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NIS - libdoc.who.int - World Health Organization

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Herba Chelidonii<br />

Intragastric administration of 12.5, 62.5 and 125 mg/kg body weight (bw)<br />

of the extract twice weekly over 3 weeks resulted in a reduction in CCl 4<br />

-<br />

induced hepatotoxicity. Increased plasma activities of the enzymes alanine<br />

aminotransferase, aspartate aminotransferase, alkaline phosphatase<br />

and lactate dehydrogenase, as well as the increased bilirubin level, induced<br />

by CCl 4<br />

, were significantly decreased by the extract. The liver tissue appeared<br />

free from fibrosis, and cholesterol, which first decreased as a result<br />

of treatment with CCl 4<br />

, significantly increased during the treatment with<br />

the extract. Histopathological evaluation of the liver cells indicated a<br />

marked reduction in the number of necrotic cells (61). However, it is difficult<br />

to evaluate the clinical significance of these findings with regard to<br />

hepatotoxic adverse reactions (see Adverse reactions).<br />

Anti-inflammatory activity<br />

An extract made from a tincture of crude drug, as well as the individual<br />

alkaloids chelidonine, berberine, chelerythrine and sanguinarine, were<br />

tested in an anti-inflammatory enzyme assay in vitro to determine their<br />

ability to inhibit 5- and 12-lipoxygenases (5-LOX and 12-LOX), two enzymes<br />

in the inflammatory cascade. The two most active inhibitors of<br />

both enzymes were the quaternary alkaloids, sanguinarine (median inhibitory<br />

concentration (IC 50<br />

) = 0.4 µM for 5-LOX and 13 µM for 12-LOX)<br />

and chelerythrine (IC 50<br />

= 0.8 µM for 5-LOX and 33 µM for 12-LOX).<br />

Chelidonine and berberine were inactive. An extract containing 0.68% total<br />

alkaloids, calculated as chelidonine inhibited 5-LOX activity with an<br />

IC 50<br />

of 1.9 µM (based on the molecular weight of chelidonine) (62).<br />

Antispasmodic activity<br />

The effects of two dry ethanol extracts of the herb with a defined content of<br />

the main alkaloids (chelidonine, protopine and coptisine), and the alkaloids<br />

themselves were assessed in three different antispasmodic tests using ileum<br />

isolated from guinea-pigs. When ileal contractions were stimulated by barium<br />

chloride, both extracts reduced contractions, the more concentrated<br />

extract by 53.5% and the less concentrated by 49%, when added to the bath<br />

media at a concentration of 500 µg/ml. In addition, both chelidonine and<br />

protopine exhibited papaverine-like musculotropic action, whereas coptisine<br />

(in concentrations of up to 30 µg/ml) was ineffective in this model.<br />

Both carbachol and electrical-field-stimulated contractions were also reduced<br />

by all three alkaloids. The IC 50<br />

of the crude drug extracts in carbachol-<br />

and electrical-field-induced ileal spasms were in the range of 250–<br />

500 µg/ml (63). An aqueous-ethanol extract of the herb containing 0.81%<br />

total alkaloids, calculated as coptisine, as well as the individual compounds,<br />

79

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