WO1999021009A1 - Pharmaceutical grade saw palmetto, serenoa repens - Google Patents
Pharmaceutical grade saw palmetto, serenoa repens Download PDFInfo
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- WO1999021009A1 WO1999021009A1 PCT/US1998/022509 US9822509W WO9921009A1 WO 1999021009 A1 WO1999021009 A1 WO 1999021009A1 US 9822509 W US9822509 W US 9822509W WO 9921009 A1 WO9921009 A1 WO 9921009A1
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- saw palmetto
- bioactivity
- pharmaceutical grade
- extract
- botanical
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- 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)
- A61K36/88—Liliopsida (monocotyledons)
- A61K36/889—Arecaceae, Palmae or Palmaceae (Palm family), e.g. date or coconut palm or palmetto
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- G—PHYSICS
- G01—MEASURING; TESTING
- G01N—INVESTIGATING OR ANALYSING MATERIALS BY DETERMINING THEIR CHEMICAL OR PHYSICAL PROPERTIES
- G01N33/00—Investigating or analysing materials by specific methods not covered by groups G01N1/00 - G01N31/00
- G01N33/48—Biological material, e.g. blood, urine; Haemocytometers
- G01N33/50—Chemical analysis of biological material, e.g. blood, urine; Testing involving biospecific ligand binding methods; Immunological testing
Definitions
- the present invention relates generally to botanical materials and methods for transforming such materials into medicinally useful and pharmaceutically acceptable forms. More particularly, the present invention relates to the use of compositional and activity fingerprints in the processing of saw palmetto to produce botanical drugs which quality- as pharmaceutical grade compositions which are suitable for use in clinical settings to treat and/or ameliorate diseases, disorders and/or conditions.
- Plants have been, and continue to be. the source of a wide variety of medicinal compounds.
- various forms of botanically derived materials have been used to treat countless different ailments.
- the botanical materials have typically been in the form of powders made from one or more plants or plant parts or extracts derived from whole plants or selected plant parts. These powders and extracts are. for the most part, complex mixtures of both biologically active and biologically inactive compounds.
- Pharmaceutical grade drugs are advantageous in that they allow careful tracking of the effects of individual compounds in treatment protocols 1 urther. the dosage of the drug can be carefully controlled to provide relatively predictable medicinal action.
- a disadvantage of the relative purity of such pharmaceutical grade drugs is that the potential
- the Saw Palmetto is a small palm indigenous to the southern United States. In botanical preparations, the small brownish-colored berries have been used for many years to treat diseases of the bladder and the prostate. Extracts of the Saw Palmetto are prepared in variety of ways, typically, hexane extraction or supercritical carbon dioxide extraction.
- BPH benign prostatic hypertrophy
- SPB-extract lipid extract of Saw Palmetto berries.
- SPB-extract is nontoxic and has demonstrated few or no adverse side effects in clinical trials.
- saw palmetto extracts The mechanism of action of saw palmetto extracts (noted above) is not obvious; various investigators have presented evidence in support of. or in opposition to, several different mechanisms.
- Saw palmetto clearly does not behave the same as Finasteride (ProscarTM), which is a demonstrated systemic 5 -reductase inhibitor. Since Finasteride blocks conversion of testosterone to dihydroxytestosterone (DHT) in the circulation, its effect can be measured in serum as a decrease in serum DHT levels.
- DHT dihydroxytestosterone
- the first article includes specific information on the discovery of the North- American palm tree and its botanical characteristics.
- Serenoa repens belongs to the subfamily of Coryphoideae, and to the tribe of Corypheae.
- the name of the genus Serenoa was suggested by Hooker in memory of Sereno Watson (1826-1 92). an American botanist and the author of an authoritative book on the botany of California.
- the taxonomy of palms is confusing in the literature, and many names designate the same plant: Serenoa repens (Bartram) Small.
- S. serrulata Hook synonymous with Diglossophyllum serrulatum Wendl.
- S. arborescens Sarg. synonymous with Paurotis arborescens O.F. Cook and also with Acoelorraphe arborescens Becc.
- the saw palmetto Serenoa repens (Bartram) Small is a plant typical of the southeastern states of the United States, where it forms thick bushes, especially in coastal areas. The fruits are harvested when ripe, from September to November. They are shipped fresh or more or less dry for commercial distribution.
- another dwarf palm Sabal palmetto (Walter) Loddiges ex. J.A. & J.H. Schutes, lives in the regions where S repens grows. The distinction between the two species is based on different physical characteristics of the plants and fruit. The review continues with a comprehensive presentation of the chemical compounds of the drupe of S. repens. J. B.
- the berries of S. repens contain tannins, colorants, invert sugars, mannitol. and the phytosterols ⁇ - sitosterol. campesterol. stigmasterol and cycloartenol.
- the ⁇ -sitosterol is present in a relatively high concentration: 18.9 mg % as free ⁇ -sitosterol and 27.7 mg % as its glucoside.
- Source documents for the more commonly used extraction techniques are cited (e.g., for: ethanol. acetone, carbon dioxide at the supercritical state, and hexane).
- the second review paper states that saw palmetto extracts exert their therapeutic effect by interfering with hormonal metabolism and by virtue of their anti-inflammatory properties.
- the review discusses animal experimentation that elucidates the relationship between androgens and the prostate gland in benign prostate hyperplasia (BPH), including evidence for the involvement of 5 -reductase. It proceeds to describe toxicological studies at Pierre Fabre Medicament indicating that the S. repens lipidic sterolic hexane extract (i.e.. Permixon) is quite non-toxic: 10 ml/kg showed no adverse effects in rats or mice in acute tests.
- S. repens lipidic sterolic hexane extract from tablets, gelcaps and capsules was compared in the dog after radioactive labeling with tritium (internal studies, Pierre Fabre Medicament).
- the kinetics of the radioactive pool, measured in blood, in plasma, urine and f ⁇ ces. were followed for 120 hours after administration. No important differences were observed amongst the three dosage forms.
- S. repens extracts are good inhibitors of type 1 (epithelial ) 5 ⁇ -reductase. but in contrast to Finasteride. they are not selective inhibitors of type 2 (stromal ) 5 ⁇ -reductase). non-corticoid anti-inflammatory effects (carrageenan paw edema, reduction in capillary permeability caused by histamine). and the effects of S. repens extracts on c ⁇ clooxygenase and lipoxygenase pathways.
- This section reviews one or more mechanisms of action for the use of saw palmetto berry extracts in the treatment of benign prostatic hyperplasia (BPH). Discussed below are six papers involving 5 -reductase (both pro and con), four papers treating steroid receptor (androgen and estrogen) interactions, four papers on anti-inflammatory properties, and one each on immunomodulation and muscle relaxant mechanisms. Papers in each section are presented in reverse chronological order, by year.
- Delos S. et al. used both Finasteride (ProscarTM) and a lipid/sterol extract from Serenoa repens (LSESr). They found in all cultures. 80% of added testosterone was 0 converted to androstenedione by the enzyme 17 ⁇ -hydroxy steroid dehydrogenase (17 ⁇ - HSD). The amounts of testosterone converted to DHT by 5 ⁇ -reductase. on the other hand, were small (2-5% in BPH cells). 5 -reductase type 1 is confined to epithelial cells, and type 2 occurs predominantly in stromal cells.
- DHT formation in epithelial cells was inhibited more by 4-MA (a 5 -reductase inhibitor) than by Finasteride (ProscarTM).
- 4-MA a 5 -reductase inhibitor
- Finasteride ProscarTM
- LSESr inhibited the production of both DHT and androstenedione. suggesting it is an inhibitor of both 5 -reductase and 17 ⁇ -hydroxysteroid dehydrogenase (17 ⁇ -HSD).
- Breu W. et al. studied the anti-inflammatory activ ity of Sabal fruit extracts prepared with supercritical carbon dioxide (SG 291. e.g. Talso. I also uno). Breu W et al. Ar ⁇ neim- Forsch/Drug Res 1992:42:547-551. Specifically, the authors studied the inhibitory effects of SG 291 on the biosynthesis of inflammatory and edematous arachidonic acid metabolites produced by the cyclooxygenase (CO) and 5-lipoxygenase (5-LO) pathways. The IC 50 of SG 291 was found to be 28.1 ⁇ g/ml for CO, and 18 ⁇ g/ml for 5-LO.
- CO cyclooxygenase
- 5-LO 5-lipoxygenase
- Gutierrez M et al. described a muscle relaxant mechanism for the symptomatic relief of urinary dysfunction by extracts of Sabal serrulata fruit. Using rat uterus, urinary bladder, and aorta, they showed a reversal of agonist-induced in vitro smooth muscle contraction following exposure to Sabal serrulata extracts (Gutierrez M., Gen Pharmac
- ⁇ j _0 average by 37%. and nocturia by 54%.
- the number of patients with dysuria pain decreased from 75% to 37%. Furthermore, they found the efficacy of the drug "good to excellent” in more than 80% of the cases and tolerability "good to excellent” in more than 95% of the patients.
- Saw Palmetto is useful to treat and/or ameliorate BPH and/or urinary
- This invention provides a method for making a pharmaceutical grade of botanical drug, for example saw palmetto.
- the method is the process of PharmaPrintingTM.
- the method comprises the steps of: providing a botanical material of saw
- 25 palmetto which comprises a plurality of components which have a given biological activity; removing a representative aliquot from the botanical material; separating the aliquot into a plurality of marker fractions wherein each of the marker fractions comprises at least one of the active components; determining the degree of the given biological activity for each of the marker fractions to provide a bioactivity fingerprint of the aliquot; and comparing the
- bioactivity fingerprint of the aliquot to a bioactivity fingerprint standard which has been established for a pharmaceutical grade saw palmetto to provide a bioactivity fingerprint comparison to determine whether the botanical material is a pharmaceutical grade saw palmetto based on the bioactivity fingerprint comparison.
- This invention also provides a method comprising the steps of: providing a
- 3 botanical material of saw palmetto which has a given biological activity said botanical material comprising a plurality of components; separating a representative aliquot of the botanical material into a plurality of marker fractions wherein at least one of the marker fractions comprises at least one active component; determining the degree of the given biological activity for each of the marker fractions to provide a bioactivity fingerprint of the representative aliquot; and comparing the bioactivity fingerprint of the representative 5 aliquot to a bioactivity fingerprint standard which has been established for a pharmaceutical grade saw palmetto to determine whether the botanical material is a pharmaceutical grade saw palmetto.
- one or more of the marker fractions contain one active component.
- the method may also comprise the additional steps of: determining the amount of the active components in each of the marker fractions to provide a quantitative compositional fingerprint of the aliquot and comparing both the quantitative compositional and bioactivity fingerprints with a quantitative compositional and bioacti ty fingerprint standard to determine whether the botanical material is a pharmaceutical grade saw L palmetto.
- the method may also comprise the additional steps of: determining a total bioactivity of the aliquot of the botanical material and comparing the total bioactivity of the aliquot with that of a total bioactivity of a standard which has been established for a pharmaceutical grade saw palmetto.
- the invention also provides a method for making a pharmaceutical grade saw 0 palmetto, the method comprising the steps of: providing a botanical material of saw palmetto which comprises a plurality of components which ha ⁇ e a given biological activity and wherein each active component has a standardized bioactn profile: removing a representative aliquot from the botanical material; separating the aliquot into a plurality of marker fractions wherein each of the marker fractions comprises at least one of the active 5 components: measuring the amount of each of the active component(s) present in each of the marker fractions: calculating the bioactivity of each of the marker fractions based on the amount of each active component present and the standardized component bioactivity profile to provide a calculated bioactivity fingerprint of the aliquot: comparing the calculated bioactivity fingerprint of the aliquot to a bioactivity fingerprint standard which
- the method of the invention is useful to make a pharmaceutical grade botanical material, e.g.. saw palmetto from an appropriate botanical material which has a given or
- the botanical material is an extract made from plant material such as an aqueous or organic extract such as an alcoholic extract or a supercritical carbon dioxide extract or organic solvent extract which may be subject to further processing.
- the botanical material is a powdered plant material, a seed oil. an essential oil or the product of steam distillation.
- the botanical material is a homogeneous material in a single physical state, e.g.. an oil or a solution.
- the botanical material may be a pure material derived solely from the botanical of interest.
- saw palmetto may be combined with one or more botanical materials selected from: aloe, Asian ginseng, astragalus, bilberry, black cohosh, burdock, chamomile, chestnut, coriolus versicolor, couchgrass, crampbark, dandelion root, dong quai, echinacea, elecampane, evening primrose, eyebright. false unicorm root, feverfew, garlic, ginger, ginkgo, goldenseal, gota kola, grape seed extract, green tea. guggulipid, hawthorn, hops, ivy. kava. licorice, milk thistle, mistletoes (American. Asian and European varieties), motherwort.
- botanical materials selected from: aloe, Asian ginseng, astragalus, bilberry, black cohosh, burdock, chamomile, chestnut, coriolus versicolor, couchgrass, crampbark, dandelion root, dong qua
- the methods of the present invention for making pharmaceutical drugs encompass methods for
- saw palmetto may be combined with counch grass, stinging nettle root, pumpkin seeds, and/or pygeum.
- pharmaceutical grade saw palmetto may be combined with a pharmaceutical grade botanical material such as black cohosh or St. John's wort. See. for example.
- Example 32. pages 182-183: for pygeum. see Example 33, pages 183-185; for stinging nettle, see Example 36. pages 188-190; incorporated in its entirety by reference herein.
- the active components include, but are not limited to. one or more of the following chemical classes: acetogenins. alkaloids, carbohydrates, carotenoids, cinnamic acid derivatives, fatty acids, fatty acid esters, flavonoids, glycosides, isoprenoids. lipids, macrocyclic antibiotics, nucleic acids, penicillins, peptides, phenolics, polyacetylenes, polvketides, polyphenols, polysaccharides, proteins, prostaglandins. steroids and terpenoids.
- the bioactivity /clinical indication for the saw palmetto may be associated with a disease, disorder or condition of humans or other animals.
- the methods are useful to produce pharmaceutical grade saw palmetto for treatment and/or amelioration and/or prevention of human and/or veterinary diseases, disorders or conditions.
- Exemplary indications include, but are not limited to, alleviation of symptoms of benign prostatic hypertrophy.
- the aliquot may be separated into both biologically active and inactive components.
- the marker fractions may comprise a class of related components.
- This invention also provides a method of preparing a PharmaPrint® for a pharmaceutical grade botanical, e.g., saw palmetto. Furthermore, this invention provides for a pharmaceutical grade botanical, e.g.. saw palmetto prepared by the methods described herein.
- pharmaceutical grade when used in this specification means that certain specified biologically active and/or inactive components in a botanical drug must be within certain specified absolute and/or relative concentration range and/or that the components must exhibit certain activity levels as measured by a disease-, disorder- or condition-specific bioactivity assay.
- the disease, disorder or condition may afflict a human or an animal.
- the term "pharmaceutical grade” is not meant to imply that the botanical drug is applicable only to products which are regulated f° r example those provided under prescription, i.e.. "Rx” products or over the counter, i.e.. "OTC”.
- Rx products which are regulated f° r example those provided under prescription
- OTC over the counter
- the term is equally applicable to products provided as Rx. OTC or as a dietary supplement, i.e.. "DSHEA”.
- components means discrete compounds (i.e. chemicals) which either are present naturally in a botanical drug or have been added to the botanical drug so as to prepare a pharmaceutical grade botanical drug having components within a defined bioactivity range(s) and/or compositional range(s).
- active component(s) means one or more component(s) for which the summation of the individual component(s) activity in a disease-specific bioassay accounts for a substantial portion of the observed biological activity of the botanical material. Preferably, the summation of the active components' activities accounts for the majority or greater than 50% of the observed biological activity.
- fractions typically mean a group of components or class of structurally similar components having defined parameters such as solubility, molecular weight range, polarity range, adsorption coefficients, binding characteristics, chemical reactivity or selective solubility. Most frequently fractions will be the product of selective solvent solubility and partition techniques (i.e. liquid-liquid extraction) including pH dependent separations, chromatographic separation techniques, i.e., flash chromatography, preparative high performance liquid chromatography (HPLC), preparative gas chromatography, partition chromatography, preparative thin layer chromatography. affinity chromatography, size exclusion chromatography, liquid-liquid chromatography, e.g.. counter-current chromatography or centripetal or centrifugal chromatography.
- selective solvent solubility and partition techniques i.e. liquid-liquid extraction
- chromatographic separation techniques i.e., flash chromatography, preparative high performance liquid chromatography (HPLC), preparative gas chromatography, partition chromatography, preparative thin layer chromatography.
- FIG. 1 is a schematic representation of a procedure in accordance with the present invention which is used to establish standard chemical and/or bioactivity fingerprints against which subsequent processed botanical materials are compared during production of pharmaceutical grade drugs. 5
- FIG. 2 is a schematic representation of a procedure in accordance with the present invention which is used to process botanical materials into pharmaceutical grade drugs.
- FIG. 3 is a schematic representation of a procedure for isolating different classes of o biologically active components.
- FIG. 4 shows the result of the fractional analysis for Saw Palmetto from a commercially available product.
- the vertical axis is in weight/weight percent.
- the two axes are the fractions of the various fatty acids and fatty acid esters and the solvent system. 5
- FIG. 5 shows the chemical analysis of five different commercially available Saw- Palmetto products.
- the vertical axis is in weight/weight percent.
- the other axes are the fatty acids and fatty acid esters and the source material.
- FIG. 6 shows the fatty acid analysis of saw palmetto extracts prepared by ethanol. hexane or supercritical CO 2 extraction. The vertical axis is in weight/weight percent. The other axes are the fatty acids and fatty acid esters and the source material.
- FIG. 7 shows the ethyl ester analysis of saw palmetto extracts prepared by ethanol, 5 hexane or C0 2 extraction.
- the vertical axis is in weight/weight percent.
- the other axes are the fatty acids and fatty acid esters and the source material.
- FIG. 8 shows the mean value ⁇ SD (in weight weight %) of the components of various saw palmetto samples.
- the present invention provides a method for producing botanical drugs which may be classified as being of pharmaceutical grade.
- the method is designated PharmaPrintingTM.
- the pharmaceutical grade botanical drugs made by the method of the
- ⁇ j _0 present invention are particularly well-suited for use in clinical studies and more importantly for use in treatment of patients.
- the method insures that the drug being used for a particular protocol will be of consistent quality and consistently suitable for use as human and veterinary prophylactic or therapeutic agents.
- the present invention provides the ability to closely control the quality, dosage and
- One aspect of the present invention involves the establishment of the chemical and- or bioactivity fingerprint standards for various botanical materials. Once established, the fingerprint standards are used in drug production procedures to insure that the botanical materials meet pharmaceutical grade
- a sample of the botanical material of interest for example, saw palmetto
- Many botanicals are commercially available as the raw material or as a processed extract. Often it is a botanical extract or other composition which is intended for use as a drug.
- the processed material may include a plurality of active components which exhibit a 35 given biological activity and plurality of inactive components which do not directly exhibit the biological activity of interest.
- an aliquot is removed from the botanical material and subjected to a quality assurance or standardization procedure.
- the aliquot is a representative aliquot of a homogeneous botanical material.
- the procedure involves separating the aliquot of botanical material into a plurality of marker fractions wherein each of the marker fractions includes at least one of the active components or in some cases one of the inactive components.
- the amount of active component or inactive component in each of the marker fractions is determined in order to provide a quantitative finge ⁇ rint of the aliquot.
- the degree of biological activity for each of the marker fractions is also determined to provide a biological activity finge ⁇ rint for the aliquot.
- the chemical and/or biological activity finge ⁇ rints of the aliquot are then compared to corresponding finge ⁇ rints which have been established for a pharmaceutical grade drug. If the finge ⁇ rints of the botanical match the standard finge ⁇ rints. then the botanical is identified as a pharmaceutical grade botanical drug. If not. then the botanical may be modified so as to provide a match with the standard finge ⁇ rints or may be rejected.
- the method of developing a PharmaPrint® for a botanical when a range of putative active components is known begins with a literature review . It involves reviewing the chemical literature, the biological literature, the published bioassays and clinical data for the botanical. Particularly useful sources of information are the NAPRALERT computer database managed by Dr. Norman Farnsworth in the Program for Collaborative Research in the Pharmaceutical Sciences, University of Illinois. Chicago; Leung and Foster. Encyclopedia of Common Natural Ingredients Used in Food. Drugs and Cosmetics. 2nd Ed. John Wiley & Sons: New York. NY. 1996; Herbal Drugs and Phvtopharmaceuticals. ed. N.G. Bisset. CRC Press: Boca Raton. FL. 1994; Duke.
- an IC 50 curve (Inhibitory Concentration 50%).
- EC 50 Effective Concentration 50%
- K potassium d (dissociation constant of the enzyme and its inhibitor) curve
- a thorough chemical and biological analysis of both putative active components and chromatographic fractions of the botanical is then performed.
- the results are analyzed to prepare a quantitative analysis of the biological activity for each of the chemical components in the sample.
- the bioactivity of the sample as a whole is compared to the bioactivity of the individual components. At this point the individual chemical components can be correlated with a clinically relevant endpoint. Similar methodologies may be applied to bioassays measuring stimulatory or inhibitor)' effects.
- the components should, when combined, account for a substantial portion of the biological activity.
- the combined activity will account for at least 25% of the total activity.
- the summation of the individual active components' activities accounts for the majority or greater than 50% of the observed biological activity. More preferably, the isolated individual components are responsible for more than 70% of the activity. More preferable still, the isolated individual components are responsible for greater than 80% of the biological activity.
- Another consideration will be to select as few active components as possible to be part of the PharmaPrintTM. Fewer active components are important for practical considerations in raw material acceptance and manufacturing. In this invention, a correlation is established between the relevant chemical components and the bioactivity.
- the present invention may involve one of the following procedures.
- One procedure as schematically outlined in FIG. 1. involves establishing the compositional and bioactivity finge ⁇ rint standards for a given pharmaceutical grade botanical drug. Once the finge ⁇ rint standards are established, then the actual processing of the botanical into a pharmaceutical grade drug can be carried out as schematically outlined in FIG. 2.
- the initial step in establishing the chemical and or bioactivity finge ⁇ rint for a given botanical involves separating the extract or powder into one or more groups as represented by step 1 in FIG. 1. These groups are separated out and identified based on their potential as markers (which may or may not comprise active components) for the finge ⁇ rint which is to be established for the processed botanical material.
- putative components or groups of putative components which are chosen and identified as potential markers will vary widely depending upon the botanical being processed and the pharmaceutical use. There should be at least two putative markers selected for each botanical. The number of potential markers may be more than five and can be as high 15 to 20 or more for complex botanical extracts or powders. The potential markers are identified and selected, for the most part, based on their potential biological activity or contribution to biological activity for a given pharmaceutical application. For a different indication the same botanical may be used for preparing an extract with a different extraction procedure in order to optimize specific bioactive constituents. Markers which have no apparent biological activity by themselves may be separated out and may be included as markers for use in the finge ⁇ rint.
- proxy markers may be desirable as an internal standard where the markers' presence is indicative of other active components necessary to provide a substantial portion of the overall observed biological activity for the botanical drug. They also help to assure proper botanical identity of the drug (i.e., chemotoxonomy).
- the initial separation of the botanical into various groups of putative markers is accomplished by conventional separation techniques ranging from simple extraction and partition, to complex affinity chromatographic techniques, including gel filtration chromatography. flash silica gel chromatography and reverse phase chromatography.
- bioactivity of each of the markers is determined as depicted by step 2 in FIG. 1.
- the particular bioassay used to determine bioactivity of the botanical is chosen based upon the intended use for the botanical.
- the bioassay preferably will provide a reflection of the putative markers' bioactivity with respect to the condition or indication which is to be treated with the botanical.
- the bioassay results obtained in step 2 are used to identify the components having the desired bioactivity (step 3) and those which are less active or essentially inactive (step 4). Each of the groups identified in steps 3 and 4 is then analyzed quantitatively to determine the amount of each identified component present in each group.
- the results of the bioassays and quantitative compositional assays are then used to prepare a bioassay finge ⁇ rint and/or a chemical finge ⁇ rint for the botanical as depicted by step 5 in FIG. 1.
- acceptable ranges of bioactivity and/or chemical composition are determined. This is done primarily based upon establishing acceptable ranges of bioactivity and quantitative amounts for each marker which provide for the desired pharmacological activity of the processed material as a whole.
- various combinations of active and inactive marker fractions may be evaluated to establish potential increases in desired bioactivity resulting from combinations of the active and inactive components.
- the bioassay and quantitative finge ⁇ rints which are established in step 5 provide an accurate identification of the botanical which can be used in establishing the dosage regimens and treatment schedules which are necessary for clinical use.
- the dosage 5 regimens and treatment schedules are established using conventional clinical methods which are commonly employed when investigating any new drug.
- the processed material which is used to determine the dosage and treatment schedules must be matched with and meet the requirements of the finge ⁇ rints established in step 5. This method insures that the dosage and treatment schedules are effective and reproducible since the processed materials used in 0 the dosage and scheduling studies all have the same finge ⁇ rints in accordance with the present invention.
- the bioassay and quantitative finge ⁇ rints which are determined by the general procedure as set forth in FIG. 1 are used as part of the manufacturing procedure for producing pharmaceutical grade botanical drugs.
- the finge ⁇ rints are used as part of a _ 5 quality assurance or standardization procedure to insure that a given botanical contains the appropriate compounds and is processed correctly to pro ⁇ ide a botanical drug which will perform the same clinically as the material which has been standardized and tested in accordance with the procedure set forth in FIG. 1 .
- FIG. 2 An exemplary procedure for producing pharmaceutical grade botanicals in 0 accordance with the present invention is shown schematically in FIG. 2.
- the botanical of interest 21 is first processed by extraction, powdering or other manufacturing process to form a processed botanical material 22.
- a sample of the processed material 22 is then analyzed to establish whether or not it matches the fingerprint requirements established during the standardization procedure of FIG. 1. This quality assurance or standardization 5 procedure is depicted at 23 in FIG. 2. If the processed material meets the previously established finge ⁇ rint requirements for the particular material, then it is approved as being of pharmaceutical grade as represented by step 24. If the material is close, but does not quite match the standard finge ⁇ rint. then it is modified as required to match the finge ⁇ rint standards (step 25).
- the modification of the processed material to meet finge ⁇ rint o standards may be done by a variety of ways.
- the methods of further processing botanicals may include additional extraction of the botanical, selective extraction, selective processing, recombination of batches (e.g., mixing high and low dose batches to prepare the pharmaceutical grade material) or the addition of various compounds, as required. If the botanical is substantially outside the fmge ⁇ rint ranges for both bioactivity markers and 5 quantitative markers, then the batch is rejected (step 26).
- the quality assurance standardization step 23 used to determine if a given botanical is pharmaceutical grade involves obtaining a uniform sample, preferably a homogeneous sample, or aliquot of the botanical which is to be tested.
- the sample should include the active components which contribute to the observed biological activity of the material and produce the bioactivity and/or chemical finge ⁇ rint of the previously determined standard.
- the sample will also include one or more inactive components. Inactive components are those which may not have a direct measurable biological activity. Inactive components include the following categories: components with activity so low that they do not account for a substantial portion of the activity; components whose presence indicates the presence of other bioactive components and can act as proxy markers for these components; inactive components that are chemically or biologically inactive in the relevant assays.
- the sample is preferably only a small aliquot of the botanical material being tested. Accordingly, it is important that a uniform sample, preferably a homogeneous sample, be obtained which is representative of the entire batch of material.
- FIG. 3 A more detailed schematic is shown in FIG. 3 sho ing the initial separation of the different components present in an aqueous extract of a botanical. Sequential extraction and precipitation are used to isolate the active components in either the aqueous or the organic phase.
- the scheme in FIG. 3 is particularly well suited for separating the classes of water- soluble active components from a botanical such as mistletoe.
- FIG. 3 An exemplary general method for separating plants into major classes of chemical components is set forth schematically in FIG. 3. Primarily fresh plants (including leaves, roots, flowers, berries and stems) should be used, although dried materials may also be utilized. Specific plant parts, such as the leaves, flowers, stems or root may be used if desired.
- the specific part or whole plant may be frozen at liquid nitrogen temperature. This facilitates grinding and also preserves the integrity and potenc) of the active components.
- the pulverized powder is extracted with distilled water repeatedly. If desired, the extraction may be carried out with hot water, alcohol, other organic solvents, aqueous alcohol, dilute acetic acid or any combination thereof.
- the actual temperature chosen is preferably close to or at the boiling temperature of water. It is preferred that the overall bioactivity of the extract be initially determined.
- the combined extracts are subjected to a specific bioassay, e.g., a test for inhibiting the growth of bacteria in Petri dishes if the drug is to be used as an antibacterial.
- tests against cell cultures of cancer cells are conducted preferably if the drug is intended for use as an anticancer agent. From these data.
- bioactivity units contained in an extract per ml are calculated (bioactivity units are defined as the dilution number of this extract needed to inhibit 50% growth of bacterium or cancer cell in test system). Similarly bioactivity units for a stimulatory effect, e.g., immunostimulation can be calculated.
- the plant is extracted according to the procedure as set forth in FIG. 3 to separate it into major components (e.g. saponins, te ⁇ enoids, lipids, alkaloids, nucleic acids, proteins and carbohydrates).
- major components e.g. saponins, te ⁇ enoids, lipids, alkaloids, nucleic acids, proteins and carbohydrates.
- Each separated group of components is tested for bioactivity as needed. This may point to activity (e.g., in protein and alkaloid fractions as in Viscum album).
- the active class or classes of compounds are further separated into individual components by affinity chromatography, high performance liquid chromatography, gas chromatography or other chromatography. The components with major contribution towards biological activity are quantified on the basis of weight and specific bioactivity units.
- each fraction is analyzed to determine the amount of active component therein and provide a quantitative finge ⁇ rint of the sample.
- the quantitation of each fraction can be achieved using any of the known quantitative analysis methods. Exemplary quantitation methods include gravimetric analysis, spectral analysis or the use of quantitative detectors, such as those used in gas chromatography or high performance liquid chromatography and other separation systems. Other suitable quantitative analytical methods include analysis by enzymatic, radiometric. colorimetric, elemental analysis spectrophotometric.
- the results of the quantitative analysis of each fraction are used to prepare a quantitative finge ⁇ rint of the sample.
- the finge ⁇ rint is composed of the quantity of component in each of the marker fractions and the identity of the component.
- This quantitative finge ⁇ rint is then compared to the known standard finge ⁇ rint which has been established (FIG. 1) in order for the material to be considered as pharmaceutical grade. If the quantitative finge ⁇ rint of the sample falls within the range of quantities set forth for the pharmaceutical grade finge ⁇ rint, then the material may be identified as being of pharmaceutical grade.
- the individual marker fractions may be subjected to biological assays.
- the biological assays which are used to test the various fractions are the same as those used for the standard finge ⁇ rint and will also depend upon the particular clinical use intended for the material.
- the bioactivity finge ⁇ rint generated for the material is compared to the standard bioactivity finge ⁇ rint which has been established in order for the material to be considered as pharmaceutical grade. If the bioactivity finge ⁇ rint of the sample falls within the range of bioactivities set forth for the pharmaceutical grade finge ⁇ rint. then the material is identified as, and approved as, being of pharmaceutical grade.
- the method of developing a PharmaPrint® for a botanical when the putative active components are not known also begins with a literature review. It involves reviewing any chemical literature, biological literature, published bioassays or clinical data available for the botanical, or related botanicals, or for botanicals with related activities. Based on the disease state, a series of relevant bioassays is chosen. The activity of the total sample or extract is analyzed using bioassays. Those bioassays that show activity are then used to analyze fractions of the botanical for which the putative active components are not yet known. The fractionation is based on the usual methods, e.g.. separation by dielectric constant, biological affinity, polarity, size, solubility or abso ⁇ tive power.
- each active fraction is refractionated to isolate the individual putative active components, i.e., pure chemical compounds. Based on knowing the individual chemical compounds and knowing their quantitative biological activity, a quantitative potency curve may be drawn and the 50% inhibitory concentration (IC, n ) for each individual chemical component may be determined. If the putative active components are agonists, then other parameters (binding, activation, response) may be needed. In the general case, the bioassay will consist of appropriate tests of the stimulatory or inhibitory effects of the constituents, fractions or entire extract, followed by an appropriate quantitative evaluation of those effects.
- inhibition and/or stimulation by the subject material may be assessed and expressed typically via the determination of an IC 50 , EC 50 , etc. value, or other suitable measure (e.g., Kdon K d , K m , etc).
- the activities of individual putative active components are then totalled and that summation is compared to the activity in the unfractionated botanical sample. If these components account for a substantial portion of the activity, then one has an initial finge ⁇ rint of "active components" for the botanical where the active components were not known. 5.1.3 ADDITIONAL VARIATIONS ON THE METHOD OF DEVELOPING A PHARMAPRINT®
- any synergistic activity will be discovered. Once two fractions show synergy, they are then refractionated as above, and pairs of individual fractions or pairs of isolated components are studied to find the individual components that act synergistically. Three way comparisons of individual components or fractions may also be studied. What if the fractions have no activity in the bioassay in which the botanical shows activity? Here, the explanations include decomposition, synergy, or many active components such that no individual fraction shows activity. The first step would be to fractionate each initial fraction and see if active components appear in the bioassay.
- the botanical material may be processed to form an aqueous or organic extract of the whole plant or a selected part of the plant.
- the botanical material can also be processed in whole or part to form a powder.
- Many of the botanicals of interest are commercially available as powders, aqueous extracts, organic extracts or oils.
- extracts of the plant material are preferred because they are easier to dissolve in liquid pharmaceutical carriers.
- powdered plant materials are well-suited for many applications where the drug is administered in solid form, e g . tablets or capsules. Such methods are well known to those of skill in the art.
- many of the plant materials and/or extracts are available commercially.
- the processing and extracting of botanicals the following examples are provided. Additional examples are provided in the detailed description.
- a typical root it may be sliced, frozen or puh erized. If powdered it is then shaken with an appropriate solvent and filtered (Tanabe et al., 1991. Shoyakugaku Zassi, 45(4):316-320).
- the following methods are used: the root is homogenized, acetone extracted and filtered; the botanical may be steam distilled to obtain essential oils and the distillate dissolved in acetone-water or appropriate solvent: or the cut rhizomes are frozen and/or freeze-dried and the resulting powder acetone- water extracted (Tanabe et al., 1991, Shoyakugaku Zassi 45(4):321-326).
- Botanicals may also be processed as a paste or powder which may be cooked (Zhang et al., 1994, J. of Food Science 59(6): 1338-1343).
- solvents may be used to extract the dried botanicals, for example acetone, acetonitrile, dichloromethane, ethyl acetate, ethanol, hexane, isopropanol, methanol. other alcohols, and supercritical carbon dioxide (Sipro et al., 1990, Int. J. of Food Science and Technology 25:566-575 and references therein).
- the medicinal products are the seed oil or dried berries.
- a hexane or supercritical carbon dioxide extract is prepared.
- Many Saw Palmetto preparations are commercially available, for example PermixonTM or TalsoTM.
- supercritical carbon dioxide extraction of a botanical see Indena, European Patent No. 0 250 953 B 1.
- the botanical may be crushed and extracted with an appropriate solvent (90%) in a soxhlet (Elghamry et al., 1969, Experientia 25_(8):828-829).
- the botanical may also be ethanol extracted (Weisser et al., 1996. The Prostate 28:300-306).
- the dried material may be prepared in a variety of ways including freeze-drying, drying via microwave, cooling with liquid nitrogen and pulverizing; drying at 70°C under vacuum for a duration of 10 hours; or air-drying in the shade, or with forced heated air (List and Schmidt. Hagers Handbuch der Pharmazeutician für Kir. Springer-Verlag: New York, 1993, 1973-79; Araya et al., 1981, Journal of Comparative Pathology, 135-141). Teas, dilute aqueous extracts, also known as infusions, may be made in 60-100°C water (Nosel and Schilcher. 1990). Decoctions may also be utilized. Extraction is more efficient when the particle size is less than .25 mm (List and Schmidt.
- John's Wort two-fold increases of hypericin have been reported in oil preparations in which the material has been further extracted with alcohol, and mixed with the oil (Georgiev et al., 1983. Nauchni Tr.-Vissh Inst. Plovid. 30:175-183).
- an alcohol- water preparation may be prepared of the botanical (Dyukova. 1985, Farmitsiya 34:71-72; Georgiev et al.. 1985. Nauchni Tr.-Vissh Inst.
- Some botanicals such as St. John's Wort, are both temperature and light sensitive. 5
- the material should be dry packed with a refrigerant or shipped under refrigeration and protected from light and air.
- St. John's Wort hypericin content has been shown to drop significantly in powdered extract, tablet and juice preparations when stored at temperatures of 60°C-140°C for more than six weeks. Dry extracts stored at 20°C were found to remain stable for at least one year (Adamski et al.. 1971 , Farm. Pol.
- a tea may be prepared through processes of infusion or decoction. Teas are generally an effective means to extract water soluble components from dried or fresh botanicals. 25 Another common form of liquid botanical extract is a tincture. A botanical tincture is typically an alcoholic or hydroalcoholic solution prepared from a fresh or dried botanical.
- Tinctures of potent botanicals, and homeopathic mother tinctures may represent 10 g of botanical (dry weight) in 100 ml of tincture. Common botanicals have 20 g of 30 botanical represented in 100 ml of tincture. The respective ratios of dried botanical to solvent for these preparations are 1 :10 and 1 :5, respectively. While these concentrations have been officially recognized by the U.S. National Formulary it has become common for tinctures to be prepared in 1 :4, and other concentrations.
- tinctures may have a reduced microbial 35 load and longer shelf life. This is largely due to the presence of alcohol at 20% or greater concentrations in the extract. Occasionally liquid extracts are made with glycerin and water as the solvent. These glycerites usually need to have at least 50% glycerin present to inhibit microbial contamination. Glycerites may also be prepared from tinctures by evaporating off alcohol and "back adding" glycerin in its place.
- Fluid extracts are liquid preparations of botanicals that represent the medicinal properties of 1 g of dried botanical in 1 ml of extract. Official versions are made by the percolation process according to official monographs which determine the solvent to be used.
- Liquid extracts that are concentrated, usually through evaporation of the solvent, may form extracts that are oily, semi-solid or solid in nature.
- Dry powdered extracts may be prepared by the abso ⁇ tion of liquid extracts, oils, or semi-solids onto suitable carriers before solvent removal. Alternatively, dry powdered extracts may be prepared by direct removal of solvent from a liquid extract to provide a solid extract which can be powdered.
- the sample or aliquot is separated into the same plurality of marker fractions which are present in the standard finge ⁇ rint.
- Each of the marker fractions will include one or more of the activ e or inactiv e components.
- the marker fractions are established on an individual basis for each botanical material being tested. For some materials only a few marker fractions are required, f or other more complex materials, there may be numerous marker fractions. For example in mistletoe. Viscum album L. protein extract, the preferred protein marker fractions are those fractions which are separated based on the sugar binding affinity of the fraction.
- the solvent is removed and the material is dissolved in an appropriate medium for the bioassays.
- appropriate media include DMSO. ethanol, various detergents, water and an appropriate buffer. The choice of solvent will depend on the chemical nature of the component being analyzed and the compatibility with the assay system.
- Exemplary biological assays may include any cell proliferation assays, such as the measurement of L 1210 cell inhibition, immune activity or inhibition of critical enzyme which relates to specific diseases.
- Examples of other transformed cell lines which can be used for bioassays include HDLM-3 Hodgkin's lymphoma and Raji Burkitt's lymphoma.
- the results of the biological assays are used to prepare a bioactivity finge ⁇ rinting of the material.
- the finge ⁇ rint can be as simple as an assay of two selected marker fractions. Conversely, the finge ⁇ rint can include numerous different bioassays conducted on
- bioassays 15 numerous different fractions.
- the same assay may be conducted on different marker fractions. Also, different assays may be conducted on the same marker fraction.
- the combination of bioassays will depend upon the complexity of the given botanical material and its intended clinical use. The bioassays will be the same as those conducted in establishing bioactivity finge ⁇ rint of the standard material.
- Enzymatic and receptor based assays are preferable in the practice of this invention.
- Assays are chosen either based on accepted enzymatic assays for a clinical disorder or they are chosen from relevant assays for a given clinical disorder. It is important to choose
- a bioassay should be rugged, that is reproducible over time and show a quantitative dose response over a wide concentration range.
- An issue faced with a botanical for which the active components are not known is the choice of a relevant bioassay.
- the human therapeutic use will serve as a guide to pick assays known in the art based on possible mechanisms of action. The mechanism of
- the array of bioassays might include adrenergic receptors, cholinergic receptors, dopamine receptors, GABA receptors, glutamate receptors, monoamine oxidase. nitric oxide synthetase, opiate receptors, or serotonin receptors.
- the array of assays may include adenosine A, agonism and antagonism; adrenergic ,, ⁇ 2 , ⁇ , agonism and antagonism: angiotensin I inhibition; platelet aggregation; calcium channel blockade; ileum contractile response; cardiac arrhythmia: cardiac inotropy; blood pressure; heart rate; chronotropy: contractility: hypoxia, hypobaric: hypoxia. KCN; portal vein, potassium depolarized; portal vein, spontaneously activated: or thromboxane A 2 , platelet aggregation.
- bioassays may be used: cholesterol, serum HDL.
- bioassays may be used: allergy, Arthurs reaction, passive cutaneous anaphylaxis; bradykinin B 2 : contractility, tracheal; histamine H, antagonism; inflammation, carrageenan affects on macrophage migration: leukotriene D 4 antagonism: neurokinin NK, antagonism; or platelet activating factor, platelet aggregation or induction of biosynthesis of important inflammatory mediators (e.g. interleukins IL-1.
- IL- 6, tumor necrosis factor or arachidonic acid For gastrointestinal disorders the following bioassays may be used: cholecystokinin CCK A antagonism: cholinergic antagonism. peripheral; gastric acidity, pentagastrin; gastric ulcers, ethanol; ileum electrical stimulation modulation; ileum electrical stimulation spasm or serotonin 5-HT 3 antagonism. For antimicrobial, antifungal.
- Candida albicans Escherichia coli; Klebsiella pneumonaie; Mycobacterium ranae; Proteus vulgar is; Pseudomonas aeruginosa: Staphylococcus aureus, methicillin resistant; Trichomonas foetus; or Trichophyton mentagrophytes.
- Candida albicans Escherichia coli
- Klebsiella pneumonaie Mycobacterium ranae
- Proteus vulgar Proteus vulgar is
- Pseudomonas aeruginosa Staphylococcus aureus, methicillin resistant
- Trichomonas foetus Trichomonas foetus
- Trichophyton mentagrophytes Trichophyton mentagrophytes.
- assays based on enzymes or receptors include the following: acetyl cholinesterase; aldol-reductase; angiotensin converting enzyme (ACE); adrenergic , ⁇ , rat androgen receptor; CNS receptors; cyclooxygenase 1 or 2 (Cox 1, Cox 2); DNA repair enzymes; dopamine receptors; endocrine bioassays, estrogen receptors; fibrinogenase; GABA A or GABA B; ⁇ -glucuronidase; lipoxygenases, e.g., 5-lipoxygenase; monoamine oxidases (MAO-A, MAO-B); phospholipase A 2 , platelet activating factor (PAF); potassium channel assays; prostacyclin cyclin; prostaglandin synthetase: serotonin assays, e.g., 5-HT activity or other serotonin receptor subtypes; serotonin
- enzymatic assays are available from a variety of sources including PanlabsTM Inc. (Bothell, WA) and NovaScreenTM (Baltimore, MD). Additional assays include: ATPase inhibition, benzopyrene hydroxylase inhibition, HMG-CoA reductase inhibition, phosphodiesterase inhibition, protease inhibition, protein biosynthesis inhibition, tyrosine hydroxylase and 0 kinase inhibition, testosterone-5 -reductase and cytokine receptor assays.
- Cell culture assays include activity in cultured hepatocvtes and hepatomas (for effect on cholesterol levels, LDL-cholesterol receptor levels and ratio of LDL/HDL cholesterol); anti-cancer activity against L 1210.
- HeLa or MCF-7 cells modulating receptor levels in PC 12 human neuroblastoma cells: modulation of primary cell culture activity of luteinizing hormone (LH), follicle stimulating hormone (FSH) or prolactin; Ca 2 ⁇ influx to 0 mast cells; cell culture assays for phagocytosis, lymphocyte activity or TNF release; platelet aggregation activity or activity against HDLM-3 Hodgkin's lymphoma and Raji Burkitt's lymphoma cells, antimitotic activity, antiviral activity in infected cells, antibacterial activity (bacterial cell culture) and antifungal activity.
- LH luteinizing hormone
- FSH follicle stimulating hormone
- prolactin prolactin
- Tissue or whole animal assays may also be used including anti-inflammatory mouse ear dermatitis, rat paw swelling; muscle 5 contractility assays; passive cutaneous anaphylaxis; vasodilation assays; or whole animal carbon clearance tests. These assays are available from a variety of sources including PanlabsTM Inc. (Bothell, WA).
- the anticancer effects of drug can be studied in a variety of cell culture systems; these include mouse leukemias, L 1210, P388, L1578Y etc. Tumor cell lines of human origin like KB, and HeLa have also been used. In a typical assay tumor cells are grown in an appropriate cell culture media like RPMI-1640 containing 10% fetal calf serum. The logarithmically growing cells are treated with different concentrations of test material for
- the most economical way to evaluate the anticancer effects of an agent is to study its effects on the growth of tumor cells in minimum essential medium (MEM) containing 10% fetal calf serum.
- MEM minimum essential medium
- the drug-exposed cells (in duplicates) are incubated in a humidified CO 2 incubator at 37 °C for 2-4 days, depending upon the population-doubling time of the tumor cells. At the end of the incubation period the cells are counted and the degree of cell growth inhibition is calculated from a comparison with untreated controlled cells grown under identical conditions.
- the type of cell lines used hav e ⁇ a ⁇ ed from laboratory to laboratory depending upon individual needs.
- NCI National Cancer Institute i the United States recommends the use of KB cells (a human nasopharyngeal carcinoma) for the evaluation of anticancer drugs in vitro.
- the cell growth inhibition is determined by estimating the protein content (Lowry's method) of the drug-treated and untreated controls.
- NCI has also recommended the use of suspension culture of mouse leukemia P388 for the evaluation of anticancer potential of plant extracts and related natural products.
- Mouse leukemia L1210 cells cultured in microtuer plates are routinely used for in v tro assays for anticancer activity.
- the cell population-doubling time of leukemia L1210 is 10-11 h and a drug exposure of 48 h (3-4 generations of logarithmic growth) is used for the evaluation of its antitumor activity.
- All stock solutions and dilutions are made with sterile 0.9% NaCl solution.
- the cell cultures are seeded at 2-5 x 10 4 cells/ml in duplicates for each inhibitor concentration in a microtiter place (0.18 ml/well). The inhibitors are added in 0.02 ml volume to achieve 1 10 dilutions in each case.
- the covered microtiter plate is incubated for 48 h in a humidified CO : incubator containing 5% CO 2 in air. At the end of the incubation period aliquots of each well are added to a measured volume of isotonic saline and counted in an electronic cell counter. The cell viability is determined by trypan blue exclusion. The results are calculated by plotting percent cell growth inhibition (as compared to cell density of the saline-treated controls) versus log of drug concentration and expressed as the concentration which caused 50% inhibition in cell growth (IC 50 ) as determined from the graph.
- cytotoxic effects of a drug on a tumor cell line may also be evaluated. However, these experiments require longer periods of time to study and are more expensive.
- drug-treated cells are washed free of drug and then plated in soft agar or an appropriate medium and the cellular viability is estimated by the ability of the surviving cells to multiply and form microscopic colonies. The number of cellular colonies obtained with certain drug concentrations is compared with those obtained from untreated controls to evaluate cell kill or cytotoxic activity.
- mistletoe extract we have used loosely adherent cultures of EMT-6 cells (a mouse mammary adenocarcinoma). These cells are grown in Eagle's MEM (F14) containing 10% dialyzed fetal calf serum and antibiotics.
- the cell suspension is spun and the pellet suspended in Spinner's medium supplemented with 10% dialyzed fetal calf serum (70 cells/ml), plated in plastic Petri dishes and incubated for 2 h to permit cells to attach. At this time cells are exposed to various concentrations of extract for 2-24 h. Then, the medium is removed and replaced with drug-free medium and the dishes incubated for 5-7 days. The colonies are stained with methylene blue (0.33% in 0.01% KOH) and counted with an automatic colony counter. The plating efficiency of EMT-6 cells is 46%. (Khwaja et al., 1986, Oncology. 43_(Supp. 7/:42-50).
- the antiviral activity of different drugs can be ascertained in cell culture of human cell lines like HeLa or H9 lymphoma cells. These cells are infected with virus and the virus is allowed to propagate in cell cultures. The ability of virus to produce cell lysis or cytopathic effects is taken as the end point. For example. HIV infection of H9 cells results in production of multinucleated cells. These cytopathic effects, if reduced or eliminated by certain concentrations of the drug, indicates its potential as an anti-HIV agent. These results can be validated by estimation of viral enzyme in the cell cultures, e.g., by studying the amount of the expression of viral reverse transcriptase. A decreased expression of the viral enzyme would support antiviral effect of the drug treatment (Khwaja, T.A. U.S. Patent No. 5,565,200; J. Levy et al. 1984, Science 225: 840).
- the determination of the type of chromatography will depend on the chemical components most likely responsible for the bioactivity. For example if the bioactivity is likely due to fatty acids, the fatty acids are esterified and the esters analyzed on a GC. For organic compounds with alcohol groups, they are modified to prepare ethers, silyl derivatives or other less polar functional groups. These derivatives are then suitable for analysis by GC (Steinke et al., 1993. Planta Med. . 59:155-160; Breu et al.. 1992, Arzneim.- ForschlDrug Res. 42(1):547-551). If the activity is most likely due to flavonoids, HPLC is the method of choice.
- Reverse-phase HPLC has been used to analyze flavonoids from a variety of botanicals, specifically hawthorn, passion flower, chamomile. ginkgo (Pietta et al.. 1989. Chromatographia 27(9/10):509-512). Plant constituents have been quantitatively determined by TLC (Vanhaelen and Vanhaelen-Fastre, 1983, J. Chromatography 281:263-271) as well as MS-analysis for garlic. CRC Handbooks of Chromatography on "Analysis of Lipids". K. D. Mukherjee. "Analysis and Characterization of Steroids". H. Lamparczvk. J. Sherma. and "High-Performance Liquid Chromatography of Peptides and Proteins". CT. Mant and R.S. Hodges, are available and describe columns and solvent systems.
- the pharmaceutical finge ⁇ rint (PharmaPrint®) on discrete chemical components of known bioactivity.
- Some chemical constituents in botanicals form such a complex mixture of closely-related components that, from a practical point of view, it is desirable to base the PharmaPrint® on fractions or classes of components rather than on individual components. Examples of these types of components are lectins (sugar-binding proteins) or glycoproteins as well as 5 the silymarins in milk thistle.
- fractional analysis There are many examples of fractional analysis (Gel)
- disease states or therapeutic indications include AIDS, adaptogen, mild-to-moderate depression, anti-arthritic, anticancer, anti-diarrhetic, anti-helmenthic, anti-inflammatory, anti-nausea via GI, anti- rheumatic, anti-spasmodic, anti-ulcer, angina, antibacterial, antimutagenic, antioxidant, antiviral, arteriosclerosis, arthritis, asthma, blood pressure, benign prostatic hype ⁇ lasty (BPH), bronchial asthma, bronchitis, calmative, cough, cerebral circulatory disturbances, cholesterol lowering, cirrhosis, dermatological anti-inflammatory, diabetes, diuretic, drastic cathartic, dysmenorrhea, dyspepsia, emphysema, environmental stress, expectorant, free radical scavenger.
- GI distress hemorrhoids, hepatitis, hepatoprotective. hypertension, hyperlipidemia, hype ⁇ rolactinemia. immunomodulatory activity, increase fibrinolysis, resistance to bacterial infection, inflammation, insomnia, lactation, liver protection. longevity, menstrual cycle regulation, migraine, muscle pain, osteoarthritis. pain, peripheral vascular disease, platelet aggregation. PMS. promote menstrual flow, prostatic disorders, reduce triglycerides. relieve menstrual pain, respiratory tract infections (RTI). retinopathy.
- RTI respiratory tract infections
- sinusitus sinusitus, rheumatism, sedative, sleep-promoting agent, sore throat, stimulate hair growth, superficial wound healing, tinnitus, topical eczema (dermatitis), urinary tract infection (UTI), varicose veins, venous insufficiency or wound healing.
- indications include anti-hemorrhagic. anti-microbial. anti-parasitic, antipyretic, cardiotonic. carminitive. cholagogue. demulcent, diaphoretic, emetic, emmenagogue. emollient, febrifuge, galactagogue. hepatic, hypnotic, laxative, nervine, pectoral, rubefacient. stimulant, tonic, vulnerary, canker stores, pyorrhea, gingivitis. 5 gastritis, ulcers, gallstones, intermittent claudication. cold, influenza, laryngitis, headache, shingles, cystitis, kidney stones, atopic vaginitis. uterine fibroids, osteoporosis and gout.
- Saw palmetto is useful for allergic and anti-inflammatory conditions, in particular, benign prostatic hypertrophy.
- Exemplary biological PharmaPrint® values for a saw palmetto, derived using the methods described herein, are shown in Table 4 and 5. See, infra. Section 6.4 for a detailed discussion and explanation of each of the biological assays for each of the values presented 5 in Tables 4 and 5. Values for each bioassay are expressed on IC 50 unless otherwise indicated. Calculations for extracts and fractions are based on an assumption of an average molecular weight of 200. TABLE 4. BIOLOGICAL PHARMAPRINT®
- the PharmaPrint® may be based on the bioactivity of extract in the androgen receptor assay and one or more assays selected cyclo-oxygenase-l(COX-l). Adrenergic ⁇ -lA. Adrenergic ⁇ -lB or LTB4 Secretion. Preferably, the PharmaPrint® may be based on the bioactivity of extract one or more assays including Adrenergic ⁇ -lA.
- the PharmaPrint® may be developed based on bioactivity equal to or greater than the lower end of the range of bioactivity values such as shown in Table 4 or 5.
- the PharmaPrint® value based on the bioactivity IC50 of total extract greater than 30 ⁇ g/mL in the Adrenergic ⁇ -lA.
- the PharmaPrint® value based on the bioactivity IC50 of total extract in the >20% Inh. @ IO "5 in the androgen receptor assay.
- PharmaPrint® values developed using dry powdered extracts of a botanical material can be converted to values relevant to dry weight of raw botanical material using the ratios illustrated in Table 8 below.
- Table 8 the ratios illustrated in Table 8.
- Palmetto was performed using normal phase flash chromatography. This method was selected as a preferable prep-chromatographic technique on the basis of observed excellent mass recovery (>90%), the separation of the selected standards (fatty acids, their esters), as well as separation of the other co-occurring components. A detailed description of the materials and methods utilized is described below.
- the amount of dried residue recorded from each fraction of mobile phase collected was as follows 1 (-0.1 g), 2 (-2.5 g). 3 (-1.6 g). 4 (-0.1 g). 5 (-0.1 g). 6-9 (-0.0 g). and 10 (-0.5 g).
- the total dried residue recovered via flash chromatography was calculated to be 4.8 ⁇ 0.1 grams. Given the initial load of extract was 5.15 grams. 92% of the extract was !5 recovered as dried residue.
- Rats Male rats were obtained at 60 days of age (300-350 g body weight) from Harlan (St. Louis, MO) and allowed to acclimate for 24 hours to an air-conditioned, light controlled room with a 12 hour light-dark cycle. Rats were fed with Purina chow and tap water, ad libitum. 3 All animal studies carried out were approved by the Medical College of Georgia
- the animals were treated intraperitoneally with testosterone (400 ⁇ g/100 g body wt). After 1 hour, the animals were sacrificed by decapitation and the ventral prostates were rapidly removed and placed in ice-cold "homogenization buffer" (10 mM Tris-HCl, 1.5 mM Na 2 EDTA. 0.5 mM dithiothreitol, 0.25 M sucrose, 1 mM phenylmethylsulfonylfluoride, pH 7.4 at 22 °C). The prostates were minced and homogenized on ice with a Polytron homogenizer (set at 4) using 10 second bursts alternated with a 30 second cooling period at a tissue-buffer ratio of 550 mg/ml.
- homoogenization buffer 10 mM Tris-HCl, 1.5 mM Na 2 EDTA.
- the homogenate was centrifuged at 800xg for 20 minutes at 4°C.
- the nuclear pellet was then resuspended in ice-cold "nuclear buffer" (10 mM Tris, 0.5 mM dithiothreitol, 0.25 M sucrose, 2.5 mM MgCL. pH 7.4 at 22 °C 550 mg tissue/ml).
- the resuspended pellet was homogenized on ice using a glass Dounce homogenizer until suspension became uniform.
- ethanol extracts were decanted into vials containing 4 ml of scintillation fluid (Ecoscint A), shaken and counted. Compounds, extracts and fractions were screened at an initial concentration of 1 X 10 "5 and in some cases at 2 X 10 "5 M. If an activity of greater than 50% inhibition was observed at 2 X 10 "5 M or less, a full dose response curve was carried out. The results of this analysis are shown in the summary table for Saw Palmetto. K 50 displacements for lauric acid ester, linoleic acid ester and extract #3 are shown in Figs. 4, 5 and 6 respectively.
- 5-lipoxygenase catalyzes the oxidative metabolism of arachidonic acid to 5- hydroxyeicosatetraenoic acid (5-HETE), the initial reaction in the biosynthetic pathway leading to the formation of the leukotrienes.
- the procedure was as follows. 5-lipoxygenase 5 assays were run using a crude enzyme preparation from rat basophilic leukemia cells (RBL- 1). Test compounds were pre-incubated with the enzyme for 5 minutes at room temperature and the reaction was initiated by addition of substrate (arachidonic acid). Following an 8 minute incubation at room temperature, the reaction was terminated by addition of citric acid, and levels of 5-HETE were determined by 5-HETE radioimmunoassay (RIA). o Compounds are screened at 30 ⁇ M (Shimuzu et al., 1984, Proc. Natl. Acad. Sci. USA 81:689-693).
- Cyclooxygenase- 1 (from ram seminal vesicles), 125 units per assay tube, was preincubated with 1 mM GSH, 1 mM hydroquinone, 1.25 mM hemoglobin and test compound for 1 minute at 25 °C. The reaction was initiated by addition of arachidonic acid (100 mM) and terminated after 20 minutes incubation at 37 °C by addition of trichloroacetic acid (TCA). Following centrifugal separation and addition of thiobarbiturate, cyclooxygenase activity was determined by reading absorbance at 530 nm (Evans et al., 1987, Biochem. Pharamac. 36:2035-2037; Boopathy and Balasubramanian, 1988, J. Biochem. 239:371- 377).
- Cyclooxygenase-2 (from sheep placenta). 80 units per assay tube, was pre-incubated with 1 mM GSH, 1 mM hydroquinone, 1.25 mM hemoglobin and test compound for 1 minute at 25 °C. The reaction is initiated by addition of arachidonic acid (100 mM) and terminated after 20 minutes incubation at 37°C by addition of TCA. Following centrifugal separation and addition of thiobarbiturate, cyclooxygenase activity is determined by reading absorbance at 530 nm (Boopathy and Balasubramanian. 1988; Evans et al. 1987; O'Sullivan et al., 1992, Biochem. Biophy. Res. Commun. 187:1123-1 127).
- reference compounds were used for the inhibition of cyclooxygenase- 2: reference compounds, (IC 50 ( ⁇ M)): aspirin, (660); indomethacin, (2.4).
- the two pellets are combined and suspended in twice the pellet volume of buffer B (sodium phosphate 2 mM, pH 6.5; 2 M NaCl; digitonin 5 mg/ml; 0.1 mM EDTA, 40% glycerol and 1 mM dithiothreitol) at 0°C for 60 minutes.
- buffer B sodium phosphate 2 mM, pH 6.5; 2 M NaCl; digitonin 5 mg/ml; 0.1 mM EDTA, 40% glycerol and 1 mM dithiothreitol
- the suspension is centrifuged at 150,000 xg for 60 minutes and the supernatant containing solubilized 5-alpha-reductase after addition of 5 mM NADPH is estimated for its protein contents and stored at -70 °C as 5-alpha-reductase.
- Human prostatic tissue is obtained from BPH patients undergoing surgical transvesical resections.
- the tissue is transported to the laboratory in ice cold saline within 60 minutes.
- the tissue samples are cleaned, chopped into 1 -3 g pieces, and quick frozen in liquid nitrogen and stored at -70°C. BPH is confirmed by histological examination.
- the prostatic tissues are thawed and cut with fine scissors (or pulverized at liquid N 2 temperature) and homogenized with one 30 second burst of sonicator at 4°C in a 5-fold volume of buffer (100 mM Tris/HCl pH 7.4, 20% glycerol. 100 mM sodium citrate, 100 mM KCl, ImM EDTA and 15 mM ⁇ -mercaptoethanol).
- the homogenate is filtered through glass wool to remove cell debris and then centrifuged at 800 g for 10 minutes to provide a nuclear pellet.
- the supernatant is divided into 1 ml aliquots to be centrifuged at 120,000 g for 45 minutes to provide microsomal pellets containing 5-alpha-reductase which are stored at -70 °C or suspended in buffer B containing 0.25 mg/ml Lubrol PX or 0.5 mg/ml digitonin and passed through a 25 gauge syringe to make a homogenate which is centrifuged at 120,000 g for 45 minutes.
- the supernatant microsomal 5-alpha-reductase (estimate protein contents) is used in assays or stored in 40% glycerol at -20 C C without loss of activity.
- the 5-alpha-reductase assays are studied by following the reduction of radiolabelled [ 3 H] testosterone (T) to [ 3 H] 5- ⁇ -dihydrotestosterone (DHT) at 37 °C. Tubes (duplicates) with 1 ml Tris-HCl (pH 7.4) buffer containing 100 mM sodium citrate, 100 mM KCl, 20% (v/v) glycerol, 1 mM EDTA, 15 mM ⁇ -mercaptoethanol, 5 mM glucose-6-phosphate dehydrogenase and 1 ⁇ M-[ 3 H] testosterone, are preincubated at 37°C for 15 minutes.
- the assays are started by the addition of 5-50 ⁇ l of 5-alpha-reductase (rat or human) in the presence or absence of inhibitors (SPB-extract from different sources and at different concentrations).
- ProscarTM farnesoidide
- the reaction is stopped by the addition of 1 ml diethylether containing 25 ⁇ g each of T, DHT, and 3-alpha- androstanediol. Each tube is vortexed, centrifuged, and the top ether layer separated. The ether is evaporated with a stream of nitrogen and the residue dissolved in 20 ⁇ l chloroform/methanol (2:1, v/v) and applied to thin layer plates (silica gel 60, E.
- Palmitic Ester Negative Negative Negative Negative Negative Negative A summary of the test results is presented in Table 10. Briefly, none of the commercially obtained extracts were active in the cyclooxygenase- 1, cyclooxygenase-2 and 5-lipoxygenase assays and none of the 14 lots of commercially available saw palmetto berry 5 extract products tested expressed ⁇ -adrenergic receptor activity. In addition, the 5 ⁇ - reductase inhibitory activity of saw palmetto berry extract is reportedly approximately 1/1,000 that of Finasteride (with IC 50 values in the 10 - 150 ⁇ M range, see Tables 3-7). For this reason, 5 ⁇ -reductase was not examined as a potential site of saw palmetto berry extract activity. In contrast, one of three extracts tested showed significant inhibition of androgen
- the nuclear androgen receptor assay identified a number of constituents of saw
- nitric oxide synthase constitutive neuronal binding assay with Saw Palmetto extracts and fractions
- nitric oxide synthase constitutive neuronal binding assay with Saw Palmetto extracts and fractions
- MIOS nitric oxide synthase
- constitutive neuronal binding assay with Saw Palmetto extracts and fractions can be done using techniques standard in the art (e.g. Michel et al., 1993, Brit. J. Pharmacol. 109:287-288).
- the NOS binding assay is performed as briefly described below.
- NOARG [ 3 H]-L-N G -nitroarginine (NOARG) (55 Ci/mmol) radioligand with a final concentration of 5.0 nM, and NOARG
- reactions are carried out in 50 mM TRIS-HC1 (pH 7.4) for 60 minutes at 25 °C.
- the reaction is terminated by rapid vacuum filtration onto glass fiber filters. Radioactivity trapped onto the filters is determined and compared to control values in order to ascertain any interactions of test compound(s) with NOS enzyme assay.
- the following reference compound was used for the NOS enzyme assay (IC 50 (nM)):NOARG (55.4); Assay Characteristics: K D (binding affinity): 25 nM.
- nitric oxide synthetase activity was measured using mouse macrophages as the enzyme source (Second Messenger, NOS). The inhibition of the activity was measured by an enzymatic reaction where Arginine is converted to NO 2 + NO 3 . The amount of enzymatic activity is determined spectrophotometrically. A full description of the method is given by Lowenstein and Snyder (Cell 70: 705, 1992).
- LTB 4 An important mechanism for inducing an inflammatory response is through the recruitment of inflammatory cells to the site of the injury. This process involves many types of soluble mediators.
- LTB 4 can play an important role as a chemotactic agonist initiating and pe ⁇ etuating the inflammatory cascade.
- the differentiated HL-60 cells were made by taking exponentially growing cells in RPMI-1640 with 10% fetal bovine serum and stimulating them with 5 ⁇ M of the calcium ionophore A 23187 for 30 minutes at 37°C
- the amount of secreted LTB 4 . was measured using an ELISA readout (Bennett, C.F. et al. Biochem. J. 289: 33. 1993). The results of the bioassays are presented below in the summary Table 11.
- the following reference compound was used NDGA [Nordihydroguaiaretic acid) IC 50 ( ⁇ M) 0.5
- the inhibitory property of the substances for the Leukotriene B 4 receptor was determined using a partially-purified receptor preparation made from guinea pig spleen membranes.
- the radioligand used was [ 3 H]- leukotriene B 4 at a final concentration of 0.5 nM.
- Non-specific binding was determined with the addition of 500 nM leukotriene B 4 .
- the assay reactions were carried out in a phosphate buffer (pH 7.4) containing NaCl, MgCl 2 , EDTA and bacitrin at 0°C for two hours. The reaction was terminated by rapid vacuum filtration of the reaction through glass fiber filters.
- the bioactivity of the saw palmetto total extract and fractions are analyzed in an assay which measures the modulation of the binding of [125I]tumor necrosis factor- ⁇ (TNF- ⁇ ) to human TNF-oc receptors.
- the receptors are partially purified from U-937 (human histiocytic lymphoma) cells in a modified Tris HCI buffer (pH 8.6) using standard techniques.
- a 200 g "receptor" aliquot is incubated with 62 pM [125I]TNF- ⁇ for 3 hours at 4°C. Non-specific binding is estimated in the presence of 50 nM TNF- .
- the reaction is filtered through glass filters and washed 3 times to remove unbound ligand.
- the filters are counted in a liquid scintillation counter to determine [125I]TNF- specifically bound to its receptor.
- Compounds are initially screened at a 10 ⁇ M concentration (Maloff and Delmendo, 1991, Agents and Actions 34:32-34).
- Assay reference data and literature compounds as follows: K d , 37 pM; B ma ⁇ 11 pMoles mg protein; Specific Binding: 65%.
- the IC 50 (nM), Ki (nM). nH were respectively: Interleukin- 1 ⁇ (IL-loc). >500, -, -; TNF- ⁇ , 0.084, 0.032, 1.2: TNF- ⁇ ,0.714, 0.27. 1.0.
- Obstructive and irritative symptoms associated with BPH have been traditionally attributed to enlargement of the prostrate.
- the obstructive symptoms are due to two factors: 1) the physical mass of the enlarged gland (influenced by androgens) and 2) the tone of the smooth muscle of the prostatic stroma (mediated by the adrenergic alpha 1 receptors).
- the irritative symptoms are more closely associated with bladder dysfunction resulting from increased outflow resistance (Andersson, M, K-, Eur. Urol. 33: 7, 1998). It has been 5 proposed that a muscle relaxant mechanism might explain the symptomatic relief of urinary dysfunction by extracts of Sabal serrulata fruit.
- alpha 1 A a partially purified receptor preparation was made from rat salivary glands. The final radioactive ligand concentration was 60 pM and non-specific binding was measured using 10 ⁇ M phentolamine. The substances, receptor and ligand were reacted at 22°C for 60 minutes. The reaction was terminated by rapid filtration of the samples through glass fiber
- the results may indicate that the phytosterols (specifically ⁇ -sitosterol) and fatty acids, especially their ethyl esters, (specifically ethyl laurate, ethyl linoleate, and linolenic acid) play a significant role in the biological activity observed in extracts of saw palmetto.
- a fatty alcohol specifically phytol
- the experiments were repeated six times. See Table 12 below.
- Analytical characterization is the second and equally important aspect of the PharmaPrint® Process as applied to saw palmetto berry extracts. These methods involve the use of capillarv gas chromatography (GC) to examine the free fatty acid (FFA) and fatty acid ethyl ester (FAEE) components of the extract.
- FFA free fatty acid
- FEE fatty acid ethyl ester
- a mixture of commercially available, high purity standards representing the FFA (as their fatty acid methyl esters, FAME No. 1 & FAME No.2. Restek, Inc.) or the FAEE (ethyl laurate, ethyl myristate, ethyl palmitate.
- ethyl linoleate, and ethyl linolenate, Nu-Check-Prep, Inc. are effectively separated by capillary GC.
- the FFA and FAEE are measured in two separate assays in order to avoid transesterification side reactions involving the ethyl esters and to obtain the sensitivity required for the ethyl ester determinations.
- the important phytosterol ( ⁇ -sitosterol) and fatty alcohol (phytol) are measured in the same assays using HP5971 A GC/MS System. All assays are described in detail above.
- Table 13 presents the tabulation of the bioassay data for 16 commercial samples evaluated in the androgen receptor assay. An examination of the mean and standard deviation for collection of determination, indicates a large degree of variability in performance of this assay in the presence of the total extracts. This is in contrast to standards when presented as isolated pure compounds in the assay.
- the apparent extract assay inference could have a number of explanations. One explanation is the obvious potential for a oil extract to change the chemical nature of a membrane based system like the nuclear androgen receptor binding bioassay. At 10 "5 M it is believed that this interference is less significant based on the ability to differentiate consistently between active extracts and less active or inactive extracts (compare SP379, 381, and 382 to SP383, 384, 393 and 394). We are using a qualitative evaluation greater than or equal to 20% inhibition at a concentration of 10 "5 M. The experiments were repeated and the results summarized.
- FIGS. 5-10 show the variability of the individual free fatty acids (detected as their methyl esters) and the fatty acid ethyl esters, respectively, in these samples. These preparations represent a sample of the three major extraction production methods used commercially and were obtained from 6 different manufacturers.
- Analytical capillary GC Method The GC system was a Varian GC/FID equipped with Star data handling software. Separations were made using 1 ⁇ l injection volumes injected onto a capillary column (Restek RTX-2330, 30 m column, 0.25 ⁇ m, 0.20 ⁇ mdf) and a temperature gradient system as follows: 55 °C for 1 min.; 7.5°C/min. to 260°C, hold for 5 min.
- the column flow rate was kept at 1.0 ml/min., with the injection split ratio 1 :100.
- Injector and detector temperatures used were 260°C
- Saw Palmetto assay including Aldrich Chemical Co., Inc. (Milwaukee, WI, USA).
- Figure 6 shows the value of the PharmaPrint® Process for saw palmetto, which displays the results of the capillary GC analysis of sixteen commercially available saw palmetto extracts.
- the relative variability among the extracts is striking. It is easy to see why "standardized" saw palmetto extracts which contain 85 - 95% fatty acids can vary significantly from lot to lot when considering either chemical constituents or biological potency.
- the general envelope of the ensemble as seen in Figure 5 and 7 defines the finge ⁇ rint of saw palmetto FFAs and FAEEs.
- the acceptable range is then defined by the 95% confidence limit of the ensemble or ⁇ (1.8)SD.
- Another point to be made about the power of the PharmaPrint® Process has to do with the correlated use of biological data with analytical data.
- Serenoa repens dried fruits are ground and extracted with ethanol. The extract is then cooled and refiltered prior to final product Quality Control analysis and subsequent release. Specifications are presented below (Table 17).
- Table 19 and Table 20 summarize the testing performed on the starting Raw Material and Bulk Drug Substance (BDS).
- Linoleic acid 0.7 - 3.4% w/w 1.5%
- Linolenic acid 0.2 - 0.7% w/w 0.4%
- Linoleic acid 0.1% w/w 0.4%
- Oleic acid 1.6% w/w 4.7%
- Linolenic acid 0.02% w/w 0.15%
- FIG. 5 The results are depicted in FIG. 5.
- the figures shows the wide variability of each of the components present in the various extracts.
- Each of the fatty acids and fatty acid esters, i.e.. the components, of FIGS. 5-10 were analyzed to determine their activity in four bioassays relevant for the BPH clinical indication, see above. None of the components showed activity against COX-2.
- the activities, IC 50 s, for purified components in the other three bioassays were as follows: linolenic acid (233 ⁇ M in COX-1, 12 ⁇ M in 5-LIPO); linoleic acid ethyl ester (6 ⁇ M in androgen receptor assay); lauric acid ethyl ester (130 nM in androgen receptor assay); and ⁇ -sitosterol ( ⁇ 10 ⁇ M in the androgen receptor assay). Because none of the extracts was active in the COX-1 and 5-LIPO assay, the androgen receptor assay was selected for the calculations shown below.
- each individual component is calculated using (i) the total bioactivity of the botanical extract, (ii) the amount of each component present in each extract and (iii) the IC 50 s of each purified component.
- This calculation is exemplified below using commercial sample #2 and the androgen receptor assay.
- Sample #2 has a total extract IC 50 value for the androgen receptor of 2.2 ⁇ M (total bioactivity), assuming the average molecular weight of the components is 200.
- a capsule of sample #3 contains the following proportions of the ethyl esters of lauric acid (0.067 W/W%; 228 MW) and linoleic acid (1.5 W/W%; 308 MW).
- the combined bioactivity of the lauric and linoleic ethyl esters is used to define a bioactivity standard for acceptance or rejection of pharmaceutical grade compositions.
- the sample must contain at least 0.025% W/W lauric acid ester or 1.176% W/W linoleic acid ester.
- the sample must contain at least 0.029% W/W lauric acid ester or 1.344% linoleic acid ester.
- ⁇ j _0 Using either combined lauric and linoleic ethyl esters or the individual esters bioactivities, we can set now clearly defined standards for acceptance or rejection for pharmaceutical grade compositions of each of the five commercial samples tested on the basis of % W/W of these esters. For the five commercial samples shown in FIG. 5, even using the least rigorous requirements, e.g. 25%, samples 1, 2. 4 and 5 are rejected as 5 unsuitable for pharmaceutical grade drug compositions due to the levels of the two esters determined for each sample.
- the calculation may be performed for activities in the Adrenergic ⁇ 1 A receptor assay.
- Adrenergic ⁇ IB receptor assay the LTB 4 secretion assay or the COX1 assay or a combination thereof.
- the Adrenergic ⁇ 1 A 2 o receptor assay is used and the components are linoleic acid, linolenic acid or linolenic ethyl ester or a combination thereof.
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Abstract
Description
Claims
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CA002307602A CA2307602A1 (en) | 1997-10-23 | 1998-10-23 | Pharmaceutical grade saw palmetto, serenoa repens |
EP98957359A EP1047936A1 (en) | 1997-10-23 | 1998-10-23 | Pharmaceutical grade saw palmetto, senenoa repens |
AU13635/99A AU1363599A (en) | 1997-10-23 | 1998-10-23 | Pharmaceutical grade saw palmetto, serenoa repens |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
US08/956,601 US6039950A (en) | 1995-04-14 | 1997-10-23 | Pharmaceutical grade saw palmetto |
US08/956,601 | 1997-10-23 |
Publications (2)
Publication Number | Publication Date |
---|---|
WO1999021009A1 true WO1999021009A1 (en) | 1999-04-29 |
WO1999021009A9 WO1999021009A9 (en) | 1999-07-01 |
Family
ID=25498429
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
PCT/US1998/022509 WO1999021009A1 (en) | 1997-10-23 | 1998-10-23 | Pharmaceutical grade saw palmetto, serenoa repens |
Country Status (5)
Country | Link |
---|---|
US (1) | US6039950A (en) |
EP (1) | EP1047936A1 (en) |
AU (1) | AU1363599A (en) |
CA (1) | CA2307602A1 (en) |
WO (1) | WO1999021009A1 (en) |
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WO2000035467A1 (en) * | 1998-12-14 | 2000-06-22 | Celestial Seasonings Inc. | Standardized botanical preparations and methods for preparing same |
FR2791255A1 (en) * | 1999-03-26 | 2000-09-29 | Greentech Sa | Anti-androgenic compositions contain a vegetable-based complex derived from sabal, marrow and epilobium, for prevention of hair regrowth, loss of hair, and seborrhea |
DE102008012988A1 (en) | 2008-03-07 | 2009-09-10 | S.W. Patentverwertungs Ltd. | Composition and uses for influencing hair growth |
EP2491938A1 (en) * | 2004-12-24 | 2012-08-29 | Dolphst Pty Ltd | Formulations for well-being |
WO2023023459A1 (en) * | 2021-08-18 | 2023-02-23 | U.S. Nutraceuticals, Inc., d/b/a Valensa International | DIETARY SUPPLEMENT COMPOSITION HAVING ENHANCED LSESr TO MAINTAIN AND PROMOTE URINARY AND PROSTATE FUNCTION, PROMOTE HAIR HEALTH AND GROWTH, AND METHOD OF MAKING |
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JP4520033B2 (en) * | 1997-08-28 | 2010-08-04 | エフエックス ライフ サイエンシズ アクチェンゲゼルシャフト | Chemical and pharmacological standardization of herbal extracts |
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Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0287000A1 (en) * | 1987-04-17 | 1988-10-19 | Consiglio Nazionale Delle Ricerche | Pharmaceutical compositions containing higher alcohols for the treatment of prostatic pathologies |
WO1996032122A1 (en) * | 1995-04-14 | 1996-10-17 | University Of Southern California | Mistletoe extract and method |
WO1997039355A1 (en) * | 1996-04-15 | 1997-10-23 | Pharmaprint, Inc. | Pharmaceutical grade botanical drugs |
Family Cites Families (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
DE4040961A1 (en) * | 1990-12-20 | 1992-06-25 | Schwabe Willmar Gmbh & Co | SABAL EXTRACT, METHOD FOR THE PRODUCTION AND USE THEREOF |
ES2034888B1 (en) * | 1991-07-11 | 1994-02-16 | Madaus Cerafarm Lab | PROCEDURE FOR OBTAINING THE TOTAL ACID FRACTION OF THE LIPID EXTRACTS OF THE FRUITS OF THE SABAL SERRULATA. |
-
1997
- 1997-10-23 US US08/956,601 patent/US6039950A/en not_active Expired - Lifetime
-
1998
- 1998-10-23 WO PCT/US1998/022509 patent/WO1999021009A1/en not_active Application Discontinuation
- 1998-10-23 CA CA002307602A patent/CA2307602A1/en not_active Abandoned
- 1998-10-23 AU AU13635/99A patent/AU1363599A/en not_active Abandoned
- 1998-10-23 EP EP98957359A patent/EP1047936A1/en not_active Withdrawn
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
EP0287000A1 (en) * | 1987-04-17 | 1988-10-19 | Consiglio Nazionale Delle Ricerche | Pharmaceutical compositions containing higher alcohols for the treatment of prostatic pathologies |
WO1996032122A1 (en) * | 1995-04-14 | 1996-10-17 | University Of Southern California | Mistletoe extract and method |
WO1997039355A1 (en) * | 1996-04-15 | 1997-10-23 | Pharmaprint, Inc. | Pharmaceutical grade botanical drugs |
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WO2000035467A1 (en) * | 1998-12-14 | 2000-06-22 | Celestial Seasonings Inc. | Standardized botanical preparations and methods for preparing same |
FR2791255A1 (en) * | 1999-03-26 | 2000-09-29 | Greentech Sa | Anti-androgenic compositions contain a vegetable-based complex derived from sabal, marrow and epilobium, for prevention of hair regrowth, loss of hair, and seborrhea |
EP2491938A1 (en) * | 2004-12-24 | 2012-08-29 | Dolphst Pty Ltd | Formulations for well-being |
US8475849B2 (en) | 2004-12-24 | 2013-07-02 | Dolphst Pty Ltd. | Formulations and treatments for well-being |
DE102008012988A1 (en) | 2008-03-07 | 2009-09-10 | S.W. Patentverwertungs Ltd. | Composition and uses for influencing hair growth |
US11052059B2 (en) | 2008-03-07 | 2021-07-06 | Lucolas - M.D. Ltd | Composition and uses for influencing hair growth |
US11324711B2 (en) | 2008-03-07 | 2022-05-10 | S.W. Patentverwertungs Limited | Composition and uses for influencing hair growth |
US11974977B2 (en) | 2008-03-07 | 2024-05-07 | Lucolas—M.D. Ltd | Composition and uses for influencing hair growth |
WO2023023459A1 (en) * | 2021-08-18 | 2023-02-23 | U.S. Nutraceuticals, Inc., d/b/a Valensa International | DIETARY SUPPLEMENT COMPOSITION HAVING ENHANCED LSESr TO MAINTAIN AND PROMOTE URINARY AND PROSTATE FUNCTION, PROMOTE HAIR HEALTH AND GROWTH, AND METHOD OF MAKING |
Also Published As
Publication number | Publication date |
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US6039950A (en) | 2000-03-21 |
AU1363599A (en) | 1999-05-10 |
EP1047936A1 (en) | 2000-11-02 |
CA2307602A1 (en) | 1999-04-29 |
WO1999021009A9 (en) | 1999-07-01 |
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