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抗疟复方草药混合物及其各成分在伯氏疟原虫感染小鼠体内的抑制、治疗和预防潜力。

Suppressive, curative, and prophylactic potentials of an antimalarial polyherbal mixture and its individual components in Plasmodium berghei-Infected mice.

机构信息

Department of Pharmaceutical Chemistry, Faculty of Pharmacy, University of Lagos, College of Medicine Campus, PMB 12003, Idi-araba, Lagos, Nigeria.

Department of Pharmaceutical Chemistry, Faculty of Pharmacy, University of Lagos, College of Medicine Campus, PMB 12003, Idi-araba, Lagos, Nigeria.

出版信息

J Ethnopharmacol. 2021 Sep 15;277:114105. doi: 10.1016/j.jep.2021.114105. Epub 2021 May 5.

Abstract

ETHNOPHARMACOLOGICAL RELEVANCE

Malaria remains one of the most prevalent infectious diseases in tropical regions of the world, particularly in sub-Saharan Africa, where it remains epidemiologically holoendemic. The absence of effective vaccines and Plasmodium resistance to antimalarial drugs have been the major challenges to malaria control measures. An alternative strategy could be the application of validated and standardized herbal formulations.

AIM OF THE STUDY

To evaluate the antimalarial activity of a polyherbal mixture (APM) and compare it to those of its individual constituent plants.

METHODS

APM consisted of stem barks of Mangifera indica (MI), Azadirachta indica (AI), Nauclea latifolia (and roots, NL) and roots of Morinda lucida (ML). Dihydroartemisinin-piperaquine (DHP) and pyronaridine-artesunate (PA) served as positive controls. Antimalarial activity was evaluated using suppressive, curative and prophylactic assays in mice infected with Plasmodium berghei.

RESULTS

All the herbal mixtures, individually and in combination, showed significant (p < 0.05) antiplasmodial activities in the various assays. They produced considerable parasite suppression (>50%), substantial clearance (>70%), and notable prophylaxis (>60%, except for NL: 35%). APM (95.4-98.7%) and AI (92%), respectively, elicited greater and comparable suppression relative to DHP (88%) and PA (87.3%). However, all the herbal decoctions, individually (72-93.6%) and in combination (82.5-91%), showed lower parasite clearance than DHP (100%) and PA (99.5%). Meanwhile, APM showed relatively greater suppression and prophylaxis than its constituent plants, suggesting that the combination produced synergistic or additive effects.

CONCLUSION

These findings could substantiate the use of these plants, singly or in combination, as traditional remedies for malaria. Further studies are recommended to evaluate their clinical usefulness.

摘要

民族药理学相关性

疟疾仍然是世界热带地区最流行的传染病之一,特别是在撒哈拉以南非洲,那里仍然存在全流行态势。缺乏有效的疫苗和疟原虫对抗疟药物的耐药性一直是疟疾控制措施的主要挑战。另一种策略可能是应用经过验证和标准化的草药配方。

研究目的

评估一种复方草药混合物(APM)的抗疟活性,并将其与各组成植物进行比较。

方法

APM 由芒果(MI)的茎树皮、印楝(AI)、长叶九里香(NL)的根和辣木(ML)的根组成。双氢青蒿素-哌喹(DHP)和吡喹酮-青蒿琥酯(PA)作为阳性对照。使用抑制、治愈和预防实验,在感染伯氏疟原虫的小鼠中评估抗疟活性。

结果

所有草药混合物,单独使用和组合使用,在各种实验中均表现出显著的(p < 0.05)抗疟原虫活性。它们产生了相当大的寄生虫抑制(>50%)、显著的清除(>70%)和显著的预防作用(>60%,NL 除外:35%)。APM(95.4-98.7%)和 AI(92%)分别比 DHP(88%)和 PA(87.3%)产生更大和相当的抑制作用。然而,所有草药煎剂,单独使用(72-93.6%)和组合使用(82.5-91%),与 DHP(100%)和 PA(99.5%)相比,寄生虫清除率较低。同时,APM 显示出相对更大的抑制和预防作用,比其组成植物更强,这表明组合产生了协同或相加作用。

结论

这些发现可以证实这些植物单独或联合使用作为疟疾的传统疗法。建议进一步研究评估其临床用途。

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