Abstract:
This invention described various formula composite of  Scutellaria baicalensis  for various diseases and conditions. The formula takes the advantage of our recent discovery of  Scutellaria baicalensis  can inhibit cyclooxygenase-2 (COX-2) activity and expression, resulting in decrease of prostaglandin synthesis. COX-2 is involved in many biological processes, such as inflammation, pain, carcinogenesis, etc. Combination of  Scutellaria baicalensis  with lycopene can be used for cancer prevention, especially smoking induced. Combination of  Scutellaria baicalensis  with glucosamine and chondroitin can be used for arthritis. Finally, this invention disclosed various method to prepare this formula and composition.

Description:
BACKGROUND OF THE INVENTION  
       [0000]     1. Cancer Treatment of  Scutellaria baicalensis  and Other Herbs  
         [0001]     Cancer is the third major cause of mortality, accounting for more than 7 million deaths per year world wide. Prostate cancer is the most common malignancy and the second leading cause of cancer deaths in man in the united state. The incidence of squamous cell cancer of head and neck is approximately 70,000 cases per year in United State, accounting for approximately 16,000 deaths in U.S per year. Colorectal is the second leading cause of cancer deaths in the United State. So, the three cancers are among the most morbid of human cancers in U.S. However, the standard treatments of radiation, chemotherapy and surgery for the three cancers have failed to improve patient outcome for the last decades, the main reason for failure methods is serious side effects. Therefore, improvements in the quality of life and survival in the patients with the cancers will require the development of better therapeutic agents. For this reason, cancer patients are turning to complementary and alternative medicine for therapeutic and palliative care. Recent survey has shown that up to 60% cancer patients use complementary and alternative therapies including herbal remedies. Herbs have been used as medicines in China and East Asia for several thousand years. But many herbs were used based on anecodotal experience, their efficacy and safety has not been scientifically evaluated.  
         [0002]      Scutellaria baicalensis , also known as Chinese skullcap or Huang Qin, is a widely used herb in Traditional Chinese Medicine with anticancer, antiviral, antibacterial and anti-inflammatory properties (Razina, T et al. Vopr Onkologii, 35: 331-335, 1989). Inhibitory effects of flavonoids from  Scutellaria baicalensis  on Epstein-barr virus activation and their anti-tumor-promoting activities (Chem Pharm Bull, 40: 531-533, 1992.). Historically,  Scutellaria baicalensis  has been used to treat respiratory tract infection, diarrhea, jaundice, hepatitis, and cancer. Recent investigations have shown that  Scutellaria baicalensis  alone, or in combination with other herbs, can inhibit cancer cell growth or induce apoptosis in breast, hepatocellular, pancreatic, prostatic, and urothelial carcinoma cell lines (So, F. et al Cancer Lett, 112: 127-133, 1997. Yano, H. et al. Cancer Res, 54: 448-454, 1994). We also demonstrated that  Scutellaria baicalensis  extract exhibits a strong anticancer activity in vitro and in vivo, especially on head and neck squamous cell carcinoma that is usually resistant to chemotherapy (Zhang et al. Cancer Res 63:4037-4043, 2003). Inhibition of PGE 2  synthesis via suppression of COX-2 expression and activity and suppression of cancer cell proliferation via cell cycle arrest may be responsible for its anticancer activity.  
         [0000]     2. Chemoprevention of  Scutellaria baicalensis  and Lycopene  
         [0003]     Head and neck cancer, the fifth most common cancer worldwide, is an important contributor to cancer morbidity and mortality in the US (Bhuvaneswari V, et al. Fitoterapia, 2001, 72(8): 865-74). Despite advances in radiotherapy and chemotherapy, the survival of patients with head and neck squamous cell carcinoma (HNSCC) has not improved significantly over the past three decades. The main reasons for treatment failure are the development of second primary tumors in individuals with early-stage disease and local recurrences and metastases in patients with advanced HNSCC (Day G L et al. Cancer 1992, 70:14-19). Chemoprevention, the administration of natural or synthetic substances to prevent, delay or reverse carcinogenesis, represents a therapeutic strategy that may prove useful in individuals at increased risk for HNSCC or second primary tumors. To develop rational therapeutic stragies, it is important to identify molecular targets that are linked to the pathogenesis of HNSCC. Currently, cyclooxygenase-2 (COX-2), an inducible enzyme that catalyzes the synthesis of prostaglandins (PG), is being intensively evaluated as a potential molecular target for chemopreventive agents (Dannenberg A J et al. Lancet Oncol 2001, 2: 544-551). Furthermore, COX-2 has been found to be much higher expressed in squamous cell carcinoma than normal squamous cells. (Muller-Decker K, et al. Proc Natl Acad Sci USA, 2002. 99(19): p. 12483-8). We have recently demonstrated that  Scutellaria baicalensis  significantly reduced PGE2 synthesis via inhibition of COX-2 activity as well as COX-2 protein expression in SCC-25 cells in a dose-dependent manner. Thus,  Scutellaria baicalensis  maybe useful in preventing HNSCC.  
         [0004]     The potential of single chemopreventives is limited by its potency. Simultaneous or sequential administration of multiple agents can increase efficacy. For example, differences in the chemopreventive mechanisms among the agents can provide additive or synergistic efficacy. Lycopene, a natural antioxidant found predominantly on tomato products, is attracting attention as a cancer prevention agent. Data suggest that the chemoprevention of lycopene is thought to be primarily responsible for its anti-oxidative property. Therefore,  Scutellaria baicalensis  in combination with lycopene may have potent synergistic effect in chemoprevention of HNSCC, based on different mechanisms among the both herbs. Other herbs or nutritional supplements which hav different biological activity can be incorporated with  Scutellaria baicalensis  for various cancer prevention.  
         [0000]     3. Arthritis Treatment of  Scutellaria baicalensis  and Glucosamine/Chondroitin Sulfate  
         [0005]     Arthritis is a widespread, potentially disabling disease, which is prevalent and clinical significant health care problems in the United States today, affecting 15% of the population (Brennan M R, et al. Annals of Internal medicine, 2003, 138, p 795). The most typical types of arthritis are osteoarthritis and rheumatoid arthritis, and the former one is more prevalent than the latter one. According to the American Arthritis Foundation, 45 million Americans of various ages or 80%-95% of those senior over 65 years old suffer from osteoarthritis that most commonly affects weight-bearing joints (e.g. hips, knees). It is important to have this in the mind how to most effectively treat osteoarthritis, especially among older people, because the risk of being affected by osteoarthritis increases with age.  
         [0006]     For more than 30 years, non-steroidal anti-inflammatory drugs (NSAIDs) have been used as standards in the treatment of osteoarthritis (OA). However, the use of these drugs is limited primarily by their toxicity. Nonselective NSAIDs (i.e. those that inhibit both cyclooxygenase [COX]-1 and COX-2) are associated with an increased risk for serious upper gastrointestinal (GI) complications, including perforation, symptomatic ulcers and bleeding; nephrotoxicity, acute renal insufficiency and congestive heart failure. The recent introduction in the US of oral COX-2-specific inhibitors such as celecoxib (in 1999), rofecoxib (in 1999), and valdecoxib (in 2001), which selectively inhibit COX-2, are increasingly being used in place of nonselective NSAIDs. This is because they are just as effective as NSAIDs in relieving arthritic pain and yet less gastrotoxic. However, many studies showed that the COX-2 inhibitors may increase the risk of cardiovascular and renal diseases, compared with NSAIDs.  
         [0007]     The use of combination glucosamine sulfate (GS) and chondroitin sulfate (CS) is becoming commonplace as one of complementary therapy for treatment of OA. OA is a progressive disease caused by the cartilage destruction and a progressive degeneration of cartilage glycosaminoglycans with subsequent formation of bone spurs. Whereas GS is thought to promote the formation and repair of cartilage, CS is believed to promote water retention and elasticity in cartilage and inhibit enzymes that break down cartilage. The combinatory use of GS and CS can provide substrates for proteoglycans synthesis. However, successful treatment of OA must effectively decrease and control pain and maintain or improve joint function. GS and CS have very little direct anti-inflammatory effect and no demonstrated ability to directly act as an analgesic or pain relieving agent. Instead, GS and CS appear to only promote the regeneration of the joint matrix by stimulating production of proteoglycans.  
         [0008]      Scutellaria baicalensis , on the other hand, has a strong anti-inflammatory effect by inhibition of COX-2 pathway. It can reduce inflammation which destructs joint cartilage as well as pain. Therefore, we formulated an anti-arthritic nutritional supplement, containing SB, GS and CS. Our study demonstrated that this formula is much more effective and stronger in the treatment of OA than any mono-drug in animal study and in a limited clinical study.  
         [0009]     The preferred anti-arthritic formula is consisted of 20-40%  Scutellaria baicalensis  extract, 30-60% Glucosamine sulfate and 10-20% Chondroitin sulfate. The preferred formulation is capsule or tablet. All these components can be purchased in US. The  Scutellaria baicalensis  extract is the root portion of the plant  Scutellaria baicalensis  Georgi which is preferably prepared by boiling the dried raw herb root in water or soaking in absolute ethanol followed by spray-drying to obtain a 12-fold concentration as compared to raw herb. The preferred adult dose of the formula is 1.5-2 grams per times, 2 times daily.  
         [0010]     Other herbal extracts have been found that can inhibit PGE2 synthesis may also be used to substitute for  Scutellaria baicalensis . These herbs include Green tea,  Coptis chinensis, Coccwyus trilobus  and  Androgrophis Paniculata  Ness ( FIG. 1 ).  
       BRIEF SUMMARY OF THE INVENTION  
       [0011]      Scutellaria baicalensis  extract exhibits a strong anticancer activity in vitro and in vivo, especially on head and neck squamous cell carcinoma. Inhibition of PGE 2  synthesis via suppression of COX-2 expression and activity and suppression of cancer cell proliferation via cell cycle arrest may be responsible for its anticancer activity. In addition, no side effect or toxicity was observed by  Scutellaria baicalensis  extract.  
         [0012]      Scutellaria baicalensis  maybe useful in preventing HNSCC, and  Scutellaria baicalensis , in combination with other herbal and nutritional supplements including but not limited lycopene, may have potent synergistic effect in chemoprevention of HNSCC, based on different mechanisms among the herbs.  
         [0013]      Scutellaria baicalensis  in combination with other nutrition and herbal and nutritional supplements, including but not limited glucosamine and chondroitin, has a strong anti-inflammatory effect through the inhibition of COX-2 pathway. Furthermore, it can lessen the cartilage degeneration of the joints. Therefore, it can be effectively used in the treatment of OA which inflict millions of Americans. Its anti-arthritic effect and pain relieving effect had been confirmed in animal study and in a limited clinical study. 
     
    
     DETAILED DESCRIPTION OF FIGURES  
       [0014]      FIG. 1 . Inhibition of PGE 2  synthesis in SCC-25 cells by various herbal extracts.  
         [0015]      FIG. 2 . Inhibition of HNSCC and HaCat cell growth by  Scutellaria baicalensis.    
         [0016]      FIG. 3 : Tumor growth inhibition in nude mice bearing KB cells. Panel A: tumor growth inhibition. Panel B: comparison of tumor size in control and treated mouse  
         [0017]      FIG. 4 . Cell cycle analysis by flow cytometry: The SCC-25 (A and B) and KB (C and D) cells were treated with 750 ug/ml of  Scutellaria baicalensis  for 72 hours (B and D) and cells were harvested and subjected to flow cytometry analysis. The histograms show that there was a significant increase of G0/G1 population with concomitant decrease of S population after treatment with  Scutellaria baicalensis  (B and D).  
         [0018]      FIG. 5 : Inhibition of PGE 2  synthesis in SCC-25 cells by  Scutellaria baicalensis.    
         [0019]      FIG. 6 : Inhibition of COX-2 activity in SCC-25 cells by  Scutellaria baicalensis  (150 ug/ml) and Celecoxib (25 uM). Cells were incubated with either agent for various periods of time and the medium was removed. Fresh medium containing 100 uM arachidonic acid was added and incubated for additional 30 min. The level of PGE 2  in the medium was measured by EIA assay.  
         [0020]      FIG. 7 . Inhibition of COX-2 expression by  Scutellaria baicalensis . SCC-25 cells were treated with  Scutellaria baicalensis  for 72 hours and proteins were fractionated through a SDS-PAGE and detected by Western blot.  
         [0021]      FIG. 8 : inhibition of PGE 2  synthesis in the plasma of nude mice bearing squamous cell carcinoma by  Scutellaria baicalensis  (SB)  
         [0022]      FIG. 9 : HPLC profile of  Scutellaria baicalensis  extracts. A-C: commercial extracts from YF1, ST1, and MW1. E and F: commercial extracts from MT1 and SC1. D and G: extracts from our laboratory via water or ethanol  
         [0023]      FIG. 10 . The body weight of nude mice treated with  Scutellaria baicalensi  for 8 weeks  
         [0024]      FIG. 11 . The five vital organ weight of nude mice treated with  Scutellaria bcaicalensis  for 8 weeks  
         [0025]      FIG. 12 : Induction of PGE 2  synthesis by BaP and suppression of BaP-induced PGE 2  synthesis by  Scutellaria baicalensis  (SB) and celecoxib.  
         [0026]      FIG. 13 : Induction of hyperkeratosis by BaP in nude mice. 
     
    
     DETAILED DESCRIPTION OF THE INVENTION  
       [0027]     This invention provides a composition comprising an effective amount of  Scutellaria baicalensis  or an extract thereof. As defined herein the  Scutellaria baicalensis  extract can be obtained by routine procedure. In an embodiment, it is an aqueous extract.  
         [0028]     This invention provides a composition of the above composition wherein the composition is capable of treating and/or preventing of cancer as used herein. The cancer may include prostate, breast, colon, liver, lung, pancreatic, head &amp; neck, and liver cancers.  
         [0029]     This invention provides a composition comprising  Scutellaria baicalensis , Glucosamine and Chondroitin effective in preventing or treating arthritis. This arthritis includes but is not limited to rheumatoid arthritis, lupus-associated arthritis, osteoarthritis, and neuropathic arthropathy.  
         [0030]     This invention provides the composition of the above described composition, wherein the arthritis is a rheumatoid arthritis and osteoarthritis.  
         [0031]     This invention provides the composition of the above described wherein the 20-40% of  Scutellaria baicalensis,  30-60% of Glucosamine and 10-20% of Chondroitin.  
         [0032]     This invention provides the above composition wherein the proportion of  Scutellaria baicalensis  is about 34%, Glucosamine about 52% and Chondroitin about 14%.  
         [0033]     This invention provides the method of treating a subject comprising administering to the subject an effective amount of the composition of the above described composition. In an embodiment, the subject is a human. In another embodiment, the subject is a mammal. In a further embodiment, the subject is a human-redundant.  
         [0034]     This invention provides the method of treating a subject with arthritis comprising administering to the subject an effective amount above composition.  
         [0035]     This invention provides a method for preparing the above composition.  
         [0036]     This invention provides a formulation comprising the above composition.  
         [0037]     This invention provides a container comprising the above composition.  
         [0038]     This invention provides a method for quality control or batch variation of the above composition comprising the steps of:  
         [0039]     (a) Physical characterization of said composition and  
         [0040]     (b) Biological array of said composition.  
         [0041]     This invention provides the above method wherein step (a) comprising high pressure chromatography.  
         [0042]     This invention may be further understood by the following examples and claims. Nevertheless, in no circumstance, the examples should be limiting to this invention.  
       Example 1  
     Cancer Treatment of  Scutellaria baicalensis  Extract and Other Herbs  
     Example 1.1  
     Growth Inhibition of  Scutellaria Baicalensis  on Head and Neck Squamous Carcinoma (HNSCC) Cell Lines  
       [0043]     The percentage of growth inhibition was determined by employing an MTT (3,4,5-dimethylthiazol-2,5-diphenyltetrazolium bromide; Sigma) assay to measure viable cells.  Scutellaria baicalensis  displayed a dose-dependent ( FIG. 2 ) and time-dependent (not shown) inhibition on the growth of both HNSCC cell lines including KB and SCC-25 cell). Both cells exhibited equal sensitivity to  Scutellaria baicalensis  and 50% growth inhibition concentrations (IC 50 ) of both cell lines were determined to be 150 μg/ml (Zhang et al. Cancer Res 63:4037-4043, 2003). The maximal inhibition of cell growth (&gt;90%) was achieved at 1500 μg/ml. On the other hand,  Scutellaria baicalensis  did not inhibit the growth of HaCaT cell, a nontumorigenic oral squamous cell line, even at a concentration of 750 μg/ml ( FIG. 2 ), indicating that  Scutellaria baicalensis  selectively inhibited cancer cell growth.  
       Example 1.2  
     Inhibition of Tumor Growth in HNSCC-Xenografted Nude Mice  
       [0044]     Nude mice inoculated subcutaneously with 3×10 6  KB cells were treated daily by gavage for 8 weeks with  Scutellaria baicalensis  extract dissolved in water (Zhang et al. Cancer Res 63:4037-4043, 2003). Our results show that tumor volumes significantly decreased in the treated group in dose-dependant manner as compared with control group ( FIG. 3 ). These results indicate that  Scutellaria baicalensis  not only inhibits cancer cell growth in vitro but also inhibits cancer growth in animals.  
       Example 1.3  
     Cell Cycle Arrest on HNSCC Cells by  Scutellaria baicalensis    
       [0045]     We further analyzed the effect of these agents on cell cycles (Table 1). Our results show that  Scutellaria baicalensis  caused a significant G 0 /G 1  phase arrest with concurrent decrease of S phase in both SCC-25 and KB cells, compared to the control cells ( FIG. 4 ) (Zhang, D., et al., Cancer Res, 2003, 63 (14): p 4037-43). In addition,  Scutellaria baicalensis  exerted no effect on the cell cycle distribution of HaCaT cells up to the concentration of 750 μg/ml (data not shown).  
                                                                                         TABLE 1                           Cell cycle distribution of SCC-25 and KB cells       after treating with  Scutellaria baicalensis                  SCC-25   KB                G 0 /G 1     S   G 2 /M   G 0 /G 1     S   G 2 /M           (%)   (%)   (%)   (%)   (%)   (%)                        Control   60.43   24.37   15.2   59.85   17.8   22.35         Scutellaria           baicalensis         150 ug/ml   66.61   16.13   17.26   67.56   13.22   19.22       300 ug/ml   67.63   17.2   15.17   70.62   10.49   18.89       750 ug/ml   71.53   14.45   14.02   76.13   10.48   13.39                  
 
       Example 2  
     Anti-Arthritic Effect of  Scutellaria baicalensis    
     Example 2.1  
     Inhibition of PGE2 Synthesis and Suppression of COX-2 Activity and Expression by  Scutellaria baicalensis    
       [0046]     Since  Scutellaria baicalensis  has been historically used to treat inflammatory disorders, we hypothesized that its anti-arthritic activity may derive from inhibition of cyclooxygenase-2 (COX-2) pathway. COX-2 has been found to be highly expressed in SCC-25 cells, a squamous cell carcinoma cell line (Muller-Decker K, et al. Proc Natl Acad Sci USA, 2002. 99(19): p. 12483-8). Therefore, it was used to test the effect of  Scutellaria baicalensis  on the prostaglandin E 2  (PGE 2 ) synthesis by EIA assay (Zhang, D., et al., Cancer Res, 2003, 63 (14): p 4037-43). Our results demonstrate that there was a high level of PGE 2  production in SCC-25 cells and a significant reduction of PGE 2  synthesis in SCC-25 cells in the presence of  Scutellaria baicalensis  in a dose-dependent manner ( FIG. 5 ).  
         [0047]     We then examined the mechanism of inhibition of PGE 2  synthesis by  Scutellaria baicalensis , i.e. direct inhibition of COX-2 enzymatic activity or inhibition of COX-2 expression. We measured COX-2 activity by in cell arachidonic acid conversion assay by providing exogenous arachidonic acid to the cells (Chen, Y., et al., Biochem Pharmacol, 2001. 61: p. 1417-1427). Our results showed that there was a significant decrease of PGE 2  level in the presence of both  Scutellaria baicalensis  and celecoxib, a COX-2 specific inhibitor ( FIG. 6 ) (Zhang, D., et al., Cancer Res, 2003, 63 (14): p 4037-43). The pattern of PGE 2  inhibition was different between celecoxib and  Scutellaria baicalensis : a significant delay in inhibition of PGE 2  synthesis by  Scutellaria baicalensis  indicated that it may have inhibited COX-2 expression directly. Therefore, we further examined the effect of  Scutellaria baicalensis  on COX-2 expression by Western blot. Our results showed that  Scutellaria baicalensis  inhibited protein expression ( FIG. 7 ). These results demonstrated that  Scutellaria baicalensis  significantly inhibit COX-2 activity as well as COX-2 expression.  
       Example 2.2  
     Inhibition of PGE 2  Synthesis in Nude Mice  
       [0048]     We also examined the effect of  Scutellaria baicalensis  on the PGE 2  production in animals bearing KB cells. The blood was collected at the end of experiment (8 weeks) and 50-ul plasma aliquots were subjected to PGE 2  analysis. Our results show that there is a significant decrease of plasma PGE 2  level in a dose-dependent manner, indicating that  Scutellaria baicalensis  can inhibit PGE 2  synthesis in animals ( FIG. 8 ).  
       Example 3  
     Quality Control of  Scutellaria baicalensis    
     Example 3.1  
     Chemical Analysis of  Scutellaria baicalensis    
       [0049]     The authenticity and chemical quality of  Scutellaria baicalensis  extract is determined by HPLC. HPLC analysis was performed using a Xterra-Rp C18 column (4.6 mm×250, 5 μm particle size) on a Perkin Elmer HPLC system, equipped with a chromatography interface 600 series link, a 888-PE pump, a 785A UV detector and an advanced LC sample processor ISS 200. 20 μl of each sample prepared by dissolving the herbal extracts in water or ethanol, and passed through filter was injected into the system. The peaks were detected at wavelength of 276 nm and assigned by comparison of the retention times and UV spectra.  
         [0050]     We have tested  Scutellaria baicalensis  extracts purchased from five different companies (YF, STT, MW, MT and SC) in US. On HPLC profile, all extracts contained marker components, either baicalin or baicalein or both, confirming the extract&#39;s authenticity ( FIG. 9 ). In addition, various amounts of other components were also observed in the extracts, further confirming the authenticity of these extracts. For example, oroxylin A 7-O-glcUA and wogonoside were found in extracts obtained from YF, STT and MW, while wogonin and oroxylin A were observed in extracts from MT and SC ( FIG. 10 ). However, significant product-to-product and batch-to-batch variation regarding marker components was observed. Based on the presence of baicalin, the extracts can be separated into two groups: those with high baicalin concentrations (YF, STT, and MW) and those with minimal baicalin concentrations (MT and SC) ( FIG. 10  and Table 2). Variation of baicalin concentrations was likely due to the solvent used in extract preparation. We found baicalin is the main constituent when the raw plant is extracted with water, while baicalein is the major constituent when extracted with ethanol.  
         [0051]     Our HPLC study showed that although some variation in the amount of these marker components existed in different extracts, the presence of these marker components could be used to assess authenticity and chemical consistency of  Scutellaria baicalensis  extracts.  
       Example 3.2  
     Biological Activity Analysis of  Scutellaria baicalensis    
       [0052]     The variation of marker components in these extracts raised a significant concern about the bioactivity and potency of the herbal products. We have previously shown  Scutellaria baicalensis  inhibited COX-2 activity, thereby reducing PGE 2  synthesis (David Zhang et al. Cancer Res, 2003, 63 (14): 4037-43). Therefore, we tested the difference in their biological activity using PGE 2  synthesis by enzyme immunoassay (EIA). Our results showed all  Scutellaria baicalensis  extracts inhibited PGE 2  production in SCC-25 cells. However, significant variation (ranging from 62.3% to 94%) in the ability of inhibition of PGE 2  synthesis was observed among different products and batches (Table 2). Furthermore, no apparent relationship between the presence and amount of baicalin, baicalein or other components and the degree of PGE 2  inhibition was observed. These results indicated that baicalin, baicalein, or other components found by HPLC are not the components causing PGE 2  synthesis inhibition. These results indicate that measurement of marker components by HPLC does not reflect its biological activity, suggesting that while chemical standardization can provide some level of quality control, particularly authenticity, it is insufficient to determine biological activity due to complex chemical composition of an extract.  
                                                                             TABLE 2                           Contents of baicalin and baicalein of ten commercial       extracts of  Scutellaria baicalensis  and inhibition of PGE 2         production in SCC-25 cells.                Baicalin   Baicalein   PGE 2              Sample   (μg/mg)   (μg/mg)   pg/10 6  cells   reduction (%)                    YF1   192.8   12.9   19.5   93.4       YF2   143.8   11.7   34   88.4       YF3   229.2   —   84.2   71.4       STT1   148.8   12.0   96.3   67.3       STT2   210.4   13.2   17.7   94.0       MW1   120.0   —   111.1   62.3       MT1   —   17.9   47.9   83.7       MT2   —   33.9   23.9   91.9       MT3   —   52.3   27.3   90.7       SC1   —   33.0   37.4   87.3                  
 
       Example 4  
     The Anti-Arthritic Activity of  Scutellaria baicalensis  Formula in Rat with Adjuvantive Arthritis  
     Example 4.1  
     Inhibition of Paw Edema Induced by Adjuvant  
       [0053]     The anti-arthritic activity of  Scutellaria baicalensis  formula was confirmed in animal study. Eight week-old male Wistar rats were received intradermal injections of 0.1 ml Freund&#39;s complete adjuvant (FCA, 7.5 mg/ml) to the paw of the right hindfood. At 14 days, paw edema was induced and rats were randomized into three groups (n=6) including control group,  Scutellaria baicalensis  formula group (30 mg/kg of  Scutellaria baicalensis,  10 mg/kg of Glucosamine and 8 mg/kg of Chondroitin) and indomethacin group (12.5 mg/kg) which serves as a positive control. The treatment groups were given  Scutellaria baicalensis  formula or indomethacin by oral gavage once per day for a duration of 10 days. The diameters of paw were measured at 16, 20 and 24 days. Our results showed that the diameters of paw significantly decreased in  Scutellaria baicalensis  formula group as compared with control group, and were similar to indomethacin group (Table 3). The result indicates that  Scutellaria baicalensis  formula has a strong anti-inflammatory activity in rats induced by adjuvant.  
                                 TABLE 3                           The changes of paw edema after treating with  Scutellaria baicalensis         formula and Indomethacin in rats.            Groups   16 d   20 d   24 d               control   1.567 ± 0.121   1.883 ± 0.496   1.483 ± 0.366       Arthrigia   0.900 ± 0.141**   0.817 ± 0.147**   0.317 ± 0.172**       Indomethacin   0.929 ± 0.214**   0.771 ± 0.160**   0.400 ± 0.245**                 X ± SD, n = 6,            **p &lt; 0.01 compared with control group.             
 
       Example 4.2  
     The Effect of  Scutellaria baicalensis  Formula on IL-6 and PGE 2  in Rats with Adjuvant Arthritis  
       [0054]     Osteoarthritis is characterized by articular cartilage degradation and hypertrophic joint changes. Pro-inflammatory cytokines (IL-1, IL-6, TNF-α) are considered to play important roles in the initiation and development of osteoarthritis (Inoue et al. British Journal of Pharmacology 136:287-295 (2002)). Prostaglandin (PG) E 2  has catabolic effects on the articular cartilage in OA (Futani et al J Immunother 2002 1;25(0):S61-S64). Therefore, we measured IL-6 and PGE 2  in rats&#39; blood with adjuvant-induced arthritis treated with  Scutellaria baicalensis  formula using ELISA assay. At the end of the experiment in Example 4.1, IL-6 in serum and PGE2 in articular fluid were assessed. Our results showed that  Scutellaria baicalensis  formula significantly decreased IL-6 and PGE2, and was similar to that of indomethacin (Table 4).  
                                 TABLE 4                           The effects of arthrigia on IL-6 and PGE2       in rats with adjuvantive arthritis                Groups   IL-6 (pg/ml)   PGE2 (pg/ml)                       Control   17.9 ± 4.4   15.4 ± 6.8           Arthrigia   10.6 ± 3.6*    8.7 ± 5.5*           Indomethacin    6.0 ± 3.1**   6.00 ± 3.1*                         X ± SD, n = 6,                *p &lt; 0.05 or                **p &lt; 0.01 compared with control group.             
 
       Example 5  
     Low Toxicity of  Scutellaria baicalensis    
       [0055]      Scutellaria baicalensis  formula is composed of Glucosamine sulfate, Chondroitin sulfate and  Scutellaria baicalensis . Many studies showed that no toxicity and side-effects for all these agents. No mortality was observed in mice or rats received glucosamine sulfate at very high levels (500 mg/kg oral, 3000 mg/kg IM, and 1500 mk/kg IV). Chondroitin sulfate is well tolerated following an oral dose and no signs or symptoms of toxicity have been reported (Conte A et al. Arzneim Forsch, 1995, 45: p 918-925). Our recent short and long term toxicity studies, evaluating hematology (WBC, RBC, and hemoglobin) (Table 5) and blood chemistry (creatine, BUN, AST, and ALT) in addition to body weight ( FIG. 10 ) and vital organs (heart, liver, lung, kidney, and spleen) ( FIG. 11 ), demonstrated no adverse effects after 8-week or 6-month treatment of  Scutellaria baicalensis  by oral gavage at dose of 1 g/kg (8.3-fold of human equivalent dose).  
                                                                                   TABLE 5                           The CBC and serum levels of nude mice treated       with  Scutellaria baicalensis  for 6 months                WBC   RBC   hemo-                           (×10 3 /   (×10 6 /   globin   Creatine   BUN   AST   ALT           ul)   ul)   (g/dL)   (mg/dL)   (mg/dL)   (U/L)   (U/L)                        control   5.80   9.08   14.30   0.30   19.30   442.70   67.00       1000   6.60   8.92   14.30   0.30   20.30   327.30   54.00       mg/kg       SB                    
       Example 6  
     Chemoprevention of Cigarette Smoke-Induced Oral Squamous Changes  
     Example 6.1  
     Inhibition of PaB Induced COX-2 Activity by  Scutellaria baicalensis    
       [0056]     Benzo[a]pyrene (BaP), one of the compounds released from smoking, is a prototypical carcinogen. It is a polycyclic aromatic hydrocarbon (PAH) compound and is found in high quantity (20-40 ng) in each cigarette. BaP is metabolized and activated to become the ultimate carcinogenic metabolite [(+)-anti-7b,8a-dihydroxy-9a,10a-epoxy-7,8,9,10-tetrahydorbenzo[a]pyrene], also known as BPDE. A recent study showed that BaP stimulates COX expression both in normal and transformed oral squamous epithelial cells (Kelley, D et al. Carcinogenesis, 1997. 18(4): p. 795-799). We examined the counter-stimulatory effect of  Scutellaria baicalensis  on BaP-induced COX-2 activity. After the treating SCC-25 cells with BaP for 6 hours, the supernatants were removed and the cells were washed with PBS. Fresh medium containing 0, 75, 150, 300 ug/ml SB or 25 uM celecoxib (previously determined IC 50 ) was added and incubated for additional 24 hours [1]. This situation resembles the chemoprevention in the former smokers. Our results show that both  Scutellaria baicalensis  and celecoxib inhibit PGE 2  synthesis induced by BaP and the inhibition is so strong that PGE 2  level drop below the baseline to an undetectable level, suggesting both agents also suppress endogenous COX-2 activity ( FIG. 12 ). Furthermore, the ability for celecoxib to inhibit PGE 2  synthesis supports our hypothesis that COX-2 is the enzyme responsible for the increase of PGE 2  induced by BaP. These results further support our rationale of using  Scutellaria baicalensis  as a chemoprevention agent.  
       Example 6.2  
     Inhibition of BaP-Induced Squamous Epithelial Changes by  Scutellaria baicalensis    
       [0057]     Two nude mice were treated by apical application of BaP (0.5 ug/ml) to the buccal mucosa with a cotton swab daily for 6 days. The animals were sacrificed at the end of the experiment and the buccal tissue was removed and embedded in paraffin. Sections from control and treated animals were stained with H&amp;E and examined under a light microscope. The results demonstrated hyperkeratosis, an early change of BaP-induced tissue damage, of the buccal mucosa in the treated animals ( FIG. 13 ). This study confirmed that BaP cause cellular and histological changes in a murine animal model.