Introduction
Schistosomiasis, a neglected tropical disease remains a major public health challenge in sub-Saharan Africa despite widespread use of Praziquantel. In Cameroon, various remedies are traditionally employed for treatment. This study aimed to document such remedies in Loum and Njombe-Penja and evaluate their biological activities against Schistosoma mansoni, with the goal of identifying affordable, community-based antischistosomal agents.
Methods
An ethnobotanical survey conducted in Loum and Njombe Penja identified 11 herbalists who reported nine medicinal plants from seven families. The Euphorbiaceae family was most represented, and Euphorbia hirta, Euphorbia prostrata, and Alchornea cordifolia were selected for further analysis. Cercaricidal activity was assessed by exposing S. mansoni cercariae to plant extracts (0.4 – 250 µg/ml). Antioxidant potential was evaluated using DPPH and FRAP assays, while anti-inflammatory activity was measured via albumin denaturation inhibition. Cytotoxicity was tested on LLC-MK2 cells, and phytochemical composition was analyzed using LC-MS and HPLC-UV-ESI-TOF-MS.
Results
Methanolic and hexane extracts of E. hirta showed most potent cercaricidal activity with LC₅₀ values of 0.07569 and 0.7994 µg/ml, respectively. E. hirta and A. cordifolia showed strong radical scavenging potential (SC₅₀: 0.3012 – 203.7 µg/ml). A dose-dependent inhibition of albumin denaturation, with plant extracts outperforming Diclofenac at low concentrations was observed. Cytotoxicity assays indicated low toxicity (IC₅₀: 325.7 – 550.8 µg/ml). The Phytochemical screenings identified metabolites as polyphenols, terpenoids, and steroids.
Conclusion
These findings suggest that E. hirta, E. prostrata, and A. cordifolia possess cercaricidal, antioxidant, and anti-inflammatory properties. Their rich phytochemical profiles support their potential as effective, low-toxicity antischistosomal remedies suitable for integration into primary health care systems in endemic regions
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