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WHO monographs on selected medicinal plants - travolekar.ru

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<str<strong>on</strong>g>WHO</str<strong>on</strong>g> <str<strong>on</strong>g>m<strong>on</strong>ographs</str<strong>on</strong>g> <strong>on</strong> <strong>selected</strong> <strong>medicinal</strong> <strong>plants</strong><br />

c<strong>ru</strong>de d<strong>ru</strong>g to the culture medium at a c<strong>on</strong>centrati<strong>on</strong> of 50.0 μg/ml (25).<br />

In vitro studies have dem<strong>on</strong>strated that Vibrio cholerae grows in a medium<br />

c<strong>on</strong>taining berberine, but fails to produce diarrhoea-inducing toxins<br />

(26). It has been hypothesized that the antidysenteric activity of berberine<br />

is due to localized effects <strong>on</strong> the intestinal tract and not due to bactericidal<br />

activity. The suggested mechanism by which berberine exerts its<br />

antidiarrhoeal activity is through the activati<strong>on</strong> of 2<br />

-adrenoceptors and<br />

by reducing producti<strong>on</strong> of cyclic adenosine m<strong>on</strong>ophosphate through the<br />

inhibiti<strong>on</strong> of the activity of adenylate cyclase (27), which in turn decreases<br />

intestinal motility (28). Berberine inhibits in vivo and in vitro intestinal<br />

secreti<strong>on</strong>s induced by cholera toxin (29–32).<br />

Berberine at a c<strong>on</strong>centrati<strong>on</strong> of 10.0 mg/loop reduced intestinal secreti<strong>on</strong><br />

stimulated by the heat-labile toxin of Escherichia coli in the rabbit<br />

ligated intestinal loop model by 70% in situ, and inhibited the secretory<br />

resp<strong>on</strong>se of the heat stable toxin of E. coli in mice (33, 34). Berberine at<br />

c<strong>on</strong>centrati<strong>on</strong>s up to 500.0 μM stimulated i<strong>on</strong> transport resp<strong>on</strong>ses in human<br />

col<strong>on</strong>ic mucosa that were n<strong>on</strong>-specific for calcium i<strong>on</strong>s or cyclic adenosine<br />

m<strong>on</strong>ophosphate-mediated signals. In cultured intestinal epithelial<br />

m<strong>on</strong>olayers, berberine inhibited calcium and cyclic adenosine m<strong>on</strong>ophosphate-mediated<br />

resp<strong>on</strong>ses, indicating that the d<strong>ru</strong>g exerts a direct antisecretory<br />

effect <strong>on</strong> the epithelial cells through the inhibiti<strong>on</strong> of mucosal<br />

chloride secreti<strong>on</strong> (35).<br />

Antihypertensive activity<br />

Administrati<strong>on</strong> of a lyophilized aqueous extract of the c<strong>ru</strong>de d<strong>ru</strong>g in<br />

drinking-water at a dose of 500.0 mg/kg body weight (bw) to rats for<br />

20 days significantly reduced hypertensi<strong>on</strong> induced by heat stress or the<br />

administrati<strong>on</strong> of metyrap<strong>on</strong>e (p < 0.01) (36, 37). Intragastric administrati<strong>on</strong><br />

of a 70% ethanol extract of the c<strong>ru</strong>de d<strong>ru</strong>g at a dose of 600.0 mg/kg<br />

bw to rats for 20 days reduced blood pressure (38).<br />

Anti-inflammatory activity<br />

A 50% ethanol extract of the c<strong>ru</strong>de d<strong>ru</strong>g reduced 12-O-tetradecanoylphorbol-13-acetate<br />

and acetic acid-induced oedema and inhibited oxazol<strong>on</strong>einduced<br />

c<strong>on</strong>tact-delayed hypersensitivity ear oedema in mice after applicati<strong>on</strong><br />

of 0.5 mg/ear (39). A 50% methanol extract (1:1) significantly<br />

decreased granulati<strong>on</strong> tissues in chick embryo chorioallantoic membranes,<br />

indicating anti-inflammatory activity (p < 0.05) (40). Intragastric administrati<strong>on</strong><br />

of berberine to rats with trinitrobenzene sulf<strong>on</strong>ic acid-induced<br />

colitis at a dose of 7.5 or 15.0 mg/kg/day reduced histological lesi<strong>on</strong>s,<br />

morphological damage and myeloperoxidase activity after 1 week of<br />

treatment (41). Berberine also inhibited the producti<strong>on</strong> of the potent in-<br />

248

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