Clinical role of a fixed combination of standardized Berberis aristata and Silybum marianum extracts in diabetic and hypercholesterolemic patients intolerant to statins.

作者: Francesco Di Pierro , Iaele Bellone , Giuliana Rapacioli , Pietro Putignano

DOI: 10.2147/DMSO.S78877

关键词:

摘要: Background Statin intolerance is a medical condition often leading patients to nonadherence the prescribed therapy or relevant reduction of statin dosage. Both situations determine totally partially uncontrolled lipid profile, and these conditions unquestionably increase risk cardiovascular events. Methods We enrolled hypercholesterolemic, type 2 diabetic complaining statins. Some them had reduced dose 'until disappearance symptoms'; others opted for treatment with ezetimibe; yet were not undergoing any at all. All three groups then given fixed combination berberine silymarin (Berberol(®)), known from previous papers be able control both lipidic glycemic profiles. Results The tested product as single add-on low-dose ezetimibe triglycerides, low-density lipoprotein cholesterol, fasting blood glucose, glycosylated hemoglobin in significant manner without inducing toxicity that might somehow ascribed statin-intolerant condition. Conclusion Our study demonstrates use Berberol(®), administered subjects affected by diabetes hypercholesterolemia safe effective tool capable improving patients'

参考文章(22)
Derosa G, A Bonaventura, L Bianchi, D Romano, A D'Angelo, Fogari E, Maffioli P, Effects of Berberis aristata/Silybum marianum association on metabolic parameters and adipocytokines in overweight dyslipidemic patients Journal of Biological Regulators and Homeostatic Agents. ,vol. 27, pp. 717- 728 ,(2013)
Seema Garg, Suman B Sharma, Small dense LDL: risk factor for coronary artery disease (CAD) and its therapeutic modulation. Indian Journal of Biochemistry & Biophysics. ,vol. 49, pp. 77- 85 ,(2012)
Hye-Won Chae, In-Wha Kim, Hyo-Eon Jin, Dae-Duk Kim, Suk-Jae Chung, Chang-Koo Shim, Effect of ion-pair formation with bile salts on the in vitro cellular transport of berberine Archives of Pharmacal Research. ,vol. 31, pp. 103- 110 ,(2008) , 10.1007/S12272-008-1127-4
Guo-yu Pan, Guang-Ji Wang, Xiao-Dong Liu, J. Paul Fawcett, Yuan-Yuan Xie, The involvement of P-glycoprotein in berberine absorption. Pharmacology & Toxicology. ,vol. 91, pp. 193- 197 ,(2002) , 10.1034/J.1600-0773.2002.T01-1-910403.X
Yong-Qiang Shan, Yan-Ping Zhu, Jing Pang, Yan-Xiang Wang, Dan-Qing Song, Wei-Jia Kong, Jian-Dong Jiang, Tetrandrine Potentiates the Hypoglycemic Efficacy of Berberine by Inhibiting P-Glycoprotein Function Biological & Pharmaceutical Bulletin. ,vol. 36, pp. 1562- 1569 ,(2013) , 10.1248/BPB.B13-00272
Shufeng Zhou, Lee Yong Lim, Balram Chowbay, Herbal Modulation of P‐Glycoprotein Drug Metabolism Reviews. ,vol. 36, pp. 57- 104 ,(2004) , 10.1081/DMR-120028427
Francesco Di Pierro, Pietro Putignano, Luca Montesi, Simona Moscatiello, Giulio Marchesini Reggiani, Nicola Villanova, Preliminary study about the possible glycemic clinical advantage in using a fixed combination of Berberis aristata and Silybum marianum standardized extracts versus only Berberis aristata in patients with type 2 diabetes. Clinical Pharmacology: Advances and Applications. ,vol. 5, pp. 167- 174 ,(2013) , 10.2147/CPAA.S54308
Hao Zhang, Jing Wei, Rong Xue, Jin-Dan Wu, Wei Zhao, Zi-Zheng Wang, Shu-Kui Wang, Zheng-Xian Zhou, Dan-Qing Song, Yue-Ming Wang, Huai-Ning Pan, Wei-Jia Kong, Jian-Dong Jiang, Berberine lowers blood glucose in type 2 diabetes mellitus patients through increasing insulin receptor expression Metabolism-clinical and Experimental. ,vol. 59, pp. 285- 292 ,(2010) , 10.1016/J.METABOL.2009.07.029
Jamie Cameron, Trine Ranheim, Mari Ann Kulseth, Trond P. Leren, Knut Erik Berge, Berberine decreases PCSK9 expression in HepG2 cells Atherosclerosis. ,vol. 201, pp. 266- 273 ,(2008) , 10.1016/J.ATHEROSCLEROSIS.2008.02.004
Alberico L Catapano, Michel Farnier, JoAnne M Foody, Peter P Toth, Joanne E Tomassini, Philippe Brudi, Andrew M Tershakovec, None, Combination therapy in dyslipidemia: Where are we now? Atherosclerosis. ,vol. 237, pp. 319- 335 ,(2014) , 10.1016/J.ATHEROSCLEROSIS.2014.09.026