[Sanguinarine. Its role in periodontal therapy].
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The antibacterial effects of chlorhexidine and sanguinarine on selected salivary microflora were evaluated in 15 healthy young adults. The experiment was performed in a cross-over manner enabling both mouthrinses and the saline control to be tested on all 15 subjects for periods of one week separated by three week intervals. The total bacterial count and selected bacterial genera were followed in saliva samples taken just before the first rinse, and on three occasions after the last rinse. Statistically significant reductions in the salivary levels of S. mutans and S. salivarius were obtained with chlorhexidine but not with sanguinarine, and rinsing twice a day with sanguinarine, according to the manufacturer's instructions, did not significantly reduce the total bacterial count. Additional well controlled, longer-term studies are required before any firm conclusions can be drawn regarding the effect of sanguinarine on salivary microorganisms.
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The fungi of the genus Candida isolated from patients with oral mucosa candidiasis and from candidiasis carriers have been studied for their antilysozyme activity. These fungi (Candida albicans, C. tropicalis, C. krusei, C. quilliermondii) are antilysozyme-active. A high antilysozyme activity of the fungi isolated from patients with oral mucosa candidiasis permits supposing that the presence of this trait may be one of the factors of microorganism pathogenicity. The effective antimycotic therapy (clotrimasole, sanguirhitrin) decreases the antilysozyme activity of fungi of the genus Candida.
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The erosive effects of the mouthwashes Calcusan, Salisan and Veadent, and of a tablet, Salivin, meant to be sucked, were studied using enamel blocks from bovine permanent teeth. For comparison, the Hart-Sport sport drink (pH 3.1), which is known to be erosive, and carbonated mineral water Vichy (pH 5.4), which is known to have no erosive effect, were also tested. After two hours of exposure to each test product losses of tooth material were measured by recording the surface profile, using a Dectak profilometer. Changes in the enamel blocks were also studied using a stereomicroscope and a scanning electron microscope (SEM). In the profilometric study, Calcusan was found to have a marked erosive effect (77 +/- 5 microns), four times as severe as the erosive effect of the positive control Hart-Sport (19 +/- 4 microns). Veadent had a less marked effect (3 +/- 1 microns). Salisan and Salivin had no detectable erosive effects and were similar in action to the negative control, carbonated mineral water. From the SEM pictures, Calcusan resulted in an EDTA-type reaction, with dissolution of the peripheral areas of enamel prisms. It is important to recognize that the organic acids and chelating agents in various oral hygiene products may have deleterious effects on teeth.
The conditions of the electrochemical reduction and oxidation as well as those of thermal demethylation of quaternary benzo(c)-phenanthridine alkaloids namely chelerythrine (1), sanguinarine (2), and fagaronine (3) were studied. Differences in their electrochemical and thermal behavior are correlated with the results obtained from biotransformation studies with liver microsomal fraction.
Our studies showed that the chelidonine administered intraperitoneally (ip) exerted an inhibitory effect on the central nervous system of the rodents. It was shown that chelidonine depressed the spontaneous and explorative motor activities, decreased body temperature, potentiated the action of hypnotics and increased sedation in reserpinized mice. Chelidonine did not affect the reactivity of the mice in the hot-plate test, and was without any protective effect against pentylenetetrazol-induced seizures. This alkaloid antagonized the head twitch response induced by 5-hydroxytryptophan (5-HTP) or 5-methoxytryptamine (5-MT) in the rat.
Reproductive and developmental toxicology studies were conducted with orally administered sanguinaria extract in rats and rabbits. Groups of animals which received no test article served as controls in all studies reported. No adverse effects on estrous cycling, male or female copulatory and fertility indices or gestation/lactation parameters were observed in rats given 10-100 mg/kg/day. Reduced body weights in the offspring during lactation were observed at the 100 mg/kg/day treatment level concomitant with maternal toxicity. No developmental toxicity, including teratogenicity, was observed on the fetuses of rats following maternal administration of 5-60 mg/kg/day. An increase in post-implantation loss was observed at maternally toxic dosage levels of 50 and 75 mg/kg/day in rabbits. Oral administration of sanguinaria extract in a perinatal and postnatal study in rats caused no adverse effects on litter size, parturition, or lactation of female rats nor on survival and growth of their offspring at dosage levels of 5-60 mg/kg/day. Maternal oral toxicity thresholds were 60 mg/kg/day in rats and 25 mg/kg/day in rabbits. It was concluded that the oral intake of sanguinaria extract has no selective effect on fertility, reproduction or fetal and neonatal development in rats or rabbits.
Sodium intake from food and other sources must be carefully monitored in patients with hypertension and other disorders. Retention of sodium was measured during routine use of three commercially available, nonprescription mouthwashes: Cepacol, Plax, and Viadent. A test group of 17 adults rinsed with 15 ml of the three mouthwashes, and with 5% saline and distilled water as experiment controls. Sodium not recovered in the expectorate was considered to be retained for absorption by oral or other tissues. The sodium in each product (in mg/l) varied widely: Viadent, 144; Cepacol, 410; and Plax 5320. The analyzed expectorate revealed approximately 33% of the sodium in the 15 ml used for rinsing was retained, amounting to 0.7 mg for Viadent, 1.9 mg for Cepacol, and 28.3 mg for Plax. The results indicate that persons on sodium-restricted diets should be aware that some brands of mouthwash may be a potentially significant source of sodium.
A natural DNA-intercalator plant benzo-c-phenanthridine alkaloid sanguinarine is more toxic for mouse transformed fibroblast L-cells in culture than synthetic DNA-intercalator ethidium bromide (EtB) and alkaloid berberine. Dimidium bromide is also an inhibitor of the L-cell growth. In assay conditions, growth of L-cells is stopped by 1.5 x 10(-5) M of sanguinarine. Lebr-625 cells, resistant to 25 micrograms/ml of EtB, have sanguinarine sensitivity close to that of L-cells, but Lebr-625 cells are resistant to dimidium bromide. Sanguinarine is more toxic for L-cells in culture than the anticancer drug cis-PtNH3)2Cl2. Trans-Pt(NH3)2Cl2 is less toxic for these cells. The strong toxicity of sanguinarine for L- and Lebr-625 cells in culture, as compared to other DNA-complexing drugs, seems to be associated with the wide range of potential cell targets for sanguinarine influence. Besides the inhibition of nucleic acid metabolism reactions, characteristic of DNA-intercalators, and disruption the mitochondrial ATP synthesis, also characteristic of organic heterocyclic cationic molecules of DNA-intercalators, sanguinarine can modify the thiol groups of enzymes including SH-sensitive membrane-bound Na+, K(+)-ATPase of cerebral cortex and Ca2(+)-ATPase of skeletal muscle sarcoplasmic reticulum fragments.
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The results obtained in a short-term longitudinal study suggest that sanguinarine mouthrinses are less effective in plaque control than those containing chlorhexidine. It is concluded that the real clinical effectiveness of sanguinarine mouthrinses has to be further studied in clinical trials.
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Sanguinarine, a plant DNA-intercalator, is shown to inhibit the enzyme activity of the membrane-bound Ca2+-ATPase of rabbit skeletal muscle sarcoplasmic reticulum fragments. This inhibition could be interpreted by the well known ability of this alkaloid to interact with sulphydryl groups of the enzymes. Sanguinarine is a weaker inhibitor of this reaction than a sulphydryl group poison Ag+. The I50 is 3.10(-6) M for Ag+ and 7.10(-5) M for sanguinarine in the reaction medium with NO3- substituted for Cl-. In the standard reaction medium containing Cl-, the I50 for sanguinarine is 1.8.10(-4) M. In this case sanguinarine activates Ca2+-ATPase at low concentrations presumably because of uncoupling ATP hydrolysis from Ca2+ transport through membrane. Other agents studied are: DNA-intercalators--ethidium bromide, acriflavine, acridine orange; DNA-complexing antibiotics--actinomycin D, and olivomycin, alkaloids, quinine, morphine, berberine and an uncoupler of oxidative phosphorylation 2,4-dinitrophenol. These were found not to inhibit Ca2+-ATPase activity up to the concentrations of 10(-3)-10(-4) M.