• This record comes from PubMed

Puncture vine (Tribulus Terrestris L.) in control of health and reproduction

. 2021 Dec 30 ; 70 (Suppl4) : S657-S667.

Language English Country Czech Republic Media print

Document type Journal Article, Review

Tribulus terrestris, L. (puncture vine) have been used as a folk medicine for five thousands of years, but its targets, effects, their mechanisms and application requires further studies. This paper reviews the provenance, constituents and properties of Tribulus terrestris, L., its general physiological and health effects, as well as the currently available knowledge concerning its influence on male and female reproductive processes and their dysfunctions. Analysis of the available publications demonstrated the influence of Tribulus terrestris on a wide spectrum of targets and physiological processe and disorders. In particular, Tribulus terrestris can be a stimulator of male and female reproductive processes at the level of central nervous system, sexual behaviour, pituitary and gonadal hormones and their receptors, gonadal functions (including ovarian follicullogenesis and spermatogenesis), improvement of the quality and quantity of gametes (at least of sperm) and fecundity. This ability of puncture vine is applicable for the improvement of man's sexual desire and sperm quality in vivo and in vitro, as well as of women's libido, activation of women's reproductive organs, fecundity, and treatment of infertility, especially that related to the polycystic ovarian syndrome.

See more in PubMed

ABADJIEVA D, KISTANOVA E. Tribulus terrestris alters the expression of growth differentiation factor 9 and bone morphogenetic protein 15 in rabbit ovaries of mothers and f1 female offspring. PLoS One. 2016;11:e0150400. doi: 10.1371/journal.pone.0150400. PubMed DOI PMC

ABARIKWU SO, ONUAH CL, SINGH SK. Plants in the management of male infertility. Andrologia. 2020;52:e13509. doi: 10.1111/and.13509. PubMed DOI

AL-BAYATI FA, AL-MOLA HF. Antibacterial and antifungal activities of different parts of Tribulus terrestris L. growing in Iraq. J Zhejiang Univ Sci B. 2008;9:154–159. doi: 10.1631/jzus.B0720251. PubMed DOI PMC

ARENTZ S, ABBOTT JA, SMITH CA, BENSOUSSAN A. Herbal medicine for the management of polycystic ovary syndrome (PCOS) and associated oligo/amenorrhoea and hyperandrogenism; a review of the laboratory evidence for effects with corroborative clinical findings. BMC Complement Altern Med. 2014;14:511. doi: 10.1186/1472-6882-14-511. PubMed DOI PMC

ASADMOBINI A, BAKHTIARI M, KHALEGHI S, ESMAEILI F, MOSTAFAEI A. The effect of Tribulus terrestris extract on motility and viability of human sperms after cryopreservation. Cryobiology. 2017;75:154–159. doi: 10.1016/j.cryobiol.2017.02.005. PubMed DOI

BASAIYYE SS, NAOGHARE PK, KANOJIYA S, BAFANA A, ARRIGO P, KRISHNAMURTHI K, SIVANESAN S. Molecular mechanism of apoptosis induction in Jurkat E6-1 cells by Tribulus terrestris alkaloids extract. J Tradit Complement Med. 2017;8:410–419. doi: 10.1016/j.jtcme.2017.08.014. PubMed DOI PMC

CAPPELLETTI M, WALLEN K. Increasing women's sexual desire: The comparative effectiveness of estrogens and androgens. Horm Behav. 2016;78:178–193. doi: 10.1016/j.yhbeh.2015.11.003. PubMed DOI PMC

CHEN Y, QUINN JC, WESTON LA, LOUKOPOULOS P. The aetiology, prevalence and morbidity of outbreaks of photosensitisation in livestock: A review. PLoS One. 2019;14:e0211625. doi: 10.1371/journal.pone.0211625. PubMed DOI PMC

CHHATRE S, NESARI T, SOMANI G, KANCHAN D, SATHAYE S. Phytopharmacological overview of Tribulus terrestris. Pharmacogn Rev. 2014;8:45–51. doi: 10.4103/0973-7847.125530. PubMed DOI PMC

CLÉMENT C, WITSCHI U, KREUZER M. The potential influence of plant-based feed supplements on sperm quantity and quality in livestock: a review. Anim Reprod Sci. 2012;132:1–10. doi: 10.1016/j.anireprosci.2012.04.002. PubMed DOI

De SOUZA DB, BUYS-GONCALVES GF. Editorial Comment: Improvement of fertility parameters with Tribulus Terrestris and Anacyclus Pyrethrum treatment in male rats. Int Braz J Urol. 2019;45:1055–1056. doi: 10.1590/S1677-5538.IBJU.2018.0843.1. PubMed DOI PMC

DEHGHAN A, ESFANDIARI A, BIGDELI SM. Alternative treatment of ovarian cysts with Tribulus terrestris extract: a rat model. Reprod Domest Anim. 2012;47:e12–5. doi: 10.1111/j.1439-0531.2011.01877.x. PubMed DOI

ESFANDIARI A, DEHGHAN A, SHARIFI S, NAJAFI B, VESALI E. Effect of Tribulus terrestris extract on ovarian activity in immature Wistar rat: a histological evaluation. J Anim Vet Adv. 2011;10:883–886.

GAMALEL DIN SF. Role of Tribulus terrestris in Male Infertility: Is It Real or Fiction? J Diet Suppl. 2018;15:1010–1013. doi: 10.1080/19390211.2017.1402843. PubMed DOI

GAUTAM M, RAMANATHAN M. Saponins of Tribulus terrestris attenuated neuropathic pain induced with vincristine through central and peripheral mechanism. nflammopharmacology. 2019;27:761–772. doi: 10.1007/s10787-018-0502-0. PubMed DOI

GAUTHAMAN K, ADAIKAN PG. Effect of Tribulus terrestris on nicotinamide adenine dinucleotide phosphate-diaphorase activity and androgen receptors in rat brain. J Ethnopharmacol. 2005;96:127–132. doi: 10.1016/j.jep.2004.08.030. PubMed DOI

GHOSIAN MOGHADDAM MH, KHALILI M, MALEKI M, AHMAD ADABI ME. The effect of oral feeding of Tribulus terrestris L. on sex hormone and gonadotropin levels in addicted male rats. Int J Fertil Steril. 2013;7:57–62. PubMed PMC

HAGHMORAD D, MAHMOUDI MB, HAGHIGHI P, ALIDADIANI P, SHAHVAZIAN E, TAVASOLIAN P, HOSSEINI M, MAHMOUDI M. Improvement of fertility parameters with Tribulus Terrestris and Anacyclus Pyrethrum treatment in male rats. Int Braz J Urol. 2019;45:1043–1054. doi: 10.1590/S1677-5538.IBJU.2018.0843. PubMed DOI PMC

HONG CH, HUR SK, OH OJ, KIM SS, NAM KA, LEE SK. Evaluation of natural products on inhibition of inducible cyclooxygenase (COX-2) and nitric oxide synthase (iNOS) in cultured mouse macrophage cells. J Ethnopharmacol. 2002;83:153–159. doi: 10.1016/s0378-8741(02)00205-2. PubMed DOI

KAMRANI RAD SZ, JAVADI B, HAYES AW, KARIMI G. Potential angiotensin converting enzyme (ACE) inhibitors from Iranian traditional plants described by Avicenna's Canon of Medicine. Avicenna J Phytomed. 2019;9:291–309. PubMed PMC

KHALEGHI S, BAKHTIARI M, ASADMOBINI A, EMAEILI F. Tribulus terrestris extract improves human sperm parameters in vitro. J Evid Based Complementary Altern Med. 2017;22:407–412. doi: 10.1177/2156587216668110. PubMed DOI PMC

KISTANOVA E, ZLATEV H, KARCHEVA V, KOLEV A. Effect of plant Tribulus terrestris extract on reproductive performances of rams. Biotechnol Anim Husb. 2005;21:55–63.

KUCHAKULLA M, NARASIMMAN M, SONI Y, LEONG JY, PATEL P, RAMASAMY R. A systematic review and evidence-based analysis of ingredients in popular male testosterone and erectile dysfunction supplements. Int J Impot Res. 2021;33:311–317. doi: 10.1038/s41443-020-0285-x. PubMed DOI

KUMARI M, SINGH P. Tribulus terrestris ameliorates metronidazole-induced spermatogenic inhibition and testicular oxidative stress in the laboratory mouse. ndian J Pharmacol. 2015;47:304–310. doi: 10.4103/0253-7613.157129. PubMed DOI PMC

KUMARI M, SINGH P. Tribulus terrestris improves metronidazole-induced impaired fertility in the male mice. Afr Health Sci. 2018;8:645–652. doi: 10.4314/ahs.v18i3.22. PubMed DOI PMC

MA Y, GUO Z, WANG X. Tribulus terrestris extracts alleviate muscle damage and promote anaerobic performance of trained male boxers and its mechanisms: Roles of androgen, IGF-1, and IGF binding protein-3. J Sport Health Sci. 2017;6:474–481. doi: 10.1016/j.jshs.2015.12.003. PubMed DOI PMC

MARQUES MAA, LOURENCO BHLB, REIS MP, PAULI KB, SOARES AL, BELETTINI ST, DONADEL G, PALOZI RAC, FROEHLICH DL, LIVERO FADR, GASPAROTTO A, JUNIOR, LOURENCO ELB. Osteoprotective Effects of Tribulus terrestris L.: Relationship Between Dehydroepiandrosterone Levels and Ca2+-Sparing Effect. J Med Food. 2019;22:241–247. doi: 10.1089/jmf.2018.0090. PubMed DOI

MARTINBIANCO ALC, PACHECO RL, VILARINO FL, LATORRACA COC, TORLONI MR, RIERA R. Tribulus Terrestris for Female Sexual Dysfunction: A Systematic Review. Rev Bras Ginecol Obstet. 2020;42:427–435. doi: 10.1055/s-0040-1712123. PubMed DOI PMC

MARTINO-ANDRADE AJ, MORAIS RN, SPERCOSKI KM, ROSSI SC, VECHI MF, GOLIN M, LOMBARDI NF, GRECA CS, DALSENTER PR. Effects of Tribulus terrestris on endocrine sensitive organs in male and female Wistar rats. J Ethnopharmacol. 2010;127:165–170. doi: 10.1016/j.jep.2009.09.031. PubMed DOI

MAZARO-COSTA R, ANDERSEN ML, HACHUL H, TUFIK S. Medicinal plants as alternative treatments for female sexual dysfunction: utopian vision or possible treatment in climacteric women? J Sex Med. 2010;7:3695–3714. doi: 10.1111/j.1743-6109.2010.01987.x. PubMed DOI

NEYCHEV VK, NIKOLOVA E, ZHELEV N, MITEV VI. Saponins from Tribulus terrestris L are less toxic for normal human fibroblasts than for many cancer lines: influence on apoptosis and proliferation. Exp Biol Med (Maywood) 2007;232:126–133. PubMed

NEYCHEV V, MITEV V. Pro-sexual and androgen enhancing effects of Tribulus terrestris L.: Fact or Fiction. J Ethnopharmacol. 2016;179:345–355. doi: 10.1016/j.jep.2015.12.055. PubMed DOI

PARAMA D, BORUAH M, YACHNA K, RANA V, BANIK K, HARSHA C, THAKUR KK, DUTTA U, ARYA A, MAO X, AHN KS, KUNNUMAKKARA AB. Diosgenin, a steroidal saponin, and its analogs: Effective therapies against different chronic diseases. Life Sci. 2020;260:118182. doi: 10.1016/j.lfs.2020.118182. PubMed DOI

PAHRAM S, KHARAZI AZ, BAKHSHESHI-RAD HR, NUR H, ISMAIL AF, SHARIF S, RAMAKRISHNA S, BERTO F. Antioxidant, Antimicrobial and Antiviral Properties of Herbal Materials. Antioxidants (Basel) 2020;9:1309. doi: 10.3390/antiox9121309. PubMed DOI PMC

POKRYWKA A, OBMIŇSKI Z, MALCZEWSKA-LENCZOWSKA J, FIJALEK Z, TUREK-LEPA E, GRUCZA R. Insights into Supplements with Tribulus Terrestris used by Athletes. J Hum Kinet. 2014;41:99–105. doi: 10.2478/hukin-2014-0037. PubMed DOI PMC

RANJITHKUMAR R, ALHADIDI Q, SHAH ZA, RAMANATHAN M. Tribulusterine containing tribulus terrestris extract exhibited neuroprotection through attenuating stress kinases mediated inflammatory mechanism: in vitro and in vivo studies. Neurochem Res. 2019;44:1228–1242. doi: 10.1007/s11064-019-02768-7. PubMed DOI

RESHMA PL, BINU P, ANUPAMA N, VINEETHA RC, ABHILASH S, NAIR RH, RAGHU KG. Pretreatment of Tribulus terrestris L. causes anti-ischemic cardioprotection through MAPK mediated anti-apoptotic pathway in rat. Biomed Pharmacother. 2019;111:1342–1352. doi: 10.1016/j.biopha.2019.01.033. PubMed DOI

ROAIAH MF, ELKHAYAT YI, ABD El SALAM MA, DIN SFG. Prospective analysis on the effect of botanical medicine (tribulus terrestris) on serum testosterone level and semen parameters in males with unexplained infertility. J Diet Suppl. 2017;14:25–31. doi: 10.1080/19390211.2016.1188193. PubMed DOI

SAHIN K, ORHAN C, AKDEMIR F, TUZCU M, GENCOGLU H, SAHIN N, TURK G, YILMAZ I, OZERCAN IH, JUTURU V. Comparative evaluation of the sexual functions and NF-κB and Nrf2 pathways of some aphrodisiac herbal extracts in male rats. MC Complement Altern Med. 2016;16:318. doi: 10.1186/s12906-016-1303-x. PubMed DOI PMC

SAIYED A, JAHAN N, MAKBUL SAA, ANSARI M, BANO H, HABIB SH. Effect of combination of Withania somnifera Dunal and Tribulus terrestris Linn on letrozole induced polycystic ovarian syndrome in rats. Integr Med Res. 2016;5:293–300. doi: 10.1016/j.imr.2016.10.002. PubMed DOI PMC

SALAHSHOOR MR, ABDOLMALEKI A, FARAMARZI A, JALILI C, SHIVA R. Does Tribulus terrestris improve toxic effect of Malathion on male reproductive parameters? J Pharm Bioallied Sci. 2020;12:183–191. doi: 10.4103/jpbs.JPBS_224_19. PubMed DOI PMC

SALGADO RM, MARQUES-SILVA MH, GONCALVES E, MATHIAS AC, AGUITAR JG, WOLFF P. Effect of oral administration of Tribulus terrestris extract on semen quality and body fat index of infertile men. Andrologia. 2017:49. doi: 10.1111/and.12655. PubMed DOI

SANAGOO S, SADEGHZADEH OSKOUEI B, GASSAB ABDOLLAHI N, SALEHI-POURMEHR H, HAZHIR N, FARSHBAF-KHALILI A. Effect of Tribulus terrestris L. on sperm parameters in men with idiopathic infertility: A systematic review. Complement Ther Med. 2019;42:95–103. doi: 10.1016/j.ctim.2018.09.015. PubMed DOI

SANFINS A, RODRIGUES P, ALBERTINI DF. GDF-9 and BMP-15 direct the follicle symphony. J Assist Reprod Genet. 2018;35:1741–1750. doi: 10.1007/s10815-018-1268-4. PubMed DOI PMC

SANTOS HO, HOWELL S, TEIXEIRA FJ. Beyond tribulus (Tribulus terrestris L.): The effects of phytotherapics on testosterone, sperm and prostate parameters. J Ethnopharmacol. 2019;235:392–405. doi: 10.1016/j.jep.2019.02.033. PubMed DOI

SANDEEP PM, BOVEE TF, SREEJith K. Anti-androgenic activity of nardostachys jatamansi DC and Tribulus terrestris L. and their beneficial effects on polycystic ovary syndrome-induced rat models. Metab Syndr Relat Disord. 2015;13:248–254. doi: 10.1089/met.2014.0136. PubMed DOI

SELLAMI M, SLIMENI O, POKRYWKA A, KIVAČIČ G, HAYES DL, MILIC M, PADULO J. Herbal medicine for sports: a review. J Int Soc Sports Nutr. 2018;15:14. doi: 10.1186/s12970-018-0218-y. PubMed DOI PMC

SHAHEEN G, AKRAM M, JABEEN F, ALI SHAH SM, MUNIR N, DANIYAL M, RIAZ M, TAHIR IM, GHAURI AO, SULTANA S, ZAINAB R, KHAN M. Therapeutic potential of medicinal plants for the management of urinary tract infection: A systematic review. Clin Exp Pharmacol Physiol. 2019;46:613–624. doi: 10.1111/1440-1681.13092. PubMed DOI

SHAHID M, RIAZ M, TALPUR MM, PIRZADA T. Phytopharmacology of Tribulus terrestris. J Biol Regul Homeost Agents. 2016;30:785–788. PubMed

SINGH B, SINGH JP, SINGH N, KAUR A. Saponins in pulses and their health promoting activities: A review. Food Chem. 2017;233:540–549. PubMed

SIROTKIN AV, ALEXA R, HARRATH AH. Puncturevine (Tribulus terrestris L.) affects the proliferation, apoptosis, and ghrelin response of ovarian cells. Reprod Biol. 2020;20:33–36. doi: 10.1016/j.repbio.2019.12.009. PubMed DOI

ŠALAMON I, HABÁN M, BARANEC T, HABÁNOVÁ M, KNOLL M. The occurrence of puncture vine (Tribulus trerrestris) and its metabolic characteristics in Slovakia. Biologia (Bratislava) 2006;61:25–30. doi: 10.2478/s11756-006-0004. DOI

UKANI MD, NANAVATI DD, MEHTA NK. A review on the ayurvedic herb tribulus terrestris L. Anc Sci Life. 1997;17:144–150. PubMed PMC

VERMA T, SINHA M, BANSAL N, YADAV SR, SHAH K, CHAULAN NS. (2020) Plants used as antihypertensive 2021. 2021;11:155–184. doi: 10.1007/s13659-020-00281-x. PubMed DOI PMC

WU Y, YANG H, WANG X. The function of androgen/androgen receptor and insulin growth factor-1/insulin growth factor-1 receptor on the effects of Tribulus terrestris extracts in rats undergoing high intensity exercise. Mol Med Rep. 2017;16:2931–2938. doi: 10.3892/mmr.2017.6891. PubMed DOI

YUAN Z, DU W, HE X, ZHANG D, HE W. Tribulus terrestris Ameliorates oxidative stress-induced ARPE-19 cell injury through the PI3K/Akt-Nrf2 signaling pathway. Oxid Med Cell Longev. 2020;2020:7962393. doi: 10.1155/2020/7962393. PubMed DOI PMC

ZHU W, DU Y, MENG H, DONG Y, LI L. A review of traditional pharmacological uses, phytochemistry, and pharmacological activities of Tribulus terrestris. Chem Cent J. 2017;11:60. doi: 10.1186/s13065-017-0289-x. PubMed DOI PMC

Find record

Citation metrics

Loading data ...

Archiving options

Loading data ...