Tumeric Extracts Containing Curcuminoids Prevent Experimental Rheumatoid Arthritis J Nat Prod. 2006 (March): Funk et al ,69 (3): 351 – 355 Department of Medicine, Pharmacology, Phytomedicine & Cell Biology University of Arizona, Tucson, USA. In Vivo Anti Arthritic Efficacy Intraperitoneal Curcuminoid Treatment on Lewis Mice. Purified curcuminoids (4 mg curcuminoids/kg/d) or vehicle alone ip injections were begun 4 days prior to SCW (Streptococcal Cell Wall Induced Arthritis) administration (n=11 animals/group) and continued on a daily basis until 10 days after SCW injection at which time treatment frequency decreased to 5 days/week. * p < 0.02. (Accelerated Study on Curcumin with inducement of arthritis and injection of compound) Item Lewis Mice n = 11 1 Control 2 Placebo % Inhibition of Acute Phase Inflammation -75% % Inhibition of Chronic Phase Inflammation -68% 0 % Inhibition 0 Drug Induced Suppression of Phosphorylase Kinase Activity Correlate with Resolution of Psoriasis as assessed by Clinical Histological and Immunohistochemical Parametres. British Journal of Dermatology 2000: M.C.Y Heng et al 143: 937 – 949. Division of Dermatology, Department of Medicine UCLA San Fernando Valley Program.VA Greater Los Angeles Healthcare System, CA 91343 USA. Phosphorylase Kinase is known to integrate multiple calcium/ calmodulin dependent signalling pathways that involved in cell migration and cell proliferation. This study shows elevated Phk activity correlated with psoriatic activities and evaluates the significance of drug induce suppression of PhK activity on psoriasis activity. Item Patients n = 10 1 Active Untreated Psoriasis are patients not responding to steroids & calcipotriol 2 % Improvement % Improvement 0% 0% Treatment with Curcumin Gel 1% for patients not responding to steroids, calcipotriol & methrotraxate 90% after 2 – 6 weeks n=5 50% - 85% after 3 – 8 weeks n=5 3 Treatment with Calcipotriol for patients not responding to steroids & tars 4 Patients with normal skin condition 70% - 80% after 4 – 6 months n=3 0% 50% – 65% 6 – 18 months n=7 0% A. Clinical Improvement Results for 2 groups of 10 active Psoriatic patients, treated with Curcumin (C) or calcipotriol (Cp). 100 C2(N=5) C1(N)=5 90 Cp1(N=3) 80 % Improvement 70 60 50 40 30 20 10 0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 71 72 73 Number of weeks from start of Tx C1 = Curcumin treated, 1st group response. C2 = Curcumin treated, 2nd group response. Expression of Transferrin Receptors and Parakeratosis in Untreated and Treated Psoriasis 100 90 80 % TRR+ Keratinocytes/ Parakeratosis B. Cp1 = calcipotriol treated, 1st group response. Cp2 = calcipotriol treated, 2nd group response. 70 Expression of TRR+ Receptors 60 50 98 Parakeratosis 40 30 60 20 10 20 7 3 2 3 0.5 0 Active Untreated Calcipotriol Treated Curcumin Treated Normal Skin Phosphorylase Kinase Activity in Untreated and treated Psoriatic Epidermis Phosphorylase Kinase Activity in Units/mg Protein 2000 1500 1000 1204 500 551 207 105 0 Active Untreated Calcipotriol Treated Curcumin Treated Normal Skin Density of Epidermal T-Cells per hpf (high power field) in Untreated and Treated Psoriasis Number of Epidermal CD8+ Cells per hpf 60 50 40 30 20 38.2 10 8.7 0.6 0 0 Active Untreated Calcipotriol Treated Curcumin Treated Normal Skin JPEN J Parenteral Enteral Nutr: 2008 Jul-Aug; 32(4):389-402. Epub 2008 Jun 9. Efficacy of parenteral nutrition supplemented with glutamine dipeptide to decrease hospital infections in critically ill surgical patients. Estívariz CF, Griffith DP, Luo M, Szeszycki EE, Bazargan N, Dave N, Daignault NM, Bergman GF, McNally T, Battey CH, Furr CE, Hao L, Ramsay JG, Accardi CR, Cotsonis GA, Jones DP, Galloway JR, Ziegler TR. Glutamine, the most abundant amino acid in the body, is thought to become conditionally essential in critical illness. Glutamine act as a carrier for inter-organ N (nitrogen), a preferred fuel for enterocytes and cells of the immune system and a precursor for glutathione. Mechanisms by which glutamine could improve recovery include attenuating oxidant damage and inflammatory cytokine production, reducing gut bacterial translocation and improving N (nitrogen) balance. Study was to determine whether glutamine-supplemented parenteral nutrition differentially affects nosocomial, blood stream and pneumonia infection rates in selected subgroups of SICU patients. Items 1 1.0g + 0.5g/kg/d Glutamine enriched Parenteral Nutrition given Nosocomial Infection n = 13 1.5g/kg/d Standard Parenteral Nutrition given Nosocomial Infection n = 36 % Improvement -63% 2 Blood Stream Infection n = 0 Blood stream Infection n = 7 -100% 3 Pneumonias Infection n = 6 Pneumonias Infection n = 16 -62.5% 40 1.5g/kg/d Std PN Number of Patients with Infections 35 1.0g+0.5g/kg/d Glutamine enriched PN 30 25 20 Improvement 63% 36 15 5 Improvement 62.5% Improvement 100% 10 16 13 7 0 6 0 Nosocomial Infections Blood Stream Infections American Journal of Therapeutics 14, 442-446 (2007) Pneumonias Infection Oregon Holly Grapes/Mahonia Aquifolium, rich in Psorberines, for the Treatment of Adult Patients With Atopic Dermatitis Howard Donsky, MD and Don Clarke, MD, American Journal of Therapeutics 14, 442 – 446 (2007) Study was conducted to determine the efficacy and safety of Oregon Holly Grape rich in psorberine extract cream in patients with Atopic Dermatitis for 12 weeks on 42 patients. Efficacy and safety was assessed using Eczema Area and Severity Index scores and a subject Reported Evaluation Treatment. Oregon Holly Grapes rich in psorberine inhibits the release of proinflammatory cytokines interleukin – 8, tumour necrosis factor α and interleukin – 2 that help reduce inflammation. The EASI scores decreased by 75%, 91% and 97% after 4, 8, 12 weeks of treatment with 30 respondents completing the study. Questions Much Worse Worse Same Better Much Better Effectiveness 0 ( 0%) 0 (0%) 2 ( 6.7%) 9 ( 63.3%) 19 (63.3%) Better & Much Better 28 (93.3%) Itching 0 ( 0%) 0 (0%) 5 (16.7%) 11 ( 36.7%) 14 ( 46.7%) 25 (83.4%) Rash Appearance State of Mind 0 ( 0%) 1 (3.3%) 1 (3.3%) 10 ( 33.3%) 18 ( 60%) 28 (93.3%) 0 (0%) 1 (3.3%) 12 ( 40%) 7 (23.3%) 10 ( 33.3%) 17 (23.3%) Social Activities Work Activities Sleep 0 (0%) 1 (3.3%) 22 (73.3%) 3 (10%) 4 ( 13.3%) 7 ( 23.3%) 0 (0%) 1 (3.3%) 20 ( 66.7%) 5 ( 16.7%) 4 (13.3%) 9 (30%) 0 (0%) 1 (3.3%) 16 (53.3%) 7 ( 23.3%) 6 ( 20%) 13 (43.7%) The response of Eczema Area and Severity Index (EASI) scores of patients treated with Oregon Holly Grapes/Mahonia Aquifolium, rich in Psoberines, for 12 weeks. 2.5 EASI Scores 2 1.5 1 0.5 0 0 2 4 6 8 10 12 Weeks The lower the EASI score indicates better patient response to medication. Patient responses to the subject reported evaluation of treatment form completed after 12 weeks of treatment with Oregon Holly Grapes/Mahonia Aquifolium, rich in Psoberines. 100 % 0f Patient responses 90 80 70 60 50 Worse 40 Same 30 Better 20 Better & Much Better 10 0 Effectiveness Itching Appearance of rash Evaluation parameter due to Treatment Sleep Treatment of Mild to Moderate Psoriasis with Oregon Holly Grapes/Mahonia Aquifolium, rich in psoberines – A double-blind, placebo-controlled study. Steven Bernstein, Howard Donsky, American Journal of Therapeutics 13, 121 – 126 (2006) Study was conducted to determine the efficacy and safety of Oregon Holly Grape rich in psorberine extract cream in patients with Mild to Moderate Psoriasis for 12 weeks in a randomized, double blind, placebo controlled clinical study involving 200 patients. Both control and placebo apply cream twice daily but placebo is without psorberine. Oregon Holly Grapes rich in psorberine inhibits the release of proinflammatory cytokines interleukin – 8, tumour necrosis factor α and interleukin – 2 that help reduce inflammation. Efficacy and safety was assessed using Psoriasis Area and Severity Index Scores (PASI) and Quality of Life Index (QLI). The PASI scores was evaluated base on Erythema (redness), Infiltration (thickness) and Desquamation (scaling). Control has 97 and placebo has 74 patients completing the study. Item Description Control Placebo % Improvement 1 PASI Score -3.58 -2.22 + 61% 2 QLI Score + 25.5 + 15.1 +68% PASI (Psoriasis Area & Severity Index) scores intent to treat population. 0 Average -0.5 Change in PASI Scores -1 -1.5 Active -2 Placebo -2.5 -3 -3.5 -4 Reduction in average PASI scores after 12 weeks Tx . QLI (Quality of Life Index) scores intent to treat population. วท=0.0095 30 Change in QLI Scores 25 20 Active 15 Placebo 10 5 0 Average Effect of BETA 1, 3/1, 6 GLUCAN on upper respiratory tract infection symptoms in marathon athletes. Shawn Talbott ©Journal of Sports Science and Medicine (2009) 8, 509-515 A placebo-controlled, double-blind study designed to evaluate the effect of Beta Glucans derived from yeast on upper-respiratory tract symptoms (URTI). Seventy-five marathon runners (35 men, 40 women) will self administer placebo, 250 mg or 500 mg of BETA 1,3/1,6 GLUCAN daily during 4 weeks post-marathon trial period. Heavy exercise is a physical stressor that results in measurable immune challenges with reductions in key immune system components such as neutrophils, natural killer cells, T cells and B cells. Beta Glucan have positive effects on leukocyte activity, which has been suggested to contribute to the increased resistance against infections. Item Duration Placebo number of patients with URTI 1 After 2 weeks 2 After 4 weeks 17 Beta Glucan 250mg & number of patients with URTI 8 Beta Glucan 500mg & number of patients with URTI 7 6 2 2 18 16 Number of Patients 14 12 10 Placebo with URTI 8 Beta Glucan 250mg with URTI 6 Beta Glucan 500mg with URTI 4 2 0 2 weeks 4 weeks Weeks after Treatment Superoxide dismutase (SOD), along with Catalase and Glutathione Peroxidase constitutes part of the body’s front line in antioxidant defences. These antioxidants help to maintain the physiological oxidant antioxidant balance to reduce oxidative stress. However, this balance can be disturbed by different factors, including aging, smoking, pollution, exposure to sunlight, infection and the subsequent immune response putting the body under oxidative stress. Oxidative stress can significantly contribute to the process of inflammation, which underpins autoimmune condition like rheumatoid arthritis, inflammation, metabolic syndrome and diabetes and neurodegenerative diseases. Superoxide Dismutase was studied in a trial utilizing induced oxidative stress in a randomized, double-blind, placebo-controlled clinical trial involving 20 men. Muth et al.assigned the volunteers (average age 31) to receive a daily dose of 1000 International Units (IU) of Superoxide Dismutase bind with wheat gliadin polymer (for better bioavailability) or placebo for 14 days prior to being exposed to hyperbaric oxygen (HBO) – pure oxygen at a pressure of 2.5 atmospheres – for 60 minutes. DNA damage that results in exposure to HBO was measured using the comet assay, and found to have significantly increased in the placebo group, while no significant changes were observed for the Superoxide Dismutase supplemented group. Measuring DNA Damage from exposure to Hyperbaric Oxygen (HBO) 3 Placebo Tail Moment 2.5 2 1.5 1 Placebo With SOD Before HBO Before HBO With SOD 0.5 0 After HBO After HBO The Protective role of Glutathione against oxidative DNA Damage Induced in Rat Kidney by Potassium Bromate (KBro3). Kimie Sai, et. al. Japan, Journal Cancer Research, 83, 45 – 51, January 1992. National Institute of Hygienic Science, 1 – 18 -1 Kamiyoga, Tokyo. The role of Glutathione in preventing Oxidative DNA damage in rat kidney after administration by potassium Bromate (KBro3) in male Fischer 344 rats. Potassium Bromate (KBro3) is a food additive known to induce rat renal cell tumour. Saline were use in Control, Glutathione (GSH) and Potassium Bromate (KBro3) to be intravenously administered in n =5 rats for each group. Rats’ Kidney were being analysed after 48 hours for the levels of Lipid Peroxidation in each group. Lipid peroxidation refers to the oxidative degradation of lipids. It is the process in which free radicals "steal" electrons from the lipids in cell membranes, resulting in cell damage. Glutathione demonstrated to protect against KBro3 induced oxidative DNA damage with no increase in Lipid Peroxidation Level. 100 90 Protective Role of Glutathione against Oxidative DNA Damage Lipid Peroxidation Level 80 70 60 50 40 30 20 10 0 Control Glutathione KBro3