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Investigation of the in vitro and in vivo effects of some herbal preparations on risk factors for calcium oxalate kidney stone disease

Includes bibliographical references.

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Main Author: Ramsout, Ronica
Other Authors: Rodgers, Allen
Format: Thesis
Language:English
Published: Department of Chemistry 2015
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access_status_str Open Access
author Ramsout, Ronica
author2 Rodgers, Allen
author_browse Ramsout, Ronica
Rodgers, Allen
author_facet Rodgers, Allen
Ramsout, Ronica
author_sort Ramsout, Ronica
collection Thesis
description Includes bibliographical references.
format Thesis
id oai:open.uct.ac.za:11427/14574
institution University of Cape Town (South Africa)
language eng
last_indexed 2026-06-10T12:31:50.330Z
license_str Not specified — see source repository
provenance_str_mv Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository
publishDate 2015
publishDateRange 2015
publishDateSort 2015
publisher Department of Chemistry
publisherStr Department of Chemistry
record_format dspace
source_str UCTD — University of Cape Town Open Access Repository
spelling oai:open.uct.ac.za:11427/14574 Investigation of the in vitro and in vivo effects of some herbal preparations on risk factors for calcium oxalate kidney stone disease Ramsout, Ronica Rodgers, Allen Chemistry Includes bibliographical references. Several herbal preparations (Folium pyrrosiae , Desmodium styracifolium, Hylocereus trigonus, Phyllanthus niruri, Orthosiphon stamineus and Cystone®) were investigated as potential therapeutic and prophylactic agents for kidney stone disease. These studies were executed in the context of the existence of a virtually stone-free (black) and a stone-prone (white) population group in South Africa, with a view of establishing whether their respective renal responses are different. The independent in vitro effects of six plant extracts were tested on the crystallization characteristics of calcium oxalate (CaOx), the predominant stone-forming salt in urine. These investigations were performed in synthetic urine and real urine collected from healthy black and white South African males and the following parameters were assessed: urine composition; CaOx metastable limit; particle size-volume distribution; 14 [C]-oxalate deposition kinetics; CaOx crystal nucleation, aggregation and growth kinetics; examination of crystalluria by scanning electron microscopy and calculation of various physicochemical risk indices (Bonn Risk Index, Tiselius Risk Index and the relative urinary supersaturation of several stone-forming salts). All plant extracts inhibited one or more of the crystallization processes. Furthermore, crystal-cell binding, another risk factor for stone formation, was investigated in the presence of plant extracts. Madin-Darby canine kidney (MDCK)-I cells were used for this experiment. Crystals (inorganic and urinary) were bound to cells incubated in both aqueous media and real urine. Results showed that plant extracts reduced crystal binding under some but not all conditions. One of the extracts (Folium pyrrosiae) was administered to healthy South African black (n=9) and white (n=9) males in a double-blind placebo-controlled study. No significant effects on urine chemistry were found and there were no significant differences between the race groups post- treatment. Compounds from this herb were isolated and purified by the use of sequential liquid-liquid extractions and gel-permeation chromatography. A novel compound, 5 - (3 -(5,5 -dihydroxy-3- oxopentyl)phenoxy)-2-hydroxy-5H-indene-6-carboxylic acid , was identified using mass spectrometry and nuclear magnetic resonance imaging spectroscopy. The findings in this thesis have contributed to the body of knowledge about kidney stone disease. It has been demonstrated that some herbal preparations may be potentially useful in treating and managing this disease, but further clinical testing is required prior to the implementation of such an approach. 2015-10-30T10:49:36Z 2015-10-30T10:49:36Z 2012 Doctoral Thesis Doctoral PhD http://hdl.handle.net/11427/14574 eng application/pdf Department of Chemistry Faculty of Science University of Cape Town
spellingShingle Chemistry
Ramsout, Ronica
Investigation of the in vitro and in vivo effects of some herbal preparations on risk factors for calcium oxalate kidney stone disease
thesis_degree_str Doctoral
title Investigation of the in vitro and in vivo effects of some herbal preparations on risk factors for calcium oxalate kidney stone disease
title_full Investigation of the in vitro and in vivo effects of some herbal preparations on risk factors for calcium oxalate kidney stone disease
title_fullStr Investigation of the in vitro and in vivo effects of some herbal preparations on risk factors for calcium oxalate kidney stone disease
title_full_unstemmed Investigation of the in vitro and in vivo effects of some herbal preparations on risk factors for calcium oxalate kidney stone disease
title_short Investigation of the in vitro and in vivo effects of some herbal preparations on risk factors for calcium oxalate kidney stone disease
title_sort investigation of the in vitro and in vivo effects of some herbal preparations on risk factors for calcium oxalate kidney stone disease
topic Chemistry
url http://hdl.handle.net/11427/14574
work_keys_str_mv AT ramsoutronica investigationoftheinvitroandinvivoeffectsofsomeherbalpreparationsonriskfactorsforcalciumoxalatekidneystonedisease