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对铁青钩藤抗幽门螺杆菌属的活性及其急性和亚急性毒性的临床前评估。

Preclinical evaluation of anti-Helicobacter spp. activity of Hippocratea celastroides Kunth and its acute and sub-acute toxicity.

作者信息

García-Alonso Griselda, Monroy-Noyola Antonio, Contreras-Arellano Armando, Mariscal-Durand José Fernando, Gálvez-Molina Yolanda, Vázquez-Velázquez Alejandro, García-Jimenez Sara, Nuñez Pablo, Cardoso-Taketa Alexandre, Villarreal María Luisa

机构信息

Centro de Investigación en Biotecnología, Av. Universidad 1001. Col. Chamilpa, Cuernavaca, 62209, Morelos, México.

Facultad de Farmacia, Universidad Autónoma del Estado de Morelos, Av. Universidad 1001. Col Chamilpa, Cuernavaca, 62209, Morelos, México.

出版信息

BMC Complement Altern Med. 2016 Nov 8;16(1):445. doi: 10.1186/s12906-016-1412-6.

Abstract

BACKGROUND

Hippocratea celastroides Kunth, commonly known as "cancerina", is used in Mexican Traditional Medicine for the treatment of gastric and intestinal infections, systemic and skin inflammation, injuries and gastritis. The aim of this research was to assess the anti-Helicobacter pylori activities of hydro-ethanolic root-bark extracts from Hippocratea celastroides Kunth in naturally infected dogs, after testing their acute and subacute toxicities in mice.

METHODS

To determine in vivo acute toxicity, a hydro-ethanolic extract was obtained and administered orally in female and male Balb-C mice, at doses ranging from 2000 to 5000 mg/kg. For the subacute study, a hydro-ethanolic extract was given to male and female Balb-C mice at doses ranging from 200 to 2000 mg/kg body weight. The animals were observed daily over a period of 42 days for signs of toxicity. In the pre-clinical anti-Helicobacter spp. assay, 60 dogs were included. Eighteen and 19 dogs for the experimental and control groups respectively, concluded the study. The experimental treatment consisted of H. celastroides hydro-ethanolic extract and the control treatment of amoxicillin-clarithromycin-omeprazole.

RESULTS

Oral LD (lethal dose 50) values for hydro-ethanolic extract were indeterminable at the highest tested doses. Under the subacute administration, neither mortality nor any sign of toxicity were observed when the hydro-ethanolic extract was administered. There were no significant alterations in biochemical parameters. The prevalence of Helicobacter spp. infection in dogs was 97.1 % for the experimental group and 100 % for the control group. Effectiveness was of 33.3 and 55 % in the experimental and control group respectively. The oral administration of H. celastroides was well-tolerated and safe.

CONCLUSION

The root-bark of H. celastroides produced no signs of toxicity, and manifested pharmacological activity that indicated the possibility of an alternative treatment for H. pylori infection. Effectiveness is still low so it is necessary to continue research.

摘要

背景

海氏藤(Hippocratea celastroides Kunth),俗称“cancerina”,在墨西哥传统医学中用于治疗胃肠道感染、全身及皮肤炎症、损伤和胃炎。本研究的目的是在小鼠身上测试海氏藤根皮水乙醇提取物的急性和亚急性毒性后,评估其对自然感染犬的抗幽门螺杆菌活性。

方法

为确定体内急性毒性,制备了水乙醇提取物,并以2000至5000mg/kg的剂量口服给予雌性和雄性Balb-C小鼠。对于亚急性研究,以200至2000mg/kg体重的剂量给予雄性和雌性Balb-C小鼠水乙醇提取物。在42天的时间里每天观察动物的毒性迹象。在临床前抗幽门螺杆菌试验中,纳入了60只犬。分别有18只和19只犬进入实验组和对照组并完成研究。实验治疗包括海氏藤水乙醇提取物,对照治疗为阿莫西林-克拉霉素-奥美拉唑。

结果

水乙醇提取物的口服半数致死量(LD50)在最高测试剂量下无法确定。在亚急性给药时,给予水乙醇提取物后未观察到死亡或任何毒性迹象。生化参数无显著变化。实验组犬幽门螺杆菌感染率为97.1%,对照组为100%。实验组和对照组的有效性分别为33.3%和55%。海氏藤口服耐受性良好且安全。

结论

海氏藤根皮未产生毒性迹象,并表现出药理活性,这表明其有可能成为幽门螺杆菌感染的替代治疗方法。有效性仍然较低,因此有必要继续研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0bce/5101718/8d3eb9f73878/12906_2016_1412_Fig1_HTML.jpg

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