Effects of a polyherbal formulation on the quality of life and survival of patients with common upper gastrointestinal cancers: A randomized placebo-controlled trial.

OBJECTIVE: Previous clinical trials have suggested that herbal medicines can improve the quality of life (QOL) and survival of cancer patients. This study was aimed to evaluate the effects of a polyherbal compound (PHC, formulated as syrup) consisting of Allium sativum, Curcuma longa, Panax ginseng, and Camellia sinensis on the quality of life (QOL) and survival in patients with upper gastrointestinal cancers. MATERIALS AND METHODS: A randomized placebo-controlled trial was carried out on patients with esophageal or gastric cancer who had finished their oncological treatments. The patients were randomly assigned to PHC (n=20) or placebo (n=20) group. The PHC group was treated with the PHC for 12 weeks, while the placebo group received 70% sucrose syrup. The QOL was assessed at baseline and after 12 weeks. The patients were followed for up to 24 months to determine overall survival. RESULTS: PHC significantly improved cancer-related symptoms, physical performance, and psychological and social functions of the patients (p<0.05 for all cases). Death occurred in 33 and 22% of cases in the placebo and PHC group, respectively. The mean survival time was 16.8 months (95% CI: 12.8-20.9) in the placebo group and 21.4 months (95% CI: 19.1-23.6) in the PHC group but the difference was not statistically significant. CONCLUSION: The PHC improved cancer-related symptoms, physical performance, and psychological and social functions in patients with gastrointestinal cancers. It seems that this herbal compound has the potential to be used as a supplement in the management of cancer.

Antioxidative response of olive to air emissions from tire burning under various zinc nutritional treatments.

Uniform 2-year old seedlings of a commercial olive cultivar (Olea europaea L., cv. Mahzam) were exposed or unexposed to the air pollution from the controlled burning of waste tires. The plants were supplied with zinc sulfate (ZnSO4) or synthesized Zn(Glycine)2 (Zn-Gly) or unsupplied with Zn. Exposure to air pollution resulted in oxidative damage to the olive, as indicated by the higher production of malondialdehyde (MDA). Supplement with Zn partly alleviated oxidative damage induced by the air emissions on the olive. Leaf concentration of MDA was higher at the active period of tire burning than that of the inactive one. Exposure to the emissions from tire burning significantly increased leaf ascorbate peroxidase (APX) activity. Supplement with Zn increased APX activity in plants exposed to the air pollution. According to the results, Zn nutrition was effective in alleviating oxidative stress induced by air pollution on the olive. APX seemed to play a significant role in alleviating oxidative damages induced by air emissions from tire burning on the olive; however, the role of other antioxidant enzymes should be addressed in future studies.