Clinical Pharmacognosy Series HERBAL MEDICINES Development and Validation of Plant-Derived Medicines for Human Health Clinical Pharmacognosy Series Series Editor Navindra Seeram, Ph.D. Department of Biomedical and Pharmaceutical Sciences College of Pharmacy University of Rhode Island, Kingston, RI, USA Herba l Medicines: D eve lopme nt and Validation of Plant-Derived Medicines for Human Health Edited by Giacinto Bagetta, Marco Cosentino, Maria Tiziana Corasaniti and Shinobu Sakurada Clinical Pharmacognosy Series HERBAL MEDICINES Development and Validation of Plant-Derived Medicines for Human Health Edited by Giacinto Bagetta • Marco Cosentino Maria Tiziana Corasaniti • Shinobu Sakurada Boca Raton London New York CRC Press is an imprint of the Taylor & Francis Group, an informa business CRC Press Taylor & Francis Group 6000 Broken Sound Parkway NW, Suite 300 Boca Raton, FL 33487-2742 © 2012 by Taylor & Francis Group, LLC CRC Press is an imprint of Taylor & Francis Group, an Informa business No claim to original U.S. Government works Version Date: 20110822 International Standard Book Number-13: 978-1-4398-3769-6 (eBook - PDF) This book contains information obtained from authentic and highly regarded sources. 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Visit the Taylor & Francis Web site at http://www.taylorandfrancis.com and the CRC Press Web site at http://www.crcpress.com Contents Series Preface ............................................................................................................ix Preface.......................................................................................................................xi Contributors ...........................................................................................................xvii Chapter 1 The European Legislation (Directive 2004/24/EC) Brings Clarification and Recognition to Herbal Medicinal Products ..............1 Giuseppe Nisticò and Dagmar Roth-Behrendt Chapter 2 Taxonomy, Morphology, and Ecology of Medicinal Plants: A Botanical Perspective .......................................................................7 Simon Pierce, Alessandra Luzzaro, and Bruno E. L. Cerabolini Chapter 3 Ethnopharmacological Approaches Used to Identify Medicinal Plants .................................................................................27 Tsukasa Sakurada, Hirokazu Mizoguchi, Soh Katsuyama, Takaakai Komatsu, Hikari Kuwahata, Laura Rombolà, Giacinto Bagetta, Maria Tiziana Corasaniti, and Shinobu Sakurada Chapter 4 Medicinal Plants: Molecular Biology/Biotechnology Approach .......51 Candida Vannini, Manuela Campa, Federica Sassi, and Marcella Bracale Chapter 5 Breeding and Cultivation of Medicinal Plants ...................................79 Christoph Carlen Chapter 6 Sample Preparation, Analytical Methods, and Chemical Standardization of Medicinal Plants ..................................................93 Angela Perrone, Sonia Piacente, Luca Rastrelli, and Giovanni Dugo Chapter 7 The Role of Zebrafish in the Future of Natural Product Discovery ...............................................................137 Alexander D. Crawford, Camila V. Esguerra, and Peter A. M. de Witte v vi Contents Chapter 8 Phytocomplexes versus Single-Entity Drugs ...................................147 Elizabeth M. Williamson Chapter 9 Molecular Modes of Action of Drugs Used in Phytomedicine ........161 Michael Wink Chapter 10 Bioavailability Issues of Nonnutrient Plant and Fruit Constituents .............................................................................173 Mariusz Konrad Piskula and Junji Terao Chapter 11 From Identification to Clinical Translation of Medicinal Plants .....187 Gian Franco Gensini, Luigi Gori, Alfredo Vannacci, and Fabio Firenzuoli Chapter 12 Recommendations for Reporting Randomized Controlled Trials of Herbal Medicine Interventions ..........................................197 Joel J. Gagnier, Heather Boon, Paula Rochon, David Moher, Joanne Barnes, and Claire Bombardier Chapter 13 Pharmacovigilance Methods and Systems in Herbal Medicines .........................................................................225 Gioacchino Calapai Chapter 14 Mechanisms and Clinical Relevance of Herb–Drug Interactions from the Perspectives of Pharmacokinetics .................243 Laura Berliocchi, Rossella Russo, Hirokazu Mizoguchi, and Maria Tiziana Corasaniti Chapter 15 Nature’s Gift to Photodynamic Medicine: Hypericin, a Herbal Photosensitizer, Is a Component of Hypericum perforatum ............279 Heinrich Walt Chapter 16 Plants and Plant-Derived Products as Cancer Chemopreventive Agents ..................................................................285 Douglas M. Noonan, Ilaria Sogno, and Adriana Albini Contents vii Chapter 17 From Standard Tanacetum parthenium Extract to a Stabilized Derivative of Parthenolide: Studies in Animal Models of Pain ....................................................................307 Rosaria Greco, Cristina Tassorelli, Antonina Stefania Mangione, Paolo Morazzoni, Ezio Bombardelli, and Giuseppe Nappi Chapter 18 Antiviral Effects of Essential Oils Used Traditionally in Phytomedicine ..............................................................................317 Jürgen Reichling and Paul Schnitzler Chapter 19 The Neuroprotective Capacity of Achyrocline satureioides (Lam) D.C. and Its Flavonoids: Mechanisms of Action ...................339 Federico Dajas, Juan A. Abin-Carriquiry, Florencia Arredondo, Fernanda Blasina, Marcela Díaz, Carolina Echeverry, Felicia Rivera-Megret, and Lucia Vaamonde Chapter 20 Recent Progress in Echinacea Research ..........................................355 Karin Woelkart and Rudolf Bauer Chapter 21 Contribution of Herbal Medicine to Human Health: A Brief History .................................................................................381 Luigi Antonio Morrone, Laura Rombolà, Diana Amantea, Hirokazu Mizoguchi, and Maria Tiziana Corasaniti Chapter 22 Quality Issues of Current Herbal Medicines ....................................413 Paola Montoro, Sonia Piacente, and Cosimo Pizza Chapter 23 Herbal Medicines in the Developing World: South America ...........439 Federico Dajas and Felicia Rivera-Megret Chapter 24 Herbal Medicines: Epidemiology of Their Utilization— A Perspective on the Industrialized World ......................................457 Anna Loraschi and Marco Cosentino Series Preface A number of books dealing with herbal medicines are available on the shelf of any bookstore. Some of these have become reference books for students and profession- als active in the fields of pharmaceutical botany, pharmacognosy, pharmacy, and phytotherapy. In keeping with the cultural backgrounds of the authors, the organiza- tion of these books varies in perspective. In most instances however, they are set in a general section incorporating, among other information, the taxonomic organiza- tion of medicinal plants and ethnopharmacological information (where available), followed by a section describing the pharmacological actions and therapeutic appli- cations of herbal products. In some instances, books dealing first with the need (the disease and its treatment) and then with the herbal remedy can also be found. So far, however, no book has provided a comprehensive view of the development process of herbal medicines from breeding and cultivation, through analytical, pharmacotoxicological, preclinical, and clinical issues to the epidemiology of herbal use. Herbal Medicines: Development and Validation of Plant-Derived Medicines for Human Health has been conceived by the editors to provide a venue for individuals (undergraduate or postgraduate students, academic or industrial researchers) inter- ested in the research and development of herbal medicines to translate the same into the clinic. In this respect, the book cannot be used as a reference text for any specific details of herbal products but only for an occasional description of individual prod- ucts as a reference, organized knowledge in the whole chain of the development process. The book begins by describing the rationale followed by the European Legislator in defining the minimal requirements to be satisfied for a herbal medicine to be used and commercialized under an acceptable level of risk. The definition of the role and implementation of the Committee for Herbal Medicinal Products at the level of the European Medicines Agency completed the rationalization process for the use of herbal medicines. Such organization is reflected in the general organiza- tion set by the FDA with which the main objectives are shared. After almost a decade since the beginning of this regulatory process together with the accumulation, over the decades, of data from the scientific literature underlying the complexity of the conditions under which these products are used, the spontaneous request for increased knowledge on the efficacy and safety of “older” and “newer” products has ensued and is actually consolidated. Accordingly, rationalization of plant taxonomy and breeding, together with standardization of the contents of herbal components, has assumed a pivotal role in successful candidates for research and development. These aspects are dealt with in chapters incorporating complex biotechnological as well as analytical methodologies of fundamental importance for the whole process. However, the ethnopharmacological approach to the identification of products to be driven to development is not at all underestimated. Obviously, definition of the mode of action of phytocomplexes, in general, and its comparison versus single entities require, in particular, a great deal of effort from scientists also highly knowledgeable in the field ix x Series Preface of in vitro and in vivo models for their assessment. The book deals with aspects of randomized clinical trials, reporting methodologies and quality control studies for those herbal products of great clinical interest in areas where the unmet need is enor- mous and where complex interactions with conventional drugs demand the develop- ment of continuous surveillance of their use. A series of “case studies” illustrates the process of development of herbal medicines in practice. The reader is also provided with an appreciation of the dimension of the utilization of herbal medicines in Western countries and in South America. The contribution of herbal medicines to the rational basis for modern therapy completes a volume that starts with historical notes highlighting the importance of this area of research. This book aims to be a reference for all those interested in the rational develop- ment of herbal drugs as pharmacotherapies, providing essential knowledge on the relevant issues and thus bridging the often existing gap between the different and heterogeneous disciplines required to ensure successful completion of the process, “from field, to bench and then to bedside.” The editors are indebted to Hilary Rowe whose talent made it possible for our project to come true. Also, we would like to thank all the people from Taylor & Francis for their highly qualified technical contribution and all our collaborators. A special thanks goes to Dr. Michelangelo Certo for collaborating during the final edit- ing process of the book. Gaetana Silvia Rigo Giuseppe Ottavio Armocida
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