A tablet derived from Andrographis paniculata complements dihydroartemisinin-piperaquine treatment of malaria in pregnant mice.

Bibliographic Details
Title: A tablet derived from Andrographis paniculata complements dihydroartemisinin-piperaquine treatment of malaria in pregnant mice.
Authors: Bastiana, Widyawaruyanti, Aty, Ilmi, Hilkatul, Tumewu, Lidya, Prasetyo, Budi, Hafid, Achmad Fuad, Aryati
Source: Journal of Basic & Clinical Physiology & Pharmacology; Mar2022, Vol. 33 Issue 2, p175-183, 9p
Subject Terms: DRUG therapy for malaria, INTERLEUKINS, MEDICINAL plants, COMBINATION drug therapy, HERBAL medicine, PARASITEMIA, ANIMAL experimentation, FETAL development, GENE expression, TUMOR necrosis factors, ANTIMALARIALS, PLANT extracts, MICE, PREGNANCY
Abstract: The use of standard antimalarial drugs, such as dihydroartemisinin-piperaquine (DHP) for the treatment of malaria during pregnancy is limited due to the risk of teratogenicity. The alternative is therefore required although few exist. Here we show a phytopharmaceutical drug derived from Andrographis paniculata (AS201-01), which is effective as herbal antimalarial both in vitro and in vivo and may be a suitable alternative when used in complementary treatment with DHP. Plasmodium berghei infected pregnant BALB/c mice were divided into four groups: G1 (negative control), G2 (AS201-01), G3 (DHP), and G4 (combination of DHP and AS201-01). Pheripheral blood was collected during therapy for counting parasitemia. Placental samples were analyzed for the expression of IFN-γ, TNF- α, IL-10, placental parasite counts and foetal morphology. Groups G4 and G3 both showed a 100% inhibition of peripheral parasitemia. However, the treatment in G4 was found to be less effective than that in G2 and G3 in preventing placental parasitemia. The G4 treatment was able to reduce the expression of IFN-γ and IL-10, whereas TNF-α was not significantly different from the control group. Foetal morphologic abnormalities were observed in all groups except G2; G4 showed lower percentage of abnormalities compared to G3 and G1. A combination of A. paniculata tablet (AS201-01) with DHP has the potential to reduce the toxicity of DHP in malaria treatment. [ABSTRACT FROM AUTHOR]
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Database: Complementary Index
More Details
ISSN:07926855
DOI:10.1515/jbcpp-2020-0162
Published in:Journal of Basic & Clinical Physiology & Pharmacology
Language:English