A comprehensive review on the pharmacological prospects of Terpinen-4-ol: From nature to medicine and beyond.

Owing to their extensive biological potential, essential oils (EOs) and their bioactive phytochemicals have gained attention from the scientific community. Within this domain, Terpinen-4-ol (T-4-ol), a bioactive monoterpene alcohol and the major constituent of tea tree oil (TTO), has made its way into translational research. Recent literature on T-4-ol strongly indicates its diverse pharmacological properties, including but not limited to antimicrobial, antivirulent, anti-oxidant, anti-inflammatory, anti-hypertensive, and anti-cancer effects. Hence, this review is the first to provide a comprehensive overview of the sources, bioavailability, safety, pharmaceutical delivery systems, and multifaceted biological properties of T-4-ol, emphasizing its medicinal potential for widescale application. The antibacterial and antifungal effectiveness of T-4-ol has been discussed, encompassing its role in combating a broad spectrum of bacterial and fungal pathogens. The review delves into the antivirulent prospects of T-4-ol, shedding light on its ability to attenuate virulence and mitigate bacterial pathogenesis. Scientific literature on the anti-oxidant and anti-inflammatory activity of T-4-ol highlighting its role in neutralizing reactive oxygen species and modulating inflammatory pathways has also been collated. Furthermore, the review elaborates on the cardioprotective and anti-hypertensive properties of T-4-ol and augments literature on its anti-cancer mechanism against various cancer cell lines. The review also provides in-depth knowledge of the pharmaceutical formulations of T-4-ol and recent knowledge about its application in clinical/field trials. The exploration of these diverse attributes positions T-4-ol as a promising candidate for further research and therapeutic repurposing in various biomedical applications. [Display omitted] • Terpinen-4-ol or 4-carvomenthenol is the principle bioactive component of tea tree oil. • Terpinen-4-ol is a multifaceted phytochemical with diverse pharmacological properties. • It displays broad-range antibacterial, antifungal, and antivirulence properties against multiple pathogens. • The phytochemical exhibits quorum quenching potential against drug-resistant pathogens. • Terpinen-4-ol harbors notable anti-inflammatory, anti-oxidant, anti-hypertensive, and cardioprotective effects. • In vitro and in vivo investigations have highlighted its profound anti-cancer properties. [ABSTRACT FROM AUTHOR]