Investigating the Ethnopharmacology, Phytochemical Composition, and Pharmacological Effects of the Medicinally Significant Plant: Ziziphus jujube Mill.

 

Mrinal Sharma1, Payal Mittal1*, Pradeep Goyal2

1University Institute of Pharma Sciences,

Chandigarh University, Gharuan, Mohali, Punjab-140413, India.

2Saraswati College of Pharmacy, Gharuan, Mohali, Punjab-140413, India.

*Corresponding Author E-mail: payal.talk2@gmail.com

 

ABSTRACT:

Many plants from ancient times were used for various medicinal purposes due to their complex chemical composition. In India and all over the world there is a large number of herbal plants used in different medicinal uses and still in research of their pharmacological activities. So many herbal plants are still in medicinal use or research for their chemical composition for their existing medicinal uses. The Ziziphus genus has been in this field for many years and Ziziphus Jujube Mill., Rhamnaceae, is recognized as one of the most important species of the genus. This present review article is focused on all the aspects in which we can utilize this important plant to treat many diseases. This review highlights different ethnopharmacological, and pharmacological aspects of the plant Ziziphus Jujube Mill. It provides knowledge of literature about the plant’s medicinal purposes from ancient times to work on the medicinal field. Ziziphus jujube provides a compelling avenue for future medical development, underscoring the continuous need for scientific research and dispassionate judgment. Ziziphus jujube various parts consist of various chemical constituents that might be used to cure different diseases and open up new research areas in the future.

 

KEYWORDS: Ziziphus jujube Mill., Ethnopharmacology, Chemical constituents, Pharmacological activities, Neuroprotective.

 

 


INTRODUCTION: 

Ziziphus is a genus comprising many species that can be found in a variety of warm and subtropical climates.1 Ziziphus species are versatile plants utilized as foods, folkloric medicines, and to protect the environment.2 The different species of this genus already have multiple medicinal purposes mainly attributed to insomnia and anxiety. The main bioactive compounds for the activities of this medicinal herb are mostly phenolics and carbohydrates.1

 

Ziziphus jujube Mill. among many significant plants, Rhamnaceae family. Common names of this plant are Azufaifo (Spanish), Gingeolier (French), Acofeifeira (Germany), Ber (India), Giuggiolo (Italy) etc.3 Other synonyms for this plant are Ziziphus vulgars Lam., Ziziphus sativa Gaetrn., Rhamnus ziziphus L., and Ziziphus zyzyphus (L.) Karsten. The plant has been cultivated for many years in China.

 

Nowadays, approximately 40 species of this plant are grown in different provinces of China. Jujube can produce strong wood with many medicinal properties, A small, graceful tree that yields honey, in addition to fruits.4 Various parts of the plant are utilised for numerous medicinal purposes. The leaves are antipyretic and reduce obesity, barks are useful in curing boils and treating dysentery and diarrhoea. The fruit produces a soothing effect, acts as a laxative and removes the burning sensation.5 According to the Iranian medicinal book, the plant stem bark, leaves, and fruits have many important medicinal values from ancient times.6 People of east, central, and southeast Iran called this plant ‘Anna’ and employed it in folk medicine to treat gastric ulcers and digestive problems since Avicenna’s prescription. In Southern Africa and Indian Subcontinent, it is commonly termed as ‘ber’.7 The plant also possesses various beneficial biological activities against fatigue, hyperhidrosis, liver problems, urinary problems, fever, immunomodulator8 and hypertension.  The leaf of jujube has been used for many years to improve sleep, soothe the nerves, nourish the heart and reduce diarrhoea.9 The plant also drew substantial customers based on its copious of carbohydrates, nutrients, organic substances, and amino acids. The fruit can be consumed not only when fresh but also in a dehydrated state. Drying is an efficient technique to inhibit microbial growth in food. The drying process occurs naturally under sunlight or through the use of hot air.10 Eliminating moisture and stopping the growth of microbes, it lowers the weight and volume of food, extending its shelf life and lowering transportation and storage expenses.11 The plant has many health-promoting properties and enriches many biological components, including polysaccharides, trace minerals, amino acids, and jujube fruits (Ziziphus jujuba Mill). are used in conventional medicine.12 Jujube is ingested not only in its fruit form but also recommended as a tonic in compliance with Traditional Chinese Medicine for the nourishment of blood. Among the various commercially accessible jujube formulations, Guizhi Tang (GZT), devised by the esteemed Chinese medicine practitioner Zhang Zhongjing, is widely utilized globally. This formulation consists of jujube and four other medicinal herbs and continues to be commonly employed to address common colds, headaches, and fevers in Asian nations.13 Nowadays, there are varieties of plants that are being utilised for medicinal purposes such as Carum Carvi14, Achyranthes Aspera15, Remusatia Vivipara16, Striga orobanchioides17, Combretum albidum G. Don 18,19 etc.

 

This review article highlights the ethnopharmacological, phytochemical distribution of constituents in various regions (e.g., leaves, bark, fruits, and seeds) of plant and pharmacological aspects of Ziziphus jujube Mill. The herbal marketed formulations of this plant have been summarized along with recent advancements in the pharmaceutical development of this extract. Since Ziziphus jujube Mill. possesses various pharmacological and biological properties, a detailed literature study of each activity has been presented in this article.

 

PLANT DESCRIPTION:

Jujube is a tiny tree with robust wood that grows to a height of 6-9 meters depending on the area. The bark has a deep longitudinal split and is greyish-brown or reddish in hue. The plant has four shoots i.e., extension shoot (primary), side branches (secondary), fruiting spur (mother bearing) and fruit-bearing shoot (branching). Leaves are 2.5-5.5cm long and 2-4cm wide, lustrous, ovate, or oval in form, non-branched, and deciduous. Flowers are small, carrying five petals, sepals and anthers, and having a single ovary with two ovules, varying in size from 4 to 8mm in diameter. Oval, round, oblong, oblate, and irregularly shaped jujube fruits are among the many shapes available. The fruit is a drupe with a single spit (stone) in the centre containing up to two seeds. The fruit can be as small as a thumb or as large as a golf ball.6 In recent times, approximately 40 cultivars are grown in different provinces of China. The plant also captivated a substantial clientele because it is abundant in carbohydrates, nutrients, organic elements, and amino acids.4 The view of unripened, ripened fruit and whole tree of Ziziphus jujube Mill. is shown in (

Fig.).

 

Fig. 1. Ziziphus jujube Mill. plant description (Ripened fruit, Tree and Unripen fruit)

 

CULTIVATION AND COLLECTION:

The plant was acquired for many years in China, as interpreted by its partnership with rice culture in the Book of Songs.4 Ziziphus jujube is a Chinese native plant that has spread over Australia, Europe, Eastern Asia, and Southern Asia. The plant has a low-temperature requirement and can survive up to 48.9°C in the summer and -38°C in the winter. It thrives in a diverse range of soil, and it is alkalinity and salinity-resistant, making it excellent for cultivation. The plant undergoes distinct growth stages throughout the entire year: Stage I spans from April to early May, encompassing bud burst to leaf. Then Stage II extends from mid-May to late June, involving flowering to fruit development. Followed by Stage III ranges from late June to late July, dedicated to fruit growth. Then, Stage IV takes place from early August to early September, focusing on fruit maturation. Followed by Stage V occurs from October to March, marking the period of hibernation.6,20 The area dedicated to Ziziphus jujube cultivation spans 2 million hectares, yielding an annual output of nearly 5.47 million tons of dried jujube.21

 

CHEMICAL COMPOSITION:

Different components of the plant Ziziphus jujube have been utilised for different medicinal and beneficial purposes since ancient times. Different components of the plant consist of different chemical constituents as mentioned in (Table-1) with their respective structures.

 

Along with the chemical composition, the plant has nutrient value as well. According to the published reports, this plant tends to regulate the blood sugar level and satiating effect due to its dietary fibres and fructose presence.22,23 Jujube is also rich in vitamin C.22 The investigation led by Usman revealed the existence of cardiac glycosides, alkaloids, phenols, tannins, and terpenes in the leaf ethanolic extract of Ziziphus jujube while in the aqueous extract, there were the existence of alkaloids, tannins, phenols, steroids, saponins and cardiac glycosides.24 In a recent study, Zhi et al. they performed a genetic study employing mixed models to investigate the sugar-acid fractions of both Ziziphus jujube Mill. and wild jujube (Z. acido jujube). They employed the cover net control hybridization technique to crossbreed Ziziphus jujube Mill. and Z. acido jujube, resulting in an F1 population consisting of 179 hybrid progenies. The study unveiled the presence of acids, including malic, citric, oxalic magic, tartaric, succinic, and fumaric, in the fruit of the F1 hybrid population. Additionally, the fruit contained three primary sugar components: sucrose, fructose, and glucose.25 Jujube fruit extraction with acid and alkaline also showed high values of polysaccharides with a high uronic acid value. 12 Studies showed that the dry fruit of the pant also consists of polyphenols as per the estimation of Total phenolic and Total flavonoid content.26

 

Luo et al. performed the genome-wide screening in Ziziphus jujube Mill. for the ribonuclease T2 gene family and its functional assessments. In the study, they discovered four members of Ribonuclease T2 viz. ZjRNase1, ZjRNase2, ZjRNase3 and ZjRNase1, ZjRNase4. Examination of the phylogenetic relationships unveiled that these four members of RNase T2 could be segmented in two classes (Class I and Class II). These studies proved to be useful in understanding the molecular mechanism for low production in hybrid seeds of jujube plant. A recent study examined, the chemical composition and antioxidant activity of ripe fruit juice, wine, and vinegar extracted from Ziziphus jujube Mill. were examined. Jujube vinegar was found to contain protocatechic, malic, chlorogenic, p-hydroxybenzoic, tartaric, caffeic, oxalic acid, and various organic acids. Ketone, ester, aldehyde, alcohol and terpene volatile aroma compounds were also found in jujube samples.27


 

 

Table 1. Chemical composition of various parts of the plant used in investigations

S. No.

Plant Parts

Chemical Constituents

Structures

1

Seeds

Palatinol A, 7-ethyl-4-decen-6-one, linoleic acid, oleic acid, betulinic acid, 2,5-octadecadiynoic acid, lineoleoyl chloride, 13-heptadecyn-1-ol, methyl ester, spinosin, zizyphursolic acid, epiceanothic acid 1,28

       

             

2

Fruits

Hydroxycinnamic acid like caffeic acid, p-coumaric acid, benzoic acid like p-hydoxybenzoic acid, gallic acid, quercetin-3-O-rutinoside-7-O-pentoside, rutin, epicatechin and ellagic acid 20,29

 

      

3

Leaves

Protojujubosides A and B, saponin, ziziphin, triterpenic acids, flavonoids (quercetin-3-O-rutinoside), epicatechin, caffeic acid 3,30

 

4

Bark

Epiafzelechin, epigallocatechin, catechin, epicatechin 27,31

 

5

Roots

Alphitolic acid, 2-O-trans-p-coumaroyl alphitoloic acid, 2-O-protocatechuoyl alphitolic acid, 2-O-Benzoyl alphitolic acid, 2-O-vanilloyl alphitolic acid, ceanothic acid, epiceanothic acid, zizyberanalic acid 22,32–34

 


PHARMACOLOGICAL ACTIVITIES:

Ziziphus jujube Mill. the plant has multiple biological activities like antioxidant, antimicrobial, antidiabetic etc. The plant has been used for decades for its medicinal properties and as a food supplement, for healthy skin, and as a source of honey2.

 

Anticancer Activity:

In an investigation, different types of extracts of Ziziphus jujube such as n-hexane (ZE1), chloroform (ZE2), crude ethyl acetate extract (ZE3), ethyl acetate (AcOEt) extract, and n-butanol extract were examined for their anticancer property. The extracts (ZE1, ZE2 and ZE4) were reported to inhibit the proliferation of cells in oestrogen receptor alpha-positive MCF-7 and oestrogen receptor alpha-negative SKBR3 breast cancer cell lines. ZEs didn’t affect cell viability of both non-malignant breast epithelial MCF-10A and normal human fibroblasts Bj1-hTERT cells. The most potent jujube extract, rich in triterpenic acids exhibited inhibitory effects on growth and induced programmed cell death in both malignant and non-malignant cells.35 Huang et al. conducted research on the cytotoxic property of Ziziphus jujube and its fundamental mechanism of action in HepG2 cells (Human Hepatoma). They utilized fractions of the aqueous extract of Ziziphus jujube, successfully treated with chloroform, then by ethyl acetate, followed by butanol and finally water. The parameters selected to investigate the anticancer property Ziziphus jujube were cell cycle changes, ROS (reactive oxygen species) and mitochondrial membrane potential. The results showed that the most effective was chloroform fraction (CHCL3-F). There was an escalation in ROS (Reactive Oxygen Species) levels, induction of programmed cell death, and a fall in mitochondrial membrane potential ability by Ziziphus jujube low concentrations and chloroform fraction also showed G1 and G2/M arrest.36 In a recent investigation, the fruit triplet extractions for each growth stage (except Stages 1 and 2) were redissolved in dilute dimethyl sulfoxide and a total of eight stages (S1, S2, S3, S4, S5, S6, S7 and S8) of growth extract were examined for cytotoxic effect. Five different cell lines were used to test the extracts Hel299 (normal lung), A549 (lung cancer), U937 (histiocytic lymphoma) and Chang (normal liver). The results revealed that all growth stages were affected dose-related. In A456 lung cancer cells exhibited a decrease, HeLa cervical cancer cells were inhibited, whereas Hel200 normal lung cells were also inhibited. On the other hand, U937 cells had no effect and the growth of Chang normal liver cells was inhibited by the S5 extract.37 In a recent study, the anticancer activity, of dried fruit was determined against nuclear sclerosis and disruption of hepatocellular carcinoma (HepG2) cells. The metabolomics techniques employed for the assessment of content determination and composition of dried jujube fruit. The results revealed that the phenolic metabolites in the fruit were found to be associated with nuclear fragmentation, HepG2 cell nuclear sclerosis, and rise in ROS (Reactive Oxygen Species).21 In another study, the anticancer property of Ziziphus jujube Mill. roots methanolic extract on HepG2 (human hepatocellular carcinoma) cell line was carried out in accordance with MTT assay method. The different isolates were scrutinized for cytotoxic effect against different cell lines and few of them showed anti-cancer activity the inhibitory concentration range from 1.9-5.9µM.33

 

Antidiabetic Activity:

Shirdel et al. investigated hydro-alcoholic extract of Ziziphus jujube leaves for its antidiabetic activity with the help of different biochemical estimations from the blood of rats. The results revealed notable decrease in the level of serum glucose, triglycerides, cholesterol and VLDL. A notable decrease in LDL levels and an increase in HDL levels were observed during the result analysis. All the results revealed that hydro-alcoholic extract of leaves of Ziziphus jujube has an antidiabetic effect.38 In a recent study, the phenolic pools were extracted using methanol from leaves of jujube and twelve phenolic compounds were identified. In vitro antioxidant activities like 2,2- diphenyl-1-picrylhydrazyl, oxygen radical absorbance, nitric oxide radical scavenging activity, metal chelation, cupric ion reducing antioxidant activity, iron reducing power and alpha-amylase, alpha-glucosidase inhibition showed by total phenolics. The findings demonstrated that the total phenolic content was notably greater in Ziziphus jujube in comparison to the second plant, Moringa oleifera Lam. Additionally, the extract exhibited robust biological activity, displaying effectiveness in chelating/reducing iron or cupric forms. The extract also demonstrated efficacy in scavenging free radicals, and it exhibited inhibitory effects on enzymes, as evidenced by lower IC50 and EC50 values.39 In a separate investigation two saponins SZJ-1 and SZJ-2, primarily consisting of jujuboside A, spinosyn, betulinic acid, and jujuboside B, these were isolated and extracted from Ziziphus jujube. The findings indicated that both saponins significantly enhanced glucose consumption and improved the levels of SOD (Superoxide dismutase), HK (Hexokinase) and PK (Pyruvatekinase) in insulin resistant HepG2 cells. Moreover, they led to a reduction in malondialdehyde (MDA) content, suggesting potential benefits in mitigating oxidative stress in insulin-resistant cells. These results indicated that the saponins present in Ziziphus jujube improved the insulin-resistant symptoms.40

 

Antimicrobial Activity:

Abd-Alrahman et al. conducted research on the anti-bacterial property of the ethanolic extract of Ziziphus jujube seeds against six bacterial strains. This was determined by assessing the minimal inhibitory concentration (MIC). The extracts for antimicrobial activity were evaluated by a modified Kirby-Bauer18 disc diffusion technique. Brantner and Grein (1994) described the microdilution broth technique for determining the lowest inhibitory concentration. The 50% w/v ethanol extract of Ziziphus jujube was examined for antimicrobial activity at two different concentrations (50µl and 100µl) against six different bacterial strains. The obtained MIC values of different bacterial strains suggested a broad antimicrobial activity of the plant. 2 In a recent investigation, Usman et al. explored antimicrobial property of ethanolic and aqueous extract of Ziziphus jujube leaves against two bacteria S. aureus and E. coli. The bacteria were isolated by using broth dilution and agar well diffusion from vaginal swabs. Ethanolic extract at doses 50 and 100 mg/ml exhibited inhibitory zones against S. aureus ranging from 13.00 to 15.00mm, and against E. coli ranging from 7.00 to 10.00 mm, respectively. Meanwhile, the aqueous extract, at concentrations of 50 and 100mg/ml, showed inhibitory zones against S. aureus within the range of 9.00 to 11.00mm and against E. coli ranging from 6.00 to 8.00 mm, respectively. At the Minimum Inhibitory Concentration (MIC) of 100 mg/ml, the strains of S. aureus exhibited higher susceptibility to the extract.24 In a recent study, metabolomics approach was used to estimate the content and composition, and the antimicrobial activity of the phenolic compounds present was identified. The findings indicated that the phenolic compounds extracted from jujube fruit exhibited significant antibacterial activity, effectively inhibiting the growth of S. aureus, E. coli, and C. albicans.21 In another study, jujube fruits obtained from five different Tunisia provenances were (Sfax, Choutrna, Regueb, Mahdia and Mahres) investigated for antibacterial activity of various methanol extracts from Ziziphus jujuba was evaluated by using culture media of S. aureus ATCC 25923 and Listeria monocytogenes ATCC 070101121, as well as two gram-negative bacteria, Aeromonas hydrophila and Kleibsella pneumoniae ESA 8. Antibacterial tests were conducted using the agar well diffusion method after dissolving the extracts in sterile water. The determination of MIC for extract was performed through the microdilution broth method. The results indicated that the maximum inhibition was observed against S. aureus strains, especially in Sfax powder extracts, with inhibition zones ranging from 12 to 20mm.41 In recent investigation the 50% ethanol leaves extract of jujube used against three Gram-positive and three Gram-negative bacteria for its antibacterial activity by estimating its Minimum inhibitory concentration. The results revealed the antibacterial activity of the extract in concentration of 50mg/mL for Gram-positive bacteria and concentration of 25- 50mg/mL for Gram-negative activity.9

 

Antioxidant Activity:

Wojdylo et al. studied the antioxidant activity of 4 Spanish jujube cultivators (MSI, GAL, PSI and DAT) by using FRAP and ABTS methods. They found total twenty five polyphenolic compounds with the help of LC-MS-QToF and quantified by UPLC-PDA-FL. They classified them as 13 flavanols, 1 flavanone, 10 flavan-3-ols and 1 dihydrochalcone. The results stated that MSI and GAL fruit cultivators had highest and lowest antioxidant capacity, with PSI and DAT fruits cultivators had intermediate values.29 Zhang et al. studied the flavonoid extract antioxidant activity of Ziziphus jujube Mill. and used ultra-high-pressure extraction to achieve maximum yield of flavonoid extract. They measured the antioxidant properties using DPPH and ABTS methods. They tested the extract for antioxidant properties compares to the ultrasound-assisted extraction extract (UAE) and results showed that UHPE (ultra-high-pressure extraction) has stronger antioxidant activity.42 In another study, the intake in different doses of water extract gave transcriptional expression in NAD(P)H (Nicotinamide adenine dinucleotide phosphate), glutamate-cycteine ligase modifier subunit, glutathione S-transferase, glutamate-cysteine ligase catalytic subunit and quinine oxidoreductase for anti-oxidation.43 In a recent investigation jujube wine, jujube vinegar and jujube juice were used to estimate the antioxidant activity. The antioxidant activity TEAC was determined by the ABTS method. Results showed that the TEAC content of jujube vinegar surpassed the content of jujube juice and jujube wine. The investigation suggested that the jujube vinegar because of its extended shelf life it is an important product for food.27 In another study, the extracts were taken of different growth stages of (S1- S8) Ziziphus jujube fruit. The same method of the previous article was used in this article. The different extracts of Ziziphus jujube Mill. fruits of each growth stage showed results for the antioxidant property.37 In a separate study, Ziziphus jujube Mill. fruit powder by using DPPH (2,2-diphenyl-1-picrylhydrazyl) radical scavenging method explored for its antioxidant activity. The tested four different jujube fruits from five provenances Sfax, Choutrna, Regueb, Mahdia and Mahres. The results showed that antioxidant from decrease in concentration required for 50% inhibition IC50 values i.e., from 175mg/ml (Sfax) to 55mg/ml (Mahdia) as compare to standard the BHT (77.86mg/ ml). 41

 

Antiatherogenic Activity:

Hemmati et al. investigated the antiatherogenic properties of hydro-alcoholic extract and aqueous extract of the jujube plant in rats. Different biochemical parameters were estimated for the same. Serum levels of very low-density lipoprotein, lipid, and fasting blood glucose were significantly lowered. Treated groups with the extract of Jujube plant also showed reduced level of lipid peroxidation, increased antioxidant activity, increased serum adiponectin levels and decreased lipid lipoprotein levels. These all-biochemical parameters showed the beneficial effects of Jujube plant extract in atherogenic and diabetic animal models.44

 

Anxiolytic Activity:

Peng et al. worked on an ethanolic extract of semen Ziziphus Jujube for anxiolytic activity, that was studied on ICR mice with different dosages. For the evaluation, behavioural tests were conducted, and the findings revealed a rise in the percentage of open arm entries of the elevated plus maze and a drop in the proportions of entries in close arm of elevated plus maze. The results also showed induction of sleeping time in mice by hexobarbital, along with reduction in the locomotor activity.45

 

Neuroprotective Activity:

Chen et al. examined neuroprotective activity by use of chemical standardised water of jujube to the 24 hours cultured astrocytes. The results revealed stimulated expression of glial cell derived neurotrophic factor, nerve growth factor and brain derived neurotrophic factor in dose-dependent manner. Using protein kinase as a pre-treatment, the neurotrophic factor expression generated by jujube was reduced by the inhibitor H89. The extract also exhibited antioxidant properties as it induced the transcriptional production of anti-oxidation enzymes.43

 

Anti-inflammatory Activity:

Pethari and Saxena conducted a study to check the anti-inflammatory effect of hydroethanolic extract of Ziziphus jujube fruit employing paw edema carrageenan-induced paw edema. The hydroethanolic extract, administered at a dose of 350mg/kg orally (p.o), demonstrated significant inhibition of inflammation compared to the standard drug diclofenac sodium.46 Mesaik et al. tested the anti-inflammatory activity of an ethanolic extract of jujube fruits on carrageenan-induced paw oedema in female wistar rats. Diclofenac sodium was utilized as the standard anti-inflammatory medicine for comparison. The results revealed substantial prevention of edema in both the left and right paws. According to the findings, ethanolic extract of jujube fruit exhibited anti-inflammatory properties.47

 

Anti-diarrheal Activity:

Mesaik et al. studied the anti-diarrheal activity of jujube fruit ethanolic extract using a diarrheal mouse model induced by Castor oil and Escherichia coli. Graded doses of the extract showed no significant effect. However, the highest dose of 1200mg/kg demonstrated a notable impact on defecation and watery stools compared to the control group, resulting in a 60% reduction in diarrhoea.47 Rao and Lakshmi, investigated the antidiarrheal activity of aqueous extract from leaves of Ziziphus jujube with the help of castor oil and magnesium sulphate induced diarrhoea model in rats. Results revealed the anti-diarrheal activity by showing significantly inhibit the rate of defecation and consistency of faeces.48

 

Wound healing Potential and anti-inflammatory activity:

In an investigation, the ethanolic extract of Romanian Ziziphus jujube leaves was analyzed for its chemical constituents. Moreover, the study explored the newly formulated lipophilic ointment contained 10% extract of dries jujube leaf for its anti-inflammatory activity. The pH of the ointment was measured to be 5.41–5.42. Acute cutaneous irritancy test on Albino rat and recurring application studies on Wistar rats demonstrated that the ointment was non-toxic. In comparison to the standard drug (Cicatrizin), the ointment displayed healing activity on rats and exhibited a reasonable anti-inflammatory response when compared to control group. However, when compared with indomethacin in a rat model of inflammation induced by intraplantar administration of kaolin, the ointment showed no significant effect.30

 

Anti-atherosclerosis activity:

Fujiwara et al. reported methanol extract of Zizyphi fructus and Zizyphi semen foam cell inhibitory activity triggered by the acetylated LDL (low density lipoprotein) among the 50 crude extracts and based on that they reported the triterpenoids in Ziziphus jujube may therefore, useful in prevention of atherosclerosis. They also reported that the terpenoids like pomolic acid, pomonic acid and oleanoic acid were the major, and terpenoids containing a carboxylic acid at carbon-28 play a crucial role in the activity results.49

 

Cardiovascular Diseases:

Farhadnejad et al., performed the randomised controlled clinical trial on 48 patients, aged 30-65 years randomly assigned to two groups intervention (n=24) received 30 gm Ziziphus jujube and control (n=24) group. The results indicated that there were no noticeable changes were noted in the 30mg recived group when compared to the control group in various parameters of cardiometabolic factors, including total cholesterol, fasting plasma glucose level, triglycerides, low and high-density lipoprotein-cholesterol levels, as well as IL-6 (Interleukin-6) and C-reactive protein levels. The findings concluded regular intake of Ziziphus jujube confer beneficial effects. In another study, the hydroalcoholic extract of Ziziphus jujube Mill. fruits were investigated for its ability to liberate nitric oxide. Nitric oxide plays a vital role in cardiovascular regulation, and the results revealed that Ziziphus jujube promotes the release of nitric oxide. The cardiovascular response of the extract was further examined in acute NG-nitro-L-arginine methyl ester (L-NAME)-induced hypertension in rats. The results demonstrated that low-dose (100mg/kg) long-term consumption weakened the cardiovascular response induced by L-NAME.50,51

 

Immunomodulatory activity:

In an investigation, the immune-related response of two polysaccharide compounds extracted from the fruits of Zziphus jujube, namely Ju-B-2 and Ju-B-3, were examined. The results revealed that Ju-B-2 exhibited immune-related responses on proliferation of splenocytes at doses exceeding 30µg, while Ju-B-3 does not demonstrate a stimulatory effect.52

 

Hypolipidemic activity:

The results of the study conducted by Mostafa et al. suggested that Ziziphus jujube Mill. fruits powder demonstrated cholesterol-lowering and anti-obesity effects at various doses. The study involved a randomized sample of 83 individuals, comprising 41 men and 42 women aged 20 to 57 years (mean age 32±13). Subjects were grouped in three types of groups because of their BMI (Body Mass Index), and they were provided with a specific questionnaire. Anthropometric measurements were taken, and blood samples were collected for various analyses, including AST (aspartate aminotransferase, ALT (alanine aminotransferase) done to determine the lipid profile. The results revealed the significant reduction in fat percentage, body mass index, body weight, Low-density lipoprotein cholesterol and total cholesterol level in all groups. The consumption of 30 g/day Ziziphus jujube Mill. fruits powder showed significant reduction in triglycerides (TC).53

 

Other Beneficial Effects:

Lee et al. reported that lupin-type triterpenes, such as betulinic acid and betulonic acid, exhibited high cytotoxic activity, and 3-O-trans-p-coumaroyl alphitolic acids were found to be more effective than noncoumaroic triterpenoids. Additionally, they observed that oleanane-type triterpenes displayed significant anticomplement activity with IC50, whereas ceanothane-type and lupine-type triterpenes were inactive. Furthermore, the effects of Ziziphus jujube on blood circulation have also been documented. The pre-incubation of jujube extract at 37℃ for 5 minutes in platelet-rich plasma was stated to inhibit the aggregation of platelets induced by thrombin (0.4 U/ml), collagen (2 mg/ml), and arachidonic acid (100mM).13

 

Kubota et al. performed study for anti-obesity activity of Ziziphus jujube. They found that the extract of Z. Jujube inhibited glycerol-3-phosphate dehydrogenase activity and lipid accumulation without impacting 3T3-L1 preadipocytes cell viability. Results also indicated that the chloroform fraction of the Z. Jujube extract exhibited the most inhibitory effect during fractionation with organic solvents. The study suggested that the chloroform fraction of the Z. Jujube extract may block adipogenesis. Additionally, the mechanism of action of jujube (Ziziphus jujube) based on the network pharmacology in appetite stimulation was discovered. The Traditional Chines medicine integrative database (TCMID) and Traditional Chinese Medicine Systems Pharmacology (TCMSP) were used to find the action targets and the active compounds of jujube. Utilizing the cytoHubba plug-in and identifying hub genes, significant protein nodes and subnetworks were forecasted. According to the findings, a collective of 16 active constituents were recognized, with 131 action targets specifically associated with appetite and appetite management. MCODE analysis ruled out three important targets. Jujube ingredients displayed high binding activity against the primary targets, according to molecular docking. Based on the findings, the key active ingredients in jujube were investigated for their potential role in appetite regulation across a variety of components, targets, and channels.54

 

In an investigation, in a double blinded trial carried out on lactating women, the impact of Ziziphus jujube fruit lotion on the healing of breast fissures was investigated. The study recorded the existence or absence of nipple discharge on the 7th and 14th day postpartum. The results indicated significance differences among the control group (applied breast milk) and the group that applied Ziziphus jujube lotion. The study concluded that the Ziziphus jujube fruit lotion is effective in healing nipple fissures.55

 

CONCLUSIONS:

Ziziphus jujube is one of the most crucial Chinese herbal plants with the great importance and well-known plant worldwide. The tree has many medicinal values as well as pharmacological aspects for future medicinal uses. This review article combines the ethnopharmacological, preliminary evidence of modern pharmaceuticals and nutritional value data of the jujube plant, review literature used for this article confirms the phytochemical and biological importance of the plant. There is a lot of research ongoing on the medicinal plants for their anticancer activity. There are no recent studies which investigated the clinical difference of different varieties of Ziziphus jujube cultivators. There have no studies with the fruit part of the plant, researchers studied the other parts like barks, seeds, and leaves. This article opens the scope for researchers to study different aspects of Ziziphus jujube plant parts.

 

FUTURE PROSPECTS:

The plant Ziziphus jujube has a variety of chemical constituents and those are effective in the treatment of various diseases: many pharmacological activities are yet unknown. This article can help new researchers comprehend those tasks for the most effective research with this plant. Various parts of the plant have various chemical constituents that might be used to care for illnesses and open up new research in the future.

 

FUNDING:

No financial support from any organization or university was taken. We appreciate all the authors contributing to this article's editing, reading, and writing support.

 

CONFLICT OF INTEREST:

The authors have no competing interests to declare regarding the publication of this paper.

 

REFERENCES:

1.        Yang B, Yang H, Chen F, Hua Y, Jiang Y. Phytochemical analyses of Ziziphus jujuba Mill. var. spinosa seed by ultrahigh performance liquid chromatography-tandem mass spectrometry and gas chromatography-mass spectrometry. Analyst. 2013; 138(22): 6881. doi:10.1039/c3an01478a

2.        Mm A, Am M, Ia U, Da A, I J. Phytochemical Screening and Antimicrobial Activity of the Pulp Extract and Fractions of Ziziphus mauritiana. Biochem Anal Biochem. 2017; 7(2). doi:10.4172/2161-1009.1000352

3.        Mahajan RT, Chopda MZ. Phyto-Pharmacology of Ziziphus jujuba Mill – A Plant Review. Phcog Rev. 2009; 3(6): 320-329. doi:10.3390/molecules24244528

4.        Outlaw WH, Zhang Jr Shuqiu, Riddle KA, Womble AK, Anderson LC, Outlaw WM. The Jujube (Ziziphus jujuba Mill.), a Multipurpose Plant. Springer on behalf of New York Botanical Garden Press. 2016; 56(2): 198-206. Accessed February 17, 2016. http://www.jstor.org/stable/4256553

5.        Shady NH, Soltane R, Maher SA, et al. Wound Healing and Antioxidant Capabilities of Zizyphus mauritiana Fruits: In-Vitro, In-Vivo, and Molecular Modeling Study. Plants. 2022; 11(11): 1392. doi:10.3390/plants11111392

6.        Miri SM. Cultivation, chemical compositions and health benefits of jujube (Ziziphus jujuba Mill.). In: MPSID 2018; 2018. https://www.researchgate.net/publication/327703756

7.        Rodríguez Villanueva J, Rodríguez Villanueva L. Experimental and Clinical Pharmacology of Ziziphus jujuba Mills: Ziziphus jujuba Mills, a Comprehensive Review. Phytother Res. 2017; 31(3): 347-365. doi:10.1002/ptr.5759

8.        Ji X, Peng Q, Yuan Y, Shen J, Xie X, Wang M. Isolation, structures and bioactivities of the polysaccharides from jujube fruit (Ziziphus jujuba Mill.): A review. Food Chemistry. 2017; 227: 349-357. doi:10.1016/j.foodchem.2017.01.074

9.        University of Kragujevac, Faculty of Agronomy, Serbia, Đurović V, Radenković S, et al. Antioxidant and Antibacterial Activities of Zizyphus Jujuba L. Leaf Extracts. In: Proceedings / 2nd International Symposium on Biotechnology. University of Kragujevac, Faculty of Agronomy; 2024: 415-422. doi:10.46793/SBT29.53VDJ

10.      Wu Z, Zhang S, Liu L, Wang L, Ban Z. The Grade of Dried Jujube (Ziziphus jujuba Mill. cv. Junzao) Affects Its Quality Attributes, Antioxidant Activity, and Volatile Aroma Components. Foods. 2023; 12(5): 989. doi:10.3390/foods12050989

11.      Liao Y, Liu Y, Zhang W, et al. Effects of variable-temperature drying on the qualities and sweet-substance profile of Zizyphus jujuba Mill. cv. Junzao. Food Chemistry: X. 2024; 22: 101361. doi:10.1016/j.fochx.2024.101361

12.      Huang PH, Chiu CS, Lu WC, Huang RH, Wang CCR, Li PH. Change in chemical composition and enhancement of intestinal microflora of acid hydrolyzed polysaccharides from Zizyphus jujube and Sterculia lychnophora. Arabian Journal of Chemistry. 2024; 17(3): 105598. doi:10.1016/j.arabjc.2023.105598

13.      Chen J, Tsim KWK. A Review of Edible Jujube, the Ziziphus jujuba Fruit: A Heath Food Supplement for Anemia Prevalence. Front Pharmacol. 2020; 11: 593-655. doi:10.3389/fphar.2020.593655

14.      Goyal M, Gupta VK, Singh N, Sharma M. Carum Carvi-An Updated Review. Indian JPharmBiolRes. 2018; 6(4): 14-24. doi:10.30750/ijpbr.6.4.4

15.      Singh N. A Review on Pharmacological Aspects of Achyranthes Aspera. IPCM. 2019;3(4):1-10. doi:10.23880/ipcm-16000188

16.      Mayur Bhurat, Mrinal Sharma, Ashish Budhrani, Sanjay Nagdev, Rupal Bhurat, Manish Deshmukh. A Rare Medicinal Herb Remusatia Vivipara. ijrps. 2021; 12(1): 203-207. doi:10.26452/ijrps.v12i1.3979

17.      Sharma M. Striga orobanchioides: A Rare parasitic Medicinal Plant. IJPR. 2021; 13(03). doi:10.31838/ijpr/2021.13.03.193

18.      Sharma M, Golani P, Bhurat M, et al. Combretum albidum G. Don: An unexplored medicinal plant. J Med Plants Stud. 2021; 9(4): 111-113. doi:10.22271/plants.2021.v9.i4b.1317

19.      Konduri MKR, Bogolu VR. Evaluation of antioxidant activities of two medicinal plants, Terminalia chebula and Adhatoda vasica belonging to Bapatla, India. 2015; 8(2): 194. doi:10.5958/0974-360X.2015.00035.9

20.      Gao QH, Wu CS, Wang M. The Jujube (Ziziphus Jujuba Mill.) Fruit: A Review of Current Knowledge of Fruit Composition and Health Benefits. J Agric Food Chem. 2013; 61(14): 3351-3363. doi:10.1021/jf4007032

21.      Shi Q, Li X, Zhu D, Jiang J, Li X. Comprehensive analysis of antibacterial and anti-hepatoma activity of metabolites from jujube fruit. Food Bioscience. 2022; 47: 101511. doi:10.1016/j.fbio.2021.101511

22.      Zhang H, Jiang L, Ye S, Ye Y, Ren F. Systematic evaluation of antioxidant capacities of the ethanolic extract of different tissues of jujube (Ziziphus jujuba Mill.) from China. Food and Chemical Toxicology. 2010;48(6):1461-1465. doi:10.1016/j.fct.2010.03.011

23.      Gao QH, Wu CS, Wang M, Xu BN, Du LJ. Effect of Drying of Jujubes (Ziziphus jujuba Mill.) on the Contents of Sugars, Organic Acids, α-Tocopherol, β-Carotene, and Phenolic Compounds. J Agric Food Chem. 2012; 60(38): 9642-9648. doi:10.1021/jf3026524

24.      Usman A, Sanusi SB, Lawal SM, Musa FM, Auwal HM. Antibacterial and phytochemical screening of Ziziphus jujuba (jujube/magarya) leaf extract in Kaduna Metropolis. dujopas. 2022; 7(4b). doi:10.4314/dujopas.v7i4b.19

25.      Zhi Y, Chuanjiang Z, Xinfang Y, et al. Genetic analysis of mixed models of fruit sugar–acid fractions in a cross between jujube (Ziziphus jujuba Mill.) and wild jujube (Z. acido jujuba). Front Plant Sci. 2023; 14: 1181903. doi:10.3389/fpls.2023.1181903

26.      Ayoubi R, Foladi MM, Lutfi S, Zhakfar AM. Determination of Phenolic and Flavonoid Content in Ziziphus Jujuba Mill. Fruit Collected from Farah Province, Afghanistan. JNSR. 2024; 2(1): 21-33. doi:10.62810/jnsr.v2i1.27

27.      Budak HN. Determination of Changes in Volatile Aroma Components, Antioxidant Activity and Bioactive Compounds in the Production Process of Jujube (Ziziphus jujuba Mill.) Vinegar Produced by Traditional Methods. Fermentation. 2022; 8(11): 606. doi:10.3390/fermentation8110606

28.      Bai L, Zhang H, Liu Q, et al. Chemical characterization of the main bioactive constituents from fruits of Ziziphus jujuba. Food Funct. 2016;7(6):2870-2877. doi:10.1039/C6FO00613B

29.      Wojdyło A, Carbonell-Barrachina ÁA, Legua P, Hernández F. Phenolic composition, ascorbic acid content, and antioxidant capacity of Spanish jujube (Ziziphus jujube Mill.) fruits. Food Chemistry. 2016; 201: 307-314. doi:10.1016/j.foodchem.2016.01.090

30.      Hovanet MV, Ozon EA, Morosan E, Seremet OC, Oprea E. Wound Healing and Anti-Inflammatory Effects of a Newly Developed Ointment Containing Jujube Leaves Extract. MDPI Life. 2022; 12(12): 1947 (1-21). doi:10.3390/life12121947

31.      Malik A, Kuliev ZA, Akhmedov YuA, Vdovin AD, Abdullaev ND. Proanthocyanidins ofZiziphus jujuba. Chem Nat Compd. 1997; 33(2): 165-173. doi:10.1007/BF02291535

32.      Sakna ST, Maghraby YR, Abdelfattah MS, Farag MA. Phytochemical diversity and pharmacological effects of triterpenes from genus Ziziphus: a comprehensive review. Phytochem Rev. Published online September 16, 2022. doi:10.1007/s11101-022-09835-y

33.      Kang KB, Kim JW, Oh WK, Kim J, Sung SH. Cytotoxic Ceanothane- and Lupane-Type Triterpenoids from the Roots of Ziziphus jujuba. J Nat Prod. 2016; 79(9): 2364-2375. doi:10.1021/acs.jnatprod.6b00525

34.      Kundu AB, Barik BR, Mondal DN, Dey AK, Banerji A. Zizyberanalic acid, A pentacyclic triterpenoid of Zizyphus jujuba. Phytochemistry. 1989; 28(11): 3155-3158. doi:10.1016/0031-9422(89)80297-3

35.      Plastina P, Bonofiglio D, Vizza D, et al. Identification of bioactive constituents of Ziziphus jujube fruit extracts exerting antiproliferative and apoptotic effects in human breast cancer cells. Journal of Ethnopharmacology. 2012; 140(2): 325-332. doi:10.1016/j.jep.2012.01.022

36.      Huang X, Kojima-Yuasa A, Norikura T, Kennedy DO, Hasuma T, Matsui-Yuasa I. Mechanism of the Anti-Cancer Activity of Zizyphus jujuba in HepG2 Cells. Am J Chin Med. 2007; 35(03): 517-532. doi:10.1142/S0192415X0700503X

37.      Choi SH, Ahn JB, Kim HJ, et al. Changes in Free Amino Acid, Protein, and Flavonoid Content in Jujube (Ziziphus jujube) Fruit during Eight Stages of Growth and Antioxidative and Cancer Cell Inhibitory Effects by Extracts. J Agric Food Chem. 2012; 60(41): 10245-10255. doi:10.1021/jf302848u

38.      Shirdel Z, Madani H, Mirbadalzadeh R. Investigation into the hypoglycemic effect of hydroalcoholic extract of Ziziphus Jujuba Leaves on blood glucose and lipids in Alloxan-Induced diabetes in rats. Iranian Journal of Diabetes and Lipid Disorders. 2009; 8(2): 13-19. https://jdmd.tums.ac.ir/index.php/jdmd/article/view/234

39.      Ben Mahmoud K, Wasli H, Ben Mansour R, et al. Antidiabetic, antioxidant and chemical functionalities of Ziziphus jujuba (Mill.) and Moringa oleifera (Lam.) plants using multivariate data treatment. South African Journal of Botany. 2022; 144: 219-228. doi:10.1016/j.sajb.2021.08.017

40.      Li Y, Hao K, Xie H, Jiang J. The Hypoglycemic Activities and Underlying Mechanisms of Two Saponins‐Rich Components from Fried Ziziphus jujuba Mill. Kernel. Molecular Nutrition Food Res. 2023; 67(12): 2200364. doi:10.1002/mnfr.202200364

41.      Elaloui M, Ammari Y, Ghazghazi H, Gorrab AEBO, Laamouri A, Driouich Chaouachi R. Effect on Ziziphus jujuba Mill. fruit powders embedded on physicochemical properties, biological activities, and rheologic quality of cake. Food Science and Nutrition. 2023; 11(6): 2942-2955. doi:10.1002/fsn3.3276

42.      Zhang L, Liu P, Li L, et al. Identification and Antioxidant Activity of Flavonoids Extracted from Xinjiang Jujube (Ziziphus jujube Mill.) Leaves with Ultra-High Pressure Extraction Technology. Molecules. 2018; 24(1): 122. doi:10.3390/molecules24010122

43.      Chen J, Yan AL, Lam KYC, et al. A Chemically Standardized Extract of Ziziphus jujuba Fruit (Jujube) Stimulates Expressions of Neurotrophic Factors and Anti-oxidant Enzymes in Cultured Astrocytes: Beneficial Role of Jujube in Cultured Astrocytes. Phytother Res. 2014; 28(11): 1727-1730. doi:10.1002/ptr.5202

44.      Hemmati M, Zohoori E, Mehrpour O, et al. ANTI-Atherogenic Potential of Jujube, Saffron And Barberry: Anti-Diabetic and Antioxidant Actions. EXCLI Journal. 2015; (14): 908-915. doi:10.17179/excli2015-232

45.      Peng WH, Hsieh MT, Lee YS, Lin YC, Liao J. Anxiolytic effect of seed of Ziziphus jujuba in mouse models of anxiety. Journal of Ethnopharmacology. 2000; 72(3): 435-441. doi:10.1016/S0378-8741(00)00255-5

46.      Pethari J, Saxena R. Efficacy of Anti-inflammatory Potential of Hydroethanolic Fruit extract of Ziziphus jujube. South Asian Res J Pharm Sci. 2023; 5(02): 38-41. doi:10.36346/sarjps.2023.v05i02.003

47.      Mesaik AM, Poh HW, Bin OY, Elawad I, Alsayed B. In Vivo Anti-Inflammatory, Anti-Bacterial and Anti-Diarrhoeal Activity of Ziziphus Jujuba Fruit Extract. Open Access Maced J Med Sci. 2018; 6(5): 757-766. doi:10.3889/oamjms.2018.168

48.      Rao GHJ, Lakshmi P. Anti Diarrhoeal Activity of Ziziphus Jujuba Leaf Extract In Rats. 2012; 3(1).

49.      Fujiwara Y, Hayashida A, Tsurushima K, et al. Triterpenoids Isolated from Zizyphus jujuba Inhibit Foam Cell Formation in Macrophages. J Agric Food Chem. 2011; 59(9): 4544-4552. doi:10.1021/jf200193r

50.      Mohebbati R, Bavarsad K, Rahimi M, Rakhshandeh H, Khajavi Rad A, Shafei MN. Protective effects of long-term administration of Ziziphus jujuba fruit extract on cardiovascular responses in L-NAME hypertensive rats. Avicenna J Phytomed. 2018; 8(2): 143-151.

51.      Alsayari A, Wahab S. Genus Ziziphus for the treatment of chronic inflammatory diseases. Saudi Journal of Biological Sciences. 2021; 28(12): 6897-6914. doi:10.1016/j.sjbs.2021.07.076

52.      Aafi E, Reza M, Mirabzadeh M. Jujube (Ziziphus jujuba Mill. (Rhamnaceae)): a review on its pharmacological properties and phytochemistry. Tradit Med Res. 2022; 7(4): 38. doi:10.53388/TMR20220905001

53.      Mostafa UES, Labban L. The Effect of Zizyphus jujube on Serum Lipid Profile andSome Anthropometric Measurements. Pakistan J of Nutrition. 2013; 12(6): 538-543. doi:10.3923/pjn.2013.538.543

54.      Zhu Y, Huang J, Shen T, Yue R. Mechanism of Jujube (Ziziphus jujuba Mill.) Fruit in the Appetite Regulation Based on Network Pharmacology and Molecular Docking Method. Teekaraman Y, ed. Contrast Media and Molecular Imaging. 2022; 2022: 1-12. doi:10.1155/2022/5070086

55.      Amir Ali Akbari  sedigheh, Shahrahmani N, Mojab F, Mirzai MM, Shahrahmani H. The Effect of Zizyphus Jujuba Fruit Lotion on breast fissure in Breastfeeding women. IJPR. 2018; 17(Special Issue 1). doi:10.22037/ijpr.2018.2215

 

 

Received on 22.10.2024      Revised on 14.02.2025

Accepted on 08.04.2025      Published on 01.12.2025

Available online from December 06, 2025

Research J. Pharmacy and Technology. 2025;18(12):5981-5990.

DOI: 10.52711/0974-360X.2025.00864

© RJPT All right reserved

 

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Creative Commons License.