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1.
J Int Soc Sports Nutr ; 15(1): 50, 2018 Oct 22.
Article in English | MEDLINE | ID: mdl-30348185

ABSTRACT

BACKGROUND: A proprietary composition GMCT contains extracts of two popular Asian herbs viz., Garcinia mangostana (GM) fruit rind and Cinnamomum tamala (CT) leaf. We systematically evaluated physical performance and muscle strength enhancing ability of GMCT in a preclinical mouse model followed by a 42-days double-blind placebo controlled human trial in resistance trained adult males. METHODS: Four groups of Swiss albino mice (20-30 g body weight) (n = 6) were fed a standard laboratory diet and given Carboxymethylcellulose sodium (CMC), 150 mg/kg GMCT (GMCT-150), 300 mg/kg GMCT (GMCT-300) or 50 mg/kg Oxymetholone (OXY) via oral gavage for 21 days. On day 22, the animals' physical performance and muscle strength were assessed in a forced swimming test (FST) and forelimb grip strength experiment, respectively. In the human trial, thirty-eight resistance-trained young adults (mean age 26.32 ± 4.39 years, body weight 67.79 ± 12.84 kg, BMI 22.92 ± 3.54 kg/m2) completed the trial. The participants received either GMCT (n = 19; 800 mg daily) or matched placebo (n = 19) for 42 days. As primary variables, 1-RM bench press, 1-RM leg press, and leg extension repetitions were measured at baseline and on days 14, 28 and 42 of the intervention. Anthropometric parameters and serum markers such as free testosterone, insulin-like growth factor 1 (IGF-1), insulin and lactate were also measured before and after the intervention. RESULTS: GMCT-300 mice showed significant improvement in swimming time (GMCT: 395.3 ± 81.70 s vs. CMC: 271.6 ± 56.86 s; p = 0.0166), distance (GMCT: 341.22 ± 65.88 m vs. CMC: 260.84 ± 49.15 m; p = 0.0461) and grip strength (GMCT: 43.92 ± 6.97 N vs. CMC: 35.0 ± 6.92 N; p = 0.0490), compared with the CMC group. At the end of the 42-day human trial, the per protocol analyses reveal that mean changes from baseline 1-RM bench press (GMCT: 23.47 ± 10.07 kg vs. PL: 3.42 ± 2.06 kg; p < 0.0001), leg press (GMCT: 29.32 ± 16.17 kg vs. PL: 5.21 ± 1.72 kg; p < 0.0001), number of leg extension repetitions (GMCT: 6.58 ± 2.57 vs. PL: 2.05 ± 1.22; p < 0.0001) in GMCT group were significantly improved, compared with placebo. Intergroup difference analyses show that the changes from baseline left arm (GMCT: 1.09 ± 0.36 cm vs. PL: 0.68 ± 0.42 cm; p = 0.0023), right arm (GMCT: 1.50 ± 0.44 cm vs. PL: 1.11 ± 0.43 cm; p = 0.0088) circumference and lean mass (GMCT: 2.29 ± 2.09 kg vs. PL: 0.52 ± 2.58 kg; p = 0.0404) in GMCT group were also significantly improved, compared with placebo. In comparison to placebo, GMCT supplementation did not improve free testosterone, IGF-1, insulin or lactate levels. Parameters of clinical biochemistry, hematology, urine and vital signs of the participants were within the normal range. CONCLUSION: GMCT supplementation is effective in increasing muscle strength, muscle size and, total lean mass, as well as endurance performance. TRIAL REGISTRATION: Clinical Trial Registry of India (CTRI/2015/01/005374), Registered on Jan 07, 2015; CTRI Website URL - http://ctri.nic.in.


Subject(s)
Cinnamomum/chemistry , Garcinia mangostana/chemistry , Muscle Strength/drug effects , Physical Endurance , Plant Extracts/pharmacology , Resistance Training , Adult , Animals , Double-Blind Method , Fruit/chemistry , Humans , Insulin/blood , Insulin-Like Growth Factor I/analysis , Lactic Acid/blood , Male , Mice , Plant Leaves/chemistry , Testosterone/blood , Young Adult
2.
Food Chem Toxicol ; 78: 122-9, 2015 Apr.
Article in English | MEDLINE | ID: mdl-25680508

ABSTRACT

Meratrim is a unique dietary ingredient consisting of extracts from Sphaeranthus indicus flower heads and Garcinia mangostana fruit rind. Clinical studies have demonstrated that Meratrim is effective and well-tolerated in weight management. Herein we assessed the broad spectrum safety of Meratrim in a battery of in vitro and animal toxicological studies including a sub-chronic repeated-dose 13-week oral toxicity study to determine the no-observable-adverse-effect-level (NOAEL). The LD50 levels of Meratrim in Sprague-Dawley (SD) rats, as determined by the acute oral and dermal toxicity studies, were >5000 and >2000 mg/kg body weight, respectively. The primary skin and eye irritation tests classified Meratrim as non-irritating to the skin and mildly irritating to the eye. Genotoxicity studies showed that Meratrim is non-mutagenic. In the repeated-dose 13-week oral toxicity study, SD rats were orally gavaged with Meratrim at 0, 250, 500 or 1000 mg/kg/day. No morbidity, mortality, or significant adverse events were observed either during the course of the study or on the 13th week. The NOAEL of Meratrim was concluded to be 1000 mg/kg of body weight/day in male and female SD rats. These results, combined with the tolerability of Meratrim in the human clinical trials, demonstrate the broad spectrum safety of Meratrim.


Subject(s)
Anti-Obesity Agents/pharmacology , Dietary Supplements/analysis , Drug Evaluation, Preclinical , Animals , Asteraceae/chemistry , Body Weight/drug effects , DNA Damage/drug effects , Dose-Response Relationship, Drug , Female , Flowers/chemistry , Fruit/chemistry , Garcinia/chemistry , Lethal Dose 50 , Male , No-Observed-Adverse-Effect Level , Rats , Rats, Sprague-Dawley , Skin/drug effects , Toxicity Tests
3.
Nat Prod Commun ; 8(4): 459-60, 2013 Apr.
Article in English | MEDLINE | ID: mdl-23738452

ABSTRACT

Two new chalcones, 3-hydroxy-3',4'-dimethoxychalcone (1) and 3,2'-dihydroxy-3',4'-dimethoxychalcone (2), were isolated from the flowers of Clerodendrum inerme (L.) Gaertn together with two known flavones, 7-O-methylwogonin (3) and eucalyptin (4). The structures of the new compounds 1 and 2 have been established by extensive 2D-NMR and ESI-TOFMS studies.


Subject(s)
Chalcones/isolation & purification , Clerodendrum/chemistry , Chalcones/chemistry , Flowers/chemistry , Magnetic Resonance Spectroscopy
4.
Lipids Health Dis ; 11: 176, 2012 Dec 27.
Article in English | MEDLINE | ID: mdl-23270333

ABSTRACT

BACKGROUND: A novel herbal formulation LI10903F, alternatively known as LOWAT was developed based on its ability to inhibit adipogenesis and lipogenesis in 3T3-L1 adipocytes model. The clinical efficacy and tolerability of LI10903F were evaluated in an eight-week, randomized, double-blind, placebo-controlled, clinical trial in 50 human subjects with body mass index (BMI) between 30 and 40 kg/m² (clinical trial registration number: ISRCTN37381706). Participants were randomly assigned to either a placebo or LI10903F group. Subjects in the LI10903F group received 300 mg of herbal formulation thrice daily, while subjects in the placebo group received 300 mg of placebo capsules thrice daily. All subjects were provided a standard diet (2,000 kcal daily) and participated in a moderate exercise of 30 min walk for five days a week. Additionally, the safety of this herbal formulation was evaluated by a series of acute, sub-acute toxicity and genotoxicity studies in animals and cellular models. RESULTS: After eight weeks of supplementation, statistically significant net reductions in body weight (2.49 kg; p=0.00005) and BMI (0.96 kg/m²; p=0.00004) were observed in the LI10903F group versus placebo group. Additionally, significant increase in serum adiponectin concentration (p=0.0076) and significant decrease in serum ghrelin concentration (p=0.0066) were found in LI10903F group compared to placebo group. Adverse events were mild and were equally distributed between the two groups. Interestingly, LI10903F showed broad spectrum safety in a series of acute, sub-acute toxicity and genotoxicity studies. CONCLUSIONS: Results from the current research suggest that LI10903F or LOWAT is well-tolerated, safe and effective for weight management.


Subject(s)
Body Weight/drug effects , Dolichos , Obesity/diet therapy , Piper betle , Plant Extracts , 3T3-L1 Cells , Adipogenesis/drug effects , Adult , Animals , Body Composition , Body Mass Index , Double-Blind Method , Female , Humans , Lipogenesis/drug effects , Male , Mice , Plant Extracts/administration & dosage , Plant Extracts/adverse effects
5.
Lipids Health Dis ; 11: 122, 2012 Sep 20.
Article in English | MEDLINE | ID: mdl-22995673

ABSTRACT

BACKGROUND: The effect of an herbal formulation LI85008F on weight loss in obese human subjects was evaluated in an 8-weeks randomized, double-blind, placebo-controlled study (Clinical Trial Registration no. ISRCTN37381706). Fifty obese subjects (Body mass index 30 to 40 kg/m², 29.3% male; 70.7% female; ages 27-50 years) were randomized into two groups; placebo (n = 25) and LI85008F formulation (n = 25). The participants received either 900 mg/day of LI85008F formulation in three divided doses or three identical placebo capsules and all of them remained on a calorie-controlled diet (2000 cal/day) and 30 min walking for 5 days a week during the entire duration of the study. RESULTS AND DISCUSSION: At the end of the trial period, LI85008F supplemented group showed significant net reductions in body weight and Body Mass Index (BMI). The participants who received the herbal formulation, showed reduced fasting blood glucose, LDL, LDL/HDL ratio, and triglycerides. At the end of the study, LI85008F supplementation also provided 21.26% (p = 0.012) increase in serum adiponectin level, compared with the placebo group. No major adverse events were reported by the participants in the study duration. In addition, Adipokine profiling study in 3T3-L1 adipocytes demonstrates that LI85008F modulates key regulatory factors of adipogenic differentiation and insulin sensitivity, such as Adiponectin, Pref-1, and resistin. CONCLUSION: The herbal formulation LI85008F (Adipromin) is prepared from commonly used medicinal plants extracts, which provides useful and safe application for weight loss in obese humans. It also demonstrates potential promise in controlling healthy blood glucose level in obesity linked type 2 diabetes.


Subject(s)
Anti-Obesity Agents/therapeutic use , Obesity/drug therapy , Phytotherapy , Plant Preparations/therapeutic use , 3T3-L1 Cells , Adipocytes/drug effects , Adipocytes/metabolism , Adipokines/metabolism , Adiponectin/blood , Adult , Animals , Anti-Obesity Agents/adverse effects , Blood Glucose/metabolism , Body Mass Index , Body Weight/drug effects , Double-Blind Method , Female , Humans , Lipids/blood , Male , Mice , Middle Aged , Obesity/blood , Obesity/pathology , Plant Preparations/adverse effects , Weight Reduction Programs
6.
Int J Med Sci ; 7(6): 366-77, 2010 Nov 01.
Article in English | MEDLINE | ID: mdl-21060724

ABSTRACT

Aflapin(®) is a novel synergistic composition derived from Boswellia serrata gum resin (Indian Patent Application No. 2229/CHE/2008). Aflapin is significantly better as an anti-inflammatory agent compared to the Boswellia extracts presently available in the market. A 90-day, double-blind, randomized, placebo-controlled study was conducted to evaluate the comparative efficacy and tolerability of 5-Loxin(®) and Aflapin(®) in the treatment of osteoarthritis (OA) of the knee (Clinical trial registration number: ISRCTN80793440). Sixty OA subjects were included in the study. The subjects received either 100 mg (n=20) of 5-Loxin(®) or 100 mg (n=20) of Aflapin(®) or a placebo (n=20) daily for 90 days. Each patient was evaluated for pain and physical functions by using the standard tools (visual analog scale, Lequesne's Functional Index, and Western Ontario and McMaster Universities Osteoarthritis Index) at the baseline (day 0), and at days 7, 30, 60 and 90. A battery of biochemical parameters in serum, urine and hematological parameters in citrated whole blood were performed to assess the safety of 5-Loxin(®) and Aflapin(®) in OA subjects. Fifty seven subjects completed the study. At the end of the study, both 5-Loxin(®) and Aflapin conferred clinically and statistically significant improvements in pain scores and physical function scores in OA subjects. Interestingly, significant improvements in pain score and functional ability were recorded as early as 7 days after initiation of the study in the treatment group supplemented with 100 mg Aflapin. Corroborating the improvements in pain scores in treatment groups, our in vitro studies provide evidences that Aflapin(®) is capable of inhibiting cartilage degrading enzyme MMP-3 and has the potential to regulate the inflammatory response by inhibiting ICAM-1. Aflapin(®) and 5-Loxin(®) reduce pain and improve physical functions significantly in OA subjects. Aflapin exhibited better efficacy compared to 5-Loxin(®). In comparison with placebo, the safety parameters were almost unchanged in the treatment groups. Hence both 5-Loxin(®) and Aflapin(®) are safe for human consumption.


Subject(s)
Anti-Inflammatory Agents/therapeutic use , Osteoarthritis, Knee/drug therapy , Plant Extracts/therapeutic use , Triterpenes/therapeutic use , Adult , Anti-Inflammatory Agents/adverse effects , Boswellia/chemistry , Cells, Cultured , Chondrocytes/drug effects , Chondrocytes/metabolism , Double-Blind Method , Endothelial Cells/drug effects , Endothelial Cells/metabolism , Female , Humans , Intercellular Adhesion Molecule-1/metabolism , Male , Matrix Metalloproteinase 3/metabolism , Middle Aged , Plant Extracts/adverse effects , Triterpenes/adverse effects
7.
J Invest Dermatol ; 130(6): 1668-79, 2010 Jun.
Article in English | MEDLINE | ID: mdl-19956188

ABSTRACT

Stilbenes comprise a group of polyphenolic compounds, which exert inhibitory effects on various malignancies. The aim of this study was to evaluate the antitumor effects of a previously unreported stilbene derivative-3,3',4,4',5,5'-hexahydroxystilbene, termed M8-on human melanoma cells. Cell-cycle analysis of the metastatic melanoma cell line M24met showed that M8 treatment induces G(2)/M arrest accompanied with a dose- and time-dependent upregulation of p21 and downregulation of CDK-2 and leads to apoptosis. M8 induces the expression of phosphorylated p53, proteins involved in the mismatch repair machinery (MSH6, MSH2, and MLH1) and a robust tail moment in a comet assay. In addition, M8 inhibited cell migration in Matrigel assays. Shotgun proteomics and western analysis showed the regulation among others of paxillin, integrin-linked protein kinase, p21-activated kinase, and ROCK-1 indicating that M8 inhibits mesenchymal and amoeboid cell migration. These in vitro data were confirmed in vivo in a metastatic human melanoma severe combined immunodeficient (SCID) mouse model. We showed that M8 significantly impairs tumor growth. M8 also interfered with the metastatic process, as M8 treatment prevented the metastatic spread of melanoma cells to distant lymph nodes in vivo. In summary, M8 exerts strong antitumor effects with the potential to become a new drug for the treatment of metastatic melanoma.


Subject(s)
Antineoplastic Agents/therapeutic use , Disease Progression , Melanoma/drug therapy , Pyrogallol/analogs & derivatives , Skin Neoplasms/drug therapy , Stilbenes/therapeutic use , Xenograft Model Antitumor Assays , Animals , Antineoplastic Agents/pharmacology , Apoptosis/drug effects , Cell Cycle/drug effects , Cell Line, Tumor , Cell Proliferation/drug effects , Cyclin-Dependent Kinase 2/metabolism , Cyclin-Dependent Kinase Inhibitor p21/metabolism , DNA Damage/drug effects , Disease Models, Animal , Dose-Response Relationship, Drug , Female , Humans , Melanoma/metabolism , Melanoma/pathology , Mice , Mice, SCID , Paxillin/metabolism , Pyrogallol/pharmacology , Pyrogallol/therapeutic use , Skin Neoplasms/metabolism , Skin Neoplasms/pathology , Stilbenes/pharmacology , Tumor Suppressor Protein p53/metabolism
8.
Cancer Lett ; 274(2): 299-304, 2009 Feb 18.
Article in English | MEDLINE | ID: mdl-18952370

ABSTRACT

Digalloylresveratrol (DIG) is a new synthetic ester of the naturally occurring polyhydroxyphenolic substances gallic acid and resveratrol which both exert anti-cancer activity in a number of tumor cell lines. The aim of the study was to identify the biochemical effects of DIG in HT-29 human colon cancer cells. DIG induced dose-dependently apoptosis after treatment for 72 h (40 microM DIG caused apoptosis in 45% of cells). DIG led to a substantial imbalance of deoxyribonucleoside triphosphates (dNTPs), the products of the enzyme ribonucleotide reductase (RR) and directly inhibited RR as it significantly reduced the incorporation of (14)C-labeled cytidine into the DNA of tumor cells. Furthermore, DIG affected the cell division and inhibited the transition from S to G2/M phase of the cell cycle. In contrast to resveratrol or gallic acid, DIG did not inhibit cyclooxygenases I and II. When HT-29 cells were simultaneously treated with DIG and 5-FU, the standard chemotherapeutic substance for colon cancer, additive growth inhibitory effects could be observed. With respect to the various biochemical and anti-proliferative effects of DIG in HT-29 cells, we regard DIG as a potential candidate for future treatment options of colon cancer and conclude that further preclinical and in vivo studies are warranted.


Subject(s)
Apoptosis/drug effects , Cell Cycle/drug effects , Colonic Neoplasms/pathology , Gallic Acid/analogs & derivatives , Stilbenes/pharmacology , Antineoplastic Agents/pharmacology , Cell Division/drug effects , Colonic Neoplasms/enzymology , Fluorouracil/pharmacology , Gallic Acid/pharmacology , HT29 Cells , Humans , Prostaglandin-Endoperoxide Synthases/metabolism , Ribonucleotide Reductases/metabolism
9.
J Agric Food Chem ; 56(13): 5331-7, 2008 Jul 09.
Article in English | MEDLINE | ID: mdl-18543930

ABSTRACT

Coenzyme Q10 (CoQ10) has been extensively studied as adjunctive therapy for ischemic heart disease, and its cardioprotective ability is well-established. The mitochondrial respiratory chain contains several coenzymes, including CoQ1, CoQ2, CoQ4, CoQ6, CoQ7, CoQ8, CoQ9, and CoQ10. It is not known whether other CoQs, especially CoQ9, is equally cardioprotective as CoQ10. The present study was designed to determine if CoQ 9 could protect guinea pig hearts from ischemia reperfusion injury. Guinea pigs were randomly divided into three groups: groups I and II were fed CoQ 9 and CoQ10, respectively, for 30 days while group III served as control. After 30 days, the guinea pigs were sacrificed and isolated hearts were perfused via working mode were subjected to 30 min ischemia followed by 2 h of reperfusion. Cardioprotection was assessed by evaluating left ventricular function, ventricular arrhythmias, myocardial infarct size, and cardiomyocyte apoptosis. Samples of hearts were examined for the presence of CoQ9 and CoQ10. The results demonstrated that both CoQ9 and CoQ10 were equally cardioprotective, as evidenced by their abilities to improve left ventricular performance and to reduce myocardial infarct size and cardiomyocyte apoptosis. High performance liquid chromatographic (HPLC) analysis revealed that a substantial portion of CoQ9 had been converted into CoQ10. The results indicate that CoQ9 by itself, or after being converted into CoQ10, reduced myocardial ischemia/reperfusion-induced injury.


Subject(s)
Cardiotonic Agents/pharmacokinetics , Myocardial Reperfusion Injury/prevention & control , Ubiquinone/analogs & derivatives , Animals , Apoptosis/drug effects , Arrhythmias, Cardiac/physiopathology , Arrhythmias, Cardiac/prevention & control , Biotransformation , Cardiotonic Agents/chemistry , Drug Evaluation, Preclinical , Guinea Pigs , Humans , Male , Mass Spectrometry , Myocardial Reperfusion Injury/physiopathology , Random Allocation , Ubiquinone/chemistry , Ubiquinone/pharmacokinetics , Ventricular Function, Left/drug effects
10.
Phytochemistry ; 66(23): 2719-28, 2005 Dec.
Article in English | MEDLINE | ID: mdl-16293276

ABSTRACT

Two triterpenoid glycosides have been isolated along with 10 known saponins from Bacopa monnieri. Structures of the compounds have been elucidated as 3-O-[beta-D-glucopyranosyl-(1-->3)-beta-D-glucopyranosyl] jujubogenin (1) and 3-O-[beta-D-glucopyranosyl-(1-->3)-beta-D-glucopyranosyl] pseudojujubogenin (2) by high resolution NMR spectral data and chemical correlations. Further, the chemical compositions of bacosides A and B have been delineated.


Subject(s)
Bacopa/chemistry , Chromatography, High Pressure Liquid/methods , Glycosides/chemistry , Animals , Artemia/drug effects , Carbohydrate Sequence , Chemistry Techniques, Analytical/methods , Glycosides/isolation & purification , Glycosides/pharmacology , Magnetic Resonance Spectroscopy , Molecular Sequence Data , Molecular Structure , Saponins/chemistry , Saponins/isolation & purification , Saponins/pharmacology , Spectrophotometry, Infrared , Triterpenes/chemistry , Triterpenes/isolation & purification , Triterpenes/pharmacology
11.
DNA Cell Biol ; 24(4): 244-55, 2005 Apr.
Article in English | MEDLINE | ID: mdl-15812241

ABSTRACT

Inflammatory disorders represent a substantial health problem. Medicinal plants belonging to the Burseraceae family, including Boswellia, are especially known for their anti-inflammatory properties. The gum resin of Boswellia serrata contains boswellic acids, which inhibit leukotriene biosynthesis. A series of chronic inflammatory diseases are perpetuated by leukotrienes. Although Boswellia extract has proven to be anti-inflammatory in clinical trials, the underlying mechanisms remain to be characterized. TNF alpha represents one of the most widely recognized mediators of inflammation. One mechanism by which TNFalpha causes inflammation is by potently inducing the expression of adhesion molecules such as VCAM-1. We sought to test the genetic basis of the antiinflammatory effects of BE (standardized Boswellia extract, 5-Loxin) in a system of TNF alpha-induced gene expression in human microvascular endothelial cells. We conducted the first whole genome screen for TNF alpha- inducible genes in human microvascular cells (HMEC). Acutely, TNF alpha induced 522 genes and downregulated 141 genes in nine out of nine pairwise comparisons. Of the 522 genes induced by TNF alpha in HMEC, 113 genes were clearly sensitive to BE treatment. Such genes directly related to inflammation, cell adhesion, and proteolysis. The robust BE-sensitive candidate genes were then subjected to further processing for the identification of BE-sensitive signaling pathways. The use of resources such as GenMAPP, KEGG, and gene ontology led to the recognition of the primary BE-sensitive TNF alpha-inducible pathways. BE prevented the TNF alpha-induced expression of matrix metalloproteinases. BE also prevented the inducible expression of mediators of apoptosis. Most strikingly, however, TNF alpha-inducible expression of VCAM-1 and ICAM-1 were observed to be sensitive to BE. Realtime PCR studies showed that while TNF alpha potently induced VCAM-1 gene expression, BE completely prevented it. This result confirmed our microarray findings and built a compelling case for the anti-inflammatory property of BE. In an in vivo model of carrageenan-induced rat paw inflammation, we observed a significant antiinflammatory property of BE consistent with our in vitro findings. These findings warrant further research aimed at identifying the signaling mechanisms by which BE exerts its anti-inflammatory effects.


Subject(s)
Anti-Inflammatory Agents/metabolism , Boswellia/chemistry , Endothelial Cells/drug effects , Gene Expression Regulation/drug effects , Genes/drug effects , Genome, Human , Triterpenes/metabolism , Tumor Necrosis Factor-alpha/pharmacology , Animals , Anti-Inflammatory Agents/pharmacology , Anti-Inflammatory Agents/therapeutic use , Apoptosis/drug effects , Apoptosis/genetics , Carrageenan/toxicity , DNA Primers , Edema/chemically induced , Edema/drug therapy , Edema/pathology , Endothelial Cells/metabolism , Foot/pathology , Gene Expression Regulation/genetics , Genes/genetics , Humans , Intercellular Adhesion Molecule-1/metabolism , Leukotrienes/metabolism , Matrix Metalloproteinases/metabolism , Oligonucleotide Array Sequence Analysis , Plant Extracts/metabolism , Plant Extracts/pharmacology , Plant Extracts/therapeutic use , Plethysmography , Rats , Rats, Wistar , Reverse Transcriptase Polymerase Chain Reaction , Signal Transduction/genetics , Triterpenes/pharmacology , Triterpenes/therapeutic use , Vascular Cell Adhesion Molecule-1/metabolism
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