Background:
Gelsemium is a toxic flowering plant of the Gelsemiaceae family. It is used to treat skin
diseases in China, and it is an important medicinal and homeopathic plant in North America. Up to now, more than
200 compounds have been isolated and reported from Gelsemium. More than 120 of these are indole alkaloids, including
the main components, koumine, gelsemine and humantenmine which produce the pharmacological and toxicological
effects of Gelsemium. However, their clinical application their limited by its narrow therapeutic window.
Therefore, it is very important to study the metabolism and disposition of indole alkaloids from Gelsemium before
their clinical application. This paper reviews all the reports on the metabolism and disposition of alkaloids isolated
from Gelsemium at home and abroad.
Methods:
The metabolism and disposition of alkaloids from Gelsemium were searched by the Web of Science,
NCBI, PubMed and some Chinese literature databases.
Results:
Only koumine, gelsemine and humantenmine have been reported, and few other alkaloids have been described.
These studies indicated that the three indole alkaloids are absorbed rapidly, widely distributed in tissues,
extensively metabolized and rapidly eliminated. There are species differences in the metabolism of these alkaloids,
which is the reason for the differences in their toxicity in animals and humans.
Conclusion:
This review not only explains the pharmacokinetics of indole alkaloids from Gelsemium but also facilitates
further study on their metabolism and mechanism of toxicity.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.