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Formulation of Mouthwash Using Combined Herbal Extracts to Control the Predominant Oral Pathogens and Biofilm 使用混合草药提取物配制漱口水,以控制主要口腔病原体和生物膜
IF 2.2 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-06-13 DOI: 10.1016/j.hermed.2024.100905
A. Sakthivel , K. Sankaran , G. Rengasamy , V. Vishnu Priya , P. Sathishkumar

Introduction

Globally, oral disease is a major health problem, which affects the quality of life. The role of oral microflora in the oral diseases is well established. However, with the increase in the frequency of oral disease, the development of antimicrobial drug resistance to the existing drugs has insisted on searching for alternative drugs from plant sources. Herein, herbal-based mouthwash is formulated to effectively control the dominant oral pathogens.

Methods

The antimicrobial activity of plant extracts was evaluated against oral pathogens by zone of inhibition test. Mouthwash was formulated with one gram of each plant extracts (Rosa damascena flower petals, Coleus amboinicus leaves, Psidium guajava leaves, and Phyllanthus acidus fruits) in 10% ethanol. Antimicrobial efficacy of the formulated mouthwash was assessed against Streptococcus mutans, Enterococcus faecalis, Staphylococcus aureus, Escherichia coli, and Candida albicans by standard protocol. Also, the antibiofilm effect of the formulated mouthwash was assessed against preformed S mutans biofilm and visualised using SEM and CLSM.

Results

The formulated mouthwash exhibits excellent broad-spectrum antimicrobial activity. The minimum inhibitory concentration result indicates that the susceptibility of the pathogens was found as follows: S aureus < S mutans < C albicans < E faecalis < E coli. Also, it shows a great anti-inflammatory effect. SEM and CLSM images reveal that the formulated mouthwash has the potential to inhibit the oral biofilm of S. mutants.

Conclusions

This study concludes that the formulated herbal-based mouthwash might be useful in controlling multiple oral pathogens and biofilms.

导言在全球范围内,口腔疾病是影响生活质量的主要健康问题。口腔微生物菌群在口腔疾病中的作用已得到公认。然而,随着口腔疾病发病率的增加,现有药物对抗菌药物产生了抗药性,因此人们不得不从植物中寻找替代药物。方法通过抑菌区试验评估植物提取物对口腔病原体的抗菌活性。漱口水是用每种植物提取物(大马士革蔷薇花瓣、鹅掌楸叶、番石榴叶和酸浆果)各一克在 10%乙醇中配制而成。通过标准方案评估了配制漱口水对变异链球菌、粪肠球菌、金黄色葡萄球菌、大肠杆菌和白色念珠菌的抗菌功效。此外,还评估了配制漱口水对已形成的变异球菌生物膜的抗生物膜效果,并使用扫描电镜和扫描电子显微镜进行了观察。最低抑菌浓度结果表明,病原体的敏感性如下:金黄色葡萄球菌、变异金黄色葡萄球菌、白喉杆菌、粪大肠杆菌和大肠杆菌。此外,它还具有很好的消炎效果。SEM 和 CLSM 图像显示,配制的漱口水具有抑制金黄色葡萄球菌口腔生物膜的潜力。
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引用次数: 0
The Effect of Topical Rosa damascena Mill. and Sesamum indicum L. Oils on the Avoidance of Striae Gravidarum: A Randomised Controlled Trial 局部使用大马士革蔷薇和印度芝麻油对避免妊娠纹的影响:随机对照试验
IF 2.2 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-06-13 DOI: 10.1016/j.hermed.2024.100904
F. Mirzaei , K. Vakilian , S. Asnaashari , A. Ostadrahimi , K. Ghahremanzadeh , A. Farshbaf-Khalili

Introduction

Striae gravidarum (SG) is the most prevalent physiological skin change experienced by pregnant women during gestation. This study aimed to evaluate the effects of topical Sesamum indicum L. (Sesame) and Rosa damascena Mill. (R damascena) oils because of their skin-healing properties in preventing SG in nulliparous females.

Methods

This study was a triple-blinded, randomised, controlled trial conducted on 150 nulliparous mothers in the age group of 18–35 from 16 to 20 weeks of pregnancy. Participants were randomly assigned to the R damascena oil, Sesame oil, or placebo group with a 1:1:1 randomisation ratio. They received the allocated intervention of 1 g, twice/d, without massaging the abdomen for 20 weeks. Socio-demographic and obstetric characteristics and SG risk factors were completed at baseline. Davey's and Kamini's methods were used as data-gathering tools for assessing striae and itching.

Results

There were no significant differences between study groups in baseline characteristics. The occurrence of striae between 35 and 38 weeks of pregnancy was similar (72%, 74%, and 74% among R damascena oil, Sesame oil, and the placebo group, respectively; P = 0.919). More than 50% of participants had severe SG. The itching was reported by 40%, 54%, and 40% of participants among the R damascena oil, Sesame oil, and control groups, respectively (P = 0.129), which was mild mostly. Skin redness and itching following topical oil use were the reported side effects.

Conclusions

This study indicated that using R damascene and Sesame oil 10% did not affect the incidence and severity of striae and itching compared to the control.

引言 妊娠纹(SG)是孕妇在妊娠期间最常见的皮肤生理变化。本研究旨在评估外用 Sesamum indicum L.(芝麻)和 Rosa damascena Mill.(本研究是一项三重盲法随机对照试验,对象是 150 名年龄介于 18-35 岁之间、怀孕 16-20 周的单胎母亲。参与者按 1:1:1 的随机分配比例被随机分配到大马士革籽油组、芝麻油组或安慰剂组。在 20 周的时间里,他们每天两次,每次 1 克,在不按摩腹部的情况下接受所分配的干预。基线调查包括社会人口学特征、产科特征和 SG 风险因素。戴维法和卡米妮法被用作评估条纹和瘙痒的数据收集工具。妊娠 35 至 38 周间条纹的发生率相似(大马士革油组、芝麻油组和安慰剂组分别为 72%、74% 和 74%;P = 0.919)。50%以上的参与者有严重的 SG。大马士革籽油组、芝麻油组和对照组中分别有 40%、54% 和 40% 的参与者报告有瘙痒症状(P = 0.129),大部分为轻度瘙痒。结论 本研究表明,与对照组相比,使用 10%的大马士革树脂油和芝麻油不会影响条纹和瘙痒的发生率和严重程度。
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引用次数: 0
Perspectives on animal experimentation in herbal medicine research: ethical dilemmas and scientific progress 透视中草药研究中的动物实验:伦理困境与科学进步
IF 2.2 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-06-12 DOI: 10.1016/j.hermed.2024.100903
Kofi Busia

Animal experimentation has long been an integral part of biomedical and cosmetics research, with historical roots dating back to ancient Greece. During that period, physicians constrained by cultural taboos that forbade the use of human cadavers, turned to the dissection of animals for their anatomical studies. The use of specific animal models in research has often been justified by the remarkable biological similarities between animals and humans. However, there are instances where animal models, such as fish and frogs, are used, despite significant disparities in their anatomy and physiology compared to humans. In herbal medicine research, animal experimentation has found various applications. Numerous plant species from diverse global regions, including the United Kingdom, United States, China, India, and Africa, have been studied to identify their pharmacological properties and therapeutic indications. Nevertheless, the use of animals in these studies, while offering undeniable advantages, remains a subject of intense debate and contention, mainly arising from the ethical challenges it presents, as well as the substantial financial burden it imposes, and its inability to reliably predict human responses. This paper, therefore, proposes a comprehensive list of research methodologies that are ethical, practical, cost-effective, and consistent with the real ethos of herbal medicine. These alternative methods, which include in vitro studies, human cell cultures, computational modelling, culturally sensitive clinical trials, and ethnobotanical surveys, have the potential to provide cost-effective healthcare solutions, without subjecting animals to unnecessary suffering.

长期以来,动物实验一直是生物医学和化妆品研究不可或缺的一部分,其历史渊源可追溯到古希腊。在那个时期,由于文化禁忌禁止使用人类尸体,医生们转而使用解剖动物的方法进行解剖研究。在研究中使用特定动物模型的理由通常是动物与人类在生物学上有显著的相似性。不过,也有使用鱼类和青蛙等动物模型的情况,尽管这些动物的解剖学和生理学与人类相比存在显著差异。在草药研究中,动物实验有多种应用。对来自英国、美国、中国、印度和非洲等全球不同地区的众多植物物种进行了研究,以确定其药理特性和治疗适应症。然而,在这些研究中使用动物虽然具有不可否认的优势,但仍然存在激烈的争论和争议,主要原因是使用动物会带来伦理挑战和巨大的经济负担,而且无法可靠地预测人类的反应。因此,本文提出了一份全面的研究方法清单,这些方法符合伦理、实用、成本效益高,而且与草药的真正精神相一致。这些替代方法包括体外研究、人类细胞培养、计算建模、文化敏感性临床试验和人种植物学调查,有可能提供具有成本效益的医疗保健解决方案,而不会让动物遭受不必要的痛苦。
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引用次数: 0
Do the natural and herbal remedies used for fighting against COVID-19 pose a risk for surgical patients? 用于抗击科维-19 的天然草药是否会给手术患者带来风险?
IF 2.2 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-06-07 DOI: 10.1016/j.hermed.2024.100902
Meral Özkan , Hüseyin Güneş

Introduction

To determine what natural and herbal remedies were used in the fight against COVID-19 and analyze the potential of these products to create a risk for surgical patients.

Methods

The study was conducted with a descriptive and cross-sectional research design. The data were collected between September and October 2021. In the study, convenience sampling, which is a non-probability sampling method, was used. An online questionnaire was applied to the participants on social media platforms. In the data collection process, 1 488 individuals were reached.

Results

The most frequently used herbal remedies by the participants were garlic (62.8%), ginger (53.4%), linden (42.3%), turmeric (37.9%), and oregano (35.6%). The most frequently used natural remedies were lemon (65.4%), honey (53.8%), yogurt (47.2%), traditional soups (33.5%), and vinegar (33.1%). The most frequently used supplements of vitamins were vitamin D (42.4%) vitamin C (41.1%), vitamin B12 (22.4%), vitamin E (8.7%), and fish oil/Omega-3 fatty acids (7.5%). Among the participants who reported that they used natural and herbal remedies (n = 710), only 6.9% were determined to have undergone a surgery in this period. Furthermore, 89.8% of these individuals who presented to the hospital for a surgery had not been asked whether they used natural or herbal remedies by healthcare professionals.

Conclusion

The intake of garlic and vitamin E supplements according to the American Society of Anesthesiologists and the intake of garlic, ginger, turmeric/curcumin, and vitamin E supplements according to the Society for Perioperative Assessment and Quality Improvement Consensus Statement should be stopped before a surgery.

引言为了确定在抗击COVID-19的斗争中使用了哪些天然和草药疗法,并分析这些产品给手术患者带来风险的可能性。 方法本研究采用描述性和横断面研究设计。数据收集时间为 2021 年 9 月至 10 月。研究采用了方便抽样法,即非概率抽样法。在社交媒体平台上对参与者进行了在线问卷调查。结果参与者最常用的草药疗法是大蒜(62.8%)、生姜(53.4%)、椴树(42.3%)、姜黄(37.9%)和牛至(35.6%)。最常用的自然疗法是柠檬(65.4%)、蜂蜜(53.8%)、酸奶(47.2%)、传统汤(33.5%)和醋(33.1%)。最常用的维生素补充剂是维生素 D(42.4%)、维生素 C(41.1%)、维生素 B12(22.4%)、维生素 E(8.7%)和鱼油/欧米伽-3 脂肪酸(7.5%)。在报告使用天然和草药疗法的参与者(710 人)中,只有 6.9% 的人被确定在此期间接受过手术。结论:根据美国麻醉医师协会的规定,手术前应停止摄入大蒜和维生素 E 补充剂;根据围术期评估和质量改进协会的共识声明,手术前应停止摄入大蒜、生姜、姜黄/姜辣素和维生素 E 补充剂。
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引用次数: 0
Vitex agnus-castus (VAC) plant commonly used in Aydın province, Turkey: women's menstrual and menopausal symptoms 使用和不使用荆芥植物的妇女的月经和更年期症状比较
IF 2.2 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-06-06 DOI: 10.1016/j.hermed.2024.100900
Serpil Abalı Çetin , Fatma Mutlu

Introduction

This study was conducted to evaluate the effects of using Vitex agnus-castus (VAC) plant on menstrual and menopausal symptoms in district where VAC is commonly used.

Methods

The menstrual and menopausal symptoms of a total of 225 women aged between 18-65, living in Aydın province, Turkey, and its districts, who either used VAC or not were compared, following purposive sampling method. The research data were collected with an online survey form between March and December 2021. The data collected from the women in the VAC group (n=104, 46.2%) and the women in the non-VAC (n=121, 53.8%) group were compared in this study.

Results

It was found that the rate of experiencing symptoms before menstruation was higher in women who did not take VAC compared to the women who took VAC (P < 0.05). Almost all of those who experienced menopausal symptoms were in the group that did not take VAC.

Conclusion

The type, duration and time of VAC use were associated with the effect of menstruation on daily life, but not with menopausal symptoms.

方法采用目的性抽样方法,对居住在土耳其艾登省及其各地区的 225 名 18-65 岁女性的月经和更年期症状进行比较,这些女性有的使用过蔓荆子,有的没有使用。研究数据是在 2021 年 3 月至 12 月期间通过在线调查表收集的。结果发现,与服用 VAC 的妇女相比,未服用 VAC 的妇女在月经前出现症状的比例更高(P < 0.05)。几乎所有出现更年期症状的人都属于未服用 VAC 组。结论 使用 VAC 的类型、持续时间和时间与月经对日常生活的影响有关,但与更年期症状无关。
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引用次数: 0
Transcriptomic Analysis of Secondary Metabolite Biosynthesis in Solanaceae Medicinal Plants 茄科药用植物次生代谢物合成的转录组分析
IF 2.2 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-06-05 DOI: 10.1016/j.hermed.2024.100899
P.H.S. Dasanya, M. Hewadikaram

Introduction

Secondary metabolites produced in plants play a vital role in their adaptation to various biotic and abiotic stresses in the environment. Plant secondary metabolites possess significant value in the pharmaceutical and other herbal medicine-related industries. Therefore, the isolation and characterisation of plant secondary metabolites have gained a special interest in recent years. The elucidation of secondary metabolite biosynthetic pathways is required in the metabolic engineering of plant secondary metabolites in heterologous organisms.

Methods

Data were retrieved from various online electronic resources, including PubMed, Google Scholar, and Scopus, among others. Keywords such as Solanaceae plants, secondary metabolites, transcriptomic, medicinal plants, and RNA sequencing were used to formulate search strategies across approximately 111 research and review articles.

Results

The outcomes of the de novo transcriptomic studies performed in Solanaceae medicinal plants have been extensively elucidated with a primary focus on the identification of candidate genes, pathway analysis differential gene expression analysis, the discovery of molecular markers, and the identification of transcription factors.

Discussion

The primary significance of de novo transcriptomic studies performed in Solanaceae medicinal plants has been discussed with significant limitations necessitating attention. Moreover, recent and future trends of de novo transcriptomic studies have been addressed with the intention of encouraging more de novo transcriptomic studies in Solanaceae medicinal plants.

导言植物产生的次生代谢物在植物适应环境中的各种生物和非生物压力方面发挥着至关重要的作用。植物次生代谢物在制药和其他草药相关产业中具有重要价值。因此,植物次生代谢物的分离和表征近年来受到了特别关注。在异源生物的植物次生代谢物代谢工程中,需要阐明次生代谢物的生物合成途径。方法数据来自各种在线电子资源,包括 PubMed、Google Scholar 和 Scopus 等。使用茄科植物、次生代谢物、转录组学、药用植物和 RNA 测序等关键词制定搜索策略,共搜索了约 111 篇研究和综述文章。结果对茄科药用植物从头转录组学研究的成果进行了广泛阐释,主要集中在候选基因的鉴定、通路分析差异基因表达分析、分子标记物的发现以及转录因子的鉴定等方面。讨论对茄科药用植物从头转录组学研究的主要意义进行了讨论,同时也指出了需要注意的重大局限性。此外,还讨论了从头转录组研究的近期和未来趋势,以期鼓励在茄科药用植物中开展更多的从头转录组研究。
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引用次数: 0
Anethum graveolens L. restores expression of free fatty acid synthesis-related genes in high fat induced-HepG2 cells Anethum graveolens L. 恢复高脂肪诱导的 HepG2 细胞中游离脂肪酸合成相关基因的表达
IF 2.2 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-06-05 DOI: 10.1016/j.hermed.2024.100901
Waranya Chatuphonprasert , Nadta Sukkasem , Pattaraporn Maneechot , Jintanaporn Wattanathorn , Kanokwan Jarukamjorn

Introduction

The ethanolic extract of Anethum graveolens (dill) and its major constituents, chlorogenic acid (CGA) and ellagic acid (EA), were investigated for hepatoprotective effects in a HepG2 cell fatty liver model.

Methods

HepG2 cells were induced with a combination of oleic (1mM OA) and palmitic (1mM PA) acids and treated with either 10 µM fenofibrate, 1-10 µg/mL CGA or EA, 60-360 µg/mL A. graveolens extract, or left untreated (n=4-5 per group). After 48 hours, cell medium and cells were collected for alanine transaminase (ALT), aspartate transaminase (AST), reactive oxygen species (ROS), and fatty acid accumulation assays. The mRNA and protein expression levels of free fatty acid (FFA) synthetic pathway-related genes were determined using reverse transcription/real-time polymerase chain reaction and Western blotting analysis, respectively.

Results

HepG2 cells treated with OA and PA showed increased ALT, AST, and ROS levels, fatty acid accumulation, and modified mRNA and protein expression of PPAR, SREBP1, ACC, ACOX, FAS, SCD1, and HMGCR fatty acid synthesis-related genes. The CGA, EA, and A. graveolens extract showed hepatoprotective activities in OA and PA-induced HepG2 cells by preventing fatty acid accumulation and restoring mRNA and protein expression levels of the fatty acid synthesis-related genes to control levels, with comparable efficacy to the standard anti-lipidemic drug, fenofibrate. Furthermore, CGA, EA, and A. graveolens extract did not increase ALT and ROS levels in HepG2 cells, in contrast to fenofibrate.

Conclusion

A. graveolens extract, CGA, and EA are good candidates for development as preventive health supplements for fatty liver disease therapy.

简介:研究了莳萝(Anethum graveolens)乙醇提取物及其主要成分绿原酸(CGA)和鞣花酸(EA)在 HepG2 细胞脂肪肝模型中的保肝作用。方法用油酸(1mM OA)和棕榈酸(1mM PA)组合诱导 HepG2 细胞,然后用 10 µM 非诺贝特、1-10 µg/mL CGA 或 EA、60-360 µg/mL A. graveolens 提取物处理,或不处理(每组 4-5 个)。48 小时后,收集细胞培养基和细胞,进行丙氨酸转氨酶(ALT)、天门冬氨酸转氨酶(AST)、活性氧(ROS)和脂肪酸积累检测。结果用 OA 和 PA 处理的 HepG2 细胞显示 ALT、AST 和 ROS 水平升高,脂肪酸积累,PPAR、SREBP1、ACC、ACOX、FAS、SCD1 和 HMGCR 脂肪酸合成相关基因的 mRNA 和蛋白表达发生改变。CGA、EA和A. graveolens提取物对OA和PA诱导的HepG2细胞具有保肝活性,可防止脂肪酸积累,并使脂肪酸合成相关基因的mRNA和蛋白表达水平恢复到控制水平,其疗效与标准抗脂药物非诺贝特相当。此外,与非诺贝特相比,CGA、EA 和 A. graveolens 提取物不会增加 HepG2 细胞中的谷丙转氨酶(ALT)和 ROS 水平。
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引用次数: 0
Development and prospect ofbotanical drugs in the treatment of lung cancer–a visualisation study based on 植物药在肺癌治疗中的发展和前景--一项基于
IF 2.3 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-05-31 DOI: 10.1016/j.hermed.2024.100897
Qiao Li , Siyu Chen , Yuwen Chen

Introduction

Lung cancer has one of the highest death rates in the world. modern medicine is the main treatment, but it has many side effects. Scholars have turned their attention to botanical drugs. It is found that in addition to treating lung cancer, it can also reduce side effects, improve the immunity of patients and the quality of lives of patients.

Methods

We searched journal papers from the Web of Science database dated from January 2002 to March 2023 in the field of botanical drugs treating lung cancer, we used Cite Space, VOS viewer, Pajet analysis software to analyze publication, author, institution, country, keyword, keyword cluster, journals of co-citation analysis, burst keyword, and drew visual maps.

Results

814 articles were obtained,Liu Liang published the most papers in the field, Shanghai University of Traditional Chinese Medicine was an important scientific research institution, and it had more cooperation with other institutions. China had the largest number of publications. The research content mainly focused on lung cancer, apoptosis, traditional Chinese medicine, Chinese herb medicine, efficacy, chemotherapy, signalling pathways, mechanisms, and in vitro. Ten significant clusters were generated by keyword cluster analysis. The Journal Of Ethnopharmacology (929 citations) and Cancer Research (683 citations) were excellent journals in the JCR1 region. The top 18 burst keywords showed the hot research issues in the past more than 20 years.

Conclusion

The research is still in initial stage. This paper shows the current situation, research progress, and hotspots of the field with the help of visual maps.

导言肺癌是世界上死亡率最高的癌症之一。现代医学是主要的治疗手段,但它有许多副作用。学者们将目光转向了植物药。方法我们从Web of Science数据库中检索了2002年1月至2023年3月植物药治疗肺癌领域的期刊论文,利用Cite Space、VOS viewer、Pajet分析软件对论文的发表、作者、机构、国家、关键词、关键词集群、期刊共引分析、突发关键词进行了分析,并绘制了可视化地图。结果 共获得 814 篇文章,刘亮在该领域发表的论文最多,上海中医药大学是重要的科研机构,与其他机构的合作较多。中国发表的论文数量最多。研究内容主要集中在肺癌、细胞凋亡、中药、中草药、疗效、化疗、信号通路、机制、体外等方面。通过关键词聚类分析产生了 10 个重要聚类。民族药理学杂志》(929 次引用)和《癌症研究》(683 次引用)是 JCR1 区域的优秀期刊。前 18 个爆出关键词显示了过去 20 多年来的热点研究问题。本文借助可视化地图展示了该领域的现状、研究进展和热点问题。
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引用次数: 0
Traditional wisdom in modern medicine: unveiling the anticancer efficacy of Northeastern Indian spices 现代医学中的传统智慧:揭秘印度东北部香料的抗癌功效
IF 2.3 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-05-27 DOI: 10.1016/j.hermed.2024.100896
Pranab Borah , Ayush Baral , Anirban Kumar Paul , Udayini Ray , Raju Bharalee , Hrishikesh Upadhyaya , Mayuri Chabukdhara , Akalesh Kumar Verma

Introduction

Spices, derived from plant products, contain distinct aromatic substances that enhance the ,flavour, taste, and overall quality of food. The rich diversity in flora, fauna, and culture in the Northeastern states of India is reflective of unique food habits. In addition to utilising wild edible plants in their cuisine, these communities incorporate certain plant species for food preservation and flavour enhancement in traditional food preparation.

Methods

This review aims to shed light on the often-overlooked anticancer properties of locally available spice plants. The focus is on identifying bioactive compounds within these plants that contribute to their potential health benefits. The study assesses the anticancer activities of crude extracts and bio-active compounds obtained from 17 spices against various types of cancer.

Results

Among 34 bioactive compounds from spices, 2-methoxycinnamaldehyde, thymoquinone, piperine and Isoegomaketone exhibit the highest anticancer activity. The primary mechanisms underlying the anticancer activities of these spices involve inducing apoptosis, inhibiting proliferation and metastasis, and modulating the expression of apoptotic genes, proteins, and associated pathways. Notably, specific bioactive compounds have yet to be reported for Pimpinella anisum L, Persicaria odorata (Lour) Sojak, Zanthoxylum acanthopodium DC, and Zanthoxylum armatum DC.

Conclusions

This comprehensive review contributes valuable insights for the identification and standardisation of active plant-based pharmaceutical ingredients with promising anticancer potentials.

导言香料源自植物产品,含有独特的芳香物质,能增强食物的风味、口感和整体质量。印度东北部各邦丰富多样的动植物和文化反映了其独特的饮食习惯。除了在烹饪中利用野生可食用植物外,这些社区还在传统食物制作过程中使用某些植物物种来保存食物和增强风味。本综述旨在揭示经常被忽视的当地香料植物的抗癌特性,重点是确定这些植物中具有潜在健康益处的生物活性化合物。结果在 34 种香料生物活性化合物中,2-甲氧基肉桂醛、胸腺醌、胡椒碱和 Isoegomaketone 的抗癌活性最高。这些香料抗癌活性的主要机制包括诱导细胞凋亡、抑制增殖和转移,以及调节凋亡基因、蛋白质和相关途径的表达。值得注意的是,Pimpinella anisum L、Persicaria odorata (Lour) Sojak、Zanthoxylum acanthopodium DC 和 Zanthoxylum armatum DC 的特定生物活性化合物尚未见报道。
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引用次数: 0
Gastrodin as Adjuvant Therapy Improves Neuroprotective Effect in Acute Stroke Patients: A Systematic Review With Meta-analysis of Randomised Controlled Trials 胃泌素作为辅助治疗可提高急性中风患者的神经保护效果:随机对照试验的系统回顾与荟萃分析
IF 2.3 4区 医学 Q2 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-05-21 DOI: 10.1016/j.hermed.2024.100895
Xiaojiao Wu, Zelian Chen, Sishi Du, Liming Chang, Jian Zhang

Introduction

Traditionally, gastrodin extracted from Rhizoma Gastrodiae has been used to treat various neurological diseases. The objective of this systematic review with meta-analysis is to evaluate the potential benefits of gastrodin as an adjuvant therapy for the treatment of acute stroke.

Methods

Relevant literature from multiple medical databases was searched until October 12, 2023, to identify randomised controlled trials investigating the use of gastrodin as an adjuvant therapy for acute stroke treatment. The total response rate and marked improvement rate were defined as >18% and >45% improvement in National Institutes of Health Stroke Scale score, respectively.

Results

A total of 12 randomised controlled trials, including 1 174 stroke patients, were identified. Compared to conventional treatment alone, the combination of gastrodin and conventional treatment significantly improved the total response rate (risk ratio 1.24; 95% CI 1.15–1.34) and marked improvement rate (risk ratio 1.37; 95% CI 1.18–1.59). Adjuvant treatment with gastrodin also resulted in a reduction in the National Institutes of Health Stroke Scale score (weighted mean difference [WMD] −3.08 points; 95% CI −3.75 to −2.41), haematoma volume (WMD −3.57 cm3; 95% CI −4.26 to −2.87), and blood neuron-specific enolase level (WMD −3.81 μg/l; 95% CI −6.21 to −1.41), as well as an increase in blood brain-derived neurotrophic factor level (WMD 0.81 ng/ml; 95% CI 0.50–1.12).

Conclusions

Gastrodin, when used as an adjuvant therapy, may yield additional beneficial effects in patients with acute stroke. However, future high-quality trials are necessary to further support this evidence.

引言传统上,从天麻中提取的天麻素被用于治疗各种神经系统疾病。本系统综述和荟萃分析的目的是评估天麻素作为辅助疗法治疗急性脑卒中的潜在益处。方法检索多个医学数据库中的相关文献,直至 2023 年 10 月 12 日,以确定研究天麻素作为辅助疗法治疗急性脑卒中的随机对照试验。总反应率和明显改善率分别定义为美国国立卫生研究院卒中量表评分的>18%和>45%。与单用常规治疗相比,胃复安和常规治疗联合使用可显著提高总反应率(风险比 1.24;95% CI 1.15-1.34)和明显改善率(风险比 1.37;95% CI 1.18-1.59)。胃复安辅助治疗还可降低美国国立卫生研究院卒中量表评分(加权平均差 [WMD] -3.08分;95% CI -3.75至-2.41)、血肿体积(WMD -3.57立方厘米;95% CI -4.26至-2.87)和血液神经元特异性烯醇化酶水平(WMD -3.57立方厘米;95% CI -4.26至-2.87)。结论胃泌素作为一种辅助疗法,可为急性卒中患者带来额外的益处。结论胃泌素作为辅助疗法可为急性中风患者带来额外的益处,但还需要未来的高质量试验来进一步支持这一证据。
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Journal of Herbal Medicine
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