Scutellaria baicalensis decreases ritonavir-induced nausea

被引:14
作者
Aung H. [1 ,2 ]
Mehendale S. [1 ,2 ]
Chang W.-T. [1 ,2 ]
Wang C.-Z. [1 ,2 ]
Xie J.-T. [1 ,2 ]
Yuan C.-S. [1 ,2 ,3 ]
机构
[1] Tang Center for Herbal Medicine Research, Pritzker School of Medicine, The University of Chicago, Chicago
[2] Department of Anesthesia, Pritzker School of Medicine, The University of Chicago, Chicago
[3] Committee on Clinical Pharmacology and Pharmacogenomics, Pritzker School of Medicine, The University of Chicago, Chicago
关键词
Kaolin; Ritonavir; Improve Life Expectancy; Scutellaria Baicalensis; Porcine Carotid Artery;
D O I
10.1186/1742-6405-2-12
中图分类号
学科分类号
摘要
Background: Protease inhibitors, particularly ritonavir, causes significant gastrointestinal disturbances such as nausea, even at low doses. This ritonavir-induced nausea could be related to its oxidative stress in the gut. Alleviation of drug-induced nausea is important in effectively increasing patients' compliance and improving their quality of life. Conventional anti-emetic drugs can only partially abate the symptoms in these patients, and their cost has also been a concern. Rats respond to nausea-producing emetic stimuli by increasing consumption of non-nutritive substances like kaolin or clay, a phenomenon known as pica. In this study, we used this rat pica model to evaluate the effects of Scutellaria baicalensis, a commonly used oriental herbal medicine, on ritonavir-induced nausea. Results: Rats treated with 20 mg/kg ritonavir significant caused increases of kaolin consumption at 24 to 48 hr (P < 0.01). Pretreatment with 0.3 and 3 mg/kg Scutellaria baicalensis extract significantly decreased ritonavir-induced kaolin intake in a dose-related manner (P < 0.01). Compared to vehicle treatment, the extract completely prevented ritonavir-incluced kaolin consumption at dose 3 mg/kg. The area under the curves (AUC) for kaolin intake from time 0 to 120 hr for vehicle only, ritonavir only, SbE 0.3 mg/kg plus ritonavir, and SbE 3 mg/kg plus ritonavir were 27.3 g·hr, 146.7 g·hr, 123.2 g·hr, and 327 g·hr, respectively. The reduction in area under the curves of kaolin intake from time 0 to 120 hr between ritonavir only and SbE 0.3 mg/kg plus ritonavir, ritonavir only and SbE 3 mg/kg plus ritonavir were 16.0% and 77.7%, respectively. Conclusion: Scutellaria baicalensis significantly attenuated ritonavir-induced pica, and demonstrated a potential in treating ritonavir-induced nausea. © 2005 Aung et al; licensee BioMed Central Ltd.
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