Serotonin
or 5-hydroxytryptamine (5-HT) is a monoamine neurotransmitter which has broad
distribution in the brain. It was discovered by Erspamer and Asero in the 1950s.
5-HT is synthesized in two steps, with Tryptophan Hydroxylase (TPH) as therate-limiting enzyme. First, tryptophan is converted to 5-hydroxytryptophan
(5-HTP) by TPH. Second, the intermediate product, 5-HTP, is converted to 5-HT
by aromatic acid decarboxylase (AADC). 5-HT is primarily degraded by the
mitochondrial bound protein Monoamine Oxidase A (MAOA), leading to the
generation of the metabolite, 5-hydroxyindoleacetic acid (5-HIAA). Importantly,
serotonin is also a substrate for melatonin synthesis. 5-HT is released from
the axonal terminals of serotoninergic neurons and acts on 14 distinct receptor
subtypes that are classified into 7 different families: 5-HT1 (1A, 1B, 1D, 1E,
1F), 5-HT2 (2A, 2B, and 2C), 5-HT3, 5-HT4, 5- HT5 (5A, 5B), 5-HT6, and 5-HT7.
Among all these receptors, only 5-HT3 receptor is a pentameric ligand-gated ion
channel composed of several subunits of which 5 different types have been
identified. All other 5-HT receptors are G-protein coupled receptors which
regulate the activity of the neurons expressing them. Released serotonin is
transported to the presynaptic neurons by serotonin transporter (SERT or
5-HTT), a type of monoamine transporter protein.

Serotonergic
neurons are located in the raphe nuclei. While the more caudal raphe nuclei
project to the Peripheral Nervous System (PNS), the neurons in the dorsal and
median raphe nuclei (DRN and MRN) primarily send their projections to forebrain
regions. 5-HT is critically involved in the development of many cortices, such
as somatosensory cortex and barrel cortex. In adult brain, 5-HT neurons project
to majority of cortical areas, including the entorhinal and cingulate cortices.
However, of all cortical regions, the frontal lobe contains the highest density
of serotonergic terminals and 5-HT receptors. These studies indicate that 5-HT
regulates cognitive and emotional functions that rely on frontal cortical
activity.(Read more)
Efonidipine hydrochloride ethanolate (NZ-105), (±)-2-
[Benzyl(phenyl)amino]ethyl-1,4-dihydro-2,6-dimethyl-5-(5,5-dimethy
-2-oxo-1,3,2-dioxaphosphorinan-2-yl)-4-(3-nitorophen-yl)-3- pyridine carboxylate
hydrochloride ethanol, is a dihydropyridine calcium antagonist with aphosphonate backbone and that was discovered at Nissan Chemical Industries, Ltd. This active drug
ingredient was initially studied for development as a hydrochloride salt
without ethanol, obtained through the addition of hydrochloric acid to
efonidipine acetone solution. It showed an excellent antihypertensive effect in
patients with various kinds of hypertension (essential, severe, renal).
Efonidipine has slow onset and long duration of action.

It is well known that many 1,4-dihydropyridine derivatives are subject
to the first-pass effect, and that the primary metabolismstep of most derivatives
involves oxidation of the dihydropyridine ring to the corresponding pyridine
analogue. However, it has been suggested that efonidipine is less likely to be
subject to the first-pass effect than other dihydropyridine derivatives and
that its dihydropyridine ring is oxidized mainly after metabolism of the side
chain. Additionally, efonidipine has distinct properties when compared with
other calcium channel blockers. The studies indicated that efonidipine therapy
simultaneously improves blood pressure, endothelial function, and metabolic
parameters without substantially altering insulin sensitivity in non-diabetic patients
with hypertension.(Read more)
Epigenetic alterations play
important roles in a wide variety of physiological and pathological events. As
one of the most important epigenetic regulators, Histone Deacetylases (HDACs)
are able to deacetylate lysine residues on histone and non-histone proteins,regulating chromatin structure, gene expression and protein function. Eighteen
human HDACs have been identified and grouped into 4 classes based on their
homology to respective yeast orthologous. The human sirtuins family, homologs of
the yeast silent information regulator 2(Sir2), belongs to class III HDACs.
They are NAD+-dependent deacetylases and contain seven members (SIRT1-7) with
varied functions, structures, and localizations. Among them, SIRT1 is the most
extensively studied, primarily because of its regulation of diverse cellular
targets and functions as well as its therapeutic potential.

Human SIRT1 comprises 747 amino
acids divided into three main regions: the central core, possessing the
deacetylase domain, which consists of a large NAD+-binding subdomain with a
Rossmann fold and a smaller subdomain composed of a helical module and a Zn2+-
binding module, and the N- and C-terminal domains, containing regulatory
elements and binding domains for SIRT1 co-activators or repressors.(Read more)
Iron, as the most abundant
transition metal in the human brain, occurs with uneven distribution. Highest concentration
of iron can be observed in areas associated with motor function (Globus
pallidus, putamen, Substantia nigra) than in other areas of the human
brain. Therefore, the actual role of iron accumulation in brain pathobiology isan active area of investigation nowadays.It is evident that amount of iron in
brain gradually grows with age. Accumulation of iron in basal ganglia is
probably associated with neuronal death leading to Alzheimer disease, Parkinson
disease, epilepsy, Huntington disease, dementia with Lewy bodies, and multiple
sclerosis. It was reported that iron participates in redox reactions, and
catalyzes the formation of reactive oxygen species responsible for oxidative
stress and damaging processes.

Iron in the human brain can be
found mostly in the form of ferritin, hemosiderin (a product of ferritin
breakdown) and other biomineralized oxidohydroxides and oxides such as hematite,
magnetite, and maghemite. Ferritin, as an iron storage nonheme-protein with
diameter up to 12 nm, consist of inorganic core (6 nm) formed of ferrihydrite and
minor portion of magnetite and hematite that is enclosed by two types of
polypeptides. The role of the heavy (Ft-H) form polypeptide coat of ferritin is
to catalyze Fe(II) to Fe(III) ions whereas the light (Ft-L) polypeptide coat
promotes the formation of ferritin iron core.The amount of Ft-H and Ft-L
polypeptide coats changes during ageing and the magnetic properties of ferritin
can also alter.(Read More)
At the root of many of society’s
major health concerns plaguing millions of Americans each year is the concept
of inflammation. Encompassing cardiovascular, oncologic, dermatologic, painmanagement, and neurologic diseases, the peripheral and systemic manifestations
of inflammation has been increasingly shown to be a major culprit in disease
spread. Broad examples of this can be seen in various neurologic disease
states.

Demyelinating diseases such as Multiple Sclerosis and degenerative
changes associated with dementia have many factors with inflammation being one
of those. The inflammatory cascade with its incorporation of pro inflammatory
cytokines and transcriptional factors has been shown to be suggestive in the
pathophysiology of these diseases. Similarly, glial cells, acting as neural
supports, have been shown to play a role in the production of these same pro
inflammatory cells (IL-1B, IL-6, IL-8, TNF-alpha). The overproduction of these
mediators is suggestive of neurodegenerative progression in both acute
(ischemic injury) and chronic degenerative neural disorders. Acknowledgement
and addressment of the inflammatory cascade has led to novel treatment
strategies such as the use of sirtuins.(Read more)
The family Lamiaceae of
which the genus Ocimum belongs is composed of diverse and rich source of
essential oil containing plants. Ocimum contains between fifty to one hundredand fifty species of herbs and shrubs from the tropical regions of Asia,
Africa, and Central and South America. O. gratissimum L. is referred to as holy
basil. In Sierra Leone, it is known as “Tea bush” (Krio) and “orgbethor”
(Themne) while it is known as “efirin nla” in the Yoruba speaking culture of
Nigeria. O. basilicum L. is also referred to as sweet basil. It is known as
“Patmenji” (Krio) and “Sorow” (Themne) of Sierra Leone and “efinrin wewe” by
the Yorubas. O. americanum L. (synonym of O. canum Sims) is known as American
basil or hoary basil.

In Sierra Leone both the available varieties of O.
americanum L and O. basilicum L. are used in culinary as “Patmengy”
indiscriminately. The different varieties of O. gratissimum L. [implying
different chemotypes] have been used extensively in the traditional system of
medicine in many countries as had been reviewed. The main issues of concern
with the use of herbal drugs remain safety, validation of claims and standardisation
of product. There exist the problems of significant variation in the content of
Ocimum plants across and within species, with implication of varied biological
activities.(Read more)
Neurodegenerative diseases
(ND), such as Alzheimer's (AD) and Parkinson's disease (PD), are chronic
degenerative pathologies of the Central Nervous System (CNS). NDs arecharacterized by progressive loss of specific neurons which further leads to adecline in brain functions. Despite the fact that pathologies have different
clinical features, there are some common hallmarks, such as synaptic
dysfunctioning, oxidative stress, and inflammation. The NDs are caused by an
enhancement of ROS production via mitochondria and NADPH oxidase (NOX), which
seems to account for tissue injury and neurodegeneration.

Nowadays, NDs are
chronic and incurable conditions, and the disabling effects may continue for
years or even decades representing an enormous disease load, regarding human
suffering and economic cost. In neuronal cells, the over production of ROS is
considered as one of the risk factors for NDs. Disruption of redox homeostasis
is a key phenotype of many pathological conditions. Hydrogen peroxide (H2O2),
the main source of ROS, can cause cell membrane injury as well as lipid
peroxidation and DNA damage in variety cells. However, antioxidants were able
to protect cells against H2O2-induced cell death via
reducing ROS production.(Read more)