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Search Results (188)

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Keywords = herbal and dietary supplement

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11 pages, 1259 KiB  
Article
Biological Properties and Phenolic Characterization of MetabolAid®: Combination of Plant-Derivate Compound Extracts
by Francesco Vizzarri, Aneta Kisova, Ivana Spevakova, Andrea Raffaelli, Vincenzo Longo and Luisa Pozzo
Processes 2025, 13(8), 2405; https://doi.org/10.3390/pr13082405 - 29 Jul 2025
Viewed by 217
Abstract
In recent years, most of the populations of the world have been using herbal materials for their strong antimicrobial properties and major health benefits. The objective of this study was to evaluate the phenolic profile, as well as the antioxidant and antimicrobial activities, [...] Read more.
In recent years, most of the populations of the world have been using herbal materials for their strong antimicrobial properties and major health benefits. The objective of this study was to evaluate the phenolic profile, as well as the antioxidant and antimicrobial activities, of a dietary supplement composed of extracts from hibiscus (Hibiscus sabdariffa L.) calyces and lemon verbena (Lippia citriodora) leaves (Metabolaid®, Patent P201731147) mixed at a weight ratio of 35:65 (w/w), respectively. The bioactive components of the methanolic extract were analyzed by UHPLC-ESI-MS/MS. The antioxidant activity was evaluated using spectrophotometric methods, while the antimicrobial activity was assessed through the microdilution method against selected Gram-negative and Gram-positive bacteria. The total phenols content resulted in being 256.10 ± 2.26 mg GAE/g f.w., the flavonoid content was 48.90 ± 2.95 mg CE/g f.w., flavonols were 60.17 ± 7.68 mg QE/g f.w., and anthocyanins were 3.78 ± 0.17 mg C3GE/g f.w. The FRAP value, observed in the natural mix additive, was 1.25 ± 0.03 mg Fe2+/g f.w., while the ORAC showed the value of 1893.77 ± 30.39 µmol TE/g f.w. and the DPPH was 23.33 ± 4.12 µg/mL. We found eight phenolic acids, seven flavonols, five anthocyanins, and nine other phenolic compounds. The extract showed a minimum inhibitory concentration (MIC) of 12.5 mg/mL against E. coli, E. aerogenes, and E. faecalis and of 25 mg/mL against S. enterica ser. Typhimurium and S. aureus and a minimum bactericidal concentration (MBC) of 25 mg/mL against E. coli, E. aerogenes, and E. faecalis and of 50 mg/mL against S. enterica ser. Typhimurium and S. aureus. In conclusion, our findings demonstrate that Metabolaid® is a rich source of bioactive compounds and provides beneficial effects against oxidative stress and pathogenic bacteria, supporting its nutraceutical potential. Full article
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17 pages, 1471 KiB  
Article
American Basil, Ocimum americanum, Has Neuroprotective Properties in the Aging Process
by Ionara Rodrigues Siqueira, Cláudia Vanzella, Gisele Agustini Lovatel, Karine Bertoldi, Christiano Spindler, Felipe dos Santos Moysés, Adriana Vizuete, Gilsane Lino von Poser and Carlos Alexandre Netto
Nutrients 2025, 17(14), 2368; https://doi.org/10.3390/nu17142368 - 19 Jul 2025
Viewed by 713
Abstract
Background/Objectives: There is evidence concerning herbal medicines and plant-based compounds, including Lamiaceae species, as putative senolytic agents; however, there are only a few reports on Ocimum americanum properties using rat models. The aim of this study was to investigate the neuroprotective effects [...] Read more.
Background/Objectives: There is evidence concerning herbal medicines and plant-based compounds, including Lamiaceae species, as putative senolytic agents; however, there are only a few reports on Ocimum americanum properties using rat models. The aim of this study was to investigate the neuroprotective effects and potential modes of action of Ocimum americanum L. using ex vivo and in vivo assays to assess the effects of OAEE on hippocampal tissue from young adult and late middle-aged Wistar rats, with a focus on oxidative stress, cholinesterase activity, and neuroinflammatory markers. Methods: Ocimum americanum ethanol extract (OAEE) was incubated with hippocampal slices of young adult and late middle-aged male Wistar rats exposed to H2O2; an acute treatment with OAEE was evaluated in aversive memory performance and neurochemical parameters, such as hippocampal cellular oxidative state, and anticholinesterase activity, and a diet supplementation of OAEE were evaluated on several hippocampal biochemical parameters, such as oxidative state, anticholinesterase activity, and neuroinflammatory parameters in young adult and late middle-aged male rats. Results: OAEE reversed the H2O2-induced impaired cellular viability in hippocampal slices from young adult rats, as well as protected hippocampal slices against H2O2-induced damage in both young adult and late middle-aged Wistar rats, indicating its neuroprotective action. Chronic dietary OAEE supplementation reduced aging-induced increases in reactive species and lipid peroxidation levels in the hippocampus. Indeed, this supplementation reduced the TNF-α content in hippocampus from both ages, and IL-1β levels in young adult rats. Conclusions: The antioxidant actions of OAEE here observed, preventing the lipoperoxidation, as well as its anti-neuroinflammatory effect, might be related to neuroprotective effect. Our findings add evidence to support the idea of the potential use of Ocimum americanum as a nutraceutical or functional food in the aging process. Full article
(This article belongs to the Special Issue Functional Foods and Sustainable Health (2nd Edition))
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24 pages, 4420 KiB  
Article
Herbal Extract-Induced DNA Damage, Apoptosis, and Antioxidant Effects of C. elegans: A Comparative Study of Mentha longifolia, Scrophularia orientalis, and Echium biebersteinii
by Anna Hu, Qinghao Meng, Robert P. Borris and Hyun-Min Kim
Pharmaceuticals 2025, 18(7), 1030; https://doi.org/10.3390/ph18071030 - 11 Jul 2025
Viewed by 545
Abstract
Background: Herbal medicine represents a rich yet complex source of bioactive compounds, offering both therapeutic potential and toxicological risks. Methods: In this study, we systematically evaluated the biological effects of three traditional herbal extracts—Mentha longifolia, Scrophularia orientalis, and Echium biebersteinii [...] Read more.
Background: Herbal medicine represents a rich yet complex source of bioactive compounds, offering both therapeutic potential and toxicological risks. Methods: In this study, we systematically evaluated the biological effects of three traditional herbal extracts—Mentha longifolia, Scrophularia orientalis, and Echium biebersteinii—using Caenorhabditis elegans as an in vivo model. Results: All three extracts significantly reduced worm survival, induced larval arrest, and triggered a high incidence of males (HIM) phenotypes, indicative of mitotic failure and meiotic chromosome missegregation. Detailed analysis of germline architecture revealed extract-specific abnormalities, including nuclear disorganization, ectopic crescent-shaped nuclei, altered meiotic progression, and reduced bivalent formation. These defects were accompanied by activation of the DNA damage response, as evidenced by upregulation of checkpoint genes (atm-1, atl-1), increased pCHK-1 foci, and elevated germline apoptosis. LC-MS profiling identified 21 major compounds across the extracts, with four compounds—thymol, carvyl acetate, luteolin-7-O-rutinoside, and menthyl acetate—shared by all three herbs. Among them, thymol and carvyl acetate significantly upregulated DNA damage checkpoint genes and promoted apoptosis, whereas thymol and luteolin-7-O-rutinoside contributed to antioxidant activity. Notably, S. orientalis and E. biebersteinii shared 11 of 14 major constituents (79%), correlating with their similar phenotypic outcomes, while M. longifolia exhibited a more distinct chemical profile, possessing seven unique compounds. Conclusions: These findings highlight the complex biological effects of traditional herbal extracts, demonstrating that both beneficial and harmful outcomes can arise from specific phytochemicals within a mixture. By deconstructing these extracts into their active components, such as thymol, carvyl acetate, and luteolin-7-O-rutinoside, we gain critical insight into the mechanisms driving reproductive toxicity and antioxidant activity. This approach underscores the importance of component-level analysis for accurately assessing the therapeutic value and safety profile of medicinal plants, particularly those used in foods and dietary supplements. Full article
(This article belongs to the Section Natural Products)
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20 pages, 1130 KiB  
Review
Biology, Antioxidant Activity, and Therapeutic Potential of Cistus sp.—A Comprehensive Review
by Patrycja Kielar, Zofia Kobylińska, Marek Biesiadecki, Mateusz Mołoń and Sabina Galiniak
Int. J. Mol. Sci. 2025, 26(13), 6400; https://doi.org/10.3390/ijms26136400 - 3 Jul 2025
Viewed by 541
Abstract
For centuries, traditional medical systems have utilized Cistus leaf infusions, extracts, and essential oils in the treatment of inflammatory conditions, respiratory infections, febrile illnesses, and gastrointestinal disorders. Contemporary research has increasingly focused on the identification and characterization of biologically active constituents—particularly polyphenols and [...] Read more.
For centuries, traditional medical systems have utilized Cistus leaf infusions, extracts, and essential oils in the treatment of inflammatory conditions, respiratory infections, febrile illnesses, and gastrointestinal disorders. Contemporary research has increasingly focused on the identification and characterization of biologically active constituents—particularly polyphenols and other antioxidants—that may modulate key physiological and cellular processes in the human body. These include mechanisms related to oxidative stress, inflammation, aging, and carcinogenesis. The therapeutic relevance of Cistus-derived compounds is further supported by their generally favorable safety profile and high tolerability, which distinguishes them from many synthetic pharmaceuticals. Moreover, the accessibility of Cistus preparations as dietary supplements or herbal infusions allows for their regular consumption without the need for complex therapeutic regimens. This positions Cistus as a promising candidate for integrative health strategies aimed at disease prevention and health maintenance. This review provides a comprehensive overview of the pharmacological potential and therapeutic applications of Cistus extracts, with particular emphasis on their antioxidant and bioactive properties. Full article
(This article belongs to the Special Issue New Perspective on Inflammatory Diseases: Role of Natural Compounds)
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18 pages, 339 KiB  
Review
Drug-Induced Autoimmune Hepatitis: Robust Causality Assessment Using Two Different Validated and Scoring Diagnostic Algorithms
by Rolf Teschke, Axel Eickhoff and Gaby Danan
Diagnostics 2025, 15(13), 1588; https://doi.org/10.3390/diagnostics15131588 - 23 Jun 2025
Viewed by 594
Abstract
Drug-induced autoimmune hepatitis (DIAIH) is a relatively new subtype of idiosyncratic drug-induced liver injury (iDILI), but the features of DIAIH have been variably described due to the inhomogeneity of assessed study cohorts. The aim of this analysis is to harmonize DIAIH cohorts by [...] Read more.
Drug-induced autoimmune hepatitis (DIAIH) is a relatively new subtype of idiosyncratic drug-induced liver injury (iDILI), but the features of DIAIH have been variably described due to the inhomogeneity of assessed study cohorts. The aim of this analysis is to harmonize DIAIH cohorts by unifying causality assessments, which may help characterize the features of DIAIH. Methods: Published reports of DIAIH cases were evaluated for the causality assessment methods used to verify the diagnosis of DIAIH. This disorder consists of two parts, i.e., the iDILI part and the autoimmune (AIH) part, whereby each part needs a specific diagnostic algorithm. The validated and scoring Roussel Uclaf Causality Assessment (RUCAM) is privileged for assessing the iDILI part, and the validated, simplified AIH score is the perfect choice for evaluating the AIH part. The analysis of DIAIH publications revealed that 12/20 reports (60%) presented cases assessed by both the RUCAM and the simplified AIH score, providing 49 drugs and drug combinations as causative drugs in up to 25 cases of DIAIH. Serum alanine aminotransferase activities of up to 3489 UL and high titers of autoimmune parameters such as anti-nuclear antibodies, anti-smooth-muscle antibodies, and soluble liver antigen antibodies supported DIAIH diagnosis. In contrast, 4/20 reports (20%) applied only RUCAM, and 2/20 reports (10%) used only the simplified AIH score; these 6 reports therefore provided insufficient criteria for a valid DIAIH diagnosis. Moreover, 2/20 reports (10%) did not use any causality algorithm, providing elusive features of DIAIH. While DIAIH is clearly restricted to drugs as responsible agents, this term is erroneously used to refer to disease induced by non-drugs such as herbs, green tea, dimethoate (an organophosphate insecticide), dietary supplements, biologics, herbal remedies, different viruses, and bacteria, as well as vaccines. For diseases induced by these agents, a better term could be, for instance, non-drug-induced autoimmune hepatitis. Drug cessation and immunotherapy with corticosteroids and azathioprine comprise the treatment of choice. The characteristics of DIAIH can best be described if both the RUCAM and the simplified AIH score are used concomitantly. Full article
(This article belongs to the Special Issue Diagnosis and Management of Liver Diseases—2nd Edition)
18 pages, 405 KiB  
Article
Validated UHPLC Methods for Melatonin Quantification Reveal Regulatory Violations in EU Online Dietary Supplements Commerce
by Celine Vanhee, Cloë Degrève, Niels Boschmans, Yasmina Naïmi, Michael Canfyn, Eric Deconinck and Marie Willocx
Molecules 2025, 30(12), 2647; https://doi.org/10.3390/molecules30122647 - 19 Jun 2025
Viewed by 834
Abstract
The global sleep aids market has grown significantly due to rising stress and increased awareness of sleep’s importance. Melatonin, available in the EU as a prescription or over-the-counter medicine, depending on the country, is also permitted in dietary supplements with country-specific limits. Recent [...] Read more.
The global sleep aids market has grown significantly due to rising stress and increased awareness of sleep’s importance. Melatonin, available in the EU as a prescription or over-the-counter medicine, depending on the country, is also permitted in dietary supplements with country-specific limits. Recent reports indicate concerning levels of excessive melatonin in EU dietary supplements, necessitating accurate quantification methods. We developed and validated, by applying accuracy profiles, ISO17025-compliant, rapid ultra-high performance liquid chromatography (UHPLC) methodologies coupled with either diode array detection (DAD) or high-resolution accurate mass spectrometry (HRAM MS). The cost-effective UHPLC-DAD method is suitable for medicines and most dietary supplements, except those more complex herbal matrices containing passionflower, hop, hemp, lime tree or lavender or their extracts, where UHPLC-HRAM MS is recommended due to selectivity issues of the DAD methodology. To demonstrate the applicability, we analyzed 50 dietary supplements claiming to contain melatonin—25 from legal supply chains and 25 from suspicious sources claiming therapeutic melatonin content. Our findings confirmed previous reports of high melatonin content in online products, especially when purchased through rogue internet pharmacies. Moreover, 12% of legal supply chain samples violated current legislation through unauthorized health claims or contained at least triple the melatonin amount permitted in Belgium. This research provides reliable analytical methods for regulatory bodies and confirms the circulation of non-compliant melatonin-containing dietary supplements in the EU market, even in the legal supply chain. Full article
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43 pages, 1107 KiB  
Review
Biocontrol Agents and Natural Feed Supplements as a Safe and Cost-Effective Way for Preventing Health Ailments Provoked by Mycotoxins
by Stoycho D. Stoev
Foods 2025, 14(11), 1960; https://doi.org/10.3390/foods14111960 - 31 May 2025
Viewed by 641
Abstract
The relationships between mycotoxins content in food commodities or feedstuffs and the foodborne diseases is well known. So far, the available data mainly include chemical methods of mycotoxins decontamination for agricultural commodities or raw materials, including mycotoxin binders. Therefore, the possible use of [...] Read more.
The relationships between mycotoxins content in food commodities or feedstuffs and the foodborne diseases is well known. So far, the available data mainly include chemical methods of mycotoxins decontamination for agricultural commodities or raw materials, including mycotoxin binders. Therefore, the possible use of some natural and cost-effective supplements such as herbs, fungi, microorganisms, or plants with powerful and safe protection against mycotoxin-induced health ailments is the main subject of this review paper. Various antagonistic microorganisms or yeast with fungicidal properties, as well as some herbs or plants that suppress fungal development and the subsequent production of target mycotoxins and/or have protective effect against mycotoxins, are deeply studied in the literature, and practical suggestions are given in this regard. The protection by degradation, biotransformation, or binding of mycotoxins by using natural additives such as herbs or plants to feedstuffs or foods has also been thoroughly investigated and analyzed as a possible approach for ameliorating the target adverse effects of mycotoxins. Possible beneficial dietary changes have also been studied to potentially alleviate mycotoxin toxicity. Practical advice are provided for possible application of the same natural supplements in real-life practice for combating mycotoxin-induced health ailments. Natural feed supplements and bioactive compounds appeared to be safe emerging approaches to preventing health ailments caused by mycotoxins. However, the available data mainly address some in vitro studies, and more in vivo experiments are necessary for introducing such approaches in the real-life practice or industry. Generally, target herbal supplements, antioxidants, or polyenzyme complements could be used as powerful protectors in addition to natural mycotoxin binders. Bioactive agents and enzymatic degradation are reported to be very successful in regard to PAT and OTA, whereas antagonistic microorganisms/fungi/yeasts have a successful application against AFs and PAT-producing fungi. Full article
(This article belongs to the Section Food Toxicology)
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31 pages, 5529 KiB  
Review
The 4Rs Framework of Sports Nutrition: An Update with Recommendations to Evaluate Allostatic Load in Athletes
by Diego A. Bonilla, Jeffrey R. Stout, Michael Gleeson, Bill I. Campbell, Guillermo Escalante, Daniel Rojas-Valverde, Jorge L. Petro, Richard B. Kreider and Adrián Odriozola-Martínez
Life 2025, 15(6), 867; https://doi.org/10.3390/life15060867 - 27 May 2025
Cited by 1 | Viewed by 3835
Abstract
The 4Rs of sports nutrition were proposed in recent years as an evidence-based framework to optimize post-exercise recovery within the context of allostasis. Under this paradigm, it is important to consider that each R represents a factor with a tremendous influence on the [...] Read more.
The 4Rs of sports nutrition were proposed in recent years as an evidence-based framework to optimize post-exercise recovery within the context of allostasis. Under this paradigm, it is important to consider that each R represents a factor with a tremendous influence on the allostatic response and improves individual components of the allostatic load (AL), which will positively impact the exercise-induced adaptations and the athlete’s recovery. The 4Rs correspond to the following. (i) Rehydration—This is necessary to guarantee the post-exercise consumption of at least 150% of the body mass lost during the exercise accompanied by sodium (if faster replacement is required). (ii) Refuel—Carbohydrate intake (~1.2 g/kg body mass per hour for up to 4 h post-exercise) is essential not only in restoring glycogen reserves but also in supporting the energy needs of the immune system and facilitating tissue repair. Despite changes in substrate utilization, a ketogenic diet generally has neutral or negative effects on athletic performance compared to carbohydrate-rich diets. (iii) Repair—The ingestion of high-quality protein stimulates post-exercise net muscle protein anabolism and might contribute to faster tissue growth and repair. The use of certain supplements, such as creatine monohydrate, might help to enhance recovery, while tart cherry, omega-3 fatty acids, and dietary nitrate (e.g., Beta vulgaris, Amaranthus L.), as well as other herbal extracts containing flavonoid-rich polyphenols, deserve further clinical research. (iv) Recuperate—Pre-sleep nutrition (casein- or protein-rich meal with slow digestion rate) has a restorative effect, facilitating the recovery of the musculoskeletal, endocrine, immune, and nervous systems. In this article, we update the 4Rs framework, delve deeper into the allostasis paradigm, and offer theoretical foundations and practical recommendations (the 4Rs app) for the assessment of AL in athletes. We cautiously propose an AL index (ALindex) for physique competitors and elite athletes to evaluate the cumulative physiological stress induced by exercise and, thereby, to adjust exercise and nutrition interventions. Full article
(This article belongs to the Special Issue Biomarker Analysis for Sports Performance and Health)
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16 pages, 2753 KiB  
Article
Effects of Astragalus–Ginseng Dietary Supplementation on the Growth and Stress Resistance of Yellow Catfish (Pelteobagrus fulvidraco)
by Wenkai Lin, Haijing Xu, Xinlan Ma, Zifeng Yin, Aimin Wang, Junqiang Qiu and Mingyou Li
Fishes 2025, 10(5), 208; https://doi.org/10.3390/fishes10050208 - 2 May 2025
Viewed by 612
Abstract
Astragalus and ginseng, esteemed as traditional Chinese herbal medicines, have demonstrated the ability to bolster physical health and enhance the immune function of organisms. In this study, the effects of a dietary astragalus–ginseng mixture on the growth performance, intestinal health, and nonspecific immunity [...] Read more.
Astragalus and ginseng, esteemed as traditional Chinese herbal medicines, have demonstrated the ability to bolster physical health and enhance the immune function of organisms. In this study, the effects of a dietary astragalus–ginseng mixture on the growth performance, intestinal health, and nonspecific immunity of yellow catfish (Pelteobagrus fulvidraco) were evaluated, by measuring growth performance indices, intestinal villus morphology, enzyme activities, and expression levels of immune-related genes. Yellow catfish (n = 120, initial weight: 5.07 ± 0.18 g) were randomly assigned to four dietary groups: a control group (CT, 0 mg/kg) and three astragalus–ginseng treatment groups (AG1, 500 mg/kg; AG2, 1000 mg/kg; AG3, 2000 mg/kg). Each group had three replicates and was fed for six weeks. The results demonstrate that the treatment significantly enhanced the growth performance, as evidenced by increases in FBW, WG, WGR, SGR, and HSI. These improvements may be related to an increase in intestinal villi length and increased LPS activity, both of which are associated with enhanced digestive function. Meanwhile, the activity of antioxidant enzymes in the liver, including CAT, SOD, and GSH, was increased, whereas the level of MDA was decreased. In the serum, GSH was up-regulated, while SOD activity was decreased. Immune-related enzyme activities, such as ALT and LZM, were up-regulated, while AST showed no significant difference. Moreover, the treatment also promoted the expression of the anti-inflammatory factor IL-10. The pro-inflammatory factors, such as IL-1β, IL-6, and TNF-α, were decreased with the addition of low concentrations but increased with high concentrations. In conclusion, supplementation with an astragalus–ginseng mixture could promote growth performance by increasing digestive enzyme activity and intestinal villi length, and improve disease and stress resistance traits by modulating immune genes and antioxidant enzyme activity. A dosage of 1000 mg/kg was found to be optimal. Full article
(This article belongs to the Section Nutrition and Feeding)
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18 pages, 1385 KiB  
Article
Detection of Adulterants in Herbal Weight Loss Supplements
by Oana Ramona Cătălina Gheorghiu, Anne Marie Ciobanu, Claudia Maria Guțu, George-Mădălin Dănilă, Gabriela Viorela Nițescu, Ștefan Rohnean and Daniela Luiza Baconi
J. Mind Med. Sci. 2025, 12(1), 23; https://doi.org/10.3390/jmms12010023 - 25 Apr 2025
Viewed by 1747
Abstract
The growing popularity and consumption of herbal slimming supplements can be attributed to their perception as natural products that lack side effects. However, the composition and ingredient quality listed on their labels often undergo insufficient control. As a result, some manufacturers add undeclared [...] Read more.
The growing popularity and consumption of herbal slimming supplements can be attributed to their perception as natural products that lack side effects. However, the composition and ingredient quality listed on their labels often undergo insufficient control. As a result, some manufacturers add undeclared synthetic pharmaceuticals to enhance weight loss effects. The synthetic adulterants, particularly the anorectic stimulants, have been associated with increased risks of cardiovascular adverse effects, posing significant health risks to consumers. This study aimed to analyze various weight loss supplements marketed as “natural” products to detect possible adulterants. A new high-performance thin-layer chromatography (HPTLC) method was used for initial screening, while gas chromatography coupled with mass spectrometry (GC–MS) served as a confirmation tool. Additionally, high-performance liquid chromatography (HPLC) was employed to analyze phenolphthalein. A total of 34 supplements acquired online or from specialty stores were analyzed. It was found that most of them contain caffeine from herbal ingredients included in the products’ formulation. Some products list the added caffeine, but the measured levels significantly exceeded the labeled values. The most commonly detected adulterants were sibutramine and phenolphthalein. These results highlighted the inadequacies and inconsistencies in labeling, as all herbal supplements were declared “natural” despite containing adulterants. Furthermore, they highlighted the suitability of the HPTLC method as an effective and cost-effective screening tool for detecting adulterants in dietary supplements. Full article
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24 pages, 1421 KiB  
Systematic Review
Unconventional Treatments for Pancreatic Cancer: A Systematic Review
by Roberta Vella, Alessandro Giardino, Erica Pizzocaro, Isabella Frigerio, Elisa Bannone, Salvatore Vieni and Giovanni Butturini
Cancers 2025, 17(9), 1437; https://doi.org/10.3390/cancers17091437 - 25 Apr 2025
Viewed by 1604
Abstract
Objective: This study aims to review the existing literature on the efficacy and safety of unconventional treatments among pancreatic cancer patients, including the use of natural products, dietary supplements, probiotics, whole medical systems, and body-based therapies. Methods: An electronic, systematic, and comprehensive literature [...] Read more.
Objective: This study aims to review the existing literature on the efficacy and safety of unconventional treatments among pancreatic cancer patients, including the use of natural products, dietary supplements, probiotics, whole medical systems, and body-based therapies. Methods: An electronic, systematic, and comprehensive literature review was conducted searching for studies up to November 2024 following the PRISMA 2020 guidelines. Randomized controlled trials and prospective and retrospective studies assessing the efficacy and safety of unconventional treatments for pancreatic cancer were considered eligible. Data on overall survival, quality of life, and treatment tolerability were extracted. Results: A total of 21 studies, providing data from 3095 patients, met the inclusion criteria. Various types of unconventional treatments are used in pancreatic cancer patients, including Chinese herbal medicine (CHM), mistletoe extract (ME), curcumin, and electroacupuncture. Among these, the use of CHM and curcumin concomitant with standard therapy was associated with survival and quality-of-life benefits. Electroacupuncture reduced pancreatic cancer pain intensity in a cost-effective manner. The data on ME are mixed and of insufficient quality for drawing definitive conclusions. Conclusions: Some unconventional treatments showed potential benefits in improving overall survival and quality of life in pancreatic cancer patients within an integrative oncology setting. Further high-quality studies are needed to provide robust, rigorous, and ethical evidence to support their integration into future guidelines, ensuring a holistic approach to cancer treatment. Full article
(This article belongs to the Section Systematic Review or Meta-Analysis in Cancer Research)
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24 pages, 3117 KiB  
Article
Solidago canadensis L. Herb Extract, Its Amino Acids Preparations and 3D-Printed Dosage Forms: Phytochemical, Technological, Molecular Docking and Pharmacological Research
by Oleh Koshovyi, Yurii Hrytsyk, Lina Perekhoda, Marharyta Suleiman, Valdas Jakštas, Vaidotas Žvikas, Lyubov Grytsyk, Oksana Yurchyshyn, Jyrki Heinämäki and Ain Raal
Pharmaceutics 2025, 17(4), 407; https://doi.org/10.3390/pharmaceutics17040407 - 24 Mar 2025
Viewed by 970
Abstract
Background/Objectives: The Canadian goldenrod (Solidago canadensis L.) is one of the most widespread species of the genus Solidago from the Asteraceae family. It has a rich composition of biologically active compounds and is traditionally used to address kidney, urinary tract, and [...] Read more.
Background/Objectives: The Canadian goldenrod (Solidago canadensis L.) is one of the most widespread species of the genus Solidago from the Asteraceae family. It has a rich composition of biologically active compounds and is traditionally used to address kidney, urinary tract, and liver diseases. Previously, it was proven that the S. canadensis extract obtained with a 40% ethanol solution had the most promising anti-inflammatory and hepatoprotective activity. Therefore, this extract was selected for the further formulation of amino acid preparations and 3D-printed dosage forms. The aims of the present study were to investigate the chemical composition, toxicity, and antimicrobial, anti-inflammatory, and hepatoprotective activity of S. canadensis dry extract, its amino acid preparations, and 3D-printed dosage forms. Results: A total of 18 phenolic compounds and 14 amino acids were determined in the extracts. The S. canadensis herb extracts were verified to be practically non-toxic preparations (toxicity class V, LD₅₀ > 5000 mg/kg). They also showed moderate antimicrobial activity against Staphylococcus aureus, Enterococcus faecalis, and β-hemolytic Streptococcus pyogenes. The most pronounced hepatoprotective activity was observed with S. canadensis herb extract and its amino acid preparations with phenylalanine, alanine, and lysine at a dose of 25 mg/kg body weight. The most pronounced anti-inflammatory activity was found with S. canadensis herb extract and its preparation with arginine. According to the calculated docking score array and the analysis of binding modes in the active sites of COX-1 and COX-2, the flavonoid fraction and caffeic acid in the S. canadensis extracts presented moderate inhibitory activity. Conclusions: The development of innovative 3D-printed oral dosage forms represents a promising strategy to formulate dietary supplements or pharmaceutical preparations for these herbal extracts. Full article
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12 pages, 498 KiB  
Article
The Potential of the Inclusion of Prosopis farcta Extract in the Diet on the Growth Performance, Immunity, Digestive Enzyme Activity, and Oxidative Status of the Common Carp, Cyprinus carpio, in Response to Ammonia Stress
by Morteza Yousefi, Hossein Adineh, Basim S. A. Al Sulivany, Ebrahim Gholamalipour Alamdari, Sevdan Yilmaz, Heba H. Mahboub and Seyyed Morteza Hoseini
Animals 2025, 15(6), 895; https://doi.org/10.3390/ani15060895 - 20 Mar 2025
Cited by 1 | Viewed by 711
Abstract
Herbal feed additives have benefits in aquaculture, as they can improve growth performance, welfare, and stress resistance. Hence, the effects of dietary Prosopis farcta extract (PFE) on the growth parameters, digestive enzyme activity, antioxidant defense, innate immunity responses, and resistance to ammonia stress [...] Read more.
Herbal feed additives have benefits in aquaculture, as they can improve growth performance, welfare, and stress resistance. Hence, the effects of dietary Prosopis farcta extract (PFE) on the growth parameters, digestive enzyme activity, antioxidant defense, innate immunity responses, and resistance to ammonia stress in the common carp, Cyprinus carpio, were studied. Fish (15.14 ± 0.72 g) were fed on diets without the PFE (PFE0) or those fortified with 0.5% (PFE0.5), 1% (PFE1), or 2% (PFE2) PFE for 60 days and then subjected to ammonia stress for 24 h. The growth rate, feed efficiency, and amylase-, lipase-, and protease-specific activities in the PFE1 and PFE2 treatments showed significant elevations compared to these values in PFE0. The intestinal protease-specific activity significantly increased in all of the PFE treatments compared to that in the PFE0 treatment. Serum total protein and immunoglobulin significantly increased in the PFE1 treatment, whereas serum albumin and alternative complement activity significantly increased in the PFE2 treatment compared to these values in the PFE0 treatment. The PFE2 treatment significantly mitigated post-stress elevations in serum cortisol, glucose, malondialdehyde levels, alanine aminotransferase, and aspartate aminotransferase activities. The PFE1 treatment significantly mitigated post-stress elevations in CAT activity and decreases in SOD and lysozyme activity. In conclusion, 1–2% dietary PFE supplementation can improve the growth performance, health, and resilience to environmental stressors of the common carp. Full article
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19 pages, 550 KiB  
Systematic Review
Impact of Dietary Supplements on Clinical Outcomes and Quality of Life in Patients with Breast Cancer: A Systematic Review
by Luca Scafuri, Carlo Buonerba, Oriana Strianese, Evandro de Azambuja, Michela Palleschi, Vittorio Riccio, Vincenzo Marotta, Concetta Scocca, Giovanni Riccio, Carla Errico, Grazia Arpino and Giuseppe Di Lorenzo
Nutrients 2025, 17(6), 981; https://doi.org/10.3390/nu17060981 - 11 Mar 2025
Cited by 3 | Viewed by 3729
Abstract
Background: This systematic review aimed to evaluate the efficacy and safety of dietary supplements in breast cancer patients, focusing on their impact on clinical outcomes, treatment-related side effects, and therapy adherence. Methods: Only RCTs investigating the effects of various orally administered supplements in [...] Read more.
Background: This systematic review aimed to evaluate the efficacy and safety of dietary supplements in breast cancer patients, focusing on their impact on clinical outcomes, treatment-related side effects, and therapy adherence. Methods: Only RCTs investigating the effects of various orally administered supplements in adult breast cancer patients were included. Well-defined substances like vitamins, minerals, antioxidants, and specific herbal extracts were explored. The review excluded studies solely based on dietary interventions or non-supplemental approaches. The primary outcome assessed was quality of life. Secondary outcomes included disease-free survival, overall survival, tumor response, and biomarkers indicative of disease progression. Results: A total of 45 randomized controlled trials (RCTs) were included in this systematic review. Overall, supplementation was not associated with serious adverse events in the included trials. Vitamin D supplementation showed promise in some studies, with potential immunomodulatory and antioxidant effects, particularly when combined with other interventions. Omega-3 fatty acids and beta-glucan demonstrated potential in alleviating certain symptoms and improving quality of life. Studies on amino acids like acetyl-L-carnitine and L-arginine also yielded mixed results. Beta-glucan exhibited potential for immune-enhancing effects, while melatonin and creatine showed limited or no benefit for fatigue or muscle strength. Herbal extracts, including silymarin, curcumin, and EGCG, had varied effects. Curcumin studies presented mixed results. Silymarin showed potential for hepatoprotective effects. Conclusions: These findings highlight the potential of specific dietary supplements to improve various aspects of breast cancer care. However, the evidence is mixed across supplement types, and further research is needed to determine the most effective and safe approaches. Full article
(This article belongs to the Section Micronutrients and Human Health)
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Review
Artificial Intelligence Models and Tools for the Assessment of Drug–Herb Interactions
by Marios Spanakis, Eleftheria Tzamali, Georgios Tzedakis, Chryssalenia Koumpouzi, Matthew Pediaditis, Aristides Tsatsakis and Vangelis Sakkalis
Pharmaceuticals 2025, 18(3), 282; https://doi.org/10.3390/ph18030282 - 20 Feb 2025
Cited by 5 | Viewed by 3858
Abstract
Artificial intelligence (AI) has emerged as a powerful tool in medical sciences that is revolutionizing various fields of drug research. AI algorithms can analyze large-scale biological data and identify molecular targets and pathways advancing pharmacological knowledge. An especially promising area is the assessment [...] Read more.
Artificial intelligence (AI) has emerged as a powerful tool in medical sciences that is revolutionizing various fields of drug research. AI algorithms can analyze large-scale biological data and identify molecular targets and pathways advancing pharmacological knowledge. An especially promising area is the assessment of drug interactions. The AI analysis of large datasets, such as drugs’ chemical structure, pharmacological properties, molecular pathways, and known interaction patterns, can provide mechanistic insights and identify potential associations by integrating all this complex information and returning potential risks associated with these interactions. In this context, an area where AI may prove valuable is in the assessment of the underlying mechanisms of drug interactions with natural products (i.e., herbs) that are used as dietary supplements. These products pose a challenging problem since they are complex mixtures of constituents with diverse and limited information regarding their pharmacological properties, especially their pharmacokinetic data. As the use of herbal products and supplements continues to grow, it becomes increasingly important to understand the potential interactions between them and conventional drugs and the associated adverse drug reactions. This review will discuss AI approaches and how they can be exploited in providing valuable mechanistic insights regarding the prediction of interactions between drugs and herbs, and their potential exploitation in experimental validation or clinical utilization. Full article
(This article belongs to the Special Issue Therapeutic Drug Monitoring and Adverse Drug Reactions: 2nd Edition)
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