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. 2025;28(9):1140–1162. doi: 10.22038/ijbms.2025.85518.18486

Table 5.

Effect of Z. multiflora on dyspnea

Compound Study design Doses/Duration Results Ref.
Z. multiflora extract 40 asthmatic patients 5, 10 mg/kg, 2 months, PO ↑ FEV1%
↓Wheezing, nitrite levels
(155)
Z. multiflora extract 36 asthmatic patients 5, 10 mg/kg, 2 months, PO ↑ PFTs
↓Clinical symptoms, oxidative stress
(156)
Z. multiflora extract 18 asthmatic patients 20 mg/kg, PO ↑PFT values between 30 and 180 min (153)
Z. multiflora extract 47 veterans exposed to SM 5, 10 mg/kg, 2 months, PO ↑ PEF, serum thiol, SOD, CAT, FVC
↓ MDA, WBC
(160)
Z. multiflora extract 34 veterans exposed to SM 5, 10 mg/kg, 2 months, PO ↑ FEV1 values
↓ Cough, chest wheezing, EGF, MCP-1, TNF-α, VEGF
(161)
Z. multiflora extract 34 veterans exposed to SM 5, 10 mg/kg, 2 months, PO ↑ IL-10, IFN-γ, MMEF, MEF25, 50, 75
↓Serum levels of IL-2, IL-6, IL-8
(162)
Z. multiflora extract 45 patients with COPD 3, 6 mg/kg, 2 months, PO ↑ FEV1, thiol, SOD, and CAT
↓ Sputum, chest wheezing, dyspnea, MDA, nitrite, CRP levels
(163)
Z. multiflora extract 41 patients with COPD 3, 6 mg/kg, 2 months, PO ↑ FVC, FEV1, PEF
↓Serum levels of TNF-α and IL-8, cough, chest tightness, dyspnea
(169)
Z. multiflora extract 45 patients with COPD 3, 6 mg/kg, 2 months, PO ↑ FEV1 values
↓Respiratory symptoms, inhaled bronchodilator use, and WBC counts
(29)
Carvacrol 40 asthmatic patients 1.2 mg/kg, 2 months, PO ↑ FEV1%
↓ Wheezing, nitrite levels
(155)
Carvacrol 20 patients exposed to SM 3.6 mg/kg, 2 months, PO ↑ PEF, serum levels of thiol, SOD, CAT
↓ WBC, MDA level
(175)
Carvacrol 20 patients exposed to SM 1.2 mg/kg, three times a day, 2 months, PO ↑ IL-10 and IFN‐γ levels, IFN-γ/IL-4 ratio, MMEF, MEF25, MEF50, MEF75
↓ IL-2, IL-4, IL-6, IL-8 levels
(176)
Carvacrol 21 patients exposed to SM 1.2 mg/kg, three times a day, 2 months, PO ↑ FEV1
↓ Chest wheeze, cough and wheeze, TNF-α, EGF, VEGF, and MCP-1 levels
(177)
Carvacrol 30, 40 healthy subjects 2 mg/kg, a month, PO ↑ FEV1 (183, 184)

CAT: Catalase; COPD: Chronic obstructive pulmonary disease; CRP: C-reactive protein; EGF: Epidermal growth factor; FEV1: Forced expiratory volume in one second; FVC: Forced vital capacity; IFN-γ: Interferon-gamma; IL: Interleukin; MCP-1: Monocyte chemotactic protein 1; MDA: Malondialdehyde; MEF: Maximal expiratory flow; MMEF: Maximal mid expiratory flow; PO: Per Os (by mouth); PEF: Peak expiratory flow; PFTs: Pulmonary function tests; SM: Sulfur mustard; SOD: Superoxide dismutase; TNF-α: Tumor necrosis factor-alpha; VEGF: Vascular endothelial growth factor