamin B9, Vitamin B12) | Anxiety relief | Neuherbs | [128] | |
Ashwagandha (Withania somnifera) | Ashwagandha (Withania somnifera) Root powder | Combat cancer, reduce blood sugar levels, cortisol levels, increase fertility and boosts testosterone, and reduce inflammation | Dhootpapeshwar | [129] | |
Powder | Ashwagandha | Withania somnifera powder | Energy management, improves sleep, reduce stress and anxiety, muscle mass and strength | Jain | [130] |
100% Organic Ashwagandha Powder | Withania somnifera Root powder | Anxiety relief | Carmel Organics | [131] | |
Organic Ashwagandha Powder | Root powder | Immune support | Just Jaivik | [132] | |
Gummy | Ashwagandha Gummies | Ashwagandha, Vitamin D | Promotes immunity, bone and brain health, strength endurance, and mental well being | Man Matters | [133] |
6.2. Food Applications
The clinical role of Withania somnifera has been thoroughly explored, but little knowledge is available concerning food applications [134]. Its leaves and roots are good sources of dietary fiber [135]. Leaves and roots of incorporated products of W. somnifera can be used as extrudates, juices and beverages, sweet products, bakery and cereal products, dairy products, etc. as shown in Table 9 [134,136]. Numerous therapeutically important compounds have been observed to possess various biological activities. These compounds could play major roles in the dietary system.
6.2.1. Juices and Beverages
Withania-somnifera-fortified beverage blends could be utilized for its nutritional quality in functional fruit beverages and the developed stored product was stable and acceptable for 90 days at room temperature [137].
6.2.2. Sweets Products
Shrikhand sweets are said to contain 0.5–0.6% ashwagandha powder and improve stability and self-life up to 52 days at refrigerator temperature [138].
6.2.3. Bakery and Cereal Products
Ashwagandha powders, including many products, are evaluated at different concentrations, such as 5% in Namakpara, Pap Chakal, and Muruk, and up to 10% in Missy Roti and Chutney powders. Containing up to 5% of Withania somnifera root powder, biscuits are rich in energy, minerals, fiber, and protein, enhancing their medicinal benefits [139]. Ashwagandha root powder at 2% in baked goods such as Thepla and breads reduces diabetes [140].
6.2.4. Dairy Products
Pawar et al. (2014) [141] reported that ashwagandha powder, vidarikand, and shatavari containing ghee (fat) have stronger antioxidant properties than traditionally prepared ghee.
Table 9.
Product Name | Ingredient(s) | Functions | Manufactures | Reference |
---|---|---|---|---|
Ashwagandha Leaf Juice | Ashwagandha leaf | Immunity booster Helps in weight management Eases stress |
Axiom | [142] |
Ashwagandha Ginger Juice | Ashwagandha root Ginger |
Helps boost strength and stamina | Baidyanath Vansaar | [143] |
Artho Sure Juice | Ashwagandha, Guduchi, Kutki, and other herbs | Relieve joint pain | Kapiva | [144] |
Sweet Himalayan Green Tea | Ashwagandha, Shatavari, Stevia, turmeric, and cardamom | Eases stress | Navvayd | [145] |
Chyawanprash | Ashwagandha Amla giloy shatavari pippali mulethi |
Helps build Strength and Stamina | Dabur | [146] |
Moon Latte | Ashwagandha with curcumin, nutmeg, cinnamon Shankhpushpi black pepper | Helps in relaxing the body | Nature’s Island | [147] |
Hot chocolate | Ashwagandha powder Cocoa powder |
Boosts immunity Strengthens bones Detoxify mind and body |
La rama | [148] |
Cocoa hazelnut spread | Hazelnuts, ashwagandha, cocoa powder, soya bean, and brown sugar | Healthy for the body | Amaara | [149] |
Chocolate spread | Ashwagandha, sankhpushpi, brahmi, peanuts, almonds, cashews, hazelnuts | Brain booster | Kids and teens | [150] |
7. Future Perspectives
W. somnifera could be used as potential biomolecules for developing pharmaceutical products and formulations. In addition to developing a fine rational management for W. somnifera as a miraculous plant in the future, it may be useful for inspecting process and prospective of its remedial uses and food packages of W. somnifera.
8. Conclusions
In summary, W. somnifera has antiquity uses to treat various diseases. This review indicates that many pharmacologically important compounds are present in it which performs crucial role in natural medicinal systems, and also lays foundation for next generation.
W. Somnifera (Ashwagandha), a potential medicinal herb, has promising therapeutic and pharmacological properties due to its diverse phytochemicals. Many studies on this medicinal herb have shown antidiabetic, antistress, anti-inflammatory, anti-cancerous, anti-COVID-19, immunomodulator, antimicrobial, and hepatoprotective activity. Importantly, Withaferins induces apoptosis in tumor cells and prevents their spreading. Glycoproteins derived from W. Somnifera inhibit the growth of phytopathogenic fungi. The literature reveals that anti-anxiety properties are mainly because of glycowithanolides and glycosides.
Value-added products from Withania spp. include capsules, herbal tea, syrups, powder, root powder, root extract, strips, juice, tablets, oil, tonic, decoction, poultice, herbal beer, traditional drugs, and health drinks. Furthermore, there should be assessments on the quantitative improvement and exploration of its value in commercial sectors and herbal sectors. Thus, this medicinal plant is a good target for future studies in the fields of phytomedicines, drug development, and herbal sectors.
In a nutshell, in vivo and in vitro research should be conducted to determine the modes of action and molecular mechanism of phytochemicals for drug development and design. Phytochemicals exhibiting antiviral activity will also be potential candidates for developing antiviral medicines against COVID-19. However, more clinical trials should be conducted to prove its therapeutic and pharmacological properties.
In this review, we have compiled the detailed biochemical profiling of phytochemicals W. Somnifera, their extraction, and its value-added products and therapeutic and pharmacological properties. In summary, many pharmacologically important compounds are present, as illustrated in natural medicinal systems, as well as laying the foundation for the next generation.
Acknowledgments
The authors are thankful to the Head of the Department of Botany, University of Lucknow, for providing the research facilities, as well as the authorities of the Department of Natural Products, Plant Biology and Soil Science, University of Barcelona, Spain, for their support during the compilation of this work. The authors are also thankful to Farid Chemat and Katie Zhang (Managing editor, Molecules) for providing the permission to reuse some of the figures. In addition, one of the authors is highly thankful to the Council of Science and Technology, UP (Project No. CST/AAS/20-21/D-2375), for providing the financial support.
Author Contributions
Writing, H.G.; elucidation of Chemical structures, H.G. and R.Y.; Writing—editing, D.Y.; Table formatting, A.M.; Text Formatting, H.Y.; Supervision, A.C.S.; Revised and editing, M.S.; Grammatical check and editing, V.K.G.; Re—Revised and editing, J.P. All authors have read and agreed to the published version of the manuscript.
Institutional Review Board Statement
Not applicable.
Informed Consent Statement
Not applicable.
Data Availability Statement
Not applicable.
Conflicts of Interest
The authors have no conflict of interest.
Funding Statement
First author is highly grateful to the Council of Science and Technology, UP (Project No. CST/AAS/20-21/D-2375), for providing the financial support.
Footnotes
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References
- 1.FAO 2005. [(accessed on 10 November 2021)]. Available online: https://www.fao.org/3/a0050e/a0050e.pdf.
- 2.Garib-Fakim A. Medicinal plants: Traditions of yesterday and drugs of tomorrow. Mol. Asp. Med. 2006;27:1–93. doi: 10.1016/j.mam.2005.07.008. [DOI] [PubMed] [Google Scholar]
- 3.Pushpgandhan P. Ethnobotany in India. Government of India; New Delhi, India: 1995. pp. 83–98. A Status Report. [Google Scholar]
- 4.Prajapati N.D., Purohit S.S., Sharma A.K., Kumar T. A Handbook of Medicinal Plants—A Complete Source Book. Agrobios; Jodhpur, India: 2003. [Google Scholar]
- 5.Mirjalili M.H., Moyano E., Bonfill M., Cusido R.M., Palazón J. Review Steroidal Lactones from Withania somnifera, an Ancient Plant for Novel Medicine. Molecules. 2009;14:2373–2393. doi: 10.3390/molecules14072373. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 6.Sharma A., Sharma I., Pati P.K. Post-infectional changes associated with the progression of leaf spot disease in Withania somnifera (L.) Dunal. J. Plant Pathol. 2011;93:397–405. [Google Scholar]
- 7.Panwar J., Tarafdar J.C. Distribution of three endangered medicinal plant species and their colonization with Arbuscular Mycorrhizal Fungi. J. Arid Environ. 2006;65:337–350. doi: 10.1016/j.jaridenv.2005.07.008. [DOI] [Google Scholar]
- 8.Verma S.K., Kumar A. Therapeutic Uses of Withania somnifera (Ashwagandha) With A Note on Withanolides and Its Pharmacological Actions Review Article. Acad. Sci. Asian J. Pharm. Clin. Res. 2011;4:1–4. [Google Scholar]
- 9.Mir B.A., Kharir J., Mir N.A., Hasan T., Koul S. Botanical, chemical & pharmacological review of Withania somnifera (Indian ginseng): An Ayurvedic Medicinal Plant. Indian J. Drugs Dis. 2012;1:2278–2958. [Google Scholar]
- 10.Shanmugaratnam S., Mikunthan G., Thurairatnam S. Potential of Withania somnifera Dunal Cultivation as a Medicinal Crop in Jaffna District. Am.-Eurasian J. Agric. Environ. Sci. 2013;13:357–361. [Google Scholar]
- 11.Ahmad M., Dar N.J. Sustained Energy for Enhanced Human Functions and Activity. Elsevier; London, UK: 2018. Withania somnifera: Ethno botany, pharmacology, and therapeutic functions; pp. 137–154. [Google Scholar]
- 12.Singh B., Saxena A.K., Chandan B.K., Gupta D.K., Bhutani K.K., Anand K.K. Adaptogen activity of a novel withanolide-free aqueous fraction from the roots of Withania somnifera Dunal. Phytother. Res. 2001;15:311–318. doi: 10.1002/ptr.858. [DOI] [PubMed] [Google Scholar]
- 13.Andallu B., Radhika B. Hypoglycaemic, diuretic and hypocholesterolaemia effect of winter cherry (Withania somnifera Dunal) root. Ind. J. Exp. Biol. 2000;38:607–609. [PubMed] [Google Scholar]
- 14.Rao B.R.R., Rajput D.K., Nagaraju G., Adinarayana G. Opportunities and challenges in the cultivation of ashwagandha (Withania somnifera (L.) Dunal) J. Pharmacogn. 2012;3:88–91. [Google Scholar]
- 15.Khan M.I., Maqsood M., Saeed R.A., Alam A., Sahar A., Kieliszek M., Miecznikowski A., Muzammil H.S., Aadil R.M. Phytochemistry, Food Application, and Therapeutic Potential of the Medicinal Plant (Withania coagulans): A Review. Molecules. 2021;26:6881. doi: 10.3390/molecules26226881. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 16.Abdelfattah E.M., Aimad A., Bourhia M., Chebbac K., Salamatullah A.M., Soufan W., Nafidi H.A., Aboul-Soud M.A.M., Ouahmane L., Bari A. Insecticidal and Antifungal Activities of Chemically-Characterized Essential Oils from the Leaves of Withania frutescens L. Life. 2022;12:88. doi: 10.3390/life12010088. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 17.Alam N., Hossain M., Mottalib M.A., Sulaiman S.A., Gan S.H., Khalil M.I. Methanolic extracts of Withania somnifera leaves, fruits and roots possess antioxidant properties and antibacterial activities. BMC Complement. Altern. Med. 2012;12:175–183. doi: 10.1186/1472-6882-12-175. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 18.Chandra S., Chatterjee P., Dey P., Bhattacharya S. Evaluation of Anti-inflammatory Effect of Ashwagandha: A Preliminary Study in vitro. Pharmacogn. J. 2012;4:47–49. doi: 10.5530/pj.2012.29.7. [DOI] [Google Scholar]
- 19.Tripathi M.K., Singh P., Sharma S., Singha T.P., Ethayathulla A.S., Kaura P. Identification of bioactive molecule from Withania somnifera (Ashwagandha) As SARS-CoV Main Protease Inhibitor. J. Bio Mol. Struct. Dyn. 2020;39:5668–5681. doi: 10.1080/07391102.2020.1790425. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 20.Saleem S., Muhammad G., Hussain M.A., Altaf M., Nasir S., Bukhari A. Withania somnifera L.: Insights into the phytochemical profile, therapeutic potential, clinical trials, and future prospective. Iran. J. Basic Med. Sci. 2020;23:1501–1526. doi: 10.22038/IJBMS.2020.44254.10378. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 21.Afewerky H.K., Ayodeji A.E., Tiamiyu B.B., Orege J.I., Okeke E.S., Oyejobi A.O., Bate P.N.N., Adeyemi S.B. Critical review of the Withania somnifera (L.) Dunal: Ethnobotany, pharmacological efficacy, and commercialization significance in Africa. Bull. Natl. Res. Cent. 2021;45:176. doi: 10.1186/s42269-021-00635-6. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 22.Abdeljebbar L.H., Benjouad A., Morjani H., Merghoub N., Haddar S.E., Humam M., Christen P., Hostettmann K., Bekkouche K., Amzazi S. Antiproliferative effects of withanolides from Withania adpressa. Therapie. 2009;64:121–127. doi: 10.2515/therapie/2009015. [DOI] [PubMed] [Google Scholar]
- 23.Maurya R., Jayendra A. Chemistry and pharmacology of Withania coagulans: An Ayurvedic remedy. J. Pharm. Pharmacol. 2010;62:153–160. doi: 10.1211/jpp.62.02.0001. [DOI] [PubMed] [Google Scholar]
- 24.Alzahrani A.J. Promising Antioxidant and Antimicrobial Potencies of Chemically-Profiled Extract from Withania aristate (Aiton) Pauquy against Clinically-Pathogenic Microbial Strains. Molecules. 2022;27:3614. doi: 10.3390/molecules27113614. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 25.El Moussaoui A., Bourhia M., Jawhari F.Z., Mechchate H., Slighoua M., Bari A., Ullah R., Mahmood H.M., Ali S.S., Ibenmoussa S., et al. Phytochemical Identification, Acute, and Sub-Acute Oral Toxicity Studies of the Foliar Extract of Withania frutescens. Molecules. 2020;25:4528. doi: 10.3390/molecules25194528. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 26.Moussaoui A.E.L., Bourhia M., Jawhari F.Z., Salamatullah A.M., Ullah R., Bari A., Mahmood H.M., Sohaib M., Serhii B., Rozhenko A., et al. Chemical Profiling, Antioxidant, and Antimicrobial Activity against Drug-Resistant Microbes of Essential Oil from Withania frutescens L. Appl. Sci. 2021;11:5168. doi: 10.3390/app11115168. [DOI] [Google Scholar]
- 27.Singh V., Shriastava A., Jadon S., Bhadauria S. Antimicrobial Activity and Phytochemical Analysis of Withania Somnifera Leaf, Stem and Root Extracts in Different Solvents on Gram Positive and Gram-Negative Bacteria and Fungus. Int. J. Indig. Med. Plants. 2013;46:2051–4263. [Google Scholar]
- 28.Meher S.K., Das B., Panda P., Bhuyan G.C., Rao M.M. Review Article Uses of Withania somnifera (Linn) Dunal (Ashwagandha) in Ayurveda and its Pharmacological Evidences. Res. J. Pharmacol. Pharmacodyn. 2016;8:2321–5836. [Google Scholar]
- 29.Moharana D., Bahadur V., Rout S., Prusty A.K., Sahoo R.K. Ashwagandha: The Miracle Ginseng. Food Sci. Rep. 2020;1:37–42. [Google Scholar]
- 30.Kulkarni S.K., Dhir A. Withania somnifera: An Indian ginseng. Prog. Neuro-Psychopharmacol. Biol. Psychiatry. 2008;32:1093–1105. doi: 10.1016/j.pnpbp.2007.09.011. [DOI] [PubMed] [Google Scholar]
- 31.Kapoor L.D. Handbook of Ayurvedic Medicinal Plants: Herbal Reference Library. CRC Press; Boca Raton, FL, USA: 2001. pp. 337–338. [Google Scholar]
- 32.Araujo L., Padilla N., Llanos G.G., Bazzocchi I.L., Moujir L. Antimicrobial activity of withanolides from the leaves of Withania aristate. Planta Med. 2008;74:PB70. doi: 10.1055/s-0028-1084415. [DOI] [Google Scholar]
- 33.Srivastava M.P., Gupta S., Dixit S., Yadav N., Yadav V., Singh H., Kanaujia P., Sharma Y.K. Withania somnifera (Ashwagandha): A wonder herb with multiple medicinal properties. Asian J. Pharm. Pharmacol. 2018;4:123–130. doi: 10.31024/ajpp.2018.4.2.5. [DOI] [Google Scholar]
- 34.Johri S., Jamwal U., Rasool S., Kumar A., Verma V., Qazi G.N. Purification and characterization of peroxidases from Withania somnifera (AGB 002) and their ability to oxidize IAA. Plant Sci. 2005;169:1014–1021. doi: 10.1016/j.plantsci.2005.05.015. [DOI] [Google Scholar]
- 35.Bhatia A., Bharti S.K., Tewari S.K., Sidhu O.P., Roy R. Metabolic profiling for studying chemotype variations in Withania somnifera (L.) Dunal fruits using GC-MS and NMR Spectroscopy. Phytochemistry. 2013;93:105–115. doi: 10.1016/j.phytochem.2013.03.013. [DOI] [PubMed] [Google Scholar]
- 36.Uddin Q., Samiulla L., Singh V.K., Jamil S.S. Phytochemical and Pharmacological Profile of Withania somnifera Dunal: A Review. J. Appl. Pharm. Sci. 2012;2:170–175. [Google Scholar]
- 37.Chaurasia P., Bora M., Parihar A. International Journal of Pure & Applied Bioscience Therapeutic Properties and Significance of Different parts of Ashwagandha—A Medicinal Plant. Int. J. Pure App. Biosci. 2013;1:94–101. [Google Scholar]
- 38.Mukherjee P.K., Baneerjee S., Biswas S., Das B., Kar A., Katiyar C.K. Withania somnifera (L.) Dunal-Modern perspectives of an ancient Rasayana from Ayurveda. J. Ethnopharmacol. 2021;264:113–157. doi: 10.1016/j.jep.2020.113157. [DOI] [PubMed] [Google Scholar]
- 39.Dhar R.S., Verma V., Suri K.A., Sangwan R.S., Satti N.K., Kumar A., Tuli R., Qazi G.N. Phytochemical and genetic analysis in selected chemotypes of Withania somnifera. Phytochemistry. 2006;67:2269–2276. doi: 10.1016/j.phytochem.2006.07.014. [DOI] [PubMed] [Google Scholar]
- 40.Chatterjee S., Srivastava S., Khalid A., Singh N., Sangwan R.S., Sidhu O.P., Roy R., Khetrapal C.L., Tuli R. Comprehensive metabolic fingerprinting of Withania somnifera leaf and root extracts. Phytochemistry. 2010;71:1085–1094. doi: 10.1016/j.phytochem.2010.04.001. [DOI] [PubMed] [Google Scholar]
- 41.Xu Y.M., Gao S., Bunting D.P., Gunatilaka A.A. Unusual withanolides from aeroponically grown Withania somnifera. Phytochemistry. 2011;72:518–522. doi: 10.1016/j.phytochem.2010.12.020. [DOI] [PubMed] [Google Scholar]
- 42.Chaudhari D., Ghate N.B., Sarkar R., Mandal N. Phytochemical Analysis and Evaluation of Antioxidant and Free Radical Scavenging Activity of Withania somnifera Root. Asian J. Pharm. Clin. Res. 2012;5:193–199. [Google Scholar]
- 43.Vishweswari G., Christopher R., Rajendra W. Phytochemical Screening of Active Secondary Metabolites Present in Withania somnifera Root: Role in Traditional Medicine. IJPSR. 2013;4:2770–2776. [Google Scholar]
- 44.Kherdea S.D., Parmara K.M., Tawarb M.G., Prasada S.K., Itankar P.R. Study on impact of different climatic zones on physicochemical and phytochemical profile of Withania somnifera (L.) Dunal. Indian J. Tradit. Knowl. 2020;19:486–493. [Google Scholar]
- 45.Baghel G., Naqvi Q.A., Snehi S.K., Khan M.S., Raj S.K. Molecular identification of three isolates of Jatropha mosaic India virus associated with mosaic disease of Withania somnifera in India. Arch. Phytopathol. Plant Prot. 2012;45:2114–2119. doi: 10.1080/03235408.2012.721683. [DOI] [Google Scholar]
- 46.Kumar A., Kaul M.K., Bhan M.K., Khanna P.K., Suri K.A. Morphological and chemical variation in 25 collections of the Indian medicinal plant, Withania somnifera (L.) dunal (Solanaceae) Genet. Resour. Crop Evol. 2007;54:655–660. doi: 10.1007/s10722-006-9129-x. [DOI] [Google Scholar]
- 47.Sharma V. HPLC-PDA Method for Quantification of Withaferin-A and Withanolide-A in Diploid (n = 12) and Tetraploid (n = 24) Cytotypes of “Indian Ginseng” Withania somnifera (L.) Dunal from North India. Int. J. Indig. Med. Plants. 2013;46:2051–4263. [Google Scholar]
- 48.Matsuda H., Murakami T., Kishi A., Yoshikawa M. Structures of withanosides I, II, III, IV, V, VI and VII new withanolide glycosides from the roots of Indian Withania somnifera Dunal and inhibitory activity for tachyphylaxis to clonidine in isolated guinea-pig ileum. Bioorganic Med. Chem. 2001;9:1499–1507. doi: 10.1016/S0968-0896(01)00024-4. [DOI] [PubMed] [Google Scholar]
- 49.Khare C.P. Indian Medicinal Plants—An Illustrated Dictionary. First Indian Reprint, Springer (India) Pvt. Ltd.; New Delhi, India: 2007. pp. 717–718. [Google Scholar]
- 50.Benjumea D., Martin-Herrera D., Abdala S., Gutierrez-Luis J., Quinones W., Cardona D., Torres F., Echeverri F. Withanolides from and their diuretic Whitania aristata activity. J. Ethnopharmacol. 2009;123:351–355. doi: 10.1016/j.jep.2008.12.014. [DOI] [PubMed] [Google Scholar]
- 51.Askarne L., Talibi I., Boubaker H., Boudyach E.H., Msanda F., Saadi B., Serghini M.A., Ait Ben Aoumar A. In-vitro in-vivo antifungal activity of several Moroccan plants against Penicillium italicum, the causal agent of citrus blue Mold. Crop Protection. 2012;40:53–58. doi: 10.1016/j.cropro.2012.04.023. [DOI] [Google Scholar]
- 52.Chaurasiya N.D., Sangwan N.S., Sabir F., Misra L., Sangwan R.S. Withanolide biosynthesis recruits both mevalonate and DOXP pathways of isoprenogenesis in Ashwagandha Withania somnifera L. (Dunal) Plant Cell Reports. 2012;31:1889–1897. doi: 10.1007/s00299-012-1302-4. [DOI] [PubMed] [Google Scholar]
- 53.Mallesh S.B., Narayan R.P.J., Dhotre M. Talc-Based Bio formulations of Fluorescent Pseudomonads for the Management of Coleus and Ashwagandha Root Diseases. Int. J. Curr. Microbiol. Appl. Sci. 2018;7:3790–3796. doi: 10.20546/ijcmas.2018.704.427. [DOI] [Google Scholar]
- 54.Mohan R., Hammers H.J., Bargagna-Mohan P., Zhan X.H., Herbstritt C.J., Ruiz A. Withaferin A is a potent inhibitor of angiogenesis. Angiogenesis. 2004;7:115–122. doi: 10.1007/s10456-004-1026-3. [DOI] [PubMed] [Google Scholar]
- 55.Yang H., Shi G., Dou Q.P. The tumour proteasome is a primary target for the natural anticancer compound Withaferin an isolated from “Indian winter cherry”. Mol. Pharmacol. 2007;71:426–437. doi: 10.1124/mol.106.030015. [DOI] [PubMed] [Google Scholar]
- 56.Ali M., Shuaib M., Ansari S.H. Withanolides from the stem bark of Withania somnifera. Phytochemistry. 1997;44:1163–1168. doi: 10.1016/S0031-9422(96)00656-5. [DOI] [Google Scholar]
- 57.Abou-Douh A.M. New withanolides and other constituents from the fruit of Withania somnifera. Arch. Pharm. Int. J. Pharm. Med. Chem. 2002;335:267–276. doi: 10.1002/1521-4184(200208)335:6<267::AID-ARDP267>3.0.CO;2-E. [DOI] [PubMed] [Google Scholar]
- 58.Jayaprakasam B., Zhang Y., Seeram N.P., Nair M.G. Growth inhibition of human tumour cell lines by withanolides from Withania somnifera leaves. Life Sci. 2003;74:125–132. doi: 10.1016/j.lfs.2003.07.007. [DOI] [PubMed] [Google Scholar]
- 59.Jayaprakasam B., Padmanabhan K., Nair M.G. Withanamides in Withania somnifera fruit protect PC-12 cells from β-amyloid responsible for Alzheimer’s disease. Phytother. Res. 2010;24:859–863. doi: 10.1002/ptr.3033. [DOI] [PubMed] [Google Scholar]
- 60.Umadevi M., Rajeswari R., Rahale C.S., Selvavenkadesh S., Pushpa R., Kumar K.P.S., Bhowmik D. Traditional and Medicinal Uses of Withania somnifera. Pharma Innov. 2012;1:102–110. [Google Scholar]
- 61.Dhanani T., Shah S., Gajbhiye N.A., Kumar S. Effect of extraction methods on yield, phytochemical constituents and antioxidant activity of Withania somnifera. Arab. J. Chem. 2017;10:S1193–S1199. doi: 10.1016/j.arabjc.2013.02.015. [DOI] [Google Scholar]
- 62.Nile S.H., Nile A., Gansukh E., Baskar V., Kaia G. Subcritical water extraction of withanosides and withanolides from ashwagandha (Withania somnifera L.) and their biological activities. Food Chem. Toxicol. 2019;132:278–6915. doi: 10.1016/j.fct.2019.110659. [DOI] [PubMed] [Google Scholar]
- 63.Abdullahi R., Abubakar A.R., Haque M.J. Preparation of medicinal plants: Basic extraction and fractionation procedures for experimental purposes. J. Pharm. Bioallied Sci. 2022;12:1. doi: 10.4103/jpbs.JPBS_175_19. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 64.Ncube N.S., Afolayan A.J., Okoh A.I. Assessment techniques of antimicrobial properties of natural compounds of plant origin: Current methods and future trends. Afr. J. Biotechnol. 2008;7:1797–1806. doi: 10.5897/AJB07.613. [DOI] [Google Scholar]
- 65.Parekh J., Jadeja D., Chanda S. Efficacy of aqueous and methanol extracts of some medicinal plants for potential antibacterial activity. Turk. J. Biol. 2005;29:203–210. [Google Scholar]
- 66.Dharajiya D., Patel P., Patel M., Moitra N. In vitro Antimicrobial Activity and Qualitative Phytochemical Analysis of Withania somnifera (L.) Dunal Extracts. Int. J. Pharm. Sci. Rev. Res. 2014;27:349–354. [Google Scholar]
- 67.Wuhibe Y.A., Zewdu G.A., Yohannes G.H., Mengistu D.Y. In-Vitro Anti-Bacterial, Phytochemical and Antioxidant Activity of Gezawa (Withania somnifera (L.) Dunal) Extracts Against Human Pathogenic Bacteria. J. Med. Plants By-Prod. 2021;1:117–126. [Google Scholar]
- 68.Abdulqawi L.N.A., Quadri S.A., Al-Faqeeh L.A.S. In Vitro Antibacterial and Antioxidant Activities of Withania Somnifera L. Dunal Extracts. Int. J. Res. Anal. Rev. 2020;7:1. [Google Scholar]
- 69.Bhattacharya A., Ghosal S., Bhattacharya S.K. Antioxidant effect of Withania somnifera glycowithanolides in chronic foot shock stress-induced perturbations of oxidative free radical scavenging enzymes and lipid peroxidation in rat frontal cortex and striatum. J. Ethnopharmacol. 2001;74:1–6. doi: 10.1016/S0378-8741(00)00309-3. [DOI] [PubMed] [Google Scholar]
- 70.Mishra L.C., Singh B.B., Dagenais S. Scientific basis for the therapeutic use of Withania somnifera (ashwagandha): A review. Altern. Med. Rev. 2000;5:334–346. [PubMed] [Google Scholar]
- 71.Singh A., Duggal S., Singh J., Katekhaye S. Withanolides: Phyto-constituents with significant pharmacological activities. Int. J. Green Pharm. 2010;4:229–237. doi: 10.4103/0973-8258.74130. [DOI] [Google Scholar]
- 72.Andrade C., Aswath A., Chaturvedi S.K. A double-blind, placebo-controlled evaluation of the anxiolytic efficacy an ethanolic extract of Withania somnifera. Indian J. Psychiatry. 2000;42:295–301. [PMC free article] [PubMed] [Google Scholar]
- 73.Khyati S., Anup B.A. Randomized double-blind placebo-controlled study of ashwagandha on generalized anxiety disorder. Int. Ayurvedic. Med. J. 2013;1:1–7. [Google Scholar]
- 74.Auddy B., Hazra J., Mitra A., Abedon B. A standardized Withania Somnifera extract significantly reduces stress-related parameters in chronically stressed humans: A double-blind, randomized, placebo-controlled study. J. Am. Neutraceut. Assoc. 2008;11:50–56. [Google Scholar]
- 75.Rasool M., Varalakshmi P. Immunomodulatory role of Withania somnifera root powder on experimental induced inflammation: An in vivo and in vitro study. Vasc. Pharmacol. 2006;44:406–410. doi: 10.1016/j.vph.2006.01.015. [DOI] [PubMed] [Google Scholar]
- 76.Sumantran V.N., Kulkarni A., Boddul S., Chinchwade T., Koppikar S.J., Harsulkar A., Patwardhan B., Chopra A., Wagh U.V. Chondro-protective potential of root extracts of Withania somnifera in osteoarthritis. J. Biosci. 2007;32:299–307. doi: 10.1007/s12038-007-0030-3. [DOI] [PubMed] [Google Scholar]
- 77.Kaileh M., Vanden B.W., Heyerick A. Withaferin a strongly elicits Ikappa B kinase beta hyper-phosphorylation concomitant with potent inhibition of its kinase activity. J. Biol. Chem. 2007;282:4253–4264. doi: 10.1074/jbc.M606728200. [DOI] [PubMed] [Google Scholar]
- 78.Meena L.K., Gupta A.K., Patel J., Khan M.Y., Kumar S. Medicinal Plants in India: Importance and Cultivation. Vol. 6. Narendra Publishing House; Delhi, India: 2020. pp. 81–94. [Google Scholar]
- 79.Girish K.S., Machiah K.D., Ushanandini S., Harish Kumar K., Nagaraju S., Govindappa M., Vedavathi M., Kemparaju K. Antimicrobial properties of a non-toxic glycoprotein (WSG) from Withania somnifera. J. Basic Microbiol. 2006;469:365–374. doi: 10.1002/jobm.200510108. [DOI] [PubMed] [Google Scholar]
- 80.Salunke B.K., Patil S.V., Lad R., Chatterjee S., Maheshwari V.L. Antimicrobial activities of three Indian medicinal plants. J. Cell Tissue Res. 2008;8:1545–1550. [Google Scholar]
- 81.Kumar S., Kumar V. Evaluation of Withania somnifera L. (Dunal) (Solanaceae) Leaf and Root Extracts as an Antimicrobial Agent-Highly Medicinal Plants in India. Asian J. Exp. Biol. Sci. 2011;2:155–157. [Google Scholar]
- 82.Owais M., Sharad K.S., Shehbaz A., Saleemuddin M. Antibacterial efficacy of Withania somnifera (ashwagandha) an indigenous medicinal plant against experimental murine salmonellosis. Phytomedicine. 2003;12:229–235. doi: 10.1016/j.phymed.2003.07.012. [DOI] [PubMed] [Google Scholar]
- 83.Dhuley J.N. Effect of Ashwagandha on lipid peroxidation in stress-induced animals. J. Ethnopharmacol. 1998;60:173–178. doi: 10.1016/S0378-8741(97)00151-7. [DOI] [PubMed] [Google Scholar]
- 84.Bhatnagar S. Biological activity of Indian Medicinal plants, Part-I, Antibacterial, anti-tubercular and anti-fungal action. Indian J. Med. Res. 1961;49:799–813. [PubMed] [Google Scholar]
- 85.Pant M., Ambwani T., Umapathi V. Antiviral activity of Ashwagandha extract on Infectious Bursal Disease Virus Replication. Indian J. Sci. Technol. 2012;5:2750–2751. doi: 10.17485/ijst/2012/v5i5.20. [DOI] [Google Scholar]
- 86.Kambizi L., Goosen B.M., Taylor M.B., Afolayan A.J. Anti-viral effects of aqueous extracts of Aloe ferox and Withania somnifera on herpes simplex virus type 1 in cell culture. S. Afr. J. Sci. 2007;103:359–360. [Google Scholar]
- 87.Usha P.R., Naidu M.U., Raju Y.S. Evaluation of the antiretroviral activity of a new poly herbal drug (Immu-25) in patients with HIV infection. Drugs Res. Dev. 2003;4:103–109. doi: 10.2165/00126839-200304020-00003. [DOI] [PubMed] [Google Scholar]
- 88.Gupta L., Srivastava M. Effect of Withania somnifera extracts on the mortality of Callosobruchus chinensis L. J. Biopestic. 2008;1:190–192. [Google Scholar]
- 89.Arora M., Sharma J., Singh A., Negi R.S. Larvicidal property of Aqueous Extracts of Withania somnifera on Tribolium castenum. Indian J. Fundam. Appl. Life Sci. 2011;1:32–36. [Google Scholar]
- 90.Bansal S.K., Singh K.V., Sharma S., Sherwani M.R.K. Comparative larvicidal potential of different plant parts of Withania somnifera against vector mosquitoes in the semi-arid region of Rajasthan. J. Environ. Biol. 2011;32:71–75. [PubMed] [Google Scholar]
- 91.Ahmed S., Khan R.R., Riaz M.A. Some Studies on the Field Performance of Plant Extracts against Termites (Odontotermesguptai and Microtermesobesi) in Sugarcane at Faisalabad. Int. J. Agric. Biol. 2007;9:398–400. [Google Scholar]
- 92.Bhattacharya S.K., Satyan K.S., Chakrabati A. Effect of Transina (TR), an Ayurvedic herbal formulation, on pancreatic islet superoxide dismutase (SOD) activity in hyperglycaemic rats. Indian J. Exp. Biol. 1997;35:297–299. [PubMed] [Google Scholar]
- 93.Sudhir S., Budhiraja R.D., Moglani G.P., Arora B., Gupta L.C., Garg K.N. Pharmacological studies on leaves ofwithania somnifera. Planta Medica. Planta Med. 1986;1:61. doi: 10.1055/s-2007-969072. [DOI] [PubMed] [Google Scholar]
- 94.Prakash J., Gupta S.K., Dinda A.K. Withania somnifera root extract prevents DMBA-induced squamous cell carcinoma of skin in swiss albino mice. Nutr. Cancer. 2002;42:91–97. doi: 10.1207/S15327914NC421_12. [DOI] [PubMed] [Google Scholar]
- 95.Stan S.D., Hahm E.R., Warin R., Singh S.V. Withaferin A causes FOXO3a- and Bim-dependent apoptosis and inhibits growth of human breast cancer cells in vivo. Cancer Res. 2008;68:7661–7669. doi: 10.1158/0008-5472.CAN-08-1510. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 96.Palaniyandi S., Radhakrishnan P., Banu S.M., Sakthisekaran D. Enhancement of antitumor effect of paclitaxel in combination with Bibliography 135 immunomodulatory Withania somnifera on benzo (a) pyrene induced experimental lung cancer. J. Chem.-Biol. Interact. 2006;159:180–185. doi: 10.1016/j.cbi.2005.11.003. [DOI] [PubMed] [Google Scholar]
- 97.Kaur K., Rani G., Widodo N. Evaluation of the anti-proliferative and anti-oxidative activities of leaf extract from in vivo and in vitro raised Ashwagandha. Food Chem. Toxicol. 2004;42:2015–2020. doi: 10.1016/j.fct.2004.07.015. [DOI] [PubMed] [Google Scholar]
- 98.Senthil V., Ramadevi S., Venkatakrishnan V. Withanolide induces apoptosis in HL-60 leukaemia cells via mitochondria mediated cytochrome c release and caspase activation. Chem. Biol. Interact. 2007;167:19–30. doi: 10.1016/j.cbi.2007.01.004. [DOI] [PubMed] [Google Scholar]
- 99.Fatimi- Al M., Friedrich U., Jenett-Siems K. Cytotoxicity of plants used in traditional medicine in Yemen. Fitoterapia. 2005;76:355–358. doi: 10.1016/j.fitote.2005.02.009. [DOI] [PubMed] [Google Scholar]
- 100.Krishnamurthi A. The Wealth of India. Publications and Information Directorate. Volume 10. Council of Scientific and Industrial Research (CSIR); New Delhi, Delhi: 1982. pp. 580–585. [Google Scholar]
- 101.Leyon P.V., Kuttan G. Effect of Withania somnifera on B16F-10 melanoma induced metastasis in mice. Phytother. Res. 2004;18:118–122. doi: 10.1002/ptr.1378. [DOI] [PubMed] [Google Scholar]
- 102.Abbas S.S., Bhalla M., Singh N.A. Clinical study of Organic Ashwagandha in some cases of uterine tumours (fibroids) and dermato fibrosarcoma; Proccedings of the Workshop on Essential Medicines, Adverse Drug Reactions and Therapeutic Drug Monitoring; Geneva, Switzerla. 7–11 March 2005; 2005. pp. 143–144. [Google Scholar]
- 103.Ichikawa H., Takada Y., Shishodia S., Jayaprakasam B., Nair M.G., Aggarwal B.B. Withanolides potentiate apoptosis, inhibit invasion, and abolish osteoclast genesis through suppression of nuclear factor-kappa B (NF-kappa B) activation and NF-kappa B-regulated gene expression. Mol. Cancer Ther. 2006;5:1434–1445. doi: 10.1158/1535-7163.MCT-06-0096. [DOI] [PubMed] [Google Scholar]
- 104.Singh N., Bhalla M., De Jager P., Gilca M. An overview on Withania somnifera: A Rasayana (rejuvenator) of Ayurveda. Afr. J. Tradit. Complement. Altern. Med. 2011;8:208–213. doi: 10.4314/ajtcam.v8i5S.9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 105.Mary N.K., Babu B.H., Padikkala J. Anti-atherogenic effect of Caps HT2, an herbal Ayurvedic medicine formulation. Phytomedicine. 2003;10:474–482. doi: 10.1078/094471103322331412. [DOI] [PubMed] [Google Scholar]
- 106.Lu L., Liu Y., Zhu W. Traditional medicine in the treatment of drug addiction. Am. J. Drug Alcohol Abus. 2009;35:1–11. doi: 10.1080/00952990802455469. [DOI] [PubMed] [Google Scholar]
- 107.Dickon T.C., Vickers J.C. The morphological phenotype of b-amyloid plaques and associated neurotic changes in Alzheimer’s disease. Neuroscience. 2001;105:99–107. doi: 10.1016/S0306-4522(01)00169-5. [DOI] [PubMed] [Google Scholar]
- 108.Iuvone T., Esposito G., Capasso F., Izzo A. Induction of nitric oxide synthase expression by Withania somnifera in macrophages. Life Sci. 2003;72:1617–1625. doi: 10.1016/S0024-3205(02)02472-4. [DOI] [PubMed] [Google Scholar]
- 109.Scartezzini P., Speroni E. Review on some Plants of Indian Traditional Medicine with Antioxidant Activity. J. Ethnopharmacol. 2000;71:23–43. doi: 10.1016/S0378-8741(00)00213-0. [DOI] [PubMed] [Google Scholar]
- 110.Chaurasia S.S. Withania somnifera root extract in the regulation of lead-induced oxidative damage in male mouse. Pharmacol. Res. 2000;41:663–666. doi: 10.1006/phrs.1999.0634. [DOI] [PubMed] [Google Scholar]
- 111.Ilayperuma I., Ratnasooriya W.D., Weerasooriya T.R. Effect of Withania somnifera root extract on the sexual behaviour of male rats. Asian J. Androl. 2002;4:295–298. [PubMed] [Google Scholar]
- 112.Mamidi P., Thakar A.B. Efficacy of Ashwagandha (Withania somnifera Dunal.Linn.) in the management of psychogenic erectile dysfunction. Int. Q. J. Res. Ayurveda. 2011;32:322–328. doi: 10.4103/0974-8520.93907. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 113.Ambiye V.R., Langade D., Dongre S., Aptikar P., Kulkarni M., Dongre A. Research Article Clinical Evaluation of the Spermatogenic Activity of the Root Extract of Ashwagandha (Withania somnifera) in Oligospermic Males: A Pilot Study. Hindawi Publishing Corporation; New York, NY, USA: 2013. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 114.Liu C., Zhou Q., Li Y., Garner L.V., Watkins S.P., Carter L.J., Smoot J., Gregg A.C., Daniels A.D., Jervey S., et al. Research and development on therapeutic agents and vaccines for COVID-19 and related human coronavirus diseases. ACS Cent. Sci. 2020;6:315–331. doi: 10.1021/acscentsci.0c00272. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 115.Lu R., Zhao X., Li J., Niu P., Yang B., Wu H., Wang W., Song H., Huang B., Zhu N., et al. Genomic characterization and epidemiology of 2019 novel coronavirus: Implications for virus origins and receptor binding. Lancet. 2020;395:565–574. doi: 10.1016/S0140-6736(20)30251-8. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 116.Morse J.S., Lalonde T., Xu S., Liu W.R. Learning from the past: Possible urgent prevention and treatment options for severe acute respiratory infections caused by 2019-nCoV. Chembiochem. 2020;21:730–738. doi: 10.1002/cbic.202000047. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 117.Stobart C.C., Lee A.S., Lu X., Denison M.R. Temperature-sensitive mutants and revertant in the coronavirus non-structural protein 5 protease (3CLpro) define residues involved in long-distance communication and regulation of protease activity. J. Virol. 2012;86:4801–4810. doi: 10.1128/JVI.06754-11. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 118.Shree P., Mishra P., Selvaraj C., Singh S.K., Chaube R., Garg N., Tripathi Y.B. Targeting COVID-19 (SARS-CoV-2) main protease through active phytochemicals of ayurvedic medicinal plants—Withania somnifera (Ashwagandha), Tinospora cordifolia (Giloy) and Ocimum sanctum (Tulsi)–a molecular docking study. J. Biomol. Struct. Dyn. 2022;40:190–203. doi: 10.1080/07391102.2020.1810778. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 119.Bano A., Sharma N., Dhaliwal H., Sharma V. A systematic and comprehensive review on Withania somnifera (L.) dunal-an Indian ginseng. Br. J. Pharm. Res. 2015;7:63–75. doi: 10.9734/BJPR/2015/17102. [DOI] [Google Scholar]
- 120.Kapiva Ashwagandha Gold Capsules, 183rd day harvested Potent Nagori Ashwagandha With Gold, Shilajit|Helps in Stress Management, Improve Energy and Stamina For Men & Women (60 Capsules) [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Kapiva-Ashwagandha-Capsules-harvested-Management/dp/B0B3DS83YC/ref=sr_1_1_sspa?crid=73YZN1U2GXLP&keywords=Kapiva+Capsules+Ashwagandha&qid=1673797080&sprefix=%2Caps%2C401&sr=8-1-spons&sp_csd=d2lkZ2V0TmFtZT1zcF9hdGY&psc=1.
- 121.BETTER VEDA Organic Ashwagandha Capsules 600 mg of KSM 66 Ashwagandha to Relieve Stress and Improve Sleep-60 Veg Capsule: Amazon.in: Health & Personal Care . [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/BBETTER-Ashwagandha-KSM66-Organic-Capsules/dp/B09D7KGYK2/ref=sr_1_4_sspa?crid=73YZN1U2GXLP&keywords=Kapiva%2BCapsules%2BAshwagandha&qid=1673797080&sprefix=%2Caps%2C401&sr=8-4-spons&sp_csd=d2lkZ2V0TmFtZT1zcF9hdGY&th=1.
- 122.ORGANIC INDIA Ashwagandha Capsules—60 N Veg Capsules (Pack of 2) [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Organic-India-Ashwagandha-Capsules-Pack/dp/B01FAKDYO8/ref=sr_1_5?keywords=ashwagandha+capsules+organic+india&qid=1673799867&s=hpc&sr=1-5.
- 123.HealthKart HK Vitals Ashwagandha Extract (500 mg), Improves Muscles Strength, Energy and Immunity Booster, 60 Ashwagandha Capsules. [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/HealthKart-Ashwagandha-Extract-60-Capsules/dp/B01N5HXPGW.
- 124.Himalayan Organics Ashwagandha 1000Mg|Boost Energy, Strength, Stamina|Helps Anxiety & Stress Relief For Men & Women-120 Veg Capsules. [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Himalayan-Organics-Ashwagandha-Endurance-Capsules/dp/B0844DS7NN/ref=sr_1_1_sspa?keywords=ashwagandha+capsules+himalayan+organics&qid=1673799803&s=hpc&sr=1-1-spons&sp_csd=d2lkZ2V0TmFtZT1zcF9hdGY&psc=1.
- 125.Himalaya Ashvagandha-General Wellness Tablets, 60 Tablets Pack Of 2. [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Himalaya-Ashvagandha-General-Wellness-Tablets/dp/B09N9XH94D/ref=sr_1_22_sspa?hvadid=72705506896416&hvbmt=bb&hvdev=c&hvqmt=b&keywords=patanjali+ashwagandha+pak&qid=1673797393&sr=8-22-spons&sp_csd=d2lkZ2V0TmFtZT1zcF9tdGY&psc=1.
- 126.DABUR Ashwagandha Tablet-Immunity Booster|Rich in Anti Oxidants-60 tablets (Pack of 2) [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/DABUR-Ashwagandha-Tablet-Immunity-Oxidants/dp/B08K8G14CX/ref=sr_1_26?crid=2V19FLAORB9XO&keywords=ashwagandha+powder&qid=1673798066&refinements=p_n_feature_three_browse-bin%3A28265549031&rnid=28265544031&s=hpc&sprefix=as%2Caps%2C1094&sr=1-26.
- 127.TrueBasics Ashwagandha, 600mg of KSM 66 Ashwagandha, Energy and Immunity Booster, Clinically Researched Ingredients, 60 Ashwagandha Capsules. [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/TrueBasics-Ashwagandha-Clinically-Researched-Ingredients/dp/B07V3MY9XJ/ref=sr_1_4?keywords=ashwagandha+powder+true+basics&qid=1673798413&s=hpc&sr=1-4.
- 128.Neuherbs Ashwagandha 1000 Plus [Manage Anxiety & Stress Relief] Enhanced Absorption & Antioxidants Rich with vitamin E & B-complex for General wellness & Improve Vigour-60 Tabs. [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Neuherbs-Ashwagandha-1000-Plus-Vitamins/dp/B08B8TSYBY/ref=sr_1_4?keywords=ashwagandha%2Btablet%2Bneuherbs&qid=1673799109&s=hpc&sr=1-4&th=1.
- 129.Dhootpapeshwar Ashwagandha Tablet-60 Tab. [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Dhootpapeshwar-Ashwagandha-Tablet-60-Tab/dp/B08SVXJZRP/ref=sr_1_4?keywords=ashwagandha+tablet+Dhootpapeshwar&qid=1673799316&s=hpc&sr=1-4.
- 130.Jain Ashwagandha Powder 100G (Pack Of 2) [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Ashwagandha-Powder-100g-Pack-2/dp/B010FX3PHQ/ref=sr_1_19?crid=2V19FLAORB9XO&keywords=ashwagandha+powder&qid=1673797758&refinements=p_n_feature_three_browse-bin%3A28265550031&rnid=28265544031&s=hpc&sprefix=as%2Caps%2C1094&sr=1-19.
- 131.CARMEL ORGANICS Ashwagandha Root Powder(227 Grams)|Helps fight anxiety and stress. [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Organic-Ashwagandha-Powder-Certified-anxiety/dp/B08L98KD8K/ref=sr_1_1_sspa?crid=2V19FLAORB9XO&keywords=ashwagandha%2Bpowder&qid=1673797690&sprefix=as%2Caps%2C1094&sr=8-1-spons&sp_csd=d2lkZ2V0TmFtZT1zcF9hdGY&th=1.
- 132.Just Jaivik Organic Ashwagandha Powder Withania Somnifera-USDA Certified Organic, 227 g (0.5 LB) 8 oz|Ayurvedic Herbal Supplement That Promotes Vitality & Strength|Support for Stress-free Living. [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Just-Jaivik-Organic-Ashwagandha-Powder/dp/B01MSCK6XT/ref=sr_1_7?crid=2V19FLAORB9XO&keywords=ashwagandha+powder&qid=1673797758&refinements=p_n_feature_three_browse-bin%3A28265550031&rnid=28265544031&s=hpc&sprefix=as%2Caps%2C1094&sr=1-7.
- 133.Man Matters Ashwagandha Gummies for Men|60 Days Pack|With KSM 66 Ashwagandha|Energy & Immunity Booster. [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Man-Matters-Ashwagandha-Gummies-Immunity/dp/B09ZNZYTL8/ref=sr_1_1_sspa?crid=3IVWI01VB1DF7&keywords=ashwagandha%2Bgummies&qid=1673797572&sprefix=ashwagandha%2Bgummy%2Caps%2C320&sr=8-1-spons&sp_csd=d2lkZ2V0TmFtZT1zcF9hdGY&th=1.
- 134.Gill M.K., Kumar S., Sharma M., Singh T.P., Kumar K., Kaur R.J. Agronomic biofortification of forage crops with zinc and copper for enhancing nutritive potential: A systematic review. J. Agric. Eng. Food Technol. 2019;6:162–163. doi: 10.1002/jsfa.12353. [DOI] [PubMed] [Google Scholar]
- 135.Khanna P.K., Kumar A., Ahuja A., Kaul M.K. Biochemical composition of roots of Withania somnifera (L.) Dunal. Asian J. Plant Sci. 2006;5:1061–1063. [Google Scholar]
- 136.Sharifi-Rad J., Quispe C., Ayatollahi S.A., Kobarfard F., Staniak M., Stępień A., Czopek K., Sen S., Acharya K., Matthews K.R., et al. Chemical Composition, Biological Activity, and Health-Promoting Effects of Withania somnifera for Pharma Food Industry Applications. J. Food Qual. 2021;7 doi: 10.1155/2021/8985179. [DOI] [Google Scholar]
- 137.Jairajpuri D.S., Saqib Q. Fortification of orange juice with Withania somnifera and Solanum nigrum extract-a potential functional fruit beverage and its quality evaluation. Pak. J. Food Sci. 2012;25:58–65. [Google Scholar]
- 138.Chopade S., Gavhane A., Gunjal M. Shrikhand: Nutritional composition, types and associated health benefits. Pharma Innov. J. 2022;11:2659–2662. [Google Scholar]
- 139.Indu P.C., Awasthi P. Development and evaluation of cereal-legume based ladoo supplemented with Ashwagandha (Withania somnifera) Pharma Innov. J. 2018;7:358–362. [Google Scholar]
- 140.Chaturvedi N., Raj N., Agarwal A. Value added Indian flat breads with Ashwagandha and its glycemic response among normal healthy subjects. Asian J. Dairy Food Res. 2018;1:37. [Google Scholar]
- 141.Pawar N., Gandhi K., Purohit A., Arora S., Singh R.R.B. Effect of added herb extracts on oxidative stability of ghee (butter oil) during accelerated oxidation condition. J. Food Sci. Technol. 2014;51:2727–2733. doi: 10.1007/s13197-012-0781-1. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 142.Axiom Ayurveda Ashwagandha Leaf Juice|Immunity Booster|Get Slim|WHO GMP, GLP, ISO Certified Natural Products|No added Colour. [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Axiom_Ayurveda-Ashavgandha-Leaf-Juice/dp/B07F45JCPK/ref=sr_1_5?keywords=Ashwagandha+Leaf+Juice&qid=1673187174&sr=8-5.
- 143.Baidyanath Vansaar Ashwagandha Ginger Juice|Helps Boost Strength & Stamina|Stress Relief|100% Pure Ashwagandha Juice enriched with Ginger-1L. [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Vansaar-Ashwagandha-Ginger-Juice-Organically/dp/B09D3VXQCN/ref=sr_1_5?crid=37XJ5GM1MN2UK&keywords=Ashwagandha+Ginger+Juice&qid=1673187331&sprefix=ashwagandha+ginger+juice%2Caps%2C437&sr=8-5.
- 144.Kapiva Ayurveda Artho Sure Juice, 1 L|Joint Pain Relief|Ashwagandha, Rasna, Kutki, Guduchi and other herbs. [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Kapiva-Ayurveda-Artho-Sure-Juice/dp/B07DRFMQQP/ref=sr_1_5?crid=3PVF9VCT158MI&keywords=artho+sure+juice&qid=1673187440&sprefix=Artho+Sure+Juice%2Caps%2C644&sr=8-5.
- 145.Navvayd Sweet Himalayan Green Tea, With Ashwagandha, Shatavari, Stevia, Turmeric & Cardamom, Loose Leaf-Enjoy Hot or Cold (100 Gm) [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Navvayd-Sweet-Himalayan-Green-Darjeeling/dp/B07R1746X1/ref=sr_1_6?crid=27BME7I2FBXQX&keywords=Sweet+Himalayan+Green+Tea&qid=1673187485&sprefix=sweet+himalayan+green+tea%2Caps%2C642&sr=8-6.
- 146.Amazon.in: Chyawanprash. [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/s?k=Chyawanprash&crid=1MYS04G8HPG04&sprefix=chyawanprash+%2Caps%2C740&ref=nb_sb_noss_2.
- 147.Nature’s Island Ashwagandha With Curcumin|Nutmeg|Cinnamon|Shankhpushpi|Black Pepper|Relax Mind|Better Sleep|Boost Energy & Immunity|50 Servings (Moon Latte) [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Natures-Island-Moon-Latte-Shankhpushpi/dp/B093LLTT3G/ref=sr_1_5?crid=3JOB58LJIN4M8&keywords=Moon+Latte&qid=1673188042&sprefix=moon+latte%2Caps%2C472&sr=8-5.
- 148.Spices & Masalas: Know Spices facts and buy best quality Spices. [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Herbs-Spices-Seasonings/b/?ie=UTF8&node=4859486031&ref_=sv_topnav_storetab_gourmet_4.
- 149.Amaara’s Cocoa Hazelnut Spread, infused with Ashwagandha|Creamy & Healthy chocolate for Bread, Waffles, Baking, Nutrients rich Vegan|100% Veg|No refined sugar|Dairy free|220 g. [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Amaaras-Hazelnut-Ashwagandha-chocolate-Nutrients/dp/B0B39SBFT2/ref=sr_1_14_mod_primary_new?crid=2GNDT0WAS8EDD&keywords=cocoa+hazelnut+spread&qid=1673188244&sbo=RZvfv%2F%2FHxDF%2BO5021pAnSA%3D%3D&sprefix=cocoa+hazelnut+spread%2Caps%2C628&sr=8-14.
- 150.Good for Speech delay, Eye Contact, Concentration, Memory, Focus: Iyurved Kids and Teens Brain Booster Chocolate Spread, 500 Gm|Shankhapushpi|Ashwagandha|Brahmi|(340 gm) [(accessed on 16 January 2023)]. Available online: https://www.amazon.in/Iyurved-Teens-Booster-Chocolate-Spread/dp/B09DBQXJGC/ref=sr_1_2?crid=36F1ZDN2GLAHQ&keywords=chocolate%2Bspread%2Bkids%2Band%2Bteen&qid=1673188330&sprefix=chocolate%2Bspread%2Bkids%2Band%2Bteen%2Caps%2C317&sr=8-2&th=1.
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