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Effect of Ningmitai capsule plus sertraline on patients with premature ejaculation and enlarged seminal vesicles: A randomized clinical trial 宁米台胶囊联合舍曲林治疗早泄、精囊肿大的随机临床试验
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-04-01 DOI: 10.1016/j.jtcm.2018.04.001
Peng Longping , Hong Zhiwei , Shen Jiaming , Hu Xuechun , Shao Yong , Jing Jun , Lu Jinchun , Yao Bing

OBJECTIVE

To investigate the effects of Ningmitai capsule combined with sertraline on patients with premature ejaculation (PE) and an increased anterior-posterior diameter (APD) of the seminal vesicles (SVs).

METHODS

Sixty men with acquired PE were enrolled and randomly divided into two groups. The combined group was treated with Ningmitai capsule and sertraline, while the control group was treated with sertraline alone. Main outcomes were measured using the premature ejaculation diagnostic tool (PEDT), APD of SVs, and Clinical Global Impression of Change questionnaire and compared before and after 3 months of treatment.

RESULTS

Comparing after treatment with before treatment outcomes within each group, the PEDT score was significantly reduced in the combined group (12.1 ± 2.5 vs 8.6 ± 3.2, P < 0.001, respectively) and control group (12.9 ± 2.6 vs 10.3 ±1.6, P < 0.001, respectively). Furthermore, the PEDT score after treatment was significantly lower in the combined compared with control group (8.6 ± 3.2 vs 10.3 ± 1.6, P = 0.011, respectively). The APD of SVs in the combined group was significantly decreased after treatment [(10.8 ± 2.4) vs (12.9 ± 2.2) mm, P = 0.001], while the APD of SVs in the control group was equivalent before and after treatment. The treatment response rate was not significantly higher in the combined compared with control group.

CONCLUSION

These results indicated that the effect of Ningmitai capsule combined with sertraline was better than that of sertraline alone for the treatment of PE patients exhibiting an increased APD of SVs. The therapeutic effect found for the combined treatment may be due to antibacterial and anti-inflammatory activity reported for Ningmitai capsule, and may suggest that seminal vesiculitis is a potential pathophysiological factor in acquired PE.

目的探讨宁米泰胶囊联合舍曲林治疗早泄(PE)及精囊前后直径(APD)增大的疗效。方法60例获得性PE患者随机分为两组。联合组采用宁米台胶囊联合舍曲林治疗,对照组单用舍曲林治疗。主要结果采用早泄诊断工具(PEDT)、sv的APD和临床总体印象变化问卷进行测量,并比较治疗前后3个月的差异。结果两组治疗后与治疗前比较,联合治疗组PEDT评分显著降低(12.1±2.5 vs 8.6±3.2,P <0.001)和对照组(12.9±2.6 vs 10.3±1.6,P <分别为0.001)。联合治疗组治疗后PEDT评分明显低于对照组(8.6±3.2 vs 10.3±1.6,P = 0.011)。联合组svd治疗后明显降低[(10.8±2.4)vs(12.9±2.2)mm, P = 0.001],而对照组svd治疗前后相当。联合治疗组治疗有效率与对照组比较无明显差异。结论宁米台胶囊联合舍曲林治疗SVs APD增高的PE患者效果优于单用舍曲林。联合治疗的治疗效果可能是由于宁米泰胶囊的抗菌和抗炎活性,并可能提示精囊炎是获得性PE的潜在病理生理因素。
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引用次数: 2
Efficacy of herb-partitioned moxibustion at Qihai (CV 6) and bilateral Tianshu (ST 25) on colonic damage and the TLR4/NF-κB signaling pathway in rats with Crohn's disease 中药隔灸七海穴(cv6)和双侧天枢穴(st25)对克罗恩病大鼠结肠损伤及TLR4/NF-κB信号通路的影响
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-04-01 DOI: 10.1016/j.jtcm.2018.04.004
Zhang Dan , Wei Kai , Ma Xiaopeng , Wu Huangan , Hong Jue , Zhang Cuihong , Wu Lingxiang , Yan Huang , Liu Jie , Zhu Yi , Yang Ling

OBJECTIVE

To observe the effect of stimulating Qihai (CV 6) and bilateral Tianshu (ST 25) with herb-partitioned moxibustion (HPM) in rats with Crohn's disease (CD), and to investigate the possible anti-inflammatory mechanism of HPM.

METHODS

Forty rats were randomly divided into four groups (n = 10 rats per group): normal control (NC), model control (MC), mesalamine (MES), and HPM. The CD rat model was established in the MC, MES, and HPM groups by administering a mixture of trinitrobenzenesulfonic acid and alcohol via enema. The HPM group received HPM on Qihai (CV 6) and bilateral Tianshu (ST 25), while the MES group received intragastric mesalamine. Colonic histomorphological scores, and serum concentrations of tumor necrosis factor α (TNF-α) and interleukin 1β (IL-1β) were assessed to evaluate the effects of HPM on colonic reparation and anti-inflammation. The expressions of Toll-like receptor 4 (TLR-4), nuclear factor κB inhibitor α (IkB-α), IkB kinase α/β (Iκκα/β), and NF-κB p65 were further analyzed to investigate the regulatory effects of the interventions on the TLR4/NF-κB pathway.

RESULTS

CD rats showed inflammatory colonic damage and increased serum concentrations of TNF-α and IL-1β. The expressions of TLR4, IKKα/β, and NF-κB p65 in the colons of CD rats were significantly increased compared with the NC group, while the expression of IκBα (a key negative regulator of NF-κB p65) was decreased. HPM significantly mitigated colonic damage and reduced the serum concentrations of TNF-α and IL-1β. HPM downregulated the expressions of TLR4, IKKα/β, and NF-κB p65 in the colon, and upregulated the expression of IκBα. The effects of HPM in CD rats were similar to those of mesalamine.

CONCLUSION

HPM alleviates colonic inflammation in CD rats. This may be achieved through regulation of TLR4, which induces NF-κB signal transduction.

目的观察中药隔灸(HPM)对克罗恩病(CD)大鼠气海(CV 6)和双侧天枢(ST 25)的影响,并探讨其可能的抗炎机制。方法40只大鼠随机分为正常对照组(NC)、模型对照组(MC)、美沙拉胺组(MES)和HPM组(每组10只)。采用三硝基苯磺酸与酒精混合灌肠的方法,建立MC、MES和HPM组大鼠CD模型。HPM组在七海(CV 6)和双侧天枢(ST 25)上给予HPM, MES组在胃内给予美沙胺。通过测定大鼠结肠组织形态学评分、血清肿瘤坏死因子α (TNF-α)和白细胞介素1β (IL-1β)浓度来评价HPM对结肠修复和抗炎的影响。进一步分析toll样受体4 (TLR-4)、核因子κB抑制剂α (IkB-α)、IkB激酶α/β (i -κ α/β)、NF-κB p65的表达,探讨干预对TLR4/NF-κB通路的调控作用。结果scd大鼠出现炎性结肠损伤,血清TNF-α和IL-1β浓度升高。CD大鼠结肠组织中TLR4、IKKα/β、NF-κB p65的表达均较NC组显著升高,而NF-κB p65的关键负调控因子i -κB α的表达则降低。HPM可显著减轻结肠损伤,降低血清TNF-α和IL-1β浓度。HPM下调结肠组织TLR4、IKKα/β和NF-κB p65的表达,上调i -κB α的表达。HPM对CD大鼠的作用与美沙拉明相似。结论hpm可减轻CD大鼠结肠炎症。这可能通过调节TLR4诱导NF-κB信号转导来实现。
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引用次数: 3
Effects of Qingshen granules on Janus Kinase/signal transducer and activator of transcription signaling pathway in rats with unilateral ureteral obstruction 清肾颗粒对单侧输尿管梗阻大鼠Janus激酶/信号转导及转录信号通路激活因子的影响
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-04-01 DOI: 10.1016/j.jtcm.2017.04.001
Wang Yiping , Wang Dong , Jin Hua , Yu Min , Zhang Lei

OBJECTIVE

To investigate the effects of Qingshen granules (QSG) on janus kinase/signal transducer and activator of transcription (JAK/STAT) signaling pathway in a rat model of unilateral ureteral obstruction (UUO).

METHODS

Sixty male Sprague-Dawley rats were randomly divided into six groups, with 10 animals in each group: the untreated sham-operated normal control group; the untreated UUO model control group, the high dose QSG-treated (16 g•kg−1•d−1) UUO group; the medium dose QSG-treated (8 g•kg−1•d−1) UUO group; the low dose QSG-treated (4 g•kg−1•d−1) UUO group; and the valsartan-treated group (20 mg•kg−1•d−1). The two untreated control groups received physiological saline (1 mL/100 g per day). All the rats were sacrificed after a 4-week course of treatment. Serum creatinine and leptin; protein expressions of leptin receptor (OB-R), p-JAK2, p-STAT3, nuclear factors-κBp6 (NF-kBp65), and monocytechemotatic protein-1 (MCP-1); mRNA of JAK2, STAT3, calcium-dependent adhesion (E-cadherin), alphasmooth muscle actin (α-SMA) in the kidney tissues; and the expressions of type IV collagen (Col-IV and fibronectin (FN) and the pathomorphology in kidney tissues were treated.

RESULTS

Compared with the normal group, the BUN, Scr, and serum leptin levels and the expressions of MCP-1, p-JAK2, p-STAT3, NF-kBp65 and OB-R in renal tissues, and the mRNA expressions of leptin, JAK2 protein, STAT3 protein, α-SMA protein in model group were significantly higher (P < 0.01) in the UUO model group. These parameters were significantly reduced in all the QSG-treated groups and the valsartan-treated group than the UUO model group (P < 0.05 or P < 0.01), with the lowest levels found in the medium dose QSG-treated group (P < 0.05). However, the expression levels of E-cadherin, FN, and Col-IV in the renal tissues were contrary to the expressions described above. Severe pathological injury was evident in the renal tissues of UUO model rats, which was alleviated in the QSG-treated and valsartan-treated groups, with the least damage found in the medium dose QSG-treated group.

CONCLUSION

Our data suggest that the leptin-mediated JAK/STAT signaling pathway is involved in the process of renal interstitial fibrosis in UUO rats. QSG inhibited the activity of the signaling pathway, reduced the activity of NF-kB and inflammatory effect, and the transdifferentiation in the renal tubular epithelial cells. Treatment with QSG may delay the renal fibrosis and protect the renal function from damage following UUO in rats.

目的探讨清肾颗粒(QSG)对单侧输尿管梗阻(UUO)大鼠janus kinase/signal transducer and activator of transcription (JAK/STAT)信号通路的影响。方法雄性Sprague-Dawley大鼠60只,随机分为6组,每组10只:未经治疗假手术正常对照组;为未处理UUO模型对照组,高剂量qsg处理(16 g•kg−1•d−1)UUO组;中剂量qsg处理(8 g•kg−1•d−1)UUO组;低剂量qsg处理(4 g•kg−1•d−1)UUO组;缬沙坦治疗组(20mg•kg−1•d−1)。对照组给予生理盐水(1 mL/100 g / d)。4周疗程后处死所有大鼠。血清肌酐、瘦素;瘦素受体(OB-R)、p-JAK2、p-STAT3、核因子-κBp6 (NF-kBp65)、单核细胞代谢蛋白-1 (MCP-1)的表达;肾组织中JAK2、STAT3、钙依赖性粘连蛋白(E-cadherin)、α-SMA的mRNA表达;观察肾组织ⅳ型胶原(Col-IV)和纤连蛋白(FN)的表达及病理形态学变化。结果与正常组比较,模型组大鼠肾组织BUN、Scr、血清瘦素水平、MCP-1、P- JAK2、P- STAT3、NF-kBp65、OB-R表达及瘦素、JAK2蛋白、STAT3蛋白、α-SMA蛋白mRNA表达均显著升高(P <0.01)。与UUO模型组相比,所有qsg治疗组和缬沙坦治疗组的这些参数均显著降低(P <0.05或P <0.01),其中中剂量组最低(P <0.05)。然而,E-cadherin、FN和Col-IV在肾组织中的表达水平与上述表达相反。UUO模型大鼠肾组织出现严重病理损伤,芪芪多糖处理组和缬沙坦处理组均有所减轻,其中芪芪多糖中剂量组损伤最小。结论瘦素介导的JAK/STAT信号通路参与了UUO大鼠肾间质纤维化过程。QSG抑制了信号通路的活性,降低了NF-kB活性和炎症效应,降低了肾小管上皮细胞的转分化。QSG治疗可延缓UUO大鼠肾纤维化,保护肾功能不受损害。
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引用次数: 2
Low impedance nature of 12 acupoints on the limbs, and the unexpected dependence on limb angle 四肢上12个穴位的低阻抗特性,以及对肢体角度的意外依赖
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-04-01 DOI: 10.1016/j.jtcm.2018.03.005
Xu Jingjing , Yang Fan , Han Danhong , Wang Zhenhai , Hong Yuankai , Han Hongbin , Xu Shengyong

OBJECTIVE

To better understand the working mechanism of acupuncture, we investigated the skin electrical impedance distribution around acupoints, and the impedance changes at 12 original acupoints bilaterally after bending the limbs.

METHODS

We measured the skin electrical impedance in three study subjects in the frequency range of 40 to 10 kHz using the four-electrode method with a sharp probe and a large reference electrode. A measurement matrix of 7 mm × 7 mm with spacing of 2.0 (or 3.0) mm was measured to obtain 2D impedance mapping of acupoints. The impedance spectra of 12 original acupoints were measured at the 0° position and the 90° position.

RESULTS

The electrical impedance of some acupoints, such as Yangchi (TE 4), was 16 times lower than that of the surrounding area, showing a recognizable small central area of low impedance with a diameter of less than 4 mm. In contrast, other acupoints, such as Laogong (PC 8), had an electrical impedance that was not significantly different from that of the surrounding area. When the limb was bent from a straight position (0°) to a vertical position (90°), the electrical impedance of the 12 original acupoints showed varied trends, either increasing or decreasing by a factor of up to ten times, or remaining at the same level.

CONCLUSION

Not all acupoints tested show the property of low impedance, which might be related to the varied depth of the openings of superficial collaterals. The unexpected dependence of acupoint impedance on limb angle is a novel discovery, which implies that the channel paths are located in interstitial structures in the limbs. It might be possible to determine an optimized limb position for each particular acupuncture treatment in clinical practice.

目的为了更好地了解针刺的作用机制,我们研究了弯曲肢体后,穴位周围皮肤电阻抗分布及12个原穴位两侧电阻抗的变化。方法采用尖探针和大参比电极的四电极法,在40 ~ 10 kHz的频率范围内测量3名研究对象的皮肤电阻抗。测量7 mm × 7 mm的测量矩阵,测量间距为2.0(或3.0)mm,获得穴位二维阻抗映射。测量12个原始穴位在0°位置和90°位置的阻抗谱。结果部分穴位如阳池(te4)的电阻抗比周围区域低16倍,呈明显的小中心低阻抗区,直径小于4 mm。相比之下,其他穴位如老宫(pc8)的电阻抗与周围区域无显著差异。当肢体从直线位置(0°)弯曲到垂直位置(90°)时,12个原始穴位的电阻抗呈现不同的趋势,或增加或减少10倍,或保持在同一水平。结论并非所有被测穴位均呈现低阻抗特性,这可能与浅络开孔深度不同有关。穴位阻抗对肢体角度的依赖性是一个新的发现,这表明通道通路位于肢体的间隙结构中。在临床实践中,有可能为每个特定的针灸治疗确定最佳的肢体位置。
{"title":"Low impedance nature of 12 acupoints on the limbs, and the unexpected dependence on limb angle","authors":"Xu Jingjing ,&nbsp;Yang Fan ,&nbsp;Han Danhong ,&nbsp;Wang Zhenhai ,&nbsp;Hong Yuankai ,&nbsp;Han Hongbin ,&nbsp;Xu Shengyong","doi":"10.1016/j.jtcm.2018.03.005","DOIUrl":"10.1016/j.jtcm.2018.03.005","url":null,"abstract":"<div><h3>OBJECTIVE</h3><p>To better understand the working mechanism of acupuncture, we investigated the skin electrical impedance distribution around acupoints, and the impedance changes at 12 original acupoints bilaterally after bending the limbs.</p></div><div><h3>METHODS</h3><p>We measured the skin electrical impedance in three study subjects in the frequency range of 40 to 10 kHz using the four-electrode method with a sharp probe and a large reference electrode. A measurement matrix of 7 mm × 7 mm with spacing of 2.0 (or 3.0) mm was measured to obtain 2D impedance mapping of acupoints. The impedance spectra of 12 original acupoints were measured at the 0° position and the 90° position.</p></div><div><h3>RESULTS</h3><p>The electrical impedance of some acupoints, such as Yangchi (TE 4), was 16 times lower than that of the surrounding area, showing a recognizable small central area of low impedance with a diameter of less than 4 mm. In contrast, other acupoints, such as Laogong (PC 8), had an electrical impedance that was not significantly different from that of the surrounding area. When the limb was bent from a straight position (0°) to a vertical position (90°), the electrical impedance of the 12 original acupoints showed varied trends, either increasing or decreasing by a factor of up to ten times, or remaining at the same level.</p></div><div><h3>CONCLUSION</h3><p>Not all acupoints tested show the property of low impedance, which might be related to the varied depth of the openings of superficial collaterals. The unexpected dependence of acupoint impedance on limb angle is a novel discovery, which implies that the channel paths are located in interstitial structures in the limbs. It might be possible to determine an optimized limb position for each particular acupuncture treatment in clinical practice.</p></div>","PeriodicalId":17513,"journal":{"name":"Journal of Traditional Chinese Medicine","volume":null,"pages":null},"PeriodicalIF":2.6,"publicationDate":"2018-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.jtcm.2018.03.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44779773","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
Therapeutic effect of Guijiajiao (Colla Carapacis et Plastri) on bone regeneration in rats and zebrafish 归甲胶对大鼠和斑马鱼骨再生的治疗作用
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-04-01 DOI: 10.1016/j.jtcm.2018.04.006
Su Weiyang , Feng Chienwei , Tseng Chungchih , Hung Hanchun , Chen Zhicheng , Lee Hsinpai , Jean Yenhsuan , Wu Shingyi Sean , Wen Zhihong

OBJECTIVE

To investigate the effect of Guijiajiao (Colla Carapacis et Plastri, CCP), the glue of tortoise shell, on bone regeneration in zebrafish and male Wistar rats.

METHODS

In this study, we applied in vitro and in vivo models, tissue section analysis, and quantitative polymerase chain reaction to assess the effects of CCP on bone repair. MG-63 cells were used in alkaline phosphatase (ALP) activity and mineralization assays. Zebrafish and male Wistar rats were used to evaluate the effects of CCP on bone repair in vivo.

RESULTS

A simple preparation of CCP promoted osteogenesis in vivo and in vitro, and promoted MG-63 cell proliferation as well as ALP activity and mineralization. In addition, CCP activated Akt and extracellular signaling-regulated kinase pathways and significantly increased the expression of ossification-related genes and proteins such as runt-related transcription factor-2, osteocalcin, and osteopontin. The in vivo results revealed promotion of osteogenesis by immersing zebrafish in CCP for 72 h. An oral dose of 1.25 g/kg CCP significantly improved skull defects in rats, which was accompanied by an increase in serum ALP levels.

CONCLUSION

One of the ingredients of Guilu Erxianjiao (tortoise shell and deer horn formula) provides a practical alternative therapy for bone regeneration.

目的探讨龟甲胶龟甲胶对斑马鱼和雄性Wistar大鼠骨再生的影响。方法采用体外、体内模型、组织切片分析、定量聚合酶链反应等方法评价CCP对骨修复的作用。MG-63细胞用于碱性磷酸酶(ALP)活性和矿化测定。采用斑马鱼和雄性Wistar大鼠在体观察CCP对骨修复的影响。结果单纯制备CCP可促进体内、体外成骨,促进MG-63细胞增殖、ALP活性和矿化。此外,CCP激活了Akt和细胞外信号调节激酶通路,显著增加了骨化相关基因和蛋白的表达,如矮子相关转录因子-2、骨钙素和骨桥蛋白。体内实验结果显示,将斑马鱼浸泡在CCP中72小时可促进成骨。口服1.25 g/kg CCP可显著改善大鼠颅骨缺损,并伴有血清ALP水平升高。结论龟鹿二仙椒(龟甲鹿角方)是一种实用的骨再生替代疗法。
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引用次数: 5
Classification of interventions in Traditional Chinese Medicine 中医干预措施的分类
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-04-01 DOI: 10.1016/j.jtcm.2018.04.003
Deng Hongyong , Clive E Adams , Farhad Shokraneh , Liang Shanghua

OBJECTIVE

To describe the key systems used for Traditional Chinese Medicine (TCM) classification.

METHODS

The TCM classifications used in the International Classification of Diseases-9 Clinical Modification (ICD-9-CM) volume 3, the ICD-10 Procedure Coding System, the International Classification of Health Interventions, and the Medical Subject Headings (MeSH) and Chinese Traditional Medicine and Materia Medica Subject Headings (TCMeSH) thesauruses were compared regarding descriptive terms, structure, and features of TCM interventions.

RESULTS

The National Library of Medicine's MeSH thesaurus is ubiquitous. The ICD-9-CM (volume 3), ICD-10 Procedure Coding System, and International Classification of Health Interventions cover insufficient concepts of TCM, and cannot be used directly as classification systems for TCM interventions. In contrast, the TCM contents of the TCMeSH thesaurus are complete, systematic, and detailed, and its hierarchical structure can be used for effective TCM classification.

CONCLUSION

TCM classification is very limited and flawed. The MeSH thesaurus helps decrease the detrimental effect of the language barrier. Similarly, the TCMeSH thesaurus can help those without full command of the Mandarin language to access Chinese literature, but the value of searches using TCMeSH could be improved by collaborative working with Information Specialists who are fluent in Mandarin and understand TCM.

目的介绍中药分类的关键系统。方法比较《国际疾病分类-9临床修饰》(ICD-9-CM)卷3、《ICD-10程序编码系统》、《国际卫生干预措施分类》、《医学主题目》(MeSH)和《中医药主题目》(TCMeSH)词库中中医干预措施的描述术语、结构和特征。结果美国国家医学图书馆的MeSH词库无处不在。ICD-9-CM(卷3)、ICD-10程序编码系统和国际卫生干预措施分类涵盖的中医概念不足,不能直接用作中医干预措施的分类系统。相比之下,TCMeSH词库的中医内容完整、系统、详细,其层次结构可用于有效的中医分类。结论中药分类方法存在局限性和缺陷。MeSH同义词典有助于减少语言障碍的有害影响。同样,TCMeSH词典可以帮助那些不完全掌握普通话的人访问中国文献,但使用TCMeSH的搜索价值可以通过与精通普通话和了解中医的信息专家合作来提高。
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引用次数: 7
Potential chronic liver toxicity in rats orally administered an ethanol extract of Huangqin (Radix Scutellariae Baicalensis) 黄芩乙醇提取物对大鼠慢性肝毒性的潜在影响
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-04-01 DOI: 10.1016/j.jtcm.2017.05.002
Yi Yan, Zhao Yong, Li Chunying, Zhang Yushi, Bin Yang, Yuan Yalan, Pan Chen, Wang Lianmei, Liang Aihua

OBJECTIVE

To investigate the potential chronic liver toxicity of oral administration of ethanol extract of Huangqin (Radix Scutellariae Baicalensis) (SBE) in Wistar rats.

METHODS

SBE was administered to rats by gavage for 26 weeks, at doses of 300, 1250, or 2500 mg•kg−1•d−1 respectively. The rats were euthanized at the end of 13 and 26 weeks daily oral dosing and following 4 weeks of recovery time. The changes of hematology, urinary, blood biochemistry and histomorphology were examined at each time point and focus on liver function and histological changes.

RESULTS

When SBE at a dose of up to 2500 mg•kg−1•d−1 was fed to male and female rats for 26 weeks, the liver tissue showed some inflammatory change that predominated by leukocyte infiltration but returned to normal after withdrawal. In addition, high-dose SBE treatment of 26 weeks in rats, glucose, electrolyte and lipid levels also have some changes. In addition, there are no other functional or organic lesions related to SBE treatment.

CONCLUSIONS

Long-term and high-dose SBE may cause liver damage, however, the structural damage of the liver can be restored after the ethanol extract stopping. SBE will be well-tolerated for long-term use as a drug or health food, but in order to ensure drug safety, liver function, and serum glucose, electrolyte and lipid levels should be monitored when using SBE long term.

目的探讨黄芩乙醇提取物对Wistar大鼠的潜在慢性肝毒性。方法大鼠灌胃ssbe,剂量分别为300、1250、2500 mg•kg - 1•d - 1,灌胃26周。每日口服给药13周和26周后及恢复4周后,对大鼠实施安乐死。各时间点检测血液学、尿液、血液生化及组织形态学变化,重点观察肝功能及组织形态学变化。结果以2500 mg•kg−1•d−1剂量的SBE饲喂雄性和雌性大鼠26周后,肝组织出现以白细胞浸润为主的炎症改变,停药后恢复正常。此外,大剂量SBE治疗26周后,大鼠的葡萄糖、电解质和血脂水平也有一定变化。此外,没有其他与SBE治疗相关的功能或器质性病变。结论长期高剂量SBE可引起肝脏损伤,但停止乙醇提取物后肝脏结构损伤可恢复。SBE作为药物或保健食品长期使用耐受性良好,但为确保用药安全,长期使用SBE时应监测肝功能、血清葡萄糖、电解质和血脂水平。
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引用次数: 12
Analysis of the phytochemical contents and antioxidant activities of crude extracts from Tulbaghia species 土巴革属植物粗提物的植物化学成分及抗氧化活性分析
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-04-01 DOI: 10.1016/j.jtcm.2018.04.005
Samkeliso Takaidza , Fanyana Mtunzi , Michael Pillay

OBJECTIVE

To assess the phytochemical contents and antioxidant activities of crude extracts from selected Tulbaghia species.

METHODS

Standard methods were used for preliminary phytochemical analysis. The total phenolic acid contents of the plant extracts were determined using the Folin-Ciocalteu method, and the total flavonoid contents were determined using the aluminum chloride colorimetric method. 1,1-Diphenyl-2-picrylhydrazyl and 2,2’-Azino-bis (3-ethylbenzthiazoline-6-sulfonic acid) assays were used to evaluate the antioxidant activities.

RESULTS

Phytochemical screening showed flavonoids, glycosides, tannins, terpenoids, saponins, and steroids were present in the Tulbaghia species. The total phenolic acid and flavonoid contents varied in the different plant extracts, ranging from 4.50 to 11.10 mg of gallic acid equivalents per gram of fresh material and 3.04 to 9.65 mg of quercetin equivalents per gram, respectively. The IC50 values determined for Tulbaghia alliacea and Tulbaghia violacea based on 1,1-diphenyl-2-picrylhydrazyl (0.06 and 0.08 mg/mL, respectively) and 2,2’-Azino-bis (3-ethylbenzthiazoline-6-sulfonic acid) (0.06 and 0.03 mg/mL, respectively) were low and showed they had potential antioxidant activities.

CONCLUSION

Our results suggest that individual compounds from Tulbaghia species should be isolated for analysis of their antioxidant activity because some compounds may work best when pure.

目的评价土巴葛粗提物的化学成分和抗氧化活性。方法采用标准方法进行初步植物化学分析。采用Folin-Ciocalteu法测定植物提取物中总酚酸含量,采用氯化铝比色法测定总黄酮含量。采用1,1-二苯基-2-吡啶肼和2,2 ' -氮基-双(3-乙基苯并噻唑-6-磺酸)测定法评价其抗氧化活性。结果植物化学筛选结果显示,图巴格菌属植物中含有黄酮类、苷类、单宁类、萜类、皂苷类和甾体。不同植物提取物的总酚酸和类黄酮含量不同,每克鲜料的没食子酸当量为4.50 ~ 11.10 mg,槲皮素当量为3.04 ~ 9.65 mg。基于1,1-二苯基-2-吡啶肼基(分别为0.06和0.08 mg/mL)和2,2 ' -氮基-双(3-乙基苯并噻唑-6-磺酸)(分别为0.06和0.03 mg/mL)的IC50值较低,表明它们具有潜在的抗氧化活性。结论图巴赤藓属植物中个别化合物的抗氧化活性应进行分离分析,因为某些化合物在纯化时可能具有最佳的抗氧化活性。
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引用次数: 51
Cytotoxicity and penetration enhancement activity of essential oils from warming the interior medicinals with hot or warm property in terms of Traditional Chinese Medicine 中药温性内药精油的细胞毒性及增透活性
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-04-01 DOI: 10.1016/j.jtcm.2018.03.006
Yao Junhong , Jiang Qiudong , Cai Hao , Zhu Xuemin , Ma Min , Duan Jinao , Dong Jie , Chen Jun

OBJECTIVE

To investigate on the cytotoxicity and penetration enhancement effect of essential oils (EOs) from warming the interior medicinals (WIM) from Traditional Chinese Medicine (TCM).

METHODS

EOs were extracted from WIM of Bichengqie (Litseae Fructus), Dingxiang (Flos Syzygii Aromatici), Huajiao (Pericarpium Zanthoxyli Bungeani), and Xiaohuixiang (Fructus Foeniculi) with warm nature, and Ganjiang (Rhizoma Zingiberis), Gaoliangjiang (Rhizoma Alpiniae Officinari), Rougui (Cortex Cinnamomi Cassiae), and Wuzhuyu (Fructus Evodiae Rutaecarpae) with hot nature, respectively. Their chemical compositions were analyzed by gas chromatography-mass spectrometry (GC-MS). The cytotoxicity of the extracted eight EOs on HaCaT cells was measured and compared. Moreover, analyses of cell cycle and cell apoptosis were performed to investigate the cytotoxic mechanism. The transdermal penetration enhancement effects of the extracted eight EOs on ibuprofen were further compared by the modified Franz diffusion cell method.

RESULTS

The most abundant constituents in the extracted eight EOs were determined to be monoterpenes, especially oxygen-containing monoterpenes. The HaCaT cell cytotoxicity of EOs from WIM with hot nature were significantly (P = 0.020) higher than that with warm nature. Both ginger oil and zanthoxylum oil significantly induced G0/G1 phase arrestment in HaCaT cell cycle. For ginger oil from WIM with hot nature and zanthoxylum oil from WIM with warm nature, the main mechanisms of the cytotoxicity were found to be the induction of cellular necrosis and the cellular apoptosis, respectively. Furthermore, most of the tested EOs showed remarkable penetration enhancement activity on ibuprofen. However, no statistical significance (P = 0.18) was found between penetration enhancement activity of EOs from WIM with warm nature and EOs from WIM with hot nature.

CONCLUSION

With the enhanced penetration activity, the extracted EOs from the WIM demonstrated their significant effect of the cytotoxicity on the skin cells.

目的研究中药温内精油的细胞毒性和增透作用。方法分别从温性药材碧城旗、丁香、花椒、小慧香和热性药材甘姜、高梁姜、桂皮、乌竹玉中提取皂苷类化合物。采用气相色谱-质谱联用(GC-MS)对其化学成分进行分析。测定并比较提取的8种EOs对HaCaT细胞的细胞毒性。此外,通过细胞周期和细胞凋亡分析来探讨细胞毒性机制。采用改良的Franz扩散池法比较提取的8种EOs对布洛芬的透皮增强作用。结果8种精油中含量最高的成分均为单萜,含氧单萜含量最高。热性WIM中EOs的HaCaT细胞毒性显著高于温性WIM (P = 0.020)。姜油和花椒油均能显著诱导HaCaT细胞周期G0/G1期阻滞。热性姜油和温性姜油的细胞毒性作用机制主要为诱导细胞坏死和细胞凋亡。此外,大多数测试的EOs对布洛芬具有显著的渗透增强活性。而温性与热性两种药的EOs增强穿透活性差异无统计学意义(P = 0.18)。结论黄芪提取物对皮肤细胞具有明显的细胞毒作用,渗透活性增强。
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引用次数: 3
Neuroprotective effect of Qinggan Lishui formula on retinal ganglion cell apoptosis in a microbead-induced rat chronic glaucoma model 清肝丽水方对微珠致慢性青光眼大鼠视网膜神经节细胞凋亡的神经保护作用
IF 2.6 4区 医学 Q3 Medicine Pub Date : 2018-04-01 DOI: 10.1016/j.jtcm.2018.03.003
Zhang Cheng , Chen Yanqiu , Li Fang , Wang Zhongfeng , Zhang Yinjian

OBJECTIVE

To investigate a possible mechanism for protective effects of a decoction of the Qinggan Lishui formula (QF) on retinal ganglion cells (RGCs) in a rat model of microbead-induced chronic intraocular hypertension (COH).

METHODS

The COH model was generated by injecting microbeads (superparamagnetic iron oxide) into the anterior chamber of rat eyes. QF was given by intragastric administration (gavage) once daily at a dose of 6.2 g/kg until day 28, following microbead injection. Cholera toxin B subunit (CTB) retrograde labeling and immunohistochemistry were used to evaluate changes in the number of RGCs in the retina. Terminal dUTP nick end labeling (TUNEL) staining was used to assess apoptotic changes in RGCs.

RESULTS

Microbead injection induced a steady increase in intraocular pressure (IOP) of rats. Elevated IOP resulted in a progressive reduction in the number of CTB-labeled RGCs, 2-4 weeks after microbead injection. QF administration may moderately reduce IOP in the rat COH model and attenuate reduction of the number of CTB-labeled RGCs in COH rats. Furthermore, elevated IOP resulted in a progressive increase in the number of TUNEL-positive RGCs, 2–4 weeks after microbead injection, suggestive of an increase in the extent of RGC apoptosis. There was a significant reduction in the number of TUNEL-positive signals in QF-treated COH retinas, compared with untreated COH retinas.

CONCLUSION

QF decoction may provide a protective effect for RGCs in COH retinas by reducing RGC loss; these effects may be mediated by inhibition of RGC apoptosis.

目的探讨清肝理水方煎剂对微珠致慢性眼内高压(COH)大鼠视网膜神经节细胞(rgc)保护作用的可能机制。方法采用超顺磁氧化铁微珠注入大鼠眼前房制备COH模型。QF在微珠注射后以每天一次6.2 g/kg的剂量灌胃给药,直至第28天。采用霍乱毒素B亚单位(CTB)逆行标记和免疫组化评价视网膜RGCs数量的变化。采用末端dUTP缺口末端标记(TUNEL)染色评价rgc细胞凋亡变化。结果注射微珠可使大鼠眼压稳定升高。微珠注射后2-4周,IOP升高导致ctb标记的rgc数量逐渐减少。QF可适度降低COH模型大鼠IOP,减弱COH大鼠ctb标记RGCs数量的减少。此外,微珠注射后2-4周,IOP升高导致tunel阳性RGC数量逐渐增加,提示RGC凋亡程度增加。与未治疗的COH视网膜相比,qf治疗的COH视网膜中tunel阳性信号的数量显著减少。结论芪黄汤对COH视网膜的RGC具有保护作用,其机制可能是减少RGC的损失;这些作用可能是通过抑制RGC细胞凋亡介导的。
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引用次数: 3
期刊
Journal of Traditional Chinese Medicine
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