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Preparation and preliminary biological evaluation of 11C-l-SPD 11C-l-SPD的制备及初步生物学评价
Pub Date : 2018-06-01 DOI: 10.1142/S2575900018500064
Haibo Tan, Zhengwei Zhang, Wei-qi Bao, Y. Guan
Objective: To explore the method and quality control of [Formula: see text]C radiolabeled [Formula: see text]-SPD ([Formula: see text]-Stepholidine) and biodistribution of [Formula: see text]C-[Formula: see text]-SPD in vivo. Methods: (1) [Formula: see text]CO2 was produced by CTI RDS III cyclotron, converted [Formula: see text]CO2 to [Formula: see text]C–CH3I by CH3I die-block, and then converted it to [Formula: see text]C-Triflate–CH4, imported [Formula: see text]C-Triflate–CH4 to [Formula: see text]-SPD which was dissolved in Dimethyl sulfoxide [(CH3)2SO], reacted at common temperature and then obtained the product. (2) Take the sample of organs in different times 5, 15, 30, 60, 90[Formula: see text]min after injecting [Formula: see text]C-[Formula: see text]-SPD by vail in mice and measure the radioactive counts per minute (cpm), then the percent injection dose of wet tissue per gram (%ID/g) was calculated. Results: (1) The synthesis time of [Formula: see text]C-[Formula: see text]-SPD was 15 to 20[Formula: see text]min with chemical [Formula: see text]%, and PH values [Formula: see text], radiochemical [Formula: see text]% in 2[Formula: see text]h. All quality criteria of [Formula: see text]C-[Formula: see text]-SPD met the requirements of the positron radio-pharmaceuticals. (2) [Formula: see text]C-[Formula: see text]-SPD was of the characteristic that metabolism was through the liver, and kidney was the main excretory organ, which was [Formula: see text]%ID/g at 5[Formula: see text]min and was decreasing gradually, which was [Formula: see text][Formula: see text]ID/g in liver at 5[Formula: see text]min. Conclusion: (1) [Formula: see text]C-[Formula: see text]-SPD can be used to further study the animal or human. (2) [Formula: see text]C-[Formula: see text]-SPD could quickly discharge and decrease to the low level from background of issues in vivo.
目的:探讨[配方:见文]C放射性标记[配方:见文]- spd([配方:见文]-石斛碱)的方法、质量控制及[配方:见文]C-[配方:见文]- spd在体内的生物分布。方法:(1)CTI RDS III型回旋加速器产生CO2,通过CH3I模块将CO2转化为[公式:见文]C-CH3I,再转化为[公式:见文]c -三氟甲烷,再进口[公式:见文]c -三氟甲烷转化为[公式:见文]-SPD,将其溶解于二甲亚砜[(CH3)2SO]中,在常温下反应得到产物。(2)注射后5、15、30、60、90[公式:见文]min[公式:见文]C-[公式:见文]-小鼠血清spd,测定每分钟放射性计数(cpm),计算每克湿组织注射剂量百分比(%ID/g)。结果:(1)[公式:见文]C-[公式:见文]- spd的合成时间为15 ~ 20[公式:见文]min与化学[公式:见文]%,与PH值[公式:见文]、放射线化学[公式:见文]%在2[公式:见文]h。[公式:见文]C-[公式:见文]- spd各项质量标准均符合正电子放射性药物的要求。(2)[公式:见文]C-[公式:见文]- spd具有通过肝脏代谢,以肾脏为主要排泄器官的特点,在5[公式:见文]min时为[公式:见文]%ID/g,并逐渐降低,5[公式:见文][公式:见文]min时肝脏的ID/g为[公式:见文][公式:见文]min。结论:(1)[公式:见文]C-[公式:见文]- spd可用于动物或人的进一步研究。(2)[公式:见文]C-[公式:见文]-体内问题背景spd能快速放电并降低至低水平。
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引用次数: 0
Evaluation of the curative effect of “Tertiary hospitals–Community Health Service Institutions–Family health care workers/Patients to participate in the annular management of COPD” model in the treatment of chronic obstructive pulmonary disease “三级医院-社区卫生服务机构-家庭医护人员/患者参与慢阻肺环形管理”模式治疗慢性阻塞性肺疾病的疗效评价
Pub Date : 2018-06-01 DOI: 10.1142/S257590001850009X
Cuiling Feng, Yufeng Meng, Jian-hui Wang, Zhiyun Yang, Wei Zhou, Yun-sheng Gao, Xiaoqin Yao, Guang-jun Xue, Xiaotian Liu, Lei Li, Linyang Wang, Chengxiang Wang, Fengsen Li
Objective: To evaluate the curative effect of “Tertiary hospitals–Community Health Service Institutions–Family health care workers/patients to participate in the annular management of COPD” model in the treatment of chronic obstructive pulmonary disease (COPD). Methods: 516 patients with COPD in the stable period of the disease were invited to participate in this cluster randomized trial with 260 patients in the trial group, and the other 256 in the control group. All the patients were treated with the routine medicine regimen. The integrated intervention for the trial group includes educational activity, physical activity and pharmacotherapy. Meanwhile, the trial group subdivided into Baduanjin group and other exercises group according to their own situations, COPD Assessment Test (CAT), the modified Medical Research Council (mMRC) Dyspnea Scale, number of acute exacerbation and spirometry were analyzed before, 6 months post and 12 months post. Results: After 12 months of annular management, CAT score of patients in the management group decreased 3.76, mMRC scale decreased 0.45, the number of acute exacerbation less than twice increased to 75%, which were superior to those of the control group ([Formula: see text]). Decreasing score of CAT and mMRC scale in Baduanjin group were much more than that in other exercise subgroup ([Formula: see text]). Conclusion: “Tertiary hospitals–Community Health Service Institutions–Family health care workers/patients to participate in the annular management of COPD” model can alleviate the symptoms of patients with stable COPD, improve the life quality and reduce the risk of exacerbation, and is more integrated than medication management. Baduanjin as Chinese characteristic pulmonary rehabilitation exercise is worthy of further promotion due to better outstanding other than sports in improving the quality of life.
目的:评价“三级医院-社区卫生服务机构-家庭医护人员/患者参与慢阻肺环形管理”模式治疗慢阻肺的疗效。方法:邀请516例处于病情稳定期的COPD患者参加本组随机分组试验,试验组260例,对照组256例。所有患者均采用常规药物治疗。试验组的综合干预包括教育活动、体育活动和药物治疗。同时,试验组根据自身情况分为八段锦组和其他运动组,分析COPD评估试验(CAT)、改良医学研究会呼吸困难量表(mMRC)、急性加重次数和肺活量测定。结果:环形治疗12个月后,治疗组患者CAT评分下降3.76,mMRC量表下降0.45,两次以内急性加重次数增加到75%,优于对照组([公式:见正文])。八段锦组的CAT和mMRC量表得分下降幅度远大于其他运动亚组([公式:见正文])。结论:“三级医院-社区卫生服务机构-家庭医护人员/患者参与慢阻肺环形管理”模式可以缓解慢阻肺稳定期患者的症状,提高生活质量,降低病情恶化的风险,且比药物管理更为一体化。八段锦作为具有中国特色的肺部康复运动,由于其在提高生活质量方面比体育运动更突出,值得进一步推广。
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引用次数: 1
Development and prospects of acupuncture and moxibustion of TCM under the “One Belt & One Road” Initiative — Based on survey of foreigners' cognition on Acu-moxi in Shanghai “一带一路”倡议下中医针灸的发展与展望——基于上海地区外国人对针灸认知的调查
Pub Date : 2018-06-01 DOI: 10.1142/S2575900018200021
Juan Chen, L. Qi, Chen Zhao, Xiehong Shi, Tao Yi
The paper analyzes China's top designs including the “One Belt and One Road” (B&R) Initiative and the B&R Development Plan of TCM, and discusses measures of actors including governmental institutions, academic groups, medical institutions, and research institutes. Survey to foreigners in Shanghai on acupuncture and moxibustion of traditional Chinese medicine (TCM) reflects the recognition level, advantages and disadvantages, and overseas spread of Chinese Acu-moxi internationally. Based on the above as well as comprehensive inspection on various factors, the paper provides several suggestions to Chinese Acu-moxi development under the background of the B&R Initiative.
本文分析了中国的顶层设计,包括“一带一路”倡议和中医药“一带一路”发展规划,并讨论了包括政府机构、学术团体、医疗机构和研究机构在内的行动者的措施。通过对上海外籍人士中医针灸的调查,反映了中国针灸在国际上的认知度、优缺点和海外传播情况。在此基础上,对各种因素进行综合考察,提出了在“一带一路”背景下中国阿木文化发展的几点建议。
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引用次数: 3
Evaluation of catgut implantation at acupoints for asthma: A systematic review and meta-analysis 穴位埋线治疗哮喘的评价:一项系统综述和荟萃分析
Pub Date : 2018-06-01 DOI: 10.1142/S2575900018400025
Wen-Qiang Cui, Wen Sun, Q. Mao-Ying, W. Mi, Yu-Xia Chu, Yan-Qing Wang
Objective: This study aims to systematically evaluate the efficacy and safety of catgut implantation at acupoints (CIA) treating asthma, extracting data from the published clinical trials. Methods: The Cochrane Library, PubMed, Chinese Biomedical Database (CBM), CNKI, WANFANG and VIP databases were searched up to February 2017. Randomized controlled trials (RCTs) involving CIA or CIA plus conventional medicine treatment (CMT) were selected with CMT as control. We assessed the methodological quality of RCTs using the Cochrane Handbook for Systematic Review of Interventions. The outcome data of trials were analyzed using RevMan5.3. Results: A total of 12 studies ([Formula: see text]) were included. Most of the included studies were assessed to have high risk of bias with low quality of methodology. CIA application significantly improved the overall therapeutic efficacy ([Formula: see text]) and pulmonary function (forced expiratory volume in 1[Formula: see text]s (FEV1) and FEV1%, [Formula: see text] and [Formula: see text]) and reduced the overall scores of TCM symptoms ([Formula: see text]). Further, it significantly relieved several TCM symptoms including shortness of breath, chest distress and cough ([Formula: see text]). However, CIA only exerted a protective tendency for expectoration and wheezing without significant difference and had no effects on recurrence rate (all [Formula: see text]). Conclusions: CIA treatment could improve the overall efficacy and pulmonary function and relief several symptoms. However, the evidence remains weak. Rigorous and larger trials will be the basis of the effectiveness and long-term effects of CIA therapies.
目的:从已发表的临床试验中提取数据,系统评价穴位埋线治疗哮喘的疗效和安全性。方法:检索截至2017年2月的Cochrane图书馆、PubMed、中国生物医学数据库(CBM)、CNKI、WANFANG和VIP数据库。随机对照试验(RCTs)涉及CIA或CIA加常规药物治疗(CMT),CMT作为对照。我们使用《Cochrane干预措施系统回顾手册》评估了随机对照试验的方法学质量。使用RevMan5.3对试验结果数据进行分析。结果:共纳入12项研究([公式:见正文])。大多数纳入的研究被评估为具有高偏倚风险,方法质量低。CIA的应用显著改善了整体疗效([公式:见正文])和肺功能(用力呼气量在1[公式:参见正文]s(FEV1)和FEV1%,[公式:详见正文]和[公式:参阅正文]),并降低了中医症状的总分([公式,见正文]。此外,它还显著缓解了一些中医症状,包括气短、胸闷和咳嗽([公式:见正文])。然而,CIA仅对咳痰和喘息具有保护作用,没有显著差异,对复发率没有影响(所有[公式:见正文])。结论:CIA治疗能明显提高患者的综合疗效和肺功能,减轻多种症状。然而,证据仍然薄弱。严格而大规模的试验将是CIA疗法有效性和长期效果的基础。
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引用次数: 2
Association of serum tumor markers with interstitial lung disease in patients with or without connective tissue disease: A cross-sectional study 有或无结缔组织疾病患者血清肿瘤标志物与间质性肺疾病的关联:一项横断面研究
Pub Date : 2018-06-01 DOI: 10.1142/S2575900018500088
Fei Xu, Wen-Qiang Cui, Ying Wei, Jingcheng Dong, Baojun Liu
Background: Serum markers, such as Krebs von den Lungen-6 (KL-6), are reported to reflect the severity, progression and prognosis of idiopathic pulmonary fibrosis (IPF). We aimed to evaluate whether tumor markers could improve the diagnosis of connective tissue diseases (CTDs) and predict CTD-related interstitial lung diseases (ILDs) (CTD–ILD); and whether there was a significant difference between ILD patients with CTD and without CTD (non-CTD–ILD). Methods: In this study, 146 patients with ILD only, 61 with CTD–ILD, 102 with lung cancer (LC), 111 with COPD, and 46 with CTD were enrolled. Serum levels of several tumor markers were collected. Results: Compared with COPD, the serum levels of CEA, NSE, CYFRA21-1, CA19-9 and CA125 were higher, but the level of SCC was lower; meanwhile, there were significant differences in NSE, SCC, CYFRA21-1 and CA125 between CTD–ILD and non-CTD–ILD groups. Conclusions: It appears that tumor-associated antigens may be the predictive factors for CTD–ILD that could be used to identify CTD from ILD before it is detected on autoimmune symptoms or auto-antibodies. However, further studies are needed to validate our findings and determine whether serum tumor markers have prognostic value or predict progressive CTD–ILD.
背景:据报道,血清标志物,如Krebs-von den Lungen-6(KL-6),可反映特发性肺纤维化(IPF)的严重程度、进展和预后。我们旨在评估肿瘤标志物是否可以改善结缔组织疾病(CTDs)的诊断,并预测CTD相关的间质性肺病(ILDs)(CTD–ILD);以及患有CTD和未患有CTD的ILD患者之间是否存在显著差异(非CTD–ILD)。方法:本研究纳入146例单纯ILD患者、61例CTD-ILD患者,102例肺癌(LC)患者、111例COPD患者和46例CTD患者。采集了几种肿瘤标志物的血清水平。结果:与COPD相比,血清CEA、NSE、CYFRA21-1、CA19-9和CA125水平较高,而SCC水平较低;同时,CTD–ILD组和非CTD–ILD组的NSE、SCC、CYFRA21-1和CA125存在显著差异。结论:肿瘤相关抗原可能是CTD–ILD的预测因素,可用于在自身免疫症状或自身抗体上检测到CTD之前从ILD中识别CTD。然而,还需要进一步的研究来验证我们的发现,并确定血清肿瘤标志物是否具有预后价值或预测进行性CTD–ILD。
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引用次数: 2
Chinese herbal formulas for postmenopausal osteoporosis: A review of preclinical evidence on animal studies and molecular mechanism 中药方剂治疗绝经后骨质疏松症:动物实验和分子机制的临床前证据综述
Pub Date : 2018-06-01 DOI: 10.1142/S2575900018300023
Jing Lin, Tianjiao Lv, Fubo Tian, Yan Wang, Ming-yan Wang, W. Tang, H. Gober, Xuemin Qiu, Dajin Li, Ling Wang
Whether Chinese herbal formulas are effective in treatment of postmenopausal osteoporosis remains unclear. The aim of this study is to explore the experimental evidence of both in vitro and in vivo preclinical studies using Chinese herbal formulas in postmenopausal osteoporosis. Searches were applied to various databases with relevant keywords. Original in vivo and in vitro studies using Chinese herbal formulas to treat postmenopausal osteoporosis, and with full text available, were included. Er-Xian Decoction, Bu-Shen-Ning-Xin Decoction, Qing E Formula, Liuwei Dihuang Wan, and Xian-Ling-Gu-Bao Decoction, the most commonly studied formulas, were selected from the pool of Chinese medicine. The preclinical data indicated the potential use of Chinese herbal formulas in postmenopausal osteoporosis. The underlying mechanisms included bone morphogenetic protein (BMP), Wnt/[Formula: see text]-catenin, extracellular-signal-regulated kinase/c-Jun [Formula: see text] terminal kinase/mitogen-activated protein kinase (ERK/JNK/MAPK), estrogen receptor (ER), and osteoprotegerin/receptor activator of nuclear factor [Formula: see text]B ligand (OPG/RANKL) signaling pathways. This study demonstrated the anti-osteoporotic effect of Chinese herbal formulas targeting different pathways in bone metabolism. Further study with adequate sample size and follow-up time, appropriate controls, and optimal blinding is required.
中药方剂治疗绝经后骨质疏松是否有效尚不清楚。本研究旨在探讨中药方剂治疗绝经后骨质疏松症的体外和体内临床前研究的实验证据。将搜索应用于具有相关关键字的各种数据库。原始的体内和体外研究使用中药配方治疗绝经后骨质疏松症,并提供全文。从中药库中选取研究最多的二仙汤、补肾宁心汤、清鄂方、六味地黄丸、仙灵骨保汤。临床前数据表明中药方剂在绝经后骨质疏松症中的潜在应用。潜在的机制包括骨形态发生蛋白(BMP), Wnt/ -catenin,细胞外信号调节激酶/c-Jun[配方:见文本]终末激酶/丝裂原活化蛋白激酶(ERK/JNK/MAPK),雌激素受体(ER)和骨保护素/核因子受体激活因子B配体(OPG/RANKL)信号通路。本研究证实了中药复方针对不同骨代谢途径的抗骨质疏松作用。进一步的研究需要足够的样本量和随访时间,适当的对照和最佳的盲法。
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引用次数: 1
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Traditional Medicine and Modern Medicine
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