Combined DNA, toxicological and heavy metal analyses provides an auditing toolkit to improve pharmacovigilance of traditional Chinese medicine (TCM)

Globally, there has been an increase in the use of herbal remedies including traditional Chinese medicine (TCM). There is a perception that products are natural, safe and effectively regulated, however, regulatory agencies are hampered by a lack of a toolkit to audit ingredient lists, adulterants an...

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Main Authors: Coghlan, Megan, Maker, G., Crighton, E., Haile, James, Murray, D., White, Nicole, Byard, R., Bellgard, M., Mullaney, I., Trengove, R., Allcock, R., Nash, C., Hoban, C., Jarrett, K., Edwards, R., Musgrave, I., Bunce, Michael
Format: Journal Article
Published: 2015
Online Access:http://hdl.handle.net/20.500.11937/6251
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author Coghlan, Megan
Maker, G.
Crighton, E.
Haile, James
Murray, D.
White, Nicole
Byard, R.
Bellgard, M.
Mullaney, I.
Trengove, R.
Allcock, R.
Nash, C.
Hoban, C.
Jarrett, K.
Edwards, R.
Musgrave, I.
Bunce, Michael
author_facet Coghlan, Megan
Maker, G.
Crighton, E.
Haile, James
Murray, D.
White, Nicole
Byard, R.
Bellgard, M.
Mullaney, I.
Trengove, R.
Allcock, R.
Nash, C.
Hoban, C.
Jarrett, K.
Edwards, R.
Musgrave, I.
Bunce, Michael
author_sort Coghlan, Megan
building Curtin Institutional Repository
collection Online Access
description Globally, there has been an increase in the use of herbal remedies including traditional Chinese medicine (TCM). There is a perception that products are natural, safe and effectively regulated, however, regulatory agencies are hampered by a lack of a toolkit to audit ingredient lists, adulterants and constituent active compounds. Here, for the first time, a multidisciplinary approach to assessing the molecular content of 26 TCMs is described. Next generation DNA sequencing is combined with toxicological and heavy metal screening by separation techniques and mass spectrometry (MS) to provide a comprehensive audit. Genetic analysis revealed that 50% of samples contained DNA of undeclared plant or animal taxa, including an endangered species of Panthera (snow leopard). In 50% of the TCMs, an undeclared pharmaceutical agent was detected including warfarin, dexamethasone, diclofenac, cyproheptadine and paracetamol. Mass spectrometry revealed heavy metals including arsenic, lead and cadmium, one with a level of arsenic >10 times the acceptable limit. The study showed 92% of the TCMs examined were found to have some form of contamination and/or substitution. This study demonstrates that a combination of molecular methodologies can provide an effective means by which to audit complementary and alternative medicines.
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spelling curtin-20.500.11937-62512017-09-13T14:42:52Z Combined DNA, toxicological and heavy metal analyses provides an auditing toolkit to improve pharmacovigilance of traditional Chinese medicine (TCM) Coghlan, Megan Maker, G. Crighton, E. Haile, James Murray, D. White, Nicole Byard, R. Bellgard, M. Mullaney, I. Trengove, R. Allcock, R. Nash, C. Hoban, C. Jarrett, K. Edwards, R. Musgrave, I. Bunce, Michael Globally, there has been an increase in the use of herbal remedies including traditional Chinese medicine (TCM). There is a perception that products are natural, safe and effectively regulated, however, regulatory agencies are hampered by a lack of a toolkit to audit ingredient lists, adulterants and constituent active compounds. Here, for the first time, a multidisciplinary approach to assessing the molecular content of 26 TCMs is described. Next generation DNA sequencing is combined with toxicological and heavy metal screening by separation techniques and mass spectrometry (MS) to provide a comprehensive audit. Genetic analysis revealed that 50% of samples contained DNA of undeclared plant or animal taxa, including an endangered species of Panthera (snow leopard). In 50% of the TCMs, an undeclared pharmaceutical agent was detected including warfarin, dexamethasone, diclofenac, cyproheptadine and paracetamol. Mass spectrometry revealed heavy metals including arsenic, lead and cadmium, one with a level of arsenic >10 times the acceptable limit. The study showed 92% of the TCMs examined were found to have some form of contamination and/or substitution. This study demonstrates that a combination of molecular methodologies can provide an effective means by which to audit complementary and alternative medicines. 2015 Journal Article http://hdl.handle.net/20.500.11937/6251 10.1038/srep17475 fulltext
spellingShingle Coghlan, Megan
Maker, G.
Crighton, E.
Haile, James
Murray, D.
White, Nicole
Byard, R.
Bellgard, M.
Mullaney, I.
Trengove, R.
Allcock, R.
Nash, C.
Hoban, C.
Jarrett, K.
Edwards, R.
Musgrave, I.
Bunce, Michael
Combined DNA, toxicological and heavy metal analyses provides an auditing toolkit to improve pharmacovigilance of traditional Chinese medicine (TCM)
title Combined DNA, toxicological and heavy metal analyses provides an auditing toolkit to improve pharmacovigilance of traditional Chinese medicine (TCM)
title_full Combined DNA, toxicological and heavy metal analyses provides an auditing toolkit to improve pharmacovigilance of traditional Chinese medicine (TCM)
title_fullStr Combined DNA, toxicological and heavy metal analyses provides an auditing toolkit to improve pharmacovigilance of traditional Chinese medicine (TCM)
title_full_unstemmed Combined DNA, toxicological and heavy metal analyses provides an auditing toolkit to improve pharmacovigilance of traditional Chinese medicine (TCM)
title_short Combined DNA, toxicological and heavy metal analyses provides an auditing toolkit to improve pharmacovigilance of traditional Chinese medicine (TCM)
title_sort combined dna, toxicological and heavy metal analyses provides an auditing toolkit to improve pharmacovigilance of traditional chinese medicine (tcm)
url http://hdl.handle.net/20.500.11937/6251