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Reviving Fertility: Phytochemicals as Natural Allies in the Fight against Non-genetic Male Infertility 恢复生育能力:植物化学物质是对抗非遗传性男性不育症的天然盟友
Pub Date : 2024-01-17 DOI: 10.1016/j.ccmp.2024.100128
Vivek P. Chavda , Shreya S Sonak , Pankti C. Balar , Krupa Vyas , Pranali Palandurkar , Komal Mule , Krishna Patel , Vivek Hala , Dixa A. Vaghela , Devarshi Acharya , Akta Vaishnav , Jimil Gandhi , Vasso Apostolopoulos

Background

Male infertility poses a growing challenge to the healthcare system, with its prevalence on the rise. Unhealthy lifestyle, food, and addictions such as smoking, alcoholism, etc. accelerate the occurrence. While several approaches are being investigated to prevent and treat this condition, each therapeutic approach has its drawbacks. Traditional medications continue to play a crucial role in the healthcare system. In recent years, there has been a shift towards determining the efficacy of phytochemicals (or, herbal drugs) as remedies.

Objective

To evaluate the effect of various herbs, plant, metabolites, or a part of plant in management of non-genetic male infertility.

Methods

The male infertility-associated keywords were searched in PubMed, excluding those non-English writen papers. A total of 146 pertinent and closely connected records were included for full reading and inclusion in the systemic evaluation.

Results

The manuscript focuses on individual herbal drug components, their active ingredients, their role in improving the condition and quality of life, and decreasing the prevalence of male infertility.

Conclusion

Herbal medicinal plants show promising outcomes to treat male infertility. Herbal alternatives are appealing and have regained popularity. The future holds promise for some of these herbal treatments to advance with many showing improved outcomes in males with infertility issues.

背景男性不育症对医疗系统构成了日益严峻的挑战,其发病率呈上升趋势。不健康的生活方式、食物以及吸烟、酗酒等不良嗜好加速了不育症的发生。虽然目前正在研究多种方法来预防和治疗这种疾病,但每种治疗方法都有其缺点。传统药物仍然在医疗保健系统中发挥着重要作用。目的 评价各种草药、植物、代谢物或植物的一部分在治疗非遗传性男性不育症中的效果。方法 在 PubMed 上搜索与男性不育症相关的关键词,排除非英文撰写的论文。结果手稿重点关注了单个草药成分、其有效成分、在改善病情和生活质量以及降低男性不育症发病率方面的作用。草药替代品很有吸引力,并重新受到欢迎。未来,其中一些草药疗法有望取得进展,许多草药疗法显示出对男性不育症患者有更好的疗效。
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引用次数: 0
May Traditional Chinese Medicine Reduce the Risk of Developing Rheumatoid Arthritis? An One-armed Prospective Study 中医药能否降低类风湿关节炎的患病风险?单臂前瞻性研究
Pub Date : 2024-01-14 DOI: 10.1016/j.ccmp.2023.100127
Kaixin Gao , Qi Liang , Dongyun Li , Chuanning Li , Maojie Wang , Xiumin Chen , Qingchun Huang , Zehuai Wen , Per-Johan Jakobsson , Runyue Huang

Background

Rheumatoid arthritis (RA) is a worldwide public health problem. Intervention and prevention before the onset of rheumatic diseases is a new direction in current research.

Objective

The aim of this study was to evaluate the potential and feasibility of traditional Chinese medicine (TCM) in the prevention of RA.

Methods

This was a single-armed prospective clinical trial. All participants were recruited from a single center in Guangdong, China. Adults who were tested positive for anti-cyclic citrullinated peptide antibody (anti-CCP) and/or rheumatoid factor (RF), had no synovitis and had never been treated with disease-modifying anti-rheumatic drugs (DMARDs), were enrolled to take the Huayu-Qiangshen-Tongbi (HQT) decoction orally twice daily, 200 mL each time for 24 weeks. Primary outcome was the proportion of patients who met 2010 ACR(American College of Rheumatology)/EULAR(European League Against Rheumatism) classification criteria of RA during observation. Secondary outcomes included levels of anti-CCP, RF, erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), assessment of signs and symptoms, and radiographic progression by magnetic resonance imaging (MRI).

Results

19 individuals were enrolled in the study, 4 of which withdrew because of the epidemic of COVID-19. During the observation period, 3 individuals (20%) developed RA and they had longer morning stiffness (P = 0.009) and more obvious synovial enhancement in MRI (P = 0.041) at baseline when compared with those who did not develop RA. After 24 weeks of intervention, there were improvements in 28-swollen joint count (SJC28) (P = 0.046), Visual Analog Scale (VAS) (P = 0.019), Patient's Global Assessment (PtGA) (P = 0.019) and Physician's Global Assessment (PGA) (P = 0.031), but no statistical significance was observed in the levels of anti-CCP, RF, ESR, CRP, morning stiffness, 28-tender joint count (TJC28), Health Assessment Questionnaire (HAQ) and magnetic resonance imaging (MRI) analysis (P > 0.05).

Conclusion

The HQT formula is safe and could improve joint symptoms and signs in these at-risk individuals, but it remains to be investigated in futher study to see if it might potentially reduce the risk of developing RA. Besides, for individuals at high risk to develop RA, morning stiffness and synovial enhancement in MRI might be predictive factors and warning signs.

背景类风湿性关节炎(RA)是一个世界性的公共卫生问题。本研究旨在评估传统中医药在预防类风湿关节炎方面的潜力和可行性。所有参与者均来自中国广东的一个中心。参与者均为抗环瓜氨酸肽抗体(抗CCP)和/或类风湿因子(RF)检测呈阳性、无滑膜炎且从未接受过改善病情抗风湿药物(DMARDs)治疗的成年人,每天口服两次化瘀羌活汤(HQT),每次200毫升,共24周。主要结果是观察期间符合2010年ACR(美国风湿病学会)/EULAR(欧洲抗风湿病联盟)RA分类标准的患者比例。次要结果包括抗CCP、RF、红细胞沉降率(ESR)、C反应蛋白(CRP)水平,体征和症状评估,以及磁共振成像(MRI)的影像学进展。在观察期间,有3人(20%)患上了RA,与未患上RA的人相比,他们在基线时的晨僵时间更长(P = 0.009),核磁共振成像中的滑膜强化更明显(P = 0.041)。干预 24 周后,28 个关节肿胀计数(SJC28)(P = 0.046)、视觉模拟量表(VAS)(P = 0.019)、患者总体评估(PtGA)(P = 0.019)和医生总体评估(PGA)(P = 0.结论 HQT 配方是安全的,可以改善这些高危人群的关节症状和体征,但是否有可能降低患 RA 的风险仍有待进一步研究。此外,对于罹患 RA 的高危人群来说,磁共振成像中的晨僵和滑膜强化可能是预测因素和警示信号。
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引用次数: 0
A Comprehensive Review on Preclinical Safety and Toxicity of Medicinal Plants 药用植物临床前安全性和毒性综述
Pub Date : 2024-01-13 DOI: 10.1016/j.ccmp.2024.100129
Madhav Nilakanth Mugale , Kapil Dev , Bhumika S. More , Vaishali Sunil Mishra , Kaveri R. Washimkar , Kishan Singh , Rakesh Maurya , Srikanta Kumar Rath , Debprasad Chattopadhyay , Naibedya Chattopadhyay

Background

Globally, 80% people use plant-derived products for treating or preventing diseases. One prevalent perception about medicinal plants is that they are safe and devoid of adverse effects, however, approximately 1,50,000 plants contain toxic substances.

Objective

The present review focuses on medicinal plant extracts/fractions toxicity assessments made in preclinical models by oral route.

Methods

Detail studies were searched from databases including PubMed and Google Scholar. A manual reference screening of the selected studies was done to identify relevant articles, with no language restriction being imposed at the time of searching.

Results

The studies included were performed in rodents, and the test substances were administered orally. Our search revealed 33 widely used plants or products with significant toxicity, and phytochemicals from these plants have been summarized. Through a systematic review, we identified a plethora of medicinal plant extracts reporting safety and toxicity concerns.

Conclusion

In the future, preclinical toxicokinetic studies of herbs and the determination of their no-observed-adverse-effect levels are required for a complete safety assessment. Finally, the interaction of herbs with commonly used/over-the-counter drugs in terms of the latter's metabolic profile should be undertaken.

背景全球有 80% 的人使用植物提取物来治疗或预防疾病。关于药用植物的一个普遍看法是它们安全且无不良反应,然而,约有 1,500,000 种植物含有毒性物质。方法在 PubMed 和 Google Scholar 等数据库中搜索详细研究。对所选研究进行了人工参考文献筛选,以确定相关文章,搜索时没有语言限制。结果所纳入的研究都是在啮齿动物中进行的,测试物质都是口服给药。搜索结果显示,33 种广泛使用的植物或产品具有显著毒性,我们对这些植物中的植物化学物质进行了总结。通过系统性回顾,我们发现了大量报告安全性和毒性问题的药用植物提取物。结论 今后,需要对草药进行临床前毒物动力学研究,并确定其无观测不良效应水平,以进行全面的安全性评估。最后,还应研究草药与常用/非处方药在代谢方面的相互作用。
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引用次数: 0
Efficacy of TCM Fumigation Using Dampness-and-cold-dispelling Formula Combined with Methotrexate and Leflunomide Treating Rheumatoid Arthritis with Cold-dampness Bi Syndrome 中医熏蒸祛湿祛寒方联合甲氨蝶呤和来氟米特治疗类风湿性关节炎寒湿痹证的疗效观察
Pub Date : 2023-12-21 DOI: 10.1016/j.ccmp.2023.100126
Du Yaoting , Liu Lin , Niu Zhenzhen , Guan Xihong , Zeng Bowen

Background

Rheumatoid arthritis (RA), a chronic autoimmune disease, has a high incidence and disability rate, causing patients significant discomfort. Although several medicines can be effective, it is also associated with significant adverse effects. In contrast, fumigation as one of the most often used traditional Chinese medicine (TCM) external therapy has shown both efficacy and safety with less side effect. In light of this, we complement western medicine treatment with TCM fumigation therapy to improve patients' clinical efficacy, alleviate symptoms, and improve prognosis.

Objective

To investigate the therapeutic effect of TCM fumigation and western medicine combined therapy in treating RA patients with cold-dampness Bi syndrome.

Methods

A single-center, randomized, controlled study was designed. From January 2022 to December 2022, a total of 60 RA patients with cold-dampness Bi syndrome were enrolled in the study. The control group (30 cases) received conventional western medicine treatment with methotrexate for 4 weeks, while the observation group (30 cases) for 4 weeks received a combination of TCM fumigation treatment and conventional western medicine. The effects of the two groups were comprehensively compared, including the changes in TCM symptom scores and laboratory indicators, as well as the use of visual analogue scale (VAS) and health status rating scale (HAQ) before and after treatment.

Results

The total effective rate of the observation group was 93.3%, which was significantly higher than that of the control group, which is 70% (P < 0.05). Before treatment, there were no significant differences in joint functional activity, pain visual analogue scale (VAS), health assessment questionnaire (HAQ-DI) and laboratory indexes between the two groups (P > 0.05). After treatment, each group compared to their initial condition, respectively, showed major improvement of joint functional activity and significantly decreased VAS, HAQ-DI, and RA-related biomarkers (P < 0.05); inter-group comparison of these indicators showed significanty further enhanced effect of TCM fumigation combined therapy on the RA-related biomarkers and joint functional activity of patients (P < 0.05), yet the control group receiving only western medicine showed better results of the VAS and HAQ-DI .

Conclusion

The TCM fumigation combined therapy is effective to treat RA patients with cold-dampness Bi syndrome,.and to enhance their life quality, improving the joint function, and reducing inflammation.

背景类风湿性关节炎(RA)是一种慢性自身免疫性疾病,发病率和致残率都很高,给患者带来极大的不适。虽然有多种药物可以有效治疗,但也会产生明显的不良反应。相比之下,熏蒸作为最常用的传统中医外治法之一,具有疗效好、安全性高、副作用小等特点。有鉴于此,我们在西医治疗的基础上辅以中医熏蒸疗法,以提高患者的临床疗效,缓解症状,改善预后。 Objective To investigate the therapeutic fumigation and western medicine combined therapy in treating RA patients with cold-dampness Bi syndrome.Methods设计了一项单中心、随机对照研究。自 2022 年 1 月至 2022 年 12 月,共纳入 60 例寒湿痹阻证 RA 患者。对照组(30 例)接受常规西药甲氨蝶呤治疗 4 周,观察组(30 例)接受中医熏蒸治疗与常规西药联合治疗 4 周。综合比较两组疗效,包括治疗前后中医症状评分、化验指标的变化,以及视觉模拟量表(VAS)和健康状况评分量表(HAQ)的使用情况。结果观察组总有效率为93.3%,明显高于对照组的70%(P< 0.05)。治疗前,两组患者的关节功能活动度、疼痛视觉模拟量表(VAS)、健康评估问卷(HAQ-DI)及实验室指标无明显差异(P> 0.05)。治疗后,两组患者的关节功能活动均较治疗前有明显改善,VAS、HAQ-DI及RA相关生物标志物均明显下降(P < 0.05);两组间指标比较显示,中医熏蒸联合治疗对患者RA相关生物标志物及关节功能活动的影响明显增强(P < 0.结论 中医熏蒸联合疗法治疗寒湿痹阻型RA患者疗效显著,可提高患者生活质量,改善关节功能,减轻炎症反应。
{"title":"Efficacy of TCM Fumigation Using Dampness-and-cold-dispelling Formula Combined with Methotrexate and Leflunomide Treating Rheumatoid Arthritis with Cold-dampness Bi Syndrome","authors":"Du Yaoting ,&nbsp;Liu Lin ,&nbsp;Niu Zhenzhen ,&nbsp;Guan Xihong ,&nbsp;Zeng Bowen","doi":"10.1016/j.ccmp.2023.100126","DOIUrl":"10.1016/j.ccmp.2023.100126","url":null,"abstract":"<div><h3>Background</h3><p>Rheumatoid arthritis (RA), a chronic autoimmune disease, has a high incidence and disability rate, causing patients significant discomfort. Although several medicines can be effective, it is also associated with significant adverse effects. In contrast, fumigation as one of the most often used traditional Chinese medicine (TCM) external therapy has shown both efficacy and safety with less side effect. In light of this, we complement western medicine treatment with TCM fumigation therapy to improve patients' clinical efficacy, alleviate symptoms, and improve prognosis.</p></div><div><h3>Objective</h3><p>To investigate the therapeutic effect of TCM fumigation and western medicine combined therapy in treating RA patients with cold-dampness <em>Bi</em> syndrome.</p></div><div><h3>Methods</h3><p>A single-center, randomized, controlled study was designed. From January 2022 to December 2022, a total of 60 RA patients with cold-dampness <em>Bi</em> syndrome were enrolled in the study. The control group (30 cases) received conventional western medicine treatment with methotrexate for 4 weeks, while the observation group (30 cases) for 4 weeks received a combination of TCM fumigation treatment and conventional western medicine. The effects of the two groups were comprehensively compared, including the changes in TCM symptom scores and laboratory indicators, as well as the use of visual analogue scale (VAS) and health status rating scale (HAQ) before and after treatment.</p></div><div><h3>Results</h3><p>The total effective rate of the observation group was 93.3%, which was significantly higher than that of the control group, which is 70% (<em>P</em> &lt; 0.05). Before treatment, there were no significant differences in joint functional activity, pain visual analogue scale (VAS), health assessment questionnaire (HAQ-DI) and laboratory indexes between the two groups (<em>P</em> &gt; 0.05). After treatment, each group compared to their initial condition, respectively, showed major improvement of joint functional activity and significantly decreased VAS, HAQ-DI, and RA-related biomarkers (<em>P</em> &lt; 0.05); inter-group comparison of these indicators showed significanty further enhanced effect of TCM fumigation combined therapy on the RA-related biomarkers and joint functional activity of patients (<em>P</em> &lt; 0.05), yet the control group receiving only western medicine showed better results of the VAS and HAQ-DI .</p></div><div><h3>Conclusion</h3><p>The TCM fumigation combined therapy is effective to treat RA patients with cold-dampness <em>Bi</em> syndrome,.and to enhance their life quality, improving the joint function, and reducing inflammation.</p></div>","PeriodicalId":72608,"journal":{"name":"Clinical complementary medicine and pharmacology","volume":"4 1","pages":"Article 100126"},"PeriodicalIF":0.0,"publicationDate":"2023-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2772371223000487/pdfft?md5=300c6f1267d69df0524b55d7cda8c0f6&pid=1-s2.0-S2772371223000487-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139014860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Anti-aging Related Activities and Health Benefits of Licochalcone A: A Review 李可查尔酮 A 的抗衰老相关活性和对健康的益处:综述
Pub Date : 2023-12-02 DOI: 10.1016/j.ccmp.2023.100125
Iffat Ara , Rita Turcio , Tasmia Islam , Md. Sabbir Hossain , Md. Kamrul Hasan

Background

Licochalcone A (LCA) is a flavonoid derived from the roots of Glycyrrhiza uralensis Fisch. ex DC and other related plants. Its natural source has been extensively used in complementary medicine, especially traditional Chinese medicine, to treat various ailments. Identified as a phenolic chalcone compound, LCA has gained significant attention in recent years due to its various pharmacological properties.

Objective

The objective of this review article is to assess the auti-aging ralated pharmacological properties of licochalcone A.

Method

An exhaustive search of several scientific databases was conducted using various relevant keywords to write this review article on LCA, focusing on its therapeutic applications and anti-aging-related pharmacological activities. Some inclusion and exclusion criteria were strictly followed to retrieve updated relevant articles.

Results

A collection of 292 papers were screened, and 131 were included in this review for an in-depth analysis of Licochalcone A, focusing on its anti-aging-related pharmacological activities and relevant mechanisms, and its toxicity and side effects. Moreover, the potential of LCA as a pharmacological product is discussed, emphasizing its health benefits and potential as a pharmaceutical product.

Conclusion

These findings indicate that Licochalcone A is a promising natural therapeutic agent for anti-aging therapy and other ailments.

背景甘草查耳酮 A(Licochalcone A,LCA)是一种黄酮类化合物,提取自甘草(Glycyrrhiza uralensis Fisch.它的天然来源已被广泛用于辅助医学,特别是传统中医学,以治疗各种疾病。本综述文章的目的是评估甘草查耳酮 A 的抗衰老药理特性。方法:为了撰写这篇关于甘草查耳酮的综述文章,我们使用各种相关关键词对多个科学数据库进行了详尽的检索,重点关注其治疗应用和抗衰老相关的药理活性。结果 筛选出 292 篇论文,其中 131 篇被纳入本综述,对李可查酮 A 进行了深入分析,重点关注其抗衰老相关药理活性和相关机制,以及其毒性和副作用。结论这些研究结果表明,李可查酮 A 是一种很有前景的天然治疗剂,可用于抗衰老治疗和其他疾病的治疗。
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引用次数: 0
Phytochemical Screening and Evaluation of Pharmacological Potential of Baliospermum solanifolium Leaf Extract 秃杉叶提取物的植物化学筛选和药理潜力评估
Pub Date : 2023-11-22 DOI: 10.1016/j.ccmp.2023.100123
Amit Mazumder, Rabindra Nath Acharyya, Milton Kumar Kundu, Pritam Kundu, Md. Amirul Islam, Md. Mustafizur Rahman

Background

Baliospermum solanifolium is a traditional medicinal plant, locally known as “dantigaacha” from Euphorbiaceae family, and has been used in different diseases treatments likes helminthiasis, skin diseases, diabetes, snake-bite, and leukoderma.

Objectives

Depending on the traditional uses of B. solanifolium and the lack of scientific works, we aimed to conduct some pharmacological tests on its leaves.

Methods

Active constituents of B. solanifolium were assessed by qualitative screening. DPPH (2,2-diphenyl-1-picrylhydrazyl) was used for free radical scavenging assay. Behavioral change and mortality rate were used as indicators to assess the toxicity of B. solanifolium. The antidiabetic potential was evaluated by oral glucose tolerance test (OGTT) and alpha-glucosidase enzyme inhibitory activity. In antidiarrheal activity, castor oil-induced mice were used. Antibacterial test was carried out by disk diffusion assay and MIC determination. Furthermore, analgesic activity was done by acetic acid-induced writhing method.

Results

B. solanifolium contains alkaloids, carbohydrates, glycosides, flavonoids, tannis, phenolics etc. Acute toxicity test ensured the safety of the extract. In DPPH, the extract showed antioxidant activity with an IC50 (concentration needed to scavenge 50% DPPH) value of 61.65 µg/mL. Total phenolic, flavonoid and tannin contents were determined as 124 mg GAE/g, 440 mg QE/g and 344 mg GAE/g dried extract, respectively. In OGTT, the extract reduced the blood glucose level significantly. In the alpha-glucosidase inhibitory activity, the plant showed a concentration-dependent reduction of the enzyme at IC50 of 8.53 mg/mL. In the antidiarrheal test, B. solanifolium inhibit defecation 30.69% and 53.41% at dose 250 mg/kg and 500 mg/kg, respectively. The extract also showed antibacterial activity against four bacterial strains in the disk diffusion method and minimum inhibitory concentration (MIC) values were 62.5 µg/mL, 62.5 µg/mL, 125 µg/mL and 62.5 µg/mL against four bacterial strains, independently. In analgesic activity test, the extract reduced the writhing impulse up to 48.51% at 500 mg/kg dose.

Conclusion

B. solanifolium contains many active phytoconstituents which may be the possible candidates for targeting diabetes, microbial infection, diarrhea and pain in the future.

背景大戟科植物大戟(Baliospermum solanifolium)是一种传统的药用植物,在当地被称为 "dantigaacha",被用于治疗各种疾病,如蠕虫病、皮肤病、糖尿病、蛇咬伤和白皮病等。采用 DPPH(2,2-二苯基-1-苦基肼)进行自由基清除试验。行为变化和死亡率是评估 B. solanifolium 毒性的指标。抗糖尿病潜力通过口服葡萄糖耐量试验(OGTT)和α-葡萄糖苷酶抑制活性进行评估。在止泻活性方面,使用了蓖麻油诱导的小鼠。抗菌试验是通过盘扩散试验和 MIC 测定进行的。此外,镇痛活性是通过醋酸诱导蠕动法进行的。急性毒性试验确保了提取物的安全性。在 DPPH 试验中,提取物显示出抗氧化活性,IC50(清除 50% DPPH 所需的浓度)值为 61.65 µg/mL。总酚、类黄酮和单宁的含量分别为 124 毫克 GAE/克、440 毫克 QE/ 克和 344 毫克 GAE/克。在 OGTT 试验中,提取物能显著降低血糖水平。在α-葡萄糖苷酶抑制活性中,该植物显示出浓度依赖性的酶抑制作用,IC50 为 8.53 毫克/毫升。在止泻试验中,当剂量为 250 毫克/千克和 500 毫克/千克时,B. solanifolium 对排便的抑制率分别为 30.69% 和 53.41%。在盘扩散法中,该提取物还对四种细菌菌株具有抗菌活性,对四种细菌菌株的最小抑菌浓度(MIC)分别为 62.5 µg/mL、62.5 µg/mL、125 µg/mL和 62.5 µg/mL。在镇痛活性测试中,500 毫克/千克剂量的提取物可降低 48.51% 的蠕动冲动。
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引用次数: 0
An in vitro Anti-urolithiasis Activity of a Herbal Formulation: Spinacia oleracea L. and Coriandrum sativum L. 一种草药配方的体外抗尿路结石活性:菠菜(Spinacia oleracea L.)和芫荽(Coriandrum sativum L.
Pub Date : 2023-11-18 DOI: 10.1016/j.ccmp.2023.100124
Sumathy Raj , Monica Shree Gnana Soundara Rajan , Suganthi Ramasamy , Rimal Isaac Rajamony Suthies Goldy , Ramathilaga Ariyamuthu , Monisha Sudhagar , Sakthivel Gandhi , Prakash Shoba , Manikandan Gurusamy

Background

Hard mineral and acid salt deposits that clump together in concentrated urine are known as kidney stones. A complicated chain of physicochemical events, including hyper saturation, nucleation, growth, aggregation, and retention in the urinary tract, leads to urolithiasis, the third most prevalent urinary tract issue. Numerous traditional medications and therapies are less successful in treating urolithiasis and frequently cause recurrences.

Objective

The present study is focused on evaluating the anti-urolithiasis activities of the polyherbal formulation prepared from Spinacia oleracea L. and Coriandrum sativum L. seeds.

Methods

To evaluating the anti-urolithiasis activities of the polyherbal formulation prepared from S. oleracea and C. sativum seeds against oxalate crystals by employing an in vitro inhibition, aggregation, and nucleation assay, employing a spectrophotometer followed by microscopic observation, and further monitored by egg semipermeable membrane model, using cystone as a standard drug.

Results

In the present work, the alkaloids, glycosides, flavonoids, glycosides, phenols, saponins, steroids, tannins, terpenoids, and triterpenoids were found in the extracts of S. oleracea and C. sativum. The in vitro assays in the present study clearly indicated that all the mixture extracts readily prevented crystal nucleation, growth and aggregation. The aqueous extract of the mixture inhibited significant inhibitory potential against the crystallization process.

Conclusion

It can be said that the phyto-constituents enriched homemade preparation possibly will be used as a medication for the management of kidney stones by dissolving the oxalate stone in the kidney.

背景在浓缩尿液中凝结成块的坚硬矿物质和酸性盐沉淀物被称为肾结石。一连串复杂的物理化学过程,包括高饱和度、成核、生长、聚集以及在尿路中的滞留,导致了尿路结石这一第三大泌尿系统疾病。许多传统药物和疗法在治疗尿路结石方面都不太成功,而且经常导致复发。采用体外抑制、聚集和成核试验,使用分光光度计,然后进行显微镜观察,并以鸡蛋半透膜模型为标准药物,进一步监测其抗草酸盐结晶的活性。结果在本研究中,发现 S. oleracea 和 C. sativum 的提取物中含有生物碱、苷类、黄酮类、糖苷类、酚类、皂苷类、甾体类、单宁酸、萜类和三萜类化合物。本研究中的体外试验清楚地表明,所有混合物提取物都能很容易地阻止晶体成核、生长和聚集。结论可以说,富含植物成分的自制制剂可以通过溶解肾脏中的草酸盐结石来治疗肾结石。
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引用次数: 0
Therapeutic Benefits of Vernonia amygdalina in the Treatment of Inflammation and Its Associated Diseases 杏仁蕨在治疗炎症及其相关疾病中的疗效
Pub Date : 2023-11-15 DOI: 10.1016/j.ccmp.2023.100122
Du-Bois Asante , Gideon Akuamoah Wiafe , Korantema Mawuena Tsegah , Nelson Kwabla Domey

Background

In the presence of a stimulus that disrupts homeostasis, the body elicits a response known as inflammation. The inflammatory response is expected to restore the normal functioning of the body and initiate healing where necessary. However, the persistent activity of acute inflammation results in chronic inflammation which causes adverse consequences associated with diseases such as diabetes and arthritis. In traditional medical practice, Vernonia amygdalina is used to treat several ailments such as malaria, fever, diabetes, and inflammatory conditions such as those related to pain and swelling.

Objective

This review seeks to explore and discuss the therapeutic benefits of V. amygdalina in the treatment of inflammation and its associated diseases.

Methods

We reviewed the scientific literature indexed in PubMed, ScienceDirect and Springer, and discussed the reported anti-inflammatory properties of V. amygdalina and its curative activity in inflammation-associated diseases.

Results

A total of 30 published articles were identified describing the therapeutic effect of V. amygdalina in predominately experimental models. The anti-inflammatory properties of V. amygdalina have been linked to the presence of bioactive phytoconstituents predominantly present in the leaves of the plant.

Conclusions

Multiple studies have demonstrated that the aqueous and ethanolic extracts of V. amygdalina can inhibit the production of proinflammatory cytokines and enzymes in inflammatory cells, reducing inflammation and its associated complications. We critically appraise the current evidence, and discuss the potential use of this medicinal plant in the treatment of inflammatory conditions.

背景 在受到破坏机体平衡的刺激时,机体会产生一种称为炎症的反应。炎症反应可望恢复机体的正常功能,并在必要时启动愈合。然而,急性炎症的持续活动会导致慢性炎症,造成与糖尿病和关节炎等疾病相关的不良后果。在传统医学实践中,杏仁蕨可用于治疗多种疾病,如疟疾、发烧、糖尿病以及与疼痛和肿胀有关的炎症。方法我们查阅了 PubMed、ScienceDirect 和 Springer 中索引的科学文献,并讨论了所报道的杏仁酸橙的抗炎特性及其对炎症相关疾病的治疗活性。结论多项研究表明,苦杏仁水提取物和乙醇提取物可抑制炎症细胞中促炎细胞因子和酶的产生,从而减轻炎症及其相关并发症。我们对目前的证据进行了批判性评估,并讨论了这种药用植物在治疗炎症方面的潜在用途。
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引用次数: 0
Diuretic Activity of Ethanol Extract of Piper attenuatum Leaves Might Be Due to the Inhibition of Carbonic Anhydrase Enzyme: An in vivo and in silico Investigation 胡椒叶乙醇提取物的利尿活性可能与抑制碳酸酐酶有关:体内和体外研究
Pub Date : 2023-10-17 DOI: 10.1016/j.ccmp.2023.100117
Shikha Sharma , Gaurav Kumar , Nitin Kumar , Neeraj K. Sethiya , Dheeraj Bisht

Background

Ayurvedic system of medicine is well established for prevention and treatment of renal problems. There are vast number of medicinal plants mentioned in Ayurvedic system of medicine, including Piper attenuatum Buch.-Ham. ex Miq., are known to exhibits diuretic properties.

Objective

To investigate possible mechanism and diuretic activity of ethanol extract of P. attenuatum leaves.

Methods

Present study reports an in vivo diuretic activity of ethanol extracts of P. attenuatum leaves.Twenty-four Sprague-Dawley male rats were deprived from food and water for 20 h, followed by being divided into four groups to receive normal saline, Furosemide, and two doses of the ethanol extract, respectively. Further, the ethanol extract were subjected for prelimnary phytochemical screening test, and analytical investigation was performed via high-performance thin-layer chromatography (HPTLC), followed by effectiveness exploration of putative bioactive compounds from P. attenuatum against human carbonic anhydrase (hCA) enzyme using molecular docking tool.

Results

During phytochemicals screening, several groups of compounds such as amides, terpenoids, proteins, flavonoids, and glycosides have been identified. Further, HPTLC reveals presence of carbohydrates, proteins, amino acids, steroids, alkaloids, flavonoids, tannins, glycosides, and terpenoids. Significant diuretic action was revealed for both 200 mg/kg bw and 400 mg/kg bw of ethanol extract of P. attenuatum leaves. Interestingly, molecular docking analysis demonstrated greater binding affinity of compounds such as Cepharadione A, Norcepharadione B, Galbelgin, Crotepoxide, and Pipoxide chlorohydrin out of total 23 studied compounds against hCA isoforms (a key biomarker for diuretic) and score is comparable with standard drug Acetazolamide.

Conclusion

It was concluded from the present studies that ethanol extract of P. attenuatum leaves exhibits significant diuretic activity. The activity may be correlated due to the presence of Cepharadione A, Norcepharadione B, Galbelgin, Crotepoxide, and Pipoxide chlorohydrin as key component responsible for inhibition of hCA isoforms.

吠陀医学体系在预防和治疗肾脏问题方面已经建立了良好的体系。在阿育吠陀医学体系中,有大量的药用植物被提及,其中包括风笛草(Piper attenuatum)。进行筛选。已知具有利尿作用。目的探讨黄菖蒲叶乙醇提取物的利尿作用及其可能机制。方法本研究报道了黄菖蒲叶乙醇提取物的体内利尿作用。24只雄性Sprague-Dawley大鼠不食不水20小时,然后分为四组,分别给予生理盐水、速尿和两剂乙醇提取物。此外,对乙醇提取物进行初步的植物化学筛选试验,并通过高效薄层色谱(HPTLC)进行分析研究,然后利用分子对接工具对推定的垂穗藤抗人碳酸酐酶(hCA)酶活性化合物进行有效性探索。结果在植物化学物质筛选过程中,已鉴定出酰胺类、萜类、蛋白质类、黄酮类和苷类等化合物。此外,HPTLC还显示了碳水化合物、蛋白质、氨基酸、类固醇、生物碱、类黄酮、单宁、糖苷和萜类化合物的存在。200 mg/kg bw和400 mg/kg bw的乙醇提取物均有显著的利尿作用。有趣的是,分子对接分析表明,在所研究的23种化合物中,Cepharadione A、Norcepharadione B、Galbelgin、Crotepoxide和Pipoxide氯醇等化合物对hCA异构体(利尿剂的关键生物标志物)的结合亲和力更高,得分与标准药物Acetazolamide相当。结论从本研究可以看出,黄精叶乙醇提取物具有明显的利尿作用。该活性可能与头孢地酮A、去甲头孢地酮B、Galbelgin、Crotepoxide和Pipoxide氯醇作为抑制hCA亚型的关键成分的存在有关。
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引用次数: 0
Zingiber officinale (Ginger) Methanol Extract Abates Kidney Dysfunction in Mice Co-exposed to Sub-chronic Alcohol Intoxication and Post-traumatic Stress Disorder 姜甲醇提取物对亚慢性酒精中毒和创伤后应激障碍小鼠肾功能损害的影响
Pub Date : 2023-09-24 DOI: 10.1016/j.ccmp.2023.100116
Olusegun G. Adebayo , Benneth Ben-Azu , Egwonor Akpofure , Modo U. Emmanuel , Iheanyichukwu Wopara , Wadioni Aduema , Lawrence Dayo Adedayo , Jude Ijuo Abeje

Background

Increasing number of people globally gives in to indiscriminate consumption of excess alcohol as a coping mechanism to relieve any form of physical or psychological stress. Previously, ethnomedicinal use of Zingiber officinale Roscoe (Ginger) have been shown to exhibit broad range of pharmacological benefits but no data has reported the phytotherapeutic treatment of Zingiber officinale methanol extract (MEZO) on alcohol-use disorder (AUD) and post-traumatic stress disorder (PTSD)-induced oxidative and inflammatory stress relevant to disruption of kidney functions in animal model.

Objective

To investigate the protective effect of MEZO on kidney-oxidative and inflammatory biomarkers in sub-chronic alcohol exacerbation of PTSD symptoms in mice.

Methods

Male Swiss mice were administered 30% ethanol for two weeks and thereafter introduced to single prolonged stress to induce AUD and PTSD respectively prior to post-treatment with MEZO and vitamin C. Markers of oxidative stress, inflammatory cytokines, kidney functions, HPA-axis signaling molecules, vasodilator substance, and histopathology of the kidney were evaluated.

Results

Sub-chronic alcohol intoxication heightened PTSD-induced oxido-inflammatory stress, altered the kidney function indices and HPA-axis, and reduced nitric oxide production, which were ameliorated by the phytotherapeutic treatment with MEZO. Furthermore, severe degeneration and atrophy of renal tubules were observed. Meanwhile, MEZO interventions strongly abated all these effects.

Conclusions

Herein, the study shows that phytotherapeutic treatment with MEZO prevents the damaging effects of co-exposure to sub-chronic alcohol intoxication and PTSD.

背景全球越来越多的人屈服于滥用过量酒精作为缓解任何形式的身体或心理压力的应对机制。先前姜的民族医药用途已被证明具有广泛的药理学益处,但没有数据报道姜甲醇提取物对酒精使用障碍(AUD)和创伤后应激障碍(PTSD)诱导的与动物肾功能破坏相关的氧化和炎症应激的植物治疗作用模型目的探讨MEZO对PTSD亚慢性酒精加重小鼠肾脏氧化和炎症生物标志物的保护作用。方法雄性瑞士小鼠在接受MEZO和维生素C治疗前,分别给予30%乙醇两周,然后引入单次长期应激以诱导AUD和PTSD。评估氧化应激、炎性细胞因子、肾功能、HPA轴信号分子、血管舒张物质和肾组织病理学的标志物。结果亚慢性酒精中毒加重了创伤后应激障碍诱导的氧化炎症应激,改变了肾功能指标和HPA轴,减少了一氧化氮的产生。此外,观察到肾小管严重变性和萎缩。与此同时,墨西哥政府的干预有力地减轻了所有这些影响。结论在此,研究表明,MEZO的植物治疗可以预防亚慢性酒精中毒和PTSD共同暴露的损伤作用。
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引用次数: 0
期刊
Clinical complementary medicine and pharmacology
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