4.6 Article

Exploring the multifocal role of phytoconstituents as antidepressants

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PERGAMON-ELSEVIER SCIENCE LTD
DOI: 10.1016/j.pnpbp.2022.110693

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Depression; Phytoconstituent; Neuropsychiatric disorder; Antidepressant

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Depression is a major neuropsychiatric disorder and developing novel medications with fewer side effects is a critical priority. Phytoconstituents, such as alkaloids and polyphenols, have shown antidepressant effects by regulating neurotransmitters and neurotrophic factors. They can potentially be used as alternative treatments for depression.
Depression is the most prevalent and devastating neuropsychiatric disorder. There are several conventional antidepressants used for the treatment of depression. But due to their undesired adverse effects, patient compliance is very poor. Thus, developing novel medications for the treatment of depression is a critical strategic priority for meeting therapeutic demands. Current research is looking for alternatives to traditional antidepressants to reduce undesired side effects and increase efficacy. Phytoconstituents provide a wide research range in antidepressant treatments. In the present article, we have conducted a comprehensive assessment of neurological evidence, which supports the usefulness of phytoconstituents in the treatment of the depressive disorder. Secondary plant metabolites including alkaloids, polyphenols, glycosides, saponins, and terpenoids were found to exhibit antidepressant action. Most of the phytoconstituents were found to mediate their antidepressant effect through the upregulation of brain-derived neurotrophic factor (BDNF), serotonin, noradrenaline, and dopamine. Some were also found to exert antidepressant effects by inhibiting the monoamine oxidase (MAO) activity and hypothalamic-pituitary-adrenal (HPA) axis overactivity.

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