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Rheumatoid arthritis: Pathophysiology, treatment and improved efficacy of targeted treatment using novel herbal therapeutics formulations 类风湿关节炎:病理生理,治疗和使用新型草药治疗制剂靶向治疗的疗效改善
Pub Date : 2021-09-01 DOI: 10.22377/ijgp.v15i3.3147
Arshvir Kaur
Rheumatoid arthritis (RA) is a chronic, inflammatory autoimmune disease that leads to synovial inflammation, destruction of articular cartilage, bone erosion, deformities, accompanied by pain, swelling, and stiffness, most commonly in limbs. The pathophysiology elaborates on the role of T-helper (Th1) cells secreted in response to interleukin-1 (IL-1) and 12, thus producing pro-inflammatory ILs whereas Th2 cells activated by IL-4 secretes anti-inflammatory cytokines (IL-4, 5, 10 and 13). A neutralization of endogenous anti-inflammatory cytokines mainly IL-10 by the production of anti-IL-10 monoclonal antibodies, results in the downregulation of antiinflammatory cytokines which lead to more severe collagen-induced arthritis. Conventional treatment for RA includes non-steroidal anti-inflammatory drugs, glucocorticoids, non-biologics, and biological disease-modifying anti-rheumatic drugs, a conjugate of the humanized monoclonal antibody, dendritic cells, etc. Although, conventional therapy and newer treatments are effective but suffer from several limitations like serious adverse effects, high cost, and invasive intervention. The information regarding disease, pathophysiology, treatment, and novel interventions was collected through vigorous literature search from authentic search engines, books and journals using relevant keywords. Novel herbal therapies using phytochemicals of Curcuma longa, Zingiber officinale, Glycyrrhiza glabra, Withania somnifera, Tripterygium wilfordii, Boswellia serrata, Camellia sinensis, Tanacetum parthenium, Commiphora wightii, Mukul, Plumbago zeylanica through their promising novel drug delivery systems like microspheres, transdermal patches, ethosomes, liposomes, and phytosomes. have shown promising response and efficacy via well-defined immune mechanism along with their easy accessibility, mild or negligible adverse effects, thus gaining the edge over conventional and invasive therapies for RA. This review indicates that there is a need to study these novel formulations, extensively on preclinical and clinical levels and develop these herbal therapies as a promising alternative to conventional therapies for the treatment of RA.
类风湿性关节炎(RA)是一种慢性炎症性自身免疫性疾病,可导致滑膜炎症、关节软骨破坏、骨侵蚀、畸形,并伴有疼痛、肿胀和僵硬,最常见于四肢。病理生理学详细阐述了响应白细胞介素-1 (IL-1)和12分泌的t辅助细胞(Th1)的作用,从而产生促炎的il,而被IL-4激活的Th2细胞分泌抗炎细胞因子(IL-4、5、10和13)。通过产生抗IL-10单克隆抗体来中和内源性抗炎细胞因子,主要是IL-10,导致抗炎细胞因子的下调,从而导致更严重的胶原诱导关节炎。RA的常规治疗包括非甾体类抗炎药、糖皮质激素、非生物制剂、生物疾病修饰抗风湿药、人源化单克隆抗体偶联物、树突状细胞等。虽然传统疗法和新疗法是有效的,但也存在副作用严重、费用高、侵入性等局限性。通过使用相关关键词从真实的搜索引擎、书籍和期刊中进行大量文献检索,收集有关疾病、病理生理、治疗和新型干预措施的信息。利用姜黄、生姜、光甘草、苦参、雷公藤、乳香、山茶花、牛膝草、白沙草、白沙草等植物化学物质,通过微球、透皮贴剂、脂质体、磷脂质体等有前途的新型给药系统,开发出新的草药疗法。通过明确的免疫机制以及其易于获取,轻微或可忽略的不良反应,显示出良好的反应和疗效,从而获得优于常规和侵入性治疗RA的优势。这一综述表明,有必要在临床前和临床水平上广泛研究这些新配方,并开发这些草药疗法,作为治疗RA的传统疗法的有希望的替代疗法。
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引用次数: 0
Fanconi anemia with neutropenic colitis: An unusual case report 范可尼贫血合并中性粒细胞减少性结肠炎1例
Pub Date : 2021-09-01 DOI: 10.22377/ijgp.v15i3.3162
G. Andhuvan
Fanconi anemia (FA) is a rare, genetically inherited autosomal recessive disorder that manifests as bone marrow failure syndrome. Defects in genes with 16 complementation groups alter the stability of the DNA which is characterized by congenital malformations and progressive pancytopenia. This, in turn, can predispose to acute myeloid leukemia and other solid tumors. The most common diagnostic methods used in the detection of FA includes bone marrow biopsy and chromosome breakage test. We report a case of a 6-year-old Asian female child who presented with major complaints of lower abdominal pain, difficulty in swallowing, generalized tiredness, and gum bleeding. Her physical features were manifested as short stature, partial ptosis, hypopigmented spots on both hands, and thumb hypoplasia. Her bone marrow aspiration and biopsy showed markedly hypocellular bone marrow with reduced trilineage hematopoiesis which was suggestive of FA.
范可尼贫血(FA)是一种罕见的遗传性常染色体隐性遗传病,表现为骨髓衰竭综合征。具有16个互补基团的基因缺陷改变了DNA的稳定性,其特征是先天性畸形和进行性全血细胞减少症。这反过来又会导致急性髓性白血病和其他实体瘤。最常用的诊断方法是骨髓活检和染色体断裂试验。我们报告一例6岁的亚洲女童,她以下腹疼痛、吞咽困难、全身疲劳和牙龈出血为主诉。她的身体特征表现为身材矮小,部分上睑下垂,双手色素沉着,拇指发育不全。她的骨髓穿刺和活检显示骨髓细胞明显减少,三岁造血功能减少,提示FA。
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引用次数: 0
A review on solubility enhancement of Biopharmaceutical Classification System Class II drugs using bilayer tablet technology 双层片剂技术增强生物制药分类系统ⅱ类药物溶解度的研究进展
Pub Date : 2021-08-14 DOI: 10.22377/ijgp.v15i2.3089
A. Panwar
Due to poor solubility, many drugs are not able to produce the desired effect those drugs are categorized into Biopharmaceutical Classification System Class II drugs. For the enhancement of their solubility, cosolvent technology and development of double-layer tablet technology play a very important role. For enhancement of dissolution, the various methods can be used by which we can increase the solubility, by which we can increase the surface area or the methods such as lipid emulsion and microemulsion can be used. The most promising method for developing sustained-release and controlled-release combination formulations is two-layer tablet technology. In this study, different polymer methods can be used for a typical antipsychotics drug for formulation.
由于溶解度差,许多药物不能产生预期的效果,这些药物被归为生物制药分类系统第二类药物。为了提高它们的溶解度,共溶剂技术和双层片剂技术的发展起着非常重要的作用。为了提高溶解度,可以采用各种增加溶解度、增加表面积的方法,也可以采用脂质乳液、微乳液等方法。开发缓释和控释联合制剂最有前途的方法是双层片剂技术。在本研究中,不同的聚合物方法可用于一种典型的抗精神病药物的配制。
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引用次数: 0
Synthesis of silver nanoparticles using ethanolic extract of Annona squamosa fresh leaves and investigation of antioxidant, anti-arthritic, and thrombolytic activities 番荔枝鲜叶乙醇提取物合成纳米银颗粒及其抗氧化、抗关节炎和溶栓活性的研究
Pub Date : 2021-08-14 DOI: 10.22377/ijgp.v15i2.3096
G. Kiranmayi
Aim: Plant-mediated synthesis of nanomaterials has been rapidly gaining popularity due to its eco-friendly design and cost-effectiveness. In the present research, we synthesized silver (Ag) nanoparticles using ethanolic extracts of fresh leaves of Annona squamosa (family Annonaceae) medicinal plant as bioreducing agents. Materials and Methods: This method allowed the synthesis of nanoparticles, which was confirmed by ultraviolet-visible (UV-vis) spectrophotometry and transmission electron microscopy. UV-vis spectra and visual observation showed that the color of the fresh leaf extract of A. squamosa turned into grayish brown and brownish yellow, respectively, after treatment with Ag precursors. Moreover, ethanolic leaf extract of A. squamosa silver nanoparticles (AgNPs) was separately tested for their In vitro antioxidant, anti-arthritic, and thrombolytic activity. Thrombolytic activity was evaluated using the in vitro clot lysis model. Bovine serum albumin (BSA) was used to evaluate the antiarthritic potential. Results: Nitric oxide generation radical scavenging activity, reducing power, and Phosphomolybdenum assay of the synthesized AgNPs increased in a dose-dependent manner as compared to ascorbic acid the standard reference used. The maximum percentage inhibition by BSA method was observed as 71.4% at 200 μg/mL concentration for antiarthritic activity. During assay for thrombolytic activity, it revealed that 85.620 ± 2.6% lysis of clot, while standard streptokinase and water used as positive and negative controls, demonstrated 72.835 ± 1.702% and 2.725 ± 0.983% lysis of clot, respectively. Conclusion: This result confirmed that A. squamosa is a potential biomaterial for synthesizing AgNPs which can be exploited for its antioxidant activity, anti-arthritic, and thrombolytic activity.
目的:植物介导的纳米材料合成由于其环保设计和成本效益而迅速受到欢迎。本研究以番槐科药用植物鲜叶乙醇提取物为生物还原剂,合成银纳米颗粒。材料与方法:该方法合成了纳米颗粒,并通过紫外-可见分光光度法和透射电镜进行了验证。紫外可见光谱和肉眼观察表明,银前驱体处理后的鲜鳞叶提取物的颜色分别变为灰褐色和棕黄色。此外,我们还分别测试了鳞片银纳米颗粒乙醇提取物(AgNPs)的体外抗氧化、抗关节炎和溶栓活性。使用体外凝块溶解模型评估溶栓活性。用牛血清白蛋白(BSA)评价其抗关节炎潜能。结果:与使用的标准参比抗坏血酸相比,合成AgNPs的一氧化氮自由基清除活性、还原能力和磷钼含量呈剂量依赖性增加。在200 μg/mL浓度下,BSA法对抗关节炎活性的最大抑制率为71.4%。在溶栓活性测定中,溶栓率为85.620±2.6%,而标准链激酶和水作为阳性和阴性对照,溶栓率分别为72.835±1.702%和2.725±0.983%。结论:该结果证实了鳞状棘球蚴具有抗氧化、抗关节炎和溶栓活性,是一种潜在的合成AgNPs的生物材料。
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引用次数: 0
Evaluation of antianxiety and antidepressant activity of aqueous extract of Cynodon dactylon (Doob grass) in Swiss albino mice 犬牙草水提物对瑞士白化小鼠的抗焦虑和抗抑郁活性评价
Pub Date : 2021-08-14 DOI: 10.22377/ijgp.v15i2.3094
Saroj Kothari
Objective: Anxiety and depression are common psychiatric conditions that cause changes in the lifestyle of humans and impose huge costs for the treatment to the patients. The present study was carried out to find antianxiety and antidepressant activity of aqueous extract of Cynodon dactylon (AECD) in mice. Methods: AECD was prepared by maceration method. The yield was 5% w/w. The AECD was screened for antianxiety activity by elevated plus maze (EPM) and light and dark box and for antidepressant activity by forced swim test (FST) and tail suspension test (TST) in mice. For each model, animals were divided in four groups of six animals. Group I served as control and received gum acacia aqueous suspension 10 ml/kg. Groups II and III served as test group and received AECD 200 and 400 mg/kg, respectively. Group IV served as standard group and received diazepam 1 mg/kg for antianxiety activity and fluoxetine (20 mg/kg) for antidepressant activity. All drugs were administered by gavage. Results: AECD 200 and 400 mg/kg showed significant (P 0.05) with that of fluoxetine in both the models. Conclusion: Results of our study su
目的:焦虑和抑郁是引起人类生活方式改变的常见精神疾病,给患者带来巨大的治疗费用。本研究旨在研究短爪蟹水提物(AECD)对小鼠的抗焦虑和抗抑郁作用。方法:采用浸渍法制备AECD。产量为5% w/w。采用升高+迷宫法(EPM)和明暗箱法(light and dark box)筛选AECD抗焦虑活性,采用小鼠强迫游泳试验(FST)和悬尾试验(TST)筛选AECD抗抑郁活性。对于每个模型,动物被分成四组,每组6只。ⅰ组为对照组,给予金合欢胶水混悬液10 ml/kg。II组、III组为试验组,分别给予AECD 200、400 mg/kg。IV组为标准组,给予安定1 mg/kg抗焦虑作用和氟西汀20 mg/kg抗抑郁作用。所有药物均采用灌胃给药。结果:AECD 200、400 mg/kg与氟西汀在两种模型中的差异均有统计学意义(P < 0.05)。结论:我们的研究结果是可靠的
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引用次数: 1
Ethno-pharmacological Interventions and Value Chain (VC) of Medicinal Plants (MPs): A Cohesive Approach for Sustained Livelihood 药用植物(MPs)的民族药理学干预和价值链(VC):可持续生计的凝聚力方法
Pub Date : 2021-08-14 DOI: 10.22377/ijgp.v15i2.3092
N. Sharma
Introduction: It is imperative to ascertain and validate the importance of medicinal plants (MPs) as one of the significant pointers of socio-economic development. Value chains (VCs) and effective supply chain management system are essential tools for establishing a network of farm produce until it is end-use as a value-added processed product. This necessarily requires throughput policy initiatives for bridging raw produce until grass-root innovative practices are attained as value addition. This hierarchical platform in Indian context is being catered to by National MPs Board under Ministry of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy. Key step lies in connecting socio-ecological, ethnopharmacological, and socio-economic factors and deciphering all the probable pathways leading to revenue generation by involving all stakeholders in a VC. Methods: Through extensive literature search encompassing 90 articles and book chapters, 8 web links, 3 conference proceedings, and 5 reports released by the World Health Organization, USAID, and Food and Agriculture Organization respectively on VC analysis of MPs in Indian context, we prepared metadata. Results: This metadata comprehensively led to our understanding of identifiable gaps in ethnopharmacological studies and a need to re-route the VC involving institutional settings and NGOs in particular. This also led to our understanding of further exploratory studies aimed at the establishment of pharmacovigilance centers, DNA barcoding for unknown species, and best conservation practices. Discussion: Essentially, VCs act as a conglomerate of agriculture/horticulture, technical interventions leading to innovations, sustainable and viable business models with utmost profit to main stakeholder – The farmer. Need of an hour is to stringently monitor and establish an equilibrium between demand versus supply. This can be facilitated by a convergence of all stakeholders, including farmers, scientists, industrialists, innovators, policymakers, and traditional healers. Conclusion: Different policy initiatives have been envisaged and executed by Government support systems to establish a cohesive approach between producers and consumers with an impetus to innovative technology development followed by its transfer to industrial counterparts. This integrative concept would not only lead to value proposition in MPs sector but would also have a way for the establishment of special-purpose vehicles leading to financial sustenance hence promoting a probabilistic gateway to circular economy.
引言:药用植物作为社会经济发展的重要指标之一,其重要性的确定和验证势在必行。价值链和有效的供应链管理系统是建立农产品网络的基本工具,直到农产品最终被用作增值加工产品。这必然需要吞吐量政策举措,以弥合原始产品,直到获得基层创新实践作为增值。印度背景下的这个等级平台由阿育吠陀、瑜伽和自然疗法、乌纳尼、悉达和顺势疗法部下属的国家国会议员委员会提供。关键的一步在于将社会生态、民族药理学和社会经济因素联系起来,并通过让所有利益相关者参与风险投资,解读所有可能的创收途径。方法:通过广泛的文献检索,包括90篇文章和书籍章节、8个网络链接、3个会议记录和5份分别由世界卫生组织、美国国际开发署和联合国粮农组织发表的关于印度背景下MPs VC分析的报告,我们准备了元数据。结果:这些元数据使我们全面了解了民族药理学研究中可识别的差距,并需要重新安排涉及机构设置和非政府组织的风险投资。这也使我们了解了进一步的探索性研究,旨在建立药物警戒中心,未知物种的DNA条形码和最佳保护实践。讨论:从本质上讲,风险投资作为农业/园艺的综合企业,技术干预导致创新,可持续和可行的商业模式,为主要利益相关者-农民带来最大的利润。需要一个小时的时间来严格监控和建立供需之间的平衡。所有利益攸关方,包括农民、科学家、实业家、创新者、政策制定者和传统治疗师,都可以促进这一点。结论:政府支助系统已经设想和执行了不同的政策倡议,以便在生产者和消费者之间建立一种连贯一致的办法,推动创新技术的发展,然后将其转让给工业对应物。这种整合的概念不仅会导致MPs行业的价值主张,而且还会为建立特殊目的的工具提供资金支持,从而促进循环经济的概率门户。
{"title":"Ethno-pharmacological Interventions and Value Chain (VC) of Medicinal Plants (MPs): A Cohesive Approach for Sustained Livelihood","authors":"N. Sharma","doi":"10.22377/ijgp.v15i2.3092","DOIUrl":"https://doi.org/10.22377/ijgp.v15i2.3092","url":null,"abstract":"Introduction: It is imperative to ascertain and validate the importance of medicinal plants (MPs) as one of the significant pointers of socio-economic development. Value chains (VCs) and effective supply chain management system are essential tools for establishing a network of farm produce until it is end-use as a value-added processed product. This necessarily requires throughput policy initiatives for bridging raw produce until grass-root innovative practices are attained as value addition. This hierarchical platform in Indian context is being catered to by National MPs Board under Ministry of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy. Key step lies in connecting socio-ecological, ethnopharmacological, and socio-economic factors and deciphering all the probable pathways leading to revenue generation by involving all stakeholders in a VC. Methods: Through extensive literature search encompassing 90 articles and book chapters, 8 web links, 3 conference proceedings, and 5 reports released by the World Health Organization, USAID, and Food and Agriculture Organization respectively on VC analysis of MPs in Indian context, we prepared metadata. Results: This metadata comprehensively led to our understanding of identifiable gaps in ethnopharmacological studies and a need to re-route the VC involving institutional settings and NGOs in particular. This also led to our understanding of further exploratory studies aimed at the establishment of pharmacovigilance centers, DNA barcoding for unknown species, and best conservation practices. Discussion: Essentially, VCs act as a conglomerate of agriculture/horticulture, technical interventions leading to innovations, sustainable and viable business models with utmost profit to main stakeholder – The farmer. Need of an hour is to stringently monitor and establish an equilibrium between demand versus supply. This can be facilitated by a convergence of all stakeholders, including farmers, scientists, industrialists, innovators, policymakers, and traditional healers. Conclusion: Different policy initiatives have been envisaged and executed by Government support systems to establish a cohesive approach between producers and consumers with an impetus to innovative technology development followed by its transfer to industrial counterparts. This integrative concept would not only lead to value proposition in MPs sector but would also have a way for the establishment of special-purpose vehicles leading to financial sustenance hence promoting a probabilistic gateway to circular economy.","PeriodicalId":14055,"journal":{"name":"International Journal of Green Pharmacy","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85553535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Preliminary screening of hydrogel containing Martynia annua extract for anti-inflammatory activity 含马龙花提取物水凝胶抗炎活性的初步筛选
Pub Date : 2021-08-14 DOI: 10.22377/ijgp.v15i2.3091
A. Jain
Objective: Aim of the present study was to investigate preliminary evaluation of hydrogel formulation of methanol fraction of Martynia annua for anti-inflammatory activity using different types of animal models. Materials and Methods: Five different hydrogel formulations containing extract and one control without extract were prepared according to standard method using different proportions of Carbopol 940 and sodium carboxymethyl cellulose (CMC). Prepared hydrogel was characterized for optimization and screened for anti-inflammatory activity using Xylene induced ear edema and Croton oil-induced ear edema in mice. Effect was observed by measurement of percent inhibition of ear edema and biochemical parameters, for example, nitric oxide level and myeloperoxidase (MPO) level. Results: Phytochemical screening showed that petroleum ether extract of M. annua showed the presence of sterols, terpenoids, and fatty oils while ethanol extract of showed the presence of glycosides, phenolic compounds, flavonoids, and amino acids. Results of all other evaluation parameters, for example, pH, viscosity, spreadability, and consistency were found suitable in optimized formulation as 1.5 g of Carbopol 940 and 1% of Sodium CMC for best drug release profile. Effect of MAMFH was observed greater percentage of edema inhibition (66.67%) and was comparable to standard group of treatment (65.59%). Results showed that MPO level of inflamed ears (inflamed control and treated only with gel base) was significantly higher in comparison with the non-inflamed control (P < 0.01), and with hydrogel formulations. The results showing the ability of croton oil to induce neutrophil influx into mice ear tissue. This may be reduced by treatment with extract hydrogels, as well as Voltaren Emulgel, reduced significantly (P < 0.05) the MPO levels in mice ears. Conclusion: Methanol fraction of M. annua was capable of inhibiting ear edema induced by xylene. It may be due to the ability of extract to either inhibit the synthesis, release or action of xylene involved in the inflammation. Methanol extracts was exhibits its anti-inflammatory action by inhibiting the synthesis, release or action of histamine. Significant activity may be due to presence of flavonoids in methanol extract fraction of M. annua leaves.
目的:通过不同类型的动物模型,初步评价马龙花甲醇部分水凝胶制剂的抗炎作用。材料与方法:以不同比例的卡波波尔940和羧甲基纤维素钠(CMC)为原料,按标准方法制备了5个含提取物的水凝胶配方和1个不含提取物的对照。对制备的水凝胶进行了优化表征,并对二甲苯致小鼠耳水肿和巴豆油致小鼠耳水肿进行了抗炎活性筛选。通过测量耳水肿抑制百分比和生化参数,如一氧化氮水平和髓过氧化物酶(MPO)水平,观察效果。结果:植物化学筛选表明,黄花楸石油醚提取物中含有甾醇类、萜类和脂肪油,而黄花楸乙醇提取物中含有苷类、酚类化合物、黄酮类和氨基酸。其他评价参数如pH、黏度、铺展性和稠度均以caropol 940用量为1.5 g、CMC钠用量为1%为最佳释放条件。MAMFH治疗组的水肿抑制率(66.67%)高于标准治疗组(65.59%)。结果显示,与非炎症对照组和水凝胶制剂相比,炎症对照组和仅用凝胶基质处理的耳部MPO水平显著升高(P < 0.01)。结果显示,巴豆油诱导中性粒细胞流入小鼠耳组织的能力。水凝胶提取物和伏他仑凝胶可显著降低小鼠耳中MPO水平(P < 0.05)。结论:黄花楸甲醇组分对二甲苯致耳部水肿有一定的抑制作用。这可能是由于提取物能够抑制二甲苯的合成、释放或参与炎症的作用。甲醇提取物通过抑制组胺的合成、释放或抑制组胺的作用而发挥抗炎作用。黄花楸叶甲醇提取物中黄酮类化合物的存在可能是黄酮类化合物活性显著的原因。
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引用次数: 1
Comparison of new expanded functions of pharmacists among Japan, the US, and the UK 日本、美国和英国药剂师新扩展职能的比较
Pub Date : 2021-08-14 DOI: 10.22377/ijgp.v15i2.3090
A. Kawahara
Introduction: Pharmacists’ role had been changed to be focused more as an expert on medication therapy such as collaborative drug therapy management in the US and supplemental prescriber and independent prescriber in the UK. The Ministry of Health, Labor and Welfare (MHLW) in Japan published a notice, “Enhancing the team approach in health care system by the cooperation of heath care provider,” that stated outlines about pharmacists’ role as an expert on medication therapy. In this manuscript, we compare the regulations among the US, the UK, and Japan and discuss how Japanese pharmacists should conduct their expected role. Materials and Methods: Databases used to identify laws and regulations on the new pharmacists’ role in the three countries are as follows; WestLaw® for the US, the legistration.gov.uk for the UK, and “Database services of acts and regulations on health, labor and welfare” at the MHLW website for Japan. Results: Comparison on the laws and regulations shows each regulatory authority established each way to regulate the new pharmacists’ role even though the role in each country is quite similar. In Japan, pharmacists have limited prescription rights by sharing the rights with the physician under the protocol within the Japanese team approach model, but the regulations are minimum. Discussion and Conclusions: The laws and regulations for the new pharmacists’ role are broken away from sameness or identify among the three countries. In Japan, an individual pharmacist must build up strong credibility with the team members and the patient and must show his/her capability to them when playing the new pharmacists’ role.
导言:药剂师的角色已经转变为更专注于药物治疗的专家,如美国的协同药物治疗管理和英国的补充处方者和独立处方者。日本厚生劳动省(MHLW)发布了一份通知,“通过医疗保健提供者的合作,加强医疗保健系统的团队方法”,其中概述了药剂师作为药物治疗专家的作用。在这份手稿中,我们比较了美国,英国和日本之间的法规,并讨论了日本药剂师应该如何进行预期的作用。材料与方法:用于识别三国新药师角色法律法规的数据库如下;美国的WestLaw®,英国的legislative .gov. UK,日本的MHLW网站上的“卫生、劳动和福利法律法规数据库服务”。结果:通过对法律法规的比较,可以发现各国监管部门对新药师角色的监管方式各不相同,尽管各国的角色相似。在日本,根据日本团队模式的协议,药剂师与医生分享处方权利,但规定很少。讨论与结论:三国关于新药师角色的法律法规存在着不一致或趋同的现象。在日本,药剂师个人必须在团队成员和患者中建立强大的信誉,并且在扮演新的药剂师角色时必须向他们展示自己的能力。
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引用次数: 0
Effect of methanolic extract of Corchorus trilocularis Linn. (Tiliaceae) in diabetic nephropathy with special reference to antioxidant activity 三叶草甲醇提取物的药理作用。(铁力科)在糖尿病肾病中的作用,特别提到抗氧化活性
Pub Date : 2021-08-14 DOI: 10.22377/ijgp.v15i2.3095
Sarvesh Kumar Jatav
Aim: Effect of methanolic extract of Corchorus trilocularis Linn. in diabetic nephropathy (DN) with special reference to anti-oxidant activity. Materials and Methods: C. trilocularis Linn. were collected from local medicinal garden of college campus and authentified by botanist. Dried leaves of selected plant were successively extracted using petroleum ether, dichloromethane, ethyl acetate, methanol, and finally water. In the previous study, methanolic extract showed potent activity so we have further selected methanolic extract for the other model. Animals were fasted for overnight then a single intra peritoneal injection of freshly prepared streptozotocin (50 mg/kg dissolved in citrate buffer pH 4.5) was injected and Nephropathy was induced by Ligation of the left renal artery. Blood was collected on 0, 14, and 28 day by retro-orbital on 28 days from eye for the estimation of biochemical parameters. The withdrawn blood was centrifuged at 5000 rpm for 10 min by using centrifuge and plasma was collected and different biochemical parameters were determined by auto analyzer. Some antioxidant parameters, that is, Malondialdehyde, glutathione, Catalase, and superoxide dismutase were also determined. Results: Here body weight of rat is decreased in DN group in comparison to normal control group while increased significantly in extract treated group at 28th day in comparison to DN group. Here blood glucose level of DN group was increased in comparison to normal control group while decreased significantly in extract treated group at 14th, 21st, and 28th days in comparison to DN group. Conclusion: The overall results of this study have clearly indicated that extract treated in a dose of 200 and 400 mg/kg ameliorate the renal ischemia reperfusion induced nephropathy in diabetic rats. The action of methanolic extract contributed by renoprotective, anti-diabetic, and antioxidant properties of C. trilocularis Linn.
目的:考察三叶草甲醇提取物的药理作用。在糖尿病肾病(DN),特别提到抗氧化活性。材料与方法:三叶草。采自当地高校校园药用园,经植物学家鉴定。依次用石油醚、二氯甲烷、乙酸乙酯、甲醇和水提取所选植物的干叶。在之前的研究中,甲醇提取物显示出了强大的活性,因此我们进一步选择了甲醇提取物作为其他模型。小鼠禁食过夜后腹腔单次注射新鲜制备的链脲佐菌素(50 mg/kg溶解于pH为4.5的柠檬酸缓冲液中),结扎左肾动脉诱导肾病。分别于第0、14、28天用眼反眶法采血,28天用眼测生化参数。取血后用离心机离心5000rpm 10min,采集血浆,自动分析仪测定不同生化参数。测定了丙二醛、谷胱甘肽、过氧化氢酶、超氧化物歧化酶等抗氧化指标。结果:第28天,DN组大鼠体重较正常对照组下降,提取物处理组大鼠体重较DN组显著升高。在第14、21、28天,DN组血糖水平较正常对照组明显升高,提取物处理组血糖水平较DN组明显降低。结论:本研究的总体结果清楚地表明,200和400 mg/kg剂量的提取物对糖尿病大鼠肾缺血再灌注肾病有改善作用。研究了三叶草甲醇提取物的肾保护作用、抗糖尿病作用和抗氧化作用。
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引用次数: 0
Preparation And Evaluation of Hydrogel Formulation Containing Ocimum Sanctum Leaves Extract for Anti-Inflammatory Activity 茴香叶提取物水凝胶制剂的制备及抗炎活性评价
Pub Date : 2021-08-14 DOI: 10.22377/ijgp.v15i2.3093
A. Jain
Aim: Aim of the present study was to evaluate anti-inflammatory effect of Ocimum sanctum leaves in the formulation of hydrogel using different types of animal models. Materials and Methods: Ethanolic extract of O. sanctum leaves was fractionated with methanol to get methanolic fraction. Methanolic fraction (1% vw/w) was used for hydrogel formulation with different combination of Carbopol 940 and Sodium CMC. Prepared hydrogel was characterized for optimum physical characters, pH, spreadability, homogeneity, viscosity, release profile, and irritation effect. Optimized hydrogel was evaluated for anti-inflammatory effect using xylene-induced, croton oilinduced ear edema, and cotton pellet-induced granuloma model in animals. Effect was monitored by measurement of percent inhibition, nitric oxide (NO), and myeloperoxidase (MPO) levels in mice ears after acute inflammation induced by croton oil. Results and Discussion: Physical evaluation confirmed the color of the prepared hydrogels was brownish and appearance was homogeneous and smooth on application. All other evaluation parameters, for example, pH, viscosity, spreadability, and consistency were found suitable in F3 hydrogel formulation combination. Hence, the optimize composition of F3 formulation was observed as 1.5 g of Carbopol 940 and 1% of Sodium CMC. Percent inhibition of edema in xylene induced ear edema in mice was found comparable to standard group of treatment (65.59%). In the present study, result indicates that prepared hydrogel hydrogel of methanol fraction of O. sanctum possesses inhibitory effects against acute inflammation. The results showing the ability of croton oil to induce neutrophil influx into mice ear tissue. This may be reduced by treatment with extract hydrogels, as well as Voltaren Emulgel, reduced significantly (P<0.01) the MPO levels and NO levels in mice ears. Conclusion: The methanol extracts was exhibits its anti-inflammatory action significantly may be due to the presence of flavonoids in O. sanctum leaves.
目的:采用不同类型的动物模型,对复方水凝胶中桑叶的抗炎作用进行评价。材料与方法:用甲醇对荆芥叶乙醇提取物进行分馏,得到甲醇馏分。以甲醇馏分(1% vw/w)为水凝胶剂,以卡波波940与CMC钠的不同组合配制水凝胶。对制备的水凝胶进行了物理特性、pH值、涂抹性、均匀性、粘度、释放特性和刺激效果的表征。采用二甲苯致耳部水肿、巴豆油致耳部水肿和棉球致肉芽肿模型对优化后的水凝胶进行抗炎作用评价。通过测量巴豆油引起急性炎症后小鼠耳内抑制百分比、一氧化氮(NO)和髓过氧化物酶(MPO)水平来监测效果。结果与讨论:物理评价证实制备的水凝胶颜色为褐色,使用时外观均匀光滑。所有其他评价参数,如pH、粘度、铺展性和稠度,均适用于F3水凝胶配方组合。因此,F3配方的最佳配比为卡波波尔940 1.5 g、CMC钠1%。二甲苯诱导小鼠耳部水肿的抑制率与标准组相当(65.59%)。在本研究中,结果表明,制备的水凝胶,水凝胶的甲醇部分,对急性炎症有抑制作用。结果显示,巴豆油诱导中性粒细胞流入小鼠耳组织的能力。水凝胶和伏他仑乳凝胶可显著降低小鼠耳内MPO和NO水平(P<0.01)。结论:甲醇提取物具有明显的抗炎作用,可能与黄酮的存在有关。
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International Journal of Green Pharmacy
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