For several millennia, stem extracts of Ephedra (Ephedraceae, Gnetales) hav
e been used as folk medicines in both the Old and New World. Some species w
ere used in treatments of questionable efficacy for venereal disease in Nor
th America during the last century. Many Eurasian species produce phenyleth
ylamine alkaloids, mostly ephedrine and pseudoephedrine, that interact with
adrenergic receptors in the mammalian sympathetic nervous system. Asian Ep
hedra have been used recently in the clandestine manufacture of a street dr
ug, methamphetamine. Although ephedrine alkaloids are not detectable in New
World species of Ephedra, together with Asian species they contain other n
itrogen-containing secondary metabolites with known neuropharmacological ac
tivity. Many mesic and particularly xeric species worldwide accumulate subs
tantial amounts of quinoline-2-carboxylic acids, or kynurenates, in their a
erial parts. Many species of Ephedra accumulate cyclopropyl amino acid anal
ogues of glutamate and proline in their stems and roots, and particularly i
n the seed endosperm. Mesic species synthesize substantial amounts of three
L-2-(carboxycyclopropyl)glycine stereomers rarely seen in nature. A cyclop
ropyl analogue of proline with known antimicrobial activity, cis-3,4-methan
oproline, is found in large amounts in the stems and seeds of many Ephedra
species. The ability to synthesize cyclopropyl amino acids may be an ancest
ral feature in the taxon. The natural function in the taxon of these three
groups of secondary compounds remains to be established.