A double-blind, randomize, placebo-control trial to evaluate the effect of Nigella sativa on palmar arsenical keratosis patients

Authors

  • Tahmina Bashar Division of Arsenic Research, Department of Pharmacology, Faculty of Basic Medical Science and Paraclinical Science, Bangabandhu Sheikh Mujib Medical University, Shahbag, Dhaka
  • Mir Misbahuddin Department of Pharmacology Bangabandhu Sheikh Mujib Medical University Kazi Nazrul Islam Avenue Shahbag Dhaka Bangladesh
  • Md. Amir Hossain Drug International Limited, Tongi, Dhaka

DOI:

https://doi.org/10.3329/bjp.v9i1.17167

Keywords:

Arsenicosis, Nigella sativa, Palmar keratosis

Abstract

This study was done to examine the role of Nigella sativa in 28 patients of palmar arsenical keratosis. Patients were randomized into two groups: Group A (n-15) receive capsules of placebo and vitamin E (200 mg) whereas Group B (n= 13) receive capsules of N. sativa oil (500 mg) and vitamin E (200 mg) orally for 8 weeks. The mean (± SD) clinical scoring of palmer arsenical keratosis in Group A before and after treatment was 99.3 ± 21.5 and 62.3 ± 14.3 respectively (37% reduction). On the other hand, in N. sativa oil treated group, the mean clinical score was 119.1 ± 20.3 before treatment which was reduced to 39.2 ± 8.4 (p<0.0001) after treatment (67% reduction). There were 65% reduction of total arsenic in nail of Group A and 30% in Group B. In conclusion, oral administration of N. sativa oil improves the symptom of palmar arsenical keratosis as a result of reduction of body arsenic load.

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References

Al-Hader A, Aqel A, Hasan Z. Hypoglycemic Effects of the volatile oil of Nigella sativa seeds. Pharm Biol. 1993; 31: 96-100.

Al-Jassir MS. Chemical composition and microflora of black cumin (Nigella sativa L.) seeds growing in Saudi Arabia. Food Chemistry.1992; 45: 239-42.

Al-Jishi S, Abuo Hozaifa B. Effect of Nigella sativa on blood hemostatic function in rats. J Ethnopharmacol. 2003; 85: 7-14.

Argos M, Kalra T, Rathouz PJ, Chen Y, Pierce B, Parvez F, Islam T, Ahmed A, Rakibuz-Zaman M, Hasan R, Sarwar G, Slavkovich V, van Geen A, Graziano J, Ahsan H. Arsenic exposure from drinking water, and all-cause and chronicdisease mortalities in Bangladesh (HEALS): A prospective cohort study. The Lancet. 2010; 376: 252-58.

Bamosa AO, Ali BA, Al-Hawsawi ZA. The effect of thymoquinone on blood lipids in rats. Indian J Physiol Pharmacol. 2002; 46: 195-201.

Bamosa AO, Ali BA, Spwayan SA. Effect of oral ingestion of Nigella sativa seeds in some blood parameters. Saudi Pharm J. 1997; 5: 126-29.

Boskabady M, Mohsenpoor N, Takaloo L. Antiasthmatic effect of Nigella sativa in air ways of asthmatic patients. Phytomed. 2010; 17: 707-13.

Burits M, Bucar F. Antioxidant activity of Nigella sativa essential oil. Phytother Res. 2000; 14: 323-28.

Chen YC, Lin-Shiau SY, Lin JK. Involvement of reactive oxygen species and caspase 3 activation in arsenite induced apoptosis. J. Cell Physiol. 1998; 177: 324-33.

Chowdhury NJA, Mir Misbahuddin M, Rahman MS. Corn extracts lower tissue arsenic level in rat. Bangladesh Med Res Counc Bull. 2009; 35: 21-25.

Dina AN, Misbahuddin M. Randomized double-blind trial to evaluate the effectiveness of topical administration of propylene glycol in arsenical palmer keratosis. Bangladesh J Pharmacol. 2010; 5: 98-102.

Ebru U, Burak U, Yusuf S, Reyhan B, Arif K, Faruk TH, Emin M, Aydin K, Atilla II, Semsettin S, Kemal E. Cardioprotective effects of Nigella sativa oil on cyclosporine A-induced cardiotoxicity in rats. Basic Clin Pharmacol Toxicol. 2008; 103: 574-80.

El-Said SM, Alamri MBS, El-Barak ABS, Alsogair O. Adsorptive removal of arsenite as (III) and arsenate as (V) heavy metals from waste water using Nigella sativa L. Asian J Sci Res. 2009; 2: 96-104.

Fariduddin AKM, Misbahuddin M, Manun MIR, Nahar N. Alcohol extract and residue of spirulina in the prevention of accumulation of arsenic in rats. Bangladesh J Physiol Pharmacol. 2001; 17: 15-17.

Flora SJ, Bhadauria S, Pant SC, Dhaked RK. Arsenic induced blood and brain oxidative stress and its response to some thiol chelators in rats. Life Sci. 2005; 77: 2324-37.

Flora, SJ. Arsenic induced oxidative stress and its reversibility following combined administration of N-acetyl cysteine and meso 2,3-dimercaptosuccinic acid in rats. Clin. Exp. Pharmacol. Physiol. 1999; 26: 865-69.

Gad AM, El-Dakhakhany M, Hassan MM. Studies on the chemical constitution of Egyptian Nigella sativa L oil. Planta Med. 1963; 11: 134-38.

Hall AF. Arsenical keratosis disappearing with vitamin A therapy. Arch Derm Syph. 1946; 53: 154.

Haq A, Abdullatif M, Lobo PI, Khabar KS, Sheth KV, al-Sedairy ST. Nigella sativa: Effect on human lymphocytes and polymorphonuclear leukocyte phagocytic activity. Immunopharmacol. 1995; 30: 147-55.

Hawsawi ZA, Ali BA, Bamosa AO. Effect of Nigella sativa (black seeds) and thymoquinone on blood glucose in albino rats. Ann Saudi Med. 2001; 21: 224-24.

Hosseinzadeh H, Parvardeh S. Anticonvulsant effects of thymoquinone, the major constituent of Nigella sativa seeds, in mice. Phytomedicine. 2004; 11: 56-64.

Hosseinzadeh H, Parvardeh S, Asl M, Sadeghnia H, Ziaee T. Effect of thymoquinone and Nigella sativa seeds oil on lipid peroxidation level during global cerebral ischemia-reperfusion injury in rat hippocampus. Phytomedicine. 2007; 14: 621-27.

Houghton PJ, Zarka R, de las Heras B, Hoult JR. Fixed oil of Nigella sativa and derived thymoquinone inhibit eicosanoid generation in leukocytes and membrane lipid peroxidation. Planta Med. 1995; 61: 33-36.

Islam AZMM, Misbahuddin M, Sikdar S, Biswas A K, Islam Z, Hadiuzzaman, Khandker S, Mahmud IA, Ahmad SA. Randomized controlled trial to evaluate the effectiveness of topical use of salicylic acid for treatment of keratosis in arsenicosis patients. In: Applied research on arsenic in Bangladesh. Misbahuddin M (ed.). Dhaka. World Health Organization (Bangladesh), Director General of Health Services, Govt. of Bangladesh, 2007, pp 92-100.

Kanter M. Effects of Nigella sativa seed extract on ameliorating lung tissue damage in rats after experimental pulmonary aspirations. Acta Histochemica. 2009; 111: 393-403.

Khan MAR, Misbahuddin MS, Khandker S, Ifthaker-Al-Mahmud. Arsenic estimation in foodstuffs of arsenic exposed areas in Bangladesh. In: Applied research on arsenic in Bangladesh. Misbahuddin M (ed.), World Health Organization, Dhaka, 2007, pp 31-42.

Kitchin, KT. Recent advances in arsenic carcinogenesis: Mode of action, animal model system and methylated arsenic metabolites. Toxicol Appl Pharmacol. 2001; 172: 249-61.

Le PM, Benhaddou AA, Settaf A, Cherrah Y, Haddad PS. The petroleum ether extract of Nigella sativa exerts lipid lowering action in the rats. J Ethanopharmacol. 2004; 94: 251-59.

Meddah B, Ducroc R, El Abbes Faouzi M. Nigella sativa inhibits intestinal glucose absorption and improves glucose tolerance in rats. J Ethnopharmacol. 2009; 121: 419-24.

Misbahuddin M, Bashar T, Hossain MA. Effectiveness of garlic oil in the treatment of arsenical palmer keratosis. Bangladesh J Pharmacol. 2013; 8: 22-27.

Misbahuddin M, Islam AZ, Khandker S, Ifthaker-Al-Mahmud, Islam N, Anjumanara. Efficacy of spirulina extract plus zinc in patients of chronic arsenicosis poisoning: a randomized placebo-controlled study. Clin Toxicol (Phila). 2006; 44: 135-41.

Misbahuddin M, Khandker S, Jakariya M. Arsenic contamina-tion of drinking water and foodstuffs. In: Drinking water contaminants in Bangladesh: Focuses on arsenic, fluoride, pesticides, manganese and cyanobacteria. Misbahuddin M, Khandker S (eds). Lambert Academic Publishing, Germany, 2011, pp 12-57.

Najmi A, Nasiruddin M, Khan RA, Haque SF. Effect of Nigella sativa oil on various clinical and biochemical parameters of insulin resistance syndrome. Int J Diabetes Dev Ctries. 2008; 28: 11-14.

Parhizkar S, Latiff LA, Rahman SA, Dollah MA. Preventive effect of Nigella sativa on metabolic syndrome in menopause induced rats. J Med Plants Res. 2011; 5: 1478-84.

Salem M. Immunomodulatory and therapeutic properties of the Nigella sativa L. seed. Int Immunopharmacol. 2005; 5: 1749-70.

Umar BU. Effect of hexane extract of spinach in the removal of arsenic from rat. Bangladesh J Pharmacol. 2007; 2: 27-34.

Published

2014-01-20

How to Cite

Bashar, T., M. Misbahuddin, and M. A. Hossain. “A Double-Blind, Randomize, Placebo-Control Trial to Evaluate the Effect of Nigella Sativa on Palmar Arsenical Keratosis Patients”. Bangladesh Journal of Pharmacology, vol. 9, no. 1, Jan. 2014, pp. 15-21, doi:10.3329/bjp.v9i1.17167.

Issue

Section

Clinical Trial