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→Toxicity and carcinogenicity: changed from: suspected of being substituted with ''Aristolochia fangchi'', changed to: suspected of being replaced with ''Aristolochia fangchi''
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===Toxicity and carcinogenicity===
===Toxicity and carcinogenicity===
In 1993, a series of end-stage renal disease cases was reported<ref name=vanherweghem/><ref>Depierreux ''et al.'' (1994)</ref><!--see also {{DOI|10.1016/S0140-6736(94)90964-4}} PMID 7904018 --> from [[Belgium]] associated with a weight loss treatment, where ''[[Stephania tetrandra]]'' in a herbal preparation was suspected of being substituted with ''[[Aristolochia fangchi]]''.<ref>The names ''han fang ji'' (漢防己, Chinese ''fang ji'' - ''S.&nbsp;tetrandra'') and ''guan fang ji'' (廣防己, Broad ''fang ji'' - ''A.&nbsp;fanchi'') had apparently been confused.</ref><ref>Stiborova ''et al.'' (1999)</ref> More than 105 patients were identified with [[kidney disease|nephropathy]] following the ingestion of this preparation from the same clinic from 1990 to 1992. Many required [[renal transplantation]] or [[dialysis]].<ref>Vergano, D. [https://www.usatoday.com/tech/science/columnist/vergano/story/2012-04-07/do-herbal-remedies-work/54102616/1 Herbal 'remedy' may trigger widespread kidney failure.] ''USA Today'' April 16, 2012.</ref> Aristolochia is a component of some Chinese herbal medicines.<ref>{{cite journal | last1 = Li | first1 = X | last2 = Yang | first2 = L | last3 = Yu | first3 = Y | year = 2001 | title = An analysis of the clinical and pathological characteristics of Mu-tong (a Chinese herb) induced tubulointerstitial nephropathy | journal = Zhonghua Nei Ke Za Zhi | volume = 40 | issue = 10| pages = 681–7 | pmid = 11769723 }}</ref>
In 1993, a series of end-stage renal disease cases was reported<ref name=vanherweghem/><ref>Depierreux ''et al.'' (1994)</ref><!--see also {{DOI|10.1016/S0140-6736(94)90964-4}} PMID 7904018 --> from [[Belgium]] associated with a weight loss treatment, where ''[[Stephania tetrandra]]'' in a herbal preparation was suspected of being replaced with ''[[Aristolochia fangchi]]''.<ref>The names ''han fang ji'' (漢防己, Chinese ''fang ji'' - ''S.&nbsp;tetrandra'') and ''guan fang ji'' (廣防己, Broad ''fang ji'' - ''A.&nbsp;fanchi'') had apparently been confused.</ref><ref>Stiborova ''et al.'' (1999)</ref> More than 105 patients were identified with [[kidney disease|nephropathy]] following the ingestion of this preparation from the same clinic from 1990 to 1992. Many required [[renal transplantation]] or [[dialysis]].<ref>Vergano, D. [https://www.usatoday.com/tech/science/columnist/vergano/story/2012-04-07/do-herbal-remedies-work/54102616/1 Herbal 'remedy' may trigger widespread kidney failure.] ''USA Today'' April 16, 2012.</ref> Aristolochia is a component of some Chinese herbal medicines.<ref>{{cite journal | last1 = Li | first1 = X | last2 = Yang | first2 = L | last3 = Yu | first3 = Y | year = 2001 | title = An analysis of the clinical and pathological characteristics of Mu-tong (a Chinese herb) induced tubulointerstitial nephropathy | journal = Zhonghua Nei Ke Za Zhi | volume = 40 | issue = 10| pages = 681–7 | pmid = 11769723 }}</ref>


''Aristolochia'' has been shown to be both a potent carcinogen and kidney toxin. Herbal compounds containing ''Aristolochia'' are classified as a [[List of IARC Group 1 carcinogens|Group 1]] [[carcinogen]] by the [[International Agency for Research on Cancer]].<ref>ACS (2006)</ref> Epidemiological and laboratory studies have identified ''Aristolochia'' to be a dangerous kidney toxin; ''Aristolochia'' has been shown associated with more than 100 cases of kidney failure.<ref>{{cite journal | last1 = Cosyns | first1 = J. P. | year = 2003 | title = Aristolochic acid and 'Chinese herbs nephropathy': a review of the evidence to date | journal = Drug Saf. | volume = 26 | issue = 1| pages = 33–48 | pmid = 12495362 | doi=10.2165/00002018-200326010-00004| s2cid = 46073980 }}</ref> Furthermore, it appears as if contamination of [[grain]] with [[Aristolochia clematitis|European birthwort]] (''A.&nbsp;clematitis'') is a cause of [[Balkan nephropathy]], a severe renal disease occurring in parts of [[southeast Europe]].<ref>Grollman ''et al.'' (2007)</ref> In 2001 the UK government banned the sale, supply and importation of any medicinal product consisting of or containing a plant of the genus Aristolochia.<ref>Statutory Instruments 2001 No. 1841. The Medicines (Aristolochia and Mu Tong etc.) (Prohibition) Order 2001. http://www.legislation.gov.uk/uksi/2001/1841/made</ref> Several other plant species that do not cause themselves kidney poisoning, but which were commonly substituted with Aristolochia in the remedies, were prohibited in the same order.<ref>Illegal herbal remedies containing Aristolochia: vigilance needed. MHRA continues to identify cases of herbal medicines, particularly traditional Chinese medicines, which contain illegal and toxic Aristolochia or aristolochic acids. 11 December 2014. Medicines and Healthcare products Regulatory Agency. https://www.gov.uk/drug-safety-update/illegal-herbal-remedies-containing-aristolochia-vigilance-needed</ref>
''Aristolochia'' has been shown to be both a potent carcinogen and kidney toxin. Herbal compounds containing ''Aristolochia'' are classified as a [[List of IARC Group 1 carcinogens|Group 1]] [[carcinogen]] by the [[International Agency for Research on Cancer]].<ref>ACS (2006)</ref> Epidemiological and laboratory studies have identified ''Aristolochia'' to be a dangerous kidney toxin; ''Aristolochia'' has been shown associated with more than 100 cases of kidney failure.<ref>{{cite journal | last1 = Cosyns | first1 = J. P. | year = 2003 | title = Aristolochic acid and 'Chinese herbs nephropathy': a review of the evidence to date | journal = Drug Saf. | volume = 26 | issue = 1| pages = 33–48 | pmid = 12495362 | doi=10.2165/00002018-200326010-00004| s2cid = 46073980 }}</ref> Furthermore, it appears as if contamination of [[grain]] with [[Aristolochia clematitis|European birthwort]] (''A.&nbsp;clematitis'') is a cause of [[Balkan nephropathy]], a severe renal disease occurring in parts of [[southeast Europe]].<ref>Grollman ''et al.'' (2007)</ref> In 2001 the UK government banned the sale, supply and importation of any medicinal product consisting of or containing a plant of the genus Aristolochia.<ref>Statutory Instruments 2001 No. 1841. The Medicines (Aristolochia and Mu Tong etc.) (Prohibition) Order 2001. http://www.legislation.gov.uk/uksi/2001/1841/made</ref> Several other plant species that do not cause themselves kidney poisoning, but which were commonly substituted with Aristolochia in the remedies, were prohibited in the same order.<ref>Illegal herbal remedies containing Aristolochia: vigilance needed. MHRA continues to identify cases of herbal medicines, particularly traditional Chinese medicines, which contain illegal and toxic Aristolochia or aristolochic acids. 11 December 2014. Medicines and Healthcare products Regulatory Agency. https://www.gov.uk/drug-safety-update/illegal-herbal-remedies-containing-aristolochia-vigilance-needed</ref>

Revision as of 15:07, 6 July 2021

Aristolochia
Aristolochia labiata
Scientific classification Edit this classification
Kingdom: Plantae
Clade: Tracheophytes
Clade: Angiosperms
Clade: Magnoliids
Order: Piperales
Family: Aristolochiaceae
Subfamily: Aristolochioideae
Genus: Aristolochia
L.[1]
Species

Over 500, see text

Synonyms

Hocquartia Dum.
Holostylis Duch., Ann. Sci. Nat., Bot. sér. 4, 2: 33, t. 5. 1854.
Isotrema Raf. (disputed)

Aristolochia (English: /əˌrɪstəˈloʊkiə/) is a large plant genus with over 500 species that is the type genus of the family Aristolochiaceae. Its members are commonly known as birthwort, pipevine or Dutchman's pipe and are widespread and occur in the most diverse climates. Some species, like A. utriformis and A. westlandii, are threatened with extinction.

Isotrema is usually included here, but might be a valid genus. If so, it contains those species with a three-lobed calyx.

Description

Calico flower (A. littoralis): habit

Aristolochia is a genus of evergreen and deciduous lianas (woody vines) and herbaceous perennials. The smooth stem is erect or somewhat twining. The simple leaves are alternate and cordate, membranous, growing on leaf stalks. There are no stipules.

The flowers grow in the leaf axils. They are inflated and globose at the base, continuing as a long perianth tube, ending in a tongue-shaped, brightly colored lobe. There is no corolla. The calyx is one to three whorled, and three to six toothed. The sepals are united (gamosepalous). There are six to 40 stamens in one whorl. They are united with the style, forming a gynostemium. The ovary is inferior and is four to six locular.

These flowers have a specialized pollination mechanism. The plants are aromatic and their strong scent[2] attracts insects. The inner part of the perianth tube is covered with hairs, acting as a fly-trap. These hairs then wither to release the fly, covered with pollen.

The fruit is dehiscent capsule with many endospermic seeds.

The common names Dutchman's pipe and pipevine (e.g. common pipevine, A. durior) are an allusion to old-fashioned meerschaum pipes at one time common in the Netherlands and northern Germany. Birthwort (e.g. European birthwort A. clematitis) refers to these species' flower shape, resembling a birth canal. Aristolochia was first described by the 4th c. BC Greek philosopher and botanist Theophrastos in his book [Inquiry of Plants, IX.8.3], and the scientific name Aristolochia was developed from Ancient Greek aristos (άριστος) "best" + locheia (λοχεία), childbirth or childbed, relating to its known ancient use in childbirth.[3][4] The Roman orator Cicero records a different tradition, that the plant was named for the otherwise unknown individual with the common Greek name Aristolochos, who had learned from a dream that it was an antidote for snake bites.[5]

Aristolochic acid, the main toxin of pipevines

Herbalism, toxicity and carcinogenicity

The species Aristolochia clematitis was highly regarded as a medicinal plant since the ancient Egyptians, Greeks and Romans, and on until the Early Modern era; it also plays a role in traditional Chinese medicine. Due to its resemblance to the uterus, the doctrine of signatures held that birthwort was useful in childbirth. A preparation was given to women upon delivery to expel the placenta, as noted by the herbalist Dioscurides in the 1st century AD. Despite its presence in ancient medicine, Aristolochia is known to contain the lethal toxin aristolochic acid.

The Bencao Gangmu, compiled by Li Shi-Zhen in the latter part of the sixteenth century, was based on the author's experience and on data obtained from earlier herbals; this Chinese herbal classic describes 1892 "drugs" (with 1110 drawings), including many species of Aristolochia.[6] For 400 years, the Bencao Gangmu remained the principal source of information in traditional Chinese medicine and the work was translated into numerous languages, reflecting its influence in countries other than China. In the mid-twentieth century, the Bencao Gangmu was replaced by modern Materia Medica, the most comprehensive source being Zhong Hua Ben Cao (Encyclopedia of Chinese Materia Medica), published in 1999.[7] The Encyclopedia lists 23 species of Aristolochia, though with little mention of toxicity. The Chinese government currently lists the following Aristolochia herbs: A. manshuriensis (stems), A. fangchi (root), A. debilis (root and fruit), and A. contorta (fruit), two of which (madouling and qingmuxiang) appear in the 2005 Pharmacopoeia of the People's Republic of China.

In traditional Chinese medicine Aristolochia species are used for certain forms of acute arthritis and edema.[8][9][10]

Despite the toxic properties of aristolochic acid, naturopaths claim that a decoction of birthwort stimulates the production and increases the activity of white blood cells,[11] or that pipevines contain a disinfectant which assists in wound healing.[12] Also, Aristolochia bracteolata is colloquially known as "worm killer" due to supposed antihelminthic activity.[13]

Aristolochia taxa have also been used as reptile repellents. A. serpentaria (Virginia snakeroot) is thus named because the root was used to treat snakebite, as "so offensive to these reptiles, that they not only avoid the places where it grows, but even flee from the traveler who carries a piece of it in his hand".[14] A. pfeiferi,[15] A. rugosa,[16] and A. trilobata[17] are also used in folk medicine to treat snakebites.

Ornamental Aristolochia ringens

Toxicity and carcinogenicity

In 1993, a series of end-stage renal disease cases was reported[9][18] from Belgium associated with a weight loss treatment, where Stephania tetrandra in a herbal preparation was suspected of being replaced with Aristolochia fangchi.[19][20] More than 105 patients were identified with nephropathy following the ingestion of this preparation from the same clinic from 1990 to 1992. Many required renal transplantation or dialysis.[21] Aristolochia is a component of some Chinese herbal medicines.[22]

Aristolochia has been shown to be both a potent carcinogen and kidney toxin. Herbal compounds containing Aristolochia are classified as a Group 1 carcinogen by the International Agency for Research on Cancer.[23] Epidemiological and laboratory studies have identified Aristolochia to be a dangerous kidney toxin; Aristolochia has been shown associated with more than 100 cases of kidney failure.[24] Furthermore, it appears as if contamination of grain with European birthwort (A. clematitis) is a cause of Balkan nephropathy, a severe renal disease occurring in parts of southeast Europe.[25] In 2001 the UK government banned the sale, supply and importation of any medicinal product consisting of or containing a plant of the genus Aristolochia.[26] Several other plant species that do not cause themselves kidney poisoning, but which were commonly substituted with Aristolochia in the remedies, were prohibited in the same order.[27]

Aristolochic acid was linked to aristolochic acid-associated urothelial cancer in a Taiwanese study in 2012.[28] In 2013, two studies reported that aristolochic acid is a strong carcinogen. Whole-genome and exome analysis of individuals with a known exposure to aristolochic acid revealed a higher rate of somatic mutation in DNA.[29][30] Metabolites of aristolochic acid enter the cell nucleus and form adducts on DNA. While adducts on the transcribed DNA strand within genes are detected and removed by transcription-coupled repair, the adducts on the non-transcribed strand remain and eventually cause DNA replication errors. These adducts have a preference for adenine bases, and cause A-to-T transversions. Furthermore, these metabolites appear to show a preference for CAG and TAG sequences.

Garden history

Due to their spectacular flowers, several species are used as ornamental plants, notably the hardy A. durior of eastern North America, which was one of John Bartram's many introductions to British gardens; in 1761 Bartram sent seeds he had collected in the Ohio River Valley to Peter Collinson in London, and Collinson gave them to the nurseryman James Gordon at Mile End to raise. The vine was soon adopted for creating for arbors "a canopy impenetrable to the rays of the sun, or moderate rain," as Dr John Sims noted in The Botanical Magazine, 1801.[31]

Rajah Brooke's birdwing: its caterpillars feed on Aristolochia foveolata

Swallowtail butterflies

Many species of Aristolochia are eaten by the caterpillar larvae of swallowtail butterflies, thus making themselves unpalatable to most predators. Lepidoptera feeding on pipevines include:

Choreutidae

Papilionidae

In Australia the invasive Aristolochia littoralis is fatal to the caterpillars of Ornithoptera euphorion and O. richmondia and threatens to displace their proper host, A. tagala.

Selected species

Aristolochia chilensis
Aristolochia eriantha
  • Aristolochia cymbifera Mart.
Aristolochia gibertii
Aristolochia grandiflora
  • Aristolochia daemoninoxia
Aristolochia pistolochia
Aristolochia maxima
Aristolochia littoralis
Aristolochia pontica
Aristolochia sempervirens

Formerly placed here

See also

Footnotes

  1. ^ "Genus: Aristolochia L." Germplasm Resources Information Network. United States Department of Agriculture. 2009-01-30. Retrieved 2011-01-08.
  2. ^ "sometimes with a very disagreeable odour" remarks the Royal Horticultural Society, Dictionary of Gardening.
  3. ^ "Jepson Manual: Aristolochia". Ucjeps.berkeley.edu. Retrieved 2013-08-15.
  4. ^ "Missouri Botanical Garden". Mobot.org. Retrieved 2013-08-15.
  5. ^ Cicero, On Divination 1.10.16
  6. ^ Grollman, A. P., et al. (2009) Aristolochic acid nephropathy: An environmental and iatrogenic disease. In: Fishbein, J. C. (ed.) Advances in Molecular Toxicology Vol. 3. Amsterdam: Elsevier. pp 211-22.
  7. ^ Health Department and National Chinese Medicine Management Office (ed.). Zhong Hua Ben Cao, 3–460–509. Shanghai Science Technology Publication. 1999.
  8. ^ Bensky, D., et al. Chinese Herbal Medicine: Materia Medica, Third Edition. 2004. pp 1054-55.
  9. ^ a b Vanherweghem, J.-L.; Tielemans, C.; Abramowicz, D.; Depierreux, M.; Vanhaelen-Fastre, R.; Vanhaelen, M.; Dratwa, M.; Richard, C.; Vandervelde, D.; Verbeelen, D.; Jadoul, M. (February 1993). "Rapidly progressive interstitial renal fibrosis in young women: association with slimming regimen including Chinese herbs". Lancet. 341 (8842): 387–91. doi:10.1016/0140-6736(93)92984-2. ISSN 0140-6736. PMID 8094166. S2CID 32428737.
  10. ^ Vanhaelen, Maurice; Vanhaelen-Fastre, Renée; But, Paul; Vanherweghem, Jean-Louis (January 1994). "Identification of aristolochic acid in Chinese herbs". Lancet. 343 (8890): 174. doi:10.1016/S0140-6736(94)90964-4. ISSN 0140-6736. PMID 7904018. S2CID 34836561.
  11. ^ Chevallier, Andrew (2016). Encyclopedia of Herbal Medicine. Penguin. p. 171. ISBN 9781465456755.
  12. ^ Wood, Michael (March 2004). "Dutchman's Pipe (Aristolochia californica)". Yerbabuena org.
  13. ^ D Udhaya Nandhini, M Rajasekar, T Venmathi (February 2017). "A review on worm killer: Aristolochia bracteolata" (PDF). Journal of Pharmacognosy and Phytochemistry.{{cite journal}}: CS1 maint: multiple names: authors list (link)
  14. ^ Freeman-Mitford, A. B. The Bamboo Garden (1896) quoted in Alice M. Coats, Garden Shrubs and Their Histories (1964) 1992, s.v. "Aristolochia".
  15. ^ Jorge Ventocilla, Heraclio Herrera, Valerio Núñez (2010). Plants and Animals in the Life of the Kuna. University of Texas Press. ISBN 9780292786790.{{cite book}}: CS1 maint: multiple names: authors list (link)
  16. ^ Uphof, J. C. Th. (1959). Dictionary of Economic Plants. la Universidad de Michigan.
  17. ^ Giovannini, P; Howes, M. R (March 2017). "Medicinal plants used to treat snakebite in Central America: Review and assessment of scientific evidence". Journal of Ethnopharmacology. 199: 240–256. doi:10.1016/j.jep.2017.02.011. PMID 28179114.
  18. ^ Depierreux et al. (1994)
  19. ^ The names han fang ji (漢防己, Chinese fang ji - S. tetrandra) and guan fang ji (廣防己, Broad fang ji - A. fanchi) had apparently been confused.
  20. ^ Stiborova et al. (1999)
  21. ^ Vergano, D. Herbal 'remedy' may trigger widespread kidney failure. USA Today April 16, 2012.
  22. ^ Li, X; Yang, L; Yu, Y (2001). "An analysis of the clinical and pathological characteristics of Mu-tong (a Chinese herb) induced tubulointerstitial nephropathy". Zhonghua Nei Ke Za Zhi. 40 (10): 681–7. PMID 11769723.
  23. ^ ACS (2006)
  24. ^ Cosyns, J. P. (2003). "Aristolochic acid and 'Chinese herbs nephropathy': a review of the evidence to date". Drug Saf. 26 (1): 33–48. doi:10.2165/00002018-200326010-00004. PMID 12495362. S2CID 46073980.
  25. ^ Grollman et al. (2007)
  26. ^ Statutory Instruments 2001 No. 1841. The Medicines (Aristolochia and Mu Tong etc.) (Prohibition) Order 2001. http://www.legislation.gov.uk/uksi/2001/1841/made
  27. ^ Illegal herbal remedies containing Aristolochia: vigilance needed. MHRA continues to identify cases of herbal medicines, particularly traditional Chinese medicines, which contain illegal and toxic Aristolochia or aristolochic acids. 11 December 2014. Medicines and Healthcare products Regulatory Agency. https://www.gov.uk/drug-safety-update/illegal-herbal-remedies-containing-aristolochia-vigilance-needed
  28. ^ Chen, C.; et al. (2012). "Aristolochic acid-associated urothelial cancer in Taiwan". Proceedings of the National Academy of Sciences. 109 (21): 8241–46. doi:10.1073/pnas.1119920109. PMC 3361449. PMID 22493262.
  29. ^ S. L. Poon, S.-T. Pang, J. R. McPherson, W. Yu, K. K. Huang, P. Guan, W.-H. Weng, E. Y. Siew, Y. Liu, H. L. Heng, S. C. Chong, A. Gan, S. T. Tay, W. K. Lim, I. Cutcutache, D. Huang, L. D. Ler, M.-L. Nairismägi, M. H. Lee, Y.-H. Chang, K.-J. Yu, W. Chan-on, B.-K. Li, Y.-F. Yuan, C.-N. Qian, K.-F. Ng, C.-F. Wu, C.-L. Hsu, R. M. Bunte, M. R. Stratton, P. A. Futreal, W.-K. Sung, C.-K. Chuang, C. K. Ong, S. G. Rozen, P. Tan, B. T. Teh, Genome-Wide Mutational Signatures of Aristolochic Acid and Its Application as a Screening Tool.Sci. Transl. Med. 5, 197ra101 (2013)
  30. ^ M. L. Hoang, C.-H. Chen, V. S. Sidorenko, J. He, K. G. Dickman, B. H. Yun, M. Moriya, N. Niknafs, C. Douville, R. Karchin, R. J. Turesky, Y.-S. Pu, B. Vogelstein, N. Papadopoulos, A. P. Grollman, K. W. Kinzler, T. A. Rosenquist, Mutational Signature of Aristolochic Acid Exposure as Revealed by Whole-Exome Sequencing. Sci. Transl. Med. 5, 197ra102 (2013)
  31. ^ Quoted in Coats (1964) 1992.
  32. ^ "Bhutan Glory Butterfly". Knowledge Base.
  33. ^ "Bhutan Glory (Bhutanitis lidderdalii)". Astronomy to Zoology. 2015.
  34. ^ Takeuchi, W (2013). "Floristic records from the upper Sepik of Papua New Guinea: Aristolochia chrismülleriana sp. nov. (Aristolochiaceae), Monanthocitrus paludosa (Rutaceae), and Secamone timorensis (Apocynaceae)" (PDF). Phytotaxa. 114 (1): 51–57. doi:10.11646/phytotaxa.114.1.5.
  35. ^ a b "GRIN Species Records of Aristolochia". Germplasm Resources Information Network. United States Department of Agriculture. Retrieved 2011-01-08.
  36. ^ "Aristolochia". Integrated Taxonomic Information System. Retrieved 2011-01-08.

References

Further reading

Look up aristolochia in Wiktionary, the free dictionary.
Wikimedia Commons has media related to Aristolochia.
Wikispecies has information related to Aristolochia.
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