Studies on the use of Zizyphus spina-christi against pain in rats and mice

Zizyphus spina-christi (Rhamnaceae) grows wild in tropical Africa and Asia and can be domesticated. It has folkloric usage in pain related ailments throughout these regions. In view of the claimed therapeuticpotentials, investigation of the plant’s root bark was initiated in our laboratory. The plant material was first sequentially extracted with hexane, chloroform, ethylacetate and methanol, and in this report, afraction (numbered) ZS-4D from the methanol extract eluted with 70:30% (chloroform : methanol) using flash column chromatography was apparently traced to be responsible for its main analgesic, and inaddition, anti-inflammatory activities. The fraction (25, 50 and 100 mg/kg, i.p.) was tested on chemical (acetic acid-induced writhing, formalin), mechanical (analgesy-meter) and thermal (tail-flick) analgesic tests with the aim of elucidating both central and peripherally mediated action in rats and mice. Its antiinflammatory action against egg albumin-induced hind paw oedema was also tested in rats. Resultsshow that the fraction has some levels of dose related effect on all the models except the tail-flick test in which the activity was not statistically significant

CNS activity of ZS-1A: a phytoceutical from Zizyphus spina-christi root bark

Zizyphus spina-christi (ZS) Willd is reputed to have medicinal values. Studies on the phytochemistry, and some pharmacological activity of the plant\'s rootbark were initiated in our laboratories. The present study is a report on sedative effect of a fraction obtained from the hexane extract (numbered ZS-1A) of the plant material. The fraction (25, 50 and 100 mg/kg, p.o.) were tested against pentobarbital sleeping time, motor coordination (rota-rod performance) test and exploratory behaviour in mice. Results show that ZS-1A prolonged pentobarbital induced hypnosis and decrease the head-dip responses in the exploratory behaviour tests dose dependently. It however failed to give a positive test on the motor coordination test. The results demonstrate potent central depressant effect by ZS-1A. Keywords: Phytomedicine, sedation, mice.International Journal of Biological and Chemical Sciences Vol. 2 (4) 2008: pp. 456-46

Phytochemical Screening and Preliminary Evaluation of Analgesic and Anti-Inflammatory Activities of the Methanol Root Extract of Cissus Polyantha

Cissus polyantha is used in traditional medicine for the treatment of conjunctivitis and inflammation. In this study, the methanolic root extract of Cissus polyantha was subjected to preliminary phytochemical screening, analgesic and anti-inflammatory studies. Phytochemical studies was carried out using standard phytochemical protocol while the analgesic studies was carried out using acetic acid-induced writhing tests in mice. Carrageenan-induced hind paw oedema in rats was used to evaluate the anti-inflammatory potential of the extract. Phytochemical studies of the methanolic crude root extract of the plant revealed the presence of carbohydrates, flavonoids, saponins, tannins steroids and triterpenes. The extract at doses of 20, 40 and 80 mg/kg, i.p significantly (P < 0.05) decreased the acetic-acid induced writhing. The extract also produced significant (P < 0.05) and dose-independent anti-inflammatory activity comparable to that of reference drug, ketoprofen. The intraperitoneal lethal dose (LD 50) toxicity studies on the methanol crude root extract of the plant was found to be 288.53 mg/kg body weight. These findings are suggestive of the analgesic and anti-inflammatory potentials of the methanol root bark extract of the plant and provide a scientific rationale for the use of the root of Cissus polyantha in traditional medicine.Keywords: Cissus polyantha, Phytochemical screening Analgesic, Anti-inflammatory, traditiona

Isolation and Characterization of Stigmasterol and Bis-(5, 7-diacetyl-catechin-4’-α- rhamnopyranoside) from the Stem bark of Neocarya macrophylla (Sabine) Prance (Chrysobalanaceae)

Neocarya macrophylla belongs to the Chrysobalanaceae family and is extensively used in folk medicine as an antibacterial, antivenin, antiasthmatic, anticancer, analgesic and anti-inflammatory agent. This study was aimed at isolation and characterization of compounds from the stem bark of Neocarya macrophylla.  Pulverized plant material was exhaustively extracted with methanol using maceration method and concentrated invacuo with the aid of rotary evaporator at 40oC to afford a reddish brown crude methanol extract (ME). The methanol extract was successively partitioned into hexane, dichloromethane, ethylacetate, n-butanol and aqueous fractions. Stigmasterol was isolated from the hexane fraction and a catechin glycoside, Bis-(5,7-diacetyl-catechin-4’-α- rhamnopyranoside) was  isolated from the ethylacetate soluble fraction using a combination of silica gel column, gel filtration (sephadex LH-20) and preparative thin layer chromatography. The structures of the compounds were established on the basis of chemical tests, spectroscopic analysis and by comparison with reference spectral data.Keywords: Neocarya macrophylla, phytochemical, stigmasterol, Bis-(5, 7-diacetyl-catechin-4’-α-rhamnopyranoside)

A Combined Pulmonary Function and Emphysema Score Prognostic Index for Staging in Chronic Obstructive Pulmonary Disease

Chronic Obstructive Pulmonary Disease (COPD) is characterized by high morbidity and mortality. Lung computed tomography parameters, individually or as part of a composite index, may provide more prognostic information than pulmonary function tests alone.To investigate the prognostic value of emphysema score and pulmonary artery measurements compared with lung function parameters in COPD and construct a prognostic index using a contingent staging approach.Predictors of mortality were assessed in COPD outpatients whose lung computed tomography, spirometry, lung volumes and gas transfer data were collected prospectively in a clinical database. Univariate and multivariate Cox proportional hazard analysis models with bootstrap techniques were used.169 patients were included (59.8% male, 61.1 years old; Forced Expiratory Volume in 1 second % predicted: 40.5±19.2). 20.1% died; mean survival was 115.4 months. Age (HR = 1.098, 95% Cl = 1.04-1.252) and emphysema score (HR = 1.034, 95% CI = 1.007-1.07) were the only independent predictors of mortality. Pulmonary artery dimensions were not associated with survival. An emphysema score of 55% was chosen as the optimal threshold and 30% and 65% as suboptimals. Where emphysema score was between 30% and 65% (intermediate risk) the optimal lung volume threshold, a functional residual capacity of 210% predicted, was applied. This contingent staging approach separated patients with an intermediate risk based on emphysema score alone into high risk (Functional Residual Capacity ≥210% predicted) or low risk (Functional Residual Capacity <210% predicted). This approach was more discriminatory for survival (HR = 3.123; 95% CI = 1.094-10.412) than either individual component alone.Although to an extent limited by the small sample size, this preliminary study indicates that the composite Emphysema score-Functional Residual Capacity index might provide a better separation of high and low risk patients with COPD, than other individual predictors alone

Evaluation of gut modulatory and bronchodilator activities of Amaranthus spinosus Linn.

Background The aqueous-methanolic extract of Amaranthus spinosus (A. spinosus Linn.,) whole plant, was studied for its laxative, spasmolytic and bronchodilator activities to validate some of its medicinal uses. Methods The crude extract of A. spinosus was studied in-vivo for bronchodilator and laxative activities and in-vitro using isolated tissue preparations which were mounted in tissue baths assembly containing physiological salt solutions, maintained at 37°C and aerated with carbogen, to assess the spasmolytic effect and to find out the possible underlying mechanisms. Results In the in-vivo experiments in mice, the administration of A. spinosus increased fecal output at doses of 100 and 300 mg/kg showing laxative activity. It also inhibited carbachol-induced bronchospasm in anesthetized rats at 1, 3, 10 and 30 mg/kg indicative of bronchodilator activity. When tested on isolated gut preparations, the plant extract showed a concentration-dependent (0.01-10.0 mg/ml) spasmogenic effect in spontaneously contracting rabbit jejunum and guinea-pig ileum. The spasmogenic effect was partially blocked in tissues pretreated with atropine (0.1 μM). When tested on K+ (80 mM)-induced sustained contractions in isolated rabbit jejunum, the plant extract caused complete relaxation and also produced a shift in the Ca++ concentration-response curves (CRCs) towards right, similar to diltiazem. In rabbit trachea, the plant extract completely inhibited K+ (80 mM) and carbachol (CCh, 1 μM)-induced contractions at 1 mg/ml but pretreatment of tissue with propranolol (1 μM), caused around 10 fold shift in the inhibitory CRCs of the plant extract constructed against CCh-induced contraction. The plant extract (up to 0.3 mg/ml) also increased both force and rate of spontaneous contractions of isolated guinea-pig atria, followed by relaxation at higher concentration (1.0-5.0 mg/ml). The cardio-stimulant effect was abolished in the presence of propranolol, similar to that of isoprenaline. Activity-directed fractionation revealed that the spasmolytic component(s) was separated in the organic fraction, whereas the spasmogenic component was concentrated in the aqueous fraction. Conclusion These results indicate that A. spinosus possesses laxative activity partially mediated through cholinergic action. The spasmolytic effect was mediated through calcium channel blocking (CCB), while bronchodilator activity through a combination of β-adrenergic and CCB pathways, which may explain the traditional uses of A. spinosus in gut and airways disorders

Iron Behaving Badly: Inappropriate Iron Chelation as a Major Contributor to the Aetiology of Vascular and Other Progressive Inflammatory and Degenerative Diseases

The production of peroxide and superoxide is an inevitable consequence of aerobic metabolism, and while these particular "reactive oxygen species" (ROSs) can exhibit a number of biological effects, they are not of themselves excessively reactive and thus they are not especially damaging at physiological concentrations. However, their reactions with poorly liganded iron species can lead to the catalytic production of the very reactive and dangerous hydroxyl radical, which is exceptionally damaging, and a major cause of chronic inflammation. We review the considerable and wide-ranging evidence for the involvement of this combination of (su)peroxide and poorly liganded iron in a large number of physiological and indeed pathological processes and inflammatory disorders, especially those involving the progressive degradation of cellular and organismal performance. These diseases share a great many similarities and thus might be considered to have a common cause (i.e. iron-catalysed free radical and especially hydroxyl radical generation). The studies reviewed include those focused on a series of cardiovascular, metabolic and neurological diseases, where iron can be found at the sites of plaques and lesions, as well as studies showing the significance of iron to aging and longevity. The effective chelation of iron by natural or synthetic ligands is thus of major physiological (and potentially therapeutic) importance. As systems properties, we need to recognise that physiological observables have multiple molecular causes, and studying them in isolation leads to inconsistent patterns of apparent causality when it is the simultaneous combination of multiple factors that is responsible. This explains, for instance, the decidedly mixed effects of antioxidants that have been observed, etc...Comment: 159 pages, including 9 Figs and 2184 reference

International Consensus Statement on Rhinology and Allergy: Rhinosinusitis

Background: The 5 years since the publication of the first International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR‐RS) has witnessed foundational progress in our understanding and treatment of rhinologic disease. These advances are reflected within the more than 40 new topics covered within the ICAR‐RS‐2021 as well as updates to the original 140 topics. This executive summary consolidates the evidence‐based findings of the document. Methods: ICAR‐RS presents over 180 topics in the forms of evidence‐based reviews with recommendations (EBRRs), evidence‐based reviews, and literature reviews. The highest grade structured recommendations of the EBRR sections are summarized in this executive summary. Results: ICAR‐RS‐2021 covers 22 topics regarding the medical management of RS, which are grade A/B and are presented in the executive summary. Additionally, 4 topics regarding the surgical management of RS are grade A/B and are presented in the executive summary. Finally, a comprehensive evidence‐based management algorithm is provided. Conclusion: This ICAR‐RS‐2021 executive summary provides a compilation of the evidence‐based recommendations for medical and surgical treatment of the most common forms of RS

Phytochemical and antispasmodic studies of the fruits of solanum gilo

No Abstract.Nigerian Journal of Natural Products and Medicine Vol. 10 () 2006: pp.45-4