Evidence map›Paper›PMID 32020872›Full record

ArticleBMC complementary medicine and therapies2020

Toxicology studies of aqueous-alcohol extracts of Harpagophytum procumbens subsp. procumbens (Burch.) DC.Ex Meisn. (Pedaliaceae) in female and male rats.

Kirtan Joshi, Alan Parrish, Elizabeth A Grunz-Borgmann, Mary Gerkovich, William R Folk

Open access · goldAbstract read
In one paragraph

Article in BMC complementary medicine and therapies, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Article
  3. The Fight against Infection and Pain: Devil's Claw (Molecules (Basel, Switzerland) · 2022
    Review
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Kirtan JoshiDepartment of Biochemistry, 117 Schweitzer Hall, University of Missouri-Columbia, Columbia, MO, 65211, USA. kvj5kc@health.missouri.edu.
Alan ParrishDepartment of Medical Pharmacology and Physiology, MA 415 Medical Sciences Building, One Hospital Drive, Columbia, MO, 65212, USA.
Elizabeth A Grunz-BorgmannDepartment of Medical Pharmacology and Physiology, MA 415 Medical Sciences Building, One Hospital Drive, Columbia, MO, 65212, USA.
Mary GerkovichDepartment of Biomedical and Health Informatics, University of Missouri-Kansas City, School of Medicine, M5-121, Kansas City, MO, 64108-2792, USA.
William R FolkDepartment of Biochemistry, 117 Schweitzer Hall, University of Missouri-Columbia, Columbia, MO, 65211, USA. folkw@missouri.edu.ORCID http://orcid.org/0000-0003-2216-3233
University of Missouri · USUniversity of Missouri Health System · USUniversity of Missouri–Kansas City · US

Funding

Phased Exploratory Clinical Studies of Harpagophytum procumbens’ Impact upon the Biological Signature of Inflammatory OsteoarthritisR21AT009086 · NCCIH · UNIVERSITY OF MISSOURI KANSAS CITY · PI FOLK, WILLIAM ROBERT, GERKOVICH, MARY M. · 2016 to 2017
$515k
NCCIH NIH HHS R21 AT009086NCCIH NIH HHS R21AT009086
6 · The paper itself

Abstract

backgroundA variety of medicinal products prepared from secondary tubers of Harpagophytum procumbens subsp. procumbens (Burch.) DC.ex Meisn. (Devil's Claw) and H. zeyheri are marketed in Africa, Europe, the United States, South America and elsewhere, where they are used for inflammatory and musculoskeletal conditions such as arthritis, lower back pain, rheumatism and neuralgia, etc. While clinical studies conducted over the last twenty years support the general safety of such products, infrequent gastrointestinal disturbances (diarrhea, nausea, vomiting, abdominal pain), headache, vertigo and hypersensitivity (allergic) reactions (rash, hives and face swelling) have been documented. Sex-related differences occur in the health conditions for which Devil's Claw products are used, so it is likely that usage is similarly sex-related and so might be side effects and potential toxicities. However toxicologic studies of Devil's Claw products have been conducted primarily with male animals. To address this deficit, we report toxicological studies in female and male rats of several H. procumbens (HP) aqueous-alcohol extracts chemically analyzed by UPLC-MS.

methodsFemale and male Sprague Dawley rats were studied for one and three months in groups differing by consumption of diets without and with HP extracts at a 7-10-fold human equivalent dose (HED). Sera were analyzed for blood chemistry, and heart, liver, lung, kidney, stomach, and small and large intestine tissues were examined for histopathology. Treatment group differences for blood chemistry were analyzed by ANOVA with Dunnett's test and significant group differences for endpoints with marginal distributional properties were verified using the Kruskal-Wallis test. Group differences for histopathology were tested using Chi Square analysis.

resultsSignificant group by sex-related differences in blood chemistry were detected in both studies. Additionally, several sex-related differences occurred between the studies. However, significant histopathology effects associated with the consumption of the extracts were not detected.

conclusionToxicologic analysis of Devil's Claw extracts cause significant sex-related effects in blood chemistry. However, in our judgement, none of the observed effects suggest serious toxicity at these doses and durations. Subsequent toxicologic and clinical studies of H. procumbens and other medicines with similar properties should explore in greater detail the basis and consequences of potential sex-related effects.

Indexed as

AfricaAnimalsChromatography, LiquidFemaleHarpagophytumMalePlant ExtractsRatsRats, Sprague-DawleyTandem Mass SpectrometryPlant ExtractsDevil’s clawHarpagophytum procumbensInflammationMusculoskeletalRatsSex-relatedToxicology

Identifiers

PMID32020872
PMCPMC7076895
OpenAlexW3004602731

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.