Arandjelovic C. Canadian health officials pull Chinese herbal drugs. (Reprinted from Reuters). Richters HerbLetter November 23, 1999.
van Ypersele de Strihou C, Vanherweghem JL. The tragic paradigm of Chinese herbs nephropathy. Nephrol Dial Transplant 1995;10:157-60.
Nortier JL, Martinez MC, Schmeiser HH, et al. Urothelial carcinoma associated with the use of a Chinese herb (Aristolochia fangchi). N Engl J Med 2000;342:1686-92.
Lewis CJ, Alpert S. Letter to health care professionals -- FDA concerned about botanical products, including dietary supplements, containing aristolochic acid. Office of Nutritional Products, Labeling, Dietary Supplements. Center for Food Safety and Applied Nutrition. May 31, 2000.
Hong CH, Hur SK, Oh OJ, et al. Evaluation of natural products on inhibition of inducible cyclooxygenase (COX-2) and nitric oxide synthase (iNOS) in cultured mouse macrophage cells. J Ethnopharmacol 2002;83:153-9.
Arlt VM, Stiborova M, Schmeiser HH. Aristolochic acid as a probable human cancer hazard in herbal remedies: a review. Mutagenesis 2002;17:265-77.
Cronin AJ, Maidment G, Cook T, et al Aristolochic acid as a causative factor in a case of Chinese herbal nephropathy. Nephrol Dial Transplant 2002;17:524-5.
Chang CH, Wang YM, Yang AH, Chiang SS. Rapidly progressive interstitial renal fibrosis associated with Chinese herbal medications. Am J Nephrol 2001;21:441-8.
Lord GM, Cook T, Arlt VM, et al. Urothelial malignant disease and Chinese herbal nephropathy. Lancet 2001;358:1515-6.
Lord GM, Tagore R, Cook T, et al. Nephropathy caused by Chinese herbs in the UK. Lancet 1999;354:481-2.
Nortier JL, Vanherweghem JL. Renal interstitial fibrosis and urothelial carcinoma associated with the use of a Chinese herb (Aristolochia fangchi). Toxicology 2002;181-182:577-80.
Otero, R., Nunez, V., Barona, J., Fonnegra, R., Jimenez, S. L., Osorio, R. G., Saldarriaga, M., and Diaz, A. Snakebites and ethnobotany in the northwest region of Colombia. Part III: neutralization of the haemorrhagic effect of Bothrops atrox venom. J.Ethnopharmacol. 2000;73(1-2):233-241.
Ruffa, M. J., Ferraro, G., Wagner, M. L., Calcagno, M. L., Campos, R. H., and Cavallaro, L. Cytotoxic effect of Argentine medicinal plant extracts on human hepatocellular carcinoma cell line. J Ethnopharmacol. 2002;79(3):335-339.
Gadhi, C. A., Weber, M., Mory, F., Benharref, A., Lion, C., Jana, M., and Lozniewski, A. Antibacterial activity of Aristolochia paucinervis Pomel. J.Ethnopharmacol. 1999;67(1):87-92.
Kessler, D. A. Cancer and herbs. N Engl.J Med 6-8-2000;342(23):1742-1743.
Mongelli, E., Pampuro, S., Coussio, J., Salomon, H., and Ciccia, G. Cytotoxic and DNA interaction activities of extracts from medicinal plants used in Argentina. J Ethnopharmacol 2000;71(1-2):145-151.
Gadhi, C. A., Benharref, A., Jana, M., Basile, A. M., Contet-Audonneau, N., and Fortier, B. Antidermatophytic properties of extracts from the leaves of Aristolochia paucinervis Pomel. Phytother.Res. 2001;15(1):79-81.
Gadhi, C. A., Benharref, A., Jana, M., and Lozniewski, A. Anti-Helicobacter pylori activity of Aristolochia paucinervis Pomel extracts. J Ethnopharmacol. 2001;75(2-3):203-205.
Gadhi, C. A., Hatier, R., Mory, F., Marchal, L., Weber, M., Benharref, A., Jana, M., and Lozniewski, A. Bactericidal properties of the chloroform fraction from rhizomes of Aristolochia paucinervis Pomel. J Ethnopharmacol. 2001;75(2-3):207-212.
Arlt, V. M., Pfohl-Leszkowicz, A., Cosyns, J., and Schmeiser, H. H. Analyses of DNA adducts formed by ochratoxin A and aristolochic acid in patients with Chinese herbs nephropathy. Mutat.Res 7-25-2001;494(1-2):143-150.
Martinez M. C., Nortier J., Vereerstraeten P., Vanherweghem J. L. Progression rate of Chinese herb nephropathy: impact of Aristolochia fangchi ingested dose. Nephrol.Dial.Transplant. 2002;17(3):408-12.
Nortier, J. [Renal interstitial fibrosis and urotelial carcinomas after ingestion of a Chinese herb (Aristolochia fangchi)]. Nephrologie 2002;23(1):37-38.
Sosa, S., Balick, M. J., Arvigo, R., Esposito, R. G., Pizza, C., Altinier, G., and Tubaro, A. Screening of the topical anti-inflammatory activity of some Central American plants. J Ethnopharmacol 2002;81(2):211-215.
Ioset, J. R., Raoelison, G. E., and Hostettmann, K. Detection of aristolochic acid in Chinese phytomedicines and dietary supplements used as slimming regimens. Food Chem Toxicol 2003;41(1):29-36.
Cosyns, J. P. Aristolochic acid and 'Chinese herbs nephropathy': a review of the evidence to date. Drug Saf 2003;26(1):33-48.
Zhu, Y. P. Toxicity of the Chinese herb mu tong (Aristolochia manshuriensis). What history tells us. Adverse Drug React.Toxicol.Rev. 2002;21(4):171-177.
Yu Y., Zheng F. L., Li H. [Chinese herbs-induced renal failure with Fanconi syndrome: a report of 6 cases]. Zhonghua Nei Ke.Za Zhi. 2003;42:110-12.
Camporese, A., Balick, M. J., Arvigo, R., Esposito, R. G., Morsellino, N., De Simone, F., and Tubaro, A. Screening of anti-bacterial activity of medicinal plants from Belize (Central America). J Ethnopharmacol. 2003;87(1):103-107.
Lee, H. S. and Han, D. S. A new acylated N-glycosyl lactam from Aristolochia contorta. J Nat.Prod. 1992;55(9):1165-1169.
Schaneberg, B. T. and Khan, I. A. Analysis of products suspected of containing Aristolochia or Asarum species. J.Ethnopharmacol. 2004;94(2-3):245-249.
Chan, T. Y., Tam, H. P., Lai, C. K., and Chan, A. Y. A multidisciplinary approach to the toxicologic problems associated with the use of herbal medicines. Ther Drug Monit. 2005;27(1):53-57.
Lo, S. H., Wong, K. S., Arlt, V. M., Phillips, D. H., Lai, C. K., Poon, W. T., Chan, C. K., Mo, K. L., Chan, K. W., and Chan, A. Detection of Herba Aristolochia Mollissemae in a patient with unexplained nephropathy. Am.J Kidney Dis. 2005;45(2):407-410.
Hranjec, T., Kovac, A., Kos, J., Mao, W., Chen, J. J., Grollman, A. P., and Jelakovic, B. Endemic nephropathy: the case for chronic poisoning by aristolochia. Croat.Med J 2005;46(1):116-125.
Balachandran, P., Wei, F., Lin, R. C., Khan, I. A., and Pasco, D. S. Structure activity relationships of aristolochic acid analogues: toxicity in cultured renal epithelial cells. Kidney Int 2005;67(5):1797-1805.
de Barros, Machado T., Leal, I. C., Kuster, R. M., Amaral, A. C., Kokis, V., de Silva, M. G., and dos Santos, K. R. Brazilian phytopharmaceuticals--evaluation against hospital bacteria. Phytother Res 2005;19(6):519-525.
Meinl, W., Pabel, U., Osterloh-Quiroz, M., Hengstler, J. G., and Glatt, H. Human sulphotransferases are involved in the activation of aristolochic acids and are expressed in renal target tissue. Int J Cancer 3-1-2006;118(5):1090-1097.
Zhang, C. Y., Wang, X., Su, T., Ma, C. M., Wen, Y. J., Shang, M. Y., Li, X. M., Liu, G. X., and Cai, S. Q. New aristolochic acid, aristololactam and renal cytotoxic constituents from the stem and leaves of Aristolochia contorta. Pharmazie 2005;60(10):785-788.
Wen, Y. J., Su, T., Tang, J. W., Zhang, C. Y., Wang, X., Cai, S. Q., and Li, X. M. Cytotoxicity of phenanthrenes extracted from Aristolochia contorta in human proximal tubular epithelial cell line. Nephron Exp Nephrol 2006;103(3):e95-e102.
Laing, C., Hamour, S., Sheaff, M., Miller, R., and Woolfson, R. Chinese herbal uropathy and nephropathy. Lancet 7-22-2006;368(9532):338.
Grollman, A. P., Shibutani, S., Moriya, M., Miller, F., Wu, L., Moll, U., Suzuki, N., Fernandes, A., Rosenquist, T., Medverec, Z., Jakovina, K., Brdar, B., Slade, N., Turesky, R. J., Goodenough, A. K., Rieger, R., Vukelic, M., and Jelakovic, B. Aristolochic acid and the etiology of endemic (Balkan) nephropathy. Proc Natl.Acad Sci U.S.A 7-17-2007;104(29):12129-12134.
Enriquez, R. G., Chavez, M. A., and Reynolds, W. F. Phytochemical investigations of plants of the genus Aristolochia, 1. Isolation and NMR spectral characterization of eupomatenoid derivatives. J Nat.Prod. 1984;47(5):896-899.
Lemos, V. S., Thomas, G., and Barbosa Filho, J. M. Pharmacological studies on Aristolochia papillaris Mast. (Aristolochiaceae). J Ethnopharmacol. 1993;40(2):141-145.
Pistelli, L., Nieri, E., Bilia, A. R., Marsili, A., and Scarpato, R. Chemical constituents of Aristolochia rigida and mutagenic activity of aristolochic acid IV. J Nat.Prod. 1993;56(9):1605-1608.
Violon, C. Belgian (Chinese herb) nephropathy: why? J Pharm Belg. 1997;52(1):7-27.
Mongelli, E., Martino, V., Coussio, J., and Ciccia, G. Screening of Argentine medicinal plants using the brine shrimp microwell cytotoxicity assay. International Journal of Pharmacognosy 1996;34:249-254.
Murillo-Alvarez, JI, Encarnacion, DR, and Franzblau, SG. Antimicrobial and cytotoxic activity of some medicinal plants from Baja California Sur (Mexico). Pharmaceutical Biology (Netherlands) 2001;39:445-449.
El Tahir, K. E. Pharmacological actions of magnoflorine and aristolochic acid-1 isolated from the seeds of Aristolochia bracteata. International Journal of Pharmacognosy 1991;29:101-110.
Arlt, V. M., Stiborova, M., and Schmeiser, H. H. Aristolochic acid as a probable human cancer hazard in herbal remedies: a review. Mutagenesis 2002;17(4):265-277.
Liebman, B. Herbs and cancer. Nutrition Action Health Letter 2000;27(7):11-13.
Ashraf, H. Chinese herbal remedy linked to kidney failure. Lancet 8-7-1999;354(9177):494.
Aristolochia and renal failure. WHO Drug Information 1999;13(3):174.
News Potpourri. Southern Medical Journal 2000;93(11):1129-1130.
Hinou, J., Demetzos, C., Harvala, C., and Roussakis, C. Cytotoxic and antimicrobial principles from the roots of Aristolochia longa. Int.J.Crude Drug Res 1990;28:149-151.
Peng, G. P., Lou, F. C., and Chen, Y. Z. Studies on the chemical constituents of Tubeflower Dutchmanspipe (Aristolochia tubflora). Chinese Traditional and Herbal Drugs 1996;26:623-626.
Haruna, A. K. and Choudhury, M. K. In vivo antisnake venom activity of a furanoid diterpene from Aristolochia albida Duch (Aristolochiaceae). Indian Journal of Pharmaceutical Sciences 1995;57:222-224.
Abubakar MS, Balogun EE, Abdurahman EM, Nok AJ, Shok M, Mohammed A, and Garba M. Ethnomedical Treatment of Poisonous Snakebites: Plant Extract Neutralized Naja nigricollis Venom. Pharmaceutical Biology 2006;44(5):343-348.
Centre for Reviews and Dissemination (CRD). Systematic review: hepatotoxic events associated with herbal medicinal products. 2004;
Chou, L. D., Chen, Z. M., Liang, Y. L., Che, D., and Chen, S. L. Study on determination of aristolochic acid in Radix stephaniae Tetradrae (Aristolochia fangchi). Bull.Chin.Mater.Med. 1986;11:363-365.
Shaohua Z, Ananda S, Ruxia Y, Liang R, Xiaorui C, Liang L. Fatal renal failure due to the Chinese herb "GuanMu Tong" (Aristolochia manshuriensis): autopsy findings and review of literature. Forensic Sci Int. 2010;199(1-3):e5-7.
Maggini V, Menniti-Ippolito F, Firenzuoli F. Aristolochia, a nephrotoxic herb, still surfs on the Web, 15 years later. Intern Emerg Med. 2018 Aug;13(5):811-813.
Tazi I, Nafil H, Mahmal L. Fatal renal failure due to self administration of Aristolochia Longa after treatment with chemotherapy. Arab J Nephrol Transplant. 2012 Jan;5(1):54; discussion 55.
Zhang HM, Zhao XH, Sun ZH, et al. Recognition of the toxicity of aristolochic acid. J Clin Pharm Ther. 2019 Apr;44(2):157-162.
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