Abstract:
This invention concerns to a topical pharmaceutical composition comprising an water soluble  Curcuma  extract, and suitable excipients for said topical administration; the process for obtaining said pharmaceutical compositions; the use of different  Curcuma  extracts as photosensitizing agents for the treatment of proliferative diseases; and the use of  Curcuma  extract or curcuminoids in combination with a radiation for the treatment of proliferative diseases on eukaryote cells.

Description:
CROSS-REFERENCE TO RELATED APPLICATION 
     This application is a Continuation-In-Part of U.S. application Ser. No. 09/856,035, filed Feb. 19, 2002, now U.S. Pat. No. 6,841,177; which in turn is a § 371 of PCT/ES00/00354, filed Sep. 21, 2000. U.S. application Ser. No. 09/856,035 is incorporated by reference herein in its entirety. 
    
    
     TECHNICAL FIELD OF THE INVENTION 
     This invention concerns to a topical pharmaceutical composition comprising an water soluble  Curcuma  extract, and suitable excipients for said topical administration; the process for obtaining said pharmaceutical compositions; the use of different  Curcuma  extracts as photosensitising agents for the treatment of proliferative diseases; and the use of  Curcuma  extract or curcuminoids in combination with a radiation for the treatment of proliferative diseases on eukaryote cells. 
     STATE OF THE ART 
     Psoriasis is a chronic inflammatory dermatitis of unknown aetiology. Clinically, it is characterised by papulous lesions on erythemato-scaly maculae. The majority of these lesions are due to alterations in cellular proliferation marked by immunological and genetic mechanisms, and therefore should be considered as “proliferative disease”. 
     We find an increase in arachinonic acid and its derivatives, both in normal and diseased skin; an increase in polyamines, an increase of B4 leukotriene in the scales. From the epidermis and the dermis we find an increase in Langerhans cells with lower infiltration of CD8 lymphocytes compared with CD4. These patients&#39; neutrophils synthesise double the number of B4 leukotrienes as healthy individuals. 
     IL-6 interleukin is a cytokine that structures the 2(BSF-2) factor, structurally identical to interferon β-2(IFN-β-2). IL-6 is synthesised in the fibroblasts, monocytes and T cells. This cytokine stimulates the acute phase of protein synthesis and the production of immunoglobulins. 
     IL-8 is an interleukin that is directly involved in psoriasis, since it is responsible for producing the migration of the neutrophils that are produced in the epidermis and consequently increases the inflammatory process. 
     In the present therapy used for psoriasis it is fundamental to act on cellular proliferation and the production of cytokines by the use of glucocorticoids and/or photosensitising agents (psoralens). 
     Cell cultures are acknowledged models for the study of cell physiology and the effect of drugs. HaCat cells are derived from human keratinocytes that exhibit the same differentiations as normal keratinocytes. Therefore, HaCat cells are an extraordinary model for testing different substances for topical application. 
     Keratinocytes are very biologically active cells, the function of which is not only to produce keratin synthesis to form the corneal stratus, but which also have immunological properties based on the production and secretion of cytokines and the selective expression of surface receivers. 
     Different stimulants including ultraviolet radiation have inflammatory responses that act directly on these keratinocytes, producing a release of cytokines and adhesion molecules. This production of substances on the epidermis level starts the cutaneous inflammation symptoms, releasing the IL-6 and the IL-8, which are two cytokines involved in inflammatory cutaneous processes. 
     Glucocorticoids are the substances most used in the dermatology field, because of their immunosuppressant and anti-inflammatory properties, manifest after UV radiation, but with no effect in visible light. 
     Different studies show that corticoids affect the production of pro-inflammatory cytokines. Well-known glucocorticoids such as hydrocortisone-17-butyrate and betametasone-17-valerate produce a decrease in inflammatory cytokines after ultraviolet radiation. 
     The accessibility of the skin often allows for skin alterations to be treated by the topical application of drugs. Topical corticoids, thanks to their anti-inflammatory, vaso constricting and antimycotic properties, have been seen to be useful in a large variety of dermatosis. Nevertheless, the application of corticoids has a series of side effects that have a direct impact on the skin:
         Cutaneous atrophies, which consist of thin, transparent skin, purple lesions, star-shaped scars and elastic catabolic striae.   Delay in scar formation because of inhibition of the fibroblasts&#39; function.   Disguise and de-typing of cutaneous infections, particularly dermatophytosis, making diagnosis difficult and with the possible appearance of viral or bacterial cutaneous infections.   Skin pigmentation disorders with hyper or hypopigmentation.   Contact dermatitis.   Habituation and tachyphylaxis phenomena that require the use of increasingly strong products and lead to relapses with the appearance of increasingly severe forms of the process (pustular psoriasis) that could be caused by suddenly ceasing administration.       

     Systemic side effects are fortunately less frequent, since the use of corticoids for long periods is required, as for psoriasis. The most common side effects are:
         Inhibition of the hypothalamus-hypophysial-suprarenal axis.   Episodes of hyperglucaemia and glucaemia.   A fall in the number of eosinophils.   Clinical manifestations of Cushing&#39;s Syndrome.       

     Other therapies used for psoriasis are the oral or topical application of photosensitising substances (psoralens) together with ultraviolet A radiation. The photochemistry of psoralens is not well-known, and can act on several levels. Psoralens bind with DNA and RNA, but interact with lysosomes, endotheliums, cytoplasmatic membranes and dermic cells. In the dark, psoralen is intercalated between the DNA bases. With UVA, cyclobutane monoadducts are produced by binding with a DNA base thymine or cytokine. If radiation continues, a new photon stimulates the other double psoralen link to form a crossover link with the thymine from the other DNA chain. The formation of these bifunctional adducts suppresses DNA synthesis. Another reaction that is observed is that the photoactivated psoralen can act with molecular oxygen to produce an oxygen singlet, superoxide anion and free radicals, and all these reactive forms act on the keratinocytes. The use of psoralens, therefore, presents side effects that are well known in dermatological literature, such as a decrease in delayed immunity, phototoxic reactions, immunosuppression, a decrease in the production of IL-1 by the keratinocytes and more inclination to skin cancers. 
     The term “photosensitising substances” means the drugs which their pharmacological activity is enhanced when the drug is administrated in combination of an electromagnetical radiation: UV-A, UV-B, UV-C, or visible light. The photosensitising drugs have been used in the art for the treatment of different diseases with an excess of hyperproliferation such as vitiligo, atopic dermatitis, granuloma annulare, lichen, mycosis fungoides, lymphomas, leukaemia, etc., improving the efficacy of the drug, however these drug in combination of any radiation produce more adverse effects. 
     Curcumin and the curcuminoids present in the rhizomes of  Curcuma , particularly  Curcuma longa , and the Zingiberaceae family in general, have been used for the treatment of a large variety of diseases. Examples are U.S. Pat. No. 5,891,924 (inhibitor of NF kappa B activation), U.S. Pat. No. 5,336,496 (inhibitor of delta 5 desaturase), EP 256353 (treatment of bad absorption syndromes), EP 568001 (anti-viral agent), U.S. Pat. No. 5,108,750 (hyperlipidaemia and platelet aggregation reducer), FR 2655054 (cell protector) and EP 550807 (antioxidant and anti-inflammatory properties), EP440885 (anti-inflammatory), EP 319058 (against hair loss), U.S. Pat. No. 5,108,750, U.S. Pat. No. 4,906,471 and U.S. Pat. No. 4,842,859 (antiplatelet aggregation and anti-cholesterol agent), WO 88/05304 (treatment of neurological disorders), WO 96/03999 (lipidic peroxide reducer), ES 20103689 (modulates high and low density oxidised lipoproteins, protects keratinocytes against free radicals and increases cell proliferation in aged human tissue). 
     The aqueous extract of  Curcuma longa , free from curcuminoids, has also been seen to have antioxidant properties. Srinivas et al,  Archives of Biochemistry and Biophysis,  292(2):617–623 (1992), describe the antioxidant activity of turmerin, a protein that is present in  Curcuma  rhizomes. Yeharayou et al,  Ind. J. Med. Res.,  64(4):601 (1976), describe the anti-inflammatory effect of the aqueous extract of  Curcuma longa , with properties similar to hydrocortisone. Gonda et al,  Chem. Pharm. Bull,  40:990 (1992), describes the immunological activity of ukonan A and its degradation products. 
     On the other hand, WO 96/03999 and its patent equivalents, describes a pharmaceutical for oral administration comprising an hydro alcoholic extract of  Curcuma  and its use as lipidic peroxides reducer. ES-8100878, equivalent to EP 0020274, discloses different cosmetic compositions comprising Curcuma extracts characterized by curcuminoids. 
     The document that is closest to our invention, Tonnessee et al,  J. Pharm. Sci.,  76(DEG 5) (1987), describes the phototoxic activity of curcumin in biological systems without nuclei ( E. Coli, Salmonella typhimuis ); however, this document comments on the possible mutagenic effects on DNA. 
     Dhal et al,  Photochemistry and Photobiology,  59(3):290 (1994), describe the phototoxic activity with visible light of curcumin on rat cells. 
     Therefore, the actually used treatment for the treatment of proliferative disease, mainly psoriasis, produces adverse effects in patients, and the photosensitization methods are carry out using an UV radiation producing also adverse effects, concretely mutagenic reactions due to the interactions between the drug and DNA. 
     The use of the vegetable extracts of plants with pharmacological activities is well-known, and it is known that the active ingredients can be isolated and purified from plant extracts. However, active ingredients that are purified and/or synthetically obtained could have side effects or be toxic, such as in the case of atropine, digitalis, nicotine etc. 
     Vegetable extracts contain a series of structurally related chemical species due to the metabolic processes in plants. These related compounds could have a synergic effect on pharmacological activity. These chemical substances are used as markers, in order to qualitatively and quantitatively standardise the extracts. The alcoholic extracts of  Curcuma  are chemically characterised in that they contain curcuminoids (curcumin, desmetoxicurcumin and bisdesmetxosicurcumin). The aqueous extract of  Curcuma  is characterised in that it does not contain curcuminoids, but a protein fraction and a polysaccharide fraction, in which ukonan A, B and C have been identified. The pharmacological effect is due to the total composition of the aqueous and/or alcoholic extract of  Curcuma longa.    
     However, said markers (curcuminoids), may also be used alone in pharmaceutical composition showing their pharmaceutical activity. 
     PURPOSE OF THE INVENTION 
     The problem solved in one aspect of the invention is to provide a pharmaceutical composition for the treatment of the proliferative diseases on eukaryote cells, namely psoriasis, vitiligo, lichen, mycosis fungoides, atopic dermatitis, granulomma annulare, without adverse effects and clinically effective. 
     The solution found by the inventors is a pharmaceutical composition for topical administration comprising a water soluble  Curcuma  extract, which is obtainable by extraction of  Curcuma  rhizomes with means for solubilizating water-soluble compounds, and suitable excipients for topical administration, as such, emulgents, diluents, humectants, preservatives, pH adjusters and water. 
     An advantage of this aspect of the invention, as is shown in Example 1, is that after 7 or 14 days of treatment the psoriasis lesion there were not visible and there were no residual lesion, in addition all the patients tolerated well the treatment. 
     The association of the aqueous  Curcuma  extract with UVA favoured the product&#39;s activity, whitening the lesions after three days of treatment. 
     In one embodiment of the invention, the pharmaceutical composition comprises further an apolar  Curcuma  extract which is obtainable with means for extracting curcuminoids. 
     The advantage of said embodiment, according to Example 5, is that the patients shown an improvement in the lesion after the treatment with the pharmaceutical composition and visible light. No UV radiation is needed. 
     An other advantage of the embodiment is that  Curcuma  extract comprised in the pharmaceutical composition inhibited cell proliferation without altering the mithocondrial activity and they have no effect on protein synthesis, therefore the extract shown a cytostatic activity. 
     Further, the most important advantage is that in studies on eucaryote cells (human keratinocytes) the activated curcumin (present in apolar extracts) was found in the cytoplasm, therefore the nuclei is free from curcumin and the extract does not interact with nuclear DNA and mutagenic effects shown by other drugs, for instance psoralens, do not appear. 
     Further, both the aqueous extract and hydro alcoholic extract of  Curcuma  inhibited the secretion of cytokine IL-6 and/or IL-8 in human keratinocyes cultures with an activity similar to betametasone-17-valerate. The inhibition is increased after subjecting the cells to UV-A radiation. 
     Finally, the hydro alcoholic extract of  Curcuma , consisting of an aqueous extract (without curcuminoids) and an apolar extract (characterized by curcuminoids), shown a greater photosensitization than curcumin after UVA radiation. 
     In a second aspect, the invention relates a process for obtaining the pharmaceutical composition for topical administration. 
     In a third aspect, the invention relates to the use as medicament of pharmaceutical composition above claimed. 
     Finally, the last aspect of the invention relates to the photosensitising activity of  Curcuma  extract and curcuminoids, wherein said cytokine production is IL-8 production or IL-6 production and said method results in inhibition of IL-8 production or IL-6 production, and wherein said proliferative disease is selected from the group consisting of psoriasis, lichen, atopic, dermatitis, granuloma annulare, mycosis fungoides or leukaemia for the treatment of proliferative diseases on eukaryote cells. 
     DETAILED DESCRIPTION OF THE INVENTION 
     The apolar extract of  Curcuma longa  can be obtained, according to Spanish Patent ES 2103689, by the extraction of the  Curcuma  rhizomes by macerating with alcohol (methanol, ethanol) at 50° C. for 24 hours and then removing the solvent at reduced pressure. The apolar extract of  Curcuma longa  is chemically characterised in that it contains curcuminoids. Alternatively, other extraction and/or purification methods known by an expert can be used, such as extraction with other organic solvents, extraction with solvents in a supercritical state, reflux extraction and steam current extraction. The extract can be purified by fractioned crystallisation, chromatography, liquid-liquid extraction, etc. 
     The aqueous extract of  Curcuma  can also be obtained by macerating with water for 24 hours at 50–70° C. and then removing the solvent at reduced pressure. The aqueous extract of  Curcuma longa  is chemically characterised in that it contains a protein fraction with a concentration around 20–30%, measured by the Pierce method, analysing the protein nitrogen, and a polysaccharide content (ukonan A, B and C) between 3–8%, without curcuminoids. 
     Alternatively, combinations of the two extracts can be used, obtaining hydro alcoholic extracts chemically characterised by the concentration of their markers (concentration of curcuminoids, proteins and polysaccharides). 
     The content of the markers can be measured by the methods described in the state of the art. The curcuminoids can be quantified by visible-ultraviolet spectrophotometry at 420 nm, the protein fraction can be quantified by the Pierce method, analysing the protein nitrogen and/or by liquid chromatography and the polysaccharide fraction is quantified by liquid chromatography. 
     Suitable excipients for topical administration are well-known in the art for manufacturing creams, gels, emulsions, liposomes, ointments. For instance, see Handbook of Pharmaceutical Excipients published by The Pharmaceutical Society of Great Britain (1986). 
     The studies carried out in vitro on human keratinocytes shown that the hydro alcoholic extract of  Curcuma longa  has shown a pharmacological activity greater than curcumin (greater proliferative activity, greater photosensitising activity, greater inhibition of cytokine secretion). These results support the view that vegetable extracts are drugs that are different than the molecules responsible for pharmacological activity, because the pharmacodynamics are different (absorption, distribution, action and elimination), and there could be synergic or anti-synergic effects between the different chemical species present in the extract. The hydro alcoholic extract of  Curcuma longa  has shown an anti-proliferative activity similar to betametasone-17-valerate. This hydro alcoholic extract shown a significant decrease in the incorporation of 5-bromine-2′-deoxyuridin (BrdU) in the DNA of human keratinocyte cultures between concentrations of 5 μg/ml and 50 μg/ml of extract. This effect is similar to that of betametasone-17-valerate. 
     Both the aqueous extract of  Curcuma  and the hydro alcoholic extract of  Curcuma longa  have inhibited the secretion of cytokine IL-6 and/or IL-8 in human keratinocyte cultures with an activity similar to betametasone-17-valerate. This inhibition is increased after subjecting the cells to ultraviolet A radiation. 
     The aqueous and hydro alcoholic extracts of  Curcuma  have been seen to inhibit cell proliferation without altering the mitochondrial activity, and the extracts have no effect on protein synthesis. The extract therefore shows cytostatic activity. 
     On the other hand, the hydro alcoholic extracts show photosensitising activity and can therefore be used in proliferative diseases such as psoriasis, vitiligo, lymphomas, mycosis fungoides, etc., instead of psoralens. 
     In studies carried out on eucaryote cells (human ketinocytes) with  Curcuma longa  extracts, the activated curcumin has been found in the cytoplasm. Therefore, the nucleus is free from curcumin, the extract does not interact with the nuclear DNA and the secondary, and mutagenic effects produced by psoralens do not appear. 
     The hydro alcoholic extract (10% curcuminoids, 18% protein fraction, 3% polysaccharides) of  Curcuma  shows a greater photosensitising activity after UVA radiation than curcumin. 
     Therefore, a smaller amount of the drug is best for a greater photosensitising activity (lower percentage of BrdU incorporated). 
     
       
         
               
               
               
             
               
               
               
               
               
             
               
               
               
               
               
             
           
               
                   
                   
               
               
                   
                 % incorporation 
                   
               
             
          
           
               
                   
                 80 
                 60 
                 40 
                 20 
               
               
                   
                   
               
             
          
           
               
                 Extract (ng) 
                 2000  
                 4000  
                 5000 
                 6000 
               
               
                 Curcumin equivalent (ng) 
                 200 
                 400 
                  500 
                  600 
               
               
                 Curcumin (ng) 
                 600 
                 800 
                 1000 
                 1200 
               
               
                   
               
             
          
         
       
     
     To produce the same level of photosensitising as  Curcuma  extracts, doses of 10 ng/ml of psoralen is required, as with this dose toxic and mutagenic effects are produced. 
     The administration of a topical pharmaceutical composition comprising an aqueous extract of  Curcuma longa  at 2%, and one tablet a day with 100 mg of aqueous extract with pharmaceutically acceptable excipients has been seen to be clinically effective in different types of psoriasis, and these effects are increased after radiation with ultraviolet A light. There are no side effects, as is the case for corticoids. 
     22 patients with different types of psoriasis were studied: Guttate, Vulgar, Inverse, Palmo-plantar, Pustular. They were without any psoriasis treatment (retinoids, corticoids, etc.) for 15 days. The topical composition with aqueous  Curcuma  extract was then applied and a tablet was administered every 12 days. The composition was tolerated perfectly by all the patients and no patient had to cease treatment because of cutaneous or systemic adverse reactions react to conventional treatments, all the patients responded to the treatment. In the vulgar psoriasis, the plaque was reduced after administration. Fissured and/or ulcerated pustular psoriasis scarred quickly. An antiseptic and drying effect was observed in the inverse psoriasis. 
     The association of the aqueous  Curcuma  extract with UVA favoured the product&#39;s activity, whitening the lesions after three days of treatment. 
     The hydro alcoholic (10% curcuminoids, 18% protein fraction, 3% polysaccharides) extract of  Curcuma  has shown photosensitising activity with visible light, inhibiting the percentage of BrdU incorporated into the DNA after radiation with visible light in human keratinocyte cultures. 
     The administration of the pharmaceutical composition which the active ingredient is the hydro alcoholic extract of  Curcuma longa  at 2% with pharmaceutically acceptable excipients has been shown to be clinically effective in the different types of psoriasis that did not respond to treatment with corticoids or with PUVA. After 15 days of treatment with composition comprising an hydro alcoholic extract of  Curcuma longa , the erythema, the infiltration and the scaling disappeared. The effects were greater after radiation with visible light and there were no side effects, unlike with the use of psoralens and ultraviolet light. 
    
    
     
       BRIEF EXPLANATION OF THE FIGURES 
         FIG. 1  shows inhibition of the secretion of IL-6 and IL-8 after ultraviolet light radiation of aqueous  Curcuma  extract (ZCL3) and betametasone-17-valerate (B-17-V). 
         FIG. 2  shows inhibition of the secretion of IL-6 and IL-8 after ultraviolet light radiation of hydro alcoholic  Curcuma  extract (ZCL4) and betametasone-17-valerate (B-17-V). 
         FIG. 3  shows incorporation of BrdU of hydro alcoholic  Curcuma  extract (ZCL4) and betametasone-17-valerate (B-17-V). 
         FIG. 4  shows the effect of aqueous  Curcuma  extract (ZCL3) on the incorporation of BrdU in the DNA after UV radiation. Photosensitive capacity. 
         FIG. 5  shows the effect of hydro alcoholic  Curcuma  extract (ZCL4) on the incorporation of BrdU in the DNA after UV radiation. Photosensitive capacity. 
         FIG. 6  shows the effect of curcumin on the incorporation of BrdU in the DNA after UV radiation. Photosensitive capacity. 
         FIG. 7  shows the effect of psoralen on the incorporation of BrdU in the DNA after UV radiation. Photosensitive capacity. 
         FIG. 8  shows the effect of the hydro alcoholic extract of  Curcuma longa  on the incorporation of BrdU in the DNA of human keratinocytes with visible light radiation (450 nm) and without radiation, with the concentration in μg/ml of extract represented on abscissas and the percentage of BrdU incorporation on ordinates. Photosensitising capacity with visible light. 
     
    
    
     EXAMPLES 
     Example 1  
     Effect of Aqueous  Curcuma  Extract on Psoriasis 
     Quantitative Composition: 
     
       
         
               
               
               
             
           
               
                   
                   
               
             
             
               
                   
                 Aqueous Curcuma extract 
                  2% 
               
               
                   
                 Greasy phase 
                 27% 
               
               
                   
                 Emulgents 
                 47% 
               
               
                   
                 Humectants 
                 20% 
               
               
                   
                 Preservatives 
                  1% 
               
               
                   
                 pH adjusters 
                  1% 
               
               
                   
                 Water 
                 csq 
               
               
                   
                   
               
               
                   
                 * Content in proteins no less than 15%, content in polysaccharides no less than 4%. 
               
             
          
         
       
     
     22 patients diagnosed with psoriasis were studied, distributed by age and sex. 
                                                                   Sex   Age   Type of psoriasis                                        F   12   Guttate           F   22   Vulgar           F   37   Palmo-plantar           M   24   Vulgar           M   48   Vulgar           F   51   Inverse           F   27   Palmo-plantar           M   19   Vulgar           M   57   Palmo-plantar           M   61   Inverse           F   46   Palmo-plantar           M   6   Pustular           M   16   Vulgar           F   32   Vulgar           F   39   Pustular           F   41   Vulgar           M   31   Palmo-plantar           F   13   Guttate           F   3   Vulgar           F   51   Vulgar           F   60   Inverse           F   19   Palmo plantar                        
Criteria for Inclusion:
 
     Patients clinically or histologically diagnosed with psoriasis. 
     They had no other disease. 
     They did not receive treatment for psoriasis. 
     Protocol: 
     The 22 patients went for 15 days without treatment of any kind, emollients, corticoids, retinoids, fatty acids Patients were instructed to apply the formula 3 times a day with a light massage and take 1 tablet every 12 hours. 
     Results: 
     The topical composition presented no irritation or contact reaction. 
     The cases of guttate psoriasis evolved in the same way. Their lesions were not very scaly but very erythematous. After 7 days of treatment there were no scaled and the erythema was minimal. After 14 days the lesions were not visible. There were no residual pigmentation lesions. 
     4 of the 6 cases of psoriasis palmo-plantar had the palms more evidently affected, with scaly lesions and significant fissuration. After 7 days of treatment the fissuration, painful for the patients, had disappeared and been replaced by an erythematous lesion with badly defined borders with practically no scales. After 14 days, the lesions had been reduced to a slightly erythematous macula on skin with normal characteristics. The plantar lesions presented an important hyperkeratosis with fissuration and were more resistant to treatment, obtaining results after 14 days, with scarred fissures. 
     In the two patients with pustular psoriasis, the lesions scarred after a week of treatment and the scales disappeared after 14 days of treatment. 
     In the patients with inverse psoriasis, the lesions were slightly scaly and intensively erythematous with an eroded surface. Cultures were prepared and they were contaminated with  Candidas . After 7 days of treatment, scale shedding had ceased and the erythema was reduced. After 14 days of treatment only a slightly erythematous macula was observed. 
     The most studied case was vulgar psoriasis, because it represented the largest number of patients. The lesions in the trunk area presented considerable infiltration and peripheral scale shedding. Hyperkeratosis was predominant on the articulations. After 7 days of treatment the infiltration and the erythema was drastically reduced. After 14 days reaction was positive on both the trunk and the articulations, and very slightly erythematous lesions were observed on the trunk and slightly scale-shedding lesions on elbows and knees. 
     In patients with palmo-plantar psoriasis treated with PUVA, the fissures and scale shedding disappeared 72 hours after treatment. In patients with vulgar psoriasis treated with PUVA, the lesions showed no infiltration and scale shedding after 2 sessions. 
     Example 2  
     Effects of  Curcuma longa  Extracts on the Secretion of Interleukines IL-6 and IL-8 in Human Keratinocyte Cultures 
     Culture of the HaCat Line: 
     The HaCat line is an immortalised line of normal human keratinocytes. These cells grow in a culture medium consisting of Hanks liquid to which 5% of foetal bovine serum and 2% of penicillin-streptomycin is added at 37° C. in a CO2 atmosphere. 
     Determination of the Interleukines. 
     After 48 hours of incubation with or without radiation, the supernatant of the cultures is taken to measure the IL-6 and IL-8 using an ELISA test kit. The minimum detection for each test is 3.13 pg/ml for the IL-6 and 31.0 pg/ml for the IL-8. 
     Cell Radiation. 
     The cells were radiated by an UVA/UVB lamp with a UVA range of 340–390 nm and a UVB range of 290–310, with no UVC. The radiation dose was 150 mJ/cm. To avoid toxic products from the culture media from forming, PBS free calcium and magnesium ions were changed before radiation. 
     Results: 
     The hydro alcoholic and aqueous  Curcuma  extracts, at doses of 50 μg/ml, inhibited the secretion of interleukines IL-6 and IL-8 after radiation with UVB light in a similar way. 
     Example 3  
     Effect of  Curcuma longa  Extracts on the Incorporation of BrdU in the DNA of Human Keratinocytes 
     Culture of the HaCat Line: 
     The HaCat line is an immortalised line of normal human keratinocytes. These cells grow in a culture medium consisting of Hanks liquid to which 5% of foetal bovine serum and 2% of penicillin-streptomycin is added at 37° C. in a CO2 atmosphere. 
     Incorporation of BrdU: 
     To determine the replication rate, the cells were grown in microplates at a density of 2*10 cells per matrix. After 24 hours of treatment the media was renewed and the cultures were incubated for 24 hours at 37 DEG C. with different concentrations of the extracts and betametasone-17-valerate with a concentration of 10 μg/ml. Parallel controls were carried out with the solvent (ethanol 0.1%). The incorporation of BrdU was determined with the ELISA test. 
     Results: 
     The incubation of the cells with 50 μg/ml of hydro alcoholic extract leads to a significant decrease in the incorporation with BrdU. The hydro alcoholic extract, a combination of the aqueous and alcoholic extract of  Curcuma longa , shown an anti-proliferative activity similar to betametasone-17-valerate ( FIG. 3 ). 
     Example 4  
     Effect of  Curcuma longa  Extracts on the Incorporation of BrdU in the DNA of Human Keratinocytes after Radiation with Ultraviolet Light 
     Culture of the HaCat Line: 
     The HaCat line is an immortalised line of normal human keratinocytes. These cells grow in a culture medium consisting of Hanks liquid to which 5% of foetal bovine serum and 2% of penicillin-streptomycin is added at 37° C. in a CO2 atmosphere. 
     Incorporation of BrdU: 
     To determine the replication rate, the cells were grown in microplates at a density of 2*10 cells per matrix. After 24 hours of treatment, the media was renewed and the cultures were incubated for 24 hours at 37° C. with different concentrations of the extracts and different concentrations of the curcumin and psoralen. Parallel controls were carried out with the solvent (ethanol 0.1%). The incorporation of BrdU was determined with the ELISA test. 
     The cells were radiated with UVA light at an intensity of 1 J/cm and the incorporation of BrdU was then analysed. 
     Results: 
     The hydro alcoholic extract of  Curcuma longa  with 10% curcuminoids, 18% proteins and 3% polysaccharide fraction, shown a photosensitising activity greater than curcumin after radiation with UVA light, that is less percentage of incorporation. 
     Aqueous  Curcuma longa  extract has photosensitising properties. 
     To produce the same level of photosensitising as  Curcuma  extracts, toxic doses of psoralen (10 ng/ml) have to be used ( FIGS. 4 ,  5 ,  6 ,  7 ). 
     Example 5  
     Effect of the Hydro Alcoholic Extracts of  Curcuma longa  on Psoriasis with Visible Radiation 
     Quantitative Composition of the Pharmaceutical Product: 
     
       
         
               
               
               
             
           
               
                   
                   
               
             
             
               
                   
                 Hydro alcoholic Curcuma extract* 
                  2% 
               
               
                   
                 Greasy phase 
                 27% 
               
               
                   
                 Emulgents 
                 47% 
               
               
                   
                 Humectants 
                 20% 
               
               
                   
                 Preservatives 
                  1% 
               
               
                   
                 pH adjusters 
                  1% 
               
               
                   
                 Water 
                 csq 
               
               
                   
                   
               
               
                   
                 *Equivalent to 10% of curcuminoids, 18% of proteins. 
               
             
          
         
       
     
     8 patients who were affected and diagnosed with and treated for different types of psoriasis: Guttate, Vulgar, Inverse and Palmo-plantar. The previous treatment consisted of the application of corticoid creams, PUVA sessions (around 14 sessions per patient) and in some cases retinoids therapy. The distribution of the patients by sex, age and type of psoriasis was as follows. 
     
       
         
               
               
               
             
           
               
                   
               
               
                 Age 
                 Sex 
                 Type of psoriasis 
               
               
                   
               
             
             
               
                  9 
                 Female 
                 Palmar 
               
               
                  6 
                 Female 
                 Guttate 
               
               
                 31 
                 Male 
                 Vulgar 
               
               
                 46 
                 Female 
                 Vulgar 
               
               
                 19 
                 Female 
                 Palmo-plantar 
               
               
                 56 
                 Female 
                 Vulgar &amp; palmo-plantar 
               
               
                 14 
                 Female 
                 Guttate 
               
               
                 28 
                 Male 
                 Inverse 
               
               
                   
               
             
          
         
       
     
     The composition with the hydro alcoholic extract was applied to the lesions and after 10 minutes, the patients were radiated with a 440 nanometers lamp for three minutes. Sessions were weekly. The erythema, the infiltration and the scale shedding were evaluated after 48 hours, 5 days and 15 days. 
     The results obtained were: 
     
       
         
               
               
               
               
               
             
           
               
                   
                   
               
               
                   
                 Type of psoriasis 
                 Erythema 
                 Infiltration 
                 Scale shed 
               
               
                   
                   
               
             
             
               
                   
                   
                 Day 0 
                   
                   
               
               
                   
                 Palmar 
                 ++ 
                 +++ 
                 +++ 
               
               
                   
                 Guttate 
                 ++ 
                 +++ 
                 ++ 
               
               
                   
                 Vulgar 
                 ++ 
                 ++ 
                 +++ 
               
               
                   
                 Palmo plantar 
                 + 
                 +++ 
                 +++ 
               
               
                   
                 Inverse 
                 +++ 
                 ++ 
                 + 
               
               
                   
                   
                 Day 2 
               
               
                   
                 Palmar 
                 ++ 
                 ++ 
                 ++ 
               
               
                   
                 Guttate 
                 ++ 
                 ++ 
                 + 
               
               
                   
                 Vulgar 
                 + 
                 ++ 
                 +++ 
               
               
                   
                 Palmo plantar 
                 + 
                 + 
                 ++ 
               
               
                   
                 Inverse 
                 ++ 
                 ++ 
                 + 
               
               
                   
                   
                 Day 5 
               
               
                   
                 Palmar 
                 ++ 
                 + 
                 + 
               
               
                   
                 Guttate 
                 + 
                 + 
                 − 
               
               
                   
                 Vulgar 
                 + 
                 + 
                 + 
               
               
                   
                 Palmo plantar 
                 + 
                 − 
                 ++ 
               
               
                   
                 Inverse 
                 − 
                 + 
                 − 
               
               
                   
                   
                 Day 15 
               
               
                   
                 Palmar 
                 + 
                 − 
                 − 
               
               
                   
                 Guttate 
                 + 
                 − 
                 − 
               
               
                   
                 Vulgar 
                 − 
                 − 
                 + 
               
               
                   
                 Palmo plantar 
                 − 
                 − 
                 + 
               
               
                   
                 Inverse 
                 − 
                 − 
                 − 
               
               
                   
                   
               
               
                   
                 Wherein, 
               
               
                   
                 +++ means intense 
               
               
                   
                 ++ means moderate 
               
               
                   
                 + means slight 
               
               
                   
                 − means negative 
               
             
          
         
       
     
     An improvement was observed in the erythema, infiltration and skin shedding after treatment with  Curcuma longa  extract and visible light. 
     Example 6 
     Effect of  Curcuma longa  Extracts on the Incorporation of BrdU in the DNA of Human Keratinocytes after Radiation with Visible Light 
     Culture of the HaCat Line: 
     The HaCat line is an immortalised line of normal human keratinocytes. These cells grow in a culture medium consisting of Hanks liquid to which 5% of foetal bovine serum and 2% of penicillin-streptomycin is added at 37° C. in a CO2 atmosphere. 
     Incorporation of BrdU: 
     To determine the replication rate, the cells were grown in microplates at a density of 2*10 cells per matrix. After 24 hours of treatment, the media was renewed and the cultures were incubated for 24 hours at 37° C. with different concentrations of the extracts and different concentrations of the curcumin and psoralen. Parallel controls were carried out with the solvent (ethanol 0.1%). The incorporation of BrdU was determined with the ELISA test. 
     The cells were radiated with visible light using an actinium lamp with a spectrum of 400–550 nm (maximum at 450 nm). 
     Results: 
     The hydro alcoholic extract of  Curcuma longa  with 10% of curcuminoids, 18% of proteins and 3% of polysaccharide fraction shown a decrease in DNA synthesis. The maximum inhibition of BrdU incorporation was at concentrations of 10 μg/ml of extract ( FIG. 8 ). 
     While the invention has been described in detail and with reference to specific embodiments thereof, it will be apparent to one skilled in the art that various changes and modifications can be made therein without departing from the spirit and scope thereof.