Very high dilutions of dexamethasone inhibit its pharmacological effects in vivo

LV Bonamin , KS Martinho , AL Nina , F Caviglia , RGW Do Rio
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引用次数: 41

Abstract

We evaluated the interaction of dexamethasone 10−17 and 10−33 M (equivalent to 7cH and 15cH) with dexamethasone in pharmacological concentrations, using as experimental models: acute inflammation induced by carrageenan, Ehrlich ascitic tumour, and migration of tumour infiltrating leukocytes (TIL). Male adult BALB/c mice (n=7 per group) were used in all experiments. Carrageenan (1%) was injected into the footpad for oedema evaluation and into the peritoneal cavity (i.p.), for differential counting of inflammatory cells. Ehrlich ascitic tumour cells (107 viable cells/ml) were injected i.p. and tumour cells were counted after 6 days, by the Trypan blue exclusion method. The differential TIL was counted using smears stained by hematoxylin–eosin. Treatments were made immediately after carrageenan inoculation or once a day, during Ehrlich tumour development, until the animals were killed. Animals were treated with the following preparations: (1) phosphate buffer saline (PBS) solution; (2) dexamethasone (0.5 mg/kg for inflammation model or 4 mg/kg for tumour model) mixed with dexamethasone 7cH or 15cH; (3) dexamethasone (same doses) mixed in PBS. Homeopathic dexamethasone partially blocked the anti-inflammatory effect of pharmacological dexamethasone with regard to paw oedema (two-way ANOVA, P≤0.0008) and polymorphonuclear cell migration (χ2, P=0.0001). No important differences were observed between experimental and control groups, in relation to Ehrlich tumour cells viability or count, or bodyweight, but potentised dexamethasone restored control levels of TIL viability, compared to mice treated with pharmacological doses of dexamethasone (χ2, P≤0.001). The results demonstrate that a potentised substance may change its own pharmacological effects and suggest that ultradilutions effects act mostly on host response.

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非常高的地塞米松稀释会抑制其体内药理作用
我们评估了地塞米松10 - 17和10 - 33 M(相当于7cH和15cH)与药理浓度的地塞米松的相互作用,使用实验模型:卡拉胶诱导的急性炎症、埃利希腹水肿瘤和肿瘤浸润白细胞(TIL)的迁移。实验均选用雄性成年BALB/c小鼠,每组7只。将卡拉胶(1%)注射到足垫进行水肿评估,并注射到腹膜腔(i.p.)进行炎症细胞的鉴别计数。腹腔注射活细胞107个/ml, 6天后用台盼蓝排斥法计数。用苏木精-伊红染色的涂片计数差异TIL。在接种卡拉胶后立即进行治疗,或在埃利希肿瘤发展期间每天进行一次治疗,直到动物被杀死。用以下制剂处理动物:(1)磷酸盐缓冲盐水(PBS)溶液;(2)地塞米松(炎症模型0.5 mg/kg,肿瘤模型4 mg/kg)与地塞米松7cH或15cH混合;(3)地塞米松(同剂量)与PBS混合。顺势疗法地塞米松部分阻断了药理地塞米松对足跖水肿的抗炎作用(双因素方差分析,P≤0.0008)和多形核细胞迁移(χ2, P=0.0001)。实验组和对照组之间在埃利希肿瘤细胞活力、计数或体重方面没有显著差异,但与药物剂量地塞米松治疗的小鼠相比,增强地塞米松恢复了TIL活力的对照水平(χ2, P≤0.001)。结果表明,一种增强物质可能改变其自身的药理作用,并表明超稀释效应主要作用于宿主反应。
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