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Clinical Effects of Acupuncture Treatment for Prevention of Insomnia-induced Stroke: A Large-Scale Cohort Study 针灸治疗预防失眠诱发中风的临床效果:大规模队列研究
IF 3.3 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-07-01 DOI: 10.1016/j.jtcme.2024.07.003
Cheng-Hao Huang, Shun-Ku Lin, Heng-Jun Lin, Yu-Tung Hung, Tzu-Ju Hsu, Fuu-Jen Tsai, Ching-Liang Hsieh
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引用次数: 0
Xinbao Pill Attenuated Water Retention by Regulating the CaSR/AQP2 Pathway in LAD-induced Chronic Heart Failure Rats 心宝丸通过调节CaSR/AQP2通路减轻左心室慢性心力衰竭大鼠的水钠潴留
IF 3.3 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-07-01 DOI: 10.1016/j.jtcme.2024.07.002
Shiqi Li, Yuanping Wang, Xulan Cui, Xiaoyu Tian, Ziwei Huang, Rong Zhang, Yuanyuan Cheng, Zhongqiu Liu, Dawei Wang
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引用次数: 0
The therapeutic effect and metabolic mechanism analysis of Guilingji on idiopathic oligo-asthenoteratozoospermia 桂苓集对特发性少精症的疗效及代谢机制分析
IF 3.3 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2024-07-01 DOI: 10.1016/j.jtcme.2024.01.001
Yuming Feng , Shanmeizi Zhao , Rong Ju , Jianbo Li , Chengshuang Pan , Qinglai Tang , Zhichuan Zou , Jun Jing , Yao Xu , Hualong Ding , Jinzhao Ma , Zhou Li , Ting Tang , Yong Shao , Li Chen , Xuefeng Huang , Xiaohong Wang , Bing Yao

Introduction

Guilingji, a famous traditional Chinese medicine (TCM) formula, has been used to combat aging and male sexual dysfunction in China for centuries. To date, there has been little evidence-based clinical research on the use of Guilingji to treat idiopathic oligo-asthenoteratozoospermia (OAT), and the therapeutic mechanism from a metabolic perspective needs to be investigated further.

Methods

This was a multicenter, double-blind, randomized controlled clinical study of 240 patients with idiopathic OAT recruited from four hospitals between January 2020 and January 2022. Patients were randomly assigned in a 1꞉1 ratio to receive oral Guilingji capsules or placebo for 12 weeks. The total progressive motile sperm count (TPMSC) was considered the primary outcome, and the other sperm parameters, seminal plasma parameters and serum hormones were considered the secondary outcome. A nontargeted metabolomics analysis of serum from OAT patients before and after Guilingji administration was performed by HPLC–MS to identify key metabolites. Furthermore, we used a rat model to show spermatogenesis phenotypes to validate the effect of the key metabolites screened from the patients.

Results

At weeks 4, 8 and 12, TPMSC and other sperm parameters were significantly improved in the Guilingji group compared with the placebo group (P < 0.05 for all comparisons). At week 4, superoxide dismutase (SOD) and acrosomal enzyme activity of seminal plasma were significantly elevated in the Guilingji group compared with the placebo group, while reactive oxygen species (ROS) levels were significantly reduced (P < 0.05). Lactate dehydrogenase-X (LDHX) levels appeared to be significantly increased after 12 weeks continuous medication compared with Placebo group (P = 0.032). The metabolomics analysis of serum from OAT patients before and after Guilingji administration showed that the glucose-6-phosphate (G6P) concentration in patients' serum was significantly elevated after Guilingji treatment. Compared to the control, when Kidney-Yang deficiency model rats were treated with Guilingji or its key intermediate metabolite G6P, their sperm concentration and spermatozoic activity were improved similarly, and their structural damage of rat's testicular and epididymal tissues were recovered.

Conclusion

This study provided valuable clinical evidence for the utility of Guilingji as a treatment for OAT. These findings thus demonstrate that G6P is involved in the therapeutic mechanism of Guilingji in OAT treatment based on clinical and rat intervention studies.

导言:桂灵芝是中国传统中药名方,数百年来一直被用于防治衰老和男性性功能障碍。方法这是一项多中心、双盲、随机对照临床研究,研究对象是2020年1月至2022年1月期间从四家医院招募的240名特发性少精症(OAT)患者。患者按1꞉1的比例随机分配接受口服桂灵集胶囊或安慰剂,疗程12周。进展期活动精子总数(TPMSC)被认为是主要结果,其他精子参数、精浆参数和血清激素被认为是次要结果。我们通过 HPLC-MS 对 OAT 患者服用桂苓集前后的血清进行了非靶向代谢组学分析,以确定关键代谢物。结果第4、8和12周时,与安慰剂组相比,桂灵集治疗组的TPMSC和其他精子参数均有显著改善(所有比较的P均为0.05)。第 4 周时,与安慰剂组相比,桂苓集组精浆中的超氧化物歧化酶(SOD)和顶体酶活性明显升高,活性氧(ROS)水平明显降低(P < 0.05)。与安慰剂组相比,连续用药 12 周后,乳酸脱氢酶-X(LDHX)水平明显升高(P = 0.032)。对 OAT 患者用药前后血清的代谢组学分析表明,桂苓集治疗后患者血清中葡萄糖-6-磷酸(G6P)浓度明显升高。与对照组相比,肾阳虚模型大鼠接受桂苓集或其关键中间代谢产物 G6P 治疗后,其精子浓度和精子活力同样得到改善,大鼠睾丸和附睾组织的结构损伤也得到恢复。因此,这些研究结果表明,基于临床和大鼠干预研究,G6P 参与了桂灵集治疗 OAT 的治疗机制。
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引用次数: 0
Network pharmacology approach and experimental verification of earthworm protein in the treatment of diabetes mellitus-induced erectile dysfunction 蚯蚓蛋白治疗糖尿病引起的勃起功能障碍的网络药理学方法和实验验证
IF 4.5 3区 医学 Q1 Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.jtcme.2024.06.002
Liming Liu, Yuanfeng Zhang, Aiping Zhang, Rui Yan, Xiaowei Ji, Jiashu Yang, Xinping Wang, Yongze Gao, Xiping Xing
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引用次数: 0
Crocin elicits potent anti-inflammatory and fibrinolytic properties post tendon injury, A new molecule for adhesion therapy 肌腱损伤后,克罗霉素具有强效抗炎和纤维蛋白溶解特性--一种用于粘连治疗的新分子
IF 4.5 3区 医学 Q1 Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.jtcme.2024.06.001
Hamideh Naimi, Majid Khazaei, Fariba Sharifnia, S. M. Hassanian, Sayyed-Hadi Sayyed-Hosseinian
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引用次数: 0
Integrated serum pharmacochemistry and network pharmacology to reveal the kernel material basis and underlying mechanisms of the Fuzi-Lizhong pill for ulcerative colitis 综合血清药理药化和网络药理学揭示夫子理中丸治疗溃疡性结肠炎的内核物质基础和内在机制
IF 4.5 3区 医学 Q1 Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.jtcme.2024.06.003
Huang You, Xia Lin, Qiuhong Wu, XunJian Wu, Shasha Yang, Yidian Dong, Chaomei Fu, Wei Lin, Zhen Zhang
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引用次数: 0
Himatanthus bracteatus stem bark ethanolic extract obtained by sequential pressurized liquid extraction: chromatographic characterization and profiling of cytotoxic, antitumoral and immunopharmacological properties 通过顺序加压液体萃取获得的桔梗茎皮乙醇提取物:色谱表征及细胞毒性、抗肿瘤和免疫药理特性分析
IF 4.5 3区 医学 Q1 Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.jtcme.2024.06.004
R. Pereira-Filho, Wilson D. Gonçalves‐Júnior, Agenor G. dos Santos-Neto, J.L.S. Cunha, Oslei P. de Almeida, Luciana N. Andrade, Daniela Droppa-Almeida, Ricardo G. Amaral, Cláudio Dariva, J. Cardoso, Patrícia Severino, Eliana B. Souto, R. D. de Albuquerque-Júnior
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引用次数: 0
Potent anti-biofilm properties of plumbagin against fluconazole-resistant Candida auris plumbagin 对抗氟康唑念珠菌的强效抗生物膜特性
IF 4.5 3区 医学 Q1 Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.jtcme.2024.06.005
Hye-Won Jin, Yong-Bin Eom
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引用次数: 0
Kerala Ayurveda Ostoact Tablet Treats Osteoporosis in Ovariectomized Rat Model Via Regulating RANKL/OPG Pathway 喀拉拉阿育吠陀 Ostoact 片通过调节 RANKL/OPG 通路治疗卵巢切除大鼠模型的骨质疏松症
IF 4.5 3区 医学 Q1 Medicine Pub Date : 2024-06-01 DOI: 10.1016/j.jtcme.2024.06.007
Deepa Mandlik, Rutuja Patil, Arulmozhi S, Satish Mandlik
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引用次数: 0
Astragalus mongholicus Polysaccharides Alleviate Insulin Resistance through Modulation of PI3K/AKT, TLR4/NF-kB Signaling Pathway and Microbiota in Rats with Type 2 Diabetes Mellitus 黄芪多糖通过调节 PI3K/AKT、TLR4/NF-kB 信号通路和微生物群减轻 2 型糖尿病大鼠的胰岛素抵抗
IF 4.5 3区 医学 Q1 Medicine Pub Date : 2024-05-01 DOI: 10.1016/j.jtcme.2024.05.007
Haisheng Yuan, Guoquan Xu, Jingran Liu, Yan Yan, Shimin Zhao, Fujuan Cai, Xiuling Yu, Yuzhen Wang, Minhui Li
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引用次数: 0
期刊
Journal of Traditional and Complementary Medicine
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