Bangladesh J. Plant Taxon. 30(1): 53-76, 2023 (June) DOI: https://doi.org/10.3329/bjpt.v30i1.67044 © 2023 Bangladesh Association of Plant Taxonomists QUANTITATIVE ETHNOBOTANICAL STUDY IN GAFARGAON SUB-DISTRICT AND UNVEILING DRUG CANDIDATES THROUGH MOLECULAR DOCKING AND DYNAMICS SIMULATION APPROACHES SHEIKH SUNZID AHMED, M. OLIUR RAHMAN*, MOHAMMAD AJMAL ALI1 AND JOONGKU LEE2 Department of Botany, University of Dhaka, Dhaka 1000, Bangladesh Keywords: Ethnobotany; Informant consensus factor; Fidelity; Molecular docking; Molecular dynamics simulation; Rheumatoid arthritis; JAK1. Abstract An ethnobotanical investigation was carried out in Gafargaon sub-district (upazila) under Mymensingh district, Bangladesh that unveiled a total of 79 medicinal plant species under 74 genera and 46 families which were used to treat various ailments through 106 formularies. In addition, molecular docking and dynamics simulation studies were performed based on ethnobotanical outcome for the first time in Bangladesh to unveil potential drug candidates. The study revealed that most of the species used for primary healthcare were herbs (44.3%) followed by trees (36.7%), shrubs (10.2%) and climbers (8.8%). Leaves were found to be the most frequently used part (34%) compared to other plant parts. Factor of informant consensus values ranged from 0.975 to 0.984 and the highest value was recorded for respiratory tract disorders (0.984). Maximum number of taxa was unraveled to treat digestive and gastrointestinal disorders. Fidelity level varied from 41.2 to 100%, where 11 species showed 100% fidelity, and the citation frequency was found above 70% for 15 different ailments. Molecular docking study exposed 60% Stephania japonica phytocompounds scoring higher than the control drug Ibuprofen (-7.0 kcal/mol) targeting rheumatoid arthritis. The phytocompounds Oxostephanine, Trilobine and Epistephanine were identified as lead drug candidates with binding affinity of -9.7, -8.7 and -8.6 kcal/mol, respectively. Molecular interactions of these compounds were found significant to identify potential drug surface hotspots. Molecular dynamics simulation shed light on regional flexibility profiles and unraveled notable structural stability of the top three phytocompounds. The present study would offer foundational data for identifying potential bioactive compounds that could be utilized in novel drug discovery efforts. Introduction Plants with medicinal uses have been a quintessential component of traditional healthcare system since antiquity. Indigenous therapeutic uses of plants have enriched existing traditional medicinal knowledge (TMK) which in turn, developed the pedestal of modern medicines (Pandey and Tripathi, 2017; Mouele et al., 2022). Conservation of this traditional botanical knowledge (TBK) through formal documentation is considered as a key factor to open new avenues for designing and developing novel drugs (Yordi et al., 2022). According to World Health Organization (WHO), ethnomedicine are still the primary sources of healthcare for approximately 80% of the world’s population, especially in rural areas of developing countries. Over 50% of all *Corresponding author. Email: oliur.bot@du.ac.bd 1Department of Botany and Microbiology, College of Sciences, King Saud University, Riyadh 11451, Saudi Arabia 2Department of Environment and Forest Resources, Chungnam National University, Daehak-ro, Yuseong-gu, Daejeon, Republic of Korea https://doi.org/10.3329/bjpt.v30i1.67044 mailto:oliur.bot@du.ac.bd 54 AHMED et al. pharmaceutical drugs can be traced back to their origins in ethnomedicine (Van Wyk et al., 1997; Suchana et al., 2022). Recently, the use of ethnomedicinal plant-based formularies have gained popularity over the use of synthetic drugs focusing issues, such as safety and efficacy which demands a more rigorous and scientific documentation of indigenous medicinal knowledge (Minnady et al., 2022). Lack of plant identification skill is a hindrance to this endeavor which might results in inappropriate selection of taxa for specific ailment and at this point taxonomic expertise is very much essential (Hadiati et al., 2022). The global market for herbal medicines has prospered as a result of cumulative significance of ethnobotanical research. The worldwide market was valued at approximately US$ 83 billion in 2019, and it is projected to grow significantly, reaching an estimated worth of US$ 550 billion by 2030 (Suchana et al., 2022). This brilliant economic outgrowth is endangered due to some factors including continuous decline in traditional medicinal practices, reduced interests of the younger generation toward traditional treatment systems coupled with rural depopulation, mass deforestation, and migrations of traditional medicinal healers to other jobs (Faruque et al., 2018). All of these facts further necessitate the need of ethnobotanical research to conserve ethnomedicinal values of plants and cultural heritage. Molecular docking and molecular dynamics simulation (MDS) are in silico techniques which facilitate validation of the ethnobotanical findings at the molecular level to shed light on potential lead candidates of specific taxa to carry out drug design works. Molecular docking provides insights into the interactions that occur at the atomic level between a small molecule (referred to as a ligand) and a protein (referred to as a receptor). Molecular dynamics simulation is used to inspect the temporal behavior and movement of atoms and molecules employing equations of motion grounded in classical physics. In Structure Based Drug Design (SBDD), molecular docking and dynamics simulation approaches help to recognize intermolecular interactions, dynamic behavior of complexes, structural alterations, and properties exhibited by molecular systems which drive rational designing of novel inhibitors targeting a wide range of diseases and disorders. These comprehensive in silico strategies can save time, cost and labor on the contrary of conventional in vitro and in vivo investigations (Azim et al., 2020; Ahmed et al., 2022). Very recently, some ethnobotanical studies have attempted these molecular approaches to signify ethnobotanical findings and led a possible strategy for the development of future therapeutics targeting specific ailments based on peoples’ perception and practical perspectives (Vijayakumar et al., 2016; Maghfiroh et al., 2021; Abdulrahman et al., 2022). Janus Kinase 1 (JAK1) is a tyrosine kinase receptor that plays a critical role in the pathogenesis of rheumatoid arthritis when dysregulated via production of pro-inflammatory cytokines which mainly drive disease progression of rheumatoid arthritis (RA). Binding of cytokines facilitates phosphorylation of JAK1 and it gets activated. This activation results in the formation of STAT (Signal Transducers and Activators of Transcription) dimer that is translocated to the nucleus, acts as transcription factor and initiates transcription of genes encoding pro- inflammatory cytokines which ended up with production of malignant protein that causes rheumatoid arthritis. Therefore, inhibition of JAK1 plays a regulatory role in the JAK-STAT pathway to prevent the production of pro-inflammatory cytokines and consequently to stop the disease progression of RA (Tanaka et al., 2022). In Bangladesh, several efforts have been made to record and document the traditional knowledge of ethnomedicinal plants, leading to a resurgence in folk medicine over the past two decades (Hassan and Khan, 1986, 1996; Mia and Huq, 1988; Alam et al., 1996; Uddin M.Z. et al., 2008, 2015, 2017, 2019; Uddin S.B. et al., 2011; Sajib and Uddin, 2015; Hossain and Rahman, 2018). These studies shed light on medicinal plants of particular community, specific diseases or certain areas of Bangladesh. Nevertheless, there are still numerous areas and communities in Bangladesh that have not been explored. Many more medicinal plants used as sources of herbal ETHNOBOTANICAL STUDY AND MOLECULAR DOCKING 55 drugs by ethnic groups, folk medicinal practitioners (FMPs), and local people are yet to be uncovered from those unexplored areas and communities (Hossain and Rahman, 2018). In the recent past, Rahman et al. (2019) conducted a floristic survey on the angiosperm flora of Gafargaon sub-district, however, there has been no ethnobotanical investigation attempted targeting this sub-district. Moreover, molecular docking and dynamics simulation analyses have never been conducted to validate ethnobotanical outcomes in any earlier studies carried out in Bangladesh. Therefore, the current study aimed to employ ethnobotanical protocol to unravel peoples’ consensus regarding the ethnomedicinal uses of plants in Gafargaon sub-district via quantitative analyses. The investigation aimed further to unleash the power of molecular docking and dynamics simulation approaches in ethnobotany for the first time in Bangladesh to unveil potential lead phytocompounds targeting particular ailment with specific taxon based on informants’ consensus which would shed light on future drug design and discovery. Materials and methods Study area: Gafargaon sub-district under Mymensingh district spans an area of 401.16 sq. km. and is situated between latitudes of 24°15' and 24°33' N, and longitudes of 90°27' and 90°39' E. The sub- district shares its borders with Trishal and Nandail sub-districts to the north, Kapasia and Sreepur sub-districts to the south, Hossainpur and Pakundia sub-districts to the east, and Trishal, Bhaluka, and Sreepur sub-districts to the west. Gafargaon experiences a moderate climate, similar to other parts of the district, as it is located near to the Himalayas and falls within the tropical monsoon zone. The temperature in the area varies from 15.1ºC to 34.4ºC, with monthly average minimum and maximum temperatures of 22.3ºC and 31.8ºC, respectively. The average monthly rainfall is 227 mm. There are significant monthly variations in humidity levels, the maximum ranging from 81% to 97%, while the minimum varying from 47% to 79% (Rahman et al., 2019; BBS, 2022). The sub-district boasts a variety of habitats and ecosystems, including wetlands, cultivated lands, char (river islands), homestead areas, scrub jungles, and fallow lands. These diverse habitats support a dense growth of angiosperms, which are crucial for the local economy, environment, and primary healthcare system. Many individuals in the region possess traditional knowledge about plants and their uses, which they rely on for their primary healthcare management. Plant samples and data collection Plant samples were collated from the study area through multiple field surveys conducted at various seasons between May 2020 and December 2022. Collected voucher specimens were processed using standard herbarium techniques (Hyland, 1972; Alexiades, 1996) and deposited at the Dhaka University Salar Khan Herbarium (DUSH). All the specimens were critically studied and identified by experts, using standard literatures and online databases (Hooker, 1872-1897; Prain, 1903; Dassanayake and Fosberg, 1980-1991; Ahmed et al., 2008-2009; The Plant List, 2013; POWO, 2022; TROPICOS, 2022). Data on medicinal uses of these plants were collected through semi-structured interviews, group interviews, plant interviews, discussions with key informants, and informal conversations with folk medicinal practitioners locally referred to as Kabiraz (Alexiades, 1996). A total of 51 informants, including 11 female and 40 male individuals, with an average age of 55 years were interviewed. Quantitative analyses Factor of informant consensus (Fic): To estimate use diversity targeting particular ailments, Fic values were determined using the following formula (Heinrich et al., 1998): 56 AHMED et al. Fic = ………………………… (i) Here, Nur represents number of use reports in each category, and Ntaxa represents number of species in each category. Citation frequency (CF %): CF values help to identify the most commonly used medicinal plants in the study area. CF values were estimated employing the following formula (Friedman et al., 1986): CF = × 100 …………………………. (ii) Here, n refers to number of people interviewed citing species, and N represents total number people interviewed. Fidelity level (FL %): FL values are useful to identify the plant species that are most preferred by informants for treating specific ailments. FL values were calculated using the following formula (Friedman et al., 1986): FL = × 100 ……………………….. (iii) Here, Ip denotes to number of informants who indicate use of a species for the same major ailment, and Iu refers to total number of informants who mentioned the same plant for any other use. Active site prediction of the receptor macromolecule CASTp 3.0 and SCFBio webservers have been utilized to predict active sites of the receptor JAK1 (Kuman et al., 2012; Tian et al., 2018). For prediction, the PDB file was uploaded to these servers after retrieving from the Protein Data Bank with PDB ID “4K6Z”. The CASTp 3.0 server was utilized for single cavity-based prediction, whereas the SCFBio server was employed for making predictions on multiple cavity basis. Molecular docking and interaction analyses Based on Fic (Factor informant consensus) value and novelty, Stephania japonica was selected for molecular docking analysis targeting rheumatoid arthritis. The receptor protein, JAK1 was retrieved from the Protein Data Bank with PDB ID “4K6Z”. This transferase is frequently targeted to search for novel inhibitors targeting rheumatoid arthritis (Singh and Singh, 2020). The protein was prepared using AutoDock MGL tool by deleting water and heteroatoms, adding polar hydrogens and Kollman charges and repairing missing atom residues. Subsequently, the protein was energy minimized by SWISS-PDB viewer following Rahman and Ahmed (2022). Afterwards, 30 bioactive phytochemicals of Stephania japonica were retrieved from PubChem database (Semwal et al., 2010). Ibuprofen, as the control drug, was retrieved from DrugBank (Grennan et al., 1979). All the phytocompounds and control were prepared as ligands for molecular docking by applying MMFF94 (Merck Molecular Force Field) force field based on earlier study (Ahmed et al., 2023). Molecular docking was performed using the blind docking approach in PyRx software version 0.8. Docked complexes were visualized using Discovery Studio visualizer for molecular interaction analysis (Ahmed et al., 2023). Molecular dynamics simulation The flexibility of the ligand-protein complexes that ranked the highest was assessed using the CABS-flex 2.0 server (http://biocomp.chem.uw.edu.pl/CABSflex2), and the results were http://biocomp.chem.uw.edu.pl/CABSflex2), ETHNOBOTANICAL STUDY AND MOLECULAR DOCKING 57 presented using RMSF (Root Mean Square Fluctuation). CABS-flex enables rapid simulation of protein flexibility with minimal system requirements showing a strong correlation between the flexibility simulations obtained from this server and NMR results (Kmiecik et al., 2016; Kuriata et al., 2018). CABS-flex provides high-resolution simulations (10 ns) of protein dynamics in conditions close to their native state, making it a valuable tool for real-time evaluation of protein- ligand stability. The simulation in CABS-flex was conducted using the default parameters, consisting of 50 cycles. Results and Discussion Diversity of ethnomedicinal plants: The present study unveiled traditional medicinal knowledge of 79 species belonging to 74 genera and 46 families which were used for 13 major ailments via 106 formularies. A total of 51 informants took part in the participatory rural appraisal (PRA) from diverse profession and age groups (Table 1). The ethnomedicinally important species alongside families and vouchers, their vernacular names, parts used, mode of administration and ailments treated for each species are documented in Table 2. Asteraceae was found to be the most dominant plant family containing the highest number of species (7.5%), followed by Fabaceae (6.3%), Malvaceae (5.1%) and Rutaceae (5.1%). The most frequently used species were herbs (44.3%), followed by trees (36.7%), shrubs (10.2%) and climbers (8.8%) (Fig. 1A). These findings have been found congruent with several other studies where the dominant ethnomedicinal plants were herbs (Uddin et al., 2019; Suchana et al., 2022). Traditional healers use herbs and trees as the most common sources of medicines (Uniyal et al., 2006), which has been supported further by our study. The maximum number of species were prepared as extract (34.9%), followed by paste (21.7%) and decoction (17.9%) prior to administration (Fig. 1B). The percentage of plant parts administered for treating different ailments is shown in Figure 2. In a study conducted on the ethnomedicinal plants of Barisal district, extracts were reported as the principal mode of administration which showed congruence with our findings (Hossain and Rahman, 2018). However, Faruque et al. (2019) reported paste as the chief mode of preparation in Bilaichari sub-district of Rangamati district, which was found to be inconsistent with our study. This inconsistency might be due to the peoples’ perception driven by geographical isolation and community composition of the two areas. About 76% of the species were recorded for internal use and the remaining 24% showed external application. Among the parts used, leaves were found to be the most dominant one (34%), followed by roots (14%), whole plants (13%) and fruits (12%) (Fig. 2). Table 1. Socio-demographic features of the informants in Gafargaon sub-district. Variables Categories Percentage Variables Categories Percentage Gender Male 78.4 Religion Islam 92.2 Female 21.6 Others 7.8 Age group < 30 5.8 Profession Traditional healer 25.5 31-50 19.6 Farmer 19.6 51-70 64.8 Day laborer 13.7 > 70 9.8 Small shopkeeper 13.7 Education Illiterate 33.3 Others 27.5 Primary 43.1 Secondary 17.5 University 6.1 58 AHMED et al. A few other studies have also demonstrated that leaves are predominantly used by folk medicinal practitioners for various therapeutic purposes (Hossain and Rahman, 2018; Uddin et al., 2019). The inclination towards using leaves in the preparation of herbal medicines by healers might be attributed to the year-round availability of leaves and their ease of collection, storage, processing, and handling (Faruque et al., 2018). Fig. 1. Comparative analysis of habits and mode of preparation of the recorded ethnomedicinally important plants. A. Classification of species based on habits showing the percentage for treating various ailments; B. Different modes of preparation of the recorded species. Fig. 2. Use report of different plant parts applied to treat various ailments in Gafargaon sub-district. A B ETHNOBOTANICAL STUDY AND MOLECULAR DOCKING 59 Table 2. Ethnobotanical uses of medicinal plants in Gafargaon sub-district with various ailments and mode of administration. Taxa and voucher Local name Parts used Ailments Mode of application Abroma augustum (L.) L.f. (Malvaceae); SSA-229 Ulot Kombol Stem Constipation, menstrual problems Stem aqueous extract is taken after soaking it whole night. Root Dysentery Decoction of root is mixed with root extract of Bombax ceiba and taken orally. Achyranthes aspera L. (Amaranthaceae); SSA-275 Uuhutlenga, Apang Whole plant Infertility problem 2 ml decoction is orally taken thrice a day for three months. Aegle marmelos (L.) Corrêa (Rutaceae); SSA-270 Bel Fruit Diarrhoea Infusion of fruit pulp is orally consumed. Root Heart palpitation Decoction of roots is taken internally. Allium cepa L. (Amaryllidaceae); SSA-244 Peeaz Bulb Insect bite Extract is applied externally to treat swelling and inflammation. Oligomenorrhea Half teaspoon of bulb extract is taken orally with honey early morning on an empty stomach for two weeks. Allium sativum L. (Amaryllidaceae); SSA-212 Roshun Bulb Rheumatoid arthritis Extract is often taken orally and sometimes boiled for external application. Hyperlipidemia Juice is taken internally. Amaranthus spinosus L. (Amaranthaceae); SSA-245 Khoirakata Leaf Skin inflammation Paste is applied externally. Root Skin allergy Decoction is applied externally. Whole plant Jaundice Decoction is taken orally. Amorphophallus paeoniifolius (Dennst.) Nicol. (Araceae); SSA-279 Oulkachu Tuber Piles Extract is consumed orally at night. Ananas comosus (L.) Merr. (Bromeliaceae); SSA-206 Anarosh Leaf Helminthiasis Crushed young leaves are combined with powdered Areca catechu roots and mixed with water for oral consumption. Annona squamosa L. (Annonaceae); SSA-271 Ata Fruit Cardiovascular problem Fruit juice is taken orally along with Mesosphaerum suaveolens seeds. Aphanamixis polystachya (Wall.) R. Parker (Meliaceae); SSA-233 Pitraj Leaf Rheumatoid arthritis Leaf paste is applied externally. Averrhoa carambola L. (Oxalidaceae); SSA-276 Kamranga Fruit Anorexia Juice is taken orally. Azadirachta indica A. Juss. (Meliaceae); SSA-219 Nim Leaf Allergy Leaf paste is applied externally, sometimes consumed orally as small tablets. Stem Toothache Young shoots are used for brushing teeth. Bombax ceiba L. (Malvaceae); SSA-232 Shimul Root Dhat syndrome Decoction of roots is taken internally, sometimes after mixing with root extract of Xanthium strumarium. Cajanus cajan (L.) Huth (Fabaceae); SSA-208 Aarol, Orohor Leaf Jaundice Juice is taken internally along with coconut water. Constipation Leaf paste is taken internally. Calotropis procera (Aiton) W.T. Aiton (Apocynaceae); SSA-268 Aahon, Akondo Leaf Asthma Body ache Boiled leaf is inhaled, sometimes taken orally. Leaf juice is taken internally. 60 AHMED et al. Table 2 Contd. Taxa and voucher Local name Parts used Ailments Mode of application Carica papaya L. (Caricaceae); SSA-266 Pabda, pepey Leaf Body ache Leaf juice is taken orally. Jaundice Leaf paste is taken orally. Cassia fistula L. (Fabaceae); SSA-234 Bandor Lori Seed Jaundice Seed paste is administered internally early in the morning for five consecutive days. Centella asiatica (L.) Urb. (Apiaceae); SSA-204 Dholmanik, Thankuni Whole plant Diarrhoea Decoction is taken orally. Cold and cough Decoction is internally taken. Chenopodium album L. (Amaranthaceae); SSA-267 Bottoua Shak Leaf Body ache Leaf paste is orally taken. Whole plant Constipation Boiled or fried as vegetables. Chromolaena odorata (L.) King & Rob. (Asteraceae); SSA-277 Boro Heyalmuti Leaf Skin cut and laceration Paste of leaves is applied externally for blood clotting and wound healing. Cinnamomum tamala (Buch.- Ham.) Nees & Eberm. (Lauraceae); SSA-248 Tej Pata Leaf Cold and cough Boiled leaf extract is taken internally with tea. Clerodendrum infortunatum L. (Lamiaceae); SSA-253 Bhait Leaf Chronic dysentery Leaf juice is taken orally. Flower Rheumatoid arthritis Flower paste is taken internally along with ash of coconut shell. Coccinia grandis (L.) Voigt (Cucurbitaceae); SSA-203 Kauajhingi Leaf Dyspepsia and flatulence Boiled leaf is taken with rice. Root Diabetes Decoction of roots is taken orally. Cocos nucifera L. (Arecaceae); SSA-213 Nairol Fruit Diarrhoea Coconut water is taken orally. Colocasia esculenta (L.) Schott (Araceae); SSA-215 Kachu Bark Skin laceration Applied externally for wound dressing. Corchorus olitorius L. (Malvaceae); SSA-223 Naillya Seed Pox Seed paste is applied externally along with seed oil of Sesamum indicum. Curcuma longa L. (Zingiberaceae); SSA-209 Oldi, Holud Rhizome Diabetes Decoction is taken internally. Cuscuta reflexa Roxb. (Convolvulaceae); SSA-262 Swarnolot Whole plant Helminthiasis Extract is orally taken once a day for a few days. Cyanthillium cinereum (L.) H. Rob. (Asteraceae) SSA- 251 Kukshima Root Dhat syndrome Extract is mixed with decoction of Xanthium strumarium roots and consumed orally. Cynodon dactylon (L.) Pers. (Poaceae); SSA-264 Durba Whole plant Skin laceration Crushed parts are mixed with flower extracts of Nymphaea nouchali and applied externally. Datura metel L. (Solanaceae); SSA-257 Dhutura Fruit Eczema and skin rash Raw fruit is eaten in small quantity once a day. Dendrocnide sinuata (Bl.) Chew (Urticaceae); SSA-220 Chutra Leaf Skin irritation and itching Leaf paste is applied externally. Dillenia indica L. (Dilleniaceae); SSA-260 Chalta Fruit Asthenia Fruit juice is taken thrice a day. Leaf Dysentery Extract is taken twice a day for one week. Diospyros malabarica (Desr.) Kostel. (Ebenaceae); SSA-207 Gab Bark Dysentery Crushed bark is consumed orally with curd twice a day for three days. Eclipta prostrata (L.) L. (Asteracae); SSA-205 Kalahuta Whole plant Skin laceration and wound healing Applied externally to the affected area, sometimes along with Cynodon dactylon. Body ache Extract is taken internally twice a day. ETHNOBOTANICAL STUDY AND MOLECULAR DOCKING 61 Table 2 Contd. Taxa and voucher Local name Parts used Ailments Mode of application Ficus hispida L.f. (Moraceae); SSA-261 Kudura Fruit Diabetes Raw fruit is eaten, sometimes fruit juice is taken orally. Asthenia Juice is consumed regularly. Glycosmis pentaphylla (Retz.) DC. (Rutaceae); SSA-250 Motkila Stem Toothache Used to brush teeth, applied externally. Heliotropium indicum L. (Boraginaceae); SSA-274 Aattir Shur, Hatishur Leaf Eczema Leaf paste is applied externally to the affected part of the body. Hibiscus rosa-sinensis L. (Malvaceae); SSA-202 Joba Leaf Flatulence Infusion of leaves is taken internally. Flower Dyspepsia Infusion of flowers is taken internally. Justicia adhatoda L. (Acanthaceae); SSA-218 Adabasok Leaf Cold and cough Leaf juice is taken orally. Kalanchoe pinnata (Lam.) Pers. (Crassulaceae); SSA- 235 Pathor Shila Leaf Burning sensation and body ache Extract is orally taken. Lablab purpureus (L.) Sweet (Fabaceae); SSA-255 Shim Leaf Dermatitis Leaf paste is applied externally. Lawsonia inermis L. (Lythraceae); SSA-239 Mendi Leaf Insect bite Leaf paste is used externally to the affected area. Dermatitis Leaf paste is mixed with banana and calcium hydroxide before external application. Leucas aspera (Willd.) Link (Lamiaceae); SSA-216 Dol Kolosh, Dondokolosh Leaf Rheumatoid arthritis Boiled leaf is applied externally. Litsea glutinosa (Lour.) C.B. Rob. (Lauraceae); SSA-256 Kharajora Leaf Chronic dysentery Leaf juice is taken orally. Mangifera indica L. (Anacardiaceae); SSA-221 Aam Bark Jaundice Decoction is taken orally along with seed and fruit extracts of Syzygium cumini and Ficus racemosa, respectively. Mikania cordata (Burm. f.) B.L. Rob. (Asteraceae); SSA-247 Asam Lata Leaf Diarrhoea Extract is taken orally twice a day for a few days. Mimosa pudica L. (Mimosaceae); SSA-214 Lajonti Root Menstrual problems Decoction of roots is taken internally for twice a day. Moringa oleifera Lam. (Moringaceae); SSA-236 Sajna Leaf Rheumatoid arthritis Leaf paste is taken, sometimes extract is consumed orally. Murraya paniculata (L.) Jack (Rutaceae); SSA-258 Kamini Flower Body ache Infusion is taken internally. Murraya koenigii (L.) Spreng. (Rutaceae); SSA- 238 Karipata Root Skin inflammation Root paste is applied externally. Nigella sativa L. (Ranunculaceae); SSA-243 Kailla jira Seed Asthenia Fried seeds are eaten with rice. Nymphaea nouchali Burm. f. (Nymphaeaceae); SSA-263 Haluk Flower Skin cut and laceration Floral paste is mixed with plant extract of Cynodon dactylon for wound healing and blood clotting. Ocimum sanctum L. (Lamiaceae); SSA-201 Tulshi Leaf Acute cough Raw leaves are eaten. Root Chronic cough, sore throat Decoction of roots is taken internally. Oroxylum indicum (L.) Kurz (Bignoniaceae); SSA-278 Kanaidingi Fruit Jaundice Infusion is taken orally. Flower Jaundice Infusion is taken orally. 62 AHMED et al. Table 2 Contd. Taxa and voucher Local name Parts used Ailments Mode of application Oxalis articulata Savigny (Oxalidaceae); SSA-240 Khud Manik Whole plant Flatulence Extract is taken orally. Oxalis corniculata L. (Oxalidaceae); SSA-241 Khud Manik Whole plant Flatulence Extract is taken orally. Phyllanthus acidus (L.) Skeels (Phyllanthaceae); SSA-225 Orboroi Leaf Pox Leaf paste is applied externally. Phyllanthus emblica L. (Phyllanthaceae); SSA-265 Aamloki Fruit Anorexia Raw fruits are eaten, sometimes fruit juice is taken orally. Phyllanthus reticulatus Poir. (Phyllanthaceae); SSA-272 Sitkari Stem Helminthiasis Extract is used internally, sometimes mixed with extract of Tinospora crispa. Piper betle L. (Piperaceae); SSA-227 Pan Leaf Constipation Juice is taken orally, especially by children. Psidium guajava L. (Myrtaceae); SSA-217 Hobri, Peyara Leaf Toothache Leaf juice is taken internally. Ricinus communis L. (Euphorbiaceae); SSA-228 Bhenna Bark Nausea Bark is wrapped around the neck of children. Saccharum officinarum L. (Poaceae); SSA-252 Aakh Stem Jaundice Juice is taken internally, sometimes accompanied with coconut water. Scoparia dulcis L. (Plantaginaceae); SSA-231 Bondhone Leaf Diarrhoea Leaf juice is taken internally. Whole plant Diabetes Infusion of whole plant is taken regularly to reduce blood sugar level. Sesamum indicum L. (Pedaliaceae); SSA-224 Til Seed Dysentery Crushed seeds are taken internally, sometimes seed oil is consumed. Smilax perfoliata A. DC. (Smilacaceae); SSA-269 Kumarilot Root Dhat syndrome Decoction of root is taken internally. Stephania japonica (Thunb.) Miers (Menispermaceae); SSA-211 Mochilot Whole plant Rheumatoid arthritis Used to wrap the painful areas of the body, applied externally. Leaf Body ache Leaf paste is applied externally. Diarrhoea Leaf juice is taken internally. Streblus asper Lour. (Moraceae); SSA-222 Sheura Root Jaundice Decoction of roots is consumed with the bark extract of Mangifera indica. Swietenia mahagoni (L.) Jacq. (Meliaceae); SSA-226 Mahogoni Root Diabetes Extract is taken internally with plant extract of Coccinia grandis. Tagetes erecta L. (Asteraceae); SSA-242 Genda Leaf Toothache Leaf paste is applied externally. Tamarindus indica L. (Fabaceae); SSA-254 Tetul Fruit Hypertention Juice is orally consumed after mixing with Allium sativum bulb extract. Terminalia arjuna (Roxb. ex DC.) Wight & Arn. (Combretaceae); SSA-230 Arjun Bark Cardiovascular problem Decoction of bark is orally taken with fruit juice of Phyllanthus emblica and Terminalia bellirica. Tinospora crispa (L.) Hook. f. & Thom. (Menispermaceae); SSA-249 Padma gurunchi Leaf Allergy Leaf paste applied externally. Whole plant Helminthiasis Infusion of whole plant is taken orally. Vachellia nilotica (L.) Hurter & Mabb. (Fabaceae); SSA-273 Babla Flower Gastro-intestinal disorder Extract is taken orally to reduce dyspepsia and flatulence. Xanthium strumarium L. (Asteraceae); SSA-259 Ghagra Root Dhat syndrome Decoction of root is often mixed with Bombax ceiba root extract and taken orally at night. ETHNOBOTANICAL STUDY AND MOLECULAR DOCKING 63 Table 2 Contd. Taxa and voucher Local name Parts used Ailments Mode of application Xanthosoma sagittifolium (L.) Schott (Araceae); SSA- 246 Kailla Kachu Stem Skin laceration and wound healing Extract is applied externally to the affected area. Zingiber officinale Roscoe (Zingiberaceae); SSA-210 Ada Rhizome Digestive disorder Eaten raw, sometimes infusion is taken orally. Cold and cough Taken orally along with honey and Nigella sativa seeds. Hypertention Raw rhizome is taken with tea. Ziziphus mauritiana Lam. (Rhamnaceae); SSA-237 Boroi Fruit Jaundice Juice is taken regularly. Quantitative analyses: Factor of informant consensus (Fic): A total of 13 major ailments were evaluated using Fic values that ranged from 0.975 to 0.984 (Table 3). For different ailments the number of use reports varied from 102 to 1305, while the number of taxa varied from 3 to 29. Among the various ailments, digestive and gastrointestinal disorders exhibited the highest number of taxa (29), followed by skin diseases (23 taxa), and the lowest number of taxa (3) was recorded for anorexia, colorectal problems, and asthenia (Fig. 3). Table 3. Consensus of agreement on the uses of medicinal plants among informants. No. Category of diseases Most cited species No. of use reports No. of taxa FIC 1 Respiratory tract disorders (acute and chronic cough, runny nose, sore throat, asthma, bronchitis etc.) Justicia adhatoda 506 9 0.984 2 Cardiovascular diseases (hyperlipidemia, hypertention, arrhythmia) Terminalia arjuna 243 5 0.983 3 Helminthiasis Cuscuta reflexa 179 4 0.983 4 Asthenia (body weakness) Dillenia indica 121 3 0.983 5 Male sexual disorders (dhat syndrome) Bombax ceiba 171 4 0.982 6 Colorectal problems (anal fissure, piles) Xanthium strumarium 108 3 0.981 7 Anorexia (loss of appetite) Phyllanthus emblica 108 3 0.981 8 Female sexual disorders (oligomenorrhea, labor pain, menstrual problems) Mimosa pudica 102 3 0.98 9 Rheumatoid arthritis Stephania japonica 250 6 0.979 10 Digestive and gastrointestinal diseases (gastritis, flatulence, diarrhoea, dysentery, jaundice, constipation, stomach ache) Cajanus cajan 1305 29 0.978 11 Myalgia (general body ache) and toothache Chenopodium album 328 8 0.978 12 Skin problems (inflammation, arthropod sting, prickly heat rash, allergies, eczema, acute and chronic dermatitis, laceration, thermal burning) Colocasia esculenta 979 23 0.977 13 Diabetes Curcuma longa 333 9 0.975 64 AHMED et al. In a recent study in Sherpur sadar and Sreebardi sub-districts, Suchana et al. (2022) showed that the highest number of taxa were used in digestive and gastrointestinal disorders which further corroborated our findings. In the present study, the highest Fic value was recorded for respiratory tract disorders incorporating acute and chronic cough, runny nose, sore throat, asthma and bronchitis. Justicia adhatoda was found to be the most cited species for this disease category. The second highest value (0.983) was observed in three different disorders, such as cardiovascular diseases, helminthiasis and asthenia. Bombax ceiba was found as the most cited species to treat male sexual disorders which was congruent with previous study (Hossain and Rahman, 2018). In the case of rheumatoid arthritis, the Fic value was recorded 0.979 with Stephania japonica as the most cited species which was found to be concordant with Mollik et al. (2010) who reported the same use in Ashuganj sub-district of Brahmanbaria district. Fig. 3. Number of taxa used to treat major ailments based on informant consensus factor. Fidelity level (FL): The present investigation revealed that the fidelity level values ranged from 41.2 to 100% (Table 4). A total of 11 species showed fidelity levels of 100%, viz. Bombax ceiba, Centella asiatica, Chenopodium album, Colocasia esculenta, Cuscuta reflexa, Cynodon dactylon, Lawsonia inermis, Phyllanthus emblica, Ricinus communis, Streblus asper and Terminalia arjuna. The ailments of these top scoring species were anorexia, body ache, cardiovascular disease, dermatitis, dhat syndrome, gastro-intestinal disorder, helminthiasis, jaundice, nausea and skin problems, respectively. Higher level of fidelity for multiple species was found concordant with some recently published studies (Mitu et al., 2022; Suchana et al., 2022). Citation frequency (CF): The citation frequency was estimated for all 79 species and amongst them, top 15 scored species were presented in Table 5. Citation frequency was recorded 100% for Justicia adhatoda, Bombax ceiba, Cajanus cajan, Cuscuta reflexa and Stephania japonica. Citation frequency was found higher than 80% for nine ailments, such as acute and chronic cough, jaundice, skin ETHNOBOTANICAL STUDY AND MOLECULAR DOCKING 65 laceration, rheumatoid arthritis, helminthiasis, diarrhoea, chronic dysentery, pox and diabetes (Fig. 4). The highest number of taxa was recorded for respiratory tract disorder, while the lowest was found for four ailments including diarrhoea, chronic dysentery, pox and diabetes. Maximum informants cited internal application for the most cited species which was in agreement with previous studies (Hossain and Rahman, 2018; Mitu et al., 2022). Plants with high citation rates could be explored further for the identification of novel phytoconstituents, which could potentially be utilized in the development and discovery of novel therapeutics. Table 4. Fidelity level values of frequently cited species along with major ailments. Ailments Species No. of informants (Ip) Total no. of informants (Iu) Fidelity level (%) Anorexia Phyllanthus emblica 41 41 100 Body ache Chenopodium album 42 42 100 Cardiovascular disease Terminalia arjuna 48 48 100 Dermatitis Lawsonia inermis 47 47 100 Dhat syndrome Bombax ceiba 51 51 100 Gastro-intestinal disorder Centella asiatica 51 51 100 Helminthiasis Cuscuta reflexa 51 51 100 Jaundice Streblus asper 47 47 100 Nausea Ricinus communis 45 45 100 Blood clotting Colocasia esculenta 51 51 100 Skin laceration and wound healing Cynodon dactylon 51 51 100 Rheumatoid arthritis Stephania japonica 51 75 68.0 Jaundice Cajanus cajan 51 78 65.3 Toothache Glycosmis pentaphylla 36 60 60.0 Gynecological disorder Mimosa pudica 45 80 56.2 Asthenia Dillenia indica 43 81 53.0 Piles Xanthium strumarium 39 75 52.0 Diabetes Curcuma longa 49 96 51.0 Acute and chronic cough Justicia adhatoda 51 102 50.0 Allergy Tinospora crispa 42 102 41.2 Fig. 4. Number of taxa with citation frequency higher than 80% used to treat various ailments. 66 AHMED et al. Table 5. Citation frequency (CF) of some selected medicinal plant species of the study area. Species Ailments No. of citation Citation frequency (%) Justicia adhatoda Acute and chronic cough 51 100 Bombax ceiba Dhat syndrome 51 100 Cajanus cajan Jaundice 51 100 Cuscuta reflexa Helminthiasis 51 100 Stephania japonica Rheumatoid arthritis 51 100 Litsea glutinosa Chronic dysentery 49 96.1 Curcuma longa Diabetes 49 96.1 Terminalia arjuna Cardiovascular disease 48 94.1 Lawsonia inermis Dermatitis 47 92.1 Mimosa pudica Gynecological disorder 45 88.2 Ricinus communis Nausea 45 88.2 Phyllanthus emblica Anorexia 41 80.4 Xanthium strumarium Piles 39 76.4 Tinospora crispa Allergy 37 72.5 Glycosmis pentaphylla Toothache 36 70.5 Active sites of the receptor macromolecule A single pocket was detected as the active site of the JAK1 protein from the CASTp 3.0 server. The surface area of the active pocket was estimated to be 309.764 Å2 and volume to be 209.690 Å3. The active site resides were Arg27, Leu29, Gly30, Glu31, Gly32, Val37, Ala54, Lys56, Glu73, Leu77, Val86, Met104, Glu105, Phe106, Leu107, Pro108, Ser109, Gly110, Ser111, Glu114, Tyr115, Lys118, Arg155, Asn156, Leu158, Gly168, Asp169 and Phe170. Hence, a total of 28 amino acid residues were predicted as active sites by the CASTp 3.0 server (Fig. 5A). SCFBio server predicted a total of 39 cavities from where the 8th cavity was considered for current investigation. The volume of the cavity was estimated as 854 Å3. The server did not provide any data on the surface area of the cavity. Cavity point was provided to be -16.514, -2.456 and -5.108 for X, Y and Z axes, respectively. The active site residues were Met139, Asp140, Tyr141, Leu142, Gly143, Ser144, Gln146, Tyr147, Val148, Arg150, Ile176, Glu177, Thr178, Asp179, Lys180, Glu181, Tyr182, Tyr183, Pro198, Glu199, Gln203, Lys205, Phe206, Tyr207, Ile208, Ala209, Val212, Lys278, Glu281, Phe282, Gln283, Pro284, Ser285, Asn286, Thr288, Ser289, Phe290, Gln291, Asn292 and Glu295. Active sites were visualized using Discovery Studio visualizer as shown in Figure 5B. Molecular docking and interaction analyses: Molecular docking analysis was performed for bioactive phytochemicals of Stephania japonica targeting rheumatoid arthritis. S. japonica was selected as it showed a very high level of citation frequency and Fic value. The docking analysis unveiled binding affinities ranging from - 5.3 to -9.7 kcal/mol. The control drug Ibuprofen scored -7.0 kcal/mol. Of the 30 phytochemicals investigated, nearly 60% (18) compounds scored higher than the control and the remaining 40% (12) scored lower than the control (Table 6). This indicates the potential of Stephania japonica as a source of next generation therapeutics targeting rheumatoid arthritis. The compound Oxostephanine with a molecular weight of 305.3 g/mol showed the highest binding affinity (-9.7 kcal/mol) followed by Trilobine (-8.7 kcal/mol) and Epistephanine (-8.6 kcal/mol). Two dimensional chemical structures of the top three compounds along with the control Ibuprofen are visualized in Figure 6. Among the top three potential drug candidates, molecular weight was ETHNOBOTANICAL STUDY AND MOLECULAR DOCKING 67 found to be highest for Epistephanine (606.7 g/mol) followed by Trilobine (562.7 g/mol) and Oxostephanine (305.3 g/mol). In contrary, the lowest molecular weight was observed in Viburnitol (164.16 g/mol) among all the phytocompounds, and this compound also exhibited the lowest binding affinity (-5.3 kcal/mol). The docked complexes for the top three compounds along with the control have been shown in Figure 7. Fig. 5. Active sites of JAK1 receptor macromolecule predicted by CASTp server (A) and SCFBio server (B). Results of molecular interactions are depicted in Table 7. Molecular interactions were analyzed to justify drug surface hotspots and to find potential active sites in the Janus Kinase 1 receptor which are crucial for drug design and future drug development process (Ahmed et al., 2023). All the three top scoring compounds showed hydrophobic interactions which are vital to ensure stability when these phytocompounds will bind with receptor macromolecule (Rahman and Ahmed, 2022). Both the Oxostephanine and Epistephanine showed conventional hydrogen bonding with the JAK1 protein except Trilobine. Oxostephanine interacted with Leu29 only, while Epistephanine interacted with Asn292 and Ser289 amino acid residues (Fig. 8). These hydrogen bonds play a pivotal role in maintaining stability in ligand-receptor interactions and ensure the specificity of ligand binding (Rahman and Ahmed, 2022). 68 AHMED et al. Fig. 6. Two-dimensional chemical structures of three top scoring phytochemicals with the control Ibuprofen. A. Oxostephanine; B. Trilobine; C. Epistephanine; D. Ibuprofen. Fig. 7. Three lead phytocompounds of Stephania japonica and the control drug with rheumatoid arthritis protein. A. Oxostephanine-complex; B. Trilobine-complex; C. Epistephanine-complex; D. Ibuprofen- complex (control). ETHNOBOTANICAL STUDY AND MOLECULAR DOCKING 69 Hydrogen bonds donating and accepting regions were further visualized (Fig. 9). Some common residues such as Leu29, Val37, Ala54, Met104 and Leu158 have interacted with Ibuprofen, and two phytochemicals, viz. Oxostephanine and Epistephanine indicating that these amino acid residues of JAK1 could be potential drug surface hotspots for future drug discoveries. Fig. 8. Two dimensional molecular interactions of the phytochemicals of Stephania japonica along with the control. A. Oxostephanine; B. Trilobine; C. Epistephanine; D. Ibuprofen (control). Molecular docking in conjunction with ethnobotanical research has drawn attention to unveil a new window for drug discovery. In the recent past, molecular docking was applied to a few ethnobotanical studies where Abdulrahman et al. (2022) used molecular docking to validate the ethnobotanical outcome targeting Measles in Northern Nigeria. A total of 40 phytocompounds were docked against Measles nucleoprotein from 21 ethnomedicinal plant species and the binding affinities ranged from -1.3 to -9.3 kcal/mol (Abdulrahman et al., 2022). In our study, both the upper and lower thresholds of binding affinity were higher than that of Abdulrahman et al. (2022) which justifies accuracy and potentials of Stephania japonica phytochemicals targeting rheumatoid arthritis. Vijayakumar et al. (2016) conducted an ethnobotanical-molecular docking 70 AHMED et al. survey of traditional Siddha medical practitioners from Thiruvarur district focusing hepatoprotective potentials. Vijayakumar et al. (2016) docked three commercial drugs and 12 bioactive phytochemicals from different ethnomedicinal plants against hepatitis B virus receptor, where the binding affinities varied from -5.0 to -8.08 kcal/mol, and Luteolin (-8.08 kcal/mol) was the best scoring compound. Our investigation revealed a significantly higher binding affinity of -9.7 kcal/mol compared to other studies providing additional support to our findings (Abdulrahman et al., 2022; Vijayakumar et al., 2016). Fig. 9. Three dimensional molecular interactions of the phytochemicals of Stephania japonica and the control drug showing hydrogen bonds donating and accepting regions. A. Oxostephanine; B. Trilobine; C. Epistephanine; D. Iburprofen (control). Molecular dynamics simulation Structural flexibility analysis unraveled satisfactory results for the tested protein-ligand complexes in comparison with the control drug Ibuprofen-complex. Root Mean Square Fluctuation (RMSF) values were found minimal for all the three lead candidates (Fig. 10). For Oxostephanine, mean RMSF was recorded as 0.96 Å. Trilobine and Epistephanine revealed mean RMSF values of 0.97 Å and 0.90 Å, respectively during the 10 ns simulation trajectory. Ibuprofen showed mean RMSF of 0.82 Å which was slightly lower than the three lead candidates. This close proximity of mean RMSF values indicated nearly same structural stability and flexibility of the tested lead phytocompounds as compared to the control drug. The average RMSF distance in the binding pockets was also estimated that unveiled a mean RMSF of 0.47 Å, 0.65 Å, 0.76 Å and 0.32 Å in Oxostephanine, Epistephanine, Trilobine and Ibuprofen, respectively. All the values were found below the standard threshold of 2.5 Å which denoted very good structural stability of ETHNOBOTANICAL STUDY AND MOLECULAR DOCKING 71 Table 6. Molecular docking analysis of bioactive phytocompounds of Stephania japonica targeting rheumatoid arthritis. Phytocompounds PubChem CID Molecular formula Molecular weight (g/mol) Binding affinity (kcal/mol) 1. Oxostephanine 343547 C18H11NO4 305.3 -9.7 2. Trilobine 169007 C35H34N2O5 562.7 -8.7 3. Epistephanine 5317122 C37H38N2O6 606.7 -8.6 4. Isotrilobine 12310578 C36H36N2O5 576.7 -8.4 5. Isochondrodendrine 197726 C36H38N2O6 594.7 -8.3 6. Stepinonine 135778935 C36H34N2O7 606.7 -8.2 7. Cyclanoline 3082134 C20H24NO4 + 342.4 -8.2 8. Obamegine 441064 C36H38N2O6 594.7 -8.2 9. Bebeerine 12300019 C36H38N2O6 594.7 -8.1 10. Tetrandrine 73078 C38H42N2O6 622.7 -8.1 11. Fangchinoline 73481 C37H40N2O6 608.7 -8.1 12. Oxostephabenine 181354 C27H27NO8 493.5 -8.0 13. Hypoepistephanine 282017 C36H36N2O6 592.7 -8.0 14. Insularine 10348927 C38H40N2O6 620.7 -7.7 15. Stebisimine 3083913 C36H34N2O6 590.7 -7.6 16. Steponine 15432819 C20H24NO4 + 342.4 -7.5 17. Cycleanine 121313 C38H42N2O6 622.7 -7.4 18. Lanuginosine 97622 C18H11NO4 305.3 -7.3 19. Aknadinine 159966 C20H25NO5 359.4 -6.8 20. Stepharine 98455 C18H19NO3 297.3 -6.6 21. Metaphanine 12312776 C19H23NO5 345.4 -6.5 22. Homostephanoline 627343 C20H25NO5 359.4 -6.5 23. Aknadicine 442156 C19H23NO5 345.4 -6.4 24. Oxostephasunoline 621065 C20H25NO7 391.4 -6.3 25. Stephasunoline 618654 C20H27NO6 377.4 -6.2 26. Prometaphanine 91895299 C20H25NO5 359.4 -6.2 27. Oxostephamiersine 101673501 C21H25NO7 403.4 -6.1 28. Hasubanonine 442246 C21H27NO5 373.4 -6.0 29. Epistephamiersine 91895297 C21H27NO6 389.4 -5.9 30. Viburnitol 101715 C6H12O5 164.16 -5.3 Ibuprofen (Control) 3672 C13H18O2 206.2 -7.0 Table 7. Molecular interaction analysis of the top scoring three phytocompounds of Stephania japonica along with the control drug. Ligands Residues in hydrogen bonding Residues in hydrophobic interactions Binding affinity (kcal/mol) Oxostephanine Leu29 Leu29, Val37, Ala54, Val86, Met104, Leu158 -9.7 Trilobine No residues Leu29, Arg27, Glu114, Arg155, Asn156, Asp169 -8.7 Epistephanine Asn292, Ser289 Asp140, Gly143, Glu181, Ile208, Ala209, Phe290 -8.6 Ibuprofen (Control) Ser111, Leu158 Leu29, Val37, Ala54, Met104 -7.0 72 AHMED et al. the lead compounds in the binding cavity of the receptor macromolecule. This further justified their potentials to be effective drug candidates against rheumatoid arthritis. Superimposed simulation structures of each complex have been demonstrated in Figure 10. Fig. 10. Molecular dynamics simulation showing superimposed simulated structures and regional flexibility profiles of Stephania japonica phytochemicals – Oxostephanine (A), Trilobine (B), Epistephanine (C) and control drug Ibuprofen (D). This present study combines the principles of molecular docking and dynamics simulation with ethnobotanical knowledge in Bangladesh, marking the first of its kind in this field of research. The study uncovered some novel findings about the traditional medicinal uses of various ETHNOBOTANICAL STUDY AND MOLECULAR DOCKING 73 plants of Gafargaon sub-district. Remarkably, Aphanamixis polystachya leaf paste was found to be effective in treating arthritis; Calotropis procera boiled leaf inhalation was used to alleviate asthma symptoms; Datura metel raw fruit was traditionally employed to address eczema, and Xanthium strumarium root was used to tackle dhat syndrome. The study unveiled several threats to medicinal plant species including habitat destruction and fragmentation, deforestation, over- exploitation, insufficient awareness among local communities about the need for conserving species diversity, and the planting of exotic species. Our findings further highlight the pressing need for conservation efforts and sustainable management practices to safeguard the future of these valuable medicinal plants. To ensure the preservation of valuable medicinal plant species in the surveyed area, various protective measures should be implemented. These might include establishing nurseries to propagate important and endangered medicinal plants, creating distribution maps with precise coordinates for key species, and employing ex-situ conservation strategies to safeguard the medicinal plants in the study area, thereby promoting their sustainable use and development. Species that exhibited the highest citation frequency, fidelity level and Fic value could be subjected to in vitro studies for phytochemical screening. In addition, molecular docking and dynamics simulation analyses might open up new avenues for the designing and discovery of novel drugs from Stephania japonica phytocompounds to treat rheumatoid arthritis. Our findings provide the baseline data to bridge the gap between traditional healers and scientific communities. Based on our findings, we recommend conducting additional in vitro, in vivo, and in silico studies on the ethnomedicinal plants identified in this venture, in order to further explore their potential for enhancing healthcare management and drug discovery. Acknowledgements The authors extend their appreciation to the Researchers Supporting Project number (RSP2023R306), King Saud University, Riyadh, Saudi Arabia. The first and second authors are thankful to the local people and folklore practitioners of Gafargaon sub-district of Mymensingh district for their cooperation and sharing information about the medicinal uses of plants. References Abdulrahman, M.D., Bradosty, S.W., Hamad, S.W., Ibrahim, M.T., Lema, A.A., Sunusi, N., Usman, M., Ashiru, I., Ahmad, N.B., Wada, N. and Bussmann, R.W. 2022. 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