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<journal-id journal-id-type="publisher-id">Front. Pharmacol.</journal-id>
<journal-title>Frontiers in Pharmacology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Pharmacol.</abbrev-journal-title>
<issn pub-type="epub">1663-9812</issn>
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<publisher-name>Frontiers Media S.A.</publisher-name>
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<article-id pub-id-type="publisher-id">1496792</article-id>
<article-id pub-id-type="doi">10.3389/fphar.2024.1496792</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Pharmacology</subject>
<subj-group>
<subject>Policy and Practice Reviews</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Climate change and the sustainable use of medicinal plants: a call for &#x201c;new&#x201d; research strategies</article-title>
<alt-title alt-title-type="left-running-head">Mykhailenko et al.</alt-title>
<alt-title alt-title-type="right-running-head">
<ext-link ext-link-type="uri" xlink:href="https://doi.org/10.3389/fphar.2024.1496792">10.3389/fphar.2024.1496792</ext-link>
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<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Mykhailenko</surname>
<given-names>Olha</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
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<contrib contrib-type="author">
<name>
<surname>Jalil</surname>
<given-names>Banaz</given-names>
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<sup>1</sup>
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<contrib contrib-type="author">
<name>
<surname>McGaw</surname>
<given-names>Lyndy J.</given-names>
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<xref ref-type="aff" rid="aff3">
<sup>3</sup>
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<contrib contrib-type="author">
<name>
<surname>Echeverr&#xed;a</surname>
<given-names>Javier</given-names>
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<xref ref-type="aff" rid="aff4">
<sup>4</sup>
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<contrib contrib-type="author">
<name>
<surname>Takubessi</surname>
<given-names>Marce</given-names>
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<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff5">
<sup>5</sup>
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<name>
<surname>Heinrich</surname>
<given-names>Michael</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff6">
<sup>6</sup>
</xref>
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<aff id="aff1">
<sup>1</sup>
<institution>Pharmacognosy and Phytotherapy</institution>, <institution>UCL School of Pharmacy</institution>, <addr-line>London</addr-line>, <country>United Kingdom</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Pharmaceutical Chemistry Department</institution>, <institution>National University of Pharmacy</institution>, <addr-line>Kharkiv</addr-line>, <country>Ukraine</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Phytomedicine Programme</institution>, <institution>Department of Paraclinical Sciences</institution>, <institution>Faculty of Veterinary Science</institution>, <institution>University of Pretoria</institution>, <addr-line>Pretoria</addr-line>, <addr-line>Gauteng</addr-line>, <country>South Africa</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Departamento de Ciencias del Ambiente</institution>, <institution>Facultad de Qu&#xed;mica y Biolog&#xed;a</institution>, <institution>Universidad de Santiago de Chile</institution>, <addr-line>Santiago</addr-line>, <country>Chile</country>
</aff>
<aff id="aff5">
<sup>5</sup>
<institution>Pharmacy Department</institution>, <institution>Health Polytechnic of the Ministry of Health Kupang</institution>, <addr-line>Kupang</addr-line>, <country>Indonesia</country>
</aff>
<aff id="aff6">
<sup>6</sup>
<institution>Department of Pharmaceutical Sciences and Chinese Medicine Resources</institution>, <institution>Chinese Medicine Research Center</institution>, <institution>College of Chinese Medicine</institution>, <institution>China Medical University</institution>, <addr-line>Taichung</addr-line>, <country>Taiwan</country>
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<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/416579/overview">John Thor Arnason</ext-link>, University of Ottawa, Canada</p>
</fn>
<fn fn-type="edited-by">
<p>
<bold>Reviewed by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2657878/overview">Michael Rapinski</ext-link>, UMR7206 Eco Anthropologie et Ethnobiologie (EAE), France</p>
<p>
<ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/746302/overview">Jos&#xe9; A. Guerrero-Analco</ext-link>, Instituto de Ecolog&#xed;a (INECOL), Mexico</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Olha Mykhailenko, <email>o.mykhailenko@ucl.ac.uk</email>&#x200a; Michael Heinrich, <email>m.heinrich@ucl.ac.uk</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>03</day>
<month>02</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2024</year>
</pub-date>
<volume>15</volume>
<elocation-id>1496792</elocation-id>
<history>
<date date-type="received">
<day>15</day>
<month>09</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>24</day>
<month>12</month>
<year>2024</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2025 Mykhailenko, Jalil, McGaw, Echeverr&#xed;a, Takubessi and Heinrich.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Mykhailenko, Jalil, McGaw, Echeverr&#xed;a, Takubessi and Heinrich</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>Climate change and human activities severely impact the viability of plants and ecosystems, threatening the environment, biodiversity, and the sustainable development of plant-based products. Biotic and abiotic (ecosystem) determinants affect species distribution and long-term survival, which in turn influence the quality of plants used as herbal medicines and other high-value products. In recent decades, diverse anthropogenic impacts have significantly affected these quality aspects. Climate change, excessive plant exploitation, habitat loss, species vulnerability, and other factors have adversely affected the growth, reproduction, and adaptation of species populations, as well as the quality and volume of primary plant materials supplied to pharmaceutical markets. Despite these growing challenges, there is limited knowledge of potential strategies to prevent or mitigate these impacts, particularly for vulnerable species collected from the wild or harvested from traditional production systems. Hence, effective strategies for preserving and increasing plant populations are urgently needed. In this study, we propose a new framework including the main sustainability factors to better understand and address the vulnerability of a species, hence mitigate the impact of climate change. We assess the applicability of our proposed framework via seven case studies of vulnerable species (i.e., <italic>Aquilaria malaccensis</italic> Lam., <italic>Boswellia sacra</italic> Fl&#xfc;ck., <italic>Crocus sativus</italic> L., <italic>Panax quinquefolius</italic> L., <italic>Pilocarpus microphyllus</italic> Stapf ex Wardlew., <italic>Rhodiola rosea</italic> L., and <italic>Warburgia salutaris</italic> (G.Bertol.) Chiov.) from main biogeographic realms, all widely used as medicinal plants. These species present various challenges related to the sustainability of their use, impacting their current and future status locally and globally. Their economic importance, combined with rising demands and specific risks of overexploitation, are also key factors considered here. The suggested framework for the sustainability of medicinal and other high-value plant-based products in the phytopharmaceutical industry emphasises strategies that promote conservation and sustainable resource use. It can also be adapted for other vulnerable species requiring urgent attention.</p>
</abstract>
<kwd-group>
<kwd>endangered medicinal plants</kwd>
<kwd>ecosystem factors</kwd>
<kwd>climate change</kwd>
<kwd>sustainable practices</kwd>
<kwd>conservation strategies</kwd>
<kwd>traditional medicine</kwd>
<kwd>ethnopharmacology</kwd>
<kwd>key sustainability indicators</kwd>
</kwd-group>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Ethnopharmacology</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec id="s1">
<title>1 Introduction</title>
<p>Plants are a rich source of unique primary and secondary metabolites, many of which serve as medicines. They play a critical role as key ingredients in pharmaceuticals, functional/health foods, cosmetics, fragrances, agrochemicals, flavours, colouring agents, spices, biopesticides, and general food additives. There has been a dramatic growth (<xref ref-type="bibr" rid="B95">Howes et al., 2020</xref>) in demand for such ingredients not only in established economies but also in fast-emerging markets, for example, the People&#x2019;s Republic of China, Middle Eastern countries, India, Brazil, M&#xe9;xico, and South Africa (<xref ref-type="bibr" rid="B174">Rezaie et al., 2012</xref>; <xref ref-type="bibr" rid="B48">Carvalho et al., 2018</xref>; <xref ref-type="bibr" rid="B169">Qu et al., 2014</xref>; <xref ref-type="bibr" rid="B124">Liu et al., 2023</xref>). Despite the strict quality control standards for medicinal plants in pharmacopoeias (<xref ref-type="bibr" rid="B92">Heinrich, 2015</xref>), there is no systematic framework for ensuring sustainable practices in sourcing current and future medicinal and other high-value plant-based products, nor to address the critical research and development needs in the context of climate change.</p>
<p>Dramatic changes to the global climate (<xref ref-type="bibr" rid="B237">Young et al., 2015</xref>), which have accelerated enormously over the last few decades, strongly impact the supply and sourcing of wild plant populations and cultivated resources, especially the established and traditional production systems (<xref ref-type="bibr" rid="B17">Applequist et al., 2020</xref>; <xref ref-type="bibr" rid="B183">Schindler and Hilborn, 2015</xref>; <xref ref-type="bibr" rid="B50">Chen et al., 2016</xref>). The dangerously unsustainable rates of anthropogenic damage&#x2013;to the atmosphere, topsoil, forests, freshwater, ocean resources, and biodiversity&#x2013;were central concerns of the first &#x201c;<italic>World Scientists&#x2019; Warning to Humanity</italic>&#x201d; (1992) (<xref ref-type="bibr" rid="B175">Ripple et al., 2017</xref>). Despite this, there remains a lack of broad societal understanding of our responsibilities and insufficient scientific methods and tools to evaluate how the production and trade of medicinal/health food plants (MHFPs) contribute to climate change and how climate change impacts their sustainable sourcing. This includes effects on supply, costs, quality, and consumer acceptance of MHFPs. This disruption may lead to reduced production of herbal medicines or increased risk of adulteration. Furthermore, the impacts of climate on plant resources and their implications for pharmaceutical supply chains have not been systematically documented. The medicinal plant sector needs to assess its environmental footprint, especially regarding how production and sourcing may contribute to or mitigate climate change (<xref ref-type="bibr" rid="B95">Howes et al., 2020</xref>; <xref ref-type="bibr" rid="B155">Pacifici et al., 2015</xref>). Unlike other areas, such as animal protection, where research and actions have been prioritised (<xref ref-type="bibr" rid="B6">Advani, 2023</xref>; <xref ref-type="bibr" rid="B158">Patni et al., 2022</xref>), the environmental impacts of MHFP sourcing and production require a more dedicated focus.</p>
<p>Previous studies, including surveys, frameworks, and systematic analyses of published data, have mainly focused on the problem of climate change and plants (<xref ref-type="bibr" rid="B237">Young et al., 2015</xref>; <xref ref-type="bibr" rid="B67">Eckardt et al., 2023</xref>; <xref ref-type="bibr" rid="B157">Parmesan and Hanley, 2015</xref>; <xref ref-type="bibr" rid="B4">Abbass et al., 2022</xref>; <xref ref-type="bibr" rid="B11">Ali et al., 2024</xref>), tracking population changes among populations of vulnerable species in this context (<xref ref-type="bibr" rid="B155">Pacifici et al., 2015</xref>; <xref ref-type="bibr" rid="B159">Pearce-Higgins et al., 2022</xref>; <xref ref-type="bibr" rid="B234">Yesuf et al., 2021</xref>) and exploring regionally restricted conservation strategy (<xref ref-type="bibr" rid="B50">Chen et al., 2016</xref>; <xref ref-type="bibr" rid="B72">Feigin et al., 2023</xref>; <xref ref-type="bibr" rid="B225">Wang et al., 2024a</xref>; <xref ref-type="bibr" rid="B130">McLaughlin et al., 2022</xref>) to save plants and biodiversity (<xref ref-type="bibr" rid="B95">Howes et al., 2020</xref>; <xref ref-type="bibr" rid="B6">Advani, 2023</xref>; <xref ref-type="bibr" rid="B225">Wang et al., 2024a</xref>; <xref ref-type="bibr" rid="B139">Mori et al., 2024</xref>). However, no comprehensive approach enables researchers to determine the critical stages of a species&#x2019; status or vulnerability in the context of pharmaceutical/health food needs, including the harvesting of high-quality and pharmacognostically well-defined primary material. The framework for developing the necessary advancements based on evidence-based scientific approaches to achieve sustainability and the conservation of specific species is poorly developed. Contrary to high-value, large volume food crops, medicinal plants are typically high-value, low-volume products (<xref ref-type="bibr" rid="B21">Atanasov et al., 2015</xref>; <xref ref-type="bibr" rid="B31">Booker et al., 2012</xref>). Sustainably managing MHFP is essential for both biodiversity conservation and ecosystem resilience. Ecosystem services (<xref ref-type="bibr" rid="B173">Reid et al., 2005</xref>; <xref ref-type="bibr" rid="B90">Hawken et al., 2021</xref>), including climate regulation and pollination are strengthened by diverse plant ecosystems.</p>
<p>The concept of ecosystem services focuses on the benefits derived from nature, allowing an evaluation of different benefits beyond strictly economic or environmental trade-offs alone. This approach requires a comprehensive understanding of ecological functions, sustainable practices, and socio-economic dynamics. Adapting research strategies to focus on ecosystem services is essential, as this approach integrates ecological, economic, and social factors, supporting sustainable development and the long-term availability of plant-based resources. By aligning research strategies with sustainability goals, we can help protect biodiversity, support human health, and strengthen resilience in the face of climate change. Here, we focus on utilitarian aspects, but ecosystem services also include the cultural importance of these species and the environments from which they are extracted (<xref ref-type="bibr" rid="B132">Milcu et al., 2013</xref>; <xref ref-type="bibr" rid="B60">Daniel et al., 2012</xref>).</p>
</sec>
<sec id="s2">
<title>2 The proposed framework</title>
<p>In this study, we propose a framework to redefine research priorities in the research and development of MHFP. Our proposed conceptual approach addresses the research and development needs linking specific actions for specific species and suggests main environmental factors that influence species abundance, spanning biotic and anthropogenic determinants (<xref ref-type="fig" rid="F1">Figure 1</xref>). For instance, increased species vulnerability&#x2013;represented by colour changes in the central circle&#x2013;arises under the influence of biological and anthropogenic determinants. These broader determinants can be understood based on significant shifts in one or more of the four specific determinants of a species&#x2019; sustainability: &#x201c;habitat/habitat loss&#x201d;; &#x201c;reproductive success&#x201d;; &#x201c;climate change&#x201d;; and &#x201c;bio-economy (uses)&#x201d;, which we propose as key sustainability indicators for addressing a species vulnerability in the context of climate change (<xref ref-type="fig" rid="F1">Figure 1</xref>). We define three levels of concern (with a simple colour coding) to assess the degree of a species&#x2019; vulnerability (<xref ref-type="table" rid="T1">Table 1</xref>), which, of course, represents a continuum of risks.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>The conceptual framework for addressing the degree of a vulnerability of a species based on selected sustainability determinants in the context of climate change, incorporating a spectrum from biotic to anthropogenic determinants.</p>
</caption>
<graphic xlink:href="fphar-15-1496792-g001.tif"/>
</fig>
<table-wrap id="T1" position="float">
<label>TABLE 1</label>
<caption>
<p>Degree of vulnerability of a species (<bold>key sustainability indicators</bold>) in the context of climate change defined using three levels of concern (colour coding). All levels are estimates based on complex datasets and they provide a qualitative orientation.</p>
</caption>
<table>
<tbody valign="top">
<tr>
<td align="left" style="background-color:#33fa0a">Green</td>
<td align="left">Sustainable&#x2014;indicates a balanced development of the species, with favourable current characteristics and reliable positive trends for future generations</td>
</tr>
<tr>
<td align="left" style="background-color:#FFFF00">Yellow</td>
<td align="left">Overstretched&#x2014;indicates that the species is at risk of deteriorating due to the influence of one or more environmental factors</td>
</tr>
<tr>
<td align="left" style="background-color:#ff0300">Red</td>
<td align="left">Destructive&#x2014;risk of an extreme degree of vulnerability of the species</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>While the proposed framework will not directly influence climate change or policy in the short term, it provides the necessary scientific foundation and strategic direction to drive future advancements in these areas. By outlining core research priorities, the framework aims to support impactful changes that align with long-term goals for environmental sustainability, research and policy development Centered around the Sustainable Development Goals (SDGs). The focus here is on species that are of major economic importance in the respective regions and which are core elements within the regional environments (i.e., they can be conserved using locally suitable strategies). While the focus here is on the vulnerability of individual species, any change to a species abundance clearly impacts both the wider ecosystem in a region and the communities using these resources (both positively and negatively).</p>
<p>While risks are often associated with the overexploitation of resources such as specific species or a habitat, developing a research strategy requires a clear distinction between biological (natural) and anthropogenic determinants. These biological determinants include biotic and abiotic elements related to a species&#x2019; habitat, such as the extent of its distribution and its reproductive capacity. Key considerations involve the physical environment and the specific biological conditions for a species&#x2019; survival and successful reproduction. Abiotic determinants are not considered here in detail, since, while important, they can generally not be influenced. Anthropogenic determinants include changes in production systems related to climate, climate change, and the demand for specific species as ingredients. These anthropogenic (or human) determinants are closely interconnected with biotic (and abiotic) determinants that modulate the ecosystem, each having the potential to impact the other (<xref ref-type="fig" rid="F1">Figure 1</xref>). Understanding these interactions is crucial for creating a comprehensive research strategy that safeguards ecological balance and promotes the sustainable use of plant resources.</p>
<p>The first key biotic (and abiotic) determinant is habitat, encompassing the natural environment where species usually live. In this context. It also includes environments created through human activities like agricultural production systems and secondary forests. Understanding both the global abundance of materia prima and the impact of human-induced habitat changes is essential for assessing climate change effects on resource utilisation. Habitat shifts&#x2013;driven by urbanisation, agriculture, or climate change&#x2013;can directly influence the availability and sustainability of plant-based resources. The second core biotic determinant is a species&#x2019; vulnerability, which is closely tied to reproductive ability (weediness) and adaptability to changing conditions as well as to its habitat. Medicinal plant species such as <italic>Hypericum perforatum</italic> L. (St. John&#x2019;s wort) demonstrate high reproductive success (<xref ref-type="bibr" rid="B112">Koperd&#xe1;kov&#xe1; et al., 2004</xref>; <xref ref-type="bibr" rid="B24">Barcaccia et al., 2006</xref>), making reproductive ability a vital criterion for assessing ecological risks and resilience. While this reproductive strength can offer a buffer against environmental threats, it also underscores the need to balance the risks and benefits associated with its use and cultivation.</p>
<p>Two anthropogenic determinants are crucial: one is a species response to climate change. In other words, the impact of increasing average temperatures, changes to the rainfall pattern, and lower minimum temperatures. The second key biotic determinant, influenced by climate and impacting plants directly, is insect activity, which significantly affects plant populations. For example, orchid species such as <italic>Cephalanthera rubra</italic> (L.) Rich. and <italic>Cephalanthera longifolia</italic> (L.) Fritsch (<xref ref-type="bibr" rid="B209">Taura and Gud&#x17e;inskas, 2024</xref>) fruited abundantly in the second half of the 20th century. However, their recent population decline is believed to be linked to climate change. One possible explanation is a desynchronisation between flowering times and pollinator activity (<xref ref-type="bibr" rid="B168">Pyke et al., 2016</xref>). Detailed studies of flowering phenology and pollinator dynamics across the species&#x2019; range are essential to validate this hypothesis.</p>
<p>Lastly, the bioeconomy, or the level of resource use (including overuse), is a crucial aspect to consider. This covers all elements related to production <italic>per se</italic> and how resources are utilised within both global and regional economic frameworks. Two major drivers stand out: first, the direct destruction of habitats due to urban expansion and other land-use changes, which reduce the availability of natural resources. Second, the recent surge in demand for certain &#x201c;boom&#x201d; products over the last 3&#xa0;decades, fueled by internet-based commodification, such as roseroot (<italic>Rhodiola rosea</italic> L.), elder (<italic>Sambucus nigra</italic> L.), and maca (<italic>Lepidium meyenii</italic> Walp.). Understanding which production systems and value chains (<xref ref-type="bibr" rid="B29">Booker and Heinrich, 2016</xref>) can minimise the negative impact of a species&#x2019; use within the global bioeconomy is crucial. This includes addressing challenges associated with botanical drugs like root/rhizome and bark, which are particularly vulnerable to overharvesting, and commercialisation is vital for maintaining both ecological balance and economic viability.</p>
<p>To evaluate the applicability of the proposed framework, we selected seven case studies of vulnerable species: <italic>Aquilaria malaccensis</italic> Lam., <italic>Boswellia sacra</italic> Fl&#xfc;ck., <italic>Crocus sativus</italic> L., <italic>Panax quinquefolius</italic> L., <italic>Pilocarpus microphyllus</italic> Stapf ex Wardlew., <italic>Rhodiola rosea</italic> L. and <italic>Warburgia salutaris</italic> (G.Bertol.) Chiov.) (<xref ref-type="fig" rid="F2">Figure 2</xref>). These species present unique, and example challenges related to their use, affecting their current and future status at both local and global scales. The main selection criteria included here are their presence across different biogeographic realms, economic importance, widespread use, rising demand, and specific risks of overexploitation (<xref ref-type="fig" rid="F2">Figure 2</xref>).</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption>
<p>Overview of the seven selected case studies. The selection criteria for these species were: 1) The different challenges related to their use that impact on their current and future status at both local and global levels; 2) The different biogeographic realms; 3) The economic importance of the species, wide use, combined with increasing demands and particular risks of overexploitation (<xref ref-type="bibr" rid="B214">UN Environmental Programme, 2024</xref>; <xref ref-type="bibr" rid="B56">Convention on International Trade in Endangered Species CITES, 2024</xref>; <xref ref-type="bibr" rid="B54">CITES, 2024</xref>; <xref ref-type="bibr" rid="B100">IUCN, 2021</xref>).</p>
</caption>
<graphic xlink:href="fphar-15-1496792-g002.tif"/>
</fig>
<p>The seven case studies are categorised using the three levels of concerns shown in <xref ref-type="table" rid="T1">Table 1</xref>, with individual Tables provided for each case study in their respective sections. Through this framework, we evaluate the available knowledge on each species in relation to the four main sustainability determinants in the context of climate change and their implications for redefining research and development strategies (<xref ref-type="fig" rid="F2">Figure 2</xref>; <xref ref-type="table" rid="T2">Tables 2</xref>&#x2013;<xref ref-type="table" rid="T8">8</xref>).</p>
<table-wrap id="T2" position="float">
<label>TABLE 2</label>
<caption>
<p>
<italic>Aquilaria malaccensis</italic> Lam. as a case study for vulnerable plant species in SE Asia/Oceania; for the three levels of concern, see <xref ref-type="table" rid="T1">Table 1</xref>.</p>
</caption>
<table>
<tbody valign="top">
<tr>
<td colspan="2" align="left">Species name</td>
<td colspan="2" align="left">
<italic>Aquilaria malaccensis</italic> Lam., Thymelaeaceae, agarwood</td>
</tr>
<tr>
<td colspan="2" align="left">Botanical drug used</td>
<td colspan="2" align="left">Aromatic resin and wood</td>
</tr>
<tr>
<td colspan="2" align="left">Uses in medicine</td>
<td colspan="2" align="left">Anti-inflammatory (<xref ref-type="bibr" rid="B9">Alamil et al., 2022</xref>). Gastric ulcers, for the treatment of abdominal pain and as a sedative (<xref ref-type="bibr" rid="B223">Wang et al., 2021</xref>)</td>
</tr>
<tr>
<td rowspan="2" colspan="2" align="left">Conservation status</td>
<td colspan="2" align="left">CITES Appendix II (<xref ref-type="bibr" rid="B101">IUCN, 2024</xref>)</td>
</tr>
<tr>
<td colspan="2" align="left">Critically Endangered (IUCN 3.1)</td>
</tr>
<tr>
<td style="background-color:#33fa0a" align="left">Habitat/habitat loss</td>
<td style="background-color:#FFFF00" align="left">Reproductive success</td>
<td style="background-color:#FFFF00">Climate change</td>
<td style="background-color:#ff0300" align="left">Bio-economy (uses)</td>
</tr>
<tr>
<td rowspan="2" align="left">
<italic>A. malaccensis</italic> is a tropical tree that grows in high-rainfall areas throughout humid regions (<xref ref-type="bibr" rid="B212">Thompson et al., 2022</xref>). The species depends on consistent rainfall for optimal growth</td>
<td rowspan="2" align="left">The species is characterised by low regeneration. A long-term, extensive demographic study shows that a primary forest&#x2019;s seedling stocking by natural regeneration is inadequate. Moreover, with a reproductive size requirement of approximately 10&#xa0;cm dbh, tree densities &#x3e;10&#xa0;cm dbh are marginally less than one tree per hectare, and the juvenile-to-adult ratio is barely 1.5 (<xref ref-type="bibr" rid="B133">Ministry of Environment and Forestry B, 2024</xref>). Over 6&#xa0;years of observation, the wood diameter increased by only 1&#xa0;cm per year on average. The natural regeneration rate under mature trees in the primary forest is low, being only 3&#x2013;5 juveniles per tree (<xref ref-type="bibr" rid="B133">Ministry of Environment and Forestry B, 2024</xref>)</td>
<td align="left">Altered temperatures and precipitation can lead to traditional growing areas of <italic>A. malaccensis</italic> becoming unsuitable, leading to habitat loss. Take India as an example where climate change threatens the habitat suitability of Agarwood, with a decrease in suitable habitat of 34.28% under RCP4.5% and 14.64% under RCP8.5 by 2050, with a further decrease by 2070 (<xref ref-type="bibr" rid="B204">Sutomo and Kurniawati, 2021</xref>)</td>
<td align="left">Agarwood is traded in various products and derivatives, including oil, wood, wood chips, flakes, powder, and carvings, where the quality of the resin determines the price and quality of these products. The major exporters of agarwood are Indonesia, Malaysia, and Thailand, with almost exclusively (more than 98%) wild stock exported from Malaysia and Indonesia. Wild populations of various <italic>Aquilaria</italic> species have declined considerably over the past 20&#x2013;30 years (<xref ref-type="bibr" rid="B197">Soehartono and Newton, 2001</xref>)</td>
</tr>
<tr>
<td align="left">A geographical shift in Indonesia has been predicted with changes to suitable growth compared to current conditions (<xref ref-type="bibr" rid="B32">Borogayary et al., 2018</xref>). Temperature and rainfall are important factors in determining the vegetative and reproductive phenology of <italic>A. malaccensis</italic> (<xref ref-type="bibr" rid="B32">Borogayary et al., 2018</xref>). As a result, any climate change impacts on these variables may have a significant impact on its phenophases</td>
<td align="left">Cultivation systems were developed to meet high demand, and their production has dominated the market compared to wild plants in 2017, 2019, and 2020</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Assessment: The decrease in the wild population is mostly caused by over-exploitation, and cultivation with artificial introduction is an alternative way to meet the market demand for agarwood. Even though it has low regeneration, and is affected by climate change, the high demand in different bioeconomies drives the risks in terms of decreasing populations. Several studies show that if temperature and rainfall are modified in the future, natural habitats will be changed and potentially lost.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T3" position="float">
<label>TABLE 3</label>
<caption>
<p>
<italic>Boswellia sacra</italic> Fl&#xfc;ck as a case study for vulnerable species in the Middle East; for the three levels of concern, see <xref ref-type="table" rid="T1">Table 1</xref>.</p>
</caption>
<table>
<tbody valign="top">
<tr>
<td align="left">Species name</td>
<td colspan="3" align="left">
<italic>Boswellia sacra</italic> Fl&#xfc;ck, Burseraceae, frankincense, olibanum</td>
</tr>
<tr>
<td align="left">Botanical drug used</td>
<td colspan="3" align="left">Resinous dried sap/resin</td>
</tr>
<tr>
<td align="left">Use in medicine</td>
<td colspan="3" align="left">Immunomodulatory, neuroprotective, analgesic, antimicrobial, and anti-inflammatory</td>
</tr>
<tr>
<td rowspan="2" align="left">Conservation status</td>
<td colspan="3" align="left">CITES Appendix III, 2023</td>
</tr>
<tr>
<td colspan="3" align="left">The IUCN Red List of Threatened Species: Lower Risk/near threatened, 1998</td>
</tr>
<tr style="background-color:#ff0300">
<td align="left">Habitat/habitat loss</td>
<td align="left">Reproductive success</td>
<td align="left">Climate change</td>
<td align="left">Bio-economy (uses)</td>
</tr>
<tr>
<td rowspan="2" align="left">The species is restricted mainly to Somalia, including outlying islands like Socotra (<xref ref-type="bibr" rid="B52">CITES, 1973</xref>; <xref ref-type="bibr" rid="B213">Thulin et al., 2019</xref>). The limited distribution poses a critical risk in terms of the species&#x2019; sustainable use (<xref ref-type="bibr" rid="B103">Johnson et al., 2022</xref>)</td>
<td align="left">Slow growth rate and specific habitat requirements (rocky, well-drained soils) result in overall low reproductive success (<xref ref-type="bibr" rid="B109">Khan et al., 2018</xref>). Susceptibility to overharvesting can damage the tree, reducing its lifespan</td>
<td rowspan="2" align="left">The natural habitat in arid and semi-arid regions, primarily in Oman, Yemen, and Somalia, experiences increased temperatures and less precipitation patterns due to climate change. This impacts the growth and regeneration of <italic>B. sacra</italic> trees, as they are adapted to particular climatic conditions (<xref ref-type="bibr" rid="B88">Hamdiah et al., 2022</xref>). Rising temperatures and changing rainfall patterns may on inhibits affect its growth and resin production (<xref ref-type="bibr" rid="B141">Mwijuke, 2024</xref>)</td>
<td rowspan="2" align="left">The demand for frankincense has risen considerably [for <italic>Boswellia</italic> spp. in 1987 was 200&#x2013;800 tonnes (<xref ref-type="bibr" rid="B62">DeCarlo et al., 2020</xref>) as compared to 2016-2017 was 1400&#x2013;2000 tonnes]. <italic>Boswellia</italic> spp. grow in arid regions of Oman, Yemen, and Somalia (<xref ref-type="bibr" rid="B62">DeCarlo et al., 2020</xref>). These areas are characterised by harsh climatic conditions, including high temperatures and low rainfall (<xref ref-type="bibr" rid="B15">Amri and Shanfari, 2024</xref>). Habitat loss due to human activities such as land conversion for agriculture, urbanisation, and liverstock grasing is a significant threat to <italic>B. sacra</italic> (<xref ref-type="bibr" rid="B69">Eshete et al., 2012</xref>; <xref ref-type="bibr" rid="B108">Khan et al., 2022</xref>)</td>
</tr>
<tr>
<td align="left">Low seed germination under natural conditions (<xref ref-type="bibr" rid="B88">Hamdiah et al., 2022</xref>). <italic>B. frereana</italic> and <italic>B. sacra</italic> grow in arid regions of Oman, Yemen, and Somalia (<xref ref-type="bibr" rid="B116">Krystal, 2020</xref>). These areas are characterised by harsh climatic conditions, including high temperatures and low rainfall</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Assessment: <italic>B. sacra</italic> faces multiple threats from overexploitation, climate change, habitat loss, and biotic determinants. Sustainable harvesting practices, protecting its habitat, and involving local communities in conservation efforts are needed to ensure its survival.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T4" position="float">
<label>TABLE 4</label>
<caption>
<p>
<italic>Crocus sativus</italic> L. as a case study for vulnerable species in Europe/Middle East; for the three levels of concern, see <xref ref-type="table" rid="T1">Table 1</xref>.</p>
</caption>
<table>
<tbody valign="top">
<tr>
<td colspan="2" align="left">Species name</td>
<td colspan="2" align="left">
<italic>Crocus sativus</italic> L., Iridaceae. Saffron</td>
</tr>
<tr>
<td colspan="2" align="left">Botanical drug used</td>
<td colspan="2" align="left">Stigma</td>
</tr>
<tr>
<td colspan="2" align="left">Uses in medicine</td>
<td colspan="2" align="left">Antidepressant, anti-inflammatory, anti-atherosclerotic, antigenotoxic, and cytotoxic</td>
</tr>
<tr>
<td colspan="2" align="left">Conservation status</td>
<td colspan="2" align="left">Not included on IUCN Red List</td>
</tr>
<tr>
<td style="background-color:#33fa0a" align="left">Habitat/habitat loss</td>
<td style="background-color:#33fa0a" align="left">Reproductive success</td>
<td style="background-color:#FF0000" align="left">Climate change</td>
<td style="background-color:#FFFF00" align="left">Bio-economy (uses)</td>
</tr>
<tr>
<td align="left">
<italic>C. sativus</italic> is a cultigen and as such the habitat is defined by the agricultural strategies to grow the species. It thrives in Mediterranean climates (<xref ref-type="bibr" rid="B47">Cardone et al., 2021</xref>) characterised by hot, dry summers and mild, wet winters. Changes to rainfall patterns and temperature cycles are key potential risk factors (<xref ref-type="bibr" rid="B135">Molina et al., 2005</xref>)</td>
<td align="left">The low genetic diversity due to vegetative propagation increases susceptibility to diseases and environmental stresses (<xref ref-type="bibr" rid="B68">El Merzougui et al., 2024</xref>). The species is susceptible to corm rot (caused by fungi like <italic>Fusarium</italic> spp.), rodents, and insects (<xref ref-type="bibr" rid="B239">Zhang et al., 2022</xref>). Altered climatic conditions can render traditional saffron-growing areas unsuitable, leading to habitat loss</td>
<td align="left">Increased temperatures, altered precipitation patterns, and extreme weather events can inhibits affect flowering and yield (<xref ref-type="bibr" rid="B135">Molina et al., 2005</xref>). Drought conditions, in particular, are becoming more frequent, natively affecting saffron&#x2019;s growth cycle (<xref ref-type="bibr" rid="B165">Pirasteh-Anosheh et al., 2023</xref>). Long dry spells during the active growing months of the species lead to a decrease in the yield and quality of saffron (<xref ref-type="bibr" rid="B78">Ganaie and Singh, 2019</xref>). Significant decline in saffron production due to climate change, economic conditions, and farming practices, with some reports indicating a 60% reduction in crop area over 2&#xa0;decades (<xref ref-type="bibr" rid="B97">Husaini, 2014</xref>)</td>
<td align="left">There is a rise in demand, but core risks are based on climatic changes. Dominated by Iran, saffron production has seen significant changes from 2015 to 2023 (<xref ref-type="bibr" rid="B202">SunLand Saffron, 2024</xref>). Before 2023, in the Khorasan Razavi (Iran) the annual production of dry species was 350&#x2013;370 tons, but the 2023 harvest was just 140 tons. Saffron productivity in India had declined from an average of 3.13&#xa0;kg/ha to 2.61&#xa0;kg/ha over the years before 2015 (<xref ref-type="bibr" rid="B134">Mir and Aasifa, 2023</xref>). In 2016-17, saffron production was about 2.80&#xa0;kg/ha of dry spice per year, but in 2017&#x2013;18 the average was just 0.973 yield/ha. Production plantation has declined from about 5707 ha to 3,715&#xa0;ha in 2009&#x2013;10 (<xref ref-type="bibr" rid="B78">Ganaie and Singh, 2019</xref>). In Castilla-La Mancha, Spain there is also a trend towards a decrease in dry raw material volumes from 7&#x2013;9&#xa0;kg/ha before 2022 and currently 3.5&#xa0;kg/ha (<xref ref-type="bibr" rid="B178">Sam, 2024</xref>). In regions like Iran, Spain, and India, agricultural land is being converted for urban development, reducing the area available for saffron cultivation</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Assessment: The dynamics of saffron production from 2015 to 2024 highlight the complex interplay of environmental, economic, and social factors impacting this high-value crop. While Iran managed to increase its production despite challenges, Kashmir saw a notable decline due to a combination of climate change, pollution, and economic difficulties. The most key and destructive factor affecting the sustainable cultivation of <italic>C. sativus</italic> is the climate, due to which there are shifts in the timing of planting/harvesting stigmas and, as a consequence, a decrease in the volume of saffron production.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T5" position="float">
<label>TABLE 5</label>
<caption>
<p>
<italic>Panax quinquefolius</italic> L. as a case study of vulnerable species in North America; for the three levels of concern, see <xref ref-type="table" rid="T1">Table 1</xref>.</p>
</caption>
<table>
<tbody valign="top">
<tr>
<td align="left">Species name</td>
<td colspan="3" align="left">
<italic>Panax quinquefolius</italic> L., Araliaceae, American ginseng</td>
</tr>
<tr>
<td align="left">Botanical drug used</td>
<td colspan="3" align="left">Root</td>
</tr>
<tr>
<td align="left">Use in medicine</td>
<td colspan="3" align="left">Adaptogen, uses as anti-inflammatory, antioxidant, antiviral, an alleged &#x201c;anti-cancer&#x201d; agent, among others</td>
</tr>
<tr>
<td align="left">Conservation status</td>
<td colspan="3" align="left">G3 Vulnerable (<xref ref-type="bibr" rid="B146">NatureServe Explorer, 2023a</xref>); CITES Appendix II, from 1975 (<xref ref-type="bibr" rid="B56">Convention on International Trade in Endangered Species CITES, 2024</xref>)</td>
</tr>
<tr>
<td style="background-color:#33fa0a" align="left">Habitat/habitat loss</td>
<td style="background-color:#FFFF00" align="left">Reproductive success</td>
<td style="background-color:#FF0000" align="left">Climate change</td>
<td style="background-color:#FFFF00" align="left">Bio-economy (use)</td>
</tr>
<tr>
<td rowspan="2" align="left">
<italic>P. quinquefolius</italic> is naturally, found in deciduous woodland in eastern and central Canada and the USA (<xref ref-type="bibr" rid="B129">McGraw et al., 2013</xref>; <xref ref-type="bibr" rid="B82">Government of Canada, 2015</xref>). While distributed over a wider area in woodlands, logging and land development (<italic>cf.</italic> bioeconomy) are primary drivers of habitat loss</td>
<td rowspan="2" align="left">Ginseng plants take several years to reach maturity, which slows recovery from overharvesting (<xref ref-type="bibr" rid="B123">Liu et al., 2021</xref>). Low seed production and high rates of seed predation further limit natural regeneration (<xref ref-type="bibr" rid="B38">Burkhart and Jacobson, 2004a</xref>). Ginseng is susceptible to diseases such as <italic>Alternaria</italic> leaf blight and root rot, which can devastate populations (<xref ref-type="bibr" rid="B149">Neils et al., 2021</xref>)</td>
<td rowspan="2" align="left">This species is sensitive to climate conditions, thriving in cool, temperate forests with well-drained soils. Optimal growing conditions include cool, moist, deciduous forests with temperatures of 10&#xb0;C&#x2013;15&#xb0;C and high humidity (<xref ref-type="bibr" rid="B184">Schmidt et al., 2019</xref>; <xref ref-type="bibr" rid="B218">Van der Voort, 2005</xref>). Changes in temperature and precipitation patterns due to climate change will affect the distribution, reproduction, and health of ginseng populations. Warmer temperatures and changes in precipitation may lead to habitat loss and increased vulnerability to pests and diseases (<xref ref-type="bibr" rid="B199">Souther, 2011</xref>). Regional studies indicate that North-eastern U.S. forests may experience warmer temperatures and changes in precipitation, which could negatively impact on ginseng habitat (<xref ref-type="bibr" rid="B105">Kauffman, 2006a</xref>)</td>
<td align="left">There is a high demand for wild ginseng, which is considered more medicinal than cultivated ginseng especially in China (<xref ref-type="bibr" rid="B215">USDA. China, 2022</xref>). The conversion of forest lands to agricultural lands disrupts their ecology and the habitat necessary for ginseng</td>
</tr>
<tr>
<td align="left">From January to November 2022, China imported 3 332.25 tons of American ginseng, a 90.56% increase compared to the same period in 2021, with an import value of USD 63.05 million, up 21.49% year-on-year (<xref ref-type="bibr" rid="B25">Baych, 2022</xref>). The majority of these imports come from Canada, which in 2021 accounted for 88.59% of the total import volume and 74.42% of the total import value (<xref ref-type="bibr" rid="B25">Baych, 2022</xref>). Poaching, driven by high market prices, exacerbates population declines and hinders conservation efforts. In particular, aaccording to report (<xref ref-type="bibr" rid="B123">Liu et al., 2021</xref>) the USA at 1970&#x2013;1979 had harvested 12000,00 dry kg of ginseng while in 2010&#x2013;2019 the procurement of plants amounted to only 254,100 dry kg</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Assessment: American ginseng is a species of significant economic and cultural value, yet it faces numerous threats from overexploitation and habitat loss. The most vulnerable and dependent species are those affected by climate change. Sustainable management practices and conservation efforts are essential to ensure its survival for future generations.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T6" position="float">
<label>TABLE 6</label>
<caption>
<p>
<italic>Pilocarpus microphyllus</italic> Stapf ex Wardlew. as a case study for vulnerable species in South America; for the three levels of concern, see <xref ref-type="table" rid="T1">Table 1</xref>.</p>
</caption>
<table>
<tbody valign="top">
<tr>
<td align="left">Species name</td>
<td colspan="3" align="left">
<italic>Pilocarpus microphyllus</italic> Stapf ex Wardlew., Rutaceae, Jaborandi</td>
</tr>
<tr>
<td align="left">Botanical drug used</td>
<td colspan="3" align="left">Leaves</td>
</tr>
<tr>
<td align="left">Uses in medicine</td>
<td colspan="3" align="left">It is a source of pilocarpine used in glaucoma treatment</td>
</tr>
<tr>
<td align="left">Conservation status</td>
<td colspan="3" align="left">Vulnerable A2cd</td>
</tr>
<tr>
<td style="background-color:#33fa0a" align="left">Habitat/habitat loss</td>
<td style="background-color:#33fa0a" align="left">Reproductive success</td>
<td style="background-color:#FF0000" align="left">Climate change</td>
<td style="background-color:#FFFF00" align="left">Bio-economy (uses)</td>
</tr>
<tr>
<td align="left">
<italic>P. microphyllus</italic> is widely distributed in the northern region of Brazil (<xref ref-type="bibr" rid="B161">Pinheiro, 1997</xref>) in open forest habitats (understory) in areas with higher light intensity, less dense forests, and frequently on rocky outcrops of Pre-Amazonian forest (<xref ref-type="bibr" rid="B194">Skorupa, 2000</xref>). The main threat to this species&#x2019; habitat is anthropogenic activity such as Amazon deforestation for agriculture and mining</td>
<td align="left">The reduction in areas of suitable climatic conditions affects the food resources available to pollinators (<xref ref-type="bibr" rid="B74">Freimuth et al., 2022</xref>), threatening sexual reproduction and genetic variability of plants (<xref ref-type="bibr" rid="B161">Pinheiro, 1997</xref>). Chronic leaf harvesting potentially affects plant energy investment, survival, and long-term reproductive success. Techniques for cultivating this species remain incomplete and have not produced maximum productivity due to the few and fragmented studies conducted so far, focused mainly on pilocarpine variation (<xref ref-type="bibr" rid="B5">Abreu et al., 2007</xref>; <xref ref-type="bibr" rid="B182">Sawaya et al., 2011</xref>), <italic>in vitro</italic> cell culture (<xref ref-type="bibr" rid="B61">De Abreu et al., 2005</xref>), micropropagation (<xref ref-type="bibr" rid="B177">Sab&#xe1; et al., 2002</xref>), propagation of seeds (<xref ref-type="bibr" rid="B16">Anaise Costa et al., 1970</xref>) and nutrients/pilocarpine relationships (<xref ref-type="bibr" rid="B23">Avancini et al., 2003</xref>)</td>
<td align="left">Few studies have examined how climatic conditions can affect the growth, reproduction, and natural distribution (<xref ref-type="bibr" rid="B137">Monteiro et al., 2023</xref>). The expected climate changes (high atmospheric concentrations of CO<sub>2</sub>, high temperature, and water deficit) would negatively impact on the ecophysiology of the jaborandi, posing a threat of extinction for this species (<xref ref-type="bibr" rid="B13">Amaral et al., 2022</xref>)</td>
<td align="left">Jaborandi&#x2019;s productivity is around 1.8&#xa0;t/ha/harvest. Considering between 5 and 8 annual harvests, this is between 9-15&#xa0;t/year (<xref ref-type="bibr" rid="B161">Pinheiro, 1997</xref>). In 2010-2012, Brazil exported pilocarpine with an average trading volume of approximately 2,400&#xa0;kg/year and an average yearly value of USD 6.4 million. During this period, the average price was USD 2600/kg (<xref ref-type="bibr" rid="B55">CNI, 2014</xref>)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Assessment: Jaborandi is important socioeconomically for many communities in northern and north-eastern Brazil. Public conservation and sustainable management policies must be undertaken soon to offset the effects of global climate change.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T7" position="float">
<label>TABLE 7</label>
<caption>
<p>
<italic>Rhodiola rosea</italic> L. as a case study for vulnerable species in Asia, Europe and the entire holarctic; for the three levels of concern, see <xref ref-type="table" rid="T1">Table 1</xref>.</p>
</caption>
<table>
<tbody valign="top">
<tr>
<td align="left">Species name</td>
<td colspan="3" align="left">
<italic>Rhodiola rosea</italic> L., Crassulaceae. Arctic root, golden root, rose root</td>
</tr>
<tr>
<td align="left">Botanical drug used</td>
<td colspan="3" align="left">Root</td>
</tr>
<tr>
<td align="left">Use in medicine</td>
<td colspan="3" align="left">Adaptogen, cancer prevention, anti-ageing, anti-inflammatory, anti-stress, antioxidant, and antiviral</td>
</tr>
<tr>
<td align="left">Conservation status</td>
<td colspan="3" align="left">Appendix II, 2022 (<xref ref-type="bibr" rid="B56">Convention on International Trade in Endangered Species CITES, 2024</xref>); Global G5 Secure status (<xref ref-type="bibr" rid="B147">NatureServe Explorer, 2023b</xref>)<break/>The IUCN Red List of Threatened Species: Least Concern, 2014</td>
</tr>
<tr style="background-color:#FF0000">
<td style="background-color:#33fa0a" align="left">Habitat/habitat loss</td>
<td style="background-color:#FF0000" align="left">Reproductive success</td>
<td style="background-color:#FF0000" align="left">Climate change</td>
<td style="background-color:#FF0000" align="left">Bio-economy (use)</td>
</tr>
<tr>
<td rowspan="2" align="left">In principle, this is a very widely distributed species in both North America and Eurasia (<xref ref-type="bibr" rid="B87">Gy&#xf6;rgy et al., 2018</xref>) <italic>R. rosea</italic> typically grows in cold regions such as the Arctic and mountainous regions of Europe and Asia (<xref ref-type="bibr" rid="B117">Kubentayev et al., 2021</xref>; <xref ref-type="bibr" rid="B166">Prokopyev et al., 2021</xref>; <xref ref-type="bibr" rid="B195">Small and Catling, 1999</xref>). Its preferred habitats are cool, moist, and well-drained environments (<xref ref-type="bibr" rid="B210">Terletskaya et al., 2023</xref>). Changes in vegetation composition due to climate change and human activity can alter the ecological balance, making habitats less suitable for <italic>R. rosea</italic> (<xref ref-type="bibr" rid="B235">You et al., 2018a</xref>). Increased competition from other species and the introduction of invasive species also pose threats</td>
<td align="left">
<italic>R. rosea</italic> is a slow-growing plant with specific ecological requirements, making it less competitive compared to weedier species (<xref ref-type="bibr" rid="B210">Terletskaya et al., 2023</xref>). Its reproductive success is closely tied to environmental stability, and it does not readily invade disturbed areas</td>
<td rowspan="2" align="left">Changing temperature and precipitation patterns pose a threat to the species by altering environmental conditions, potentially reducing suitable habitat. Projected data for the Altai Mountains (<xref ref-type="bibr" rid="B166">Prokopyev et al., 2021</xref>) and Tibetan Plateau (<xref ref-type="bibr" rid="B233">Yang et al., 2023</xref>; <xref ref-type="bibr" rid="B53">CITES, 2023</xref>), namely, increasing temperatures and changing precipitation patterns, point to a potential effect on the distribution and abundance of <italic>R. rosea</italic>. These changes may lead to shifts in its geographic range, potentially reducing its available habitat</td>
<td rowspan="2" align="left">Wild harvest yield: 100&#x2013;500&#xa0;kg of dried root/ha/year. Cultivated yield: 1,000&#x2013;2,000&#xa0;kg of fresh root/ha/year &#x3d; 200&#x2013;400&#xa0;kg of dried root/ha/year (<xref ref-type="bibr" rid="B76">Galambosi et al., 2007</xref>; <xref ref-type="bibr" rid="B75">Galambosi et al., 2006</xref>). Overharvesting, mining activities, and agricultural expansion are significant threats to the natural habitats of <italic>R. rosea</italic>. These activities lead to habitat degradation and fragmentation, reducing the species&#x2019; viable living areas. Changes in vegetation composition due to climate change and human activity can alter the ecological balance, making habitats less suitable for <italic>R. rosea</italic>. Increased competition from other species and the introduction of invasive species also pose threats</td>
</tr>
<tr>
<td align="left">Limited genetic diversity in certain populations, due to overharvesting and habitat fragmentation, increases the species&#x2019; vulnerability to environmental changes and diseases</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Assessment: Overharvesting poses a significant threat to wild populations, necessitating sustainable practices and regulations. Climate change has a significant effect on the species&#x2019; reproductive capacity, leading to a reduction in its populations in natural conditions. Certification programs like FairWild (<xref ref-type="bibr" rid="B18">ARRGO, 2021</xref>; <xref ref-type="bibr" rid="B71">FairWild Foundation, 2023</xref>) promote responsible harvesting to balance market demand with conservation efforts. Ensuring sustainable harvesting is crucial for the long-term preservation of <italic>R. rosea</italic>.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<table-wrap id="T8" position="float">
<label>TABLE 8</label>
<caption>
<p>
<italic>Warburgia salutaris</italic> (G.Bertol.) Chiov., as a case study for vulnerable species in southern Africa; for the three levels of concern, see <xref ref-type="table" rid="T1">Table 1</xref>.</p>
</caption>
<table>
<tbody valign="top">
<tr>
<td align="left">Species name</td>
<td colspan="3" align="left">
<italic>Warburgia salutaris</italic> (G.Bertol.) Chiov., Cannellaceae; pepper-bark tree</td>
</tr>
<tr>
<td align="left">Botanical drug use</td>
<td colspan="3" align="left">Bark, to a lesser extent leaves and root bark</td>
</tr>
<tr>
<td align="left">Use in medicine</td>
<td colspan="3" align="left">Respiratory tract infections, gastrointestinal ailments, inflammation, pain and skin conditions</td>
</tr>
<tr>
<td align="left">Conservation status</td>
<td colspan="3" align="left">Vulnerable C2a(i), from 2022</td>
</tr>
<tr style="background-color:#FF0000">
<td align="left">Habitat</td>
<td align="left">Reproductive success</td>
<td align="left">Climate change</td>
<td align="left">Bio-economy (use)</td>
</tr>
<tr>
<td rowspan="2" align="left">The species occurs in South Africa, Eswatini (previously Swaziland), Lesotho, Zimbabwe (Mutema Highlands) and Mozambique (Maputo Province) (<xref ref-type="bibr" rid="B89">Harvey-Brown et al., 2022</xref>). The tree grows in montane forests and evergreen forests along the coast (<xref ref-type="bibr" rid="B127">Maroyi, 2013</xref>) as well as bushveld areas (<xref ref-type="bibr" rid="B189">Senkoro et al., 2019</xref>)</td>
<td align="left">Propagation from seed is difficult with extensive parasitism noted in seeds and difficulty with storage (<xref ref-type="bibr" rid="B205">Symmonds and Crouch, 2000</xref>; <xref ref-type="bibr" rid="B33">Botha et al., 2004</xref>). Most populations have been shown to reproduce clonally (<xref ref-type="bibr" rid="B33">Botha et al., 2004</xref>). Shoot-tip cuttings are used in cultivation (<xref ref-type="bibr" rid="B205">Symmonds and Crouch, 2000</xref>) and a tissue culture technique is available (<xref ref-type="bibr" rid="B115">Kowalski and van Staden, 2001</xref>)</td>
<td rowspan="2" align="left">Climatic model predictions suggest that the distribution of <italic>W. salutaris</italic> is not likely to decline because of factors related to climate change (<xref ref-type="bibr" rid="B188">Senkoro et al., 2024</xref>). However, this study did not account for the effect of climate change on species interacting with <italic>W. salutaris</italic>, including humans, pollinators, and parasites</td>
<td rowspan="2" align="left">Cunningham (<xref ref-type="bibr" rid="B57">Cunningham, 1988</xref>) estimated that 315 bags of bark were traded between 54 herb traders annually in KwaZulu-Natal in 1988. In 1998, Mander (<xref ref-type="bibr" rid="B125">Mander, 1998</xref>) estimated annual trade volumes of 17.2 tonnes of <italic>W. salutaris</italic> bark in the same province. The pressure on the species has been exacerbated by habitat degradation and transformation (<xref ref-type="bibr" rid="B222">Veeman et al., 2014</xref>; <xref ref-type="bibr" rid="B58">Cunningham, 1993</xref>). Many medicinal plant harvesters in South Africa travel from outside the harvesting areas, collecting plant material in bulk to supply urban traders. In 2020, <xref ref-type="bibr" rid="B190">Senkoro et al. (2020)</xref> reported that 43% of <italic>W. salutaris</italic> bark in the major market in Johannesburg (South Africa) was sourced from Mozambique, with annual amounts traded of 500&#x2013;1,000&#xa0;kg</td>
</tr>
<tr>
<td align="left">Overharvesting can damage the tree, reducing its lifespan</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn>
<p>Assessment: <italic>W</italic>. <italic>salutaris</italic> is threatened by overharvesting and habitat loss. It is readily cultivated, but current levels of cultivation are insufficient to meet demand. With the time taken for trees to grow large enough to be harvested, it is essential to carefully manage wild populations.</p>
</fn>
</table-wrap-foot>
</table-wrap>
<sec id="s2-1">
<title>2.1 Case study 1: <italic>Aquilaria malaccensis</italic> Lam</title>
<p>
<italic>A</italic>. <italic>malaccensis</italic> is widely distributed in Bangladesh, Bhutan, India, Indonesia, Malaysia, Myanmar, Nepal, Philippines, Singapore, and Thailand (<xref ref-type="bibr" rid="B154">Oldfield et al., 1998</xref>). It is now listed as critically endangered by the IUCN in all those countries (<xref ref-type="bibr" rid="B101">IUCN, 2024</xref>). <italic>A. malaccensis</italic> produces a highly valuable fragrant resin that impregnates the heartwood (agarwood) in response to fungal and other microbial infections (<xref ref-type="bibr" rid="B51">Chhipa and Kaushik, 2017</xref>).</p>
<p>The wood has been traded globally for centuries and is deeply rooted in some religions&#x2019; spiritual culture. Beyond its cultural and religious uses, it is also traditionally used for health problems, such as skin problems, thyroid problems, and joint pain (<xref ref-type="bibr" rid="B85">Grosvenor et al., 1995</xref>). The versatile uses of agarwood have led to a global increase in demand, endangering the natural populations of <italic>A. malaccensis</italic>. Overharvesting and unsustainable harvesting techniques are the main problems causing the decline of wild populations. In the past, collectors harvested agarwood from the forest by cutting dozens of <italic>Aquilaria</italic> trees because they could not accurately identify which trees contained resin and were ready to be harvested (<xref ref-type="bibr" rid="B99">Irnayuli et al., 2011</xref>).</p>
<p>Regarding production, Indonesia, Malaysia, and Thailand are the largest exporting countries in South Asia. From 2000 to 2023, these countries exported 2.448,5, 2.158,5, and 1.827,6 metric tons of agarwood chips, respectively. In the case of Indonesia and Malaysia, practically all material is collected from the wild (99,6%). Thailand and Malaysia are the biggest exporters of essential oil products, with around 4,2 and 1.5 metric tons from 2000 to 2023. On the other hand, around 57% of Thailand&#x2019;s oil production comes from plantation agarwood of three species, whereas only 19% is produced in Malaysia (<xref ref-type="bibr" rid="B212">Thompson et al., 2022</xref>).</p>
<p>It is estimated that more than 60 million trees have been planted (<xref ref-type="bibr" rid="B101">IUCN, 2024</xref>) and resin induction techniques have been developed to meet high market demand and maintain the sustainability of wild plant habitats (<xref ref-type="bibr" rid="B212">Thompson et al., 2022</xref>). In contrast, the trees are found in low densities (up to 2/ha) in the wild, and only a small percentage of all non-cultivated trees&#x2013;between 1% and 10% &#x2013; produce agarwood with valuable resin (<xref ref-type="bibr" rid="B212">Thompson et al., 2022</xref>). Artificial methods for inducing infection have been developed to produce the resin using highly virulent fungi like <italic>Fusarium</italic> spp. This method has successfully increased the relative share in exports of products from cultivation compared to wild-harvested products (<xref ref-type="bibr" rid="B212">Thompson et al., 2022</xref>). However, the increase in the ratio does not necessarily prevent a decline in wild populations. Illegal harvesting still occurs in almost all producing countries because the agarwood harvested from wild <italic>Aquilaria</italic> is generally considered higher quality than cultivated <italic>Aquilaria</italic> (<xref ref-type="bibr" rid="B104">Kanazawa, 2017</xref>; <xref ref-type="bibr" rid="B206">Tamuli et al., 2005</xref>).</p>
<p>Another strategy to address overexploitation is logging restrictions and prohibitions for the species. Wild <italic>Aquilaria</italic> logging is illegal in several countries, with only Indonesia and Malaysia still allowing it under quotas and controls. China, Malaysia, Nepal, and Indonesia use assisted natural regeneration to rebuild wild populations. Only oil and live plants are subject to export licenses in India, while raw materials are unavailable (<xref ref-type="bibr" rid="B212">Thompson et al., 2022</xref>).</p>
<p>Although the survival and habitat of <italic>A. malaccensis</italic> seem to be impacted by climate change, it depends mainly on annual average rainfall, soil pH, and yearly average temperature. Changes in temperature, rainfall, and precipitation associated with climate change will affect the survival of this species. Tropical plants are predicted to face the most significant risk from climate warming as they experience temperatures closer to their upper germination limits (<xref ref-type="bibr" rid="B191">Sentinella et al., 2020</xref>). This is supported by evidence that recent droughts in parts of Southeast Asia (e.g., Thailand and Myanmar) have resulted in high agarwood tree mortality in some plantations (<xref ref-type="bibr" rid="B212">Thompson et al., 2022</xref>). Moreover, pests and diseases also threaten the life of this species. In several cultivation sites in India, most plantations face high mortality rates due to dry soil, moist weather, and high temperatures (<xref ref-type="bibr" rid="B27">Bhattacharjee et al., 2024</xref>). Furthermore, sap-suckers, leaf defoliators, and wood borers (insects from the orders Coleoptera and Lepidoptera), and several diseases are known to damage leaves, stems, and roots, especially in young plants (<xref ref-type="bibr" rid="B179">Samsuddin et al., 2019</xref>). Overharvesting and unsustainable harvesting are the main problems with this species&#x2019; availability in nature. Changes in temperature and rainfall correlated with climate change can also change the distribution and population, accelerating the decline of the wild population (<xref ref-type="table" rid="T2">Table 2</xref>).</p>
</sec>
<sec id="s2-2">
<title>2.2 Case study 2: <italic>Boswellia sacra</italic> Fl&#xfc;ck</title>
<p>
<italic>B. sacra</italic> trees and other species produce an aromatic resin known as frankincense, widely used in religious rituals, perfumes, and as an ingredient in traditional medicines. Frankincense has a known medical and religious history dating back nearly 5,000&#xa0;years (<xref ref-type="bibr" rid="B63">DeCarlo et al., 2023</xref>). This resin has been used to treat wounds, skin infections, inflammatory diseases, dementia, and other ailments, in medicine systems including Ayurvedic and TCM. Its widespread use over thousands of years makes it one of the oldest globally traded commodities (<xref ref-type="bibr" rid="B62">DeCarlo et al., 2020</xref>; <xref ref-type="bibr" rid="B107">Khalifa et al., 2023</xref>).</p>
<p>
<italic>B. sacra</italic> is native to the arid regions of Oman, Yemen, Ethiopia, Somalia, and Kenya (<xref ref-type="bibr" rid="B88">Hamdiah et al., 2022</xref>; <xref ref-type="bibr" rid="B69">Eshete et al., 2012</xref>; <xref ref-type="bibr" rid="B63">DeCarlo et al., 2023</xref>). Harsh climatic conditions, including high temperatures and low rainfall, are the characteristics of these areas. Climate change poses an additional threat to this species, as rising temperatures and changes in precipitation patterns may affect its growth and resin production (<xref ref-type="bibr" rid="B141">Mwijuke, 2024</xref>; <xref ref-type="bibr" rid="B62">DeCarlo et al., 2020</xref>; <xref ref-type="bibr" rid="B69">Eshete et al., 2012</xref>; <xref ref-type="bibr" rid="B80">Gonzalez, 2020</xref>). Climate models predict increased temperatures and decreased precipitation in the growing regions of <italic>B. sacra</italic> and <italic>Boswellia papyrifera</italic> (<xref ref-type="bibr" rid="B171">Rajpoot et al., 2020</xref>; <xref ref-type="bibr" rid="B79">Gidey et al., 2020</xref>). This may lead to habitat loss and reduced species viability. Other factors influencing the decline of tree populations include fires, animal grasing, changes in land use, insect attacks, and improper harvesting (<xref ref-type="bibr" rid="B62">DeCarlo et al., 2020</xref>). In Ethiopia, the world&#x2019;s largest exporter of frankincense, the <italic>Boswellia</italic> tree is predicted to become almost extinct within the next 3&#xa0;decades (<xref ref-type="bibr" rid="B103">Johnson et al., 2022</xref>; <xref ref-type="bibr" rid="B62">DeCarlo et al., 2020</xref>).</p>
<p>Trade in frankincense has increased significantly in recent decades due to high demand in global markets. However, this increased demand has led to overexploitation, threatening the sustainability of the species (<xref ref-type="bibr" rid="B80">Gonzalez, 2020</xref>). In impoverished regions of Somali, cutting down and collecting is a primary and crucial source of income for the deprived populated areas (<xref ref-type="bibr" rid="B62">DeCarlo et al., 2020</xref>). The problem is aggravated by the fact that <italic>Boswellia</italic> trees have a limited growing range at high altitudes with specific climates and growing conditions in the arid regions of the Middle East (<xref ref-type="bibr" rid="B80">Gonzalez, 2020</xref>). These factors make the survival of frankincense even more difficult.</p>
<p>
<italic>B. sacra</italic> produces a significant number of seeds, but the viability of these seeds varies greatly depending on the health of the parent trees and environmental stressors, and germination rates under natural conditions are very low, typically between 1% and 10% (<xref ref-type="bibr" rid="B88">Hamdiah et al., 2022</xref>; <xref ref-type="bibr" rid="B10">Al-Harrasi et al., 2019</xref>). This low rate is attributed to various factors, including issues with genetic diversity, environmental conditions, and seed viability. Attempts to improve germination rates have been made using a variety of methods. For example, seed sorting by flotation can help remove non-viable seeds, and specific growing conditions such as optimal moisture, temperature, and light are critical to improving germination success. Some studies have shown that controlled pollination and selective breeding can achieve higher germination rates, sometimes reaching 40%&#x2013;60% under ideal conditions, but more research is needed. DeCarlo and co-authors (<xref ref-type="bibr" rid="B62">DeCarlo et al., 2020</xref>) highlights the discrepancy between production and trade volumes. This indicates that current harvesting practices are unsustainable, and that overharvesting reduces resin quality and quantity. <italic>B. sacra</italic> and related species face multiple threats from overexploitation, climate change, habitat loss, and biotic determinants. It is crucial to implement sustainable harvesting practices, protect its habitat, and involve local communities in conservation efforts (<xref ref-type="table" rid="T3">Table 3</xref>).</p>
</sec>
<sec id="s2-3">
<title>2.3 Case study 3: <italic>Crocus sativus</italic> L.</title>
<p>Saffron is known for its high price and complex technological process of growing and processing. <italic>C. sativus</italic>, from which saffron is obtained, depends on human propagation (<xref ref-type="bibr" rid="B68">El Merzougui et al., 2024</xref>; <xref ref-type="bibr" rid="B43">Busconi et al., 2018</xref>). According to some sources, its wild forms were found only on the islands of Crete and Santorini in 2,000&#x2013;1,800 BC, that is, 3,800&#x2013;4,000&#xa0;years ago (<xref ref-type="bibr" rid="B150">Nemati et al., 2019</xref>). Since then, the species has propagated vegetatively only with human participation (<xref ref-type="bibr" rid="B43">Busconi et al., 2018</xref>). Traditionally, <italic>C. sativus</italic> is grown in large quantities in Iran, India, Morocco, the United States, Spain, and Greece. However, <italic>Crocus</italic> is also cultivated in other European countries, although in smaller volumes (<xref ref-type="bibr" rid="B114">Kothari et al., 2021</xref>; <xref ref-type="bibr" rid="B131">Mehmeti et al., 2024</xref>).</p>
<p>Saffron is considered one of the most ancient products in the world&#x2013;it is mentioned in Egyptian papyri, the works of Homer and Hippocrates, and even in the Bible, along with olives and figs (<xref ref-type="bibr" rid="B94">Hofmann and Ratsch, 2005</xref>). It is the most expensive spice in the world; its price can range, depending on quality, from USD 5 to 11,000 per 1&#xa0;kg (<xref ref-type="bibr" rid="B131">Mehmeti et al., 2024</xref>). Saffron has a variety of uses, from cooking (<xref ref-type="bibr" rid="B44">Butnariu et al., 2022</xref>) to traditional medicine, for its anti-cancer (<xref ref-type="bibr" rid="B26">Bhandari, 2015</xref>) and neuroprotective properties (<xref ref-type="bibr" rid="B28">Bian et al., 2020</xref>; <xref ref-type="bibr" rid="B241">Abdian et al., 2024</xref>). Saffron is described in several World Pharmacopoeias (<xref ref-type="bibr" rid="B144">Mykhailenko et al., 2022</xref>; <xref ref-type="bibr" rid="B142">Mykhailenko et al., 2020a</xref>), but it remains a poorly recognised and appreciated medicinal plant in mainstream medicine. Demand for the spice is steadily growing, while recently, there has been a significant decrease in harvest volumes due to geographical and climatic conditions (<xref ref-type="bibr" rid="B165">Pirasteh-Anosheh et al., 2023</xref>; <xref ref-type="bibr" rid="B172">Razmavaran et al., 2024</xref>). Farmers have repeatedly experienced significant climate impacts on shifting planting and harvest dates, as well as reducing harvest volumes and the quality of plant materials (<xref ref-type="bibr" rid="B178">Sam, 2024</xref>).</p>
<p>The annual global production of saffron is estimated to be around 300 tons, with the main producers being Iran (90%&#x2013;93% of global production), India, Greece, Morocco, and Spain (<xref ref-type="bibr" rid="B43">Busconi et al., 2018</xref>; <xref ref-type="bibr" rid="B73">Fern&#xe1;ndez et al., 2011</xref>). During 2023&#x2013;2024, Iran saw a sharp decline in saffron production linked to several causes: climate change (average temperature increase of almost 2.8&#xb0;C in October and November 2022 compared to 2021), poor agricultural practices, lack of rainfall (down 52% in the last winter of 2023 and during flowering), drought in certain areas (like Gonabad, Mah-Velat and Khaf), unusually cold winters and warm weather during saffron flowering (<xref ref-type="bibr" rid="B202">SunLand Saffron, 2024</xref>). In most regions, saffron production in Iran has decreased by more than 60% in the last 50&#xa0;years. According to the Khorasan Razavi Agricultural Organization, Iranian farms have produced an average of 350&#x2013;370 tons of saffron in recent years, while only 140 tons of saffron were produced in 2023 (<xref ref-type="bibr" rid="B202">SunLand Saffron, 2024</xref>).</p>
<p>Similar changes have occurred in Kashmir (India), the second-largest saffron-producing region and a traditional growing area since the 5th century BC (<xref ref-type="bibr" rid="B65">Desk, 2024</xref>; <xref ref-type="bibr" rid="B37">Bukhari, 2020</xref>; <xref ref-type="bibr" rid="B181">Saraf et al., 2018</xref>). Due to distinct climate changes, drought conditions in the region have meant that saffron yields have halved over the past 2&#xa0;decades. There has been a decline in production in Kashmir since 1999 due to decreased rainfall, delayed flowering, and impact on crop yields (<xref ref-type="bibr" rid="B97">Husaini, 2014</xref>); productivity reduced in 1999&#x2013;2003 from 3.12 to 1.57&#xa0;kg/ha. In a report on the harvest in November 2023, Indian media outlet News18 reported that the region now produces an average of 2.34 tons of saffron per year, or less than a quarter of its production over 6&#xa0;years ago. In February 2024, Agriculture and Farmers Welfare Minister Arjun Munda said that saffron production in Kashmir decreased by 67.5% between 2010 and 2023, but from 2022&#x2013;2023, saffron production increased marginally by 4% (<xref ref-type="bibr" rid="B2">Aamir, 2024</xref>). In 1930, Spain was the world&#x2019;s largest saffron producer, harvesting 120 tons of saffron grown on 13,000&#xa0;ha of land annually (<xref ref-type="bibr" rid="B203">SunLand Saffron and Herbs, 2022</xref>). By the 1970s, annual production had dropped to 70 tons. Today, about 140 ha, the vast majority of them in Castilla-La Mancha, are devoted to <italic>C. sativus</italic>. Total production for 2022 was approximately 450&#xa0;kg. Today, Iran produces between 200 and 250 tons of saffron per year, and Greece produces about 2.5 tons (<xref ref-type="bibr" rid="B178">Sam, 2024</xref>).</p>
<p>Currently, there is no stable production of saffron in European countries since the corm is susceptible to fungi and very sensitive to temperature changes. In recent years, 200 producers whose saffron origin status is protected have seen their crops affected by the climate emergency. Saffron cultivation is highly dependent on specific climatic conditions. Unpredictable weather patterns, such as temperature fluctuations and irregular rainfall, can impact on saffron yields, posing a challenge for consistent production (<xref ref-type="table" rid="T4">Table 4</xref>).</p>
</sec>
<sec id="s2-4">
<title>2.4 Case study 4: <italic>Panax quinquefolius</italic> L.</title>
<p>Ginseng root in commerce is obtained from diverse species of <italic>Panax</italic> (Araliaceae), including <italic>P. ginseng</italic> C.A.Mey. (Korean or Chinese ginseng). <italic>P. quinquefolius</italic> as well as <italic>Eleutherococcus senticosus</italic> (Rupr. &#x26; Maxim.) Maxim. (Siberian ginseng, Araliaceae). In terms of sustainability, there is a similarity in its use and pharmacological profile to the Asian species of <italic>Panax</italic>. American ginseng and Asian ginseng may increase energy levels, lower blood sugar and cholesterol levels, relieve stress, promote relaxation, treat diabetes, and control sexual dysfunction in men (<xref ref-type="bibr" rid="B34">Brinckmann and Huang, 2018</xref>).</p>
<p>Despite the widespread and stable cultivation of <italic>P. quinquefolius</italic> in Canada (60%), the United States (30%), and China (7%) (<xref ref-type="bibr" rid="B192">Shen et al., 2019</xref>; <xref ref-type="bibr" rid="B231">Xiao, 2000</xref>), interest in American ginseng wild-harvested raw materials from North America (United States: Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont, and Missouri) and Canada still exists. Vandalism and illegal harvesting of raw materials in forests continue despite the existing status of the species as being endangered nationally [Vulnerable (G3)] and laws for its protection and conservation, especially in Ontario and Quebec (<xref ref-type="bibr" rid="B82">Government of Canada, 2015</xref>). American ginseng is now considered an endangered species in 16 United States states, and in another 10 states of the United States, <italic>P. quinquefolius</italic> is listed on Appendix II of CITES (<xref ref-type="bibr" rid="B56">Convention on International Trade in Endangered Species CITES, 2024</xref>), which restricts trade in whole roots and root slices.</p>
<p>The uncontrolled digging of wild roots for export is due to the high price of raw materials on the black market based on its popularity in traditional Chinese medicine (<xref ref-type="bibr" rid="B228">White, 2000</xref>). Another threat is the logging of mesic hardwood forests since the species requires rich soil in a moist, generally shaded setting. Ginseng is physiologically adapted to low light levels and can experience early leaf senescence or depressed growth with moderate-high light levels (<xref ref-type="bibr" rid="B216">USFWS, 2005</xref>), which can be an issue with increased forest fragmentation.</p>
<p>Sales of wild and cultivated ginseng exceed USD 25 million each year in North America, with wild ginseng seen as the more desirable type. Data from the U.S. Fish and Wildlife Service indicate that thousands of pounds of wild ginseng roots are exported annually. For instance, in 2019, over 80,000 pounds of wild ginseng were exported from the United States. Since the process of plant cultivation faces various problems, the increased interest in wild forms of the species is due to environmental changes that reduce the cultivation area and the quality of the product itself. Therefore, for the introduction and cultivation of plants, it is necessary to identify the maximum similarity of the new ecological distribution of <italic>P. quinquefolius</italic> and predict its response to future climate change. Various simulations of American ginseng responding to a 1&#xb0;C increase in maximum growing season temperature over the next 70 years showed that the risk of local extinction for average population size (<italic>n</italic> &#x3d; 140) was 65%, which far exceeds the additive effect of the two factors (risk of extinction &#x3d; 8 and 6% for deforestation and climate change respectively) (<xref ref-type="bibr" rid="B201">Souther and McGraw, 2014</xref>). Among the main external factors of plant mortality are the effects of warming and illegal harvesting, leading to the loss of natural habitat, such as deforestation (<xref ref-type="bibr" rid="B199">Souther, 2011</xref>; <xref ref-type="bibr" rid="B201">Souther and McGraw, 2014</xref>; <xref ref-type="bibr" rid="B200">Souther et al., 2012</xref>). Internal reasons for decreased yields of American ginseng include slower plant growth, reduced fertility, and disease susceptibility.</p>
<p>Additionally, factors affecting plant populations also include predatory wild animals eating young plants, which affects the growth and survival of ginseng, as well as the influence of invasive species competing for habitat (<xref ref-type="bibr" rid="B129">McGraw et al., 2013</xref>). However, the key and most dangerous influence is human activity (<xref ref-type="bibr" rid="B49">Case et al., 2007</xref>), which, on the one hand, leads to unsustainable harvesting methods or urbanisation of the territory, which leads to habitat destruction, and on the other hand, indirectly affects the intensity of climate change and its impact on a species. Changes in temperature and precipitation patterns due to climate change could affect the distribution and health of ginseng populations (<xref ref-type="bibr" rid="B46">Canada. Environment and Climate Change Canada, 2018</xref>). Increasing temperatures and changes in precipitation lead to habitat loss and increased vulnerability to pests and diseases. Regional studies indicate that North-eastern U.S. forests may face increased temperatures and altered precipitation, potentially stressing ginseng habitats (<xref ref-type="bibr" rid="B129">McGraw et al., 2013</xref>) (<xref ref-type="table" rid="T5">Table 5</xref>).</p>
</sec>
<sec id="s2-5">
<title>2.5 Case study 5: <italic>Pilocarpus microphyllus</italic> Stapf ex Wardlew</title>
<p>
<italic>P. microphyllus</italic> (or jaborandi) is widely distributed in the northern region of Brazil (<xref ref-type="bibr" rid="B182">Sawaya et al., 2011</xref>) and is one of the most important commercial products of the native Brazilian flora. The genus <italic>Pilocarpus</italic> is the only natural and economically viable source of pilocarpine currently known (<xref ref-type="bibr" rid="B61">De Abreu et al., 2005</xref>). Four (of 17) species, including <italic>P. microphyllus</italic> (also <italic>P. alatus, P. carajensis,</italic> and <italic>P. sulcatus)</italic> have been listed as threatened in Brazil due to a lack of sustainable management (<xref ref-type="bibr" rid="B5">Abreu et al., 2007</xref>). Pilocarpine, an important imidazole alkaloid, is extracted from the leaves of jaborandi, and is a sympathomimetic agonist in ophthalmology, where it is used as a miotic, in open-angle glaucoma, and to contract the pupil after the use of atropine (<xref ref-type="bibr" rid="B196">Sneader, 2005</xref>). Pilocarpine is also a powerful stimulant of salivation and perspiration (<xref ref-type="bibr" rid="B36">Budavari, 1989</xref>). In 1994, pilocarpine was approved by the North American Food and Drug Administration (FDA) for the treatment of post-radiation xerostomia (dry mouth) in patients with head and neck cancer (<xref ref-type="bibr" rid="B81">Gornitsky et al., 2004</xref>; <xref ref-type="bibr" rid="B193">Sidhu, 2014</xref>). Scientific studies have reported that the pilocarpine content in jaborandi varies in response to abiotic determinants and seasonally (<xref ref-type="bibr" rid="B23">Avancini et al., 2003</xref>; <xref ref-type="bibr" rid="B137">Monteiro et al., 2023</xref>). Plants of jaborandi in the forest seem to accumulate more pilocarpine in the leaves, with mean values ranging from 400 to 500&#xa0;mg/g (<xref ref-type="bibr" rid="B198">Sousa, 1991</xref>).</p>
<p>The German pharmaceutical company &#x201c;Merck&#x201d; has held a decade&#x2019;s monopoly on the purchase of jaborandi leaves and the production of pilocarpine in Brazil, most importantly in Maranh&#xe3;o, which produces around 95% of all national production (IBGE 1975&#x2013;1998) (<xref ref-type="bibr" rid="B161">Pinheiro, 1997</xref>). These approximately 2,300&#xa0;ha have partially replaced the extraction process of wild populations. The main destinations of pilocarpine for international trade are Germany and the USA, with around 70% and 17% of Brazilian exports, respectively (<xref ref-type="bibr" rid="B55">CNI, 2014</xref>). In Germany, the &#x201c;Boehringer-Ingelheim&#x201d; company has a virtual monopoly on the distribution of pilocarpine (<xref ref-type="bibr" rid="B55">CNI, 2014</xref>). The price paid by pharmaceutical industries prompted the widespread participation of local people in collecting the leaves of bushes growing in the forests. As a consequence of this intense gathering, jaborandi was included in the Brazilian list of endangered species with a status vulnerable A2cd (<xref ref-type="bibr" rid="B161">Pinheiro, 1997</xref>; <xref ref-type="bibr" rid="B162">Pinheiro, 2002</xref>).</p>
<p>This shrub is native but not endemic to northern and northeastern Brazil, occurring more specifically in eastern Par&#xe1;, northwestern Maranh&#xe3;o, and northern Piaui and to some areas in French Guiana and Suriname (<xref ref-type="bibr" rid="B164">Pirani and Groppo, 2014</xref>). This region is characterised by annual precipitation between 2,000&#x2013;2,400&#xa0;mm, while the average annual temperature varies from 23&#xb0;C to 26&#xb0;C (<xref ref-type="bibr" rid="B138">Moreira et al., 2021</xref>), which offers the species the maturation of its fruits and flowers and, subsequently, good growth. The natural habitat is open sunny forest habitats, river basins with sandy soils, and rocky outcrops of pre-Amazonian forests (<xref ref-type="bibr" rid="B194">Skorupa, 2000</xref>). The main threat to this species&#x2019; habitat is anthropogenic activity, such as Amazon deforestation for agriculture and mining. Being a hermaphrodite, cross-pollination is the norm. Unfortunately, no information is available regarding this species&#x2019; reproductive method (<xref ref-type="bibr" rid="B180">Sandhu et al., 2006</xref>). Recent studies indicate that this species has high levels of genetic diversity and an effective population size sufficient to reduce the probability of extinction due to inbreeding depression (<xref ref-type="bibr" rid="B136">Monteiro et al., 2022</xref>).</p>
<p>The investments and technological advances advocated to increase productivity and leaf yields indicate that pilocarpine has long been a profitable business for the pharmaceutical industry, as well as supporting the development of agriculture and other forms of harvesting raw materials among local people (<xref ref-type="bibr" rid="B163">Pinheiro et al., 2006</xref>). The development of technologies that allowed for the cultivation of jaborandi in small regions could serve as a method for reducing pressure on natural populations (<xref ref-type="bibr" rid="B45">Caldeira et al., 2017</xref>). Propagation of these species is usually carried out by producing seedlings from recently collected seeds, allowing germination to reach up to 96% (<xref ref-type="bibr" rid="B3">de Meneses et al., 2007</xref>), with peak fruiting and seed dispersal occurring from May to July under natural conditions (<xref ref-type="bibr" rid="B140">Muniz, 2008</xref>; <xref ref-type="bibr" rid="B176">Rocha et al., 2014</xref>). Conservation programs and management plans have been established for this species in the Caraj&#xe1;s National Reserve (Par&#xe1;, Brazil) (<xref ref-type="bibr" rid="B136">Monteiro et al., 2022</xref>). Sustainable management in natural areas and cultivation are potential avenues for plant conservation. The development of a germplasm bank and rescue accessions are solutions that can be utilised to preserve genetic material for breeding, involving the reintroduction of thousands of plants in areas designated for conservation and sustainable uses. To accomplish this, a series of multidisciplinary studies will be required, including ones on genotype selection, propagation, maximising biomass and pilocarpine production, and identifying nutritional requirements and environmental variables that will boost pilocarpine yield (<xref ref-type="bibr" rid="B45">Caldeira et al., 2017</xref>) (<xref ref-type="table" rid="T6">Table 6</xref>).</p>
</sec>
<sec id="s2-6">
<title>2.6 Case study 6: <italic>Rhodiola rosea</italic> L.</title>
<p>
<italic>R. rosea</italic>, commonly known as rose root, is a perennial species known for its adaptogenic properties for stress and fatigue, which make it popular in traditional medicine and modern supplements, especially in Russia, Scandinavia, and China (<xref ref-type="bibr" rid="B7">Aiken et al., 2007</xref>; <xref ref-type="bibr" rid="B30">Booker et al., 2016</xref>). However, unlike <italic>C. sativus</italic> and <italic>P. quinquefolius</italic>, in addition to the significant exploitation of the species, another problem is climate change, which leads to the migration of plant populations to colder zones of the Alps (<xref ref-type="bibr" rid="B236">You et al., 2018b</xref>). The global market for <italic>R. rosea</italic> is estimated at tens of millions of dollars per year (<xref ref-type="bibr" rid="B1">360ResearchReports, 2022</xref>). The species is collected from wild populations and cultivated sources, but the collection of wild plants predominates due to the perceived higher potency of wild accessions. Overharvesting of wild populations, especially in Russia, Mongolia, and China, has led to significant declines in natural populations. Sustainable harvesting methods are not widely adopted, leading to the risk of local extinction and genetic depletion.</p>
<p>
<italic>R. rosea</italic> usually grows in cold, moist, and well-drained environments such as the Arctic, North America, Canada, and mountainous areas of Europe and Asia (<xref ref-type="bibr" rid="B195">Small and Catling, 1999</xref>; <xref ref-type="bibr" rid="B35">Brown et al., 2002</xref>; <xref ref-type="bibr" rid="B96">Hung et al., 2011</xref>), which are especially vulnerable to temperature shifts caused by climate change. Recent studies have shown that <italic>Rhodiola</italic> is sensitive to changes in temperature and rainfall patterns (<xref ref-type="bibr" rid="B236">You et al., 2018b</xref>). Climate change poses a threat by altering environmental conditions and potentially reducing suitable habitats. In regions such as the Altai Mountains and the Tibetan Plateau, rising temperatures and changing rainfall patterns are expected to affect the distribution and abundance of <italic>R. rosea</italic> (<xref ref-type="bibr" rid="B117">Kubentayev et al., 2021</xref>; <xref ref-type="bibr" rid="B111">Klanderud, 2005</xref>). These changes could alter its geographic range, potentially reducing its available habitat.</p>
<p>Biotic determinants affecting the specie&#x27; abundance include slow growth rates, special habitat requirements, and limited seed dispersal, which contribute to its vulnerability. However, habitat loss due to forced migration is the main threat to the species, caused by both natural and anthropogenic determinants. Over the last decade, the populations have decreased significantly, and the species has the status of &#x201c;endangered&#x201d; and is listed in Appendix II (CITES). In addition, <italic>R. rosea</italic> also has Global G5 Secure status (from 2015) in Canada and the U.S. (<xref ref-type="bibr" rid="B147">NatureServe Explorer, 2023b</xref>). Promoting the cultivation of <italic>R. rosea</italic> as an alternative to wild collection can help meet market demand while conserving wild populations. Research into effective cultivation methods continues and has shown promising results in reducing pressure on natural habitats (<xref ref-type="table" rid="T7">Table 7</xref>).</p>
</sec>
<sec id="s2-7">
<title>2.7 Case study 7: <italic>Warburgia salutaris</italic> (G.Bertol.) Chiov.</title>
<p>
<italic>W. salutaris</italic> (known as pepper-bark tree, referring to the peppery taste of the bark and leaves) is an endangered species highly valued in South African traditional medicine (<xref ref-type="bibr" rid="B229">Williams et al., 2013</xref>; <xref ref-type="bibr" rid="B217">Van den Bosch et al., 2023</xref>). The bark of the tree is used to treat a multitude of ailments, including coughs, fever, colds, headaches, inflammation, bladder infections, abdominal pains, skin irritations, ulcers, and sores (<xref ref-type="bibr" rid="B127">Maroyi, 2013</xref>; <xref ref-type="bibr" rid="B220">Van Wyk and Gericke, 2000</xref>; <xref ref-type="bibr" rid="B221">Van Wyk et al., 2009</xref>). Leaves and root bark are also used but to a much lesser extent. The plant material is traded commercially at traditional medicine &#x201c;<italic>muthi&#x201d;</italic> markets, resulting in unsustainable harvesting of wild populations (<xref ref-type="bibr" rid="B229">Williams et al., 2013</xref>; <xref ref-type="bibr" rid="B42">Burrows et al., 2018</xref>). The leaves and bark both contain drimane sesquiterpenoids (<xref ref-type="bibr" rid="B128">Mashimbye et al., 1999</xref>), such as polygodial and isopolygodial, warburganal, salutarisolide, mukaadial, and muzigadial (<xref ref-type="bibr" rid="B170">Rabe and van Staden, 2000</xref>).</p>
<p>
<italic>W. salutaris</italic> is capable of regenerating vegetatively by suckering, but a loss of sexual reproduction will result in decreased genetic diversity in a population, negatively affecting long-term persistence (<xref ref-type="bibr" rid="B33">Botha et al., 2004</xref>; <xref ref-type="bibr" rid="B102">Johnson et al., 1995</xref>). Clusters of trees studied in KwaZulu-Natal were reported to be generally all clones, with no seedlings found (<xref ref-type="bibr" rid="B185">Scott-Shaw, 2001</xref>). Flowers are bisexual but it is unknown whether this species is self-compatible and able to undergo successful self-pollination (<xref ref-type="bibr" rid="B217">Van den Bosch et al., 2023</xref>). Outcrossing populations should, in principle, have increased genetic diversity and therefore a greater ability to adapt. <italic>W</italic>. <italic>salutaris</italic> is challenging to propagate from seed owing to a paucity of viable seeds owing to high predation levels, insect infestations, and loss of viability during storage of the recalcitrant, desiccation-sensitive seeds (<xref ref-type="bibr" rid="B205">Symmonds and Crouch, 2000</xref>). High phenolic content has impeded tissue culture, but an <italic>in vitro</italic> technique is available (<xref ref-type="bibr" rid="B115">Kowalski and van Staden, 2001</xref>). Shoot-tip cuttings have proven successful in cultivation projects (<xref ref-type="bibr" rid="B205">Symmonds and Crouch, 2000</xref>).</p>
<p>The population size of <italic>W. salutaris</italic> has been approximated at between 4,638 and 4,566 plants, with the largest recorded subpopulation within the South African range consisting of 952 plants (<xref ref-type="bibr" rid="B89">Harvey-Brown et al., 2022</xref>). There are potentially larger subpopulations as yet unrecorded, but these are not likely to have more than 5,000 mature individuals. Conservation of <italic>W. salutaris</italic> was initiated by the company HL&#x26;H (now known as Mondi Forests), with the establishment of a living gene bank of about 1,000 trees (<xref ref-type="bibr" rid="B219">Van Wyk, 2011</xref>). A significant number of trees was propagated by this organisation for distribution in 1996 when <italic>W. salutaris</italic> was selected as &#x201c;Tree of the Year&#x201d; in South Africa. In the Kruger National Park, thousands of cultivated saplings have been distributed to traditional healers, decreasing the rate of decline in the population and improving the species&#x2019; status from endangered to vulnerable but declining (<xref ref-type="bibr" rid="B89">Harvey-Brown et al., 2022</xref>).</p>
<p>Another conservation initiative is to promote the use of leaves as a substitute for the bark material, as two of the most bioactive ingredients, polygodial and warburganal, have been detected in both leaf and bark extracts (<xref ref-type="bibr" rid="B66">Drewes et al., 2001</xref>). Traditional healers occasionally use leaves in treating particular complaints, but if this could be encouraged on a larger scale, more sustainable harvesting levels could be achieved from wild as well as cultivated populations (<xref ref-type="bibr" rid="B33">Botha et al., 2004</xref>). However, Leonard and Viljoen (<xref ref-type="bibr" rid="B121">Leonard and Viljoen, 2015</xref>) cautioned that the shorter shelf-life of leaves compared to that of bark may be a concern for traditional healers.</p>
<p>The most significant threat to <italic>W. salutaris</italic> is the overharvesting of bark and roots for traditional medicinal use (<xref ref-type="bibr" rid="B222">Veeman et al., 2014</xref>). The tree can tolerate some harvesting by producing coppice shoots and regrowing stripped bark, but excessive harvesting can cause the death of the tree (<xref ref-type="bibr" rid="B89">Harvey-Brown et al., 2022</xref>). Overuse of the bark has resulted in the species being listed as extinct in the wild in Zimbabwe (<xref ref-type="bibr" rid="B126">Maroyi, 2008</xref>) and locally in some regions of KwaZulu-Natal, South Africa (<xref ref-type="bibr" rid="B89">Harvey-Brown et al., 2022</xref>). The mean thickness of bark sold in the Johannesburg markets decreased significantly from 1994 to 2001, indicating that bark from smaller trees was increasingly harvested as larger, more mature trees became unavailable (<xref ref-type="bibr" rid="B230">Williams et al., 2007</xref>). Other factors that influence tree growth include agricultural activities, the use of trees as building material, road construction (<xref ref-type="bibr" rid="B89">Harvey-Brown et al., 2022</xref>; <xref ref-type="bibr" rid="B222">Veeman et al., 2014</xref>; <xref ref-type="bibr" rid="B58">Cunningham, 1993</xref>), fires (<xref ref-type="bibr" rid="B190">Senkoro et al., 2020</xref>), grazing by herbivores, termite infestation, and damage caused by fungal diseases (<xref ref-type="bibr" rid="B89">Harvey-Brown et al., 2022</xref>).</p>
<p>Information on the environmental requirements and precise distribution of <italic>W. salutaris</italic> is scanty. The distribution of <italic>W. salutaris</italic> is dispersed and fragmented at present, possibly as a result of biogeographical and climatic influences, but its ecological requirements are largely unknown (<xref ref-type="bibr" rid="B188">Senkoro et al., 2024</xref>). In an earlier study, it was suggested that the species is sensitive to lower temperatures and has a reasonable tolerance to drought and precipitation levels, with an affinity for more moist areas (<xref ref-type="bibr" rid="B187">Senkoro, 2021</xref>).</p>
<p>Climate projections have predicted an increase in intensity of rainfall over the eastern parts of southern Africa, but that rainfall would be less frequent (<xref ref-type="bibr" rid="B119">Kusangaya et al., 2014</xref>). In the Kruger National Park, changes in the intensity and timing of certain environmental conditions, including droughts and floods, were proposed by Kitajima and Fenner (<xref ref-type="bibr" rid="B110">Kitajima et al., 2000</xref>) to be detrimental to the establishment of <italic>W. salutaris</italic> seedlings. However, using climatic model predictions, it was reported that for the next 80&#xa0;years, the distribution of <italic>W. salutaris</italic> is not likely to decline because of factors related to climate change (<xref ref-type="bibr" rid="B188">Senkoro et al., 2024</xref>). This study did not take into account the effect of climate change on species interacting with <italic>W. salutaris</italic>, including humans, pollinators, and parasites. Although climate change may not pose the greatest threat to the sustainability of <italic>W. salutaris</italic>, cultivation and reintroduction alone are not likely to enhance the conservation of the species if the threat of overexploitation of bark for medicinal use, as well as the impact of wildfires, charcoal production, and land use transformation, are not addressed. In summary, an integrated management strategy for <italic>W</italic>. <italic>salutaris</italic> is essential to ensure its sustainability. This involves increasing cultivation and redistribution efforts as well as successfully managing protected areas (<xref ref-type="table" rid="T8">Table 8</xref>).</p>
</sec>
</sec>
<sec id="s3">
<title>3 General discussion</title>
<p>The species selected for consideration are highly valued for their medicinal, aromatic, or commercial uses, and some could be facing the issues of over-collection, putting their populations at risk of decline (<xref ref-type="fig" rid="F2">Figure 2</xref>). These species are native to specialised or fragile ecosystems that face threats from habitat destruction and climate change (<xref ref-type="bibr" rid="B197">Soehartono and Newton, 2001</xref>; <xref ref-type="bibr" rid="B103">Johnson et al., 2022</xref>; <xref ref-type="bibr" rid="B117">Kubentayev et al., 2021</xref>; <xref ref-type="bibr" rid="B166">Prokopyev et al., 2021</xref>; <xref ref-type="bibr" rid="B235">You et al., 2018a</xref>; <xref ref-type="bibr" rid="B59">Cunningham et al., 2020</xref>; <xref ref-type="bibr" rid="B106">Kauffman, 2006b</xref>). As a result, they are classified as vulnerable, endangered, or critically endangered (<xref ref-type="bibr" rid="B56">Convention on International Trade in Endangered Species CITES, 2024</xref>; <xref ref-type="bibr" rid="B103">Johnson et al., 2022</xref>; <xref ref-type="bibr" rid="B240">Zou et al., 2023</xref>; <xref ref-type="bibr" rid="B91">Hazarika et al., 2023</xref>), necessitating efforts for their conservation and sustainable use (<xref ref-type="table" rid="T2">Tables 2</xref>&#x2013;<xref ref-type="table" rid="T8">8</xref>). For example, <italic>R. rosea, P. quinquefolius, A. malaccensis, W. salutaris,</italic> and <italic>B. sacra</italic> exhibit low seed viability and slow reproductive success, making natural regeneration difficult. This further increases their vulnerability to environmental changes and diseases (<xref ref-type="table" rid="T2">Tables 2</xref>, <xref ref-type="table" rid="T3">3</xref>, <xref ref-type="table" rid="T5">5</xref>, <xref ref-type="table" rid="T7">7</xref>, <xref ref-type="table" rid="T8">8</xref>).</p>
<p>For example, a significant problem with cultivated <italic>C. sativus</italic> is that it reproduces only through corms rather than seeds, which limits genetic diversity and increases susceptibility to diseases and pests. In addition, this species relies heavily on human intervention for its cultivation. Trials utilising monoculture methods for <italic>C. sativus</italic> further exacerbate vulnerability to environmental changes and diseases. In this case, one actively developed solution is large-scale vertical farming (<xref ref-type="bibr" rid="B145">N&#xe1;jera et al., 2023</xref>; <xref ref-type="bibr" rid="B14">Ambitas, 2024</xref>). The same approach is also developed in case of <italic>R. rosea</italic> (Reinhard Bott, Karlruhe, Germany, pers. comm.), which also is characterised by a low reproductive success rate.</p>
<p>In many cases, habitat loss plays an important role. For example, <italic>A. malaccensis</italic> is facing habitat loss due to illegal logging and land conversion, limiting the species&#x2019; natural distribution (<xref ref-type="table" rid="T2">Tables 2</xref>, <xref ref-type="table" rid="T4">4</xref>, <xref ref-type="table" rid="T5">5</xref>, <xref ref-type="table" rid="T7">7</xref>).</p>
<p>Overharvesting and habitat loss pose common challenges for all the species selected in this study (<xref ref-type="fig" rid="F2">Figure 2</xref>). For example, <italic>B. sacra</italic> (native to Somalia and Yemen), <italic>W. salutaris</italic> (found in southern Africa), and <italic>A. malaccensis</italic> (from (Malaysia and Indonesia) face significant threats due to habitat destruction, including deforestation and conversion to agricultural land, as well as overexploitation of their valuable resins (<xref ref-type="table" rid="T8">Table 8</xref>). Unauthorised overharvesting, vandalism, and habitat loss also severely impact <italic>P. quinquefolius</italic> populations in the USA, <italic>R. rosea</italic> in Kazakhstan and Mongolia, and <italic>P. microphyllus</italic> populations in the Amazon region. Although <italic>C. sativus</italic> is a cultivated plant, its reliance on traditional growing areas limits its distribution and increases the risk of decline. Traditional saffron-growing regions in Kashmir and Iran are experiencing a reduction in arable land due to urbanisation and climate change (<xref ref-type="table" rid="T2">Tables 2</xref>, <xref ref-type="table" rid="T4">4</xref>, <xref ref-type="table" rid="T5">5</xref>, <xref ref-type="table" rid="T7">7</xref>).</p>
<p>In addition to highlighting the current status or data available for the selected species, the case studies underscore the necessity for stricter regulations across all aspects of trade, from initial harvesting to the availability of products for end users. Within this context, we highlight four key areas of concern (the main determinants of a species&#x2019; sustainability) related to the loss of certain species (<xref ref-type="fig" rid="F1">Figure 1</xref>). It is important to note that not all of the above-described determinants are related to climate change and may stem from human activities and/or internal plant characteristics (<xref ref-type="bibr" rid="B155">Pacifici et al., 2015</xref>). Climate change adds significant pressure on these species, which requires a better understanding of all factors and their interplay.</p>
<p>Climate change directly impacts on the ability of these species to thrive in their native habitats. Alterations in temperature, rainfall patterns, and soil conditions disrupt the delicate balance required for their growth and survival. Even minor changes in growing seasons can lead to increased susceptibility to diseases, as exemplified in the case study of <italic>P. quinquefolius</italic>. Warmer winters and unpredictable frosts in the Appalachian region affect ginseng growth cycles and increase disease outbreaks. Similarly, <italic>B. sacra</italic> and <italic>A. malaccensis</italic> also show significant sensitivity to fluctuations in temperature and precipitation, which affects resin production in these trees. For <italic>P. microphyllus</italic>, alterations in precipitation and temperature patterns also affect growth and alkaloid production (<xref ref-type="table" rid="T2">Tables 2</xref>, <xref ref-type="table" rid="T3">3</xref>, <xref ref-type="table" rid="T6">6</xref>). In Oman and Somalia, changes in precipitation patterns have affected the health and resin yield <italic>of Boswellia</italic> trees, while shifts in climate have similarly affected <italic>Aquilaria</italic> resin in Southeast Asia. <italic>C. sativus</italic> and <italic>R. rosea</italic> are particularly vulnerable to temperature changes, which affect their flowering and growth cycles. Increased temperatures shorten the flowering period of the plant, leading to shifts in planting and harvesting schedules, ultimately reducing yields (<xref ref-type="table" rid="T9">Table 9</xref>). These challenges highlight the need to consider relocating production zones further north or south to ensure a stable supply (<xref ref-type="bibr" rid="B232">Xu et al., 2019</xref>).</p>
<table-wrap id="T9" position="float">
<label>TABLE 9</label>
<caption>
<p>Summary of challenges associated with the collection of starting plant materials and their supply for the selected case studies (for references see the relevant tables on the individual case studies).</p>
</caption>
<table>
<thead valign="top">
<tr>
<th align="left">Species name</th>
<th align="center">Harvest and supply</th>
<th align="center">Challenge</th>
<th align="left">Core needs/alternative strategies</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">Saffron</td>
<td align="left">The labour-intensive harvesting process increases costs and affects supply consistency</td>
<td align="left">Saffron requires hand-picking of flowers, leading to high labour costs and difficulty scaling production</td>
<td align="left">No clear strategy is feasible aside from increases in the production areas</td>
</tr>
<tr>
<td align="left">American Ginseng</td>
<td align="left">High demand and overharvesting threaten sustainable supply</td>
<td align="left">The lucrative nature of ginseng has led to illegal poaching and overharvesting, particularly in national parks</td>
<td align="left">More stringent regulations on harvesting</td>
</tr>
<tr>
<td align="left">Rose root</td>
<td align="left">Unsustainable harvesting practices</td>
<td align="left">Increased global demand has led to overharvesting and insufficient time for natural recovery of populations</td>
<td align="left">More stringent regulations on harvesting, and incentives for larger scale agricultural production</td>
</tr>
<tr>
<td align="left">Frankincense</td>
<td align="left">Unsustainable tapping practices reduce tree longevity and resin yield</td>
<td align="left">Over-tapping and improper techniques damage trees, leading to reduced resin production and tree mortality</td>
<td align="left">Alternative sources will be key to securing a future for this species, requiring changes to the regulatory framework for commercial products</td>
</tr>
<tr>
<td align="left">Agarwood</td>
<td align="left">Illegal trade and overharvesting for perfumery and traditional medicine</td>
<td align="left">The high market value of agarwood has driven illegal harvesting, threatening wild populations</td>
<td align="left">More stringent regulations on harvesting</td>
</tr>
<tr>
<td align="left">Jaborandi</td>
<td align="left">Overexploitation for pharmaceutical purposes</td>
<td align="left">Excessive harvesting for the alkaloid pilocarpine, used in glaucoma treatments, threatens natural populations</td>
<td align="left">Expanded silvicultural production, including novel mixed forest production systems</td>
</tr>
<tr>
<td align="left">Pepper-bark tree</td>
<td align="left">Habitat loss due to overharvesting and deforestation</td>
<td align="left">Excessive harvesting does not allow the species to recover naturally, often leading to tree mortality</td>
<td align="left">Increased cultivation and protection of wild populations</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Unsustainable harvesting practices and high market demand create challenges in supplying medicinal plant material to the pharmaceutical and health food/botanical markets. This requires strategic changes to how relevant industries manage their value chains. For example, the high labour costs associated with the intensive harvesting of <italic>C. sativus</italic> and the illegal poaching of <italic>P. quinquefolius</italic> illustrate the difficulties in maintaining a sustainable supply. The manual picking of saffron flowers and the subsequent separation of the stigma results in high labour costs and problems in the scaling up of production. Furthermore, these plants often do not have sufficient time to regenerate naturally, and improper harvesting practices, particularly concerning resin yield, can lead to plant mortality (<xref ref-type="table" rid="T9">Table 9</xref>). Sustainable harvesting practices, cultivation, and artificial propagation are being explored to reduce the pressure on wild populations. For example, agarwood plantations are being developed to produce agarwood resin sustainably (<xref ref-type="bibr" rid="B207">Tan et al., 2019</xref>), while <italic>P</italic>. <italic>quinquefolius</italic> is cultivated under strict regulations to prevent overharvesting (<xref ref-type="bibr" rid="B41">Burkhart et al., 2021</xref>; <xref ref-type="bibr" rid="B39">Burkhart and Jacobson, 2004b</xref>; <xref ref-type="bibr" rid="B224">Wang et al., 2024b</xref>). Achieving conditions suitable for the species&#x2019; natural habitat is essential for ensuring their conservation in the wild (<xref ref-type="table" rid="T9">Table 9</xref>).</p>
<p>For future research and development, we propose an integrated approach that emphasises the interconnection between research, conservation, cultivation, innovation, regulation, and education (<xref ref-type="table" rid="T10">Table 10</xref>). This strategy aims to address the critical issues of overexploitation, climate change, and habitat loss that threaten the sustainability of endangered species used in pharmaceuticals. It is based on the framework presented here, which includes seven case studies. In order to structure the strategies for further research and development, we suggest specific actions in six areas of research and development (<xref ref-type="table" rid="T10">Table 10</xref>), which can form a basis for novel strategies to achieve a more sustainable production of species at risk.</p>
<table-wrap id="T10" position="float">
<label>TABLE 10</label>
<caption>
<p>Proposed core themes relevant to an integrated, sustainable approach refocusing on research, development, and use of medicinal/health food plants (MHFPs) based on the assessment of seven exemplary species.</p>
</caption>
<table>
<thead valign="top">
<tr>
<td align="left">1. Research and Assessment<xref ref-type="table-fn" rid="Tfn1">
<sup>a</sup>
</xref>
</td>
<td align="left">2. Conservation and Protection<xref ref-type="table-fn" rid="Tfn2">
<sup>b</sup>
</xref>
</td>
<td align="left">3. Cultivation and Harvesting<xref ref-type="table-fn" rid="Tfn3">
<sup>c</sup>
</xref>
</td>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">&#x2022; Identify endangered species used in pharmaceuticals</td>
<td align="left">&#x2022; Implement measures to conserve and protect endangered medicinal species, including establishing protected areas and promoting sustainable harvesting practices</td>
<td rowspan="2" align="left">&#x2022; Promote the cultivation of MHFP through sustainable agricultural practices, such as agroforestry, organic farming, and permaculture</td>
</tr>
<tr>
<td align="left">&#x2022; Analyse the impact of climate change on the distribution and growth of MHFP</td>
<td rowspan="2" align="left">&#x2022; Develop strategies for <italic>ex situ</italic> conservation through botanical gardens, seed banks, and tissue culture techniques</td>
</tr>
<tr>
<td align="left">&#x2022; Assess current levels of overexploitation and identify regions at risk</td>
<td rowspan="4" align="left">&#x2022; Implement guidelines for sustainable harvesting, including selective harvesting, rotation of harvesting sites, and avoiding collection from sensitive habitats</td>
</tr>
<tr>
<td align="left">&#x2022; Analysis of secondary metabolite diversity in plants and their economic potential</td>
<td rowspan="2" align="left">&#x2022; Engage local communities and indigenous groups in conservation efforts through education and capacity-building initiatives</td>
</tr>
<tr>
<td align="left">&#x2022; Use of an omic approach for chemical analysis</td>
</tr>
<tr>
<td align="left">&#x2022; Evaluate environmental factors affecting the growth and sustainability of MHFP.</td>
<td align="left">&#x2022; Promote collaboration between scientists, pharmaceutical companies, and traditional healers to confirm the effectiveness and safety of herbal medicines</td>
</tr>
</tbody>
</table>
<table>
<thead valign="top">
<tr>
<th align="left">4. Alternative strategies reducing pressure on species at risk<xref ref-type="table-fn" rid="Tfn4">
<sup>d</sup>
</xref>
</th>
<th align="left">5. Regulation and Policy<xref ref-type="table-fn" rid="Tfn5">
<sup>e</sup>
</xref>
</th>
<th align="left">6. Education and Awareness<xref ref-type="table-fn" rid="Tfn6">
<sup>f</sup>
</xref>
</th>
</tr>
</thead>
<tbody valign="top">
<tr>
<td align="left">&#x2022; Investing in research and development to identify alternative sources of herbal medicines and improve methods of growing MHFP</td>
<td align="left">&#x2022; Establish regulations and policies to ensure the sustainable management of MHFP resources, including licensing, certification, and enforcement mechanisms</td>
<td align="left">&#x2022; Raise awareness among healthcare professionals, consumers, and policymakers about the importance of sustainable sourcing and use of herbal medicines</td>
</tr>
<tr>
<td align="left">&#x2022; Research on the potential of biotechnology and genetic engineering to increase the production of desired secondary metabolites in plants</td>
<td align="left">&#x2022; Incorporate traditional knowledge and practices into legal frameworks to protect indigenous rights and promote cultural heritage</td>
<td align="left">&#x2022; Provide training and educational programs on sustainable harvesting, cultivation, and conservation practices</td>
</tr>
<tr>
<td align="left">&#x2022; Developing vertical farming approaches for selected species (e.g., <italic>C. sativus</italic>)</td>
<td rowspan="2" align="left">&#x2022; Advocate for international agreements and conventions to address the global trade and conservation of MHFP</td>
<td rowspan="2" align="left">&#x2022; Foster partnerships between academia, industry, and civil society to share knowledge and best practices in sustainable herbal medicines supply chains</td>
</tr>
<tr>
<td align="left">&#x2022; Agroforestry systems for non-timber forest products (e.g., <italic>P. quinquefolius</italic>)</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<fn id="Tfn1">
<label>a</label>
<p>
<xref ref-type="bibr" rid="B225">Wang et al., 2024a</xref>; <xref ref-type="bibr" rid="B97">Husaini, 2014</xref>; <xref ref-type="bibr" rid="B201">Souther and McGraw, 2014</xref>; <xref ref-type="bibr" rid="B12">Alum, 2024</xref>; <xref ref-type="bibr" rid="B143">Mykhailenko et al., 2020b</xref>; <xref ref-type="bibr" rid="B156">Pant et al., 2021</xref>
</p>
</fn>
<fn id="Tfn2">
<label>b</label>
<p>
<xref ref-type="bibr" rid="B95">Howes et al., 2020</xref>; <xref ref-type="bibr" rid="B130">McLaughlin et al., 2022</xref>; <xref ref-type="bibr" rid="B139">Mori et al., 2024</xref>; <xref ref-type="bibr" rid="B232">Xu et al., 2019</xref>; <xref ref-type="bibr" rid="B84">Groner et al., 2022</xref>; <xref ref-type="bibr" rid="B22">Australian Government, 2024</xref>; <xref ref-type="bibr" rid="B153">Oldekop et al., 2016</xref>; <xref ref-type="bibr" rid="B120">Lee, 2023</xref>; <xref ref-type="bibr" rid="B160">Philpott et al., 2022</xref>; <xref ref-type="bibr" rid="B19">Asigbaase et al., 2023</xref>
</p>
</fn>
<fn id="Tfn3">
<label>c</label>
<p>
<xref ref-type="bibr" rid="B148">Ncube et al., 2012</xref>; <xref ref-type="bibr" rid="B40">Burkhart and Jacobson, 2009</xref>; <xref ref-type="bibr" rid="B77">Gamage et al., 2023</xref>; <xref ref-type="bibr" rid="B70">European Commision, 2024</xref>
</p>
</fn>
<fn id="Tfn4">
<label>d</label>
<p>
<xref ref-type="bibr" rid="B145">N&#xe1;jera et al., 2023</xref>; <xref ref-type="bibr" rid="B14">Ambitas, 2024</xref>; <xref ref-type="bibr" rid="B153">Oldekop et al., 2016</xref>; <xref ref-type="bibr" rid="B186">Selwal et al., 2023</xref>; <xref ref-type="bibr" rid="B8">Al Aboud, 2024</xref>
</p>
</fn>
<fn id="Tfn5">
<label>e</label>
<p>
<xref ref-type="bibr" rid="B113">Kosoe et al., 2023</xref>; <xref ref-type="bibr" rid="B211">The World Health Organization WHO, 1993</xref>; <xref ref-type="bibr" rid="B20">Association, 2010</xref>
</p>
</fn>
<fn id="Tfn6">
<label>f</label>
<p>
<xref ref-type="bibr" rid="B31">Booker et al., 2012</xref>; <xref ref-type="bibr" rid="B151">Obahiagbon et al., 2023a</xref>; <xref ref-type="bibr" rid="B152">Obahiagbon et al., 2023b</xref>
</p>
</fn>
</table-wrap-foot>
</table-wrap>
<p>A rigorous assessment of sustainability and conservation status (<xref ref-type="table" rid="T10">Table 10</xref>), in parallel to the safety and efficacy assessment of the plant materials, is essential, particularly for high-value medicinal plants, given the high demand and the potential adulteration in some instances (<xref ref-type="bibr" rid="B30">Booker et al., 2016</xref>; <xref ref-type="bibr" rid="B118">Kumar et al., 2023</xref>; <xref ref-type="bibr" rid="B167">P&#xfc;ski et al., 2024</xref>; <xref ref-type="bibr" rid="B238">Yu et al., 2014</xref>). It is essential to remember that the supply of these materials and their release into the pharmaceutical market requires careful strategic planning to ensure ethical sourcing and sustainable practices. Whenever feasible, preference should be given to cultivating endangered species in controlled environments, such as botanical gardens and farms, rather than harvesting from wild populations. This helps conserve biodiversity and supports the implementation of a traceability system that tracks the source of starting plant materials from collection to market, ensuring transparency and compliance with legal and ethical standards.</p>
<p>The approach proposed here is relevant not only in academic contexts but also has the potential to promote the sustainable use of endangered medicinal plants across various industries if these can be produced using more sustainable approaches. Industries can adopt these practices as part of their long-term strategies to ensure sustainability at all levels, including innovative approaches like the &#x201c;vertical farming&#x201d; of high-value plants such as saffron, which has demonstrated its potential to generate significant economic benefits (<xref ref-type="bibr" rid="B145">N&#xe1;jera et al., 2023</xref>). Core ecosystem services of forests and non-timber forest products (NTFPs) can be further enhanced if they provide additional income to local communities, as exemplified by successful initiatives in protected areas (<xref ref-type="bibr" rid="B153">Oldekop et al., 2016</xref>). These and other strategies (hydroponics, biopriming, biodomes, etc.) can be combined and tailored to specific plant requirements, ensuring the successful cultivation of endangered species even in confined spaces.</p>
<p>While the examples provided illustrate specific problems and potential solutions, many other plant species require our attention and assessment in order to develop appropriate, tailored strategies, including, for instance, <italic>Hydrastis canadensis</italic> L. in North America (<xref ref-type="bibr" rid="B122">Liu et al., 2004</xref>), <italic>Arnica montana</italic> L. in Europe (<xref ref-type="bibr" rid="B83">Greinwald et al., 2022</xref>), <italic>Nardostachys jatamansi</italic> (D. Don) DC in the Himalayas and Bangladesh (<xref ref-type="bibr" rid="B227">Wen et al., 2022</xref>), <italic>Aconitum heterophyllum</italic> Wall. ex Royle in Nepal and Pakistan (<xref ref-type="bibr" rid="B226">Wani et al., 2022</xref>), <italic>Angelica sinensis</italic> (Oliv.) Diels in China, North-Central and Mongolia (<xref ref-type="bibr" rid="B64">Deng et al., 2005</xref>), <italic>Dendrobium</italic> spp. in Asian countries (<xref ref-type="bibr" rid="B208">Tang et al., 2020</xref>), and <italic>Prunus africana</italic> (Hook.f.) Kalkman in Cameroon, Madagascar, Eastern and Southern Africa (<xref ref-type="bibr" rid="B98">Ingram et al., 2015</xref>).</p>
</sec>
<sec sec-type="conclusion" id="s4">
<title>4 Conclusion</title>
<p>This study provides a framework to address and understand the vulnerability degree (status) of a species based on selected sustainability determinants, including the potential development of approaches to increase the resilience of a species in the context of climate change.</p>
<p>The adaptation and implementation of the proposed framework will require collective efforts and collaboration of key stakeholders. The presented key studies show that each selected species has a different vulnerability assessment of key sustainability indicators depending on the determinant. The analysis also highlights why some species are at a particularly dramatic risk, like <italic>B. sacra</italic>, which is at high risk in all four determinants reviewed. At the same time, climate change in each case is assessed as a risk of extreme vulnerability or destructive indicators.</p>
<p>While the study cannot be comprehensive, it showcases examples of research priorities needed over the coming decades. The presented framework covers a qualitative assessment of species vulnerability and potential actions needed. One can argue that the parameters used here to define vulnerability should be quantified, which may be developed in future studies. However, it also seems problematic since we have a complex network of causal factors, and a quantification can easily lead to misinterpretations. Benchmarking is also an important next step, which will help assess the impact and decide which elements could be quantified (i.e., quantitative assessment).</p>
<p>Here, we argue for a novel, integrated strategy which captures the specific and diverse needs of individual MHFPs. Other case studies following this framework are encouraged, as they may reveal additional aspects of this critical issue. The framework presented here does not claim to have an impact on climate change <italic>per se</italic> or alter policies; however, it lays the scientific foundations necessary to facilitate such changes. This framework highlights the additional benefits of sustainable management and use of medicinal plants. We need a systematic focus on environmental questions, the challenges associated with sustainable production and sourcing, and actions to mitigate or increase resilience in the context of climate change. Given their generally high economic value, medicinal plants offer an opportunity to support <italic>in situ</italic> conservation via financial incentives. For example, it is now well established that secondary forests can capture CO<sub>2</sub> and thus act as carbon sinks (<xref ref-type="bibr" rid="B93">Heinrich et al., 2023</xref>). These core ecosystem services of forests can be enhanced if the forests provide additional income to local communities.</p>
<p>The sustainability of medicinal plants requires a comprehensive and integrated approach. The field of medicinal plant research requires a &#x201c;paradigm shift&#x201d; in focus, current strategies, and approaches. By recognising the interactions between natural and anthropogenic determinants, implementing sustainable cultivation practices, and promoting conservation efforts, we can work towards a future where medicinal plants thrive, ecosystems prosper, and human health is preserved. This aligns with the broader challenge outlined by <xref ref-type="bibr" rid="B86">Guerry et al. (2015)</xref> as a central task of the 21st century&#x2013;implementing &#x2018;economic, social, and governance systems capable of ending poverty and achieving sustainable levels of population and consumption while securing the life-support systems underpinning current and future human wellbeing&#x2019; (<xref ref-type="bibr" rid="B86">Guerry et al., 2015</xref>).</p>
<p>The harmonious coexistence of nature and society depends on our commitment to stewardship, responsible use of resources, and collective efforts to address changing world challenges. This paper contributes to the debate on how this can be achieved and highlights the important role medicinal and high value food plants can play.</p>
</sec>
</body>
<back>
<sec sec-type="author-contributions" id="s5">
<title>Author contributions</title>
<p>OM: Conceptualization, Data curation, Investigation, Methodology, Project administration, Writing&#x2013;original draft, Writing&#x2013;review and editing. BJ: Data curation, Investigation, Writing&#x2013;review and editing, Methodology. LM: Investigation, Writing&#x2013;review and editing. JE: Investigation, Writing&#x2013;review and editing. MT: Investigation, Writing&#x2013;review and editing. MH: Conceptualization, Data curation, Methodology, Project administration, Writing&#x2013;original draft, Writing&#x2013;review and editing.</p>
</sec>
<sec sec-type="funding-information" id="s6">
<title>Funding</title>
<p>The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.</p>
</sec>
<ack>
<p>Olha Mykhailenko is grateful to CARA (the Council for At-Risk Academics) for a fellowship, which made it possible to continue and expand scientific research at the UCL School of Pharmacy, UK, during the period of Russian military aggression in Ukraine. We are also grateful to the reviewers for their critical comments, questions and suggestions. This has helped to clarify the argument.</p>
</ack>
<sec sec-type="COI-statement" id="s7">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
<p>The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision.</p>
</sec>
<sec sec-type="disclaimer" id="s8">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<sec id="s9">
<title>Abbreviations</title>
<p>CITES, Convention on International Trade in Endangered Species; IUCN, International Union for Conservation of Nature; MHFP(s), Medicinal and Health Food Plant(s); NTFP(s), non-timber forest product(s); SDG(s), Sustainable Development Goal(s); TCM, Traditional Chinese medicine.</p>
</sec>
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