Rad Seyede Zohre Kamrani, Rameshrad Maryam, Hosseinzadeh Hossein
Department of Pharmacodynamics and Toxicology, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.
Pharmaceutical Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Iran J Basic Med Sci. 2017 May;20(5):516-529. doi: 10.22038/IJBMS.2017.8676.
and berberine, its main component, traditionally have been used for treatment of various disorders. The pharmacological properties of them have been investigated using different and models. In spite of beneficial effects of on different cell lines, there are documents have revealed negative impacts of it on animal and human. In this regards, the determination of its toxicity in a scientific view is necessary. In current report, we provide classified information about the toxicity of and berberine in different conditions consist of acute, sub-acute, sub-chronic and chronic state. Besides, it discusses the cytotoxicity, genotoxicity, mutagenicity, and carcinogenicity of and berberine as well as developmental toxicity and clinical studies. Data from the present study indicate that their toxicity is depending on the route and duration of administration. According to present study, they could induce GI upset and ulceration, immunotoxicity, phototoxicity, neurotoxicity, cardiotoxicity and jaundice in a dose dependent manner. They should be used with caution in pregnancy, neonatal and G6PD deficiency. Besides, consideration should be taken in co-administration of berberine with drugs that are metabolized with CYP enzymes due their inhibitory effects on these enzymes. Furthermore, they evoke cytotoxicity on both normal and cancer cell line which is time and concentration dependent.
其主要成分小檗碱传统上一直用于治疗各种疾病。人们已使用不同的……和……模型对它们的药理特性进行了研究。尽管……对不同细胞系有有益作用,但有文献显示它对动物和人类有负面影响。在这方面,从科学角度确定其毒性是必要的。在本报告中,我们提供了关于……和小檗碱在急性、亚急性、亚慢性和慢性等不同状态下毒性的分类信息。此外,还讨论了……和小檗碱的细胞毒性、遗传毒性、致突变性和致癌性以及发育毒性和临床研究。本研究数据表明它们的毒性取决于给药途径和持续时间。根据本研究,它们可剂量依赖性地诱发胃肠道不适和溃疡、免疫毒性、光毒性、神经毒性、心脏毒性和黄疸。在孕期、新生儿期以及葡萄糖 - 6 - 磷酸脱氢酶缺乏症患者中应谨慎使用。此外,由于小檗碱对细胞色素P450酶有抑制作用,在与经这些酶代谢的药物联合使用时应予以考虑。此外,它们对正常细胞系和癌细胞系均会诱发细胞毒性,且具有时间和浓度依赖性。