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Taxifolin Potently Diminishes Levels of Reactive Oxygen Species in Living Cells Possibly by Scavenging Peroxyl Radicals 紫杉醇可能通过清除过氧自由基而有效降低活细胞中的活性氧水平
Pub Date : 2018-01-01 DOI: 10.3844/AJPTSP.2018.1.6
S. Sakuma, Yui Kishiwaki, M. Matsumura, H. Sawada, R. Hashimoto, K. Gotoh, Kohhei Umemoto, Y. Fujimoto
Taxifolin, a naturally occurring dihydroflavonol, has been reported to possess antioxidant activity, whereas there is little information regarding its antioxidant potency as a flavonoid. In the present study, the antioxidant efficacy of taxifolin in living cells was compared to that of catechin, a potent radical scavenger, by using flow cytometry with the redox-sensitive fluorescent dye, 2′,7′-dichlorodihydrofluorescein diacetate. Further, diminishing efficacy of taxifolin on peroxyl radicals was assessed by using an electron spin resonance spin-trapping technique. Taxifolin significantly reduced tert-butyl hydroperoxide-induced increases in Reactive Oxygen Species (ROS) levels in Caco-2 cells; the effect of taxifolin was stronger than that of catechin. Taxifolin also scavenged peroxyl (ROO•) radicals with statistically significance compared to that of catechin. This study showed that taxifolin has the potential to diminish ROS levels in living cells, possibly by scavenging ROO•.
Taxifolin是一种天然存在的二氢黄酮醇,已被报道具有抗氧化活性,然而关于其作为类黄酮的抗氧化能力的信息很少。本研究采用氧化还原敏感荧光染料2 ',7 ' -二氯二氢荧光素双醋酸酯,用流式细胞术比较了杉叶素在活细胞中的抗氧化作用与儿茶素的抗氧化作用。儿茶素是一种有效的自由基清除剂。此外,利用电子自旋共振自旋捕获技术评估了杉叶素对过氧基自由基的减弱效果。Taxifolin显著降低叔丁基氢过氧化物诱导的Caco-2细胞活性氧(ROS)水平升高;杉木素的作用强于儿茶素。与儿茶素相比,Taxifolin对过氧基(ROO•)自由基的清除也具有统计学意义。本研究表明,taxifolin有可能通过清除ROO•来降低活细胞中的ROS水平。
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引用次数: 2
Modulatory Effects of Bryophyllum Pinnatum Leaves Extract on Peroxidation Indices of CCl4 Induced-Hepatotoxicity in Wistar Albino Rats 苔藓叶提取物对CCl4诱导的Wistar白化大鼠肝毒性过氧化指标的调节作用
Pub Date : 2017-12-17 DOI: 10.3844/AJPTSP.2017.62.67
C. Anosike, Sophia Uyo Mokwunye, V. Okpashi, O. Abonyi
This research investigated the modulatory effect of methanol extract of Bryophyllum pinnatum leaves on peroxidation indices of CCl4-induced hepatotoxicity. Thirty rats of average weight 150g divided into six groups of 5 rats each were used for the study. Group one (control) received water and paraffin for ten days. Group two (treatment control) received water only, group 3 (standard control), received a 100 mg/kg b.w of ascorbic acid, groups 4, 5 and 6 received 200, 400 and 600 mg/kg b.w of Bryophyllum pinnatum extract, respectively. Hepatotoxicity was induced by CCl4 administration in groups 2 to 6 on the 7th and 8th days. There was significant increase in the level of high density lipoprotein (HDL) and non-significant decreases in total cholesterol and triacylglycerol in the extract treated groups (4-6) compared to group two (CCl4 untreated). There was a significant increase in the level of low density lipoprotein (LDL) in the extract treated groups (4-6) compared to group one. Animals in groups 4-6 showed a significant decrease in MDA concentration compared to that of group one. Report from this study shows that Bryophyllum pinnatum extract has modulatory effect on the lipid profile of Wistar rats intoxicated with CCL4.
本研究探讨了苔藓叶甲醇提取物对ccl4诱导的肝毒性过氧化指标的调节作用。实验选用平均体重150g的大鼠30只,分为6组,每组5只。第一组(对照组)给予水和石蜡十天。2组(处理对照)只给水,3组(标准对照)分别给予100 mg/kg b.w的抗坏血酸,4、5、6组分别给予200、400、600 mg/kg b.w的苔藓草提取物。第2 ~ 6组小鼠在第7、8天CCl4给药诱导肝毒性。与对照组(未处理CCl4)相比,提取物处理组(4-6)的高密度脂蛋白(HDL)水平显著升高,总胆固醇和甘油三酯水平无显著降低。各提取物处理组(4 ~ 6)的低密度脂蛋白(LDL)水平较1组显著升高。4 ~ 6组动物的MDA浓度较1组显著降低。本研究表明,苔藓草提取物对CCL4中毒Wistar大鼠的脂质有调节作用。
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引用次数: 1
Assessment of Type 2 Anti-Diabetes on Bound Flavonoids of Barringtonia racemosa (L.) Spreng. Kernel in Glucose-Induced Diabetic Rats 总状铃藻结合总黄酮抗2型糖尿病作用的研究Spreng。葡萄糖诱导的糖尿病大鼠核
Pub Date : 2017-12-16 DOI: 10.3844/AJPTSP.2017.48.61
M. Musman, E. Audina, Fazlia Inda Rahmayani Ratu, E. Erlidawati, S. Safrida
A study of type 2 anti-diabetes on bound flavonoids fraction from the kernel of Barringtonia racemosa (L.) Spreng. in glucose-induced diabetic rats was performed. This learning aimed to gather scientific information about the possibility to utilize kernel of B. racemosa as a raw material of antidiabetic drug. The antioxidant property of the bound flavonoids was determined by the DPPH scavenging method compared to the ascorbic acid. Assessment of type 2 anti-diabetes was conducted on glucose-induced diabetic Rattus norvegicus Wistar strain compared to metformin and the data were analyzed through one-way ANOVA software. Histopathological studies of the pancreas and kidney were made to get evidence of the β-cell performance and the renal tissue respectively. The DPPH testing at the wavelength of 517 nm showed the bound flavonoids and the ascorbic acid showed absorbance at 0.097 and 0.080 correlated with IC50 values of 7.51 and 6.50 ppm respectively. The results of one-way ANOVA indicated that the administration of bound flavonoids was significant (F(2,11) = 8.60, p = 0.008) to reduce blood glucose level in the tested rats. The diabetic rats treated with the extract experienced an antidiabetic effect equivalent to an antidiabetic effect of metformin. Histopathologic observations showed increasing of the granulated β-cell (F(3, 15) = 26.09, p<0.0001) and no renal tissue damage (F(3, 15) = 0.23, p = 0.873) in the tested rats. The conclusion raised from the data of this study revealed that the bound flavonoids from the kernel of B. racemosa (L.) Spreng. could be utilized as a drug source of type 2 anti-diabetes.
总状叶刺槐总黄酮结合部位抗2型糖尿病的研究Spreng。在葡萄糖诱导的糖尿病大鼠中进行。本研究旨在为利用总状莲心作为抗糖尿病药物原料的可能性收集科学信息。与抗坏血酸相比,用DPPH清除法测定了结合的类黄酮的抗氧化性能。比较二甲双胍与葡萄糖诱导糖尿病褐家鼠Wistar品系对2型糖尿病的抗糖尿病效果,采用单因素方差分析软件对数据进行分析。胰腺和肾脏分别进行组织病理学检查,以证明β细胞的性能和肾组织。517 nm波长DPPH测试表明,结合的黄酮和抗坏血酸吸光度分别为0.097和0.080,IC50值分别为7.51和6.50 ppm。单因素方差分析结果表明,结合黄酮类化合物对降低血糖有显著作用(F(2,11) = 8.60, p = 0.008)。用这种提取物治疗的糖尿病大鼠的降糖作用相当于二甲双胍的降糖作用。组织病理学观察显示,实验组大鼠β-颗粒细胞增多(F(3,15) = 26.09, p<0.0001),无肾组织损伤(F(3,15) = 0.23, p = 0.873)。本研究的结论表明,总状芽孢杆菌(B. racemosa, L.;Spreng。可作为抗2型糖尿病的药物来源。
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引用次数: 3
Modeling Hepatocellular Toxicity of Enavatuzumab, a Humanized Anti-TweakR Antibody Enavatuzumab的肝细胞毒性模型,一种人源抗tweak抗体
Pub Date : 2017-11-09 DOI: 10.3844/AJPTSP.2017.18.38
Donghee Choi, Yanhong Zhu, D. Chao, M. Sho, S. Rhodes, M. Fox, G. Starling, P. Culp
In a Phase 1 clinical study, treatment with enavatuzumab, a humanized monoclonal antibody to TweakR, resulted in liver toxicity in a subset of patients. The objective of this current study was to evaluate the ability of preclinical studies to predict liver toxicity in humans. Enavatuzumab was evaluated in cynomolgus monkeys, where serum liver enzyme and cytokine levels were measured and histopathology of the liver was performed. TweakR expression was evaluated by immunohistochemistry in healthy human liver and in liver tissues from cancer patients. Enavatuzumab was also evaluated in vitro for its impact on human hepatocytes when cultured both alone and with immune cells. Enavatuzumab-treated cynomolgus monkeys exhibited liver enzyme elevations only at the highest dose level (100 mg/kg) and few cytokines were elevated after dosing. Bile duct hyperplasia was observed in the liver but appeared to be partially reversible. Compared with healthy liver, liver tissues from cancer patients exhibited marked elevation of TweakR expression, which was associated with immune cell infiltration. Enavatuzumab treatment of cultured hepatocytes, both in the presence and absence of immune cells resulted in increased cytokine release, but only in the co-cultures were liver enzymes elevated. These results suggest that due to differences in liver architecture between healthy humans and cancer patients, studies in healthy non-human primates may underestimate the potential for liver toxicity in human cancer patients. The use of additional in vitro assays in conjunction with in vivo studies may better predict the potential impact of a therapeutic agent on the liver in clinical studies.
在一项i期临床研究中,使用enavatuzumab(一种针对TweakR的人源化单克隆抗体)治疗会导致一部分患者出现肝毒性。本研究的目的是评估临床前研究预测人类肝脏毒性的能力。在食蟹猴中评估了Enavatuzumab,测量了血清肝酶和细胞因子水平,并进行了肝脏组织病理学检查。采用免疫组化方法评价了正常人肝脏和肿瘤患者肝组织中TweakR的表达。Enavatuzumab还在体外评估了单独培养和与免疫细胞一起培养时对人肝细胞的影响。enavatuzumab治疗的食蟹猴仅在最高剂量水平(100 mg/kg)时表现出肝酶升高,并且在给药后很少有细胞因子升高。肝脏胆管增生,但似乎部分可逆。与健康肝脏相比,癌症患者肝组织中TweakR表达明显升高,这与免疫细胞浸润有关。Enavatuzumab治疗培养的肝细胞,在存在和不存在免疫细胞的情况下都导致细胞因子释放增加,但只有在共培养中肝酶升高。这些结果表明,由于健康人类和癌症患者之间肝脏结构的差异,在健康的非人类灵长类动物中进行的研究可能低估了人类癌症患者肝脏毒性的潜力。在临床研究中,结合体内研究使用额外的体外试验可以更好地预测治疗药物对肝脏的潜在影响。
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引用次数: 0
Dermal Toxicity of a Repellent Formulation Containing Piper Aduncum Linnaeus (Piperales: Piperaceae) Essential Oil 含灰椒(胡椒科:胡椒科)精油的驱避剂配方的皮肤毒性
Pub Date : 2017-10-12 DOI: 10.3844/AJPTSP.2017.39.47
S. Mamood, H. Othman, N. M. Nasir, A. Ghazali, S. B. Budin, M. Zulfakar
It has been shown in previous research that Piper aduncum Linnaeus essential oil has the potential to be developed as an alternative mosquito repellent. When the essential oil was formulated into cream, it was able to provide >2h of protection against Aedes aegypti in the laboratory; thus, it can be commercialized as an alternative to synthetic repellent especially N, N-diethyl-3-methylbenzamide (DEET). In this study, the irritation and sensitization potential of a cream formulation containing P. aduncum essential oil was investigated to verify its safety for application purposes. The P. aduncum essential oil was formulated into a cream containing 10% of the essential oil for irritation and skin sensitization assays on New Zealand white rabbits and guinea pigs (Hartley strain), respectively, following the ISO10993-10:2010 (E) guidelines. The macroscopic and histological observations from both assays revealed that the cream formulation containing P. aduncum essential oil caused slight irritation on rabbit skin, with a Primary Irritation Index (PII) of 1.54; however, no positive response was detected in the skin sensitization assay. In conclusion, the cream formulation containing 10% P. aduncum essential oil was slightly irritating to rabbit skin but did not cause sensitization in the animals tested.
以往的研究表明,刺花精油具有开发替代驱蚊剂的潜力。当精油被配制成乳霜时,它能够在实验室中对埃及伊蚊提供20小时的保护;因此,它可以作为合成驱蚊剂特别是避蚊胺(DEET)的替代品而商业化。在这项研究中,研究了一种含有刺荆花精油的乳膏配方的刺激和致敏潜力,以验证其应用的安全性。根据iso10993 - 10:10 10 (E)指南,将灰荆草精油配制成含有10%精油的乳膏,分别用于新西兰大白兔和豚鼠(哈特利菌株)的刺激和皮肤致敏试验。两组实验的宏观和组织学观察显示,含灰荆精油的乳膏制剂对家兔皮肤有轻微刺激,初级刺激指数(PII)为1.54;然而,在皮肤致敏试验中没有检测到阳性反应。综上所述,含有10%刺荆草精油的乳膏制剂对家兔皮肤有轻微刺激作用,但对实验动物没有致敏作用。
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引用次数: 3
Effect of Stevia Consumption on Blood Pressure, Stress Hormone Levels and Anthropometrical Parameters in Healthy Persons 甜菊糖对健康人血压、应激激素水平和人体测量参数的影响
Pub Date : 2017-08-31 DOI: 10.3844/AJPTSP.2017.7.17
E. Al-Dujaili, H. Twaij, Yazan A. Bataineh, U. Arshad, Faiza Amjid
Stevia is a natural sweetener containing steviol glycosides known to be several times sweeter than sucrose. It is thought to have several beneficial properties though some evidence state it may have detrimental effects. The aim of this study was to investigate the potential beneficial or harmful effects of stevia consumption by exploring its effects on blood pressure, stress hormone levels and anthropometrical markers in A crossover placebo controlled study was conducted on 16 volunteers randomly assigned to consume either stevia or a placebo (sugar) for one week. The measurements were attained on three different occasions and each volunteer was allowed a 3-day initiation period before baseline and in between interventions. The systolic BP increased following stevia intake from 114.5±12.7 to 119.9±12.9mmHg (p<0.001) and diastolic BP from 70.8±9.4 to 75.7±9.6mmHg (p<0.01). Systolic BP increased slightly after the sugar placebo to 115.3±13.6 mmHg (not significant). The mean free cortisol excreted in urine has increased from 91.8±49.1 to 125.7±60.5nmole/day (p<0.01) after the stevia and to 109.1±42.6nmole/day after the placebo (p = 0.210). The ratio of urinary free cortisol/cortisone showed a statistically significant increase from 1.73±0.78 to 2.65±1.03 after stevia (p<0.0001). Salivary cortisol levels have also increased (p<0.01 at AM) after stevia. Placebo intake did not produce a significant change in salivary cortisol. The ratio of salivary cortisol/cortisone during the stevia has increased only in the morning (from 1.22±0.65 to 1.75±0.72, p = 0.05) and a modest increase in the daily average of salivary cortisol/cortisone. There was small insignificant reduction in weight and BMI after stevia intervention (p = 0.246 and p = 0.249 respectively). In conclusion, we have shown that short term stevia intake produced a small but significant increase in BP and effect on body weight and BMI were not significant. The rise in BP might be due to the increase in cortisol levels and cortisol/cortisone ratio indicating that stevia may possibly inhibit 11β-HSD2 enzyme by reducing the conversion of cortisol into cortisone. Therefore caution should be taken by the public who want to consume stevia for longer period of time as a weight reducing sweetener.
甜菊糖是一种天然甜味剂,含有甜菊醇糖苷,比蔗糖甜几倍。它被认为有一些有益的特性,尽管一些证据表明它可能有有害的影响。这项研究的目的是通过探讨甜菊糖对血压、应激激素水平和人体测量指标的影响,来调查食用甜菊糖的潜在有益或有害影响。在一项交叉安慰剂对照研究中,16名志愿者被随机分配食用甜菊糖或安慰剂(糖)一周。测量是在三个不同的场合进行的,每个志愿者在基线前和干预之间有3天的起始期。甜菊糖摄入后,收缩压从114.5±12.7增加到119.9±12.9mmHg (p<0.001),舒张压从70.8±9.4增加到75.7±9.6mmHg (p<0.01)。糖安慰剂后收缩压略有升高至115.3±13.6 mmHg(无统计学意义)。服用甜叶菊后,尿中游离皮质醇的平均排泄量从91.8±49.1增加到125.7±60.5nmol /天(p<0.01),服用安慰剂后增加到109.1±42.6nmol /天(p = 0.210)。甜菊糖后尿游离皮质醇/可的松比值由1.73±0.78增至2.65±1.03,差异有统计学意义(p<0.0001)。甜菊糖后唾液皮质醇水平也升高(p<0.01 AM)。安慰剂摄入并没有产生唾液皮质醇的显著变化。在服用甜菊糖期间,唾液皮质醇/可的松比值仅在早晨增加(从1.22±0.65增加到1.75±0.72,p = 0.05),而唾液皮质醇/可的松的日平均值略有增加。甜叶菊干预后,体重和BMI均有不显著的降低(p = 0.246和p = 0.249)。综上所述,我们的研究表明,短期摄入甜菊糖会导致血压小幅但显著升高,而对体重和BMI的影响并不显著。血压升高可能是由于皮质醇水平和皮质醇/可的松比值的增加,表明甜菊糖可能通过减少皮质醇向可的松的转化来抑制11β-HSD2酶。因此,想要长期食用甜菊糖作为减肥甜味剂的公众应该谨慎。
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引用次数: 8
Exploration of Antidiabetic and Hypolipidemic Activity of Roots of Croton Zambesicus 巴豆根抗糖尿病和降血脂活性的研究
Pub Date : 2017-06-12 DOI: 10.3844/AJPTSP.2017.1.6
Prakash Kumar, Rahul Kumar, M. K. Rastogi, K. Murti
The aim of this study was to investigate the potential antidiabetic and hypolipidaemic effects of aqueous and ethanolic extracts of roots of Croton zambesicus in alloxan induced diabetic models to ascertain its pharmacological applicability. The roots of Croton zambesicus were collected, dried and extracted. The phytochemical screening as well as Median Lethal Dose determination (LD50) was done. The ethanolic extract of the roots was prepared using soxhelation technique while the aqueous extract was prepared using maceration technique. The pharmacological effects of the two extracts were monitored on the blood glucose level and the lipidprofile for a period of 28 days on the alloxan induced diabetic rats and their effect was evaluated. The ethanolic (100 mg kg-1) and aqueous (100 mg kg-1) extracts caused a significant (p<0.05) reduction in the blood glucose levels and the lipid profiles of the alloxan induced diabetic rats. However the ethanolic extract was found to be more potent than aqueous extract in the blood glucose and lipid lowering effects in the rats. The activity of the extracts was compared with the reference drug, glibenclamide (0.5 mg kg-1). Treatment with C. zambesicus showed considerable lowering in the blood glucose, serum total cholesterol, triglycerides, LDL cholesterol, VLDL cholesterol and an increase in HDL cholesterol in the alloxan treated diabetic rats. The results of this study suggest that the roots of Croton zambesicus possess antidiabetic and hypolipidaemic activities in the treated diabetic models.
本研究的目的是研究四氧嘧啶诱导的糖尿病模型中巴豆根水提液和乙醇提液的潜在降糖和降血脂作用,以确定其药理适用性。收集蚕豆根,干燥和提取。进行了植物化学筛选和中位致死剂量测定(LD50)。根的乙醇提取物采用外晒法制备,水提取物采用浸渍法制备。观察两种提取物对四氧嘧啶诱导的糖尿病大鼠28 d的血糖水平和血脂的药理作用,并评价其药理作用。乙醇提取物(100 mg kg-1)和水提取物(100 mg kg-1)对四氧嘧啶诱导的糖尿病大鼠的血糖水平和血脂水平均有显著(p<0.05)的降低。然而,在大鼠的降血糖和降脂作用中,发现乙醇提取物比水提取物更有效。并与对照药格列本脲(0.5 mg kg-1)的活性进行比较。四氧嘧啶治疗的糖尿病大鼠血糖、血清总胆固醇、甘油三酯、LDL胆固醇、VLDL胆固醇显著降低,HDL胆固醇显著升高。本研究结果表明,在治疗后的糖尿病模型中,蚕豆根具有抗糖尿病和降血脂的活性。
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引用次数: 2
The Evaluation of Proton Pump Inhibitor Bioactive Fraction DLBS2411 from Cinnamomum burmannii (Nees & T. Nees) in Animal Model of Gastric Ulceration Healing 肉桂(Cinnamomum burmannii, Nees & T. Nees)质子泵抑制剂DLBS2411在胃溃疡愈合动物模型中的作用
Pub Date : 2017-04-01 DOI: 10.3844/AJPTSP.2017.79.88
F. Nailufar, R. Tjandrawinata
DLBS2411 is a bioactive fraction from Cinnamomum burmannii that is believed to possess anti-ulceration activity. In this study acetic acid was administered to induce gastric ulcer. Rats were divided into six groups: Healthy animals, untreated animals (acetic acid-induced), treatment group of BAF DLBS2411 25 mg kg-1 Body Weight (BW), BAF DLBS2411 50 mg kg-1 BW and positive control group of omeprazole 2 mg kg-1 and sucralfate 100 mg kg-1 BW. The efficacy of DLBS2411 was measured through histopathology examination and ulceration observation. Hematological parameters were also evaluated before and after treatments to indicate the safety profile of DLBS2411. The untreated animals developed more serious injuries (i.e., bigger and more severe ulcers) than the positive control groups and DLBS2411 treatment groups. DLBS2411 treatment with doses of 25 and 50 mg kg-1 and sucralfate 100 mg kg-1 were effective to heal the ulcer as shown by reduction of ulcer size (up to 54.8, 36.53 and 14.85%, respectively) compared to the untreated animals. DLBS2411 was as effective as omeprazole 2 mg kg-1 and sucralfate 100 mg kg-1 in alleviating ulcer severity as examined in histopathology result. There were no significant differences in hematological values. DLBS2411 at doses of 25 and 50 mg kg-1 demonstrated healing activity on acetic acid-induced gastric ulcer, with a similar effect to that of omeprazole at dose of 2 mg kg-1 or sucralfate at dose of 100 mg kg-1. No adverse reaction was seen in all treatment groups, suggesting that DLBS2411 has a good safety profile in animal.
DLBS2411是肉桂的一种生物活性成分,被认为具有抗溃疡活性。本研究采用醋酸诱导胃溃疡。将大鼠分为6组:健康大鼠、醋酸诱导大鼠、BAF DLBS2411治疗组25 mg kg-1体重(BW)、BAF DLBS2411治疗组50 mg kg-1体重(BW)和阳性对照组奥美拉唑2 mg kg-1、硫糖钠100 mg kg-1体重(BW)。通过组织病理学检查和溃疡观察来观察DLBS2411的疗效。治疗前后的血液学参数也被评估,以表明DLBS2411的安全性。与阳性对照组和DLBS2411治疗组相比,未经治疗的动物出现了更严重的损伤(即更大更严重的溃疡)。与未治疗的动物相比,剂量为25和50 mg kg-1的DLBS2411治疗和剂量为100 mg kg-1的硫硫钠治疗对溃疡的愈合有效,溃疡大小减少(分别高达54.8%,36.53%和14.85%)。组织病理学结果显示,DLBS2411与奥美拉唑2 mg kg-1、硫糖钠100 mg kg-1对溃疡的缓解效果相当。两组血液学指标无显著差异。剂量为25和50 mg kg-1的DLBS2411显示出对醋酸诱导的胃溃疡的愈合活性,其效果与奥美拉唑剂量为2 mg kg-1或硫糖钠剂量为100 mg kg-1的效果相似。所有治疗组均未见不良反应,表明DLBS2411具有良好的动物安全性。
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引用次数: 3
A Study of Prescribing Pattern of Drugs during Pregnancy and Lactation in the Secondary and Tertiary Care Hospitals of Bangladesh: A Cross Sectional Study 孟加拉国二级和三级医院妊娠和哺乳期药物处方模式研究:一项横断面研究
Pub Date : 2017-04-01 DOI: 10.3844/AJPTSP.2017.68.78
Mohammad Mohasin Miah, Shakil Ahammad Mridha, Azad Md. Abu Rayhan, A. Ferdous
Using of prescribed drugs during pregnancy and lactation requires special attention because of having risk of the mothers as well as the health and life of her unborn child. Medicinal abuse usually happens due to lack of abundant information on the use of drugs during pregnancy and lactation. The main objective of this study was to assess the information about the prevalence of the use of prescribed drugs among pregnant and lactating women in Bangladesh. This was a cross-sectional study and conducted at both the Rangpur Medical College Hospital (RMCH) and Institute of Child and Mother Health (ICMH) at Dhaka in Bangladesh. Medicinal prescription copies given to 500 pregnant women and 500 lactating mothers respectively at each hospital, who attended in the hospitals, were collected. While analyzing, it was found that on an average, per prescription of pregnancy and lactation contained 2.216±0.019 (P = 0.50) and 1.199±0.014 (P = 0.05) drugs respectively. The therapeutic classes and both US-FDA pregnancy and Thomas Hale lactation categories of the drugs prescribed to pregnant women and lactating mother were also analyzed. Anti-anemic drugs including iron preparations and vitamin and mineral supplements (37.23%) were the most frequently prescribed medicines at both hospitals. Including vitamin and mineral supplements, 1098 women (49.55%) received drugs from category A; 729 women (32.90%) received drugs from category B; 309 women received drugs from category C (13.94%); 80 women (3.61%) received drugs from category D and no pregnant women received a drug from category X of the US-FDA risk classification system, whereas the highest number (605, 50.46%) of lactating mothers took drugs from L2 safe category of lactation and 355 (29.61%) lactating mothers received anti-infective drugs from therapeutic classes during visiting at both hospitals. The study shows that the prescription of harmful drugs decreases during pregnancy and lactation in Bangladesh.
在怀孕和哺乳期间使用处方药物需要特别注意,因为这对母亲以及未出生婴儿的健康和生命都有风险。药物滥用通常是由于缺乏充足的孕期和哺乳期药物使用信息而发生的。本研究的主要目的是评估孟加拉国孕妇和哺乳期妇女使用处方药的流行情况。这是一项横断面研究,在孟加拉国达卡的Rangpur医学院医院(RMCH)和儿童和母亲健康研究所(ICMH)进行。收集了每家医院分别发给500名在医院就诊的孕妇和500名哺乳期母亲的药物处方副本。分析发现,平均每张妊娠处方和哺乳期处方中分别含有2.216±0.019 (P = 0.50)和1.199±0.014 (P = 0.05)种药物。对孕妇及哺乳期母亲用药的治疗分类及US-FDA妊娠和Thomas Hale哺乳期用药分类进行分析。抗贫血药物包括铁制剂和维生素和矿物质补充剂(37.23%)是两家医院最常用的处方药。包括维生素和矿物质补充剂在内,1098名妇女(49.55%)服用了A类药物;729名妇女(32.90%)接受了B类药物;309名妇女接受C类药品(13.94%);80名孕妇(3.61%)使用了美国fda风险分类系统D类药物,没有孕妇使用了X类药物,而在两家医院就诊期间,使用L2安全类药物的哺乳期母亲最多(605人,50.46%),使用治疗类抗感染药物的哺乳期母亲最多(355人,29.61%)。研究表明,孟加拉国怀孕和哺乳期的有害药物处方减少。
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引用次数: 2
Mystifying Toxidrome: A Case of Heroin Body Packer Syndrome 神秘的毒副反应:一例海洛因身体包装综合征
Pub Date : 2016-06-18 DOI: 10.3844/AJPTSP.2016.20.25
P. Panda, T. Kakkanattu, Arvind Kumar, P. Sethi, K. Kumar, A. Biswas, N. Wig
Drug trafficking is an international problem. Over years it has increased in prevalence and concealment methods. Body packers swallow wrapped packets of illicit drugs, mainly cocaine and heroin and try to conceal them from security personnel. They present to physicians either as body packer syndrome with symptoms of intoxication or asymptomatically on suspicion of drug concealment, for observation. We report a case of middle aged unknown male, found in comatose state on road side by Delhi police (India), brought to our emergency without any signs of injury. Initially organophosphate toxidrome was suspected, later confirmed to be opiod toxidrome with internal concealment of many balloons (of polythene) wrapped packets of heroin. On failure of conservative removal, he underwent laparotomy with complete removal of all the packets. He was discharged in stable condition and handed over to the police. This is the first case report of live heroin body packer syndrome from India.
毒品走私是一个国际问题。多年来,它的流行程度和隐藏方法都有所增加。尸体包装者吞下包装好的非法毒品,主要是可卡因和海洛因,并试图将它们隐藏起来,不让安全人员看到。他们或表现为有中毒症状的包裹体综合征,或因怀疑隐藏药物而无症状,供医生观察。我们报告一例身份不明的中年男性,被德里警方(印度)在路边发现处于昏迷状态,没有任何受伤迹象。最初怀疑是有机磷毒瘤,后来证实是阿片类毒瘤,内部隐藏了许多气球(聚乙烯)包裹的海洛因包。在保守移除失败后,他接受剖腹手术并完全移除所有包。他出院时情况稳定,并被移交给警方。这是印度报道的首例活海洛因体封隔器综合征病例。
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引用次数: 3
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American Journal of Pharmacology and Toxicology
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