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Brief for GSDR 2015

Development of natural drugs in a sustainable manner

Milica Pešić, Department of Neurobiology, Institute for Biological Research Siniša Stanković, University of Belgrade, Belgrade, Serbia*

The significance of sustainable rarely benefit economically. At a time when we development of natural product drugs are facing global economic crisis, which most severely affects developing countries, assistance For approximately 85% of the world’s in raising their own capacities, including population, materials are a primary source development of renewable natural products, of health care (Fabricant & Farnsworth 2001). would strengthen the economy of these This fact is not sufficiently accepted by countries, and economically unburden the rest pharmaceutical companies that are producing of the world. synthetic drugs for decades as solutions for incurable diseases. Knowledge of and Humankind is not sufficiently aware that their medicinal properties that were transmitted natural products is important for from generation to generation is in danger of new generations as a tool for their health care disappearing. Developed countries in alliance (Cordell & Colvard 2012). We know that for the with their large pharmaceutical companies, major lethal diseases, there are no truly constantly in the struggle for new markets, do effective drug treatments. In addition, drug not permit the development of local resistance to existing chemotherapeutic pharmaceutical companies in developing regimens for fungal and bacterial , countries. AIDS, cancer, and malaria is increasing. Because of the challenges for health care in the future, Although it is generally known that this is the call for decision-makers, governments, provides right solutions in a form of international agencies, and pharmaceutical medicinal plants corresponding exactly to the companies to commit to the sustainable homeland of a particular human community, it development of natural products as medicinal often happens that we treat diseases with agents, particularly in developing countries. preparations originating from very distant countries. Even nowadays, we are facing a Medicinal plants, both endemic and paradox with the same problem present for widespread, their resources and knowledge centuries: Outside parties frequently manipulate about their usage must be preserved since these and interfere with local policy makers in order plants could be renewable source for new drugs. to gain access to local communities’ It is known that chemicals and chemical environmental resources. In addition, reagents are typically non-renewable, and their mainstream science and more developed use depletes our future resources. Consequently, society exploit environmental knowledge for all drug discovery programs, synthetic or natural, locating and extracting natural resources, and must be the concept of sustainability (Cordell making use of medicinal plants for commercial 2011). purposes. Developing communities or countries

* The views expressed in this brief are the author’s and not those of the United Nations. Online publication or dissemination does not imply endorsement by the United Nations.

Perspectives 2) Small to medium size biotechnology Plant extracts and products contribute in companies, four major areas to human health and wellbeing: 3) Botanical supplement companies, 1) Foodstuffs, and 2) Flavoring agents and spices, 4) industry (Cordell 2004). 3) Perfumes and , and Besides these obvious benefits, 4) Pharmaceutical and biological agents development of natural products in a (Cordell 2004). sustainable manner may interface different scientific fields (Figure 1). To achieve this goal, Their exploitation in sustainable manner there is a strong need for changing the would provide significant commercial philosophy and establishing new connections perspective to: among nature, invention, availability and 1) Global pharmaceutical companies, humanity (Figure 1).

Figure 1. Drug discovery from natural sources – a chance for the reunion of natural and human sciences to improve the health care systems all over the world. Changes in the perception of natural treasures and necessity to help developing countries to build their own facilities and engage own scientific potential will ensure sustainable development of natural product drugs. Interdisciplinary research will enable the overcoming of obstacles that are present for many decades in the process of natural products drug discovery.

2 Pharmaceutical companies often give up Biotechnology companies may play from capital investment in the development of crucial role in the sustainable development of natural products because collection of plants in natural product drugs. Translocation of the some countries may be a time-consuming genes from slow-growing to fast-growing, large process and require extensive (re-)negotiations biomass plants or other organisms will enable related to access. Their approach includes the large-scale production of medicinal agents. bringing as much chemical diversity as possible Although the use of transgenic plants is a to the biological screening interface but with no questionable for the preservation of biodiversity, consideration given to the origin of the plant- genetic engineering will play an important role derived materials. They do not care about in saving medicinal plants, which are rare or chemo-diversity, functional diversity of the endangered (Cordell 2011). constituents, or ethno-medical association of the plant. Another reason for quitting is concern The imbalance between humans and about plant extracts, which frequently yield a other on our planet is a threat to the known, rather than a novel, active constituent survival of the humankind. Therefore, plant (Cordell 2004). ecology should be considered in the sustainable development of natural products. According to Certainly, safety issues must be considered the World Wildlife Fund (data from 2004), due before accessing the plants: to the human consumption, 20% of medicinal 1) Plant authentication, plants in the world are in threat of disappearing 2) Cytotoxic, mutagenic and therapeutic (Pan SY et al. 2013). perspective, 3) Free of potentially toxic insecticides, The ethical rules should be considered pesticides and heavy metals, during the exploitation of medicinal plants. 4) Free of fungal and insect infestation, and Humankind should not satisfy its own needs at 5) Free of radiation contamination (Cordell the expanse of other Earth species. In less 2004). developed countries, plants are the primary source of health care. When large Either as mentioned before, developed pharmaceutical companies confiscate medicinal countries are not willing to invest, in the people plants in order to make new drugs, these drugs or the places in developing countries because of will not be available to the local people because bureaucracy, cost, and time. Consequently, bio- of the costs. This is also an ethical issue. rich developing countries will not be able to Traditionally used plants are far less expensive access their biome and enhance their scientific than the new drugs isolated from them and (taxonomic, chemical, and biological) capacity. eventually synthesized (Pan SY et al. 2013). Local pharmaceutical development will be inhibited. Therefore, developing countries will Problems and possible solutions continue to relay on externally acquired (imported) pharmaceutical and medicinal agents. Over the past decades, pharmaceutical companies have shown an increased interest in Ethno-medical information, biological exploring new compounds from plants. However, evaluation of plant extracts and their the lack of a rational approach in many aspects constituents, the of natural sources, has limited their success. and the clinical evaluation of plant extracts are still not accessible globally. The useful databases

3 that are available are Indian plant anticancer International efforts and investment in compounds database (InPACdb), The herb new medicinal agents will require the creation information Knowledge base (THINKherb), of numerous new alliances. These alliances must Traditional Chinese integrated work on both local and global level and involve database (TCMID) and Traditional Chinese individuals who can set aside their ego for the information database (TCHM-ID) (Pan greater good. Therefore, the alliances should be SY et al. 2013). composed of international agencies, government agencies, pharmaceutical There is a strong need for indexing eco- companies, academic institutions, non- and ethno-information of plants, chemistry and government organizations, scientific societies, biology of their products in such way that and private foundations (Cordell 2004). information can be analyzed and accessed globally in real time (Cordell & Colvard 2005). References

There is another problem regarding This brief is based on the work of Professor Emeritus access of active principles. They are often Geoffrey A. Cordell, University of Illinois at Chicago, extracted and analyzed only at a single moment College of Pharmacy. in time, ignoring daily metabolic flux, seasonal variation in activities, and the Cordell, GA & Colvard, MD 2012, ‘Natural products and : turning on a paradigm’, biosynthetic genes which are present, but not Journal of Natural Products , vol. 75, no. 3, pp. 514- fully functional. Development of methodology 525. able to characterize the majority of constituents in an extract without isolation may help in the Cordell, GA & Colvard, MD 2005, ‘Some thoughts on process of extracts validation and the future of ethnopharmacology’, Journal of standardization (Cordell 2004). Ethnopharmacology , vol. 100, no. 1-2, pp. 5-14.

Cordell, GA 2011, ‘Sustainable medicines and global While there are important ecological health care’, Planta Medica , vol. 77, no. 11, pp. concerns regarding genetically modified crops, 1129-1138. they present economically effective way to bring preventative health care to humankind (Cordell Cordell, GA 2004, ‘Plants in Drug Discovery - Creating 2011). There are numerous fungi, , and, a New Vision’, In Novel Compounds from Natural in some cases, algae, symbiotically associated Products in the New Millennium , Eds. B.H. Tan, B.H. Bay, and Y.-Z. Zhu, World Scientific Publishing, with the plant, which are capable of Singapore, pp. 1-19. independent biosynthetic production. Investigation of this potential will enhance the Fabricant, DS & Farnsworth, NR 2001, ‘The value of production of active agents in a sustainable plants used in traditional medicine for drug manner (Cordell 2004). discovery’, Environmental Health Perspectives , vol. 109, no. 1, pp. 69-75.

We require programs to assist Pan, SY, Zhou, SF, Gao, SH, Yu, ZL, Zhang, SF, Tang, developing countries to potentate their facilities, MK, Sun, JN, Ma, DL, Han, YF, Fong, WF, Ko, KM 2013, and scientists in order to evaluate natural ‘New Perspectives on How to Discover Drugs from product-based medicinal agents in a sustainable Herbal Medicines: CAM's Outstanding Contribution manner. This would significantly improve their to Modern Therapeutics’, Evidence-Based health care systems. Complementary and Alternative Medicine , http://dx.doi.org/10.1155/2013/627375 .

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