Sharma Meenakshi, Chadha Renu, Dhingra Neelima
University Institute of Pharmaceutical Sciences, Department of Pharmaceutical Chemistry, Panjab University, Chandigarh -160014. India.
University Institute of Pharmaceutical Sciences, Department of Pharmaceutical Chemistry, Panjab University, Chandigarh-160014. India.
Mini Rev Med Chem. 2017;17(14):1346-1363. doi: 10.2174/1389557516666160621103817.
Benign prostatic hyperplasia (BPH), the most common condition in aging men is the non cancerous proliferation of epithelial and stromal cells of the prostate gland and is associated with lower urinary tract symptoms (LUTS) such as frequency hesitancy urgency etc. Sources of symptoms in patient with BPH appear to be both static and dynamic component. Better understanding of the prostate physiology, function and pathogenesis has lead to the development of promising agents, useful in the management of lower urinary tract symptoms in men.
Treatment of clinical BPH aims to improve symptoms, prevent urinary tract infections, avoid renal insult, relief obstruction and improve bladder emptying. Many herbal formulations, or plant derived non-nutritive compounds with protective or disease preventive properties are getting popularized worldwide for the management of BPH, especially due to long term side effects of pharmacological treatment and risk of mortality associated with surgical procedures. Phytotherapeutic preparations are plant extracts with different components obtained by different extraction procedures. Numerous mechanisms of action have been postulated for mono and combination plant extracts.
This article give a brief account of rationale and efficacy of various existing phytotherapeutic agents in the management of benign prostatic hyperplasia, including the herbs which hold the potential promise are also mentioned, although much research is still required.
良性前列腺增生(BPH)是老年男性最常见的病症,是前列腺上皮和基质细胞的非癌性增殖,与尿频、尿急、尿踌躇等下尿路症状(LUTS)相关。BPH患者症状的来源似乎既有静态成分也有动态成分。对前列腺生理、功能和发病机制的更好理解导致了有前景的药物的开发,这些药物可用于治疗男性下尿路症状。
临床BPH的治疗旨在改善症状、预防尿路感染、避免肾损伤、缓解梗阻并改善膀胱排空。许多草药配方或具有保护或疾病预防特性的植物衍生非营养化合物在全球范围内因用于BPH的管理而日益普及,特别是由于药物治疗的长期副作用以及与手术相关的死亡风险。植物治疗制剂是通过不同提取程序获得的具有不同成分的植物提取物。对于单一植物提取物和组合植物提取物,已经提出了许多作用机制。
本文简要介绍了各种现有植物治疗药物在良性前列腺增生管理中的基本原理和疗效,还提到了具有潜在前景的草药,尽管仍需要大量研究。