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NIS - libdoc.who.int - World Health Organization

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Fructus Hippophaës recens<br />

rocytes 24 hours after the injection of cisplatin. The abnormality of sperm<br />

heads was studied by microscopy. Administration of the juice decreased<br />

the number of micronuclei in bone marrow cells induced by a dose of<br />

1.2 mg/kg of cisplatin by 36.5% and 47.9% after being given juice for 5<br />

and 10 days, respectively (the difference between the two periods was not<br />

significant, p > 0.05), and by 19% (a statistically insignificant reduction,<br />

p > 0.05) when the dose of cisplatin was 2.4 mg/kg. The juice of Fructus<br />

Hippophaës recens thus significantly decreased the genotoxic effect of<br />

cisplatin (1.2 mg/kg) on somatic (bone marrow) and germ (sperm) cells<br />

but the decrease was not significant when the dose of cisplatin was 2.4 mg/<br />

kg. The juice similarly protected sperm heads from damage at the lower<br />

dose of cisplatin, but there was no significant protection at the higher<br />

dose (65).<br />

Toxicology<br />

The median lethal dose (LD 50<br />

) of a 50% ethanol-aqueous extract of the<br />

fruits has been reported as greater than 1000 mg/kg (administered by <strong>int</strong>raperitoneal<br />

injection) in mice (66).<br />

Clinical pharmacology<br />

Liver cirrhosis<br />

The effect of an ethanol extract of Hippophaë fruits on the liver was assessed<br />

in a randomized clinical trial with positive controls in 50 patients with cirrhosis<br />

of the liver, which had resulted from hepatitis B or alcoholism (grades<br />

A and B according to the Child-Pugh Classification of Severity of Liver<br />

Disease). The patients were divided <strong>int</strong>o two groups. Patients in the first<br />

group (n = 30) received 15 g of the extract by the oral route, three times a day<br />

for 6 months. Subjects in the second group (n = 20) took one tablet of vitamin<br />

B complex, three times a day for 6 months. The serum levels of tumour<br />

necrosis factor (TNFα), <strong>int</strong>erleukin-6, serum albumin, type IV collagen, aspartate<br />

aminotransferase (AST), and alanine aminotransferase (ALT) were<br />

measured before and after the treatment in both groups. These substances<br />

have many biological functions, such as promoting cell proliferation and<br />

differentiation, and participation in the process of immunological reaction<br />

and inflammation. Before treatment, the peripheral blood level of the abovelisted<br />

factors was significantly higher in the subjects with liver cirrhosis.<br />

After a course of treatment with the extract of Hippophaë fruits, the rates of<br />

normalization were 80% for ALT and AST, compared to 56% following<br />

treatment with vitamin B. The serum levels of collagen type IV, TNFα, and<br />

<strong>int</strong>erleukin-6, were significantly lower in the group treated with the extract<br />

of Hippophaë fruit than in the group that received vitamin B (p < 0.05). The<br />

195

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