Herbal Medicines by Akio Inui
Author:Akio Inui
Language: eng
Format: epub
Publisher: Springer New York, New York, NY
The effects of rikkunshito on gastric adaptive relaxation have been reported in isolated guinea pig stomachs [21], conscious dogs [22], and isolated fundus smooth muscle from Suncus murinus [23] and diabetic neuropathic rats with gastric dysmotility [20]. Rikkunshito not only increased gastric adaptive relaxation at the basal level but also ameliorated inhibited relaxation by the nitric oxide synthase inhibitor [20]. Improvement in gastric accommodation was also reported in virtual reality stress-imposed healthy humans [24].
Rikkunshito was reported to stimulate gastrointestinal contractions in the interdigestive state and gastric emptying in conscious dogs through cholinergic neurons and serotonin type-3 receptors [25]. The prokinetic effect of rikkunshito by 5-HT3 receptor antagonism was also reported in delayed gastric emptying induced by either nitric oxide synthase inhibitor [16] or serotonin [26].
Recently, Herbrechter et al. [27] analyzed the antagonistic effects of the rikkunshito constituents at heterologously expressed 5-HT3A receptors using the two-electrode voltage-clamp technique. They showed that ethanol tinctures from Aurantii, Ginseng, Zingiberis, Atractylodis, and Glycyrrhiza inhibited the 5-HT3A receptor response; among them, the strongest antagonism was found for Glycyrrhiza. Liquiritigenin, glabridin, and licochalcone A from Glycyrrhiza and hesperetin which are the aglycone of hesperidin from Aurantii were found to be the most effective inhibitors of the 5-HT-induced currents in the screening .
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