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Carpaine is the major piperidine alkaloid component of leaves which has been studied for potential medicinal effects. Carpaine extracted from Carica papaya trees has been reported to have diverse biological properties, such as , anti-inflammatory, , and effects. Especially, Carpaine possessed significant anti- activity in vitro (IC50 of 0.2 μM) and high selectivity towards the parasites.

Circulatory effects of carpaine were studied in Wistar male rats weighing 314 +/- 13 g, under (30 mg/kg) anesthesia.Hornick, C. A.; Sanders, L. I.; Lin, Y. C. "Effect of carpaine, a papaya alkaloid, on the circulatory function in the rat." Research Communications in Chemical Pathology and Pharmacology (1978), 22(2), 277-289. Increasing dosages of carpaine from 0.5 mg/kg to 2.0 mg/kg resulted in progressive decrease in , , and mean arterial blood pressure. Selective autonomic nervous blockade with sulfate (1 mg/kg) or hydrochloride (8 mg/kg) did not alter the circulatory response to carpaine. Carpaine, 2 mg/kg, reduced , stroke volume, stroke work, and cardiac power, but the calculated total peripheral resistance remained unchanged. It is concluded from these results that carpaine affects the myocardium directly. The effects of carpaine may be related to its structure, a possible structure.


History
After the first isolation of Carpaine by Greshoff in 1890, Merck & Company assigned the empirical formula to it, which was soon corrected to by van Rijn. In 1930s, Barger and his collogues investigated various degradation products of Carpaine and was able to obtain a series of chemical structures of Carpaine.

Then in 1953, Rapoport and his collogues at the University of California obtained a new form of Carpaine chemical structure which they found the nitrogen-containing ring had a structure instead of the as previously thought; they also located the position of the ring between atoms numbered 3 and 6 on the piperidine nucleus. Later work from Govindachari & Narasimhan and Tichy and Sicher further confirmed this structural formula.

However, Spiteller-Friedmann and Spiteller used Mass Spectrometry to discover that the molecular weight of Carpaine is closer to 478 g/mol, which is represented by twice of the original empirical formula. The new finding proved that Carpaine consists of two identical halves, which form a 26-membered cyclic , or , with an empirical formula of , and the configuration was finally determined by Coke and Rice in 1965.


Isolation of Carpaine
Carpaine occurs in papaya leaves in concentrations as high as 0.4%, which is enough to make it available commercially at very reasonable costs.

One possible extraction route was accomplished first drying the leaves in an electric blast drying oven and milled to fine powder. The powdered plant material were macerated with a mixed solution of ethanol/water/ for 24 hrs at room temperature. Then the extract was dissolved in water/ mixture, filtered, and extracted with to remove fat materials. The acid fraction was adjusted to pH 8.0 ~ 9.0 using solution and extracted with . Finally, the chloroform fractions were pooled and evaporated and the whole operation was repeated again so the crude alkaloid Carpaine was obtained.

Another extraction route reported that mechanical blending of the leaves prior to extraction significantly enhances the yield of Carpaine. After blending the leaves with water and freeze-dried, the samples were soaked in ethanol. This mixture was then concentrated and purified using an acid-base method followed by chloroform extraction to isolate the Carpaine. Finally, the purity and structure were analyzed using and .


Potential Medical Uses

Dengue Fever Treatment
Recent research highlights the possible efficacy of Carpaine in managing the symptoms and severe complications associated with dengue fever. Carpaine in papaya leaves extract is the major active compounds that contributes to the anti- activity (raising the platelet counts in patient's blood). For example, a treatment used for a 45-year-old male patient in Pakistan diagonosed with dengue fever involved administering 25mL of the extracted Carpaine twice daily for five consecutive days. The treatment showed significant improvement in hematological parameters, a substantial increase in platelet and blood cell counts and levels.


Cardioprotective Effects
In the setting of ischemia-reperfusion injury (IRI), studies have shown Carpaine provided significant protection to recover the wounded area affected by the hydrogen peroxide treatment by activating key pathway that promotes cell cycle progression and prevents cell death during stressful condition. Furthermore, Carpaine treatment further demonstrates its cardioprotective effects by improving mitochondrial membrane potential and reducing the overproduction of reactive oxygen species.


Anti-inflammatory Properties
Studies have shown Carpaine’s ability to modulate the body’s inflammatory response by inhibiting the production of pro-inflammatory , such as tumor factor-alpha (TNF-α) and interleukin-6 (IL-6), which would be beneficial in treating chronic disease, including rheumatoid arthritis, , etc.


Anti-oxidant Properties
The enhanced anti-oxidant activity in papaya leaves demonstrated in studies is due to the high concentration of , which are known for their strong anti-oxidant properties for combatting in the body, that can lead to cellular damage and various chronic diseases. The anti-oxidant capacity was measured using the (1,1-diphenyl-2-picrylhydrazyl) assay, where blended young papaya leaves exhibited significantly lower IC50 values (IC50 = 293 μg/mL per 100 mg) with a stronger anti-oxidant potency than old leaves (IC50 = 382 μg/mL per 100 mg).

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