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首页> 外文期刊>Digestive Diseases and Sciences >Pharmacological basis for the medicinal use of psyllium husk (Ispaghula) in constipation and diarrhea.
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Pharmacological basis for the medicinal use of psyllium husk (Ispaghula) in constipation and diarrhea.

机译:洋车前子皮(Ispaghula)用于便秘和腹泻的药理基础。

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BACKGROUND: The objective of this study was to determine the pharmacological basis of the medicinal use of psyllium husk (Ispaghula) in gastrointestinal motility disorders. METHODS: In-vivo studies were conducted on mice, and isolated rabbit jejunum and guinea-pig ileum were used in in-vitro experiments. RESULTS: The crude extract of Ispaghula (Po.Cr) had a laxative effect in mice at 100 and 300 mg/kg, which was partially sensitive to atropine or SB203186 (5-HT(4) antagonist). At higher doses (500 and 1,000 mg/kg), Po.Cr had antisecretory and antidiarrheal activity. In guinea-pig ileum, Po.Cr (1-10 mg/ml) had a stimulatory effect, which was partially sensitive to atropine or SB203186. In rabbit jejunum, Po.Cr had a partially atropine-sensitive stimulatory effect followed by relaxation at 10 mg/ml. The relaxation was inhibited by the presence of L-NAME, a nitric oxide (NO) synthase inhibitor, or methylene blue, a guanylyl cyclase inhibitor. Similarly, the relaxant effect of Po.Cr on K(+) (80 mM)-induced contractions, was attenuated in the presence of L-NAME or methylene blue. Activity-directed fractionation of Po.Cr revealed that the gut stimulatory and inhibitory constituents were widely distributed in the aqueous and organic fractions. CONCLUSION: This study demonstrates that Ispaghula has a gut-stimulatory effect, mediated partially by muscarinic and 5-HT(4) receptor activation, which may complement the laxative effect of its fiber content, and a gut-inhibitory activity possibly mediated by blockade of Ca(2+) channels and activation of NO-cyclic guanosine monophosphate pathways. This may explain its medicinal use in diarrhea. It is, perhaps, also intended by nature to offset an excessive stimulant effect.
机译:背景:这项研究的目的是确定药用的车前子壳(Ispaghula)在胃肠动力性疾病中的药理基础。方法:对小鼠进行体内研究,并将离体的兔空肠和豚鼠回肠用于体外实验。结果:Ispaghula(Po.Cr)的粗提取物对小鼠的泻药作用为100和300 mg / kg,对阿托品或SB203186(5-HT(4)拮抗剂)部分敏感。在较高剂量(500和1,000 mg / kg)下,Po.Cr具有抗分泌和止泻活性。在豚鼠回肠中,Po.Cr(1-10 mg / ml)有刺激作用,对阿托品或SB203186部分敏感。在兔空肠中,Po.Cr具有部分对阿托品敏感的刺激作用,随后以10 mg / ml的速度松弛。通过一氧化氮(NO)合酶抑制剂L-NAME或鸟苷酸环化酶抑制剂亚甲基蓝的存在抑制松弛。同样,在L-NAME或亚甲基蓝的存在下,Po.Cr对K(+)(80 mM)诱导的收缩的松弛作用减弱。 Po.Cr的活性导向分馏显示,肠刺激和抑制成分广泛分布在水性和有机级分中。结论:这项研究表明,Ispaghula具有肠刺激作用,部分由毒蕈碱和5-HT(4)受体激活介导,这可能补充其纤维含量的通便作用,并且可能通过阻断肠粘膜而介导肠抑制活性。 Ca(2+)通道和NO环鸟苷单磷酸途径的激活。这可以解释其在腹泻中的药用。从本质上讲,也许也旨在抵消过度的刺激作用。

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