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Background: Preserving pulp vitality is crucial for maintaining tooth function and structure. Vital pulp therapy uses pulp capping agents to promote pulp healing and regeneration. Aims: This study evaluated the outcomes of four different pulp capping agents. Materials and Methods: One hundred and twenty patients were randomly assigned to four groups: G1 – calcium hydroxide (CH), G2 – growth factor (Recombinant human Platelet-Derived Growth Factor-BB + Beta-Tricalcium Phosphate (rh-PDGF-bb+ βTCP)), G3 – Biodentine, and G4 – Cissus quadrangularis (CQ). After caries removal, the agents were applied to the exposed pulp, sealed with glass ionomer cement, and restored with composite. Clinical and radiographic follow-ups were conducted at 1, 6, and 12 months, and the data were statistically analyzed. Results: The highest success rate was observed in the growth factor group (96.7%), followed by Biodentine (93.3%), CQ (90%), and CH (80%). However, the differences among groups were not statistically significant (P > 0.05). Dentin bridge formation was the most frequent in the growth factor group (76.67%), and treatment failures were more common in patients over 40 years. Conclusion: Growth factor (rh-PDGF-bb + βTCP) demonstrated the highest success rate, positioning it as a superior alternative to CH. CQ also showed potential as an effective pulp capping agent, warranting further investigation. [ABSTRACT FROM AUTHOR]

Cissus quadrangularis (CQ) is known for its use as a folk medicine for pharmacological properties such as antimicrobial, antiulcer, anti-inflammatory, antitumor, antihemorrhagic, antiallergic, antidiabetic, and antioxidant properties. It is known for its significant role in fracture healing and bone regeneration. To date, it is safe without any adverse effects when used within normal limits. It contains phytoconstituents such as carbohydrates, phytosterols, flavonoids, triterpenoids, glycosides, tannins, saponins, proteins, Vitamin C, alkaloids, and calcium. The alveolar bone is the tooth-supporting apparatus comprising the alveolar bone proper, cortical bone, crestal alveolar bone, and trabecular bone. Periodontal disease is a polymicrobial host immune-mediated inflammatory disease that destroys supporting structures of the teeth. Periodontal regeneration regenerates the lost periodontal structures. It can be using bone grafts. Periodontal tissue engineering is surging in regenerative medicine. It is a triad that includes cells, scaffolds, and growth factors that help to form newly aligned functional periodontal structures. Plant medicine is an alternative medicine that overcomes the side effects of modern medicine. Plant extracts can be used as bioactive scaffolds for regeneration. CQ can differentiate human-derived mesenchymal stem cells into osteoblast and regenerate bone. This review elaborates on the use of CQ as a bioactive compound for periodontal regeneration. [ABSTRACT FROM AUTHOR]

Cissus quadrangularis Linn. (C. quadrangularis, Vitaceae) is a plant reported to treat injured tendons, broken bones, asthma, stomach ache, scurvy, and digestive disorders. The present study evaluated the antihyperalgesic effects of ethanolic extract of C. quadrangularis Linn. Vincristine sulfate (100 μg/kg, i.p.) was administered in rats for 10 days with 2 days break to induce painful peripheral neuropathy. Mechanical hyperalgesia and allodynia tests were performed to assess the threshold of painful neuropathy. Calcium levels in the sciatic nerve, oxidant stress markers, and levels of GABA and 5‐HT were also determined in the brain and spinal cord after 15 days. Ethanolic extract of C. quadrangularis (180 and 360 mg/kg) and pregabalin (50 mg/kg) were administered for 15 consecutive days. The results revealed that the extract significantly (p < 0.001) inhibited hyperalgesia and allodynia in animals after vincristine administration. The extract decreased total calcium levels in the sciatic nerve, MDA levels while increasing GSH activity, 5‐HT level, as well as GABA levels in the brain and spinal cord. The results of this study suggest that the ethanolic extract of C. quadrangularis uses antioxidant capacity, calcium inhibitory action, and neuromodulation of GABA and 5‐HT to prevent the development of painful neuropathy after vincristine administration. This demonstrates that C. quadrangularis is a promising molecule for the management of peripheral neuropathic pain induced by anticancer drugs. [ABSTRACT FROM AUTHOR]

• Across the African continent, several rural communities persist in the practice of collecting, cultivating, and consuming indigenous food crops. • Cissus quadrangularis is said to heal broken bones, prevent the deterioration of bone matter and aid in bone growth. • This information suggests that because the energy bite with Cissus quadrangularis was a convenient, healthy and a snack item, it was well liked and accepted by participants of this study. • The sodium levels in both the samples of the developed product were low, contributing only 0.133 % to the DRI of both women and men. Indigenous plants thrive in natural ecosystems and have been used for food and medicine in many communities for centuries. Cissus quadrangularis is an indigenous plant with increasing popularity and great potential for nutritional enhancement to improve the functionality of food products and assist with food insecurity in South Africa. The aim of this study was to develop a sensory-acceptable food product using C. quadrangularis and to create awareness and increase acceptability of the plant among young adults. Two quantities of C. quadrangularis were used to make a trendy energy bite with two different quantities of C. quadrangularis 4 g (Sample 1) and 6 g (Sample 2) respectively. The developed food items were tested for sensory, microbiological, nutritional, and shelf-life. An awareness video with C. quadrangularis recipes and information was developed. The nutritional analysis showed the energy bite has minimal fat and salt. Sensory ratings did not vary between samples 1 and 2. A significant number of participants preferred or greatly appreciated the video and expressed interest in preparing foods using C. quadrangularis. A trendy and tasty food product using C. quadrangularis and an information tool may help young people consume an unfamiliar indigenous plant. [ABSTRACT FROM AUTHOR]

Introduction: Cissus quadrangularis is a vining plant widely used as a traditional herbal remedy for various ailments. In this study, the therapeutic effects of C. quadrangularis extract (CQR-300) on type 2 diabetes mellitus (T2DM) were investigated in a leptin receptor-mutated db/db mouse model. Methods: CQR-300was orally administered to db/db mice (n = 6/group) at different doses (50, 100, and 200mg/kg) for 8 weeks. Blood glucose levels and oral glucose tolerance were assessed using the AccuCheck glucometer. Enzyme-linked immunosorbent assay was performed to evaluate insulin and hemoglobin A1c (HbA1c) levels in the blood of db/db mice. Liver and pancreatic tissues from db/db mice were examined by hematoxylin and eosin (H&E) and immunohistochemical staining. The protein levels of gluconeogenesis-, lipogenesis-, and oxidative stressrelated factors were evaluated using western blotting. Results and discussion: CQR-300 treatment effectively reduced body weight, blood glucose, and insulin levels. HbA1c levels were increased by leptin receptor mutation. Additionally, in the oral glucose tolerance tests, the CQR-300 treated group had a faster blood glucose recovery rate than the db/db group. H&E and Oil red-O staining of the liver showed decreased lipid accumulation in the CQR-300 treated group than the db/db group. Western blot analysis confirmed that CQR-300 effectively inhibited gluconeogenesis, lipogenesis, and oxidative stressrelated factors. Our findings suggest that CQR-300 has the potential to be used as a T2DM supplement. [ABSTRACT FROM AUTHOR]

Background: Cissus quadrangularis is a perennial climber belonging to the Vitaceae family. The plant is characterized by its succulent stems, which are square in cross-section, hence the specific epithet "quadrangularis." It is used exhaustively in treating osteoporosis and healing bone injury/fracture due to its rich calcium, phosphorous and phytoestrogen content. The morphological variants C. quadrangularis viz. quadrangular, flat and round stemmed varieties are reported and used for the same purpose. Objectives: The current study aims to establish a comparative assessment of the morpho-anatomical and phytochemical characteristics of C. quadrangularis stem variants, specifically the round, flat and quadrangular varieties. Materials and Methods: The present study involved a comparative macroscopic and microscopic characterization, preliminary phytochemical screening and Chromatographic evaluation (HPTLC) of the stem samples of variants of C. quadrangularis. Results: The present study revealed a lot of similarities in anatomical characteristics, physicochemical parameters, phytochemical analyses and chromatographic observations. Conclusion: Phyto-pharmacognostic standards were established for three morpho-variants of C. quadrangularis. [ABSTRACT FROM AUTHOR]

Treatment therapies used to manage osteoporosis are associated with severe side effects. So worldwide herbs are widely studied to develop alternative safe & effective treatments. Cissus quadrangularis (CQ) has a significant role in bone health and fracture healing. It is documented that its extracts increase osteoblastic differentiation & mineralization. Currently, Cissus quadrangularis is available in the form of tablets in the market for oral delivery. But these conventional forms are associated with poor bioavailability. There is a need for a novel drug delivery system with improving oral bioavailability. Therefore, a Cissus quadrangularis-loaded self-emulsifying drug delivery system (CQ-SEDDS) was developed which disperses rapidly in the gastrointestinal fluids, yielding nano-emulsions containing a solubilized drug. This solubilized form of the drug can be easily absorbed through lymphatic pathways and bypass the hepatic first-pass effect. The emulsification efficiency, zeta potential, globule size, in-vitro dissolution, ex-vivo, in-vivo and bone marker studies were performed to assess the absorption and permeation potential of CQ incorporated in SEDDS. CQ-SEDDS with excipients Tween 80, Cremophor RH40, Transcutol HP & α-Tocopherol acetate had shown about 76% enhancement in the bioavailability of active constituents of CQ. This study provided the pre-clinical data of CQ-SEDDS using osteoporotic rat model studies. [ABSTRACT FROM AUTHOR]

Background: Bone marrow edema (BME) refers to the accumulation of excess fluid in the bone marrow, often indicative of injury or inflammation. Some studies suggest that incorporating plant-based therapies, rich in anti-inflammatory compounds and nutrients, may contribute to alleviating BME and promoting overall bone health. Aims and Objective: The study aims to evaluate the effect of Cissus quadrangularis and Dalbergia sissoo therapy on BME and knee pain associated with degenerative medial compartment knee osteoarthritis (OA). Materials and Methods: This retrospective study examined seven individuals with medial tibial condyle BME associated with medial compartment OA. These patients were treated with initial 10 days of non-steroidal anti-inflammatory drugs along with once-a-day tablet containing C. quadrangularis (500 mg) and D. sissoo (400 mg). Visual analogue scores (VAS) and Oxford knee score (OKS) were noted at the beginning of the therapy and at 12 weeks of completion of therapy. Before treatment, BME (percentage of the medial tibial condyle) and presence/absence of subtle subchondral fracture were diagnosed with T2-weighted magnetic resonance imaging (MRI) images, and subsequently, its resolution was confirmed with a repeat MRI scan at 12 weeks. Results: At the end of 12 weeks of therapy, there was a statistically significant improvement in the mean VAS score (baseline 8.14±0.90 improved to 2.00±0.58 at 12 weeks, [P

Abstract Background The purpose of this study was to evaluate the effect of nanoparticles (NPs) of a plant extract on implant osseointegration in vivo. NPs of the Cissus quadrangularis (CQ) extract were synthesized. Twenty Wistar rats were included in the study. The test group (n = 5) had NPs-incorporated, the control group (n = 5) had no incorporation of NPs, and the sham group (n = 5) did not have implants placed. The toxicity profile of NPs was carried out by biochemical analysis before and after the implant placement. The rate of integration was assessed using Cone Beam Computed Tomography (CBCT), Digital X-ray, histology, and scanning electron microscopy (SEM) at intervals of 2, 4, and 6 weeks. Statistical significance between the groups was determined by Analysis of Variance (ANOVA) (p

Background: The purpose of this study was to evaluate the effect of nanoparticles (NPs) of a plant extract on implant osseointegration in vivo. NPs of the Cissus quadrangularis (CQ) extract were synthesized. Twenty Wistar rats were included in the study. The test group (n = 5) had NPs-incorporated, the control group (n = 5) had no incorporation of NPs, and the sham group (n = 5) did not have implants placed. The toxicity profile of NPs was carried out by biochemical analysis before and after the implant placement. The rate of integration was assessed using Cone Beam Computed Tomography (CBCT), Digital X-ray, histology, and scanning electron microscopy (SEM) at intervals of 2, 4, and 6 weeks. Statistical significance between the groups was determined by Analysis of Variance (ANOVA) (p < 0.05) and the differences were uncovered with post hoc Tukey's test. Results: Radiographs showed that the bone density around implants with NPs was considerably higher than those without NPs. The osteoid seam along the implant surface was found to be considerably higher in the test group. A noteworthy increase was observed in the bone formation around the implants in bone samples belonging to the test group. Comparing the values at different time intervals, the highest serum Alkaline phosphatase (ALP) activity was noted in the test group after six weeks and the lowest serum Acid phosphatase (ACP) activity was documented in the test group after 6 weeks. Conclusion: The test group samples exhibited an osseointegration rate of less than 2 weeks thus demonstrating CQ NPs to be a potent osteoinductive agent. [ABSTRACT FROM AUTHOR]

Background: Bone marrow edema (BME) refers to the accumulation of excess fluid in the bone marrow, often indicative of injury or inflammation. Some studies suggest that incorporating plant-based therapies, rich in anti-inflammatory compounds and nutrients, may contribute to alleviating BME and promoting overall bone health. Aims and Objective: The study aims to evaluate the effect of Cissus quadrangularis and Dalbergia sissoo therapy on BME and knee pain associated with degenerative medial compartment knee osteoarthritis (OA). Materials and Methods: This retrospective study examined seven individuals with medial tibial condyle BME associated with medial compartment OA. These patients were treated with initial 10 days of non-steroidal anti-inflammatory drugs along with once-a-day tablet containing C. quadrangularis (500 mg) and D. sissoo (400 mg). Visual analogue scores (VAS) and Oxford knee score (OKS) were noted at the beginning of the therapy and at 12 weeks of completion of therapy. Before treatment, BME (percentage of the medial tibial condyle) and presence/absence of subtle subchondral fracture were diagnosed with T2-weighted magnetic resonance imaging (MRI) images, and subsequently, its resolution was confirmed with a repeat MRI scan at 12 weeks. Results: At the end of 12 weeks of therapy, there was a statistically significant improvement in the mean VAS score (baseline 8.14±0.90 improved to 2.00±0.58 at 12 weeks, [P<0.0001]), OKS (baseline 25.71±1.80 improved to 36.57±1.51 at 12 weeks, [P=0.0001]), and there was statistically significant decrease in mean BME (baseline 37.86±10.35% decreased to 14.29±4.50% at the end of 12 weeks, [P=0.0001]). Conclusion: Our early experience shows that the combination therapy of C. quadrangularis + D. sissoo is effective in relief of pain, improvement in knee function, and resolution of BME associated with medial compartment knee OA. This combination is safe, effective, and well-tolerated by patients' population. [ABSTRACT FROM AUTHOR]

Background: Cissus quadrangularis is an indigenous medicinal herb which belongs to the family Vitaceae & commonly found in tropical and subtropical xeric wood. This plant is prescribed in the ancient Ayurvedic literature as a general tonic with excellent bone fracture healing properties. Different analytical approaches must be used to characterise the extracts to ascertain the therapeutic efficacy of different solvent-based plant extracts. Aim: Different extracts of Cissus quadrangularis (CQ) were screened by TLC, antioxidant activity and HPTLC. Methods: In the present study, the preliminary phytoconstituents’ analysis of sequential extracts of CQ; Petroleum ether extract (PECQ), Chloroform extract (ChCQ), Ethanol extract (EtCQ) and Water extract (WCQ) has been done by thin-layer chromatography (TLC). Additionally, the usage of derivative reagents and the reaction mechanism between derivative reagents and phytoconstituents were used to confirm the kind of phytoconstituents. The extracts were also evaluated by antioxidant activity that was accessed by the DPPH assay. The extract with the highest antioxidant activity was standardised by HPTLC. Results: Terpenoids, flavonoids, alkaloids, saponins, coumarin, steroidal (phytoestrogen) and other phenolic/polyphenolic phytoconstituents were found to be present in extracts of Cissus quadrangularis. EtCQ showed the highest radical scavenging activity with an IC50 of 31.71±0.30 µg/ml which was significantly higher than PECQ, ChCQ and WCQ extract with an IC50 of 84.82±0.35 µg/ml, 79.16±0.35 µg/ml and 215.06±0.25 µg/ml respectively. EtCQ was standardized by HPTLC to quantify the marker constituent. Conclusion: This publication is the first to describe the in-depth analysis of Cissus quadrangularis extracts using thin-layer chromatography, as well as potential detection pathways using different reagents. TLC profiling also justifies the antioxidant behaviour of different extracts.

Background: Osteopenia refers to bone density that is not only normal but also not as low as that noted in osteoporosis. Osteopenia leads to osteoporosis and increases the risk of fractures. Current research is focused on agents that will prevent or slow the progression of bone loss. The Objectives of the Study: To assess the pretest and posttest levels of osteopenia among postmenopausal women, and to assess the effectiveness of Cissus quadrangularis (CQ) on postmenopausal women with osteopenia. Methodology: A true experimental study design using targeted sampling techniques was used to conduct 60 patients with osteopenia. The data were collected with the help of structured questionnaires. Confidentiality was maintained throughout the process. The data collected were analyzed using descriptive and inference statistics. Result: A total of 60 participants completed this study. The percent BMD changes in the CQ-treated groups did not differ at any site after 24 weeks compared to the placebo. Reduced bone remodeling activity was detected in both CQ-treated groups. These results correlated with the within-group comparison, which showed a continuously significant increase in both BTMs in the placebo group. Conclusion: This is the first clinical report that showed a promising effect on delaying bone loss of oral administration of CQ for 24 weeks, as indicated by a slower bone remodeling process via a reduction in BTMs. However, no change in BMD was observed.

Cissus rotundifolia, Cyphostemma digitatum, and Cissus quadrangularis which belong to Vitaceae family are used as local traditional vegetables by local communities in Saudi Arabia and different regions in Asia for nutritional and therapeutic purposes. They were analyzed in this study in order to provide scientific evidence for their usage as nutritional and medicinal herbs. The protein, fat, fibre, cyanogenic glycoside, phytic acid, flavonoid, and tannin contents of the three species differed significantly (P < 0.05). Results from the nutritional analysis revealed the richness of C. rotundifolia leaves in crude protein (14.54%), carbohydrates (52.32%), fats (6.99%), and energy value (330.35 Kcal/100 g). C. rotundifolia and C. digitatum leaves showed comparable amounts of both vitamins C and A. The highest crude fiber was found in C. quadrangularis (23.82%), which also exhibited a good carbohydrate content (57.20%). Calcium was the most abundant mineral in the studied whole leaf extracts, followed by potassium. C. quadrangularis contained the highest concentrations of sodium (236 mg/100 g), iron (29 mg/100 g) and the lowest level of magnesium (96 mg/100 g). The concentrations of heavy metals in all samples were below the permissible level in food. In terms of antinutritional factors, all extracts had comparatively low levels of cyanogenic glycoside, phytate, alkaloid, and saponin contents. The leaves of C. quadrangularis contained significantly high levels of phenol, flavonoid, tannin, and proanthocyanidin content. C. rotundifolia leaves had a high level of DPPH radical quenching power (IC50 = 52.27 µg/mL) that was comparable to that of the standard (IC50 = 51.47 µg/mL). Inhibitory activities against alpha-amylase significantly varied among the extracts analyzed. The leaves of C. quadrangularis strongly inhibited alpha-amylase, and their impact was close to the effect of acarbose as a standard anti-diabetic agent. The findings revealed that the studied leafy wild plants can be used as a good source of various nutrients and beneficial biochemicals. [ABSTRACT FROM AUTHOR]

Amid the numerous health concerns faced by the world, osteoporosis a silent epidemic is a major health concern, since it affects millions of people all around the world. Recognizing the limited treatment options for osteoporotic patients, along with their long-term use safety concerns, our research group focused on investigating efficacious, inexpensive and safe alternative therapies for osteoporosis. Investigating the osteogenic potential of CQ, our research group previously reported osteogenic stimulatory effects of CQ (hexane fraction). The present study explores anti-resorptive effects of CQ-H on bones. We utilized RAW264.7 murine macrophage cell line as osteoclast precursors, and resveratrol (RSV) as a standard for its anti-osteoclast activity. Upon RANK-L induction of RAW264.7 cells to differentiate into osteoclasts, we found 10ng/ml CQ-H as most efficacious concentration for inhibiting osteoclastogenesis with 57.8% inhibition of TRAP activity. Whereas, in comparison 20ng/ml RSV showed 49.9% inhibition of TRAP activity. Expression of osteoclast marker genes such as NFATc1, ACP-5, CTSK, MMP-9 and CTR corroborated our results. Distinct downregulation of marker genes was observed in CQ-H and RSV treated differentiated cells compared to the positive control. Moreover, the downregulation was enhanced in CQ-H treated osteoclasts compared to RSV treatment. This study presents in vitro findings on the osteoclast inhibition activity of CQ and provide evidence of anti-osteoporotic therapeutic property of CQ. Further studies on isolation and functional characterization of active compounds of signaling pathways that mediate osteoclastogenesis will contribute further insights on the anti-osteoporotic therapeutic activity of CQ. [ABSTRACT FROM AUTHOR]

Extracellular vesicles (EVs) are nano-sized vehicles secreted by all live cells to establish communication with adjacent cells. In recent years, mammalian EVs (MEVs) have been widely investigated for their therapeutic implications in human disease conditions. As the understanding of MEV composition and nature is advancing, scientists are constantly exploring alternatives for EV production with similar therapeutic potential. Plant-derived exosome-like nanovesicles (PDEVs) may be a better substitute for MEVs because of their widespread sources, cost-effectiveness, and ease of access. Cissus quadrangularis (CQ), known as "bone setter or Hadjod", is a perennial plant utilized for its osteogenic potential. Its crude powder extract formulations are widely used as tablets and syrups. The present work elucidates the isolation of exosome-like nanovesicles (henceforth exosomes) from the culture supernatants of an in vitro cultured callus tissue derived from CQ. The physical and biological properties of the exosomes were successfully investigated using different characterization techniques. The therapeutic potential of the CQ exosomes was found to ameliorate the wound scratch injury and oxidative stress conditions in human-derived mesenchymal stem cells (hMSCs) and the pre-osteoblast (MC3T3) cell line. These exosomes also induced the proliferation and differentiation of hMSCs, as observed by alkaline phosphatase activity. These findings may serve as a proof of concept for further investigating the CQ exosomes as a nanocarrier for drug molecules in various therapeutic bone applications. [ABSTRACT FROM AUTHOR]

Cancer is uncontrolled growth of abnormal cells due to heredity, mutation, genetic factors, environment factors, chain smoking, alcoholic addiction and exposure of chemical carcinogen. Treating modern medicine for cancer are producing numerous adverse effects. Hence natural remedy is essential to combat disease with less side effects. Eighty percentage of the peoples are used the medicinal plants for various illness in developing countries asper the WHO survey. The present review was written extensively with past scientific reports on Cissus quadrangularis (CQ) and its anticancer properties. From the ancient times the various parts of CQ have used for various diseases and disorders as folk medicine by traditional healer and practice. Traditionally CQ has vital role in various disease management. Its active extracts and ingredients reported against various diseases such as inflammation, cancer, ulcer, bone fracture and epilepsy. Still its therapeutic potentials not yet fully explored to use common people after clinical trial. Mainly CQ and its active phytoconstituents contains potential action for the treatment of various types of cancer which is scientifically proven upto the lab scale that needs to be evolved as medicine for world threatened disease cancer. [ABSTRACT FROM AUTHOR]

This study investigated the impact of incorporating Cissus quadrangularis (CQ) powder into Yanggaeng, a traditional Korean food, focusing on its functional properties. This study examined the proximate composition, physicochemical characteristics, antioxidant capabilities, sensory attributes, and consumer preferences of Yanggaeng when treated with different levels (CON [0%], CQ2 [2%], CQ4 [4%], and CQ6 [6%]) of CQ powder. Yanggaeng with CQ powder exhibited a significantly reduced pH, and among the CQ additive groups the highest °Brix value was observed in CQ2. The water holding capacity (WHC) decreased after adding CQ powder. The color properties of Yanggaeng with CQ powder, including L*, a*, and b*, were measured. L* values dose-dependently decreased as the amount of CQ powder increased. Conversely, a* values increased significantly with CQ powder addition compared with CON, and b* values were highest in CQ2. Similarly, the browning index (BI) increased in the CQ powder treatment groups compared with CON. The antioxidative properties of Yanggaeng with CQ powder were evaluated by measuring the total phenolic content (TPC), total flavonoid content (TFC), 1,1-diphenyl-1-picrylhydrazyl (DPPH) and 6-hydroxy-2,5,7,8-tetramethylchroman-2-carboxylic acid (ABTS) radical scavenging activities, and ferric reducing antioxidant power (FRAP). The antioxidant capacity dose-dependently increased with higher levels of CQ powder added. Regarding the texture profile of Yanggaeng, compared with the control group, adding CQ powder caused decreased hardness, gumminess, and chewiness. In consumer preference evaluations, CQ2 showed similarities to CON in all aspects (color, scent, flavor, sweetness, taste, chewiness, overall acceptance, and purchase intention). Therefore, incorporating CQ powder, a natural and edible antioxidative ingredient, into Yanggaeng may be acceptable to consumers despite significant changes in its physicochemical properties. [ABSTRACT FROM AUTHOR]

Conventional materials may only be suitable for some applications, owing to their limited specific properties. On the other hand, natural fiber-reinforced polymer composites can be very useful in a variety of applications. Cissus quadrangularis stem fibers (CQSF) reinforced with epoxy polymers exhibit impressive mechanical properties. Incorporating nano-silica further enhanced the tensile and flexural properties, with the maximum tensile strength reaching 118.18 MPa and a flexural strength of 132.66 MPa when 2 wt% nano silica is used. The maximum impact strength is achieved at 1.5 wt% nano silica incorporation and the hardness increase gradually with increasing nano silica content, reaching its maximum value at 2 wt%. The degradation temperature started at 320 °C, and the char yield increased with nano silica incorporation. An amorphous peak at 18.64° was identified, and the water absorption rate changed with the filler content. The acoustic properties and sound absorption coefficient of the CQSF nanocomposite containing 2 wt% SiO2 can be improved compared to neat CQSF/Epoxy (CQSF/E) in the low to high-frequency ranges. The fracture mechanism was analyzed using a scanning electron microscope (SEM). [ABSTRACT FROM AUTHOR]

Cissus quadrangularis is an extensively utilized medicinal plant in India which has numerous health benefits. Hence, the drying kinetics of Cissus was studied using fluidized bed dryer to identify suitable drying conditions and to understand moisture removal and its connection to process variables. The present research aimed to determine a suitable drying model of fluidized bed drying of Cissus quadrangularis Linn., determine the effective moisture diffusivity of the drying process and the activation energy, and investigate the effects of temperatures on the drying kinetics of Cissus. The drying experiments were conducted at three different air temperatures (40, 50 and 60 °C), bed thickness of 5 cm, constant air velocity of 8 m/s and 0.5-1 cm length Cissus samples. The experimental drying data was fit into thirteen thin layer models and the best model describing the drying of Cissus was selected based on the correlation coefficient (R), root mean square error (RMSE), and reduced chi-square (X2). The drying process occurred in a falling rate period for all the drying air temperatures and a constant rate period was not observed. Among all the thirteen models tested, approximation of diffusion was found to explain the thin layer drying behavior of C. quadrangularis accurately. The effective moisture diffusivity for Cissus was in the range of 1.54 - 3.12x 10-10 m²/s and the activation energy was 30.76 kJ/mole, respectively. Hence, fluidized bed drying is more effective for convective drying of Cissus and the drying models are useful for selecting the best operational condition for fluidized bed dryer and design of an equipment. [ABSTRACT FROM AUTHOR]

Cissus quadrangularis L. (CQ) has potential as a therapeutic for managing obesity and balancing metabolic activity, but the main bioactive compound and regulatory mechanism remain unknown. Herein, the CQ hexane extract was fractionated into 30 fractions (CQ-H) using flash column chromatography and analyzed using thin-layer chromatography. The direct antiadipogenesis effect of CQ-H fractions was tested on 3T3-L1 preadipocytes. Lupenone-rich fractions 2H and 3H were identified as containing potent antiadipogenesis agents that reduced differentiated cell numbers and intracellular lipid droplet size. Although the overall mitochondrial density remained unchanged, differentiated cells exhibited a higher mitochondrial density than that in non-differentiated cells. Additionally, 2H increased mitochondrial activity in both cell types as shown by their differentiation and lipid formation stages. Lupenone was isolated from 2H (Lu-CQ) and shown to dose-dependently inhibit adipogenesis, with 2H being more potent than Lu-CQ. Lu-CQ and 2H downregulated the expression of Pparg2 mRNA and upregulated that of glucose transporter genes, Slc2a1 and Slc2a4. Lu-CQ and 2H induced increased glucose uptake by 3T3-L1 cells. These findings suggest that lupenone-rich fractions in CQ contribute to balancing metabolic activity and reducing adipose tissue formation. Further exploration of CQ and its components may prompt innovative strategies for managing obesity and metabolic disorders. [ABSTRACT FROM AUTHOR]

Cissus quadrangularis is a nutrient-rich plant with a history of use in traditional medicine. It boasts a diverse range of polyphenols, including quercetin, resveratrol, β-sitosterol, myricetin, and other compounds. We developed and validated a sensitive LC-MS/MS method to quantify quercetin and t-res biomarkers in rat serum and applied this method to pharmacokinetic and stability studies. The mass spectrometer was set to negative ionization mode for the quantification of quercetin and t-res. Phenomenex Luna (C18(2), 100 A, 75 × 4.6 mm, 3 µ) column was utilized to separate the analytes using an isocratic mobile phase consisting of methanol and 0.1% formic acid in water (82:18). Validation of the method was performed using various parameters, including linearity, specificity, accuracy, stability, intra-day, inter-day precision, and the matrix effect. There was no observed significant endogenous interference from the blank serum. The analysis was completed within 5.0 min for each run, and the lower limit of quantification was 5 ng/mL. The calibration curves showed a linear range with a high correlation coefficient (r2 > 0.99). The precision for intra- and inter-day assays showed relative standard deviations from 3.32% to 8.86% and 4.35% to 9.61%, respectively. The analytes in rat serum were stable during bench-top, freeze-thaw, and autosampler (−4 °C) stability studies. After oral administration, the analytes showed rapid absorption but underwent metabolism in rat liver microsomes despite being stable in simulated gastric and intestinal fluids. Intragastric administration resulted in higher absorption of quercetin and t-res, with greater Cmax, shorter half-life, and improved elimination. No prior research has been conducted on the oral pharmacokinetics and stability of anti-diabetic compounds in the Ethanolic extract of Cissus quadrangularis EECQ, making this the first report. Our findings can provide the knowledge of EECQ's bioanalysis and pharmacokinetic properties which is useful for future clinical trials. [ABSTRACT FROM AUTHOR]

Abstract Background Over the past years, polysaccharide-based scaffolds have emerged as the most promising material for tissue engineering. In the present study, carrageenan, an injectable scaffold has been used owing to its advantage and superior property. Cissus quadrangularis, a natural agent was incorporated into the carrageenan scaffold. Therefore, the present study aimed to assess the antioxidant activity and biocompatibility of this novel material. Methods The present in vitro study comprised of four study groups each constituting a sample of 15 with a total sample size of sixty (n = 60). The carrageenan hydrogel devoid of Cissus quadrangularis acted as the control group (Group-I). Based on the concentration of aqueous extract of Cissus quadrangularis (10% w/v, 20% w/v and 30% w/v) in carrageenan hydrogel, respective study groups namely II, III and IV were considered. Antioxidant activity was assessed using a 1,1-diphenyl-2-picrylhydrazyl radical scavenging assay, whereas the biocompatibility test was performed using a brine shrimp lethality assay. The microstructure and surface morphology of the hydrogel samples containing different concentrations of Cissus quadrangularis aqueous extract was investigated using SEM. One-way ANOVA with the post hoc tukey test was performed using SPSS software v22. Results A significant difference (P

Abstract Degenerative diseases, such as osteoporosis, could be treated by stem cells. The aim of this study was to identify the gene expression of bone marrow mesenchymal stem cells (BM-MSC) derived from Sprague Dawley rats and to assess the effect of Cissus quadrangularis Salisb. extract on their maturation into bone cells. The BM-MSC were divided into three groups: (a) BM-MSCs + osteoblast cell growth basal medium as the positive control; (b) BM-MSCs + Dulbecco’s modified eagle’s medium (DMEM) + 0.3 mg/mL methanol extract of C. quadrangularis as methanol group; and (c) BM-MSC + DMEM + 0.3 mg/mL ethyl acetate extract of C. quadrangularis as ethyl acetate group. A relative quantification approach using was used to analyze the expression of the alp (alkaline phosphatase) gene, with the beta-actin gene was used to normalize the expression of the alp gene. The intra-assay variation was calculated to validate the RT-qPCR data. Our study found that the intra-assay variation value was acceptable, with most of the coefficients of variability (CV) value

Osteoporosis is a systemic skeletal disease characterised by low bone mineral density (BMD), degeneration of bone micro-architecture, and impaired bone strength. Cissus quadrangularis (CQ), popularly known as Hadjod (bone setter) in Hindi, is a traditional medicinal herb exhibiting osteoprotective potential in various bone diseases, especially osteoporosis and fractures. However, the cellular mechanisms underpinning its direct effect on bone health through altering the host immune system have never been elucidated. In the present study, we interrogated the osteoprotective and immunoporotic (the osteoprotective potential of CQ via modulating the host immune system) potential of CQ in preventing inflammatory bone loss under oestrogen-deficient conditions. The current study outlines the CQ's osteoprotective potential under both ex vivo and in vivo (ovariectomized) conditions. Our ex vivo data demonstrated that, in a dose-dependent manner CQ, suppresses the RANKL-induced osteoclastogenesis (p < 0.001) as well as inhibiting the osteoclast functional activity (p < 0.001) in mouse bone marrow cells (BMCs). Our in vivo µ-CT and flow cytometry data further showed that CQ administration improves bone health and preserves bone micro-architecture by markedly raising the proportion of anti-osteoclastogenic immune cells, such as Th1 (p < 0.05), Th2 (p < 0.05), Tregs (p < 0.05), and Bregs (p < 0.01), while concurrently lowering the osteoclastogenic Th17 cells in bone marrow, mesenteric lymph nodes, Peyer's patches, and spleen in comparison to the control group. Serum cytokine analysis further supported the osteoprotective and immunoporotic potential of CQ, showing a significant increase in the levels of anti-osteoclastogenic cytokines (p < 0.05) (IFN-γ, IL-4, and IL-10) and a concurrent decrease in the levels of osteoclastogenic cytokines (p < 0.05) (TNF-α, IL-6, and IL-17). In conclusion, our data for the first time delineates the novel cellular and immunological mechanism of the osteoprotective potential of CQ under postmenopausal osteoporotic conditions. [ABSTRACT FROM AUTHOR]

Biodegradable tissue engineering scaffolds with tunable degradation, high biocompatibility, adequate mechanical strength and intrinsic biomineralization potential instigating biomimetic interactions with osteogenic cells have been well-received for effective bone-defect repair. This study demonstrates the early biomimetic as well as biomineralization of aqueous stem extract (WE) of Cissus quadrangularis (CQ) integrated natural scaffold composed of chitosan and collagen (CC) with a tunable degradation profile. Results demonstrate that the scaffold (CC-WE) synergistically contributes to its biomineralization, water absorption capacity and tunable degradation. The microporous CC-WE with an average pore size of 43.13 ± 13.59 µm attained complete swelling within 1h and maintained equilibrium swelling for 10 days and subsequently underwent controlled degradation (42.3% by day 60) under physiological pH and ambient temperature. Early biomimetic mineralization has been observed by SEM analysis after immersing CC-WE in simulated body fluid under biomimetic conditions for 7 days. In complementary, early biomineralization has been confirmed by Alizarin Red S (ARS) and von Kossa (VK) staining upon interaction with Human Osteosarcoma (HOS) cells for 7 days, viewed as respective coloured adduct formation. The findings, therefore, suggest innate biomineralization proficiency of CC-WE scaffold under a beneficial biological microenvironment to aid faster bone defect healing. [ABSTRACT FROM AUTHOR]

Diabetic cardiomyopathy (DCM) is an age-related disease, and its progression is accompanied by hyperglycaemia, cardiac dysfunction, and myocardial structural and functional abnormalities. Cissus quadrangularis, a traditional medicinal plant, contains polyphenols, flavonoids, phytosterols, carbohydrates and ascorbic acid. It is used to treat osteoporosis, asthma, haemorrhoids and menstrual disorders. Objective: In the current research, we have investigated the effect of ethanolic extract of C. quadrangularis (EECQ) against a high-fat diet (HFD)/streptozotocin-induced DCM by estimating cardiac biomarkers, inflammatory markers and Reactive oxygen species (ROS) production. Rats were fed with an HFD for 12 weeks, followed by single-shot low-dose streptozotocin (35 mg/kg; i.p.). The treatment was performed by EECQ (200 mg/kg/day, orally) for six weeks. The extract EECQ improves glucose, insulin tolerance tests and hypercholesteremia. DCM is characterized by cardiac dysfunction, cardiac biomarkers CKMB and LDH, which were attenuated by the EECQ treatment. The hypertrophic biomarker ANP, BNP expression and cardiomyocyte surface area were decreased by EECQ. Moreover, EECQ also alleviated the biomarkers Angiotensin II and renin level. EECQ also reduced oxidative stress, ROS production and cardiac inflammation. Thus, these findings suggested that EECQ could be used as a possible therapeutic regiment to treat DCM. Cissus quadrangularis ameliorates hyperglycaemia, hyperinsulinemia and hyperlipidaemia. Cissus quadrangularis mitigates cardiac dysfunction. Cissus quadrangularis decreases RAAS activation, thereby down-regulates ANP, BNP expression. Cissus quadrangularis alleviates ROS propagated oxidative stress and apoptosis. [ABSTRACT FROM AUTHOR]

Background Endothelial dysfunction is related to the reduced bioavailability of nitric oxide (NO) and plays a significant role in developing hypertension. The intake of a diet rich in antioxidants decreases the threat of hypertension. Cissus quadrangularis possesses antioxidant, anti-inflammatory, and hypocholesterolemic activities. However, to date, no studies have been performed to explore this plant’s antihypertensive and vasorelaxant activity. Herein, we investigated the chronic effect of C. quadrangularis on blood pressure as well as vascular function in hypertensive rats. Methods Male spontaneously hypertensive rats (SHR) were randomly divided into two groups. Normotensive Wistar rats were taken as the control group. The treatment was done using ethanolic extract of C. quadrangularis (EECQ) at a dose of 200 mg/kg. Results The administration of EECQ for six weeks reduced the systolic blood pressure, mean arterial blood pressure, and heart rate. It also alleviated the cardiac and renal hypertrophy indices. Supplementation of EECQ improved the endothelium-dependent aortic vasodilation induced by acetylcholine. It restored the NO level and endothelial NO synthase expression in the aorta. Subsequently, the extract alleviates the oxidative stress and inflammatory markers in SHR rats. Conclusion Thus, in the present study, the chronic treatment of EECQ to genetically hypertensive rats improved endothelium-dependent relaxation in addition to its antihypertensive effect by eNOS activation and inhibition of ROS production, inflammation.

Cissus quadrangularis plant from Vitaceae family, native in India. Many parts of this plant have medicinal values but most precious is stem of this plant. In past years number of studies reported their activities and secondary metabolites in Cissus quadrangularis plant and their pharmacological activities and uses in traditional medicine system. It is reported to possess excellent medicinal properties and potent fracture healing properties, antimicrobial, antiulcer, antioxidative, cholinergic activity and beneficial effect on cardiovascular diseases, possesses antiulcer and cytoprotective property in indomethacin-induced gastric mucosal injury. The aim of this study was to determine the qualitative phytochemical analysis, antimicrobial activity, cell viability and in vitro anticancer activity of a potential of Cissus quadrangularis stem extract against A549 human lung cancer cell line. The disc diffusion method was employed to determine the antimicrobial activity of Cissus quadrangularis stem extract and showed potential antibacterial and antifungal activity against various microorganisms. Results have shown that Stem methanolic extract induced a significant decrease of tumour cell viability. The cell viability assay clearly showed that the cells treated with Cissus quadrangularis methanolic extract has significantly reduced the lung cancer cell viability in a dose dependant manner. The stem methanolic extract was tested for the in vitro antiproliferative potential on A549 human lung cancer cell line using different concentrations, namely 1000, 62.5 and 7.8 µg/ml. We observed the IC50 dose at 65.2 μg/ml concentration. In cell culture A549 cells treated with Cissus quadrangularis stem methanolic extract in 24 h the cells growth is controlled.

ABSTRACT: Background: Acetaminophen-induced liver injury remains a significant public health problem because available treatments are limited due to their adverse effects. Medicinal plants, which are an important source of bioactive molecules, could be an alternative treatment for liver disease. Objective: This study was designed to investigate the curative effect of aqueous extracts of Cissus quadrangularis (Vitaceae) and Jatropha gossypiifolia (Euphorbiaceae) on acetaminophen-induced liver injury in mice. Methods: Mice were divided into groups and treated with distilled water, silymarin (50 mg/kg), a reference hepatoprotective agent, and aqueous extracts of C quadrangularis and J gossypiifolia (50 and 100 mg/kg, PO, respectively). These substances were given as a single daily dose 4 hours after acetaminophen administration (300 mg/kg, PO) for 2 days. Mice were humanely put to death 24 hours after the last dose and serum alanine aminotransferase and aspartate aminotransferase activities, total bilirubin and protein levels, reduced glutathione, superoxide dismutase, malondialdehyde, catalase, and nitrite tissue levels were assessed. Histology of the livers of the mice was performed by hematoxylin and eosin staining. Results: Acetaminophen administration induced a significant (P < 0.05) mean (SEM) body weight loss (–14.45% [5.92%]), a significant elevation of alanine aminotransferase activity (15.08%), total protein and bilirubin levels (25.80%), and a significant (P < 0.05) increase in liver superoxide dismutase (67.71%), catalase (63.00%), glutathione (40.29%), malondialdehyde (30.67%), and nitrite levels compared with the control group. In curative treatment, C quadrangularis and J gossypiifolia (50 and 100 mg/kg) significantly (P < 0.05) reduced mean (SEM) body weight loss (16.67% [7.16%] and 1.25% [0.51%], respectively), serum alanine aminotransferase activity (17.62% and 11.14%, respectively), bilirubin level (29.62% and 49.14%, respectively) compared with acetaminophen group, and J gossypiifolia normalized serum total protein level. Both extracts significantly (P < 0.05) reduced the levels of glutathione and malondialdehyde and normalized that of nitrite, superoxide dismutase, and catalase compared with the acetaminophen group. Hepatocyte necrosis and inflammatory cell infiltration were remarkably reduced by the plant extracts. Conclusions: The results obtained are evidence in favor of the development of a formulation based on the extracts of these plants against liver diseases.

Extracellular vesicles (EVs) are nano-sized vehicles secreted by all live cells to establish communication with adjacent cells. In recent years, mammalian EVs (MEVs) have been widely investigated for their therapeutic implications in human disease conditions. As the understanding of MEV composition and nature is advancing, scientists are constantly exploring alternatives for EV production with similar therapeutic potential. Plant-derived exosome-like nanovesicles (PDEVs) may be a better substitute for MEVs because of their widespread sources, cost-effectiveness, and ease of access. Cissus quadrangularis (CQ), known as “bone setter or Hadjod”, is a perennial plant utilized for its osteogenic potential. Its crude powder extract formulations are widely used as tablets and syrups. The present work elucidates the isolation of exosome-like nanovesicles (henceforth exosomes) from the culture supernatants of an in vitro cultured callus tissue derived from CQ. The physical and biological properties of the exosomes were successfully investigated using different characterization techniques. The therapeutic potential of the CQ exosomes was found to ameliorate the wound scratch injury and oxidative stress conditions in human-derived mesenchymal stem cells (hMSCs) and the pre-osteoblast (MC3T3) cell line. These exosomes also induced the proliferation and differentiation of hMSCs, as observed by alkaline phosphatase activity. These findings may serve as a proof of concept for further investigating the CQ exosomes as a nanocarrier for drug molecules in various therapeutic bone applications.

This study investigated the impact of incorporating Cissus quadrangularis (CQ) powder into Yanggaeng, a traditional Korean food, focusing on its functional properties. This study examined the proximate composition, physicochemical characteristics, antioxidant capabilities, sensory attributes, and consumer preferences of Yanggaeng when treated with different levels (CON [0%], CQ2 [2%], CQ4 [4%], and CQ6 [6%]) of CQ powder. Yanggaeng with CQ powder exhibited a significantly reduced pH, and among the CQ additive groups the highest °Brix value was observed in CQ2. The water holding capacity (WHC) decreased after adding CQ powder. The color properties of Yanggaeng with CQ powder, including L*, a*, and b*, were measured. L* values dose-dependently decreased as the amount of CQ powder increased. Conversely, a* values increased significantly with CQ powder addition compared with CON, and b* values were highest in CQ2. Similarly, the browning index (BI) increased in the CQ powder treatment groups compared with CON. The antioxidative properties of Yanggaeng with CQ powder were evaluated by measuring the total phenolic content (TPC), total flavonoid content (TFC), 1,1-diphenyl-1-picrylhydrazyl (DPPH) and 6-hydroxy-2,5,7,8-tetramethylchroman-2-carboxylic acid (ABTS) radical scavenging activities, and ferric reducing antioxidant power (FRAP). The antioxidant capacity dose-dependently increased with higher levels of CQ powder added. Regarding the texture profile of Yanggaeng, compared with the control group, adding CQ powder caused decreased hardness, gumminess, and chewiness. In consumer preference evaluations, CQ2 showed similarities to CON in all aspects (color, scent, flavor, sweetness, taste, chewiness, overall acceptance, and purchase intention). Therefore, incorporating CQ powder, a natural and edible antioxidative ingredient, into Yanggaeng may be acceptable to consumers despite significant changes in its physicochemical properties.

Qualitative and quantitative analysis is very essential to identify the phytochemical constituents present in medicinal plants. In the present study, qualitative and quantitative analyses of a medically important plant, namely Cissus quadrangularis (CQ) were done. Cissus quadrangularis plays a pivotal role in bone healing. We qualitatively analyzed the flavonoids, terpenoids, steroids, starch, saponins, tannins, phenols, glycosides, cardiac glycosides & protein in petroleum ether (PECQ), chloroform (ChCQ), ethanolic (EtCQ) and water (WCQ) extracts of Cissus quadrangularis. Also, UV spectrophotometry of different extracts was carried out to determine the total phenolic content, total alkaloid content and total flavonoid content. Our study demonstrated that phytosterols are present mainly in PECQ and EtCQ extracts. Terpenoids, flavonoids, alkaloids and glycosides are present in all extracts of Cissus quadrangularis.LC/MS data showed that campesterol, ß-sitosterol, stigmasterol, pterostilbene, resveratrol, apigenin-glucoside, genistein, luteolin and prenylated chalcone are present in EtCQ. Coumarin, amino acids, campestanol, astringin, myricetin, quercetin, kaempferol and amyrin are present in PECQ. The ChCQ extract is mainly constituted of phenolic acids, astringin, campesterol, myricetin, quercetin, amyrone and catalpol. The WCQ mainly contains amino acids, phytol, gallic acid, myricetin and catalpol. Pterostilbene and prenylated chalcones were identified for the first time in CQ extracts.

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Abstract Background The object of the present study is to evaluate the effect of alcoholic extracts of Cissus quadrangularis (CQ), Cryptolepis buchanani (CB), and Sardinella longiceps (SL) either alone or in the combination (100 mg/kg) in the management of femur bone healing of Wistar albino rats for 8 weeks. After the period of treatment, femur bones were examined by using biochemical, radiographical, and histopathological studies. Result Biochemical evaluation results reveal that there is a steep increase of serum calcium level in the experimental animals during the entire period of treatment which led to an adequate supply of serum calcium to the fractured bone for healing and increases the thickness of the femur bones soon compared to control group. It had been estimated by a calibrated ocular micrometer. Radiographical images of the bones also disclose that the complete bridging of fractured bone occurred in the experimental animals after the treatment of natural compound extracts. In addition to that, all the organs of animals were safe in the experimental animals during the entire study. Conclusion The present study strongly recommended that these ethanolic extracts (CQCBSL) either alone or in the combination restoring the strength of the bone and reduced bone repairing period due to the rich content of calcium and other natural phytochemicals presents with them. Graphical abstract

Objective: Green synthesis of metallic and metal oxide nanomaterial has received significant importance in various fields. Green synthesis of silver nanoparticles was performed using aqueous extracts of Cissus quadrangularis. Aqueous extracts of plants plays a major role to reduce the silver nitrate to silver nanoparticles and also aid as surface stabilizing material for silver nanoparticles production. Methods: The synthesized nanoparticles was monitored by physicochemical techniques such as XRD, FT-IR, Uv–Vis, and SEM. Anti-arthritic activity of silver nanoparticles was examined by Egg albumin denaturation and albumin (BSA) denaturation method. Results: XRD, FT-IR and Uv–Vis spectrum confirms crystalline nature of silver nanoparticles. SEM images show the spherical shape of the nanoparticles. Egg albumin denaturation method results revealed 81% inhibition and bovine serum albumin method shows 85% inhibition than standard drug. Conclusion: It confirms that, the green synthesized silver nanoparticles would be useful in promoting research aiming at the development of new agent for arthritis applications. Hence, the utilization of natural harmless materials like plant extracts for nanoparticles synthesis offers various advantages like eco-friendliness and compatibility for drug and biomedical applications.

Injera is one of the common foods which are highly consumed daily in all parts of Ethiopia. Cissus quadrangularis has been documented in Ayurveda for its medicinal uses in gout, syphilis, venereal disease, piles, osteoporosis, anorexia, diarrhoea, scurvy, menstrual disorders, otorrhoea and epistaxis. Despite the health benefit it offers, it is not used in East African cuisine. Considering its good nutritive properties, efforts have been made in this study to determine the effect of Cissus quadrangularis stem powder on the nutritional properties of injera. Blends of different ratios of teff flour and Cissus stem powder (98:2, 96:4 and 94:6) were used to prepare injera and 100% teff flour injera was used as control. When compared with control injera, percentages of ash, crude fibre, crude fat and crude protein of the Cissus quadrangularis stem powder incorporated injera increased from 3.12 ± 0.06% to 4.79 ± 0.82%, 2.55 ± 0.71% to 3.94 ± 1.52%, 2.43 ± 0.38% to 3.68 ± 0.63% and 10.01 ± 0.17% to 12.58 ± 0.42% respectively; while carbohydrate content decreased with increased level of incorporation from 81.89 ± 0.41% to 76.01 ± 0.63%. The mineral and phytochemical content of injera significantly increased with the incorporation of Cissus quadrangularis stem powder, except for minerals potassium and phosphorus. The control sample and 2% Cissus stem powder incorporated injera were rated high by the panelists. However, up to an incorporation level of 4% Cissus quadrangularis stem powder, the injera was found to be sensorily acceptable and it also decreased the microbial load of injera during storage. [ABSTRACT FROM AUTHOR]

Traditional system of medicine practiced since time immemorial has emerged as an alternative for modern medicine as it is economical, nature-based and without side effects. Medicinal plant Cissus quadrangularis L. has been used in the Indian system of traditional medicine due to its easier propagation and availability. The phytochemical composition of the plant mainly consists of flavonoids, alkaloids, glycosides, steroids, saponins, tannins, triterpenes, benzenoids, phenols, and total protein. The stem is the most important part of the plant with various therapeutic properties. The plant exhibits anti-arthritis, anti-inflammatory, anti-cancer, antioxidant, antidiabetic, anti-obesity, anti-microbial, anti-hemorrhoidal, anthelmintic, and other pharmacological properties. The plant has traditionally been used in the treatment of broken bones, rheumatic pains, bowel infections, burns, wounds, eye disorders, menstrual disorders, boils, asthma, gastritis, piles hemorrhoids, anemia, and indigestion. This systematic review documented the phytochemical composition of various plant parts along with evaluating research articles for designing the pharmacological application of the plant and its use in drug industries.

Introduction: Cissus quadrangularis is a popularly known traditionally used medicinal plant from ancient times. The common name of cissus quadrangularis in tamil 'pirantai'. This plant has been consumed as a vegetable and easily available plant. The plant is used to heal the many sorts of diseases including stroke, epilepsy, bone related diseases, skin infections, constipation, piles, anemia, burns, wounds and diabetes also. The present study was hypothesized to evaluate the effects of anti-hyperglycemic activity of stem cissus quadrangularis on Streptozotocin induced diabetic rats. Materials and Methods: The animals are divided into 5 groups, each group contain 6 animals. Group I- control. Group II -STZ induced negative control. Group III- STZ induced rats treated with metformin. Group IV& V -STZ induced rats treated with (200 and 400 mg/kg) ethanol extract. After overnight fasting, a single dose of STZ (40 mg/kg) were given by intraperitoneally. After confirmation of diabetes the ethanolic extract of cissusquadrangularis 200 mg and 400 mg were given orally. Results: This study reveals that cissusquadrangularis have more effects in reducing blood sugar level in diabetic rats. The results shows that 400mg/kg/bw CQ have significant effects then with 200 mg/kg/bw. The entire study concluded diabetic patients are prone to wound and related diseases. Conclusion: Conception of cissus quadrangularis are more effective drug to reduce the blood sugar levels and also heal diabetic wounds. [ABSTRACT FROM AUTHOR]