Review of the Safety and Efficacy of Moringa oleifera

Sidney J Stohs, Michael J Hartman, Sidney J Stohs, Michael J Hartman

Abstract

Moringa oleifera leaves, seeds, bark, roots, sap, and flowers are widely used in traditional medicine, and the leaves and immature seed pods are used as food products in human nutrition. Leaf extracts exhibit the greatest antioxidant activity, and various safety studies in animals involving aqueous leaf extracts indicate a high degree of safety. No adverse effects were reported in association with human studies. Five human studies using powdered whole leaf preparations of M. oleifera have been published, which have demonstrated anti-hyperglycemic (antidiabetic) and anti-dyslipidemic activities. These activities have been confirmed using extracts as well as leaf powders in animal studies. A rapidly growing number of published studies have shown that aqueous, hydroalcohol, or alcohol extracts of M. oleifera leaves possess a wide range of additional biological activities including antioxidant, tissue protective (liver, kidneys, heart, testes, and lungs), analgesic, antiulcer, antihypertensive, radioprotective, and immunomodulatory actions. A wide variety of polyphenols and phenolic acids as well as flavonoids, glucosinolates, and possibly alkaloids is believed to be responsible for the observed effects. Standardization of products is an issue. However, the results of published studies to date involving M. oleifera are very promising. Additional human studies using standardized extracts are highly desirable.

Keywords: Moringa oleifera; anti-dyslipidemic; anti-hyperglycemic; antioxidant; chemoprotectant; leaf extract.

Conflict of interest statement

The authors have no conflicts of interest to report.

© 2015 The Authors Phytotherapy Research Published by John Wiley & Sons Ltd.

References

    1. Adedapo AA, Mogbojuri OM, Emikpe BO. 2009. Safety evaluations of the aqueous extract of the leaves of Moringa oleifera in rats. J Med Plant 3: 586–591.
    1. Adisakwattana S, Chanathong B. 2011. Alpha‐glucosidase inhibitory activity and lipid‐lowering mechanisms of Moringa oleifera leaf extract. Eur Rev Med Pharmacol Sci 15: 803–808.
    1. Ajibade TO, Arowolo R, Olayemi FO. 2013. Phytochemical screening and toxicity studies on the methanol extract of the seeds of Moringa oleifera . J Complement Integr Med 10: 11–16.
    1. Alhakmani F, Kumar S, Khan SA. 2013. Estimation of total phenolic content, in–vitro antioxidant and anti–inflammatory activity of flowers of Moringa oleifera . Asian Pac J Trop Biomed 3: 623–627.
    1. Ambi AA, Abdurahman EM, Katsayal UA, et al 2011. Toxicity evaluation of Moringa oleifera leaves. Int J Pharmaceut Res Innovat 4: 22–24.
    1. Anwar F, Latif S, Ashraf M, Gilani AH. 2007. Moringa oleifera: a food plant with multiple medicinal uses. Phytother Res 21: 17–25.
    1. Araújo LCC, Aguiar JS, Napoleão TH, et al 2013. Evaluation of cytotoxic and anti‐inflammatory activities of extracts and lectins from Moringa oleifera seeds. PLoS One 8: e81973.
    1. Asare GA, Gyan B, Bugyei K, et al. 2012. Toxicity potentials of the nutraceutical Moringa oleifera at supra‐supplementation levels. J Ethnopharmacol 139: 265–272.
    1. Asiedu‐Gyekye IJ, Frimpong‐Manso S, Awortwe C, et al 2014. Micro‐ and macroelemental composition and safety evaluation of the nutraceutical Moringa oleifera leaves. J Toxicol. DOI:10.1155/2014/786979.
    1. Atawodi SE, Atawodi JC, Idakwo GA, et al 2010. Evaluation of the polyphenol content and antioxidant properties of methanol extracts of the leaves, stem, and root barks of Moringa oleifera Lam. J Med Food 13: 710–716.
    1. Awodele O, Oreagbe IA, Odoma S, et al 2012. Toxicological evaluation of the aqueous leaf extract of Moringa oleifera Lam. (Moringaceae). J Ethnopharmacol 139: 300–306.
    1. Bakre AG, Aderibigbe AO, Ademowo OG. 2013. Studies on neuropharmacological profile of ethanol extract of Moringa oleifera leaves in mice. J Ethnopharmacol 149: 783–789.
    1. Bennett RN, Mellon FA, Foidl N, et al 2003. Profiling glucosinolates and phenolics in vegetative and reproductive tissues of the multi‐purpose trees Moringa oleifera L (horseradish tree) and Moringa stenopetala L. J Agric Food Chem 51: 3546–3553.
    1. Cajuday LA, Pocsidio GL. 2010. Effects of Moringa oleifera Lam (Moringaceae) on the reproduction in male mice (Mus musculus). J Med Plant Res 4: 1115–1121.
    1. Chen KH, Chen YJ, Yang CH, et al 2012. Attenuation of the extract from Moringa oleifera on monocrotaline‐induced pulmonary hypertension in rats. Chin J Physiol 55: 22–30.
    1. Choudhary MK, Bodakhe SH, Gupta SK. 2013. Assessment of the antiulcer potential of Moringa oleifera root‐bark extract in rats. J Acupunct Meridian Stud 6: 214–220.
    1. Chuang PH, Lee CW, Chou JY, et al 2007. Anti-fungal activity of crude extracts and essential oils of Moringa oleifera Lam. Bioresour Technol 98: 232–236.
    1. Chumark P, Khunawat P, Sanvarinda Y, et al 2008. The in vitro and ex vivo antioxidant properties, hypolipidemic and antiatherosclerotic activities of water extract of Moringa oleifera Lam leaves. J Ethnopharmacol 116: 439–446.
    1. Das N, Sikder K, Ghosh S, et al 2012. Moringa oleifera Lam leaf extract prevents early liver injury and restores antioxidant status in mice fed with high‐fat diet. Indian J Exp Biol 50: 404–412.
    1. Debnath S, Biswas D, Ray K, Guha D. 2011. Moringa oleifera induced potentiation of serotonin release by 5‐HT(3) receptors in experimental ulcer model. Phytomedicine 15: 91–95.
    1. Faizi S, Siddiqui BS, Saleem R, et al 1998. Hypertensive constituents from the pods of Moringa oleifera . Planta Med 64: 225–228.
    1. Fakurazi S, Hairuszah I, Nathini U. 2008. Moringa oleifera Lam prevents acetaminophen induced liver injury through restoration of glutathione level. Food Chem Toxicol 46: 2611–2615.
    1. Fakurazi S, Sharifudin SA, Arulselvan P. 2012. Moringa oleifera hydroethanolic extracts effectively alleviate acetaminophen‐induced hepatotoxicity in experimental rats through their antioxidant nature. Molecules 17: 8334–8350.
    1. Ghasi S, Nwobodo E, Ofili JO. 2000. Hypercholesterolemic effects of crude extract of leaf of Moringa oleifera Lam in high‐fat diet fed Wistar rats. J Ethnopharmacol 69: 21–25.
    1. Ghiridhari VVA, Malhati D, Geetha K. 2011. Anti‐diabetic properties of drumstick (Moringa oleifera) leaf tablets. Int J Health Nutr 2: 1–5.
    1. Guevara AP, Vargas C, Sakurai H, et al 1999. An antitumor promoter from Moringa oleifera Lam. Mutat Res 440: 181–188.
    1. Gupta A, Gautam MK, Singh RK, et al 2010. Immunomodulatory effect of Moringa oleifera Lam extract on cyclophosphamide induced toxicity in mice. Indian J Exp Biol 48: 1157–1160.
    1. Hannan MA, Kang JY, Mohibbullah M, et al 2014. Moringa oleifera with promising neuronal survival and neurite outgrowth promoting potentials. J Ethnopharmacol 152: 142–150.
    1. Jain PJ, Patil SD, Haswani NG, et al 2010. Hyperlipidemic activity of Moringa oleifera Lam, Moringaceae, on high fat diet‐induced hyperlipidemia in albino rats. Braz J Pharmacog 20: 969–973.
    1. Jaiswal D, Kumar RP, Kumar A, et al 2009. Effect of Moringa oleifera Lam leaves aqueous extract therapy on hyperglycemic rats. J Ethnopharmacol 123: 392–396.
    1. Jaiswal D, Rai PK, Mehta S, et al 2013. Role of Moringa oleifera in regulation of diabetes‐induced oxidative stress. Asian Pac J Trop Biomed 6: 426–432.
    1. Jung IL. 2014. Soluble extract of Moringa oleifera leaves with a new anticancer activity. PLOSOne 9. doi: 10.1371.journal.pone.0095492
    1. Kirisattayakul W, Wattanathorn J, Tong‐Un T, et al 2013. Cerebroprotective effect of Moringa oleifera against focal ischemic stroke induced by middle cerebral artery occlusion. Oxid Med Cell Longev 695936, doi:10.1155/2013/951415.
    1. Kumar Gupta S, Kumar B, Srinivasan BP, et al 2013. Retinoprotective effects of Moringa oleifera via antioxidant, anti‐inflammatory, and anti‐angiogenic mechanisms in streptozotocin‐induced diabetic rats. J Ocular Pharmacol Ther 29: 419–426.
    1. Kumari DJ. 2010. Hypoglycemic effect of Moringa oleifera and Azadirachta indica in type‐2 diabetes. Bioscan 5: 211–214.
    1. Kushwaha S, Chawla P, Kochhar A. 2012. Effect of supplementation of drumstick (Moringa oleifera) and amaranth (Amaranthus tricolor) leaves powder on antioxidant profile and oxidative status among postmenopausal women. J Food Sci Technol 1–6.
    1. Manaheji H, Jafari S, Zaringhalam J, et al 2011. Analgesic effects of methanolic extracts of the leaf or root of Moringa oleifera on complete Freund's adjuvant‐induced arthritis in rats. Zhong Xi Yi Jie Xue Bao 9: 216–222.
    1. Mbikay M. 2012. Therapeutic potential of Moringa oleifera leaves in chronic hyperglycemia and dyslipidemia: a review. Front Pharmacol 3: 24. doi:10.3389/fphar.2012.00024. eCollection 2012.
    1. Moyo B, Masika PJ, Mar LJ, Hugo A, Muchenje V. 2011. Nutritional characterization of Moringa (Moringa oleifera Lam.) leaves. Afr J Biotechnol 10: 12,925–12,933.
    1. Muhammad AA, Pauzi NAS, Arulselvan P, et al 2013. In vitro wound healing potential and identification of bioactive compounds from Moringa oleifera Lam. Biol Med Res Int. DOI:10.1155/2013/974580.
    1. Nambiar VS, Guin P, Parnami S, Daniel M. 2010. Impact of antioxidants from drumstick leaves on the lipid profile of hyperlipidemics. J Herb Med Toxicol 4: 165–172.
    1. Nandave M, Ojha SK, Joshi S, et al 2009. Moringa oleifera leaf extract prevents isoproterenol‐induced myocardial damage in rats: evidence for an antioxidant, antiperoxidative, and cardioprotective intervention. J Med Food 12: 47–55.
    1. Ndhlala A, Mulauudzi R, Ncube B, et al 2014. Antioxidant, antimicrobial and phytochemical variations in thirteen Moringa oleifera Lam. Cultivars. Molecules 19: 10,480–10,494.
    1. Ndong M, Uehara M, Katsumata S, Suzuki K. 2007a. Effects of oral administration of Moringa oleifera Lam on glucose tolerance in Goto‐Kakiziki and Wistar rats. J Clin Biochem Nutr 40: 229–233.
    1. Ndong M, Uehara M, Katsumata S, et al 2007b. Preventive effects of Moringa oleifera (Lam) on hyperlipidemia and hepatocyte ultrastructural changes in iron deficient rats. Biosci Biotechnol Biochem 71: 1826–1833.
    1. Ouedraogo M, Lamien‐sanou A, Ramde N, et al 2013. Protective effect of Moringa oleifera leaves against gentamicin‐induced nephrotoxicity in rabbits. Exp Toxicol Phathol 65: 335–339.
    1. Oyagbemi AA, Omobowale TO, Azeez IO, et al 2013. Toxicological evaluations of methanolic extract of Moringa oleifera leaves in liver and kidney of male Wistar rats. J Basic Clin Physiol Pharm 24: 307–312.
    1. Panda S, Kar A, Sharma P, Sharma A. 2012. Cardioprotective potential of N,α‐1‐rhamnosylpyranosyl vincosamide, an indole alkaloid, isolated from the leaves of Moringa oleifera in isoproterenol induced cardiotoxic rats: in vivo and in vitro studies. Bioorg Med Chem Lett. DOI:10.1016/j.bmcl.2012.12.060.
    1. Pari L, Kumar NA. 2002. Hepatoprotective activity of Moringa oleifera on antitubercular drug‐induced liver damage in rats. J Med Food 5: 171–177.
    1. Paul CW, Didia BC. 2012. The effects of methanolic extract of Moringa oleifera Lam roots on the histology of kidney and liver in guinea pigs. Asian J Med Sci 4: 55–60.
    1. Rao AV, Devi PU, Kamath R. 2001. In vivo radioprotective effect of Moringa oleifera leaves. Indian J Exp Biol 39: 858–863.
    1. Rathi BS, Bodhankar SL, Baheti AM. 2006. Evaluation of aqueous leaves extract of Moringa oleifera Linn for wound healing in albino rats. Indian J Exp Biol 44: 898–901.
    1. Razis AFA, Ibrahim MD, Kntayya SB. 2014. Health benefits of Moringa oleifera . Asian Pac J Cancer Prev 15:. DOI:10.7314/APJCP.2014.15.20.8571.
    1. Rolim LA, Macedo MF, Sisenando HA, et al 2011. Genotoxicity evaluation of Moringa oleifera seed extract and lecithin. J Food Sci 76: T53–T58.
    1. Sadek KM. 2013. Chemotherapeutic efficacy of an ethanolic Moringa oleifera leaf extract against chromium‐induced testicular toxicity in rats. Andrologia. DOI:10.1111/and.12196.
    1. Saleem R. 1995. Studies in the chemical constituents of Moringa oleifera Lam and preparation of the potential biologically significant derivatives of 8‐hydroxyquinoline. A thesis. 357 pp. eprints..
    1. Santos AF, Argolo AC, Paiva PM, Coelho LC. 2012. Antioxidant activity of Moringa oleifera tissue extracts. Phytother Res 26: 1366–1370.
    1. Sasikala V, Rooban BN, Priva SG, et al 2010. Moringa oleifera prevents selenite‐induced cataractogenesis in rat pups. J Ocul Pharmacol Ther 26: 441–447.
    1. Shankar K, Gupta MM, Srivastava SK, et al 2007. Determination of bioactive nitrile glycoside(s) in drumstick (Moringa oleifera) by reverse phase HPLC. Food Chem 105: 376–382.
    1. Sharifudin SA, Fakurazi S, Hidayat MT, et al 2013. Therapeutic potential of Moringa oleifera extracts against acetaminophen‐induced hepatotoxicity in rats. Pharm Biol 51: 279–288.
    1. Singh BN, Singh BR, Singh RL, et al 2009. Oxidative DNA damage protective activity, antioxidant and anti‐quorum sensing potentials of Moringa oleifera . Food Chem Toxicol 47: 109–116.
    1. Sinha M, Das DK, Datta S, et al 2012. Amelioration of ionizing radiation induced lipid peroxidation in mouse liver by Moringa oleifera Lam leaf extract. Indian J Exp Biol 50: 109–215.
    1. Sreelatha S, Padma PR. 2009. Antioxidant activity and total phenolic content of Moringa oleifera leaves at two stages of maturity. Plant Foods Hum Nutr 64: 303–311.
    1. Sreelatha S, Padma PR. 2010. Protective mechanisms of Moringa oleifera against CCl4 –induced oxidative stress in precision‐cut liver slices. Forsch Komplementmed 17: 189–194.
    1. Sreelatha S, Padma PR. 2011. Modulatory effects of Moringa oleifera extracts against hydrogen peroxide‐induced cytotoxicity and oxidative damage. Hum Exp Toxicol 30: 1359–1368.
    1. Sreelatha S, Jeyachitra A, Padma PR. 2011. Antiproliferation and induction of apoptosis by Moringa oleifera leaf extract on human cancer cells. Food Chem Toxicol 49: 1270–1275.
    1. Sudha P, Asdaq SM, Dhamingi SS, Chandrakala GK. 2010. Immunomodulatory activity of methanolic leaf extract of Moringa oleifera in animals. Indian J Physiol Pharmacol 54: 133–140.
    1. Sutalangka C, Wattanathorn L, Muchimapura S, Thukham‐mee W. 2013. Moringa oleifera mitigates memory impairment and neurodegeneration in animal model of age‐related dementia. Oxid Med Cell Longev. DOI:10.1155/2013.695936.
    1. Teixeira EMB, Carvalho MRB, Neves VA, Silva MA, Arantes‐Pereira L. 2014. Chemical characteristics and fractionation of proteins from Moringa oleifera Lam. leaves. Food Chem 147: 51–54.
    1. Tende JA, Ezekiel I, Dikko AAU, Goji ADT. 2011. Effect of ethanolic leaves extract of Moringa oleifera on blood glucose levels of streptozotocin‐induced diabetic and normoglycemic Wistar rats. Br J Pharmacol Toxicol 2: 1–4.
    1. Thurber MD, Fahey JW. 2009. Adoption of Moringa oleifera to combat under‐nutrition viewed through the lens of the “differential innovations” theory. Ecol Food Nutr 48: 212–225.
    1. Tiloke C, Phulukdaree A, Chuturgoon AA. 2013. The antiproliferative effect of Moringa oleifera crude aqueous extract on cancerous human alveolar epithelial cells. BMC Complement Altern Med 13: 226–233.
    1. Uma N, Fakurazi S, Hairuszah I. 2010. Moringa oleifera enhances liver antioxidant status via elevation of the antioxidant enzyme activity and counteracts paracetamol‐induced hepatotoxicity. Malays J Nutr 16: 293–307.
    1. Verma AR, Vijayakumar M, Mathela CS, Rao CV. 2009. In vitro and in vivo antioxidant properties of different fractions of Moringa oleifera leaves. Food Chem Toxicol 47: 196–201.
    1. Vongsak B, Sithisam P, Gritsanapan W. 2014. Simultaneous HPLC quantitative analysis of active compounds in leaves of Moringa oleifera Lam. J Chromatogr Sci 52: 641–645.
    1. Waterman C, Cheng DM, Rojas‐Silva P, et al 2014. Stable, water extractable isothiocyanates from Moringa oleifera leaves attenuate inflammation in vitro . Phytochemistry. DOI:10.1016/j.phytochem.2014.03.026.
    1. William F, Lakshminarayanan S, Chegu H. 1993. Effect of some Indian vegetables on the glucose and insulin responses in diabetic subjects. Int J Food Sci Nutr 44: 191–196.
    1. Yassa HD, Tohamy AF. 2014. Extract of Moringia oleifera leaves ameliorates streptozotocin‐induced diabetes mellitus in adult rats. Acta Histochem. DOI:10.1016/2014.02.002.
    1. Zvinorova PI, Lekhanya L, Erlwanger K, Chivandi E. 2014. Dietary effects of Moringa oleifera leaf powder on growth, gastrointestinal morphometry and blood and liver metabolites in Sprague Dawley rats. J Anim Physiol Anim Nutr. DOI:10.1111/jpn.12182.

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