HES和牙周疾病相關的研究內容主要集中在以下幾個方向
根據您提供的搜索結果中,Hesperidin 和牙周疾病相關的研究內容主要集中在以下幾個方向:
抗炎及抗氧化作用
研究顯示,Hesperidin 可以減少氧化壓力和炎症反應,對牙周疾病引起的牙槽骨損傷有潛在的幫助。例如,Maquera-Huacho et al. 的研究指出 Hesperidin 能減少 Porphyromonas gingivalis 感染引起的炎症介質分泌及活性氧(ROS)生成,這些作用可能有助於緩解牙周病炎症 (Maquera-Huacho PM et al., Int J Mol Sci, 2023)。
促進骨和牙槽骨再生
一些研究顯示,Hesperidin 能夠刺激骨細胞的分化與礦化,特別是通過激活 Wnt/β-catenin 信號通路 來促進成骨分化。這對於牙周病引起的牙槽骨缺損修復具有潛在應用價值 (Chang YW et al., J Orthop Surg Res, 2021)。
牙周組織的保護與重建
Hesperetin(Hesperidin 的代謝產物)對牙周韌帶幹細胞(PDLSCs)的研究指出,它能緩解高葡萄糖環境對成骨分化的抑制,這表明 Hesperidin 或其代謝物在牙周病中的骨重建方面可能有效 (Kim SY et al., PLoS One, 2013)。
根據這些研究,Hesperidin 的作用在牙周病中可能體現在以下幾個方面:
減輕牙周組織的炎症反應,穩定牙槽骨環境。
促進牙槽骨再生,特別是在牙周炎引起的骨吸收後。
提高牙周結締組織的強度和穩定性,減少牙周病進一步惡化的風險。
雖然目前的研究多集中於體外實驗和動物模型,Hesperidin 對牙周病和牙槽骨修復的臨床應用潛力仍需進一步研究驗證。
在目前的研究中,Hesperidin 一般被認為是相對安全且具有潛在治療價值的天然化合物。然而,也有一些研究揭示了它可能的負面效應或限制,尤其是在特定條件或高劑量下。以下是幾個可能的負面觀點或潛在風險:
高劑量的潛在毒性:部分研究表明,當 Hesperidin 劑量過高時,可能會導致細胞增殖減少或引發細胞毒性。例如,Ahmed et al. (2024) 的研究提到,在劑量過高的條件下,可能會對特定組織(如唾液腺)造成壓力,儘管 Hesperidin 通常被認為具有保護作用 (Ahmed SF et al., BMC Pharmacol Toxicol, 2024)。
最佳劑量範圍不明確:許多研究強調 Hesperidin 的作用具有劑量依賴性,過低或過高都可能減弱效果或引發負面影響。這表明臨床應用需要進一步研究以確定安全劑量範圍。
抗氧化劑的過量可能干擾生理功能:雖然 Hesperidin 是一種強效抗氧化劑,但過量的抗氧化劑可能會抑制正常的細胞信號傳導。例如,某些細胞需要氧化應激信號來觸發正常的代謝過程,過多的抗氧化劑可能會打亂這些生理功能。
對骨代謝的潛在抑制:一些研究指出,過量的抗氧化劑可能干擾骨細胞的正常代謝,從而對骨重建產生負面影響,但這仍然是一個有待深入研究的領域。
不適用於所有病理情況:Hesperidin 的療效可能因疾病類型或個體差異而有所不同。例如,在特定條件下(如重度牙周病或廣泛骨吸收),其修復效果可能不足以滿足臨床需求。
與其他藥物的潛在相互作用:Hesperidin 作為一種天然化合物,可能與其他藥物產生相互作用,例如影響藥物代謝酶的活性,進而改變藥效。
缺乏長期安全性數據:大多數關於 Hesperidin 的研究集中於短期實驗,對於其長期使用的潛在風險仍然缺乏全面的了解。
動物模型與人體研究的差距:目前許多研究仍停留在體外實驗和動物模型階段,這些結果未必完全適用於臨床應用。
局部應用可能影響牙本質的力學性質:某些研究顯示,當 Hesperidin 被用於牙本質的預處理時,可能會影響牙本質的結構穩定性或膠原纖維的交聯模式,進而削弱粘接劑的長期穩定性 (Islam MS et al., Dent Mater, 2014)。
儘管 Hesperidin 的多項研究結果顯示其具有抗炎、抗氧化和促進組織修復的優勢,但其劑量控制、長期安全性、特定應用的適用性等仍需深入研究。在臨床應用前,必須謹慎評估其在不同病理條件下的潛在風險和限制。
目前針對 Hesperidin (HPN) 的安全劑量,大多數研究基於體外試驗、動物模型和部分人體研究,得出了建議劑量範圍。然而,這些劑量通常依應用場景(如牙科修復、骨生成或抗氧化治療)而有所不同。
以下是基於現有研究的安全劑量範圍歸納:
牙科與成骨相關研究
在牙乳頭細胞 (MDPC-23) 和骨髓間質幹細胞 (BMSCs) 模型中,Hesperidin 在 5–30 μM 的劑量範圍內對細胞增殖、分化和礦化效果最佳。
最佳劑量:
牙科研究:5–10 μM (Zhang S et al., Arch Oral Biol, 2024)
骨生成研究:30 μM (Chang YW et al., J Orthop Surg Res, 2021)
超過 50 μM 的高劑量可能導致細胞毒性或功能抑制。
抗氧化與抗炎應用
在小鼠和大鼠模型中,Hesperidin 的安全劑量範圍為 50–100 mg/kg 體重/天。
劑量為 200 mg/kg 體重時,可能引發肝臟和腎臟的壓力,建議避免高劑量長期使用 (Ahmed SF et al., BMC Pharmacol Toxicol, 2024)。
營養補充劑應用
在一些臨床試驗中,Hesperidin 作為膳食補充劑的推薦劑量通常為 500–1000 mg/天,該劑量被認為是安全且有效的。
長期使用 1 g/天未見明顯副作用,但高於該劑量的數據仍有限,需謹慎使用 (Mullen W et al., J Agric Food Chem, 2008)。
牙周病與牙槽骨相關應用
尚無直接人體研究數據,但推測劑量應與膳食補充劑接近,即 500–1000 mg/天。
牙科局部處理
在牙本質或膠原蛋白處理中,0.5%–2% 的 Hesperidin 溶液效果最佳(質量濃度)。高於 5% 的濃度可能對牙本質力學性質產生負面影響 (Islam MS et al., Dent Mater, 2014)。
體外試驗:5–30 μM(根據細胞類型)
動物實驗:50–100 mg/kg 體重/天(避免超過 200 mg/kg)
人體口服:500–1000 mg/天(作為膳食補充劑)
局部應用:0.5%–2% 溶液濃度
劑量應根據應用場景和個體條件調整。
長期高劑量使用需謹慎,尤其是對肝腎功能有潛在影響的患者。
臨床應用應基於專業醫師的建議和更多人體研究的支持。
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Monici Silva I, Barbosa CB, Cena JA, Ribeiro E, Garcia FCP, Stefani CM, Dame-Teixeira N.
Eur J Oral Sci. 2024 Dec;132(6):e13028. doi: 10.1111/eos.13028. Epub 2024 Nov 23.
PMID: 39579122 Review.
The network meta-analysis for lesion depth involved 284 samples across 36 comparisons and ranked cross-linking agents in terms of their caries lesion depth-reducing effect (from best to worst): naringin > quercetin > riboflavin > proanthocyanidins > hesperidin …
2
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Flavonoids modulate regenerative-related cellular events in LPS-challenged dental pulp cells.
Mendes Soares IP, Anselmi C, Ribeiro RAO, Mota RLM, Pires MLBA, Fernandes LO, de Souza Costa CA, Hebling J.
J Dent. 2024 Dec;151:105424. doi: 10.1016/j.jdent.2024.105424. Epub 2024 Oct 18.
PMID: 39427960
3
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Neohesperidin exerts subtle yet comprehensive regulation of mouse dental papilla cell-23 in vitro.
Zhang S, Guan J, Lv J, Dong X, Li R, Wang Y, Jin XA.
Arch Oral Biol. 2024 Nov;167:106055. doi: 10.1016/j.archoralbio.2024.106055. Epub 2024 Jul 24.
PMID: 39067325
4
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Exploring the role of flavonoids in caries-affected dentin adhesion: A comprehensive scoping review.
Beckman CKC, de Lima Costa T, Puppin-Rontani RM, de Castilho ARF.
Arch Oral Biol. 2024 Jun;162:105942. doi: 10.1016/j.archoralbio.2024.105942. Epub 2024 Mar 3.
PMID: 38452415 Review.
RESULTS: The review analyzed eight different flavonoids (hesperidin, galardin, proanthocyanidin, genipin, quercetin, naringin, epigallocatechin-3-gallate, and other catechins subtypes) used as pretreatment or loaded into adhesive systems, primers, and phosphoric acid. ...
5
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Ahmed SF, El-Maghraby EMF, Rashad MM, Bashir DW.
BMC Pharmacol Toxicol. 2024 Feb 27;25(1):22. doi: 10.1186/s40360-024-00744-8.
PMID: 38414079 Free PMC article.
VEGF and NF-kappaB were also significantly overexpressed. Hesperidin and rutin cotreatment generated partial recovery as indicated by significant upregulation of Nrf-2, SOD and BRCA1 and considerable downregulation of TNF-alpha, IL-1beta, VEGF, PIK3ca, AKT, and mTOR. ...CO …
6
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Ungureanu LB, Grădinaru I, Ghiciuc CM, Amălinei C, Gelețu GL, Petrovici CG, Stănescu RȘ.
Medicina (Kaunas). 2023 Sep 21;59(9):1692. doi: 10.3390/medicina59091692.
PMID: 37763811 Free PMC article. Review.
There are many antioxidants but only a few were evaluated regarding the effects on salivary glands in animal studies, such as hesperidin and selenium, which can reverse the damage induced by cyclophosphamide; 10-dehydrogingerdione (10-DHGD), a compound extracted from ginge …
7
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Maquera-Huacho PM, Spolidorio DP, Manthey J, Grenier D.
Int J Mol Sci. 2023 Jun 20;24(12):10389. doi: 10.3390/ijms241210389.
PMID: 37373533 Free PMC article.
New therapies using flavonoids, such as hesperidin, are being studied, and their promising properties have been highlighted. The aim of this study was to evaluate the effect of hesperidin on the epithelial barrier function, reactive oxygen species (ROS) production, …
8
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Anani H, Elasser D, Niazy M, Jamil W, Elsharkawy D.
Dent Med Probl. 2023 Jan-Mar;60(1):87-97. doi: 10.17219/dmp/147075.
PMID: 37023336 Free article. Clinical Trial.
OBJECTIVES: The aim of the present study was to explore the remineralization and antibacterial effect of natural (propolis, hesperidin) vs. synthetic (silver diamine fluoride (SDF)) agents on deep carious dentin. ...CONCLUSIONS: In comparison with SDF, propolis and hesp …
9
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Synthesis, characterization, and evaluation of Hesperetin nanocrystals for regenerative dentistry.
Alipour M, Sharifi S, Samiei M, Shahi S, Aghazadeh M, Dizaj SM.
Sci Rep. 2023 Feb 6;13(1):2076. doi: 10.1038/s41598-023-28267-y.
PMID: 36746996 Free PMC article.
Hesperetin (HS), a metabolite of hesperidin, is a polyphenolic component of citrus fruits. This ingredient has a potential role in bone strength and the osteogenic differentiation. ...
10
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Protective effects of hesperidin in cyclophosphamide-induced parotid toxicity in rats.
Mostafa OAA, Ibrahim F, Borai E.
Sci Rep. 2023 Jan 4;13(1):158. doi: 10.1038/s41598-022-26881-w.
PMID: 36599902 Free PMC article.
Previous studies have shown the promising role of hesperidin (HSP) as an antioxidant agent against various models of toxic agents. The protective effect of the HSP against CYP-induced parotid damage was evaluated in this study. ...
11
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Le TTV, Do PC.
Front Microbiol. 2022 Sep 29;13:987801. doi: 10.3389/fmicb.2022.987801. eCollection 2022.
PMID: 36246267 Free PMC article.
Hand, foot, and mouth disease (HFMD) is a common infection that primarily affects children in preschool and kindergarten; however, there is yet no vaccination or therapy available. ...Furthermore, the mutation at E71A has the most significant impact on the docking results …
12
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The Protective Efficacy of Hesperidin and Thymol on Radiation-Induced Submandibular Gland Damage.
Sakat MS, Kılıç K, Sahin A, Kiziltunc Ozmen H, Yıldırım S, Egilmez E.
Laryngoscope. 2023 Aug;133(8):1885-1892. doi: 10.1002/lary.30405. Epub 2022 Sep 23.
PMID: 36149936
Group 1 represented the control group. Group 2 was regarded as hesperidin Group, and the rats received only hesperidin. Group 3 was regarded as thymol Group, and the rats received only thymol. Group 4 was regarded as a Radiotherapy Group, and the rats were exposed t …
13
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Wudtiwai B, Makeudom A, Krisanaprakornkit S, Pothacharoen P, Kongtawelert P.
Molecules. 2021 Sep 2;26(17):5345. doi: 10.3390/molecules26175345.
PMID: 34500779 Free PMC article.
Moreover, hesperidin also significantly decreased the viability, proliferation, migration, and invasion of both cell lines. ...The findings of this study support the use of hesperidin as a potential adjunctive treatment for oral cancer....
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Hesperidin reduces dentin wear after erosion and erosion/abrasion cycling in vitro.
Leal IC, Rabelo CS, Viana ÍEL, Scaramucci T, Santiago SL, Passos VF.
Arch Oral Biol. 2021 Sep;129:105208. doi: 10.1016/j.archoralbio.2021.105208. Epub 2021 Jul 19.
PMID: 34298255
OBJECTIVE: To evaluate the action of hesperidin (HPN) at different concentrations to prevent dentin erosive wear, associated or not to abrasion. ...
15
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Influence of flavonoids on long-term bonding stability on caries-affected dentin.
Dávila-Sánchez A, Gutierrez MF, Bermudez JP, Méndez-Bauer ML, Hilgemberg B, Sauro S, Loguercio AD, Arrais CAG.
Dent Mater. 2020 Sep;36(9):1151-1160. doi: 10.1016/j.dental.2020.05.007. Epub 2020 Jun 30.
PMID: 32620332
Five experimental pre-treatment solutions were created using the following flavonoids: quercetin (QUE); hesperidin (HES); rutin (RUT); naringin (NAR), or proanthocyanidin (PRO). A placebo solution (PLA) with no flavonoids added was also evaluated. ...
16
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Babukumar S, Vinothkumar V, Ramachandhiran D.
Arch Physiol Biochem. 2020 Dec;126(5):430-439. doi: 10.1080/13813455.2018.1555600. Epub 2019 Jan 20.
PMID: 30663412
17
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The effect of active components from citrus fruits on dentin MMPs.
Liu Z, Li F, Zhang L, Yu H, Yu F, Chen J.
Arch Oral Biol. 2017 Nov;83:111-117. doi: 10.1016/j.archoralbio.2017.07.006. Epub 2017 Jul 20.
PMID: 28753501
OBJECTIVES: This study was aimed to evaluate the anti-matrix metalloproteinases (MMPs) ability of active components from citrus fruits (hesperetin: Hst, hesperidin: Hsd and naringenin: Nge). METHODS: Inactivation effects of citrus flavonoids (Hst, Hsd, Nge) at different co …
18
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Babukumar S, Vinothkumar V, Velu P, Ramachandhiran D, Ramados Nirmal M.
Arch Physiol Biochem. 2017 Oct;123(4):265-278. doi: 10.1080/13813455.2017.1317815. Epub 2017 May 1.
PMID: 28457144
19
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Hesperidin interaction to collagen detected by physico-chemical techniques.
Hiraishi N, Maruno T, Tochio N, Sono R, Otsuki M, Takatsuka T, Tagami J, Kobayashi Y.
Dent Mater. 2017 Jan;33(1):33-42. doi: 10.1016/j.dental.2016.09.035. Epub 2016 Oct 19.
PMID: 27771138
OBJECTIVE: Dentin collagen can be modified by some plant-derived flavonoids to improve properties of dentin organic matrix. Hesperidin (HPN), a hesperetin-7-O-rutinoside flavonoid, has a potential of dentin modification for being based on evidence that a treatment with HPN …
20
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Costa CR, Amorim BR, de Magalhães P, De Luca Canto G, Acevedo AC, Guerra EN.
Phytother Res. 2016 Apr;30(4):519-31. doi: 10.1002/ptr.5568. Epub 2016 Jan 29.
PMID: 26822584 Review.
21
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Inhibition of dentine collagen degradation by hesperidin: an in situ study.
van Strijp AJ, Takatsuka T, Sono R, Iijima Y.
Eur J Oral Sci. 2015 Dec;123(6):447-52. doi: 10.1111/eos.12225. Epub 2015 Oct 29.
PMID: 26513330
The aim of this study was to investigate the anti-collagenolytic activity of hesperidin in an in situ model. A single-blind, split-mouth, in situ experiment was designed. ...The results of this in situ study show that hesperidin could play a role in the prese …
22
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Gurushankar K, Nazeer SS, Jayasree RS, Krishnakumar N.
J Fluoresc. 2015 Jul;25(4):931-9. doi: 10.1007/s10895-015-1575-4. Epub 2015 May 7.
PMID: 25948235
23
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Effect of hesperidin incorporation into a self-etching primer on durability of dentin bond.
Islam MS, Hiraishi N, Nassar M, Yiu C, Otsuki M, Tagami J.
Dent Mater. 2014 Nov;30(11):1205-12. doi: 10.1016/j.dental.2014.08.371. Epub 2014 Sep 5.
PMID: 25194169
METHODS: Experimental primers were prepared by incorporating either 0.5%, 1%, 2%, 5% of hesperidin (HPN) or 0.5% of proanthocyanidins (PA) into Clearfil SE primer. Extracted human molar teeth were restored using the experimental primers or the pure SE primer (control). ...
24
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In vitro evaluation of plant-derived agents to preserve dentin collagen.
Hiraishi N, Sono R, Sofiqul I, Yiu C, Nakamura H, Otsuki M, Takatsuka T, Tagami J.
Dent Mater. 2013 Oct;29(10):1048-54. doi: 10.1016/j.dental.2013.07.015. Epub 2013 Aug 12.
PMID: 23942145
This study investigated the effect of various plant-derived agents (hesperidin, proanthocyanidin, epigallocatechin gallate and genipin) on the stability of dentin collagen matrix to resist collagenase degradation. ...The greatest reduction in collagen degradation was shown …
25
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Kim SY, Lee JY, Park YD, Kang KL, Lee JC, Heo JS.
PLoS One. 2013 Jun 28;8(6):e67504. doi: 10.1371/journal.pone.0067504. Print 2013.
PMID: 23840726 Free PMC article.
Hesperetin (3',5,7-trihydroxy-4-methoxyflavanone) is a metabolite of hesperidin (hesperetin-7-O-rutinoside), which belongs to the flavanone subgroup and is found mainly in citrus fruits. ...
26
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Effect of natural cross-linkers incorporation in a self-etching primer on dentine bond strength.
Islam S, Hiraishi N, Nassar M, Yiu C, Otsuki M, Tagami J.
J Dent. 2012 Dec;40(12):1052-9. doi: 10.1016/j.jdent.2012.08.015. Epub 2012 Sep 11.
PMID: 22982944
METHODS: Flat dentine surfaces were prepared from extracted human molar teeth and were applied with the following self-etching primers. The 0.5% hesperidin (HPN), 0.5% chlorhexidine (CHX) or 0.5% grape seed extract (GSE) was incorporated into Clearfil SE primer (Kuraray Me …
27
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In vitro effect of hesperidin on root dentin collagen and de/re-mineralization.
Islam SM, Hiraishi N, Nassar M, Sono R, Otsuki M, Takatsura T, Yiu C, Tagami J.
Dent Mater J. 2012;31(3):362-7. doi: 10.4012/dmj.2011-203. Epub 2012 May 14.
PMID: 22673464 Free article.
The aims of this study were to investigate the effects of hesperidin, a citrus flavonoid, on human root dentin demineralization and collagen preservation, and compare it with chlorhexidine and grape seed extract. ...The hesperidin group showed the lowest value in le …
28
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Effect of hesperidin in vitro on root dentine collagen and demineralization.
Hiraishi N, Sono R, Islam MS, Otsuki M, Tagami J, Takatsuka T.
J Dent. 2011 May;39(5):391-6. doi: 10.1016/j.jdent.2011.03.002. Epub 2011 Mar 21.
PMID: 21414383
The lesion depth and mineral loss were reduced in the lesions where were incubated with hesperidin and chlorhexidine. The remineralization in deep lesions was found when the matrix was incubated in hesperidin, whilst no mineral uptake in deep lesion when incubated i …
29
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Roowi S, Mullen W, Edwards CA, Crozier A.
Mol Nutr Food Res. 2009 May;53 Suppl 1:S68-75. doi: 10.1002/mnfr.200800287.
PMID: 19415668
When the orange juice was ingested with yoghurt excretion fell back markedly to 9.3 +/- 4.4 micromol. This was not due to a difference in mouth to caecum transit time, as measured with breath hydrogen production, though possibly there may have been a slowing of the bulk of …
30
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Bioavailability and metabolism of orange juice flavanones in humans: impact of a full-fat yogurt.
Mullen W, Archeveque MA, Edwards CA, Matsumoto H, Crozier A.
J Agric Food Chem. 2008 Dec 10;56(23):11157-64. doi: 10.1021/jf801974v.
PMID: 19007165
Nor did yogurt have a significant effect on gastric emptying, as determined by plasma paracetamol levels, or on the mouth to cecum transit time of the head of the meal, assessed by measurement of lactulose-derived breath hydrogen. ...
31
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Inhibition of oral carcinogenesis by citrus flavonoids.
Miller EG, Peacock JJ, Bourland TC, Taylor SE, Wright JM, Patil BS, Miller EG.
Nutr Cancer. 2008;60(1):69-74. doi: 10.1080/01635580701616163.
PMID: 18444138
32
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Bouskela E, Cyrino FZ, Lerond L.
Br J Pharmacol. 1997 Dec;122(8):1611-6. doi: 10.1038/sj.bjp.0701554.
PMID: 9422805 Free PMC article.
Local ischaemia was obtained by a cuff mounted around the neck of the everted pouch where it leaves the mouth of the hamster. 3. Measurements were performed before ischaemia, at the onset of reperfusion and 10, 20, 30, 45 and 60 min thereafter. ...
33
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Bouskela E, Cyrino FZ, Lerond L.
Angiology. 1997 Jan;48(1):33-7. doi: 10.1177/000331979704800106.
PMID: 8995341
Daflon 500 mg (S-5682) is a purified, micronized flavonoid fraction containing 90% diosmin and 10% hesperidin that is currently used to treat chronic venous insufficiency and hemorrhoidal disease. ...A ninety-minute local ischemia was obtained by a cuff mounted around the …
34
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Tanaka T, Makita H, Ohnishi M, Hirose Y, Wang A, Mori H, Satoh K, Hara A, Ogawa H.
Cancer Res. 1994 Sep 1;54(17):4653-9.
PMID: 8062259
Starting 1 week after the stop of 4-NQO exposure, the groups given 4-NQO and a basal diet were switched to the diets containing beta-carotene, hesperidin, and curcumin and maintained on these diets for 22 weeks. The other groups consisted of rats given 500 ppm beta-caroten …
35
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Bouskela E, Cyrino FZ, Marcelon G.
J Cardiovasc Pharmacol. 1993 Aug;22(2):225-30. doi: 10.1097/00005344-199308000-00009.
PMID: 7692162
The Ruscus extract and the flavonoid hesperidine methylchalcone (HMC) are used in treatment of venous insufficiency. In the present study, we used the hamster cheek pouch preparation and investigated the effects of these substances on increased microvascular permeability i …
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An exponential model for adaptation in taste.
Gent JF.
Sens Processes. 1979 Dec;3(4):303-16.
PMID: 263646 No abstract available.