EP1663271A1 - Use of gentiana lutea extracts as an antimicrobial agent - Google Patents
Use of gentiana lutea extracts as an antimicrobial agentInfo
- Publication number
- EP1663271A1 EP1663271A1 EP04765012A EP04765012A EP1663271A1 EP 1663271 A1 EP1663271 A1 EP 1663271A1 EP 04765012 A EP04765012 A EP 04765012A EP 04765012 A EP04765012 A EP 04765012A EP 1663271 A1 EP1663271 A1 EP 1663271A1
- Authority
- EP
- European Patent Office
- Prior art keywords
- extract
- use according
- infections
- gentiana lutea
- treatment
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Withdrawn
Links
- 240000003409 Gentiana lutea Species 0.000 title claims abstract description 34
- 235000002873 Gentiana lutea Nutrition 0.000 title claims abstract description 34
- 239000000284 extract Substances 0.000 title claims abstract description 33
- 239000004599 antimicrobial Substances 0.000 title description 5
- AVKUERGKIZMTKX-NJBDSQKTSA-N ampicillin Chemical compound C1([C@@H](N)C(=O)N[C@H]2[C@H]3SC([C@@H](N3C2=O)C(O)=O)(C)C)=CC=CC=C1 AVKUERGKIZMTKX-NJBDSQKTSA-N 0.000 claims abstract description 12
- 229960000723 ampicillin Drugs 0.000 claims abstract description 12
- 208000015181 infectious disease Diseases 0.000 claims abstract description 11
- 239000003814 drug Substances 0.000 claims abstract description 8
- 210000002345 respiratory system Anatomy 0.000 claims abstract description 8
- 239000000203 mixture Substances 0.000 claims abstract description 6
- 208000035143 Bacterial infection Diseases 0.000 claims abstract description 4
- 208000022362 bacterial infectious disease Diseases 0.000 claims abstract description 4
- 206010006451 bronchitis Diseases 0.000 claims abstract description 4
- 238000009472 formulation Methods 0.000 claims abstract description 3
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 claims description 14
- 238000002360 preparation method Methods 0.000 claims description 9
- 230000003115 biocidal effect Effects 0.000 claims description 7
- 201000009890 sinusitis Diseases 0.000 claims description 7
- 241000191967 Staphylococcus aureus Species 0.000 claims description 6
- 241000193998 Streptococcus pneumoniae Species 0.000 claims description 6
- 241000196324 Embryophyta Species 0.000 claims description 5
- 239000000463 material Substances 0.000 claims description 5
- 229940031000 streptococcus pneumoniae Drugs 0.000 claims description 5
- 206010042566 Superinfection Diseases 0.000 claims description 4
- 241000700605 Viruses Species 0.000 claims description 3
- 239000006161 blood agar Substances 0.000 claims description 3
- 201000010099 disease Diseases 0.000 claims description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 claims description 3
- 239000007922 nasal spray Substances 0.000 claims description 3
- 241001112696 Clostridia Species 0.000 claims description 2
- 241000192125 Firmicutes Species 0.000 claims description 2
- RJQXTJLFIWVMTO-TYNCELHUSA-N Methicillin Chemical compound COC1=CC=CC(OC)=C1C(=O)N[C@@H]1C(=O)N2[C@@H](C(O)=O)C(C)(C)S[C@@H]21 RJQXTJLFIWVMTO-TYNCELHUSA-N 0.000 claims description 2
- 150000001298 alcohols Chemical class 0.000 claims description 2
- 239000006071 cream Substances 0.000 claims description 2
- 201000006916 frontal sinusitis Diseases 0.000 claims description 2
- 238000002347 injection Methods 0.000 claims description 2
- 239000007924 injection Substances 0.000 claims description 2
- 238000004519 manufacturing process Methods 0.000 claims description 2
- 210000004086 maxillary sinus Anatomy 0.000 claims description 2
- 201000008836 maxillary sinusitis Diseases 0.000 claims description 2
- 229960003085 meticillin Drugs 0.000 claims description 2
- 239000002674 ointment Substances 0.000 claims description 2
- 239000003960 organic solvent Substances 0.000 claims description 2
- 238000007747 plating Methods 0.000 claims description 2
- 239000002798 polar solvent Substances 0.000 claims description 2
- -1 preferably ethanol Chemical class 0.000 claims description 2
- 238000000926 separation method Methods 0.000 claims description 2
- 239000007921 spray Substances 0.000 claims description 2
- 239000006188 syrup Substances 0.000 claims description 2
- 235000020357 syrup Nutrition 0.000 claims description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 2
- 239000008298 dragée Substances 0.000 claims 1
- 239000006196 drop Substances 0.000 claims 1
- 229940097496 nasal spray Drugs 0.000 claims 1
- 239000003826 tablet Substances 0.000 claims 1
- 230000000845 anti-microbial effect Effects 0.000 abstract description 5
- 230000000694 effects Effects 0.000 abstract description 4
- 241001465754 Metazoa Species 0.000 description 12
- 210000001331 nose Anatomy 0.000 description 11
- 230000028327 secretion Effects 0.000 description 8
- 230000001580 bacterial effect Effects 0.000 description 7
- UREBDLICKHMUKA-CXSFZGCWSA-N dexamethasone Chemical compound C1CC2=CC(=O)C=C[C@]2(C)[C@]2(F)[C@@H]1[C@@H]1C[C@@H](C)[C@@](C(=O)CO)(O)[C@@]1(C)C[C@@H]2O UREBDLICKHMUKA-CXSFZGCWSA-N 0.000 description 7
- 229960003957 dexamethasone Drugs 0.000 description 7
- 241000699670 Mus sp. Species 0.000 description 5
- 239000003242 anti bacterial agent Substances 0.000 description 5
- 238000010186 staining Methods 0.000 description 5
- 239000000126 substance Substances 0.000 description 5
- 229940088710 antibiotic agent Drugs 0.000 description 4
- 210000004877 mucosa Anatomy 0.000 description 4
- 206010061218 Inflammation Diseases 0.000 description 3
- 230000037396 body weight Effects 0.000 description 3
- 239000003795 chemical substances by application Substances 0.000 description 3
- 210000004081 cilia Anatomy 0.000 description 3
- 229940079593 drug Drugs 0.000 description 3
- 230000006698 induction Effects 0.000 description 3
- 230000004054 inflammatory process Effects 0.000 description 3
- 210000003695 paranasal sinus Anatomy 0.000 description 3
- 241000894006 Bacteria Species 0.000 description 2
- 239000009583 Sinupret Substances 0.000 description 2
- 238000010171 animal model Methods 0.000 description 2
- 244000052616 bacterial pathogen Species 0.000 description 2
- 230000000721 bacterilogical effect Effects 0.000 description 2
- 229940000425 combination drug Drugs 0.000 description 2
- 238000001035 drying Methods 0.000 description 2
- 238000000605 extraction Methods 0.000 description 2
- 238000001000 micrograph Methods 0.000 description 2
- 210000004400 mucous membrane Anatomy 0.000 description 2
- 230000007170 pathology Effects 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- 230000008961 swelling Effects 0.000 description 2
- NHBKXEKEPDILRR-UHFFFAOYSA-N 2,3-bis(butanoylsulfanyl)propyl butanoate Chemical compound CCCC(=O)OCC(SC(=O)CCC)CSC(=O)CCC NHBKXEKEPDILRR-UHFFFAOYSA-N 0.000 description 1
- 241001071795 Gentiana Species 0.000 description 1
- 201000005569 Gout Diseases 0.000 description 1
- 208000012902 Nervous system disease Diseases 0.000 description 1
- 208000025966 Neurological disease Diseases 0.000 description 1
- 206010030111 Oedema mucosal Diseases 0.000 description 1
- 241000283973 Oryctolagus cuniculus Species 0.000 description 1
- 102000004316 Oxidoreductases Human genes 0.000 description 1
- 108090000854 Oxidoreductases Proteins 0.000 description 1
- 229930040373 Paraformaldehyde Natural products 0.000 description 1
- 229930182555 Penicillin Natural products 0.000 description 1
- JGSARLDLIJGVTE-MBNYWOFBSA-N Penicillin G Chemical compound N([C@H]1[C@H]2SC([C@@H](N2C1=O)C(O)=O)(C)C)C(=O)CC1=CC=CC=C1 JGSARLDLIJGVTE-MBNYWOFBSA-N 0.000 description 1
- 206010035148 Plague Diseases 0.000 description 1
- 241000607479 Yersinia pestis Species 0.000 description 1
- 239000008186 active pharmaceutical agent Substances 0.000 description 1
- 230000000507 anthelmentic effect Effects 0.000 description 1
- 230000003110 anti-inflammatory effect Effects 0.000 description 1
- 230000004596 appetite loss Effects 0.000 description 1
- 239000003782 beta lactam antibiotic agent Substances 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 201000006549 dyspepsia Diseases 0.000 description 1
- 230000008378 epithelial damage Effects 0.000 description 1
- 206010016766 flatulence Diseases 0.000 description 1
- 229940124600 folk medicine Drugs 0.000 description 1
- 210000004051 gastric juice Anatomy 0.000 description 1
- 210000004907 gland Anatomy 0.000 description 1
- 239000001963 growth medium Substances 0.000 description 1
- 108091005708 gustatory receptors Proteins 0.000 description 1
- 210000003128 head Anatomy 0.000 description 1
- 239000000321 herbal drug Substances 0.000 description 1
- 238000010562 histological examination Methods 0.000 description 1
- 230000008595 infiltration Effects 0.000 description 1
- 238000001764 infiltration Methods 0.000 description 1
- 210000004969 inflammatory cell Anatomy 0.000 description 1
- 230000007794 irritation Effects 0.000 description 1
- 235000021266 loss of appetite Nutrition 0.000 description 1
- 208000019017 loss of appetite Diseases 0.000 description 1
- 210000003550 mucous cell Anatomy 0.000 description 1
- 239000012188 paraffin wax Substances 0.000 description 1
- 229920002866 paraformaldehyde Polymers 0.000 description 1
- 244000052769 pathogen Species 0.000 description 1
- 230000001717 pathogenic effect Effects 0.000 description 1
- 229940049954 penicillin Drugs 0.000 description 1
- 235000020030 perry Nutrition 0.000 description 1
- 230000000144 pharmacologic effect Effects 0.000 description 1
- 208000037920 primary disease Diseases 0.000 description 1
- 210000003296 saliva Anatomy 0.000 description 1
- 238000007447 staining method Methods 0.000 description 1
- 230000005477 standard model Effects 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 238000003786 synthesis reaction Methods 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 239000002132 β-lactam antibiotic Substances 0.000 description 1
- 229940124586 β-lactam antibiotics Drugs 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K36/00—Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
- A61K36/18—Magnoliophyta (angiosperms)
- A61K36/185—Magnoliopsida (dicotyledons)
- A61K36/51—Gentianaceae (Gentian family)
- A61K36/515—Gentiana
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
- A61P31/04—Antibacterial agents
Definitions
- the present invention relates to the use of an extract from Gentiana lutea (yellow gentian) for the treatment of bacterial infections as well as an antimicrobial agent as claimed in claim 7.
- Gentiana lutea is part of the applicant's fixed drug combination ® SINUPRET.
- the herbal drug combination has been used in inflammation of the upper and lower respiratory tract for decades. The effectiveness of the drug has been proven in several controlled clinical trials.
- Other active pharmaceutical ingredients of the above-mentioned fixed drug combination are Flores Primulae cum Calycibus, Herba Rumicis, Flores Sambuci and Herba Verbenae.
- antibiotics In addition, it is generally known to treat infections in humans and animals using synthetic or semi-synthetic antibiotics.
- the group of ⁇ -lactam antibiotics is known, which also includes penicillin and ampicillin. Due to their chemical nature and synthesis-related enantiomer mixtures, antibiotics of this type - in addition to increasing patient resistance to the application of chemical products - often have undesirable side effects.
- the present invention relates in particular to the use of an extract of plant material from Gentiana lutea (yellow gentian) for the manufacture of a medicament for the treatment of bacterial infections, which are selected from the group consisting of: infections with: Gram-positive bacteria, in particular clostridia, streptococci, preferably Streptococcus pneumoniae; and Staphylococcus aureus, preferably methicillin-resistant Staphylococcus aureus, particularly preferably Staphylococcus aureus NCTC 11940.
- the extract from Gentiana lutea can be used particularly advantageously for the treatment of infections of the upper and lower respiratory tract such as rhinosinusitis, in particular maxillary sinus and / or frontal sinusitis, and bronchitis.
- An advantageous use of the present invention is based on the use of the extract from Gentiana lutea for the treatment of bacterial superinfections of primary diseases caused by viruses.
- the present invention further relates to an antimicrobial agent which contains an extract of material from Gentiana lutea (yellow gentian).
- the agent, in particular medicament is extracted by extracting plant material, in particular roots, using organic solvents, in particular polar solvents, preferably alcohols, particularly preferably ethanol, in particular mixtures of ethanol with water, preferably 50% by volume of ethanol; or produced using supercritical CO2, the extract being obtained in a temperature range from 31 ° C to 90 ° C and a pressure range from 75 to 500 bar and the separation in a temperature range from 10 ° C to 50 ° C and a pressure range from 1 bar up to 74 bar.
- organic solvents in particular polar solvents, preferably alcohols, particularly preferably ethanol, in particular mixtures of ethanol with water, preferably 50% by volume of ethanol; or produced using supercritical CO2, the extract being obtained in a temperature range from 31 ° C to 90 ° C and a pressure range from 75 to 500 bar and the separation in a temperature range from 10 ° C to 50 ° C and a pressure range from 1 bar up to 74 bar.
- the agent can of course be produced in the usual galenical formulations, in particular coated tablets, tablets, drops of syrup, sprays, in particular nasal sprays, ointments, creams, but also as a preparation for injection.
- the antibiotic agent based on Gentiana lutea has at least the antibiotic effectiveness of ampicillin when plating mucosal samples on blood agar plates against Streptococcus pneumoniae.
- the extract from Gentiana lutea can be used, for example, orally in a dose of approximately 100 mg / kg to 1000 mg mg / kg, in particular approximately 200 mg / kg to 500 mg / kg, preferably approximately 300 mg / kg extract.
- the antimicrobial effect of the preparation according to the invention from the root of Gentiana lutea was demonstrated in a study in whole animals.
- the model used is the standard model according to Naclerio [Bomer et al .: Archives of Otolaryngology - Head and Neck Surgery, 1998].
- 1 shows a bar graph which shows the bacterial growth after an 8-day application of an extract from Gentiana lutea in comparison with the anti-inflammatory dexamethasone and the antibiotic ampicillin against an untreated control;
- FIG. 2 shows a bar graph which shows the loss of cilia of the nose and sinus mucosa after 8 days of application of dexamethasone and ampicillin against an untreated control;
- FIG. 3 shows a bar graph which shows the loss of cilia in the nose and sinus mucosa after 8 days of application of an extract from Gentiana lutea against an untreated control;
- FIG. 4 shows a bar graph which shows the measured secretion of the nasal and sinus mucosa after 8 days of application of dexamethasone and ampicillin against an untreated control;
- 5 is a bar graph which shows the measured secretion of the nose and sinus mucosa after 8 days of application of an extract from Gentiana lutea against an untreated control
- 6 is a microphotograph of a histological section (hematoxylin-eosin staining) of the nose and sinuses in black and white reproduction of animals treated with ampicillin;
- FIG. 7 shows a microphotograph of a histological section (Alcian blue Pas staining) of the nose and sinuses in black and white reproduction of animals treated with dexamethasone;
- FIG. 8 shows a photomicrograph of a histological section (hematoxylin-eosin staining) of the nose and sinuses in black and white reproduction of animals which were treated according to the invention with an extract from Gentiana lutea;
- FIG. 9 is a photomicrograph of a histological section (hematoxylin-eosin staining) of the nose and sinuses in black and white reproduction of animals that were sham-treated for control.
- mice with streptococcus pneumoniae, serotype 3 are locally infected by application of the pathogen into the nose. Exposure to the bacteria causes bacterial inflammation of the nose and sinuses in the animals - rhinosinusitis.
- mice were infected as described above.
- the mice were randomly assigned to different treatment groups.
- the groups consisted of at least 50 experimental animals.
- the mice were either sham-treated, with an extract from the root of Gentiana lutea, an antibiotic (ampicillin) or dexamethasone.
- the extract from the root of Gentiana radix was produced by means of extraction (ethanol concentration extracting agent 50% V ⁇ , room temperature, extraction time: 7 hours) and drying (drying time 20 hours, maximum product temperature 45C).
- the extract from the roots of Gentianae lutea was taken orally, the test substance was dissolved in a sugar solution.
- the concentration administered was 300 mg of extract per kg of animal body weight per day.
- the sham-treated animals only took the sugar solution without test substance.
- the application of the antibiotic 300 mg per kg of animal body weight per day was also administered orally.
- Dexamethasone (1 ⁇ g per kg animal body weight per day) was administered parenterally.
- the treatment started in parallel with the induction of bacterial rhinosinusitis.
- the duration of the sham treatment, the treatment with the extract from the root of Gentiana lutea and the treatment with the antibiotic were carried out for 4 and 8 days, respectively.
- Treatment with dexamethasone was given only once on the day of infection.
- Half of the animals were killed 4 days after induction of the infection, the other half were killed 8 days after the induction of infection.
- Samples of the left and right paranasal sinuses were removed with a sterile swab and spread directly onto blood agar plates and incubated under aerobic as well as anaerobic conditions at 37 C for 48 hours.
- the bacteria isolated were characterized using a Gram test and morphology.
- the oxidase test was carried out and the AP1 20 NE test (bioMerieux, France) was used for identification.
- the nose and paranasal sinuses were fixed in 4% paraformaldehyde, decalcified and embedded in paraffin.
- the entire complex was serially cut into 5 micron layers.
- the staining was carried out using two different staining methods, hematoxylin-eosin, Alcian blue-Pas.
- Inflammation of the upper respiratory tract (especially rhinosinusitis) and the lower respiratory tract (especially bronchitis) is primarily caused by viruses.
- superinfection with bacterial pathogens is typical of the diseases mentioned.
- the bacterium Streptococcus pneumoniae used in this model is one of the typical germs that cause a bacterial superinfection on the respiratory tract.
- Antibiotics especially the ampicillin used in this model, are among the therapeutic options in the treatment of infections of the upper and lower respiratory tract.
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- Health & Medical Sciences (AREA)
- Natural Medicines & Medicinal Plants (AREA)
- Life Sciences & Earth Sciences (AREA)
- General Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Medicinal Chemistry (AREA)
- Animal Behavior & Ethology (AREA)
- Chemical & Material Sciences (AREA)
- Pharmacology & Pharmacy (AREA)
- Mycology (AREA)
- Epidemiology (AREA)
- Medical Informatics (AREA)
- Microbiology (AREA)
- Biotechnology (AREA)
- Botany (AREA)
- Engineering & Computer Science (AREA)
- Alternative & Traditional Medicine (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Communicable Diseases (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Organic Chemistry (AREA)
- Oncology (AREA)
- Medicines Containing Plant Substances (AREA)
- Medicinal Preparation (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
Abstract
Description
Beschreibung Verwendung von Extrakten aus Gentiana lutea als antimikrobiell wirkendes Mittel Description Use of extracts from Gentiana lutea as an antimicrobial agent
Die vorliegende Erfindung betrifft eine Verwendung eines Extraktes aus Gentiana lutea (Gelber Enzian) zur Behandlung von bakteriellen Infektionen gemäß Anspruchl sowie ein antimikrobiell wirkendes Mittel gemäß Anspruch 7.The present invention relates to the use of an extract from Gentiana lutea (yellow gentian) for the treatment of bacterial infections as well as an antimicrobial agent as claimed in claim 7.
Zubereitungen aus der Wurzel von Gentiana lutea (gelber Enzian) werden seit langem in der Naturheilkunde bzw. Volksmedizin verwendet. Als Anwendungsgebiete sind die Pest, Gicht, bei neurologischen Erkrankungen und als Anthelmintikum überliefert. Gemäß Monografie (Datum d. Bekanntmachung:Preparations from the roots of Gentiana lutea (yellow gentian) have long been used in naturopathy and folk medicine. Plague, gout, neurological diseases and an anthelmintic have been handed down as areas of application. According to the monograph (date of publication:
, 11.11.1985, Datum der Veröffentlichung im Bundesanzeiger Nr.223; 14335: 30.11.1985, Korrektur: veröffentlicht im Bundesanzeiger 13.3.1990) der Kommission E des ehemaligen Bundesgesundheitsamtes (BGA, jetzt Bundesinstitut für Arzneimittel und Medizinprodukte, BfArM lauten die Indikationen für die Verwendung von Zubereitungen aus der Wurzel von Gentiana lutea wie folgt: „Verdauungsbeschwerden wie Appetitlosigkeit, Völlegefühl, Blähungen"., 11.11.1985, date of publication in Federal Gazette No.223; 14335: November 30, 1985, correction: published in Federal Gazette March 13, 1990 by Commission E of the former Federal Health Office (BGA, now the Federal Institute for Drugs and Medical Devices, BfArM) the indications for the use of preparations from the root of Gentiana lutea are as follows: " Indigestion such as loss of appetite, feeling of fullness, flatulence ".
Die Wurzel von Gentiana lutea ist Bestandteil der fixen Arzneimittelkombination ® SINUPRET der Anmelderin. Die pflanzliche Arzneimittelkombination findet bei Entzündungen der oberen und unteren Atemwege seit Jahrzehnten Anwendung. Die Wirksamkeit des Arzneimittels wurde in mehreren kontrollierten klinischen Studien belegt. Weitere arzneilich wirksame Bestandteile der genannten fixen Arzneimittelkombination sind Flores Primulae cum Calycibus, Herba Rumicis, Flores Sambuci und Herba Verbenae.The root of Gentiana lutea is part of the applicant's fixed drug combination ® SINUPRET. The herbal drug combination has been used in inflammation of the upper and lower respiratory tract for decades. The effectiveness of the drug has been proven in several controlled clinical trials. Other active pharmaceutical ingredients of the above-mentioned fixed drug combination are Flores Primulae cum Calycibus, Herba Rumicis, Flores Sambuci and Herba Verbenae.
Die bisher beschriebenen pharmakologischen Effekte von Zubereitungen aus der Wurzel von Gentiana lutea sind auf die in der Droge enthaltenen Bitterstoffe zurückzuführen. Über eine Reizung der der Geschmacksrezeptoren führen sie reflektorisch zu einer vermehrten Speichel- und Magensaftsekretion. Im Perry & Boyd-Modell im Kaninchen wurde eine Steigerung der Bronchialsekretmenge nachgewiesen.The pharmacological effects of preparations from the roots of Gentiana lutea described so far are due to the bitter substances contained in the drug. They cause irritation of the taste receptors reflectively to an increased saliva and gastric juice secretion. An increase in the amount of bronchial secretions was demonstrated in the Perry & Boyd model in rabbits.
Darüber hinaus ist es allgemein bekannt, Infektionen bei Mensch und Tier mittels synthetischer oder halbsynthetischer Antibiotika zu behandeln. Bekannt ist beispielsweise die Gruppe der ß-Lactam-Antibiotika, zu welcher auch Penicillin und Ampicillin gehören. Aufgrund ihrer chemischen Natur und synthesebedingter Enantiomerengemische haben derartige Antibiotika - neben zunehmendem Widerstand der Patienten gegenüber der Applikation chemischer Produkte - häufig unerwünschte Nebenwirkungen.In addition, it is generally known to treat infections in humans and animals using synthetic or semi-synthetic antibiotics. For example, the group of β-lactam antibiotics is known, which also includes penicillin and ampicillin. Due to their chemical nature and synthesis-related enantiomer mixtures, antibiotics of this type - in addition to increasing patient resistance to the application of chemical products - often have undesirable side effects.
Ausgehend vom Stand der Technik der kombinierten Verwendung von Extrakten aus Gentiana lutea in Form des bekannten SINUPRET ist es daher Aufgabe der vorliegenden Erfindung, eine antimikrobiell wirkendes Mittel auf Basis von Pflanzen zur Verfügung zu stellen, welches der Wirksamkeit von Ampicillin zumindest nahe kommt, jedoch weniger Nebenwirkungen als dieses aufweist.Starting from the prior art of the combined use of extracts from Gentiana lutea in the form of the known SINUPRET, it is therefore the object of the present invention to provide an antimicrobial agent based on plants which is at least close to the effectiveness of ampicillin, but less so Has side effects than this.
Die obige Aufgabe wird durch die Merkmale des Anspruchs 1 gelöst.The above object is achieved by the features of claim 1.
Die vorliegende Erfindung betrifft insbesondere Verwendung eines Extraktes aus Pflanzenmaterial von Gentiana lutea (gelber Enzian) zur Herstellung eines Medikamentes zur Behandlung von bakteriellen Infektionen, welche ausgewählt sind aus der Gruppe bestehend aus: Infektionen mit: Gram- positiven Bakterien, insbesondere Clostridien, Streptokokken, vorzugsweise Streptokokkus pneumoniae; sowie Staphylokokkus aureus, vorzugsweise Methizillin-resistente Staphylokokkus aureus, besonders bevorzugt Staphylokokkus aureus NCTC 11940.The present invention relates in particular to the use of an extract of plant material from Gentiana lutea (yellow gentian) for the manufacture of a medicament for the treatment of bacterial infections, which are selected from the group consisting of: infections with: Gram-positive bacteria, in particular clostridia, streptococci, preferably Streptococcus pneumoniae; and Staphylococcus aureus, preferably methicillin-resistant Staphylococcus aureus, particularly preferably Staphylococcus aureus NCTC 11940.
Es ist bevorzugt, den Extrakt aus Wurzeln, Blättern oder Stengeln von Gentiana lutea zu gewinnen. Besonders vorteilhaft kann der Extrakt aus Gentiana lutea zur Behandlung von Infekten der oberen und unteren Atemwege wie Rhinosinusitiden, insbesondere Sinusitis maxillaris und/oder Sinusitis frontalis, sowie von Bronchitis eingesetzt werden.It is preferred to extract the extract from roots, leaves or stems of Gentiana lutea. The extract from Gentiana lutea can be used particularly advantageously for the treatment of infections of the upper and lower respiratory tract such as rhinosinusitis, in particular maxillary sinus and / or frontal sinusitis, and bronchitis.
Eine vorteilhafte Verwendung der vorliegenden Erfindung liegt darin begründet, den Extrakt aus Gentiana lutea zur Behandlung von bakteriellen Superinfektionen von durch Viren bedingten Primärerkrankungen einzusetzen.An advantageous use of the present invention is based on the use of the extract from Gentiana lutea for the treatment of bacterial superinfections of primary diseases caused by viruses.
Die vorliegende Erfindung betrifft ferner ein antimikrobiell wirkendes Mittel, welches einen Extrakt aus Material von Gentiana lutea (gelber Enzian) enthält.The present invention further relates to an antimicrobial agent which contains an extract of material from Gentiana lutea (yellow gentian).
Für die Zwecke der vorliegenden Erfindung wird das Mittel, insbesondere Arzneimittel, durch Extraktion von Pflanzenmaterial, insbesondere Wurzeln, mittels organischer Lösungsmittel, insbesondere polarer Lösungsmittel, vorzugsweise Alkoholen, besonders bevorzugt Ethanol, insbesondere Mischungen von Ethanol mit Wasser, vorzugsweise 50 Volumen-% Ethanol; oder mittels überkritischem CO2 hergestellt, wobei der Extrakt in einem Temperaturbereich von 31 °C bis 90°C und einem Druckbereich von 75 bis 500 bar gewonnen wird und die Abscheidung in einem Temperaturbereich von 10°C bis 50°C und einem Druckbereich von 1 bar bis 74 bar erfolgt.For the purposes of the present invention, the agent, in particular medicament, is extracted by extracting plant material, in particular roots, using organic solvents, in particular polar solvents, preferably alcohols, particularly preferably ethanol, in particular mixtures of ethanol with water, preferably 50% by volume of ethanol; or produced using supercritical CO2, the extract being obtained in a temperature range from 31 ° C to 90 ° C and a pressure range from 75 to 500 bar and the separation in a temperature range from 10 ° C to 50 ° C and a pressure range from 1 bar up to 74 bar.
Das Mittel kann selbstverständlich in den üblichen galenischen Formulierungen, insbesondere Dragees, Tabletten, Tropfen Sirup, Sprays, insbesondere Nasensprays, Salben, Cremes aber auch als Präparat zur Injektion hergestellt werden.The agent can of course be produced in the usual galenical formulations, in particular coated tablets, tablets, drops of syrup, sprays, in particular nasal sprays, ointments, creams, but also as a preparation for injection.
Hierbei werden die im Stand der Technik üblichen Hilfsstoffe verwendet.The auxiliaries customary in the prior art are used here.
Erfindungsgemäß weist das antibiotische Mittel auf Basis von Gentiana lutea wenigstens die antibiotische Wrksamkeit von Ampicillin beim Ausplattieren von Schleimhautproben auf Blutagarplatten gegenüber Streptokokkus pneumoniae auf. Der Extrakt aus Gentiana lutea kann beispielsweise oral in einer Dosis von ca. 100 mg/kg bis 1000mg mg/kg, insbesondere ca. 200 mg/kg bis 500 mg/kg, vorzugsweise ca. 300 mg/kg Extrakt eingesetzt werden.According to the invention, the antibiotic agent based on Gentiana lutea has at least the antibiotic effectiveness of ampicillin when plating mucosal samples on blood agar plates against Streptococcus pneumoniae. The extract from Gentiana lutea can be used, for example, orally in a dose of approximately 100 mg / kg to 1000 mg mg / kg, in particular approximately 200 mg / kg to 500 mg / kg, preferably approximately 300 mg / kg extract.
Bislang sind antimikrobielle Eigenschaften für Zubereitungen aus der Wurzel von Gentiana lutea in der wissenschaftlichen Literatur nicht beschrieben.So far, antimicrobial properties for preparations from the roots of Gentiana lutea have not been described in the scientific literature.
Die antimikrobielle Wirkung der erfindungsgemäßen Zubereitung aus der Wurzel von Gentiana lutea wurde in einer Studie im Ganztier nachgewiesen. Bei dem verwendeten Modell handelt es sich um das Standardmodell nach Naclerio [Bomer et al.: Archives of Otolaryngology - Head and Neck Surgery, 1998].The antimicrobial effect of the preparation according to the invention from the root of Gentiana lutea was demonstrated in a study in whole animals. The model used is the standard model according to Naclerio [Bomer et al .: Archives of Otolaryngology - Head and Neck Surgery, 1998].
Weitere Vorteile und Merkmale der vorliegenden Erfindung ergeben sich aufgrund der Beschreibung von Ausführungsbeispielen sowie anhand der Zeichnung.Further advantages and features of the present invention result from the description of exemplary embodiments and from the drawing.
Es zeigt:It shows:
Fig. 1 Eine Balkengraphik, welche das Bakterienwachstum nach einer 8- tägigen Applikation eines Extraktes aus Gentiana lutea im Vergleich mit dem entzündungshemmenden Dexamethason und dem Antibiotikum Ampicillin gegen eine unbehandelte Kontrolle darstellt;1 shows a bar graph which shows the bacterial growth after an 8-day application of an extract from Gentiana lutea in comparison with the anti-inflammatory dexamethasone and the antibiotic ampicillin against an untreated control;
Fig. 2 eine Balkengraphik, welche den Cilienverlust der Nasen und Sinusschleimhaut nach 8-tägiger Applikation von Dexamethason und Ampicillin gegen eine unbehandelte Kontrolle darstellt;2 shows a bar graph which shows the loss of cilia of the nose and sinus mucosa after 8 days of application of dexamethasone and ampicillin against an untreated control;
Fig. 3 eine Balkengraphik, welche den Cilienverlust der Nasen und Sinusschleimhaut nach 8-tägiger Applikation eines Extraktes aus Gentiana lutea gegen eine unbehandelte Kontrolle darstellt;3 shows a bar graph which shows the loss of cilia in the nose and sinus mucosa after 8 days of application of an extract from Gentiana lutea against an untreated control;
Fig. 4 eine Balkengraphik, welche die gemessene Sekretion der Nasen und Sinusschleimhaut nach 8-tägiger Applikation von Dexamethason und Ampicillin gegen eine unbehandelte Kontrolle darstellt;4 shows a bar graph which shows the measured secretion of the nasal and sinus mucosa after 8 days of application of dexamethasone and ampicillin against an untreated control;
Fig. 5 eine Balkengraphik, welche die gemessene Sekretion der Nasen und Sinusschleimhaut nach 8-tägiger Applikation eines Extraktes aus Gentiana lutea gegen eine unbehandelte Kontrolle darstellt; Fig. 6 eine Mikrophotographie eines histologischen Schnittes (Hämatoxylin-Eosin-Färbung) von Nase und Nasennebenhöhlen in Schwarz-Weiß-Widergabe von Tieren, die mit Ampicillin behandelt wurden;5 is a bar graph which shows the measured secretion of the nose and sinus mucosa after 8 days of application of an extract from Gentiana lutea against an untreated control; 6 is a microphotograph of a histological section (hematoxylin-eosin staining) of the nose and sinuses in black and white reproduction of animals treated with ampicillin;
Fig. 7 eine Mikrophotographie eines histologischen Schnittes (Alcian- Blau-Pas-Färbung) von Nase und Nasennebenhöhlen in Schwarz- Weiß-Widergabe von Tieren, die mit Dexamethason behandelt wurden;7 shows a microphotograph of a histological section (Alcian blue Pas staining) of the nose and sinuses in black and white reproduction of animals treated with dexamethasone;
Fig. 8 eine Mikrophotographie eines histologischen Schnittes (Hämatoxylin-Eosin-Färbung) von Nase und Nasennebenhöhlen in Schwarz-Weiß-Widergabe von Tieren, die erfindungsgemäß mit einem Extrakt aus Gentiana lutea behandelt wurden; und8 shows a photomicrograph of a histological section (hematoxylin-eosin staining) of the nose and sinuses in black and white reproduction of animals which were treated according to the invention with an extract from Gentiana lutea; and
Fig. 9 eine Mikrophotographie eines histologischen Schnittes (Hämatoxylin-Eosin-Färbung) von Nase und Nasennebenhöhlen in Schwarz-Weiß-Widergabe von Tieren, die zur Kontrolle scheinbehandelt wurden.9 is a photomicrograph of a histological section (hematoxylin-eosin staining) of the nose and sinuses in black and white reproduction of animals that were sham-treated for control.
Bei dem genannten Modell werden BALB/c-Mäuse mit Streptokokkus pneumoniae, Serotyp 3, lokal durch Applikation des Erregers in die Nase infiziert. Durch die Exposition mit den Bakterien wird in den Tieren eine bakterielle Entzündung der Nase und Nasennebenhöhlen - eine Rhinosinusitis - hervorgerufen.In the model mentioned, BALB / c mice with streptococcus pneumoniae, serotype 3, are locally infected by application of the pathogen into the nose. Exposure to the bacteria causes bacterial inflammation of the nose and sinuses in the animals - rhinosinusitis.
In der hier beschriebenen Studie wurden die Mäuse wie oben beschrieben infiziert. Die Mäuse wurden randomisiert verschieden Behandlungsgruppen zugeordnet. Die Gruppen bestanden jeweils aus mindestens 50 Versuchs-Tieren. Die Mäuse wurden entweder scheinbehandelt, mit einem Extrakt aus der Wurzel von Gentiana lutea, einem Antibiotikum (Ampicillin) oder Dexamethason behandelt.In the study described here, the mice were infected as described above. The mice were randomly assigned to different treatment groups. The groups consisted of at least 50 experimental animals. The mice were either sham-treated, with an extract from the root of Gentiana lutea, an antibiotic (ampicillin) or dexamethasone.
Der Extrakt aus der Wurzel von Gentiana radix wurde mittels Extraktion (Ethanolkonzentration Extraktionsmittel 50% VΛ , Raumtemperatur, Dauer der Extraktion: 7 Stunden)und Trocknung (Trocknungszeit 20 Stunden, maximale Produkttemperatur 45C) hergestellt.The extract from the root of Gentiana radix was produced by means of extraction (ethanol concentration extracting agent 50% VΛ, room temperature, extraction time: 7 hours) and drying (drying time 20 hours, maximum product temperature 45C).
Die Aufnahme des Extraktes aus der Wurzel von Gentianae lutea erfolgte oral, die Prüfsubstanz war in einer Zuckerlösung gelöst. Die verabreichte Konzentration betrug 300 mg Extrakt pro Kg Körpergewicht Tier pro Tag. Die scheinbehandelten Tiere nahmen lediglich die Zuckerlösung ohne Prüfsubstanz ein. Die Anwendung des Antibiotikums (300 mg pro Kg Körpergewicht Tier pro Tag.) erfolgte ebenfalls oral. Dexamethason (1 μg pro Kg Körpergewicht Tier pro Tag) wurde parenteral appliziert.The extract from the roots of Gentianae lutea was taken orally, the test substance was dissolved in a sugar solution. The concentration administered was 300 mg of extract per kg of animal body weight per day. The sham-treated animals only took the sugar solution without test substance. The application of the antibiotic (300 mg per kg of animal body weight per day) was also administered orally. Dexamethasone (1 μg per kg animal body weight per day) was administered parenterally.
Die Behandlung begann jeweils parallel zur Induktion der bakteriellen Rhinosinusitis. Die Dauer der Scheinbehandlung, der Behandlung mit dem Extrakt aus der Wurzel von Gentiana lutea und die Behandlung mit dem Antibiotikum erfolgte jeweils für 4 bzw. 8 Tage. Die Behandlung mit Dexamethason erfolgte nur einmalig am Tag der Infektionssetzung. Die eine Hälfte der Tiere wurde 4 Tage nach Induktion der Infektion, die andere Hälfte wurde 8 Tage nach Infektionsinduktion getötet.The treatment started in parallel with the induction of bacterial rhinosinusitis. The duration of the sham treatment, the treatment with the extract from the root of Gentiana lutea and the treatment with the antibiotic were carried out for 4 and 8 days, respectively. Treatment with dexamethasone was given only once on the day of infection. Half of the animals were killed 4 days after induction of the infection, the other half were killed 8 days after the induction of infection.
Untersuchte ParameterExamined parameters
Bakteriologische UntersuchungenBacteriological tests
Proben des linken und des rechten Nasennebenhöhlensystems wurden mit einem sterilen Tupfer entnommen und direkt auf Blut-Agar-Platten verteilt und unter aeroben wie auch anaeroben Bedingungen bei 37 C für 48 Stunden inkubiert. Die isolierten Bakterien wurden mittels Gram-Test und Morphologie charakterisiert. Der Oxidase-Test wurde durchgeführt und der AP1 20 NE-Test (bioMerieux, Frankreich) zur Identifikation verwendet.Samples of the left and right paranasal sinuses were removed with a sterile swab and spread directly onto blood agar plates and incubated under aerobic as well as anaerobic conditions at 37 C for 48 hours. The bacteria isolated were characterized using a Gram test and morphology. The oxidase test was carried out and the AP1 20 NE test (bioMerieux, France) was used for identification.
Makroskopie Nach Dekapitierung der Mäuse wurde der makroskopische Befund der Nase und Nasennebenhöhlen dokumentiert. Folgende Kategorisierung der Befunde wurde verwendet:Macroscopy After decapitation of the mice, the macroscopic findings of the nose and paranasal sinuses were documented. The following categorization of the findings was used:
0 = unauffälliger / Normalbefund 1 = Schwellung der Schleimhaut0 = normal / normal 1 = swelling of the mucous membrane
2 = Schwellung und seröses Sekret2 = swelling and serous secretion
3 = mukoides oder mukopurulentes Sekret3 = mucoid or mucopurulent secretion
4 = eitriges Sekret Histologie (siehe Figuren 6 bis 9)4 = purulent secretion Histology (see Figures 6 to 9)
Die Nase und die Nasennebenhöhlen wurden in 4%igem Paraformaldehyd fixiert, dekalzifiziert und in Paraffin eingebettet. Der gesamte Komplex wurde seriell in Schichten von 5 mikrometer geschnitten. Die Färbung erfolgte mit zwei verschiedenen Färbemethoden, Hämatoxylin-Eosin, Alcian blau-Pas.The nose and paranasal sinuses were fixed in 4% paraformaldehyde, decalcified and embedded in paraffin. The entire complex was serially cut into 5 micron layers. The staining was carried out using two different staining methods, hematoxylin-eosin, Alcian blue-Pas.
Die folgenden Parameter wurden semiquantitativ untersucht: Schleimhaut-Ödem Epithelschädigung Entwicklung von Schleimzellen Schleimdrüsen Infiltration von EntzündungszellenThe following parameters were examined semi-quantitatively: Mucosal edema Epithelial damage Development of mucous cells Mucous glands Infiltration of inflammatory cells
ErgebnisseResults
Bakteriologische Untersuchungen Überraschenderweise fanden sich für die Zubereitung aus Wurzeln von Gentiana lutea antimikrobielle Wirkungen in dem beschriebenen Modell:Bacteriological studies Surprisingly, antimicrobial effects were found for the preparation from roots of Gentiana lutea in the model described:
Im Vergleich mit der scheinbehandelten Kontrolle zeigten alle genannten aktiven Behandlungsgruppen nach 4 Tagen ein tendenziell geringeres Bakterienwachstum auf den beschriebenen Wachstumsmedien. Nach 8 Tagen zeigten alle aktiven Behandlungsgruppen ein statistisch signifikant geringeres Bakterienwachstum (siehe Fig.1).In comparison with the sham-treated control, all of the active treatment groups mentioned showed a tendency towards less bacterial growth on the described growth media after 4 days. After 8 days, all active treatment groups showed a statistically significantly lower bacterial growth (see Fig. 1).
Makroskopische Untersuchungen Im Vergleich mit der scheinbehandelten Kontrolle zeigten alle genannten aktiven Behandlungsgruppen nach 8 Tagen ein statistisch signifikant geringere Pathologie des Sekretes bzw. der Nasenschleimhautverhältnisse (siehe Fig. 4 und 5). Histologische UntersuchungenMacroscopic examinations In comparison with the sham-treated control, all of the active treatment groups mentioned showed a statistically significantly lower pathology of the secretion or the nasal mucous membrane after 8 days (see FIGS. 4 and 5). Histological examinations
Im Vergleich mit der scheinbehandelten Kontrolle zeigten alle genannten aktiven Behandlungsgruppen nach 8 Tagen ein statistisch signifikant geringere Pathologie bezüglich des Verlust an Cilien (siehe Fig. 2 und 3 sowie Figuren 6 bis 9).In comparison with the sham-treated control, all the active treatment groups mentioned showed a statistically significantly lower pathology with regard to the loss of cilia after 8 days (see FIGS. 2 and 3 and FIGS. 6 to 9).
In dem krankheitsspezifischen Modell wurde erstmals eine antimikrobielle Wirkung einer Zubereitung aus der Wurzel von Gentiana lutea nachgewiesen. Diese sind den Effekten des Antibiotikums Ampicillin in dem gleichen Ganztier-Modell vergleichbar.In the disease-specific model, an antimicrobial effect of a preparation from the root of Gentiana lutea was demonstrated for the first time. These are comparable to the effects of the antibiotic ampicillin in the same whole animal model.
Infektbedingte Entzündungen der oberen Atemwege (insbesondere der Rhinosinusitis) und der unteren Atemwege (insbesondere der Bronchitis) entstehen primär durch Viren. Typisch für die genannten Erkrankungen ist jedoch eine Superinfektion mit bakteriellen Erregern. Der in diesem Modell verwendete Keim Streptokokkus pneumoniae gehört zu den typischen Keimen, die eine bakterielle Superinfektion an den Atemwegen hervorrufen.Inflammation of the upper respiratory tract (especially rhinosinusitis) and the lower respiratory tract (especially bronchitis) is primarily caused by viruses. However, superinfection with bacterial pathogens is typical of the diseases mentioned. The bacterium Streptococcus pneumoniae used in this model is one of the typical germs that cause a bacterial superinfection on the respiratory tract.
Antibiotika, insbesondere auch das in diesem Modell verwendete Ampicillin, gehören zu den therapeutischen Optionen in der Behandlung von Infekten der oberen und unteren Atemwege. Antibiotics, especially the ampicillin used in this model, are among the therapeutic options in the treatment of infections of the upper and lower respiratory tract.
Claims
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE10341579A DE10341579A1 (en) | 2003-09-09 | 2003-09-09 | Use of extracts of Gentiana lutea as an antimicrobial agent |
| PCT/EP2004/010079 WO2005025585A1 (en) | 2003-09-09 | 2004-09-09 | Use of gentiana lutea extracts as an antimicrobial agent |
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| EP1663271A1 true EP1663271A1 (en) | 2006-06-07 |
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| EP04765012A Withdrawn EP1663271A1 (en) | 2003-09-09 | 2004-09-09 | Use of gentiana lutea extracts as an antimicrobial agent |
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| US (1) | US20070184125A1 (en) |
| EP (1) | EP1663271A1 (en) |
| CN (1) | CN1849130A (en) |
| BR (1) | BRPI0414223A (en) |
| DE (1) | DE10341579A1 (en) |
| RU (1) | RU2006105260A (en) |
| WO (1) | WO2005025585A1 (en) |
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| DE102005053926B3 (en) * | 2005-11-11 | 2007-06-28 | Bionorica Ag | Use of antibacterial agent from mixture of plant drugs, comprises Rumex acetosa L.-family, Rumicis herba, Verbena officinalis, Sambucus nigra, Primula veris and Gentiana lutea, e.g. to treat infection on topical skin and mucous membrane |
| DE102007052223A1 (en) | 2007-10-31 | 2009-05-14 | Bionorica Ag | Hydrolysates of plant extracts and antibacterial agent containing them |
| AU2012298534B2 (en) * | 2011-08-19 | 2016-06-30 | Bionorica Se | Method for producing dry extracts |
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| US6355684B1 (en) * | 1990-10-11 | 2002-03-12 | Meryl J. Squires | Antimicrobial treatment for herpes simplex virus and other infectious diseases |
| US5837254A (en) * | 1996-11-14 | 1998-11-17 | Chen; Yu | Method of treating candida and cryptococcus fungal infections by administering gentian |
| AU771575B2 (en) * | 1998-08-06 | 2004-03-25 | Rutgers, The State University Of New Jersey | A method of identifying and recovering products exuded from a plant |
| FR2794600B1 (en) | 1999-06-01 | 2001-08-17 | Thomson Multimedia Sa | DATA TATTOO SYSTEM USING NEW TATTOO INSERTION AND DETECTION METHODS |
| US20020031559A1 (en) * | 2000-03-08 | 2002-03-14 | Liang Kin C. | Herbal suppositories |
| CN1175880C (en) * | 2002-08-27 | 2004-11-17 | 王汝芝 | Medicine for curing nasal sinusitis |
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2004
- 2004-09-09 WO PCT/EP2004/010079 patent/WO2005025585A1/en not_active Ceased
- 2004-09-09 BR BRPI0414223-3A patent/BRPI0414223A/en not_active Application Discontinuation
- 2004-09-09 RU RU2006105260/15A patent/RU2006105260A/en not_active Application Discontinuation
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| US20070184125A1 (en) | 2007-08-09 |
| WO2005025585A1 (en) | 2005-03-24 |
| BRPI0414223A (en) | 2006-10-31 |
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