Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2014

Open Access 01-12-2014 | Research article

Interaction of standardized mistletoe (Viscum album) extracts with chemotherapeutic drugs regarding cytostatic and cytotoxic effects in vitro

Authors: Ulrike Weissenstein, Matthias Kunz, Konrad Urech, Stephan Baumgartner

Published in: BMC Complementary Medicine and Therapies | Issue 1/2014

Login to get access

Abstract

Background

Given the importance of complementary and alternative medicine (CAM) to cancer patients, there is an increasing need to learn more about possible interactions between CAM and anticancer drugs. Mistletoe (Viscum album L.) belongs to the medicinal herbs that are used as supportive care during chemotherapy. In the in vitro study presented here the effect of standardized mistletoe preparations on the cytostatic and cytotoxic activity of several common conventional chemotherapeutic drugs was investigated using different cancer cell lines.

Methods

Human breast carcinoma cell lines HCC1937 and HCC1143 were treated with doxorubicin hydrochloride, pancreas adenocarcinoma cell line PA-TU-8902 with gemcitabine hydrochloride, prostate carcinoma cell line DU145 with docetaxel and mitoxantrone hydrochloride and lung carcinoma cell line NCI-H460 was treated with docetaxel and cisplatin. Each dose of the respective chemotherapeutic drug was combined with Viscum album extract (VAE) in clinically relevant concentrations and proliferation and apoptosis were measured.

Results

VAE did not inhibit chemotherapy induced cytostasis and cytotoxicity in any of our experimental settings. At higher concentrations VAE showed an additive inhibitory effect.

Conclusions

Our in vitro results suggest that no risk of safety by herb drug interactions has to be expected from the exposition of cancer cells to chemotherapeutic drugs and VAE simultaneously.
Appendix
Available only for authorised users
Literature
1.
go back to reference Rixe O, Fojo T: Is cell death a critical end point for anticancer therapies or is cytostasis sufficient?. Clin Cancer Res. 2007, 13 (24): 7280-7287. 10.1158/1078-0432.CCR-07-2141.CrossRefPubMed Rixe O, Fojo T: Is cell death a critical end point for anticancer therapies or is cytostasis sufficient?. Clin Cancer Res. 2007, 13 (24): 7280-7287. 10.1158/1078-0432.CCR-07-2141.CrossRefPubMed
2.
go back to reference Cheng KC, Li YX, Cheng JT: The use of herbal medicine in cancer-related anorexia/ cachexia treatment around the world. Curr Pharm Des. 2012, 18 (31): 4819-4826. 10.2174/138161212803216979.CrossRefPubMed Cheng KC, Li YX, Cheng JT: The use of herbal medicine in cancer-related anorexia/ cachexia treatment around the world. Curr Pharm Des. 2012, 18 (31): 4819-4826. 10.2174/138161212803216979.CrossRefPubMed
3.
go back to reference Engdal S, Steinsbekk A, Klepp O, Nilsen OG: Herbal use among cancer patients during palliative or curative chemotherapy treatment in Norway. Support Care Cancer. 2008, 16 (7): 763-769. 10.1007/s00520-007-0371-3.CrossRefPubMed Engdal S, Steinsbekk A, Klepp O, Nilsen OG: Herbal use among cancer patients during palliative or curative chemotherapy treatment in Norway. Support Care Cancer. 2008, 16 (7): 763-769. 10.1007/s00520-007-0371-3.CrossRefPubMed
4.
go back to reference Harmsma M, Ummelen M, Dignef W, Tusenius KJ, Ramaekers FC: Effects of mistletoe (Viscum album L.) extracts Iscador on cell cycle and survival of tumor cells. Arzneimittelforschung. 2006, 56 (6A): 474-482.PubMed Harmsma M, Ummelen M, Dignef W, Tusenius KJ, Ramaekers FC: Effects of mistletoe (Viscum album L.) extracts Iscador on cell cycle and survival of tumor cells. Arzneimittelforschung. 2006, 56 (6A): 474-482.PubMed
5.
go back to reference Kovacs E, Link S, Toffol-Schmidt U: Cytostatic and cytocidal effects of mistletoe (Viscum album L.) quercus extract Iscador. Arzneimittelforschung. 2006, 56 (6A): 467-473.PubMed Kovacs E, Link S, Toffol-Schmidt U: Cytostatic and cytocidal effects of mistletoe (Viscum album L.) quercus extract Iscador. Arzneimittelforschung. 2006, 56 (6A): 467-473.PubMed
6.
go back to reference Seifert G, Jesse P, Laengler A, Reindl T, Luth M, Lobitz S, Henze G, Prokop A, Lode HN: Molecular mechanisms of mistletoe plant extract-induced apoptosis in acute lymphoblastic leukemia in vivo and in vitro. Cancer letters. 2008, 264 (2): 218-228. 10.1016/j.canlet.2008.01.036.CrossRefPubMed Seifert G, Jesse P, Laengler A, Reindl T, Luth M, Lobitz S, Henze G, Prokop A, Lode HN: Molecular mechanisms of mistletoe plant extract-induced apoptosis in acute lymphoblastic leukemia in vivo and in vitro. Cancer letters. 2008, 264 (2): 218-228. 10.1016/j.canlet.2008.01.036.CrossRefPubMed
7.
go back to reference Urech K, Schaller G, Jaggy C: Viscotoxins, mistletoe lectins and their isoforms in mistletoe (Viscum album L.) extracts Iscador. Arzneimittelforschung. 2006, 56 (6A): 428-434.PubMed Urech K, Schaller G, Jaggy C: Viscotoxins, mistletoe lectins and their isoforms in mistletoe (Viscum album L.) extracts Iscador. Arzneimittelforschung. 2006, 56 (6A): 428-434.PubMed
8.
go back to reference Park WB, Lyu SY, Kim JH, Choi SH, Chung HK, Ahn SH, Hong SY, Yoon TJ, Choi MJ: Inhibition of tumor growth and metastasis by Korean mistletoe lectin is associated with apoptosis and antiangiogenesis. Cancer Biother Radiopharm. 2001, 16 (5): 439-447. 10.1089/108497801753354348.CrossRefPubMed Park WB, Lyu SY, Kim JH, Choi SH, Chung HK, Ahn SH, Hong SY, Yoon TJ, Choi MJ: Inhibition of tumor growth and metastasis by Korean mistletoe lectin is associated with apoptosis and antiangiogenesis. Cancer Biother Radiopharm. 2001, 16 (5): 439-447. 10.1089/108497801753354348.CrossRefPubMed
9.
go back to reference Elluru SR, van Huyen J-P D, Wootla B, Delignat S, Prost F, Negi V-S, Kaveri SV: Tumor regressive effects of Viscum album preparations - exploration of immunomodulatory mechanisms. Medicina. 2007, 67 (Supl. II): 85-89. Elluru SR, van Huyen J-P D, Wootla B, Delignat S, Prost F, Negi V-S, Kaveri SV: Tumor regressive effects of Viscum album preparations - exploration of immunomodulatory mechanisms. Medicina. 2007, 67 (Supl. II): 85-89.
10.
go back to reference Schink M, Troger W, Dabidian A, Goyert A, Scheuerecker H, Meyer J, Fischer IU, Glaser F: Mistletoe extract reduces the surgical suppression of natural killer cell activity in cancer patients. a randomized phase III trial. Forschende Komplementarmedizin (2006). 2007, 14 (1): 9-17. 10.1159/000098135.CrossRef Schink M, Troger W, Dabidian A, Goyert A, Scheuerecker H, Meyer J, Fischer IU, Glaser F: Mistletoe extract reduces the surgical suppression of natural killer cell activity in cancer patients. a randomized phase III trial. Forschende Komplementarmedizin (2006). 2007, 14 (1): 9-17. 10.1159/000098135.CrossRef
11.
go back to reference Bussing A: Immune modulation using mistletoe (Viscum album L.) extracts Iscador. Arzneimittelforschung. 2006, 56 (6A): 508-515.PubMed Bussing A: Immune modulation using mistletoe (Viscum album L.) extracts Iscador. Arzneimittelforschung. 2006, 56 (6A): 508-515.PubMed
12.
go back to reference Heinzerling L, von Baehr V, Liebenthal C, von Baehr R, Volk HD: Immunologic effector mechanisms of a standardized mistletoe extract on the function of human monocytes and lymphocytes in vitro, ex vivo, and in vivo. J Clin Immunol. 2006, 26 (4): 347-359. 10.1007/s10875-006-9023-5.CrossRefPubMed Heinzerling L, von Baehr V, Liebenthal C, von Baehr R, Volk HD: Immunologic effector mechanisms of a standardized mistletoe extract on the function of human monocytes and lymphocytes in vitro, ex vivo, and in vivo. J Clin Immunol. 2006, 26 (4): 347-359. 10.1007/s10875-006-9023-5.CrossRefPubMed
13.
go back to reference Liu B, Bian HJ, Bao JK: Plant lectins: potential antineoplastic drugs from bench to clinic. Cancer Lett. 2010, 287 (1): 1-12. 10.1016/j.canlet.2009.05.013.CrossRefPubMed Liu B, Bian HJ, Bao JK: Plant lectins: potential antineoplastic drugs from bench to clinic. Cancer Lett. 2010, 287 (1): 1-12. 10.1016/j.canlet.2009.05.013.CrossRefPubMed
14.
go back to reference Engdal S, Nilsen OG: Inhibition of P-glycoprotein in Caco-2 cells: effects of herbal remedies frequently used by cancer patients. Xenobiotica. 2008, 38 (6): 559-573. 10.1080/00498250801986969.CrossRefPubMed Engdal S, Nilsen OG: Inhibition of P-glycoprotein in Caco-2 cells: effects of herbal remedies frequently used by cancer patients. Xenobiotica. 2008, 38 (6): 559-573. 10.1080/00498250801986969.CrossRefPubMed
15.
go back to reference Ostermann T, Raak C, Bussing A: Survival of cancer patients treated with mistletoe extract (Iscador): a systematic literature review. BMC cancer. 2009, 9: 451-10.1186/1471-2407-9-451.CrossRefPubMedPubMedCentral Ostermann T, Raak C, Bussing A: Survival of cancer patients treated with mistletoe extract (Iscador): a systematic literature review. BMC cancer. 2009, 9: 451-10.1186/1471-2407-9-451.CrossRefPubMedPubMedCentral
16.
go back to reference Grossarth-Maticek R, Ziegler R: Randomised and non-randomised prospective controlled cohort studies in matched-pair design for the long-term therapy of breast cancer patients with a mistletoe preparation (Iscador): a re-analysis. Eur J Med Res. 2006, 11 (11): 485-495.PubMed Grossarth-Maticek R, Ziegler R: Randomised and non-randomised prospective controlled cohort studies in matched-pair design for the long-term therapy of breast cancer patients with a mistletoe preparation (Iscador): a re-analysis. Eur J Med Res. 2006, 11 (11): 485-495.PubMed
17.
go back to reference Bussing A, Raak C, Ostermann T: Quality of life and related dimensions in cancer patients treated with mistletoe extract (iscador): a meta-analysis. Evid Based Complement Alternat Med. 2012, 2012: 219402-PubMed Bussing A, Raak C, Ostermann T: Quality of life and related dimensions in cancer patients treated with mistletoe extract (iscador): a meta-analysis. Evid Based Complement Alternat Med. 2012, 2012: 219402-PubMed
18.
go back to reference Friedel WE, Matthes H, Bock PR, Zanker KS: Systematic evaluation of the clinical effects of supportive mistletoe treatment within chemo- and/or radiotherapy protocols and long-term mistletoe application in nonmetastatic colorectal carcinoma: multicenter, controlled, observational cohort study. J Soc Integr Oncol. 2009, 7 (4): 137-145.PubMed Friedel WE, Matthes H, Bock PR, Zanker KS: Systematic evaluation of the clinical effects of supportive mistletoe treatment within chemo- and/or radiotherapy protocols and long-term mistletoe application in nonmetastatic colorectal carcinoma: multicenter, controlled, observational cohort study. J Soc Integr Oncol. 2009, 7 (4): 137-145.PubMed
19.
go back to reference Troger W, Zdrale Z, Stankovic N, Matijasevic M: Five-year follow-up of patients with early stage breast cancer after a randomized study comparing additional treatment with viscum album (L.) extract to chemotherapy alone. Breast Cancer (Auckl). 2012, 6: 173-180. Troger W, Zdrale Z, Stankovic N, Matijasevic M: Five-year follow-up of patients with early stage breast cancer after a randomized study comparing additional treatment with viscum album (L.) extract to chemotherapy alone. Breast Cancer (Auckl). 2012, 6: 173-180.
20.
go back to reference Carmer SG, Swanson MR: An evaluation of ten pairwise multiple comparison procedures by Monte Carlo methods. J Am Stat Assoc. 1973, 68: 66-74. 10.1080/01621459.1973.10481335.CrossRef Carmer SG, Swanson MR: An evaluation of ten pairwise multiple comparison procedures by Monte Carlo methods. J Am Stat Assoc. 1973, 68: 66-74. 10.1080/01621459.1973.10481335.CrossRef
21.
go back to reference Motwani M, Rizzo C, Sirotnak F, She Y, Schwartz GK: Flavopiridol enhances the effect of docetaxel in vitro and in vivo in human gastric cancer cells. Mol Cancer Ther. 2003, 2 (6): 549-555.PubMed Motwani M, Rizzo C, Sirotnak F, She Y, Schwartz GK: Flavopiridol enhances the effect of docetaxel in vitro and in vivo in human gastric cancer cells. Mol Cancer Ther. 2003, 2 (6): 549-555.PubMed
22.
go back to reference Engdal S, Nilsen OG: In vitro inhibition of CYP3A4 by herbal remedies frequently used by cancer patients. Phytother Res. 2009, 23 (7): 906-912. 10.1002/ptr.2750.CrossRefPubMed Engdal S, Nilsen OG: In vitro inhibition of CYP3A4 by herbal remedies frequently used by cancer patients. Phytother Res. 2009, 23 (7): 906-912. 10.1002/ptr.2750.CrossRefPubMed
23.
go back to reference Doehmer J, Eisenbraun J: Assessment of extracts from mistletoe (Viscum album) for herb-drug interaction by inhibition and induction of cytochrome P450 activities. Phytother Res. 2012, 26 (1): 11-17. 10.1002/ptr.3473.CrossRefPubMed Doehmer J, Eisenbraun J: Assessment of extracts from mistletoe (Viscum album) for herb-drug interaction by inhibition and induction of cytochrome P450 activities. Phytother Res. 2012, 26 (1): 11-17. 10.1002/ptr.3473.CrossRefPubMed
28.
go back to reference Galun D, Tröger W, Reif M, Schumann A, Stankovic N, Milicevic M: Mistletoe extract therapy versus no antineoplastic therapy in patients with locally advanced or metastatic pancreatic cancer: a randomized clinical phase III trial on overall survival (abstract). Ann Oncol. 2012, 23 (Supplement 9): 712P- Galun D, Tröger W, Reif M, Schumann A, Stankovic N, Milicevic M: Mistletoe extract therapy versus no antineoplastic therapy in patients with locally advanced or metastatic pancreatic cancer: a randomized clinical phase III trial on overall survival (abstract). Ann Oncol. 2012, 23 (Supplement 9): 712P-
30.
go back to reference Janssen O, Scheffler A, Kabelitz D: In vitro effects of mistletoe extracts and mistloetoe lectins. Cytotoxicity towards tumor cells due to the induction of programmed cell death (apoptosis). Arzneim Forsch / Drug Res. 1993, 43: 1221-1227. Janssen O, Scheffler A, Kabelitz D: In vitro effects of mistletoe extracts and mistloetoe lectins. Cytotoxicity towards tumor cells due to the induction of programmed cell death (apoptosis). Arzneim Forsch / Drug Res. 1993, 43: 1221-1227.
31.
go back to reference Endo Y, Tsurugi K, Franz H: The site of action of the A-chain of mistletoe lectin I on eukaryotic ribosomes. The RNA N-glycosidase activity of the protein. FEBS Lett. 1988, 231 (2): 378-380. 10.1016/0014-5793(88)80853-6.CrossRefPubMed Endo Y, Tsurugi K, Franz H: The site of action of the A-chain of mistletoe lectin I on eukaryotic ribosomes. The RNA N-glycosidase activity of the protein. FEBS Lett. 1988, 231 (2): 378-380. 10.1016/0014-5793(88)80853-6.CrossRefPubMed
32.
go back to reference Büssing A: Induction of apoptosis by the mistletoe lectins. A review on the mechanisms of cytotoxicity mediated by Viscum album L. Apoptosis. 1996, 1 (1): 25-32. 10.1007/BF00142075.CrossRef Büssing A: Induction of apoptosis by the mistletoe lectins. A review on the mechanisms of cytotoxicity mediated by Viscum album L. Apoptosis. 1996, 1 (1): 25-32. 10.1007/BF00142075.CrossRef
33.
go back to reference Bantel H, Engels IH, Voelter W, Schulze-Osthoff K, Wesselborg S: Mistletoe lectin activates caspase-8/FLICE independently of death receptor signaling and enhances anticancer drug-induced apoptosis. Cancer Res. 1999, 59 (9): 2083-2090.PubMed Bantel H, Engels IH, Voelter W, Schulze-Osthoff K, Wesselborg S: Mistletoe lectin activates caspase-8/FLICE independently of death receptor signaling and enhances anticancer drug-induced apoptosis. Cancer Res. 1999, 59 (9): 2083-2090.PubMed
34.
go back to reference Kovacs E: Investigation of the proliferation, apoptosis/necrosis, and cell cycle phases in several human multiple myeloma cell lines. Comparison of Viscum album QuFrF extract with vincristine in an in vitro model. TheScientificWorldJournal. 2010, 10: 311-320.CrossRefPubMed Kovacs E: Investigation of the proliferation, apoptosis/necrosis, and cell cycle phases in several human multiple myeloma cell lines. Comparison of Viscum album QuFrF extract with vincristine in an in vitro model. TheScientificWorldJournal. 2010, 10: 311-320.CrossRefPubMed
35.
go back to reference Mockel B, Schwarz T, Zinke H, Eck J, Langer M, Lentzen H: Effects of mistletoe lectin I on human blood cell lines and peripheral blood cells. Cytotoxicity, apoptosis and induction of cytokines. Arzneimittelforschung. 1997, 47 (10): 1145-1151.PubMed Mockel B, Schwarz T, Zinke H, Eck J, Langer M, Lentzen H: Effects of mistletoe lectin I on human blood cell lines and peripheral blood cells. Cytotoxicity, apoptosis and induction of cytokines. Arzneimittelforschung. 1997, 47 (10): 1145-1151.PubMed
36.
go back to reference Bussing A, Schaller G, Pfuller U: Generation of reactive oxygen intermediates (ROI) by the thionins from Viscum album L. Anticancer Res. 1998, 18 (6A): 4291-4296.PubMed Bussing A, Schaller G, Pfuller U: Generation of reactive oxygen intermediates (ROI) by the thionins from Viscum album L. Anticancer Res. 1998, 18 (6A): 4291-4296.PubMed
37.
go back to reference Siegle I, Fritz P, McClellan M, Gutzeit S, Murdter TE: Combined cytotoxic action of Viscum album agglutinin-1 and anticancer agents against human A549 lung cancer cells. Anticancer Res. 2001, 21 (4A): 2687-2691.PubMed Siegle I, Fritz P, McClellan M, Gutzeit S, Murdter TE: Combined cytotoxic action of Viscum album agglutinin-1 and anticancer agents against human A549 lung cancer cells. Anticancer Res. 2001, 21 (4A): 2687-2691.PubMed
38.
go back to reference Orth JD, Tang Y, Shi J, Loy CT, Amendt C, Wilm C, Zenke FT, Mitchison TJ: Quantitative live imaging of cancer and normal cells treated with Kinesin-5 inhibitors indicates significant differences in phenotypic responses and cell fate. Mol Cancer Ther. 2008, 7 (11): 3480-3489. 10.1158/1535-7163.MCT-08-0684.CrossRefPubMedPubMedCentral Orth JD, Tang Y, Shi J, Loy CT, Amendt C, Wilm C, Zenke FT, Mitchison TJ: Quantitative live imaging of cancer and normal cells treated with Kinesin-5 inhibitors indicates significant differences in phenotypic responses and cell fate. Mol Cancer Ther. 2008, 7 (11): 3480-3489. 10.1158/1535-7163.MCT-08-0684.CrossRefPubMedPubMedCentral
39.
go back to reference Rieder CL, Maiato H: Stuck in division or passing through: what happens when cells cannot satisfy the spindle assembly checkpoint. Dev Cell. 2004, 7 (5): 637-651. 10.1016/j.devcel.2004.09.002.CrossRefPubMed Rieder CL, Maiato H: Stuck in division or passing through: what happens when cells cannot satisfy the spindle assembly checkpoint. Dev Cell. 2004, 7 (5): 637-651. 10.1016/j.devcel.2004.09.002.CrossRefPubMed
40.
go back to reference Gascoigne KE, Taylor SS: Cancer cells display profound intra- and interline variation following prolonged exposure to antimitotic drugs. Cancer cell. 2008, 14 (2): 111-122. 10.1016/j.ccr.2008.07.002.CrossRefPubMed Gascoigne KE, Taylor SS: Cancer cells display profound intra- and interline variation following prolonged exposure to antimitotic drugs. Cancer cell. 2008, 14 (2): 111-122. 10.1016/j.ccr.2008.07.002.CrossRefPubMed
41.
go back to reference Orth JD, Loewer A, Lahav G, Mitchison TJ: Prolonged mitotic arrest triggers partial activation of apoptosis, resulting in DNA damage and p53 induction. Mol Biol Cell. 2012, 23 (4): 567-576. 10.1091/mbc.E11-09-0781.CrossRefPubMedPubMedCentral Orth JD, Loewer A, Lahav G, Mitchison TJ: Prolonged mitotic arrest triggers partial activation of apoptosis, resulting in DNA damage and p53 induction. Mol Biol Cell. 2012, 23 (4): 567-576. 10.1091/mbc.E11-09-0781.CrossRefPubMedPubMedCentral
42.
go back to reference Hanahan D, Weinberg RA: Hallmarks of cancer: the next generation. Cell. 2011, 144 (5): 646-674. 10.1016/j.cell.2011.02.013.CrossRefPubMed Hanahan D, Weinberg RA: Hallmarks of cancer: the next generation. Cell. 2011, 144 (5): 646-674. 10.1016/j.cell.2011.02.013.CrossRefPubMed
43.
go back to reference Johnstone RW, Ruefli AA, Lowe SW: Apoptosis: a link between cancer genetics and chemotherapy. Cell. 2002, 108 (2): 153-164. 10.1016/S0092-8674(02)00625-6.CrossRefPubMed Johnstone RW, Ruefli AA, Lowe SW: Apoptosis: a link between cancer genetics and chemotherapy. Cell. 2002, 108 (2): 153-164. 10.1016/S0092-8674(02)00625-6.CrossRefPubMed
44.
go back to reference Kienle GS, Kiene H: Review article: influence of viscum album L (European mistletoe) extracts on quality of life in cancer patients: a systematic review of controlled clinical studies. Integr Cancer Ther. 2010, 9 (2): 142-157. 10.1177/1534735410369673.CrossRefPubMed Kienle GS, Kiene H: Review article: influence of viscum album L (European mistletoe) extracts on quality of life in cancer patients: a systematic review of controlled clinical studies. Integr Cancer Ther. 2010, 9 (2): 142-157. 10.1177/1534735410369673.CrossRefPubMed
45.
go back to reference Matthes H, Friedel WE, Bock PR, Zanker KS: Molecular mistletoe therapy: friend or foe in established anti-tumor protocols? A multicenter, controlled, retrospective pharmaco-epidemiological study in pancreas cancer. Curr Mol Med. 2010, 10 (4): 430-439. 10.2174/156652410791317057.CrossRefPubMed Matthes H, Friedel WE, Bock PR, Zanker KS: Molecular mistletoe therapy: friend or foe in established anti-tumor protocols? A multicenter, controlled, retrospective pharmaco-epidemiological study in pancreas cancer. Curr Mol Med. 2010, 10 (4): 430-439. 10.2174/156652410791317057.CrossRefPubMed
46.
go back to reference Burkhart J, Walchli C, Heusser P, Weissenstein U, Baumgartner S, Andres AC: In vitro investigation into the potential of a mistletoe extract to alleviate adverse effects of cyclophosphamide. Altern Ther Health Med. 2010, 16 (3): 40-48.PubMed Burkhart J, Walchli C, Heusser P, Weissenstein U, Baumgartner S, Andres AC: In vitro investigation into the potential of a mistletoe extract to alleviate adverse effects of cyclophosphamide. Altern Ther Health Med. 2010, 16 (3): 40-48.PubMed
47.
go back to reference Kovacs E: The in vitro effect of Viscum album (VA) extract on DNA repair of peripheral blood mononuclear cells (PBMC) in cancer patients. Phytother Res. 2002, 16 (2): 143-147. 10.1002/ptr.920.CrossRefPubMed Kovacs E: The in vitro effect of Viscum album (VA) extract on DNA repair of peripheral blood mononuclear cells (PBMC) in cancer patients. Phytother Res. 2002, 16 (2): 143-147. 10.1002/ptr.920.CrossRefPubMed
48.
go back to reference Bussing A, Regnery A, Schweizer K: Effects of Viscum album L. on cyclophosphamide-treated peripheral blood mononuclear cells in vitro: sister chromatid exchanges and activation/proliferation marker expression. Cancer Lett. 1995, 94 (2): 199-205. 10.1016/0304-3835(95)03850-V.CrossRefPubMed Bussing A, Regnery A, Schweizer K: Effects of Viscum album L. on cyclophosphamide-treated peripheral blood mononuclear cells in vitro: sister chromatid exchanges and activation/proliferation marker expression. Cancer Lett. 1995, 94 (2): 199-205. 10.1016/0304-3835(95)03850-V.CrossRefPubMed
Metadata
Title
Interaction of standardized mistletoe (Viscum album) extracts with chemotherapeutic drugs regarding cytostatic and cytotoxic effects in vitro
Authors
Ulrike Weissenstein
Matthias Kunz
Konrad Urech
Stephan Baumgartner
Publication date
01-12-2014
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2014
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/1472-6882-14-6

Other articles of this Issue 1/2014

BMC Complementary Medicine and Therapies 1/2014 Go to the issue