DOCSLIB.ORG

An Exploration of the Relationships Between Chronic Pain, Inflammation, and Herbal Medicine

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
An Exploration of the Relationships Between Chronic Pain, Inflammation, and Herbal Medicine Graduate Theses, Dissertations, and Problem Reports 2016 An Exploration of the Relationships between Chronic Pain, Inflammation, and Herbal Medicine Termeh Feinberg Follow this and additional works at: https://researchrepository.wvu.edu/etd Recommended Citation Feinberg, Termeh, "An Exploration of the Relationships between Chronic Pain, Inflammation, and Herbal Medicine" (2016). Graduate Theses, Dissertations, and Problem Reports. 5585. https://researchrepository.wvu.edu/etd/5585 This Dissertation is protected by copyright and/or related rights. It has been brought to you by the The Research Repository @ WVU with permission from the rights-holder(s). You are free to use this Dissertation in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you must obtain permission from the rights-holder(s) directly, unless additional rights are indicated by a Creative Commons license in the record and/ or on the work itself. This Dissertation has been accepted for inclusion in WVU Graduate Theses, Dissertations, and Problem Reports collection by an authorized administrator of The Research Repository @ WVU. For more information, please contact [email protected]. An Exploration of the Relationships between Chronic Pain, Inflammation, and Herbal Medicine Termeh Feinberg, MPH Dissertation submitted to the School of Public Health at West Virginia University in partial fulfillment of the requirements for the degree of Doctor of Philosophy in Epidemiology Kim (Karen) Innes, M.S.P.H., Ph.D., Chair Christa Lilly, Ph.D. Dina Jones, P.T., Ph.D. Peter Giacobbi, Jr., Ph.D. Gilbert Ramirez, M.P.H., Dr.P.H., CPH Department of Epidemiology Morgantown, West Virginia 2016 Keywords: herb, inflammation, C-reactive protein, fibromyalgia, chronic pain, and epidemiology Copyright 2016. Termeh Feinberg, MPH ABSTRACT An Exploration of the Relationships between Chronic Pain, Inflammation, and Herbal Medicine Termeh Feinberg Introduction: Inflammation is often a component of chronic pain, yet its potential role in fibromyalgia syndrome (FMS) remains inconclusive. FMS is a complex chronic pain condition affecting ~2% of the population; management is challenging and treatment options remain limited. Many herbs contain antiinflammatory properties, and herbs indicated for analgesia and rheumatic conditions have traditionally been used in Appalachia. Despite the popularity of herbs in the US, determinants and patterns of herbal use with regard to pain management have not been well studied, particularly in Appalachia, where prevalence of chronic pain and related comorbid conditions is high and access to medical care is often reduced. In this series of three studies, we investigate the: 1) relation of FMS to serum C-reactive protein (CRP) in a large Appalachian population; 2) demographic, lifestyle, and health-related correlates of herbs and other complementary health approaches (CHAs) used for pain in a sample of Appalachian chronic pain patients, using a newly developed survey instrument; and, 3) the relation of herbal supplement use to FMS in two nationally representative samples of U.S. adults (NHIS 2007 and 2012), as well as trends in patterns of herbal use over time. Methods: All participants completed comprehensive health surveys in these three cross-sectional studies. To investigate the relation between diagnosed FMS and serum levels of the proinflammatory marker CRP (Study 1), we used data on 52,535 adult Ohio Valley residents (FMS =1,125), collected in 2005-2006 as part of the C8 Health Project. Medical history, including physician diagnosis of FMS, was ascertained via self-report. To determine the correlates and patterns of herbal and other CHAs used specifically for pain in an Appalachian chronic pain population (Study 2), we collected data on 301 patients from four WV pain and rheumatology clinics using our newly developed survey instrument, the Complementary Health Approaches for Pain Survey (CHAPS) (2014-2016); correlates relating specifically to pain were measured using the Short-Form Global Pain Scale (SF-GPS). To assess the relation of diagnosed FMS to herbal supplement use (at 30 days, past 12 months, and ever) and to examine potential changes in the patterns of use over time (Study 3), we used data from the 2007 and 2012 National Health Interview Surveys (NHIS) (N = 20127 and N = 30672 adults, respectively). Logistic and linear regression (complete-case analysis) were used to examine associations and to evaluate the potential modifying influence of gender and number of health conditions; multivariate models were adjusted for an array of demographic, lifestyle, and health factors. To account for missing data (Study 2), we also conducted additional sensitivity analyses using multiple imputation. Results: Study 1. In this large Appalachian population, mean serum CRP was significantly higher among participants reporting a diagnosis of FMS than those without FMS (5.54± 9.8 vs.3.75±7.2 mg/L, p<0.0001)). CRP serum level showed a strong, positive association with FMS (unadjusted OR for highest vs. lowest quartile=2.5 (CI 2.1,3.0; P for trend(p<0.0001); adjustment for demographics and lifestyle factors attenuated but did not eliminate this association (adjusted odds ratio (AOR) for highest vs. lowest quartile = 1.4, (CI 1.1, 1.6). The addition of body mass index (BMI) and comorbidities to the model further weakened the relationship between CRP and FMS (AORs, respectively, for highest vs lowest CRP quartile=1.2 (CI 1.0,1.4) and 1.1 (CI 0.9, 1.3), suggesting that these factors may partially explain the observed associations. Study 2: In our sample of 301 WV chronic pain patients, 8% reported using herbs and 58.8% reported using other CHAs, including mind-body practices (28.9%),; acupuncture, manipulative treatments, massage, and/or movement therapies (28.1%), and non-herbal dietary supplements (53.6%). Herbal use in this sample was marginally, inversely associated with age (OR adjusted for education=0.97 (CI 0.94,1.01) and positively associated with education (OR adjusted for age=4.94 (CI 1.6,15.3); Herbal use also showed strong positive associations with use of other CHAs ( (AOR=11.5 (CI 1.5,87.9); specific CHA AORs ranging from 2.4 to 10.3). Use of other CHAs was marginally, inversely associated with age (OR adjusted for education/exercise=0.98 (CI 0.96,1.0), and significantly and positively associated with education and physical activity (AOR’s for Bachelor’s+ vs. <HS/GED= 2.7 (CI 1.1,6.4; Exercise per 30 min p/w increment = 1.14 (CI 1.01,1.3); concomitant use of other CHAs was significantly and positively associated with all CHA categories after adjustment for multiple confounders. Neither herbal use nor CHA use overall was associated with pain severity or use of prescription medications. Sensitivity analyses using multiple imputation did not appreciably change any observed associations. Study 3. Prevalence of diagnosed FMS was significantly higher in 2012 compared to 2007 (1.7% vs. 1.3%), whereas reported use of herbs declined from 57 to 41% for ever use (p <0.0001). In both nationally representative samples of US adults (NHIS 2007, 2012), adults with FMS were significantly more likely to use herbs at 30 days, 12 months, or ever relative to adults without FMS; these positive associations remained highly significant even after controlling for a broad array of demographic, lifestyle, and health-related factors (Ranges: 2007 AOR’s = 2.3 – 2.7; 2012 AOR’s = 1.5 – 1.6; p’s<.0001). Conclusion: Results of these studies suggest that 1) FMS is positively associated with serum CRP, an association that may be largely explained by obesity and comorbidity, suggesting the role of inflammation in this chronic pain syndrome may be complex 2) CHA use specifically for pain in chronic pain patients in northern WV is high, and although overall reported use of herbs for pain is low, many herbs were reported by those disclosing herbal use; and 3) the use of herbs is strongly and positively associated with FMS diagnosis. Further prospective research is needed to confirm these findings, to further explore the role of inflammation in FMS to further investigate the patterns and determinants of herbal and related CHA use in FMS and other chronic pain populations, including those in Appalachia and other poor, underserved areas. DEDICATION I dedicate my doctoral dissertation to my husband, Josh Feinberg. Thank you for your kindness and patience throughout this part of our lives together. Your love, strength, and firm resolve to help others continues to inspire me greatly. ACKNOWLEDGEMENTS I express heartfelt gratitude to my dissertation committee chair, Dr. Kim Innes, who is largely responsible for my evolution to research scientist through her continual insights, guidance, and support. I admire you greatly. Your engagement in the fields of Integrative Medicine and Epidemiology strengthen my resolve to make a difference through great research. I have always been grateful for your feedback, and truly appreciate every push to help me think more critically. Thank you. I would also like to thank and acknowledge all other committee members for the various ways they have influenced and shaped me throughout my dissertation. Dr. Dina Jones, you have inspired me with the way you combine intellectual curiosity with your desire to help people. Your public health interventions are fueled by this passion, and you have taught me essential skills which have helped me balance organization, curiosity, and focus for my research. Dr. Christa Lilly, you have been a cheerleader and supporter when you have not been teaching me about statistics. I am forever grateful for your open door, and hope to exemplify the kind guidance you bestow on all of your students in my career. Dr. Peter Giacobbi and Dr. Gil Ramirez, thank you for teaching me how to think critically in the fields of Nutritional Epidemiology and Integrative Health.
Load more

Recommended publications
  • An in Silico Study of the Ligand Binding to Human Cytochrome P450 2D6
    AN IN SILICO STUDY OF THE LIGAND BINDING TO HUMAN CYTOCHROME P450 2D6 Sui-Lin Mo (Doctor of Philosophy) Discipline of Chinese Medicine School of Health Sciences RMIT University, Victoria, Australia January 2011 i Declaration I hereby declare that this submission is my own work and to the best of my knowledge it contains no materials previously published or written by another person, or substantial proportions of material which have been accepted for the award of any other degree or diploma at RMIT university or any other educational institution, except where due acknowledgment is made in the thesis. Any contribution made to the research by others, with whom I have worked at RMIT university or elsewhere, is explicitly acknowledged in the thesis. I also declare that the intellectual content of this thesis is the product of my own work, except to the extent that assistance from others in the project‘s design and conception or in style, presentation and linguistic expression is acknowledged. PhD Candidate: Sui-Lin Mo Date: January 2011 ii Acknowledgements I would like to take this opportunity to express my gratitude to my supervisor, Professor Shu-Feng Zhou, for his excellent supervision. I thank him for his kindness, encouragement, patience, enthusiasm, ideas, and comments and for the opportunity that he has given me. I thank my co-supervisor, A/Prof. Chun-Guang Li, for his valuable support, suggestions, comments, which have contributed towards the success of this thesis. I express my great respect to Prof. Min Huang, Dean of School of Pharmaceutical Sciences at Sun Yat-sen University in P.R.China, for his valuable support.
    [Show full text]
  • Review Article Natural Product-Derived Treatments for Attention-Deficit/Hyperactivity Disorder: Safety, Efficacy, and Therapeutic Potential of Combination Therapy
    Hindawi Publishing Corporation Neural Plasticity Volume 2016, Article ID 1320423, 18 pages http://dx.doi.org/10.1155/2016/1320423 Review Article Natural Product-Derived Treatments for Attention-Deficit/Hyperactivity Disorder: Safety, Efficacy, and Therapeutic Potential of Combination Therapy James Ahn,1 Hyung Seok Ahn,2 Jae Hoon Cheong,3 and Ike dela Peña1 1 Department of Pharmaceutical and Administrative Sciences, Loma Linda University, Loma Linda, CA 92350, USA 2School of Medicine, Chungnam National University, Daejeon 301-747, Republic of Korea 3Department of Pharmacy, Sahmyook University, Seoul 139-742, Republic of Korea Correspondence should be addressed to Ike dela Pena;˜ [email protected] Received 9 November 2015; Revised 30 December 2015; Accepted 10 January 2016 Academic Editor: Daniel Fung Copyright © 2016 James Ahn et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Typical treatment plans for attention-deficit/hyperactivity disorder (ADHD) utilize nonpharmacological (behavioral/psychosocial) and/or pharmacological interventions. Limited accessibility to behavioral therapies and concerns over adverse effects of pharmacological treatments prompted research for alternative ADHD therapies such as natural product-derived treatments and nutritional supplements. In this study, we reviewed the herbal preparations and nutritional supplements evaluated in clinical studies as potential ADHD treatments and discussed their performance with regard to safety and efficacy in clinical trials. We also discussed some evidence suggesting that adjunct treatment of these agents (with another botanical agent or pharmacological ADHD treatments) may be a promising approach to treat ADHD.
    [Show full text]
  • Review Article Natural Compounds for the Management of Parkinson's
    Hindawi BioMed Research International Volume 2018, Article ID 4067597, 12 pages https://doi.org/10.1155/2018/4067597 Review Article Natural Compounds for the Management of Parkinson’s Disease and Attention-Deficit/Hyperactivity Disorder Juan Carlos Corona Laboratory of Neurosciences, Hospital Infantil de Mexico´ Federico Gomez,´ Mexico Correspondence should be addressed to Juan Carlos Corona; [email protected] Received 28 June 2018; Revised 31 October 2018; Accepted 11 November 2018; Published 22 November 2018 Guest Editor: Francesco Facchiano Copyright © 2018 Juan Carlos Corona. Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Parkinson’s disease (PD) is the second most common neurodegenerative disorder with an unknown aetiology. Te pathogenic mechanisms include oxidative stress, mitochondrial dysfunction, protein dysfunction, infammation, autophagy, apoptosis, and abnormal deposition of �-synuclein. Currently, the existing pharmacological treatments for PD cannot improve fundamentally the degenerative process of dopaminergic neurons and have numerous side efects. On the other hand, attention-defcit/hyperactivity disorder (ADHD) is the most common neurodevelopmental disorder of childhood and is characterised by hyperactivity, impulsiv- ity, and inattention. Te aetiology of ADHD remains unknown, although it has been suggested that its pathophysiology involves abnormalities in several brain regions, disturbances of the catecholaminergic pathway, and oxidative stress. Psychostimulants and nonpsychostimulants are the drugs prescribed for the treatment of ADHD; however, they have been associated with increased risk of substance use and have several side efects. Today, there are very few tools available to prevent or to counteract the progression of such neurological disorders.
    [Show full text]
  • Metabolic Enzyme/Protease
    Inhibitors, Agonists, Screening Libraries www.MedChemExpress.com Metabolic Enzyme/Protease Metabolic pathways are enzyme-mediated biochemical reactions that lead to biosynthesis (anabolism) or breakdown (catabolism) of natural product small molecules within a cell or tissue. In each pathway, enzymes catalyze the conversion of substrates into structurally similar products. Metabolic processes typically transform small molecules, but also include macromolecular processes such as DNA repair and replication, and protein synthesis and degradation. Metabolism maintains the living state of the cells and the organism. Proteases are used throughout an organism for various metabolic processes. Proteases control a great variety of physiological processes that are critical for life, including the immune response, cell cycle, cell death, wound healing, food digestion, and protein and organelle recycling. On the basis of the type of the key amino acid in the active site of the protease and the mechanism of peptide bond cleavage, proteases can be classified into six groups: cysteine, serine, threonine, glutamic acid, aspartate proteases, as well as matrix metalloproteases. Proteases can not only activate proteins such as cytokines, or inactivate them such as numerous repair proteins during apoptosis, but also expose cryptic sites, such as occurs with β-secretase during amyloid precursor protein processing, shed various transmembrane proteins such as occurs with metalloproteases and cysteine proteases, or convert receptor agonists into antagonists and vice versa such as chemokine conversions carried out by metalloproteases, dipeptidyl peptidase IV and some cathepsins. In addition to the catalytic domains, a great number of proteases contain numerous additional domains or modules that substantially increase the complexity of their functions.
    [Show full text]
  • Analytical Reference Standards
    Cerilliant Quality ISO GUIDE 34 ISO/IEC 17025 ISO 90 01:2 00 8 GM P/ GL P Analytical Reference Standards 2 011 Analytical Reference Standards 20 811 PALOMA DRIVE, SUITE A, ROUND ROCK, TEXAS 78665, USA 11 PHONE 800/848-7837 | 512/238-9974 | FAX 800/654-1458 | 512/238-9129 | www.cerilliant.com company overview about cerilliant Cerilliant is an ISO Guide 34 and ISO 17025 accredited company dedicated to producing and providing high quality Certified Reference Standards and Certified Spiking SolutionsTM. We serve a diverse group of customers including private and public laboratories, research institutes, instrument manufacturers and pharmaceutical concerns – organizations that require materials of the highest quality, whether they’re conducing clinical or forensic testing, environmental analysis, pharmaceutical research, or developing new testing equipment. But we do more than just conduct science on their behalf. We make science smarter. Our team of experts includes numerous PhDs and advance-degreed specialists in science, manufacturing, and quality control, all of whom have a passion for the work they do, thrive in our collaborative atmosphere which values innovative thinking, and approach each day committed to delivering products and service second to none. At Cerilliant, we believe good chemistry is more than just a process in the lab. It’s also about creating partnerships that anticipate the needs of our clients and provide the catalyst for their success. to place an order or for customer service WEBSITE: www.cerilliant.com E-MAIL: [email protected] PHONE (8 A.M.–5 P.M. CT): 800/848-7837 | 512/238-9974 FAX: 800/654-1458 | 512/238-9129 ADDRESS: 811 PALOMA DRIVE, SUITE A ROUND ROCK, TEXAS 78665, USA © 2010 Cerilliant Corporation.
    [Show full text]
  • Comparative Studies on Behavioral, Cognitive and Biomolecular Profiling of ICR, C57BL/6 and Its Sub-Strains Suitable for Scopolamine-Induced Amnesic Models
    Article Comparative Studies on Behavioral, Cognitive and Biomolecular Profiling of ICR, C57BL/6 and Its Sub-Strains Suitable for Scopolamine-Induced Amnesic Models Govindarajan Karthivashan 1, Shin-Young Park 1, Joon-Soo Kim 1, Duk-Yeon Cho 1, Palanivel Ganesan 1,2 and Dong-Kug Choi 1,2,* 1 Department of Biotechnology, College of Biomedical and Health Science, Konkuk University, Chungju 27478, Korea; [email protected] (G.K.); [email protected] (S.-Y.P.); [email protected] (J.-S.K.); [email protected] (D.-Y.C.); [email protected] (P.G.) 2 Nanotechnology Research Center, Department of Applied Life Science, College of Biomedical and Health Science, Konkuk University, Chungju 27478, Korea * Correspondence: [email protected]; Tel.: +82-43-840-3610 Received: 5 July 2017; Accepted: 1 August 2017; Published: 9 August 2017 Abstract: Cognitive impairment and behavioral disparities are the distinctive baseline features to investigate in most animal models of neurodegenerative disease. However, neuronal complications are multifactorial and demand a suitable animal model to investigate their underlying basal mechanisms. By contrast, the numerous existing neurodegenerative studies have utilized various animal strains, leading to factual disparity. Choosing an optimal mouse strain for preliminary assessment of neuronal complications is therefore imperative. In this study, we systematically compared the behavioral, cognitive, cholinergic, and inflammatory impairments of outbred ICR and inbred C57BL/6 mice strains subject to scopolamine-induced amnesia. We then extended this study to the sub-strains C57BL/6N and C57BL/6J, where in addition to the above-mentioned parameters, their endogenous antioxidant levels and cAMP response-element binding protein (CREB)/brain- derived neurotrophic factor (BDNF) protein expression were also evaluated.
    [Show full text]
  • Alzheimer's Disease 2
    J Chin Med 16(2-3): 63-87, 2005 63 PATHOGENESIS OF NEURODEGENERATIVE DISEASES AND THE EFFECT OF NATURAL PRODUCTS ON NITRIC OXIDE PRODUCTION IMPLICATING IN THESE DISEASES Yuh-Chiang Shen1†, Young-Ji Shiao1†, Yen-Jen Sung2 and Chuen-Neu Wang1 1National Research Institute of Chinese Medicine, Taipei, Taiwan 2Institute of Anatomy and Cell Biology, School of Medicine, National Yang-Ming University, Taipei, Taiwan (Received 11th April 2005, accepted 2nd August 2005) Nitric oxide (NO) is a free radical synthesized from L-arginine by three isoforms of NO synthase (NOS). NO is involved in a wide range of physiological functions. It functions as neurotransmitter by modulating the release of glutamate and the neurotransmission of N-methyl- D-aspartate (NMDA) receptor, as neuro-endothelial-derived relaxing factor through the action on guanylyl cyclase (sGC), and as inflammatory molecule in response to proinflammatory cytokines or bacterial endotoxin. NO is also implicated in multiple pathological conditions such as acute and chronic neurodegeneration. In spite of the different mechanisms of pathogenesis for these neurodegenerative diseases, NO may play a pivotal role in the pathological conditions of these diseases. Under pathological conditions, NO is produced either from activated neuronal NOS (nNOS) in neuron or inducible NOS (iNOS) in glial cells by increased intracellular calcium concentration through glutamate-NMDA receptor interaction or by inflammatory cytokine- mediated signaling pathway, respectively. NO and its toxic metabolite peroxynitrite (ONOO−) directly injure membrane integrity or impair mitochondrial function leading to DNA break, lipid peroxidation, and protein nitrosylation. These events consequently activate caspase-cascade or poly-(ADP-ribose) polymerase 1 (PARP) resulting in apoptotic or necrotic cell death.
    [Show full text]
  • Oroxylin A, a Classical Natural Product, Shows a Novel Inhibitory
    Pharmacological Reports Copyright © 2012 2012, 64, 11891199 by Institute of Pharmacology ISSN 1734-1140 Polish Academy of Sciences OroxylinA,aclassicalnaturalproduct,shows anovelinhibitoryeffectonangiogenesisinduced bylipopolysaccharide XiumingSong1,YanChen1,YajingSun1,BiqiLin2,YansuQin1,HuiHui1, ZhiyuLi1,QidongYou1, NaLu1, QinglongGuo1 1 StateKeyLaboratoryofNaturalMedicines,JiangsuKeyLaboratoryofCarcinogenesisandIntervention, ChinaPharmaceuticalUniversity,24Tongjiaxiang,Nanjing210009, P.R. China 2 SchoolofPharmacy,ChinaPharmaceuticalUniversity,Nanjing210009,P.R. China Correspondence: NaLu,e-mail:[email protected];QinglongGuo,e-mail:[email protected] Abstract: Background: There is an obvious relationship among angiogenesis and inflammation. From previous study, we learn that oroxylin A possesses anti-angiogenic activity in vitro and in ovo. It also has an inhibitory effect on inflammation. But whether oroxylin A sup- presses the inflammation-induced angiogenesis is still unknown. Our present study focuses on the role of oroxylin A in targeting LPS-inducedangiogenesis,inflammatoryandrelatedpathways. Methods: The effects of oroxylin A on angiogenesis were investigated by transwell assay, tube formation assay, rat aortic ring assay andchorioallantoicmembrane(CAM)model.Westernblottinganalysiswasusedtodetecttheexpressionofcertainproteins. Results: We found that oroxylin A inhibited LPS-induced migration and tube formation of human umbilical vein endothelial cells (HUVECs), as well as microvessel sprouting from rat aotric ring in vitro
    [Show full text]
  • Psychiatric Disorders and Polyphenols: Can They Be Helpful in Therapy?
    Hindawi Publishing Corporation Oxidative Medicine and Cellular Longevity Volume 2015, Article ID 248529, 16 pages http://dx.doi.org/10.1155/2015/248529 Review Article Psychiatric Disorders and Polyphenols: Can They Be Helpful in Therapy? Jana Trebatická1 and Zde^ka >uraIková2 1 Department of Child and Adolescent Psychiatry, Faculty of Medicine, Comenius University and Child University Hospital, 833 40 Bratislava, Slovakia 2Institute of Medical Chemistry, Biochemistry and Clinical Biochemistry, Faculty of Medicine, Comenius University, 813 72 Bratislava, Slovakia Correspondence should be addressed to Zdenkaˇ Duraˇ ckovˇ a;´ [email protected] Received 23 September 2014; Revised 6 February 2015; Accepted 10 February 2015 Academic Editor: Cristina Angeloni Copyright © 2015 J. TrebatickaandZ.´ Duraˇ ckovˇ a.´ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. The prevalence of psychiatric disorders permanently increases. Polyphenolic compounds can be involved in modulation of mental health including brain plasticity, behaviour, mood, depression, and cognition. In addition to their antioxidant ability other biomodulating properties have been observed. In the pathogenesis of depression disturbance in neurotransmitters, increased inflammatory processes, defects in neurogenesis and synaptic plasticity, mitochondrial dysfunction, and redox imbalance are observed. Ginkgo biloba, green tea, and Quercus robur extracts and curcumin can affect neuronal system in depressive patients. ADHD patients treated with antipsychotic drugs, especially stimulants, report significant adverse effects; therefore, an alternative treatment is searched for. An extract from Ginkgo biloba and from Pinus pinaster bark, Pycnogenol, could become promising complementary supplements in ADHD treatment.
    [Show full text]
  • An Analysis of the Effects of CARP-1/CCAR1 Functional Mimetics on Drug Efflux Transporters
    An analysis of the effects of CARP-1/CCAR1 functional mimetics on drug efflux transporters A thesis submitted to The University of Manchester for the degree of Master of Philosophy in the Faculty of Biology, Medicine and Health 2019 Shelley R Morris School of Health Sciences Division of Pharmacy and Optometry List of Contents List of Contents ............................................................................................................................. 2 List of Tables ................................................................................................................................. 7 List of Figures ................................................................................................................................ 8 List of Abbreviations ................................................................................................................... 10 Abstract ....................................................................................................................................... 13 Declaration .................................................................................................................................. 14 Copyright Statement ................................................................................................................... 15 Acknowledgements ..................................................................................................................... 16 The Author .................................................................................................................................
    [Show full text]
  • WO 2013/167743 Al 14 November 2013 (14.11.2013) P O P C T
    (12) INTERNATIONAL APPLICATION PUBLISHED UNDER THE PATENT COOPERATION TREATY (PCT) (19) World Intellectual Property Organization I International Bureau (10) International Publication Number (43) International Publication Date WO 2013/167743 Al 14 November 2013 (14.11.2013) P O P C T (51) International Patent Classification: AO, AT, AU, AZ, BA, BB, BG, BH, BN, BR, BW, BY, A61K 31/18 (2006.01) A61K 31/708 (2006.01) BZ, CA, CH, CL, CN, CO, CR, CU, CZ, DE, DK, DM, A61K 31/522 (2006.01) A61K 45/06 (2006.01) DO, DZ, EC, EE, EG, ES, FI, GB, GD, GE, GH, GM, GT, A61K 31/675 (2006.01) A61P 29/00 (2006.01) HN, HR, HU, ID, IL, IN, IS, JP, KE, KG, KM, KN, KP, A61K 31/7068 (2006.01) KR, KZ, LA, LC, LK, LR, LS, LT, LU, LY, MA, MD, ME, MG, MK, MN, MW, MX, MY, MZ, NA, NG, NI, (21) International Application Number: NO, NZ, OM, PA, PE, PG, PH, PL, PT, QA, RO, RS, RU, PCT/EP2013/059752 RW, SC, SD, SE, SG, SK, SL, SM, ST, SV, SY, TH, TJ, (22) International Filing Date: TM, TN, TR, TT, TZ, UA, UG, US, UZ, VC, VN, ZA, 10 May 2013 (10.05.2013) ZM, ZW. (25) Filing Language: English (84) Designated States (unless otherwise indicated, for every kind of regional protection available): ARIPO (BW, GH, (26) Publication Language: English GM, KE, LR, LS, MW, MZ, NA, RW, SD, SL, SZ, TZ, (30) Priority Data: UG, ZM, ZW), Eurasian (AM, AZ, BY, KG, KZ, RU, TJ, 12167771 .0 11 May 2012 ( 11.05.2012) EP TM), European (AL, AT, BE, BG, CH, CY, CZ, DE, DK, EE, ES, FI, FR, GB, GR, HR, HU, IE, IS, IT, LT, LU, LV, (71) Applicant: AKRON MOLECULES GMBH [AT/AT]; MC, MK, MT, NL, NO, PL, PT, RO, RS, SE, SI, SK, SM, Helmut-Qualtinger-Gasse 2, A-1030 Vienna (AT).
    [Show full text]
  • FMO3 Inhibitors for Treating Pain
    (19) TZZ ___T (11) EP 2 674 161 A1 (12) EUROPEAN PATENT APPLICATION (43) Date of publication: (51) Int Cl.: 18.12.2013 Bulletin 2013/51 A61K 31/675 (2006.01) A61K 31/4164 (2006.01) A61P 29/00 (2006.01) (21) Application number: 13174939.2 (22) Date of filing: 11.11.2011 (84) Designated Contracting States: • Neely, Graham Gregory AL AT BE BG CH CY CZ DE DK EE ES FI FR GB Sydney, 2015 (AU) GR HR HU IE IS IT LI LT LU LV MC MK MT NL NO • McManus, Shane PL PT RO RS SE SI SK SM TR 1030 Vienna (AT) Designated Extension States: • Nilsson, Henrik BA ME 1030 Vienna (AT) (30) Priority: 11.11.2010 EP 10190922 (74) Representative: Sonn & Partner Patentanwälte Riemergasse 14 (62) Document number(s) of the earlier application(s) in 1010 Wien (AT) accordance with Art. 76 EPC: 11781808.8 / 2 637 649 Remarks: •This application was filed on 03-07-2013 as a (71) Applicant: Akron Molecules GmbH divisional application to the application mentioned 1030 Vienna (AT) under INID code 62. •Claims filed after the date of receipt of the divisional (72) Inventors: application (Rule 68(4) EPC). • Penninger, Josef 1130 Vienna (AT) (54) FMO3 inhibitors for treating pain (57) The present invention relates to new therapies to treat pain and related diseases, as well as pharmaceutical compounds for use in said therapies. EP 2 674 161 A1 Printed by Jouve, 75001 PARIS (FR) EP 2 674 161 A1 Description [0001] The present invention relates to the field of method of treatment of pain and the provision of pharmaceutical compounds suitable for such treatments.
    [Show full text]