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Zhongguo Zhong Yao Za Zhi = Zhongguo... Nov 2020Pyrrolizidine alkaloids(PAs) are a group of naturally occurring alkaloids with a pyrrolizidine skeleton which can be found in about 3% of the world's flowering plants....
Pyrrolizidine alkaloids(PAs) are a group of naturally occurring alkaloids with a pyrrolizidine skeleton which can be found in about 3% of the world's flowering plants. It is notorious that PAs are cause the hepatoxic and genotoxic-carcinogenic effects by taking PA-containing herbs, food and dietary supplements. In order to control the poisoning caused by PAs, European Medicines Agency has set a limit of intake of PAs from herbal medicinal products at 0.007 μg of 1,2-unsaturated PAs/kg body weight. Nonetheless, a systematic overview of the amount of PAs in the herb has not been provided. Therefore, this paper is to systematically review the current status of PAs content analysis of herbal medicines and foods reported in the literature, and to provide theoretical and experimental support for the safety risk assessment and control of PAs in Chinese herbal medicines.
Topics: Food; Herbal Medicine; Phytotherapy; Plants, Medicinal; Pyrrolizidine Alkaloids
PubMed: 33350201
DOI: 10.19540/j.cnki.cjcmm.20200623.205 -
Journal of Ethnopharmacology Mar 2021Bisbenzylisoquinoline (BBIQ) alkaloids are generally present in plants of Berberidaceae, Monimiaceae and Ranunculaceae families in tropical and subtropical regions. Some...
RELEVANCE
Bisbenzylisoquinoline (BBIQ) alkaloids are generally present in plants of Berberidaceae, Monimiaceae and Ranunculaceae families in tropical and subtropical regions. Some species of these families are used in traditional Chinese medicine, with the effects of clearing away heat and detoxification, promoting dampness and defecation, and eliminating sores and swelling. This article offers essential data focusing on 13 representative BBIQ compounds, which are mainly extracted from five plants. The respective botany, traditional uses, phytochemistry, pharmacokinetics, and toxicity are summarized comprehensively. In addition, the ADME prediction of the 13 BBIQ alkaloids is compared and analyzed with the data obtained.
MATERIALS AND METHODS
We have conducted a systematic review of the botanical characteristics, traditional uses, phytochemistry, pharmacokinetics and toxicity of BBIQ alkaloids based on literatures collected from PubMed, Web of Science and Elsevier during 1999-2020. ACD/Percepta software was utilized to predict the pharmacokinetic parameters of BBIQ alkaloids and their affinity with enzymes and transporters.
RESULTS
Botany, traditional uses, phytochemistry, pharmacokinetic and toxicity of 13 alkaloids, namely, tetrandrine, dauricine, curine, trilobine, isotrilobine, cepharanthine, daurisoline, thalicarpine, thalidasine, isotetrandrine, liensinine, neferine and isoliensinine, have been summarized in this paper. It can't be denied that these alkaloids are important material basis of pharmacological effects of family Menispermaceae and others, and for traditional and local uses which has been basically reproduced in the current studies. The 13 BBIQ alkaloids in this paper showed strong affinity and inhibitory effect on P-glycoprotein (P-gp), with poor oral absorption and potent binding ability with plasma protein. BBIQ alkaloids represented by tetrandrine play a key role in regulating P-gp or reversing multidrug resistance (MDR) in a variety of tumors. The irrationality of their usage could pose a risk of poisoning in vivo, including renal and liver toxicity, which are related to the formation of quinone methide during metabolism.
CONCLUSION
Although there is no further clinical evaluation of BBIQ alkaloids as MDR reversal agents, their effects on P-gp should not be ignored. Considering their diverse distribution, pharmacokinetic characteristics and toxicity reported during clinical therapy, the quality standards in different plant species and the drug dosage remain unresolved problems.
Topics: Alkaloids; Animals; Benzylisoquinolines; Drugs, Chinese Herbal; Ethnobotany; Ethnopharmacology; Humans; Medicine, Chinese Traditional; Phytochemicals; Plants, Medicinal
PubMed: 33166629
DOI: 10.1016/j.jep.2020.113566 -
Journal of Ethnopharmacology Mar 2021The different plant parts of Cassia occidentalis Linn, (CO) such as root, leaves, seeds and pods have traditionally been used in multifarious medicines for the treatment...
ETHNOPHARMACOLOGICAL RELEVANCE
The different plant parts of Cassia occidentalis Linn, (CO) such as root, leaves, seeds and pods have traditionally been used in multifarious medicines for the treatment of dysentery, diarrhea, constipation, fever, eczema, cancer and venereal diseases.
MATERIALS AND METHODS
A systematic search of literature has been done in books and scientific databases like Science Direct, Pubmed, Google Scholar and Scopus etc. These sources were used to compile, analyze and review the information regarding the phytochemistry, toxicology and mechanism of toxicity of CO. The various references on this subject are cited in our review ranging from 1956 to 2019.
RESULTS
Unintentional exposure of CO causes serious pathological condition in children, known as hepato-myo-encephalopathy (HME). The toxicity after CO consumption is associated with the presence of anthraquinones (AQs), a class of secondary plant metabolites. These AQs at high concentrations are known to cause detrimental effects on essential vital organs such as liver, kidney, spleen, brain, muscle and reproductive organs. The animal studies in rodent models as well as clinical investigations have clearly revealed that CO toxicity is associated with enhanced hepatotoxicity serum markers (ALT, AST, and LDH) and presence of necrotic lesions in liver. Furthermore, CO also causes vacuolization in muscle tissue and increases the level of CPK which is a prominent muscle damage marker. Apart from these target organs, CO consumption also causes neuronal damage via disturbing the levels of different proteins such as (GFAP and b-tubulin III). The mechanistic studies show that AQs present in CO have the potential to disturb the cellular homeostasis via binding to DNA, increasing the production ROS and showing inhibitory effects on essential enzymes etc. Therefore, AQs have been observed to be the primary culprit agents contributing to the toxicity of CO in children and animals.
CONCLUSION
Despite its therapeutic potential, CO consumption can be detrimental if consumed in high amounts. A thorough analysis of literature reveals that AQs are the primary factors contributing to toxicity of CO seeds. Exposure to CO seeds causes HME, which is a serious life threatening condition for the malnourished children from lower strata. Multiple mechanisms are involved in the CO induced HME in patients. Lack of appropriate diagnostic measures and a poor understanding of the CO toxicity mechanism in humans and animals complicate the clinical management of CO poisoning subjects. Therefore, development of point of care diagnostic kits shall help in early diagnosis & suitable management of CO poisoning.
Topics: Animals; Anthraquinones; Brain; Hepatic Encephalopathy; Humans; Liver; Muscle, Skeletal; Muscular Diseases; Plant Extracts; Prognosis; Seeds; Senna Plant
PubMed: 33011371
DOI: 10.1016/j.jep.2020.113431 -
Journal of Ethnopharmacology Apr 2019Urban migrant herbal medicine is an important topic on a global scale. Through bibliographical analysis of published studies we can get an overview of the different...
ETHNOPHARMACOLOGICAL RELEVANCE
Urban migrant herbal medicine is an important topic on a global scale. Through bibliographical analysis of published studies we can get an overview of the different hybridisation processes at work in cities around the world, the main medicinal plants used and the principal ailments treated. We analysed the differential characteristics of urban ethnobotanical studies involving transnational migrant and non-migrant populations, in order to contribute useful information for the design of public health policies.
MATERIALS AND METHODS
A systematic and integrative revision was conducted, leading to a final selection of 66 primary sources, including studies with and without immigrants. In both cases, richness (S), considered as the sum of all species cited in the work, botanical families and reported ailments were recorded. Based on the work of Ladio and Albuquerque (2014) the main hybridisation processes identifiable in the literature were assessed. These were: fusion, relocation, re-combination of different species, their restructuring as medicinal targets, spatial segregation in usage, innovations found in the circulation and consumption of the plants, and the presence of simultaneous coexistence of different symbolic universes in plant medical practices.
DATA ANALYSIS
This was qualitative and quantitative, including both in-depth interpretative content analysis of the studies and frequency analysis of numerical data, such as species richness, botanical families, ailments and the hybridisation processes detected. A multinomial logistic regression model was used to analyse whether the probability of medicinal plant hybridisation processes occurring was the same in literature with and without migrants.
RESULTS
A total of 522 medicinal species formed part of the main urban ethnobotany worldwide; the majority were cosmopolitan in distribution and belonged to the Asteriaceae and Lamiaceae families. Only 21% of these species appeared in both migrant and non-migrant studies. Most were used for gastrointestinal and hepatic ailments. Surprisingly, culture-related illnesses were not frequently mentioned, probably due to lack of recognition and re-interpretation by authors. Logistic analysis showed that in the studies with migrants, relocation and restructuring of plant use were the most frequently identified processes, while in the studies involving only non-migrants fusion was 4 times more likely to be found than in studies with migrants.
CONCLUSIONS
Our research on hybridisation processes shows that cities constitute an environment that fosters a rapid exchange of practices and knowledge about the available species. Studies with migrants have shown that they reproduce traditional models in their use of plants, and so relocation and restructuring of their herbal medicine are the principal processes. Health risks in this case are related to the difficulties faced by these groups in obtaining their plants and reproducing their practices. In the case of fusion processes observed in non-migrants, who do not normally have a long history or much experience of plant use, errors or poisoning may result from misuse. This information highlights the importance of considering these processes in health policies, particularly when there are no significant quality controls of these resources.
Topics: Emigrants and Immigrants; Humans; Logistic Models; Medicine, Traditional; Plant Preparations; Plants, Medicinal; Transients and Migrants; Urban Population
PubMed: 30658184
DOI: 10.1016/j.jep.2019.01.013 -
Forensic Science Review Jan 2019The aim of this paper is to highlight the symptomatology in three Conium maculatum intoxication incidents, one of which was fatal. A number of studies were reviewed in...
The aim of this paper is to highlight the symptomatology in three Conium maculatum intoxication incidents, one of which was fatal. A number of studies were reviewed in order to update and summarize the relevant literature on the incidence, sociodemographic variables, method of poisoning, pathophysiology, diagnosis, variables associated with survival and fatality, management, and treatment of C. maculatum intoxication as well as the biosynthesis and biological effects of poison hemlock alkaloids. Results show that hemlock poisoning is relatively rare, although incidence varies in different regions, despite its worldwide distribution. Hemlock poisoning is more common in European and especially Mediterranean countries. The majority of the patients are adult males over 38 years of age. The clinical course of hemlock poisoning includes neurotoxicosis, tremor, vomiting, muscle paralysis, respiratory paralysis/failure, rhabdomyolysis, and acute renal failure. The therapeutic management focuses on absorption reduction, close observation for complications, and supportive therapy (especially for respiration). Acute occurrence is severe and life-threatening, but the survival rate is high if treatment is provided promptly. Recovery is rapid, generally taking only a few days.
Topics: Accidents; Aged; Alkaloids; Animals; Antidotes; Antiemetics; Charcoal; Chromatography, Liquid; Conium; Gas Chromatography-Mass Spectrometry; Gastric Lavage; Humans; Livestock; Male; Molecular Structure; Phytotherapy; Piperidines; Plant Poisoning; Respiratory Paralysis; Rhabdomyolysis; Suicide
PubMed: 30594904
DOI: No ID Found -
Journal of Research in Medical Sciences... 2018For many years, medicinal plants and herbal therapy have been widely used in different societies for the treatment of various diseases. Besides their therapeutic... (Review)
Review
BACKGROUND
For many years, medicinal plants and herbal therapy have been widely used in different societies for the treatment of various diseases. Besides their therapeutic potency, some of the medicinal plants have strong toxicity in human, especially in children and elderly. Despite common beliefs that natural products are safe, there have been few reports on their toxicities.
MATERIALS AND METHODS
In the present study, we aimed to systematically review the literature wherein acute plant poisoning and herbal intoxication have been reported in pediatric patients. After literature search and selection of the appropriate documents, the desired data were extracted and described qualitatively.
RESULTS
A total of 127 articles with overall 1453 intoxicated cases were collected. The results of this study showed that some medicinal plants can cause acute poisoning and complications such as hepatic and renal failure in children.
CONCLUSION
The findings of this survey showed that acute plant poisoning can be life?threatening in children, and since a single?ingested dose of toxic plants can cause acute poisoning, parents should be aware of these toxic effects and compare the side effects of self?medication with its potential benefits.
PubMed: 29692823
DOI: 10.4103/jrms.JRMS_629_17 -
British Journal of Clinical Pharmacology Apr 2015The objective of this review was to collect available data on the following: (i) adverse effects observed in humans from the intake of plant food supplements or... (Review)
Review
AIMS
The objective of this review was to collect available data on the following: (i) adverse effects observed in humans from the intake of plant food supplements or botanical preparations; (ii) the misidentification of poisonous plants; and (iii) interactions between plant food supplements/botanicals and conventional drugs or nutrients.
METHODS
PubMed/MEDLINE and Embase were searched from database inception to June 2014, using the terms 'adverse effect/s', 'poisoning/s', 'plant food supplement/s', 'misidentification/s' and 'interaction/s' in combination with the relevant plant name. All papers were critically evaluated according to the World Health Organization Guidelines for causality assessment.
RESULTS
Data were obtained for 66 plants that are common ingredients of plant food supplements; of the 492 papers selected, 402 (81.7%) dealt with adverse effects directly associated with the botanical and 89 (18.1%) concerned interactions with conventional drugs. Only one case was associated with misidentification. Adverse effects were reported for 39 of the 66 botanical substances searched. Of the total references, 86.6% were associated with 14 plants, including Glycine max/soybean (19.3%), Glycyrrhiza glabra/liquorice (12.2%), Camellia sinensis/green tea ( 8.7%) and Ginkgo biloba/gingko (8.5%).
CONCLUSIONS
Considering the length of time examined and the number of plants included in the review, it is remarkable that: (i) the adverse effects due to botanical ingredients were relatively infrequent, if assessed for causality; and (ii) the number of severe clinical reactions was very limited, but some fatal cases have been described. Data presented in this review were assessed for quality in order to make the results maximally useful for clinicians in identifying or excluding deleterious effects of botanicals.
Topics: Dietary Supplements; Drug-Related Side Effects and Adverse Reactions; Food-Drug Interactions; Humans; Plant Preparations; Plants, Medicinal
PubMed: 25251944
DOI: 10.1111/bcp.12519