Dr. Lakshmi C. Mishra

 

                                                                                 M. Pharm., Ph.D. (Pharmacol.), BIMS (Ayurveda)

 

                                 National Institute of Ayurveda & Toxicology Reviews

 

                                                                                 13505 Cleveland Dr. Rockville, MD 20850

 

                                          Tel.  301 762 82632; 301 537 8804; e- mail:Mishra13505@yahoo.com

 

                                                          www.lcmishra.com, www.aapra.com

 

Dr. Lakshmi C. Mishra is President of  the National Institute of Ayurveda and Toxicology Reviews in Rockville MD since April 2003.  He provides education information to healthy people as well as people with chronic diseases.   He consults for AAC Consulting Group Rockville, MD and CECON group of New York as a pharmacologist, toxicologist, consultant in planning of safety and effectiveness studies.  He also evaluates safety/effectiveness data on dietary supplements, drugs, and chemicals for US FDA and US EPA registration and labeling requirements. 

 

Dr. Lakshmi C. Mishra is an Adjunct Professor in the Research Division and also provided clinical Ayurvedic services in the SCU health system; provided the first ayurvedic Health Care in the SCU clinic system.  He has a long work history as a toxicologist for the federal government, specialized in cancer chemotherapy research in the past, and has turned his attention to the development of treatment protocols combining Western Science and Ayurvedic principles.

He provided the content expertise for the development and implementation of basic science, cancer chemotherapy and chemo-       prevention using herbal dietary supplements. Dr. L.C. Mishra was PI of trials using animal models to investigate both Guggul and        another Ayurvedic herb, Ashwagandha. 

He has an extensive background, both as a scientist and clinician in modern or Ayurvedic medicine and as a bench scientist in cancer chemotherapy, pharmacology and toxicology, a unique combination of qualifications indeed.  He had been a reviewer for Alternative Therapies in Health and Medicine (ATHM) particularly in the areas of cancer chemotherapy, pharmacology, toxicology, Ayurvedic herbal therapies (1998-2003).   He had been recently an advisor to RAND Corporation (2000-01), Los Angeles, California for a systematic review of Ayurvedic therapies for a specific diagnosis, funded by AHRQ, P.I., Ian Coulter.  He was also a member of the editorial board for Journal of American Nutraceutical Association till Spring 2002. His other interest includes osteoarthritis and autoimmune diseases, e.g., rheumatoid arthritis.  He has collaborated with the University of Southern California, School of Pharmacy to study the effects of Guggul and Ashwagandha in protecting oxidative DNA fragmentation in rat brain in a stroke rat model. 

 

Dr. Mishra has 23 years of experience in the field of public health policy and health related safety regulations with Federal    Government agencies.   He was the Ex-officio Board Member of the National Cancer Advisory Board, National Cancer Institute, National Institutes of Health, Bethesda, MD for 16 years (US CPSC representative, Jan 1981 to November 3, 1997).  The board is appointed by the President of the US as mandated by the US congress. It oversees the National Cancer Research Program.

Recently, he edited a book,  Scientific Basis of Ayurvedic Therapies” which has been published by CRC press in September of 2003. The book consists of 625 pages and   over 3000 references of recent scientific publications on Ayurvedic herbs. 

 

Scientific Milestones

                   I.  Cancer chemotherapy

1.                  Oncogeneic viruses:  He demonstrated with Rauscher virus that oncogneic viruses do not have to be in a intact particle form and that soluble material in the 80,000g supernatant is just as  potent as the particulate material in inducing leukemia in mice.  The active material is probably a ribonucleoprotein.  Using the supernatant he developed a spontaneous tumor model to test cancer chemotherapeutic agents and screened many antitumor agents. 

2.                  Delayed toxicity:  Delayed toxicity in tumor bearing rats appearing 60 days after the first 2-5 doses of antifolate compounds containing alkylating moiety was thought for many years to be due to irreversible blockade of folic acid recepters because rats were showing signs of folic acid deficiency and dying due to severe anemia.  Folinic acid administration helped but did not reverse the toxicity.  Dr. Mishra demonstrated that the fast growing cells (blast cells) of the teeth were damaged by the initial drug treatment thus the teeth became weak and broke off in next 60 days.  As a consequence the rats could not bite and eat regular food and died due to starvation. When the rats were given powdered food by gavage twice a day, all rats showing delayed toxicity recovered and lived their normal lifespan.  His study established the mechanism of the delayed toxicity.

3.                   Rational design of anticancer drugs: He demonstrated the feasibility of enzyme-dependent lethal synthesis concept to develop drugs with a high degree of selectivity.  He used cancer cells resistant to an antitumor agent, methotrexate (inhibitor of dihydrofolate reductase enzyme), containing higher levels of dihydrofolate reductase enzyme and treated them with dihydrohomofolic acid and showed that the tetrahydrohomofolic acid formed in the cells was selectively toxic to cancer cells. This was well documented in L1210 leukemia tumor bearing mice.  A US patent was granted to National Cancer Institute in 1974 on 5-methyl tetrahydrohomofolate based on Dr. Mishra’s research; an example of rational drug development where he carried a chemical molecule to an important anti-cancer drug.  

4.               In-vivo enzyme assay: Dr. Mishra has worked extensively with chromatographic techniques conducting biochemical studies using dihydrofolate reductase and pioneering the in-vivo bioassay of dihydrofolate reductase enzyme to determine the enzyme inhibition.  He also developed analytical methods to conduct drug metabolism and tissue distribution studies on dihydro- and tetrahydrohomofolate. 

II.  Carcinogenesis and Toxicological studies

1.          Cancer guidelines:  He developed guidelines to assess carcinogenic potential of chemicals for U.S.        Consumer Products Safety Commission to regulate cancer causing chemicals in consumer products (191-92). 

2.                     Neurotoxicity:  He also developed guidelines to assess carcinogenic potential of chemicals for U.S. Consumer Products Safety Commission to regulate cancer causing chemicals in consumer products (1991-92). 

3.                  Toxicology and health risk assessment:  Dr. Mishra evaluated over 50 pesticides and many solvents and chemicals for health risk for US Environmental agency and  US Consumer Product Safety commission.

III. Herbalceutical and Complementary/alternative Medicine Activities

 One of the research goals of Dr. Mishra has been to explore scientific basis for ayurvedic therapies. He conducted a major review of pharmacological studies on Commiphora mukul an ayurvedic herbs proven highly effective in musculoskeltal diseases and cholesterol lowering effects.  He further reviewed scientific data on Withania somnifera for adaptogenic properties and its use in stress and mental disorders.  In addition, he initiated the clinical trials and case studies on ayurvedic therapies for musculoskeletal disease, e.g., osteoarthritis, TMJ, and fibromyelgia.  His extensive literature review on ayurvedic therapies led him to write a book entitled Scientific Basis of Ayurvedic Therapies, published by CRC Press in 2003.  The book consists of 625 pages and over 3000 references of recent scientific publications on ayurvedic herbs. It provides comprehensive information on research on ayurvedic therapies for 26 diseases along with six chapters on basic concepts of therapies, Panchakarma, Research Design, status of Ayurveda in India and Bhasmas. The book can be viewed at www.amazon.com or www.redwingbooks.com/products/books/sciBasAyuThe.cfm .  In addition he has  published 19 articles on ayurvedic therapies.  He also started Ayurvedic Health Care Services in the Southern California University Health Care System.

IV. Professional Presentations and Lectures

Community Lectures/Services

                         Historical Perspective of Ayurveda, River Road Unitarian Church, Bethesda MD, 1/2/05

 

Durga Temple:  Ayurvedic Health Care services at the temple every 2nd Sunday of the month.  He also gives lecture on a variety of health issues and diseases, 2004

 

Ayurvedic Health Care lecture at La Mirada Adults Activity Center, La Mirada CA 90638, 2003

 

Professional Presentations

 

1. L.C. Mishra, Ayurvedic Medical system of India in Textbook of Complementary and Alternative Medicine, 2nd edition , Chon-Su Yuan, E. J. Bieber, B. A. Bauer, Informa UK Ltd., 2006

2. Vinjamury SP, Singh BB, Mishra LC, Khorsan R, Comberiati R, Meier M, Holm S. Effectiveness of pragmatic chiropractic treatment in temporomandibular disorders (TMD)- A pilot study. ACC Conferenc, Las Vegas, 2005

 

3.. Singh, B.B., Mishra, L.C., Gandhi S, Khorsan, R., Singh, V.J., Vinjamury, S.P, Kizhakkeveettil, A. Ayurvedic and Collateral Herbal Treatments of Liver Diseases: A Systematic Review of Randomized Control Trials (RCTs) and Quasi-Experimental Designs (QEDs), NAMA Conference, Long Beach, CA.,  10/22/04

 

4. Singh, B.B., Mishra, L.C., Vinjamury, S.P, Khorsen, R., Nanjegowda, D., Kubik, E., Shepard, N. Effectiveness of Pragmatic Ayurvedic Care on the Treatment of Osteoarthritis (OA): An Experimental Case Series, WAVE Conference, Shady Grove, MD., 7/04.

 

5. Singh, B.B., Mishra, L.C., Vinjamury, S.P., Aquilina, N., Singh, V.J., Shepard, N. The Effectiveness of Commiphora Mukul for Osteoarthritis (OA) of the Knee: An Outcomes Study, WAVE Conference, Shady Grove, MD., 7/04.

 

6. Singh, B.B., Mishra, L.C., Vinjamury, S.P., Kubik, E., Singh, V.J., Shepard, N. Ayurvedic Herbal Treatments of Hyperlipidemia: A Systematic Review, WAVE Conference, Shady Grove, MD., 7/04.

 

7. Mishra, L.C., Singh, B.B. Ayurvedic Therapies of Ama-Vata (Rheumatoid Arthritis), AAPI Conference, San Diego, CA., 6/04. Mishra, L.C., Singh, B.B. Ayurvedic Therapies of Ama-Vata (Rheumatoid Arthritis), AAPI Conference, San Diego, CA., 6/04.

 

8. Mishra, L.C, Ayurvedic Therapies of Rheumatoid Arthritis, Integrated Medicine Educational Program: Integrating Ayurveda into Clinical Practice. Orlando Florida, September 17 - 19, 2004

 

9. Singh, B.B.,  Mishra, L.C., Vinjamury, S., Aquilina, N.,  Singh, V., Shepard, N. The Effectiveness of Commiphora Mukul for Osteoarthritis of the Knee:  An Outcomes Study, RAC Conference, New Orleans, LA. (3/2003).

 

10. Mishra, L.C, Regular lectures every semester on Ayurveda to chiropractic students at Southern California University (1998-2003)

 

11. Mishra, L.C ,Ayurvedic Therapies at School of Pharmacy USC, California, Fall 02

 

12.Vinjamury, S.P., Singh, B.B., Mishra, L.C. Research Issues in Complementary and Alternative Medicine. Presented at the World Ayurveda Congress, Kochi, Kerala, India, (11/2002).

 

13. Singh, B.B., Mishra, L.C. Effectiveness of Guggul in Treatment of Osteoarthritis.  Findings from an Experimental Case Study and an Outcomes Study. Presented to SCU Clinical Faculty, (3/2002).

 

14.. Singh, B.B., Mishra, L.C. , Ayurved as an Adjunctive Therapy to Chiropractic Care: Evidence of Effectiveness in OA. SCUHS Visiting Scholar Program, (3/2002).

 

 

15. Mishra, L.C. ,Ayurvedic Therapies at Southern California University of Health Sciences July, 2001

 

16. Mishra, L.C. 3rd. Southern Yoga Conference, Houston Texas: Scientific Basis and Chemistry of guggul 11/2/00

 

17. Mishra, L.C., Historical Perspective of Ayurveda:  Introduction to Ayurvedic herbs, their purity and   analysis. Southern California University of Health Sciences , 8/16/00

 

18. Mishra, L.C. , Scientific Basis of Ayurvedic Therapies; Chemistry and Use of Guggul, University of California Los Angeles, Dietary Supplement Center 1/18/00

 

19. Mishra, L.C.  Continuing Education Program on Internet:  ATHM, 2000 Etiology and Management of Mental Depression according to Ayurved, the Traditional Medical System of India,  9/22/00

 

20. Mishra, L.C., Introduction to Ayurvedic Concepts of Illness and Therapy, University of California Medical School at Irvine,  1/19/99

 

 

Education

 

1987 Associate Contract Management and Project Supervising Scientists and Engineers from Office of Personnel Management,                               Health Science Administrator/Grants - GS-14 rating from NIH

 

1983   Introduction to Supervision Course given by the U.S. Office of Personnel Management

1980        Contract Management for Project Officers, US C.P.S.C.

 

1967    Ph.D. in Biochemical Pharmacology; State University of N.Y. at Buffalo

 

1959   M. Pharm. (Pharmacognosy of Ayurvedic herbs),  Banaras Hindu University, Varanasi, U.P.  India

 

1958   B. Pharm.,  Banaras Hindu University, Varanasi, U.P.  India1954    Bachelor of Indian Medicine and Surgery, Bundalkhand Ayurvedic College, Jhansi, U.P. India. (Integrated System of Modern and Ayurvedic Medicine, a 5-year program, developed by the Government of India and is equivalent to the American M.D.)

 

Work Experience

1998, September- Present, Adjunct Professor  [full], Southern California University of Health Sciences, Whittier, CA

-Provide leadership in design and implementation of  clinical and basic science investigations of commonly used herbal therapies,  and to provide elective courses to pre-clinical and clinical students when required.

-Provided Ayurvedic Health Care Services at UHC until April, 2003.

-Provide leadership in publication of literature on Ayurvedic Medicine.

-Review research manuscripts for peer reviewed journals.  Currently reviewing manuscripts for Alternative Therapies in Health and Medicine.

-Filed an RO1 as PI in June, 1999 to NCCAM/NIH to evaluate an Ayurvedic herb for arthritis; submissions of one R21 project are planned for Feb.2001 on an Ayurvedic herb for antistress and anti-oxidant properties.

-Advisor to RAND Corporation, Los Angeles California, 2001

1997 – present  Sequoia Communications & Health Sciences, Inc, Rockville, MD; Director of Health Sciences.

Provide consultant services to a variety of food, pharmaceutical, and research organizations in the area of analytical methods,                                                                                                   toxicology,  pharmacology and health risk assessment.

                        Research and teaching in Ayurvedic herbal dietary supplements.

 

1979- 1997 --  Branch Chief. U.S. Consumer Products Safety Commission

Bethesda,  MD.  [Early retirement, 11/97]

 

1986-1997 Senior Toxicologist - Duties included work on cancer risk assessment from suspect carcinogens and health risk from neurotoxic chemicals. Major contribution was developing the guidelines to evaluate cancer causing chemicals and neurotoxic chemicals (Federal Register, 57:46626‑‑74, 1992).

 

1981‑1986 Branch Chief - Supervised toxicity reviews and provided recommendations to the Agency concerning health effects of many chemicals.  Supervised the work of six other scientists.

 

1979-1981 Toxicologist  - Duties included work on cancer risk assessment from suspect carcinogens and health risk from neurotoxic chemicals.

 

August 1974 – 1979 Toxicologist -Environmental Protection Agency

Washington D.C.

 

Duties included work on pesticide residues in food and cancer risk assessment from chemical.  Published a paper regarding metabolism of pesticides in August 1976. As a Pharmacologist at the U.S.EPA, involvement included evaluation of pesticide residue in food safety for general toxicity, immunotoxicity, neurotoxicity, mutagenicity, carcinogenicity, and teratogenicity. Conducted health risk assessment and health review on several toxic chemicals.

 

September 1967 – 1974 Toxicoloist- Microbiological Associates, Bethesda, MD.

                                               

 

Duties included work on Cancer chemotherapy under a contract with the National Cancer Institute. Served as Branch Chief at Microbiological Associates Inc., Bethesda, MD. supervising the evaluation of homofolate type antifolates for their antitumor activity, developed in‑vivo enzyme assay for dihydrofolate reductase, generated evidence for enzyme‑dependent lethal synthesis concept to develop new chemotherapeutic agents. Conducted research on analytical methods to study metabolism and tissue distribution studies on some alkylating agents and antifolates.  Twenty eight papers were published on antifolates, homofolates and other anticancer agents.  I developed a new in-vivo enzyme assay, and several other analytical methods during my tenure.

 

January 1966 – Sept. 1967       Post Doctoral Fellow. Roswell Park Memorial Institute

Buffalo, NY

 

Duties included research work in cancer chemotherapy (antifolates).

 

Jan. 1963—Jan. 1966 State University of New York at Buffalo

Instructor of pharmacology lab, teaching pharmacology

 

June 62 - December 1962        Lady Harding Medical College, New Delhi, India; Professor of Pharmacology- Duties included teaching pharmacology and pharmacy, and supervision of the hospital pharmacy

 

June 1961-June 1962 Maulana Azad Medical College , New Delhi, India;  Professor of Pharmacology- Duties included teaching pharmacology and pharmacy, and supervision of the hospital pharmacy.

 

June 1960- June 1961 Hindustan Antibiotics Manufacturing Company

Puna, Maharastra, India;  Scientist/Quality Control Supervisor - Duties included work on quality control related analysis of streptomycine and penicillin.

 

1954-1959       Private practice of Ayurvedic Medicine in Agra, & Varanasi, U.P. India.  Physician - Specializing in internal medicine.

 

Honors

Received cash merit award in 1992 from the US CPSC

 

CPSC representative (ex-officio) Board Member for the National Cancer Advisory Board, National Cancer Institute, National Institutes of Health, Bethesda, MD, Jan 1981- November 3, 1997.

Society Membership

American Association of Cancer Research, 1968 to 1985

American Society of Pharmacology and Experimental Therapeutics, 1967-1985

Editorial board: Journal of the American Neutraceutical Association, member,2001

Editorial Review Panel, Alternative Therapies in Health and Medicine, member,2000.

                        Media Appearances

·                    Interviewed on Adelphia Cable Television Net Work, Southern California, 7/26/01 and 11/20/02.

·  Guest on WETA-Darshan TV,  4/13/04.

 

Publications:

               Herbaceutical Primarily ( Most recent to oldest Publication date)

 

·        Scientific Basis of Ayurvedic Therapies, Mishra, L.C., Editor, CRC Press,   2003

 

·        Mishra, L.C., Health Care and Disease Management in Scientific Basis of Ayurvedic Therapies, Lakshmi Chandra Mishra, Editor,  chapter 2, CRC Press, 2003

 

·        Mishra, L.C., Rheumatoid Arthritis, Osteoarthritis, and gout in Scientific Basis of Ayurvedic Therapies, Lakshmi Chandra Mishra, Editor,  chapter 10, CRC Press, 2003

 

·        Mishra, L.C., Allergic Reactions  in Scientific Basis of Ayurvedic Therapies, Lakshmi Chandra Mishra, Editor,  chapter 12, CRC Press, 2003

 

·        ahu, M. & Mishra, L.C., Benign growth, Cysts, and Malignant Tumors  in Scientific Basis of Ayurvedic Therapies, Lakshmi Chandra Mishra, Editor,  chapter 16, CRC Press, 2003

 

·        Vohra, D.S. &  Mishra, L.C., Alzheimer’s Disease  in Scientific Basis of Ayurvedic Therapies, Lakshmi Chandra Mishra, Editor,  chapter 23, CRC Press, 2003

 

·        Singh, R.H., Mishra, L.C., Psychiatric Disorders  in Scientific Basis of Ayurvedic Therapies, Lakshmi Chandra Mishra, Editor,  chapter 25, CRC Press, 2003

 

·        Mishra, L.C. & Singh  R.H., Parkinsons’s Disease  in Scientific Basis of Ayurvedic Therapies, Lakshmi Chandra Mishra, Editor,  chapter 26, CRC Press, 2003

 

·        Gauthaman, K., & Mishra, L.C., Ischemic Heart Disease in  in Scientific Basis of Ayurvedic Therapies, Lakshmi Chandra Mishra, Editor,  chapter 30, CRC Press, 2003

 

·        Singh, B. B., Mishra, L. C., Vinjamury, S. P., Aquilina, N., Singh, V. J., Shepard, N., The effectiveness of Commiphora mukul for osteoarthritis of the knee: An outcome study. ,  Alt. Ther. Health & Med.  9 (3): 74, 02 

 

·        Adams, J., Klaidman, L. K., Mishra, L. C., Singh, B. B., Effect of Guggul in rat model of stroke. ,  Alt. Ther. Health & Med.  8 (4): 20, 02 

 

·        James D. Adams, Jr., Jun Yang, Lakshmi C. Mishra and Betsy B. Singh. Effects

                     of Ashwagandha in a stroke model,  Alt. Ther. Health & Med. 8 (5): 18, 02

 

·        L.C. Mishra,  B.B. Singh, and S. Dagenais.  Ayurved: Historic Perspective and    Principles of the Traditional Health Care System of India.  Alt. Ther. Health & Med. 7(2): 36-41, 2001

 

·        L.C. Mishra,  B.B. Singh, and S. Dagenais. Health Care and Disease Management in      Ayurved. Alt. Ther. Health & Med. 7(2): 44-50, 2001

 

·        B.B. Singh, N. Aquilina, L.C. Mishra, F. Kohlbeck.  The Usefulness of Commiphora Mukul for Osteoarthritis of the Knee: An Experimental Case Study.  Alt. Ther Health & Med. 7(2): 120 & 112-114, 2001

 

·        B.B. Singh, F. Zarow, L.C. Mishra, S. Dagenais Acupuncture as a Treatment for Osteoarthritis of the Knee:  Clinical Relevance.  Topics in Clinical Chiropractic7(2): 1-4, 2000

 

·        L.C. Mishra, B.B. Singh, and S. Dagenais. Ayurvedic Therapies of Arthritis. Topics in Clinical Chiropractic 7(2): 13-16, 2000

 

·        L.C. Mishra,  B.B. Singh.   Scientific Basis for Therapeutic Uses of Guggul (Commiphora Mukul).  Topics in Clinical Chiropractic, 7 (2) :51-56, 2000

 

·        L.C. Mishra,  B.B. Singh, and S. Dagenais.  Scientific Basis for Therapeutic Uses of Ashwagandha (Withania somnifera). Alt. Med. Review, 5 (4): 334-346, 2000

 

Primarily Cancer Articles: Oldest to Most recent publication date

 

·        L.C. Mishra, Phytochemical Investigations on Justicia Gendarusa ( an ayurvedic drug).  M. Pharm. Thesis, Banaras Hindu University, Banaras, India 1959.

 

·                 L. C. Mishra, Pharmacologic Studies of Some Alkylating Agents.  Ph.D., Thesis, State University of New York at           Buffalo, June 1967.