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Chai Hu/COX2/Prostaglandins

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Jackie,

 

Thanks for the other references!

 

We are now swimming in biochem... out of my

depth for sure- understanding some MEDLINE

abstracts takes me hours... searching for reference

info etc. This would be a good discussion to take

to Chinese Herbal Medicine discussion list.

 

But some thoughts:

 

In the stomach prostaglandins help decrease acid production and help to

increase

the mucous protective barrier so that stomach cells are not damaged by acid.

 

If I remember right from pharmacology, COX2 has to do with inflam throughout

the body, COX1 with Stomach- any drug that inhibits COX2 (so far) also

affects COX1... I think there is a new one that isn't supposed to...

 

>From the first study (Huang Qin + Chai Hu):

" Saikosaponin a, b1 and d potently stimulated PGE2 release, while

saikosaponin b2 and c moderately

stimulated PGE2 release. "

Doesn't that sound like it's stimulating prostaglandins (PG) and not

inhibiting them? COX2 inhibitors block the pathway by which PG precursors

are produced. This says it moderately stimulated a type of PG.

 

BTW it might seem trite but since we are talking about isolated parts of one

plant in an herb formula, I wonder if any of the other parts they're not

studing might moderate any stomach-irritating effect IF there is one. We

don't know that either way, nor do we have the part of the story that led

them to isolate these parts of Chai Hu and not the others...?

 

The opaque one:

" The effects of these compounds on swelling

and other inflammatory parameters are described. In screening for in vitro

effects of saikosaponins on cellular systems generating cyclooxygenase (COX)

and lipoxygenase (LOX) metabolites, we observed that most saikosaponins

showed a significant effect. The action is more marked on LOX metabolite

LTC4. Our data support the inhibition of arachidonic acid metabolism as one

of the biochemical mechanisms that might be the rationale for the putative

antiphlogistic activity of these saikosaponins. "

 

Antiphlogistic=Reducing inflammation or fever; anti-inflammatory.

 

Tried to find info on LOX- not the bagel kind...

" Since aspirin inhibits cyclooxygenase, the arachidonic acid released from

membrane phospholipids may be shunted into the 5-lipoxygenase (LOX) pathway,

which form leukotrienes which cause bronchoconstriction, edema, and

chemotaxis. "

 

COX and LOX are 2 of 3 ways that arachadonic acid is converted to

eicosanoids... COX and LOX are enzyme systems. In the study above, they

were simply trying to find out if the anti-inflam effects of saikosaponins

involved COX or LOX. They found more of an effect on LOX than COX, so that

leads away from the Stomach.

 

In fact, it seems like an initial line can be drawn between COX and LOX

non-general effects to say COX affects ST and LOX affects L... just a

speculation.

 

A good quick resource on COX and LOX

http://medlib.med.utah.edu/block2/biochem/Rechsteiner/Rechsteiner%20Notes/MC

R4.html

 

B

 

 

 

Brian Benjamin Carter

Editor, The Pulse of Oriental Medicine

Columnist, Acupuncture Today

 

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This would be a good discussion to take

> to Chinese Herbal Medicine discussion list.

 

Where is that?

 

> In the stomach prostaglandins help decrease acid production and

help to

> increase

> the mucous protective barrier so that stomach cells are not damaged

by acid.

 

PGE2 do, yes.

>

> If I remember right from pharmacology, COX2 has to do with inflam

throughout

> the body, COX1 with Stomach-

 

Not per se - just 'housekeeping' one site described it as, rather

than 'inflammation'.

 

 

any drug that inhibits COX2 (so far) also

> affects COX1... I think there is a new one that isn't supposed to...

 

Yes, that's why most anti-inflammatories cause ulcers.

 

> Doesn't that sound like it's stimulating prostaglandins (PG) and not

> inhibiting them?

 

Yes, but that was tumour cells in vitro - bit of a leap to conclude

it protects stomachs!! It may do - I just don't know.

 

 

> BTW it might seem trite but since we are talking about isolated

parts of one

> plant in an herb formula, I wonder if any of the other parts

they're not

> studing might moderate any stomach-irritating effect IF there is

one.

 

This too I don't know - the other anti-ulcer action described for

bupleurum was a polysaccharide anti-oxident, but if that only had a

local effect, it would not last as long as any systemic anti-

inflammatory effect. Peony was also prescribed, and that inhibits

PGE2 in uterine tissue.

 

I think I can only judge by the reputation of the herb in such a

case - is it known as an anti-inflammatory that might be potentially

damaging to an active ulcer? It seems bupleurum is?

 

According to the USDA phyto-chemical database, which i suddenly

remembered, it also stimulates ACTH/cortisol - steroidal anti-

inflammatories. Maybe helpful in some conditions - but this horse has

a high cortisol already, and cortisol also increases gastric acidity -

so I just get nervous again.

 

> effects of saikosaponins on cellular systems generating

cyclooxygenase (COX)

> and lipoxygenase (LOX) metabolites, we observed that most

saikosaponins

> showed a significant effect. The action is more marked on LOX

metabolite

> LTC4.

>

> Antiphlogistic=Reducing inflammation or fever; anti-inflammatory.

>

> Tried to find info on LOX- not the bagel kind...

 

They are pro-inflammatory it seems - so that is a plus - it inhibits

pro-inflammatory LOX pathways more than COX pathways, which includes

the good guys - but it still has a 'significant effect' on those.

 

> In fact, it seems like an initial line can be drawn between COX and

LOX

 

I don't think so, from what I have gathered - I think they are both

in all tissues, it's just we want some of the COX ones in the stomach

particularly, and I think more so for a horse than a human. That also

worries me - Humans only produce acid when they eat, so would only

need a beneficial effect when they eat. Horses need a LACK of

detrimental effect all the time because they secrete acid all the

time.

 

I may be totally wrong - it may be that the balance in the end is

that it controls LOX inflammation in the ulcer, whilst promoting PGE2

far more than it inhibits COX1, and the overall net effect is good.

 

But I have a horse who was in such pain that we thought he was having

seizures - who needs it, IF another effective herb for liver

stagnation can be found? I don't know enough to know if bupleurum

is 'the only way'.

 

Anyway, I've asked Michael to think about it - all I can do is

express my concern, I just want to make sure someone is actually

thinking about this kind of thing - whatever has gone wrong up 'til

know has gone quite badly wrong so far!

 

Jackie

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