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Synergistic Interactions in Natural Products: Therapeutic Potential and ChallengesAbstract: Medicinal plants are important source of therapeutic resources, as evidenced by several drugs prepared from substances of vegetal origin or inspired on pharmacophores of natural substances. However, herbal extracts frequently exhibit more pronounced biological activities than their isolated constituents. This often results from the synergistic interactions between these components that can act generally on multiple targets. The synergy between drugs has been explored in recent years for the treatment of various diseases, especially cancer and AIDS. The combination of active substances has been particularly promising in the treatment of complex diseases since it allows the simultaneous action on several targets, ensuring the efficacy and a reduced chance of resistance to the drugs used. In this context, medicinal plants and its metabolites have deserved increasing interest. Synergistic interactions, which may be observed among components of plant extracts as well as among natural products and synthetic drugs, have a significant therapeutic potential. However, suitable methods to understand these interactions are needed. Additionally, the technological application of plant products whose biological activity involves synergy requires techniques to analyze the overall composition of them. In this review, relevant examples of synergy will be discussed, with a focus on medicinal plants and bioactive secondary metabolites of plant origin. We also discuss methods applicable to synergy evaluation, as well as useful technical standardization and quality control of plant extracts whose pharmacological activity is due to multiple components.Keywords: Synergy; medicinal plants; secondary metabolites; bioactive compounds.
ResumoPlantas medicinais constituem uma importante fonte de recursos terapêuticos, conforme atestam diversos medicamentos provenientes de substâncias de origem vegetal ou inspirados em seus farmacóforos. Entretanto, frequentemente, extratos de plantas medicinais exibem atividades biológicas mais pronunciadas que seus constituintes isolados. Isso se deve, muitas vezes, às interações sinérgicas entre tais componentes, envolvendo, em geral, a atuação sobre múltiplos alvos. A sinergia entre medicamentos tem sido explorada nos últimos anos para o tratamento de diversas doenças, sobretudo o câncer e a AIDS. A combinação de substâncias ativas mostra-se particularmente promissora no tratamento de doenças complexas, pois permite a atuação simultânea sobre diversos alvos, garantindo maior eficácia e menor chance de resistência aos fármacos empregados. Nesse contexto, as plantas medicinais e seus metabólitos têm sido objeto de crescente interesse. Interações sinérgicas, que podem ser observadas tanto entre componentes de extratos vegetais quanto entre produtos naturais e fármacos sintéticos, apresentam significante potencial terapêutico. Entretanto, são necessários métodos de estudo adequados para compreend...