Skip to main content
Top
Published in: BMC Complementary Medicine and Therapies 1/2012

Open Access 01-12-2012 | Research article

Solenostemon monostachyus, Ipomoea involucrata and Carica papaya seed oil versus Glutathione, or Vernonia amygdalina: Methanolic extracts of novel plants for the management of sickle cell anemia disease

Authors: Israel Sunmola Afolabi, Iyanuoluwa Olubukola Osikoya, Oluwabukunmi Dorcas Fajimi, Priscilla Ibanga Usoro, Damilola Olufunlayo Ogunleye, Tolulope Bisi-Adeniyi, Alaba O Adeyemi, Bosede Temitope Adekeye

Published in: BMC Complementary Medicine and Therapies | Issue 1/2012

Login to get access

Abstract

Background

Sickle cell disease (SCD) is a genetic disease caused by an individual inheriting an allele for sickle cell hemoglobin from both parents and is associated with unusually large numbers of immature blood cells, containing many long, thin, crescent-shaped erythrocytes. It is a disease prevalent throughout many populations. The use of medicinal plants and nutrition in managing SCD is gaining increasing attention.

Methods

The antisickling effects of Solenostemon monostachyus (SolMon), Carica papaya seed oil (Cari-oil) and Ipomoea involucrata (Ipocrata) in male (HbSSM) and female (HbSSF) human sickle cell blood was examined in vitro and compared with controls, or cells treated with glutathione or an antisickling plant (Vernonia amygdalina; VerMyg).

Results

Levels of sickle blood cells were significantly reduced (P < 0.05) in all the plant-extract treated SCD patients’ blood compared with that of untreated SCD patients. RBCs in SolMon, Ipocrata, and Cari-oil treated samples were significantly higher (P < 0.05) compared with VerMyg-treated samples. The Fe2+/Fe3+ ratio was significantly reduced (P < 0.05) in all plant extract-treated HbSSM samples compared with controls. Hemoglobin concentration was significantly increased (P < 0.05) by SolMon treatment in HbSSF compared with VerMyg. Sickle cell polymerization inhibition exhibited by SolMon was significantly higher (P < 0.05) compared with that of VerMyg in HbSSF blood. Sickle cell polymerization inhibition in SolMon and Ipocrata were significantly higher (P < 0.05) compared with VerMyg in HbSSM blood. All plant extracts significantly reduced (P < 0.05) lactate dehydrogenase activity in both HbSSM and HbSSF-treated blood. Catalase activity was significantly increased (P < 0.05) in HbSSF blood treated with Ipocrata compared with glutathione. Cari-oil treated HbSSM and HbSSF blood had significantly increased (P < 0.05) peroxidase activity compared with controls.

Conclusions

Methanolic extracts from S. monostachyus, C. papaya seed oil and I. involucrata exhibited particular antisickling properties coupled with the potential to reduce stress in sickle cell patients. Each plant individually or in combination may be useful for the management of sickle cell disease.
Appendix
Available only for authorised users
Literature
1.
go back to reference Okpuzor J, Adebesin O, Ogbunugafor H, Amadi I: The potential of medicinal plants in sickle cell disease control: a review. Int J Biomed Health Sci. 2008, 4 (2): 47-55. Okpuzor J, Adebesin O, Ogbunugafor H, Amadi I: The potential of medicinal plants in sickle cell disease control: a review. Int J Biomed Health Sci. 2008, 4 (2): 47-55.
2.
go back to reference WHO: Guidelines on developing consumer on proper use of traditional, complementary and alternative medicine. The report of WHO Consultation on Proper Use of Traditional Medicine and Complementary Medicine by Consumers held at Milan, Italy, 1–3 December 2003. Edited by WHO, vol. 1, First edn. Milan (Italy). 2004, Milan (Italy): World Health Organisation (WHO), 87-1 WHO: Guidelines on developing consumer on proper use of traditional, complementary and alternative medicine. The report of WHO Consultation on Proper Use of Traditional Medicine and Complementary Medicine by Consumers held at Milan, Italy, 1–3 December 2003. Edited by WHO, vol. 1, First edn. Milan (Italy). 2004, Milan (Italy): World Health Organisation (WHO), 87-1
3.
go back to reference Elujoba AA, Odeleye OM, Ogunyemi CM: Traditional medicine development for medical and dental primary health care delivery system in Africa. Afr J Tradit Complement Altern Med. 2005, 2: 46-61. Elujoba AA, Odeleye OM, Ogunyemi CM: Traditional medicine development for medical and dental primary health care delivery system in Africa. Afr J Tradit Complement Altern Med. 2005, 2: 46-61.
4.
go back to reference Dapa D, Gil T: Sickle cell disease in Africa. Curr Opinin Haematol. 2002, 9: 111-116. 10.1097/00062752-200203000-00005.CrossRef Dapa D, Gil T: Sickle cell disease in Africa. Curr Opinin Haematol. 2002, 9: 111-116. 10.1097/00062752-200203000-00005.CrossRef
5.
go back to reference Mpiana PT, Ngbolua KN, Mudogo V, Tshibangu DST, Atibu EK, Tshilanda DD, Misengabu NM: Anti sickle erythrocytes haemolysis properties and inhibitory effect of anthocyanins extracts of Trema orientalis (Ulmaceae) on the aggregation of human deoxyhemoglobin S in vitro. J Med Sci. 2011, 11: 129-137.CrossRef Mpiana PT, Ngbolua KN, Mudogo V, Tshibangu DST, Atibu EK, Tshilanda DD, Misengabu NM: Anti sickle erythrocytes haemolysis properties and inhibitory effect of anthocyanins extracts of Trema orientalis (Ulmaceae) on the aggregation of human deoxyhemoglobin S in vitro. J Med Sci. 2011, 11: 129-137.CrossRef
6.
go back to reference Iyamu EW, Ernest A, Toshio A: Niprisan (Nix-0699) improves the survival rates of transgenic sickle cell mice under acute severe hypoxic conditions. Br J Haematol. 2003, 122: 1001-1008. 10.1046/j.1365-2141.2003.04536.x.CrossRefPubMed Iyamu EW, Ernest A, Toshio A: Niprisan (Nix-0699) improves the survival rates of transgenic sickle cell mice under acute severe hypoxic conditions. Br J Haematol. 2003, 122: 1001-1008. 10.1046/j.1365-2141.2003.04536.x.CrossRefPubMed
7.
go back to reference Brugnara C, De Franceshi L, Alper SL: Inhibition of Ca2+ dependent K+ transport and cell dehydration in sickle erythryocytes by CLT and other imidazole derivatives. J Clin Invest. 1993, 92: 520-526. 10.1172/JCI116597.CrossRefPubMedPubMedCentral Brugnara C, De Franceshi L, Alper SL: Inhibition of Ca2+ dependent K+ transport and cell dehydration in sickle erythryocytes by CLT and other imidazole derivatives. J Clin Invest. 1993, 92: 520-526. 10.1172/JCI116597.CrossRefPubMedPubMedCentral
8.
go back to reference Ekeke GI, Uwakwe AA, Nwaoguikpe R: The action of ripe fruit juices on hemoglobin polymerization, Fe2+/Fe3+ ratio and lactate dehydrogenase activity of sickle cell (HbSS) blood. Nig J Biochem Mol Biol. 2001, 16 (1): 31-35. Ekeke GI, Uwakwe AA, Nwaoguikpe R: The action of ripe fruit juices on hemoglobin polymerization, Fe2+/Fe3+ ratio and lactate dehydrogenase activity of sickle cell (HbSS) blood. Nig J Biochem Mol Biol. 2001, 16 (1): 31-35.
9.
go back to reference Nwaoguikpe RN, Braide W: Some fruit juices as environmental sickling agents. World J Med Sci. 2010, 5: 98-104. Nwaoguikpe RN, Braide W: Some fruit juices as environmental sickling agents. World J Med Sci. 2010, 5: 98-104.
10.
go back to reference Nwaoguike RN, Uwakwe AA: The antisickling effects of dried fish (tilapia) and dried prawn (Astacus red). J Appl Sci Environ Manage. 2005, 9: 115-119. Nwaoguike RN, Uwakwe AA: The antisickling effects of dried fish (tilapia) and dried prawn (Astacus red). J Appl Sci Environ Manage. 2005, 9: 115-119.
11.
go back to reference Afolabi IS, Akuiyibo SM, Rotimi SO, Adeyemi AO: In vivo evaluation of lipid and antioxidants qualities of Carica papaya seed oil. J Nat Prod. 2011, 4: 125-135. Afolabi IS, Akuiyibo SM, Rotimi SO, Adeyemi AO: In vivo evaluation of lipid and antioxidants qualities of Carica papaya seed oil. J Nat Prod. 2011, 4: 125-135.
12.
go back to reference Afolabi IS, Ofobrukweta K: Physicochemical and nutritional qualities of Carica papaya seed products. JMPR. 2011, 5 (14): 3115-3117. Afolabi IS, Ofobrukweta K: Physicochemical and nutritional qualities of Carica papaya seed products. JMPR. 2011, 5 (14): 3115-3117.
13.
go back to reference Okoko T, Ere D: Antioxidant activities of Solenostemon monostachyus leaf extract using in vitro methods. Sci Res Assays. 2012, 7: 621- Okoko T, Ere D: Antioxidant activities of Solenostemon monostachyus leaf extract using in vitro methods. Sci Res Assays. 2012, 7: 621-
14.
go back to reference Yeap SK, Ho WY, Beh BK, Liang WS, Ky H, Yousr AHN, Alitheen NB: Vernonia amygdalina, an ethnoveterinary and ethnomedical used green vegetable with multiple bioactivities. JMPR. 2010, 4 (25): 2787-2812. Yeap SK, Ho WY, Beh BK, Liang WS, Ky H, Yousr AHN, Alitheen NB: Vernonia amygdalina, an ethnoveterinary and ethnomedical used green vegetable with multiple bioactivities. JMPR. 2010, 4 (25): 2787-2812.
15.
go back to reference Ogunyemi CM, Elujoba AA, Durosinmi MA: Antisickling properties of Carica papaya Linn. J Nat Prod. 2008, 1: 56-66. Ogunyemi CM, Elujoba AA, Durosinmi MA: Antisickling properties of Carica papaya Linn. J Nat Prod. 2008, 1: 56-66.
16.
go back to reference Sinha KA: Colorimetric assay of Catalase. Anal Biochem. 1972, 47: 389-394. 10.1016/0003-2697(72)90132-7.CrossRefPubMed Sinha KA: Colorimetric assay of Catalase. Anal Biochem. 1972, 47: 389-394. 10.1016/0003-2697(72)90132-7.CrossRefPubMed
17.
go back to reference Wever R, Hamers M, Weening R, Roos D: Characterization of the peroxidase in human eosinophils. Eur J Biochem. 1980, 108: 491-505. 10.1111/j.1432-1033.1980.tb04746.x.CrossRefPubMed Wever R, Hamers M, Weening R, Roos D: Characterization of the peroxidase in human eosinophils. Eur J Biochem. 1980, 108: 491-505. 10.1111/j.1432-1033.1980.tb04746.x.CrossRefPubMed
18.
go back to reference Garner C, Tatu T, Reittie JE, Littlewood T, Darley J, Cervino S, Farrall M, Kelly P, Spector TD, Thein SL: Genetic influences on F cells and other hematologic variables: a twin heritability study. Blood. 2000, 95 (1): 342-346.PubMed Garner C, Tatu T, Reittie JE, Littlewood T, Darley J, Cervino S, Farrall M, Kelly P, Spector TD, Thein SL: Genetic influences on F cells and other hematologic variables: a twin heritability study. Blood. 2000, 95 (1): 342-346.PubMed
19.
go back to reference Akinnuga AM, Bamidele O, Chukwuebuka IC: Correlation between packed cell volume and body mass index in hypertensive and normotensive subjects. Ann Biol Res. 2011, 2 (2): 65-71. Akinnuga AM, Bamidele O, Chukwuebuka IC: Correlation between packed cell volume and body mass index in hypertensive and normotensive subjects. Ann Biol Res. 2011, 2 (2): 65-71.
20.
go back to reference Tirlapur VG, Gicheru K, Charalambous BM, Evans PJ, Mir MA: Packed cell volume, haemoglobin, and oxygen saturation changes in healthy smokers and non-smokers. Thorax. 1983, 38: 785-787. 10.1136/thx.38.10.785.CrossRefPubMedPubMedCentral Tirlapur VG, Gicheru K, Charalambous BM, Evans PJ, Mir MA: Packed cell volume, haemoglobin, and oxygen saturation changes in healthy smokers and non-smokers. Thorax. 1983, 38: 785-787. 10.1136/thx.38.10.785.CrossRefPubMedPubMedCentral
21.
go back to reference McCurdy PR, Mahmood L, Sherman AS: Red cell life span in sickle cell-hemoglobin C disease with a note about sickle cell-hemoglobin O ARAB. Blood. 1975, 45: 273-279.PubMed McCurdy PR, Mahmood L, Sherman AS: Red cell life span in sickle cell-hemoglobin C disease with a note about sickle cell-hemoglobin O ARAB. Blood. 1975, 45: 273-279.PubMed
22.
23.
go back to reference Shimizu H, Tamam M, Soemantri A, Ishida T: Glucose-6-phosphate dehydrogenase deficiency and Southeast Asian ovalocytosis in asymptomatic plasmodium carriers in Sumba island, Indonesia. J Hum Genet. 2005, 50: 420-424. 10.1007/s10038-005-0271-7.CrossRefPubMed Shimizu H, Tamam M, Soemantri A, Ishida T: Glucose-6-phosphate dehydrogenase deficiency and Southeast Asian ovalocytosis in asymptomatic plasmodium carriers in Sumba island, Indonesia. J Hum Genet. 2005, 50: 420-424. 10.1007/s10038-005-0271-7.CrossRefPubMed
24.
go back to reference Ferreira A, Marguti I, Bechmann I, Jeney V, Chora Â, Palha NR, Rebelo S, Henri A, Beuzard Y, Soares MP: Sickle hemoglobin confers tolerance to plasmodium infection. Cell. 2011, 145 (3): 398-409. 10.1016/j.cell.2011.03.049.CrossRefPubMed Ferreira A, Marguti I, Bechmann I, Jeney V, Chora Â, Palha NR, Rebelo S, Henri A, Beuzard Y, Soares MP: Sickle hemoglobin confers tolerance to plasmodium infection. Cell. 2011, 145 (3): 398-409. 10.1016/j.cell.2011.03.049.CrossRefPubMed
25.
go back to reference Simpore J, Liboudo D, Damintoti K, Sawadogo L, Maria E, Binet S, Nitiema H, Ouedraogo P, Pignatelli S, Nikiema J: Glucose-6-phosphate dehydrogenase deficiency and sickle cell disease in Burkina Faso. Pak J Biol Sci. 2007, 10: 409-414. 10.3923/pjbs.2007.409.414.CrossRefPubMed Simpore J, Liboudo D, Damintoti K, Sawadogo L, Maria E, Binet S, Nitiema H, Ouedraogo P, Pignatelli S, Nikiema J: Glucose-6-phosphate dehydrogenase deficiency and sickle cell disease in Burkina Faso. Pak J Biol Sci. 2007, 10: 409-414. 10.3923/pjbs.2007.409.414.CrossRefPubMed
26.
go back to reference Ekpenyong EA, Eyo JE: Malaria control and treatment strategies among school children in semi-urban tropical communities. West Indian Med J. 2008, 57 (5): 456-461.PubMed Ekpenyong EA, Eyo JE: Malaria control and treatment strategies among school children in semi-urban tropical communities. West Indian Med J. 2008, 57 (5): 456-461.PubMed
27.
go back to reference Yeshiwondim AK, Gopal S, Hailemariam AT, Dengela DO, Patel HP: Spatial analysis of malaria incidence at the village level in areas with unstable transmission in Ethiopia. Int J Health Geogr. 2009, 8: 5-10.1186/1476-072X-8-5.CrossRefPubMedPubMedCentral Yeshiwondim AK, Gopal S, Hailemariam AT, Dengela DO, Patel HP: Spatial analysis of malaria incidence at the village level in areas with unstable transmission in Ethiopia. Int J Health Geogr. 2009, 8: 5-10.1186/1476-072X-8-5.CrossRefPubMedPubMedCentral
29.
go back to reference Capellini MD, Fiorelli G: Glucose-6-phosphate dehydrogenase deficiency. Lancet. 2008, 371: 64-65. 10.1016/S0140-6736(08)60073-2.CrossRef Capellini MD, Fiorelli G: Glucose-6-phosphate dehydrogenase deficiency. Lancet. 2008, 371: 64-65. 10.1016/S0140-6736(08)60073-2.CrossRef
30.
go back to reference Manganelli G, Fico A, Martini G, Filosa S: Discussion on pharmacogenetic interaction in G6PD deficiency and methods to identify potential hemolytic drugs. Cardiovasc Hematol Disord Drug Targets. 2010, 10: 143-10.2174/187152910791292547.CrossRefPubMed Manganelli G, Fico A, Martini G, Filosa S: Discussion on pharmacogenetic interaction in G6PD deficiency and methods to identify potential hemolytic drugs. Cardiovasc Hematol Disord Drug Targets. 2010, 10: 143-10.2174/187152910791292547.CrossRefPubMed
31.
go back to reference Osuagwu CG: Mechanism of the antisickling effects of Cajanus cajan and phenylalanine. Nig J Biochem Mol Biol. 2010, 25: 68-71. Osuagwu CG: Mechanism of the antisickling effects of Cajanus cajan and phenylalanine. Nig J Biochem Mol Biol. 2010, 25: 68-71.
32.
go back to reference Nwaoguikpe RN, Ejele EA: Amino acid profile of some anti-sickling plant extracts and their haemoglobin polymerization inhibition. Nig J Biochem Mol Biol. 2010, 25 (2): 53-59. Nwaoguikpe RN, Ejele EA: Amino acid profile of some anti-sickling plant extracts and their haemoglobin polymerization inhibition. Nig J Biochem Mol Biol. 2010, 25 (2): 53-59.
33.
go back to reference Diamantino T, Amadeu E, Soaresa M, Guilherminoc L: Lactate dehydrogenase activity as an effect criterion in toxicity tests with Daphnia magna Straus. Chemosphere. 2001, 45: 553-560. 10.1016/S0045-6535(01)00029-7.CrossRefPubMed Diamantino T, Amadeu E, Soaresa M, Guilherminoc L: Lactate dehydrogenase activity as an effect criterion in toxicity tests with Daphnia magna Straus. Chemosphere. 2001, 45: 553-560. 10.1016/S0045-6535(01)00029-7.CrossRefPubMed
34.
go back to reference Hamadah K, Basiouny A, Ghoneim KS: Alterations in the lactate dehydrogenase activity of the desert locust Schistocerca gregaria by the wild plant Fagonia bruguieri (Zygophyllaceae). Egypt Acad J Biol Sci. 2010, 3: 1-9. Hamadah K, Basiouny A, Ghoneim KS: Alterations in the lactate dehydrogenase activity of the desert locust Schistocerca gregaria by the wild plant Fagonia bruguieri (Zygophyllaceae). Egypt Acad J Biol Sci. 2010, 3: 1-9.
35.
go back to reference Lin JP, Zheng G, Joo J, Cupples LA: Genome-wide linkage and association scans for quantitative trait loci of serum lactate dehydrogenase—The framingham heart study. Hum Genom Proteomics. 2010, 2010 (Article ID 905237): 1-5.CrossRef Lin JP, Zheng G, Joo J, Cupples LA: Genome-wide linkage and association scans for quantitative trait loci of serum lactate dehydrogenase—The framingham heart study. Hum Genom Proteomics. 2010, 2010 (Article ID 905237): 1-5.CrossRef
36.
go back to reference Al-Jaleel AA-RA, Hussain MK, AL-Fadal SZS: The effect of sex and BMI on the reference values of serum LDH and ACP activities. Kufa Med J. 2009, 12 (2): 143-148. Al-Jaleel AA-RA, Hussain MK, AL-Fadal SZS: The effect of sex and BMI on the reference values of serum LDH and ACP activities. Kufa Med J. 2009, 12 (2): 143-148.
37.
go back to reference Manca P, Chisu V: Testosterone attenuates morpho-functional alterations by 2-methoxyastradiol exposure and induces differentiation in C6 cells. J Cell Physiol. 2011, 226: 1510-1518. 10.1002/jcp.22480.CrossRefPubMed Manca P, Chisu V: Testosterone attenuates morpho-functional alterations by 2-methoxyastradiol exposure and induces differentiation in C6 cells. J Cell Physiol. 2011, 226: 1510-1518. 10.1002/jcp.22480.CrossRefPubMed
38.
go back to reference Qujeq D, Rezvani T: Catalase (antioxidant enzyme) activity in streptozotocin-induced diabetic rats. Int J Diabetes Metabol. 2007, 15: 22-24. Qujeq D, Rezvani T: Catalase (antioxidant enzyme) activity in streptozotocin-induced diabetic rats. Int J Diabetes Metabol. 2007, 15: 22-24.
39.
go back to reference Barp J, Araújo ASR, Fernandes TRG, Rigatto KV, Llesuy S, Belló-Klein A, Singal P: Myocardial antioxidant and oxidative stress changes due to sex hormones. Braz J Med Biol Res. 2002, 35: 1075-1081. 10.1590/S0100-879X2002000900008.CrossRefPubMed Barp J, Araújo ASR, Fernandes TRG, Rigatto KV, Llesuy S, Belló-Klein A, Singal P: Myocardial antioxidant and oxidative stress changes due to sex hormones. Braz J Med Biol Res. 2002, 35: 1075-1081. 10.1590/S0100-879X2002000900008.CrossRefPubMed
40.
go back to reference Syed DN, Mukhtar H: Gender bias in skin cancer: role of catalase revealed. J Invest Dermatol. 2012, 132: 512-514. 10.1038/jid.2011.423.CrossRefPubMed Syed DN, Mukhtar H: Gender bias in skin cancer: role of catalase revealed. J Invest Dermatol. 2012, 132: 512-514. 10.1038/jid.2011.423.CrossRefPubMed
41.
go back to reference Dhahbi JM, Tillman JB, Cao S, Mote PL, Walford RL, Spindler SR: Caloric intake alters the efficiency of catalase mRNA translation in the liver of old female mice. J Gerontol Ser A. 1998, 53A (3): B180-B185. 10.1093/gerona/53A.3.B180.CrossRef Dhahbi JM, Tillman JB, Cao S, Mote PL, Walford RL, Spindler SR: Caloric intake alters the efficiency of catalase mRNA translation in the liver of old female mice. J Gerontol Ser A. 1998, 53A (3): B180-B185. 10.1093/gerona/53A.3.B180.CrossRef
42.
go back to reference Al-Abrash A, Al-Quobaili A, Al-Akhras G: Catalase evaluation in different human diseases associated with oxidative. Saudi Med J. 2000, 21 (9): 827- Al-Abrash A, Al-Quobaili A, Al-Akhras G: Catalase evaluation in different human diseases associated with oxidative. Saudi Med J. 2000, 21 (9): 827-
43.
go back to reference Milton N: Homocysteine Inhibits Hydrogen Peroxide Breakdown by Catalase. Open Enzym Inhib J. 2008, 1: 34-41. 10.2174/1874940200801010034.CrossRef Milton N: Homocysteine Inhibits Hydrogen Peroxide Breakdown by Catalase. Open Enzym Inhib J. 2008, 1: 34-41. 10.2174/1874940200801010034.CrossRef
44.
go back to reference Kapralov A, Vlasova II, Feng W, Maeda A, Walson K, Tyurin VA, Huang Z, Aneja RK, Carcillo J, Bayır H: Peroxidase activity of hemoglobin-haptoglobin complexes. covalent aggregation and oxidative stress in plasma and macrophages. J Biol Chem. 2009, 284 (44): 30395-30407. 10.1074/jbc.M109.045567.CrossRefPubMedPubMedCentral Kapralov A, Vlasova II, Feng W, Maeda A, Walson K, Tyurin VA, Huang Z, Aneja RK, Carcillo J, Bayır H: Peroxidase activity of hemoglobin-haptoglobin complexes. covalent aggregation and oxidative stress in plasma and macrophages. J Biol Chem. 2009, 284 (44): 30395-30407. 10.1074/jbc.M109.045567.CrossRefPubMedPubMedCentral
Metadata
Title
Solenostemon monostachyus, Ipomoea involucrata and Carica papaya seed oil versus Glutathione, or Vernonia amygdalina: Methanolic extracts of novel plants for the management of sickle cell anemia disease
Authors
Israel Sunmola Afolabi
Iyanuoluwa Olubukola Osikoya
Oluwabukunmi Dorcas Fajimi
Priscilla Ibanga Usoro
Damilola Olufunlayo Ogunleye
Tolulope Bisi-Adeniyi
Alaba O Adeyemi
Bosede Temitope Adekeye
Publication date
01-12-2012
Publisher
BioMed Central
Published in
BMC Complementary Medicine and Therapies / Issue 1/2012
Electronic ISSN: 2662-7671
DOI
https://doi.org/10.1186/1472-6882-12-262

Other articles of this Issue 1/2012

BMC Complementary Medicine and Therapies 1/2012 Go to the issue