Oerter Klein Karen, Janfaza Mona, Wong Jeffrey A, Chang R Jeffrey
University of California-San Diego, San Diego, California 92123, USA.
J Clin Endocrinol Metab. 2003 Sep;88(9):4077-9. doi: 10.1210/jc.2003-030349.
One of the most important issues in women's health concerns the risks and benefits of estrogen replacement therapy. Continual uncertainty and lack of consensus regarding estrogen replacement therapy has driven many women to seek alternative sources of estrogen, including herbal remedies. We adapted a recombinant cell bioassay to measure estrogen bioactivity in herbs. We studied, in vitro, estrogen bioactivity in red clover, dong quai, black cohosh, soy, licorice, chaste tree berry, fo-ti, and hops. Soy, clover, licorice, and hops have a large amount of measurable estrogen bioactivity, as suspected, based on previous reports using other methods. We discovered surprisingly high estrogen activity in extracts of fo-ti not previously reported. Chaste tree berry, black cohosh, and dong quai did not have measurable activity with this method. We also discovered that removal of a glycone group from soy increases its estrogen bioactivity significantly. We conclude that this recombinant cell bioassay for estradiol can be used to measure bioactivity in herbal products. The preparations of fo-ti studied had estrogen activity of 409 +/- 55 pmol/liter estradiol equivalents per microgram of herb, which is 1/300 the activity of 17 beta-estradiol. Clinical studies are underway to determine the estrogen bioactivity in women using dietary supplements containing these herbs.
女性健康领域最重要的问题之一涉及雌激素替代疗法的风险与益处。关于雌激素替代疗法持续存在的不确定性以及缺乏共识,促使许多女性寻求雌激素的替代来源,包括草药疗法。我们采用了一种重组细胞生物测定法来测量草药中的雌激素生物活性。我们在体外研究了红三叶草、当归、黑升麻、大豆、甘草、贞节树果、何首乌和啤酒花中的雌激素生物活性。正如之前使用其他方法的报告所推测的那样,大豆、三叶草、甘草和啤酒花具有大量可测量的雌激素生物活性。我们发现何首乌提取物中存在此前未报告过且令人惊讶的高雌激素活性。贞节树果、黑升麻和当归用这种方法没有可测量的活性。我们还发现从大豆中去除一个糖苷配基会显著增加其雌激素生物活性。我们得出结论,这种用于雌二醇的重组细胞生物测定法可用于测量草药产品中的生物活性。所研究的何首乌制剂的雌激素活性为每微克草药409±55皮摩尔/升雌二醇当量,这是17β-雌二醇活性的1/300。目前正在进行临床研究,以确定使用含有这些草药的膳食补充剂的女性体内的雌激素生物活性。