Rege N N, Thatte U M, Dahanukar S A
Ayurveda Research Centre, Department of Pharmacology and Therapeutics, Seth GS Medical College, Parel, Mumbai, India.
Phytother Res. 1999 Jun;13(4):275-91. doi: 10.1002/(SICI)1099-1573(199906)13:4<275::AID-PTR510>3.0.CO;2-S.
Plants from all over the world such as Eleutherococcus senticosus, Panax ginseng, Raponticum carthamoides, Rhodiola rosea, Withania somnifera and Ocimum sanctum have been extensively evaluated for their adaptogenic potential. However, none of them has been successfully introduced as an adaptogen in the clinic. This paper discusses some of the problems in evaluation of adaptogens which have precluded their inclusion as clinically useful drugs. We further discuss our results with six rasayana plants from Ayurveda, which were studied for their adaptogenic potential. The whole, aqueous, standardized extracts of selected plants (Tinospora cordifolia, Asparagus racemosus, Emblica officinalis, Withania somnifera, Piper longum and Terminalia chebula) were administered orally to experimental animals, in a dose extrapolated from the human dose, following which they were exposed to a variety of biological, physical and chemical stressors. These plants were found to offer protection against these stressors, as judged by using markers of stress responses and objective parameters for stress manifestations. Using a model of cisplatin induced alterations in gastrointestinal motility, the ability of these plants to exert a normalizing effect, irrespective of direction of pathological change was tested. All the plants reversed the effects of cisplatin on gastric emptying, while Tinospora cordifolia and Asparagus racemosus also normalized cisplatin induced intestinal hypermotility. Tinospora cordifolia was also tested for its ability to modulate the changes occurring in the phagocytic activity of peritoneal macrophages after exposure of rats to either carbon tetrachloride or horse serum. It was found to normalize the phagocytic function irrespective to the direction of change, complying to the definition of an adaptogen. All the plant drugs were found to be safe in both acute and subacute toxicity studies. Studies on the mechanisms of action of the plants revealed that they all produced immunostimulation. The protection offered by Tinospora cordifolia against stress induced gastric mucosal damage was lost if macrophage activity was blocked. Emblica officinalis strengthened the defence mechanisms against free radical damage induced during stress. The effect of Emblica officinalis appeared to depend on the ability of target tissues to synthesize prostaglandins. Recent data obtained with Tinospora cordifolia suggest that it may induce genotypic adaptation, further opening the arena for more research and experimentation.
来自世界各地的植物,如刺五加、人参、刺续断、红景天、南非醉茄和神圣罗勒,已针对其适应原潜力进行了广泛评估。然而,它们中没有一种已成功作为适应原引入临床。本文讨论了适应原评估中存在的一些问题,这些问题阻碍了它们被纳入临床有用药物。我们进一步讨论了对六种阿育吠陀中的回春植物的研究结果,这些植物针对其适应原潜力进行了研究。将选定植物(心叶地锦、总状天门冬、余甘子、南非醉茄、长蒌叶胡椒和诃子)的全草、水提标准化提取物,按照从人类剂量推算出的剂量口服给予实验动物,随后让它们暴露于各种生物、物理和化学应激源。通过使用应激反应标志物和应激表现的客观参数判断,发现这些植物能够抵御这些应激源。使用顺铂诱导胃肠动力改变的模型,测试了这些植物无论病理变化方向如何都能发挥正常化作用的能力。所有植物都逆转了顺铂对胃排空的影响,而心叶地锦和总状天门冬还使顺铂诱导的肠道运动亢进恢复正常。还测试了心叶地锦调节大鼠暴露于四氯化碳或马血清后腹膜巨噬细胞吞噬活性变化的能力。发现它无论变化方向如何都能使吞噬功能恢复正常,符合适应原的定义。在急性和亚急性毒性研究中,发现所有植物药物都是安全的。对这些植物作用机制的研究表明,它们都产生免疫刺激作用。如果巨噬细胞活性被阻断,心叶地锦对应激诱导的胃黏膜损伤的保护作用就会丧失。余甘子增强了对应激期间诱导的自由基损伤的防御机制。余甘子的作用似乎取决于靶组织合成前列腺素的能力。最近用心叶地锦获得的数据表明,它可能诱导基因型适应,这进一步为更多的研究和实验开辟了领域。