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From Mahidol University Journal of Pharmaceutical Sciences to Pharmaceutical Sciences Asia, From MUJPS to PSA 从玛希隆大学药学杂志到亚洲药学杂志,从MUJPS到PSA
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.29090/psa.2022.01.01
M. Chomnawang
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引用次数: 0
Chloroquine dosage regimen simulation for pediatric patients with coronavirus disease 2019 2019冠状病毒病患儿氯喹给药方案模拟
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.29090/psa.2022.04.22.040
Kiatkriangkrai Koyratkoson, Nattapong Tidwong, Suwida Tangtrakultham, P. Montakantikul
Chloroquine (CQ) efficacy was shown in some coronavirus disease 2019 (COVID-19) adult clinical studies. However, its data in children is still limited. Therefore, this study aims to assess the suitability of the dosage regimens from the literature and regimens proposed by the authors for pediatric COVID-19 patients aged 2-12 years old. The efficacy pharmacodynamic (PD) target was calculated for CQ blood concentration based on the literature's successfully treated COVID-19 adult regimen. The safety PD targets were derived from the literature regarding any adverse effects (AEs) and QTc prolongation. The adult pharmacokinetic (PK) parameters were transformed into pediatrics by allometric scaling (AS) method. A 10,000-time Monte Carlo simulation (MCS) was performed to calculate the percentage of probability to target attainment (%PTA). The literature's regimens were not capable of achieving 90%PTA efficacy PD target. The proposed regimens without loading dose (LD) achieved the efficacy target at day 8-10 which was later than the proposed regimens with LD (day 4-7). The 90%PTA below any AEs target was achieved in the first few days of the literature and proposed regimens but was unavoidable thereafter. Nevertheless, the 90%PTA below QTc prolongation target was favorably achieved by all regimens. This study revealed that the proposed regimen with LD seems to be the optimal dosage regimen. Additional studies are needed to validate our proposed regimens, especially among early-stage COVID-19 patients and recent major variants.
氯喹(CQ)在一些冠状病毒病2019 (COVID-19)成人临床研究中显示出疗效。然而,它在儿童中的数据仍然有限。因此,本研究旨在评估文献中的给药方案和作者提出的给药方案对2-12岁儿童COVID-19患者的适用性。基于文献成功治疗的COVID-19成人方案,计算CQ血药浓度的功效药效学(PD)靶点。PD的安全性指标来源于有关不良反应(ae)和QTc延长的文献。采用异速缩放法(AS)将成人药代动力学(PK)参数转化为儿科药代动力学参数。进行了10,000次蒙特卡罗模拟(MCS)来计算实现目标的概率百分比(%PTA)。文献中的方案无法达到90%的pta疗效PD目标。无负荷剂量(LD)的建议方案在第8-10天达到疗效目标,比有LD的建议方案(第4-7天)晚。在文献和建议方案的最初几天内,90%的pta低于任何ae目标,但此后不可避免。然而,90%PTA低于QTc延长目标,所有方案都顺利实现。本研究显示,建议的LD方案似乎是最佳的给药方案。需要进一步的研究来验证我们提出的方案,特别是在早期COVID-19患者和最近的主要变体中。
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引用次数: 0
Prevalence and determinants of antimicrobial resistance of gram-negative bacteria in intensive care unit 重症监护病房革兰氏阴性菌的流行及耐药性的决定因素
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.29090/psa.2022.06.22.104
Van Duong Thi Thanh, Thang Nguyen, T. Van, Thu Pham Thi Minh
Antimicrobial resistance (AMR) has become a concerning health issue worldwide, and this resistance leads to poor treatment outcomes and high mortality, especially, AMR of NP in ICU. To determine the reality of AMR and find the factors related to AMR of NP in the ICU. We performed a cross-sectional study in the ICU Department from July 2015 to July 2019. We calculated the incidence of the degree of multidrug-resistant strains and the percentages of factors related to AMR. Data management and analysis were performed by SPSS version 22.0. Of the initial observation of 281 patients, all participants had NP due to gram-negative bacteria; 91 (32.4%) were early-onset and 190 (67.6%) were lately-onset NP. Out of all pathogens examined, above 80% were resistant to quinolone, carbapenem, and cephalosporin. Moreover, multiple drug resistance in bacteria was about 87.5%. Furthermore, bacteria, changed anti-biotics have been significantly associated with the multi-resistance of bacteria. Besides, the increase in antibiotic use, especially ciprofloxacin and imipenem, is also related to antibiotic resistance. These results show that the resistance to quinolones, carbapenem, and cephalosporin is high in the ICU, with rates exceeding 80%. Furthermore, the bacteria, change of antibiotics, and the increasing use of antibiotics have been significantly associated with multiple antibiotic resistance.
抗菌药物耐药性(AMR)已成为全球关注的健康问题,其耐药性导致治疗效果差和死亡率高,特别是重症监护室NP的AMR。确定重症监护室NP患者AMR的真实性,寻找与AMR相关的因素。我们于2015年7月至2019年7月在ICU进行了横断面研究。我们计算了多重耐药菌株的发生率以及与AMR相关因素的百分比。数据管理和分析采用SPSS 22.0版本。在初步观察的281例患者中,所有参与者都有革兰氏阴性菌引起的NP;早发性NP 91例(32.4%),晚发性NP 190例(67.6%)。在所检查的所有病原体中,80%以上对喹诺酮类、碳青霉烯类和头孢菌素耐药。细菌多重耐药率为87.5%。此外,细菌抗生素的改变与细菌的多重耐药有显著的关系。此外,抗生素使用的增加,特别是环丙沙星和亚胺培南,也与抗生素耐药性有关。结果表明,ICU患者对喹诺酮类药物、碳青霉烯类药物和头孢菌素的耐药率较高,耐药率超过80%。此外,细菌、抗生素的变化和抗生素使用的增加与多种抗生素耐药有显著的关系。
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引用次数: 1
Pharmacist-led interventions to reduce drug-related problems in prescribing for Vietnamese outpatients 药剂师主导的干预措施,以减少越南门诊病人在开处方时出现的药物相关问题
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.29090/psa.2022.01.21.096
N. Nguyen, Thang Nguyen, S. T. Pham, T. H. Nguyen
Inappropriate prescribing reduces the quality of treatment and leads to a waste of resources. The World Health Organization estimates that more than half of all drugs are prescribed, dispensed, or sold inappropriately, and that half of all patients do not take them correctly. Drug-related problems can increase the risk of side effects, drug interactions, antimicrobial resistance, increase costs for treatment (in terms of both direct medication costs and indirect medication costs), and pressure the insurance budget society. According to the studies, about 50% to 80% of drug-related problems may be preventable. In particular, clinical pharmacists help identify, treat and have a crucial role in preventing drug-related problems through specific interventions. The pharmacist's contribution to improving the quality of medication use and patient safety can be assessed directly or indirectly by determining the number of drug-related problems being managed/prevented or by cost-effective treatment. All over the world, many studies are showing the critical role of pharmacists in identifying and managing drug-related problems in prescribing. In Sweden, pharmacists' recommendations on DRPs might positively influence physicians’ prescribing quality and contribute to better and safer drug therapy for patients. In addition, Japanese pharmacists also had an essential role in providing medication safety, with potential cost savings.
不适当的处方降低了治疗质量并导致资源浪费。世界卫生组织估计,所有药物中有一半以上的处方、配药或销售不当,一半的患者没有正确服用。药物相关问题可增加副作用、药物相互作用、抗菌素耐药性的风险,增加治疗费用(包括直接用药费用和间接用药费用),并给社会的保险预算带来压力。根据这些研究,大约50%到80%与毒品有关的问题是可以预防的。特别是,临床药师通过具体的干预措施帮助识别、治疗并在预防药物相关问题方面发挥关键作用。药剂师对提高药物使用质量和患者安全的贡献可以通过确定正在管理/预防的药物相关问题的数量或通过具有成本效益的治疗来直接或间接地评估。在世界各地,许多研究表明药剂师在确定和管理处方中与药物有关的问题方面发挥着关键作用。在瑞典,药剂师对DRPs的建议可能会对医生的处方质量产生积极影响,并有助于为患者提供更好、更安全的药物治疗。此外,日本药剂师在提供药物安全方面也发挥了重要作用,有可能节省成本。
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引用次数: 0
Evaluation of formulation variables on azithromycin nanoparticles prepared by emulsification solvent diffusion method using quality by design approach 用质量设计法评价乳化溶剂扩散法制备阿奇霉素纳米颗粒的处方参数
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.29090/psa.2022.02.21.141
Nguyen-Thach Tung, Canh-Hung Nguyen, Huu-Manh Nguyen
The study aims to investigate the effect of formulation variables on the characteristics of azithromycin (AZI) nanoparticles using a quality by design approach. AZI nanoparticles were prepared by the emulsification solvent diffusion method. Two critical factors, the ratio of AZI: Eudragit EPO (X 1 ) and volume of outer aqueous medium (X 2 ), were chosen as independent variables for central composite design. The optimized formulation was further characterized by Fourier transform infrared spectroscopy, X-ray diffractometry, transmission electron microscopy, and dissolution test. The obtained results showed variability of mean particle size, entrapment efficacy, and zeta potential from 200 to 1232 nm, 10.78 to 75.9%, and 31 to 43 mV, respectively. The main coefficients indicated that the ratio of AZI: polymer (X 1 ) possessed a synergistic effect on mean particle size (Y 1 ), and volume of outer aqueous medium (X 2 ) had an antagonistic effect on particle size. The interaction between the ratio of AZI: Eudragit EPO (X 1 ) and volume of outer aqueous medium (X 2 ) exhibited a significant antagonistic effect on entrapment efficacy (Y 2 ) ( p <0.05). AZI existed in an amorphous state in nanoparticles that were spherical and homogeneous in shape. The nanoparticles revealed the Korsmeyer-Peppas release model, from which AZI was released faster compared to raw material.
本研究旨在采用质量设计方法研究处方变量对阿奇霉素纳米颗粒特性的影响。采用乳化溶剂扩散法制备AZI纳米颗粒。选择AZI: Eudragit EPO (x1)和外水介质体积(x2)两个关键因素作为中心复合设计的自变量。通过傅里叶变换红外光谱、x射线衍射、透射电镜和溶出度测试对优化后的配方进行了表征。结果表明,平均粒径、捕集效率和zeta电位的变化范围分别为200 ~ 1232 nm、10.78 ~ 75.9%和31 ~ 43 mV。主要系数表明,AZI与聚合物的比例(X 1)对平均粒径(Y 1)具有协同作用,而外水介质体积(X 2)对粒径具有拮抗作用。AZI: eudrragit EPO的比值(x1)与外水介质体积(x2)的交互作用对捕集效果(y2)有显著的拮抗作用(p <0.05)。AZI以非晶态存在于球状均匀的纳米颗粒中。纳米颗粒揭示了Korsmeyer-Peppas释放模型,与原料相比,AZI的释放速度更快。
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引用次数: 0
Cell culture models for SARS-CoV-2 infectivity and systemic complications SARS-CoV-2传染性和全身并发症的细胞培养模型
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.29090/psa.2022.04.22.058
Khanit Sa-ngiamsuntorn, Piyanoot Thongsri, Yongyut Pewkliang, A. Wongkajornsilp
COVID-19 was declared by WHO as a pandemic since March 2020. The vaccination program has been implemented worldwide. Specific antiviral drugs such as remdesivir, molnupiravir and ritonavir-based nirmatrelvir were effective against SARS-CoV-2 infection. However, the new SARS-CoV-2 variants have been elevated due to viral mutation causing vaccine resistance and rapid spreading. Long-term COVID-19 complications have been lifethreatening in some recovery cases. To overcome viral adaptation, cell culture model is essential to comprehend SARS-CoV-2 infection, pathophysiology, complications, and drug target alterations. The classical 2D culture cell was frequency used for viral propagation and high-throughput screening. Modern 3D culture has recapitulated key cellular and molecular events of tissue physiology. Here, we reviewed the cell lines, 3D culture, organoid and relevant models for the aforementioned applications.
自2020年3月以来,世卫组织宣布COVID-19为大流行。疫苗接种计划已在世界范围内实施。特异性抗病毒药物如remdesivir、molnupiravir和基于利托那韦的nirmatrelvir对SARS-CoV-2感染有效。然而,由于病毒突变导致疫苗耐药性和快速传播,新的SARS-CoV-2变体已经增加。在一些康复病例中,COVID-19的长期并发症已危及生命。为了克服病毒的适应性,细胞培养模型对于理解SARS-CoV-2感染、病理生理、并发症和药物靶点改变至关重要。采用经典二维培养细胞进行病毒繁殖和高通量筛选。现代3D培养再现了组织生理学的关键细胞和分子事件。本文对上述应用的细胞系、三维培养、类器官和相关模型进行了综述。
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引用次数: 0
Antibacterial hydrogel containing Piper Betel L. extract for acne treatment, an ex vivo investigation 抗菌水凝胶含有胡椒槟榔L.提取物治疗痤疮,离体研究
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.29090/psa.2022.04.22.061
Gajanand R Pujari, V. Subramanian, S. Rao
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引用次数: 3
Carica papaya leaf ethanol extract effect on milk volume, β-casein gene (Csn2) expression, β-casein levels, and milk total protein levels 木瓜叶乙醇提取物对泌乳量、β-酪蛋白基因(Csn2)表达、β-酪蛋白水平和乳总蛋白水平的影响
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.29090/psa.2022.02.21.158
Yanti Herawati, U. Kalsum, I. W. Arsana, L. Yuniarti, Teguh Wahju Sardjono
The phytochemical compounds contained in papaya leaves are known to have a galactopoietic effect. This study aims to analyze the effect of ethanol extract of Carica papaya leaves on β-casein gene expression, β-casein levels, total protein, and milk volume. This in vivo was an experimental study including a posttest control group that was conducted on one control group and three treatment groups. Each group consisted of six lactating rats. The control group rats were given ordinary food, while the treatment group rats, D1, D2, and D3, were given ethanol extract of Carica papaya leaves with the dose of 0.95 mg, 1.9 mg, and 3.8 mg/200 g Body weight (BW)/ day, respectively, from day 1 to day 13 of lactation. On day 14, all of the rats were sacrificed. Breastmilk volume taken from all breasts of lactating rats was measured individually in milliliters, β-casein gene expressions in the mammary tissues were measured using reverse transcription polymerase chain reaction (RT-PCR), while serum β-casein levels were measured using ELISA, and total protein was measured using bicinchoninic acid (BCA) protein assay. Statistical analysis was carried out using one-way ANOVA, Tukey test, and Games-Howell test at 95% confidence level. Milk volume, β-casein gene expression, β-casein levels, and total protein levels of all treatment rat groups were significantly higher than the control group ( p <0.05). The increases of all parameters were consistent; the most effective dose was 1.9 mg/200g BW. Carica papaya leaf ethanol extract can increase milk volume, β-casein gene (Csn2) expression, β-casein levels, and total protein levels.
番木瓜叶中所含的植物化学化合物已知具有半乳糖生成作用。本研究旨在分析番木瓜叶乙醇提取物对β-酪蛋白基因表达、β-酪蛋白水平、总蛋白和泌乳量的影响。这是一项体内实验研究,包括一个后测对照组,在一个对照组和三个治疗组上进行。每组6只泌乳大鼠。对照组大鼠饲喂普通食物,治疗组D1、D2、D3大鼠分别饲喂剂量为0.95 mg、1.9 mg、3.8 mg/200 g体重/天的番木瓜叶乙醇提取物,从泌乳第1天至第13天。第14天,处死所有大鼠。采用逆转录聚合酶链式反应(RT-PCR)法测定乳腺组织中β-酪蛋白基因表达,ELISA法测定血清β-酪蛋白水平,BCA蛋白法测定总蛋白含量。统计学分析采用单因素方差分析、Tukey检验和Games-Howell检验,置信水平为95%。各处理组的泌乳量、β-酪蛋白基因表达量、β-酪蛋白水平和总蛋白水平均显著高于对照组(p <0.05)。各参数的增加具有一致性;最有效剂量为1.9 mg/200g BW。木瓜叶乙醇提取物可提高泌乳量、β-酪蛋白基因(Csn2)表达量、β-酪蛋白水平和总蛋白水平。
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引用次数: 0
A sensitive bioanalytical method for the simultaneous determination of amlodipine and glibenclamide 一种同时测定氨氯地平和格列本脲的灵敏生物分析方法
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.29090/psa.2022.04.22.095
F. A. Saputri, A. N. Hasanah, Mutakin, T. Rusdiana, I. Surono, R. Abdulah
Type 2 diabetes mellitus triggers hypertension as a complication. The use of amlodipine and glibenclamide drugs simultaneously results in a synergistic and effective lowering of blood sugar and blood pressure. In the testing of bioavailability and bioequivalence, as well as the monitoring of drug concentrations in the blood, a sensitive bioanalytical approach that meets existing reference requirements, such as the European Medicines Agency (EMA) recommendation, is required. Presently, there is no simultaneous bioanalytical method of amlodipine and glibenclamide that meets EMA requirements. This study aimed to develop a sensitive bioanalytical method that fulfills EMA requirements for determining the levels of amlodipine and glibenclamide simultaneously. Amlodipine and glibenclamide in plasma were extracted with acetonitrile at 10°C. The derivatization was conducted using 0.08% 4-chloro-7-nitrobenzofurazan at pH 8.6 with Teorell and Stenhagen buffer for 20 min at 70°C, followed by the addition of 0.1 N sulfuric acid. High-performance liquid chromatography analysis used a LiChrospher RP 18 column with a size of 125×40 mm ID; mobile phase, acetonitrile: 0.01% phosphoric acid (52:48); flow rate of 1 mL/min; and emission and excitation wavelength for glibenclamide and amlodipine at 346 and 300 nm and 535 and 480 nm, respectively. The concentration ranges were 0.1-20 ng/mL for amlodipine and 1-200 ng/mL for glibenclamide. The average ranges of percentage coefficient of variation and percentage difference were 1.76%-14.62% and 4.48%-11.18% for amlodipine and 0.56%-11.92% and 2.92%-12.75% for glibenclamide. This sensitive and simultaneous bioanalytical method for amlodipine and glibenclamide fulfills the EMA requirements.
2型糖尿病会引发高血压。同时使用氨氯地平和格列苯脲药物可协同有效地降低血糖和血压。在生物利用度和生物等效性测试以及血液中药物浓度监测中,需要一种符合现有参考要求(如欧洲药品管理局(EMA)建议)的敏感生物分析方法。目前,尚没有符合EMA要求的氨氯地平和格列本脲同时进行生物分析的方法。本研究旨在开发一种灵敏的生物分析方法,以满足EMA的要求,同时测定氨氯地平和格列本脲的水平。10℃乙腈萃取血浆中的氨氯地平和格列苯脲。以0.08%的4-氯-7-硝基苯并呋喃唑为原料,pH 8.6, Teorell和Stenhagen缓冲液,70℃下反应20 min,然后加入0.1 N硫酸。高效液相色谱分析采用LiChrospher RP 18色谱柱,柱径为125×40 mm;流动相:乙腈:0.01%磷酸(52:48);流速为1ml /min;格列本脲和氨氯地平的发射和激发波长分别为346和300 nm, 535和480 nm。氨氯地平浓度范围为0.1 ~ 20 ng/mL,格列本脲浓度范围为1 ~ 200 ng/mL。氨氯地平的百分比变异系数和百分比差异平均范围分别为1.76% ~ 14.62%和4.48% ~ 11.18%,格列本脲的百分比变异系数和百分比差异平均范围分别为0.56% ~ 11.92%和2.92% ~ 12.75%。本方法对氨氯地平和格列本脲的灵敏和同步生物分析符合EMA要求。
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引用次数: 1
Phytochemical screenings, antibacterial and anti-biofilm activities of Garcinia cowa Roxb. leaves extracts and its synergistic effect with antibiotic Garcinia cowa Roxb的植物化学筛选及其抗菌和抗生物膜活性。叶提取物及其与抗生素的协同作用
Q4 Pharmacology, Toxicology and Pharmaceutics Pub Date : 2022-01-01 DOI: 10.29090/psa.2022.06.22.280
S. Tinrat
The rapidly growing antimicrobial resistance is a global problem. This made it necessary to search for new antimicrobial agents. In present study, agar well diffusion, broth microdilution and time-kill kinetic assays were used to determine the antimicrobial activities of the extracts against seven pathogens. The results showed that 75% acetonic and 95% ethanolic extracts of Garcinia cowa Roxb. leaves (GCL) showed the strongest broad-spectrum antibacterial effect towards both Gram-negative and Gram-positive bacteria with 9.67±0.57-22.83±0.45 mm of inhibition zones and MIC/MBC values ranging from 25-100 mg/mL. 95% ethanolic extract revealed the inhibiting and killing actions at rapid first 3 h of incubation, depending on concentration of extracts and had the best capacity to inhibit biofilm formation of all tested bacteria (gastrointestinal and urinary pathogens) with 73.43  0.20-90.14  0.10%. Pseudomonas aeruginosa ATCC 27853 displayed the highest sensitivity with all GCL extracts. Interestingly, 95% ethanolic extract and ampicillin combination showed a synergistic effect at FICI value of 0.0313-0.5 (1/16MIC×1/32MIC-1MIC×1/4MIC) against all microorganisms. The bioactive potency of constituents of the 95% ethanolic extract (saponins, tannins, flavonoids, steroids, terpenoids and alkaloids) play an important roles in the observed antibacterial, anti-biofilm and synergistic activities. The findings indicated that Garcinia cowa Roxb. leaves extracts had the strong broad-spectrum antibacterial, anti-biofilm and synergistic activities. Crude extracts possess time and concentration-dependent bactericidal actions. Thus, the present results that G. cowa Roxb. leaves extracts had potential as a natural alternative antimicrobials for fighting bacterial infections.
快速增长的抗菌素耐药性是一个全球性问题。这就需要寻找新的抗菌剂。本研究采用琼脂孔扩散法、肉汤微稀释法和时间动力学法测定了提取物对7种病原菌的抑菌活性。结果表明,75%丙酮和95%乙醇提取物对栀子提取物的提取率均高于常规提取物。对革兰氏阴性菌和革兰氏阳性菌均有较强的广谱抑菌作用,抑菌带为9.67±0.57 ~ 22.83±0.45 mm, MIC/MBC值为25 ~ 100 mg/mL。95%乙醇提取物在孵育前3小时显示出快速的抑制和杀伤作用,根据提取物浓度的不同,对所有测试细菌(胃肠道和泌尿系统病原体)的生物膜形成的抑制能力最好,为73.430.20-90.140.10%。铜绿假单胞菌ATCC 27853对所有GCL提取物的敏感性最高。有趣的是,95%乙醇提取物和氨苄西林组合对所有微生物都有协同作用,FICI值为0.0313-0.5 (1/16MIC×1/32MIC-1MIC×1/4MIC)。95%乙醇提取物的成分(皂苷、单宁、黄酮类、类固醇、萜类和生物碱)的生物活性在抗菌、抗生物膜和协同作用中发挥了重要作用。研究结果表明,藤黄属植物具有较强的抗氧化活性。叶提取物具有较强的广谱抗菌、抗生物膜和协同作用。粗提物具有时间和浓度依赖性的杀菌作用。因此,目前的结果表明,G. cowa Roxb。叶子提取物有潜力作为对抗细菌感染的天然替代抗菌剂。
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引用次数: 0
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Pharmaceutical Sciences Asia
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