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Govind S et al, ICJPIR 2017, 4(1), 01-04
www.icjpir.com
~1~
Available online at www.icjpir.com ISSN: 2349-5448
Intercontinental journal of pharmaceutical
Investigations and Research
ICJPIR |Volume 4 | Issue 1 | Jan – Mar- 2017 Research Article
WELLIA-R tablets; helps to protect brain tissue in cerebral edema.
Govind Shukla, Nagalakshmi Yaparthy, D.Sruthi Rao, C.J. Sampath Kumar
Oncowellness by Lactonova Nutripharm (P) Ltd, (Makers of Wellia-R tablets ), 81/3, IDA Mallapur,
Hyderabad, Telangana, India-500
Corresponding Author: Govind shukla
Email: govindbbd@gmail.com
ABSTRACT
Boswellia serrate extract in Wellia- R gained significant importance in treatment of cerebral edema in patients with
brain tumors, colon cancer, lung cancer, blood cancer, skin cancer, breast cancer, renal cancer, fibro sarcoma,
prostate cancer and pancreatic cancer. The medicinal properties of Boswellia serrate extract in Wellia- R have been
known and utilized since antiquity. Its current potential as an anti inflammatory and anticancer agent are being
investigated and hold great promise. This article reviews the current available scientific literature regarding the effect
of wellia-R tablets, from Boswellia serrate extract that Provides long lasting cerebral protection in brain tumor
patients.
Keywords: Wellia-R tablets, Boswellia Serrate extract, Cerebral protection, Brain tumor
INTRODUCTION
The medicinal properties of Boswellia serrate
extract in Wellia- R have been known and utilized
since antiquity. Its current potential as an anti
inflammatory and anticancer agent are being
investigated and hold great promise. The plant’s
active constituents are its boswellic acids extract in
Wellia- R, especially pentacyclic triterpenic acids
found in the gum resin contains 3 – Acetyl -11 –
keto – β Boswellic Acid (AKBA), is considered the
most active and Powerful acid Potential anti-
inflammatory and anti-cancer that Inhibits 5-
lipoxygenase, human leukocyte elastase and
nuclear factor-κB.AKBA can suppress STAT3
activation.Boswellia serrate extract in Wellia- R
gained significant importance in treatment of
cerebral edema in patients with brain tumors, colon
cancer, lung cancer, blood cancer, skin cancer,
breast cancer, renal cancer, fibro sarcoma, prostate
cancer and pancreatic cancer [7].
Govind S et al, ICJPIR 2017, 4(1), 01-04
www.icjpir.com
~2~
COMPOSITION OF WELLIA-R tablets
Mechanisms of Actionof Boswellia serrate
extract in Wellia- R tablets
An invitro study observed that acetyl-keto-beta-
boswellic acid (AKBA) inhibits cellular growth in
several colon cancer cell lines at the G1 phase. It
was found that cyclin D1 and E, CDK 2 and -4, and
phosphorylated Rb were decreased in AKBA-
treated cells [2] in an effort to further understand
the mechanism of Boswellia serrate extract in
Wellia- R therapeutic effects, another in vitro study
observed its effect on nuclear factor-kappaB (NF-
κB) activity. AKBA in Wellia- R enhanced
apoptosis induced by tumor necrosis factor-alpha
(TNF-α) and chemotherapeutic agents, suppressed
TNF-induced invasion, and inhibited receptor
activator of NF-κB ligand-induced
osteoclastogenesis, all actions that require NF-κB
activation. AKBA in Wellia- R suppressed both
inducible and constitutive NF-κB activation in
tumor cells. It also eliminated NF-κB activation
induced by TNF-α, interleukin-1beta (IL-1β),
okadaicacid, doxorubicin, lipopolysaccharide,
hydrogen peroxide, phorbolmyristate acetate, and
cigarette smoke. This activity is not the result of
direct action of AKBA in Wellia- R on NF-κB, but
rather through inhibition of NF-κB-regulated gene
expression [3]
Wellia-R tablets as Immunomodulator [8]
 Enhances cell mediated and humoral antibody
synthesis.
 Inhibits proliferative responsiveness of
splenocytes to mitogens and alloantigen.
 Delays delayed type hypersensitivity (DTH).
 Inhibits nuclear factor-κB pathway.
Wellia-R tablets as anti cancer, anti
carcinogenic, and anti tumor?
 Potentiates apoptosis, inhibits invasion.
 Abolishes oestoclastogenesis in human cancer
cell lines.
 Inhibits cell proliferation and growth inhibition
 It is a catalytic inhibitor of topoisomerase [9]
 Causes demethylation and reactivation of
putative tumor suppressor genes [10]
Clinical Study Reports on Boswellia serrate
extract in Wellia- R tablets
A randomized, placebo-controlled, double-
blinded, pilot study was conducted on 44 patients
with either primary or secondary malignant brain
tumors undergoing radiotherapy. In addition to the
radiotherapy, the participants were given either
4,200 mg/day of Boswellia serrate extract in
Wellia- R or placebo for one week. The primary
Govind S et al, ICJPIR 2017, 4(1), 01-04
www.icjpir.com
~3~
objective was to observe any change in cerebral
edema, as measured by T2-weighted magnetic
resonance imaging (MRI), after using Boswellia
serrate extract in Wellia- R compared to placebo.
Researchers observed that 60 percent of patients on
Boswellia serrate extract in Wellia- R experienced
75-percent or greater reduction in cerebral edema;
only 26 percent in the placebo group experienced a
similar reduction in edema[4]
In another study, 12 patients with brain tumors
and progressive edema caused by tumor
progression or radiochemotherapy-related
leukoencephalopathy were treated with a
preparation of Boswellia serrate extract in Wellia-
R at a dosage of 1,200 mg three times daily for at
least four weeks. All patients tolerated the
preparation well. Reduced edema was observed in
two of seven patients with glioblastoma and in
three out of five patients with treatment-related
leukoencephalopathy. All patients with
leukoencephalopathy improved clinically for
several months[5] .
Pharmacokinetics of Boswellia serrate extract
in Wellia- R tablets
A study was conducted to determine the
metabolism of boswellic acids (BAs) extract in
Wellia- R particularly 11-keto-beta-boswellic acid
(KBA) and AKBA – in vitro and in vivo. This
study determined the metabolic stability of KBA
and AKBA in Wellia- R in vitro investigated the in
vitro metabolism of BAs, and compared the
metabolic profiles of KBA and AKBA in Wellia- R
with those obtained in rats in vivo. Researchers
observed that KBA, but not AKBA, undergoes
extensive phase I metabolism in both human and
rat liver microsomes, and that this is accomplished
primarily via oxidation to hydroxylated
metabolites. Metabolic profiles of KBA from rat
plasma and liver yielded in vitro were similar to in
vivo. No metabolites of AKBA, however, could be
identified in vivo. It was further observed that
AKBA is not deacetylated to KBA. This study
suggests the efficacy of Boswellia serrate extract in
Wellia- R may be enhanced by increasing the
bioavailability of AKBA [5].
Recommended Usage
One tablet per day or as Directed by Healthcare
practitioner
SUMMARY and CONCLUSION
Cancer is the worldwide health problem and the
most frightening disease of human and it’s become
the second leading cause of human mortality after
cardiovascular diseases. According to WHO,
cancer accounted for 7.8 million deaths in 2007,
with 38% in developed countries and 62% in
developing countries. Cancer is one of the leading
causes of death in both developed and developing
countries and is consequently, has posed an
immense challenge in front of medicinal chemist .
Anticancer drugs discovered from herbal medicines
have a long history. In the current scenario, there is
a real need to develop the novel anticancer drugs
which is safe or cost effective with effective
mechanism. The new mode of developing
combined components from effective traditional
formulas and from single standard ingredient under
traditional medicine theory, unlike the conventional
way of clinic experience based drug development
should be focused & Wellia-R tablets have shown
promising results in cancer therapy to protect brain
tissue in cerebral edema.
REFERENCE
[1]. Liu JJ, Huang B, Hooi SC. Acetyl-keto-beta-boswellic acid inhibits cellular proliferation through a p21-
dependent pathway in colon cancer cells. Br J Pharmaco 148, 2006, 1099-1107.
[2]. Takada Y, Ichikawa H, Badmaev V, Aggarwal BB Acetyl-11-keto-beta-boswellic acid potentiates apoptosis
inhibits invasion, and abolishes osteoclastogenesis by suppressing NF-kappa B and NF-kappa B-regulated
gene expression. J Immunol 176, 2006, 3127-3140.
[3]. Kirste S, Treier M, Wehrle SJ, et al. Boswellia serrata acts on cerebral edema in patients irradiated for brain
tumors: a prospective, randomized, placebo-controlled, double-blind pilot trial. Cancer 117, 2011, 3788-3795.
[4]. Streer JR, Bitzer M, Schabet M, et al. Response of radiochemotherapy-associated cerebral edema to a
phytotherapeutic agent, H15. Neurology 56, 2001, 1219-1221.
Govind S et al, ICJPIR 2017, 4(1), 01-04
www.icjpir.com
~4~
[5]. Krüger P, Daneshfar R, Eckert GP, et al. Metabolism of boswellic acids in vitro and in vivo. Drug Metab
Dispos. Unpublished research, 36, 2008, 1135-1142.
[6]. Cuomo J, Appendino G, Dern AS, et al. Comparative absorption of a standardized curcuminoid mixture and its
lecithin formulation. J Nat Prod 74, 2011, 664-669.
[7]. Huang M. T., Bacdmaev V., Ding V., Liu Y., Xie J. G., Ho C.T. Anti-tumor and anti-carcinogenic activities of
triterpenoid, beta-boswellic acid. Biofactors. 13(1-4), 2000, 225-30.
[8]. Dandekar T., Dandekar G. Immunotherapeutical potential of Ayurvedic drugs; Medicines and Foods, The
Ethnopharmacological Approach, 2nd European Colloquium on Ethnopharmacology, Heidelberg, Germany
1993, 81.
[9]. Connor JR, LePage C, Swift BA, Yamashita D, Bendele AM, Maul D, Kumar S. Protective effects of a
cathepsin K inhibitor, SB- 553484, in the canine partial medial meniscectomy model of osteoarthritis.
Osteoarthritis Cartilage, 9, 2009, 1236-1243.
[10]. Doucas H, Garcea G, Neal CP, Manson MM, Berry DP. Chemoprevention of pancreatic cancer: A review of
the molecular pathways involved, and evidence for the potential for chemoprevention. Pancreatology, 6(5),
2006, 429-439.

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WELLIA-R tablets; helps to protect brain tissue in cerebral edema

  • 1. Govind S et al, ICJPIR 2017, 4(1), 01-04 www.icjpir.com ~1~ Available online at www.icjpir.com ISSN: 2349-5448 Intercontinental journal of pharmaceutical Investigations and Research ICJPIR |Volume 4 | Issue 1 | Jan – Mar- 2017 Research Article WELLIA-R tablets; helps to protect brain tissue in cerebral edema. Govind Shukla, Nagalakshmi Yaparthy, D.Sruthi Rao, C.J. Sampath Kumar Oncowellness by Lactonova Nutripharm (P) Ltd, (Makers of Wellia-R tablets ), 81/3, IDA Mallapur, Hyderabad, Telangana, India-500 Corresponding Author: Govind shukla Email: govindbbd@gmail.com ABSTRACT Boswellia serrate extract in Wellia- R gained significant importance in treatment of cerebral edema in patients with brain tumors, colon cancer, lung cancer, blood cancer, skin cancer, breast cancer, renal cancer, fibro sarcoma, prostate cancer and pancreatic cancer. The medicinal properties of Boswellia serrate extract in Wellia- R have been known and utilized since antiquity. Its current potential as an anti inflammatory and anticancer agent are being investigated and hold great promise. This article reviews the current available scientific literature regarding the effect of wellia-R tablets, from Boswellia serrate extract that Provides long lasting cerebral protection in brain tumor patients. Keywords: Wellia-R tablets, Boswellia Serrate extract, Cerebral protection, Brain tumor INTRODUCTION The medicinal properties of Boswellia serrate extract in Wellia- R have been known and utilized since antiquity. Its current potential as an anti inflammatory and anticancer agent are being investigated and hold great promise. The plant’s active constituents are its boswellic acids extract in Wellia- R, especially pentacyclic triterpenic acids found in the gum resin contains 3 – Acetyl -11 – keto – β Boswellic Acid (AKBA), is considered the most active and Powerful acid Potential anti- inflammatory and anti-cancer that Inhibits 5- lipoxygenase, human leukocyte elastase and nuclear factor-κB.AKBA can suppress STAT3 activation.Boswellia serrate extract in Wellia- R gained significant importance in treatment of cerebral edema in patients with brain tumors, colon cancer, lung cancer, blood cancer, skin cancer, breast cancer, renal cancer, fibro sarcoma, prostate cancer and pancreatic cancer [7].
  • 2. Govind S et al, ICJPIR 2017, 4(1), 01-04 www.icjpir.com ~2~ COMPOSITION OF WELLIA-R tablets Mechanisms of Actionof Boswellia serrate extract in Wellia- R tablets An invitro study observed that acetyl-keto-beta- boswellic acid (AKBA) inhibits cellular growth in several colon cancer cell lines at the G1 phase. It was found that cyclin D1 and E, CDK 2 and -4, and phosphorylated Rb were decreased in AKBA- treated cells [2] in an effort to further understand the mechanism of Boswellia serrate extract in Wellia- R therapeutic effects, another in vitro study observed its effect on nuclear factor-kappaB (NF- κB) activity. AKBA in Wellia- R enhanced apoptosis induced by tumor necrosis factor-alpha (TNF-α) and chemotherapeutic agents, suppressed TNF-induced invasion, and inhibited receptor activator of NF-κB ligand-induced osteoclastogenesis, all actions that require NF-κB activation. AKBA in Wellia- R suppressed both inducible and constitutive NF-κB activation in tumor cells. It also eliminated NF-κB activation induced by TNF-α, interleukin-1beta (IL-1β), okadaicacid, doxorubicin, lipopolysaccharide, hydrogen peroxide, phorbolmyristate acetate, and cigarette smoke. This activity is not the result of direct action of AKBA in Wellia- R on NF-κB, but rather through inhibition of NF-κB-regulated gene expression [3] Wellia-R tablets as Immunomodulator [8]  Enhances cell mediated and humoral antibody synthesis.  Inhibits proliferative responsiveness of splenocytes to mitogens and alloantigen.  Delays delayed type hypersensitivity (DTH).  Inhibits nuclear factor-κB pathway. Wellia-R tablets as anti cancer, anti carcinogenic, and anti tumor?  Potentiates apoptosis, inhibits invasion.  Abolishes oestoclastogenesis in human cancer cell lines.  Inhibits cell proliferation and growth inhibition  It is a catalytic inhibitor of topoisomerase [9]  Causes demethylation and reactivation of putative tumor suppressor genes [10] Clinical Study Reports on Boswellia serrate extract in Wellia- R tablets A randomized, placebo-controlled, double- blinded, pilot study was conducted on 44 patients with either primary or secondary malignant brain tumors undergoing radiotherapy. In addition to the radiotherapy, the participants were given either 4,200 mg/day of Boswellia serrate extract in Wellia- R or placebo for one week. The primary
  • 3. Govind S et al, ICJPIR 2017, 4(1), 01-04 www.icjpir.com ~3~ objective was to observe any change in cerebral edema, as measured by T2-weighted magnetic resonance imaging (MRI), after using Boswellia serrate extract in Wellia- R compared to placebo. Researchers observed that 60 percent of patients on Boswellia serrate extract in Wellia- R experienced 75-percent or greater reduction in cerebral edema; only 26 percent in the placebo group experienced a similar reduction in edema[4] In another study, 12 patients with brain tumors and progressive edema caused by tumor progression or radiochemotherapy-related leukoencephalopathy were treated with a preparation of Boswellia serrate extract in Wellia- R at a dosage of 1,200 mg three times daily for at least four weeks. All patients tolerated the preparation well. Reduced edema was observed in two of seven patients with glioblastoma and in three out of five patients with treatment-related leukoencephalopathy. All patients with leukoencephalopathy improved clinically for several months[5] . Pharmacokinetics of Boswellia serrate extract in Wellia- R tablets A study was conducted to determine the metabolism of boswellic acids (BAs) extract in Wellia- R particularly 11-keto-beta-boswellic acid (KBA) and AKBA – in vitro and in vivo. This study determined the metabolic stability of KBA and AKBA in Wellia- R in vitro investigated the in vitro metabolism of BAs, and compared the metabolic profiles of KBA and AKBA in Wellia- R with those obtained in rats in vivo. Researchers observed that KBA, but not AKBA, undergoes extensive phase I metabolism in both human and rat liver microsomes, and that this is accomplished primarily via oxidation to hydroxylated metabolites. Metabolic profiles of KBA from rat plasma and liver yielded in vitro were similar to in vivo. No metabolites of AKBA, however, could be identified in vivo. It was further observed that AKBA is not deacetylated to KBA. This study suggests the efficacy of Boswellia serrate extract in Wellia- R may be enhanced by increasing the bioavailability of AKBA [5]. Recommended Usage One tablet per day or as Directed by Healthcare practitioner SUMMARY and CONCLUSION Cancer is the worldwide health problem and the most frightening disease of human and it’s become the second leading cause of human mortality after cardiovascular diseases. According to WHO, cancer accounted for 7.8 million deaths in 2007, with 38% in developed countries and 62% in developing countries. Cancer is one of the leading causes of death in both developed and developing countries and is consequently, has posed an immense challenge in front of medicinal chemist . Anticancer drugs discovered from herbal medicines have a long history. In the current scenario, there is a real need to develop the novel anticancer drugs which is safe or cost effective with effective mechanism. The new mode of developing combined components from effective traditional formulas and from single standard ingredient under traditional medicine theory, unlike the conventional way of clinic experience based drug development should be focused & Wellia-R tablets have shown promising results in cancer therapy to protect brain tissue in cerebral edema. REFERENCE [1]. Liu JJ, Huang B, Hooi SC. Acetyl-keto-beta-boswellic acid inhibits cellular proliferation through a p21- dependent pathway in colon cancer cells. Br J Pharmaco 148, 2006, 1099-1107. [2]. Takada Y, Ichikawa H, Badmaev V, Aggarwal BB Acetyl-11-keto-beta-boswellic acid potentiates apoptosis inhibits invasion, and abolishes osteoclastogenesis by suppressing NF-kappa B and NF-kappa B-regulated gene expression. J Immunol 176, 2006, 3127-3140. [3]. Kirste S, Treier M, Wehrle SJ, et al. Boswellia serrata acts on cerebral edema in patients irradiated for brain tumors: a prospective, randomized, placebo-controlled, double-blind pilot trial. Cancer 117, 2011, 3788-3795. [4]. Streer JR, Bitzer M, Schabet M, et al. Response of radiochemotherapy-associated cerebral edema to a phytotherapeutic agent, H15. Neurology 56, 2001, 1219-1221.
  • 4. Govind S et al, ICJPIR 2017, 4(1), 01-04 www.icjpir.com ~4~ [5]. Krüger P, Daneshfar R, Eckert GP, et al. Metabolism of boswellic acids in vitro and in vivo. Drug Metab Dispos. Unpublished research, 36, 2008, 1135-1142. [6]. Cuomo J, Appendino G, Dern AS, et al. Comparative absorption of a standardized curcuminoid mixture and its lecithin formulation. J Nat Prod 74, 2011, 664-669. [7]. Huang M. T., Bacdmaev V., Ding V., Liu Y., Xie J. G., Ho C.T. Anti-tumor and anti-carcinogenic activities of triterpenoid, beta-boswellic acid. Biofactors. 13(1-4), 2000, 225-30. [8]. Dandekar T., Dandekar G. Immunotherapeutical potential of Ayurvedic drugs; Medicines and Foods, The Ethnopharmacological Approach, 2nd European Colloquium on Ethnopharmacology, Heidelberg, Germany 1993, 81. [9]. Connor JR, LePage C, Swift BA, Yamashita D, Bendele AM, Maul D, Kumar S. Protective effects of a cathepsin K inhibitor, SB- 553484, in the canine partial medial meniscectomy model of osteoarthritis. Osteoarthritis Cartilage, 9, 2009, 1236-1243. [10]. Doucas H, Garcea G, Neal CP, Manson MM, Berry DP. Chemoprevention of pancreatic cancer: A review of the molecular pathways involved, and evidence for the potential for chemoprevention. Pancreatology, 6(5), 2006, 429-439.