Abstract
Background: Medicinal plants have been found beneficial in the control and therapy of
many ailments as they contain bioactive compounds, and many of them are used as precursors in
the biosynthesis of natural medicines. Diuretics are used as a primary treatment in patients with
edema associated with liver cirrhosis and kidney diseases, hyperkalemia, hypertension, heart failure,
or renal failure. Furthermore, they are also used to increase the excretion of sodium and reduce
blood volume. Due to various adverse events associated with synthetic diuretics, there is a
need to investigate alternate plant-based bioactive components that have effective diuretic activity
with minimal side effects.
Objective: This review compiled the reported bioactive compounds from different plant sources
along with their mechanisms of diuretic activity.
Methods: Different sources were used to collect information regarding herbal plants with therapeutic
value as diuretics. These included published peer-reviewed journal articles, scholarly articles
from StatPearls, and search engines like Google Scholar, PubMed, Scopus, Springer, ScienceDirect,
Wiley, etc.
Results: In this review, it was found that flavonoids like rutin, acacetin, naringenin, etc. showed
significant diuretic activity in experimental models by various mechanisms, but mostly by blocking
the sodium-potassium-chloride co-transporter, while some bioactive compounds showed diuretic
actions via other mechanisms as well.
Conclusion: Research on clinical trials of these isolated bioactive compounds needs to be further
conducted. Thus, this review provides an understanding of the potential diuretic bioactive compounds
of plants for further research and pharmaceutical applications.
Keywords:
Diuretic, bioactive compounds, flavonoids, alkaloids, saluretic, natriuretic, hypertension.
Graphical Abstract
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