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1.
J Ethnopharmacol ; 296: 115473, 2022 Oct 05.
Artigo em Inglês | MEDLINE | ID: mdl-35718052

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: Loquat (Eriobotrya japonica (Thunb.) Lindl.) is an evergreen tree native to China, which is introduced in many Mediterranean countries. As in many ancient medical systems, loquat leaves have been used in Moroccan traditional medicine to treat diabetes and its complications. AIM OF THE STUDY: This study aims to determine the nutritional and polyphenol composition and to evaluate the in vivo antidiabetic, and antihyperlipidemic properties and oral toxicity of a leaf aqueous extract (LLE) derived from loquat grown in Morocco. MATERIALS AND METHODS: Energy value and fiber, fatty acids, minerals, vitamins, total carbohydrate, sugar, lipid, and protein contents were determined according to international methods committee guidelines. Polyphenol profiling was carried out using the HPLC-DAD method. Mice fed a high-fat and high-glucose (HFG) diet for 10 weeks were used as a model to assess the antidiabetic and antihyperlipidemic effects of a daily administration of LLE at three different doses (150, 200, 250 mg/kg body weight (BW)/day), in comparison with metformin (50 mg/kg BW/day) and pravastatin (20 mg/kg BW/day). The oral toxicity was determined following OECD 425 Guideline. RESULTS: Loquat leaves were found to be rich in fiber, minerals (potassium, calcium, magnesium, iron, and sodium), and vitamins (B2, B6, and B12) and lower in energy, sugar, and fat. Ten different phenolic compounds were characterized. Naringenin, procyanidin C1, epicatechin, and rutin were the more abundant compounds in LLE. The administration of the LLE dose-dependently ameliorated hyperglycemia, insulin resistance, oxidative stress, and hyperlipidemia in HFG diet-fed mice. The median lethal dose of LLE was higher than 5000 mg/kg BW. CONCLUSIONS: Loquat leaves are a potential source of micronutrients and polyphenols with beneficial effects on diabetes and its complications.


Assuntos
Eriobotrya , Animais , Hipoglicemiantes/uso terapêutico , Hipoglicemiantes/toxicidade , Hipolipemiantes/uso terapêutico , Hipolipemiantes/toxicidade , Camundongos , Minerais , Valor Nutritivo , Folhas de Planta , Polifenóis/uso terapêutico , Polifenóis/toxicidade , Açúcares , Vitaminas
2.
Biomed Pharmacother ; 142: 111930, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34416631

RESUMO

Dyslipidemia is a chronic non-transmissible condition that has increased due to an unhealthy lifestyle. Statins have been used as the standard treatment to control hyperlipidemia. However, side effects and high costs may be associated with its prolonged treatment, so plants derivatives have been an attractive therapy to overcome these problems. Among the compounds extracted from plants, the p-hydroxycinnamic diesters (HCE), present in carnauba wax (CW), have been found with good pharmacological properties. Therefore, this study aimed to evaluate the potential anti-hypercholesterolemic and possible toxicological effects of HCE in C57BL/6J mice under a high-fat (HF) diet. Male C57BL/6J mice were fed during 60 days under the HF diet and therefore were either treated with HCE (200 and 400 mg/kg) or simvastatin (20 mg/kg) or received saline (controls) by gavage for 30 days under the same diet. HCE treatment was able to reduce serum total cholesterol and LDL levels. Besides, this compound increased liver X receptor (LXR) and but not significantly affected IL-1ß and TNF-α liver mRNA transcription activity. In conclusion, HCE treatment was found safe and may attenuate the deleterious effects of dyslipidemia due to chronic feeding with western diets.


Assuntos
Arecaceae/química , Ácidos Cumáricos/farmacologia , Hiperlipidemias/tratamento farmacológico , Hipolipemiantes/farmacologia , Extratos Vegetais/farmacologia , Administração Oral , Animais , Biomarcadores/metabolismo , Peso Corporal/efeitos dos fármacos , Ácidos Cumáricos/administração & dosagem , Ácidos Cumáricos/isolamento & purificação , Ácidos Cumáricos/toxicidade , Dieta Hiperlipídica/efeitos adversos , Modelos Animais de Doenças , Feminino , Hiperlipidemias/sangue , Hiperlipidemias/induzido quimicamente , Hipolipemiantes/administração & dosagem , Hipolipemiantes/toxicidade , Inflamação/genética , Interleucina-1beta/metabolismo , Metabolismo dos Lipídeos/genética , Lipídeos/sangue , Fígado/efeitos dos fármacos , Fígado/metabolismo , Receptores X do Fígado/metabolismo , Masculino , Camundongos Endogâmicos C57BL , Extratos Vegetais/administração & dosagem , Extratos Vegetais/toxicidade , Sinvastatina/administração & dosagem , Sinvastatina/farmacologia
3.
Artigo em Inglês | MEDLINE | ID: mdl-33115396

RESUMO

AIMS: To study the toxicological profile and anti-hyperlipidemic effects of Spondias mombin leaves methanolic extract in experimental rats. BACKGROUND: Preventing high levels of lipids or its recurrence is currently one of the key aims of clinical and experimental studies. OBJECTIVE: This study was carried out to investigate the toxicological profile and anti-hyperlipidemic effects of methanolic extract of leaves of Spondias mombin. METHODS: The acute toxicity study was carried out where the limited dose of 2000 mg/kg body weight was administered to five rats at 48 h intervals. The interpretation was prepared and recorded for 24 h. In the sub-acute toxicity study, rats were treated with 250, 500, and 1000 mg/kg doses of the extract every 24 h for 28 days. The hematological, biochemical, and histopathological tests of treated animals were carried out at the end of the test. The anti-hyperlipidemic activity of plant extract (100, 200 mg/kg) was studied on Triton-X-100 induced hyperlipidemia in rats. Histopathological changes in the liver of rats were examined. RESULTS: For acute and subacute treatment, the extract did not reveal any signs of toxicity or mortality, or any significant effects on hematological, biochemical parameters, and histopathology of organs. The extract demonstrated an important anti-hyperlipidemic result by decreasing the serum levels of cholesterol, TGs, LDL, VLDL, and enhancing HDL. CONCLUSION: Taking up the evidence of the experimental study, we can conclude that the methanolic extract of Spondias mombin leaves helps in declining hyperlipidemia in rats and it can be safely used for a period of 28 days to treat hyperlipidemia.


Assuntos
Anacardiaceae , Hipolipemiantes/farmacologia , Extratos Vegetais/farmacologia , Anacardiaceae/química , Animais , Colesterol/sangue , Feminino , Hiperlipidemias/sangue , Hiperlipidemias/tratamento farmacológico , Hipolipemiantes/química , Hipolipemiantes/toxicidade , Masculino , Extratos Vegetais/química , Extratos Vegetais/toxicidade , Folhas de Planta/química , Ratos , Triglicerídeos/sangue
4.
Biomed Pharmacother ; 113: 108702, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30844658

RESUMO

Rhinacanthus nasutus has traditionally been used in the treatment of various disorders including diabetes mellitus. Rhinacanthins-rich extract (RRE) is a semipurified R. nasutus leaf extract that contains 60% w/w of rhinacanthin-C (RC) obtained by a green extraction process. The purpose of this study was to investigate the anti-hyperglycemic and anti-hyperlipidemic activity of RRE (15 mg/kg equivalent to RC content) in comparison to its marker compound RC (15 mg/kg) and the standard drug glibenclamide (Glb) (600 µg/kg) in nicotinamide-streptozotocin induced diabetic rats for 28 days. In addition, the in silico pharmacokinetic and toxicity analysis of RC was also performed. RRE, RC and Glb significantly reduced the FBG, HbA1c and food/water intake while increasing the insulin level and body weight in diabetic rats without affecting the normal rats. The serum lipid, liver and kidney biomarkers were markedly normalized by RRE, RC and Glb in diabetic rats without affecting the normal rats. Moreover, the histopathology of the pancreas revealed that RRE, RC and Glb evidently restored the islets of Langerhans in diabetic rats. The overall results indicated that RRE has equivalent antidiabetic potential to that of RC. Moreover, the in silico pharmacokinetic and toxicity analysis predicts that RC is orally non-toxic, non-carcinogenic and non-mutagenic with a decent bioavailability. The undertaken study suggests that RRE could be used as an effective natural remedy in the treatment of diabetes.


Assuntos
Acanthaceae/química , Diabetes Mellitus Experimental/tratamento farmacológico , Hipoglicemiantes/uso terapêutico , Hipolipemiantes/uso terapêutico , Naftoquinonas/uso terapêutico , Extratos Vegetais/uso terapêutico , Animais , Peso Corporal/efeitos dos fármacos , Simulação por Computador , Diabetes Mellitus Experimental/metabolismo , Ingestão de Alimentos/efeitos dos fármacos , Hemoglobinas Glicadas/análise , Química Verde , Hipoglicemiantes/farmacocinética , Hipoglicemiantes/toxicidade , Hipolipemiantes/farmacocinética , Hipolipemiantes/toxicidade , Resistência à Insulina , Metabolismo dos Lipídeos/efeitos dos fármacos , Masculino , Naftoquinonas/farmacocinética , Naftoquinonas/toxicidade , Niacinamida , Pâncreas/efeitos dos fármacos , Pâncreas/patologia , Extratos Vegetais/farmacocinética , Folhas de Planta/química , Ratos Wistar , Estreptozocina
5.
J Liposome Res ; 29(3): 274-282, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-30563398

RESUMO

The ethanolic extract obtained from purple pitanga fruit (Eugenia uniflora - PPE) has been previously described by its potential to reduce lipid accumulation in vitro. In this study, we aimed to study this potential in vivo using Caenorhabditis elegans as animal model. Considering the low pH of the extract, its hydrophilic characteristic, its absorption by the medium where the worms are cultivated and the need of a chronic exposure in the worms solid medium, we have loaded liposomes with PPE and investigated its potential for oral administration. Following 48 h exposure to the PPE-loaded liposomes on worms nematode growth medium, we did not observe any toxic effects of the formulation. Under high cholesterol diet, which increased worms total lipid and also triacylglycerides levels, liposomes containing PPE were able to significantly attenuate these alterations, which could not be observed when worms were treated with free PPE. Furthermore, we could evidence that liposomes were ingested by worms through their labelling to uranin fluorescence dye. Through total phenolic compounds quantification, we estimated an entrapment efficacy of PPE into liposomes of 87.7%. The high levels of phenolic compounds present in PPE, as previously described by our group, indicate that these antioxidants may interfere in worms lipid metabolism, which may occur through many and intricated mechanisms. Although the use of conventional liposomes for human consumption may not be pragmatic, its application for oral delivery of a hydrophilic substance in C. elegans was absolutely critical for our experimental design and has proven to be efficient.


Assuntos
Caenorhabditis elegans/efeitos dos fármacos , Etanol/química , Eugenia/química , Hipolipemiantes/química , Lecitinas/química , Lipossomos/química , Fenóis/química , Extratos Vegetais/química , Animais , Antioxidantes/administração & dosagem , Antioxidantes/química , Antioxidantes/toxicidade , Frutas/química , Interações Hidrofóbicas e Hidrofílicas , Hipolipemiantes/administração & dosagem , Hipolipemiantes/toxicidade , Tamanho da Partícula , Fenóis/administração & dosagem , Fenóis/toxicidade , Extratos Vegetais/administração & dosagem , Extratos Vegetais/toxicidade , Solventes , Triglicerídeos/metabolismo
6.
Sci Total Environ ; 650(Pt 2): 2085-2094, 2019 Feb 10.
Artigo em Inglês | MEDLINE | ID: mdl-30290350

RESUMO

Pharmaceutical residues impose a new and emerging threat to the marine environment and its biota. In most countries, ecotoxicity tests are not required for all pharmaceutical residues classes and, even when mandatory, these tests are not performed using marine primary producers such as diatoms. These microalgae are among the most abundant class of primary producers in the marine realm and key players in the marine trophic web. Blood-lipid-lowering agents such as bezafibrate and its derivatives are among the most prescribed drugs and most frequently found human pharmaceuticals in aquatic environments. The present study aims to investigate the bezafibrate ecotoxicity and its effects on primary productivity and lipid metabolism, at environmentally relevant concentrations, using the model diatom Phaeodactylum tricornutum. Under controlled conditions, diatom cultures were exposed to bezafibrate at 0, 3, 6, 30 and 60 µg L-1, representing concentrations that can be found in the vicinity of discharges of wastewater treatment plants. High bezafibrate concentrations increased cell density and are suggested to promote a shift from autotrophic to mixotrophic metabolism, with diatoms using light energy generated redox potential to breakdown bezafibrate as carbon source. This was supported by an evident increase in cell density coupled with an impairment of the thylakoid electron transport and consequent photosynthetic activity reduction. In agreement, the concentrations of plastidial marker fatty acids showed negative correlations and Canonical Analysis of Principal coordinates of the relative abundances of fatty acid and photochemical data allowed the separation of controls and cells exposed to bezafibrate with high classification efficiency, namely for photochemical traits, suggesting their validity as suitable biomarkers of bezafibrate exposure. Further evaluations of the occurrence of a metabolic shift in diatoms due to exposure to bezafibrate is paramount, as ultimately it may reduce O2 generation and CO2 fixation in aquatic ecosystems with ensuing consequences for neighboring heterotrophic organisms.


Assuntos
Bezafibrato/toxicidade , Diatomáceas/efeitos dos fármacos , Metabolismo Energético/efeitos dos fármacos , Ácidos Graxos/metabolismo , Poluentes Químicos da Água/toxicidade , Diatomáceas/fisiologia , Hipolipemiantes/toxicidade
7.
Pak J Pharm Sci ; 31(6): 2545-2551, 2018 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-30473530

RESUMO

Herbal medicines are still most popular, abundant and affordable remedies for curing various ailments. Garlina is one of the herbal formulations of Hamdard Laboratories (waqf) Pakistan used to treat cardiovascular diseases and elevated sugar level. However, there is no scientific data available regarding the potential toxicity. Therefore, the present study was to assess the acute and sub-chronic toxicity in rats. The single dose of Garlina 5000mg/kg were administered orally and observed for 14 days. A sub-chronic toxicity test was performed at 2000mg/kg of Garlina daily for 30 days. Control rats received saline. The biochemical, hematological and histopathological analysis was carried out. The acute toxicity LD50 was determined to be <5000mg/kg. The result of acute and sub-chronic toxicity revealed no mortality and sign of toxicity. Garlina did not elicit any significant change in body weight, hematological and histopathology analysis when compared to saline treated rats. The relative weight of organs was not affected by the treatment. While the daily dose of Garlina for humans is 20mg/kg. However, the sub-chronic toxicity at 2000mg/kg dose of Garlina exhibited significant increase in gamma glutamyltransferase while total protein significantly decreased. Results obtained from study demonstrated that there is wide margin of safety for the therapeutic use of Garlina and significant decrease in LDL, atherogenic index, GGT and bilirubin direct at the dose of 5000mg/kg further strengthen the use as hypolipidemic and hypoglycemic agent.


Assuntos
Hipoglicemiantes/toxicidade , Hipolipemiantes/toxicidade , Preparações de Plantas/toxicidade , Testes de Toxicidade Aguda , Testes de Toxicidade Subcrônica , Administração Oral , Animais , Biomarcadores/sangue , Biópsia , Feminino , Hipoglicemiantes/administração & dosagem , Hipolipemiantes/administração & dosagem , Dose Letal Mediana , Masculino , Preparações de Plantas/administração & dosagem , Ratos Sprague-Dawley , Medição de Risco , Fatores de Tempo
8.
J Ethnopharmacol ; 222: 159-164, 2018 Aug 10.
Artigo em Inglês | MEDLINE | ID: mdl-29704591

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: Bidens odorata Cavanilles is a medicinal and edible plant known as "mozote blanco, aceitilla, acahual, mozoquelite" which is traditionally used in Mexico as a diuretic, hypoglycaemic, anti-inflammatory, antipyretic, antitussive, to treat gastrointestinal disorders, kidney pain, and lung or respiratory diseases. AIM OF THE STUDY: This research study was aimed at phytochemical analysis of aerial extracts of B. odorata for antimycobacterial and lipid-lowering activities. MATERIALS AND METHODS: Compounds 1 (((2R, 3R, 4S, 5S, 6R)-3,4,5-Tryhidroxy-6-(((E)-3-(4-hydroxyphenyl) acryloyl) oxy) tetrahydro-2H-pyran-2-yl) methyl-4-hydroxybenzoate) and 2 (3,5-Dihydroxybenzoic acid) were isolated from B. odorata aerial shoots and their structural elucidation was carried out using 1 and 2D NMR, infrared spectroscopy (IR) and mass spectrometry (ESI-MS). The antimycobacterial activity of various extracts and compounds 1 and 2 was determined using the Microplate Alamar Blue Assay (MABA). The evaluation of the hypolipidemic effect of the ethanolic extract and the glycosylated compound 1 was tested in a murine model of hypercholesterolemia induced by diet and by Triton WR-1339. On the other hand, the LD50 of the ethanolic extract was evaluated in ICR mice by the OECD protocol TG 423. RESULTS: Antimycobacterial assay of hexane, CH2Cl2, EtOAc, ethanolic and aqueous extracts, as well as the new glycosidic compound 1 and benzoic acid derivative 2 isolated from B. odorata showed minimal inhibitory concentrations (MIC) of 100, 12.5, 12.5, 12.5, ≥200, 3.125 and 50 µg/mL, respectively, against Mycobacterium tuberculosis H37Rv. Only hexane and CH2Cl2 extracts were observed to be active against Mycobacterium smegmatis mc2155 at a concentration of 50 and 100 µg/mL, respectively. The ethanolic extract showed lipid-lowering activity at doses of 100 and 1000 mg/kg, while glycosidic compound 1 was active at doses of 50 and 100 mg/kg. In addition, the LD50 of the ethanolic extract was >2000 mg/kg, meaning that this extract does not cause lethality or adverse effects, and no signs of organs alterations or tissue damage were observed. CONCLUSION: The hexane, CH2Cl2, EtOAc, and ethanolic extracts of B. odorata, as well as their components 1 and 2, displayed antimycobacterial activity against M. tuberculosis. Moreover, the ethanolic extract and glycosidic compound 1 showed an important lipid-lowering effect, without lethality or secondary effect. The results of this study support the documented traditional use for B. odorata.


Assuntos
Antituberculosos , Bidens , Hipolipemiantes , Extratos Vegetais , Animais , Antituberculosos/análise , Antituberculosos/farmacologia , Antituberculosos/toxicidade , Feminino , Hipolipemiantes/análise , Hipolipemiantes/farmacologia , Hipolipemiantes/toxicidade , Metabolismo dos Lipídeos/efeitos dos fármacos , Masculino , Camundongos Endogâmicos ICR , Mycobacterium smegmatis/efeitos dos fármacos , Mycobacterium tuberculosis/efeitos dos fármacos , Compostos Fitoquímicos/análise , Compostos Fitoquímicos/farmacologia , Compostos Fitoquímicos/toxicidade , Componentes Aéreos da Planta , Extratos Vegetais/análise , Extratos Vegetais/farmacologia , Extratos Vegetais/toxicidade , Testes de Toxicidade Aguda
9.
J Complement Integr Med ; 14(3)2017 Jun 22.
Artigo em Inglês | MEDLINE | ID: mdl-28889731

RESUMO

Background Anogeissus latifolia Wall. (A. latifolia) bark has been traditionally used in the treatment of various diseases which includes diabetes and general debility. The present study was aimed to investigate the comparative hypoglycemic and hypolipidemic activity of various extracts of A. latifolia bark in streptozotocin-induced type 1 diabetic rats. Methods Acute toxicity was carried out at 2 g/kg dose of petroleum ether extract of A. latifolia bark (PEALB), chloroform extract of A. latifolia bark (CEALB) and methanol extract of A. latifolia bark (MEALB) in rats. Diabetes was induced by streptozotocin (STZ, 60 mg/kg, i.p.) and it was confirmed at 72 h. Diabetic rats received above extracts at 100 and 200 mg/kg doses for 28 days. Body weight and blood glucose level were determined at every week after the treatment schedule. Serum biochemical parameters and lipid profile levels were estimated at the end of the study. Results PEALB, CEALB and MEALB were non-toxic and no death was observed at 2 g/kg dose. Administration of MEALB at 100 and 200 mg/kg showed significant (p< 0.01, p< 0.05) improvement in body weight and reduction in blood glucose at third and fourth week of treatment. Altered serum biochemical parameters and lipid profiles level were brought to near normal level significantly (p<0.001) compared to diabetic control rats after the administration of both doses of MEALB. However, PEALB and CEALB did not exhibit significant hypoglycemic and hypolipidemic activity. Conclusions Our findings revealed that long-term (28 days) treatment of MEALB possesses significant hypoglycemic and hypolipidemic activity compared to PEALB and CEALB in type 1 diabetic rats and given evidence to the traditional use of A. latifolia bark in diabetes.


Assuntos
Combretaceae , Diabetes Mellitus Experimental/tratamento farmacológico , Hiperglicemia/tratamento farmacológico , Hiperlipidemias/tratamento farmacológico , Hipoglicemiantes/uso terapêutico , Hipolipemiantes/uso terapêutico , Fitoterapia/métodos , Animais , Diabetes Mellitus Experimental/induzido quimicamente , Diabetes Mellitus Experimental/complicações , Relação Dose-Resposta a Droga , Esquema de Medicação , Hiperglicemia/etiologia , Hiperlipidemias/etiologia , Hipoglicemiantes/toxicidade , Hipolipemiantes/toxicidade , Masculino , Fitoterapia/efeitos adversos , Casca de Planta/toxicidade , Extratos Vegetais/uso terapêutico , Extratos Vegetais/toxicidade , Ratos , Ratos Sprague-Dawley , Estreptozocina , Testes de Toxicidade Aguda , Resultado do Tratamento
10.
Pharm Biol ; 54(9): 1716-26, 2016 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-26704340

RESUMO

Context Syzygium densiflorum Wall. ex Wight & Arn (Myrtaceae) has been traditionally used by local tribes of the Nilgiris, Tamil Nadu, India, for the treatment of diabetes, however, no definitive experimental studies are available. Objective This study investigates the antidiabetic, antihyperlipidaemic and antioxidant activities of ethanol extract of S. densiflorum (EFSD) fruits in streptozotocin (STZ) and nicotinamide (NA)-induced diabetic rats. Materials and methods Acute oral toxicity and oral glucose tolerance were assessed in normal rats. The antidiabetic, antihyperlipidaemic and antioxidant activities were investigated in STZ - NA-induced diabetic rats. Diabetic rats were orally administered with glibenclamide (10 mg/kg b.wt), EFSD (200, 400 and 800 mg/kg b.wt) for 28 d. Further, changes in the blood glucose level (BGL), biochemical parameters, antioxidants were observed and histology of pancreas was performed. Results No toxicity and lethality were observed. Results of the following parameters are represented by treated versus disease control (STZ + NA) groups. BGL (161.33 ± 22.8 versus 476.17 ± 56.58 mg/dl), glycosylated haemoglobin (5.285 ± 0.19 versus 8.05 ± 0.55%), urea (40.32 ± 1.96 versus 75.37 ± 2.91 mg/dl), uric acid (1.2 ± 0.07 versus 2.16 ± 0.05 mg/dl), total cholesterol (89.3 ± 5.14 versus 139.7 ± 5.95 mg/dl) and triglycerides (79.65 ± 2.52 versus 108.9 ± 3.61 mg/dl) were significantly decreased, whereas haemoglobin (11.75 ± 0.73 versus 7.95 ± 0.42 g/dl), high-density lipoprotein cholesterol (14.2 ± 1.11 versus 6.97 ± 0.84 mg/dl), total protein (45%) and liver glycogen (87%) were significantly increased in EFSD-treated diabetic group. Significant changes were observed in the enzymatic and non-enzymatic antioxidants in EFSD-treated groups (p < 0.001). Histopathological examination showed the regeneration of ß-cells in Islets of Langerhans. Conclusion This study confirms the antidiabetic, antihyperlipidaemic and antioxidant activities of S. densiflorum fruits.


Assuntos
Antioxidantes/farmacologia , Diabetes Mellitus Experimental/tratamento farmacológico , Hipoglicemiantes/farmacologia , Hipolipemiantes/farmacologia , Niacinamida , Extratos Vegetais/farmacologia , Estreptozocina , Syzygium , Animais , Antioxidantes/isolamento & purificação , Antioxidantes/toxicidade , Biomarcadores/sangue , Glicemia/efeitos dos fármacos , Glicemia/metabolismo , Proliferação de Células/efeitos dos fármacos , Diabetes Mellitus Experimental/sangue , Diabetes Mellitus Experimental/induzido quimicamente , Diabetes Mellitus Experimental/patologia , Feminino , Frutas , Teste de Tolerância a Glucose , Glibureto/farmacologia , Glicogênio/metabolismo , Hipoglicemiantes/isolamento & purificação , Hipoglicemiantes/toxicidade , Hipolipemiantes/isolamento & purificação , Hipolipemiantes/toxicidade , Células Secretoras de Insulina/efeitos dos fármacos , Células Secretoras de Insulina/metabolismo , Células Secretoras de Insulina/patologia , Peroxidação de Lipídeos/efeitos dos fármacos , Lipídeos/sangue , Fígado/efeitos dos fármacos , Fígado/metabolismo , Fígado/patologia , Masculino , Estresse Oxidativo/efeitos dos fármacos , Fitoterapia , Extratos Vegetais/isolamento & purificação , Extratos Vegetais/toxicidade , Plantas Medicinais , Ratos Wistar , Regeneração/efeitos dos fármacos , Syzygium/química
11.
Pak J Biol Sci ; 19(4): 179-184, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-29022994

RESUMO

BACKGROUND AND OBJECTIVE: Zygophyllum simplex is commonly used in Saudi Arabia for the treatment of horny patches of skin and as an anthelmintic, analgesic and anti-inflammatory. The experiment was to aimed at to evaluate the constituents of Zygophyllum simplex extract and their effect on blood biochemical parameters in Wistar male rats. METHODOLOGY: The plant extract was orally administered to the rats (n = 10) at two doses of 250 and 500 mg kg -1 b.wt., for 30 days. Its effects on glucose, total cholesterol, triglycerides, aspartate aminotransferase (AST), alanine aminotransferase (ALT), serum creatinine kinase (CK), total protein, total bilirubin and blood urea were investigated. RESULTS: The results showed a significant decrease in total serum cholesterol, blood glucose and CK levels. However, levels of AST, ALT, triglycerides, total bilirubin, total protein and blood urea were unaltered. CONCLUSION: In coclusion, the ethanolic extract of Z. simplex may act as hypoglycemic and hypolipidimic in rats.


Assuntos
Etanol/química , Hipoglicemiantes/farmacologia , Hipolipemiantes/farmacologia , Extratos Vegetais/farmacologia , Solventes/química , Zygophyllum/química , Animais , Biomarcadores/sangue , Glicemia/efeitos dos fármacos , Glicemia/metabolismo , Colesterol/sangue , Creatina Quinase/sangue , Hipoglicemiantes/isolamento & purificação , Hipoglicemiantes/toxicidade , Hipolipemiantes/isolamento & purificação , Hipolipemiantes/toxicidade , Dose Letal Mediana , Masculino , Fitoterapia , Componentes Aéreos da Planta , Extratos Vegetais/isolamento & purificação , Extratos Vegetais/toxicidade , Plantas Medicinais , Ratos Wistar
12.
Pak J Biol Sci ; 19(5): 211-218, 2016.
Artigo em Inglês | MEDLINE | ID: mdl-29023025

RESUMO

BACKGROUND: Antidesma bunius (L.) Spreng has been reported to possess various beneficial medicinal properties. Scientific information about this plant is limited. This study was therefore, designed to determine hypoglycaemic and hypolipidemic effects of ethanol seed extract from A. bunius (ABSE). Antioxidant activity and also acute toxicity were conducted. METHODOLOGY: The hypoglycaemic and hypolipidemic effects were studied by oral giving ABSE at a dose of 250 mg kg -1 to streptozotocin-induced diabetic rats daily for 6 weeks. Antioxidant activity was studied using DPPH assay. The ABSE at the doses of 500, 1000, 1500 and 2000 mg kg -1 were employed in the acute toxicity study. RESULTS: The results revealed that ABSE significantly (p<0.05) reduced the blood glucose level and recovered the pathology of hematological values, but significantly (p<0.05) increased the body weight and slightly increased serum insulin of the diabetic rats. However, ABSE recovered pathology of hematological values, but affected renal and hepatic functions in the treated rats by producing an alteration of creatinine, albumin, total protein, BUN and ALP. Interestingly, ABSE increased WBC and HDL, but reduced CHOL, LDL and TG both in normal and diabetic ABSE treated rats. The ABSE possessed relatively low antioxidant activity with IC50 of 2174±14.24 mg mL -1 compared to vitamin C (1.48±0.07 µg mL -1). Fortunately, ABSE did not produce any symptoms of acute toxicity and mortality in the rats. CONCLUSION: The ethanol seed extract from A. bunius possesses hypoglycemic and hypolipidemic effects. The ABSE also recovered the pathology of the hematology but may cause renal dysfunction in the diabetic rats. The hypoglycemic and hypolipidemic effects are likely due to its antioxidant and insulin secretion activities.


Assuntos
Glicemia/efeitos dos fármacos , Euphorbiaceae/química , Hipoglicemiantes/farmacologia , Hipolipemiantes/farmacologia , Lipídeos/sangue , Sementes/química , Estreptozocina , Animais , Antioxidantes/isolamento & purificação , Antioxidantes/farmacologia , Biomarcadores/sangue , Glicemia/metabolismo , Diabetes Mellitus Experimental/sangue , Diabetes Mellitus Experimental/induzido quimicamente , Diabetes Mellitus Experimental/tratamento farmacológico , Etanol/química , Feminino , Hipoglicemiantes/isolamento & purificação , Hipoglicemiantes/toxicidade , Hipolipemiantes/isolamento & purificação , Hipolipemiantes/toxicidade , Insulina/sangue , Masculino , Fitoterapia , Plantas Medicinais , Ratos Wistar , Solventes/química
13.
Exp Gerontol ; 62: 37-44, 2015 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-25562812

RESUMO

Eclipta prostrata (Linn.) Linn. is a traditional Chinese medicine and has previously been reported to have hypolipidemic effects. However, its mechanism of action is not well understood. This study was conducted to identify the active fraction of Eclipta, its toxicity, its effect on hyperlipidemia, and its mechanism of action. The ethanol extract (EP) of Eclipta and fractions EPF1-EPF4, obtained by eluting with different concentrations of ethanol from a HPD-450 macroporous resin column chromatography of the EP, were screened in hyperlipidemic mice for lipid-lowering activity, and EPF3 was the most active fraction. The LD50 of EPF3 was undetectable because no mice died with administration of EPF3 at 10.4 g/kg. Then, 48 male hamsters were used and randomly assigned to normal chow diet, high-fat diet, high-fat diet with Xuezhikang (positive control) or EPF3 (75, 150 and 250 mg/kg) groups. We evaluated the effects of EPF3 on body weight gain, liver weight gain, serum lipid concentration, antioxidant enzyme activity, and the expression of genes involved in lipid metabolism in hyperlipidemic hamsters. The results showed that EPF3 significantly decreased body-weight gain and liver-weight gain and reduced the serum lipid levels in hyperlipidemic hamsters. EPF3 also increased the activities of antioxidant enzymes; up-regulated the mRNA expression of peroxisome proliferator-activated receptor α (PPARα), low density lipoprotein receptor (LDLR), lecithin-cholesterol transferase (LCAT) and scavenger receptor class B type Ι receptor (SR-BI); and down-regulated the mRNA expression of 3-hydroxy-3-methyl-glutaryl-CoA reductase (HMGR) in the liver. These results indicate that EPF3 ameliorates hyperlipidemia, in part, by reducing oxidative stress and modulating the transcription of genes involved in lipid metabolism.


Assuntos
Eclipta , Hiperlipidemias/sangue , Hipolipemiantes/farmacologia , Metabolismo dos Lipídeos/efeitos dos fármacos , Fitoterapia/métodos , Animais , Peso Corporal/efeitos dos fármacos , Avaliação Pré-Clínica de Medicamentos/métodos , Eclipta/química , Feminino , Hiperlipidemias/tratamento farmacológico , Hiperlipidemias/genética , Hipolipemiantes/uso terapêutico , Hipolipemiantes/toxicidade , Metabolismo dos Lipídeos/genética , Lipídeos/sangue , Fígado/patologia , Masculino , Mesocricetus , Camundongos , Tamanho do Órgão/efeitos dos fármacos , Estresse Oxidativo/efeitos dos fármacos , Fitoterapia/efeitos adversos , Extratos Vegetais/farmacologia , Extratos Vegetais/uso terapêutico , Extratos Vegetais/toxicidade , Transcrição Gênica/efeitos dos fármacos
14.
Pharm Biol ; 53(4): 605-14, 2015 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-25330778

RESUMO

CONTEXT: Gouania longipetala Hemsl. (Rhamnaceae) is used in folkloric medicine for treating diabetes mellitus and its associated symptoms. OBJECTIVE: This study evaluated the antidiabetic antilipidemic and antioxidant activities of the plant methanol leaf extract. MATERIALS AND METHODS: Diabetes was induced in rats by intraperitoneal injection of alloxan monohydrate (160 mg/kg). Three test doses (50, 100, and 150 mg/kg) of G. longipetala extract (GLE) were administered orally and the effects were compared with glibenclamide (2 mg/kg). The effect of GLE on hyperglycemia and sub-acute study for 21 d were carried out using its effect on fasting blood sugar (FBS) level. Serum biochemistry and antioxidant activity were evaluated. Histopathological evaluation of the pancreas was also done. RESULTS: The LD50 of G. longipetala was found to be >4000 mg/kg. The extract significantly (p < 0.0001) decreased the FBS levels of treated rats from 16.2 ± 2.03 to 6.5 ± 1.52 mM/L at 150 mg/kg within 24 h. The extract decreased FBS levels of rats by 62.0, 74.8, and 75.0% on day 21 at 50, 100, and 150 mg/kg, respectively. GLE reduced the level of malondiadehyde from 23.0 ± 1.34 to 10.3 ± 0.43 mg/dL, increased superoxide dismutase activities from 2.97 ± 0.34 to 5.80 ± 0.53 IU/L at 150 mg/kg, and improved the serum lipid profile of treated rats. GLE also caused restoration of the altered histopathological changes of the pancreas. DISCUSSION AND CONCLUSION: Gouania longipetala demonstrated significant antidiabetic, antilipidemic, and antioxidant activities that may be due to its multiple effects involving both pancreatic and extra-pancreatic mechanisms.


Assuntos
Antioxidantes/uso terapêutico , Diabetes Mellitus Experimental/tratamento farmacológico , Hipoglicemiantes/uso terapêutico , Hipolipemiantes/uso terapêutico , Extratos Vegetais/uso terapêutico , Rhamnaceae/química , Aloxano/farmacologia , Animais , Antioxidantes/isolamento & purificação , Antioxidantes/toxicidade , Compostos de Bifenilo/química , Glicemia/análise , Diabetes Mellitus Experimental/sangue , Relação Dose-Resposta a Droga , Radicais Livres/química , Teste de Tolerância a Glucose , Hipoglicemiantes/isolamento & purificação , Hipoglicemiantes/toxicidade , Hipolipemiantes/isolamento & purificação , Hipolipemiantes/toxicidade , Lipídeos/sangue , Masculino , Metanol/química , Picratos/química , Extratos Vegetais/isolamento & purificação , Extratos Vegetais/toxicidade , Folhas de Planta/química , Ratos Wistar , Testes de Toxicidade Aguda
15.
J Ethnopharmacol ; 155(2): 1171-6, 2014 Sep 11.
Artigo em Inglês | MEDLINE | ID: mdl-25010927

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: The plant Diospyros melanoxylon (Roxb) belongs to the family Ebenaceae that is native to India and Sri-lanka. This is a medium-sized tree, reaching a height of 15 m and is well known for its beedi making leaves throughout the world. The purpose of the present study is to assess the effect of Diospyros melanoxylon leaves petroleum ether extract on blood glucose level, lipid level, insulin level, body weight, water and food intake in Streptozotocin (STZ) induced diabetic rats. MATERIALS AND METHODS: Two different doses of extract AK001 (250 mg/kg) and AK002 (500 mg/kg) of Diospyros melanoxylon leaves were taken to evaluate different activities. The animals were divided into five groups namely normal control, diabetic control, reference group, AK001 and AK002 each containing six animals for in-vivo study. In-vitro study for antiadipogen activity was performed on 3T3-L1 cell line. RESULTS: The extract showed dose dependent fall in Fasting Glucose Level (FSG) in experimental diabetic animals with significant reduction in food and water intake and increase in body weight. The extract exhibited hypocholesterolemic and hypotriglyceridemic effects while increased level of HDL in diabetes induced rats. In-vitro activity showed more than 75% viability of cells and significant inhibition in differentiated cells as compared to non-differentiate cells in 3T3-L1 cell line. The extract exhibited the concentration-dependent inhibitory effect with an IC50 value of 689.22 µg/ml. CONCLUSIONS: The extract exhibited significant results for antiadipogenic, antidiabetic and hypolipidemic activity both in-vivo and in-vitro and it may prove to be effective for the treatment of both types of diabetes, i.e. Insulin Dependent Diabetes Mellitus (IDDM) and Noninsulin Dependent Diabetes Mellitus (NIDDM).


Assuntos
Adipócitos/efeitos dos fármacos , Adipogenia/efeitos dos fármacos , Fármacos Antiobesidade/farmacologia , Glicemia/efeitos dos fármacos , Diabetes Mellitus Experimental/tratamento farmacológico , Diospyros , Hipoglicemiantes/farmacologia , Hipolipemiantes/farmacologia , Lipídeos/sangue , Extratos Vegetais/farmacologia , Células 3T3-L1 , Adipócitos/metabolismo , Animais , Fármacos Antiobesidade/isolamento & purificação , Fármacos Antiobesidade/toxicidade , Biomarcadores/sangue , Glicemia/metabolismo , Diabetes Mellitus Experimental/sangue , Diabetes Mellitus Experimental/induzido quimicamente , Diospyros/química , Relação Dose-Resposta a Droga , Ingestão de Líquidos/efeitos dos fármacos , Ingestão de Alimentos/efeitos dos fármacos , Hipoglicemiantes/isolamento & purificação , Hipoglicemiantes/toxicidade , Hipolipemiantes/isolamento & purificação , Hipolipemiantes/toxicidade , Insulina/sangue , Masculino , Camundongos , Fitoterapia , Extratos Vegetais/isolamento & purificação , Extratos Vegetais/toxicidade , Folhas de Planta , Plantas Medicinais , Ratos Wistar , Aumento de Peso/efeitos dos fármacos
16.
J Ethnopharmacol ; 149(1): 263-9, 2013 Aug 26.
Artigo em Inglês | MEDLINE | ID: mdl-23811214

RESUMO

ETHNOPHARMACOLOGICAL RELEVANCE: Nelumbo nucifera Gaertn. leaves have been used as medicinal herbs in the past 1300 years, specifically utilized to cure hyperlipidemia, hyperglycemia, and obesity. It has been recorded in the most famous medicinal book in China for more than 400 years. The present study aims to identify the potential therapeutic activities of the flavonoids isolated from Nelumbo nucifera leaves. MATERIALS AND METHODS: Nelumbo nucifera leaf flavonoids (NLF) were tested for the inhibition of lipase, α-glucosidase, and α-amylase activities in vitro. A single dose of NLF was administered by oral gavage in mice for acute toxicity. Wistar rats with high-fat diet-induced hyperlipidemia and two other animal models were used to evaluate the hypolipidemic effects of NLF. RESULTS: Our in vitro biochemistry tests revealed that the NLF showed high inhibitory activity against porcine pancreatic lipase, α-amylase, and α-glucosidase with IC50 values of 0.38 ± 0.022, 2.20 ± 0.18, and 1.86 ± 0.018 mg/mL, respectively. Furthermore, the NLF significantly lowered the lipid components, such as the total cholesterol, triglycerides, low-density lipoprotein cholesterol, and malondialdehyde, in various established in vivo systems and raised the high-density lipoprotein cholesterol. Moreover, the NLF alleviated high-fat diet-induced lipid accumulation in the liver. CONCLUSIONS: The results demonstrate that NLFs can effectively ameliorate hyperlipidemia and inhibit the key enzymes related to type 2 diabetes mellitus. Our findings may provide new pharmacological basis for the treatment of hyperlipidemia, hyperglycemia, and obesity using NLFs.


Assuntos
Medicamentos de Ervas Chinesas/farmacologia , Flavonoides/farmacologia , Hipolipemiantes/farmacologia , Nelumbo/química , Pâncreas/enzimologia , Animais , Relação Dose-Resposta a Droga , Medicamentos de Ervas Chinesas/isolamento & purificação , Medicamentos de Ervas Chinesas/uso terapêutico , Medicamentos de Ervas Chinesas/toxicidade , Etnofarmacologia , Flavonoides/isolamento & purificação , Flavonoides/uso terapêutico , Flavonoides/toxicidade , Inibidores de Glicosídeo Hidrolases , Hiperlipidemias/tratamento farmacológico , Hiperlipidemias/enzimologia , Hiperlipidemias/metabolismo , Hiperlipidemias/patologia , Hipolipemiantes/isolamento & purificação , Hipolipemiantes/uso terapêutico , Hipolipemiantes/toxicidade , Lipase/antagonistas & inibidores , Lipase/sangue , Lipídeos/sangue , Masculino , Medicina Tradicional Chinesa , Camundongos , Camundongos Endogâmicos , Pâncreas/efeitos dos fármacos , alfa-Amilases Pancreáticas/antagonistas & inibidores , alfa-Amilases Pancreáticas/sangue , Folhas de Planta/química , Ratos , Ratos Wistar , Testes de Toxicidade Aguda , alfa-Glucosidases/sangue
17.
Lipids Health Dis ; 11: 126, 2012 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-23031584

RESUMO

The objective of the study is a comparative evaluation of flavone isolated from Mucuna pruriens and coumarin isolated from Ionidium suffruticosum was assessed for the hypolipidemic activity in rats fed with high fat diet. The acute toxicity study was found that flavone (M.pruriens) and coumarin (I.suffruticosum) are safe up to 100 mg/kg, so one tenth of this dose (10 mg/kg) was consider as a evaluation dose. High fat diet group of rats showed significant (p<0.001) elevation in plasma total and LDL-cholesterol, triglycerides and phospholipids. Administration of flavone (M. pruriens) and coumarin isolated from (I.suffruticosum) at the dose of 10mg/kg b.wt/day along with high fat diet significantly (p<0.001) prevented the rise in the plasma total and LDL-cholesterol, triglycerides and phospholipids than that of other extracts. However, treatment of coumarin isolated from (I.suffruticosum) had showed more cardio protective effect against hyperlipidemia than that of flavone (M.pruriens).


Assuntos
Cumarínicos/farmacologia , Dieta Hiperlipídica/efeitos adversos , Flavonas/farmacologia , Hipolipemiantes/farmacologia , Mucuna , Violaceae , Animais , Aorta/efeitos dos fármacos , Aorta/metabolismo , Cardiotônicos/isolamento & purificação , Cardiotônicos/farmacologia , Cardiotônicos/toxicidade , Colesterol/sangue , Colesterol/metabolismo , Cumarínicos/isolamento & purificação , Cumarínicos/toxicidade , Avaliação Pré-Clínica de Medicamentos , Flavonas/isolamento & purificação , Flavonas/toxicidade , Coração/efeitos dos fármacos , Hipolipemiantes/isolamento & purificação , Hipolipemiantes/toxicidade , Fígado/efeitos dos fármacos , Fígado/metabolismo , Masculino , Mucuna/química , Miocárdio/metabolismo , Fosfolipídeos/metabolismo , Ratos , Ratos Wistar , Triglicerídeos/metabolismo , Violaceae/química
18.
Cardiovasc Diabetol ; 11: 95, 2012 Aug 10.
Artigo em Inglês | MEDLINE | ID: mdl-22882757

RESUMO

AIM OF THE STUDY: This study was made to investigate the antidiabetic, antioxidant and hypolipidemic potential of Cinnamomum tamala, (Buch.-Ham.) Nees & Eberm (Tejpat) oil (CTO) in streptozotocin (STZ) induced diabetes in rats along with evaluation of chemical constituents. MATERIALS AND METHODS: The GC-MS (Gas chromatography-mass spectrometry) analysis of the oil showed 31 constituents of which cinnamaldehyde was found the major component (44.898%). CTO and cinnamaldehyde was orally administered to diabetic rats to study its effect in both acute and chronic antihyperglycemic models. The body weight, oral glucose tolerance test and biochemical parameters viz. glucose level, insulin level, liver glycogen content, glycosylated hemoglobin, total plasma cholesterol, triglyceride and antioxidant parameters were estimated for all treated groups and compared against diabetic control group. RESULTS: CTO (100 mg/kg and 200 mg/kg), cinnamaldehyde (20 mg/kg) and glibenclamide (0.6 mg/kg) in respective groups of diabetic animals administered for 28 days reduced the blood glucose level in streptozotocin induced diabetic rats. There was significant increase in body weight, liver glycogen content, plasma insulin level and decrease in the blood glucose, glycosylated hemoglobin and total plasma cholesterol in test groups as compared to control group. The results of CTO and cinnamaldehyde were found comparable with standard drug glibenclamide. In vitro antioxidant studies on CTO using various models showed significant antioxidant activity. In vivo antioxidant studies on STZ induced diabetic rats revealed decreased malondialdehyde (MDA) and increased reduced glutathione (GSH). CONCLUSION: Thus the investigation results that CTO has significant antidiabetic, antioxidant and hypolipidemic activity.


Assuntos
Antioxidantes/farmacologia , Cinnamomum , Diabetes Mellitus Experimental/tratamento farmacológico , Cromatografia Gasosa-Espectrometria de Massas , Hipoglicemiantes/farmacologia , Hipolipemiantes/farmacologia , Óleos Voláteis/farmacologia , Óleos de Plantas/farmacologia , Acroleína/análogos & derivados , Acroleína/farmacologia , Administração Oral , Animais , Antioxidantes/administração & dosagem , Antioxidantes/química , Antioxidantes/isolamento & purificação , Antioxidantes/toxicidade , Biomarcadores/sangue , Glicemia/efeitos dos fármacos , Glicemia/metabolismo , Cinnamomum/química , Diabetes Mellitus Experimental/sangue , Modelos Animais de Doenças , Glutationa/sangue , Hemoglobinas Glicadas/metabolismo , Hipoglicemiantes/administração & dosagem , Hipoglicemiantes/química , Hipoglicemiantes/isolamento & purificação , Hipoglicemiantes/toxicidade , Hipolipemiantes/administração & dosagem , Hipolipemiantes/química , Hipolipemiantes/isolamento & purificação , Hipolipemiantes/toxicidade , Insulina/sangue , Lipídeos/sangue , Fígado/efeitos dos fármacos , Fígado/metabolismo , Masculino , Malondialdeído/sangue , Óleos Voláteis/administração & dosagem , Óleos Voláteis/química , Óleos Voláteis/isolamento & purificação , Óleos Voláteis/toxicidade , Folhas de Planta , Óleos de Plantas/administração & dosagem , Óleos de Plantas/química , Óleos de Plantas/isolamento & purificação , Óleos de Plantas/toxicidade , Ratos , Ratos Wistar , Fatores de Tempo
19.
J Nat Med ; 66(1): 32-8, 2012 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21681640

RESUMO

The hypolipidemic activity of Symplocos cochinchinensis S. Moore leaves was studied in Triton WR-1339- and high fat diet-induced hyperlipidemic rats. In Triton WR-1339-induced hyperlipidemic rats, the hexane extract (250 and 500 mg/kg) exerted a significant (P < 0.01) lipid-lowering effect compared to ethyl acetate and methanol extracts, as assessed by the reversal of the plasma levels of total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C). In high fat diet-fed hyperlipidemic rats, the hexane extract (250 and 500 mg/kg) caused the lowering of lipid levels in the plasma and liver. The hypolipidemic activity of S. cochinchinensis leaves was compared with fenofibrate, a known lipid-lowering drug, in both models.


Assuntos
Hiperlipidemias/tratamento farmacológico , Hipolipemiantes/farmacologia , Lipídeos/sangue , Magnoliopsida , Extratos Vegetais/farmacologia , Animais , Colesterol/sangue , HDL-Colesterol/sangue , LDL-Colesterol/sangue , Cromatografia Líquida de Alta Pressão , Dieta Hiperlipídica , Modelos Animais de Doenças , Relação Dose-Resposta a Droga , Fenofibrato/farmacologia , Hexanos/química , Hiperlipidemias/sangue , Hiperlipidemias/etiologia , Hipolipemiantes/química , Hipolipemiantes/isolamento & purificação , Hipolipemiantes/toxicidade , Fígado/efeitos dos fármacos , Fígado/metabolismo , Magnoliopsida/química , Masculino , Extratos Vegetais/química , Extratos Vegetais/isolamento & purificação , Extratos Vegetais/toxicidade , Folhas de Planta , Polietilenoglicóis , Ratos , Ratos Wistar , Solventes/química , Triglicerídeos/sangue
20.
J Hepatol ; 50(6): 1273-7, 2009 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-19398239

RESUMO

BACKGROUND/AIMS: The general public's growing mistrust of the pharmaceutical industry and its perception of the lack of adverse effects of "natural" therapy have lead to the increasing use of "alternative drugs" for hypercholesterolemia. METHODS: A sixty-three year old woman presented with severe hypertransaminasemia that had developed progressively over a few weeks. For six months she had been taking Equisterol, an over-the-counter lipid-lowering product containing guggulsterol and red yeast rice extract. The product had been prescribed for hypercholesterolemia because the patient had developed hepatotoxicity while on lovastatin. RESULTS: Liver biopsy revealed severe lobular necroinflammatory changes with an eosinophilic infiltrate. The episode was regarded as an adverse drug reaction after exclusion of other possible causes of acute liver disease and the prompt normalization of liver function tests after Equisterol had been discontinued. Red yeast rice extract's cholesterol-lowering properties are largely due to fungal metabolites known as monacolins, one of which--monacolin K--is identical to lovastatin. CONCLUSIONS: The choice of an alternative medicine approach in this case subjected the patient to "re-challenge" with the official medicine agent that had previously caused mild hepatotoxicity. Physicians should keep in mind that "alternative" medicine is not always the safest alternative and sometimes it is not even "alternative."


Assuntos
Doença Hepática Induzida por Substâncias e Drogas/etiologia , Commiphora/toxicidade , Terapias Complementares/efeitos adversos , Hipolipemiantes/toxicidade , Extratos Vegetais/toxicidade , Gomas Vegetais/toxicidade , Alanina Transaminase/sangue , Anticorpos Antinucleares/sangue , Aspartato Aminotransferases/sangue , Produtos Biológicos/toxicidade , Doença Hepática Induzida por Substâncias e Drogas/enzimologia , Doença Hepática Induzida por Substâncias e Drogas/patologia , Feminino , Humanos , Inibidores de Hidroximetilglutaril-CoA Redutases/efeitos adversos , Lovastatina/efeitos adversos , Pessoa de Meia-Idade , gama-Glutamiltransferase/sangue
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