New Approach for the Development of Improved Traditional Medicine: Case of a Preparation of an Oral Hypoglycemic Medicine from Laportea ovalifolia (Schumach. & Thonn.) Chew. (Urticaceae).

Nolé Tsabang, Stella Kadjob, Rose N Mballa, Clement G Yedjou, Nga Nnanga, Néhémie T Donfagsiteli, Alembert T Tchinda, Gabriel A Agbor, Claudine Ntsama, Paul B Tchounwou
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Abstract

A majority of Africans rely on traditional medicine as the primary form of health care. Yet most traditional medicine products have a short shelf life, especially for water-based formulations such as macerations, infusions and decoctions. Indeed, many of these water extracts become unfit for human consumption after five to seven days of conservation either because of the degradation or toxicity of active components, and/or the growth of pathogenic organisms. The purpose of this study was to describe and apply a new approach for the development of an improved traditional medicine (ITM) that is cheap, very efficient, not toxic, and easy to produce, and that can be conserved for a longer time without a significant loss of activity. Hence, Laportea ovalifolia was selected from an ethnobotanical prospection in all regions of Cameroon, and was used to prepare an oral hypoglycemic product. This preparation required 9 steps focused on the characterization of the plant species, and the standardization of the ethnopharmacological preparation by a multidisciplinary team of scientists with expertise in botany, ecology, pharmacognosy and pharmacology. Resultantly, four galenic formulations of hypoglycemic medications were produced. A relationship between these four formulations was described as follow: One spoon of oral suspension (10 ml)=one sachet of powder=2 tablets=3 capsules. Hence, our research provides new insight into a drug discovery approach that could alleviate the major problems affecting traditional medicine and enhance its effectiveness in addressing health care in developing and undeveloped countries.

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开发改良传统药物的新方法:从 Laportea ovalifolia (Schumach. & Thonn.) Chew.(Urticaceae).
大多数非洲人依赖传统医药作为主要的保健方式。然而,大多数传统医药产品的保质期都很短,尤其是浸渍、输液和煎煮等水基配方。事实上,许多水提取物在保存五到七天后就不适合人类食用,原因可能是活性成分降解或有毒,以及/或病原生物的生长。本研究的目的是描述并应用一种新方法来开发一种改良传统药物(ITM),这种药物便宜、高效、无毒、易于生产,并且可以保存更长时间而不会明显丧失活性。因此,我们从喀麦隆所有地区的人种植物学调查中选取了卵形扁桃叶(Laportea ovalifolia),用于制备口服降糖药。该制剂的制备需要 9 个步骤,重点是植物物种的特征描述,以及由具有植物学、生态学、药物学和药理学专业知识的多学科科学家组成的团队对民族药理学制剂进行标准化。最终,产生了四种降血糖药物的 galenic 配方。这四种配方之间的关系描述如下:一勺口服混悬液(10 毫升)=一袋粉末=2 片药片=3 粒胶囊。因此,我们的研究为药物发现方法提供了新的视角,这种方法可以缓解影响传统医药的主要问题,提高传统医药在发展中国家和不发达国家医疗保健方面的有效性。
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