Cross-sectional Study for Blood Metal Concentration in Patients with Herbal Medicine Intake

  • Published : 2009.04.30

Abstract

Evidences from various countries suggest that toxic heavy metals in herbal medicine may constitute a serious health problem. In order to evaluate whether the toxic heavy metals caused by herbal medicine intake, blood samples collected from 222 patients taking herbal medicine were analyzed. In average levels of analyzed metals, $0.4{\sim}33.9%$ of total samples for 8 metals such as Cd, Co, Cu, Hg, Mn, Ni, Pb and Zn except Cr and Fe exceeded the upper limit for WHO reference value. In analysis of regression coefficients indicating the levels of metals increased or decreased after taking herbal medicine for one month, however, there were different aspects by intake types for herbal medicine. For example, the metals increased by taking decoction in blood samples were as follows; Cd and Pb whether Mn, Ni and Pb as increased metals were identified in the group taking pill and decoction(combined intake group). The odds ratio showing values higher than 1 indicating that people who take herbal medicine would have possibility higher for metal accumulation in blood than that from people who do not take herbal medicine. The metals showing the odds ratio higher than 1 were Hg and Ni in decoction group, and Cd and Hg in combined intake group. However, eight of the total, 10 metals showed the odds ratios lower than 1 by taking herbal medicine. Thus, this may explain the possible role of herbal medicine as a chelator for heavy metals in body.

Keywords

References

  1. Caldas, E.D., Machado, L.L.(2004) : Cadmium, mercury and lead in medicinal herbs in Brazil. Food Chem Toxicol., 42(4) : 599-603. https://doi.org/10.1016/j.fct.2003.11.004
  2. Ernst, E.(2000) : Risks associated with complementary therapies. In : M.N.G. Dukes and J.K. Aronson, Editors, Meyler's Side Effects of Drugs(14th ed.). Elsevier, 1649-1681.
  3. Kabelitz, L.(1998) : Heavy metals in herbal drugs. Eur. J. Herb. Med., 4 : 25-29.
  4. Ernst, E., Coon, J.(2001) : Heavy metals in traditional Chinese medicines : a systematic review. Clin. Pharmacol. Ther., 70 : 497-504.
  5. Cubadda F., Raggi A., Zanasi F., Carcea M.(2003) : From durum wheat to pasta : effect of technological processing on the levels of arsenic, cadmium, lead and nickel-a pilot study. Food Addit Contam., 20(4) : 353-60. https://doi.org/10.1080/0265203031000121996
  6. Park, Y.C., Lee, S.L., Park, H. and Kim, J.(2006) : Urine and Hair metal con centrations in subjects with long term intake of herbal medicine. J. Tpxicol. Pub. Health., 22(1) : 47-54.
  7. Goulle, J.P., Mahieu, L., Castermant, J., Neveu, N., Bonneau, L., Laine, G., Bouige, D., Lacroix, C.(2005) : Metal and metalloid multi-elementary ICP-MS validation in whole blood, plasma, urine and blood : Reference values. Forensic Sci Int., 153(1) : 39-44. https://doi.org/10.1016/j.forsciint.2005.04.020
  8. Mortada, W.I., Sobh, M.A., el-Defrawy, M.M., Farahat, S.E.(2002) : Reference intervals of cadmium, lead, and mercury in blood, urine, blood, and nails among residents in Mansoura city, Nile delta, Egypt. Environ Res., 90(2) : 104-110. https://doi.org/10.1006/enrs.2002.4396
  9. US EPA(1981) Interim methods for sampling and analysis of priority pollutants in sediments and fish tissue. US Environmental Protection Agency, EPA 600/4-81-055, Cincinnati, OH.
  10. Stata 7 -Reference Manual Extract. Stata Press, 2001
  11. WHO(1996), Trace elements in Human Nutrition and Health. World Health Organization, Genova. 258-9
  12. Ko RJ. Adverse reactions to watch for in patients using herbal remedies. West. J. Med. 1999 ; 171 : 181186.
  13. Fong, H.H.(2002) : Integration of herbal medicine into modern medical practices : issues and prospects. Integr Cancer Ther., 1(3) : 287-93 https://doi.org/10.1177/153473540200100313
  14. Georgiou, G.J.(2005) : The discovery of a unique natural heavy metal chelator. Explore. 14(4). 44-51.
  15. Lim, S.S., Jung, S.H., Ji, J., Shin, K.H., Keum, S.R.(2001) : Synthesis of flavonoids and their effects on aldose reductase and sorbitol accumulation in streptozotocininduced diabetic rat tissues. Pharm Pharmacol., 53(5) : 653-668. https://doi.org/10.1211/0022357011775983
  16. Pierre J.L., Baret P., Serratrice G.(2003) Hydroxyquinolines as iron chelators. Curr Med Chem., 10(12) : 1077-84. https://doi.org/10.2174/0929867033457584