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IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-08-01 DOI: 10.1016/S0254-6272(18)30898-7
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引用次数: 0
Effects of Xinfeng capsule on the Fas/FasL-mediated apoptotic pathway in patients with rheumatoid arthritis 新风胶囊对类风湿性关节炎患者Fas/FasL介导的细胞凋亡通路的影响
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-08-01 DOI: 10.1016/S0254-6272(18)30893-8
Sun Yue , Liu Jian , Cao Yonghe

OBJECTIVE

To observe the effects of Xinfeng capsule on the apoptosis of peripheral blood CD4 + T lymphocytes and changes in the Fas/FasL-mediated apoptotic pathway in patients with rheumatoid arthritis (RA).

METHODS

A total of 28 RA patients were included in the study; they were randomly divided into the Xinfeng capsule (XFC) group (3 capsules, 3 per day) and the leflunomide (LEF) group (1 pellet, once per night). The treatment course in each groups was 12 weeks. The normal control (NC) group consisted of 10 healthy people. The apoptotic rate was examined using flow cytometry. Fas, FasL, caspase 8, caspase 3, bcl-2, and bax mRNA were examined using qRT-PCR. Apoptotic proteins Fas, FasL, caspase 8, and caspase 3 were examined using western blotting.

RESULTS

After treatment, patients in the two groups all showed some trend of improvement. Disease activity indexes, joint morning stiffness time, joint swelling/tenderness number, health assessment questionnaire (HAQ) score, RA quality of life (RAQOL) questionnaire, and self-rating anxiety scale (SAS), as well as all apoptotic related indicators were reduced in both groups after treatment with no significant difference between groups. But the improvement in terms of the self-rating depression scale (SDS) in the XFC group was better than in the LEF group. RA patients showed lower apoptotic rates in CD4+ T cells, lower bax, Fas, caspase 8, and caspase 3 mRNA, and less protein expression of Fas, caspase 8, and caspase 3 than in the NC group. These indicators increased after treatment. However, the level of Bcl-2 mRNA was higher in the XFC group than in the NC group before treatment, and it subsequently decreased. The XFC group expressed lower Bcl-2 mRNA than the LEF group. Negative correlations were found between ESR and the apoptotic rate in CD4+ T cells, Fas, and caspase 3; CRP and Fas; and, swollen joint count and Bax, while positive correlations were found between ESR and Bcl-2.

CONCLUSION

XFC can regulate the Fas/FasL system and promote CD4+ T cell apoptosis and thus reduce the abnormal immune response, which can improve symptoms in RA patients.

目的观察新风胶囊对类风湿关节炎(RA)患者外周血CD4 + T淋巴细胞凋亡及Fas/ fasl介导的凋亡通路的影响。方法共纳入28例RA患者;随机分为新风胶囊(XFC)组(3粒,每天3次)和来氟米特(LEF)组(1粒,每晚1次)。两组疗程均为12周。正常对照(NC)组由10名健康人组成。流式细胞术检测细胞凋亡率。采用qRT-PCR检测Fas、FasL、caspase 8、caspase 3、bcl-2、bax mRNA表达。western blotting检测凋亡蛋白Fas、FasL、caspase 8、caspase 3。结果两组患者治疗后均有一定好转趋势。两组患者治疗后疾病活动度指标、关节晨僵时间、关节肿胀/压痛次数、健康评估问卷(HAQ)评分、RA生活质量问卷(RAQOL)、焦虑自评量表(SAS)及所有凋亡相关指标均降低,组间差异无统计学意义。但在抑郁自评量表(SDS)方面,XFC组的改善优于LEF组。RA患者CD4+ T细胞凋亡率较NC组低,bax、Fas、caspase 8、caspase 3mrna含量较NC组低,Fas、caspase 8、caspase 3蛋白表达较NC组低。治疗后这些指标有所增加。但治疗前,XFC组Bcl-2 mRNA水平高于NC组,治疗后Bcl-2 mRNA水平下降。XFC组Bcl-2 mRNA表达低于LEF组。ESR与CD4+ T细胞、Fas、caspase 3的凋亡率呈负相关;CRP和Fas;关节肿胀计数与Bax呈正相关,而ESR与Bcl-2呈正相关。结论xfc可调节Fas/FasL系统,促进CD4+ T细胞凋亡,从而减轻异常免疫反应,改善RA患者的症状。
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引用次数: 6
Effect of icariin on apoptosis in hippocampal neurons cultured in high glucose 淫羊藿苷对高糖培养海马神经元凋亡的影响
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-08-01 DOI: 10.1016/S0254-6272(18)30887-2
Yan Bin , Wang Jingbo , Zhang Hong , Tian Guoqing , Liu Yuqin

OBJECTIVE

To investigate effect of icariin on apoptosis in hippocampal neurons cultured in high glucose, and the possible mechanism behind the action.

METHODS

Hippocampus was obtained from newborn 24 h Sprague-Dawley rats and then primarily cultured. Then hippocampal neurons were divided into normal control group, high glucose group, icariin group, icariin + protein kinase B (Akt) inhibitor group and Akt agonist group. After each group was cultured in different conditioned medium for 72 h, we detected the apoptosis of neurons with flow cytometry, and the expression of Akt, p-Akt, B-cell lymphoma-2 (Bcl-2) and Bcl-2 associated X protein (Bax) with western blot.

RESULTS

Compared with the normal control group, the apoptosis rate of hippocampal neurons increased significantly (P < 0.01), and p-Akt/Akt and Bcl-2/Bax decreased significantly (P < 0.01) in high glucose group. Compared with the high glucose group, the apoptosis rate of hippocampal neurons decreased significantly (P < 0.01), and p-Akt/Akt and Bcl-2/Bax increased significantly (P < 0.05) in icariin group and Akt agonist group. Compared with the icariin + Akt inhibitor group, the apoptosis rate of hippocampal neurons decreased significantly (P < 0.01), and p-Akt/Akt and Bcl-2/Bax increased significantly (P < 0.01) in icariin group.

CONCLUSION

Icariin could reduce the apoptosis of neurons cultured in high glucose, which may be achieved by increasing the phosphorylation of Akt protein in Akt signal pathway, then increasing the expression of Bcl-2 and inhibiting the expression of Bax.

目的探讨淫羊藿苷对高糖培养海马神经元凋亡的影响及其可能机制。方法取24 h新生大鼠海马,进行原代培养。将海马神经元分为正常对照组、高糖组、淫羊藿苷组、淫羊藿苷+蛋白激酶B (Akt)抑制剂组和Akt激动剂组。各组在不同条件培养基中培养72 h后,流式细胞术检测神经元凋亡情况,western blot检测Akt、p-Akt、b细胞淋巴瘤-2 (Bcl-2)及Bcl-2相关X蛋白(Bax)的表达。结果与正常对照组比较,大鼠海马神经元凋亡率显著升高(P <P -Akt/Akt和Bcl-2/Bax显著降低(P <高糖组为0.01)。与高糖组比较,海马神经元凋亡率明显降低(P <P -Akt/Akt和Bcl-2/Bax显著升高(P <淫羊藿苷组和Akt激动剂组差异无统计学意义(0.05)。与淫羊藿苷+ Akt抑制剂组相比,海马神经元凋亡率显著降低(P <P -Akt/Akt和Bcl-2/Bax显著升高(P <淫羊藿苷组0.01)。结论淫羊藿苷可减少高糖培养神经元的凋亡,其机制可能是通过增加Akt信号通路中Akt蛋白的磷酸化,从而增加Bcl-2的表达,抑制Bax的表达。
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引用次数: 2
Post-marketing safety surveillance and reevaluation of Motherwort injection: A clinical study of 10 094 cases 益母草注射液上市后安全性监测与再评价:10094例临床研究
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-08-01 DOI: 10.1016/S0254-6272(18)30896-3
Cao Shan , Zhang Wenhao , Zhao Ziwei , Heng Mingli , Bu Huaien , Wang Hongwu , Liu Xinghui , Wang Zhong , Cai Yan , Ma Yuyan , Cui Shihong , Deng Jihong , Ding Guifeng , Ding Yajuan , Dong Linhong , Duan Zhentao , Fan Ling , Fan Yang , Fu Fen , He Jing , Zhou Jian

OBJECTIVE

To investigate the safety profiles of Motherwort injection (MI).

METHODS

A multi-center, prospective and drug-derived hospital intensive monitoring method was conducted to assess the safety of MI in real world applications. This study was based on a very large population after the injection was approved and marketed in China. All patients using the injection in participating hospitals were monitored to determine the incidence, pattern, severity and outcome of associated adverse events.

RESULTS

The post-marketing surveillance was performed in 10 094 female patients from April to December, 2015. The incidence of adverse drug reactions (ADRs) was 0.79‰ (8/10 094). Among the 8 patients, the reported adverse events mainly included systemic abnormalities, such as fever, chills and eyelid edema; skin and appendages disorders, such as pruritus and rash; gastrointestinal disorders, such as nausea, abdominal distension and pain; heart rate and rhythm disorders, such as palpitation and increased heart rate. All of these ADRs were mild in severity.

CONCLUSION

In this study the ADRs incidence rate of MI is very low, which supports that it is generally safe for use in obstetric and gynecological diseases. However, the total number of 8 ADRs recorded over a relatively short time span seems limited, and the low number of reports could not represent an absolute guarantee of safety.

目的探讨益母草注射液(MI)的安全性。方法采用多中心、前瞻性和药物来源的医院强化监测方法,评估心肌梗死在实际应用中的安全性。这项研究是基于注射被批准并在中国上市后的一个非常大的人群。对所有在参与医院使用该注射剂的患者进行监测,以确定相关不良事件的发生率、模式、严重程度和结局。结果2015年4 - 12月对10 094例女性患者进行了上市后监测。药物不良反应(adr)发生率为0.79‰(8/10 094)。8例患者报告的不良事件主要为全身性异常,如发热、寒战、眼睑水肿等;皮肤和附属物疾病,如瘙痒和皮疹;胃肠道疾病,如恶心、腹胀和疼痛;心率和节律紊乱,如心悸和心率加快。所有这些不良反应的严重程度都很轻微。结论在本研究中,心肌梗死的不良反应发生率很低,支持心肌梗死在妇产科疾病中的应用是安全的。然而,在相对较短的时间内记录到的8例adr总数似乎有限,报告数量少并不能绝对保证安全。
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引用次数: 3
Traditional medicines of plant origin used for the treatment of inflammatory disorders in Pakistan: A review 巴基斯坦用于治疗炎症性疾病的植物性传统药物:综述
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-08-01 DOI: 10.1016/S0254-6272(18)30897-5
Alamgeer , Ambreen Malik Uttra , Haseeb Ahsan , Umme Habiba Hasan , Mueen Ahmad Chaudhary

OBJECTIVE

To pool data on ethnobotanical medicine for the treatment of inflammatory disorders in Pakistan.

METHODS

We reviewed 237 research publications based on data from the six provinces in Pakistan (Punjab = 85, Khyber Pakhtunkhwa = 65, Sindh = 15, Balochistan = 8, Gilgit Baltistan = 22, Azad Jammu and Kashmir = 42) published until June 2015 in various journals. This was achieved using seven online databases: ScienceDirect, Google, Google Scholar, PubMed, Wiley Online Library, SpringerLink, and MEDLINE. Data were analyzed from different perspectives.

RESULTS

People from Pakistan made use of 371 plant species belonging to 263 genera and 99 families for the treatment of inflammatory disorders. Plants from the Asteraceae family were used most often. Herbs were the dominant growth form. Leaves were the plant parts used most often. Decoctions were the main preparation method. Nine plant species were used most frequently in the dwellers of most regions of Pakistan. A total of 111 plants were shown experimentally to have neither anti-arthritic nor anti-inflammatory activities, and 148 plant species were threatened. Eighty-four species had commercial importance. Twelve plant species were imported, and 25 plant species were exported, from Pakistan.

CONCLUSION

This review provides baseline data for plant species in Pakistan that have potential anti-inflammatory/anti-arthritic activities.

目的收集巴基斯坦民族植物药治疗炎症性疾病的资料。方法对截至2015年6月在巴基斯坦6个省(旁遮普省85篇,开伯尔-普赫图赫瓦省65篇,信德省15篇,俾路支省8篇,吉尔吉特-巴尔蒂斯坦22篇,阿扎德-查谟-克什米尔省42篇)发表在不同期刊上的237篇研究论文进行综述。这是通过七个在线数据库实现的:ScienceDirect,谷歌,谷歌Scholar, PubMed, Wiley online Library, SpringerLink和MEDLINE。从不同角度分析数据。结果巴基斯坦人利用99科263属371种植物治疗炎症性疾病。最常使用的是菊科植物。草本植物是主要的生长形式。叶子是最常用的植物部位。煎煮为主要制备方法。巴基斯坦大部分地区的居民最常使用的植物有9种。实验结果显示111种植物既无抗关节炎活性也无抗炎活性,148种植物受到威胁。84种具有重要的商业价值。从巴基斯坦进口12种植物,出口25种植物。结论:本综述为巴基斯坦具有潜在抗炎/抗关节炎活性的植物物种提供了基线数据。
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引用次数: 24
Antioxidative and hepatoprotective activities of the ethyl acetate fraction separated from the fruit of Livistona chinensis 枸杞果实乙酸乙酯部位的抗氧化和保肝活性
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-08-01 DOI: 10.1016/S0254-6272(18)30884-7
Wang Chunli , Zhang Liang , Wu Meimei , Jing Yuntiao , Lai Xiaoping , Huang Song , Zhang Xiaojun

OBJECTIVE

To examine the antioxidative and hepatoprotective activities of the effective fraction separated from the fruit of Livistona chinensis (FLC) and to explore the possible mechanism.

METHODS

The antioxidative activities of the various fractions separated from FLC were analyzed by in vitro DPPH (1,1-diphenyl-2-picrylhydrazyl radical 2, 2-diphenyl-1-(2,4,6-trinitrophenyl) hydrazyl, DPPH) radical and superoxide anion free radical (O2 −) scavenging assays. The potential hepatoprotective effects of the ethyl acetate fraction separated from FLC (EFLC) were examined in LO2 cells and mice. LO2 cells were incubated with EFLC and exposed to H2O2-induced oxidative stress. BABL/C mice were orally administered EFLC for consecutive 7 d, and fulminant hepatitis was induced by cauda vein injection of ConA on day 7.

RESULTS

EFLC showed prominent antioxidative effects in DPPH - and O2 - scavenging assays. EFLC pretreatment effectively protected LO2 cells from H2O2-induced oxidative stress by decreasing apoptosis and raising the levels of antioxidant enzymes. Additionally, EFLC protected mice against ConA-induced fulminant hepatitis by markedly reducing the serum levels of alanine transaminase and aspartate aminotransferase, attenuating histological damage of the mouse liver, and elevating the levels of glutathione peroxidase and total superoxide dismutase, while decreasing the contents of methane dicarboxylic aldehyde, tumor necrosis factor-α, and interleukin-1β in the mouse liver. Furthermore, EFLC pretreatment downregulated the protein expression of B-cell lymphoma 2 (Bcl-2) associated X protein, caspase-3, caspase-8, Fas, and FasL, while upregulating the protein expression of Bcl-2 in the mouse liver.

CONCLUSION

These findings revealed that EFLC effectively protected against in vivo and in vitro liver injury, and the mechanism is closely associated with its antioxidative and anti-apoptotic properties.

目的研究枸杞子(Livistona chinensis, FLC)有效部位的抗氧化和保肝活性,并探讨其可能的作用机制。方法采用体外清除DPPH(1,1-二苯基-2-三硝基苯基)自由基、DPPH(2,4,6-三硝基苯基)自由基和超氧阴离子自由基(O2−)的方法,分析了FLC各分离部位的抗氧化活性。在LO2细胞和小鼠实验中,研究了从FLC中分离的乙酸乙酯部分(EFLC)的潜在肝保护作用。将LO2细胞与EFLC孵育并暴露于h2o2诱导的氧化应激中。给BABL/C小鼠连续灌胃EFLC 7 d,第7天尾静脉注射ConA诱导暴发性肝炎。结果flc在DPPH和O2清除实验中表现出明显的抗氧化作用。EFLC预处理通过降低细胞凋亡和提高抗氧化酶水平,有效保护o2细胞免受h2o2诱导的氧化应激。此外,EFLC还能显著降低小鼠血清丙氨酸转氨酶和天冬氨酸转氨酶水平,减轻小鼠肝脏的组织学损伤,提高谷胱甘肽过氧化物酶和总超氧化物歧化酶水平,降低小鼠肝脏中甲烷二羧醛、肿瘤坏死因子-α和白细胞介素-1β的含量,从而对cona诱导的小鼠重型肝炎具有保护作用。此外,EFLC预处理可下调b细胞淋巴瘤2 (Bcl-2)相关X蛋白、caspase-3、caspase-8、Fas和FasL蛋白的表达,上调小鼠肝脏中Bcl-2蛋白的表达。结论EFLC对体内和体外肝损伤均有保护作用,其机制与其抗氧化和抗凋亡作用密切相关。
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引用次数: 5
Efficacy of Chaihu Jisang decoction on post-infection cough and its effect on cough reflex sensitivity 柴胡积桑汤治疗感染后咳嗽的疗效及对咳嗽反射敏感性的影响
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-08-01 DOI: 10.1016/S0254-6272(18)30894-X
Hong Minli , Huang Baopei , Hong Chunlin , Chen Huinuan , Chen Wenxi , Liu Chaohui , Li Xinjian , Li Candong

OBJECTIVE

To investigate the efficacy of Chaihu Ji Sang Decoction (CJSD), (a modification of Xiao Chaihu Tang (Minor Decoction of Bupleurum) was evaluated in patients with post-infection cough (PIC). Its effect on cough reflex sensitivity (CRS) was also described.

METHODS

One hundred and eighteen patients with PIC were enrolled and randomly divided into an experimental group and control group (54 patients in each group). The experimental group was given CJSD orally, and the control group was given cetirizine hydrochloride for 7 d. Cough symptom scores and TCM symptom scores were compared before and after treatment. Efficacy, cough onset time, recurrence, and adverse drug reactions were additionally evaluated. Finally, CRS was evaluated before and after treatment of PIC patients in the experimental group.

RESULTS

Fifty-two patients in the experimental group and fifty control patients completed the study. Cough symptom scores and the TCM symptom scores of the two groups were significantly improved after treatment, however cough symptoms in the experimental group 1 (0, 2) were significantly lower than the control group 2 (1, 2) after treatment (P < 0.05). Similarly, TCM symptom scores 4 (0, 7) in the experimental group were significantly lower than the control group 6 (3, 12) (P < 0.01). Overall, the effective rate of the experimental treatment (84.60%) was significantly higher than that of the control treatment (68.00%) (P < 0.01). The onset time of efficacy of the experimental treatment was one day faster than the control treatment [2 (2,3) d vs 3 (2,3) d, P < 0.01]. The relapse rate in the experimental group (9.09%) was lower than that of the control group (29.41%) (P < 0.05). 39 PIC patients in the experimental group completed a capsaicin cough challenge test before treatment. The lgC2 and lgC5 of the experimental group prior to treatment was 1.19 (0.59, 1.49) and 1.80 (1.49, 2.10), respectively. The lgC2, lgC5 of the healthy control group was 1.49 (0.89, 2.40) and 2.70 (2.40, 3.00), respectively. The differences in lgC2 and lgC5 between experimental group and healthy groups were significant at this time point (both P < 0.01). After treatment, 34 patients in the experimental group received re-examination. lgC5 increased from 1.80 (1.49, 2.10) to 2.10 (1.49, 3.00). CRS after treatment/re-examination was significantly lower than those of baseline in the experimental group (P <0.05).

CONCLUSION

CJSD could effectively improve the clinical symptoms of PIC patients, with demonstrable low recurrence and safety. CJSD also significantly decreased the CRS in patients with PIC.

目的观察柴胡积桑汤(柴胡小汤加味)治疗感染后咳嗽(PIC)的疗效。对咳嗽反射敏感性(CRS)的影响也作了描述。方法118例PIC患者随机分为实验组和对照组(每组54例)。试验组患者口服CJSD,对照组患者口服盐酸西替利嗪,疗程7 d。比较治疗前后咳嗽症状评分和中医症状评分。另外评估疗效、咳嗽发作时间、复发情况和药物不良反应。最后对实验组PIC患者治疗前后的CRS进行评价。结果实验组52例,对照组50例。治疗后两组患者咳嗽症状评分及中医症状评分均有显著改善,但实验组1(0,2)治疗后咳嗽症状明显低于对照组2 (1,2)(P <0.05)。同样,实验组中医症状评分4(0,7)明显低于对照组6 (3,12)(P <0.01)。总体而言,试验组有效率(84.60%)显著高于对照组(68.00%)(P <0.01)。实验处理的起效时间比对照处理快1天[2 (2,3)d vs 3 (2,3) d, P <0.01]。实验组复发率(9.09%)低于对照组(29.41%)(P <0.05)。试验组39例PIC患者在治疗前完成辣椒素咳嗽刺激试验。实验组治疗前lgC2和lgC5分别为1.19(0.59,1.49)和1.80(1.49,2.10)。健康对照组lgC2、lgC5分别为1.49(0.89、2.40)、2.70(2.40、3.00)。实验组与健康组在此时间点lgC2、lgC5差异均有统计学意义(P <0.01)。治疗后,实验组34例患者复查。lgC5从1.80(1.49,2.10)增加到2.10(1.49,3.00)。实验组治疗/复查后CRS均显著低于基线(P <0.05)。结论cjsd能有效改善PIC患者的临床症状,具有明显的低复发率和安全性。CJSD也显著降低了PIC患者的CRS。
{"title":"Efficacy of Chaihu Jisang decoction on post-infection cough and its effect on cough reflex sensitivity","authors":"Hong Minli ,&nbsp;Huang Baopei ,&nbsp;Hong Chunlin ,&nbsp;Chen Huinuan ,&nbsp;Chen Wenxi ,&nbsp;Liu Chaohui ,&nbsp;Li Xinjian ,&nbsp;Li Candong","doi":"10.1016/S0254-6272(18)30894-X","DOIUrl":"10.1016/S0254-6272(18)30894-X","url":null,"abstract":"<div><h3>OBJECTIVE</h3><p>To investigate the efficacy of Chaihu Ji Sang Decoction (CJSD), (a modification of Xiao Chaihu Tang (Minor Decoction of Bupleurum) was evaluated in patients with post-infection cough (PIC). Its effect on cough reflex sensitivity (CRS) was also described.</p></div><div><h3>METHODS</h3><p>One hundred and eighteen patients with PIC were enrolled and randomly divided into an experimental group and control group (54 patients in each group). The experimental group was given CJSD orally, and the control group was given cetirizine hydrochloride for 7 d. Cough symptom scores and TCM symptom scores were compared before and after treatment. Efficacy, cough onset time, recurrence, and adverse drug reactions were additionally evaluated. Finally, CRS was evaluated before and after treatment of PIC patients in the experimental group.</p></div><div><h3>RESULTS</h3><p>Fifty-two patients in the experimental group and fifty control patients completed the study. Cough symptom scores and the TCM symptom scores of the two groups were significantly improved after treatment, however cough symptoms in the experimental group 1 (0, 2) were significantly lower than the control group 2 (1, 2) after treatment (<em>P</em> &lt; 0.05). Similarly, TCM symptom scores 4 (0, 7) in the experimental group were significantly lower than the control group 6 (3, 12) (<em>P</em> &lt; 0.01). Overall, the effective rate of the experimental treatment (84.60%) was significantly higher than that of the control treatment (68.00%) (<em>P</em> &lt; 0.01). The onset time of efficacy of the experimental treatment was one day faster than the control treatment [2 (2,3) d vs 3 (2,3) d, <em>P</em> &lt; 0.01]. The relapse rate in the experimental group (9.09%) was lower than that of the control group (29.41%) (<em>P</em> &lt; 0.05). 39 PIC patients in the experimental group completed a capsaicin cough challenge test before treatment. The lgC2 and lgC5 of the experimental group prior to treatment was 1.19 (0.59, 1.49) and 1.80 (1.49, 2.10), respectively. The lgC2, lgC5 of the healthy control group was 1.49 (0.89, 2.40) and 2.70 (2.40, 3.00), respectively. The differences in lgC2 and lgC5 between experimental group and healthy groups were significant at this time point (both <em>P</em> &lt; 0.01). After treatment, 34 patients in the experimental group received re-examination. lgC5 increased from 1.80 (1.49, 2.10) to 2.10 (1.49, 3.00). CRS after treatment/re-examination was significantly lower than those of baseline in the experimental group (<em>P</em> &lt;0.05).</p></div><div><h3>CONCLUSION</h3><p>CJSD could effectively improve the clinical symptoms of PIC patients, with demonstrable low recurrence and safety. CJSD also significantly decreased the CRS in patients with PIC.</p></div>","PeriodicalId":17513,"journal":{"name":"Journal of Traditional Chinese Medicine","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0254-6272(18)30894-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41432405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Trans-cinnamaldehyde promotes nitric oxide release via the protein kinase-B/v-Akt murine thymoma viral oncogene -endothelial nitric oxide synthase pathway to alleviate hypertension in SHR. Cg-Leprcp/NDmcr rats 反式肉桂醛通过蛋白激酶B/v-Akt小鼠胸腺瘤病毒癌基因-内皮一氧化氮合酶途径促进一氧化氮释放,缓解SHR高血压。Cg-Leprcp/NDmcr大鼠
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-08-01 DOI: 10.1016/S0254-6272(18)30886-0
Zhang Lu , Wu Lili , Liu Ximing , Yoshitomi Hisae , Ikeda Katsumi , Negishi Hiroko , Pan Yajing , Sun Wen , Qin Lingling , Li Juan-E , Xu Tunhai , Liu Tonghua , Gao Ming

OBJECTIVE

To evaluate whether endothelial dysfunction and hypertension are prevented by trans-cinnamaldehyde (tCA) through the activation of endothelial nitric oxide synthase (eNOS).

METHODS

Human umbilical vein endothelial cells (HUVECs) were cultured in vitro and stimulated with tCA to determine cell viability using the methyl thiazolyl tetrazolium assay. The effect of tCA on nitric oxide (NO) production was determined by diaminofluorescein-dyes in the absence or presence of inhibitors of eNOS, AMPK, PKA, and AKT. The effect of tCA on blood pressure was determined by the tail-cuff method in obesity spontaneous hypertension (SHR. Cg-Leprcp/NDmcr) rats. The phosphorylation of eNOS and protein expression of the insulin-signaling pathway (InsR-IRS1-PI3K-AKT) were measured by western blot.

RESULTS

tCA at concentrations less than 100 did not affect cell viability in cultured HUVECs. Stimulation with tCA promoted NO release in a time-dependent manner compared with the control group. tCA-treated HUVECs also significantly increased AKT-Ser473 and eNOS- Ser1177 phosphorylation. In SHR-CP rats, treatment with tCA at a dose of 40 mg/kg/day for 6 weeks markedly reduced the systolic blood pressure and diastolic blood pressure, increased the phosphorylation of AKT and eNOS, and increased urinary nitric oxidation.

CONCLUSION

tCA attenuated endothelial dysfunction and reduced blood pressure in SHR-CP rats. The underlying mechanisms may involve the increase in AKT and eNOS phosphorylation and the release of eNOS-derived NO.

目的探讨反式肉桂醛(tCA)是否通过激活内皮一氧化氮合酶(eNOS)来预防内皮功能障碍和高血压。方法体外培养人脐静脉内皮细胞(HUVECs),用tCA刺激,采用甲基噻唑四氮唑法测定细胞活力。在eNOS、AMPK、PKA和AKT抑制剂不存在或不存在的情况下,用二氨基荧光素染料测定了tCA对一氧化氮(NO)生成的影响。采用尾袖法测定tCA对肥胖自发性高血压(SHR)患者血压的影响。Cg-Leprcp / NDmcr)老鼠。western blot检测eNOS磷酸化水平和胰岛素信号通路(InsR-IRS1-PI3K-AKT)蛋白表达水平。结果stca浓度小于100时,对培养的huvec细胞存活率无影响。与对照组相比,tCA刺激以时间依赖性的方式促进NO释放。tca处理的HUVECs也显著增加了AKT-Ser473和eNOS- Ser1177的磷酸化。在shrr - cp大鼠中,以40 mg/kg/天的剂量给予tCA,连续6周显著降低收缩压和舒张压,增加AKT和eNOS的磷酸化,并增加尿氮氧化。结论ca可减轻SHR-CP大鼠内皮功能障碍,降低血压。潜在的机制可能涉及AKT和eNOS磷酸化的增加以及eNOS衍生的NO的释放。
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引用次数: 3
Effect of methotrexate combined with Sanhuang Yilong decoction on serum and synovial fluid aquaporin levels in rheumatoid arthritis dampness-heat blockage syndrome 甲氨蝶呤联合三黄益龙汤对类风湿关节炎湿热阻证血清及滑液水通道蛋白水平的影响
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-08-01 DOI: 10.1016/S0254-6272(18)30895-1
Liu Defang , Yan Jiao , Guo Mingyang , Luo Yong , Yang Mei , Yang Min , Zou Longfu , Hu Yonghe , Li Wan, Zhong Xiaolong, Liu Tao

OBJECTIVE

To study the effect of methotrexate (MTX) combined with Sanhuang Yilong decoction (SYD) on aquaporin (AQP) expression, and to explore the role of AQPs in the pathogenesis of rheumatoid arthritis (RA).

METHODS

A total of 118 dampness-heat blockage type RA patients who were hospitalized in the General Chengdu Military Hospital between January 2014 and December 2016 were selected as subjects in this study (30 patient of these patients with knee joint effusion were assigned to the RA synovial fluid group). For the pre-treatment control groups, 30 healthy volunteers were recruited as the healthy control group and 30 osteoarthritis (OA) patients with knee joint effusion were included as OA synovial fluid control group. The RA dampness-heat blockage syndrome treatment groups were divided into 45 cases in the combined group and 45 cases in the MTX group. The combined group received MTX combined with SYD treatment while the MTX group received MTX alone. AQP1, AQP2 and AQP3 expressions were detected in the serum and synovial fluid.

RESULTS

AQP1 had the highest expression, followed by AQP3, and AQP2. The serum levels of AQP1, AQP2 and AQP3 were all significantly lower than those in the healthy volunteers (P < 0.05), while the synovial fluid AQP1, AQP2 and AQP3 expression in the RA group were comparable to these in the OA groups (P > 0.05). After treatment for 2 weeks, serum AQP1, AQP2, AQP3 were significantly increased and erythrocyte sedimentation rate, C-reactive protein, disease activity score of 28 joints were decreased in the combined group (P < 0.05).

CONCLUSION

Abnormal expression of AQPs inhibits water metabolism in RA dampness-heat blockage syndrome, so liquid is accumulated at the joint, which may play an important role in the pathogenesis of RA. MTX combined with SYD for the treatment of RA can effectively increase AQP expression.

目的研究甲氨蝶呤(MTX)联合三黄一龙汤(SYD)对水通道蛋白(AQP)表达的影响,探讨AQP在类风湿关节炎(RA)发病机制中的作用。方法选取2014年1月至2016年12月成都军区总医院住院的湿热闭塞型RA患者118例作为研究对象,其中膝关节积液患者30例为RA滑液组。治疗前对照组选取30名健康志愿者作为健康对照组,30名膝关节积液骨关节炎(OA)患者作为OA滑液对照组。RA湿热阻证治疗组分为联合治疗组45例,甲氨蝶呤治疗组45例。联合组给予甲氨蝶呤联合SYD治疗,甲氨蝶呤组单独给予甲氨蝶呤治疗。检测血清和滑液中AQP1、AQP2和AQP3的表达。结果saqp1表达量最高,AQP3次之,AQP2次之。血清AQP1、AQP2和AQP3水平均显著低于健康志愿者(P <RA组滑膜液AQP1、AQP2和AQP3的表达与OA组相当(P >0.05)。治疗2周后,联合组患者血清AQP1、AQP2、AQP3水平均显著升高,红细胞沉降率、c反应蛋白、28个关节疾病活动性评分均显著降低(P <0.05)。结论AQPs异常表达抑制RA湿热阻证水分代谢,使水分在关节处积聚,可能在RA的发病机制中起重要作用。MTX联合SYD治疗RA可有效提高AQP的表达。
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引用次数: 2
Effects of Guasha on histomorphology of scraped skins and on expression of calcitonin gene-related peptide and substance P in rats 瓜沙对大鼠刮皮组织形态学及降钙素基因相关肽和P物质表达的影响
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-08-01 DOI: 10.1016/S0254-6272(18)30888-4
Wang Yingying , Xu Dongsheng , Bai Wanzhu , Yang Jinsheng

OBJECTIVE

To reveal the effects of Guasha (scraping therapy) on the histomorphology of scraped skins and on the expressions of calcitonin gene-related peptide (CGRP) and substance P (SP).

METHODS

50 rats, as experimental subjects, were randomly divided into 5 groups according to different observation time points. Dorsal setae were shaved for the exposure of skin on both sides of the spine. Even reinforcing and reducing method was applied to the rats in Guasha groups on the site equivalent to bladder meridian of human body on one side of the spine, and the skin was scraped from top to bottom until rash of measles occurred. The skin tissues with rash of measles were taken down after perfusion. The corresponding sites of rats in group A were also taken down as control. The tissues were made to sections and used for immunofluorescence histochemical staining and HE staining of antibodies such as SP and CGRP.

RESULTS

After Guasha, there were significant differences in appearance, hair follicle and blood vessel on local skin scraped on the back of rats when compared with control; In different time points, the differences reduced. There was no significant difference in expression of CGRP and SP when compared local skin scraped on the back of rats in different time points.

CONCLUSION

Guasha didn't significantly change the morphology of nerve fibers inside local skin, and the histomorphology of hair follicle, blood vessel and etc. However, after Guasha they basically returned to normal level within five days.

目的探讨刮痧对大鼠刮伤皮肤组织形态学及降钙素基因相关肽(CGRP)和P物质(SP)表达的影响。方法50只大鼠作为实验对象,根据不同观察时间点随机分为5组。为了暴露脊柱两侧的皮肤,刮去背刚毛。瓜沙组大鼠在脊柱一侧相当于人体膀胱经络的部位采用均匀补泻法,自上至下刮拭,直至出疹子。灌注后取有麻疹疹的皮肤组织。取A组大鼠相应部位作为对照。将组织切片,对SP、CGRP等抗体进行免疫荧光组织化学染色和HE染色。结果瓜沙治疗后,大鼠背部局部刮擦皮肤外观、毛囊及血管与对照组相比均有显著差异;在不同的时间点,差异减小。不同时间点大鼠背部局部刮擦皮肤CGRP和SP的表达差异无统计学意义。结论瓜沙对局部皮肤内神经纤维形态及毛囊、血管等组织形态无明显影响。然而,瓜沙之后,他们在五天内基本恢复了正常水平。
{"title":"Effects of Guasha on histomorphology of scraped skins and on expression of calcitonin gene-related peptide and substance P in rats","authors":"Wang Yingying ,&nbsp;Xu Dongsheng ,&nbsp;Bai Wanzhu ,&nbsp;Yang Jinsheng","doi":"10.1016/S0254-6272(18)30888-4","DOIUrl":"10.1016/S0254-6272(18)30888-4","url":null,"abstract":"<div><h3>OBJECTIVE</h3><p>To reveal the effects of Guasha (scraping therapy) on the histomorphology of scraped skins and on the expressions of calcitonin gene-related peptide (CGRP) and substance P (SP).</p></div><div><h3>METHODS</h3><p>50 rats, as experimental subjects, were randomly divided into 5 groups according to different observation time points. Dorsal setae were shaved for the exposure of skin on both sides of the spine. Even reinforcing and reducing method was applied to the rats in Guasha groups on the site equivalent to bladder meridian of human body on one side of the spine, and the skin was scraped from top to bottom until rash of measles occurred. The skin tissues with rash of measles were taken down after perfusion. The corresponding sites of rats in group A were also taken down as control. The tissues were made to sections and used for immunofluorescence histochemical staining and HE staining of antibodies such as SP and CGRP.</p></div><div><h3>RESULTS</h3><p>After Guasha, there were significant differences in appearance, hair follicle and blood vessel on local skin scraped on the back of rats when compared with control; In different time points, the differences reduced. There was no significant difference in expression of CGRP and SP when compared local skin scraped on the back of rats in different time points.</p></div><div><h3>CONCLUSION</h3><p>Guasha didn't significantly change the morphology of nerve fibers inside local skin, and the histomorphology of hair follicle, blood vessel and etc. However, after Guasha they basically returned to normal level within five days.</p></div>","PeriodicalId":17513,"journal":{"name":"Journal of Traditional Chinese Medicine","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2018-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0254-6272(18)30888-4","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43734781","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
期刊
Journal of Traditional Chinese Medicine
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