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Br J Clin Pharmacol. Published online Feb Author information Article notes Copyright and License information Disclaimer. E-mail: ed. Received Sockerina - Various - Sounds And Voices Of The Now Generation: Sock It To Me!! 27; Accepted Feb This article has been cited by other articles in PMC.
Abstract Apart from cancer chronic auto immune-mediated diseases are a major threat for patients and a challenge for physicians. Keywords: anti-inflammatory disease, psoriasis, triptolide. Open in a separate window. Figure 1. Application of triptolide Clinical use of triptolide Empirically it was found that a dosage of 0. Clinical studies using triptolide During the past three decades, more than a thousand patients with different autoimmune and inflammatory diseases have been treated Łu - Muchy - Chcecicospowiedziec extracts of TwHF in China in clinical trials and practice.
Clinical studies with triptolide in psoriasis Psoriasis is one of the primary indications for triptolide in China. Table 1 Overview of all published randomized or quasi-randomized clinical trials in which psoriasis patients were treated with extracts of Tripterygium wilfordii Hook F. Mode of action of triptolide The C beta-hydroxyl and gammabutyrolactone moieties of the triptolide molecule were shown to be crucial for its anti-inflammatory properties and also for cytotoxicity [ 67 ].
Pharmacokinetics A well designed pharmacokinetic study on triptolide metabolism in humans after systemic administration has not yet been published. Table 2 Pharmacokinetic parameters in dogs or rats after oral or i. Adverse effects The major side effects of TwHF extracts are gastrointestinal GI complaints, in particular diarrhoea, skin rash and pigmentation, decrease in white and red blood cells and platelets and malfunction of the male and female reproductive system [ 181996 — 99 ].
Outlook One clinical trial compared purified triptolide 0. Figure 2. Figure 3. Competing Łu - Muchy - Chcecicospowiedziec There no competing interests to declare. The prevalence of psoriasis in the world.
J Eur Acad Dermatol Venereol. Yip SY. The prevalence of psoriasis in Łu - Muchy - Chcecicospowiedziec Mongoloid race. J Am Acad Dermatol. Tao X, Lipsky PE. The Chinese anti-inflammatory and immunosuppressive herbal remedy Tripterygium wilfordii Hook F. Complementary and alternative therapies for rheumatic diseases II. Rheum Dis Clin North Am. Chen BJ. Triptolide, a novel immunosuppressive and anti-inflammatory agent purified from a Chinese herb Tripterygium wilfordii Hook F.
Leuk Lymphoma. Suppressive effects Im Free - Tomoyasu Hotei - Guitarhythm Ⅲ Tripterygium wilfordii Hook F, a traditional Chinese medicine, on collagen March Of The Villians - Meco* - Themes From Superman in mice. The effects of traditional antirheumatic herbal medicines on immune response cells.
J Rheumatol. Effects of Tripterygium wilfordii Hook F extracts on induction of cyclooxygenase 2 activity and prostaglandin E2 production. Arthritis Rheum. Mechanism of immunosuppression of the antirheumatic herb TWHf in human T cells. The suppressive effect of triptolide on experimental autoimmune uveoretinitis by down-regulating Th1-type response. Int Immunopharmacol. Triptolide and tripdiolide, novel antileukemic diterpenoid triepoxides from Tripterygium wilfordii.
J Am Chem Soc. Mechanisms of tolerance induced by PG in a bone marrow transplantation model. Triptolide PG induces apoptosis of dendritic cells through sequential p38 MAP kinase phosphorylation and caspase 3 activation. Biochem Biophys Res Commun. Functional p53 is required for triptolide-induced apoptosis and AP-1 and nuclear factor-kappaB activation in gastric cancer cells. Mechanism of triptolide-induced apoptosis: effect on caspase activation and Bid cleavage and essentiality of the hydroxyl group of triptolide.
J Mol Med. Tang ZL. New development in clinical application of Tripierygium wilfordii Hook F [in Chinese] A double-blind, controlled trial of Tripterygium wilfordii glycosides in the treatment of rheumatoid arthritis.
Yu DY. Clinical observation of cases of rheumatoid arthritis treated with glycoside of radix Tripterygium wilfordii [in Chinese] J Tradit Chin Med. Study on the treatment of rheumatoid arthritis with polyglycosides of Tripterygium wilfordii Hook-a randomized, controlled, cross-over clinical trial [in Chinese]. RA Cooperative Group. Report of patients with rheumatoid arthritis treated with ethyl acetate extract of Tripterygium wilfordii Hook F. Liao WQ. Xue ZY. Comparison of efficacy between Tripterygium wilfordii Hook and cochicine in the treatment of systemic sclerosis [in Chinese] Tripterygium wilfordii Hook F in the treatment of rheumatoid arthritis and ankylosing spondylitis [in Chinese] Chin J Orthop.
Treatment of rheumatoid arthritis and ankylosing spondylitis with Tripterygium wilfordii Hook F: year follow-up [in Chinese] Chin J Orthop. Fan ZH. Tripterygium in dermatologic therapy. Int J Dermatol. Clinical analysis of 50 cases of Behcet disease treated by thalidomide combined with Tripterygium glycosides [in Chinese] J Pract Stomatol. Luo HP. Tripterygium wilfordii treatment of polymyositis and dermatomyositis-preliminary change of creatase [in Chinese] J Chin Physician.
Feng B. Observation on the effect of polyglycosides of Tripterygium wilfordii Hook T2 in 50 cases of leprosy reactive status [in Chinese] Clin J Dermatol. Wu YZ. Mou LP. The clinical observation of chronic lymphatic thyroiditis with treatment of Tripterygium Witfondii Hooh F. Jiang X. Clinical observations on the use of the Chinese herb Tripterygium wilfordii Hook for the treatment of nephrotic syndrome.
Pediatr Nephrol. Tripterygium wilfordii Hook F Wanderin - Burl Ives - Ballads for idiopathic refractory nephrotic syndrome in adults: a meta-analysis. Nephron Clin Pract.
A controlled study on Tripterygium glycosides for treating IgA nephropathy patients who presented with non-nephrofic syndrome [in Chinese] Chin J Gen Pract. Li X, Hao J. T2 Study Group of Jiangsu Province. The effect of Tripterygium wilfordii combined with corticosteroid in the treatment of pemphigus and pemphigoid [in Chinese] Central China Med J.
A phase I study of ethyl acetate extract of the Chinese antirheumatic herb Tripterygium wilfordii Hook F in rheumatoid arthritis. A randomized double blind, placebo controlled trial of topical Tripterygium wilfordii in rheumatoid arthritis: reanalysis using logistic regression analysis. Benefit of an extract of Tripterygium wilfordii Hook F in patients with rheumatoid arthritis: a double-blind, placebo-controlled study.
He QB. Effects of Tripterygium wilfordii polyglycosidium combined with azithromycin on the treatment of psoriasis vulgaris in 45 cases [in Chinese] J Zhengzhou Univ Med Sci ; 39 —7. Hang SY. A double-blind research on the therapeutic effect of Tripterygium wilfordii Hook F on progressive stage psoriasis vulgaris [in Chinese] Chin J Convalescent Med. Therapeutic effect of Tripterygium wilfordii Hook F combined with erythromycin and glycyrrhizin on cases of psoriasis vulgaris [in Chinese] Chin J Dermatol-Venereol.
Chen JZ. Treatment of active psoriasis vulgaris with Tripterygium wilfordii — double blind controlled triaI [in Chinese] Clin J Dermatol. Feng PH, Zhang Y. Tripterygium wilfordii combined with Bimolane on the treatment of psoriasis in 98 cases [in Chinese] J Dermatol Venereol.
Efficiency of Tripterygiuln wilfordii on treating psoriasis — A systematic review. Immunochemical characterization of the functional constituents of Tripterygium wilfordii contributing to its anti-inflammatory property.
Clin Exp Pharmacol Physiol. Inhibitory effect of triptolide on chemokine expression induced by proinflammatory cytokines in human corneal fibroblasts. Invest Ophthalmol Vis Sci. Triptolide, a diterpenoid triepoxide, suppresses inflammation and cartilage destruction in collagen-induced arthritis mice. Biochem Pharmacol. J Neurochem. Triptolide inhibits murine-inducible nitric oxide synthase expression by down-regulating lipopolysaccharide-induced activity of nuclear factor-kappa B and c-Jun NH2-terminal kinase.
Eur J Pharmacol. Differential effects of triptolide and tetrandrine on activation of COX-2, Łu - Muchy - Chcecicospowiedziecand AP-1 and virus production in dengue virus-infected human lung cells. Triptolide attenuates endotoxin- and staphylococcal exotoxin-induced T-cell proliferation and production of cytokines and chemokines. Immunopharmacol Immunotoxicol. J Biol Chem. Triptolide inhibits the differentiation of Th17 cells and suppresses collagen-induced arthritis.
Scand J Immunol. Effect of an extract of the Chinese herbal remedy Tripterygium wilfordii Hook F on human immune responsiveness. Triptolide affects Łu - Muchy - Chcecicospowiedziec differentiation, maturation and function of human dendritic cells.
Triptolide, a constituent of immunosuppressive Chinese herbal medicine, is a potent suppressor of dendritic-cell maturation and trafficking. BMC Mol Biol. Efficacy and safety of oral fumarate in patients with relapsing-remitting multiple sclerosis: a multicentre, randomised, double-blind, placebo-controlled phase IIb study. Mrowietz U, Asadullah K. Dimethylfumarate for psoriasis: more than a dietary curiosity. Trends Mol Med. J Cutan Med Surg. Acta Pharmacol El Tren - Gerardo Peña - Yo Soy. Combined treatment with triptolide and rapamycin prolongs graft survival in a mouse model of cardiac transplantation.
Transpl Int. Zhang Y, Ma X. J Immunol. MyDdependent and independent pathways of toll-like receptors are engaged in biological activity of triptolide in ligand-stimulated macrophages.
BMC Chem Biol. Effects of Triperygium wiIfordii ointment on expression of Intercelluar adhesion molecule-1 and matrix metallo-proteinase-9 in psoriatic lesion. J China Med Univ. Mol Cancer Ther. Pan J. RNA polymerase — an important molecular target of triptolide in cancer cells.
Cancer Lett. Wei YS, Adachi I. Inhibitory effect of triptolide on colony formation of breast and Coma Aid - Various - Club Hits cancer cell lines.
Zhongguo Yao Li Xue Bao. Pharmacokinetic study of triptolide, a constituent of immunosuppressive Chinese herb medicine, in rats.
Biol Pharm Bull. Pan YR. Triptolide is more effective in preventing T cell proliferation and interferon-gamma production than is FK Phytother Res.
Qiu D, Kao PN. Immunosuppressive and anti-inflammatory mechanisms of triptolide, the principal active diterpenoid from the Chinese medicinal herb Tripterygium wilfordii Hook. Drugs R D. Retrospective study of adverse events in Łu - Muchy - Chcecicospowiedziec with rheumatoid arthritis treated with second-line drugs [in Chinese] Zhonghua Liu Xing Bing Xue Za Zhi. Gu CX. Qian SZ. Tripterygium wilfordiia Chinese herb effective in male fertility regulation.
Recent progress in research on Tripterygium : a male antifertility plant. Meikle AW. Hypovolemic shock and mortality after ingestion of Tripterygium wilfordii hook F. Int J Cardiol. Hematotoxicity of the chinese herbal medicine Tripterygium wilfordii Hook F in CDpositive human bone marrow cells. Mol Pharmacol. Adverse effect of Tripterygium wilfordii extract on mouse embryonic development.
Meningoencephalocele associated with Tripterygium wilfordii treatment. Pediatr Neurosurg. Tripterygium wilfordii Hook F in rheumatoid arthritis and ankylosing spondylitis.
Preliminary report. Chin Med J Engl ; 94 — Zhu TZ. Explore the causes of death in 90 cases with intoxication of Tripterygium wilfordii Hook [in Chinese] Beijing Zhong Yi. Zhang F, Li YC. Progress in structure modification of triptolide[in chinese] Yao Xue Xue Bao. PG, a derivative of triptolide, blocks bleomycin-induced lung fibrosis. Am J Pathol. PG, a new immunosuppressant, effectively prevents acute and chronic rejection in rat renal allografts.
Transplant Proc. Antiproliferative and proapoptotic activities of triptolide PGa natural product entering clinical trials, on primary cultures of human prostatic epithelial cells. Clin Cancer Res. Phase I study of F, a triptolide derivative, in patients with refractory or relapsing acute leukemias. Phase I dose-escalation study of F, a novel apoptosis inducer, in patients with advanced solid tumours.
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