Therapeutic effects of herbal medicines in different types of retinopathies: A systematic review

Objective: Retinopathy is an ocular manifestation of systemic diseases such as diabetes and vascular diseases. Herbal drugs have been considered as an effective therapeutic option with minimal side effects for the treatment of retinopathy by reducing the symptoms and improving visual acuity. The purpose of this systematic review was to collect studies on the effectiveness of medicinal plants in the treatment or prevention of retinopathy.Materials and Methods: A systematic literature search was performed in PubMed, Scopus, Google Scholar, and other databases in April 2021 using “herbal products” and “Retinopathy” with all their equivalent and similar terms. For this purpose, human clinical trials with the English language were included and articles with subject irrelevancy were excluded from further evaluation.Results: Overall, 30 articles with 2324 patients were studied for possible effects of herbal therapy on retinopathy. From 30 included articles, different herbal products had been evaluated. Out of 30 selected articles, 11 articles were for the treatment of age-related macular degeneration (AMD), 14 articles covered patients with diabetic retinopathy, and the other five studies were for other retinal disorders. The outcomes in majority of the studies include changes in visual acuity (VA), fundus performance, best-corrected visual acuity (BCVA), central macular thickness (CMT), focal electroretinogram (fERG), supplements and adjuvant medications appeared to be more beneficial in patients with AMD and diabetic maculopathy. Conclusion: Herbal therapy can be considered as a potential candidate in the adjuvant and complementary therapies of retinopathy. However, further studies are required to verify such efficiency

Estimation of Daily Suspended Sediment Load Using a Novel Hybrid Support Vector Regression Model Incorporated with Observer-Teacher-Learner-Based Optimization Method

Predicting suspended sediment load (SSL) in water resource management requires efficient and reliable predicted models. This study considers the support vector regression (SVR) method to predict daily suspended sediment load. Since the SVR has unknown parameters, the observer-teacher-learner-based Optimization (OTLBO) method is integrated with the SVR model to provide a novel hybrid predictive model. The SVR combined with the genetic algorithm (SVR-GA) is used as an alternative model. To explore the performance and application of the proposed models, five input combinations of rainfall and discharge data of Cham Siah River catchment are provided. The predictive models are assessed using various numerical and visual indicators. The results indicate that the SVR-OTLBO model offers a higher prediction performance than other models employed in the current study. Specifically, SVR-OTLBO model offers highest Pearson correlation coefficient (R = 0.9768), Willmott’s Index (WI = 0.9812), ratio of performance to IQ (RPIQ = 0.9201), and modified index of agreement (md = 0.7411) and the lowest relative root mean square error (RRMSE = 0.5371) in comparison with SVR-GA (R = 0.9704, WI = 0.9794, RPIQ = 0.8521, and md = 0.7323, 0.5617) and SVR (R = 0.9501, WI = 0.9734, RPIQ = 0.3229, md = 0.4338, and RRMSE = 1.0829) models, respectively

Therapeutic effects of medicinal plants on isoproterenol-induced heart failure in rats

Aims: Natural products still serves as a hope for some illnesses which modern medicine fails to cure. Many people, either knowing their effects or not, are using these herbal products. Treatment of chronic heart failure (CHF) is yet a complicated clinical challenge and there is need to improve or make new therapeutic targets. Finding new agents for CHF is an important subject in cardiovascular drug research. In this study, we evaluated the effects of ten herbals on treatment of CHF on isoproterenol-induced model. Methods and results: Ninety-six male Wistar rats (16 weeks old) were used in 12 groups. Transthoracic echocardiography was performed on the rats for confirmation of CHF model by decreasing ejection fraction. After 4 weeks’ treatment, hearts were removed and blood samples were collected in tubes to measure plasma levels of laboratory findings. Our results showed that the mean of ejection fraction in model rats was 51.82 ± 3.49 percent and all of our used natural products could significantly increase the ejection fraction (P < 0.01). The most effective herbals in improving the ejection fraction were Allium sativum (30.69 %), Peganum harmala (26.08 %) and Apium graveolens (24.09 %). The best results in decreasing NT-ProBNP, was obtained from Allium sativum, Peganum harmala and Berberis vulgaris respectively. Our results showed that none of natural products had toxic effect on renal and liver tissues. Conclusion: Our results showed that Allium sativum, Peganum harmala and Berberis vulgaris could significantly improve cardiac function by improvement of left ventricular remodeling, lowering hs-CRP and NT-ProBNP and echocardiographic indexes without liver or renal side effects

Evaluation of cyclosporine A eye penetration after administration of liposomal or conventional forms in animal model

Abstract A lot of researches have investigated the effects of topical cyclosporine A on the eye surface layers’ diseases. By now the main limitation in cyclosporine application is the low permeation of the drug into the posterior segments of the eye. The aim of present study was to formulate high permeable dosage form can be beneficial in the topical treatment of the uveitis. To reach higher corneal drug absorption and drug concentration in the posterior segments of the eye, 3 nanoliposomal formulations containing 0.5 mg/ml cyclosporine A were prepared. Liposomal formulations and the commercial product (Restasis®) were instilled in the right and left eyes of the rabbits, respectively. The rabbits were killed in the 3, 7, 14 and 28 days of study and the aqueous humor and vitreous were extracted. Mean size of liposomal formulation number 1, number 2 and number 3 were 107.2 ± 0.7, 129.3±0.9 and 144.8±1.8 nm and their zeta potential were -5.0±1.7, -5.5±2.3 and 44.6±6.2 mV, respectively. Results of ocular analysis showed that the liposomal formulations could increase the concentration of the drug in the aqueous and vitreous like Restasis®. But, in contrast with what has been expected the findings of this study implicate nanoliposomal formulations prepared could not make a significant difference in concentration of the drug in aqueous and vitreous humor compared to Restasis® (anionic microemulsion). In conclusion, we can state that liposomes with the same composition as our formulations are not more efficient than microemulsion for cyclosporine as ophthalmic drug delivery

An Investigation of the Effects of Raw Garlic on Radiation-induced Bystander Effects in MCF7 Cells

Introduction Radiation-induced bystander effect (RIBE) is a phenomenon in which radiation signals are transmitted from irradiated cells to non-irradiated ones, inducing radiation effects in these cells. RIBE plays an effective role in radiation response at environmentally relevant low doses and in radiotherapy, given its impact on adjacent normal tissues or those far from the irradiated tumor. Reactive oxygen species contribute to RIBE induction. Therefore, the present study was conducted to investigate the possible inhibitory effects of garlic, as an antioxidant-containing plant, on RIBE. Materials and Methods MCF7 cells, treated with raw garlic extracts, were irradiated by 60Co gamma rays, and their culture medium was transferred to non-irradiated autologous bystander cells. Percentage cell viability and micronucleus formation in both irradiated and bystander cells were examined and compared with corresponding cell groups, not treated with garlic. Results Treatment with garlic extract reduced the number of micronucleus-containing cells in both irradiated and bystander cells. However, it only increased the percentage cell viability in bystander cells, not the irradiated ones. Conclusion RIBE was effectively suppressed by raw garlic extracts. Inhibitory effects of raw garlic may be of particular importance for exposure to environmentally relevant low doses, where RIBE dominates direct radiation effects. They are also partially important for addressing the limited therapeutic gain of radiotherapy, as they may only increase the percentage cell viability of bystander cells, not the directly irradiated tumor cells. However, more comprehensive in-vivo research regarding garlic treatment duration is required to support the obtained results

Crocin supplementation in primary open angle glaucoma: A randomized, triple-blind, placebo-controlled clinical trial

Purpose: Glaucoma is the leading cause of irreversible visual loss in the world. The present study was designed to evaluate the beneficial effects of crocin, as a supplement, in the management of primary open-angle glaucoma (POAG). Methods: In total, 50 POAG patients within the age range of 30–71 years with intraocular pressure (IOP) between 12 and 21 mmHg were entered into the study, and ultimately, 40 patients (49 eyes) finished the clinical trial. The participants were randomly divided into crocin and placebo groups. Patients in the crocin group received a 15 mg crocin tablet per day for four months while others, in the placebo group, received a placebo tablet per day for four months besides the main medications during the study. After four months, all patients underwent a two-month washout period. The IOP level and optical coherence tomography of the retinal nerve fiber layer (RNFL), cup-to-disc ratio (CDR), and the best-corrected visual acuity (BCVA), as the secondary outcomes, were measured at baseline, as well as four and six months later. Results: The IOP value decreased significantly in the crocin group after four (P = 0.0001) and six months (P = 0.003). The difference in CDR changes after four and six months was significant between the two groups (P = 0.00009). The crocin and placebo groups did not have a statistically significant difference regarding the changes in BCVA values and RNFL thickness (P = 0.092); however, the optical coherence tomography results showed stable conditions in the retinal nerve fiber layer. Conclusion: This study indicated that administration of crocin, as a potent neuroprotective and antioxidant ingredient of saffron, could be useful as a supplement for the prevention of the POAG progression

Plant toxins and acute medicinal plant poisoning in children: A systematic literature review

Background: For many years, medicinal plants and herbal therapy have been widely used in different societies for the treatment of various diseases. Besides their therapeutic potency, some of the medicinal plants have strong toxicity in human, especially in children and elderly. Despite common beliefs that natural products are safe, there have been few reports on their toxicities. Materials and Methods: In the present study, we aimed to systematically review the literature wherein acute plant poisoning and herbal intoxication have been reported in pediatric patients. After literature search and selection of the appropriate documents, the desired data were extracted and described qualitatively. Results: A total of 127 articles with overall 1453 intoxicated cases were collected. The results of this study showed that some medicinal plants can cause acute poisoning and complications such as hepatic and renal failure in children. Conclusion: The findings of this survey showed that acute plant poisoning can be life?threatening in children, and since a single?ingested dose of toxic plants can cause acute poisoning, parents should be aware of these toxic effects and compare the side effects of self?medication with its potential benefits

Evaluation of mechanism for antihypertensive and vasorelaxant effects of hexanic and hydroalcoholic extracts of celery seed in normotensive and hypertensive rats

Celery (Apium graveolens L., Apiaceae) is one of the popular aromatic vegetables and part of the daily diet around the world. In this study, aqueous-ethanolic and hexane extracts of celery seed were prepared and the amount of n-butylphthalide, as an active component, was determined in each extract. Then the effects of hexanic extract on systolic, diastolic, mean arterial blood pressure and heart rate were evaluated in an invasive rat model. The vasodilatory effect and possible mechanisms of above mentioned extracts on aorta ring were also measured. High performance liquid chromatography analysis revealed that hexanic extract contains significantly higher amounts of n-butylphthalide, compared to aqueous-ethanolic extract. The results indicated that hexanic extract significantly decreased the systolic, diastolic, mean arterial blood pressure and heart rate in normotensive and hypertensive rats. Our data revealed that celery seed extract exerts its hypotensive effects through its bradycardic and vasodilatory properties. Moreover, the active components in celery seed extracts could induce their vasodilatory properties through Ca2+ channel blocking activity in endothelial and non-endothelial pathways and particularly by interference with the extra or intracellular calcium. Keywords: Celery seed, Heart rate, Hypotensive effects, Invasive model, Isolated rat aorta, Mean arterial blood pressur