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Study ids alternative to HRT in 800-yr-old decoction

Posted: 26 Jan 2009 03:52 AM PST

CM NEWS – It’s well known that menopausal women using estrogen replacement therapy are exposed to an increased risk of developing breast cancer. A group of scientists have found hope in an 800-year-old Chinese herbal decoction which has been used in age-related illness of women. The science behind the decoction and the optimal proportion of each herb have been uncovered. Scientists are hopeful the formula might offer alternative to HRT for menopausal women.

The study was a joint project by scientists of the Hong Kong University of Science and Technology, Jiangsu Key Laboratory for TCM Formulae Research, Nanjing University of Chinese Medicine and Beijing Friendship Hospital.

The researchers note that estrogen deficiency is the major cause in developing post-menopausal osteoporosis. Estrogen acts on both osteoblast and osteoclast to inhibit bone breakdown at all stages of life. After menopause, estrogen replacement therapy is an effective treatment for osteoporosis as well as to allay other menopausal symptoms. However, estrogen therapy recently became a subject of debate because clinical studies revealed an increased risk of breast cancer and coronary artery disease in women who take estrogen.

Huangqi

Huangqi

Danggui

Danggui

Amongst thousands of herbal formulae from traditional Chinese medicine, Danggui Buxue Tang (????? DBT; a herbal decoction) is a simple combination of two herbs. DBT was first described in Neiwaishang Bianhuo Lun (??????) by Li Dongyuan (???) in China in AD 1247. In other words, DBT is a 800-year-old decoction formula.

Li described the DBT formula should include:

  • Radix Astragali (huangqi ??) 30g
  • Radix Angelicae Sinensis (danggui ??) 6g

In preparing DBT, the mixed herbs were recommended to boil in two bowls of water over a moderate heat until the final volume was reduced by half. Traditionally, DBT has been prescribed to women in China as a remedy for menopausal symptoms. According to Chinese medicinal theory, the daily intake of DBT could raise the 'Qi' and nourish the 'Blood' of menopausal women.

What is the use of DBT? Pharmacological results indicated that DBT has the abilities to promote hematopoietic functions:

  • to stimulate cardiovascular circulation;
  • to prevent osteoporosis;
  • to increase anti-oxidation activity,
  • to stimulate immune response and to mimic estrogen effects in the receptor phosphorylation.

In traditional Chinese medicine, huangqi and danggui are commonly used in treating age-related diseases, which have been demonstrated in stimulating bone cell proliferation, increasing bone formation and reducing bone re-sorption in patients. By determining the chemical and biological properties of DBT, the optimized conditions of extraction have been established, which, interestingly, are in accordance with the weight ratio of 5:1 for huangqi to danggui in the ancient preparation.

In the present study, cultured csteosarcoma cells were used to determine the effectiveness of DBT. Primary cultures of rat osteoblasts were treated with 1 mg ml–1 DBT, huangqi or danggui extract for 12 hours.

To further support the beneficial roles of DBT on bone development, the primary culture of rat osteoblasts was employed as another study model. The osteoblastic cultures were treated with different extracts for 96 hours and collected to perform cell proliferation and alkaline phosphatase assays. As expected, DBT increased the cell proliferation and alkaline phosphatase activity by approx. 20%.

The researchers were also able to confirm scientifically the optimal proportion of the two herbs used in DBT. By discovering the amounts of two chemical markers in huangqi (calycosin and formononetin) and two others in danggui (ferulic acid and ligustilide), the researchers were able to standardize the optimal DBT. They found that the standardized DBT should contain (per 1 g dried weight of DBT):

  • 0.186 mg calycosin
  • 0.155 mg formononetin
  • 0.351 mg ferulic acid
  • 0.204 mg ligustilide

In addition, a standardized extract of huangqi in 1 g should contain 0.088 mg calycosin and 0.142 mg formononetin, while the extract of danggui in 1 g should have 0.293 mg ferulic acid and 0.316 mg ligustilide.

Application of DBT onto osteoblastic cells triggered the downstream signaling cascades including the Erk-dependent and ER (estrogen receptor)-dependent pathways. These actions would trigger cell death, or apoptosis.

What are Erk-dependent pathways? The ErK pathway is a signal transduction pathway that couples intracellular responses to the binding of growth factors to cell surface receptors. This pathway is very complex and includes many protein components. In many cell types, activation of this pathway promotes cell division.

Such signaling activations finally resulted in stimulating cell proliferation, osteogenic differentiation and a set of DBT-regulated gene transcription. DBT possesses a better effect in stimulating cell proliferation and differentiation in cultured osteosarcoma cells and primary osteoblasts, as compared to that of the extracts derived from huangqi or danggui or huangqi + danggui (boiled separately and then mixed together in 5:1 ratio).

Genomic analysis revealed a specific set of genes being regulated by DBT, but not by huangqi or danggui alone. These results therefore provide evidence of the uniqueness of specific combination of huangqi and danggui in creating the formulation of DBT.

In addition, the insufficient stimulating effect of huangqi + danggui in cultured osteosarcoma  cells suggests tat boiling of the two herbs together is essential; this method of DBT preparation, indeed, has long been recommended by Chinese medicinal practitioners.

The scientists suggest that DBT could be developed as alternative medicines for the patients, because:

  • DBT has been used over 800 years in China, which has been proven to be safe for human;
  • DBT does not alter the proliferation of the breast cancer cells, even at higher concentration;
  • DBT improves biochemical and physiological responses, both in vitro and in vivo that are related to menopausal women.

[eCAM, doi:10.1093/ecam/nen085 ]


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Related Posts CM NEWS - It's well known that menopausal women using estrogen replacement therapy are exposed to an increased risk of developing breast cancer. A group of scientists have found hope in an 800-year-old Chinese herbal decoction which has been used in age-related illness of women. The science behind the decoction and the optimal proportion of

Grape-seed extract kills leukemia cells

Posted: 06 Jan 2009 06:58 PM PST

American Assn for Cancer Research release – An extract from grape seeds forces laboratory leukemia cells to commit cell suicide, according to researchers from the University of Kentucky. They found that within 24 hours, 76% of leukemia cells had died after being exposed to the extract.

The investigators, who report their findings in the January 1, 2009, issue of Clinical Cancer Research, a journal of the American Association for Cancer Research, also teased apart the cell signaling pathway associated with use of grape seed extract that led to cell death, or apoptosis. They found that the extract activates JNK, a protein that regulates the apoptotic pathway.

While grape seed extract has shown activity in a number of laboratory cancer cell lines, including skin, breast, colon, lung, stomach and prostate cancers, no one had tested the extract in hematological cancers nor had the precise mechanism for activity been revealed.

“These results could have implications for the incorporation of agents such as grape seed extract into prevention or treatment of hematological malignancies and possibly other cancers,” said the study’s lead author, Xianglin Shi, Ph.D., professor in the Graduate Centre for Toxicology at the University of Kentucky.

“What everyone seeks is an agent that has an effect on cancer cells but leaves normal cells alone, and this shows that grape seed extract fits into this category,” he said.

Shi adds, however, that the research is not far enough along to suggest that people should eat grapes, grape seeds, or grape skin in excess to stave off cancer. “This is very promising research, but it is too early to say this is chemo-protective.”

Hematological cancers – leukemia, lymphoma and myeloma – accounted for an estimated 118,310 new cancer cases and almost 54,000 deaths in 2006, ranking these cancers as the fourth leading cause of cancer incidence and death in the U.S.

Given that epidemiological evidence shows that eating vegetables and fruits helps prevent cancer development, Shi and his colleagues have been studying chemicals known as proanthocyanidins in fruits that contribute to this effect. Shi has found that apple peel extract contains these flavonoids, which have antioxidant activity, and which cause apoptosis in several cancer cell lines but not in normal cells. Based on those studies, and findings from other researchers that grape seed extract reduces breast tumors in rats and skin tumors in mice, they looked at the effect of the compound in leukemia cells.

What is proanthocyanidin? Proanthocyanidin is a class of flavanols. Proanthocyanidins are essentially polymer chains of flavonoids such as catechins.

Proanthocyanidins can be found in many plants, most notably apples, pine bark, cinnamon, grape seed, cocoa, grape skin, and red wines of Vitis vinifera (the common grape). However, bilberry, cranberry, black currant, green tea, black tea, and other plants also contain these flavonoids. The berries of chokeberry, specifically black chokeberry, have the highest measured concentrations of proanthocyanidin found in any plant to date.

Apples contain on average per serving about eight times the amount of proanthocyanidin found in wine, with some of the highest amounts found in the Red Delicious and Granny Smith varieties.

Using a commercially available grape seed extract, Shi exposed leukemia cells to the extract in different doses and found the marked effect in causing apoptosis in these cells at one of the higher doses.

They also discovered that the extract does not affect normal cells, although they don’t know why.

The researchers then used pharmacologic and genetic approaches to determine how the extract induced apoptosis. They found that the extract strongly activated the JNK pathway, which then led to up-regulation of Cip/p21, which controls the cell cycle.

They checked this finding by using an agent that inhibited JNK, and found that the extract was ineffective. Using a genetic approach – silencing the JNK gene – also disarmed grape seed extract’s lethal attack in leukemia cells.

“This is a natural compound that appears to have relatively important properties,” Shi said.

The research is a joint project China’s 3rd Military Medical University in Chongqing, and the University of Kentucky.

[Clinical Cancer Research 15, 140-149, January 1, 2009.]


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Related Posts American Assn for Cancer Research release – An extract from grape seeds forces laboratory leukemia cells to commit cell suicide, according to researchers from the University of Kentucky. They found that within 24 hours, 76% of leukemia cells had died after being exposed to the extract. The investigators, who report their findings in the January 1,

Magnolia bark fights ‘super bug’

Posted: 04 Jan 2009 09:42 PM PST

CM NEWS – Among eight popular Chinese medicinal plants used by Asians, magnolia bark has the best antimicrobial and antioxidant results, including fighting against MRSA, or the “Super Bug”, according to a study done at the National University of Singapore.

The eight plants chosen by the researchers are:

  1. Cortex Magnoliae Officinalis (Houpo) ??
  2. Herba Polygonis Hydropiperis (Laliaocao) ???
  3. Folium Murraya Koenigii (Jialiye, “curry leaves”) ???
  4. Rhizoma Arachis Hypogea (Huashenggen) ???
  5. Herba Houttuyniae (Yuxingcao) ???
  6. Epipremnum pinnatum (Qilinwei) ???
  7. Rhizoma Typhonium Flagelliforme (Shuibanxia) ???
  8. Rhizoma Imperatae (Baimaogen) ???
baimaogen3 curry-leaves houpu4 huashenggen1 laliaocao qilinwei2 shuibanxia yuxingcao

The traditional method for Chinese medicine preparation is to boil the medicinal plants in water for 20 minutes to one hour. The present study aims to test the effectiveness of traditional herb preparation methods for antimicrobial and antioxidant treatments.

Four strains of bacteria and one strain of yeast were used for antimicrobial tests. The test bacteria included Gram-positive Staphylococcus aureus — or the “Super Bug” — and Bacillus subtilis (under most conditions the organism is not biologically active and is one of the most widely used bacteria for the production of enzymes and specialty chemicals), Gram-negative Pseudomonas aeruginosa and acid-fast Mycobacterium smegmatis (the mycobacteria which cause tuberculosis and leprosy). Candida albicans was used as a representative of yeast.

What is “Super Bug”? Methicillin-resistant Staphylococcus aureus (MRSA, often pronounced “mersa”) is a bacterium responsible for difficult-to-treat infections in humans. It may also be referred to as multiple-resistant Staphylococcus aureus or oxacillin-resistant Staphylococcus aureus (ORSA). MRSA is by definition a strain of Staphylococcus aureus that is resistant to a large group of antibiotics called the beta-lactams, which include the penicillins and the cephalosporins.

The Super Bug is easily picked up by hospital patients with weaker immunity.

What is Pseudomonas aeruginosa? P. aeruginosa typically infects the pulmonary tract, urinary tract, burns, wounds, and also causes other blood infections. It is the most common cause of burn and external ear infections, and is the most frequent colonizer of medical devices (e.g., catheters). Pseudomonas can, in rare circumstances, cause community-acquired pneumonias, as well as ventilator-associated pneumonias, being one of the most common agents isolated in several studies.

Three extraction methods were employed: (1) boiling in water for 1 hour, (2) maceration for 24 hours in water or (3) 80% ethanol at room temperature.

Among all the extracts studied, the ethanolic extract of houpu, or magnolia bark, demonstrated the most robust antimicrobial activities against the four tested viruses, equivalent to at least 50% of the activities of the standard antibiotics.

Houpu was most active against M. smegmatis, 20% more than the standard antibiotic streptomycin. The boiled extract of houpu had comparable antimicrobial activities to those of streptomycin.

These data suggest that houpu may be a potential agent to treat infections caused by M. smegmatis (such as tuberculosis and leprosy) and Mycobacterium tuberculosis. It was reported that magnolol and honokiol exhibited antibacterial activities against methicillin-resistant S. aureus and vancomycin-resistant enterococci – the “Super Bug”. These results suggest a new discovery of synergism between magnolol and honokiol.

Honokiol (???) and magnolol (????) are the main constituents simultaneously identified in the barks of Magnolia officinalis, which have been used in traditional Chinese medicine to treat a variety of respiratory and intestinal disorders. (see Magnolia bark acts like antidepressant)

The high antioxidant activities of the boiled and ethanolic extracts of the leafy materials were probably due to the extracted tannins and photosynthetic pigments. Houpu is a rich source for antioxidative compounds, such as biphenols, polyphenols and tannins.

The strongly aromatic plant materials, such as Herba Polygonis Hydropiperis, curry leaves and houpu, exhibited a broad spectrum of antimicrobial activities. One possible reason is the presence of essential oils and active polyphenolic compounds which possess antimicrobial activities.

In conclusion, the researchers discovered that (a) the ethanolic extract of houpu had 20% greater antimicrobial activities against M. smegmatis than streptomycin; (b) the boiled extract of houpu demonstrated comparable activities to streptomycin (c) the synergism of magnonol and honokiol had comparable effects to those of streptomycin; (d) the aerial parts of rodent tuber had antimicrobial activities against S. aureus. Among the tested 107 extracts, houpu had (1) potent antimicrobial activities against S. aureus, B. subtilis, M. smegmatis and C. albicans and (2) highest antioxidant activities in DPPH assay regardless extraction methods.

As such, houpu is likely a potential medicinal plant resource for developing effective antimicrobials and antioxidants.

[Chinese Medicine 2008, 3:15]


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Related Posts CM NEWS - Among eight popular Chinese medicinal plants used by Asians, magnolia bark has the best antimicrobial and antioxidant results, including fighting against MRSA, or the "Super Bug", according to a study done at the National University of Singapore. The eight plants chosen by the researchers are: Cortex Magnoliae Officinalis (Houpo) ?? Herba Polygonis Hydropiperis

Combo of Taichi, Qigong benefits patients with dementia

Posted: 03 Jan 2009 10:42 PM PST

U of Illinois release –  Those diagnosed with early stage dementia can slow their physical, mental and psychological decline by taking part in therapeutic programs that combine counseling, support groups, Taiji and qigong, researchers report. Some of the benefits of this approach are comparable to those achieved with anti-dementia medications.

A therapeutic program that combined counseling, support groups, Taiji and qigong offered many benefits to people with early stage dementia.

A therapeutic program that combined counseling, support groups, Taiji and qigong offered many benefits to people with early stage dementia.

“Most of the research on dementia and most of the dollars up until this point have gone into pharmacological interventions,” said Sandy Burgener, a professor of nursing at the University of Illinois and lead author on the study. “But we have evidence now from studies like mine that show that other approaches can make a difference in the way people live and can possibly also impact their cognitive function.”

In the study, 24 people with early stage dementia participated in an intensive 40-week program. The intervention included biweekly sessions of cognitive behavioral therapy and support groups, along with three sessions per week of traditional Chinese martial arts exercises and meditation, called qigong (chee-gong) and Taiji (tye-jee).

A comparison group of people with early stage dementia did not participate in these programs for the first 20 weeks of the intervention.

Researchers are discovering that multi-discliplinary approaches – those that address patients’ physical, mental and psychological dimensions – show the most promise in treating people with dementia, Burgener said.

What is Tai Chi? According to the researchers, Tai Chi is a form of traditional Chinese exercise that purports to improve health by changes in mental focus, breathing, coordination and relaxation. The goal of Tai Chi is to “rebalance” the body’s own healing capacity. Tai Chi has been practiced in China for hundreds of years and is now widely practiced throughout the world. It has been estimated that over 100 million people regularly practice Tai Chi in China alone.

Previous studies have shown that Tai Chi can help to improve balance and prevent falls in the elderly, improve musculoskeletal conditions, lower hypertension, enhance cardiovascular and respiratory function, improve mental health, and enhance endocrine and immune functioning.

What is Qigong? Qigong refers to a wide variety of traditional cultivation practices that involve methods of accumulating, circulating, and working with qi or energy within the body. Qigong is sometimes mistakenly said to always involve movement and/or regulated breathing; in fact, use of special methods of focusing on particular energy centers in and around the body are common in the higher level or evolved forms of Qigong. Qigong is practised for health maintenance purposes, as a therapeutic intervention, as a medical profession, a spiritual path and/or component of Chinese martial arts.

The qi in qigong means air in Chinese, and, by extension, life force, dynamic energy or even cosmic breath. Gong means work applied to a discipline or the resultant level of skill, so qigong is thus breath work or energy work. The term was coined in the twentieth-century and its currency, David Ownby suggests, speaks of a cultural desire to separate cultivation from superstition, to secularize and preserve valuable aspects of traditional Chinese practices.

“There’s a lot of support for multi-modal therapies for persons with dementia, especially those with early stage dementia,” she said.

“Not only can we help people have a higher quality of life, but these treatments support neuronal function and have the potential for neuronal regeneration.”

Earlier studies have shown that such programs can work as well as anti-dementia drugs, Burgener said.

Qigong and Taiji combine simple physical movements and meditation. Qigong is a series of integrated exercises believed to positively affect the mind, body and spirit. Taiji is a type of qigong that melds Chinese philosophy with martial and healing arts, said Yang Yang, a professor of kinesiology and community health and a co-author of the study. He is a master Taiji and qigong instructor whose research focuses on the efficacy of Taiji and qigong for older adults.

Cognitive behavioral therapy is a form of psychotherapy that seeks positive alternatives to the beliefs and behaviors that can undermine a person’s health and happiness. Research has shown that cognitive behavioral therapy and support groups aid those who struggle with depression and other physical or mental health problems.

Participants in the program benefited in a variety of ways. After 20 weeks, those in the treatment group improved in several measures of physical function, including balance and lower leg strength, while those in the comparison group did not. There were also positive cognitive and psychological effects, Burgener said.

“We saw gains in self-esteem in the treatment group and pretty severe declines in self-esteem in the comparison group,” she said. “Those in the treatment group also had sustained and slightly improved mental status scores, which meant we were impacting cognitive function.”

Both groups saw increases in depression, Burgener said, but the increase for those in the treatment group was a fraction of that seen in the comparison group.

No additional benefits were seen after 40 weeks, but participants were able to maintain their initial gains.

The intervention was quite popular with the study subjects and their caregivers.

Although designed (and funded) to include only 10 participants and 10 people in the comparison group, Burgener and her colleagues enrolled 46 people in the program, with those in the comparison group starting the intervention after 20 weeks.

“People drove from all over to be in this study because there’s nothing like this available for them anywhere else,” Burgener said.

The program was so popular that she and her colleagues have kept it going for more than three years, with many of the first participants and their caregivers still engaged.

“The clinical findings, from my perspective, go far beyond the statistical findings,” Burgener said. “People were happier when they were in the treatment group. Two men came in with walkers and left without them. One is in our Taiji group three years later and is still not using a walker.”

Another participant began the program with a score of 26 on a 30-point test of mental status. A score of 24 or below is suggestive of dementia, Burgener said. This man stayed with the group and was recently re-tested. His score was still 26.

“That’s never going to show up as a statistical finding but that case example is pretty profound,” she said.

Burgener is an advocate for further research into non-pharmacological interventions for people with dementia, which she sees as co-therapies to the drugs that are given to many people when they are first diagnosed.

“Funders and insurance companies are willing to put money into drugs, but it’s been a hard sell to get money for these kinds of programs,” she said.

The findings are detailed in the American Journal of Alzheimer’s Disease and Other Dementias.

[American Journal of Alzheimer’s Disease and Other Dementias®, Vol. 23, No. 4, 382-394 (2008)]


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The bitter the better

Posted: 24 Nov 2008 09:14 PM PST

CM NEWS – A recent study identifies for the first time antioxidant properties of many Chinese herbs that regulates blood circulation. It discovers the herbs traditionally categorized as “bitter” and “sour” in flavours carry more antioxidants than others.

The study was a joint investigation between the Southern Cross University in Australia and Shanxi Provincial People’s Hospital in China.

According to literature, there is a close relationship between antioxidant acitivity and classification of Chinese herbs as yin or yang. In this study, 45 Chinese herbs with traditional characteristics of natures (cold, cool, hot and warm), flavours (pungent, sweet, sour, bitter, salty) and functions (arresting, bleeding, promoting blood flow to relieve stasis, nourishing blood and clearing away heat from blood) were examined.

Antioxidant activity was measured using the oxygen radical absorbance capacity (ORAC) assay.

What is antioxidant? An antioxidant is a molecule capable of slowing or preventing the oxidation of other molecules. Oxidation is a chemical reaction that transfers electrons from a substance to an oxidizing agent. Oxidation reactions can produce free radicals, which start chain reactions that damage cells. Antioxidants terminate these chain reactions by removing free radical intermediates, and inhibit other oxidation reactions by being oxidized themselves. As a result, antioxidants are often reducing agents such as thiols or polyphenols.

According to the researchers, TCM believes that the different characters of herbs are employed to treat diseases, rectify the hyperactivity or hypoactivity of yin or yang and help the body restore its normal physiologic functions.

What is Artemisia anomala? Artemisia anomala belongs to the family Compositae, and is a fragrant shrub that grows widely in the Zhejiang region of China. Phytochemical analysis of A. anomala shows that it is a rich source of phenolic compounds, such as flavonoids including eupatilin and arteanoflarone. The presence of phenolic compounds (phenolic acids, polyphenols and flavonoids) in herbs and spices, along with the essential oils, is gaining increasing attention because of their various functions, such as antioxidant activity and flavouring properties.

“All herbs possess four natures and five flavours. The four natures—cold, hot, warm and cool are summarized mainly from the body’s response after Chinese herbs are taken, which are so defined in relation to the properties, cold or heat of the diseases treated.”

The researchers say there are some herbs known as neutral ones, “whose cold or hot nature is not so remarkable and whose action is relatively mild, but these herbs still have differences in their tendencies to cool or warm so that they are still in the range of four natures.”

What is spatholobus suberectus vine? Spatholobus suberectus is a traditional Chinese herbal medicine used to treat rheumatism, anemia, menoxenia, and other disorders.

The five flavours are the pungent, sweet, sour, bitter and salty that can be tasted with the tongue. With the development of the theory dealing with the medicinal properties, the flavours could best be described as abstract concepts, as the flavour definitions have arisen more from observations of the clinical actions of the herbs than from the taste sensations.

The results show that herbs with bitter and/or sour flavour have an ORAC value 4 times higher than herbs with sweet and/or pungent flavour. Ten herbs had an ORAC value that was similar or higher than that of vitamin E.

High antioxidant herbs were identified as Spatholobus suberectus vine (xuefengteng ???), Sanguisorba officinalis root (diyu ??), Agrimonia pilosa herb (xianhecao ???), Artemisia anomala herb (qigao ?? or ????), Salvia miltiorrhiza root (danshen ??) and Nelembo nucifera leaf (hehua or lotus ??).

What is Salvia miltiorrhiza root? Salvia miltiorrhiza is among the most popular medicinal herbs used in China. It has been used in the treatment of stroke since 1970, angina and heart attack, as an antihypertensive and a sedative. S. miltiorrhiza contains several compounds that are pharmacologically active, especially the diterpenoids known as tanshinones.

What is Sanguisorba officinalis root? Sanguisorba officinalis root has been used in TCM to stop bloody dysentery, nosebleeds, and is applied topically to treat burns and insect bites.

[eCAM 2008 5(4):429-434; doi:10.1093/ecam/nem054]


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Related Posts CM NEWS - A recent study identifies for the first time antioxidant properties of many Chinese herbs that regulates blood circulation. It discovers the herbs traditionally categorized as "bitter" and "sour" in flavours carry more antioxidants than others. The study was a joint investigation between the Southern Cross University in Australia and Shanxi Provincial People's Hospital

Indigo naturalis treats chronic psoriasis

Posted: 20 Nov 2008 10:09 PM PST

CM NEWS – Topical application of a traditional Chinese medicine is effective in treating plaque-type psoriasis, according to a new study in Taiwan.

The randomized, double-blind study, published in the Archives of Dermatology, was conducted by researchers in Taipei who developed an indigo naturalis ointment.

Plaque psoriasis is a chronic skin disease for which no cure exists, that according to the US-based National Psoriasis Foundation affects 2 to 3% of the world’s population.

Symptoms include raised, inflamed, red lesions covered by a silvery white scale and is commonly found on the elbows, knees, scalp and lower back.

What is indigo naturalis? The Chinese name is qingdai, ??. It is a dried pigment of the leaves of the following plants: Baphieacanthuscusia?NEES?BREM (??), Indigofera tinctoria LINN. (??), Isatis tinctoria LINN. (??), Isatis indigotica FORT. (???) and Polygonum tinctorium LOUR. (??).

The salty qingdai has been traditionally used in the treatment of high fever in infectious sickness, eczema, chronic myelogenous leukemia, children epilepsy, vomiting blood, nose bleeding, bleeding from cuts, gum inflammation, mouth inflammation, sore throat, boils in the mouth or tongue, tonsillitis, inflammation of the roots of teeth, boils, insect or snake bites, and coughing.

It’s typically taken orally, but long-term use has been linked to stomach and liver problems.

Psoriasis is a chronic skin disease for which no cure is known, though some therapies bring about a remission. It causes red scaly patches, or plaques, which take on a silvery-white appearance and often occur on the arms, elbows, knees and legs.

A study of the findings of a clinical trial involving 42 patients who had had the condition for at least two years was published in the latest issue of Archives of Dermatology.

The researchers found that indigo naturalis in the form of an ointment was safe and effective in treating psoriasis. The team mixed the indigo powder with a base made of petroleum jelly, yellow wax, and olive oil.

“Current steroid-based medication may cause side effects like thinning of the skin, but this (indigo naturalis) has much less side effects,” said lead researcher Yin-Ku Lin of Chang Gung Memorial Hospital and Chang Gung University in Taoyuan, Taiwan, according to Reuters.

None of the patients in the trial had serious adverse effects, though some experienced a mild skin allergy.

They applied indigo naturalis ointment on one side of their bodies and a placebo, or non-medicated, ointment on the other.

Doctors checked on their condition at the start of the treatment and after two, four, six, eight, 10 and 12 weeks.

“The indigo naturalis ointment-treated lesions showed an 81% improvement, the (non-medicated) ointment-treated lesions showed a 26% improvement,” the authors wrote.

For 25 of the patients, plaques that were treated with the indigo were completely or nearly completely cleared.

Indigo naturalis has long been used, externally or ingested, to treat various infections and inflammatory diseases in China and Taiwan, such as mumps, pharyngitis and eczema.

Long-term systemic use has been linked to irritation of the gastrointestinal tract and liver problems, the researchers said. They called for more studies on ways of improving absorption of the ointment.

[Arch Dermatol. 2008;144(11):1457-1464.]


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Related Posts CM NEWS - Topical application of a traditional Chinese medicine is effective in treating plaque-type psoriasis, according to a new study in Taiwan. The randomized, double-blind study, published in the Archives of Dermatology, was conducted by researchers in Taipei who developed an indigo naturalis ointment. Plaque psoriasis is a chronic skin disease for which no cure exists,

Ginkgo can’t prevent Alzheimer’s: large study

Posted: 19 Nov 2008 06:52 AM PST

AP, Globe and Mail, CTV — Ginkgo biloba, the herbal supplement that is sold in health-food stores as a memory enhancer, does not prevent the onset of dementia or Alzheimer’s disease, new research suggests.

The study is the largest and longest ginkgo biloba trial performed to date.

The dietary supplement ginkgo, long promoted as an aid to memory, didn’t help prevent dementia and Alzheimer’s disease in the longest and largest test of the extract in older Americans. “We don’t think it has a future as a powerful anti-dementia drug,” said Dr. Steven DeKosky of the University of Virginia School of Medicine, who led the federally funded study.

A note on dementia: Dementia refers to progressive symptoms such as memory loss, mood changes and a decline in the ability to talk, read and write caused by damage or changes to the brain. After Alzheimer’s disease, the most common cause of dementia is stroke. This type is referred to as vascular dementia.

Alzheimer’s disease affects about 300,000 Canadians over the age of 65, according to the Alzheimer’s Society of Canada. It is the most common form of dementia, has no cure, and is a progressive, degenerative disease that destroys brain cells.

Extracts from ginkgo tree leaves have antioxidant and anti-inflammatory effects, but earlier research on ginkgo and memory showed mixed results. Annual U.S. sales of the supplement reached $107 million in 2007, according to Nutrition Business Journal estimates.

For the new study, appearing in Wednesday’s Journal of the American Medical Association, researchers recruited more than 3,000 people, ages 75 and older, from voter and mailing lists in Maryland, Pennsylvania, California and North Carolina.

Half were randomly assigned to take 120 milligrams of ginkgo biloba twice a day, a typical dose taken by people who think it may help memory. The others took identical dummy pills.

Participants were screened for dementia every six months. After six years, dementia had been diagnosed at a similar rate in both groups; 277 in the ginkgo group and 246 in the group taking the dummy tablets. When the researchers looked only at Alzheimer’s disease, that rate too was similar.

The findings showed:

  • 3.3 dementia cases per 100 persons per year in the Ginkgo biloba group compared to 2.9 cases among the placebo group.
  • 3.0 Alzheimer’s cases per 100 persons per year in the Ginkgo biloba group compared to 2.6 among the placebo group.

At the start, some people showed mild difficulties with thinking; ginkgo didn’t work to prevent dementia in those people either.

Ginkgo appears relatively safe, DeKosky said. There was no difference in the rate of adverse events such as heart attacks and gastrointestinal bleeding between the groups. There were 16 strokes from bleeding in the brain in the ginkgo group versus eight in the placebo group, a difference that wasn’t statistically significant, he said, because the number of strokes was too small.

People on the blood thinner warfarin shouldn’t take ginkgo because of the risk of increased bleeding.

Proponents claim ginkgo protects the brain by preventing the buildup of an Alzheimer’s-related protein or by preventing cell-damaging oxidative stress.

Would ginkgo work better to prevent dementia if people started taking it earlier, say, in middle age? The study didn’t look at that, DeKosky acknowledged, adding that following people for 25 years from middle age to old age would be expensive research. The study also didn’t test whether ginkgo improves thinking and memory in the short term.

“It would have been terrific if this worked. It’s inexpensive, available and relatively safe,” said Paul Solomon, professor of neuroscience at Williams College in Williamstown, Mass., who wasn’t involved in the new study but has studied ginkgo.

“Now with this kind of evidence, you can confidently tell people it didn’t show benefit in more than 3,000 people in six years of research,” Solomon said.

There may still be a role for ginkgo in treating, rather than preventing, Alzheimer’s disease, said Michael McGuffin, president of the American Herbal Products Association, a trade association.

Some previous ginkgo trials have shown no benefit in Alzheimer’s symptom treatment, while others have found it comparable to prescription drugs such as Aricept, also known as donepezil.

The dementia study was funded by a grant from the National Institutes of Health’s National Centrr for Complementary and Alternative Medicine, which is undertaking large, scientific tests of a number of commonly used dietary supplements. The agency said it’s the largest-ever randomized trial of a botanical medicine. There have been larger studies of vitamins and minerals.

Side Effects and Cautions (From NCCAM)

  • Side effects of ginkgo may include headache, nausea, gastrointestinal upset, diarrhea, dizziness, or allergic skin reactions. More severe allergic reactions have occasionally been reported.
  • There are some data to suggest that ginkgo can increase bleeding risk, so people who take anticoagulant drugs, have bleeding disorders, or have scheduled surgery or dental procedures should use caution and talk to a health care provider if using ginkgo.
  • Uncooked ginkgo seeds contain a chemical known as ginkgotoxin, which can cause seizures. Consuming large quantities of seeds over time can cause death. Ginkgo leaf and ginkgo leaf extracts appear to contain little ginkgotoxin.

Good strategies

The following strategies can help keep your heart and blood vessels healthy – and may also preserve your memory as you age (from Globe and Mail).

Reduce saturated and trans fats

Research has linked higher intakes of saturated (animal) fat with a two- to threefold greater risk of Alzheimer’s disease. Trans fats, found in many commercial baked goods and fried fast foods, have also been associated with an increased risk.

Choose lean cuts of meat, poultry breast and low-fat dairy products (1 per cent milk fat or less). Prepare foods with unsaturated fats such as olive oil, canola oil, flaxseed oil or non-hydrogenated margarine. Eat avocado and almonds; both are good sources of heart-healthy monounsaturated fat.

Eat more fish

Several studies have reported a lower risk of Alzheimer’s disease and cognitive decline among older adults who eat fish at least twice a week. Oily fish such as salmon, trout, sardines and herring are excellent sources of DHA (docosohexanoic acid), an omega-3 fatty acid that helps keep the lining of brain cells flexible so memory messages can pass easily between cells. Omega-3 fats also have anti-inflammatory effects in the brain.

The ideal intake of DHA for brain health is not known, but experts suggest a daily intake of 500 milligrams of DHA and EPA (eicosapentanoic acid) combined for heart health – an amount that can be obtained by eating three ounces of salmon twice a week. If you don’t like fish, consider taking a fish-oil capsule.

Increase vegetables

A six-year study of 3,718 people aged 65 and older reported that those who ate at least two to four servings of vegetables a day – versus less than one – had a significantly slower rate of cognitive decline.

Research suggests that leafy green vegetables such as spinach, kale, Swiss chard and rapini offer the greatest protection, probably because of their vitamin E content. (Vitamin E in foods is thought to protect brain cells from inflammation and free-radical damage.) While studies in humans have not found a link between fruit and cognitive decline, research in mice suggests blueberries can preserve memory.

Phytochemicals called anthocyanins, plentiful in blueberries and cranberries, are thought to combat free radicals.

Boost B-vitamin foods

An adequate intake of vitamin B12 and folate helps control blood levels of the amino acid homocysteine. Having a high homocysteine level is thought to damage artery walls and increase the risk of Alzheimer’s and other forms of dementia.

To get your B vitamins, eat a varied diet. Good sources of folate include lentils, cooked spinach, asparagus, avocados and oranges. Vitamin B12 is found in lean meat, fish, poultry, dairy products, eggs and enriched soy beverages. If you’re over 50, get your B12 from a multivitamin supplement, since absorption of the nutrient from foods decreases with age.

Stay active

Physical activity is associated with slower mental decline. Exercise, especially aerobic activity, increases blood flow to the brain and could help maintain the health of brain cells.

[Vol. 300, No. 19, November 19, 2008]


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(74.125.19.144) Chinese Medicine News by Chinese Medicine News is licensed under a Creative Commons Attribution 2.5 Canada License. For any reuse or distribution, you must make clear to others the licence terms originate from chinesemedicinenews.com.
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Related Posts AP, Globe and Mail, CTV — Ginkgo biloba, the herbal supplement that is sold in health-food stores as a memory enhancer, does not prevent the onset of dementia or Alzheimer's disease, new research suggests. The study is the largest and longest ginkgo biloba trial performed to date. The dietary supplement ginkgo, long promoted as an aid to

Research to map DNA of 1000 plants

Posted: 16 Nov 2008 10:54 PM PST

Globe and Mail — The Alberta government is investing in a new international plant-genome project to help build its growing stable of world-class researchers and academics.

“This is an exceptional example of the types of things we can do, and it’s an exceptional example of the type of quality people we can bring to our province,” Doug Horner, Alberta’s Minister of Advanced Education and Technology, said yesterday at the launch of the Alberta 1,000 Plants Initiative.

The $2-million project, which will analyze the genetic blueprint of 1,000 plants, will be led by Gane Ka-Shu Wong, a superstar in the genomics world.

Born in Hong Kong and raised in Kelowna, B.C., he was recently recruited to the University of Alberta after working in the United States and China.

Dr. Wong said a major pull back to Canada was “the spirit of entrepreneurship” in Alberta.

The plant-genome project is supported by international partners, including China’s Beijing Genomics Institute, of which Dr. Wong is a founding member. The institute, which was a key contributor to the Human Genome Project, is planning to donate services such as computer power and advanced equipment for gene sequencing.

“Incredibly, only about 100 plant species’ DNA sequences have been analyzed in the proposed manner, so this project has real potential for new discoveries that can make nature work for us,” Dr. Wong said.

He said selection is under way for the plants that will be studied, and that talented scientists attracted to the project will help fine-tune the list.

Despite the economic crisis gripping the United States and other countries, Dr. Wong said debt-free Alberta still has a “huge opportunity” to hire more top researchers from around the world by financing ambitious projects such as the plant initiative.

His research will be conducted in a new state-of-the-art building on the University of Alberta’s campus. The province contributed about $300-million to the construction.

Dr. Wong and others hope that mapping the gene sequence of plants can lead to everything from new medicines to high-tech biofuels to crop improvements.

He said the decision to study 1,000 plants was made because it was more “impressive” than 100.

The plan is eventually to make sequence data uncovered by the project available to the public via the Internet.

Mr. Horner said the research, to which the provincial government is contributing $1.5-million, is a “big deal for the people of Alberta, and it’s a big deal for Canada and the globe.”

He also said it “lays the foundation for a new bioproducts industry” in the oil- and gas-rich province.


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Soy, dried plum reverse bone loss

Posted: 23 Oct 2008 04:21 AM PDT

CM NEWS – Scientists may have found a dietary solution to reverse bone loss. A recent study indicates that a combination of soy protein, dried plum and substances used in making artificial sweeteners can restore bone mass in ovarian hormone deficient rats.

A group of nutritional and osteoporosis scientists in the US have made this important discovery. As the dietary way of treating chronic diseases is growing more popular, the researchers want to find out if common dietary substances could help revert progress of osteoporosis.

The objectives of the current study were to evaluate the additive or synergistic effects of dried plum and fructooligosaccharides (FOS) and to determine whether dried plum and FOS or their combination in a soy protein-based diet can restore bone mass in ovarian hormone deficient rats.

What are fructooligosaccharides? Fructooligosaccharides (FOS) refer to a class of non-digestible carbohydrates or sugars that occur naturally in a wide variety of foods throughout the plant kingdom. Since they are non-digestible, they pass through the human digestive virtually unchanged. When the FOS reach the colon, they are used by the good or beneficial bacteria found there (known as bifidobacteria or bifidus) for growth and multiplication. A healthy population of these beneficial bacteria in the digestive tract enhances the digestion and absorption of nutrients, detoxification and elimination processes, and helps boost the immune system.

Since FOS are non-digestible, they provide almost no calories and are thus used as substitute sweeteners. FOS have approximately one-half the sweetness of sugar. They are also being added to a variety of food products because they provide a combination of sweetness and low calories plus the additional health benefits that have been mentioned. Although FOS occur naturally in many foods, a large proportion of these products are now synthesized commercially.

In this study, 72 3-month-old female Sprague-Dawley rats were divided into six groups and either ovariectomized (whose ovaries have been surgically removed) or sham-operated (sham). The rats were maintained on a semipurified standard diet for 45 days after surgery to establish bone loss.

Thereafter, the rats were placed on one of the following dietary treatments for 60 days:

  • casein-based diet
  • soy-based diet or soy-based diet with dried plum
  • FOS
  • combination of dried plum and FOS

Results show that soy protein in combination with the test compounds significantly improved whole-body bone mineral density (BMD). All test compounds in combination with soy protein significantly increased femoral BMD but the combination of soy protein, dried plum and FOS had the most pronounced effect in increasing lumbar BMD.

Similarly, all of the test compounds increased ultimate load, indicating improved biomechanical properties. The positive effects of these test compounds on bone may be due to their ability to modulate bone resorption and formation, as shown by suppressed urinary deoxypyridinoline excretion and enhanced alkaline phosphatase activity.

[eCAM, doi:10.1093/ecam/nen050]


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New cancer-killing compound found in salad plant

Posted: 17 Oct 2008 05:04 AM PDT

UW release – Researchers at the University of Washington have updated a traditional Chinese medicine to create a compound that is more than 1,200 times more specific in killing certain kinds of cancer cells than currently available drugs, heralding the possibility of a more effective chemotherapy drug with minimal side effects.

The new compound puts a novel twist on the common anti-malarial drug artemisinin, which is derived from the sweet wormwood plant (Artemisia annua L). Sweet wormwood has been used in herbal Chinese medicine for at least 2,000 years, and is eaten in salads in some Asian countries.

What is Artemisia annua L.?

  • Artemisia annua A.annua has been used in China to treat malaria for over 400 years
  • Chinese scientists isolated and chemically characterised the active anti-malarial principle, artemisinin, in 1972
  • A.annua grows wild in the UK and ornamental varieties are popular for growing in gardens
    Its Chinese name is Qing Hao (??, ?????), and is known as Sweet Annie or Sweet Wormwood in English due to its fragrant properties

The scientists attached a chemical homing device to artemisinin that targets the drug selectively to cancer cells, sparing healthy cells. The results were published online Oct. 5 in the journal Cancer Letters.

“The compound is like a special agent planting a bomb inside the cell,” said Tomikazu Sasaki, chemistry professor at UW and senior author of the study.

In the study, the UW researchers tested their artemisinin-based compound on human leukemia cells. It was highly selective at killing the cancer cells. The researchers also have preliminary results showing that the compound is similarly selective and effective for human breast and prostate cancer cells, and that it effectively and safely kills breast cancer in rats, Sasaki said.

Cancer drug designers are faced with the unique challenge that cancer cells develop from our own normal cells, meaning that most ways to poison cancer cells also kill healthy cells. Most available chemotherapies are very toxic, destroying one normal cell for every five to 10 cancer cells killed, Sasaki said. This is why chemotherapy’s side effects are so devastating, he said.

“Side effects are a major limitation to current chemotherapies,” Sasaki said. “Some patients even die from them.”

The compound Sasaki and his colleagues developed kills 12,000 cancer cells for every healthy cell, meaning it could be turned into a drug with minimal side effects. A cancer drug with low side effects would be more effective than currently available drugs, since it could be safely taken in higher amounts.

The artemisinin compound takes advantage of cancer cell’s high iron levels. Artemisinin is highly toxic in the presence of iron, but harmless otherwise. Cancer cells need a lot of iron to maintain the rapid division necessary for tumor growth.

Since too much free-floating iron is toxic, when cells need iron they construct a special protein signal on their surfaces. The body’s machinery then delivers iron, shielded with a protein package, to these signals proteins. The cell then swallows this bundle of iron and proteins.

Artemisinin alone is fairly effective at killing cancer cells. It kills approximately 100 cancer cells for every healthy cell, about ten times better than current chemotherapies. To improve those odds, the researchers added a small chemical tag to artemisinin that sticks to the “iron needed here” protein signal. The cancer cell, unaware of the toxic compound lurking on its surface, waits for the protein machinery to deliver iron molecules and engulfs everything — iron, proteins and toxic compound.

Once inside the cell, the iron reacts with artemisinin to release poisonous molecules called free radicals. When enough of these free radicals accumulate, the cell dies.

“The compound is like a little bomb-carrying monkey riding on the back of a Trojan horse,” said Henry Lai, UW bioengineering professor and co-author of the study.

The compound is so selective for cancer cells partly due to their rapid multiplication, which requires high amounts of iron, and partly because cancer cells are not as good as healthy cells at cleaning up free-floating iron.

“Cancer cells get sloppy at maintaining free iron, so they are more sensitive to artemisinin,” Sasaki said.

Cancer cells are already under significant stress from their high iron contents and other imbalances, Sasaki said. Artemisinin tips them over the edge. The compound’s modus operandi also means it should be general for almost any cancer, the researchers said.

“Most currently available drugs are targeted to specific cancers,” Lai said. “This compound works on a general property of cancer cells, their high iron content.”

The compound is currently being licensed by the University of Washington to Artemisia Biomedical Inc., a company Lai, Sasaki and Narendra Singh, UW associate professor of bioengineering, founded in Newcastle, Wash. for development and commercialization. Human trials are at least several years away. Artemisinin is readily available, Sasaki said, and he hopes their compound can eventually be cheaply manufactured to help cancer patients in developing countries.

Other authors of the study are Steve Oh, UW medical student; Byung Ju Kim, UW chemistry instructor; and Singh.

The Washington Technology Centre and the Witmer Foundation provided funding for the study.


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Related Posts UW release - Researchers at the University of Washington have updated a traditional Chinese medicine to create a compound that is more than 1,200 times more specific in killing certain kinds of cancer cells than currently available drugs, heralding the possibility of a more effective chemotherapy drug with minimal side effects. The new compound puts a

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