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Title:
Synergistic HIV/AIDS and/or immune disease phyto-nutraceutical composition
United States Patent: 7,604,823
Issued: October 20, 2009
Inventors: Olalde Rangel;
Jose Angel (Clearwater, FL)
Assignee: Olalde Rangel;
Jose Angel (Clearwater, FL)
Appl. No.: 11/470,842
Filed: September 7, 2006
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Outsourcing Guide
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Abstract
Phytoceutical composition for the
prevention and treatment of HIV/AIDS and/or immune disorders. A specific
combination of extracts of plants is taught, as well as the formulations
based on categorizing plants into one of three groups, Energy,
Bio-Intelligence and Organization. Such combination has synergistic
effects, with minimal side effects.
Description of the
Invention
FIELD OF THE INVENTION
The invention relates to a phytoceutical formulation used to treat
HIV/AIDS and/or immune related diseases. The formulation is a particular
combination of plants and has a synergistic effect in combination.
BACKGROUND OF THE INVENTION
The academic study of medicinal plants for the treatment of diverse
diseases has been nearly as pervasive as the study of Western medicines.
The active principles from many traditional medicines have been extracted
from plants, the curative agents identified and their mechanisms of action
determined. Plant based medicines are typically well tolerated, with less
severe side effects as well as a smaller range of side effects. In
contrast, while synthetic drugs can be highly effective, their use is
often hampered by severe side effects. Additionally, while synthetic
pharmaceuticals are based upon single chemicals, many phytomedicines exert
their beneficial effects through the additive or synergistic action of
several chemical compounds acting at single or multiple target sites
associated with a physiological process.
As pointed out by Tyler (1999), this synergistic or additive
pharmacological effect can be beneficial by eliminating the problematic
side effects associated with the predominance of a single xenobiotic
compound in the body. In this respect, Kaufman et al. (1999) extensively
documented how synergistic interactions underlie the effectiveness of a
number of phytomedicines. A more recent study with additional
demonstration concerning a phytomedicine's synergistic
effect--Echinacea--is provided by Dalby-Brown et al, 2005. This theme of
multiple chemicals acting in an additive or synergistic manner likely has
its origin in the functional role of secondary products in promoting plant
survival. For example, in the role of secondary products as defense
chemicals, a mixture of chemicals having additive or synergistic effects
at multiple target sites would not only ensure effectiveness against a
wide range of herbivores or pathogens but would also decrease the chances
of these organisms developing resistance or adaptive responses (Kaufman et
al., 1999; Wink, 1999). Conclusion: On one hand, synthetics may have the
required efficacy for disease treatments; however this can be marred by
severe side effects. On the other hand, despite the excellent medicinal
qualities of many plants, they are individually insufficient to take
chronic degenerative diseases into remission. However, there is mounting
evidence which demonstrate that medical plants contain synergistic and/or
side-effect neutralizing combinations (Gilani and Rahman, 2005). Thus,
what are needed in the art are better treatment regimes with improved
patient tolerance, while providing sufficient efficacy.
SUMMARY OF THE INVENTION
A number of known beneficial plants were classified according to their
capacity to enhance the three main elements that support overall health,
in chronic degenerative diseases: Energy (E), Bio-intelligence (I) and
Organization (O). A synergistic effect is expected when all three
categories of herbs (E, I, O) are included in a formulation.
Thus, on the case of diseases that cause a depression and/or attack to the
immune system, one embodiment of the invention provides an effective,
natural composition for treating the aforementioned diseases. The
composition can be used alone, or can be combined with simultaneous use of
one or more pharmaceutical compositions. It can be used for the treatment
of HIV/AIDS, immune disorders and others.
DETAILED DESCRIPTION OF THE INVENTION
`Pharmaceutically acceptable excipients` is used herein according to art
accepted meanings, and includes those ingredients needed to formulate a
medicine for mammalian use, including the use of gelatin capsules.
`Synergistic` or `synergy` is used herein to mean that the effect is more
than its additive property. In preferred embodiments, the synergy is at
least 1.5, 2, 5, or 10 fold.
By use of `plants,` what is meant herein is that the plant (or that
portion with medicinal activity) is used whole, ground, or as an extract.
Also included are purified active ingredients, and derivatives thereof.
However, it is believed that the best efficacy of plants used herein is
achieved with the use of the entire plant or its extracts, rather than
with the use of isolated active ingredients.
Further, although plants are named here according to commonly used
nomenclature, with improving taxonomy plants are often reclassified.
Whenever a plant is referenced, it includes related species with similar
active ingredients.
The following examples are illustrative only, and should not serve to
unduly limit the invention.
EXAMPLE 1
Plant Characteristics--HIV/AIDS and Immune Disorders
Energy Enhancing Components.--
Eleutherococcus or Acanthopanax senticosus (Russian Ginseng, Siberian
Ginseng, Eleuthero, Devil's Shrub, Buisson du Diable, Touch-me-not, Wild
Pepper, Shigoka, Acantopanacis senticosus). Contains terpenoids (oleanolic
acid), Eleutheroside A (daucosterol); Eleutheroside B (siringin);
Eleutheroside B1 (isofraxidin); Eleutheroside B4 (sesamin); Eleutheroside
D and E (heteroside siringoresinol); Eleutheroside C, G, I, K, L and M;
phytosterols (.beta.-sitosterol), polysaccharides (eleutherans), volatile
oils, caffeic acid, coniferyl aldehyde, and sugars.
Eleutherococcus, increases energy and vitality levels, improving physical
and mental performance, and quality of life. It increases the contribution
of oxygen to muscles and allows for longer exercising and faster recovery.
Prevents tiredness: the adaptogenic effects of the root of eleutherococcus
are produced by metabolic regulation of energy, nucleic acids, and
tissular proteins. Eleuthero improves the formation of
glucose-6-phosphate. The glucose-6-phosphate oxidizes by the way of
pentose, producing substrates for the biosynthesis of nucleic acids and
proteins. On the other hand, it increases the activity of succinate
dehydrogenase and of muscular malate-dehydrogenase, enzymes that intervene
in the cycle of tricarboxilic acids, generating ATP. The eleutherosides B
and E are responsible for this adaptogenic activity. Eleuthero has been
shown to bind to gluco or mineralocorticoid receptors and stimulate
production of T-lymphocyte and natural killer cells (immune-stimulant
activity). It has antioxidant activity as well as. Russian Ginseng
contains at least 40 active ingredients.
Panax ginseng (Chinese ginseng, panax, ren shen, jintsam, ninjin, Asiatic
ginseng, Japanese ginseng, Oriental ginseng, Korean red ginseng) The main
active components are ginsenosides (protopanaxadiols and protopanaxatriols
types) these have been shown to have a variety of beneficial effects,
including immune modulator, anti-inflammatory, antioxidant, and anticancer
effects. They also confer energizing properties because they increase ATP
synthesis. Results of clinical research studies demonstrate that Panax may
improve immune function. Studies indicate that Panax enhances phagocytosis,
NK lymphocytes cell activity, and the production of interferon; improves
physical and mental performance in mice and rats; and increases resistance
to exogenous stress factors. A Clinical Trial on 68 HIV-1-infected
patients who lived for more than 5 years without antiretroviral therapy
showed that long-term intake of Korean red ginseng (KRG) delays disease
progression in human immunodeficiency virus type 1 (HIV-1) infected
patients; significantly slowed the decrease in CD4 T cells and
significantly decreased CD8 antigen level (Sung H, Kang S M, Lee M S.
Korean red ginseng slows depletion of CD4 T cells in HIV-1 infected
patients. Clin Diagn Lab Immunol. 2005; 12:497-501). A xylanase isolated
from the roots of Panax ginseng inhibits HIV-1 reverse transcriptase (Lam
S K, Ng T B. A xylanase from roots of sanchi ginseng (Panax notoginseng)
with inhibitory effects on human immunodeficiency virus-1 reverse
transcriptase. Life Sci. 2002; 70:3049-58).
A Clinical controlled trial in 18 human immunodeficiency virus (HIV-1)
infected patients showed that CD4+ T cell counts maintained or even
increased for a prolonged period in patients treated only with Korean red
ginseng. CD4+ T cell counts maintained in the ginseng+ZDV whereas the CD4+
T cell counts in patients treated only with ZDV decreased. Also, the
development of resistance mutations in reverse transcriptase to zidovudine
was delayed (Cho Y K, Sung H, Lee H J. Long-term intake of Korean red
ginseng in HIV-1-infected patients: development of resistance mutation to
zidovudine is delayed. Int Immunopharmacol. 2001; 1:1295-1305). Both
echinacea and ginseng significantly enhanced NK-function of patients with
either the chronic fatigue syndrome or the acquired immunodeficiency
syndrome. Similarly, the addition of either herb significantly increased
antibody-dependent cellular citotoxicity of peripheral blood mononuclear
cells from all subject groups (See D M, Broumand N, Sahl L. In vitro
effects of echinacea and ginseng on natural killer and antibody-dependent
cell cytotoxicity in healthy subjects and chronic fatigue syndrome or
acquired immunodeficiency syndrome patients. Immunopharmacology. 1997;
35:229-35). P. ginseng provides at least 86 active principles in a single
therapeutic.
Panax quinquefolius (American Ginseng, Anchi, Canadian Ginseng, Five
Fingers, Ginseng, American, North American Ginseng, Red Berry, Ren Shen,
and Tienchi) Related to Panax ginseng, it's a distinct species with higher
ginsenoside Rb1 levels and without ginsenoside Rf. Rb1 confers energizing
properties because they increase ATP synthesis. It has immune modulator,
antioxidant and anti-inflammatory effects. Extracts of P. quinquefolius
root were found to significantly stimulate alveolar macrophage TNF release
(Assinewe V A, Extractable polysaccharides of Panax quinquefolius L. root
stimulates TNF-alpha production by alveolar macrophages. Phytomedicine.
2002; 9:398-404). Quinqueginsin, a homodimeric protein isolated from the
roots of Panax quinquefolius possesses an inhibitory action expressed
toward human immunodeficiency virus-1 reverse transcriptase (Wang H X, Ng
T B. Quinqueginsin, a novel protein with anti-human immunodeficiency
virus, antifungal, ribonuclease and cell-free translation-inhibitory
activities from American ginseng roots. Biochem Biophys Res Commun. 2000;
269:203-8). P. quinquefolius provides at least 206 active principles in a
single therapeutic.
Pfaffia paniculata (Suma, Brazilian Ginseng, Pfaffia, Para Tudo,
Corango-acu, Hebanthe paniculata, Gomphrena paniculata, G. eriantha,
Iresine erianthos, I. paniculata, I. tenuis, P. eriantha, Xeraea
paniculata) contains active glycosides (beta-ecdysone and three
ecdysteroids), six different pfaffic acids, phytosterols (sitosterol and
stigmasterol) and triterpene glycosides. Pfaffia contains up to 11%
Saponins (triterpene glycosides), which two derived products have received
patents in Japan as antineoplasic compositions. Its germanium content
probably accounts for its properties as an oxygenator at the cellular
level, and its high iron content may account for its traditional use for
anemia. This herb increases energy through an increase in ATP synthesis
and oxygenation at the cellular level, and it also has anabolic activity
at the muscular level. Incorporation of this phytomedicine provides at
least 44 active principles in a single therapeutic.
Rhodiola rosea (Golden Root, Roseroot, Artic root) consists mainly of
phenilpropanoids (rosavin, rosin, rosarin--all specific to R. rosea),
phenylethanol derivatives (salidroside, rhodioloside, tyrosol), flavanoids
(catechins, proanthocyanidins, rodiolin, rodionin, rodiosin,
acetylrodalgin, tricin), monoterpenes (rosiridol, rosaridin), triterpenes
(daucosterol, beta-sitosterol), and phenolic acids (chlorogenic, caffeic,
hydroxycinnamic and gallic acid). There are many species of Rhodiola, but
rosavins seem to be unique to R. Rosea, and it is the preferred species
for this formulation. Rhodiola increases energy levels because it
activates ATP synthesis and re-synthesis in mitochondria, stimulating
reparative processes after intense exercise. Incorporation of this
phytomedicine provides at least 28 active principles in a single
therapeutic.
Schizandra chinensis (Schisandra spenenthera, Chinese magnolia vine fruit,
also known as Wuweizi and Wurenchum). Schizandra's major active principles
are lignans called schizandrines. Schizandra increase activities in some
enzymes that intervene in the oxidative phosphorylation. It reduces
fatigue and increases exercise resistance. Gomisin J (a derivative of
lignans compound) was found to be a potent inhibitor of the cytopathic
effects of human immunodeficiency virus type 1 (HIV-1) on MT-4 human T
cells. Gomisin J derivatives were active in preventing p24 production from
acutely HIV-1-infected H9 cells. One of these derivatives was active
against 3'-azido-3'-deoxythymidine-resistant HIV-1, acted synergistically
with AZT and 2',3'-ddC and inhibited HIV-1 reverse transcriptase in vitro.
Schizandra also inhibited the early phase of the HIV life cycle (Fujihashi
T, Hara H, Sakata T. Anti-human immunodeficiency virus (HIV) activities of
halogenated gomisin J derivatives, new nonnucleoside inhibitors of HIV
type 1 reverse transcriptase. Antimicrob Agents Chemother. 1995;
39:2000-7). Schisandra provides at least 81 active principles.
Bio-Intelligence Modulators.--
Andrographis paniculata (King of Bitters, Kalmegh, Quasabhuva, The Creat
and Kirayat) Primary active principles associated with Andrographis (AG)
are: flavonoids, glucosides and diterpenic lactones (andrographolides). As
evidenced in various clinical studies, these substances offer
immune-modulator and anti-inflammatory properties. Studies also suggest
that they stimulate the immune systems and activate macrophages. A phase I
dose-escalating clinical trial of andrographolide from Andrographis
paniculata was conducted in 13 HIV positive patients and five HIV
uninfected, healthy volunteers. No subjects used antiretroviral
medications during the trial. A significant rise in the mean CD4(+)
lymphocyte level of HIV subjects occurred after administration of
andrographolide. Andrographolide may inhibit HIV-induced cell cycle
dysregulation, leading to a rise in CD4(+) lymphocyte levels in HIV-1
infected individuals (Calabrese C, Berman S H, Babish J G. A phase I trial
of andrographolide in HIV positive patients and normal volunteers.
Phytother Res. 2000; 14:333-8). Dehydroandrographolide succinic acid
monoester, by virtue of its protease inhibitory property, possibly acts by
suppressing the proteolytic cleavage of envelope glycoprotein gp160 of HIV
(Basak A, Cooper S, Roberge A G. Inhibition of proprotein convertases-1,
-7 and furin by diterpines of Andrographis paniculata and their succinoyl
esters. Biochem J. 1999; 338:107-13). This plant offers at least 11 active
principles in a single therapeutic.
Astragalus membranaceus (Huang-Qi, Huangqi) This plant contains three main
types of active principles. Isoflavones, which act as anti-oxidants;
astragalans which act as immune-stimulants and anti-inflammatory by
stimulating the phagocytic activity of macrophages, of the cytotoxic
response of T and NK lymphocytes and of the production and activity of
interferon; and astragalosides which act as modulators of the
hypothalamus-hypofisis-adrenal axis response. It also conveys
antioxidative properties.
The in vitro induction of LAK cell activity was studied in cancer and AIDS
patients. F3, an immune-regulatory component of Astragalus membranaceus
was shown capable of potentiating the LAK cell inducing activity of rIL-2.
With F3 plus rIL-2, the effector to target cell ratio could be reduced to
one-half in order to obtain an equivalent level of cytotoxicity when rIL-2
was used alone. In some patients, F3 could make them responsive to rIL-2.
These results imply that F3 may be useful to potentiate LAK cell activity,
reduce the amount of rIL-2 and thus minimize the latter's toxic side
effects when used in vivo. (Chu D T, Lin J R, Wong W. The in vitro
potentiation of LAK cell cytotoxicity in cancer and aids patients induced
by F3--a fractionated extract of Astragalus membranaceus] Zhonghua Zhong
Liu Za Zhi. 1994; 16:167-71). This plant offers at least 38 active
principles in a single therapeutic.
Coriolus versicolor (Kawara take, Yun zhi, turkey tail) Among the active
principles isolated from the mycelia of Chinese Medicinal fungus Coriolus
versicolor is the polysaccharide peptide (PSP) which has proven its
benefits in many clinical trials in China and Japan. Another active
principle of Coriolus is protein bound polysaccharide Krestin (PSK).
Polysaccharopeptide (PSP) isolated from the edible mushroom Coriolus
versicolor demonstrated inhibition of the interaction between HIV-1 gp120
and immobilized CD4 receptor, potent inhibition of recombinant HIV-1
reverse transcriptase, and inhibited a glycohydrolase enzyme associated
with viral glycosylation (Collins R A, Ng T B. Polysaccharopeptide from
Coriolus versicolor has potential for use against human immunodeficiency
virus type 1 infection. Life Sci. 1997; 60:PL383-7). The ability of
polysaccharide PSK to inhibit four different strains of human
immunodeficiency virus type 1 (HIV-1), a strain of type 2 (HIV-2), and a
human T-cell lymphotropic virus type I (HTLV-1) was tested. Cell-free
infection of HIV-1 and HIV-2 was almost completely blocked. Cell-to-cell
infection by HIV-1, HIV-2, and HTLV-1 was also inhibited (Tochikura T S,
Nakashima H, Yamamoto N. Antiviral agents with activity against human
retroviruses. J Acquir Immune Defic Syndr. 1989; 2:441-7). PSK has an
antiviral effect on human immunodeficiency virus (HIV) in vitro. One of
the mechanisms of this effect is attributable to the inhibition of binding
of HIV with lymphocytes. PSK inhibits reverse transcriptase in a
non-competitive way.
PSK almost completely blocked the cytopathic effect such as giant cell
formation and HIV-specific antigen expression both in MT-4 cells and
MOLT-4 cells. Pretreatment of the virus with PSK may specifically
interfere with early stages of HIV infection by modifying the viral
receptor (Tochikura T S, Nakashima H, Hirose K. A biological response
modifier, PSK, inhibits human immunodeficiency virus infection in vitro.
Biochem Biophys Res Commun. 1987; 148:726-33).
Echinacea spp. (E. angustifolia, E. purpurea, Black Sampson, Purple
Coneflower, Rudbeckia, Missouri Snakeroot, Red Sunflower) contains
alkaloids (Isotussilagine, tussilagine), amides (echinacein,
isobutylamides), carbohydrates (echinacin, polysaccharides (heteroxylan
and arabinogalactan), inulin, fructose, glucose, pentose), glycosides (echinacoside),
terpenoids (Germacrane), Cichoric acid, betaine, methyl-para-hydroxycinnamate,
vanillin, phytosterols, and volatile oils. The rich content of
polysaccharides and phytosterols in Echinacea are what make it a strong
immune system stimulant. The sesquiterpene esters also have
immune-stimulatory effects. Echinacin, a component of Echinacea, also has
cortisone-like actions which can help control the inflammatory reactions.
The human immunodeficiency virus (HIV) integrase (IN) must covalently join
the viral cDNA into a host chromosome for productive HIV infection.
1-Chicoric acid (1-CA) is a potent inhibitor of IN in vitro, and inhibits
integration and entry. Using recombinant HIV IN, steady-state kinetic
analyses with 1-CA were consistent with a noncompetitive or irreversible
mechanism of inhibition. These data demonstrate that 1-CA is a
noncompetitive but reversible inhibitor of IN in vitro and of HIV
integration in vivo. Both echinacea and ginseng significantly enhanced NK-function
of patients with either the chronic fatigue syndrome or the acquired
immunodeficiency syndrome. In vitro effects of echinacea and ginseng on
natural killer and antibody-dependent cell cytotoxicity in healthy
subjects and chronic fatigue syndrome or acquired immunodeficiency
syndrome patients. Immunopharmacology. 1997; 35:229-35). Finally,
synergistic antioxidant effects of Echinacea constituents were found when
cichoric acid (major caffeic acid derivative in E. purpurea) or
echinacoside (major caffeic acid derivative in Echinacea pallida and
Echinacea angustifolia) were combined with a natural mixture of alkamides
and/or water extract containing the high molecular weight compounds.
This contributes to the hypothesis that the physiologically beneficial
effects of Echinacea are exerted by the multitude of constituents present
in the preparations (Dalby-Brown L, et al. Synergistic antioxidative
effects of alkamides, caffeic acid derivatives, and polysaccharide
fractions from Echinacea purpurea on in vitro oxidation of human
low-density lipoproteins. J Agric Food Chem. 2005; 53:9413-23). The
incorporation of this phytomedicine into compositions provides at least 70
active principles in a single therapeutic.
Ganoderma lucidum (Reishi, also G. tsugae, G. valesiacum, G. oregonense,
G. resinaceum, G. pfezfferi, G. oerstedli, and G. ahmadii) is an edible
fungus containing bitter triterpenoids (ganoderic acid), .beta.-D-glucan,
coumarins, alkaloids and ergosterols. The main active principles of this
mushroom are sterols and beta-proteoglucans which bestow anti-inflammatory
and immune-modulating properties, because they increase the phagocytotic
capacity of macrophages, and increase the production--and lifetime--of CD4
lymphocytes as well. The polysaccharide component with a branched
(1.fwdarw.6)-beta-D-glucan moiety of G. lucidum (PS-G) has been reported
to exert activation of natural killer cells. Also data suggests that PS-G
can effectively promote the activation and maturation of immature
dendritic cells suggesting that PS-G may posses a potential in regulating
immune responses. A protein demonstrating laccase activity and potent
inhibitory activity towards human immunodeficiency virus (HIV)-1 reverse
transcriptase was isolated from the medicinal mushroom Ganoderma lucidum
(Wang H X, Ng T B. A laccase from the medicinal mushroom Ganoderma lucidum.
Appl Microbiol Biotechnol. 2006 Apr. 25). A new highly oxygenated
triterpene named ganoderic acid alpha has been isolated from a extract of
Ganoderma lucidum together with twelve known compounds. Ganoderiol F and
ganodermanontriol were found to be active as anti-HIV-1 agents, and
ganoderic acid B, ganoderiol B, ganoderic acid C1, 3 beta-5
alpha-dihydroxy-6beta-methoxyergosta-7,22-diene, ganoderic acid alpha,
ganoderic acid H and ganoderiol A were moderately active inhibitors
against HIV-1 PR (el-Mekkawy S, Meselhy M R, Nakamura N. Anti-HIV-1 and
anti-HIV-1-protease substances from Ganoderma lucidum. Phytochemistry.
1998; 49:1651-7) (Min B S, Nakamura N, Miyashiro H. Triterpenes from the
spores of Ganoderma lucidum and their inhibitory activity against HIV-1
protease. Chem Pharm Bull (Tokyo). 1998; 46:1607-12).
Two new lanostane-type triterpenes, lucidumol A and ganoderic acid beta
were isolated from Ganoderma lucidum, together with a new natural one as
well as seven that were already known. Ganoderic acid beta,
(24S)-lanosta-7,9(11)-diene-3 beta, 24,25-triol (called lucidumol B),
ganodermanondiol, ganodermanontriol and ganolucidic acid A showed
significant anti-human immunodeficiency virus (anti-HIV)-1 protease
activity. Ganoderma contains at least 32 active principles.
Grifola frondosa (Maitake, Dancing Mushroom; also G. sordulenta, Polyporus
umbellatus and Meripilus giganteus) contains the primary polysaccharide,
.beta.-D-glucan in the 1.3 and 1.6 forms. It also contains alpha glucan,
lipids, phospholipids, and ergosterol. .beta.-D-glucan is recognized as an
effective immune-stimulator. This substance increases the activity of
macrophages and other immunocompetent cells. The substance also improves
the immunological efficiency of these cells by increasing production of
cytokines IL-1, IL-2 and others. The final result is an increase of the
defenses against HIV infection. Other infections and tumoral diseases.
Also, D-Fraction, a polysaccharide extracted from maitake mushrooms (Grifola
frondosa), has been reported to exhibit an antitumoral effect through
activation of immunocompetent cells, including macrophages and T cells,
with modulation of the balance between T-helper 1 and 2 cells. Study
results suggest that D-Fraction can decrease the effective dosage in
tumor-bearing mice by increasing the proliferation, differentiation, and
activation of immunocompetent cells and thus provide a potential clinical
benefit for patients with cancer. Use of Grifola has demonstrated to
diminish side effects of chemotherapy in test conducted in animals.
Maitake (Grifola frondosa) is the Japanese name for an edible medicinal
mushroom. Maitake is increasingly being recognized as a potent source of
polysaccharide compounds with dramatic health-promoting potential. The
D-fraction, the MD-fraction, and other extracts, often in combination with
whole maitake powder, have shown particular promise as immunemodulating
agents, and as an adjunct to cancer and HIV therapy (Mayell M. Maitake
extracts and their therapeutic potential. Altem Med Rev. 2001; 6:48-60).
Grifola (maitake) mushrooms have various degrees of immunomodulatory,
lipid-lowering, antitumoral, and other beneficial or therapeutic health
effects without any significant toxicity. The incorporation of this
phytomedicine provides at least 6 active ingredients for therapeutic use.
Hydrastis canadensis (golden seal, yellow root, turmeric root) contains
mainly isoquinoline alkaloids (xanthopuccine, berberine, hidrastine,
hidrastanine, beta-hydrastine, canadine and canadaline). These confer
anti-inflammatory, bacteriostatic, and bactericidal, effects. In general,
its antibacterial action is directed to microbes' metabolic inhibition,
inhibition of the formation of enterotoxins, and inhibition of bacterial
adhesion. Berberine inhibits activating protein 1 (AP-1), a key factor in
transcription of the inflammation. It also exerts a significant inhibitory
effect on lymphocyte transformation, so its anti-inflammatory action seems
to be due to the inhibition of DNA synthesis in the activated lymphocytes
or to the inhibition of the liberation of arachidonic acid from the
phospholipids of the cellular membrane. It also has immuno-modulating
properties by increasing production of immunoglobulins G and M and
stimulating the phagocytotic capacity of macrophages. A study showed that
Berberine, inhibits HIV-1 reverse transcriptase by means of a complex
mechanism that includes both enzyme-berberine and berberine-template
interactions; the latter effect also results in RT inhibition (Gudima S O,
Memelova L V, Borodulin V B. Kinetic analysis of interaction of human
immunodeficiency virus reverse transcriptase with alkaloids. Mol Biol (Mosk).
1994; 28:1308-14). This plant provides at least 34 active principles for
therapeutic use.
Lentinus edodes (Hua gu, Shiitake, Shiitake mushroom) Lentinan, obtained
from the Shiitake mushroom is a .beta.1-3, .beta.1-6 .delta.-glucan.
Glucan preparations are always heterogeneous in molecular weight but
Lentinan is particularly big, in the order of 400.000-1.000.000 daltons.
Studies also show that lentinan boosts the immune system. Thus, the active
principles are mostly present as glucans of different glycoside links,
such as (1.fwdarw.3), (1.fwdarw.6)-beta-glucans y
(1.fwdarw.3)-alpha-glucans and as true heteroglicanes. They act as immune
modulators due to the increase in concentration of humoral mediators, such
as: TNF-.alpha., gamma interferon, Interleukin-2, Interleukin-6, and the
production of NO and activity of catalase, in macrophages and T
lymphocytes. They also increase the citotoxicity of NK cells and
macrophages. Another active principle obtained from Lentinus is AHCC
(Active Hexose Correlated Compound). This compound offers
immune-modulating and antineoplasic activity. To be noted are also an
improvement in Lymphocyte and erythrocyte count, anemia and appetite.
Lentin, a novel protein was isolated from the edible mushroom Lentinus
edodes.
Lentin exerted an inhibitory activity on HIV-1 reverse transcriptase (Ngai
P H, Ng T B. It also has inhibitory effects on activity of human
immunodeficiency virus-1 reverse transcriptase and proliferation of
leukemia cells. Life Sci. 2003; 73:3363-74). Lentinan, a beta 1.fwdarw.3
glucan isolated from Lentinus edodes (Shiitake mushroom) has immune
modulating properties. A two phase I/II placebo-controlled trials on 98
patients was conducted. In one study at the San Francisco General Hospital
(SFGH), ten patients were each administered lentinan or placebo. In the
second study at the Community Research Initiative in New York (CRI), two
groups of 20 patients each were administered lentinan, and ten patients
were administered placebo. This study confirms the good tolerability of
lentinan observed in Japanese cancer patients. Patients in the study have
shown a trend toward increases in CD4 cells and in some patients'
neutrophil activity. Subsequent to this study, a trial of lentinan in
combination with didanosine (ddI) showed a mean increase of CD4 cells/mm3,
in contrast to a decrease in CD4 cells in patients on ddI alone (Gordon et
al. 1995) (Gordon M, Bihari B, Goosby E. A placebo-controlled trial of the
immune modulator, lentinan, in HIV-positive patients: a phase I/II trial.
J Med. 1998; 29:305-30). Lentinan, an immune modulator isolated from
Lentinus edodes in combination with didanosine (ddI) was evaluated in a
controlled study in HIV positive patients with low CD4 levels. A control
group received ddI only. A total of 107 patients were enrolled at three
sites, and 88 patients started the ddI/lentinan phase. The combination
caused significant increases in CD4 levels, whereas ddI alone was
significant (Gordon M, Guralnik M, Kaneko Y. A phase II controlled study
of a combination of the immune modulator, lentinan, with didanosine (ddI)
in HIV patients with CD4 cells of 200-500/mm3. J Med. 1995; 26:193-207).
Lentinan, a (1----3)-beta-D-glucan with (1----6)-beta-D-glucopyranoside
branches and its related polysaccharides increase host resistance to
various kinds of bacterial, viral and parasitic infections including AIDS.
Lentinan appears to represent Host Defense Potentiators (HDPs), which can
restore or augment the ability of responsiveness of the host to lympho-cytokines
or other intrinsic bioactive factors through maturation, differentiation
or proliferation of the important cells for host defense mechanisms. HDPs
such as lentinan are the most appropriate drugs to prevent the
manifestation of AIDS symptoms in HIV carriers (Chihara G. Recent progress
in immunopharmacology and therapeutic effects of polysaccharides. Dev Biol
Stand. 1992; 77:191-7).
Morinda citrifolia (Noni, Indian Mulberry, Ba Ji Tian, Nono, Nonu, Fruta
de Queso and Nhau) A large range of its components have been identified.
Noni encompasses at least 23 active principles, 5 vitamins and 3 minerals.
Among them: several acids, vitamins (A & C), potassium, Nordamnacanthal
and Morindone, anthraquinones, fitosterols, flavonolglicosides, aucubine,
alizarine and others. In the range of therapeutic activities are included:
1) Immune-stimulant: The fruit's extracts stimulate the release of various
interleukins, including interleukine-1beta, IL-10, IL-12 and
interferon-gamma. 2) Anti-inflammatory effect: The fruit's extracts
inhibits tumor necrosis factor-alpha, an important mediator of the
inflammation process Proceedings of the 7th Annual Conference (Eicosanoids
and other bioactive lipids in cancer, inflammation and related disease
2001, Nashville, Tenn.) publishes Morinda's anti-inflammatory
properties--greater than Celecoxib--to selectively inhibit COX2. Its
anti-inflammatory activity is also explained by its strong antioxidant
properties, scavenging free radicals and diminishing lipid peroxidation.
One study compared Noni with three known anti-oxidants: Vitamin C, grape
seed powder and picnogenol, offering greater capacity to scavenge free
radicals (2.8, 1.1, and 1.4 respectively). Morinda provides at least 31
active principles in a single therapeutic.
Petiveria alliacea (Anam , Apacin, Apacina, Apazote De Zorro, Aposin, Ave,
Aveterinaryte, Calauchin, Chasser Vermine, Congo Root, Douvant-douvant,
Emeruaiuma, Garlic Guinea Henweed, Guine, Guinea, Guinea hen leaf, Gully
Root, Herbe Aux Poules, Hierba De Las Gallinitas, Huevo De Gato, Kojo
Root, Kuan, Kudjuruk, Lemtewei, Lemuru, Mal Pouri, Mapurit, Mapurite,
Mucura-caa, Mucura, Mucuracaa, Ocano, Payche, Pipi, Tipi, Verbena Hedionda,
Verveine Puante, Zorrillo) contains Allantoin, Arborinol, Arborinoliso
Astilbin, Benzaldehyde, Benzoic-acid Benzyl-2-hydroxy-5-ethyl-trisulfide,
Coumarin, Diallyl-disulfide, Dibenzyl Trisulfide, Engeletin, alpha
Friedelinol, Isoarborinol, Isoarborinol-acetate, Isoarborinol-cinnamate,
Isothiocyanates, Kno3, Leridal, Leridol, Leridol-5-methyl Ether,
Lignoceric Acid, Lignoceryl Alcohol, Lignoceryl Lignocerate, Linoleic Acid
Myricitrin, Nonadecanoic Acid, Oleic Acid, Palmitic Acid, Pinitol,
Polyphenols, Proline, trans-n-methyl-4-methoxy, Senfol, .beta.-Sitosterol,
Stearic Acid, Tannins, and Trithiolaniacine. Its therapeutic activities
include anti-inflammatory, immune-stimulant and antimicrobial effects.
Allyl disulfide, allyl alcohol, and its ester strongly depressed cell
proliferation of HIV-1-infected cells.
The allyl alcohol, in particular, completely inhibited cell growth of
HIV-1-infected cells, ultimately killing the viable CEM/LAV-1 cells. The
results suggest that the effect of the allyl alcohol and its esters
resulted in remarkable promotion of the cytopathic effect induced by HIV-1
virus (Shoji S., et al. Allyl compounds selectively killed human
immunodeficiency virus (type 1)-infected cells. Biochem Biophys Res Commun.
1993; 194:610-21). Petiveria provides 25 active principles.
Sutherlandia frutescens (Cancer Bush, also Sutherlandia Microphylla)
contains L-canavanine, pinitol, GABA (gamma aminobutyric acid), and
asparagine. In addition, a novel triterpenoid glucoside known as `SU1` has
been isolated and characterized. The therapeutic indications include
anti-inflammatory, antioxidant, and immuno-modulator. One study showed
that Sutherlandia extracts contain inhibitory compounds active against HIV
target enzymes, thus showing a potential mechanistic action of this plant
in aiding HIV-positive patients (Harnett S M, Oosthuizen V, van de Venter
M. Anti-HIV activities of organic and aqueous extracts of Sutherlandia
frutescens and Lobostemon trigonus. J Ethnopharmacol. 2005; 96:113-9).
This phytomedicine provide at least 5 active principles.
Tabebuia avellanedae (Pau d'arco, Ip , Lapacho, Tahuari, Taheebo, Trumpet
Tree, Tabebuia Ip , Tajy; also T. ipe, T. nicaraguensis, T. schunkeuigoi,
T. serratifolia, T. altissima, T. palmeri, T. impetiginosa, T. heptaphylla,
Gelseminum avellanedae, Handroanthus avellanedae, H. impetiginosus, Tecoma
adenophylla, Tec. avellanedae, Tec. eximia, Tec. impetiginosa, Tec.
integra, Tec. ipe) extracts contain diverse quinone derivatives and a
small quantity of benzenoids and flavonoids, including beta-lapachone,
xyloidone, tabebuin, quercetin, tecomine, and steroidal saponins. One
important ingredient is lapachol, a derivative of which was patented in
1975. It has anti-inflammatory and antibacterial effects. Recent studies
on the effect of beta-lapachone, a quinone obtained from the bark of this
tree, are shedding new light into the possible molecular mechanism of its
activity. Beta-lapachone is a potent and selective inhibitor of HIV-1 LTR-directed
gene expression, at concentrations that have minor effects on cells. At
these concentrations, beta-lapachone inhibited p24 antigen production in
cells either acutely or chronically infected with HIV-1.
Their target is transcriptional function of the LTR (Li C J, Zhang L J,
Dezube B J. Three inhibitors of type 1 human immunodeficiency virus long
terminal repeat-directed gene expression and virus replication. Proc Natl
Acad Sci USA. 1993; 90:1839-42). The incorporation of Tabebuia provides at
least 32 active principles in a single therapeutic.
Uncaria tomentosa (Cat's Claw, Peruvian Cat's Claw, Samento, Saventaro,
Una de Gato, also Uncaria guianensis) has several alkaloids including
pentacyclic oxindol alkaloids (POA) (isomitraphylline, isopteropodine,
mitraphylline, pteropodine, speciophylline, uncarine F), tetracyclic
oxindol alkaloids (TOA) (isorynchophylline, rynchophylline), glycosides (triterpenic
quinovic acid glycosides), hirsutine, tannins, catechins, phytosterols
(beta-sitosterol, campesterol, stigmasterol), triterpenes, polyphenols,
flavanols and oligomeric proanthocyanidins (OPC). It is an
immune-stimulant, an anti-inflammatory, and antioxidant. A standardized
extract of uncaria tomentosa has been successfully used for the past six
years in clinical studies, either as an isolated treatment or in
conjunction with AZT to treat HIV positive and AIDS patients. It has been
found to impede the multiplication of the HIV virus, to activate the
immune system and to stop the development of cancerous cells. Three groups
were studied. The first group was HIV positive and treated for five years.
The disease was prevented from progressing in almost all patients. The
second group exhibited the first sign of AIDS and was treated for six
years. In almost all patients the abnormal blood values were improved
within one year and the patients lost the symptoms of clinical illness.
"This good condition has been maintained to this day." The third group has
been treated for one year with Uncaria tomentosa and AZT. Abnormal blood
values were improved, clinical symptoms were lessened and the secondary
infections of AZT were prevented in almost all patients. (Keplinger, U.
M., "Einfluss von Krallendom extract auf Retrovirale Infektioned", Zurcher
AIDS Kongress, Zurich Switzerland, 16-17 Oct. 1992, program and
abstracts). Uncaria provides at least 29 active principles.
Vitex agnus castus (Chaste Tree or chaste berry) The most important active
principles are an essential oil, two iridoid glycosides (aucubine and
agnuside); a flavone (casticin, which seems to be the primary active
principle) and 3 minor flavonoids derived from kaempferol and quercetin. A
recent study has shown G2-M arrest and antimitotic activity mediated by
casticin.
Organizational Improvers.--
Fulvic Acid (FA) Deals with a mixture of low molecular weight components
among which are uronic acid, glucosides and amino acids. The biologic
activity of fulvic acid is uniquely determined by the functional groups of
its molecules (carboxyls, hydroxiphenyls, hydro-quinone, amino and imido
groups). Fulvic acid (FA) is resistant to microbial degradation. Fulvic
acid accelerates oxidative phosphorylation and protein synthesis.
Antitumoral and anti-oxidative effects: FA protects the cellular membrane
of the action of free radicals and heavy metals. It can scavenge and
eliminate free radicals because of its weak acid properties. It can
combine with heavy metals and body toxins, removing them form the system.
It increases the activity of enzymatic antioxidant systems such as
superoxide dismutase. Anti-inflammatory: FA is a powerful
anti-inflammatory; reduces edema by 77%, minimizing pain. Its
anti-oxidative properties also help prevent inflammation. FA increases the
citotoxic activity of macrophages as well as the synthesis of Interferon
and other cytokines. Fulvic acid increases the phagocytic activity of
macrophages, the mechanism being similar to that produced by IL-4.
Hydrocotile asiatica (Gotu Kola, Bramhi, Pennywort, Marsh Penny, Pennywort
and Centella asiatica) contains terpenoids (asiaticoside, brahmoside and
brahminoside), aglycones (saponin glycosides), asiaticentoic acid,
centellic acid, centoic acid and madecassic acid, sesquiterpenes (caryophyllene,
trans-B-farnesene), volatile oils (Germacrene D), alkaloids (hydrocotylin),
flavonoids (Quercetin, kaempferol), phytosterols (stigmasterol and
sitosterol), and vallerine, fatty acids, resin, and tannins. These active
principles confer anti-inflammatory and immunemodulating properties.
Centella asiatica is a medicinal plant traditionally used to treat a
variety of disorders including inflammatory conditions and infections.
Nitric oxide (NO) produced from activated macrophages plays a role in both
inflammatory and anti-inflammatory processes. This study examined whether
Centella asiatica (CA) modulates the production of NO and tumor necrosis
factor-alpha (TNF-alpha) by J774.2 mouse macrophages. CA increased NO
production; an increase also occurred when CA was administered with
lipopolysaccharide (LPS), a known macrophage activator. TNF-alpha
secretion was correlated with NO production and increases were associated
with an elevation in TNF-alpha mRNA. The only effect on iNOS gene
expression was an inhibition with the CA ethanol extract in the presence
of LPS, consistent with the reduction in NO under these conditions. These
studies show that CA extracts can either increase or decrease NO
production by macrophages and that these effects are predominantly
mediated through an effect on TNF-alpha expression. (Punturee K., et al.
Thai medicinal plants modulate nitric oxide and tumor necrosis
factor-alpha in J774.2 mouse macrophages. J Ethnopharmacol. 2004;
95:183-9). CA provides 59 active principles.
Opuntia ficus indica (Indian Fig, Nopal, Cactus pear, prickly pear) fruit
contains vitamin C and characteristic betalain pigments, which
radical-scavenging properties and antioxidant activities have been shown
in vitro. It also contains vitamins (A, B1, B2, B3,) carothenoids,
betaxanthins, tannins, 17 amino acids (of which 7 are essential) and
minerals. From the stems and fruits of prickly pear cactus, eight
flavonoids, kaempferol, quercetin, kaempferol 3-methyl ether, quercetin
3-methyl ether, narcissin, (+)-dihydrokaempferol (aromadendrin, (+)-dihydroquercetin
(taxifolin), eriodictyol, and two terpenoids have been identified. Several
studies have demonstrated that Opuntia produces a chemical substance which
accelerates the synthesis of Heat Shock Proteins (HSP) in response to
aggressor agent's impacts, while at the same time they reduce the
consumption of these proteins. Thus they improve the protective,
reparative and recuperative cellular mechanisms, increasing cell survival
and minimizing organ and tissular damage. This is particularly important
in AIDS patients. HSP proteins also participate in the immune responses,
acting as macrophage and other immune-competent cells inductors which
participate in the innate immune mechanisms, thus contributing to the
immunological system. This phytomedicine incorporates at least 80 active
principles in a single therapeutic.
Shark cartilage This natural compound contains Chondroitin sulfate. The
results of one controlled trial showed that CD4(+)/CD8(+) ratio increased
in patients that received shark chondroitin. The results of this study
suggest that shark chondroitin could enhance immune function in HIV
patients. (Xu Y J, et al. [Effect of Shark Chondroitin on T Lymphocyte
Subsets of Cancer Patients. Zhongguo Shi Yan Xue Ye Xue Za Zhi. 2001;
9:95-96). Chondroitin sulfate, a fusion inhibitor, appears to work by
blocking the ability of HIV, to infect a cell (Konlee M. Sulfated
polysaccharides (chondroitin sulfate and carrageenan) plus glucosamine
sulfate are potent inhibitors of HIV. Posit Health News. 1998; 4-7).
Claim 1 of 1 Claim
1. A phyto-nutraceutical composition
comprising: 34 mg of Andrographis paniculata, 34 mg of Astragalus
membranaceus, 54 mg of Coriolus versicolor, 13 mg of Echinacea
angustifolia, 13 mg of Echinacea purpurca, 20 mg of Eleutherococcus
senticosus, 13 mg of Fulvic acid, 40 mg of Ganoderma lucidum, 20 mg of
Grifola frondosa, 13 mg of Hydrastis canadensis, 20 mg of Hydrocotile
asiatica, 40 mg of Lentinus edodes, 13 mg of Morinda citrifolia, 7 mg of
Opuntia ficus indica, 13 mg of Panax ginseng, 17 mg of Panax quinquefolius,
34 mg of Petiveria alliacea, 34 mg of Pfaffia paniculata, 7 mg of Rhodiola
rosea, 40 mg of Shark cartilage, 7 mg of Schizandra chinensis, 67 mg of
Sutherlandia frutescens, 40 mg of Tabebuia avellanedae, 40 mg of Uncaria
tomentosa and 17 mg of Vitex agnus castus together with pharmaceutically
acceptable excipients. ____________________________________________
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