ABSTRACT
The annual plant fenugreek (Trigonella foenum graecum), which is indigenous to southern Europe and Asia, has white blossoms and hard, yellowish brown, angular seeds. It has long been valued for its nutritional content in addition to its therapeutic properties. The anti-inflammatory, hepatoprotective, cardioprotective, neuroprotective, immunomodulatory, nephroprotective and antimicrobial properties of fenugreek seeds, which are abundant in important chemicals, play a vital role in the treatment and management of disorders. Foenum-graecum Trigonella, fenugreek, Antioxidant and anti-inflammatory properties Health care and anti-cancer initiatives In Asia, fenugreek is a common herb used in cooking and as a traditional diabetic treatment. Acute reduction of postprandial glucose levels has been demonstrated, but the long-term impact on glycemia is still unknown. Clinical studies examining the impact of fenugreek consumption on glucose homeostasis indicators were thoroughly examined by us. The active ingredient in fenugreek, which also inhibits tumor necrosis factor, induces apoptosis and modulates the activation of several genes, including tumor suppressor genes. The identification of chemical components in this plant and its therapeutic benefits has been the subject of numerous investigations.
INTRODUCTION
Growing customer demand for nutritious foods has pushed the food sector to create health-promoting food items. Industry acceptance of foods that are high in nutrients, provide health benefits, prevent disease and/or promote health has increased and these foods can be effective marketing tools. As a result, functional meals that contain a variety of ingredients such dietary fiber, vitamins, minerals, probiotics and prebiotics have become popular. Certain herbs have been taken into consideration in this regard due to their potential uses as food development, antimicrobials, antioxidants and health products. A plant belonging to the Leguminosae family, fenugreek (Trigonella foenum-gracium) is grown yearly and is often grown in Asia and the Mediterranean region, Due to the dried (Rafieian-Kopaei, 2012) seeds’ antibacterial, anti-inflammatory, galactagogues, insulinotropic and restorative properties, they have long been used in Egypt, China, India and some regions of Europe Whole and crushed fenugreek seeds, which have a pleasant bitterness and a hint of sweetness, are used to flavor teas, curry powders and spice blends. The seed’s center hard, yellow embryo is surrounded by a horny, sizable coating of white, semi-transparent endosperm.
The chemical makeup of fenugreek is responsible for its amazing functional and therapeutic properties (20-25% proteins (Sewell and Rafieian-Kopaei, 2014), 45-50% dietary fiber, 20-25% mucilaginous soluble fiber, 6-8% fixed fatty acids and essential oils and 2-5% steroidal saponins). Furthermore, a few minor constituents have been identified and found to be the primary cause of its diverse biological effects, including free unnatural amino acids-hydroxyisoleucine), alkaloids (trigonelline, choline, gentianine, carpaine, etc.,) and distinct spirostanols and furastanols like diosgenin, gitogenin and yamogenin. Possessed the highest levels of protein (43.8 g/100 g) and saponin (4.63 g/100 g), while the husk had higher levels of total polyphenols (Karimiet al., 2013) (103.8 mg of gallic acid equivalent/g) and Total Dietary Fiber (TDF) (77.1 g/100 g), which included Soluble Dietary Fiber (SDF) (45.2 g/100 g) and Insoluble Dietary Fiber (IDF) (31.9 g/100 g). Based on the free radical scavenging method (Nasri and Shirzad, 2013), extracts of husk, fenugreek seed and endosperm at 200 µg concentrations demonstrated 72%, 64% and 56% antioxidant activity, respectively (Rafieian-Kopaei and Nasri, 2014). Fenugreek’s beneficial chemical compounds have demonstrated antidiabetic, anticancer, hypocholesterolemic, anti-inflammatory, antioxidant and chemo preventive properties. Fenugreek’s nutraceutical qualities and possible culinary uses are covered in this review, which has never been examined before (Nasri and Rafieian-Kopaei, 2014).
Recent Therapeutic and Pharmacologic Investigations
Numerous studies on the various impacts of this plant have been carried out in order to confirm the use of beneficial chemicals and their mechanisms in the treatment of diseases, given the widespread usage of fenugreek and its significant therapeutic value (Baradaranet al., 2014). According to recent research, this plant has a wide range of therapeutic benefits for various illnesses. Here is the most significant pharmacologic effects (Nasriet al., 2014).
In vitro Studies
Fenugreek extract’s hydroalcoholic extract has been shown to have up to 70% inhibitory effects on the proliferation of cancer cells, according to studies on the subject. Moreover, 200 mg/kg of the aforementioned extract administered intraperitoneally resulted in 62.3%+12.9% reduction in inflammation (Akbariet al., 2013). Additionally, the number of peritoneal macrophages was considerably higher in this study at dosages of 100 and 200 mg/kg (p<.01) (Mirhoseiniet al., 2013).
Fenugreek seed has a dry ethanolic extract that is high in saponins (extract: plant ratio: 1:9). With a Minimum Inhibitory Concentration (MIC) of 1.25, this extract inhibits the growth of Escherichia coli, Pseudomonas, Staphylococcus aureus, Enterococcus faecalis and Candida sp. Fungi (Asgaryet al., 2013). When compared to 1 mg/mL streptomycin, which produces an inhibitory zone of 19 to 32 mm, a dry extract made from fenugreek seeds at a concentration of 100 mg/kg demonstrated a mild antibacterial effect on Bordetellabrochiseptica, Bacillus cereus, Bacillus pumilis, Micrococcus flavus, Sarcina lutea, E. coli and Proteus vulgare with a 17-22 mm. Fenugreek’s furostanolsaponins don’t have antibacterial properties, but when they were converted to spirostanol, the resultant material showed a potent dose-dependent fungicidal action against T. harzianum, Trichoderma viride and Rosellinia necatrix (MIC50 ¼ 50 mg/mL) (Asgaryet al., 2013). Additionally, Candida albicans (MIC50 ¼ 25 mg/mL). At a dosage of 0.5 mg/mL, an aqueous fluid extract of fenugreek (1:1 ratio) exhibits a modest relaxing action on the smooth muscles of the isolated rabbit duodenum (Baschet al., 2003).
Animal Studies
According to clinical and animal research, fenugreek seed lowers both acute and chronic blood sugar. In an animal study comparing fenugreek dry extract with insulin in rats, it was demonstrated that rats given aloxan-induced diabetes saw a 1.5 unit/kg drop in blood sugar, equivalent to that of insulin, when given a 15 mg/kg dose of fenugreek dry extract. After cellular variables were examined (Rafieian-Kopaeiet al., 2014), it was shown that fenugreek extract was the cause of the drop in blood sugar and glucose tolerance via stimulating the synthesis of insulin in adibocytes and liver cells. When rats were fed fenugreek at 15%, 30% and 60% levels in a diet that caused hypercholesterolemia, the amount of cholesterol and bile acids in their feces rose dose-dependently and there was a significant rise in serum cholesterol at all three dosages (p<0.001). In rats fed a hypercholestrolaemic diet for four weeks, adding 30% fenugreek to their food resulted in a significant reduction in cholesterol to 201 mg/dL, compared to 423 mg/dL in positive control animals (p<0.001) (Khosravi-Boroujeniet al., 2013). Fenugreek-containing diets had no effect on serum triglyceride levels. Another study found that adding 30 g/kg of dry ethanolic extract defatted from fenugreek to rats’ hypercholesterolaemic diet significantly reduced plasma cholesterol (p<0.05), which was attributed to fenugreek’s saponins. Steroid saponins extracted from fenugreek (12.5 mg/dL, per 300 g body weight of animals for 2-4 weeks) had no effect on triglyceride levels but dramatically reduced plasma cholesterol levels in streptozotocin-diabetic rats and healthy rats (p<0.001). After 600 and 80 mg loading doses of a soluble fenugreek gel (mostly composed of galactomannan) were given orally to rats, there was a 50% inhibition of bile salt uptake and starch digestion (Sadeghiet al., 2014).
When fenugreek (50-200 g/kg) was given to rats, the production of bile acids rose significantly (p<0.05), which may have been due to its ability to promote the conversion of cholesterol to bile salts. For 2 weeks, adding 2 or 8 g/kg of powdered fenugreek to the diet of both healthy and alloxan-diabetic rats significantly and dose-dependently reduced the levels of total blood cholesterol, triglycerides, low- and very low-density lipoprotein and cholesterol (p<0.05 and p<0.001). Additionally (Shirzadet al., 2009), it raised high-density lipoprotein cholesterol in rats with inalloxan-induced diabetes (p<0.05). Rabbits that had been fed a high-fat diet for nine weeks showed improvements in their plasma fat profile when they were given powdered fenugreek at 20%, 30% and 60% of their diet for two weeks, along with three fenugreek-based fractions (defatted, saponin-free and crude saponin added at levels equivalent to fenugreek powder at 30% of diet). All of the aforementioned diets had no effect on high-density lipoprotein cholesterol, but they did lower the ratio of plasma total cholesterol to high-density lipoprotein cholesterol (p<0.01) and fenugreek powder and each fraction decreased cholesterol and triglyceride levels (p<0.01) (Shirzadet al., 2011). A portion of crude Compared to other fractions and fenugreek powder, saponin was more effective. In the glucose tolerance test, streptozotocin-induced diabetic rats were given an oral suspension of fenugreek powder (0.25 g in 5 mL of water), which resulted in a drop in blood sugar levels following a meal and defatted When given orally for eight days at a dose of 1.89 g/kg body weight (Ghaed et al., 2012), fenugreek reduced blood sugar in dogs with alloxan-induced diabetes (p<0.05). This product dose reduced the basal glucagon (p<0.02) and reaction to oral glucose (p<0.05) in healthy dogs. Blood sugar (p<0.01) and blood cholesterol in dogs with diabetes caused by alloxan. When given orally to rats with alloxan-induced diabetes, triphenelline, which is derived from fenugreek, dramatically reduced blood sugar levels. This effect persisted for 24 hr (Nasriet al., 2013).
Fenugreek aqueous decoction could reduce blood sugar in both healthy and alloxan-induced diabetic rats in a dose-dependent manner, with the greatest effect occurring over 6 hr (p<0.05). In rats with alloxan-induced diabetes, the oral administration of a dry ethanolic extract of fenugreek (1:21 ratio) at a dose of 200 mg/kg body weight exhibited a blood sugar-lowering effect comparable to that of tolbutamide at the same dosage. In a glucose tolerance test (Heidarianet al., 2013), fenugreek decoction (40 g in 300 mL water) dramatically reduced fasting blood sugar (17.7%) when given orally to rabbits at a dose of 4 mL/kg body weight. When 20% fenugreek was added to the rats’ food for two weeks, their blood glucose levels dropped 95% in the starch tolerance test (1 g/kg body weight), but there was no discernible difference in the glucose tolerance test. For two weeks, adding 2 or 8 g of fenugreek powder per kilogram of body weight to the diet reduced blood glucose levels in both healthy rats (p<0.05) and alloxan-induced diabetic rats (p<0.01) as compared to the control group. For 14 days, 300 g rats given a 10 mg dose of dry hydroalcoholic fenugreek extract (containing 12.5% steroid saponin and 4.8% free amino acids) orally showed a substantial increase in plasma insulin levels (p<0.01) when compared to the control group (Heidarianet al., 2013).
When rats were given a 10-mg oral dose of a dry hydroalcoholic extract of fenugreek seed (12.5% saponin and 4.8% free amino acid) for two weeks, their food intake and attention to eating increased by 20% (p<0.01 on day 14), while their drinking water intake remained unchanged. The same diet has been shown to raise plasma insulin (p<0.01) and decrease total cholesterol (p<0.05) as well as low- and very low-density lipoprotein cholesterol (p<0.05). When compared to the control group, rats’ digestive wounds caused by phenylbutazone and azepein improved more quickly after receiving an oral aqueous extract (1:1) at a rate of 1 mL/100 g body weight for five days. (p<0.05) (SalehiSurmaghi, 2008). Fenugreek extract’s modest cholinergic action and tissue surface structure were linked to this effect. Fenugreek seed given daily at a rate of 500 mg/kg for four weeks dramatically (p<0.01) reduced the amount of oxalate renal stones that formed in rats. By supplementing their diet with 3% glycolic acid, these rats developed renal stones (Baschet al., 2003).
Fenugreek seeds contain hydroxyisoleucine, a crucial amino acid. In a single investigation on animals. When insulin-resistant and streptozotocin-induced diabetic rats were fed fructose, the liver damage indicator, aspartate transaminase, rose dramatically (84% and 93%, respectively; p<0.001) in comparison to the control group, which returned to normal after 8 weeks of treatment with 4-hydroxyisoleucine (50 mg/kg) in both groups (p<0.01). 4-hydroxyisoleucine reduced blood glucose levels in diabetic rats fed fructose by 36%. In rats with streptozotocin-induced diabetes, 4-hydroxyisoleucine treatment resulted in a 31% decrease in high-density lipoprotein cholesterol (p<0.05) but no change in blood glucose or liver variables (Diniet al., 2006). The study’s researchers came to the conclusion that 4-hydroxyisoleucine could regulate factors linked to liver damage in streptozotocin-induced and insulin-resistant diabetes. It also caused blood glucose levels to drop in the first group and high-density lipoprotein cholesterol levels to rise. In a study on rats, fenugreek seed extract was added to the food along with glucose. After the sport test, muscle tissue was biopsied and the results showed that the extract enhanced the production of muscle tissue glycogen by 63% when compared to the control group. The rats in this study, who were streptozotocin-induced diabetic rats, were fed 0.5 and 0.1 g/kg body weight of fenugreek leaf every day, whereas the control group received 600 mg/kg of the antidiabetic medication glibenclamide (Aniset al., 1985). Blood sugar levels, glycated hemoglobin, plasma insulin and liver enzymes (glucose 6-phosphatase and hexokinase) were assessed after 45 days. When fenugreek leaf (1 g/kg body weight) was administered, blood sugar levels dropped while plasma insulin and hexokinase enzyme activity-a crucial enzyme in boosting glucose metabolism (Mirzaeiet al., 2012).
Clinical Studies
Effectiveness in Decreasing or Controlling Blood Glucose: Effectiveness in regulating blood glucose was noted in double-blind clinical research conducted by Gupta et al. To regulate blood sugar, 25 patients with type 2 diabetes were split into two groups. One group took 1 g of dry hydroalcoholic extract of fenugreek seeds per day, while the other group followed a diet and exercise regimen (Varshney and Sharma, 1996). Both groups’ blood sugar levels dropped after two months (from 148.3 to 119.9 mg/dL in the fenugreek group and from 137.5 to 113 mg/dL in the diet group and sport), but there was no discernible difference between them. Researchers came to the conclusion that fenugreek, along with diet and exercise, may help patients with type 2 diabetes control and lower their blood sugar levels. Patients with type 2 diabetes participated in a randomized, controlled, crossover study by Sharma et al. The study found that eating a diet high in fenugreek dramatically reduced blood glucose levels from 179+24 to 137+20.2 mg/dL. Both groups showed improvements in glucose tolerance as well as in hyperphagia and polyuria symptoms (Bu Ali Sina, 1988). Other case studies have demonstrated that fenugreek seeds help people with type 2 diabetes control and improve their blood sugar levels.
Treating Body Weakness and Anorexia: This plant works well for treating children’s skeletal TB and osteomyelitis. This plant contains iron, phosphorus, carbohydrates, diastases and other nitrogenous elements that can be used to cure several diseases caused by anorexia and myasthenia disorders (Sweetman, 2009). This plant is also useful in a variety of situations when phosphorous and iron supplements are required.
Toxicology Studies
One study examined the effects of fenugreek seed consumption on 60 type 2 diabetic patients over a 24-week period, looking at changes in weight, clinical signs and serum variables of toxicity such as serum glutamic oxaloacetic transaminase and serum glutamic pyruvic transaminase, alkaline phosphatase, creatinine, bilirubin and blood urea (Morcoset al., 1981). Both the control and treatment groups were given 300 g of carbs per day for 7 days at the start of the trial. Following this time, blood samples were obtained to calculate the base size of the variables. The diabetic patients’ regular diet was supplemented with 25 g of powdered fenugreek seed on day 7. Fenugreek seed recipients had a nonsignificant weight change of 1+1.6 kg. After taking fenugreek leaf for three to four days (Yoshikawaet al., 1997), several people who had digestive issues including diarrhea and cramps went away. There was no discernible change in blood factors and there were no adverse effects on the liver or kidneys.
Side Effects
For fenugreek, no unique adverse effects have been documented. There was one instance of a 5-week-old baby’s consciousness level dropping after consuming herbal tea containing fenugreek. The issue was linked to a metabolic disease and the sotolon content of fenugreek seeds, which are used to make herbal tea (Suret al., 2001).
The main aroma component of fenugreek seed is sotolon, a lactone derivative and potent aromatic molecule that has a curry or fenugreek-like scent. In addition, it can be found in aged sake and white wine, roasted tobacco and dried mushroom fruiting bodies. Foods high in sotolon, such fenugreek, can give one’s sweat and urine a maple syrup scent. Sotolon can also travel through the body largely unaltered (Abbasoglu and Turkoz, 1995). Some people with genetic disorders generate it on their own and expel it in their urine, which results in the disease’s distinctive odor (Bhattiet al., 1996).
Use in the Lactation Period: The production of breast milk can be improved by fenugreek. However, based on research, it is advised that nursing mothers take into account the following when ingesting fenugreek seeds.
- Fenugreek should be consumed carefully by women who have signs of asthma or digestive disorders.
- Minimum amount of consumption that provides effect should be considered.
- It should be avoided in women with blood pressure and patients with cardiovascular diseases.
- Women who have sensitive skin should check sensitivity to fenugreek.
- Women who use warfarin plus aspirin should use fenugreek with caution.
- Women who use fenugreek for their milk supply increase should avoid long-term use of it. It is recommended to check coagulation time and blood glucose test during the consumption period.
CONCLUSION
Since ancient times, fenugreek has been used extensively to treat and prevent illnesses. Numerous traditional applications have been validated by the conducted investigations, which also clearly demonstrate the plants medicinal worth and the capabilities of traditional medicine. Nevertheless, there is insufficient scientific data to determine this plant’s mode of action. There is a significant antidiabetic benefit of fenugreek. It can reduce blood sugar in diabetic patients by slowing down the gastrointestinal tract’s absorption of sugar and stimulating the release of insulin. Fenugreek is also used to treat several other conditions, including hypertension, atherosclerosis, gastritis, inflammation, upset stomach and loss of appetite. Sometimes, nursing mothers use fenugreek to encourage the flow of milk. Nevertheless, the mechanisms of action under these circumstances remain undefined. Because of its high iron content, fenugreek can help people who are iron deficient. Kidney problems and other toxicities are treated with it. It has antioxidant activity, and it appears that this plant’s antioxidant capacity is one of the primary elements that contributes to fenugreek’s beneficial effects. Flavonoids, plant sterols, vitamins, cumarins, terpenoids, carotenoids, curcumins, lignin and saponin are among the numerous active phytochemicals that have been linked to the plant’s antioxidant qualities. But the chemicals that have contributed most to this effect are phenolic ones. Thus, there is a strong relationship between the extract’s antioxidant activity and the polyphenolic components it contains.
Therefore, fenugreek, which has antioxidant properties and phenolic components, should be able to counteract these situations and could be a promising herbal medication candidate.
Cite this article:
Revathy S, Nathiya R, Shoba K. A Variety of Bioactive Compounds can be found in the Spice and Medicinal Herb Trigonella foenum-graecum plant. Int. J. Pharm. Investigation. 2025;15(3):313-24.
REFERENCES
- Abbasołu, U., & Türköz, S. (1995). Antimicrobial activities of saponinextracts from some indigenous plants of Turkey. International Journal of Pharmacognosy, 33(4), 293–296. https://doi.org/10.3109/13880209509065381
- Akbari, F., Ansari-Samani, R., Karimi, A., Mortazaei, S., Shahinfard, N., & Rafieian-Kopaei, M. (2013). Effect of turnip on glucose and lipid profiles of alloxan-induced diabetic rats. Iranian Journal of Endocrinology and Metabolism, 14(5), 1–7.
- Amini, F. G., Rafieian-Kopaei, M., Nematbakhsh, M., Baradaran, A., & Nasri, H. (2012). Ameliorative effects of metformin on renal histologic and biochemical alterations of gentamicin-induced renal toxicity in Wistar rats. Journal of Research in Medical Sciences, 17(7), 621–625.
- Anis, M., & Aminuddin, E. (1985). Estimation of diosgenin in seeds of induced autoploid Trigonella foenum graecum. Fitotrapia, 56, 51–52.
- Asgary, S., Kelishadi, R., Rafieian-Kopaei, M., Najafi, S., Najafi, M., & Sahebkar, A. (2013). Investigation of the lipid-modifying and antiinflammatory effects of Cornus mas L. supplementation on dyslipidemic children and adolescents. Pediatric Cardiology, 34(7), 1729–1735. https://doi.org/10.1007/s00246-013-0693-5
- Asgary, S., Keshvari, M., Sahebkar, A., Hashemi, M., & Rafieian-Kopaei, M. (2013). Clinical investigation of the acute effects of pomegranate juice on blood pressure and endothelial function in hypertensive individuals. ARYA Atherosclerosis, 9(6), 326–331.
- Baradaran, A., Nasri, H., Nematbakhsh, M., & Rafieian-Kopaei, M. (2014). Antioxidant activity and preventive effect of aqueous leaf extract of Aloe vera on gentamicin-induced nephrotoxicity in male Wistar rats. La Clinica Terapeutica, 165(1), 7–11. https://doi.org/10.7471/CT.2014.1653
- Basch, E., Ulbricht, C., Kuo, G., Szapary, P., & Smith, M. (2003). Therapeutic applications of fenugreek. Alternative Medicine Review, 8(1), 20–27.
- Bhatti, M. A., Khan, M. T. J., Ahmed, B., Jamshaid, M., & Ahmad, W. (1996). Antibacterial activity of Trigonella foenum-graecum seeds. Fitoterapia, 67, 372–374.
- Dini, M. (2006). Scientific name of medicinal plants used in traditional medicine p. 299. Forest and Rangeland Research Institute.
- Heidarian, E., & Rafieian-Kopaei, M. (2013). Protective effect of artichoke (Cynara scolymus) leaf extract against lead toxicity in rat. Pharmaceutical Biology, 51(9), 1104–1109. https://doi.org/10.3109/13880209.2013.777931
- Heidarian, E., Rafieian-Kopaei, M., & Ashrafi, K. (2013). The Effect of hydroalcoholic extract of Allium latifolium on the liver phosphatidate phosphatase and serum lipid profile in hyperlipidemic rats. Journal of Babol University of Medical Sciences, 15(4), 37–46.
- Karimi, A., Moradi, M.-T., Saeedi, M., Asgari, S., & Rafieian-Kopaei, M. (2013). Antiviral activity of Quercus persica L.: High efficacy and low toxicity. Advanced Biomedical Research, 2(2), 36. https://doi.org/10.4103/2277-9175.109722
- Khosravi-Boroujeni, H., Sarrafzadegan, N., Mohammadifard, N., Sajjadi, F., Maghroun, M., Asgari, S., Rafieian-Kopaei, M., & Azadbakht, L. (2013). White rice consumption and CVD risk factors among Iranian population. Journal of Health, Population, and Nutrition, 31(2), 252–261. https://doi.org/10.3329/jhpn.v31i2.16390
- Mirhoseini, M., Baradaran, A., & Rafieian-Kopaei, M. (2013). Medicinal plants, diabetes mellitus and urgent needs. Journal of HerbMed Pharmacology, 2(2), 53–54.
- Mirzaei, F., & Hari Venkatesh, K. R. (2012). Efficacy of phyto medicines as supplement in feeding practices on ruminant’s performance: A review. Global J. Res Med Plants Indigen Med, 1, 391–403.
- Morcos, S. R., Elhawary, Z., & Gabrial, G. N. (1981). Protein-rich food mixtures for feeding the young in Egypt. 1. formulation. Zeitschrift Fur Ernahrungswissenschaft, 20(4), 275–282. https://doi.org/10.1007/BF02021639
- Nasri, H., Nematbakhsh, M., Ghobadi, S., Ansari, R., Shahinfard, N., & Rafieian-Kopaei, M. (2013). Preventive and curative effects of ginger extract against histopathologic changes of gentamicin induced tubular toxicity in rats. International Journal of Preventive Medicine, 4(3), 316–321.
- Nasri, H., & Rafieian-Kopaei, M. (2014). Protective effects of herbal antioxidants on diabetic kidney disease. Journal of Research in Medical Sciences, 19(1), 82–83.
- Nasri, H., & Shirzad, H. (2013). Toxicity and safety of medicinal plants. J HerbMedPlarmacol, 2(2), 21–22.
- Nasri, H., Tavakoli, M., Ahmadi, A., Baradaran, A., Nematbakhsh, M., & Rafieian-Kopaei, M. (2014). Ameliorative effect of melatonin against contrast media induced renal tubular cell injury. Pakistan Journal of Medical Sciences, 30(2), 261–265. https://doi.org/10.12669/pjms.302.4560
- Rafieian-Kopaei, M. (2012). Medicinal plants and the human needs. J HerbMedPlarmacol, 1(1), 1–2.
- Rafieian-Kopaei, M., & Nasri, H. (2014). The ameliorative effect of Zingiber officinale in diabetic nephropathy. Iranian Red Crescent Medical Journal, 16(5), Article e11324. https://doi.org/10.5812/ircmj.11324
- Rafieian-Kopaei, M., Setorki, M., Doudi, M., Baradaran, A., & Nasri, H. (2014). Atherosclerosis: Process, indicators, risk factors and new hopes. International Journal of Preventive Medicine, 5(8), 927–946.
- Sadeghi, M., Khosravi-Boroujeni, H., Sarrafzadegan, N., Asgary, S., Roohafza, H., Gharipour, M., Sajjadi, F., Khalesi, S., & Rafieian-Kopaei, M. (2014). Cheese consumption in relation to cardiovascular risk factors among Iranian adults: IHHP study. Nutrition Research and Practice, 8(3), 336–341. https://doi.org/10.4162/nrp.2014.8.3.336
- SalehiSurmaghi, M. H. (2008). Medicinal plants and herbal therapy, 1 (pp. 253–254). Tehran University Press.
- Sewell, R. D. E., & Rafieian-Kopaei, M. (2014). The history and ups and downs of herbal medicine usage. Journal of HerbMed Pharmacology, 3(1), 1–3.
- Shirzad, H., Shahrani, M., & Rafieian-Kopaei, M. (2009). Comparison of morphine and tramadol effects on phagocytic activity of mice peritoneal phagocytes in vivo. International Immunopharmacology, 9(7–8), 968–970. https://doi.org/10.1016/j.intimp.2009.04.002
- Shirzad, H., Taji, F., & Rafieian-Kopaei, M. (2011). Correlation between antioxidant activity of garlic extracts and WEHI-164 fibrosarcoma tumor growth in BALB/c mice. Journal of Medicinal Food, 14(9), 969–974. https://doi.org/10.1089/jmf.2011.1594
- Sina, B. A. (1988). Laws in medicine (pp. 158–159). Sorush.
- Sur, P., Das, M., Gomes, A., Vedasiromoni, J. R., Sahu, N. P., Banerjee, S., Sharma, R. M., & Ganguly, D. K. (2001). Trigonella foenum graecum (fenugreek) seed extract as an antineoplastic agent. Phytotherapy Research, 15(3), 257–259. https://doi.org/10.1002/ptr.718
- Sweetman, S. C. (2009). Martindale: “the extra pharmacopeia.” (36th ed.) p. 2303. Pharmaceutical Press.
- Varshney, I. P., & Sharma, S. C. (1996). Saponins XXXII: Trigonella foenum graecum seeds. Journal of the Indian Chemical Society, 43, 564–567.
- Yoshikawa, M., Murakami, T., Komatsu, H., Murakami, N., Yamahara, J., & Matsuda, H. (1997). Medicinal foodstuffs. IV. Fenugreek seed. (1): Structures of trigoneosides Ia, Ib, IIa, IIb, IIIa, and IIIb, new furostanol saponins from the seeds of Indian Trigonella foenum-graecum L. Chemical and Pharmaceutical Bulletin, 45(1), 81–87. https://doi.org/10.1248/cpb.45.81