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Data Descriptor

Fabaceae: South African Medicinal Plant Species Used in the Treatment and Management of Sexually Transmitted and Related Opportunistic Infections Associated with HIV-AIDS

by
Nkoana Ishmael Mongalo
1,* and
Maropeng Vellry Raletsena
1,2
1
CAES Laboratories, College of Agriculture and Environmental Science, University of South Africa, Private Bag x06, Florida Park 0710, South Africa
2
Department of Agriculture and Animal Health, College of Agriculture and Environmental Science, University of South Africa, Private Bag x06, Florida Park 0710, South Africa
*
Author to whom correspondence should be addressed.
Data 2023, 8(11), 160; https://doi.org/10.3390/data8110160
Submission received: 1 September 2023 / Revised: 2 October 2023 / Accepted: 13 October 2023 / Published: 24 October 2023

Abstract

:
The use of medicinal plants, particularly in the treatment of sexually transmitted and related infections, is ancient. These plants may well be used as alternative and complementary medicine to a variety of antibiotics that may possess limitations mainly due to an emerging enormous antimicrobial resistance. Several computerized database literature sources such as ScienceDirect, Scopus, Scielo, PubMed, and Google Scholar were used to retrieve information on Fabaceae species used in the treatment and management of sexually transmitted and related infections in South Africa. The other information was sourced from various academic dissertations, theses, and botanical books. A total of 42 medicinal plant species belonging to the Fabaceae family, used in the treatment of sexually transmitted and related opportunistic infections associated with HIV-AIDS, have been documented. Trees were the most reported life form, yielding 47.62%, while Senna and Vachellia were the frequently cited genera yielding six and three species, respectively. Peltophorum africanum Sond. was the most preferred medicinal plant, yielding a frequency of citation of 14, while Vachellia karoo (Hayne) Banfi and Glasso as well as Elephantorrhiza burkei Benth. yielded 12 citations each. The most frequently used plant parts were roots, yielding 57.14%, while most of the plant species were administered orally after boiling (51.16%) until the infection subsided. Amazingly, many of the medicinal plant species are recommended for use to treat impotence (29.87%), while most common STI infections such as chlamydia (7.79%), gonorrhea (6.49%), syphilis (5.19%), genital warts (2.60%), and many other unidentified STIs that may include “Makgoma” and “Divhu” were less cited. Although there are widespread data on the in vitro evidence of the use of the Fabaceae species in the treatment of sexually transmitted and related infections, there is a need to explore the in vivo studies to further ascertain the use of species as a possible complementary and alternative medicine to the currently used antibiotics in both developing and underdeveloped countries. Furthermore, the toxicological profiles of many of these studies need to be further explored. The safety and efficacy of over-the-counter pharmaceutical products developed using these species also need to be explored.
Dataset License: Attribution 4.0 International (CC BY 4.0)

1. Summary

South African traditional medicine (SATM) involves the use of medicinal plants, animal fats and bones, birds, and stones from various sources [1]. Although these plants may not be well studied, they could well serve as an alternative and complementary medicine to modern antibiotics [2]. The development of antimicrobial resistance (AR) to many of the commonly used antibiotics in developed, underdeveloped, and developing countries worldwide further supports and warrants the incorporation of the use of medicinal plants in treating a variety of devastating human illnesses, particularly sexually transmitted and related infections [3]. Sexually transmitted infections (STIs) primarily spread through various types of sexual contact, including unprotected sexual intercourse. These increase the chances of HIV infection through semen and vaginal fluids [4]. As there is no cure yet, HIV progresses and result in a plethora of opportunistic infections, the further loss of immunity, and possible hospitalization, which would lead to excessive financial costs [5]. STIs may well be caused by a variety of microorganisms of different origins, which may be resistant to many common antibiotics (Table 1).
It is also important to note that the rate at which antibiotics are discovered is extremely slow, hence the use of medicinal plants is critical. Fabaceae is the second largest family of medicinal plants, containing 751 genera and approximately over 19,500 plant species, most of which have been used as traditional medicines and are mainly trees, shrubs, and perennial or annual herbaceous plants, which are easily recognized by their distinct fruit (legume) [6,7]. Medicinally, the species are used in the treatment of a variety of devastating human and animal infections, ranging from pain and inflammation, tuberculosis, infertility, STIs, mastitis, and many other life-threatening illnesses [8,9]. In the current work, South African medicinal plants from the Fabaceae family, used in the treatment of sexually transmitted and related infections, are documented from various search engines such as Google Scholar, PubMed, Web of Science, and Science direct, as well as other sources such as books and various theses and dissertation documents from various universities within the country. Although plenty of medicinal plants in South Africa are reported to treat STIs and related infections, it is important to note that there is little evidence, particularly on the in vitro antimicrobial activity of these plants against a plethora of microorganisms implicated as causative agents of STIs [10]. Furthermore, in vivo and toxicological aspects of these plants need to be explored. This is imperative as many of these reported medicinal plants are major ingredients of medicines sold over the counter in many unregistered pharmacies within South Africa. This is a major setback to traditional medicine in Africa at large. It is also important to further explore the phytocompounds, individually or synergistically, against major causative agents of STIs.

2. Data Description

Medicinal plants from the Fabaceae family, used in the treatment of sexually transmitted and related infections, are summarized in Table 2, with columns showing the plant species (scientific names) matched using the Plantzlist, National Biodiversity Institute (NBI) to comply with both national and international standards [10]. Furthermore, to avoid using synonyms of the medicinal plants documented and to verify the authors’ names, https://powo.science.kew.org/ (accessed on 24 August 2023) was also used. Various plant parts used and indigenous names (various vernacular names notated in letters: Z—Zulu; X—Xhosa; Tsh—Tshivenda; S—Sotho; and E—English), mode of preparation, indications of specific use and the number of citations from the literature were also reported.
The Fabaceae family from a plethora of countries have been reported to be dominant in the treatment of many human and animal infections [52]. According to Asfaw and Abebe [53], the family comprises many plant species with diverse characteristics, which makes it one of the most important families to humans and is used as medicine, crops, green manures, and forages. From the 42 medicinal plant species documented, most of the plant species are trees (47.62%), followed by shrubs (42.85%) and herbs (9.52%) as shown in Figure 1. Elsewhere, the dominance of the use of trees and shrubs has been widely reported [54,55]. Senna was the most represented genus, recording six plant species, while Albizia recorded three species, and the other five genera such as Senegalia, Philenoptera, Erythrina, Pterocarpus, and Elephantorrhiza, recorded two plant species each (Figure 2). According to Oladeji et al. [56], members of the genus Senna are important in African traditional medicine and are used to treat a variety of devastating human and animal ailments, and yields some important pharmacological activities that includes antimicrobial, antipyretic, antimalarial, antidiabetic, anti-inflammatory, and antiproliferative activities. Over and above the biological activities reported, the species may well regulate oxidative stress in many cardiovascular diseases [57]. The major phytocompounds of the genus mainly include volatile oils, glycosides, tannins, terpenoids, anthraquinones, saponins, tannins, flavonoids, and a plethora of alkaloids, which may well account for their diverse uses in traditional medicine [58].
Although Senna species are dominant, it is important to note that in traditional medicine, plants are combined and taken orally until the infection, particularly sexually transmitted infection, is healed [48]. The combined version of plants is believed to prevent microbial resistance and further purge the disease. However, the role of purgatives has not been well studied scientifically. With plant species reported in the current study, P. africanum, E. burkei, and Cassia abbreviata may be boiled to treat many unidentified STIs and a plethora of opportunistic infections associated with HIV-AIDS [59]. Peltophorum africanum recorded the highest number of citations (14), followed by Vachelia karroo and Elephantorhiza burkei with 12 and Elephantorhiza elephantina with 11 citations (Figure 3). According to Maroyi [60], the leaves, roots, and stem bark from P. africanum are generally used to treat syphilis in Zimbabwe, while a stem bark from P. africanum is used to treat gonorrhea and some opportunistic infections associated with HIV-AIDS [51]. These results corroborate our results on the dominance of the use of plant species in treating STIs across a variety of cultures and countries. Although the plant species is dominant, the scientific validation of the species against a plethora of causative agents is lagging and still needs to be explored from in vitro and in vivo to clinical trials.
Most of the plant parts used from the Fabaceae species were roots at 57.14% followed by stem bark at 27.53%, and leaves (10.20%), seeds (4.04) and whole plant at 2.04%, respectively, as shown in Figure 4 below. Although the dominant plant parts used may possess a plethora of significant secondary metabolites that may well explain the choice of the plant part, it is important to note that the use of roots and stem bark may be detrimental to the health of the plant species, leading to either the extinction or depletion of both species’ diversity and richness. In Southern Africa, many of the documented plant species are drastically reduced in their natural environment [27,29,31,43]. Some species, particularly trees, are used for other purposes that may include firewood, building huts, fences, kraals, and hunting. For example, Cassia abbreviata stem bark is used in the Tsonga culture to cook the meat of an animal that was killed while hunting [61]. This is believed to provide the hunters with a stronger chance of killing the other animals, which are used as meat that alleviates hunger in many communities.
In the mode of administration of the plant species, most of the plant species are boiled and taken orally (51.16%), while 37.21% of the species do not mention mode of administration (Figure 5). This may well explain how sacred the traditional healers and traditional folks treat their knowledge. However, in most African cultures, sexuality is a strict and difficult topic that is less likely to be discussed publicly [62]. To a lesser extent, the documented medicinal plants are administered as mouth wash/blisters (4.65%), enema, applied directly to the affected skin and when the plant species are infused in water. It is important to note that both immersion and boiling of plants is made using water as a solvent. In our recent study, higher amounts of heavy metals were detected in plant-based medicines prepared in water with an intention of treating STIs, particularly impotence [63].
Amazingly, the highest % of the Fabaceae plant species are used in the treatment of impotence (29.87%), followed by unidentified STIs (25.97%) and opportunistic infections associated with HIV-AIDS (18.18%), while the lower percentages were recorded for infections such as genital warts and “divhu” and “makgoma” at 2.60%, respectively (Figure 6). Divhu is a TshiVenda word that means “go wela” in Sepedi, meaning the male individual would have slept with a woman who had an unidentified STI or was on her period [17], which then made him sick. In most instances, it specifically refers to a situation where a woman was on her period or had miscarried an unborn baby and had intercourse.
Many authors have reported syphilis and gonorrhea to be highly prevalent in Africa [64,65,66,67]. In the current work, the data reported support the indigenous use of the various Fabaceae plant species used in the treatment of sexually transmitted and associated opportunistic infections associated with HIV-AIDS from various cultures and ethnic groups. Some of the species are also used for a similar purpose in other sub-Saharan countries showing a wider cross-cultural use [49,60].

3. Methods

3.1. Strategy for Literature Search

The information contained in the current work was collected as part of a literature search in various computer databases such as ScienceDirect, Scopus, Scielo, Scifinder, PubMed, Web of Science, and Google Scholar. Additional information was also obtained from various academic dissertations, general plant sciences, ethnomedicine, and other relevant ethnobotanical books. This was performed according to the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement (from 1990 to December 2023) [68]. Key words such as South Africa, medicinal plants, sexually transmitted infections, opportunistic infections associated with HIV-AIDS, ethnomedical applications, survey, and ethnopharmacological aspects were used interchangeably. The limitation of the current study lies primarily in the exclusion of the plant species traditionally used to treat tuberculosis only.

3.2. Data Mining

To create the data, the inclusion criteria were the following: (1) the literature has an ethnobotanical or ethnopharmacological context and the articles should be ethnobotanical field studies/surveys reporting on one or more plants with an indication of use for the treatment of sexually transmitted infections (STIs) and related diseases; (2) the place of study must be South Africa; (3) the study must focus on plants; and (4) the coursework must be written in English. On the other hand, the exclusion criteria were as follows: (1) articles without scientific plant names; (2) review articles; and (3) papers focusing on animals and other natural resources used to treat sexually transmitted diseases and other conditions such as tuberculosis. Plant species reported to treat urinary tract infections, infertility, cancer sores with no evidence of HIV-AIDS, bladder problems, chapped lips, as well as to increase libido and laxatives were also excluded. Plant species were further verified using SANBI (South African National Biodiversity Institute) and the website The Plant List (http://www.theplantlist.org, accessed 9 October 2022). Moreover, https://powo.science.kew.org/ (accessed on 24 August 2023) was also used to validate the authors’ and species’ names. Data were collected with the help of library staff at the University of South Africa (Florida campus). In the current work, plant species with only genus names were omitted from the search engine. The papers, books, and other sources used in the current work have been reviewed for inclusion and range from 1990 to 2023. Contributions that appeared as duplicates, were cited in abstract form, or were not in English were excluded (Figure 7). The task was performed by the first author and confirmed by the second author. For each of the relevant articles, the scientific names, family, parts of plants, method of preparation, and use in the treatment and treatment of sexually transmitted and related opportunistic infections were recorded.

Author Contributions

Conceptualization, N.I.M. and M.V.R.; methodology, N.I.M. and M.V.R.; software, M.V.R.; validation, N.I.M.; formal analysis, M.V.R.; investigation; resources, N.I.M. and M.V.R.; data curation, N.I.M.; writing—original draft preparation, N.I.M. and M.V.R.; writing—review and editing, M.V.R.; visualization, N.I.M.; supervision, M.V.R.; project administration. All authors have read and agreed to the published version of the manuscript.

Funding

This research received no external funding.

Institutional Review Board Statement

The study was conducted in accordance with the Declaration of Helsinki and approved by the Institutional Review Board (or Ethics Committee) of University of South Africa, (Mongalo NI 90229436).

Informed Consent Statement

Not applicable.

Data Availability Statement

Data for this work are available at https://www.mdpi.com/article/10.3390/plants11233241/s1 (accessed on 25 November 2022).

Acknowledgments

The authors are thankful to the University of South Africa library staff for assistance with the library books and retrieval of archives and papers from various search engines identified by the researchers.

Conflicts of Interest

The authors declare no conflict of interest.

References

  1. Cock, I.E.; Selesho, M.I.; Van Vuuren, S.F. A review of the traditional use of southern African medicinal plants for the treatment of malaria. J. Ethnopharmacol. 2019, 245, 112176. [Google Scholar] [CrossRef]
  2. Ugboko, H.U.; Nwinyi, O.C.; Oranusi, S.U.; Fatoki, T.H.; Omonhinmin, C.A. Antimicrobial Importance of Medicinal Plants in Nigeria. Sci. World J. 2020, 2020, 7059323. [Google Scholar] [CrossRef] [PubMed]
  3. Van Vuuren, S.; Frank, L. Review: Southern African medicinal plants used as blood purifiers. J. Ethnopharmacol. 2020, 249, 112434. [Google Scholar] [CrossRef]
  4. Komorowski, A.S.; Lo, C.K.; Kapoor, A.K.; Smieja, M.; Loeb, M.; Mertz, D.; Bai, A.D. More than a decade since the latest CONSORT non-inferiority trials extension: Do infectious diseases trials do enough? Clin. Infect. Dis. 2023, ciad574. [Google Scholar] [CrossRef]
  5. Mongalo, N.I. Isolation and Characterization of Bioactive Compounds from Six South African Medicinal Plants Used in the Treatment of Sexually Transmitted and Related Infections. Ph.D. Thesis, University of KwaZulu-Natal, Pietermaritzburg, South Africa, 2022. [Google Scholar]
  6. Abd-AlRazik Abusaief, H.M.; Boasoul, S.H. A taxonomic study of twelve wild forage species of Fabaceae. Heliyon 2021, 7, e06077. [Google Scholar] [CrossRef]
  7. Alharbi, S.A.; Al-Qthanin, R.N. New records of Indigofera cordifolia Heyne ex Roth. (Fabales: Fabaceae) in Saudi Arabia based on morphological and molecular evidence. J. Asia-Pac. Biodiv. 2020, 13, 430–437. [Google Scholar] [CrossRef]
  8. Twilley, D.; Rademan, S.; Lall, N. A review on traditionally used South African medicinal plants, their secondary metabolites and their potential development into anticancer agents. J. Ethnopharmacol. 2020, 261, 113101. [Google Scholar] [CrossRef] [PubMed]
  9. Moroole, M.A.; Materechera, S.A.; Mbeng, W.O.; Aremu, A.O. Medicinal plants used for contraception in South Africa: A review. J. Ethnopharmacol. 2019, 235, 19–27. [Google Scholar] [CrossRef] [PubMed]
  10. Mongalo, N.I.; Raletsena, M.V. An Inventory of South African Medicinal Plants Used in the Management of Sexually Transmitted and Related Opportunistic Infections: An Appraisal and Some Scientific Evidence (1990–2020). Plants 2022, 11, 3241. [Google Scholar] [CrossRef]
  11. Erasmus, L.J.C.; Potgieter, M.J.; Semenya, S.S.; Lennox, S.J. Phytomedicine versus Gonorrhoea: The Bapedi experience. Afr. J. Tradit. Complement. Altern. Med. 2012, 9, 591–598. [Google Scholar] [CrossRef]
  12. Mahwasane, S.T.; Middleton, L.; Boaduo, N. An ethnobotanical survey of indigenous knowledge on medicinal plants used by the traditional healers of the Lwamondo area, Limpopo Province, South Africa. S. Afr. J. Bot. 2013, 88, 69–75. [Google Scholar] [CrossRef]
  13. Maema, L.P.; Potgieter, M.J.; Samie, A. Ethnobotanical survey of invasive alien plant species used in the treatment of sexually transmitted infections in Waterberg District, South Africa. S. Afr. J. Bot. 2019, 122, 391–400. [Google Scholar] [CrossRef]
  14. Buwa, L.V.; Van Staden, J. Antibacterial and antifungal activity of traditional medicinal plants used against venereal diseases in South Africa. J. Ethnopharmacol. 2006, 103, 139–142. [Google Scholar] [CrossRef] [PubMed]
  15. Buwa, L.V. Biological Activity of Traditional Medicinal Plants Used against Venereal Diseases in South Africa. Ph.D. Thesis, University of KwaZulu-Natal, Pietermaritzburg, South Africa, 2006. [Google Scholar]
  16. Fernandes, L.; Van Rensburg, C.E.J.; Hoosen, A.A.; Steenkamp, V. In vitro activity medicinal plants of the Venda region, South Africa, against Trichomonas vaginalis. S. Afr. J. Epidemiol. Infect. 2008, 23, 26–28. [Google Scholar]
  17. Mongalo, N.I.; Makhafola, T.J. Ethnobotanical Knowledge of the Lay People of Blouberg Area (Pedi Tribe), Limpopo Province, South Africa. J. Ethnobiol. Ethnomed. 2018, 14, 46. [Google Scholar] [CrossRef]
  18. Maposa, S.; Afolayan, A.J.; Otunola, G.A. Evaluation of the antimicrobial properties of Vachellia karroo Hayne Banfi and Galasso pods used traditionally for the treatment of venereal diseases. Int. J. Pharmacol. 2019, 15, 772–776. [Google Scholar] [CrossRef]
  19. Mulaudzi, R.B.; Ndhlala, A.R.; Kulkarni, M.G.; Finnie, J.F.; Van Staden, J. Antimicrobial properties and phenolic contents of medicinal plants used by the Venda people for conditions related to venereal diseases. J. Ethnopharmacol. 2011, 135, 330–337. [Google Scholar] [CrossRef]
  20. Mulaudzi, R.B.; Ndhlala, A.R.; Kulkarni, M.G.; Finnie, J.F.; Van Staden, J. Anti-inflammatory and mutagenic evaluation of medicinal plants used by Venda people against venereal and related infections. J. Ethnopharmacol. 2013, 146, 173–179. [Google Scholar] [CrossRef] [PubMed]
  21. Mudau, T.E.; Olowoyo, J.O.; Amoo, S.O. Ethnobotanical assessment of medicinal plants used traditionally for treating diabetes in Vhembe district, Limpopo Province, South Africa. S. Afr. J. Bot. 2022, 146, 304–324. [Google Scholar] [CrossRef]
  22. Mulaudzi, R.B. Pharmacological Evaluation of Medicinal Plants Used by Venda People against Venereal and Related Diseases. Ph.D. Thesis, University of KwaZulu-Natal, Pietermaritzburg, South Africa, 2012. [Google Scholar]
  23. Masevhe, N.A. Isolation and Characterization of Antifungal Compounds from Clerodendron Glabrum var Glabrum (Verbenaceae) Used Traditionally to Treat Candidiasis in Venda, South Africa. Ph.D. Thesis, University of Pretoria, Pretoria, South Africa, 2013. [Google Scholar]
  24. Mathibela, K.M.; Potgieter, M.J.; Tshikalange, T.E. Medicinal plants used to manage sexually transmitted infections by Bapedi traditional health practitioners in the Blouberg area, South Africa. S. Afr. J. Bot. 2019, 122, 385–390. [Google Scholar] [CrossRef]
  25. Semenya, S.S.; Maroyi, A.; Potgieter, M.J.; Erasmus, L.J.C. Herbal medicines used by Bapedi traditional healers to treat reproductive ailments in the Limpopo Province, South Africa. Afr. J. Tradit. Complement. Altern. Med. 2013, 10, 331–339. [Google Scholar] [CrossRef] [PubMed]
  26. Shai, L.J.; Chauke, M.A.; Magano, S.R.; Mogale, A.M.; Eloff, J.N. Antibacterial activity of sixteen plant species from Phalaborwa, Limpopo Province, South Africa. J. Med. Plants Res. 2013, 7, 1899–1906. [Google Scholar]
  27. Erasmus, L.J.C.; Potgieter, M.J.; Semenya, S.S. Erectile dysfunction: Definition and materia medica of Bapedi traditional healers in Limpopo Province, South Africa. J. Med. Plants Res. 2015, 9, 71–77. [Google Scholar]
  28. Mogale, M.M.P.; Raimondo, D.C.; Van Wyk, B.-E. The Ethnobotany of Central Sekhukhuneland, South Africa. S. Afr. J. Bot. 2019, 122, 90–119. [Google Scholar] [CrossRef]
  29. Semenya, S.S.; Potgieter, M.J.; Erasmus, L.J.C. Exotic and indigenous problem plants species used by the Bapedi to treat sexually transmitted infections in Limpopo Province, South Africa. Afr. Health Sci. 2013, 13, 320–326. [Google Scholar] [CrossRef] [PubMed]
  30. Semenya, S.S.; Potgieter, M.J.; Erasmus, L.J.C. Indigenous plant species used by Bapedi healers to treat sexually transmitted infections: Their distribution, harvesting, conservation and threats. S. Afr. J. Bot. 2013, 87, 66–75. [Google Scholar] [CrossRef]
  31. Corrigan, B.M.; Van Wyk, B.-E.; Geldenhuys, C.J.; Jardine, J.M. Ethnobotanical plant uses in the KwaNibela Peninsula, St. Lucia, South Africa. S. Afr. J. Bot. 2011, 77, 346–359. [Google Scholar] [CrossRef]
  32. Mbambala, S.G.; Tshisikhawe, M.P.; Masevhe, N.A. Invasive alien plants used in the treatment of HIV-AIDS-related symptoms by traditional healers of Vhembe Municipality, Limpopo Province, South Africa. Afr. J. Tradit. Complement. Altern. Med. 2017, 14, 80–88. [Google Scholar] [CrossRef]
  33. Rasethe, M.T.; Semenya, S.S.; Maroyi, A. Medicinal plants traded in informal herbal medicine markets of the Limpopo Province. Evid. Based Complement. Altern. Med. 2019, 2019, 2609532. [Google Scholar] [CrossRef] [PubMed]
  34. Shai, K.N.; Ncama, K.; Ndhlovu, P.T. An exploratory study on the diverse uses and benefits of locally sourced fruit species in three villages of Mpumalanga Province, South Africa. Foods 2020, 9, 1581. [Google Scholar] [CrossRef]
  35. Van Wyk, B.-E.; De Wet, H.; Van Heerden, F.R. A review of Khoisan and Cape Dutch medical ethnobotany. J. Ethnopharmacol. 2008, 119, 331–341. [Google Scholar] [CrossRef]
  36. Mongalo, N.I.; McGaw, L.J.; Finnie, J.F.; Van Staden, J. Pharmacological properties of extracts from six South African medicinal plants used to treat sexually transmitted infections (STIs) and related infections. S. Afr. J. Bot. 2017, 112, 290–295. [Google Scholar] [CrossRef]
  37. Samie, A.; Tambani, T.; Harshfield, E.; Green, E.; Ramalivhana, J.N.; Bessong, P.O. Antifungal activities of selected Venda medicinal plants against Candida albicans, Candida krusei and Cryptococcus neoformans isolated from South African AIDS patients. Afr. J. Biotechnol. 2010, 9, 2965–2976. [Google Scholar]
  38. Semenya, S.S.; Potgieter, M.J.; Tshisikhawe, M.P. Use, conservation, and present availability status of ethnomedicinal plants of Matebele-village in the Limpopo Province, South Africa. Afr. J. Biotechnol. 2013, 12, 2392–2405. [Google Scholar]
  39. Semenya, S.S.; Potgieter, M.J.; Erasmus, L.J. Bapedi phytomedicine and their use in the treatment of sexually transmitted infections in Limpopo Province, South Africa. Afr. J. Pharm. Pharmacol. 2013, 7, 250–262. [Google Scholar] [CrossRef]
  40. Mhlongo, L.S.; Van Wyk, B.-E. Zulu medicinal ethnobotany: New records from the Amandawe area of KwaZulu-Natal, South Africa. S. Afr. J. Bot. 2019, 122, 266–290. [Google Scholar] [CrossRef]
  41. Van Vuuren, S.F.; Naidoo, D. An antimicrobial investigation of plants used traditionally in southern Africa to treat sexually transmitted infections. J. Ethnopharmacol. 2010, 130, 552–558. [Google Scholar] [CrossRef]
  42. Semenya, S.; Potgieter, M.; Tshisikhawe, M.; Shava, S.; Maroyi, A. Medicinal utilization of exotic plants by Bapedi traditional healers to treat human ailments in Limpopo Province, South Africa. J. Ethnopharmacol. 2012, 144, 646–655. [Google Scholar] [CrossRef] [PubMed]
  43. Mabogo, D.E.N. The Ethnobotany of the VhaVenda. Master’s Thesis, University of Pretoria, Pretoria, South Africa, 1990. [Google Scholar]
  44. Gail, H.; Tarryn, B.; Oluwaseyi, A.; Denver, D.; Oluchi, M.; Charlotte, V.K.; Joop, D.J.; Diana, G. An ethnobotanical survey of medicinal plants used by traditional health practitioners to manage HIV and its related opportunistic infections in Mpoza, Eastern Cape Province, South Africa. J. Ethnopharmacol. 2015, 171, 109–115. [Google Scholar] [CrossRef] [PubMed]
  45. Tshikalange, T.E.; Meyer, J.J.M.; Hussein, A.A. Antimicrobial activity, toxicity, and isolation of a bioactive compound from plants used to treat sexually transmitted diseases. J. Ethnopharmacol. 2005, 96, 515–519. [Google Scholar] [CrossRef]
  46. Tshikalange, T.E.; Mophuting, B.C.; Mahore, J.; Winterboer, S.; Lall, N. An Ethnobotanical Study of Medicinal Plants Used in Villages under Jongilanga Tribal council, Mpumalanga, South Africa. Afr. J. Tradit. Complement. Altern. Med. 2016, 13, 83–89. [Google Scholar] [CrossRef]
  47. Naidoo, D.; Van Vuuren, S.F.; Van Zyl, R.L.; De Wet, H. Plants traditionally used individually and in combination to treat sexually transmitted infections in northern Maputaland, South Africa: Antimicrobial activity and cytotoxicity. J. Ethnopharmacol. 2013, 149, 656–667. [Google Scholar] [CrossRef]
  48. Ngobeni, B.; Manduna, I.T.; Malebo, N.J.; Mashele, S.S. Phytotherapy for sexually transmitted infections in Thaba Nchu, Free State Province, South Africa. Pharmacog. J. 2023, 15, 21–30. [Google Scholar] [CrossRef]
  49. Dembetembe, T.T.; Rademan, S.; Twilley, D.; Banda, G.W.; Masinga, L.; Lall, N.; Kritzinger, Q. Antimicrobial and cytotoxicity effects of medicinal plants traditionally used for the treatment of sexually transmitted diseases. S. Afr. J. Bot. 2003, 154, 300–308. [Google Scholar] [CrossRef]
  50. Mulaudzi, R.B.; Ndhlala, A.R.; Van Staden, J. Ethnopharmacological evaluation of a traditional herbal remedy used to treat gonorrhoea in Limpopo province, South Africa. S. Afr. J. Bot. 2015, 97, 117–122. [Google Scholar] [CrossRef]
  51. Ramavhale, T.T.; Mahlo, S.M. A survey of South African species used for the treatment of “u wela” in Venda culture, Limpopo Province. Int. J. Tradit. Complement. Med. 2019, 4, 15. [Google Scholar] [CrossRef]
  52. Papo, L.A.; Van Vuuren, S.F.; Moteetee, A.N. The ethnobotany and antimicrobial activity of selected medicinal plants from Ga-Mashashane, Limpopo Province, South Africa. S. Afr. J. Bot. 2022, 146, 196–210. [Google Scholar] [CrossRef]
  53. Richard, K.; Andrae-Marobela, K.; Tietjen, I. An ethnopharmacological survey of medicinal plants traditionally used by the BaKalanga people of the Tutume subdistrict in Central Botswana to manage HIV/AIDS, HIV-associated conditions, and other health conditions. J. Ethnopharmacol. 2023, 116759. [Google Scholar] [CrossRef]
  54. Asfaw, M.M.; Abebe, F.B. Traditional medicinal plant species belonging to Fabaceae Family in Ethiopia: A Systematic Review. Int. J. Plant Biol. 2021, 12, 8473. [Google Scholar] [CrossRef]
  55. Maroyi, A.; Cheikhyoussef, A. A comparative study of medicinal plants used in rural areas of Namibia and Zimbabwe. Indian J. Trad. Knowled. 2015, 14, 401–406. [Google Scholar]
  56. Moshi, M.J.; Otieno, D.F.; Mbabazi, P.K.; Weisheit, A. The ethnomedicine of the Haya people of Bugabo ward, Kagera Region, northwestern Tanzania. J. Ethnobiol. Ethnomed. 2009, 5, 24. [Google Scholar] [CrossRef] [PubMed]
  57. Oladeji, O.S.; Adelowo, F.E.; Oluyori, A.P. The genus Senna (Fabaceae): A review on its traditional uses, botany, phytochemistry, pharmacology and toxicology. S. Afr. J. Bot. 2021, 138, 1–32. [Google Scholar] [CrossRef]
  58. Sobeh, M.; Mahmoud, M.F.; Hasan, R.A.; Cheng, H.; El-Shazly, A.M.; Wink, M. Senna singueana: Antioxidant, hepatoprotective, antiapoptotic properties and phytochemical profiling of a methanol bark extract. Molecules 2017, 22, 1502. [Google Scholar] [CrossRef] [PubMed]
  59. Ripanda, A.; Luanda, A.; Mtabazi, G.S.; Makangara, J.J. Senna singueana (Delile) lock: Ethnomedicinal uses and medicinal properties. Heliyon 2023, 9, e14098. [Google Scholar] [CrossRef]
  60. De Wet, H.; Nzama, V.N.; Van Vuuren, S.F. Medicinal plants used for the treatment of sexually transmitted infections by lay people in northern Maputaland, KwaZulu–Natal Province, South Africa. S. Afr. J. Bot. 2012, 78, 12–20. [Google Scholar] [CrossRef]
  61. Maroyi, A. Traditional use of medicinal plants in south-central Zimbabwe: Review and perspectives. J. Ethnobiol. Ethnomed. 2013, 9, 31. [Google Scholar] [CrossRef]
  62. Anthony, B.P.; Bellinger, E.G. Importance value of landscapes, flora and fauna to Tsonga communities in the rural areas of Limpopo Province, South Africa. S. Afr. J. Sci. 2007, 103, 148–154. [Google Scholar]
  63. Chinsembu, K.C.; Syakalima, M.; Semenya, S.S. Ethnomedicinal plants used by traditional healers in the management of HIV/AIDS opportunistic diseases in Lusaka, Zambia. S. Afr. J. Bot. 2019, 122, 369–384. [Google Scholar] [CrossRef]
  64. Dube, S.; Makhubela, N.; Madikizela, L.M.; Mongalo, N.I.; Pakade, V.E.; Maseko, B.R.; Ncube, S. Health Risk Assessment of Metals in African Aphrodisiacs: A case study of aqueous concoctions from Johannesburg and Durban herbal markets, South Africa. Appl. Sci. 2023, 13, 2148. [Google Scholar] [CrossRef]
  65. Kularatne, R.S.; Niit, R.; Rowley, J.; Kufa-Chakezha, T.; Peters, R.P.H.; Taylor, M.M.; Johnson, L.F.; Korenromp, E.L. Adult gonorrhea, chlamydia and syphilis prevalence, incidence, treatment and syndromic case reporting in South Africa: Estimates using the Spectrum-STI model, 1990–2017. PLoS ONE. 2018, 13, e0205863. [Google Scholar] [CrossRef] [PubMed]
  66. Korenromp, E.L.; Mahiané, G.; Rowley, J.; Nagelkerke, N.; Abu-Raddad, L.; Ndowa, F.; El-Kettani, A.; El-Rhilani, H.; Mayaud, P.; Chico, R.M.; et al. Estimating prevalence trends in adult gonorrhoea and syphilis in low- and middle-income countries with the Spectrum-STI model: Results for Zimbabwe and Morocco from 1995 to 2016. Sex. Transm. Infect. 2017, 93, 599–606. [Google Scholar] [CrossRef] [PubMed]
  67. Gerbase, A.C.; Mertens, T.E. Sexually transmitted diseases in Africa: Time for action. Afr. Health 1998, 20, 10–12. [Google Scholar] [PubMed]
  68. Moher, D.; Shamseer, L.; Clarke, M.; Ghersi, D.; Liberati, A.; Petticrew, M.; Shekelle, P.; Steward, L.A.; PRISMA-P Group. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015 Statement. Syst. Rev. 2015, 4, 1. [Google Scholar] [CrossRef] [PubMed]
Figure 1. Different forms of the family used to treat sexually transmitted and related infections.
Figure 1. Different forms of the family used to treat sexually transmitted and related infections.
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Figure 2. Different numbers of species per genus, used to treat STIs and related infections.
Figure 2. Different numbers of species per genus, used to treat STIs and related infections.
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Figure 3. The Fabaceae plant species used in the treatment of STIs and related infections, with a higher number of citations (>2).
Figure 3. The Fabaceae plant species used in the treatment of STIs and related infections, with a higher number of citations (>2).
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Figure 4. Plant parts used from Fabaceae plant species used in the treatment of STIs and related infections.
Figure 4. Plant parts used from Fabaceae plant species used in the treatment of STIs and related infections.
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Figure 5. Mode of administration of the Fabaceae plant species used in the treatment of STIs and related infections.
Figure 5. Mode of administration of the Fabaceae plant species used in the treatment of STIs and related infections.
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Figure 6. Diseases treated using the Fabaceae medicinal plants in South Africa.
Figure 6. Diseases treated using the Fabaceae medicinal plants in South Africa.
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Figure 7. Literature sources used to collate the data of Fabaceae medicinal plants used to treat STIs and related opportunistic infections.
Figure 7. Literature sources used to collate the data of Fabaceae medicinal plants used to treat STIs and related opportunistic infections.
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Table 1. Types and names of sexually transmitted infections common worldwide.
Table 1. Types and names of sexually transmitted infections common worldwide.
Type of OrganismOrganism(s) InvolvedKnown STI(s)
BacteriaNeisseria gonorrhoeaeGonorrhoeae
Chlamidia trachomatisChlamydial infection
Klebsiella granulomatis/Granuloma inguinaleDonovanosis
Mycoplasma hominis, Mobiluncus sppBacterial vaginitis
Mycoplasma genitaliumUrogenital infections
ParasitesTrichomonas vaginalisVaginal trichomoniasis
YeastsCandida albicansVulvovaginitis
VirusesCytomegalovirusInflammation of bowel
HSV type 2Genital herpes
HSV-8Kaposi’s sarcoma
Hepatitis BHepatitis
Human immunodeficiency virusHIV/AIDS
Table 2. Fabaceae plant species used in the treatment of sexually transmitted and related infections in South Africa.
Table 2. Fabaceae plant species used in the treatment of sexually transmitted and related infections in South Africa.
Plant Species Plant Parts Used, Indigenous NamesMode of PreparationTherapeutic Indications and Reference(s)Total Number of Citations
Albizia adianthifolia (Schumach.) W.Wight var. adianthifoliaTLeaves; Igowane (Z); Flat-crown (E); Isicangca (X); Muomba-ngoma (Tsh)Boiled and taken as an enemaSyphilis and impotence [11,12]2
Albizia anthelmintica (A.Rich.) Brongn.SHRoots; Muime (Tsh); Cherry-blossom tree (E); Mmola (S); Umnala (Z) Not mentionedVarious unidentified STIs [13]1
Albizia gummifera (J.F.Gmel.) C.A.Sm.TStem bark; Umgandakawu (Z)Boiled and taken orallyVarious unidentified STIs [14,15]2
Albizia versicolor Welw. ex Oliv.TStem bark; Muvhambangoma (Tsh); Mmola (S); Mohlalabata (S); Umphisu (Z)Not mentionedVarious unidentified STIs, impotence in men [13,16]. 2
Bauhinia galpinii N.E.Br.SHRoots; Mohohoma (S);
Mutswiriri (Tsh)
Not mentionedVarious unidentified STIs, impotence [12,17,18]. 3
Bolusanthus speciosus (Bolus) HarmsSHRoots and stem; Mukambana (Tsh)Boiled and taken orallyVarious unidentified STIs and impotence [12,13,18,19,20]5
Burkea africana Hook.TRoots and seeds; Monatlo (S), Mufhulu (Tsh)Both roots and seeds are ground and boiled and drunkOpportunistic infections associated with HIV-AIDS [12,21,22,23,24]5
Caesalpinia decapetala (Roth) Alston.SHRoots; Mokgabane (S)Boiled and taken orallyImpotence and gonorrhea [12,24,25,26,27,28] 6
Cassia abbreviata Oliv.SHRoots and stem bark; Monepenepe, Molomanama (S)Boiled and taken orallyVarious unidentified STIs, chlamydia, impotence, and as an immune booster for HIV-AIDS patients [12,17,21,29,30,31,32] 7
Colophospermum mopane (J.Kirk ex Benth.) J.LéonardTRoots; Mopane (S) Boiled and taken orallyImpotence [12]1
Dalbergia melanoxylon Guill. and Perr. Stem bark; African Blackwood (E); Ebony (E); Grenadille Wood (E); Muuluri (Tsh)Not mentionedVarious unidentified STIs [16]1
Dichrostachys cinerea (L.) Wight and Arn.SHRoots; Moretshe (S)Not mentionedImpotence and syphilis [12,21,33] 3
Elephantorrhiza burkei Benth.HRoots; Mohauwane wa thaba, Mositsane (S), Tshisevhufa (Tsh)Applied to infected areas of the skin, decoction drunkVarious unidentified STIs, chlamydia, aphrodisiac, and opportunistic infections associated with HIV-AIDS [12,13,17,18,19,21,22,24,32,34,35,36]12
Elephantorrhiza elephantina (Burch.) Skeels HRoots; Mohauwane, Mosehlana, Mositsane (S)Boiled and taken orallySyphilis, chlamydia, impotence in men [17,21,23,32,33,35,36,37,38,39,40] 11
Erythrina caffra BlancoSHRoots; UmsisnsiBoiled and taken orallyVarious unidentified STIs and genital warts [11,15]2
Eriosema cordatum E.Mey.HRoots; Leshetla (S); Ubangalala (Z); Umhlabankunzi (Z); Uqonsi (Z); Uqontsi (Z)Not mentionedImpotence in men [39]1
Erythrina lysistemon Hutch.TStem bark; Muvhale (Tsh)Boiled and taken orallyImpotence in men [18,22] 2
Faidherbia albida (Delile) A.Chev.TStem bark; Muhoto (S)Not mentionedVarious unidentified STIs and impotence for men [12,13] 2
Lessertia depressa Harv.SHRoots, Mmusapelo (S)Decoction taken orallyTo treat vaginosis [41]
Melolobium microphyllum (L.f.) Eckl. and Zeyh.SHWhole plant, Mofahlatoeba (S)Decoction taken orallyTo treat unidentified STIs [41]
Mundulea sericea (Willd.) A.Chev.SHRoots; Maibana, Mohato, Mositatlou (S); Mukandandou (Tsh)Not mentionedImpotence in men [12,13]2
Ormocarpum trichocarpum (Taub.) Engl.TRoots; Caterpillar Bush (E); Caterpillar Pod (E); Hairy Caterpillar Pod (E); Umsindadlovana (Z); Mosepe (S); Mugogodwane (Tsh), Muthari (Tsh); Not mentionedImpotence in men [42]1
Peltophorum africanum Sond.TRoots and stem bark; Mosehla (S); Musese (Tsh)Boiled and taken orallyVarious unidentified STIs, impotence, and skin infections associated with HIV-AIDS [11,13,16,17,19,22,24,25,27,35,36,37,38,41,43]14
Piliostigma thonningii (Schum.) Milne-Redh.TRoots; Mukolokote (Tsh); Camel’s Foot (E); Rhodesian Bauhinia (E); Mokgôrôpô (S); Not mentionedVarious unidentified STIs and impotence [13,42] 2
Philenoptera bussei (Harms) SchrireTRoots, Mphata (S)Boiled and taken orallyChlamydia [31] 1
Philenoptera violacea (Klotzsch) SchrireTRoots; Apple-leaf (E)Not mentionedImpotence in men [12] 1
Pterocarpus angolensis DC.TStem bark; Mutondo (Tsh)Not mentionedVarious unidentified STIs and “divhu” [12,13,19,21,44] 4
Pterocarpus rotundifolius (Sond.) DruceTStem bark; Muataha (Tsh)Boiled and taken orallyOral candidiasis associated with HIV-AIDS [22] 1
Schotia brachypetala Sond.TRoots and stem bark; Mununzu (Tsh); African Greenheart (E); African Walnut (E); Uvovovo (Z)Boiled and taken orallyOpportunistic infections associated with HIV-AIDS [22,45]1
Senegalia ataxacantha (DC.) Kyal. and Boatwr.TRoots; Muluwa (Tsh); Flame Acacia (E); Flame Thorn (E); Mogokare (S), Ubophe (Z); Ugagane (Z), Umnga (X)Not mentionedImpotence in men [13]1
Senegalia caffra (Thunb.) P.J.H.Hurter and Mabb.TLeaves; Morobadiepe (S), Murhovhambado (Tsh); Muvunda-mbado (Tsh); Morobadiepe (S); Umnyamanzi (X); Umthole (X); White thorn (E)Leaves are dried, burned, and mixed with animal fat, applied to mouth blisters and ulcersOpportunistic infections associated with HIV include mouth ulcers [22]1
Senna auriculata (L.) Roxb.TLeaves; Muduwishango (Tsh)Fresh leaves are crushed, immersed in water, and drunk orallyOpportunistic infections associated with HIV-AIDS [22]1
Senna didymobotrya (Fresen.) H.S.Irwin and BarnebySHRoots; African senna (E); popcorn senna (E); candelabra tree (E); peanut butter cassia (E)Crushed and boiled, taken orallyChlamydia, gonorrhea, syphilis, aphrodisiac, and genital warts [12,24,25,26,45]5
Senna italica Mill.HRoots; Morotelatshotshi, Setlommana, Mankgane (S)Boiled and taken orallyVarious unidentified STIs, impotence, gonorrhea, “makgoma” and opportunistic infections associated with HIV-AIDS vaginal candidiasis [22,23,25,27,30,32,33,35]9
Senna occidentalis (L.) LinkSHRoots; Modulabadimo (S)Not mentionedImpotence in men [12]1
Senna petersiana (Bolle) LockSHSeeds, Munembenembe (Tsh); Bohlôko (S); Dwarf Cassia (E); Umnembenembe (Z)Dried seeds are ground into powder and boiled in water and drunkImpotence, gonorrhea, and opportunistic infections associated with HIV-AIDS [12,13,21,22,43,44,45,46] 8
Senna sophera (L.) Roxb.SHLeaves; Mutsheketsheke (Tsh)Leaves are boiled and taken orally three times a dayGonorhea [21]1
Sutherlandia frutescens (L.) W.T.AitonSHLeaves; Mokgoroma (S)Boiled and taken orallyOpportunistic infections associated with HIV-AIDS [43]1
Tephrosia zoutpansbergensis Bremek.SHRoots; Motswaing (S)Not mentionedImpotence in men [12]1
Vachellia karroo (Hayne) Banfi and GlassoTRoots and stem bark, Mooka (S), Muunga (Tsh); Sweet thorn (E); Soetdoring (A);Boiled, used as a mouthwash, or applied directly to the genitals to treat vaginal ulcers.Various unidentified STIs, impotence, opportunistic infections associated with HIV vaginal candidiasis and ulcers [12,13,19,20,21,22,37,47,48,49,50]12
Vachellia permixta (Burtt Davy) Kyal. and Boatwr.SHRoots; Moselaphala (S); Hairy Acacia (E); Mimosa (E)The decoction is taken orallyChlamydia [31]1
Vachellia robusta (Burch.) Kyalangalilwa and Boatwright subsp. robustaTStem bark and roots; Brack Thorn (E); Moga (S); River Thorn (E); Umngamanzi (Z); Umngampunzi (X)Not mentionedImpotence in men and opportunistic infections associated with HIV-AIDS [12,51]2
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Mongalo, N.I.; Raletsena, M.V. Fabaceae: South African Medicinal Plant Species Used in the Treatment and Management of Sexually Transmitted and Related Opportunistic Infections Associated with HIV-AIDS. Data 2023, 8, 160. https://doi.org/10.3390/data8110160

AMA Style

Mongalo NI, Raletsena MV. Fabaceae: South African Medicinal Plant Species Used in the Treatment and Management of Sexually Transmitted and Related Opportunistic Infections Associated with HIV-AIDS. Data. 2023; 8(11):160. https://doi.org/10.3390/data8110160

Chicago/Turabian Style

Mongalo, Nkoana Ishmael, and Maropeng Vellry Raletsena. 2023. "Fabaceae: South African Medicinal Plant Species Used in the Treatment and Management of Sexually Transmitted and Related Opportunistic Infections Associated with HIV-AIDS" Data 8, no. 11: 160. https://doi.org/10.3390/data8110160

APA Style

Mongalo, N. I., & Raletsena, M. V. (2023). Fabaceae: South African Medicinal Plant Species Used in the Treatment and Management of Sexually Transmitted and Related Opportunistic Infections Associated with HIV-AIDS. Data, 8(11), 160. https://doi.org/10.3390/data8110160

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