The Anti-Sickling Properties of Medicinal Plants, Insights in Botanical Medicine*

Ioannis Krasias
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Abstract

SCD is one of the most prevailing homogeneous inherited haemoglobinopathies causing a plethora of various clinical complications to the patients. The high mortality and morbidity severely concern the Western community, where numerous clinical trials and research for a cure are in process. In order to al-leviate patients from the severe symptoms of the disease, avoiding the side effects, Botanical Medicine exhibits concrete evidence, as a gold candidate, to be the salvation to the problem. The Preferred Reporting Items for Systematic Review (PRISMA) protocol has been used to achieve extensive research on the topic, focusing on the identification and evaluation of the phytochemical properties of common medicinal plants. Meta-analysis has also been imple-mented on the results of published literature. Forest plots have been plotted, comparing and evaluating the results’ validity and significance. The meta-analysis results have undoubtedly demonstrated the importance and significance of the medicinal plants and their properties against various clinical complications, focusing on the pathogenicity of SCD. Surprisingly, their effectiveness to suppress haemoglobin polymerisation and increase the Fe 2+ /Fe 3+ ratio in patients, en-hanced the normal morphological erythrocytes’ appearance by suppressing the sickle shape of drepanocytes. Research made on the epidemiology of SCD asso-ciates the disease with the geographical frequency of malaria infection. Based on the natural selection theory of Charles Darwin, nature aids in the popula-tion’s survival by the endemicity of various medicinal plants in areas with increased SCD patients. Limitations to the medicinal plants’ consumptions and further therapeutic options have been discussed.
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药用植物抗镰刀病特性,植物医学见解*
SCD是最普遍的同质遗传性血红蛋白病之一,引起过多的各种临床并发症的患者。高死亡率和发病率严重关注西方社会,许多临床试验和治疗研究正在进行中。为了使患者从疾病的严重症状中解脱出来,避免副作用,植物医学作为一种黄金候选者,展现出具体的证据,成为问题的救世之道。系统评价首选报告项目(PRISMA)协议已被用于对该主题进行广泛的研究,重点是鉴定和评估常见药用植物的植物化学特性。对已发表文献的结果也进行了meta分析。绘制了森林样地,并对结果的有效性和显著性进行了比较和评价。荟萃分析结果无疑证明了药用植物及其抗各种临床并发症特性的重要性和意义,重点关注SCD的致病性。令人惊讶的是,它们在抑制血红蛋白聚合和增加患者铁2+ /铁3+比率方面的有效性,通过抑制镰状drepanocytes来增强正常形态红细胞的外观。对疟疾流行病学的研究将该病与疟疾感染的地理频率联系起来。根据达尔文的自然选择理论,大自然通过在SCD患者增加的地区特有的各种药用植物来帮助种群的生存。讨论了药用植物消费的局限性和进一步的治疗选择。
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