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Preventive effects of Hange-shashin-to on irinotecan hydrochloride-caused diarrhea and its relevance to the colonic prostaglandin E2 and water absorption in the rat.

Abstract
The possible preventive effect of Kampo medicine Hange-shashin-to (TJ-14) on chronic diarrheal symptoms induced by the administration of the anticancer agent irinotecan hydrochloride (CPT-11) was investigated in the rat. Repeated oral administrations of TJ-14 at 125 and 500 mg/kg significantly prevented the reduction in body weight and the onset of chronic diarrheal symptoms due to CPT-11 in a dose-dependent manner, even though it failed to show a definite effect on acute diarrheal symptoms. In addition, treatment with TJ-14 accelerated the healing of the intestinal tract injured by repeated dosing of CPT-11 and inhibited significantly the increase of colonic prostaglandin E2 (PGE2) which is closely related to the onset of diarrhea. TJ-14 also improved colonic water absorption impaired by repeated dosing of CPT-11 in rats. These results demonstrate that TJ-14 is an effective medicine for the prevention and/or treatment of CPT-11-induced chronic diarrheal symptoms.
AuthorsY Kase, T Hayakawa, M Aburada, Y Komatsu, T Kamataki
JournalJapanese journal of pharmacology (Jpn J Pharmacol) Vol. 75 Issue 4 Pg. 407-13 (Dec 1997) ISSN: 0021-5198 [Print] Japan
PMID9469647 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Antineoplastic Agents, Phytogenic
  • Drugs, Chinese Herbal
  • Topoisomerase I Inhibitors
  • hange-shashinto
  • Water
  • Irinotecan
  • Dinoprostone
  • Camptothecin
Topics
  • Animals
  • Antineoplastic Agents, Phytogenic (toxicity)
  • Camptothecin (analogs & derivatives, toxicity)
  • Colon (drug effects, metabolism, pathology)
  • Diarrhea (chemically induced, prevention & control)
  • Dinoprostone (metabolism)
  • Dose-Response Relationship, Drug
  • Drugs, Chinese Herbal (administration & dosage, pharmacology)
  • Eating (drug effects)
  • Intestinal Absorption (drug effects)
  • Irinotecan
  • Male
  • Rats
  • Rats, Wistar
  • Topoisomerase I Inhibitors
  • Water (metabolism)
  • Weight Gain (drug effects)

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