Picrorhiza kurrooa:一种前景看好的喜马拉雅药用植物,面临治疗研究和保护挑战

Ekta Rana, Y. Y. Sumthane, Indesh Attri, Bandana Dhiman
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摘要

Picrorhiza kurrooa 是一种生长在喜马拉雅山脉的多年生草本植物,多年来一直被阿育吠陀传统用作药物,其广泛的治疗用途在 Charaka Samhita、Sushurata Samhita、Ashtanga 等著名古籍中均有提及。这篇简短的综述论文着重介绍了属于车前草科的 P. kurrooa 的化学和植物学特征,重点是其生物活性成分,如鸢尾甙和葫芦素。药理研究发现 P. kurrooa(又名 "kutki")具有保肝、抗炎和抗氧化活性。在喜马拉雅地区,kutki 因其在阿姆奇人传统医药系统中的应用而闻名。目前正在对 P. kurrooa 的分子作用机制进行研究,本文将探讨其作用模式及其治疗的疾病,尤其是肝功能障碍、呼吸系统疾病、皮肤问题等。阻碍 PIC 研究发展的主要障碍包括缺乏有关活性化合物的知识、药代动力学问题和监管限制。要克服这些问题,可能需要采用多学科方法、创新配方技术、不同利益相关者之间的合作,同时对患者进行临床试验或对动物进行临床前试验,以便采用全球公认的标准证明其对疾病的疗效。令人鼓舞的是,临床前和临床研究都显示出了令人鼓舞的结果,不过还需要进行标准化工作和大规模试验,以确认作为库洛阿孢子虫治疗方法的安全性和有效性。在这个方向上取得进展肯定会大大有助于充分发挥库洛阿尾孢霉作为药物的优势,因为这也将推动其他疾病的新型治疗方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Picrorhiza kurrooa: A Promising Himalayan Medicinal Plant with Therapeutic Research and Conservation Challenges
Picrorhiza kurrooa is an herbaceous perennial plant that grows in the Himalayas, and for many years it has been used as a medicine in Ayurvedic tradition for its wide range of therapeutic applications which has been mentioned in renowned old texts like Charaka Samhita, Sushurata Samhita, Ashtanga etc. This short review paper highlights the chemical and botanical features of P. kurrooa which belongs to family Plantaginaceae with emphasis on its bioactive components such as iridoid glycosides and cucurbitacins. Pharmacological studies have found hepatoprotective, anti-inflammatory and antioxidant activities in P. kurrooa aka ‘kutki’ locally. In Himalayan region kutki is known for its use in traditional systems of medicine by amchies. Molecular mechanisms of action of P. kurrooa are under study currently and this paper looks at the mode of actions as well as diseases treated by it especially liver dysfunctions, respiratory conditions, skin problems among others. Among the main obstacles that impede development in PIC research are lack of knowledge regarding active compounds, pharmacokinetic issues and regulatory restrictions. Overcoming these problems may involve multidisciplinary approaches; innovative formulation techniques; cooperation among different stakeholders while conducting clinical trials on patients or preclinical tests involving animals in order to prove its efficacy against disease using globally acceptable standards. Encouragingly, both preclinical and clinical investigations show promising results although standardization should be done along with large-scale trials to affirm safety and effectiveness as a therapy approach for P. kurrooa. Progressing in this direction would certainly go a long way in exploiting the full benefits of P. kurrooa as a drug since this will also propel novel treatment options for other diseases.
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