1.The phytochemic and pharmakologic activity extract of malbus in kidney damage
Uranzaya D ; Oyun Z ; Ariunaa Z ; Narantsetseg DO ; Sarnai TS ; Altanchimeg A ; Chimedragchaa CH
Mongolian Medical Sciences 2013;164(2):71-75
BackgroundThese study made us to investigate the drug row material of Mongolian traditional medicine such us Tribulus terrestris, Malva neclecta Wall and Eriocheir sinensis compounded preparation named “Malbus”. Investigated us preparations steel using for treatment of kidney and urinetract deseases, it is one of effective in Mongolian traditional drug preparations.Material and MethodsThe experimental protocol was approved by the Ethics Review Committee at the Ministry Health of Mongolia. In research we used 20 healthy mice and 60 Wistar rats. Investigation was based and implemented at scientific research laboratory of Traditional Medical Science Technology and Producttion Corporation and pathological laboratory of Institute Veterinary medicine. Chemically acting substances is steroid saponin content in Malbus compound was detected by using thin layerchromatography (TLC) and its value was determined by UV-spectrophotometry. The acute oral toxicity study was according to the method Prozorovsky (1978). The toxic nephrosis was produced using Gentamicin (80 mg/kg) rats by using Neugarten’s method (1983).ResultsThe ethanolic extract results of the phytochemical investigations showed that conteined in the “Malbus” determined the presence of bioactive substances such as flavonoids, steroid saponins. The ethanolic extract of Malbus was found to be LD50 of 16.3 g/kg. Toxic nephrosis was induced in Wistar rats administered preparation Malbus dose 80 mg/kg, 160 mg/kg, and 240 mg/kg. Blood levels of creatinine, uric acid, and urea were siginificantly reduced by Malbus treatment compared tocontrol. Histological study revealed that Malbus was effective for treatment of nephritis in rats induced by gentamicin.Conclusions:1. The ethanolic extract of “Malbus” compound determined the presence of bioactive substances such as flavonoids, steroid saponins.2. LD50 of Malbus 16.3 g/kg, the preparation is has nephroprotective effect on experimental Gentamicine induced nephrosis in rats.
2.Results of the Study on the Effect of Glycyrrhiza uralensis and Inula helenium L. Extracts on Nitric Oxide Production in a Lipopolysaccharide-Induced Inflammation Model
Anand A ; Ariunzaya Lkh ; Ariunzaya M ; Enkhsaikhan Lkh ; Zolzaya B ; Sarnai Ts ; Shiirevnyamba A ; Ariunzaya B
Mongolian Journal of Health Sciences 2025;86(2):70-76
Background:
Nitric oxide (NO) is a biological messenger molecule that plays a significant role in the pathogenesis of
inflammation. It has anti-inflammatory effects under physiological conditions but can act as a pro-inflammatory mediator
when produced excessively under abnormal conditions. NO is involved in the pathogenesis of inflammatory diseases affecting
the joints, intestines, and lungs. Therefore, compounds that inhibit NO production are considered important for the
treatment of inflammatory diseases and are used clinically. The RAW 264.7 mouse macrophage-like cell line is a widely
used model for inflammation studies. Lipopolysaccharide (LPS), a component of the outer membrane of Gram-negative
bacteria, is used to activate RAW 264.7 cells and create an inflammation model. Glycyrrhiza uralensis, also known as
licorice, is a perennial herbaceous plant in the Fabaceae family. It has been widely used in traditional medicine due to its
anti-inflammatory, antiviral, and hepatoprotective properties. Recent studies have shown that licorice contains bioactive
compounds such as glycyrrhizin, liquiritigenin, and isoliquiritigenin, which play an important role in inhibiting the synthesis
of pro-inflammatory cytokines in macrophages induced by LPS. Inula helenium L., also known as elecampane, is a
perennial herbaceous plant used as an expectorant, anti-infective, anti-inflammatory, and anti-helminthic agent in various
respiratory diseases. Licorice and Inula helenium are included in Mongolian traditional medicine prescriptions, but their
anti-inflammatory effects have not been fully determined, which forms the basis for this research.
Aim:
To study the effect of Glycyrrhiza uralensis and Inula helenium extracts on the production of NO, the end product
of inflammation, in RAW 264.7 macrophage cell lines stimulated with lipopolysaccharide.
Materials and Methods:
The non-toxic dose of the plant extracts was determined in RAW 264.7 mouse macrophage-like
cell line cultures using the MTT assay. Nitric oxide production in RAW 264.7 cell line cultures stimulated with lipopolysaccharide
was assessed using the Griess method. Statistical analysis of the results was performed using SPSS 25.0
software, with the p-value calculated by one-way ANOVA, and the differences between groups were evaluated.
Results:
In RAW 264.7 cell cultures, Glycyrrhiza uralensis and Inula helenium extracts were non-toxic and promoted
cell growth at doses ranging from 1 to 25 μg/ml, while a dose of 50 μg/ml was toxic and inhibited cell growth (p<0.01).
When the combined plant extracts were applied to cells at doses ranging from 1 to 100 μg/ml, they were also non-toxic
and enhanced cell growth, while a dose of 500 μg/ml was toxic and inhibited growth (p<0.001). In terms of nitric oxide
production, Glycyrrhiza uralensis extract increased NO production in a dose- and time-dependent manner compared to
the control or PBS-treated group. However, Inula helenium extract did not show a dose- or time-dependent effect on NO
production. In the lipopolysaccharide-induced inflammation model, licorice extract inhibited NO production at a dose of
30 μg/ml after 12 hours, and further reduced NO production in a dose- and time-dependent manner after 48 hours. Conversely,
no significant changes were observed in the Inula helenium extract group at a dose of 25 μg/ml after 48 hours, but
a reduction in LPS-induced NO production was observed at a dose of 25 μg/ml after 48 hours.
Conclusion
Glycyrrhiza uralensis extract alone increased NO production in a dose- and time-dependent manner. It also
reduced LPS-induced NO production in a dose- and time-dependent manner. In contrast, Inula helenium extract inhibited
LPS-induced NO production at a dose of 25 μg/ml after 48 hours.
3.The cell protective effect of licorice and elecampane plant extracts from hydrogen peroxide-induced cytotoxicity
Anand A ; Ariunzaya M ; Ariunzaya Lkh ; Zolzaya B ; Sarnai Ts ; Ariunzaya B
Diagnosis 2025;112(1):14-20
:
The increasing prevalence of noncommunicable diseases (NCDs), driven by factors such as population growth, urbanization, and economic development, presents significant individuals,
families, challenges and to healthcare systems. These diseases are often linked to lifestyle choices, poor diet, and physical inactivity. As a result, there is growing interest in finding alternatives to synthetic
drugs, particularly those derived from medicinal plants. Medicinal plants are known to contain bioactive compounds that offer therapeutic properties with fewer side effects compared to conventional
pharmaceuticals. This study explores the cytoprotective effects of Glycyrrhiza uralensis (licorice) and Inula helenium (elecampane) extracts against oxidative stress induced by hydrogen peroxide (H2O2) in RAW 264.7 macrophage-like cells.
The study found that both plant extracts were non-toxic at doses ranging from 1 to 25 µg/mL and promoted cell growth (p<0.01). The results suggest that these extracts support cell survival and exhibit
biological activity.
To assess the antioxidant effects, various concentrations of H2O2 (10–400 µM) were tested, and 200 µM was found to significantly reduce cell viability. Licorice and elecampane extracts (10 µg/mL and 25 µg/ mL, respectively) enhanced cell viability and reduced oxidative damage. Both extracts significantly reduced cell death compared to the H2O2-only group (p<0.01), highlighting their potent antioxidant properties.
Conclusion
Glycyrrhiza uralensis and Inula helenium extracts demonstrated strong cytoprotective and antioxidant effects, supporting their potential as natural therapeutics for oxidative stress-related conditions.
4.Association between serum cryoglobulinemia and clinical manifestation in chronic hepatitis C patients
Amin-Erdene G ; Gantogtokh D ; Yumchinsuren Ts ; Dolgion D ; Bolor U ; Otgongerel N ; Enkhmend Kh ; Ganchimeg D ; Tulgaa L ; Sarnai Ts ; Batbold B
Mongolian Journal of Health Sciences 2025;88(4):92-99
Background:
The most common clinical manifestation of HCV infection, which includes both hepatic and extrahepatic
manifestations, is mixed cryoglobulinemia, which is characterized by the precipitation of certain proteins in the blood at
temperatures below 37°C (in vitro), aggregation, and deposition in the walls of small and medium-sized vessels, causing
vasculitis, which is clinically manifested by a triad of joint pain, fatigue, and rash on the soles of the feet. Cryoglobulinemia is commonly diagnosed in people with HCV infection, with a prevalence ranging from 10% to 70%. Vasculitis that
occurs when cryoglobulinemia is detected mainly affects the small vessels of the skin, kidneys, and peripheral nerves,
causing complications in other organ systems.
Aim :
To determine the prevalence of cryoglobulinemia in people with HCV infection, study it in relation to the stage of
liver fibrosis, and determine its clinical relevance.
Materials and Methods :
200 chronic HCV infected individuals were included in the study according to the inclusion
and exclusion criteria. After obtaining informed consent from each participant, a questionnaire was used to collect information, perform physical measurements, and collect peripheral blood samples. Complete blood count and biochemical
tests (liver and kidney function) were performed. The degree of liver fibrosis was assessed non-invasively (APRI, FIB4). The glomerular filtration rate was calculated electronically using the MDRD GFR Equation. Skin examination was
performed to assess the presence of rash, ulcers, and scarring on the shins and ankles of cryoglobulinemia. To determine
cryoglobulinemia, 8 ml of blood was collected in a tube without anticoagulant, and the sample was kept motionless for
1 hour at room temperature until clotting was complete. After centrifugation, the samples were separated and stored in a
refrigerator at +4°C for 7 days, and then at room temperature for 30 minutes, the precipitate was detected.
Results :
A total of 200 people participated in the study, of which 71 were men (35.5%), the average age was 53.39±13.0.
Cryoglobulinemia protein precipitates were determined in a total of 148 people, of which 50 were men (33.8%), the
average age was 52.95±13.0. Cryoglobulinemia protein precipitates were detected in 89 people, or 60.1% of the study
participants. Of the total study participants, 176 (88.0%) had chronic hepatitis C (CHC). Of these, 57 people had CHC
with cryoglobulinemia. Comparing laboratory parameters, the mean GGT level in the cryoglobulinemia group was statistically significantly higher than in the non-cryoglobulinemia group (p=0.039). However, when laboratory parameters
were grouped by increasing or decreasing, AST and ALT levels were significantly higher in the cryoglobulinemia group,
indicating more hepatocellular damage (p<0.000). Increased creatinine levels may be associated with the risk of renal
dysfunction. The FIB-4 index and APRI index showed a more severe degree of fibrosis in the cryoglobulinemia group
(p<0.005; p<0.000). Univariate logistic regression analysis showed that age was associated with the occurrence of cryoglobulinemia (OR=2.48; 95% CI:1.31–4.70; p=0.005). Platelet count had a statistically significant positive effect in multivariate analysis (OR=14.38; 95% CI:1.26–163.89; p=0.032).
Conclusion
The prevalence of cryoglobulinemia among HCV-infected patients was 60.1%, and older age and decreased
platelet count among infected individuals were associated with the occurrence of cryoglobulinemia.