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I N F L A M M AT I O N A N D N AT U R A L P R O D U C T S I N F L A M M AT I O N A N D N AT U R A L P R O D U C T S Edited by SREERAJ GOPI Aurea Biolabs (P) Ltd, Kolenchery, Cochin, Kerala, India AUGUSTINE AMALRAJ Aurea Biolabs (P) Ltd, Kolenchery, Cochin, Kerala, India AJAIKUMAR KUNNUMAKKARA Indian Institute of Technology Guwahati, Guwahati, Assam, India SABU THOMAS Mahatma Gandhi University, Kottayam, Kerala, India Academic Press is an imprint of Elsevier 125 London Wall, London EC2Y 5AS, United Kingdom 525 B Street, Suite 1650, San Diego, CA 92101, United States 50 Hampshire Street, 5th Floor, Cambridge, MA 02139, United States The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, United Kingdom © 2021 Elsevier Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Library of Congress Cataloging-in-Publication Data A catalog record for this book is available from the Library of Congress British Library Cataloguing-in-Publication Data A catalogue record for this book is available from the British Library ISBN: 978-0-12-819218-4 For information on all Academic Press publications visit our website at https://www.elsevier.com/books-and-journals Publisher: Andre Gerhard Wolff Acquisitions Editor: Erin Hill-Parks Editorial Project Manager: Billie Jean Fernandez Production Project Manager: Omer Mukthar Cover Designer: Christian J. Bilbow Typeset by SPi Global, India Contributors Mohammad H. Abukhalil Department of Biology, Faculty of Science, Al-Hussein Bin Talal University, Ma’an, Jordan Augustine Amalraj R&D Centre, Aurea Biolabs (P) Ltd, Kolenchery, Cochin, Kerala, India Thahira Banu Azeez School of Sciences, Department of Home Science, The Gandhigram Rural Institute-Deemed to be University, Gandhigram, Dindigul, Tamil Nadu, India A. Thahira Banu School of Sciences, Department of Home Science, The Gandhigram Rural Institute—Deemed to be University, Gandhigram, Dindigul, Tamil Nadu, India May Bin-Jumah Department of Biology, College of Science, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia Fernão C. Braga Department of Pharmaceutical Products, Faculty of Pharmacy, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil Ana Laura Tironi de Castilho Department of Structural and Functional Biology, São Paulo State University (UNESP), Botucatu, SP, Brazil Muhammad Daniyal TCM and Ethnomedicine Innovation and Development International Laboratory, School of Pharmacy, Hunan University of Chinese Medicine, Changsha, China Sreeraj Gopi Department of Polymer Technology, Gdansk University of Technology, Gdańsk, Poland; R&D Centre, Aurea Biolabs (P) Ltd, Kolenchery, Cochin, Kerala, India N.S.K. Gowthaman Materials Synthesis and Characterization Laboratory, Institute of Advanced Technology, Universiti Putra Malaysia, Serdang, Selangor, Malaysia Józef T. Haponiuk Chemical Faculty, Gdansk University of Technology, Gdańsk, Poland Joby Jacob R&D Centre, Aurea Biolabs (P) Ltd, Kolenchery, Cochin, Kerala, India Shintu Jude R&D Centre, Aurea Biolabs (P) Ltd, Kolenchery, Cochin, Kerala, India H.N. Lim Department of Chemistry, Faculty of Science, Universiti Putra Malaysia, Serdang, Selangor, Malaysia xiii xiv Contributors Janeline Lunghar School of Sciences, Department of Home Science, The Gandhigram Rural Institute-Deemed to be University, Gandhigram, Dindigul, Tamil Nadu, India Tooba Mahboob Department of Medical Microbiology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia Ayman M. Mahmoud Physiology Division, Department of Zoology, Faculty of Science; Biotechnology Department, Research Institute of Medicinal and Aromatic Plants, Beni-Suef University, Beni-Suef, Egypt Akhila Nair Department of Polymer Technology, Gdansk University of Technology, Gdańsk, Poland; R&D Centre, Aurea Biolabs (P) Ltd, Kolenchery, Cochin, Kerala, India Anjana S. Nair R&D Centre, Aurea Biolabs (P) Ltd, Kolenchery, Cochin, Kerala, India Veeranoot Nissapatorn School of Allied Health Sciences, Southeast Asia Water Team (SEA Water Team) and World Union for Herbal Drug Discovery (WUHeDD), Walailak University, Nakhon Si Thammarat, Thailand Diego P. de Oliveira Department of Pharmaceutical Products, Faculty of Pharmacy, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil Anupam Paliwal R&D Centre, Aurea Biolabs (P) Ltd, Kolenchery, Cochin, Kerala, India Jithin Raj R&D Centre, Aurea Biolabs (P) Ltd, Kolenchery, Cochin, Kerala, India Chandramathi Samudi Raju Department of Medical Microbiology, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia Ariane Leite Rozza Department of Structural and Functional Biology, São Paulo State University (UNESP), Botucatu, SP, Brazil Cristina C. Salibay College of Science and Computer Studies, De La Salle University-Dasmariñas, Dasmariñas, Cavite, Philippines Jonnacar S. San Sebastian College of Science and Computer Studies, De La Salle University-Dasmariñas, Dasmariñas, Cavite, Philippines Matheus Chiaradia de Souza Department of Structural and Functional Biology, São Paulo State University (UNESP), Botucatu, SP, Brazil Hazel Anne Tabo College of Science and Computer Studies, De La Salle University-Dasmariñas, Dasmariñas, Cavite, Philippines Carolina Mendes Tarran Department of Structural and Functional Biology, São Paulo State University (UNESP), Botucatu, SP, Brazil Contributors xv Leonardo de Liori Teixeira Department of Structural and Functional Biology, São Paulo State University (UNESP), Botucatu, SP, Brazil Mauro M. Teixeira Department of Biochemistry and Immunology, Institute of Biological Sciences, Federal University of Minas Gerais (UFMG), Belo Horizonte, Brazil Roshin U. Thankachen Department of Polymer Technology, Gdansk University of Technology, Gdańsk, Poland Bincicil Annie Varghese R&D Centre, Aurea Biolabs (P) Ltd, Kolenchery, Cochin, Kerala, India Karthik Varma R&D Centre, Aurea Biolabs (P) Ltd, Kolenchery, Cochin, Kerala, India Ajoy Kumar Verma National Institute of Tuberculosis and Respiratory Diseases (NITRD), New Delhi, India Wei Wang TCM and Ethnomedicine Innovation and Development International Laboratory, School of Pharmacy, Hunan University of Chinese Medicine, Changsha, China Mateus Souza Zabeu Department of Structural and Functional Biology, São Paulo State University (UNESP), Botucatu, SP, Brazil 1 Inflammation, symptoms, benefits, reaction, and biochemistry Akhila Naira,b, Roshin U. Thankachena, Jithin Rajb, and Sreeraj Gopia aDepartment of Polymer Technology, Gdansk University of Technology, Gdan’sk, Poland, bR&D Centre, Aurea Biolabs (P) Ltd, Kolenchery, Cochin, Kerala, India 1.1 Introduction The term inflammation is known from the Old Testament biblical era when Moses mentions that “If the bright spot stay in his place, and spread not in the skin, but it be somewhat dark; it is a rising of the burn- ing, and the priest shall pronounce him clean: for it is an inflammation of the burning” (Translation of Latin term inflammationem) [1]. Since then, this primeval term has undergone explications. Cornelius Celsus, a Roman encyclopedist, explained it as “redness and swelling with heat and pain,” which was later refined by Rudolf Virchow by adding “loss of function.” In 2007, Ferrero Miliani clarified that inflammation is a non- specific immune response that develops as an answer to any type of in- jury, and indicates accelerated blood flow, vasodilation, extravasation of fluids, increased cellular metabolism, soluble mediator response, cellular influx, and extravasation of fluids [2]. Currently, the medical lexicon states that inflammation is a local or systemic reaction in tissue generated due to internal or external stimuli in order to remove an in- jurious agent to prevent further progression and repair tissue damage. Injury in tissue and exposure to irritants or pathogens are assumed to be the main reasons for this acute tissue or cellular process. Although un- der normal conditions its reactions are circumscribed, it converts into a chronic state upon prolonged exposure to inflammatory stimuli [2]. 1.2 Causes and symptoms of inflammation The skin is considered an immunological and mechanical bar- rier that safeguards one’s body from the external environment. Inflammation and Natural Products. https://doi.org/10.1016/B978-0-12-819218-4.00003-1 1 © 2021 Elsevier Inc. All rights reserved. 2 Chapter 1 Inflammation, symptoms, benefits, reaction, and biochemistry However, any sort of damage to this shield opens a gateway for the inflammation-causing agents to invade the body. These causative agents are multifarious such as viral or bacterial pathogens; matter such as metal parts, sharp objects, or foreign particles that enter tissue; chemical agents such as radiation, alcohol, and autoimmunity; and local tissue injury. These agents stimulate inflammation but are self- limiting in the acute phase and turn chronic through the perpetual ex- posure of these causative agents [2]. Generally, inflammation gives rise to redness, heat, and swelling. However, there may be other noninflam- matory causes for these symptoms. To illustrate, myositis and tendinitis are often misunderstood with inflammation. Therefore, at the cellular level, inflammation that arises due to the delay in the onset of muscular sores, which consequently cause mild discomfort or tenderness upon palpation, could be considered the cardinal signs of inflammation [3]. 1.3 Types of inflammation Inflammation developed in response to tissue injury or pathogens can be subdivided into acute and chronic inflammation. The major differences in acute and chronic inflammation are shown in Table 1.1. Acute inflammation does not persist long and can be controlled with- out even forming lesions. Chronic inflammation lasts for a longer duration and is formed when the subject with acute inflammation is continuously exposed to causative agents. Further, chronic inflamma- tion is subdivided into primary chronic inflammation and secondary chronic inflammation [2, 4]. Table 1.1 Difference between acute and chronic inflammation. S. No. Inflammation Acute inflammation Chronic inflammation 1. Causative agents Injured tissue, pathogen Prolonged acute inflammation: autoimmune reactions, nondegradable pathogen, prolonged invasion of foreign bodies 2. Duration Couple of days Months or years 3. Onset Immediate Delayed 4. Major cells involved Mononuclear cells (macrophages, Mononuclear cells (fibroblast, macrophages, monocytes), neutrophils monocytes, plasma cells, lymphocytes) 5. Primary mediators Eicosanoids, vasoactive amines Growth factors, hydrolytic enzymes, reactive oxygen species, IFN-γ, cytokines 6. Outcomes Resolution, chronic inflammation, Fibrosis, tissue destruction abscess formation Chapter 1 Inflammation, symptoms, benefits, reaction, and biochemistry 3 1.3.1 Acute inflammation The invasion by inflammation-causing agents or a nonself- antigen stimulates the innate immune system and thereby the im- mune responses. These are actuated mechanisms such as serotonin and histamine release; escalation of vascular penetrability; chemo- tactic factor secretion; and adhesion molecule hyperexpression on endothelial cells [4]. It is identified as the expulsion of plasma pro- teins and fluids with the simultaneous relocation of leukocytes, espe- cially neutrophils, into the affected area [5]. Besides, the production of antibodies facilitates the release of mediators to accelerate the local reaction along with the continual intake of cells such as gran- ulocytes, monocytes, lymphocytes, and plasma proteins from the peripheral blood [4]. An acute inflammatory response is a defense mechanism developed against the causative agents such as viruses, bacteria, and parasites to facilitate wound repair. The chemical me- diators produced commonly in acute inflammation are leukotrienes, bradykinin, prostaglandin, histamine, anaphylotoxin, complement system, and nitric oxide. To cease inflammation, the cyclooxygenase (Cox) enzyme must be inhibited. It is the prime responsible factor that converts arachidonic acid to prostaglandin H2, where prosta- glandin H2 radically increases during inflammation [5]. Thus, this process is temporary and exists until the inflammation-causing agents are debarred [4]. 1.3.2 Chronic inflammation Chronic inflammation is also called nonresolving inflammation or inflammaging, which is a dysregulatory, prolonged, and maladap- tive response that produces constant active inflammation, followed by tissue destruction and unsuccessful tissue repair. Moreover, age-related inflammation occurs in a low and continuous way where the escalated levels of proinflammatory cytokines and C-reactive proteins (CRP) are activated and antiinflammatory cytokines are reduced but asymptomatic with the level variation of pathophysi- ological modification. Although the mechanism of chronic inflam- mation is unknown, mitochondrial dysfunction, chronic inflection, hormonal changes, redox stress, epigenetic damage, immunosenes- cence, and glycation are suspected modes of action of this type of inflammation [6]. This inexorable inflammation is an age-associated disease that has a pernicious effect on the host cells as it fraternizes with numerous pathogenic diseases such as cancer, rheumatoid ar- thritis, coronary heart disease, obesity, inflammatory bowel disease, atherosclerosis, Crohn’s disease, autoimmune diseases, diabetes, and so on [5, 7]. It is further divided into primary and secondary chronic inflammation. 4 Chapter 1 Inflammation, symptoms, benefits, reaction, and biochemistry 1.3.2.1 Primary chronic inflammation In this category, the onset of inflammation projects a clear reaction marked with increased permeability and vascularity as well as no or minimal neutrophil infiltration. In addition, cell-mediated immune responses are generated against the body cells that become prey to the immune system. Primary chronic inflammation is associated with au- toimmune diseases such as thyroiditis and certain tumors (exhibiting lymphocytic infiltration) as well as rheumatoid arthritis (exhibiting T and B mixed cells, neutrophils, and plasma cells). 1.3.2.2 Secondary chronic inflammation This type of chronic inflammation occurs when acute inflamma- tion persists due to the continuous exposure to causative agents that converts the inflammatory lesions into chronic inflammation to ex- pel polymorphonuclear cells and normalize endothelial activation, vascular permeability, and vasodilation. The progression of inflam- mation is suggestive of the infiltration of cells that are mainly mono- nuclear in nature such as lymphocytes and monocyte-macrophage series cells. Examples include a chronic infection such as tuberculosis that forms sarcoidosis, chronic granulomas, and contact dermatitis; human immunodeficiency virus (HIV); and cytomegalovirus (CMV) [4]. Further, tissue immunity is the major local source as well as out- lying inflammation that could be considered responsible for chronic inflammation. Certain cases are related to the development of this type of inflammation, even in the absence of pathogens. Helicobacter pylori infection exemplifies such cases where the unwavering inflam- mation eventually leads to cancer [8]. 1.4 Benefits of inflammation Inflammation is regarded as a necessary evil that makes the sur- rounding immune cells aware of infection existing at any area. This in- volvement of cellular pathways plays a vital role in regulating normal cellular activities [5]. 1.4.1 Inflammation as a necessary evil The immune cells such as dendritic cells (DCs) and macrophages liberate proinflammatory cytokines such as tumor necrosis factor-α (TNF-α) and interferon gamma (IFN-γ) by combining the pattern recognition receptors (PRRs) and pathogen-associated molecular patterns (PAMPs) that exist on the surface of bacteria or on the DNA/ RNA of the viruses. Subsequently, the vasodilation of blood vessels oc- curs due to the release of other chemicals that accelerate the intake of

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