Can medical herbs stimulate regeneration or neuroprotection and treat neuropathic pain in chemotherapy-induced peripheral neuropathy?

Chemotherapy-induced neuropathy (CIPN) has a relevant impact on the quality of life of cancer patients. There are no curative conventional treatments, so further options have to be investigated. We conducted a systematic review in English and Chinese language databases to illuminate the role of medical herbs. 26 relevant studies on 5 single herbs, one extract, one receptor-agonist, and 8 combinations of herbs were identified focusing on the single herbs Acorus calamus rhizoma, Cannabis sativa fructus, Chamomilla matricaria, Ginkgo biloba, Salvia officinalis, Sweet bee venom, Fritillaria cirrhosae bulbus, and the herbal combinations Bu Yang Huan Wu, modified Bu Yang Huan Wu plus Liuwei Di Huang, modified Chai Hu Long Gu Mu Li Wan, Geranii herba plus Aconiti lateralis praeparata radix , Niu Che Sen Qi Wan (Goshajinkigan), Gui Zhi Jia Shu Fu Tang (Keishikajutsubuto), Huang Qi Wu Wu Tang (Ogikeishigomotsuto), and Shao Yao Gan Cao Tang (Shakuyakukanzoto). The knowledge of mechanism of action is still limited, the quality of clinical trials needs further improvement, and studies have not yielded enough evidence to establish a standard practice, but a lot of promising substances have been identified. While CIPN has multiple mechanisms of neuronal degeneration, a combination of herbs or substances might deal with multiple targets for the aim of neuroprotection or neuroregeneration in CIPN

A survey of chinese medicinal herbal treatment for chemotherapy-induced oral mucositis

Oral mucositis is one of the common side effects of chemotherapy treatment with potentially severe implications. Despite several treatment approaches by conventional and complementary western medicine, the therapeutic outcome is often not satisfactory. Traditional Chinese Medicine (TCM) offers empirical herbal formulas for the treatment of oral ulceration which are used in adaptation to chemotherapy-induced mucositis. While standard concepts for TCM treatment do not exist and acceptance by conventional oncologists is still low, we conducted a review to examine the evidence of Chinese herbal treatment in oral mucositis. Eighteen relevant studies on 4 single herbs, 2 combinations of 2 herbs, and 11 multiherbal prescriptions involving 3 or more compounds were included. Corresponding molecular mechanisms were investigated. The knowledge about detailed herbal mechanisms, especially in multi-herbal prescriptions is still limited. The quality of clinical trials needs further improvement. Meta-analysis on the existent database is not possible but molecular findings on Chinese medicinal herbs indicate that further research is still promising for the treatment of chemotherapy-induced oral mucositis

Evaluation of new and net community production estimates by multiple ship-based and autonomous observations in the Northeast Pacific Ocean

New production (NP) and net community production (NCP) measurements are often used as estimates of carbon export potential from the mixed layer of the ocean, an important process in the regulation of global climate. Diverse methods can be used to measure NP and NCP, from research vessels, autonomous platforms, and remote sensing, each with its own set of benefits and uncertainties. The various methods are rarely applied simultaneously in a single location, limiting our ability for direct comparisons of the resulting measurements. In this study, we evaluated NP and NCP from thirteen independent datasets collected via in situ, in vitro, and satellite-based methods near Ocean Station Papa during the 2018 Northeast Pacific field campaign of the NASA project EXport Processes in the Ocean from RemoTe Sensing (EXPORTS). Altogether, the datasets indicate that carbon export potential was relatively low (median daily averages between -5.1 and 12.6 mmol C m-2 d-1), with most measurements indicating slight net autotrophy in the region. This result is consistent with NCP estimates based on satellite measurements of sea surface temperature and chlorophyll a. We explored possible causes of discrepancies among methods, including differences in assumptions about stoichiometry, vertical integration, total volume sampled, and the spatiotemporal extent considered. Results of a generalized additive mixed model indicate that the spatial variation across platforms can explain much of the difference among methods. Once spatial variation and temporal autocorrelation are considered, a variety of methods can provide consistent estimates of NP and NCP, leveraging the strengths of each approach