Does Monk’s Pepper Help with Endometriosis?

Mönchspfeffer bei EndometrioseMonk’s pepper, also known as Vitex agnus-castus, is a well-established medicinal plant with a rich history of addressing various women’s health concerns. It has effectively managed premenstrual syndrome (PMS), infertility, and irregular menstrual cycles [6]. However, the question arises: Can monk’s pepper also relieve endometriosis?

Monk’s pepper is colloquially called the “chaste tree” owing to its historical use in monastic gardens. Despite its name, it is not a tree but rather a large shrub. Its seeds, with their pungent taste, were used as a spice and were believed to suppress the libido, particularly in men. But how can this ancient remedy benefit women?

How Does Monk’s Pepper Work?

Mönchspfeffer bei Endometriose

Monk’s pepper has been effective in alleviating premenstrual syndrome (PMS) symptoms, including breast pain (mastodynia).

The precise mechanism by which monk’s pepper regulates the hormonal system through the pituitary gland is not yet fully understood. It is suspected to exert its effects through dopamine, opioid, or estrogen-like components [8]. However, the active compound found in the shrub’s fruit can influence human hormonal balance, regardless of gender [7].

One well-known effect of monk’s pepper is its ability to inhibit the release of the hormone prolactin [1]. Prolactin plays a role in mammary gland function and can lead to conditions like breast pain (mastodynia), a common premenstrual syndrome (PMS) symptom. Monk’s pepper is, therefore, successfully used to alleviate such symptoms and other PMS-related issues like water retention.

Monk’s pepper also supports the production of the corpus luteum hormone (progestins), making it helpful in enhancing hormonal balance for women trying to conceive when facing low progestin levels or corpus luteum weakness.

For women with irregular menstrual cycles, monk’s pepper preparations can help normalize them. In cases where the female hormonal balance is slightly off-kilter, monk’s pepper is employed to regulate it gently [2]. Regardless of the purpose and dosage of monk’s pepper-based treatments, it is essential to note that their hormone-regulating effect may not be immediate, requiring at least three monthly cycles of use to assess effectiveness [5].

Potential Side Effects of Monk’s Pepper

While side effects from monk’s pepper are rare, they can range from itching and headaches to gastrointestinal discomfort and dizziness. Allergic reactions, though uncommon, can manifest as shortness of breath, facial swelling, and difficulty swallowing. In such instances, immediate medical consultation is imperative.

Exploring Monk’s Pepper’s Role in Endometriosis?

Mönchspfeffer bei Endometriose

The essential oil derived from monk’s pepper has demonstrated analgesic (pain-relieving) and anti-inflammatory properties.

There have been limited scientific studies on the use of monk’s pepper, but emerging evidence and anecdotal reports are promising.

In cases of endometriosis, the objective is to lower estrogen levels and increase progestin levels.

Despite estrogen-like components in monk’s pepper, most studies have indicated that it has either no or an inhibitory effect on estrogen levels. This suggests that monk’s pepper might aid in slowing the growth of endometriosis lesions [3].

While one study did observe that certain active ingredients in monk’s pepper act similarly to estrogens and could potentially promote endometriosis lesion growth, several studies focusing on other gynecological conditions have shown increased progestin concentrations. This data suggests the potential positive effects of monk’s pepper in endometriosis, although scientific consensus is not yet established.

A study involving mice [4] investigating the essential oil derived from monk’s pepper fruit demonstrated an anti-inflammatory and analgesic effect. Notably, this analgesic effect occurred within just 15 minutes. However, further research is needed to ascertain how these findings apply to humans.

Given the current state of research, the use of monk’s pepper in endometriosis remains a topic of debate. Depending on individual circumstances and treatment plans, a three-month trial may be worthwhile

Considerations for Monk’s Pepper Use

Mönchspfeffer bei Endometriose

Women already taking hormone preparations exercise caution and avoid monk’s pepper.

Women already taking hormone preparations, antidepressants, or other medications should exercise caution or consult their healthcare provider before using monk’s pepper. Additionally, women with a history of breast cancer those who are pregnant or lactating should avoid monk’s pepper due to its hormone-regulating properties, potentially leading to complications.

Conclusion:

Scientific studies have validated the effectiveness of monk’s pepper in alleviating PMS symptoms, although results may take time to manifest. In the case of endometriosis, the scientific evidence remains inconclusive. Still, preliminary findings suggest that monk’s pepper may possess anti-inflammatory and pain-reducing properties, influence hormonal balance positively, and potentially inhibit the growth of endometriosis lesions.

Despite being a natural plant, Monk’s pepper should be approached with caution and preferably under the guidance of a healthcare professional, mainly due to its drug-like effects.

References

6556741 {6556741:GXN5PI3I},{6556741:MWIANCNF},{6556741:GWIK4BFA},{6556741:VPIJ2ACS},{6556741:NVMIUX8A},{6556741:ZPG7D2J9},{6556741:IWXFT33M},{6556741:ASI6N3D9} 1 vancouver 50 creator asc 28374 https://endometriose.app/wp-content/plugins/zotpress/
%7B%22status%22%3A%22success%22%2C%22updateneeded%22%3Afalse%2C%22instance%22%3Afalse%2C%22meta%22%3A%7B%22request_last%22%3A0%2C%22request_next%22%3A0%2C%22used_cache%22%3Atrue%7D%2C%22data%22%3A%5B%7B%22key%22%3A%22VPIJ2ACS%22%2C%22library%22%3A%7B%22id%22%3A6556741%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Arentz%20et%20al.%22%2C%22parsedDate%22%3A%222014-12-18%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%20%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BArentz%20S%2C%20Abbott%20JA%2C%20Smith%20CA%2C%20Bensoussan%20A.%20Herbal%20medicine%20for%20the%20management%20of%20polycystic%20ovary%20syndrome%20%28PCOS%29%20and%20associated%20oligo%5C%2Famenorrhoea%20and%20hyperandrogenism%3B%20a%20review%20of%20the%20laboratory%20evidence%20for%20effects%20with%20corroborative%20clinical%20findings.%20BMC%20Complement%20Altern%20Med%20%5BInternet%5D.%202014%20Dec%2018%20%5Bcited%202020%20Sep%2018%5D%3B14.%20Available%20from%3A%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC4528347%5C%2F%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC4528347%5C%2F%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Herbal%20medicine%20for%20the%20management%20of%20polycystic%20ovary%20syndrome%20%28PCOS%29%20and%20associated%20oligo%5C%2Famenorrhoea%20and%20hyperandrogenism%3B%20a%20review%20of%20the%20laboratory%20evidence%20for%20effects%20with%20corroborative%20clinical%20findings%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Susan%22%2C%22lastName%22%3A%22Arentz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Jason%20Anthony%22%2C%22lastName%22%3A%22Abbott%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Caroline%20Anne%22%2C%22lastName%22%3A%22Smith%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Alan%22%2C%22lastName%22%3A%22Bensoussan%22%7D%5D%2C%22abstractNote%22%3A%22Background%5CnPolycystic%20ovary%20syndrome%20%28PCOS%29%20is%20a%20prevalent%2C%20complex%20endocrine%20disorder%20characterised%20by%20polycystic%20ovaries%2C%20chronic%20anovulation%20and%20hyperandrogenism%20leading%20to%20symptoms%20of%20irregular%20menstrual%20cycles%2C%20hirsutism%2C%20acne%20and%20infertility.%20Evidence%20based%20medical%20management%20emphasises%20a%20multidisciplinary%20approach%20for%20PCOS%2C%20as%20conventional%20pharmaceutical%20treatment%20addresses%20single%20symptoms%2C%20may%20be%20contra-indicated%2C%20is%20often%20associated%20with%20side%20effects%20and%20not%20effective%20in%20some%20cases.%20In%20addition%20women%20with%20PCOS%20have%20expressed%20a%20strong%20desire%20for%20alternative%20treatments.%20This%20review%20examines%20the%20reproductive%20endocrine%20effects%20in%20PCOS%20for%20an%20alternative%20treatment%2C%20herbal%20medicine.%20The%20aim%20of%20this%20review%20was%20to%20identify%20consistent%20evidence%20from%20both%20pre-clinical%20and%20clinical%20research%2C%20to%20add%20to%20the%20evidence%20base%20for%20herbal%20medicine%20in%20PCOS%20%28and%20associated%20oligo%5C%2Famenorrhoea%20and%20hyperandrogenism%29%20and%20to%20inform%20herbal%20selection%20in%20the%20provision%20clinical%20care%20for%20these%20common%20conditions.%5Cn%5CnMethods%5CnWe%20undertook%20two%20searches%20of%20the%20scientific%20literature.%20The%20first%20search%20sought%20pre-clinical%20studies%20which%20explained%20the%20reproductive%20endocrine%20effects%20of%20whole%20herbal%20extracts%20in%20oligo%5C%2Famenorrhoea%2C%20hyperandrogenism%20and%20PCOS.%20Herbal%20medicines%20from%20the%20first%20search%20informed%20key%20words%20for%20the%20second%20search.%20The%20second%20search%20sought%20clinical%20studies%2C%20which%20corroborated%20laboratory%20findings.%20Subjects%20included%20women%20with%20PCOS%2C%20menstrual%20irregularities%20and%20hyperandrogenism.%5Cn%5CnResults%5CnA%20total%20of%2033%20studies%20were%20included%20in%20this%20review.%20Eighteen%20pre-clinical%20studies%20reported%20mechanisms%20of%20effect%20and%20fifteen%20clinical%20studies%20corroborated%20pre-clinical%20findings%2C%20including%20eight%20randomised%20controlled%20trials%2C%20and%20762%20women%20with%20menstrual%20irregularities%2C%20hyperandrogenism%20and%5C%2For%20PCOS.%20Interventions%20included%20herbal%20extracts%20of%20Vitex%20agnus-castus%2C%20Cimicifuga%20racemosa%2C%20Tribulus%20terrestris%2C%20Glycyrrhiza%20spp.%2C%20Paeonia%20lactiflora%20and%20Cinnamomum%20cassia.%20Endocrine%20outcomes%20included%20reduced%20luteinising%20hormone%20%28LH%29%2C%20prolactin%2C%20fasting%20insulin%20and%20testosterone.%20There%20was%20evidence%20for%20the%20regulation%20of%20ovulation%2C%20improved%20metabolic%20hormone%20profile%20and%20improved%20fertility%20outcomes%20in%20PCOS.%20There%20was%20evidence%20for%20an%20equivalent%20effect%20of%20two%20herbal%20medicines%20and%20the%20pharmaceutical%20agents%20bromocriptine%20%28and%20Vitex%20agnus-castus%29%20and%20clomiphene%20citrate%20%28and%20Cimicifuga%20racemosa%29.%20There%20was%20less%20robust%20evidence%20for%20the%20complementary%20combination%20of%20spirinolactone%20and%20Glycyrrhiza%20spp.%20for%20hyperandrogenism.%5Cn%5CnConclusions%5CnPreclinical%20and%20clinical%20studies%20provide%20evidence%20that%20six%20herbal%20medicines%20may%20have%20beneficial%20effects%20for%20women%20with%20oligo%5C%2Famenorrhea%2C%20hyperandrogenism%20and%20PCOS.%20However%20the%20quantity%20of%20pre-clinical%20data%20was%20limited%2C%20and%20the%20quality%20of%20clinical%20evidence%20was%20variable.%20Further%20pre-clinical%20studies%20are%20needed%20to%20explain%20the%20effects%20of%20herbal%20medicines%20not%20included%20in%20this%20review%20with%20current%20clinical%20evidence%20but%20an%20absence%20of%20pre-clinical%20data.%5Cn%5CnElectronic%20supplementary%20material%5CnThe%20online%20version%20of%20this%20article%20%28doi%3A10.1186%5C%2F1472-6882-14-511%29%20contains%20supplementary%20material%2C%20which%20is%20available%20to%20authorized%20users.%22%2C%22date%22%3A%222014-12-18%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%2210.1186%5C%2F1472-6882-14-511%22%2C%22ISSN%22%3A%221472-6882%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC4528347%5C%2F%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222020-09-18T10%3A13%3A30Z%22%7D%7D%2C%7B%22key%22%3A%22ASI6N3D9%22%2C%22library%22%3A%7B%22id%22%3A6556741%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Ibrahim%20et%20al.%22%2C%22parsedDate%22%3A%222008-04-15%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%20%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BIbrahim%20NA%2C%20Shalaby%20AS%2C%20Farag%20RS%2C%20Elbaroty%20GS%2C%20Nofal%20SM%2C%20Hassan%20EM.%20Gynecological%20efficacy%20and%20chemical%20investigation%20of%20Vitex%20agnus-castus%20L.%20fruits%20growing%20in%20Egypt.%20Nat%20Prod%20Res.%202008%20Apr%2015%3B22%286%29%3A537%26%23x2013%3B46.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Gynecological%20efficacy%20and%20chemical%20investigation%20of%20Vitex%20agnus-castus%20L.%20fruits%20growing%20in%20Egypt%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22N.%20A.%22%2C%22lastName%22%3A%22Ibrahim%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22A.%20S.%22%2C%22lastName%22%3A%22Shalaby%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22R.%20S.%22%2C%22lastName%22%3A%22Farag%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22G.%20S.%22%2C%22lastName%22%3A%22Elbaroty%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22S.%20M.%22%2C%22lastName%22%3A%22Nofal%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22E.%20M.%22%2C%22lastName%22%3A%22Hassan%22%7D%5D%2C%22abstractNote%22%3A%22Flavonoid%20glycosides%2C%20orientin%20and%20apigenin%203%2C%208-di-C-glycosides%20in%20addition%20to%2C%20iridoid%20compound%2C%20aucubin%20were%20isolated%20from%20the%20ethanolic%20extract%20of%20Vitex%20agnus-castus%20fruits.%20Their%20structures%20were%20identified%20on%20the%20basis%20of%20the%20spectroscopic%20data.%20The%20estrogenic%20activity%20of%20the%20ethanolic%20extract%20in%20two%20dose%20levels%200.6%20and%201.2%20g%20kg%28-1%29%20per%20body%20weight%20%28b.w.%29%20was%20studied%20by%20the%20vaginal%20smear%2C%20and%20uterine%20weight%20methods%20for%20normal%20and%20ovariectomized%20female%20rats.%20The%20extract%20induced%20significant%20increase%20in%20the%20uterine%20weight%20of%20ovariectomized%20rats%20at%20two%20dose%20levels%20comparable%20to%20that%20of%20control%20group.%20The%20percentages%20of%20the%20total%20average%20number%20of%20scores%20were%20increased%20significantly%20too.%20Significant%20increases%20in%20plasma%20progesterone%20and%20total%20estrogens%20levels%20were%20shown%20at%20the%20two%20dose%20levels%20when%20compared%20to%20that%20of%20control%20group.%20On%20the%20other%20side%2C%20the%20extract%20induced%20significant%20reduction%20in%20luteinizing%20and%20plasma%20prolactin%20hormones.%22%2C%22date%22%3A%22Apr%2015%2C%202008%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1080%5C%2F14786410701592612%22%2C%22ISSN%22%3A%221478-6419%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222020-09-18T10%3A15%3A04Z%22%7D%7D%2C%7B%22key%22%3A%22MWIANCNF%22%2C%22library%22%3A%7B%22id%22%3A6556741%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Ilhan%20et%20al.%22%2C%22parsedDate%22%3A%222019-06%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%20%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BIlhan%20M%2C%20Dereli%20FTG%2C%20Akkol%20EK.%20Novel%20Drug%20Targets%20with%20Traditional%20Herbal%20Medicines%20for%20Overcoming%20Endometriosis.%20Curr%20Drug%20Deliv%20%5BInternet%5D.%202019%20Jun%20%5Bcited%202020%20Sep%2018%5D%3B16%285%29%3A386%26%23x2013%3B99.%20Available%20from%3A%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC6637095%5C%2F%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC6637095%5C%2F%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Novel%20Drug%20Targets%20with%20Traditional%20Herbal%20Medicines%20for%20Overcoming%20Endometriosis%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mert%22%2C%22lastName%22%3A%22Ilhan%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Fatma%20Tu%5Cu011f%5Cu00e7e%20G%5Cu00fcra%5Cu011fa%5Cu00e7%22%2C%22lastName%22%3A%22Dereli%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Esra%20K%5Cu00fcpeli%22%2C%22lastName%22%3A%22Akkol%22%7D%5D%2C%22abstractNote%22%3A%22Endometriosis%20is%20a%20disease%20in%20which%20the%20lining%20of%20the%20endometrium%20is%20found%20outside%20of%20the%20uter-us.%20Recent%20medical%20treatments%20for%20endometriosis%20have%20adverse%20effects%2C%20limiting%20their%20long-term%20use.%20Fur-thermore%2C%20the%20recurrence%20of%20the%20disease%20after%20the%20cessation%20of%20therapy%20is%20quite%20common%2C%20and%20most%20patients%20need%20to%20continue%20treatment%20to%20maintain%20a%20hypoestrogenic%20environment%20till%20conception.%20Notwithstanding%20recent%20advances%20in%20computational%20and%20chemical%20practices%2C%20traditional%20medicines%20are%20considered%20the%20most%20consistent%20sources%20for%20the%20discovery%20of%20new%20drugs.%20Numerous%20medicinal%20plants%20and%20plant-derived%20com-pounds%20have%20been%20tested%20against%20gynecological%20disorders%2C%20mainly%20endometriosis.%20This%20review%20aimed%20to%20describe%20the%20pharmacological%20activity%20profile%20of%20the%20medicinal%20plants%20and%20their%20active%20ingredients%20and%20draw%20attention%20to%20the%20discovery%20of%20multitargeted%20drug%20molecules%20for%20rational%20therapy.%22%2C%22date%22%3A%222019-6%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%2210.2174%5C%2F1567201816666181227112421%22%2C%22ISSN%22%3A%221567-2018%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC6637095%5C%2F%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222020-09-18T10%3A10%3A37Z%22%7D%7D%2C%7B%22key%22%3A%22GWIK4BFA%22%2C%22library%22%3A%7B%22id%22%3A6556741%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Khalilzadeh%20et%20al.%22%2C%22parsedDate%22%3A%222015%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%20%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BKhalilzadeh%20E%2C%20Vafaei%20Saiah%20G%2C%20Hasannejad%20H%2C%20Ghaderi%20A%2C%20Ghaderi%20S%2C%20Hamidian%20G%2C%20et%20al.%20Antinociceptive%20effects%2C%20acute%20toxicity%20and%20chemical%20composition%20of%20Vitex%20agnus-castus%20essential%20oil.%20Avicenna%20J%20Phytomed%20%5BInternet%5D.%202015%20%5Bcited%202020%20Sep%2018%5D%3B5%283%29%3A218%26%23x2013%3B30.%20Available%20from%3A%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC4469960%5C%2F%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC4469960%5C%2F%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Antinociceptive%20effects%2C%20acute%20toxicity%20and%20chemical%20composition%20of%20Vitex%20agnus-castus%20essential%20oil%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Emad%22%2C%22lastName%22%3A%22Khalilzadeh%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gholamreza%22%2C%22lastName%22%3A%22Vafaei%20Saiah%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Hamideh%22%2C%22lastName%22%3A%22Hasannejad%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Adel%22%2C%22lastName%22%3A%22Ghaderi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Shahla%22%2C%22lastName%22%3A%22Ghaderi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Gholamreza%22%2C%22lastName%22%3A%22Hamidian%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Razzagh%22%2C%22lastName%22%3A%22Mahmoudi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Davoud%22%2C%22lastName%22%3A%22Eshgi%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mahsa%22%2C%22lastName%22%3A%22Zangisheh%22%7D%5D%2C%22abstractNote%22%3A%22Objective%3A%5Cn%5CnVitex%20agnus-castus%20%28VAC%29%20and%20its%20essential%20oil%20have%20been%20traditionally%20used%20to%20treat%20many%20conditions%20and%20symptoms%20such%20as%20premenstrual%20problems%2C%20mastalgia%2C%20inflammation%2C%20sexual%20dysfunction%2C%20and%20pain.%20In%20this%20study%2C%20the%20effects%20of%20essential%20oil%20extracted%20from%20Vitex%20agnus-castus%20%28EOVAC%29%20leaves%20were%20investigated%20in%20three%20behavioral%20models%20of%20nociception%20in%20adult%20male%20Wistar%20rats.%20%5Cn%5CnMaterials%20and%20methods%3A%5Cn%20Chemical%20composition%20of%20EOVAC%20was%20analyzed%20using%20gas%20chromatography%20%5Cu2013%20mass%20spectrometry%20%28GC-MS%29%20and%20also%20its%20possible%20toxicity%20was%20determined%20in%20mice.%20Analgesic%20effect%20of%20EOVAC%20was%20determined%20using%20tail%20immersion%20test%2C%20formalin%20test%2C%20and%20acetic%20acid-induced%20visceral%20pain%20in%20rats.%5Cn%5CnResults%3A%5CnEOVAC%20%28s.c.%29%20and%20morphine%20%28i.p.%29%20significantly%20%28p%26lt%3B0.05%29%20reduced%20pain%20responses%20in%20both%20formalin%20and%20tail%20immersion%20tests.%5Cu00a0In%20the%20study%20of%20evolved%20mechanisms%2C%5Cu00a0pretreatment%20with%20naloxone%20or%20atropine%20significantly%20%28p%20%26lt%3B0.05%29%20reversed%20the%20essential%20oil-induced%20analgesia%20in%20both%20formalin%20and%20tail%20immersion%20tests.%20Moreover%2C%20EOVAC%20and%20Piroxicam%20produced%20significant%20%28p%26lt%3B0.05%29%20inhibition%20in%20the%20acetic%20acid-induced%20writhing%20response.%20EOVAC%20did%20not%20show%20any%20mortality%20even%20at%20high%20dose%20%285%20g%5C%2Fkg%2C%20p.o.%29%20of%20administration%20in%20toxicity%20test.%20Moreover%2C%20according%20to%20GC-MS%20results%2C%20major%20components%20of%20the%20EOVAC%20were%20%5Cu03b1-pinene%20%2814.83%25%29%2C%20limonene%20%2810.29%25%29%2C%20%5Cu03b2-caryophyllene%20%286.9%25%29%2C%20sabinene%20%285.27%25%29%2C%20and%20%5Cu03b2-farnesene%20%285.9%25%29.%20%5Cn%5CnConclusions%3A%5Cn%20These%20results%20suggest%20that%20endogenous%20opioidergic%20system%20as%20well%20as%20muscarinergic%20receptors%20of%20cholinergic%20system%20may%20be%20involve%20in%20the%20antinociceptive%20activity%20of%20Vitex%20agnus-castus%20essential%20oil%20in%20these%20models%20of%20pain%20in%20rats.%22%2C%22date%22%3A%222015%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%222228-7930%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC4469960%5C%2F%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222020-09-18T10%3A13%3A13Z%22%7D%7D%2C%7B%22key%22%3A%22NVMIUX8A%22%2C%22library%22%3A%7B%22id%22%3A6556741%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Milewicz%20et%20al.%22%2C%22parsedDate%22%3A%221993-07%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%20%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BMilewicz%20A%2C%20Gejdel%20E%2C%20Sworen%20H%2C%20Sienkiewicz%20K%2C%20Jedrzejak%20J%2C%20Teucher%20T%2C%20et%20al.%20%5BVitex%20agnus%20castus%20extract%20in%20the%20treatment%20of%20luteal%20phase%20defects%20due%20to%20latent%20hyperprolactinemia.%20Results%20of%20a%20randomized%20placebo-controlled%20double-blind%20study%5D.%20Arzneimittelforschung.%201993%20Jul%3B43%287%29%3A752%26%23x2013%3B6.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22%5BVitex%20agnus%20castus%20extract%20in%20the%20treatment%20of%20luteal%20phase%20defects%20due%20to%20latent%20hyperprolactinemia.%20Results%20of%20a%20randomized%20placebo-controlled%20double-blind%20study%5D%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22A.%22%2C%22lastName%22%3A%22Milewicz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22E.%22%2C%22lastName%22%3A%22Gejdel%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22H.%22%2C%22lastName%22%3A%22Sworen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22K.%22%2C%22lastName%22%3A%22Sienkiewicz%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22J.%22%2C%22lastName%22%3A%22Jedrzejak%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22T.%22%2C%22lastName%22%3A%22Teucher%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22H.%22%2C%22lastName%22%3A%22Schmitz%22%7D%5D%2C%22abstractNote%22%3A%22The%20efficacy%20of%20a%20Vitex%20agnus%20castus%20preparation%20%28Strotan%20capsules%29%20was%20investigated%20in%20a%20randomized%20double%20blind%20study%20vs.%20placebo.%20This%20clinical%20study%20involved%2052%20women%20with%20luteal%20phase%20defects%20due%20to%20latent%20hyperprolactinaemia.%20The%20daily%20dose%20was%20one%20capsule%20%2820%20mg%29%20Vitex%20agnus%20castus%20preparation%20and%20placebo%2C%20respectively.%20Aim%20of%20the%20study%20was%20to%20prove%20whether%20the%20elevated%20pituitary%20prolactin%20reserve%20can%20be%20reduced%20and%20deficits%20in%20luteal%20phase%20length%20and%20luteal%20phase%20progesterone%20synthesis%20be%20normalized.%20Blood%20for%20hormonal%20analysis%20was%20taken%20at%20days%205-8%20and%20day%2020%20of%20the%20menstrual%20cycle%20before%20and%20after%20three%20month%20of%20therapy.%20Latent%20hyperprolactinaemia%20was%20analysed%20by%20monitoring%20the%20prolactin%20release%2015%20and%2030%20min%20after%20i.v.%20injection%20of%20200%20micrograms%20TRH.%2037%20complete%20case%20reports%20%28placebo%3A%20n%20%3D%2020%2C%20verum%3A%20n%20%3D%2017%29%20after%203%20month%20of%20therapy%20were%20statistically%20evaluated.%20The%20prolactin%20release%20was%20reduced%20after%203%20months%2C%20shortened%20luteal%20phases%20were%20normalised%20and%20deficits%20in%20the%20luteal%20progesterone%20synthesis%20were%20eliminated.%20These%20changes%20were%20significant%20and%20occurred%20only%20in%20the%20verum%20group.%20All%20other%20hormonal%20parameters%20did%20not%20change%20with%20the%20exception%20of%2017%20beta-estradiol%20which%20rouse%20up%20in%20the%20luteal%20phase%20in%20patients%20receiving%20verum.%20Side%20effects%20were%20not%20seen%2C%20two%20women%20treated%20with%20the%20Vitex%20agnus%20castus%20preparation%20got%20pregnant.%20The%20tested%20preparation%20is%20thought%20to%20be%20an%20efficient%20medication%20in%20the%20treatment%20of%20luteal%20phase%20defects%20due%20to%20latent%20hyperprolactinaemia.%22%2C%22date%22%3A%22Jul%201993%22%2C%22language%22%3A%22ger%22%2C%22DOI%22%3A%22%22%2C%22ISSN%22%3A%220004-4172%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222020-09-18T10%3A14%3A17Z%22%7D%7D%2C%7B%22key%22%3A%22GXN5PI3I%22%2C%22library%22%3A%7B%22id%22%3A6556741%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Rafieian-Kopaei%20and%20Movahedi%22%2C%22parsedDate%22%3A%222017-01-25%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%20%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BRafieian-Kopaei%20M%2C%20Movahedi%20M.%20Systematic%20Review%20of%20Premenstrual%2C%20Postmenstrual%20and%20Infertility%20Disorders%20of%20Vitex%20Agnus%20Castus.%20Electron%20Physician%20%5BInternet%5D.%202017%20Jan%2025%20%5Bcited%202020%20Sep%2018%5D%3B9%281%29%3A3685%26%23x2013%3B9.%20Available%20from%3A%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC5308513%5C%2F%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC5308513%5C%2F%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Systematic%20Review%20of%20Premenstrual%2C%20Postmenstrual%20and%20Infertility%20Disorders%20of%20Vitex%20Agnus%20Castus%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mahmoud%22%2C%22lastName%22%3A%22Rafieian-Kopaei%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Mino%22%2C%22lastName%22%3A%22Movahedi%22%7D%5D%2C%22abstractNote%22%3A%22Introduction%5CnVitex%20agnus-castus%2C%20also%20called%20vitex%20is%20aboriginal%20to%20the%20Mediterranean%20region%2C%20with%20long%20leaves%2C%20tender%20stem%2C%20flowers%20and%20ripening%20seeds.%20The%20aim%20of%20this%20study%20was%20to%20overview%20premenstrual%2C%20postmenstrual%20and%20infertility%20disorder%20of%20Vitex%20agnus-castus.%5Cn%5CnMethods%5CnThis%20review%20article%20was%20carried%20out%20by%20searching%20studies%20in%20PubMed%2C%20Medline%2C%20Web%20of%20Science%2C%20and%20IranMedex%20databases.%20The%20initial%20search%20strategy%20identified%20about%2087%20references.%20In%20this%20study%2C%2043%20studies%20were%20accepted%20for%20further%20screening%2C%20and%20met%20all%20our%20inclusion%20criteria%20%28in%20English%2C%20full%20text%2C%20therapeutic%20effects%20of%20Vitex%20agnus-castus%20and%20dated%20mainly%20from%20the%20year%202009%20to%202016%29.%2C%20The%20search%20terms%20were%20Vitex%20agnus-castus%2C%20premenstrual%2C%20postmenstrual%2C%20infertility%20disorder%20properties%20and%20pharmacological%20effects.%5Cn%5CnResult%5CnVitex%20agnus-castus%20was%20shown%20to%20contribute%20to%20the%20treatment%20of%20premenstrual%20syndrome%20%28PMS%29.%20Moreover%2C%20the%20result%20of%20the%20present%20study%20showed%20that%20this%20valuable%20plant%20is%20helpful%20in%20alleviation%20of%20pain%20resulting%20from%20postmenstrual%20disease.%20Furthermore%2C%20it%20was%20found%20that%20Vitex%20agnus-castus%20is%20beneficial%20in%20infertility%20disorder.%5Cn%5CnConclusion%5CnVitex%20agnus-castus%20%28AC%29%20is%20a%20phytopharmaceutical%20compound%20and%20is%20shown%20to%20be%20widely%20used%20to%20treat%20PMS%20and%20PMDD.%20In%20addition%2C%20it%20was%20shown%20to%20be%20beneficial%20in%20post-menstrual%20cases%20and%20it%20can%20also%20contribute%20to%20treatment%20of%20infertility%20cases%20in%20both%20men%20and%20women.%20Dopaminergic%20compounds%20available%20in%20this%20plant%20help%20to%20treat%20premenstrual%20mastodynia%20as%20well%20as%20other%20symptoms%20of%20the%20premenstrual%20syndrome.%22%2C%22date%22%3A%222017-1-25%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%2210.19082%5C%2F3685%22%2C%22ISSN%22%3A%222008-5842%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC5308513%5C%2F%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222020-09-18T10%3A10%3A16Z%22%7D%7D%2C%7B%22key%22%3A%22IWXFT33M%22%2C%22library%22%3A%7B%22id%22%3A6556741%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Webster%20et%20al.%22%2C%22parsedDate%22%3A%222011-01-01%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%20%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BWebster%20DE%2C%20He%20Y%2C%20Chen%20Shao-N%2C%20Pauli%20GF%2C%20Farnsworth%20NR%2C%20Wang%20ZJ.%20Opioidergic%20mechanisms%20underlying%20the%20actions%20of%20Vitex%20agnus-castus%20L.%20Biochem%20Pharmacol%20%5BInternet%5D.%202011%20Jan%201%20%5Bcited%202020%20Sep%2018%5D%3B81%281%29%3A170%26%23x2013%3B7.%20Available%20from%3A%20%26lt%3Ba%20class%3D%26%23039%3Bzp-ItemURL%26%23039%3B%20href%3D%26%23039%3Bhttps%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC2993511%5C%2F%26%23039%3B%26gt%3Bhttps%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC2993511%5C%2F%26lt%3B%5C%2Fa%26gt%3B%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Opioidergic%20mechanisms%20underlying%20the%20actions%20of%20Vitex%20agnus-castus%20L%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Donna%20E.%22%2C%22lastName%22%3A%22Webster%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Ying%22%2C%22lastName%22%3A%22He%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Shao.-Nong%22%2C%22lastName%22%3A%22Chen%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Guido%20F.%22%2C%22lastName%22%3A%22Pauli%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Norman%20R.%22%2C%22lastName%22%3A%22Farnsworth%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22Zaijie%20Jim%22%2C%22lastName%22%3A%22Wang%22%7D%5D%2C%22abstractNote%22%3A%22Vitex%20agnus-castus%20%28VAC%29%20has%20been%20used%20since%20ancient%20Greek%20times%20and%20has%20been%20shown%20clinically%20to%20be%20effective%20for%20the%20treatment%20of%20pre-menstrual%20syndrome.%20However%2C%20its%20mechanism%20of%20action%20has%20only%20been%20partially%20determined.%20Compounds%2C%20fractions%2C%20and%20extracts%20isolated%20from%20VAC%20were%20used%20in%20this%20study%20to%20thoroughly%20investigate%20possible%20opioidergic%20activity.%20First%2C%20an%20extract%20of%20VAC%20was%20found%20to%20bind%20and%20activate%20%5Cu03bc-%20and%20%5Cu03b4-%2C%20but%20not%20%5Cu03ba-%20opioid%20receptor%20subtypes%20%28MOR%2C%20DOR%2C%20and%20KOR%20respectively%29.%20The%20extract%20was%20then%20resuspended%20in%2010%25%20methanol%20and%20partitioned%20sequentially%20with%20petroleum%20ether%2C%20CHCl3%2C%20and%20EtOAc%20to%20form%20four%20fractions%20including%20a%20water%20fraction.%20The%20highest%20affinity%20for%20MOR%20was%20concentrated%20in%20the%20CHCl3%20fraction%2C%20whereas%20the%20highest%20affinity%20for%20DOR%20was%20found%20in%20the%20CHCl3%20and%20EtOAc%20fractions.%20However%2C%20the%20petroleum%20ether%20fraction%20had%20the%20highest%20agonist%20activity%20at%20MOR%20and%20DOR.%20Several%20flavonoids%20from%20VAC%20were%20found%20to%20bind%20to%20both%20MOR%20and%20DOR%20in%20a%20dose-dependent%20manner%3B%20however%20only%20casticin%2C%20a%20marker%20compound%20for%20genus%20Vitex%2C%20was%20found%20to%20have%20agonist%20activity%20selective%20for%20DOR%20at%20high%20concentrations.%20These%20results%20suggest%20VAC%20may%20exert%20its%20therapeutic%20effects%20through%20the%20activation%20of%20MOR%2C%20DOR%2C%20but%20not%20KOR.%22%2C%22date%22%3A%222011-1-1%22%2C%22language%22%3A%22%22%2C%22DOI%22%3A%2210.1016%5C%2Fj.bcp.2010.09.013%22%2C%22ISSN%22%3A%220006-2952%22%2C%22url%22%3A%22https%3A%5C%2F%5C%2Fwww.ncbi.nlm.nih.gov%5C%2Fpmc%5C%2Farticles%5C%2FPMC2993511%5C%2F%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222020-09-18T10%3A14%3A47Z%22%7D%7D%2C%7B%22key%22%3A%22ZPG7D2J9%22%2C%22library%22%3A%7B%22id%22%3A6556741%7D%2C%22meta%22%3A%7B%22creatorSummary%22%3A%22Wuttke%20et%20al.%22%2C%22parsedDate%22%3A%222003-05%22%2C%22numChildren%22%3A0%7D%2C%22bib%22%3A%22%26lt%3Bdiv%20class%3D%26quot%3Bcsl-bib-body%26quot%3B%20style%3D%26quot%3Bline-height%3A%201.35%3B%20%26quot%3B%26gt%3B%5Cn%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-entry%26quot%3B%20style%3D%26quot%3Bclear%3A%20left%3B%20%26quot%3B%26gt%3B%5Cn%20%20%20%20%26lt%3Bdiv%20class%3D%26quot%3Bcsl-left-margin%26quot%3B%20style%3D%26quot%3Bfloat%3A%20left%3B%20padding-right%3A%200.5em%3B%20text-align%3A%20right%3B%20width%3A%201em%3B%26quot%3B%26gt%3B1.%20%26lt%3B%5C%2Fdiv%26gt%3B%26lt%3Bdiv%20class%3D%26quot%3Bcsl-right-inline%26quot%3B%20style%3D%26quot%3Bmargin%3A%200%20.4em%200%201.5em%3B%26quot%3B%26gt%3BWuttke%20W%2C%20Jarry%20H%2C%20Christoffel%20V%2C%20Spengler%20B%2C%20Seidlov%26%23xE1%3B-Wuttke%20D.%20Chaste%20tree%20%28Vitex%20agnus-castus%29--pharmacology%20and%20clinical%20indications.%20Phytomedicine.%202003%20May%3B10%284%29%3A348%26%23x2013%3B57.%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%20%20%20%26lt%3B%5C%2Fdiv%26gt%3B%5Cn%26lt%3B%5C%2Fdiv%26gt%3B%22%2C%22data%22%3A%7B%22itemType%22%3A%22journalArticle%22%2C%22title%22%3A%22Chaste%20tree%20%28Vitex%20agnus-castus%29--pharmacology%20and%20clinical%20indications%22%2C%22creators%22%3A%5B%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22W.%22%2C%22lastName%22%3A%22Wuttke%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22H.%22%2C%22lastName%22%3A%22Jarry%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22V.%22%2C%22lastName%22%3A%22Christoffel%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22B.%22%2C%22lastName%22%3A%22Spengler%22%7D%2C%7B%22creatorType%22%3A%22author%22%2C%22firstName%22%3A%22D.%22%2C%22lastName%22%3A%22Seidlov%5Cu00e1-Wuttke%22%7D%5D%2C%22abstractNote%22%3A%22Extracts%20of%20the%20fruits%20of%20chaste%20tree%20%28Vitex%20agnus%20castus%20%3D%20AC%29%20are%20widely%20used%20to%20treat%20premenstrual%20symptoms.%20Double-blind%20placebo-controlled%20studies%20indicate%20that%20one%20of%20the%20most%20common%20premenstrual%20symptoms%2C%20i.e.%20premenstrual%20mastodynia%20%28mastalgia%29%20is%20beneficially%20influenced%20by%20an%20AC%20extract.%20In%20addition%2C%20numerous%20less%20rigidly%20controlled%20studies%20indicate%20that%20AC%20extracts%20have%20also%20beneficial%20effects%20on%20other%20psychic%20and%20somatic%20symptoms%20of%20the%20PMS.%20Premenstrual%20mastodynia%20is%20most%20likely%20due%20to%20a%20latent%20hyperprolactinemia%2C%20i.e.%20patients%20release%20more%20than%20physiologic%20amounts%20of%20prolactin%20in%20response%20to%20stressful%20situations%20and%20during%20deep%20sleep%20phases%20which%20appear%20to%20stimulate%20the%20mammary%20gland.%20Premenstrually%20this%20unphysiological%20prolactin%20release%20is%20so%20high%20that%20the%20serum%20prolactin%20levels%20often%20approach%20heights%20which%20are%20misinterpreted%20as%20prolactinomas.%20Since%20AC%20extracts%20were%20shown%20to%20have%20beneficial%20effects%20on%20premenstrual%20mastodynia%20serum%20prolactin%20levels%20in%20such%20patients%20were%20also%20studied%20in%20one%20double-blind%2C%20placebo-controlled%20clinical%20study.%20Serum%20prolactin%20levels%20were%20indeed%20reduced%20in%20the%20patients%20treated%20with%20the%20extract.%20The%20search%20for%20the%20prolactin-suppressive%20principle%28s%29%20yielded%20a%20number%20of%20compounds%20with%20dopaminergic%20properties%3A%20they%20bound%20to%20recombinant%20DA2-receptor%20protein%20and%20suppressed%20prolactin%20release%20from%20cultivated%20lactotrophs%20as%20well%20as%20in%20animal%20experiments.%20The%20search%20for%20the%20chemical%20identity%20of%20the%20dopaminergic%20compounds%20resulted%20in%20isolation%20of%20a%20number%20of%20diterpenes%20of%20which%20some%20clerodadienols%20were%20most%20important%20for%20the%20prolactin-suppressive%20effects.%20They%20were%20almost%20identical%20in%20their%20prolactin-suppressive%20properties%20than%20dopamine%20itself.%20Hence%2C%20it%20is%20concluded%20that%20dopaminergic%20compounds%20present%20in%20Vitex%20agnus%20castus%20are%20clinically%20the%20important%20compounds%20which%20improve%20premenstrual%20mastodynia%20and%20possibly%20also%20other%20symptoms%20of%20the%20premenstrual%20syndrome.%22%2C%22date%22%3A%22May%202003%22%2C%22language%22%3A%22eng%22%2C%22DOI%22%3A%2210.1078%5C%2F094471103322004866%22%2C%22ISSN%22%3A%220944-7113%22%2C%22url%22%3A%22%22%2C%22collections%22%3A%5B%5D%2C%22dateModified%22%3A%222020-09-18T10%3A14%3A31Z%22%7D%7D%5D%7D
1.
Arentz S, Abbott JA, Smith CA, Bensoussan A. Herbal medicine for the management of polycystic ovary syndrome (PCOS) and associated oligo/amenorrhoea and hyperandrogenism; a review of the laboratory evidence for effects with corroborative clinical findings. BMC Complement Altern Med [Internet]. 2014 Dec 18 [cited 2020 Sep 18];14. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4528347/
1.
Ibrahim NA, Shalaby AS, Farag RS, Elbaroty GS, Nofal SM, Hassan EM. Gynecological efficacy and chemical investigation of Vitex agnus-castus L. fruits growing in Egypt. Nat Prod Res. 2008 Apr 15;22(6):537–46.
1.
Ilhan M, Dereli FTG, Akkol EK. Novel Drug Targets with Traditional Herbal Medicines for Overcoming Endometriosis. Curr Drug Deliv [Internet]. 2019 Jun [cited 2020 Sep 18];16(5):386–99. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6637095/
1.
Khalilzadeh E, Vafaei Saiah G, Hasannejad H, Ghaderi A, Ghaderi S, Hamidian G, et al. Antinociceptive effects, acute toxicity and chemical composition of Vitex agnus-castus essential oil. Avicenna J Phytomed [Internet]. 2015 [cited 2020 Sep 18];5(3):218–30. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4469960/
1.
Milewicz A, Gejdel E, Sworen H, Sienkiewicz K, Jedrzejak J, Teucher T, et al. [Vitex agnus castus extract in the treatment of luteal phase defects due to latent hyperprolactinemia. Results of a randomized placebo-controlled double-blind study]. Arzneimittelforschung. 1993 Jul;43(7):752–6.
1.
Rafieian-Kopaei M, Movahedi M. Systematic Review of Premenstrual, Postmenstrual and Infertility Disorders of Vitex Agnus Castus. Electron Physician [Internet]. 2017 Jan 25 [cited 2020 Sep 18];9(1):3685–9. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5308513/
1.
Webster DE, He Y, Chen Shao-N, Pauli GF, Farnsworth NR, Wang ZJ. Opioidergic mechanisms underlying the actions of Vitex agnus-castus L. Biochem Pharmacol [Internet]. 2011 Jan 1 [cited 2020 Sep 18];81(1):170–7. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2993511/
1.
Wuttke W, Jarry H, Christoffel V, Spengler B, Seidlová-Wuttke D. Chaste tree (Vitex agnus-castus)--pharmacology and clinical indications. Phytomedicine. 2003 May;10(4):348–57.
Abonnieren
Benachrichtige mich bei
guest
0 Comments
Älteste
Neueste Most Voted
Inline Feedbacks
Zeige alle
Silke Neumann (zertifizierte Ernährungsberaterin)
Latest posts by Silke Neumann (zertifizierte Ernährungsberaterin) (see all)