Herbal products in pregnancy: experimental studies and clinical reports.

The aim of this work is to provide an update from an overview of the literature of the most frequently consumed herbal remedies during pregnancy, both alone and concomitantly with prescribed medications and particularly on their side effects to the mother and fetus. We have also analyzed some of the adverse interactions that may occur due to concomitant use of herbal and pharmaceutical products during pregnancy. Herbal remedies are not evaluated according to the same standards as pharmaceuticals, and in the USA some of it are not licensed but sold as food supplements. There is a lack of basic knowledge on the part of both clinicians and patients as to the indications for use and safety of herbal medicines used in pregnancy and lactation. If 'traditional use' is the only available information, the pregnant woman should be made aware of this to enable her to make an informed decision concerning potential use.

Selective COX-2 inhibitory properties of dihydrostilbenes from liquorice leaves--in vitro assays and structure/activity relationship study.

Three dihydrostilbenes belonging to the polyphenol pool characterized in the leaves of Sicilian liquorice (Glycyrrhiza glabra L.) have been tested for their antioxidant and anti-inflammatory activity. The three dihydrostilbenes (PA-82, GA-23, DO-07) were in vitro tested to evaluate their capability to scavenge the stable radical 1,1-diphenyl-2-picrylhydrazyl (DPPH), and to decrease thromboxane B2 (TxB2) and prostaglandin E2 (PGE2) release in human whole blood samples. On the basis of the observed capability of these compounds to affect the cell COX-1/COX-2 pathway, a molecular docking study was carried out in order to understand in detail the ability of these compounds to bind to COX-1 and COX-2. The results show that the liquorice dihydrostilbenes are preferred ligands for COX-2 rather than for COX-1, providing a good rational for the observed selectivity in ex vivo experiments. Therefore, they appear to be good candidates for employment in human therapy against inflammation-related pathological conditions.

Antioxidant and photoprotective effects of blanch water, a byproduct of the almond processing industry.

The aim of the present work was to evaluate the antioxidant and photoprotective effect of blanch water (BW), a byproduct of the almond processing industry. The polyphenolic content of a BW extract, the level of proanthocyanidins and the vanillin index determination were determined. The antioxidant activity and the radical scavenging activity of the BW were evaluated by a range of in vitro tests. The in vivo photoprotective effect was investigated using a formulation containing 2% of the BW extract on skin erythema induced by acute UV-B exposure in twelve volunteers. Results confirmed the presence of added-value antioxidant compounds in the industrial BW extract, and the most representative compounds were naringenin-7-O-glucoside and kaempferol-7-O-rutinoside. The proanthocyanidin content was 71.84 ± 5.21 cyanidin equivalents/g of BW extract. The good antiradical activity of the BW extract was demonstrated in both the DPPH• test and in the Reducing Power test. The percentage inhibition of erythema obtained using a formulation of BW was 50.48, value clearly demonstrating an effect against photooxidative damage in vivo.

In vitro antioxidant and in vivo photoprotective effect of pistachio (Pistacia vera L., variety Bronte) seed and skin extracts.

Pistachio (Pistacia vera L.) nuts are a rich source of phenolic compounds, known for their high antioxidant activity, and contained not only in the seeds but also in the skin. A pistachio cultivar of high quality is typical of Bronte, Sicily, Italy. The purpose of our study was to investigate the chemical composition and antioxidant properties of two polyphenol-rich extracts from skins (TP) and decorticated seeds (SP) of Bronte pistachios, and to verify the potential use of these extracts for topical photoprotective products. Chemical analysis showed that the TP and SP extracts contain high levels of phenolic compounds, but the TP extract is about ten times richer in phenols than the SP extract, being anthocyanins the most abundant compounds found in the TP extract. Both these extracts, and especially the TP extract, possess good radical scavenger/antioxidant properties, as shown in a series of in vitro assays carried out using homogenous and non-homogenous chemical environment. Furthermore both the TP extract and, although at a lower degree, the SP extract reduce, when topically applied, UV-B-induced skin erythema in human volunteers. These findings suggest that extracts from Bronte TP and SP could be successfully employed as photoprotective ingredients in topical cosmetic and pharmaceutical formulations.

Histamine and selenium in lung cancer.

The relationship between allergies and cancer incidence and the role played by histamine on the immune system and on inhibiting tumor growth have been the subject of study in our group. The influence of histamine dosage on free radicals was investigated in both lung cancer and healthy subjects. Plasmatic selenium levels in the same patients were assayed in order to highlight the role played by free radicals in lung cancer. The role of selenium on the genesis of lung cancer is well known. Thirty-seven male patients with lung adenocarcinoma or squamous carcinoma were tested. The control group included thirty-nine healthy male subjects. The results indicated a significant decrease in histamine plasma levels in subjects with cancer (p=0.0038) compared to the healthy subjects. Smoking significantly reduced the histamine plasma levels in cancer patients (p=0.0044). Such a decrease was not significant in the controls (p=0.063). A significant decrease in selenium plasma levels in the cancer patients (p=0.005) was also observed. The data suggest that histamine and selenium are two factors involved in the pathogenesis of lung cancer, which could be used in protective and therapeutic strategies.

Effect of a standardized extract of red orange juice on proliferation of human prostate cells in vitro.

A standardized extract of red orange juice (ROE) was shown to inhibit proliferation of fibroblast and epithelial prostate cells. These data suggest that the antiproliferative properties of ROE cannot be ascribed to cytotoxic effect and highlight its potential usefulness in the management of benign prostatic hyperplasia.

Studies on antidiarrhoeal activity of an extract of wine from Jacquez grapes in mice.

The present study was designed to verify the antidiarrhoeal effects of a lyophilized extract of wine from Jacquez grapes (Ord. Rhamnales; Fam. Vitaceae; Sp. Vitis aestivalis M.-cinerea E. x Vitis vinifera L.), studying its influence on castor oil-induced diarrhoea and enteropooling, and on gastrointestinal transit (measured by a charcoal marker) in mice. The pre-treatment of the animals with the JWE (Jacquez wine extract) produced a significant inhibition against castor oil induced-diarrhoea and intestinal fluid accumulation; furthermore the extract significantly decreased the propulsive movement of the charcoal meal. These findings suggest a potential beneficial use of the JWE in the treatment of diarrhoeal diseases.

Antioxidant and photoprotective activity of a crude extract of Culcitium reflexum H.B.K. leaves and their major flavonoids.

The aim of the present study was to evaluate the in vitro antioxidant and in vivo photoprotective activities of an ethanolic extract of Culcitium reflexum H.B.K. leaves (ECR extract). The antioxidant activity of the extract was assessed by means of three different in vitro tests: (1) bleaching of the stable 1,1-diphenyl-2-picrylhydrazyl radical; (2) peroxidation, induced by the water-soluble radical initiator 2,2'-azobis(2-amidinopropane)hydrochloride, on mixed dipalmitoylphosphatidylcholine/linoleic acid unilamellar vesicles; (3) UV radiation-induced peroxidation in phosphatidylcholine multilamellar vesicles. In all in vitro tests used the ECR extract showed a significant antioxidant effect. Furthermore, a gel formulation containing this extract proved, when topically applied, to afford a significant in vivo protection against UV-B-induced skin erythema in healthy human volunteers. Then, by chromatographic fractionation and spectroscopic methods, we identified some cinnamic acid derivatives and the major flavonoid constituents of the ECR extract, viz. the flavonols rutin, quercetin-3-O-beta-D-galactopyranoside-4'-O-beta-D-glucopyranoside, quercetin-3-O-beta-D-glucopyranoside, isorhamnetin-3-O-beta-D-galactopyranoside, quercetin and kaempferol.