Black Cumin (Nigella sativa L.): A Review on Effect and Scientific Developments in Animal and Human Ailments
Melaku Tafese Awulachew*
Ethiopian institute of Agricultural research, P.O.Box 2003, Addis Ababa, Ethiopia.
*Corresponding Author
Melaku Tafese Awulachew,
Ethiopian institute of Agricultural research, P.O.Box 2003, Addis Ababa, Ethiopia.
E-mail: Melakutafese12@gmail.com
Received: October 11, 2021; Accepted: December 03, 2021; Published: December 07, 2021
Citation: Melaku Tafese Awulachew. Black Cumin (Nigella sativa L): A Review on Effect and Scientific Developments in Animal and Human Ailments. Int J Med Biotechnol Genetics. 2021;8(11):64-72. doi: dx.doi.org/10.19070/2379-1020-2100011
Copyright: Melaku Tafese Awulachew© 2021. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
Abstract
This review aimed to strength the effect of black cumin to remedies of different diseases. The seed of Nigella sativa has been
used around the world for centuries to treat various animal and human ailments. So far, numerous studies demonstrated the
seed of Nigella sativa and its main active constituent, thymoquinone, to be medicinally very effective against various illnesses
including different chronic illness: neurological and mental illness, cardiovascular disorders, cancer, diabetes, inflammatory
conditions, and infertility as well as various infectious diseases due to bacterial, fungal, parasitic, and viral infections. The
strong antioxidant property of this valued seed has recently gained increasing attention with regard to its potential role as
dietary supplement with minimal side effects.
2.Introduction
3.Methods
4.Result
5.Discussion
6.Conclusion
7.References
Keywords
Black Cumin; Pharmacological; Phytochemicals; Folk Remedies; And Toxicological Properties.
Introduction
The seed of Nigella sativa has been used around the world for
centuries to treat various animal and human ailments. Recently,
the usage of phyto-medicine has been amplified dramatically for
numerous ailments because of not only their easy accessibility
and low cost but also the belief that natural remedies have fewer
harmful effects as compared to synthetic medicines [1].
The development of new products from natural sources is also
encouraged because it is estimated that, of the 300,000 herbal
species that exist globally, only 15% have been explored for their
pharmacological potential [2]. Among several medicinal plants,
Nigella sativa L. (Ranunculaceae) has been considered one of the
most treasured nutrient-rich herbs in history around the world
and numerous scientific studies are in progress to validate the traditionally
claimed uses of small seed of the is species [3, 4]. The
maximal nutritional value of black cumin can be linked to the
presence of substantial amount of vegetable protein, fiber and
minerals, and vitamins.
The phytochemical analyses of N. sativa displayed the presence
of over hundreds of phyto-constituents which include mainly alkaloids,
saponins, sterols, and essential oil but the composition
of many of these have not been chemically recognized nor have
been biologically verified. The N. sativa seed contain 26-34%
fixed oil of which the major fatty acids are linoleic acid (64.6%)
and palmitic acid (20.4%). The seed oil is comprised of 0.4%-
2.5% essential oil [5, 6].
Amongst different active constituents reported so far, thymoquin
one found as major component to the essential oil is the most bioactive
compound and exhibits wide ranging therapeutic benefits
[7]. The nutritional composition reported from different sources
revealed 20-85% of protein,38.20% of fat, 7-94%of fiber, and
31.94%of total carbohydrates. Among various amino acids identified
glutamate, arginine, and aspartate while cysteine and methionine
were the major and minor amino acids, respectively. Black
cumin seeds also contain significant levels of iron, copper, zinc,
phosphorus, calcium, thiamin, niacin, pyridoxine, and folic acid
[3, 4]. In this review, the alternative health value has been highlighted
including authentication studies of Nigella sativa.
Methods
Black cumin or Nigella sativa has been broadly studied for years,
studies have reported that it possesses a number of medicinal
properties, Toxicological, physicochemical, and pharmacological actions. The relevant literatures with respective subtopics, have
used Scopus Google Scholar, PubMed, grey literatures and Science
Directs using different searching terms such as “Black cumin”
or “Black seed” and respective disease conditions.
Physico-chemical properties and chemical composition of
Nigella sativa oil
Nigella sativa oil was typically obtained by non-polar solvent
extraction and cold-press procedure. The oil contents in most
Nigella seeds studied were typically 30-40%, depending on environmental
conditions such as water-stress, saline conditions,
and temperatures [8, 9] the oil contents of Nigella seeds obtained
from Morocco using hexane extraction and cold press-extraction
yielded 37% and 27%, respectively. Some physico-chemical parameters
were also affected by techniques used for oil extraction
[10]. Also compared the yields of NSO obtained by three different
extracts. The highest yield was observed using Soxhlet (37.33
± 0.15%), using petroleum ether as a solvent, over Modified
Bligh–Dyer with a yield of 33.24 ± 0.59% and hexane extraction
with a yield of 31.76 ± 0.64% [11].
Black cumin in Folk Remedies
Nigella sativa has been widely used as a spice and flavoring agent
in variety of food preparations such as in bread, yogurt, pickles,
sauces, and salads. Seed of black cumin has long been used in traditional
remedy in the Arabian countries, Far East Asia, Europe,
and Africa [12].
Nigella sativa has also been described as the miraculous plant
and considered by earliest herbal specialists as “The herb from
heaven” [13]. The curative powers of the black seed as “Hold on
to use this black seed, as it has a remedy for every illness except
death” [14]. Avicenna, a well-knownphysicianof10th century famous
for his book “The Canon of Medicine,” has recommend
use of Nigella seeds for enhancement of body’s energy and also
support during recovery from fatigue and dispiritedness.
Nigella sativa is also mentioned for its curative property in the
Holy Bible and is also labelled as Melanthion by Hippocrates and
Dioscorides [15, 16]. The medicinal use of black cumin seeds in
various traditional herbal systems is known for a wide range of
ailments which include different airway disorders, for pain such
as chronic headache and back pain, diabetes, paralysis, infection,
inflammation, hypertension, and digestive tract related problems
administered in different kind of preparations. It has also been
used topically where it is applied directly to the blisters, nasal abscesses,
orchitis, eczema, and swollen joints [14]. Keeping in view
of the numerous traditional medicinal uses of N. sativa seeds and
its active component, thymoquinone, this valuable her can be explored
as an effective folk medicine with multiple pharmacological
actions.
Effects of Nigella sativa on Male Infertility
In fertility is the in capability of a copulate to attain offspring
after 12 months of intercourse without contraception. It is more
prevalent among men than women [17]. Sperm dysfunction is the
main problem related with men infertility which accounts 60% of
all reasons.
The structure, function, motility, and survival of sperm are deleteriously
affected by oxidative stress that prominently leads to
infertility. Hence, increasing spermatozoa counts, functionality,
and sperm quality using antioxidants can improve fertility status
[18, 19]. Evidence proves that some herbal medicines can reduce
negative effects of oxidative stress by salvaging free radicals [20].
Among the various traditional plants, N. sativa was found to exhibit
remarkable antioxidant effect [21]. Alcoholic extract of N.
sativa indicated remarkable increment in the production of viable
and motile sperm cells, enhanced epididymal sperm reservation,
weight gaining of reproductive organs, blood testosterone density,
gonadotropins content, amount of mature Leydig cells, and
fertility indexes compared to the control group in male rats [22].
According to Mohammad et al., black cumin thought to trigger
a rise in spermatogenesis hormones on pituitary gland, and an
increase in the weight of reproductive organs. The study also reveals
that N. sativa can affect oxidative phosphorylation enzymes
and increases perm motility [22]. In addition, a randomized, double-
blind, placebo-controlled clinical trial was conducted on 68
Iranian infertile men and half of them receive 2.5mL of black
seed oil and the remaining received placebo twice daily for two
months. The amount and the motility of sperm and the content
of semen volume were raised significantly in black seed oil treated
group compared with placebo group after two months of therapy
[23]. This indicates that N. sativa can be a potential source for
development of natural aphrodisiac agents.
Results
Nigella sativa oil obtained by two extraction methods (hexane extraction
and cold press) have been compared in terms of Free
fatty acids (as oleic %), Iodine value (g of I2/100 g), K232, K270,
PV (MeqO2/kg), and Refractive index at 20°C. physicochemical
properties of NSO extracted by three different methods (Soxhlet
extraction using hexane, microwave extraction, and cold press)
[24]. The values of corresponding these properties were compiled
in Table 1.
Discussion
Toxicological Properties
The acute oral toxicity of active constituents of black cumin seed,
thymoquinone, lethal dose 50 value has been reported to be 2.4g
per kg of body weight of Swiss albino mice, whereas the instant
behavioral alteration at two and three g per kg of body weight of
the composite was hypo activity and trouble in breathing, while
late toxicities comprising a substantial lessening in the virtual organ
weight and glutathione distribution of the hepatic, renal, and
cardiovascular system have been reported [25]. Daily administration
of aqueous extract of N. sativa to mice for six weeks led to
death of one mouse after 2 weeks of treatment with 6.4g/kg of
administration of aqueous extract. On the other hand, 2 and 3
mice experienced death at 3rd and 5th weeks while they received
21g/kg and 60g/kg of the extract, respectively. Otherwise, no
other deaths were recorded for the application of other doses
used [26].
In addition, the sub-chronic toxicity study in mice treated with
30, 60, and 90mg/kg/day of thymoquinone for 90 days resulted
in no mortality or signs of toxicity but substantial decrement of fasting plasma glucose and also showed no change in toxicological
significance in body organs and histological investigation [25].
The toxicity of the fixed oil of black cumin in mice and rats was
also examined and the lethal dose 50 values were found to be
28.8ml/kg and 2.06ml/kg when given by oral and intra peritoneal
routes, respectively.
Chronic toxicity was also studied in rats treated daily with an oral
dose of 2ml/kg for 12 weeks’ black cumin oil, while alteration
sin vital liver enzyme levels and histopathological modifications
(heart, liver, kidneys, and pancreas) were not detected [27]. The
min or and/or negligible toxicological effects and wider therapeutic
margin of N. sativa and its active constituents, thymoquinone,
as evident by various scientific studies support its safe use for the
long-term traditional food and medicinal purposes.
Phytochemicals (High-Value Bioactive Compounds) in the
Seed of Black cumin
Several bioactive compounds from the seed of N. sativa have
been reported in the literature; among those the most important
bioactive ones are thymoquinones. Other main phytochemicals
reported from different varieties of N. sativa include sterols and
saponins, phenolic compounds, alkaloids, novel lipid constituents
and fatty acids, and volatile oils of varying composition [28].
The essential oil composition (0.4-0.45%) reported in various
studies represented about forty different compounds, amongst
the abundantly constituents identified are trans-anethole, p-cymene
limonene, carvone, α-thujene, thymoquinone, thymo-hydroquinone,
dithymo- quinone, carvacrol, and β-Pinene with various
concentration [29-31].
The quantity of most important bioactive constituent, thymoquinone,
present in the volatile oil isolated by different extraction
methods from the seeds of N. sativa varied over a wide range:
using SC-CO 2 (1.06, 4.07mg/g) [32] and by Soxhlet extraction
(2940.43mg/kg) [33] and (8.8mg/g) oil [34]. The seed oil fatty
acid composition (32-40%) has been reported by various authors
to contain mainly, linoleic, linolenic, oleic, palmitoleic, palmitic acids
together with arachidonic, eicosa-dienoic, stearic, and myristic
acid [31, 32, 35]. A new dienolate and two known monoesters
along with novel lipids have been isolated from the un saponified
extract of the seed, namely methylnonadeca-15,17-dienoate,
pentyl hexadec-12-enoate, and pentyl pentadec-11-enoate [36].
Phytosterols are important part of human diet and are gaining
greater interest due to their nutraceutical and medicinal benefits
in lowering low density lipoprotein and total cholesterol level [37].
Phytosterols are also important as characteristic compounds for
assessing the quality of vegetable oils and food labeling. The total
sterols content of black cumin seed oils as estimated by different
researchers was found to be between 18 and 42% of the un
saponified matter.
The major sterols identified were β-sitosterol, campe-sterol, stigmasterol,
and 5-avenasterol [35, 38]. Tocopherols exhibited attractive
scavenging potentials of free radicals which are believed
to terminate lipids peroxidation [39]. The total tocopherol contents
of black seed oil reported in varied quantities from diverse
sources ranged from 9.15 to 27.92mg/100g. Among the foremost
tocopherols recognized in black cumin seeds, α- and γ-tocopherol
and β-tocotrienol are well recognized [35].
Steroidal glycosides of new and known structures have been
isolated from N. sativa seeds which include 3-O-[𝛽-Dxylopyranosyl-(
1→2)-𝛼-L-rhamnopyranosyl-(1→2)-𝛽Dglucopyranosyl-
11-methoxy-16,23-dihydroxy-28-methylolean-12-enoate,
stigma-5,22-dien-3-𝛽-D glucopyranoside [40], and 3-O-[𝛽-D-xylopyranosyl-(
1→3)-𝛼-L-rhamnopyranosyl-(1→4)-𝛽-D-glucopranosyl]-
11-methoxy-16-hydroxy17-acetoxy hederagenin [41].
Moreover, alkaloids of diverse types have been isolated from the
seeds of black cumin, which include novel Dolabellane-type diterpene
alkaloids: nigellaminesA1, A2, B1, and B2 and nigella mines
A3, A4, A5, and C [42, 43] possessing lipid metabolizing property,
and indazole class of alkaloids: nigellidine, nigellicine [44, 45],
andnigellidine-4-O-sulfite [46].
Pharmacological Activities of Nigella sativa
Nigella sativa has been broadly studied in the last few decades
and studies have reported that it possesses a number of medicinal
properties and pharmacological actions.
Antioxidant Activity: Oxidative stress and an intensification in
the levels of free radicals are amongst the foremost central markers
associated with several progressive pathological conditions,
including neurological disorder, cancer, aging, and endocrine illness
[47]. To date, there has been a growing importance in the
therapeutic option of medicinal plants as natural antioxidants.
Among the various naturally occurring medicinal plants, N. sativa
has been reported for its effective antioxidant activities of in-vivo
and in-vitro studies [48].
The concomitant usage of Allium sativum and N. sativa seed in
thirty postmenopausal women after two months of consumption
revealed a significant reduction in plasma malondialdehyde levels
within creased activity in erythrocyte glutathione peroxidase and
superoxide dismutase [49]. Likewise, the fixed and essential oil of
black cumin seed revealed a significant increment of Glutathione
S-transferase, glutathione reductase and glutathione peroxidase
against oxidative stress brought by potassium bromate in rats’
model [50]. The separate administration of N. sativa and nanosized
clinoptilolite to Wistar rats also showed significant improvement
on antioxidant parameters than concomitant uses of both
extracts and diabetic groups [51].
A randomized controlled clinical trial in fifty volunteer obese
subjects also demonstrated that N. sativa seed oil along with a
less caloric diet significantly diminished the superoxide dismutase
level and body weight as compared to the placebo group in eight
weeks’ trial [52].
Moreover, the methanolic extract and essential oil fractioned
from N. sativa seed in atherogenic suspension nourished rats has
been reported effectively replenished the plasma total antioxidant
power by eighty-eight percent against free radicals [53]. Similarly,
the oil of N. sativa and thymoquinone administration markedly
ameliorated cisplatin-induced alteration on carbohydrate biotransformation
and enzymatic and nonenzymatic antioxidant defense
system in the gastric mucosa [54]. Hence, the marked antioxidant
activity of N. sativa and thymoquinone might be a potential newer
antioxidant agent and used as essential nutrients for life for health
promotion and diseases prevention.
Antidiabetic Activity: Even with the advancement in the management
of diabetes mellitus, exploration for innovative agents
continues since the existing synthetic agents have numerous
limitations [55]. The administration of black cumin seed for one
month to streptozotocin-induced diabetic rats displayed a significant
reduction of fasting plasma glucose, serum malondialdehyde,
interleukin-6, and immunoglobulin A, G, and M while substantial
increment of endogenous antioxidant enzymes; superoxide dismutase,
Glutathione-S-transferase, and catalase expression were
noticed.
The histology of pancreas in N. sativa treated group also revealed
an improvement in the pancreatic 𝛽-cells degeneration, exhibited
the maintenance of glucose homeostasis and serum lipid profiles
in diabetic human subjects [55, 56]. Generally, the possible anti
diabetic mechanisms of N. sativa might be mediated via modulation
of oxidative status (either through up regulation of endogenous
antioxidants or reduction of oxidative species) [57, 58], attenuation
of inflammation [57], improvement of lipid profiles,
increased good cholesterol (HDL-c), while reducing bad cholesterols
(LDL-c, TC, and TG) and bodyweight [55, 59, 56].
Antihypertensive Activity: Numerous antihypertensive agents
have been clinically used to control hypertension and to relieve
associated comorbid conditions. However, the effectivenessoftheseagentsisonly
in 40-60%ofhypertensive patients and commonly
combination of two or more blood lowering agents from diverse
antihypertensive classes is required to attain the desired outcomes
[60]. This eventually increases the likelihoods of untoward effects
and also raises the cost of therapy. A number of herbal products
such as the seed of N. sativa have been used and claimed to have
positive effects against elevated blood pressure.
According to a nonrandomized controlled trial, 57 patients who
were allocated to receive 2g daily supplementations of black cumin
for one year displayed a noticeable reduction in systolic, diastolic,
and mean arterial BP, heart rate, TC, LDL-c, the fractions
of TC/HDL-c, and LDLc/HDL-c while serum HDL-c was suggestively
raised compared with the corresponding baseline values
and the control group [61].
Although a trend towards reduction in BP was observed after
N. sativa administration, one randomized controlled clinical trial
failed to show a significant reduction of BP in elderly patients
with hypertension [62]. This might be because of the sample size,
dosage (300mg BID for 4 weeks) of the N. sativa used in this
study, the severity of hypertension, and study population used.
For instance, previous clinical studies conducted on mild hypertensive
patients with the dosage of 200mg BID for 4 weeks and
500mg BID for 6 weeks, respectively, showed a significant reduction
of SPB [63, 64].
In addition, it has been employed to determine the blood pressure
lowering potential and possible mechanisms of N. sativa in rats’
model, and it was found that the seed oil and nicardipine received
groups revealed substantial reduction in blood pressure. The
blood pressure diminishing effect was related with a reduction in
cardiac lipid peroxidation product and inhibitory activity of angiotensin
converting enzyme in both groups but plasma nitric oxide
level significantly increased in N. sativa oil received group than
the placebo and nicardipine received groups [65]. Black cumin
and its active component, thymoquinone, exhibited a reduction
in oxidative stress via calcium channel blockade and increasing
urine output activity which might have been linked to reduction
in blood pressure [66]. Based on majority of these reports, various
preparation of N. sativa showed a sustainable reduction of the BP
in animal models and clinical studies hence can be explored as a
promising basis of natural antihypertensive drugs.
Neuro protective Effects: Neurological disorder such as depression
is amongst the most prevailing illnesses globally. It is
principally affected by the hypo activity of neurotransmitters,
particularly owing to inadequate activity of serotonin [67]. Stress
is the chief triggering aspect in the initiation of depression and
this premise is steadily supported by various clinical observations.
Studies in experimental animals displayed that overwhelming
stress conditions produce neurochemical modifications and behavioral
deficits [68].
A large number of medicinal herbs and their isolated compounds
have been revealed to have medicinal benefits and therapeutic
potential. Among the promising medicinal plants, black cumin
is a worthwhile herb with a rich historical and religious basis to
manage depression and many other neurological disorders. The
intra gastric supplementation of thymoquinone(20mg/mL) in
aluminum trichloride and D-galactose induced neurotoxicity in
rats showed a meaningful improvement of cognition, superoxide
dismutase, and total antioxidant capacity while reducing acetyl
cholinesterase activities.
It also exhibited a reduction in malondialdehyde, nitric oxide levels,
and tumor necrosis factor-𝛼 immune re activity and amplified
brain derived neurotrophic factor and Bcl-2 levels [69]. While
the effects of repeated administration of N. sativa in rats indicated
that, there was an improvement in learning and recall status
[70]. In addition, flavonoids isolated from black cumin have been
shown to modulate critical neuronal signaling paths involved in
the processes of memory and are likely to affects synaptic plasticity
and long-standing potentiating mechanisms [71]. Based on the
wide-ranging neuro pharmacological effects, black cumin seed, its
oil, and the active principle thymoquinone can be explored as a
promising natural remedy for improvement of numerous neurological
disorders.
Anti-Inflammatory and Analgesic Effects: Inflammation has a
key role in various medical conditions such as cystic fibrosis, rheumatoid
arthritis, osteoarthritis, asthma, allergies, and cancer which
all are associated with acute and/or chronic pain. The existing
anti-inflammatory agents commonly comprise classes of drugs
that produce severe adverse effects such as gastric ulcer, bone
marrow depression, water, and salt retention, resulting from the
extended use [72]. Medicinal herbs including black cumin might
be a potential source of novel biological compounds that are safer
and with fewer side effects.
The volatile oil of black cumin and thymoquinone at various
doses revealed a dose-reliant anti in flammatory activity against
carrageen an-induced hind paw edema in rats’ parallel to indomethacin
[73]. The volatile oil of N. sativa seed also displayed a
substantial pain-relieving effect in acetic acid-induced writhing,
formalin, and tail flick tests [74]. As stated by Al-Ghamdi, the water
extract of black cumin also retained anti-inflammatory effects
in carrageenan-induced paw edema comparable to acetyl salicylic
acid at corresponding doses but failed to display antipyretic activ ity against yeast-induced pyrexia [75].
Furthermore, the alcoholic extract of black cumin exhibited
a noteworthy pain-relieving effect in mice as compared to diclofenac
sodium [76]. Additional study also showed that essential
oil of black cumin has notable activity as a painkiller in acetic
acid-induced writing, formalin, and tail flick tests. It was also revealed
that this extract might elevate a significant swimming and
anoxia tolerance time [77].
The anti-inflammatory action of thymoquinone might be related
to inhibition of the oxidative product of arachidonic acid formation,
such as thromboxane B2 and leukotriene by blocking both
cyclooxygenase and lipoxygenase enzymes [78, 79]. In addition,
the action of black cumin seed on tracheal sensitivity and pulmonary
inflammation of guinea pigs, which were exposed to breathe
Sulphur mustard together with black cumin, displayed expressively
lower magnitude compared to that of only Sulphur mustard
exposed group [80]. The bronchial relaxation effects of the boiled
extract of N. sativa in contrast with theophylline were assessed
in asthmatic patients and it was found that black cumin extract
caused substantial rises in entirely measured respiratory function
tests and the starting time of bronchodilator action of the extract
was comparable to that of theophylline [81].
The various extracts, oil, and active constituent (𝛼-hederin) of N.
sativa also show edanim provident of tracheal responsiveness and
significant anti-inflammatory activity via decreasing the release of
histamine and leukotrienes while increasing the PGE2 from them
as cells and perfused lungs in anima model of allergic asthma [82-
85]. This anti-asthmatic effect is further substantiated by different
clinical studies, and majority of them reported that different N.
sativa preparations showed an improvement of clinical symptoms
and pulmonary function as well as various asthma biomarkers [81,
86-89]. These preclinical and clinical studies evidenced the potential
anti-asthmatic effects of N. sativa but further investigations
are required to assure its efficacy.
The efficacy of black cumin oil in patients with rheumatoid arthritis
was also evaluated and data from 40 female patients diagnosed
with RA who took N. sativa oil capsules (500mg) twice
daily exhibited improvement in disease activity score compared
to placebo (P<0.05). Correspondingly, a noticeable improvement
was displayed in number of inflamed joints, incidence of morning
stiffness, and disease activity after the consumption of black
cumin [90].
Chronic inflammation has been implicated in various chronic illnesses
[(cancer, cardiovascular disorders, diabetes, Alzheimer’s
disease, epilepsy, amyotrophic lateral sclerosis, rheumatoid arthritis,
and asthma) that involve progressive and irreversible damage
to the cell and/or neurons] as well as in many infectious conditions
[91, 92]. Therefore, the crucial role of anti-inflammatory actions
of different N. sativa preparations and thymoquinone might
be the possible sources for the development to fa new gene ratio
no fa nti-inflammatory agent to treat these wider anging conditions.
Antimicrobial Activity: Antimicrobials have been the bases of
clinical medicine since the second half of the 20th century and
have saved prominent number of people from serious microbial
infections. Nevertheless, in the late 20th century and the earliest
21st century it has perceived the advent and widespread of antimicrobial
resistance in pathogenic microorganisms throughout
the globe [93, 94].
The ever-increasing terrorization of microbial infection sand
anti-microbial resistant bacteria demands for a global struggle
to discover for novel solutions that might be grounded on the
natural products such as plants, which are selected on the basis
of renowned ethno-medicinal use [95, 96]. Among the inspiring
medicinal plants, black cumin is the one that displayed strong antibacterial,
antifungal, antiviral, and antiparasitic actions.
A. Antibacterial Activity: Thymoquinone obtained from seeds
of N. sativa revealed broader spectrum activities against multiple
strains of gram-positive and gram-negative bacteria, including
Bacillus, Listeria, Enterococcus, Micrococcus, Staphylococcus,
Pseudomonas, Escherichia, Salmonella, Serovar, and Vibrio parahaemolyticus
in addition to inhibiting bacterial biofilm formation
[97].
The methyl alcoholic extract of the seed also displayed larger
inhibition zone on gram-positive (S. pyogenes) as compared to
gram-negative bacteria (P. aeruginosa, K. pneumoniae, and P. vulgaris)
[98]. For different isolates of methicillin-resistant S. aureus,
various concentrations of (100%,80%, 50%,40%,30%, and 20%)
N. sativa oils displayed an expressively higher zone of inhibitions
against all the tested bacterial strains [99].
Thymoquinone also revealed a significant bactericidal activity
against gram positive cocci with MICs ranging from 8 to 32𝜇g/
mL and proved the minimum biofilm inhibition concentration at
22 and 60𝜇g/mL for S. aureus and S. epidermidis, respectively
[100]. Moreover, black seed (2g/day) owed clinically valuable anti-
H. pylori effect comparable to triple therapy [101] and this can
provide a scientific basis for the exploration of potential uses of
this valued seed for the treatment of H. pylori-induced gas triculcers.
B. Antifungal Activity: The essential oil of N. sativa of different
origins has been reported to possess moderate inhibitory action
against pathogenic strains of yeasts, dermatophytes and nondermato
phytic filamentous fungi along with aflatoxin-producing
fungi. The N. sativa treatment targeted the cell wall, plasma membrane,
and membranous organelles, mainly in the nuclei and mitochondria
as were evident in the morphology of these toxigenic
fungi [102]. Moreover, different extracts of black cumin and thymoquinone
exhibited powerful fungicidal activity against dermatophyte
strains including Trichophyton menta grophytes and Microsporumgypseum
superior to fluconazole, but lesser than that
of ketoconazole [103].
Thymoquinone also arrested the growth of Aspergillus niger and
Fusarium solani comparable to Amphotericin-B [104] and was
effective against C. albicans, C. tropicalis, and C. krusei [105].
Similarly, as stated by Taha et al., the active constituent of black
cumin such as thymoquinone, thymo-hydro quinone, and thymol
revealed potent antifungal effect against several clinically isolated
fungal strains including dermatophytes, molds, and yeasts [106].
As a potential candidate with multiple antimicrobial activities, N.
sativa can also be explored as a natural preservative and food additive
to protect foods from spoilage.
C. Antiviral Activity: N. sativa seed oil was found to suppress
viral load in murine model: cytomegalovirus infected mice to undetectable
level in the liver and spleen in 10 days’ intra peritoneal
administration. This was possibly due to the increase in number
and function of CD4+ve T cells and increased production of
interferon- gamma [107].
Interestingly, patients (30) with hepatitis C virus infection, who
were not eligible for interferon-𝛼/ribavirin therapy showed significant
improvement in hepatitis C virus viral load (16.67% became
seronegative and 50% showing significant decrement) and
proved laboratory parameter like total protein, red blood cell, and
platelet count, decreased fasting blood glucose, and postprandial
glucose in both diabetic and nondiabetic hepatitis C virus patients
and reduced lower-limb edema after they are managed with black
cumin seed oil [108].
According to a case report conducted by Oni fade et al., after
treatment with 10mL of black seed twice daily for 6 months, a
complete regaining and sero reversion of a 46-year-old HIV positive
patient was evidenced [109]. In addition, a 27-year-old HIV
infected woman was diagnosed during ante-natal care; she was
note ligible for antiretroviral therapy; hence herbal therapist initiated
her on black cumin and honey mixture (10mL) thrice daily
for a year. The repeat serology assessments for HIV infection became
negative with undetectable viral load.
The woman also got 3 children (2007, 2010, and 2012) that all
were breastfed and none of the children infected with HIV and
her repeat CD4 count was not less than 750 cells/𝜇L [110]. Nowadays
HIV/AIDS is a serious global threat and, in this regard, N.
sativa can be a promising natural therapy to cure such a chronic
infectious disease, after validating its full therapeutic efficacy by
further investigations.
D. Antiparasitic Activity: Nigella sativa seeds have shown schistose
medical properties against Schistosoma man soni (in vitro),
through a strong biocidal effect against all stages of the parasite
and an inhibitory effect on egg-laying of adult female worms
[111, 112]. Anointment of N. sativa seed significantly contracted
and inhibited the inflammatory reactions to cutaneous leishmani
as is produced experimentally inmice by a subcutaneous inoculation
of Leishmani a major at the abaxial base of the tail [113].
N. sativa extract at a dose of 1.25g/kg prominently lowered Plasmodium
yoelii infection in mice by 94%; however, the effect of
chloroquine was only 86% as compared to the untreated group.
In addition, methanolic extract of N. sativa revealed higher parasite
clearance and restoration of altered biochemical indicators
by P. yoelii infection than chloroquine [114]. Thus, considering
N. sativa for future anti parasitic agents will have a very important
input after conduction of further investigation of its curative,
prophylactic and chemo preventive activity particularly in the era
of emerging anti-malarial drug resistance.
Anticancer Activity: Cancer is a bigger challenge in medical science
as the incidence of this health disorder is rapidly growing
across the world. This prompts the efforts to search some effective
natural anticancer therapies alternative to currently employed
chemotherapies with limited applications. As there are ten cancer
hallmarks which are common to most tumors, thymoquinone, a
major active component of N. sativa, plays great role in affecting
all markers of cancer [115].
Future Prospects
Both animal and human studies also showed that black seed and
thymoquinone have potential to treat male infertility and their antioxidant
activities have recently gained greater attention due to
their role as dietary supplements with minimal side effects.
Moreover, when combined with different conventional chemotherapeutic
agents, they synergize the effects which may reduce
the dosage of the concomitantly used medicines and optimizing
efficacy versus toxicity and it might also overcome drug resistance
problem. Therefore, having wider safety margins and praiseworthy
efficacy against wider range of maladies, it would be a potential
herbal remedy to be assessed under clinical trial for numerous
conditions. Isolation of novel bioactive components from black
cumin and its oil and studies of their therapeutic effects using
specific clinical models are further recommended.
Conclusion
Traditional medicinal plants have received much attention due to
several factors such as low cost, ease of access, and lower adverse
effect profiles as compared to synthetic medicines. Besides,
various medicinal floras and their products are used on the basis
of religious and cultural traditions. Among various plants, black
cumin has been used by diverse human cultures around the world
to treat numerous ailments.
To date, a number of studies showed that black seed and its component
including thymoquinone have revealed a remarkable natural
therapy for treatment of a wide range of illnesses including
chronic noninfectious (neurologic disorders, DM, hypertension,
dyslipidemia, inflammatory disorders, cancer, etc.) and infectious
disease (bacterial, fungal, viral, and parasitic infections).
In spite of limited studies conducted so far, the promising efficacy
of N. sativa against HIV/AIDS can be explored as an alternative
option for the treatment of this pandemic disease after substantiating
its full therapeutic efficacy. Moreover, the strong antioxidant
property of this valued seed has recently gained increasing attention
with regard to its potential role as dietary supplement with
minimal side effects.
Besides, when combined with different conventional chemotherapeutic
agents, it synergizes their effects resulting in reducing the
dosage of concomitantly seed drugs with optimized efficacy and
least and/or no toxicity. A number of pharmaceutical and biological
properties have been a scribed to seeds of N. sativa.
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