Plasma Metabolite Profiles of Healthy Volunteers after Administration of a Thai Herbal Formula for Dizziness

The Thai herbal Yahom 20 formula (YHF20), is traditionally used for dizziness and fainting and off-label use for sleep aid, with inadequate substantial evidence afterward. This study’s primary objective is to employ metabolomics to investigate YHF20's effects, comparing it with lorazepam and a...

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Main Authors: Ranida Boonrak, Kajee Pilakasiri, Suksalin Boonranasubkajorn, Natchagorn Lumlerdkij, Pravit Akarasereenont
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2024-12-01
Series:Traditional and Integrative Medicine
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Online Access:https://jtim.tums.ac.ir/index.php/jtim/article/view/1683
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author Ranida Boonrak
Kajee Pilakasiri
Suksalin Boonranasubkajorn
Natchagorn Lumlerdkij
Pravit Akarasereenont
author_facet Ranida Boonrak
Kajee Pilakasiri
Suksalin Boonranasubkajorn
Natchagorn Lumlerdkij
Pravit Akarasereenont
author_sort Ranida Boonrak
collection DOAJ
description The Thai herbal Yahom 20 formula (YHF20), is traditionally used for dizziness and fainting and off-label use for sleep aid, with inadequate substantial evidence afterward. This study’s primary objective is to employ metabolomics to investigate YHF20's effects, comparing it with lorazepam and a placebo in healthy volunteers. Phytochemical and metabolite profiling were performed using liquid chromatography-tandem mass spectrometry (LC-MS/MS) and LC/MS Q-ToF, respectively, on plasma samples from 90 healthy participants aged 20 to 60 years. These participants were randomized into three groups: YHF20 (n=30), Lorazepam (n=30), and Placebo (n=30). Principal Component Analysis (PCA) and Orthogonal Partial Least Squares Discriminant Analysis (OPLS-DA) were then conducted to identify differential metabolites and pathways. Six phytochemicals, including ellagic acid, glycyrrhizic acid, (E)-ferulic acid hexacosyl ester, 6-aldehydo-7-methoxy-isoophiopogonone B, melianol, and myristic acid were identified in YHF20. Despite PCA showing no significant overall metabolite profile differences among the groups, OPLS-DA pinpointed eight YHF20-associated metabolites, such as DHA ethyl ester, α-linolenic acid, (9Z)-9-octadecenamide, ricinoleic acid methyl ester, idazoxan, 13-HPODE, 12,13-DiHODE, and myristoleic acid, implying at anti-inflammatory pathway involvement, especially in α-linoleic and linoleic acid metabolism. No direct impact on sleep-related metabolites was found, the anti-inflammatory effects suggested by YHF20 could indirectly improve sleep quality by mitigating inflammation, a common sleep disruptor. These results highlight YHF20's potential for enhancing life quality through anti-inflammatory mechanisms. They offer a scientific basis for its traditional and anecdotal uses and suggest a novel approach to sleep quality improvement not previously documented.
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series Traditional and Integrative Medicine
spelling doaj-art-477be100a2b6423b93259193e6441b8c2025-02-09T09:11:19ZengTehran University of Medical SciencesTraditional and Integrative Medicine2476-51042476-51122024-12-019410.18502/tim.v9i4.17476Plasma Metabolite Profiles of Healthy Volunteers after Administration of a Thai Herbal Formula for DizzinessRanida Boonrak0Kajee Pilakasiri1Suksalin Boonranasubkajorn2Natchagorn Lumlerdkij3Pravit Akarasereenont4Center of Applied Thai Traditional Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700 ThailandDepartment of Anatomy, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700 ThailandCenter of Applied Thai Traditional Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700 ThailandCenter of Applied Thai Traditional Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700 ThailandCenter of Applied Thai Traditional Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700 Thailand AND Department of Pharmacology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700 Thailand AND Siriraj Metabolomics and Phenomics Center, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700 Thailand The Thai herbal Yahom 20 formula (YHF20), is traditionally used for dizziness and fainting and off-label use for sleep aid, with inadequate substantial evidence afterward. This study’s primary objective is to employ metabolomics to investigate YHF20's effects, comparing it with lorazepam and a placebo in healthy volunteers. Phytochemical and metabolite profiling were performed using liquid chromatography-tandem mass spectrometry (LC-MS/MS) and LC/MS Q-ToF, respectively, on plasma samples from 90 healthy participants aged 20 to 60 years. These participants were randomized into three groups: YHF20 (n=30), Lorazepam (n=30), and Placebo (n=30). Principal Component Analysis (PCA) and Orthogonal Partial Least Squares Discriminant Analysis (OPLS-DA) were then conducted to identify differential metabolites and pathways. Six phytochemicals, including ellagic acid, glycyrrhizic acid, (E)-ferulic acid hexacosyl ester, 6-aldehydo-7-methoxy-isoophiopogonone B, melianol, and myristic acid were identified in YHF20. Despite PCA showing no significant overall metabolite profile differences among the groups, OPLS-DA pinpointed eight YHF20-associated metabolites, such as DHA ethyl ester, α-linolenic acid, (9Z)-9-octadecenamide, ricinoleic acid methyl ester, idazoxan, 13-HPODE, 12,13-DiHODE, and myristoleic acid, implying at anti-inflammatory pathway involvement, especially in α-linoleic and linoleic acid metabolism. No direct impact on sleep-related metabolites was found, the anti-inflammatory effects suggested by YHF20 could indirectly improve sleep quality by mitigating inflammation, a common sleep disruptor. These results highlight YHF20's potential for enhancing life quality through anti-inflammatory mechanisms. They offer a scientific basis for its traditional and anecdotal uses and suggest a novel approach to sleep quality improvement not previously documented. https://jtim.tums.ac.ir/index.php/jtim/article/view/1683Thai herbal Yahom 20 formulaHerbal medicineSleep qualityMetabolomics
spellingShingle Ranida Boonrak
Kajee Pilakasiri
Suksalin Boonranasubkajorn
Natchagorn Lumlerdkij
Pravit Akarasereenont
Plasma Metabolite Profiles of Healthy Volunteers after Administration of a Thai Herbal Formula for Dizziness
Traditional and Integrative Medicine
Thai herbal Yahom 20 formula
Herbal medicine
Sleep quality
Metabolomics
title Plasma Metabolite Profiles of Healthy Volunteers after Administration of a Thai Herbal Formula for Dizziness
title_full Plasma Metabolite Profiles of Healthy Volunteers after Administration of a Thai Herbal Formula for Dizziness
title_fullStr Plasma Metabolite Profiles of Healthy Volunteers after Administration of a Thai Herbal Formula for Dizziness
title_full_unstemmed Plasma Metabolite Profiles of Healthy Volunteers after Administration of a Thai Herbal Formula for Dizziness
title_short Plasma Metabolite Profiles of Healthy Volunteers after Administration of a Thai Herbal Formula for Dizziness
title_sort plasma metabolite profiles of healthy volunteers after administration of a thai herbal formula for dizziness
topic Thai herbal Yahom 20 formula
Herbal medicine
Sleep quality
Metabolomics
url https://jtim.tums.ac.ir/index.php/jtim/article/view/1683
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AT suksalinboonranasubkajorn plasmametaboliteprofilesofhealthyvolunteersafteradministrationofathaiherbalformulafordizziness
AT natchagornlumlerdkij plasmametaboliteprofilesofhealthyvolunteersafteradministrationofathaiherbalformulafordizziness
AT pravitakarasereenont plasmametaboliteprofilesofhealthyvolunteersafteradministrationofathaiherbalformulafordizziness