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生药学在草药产品药理学研究中的相关性。

The relevance of pharmacognosy in pharmacological research on herbal medicinal products.

作者信息

Pferschy-Wenzig Eva-Maria, Bauer Rudolf

机构信息

Institute of Pharmaceutical Sciences, Department of Pharmacognosy, Universitaetsplatz 4/1, 8010 Graz, Austria.

出版信息

Epilepsy Behav. 2015 Nov;52(Pt B):344-62. doi: 10.1016/j.yebeh.2015.05.037. Epub 2015 Jul 10.

Abstract

As all medicines, herbal medicinal products are expected to be safe, effective, and of appropriate quality. However, regulations on herbal medicinal products vary from country to country, and herbal preparations do occur not only in the form of medicinal products but also as less strictly regulated product groups like dietary supplements. Therefore, it is not always easy for the consumers to discriminate high-quality products from low-quality products. On the other hand, herbal medicines have many special features that distinguish them from conventional medicinal products. Plants are complex multicomponent mixtures; in addition, their phytochemical composition is not constant because of inherent variability and a plethora of external influences. Therefore, the production process of an herbal medicinal product needs to be strictly monitored. First of all, the starting materials need to be correctly authenticated and free of adulterants and contaminants. During plant growth, many factors like harvest season and time, developmental stage, temperature, and humidity have a strong impact on plant metabolite production. Also, postharvest processing steps like drying and storage can significantly alter the phytochemical composition of herbal material. As the production of many phytopharmaceuticals includes an extraction step, the extraction solvent and conditions need to be optimized in order to enrich the bioactive constituents in the extract. The quality of finished preparations needs to be determined either on the basis of marker constituents or on the basis of analytical fingerprints. Thus, all production stages should be accompanied by appropriate quality assessment measures. Depending on the particular task, different methods need to be applied, ranging from macroscopic, microscopic, and DNA-based authentication methods to spectroscopic methods like vibrational spectroscopy and chromatographic and hyphenated methods like HPLC, GC-MS and LC-MS. Also, when performing pharmacological and toxicological studies, many features inherent in herbal medicinal products need to be considered in order to guarantee valid results: concerning in vitro studies, difficulties are often related to lacking knowledge of ADME characteristics of the bioactive constituents, nuisance compounds producing false positive and false negative results, and solubility problems. In in vivo animal studies, the route of administration is a very important issue. Clinical trials on herbal medicinal products in humans very often suffer from a poor reporting quality. This often hampers or precludes the pooling of clinical data for systematic reviews. In order to overcome this problem, appropriate documentation standards for clinical trials on herbal medicinal products have been defined in an extension of the CONSORT checklist. This article is part of a Special Issue entitled "Botanicals for Epilepsy".

摘要

与所有药物一样,草药产品也应安全、有效且质量合格。然而,各国对草药产品的监管各不相同,草药制剂不仅以药品形式存在,还以膳食补充剂等监管较宽松的产品类别出现。因此,消费者并不总是容易区分高质量产品和低质量产品。另一方面,草药具有许多使其有别于传统药品的特殊特性。植物是复杂的多成分混合物;此外,由于其固有的变异性和大量外部影响,其植物化学成分并不恒定。因此,草药产品的生产过程需要严格监控。首先,起始原料需要正确鉴定,且不含掺假物和污染物。在植物生长过程中,收获季节和时间、发育阶段、温度和湿度等许多因素对植物代谢产物的产生有很大影响。此外,干燥和储存等收获后加工步骤会显著改变草药原料的植物化学成分。由于许多植物药的生产包括提取步骤,因此需要优化提取溶剂和条件,以便在提取物中富集生物活性成分。成品制剂的质量需要根据标记成分或分析指纹图谱来确定。因此,所有生产阶段都应伴随适当的质量评估措施。根据具体任务,需要应用不同的方法,从宏观、微观和基于DNA的鉴定方法到振动光谱等光谱方法,以及HPLC、GC-MS和LC-MS等色谱和联用方法。此外,在进行药理和毒理学研究时,需要考虑草药产品固有的许多特性,以保证结果有效:在体外研究中,困难往往与缺乏对生物活性成分的吸收、分布、代谢和排泄(ADME)特性的了解、产生假阳性和假阴性结果的干扰化合物以及溶解性问题有关。在体内动物研究中,给药途径是一个非常重要的问题。草药产品在人体上的临床试验报告质量往往很差。这常常阻碍或排除了为系统评价汇总临床数据的可能性。为了克服这个问题,在CONSORT清单的扩展版中定义了草药产品临床试验的适当文件标准。本文是名为“用于癫痫的植物药”的特刊的一部分。

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