The efficacy of complementary treatment with marshmallow (Althaea officinalis L.) on vulvovaginal candidiasis: A randomized double-blinded controlled clinical trial.

BACKGROUND: Vulvovaginal candidiasis is a common gynecologic infection, and recurring cases are yet incurable. This trial was based on Persian medicine to compare how effective marshmallow aqueous extract 4% plus clotrimazole 1% (CLOT-M) is compared to clotrimazole 1% vaginal creams on VVC. METHODS: This study randomly assigned 100 women with VVC into two groups. The target group (n = 50) was treated with CLOT-M while controls (n = 50) with clotrimazole vaginal creams for seven consecutive nights. Different VVC symptoms and signs, and yeast culture from vaginal discharge were evaluated as the outcome measures before the intervention and 7 and 30 days after. RESULTS: The efficacy of CLOT-M vaginal cream was assessed during the 1st and 2nd follow-ups, indicating a significant decrease in mean itching (P = 0.001 for both comparisons) and dyspareunia score (P = 0.001 and P = 0.04, respectively) as compared to treatment with clotrimazole vaginal cream. Moreover, after 7 days of the intervention, patients in the CLOT-M group experienced significant improvement in mean dysuria score compared to those in the control group (P = 0.001). Neither cream caused any significant adverse events. CONCLUSION: It seems that CLOT-M vaginal cream had a significant effect on the VVC symptoms improvement, without any significant side effects. However, larger sample-sized trials are needed for more evidence-based judgment.

Effects of saffron on homocysteine, and antioxidant and inflammatory biomarkers levels in patients with type 2 diabetes mellitus: a randomized double-blind clinical trial.

OBJECTIVE: Type 2 diabetes mellitus (T2DM) is one of the most common health problems worldwide. Studies have shown that saffron and its derivatives may have therapeutic potentials in T2DM through reducing plasma glucose. The present study aimed to evaluate the effects of saffron extract on serum anti-inflammatory and antioxidant variables in T2DM patients. MATERIALS AND METHODS: This was a double-blind randomized clinical trial conducted on 64 T2DM patients. Participants received either 15 mg of saffron or placebo capsules (two pills per day) for 3 months. Anthropometric indices, homocysteine, serum anti-inflammatory and antioxidant variables and dietary intake were assessed pre- and post-intervention. RESULTS: After 3 months of treatment, interleukin-6 (IL-6), and tumor necrosis factor (TNF-α) increased significantly in both group (p<0.05). No significant differences were observed for total antioxidant capacity (TAC), malondialdehyde (MDA), high sensitivity C-reactive protein (hs-CRP) and interleukin 10(IL-10) after the treatment period (p>0.05). Homocysteine decteased significantly in control group (p<0.05). CONCLUSION: Our results showed no improvement in homocystein levels, antioxidant status and inflammatory biomarkers in T2DM patients after treatment with saffron.

The Anti-melanogenesis Activities of Some Selected Brown Macroalgae from Northern Coasts of the Persian Gulf

Abstract Melanogenesis is a biological process which led to the synthesis of melanin pigment. Abnormal melanin production results in melasma, solar lentigo, post inflammatory melanoderma, etc. In this study, we examined the potential inhibitory effects of 17 brown macroalgae from Persian Gulf on melanogenesis. The effects of various concentrations (100, 250 and 500 µg/mL) of methanolic extracts of macroalgae belonging to four genera (including: Padina, Colpomonia, Cystoseira and Sargassum) were studied on oxidation of L-Dopa by mushroom tyrosinase. Subsequently, the activity of macroalgae with high inhibitory effect on monophenolase activity of mushroom tyrosinase and zebrafish was investigated using L-tyrosine as a substrate. Anti-melanogenesis effects of algae extracts were studied on zebrafish as an alternative in vivo model. Kojic acid was used as a positive control. All the tested macroalgae showed inhibitory effect on activities of diphenolase and monophenolase (of mushroom tyrosinase). P. boergesinii exhibited the most in vivo anti-tyrosinase activity compared with other samples. P. boergesenii inhibited zebrafish tyrosinase more potent than kojic acid (83% vs 50% inhibition for kojic acid). Moreover, it reduced melanin synthesis in zebrafish 42% (kojic acid: 50%).

Uses of complementary and alternative medicine in multiple sclerosis.

Multiple sclerosis (MS) is a chronic, disabling, recurrent demyelination of the central nervous system (CNS). It could affect different regions in the brain and spinal cord, and according to the domain which is affected, it could cause different symptoms such as motor, sensory, or visual impairment; fatigue; bowel, bladder, and sexual dysfunction; cognitive impairment; and depression. MS patients also face reduced quality of life. Drugs that are used in MS are not fully efficient and patients suffer from many symptoms and adverse effects. Today there is an increasing trend of using complementary and alternative medicine (CAM). People are more likely to use this type of treatment. Using appropriate lifestyle and CAM therapy can subside some of the symptoms and could improve the quality of life in these patients. Many people with MS explore CAM therapies for their symptoms. This review is aimed to introduce CAM therapies that could be used in MS patients.

Antioxidant Activity, Total Phenolics and Flavonoid Contents of some Edible Green Seaweeds from Northern Coasts of the Persian Gulf.

The antioxidant activity, contents of total phenolics and flavonoids were quantified in the methanolic extracts of four Ulva species (Ulva clathrata (Roth) C.Agardh, Ulva linza Linnaeus, Ulva flexuosa Wulfen and Ulva intestinalis Linnaeus) grown at different parts of northern coasts of the Persian Gulf in south of Iran. The seaweeds were collected from Dayyer, Taheri and Northern Ouli coasts in April 2011. Methanolic extracts of the seaweeds were assessed for their antioxidant activity using DPPH radical scavenging assay and was performed in a microplate reader. All species exhibited a DPPH radical scavenging activity, and among the species, Ulva clathrata demonstrated greater antioxidant potential with a low IC50 (0.881 mg mL(-1)) in comparison with those of the other species. Also the highest phenolic content (5.080 mg GAE g(-1)) and flavonoid content (33.094 mg RE g(-1)) were observed in U.clathrata. Total phenolic and flavonoid contents showed positive correlations with the DPPH radical scavenging activity (p < 0.01) and negative correlations with IC50 (p < 0.01).The results suggest that these edible green seaweeds possess antioxidant potential which could be considered for future applications in medicine, dietary supplements ,cosmetics or food industries.

Antioxidant properties of some filamentous green algae (Chaetomorpha Genus)

The antioxidant activity and the contents of total phenolics and flavonoids were quantified in the methanolic extracts of four Chaetomorpha species including C. aerea, C. crassa, C. linum and C. brachygona. Eight samples of Chaetomorpha plants were collected from five locations along the northern coasts of the Persian Gulf in south of Iran from December 2010 until October 2011. Methanolic extracts of the seaweeds were assessed for their antioxidant activity using DPPH radical scavenging assay. C. linum showed highest antioxidant potential with a relatively low IC50 (1.484 ± 0.168 mg mL-1), the highest flavonoid content (18.177 ± 2.238 mg RE g-1 ) and a relatively high content of phenolics (2.895 ± 0.415 mg GAE g-1) in comparison with the other species. C. crassa, which was collected from two different areas, showed lowest antioxidant activity and lowest phenolics and flavonoid contents than other species. Results revealed that IC50, total phenolics and flavonoid content were influenced by the time of collection and location. Also there were positive correlations between the phenolic and flavonoid contents with DPPH radical scavenging activity (p<0.01). The results suggested that some of these filamentous green seaweeds possessed antioxidant potential, which could be considered for future applications in medicine, food or cosmetic industries.

Antioxidant Properties of two Edible Green Seaweeds From Northern Coasts of the Persian Gulf.

BACKGROUND: Ulva genus, an edible seaweed, and an important food source in many south-east Asian countries is also recognized by its synonymous name as Enteromorpha. OBJECTIVES: This study was carried out to evaluate antioxidant activity, contents of total phenolics, and flavonoids of methanolic extracts of edible green seaweeds including Ulva clathrata (Roth) C. Agardh and three samples of Ulva prolifera O.F.Müller grown at different parts of Bushehr Province along the northern coasts of the Persian Gulf. MATERIALS AND METHODS: The seaweeds were collected from Bordekhoun, Northern Ouli, Taheri and Kangan coasts in December 2011. Methanolic extracts of the seaweeds were assessed for their antioxidant activity using DPPH (1,1-diphenyl-2-picrylhydrazyl) radical scavenging assay and was performed in a microplate reader. Total phenolics were determined by Folin-Ciocalteu reagent and flavonoid content was evaluated by colorimetric method. RESULTS: All samples showed antioxidant activity to various degrees. Ulva clathrata exhibited a high DPPH radical scavenging activity with a low IC50 (the half-maximal inhibitory concentration) (0.715 ± 0.078 mg. mL(-1)). The highest phenolic content (4.468 ± 0.379 mg GAE g(-1)) (gallic acid equivalent) and flavonoid content (45.577 ± 0.949 mg RE g-1) (rutin equivalent) were also observed in U .clathrata. The phenolic and flavonoid contents showed positive correlations with the DPPH radical scavenging activity and negative correlations with IC50 (P < 0.01). Besides, Results showed that there was a positive correlation between total phenolics and flavonoid content of extracts (P < 0.01). CONCLUSIONS: Strong positive and significant correlations between DPPH radical scavenging and phenolic and flavonoid contents showed that, phenolic compounds, including flavonoids are the main contributors of antioxidant activity in these Ulva species and variations in phenolics and flavonoid contents of the seaweed extracts may be due to the variation in physicochemical parameters such as salinity amongst the selected stations.

Spasmolytic effect of stachys lavandulifolia vahl. Crude methanolic extract and fractions on rat ileum.

The aim of this study was to investigate the effect of aerial parts of Stachys lavandulifolia Vahl. Extract on the rat ileum contractions. The crude extract was prepared by maceration method (90% methanol) followed by fractionating into chloroform, ethyl acetate, petroleum ether and water. In adult male Wistar rats, ileum was sectioned and mounted in tissue bath and their contractility was recorded is otonically. KCl (60 mM)- induced ileum contractions were attenuated by crude extract and its fractions. The most potent fraction was chloroformic fraction (CF) with IC50 0.018 ± 0.126 = mg/mL. In calcium-free Tyrode solution with high K(+,) the CF (0.01 - 0.04 mg/ml) attenuated CaCl2-induced contractions (p< 0.001). The CF (0.05-0.8 mg/mL) attenuated the carbachol-induced contraction (p<0.001). The CF antispasmodic effect was reduced by naloxone (as a non-selective opioid antagonist), not by propranolol and L-NAME as ß-adrenoceptors antagonist and nitric oxide synthase inhibitor respectively. It was concluded that S . . lavandulifolia can inhibit ileum contractility mainly via disturbing the calcium mobilization and partly by opioid receptors' activation. Our results may support the traditional usage of this herb for treating diarrhea.