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Species of the genus <i>Pleiocarpa</i> are used in traditional medicine against fever and malaria. The present study focuses on the isolation and identification of bioactive compounds from <i>P. bicarpellata</i> extracts, and the evaluation of their antiprotozoal activity. Fractionation and isolation combined to LC-HRMS/MS-based dereplication provided 16 compounds: seven indole alkaloids, four indoline alkaloids, two secoiridoid glycosides, two iridoid glycosides, and one phenolic glucoside. One of the quaternary indole alkaloids (<b>7</b>) and one indoline alkaloid (<b>15</b>) have never been reported before. Their structures were elucidated by analysis of spectroscopic data, including 1D and 2D NMR experiments, UV, IR, and HRESIMS data. The absolute configurations were determined by comparison of the experimental and calculated ECD data. The extracts and isolated compounds were evaluated for their antiprotozoal activity towards <i>Trypanosoma brucei rhodesiense</i>, <i>Trypanosoma cruzi</i>, <i>Leishmania donovani</i>, and <i>Plasmodium falciparum,</i> as well as for their cytotoxicity against rat skeletal myoblast L6 cells. The dichloromethane/methanol (1:1) root extract showed strong activity against <i>P. falciparum</i> (IC₅₀ value of 3.5 µg/mL). Among the compounds isolated, tubotaiwine (<b>13</b>) displayed the most significant antiplasmodial activity with an IC₅₀ value of 8.5 µM and a selectivity index of 23.4. Therefore, <i>P. bicarpallata</i> extract can be considered as a source of indole alkaloids with antiplasmodial activity.