Shah Zahoor Ahmad, Vohora Shashi Bharat
Department of Medical Elementology and Toxicology, Faculty of Science, Jamia Hamdard University, New Delhi, India.
Pharmacol Toxicol. 2002 May;90(5):254-9. doi: 10.1034/j.1600-0773.2002.900505.x.
Stroke, or ischaemic brain damage, is of great geriatric importance being the third most common cause of death after cancer and heart diseases in developed countries. Despite such high frequency, its management has received inadequate attention. Many studies have shown the role of free radicals in the pathogenesis of ischaemic brain damage. Search for safe and effective antioxidant and free radial scavenger agents, therefore, appear to be a promising approach for stroke therapy. Gold, widely used in modern medicine for the treatment of rheumatoid arthritis, is highly valued for various medicinal uses in Indian systems of medicine. Traditional gold preparations are attributed with tonic/rejuvenating and antioxidant properties. Our earlier studies revealed interesting analgesic, immunostimulant, adaptogenic and glycogen sparing properties in these preparations, but their effects in cerebral ischaemia have not been investigated. This prompted us to initiate the present study using global and focal models of ischaemia in albino rats. Enzymatic parameters (lipid peroxidase, reduced glutathione, catalase, glutathione reductase, glutathione-S-transferase, glutatione peroxidase, superoxide dismutase, and glucose-6-phosphate dehydrogenase) were employed to assess ischaemic brain damage and its modulation. Significant restoration of altered values to near normal levels by Ayurvedic Swarna Bhasma and Unani Kushta Tila Kalan (25 mg/kg, orally for 10 days), suggest potentials for gold preparations in cerebrovascular diseases. The preparations deserve more scientific attention for possible therapeutic exploitation.
中风,即缺血性脑损伤,在老年人群中具有重要意义,是发达国家继癌症和心脏病之后第三大常见死因。尽管发病率如此之高,但其治疗却未得到足够的重视。许多研究表明自由基在缺血性脑损伤的发病机制中起作用。因此,寻找安全有效的抗氧化剂和自由基清除剂似乎是治疗中风的一种有前景的方法。金在现代医学中广泛用于治疗类风湿性关节炎,在印度医学体系中因其各种药用价值而备受重视。传统的金制剂具有滋补/恢复活力和抗氧化特性。我们早期的研究揭示了这些制剂有趣的镇痛、免疫刺激、适应原和糖原节省特性,但它们对脑缺血的影响尚未得到研究。这促使我们使用白化大鼠的全脑缺血和局灶性缺血模型开展本研究。采用酶学参数(脂质过氧化物酶、还原型谷胱甘肽、过氧化氢酶、谷胱甘肽还原酶、谷胱甘肽 - S - 转移酶、谷胱甘肽过氧化物酶、超氧化物歧化酶和葡萄糖 - 6 - 磷酸脱氢酶)来评估缺血性脑损伤及其调节情况。阿育吠陀的金色硫黄散和尤那尼的库什塔蒂拉卡兰(25毫克/千克,口服10天)使改变的值显著恢复到接近正常水平,这表明金制剂在脑血管疾病方面具有潜力。这些制剂值得更多科学关注以便进行可能的治疗开发。