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NIS - libdoc.who.int - World Health Organization

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Herba Leonuri<br />

demonstrated that in addition to elevating endogenous antioxidant enzyme<br />

activity, Herba Leonuri, used traditionally in Chinese herbal<br />

medicine for the treatment of cardiovascular disorders, contains a potent<br />

antioxidant component capable of effective inhibition of oxidative<br />

reactions mediated by the inflammatory oxidants, peroxynitrite, hypochlorous<br />

acid and hydroxyl radicals, as well as iron-dependent lipid<br />

peroxidation (49).<br />

The antioxidant and cardioprotective effects of an extract of Herba<br />

Leonuri on ischaemic myocardium were investigated in rats. A daily<br />

dose of the extract (400 mg/kg bw per day) was administered orally<br />

starting from 1 week before and continuing until 3 weeks after myocardial<br />

infarction. Surviving rats were killed at different times to obtain left<br />

ventricles for biochemical assays. The results demonstrated for the first<br />

time that Herba Leonuri has antioxidant effects both in vitro and in<br />

vivo. The antioxidant effects of the extract are exerted only under the<br />

condition of oxidative stress, by selectively preserving the activities of<br />

superoxide dismutase and glutathione peroxidase, as well as depressing<br />

the formation of malondialdehyde. Its effects of scavenging free radicals<br />

and inhibiting the formation of reactive oxygen species probably play a<br />

role in protecting the endogenous antioxidant system from oxidative<br />

stress in vivo (50).<br />

Antitumour activity<br />

Herba Leonuri demonstrated cytotoxicity during in vitro studies on lymphocytic<br />

leukaemia (P-388, L-1210), KB cells, human lung carcinoma (A-<br />

549), mammary tumour (MCF-7) and human colon tumour cells (HCT-<br />

8) (51). Ingestion of the methanol extract of Herba Leonuri in<br />

drinking-water at a concentration of 0.5% markedly suppressed the development<br />

of mammary cancers in multiparous GR/A mice. The incidence<br />

of uterine adenomyosis was also inhibited in mice given an extract<br />

of Herba Leonuri. The stimulation by the extract of the excretion of any<br />

carcinogenic factors may at least partly contribute to its inhibition of<br />

mammary cancers (52).<br />

Toxicology<br />

No documented toxicity studies were found, but ursolic acid has been<br />

reported to have cytotoxic activity (51). A median lethal dose for the<br />

extract of Herba Leonuri in rats of 10.8 g/kg bw by <strong>int</strong>raperitoneal<br />

injection has been recorded (47). In the USA, Herba Leonuri is listed<br />

by the US Food and Drug Administration as a “herb of undefined<br />

safety” (53).<br />

235

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