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(L.)Webb ex Prantl种子提取物对甲状腺功能亢进症的治疗效果评估:一项双盲安慰剂对照的初步临床试验。

Evaluation of the therapeutic effect of (L.) Webb ex Prantl seed extract on hyperthyroidism: A double-blind placebo-controlled pilot clinical trial.

作者信息

Farzameh Fatemeh, Azadbakht Mohammad, Kashi Zahra, Asgarirad Hossein, Salehifar Ebrahim, Mirzaee Fatemeh, Davoodi Ali, Amirkhanloo Shervin

机构信息

Department of Pharmacognosy and Biotechnology, Faculty of Pharmacy Mazandaran University of Medical Sciences Sari Iran.

Diabetes Research Center Mazandaran University of Medical Sciences Sari Iran.

出版信息

Food Sci Nutr. 2023 Jul 4;11(10):5918-5927. doi: 10.1002/fsn3.3522. eCollection 2023 Oct.

DOI:10.1002/fsn3.3522
PMID:37823162
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10563688/
Abstract

The seeds of (L.) Webb ex Prantl contain goitrogenic glucosinolates, such as gluconapin (3-butenyl glucosinolate). Because of the important role of iodine in the synthesis of thyroid hormones and the inhibitory activity of on iodine uptake by the thyroid gland, this study aimed to determine the effects of syrup on clinical and biochemical variables of thyrotoxicosis in hyperthyroid patients. In this randomized, double-blind trial, 10 newly diagnosed hyperthyroid female patients were randomly assigned to treatment with (1) methimazole (MMI) plus capsules (350 mg/d) or (2) MMI plus placebo capsules. The primary outcomes were clinical and biochemical manifestations of hyperthyroidism after 60 days. Serum levels of FT3 and FT4 significantly decreased (5.9 ± 2.5 vs. 9.4 ± 5.9 and 29.1 ± 3.1 vs. 31.77 ± 3.7, respectively) and the serum thyroid-stimulating hormone (TSH) concentration significantly increased in the group contrasted to the placebo group (4.7 ± 0.1 vs. 0.05 ± 0.02). Significant improvement in the thyrotoxicosis clinical symptoms was reported in the group contrasted to the placebo group ( < .05). can suppress plasma levels of FT3 and FT4 and may be useful as adjunctive therapy for hyperthyroidism.

摘要

(L.)Webb ex Prantl的种子含有致甲状腺肿的硫代葡萄糖苷,如葡萄糖异硫氰酸酯(3-丁烯基硫代葡萄糖苷)。由于碘在甲状腺激素合成中的重要作用以及其对甲状腺摄取碘的抑制活性,本研究旨在确定糖浆对甲状腺功能亢进患者甲状腺毒症临床和生化指标的影响。在这项随机、双盲试验中,10名新诊断的甲状腺功能亢进女性患者被随机分配接受以下治疗:(1)甲巯咪唑(MMI)加胶囊(350mg/d)或(2)MMI加安慰剂胶囊。主要观察指标为60天后甲状腺功能亢进的临床和生化表现。与安慰剂组相比,组中血清FT3和FT4水平显著降低(分别为5.9±2.5 vs. 9.4±5.9和29.1±3.1 vs. 31.77±3.7),血清促甲状腺激素(TSH)浓度显著升高(4.7±0.1 vs. 0.05±0.02)。与安慰剂组相比,组中甲状腺毒症临床症状有显著改善(P<0.05)。可抑制血浆FT3和FT4水平,可能作为甲状腺功能亢进的辅助治疗药物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3206/10563688/32a9c216085a/FSN3-11-5918-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3206/10563688/a235a84b03a3/FSN3-11-5918-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3206/10563688/3f93de5e4a8c/FSN3-11-5918-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3206/10563688/32a9c216085a/FSN3-11-5918-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3206/10563688/a235a84b03a3/FSN3-11-5918-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3206/10563688/3f93de5e4a8c/FSN3-11-5918-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3206/10563688/32a9c216085a/FSN3-11-5918-g002.jpg

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