Comfrey (Symphytum offi cinale L.) root is traditionally used for the topical treatment of contusions, strains and sprains. Besides allantoin and rosmarinic acid, which are discussed as pharmacologically active principles, the drug contains pyrrolizidine alkaloids (PAs) known for their hepatotoxic, carcinogenic and mutagenic properties. The topical herbal medicinal products Kytta-Salbe ® f and Kytta-Plasma ® f contain a PA-free liquid extract from comfrey root as active substance. The aim of this study was to demonstrate the absence of genotoxic effects of this special extract in the bacterial reverse mutation assay (Ames test).Briefl y, comfrey root liquid extract was investigated for its ability to induce gene mutations in Salmonella typhimurium strains TA 98, TA 100, TA 102, TA 1535 and TA 1537 with and without metabolic activation using the mammalian microsomal fraction S9 mix. Reference mutagens were used to check the validity of the experiments.Comfrey root fl uid extract showed no biologically relevant increases in revertant colony numbers of any of the fi ve tester strains, neither in the presence nor in the absence of metabolic activation. In conclusion, the comfrey root fl uid extract contained in Kytta-Salbe ® f and Kytta-Plasma ® f was not mutagenic in the bacterial reverse mutation assay.
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