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      Pharmacological basis for the medicinal use of polyherbal formulation and its ingredients in cardiovascular disorders using rodents

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          Abstract

          Background

          A compound herbal formulation (POL 4) has been used in the indigenous system of medicine to treat cardiometabolic disorders like diabetes and associated hypertension. POL 4 and most of its constituents have not been studied widely for its therapeutic use in hypertension. This study is aimed to determine the efficacy and possible insight into mechanism(s) for the medicinal use of POL 4 and its ingredients in hypertension.

          Methods

          The aqueous methanolic extracts of POL 4 (POL 4.Cr) and its components [ Cichorium intybus (Ci.Cr), Gymnema sylvestre (Gs.Cr), Nigella sativa (Ns.Cr) and Trigonella foenum graecum (Tfg.Cr)] were tested for blood pressure lowering activity in anaesthetized Sprague-Dawley rats. To assess the vasomodulatory effect, isolated tissue experiments were performed on rat aortic strips using isometric force transducer coupled with PowerLab data acquisition system.

          Results

          Administration of POL 4 to rats caused a dose-dependent (1–100 mg/kg) fall in mean arterial pressure (MAP) with maximum effect of 85.33 ± 1.76% at 100 mg/kg, similar to the effect of verapamil. All ingredients of POL 4 also decreased blood pressure with varying efficacy in following order Ns.Cr ≅ Ci.Cr > Tfg.Cr > Gs.Cr. In rat aortic preparations, POL 4 and its ingredients inhibited K + (80 mM)-induced contractions, Ci.Cr was the most potent followed by Ns.Cr > Tfg.Cr > Gs.Cr ≅ POL 4. Against phenylephrine (P.E) contractions, Ci.Cr and Tfg.Cr exhibited complete relaxation, while POL 4.Cr, Gs.Cr and Ns.Cr showed vasomodulatory effect. The Ca ++ antagonist activity was confirmed when POL 4 and its ingredients shifted Ca ++ concentrations-response curves to the right in a manner similar to that of verapamil. On baseline of rat aorta, the parent formulation and its ingredients (except Tfg.Cr) exhibited partially phentolamine (1 μM)-sensitive vasoconstriction.

          Conclusion

          These data show that POL 4 and its constituents possess blood pressure lowering activity mediated through inhibition of Ca ++ influx via membranous Ca ++ channels and receptor (α-adrenergic) operated pathways. Thus, this study provides a rationale to the medicinal use of POL 4 and its constituents in hypertension.

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          Most cited references46

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          Primary prevention of hypertension: clinical and public health advisory from The National High Blood Pressure Education Program.

          The National High Blood Pressure Education Program Coordinating Committee published its first statement on the primary prevention of hypertension in 1993. This article updates the 1993 report, using new and further evidence from the scientific literature. Current recommendations for primary prevention of hypertension involve a population-based approach and an intensive targeted strategy focused on individuals at high risk for hypertension. These 2 strategies are complementary and emphasize 6 approaches with proven efficacy for prevention of hypertension: engage in moderate physical activity; maintain normal body weight; limit alcohol consumption; reduce sodium intake; maintain adequate intake of potassium; and consume a diet rich in fruits, vegetables, and low-fat dairy products and reduced in saturated and total fat. Applying these approaches to the general population as a component of public health and clinical practice can help prevent blood pressure from increasing and can help decrease elevated blood pressure levels for those with high normal blood pressure or hypertension.
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            Hesperidin contributes to the vascular protective effects of orange juice: a randomized crossover study in healthy volunteers.

            Although numerous human studies have shown consistent effects of some polyphenol-rich foods on several intermediate markers for cardiovascular diseases, it is still unknown whether their action could be specifically related to polyphenols. We investigated the effect of orange juice and its major flavonoid, hesperidin, on microvascular reactivity, blood pressure, and cardiovascular risk biomarkers through both postprandial and chronic intervention studies. Twenty-four healthy, overweight men (age 50-65 y) were included in a randomized, controlled, crossover study. Throughout the three 4-wk periods, volunteers daily consumed 500 mL orange juice, 500 mL control drink plus hesperidin (CDH), or 500 mL control drink plus placebo (CDP). All measurements and blood collections were performed in overnight-fasted subjects before and after the 4-wk treatment periods. The postprandial study was conducted at the beginning of each experimental period. Diastolic blood pressure (DBP) was significantly lower after 4 wk consumption of orange juice or CDH than after consumption of CDP (P = 0.02), whereas microvascular endothelium-related reactivity was not significantly affected when measured after an overnight fast. However, both orange juice and CDH ingestion significantly improved postprandial microvascular endothelial reactivity compared with CDP (P < 0.05) when measured at the peak of plasma hesperetin concentration. In healthy, middle-aged, moderately overweight men, orange juice decreases DBP when regularly consumed and postprandially increases endothelium-dependent microvascular reactivity. Our study suggests that hesperidin could be causally linked to the beneficial effect of orange juice. This trial is registered at clinicaltrials.gov as NCT00983086.
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              Trends in ethnopharmacology

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                Author and article information

                Contributors
                abdulmalikkamran26@gmail.com
                (+92 21) 3493 0051 , hassan.mehmood@aku.edu , malikhassan.mehmood@gmail.com
                hajrachanna94@gmail.com
                drmsakhtar2013@gmail.com
                anwar.gilani@aku.edu
                Journal
                BMC Complement Altern Med
                BMC Complement Altern Med
                BMC Complementary and Alternative Medicine
                BioMed Central (London )
                1472-6882
                7 March 2017
                7 March 2017
                2017
                : 17
                : 142
                Affiliations
                [1 ]ISNI 0000 0001 0633 6224, GRID grid.7147.5, Natural Product Research Division, Department of Biological and Biomedical Sciences, Faculty of Health Sciences, Medical College, , The Aga Khan University, ; Stadium Road, P.O. Box 3500, Karachi, 74800 Pakistan
                [2 ]ISNI 0000 0004 0609 4693, GRID grid.412782.a, Faculty of Pharmacy, , University of Sargodha, ; Sargodha, 40100 Pakistan
                [3 ]ISNI 0000 0001 0633 6224, GRID grid.7147.5, , The Aga Khan University Medical College, ; Stadium Road, P.O. Box 3500, Karachi, 74800 Pakistan
                [4 ]Pakistan Council for Science and Technology, G-5/2, Islamabad, 44000 Pakistan
                Article
                1644
                10.1186/s12906-017-1644-0
                5341478
                28270141
                57bcf4d8-a03f-46ec-baf9-82337e2619f6
                © The Author(s). 2017

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 19 July 2016
                : 21 February 2017
                Funding
                Funded by: Department of BBS, Aga Khan University
                Categories
                Research Article
                Custom metadata
                © The Author(s) 2017

                Complementary & Alternative medicine
                pol4,antihypertensive,vasomodulatory,ca++ antagonist,α-adrenergic antagonist

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