Evaluation of safety and non-clinical pharmacological efficacy of Arthur de Carvalho Drops: validation of medicinal use in gastrintestinal diseases.

Detalhes bibliográficos
Autor(a) principal: Suzana Barbosa Bezerra
Data de Publicação: 2015
Tipo de documento: Tese
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UFC
Texto Completo: http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=18910
Resumo: The herbal medicine Gotas Arthur de Carvalho (GAC) produced from Matricaria recutita (chamomile), Gentiana lutea (gentian) and Foeniculum vulgare (fennel) tinctures, has indication use as antispasmodic and stomachic, and despite being on the market more than 70 years, does not have scientific studies proving its quality, stability, safety and therapeutic efficacy in gastrointestinal disorders. This study aims to validate the use of GAC in functional gastrointestinal disorders, determining the safety and efficacy of product, to meet the requirements of ANVISA and thus, contribute to the product registration renovation. Firts, were carried out the preclinical toxicity test (acute and repeated-doses toxicity) in rodents, cytotoxicity on human neutrophils and HepG2 cells and evaluation of the pharmacological activity of the herbal medicine to treat gastrointestinal disorders. Initially, the herbal medicine was standardized on the content of active markers (7-glucosÃdio apigenin, gentiopicrosÃdio and anethole) determined by the use of validated analytical method - RE 899 (BRAZIL, 2003) with the aid of Liquid Chromatography System with High Efficiency array detector diiodo (HPLC-DAD). In vitro toxicological evaluations (culture neutrophils and HepG2 cells) was investigated the determination of lactate dehydrogenase activity and / or the MTT test, and GAC (10-200 ug / ml) was shown to be not cytotoxic. Continuing toxicity studies in rodents, the estimated LD50 of the product was above 2 g / kg when administered orally. Moreover, in repeated-doses toxicity study (250-1000 mg / kg, p.o.) in rats confirmed the low toxicity of the product through biochemical, haematological and histopathological evaluations. In pharmacological evaluation, the herbal GAC (100 - 400 mg / kg, p.o.) showed activity on dyspepsia, demosntrated by reduction of intestinal transit induced by bethanechol, besides the laxative effect. Moreover, the antinociceptive effect of GAC founded in visceral pain model induced by mustard oil in mice where both opioid and adrenergic systems, in addition to potassium channels appear to have an important role in action, which is not related to a possible central effect, because sedation or decreased motor activity was not observed. Finally, the herbal medicine Arthur de Carvalho showed a safety standard which confirms its use as medicine, in addition to its potential in the treatment of gastrointestinal disorders, proving its antinociceptive activities / visceral pain and role in dyspepsia. However, further studies are still needed, especially related to determine the pharmacological mechanism of action as well as clinical studies, seeking registration as herbal medicine in Brazil. Also, is important valorize the importance of this study of university-industry partnership / Pharmaceutical Industry, which made work something concretely applied to social and economic needs of the region.
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spelling info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisEvaluation of safety and non-clinical pharmacological efficacy of Arthur de Carvalho Drops: validation of medicinal use in gastrintestinal diseases.AvaliaÃÃo da seguranÃa e eficÃcia farmacolÃgica nÃo-clÃnica das Gotas Arthur de CarvalhoÂ: validaÃÃo do uso medicinal nos distÃrbios gastrintestinais.2015-05-22Luzia Kalyne Almeida Moreira Leal38259850320http://lattes.cnpq.br/3447728153225016RomÃlia Pinheiro GonÃalves Lemes28620062387http://lattes.cnpq.br/8202510508068072Adrelina Noronha Coelho de Souza99999999900Maria Bernadete de Sousa Maia17052572320http://lattes.cnpq.br/0046739385454383 SilvÃnia Maria Mendes Vasconcelos29943183349http://lattes.cnpq.br/826426806093087991900832372http://lattes.cnpq.br/0300406988764595Suzana Barbosa BezerraUniversidade Federal do CearÃPrograma de PÃs-GraduaÃÃo em CiÃncias FarmacÃuticasUFCBRTOXICOLOGIAThe herbal medicine Gotas Arthur de Carvalho (GAC) produced from Matricaria recutita (chamomile), Gentiana lutea (gentian) and Foeniculum vulgare (fennel) tinctures, has indication use as antispasmodic and stomachic, and despite being on the market more than 70 years, does not have scientific studies proving its quality, stability, safety and therapeutic efficacy in gastrointestinal disorders. This study aims to validate the use of GAC in functional gastrointestinal disorders, determining the safety and efficacy of product, to meet the requirements of ANVISA and thus, contribute to the product registration renovation. Firts, were carried out the preclinical toxicity test (acute and repeated-doses toxicity) in rodents, cytotoxicity on human neutrophils and HepG2 cells and evaluation of the pharmacological activity of the herbal medicine to treat gastrointestinal disorders. Initially, the herbal medicine was standardized on the content of active markers (7-glucosÃdio apigenin, gentiopicrosÃdio and anethole) determined by the use of validated analytical method - RE 899 (BRAZIL, 2003) with the aid of Liquid Chromatography System with High Efficiency array detector diiodo (HPLC-DAD). In vitro toxicological evaluations (culture neutrophils and HepG2 cells) was investigated the determination of lactate dehydrogenase activity and / or the MTT test, and GAC (10-200 ug / ml) was shown to be not cytotoxic. Continuing toxicity studies in rodents, the estimated LD50 of the product was above 2 g / kg when administered orally. Moreover, in repeated-doses toxicity study (250-1000 mg / kg, p.o.) in rats confirmed the low toxicity of the product through biochemical, haematological and histopathological evaluations. In pharmacological evaluation, the herbal GAC (100 - 400 mg / kg, p.o.) showed activity on dyspepsia, demosntrated by reduction of intestinal transit induced by bethanechol, besides the laxative effect. Moreover, the antinociceptive effect of GAC founded in visceral pain model induced by mustard oil in mice where both opioid and adrenergic systems, in addition to potassium channels appear to have an important role in action, which is not related to a possible central effect, because sedation or decreased motor activity was not observed. Finally, the herbal medicine Arthur de Carvalho showed a safety standard which confirms its use as medicine, in addition to its potential in the treatment of gastrointestinal disorders, proving its antinociceptive activities / visceral pain and role in dyspepsia. However, further studies are still needed, especially related to determine the pharmacological mechanism of action as well as clinical studies, seeking registration as herbal medicine in Brazil. Also, is important valorize the importance of this study of university-industry partnership / Pharmaceutical Industry, which made work something concretely applied to social and economic needs of the region.O fitoterÃpico Gotas Arthur de Carvalho produzido a partir das tinturas de Matricaria recutita (camomila), Gentiana lutea (genciana) e Foeniculum vulgare (funcho), possui como indicaÃÃo o uso como anti-espasmÃdico e estomÃquico e, apesar de estar no mercado a mais de 70 anos, nÃo possui ainda estudos cientÃficos que comprovem a sua qualidade, estabilidade, seguranÃa e eficÃcia terapÃutica nas desordens gastrointestinais. O presente trabalho tem como principal objetivo validar o uso do fitoterÃpico nas desordens gastrintestinais, determinando a seguranÃa e eficÃcia do produto padronizado, para atender as exigÃncias da ANVISA e assim, contribuir para a renovaÃÃo de registro do produto. Foram entÃo realizados os testes de toxicidade prÃ-clÃnica (toxicidade aguda e de doses repetidas) em roedores, citotoxicidade em neutrÃfilos humano e cÃlulas HepG2 e avaliaÃÃo da atividade farmacolÃgica do fitoterÃpico para desordens gastrintestinais. Inicialmente, fitoterÃpico foi padronizado quanto ao teor de marcadores ativos (apigenina 7-glucosÃdio, gentiopicrosÃdio e anetol) determinados pelo emprego de mÃtodo analÃtico validado - RE 899 (BRASIL, 2003) com auxÃlio de sistema de Cromatografia LÃquida de Alta EficiÃncia com detector de arranjo diiodo (CLAE-DAD). Nas avaliaÃÃes toxicolÃgicas in vitro (cultura de neutrÃfilos e cÃlulas HepG2) investigada pela determinaÃÃo da atividade da lactato desidrogenase e/ou teste do MTT, o fitoterÃpico GAC (10-200 Âg/mL) nÃo mostrou-se citotÃxico. Prosseguindo os estudos de toxicidade em roedores, a estimativa da DL50 do produto foi acima de 2g/kg, quando administrado por via oral. Ademais, estudo de toxicidade de dose repetida (250-1000 mg/Kg, v.o.) em ratos ratificou a baixa toxicidade do produto atravÃs de avaliaÃÃes bioquÃmica, hematolÃgica e histopatolÃgica. Na avaliaÃÃo farmacolÃgica, o fitoterÃpico GAC (100 â 400 mg/Kg, v.o.) mostrou potencial antidispÃptico, reduziu o trÃnsito intestinal induzido por betanecol, alÃm do efeito laxativo. Ainda, o fitoterÃpico apresentou efeito antinociceptivo no modelo de dor visceral induzido pelo Ãleo de mostarda em camundongos, tanto nos sistemas opiÃide e adrenÃrgico, alÃm dos canais de potÃssio, que parecem possuir um papel importante nessa aÃÃo, que nÃo està relacionada a um possÃvel efeito central, como sedaÃÃo ou diminuiÃÃo da atividade motora. Por fim, o fitoterÃpico Gotas Arthur de Carvalho mostrou um padrÃo de seguranÃa que ratifica o seu emprego como medicamento, alÃm do seu potencial no tratamento de desordens gastrointestinal, destacando suas atividades anti-dispÃptica e antinociceptiva/dor visceral. Contudo, estudos adicionais sÃo ainda necessÃrios relacionados especialmente à determinaÃÃo mais aprofundada do mecanismo de aÃÃo farmacolÃgico, bem como a realizaÃÃo de estudos clÃnicos, vislumbrando seu registro como fitoterÃpico no paÃs. Ainda, destaca-se a importÃncia do presente estudo que envolveu parceria universidade-empresa/IndÃstria FarmacÃutica, o que tornou o trabalho algo concretamente aplicada Ãs necessidades sociais e econÃmicas da regiÃo.Conselho Nacional de Desenvolvimento CientÃfico e TecnolÃgicohttp://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=18910application/pdfinfo:eu-repo/semantics/openAccessporreponame:Biblioteca Digital de Teses e Dissertações da UFCinstname:Universidade Federal do Cearáinstacron:UFC2019-01-21T11:31:39Zmail@mail.com -
dc.title.en.fl_str_mv Evaluation of safety and non-clinical pharmacological efficacy of Arthur de Carvalho Drops: validation of medicinal use in gastrintestinal diseases.
dc.title.alternative.pt.fl_str_mv AvaliaÃÃo da seguranÃa e eficÃcia farmacolÃgica nÃo-clÃnica das Gotas Arthur de CarvalhoÂ: validaÃÃo do uso medicinal nos distÃrbios gastrintestinais.
title Evaluation of safety and non-clinical pharmacological efficacy of Arthur de Carvalho Drops: validation of medicinal use in gastrintestinal diseases.
spellingShingle Evaluation of safety and non-clinical pharmacological efficacy of Arthur de Carvalho Drops: validation of medicinal use in gastrintestinal diseases.
Suzana Barbosa Bezerra
TOXICOLOGIA
title_short Evaluation of safety and non-clinical pharmacological efficacy of Arthur de Carvalho Drops: validation of medicinal use in gastrintestinal diseases.
title_full Evaluation of safety and non-clinical pharmacological efficacy of Arthur de Carvalho Drops: validation of medicinal use in gastrintestinal diseases.
title_fullStr Evaluation of safety and non-clinical pharmacological efficacy of Arthur de Carvalho Drops: validation of medicinal use in gastrintestinal diseases.
title_full_unstemmed Evaluation of safety and non-clinical pharmacological efficacy of Arthur de Carvalho Drops: validation of medicinal use in gastrintestinal diseases.
title_sort Evaluation of safety and non-clinical pharmacological efficacy of Arthur de Carvalho Drops: validation of medicinal use in gastrintestinal diseases.
author Suzana Barbosa Bezerra
author_facet Suzana Barbosa Bezerra
author_role author
dc.contributor.advisor1.fl_str_mv Luzia Kalyne Almeida Moreira Leal
dc.contributor.advisor1ID.fl_str_mv 38259850320
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/3447728153225016
dc.contributor.referee1.fl_str_mv RomÃlia Pinheiro GonÃalves Lemes
dc.contributor.referee1ID.fl_str_mv 28620062387
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/8202510508068072
dc.contributor.referee2.fl_str_mv Adrelina Noronha Coelho de Souza
dc.contributor.referee2ID.fl_str_mv 99999999900
dc.contributor.referee3.fl_str_mv Maria Bernadete de Sousa Maia
dc.contributor.referee3ID.fl_str_mv 17052572320
dc.contributor.referee3Lattes.fl_str_mv http://lattes.cnpq.br/0046739385454383
dc.contributor.referee4.fl_str_mv SilvÃnia Maria Mendes Vasconcelos
dc.contributor.referee4ID.fl_str_mv 29943183349
dc.contributor.referee4Lattes.fl_str_mv http://lattes.cnpq.br/8264268060930879
dc.contributor.authorID.fl_str_mv 91900832372
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/0300406988764595
dc.contributor.author.fl_str_mv Suzana Barbosa Bezerra
contributor_str_mv Luzia Kalyne Almeida Moreira Leal
RomÃlia Pinheiro GonÃalves Lemes
Adrelina Noronha Coelho de Souza
Maria Bernadete de Sousa Maia
SilvÃnia Maria Mendes Vasconcelos
dc.subject.cnpq.fl_str_mv TOXICOLOGIA
topic TOXICOLOGIA
dc.description.sponsorship.fl_txt_mv Conselho Nacional de Desenvolvimento CientÃfico e TecnolÃgico
dc.description.abstract.por.fl_txt_mv The herbal medicine Gotas Arthur de Carvalho (GAC) produced from Matricaria recutita (chamomile), Gentiana lutea (gentian) and Foeniculum vulgare (fennel) tinctures, has indication use as antispasmodic and stomachic, and despite being on the market more than 70 years, does not have scientific studies proving its quality, stability, safety and therapeutic efficacy in gastrointestinal disorders. This study aims to validate the use of GAC in functional gastrointestinal disorders, determining the safety and efficacy of product, to meet the requirements of ANVISA and thus, contribute to the product registration renovation. Firts, were carried out the preclinical toxicity test (acute and repeated-doses toxicity) in rodents, cytotoxicity on human neutrophils and HepG2 cells and evaluation of the pharmacological activity of the herbal medicine to treat gastrointestinal disorders. Initially, the herbal medicine was standardized on the content of active markers (7-glucosÃdio apigenin, gentiopicrosÃdio and anethole) determined by the use of validated analytical method - RE 899 (BRAZIL, 2003) with the aid of Liquid Chromatography System with High Efficiency array detector diiodo (HPLC-DAD). In vitro toxicological evaluations (culture neutrophils and HepG2 cells) was investigated the determination of lactate dehydrogenase activity and / or the MTT test, and GAC (10-200 ug / ml) was shown to be not cytotoxic. Continuing toxicity studies in rodents, the estimated LD50 of the product was above 2 g / kg when administered orally. Moreover, in repeated-doses toxicity study (250-1000 mg / kg, p.o.) in rats confirmed the low toxicity of the product through biochemical, haematological and histopathological evaluations. In pharmacological evaluation, the herbal GAC (100 - 400 mg / kg, p.o.) showed activity on dyspepsia, demosntrated by reduction of intestinal transit induced by bethanechol, besides the laxative effect. Moreover, the antinociceptive effect of GAC founded in visceral pain model induced by mustard oil in mice where both opioid and adrenergic systems, in addition to potassium channels appear to have an important role in action, which is not related to a possible central effect, because sedation or decreased motor activity was not observed. Finally, the herbal medicine Arthur de Carvalho showed a safety standard which confirms its use as medicine, in addition to its potential in the treatment of gastrointestinal disorders, proving its antinociceptive activities / visceral pain and role in dyspepsia. However, further studies are still needed, especially related to determine the pharmacological mechanism of action as well as clinical studies, seeking registration as herbal medicine in Brazil. Also, is important valorize the importance of this study of university-industry partnership / Pharmaceutical Industry, which made work something concretely applied to social and economic needs of the region.
O fitoterÃpico Gotas Arthur de Carvalho produzido a partir das tinturas de Matricaria recutita (camomila), Gentiana lutea (genciana) e Foeniculum vulgare (funcho), possui como indicaÃÃo o uso como anti-espasmÃdico e estomÃquico e, apesar de estar no mercado a mais de 70 anos, nÃo possui ainda estudos cientÃficos que comprovem a sua qualidade, estabilidade, seguranÃa e eficÃcia terapÃutica nas desordens gastrointestinais. O presente trabalho tem como principal objetivo validar o uso do fitoterÃpico nas desordens gastrintestinais, determinando a seguranÃa e eficÃcia do produto padronizado, para atender as exigÃncias da ANVISA e assim, contribuir para a renovaÃÃo de registro do produto. Foram entÃo realizados os testes de toxicidade prÃ-clÃnica (toxicidade aguda e de doses repetidas) em roedores, citotoxicidade em neutrÃfilos humano e cÃlulas HepG2 e avaliaÃÃo da atividade farmacolÃgica do fitoterÃpico para desordens gastrintestinais. Inicialmente, fitoterÃpico foi padronizado quanto ao teor de marcadores ativos (apigenina 7-glucosÃdio, gentiopicrosÃdio e anetol) determinados pelo emprego de mÃtodo analÃtico validado - RE 899 (BRASIL, 2003) com auxÃlio de sistema de Cromatografia LÃquida de Alta EficiÃncia com detector de arranjo diiodo (CLAE-DAD). Nas avaliaÃÃes toxicolÃgicas in vitro (cultura de neutrÃfilos e cÃlulas HepG2) investigada pela determinaÃÃo da atividade da lactato desidrogenase e/ou teste do MTT, o fitoterÃpico GAC (10-200 Âg/mL) nÃo mostrou-se citotÃxico. Prosseguindo os estudos de toxicidade em roedores, a estimativa da DL50 do produto foi acima de 2g/kg, quando administrado por via oral. Ademais, estudo de toxicidade de dose repetida (250-1000 mg/Kg, v.o.) em ratos ratificou a baixa toxicidade do produto atravÃs de avaliaÃÃes bioquÃmica, hematolÃgica e histopatolÃgica. Na avaliaÃÃo farmacolÃgica, o fitoterÃpico GAC (100 â 400 mg/Kg, v.o.) mostrou potencial antidispÃptico, reduziu o trÃnsito intestinal induzido por betanecol, alÃm do efeito laxativo. Ainda, o fitoterÃpico apresentou efeito antinociceptivo no modelo de dor visceral induzido pelo Ãleo de mostarda em camundongos, tanto nos sistemas opiÃide e adrenÃrgico, alÃm dos canais de potÃssio, que parecem possuir um papel importante nessa aÃÃo, que nÃo està relacionada a um possÃvel efeito central, como sedaÃÃo ou diminuiÃÃo da atividade motora. Por fim, o fitoterÃpico Gotas Arthur de Carvalho mostrou um padrÃo de seguranÃa que ratifica o seu emprego como medicamento, alÃm do seu potencial no tratamento de desordens gastrointestinal, destacando suas atividades anti-dispÃptica e antinociceptiva/dor visceral. Contudo, estudos adicionais sÃo ainda necessÃrios relacionados especialmente à determinaÃÃo mais aprofundada do mecanismo de aÃÃo farmacolÃgico, bem como a realizaÃÃo de estudos clÃnicos, vislumbrando seu registro como fitoterÃpico no paÃs. Ainda, destaca-se a importÃncia do presente estudo que envolveu parceria universidade-empresa/IndÃstria FarmacÃutica, o que tornou o trabalho algo concretamente aplicada Ãs necessidades sociais e econÃmicas da regiÃo.
description The herbal medicine Gotas Arthur de Carvalho (GAC) produced from Matricaria recutita (chamomile), Gentiana lutea (gentian) and Foeniculum vulgare (fennel) tinctures, has indication use as antispasmodic and stomachic, and despite being on the market more than 70 years, does not have scientific studies proving its quality, stability, safety and therapeutic efficacy in gastrointestinal disorders. This study aims to validate the use of GAC in functional gastrointestinal disorders, determining the safety and efficacy of product, to meet the requirements of ANVISA and thus, contribute to the product registration renovation. Firts, were carried out the preclinical toxicity test (acute and repeated-doses toxicity) in rodents, cytotoxicity on human neutrophils and HepG2 cells and evaluation of the pharmacological activity of the herbal medicine to treat gastrointestinal disorders. Initially, the herbal medicine was standardized on the content of active markers (7-glucosÃdio apigenin, gentiopicrosÃdio and anethole) determined by the use of validated analytical method - RE 899 (BRAZIL, 2003) with the aid of Liquid Chromatography System with High Efficiency array detector diiodo (HPLC-DAD). In vitro toxicological evaluations (culture neutrophils and HepG2 cells) was investigated the determination of lactate dehydrogenase activity and / or the MTT test, and GAC (10-200 ug / ml) was shown to be not cytotoxic. Continuing toxicity studies in rodents, the estimated LD50 of the product was above 2 g / kg when administered orally. Moreover, in repeated-doses toxicity study (250-1000 mg / kg, p.o.) in rats confirmed the low toxicity of the product through biochemical, haematological and histopathological evaluations. In pharmacological evaluation, the herbal GAC (100 - 400 mg / kg, p.o.) showed activity on dyspepsia, demosntrated by reduction of intestinal transit induced by bethanechol, besides the laxative effect. Moreover, the antinociceptive effect of GAC founded in visceral pain model induced by mustard oil in mice where both opioid and adrenergic systems, in addition to potassium channels appear to have an important role in action, which is not related to a possible central effect, because sedation or decreased motor activity was not observed. Finally, the herbal medicine Arthur de Carvalho showed a safety standard which confirms its use as medicine, in addition to its potential in the treatment of gastrointestinal disorders, proving its antinociceptive activities / visceral pain and role in dyspepsia. However, further studies are still needed, especially related to determine the pharmacological mechanism of action as well as clinical studies, seeking registration as herbal medicine in Brazil. Also, is important valorize the importance of this study of university-industry partnership / Pharmaceutical Industry, which made work something concretely applied to social and economic needs of the region.
publishDate 2015
dc.date.issued.fl_str_mv 2015-05-22
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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dc.identifier.uri.fl_str_mv http://www.teses.ufc.br/tde_busca/arquivo.php?codArquivo=18910
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dc.publisher.none.fl_str_mv Universidade Federal do CearÃ
dc.publisher.program.fl_str_mv Programa de PÃs-GraduaÃÃo em CiÃncias FarmacÃuticas
dc.publisher.initials.fl_str_mv UFC
dc.publisher.country.fl_str_mv BR
publisher.none.fl_str_mv Universidade Federal do CearÃ
dc.source.none.fl_str_mv reponame:Biblioteca Digital de Teses e Dissertações da UFC
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