Amelioration of Carcinogen-Induced Toxicity in Mice...
Transcript of Amelioration of Carcinogen-Induced Toxicity in Mice...
Advance Access Publication 19 June 2007 eCAM 20096(1)65ndash75doi101093ecamnem067
Original Article
Amelioration of Carcinogen-Induced Toxicity in Mice byAdministration of a Potentized Homeopathic Drug NatrumSulphuricum 200
Nandini Bhattacharjee Surajit Pathak and Anisur Rahman Khuda-Bukhsh
Cytogenetics and Molecular Biology Laboratory Department of Zoology University of Kalyani Kalyani-741235India
To examine if a potentized homeopathic drug Natrum Sulphuricum 200 (Nat Sulph-200) hasprotective potentials against hepatocarcinogenesis liver tumors were induced in mice throughchronic feeding of P-dimethylaminoazobenzene (p-DAB initiator of hepatocarcinogenesis) andphenobarbital (PB promoter) Mice were divided into five sub-groups fed normal low proteindiet (Gr I normal control) fed normal low protein plus alcohol-200 (vehicle of thehomeopathic remedy) (Gr II) fed diet mixed with 006 p-DAB plus 005 PB (Gr III) feddiet and carcinogens like GrIII plus alcohol 200 (positive control for drug fed mice) (Gr IV)and fed diet and carcinogens like Gr III plus Natrum Sulphuiricum-200 (Gr V drug fed)Mice were sacrificed at day 7 15 30 60 90 and day 120 for study of cytogenetical endpointslike chromosome aberrations (CA) micronuclei (MN) mitotic index (MI) and sperm headanomaly (SHA) and biochemical toxicity parameters like aspartate amino transferase (AST)alanine amino transferase (ALT) acid (AcP) and alkaline (AlkP) phosphatases lipidperoxidation (LPO) and reduced glutathione (GSH) content Less number of liver tumorswere observed in Gr V (drug fed) mice Administration of Nat Sulph 200 reduced genomicdamage activities of AcP AlkP AST ALT LPO and increased GSH content Thereforeindependent replication of the study by others is encouraged
Keywords anti-carcinogenesis ndash azo dye induced liver cancer ndash geno- and cyto-toxicitybiomarkers homeopathic remedy ndash mice
Introduction
Complementary and alternative medicine (CAM) is one
of the growing areas in health care today (1ndash4)
particularly as supportive medicine in treating difficult
to cure diseases like cancer (5ndash7) Homeopathy is
becoming one of the popular alternative modes of
treatment (8ndash10) Because of ultra high dilutions of
most potentized homeopathic drugs their efficacy in
treating diseases is often put to question However our
recent works which showed the efficacy of certainhomeopathic drugs in ameliorating p-dimethylaminoazo-
benzene (p-DAB) induced cancer in mice (11ndash14) have
aroused interest in testing other homeopathic drugs for
their possible anti-cancer effects The azo dye p-DAB
used occasionally as a food additive is known to act as
initiator of liver cancer when used chronically (15ndash19)
and is known to cause hazard to humans and animals
(20ndash21) Phenobarbital (PB) predominantly used as an
anti-epilepticsedative drug is known to have carcino-
genic effect (22) to humans mice and rats when
administrated repeatedly (23ndash26) The effects are more
pronounced when PB is used in combination with the
azo-dye which unfailingly produce liver tumors that
For reprints and all correspondence Anisur Rahman Khuda-BukhshDepartment of Zoology University of Kalyani Kalyani-741235India Tel thorn91-33-25828750 extn 315 Fax thorn91-33-25828282E-mail prof_arkbyahoocoin khudabukhsh_48rediffmailcom
2007 The Author(s)This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (httpcreativecommonsorglicensesby-nc20uk) which permits unrestricted non-commercial use distribution and reproduction in any medium provided the original work isproperly cited
ultimately become neoplastic (141527) Therefore this
induced liver carcinoma serves as a good model for the
study of events during carcinogenesis as well as to test
if a drug has any anti-cancerous effect Further
homeopathic mode of treatment does not have any
known side effects and is less expensive than that of
conventional treatments of liver cancer which often needs
surgery and costly medicines in management
Remedy Selection Indication from a Pilot Study
We have for some time been screening some homeopathicremedies which are claimed to have pronounced effectsin protecting liver from toxicity or that are known to helpin recovery of liver dysfunction (eg ChelidoniumLycopodium etc) for their possible anti-hepatotoxicanti-tumorigenic effects since the primary target organ ofthe carcinogens is the liverPotentized form of Natrum Sulphuricum is one such
remedy generally used by homeopathic practitioners forvarious liver disorders having agreeable symptoms (28)As chronic feeding of P-DAB and PB is known to causesymptoms arising out of liver disorders and NatrumSulph being one of the remedies used to alleviate andprotect liver from toxic effects we first conducted a pilotstudy on the efficacy of Nat Sulph-30 with a limitednumber of protocols (data unpublished) On getting apositive result the present investigation was undertakenwith a primary objective of evaluating efficacy of NatSulph-200 (a more diluted higher potency claimed to havestronger and longer lasting effect) in amelioration ofcarcinogen induced toxicity in mice utilizing severalwidely accepted protocols of cytogenetical and biochem-ical studies
Implications In Brief of the Parameters Used
The parameters used in this study are importantgenotoxicity and cyto-toxicity (particularly hepatotoxin)biomarkers either directly or indirectly implicated in thedevelopment of liver tumors The changes observed in thecytogenetical studies led to the studies of LPO which isassociated with tissue damage and necrosis Similarlytissue damage and necrosis can lead to improper liverfunction and thereby causing hepato-toxicity For thisliver function tests that include the assay of variousenzymes like AcP AlkP AST and ALT were selected tothrow light on the extent of liver malfunctioning if anyFurther if hepato-toxicity is generated there will begeneration of free radicals GSH has anti-oxidant activitywhich is accomplished by scavenging free-radicals and thestudy of GSH was therefore of added value Furtherwhile decrease of the other biochemical parametersindicates decreased hepato-toxicity a concomitantincrease in GSH is expected to confirm this
Methods
Feeding the Carcinogens and the Homeopathic Remedy to
Mice
An inbred strain of Swiss albino mice (Mus musculus)
were reared and maintained in the animal house of the
Department of Zoology (with clearance from the
University Ethical Committee and under the supervision
of the Animal Welfare Committee) University of
Kalyani India for the investigation Mice under experi-
ment were provided food and water and kept in a
hygienic condition The general diet was prepared
from wheat gram and powdered milk without any
animal protein supplement A group of 36 healthy
mice weighing between 25ndash30 g were used for
each treatment series namely (i) normal (ii) normalthorn
alcohol 200 (iii) P-dimethylaminoazobenzene (p-DAB)thorn
phenobarbital (PB) (iv) p-DABthornPBthorn alcohol 200
(v) p-DABthornPBthornNat Sulph-200 fed series In our earlier
studies we used to maintain another group only verum
fed control along with normalthorn succussed alcohol fed
control But since the differences in data between these
two series were negligible or insignificant the normalthorn
verum fed group as control was later abandoned for
saving life of mice and costEach group of 36 mice divided into six different sets
consisting of six mice each for six different intervals offixation namely at day seven 15 30 60 90 and 120
The first set of mice (group-I normal negative control)was fed normal low protein diet The second set of mice(group II) was fed diluted alcohol 200 (potentized as per
homeopathic principle of dilution and succussion) withnormal low protein diet The third set of mice (group-III)was fed the same diet but mixed with 006 p-DAB(Sigma D-6760) at a daily dose of 165mgkg body wt
per mouse (152729) and an oral dose of 006ml of005 aqueous solution of PB daily (1430) through aspecially made fine pipette The fourth set of mice(group-IV positive control) was fed 006 p-DAB along
with 005 aqueous solution of PB as above andalso diluted alcohol 200 (alc-200 as the lsquovehiclersquo of thedrug was ethyl alcohol) till they were sacrificed Thefifth set of mice (group-V) was fed p-DAB plus PB as
in group-III but was also fed Nat Sulph-200 once aday till they were sacrificed at day seven 15 30 60 90and 120
Feeding Procedure and Dose
Each mouse was fed one drop (006ml) of stock
solution of Nat Sulph-200 or alc-200 as the case
may be once daily (one dose at 7AM) with the aid of
a fine pipette
66 Anti-carcinogenic potential of homeopathic remedy
Preparation of the Potentized Form of the Drug
The potentized homeopathic drug Nat Sulph-200 wasprocured from lsquoHAPCOrsquo 165 Bipin Behari GangulyStreet Kolkata India The 200 potency of Natrum Sulphwas derived from the mother tincture of sodium sulphateby lsquosuccussion and dilutionrsquo procedure (3132) asrecommended in the Homeopathic Pharmacopoeia ofIndia Vol I (33) The glass vial containing potentizedalc-200 provided by lsquoHAPCOrsquo having been accidentallybroken during the initial days of experiment theavailable lsquoplaceborsquo provided by Boiron Lab LyonFrance had been used However we examined variousphysical properties of both the lsquoplacebosrsquo prepared bylsquoHAPCOrsquo and lsquoBOIRONrsquo through UV FTIR fluores-cence 13 C-NMR and 1H-NMR spectroscopy earlier(34) but failed to observe any significant differencebetween the two lsquoplacebosrsquo
Laboratory Methodology
Cytogenetic Assay
The standard and widely practiced cytogenetic protocolslike assays of chromosome aberration (CA) micronuclei(MN) mitotic index (MI) and sperm head anomaly(SHA) have been adopted in the present study for testinggenotoxicity (1426) A total of 300 bone marrow cellswere observed for CA 3000 cells for MN and 5000 cellsfor MI and 5000 sperm for SHA analysis
Biochemical Assays
After collection of blood by ventricular puncture frometherized mice (approx 15ml from each mouse) theywere sacrificed and their liver and spleen were quicklycollected in an ice trayFor the study of aspartate and alanine amino trans-
ferases (AST and ALT respectively) acid and alkalinephosphatases (AcP and AlkP respectively) and lipidperoxidation (LPO) and reduced glutathione content(GSH) standard methods (14) were adopted
Statistical Analysis
The significance of difference between data of thedifferent series was conducted by Studentrsquos t-test andtwo-way ANOVA (Mini Tab 1301) was performed Thisexperiment was done as per randomized double blindplacebo control method
Results
Tumor Growth
Out of 18 mice sacrificed at three longer fixation intervals(ie at day 60 90 and 120) 15 and 16 mice respectivelyshowed liver tumors in the p-DABthornPB fed andp-DABthornPBthorn alc-200 fed series while altogether eightmice showed liver tumors in the drug fed series (Table 1)The tumors looked pale reddish in color Some of themwere present as solitary or a few individually distinguish-able ones (mostly in drug fed mice) much less inmagnitude than the multiple innumerable nodules(mostly in drug unfed mice) which were considered astrue tumors and the one or two nodules present in a fewwere ignored On this estimate Nat Sulph-200 fed miceshowed an overall protection to the tune of 417(Nat Sulph-30 rendered 311 unpublished data) whendata of all three longer intervals of fixation wereconsidered
Cytogenetical Studies
As compared with normal metaphase plate (Fig1A)there was a palpable increase in the frequencies ofvarious types of CA (Fig 1BndashD) in different treatmentseries during all fixation periods Several types ofchromosome aberrations mdash both of major and minortypes mdash were observed in certain metaphase plates ofp-DABthornPB and p-DABthornPBthorn alc-200 fed mice Thetotal frequencies of aberrations were maximum inp-DABthornPBthorn alc-200 fed mice The frequency of CAwas always greater in p-DABthornPB fed mice than innormal (Gr I) and normalthorn alc-200 fed (Gr II) mice
Table 1 Number of animals showing tumors at different fixation intervals after chronic feeding of p-DAB plus PB for 7 15 30 60 90 and 120 daysin each fixation intervals 6 mice each were used per set
Series No ofspecimensused
Tumorincidence7 days
Tumorincidence15 days
Tumorincidence30 days
Tumorincidence60 days
Tumorincidence90 days
Tumorincidence120 days
Normal 36 06 06 06 06 06 06
NormalthornAlc-200 36 06 06 06 06 06 06
p-DABthornPB 36 06 06 06 36 66 66
p-DABthornPBthornAlc-200 36 06 06 06 46 66 66
p-DABthornPBthornNat Sulph-200 36 06 06 06 26 36 36
TOTAL 180 030 030 030 930 1530 1530
eCAM 20096(1) 67
The frequency of CA in p-DABthornPBthornNat Sulph-200fed group was found to be considerably decreased(P5001ndashP50001) at all fixation intervals except atday seven (Fig 2A)
Micronucleated Erythrocytes
The incidence of micronuclei (Fig 1E which represent afragment or broken part or whole arm of a chromo-some) in carcinogen fed as also p-DABthornPBthorn alc-200fed mice was appreciably higher than that of normalcontrol mice at all fixation intervals However there wasa palpable decrease in MN in the drug fed series(P5005ndashP50001) The decrease was a result ofreduction in number of both polychromatic (PCE) andnormochromatic (NCE) erythrocytes (Fig 2B)
Mitotic Index
The mitotic indices represent the rate at which the cellspass through a cell cycle When a cell becomestransformed into a tumor cell the rate becomes increasedfor failure of proper control of cell division and thusmay be used as an indicator of tumorigenicityThe mitotic indices of mice fed either p-DABthornPBor p-DABthornPBthornAlc-200 were higher than that ofthe normal control series In p-DABthornPBthornNat
Sulph-200 fed mice there was a significant decrease(P5005ndashP50001) in MI at all fixation intervals exceptat day seven (Fig 2C)
Sperm Head Anomaly
Genotoxic or carcinogenic or spermatotoxic agents cancause damage to sperm head which may be an indicatorof the risk of transmission of mutagenic trait if thesedeformed sperm by chance fertilize the ovum Greaternumber of sperm with abnormal head morphologies(Fig 1G) was encountered in p-DABthornPB fed andp-DABthornPBthorn alc-200 fed mice at all fixation intervalsThe frequencies of SHA were considerably decreased inp-DABthornPBthornNat Sulph-200 fed group at all fixationintervals (P5005ndashP50001) (Fig 2D) except at day 7
Biochemical Assay
Aspartate Amino Transferase Activity (AST)
The AST activity in liver was increased in bothp-DABthornPB fed and p-DABthornPBthornAlc-200 fed mice atall fixation intervals However the AST activity inp-DABthornPBthornNat Sulph-200 fed series appeared todecrease significantly (P5001ndashP50001) from day15 ndash day 120 (Table 2) in liver
Alanine Amino Transferase Activity (ALT)
Similar trend of reduction in ALT activity (P5001ndashP50001) was noticed in liver of the p-DabthornPBthornNatSulph-200 fed mice when compared to that ofp-DabthornPBthornAlc-200 fed mice at all fixation intervalsexcept at day seven (Table 3)
Acid Phosphatase Activity (AcP)
The activity of AcP in liver showed a trend of steady risefrom day 7 to day 15 in p-DabthornPB fed mice thendecreased at day 60 and 90 only to rise again at day 120The same trend was noticed in the p-DabthornPBthornAlc-200fed series The activity of AcP was decreased significantly(P5001) (Table 4) in the drug fed mice at all fixationintervals except at day 7
Alkaline Phosphatase Activity (AlkP)
The activity of AlkP was enhanced in liver of p-DabthornPBfed mice from day seven through day 120 and the same inp-DabthornPBthornNat Sulph-200 fed mice decreased appreci-ably (P5005 through P50001) at all fixation intervals(Table 5)
Lipid Peroxidation (LPO)
Lipid peroxidation was considerably higher in p-DabthornPBthornAlc-200 fed mice However there was a significant
Figure 1 (AndashF) (A) Photomicrographs of normal metaphase comple-
ment (B) Ring (R) and Centric fusion (CF) (C) Polyploidy
(D) Terminal association (TA) (E) Erythrocyte showing micronucleus
(F) Sperm with abnormal head shape
68 Anti-carcinogenic potential of homeopathic remedy
decrease (P5005 through P50001) in lipid peroxida-
tion in liver of p-DabthornPBthornNat Sulph-200 fed mice at
all fixation intervals (Table 6)
Reduced Glutathione Content (GSH)
The reduced glutathione content decreased in p-Dabthorn
PBthornAlc-200 fed mice at all fixation intervals However
there was an increase in reduced glutathione content of
p-DabthornPBthornNat Sulph-200 fed mice at all fixationintervals (P5005 to P5001) (Table 7) in liver
Results of Statistical Analysis
The significance of differences between data of thedifferent series was determined by Studentrsquos t-test andthe results of two-way ANOVA (Mini Tab 1301) aresummarized in Tables 2ndash7 and Table 8ndash9
Histograms showing of CA of different seriesat different days interval
000
500
1000
1500
2000
2500
3000
7 D 15 D 30 D 60 D 90 D 120 D
7 D 15 D 30 D 60 D 90 D 120 D
Different days intrerval
A B
C D
Different days intrerval7 D 15 D 30 D 60 D 90 D 120 D
Different days intrerval
7 D 15 D 30 D 60 D 90 D 120 D
Different days intrerval
o
f ch
rom
oso
me
aber
rati
on
(C
A)
Normal Normal+Alcoholp-DAB+PB p-DAB+PB+Alcohol
Normal+Alcoholp-DAB+PB+Alcohol
p-DAB+PB+Nat Sulph-200
Normalp-DAB+PBp-DAB+PB+Nat Sulph-200
Histograms showing of MNE of differentseries at different days interval
000
020
040
060
080
100
120
140
o
f M
icro
nu
clei
(M
N)
Histograms showing of MI of different seriesat different days interval
000
100
200
300
400
500
600
700
800
900
1000
o
f M
ito
tic
Ind
ex (
MI)
NormalNormal+Alcoholp-DAB+PBp-DAB+PB+Alcoholp-DAB+PB+Nat Sulph-200
NormalNormal+Alcoholp-DAB+PBp-DAB+PB+Alcoholp-DAB+PB+Nat Sulph-200
Histograms showing of SHA of differnt seriesat different days interval
000
050
100
150
200
250
300
350
400
450
o
f sp
erm
hea
d a
no
mal
y(S
HA
)
b
cc
c
c
ac
cc c
a
c
c
c
c
a
c
c
c
c
Figure 2 (AndashD) Histograms showing the following (A) percentage () of chromosomal aberrations (CA) in different series of mice at different
fixation intervals (B) percentage () of micronucleated erythrocytes (MN) in different series of mice at different fixation intervals (C) percentage
() of mitotic indices in different series of mice at different fixation intervals and (D) percentage () of sperm head anomalies (SHA) in different
series of mice at different fixation intervals Statistical analyses were done between series p-DABthornPBthornAlcohol-200 versus p-DABthornPBthornNat
Sulph-200 The different levels of statistical significances between two given series have been designated by P5005 P5001 P50001
p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200
eCAM 20096(1) 69
Table 2 Mean Aspartate amino transferase (AST) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPBp-DABthornPBthorn alc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels ofstatistical significances between two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AST activity SE AST activity SE AST activitySE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0017 0002 0012 0001 0021 0001
NormalthornAlcohol 0026 0001 0011 0001 0020 0000
p-DABthornPB 0040 0002 0041 0005 0049 0002
p-DABthornPBthornAlcohol 0043 0003 0045 0001 0054 0002
p-DABthornPBthornNat 0050 0003 0007n 00400001 0005 0036 0001 0018
Sulph-200
60 days 90 days 120 days
AST activity SE AST activity SE AST activitySE
Normal 0024 0004 0010 0001 0054 0002
NormalthornAlcohol 0021 0002 0012 0004 0056 0004
p-DABthornPB 0047 0006 0056 0004 0075 0007
p-DABthornPBthornAlcohol 0053 0002 0059 0001 0107 0012
p-DABthornPBthornNat 0032 0004 0021 0041 0002 0018 0046 0002 0061
Sulph-200
P5005 P5001P50001 nfrac14 non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 3 Mean Alanine amino transferase (ALT) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series ALT activity SE ALT activity SE ALT activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0006 0000 0010 0001 0005 0000
NormalthornAlcohol 0011 0001 0012 0001 0009 0001
p-DABthornPB 0009 0002 0028 0002 0017 0002
p-DABthornPBthornAlcohol 0014 0001 0036 0002 0022 0001
p-DABthornPBthornNat 0021 0001 0007n 0026 0001 0010 0014 0002 0008
Sulph-200
60 days 90 days 120 days
ALT activity SE ALT activity SE ALT activity SE
Normal 0006 0000 0006 0001 0004 0000
NormalthornAlcohol 0007 0001 0006 0001 0005 0001
p-DABthornPB 0015 0001 0015 0002 0019 0001
p-DABthornPBthornAlcohol 0024 0001 0017 0002 0020 0002
p-DABthornPBthornNat 0011 0003 0013 0004 0000 0013 0011 0001 0009
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
70 Anti-carcinogenic potential of homeopathic remedy
Table 4 Mean Acid phosphatase (AcP) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthorn alc-200p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significances between twogiven series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AcP activity SE AcP activity SE AcP activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0048 0001 0143 0007 0040 0002
NormalthornAlcohol 0044 0001 0128 0003 0036 0002
p-DABthornPB 0080 0006 0157 0010 0086 0005
p-DABthornPBthornAlcohol 0086 0005 0153 0002 0089 0003
p-DABthornPBthornNat 0087 0003 0001n 0137 0004 0016 0074 0002 0015
Sulph-200
60 days 90 days 120 days
AcP activity SE AcP activity SE AcP activity SE
Normal 0046 0005 0012 0000 0025 0002
NormalthornAlcohol 0045 0004 0021 0002 0032 0005
p-DABthornPB 0076 0009 0053 0005 0128 0013
p-DABthornPBthornAlcohol 0083 0005 0055 0001 0131 0010
p-DABthornPBthornNat 0052 0006 0031 0043 0003 0012 0087 0003 0044
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 5 Mean Alkaline phosphatase (AlkP) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AlkP activity SE AlkP activity SE AlkP activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0017 0001 0014 0003 0024 0001
NormalthornAlcohol 0026 0001 0016 0005 0027 0003
p-DABthornPB 0038 0001 0026 0004 0044 0002
p-DABthornPBthornAlcohol 0044 0002 0030 0001 0050 0006
p-DABthornPBthornNat 0049 0008 0005n 0022 0003 0008 0036 0001 0014
Sulph-200
60 days 90 days 120 days
AlkP activity SE AlkP activity (activitySE) AlkP activity SE
Normal 0021 0001 0019 0001 0012 0001
NormalthornAlcohol 0023 0001 0026 0001 0033 0005
p-DABthornPB 0034 0001 0045 0004 0139 0006
p-DABthornPBthornAlcohol 0038 0001 0048 0004 0150 0003
p-DABthornPBthornNat 0028 0002 0010 0032 0001 0016 0115 0004 0035
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
eCAM 20096(1) 71
Table 6 Mean Lipid peroxidation (LPO) activity in (nM MDA mg wet tissue) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series LPO activitySE LPO activity SE LPO activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0245 0008 0135 0010 0086 0002
NormalthornAlcohol 0272 0013 0172 0005 0094 0003
p-DABthornPB 0332 0010 0312 0010 0234 0008
p-DABthornPBthornAlcohol 0355 0010 0349 0037 0270 0009
p-DABthornPBthornNat 0417 0011 0062n 0192 0002 0157 0219 0014 0051
Sulph-200
60 days 90 days 120 days
LPO activitySE LPO activity SE LPO activity SE
Normal 0052 0004 0043 0001 0048 0001
NormalthornAlcohol 0054 0006 0070 0008 0074 0004
p-DABthornPB 0247 0012 0119 0010 0131 0009
p-DABthornPBthornAlcohol 0254 0010 0124 0003 0149 0006
p-DABthornPBthornNat 0141 0009 0113 0090 0004 0034 0118 0004 003 1
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 7 Mean Reduced glutathione (GSH) content in (nM mg wet tissue) in liver of mice treated with p-DABthornPB p-DABthornPBthorn alc-200p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significances betweentwo given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series GSH content SE GSH contentSE GSH content SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0004 0000 0006 0000 0005 0001
NormalthornAl cohol 0004 0001 0006 0000 0004 0001
p-DABthornPB 0001 0000 0001 0000 0001 0000
p-DABthornPBthornAlcohol 0001 0000 0001 0000 0001 0000
p-DABthornPBthornNat 0001 0000 0000 0003 0000 0002 0004 0001 0003
Sulph-200
60 days 90 days 120 days
GSH content SE GSH contentSE GSH content SE
Normal 0005 0000 0006 0000 0007 0000
NormalthornAlcohol 0006 0001 0005 0000 0006 0001
p-DABthornPB 0001 0000 0002 0000 0003 0000
p-DABthornPBthornAlcohol 0001 0000 0003 0000 0003 0001
p-DABthornPBthornNat 0005 0001 0004 0006 0001 0003 0006 0000 0003
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
72 Anti-carcinogenic potential of homeopathic remedy
Discussion
In the present study several widely accepted toxicity
markers have been used all of which are known to have
significant role during the carcinogenesis process
(1435ndash44) In brief the significant reduction of biomar-
kers like AST ALT AcP AlkP and LPO and increase of
GSH in the drug fed series speak for the reduction of
hepato-toxicity and injury (1435) Positive modulations
of several other parameters such as blood glucosecholesterol testosterone and estradiol were also noted(data not shown) Similarly there were evidences fromelectron microscopic studies (both scanning Fig 3 and
Table 8 Showing two-way ANOVA analyses for different cytogenetical parameters
Two way ANOVA Mitotic index Chromosome Aberration Micro nucleated Erythrocytes Sperm Head Anomaly
Source of Variation df MS F MS F MS F MS F
Dues to Series 4 2326 1123 28913 3945 08247 9582 526 1502
Due to Days 5 1167 564 4585 626 003821 444 146 418
P5005
Table 9 Showing two-way ANOVA analyses for different enzymatic parameters
Two way ANOVA AST activity ALT activity AcP activity AlkP activity LPO activity GSH content
Source of Variation df MS F MS F MS F MS F MS F MS F
Dues to Series 4 00016054 1790 00002548 1412 0003271 1339 0002043 410 002558 1678 00000218 3303
Due to Days 5 00009453 1054 00000997 552 0006541 2679 000 606 003844 2522 000 752
P5005
Figure 3 Section of liver under SEM showing features of normal
(3a-3b) p-DABthornPBthornAlcohol fed (3c-3d) and p-DABthornPBthornNat
Sulph-200 fed mice (3c-3f)
Figure 4 Liver section under TEM showing features of normal (4a-4b)
p-DABthornPBthornAlcohol fed (4c-4d) and p-DABthornPBthornNat sulph-200
fed mice (4c-4d)
eCAM 20096(1) 73
transmission Fig 4) on liver that the homeopathicremedy played a positive role in protecting ultra-structural integrities (data not shown) Incidentallyreactive oxygen species (ROS) are produced by metabo-lism of various endogenous and exogenous compoundsand are associated in the pathogenesis of different liverdiseases such as cirrhosis and hepatocellular cancer (41ndash44) In cirrhosis and hepatocellular carcinoma theantioxidant system is damaged severely and the GSHlevel falls down the MDA level rises and GSH-dependent enzyme activities are enhanced in cirrhoticand cancer tissues (43) Incidentally positive effects ofhomeopathic preparations on human prostate cancergrowth have recently been studied by Maclaughlin et al(45) and Jonas et al (46) while crude extracts of someplants have also been shown to have anti-cancerousactivities against prostate cancer cell line in human (47)and in skin carcinogenesis (48) and leukemia and aging(49) of miceIn recent years cell death in brain cancer has been
observed by some workers (50) by administering ahomeopathic drug Ruta 6 both on in vivo and in vitrosystems But how the micro doses of the highly dilutedhomeopathic remedy could bring about such positivechanges in diverse parameters of study is not yet properlyunderstood The ability of the homeopathic remedy inbringing down cytogenetical damage along with thepositive biochemical changes can be considered asproofs of their ability towards restoring normalcy in thefunctioning of bodyrsquos important metabolic enzymes andmechanism of repair and retrieval for genome presum-ably by activatingdeactivating the relevant genes respon-sible for regulation of their respective activities (513132)
Conclusions
Finally compared with Nat Sulph-30 Nat Sulph-200appeared to show a little better efficacy in reducing theincidence of tumors in liver and most other commonparameters tested with both potencies particularly atsome longer intervals of fixation Therefore otherresearchers are encouraged to replicate the study inmice andor other mammalian models and see ifpotentized remedies of Natrum Sulphuricum can berecommended as a potential supportive medicine for usein human cancer therapy as well
Acknowledgements
This work was financially supported by an EMR grant ofAYUSH Ministry of Health and Family WelfareNew Delhi to ARKB The authors sincerely thankDr TC Nag Associate Professor Department ofAnatomy All India Institute of Medical Sciences NewDelhi for his kind help in conducting the scanning and
transmission electron microscopic studies The authorsexpress their sincere thanks to Dr Philippe BelonDirector Boiron Lab Lyon France for kindly donatingthe Alc-200 for this work
References1 Ernst E The current position of complementaryalternative
medicine in cancer Eur J Cancer 2003392273ndash772 Earnst E Complementary or alternative therapies for osteoarthritis
Nat Clin Pract Rheumatol 2006274ndash803 Ricotti V Delanty N Use of complementary and alternative
medicine in epilepsy Curr Neurol Neurosci Rep 20066347ndash534 Simpson CA Complementary medicine in chronic pain treatment
Phys Med Rehabil Clin N Am 200617451ndash725 Richardson MA Straus SE Complementary and alternative
medicine Opportunities and Challenges for cancer managementand research Seminars in Oncology 200229531ndash45
6 Chrystal K Allan S Forgeson G Issacs R The use ofcomplementary and alternative medicine by cancer patients inNew Zealand and regional cancer treatment center New ZealandMed J 20031161ndash8
7 Molassiotis A Panteli V Patiraki E Ozden G Platin N Madsen Eet al Complementary and alternative medicine use in lung cancerpatients in eight European countries Complement Ther Clin Pract20061234ndash9
8 Molassiotis A Margulies A Fernandez-Ortega P Pud D Panteli VBruyns I et al Complementary and alternative medicine usein patients with hematological malignancies in EuropeComplement Ther Clin Pract 200511105ndash10
9 Bensoussan M Jovenin N Garcia B Vandromme L Jolly DBouche O et al Complementary and alternative medicine use bypatients with inflammatory bowel disease results from a postalsurvey Gastroenterol Clin Biol 20063014ndash23
10 Joos S Rosemann T Szecsenyi J Hahn EG Willich SNBrinkhaus B Use of complementary and alternative medicine inGermany - a survey of patients with inflammatory bowel diseaseBMC Complement Altern Med 2006619 doi 1011861472-6882-6-19 httpwwwbiomedcentralcom1472-6882619
11 Biswas SJ Khuda-Bukhsh AR Effect of a homeopathic drugChelidonium in amelioration of p-Dab induced hepatocarcinogen-esis in mice BMC Complement Altern Med 200221ndash16
12 Biswas SJ Khuda-Bukhsh AR Evaluation of protective potentialsof a potentized homeopathic drug Chelidonium majus during azodye induced hepatocarcinogenesis in mice Indian J Exp Biol200442698ndash714
13 Biswas SJ Pathak S Bhattacharjee N Das JK Khuda-Bukhsh AREfficacy of a potentized homeopathic drug Carcinosin-200 fedalone and in combination with another drug Chelidonium-200in amelioration of p-Dab induced hepatocarcinogenesis in miceJ Altern Complement Med 200511839ndash54
14 Pathak S Das JK Biswas SJ Khuda-Bukhsh AR Protectivepotentials of a potentized homeopathic drug Lycopodium-30in ameliorating azo dye induced hepatocarcinogenesis in miceMol Cell Biochem 2006258121ndash31
15 Daust R Molnar F Cellular populations and mitotic activity in ratliver parenchyma during azo dye carcinogenesis Cancer Res1964241898ndash1909
16 IARC (International Agency for Research on Cancer) On theevaluation of carcinogenic risk of chemicals to man Group-2B19877449
17 Ohnishi S Murata M Degawa M Kawanishi S Oxidative DNAdamage induced by an N-hydroxy metabolite of carcinogenic4-dimethylaminoazobenzene Jpn J Cancer Res 20019223ndash9
18 Merkulova TI Kropachev KY Timofeeva OA Vasiliev GVLevashova ZB Ilnitskaya SI et al Species-specific effects of thehepatocarcinogens 30- methyl-4-dimehylaminoazobenzene andortho-aminoazotoluene in mouse and rat liver Mol Carcinog200544223ndash32
19 Biswas SJ Khuda-Bukhsh AR Cytotoxic and genotoxic effects ofthe azo-dye p-dimethylaminoazobenzene in mice A time-coursestudy Mutat Res 20055871ndash8
74 Anti-carcinogenic potential of homeopathic remedy
20 Siemiatycki J Richardson L Straif K Latreille B Lakhani RCampbell S et al Listing occupational carcinogens researchReview Environ Health Perspect 20041121447ndash59
21 NTP Report on Carcinogens (11th edn) Research Triangle ParkNC National Toxicology Program 2005 (Retrieved from httpntpniehsnihgovindexcfmObjectidfrac1432BA9724-F1F6-975E-7FCE50709CB4C932)
22 IARC (International Agency for Research on Cancer)Phenobarbital and Sodium salt IARC monograph 200179161
23 White SJ McLean AEM Howland C Anticonvulsant drugsand cancer A cohort study in patients with severe epilepsyLancet 1979ii458ndash61
24 Lee GH Paradoxical effects of phenobarbital on mouse carcinogen-esis Toxicol Pathol 200028215ndash25
25 Kinoshita A Wanibuchi H Morimura K Wei M Shen JImaoka S et al Phenobarbital at low dose exerts hormesis in rathepatocarcinogenesis by reducing oxidative DNA damage alteringcell proliferation apoptosis and gene expression Carcinogenesis2003241389ndash99
26 Biswas SJ Pathak S Khuda-Bukhsh AR Assessment of thegenotoxic and cytotoxic potential of an antiepileptic drugPhenobarbital in mice A time course study Mutat Res20045631ndash11
27 Palekar SD Sirsat SM Studies on the hepatocyte in azo dyecarcinogenesis Indian J Exp Boil 1966473ndash8
28 Boericke W Pocket Manual of Homeopathic Materia MedicaIndian edn Calcutta India Sett Dey and Co 1976
29 Kitagawa T Sugano H Enhancing effect of phenobarbital onthe development of enzyme-altered islands and hepatocellularcarcinomas initiated by 30-methyl-4-(dimethylamino) azobenzene ordiethylnitrosamine Gann 197869679ndash87
30 Kitagawa T Sugano H Enhancement of azo-dye hepatocarcino-genesis with dietary phenobarbital in rats Gann 197768255ndash6
31 Khuda-Bukhsh AR Towards understanding molecular mechanismsof action of homeopathic drugs An overview Mol Cell Biochem2003253339ndash45
32 Khuda-Bukhsh AR Laboratory research in homeopathy proIntegr Cancer Ther 20065320ndash32
33 Homeopathic Pharmacopoeia of India Ministry of HealthGovernment of India Press Coimbatore-641019 Controller ofPublications 19711165
34 Pathak S Bhattacharjee N Das JK Chaki Chowdhury S RoyKarmakar S Banerjee P et al Supportive evidences for anti-cancerous potential of an alternative medicine in hepatocarcinogen-esis of mice Res Com Med June issue 2007 14132 (DOI101159000102007)
35 Plaa GL Amdun AM Doull J Klasser CD Toxic responses of theliver 4th edn London UK Pergamon Press 1991
36 Chan KY Wong N Lai PB Squire JA Macgregor PF Behesthi Bet al Transcriptional profiling on chromosome 19p indicated
frequent down regulation of ACP5 expression in hepatocellularcarcinoma Int J cance 2005114902ndash8
37 Reichling JJ Kaplan MM Clinical use of serum enzymes in liverdiseases Dig Dis Sci 1988331601ndash14
38 Wiwanitkit V High serum alkaline phosphatase levels a study in181 Thai adult hospitalized patients BMC Family Practice 2001 22(retrieved from httpwwwbiomedcentralcom1471-229622)
39 Marnett LJ Lipid peroxidation-DNA damage by malondialdehydeMutat Res 199942483ndash95
40 Mishra S Sharma DC Sharma P Studies of biochemicalparameters in breast cancer with and without metastasis Indian JClin Biochem 20041971ndash5
41 Dreher D Junod AF Role of oxygen free radicals in cancerdevelopment Eur J Cancer 199632A30ndash8
42 Jungst C Cheng B Gehrke R Schmitz V Nischalke HDRamakers J et al Oxidative damage is increased in human livertissue adjacent to hepatocellular carcinoma Hepatology2004391663ndash72
43 Balasubramanian S Kowdley KV Effect of alcohol on viralhepatitis and other forms of liver dysfunction Clin Liver Dis2005983ndash101
44 Czeczot H Scibior D Skrzycki M Podsiad M Glutathione andGSH-dependent enzymes in patients with liver cirrhosis andhepatocellular carcinoma Acta Biochem Pol 200653237ndash42
45 Maclaughlin BW Gutsmuths B Pretner E Jonas WB Ives JKulawardane DV et al Effects of homeopathic preparations onhuman prostate cancer growth in cellular and animal models IntegrCancer Ther 20065362ndash72
46 Jonas WB Gaddipati JP Rajeshkumar NV Sharma A et alCan homeopathic treatment slow prostate cancer growthIntegr Cancer Ther 20065343ndash9
47 Adams LS Seeram NP Hardy ML Carpenter C Heber DAnalysis of the Interactions of Botanical Extract CombinationsAgainst the Viability of Prostate Cancer Cell Lines eCAM20063117ndash24
48 Padmavathi B Rath PC Rao AR Singh RP Roots of Withaniasomnifera Inhibit Forestomach and Skin Carcinogenesis in MiceEvid Based Compliment Alernat Med 2005299ndash105
49 Miller SC Echinacea a Miracle Herb against Aging and CancerEvidence In vivo in Mice Evid Based Compliment Alternat Med20052309ndash14
50 Pathak S Multani AS Banerjee P Ruta 6 selectively induced celldeath in brain cancer cells but proliferation in normal peripheralblood lymphocytes A novel treatment for human brain cancerInt J Oncol 200323975ndash82
51 Khuda-Bukhsh AR Potentized homeopathic drugs act throughregulation of gene expression a hypothesis to explain theirmechanism and pathways of action in vivo Com Ther Med1997513ndash46
Received November 27 2006 accepted May 8 2007
eCAM 20096(1) 75
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ultimately become neoplastic (141527) Therefore this
induced liver carcinoma serves as a good model for the
study of events during carcinogenesis as well as to test
if a drug has any anti-cancerous effect Further
homeopathic mode of treatment does not have any
known side effects and is less expensive than that of
conventional treatments of liver cancer which often needs
surgery and costly medicines in management
Remedy Selection Indication from a Pilot Study
We have for some time been screening some homeopathicremedies which are claimed to have pronounced effectsin protecting liver from toxicity or that are known to helpin recovery of liver dysfunction (eg ChelidoniumLycopodium etc) for their possible anti-hepatotoxicanti-tumorigenic effects since the primary target organ ofthe carcinogens is the liverPotentized form of Natrum Sulphuricum is one such
remedy generally used by homeopathic practitioners forvarious liver disorders having agreeable symptoms (28)As chronic feeding of P-DAB and PB is known to causesymptoms arising out of liver disorders and NatrumSulph being one of the remedies used to alleviate andprotect liver from toxic effects we first conducted a pilotstudy on the efficacy of Nat Sulph-30 with a limitednumber of protocols (data unpublished) On getting apositive result the present investigation was undertakenwith a primary objective of evaluating efficacy of NatSulph-200 (a more diluted higher potency claimed to havestronger and longer lasting effect) in amelioration ofcarcinogen induced toxicity in mice utilizing severalwidely accepted protocols of cytogenetical and biochem-ical studies
Implications In Brief of the Parameters Used
The parameters used in this study are importantgenotoxicity and cyto-toxicity (particularly hepatotoxin)biomarkers either directly or indirectly implicated in thedevelopment of liver tumors The changes observed in thecytogenetical studies led to the studies of LPO which isassociated with tissue damage and necrosis Similarlytissue damage and necrosis can lead to improper liverfunction and thereby causing hepato-toxicity For thisliver function tests that include the assay of variousenzymes like AcP AlkP AST and ALT were selected tothrow light on the extent of liver malfunctioning if anyFurther if hepato-toxicity is generated there will begeneration of free radicals GSH has anti-oxidant activitywhich is accomplished by scavenging free-radicals and thestudy of GSH was therefore of added value Furtherwhile decrease of the other biochemical parametersindicates decreased hepato-toxicity a concomitantincrease in GSH is expected to confirm this
Methods
Feeding the Carcinogens and the Homeopathic Remedy to
Mice
An inbred strain of Swiss albino mice (Mus musculus)
were reared and maintained in the animal house of the
Department of Zoology (with clearance from the
University Ethical Committee and under the supervision
of the Animal Welfare Committee) University of
Kalyani India for the investigation Mice under experi-
ment were provided food and water and kept in a
hygienic condition The general diet was prepared
from wheat gram and powdered milk without any
animal protein supplement A group of 36 healthy
mice weighing between 25ndash30 g were used for
each treatment series namely (i) normal (ii) normalthorn
alcohol 200 (iii) P-dimethylaminoazobenzene (p-DAB)thorn
phenobarbital (PB) (iv) p-DABthornPBthorn alcohol 200
(v) p-DABthornPBthornNat Sulph-200 fed series In our earlier
studies we used to maintain another group only verum
fed control along with normalthorn succussed alcohol fed
control But since the differences in data between these
two series were negligible or insignificant the normalthorn
verum fed group as control was later abandoned for
saving life of mice and costEach group of 36 mice divided into six different sets
consisting of six mice each for six different intervals offixation namely at day seven 15 30 60 90 and 120
The first set of mice (group-I normal negative control)was fed normal low protein diet The second set of mice(group II) was fed diluted alcohol 200 (potentized as per
homeopathic principle of dilution and succussion) withnormal low protein diet The third set of mice (group-III)was fed the same diet but mixed with 006 p-DAB(Sigma D-6760) at a daily dose of 165mgkg body wt
per mouse (152729) and an oral dose of 006ml of005 aqueous solution of PB daily (1430) through aspecially made fine pipette The fourth set of mice(group-IV positive control) was fed 006 p-DAB along
with 005 aqueous solution of PB as above andalso diluted alcohol 200 (alc-200 as the lsquovehiclersquo of thedrug was ethyl alcohol) till they were sacrificed Thefifth set of mice (group-V) was fed p-DAB plus PB as
in group-III but was also fed Nat Sulph-200 once aday till they were sacrificed at day seven 15 30 60 90and 120
Feeding Procedure and Dose
Each mouse was fed one drop (006ml) of stock
solution of Nat Sulph-200 or alc-200 as the case
may be once daily (one dose at 7AM) with the aid of
a fine pipette
66 Anti-carcinogenic potential of homeopathic remedy
Preparation of the Potentized Form of the Drug
The potentized homeopathic drug Nat Sulph-200 wasprocured from lsquoHAPCOrsquo 165 Bipin Behari GangulyStreet Kolkata India The 200 potency of Natrum Sulphwas derived from the mother tincture of sodium sulphateby lsquosuccussion and dilutionrsquo procedure (3132) asrecommended in the Homeopathic Pharmacopoeia ofIndia Vol I (33) The glass vial containing potentizedalc-200 provided by lsquoHAPCOrsquo having been accidentallybroken during the initial days of experiment theavailable lsquoplaceborsquo provided by Boiron Lab LyonFrance had been used However we examined variousphysical properties of both the lsquoplacebosrsquo prepared bylsquoHAPCOrsquo and lsquoBOIRONrsquo through UV FTIR fluores-cence 13 C-NMR and 1H-NMR spectroscopy earlier(34) but failed to observe any significant differencebetween the two lsquoplacebosrsquo
Laboratory Methodology
Cytogenetic Assay
The standard and widely practiced cytogenetic protocolslike assays of chromosome aberration (CA) micronuclei(MN) mitotic index (MI) and sperm head anomaly(SHA) have been adopted in the present study for testinggenotoxicity (1426) A total of 300 bone marrow cellswere observed for CA 3000 cells for MN and 5000 cellsfor MI and 5000 sperm for SHA analysis
Biochemical Assays
After collection of blood by ventricular puncture frometherized mice (approx 15ml from each mouse) theywere sacrificed and their liver and spleen were quicklycollected in an ice trayFor the study of aspartate and alanine amino trans-
ferases (AST and ALT respectively) acid and alkalinephosphatases (AcP and AlkP respectively) and lipidperoxidation (LPO) and reduced glutathione content(GSH) standard methods (14) were adopted
Statistical Analysis
The significance of difference between data of thedifferent series was conducted by Studentrsquos t-test andtwo-way ANOVA (Mini Tab 1301) was performed Thisexperiment was done as per randomized double blindplacebo control method
Results
Tumor Growth
Out of 18 mice sacrificed at three longer fixation intervals(ie at day 60 90 and 120) 15 and 16 mice respectivelyshowed liver tumors in the p-DABthornPB fed andp-DABthornPBthorn alc-200 fed series while altogether eightmice showed liver tumors in the drug fed series (Table 1)The tumors looked pale reddish in color Some of themwere present as solitary or a few individually distinguish-able ones (mostly in drug fed mice) much less inmagnitude than the multiple innumerable nodules(mostly in drug unfed mice) which were considered astrue tumors and the one or two nodules present in a fewwere ignored On this estimate Nat Sulph-200 fed miceshowed an overall protection to the tune of 417(Nat Sulph-30 rendered 311 unpublished data) whendata of all three longer intervals of fixation wereconsidered
Cytogenetical Studies
As compared with normal metaphase plate (Fig1A)there was a palpable increase in the frequencies ofvarious types of CA (Fig 1BndashD) in different treatmentseries during all fixation periods Several types ofchromosome aberrations mdash both of major and minortypes mdash were observed in certain metaphase plates ofp-DABthornPB and p-DABthornPBthorn alc-200 fed mice Thetotal frequencies of aberrations were maximum inp-DABthornPBthorn alc-200 fed mice The frequency of CAwas always greater in p-DABthornPB fed mice than innormal (Gr I) and normalthorn alc-200 fed (Gr II) mice
Table 1 Number of animals showing tumors at different fixation intervals after chronic feeding of p-DAB plus PB for 7 15 30 60 90 and 120 daysin each fixation intervals 6 mice each were used per set
Series No ofspecimensused
Tumorincidence7 days
Tumorincidence15 days
Tumorincidence30 days
Tumorincidence60 days
Tumorincidence90 days
Tumorincidence120 days
Normal 36 06 06 06 06 06 06
NormalthornAlc-200 36 06 06 06 06 06 06
p-DABthornPB 36 06 06 06 36 66 66
p-DABthornPBthornAlc-200 36 06 06 06 46 66 66
p-DABthornPBthornNat Sulph-200 36 06 06 06 26 36 36
TOTAL 180 030 030 030 930 1530 1530
eCAM 20096(1) 67
The frequency of CA in p-DABthornPBthornNat Sulph-200fed group was found to be considerably decreased(P5001ndashP50001) at all fixation intervals except atday seven (Fig 2A)
Micronucleated Erythrocytes
The incidence of micronuclei (Fig 1E which represent afragment or broken part or whole arm of a chromo-some) in carcinogen fed as also p-DABthornPBthorn alc-200fed mice was appreciably higher than that of normalcontrol mice at all fixation intervals However there wasa palpable decrease in MN in the drug fed series(P5005ndashP50001) The decrease was a result ofreduction in number of both polychromatic (PCE) andnormochromatic (NCE) erythrocytes (Fig 2B)
Mitotic Index
The mitotic indices represent the rate at which the cellspass through a cell cycle When a cell becomestransformed into a tumor cell the rate becomes increasedfor failure of proper control of cell division and thusmay be used as an indicator of tumorigenicityThe mitotic indices of mice fed either p-DABthornPBor p-DABthornPBthornAlc-200 were higher than that ofthe normal control series In p-DABthornPBthornNat
Sulph-200 fed mice there was a significant decrease(P5005ndashP50001) in MI at all fixation intervals exceptat day seven (Fig 2C)
Sperm Head Anomaly
Genotoxic or carcinogenic or spermatotoxic agents cancause damage to sperm head which may be an indicatorof the risk of transmission of mutagenic trait if thesedeformed sperm by chance fertilize the ovum Greaternumber of sperm with abnormal head morphologies(Fig 1G) was encountered in p-DABthornPB fed andp-DABthornPBthorn alc-200 fed mice at all fixation intervalsThe frequencies of SHA were considerably decreased inp-DABthornPBthornNat Sulph-200 fed group at all fixationintervals (P5005ndashP50001) (Fig 2D) except at day 7
Biochemical Assay
Aspartate Amino Transferase Activity (AST)
The AST activity in liver was increased in bothp-DABthornPB fed and p-DABthornPBthornAlc-200 fed mice atall fixation intervals However the AST activity inp-DABthornPBthornNat Sulph-200 fed series appeared todecrease significantly (P5001ndashP50001) from day15 ndash day 120 (Table 2) in liver
Alanine Amino Transferase Activity (ALT)
Similar trend of reduction in ALT activity (P5001ndashP50001) was noticed in liver of the p-DabthornPBthornNatSulph-200 fed mice when compared to that ofp-DabthornPBthornAlc-200 fed mice at all fixation intervalsexcept at day seven (Table 3)
Acid Phosphatase Activity (AcP)
The activity of AcP in liver showed a trend of steady risefrom day 7 to day 15 in p-DabthornPB fed mice thendecreased at day 60 and 90 only to rise again at day 120The same trend was noticed in the p-DabthornPBthornAlc-200fed series The activity of AcP was decreased significantly(P5001) (Table 4) in the drug fed mice at all fixationintervals except at day 7
Alkaline Phosphatase Activity (AlkP)
The activity of AlkP was enhanced in liver of p-DabthornPBfed mice from day seven through day 120 and the same inp-DabthornPBthornNat Sulph-200 fed mice decreased appreci-ably (P5005 through P50001) at all fixation intervals(Table 5)
Lipid Peroxidation (LPO)
Lipid peroxidation was considerably higher in p-DabthornPBthornAlc-200 fed mice However there was a significant
Figure 1 (AndashF) (A) Photomicrographs of normal metaphase comple-
ment (B) Ring (R) and Centric fusion (CF) (C) Polyploidy
(D) Terminal association (TA) (E) Erythrocyte showing micronucleus
(F) Sperm with abnormal head shape
68 Anti-carcinogenic potential of homeopathic remedy
decrease (P5005 through P50001) in lipid peroxida-
tion in liver of p-DabthornPBthornNat Sulph-200 fed mice at
all fixation intervals (Table 6)
Reduced Glutathione Content (GSH)
The reduced glutathione content decreased in p-Dabthorn
PBthornAlc-200 fed mice at all fixation intervals However
there was an increase in reduced glutathione content of
p-DabthornPBthornNat Sulph-200 fed mice at all fixationintervals (P5005 to P5001) (Table 7) in liver
Results of Statistical Analysis
The significance of differences between data of thedifferent series was determined by Studentrsquos t-test andthe results of two-way ANOVA (Mini Tab 1301) aresummarized in Tables 2ndash7 and Table 8ndash9
Histograms showing of CA of different seriesat different days interval
000
500
1000
1500
2000
2500
3000
7 D 15 D 30 D 60 D 90 D 120 D
7 D 15 D 30 D 60 D 90 D 120 D
Different days intrerval
A B
C D
Different days intrerval7 D 15 D 30 D 60 D 90 D 120 D
Different days intrerval
7 D 15 D 30 D 60 D 90 D 120 D
Different days intrerval
o
f ch
rom
oso
me
aber
rati
on
(C
A)
Normal Normal+Alcoholp-DAB+PB p-DAB+PB+Alcohol
Normal+Alcoholp-DAB+PB+Alcohol
p-DAB+PB+Nat Sulph-200
Normalp-DAB+PBp-DAB+PB+Nat Sulph-200
Histograms showing of MNE of differentseries at different days interval
000
020
040
060
080
100
120
140
o
f M
icro
nu
clei
(M
N)
Histograms showing of MI of different seriesat different days interval
000
100
200
300
400
500
600
700
800
900
1000
o
f M
ito
tic
Ind
ex (
MI)
NormalNormal+Alcoholp-DAB+PBp-DAB+PB+Alcoholp-DAB+PB+Nat Sulph-200
NormalNormal+Alcoholp-DAB+PBp-DAB+PB+Alcoholp-DAB+PB+Nat Sulph-200
Histograms showing of SHA of differnt seriesat different days interval
000
050
100
150
200
250
300
350
400
450
o
f sp
erm
hea
d a
no
mal
y(S
HA
)
b
cc
c
c
ac
cc c
a
c
c
c
c
a
c
c
c
c
Figure 2 (AndashD) Histograms showing the following (A) percentage () of chromosomal aberrations (CA) in different series of mice at different
fixation intervals (B) percentage () of micronucleated erythrocytes (MN) in different series of mice at different fixation intervals (C) percentage
() of mitotic indices in different series of mice at different fixation intervals and (D) percentage () of sperm head anomalies (SHA) in different
series of mice at different fixation intervals Statistical analyses were done between series p-DABthornPBthornAlcohol-200 versus p-DABthornPBthornNat
Sulph-200 The different levels of statistical significances between two given series have been designated by P5005 P5001 P50001
p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200
eCAM 20096(1) 69
Table 2 Mean Aspartate amino transferase (AST) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPBp-DABthornPBthorn alc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels ofstatistical significances between two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AST activity SE AST activity SE AST activitySE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0017 0002 0012 0001 0021 0001
NormalthornAlcohol 0026 0001 0011 0001 0020 0000
p-DABthornPB 0040 0002 0041 0005 0049 0002
p-DABthornPBthornAlcohol 0043 0003 0045 0001 0054 0002
p-DABthornPBthornNat 0050 0003 0007n 00400001 0005 0036 0001 0018
Sulph-200
60 days 90 days 120 days
AST activity SE AST activity SE AST activitySE
Normal 0024 0004 0010 0001 0054 0002
NormalthornAlcohol 0021 0002 0012 0004 0056 0004
p-DABthornPB 0047 0006 0056 0004 0075 0007
p-DABthornPBthornAlcohol 0053 0002 0059 0001 0107 0012
p-DABthornPBthornNat 0032 0004 0021 0041 0002 0018 0046 0002 0061
Sulph-200
P5005 P5001P50001 nfrac14 non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 3 Mean Alanine amino transferase (ALT) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series ALT activity SE ALT activity SE ALT activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0006 0000 0010 0001 0005 0000
NormalthornAlcohol 0011 0001 0012 0001 0009 0001
p-DABthornPB 0009 0002 0028 0002 0017 0002
p-DABthornPBthornAlcohol 0014 0001 0036 0002 0022 0001
p-DABthornPBthornNat 0021 0001 0007n 0026 0001 0010 0014 0002 0008
Sulph-200
60 days 90 days 120 days
ALT activity SE ALT activity SE ALT activity SE
Normal 0006 0000 0006 0001 0004 0000
NormalthornAlcohol 0007 0001 0006 0001 0005 0001
p-DABthornPB 0015 0001 0015 0002 0019 0001
p-DABthornPBthornAlcohol 0024 0001 0017 0002 0020 0002
p-DABthornPBthornNat 0011 0003 0013 0004 0000 0013 0011 0001 0009
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
70 Anti-carcinogenic potential of homeopathic remedy
Table 4 Mean Acid phosphatase (AcP) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthorn alc-200p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significances between twogiven series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AcP activity SE AcP activity SE AcP activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0048 0001 0143 0007 0040 0002
NormalthornAlcohol 0044 0001 0128 0003 0036 0002
p-DABthornPB 0080 0006 0157 0010 0086 0005
p-DABthornPBthornAlcohol 0086 0005 0153 0002 0089 0003
p-DABthornPBthornNat 0087 0003 0001n 0137 0004 0016 0074 0002 0015
Sulph-200
60 days 90 days 120 days
AcP activity SE AcP activity SE AcP activity SE
Normal 0046 0005 0012 0000 0025 0002
NormalthornAlcohol 0045 0004 0021 0002 0032 0005
p-DABthornPB 0076 0009 0053 0005 0128 0013
p-DABthornPBthornAlcohol 0083 0005 0055 0001 0131 0010
p-DABthornPBthornNat 0052 0006 0031 0043 0003 0012 0087 0003 0044
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 5 Mean Alkaline phosphatase (AlkP) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AlkP activity SE AlkP activity SE AlkP activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0017 0001 0014 0003 0024 0001
NormalthornAlcohol 0026 0001 0016 0005 0027 0003
p-DABthornPB 0038 0001 0026 0004 0044 0002
p-DABthornPBthornAlcohol 0044 0002 0030 0001 0050 0006
p-DABthornPBthornNat 0049 0008 0005n 0022 0003 0008 0036 0001 0014
Sulph-200
60 days 90 days 120 days
AlkP activity SE AlkP activity (activitySE) AlkP activity SE
Normal 0021 0001 0019 0001 0012 0001
NormalthornAlcohol 0023 0001 0026 0001 0033 0005
p-DABthornPB 0034 0001 0045 0004 0139 0006
p-DABthornPBthornAlcohol 0038 0001 0048 0004 0150 0003
p-DABthornPBthornNat 0028 0002 0010 0032 0001 0016 0115 0004 0035
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
eCAM 20096(1) 71
Table 6 Mean Lipid peroxidation (LPO) activity in (nM MDA mg wet tissue) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series LPO activitySE LPO activity SE LPO activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0245 0008 0135 0010 0086 0002
NormalthornAlcohol 0272 0013 0172 0005 0094 0003
p-DABthornPB 0332 0010 0312 0010 0234 0008
p-DABthornPBthornAlcohol 0355 0010 0349 0037 0270 0009
p-DABthornPBthornNat 0417 0011 0062n 0192 0002 0157 0219 0014 0051
Sulph-200
60 days 90 days 120 days
LPO activitySE LPO activity SE LPO activity SE
Normal 0052 0004 0043 0001 0048 0001
NormalthornAlcohol 0054 0006 0070 0008 0074 0004
p-DABthornPB 0247 0012 0119 0010 0131 0009
p-DABthornPBthornAlcohol 0254 0010 0124 0003 0149 0006
p-DABthornPBthornNat 0141 0009 0113 0090 0004 0034 0118 0004 003 1
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 7 Mean Reduced glutathione (GSH) content in (nM mg wet tissue) in liver of mice treated with p-DABthornPB p-DABthornPBthorn alc-200p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significances betweentwo given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series GSH content SE GSH contentSE GSH content SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0004 0000 0006 0000 0005 0001
NormalthornAl cohol 0004 0001 0006 0000 0004 0001
p-DABthornPB 0001 0000 0001 0000 0001 0000
p-DABthornPBthornAlcohol 0001 0000 0001 0000 0001 0000
p-DABthornPBthornNat 0001 0000 0000 0003 0000 0002 0004 0001 0003
Sulph-200
60 days 90 days 120 days
GSH content SE GSH contentSE GSH content SE
Normal 0005 0000 0006 0000 0007 0000
NormalthornAlcohol 0006 0001 0005 0000 0006 0001
p-DABthornPB 0001 0000 0002 0000 0003 0000
p-DABthornPBthornAlcohol 0001 0000 0003 0000 0003 0001
p-DABthornPBthornNat 0005 0001 0004 0006 0001 0003 0006 0000 0003
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
72 Anti-carcinogenic potential of homeopathic remedy
Discussion
In the present study several widely accepted toxicity
markers have been used all of which are known to have
significant role during the carcinogenesis process
(1435ndash44) In brief the significant reduction of biomar-
kers like AST ALT AcP AlkP and LPO and increase of
GSH in the drug fed series speak for the reduction of
hepato-toxicity and injury (1435) Positive modulations
of several other parameters such as blood glucosecholesterol testosterone and estradiol were also noted(data not shown) Similarly there were evidences fromelectron microscopic studies (both scanning Fig 3 and
Table 8 Showing two-way ANOVA analyses for different cytogenetical parameters
Two way ANOVA Mitotic index Chromosome Aberration Micro nucleated Erythrocytes Sperm Head Anomaly
Source of Variation df MS F MS F MS F MS F
Dues to Series 4 2326 1123 28913 3945 08247 9582 526 1502
Due to Days 5 1167 564 4585 626 003821 444 146 418
P5005
Table 9 Showing two-way ANOVA analyses for different enzymatic parameters
Two way ANOVA AST activity ALT activity AcP activity AlkP activity LPO activity GSH content
Source of Variation df MS F MS F MS F MS F MS F MS F
Dues to Series 4 00016054 1790 00002548 1412 0003271 1339 0002043 410 002558 1678 00000218 3303
Due to Days 5 00009453 1054 00000997 552 0006541 2679 000 606 003844 2522 000 752
P5005
Figure 3 Section of liver under SEM showing features of normal
(3a-3b) p-DABthornPBthornAlcohol fed (3c-3d) and p-DABthornPBthornNat
Sulph-200 fed mice (3c-3f)
Figure 4 Liver section under TEM showing features of normal (4a-4b)
p-DABthornPBthornAlcohol fed (4c-4d) and p-DABthornPBthornNat sulph-200
fed mice (4c-4d)
eCAM 20096(1) 73
transmission Fig 4) on liver that the homeopathicremedy played a positive role in protecting ultra-structural integrities (data not shown) Incidentallyreactive oxygen species (ROS) are produced by metabo-lism of various endogenous and exogenous compoundsand are associated in the pathogenesis of different liverdiseases such as cirrhosis and hepatocellular cancer (41ndash44) In cirrhosis and hepatocellular carcinoma theantioxidant system is damaged severely and the GSHlevel falls down the MDA level rises and GSH-dependent enzyme activities are enhanced in cirrhoticand cancer tissues (43) Incidentally positive effects ofhomeopathic preparations on human prostate cancergrowth have recently been studied by Maclaughlin et al(45) and Jonas et al (46) while crude extracts of someplants have also been shown to have anti-cancerousactivities against prostate cancer cell line in human (47)and in skin carcinogenesis (48) and leukemia and aging(49) of miceIn recent years cell death in brain cancer has been
observed by some workers (50) by administering ahomeopathic drug Ruta 6 both on in vivo and in vitrosystems But how the micro doses of the highly dilutedhomeopathic remedy could bring about such positivechanges in diverse parameters of study is not yet properlyunderstood The ability of the homeopathic remedy inbringing down cytogenetical damage along with thepositive biochemical changes can be considered asproofs of their ability towards restoring normalcy in thefunctioning of bodyrsquos important metabolic enzymes andmechanism of repair and retrieval for genome presum-ably by activatingdeactivating the relevant genes respon-sible for regulation of their respective activities (513132)
Conclusions
Finally compared with Nat Sulph-30 Nat Sulph-200appeared to show a little better efficacy in reducing theincidence of tumors in liver and most other commonparameters tested with both potencies particularly atsome longer intervals of fixation Therefore otherresearchers are encouraged to replicate the study inmice andor other mammalian models and see ifpotentized remedies of Natrum Sulphuricum can berecommended as a potential supportive medicine for usein human cancer therapy as well
Acknowledgements
This work was financially supported by an EMR grant ofAYUSH Ministry of Health and Family WelfareNew Delhi to ARKB The authors sincerely thankDr TC Nag Associate Professor Department ofAnatomy All India Institute of Medical Sciences NewDelhi for his kind help in conducting the scanning and
transmission electron microscopic studies The authorsexpress their sincere thanks to Dr Philippe BelonDirector Boiron Lab Lyon France for kindly donatingthe Alc-200 for this work
References1 Ernst E The current position of complementaryalternative
medicine in cancer Eur J Cancer 2003392273ndash772 Earnst E Complementary or alternative therapies for osteoarthritis
Nat Clin Pract Rheumatol 2006274ndash803 Ricotti V Delanty N Use of complementary and alternative
medicine in epilepsy Curr Neurol Neurosci Rep 20066347ndash534 Simpson CA Complementary medicine in chronic pain treatment
Phys Med Rehabil Clin N Am 200617451ndash725 Richardson MA Straus SE Complementary and alternative
medicine Opportunities and Challenges for cancer managementand research Seminars in Oncology 200229531ndash45
6 Chrystal K Allan S Forgeson G Issacs R The use ofcomplementary and alternative medicine by cancer patients inNew Zealand and regional cancer treatment center New ZealandMed J 20031161ndash8
7 Molassiotis A Panteli V Patiraki E Ozden G Platin N Madsen Eet al Complementary and alternative medicine use in lung cancerpatients in eight European countries Complement Ther Clin Pract20061234ndash9
8 Molassiotis A Margulies A Fernandez-Ortega P Pud D Panteli VBruyns I et al Complementary and alternative medicine usein patients with hematological malignancies in EuropeComplement Ther Clin Pract 200511105ndash10
9 Bensoussan M Jovenin N Garcia B Vandromme L Jolly DBouche O et al Complementary and alternative medicine use bypatients with inflammatory bowel disease results from a postalsurvey Gastroenterol Clin Biol 20063014ndash23
10 Joos S Rosemann T Szecsenyi J Hahn EG Willich SNBrinkhaus B Use of complementary and alternative medicine inGermany - a survey of patients with inflammatory bowel diseaseBMC Complement Altern Med 2006619 doi 1011861472-6882-6-19 httpwwwbiomedcentralcom1472-6882619
11 Biswas SJ Khuda-Bukhsh AR Effect of a homeopathic drugChelidonium in amelioration of p-Dab induced hepatocarcinogen-esis in mice BMC Complement Altern Med 200221ndash16
12 Biswas SJ Khuda-Bukhsh AR Evaluation of protective potentialsof a potentized homeopathic drug Chelidonium majus during azodye induced hepatocarcinogenesis in mice Indian J Exp Biol200442698ndash714
13 Biswas SJ Pathak S Bhattacharjee N Das JK Khuda-Bukhsh AREfficacy of a potentized homeopathic drug Carcinosin-200 fedalone and in combination with another drug Chelidonium-200in amelioration of p-Dab induced hepatocarcinogenesis in miceJ Altern Complement Med 200511839ndash54
14 Pathak S Das JK Biswas SJ Khuda-Bukhsh AR Protectivepotentials of a potentized homeopathic drug Lycopodium-30in ameliorating azo dye induced hepatocarcinogenesis in miceMol Cell Biochem 2006258121ndash31
15 Daust R Molnar F Cellular populations and mitotic activity in ratliver parenchyma during azo dye carcinogenesis Cancer Res1964241898ndash1909
16 IARC (International Agency for Research on Cancer) On theevaluation of carcinogenic risk of chemicals to man Group-2B19877449
17 Ohnishi S Murata M Degawa M Kawanishi S Oxidative DNAdamage induced by an N-hydroxy metabolite of carcinogenic4-dimethylaminoazobenzene Jpn J Cancer Res 20019223ndash9
18 Merkulova TI Kropachev KY Timofeeva OA Vasiliev GVLevashova ZB Ilnitskaya SI et al Species-specific effects of thehepatocarcinogens 30- methyl-4-dimehylaminoazobenzene andortho-aminoazotoluene in mouse and rat liver Mol Carcinog200544223ndash32
19 Biswas SJ Khuda-Bukhsh AR Cytotoxic and genotoxic effects ofthe azo-dye p-dimethylaminoazobenzene in mice A time-coursestudy Mutat Res 20055871ndash8
74 Anti-carcinogenic potential of homeopathic remedy
20 Siemiatycki J Richardson L Straif K Latreille B Lakhani RCampbell S et al Listing occupational carcinogens researchReview Environ Health Perspect 20041121447ndash59
21 NTP Report on Carcinogens (11th edn) Research Triangle ParkNC National Toxicology Program 2005 (Retrieved from httpntpniehsnihgovindexcfmObjectidfrac1432BA9724-F1F6-975E-7FCE50709CB4C932)
22 IARC (International Agency for Research on Cancer)Phenobarbital and Sodium salt IARC monograph 200179161
23 White SJ McLean AEM Howland C Anticonvulsant drugsand cancer A cohort study in patients with severe epilepsyLancet 1979ii458ndash61
24 Lee GH Paradoxical effects of phenobarbital on mouse carcinogen-esis Toxicol Pathol 200028215ndash25
25 Kinoshita A Wanibuchi H Morimura K Wei M Shen JImaoka S et al Phenobarbital at low dose exerts hormesis in rathepatocarcinogenesis by reducing oxidative DNA damage alteringcell proliferation apoptosis and gene expression Carcinogenesis2003241389ndash99
26 Biswas SJ Pathak S Khuda-Bukhsh AR Assessment of thegenotoxic and cytotoxic potential of an antiepileptic drugPhenobarbital in mice A time course study Mutat Res20045631ndash11
27 Palekar SD Sirsat SM Studies on the hepatocyte in azo dyecarcinogenesis Indian J Exp Boil 1966473ndash8
28 Boericke W Pocket Manual of Homeopathic Materia MedicaIndian edn Calcutta India Sett Dey and Co 1976
29 Kitagawa T Sugano H Enhancing effect of phenobarbital onthe development of enzyme-altered islands and hepatocellularcarcinomas initiated by 30-methyl-4-(dimethylamino) azobenzene ordiethylnitrosamine Gann 197869679ndash87
30 Kitagawa T Sugano H Enhancement of azo-dye hepatocarcino-genesis with dietary phenobarbital in rats Gann 197768255ndash6
31 Khuda-Bukhsh AR Towards understanding molecular mechanismsof action of homeopathic drugs An overview Mol Cell Biochem2003253339ndash45
32 Khuda-Bukhsh AR Laboratory research in homeopathy proIntegr Cancer Ther 20065320ndash32
33 Homeopathic Pharmacopoeia of India Ministry of HealthGovernment of India Press Coimbatore-641019 Controller ofPublications 19711165
34 Pathak S Bhattacharjee N Das JK Chaki Chowdhury S RoyKarmakar S Banerjee P et al Supportive evidences for anti-cancerous potential of an alternative medicine in hepatocarcinogen-esis of mice Res Com Med June issue 2007 14132 (DOI101159000102007)
35 Plaa GL Amdun AM Doull J Klasser CD Toxic responses of theliver 4th edn London UK Pergamon Press 1991
36 Chan KY Wong N Lai PB Squire JA Macgregor PF Behesthi Bet al Transcriptional profiling on chromosome 19p indicated
frequent down regulation of ACP5 expression in hepatocellularcarcinoma Int J cance 2005114902ndash8
37 Reichling JJ Kaplan MM Clinical use of serum enzymes in liverdiseases Dig Dis Sci 1988331601ndash14
38 Wiwanitkit V High serum alkaline phosphatase levels a study in181 Thai adult hospitalized patients BMC Family Practice 2001 22(retrieved from httpwwwbiomedcentralcom1471-229622)
39 Marnett LJ Lipid peroxidation-DNA damage by malondialdehydeMutat Res 199942483ndash95
40 Mishra S Sharma DC Sharma P Studies of biochemicalparameters in breast cancer with and without metastasis Indian JClin Biochem 20041971ndash5
41 Dreher D Junod AF Role of oxygen free radicals in cancerdevelopment Eur J Cancer 199632A30ndash8
42 Jungst C Cheng B Gehrke R Schmitz V Nischalke HDRamakers J et al Oxidative damage is increased in human livertissue adjacent to hepatocellular carcinoma Hepatology2004391663ndash72
43 Balasubramanian S Kowdley KV Effect of alcohol on viralhepatitis and other forms of liver dysfunction Clin Liver Dis2005983ndash101
44 Czeczot H Scibior D Skrzycki M Podsiad M Glutathione andGSH-dependent enzymes in patients with liver cirrhosis andhepatocellular carcinoma Acta Biochem Pol 200653237ndash42
45 Maclaughlin BW Gutsmuths B Pretner E Jonas WB Ives JKulawardane DV et al Effects of homeopathic preparations onhuman prostate cancer growth in cellular and animal models IntegrCancer Ther 20065362ndash72
46 Jonas WB Gaddipati JP Rajeshkumar NV Sharma A et alCan homeopathic treatment slow prostate cancer growthIntegr Cancer Ther 20065343ndash9
47 Adams LS Seeram NP Hardy ML Carpenter C Heber DAnalysis of the Interactions of Botanical Extract CombinationsAgainst the Viability of Prostate Cancer Cell Lines eCAM20063117ndash24
48 Padmavathi B Rath PC Rao AR Singh RP Roots of Withaniasomnifera Inhibit Forestomach and Skin Carcinogenesis in MiceEvid Based Compliment Alernat Med 2005299ndash105
49 Miller SC Echinacea a Miracle Herb against Aging and CancerEvidence In vivo in Mice Evid Based Compliment Alternat Med20052309ndash14
50 Pathak S Multani AS Banerjee P Ruta 6 selectively induced celldeath in brain cancer cells but proliferation in normal peripheralblood lymphocytes A novel treatment for human brain cancerInt J Oncol 200323975ndash82
51 Khuda-Bukhsh AR Potentized homeopathic drugs act throughregulation of gene expression a hypothesis to explain theirmechanism and pathways of action in vivo Com Ther Med1997513ndash46
Received November 27 2006 accepted May 8 2007
eCAM 20096(1) 75
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Preparation of the Potentized Form of the Drug
The potentized homeopathic drug Nat Sulph-200 wasprocured from lsquoHAPCOrsquo 165 Bipin Behari GangulyStreet Kolkata India The 200 potency of Natrum Sulphwas derived from the mother tincture of sodium sulphateby lsquosuccussion and dilutionrsquo procedure (3132) asrecommended in the Homeopathic Pharmacopoeia ofIndia Vol I (33) The glass vial containing potentizedalc-200 provided by lsquoHAPCOrsquo having been accidentallybroken during the initial days of experiment theavailable lsquoplaceborsquo provided by Boiron Lab LyonFrance had been used However we examined variousphysical properties of both the lsquoplacebosrsquo prepared bylsquoHAPCOrsquo and lsquoBOIRONrsquo through UV FTIR fluores-cence 13 C-NMR and 1H-NMR spectroscopy earlier(34) but failed to observe any significant differencebetween the two lsquoplacebosrsquo
Laboratory Methodology
Cytogenetic Assay
The standard and widely practiced cytogenetic protocolslike assays of chromosome aberration (CA) micronuclei(MN) mitotic index (MI) and sperm head anomaly(SHA) have been adopted in the present study for testinggenotoxicity (1426) A total of 300 bone marrow cellswere observed for CA 3000 cells for MN and 5000 cellsfor MI and 5000 sperm for SHA analysis
Biochemical Assays
After collection of blood by ventricular puncture frometherized mice (approx 15ml from each mouse) theywere sacrificed and their liver and spleen were quicklycollected in an ice trayFor the study of aspartate and alanine amino trans-
ferases (AST and ALT respectively) acid and alkalinephosphatases (AcP and AlkP respectively) and lipidperoxidation (LPO) and reduced glutathione content(GSH) standard methods (14) were adopted
Statistical Analysis
The significance of difference between data of thedifferent series was conducted by Studentrsquos t-test andtwo-way ANOVA (Mini Tab 1301) was performed Thisexperiment was done as per randomized double blindplacebo control method
Results
Tumor Growth
Out of 18 mice sacrificed at three longer fixation intervals(ie at day 60 90 and 120) 15 and 16 mice respectivelyshowed liver tumors in the p-DABthornPB fed andp-DABthornPBthorn alc-200 fed series while altogether eightmice showed liver tumors in the drug fed series (Table 1)The tumors looked pale reddish in color Some of themwere present as solitary or a few individually distinguish-able ones (mostly in drug fed mice) much less inmagnitude than the multiple innumerable nodules(mostly in drug unfed mice) which were considered astrue tumors and the one or two nodules present in a fewwere ignored On this estimate Nat Sulph-200 fed miceshowed an overall protection to the tune of 417(Nat Sulph-30 rendered 311 unpublished data) whendata of all three longer intervals of fixation wereconsidered
Cytogenetical Studies
As compared with normal metaphase plate (Fig1A)there was a palpable increase in the frequencies ofvarious types of CA (Fig 1BndashD) in different treatmentseries during all fixation periods Several types ofchromosome aberrations mdash both of major and minortypes mdash were observed in certain metaphase plates ofp-DABthornPB and p-DABthornPBthorn alc-200 fed mice Thetotal frequencies of aberrations were maximum inp-DABthornPBthorn alc-200 fed mice The frequency of CAwas always greater in p-DABthornPB fed mice than innormal (Gr I) and normalthorn alc-200 fed (Gr II) mice
Table 1 Number of animals showing tumors at different fixation intervals after chronic feeding of p-DAB plus PB for 7 15 30 60 90 and 120 daysin each fixation intervals 6 mice each were used per set
Series No ofspecimensused
Tumorincidence7 days
Tumorincidence15 days
Tumorincidence30 days
Tumorincidence60 days
Tumorincidence90 days
Tumorincidence120 days
Normal 36 06 06 06 06 06 06
NormalthornAlc-200 36 06 06 06 06 06 06
p-DABthornPB 36 06 06 06 36 66 66
p-DABthornPBthornAlc-200 36 06 06 06 46 66 66
p-DABthornPBthornNat Sulph-200 36 06 06 06 26 36 36
TOTAL 180 030 030 030 930 1530 1530
eCAM 20096(1) 67
The frequency of CA in p-DABthornPBthornNat Sulph-200fed group was found to be considerably decreased(P5001ndashP50001) at all fixation intervals except atday seven (Fig 2A)
Micronucleated Erythrocytes
The incidence of micronuclei (Fig 1E which represent afragment or broken part or whole arm of a chromo-some) in carcinogen fed as also p-DABthornPBthorn alc-200fed mice was appreciably higher than that of normalcontrol mice at all fixation intervals However there wasa palpable decrease in MN in the drug fed series(P5005ndashP50001) The decrease was a result ofreduction in number of both polychromatic (PCE) andnormochromatic (NCE) erythrocytes (Fig 2B)
Mitotic Index
The mitotic indices represent the rate at which the cellspass through a cell cycle When a cell becomestransformed into a tumor cell the rate becomes increasedfor failure of proper control of cell division and thusmay be used as an indicator of tumorigenicityThe mitotic indices of mice fed either p-DABthornPBor p-DABthornPBthornAlc-200 were higher than that ofthe normal control series In p-DABthornPBthornNat
Sulph-200 fed mice there was a significant decrease(P5005ndashP50001) in MI at all fixation intervals exceptat day seven (Fig 2C)
Sperm Head Anomaly
Genotoxic or carcinogenic or spermatotoxic agents cancause damage to sperm head which may be an indicatorof the risk of transmission of mutagenic trait if thesedeformed sperm by chance fertilize the ovum Greaternumber of sperm with abnormal head morphologies(Fig 1G) was encountered in p-DABthornPB fed andp-DABthornPBthorn alc-200 fed mice at all fixation intervalsThe frequencies of SHA were considerably decreased inp-DABthornPBthornNat Sulph-200 fed group at all fixationintervals (P5005ndashP50001) (Fig 2D) except at day 7
Biochemical Assay
Aspartate Amino Transferase Activity (AST)
The AST activity in liver was increased in bothp-DABthornPB fed and p-DABthornPBthornAlc-200 fed mice atall fixation intervals However the AST activity inp-DABthornPBthornNat Sulph-200 fed series appeared todecrease significantly (P5001ndashP50001) from day15 ndash day 120 (Table 2) in liver
Alanine Amino Transferase Activity (ALT)
Similar trend of reduction in ALT activity (P5001ndashP50001) was noticed in liver of the p-DabthornPBthornNatSulph-200 fed mice when compared to that ofp-DabthornPBthornAlc-200 fed mice at all fixation intervalsexcept at day seven (Table 3)
Acid Phosphatase Activity (AcP)
The activity of AcP in liver showed a trend of steady risefrom day 7 to day 15 in p-DabthornPB fed mice thendecreased at day 60 and 90 only to rise again at day 120The same trend was noticed in the p-DabthornPBthornAlc-200fed series The activity of AcP was decreased significantly(P5001) (Table 4) in the drug fed mice at all fixationintervals except at day 7
Alkaline Phosphatase Activity (AlkP)
The activity of AlkP was enhanced in liver of p-DabthornPBfed mice from day seven through day 120 and the same inp-DabthornPBthornNat Sulph-200 fed mice decreased appreci-ably (P5005 through P50001) at all fixation intervals(Table 5)
Lipid Peroxidation (LPO)
Lipid peroxidation was considerably higher in p-DabthornPBthornAlc-200 fed mice However there was a significant
Figure 1 (AndashF) (A) Photomicrographs of normal metaphase comple-
ment (B) Ring (R) and Centric fusion (CF) (C) Polyploidy
(D) Terminal association (TA) (E) Erythrocyte showing micronucleus
(F) Sperm with abnormal head shape
68 Anti-carcinogenic potential of homeopathic remedy
decrease (P5005 through P50001) in lipid peroxida-
tion in liver of p-DabthornPBthornNat Sulph-200 fed mice at
all fixation intervals (Table 6)
Reduced Glutathione Content (GSH)
The reduced glutathione content decreased in p-Dabthorn
PBthornAlc-200 fed mice at all fixation intervals However
there was an increase in reduced glutathione content of
p-DabthornPBthornNat Sulph-200 fed mice at all fixationintervals (P5005 to P5001) (Table 7) in liver
Results of Statistical Analysis
The significance of differences between data of thedifferent series was determined by Studentrsquos t-test andthe results of two-way ANOVA (Mini Tab 1301) aresummarized in Tables 2ndash7 and Table 8ndash9
Histograms showing of CA of different seriesat different days interval
000
500
1000
1500
2000
2500
3000
7 D 15 D 30 D 60 D 90 D 120 D
7 D 15 D 30 D 60 D 90 D 120 D
Different days intrerval
A B
C D
Different days intrerval7 D 15 D 30 D 60 D 90 D 120 D
Different days intrerval
7 D 15 D 30 D 60 D 90 D 120 D
Different days intrerval
o
f ch
rom
oso
me
aber
rati
on
(C
A)
Normal Normal+Alcoholp-DAB+PB p-DAB+PB+Alcohol
Normal+Alcoholp-DAB+PB+Alcohol
p-DAB+PB+Nat Sulph-200
Normalp-DAB+PBp-DAB+PB+Nat Sulph-200
Histograms showing of MNE of differentseries at different days interval
000
020
040
060
080
100
120
140
o
f M
icro
nu
clei
(M
N)
Histograms showing of MI of different seriesat different days interval
000
100
200
300
400
500
600
700
800
900
1000
o
f M
ito
tic
Ind
ex (
MI)
NormalNormal+Alcoholp-DAB+PBp-DAB+PB+Alcoholp-DAB+PB+Nat Sulph-200
NormalNormal+Alcoholp-DAB+PBp-DAB+PB+Alcoholp-DAB+PB+Nat Sulph-200
Histograms showing of SHA of differnt seriesat different days interval
000
050
100
150
200
250
300
350
400
450
o
f sp
erm
hea
d a
no
mal
y(S
HA
)
b
cc
c
c
ac
cc c
a
c
c
c
c
a
c
c
c
c
Figure 2 (AndashD) Histograms showing the following (A) percentage () of chromosomal aberrations (CA) in different series of mice at different
fixation intervals (B) percentage () of micronucleated erythrocytes (MN) in different series of mice at different fixation intervals (C) percentage
() of mitotic indices in different series of mice at different fixation intervals and (D) percentage () of sperm head anomalies (SHA) in different
series of mice at different fixation intervals Statistical analyses were done between series p-DABthornPBthornAlcohol-200 versus p-DABthornPBthornNat
Sulph-200 The different levels of statistical significances between two given series have been designated by P5005 P5001 P50001
p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200
eCAM 20096(1) 69
Table 2 Mean Aspartate amino transferase (AST) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPBp-DABthornPBthorn alc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels ofstatistical significances between two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AST activity SE AST activity SE AST activitySE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0017 0002 0012 0001 0021 0001
NormalthornAlcohol 0026 0001 0011 0001 0020 0000
p-DABthornPB 0040 0002 0041 0005 0049 0002
p-DABthornPBthornAlcohol 0043 0003 0045 0001 0054 0002
p-DABthornPBthornNat 0050 0003 0007n 00400001 0005 0036 0001 0018
Sulph-200
60 days 90 days 120 days
AST activity SE AST activity SE AST activitySE
Normal 0024 0004 0010 0001 0054 0002
NormalthornAlcohol 0021 0002 0012 0004 0056 0004
p-DABthornPB 0047 0006 0056 0004 0075 0007
p-DABthornPBthornAlcohol 0053 0002 0059 0001 0107 0012
p-DABthornPBthornNat 0032 0004 0021 0041 0002 0018 0046 0002 0061
Sulph-200
P5005 P5001P50001 nfrac14 non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 3 Mean Alanine amino transferase (ALT) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series ALT activity SE ALT activity SE ALT activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0006 0000 0010 0001 0005 0000
NormalthornAlcohol 0011 0001 0012 0001 0009 0001
p-DABthornPB 0009 0002 0028 0002 0017 0002
p-DABthornPBthornAlcohol 0014 0001 0036 0002 0022 0001
p-DABthornPBthornNat 0021 0001 0007n 0026 0001 0010 0014 0002 0008
Sulph-200
60 days 90 days 120 days
ALT activity SE ALT activity SE ALT activity SE
Normal 0006 0000 0006 0001 0004 0000
NormalthornAlcohol 0007 0001 0006 0001 0005 0001
p-DABthornPB 0015 0001 0015 0002 0019 0001
p-DABthornPBthornAlcohol 0024 0001 0017 0002 0020 0002
p-DABthornPBthornNat 0011 0003 0013 0004 0000 0013 0011 0001 0009
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
70 Anti-carcinogenic potential of homeopathic remedy
Table 4 Mean Acid phosphatase (AcP) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthorn alc-200p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significances between twogiven series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AcP activity SE AcP activity SE AcP activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0048 0001 0143 0007 0040 0002
NormalthornAlcohol 0044 0001 0128 0003 0036 0002
p-DABthornPB 0080 0006 0157 0010 0086 0005
p-DABthornPBthornAlcohol 0086 0005 0153 0002 0089 0003
p-DABthornPBthornNat 0087 0003 0001n 0137 0004 0016 0074 0002 0015
Sulph-200
60 days 90 days 120 days
AcP activity SE AcP activity SE AcP activity SE
Normal 0046 0005 0012 0000 0025 0002
NormalthornAlcohol 0045 0004 0021 0002 0032 0005
p-DABthornPB 0076 0009 0053 0005 0128 0013
p-DABthornPBthornAlcohol 0083 0005 0055 0001 0131 0010
p-DABthornPBthornNat 0052 0006 0031 0043 0003 0012 0087 0003 0044
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 5 Mean Alkaline phosphatase (AlkP) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AlkP activity SE AlkP activity SE AlkP activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0017 0001 0014 0003 0024 0001
NormalthornAlcohol 0026 0001 0016 0005 0027 0003
p-DABthornPB 0038 0001 0026 0004 0044 0002
p-DABthornPBthornAlcohol 0044 0002 0030 0001 0050 0006
p-DABthornPBthornNat 0049 0008 0005n 0022 0003 0008 0036 0001 0014
Sulph-200
60 days 90 days 120 days
AlkP activity SE AlkP activity (activitySE) AlkP activity SE
Normal 0021 0001 0019 0001 0012 0001
NormalthornAlcohol 0023 0001 0026 0001 0033 0005
p-DABthornPB 0034 0001 0045 0004 0139 0006
p-DABthornPBthornAlcohol 0038 0001 0048 0004 0150 0003
p-DABthornPBthornNat 0028 0002 0010 0032 0001 0016 0115 0004 0035
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
eCAM 20096(1) 71
Table 6 Mean Lipid peroxidation (LPO) activity in (nM MDA mg wet tissue) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series LPO activitySE LPO activity SE LPO activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0245 0008 0135 0010 0086 0002
NormalthornAlcohol 0272 0013 0172 0005 0094 0003
p-DABthornPB 0332 0010 0312 0010 0234 0008
p-DABthornPBthornAlcohol 0355 0010 0349 0037 0270 0009
p-DABthornPBthornNat 0417 0011 0062n 0192 0002 0157 0219 0014 0051
Sulph-200
60 days 90 days 120 days
LPO activitySE LPO activity SE LPO activity SE
Normal 0052 0004 0043 0001 0048 0001
NormalthornAlcohol 0054 0006 0070 0008 0074 0004
p-DABthornPB 0247 0012 0119 0010 0131 0009
p-DABthornPBthornAlcohol 0254 0010 0124 0003 0149 0006
p-DABthornPBthornNat 0141 0009 0113 0090 0004 0034 0118 0004 003 1
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 7 Mean Reduced glutathione (GSH) content in (nM mg wet tissue) in liver of mice treated with p-DABthornPB p-DABthornPBthorn alc-200p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significances betweentwo given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series GSH content SE GSH contentSE GSH content SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0004 0000 0006 0000 0005 0001
NormalthornAl cohol 0004 0001 0006 0000 0004 0001
p-DABthornPB 0001 0000 0001 0000 0001 0000
p-DABthornPBthornAlcohol 0001 0000 0001 0000 0001 0000
p-DABthornPBthornNat 0001 0000 0000 0003 0000 0002 0004 0001 0003
Sulph-200
60 days 90 days 120 days
GSH content SE GSH contentSE GSH content SE
Normal 0005 0000 0006 0000 0007 0000
NormalthornAlcohol 0006 0001 0005 0000 0006 0001
p-DABthornPB 0001 0000 0002 0000 0003 0000
p-DABthornPBthornAlcohol 0001 0000 0003 0000 0003 0001
p-DABthornPBthornNat 0005 0001 0004 0006 0001 0003 0006 0000 0003
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
72 Anti-carcinogenic potential of homeopathic remedy
Discussion
In the present study several widely accepted toxicity
markers have been used all of which are known to have
significant role during the carcinogenesis process
(1435ndash44) In brief the significant reduction of biomar-
kers like AST ALT AcP AlkP and LPO and increase of
GSH in the drug fed series speak for the reduction of
hepato-toxicity and injury (1435) Positive modulations
of several other parameters such as blood glucosecholesterol testosterone and estradiol were also noted(data not shown) Similarly there were evidences fromelectron microscopic studies (both scanning Fig 3 and
Table 8 Showing two-way ANOVA analyses for different cytogenetical parameters
Two way ANOVA Mitotic index Chromosome Aberration Micro nucleated Erythrocytes Sperm Head Anomaly
Source of Variation df MS F MS F MS F MS F
Dues to Series 4 2326 1123 28913 3945 08247 9582 526 1502
Due to Days 5 1167 564 4585 626 003821 444 146 418
P5005
Table 9 Showing two-way ANOVA analyses for different enzymatic parameters
Two way ANOVA AST activity ALT activity AcP activity AlkP activity LPO activity GSH content
Source of Variation df MS F MS F MS F MS F MS F MS F
Dues to Series 4 00016054 1790 00002548 1412 0003271 1339 0002043 410 002558 1678 00000218 3303
Due to Days 5 00009453 1054 00000997 552 0006541 2679 000 606 003844 2522 000 752
P5005
Figure 3 Section of liver under SEM showing features of normal
(3a-3b) p-DABthornPBthornAlcohol fed (3c-3d) and p-DABthornPBthornNat
Sulph-200 fed mice (3c-3f)
Figure 4 Liver section under TEM showing features of normal (4a-4b)
p-DABthornPBthornAlcohol fed (4c-4d) and p-DABthornPBthornNat sulph-200
fed mice (4c-4d)
eCAM 20096(1) 73
transmission Fig 4) on liver that the homeopathicremedy played a positive role in protecting ultra-structural integrities (data not shown) Incidentallyreactive oxygen species (ROS) are produced by metabo-lism of various endogenous and exogenous compoundsand are associated in the pathogenesis of different liverdiseases such as cirrhosis and hepatocellular cancer (41ndash44) In cirrhosis and hepatocellular carcinoma theantioxidant system is damaged severely and the GSHlevel falls down the MDA level rises and GSH-dependent enzyme activities are enhanced in cirrhoticand cancer tissues (43) Incidentally positive effects ofhomeopathic preparations on human prostate cancergrowth have recently been studied by Maclaughlin et al(45) and Jonas et al (46) while crude extracts of someplants have also been shown to have anti-cancerousactivities against prostate cancer cell line in human (47)and in skin carcinogenesis (48) and leukemia and aging(49) of miceIn recent years cell death in brain cancer has been
observed by some workers (50) by administering ahomeopathic drug Ruta 6 both on in vivo and in vitrosystems But how the micro doses of the highly dilutedhomeopathic remedy could bring about such positivechanges in diverse parameters of study is not yet properlyunderstood The ability of the homeopathic remedy inbringing down cytogenetical damage along with thepositive biochemical changes can be considered asproofs of their ability towards restoring normalcy in thefunctioning of bodyrsquos important metabolic enzymes andmechanism of repair and retrieval for genome presum-ably by activatingdeactivating the relevant genes respon-sible for regulation of their respective activities (513132)
Conclusions
Finally compared with Nat Sulph-30 Nat Sulph-200appeared to show a little better efficacy in reducing theincidence of tumors in liver and most other commonparameters tested with both potencies particularly atsome longer intervals of fixation Therefore otherresearchers are encouraged to replicate the study inmice andor other mammalian models and see ifpotentized remedies of Natrum Sulphuricum can berecommended as a potential supportive medicine for usein human cancer therapy as well
Acknowledgements
This work was financially supported by an EMR grant ofAYUSH Ministry of Health and Family WelfareNew Delhi to ARKB The authors sincerely thankDr TC Nag Associate Professor Department ofAnatomy All India Institute of Medical Sciences NewDelhi for his kind help in conducting the scanning and
transmission electron microscopic studies The authorsexpress their sincere thanks to Dr Philippe BelonDirector Boiron Lab Lyon France for kindly donatingthe Alc-200 for this work
References1 Ernst E The current position of complementaryalternative
medicine in cancer Eur J Cancer 2003392273ndash772 Earnst E Complementary or alternative therapies for osteoarthritis
Nat Clin Pract Rheumatol 2006274ndash803 Ricotti V Delanty N Use of complementary and alternative
medicine in epilepsy Curr Neurol Neurosci Rep 20066347ndash534 Simpson CA Complementary medicine in chronic pain treatment
Phys Med Rehabil Clin N Am 200617451ndash725 Richardson MA Straus SE Complementary and alternative
medicine Opportunities and Challenges for cancer managementand research Seminars in Oncology 200229531ndash45
6 Chrystal K Allan S Forgeson G Issacs R The use ofcomplementary and alternative medicine by cancer patients inNew Zealand and regional cancer treatment center New ZealandMed J 20031161ndash8
7 Molassiotis A Panteli V Patiraki E Ozden G Platin N Madsen Eet al Complementary and alternative medicine use in lung cancerpatients in eight European countries Complement Ther Clin Pract20061234ndash9
8 Molassiotis A Margulies A Fernandez-Ortega P Pud D Panteli VBruyns I et al Complementary and alternative medicine usein patients with hematological malignancies in EuropeComplement Ther Clin Pract 200511105ndash10
9 Bensoussan M Jovenin N Garcia B Vandromme L Jolly DBouche O et al Complementary and alternative medicine use bypatients with inflammatory bowel disease results from a postalsurvey Gastroenterol Clin Biol 20063014ndash23
10 Joos S Rosemann T Szecsenyi J Hahn EG Willich SNBrinkhaus B Use of complementary and alternative medicine inGermany - a survey of patients with inflammatory bowel diseaseBMC Complement Altern Med 2006619 doi 1011861472-6882-6-19 httpwwwbiomedcentralcom1472-6882619
11 Biswas SJ Khuda-Bukhsh AR Effect of a homeopathic drugChelidonium in amelioration of p-Dab induced hepatocarcinogen-esis in mice BMC Complement Altern Med 200221ndash16
12 Biswas SJ Khuda-Bukhsh AR Evaluation of protective potentialsof a potentized homeopathic drug Chelidonium majus during azodye induced hepatocarcinogenesis in mice Indian J Exp Biol200442698ndash714
13 Biswas SJ Pathak S Bhattacharjee N Das JK Khuda-Bukhsh AREfficacy of a potentized homeopathic drug Carcinosin-200 fedalone and in combination with another drug Chelidonium-200in amelioration of p-Dab induced hepatocarcinogenesis in miceJ Altern Complement Med 200511839ndash54
14 Pathak S Das JK Biswas SJ Khuda-Bukhsh AR Protectivepotentials of a potentized homeopathic drug Lycopodium-30in ameliorating azo dye induced hepatocarcinogenesis in miceMol Cell Biochem 2006258121ndash31
15 Daust R Molnar F Cellular populations and mitotic activity in ratliver parenchyma during azo dye carcinogenesis Cancer Res1964241898ndash1909
16 IARC (International Agency for Research on Cancer) On theevaluation of carcinogenic risk of chemicals to man Group-2B19877449
17 Ohnishi S Murata M Degawa M Kawanishi S Oxidative DNAdamage induced by an N-hydroxy metabolite of carcinogenic4-dimethylaminoazobenzene Jpn J Cancer Res 20019223ndash9
18 Merkulova TI Kropachev KY Timofeeva OA Vasiliev GVLevashova ZB Ilnitskaya SI et al Species-specific effects of thehepatocarcinogens 30- methyl-4-dimehylaminoazobenzene andortho-aminoazotoluene in mouse and rat liver Mol Carcinog200544223ndash32
19 Biswas SJ Khuda-Bukhsh AR Cytotoxic and genotoxic effects ofthe azo-dye p-dimethylaminoazobenzene in mice A time-coursestudy Mutat Res 20055871ndash8
74 Anti-carcinogenic potential of homeopathic remedy
20 Siemiatycki J Richardson L Straif K Latreille B Lakhani RCampbell S et al Listing occupational carcinogens researchReview Environ Health Perspect 20041121447ndash59
21 NTP Report on Carcinogens (11th edn) Research Triangle ParkNC National Toxicology Program 2005 (Retrieved from httpntpniehsnihgovindexcfmObjectidfrac1432BA9724-F1F6-975E-7FCE50709CB4C932)
22 IARC (International Agency for Research on Cancer)Phenobarbital and Sodium salt IARC monograph 200179161
23 White SJ McLean AEM Howland C Anticonvulsant drugsand cancer A cohort study in patients with severe epilepsyLancet 1979ii458ndash61
24 Lee GH Paradoxical effects of phenobarbital on mouse carcinogen-esis Toxicol Pathol 200028215ndash25
25 Kinoshita A Wanibuchi H Morimura K Wei M Shen JImaoka S et al Phenobarbital at low dose exerts hormesis in rathepatocarcinogenesis by reducing oxidative DNA damage alteringcell proliferation apoptosis and gene expression Carcinogenesis2003241389ndash99
26 Biswas SJ Pathak S Khuda-Bukhsh AR Assessment of thegenotoxic and cytotoxic potential of an antiepileptic drugPhenobarbital in mice A time course study Mutat Res20045631ndash11
27 Palekar SD Sirsat SM Studies on the hepatocyte in azo dyecarcinogenesis Indian J Exp Boil 1966473ndash8
28 Boericke W Pocket Manual of Homeopathic Materia MedicaIndian edn Calcutta India Sett Dey and Co 1976
29 Kitagawa T Sugano H Enhancing effect of phenobarbital onthe development of enzyme-altered islands and hepatocellularcarcinomas initiated by 30-methyl-4-(dimethylamino) azobenzene ordiethylnitrosamine Gann 197869679ndash87
30 Kitagawa T Sugano H Enhancement of azo-dye hepatocarcino-genesis with dietary phenobarbital in rats Gann 197768255ndash6
31 Khuda-Bukhsh AR Towards understanding molecular mechanismsof action of homeopathic drugs An overview Mol Cell Biochem2003253339ndash45
32 Khuda-Bukhsh AR Laboratory research in homeopathy proIntegr Cancer Ther 20065320ndash32
33 Homeopathic Pharmacopoeia of India Ministry of HealthGovernment of India Press Coimbatore-641019 Controller ofPublications 19711165
34 Pathak S Bhattacharjee N Das JK Chaki Chowdhury S RoyKarmakar S Banerjee P et al Supportive evidences for anti-cancerous potential of an alternative medicine in hepatocarcinogen-esis of mice Res Com Med June issue 2007 14132 (DOI101159000102007)
35 Plaa GL Amdun AM Doull J Klasser CD Toxic responses of theliver 4th edn London UK Pergamon Press 1991
36 Chan KY Wong N Lai PB Squire JA Macgregor PF Behesthi Bet al Transcriptional profiling on chromosome 19p indicated
frequent down regulation of ACP5 expression in hepatocellularcarcinoma Int J cance 2005114902ndash8
37 Reichling JJ Kaplan MM Clinical use of serum enzymes in liverdiseases Dig Dis Sci 1988331601ndash14
38 Wiwanitkit V High serum alkaline phosphatase levels a study in181 Thai adult hospitalized patients BMC Family Practice 2001 22(retrieved from httpwwwbiomedcentralcom1471-229622)
39 Marnett LJ Lipid peroxidation-DNA damage by malondialdehydeMutat Res 199942483ndash95
40 Mishra S Sharma DC Sharma P Studies of biochemicalparameters in breast cancer with and without metastasis Indian JClin Biochem 20041971ndash5
41 Dreher D Junod AF Role of oxygen free radicals in cancerdevelopment Eur J Cancer 199632A30ndash8
42 Jungst C Cheng B Gehrke R Schmitz V Nischalke HDRamakers J et al Oxidative damage is increased in human livertissue adjacent to hepatocellular carcinoma Hepatology2004391663ndash72
43 Balasubramanian S Kowdley KV Effect of alcohol on viralhepatitis and other forms of liver dysfunction Clin Liver Dis2005983ndash101
44 Czeczot H Scibior D Skrzycki M Podsiad M Glutathione andGSH-dependent enzymes in patients with liver cirrhosis andhepatocellular carcinoma Acta Biochem Pol 200653237ndash42
45 Maclaughlin BW Gutsmuths B Pretner E Jonas WB Ives JKulawardane DV et al Effects of homeopathic preparations onhuman prostate cancer growth in cellular and animal models IntegrCancer Ther 20065362ndash72
46 Jonas WB Gaddipati JP Rajeshkumar NV Sharma A et alCan homeopathic treatment slow prostate cancer growthIntegr Cancer Ther 20065343ndash9
47 Adams LS Seeram NP Hardy ML Carpenter C Heber DAnalysis of the Interactions of Botanical Extract CombinationsAgainst the Viability of Prostate Cancer Cell Lines eCAM20063117ndash24
48 Padmavathi B Rath PC Rao AR Singh RP Roots of Withaniasomnifera Inhibit Forestomach and Skin Carcinogenesis in MiceEvid Based Compliment Alernat Med 2005299ndash105
49 Miller SC Echinacea a Miracle Herb against Aging and CancerEvidence In vivo in Mice Evid Based Compliment Alternat Med20052309ndash14
50 Pathak S Multani AS Banerjee P Ruta 6 selectively induced celldeath in brain cancer cells but proliferation in normal peripheralblood lymphocytes A novel treatment for human brain cancerInt J Oncol 200323975ndash82
51 Khuda-Bukhsh AR Potentized homeopathic drugs act throughregulation of gene expression a hypothesis to explain theirmechanism and pathways of action in vivo Com Ther Med1997513ndash46
Received November 27 2006 accepted May 8 2007
eCAM 20096(1) 75
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The frequency of CA in p-DABthornPBthornNat Sulph-200fed group was found to be considerably decreased(P5001ndashP50001) at all fixation intervals except atday seven (Fig 2A)
Micronucleated Erythrocytes
The incidence of micronuclei (Fig 1E which represent afragment or broken part or whole arm of a chromo-some) in carcinogen fed as also p-DABthornPBthorn alc-200fed mice was appreciably higher than that of normalcontrol mice at all fixation intervals However there wasa palpable decrease in MN in the drug fed series(P5005ndashP50001) The decrease was a result ofreduction in number of both polychromatic (PCE) andnormochromatic (NCE) erythrocytes (Fig 2B)
Mitotic Index
The mitotic indices represent the rate at which the cellspass through a cell cycle When a cell becomestransformed into a tumor cell the rate becomes increasedfor failure of proper control of cell division and thusmay be used as an indicator of tumorigenicityThe mitotic indices of mice fed either p-DABthornPBor p-DABthornPBthornAlc-200 were higher than that ofthe normal control series In p-DABthornPBthornNat
Sulph-200 fed mice there was a significant decrease(P5005ndashP50001) in MI at all fixation intervals exceptat day seven (Fig 2C)
Sperm Head Anomaly
Genotoxic or carcinogenic or spermatotoxic agents cancause damage to sperm head which may be an indicatorof the risk of transmission of mutagenic trait if thesedeformed sperm by chance fertilize the ovum Greaternumber of sperm with abnormal head morphologies(Fig 1G) was encountered in p-DABthornPB fed andp-DABthornPBthorn alc-200 fed mice at all fixation intervalsThe frequencies of SHA were considerably decreased inp-DABthornPBthornNat Sulph-200 fed group at all fixationintervals (P5005ndashP50001) (Fig 2D) except at day 7
Biochemical Assay
Aspartate Amino Transferase Activity (AST)
The AST activity in liver was increased in bothp-DABthornPB fed and p-DABthornPBthornAlc-200 fed mice atall fixation intervals However the AST activity inp-DABthornPBthornNat Sulph-200 fed series appeared todecrease significantly (P5001ndashP50001) from day15 ndash day 120 (Table 2) in liver
Alanine Amino Transferase Activity (ALT)
Similar trend of reduction in ALT activity (P5001ndashP50001) was noticed in liver of the p-DabthornPBthornNatSulph-200 fed mice when compared to that ofp-DabthornPBthornAlc-200 fed mice at all fixation intervalsexcept at day seven (Table 3)
Acid Phosphatase Activity (AcP)
The activity of AcP in liver showed a trend of steady risefrom day 7 to day 15 in p-DabthornPB fed mice thendecreased at day 60 and 90 only to rise again at day 120The same trend was noticed in the p-DabthornPBthornAlc-200fed series The activity of AcP was decreased significantly(P5001) (Table 4) in the drug fed mice at all fixationintervals except at day 7
Alkaline Phosphatase Activity (AlkP)
The activity of AlkP was enhanced in liver of p-DabthornPBfed mice from day seven through day 120 and the same inp-DabthornPBthornNat Sulph-200 fed mice decreased appreci-ably (P5005 through P50001) at all fixation intervals(Table 5)
Lipid Peroxidation (LPO)
Lipid peroxidation was considerably higher in p-DabthornPBthornAlc-200 fed mice However there was a significant
Figure 1 (AndashF) (A) Photomicrographs of normal metaphase comple-
ment (B) Ring (R) and Centric fusion (CF) (C) Polyploidy
(D) Terminal association (TA) (E) Erythrocyte showing micronucleus
(F) Sperm with abnormal head shape
68 Anti-carcinogenic potential of homeopathic remedy
decrease (P5005 through P50001) in lipid peroxida-
tion in liver of p-DabthornPBthornNat Sulph-200 fed mice at
all fixation intervals (Table 6)
Reduced Glutathione Content (GSH)
The reduced glutathione content decreased in p-Dabthorn
PBthornAlc-200 fed mice at all fixation intervals However
there was an increase in reduced glutathione content of
p-DabthornPBthornNat Sulph-200 fed mice at all fixationintervals (P5005 to P5001) (Table 7) in liver
Results of Statistical Analysis
The significance of differences between data of thedifferent series was determined by Studentrsquos t-test andthe results of two-way ANOVA (Mini Tab 1301) aresummarized in Tables 2ndash7 and Table 8ndash9
Histograms showing of CA of different seriesat different days interval
000
500
1000
1500
2000
2500
3000
7 D 15 D 30 D 60 D 90 D 120 D
7 D 15 D 30 D 60 D 90 D 120 D
Different days intrerval
A B
C D
Different days intrerval7 D 15 D 30 D 60 D 90 D 120 D
Different days intrerval
7 D 15 D 30 D 60 D 90 D 120 D
Different days intrerval
o
f ch
rom
oso
me
aber
rati
on
(C
A)
Normal Normal+Alcoholp-DAB+PB p-DAB+PB+Alcohol
Normal+Alcoholp-DAB+PB+Alcohol
p-DAB+PB+Nat Sulph-200
Normalp-DAB+PBp-DAB+PB+Nat Sulph-200
Histograms showing of MNE of differentseries at different days interval
000
020
040
060
080
100
120
140
o
f M
icro
nu
clei
(M
N)
Histograms showing of MI of different seriesat different days interval
000
100
200
300
400
500
600
700
800
900
1000
o
f M
ito
tic
Ind
ex (
MI)
NormalNormal+Alcoholp-DAB+PBp-DAB+PB+Alcoholp-DAB+PB+Nat Sulph-200
NormalNormal+Alcoholp-DAB+PBp-DAB+PB+Alcoholp-DAB+PB+Nat Sulph-200
Histograms showing of SHA of differnt seriesat different days interval
000
050
100
150
200
250
300
350
400
450
o
f sp
erm
hea
d a
no
mal
y(S
HA
)
b
cc
c
c
ac
cc c
a
c
c
c
c
a
c
c
c
c
Figure 2 (AndashD) Histograms showing the following (A) percentage () of chromosomal aberrations (CA) in different series of mice at different
fixation intervals (B) percentage () of micronucleated erythrocytes (MN) in different series of mice at different fixation intervals (C) percentage
() of mitotic indices in different series of mice at different fixation intervals and (D) percentage () of sperm head anomalies (SHA) in different
series of mice at different fixation intervals Statistical analyses were done between series p-DABthornPBthornAlcohol-200 versus p-DABthornPBthornNat
Sulph-200 The different levels of statistical significances between two given series have been designated by P5005 P5001 P50001
p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200
eCAM 20096(1) 69
Table 2 Mean Aspartate amino transferase (AST) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPBp-DABthornPBthorn alc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels ofstatistical significances between two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AST activity SE AST activity SE AST activitySE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0017 0002 0012 0001 0021 0001
NormalthornAlcohol 0026 0001 0011 0001 0020 0000
p-DABthornPB 0040 0002 0041 0005 0049 0002
p-DABthornPBthornAlcohol 0043 0003 0045 0001 0054 0002
p-DABthornPBthornNat 0050 0003 0007n 00400001 0005 0036 0001 0018
Sulph-200
60 days 90 days 120 days
AST activity SE AST activity SE AST activitySE
Normal 0024 0004 0010 0001 0054 0002
NormalthornAlcohol 0021 0002 0012 0004 0056 0004
p-DABthornPB 0047 0006 0056 0004 0075 0007
p-DABthornPBthornAlcohol 0053 0002 0059 0001 0107 0012
p-DABthornPBthornNat 0032 0004 0021 0041 0002 0018 0046 0002 0061
Sulph-200
P5005 P5001P50001 nfrac14 non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 3 Mean Alanine amino transferase (ALT) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series ALT activity SE ALT activity SE ALT activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0006 0000 0010 0001 0005 0000
NormalthornAlcohol 0011 0001 0012 0001 0009 0001
p-DABthornPB 0009 0002 0028 0002 0017 0002
p-DABthornPBthornAlcohol 0014 0001 0036 0002 0022 0001
p-DABthornPBthornNat 0021 0001 0007n 0026 0001 0010 0014 0002 0008
Sulph-200
60 days 90 days 120 days
ALT activity SE ALT activity SE ALT activity SE
Normal 0006 0000 0006 0001 0004 0000
NormalthornAlcohol 0007 0001 0006 0001 0005 0001
p-DABthornPB 0015 0001 0015 0002 0019 0001
p-DABthornPBthornAlcohol 0024 0001 0017 0002 0020 0002
p-DABthornPBthornNat 0011 0003 0013 0004 0000 0013 0011 0001 0009
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
70 Anti-carcinogenic potential of homeopathic remedy
Table 4 Mean Acid phosphatase (AcP) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthorn alc-200p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significances between twogiven series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AcP activity SE AcP activity SE AcP activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0048 0001 0143 0007 0040 0002
NormalthornAlcohol 0044 0001 0128 0003 0036 0002
p-DABthornPB 0080 0006 0157 0010 0086 0005
p-DABthornPBthornAlcohol 0086 0005 0153 0002 0089 0003
p-DABthornPBthornNat 0087 0003 0001n 0137 0004 0016 0074 0002 0015
Sulph-200
60 days 90 days 120 days
AcP activity SE AcP activity SE AcP activity SE
Normal 0046 0005 0012 0000 0025 0002
NormalthornAlcohol 0045 0004 0021 0002 0032 0005
p-DABthornPB 0076 0009 0053 0005 0128 0013
p-DABthornPBthornAlcohol 0083 0005 0055 0001 0131 0010
p-DABthornPBthornNat 0052 0006 0031 0043 0003 0012 0087 0003 0044
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 5 Mean Alkaline phosphatase (AlkP) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AlkP activity SE AlkP activity SE AlkP activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0017 0001 0014 0003 0024 0001
NormalthornAlcohol 0026 0001 0016 0005 0027 0003
p-DABthornPB 0038 0001 0026 0004 0044 0002
p-DABthornPBthornAlcohol 0044 0002 0030 0001 0050 0006
p-DABthornPBthornNat 0049 0008 0005n 0022 0003 0008 0036 0001 0014
Sulph-200
60 days 90 days 120 days
AlkP activity SE AlkP activity (activitySE) AlkP activity SE
Normal 0021 0001 0019 0001 0012 0001
NormalthornAlcohol 0023 0001 0026 0001 0033 0005
p-DABthornPB 0034 0001 0045 0004 0139 0006
p-DABthornPBthornAlcohol 0038 0001 0048 0004 0150 0003
p-DABthornPBthornNat 0028 0002 0010 0032 0001 0016 0115 0004 0035
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
eCAM 20096(1) 71
Table 6 Mean Lipid peroxidation (LPO) activity in (nM MDA mg wet tissue) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series LPO activitySE LPO activity SE LPO activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0245 0008 0135 0010 0086 0002
NormalthornAlcohol 0272 0013 0172 0005 0094 0003
p-DABthornPB 0332 0010 0312 0010 0234 0008
p-DABthornPBthornAlcohol 0355 0010 0349 0037 0270 0009
p-DABthornPBthornNat 0417 0011 0062n 0192 0002 0157 0219 0014 0051
Sulph-200
60 days 90 days 120 days
LPO activitySE LPO activity SE LPO activity SE
Normal 0052 0004 0043 0001 0048 0001
NormalthornAlcohol 0054 0006 0070 0008 0074 0004
p-DABthornPB 0247 0012 0119 0010 0131 0009
p-DABthornPBthornAlcohol 0254 0010 0124 0003 0149 0006
p-DABthornPBthornNat 0141 0009 0113 0090 0004 0034 0118 0004 003 1
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 7 Mean Reduced glutathione (GSH) content in (nM mg wet tissue) in liver of mice treated with p-DABthornPB p-DABthornPBthorn alc-200p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significances betweentwo given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series GSH content SE GSH contentSE GSH content SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0004 0000 0006 0000 0005 0001
NormalthornAl cohol 0004 0001 0006 0000 0004 0001
p-DABthornPB 0001 0000 0001 0000 0001 0000
p-DABthornPBthornAlcohol 0001 0000 0001 0000 0001 0000
p-DABthornPBthornNat 0001 0000 0000 0003 0000 0002 0004 0001 0003
Sulph-200
60 days 90 days 120 days
GSH content SE GSH contentSE GSH content SE
Normal 0005 0000 0006 0000 0007 0000
NormalthornAlcohol 0006 0001 0005 0000 0006 0001
p-DABthornPB 0001 0000 0002 0000 0003 0000
p-DABthornPBthornAlcohol 0001 0000 0003 0000 0003 0001
p-DABthornPBthornNat 0005 0001 0004 0006 0001 0003 0006 0000 0003
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
72 Anti-carcinogenic potential of homeopathic remedy
Discussion
In the present study several widely accepted toxicity
markers have been used all of which are known to have
significant role during the carcinogenesis process
(1435ndash44) In brief the significant reduction of biomar-
kers like AST ALT AcP AlkP and LPO and increase of
GSH in the drug fed series speak for the reduction of
hepato-toxicity and injury (1435) Positive modulations
of several other parameters such as blood glucosecholesterol testosterone and estradiol were also noted(data not shown) Similarly there were evidences fromelectron microscopic studies (both scanning Fig 3 and
Table 8 Showing two-way ANOVA analyses for different cytogenetical parameters
Two way ANOVA Mitotic index Chromosome Aberration Micro nucleated Erythrocytes Sperm Head Anomaly
Source of Variation df MS F MS F MS F MS F
Dues to Series 4 2326 1123 28913 3945 08247 9582 526 1502
Due to Days 5 1167 564 4585 626 003821 444 146 418
P5005
Table 9 Showing two-way ANOVA analyses for different enzymatic parameters
Two way ANOVA AST activity ALT activity AcP activity AlkP activity LPO activity GSH content
Source of Variation df MS F MS F MS F MS F MS F MS F
Dues to Series 4 00016054 1790 00002548 1412 0003271 1339 0002043 410 002558 1678 00000218 3303
Due to Days 5 00009453 1054 00000997 552 0006541 2679 000 606 003844 2522 000 752
P5005
Figure 3 Section of liver under SEM showing features of normal
(3a-3b) p-DABthornPBthornAlcohol fed (3c-3d) and p-DABthornPBthornNat
Sulph-200 fed mice (3c-3f)
Figure 4 Liver section under TEM showing features of normal (4a-4b)
p-DABthornPBthornAlcohol fed (4c-4d) and p-DABthornPBthornNat sulph-200
fed mice (4c-4d)
eCAM 20096(1) 73
transmission Fig 4) on liver that the homeopathicremedy played a positive role in protecting ultra-structural integrities (data not shown) Incidentallyreactive oxygen species (ROS) are produced by metabo-lism of various endogenous and exogenous compoundsand are associated in the pathogenesis of different liverdiseases such as cirrhosis and hepatocellular cancer (41ndash44) In cirrhosis and hepatocellular carcinoma theantioxidant system is damaged severely and the GSHlevel falls down the MDA level rises and GSH-dependent enzyme activities are enhanced in cirrhoticand cancer tissues (43) Incidentally positive effects ofhomeopathic preparations on human prostate cancergrowth have recently been studied by Maclaughlin et al(45) and Jonas et al (46) while crude extracts of someplants have also been shown to have anti-cancerousactivities against prostate cancer cell line in human (47)and in skin carcinogenesis (48) and leukemia and aging(49) of miceIn recent years cell death in brain cancer has been
observed by some workers (50) by administering ahomeopathic drug Ruta 6 both on in vivo and in vitrosystems But how the micro doses of the highly dilutedhomeopathic remedy could bring about such positivechanges in diverse parameters of study is not yet properlyunderstood The ability of the homeopathic remedy inbringing down cytogenetical damage along with thepositive biochemical changes can be considered asproofs of their ability towards restoring normalcy in thefunctioning of bodyrsquos important metabolic enzymes andmechanism of repair and retrieval for genome presum-ably by activatingdeactivating the relevant genes respon-sible for regulation of their respective activities (513132)
Conclusions
Finally compared with Nat Sulph-30 Nat Sulph-200appeared to show a little better efficacy in reducing theincidence of tumors in liver and most other commonparameters tested with both potencies particularly atsome longer intervals of fixation Therefore otherresearchers are encouraged to replicate the study inmice andor other mammalian models and see ifpotentized remedies of Natrum Sulphuricum can berecommended as a potential supportive medicine for usein human cancer therapy as well
Acknowledgements
This work was financially supported by an EMR grant ofAYUSH Ministry of Health and Family WelfareNew Delhi to ARKB The authors sincerely thankDr TC Nag Associate Professor Department ofAnatomy All India Institute of Medical Sciences NewDelhi for his kind help in conducting the scanning and
transmission electron microscopic studies The authorsexpress their sincere thanks to Dr Philippe BelonDirector Boiron Lab Lyon France for kindly donatingthe Alc-200 for this work
References1 Ernst E The current position of complementaryalternative
medicine in cancer Eur J Cancer 2003392273ndash772 Earnst E Complementary or alternative therapies for osteoarthritis
Nat Clin Pract Rheumatol 2006274ndash803 Ricotti V Delanty N Use of complementary and alternative
medicine in epilepsy Curr Neurol Neurosci Rep 20066347ndash534 Simpson CA Complementary medicine in chronic pain treatment
Phys Med Rehabil Clin N Am 200617451ndash725 Richardson MA Straus SE Complementary and alternative
medicine Opportunities and Challenges for cancer managementand research Seminars in Oncology 200229531ndash45
6 Chrystal K Allan S Forgeson G Issacs R The use ofcomplementary and alternative medicine by cancer patients inNew Zealand and regional cancer treatment center New ZealandMed J 20031161ndash8
7 Molassiotis A Panteli V Patiraki E Ozden G Platin N Madsen Eet al Complementary and alternative medicine use in lung cancerpatients in eight European countries Complement Ther Clin Pract20061234ndash9
8 Molassiotis A Margulies A Fernandez-Ortega P Pud D Panteli VBruyns I et al Complementary and alternative medicine usein patients with hematological malignancies in EuropeComplement Ther Clin Pract 200511105ndash10
9 Bensoussan M Jovenin N Garcia B Vandromme L Jolly DBouche O et al Complementary and alternative medicine use bypatients with inflammatory bowel disease results from a postalsurvey Gastroenterol Clin Biol 20063014ndash23
10 Joos S Rosemann T Szecsenyi J Hahn EG Willich SNBrinkhaus B Use of complementary and alternative medicine inGermany - a survey of patients with inflammatory bowel diseaseBMC Complement Altern Med 2006619 doi 1011861472-6882-6-19 httpwwwbiomedcentralcom1472-6882619
11 Biswas SJ Khuda-Bukhsh AR Effect of a homeopathic drugChelidonium in amelioration of p-Dab induced hepatocarcinogen-esis in mice BMC Complement Altern Med 200221ndash16
12 Biswas SJ Khuda-Bukhsh AR Evaluation of protective potentialsof a potentized homeopathic drug Chelidonium majus during azodye induced hepatocarcinogenesis in mice Indian J Exp Biol200442698ndash714
13 Biswas SJ Pathak S Bhattacharjee N Das JK Khuda-Bukhsh AREfficacy of a potentized homeopathic drug Carcinosin-200 fedalone and in combination with another drug Chelidonium-200in amelioration of p-Dab induced hepatocarcinogenesis in miceJ Altern Complement Med 200511839ndash54
14 Pathak S Das JK Biswas SJ Khuda-Bukhsh AR Protectivepotentials of a potentized homeopathic drug Lycopodium-30in ameliorating azo dye induced hepatocarcinogenesis in miceMol Cell Biochem 2006258121ndash31
15 Daust R Molnar F Cellular populations and mitotic activity in ratliver parenchyma during azo dye carcinogenesis Cancer Res1964241898ndash1909
16 IARC (International Agency for Research on Cancer) On theevaluation of carcinogenic risk of chemicals to man Group-2B19877449
17 Ohnishi S Murata M Degawa M Kawanishi S Oxidative DNAdamage induced by an N-hydroxy metabolite of carcinogenic4-dimethylaminoazobenzene Jpn J Cancer Res 20019223ndash9
18 Merkulova TI Kropachev KY Timofeeva OA Vasiliev GVLevashova ZB Ilnitskaya SI et al Species-specific effects of thehepatocarcinogens 30- methyl-4-dimehylaminoazobenzene andortho-aminoazotoluene in mouse and rat liver Mol Carcinog200544223ndash32
19 Biswas SJ Khuda-Bukhsh AR Cytotoxic and genotoxic effects ofthe azo-dye p-dimethylaminoazobenzene in mice A time-coursestudy Mutat Res 20055871ndash8
74 Anti-carcinogenic potential of homeopathic remedy
20 Siemiatycki J Richardson L Straif K Latreille B Lakhani RCampbell S et al Listing occupational carcinogens researchReview Environ Health Perspect 20041121447ndash59
21 NTP Report on Carcinogens (11th edn) Research Triangle ParkNC National Toxicology Program 2005 (Retrieved from httpntpniehsnihgovindexcfmObjectidfrac1432BA9724-F1F6-975E-7FCE50709CB4C932)
22 IARC (International Agency for Research on Cancer)Phenobarbital and Sodium salt IARC monograph 200179161
23 White SJ McLean AEM Howland C Anticonvulsant drugsand cancer A cohort study in patients with severe epilepsyLancet 1979ii458ndash61
24 Lee GH Paradoxical effects of phenobarbital on mouse carcinogen-esis Toxicol Pathol 200028215ndash25
25 Kinoshita A Wanibuchi H Morimura K Wei M Shen JImaoka S et al Phenobarbital at low dose exerts hormesis in rathepatocarcinogenesis by reducing oxidative DNA damage alteringcell proliferation apoptosis and gene expression Carcinogenesis2003241389ndash99
26 Biswas SJ Pathak S Khuda-Bukhsh AR Assessment of thegenotoxic and cytotoxic potential of an antiepileptic drugPhenobarbital in mice A time course study Mutat Res20045631ndash11
27 Palekar SD Sirsat SM Studies on the hepatocyte in azo dyecarcinogenesis Indian J Exp Boil 1966473ndash8
28 Boericke W Pocket Manual of Homeopathic Materia MedicaIndian edn Calcutta India Sett Dey and Co 1976
29 Kitagawa T Sugano H Enhancing effect of phenobarbital onthe development of enzyme-altered islands and hepatocellularcarcinomas initiated by 30-methyl-4-(dimethylamino) azobenzene ordiethylnitrosamine Gann 197869679ndash87
30 Kitagawa T Sugano H Enhancement of azo-dye hepatocarcino-genesis with dietary phenobarbital in rats Gann 197768255ndash6
31 Khuda-Bukhsh AR Towards understanding molecular mechanismsof action of homeopathic drugs An overview Mol Cell Biochem2003253339ndash45
32 Khuda-Bukhsh AR Laboratory research in homeopathy proIntegr Cancer Ther 20065320ndash32
33 Homeopathic Pharmacopoeia of India Ministry of HealthGovernment of India Press Coimbatore-641019 Controller ofPublications 19711165
34 Pathak S Bhattacharjee N Das JK Chaki Chowdhury S RoyKarmakar S Banerjee P et al Supportive evidences for anti-cancerous potential of an alternative medicine in hepatocarcinogen-esis of mice Res Com Med June issue 2007 14132 (DOI101159000102007)
35 Plaa GL Amdun AM Doull J Klasser CD Toxic responses of theliver 4th edn London UK Pergamon Press 1991
36 Chan KY Wong N Lai PB Squire JA Macgregor PF Behesthi Bet al Transcriptional profiling on chromosome 19p indicated
frequent down regulation of ACP5 expression in hepatocellularcarcinoma Int J cance 2005114902ndash8
37 Reichling JJ Kaplan MM Clinical use of serum enzymes in liverdiseases Dig Dis Sci 1988331601ndash14
38 Wiwanitkit V High serum alkaline phosphatase levels a study in181 Thai adult hospitalized patients BMC Family Practice 2001 22(retrieved from httpwwwbiomedcentralcom1471-229622)
39 Marnett LJ Lipid peroxidation-DNA damage by malondialdehydeMutat Res 199942483ndash95
40 Mishra S Sharma DC Sharma P Studies of biochemicalparameters in breast cancer with and without metastasis Indian JClin Biochem 20041971ndash5
41 Dreher D Junod AF Role of oxygen free radicals in cancerdevelopment Eur J Cancer 199632A30ndash8
42 Jungst C Cheng B Gehrke R Schmitz V Nischalke HDRamakers J et al Oxidative damage is increased in human livertissue adjacent to hepatocellular carcinoma Hepatology2004391663ndash72
43 Balasubramanian S Kowdley KV Effect of alcohol on viralhepatitis and other forms of liver dysfunction Clin Liver Dis2005983ndash101
44 Czeczot H Scibior D Skrzycki M Podsiad M Glutathione andGSH-dependent enzymes in patients with liver cirrhosis andhepatocellular carcinoma Acta Biochem Pol 200653237ndash42
45 Maclaughlin BW Gutsmuths B Pretner E Jonas WB Ives JKulawardane DV et al Effects of homeopathic preparations onhuman prostate cancer growth in cellular and animal models IntegrCancer Ther 20065362ndash72
46 Jonas WB Gaddipati JP Rajeshkumar NV Sharma A et alCan homeopathic treatment slow prostate cancer growthIntegr Cancer Ther 20065343ndash9
47 Adams LS Seeram NP Hardy ML Carpenter C Heber DAnalysis of the Interactions of Botanical Extract CombinationsAgainst the Viability of Prostate Cancer Cell Lines eCAM20063117ndash24
48 Padmavathi B Rath PC Rao AR Singh RP Roots of Withaniasomnifera Inhibit Forestomach and Skin Carcinogenesis in MiceEvid Based Compliment Alernat Med 2005299ndash105
49 Miller SC Echinacea a Miracle Herb against Aging and CancerEvidence In vivo in Mice Evid Based Compliment Alternat Med20052309ndash14
50 Pathak S Multani AS Banerjee P Ruta 6 selectively induced celldeath in brain cancer cells but proliferation in normal peripheralblood lymphocytes A novel treatment for human brain cancerInt J Oncol 200323975ndash82
51 Khuda-Bukhsh AR Potentized homeopathic drugs act throughregulation of gene expression a hypothesis to explain theirmechanism and pathways of action in vivo Com Ther Med1997513ndash46
Received November 27 2006 accepted May 8 2007
eCAM 20096(1) 75
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Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
MEDIATORSINFLAMMATION
of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Behavioural Neurology
EndocrinologyInternational Journal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Disease Markers
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
BioMed Research International
OncologyJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Oxidative Medicine and Cellular Longevity
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
PPAR Research
The Scientific World JournalHindawi Publishing Corporation httpwwwhindawicom Volume 2014
Immunology ResearchHindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Journal of
ObesityJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Computational and Mathematical Methods in Medicine
OphthalmologyJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Diabetes ResearchJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Research and TreatmentAIDS
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Gastroenterology Research and Practice
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Parkinsonrsquos Disease
Evidence-Based Complementary and Alternative Medicine
Volume 2014Hindawi Publishing Corporationhttpwwwhindawicom
decrease (P5005 through P50001) in lipid peroxida-
tion in liver of p-DabthornPBthornNat Sulph-200 fed mice at
all fixation intervals (Table 6)
Reduced Glutathione Content (GSH)
The reduced glutathione content decreased in p-Dabthorn
PBthornAlc-200 fed mice at all fixation intervals However
there was an increase in reduced glutathione content of
p-DabthornPBthornNat Sulph-200 fed mice at all fixationintervals (P5005 to P5001) (Table 7) in liver
Results of Statistical Analysis
The significance of differences between data of thedifferent series was determined by Studentrsquos t-test andthe results of two-way ANOVA (Mini Tab 1301) aresummarized in Tables 2ndash7 and Table 8ndash9
Histograms showing of CA of different seriesat different days interval
000
500
1000
1500
2000
2500
3000
7 D 15 D 30 D 60 D 90 D 120 D
7 D 15 D 30 D 60 D 90 D 120 D
Different days intrerval
A B
C D
Different days intrerval7 D 15 D 30 D 60 D 90 D 120 D
Different days intrerval
7 D 15 D 30 D 60 D 90 D 120 D
Different days intrerval
o
f ch
rom
oso
me
aber
rati
on
(C
A)
Normal Normal+Alcoholp-DAB+PB p-DAB+PB+Alcohol
Normal+Alcoholp-DAB+PB+Alcohol
p-DAB+PB+Nat Sulph-200
Normalp-DAB+PBp-DAB+PB+Nat Sulph-200
Histograms showing of MNE of differentseries at different days interval
000
020
040
060
080
100
120
140
o
f M
icro
nu
clei
(M
N)
Histograms showing of MI of different seriesat different days interval
000
100
200
300
400
500
600
700
800
900
1000
o
f M
ito
tic
Ind
ex (
MI)
NormalNormal+Alcoholp-DAB+PBp-DAB+PB+Alcoholp-DAB+PB+Nat Sulph-200
NormalNormal+Alcoholp-DAB+PBp-DAB+PB+Alcoholp-DAB+PB+Nat Sulph-200
Histograms showing of SHA of differnt seriesat different days interval
000
050
100
150
200
250
300
350
400
450
o
f sp
erm
hea
d a
no
mal
y(S
HA
)
b
cc
c
c
ac
cc c
a
c
c
c
c
a
c
c
c
c
Figure 2 (AndashD) Histograms showing the following (A) percentage () of chromosomal aberrations (CA) in different series of mice at different
fixation intervals (B) percentage () of micronucleated erythrocytes (MN) in different series of mice at different fixation intervals (C) percentage
() of mitotic indices in different series of mice at different fixation intervals and (D) percentage () of sperm head anomalies (SHA) in different
series of mice at different fixation intervals Statistical analyses were done between series p-DABthornPBthornAlcohol-200 versus p-DABthornPBthornNat
Sulph-200 The different levels of statistical significances between two given series have been designated by P5005 P5001 P50001
p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200
eCAM 20096(1) 69
Table 2 Mean Aspartate amino transferase (AST) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPBp-DABthornPBthorn alc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels ofstatistical significances between two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AST activity SE AST activity SE AST activitySE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0017 0002 0012 0001 0021 0001
NormalthornAlcohol 0026 0001 0011 0001 0020 0000
p-DABthornPB 0040 0002 0041 0005 0049 0002
p-DABthornPBthornAlcohol 0043 0003 0045 0001 0054 0002
p-DABthornPBthornNat 0050 0003 0007n 00400001 0005 0036 0001 0018
Sulph-200
60 days 90 days 120 days
AST activity SE AST activity SE AST activitySE
Normal 0024 0004 0010 0001 0054 0002
NormalthornAlcohol 0021 0002 0012 0004 0056 0004
p-DABthornPB 0047 0006 0056 0004 0075 0007
p-DABthornPBthornAlcohol 0053 0002 0059 0001 0107 0012
p-DABthornPBthornNat 0032 0004 0021 0041 0002 0018 0046 0002 0061
Sulph-200
P5005 P5001P50001 nfrac14 non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 3 Mean Alanine amino transferase (ALT) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series ALT activity SE ALT activity SE ALT activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0006 0000 0010 0001 0005 0000
NormalthornAlcohol 0011 0001 0012 0001 0009 0001
p-DABthornPB 0009 0002 0028 0002 0017 0002
p-DABthornPBthornAlcohol 0014 0001 0036 0002 0022 0001
p-DABthornPBthornNat 0021 0001 0007n 0026 0001 0010 0014 0002 0008
Sulph-200
60 days 90 days 120 days
ALT activity SE ALT activity SE ALT activity SE
Normal 0006 0000 0006 0001 0004 0000
NormalthornAlcohol 0007 0001 0006 0001 0005 0001
p-DABthornPB 0015 0001 0015 0002 0019 0001
p-DABthornPBthornAlcohol 0024 0001 0017 0002 0020 0002
p-DABthornPBthornNat 0011 0003 0013 0004 0000 0013 0011 0001 0009
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
70 Anti-carcinogenic potential of homeopathic remedy
Table 4 Mean Acid phosphatase (AcP) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthorn alc-200p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significances between twogiven series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AcP activity SE AcP activity SE AcP activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0048 0001 0143 0007 0040 0002
NormalthornAlcohol 0044 0001 0128 0003 0036 0002
p-DABthornPB 0080 0006 0157 0010 0086 0005
p-DABthornPBthornAlcohol 0086 0005 0153 0002 0089 0003
p-DABthornPBthornNat 0087 0003 0001n 0137 0004 0016 0074 0002 0015
Sulph-200
60 days 90 days 120 days
AcP activity SE AcP activity SE AcP activity SE
Normal 0046 0005 0012 0000 0025 0002
NormalthornAlcohol 0045 0004 0021 0002 0032 0005
p-DABthornPB 0076 0009 0053 0005 0128 0013
p-DABthornPBthornAlcohol 0083 0005 0055 0001 0131 0010
p-DABthornPBthornNat 0052 0006 0031 0043 0003 0012 0087 0003 0044
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 5 Mean Alkaline phosphatase (AlkP) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AlkP activity SE AlkP activity SE AlkP activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0017 0001 0014 0003 0024 0001
NormalthornAlcohol 0026 0001 0016 0005 0027 0003
p-DABthornPB 0038 0001 0026 0004 0044 0002
p-DABthornPBthornAlcohol 0044 0002 0030 0001 0050 0006
p-DABthornPBthornNat 0049 0008 0005n 0022 0003 0008 0036 0001 0014
Sulph-200
60 days 90 days 120 days
AlkP activity SE AlkP activity (activitySE) AlkP activity SE
Normal 0021 0001 0019 0001 0012 0001
NormalthornAlcohol 0023 0001 0026 0001 0033 0005
p-DABthornPB 0034 0001 0045 0004 0139 0006
p-DABthornPBthornAlcohol 0038 0001 0048 0004 0150 0003
p-DABthornPBthornNat 0028 0002 0010 0032 0001 0016 0115 0004 0035
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
eCAM 20096(1) 71
Table 6 Mean Lipid peroxidation (LPO) activity in (nM MDA mg wet tissue) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series LPO activitySE LPO activity SE LPO activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0245 0008 0135 0010 0086 0002
NormalthornAlcohol 0272 0013 0172 0005 0094 0003
p-DABthornPB 0332 0010 0312 0010 0234 0008
p-DABthornPBthornAlcohol 0355 0010 0349 0037 0270 0009
p-DABthornPBthornNat 0417 0011 0062n 0192 0002 0157 0219 0014 0051
Sulph-200
60 days 90 days 120 days
LPO activitySE LPO activity SE LPO activity SE
Normal 0052 0004 0043 0001 0048 0001
NormalthornAlcohol 0054 0006 0070 0008 0074 0004
p-DABthornPB 0247 0012 0119 0010 0131 0009
p-DABthornPBthornAlcohol 0254 0010 0124 0003 0149 0006
p-DABthornPBthornNat 0141 0009 0113 0090 0004 0034 0118 0004 003 1
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 7 Mean Reduced glutathione (GSH) content in (nM mg wet tissue) in liver of mice treated with p-DABthornPB p-DABthornPBthorn alc-200p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significances betweentwo given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series GSH content SE GSH contentSE GSH content SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0004 0000 0006 0000 0005 0001
NormalthornAl cohol 0004 0001 0006 0000 0004 0001
p-DABthornPB 0001 0000 0001 0000 0001 0000
p-DABthornPBthornAlcohol 0001 0000 0001 0000 0001 0000
p-DABthornPBthornNat 0001 0000 0000 0003 0000 0002 0004 0001 0003
Sulph-200
60 days 90 days 120 days
GSH content SE GSH contentSE GSH content SE
Normal 0005 0000 0006 0000 0007 0000
NormalthornAlcohol 0006 0001 0005 0000 0006 0001
p-DABthornPB 0001 0000 0002 0000 0003 0000
p-DABthornPBthornAlcohol 0001 0000 0003 0000 0003 0001
p-DABthornPBthornNat 0005 0001 0004 0006 0001 0003 0006 0000 0003
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
72 Anti-carcinogenic potential of homeopathic remedy
Discussion
In the present study several widely accepted toxicity
markers have been used all of which are known to have
significant role during the carcinogenesis process
(1435ndash44) In brief the significant reduction of biomar-
kers like AST ALT AcP AlkP and LPO and increase of
GSH in the drug fed series speak for the reduction of
hepato-toxicity and injury (1435) Positive modulations
of several other parameters such as blood glucosecholesterol testosterone and estradiol were also noted(data not shown) Similarly there were evidences fromelectron microscopic studies (both scanning Fig 3 and
Table 8 Showing two-way ANOVA analyses for different cytogenetical parameters
Two way ANOVA Mitotic index Chromosome Aberration Micro nucleated Erythrocytes Sperm Head Anomaly
Source of Variation df MS F MS F MS F MS F
Dues to Series 4 2326 1123 28913 3945 08247 9582 526 1502
Due to Days 5 1167 564 4585 626 003821 444 146 418
P5005
Table 9 Showing two-way ANOVA analyses for different enzymatic parameters
Two way ANOVA AST activity ALT activity AcP activity AlkP activity LPO activity GSH content
Source of Variation df MS F MS F MS F MS F MS F MS F
Dues to Series 4 00016054 1790 00002548 1412 0003271 1339 0002043 410 002558 1678 00000218 3303
Due to Days 5 00009453 1054 00000997 552 0006541 2679 000 606 003844 2522 000 752
P5005
Figure 3 Section of liver under SEM showing features of normal
(3a-3b) p-DABthornPBthornAlcohol fed (3c-3d) and p-DABthornPBthornNat
Sulph-200 fed mice (3c-3f)
Figure 4 Liver section under TEM showing features of normal (4a-4b)
p-DABthornPBthornAlcohol fed (4c-4d) and p-DABthornPBthornNat sulph-200
fed mice (4c-4d)
eCAM 20096(1) 73
transmission Fig 4) on liver that the homeopathicremedy played a positive role in protecting ultra-structural integrities (data not shown) Incidentallyreactive oxygen species (ROS) are produced by metabo-lism of various endogenous and exogenous compoundsand are associated in the pathogenesis of different liverdiseases such as cirrhosis and hepatocellular cancer (41ndash44) In cirrhosis and hepatocellular carcinoma theantioxidant system is damaged severely and the GSHlevel falls down the MDA level rises and GSH-dependent enzyme activities are enhanced in cirrhoticand cancer tissues (43) Incidentally positive effects ofhomeopathic preparations on human prostate cancergrowth have recently been studied by Maclaughlin et al(45) and Jonas et al (46) while crude extracts of someplants have also been shown to have anti-cancerousactivities against prostate cancer cell line in human (47)and in skin carcinogenesis (48) and leukemia and aging(49) of miceIn recent years cell death in brain cancer has been
observed by some workers (50) by administering ahomeopathic drug Ruta 6 both on in vivo and in vitrosystems But how the micro doses of the highly dilutedhomeopathic remedy could bring about such positivechanges in diverse parameters of study is not yet properlyunderstood The ability of the homeopathic remedy inbringing down cytogenetical damage along with thepositive biochemical changes can be considered asproofs of their ability towards restoring normalcy in thefunctioning of bodyrsquos important metabolic enzymes andmechanism of repair and retrieval for genome presum-ably by activatingdeactivating the relevant genes respon-sible for regulation of their respective activities (513132)
Conclusions
Finally compared with Nat Sulph-30 Nat Sulph-200appeared to show a little better efficacy in reducing theincidence of tumors in liver and most other commonparameters tested with both potencies particularly atsome longer intervals of fixation Therefore otherresearchers are encouraged to replicate the study inmice andor other mammalian models and see ifpotentized remedies of Natrum Sulphuricum can berecommended as a potential supportive medicine for usein human cancer therapy as well
Acknowledgements
This work was financially supported by an EMR grant ofAYUSH Ministry of Health and Family WelfareNew Delhi to ARKB The authors sincerely thankDr TC Nag Associate Professor Department ofAnatomy All India Institute of Medical Sciences NewDelhi for his kind help in conducting the scanning and
transmission electron microscopic studies The authorsexpress their sincere thanks to Dr Philippe BelonDirector Boiron Lab Lyon France for kindly donatingthe Alc-200 for this work
References1 Ernst E The current position of complementaryalternative
medicine in cancer Eur J Cancer 2003392273ndash772 Earnst E Complementary or alternative therapies for osteoarthritis
Nat Clin Pract Rheumatol 2006274ndash803 Ricotti V Delanty N Use of complementary and alternative
medicine in epilepsy Curr Neurol Neurosci Rep 20066347ndash534 Simpson CA Complementary medicine in chronic pain treatment
Phys Med Rehabil Clin N Am 200617451ndash725 Richardson MA Straus SE Complementary and alternative
medicine Opportunities and Challenges for cancer managementand research Seminars in Oncology 200229531ndash45
6 Chrystal K Allan S Forgeson G Issacs R The use ofcomplementary and alternative medicine by cancer patients inNew Zealand and regional cancer treatment center New ZealandMed J 20031161ndash8
7 Molassiotis A Panteli V Patiraki E Ozden G Platin N Madsen Eet al Complementary and alternative medicine use in lung cancerpatients in eight European countries Complement Ther Clin Pract20061234ndash9
8 Molassiotis A Margulies A Fernandez-Ortega P Pud D Panteli VBruyns I et al Complementary and alternative medicine usein patients with hematological malignancies in EuropeComplement Ther Clin Pract 200511105ndash10
9 Bensoussan M Jovenin N Garcia B Vandromme L Jolly DBouche O et al Complementary and alternative medicine use bypatients with inflammatory bowel disease results from a postalsurvey Gastroenterol Clin Biol 20063014ndash23
10 Joos S Rosemann T Szecsenyi J Hahn EG Willich SNBrinkhaus B Use of complementary and alternative medicine inGermany - a survey of patients with inflammatory bowel diseaseBMC Complement Altern Med 2006619 doi 1011861472-6882-6-19 httpwwwbiomedcentralcom1472-6882619
11 Biswas SJ Khuda-Bukhsh AR Effect of a homeopathic drugChelidonium in amelioration of p-Dab induced hepatocarcinogen-esis in mice BMC Complement Altern Med 200221ndash16
12 Biswas SJ Khuda-Bukhsh AR Evaluation of protective potentialsof a potentized homeopathic drug Chelidonium majus during azodye induced hepatocarcinogenesis in mice Indian J Exp Biol200442698ndash714
13 Biswas SJ Pathak S Bhattacharjee N Das JK Khuda-Bukhsh AREfficacy of a potentized homeopathic drug Carcinosin-200 fedalone and in combination with another drug Chelidonium-200in amelioration of p-Dab induced hepatocarcinogenesis in miceJ Altern Complement Med 200511839ndash54
14 Pathak S Das JK Biswas SJ Khuda-Bukhsh AR Protectivepotentials of a potentized homeopathic drug Lycopodium-30in ameliorating azo dye induced hepatocarcinogenesis in miceMol Cell Biochem 2006258121ndash31
15 Daust R Molnar F Cellular populations and mitotic activity in ratliver parenchyma during azo dye carcinogenesis Cancer Res1964241898ndash1909
16 IARC (International Agency for Research on Cancer) On theevaluation of carcinogenic risk of chemicals to man Group-2B19877449
17 Ohnishi S Murata M Degawa M Kawanishi S Oxidative DNAdamage induced by an N-hydroxy metabolite of carcinogenic4-dimethylaminoazobenzene Jpn J Cancer Res 20019223ndash9
18 Merkulova TI Kropachev KY Timofeeva OA Vasiliev GVLevashova ZB Ilnitskaya SI et al Species-specific effects of thehepatocarcinogens 30- methyl-4-dimehylaminoazobenzene andortho-aminoazotoluene in mouse and rat liver Mol Carcinog200544223ndash32
19 Biswas SJ Khuda-Bukhsh AR Cytotoxic and genotoxic effects ofthe azo-dye p-dimethylaminoazobenzene in mice A time-coursestudy Mutat Res 20055871ndash8
74 Anti-carcinogenic potential of homeopathic remedy
20 Siemiatycki J Richardson L Straif K Latreille B Lakhani RCampbell S et al Listing occupational carcinogens researchReview Environ Health Perspect 20041121447ndash59
21 NTP Report on Carcinogens (11th edn) Research Triangle ParkNC National Toxicology Program 2005 (Retrieved from httpntpniehsnihgovindexcfmObjectidfrac1432BA9724-F1F6-975E-7FCE50709CB4C932)
22 IARC (International Agency for Research on Cancer)Phenobarbital and Sodium salt IARC monograph 200179161
23 White SJ McLean AEM Howland C Anticonvulsant drugsand cancer A cohort study in patients with severe epilepsyLancet 1979ii458ndash61
24 Lee GH Paradoxical effects of phenobarbital on mouse carcinogen-esis Toxicol Pathol 200028215ndash25
25 Kinoshita A Wanibuchi H Morimura K Wei M Shen JImaoka S et al Phenobarbital at low dose exerts hormesis in rathepatocarcinogenesis by reducing oxidative DNA damage alteringcell proliferation apoptosis and gene expression Carcinogenesis2003241389ndash99
26 Biswas SJ Pathak S Khuda-Bukhsh AR Assessment of thegenotoxic and cytotoxic potential of an antiepileptic drugPhenobarbital in mice A time course study Mutat Res20045631ndash11
27 Palekar SD Sirsat SM Studies on the hepatocyte in azo dyecarcinogenesis Indian J Exp Boil 1966473ndash8
28 Boericke W Pocket Manual of Homeopathic Materia MedicaIndian edn Calcutta India Sett Dey and Co 1976
29 Kitagawa T Sugano H Enhancing effect of phenobarbital onthe development of enzyme-altered islands and hepatocellularcarcinomas initiated by 30-methyl-4-(dimethylamino) azobenzene ordiethylnitrosamine Gann 197869679ndash87
30 Kitagawa T Sugano H Enhancement of azo-dye hepatocarcino-genesis with dietary phenobarbital in rats Gann 197768255ndash6
31 Khuda-Bukhsh AR Towards understanding molecular mechanismsof action of homeopathic drugs An overview Mol Cell Biochem2003253339ndash45
32 Khuda-Bukhsh AR Laboratory research in homeopathy proIntegr Cancer Ther 20065320ndash32
33 Homeopathic Pharmacopoeia of India Ministry of HealthGovernment of India Press Coimbatore-641019 Controller ofPublications 19711165
34 Pathak S Bhattacharjee N Das JK Chaki Chowdhury S RoyKarmakar S Banerjee P et al Supportive evidences for anti-cancerous potential of an alternative medicine in hepatocarcinogen-esis of mice Res Com Med June issue 2007 14132 (DOI101159000102007)
35 Plaa GL Amdun AM Doull J Klasser CD Toxic responses of theliver 4th edn London UK Pergamon Press 1991
36 Chan KY Wong N Lai PB Squire JA Macgregor PF Behesthi Bet al Transcriptional profiling on chromosome 19p indicated
frequent down regulation of ACP5 expression in hepatocellularcarcinoma Int J cance 2005114902ndash8
37 Reichling JJ Kaplan MM Clinical use of serum enzymes in liverdiseases Dig Dis Sci 1988331601ndash14
38 Wiwanitkit V High serum alkaline phosphatase levels a study in181 Thai adult hospitalized patients BMC Family Practice 2001 22(retrieved from httpwwwbiomedcentralcom1471-229622)
39 Marnett LJ Lipid peroxidation-DNA damage by malondialdehydeMutat Res 199942483ndash95
40 Mishra S Sharma DC Sharma P Studies of biochemicalparameters in breast cancer with and without metastasis Indian JClin Biochem 20041971ndash5
41 Dreher D Junod AF Role of oxygen free radicals in cancerdevelopment Eur J Cancer 199632A30ndash8
42 Jungst C Cheng B Gehrke R Schmitz V Nischalke HDRamakers J et al Oxidative damage is increased in human livertissue adjacent to hepatocellular carcinoma Hepatology2004391663ndash72
43 Balasubramanian S Kowdley KV Effect of alcohol on viralhepatitis and other forms of liver dysfunction Clin Liver Dis2005983ndash101
44 Czeczot H Scibior D Skrzycki M Podsiad M Glutathione andGSH-dependent enzymes in patients with liver cirrhosis andhepatocellular carcinoma Acta Biochem Pol 200653237ndash42
45 Maclaughlin BW Gutsmuths B Pretner E Jonas WB Ives JKulawardane DV et al Effects of homeopathic preparations onhuman prostate cancer growth in cellular and animal models IntegrCancer Ther 20065362ndash72
46 Jonas WB Gaddipati JP Rajeshkumar NV Sharma A et alCan homeopathic treatment slow prostate cancer growthIntegr Cancer Ther 20065343ndash9
47 Adams LS Seeram NP Hardy ML Carpenter C Heber DAnalysis of the Interactions of Botanical Extract CombinationsAgainst the Viability of Prostate Cancer Cell Lines eCAM20063117ndash24
48 Padmavathi B Rath PC Rao AR Singh RP Roots of Withaniasomnifera Inhibit Forestomach and Skin Carcinogenesis in MiceEvid Based Compliment Alernat Med 2005299ndash105
49 Miller SC Echinacea a Miracle Herb against Aging and CancerEvidence In vivo in Mice Evid Based Compliment Alternat Med20052309ndash14
50 Pathak S Multani AS Banerjee P Ruta 6 selectively induced celldeath in brain cancer cells but proliferation in normal peripheralblood lymphocytes A novel treatment for human brain cancerInt J Oncol 200323975ndash82
51 Khuda-Bukhsh AR Potentized homeopathic drugs act throughregulation of gene expression a hypothesis to explain theirmechanism and pathways of action in vivo Com Ther Med1997513ndash46
Received November 27 2006 accepted May 8 2007
eCAM 20096(1) 75
Submit your manuscripts athttpwwwhindawicom
Stem CellsInternational
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
MEDIATORSINFLAMMATION
of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Behavioural Neurology
EndocrinologyInternational Journal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Disease Markers
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
BioMed Research International
OncologyJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Oxidative Medicine and Cellular Longevity
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
PPAR Research
The Scientific World JournalHindawi Publishing Corporation httpwwwhindawicom Volume 2014
Immunology ResearchHindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Journal of
ObesityJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Computational and Mathematical Methods in Medicine
OphthalmologyJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Diabetes ResearchJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Research and TreatmentAIDS
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Gastroenterology Research and Practice
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Parkinsonrsquos Disease
Evidence-Based Complementary and Alternative Medicine
Volume 2014Hindawi Publishing Corporationhttpwwwhindawicom
Table 2 Mean Aspartate amino transferase (AST) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPBp-DABthornPBthorn alc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels ofstatistical significances between two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AST activity SE AST activity SE AST activitySE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0017 0002 0012 0001 0021 0001
NormalthornAlcohol 0026 0001 0011 0001 0020 0000
p-DABthornPB 0040 0002 0041 0005 0049 0002
p-DABthornPBthornAlcohol 0043 0003 0045 0001 0054 0002
p-DABthornPBthornNat 0050 0003 0007n 00400001 0005 0036 0001 0018
Sulph-200
60 days 90 days 120 days
AST activity SE AST activity SE AST activitySE
Normal 0024 0004 0010 0001 0054 0002
NormalthornAlcohol 0021 0002 0012 0004 0056 0004
p-DABthornPB 0047 0006 0056 0004 0075 0007
p-DABthornPBthornAlcohol 0053 0002 0059 0001 0107 0012
p-DABthornPBthornNat 0032 0004 0021 0041 0002 0018 0046 0002 0061
Sulph-200
P5005 P5001P50001 nfrac14 non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 3 Mean Alanine amino transferase (ALT) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series ALT activity SE ALT activity SE ALT activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0006 0000 0010 0001 0005 0000
NormalthornAlcohol 0011 0001 0012 0001 0009 0001
p-DABthornPB 0009 0002 0028 0002 0017 0002
p-DABthornPBthornAlcohol 0014 0001 0036 0002 0022 0001
p-DABthornPBthornNat 0021 0001 0007n 0026 0001 0010 0014 0002 0008
Sulph-200
60 days 90 days 120 days
ALT activity SE ALT activity SE ALT activity SE
Normal 0006 0000 0006 0001 0004 0000
NormalthornAlcohol 0007 0001 0006 0001 0005 0001
p-DABthornPB 0015 0001 0015 0002 0019 0001
p-DABthornPBthornAlcohol 0024 0001 0017 0002 0020 0002
p-DABthornPBthornNat 0011 0003 0013 0004 0000 0013 0011 0001 0009
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
70 Anti-carcinogenic potential of homeopathic remedy
Table 4 Mean Acid phosphatase (AcP) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthorn alc-200p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significances between twogiven series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AcP activity SE AcP activity SE AcP activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0048 0001 0143 0007 0040 0002
NormalthornAlcohol 0044 0001 0128 0003 0036 0002
p-DABthornPB 0080 0006 0157 0010 0086 0005
p-DABthornPBthornAlcohol 0086 0005 0153 0002 0089 0003
p-DABthornPBthornNat 0087 0003 0001n 0137 0004 0016 0074 0002 0015
Sulph-200
60 days 90 days 120 days
AcP activity SE AcP activity SE AcP activity SE
Normal 0046 0005 0012 0000 0025 0002
NormalthornAlcohol 0045 0004 0021 0002 0032 0005
p-DABthornPB 0076 0009 0053 0005 0128 0013
p-DABthornPBthornAlcohol 0083 0005 0055 0001 0131 0010
p-DABthornPBthornNat 0052 0006 0031 0043 0003 0012 0087 0003 0044
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 5 Mean Alkaline phosphatase (AlkP) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AlkP activity SE AlkP activity SE AlkP activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0017 0001 0014 0003 0024 0001
NormalthornAlcohol 0026 0001 0016 0005 0027 0003
p-DABthornPB 0038 0001 0026 0004 0044 0002
p-DABthornPBthornAlcohol 0044 0002 0030 0001 0050 0006
p-DABthornPBthornNat 0049 0008 0005n 0022 0003 0008 0036 0001 0014
Sulph-200
60 days 90 days 120 days
AlkP activity SE AlkP activity (activitySE) AlkP activity SE
Normal 0021 0001 0019 0001 0012 0001
NormalthornAlcohol 0023 0001 0026 0001 0033 0005
p-DABthornPB 0034 0001 0045 0004 0139 0006
p-DABthornPBthornAlcohol 0038 0001 0048 0004 0150 0003
p-DABthornPBthornNat 0028 0002 0010 0032 0001 0016 0115 0004 0035
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
eCAM 20096(1) 71
Table 6 Mean Lipid peroxidation (LPO) activity in (nM MDA mg wet tissue) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series LPO activitySE LPO activity SE LPO activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0245 0008 0135 0010 0086 0002
NormalthornAlcohol 0272 0013 0172 0005 0094 0003
p-DABthornPB 0332 0010 0312 0010 0234 0008
p-DABthornPBthornAlcohol 0355 0010 0349 0037 0270 0009
p-DABthornPBthornNat 0417 0011 0062n 0192 0002 0157 0219 0014 0051
Sulph-200
60 days 90 days 120 days
LPO activitySE LPO activity SE LPO activity SE
Normal 0052 0004 0043 0001 0048 0001
NormalthornAlcohol 0054 0006 0070 0008 0074 0004
p-DABthornPB 0247 0012 0119 0010 0131 0009
p-DABthornPBthornAlcohol 0254 0010 0124 0003 0149 0006
p-DABthornPBthornNat 0141 0009 0113 0090 0004 0034 0118 0004 003 1
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 7 Mean Reduced glutathione (GSH) content in (nM mg wet tissue) in liver of mice treated with p-DABthornPB p-DABthornPBthorn alc-200p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significances betweentwo given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series GSH content SE GSH contentSE GSH content SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0004 0000 0006 0000 0005 0001
NormalthornAl cohol 0004 0001 0006 0000 0004 0001
p-DABthornPB 0001 0000 0001 0000 0001 0000
p-DABthornPBthornAlcohol 0001 0000 0001 0000 0001 0000
p-DABthornPBthornNat 0001 0000 0000 0003 0000 0002 0004 0001 0003
Sulph-200
60 days 90 days 120 days
GSH content SE GSH contentSE GSH content SE
Normal 0005 0000 0006 0000 0007 0000
NormalthornAlcohol 0006 0001 0005 0000 0006 0001
p-DABthornPB 0001 0000 0002 0000 0003 0000
p-DABthornPBthornAlcohol 0001 0000 0003 0000 0003 0001
p-DABthornPBthornNat 0005 0001 0004 0006 0001 0003 0006 0000 0003
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
72 Anti-carcinogenic potential of homeopathic remedy
Discussion
In the present study several widely accepted toxicity
markers have been used all of which are known to have
significant role during the carcinogenesis process
(1435ndash44) In brief the significant reduction of biomar-
kers like AST ALT AcP AlkP and LPO and increase of
GSH in the drug fed series speak for the reduction of
hepato-toxicity and injury (1435) Positive modulations
of several other parameters such as blood glucosecholesterol testosterone and estradiol were also noted(data not shown) Similarly there were evidences fromelectron microscopic studies (both scanning Fig 3 and
Table 8 Showing two-way ANOVA analyses for different cytogenetical parameters
Two way ANOVA Mitotic index Chromosome Aberration Micro nucleated Erythrocytes Sperm Head Anomaly
Source of Variation df MS F MS F MS F MS F
Dues to Series 4 2326 1123 28913 3945 08247 9582 526 1502
Due to Days 5 1167 564 4585 626 003821 444 146 418
P5005
Table 9 Showing two-way ANOVA analyses for different enzymatic parameters
Two way ANOVA AST activity ALT activity AcP activity AlkP activity LPO activity GSH content
Source of Variation df MS F MS F MS F MS F MS F MS F
Dues to Series 4 00016054 1790 00002548 1412 0003271 1339 0002043 410 002558 1678 00000218 3303
Due to Days 5 00009453 1054 00000997 552 0006541 2679 000 606 003844 2522 000 752
P5005
Figure 3 Section of liver under SEM showing features of normal
(3a-3b) p-DABthornPBthornAlcohol fed (3c-3d) and p-DABthornPBthornNat
Sulph-200 fed mice (3c-3f)
Figure 4 Liver section under TEM showing features of normal (4a-4b)
p-DABthornPBthornAlcohol fed (4c-4d) and p-DABthornPBthornNat sulph-200
fed mice (4c-4d)
eCAM 20096(1) 73
transmission Fig 4) on liver that the homeopathicremedy played a positive role in protecting ultra-structural integrities (data not shown) Incidentallyreactive oxygen species (ROS) are produced by metabo-lism of various endogenous and exogenous compoundsand are associated in the pathogenesis of different liverdiseases such as cirrhosis and hepatocellular cancer (41ndash44) In cirrhosis and hepatocellular carcinoma theantioxidant system is damaged severely and the GSHlevel falls down the MDA level rises and GSH-dependent enzyme activities are enhanced in cirrhoticand cancer tissues (43) Incidentally positive effects ofhomeopathic preparations on human prostate cancergrowth have recently been studied by Maclaughlin et al(45) and Jonas et al (46) while crude extracts of someplants have also been shown to have anti-cancerousactivities against prostate cancer cell line in human (47)and in skin carcinogenesis (48) and leukemia and aging(49) of miceIn recent years cell death in brain cancer has been
observed by some workers (50) by administering ahomeopathic drug Ruta 6 both on in vivo and in vitrosystems But how the micro doses of the highly dilutedhomeopathic remedy could bring about such positivechanges in diverse parameters of study is not yet properlyunderstood The ability of the homeopathic remedy inbringing down cytogenetical damage along with thepositive biochemical changes can be considered asproofs of their ability towards restoring normalcy in thefunctioning of bodyrsquos important metabolic enzymes andmechanism of repair and retrieval for genome presum-ably by activatingdeactivating the relevant genes respon-sible for regulation of their respective activities (513132)
Conclusions
Finally compared with Nat Sulph-30 Nat Sulph-200appeared to show a little better efficacy in reducing theincidence of tumors in liver and most other commonparameters tested with both potencies particularly atsome longer intervals of fixation Therefore otherresearchers are encouraged to replicate the study inmice andor other mammalian models and see ifpotentized remedies of Natrum Sulphuricum can berecommended as a potential supportive medicine for usein human cancer therapy as well
Acknowledgements
This work was financially supported by an EMR grant ofAYUSH Ministry of Health and Family WelfareNew Delhi to ARKB The authors sincerely thankDr TC Nag Associate Professor Department ofAnatomy All India Institute of Medical Sciences NewDelhi for his kind help in conducting the scanning and
transmission electron microscopic studies The authorsexpress their sincere thanks to Dr Philippe BelonDirector Boiron Lab Lyon France for kindly donatingthe Alc-200 for this work
References1 Ernst E The current position of complementaryalternative
medicine in cancer Eur J Cancer 2003392273ndash772 Earnst E Complementary or alternative therapies for osteoarthritis
Nat Clin Pract Rheumatol 2006274ndash803 Ricotti V Delanty N Use of complementary and alternative
medicine in epilepsy Curr Neurol Neurosci Rep 20066347ndash534 Simpson CA Complementary medicine in chronic pain treatment
Phys Med Rehabil Clin N Am 200617451ndash725 Richardson MA Straus SE Complementary and alternative
medicine Opportunities and Challenges for cancer managementand research Seminars in Oncology 200229531ndash45
6 Chrystal K Allan S Forgeson G Issacs R The use ofcomplementary and alternative medicine by cancer patients inNew Zealand and regional cancer treatment center New ZealandMed J 20031161ndash8
7 Molassiotis A Panteli V Patiraki E Ozden G Platin N Madsen Eet al Complementary and alternative medicine use in lung cancerpatients in eight European countries Complement Ther Clin Pract20061234ndash9
8 Molassiotis A Margulies A Fernandez-Ortega P Pud D Panteli VBruyns I et al Complementary and alternative medicine usein patients with hematological malignancies in EuropeComplement Ther Clin Pract 200511105ndash10
9 Bensoussan M Jovenin N Garcia B Vandromme L Jolly DBouche O et al Complementary and alternative medicine use bypatients with inflammatory bowel disease results from a postalsurvey Gastroenterol Clin Biol 20063014ndash23
10 Joos S Rosemann T Szecsenyi J Hahn EG Willich SNBrinkhaus B Use of complementary and alternative medicine inGermany - a survey of patients with inflammatory bowel diseaseBMC Complement Altern Med 2006619 doi 1011861472-6882-6-19 httpwwwbiomedcentralcom1472-6882619
11 Biswas SJ Khuda-Bukhsh AR Effect of a homeopathic drugChelidonium in amelioration of p-Dab induced hepatocarcinogen-esis in mice BMC Complement Altern Med 200221ndash16
12 Biswas SJ Khuda-Bukhsh AR Evaluation of protective potentialsof a potentized homeopathic drug Chelidonium majus during azodye induced hepatocarcinogenesis in mice Indian J Exp Biol200442698ndash714
13 Biswas SJ Pathak S Bhattacharjee N Das JK Khuda-Bukhsh AREfficacy of a potentized homeopathic drug Carcinosin-200 fedalone and in combination with another drug Chelidonium-200in amelioration of p-Dab induced hepatocarcinogenesis in miceJ Altern Complement Med 200511839ndash54
14 Pathak S Das JK Biswas SJ Khuda-Bukhsh AR Protectivepotentials of a potentized homeopathic drug Lycopodium-30in ameliorating azo dye induced hepatocarcinogenesis in miceMol Cell Biochem 2006258121ndash31
15 Daust R Molnar F Cellular populations and mitotic activity in ratliver parenchyma during azo dye carcinogenesis Cancer Res1964241898ndash1909
16 IARC (International Agency for Research on Cancer) On theevaluation of carcinogenic risk of chemicals to man Group-2B19877449
17 Ohnishi S Murata M Degawa M Kawanishi S Oxidative DNAdamage induced by an N-hydroxy metabolite of carcinogenic4-dimethylaminoazobenzene Jpn J Cancer Res 20019223ndash9
18 Merkulova TI Kropachev KY Timofeeva OA Vasiliev GVLevashova ZB Ilnitskaya SI et al Species-specific effects of thehepatocarcinogens 30- methyl-4-dimehylaminoazobenzene andortho-aminoazotoluene in mouse and rat liver Mol Carcinog200544223ndash32
19 Biswas SJ Khuda-Bukhsh AR Cytotoxic and genotoxic effects ofthe azo-dye p-dimethylaminoazobenzene in mice A time-coursestudy Mutat Res 20055871ndash8
74 Anti-carcinogenic potential of homeopathic remedy
20 Siemiatycki J Richardson L Straif K Latreille B Lakhani RCampbell S et al Listing occupational carcinogens researchReview Environ Health Perspect 20041121447ndash59
21 NTP Report on Carcinogens (11th edn) Research Triangle ParkNC National Toxicology Program 2005 (Retrieved from httpntpniehsnihgovindexcfmObjectidfrac1432BA9724-F1F6-975E-7FCE50709CB4C932)
22 IARC (International Agency for Research on Cancer)Phenobarbital and Sodium salt IARC monograph 200179161
23 White SJ McLean AEM Howland C Anticonvulsant drugsand cancer A cohort study in patients with severe epilepsyLancet 1979ii458ndash61
24 Lee GH Paradoxical effects of phenobarbital on mouse carcinogen-esis Toxicol Pathol 200028215ndash25
25 Kinoshita A Wanibuchi H Morimura K Wei M Shen JImaoka S et al Phenobarbital at low dose exerts hormesis in rathepatocarcinogenesis by reducing oxidative DNA damage alteringcell proliferation apoptosis and gene expression Carcinogenesis2003241389ndash99
26 Biswas SJ Pathak S Khuda-Bukhsh AR Assessment of thegenotoxic and cytotoxic potential of an antiepileptic drugPhenobarbital in mice A time course study Mutat Res20045631ndash11
27 Palekar SD Sirsat SM Studies on the hepatocyte in azo dyecarcinogenesis Indian J Exp Boil 1966473ndash8
28 Boericke W Pocket Manual of Homeopathic Materia MedicaIndian edn Calcutta India Sett Dey and Co 1976
29 Kitagawa T Sugano H Enhancing effect of phenobarbital onthe development of enzyme-altered islands and hepatocellularcarcinomas initiated by 30-methyl-4-(dimethylamino) azobenzene ordiethylnitrosamine Gann 197869679ndash87
30 Kitagawa T Sugano H Enhancement of azo-dye hepatocarcino-genesis with dietary phenobarbital in rats Gann 197768255ndash6
31 Khuda-Bukhsh AR Towards understanding molecular mechanismsof action of homeopathic drugs An overview Mol Cell Biochem2003253339ndash45
32 Khuda-Bukhsh AR Laboratory research in homeopathy proIntegr Cancer Ther 20065320ndash32
33 Homeopathic Pharmacopoeia of India Ministry of HealthGovernment of India Press Coimbatore-641019 Controller ofPublications 19711165
34 Pathak S Bhattacharjee N Das JK Chaki Chowdhury S RoyKarmakar S Banerjee P et al Supportive evidences for anti-cancerous potential of an alternative medicine in hepatocarcinogen-esis of mice Res Com Med June issue 2007 14132 (DOI101159000102007)
35 Plaa GL Amdun AM Doull J Klasser CD Toxic responses of theliver 4th edn London UK Pergamon Press 1991
36 Chan KY Wong N Lai PB Squire JA Macgregor PF Behesthi Bet al Transcriptional profiling on chromosome 19p indicated
frequent down regulation of ACP5 expression in hepatocellularcarcinoma Int J cance 2005114902ndash8
37 Reichling JJ Kaplan MM Clinical use of serum enzymes in liverdiseases Dig Dis Sci 1988331601ndash14
38 Wiwanitkit V High serum alkaline phosphatase levels a study in181 Thai adult hospitalized patients BMC Family Practice 2001 22(retrieved from httpwwwbiomedcentralcom1471-229622)
39 Marnett LJ Lipid peroxidation-DNA damage by malondialdehydeMutat Res 199942483ndash95
40 Mishra S Sharma DC Sharma P Studies of biochemicalparameters in breast cancer with and without metastasis Indian JClin Biochem 20041971ndash5
41 Dreher D Junod AF Role of oxygen free radicals in cancerdevelopment Eur J Cancer 199632A30ndash8
42 Jungst C Cheng B Gehrke R Schmitz V Nischalke HDRamakers J et al Oxidative damage is increased in human livertissue adjacent to hepatocellular carcinoma Hepatology2004391663ndash72
43 Balasubramanian S Kowdley KV Effect of alcohol on viralhepatitis and other forms of liver dysfunction Clin Liver Dis2005983ndash101
44 Czeczot H Scibior D Skrzycki M Podsiad M Glutathione andGSH-dependent enzymes in patients with liver cirrhosis andhepatocellular carcinoma Acta Biochem Pol 200653237ndash42
45 Maclaughlin BW Gutsmuths B Pretner E Jonas WB Ives JKulawardane DV et al Effects of homeopathic preparations onhuman prostate cancer growth in cellular and animal models IntegrCancer Ther 20065362ndash72
46 Jonas WB Gaddipati JP Rajeshkumar NV Sharma A et alCan homeopathic treatment slow prostate cancer growthIntegr Cancer Ther 20065343ndash9
47 Adams LS Seeram NP Hardy ML Carpenter C Heber DAnalysis of the Interactions of Botanical Extract CombinationsAgainst the Viability of Prostate Cancer Cell Lines eCAM20063117ndash24
48 Padmavathi B Rath PC Rao AR Singh RP Roots of Withaniasomnifera Inhibit Forestomach and Skin Carcinogenesis in MiceEvid Based Compliment Alernat Med 2005299ndash105
49 Miller SC Echinacea a Miracle Herb against Aging and CancerEvidence In vivo in Mice Evid Based Compliment Alternat Med20052309ndash14
50 Pathak S Multani AS Banerjee P Ruta 6 selectively induced celldeath in brain cancer cells but proliferation in normal peripheralblood lymphocytes A novel treatment for human brain cancerInt J Oncol 200323975ndash82
51 Khuda-Bukhsh AR Potentized homeopathic drugs act throughregulation of gene expression a hypothesis to explain theirmechanism and pathways of action in vivo Com Ther Med1997513ndash46
Received November 27 2006 accepted May 8 2007
eCAM 20096(1) 75
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Table 4 Mean Acid phosphatase (AcP) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthorn alc-200p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significances between twogiven series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AcP activity SE AcP activity SE AcP activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0048 0001 0143 0007 0040 0002
NormalthornAlcohol 0044 0001 0128 0003 0036 0002
p-DABthornPB 0080 0006 0157 0010 0086 0005
p-DABthornPBthornAlcohol 0086 0005 0153 0002 0089 0003
p-DABthornPBthornNat 0087 0003 0001n 0137 0004 0016 0074 0002 0015
Sulph-200
60 days 90 days 120 days
AcP activity SE AcP activity SE AcP activity SE
Normal 0046 0005 0012 0000 0025 0002
NormalthornAlcohol 0045 0004 0021 0002 0032 0005
p-DABthornPB 0076 0009 0053 0005 0128 0013
p-DABthornPBthornAlcohol 0083 0005 0055 0001 0131 0010
p-DABthornPBthornNat 0052 0006 0031 0043 0003 0012 0087 0003 0044
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 5 Mean Alkaline phosphatase (AlkP) activity in (nM 100mg protein Min) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series AlkP activity SE AlkP activity SE AlkP activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0017 0001 0014 0003 0024 0001
NormalthornAlcohol 0026 0001 0016 0005 0027 0003
p-DABthornPB 0038 0001 0026 0004 0044 0002
p-DABthornPBthornAlcohol 0044 0002 0030 0001 0050 0006
p-DABthornPBthornNat 0049 0008 0005n 0022 0003 0008 0036 0001 0014
Sulph-200
60 days 90 days 120 days
AlkP activity SE AlkP activity (activitySE) AlkP activity SE
Normal 0021 0001 0019 0001 0012 0001
NormalthornAlcohol 0023 0001 0026 0001 0033 0005
p-DABthornPB 0034 0001 0045 0004 0139 0006
p-DABthornPBthornAlcohol 0038 0001 0048 0004 0150 0003
p-DABthornPBthornNat 0028 0002 0010 0032 0001 0016 0115 0004 0035
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
eCAM 20096(1) 71
Table 6 Mean Lipid peroxidation (LPO) activity in (nM MDA mg wet tissue) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series LPO activitySE LPO activity SE LPO activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0245 0008 0135 0010 0086 0002
NormalthornAlcohol 0272 0013 0172 0005 0094 0003
p-DABthornPB 0332 0010 0312 0010 0234 0008
p-DABthornPBthornAlcohol 0355 0010 0349 0037 0270 0009
p-DABthornPBthornNat 0417 0011 0062n 0192 0002 0157 0219 0014 0051
Sulph-200
60 days 90 days 120 days
LPO activitySE LPO activity SE LPO activity SE
Normal 0052 0004 0043 0001 0048 0001
NormalthornAlcohol 0054 0006 0070 0008 0074 0004
p-DABthornPB 0247 0012 0119 0010 0131 0009
p-DABthornPBthornAlcohol 0254 0010 0124 0003 0149 0006
p-DABthornPBthornNat 0141 0009 0113 0090 0004 0034 0118 0004 003 1
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 7 Mean Reduced glutathione (GSH) content in (nM mg wet tissue) in liver of mice treated with p-DABthornPB p-DABthornPBthorn alc-200p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significances betweentwo given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series GSH content SE GSH contentSE GSH content SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0004 0000 0006 0000 0005 0001
NormalthornAl cohol 0004 0001 0006 0000 0004 0001
p-DABthornPB 0001 0000 0001 0000 0001 0000
p-DABthornPBthornAlcohol 0001 0000 0001 0000 0001 0000
p-DABthornPBthornNat 0001 0000 0000 0003 0000 0002 0004 0001 0003
Sulph-200
60 days 90 days 120 days
GSH content SE GSH contentSE GSH content SE
Normal 0005 0000 0006 0000 0007 0000
NormalthornAlcohol 0006 0001 0005 0000 0006 0001
p-DABthornPB 0001 0000 0002 0000 0003 0000
p-DABthornPBthornAlcohol 0001 0000 0003 0000 0003 0001
p-DABthornPBthornNat 0005 0001 0004 0006 0001 0003 0006 0000 0003
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
72 Anti-carcinogenic potential of homeopathic remedy
Discussion
In the present study several widely accepted toxicity
markers have been used all of which are known to have
significant role during the carcinogenesis process
(1435ndash44) In brief the significant reduction of biomar-
kers like AST ALT AcP AlkP and LPO and increase of
GSH in the drug fed series speak for the reduction of
hepato-toxicity and injury (1435) Positive modulations
of several other parameters such as blood glucosecholesterol testosterone and estradiol were also noted(data not shown) Similarly there were evidences fromelectron microscopic studies (both scanning Fig 3 and
Table 8 Showing two-way ANOVA analyses for different cytogenetical parameters
Two way ANOVA Mitotic index Chromosome Aberration Micro nucleated Erythrocytes Sperm Head Anomaly
Source of Variation df MS F MS F MS F MS F
Dues to Series 4 2326 1123 28913 3945 08247 9582 526 1502
Due to Days 5 1167 564 4585 626 003821 444 146 418
P5005
Table 9 Showing two-way ANOVA analyses for different enzymatic parameters
Two way ANOVA AST activity ALT activity AcP activity AlkP activity LPO activity GSH content
Source of Variation df MS F MS F MS F MS F MS F MS F
Dues to Series 4 00016054 1790 00002548 1412 0003271 1339 0002043 410 002558 1678 00000218 3303
Due to Days 5 00009453 1054 00000997 552 0006541 2679 000 606 003844 2522 000 752
P5005
Figure 3 Section of liver under SEM showing features of normal
(3a-3b) p-DABthornPBthornAlcohol fed (3c-3d) and p-DABthornPBthornNat
Sulph-200 fed mice (3c-3f)
Figure 4 Liver section under TEM showing features of normal (4a-4b)
p-DABthornPBthornAlcohol fed (4c-4d) and p-DABthornPBthornNat sulph-200
fed mice (4c-4d)
eCAM 20096(1) 73
transmission Fig 4) on liver that the homeopathicremedy played a positive role in protecting ultra-structural integrities (data not shown) Incidentallyreactive oxygen species (ROS) are produced by metabo-lism of various endogenous and exogenous compoundsand are associated in the pathogenesis of different liverdiseases such as cirrhosis and hepatocellular cancer (41ndash44) In cirrhosis and hepatocellular carcinoma theantioxidant system is damaged severely and the GSHlevel falls down the MDA level rises and GSH-dependent enzyme activities are enhanced in cirrhoticand cancer tissues (43) Incidentally positive effects ofhomeopathic preparations on human prostate cancergrowth have recently been studied by Maclaughlin et al(45) and Jonas et al (46) while crude extracts of someplants have also been shown to have anti-cancerousactivities against prostate cancer cell line in human (47)and in skin carcinogenesis (48) and leukemia and aging(49) of miceIn recent years cell death in brain cancer has been
observed by some workers (50) by administering ahomeopathic drug Ruta 6 both on in vivo and in vitrosystems But how the micro doses of the highly dilutedhomeopathic remedy could bring about such positivechanges in diverse parameters of study is not yet properlyunderstood The ability of the homeopathic remedy inbringing down cytogenetical damage along with thepositive biochemical changes can be considered asproofs of their ability towards restoring normalcy in thefunctioning of bodyrsquos important metabolic enzymes andmechanism of repair and retrieval for genome presum-ably by activatingdeactivating the relevant genes respon-sible for regulation of their respective activities (513132)
Conclusions
Finally compared with Nat Sulph-30 Nat Sulph-200appeared to show a little better efficacy in reducing theincidence of tumors in liver and most other commonparameters tested with both potencies particularly atsome longer intervals of fixation Therefore otherresearchers are encouraged to replicate the study inmice andor other mammalian models and see ifpotentized remedies of Natrum Sulphuricum can berecommended as a potential supportive medicine for usein human cancer therapy as well
Acknowledgements
This work was financially supported by an EMR grant ofAYUSH Ministry of Health and Family WelfareNew Delhi to ARKB The authors sincerely thankDr TC Nag Associate Professor Department ofAnatomy All India Institute of Medical Sciences NewDelhi for his kind help in conducting the scanning and
transmission electron microscopic studies The authorsexpress their sincere thanks to Dr Philippe BelonDirector Boiron Lab Lyon France for kindly donatingthe Alc-200 for this work
References1 Ernst E The current position of complementaryalternative
medicine in cancer Eur J Cancer 2003392273ndash772 Earnst E Complementary or alternative therapies for osteoarthritis
Nat Clin Pract Rheumatol 2006274ndash803 Ricotti V Delanty N Use of complementary and alternative
medicine in epilepsy Curr Neurol Neurosci Rep 20066347ndash534 Simpson CA Complementary medicine in chronic pain treatment
Phys Med Rehabil Clin N Am 200617451ndash725 Richardson MA Straus SE Complementary and alternative
medicine Opportunities and Challenges for cancer managementand research Seminars in Oncology 200229531ndash45
6 Chrystal K Allan S Forgeson G Issacs R The use ofcomplementary and alternative medicine by cancer patients inNew Zealand and regional cancer treatment center New ZealandMed J 20031161ndash8
7 Molassiotis A Panteli V Patiraki E Ozden G Platin N Madsen Eet al Complementary and alternative medicine use in lung cancerpatients in eight European countries Complement Ther Clin Pract20061234ndash9
8 Molassiotis A Margulies A Fernandez-Ortega P Pud D Panteli VBruyns I et al Complementary and alternative medicine usein patients with hematological malignancies in EuropeComplement Ther Clin Pract 200511105ndash10
9 Bensoussan M Jovenin N Garcia B Vandromme L Jolly DBouche O et al Complementary and alternative medicine use bypatients with inflammatory bowel disease results from a postalsurvey Gastroenterol Clin Biol 20063014ndash23
10 Joos S Rosemann T Szecsenyi J Hahn EG Willich SNBrinkhaus B Use of complementary and alternative medicine inGermany - a survey of patients with inflammatory bowel diseaseBMC Complement Altern Med 2006619 doi 1011861472-6882-6-19 httpwwwbiomedcentralcom1472-6882619
11 Biswas SJ Khuda-Bukhsh AR Effect of a homeopathic drugChelidonium in amelioration of p-Dab induced hepatocarcinogen-esis in mice BMC Complement Altern Med 200221ndash16
12 Biswas SJ Khuda-Bukhsh AR Evaluation of protective potentialsof a potentized homeopathic drug Chelidonium majus during azodye induced hepatocarcinogenesis in mice Indian J Exp Biol200442698ndash714
13 Biswas SJ Pathak S Bhattacharjee N Das JK Khuda-Bukhsh AREfficacy of a potentized homeopathic drug Carcinosin-200 fedalone and in combination with another drug Chelidonium-200in amelioration of p-Dab induced hepatocarcinogenesis in miceJ Altern Complement Med 200511839ndash54
14 Pathak S Das JK Biswas SJ Khuda-Bukhsh AR Protectivepotentials of a potentized homeopathic drug Lycopodium-30in ameliorating azo dye induced hepatocarcinogenesis in miceMol Cell Biochem 2006258121ndash31
15 Daust R Molnar F Cellular populations and mitotic activity in ratliver parenchyma during azo dye carcinogenesis Cancer Res1964241898ndash1909
16 IARC (International Agency for Research on Cancer) On theevaluation of carcinogenic risk of chemicals to man Group-2B19877449
17 Ohnishi S Murata M Degawa M Kawanishi S Oxidative DNAdamage induced by an N-hydroxy metabolite of carcinogenic4-dimethylaminoazobenzene Jpn J Cancer Res 20019223ndash9
18 Merkulova TI Kropachev KY Timofeeva OA Vasiliev GVLevashova ZB Ilnitskaya SI et al Species-specific effects of thehepatocarcinogens 30- methyl-4-dimehylaminoazobenzene andortho-aminoazotoluene in mouse and rat liver Mol Carcinog200544223ndash32
19 Biswas SJ Khuda-Bukhsh AR Cytotoxic and genotoxic effects ofthe azo-dye p-dimethylaminoazobenzene in mice A time-coursestudy Mutat Res 20055871ndash8
74 Anti-carcinogenic potential of homeopathic remedy
20 Siemiatycki J Richardson L Straif K Latreille B Lakhani RCampbell S et al Listing occupational carcinogens researchReview Environ Health Perspect 20041121447ndash59
21 NTP Report on Carcinogens (11th edn) Research Triangle ParkNC National Toxicology Program 2005 (Retrieved from httpntpniehsnihgovindexcfmObjectidfrac1432BA9724-F1F6-975E-7FCE50709CB4C932)
22 IARC (International Agency for Research on Cancer)Phenobarbital and Sodium salt IARC monograph 200179161
23 White SJ McLean AEM Howland C Anticonvulsant drugsand cancer A cohort study in patients with severe epilepsyLancet 1979ii458ndash61
24 Lee GH Paradoxical effects of phenobarbital on mouse carcinogen-esis Toxicol Pathol 200028215ndash25
25 Kinoshita A Wanibuchi H Morimura K Wei M Shen JImaoka S et al Phenobarbital at low dose exerts hormesis in rathepatocarcinogenesis by reducing oxidative DNA damage alteringcell proliferation apoptosis and gene expression Carcinogenesis2003241389ndash99
26 Biswas SJ Pathak S Khuda-Bukhsh AR Assessment of thegenotoxic and cytotoxic potential of an antiepileptic drugPhenobarbital in mice A time course study Mutat Res20045631ndash11
27 Palekar SD Sirsat SM Studies on the hepatocyte in azo dyecarcinogenesis Indian J Exp Boil 1966473ndash8
28 Boericke W Pocket Manual of Homeopathic Materia MedicaIndian edn Calcutta India Sett Dey and Co 1976
29 Kitagawa T Sugano H Enhancing effect of phenobarbital onthe development of enzyme-altered islands and hepatocellularcarcinomas initiated by 30-methyl-4-(dimethylamino) azobenzene ordiethylnitrosamine Gann 197869679ndash87
30 Kitagawa T Sugano H Enhancement of azo-dye hepatocarcino-genesis with dietary phenobarbital in rats Gann 197768255ndash6
31 Khuda-Bukhsh AR Towards understanding molecular mechanismsof action of homeopathic drugs An overview Mol Cell Biochem2003253339ndash45
32 Khuda-Bukhsh AR Laboratory research in homeopathy proIntegr Cancer Ther 20065320ndash32
33 Homeopathic Pharmacopoeia of India Ministry of HealthGovernment of India Press Coimbatore-641019 Controller ofPublications 19711165
34 Pathak S Bhattacharjee N Das JK Chaki Chowdhury S RoyKarmakar S Banerjee P et al Supportive evidences for anti-cancerous potential of an alternative medicine in hepatocarcinogen-esis of mice Res Com Med June issue 2007 14132 (DOI101159000102007)
35 Plaa GL Amdun AM Doull J Klasser CD Toxic responses of theliver 4th edn London UK Pergamon Press 1991
36 Chan KY Wong N Lai PB Squire JA Macgregor PF Behesthi Bet al Transcriptional profiling on chromosome 19p indicated
frequent down regulation of ACP5 expression in hepatocellularcarcinoma Int J cance 2005114902ndash8
37 Reichling JJ Kaplan MM Clinical use of serum enzymes in liverdiseases Dig Dis Sci 1988331601ndash14
38 Wiwanitkit V High serum alkaline phosphatase levels a study in181 Thai adult hospitalized patients BMC Family Practice 2001 22(retrieved from httpwwwbiomedcentralcom1471-229622)
39 Marnett LJ Lipid peroxidation-DNA damage by malondialdehydeMutat Res 199942483ndash95
40 Mishra S Sharma DC Sharma P Studies of biochemicalparameters in breast cancer with and without metastasis Indian JClin Biochem 20041971ndash5
41 Dreher D Junod AF Role of oxygen free radicals in cancerdevelopment Eur J Cancer 199632A30ndash8
42 Jungst C Cheng B Gehrke R Schmitz V Nischalke HDRamakers J et al Oxidative damage is increased in human livertissue adjacent to hepatocellular carcinoma Hepatology2004391663ndash72
43 Balasubramanian S Kowdley KV Effect of alcohol on viralhepatitis and other forms of liver dysfunction Clin Liver Dis2005983ndash101
44 Czeczot H Scibior D Skrzycki M Podsiad M Glutathione andGSH-dependent enzymes in patients with liver cirrhosis andhepatocellular carcinoma Acta Biochem Pol 200653237ndash42
45 Maclaughlin BW Gutsmuths B Pretner E Jonas WB Ives JKulawardane DV et al Effects of homeopathic preparations onhuman prostate cancer growth in cellular and animal models IntegrCancer Ther 20065362ndash72
46 Jonas WB Gaddipati JP Rajeshkumar NV Sharma A et alCan homeopathic treatment slow prostate cancer growthIntegr Cancer Ther 20065343ndash9
47 Adams LS Seeram NP Hardy ML Carpenter C Heber DAnalysis of the Interactions of Botanical Extract CombinationsAgainst the Viability of Prostate Cancer Cell Lines eCAM20063117ndash24
48 Padmavathi B Rath PC Rao AR Singh RP Roots of Withaniasomnifera Inhibit Forestomach and Skin Carcinogenesis in MiceEvid Based Compliment Alernat Med 2005299ndash105
49 Miller SC Echinacea a Miracle Herb against Aging and CancerEvidence In vivo in Mice Evid Based Compliment Alternat Med20052309ndash14
50 Pathak S Multani AS Banerjee P Ruta 6 selectively induced celldeath in brain cancer cells but proliferation in normal peripheralblood lymphocytes A novel treatment for human brain cancerInt J Oncol 200323975ndash82
51 Khuda-Bukhsh AR Potentized homeopathic drugs act throughregulation of gene expression a hypothesis to explain theirmechanism and pathways of action in vivo Com Ther Med1997513ndash46
Received November 27 2006 accepted May 8 2007
eCAM 20096(1) 75
Submit your manuscripts athttpwwwhindawicom
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Evidence-Based Complementary and Alternative Medicine
Volume 2014Hindawi Publishing Corporationhttpwwwhindawicom
Table 6 Mean Lipid peroxidation (LPO) activity in (nM MDA mg wet tissue) in liver of mice treated with p-DABthornPB p-DABthornPBthornalc-200 p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significancesbetween two given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series LPO activitySE LPO activity SE LPO activity SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0245 0008 0135 0010 0086 0002
NormalthornAlcohol 0272 0013 0172 0005 0094 0003
p-DABthornPB 0332 0010 0312 0010 0234 0008
p-DABthornPBthornAlcohol 0355 0010 0349 0037 0270 0009
p-DABthornPBthornNat 0417 0011 0062n 0192 0002 0157 0219 0014 0051
Sulph-200
60 days 90 days 120 days
LPO activitySE LPO activity SE LPO activity SE
Normal 0052 0004 0043 0001 0048 0001
NormalthornAlcohol 0054 0006 0070 0008 0074 0004
p-DABthornPB 0247 0012 0119 0010 0131 0009
p-DABthornPBthornAlcohol 0254 0010 0124 0003 0149 0006
p-DABthornPBthornNat 0141 0009 0113 0090 0004 0034 0118 0004 003 1
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
Table 7 Mean Reduced glutathione (GSH) content in (nM mg wet tissue) in liver of mice treated with p-DABthornPB p-DABthornPBthorn alc-200p-DABthornPBthornNat Sulph-200 normal and negative controls at different fixation intervals The different levels of statistical significances betweentwo given series have been designated by
Fixation intervals in days 7 days 15 days 30 days
Series GSH content SE GSH contentSE GSH content SE
Liver Difference in activity Liver Difference in activity Liver Difference in activity
Normal 0004 0000 0006 0000 0005 0001
NormalthornAl cohol 0004 0001 0006 0000 0004 0001
p-DABthornPB 0001 0000 0001 0000 0001 0000
p-DABthornPBthornAlcohol 0001 0000 0001 0000 0001 0000
p-DABthornPBthornNat 0001 0000 0000 0003 0000 0002 0004 0001 0003
Sulph-200
60 days 90 days 120 days
GSH content SE GSH contentSE GSH content SE
Normal 0005 0000 0006 0000 0007 0000
NormalthornAlcohol 0006 0001 0005 0000 0006 0001
p-DABthornPB 0001 0000 0002 0000 0003 0000
p-DABthornPBthornAlcohol 0001 0000 0003 0000 0003 0001
p-DABthornPBthornNat 0005 0001 0004 0006 0001 0003 0006 0000 0003
Sulph-200
P5005 P5001 P50001 nfrac14non-significantStatistical analyses were done between series p-DABthornPBthornAlcohol versus p-DABthornPBthornNat Sulph-200p-DAB p-dimethylaminoazobenzene PB phenobarbital Nat Sulph-200 Natrum Sulphuricum-200 SE standard error
72 Anti-carcinogenic potential of homeopathic remedy
Discussion
In the present study several widely accepted toxicity
markers have been used all of which are known to have
significant role during the carcinogenesis process
(1435ndash44) In brief the significant reduction of biomar-
kers like AST ALT AcP AlkP and LPO and increase of
GSH in the drug fed series speak for the reduction of
hepato-toxicity and injury (1435) Positive modulations
of several other parameters such as blood glucosecholesterol testosterone and estradiol were also noted(data not shown) Similarly there were evidences fromelectron microscopic studies (both scanning Fig 3 and
Table 8 Showing two-way ANOVA analyses for different cytogenetical parameters
Two way ANOVA Mitotic index Chromosome Aberration Micro nucleated Erythrocytes Sperm Head Anomaly
Source of Variation df MS F MS F MS F MS F
Dues to Series 4 2326 1123 28913 3945 08247 9582 526 1502
Due to Days 5 1167 564 4585 626 003821 444 146 418
P5005
Table 9 Showing two-way ANOVA analyses for different enzymatic parameters
Two way ANOVA AST activity ALT activity AcP activity AlkP activity LPO activity GSH content
Source of Variation df MS F MS F MS F MS F MS F MS F
Dues to Series 4 00016054 1790 00002548 1412 0003271 1339 0002043 410 002558 1678 00000218 3303
Due to Days 5 00009453 1054 00000997 552 0006541 2679 000 606 003844 2522 000 752
P5005
Figure 3 Section of liver under SEM showing features of normal
(3a-3b) p-DABthornPBthornAlcohol fed (3c-3d) and p-DABthornPBthornNat
Sulph-200 fed mice (3c-3f)
Figure 4 Liver section under TEM showing features of normal (4a-4b)
p-DABthornPBthornAlcohol fed (4c-4d) and p-DABthornPBthornNat sulph-200
fed mice (4c-4d)
eCAM 20096(1) 73
transmission Fig 4) on liver that the homeopathicremedy played a positive role in protecting ultra-structural integrities (data not shown) Incidentallyreactive oxygen species (ROS) are produced by metabo-lism of various endogenous and exogenous compoundsand are associated in the pathogenesis of different liverdiseases such as cirrhosis and hepatocellular cancer (41ndash44) In cirrhosis and hepatocellular carcinoma theantioxidant system is damaged severely and the GSHlevel falls down the MDA level rises and GSH-dependent enzyme activities are enhanced in cirrhoticand cancer tissues (43) Incidentally positive effects ofhomeopathic preparations on human prostate cancergrowth have recently been studied by Maclaughlin et al(45) and Jonas et al (46) while crude extracts of someplants have also been shown to have anti-cancerousactivities against prostate cancer cell line in human (47)and in skin carcinogenesis (48) and leukemia and aging(49) of miceIn recent years cell death in brain cancer has been
observed by some workers (50) by administering ahomeopathic drug Ruta 6 both on in vivo and in vitrosystems But how the micro doses of the highly dilutedhomeopathic remedy could bring about such positivechanges in diverse parameters of study is not yet properlyunderstood The ability of the homeopathic remedy inbringing down cytogenetical damage along with thepositive biochemical changes can be considered asproofs of their ability towards restoring normalcy in thefunctioning of bodyrsquos important metabolic enzymes andmechanism of repair and retrieval for genome presum-ably by activatingdeactivating the relevant genes respon-sible for regulation of their respective activities (513132)
Conclusions
Finally compared with Nat Sulph-30 Nat Sulph-200appeared to show a little better efficacy in reducing theincidence of tumors in liver and most other commonparameters tested with both potencies particularly atsome longer intervals of fixation Therefore otherresearchers are encouraged to replicate the study inmice andor other mammalian models and see ifpotentized remedies of Natrum Sulphuricum can berecommended as a potential supportive medicine for usein human cancer therapy as well
Acknowledgements
This work was financially supported by an EMR grant ofAYUSH Ministry of Health and Family WelfareNew Delhi to ARKB The authors sincerely thankDr TC Nag Associate Professor Department ofAnatomy All India Institute of Medical Sciences NewDelhi for his kind help in conducting the scanning and
transmission electron microscopic studies The authorsexpress their sincere thanks to Dr Philippe BelonDirector Boiron Lab Lyon France for kindly donatingthe Alc-200 for this work
References1 Ernst E The current position of complementaryalternative
medicine in cancer Eur J Cancer 2003392273ndash772 Earnst E Complementary or alternative therapies for osteoarthritis
Nat Clin Pract Rheumatol 2006274ndash803 Ricotti V Delanty N Use of complementary and alternative
medicine in epilepsy Curr Neurol Neurosci Rep 20066347ndash534 Simpson CA Complementary medicine in chronic pain treatment
Phys Med Rehabil Clin N Am 200617451ndash725 Richardson MA Straus SE Complementary and alternative
medicine Opportunities and Challenges for cancer managementand research Seminars in Oncology 200229531ndash45
6 Chrystal K Allan S Forgeson G Issacs R The use ofcomplementary and alternative medicine by cancer patients inNew Zealand and regional cancer treatment center New ZealandMed J 20031161ndash8
7 Molassiotis A Panteli V Patiraki E Ozden G Platin N Madsen Eet al Complementary and alternative medicine use in lung cancerpatients in eight European countries Complement Ther Clin Pract20061234ndash9
8 Molassiotis A Margulies A Fernandez-Ortega P Pud D Panteli VBruyns I et al Complementary and alternative medicine usein patients with hematological malignancies in EuropeComplement Ther Clin Pract 200511105ndash10
9 Bensoussan M Jovenin N Garcia B Vandromme L Jolly DBouche O et al Complementary and alternative medicine use bypatients with inflammatory bowel disease results from a postalsurvey Gastroenterol Clin Biol 20063014ndash23
10 Joos S Rosemann T Szecsenyi J Hahn EG Willich SNBrinkhaus B Use of complementary and alternative medicine inGermany - a survey of patients with inflammatory bowel diseaseBMC Complement Altern Med 2006619 doi 1011861472-6882-6-19 httpwwwbiomedcentralcom1472-6882619
11 Biswas SJ Khuda-Bukhsh AR Effect of a homeopathic drugChelidonium in amelioration of p-Dab induced hepatocarcinogen-esis in mice BMC Complement Altern Med 200221ndash16
12 Biswas SJ Khuda-Bukhsh AR Evaluation of protective potentialsof a potentized homeopathic drug Chelidonium majus during azodye induced hepatocarcinogenesis in mice Indian J Exp Biol200442698ndash714
13 Biswas SJ Pathak S Bhattacharjee N Das JK Khuda-Bukhsh AREfficacy of a potentized homeopathic drug Carcinosin-200 fedalone and in combination with another drug Chelidonium-200in amelioration of p-Dab induced hepatocarcinogenesis in miceJ Altern Complement Med 200511839ndash54
14 Pathak S Das JK Biswas SJ Khuda-Bukhsh AR Protectivepotentials of a potentized homeopathic drug Lycopodium-30in ameliorating azo dye induced hepatocarcinogenesis in miceMol Cell Biochem 2006258121ndash31
15 Daust R Molnar F Cellular populations and mitotic activity in ratliver parenchyma during azo dye carcinogenesis Cancer Res1964241898ndash1909
16 IARC (International Agency for Research on Cancer) On theevaluation of carcinogenic risk of chemicals to man Group-2B19877449
17 Ohnishi S Murata M Degawa M Kawanishi S Oxidative DNAdamage induced by an N-hydroxy metabolite of carcinogenic4-dimethylaminoazobenzene Jpn J Cancer Res 20019223ndash9
18 Merkulova TI Kropachev KY Timofeeva OA Vasiliev GVLevashova ZB Ilnitskaya SI et al Species-specific effects of thehepatocarcinogens 30- methyl-4-dimehylaminoazobenzene andortho-aminoazotoluene in mouse and rat liver Mol Carcinog200544223ndash32
19 Biswas SJ Khuda-Bukhsh AR Cytotoxic and genotoxic effects ofthe azo-dye p-dimethylaminoazobenzene in mice A time-coursestudy Mutat Res 20055871ndash8
74 Anti-carcinogenic potential of homeopathic remedy
20 Siemiatycki J Richardson L Straif K Latreille B Lakhani RCampbell S et al Listing occupational carcinogens researchReview Environ Health Perspect 20041121447ndash59
21 NTP Report on Carcinogens (11th edn) Research Triangle ParkNC National Toxicology Program 2005 (Retrieved from httpntpniehsnihgovindexcfmObjectidfrac1432BA9724-F1F6-975E-7FCE50709CB4C932)
22 IARC (International Agency for Research on Cancer)Phenobarbital and Sodium salt IARC monograph 200179161
23 White SJ McLean AEM Howland C Anticonvulsant drugsand cancer A cohort study in patients with severe epilepsyLancet 1979ii458ndash61
24 Lee GH Paradoxical effects of phenobarbital on mouse carcinogen-esis Toxicol Pathol 200028215ndash25
25 Kinoshita A Wanibuchi H Morimura K Wei M Shen JImaoka S et al Phenobarbital at low dose exerts hormesis in rathepatocarcinogenesis by reducing oxidative DNA damage alteringcell proliferation apoptosis and gene expression Carcinogenesis2003241389ndash99
26 Biswas SJ Pathak S Khuda-Bukhsh AR Assessment of thegenotoxic and cytotoxic potential of an antiepileptic drugPhenobarbital in mice A time course study Mutat Res20045631ndash11
27 Palekar SD Sirsat SM Studies on the hepatocyte in azo dyecarcinogenesis Indian J Exp Boil 1966473ndash8
28 Boericke W Pocket Manual of Homeopathic Materia MedicaIndian edn Calcutta India Sett Dey and Co 1976
29 Kitagawa T Sugano H Enhancing effect of phenobarbital onthe development of enzyme-altered islands and hepatocellularcarcinomas initiated by 30-methyl-4-(dimethylamino) azobenzene ordiethylnitrosamine Gann 197869679ndash87
30 Kitagawa T Sugano H Enhancement of azo-dye hepatocarcino-genesis with dietary phenobarbital in rats Gann 197768255ndash6
31 Khuda-Bukhsh AR Towards understanding molecular mechanismsof action of homeopathic drugs An overview Mol Cell Biochem2003253339ndash45
32 Khuda-Bukhsh AR Laboratory research in homeopathy proIntegr Cancer Ther 20065320ndash32
33 Homeopathic Pharmacopoeia of India Ministry of HealthGovernment of India Press Coimbatore-641019 Controller ofPublications 19711165
34 Pathak S Bhattacharjee N Das JK Chaki Chowdhury S RoyKarmakar S Banerjee P et al Supportive evidences for anti-cancerous potential of an alternative medicine in hepatocarcinogen-esis of mice Res Com Med June issue 2007 14132 (DOI101159000102007)
35 Plaa GL Amdun AM Doull J Klasser CD Toxic responses of theliver 4th edn London UK Pergamon Press 1991
36 Chan KY Wong N Lai PB Squire JA Macgregor PF Behesthi Bet al Transcriptional profiling on chromosome 19p indicated
frequent down regulation of ACP5 expression in hepatocellularcarcinoma Int J cance 2005114902ndash8
37 Reichling JJ Kaplan MM Clinical use of serum enzymes in liverdiseases Dig Dis Sci 1988331601ndash14
38 Wiwanitkit V High serum alkaline phosphatase levels a study in181 Thai adult hospitalized patients BMC Family Practice 2001 22(retrieved from httpwwwbiomedcentralcom1471-229622)
39 Marnett LJ Lipid peroxidation-DNA damage by malondialdehydeMutat Res 199942483ndash95
40 Mishra S Sharma DC Sharma P Studies of biochemicalparameters in breast cancer with and without metastasis Indian JClin Biochem 20041971ndash5
41 Dreher D Junod AF Role of oxygen free radicals in cancerdevelopment Eur J Cancer 199632A30ndash8
42 Jungst C Cheng B Gehrke R Schmitz V Nischalke HDRamakers J et al Oxidative damage is increased in human livertissue adjacent to hepatocellular carcinoma Hepatology2004391663ndash72
43 Balasubramanian S Kowdley KV Effect of alcohol on viralhepatitis and other forms of liver dysfunction Clin Liver Dis2005983ndash101
44 Czeczot H Scibior D Skrzycki M Podsiad M Glutathione andGSH-dependent enzymes in patients with liver cirrhosis andhepatocellular carcinoma Acta Biochem Pol 200653237ndash42
45 Maclaughlin BW Gutsmuths B Pretner E Jonas WB Ives JKulawardane DV et al Effects of homeopathic preparations onhuman prostate cancer growth in cellular and animal models IntegrCancer Ther 20065362ndash72
46 Jonas WB Gaddipati JP Rajeshkumar NV Sharma A et alCan homeopathic treatment slow prostate cancer growthIntegr Cancer Ther 20065343ndash9
47 Adams LS Seeram NP Hardy ML Carpenter C Heber DAnalysis of the Interactions of Botanical Extract CombinationsAgainst the Viability of Prostate Cancer Cell Lines eCAM20063117ndash24
48 Padmavathi B Rath PC Rao AR Singh RP Roots of Withaniasomnifera Inhibit Forestomach and Skin Carcinogenesis in MiceEvid Based Compliment Alernat Med 2005299ndash105
49 Miller SC Echinacea a Miracle Herb against Aging and CancerEvidence In vivo in Mice Evid Based Compliment Alternat Med20052309ndash14
50 Pathak S Multani AS Banerjee P Ruta 6 selectively induced celldeath in brain cancer cells but proliferation in normal peripheralblood lymphocytes A novel treatment for human brain cancerInt J Oncol 200323975ndash82
51 Khuda-Bukhsh AR Potentized homeopathic drugs act throughregulation of gene expression a hypothesis to explain theirmechanism and pathways of action in vivo Com Ther Med1997513ndash46
Received November 27 2006 accepted May 8 2007
eCAM 20096(1) 75
Submit your manuscripts athttpwwwhindawicom
Stem CellsInternational
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
MEDIATORSINFLAMMATION
of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Behavioural Neurology
EndocrinologyInternational Journal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Disease Markers
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
BioMed Research International
OncologyJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Oxidative Medicine and Cellular Longevity
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
PPAR Research
The Scientific World JournalHindawi Publishing Corporation httpwwwhindawicom Volume 2014
Immunology ResearchHindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Journal of
ObesityJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Computational and Mathematical Methods in Medicine
OphthalmologyJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Diabetes ResearchJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Research and TreatmentAIDS
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Gastroenterology Research and Practice
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Parkinsonrsquos Disease
Evidence-Based Complementary and Alternative Medicine
Volume 2014Hindawi Publishing Corporationhttpwwwhindawicom
Discussion
In the present study several widely accepted toxicity
markers have been used all of which are known to have
significant role during the carcinogenesis process
(1435ndash44) In brief the significant reduction of biomar-
kers like AST ALT AcP AlkP and LPO and increase of
GSH in the drug fed series speak for the reduction of
hepato-toxicity and injury (1435) Positive modulations
of several other parameters such as blood glucosecholesterol testosterone and estradiol were also noted(data not shown) Similarly there were evidences fromelectron microscopic studies (both scanning Fig 3 and
Table 8 Showing two-way ANOVA analyses for different cytogenetical parameters
Two way ANOVA Mitotic index Chromosome Aberration Micro nucleated Erythrocytes Sperm Head Anomaly
Source of Variation df MS F MS F MS F MS F
Dues to Series 4 2326 1123 28913 3945 08247 9582 526 1502
Due to Days 5 1167 564 4585 626 003821 444 146 418
P5005
Table 9 Showing two-way ANOVA analyses for different enzymatic parameters
Two way ANOVA AST activity ALT activity AcP activity AlkP activity LPO activity GSH content
Source of Variation df MS F MS F MS F MS F MS F MS F
Dues to Series 4 00016054 1790 00002548 1412 0003271 1339 0002043 410 002558 1678 00000218 3303
Due to Days 5 00009453 1054 00000997 552 0006541 2679 000 606 003844 2522 000 752
P5005
Figure 3 Section of liver under SEM showing features of normal
(3a-3b) p-DABthornPBthornAlcohol fed (3c-3d) and p-DABthornPBthornNat
Sulph-200 fed mice (3c-3f)
Figure 4 Liver section under TEM showing features of normal (4a-4b)
p-DABthornPBthornAlcohol fed (4c-4d) and p-DABthornPBthornNat sulph-200
fed mice (4c-4d)
eCAM 20096(1) 73
transmission Fig 4) on liver that the homeopathicremedy played a positive role in protecting ultra-structural integrities (data not shown) Incidentallyreactive oxygen species (ROS) are produced by metabo-lism of various endogenous and exogenous compoundsand are associated in the pathogenesis of different liverdiseases such as cirrhosis and hepatocellular cancer (41ndash44) In cirrhosis and hepatocellular carcinoma theantioxidant system is damaged severely and the GSHlevel falls down the MDA level rises and GSH-dependent enzyme activities are enhanced in cirrhoticand cancer tissues (43) Incidentally positive effects ofhomeopathic preparations on human prostate cancergrowth have recently been studied by Maclaughlin et al(45) and Jonas et al (46) while crude extracts of someplants have also been shown to have anti-cancerousactivities against prostate cancer cell line in human (47)and in skin carcinogenesis (48) and leukemia and aging(49) of miceIn recent years cell death in brain cancer has been
observed by some workers (50) by administering ahomeopathic drug Ruta 6 both on in vivo and in vitrosystems But how the micro doses of the highly dilutedhomeopathic remedy could bring about such positivechanges in diverse parameters of study is not yet properlyunderstood The ability of the homeopathic remedy inbringing down cytogenetical damage along with thepositive biochemical changes can be considered asproofs of their ability towards restoring normalcy in thefunctioning of bodyrsquos important metabolic enzymes andmechanism of repair and retrieval for genome presum-ably by activatingdeactivating the relevant genes respon-sible for regulation of their respective activities (513132)
Conclusions
Finally compared with Nat Sulph-30 Nat Sulph-200appeared to show a little better efficacy in reducing theincidence of tumors in liver and most other commonparameters tested with both potencies particularly atsome longer intervals of fixation Therefore otherresearchers are encouraged to replicate the study inmice andor other mammalian models and see ifpotentized remedies of Natrum Sulphuricum can berecommended as a potential supportive medicine for usein human cancer therapy as well
Acknowledgements
This work was financially supported by an EMR grant ofAYUSH Ministry of Health and Family WelfareNew Delhi to ARKB The authors sincerely thankDr TC Nag Associate Professor Department ofAnatomy All India Institute of Medical Sciences NewDelhi for his kind help in conducting the scanning and
transmission electron microscopic studies The authorsexpress their sincere thanks to Dr Philippe BelonDirector Boiron Lab Lyon France for kindly donatingthe Alc-200 for this work
References1 Ernst E The current position of complementaryalternative
medicine in cancer Eur J Cancer 2003392273ndash772 Earnst E Complementary or alternative therapies for osteoarthritis
Nat Clin Pract Rheumatol 2006274ndash803 Ricotti V Delanty N Use of complementary and alternative
medicine in epilepsy Curr Neurol Neurosci Rep 20066347ndash534 Simpson CA Complementary medicine in chronic pain treatment
Phys Med Rehabil Clin N Am 200617451ndash725 Richardson MA Straus SE Complementary and alternative
medicine Opportunities and Challenges for cancer managementand research Seminars in Oncology 200229531ndash45
6 Chrystal K Allan S Forgeson G Issacs R The use ofcomplementary and alternative medicine by cancer patients inNew Zealand and regional cancer treatment center New ZealandMed J 20031161ndash8
7 Molassiotis A Panteli V Patiraki E Ozden G Platin N Madsen Eet al Complementary and alternative medicine use in lung cancerpatients in eight European countries Complement Ther Clin Pract20061234ndash9
8 Molassiotis A Margulies A Fernandez-Ortega P Pud D Panteli VBruyns I et al Complementary and alternative medicine usein patients with hematological malignancies in EuropeComplement Ther Clin Pract 200511105ndash10
9 Bensoussan M Jovenin N Garcia B Vandromme L Jolly DBouche O et al Complementary and alternative medicine use bypatients with inflammatory bowel disease results from a postalsurvey Gastroenterol Clin Biol 20063014ndash23
10 Joos S Rosemann T Szecsenyi J Hahn EG Willich SNBrinkhaus B Use of complementary and alternative medicine inGermany - a survey of patients with inflammatory bowel diseaseBMC Complement Altern Med 2006619 doi 1011861472-6882-6-19 httpwwwbiomedcentralcom1472-6882619
11 Biswas SJ Khuda-Bukhsh AR Effect of a homeopathic drugChelidonium in amelioration of p-Dab induced hepatocarcinogen-esis in mice BMC Complement Altern Med 200221ndash16
12 Biswas SJ Khuda-Bukhsh AR Evaluation of protective potentialsof a potentized homeopathic drug Chelidonium majus during azodye induced hepatocarcinogenesis in mice Indian J Exp Biol200442698ndash714
13 Biswas SJ Pathak S Bhattacharjee N Das JK Khuda-Bukhsh AREfficacy of a potentized homeopathic drug Carcinosin-200 fedalone and in combination with another drug Chelidonium-200in amelioration of p-Dab induced hepatocarcinogenesis in miceJ Altern Complement Med 200511839ndash54
14 Pathak S Das JK Biswas SJ Khuda-Bukhsh AR Protectivepotentials of a potentized homeopathic drug Lycopodium-30in ameliorating azo dye induced hepatocarcinogenesis in miceMol Cell Biochem 2006258121ndash31
15 Daust R Molnar F Cellular populations and mitotic activity in ratliver parenchyma during azo dye carcinogenesis Cancer Res1964241898ndash1909
16 IARC (International Agency for Research on Cancer) On theevaluation of carcinogenic risk of chemicals to man Group-2B19877449
17 Ohnishi S Murata M Degawa M Kawanishi S Oxidative DNAdamage induced by an N-hydroxy metabolite of carcinogenic4-dimethylaminoazobenzene Jpn J Cancer Res 20019223ndash9
18 Merkulova TI Kropachev KY Timofeeva OA Vasiliev GVLevashova ZB Ilnitskaya SI et al Species-specific effects of thehepatocarcinogens 30- methyl-4-dimehylaminoazobenzene andortho-aminoazotoluene in mouse and rat liver Mol Carcinog200544223ndash32
19 Biswas SJ Khuda-Bukhsh AR Cytotoxic and genotoxic effects ofthe azo-dye p-dimethylaminoazobenzene in mice A time-coursestudy Mutat Res 20055871ndash8
74 Anti-carcinogenic potential of homeopathic remedy
20 Siemiatycki J Richardson L Straif K Latreille B Lakhani RCampbell S et al Listing occupational carcinogens researchReview Environ Health Perspect 20041121447ndash59
21 NTP Report on Carcinogens (11th edn) Research Triangle ParkNC National Toxicology Program 2005 (Retrieved from httpntpniehsnihgovindexcfmObjectidfrac1432BA9724-F1F6-975E-7FCE50709CB4C932)
22 IARC (International Agency for Research on Cancer)Phenobarbital and Sodium salt IARC monograph 200179161
23 White SJ McLean AEM Howland C Anticonvulsant drugsand cancer A cohort study in patients with severe epilepsyLancet 1979ii458ndash61
24 Lee GH Paradoxical effects of phenobarbital on mouse carcinogen-esis Toxicol Pathol 200028215ndash25
25 Kinoshita A Wanibuchi H Morimura K Wei M Shen JImaoka S et al Phenobarbital at low dose exerts hormesis in rathepatocarcinogenesis by reducing oxidative DNA damage alteringcell proliferation apoptosis and gene expression Carcinogenesis2003241389ndash99
26 Biswas SJ Pathak S Khuda-Bukhsh AR Assessment of thegenotoxic and cytotoxic potential of an antiepileptic drugPhenobarbital in mice A time course study Mutat Res20045631ndash11
27 Palekar SD Sirsat SM Studies on the hepatocyte in azo dyecarcinogenesis Indian J Exp Boil 1966473ndash8
28 Boericke W Pocket Manual of Homeopathic Materia MedicaIndian edn Calcutta India Sett Dey and Co 1976
29 Kitagawa T Sugano H Enhancing effect of phenobarbital onthe development of enzyme-altered islands and hepatocellularcarcinomas initiated by 30-methyl-4-(dimethylamino) azobenzene ordiethylnitrosamine Gann 197869679ndash87
30 Kitagawa T Sugano H Enhancement of azo-dye hepatocarcino-genesis with dietary phenobarbital in rats Gann 197768255ndash6
31 Khuda-Bukhsh AR Towards understanding molecular mechanismsof action of homeopathic drugs An overview Mol Cell Biochem2003253339ndash45
32 Khuda-Bukhsh AR Laboratory research in homeopathy proIntegr Cancer Ther 20065320ndash32
33 Homeopathic Pharmacopoeia of India Ministry of HealthGovernment of India Press Coimbatore-641019 Controller ofPublications 19711165
34 Pathak S Bhattacharjee N Das JK Chaki Chowdhury S RoyKarmakar S Banerjee P et al Supportive evidences for anti-cancerous potential of an alternative medicine in hepatocarcinogen-esis of mice Res Com Med June issue 2007 14132 (DOI101159000102007)
35 Plaa GL Amdun AM Doull J Klasser CD Toxic responses of theliver 4th edn London UK Pergamon Press 1991
36 Chan KY Wong N Lai PB Squire JA Macgregor PF Behesthi Bet al Transcriptional profiling on chromosome 19p indicated
frequent down regulation of ACP5 expression in hepatocellularcarcinoma Int J cance 2005114902ndash8
37 Reichling JJ Kaplan MM Clinical use of serum enzymes in liverdiseases Dig Dis Sci 1988331601ndash14
38 Wiwanitkit V High serum alkaline phosphatase levels a study in181 Thai adult hospitalized patients BMC Family Practice 2001 22(retrieved from httpwwwbiomedcentralcom1471-229622)
39 Marnett LJ Lipid peroxidation-DNA damage by malondialdehydeMutat Res 199942483ndash95
40 Mishra S Sharma DC Sharma P Studies of biochemicalparameters in breast cancer with and without metastasis Indian JClin Biochem 20041971ndash5
41 Dreher D Junod AF Role of oxygen free radicals in cancerdevelopment Eur J Cancer 199632A30ndash8
42 Jungst C Cheng B Gehrke R Schmitz V Nischalke HDRamakers J et al Oxidative damage is increased in human livertissue adjacent to hepatocellular carcinoma Hepatology2004391663ndash72
43 Balasubramanian S Kowdley KV Effect of alcohol on viralhepatitis and other forms of liver dysfunction Clin Liver Dis2005983ndash101
44 Czeczot H Scibior D Skrzycki M Podsiad M Glutathione andGSH-dependent enzymes in patients with liver cirrhosis andhepatocellular carcinoma Acta Biochem Pol 200653237ndash42
45 Maclaughlin BW Gutsmuths B Pretner E Jonas WB Ives JKulawardane DV et al Effects of homeopathic preparations onhuman prostate cancer growth in cellular and animal models IntegrCancer Ther 20065362ndash72
46 Jonas WB Gaddipati JP Rajeshkumar NV Sharma A et alCan homeopathic treatment slow prostate cancer growthIntegr Cancer Ther 20065343ndash9
47 Adams LS Seeram NP Hardy ML Carpenter C Heber DAnalysis of the Interactions of Botanical Extract CombinationsAgainst the Viability of Prostate Cancer Cell Lines eCAM20063117ndash24
48 Padmavathi B Rath PC Rao AR Singh RP Roots of Withaniasomnifera Inhibit Forestomach and Skin Carcinogenesis in MiceEvid Based Compliment Alernat Med 2005299ndash105
49 Miller SC Echinacea a Miracle Herb against Aging and CancerEvidence In vivo in Mice Evid Based Compliment Alternat Med20052309ndash14
50 Pathak S Multani AS Banerjee P Ruta 6 selectively induced celldeath in brain cancer cells but proliferation in normal peripheralblood lymphocytes A novel treatment for human brain cancerInt J Oncol 200323975ndash82
51 Khuda-Bukhsh AR Potentized homeopathic drugs act throughregulation of gene expression a hypothesis to explain theirmechanism and pathways of action in vivo Com Ther Med1997513ndash46
Received November 27 2006 accepted May 8 2007
eCAM 20096(1) 75
Submit your manuscripts athttpwwwhindawicom
Stem CellsInternational
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
MEDIATORSINFLAMMATION
of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Behavioural Neurology
EndocrinologyInternational Journal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Disease Markers
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
BioMed Research International
OncologyJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Oxidative Medicine and Cellular Longevity
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
PPAR Research
The Scientific World JournalHindawi Publishing Corporation httpwwwhindawicom Volume 2014
Immunology ResearchHindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Journal of
ObesityJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Computational and Mathematical Methods in Medicine
OphthalmologyJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Diabetes ResearchJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Research and TreatmentAIDS
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Gastroenterology Research and Practice
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Parkinsonrsquos Disease
Evidence-Based Complementary and Alternative Medicine
Volume 2014Hindawi Publishing Corporationhttpwwwhindawicom
transmission Fig 4) on liver that the homeopathicremedy played a positive role in protecting ultra-structural integrities (data not shown) Incidentallyreactive oxygen species (ROS) are produced by metabo-lism of various endogenous and exogenous compoundsand are associated in the pathogenesis of different liverdiseases such as cirrhosis and hepatocellular cancer (41ndash44) In cirrhosis and hepatocellular carcinoma theantioxidant system is damaged severely and the GSHlevel falls down the MDA level rises and GSH-dependent enzyme activities are enhanced in cirrhoticand cancer tissues (43) Incidentally positive effects ofhomeopathic preparations on human prostate cancergrowth have recently been studied by Maclaughlin et al(45) and Jonas et al (46) while crude extracts of someplants have also been shown to have anti-cancerousactivities against prostate cancer cell line in human (47)and in skin carcinogenesis (48) and leukemia and aging(49) of miceIn recent years cell death in brain cancer has been
observed by some workers (50) by administering ahomeopathic drug Ruta 6 both on in vivo and in vitrosystems But how the micro doses of the highly dilutedhomeopathic remedy could bring about such positivechanges in diverse parameters of study is not yet properlyunderstood The ability of the homeopathic remedy inbringing down cytogenetical damage along with thepositive biochemical changes can be considered asproofs of their ability towards restoring normalcy in thefunctioning of bodyrsquos important metabolic enzymes andmechanism of repair and retrieval for genome presum-ably by activatingdeactivating the relevant genes respon-sible for regulation of their respective activities (513132)
Conclusions
Finally compared with Nat Sulph-30 Nat Sulph-200appeared to show a little better efficacy in reducing theincidence of tumors in liver and most other commonparameters tested with both potencies particularly atsome longer intervals of fixation Therefore otherresearchers are encouraged to replicate the study inmice andor other mammalian models and see ifpotentized remedies of Natrum Sulphuricum can berecommended as a potential supportive medicine for usein human cancer therapy as well
Acknowledgements
This work was financially supported by an EMR grant ofAYUSH Ministry of Health and Family WelfareNew Delhi to ARKB The authors sincerely thankDr TC Nag Associate Professor Department ofAnatomy All India Institute of Medical Sciences NewDelhi for his kind help in conducting the scanning and
transmission electron microscopic studies The authorsexpress their sincere thanks to Dr Philippe BelonDirector Boiron Lab Lyon France for kindly donatingthe Alc-200 for this work
References1 Ernst E The current position of complementaryalternative
medicine in cancer Eur J Cancer 2003392273ndash772 Earnst E Complementary or alternative therapies for osteoarthritis
Nat Clin Pract Rheumatol 2006274ndash803 Ricotti V Delanty N Use of complementary and alternative
medicine in epilepsy Curr Neurol Neurosci Rep 20066347ndash534 Simpson CA Complementary medicine in chronic pain treatment
Phys Med Rehabil Clin N Am 200617451ndash725 Richardson MA Straus SE Complementary and alternative
medicine Opportunities and Challenges for cancer managementand research Seminars in Oncology 200229531ndash45
6 Chrystal K Allan S Forgeson G Issacs R The use ofcomplementary and alternative medicine by cancer patients inNew Zealand and regional cancer treatment center New ZealandMed J 20031161ndash8
7 Molassiotis A Panteli V Patiraki E Ozden G Platin N Madsen Eet al Complementary and alternative medicine use in lung cancerpatients in eight European countries Complement Ther Clin Pract20061234ndash9
8 Molassiotis A Margulies A Fernandez-Ortega P Pud D Panteli VBruyns I et al Complementary and alternative medicine usein patients with hematological malignancies in EuropeComplement Ther Clin Pract 200511105ndash10
9 Bensoussan M Jovenin N Garcia B Vandromme L Jolly DBouche O et al Complementary and alternative medicine use bypatients with inflammatory bowel disease results from a postalsurvey Gastroenterol Clin Biol 20063014ndash23
10 Joos S Rosemann T Szecsenyi J Hahn EG Willich SNBrinkhaus B Use of complementary and alternative medicine inGermany - a survey of patients with inflammatory bowel diseaseBMC Complement Altern Med 2006619 doi 1011861472-6882-6-19 httpwwwbiomedcentralcom1472-6882619
11 Biswas SJ Khuda-Bukhsh AR Effect of a homeopathic drugChelidonium in amelioration of p-Dab induced hepatocarcinogen-esis in mice BMC Complement Altern Med 200221ndash16
12 Biswas SJ Khuda-Bukhsh AR Evaluation of protective potentialsof a potentized homeopathic drug Chelidonium majus during azodye induced hepatocarcinogenesis in mice Indian J Exp Biol200442698ndash714
13 Biswas SJ Pathak S Bhattacharjee N Das JK Khuda-Bukhsh AREfficacy of a potentized homeopathic drug Carcinosin-200 fedalone and in combination with another drug Chelidonium-200in amelioration of p-Dab induced hepatocarcinogenesis in miceJ Altern Complement Med 200511839ndash54
14 Pathak S Das JK Biswas SJ Khuda-Bukhsh AR Protectivepotentials of a potentized homeopathic drug Lycopodium-30in ameliorating azo dye induced hepatocarcinogenesis in miceMol Cell Biochem 2006258121ndash31
15 Daust R Molnar F Cellular populations and mitotic activity in ratliver parenchyma during azo dye carcinogenesis Cancer Res1964241898ndash1909
16 IARC (International Agency for Research on Cancer) On theevaluation of carcinogenic risk of chemicals to man Group-2B19877449
17 Ohnishi S Murata M Degawa M Kawanishi S Oxidative DNAdamage induced by an N-hydroxy metabolite of carcinogenic4-dimethylaminoazobenzene Jpn J Cancer Res 20019223ndash9
18 Merkulova TI Kropachev KY Timofeeva OA Vasiliev GVLevashova ZB Ilnitskaya SI et al Species-specific effects of thehepatocarcinogens 30- methyl-4-dimehylaminoazobenzene andortho-aminoazotoluene in mouse and rat liver Mol Carcinog200544223ndash32
19 Biswas SJ Khuda-Bukhsh AR Cytotoxic and genotoxic effects ofthe azo-dye p-dimethylaminoazobenzene in mice A time-coursestudy Mutat Res 20055871ndash8
74 Anti-carcinogenic potential of homeopathic remedy
20 Siemiatycki J Richardson L Straif K Latreille B Lakhani RCampbell S et al Listing occupational carcinogens researchReview Environ Health Perspect 20041121447ndash59
21 NTP Report on Carcinogens (11th edn) Research Triangle ParkNC National Toxicology Program 2005 (Retrieved from httpntpniehsnihgovindexcfmObjectidfrac1432BA9724-F1F6-975E-7FCE50709CB4C932)
22 IARC (International Agency for Research on Cancer)Phenobarbital and Sodium salt IARC monograph 200179161
23 White SJ McLean AEM Howland C Anticonvulsant drugsand cancer A cohort study in patients with severe epilepsyLancet 1979ii458ndash61
24 Lee GH Paradoxical effects of phenobarbital on mouse carcinogen-esis Toxicol Pathol 200028215ndash25
25 Kinoshita A Wanibuchi H Morimura K Wei M Shen JImaoka S et al Phenobarbital at low dose exerts hormesis in rathepatocarcinogenesis by reducing oxidative DNA damage alteringcell proliferation apoptosis and gene expression Carcinogenesis2003241389ndash99
26 Biswas SJ Pathak S Khuda-Bukhsh AR Assessment of thegenotoxic and cytotoxic potential of an antiepileptic drugPhenobarbital in mice A time course study Mutat Res20045631ndash11
27 Palekar SD Sirsat SM Studies on the hepatocyte in azo dyecarcinogenesis Indian J Exp Boil 1966473ndash8
28 Boericke W Pocket Manual of Homeopathic Materia MedicaIndian edn Calcutta India Sett Dey and Co 1976
29 Kitagawa T Sugano H Enhancing effect of phenobarbital onthe development of enzyme-altered islands and hepatocellularcarcinomas initiated by 30-methyl-4-(dimethylamino) azobenzene ordiethylnitrosamine Gann 197869679ndash87
30 Kitagawa T Sugano H Enhancement of azo-dye hepatocarcino-genesis with dietary phenobarbital in rats Gann 197768255ndash6
31 Khuda-Bukhsh AR Towards understanding molecular mechanismsof action of homeopathic drugs An overview Mol Cell Biochem2003253339ndash45
32 Khuda-Bukhsh AR Laboratory research in homeopathy proIntegr Cancer Ther 20065320ndash32
33 Homeopathic Pharmacopoeia of India Ministry of HealthGovernment of India Press Coimbatore-641019 Controller ofPublications 19711165
34 Pathak S Bhattacharjee N Das JK Chaki Chowdhury S RoyKarmakar S Banerjee P et al Supportive evidences for anti-cancerous potential of an alternative medicine in hepatocarcinogen-esis of mice Res Com Med June issue 2007 14132 (DOI101159000102007)
35 Plaa GL Amdun AM Doull J Klasser CD Toxic responses of theliver 4th edn London UK Pergamon Press 1991
36 Chan KY Wong N Lai PB Squire JA Macgregor PF Behesthi Bet al Transcriptional profiling on chromosome 19p indicated
frequent down regulation of ACP5 expression in hepatocellularcarcinoma Int J cance 2005114902ndash8
37 Reichling JJ Kaplan MM Clinical use of serum enzymes in liverdiseases Dig Dis Sci 1988331601ndash14
38 Wiwanitkit V High serum alkaline phosphatase levels a study in181 Thai adult hospitalized patients BMC Family Practice 2001 22(retrieved from httpwwwbiomedcentralcom1471-229622)
39 Marnett LJ Lipid peroxidation-DNA damage by malondialdehydeMutat Res 199942483ndash95
40 Mishra S Sharma DC Sharma P Studies of biochemicalparameters in breast cancer with and without metastasis Indian JClin Biochem 20041971ndash5
41 Dreher D Junod AF Role of oxygen free radicals in cancerdevelopment Eur J Cancer 199632A30ndash8
42 Jungst C Cheng B Gehrke R Schmitz V Nischalke HDRamakers J et al Oxidative damage is increased in human livertissue adjacent to hepatocellular carcinoma Hepatology2004391663ndash72
43 Balasubramanian S Kowdley KV Effect of alcohol on viralhepatitis and other forms of liver dysfunction Clin Liver Dis2005983ndash101
44 Czeczot H Scibior D Skrzycki M Podsiad M Glutathione andGSH-dependent enzymes in patients with liver cirrhosis andhepatocellular carcinoma Acta Biochem Pol 200653237ndash42
45 Maclaughlin BW Gutsmuths B Pretner E Jonas WB Ives JKulawardane DV et al Effects of homeopathic preparations onhuman prostate cancer growth in cellular and animal models IntegrCancer Ther 20065362ndash72
46 Jonas WB Gaddipati JP Rajeshkumar NV Sharma A et alCan homeopathic treatment slow prostate cancer growthIntegr Cancer Ther 20065343ndash9
47 Adams LS Seeram NP Hardy ML Carpenter C Heber DAnalysis of the Interactions of Botanical Extract CombinationsAgainst the Viability of Prostate Cancer Cell Lines eCAM20063117ndash24
48 Padmavathi B Rath PC Rao AR Singh RP Roots of Withaniasomnifera Inhibit Forestomach and Skin Carcinogenesis in MiceEvid Based Compliment Alernat Med 2005299ndash105
49 Miller SC Echinacea a Miracle Herb against Aging and CancerEvidence In vivo in Mice Evid Based Compliment Alternat Med20052309ndash14
50 Pathak S Multani AS Banerjee P Ruta 6 selectively induced celldeath in brain cancer cells but proliferation in normal peripheralblood lymphocytes A novel treatment for human brain cancerInt J Oncol 200323975ndash82
51 Khuda-Bukhsh AR Potentized homeopathic drugs act throughregulation of gene expression a hypothesis to explain theirmechanism and pathways of action in vivo Com Ther Med1997513ndash46
Received November 27 2006 accepted May 8 2007
eCAM 20096(1) 75
Submit your manuscripts athttpwwwhindawicom
Stem CellsInternational
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
MEDIATORSINFLAMMATION
of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Behavioural Neurology
EndocrinologyInternational Journal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Disease Markers
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
BioMed Research International
OncologyJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Oxidative Medicine and Cellular Longevity
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
PPAR Research
The Scientific World JournalHindawi Publishing Corporation httpwwwhindawicom Volume 2014
Immunology ResearchHindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Journal of
ObesityJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Computational and Mathematical Methods in Medicine
OphthalmologyJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Diabetes ResearchJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Research and TreatmentAIDS
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Gastroenterology Research and Practice
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Parkinsonrsquos Disease
Evidence-Based Complementary and Alternative Medicine
Volume 2014Hindawi Publishing Corporationhttpwwwhindawicom
20 Siemiatycki J Richardson L Straif K Latreille B Lakhani RCampbell S et al Listing occupational carcinogens researchReview Environ Health Perspect 20041121447ndash59
21 NTP Report on Carcinogens (11th edn) Research Triangle ParkNC National Toxicology Program 2005 (Retrieved from httpntpniehsnihgovindexcfmObjectidfrac1432BA9724-F1F6-975E-7FCE50709CB4C932)
22 IARC (International Agency for Research on Cancer)Phenobarbital and Sodium salt IARC monograph 200179161
23 White SJ McLean AEM Howland C Anticonvulsant drugsand cancer A cohort study in patients with severe epilepsyLancet 1979ii458ndash61
24 Lee GH Paradoxical effects of phenobarbital on mouse carcinogen-esis Toxicol Pathol 200028215ndash25
25 Kinoshita A Wanibuchi H Morimura K Wei M Shen JImaoka S et al Phenobarbital at low dose exerts hormesis in rathepatocarcinogenesis by reducing oxidative DNA damage alteringcell proliferation apoptosis and gene expression Carcinogenesis2003241389ndash99
26 Biswas SJ Pathak S Khuda-Bukhsh AR Assessment of thegenotoxic and cytotoxic potential of an antiepileptic drugPhenobarbital in mice A time course study Mutat Res20045631ndash11
27 Palekar SD Sirsat SM Studies on the hepatocyte in azo dyecarcinogenesis Indian J Exp Boil 1966473ndash8
28 Boericke W Pocket Manual of Homeopathic Materia MedicaIndian edn Calcutta India Sett Dey and Co 1976
29 Kitagawa T Sugano H Enhancing effect of phenobarbital onthe development of enzyme-altered islands and hepatocellularcarcinomas initiated by 30-methyl-4-(dimethylamino) azobenzene ordiethylnitrosamine Gann 197869679ndash87
30 Kitagawa T Sugano H Enhancement of azo-dye hepatocarcino-genesis with dietary phenobarbital in rats Gann 197768255ndash6
31 Khuda-Bukhsh AR Towards understanding molecular mechanismsof action of homeopathic drugs An overview Mol Cell Biochem2003253339ndash45
32 Khuda-Bukhsh AR Laboratory research in homeopathy proIntegr Cancer Ther 20065320ndash32
33 Homeopathic Pharmacopoeia of India Ministry of HealthGovernment of India Press Coimbatore-641019 Controller ofPublications 19711165
34 Pathak S Bhattacharjee N Das JK Chaki Chowdhury S RoyKarmakar S Banerjee P et al Supportive evidences for anti-cancerous potential of an alternative medicine in hepatocarcinogen-esis of mice Res Com Med June issue 2007 14132 (DOI101159000102007)
35 Plaa GL Amdun AM Doull J Klasser CD Toxic responses of theliver 4th edn London UK Pergamon Press 1991
36 Chan KY Wong N Lai PB Squire JA Macgregor PF Behesthi Bet al Transcriptional profiling on chromosome 19p indicated
frequent down regulation of ACP5 expression in hepatocellularcarcinoma Int J cance 2005114902ndash8
37 Reichling JJ Kaplan MM Clinical use of serum enzymes in liverdiseases Dig Dis Sci 1988331601ndash14
38 Wiwanitkit V High serum alkaline phosphatase levels a study in181 Thai adult hospitalized patients BMC Family Practice 2001 22(retrieved from httpwwwbiomedcentralcom1471-229622)
39 Marnett LJ Lipid peroxidation-DNA damage by malondialdehydeMutat Res 199942483ndash95
40 Mishra S Sharma DC Sharma P Studies of biochemicalparameters in breast cancer with and without metastasis Indian JClin Biochem 20041971ndash5
41 Dreher D Junod AF Role of oxygen free radicals in cancerdevelopment Eur J Cancer 199632A30ndash8
42 Jungst C Cheng B Gehrke R Schmitz V Nischalke HDRamakers J et al Oxidative damage is increased in human livertissue adjacent to hepatocellular carcinoma Hepatology2004391663ndash72
43 Balasubramanian S Kowdley KV Effect of alcohol on viralhepatitis and other forms of liver dysfunction Clin Liver Dis2005983ndash101
44 Czeczot H Scibior D Skrzycki M Podsiad M Glutathione andGSH-dependent enzymes in patients with liver cirrhosis andhepatocellular carcinoma Acta Biochem Pol 200653237ndash42
45 Maclaughlin BW Gutsmuths B Pretner E Jonas WB Ives JKulawardane DV et al Effects of homeopathic preparations onhuman prostate cancer growth in cellular and animal models IntegrCancer Ther 20065362ndash72
46 Jonas WB Gaddipati JP Rajeshkumar NV Sharma A et alCan homeopathic treatment slow prostate cancer growthIntegr Cancer Ther 20065343ndash9
47 Adams LS Seeram NP Hardy ML Carpenter C Heber DAnalysis of the Interactions of Botanical Extract CombinationsAgainst the Viability of Prostate Cancer Cell Lines eCAM20063117ndash24
48 Padmavathi B Rath PC Rao AR Singh RP Roots of Withaniasomnifera Inhibit Forestomach and Skin Carcinogenesis in MiceEvid Based Compliment Alernat Med 2005299ndash105
49 Miller SC Echinacea a Miracle Herb against Aging and CancerEvidence In vivo in Mice Evid Based Compliment Alternat Med20052309ndash14
50 Pathak S Multani AS Banerjee P Ruta 6 selectively induced celldeath in brain cancer cells but proliferation in normal peripheralblood lymphocytes A novel treatment for human brain cancerInt J Oncol 200323975ndash82
51 Khuda-Bukhsh AR Potentized homeopathic drugs act throughregulation of gene expression a hypothesis to explain theirmechanism and pathways of action in vivo Com Ther Med1997513ndash46
Received November 27 2006 accepted May 8 2007
eCAM 20096(1) 75
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Submit your manuscripts athttpwwwhindawicom
Stem CellsInternational
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
MEDIATORSINFLAMMATION
of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Behavioural Neurology
EndocrinologyInternational Journal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Disease Markers
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
BioMed Research International
OncologyJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Oxidative Medicine and Cellular Longevity
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
PPAR Research
The Scientific World JournalHindawi Publishing Corporation httpwwwhindawicom Volume 2014
Immunology ResearchHindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Journal of
ObesityJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Computational and Mathematical Methods in Medicine
OphthalmologyJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Diabetes ResearchJournal of
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Research and TreatmentAIDS
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Gastroenterology Research and Practice
Hindawi Publishing Corporationhttpwwwhindawicom Volume 2014
Parkinsonrsquos Disease
Evidence-Based Complementary and Alternative Medicine
Volume 2014Hindawi Publishing Corporationhttpwwwhindawicom