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Efficacy and duration of electro-acupuncture combined with conventional antipsychotics for schizophrenia: A meta-analysis 电针联合常规抗精神病药物治疗精神分裂症的疗效和持续时间:荟萃分析
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-04-01 DOI: 10.4103/2311-8571.372173
Zhao-han Huang, Yuan Fang, Q. Yu, Tong Wang
Introduction: This study aimed to evaluate the effectiveness and optimal course time of electro-acupuncture (EA) combined with conventional antipsychotics in the treatment of schizophrenia (SZ) and to provide a basis for its clinical application. Methods: Relevant databases and authoritative websites were retrieved, and references were screened up to May 2021. Literature quality evaluation and data extraction were carried out according to the requirements of Cochrane version 5.1.0, and meta-analysis was conducted using Rav Man5.4 software. Results: In total, 16 randomized controlled trails comprising 1352 patients were selected. Meta-analysis revealed that the observation group showed greater improvements than the control group in total clinical efficacy (P < 0.00001, odds ratio [OR] = 3.51, 95% confidence interval [CI] = [2.51, 4.91]), as well as better effective rate of symptom relief (P = 0.02, MD = 3.08, 95% CI = [1.23, 7.71]), and an improved negative symptom score (P = 0.005, MD = −4.50, 95% CI = [−6.52, −2.48]), positive symptom score (P < 0.0001, MD = −1.41, 95% CI = [−2.25, −0.57]), total score (P = 0.001, MD = 9.25, 95% CI = [13.03, 5.47]), and general psychopathological score (P < 0.0001, MD = −2.30, 95% CI = [−4.18, −0.43]) in the Positive and Negative Syndrome Scale (PANSS). However, there was no statistically significant difference between the two groups in the effective rate of adverse reactions (P > 0.05). In the 4–6 weeks following treatment, a significant improvement in all the four components of the PANSS scores was observed in the observation group. Conclusion: The efficacy of EA combined with conventional antipsychotics for SZ is better than that of psychiatric drugs alone. In addition, the effect of a 4-to 6-week treatment course on each outcome index is more significant, and the efficacy is higher.
前言:本研究旨在评价电针(EA)联合常规抗精神病药物治疗精神分裂症(SZ)的有效性和最佳疗程,为其临床应用提供依据。方法:检索相关数据库和权威网站,筛选截至2021年5月的参考文献。根据Cochrane 5.1.0版本的要求进行文献质量评估和数据提取,并使用Rav Man5.4软件进行荟萃分析。结果:总共选择了16项随机对照试验,包括1352名患者。Meta分析显示,观察组在总临床疗效方面比对照组有更大的改善(P<0.00001,比值比[OR]=3.51,95%置信区间[CI]=2.51,4.91]),症状缓解的有效率也更好(P=0.02,MD=3.08,95%可信区间=1.23,7.71]),阳性和阴性综合征量表(PANSS)中的阴性症状评分(P=0.005,MD=-4.50,95%CI=[-6.52,-2.48])、阳性症状评分(P<0.0001,MD=-1.41,95%CI=[−2.25,−0.57])、总分(P=0.001,MD=9.25,95%CI=[13.03,5.47])和一般精神病理学评分(P<0.001,MD=-2.30,95%CI=[−4.18,−0.43])均有改善。然而,两组的不良反应有效率没有统计学上的显著差异(P>0.05)。在治疗后的4-6周,观察组的PANSS评分的所有四个组成部分都有显著改善。结论:电针联合常规抗精神病药物治疗SZ疗效优于单纯精神病药物。此外,4-6周的疗程对每个结果指标的影响更显著,疗效更高。
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引用次数: 0
Extraction, purification, and anti-Inflammatory activity of steroid fraction from Physalis Alkekengi L. Var. Franchetii (Mast.) makino 酸枣中甾体成分的提取、纯化及其抗炎活性
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-04-01 DOI: 10.4103/2311-8571.372143
Zunpeng Shu, Tianyi Xia, Yi Wang, Yanni Yang, Wuchao Wang, Zihe Ding, Renxing Zhong, Ying Chen, Wei Li, Mingming Peng, Chuan Li, Lifeng Shang, Bingchun Liu, Zhen-Yue Wang, Chong-Rong Shi
Objective: As a traditional medicinal plant listed in the Chinese Pharmacopeia, Physalis alkekengi L. var. franchetii (Mast.) Makino (PAF) has a long medicinal history and high economic value. PAF has immunomodulatory properties and can be used to treat acute lung injury and eczema. The aim of this study is to solve the problems of extraction and purification of active components from PAF. Materials and Methods: The solvent to be used for extraction and its concentration, the solid-to-liquid ratio, and extraction duration were investigated using a single-factor experiment. An orthogonal design (L9[34]) was used to determine the optimum extraction conditions. After optimization, the sample's concentrations and flow velocity, the eluents and their velocity, adsorption time, and the removed water volume were measured. The content of the five steroids in the sample was determined by high-performance liquid chromatography (HPLC). We also investigated the anti-inflammatory property of PAF calyxes before and after purification. Results: The optimum extraction and purification processes were determined by single-factor analysis. AB-8 was identified as the best macroporous adsorption resin for enrichment. After optimization, the average total steroid content was 71.83%, and the average recovery was 90% after purification. Among the five steroid components detected by HPLC, physalin F showed the highest content. Furthermore, the sample obtained after purification could significantly inhibit paw edema by egg whites induced. Conclusions: An environmentally-sustainable, efficient, and stable process was first optimized for enriching and purifying total steroids from PAF. The process has the potential for further development and utilization in the pharmaceutical industry.
目的:酸浆作为《中国药典》中的一种传统药用植物,具有悠久的药用历史和较高的经济价值。PAF具有免疫调节特性,可用于治疗急性肺损伤和湿疹。本研究的目的是解决从PAF中提取和纯化活性成分的问题。材料和方法:采用单因素实验研究了提取溶剂及其浓度、固液比和提取时间。采用正交设计(L9[34])确定了最佳提取条件。优化后,测量了样品的浓度和流速、洗脱液及其流速、吸附时间和去除水量。通过高效液相色谱法(HPLC)测定样品中五种类固醇的含量。我们还研究了纯化前后PAF杯状物的抗炎特性。结果:通过单因素分析确定了最佳提取纯化工艺。AB-8被鉴定为最适合富集的大孔吸附树脂。优化后,总类固醇含量平均为71.83%,纯化后平均回收率为90%。在高效液相色谱法检测的五种甾体成分中,大黄素F含量最高。此外,纯化后获得的样品可以显著抑制蛋清诱导的爪水肿。结论:首次优化了一种环境可持续、高效、稳定的PAF总甾体富集纯化工艺。该工艺具有在制药行业进一步开发和利用的潜力。
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引用次数: 0
Validation and refinement of two interpretable models for coronavirus disease 2019 prognosis prediction 2019冠状病毒病预后预测的两个可解释模型的验证和改进
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-04-01 DOI: 10.4103/2311-8571.372326
Xue-zhong Zhou, Kai Chang, Ting Jia, Yana Zhou, Zixin Shu, Ji-Fen Liu, Jing Sun, Qiguang Zheng, Hao-Yu Tian, Jia-Nan Xia, Kuo Yang, Ning Wang, Hai-long Sun, Xinyan Wang, Deng-Ying Yan, Taane G. Clark, Baoyi Liu, Xiao-Dong Li, Yong Peng
Objective: To validate two proposed coronavirus disease 2019 (COVID-19) prognosis models, analyze the characteristics of different models, consider the performance of models in predicting different outcomes, and provide new insights into the development and use of artificial intelligence (AI) predictive models in clinical decision-making for COVID-19 and other diseases. Materials and Methods: We compared two proposed prediction models for COVID-19 prognosis that use a decision tree and logistic regression modeling. We evaluated the effectiveness of different model-building strategies using laboratory tests and/or clinical record data, their sensitivity and robustness to the timings of records used and the presence of missing data, and their predictive performance and capabilities in single-site and multicenter settings. Results: The predictive accuracies of the two models after retraining were improved to 93.2% and 93.9%, compared with that of the models directly used, with accuracies of 84.3% and 87.9%, indicating that the prediction models could not be used directly and require retraining based on actual data. In addition, based on the prediction model, new features obtained by model comparison and literature evidence were transferred to integrate the new models with better performance. Conclusions: Comparing the characteristics and differences of datasets used in model training, effective model verification, and a fusion of models is necessary in improving the performance of AI models.
目的:验证两个提出的2019冠状病毒病(新冠肺炎)预后模型,分析不同模型的特征,考虑模型在预测不同结果方面的性能,并为人工智能(AI)预测模型在新冠肺炎和其他疾病临床决策中的开发和使用提供新的见解。材料和方法:我们比较了使用决策树和逻辑回归模型的新冠肺炎预后预测模型。我们使用实验室测试和/或临床记录数据评估了不同模型构建策略的有效性,它们对使用记录的时间和缺失数据的存在的敏感性和稳健性,以及它们在单点和多中心环境中的预测性能和能力。结果:与直接使用的模型相比,再训练后两个模型的预测准确率分别提高到93.2%和93.9%,准确率分别为84.3%和87.9%,表明预测模型不能直接使用,需要根据实际数据进行再训练。此外,在预测模型的基础上,转移了通过模型比较和文献证据获得的新特征,以集成性能更好的新模型。结论:比较模型训练中使用的数据集的特征和差异,有效的模型验证和模型融合对于提高人工智能模型的性能是必要的。
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引用次数: 0
Study on the mechanism and molecular docking verification of buyang huanwu decoction in treating diabetic foot 补阳还五汤治疗糖尿病足的作用机制及分子对接验证研究
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-04-01 DOI: 10.4103/2311-8571.370108
Da-Yuan Zhong, Lan-Hua Li, Huan Li, Ruofei Ma, Yi-Hui Deng
Objective: The objective of this study was to investigate the molecular mechanism of Buyang Huanwu decoction (BYHWD) in the treatment of diabetic foot (DF). Methods: The TCMSP, BATMAN, PubChem, PharmMapper, UniProt, GeneCards, Webgestalt, and Kobas databases were used to obtain the structures, targets, main biological functions, and pathways of the active ingredients of BYHWD, and the results were visualized using Cytoscape3.6.1, Ledock, and PyMol software. Results: A total of 82 active components of BYHWD and 193 targets related to BYHWD were identified, and 5295 genes related to DF were identified using the GeneCards database, including 65 key targets of BYHWD in the treatment of DF. GO and KEGG enrichment analyses of the 65 targets for BYHWD treatment of DF showed that 47 GO items were involved in the treatment. It was mainly involved in biological processes, such as biological regulation, metabolism, and stress response. It is primarily involved in protein binding, ion binding, nucleotide binding, and other molecular functions. It is mainly involved in membrane encapsulation, membrane lumen closure, and other biological components and involved in the VEGF, TNF, RAS, RAP1, PI3K-AKT, MAPK, and IL-17 signaling pathways. Most targets were enriched in the PI3K-AKT and MAPK signaling pathways. Molecular docking results showed that the 59 key active components of BYHWD had strong binding activity with 64 key DF targets. Conclusion: The therapeutic effect of BYHWD on DF is based on the pharmacological effects of multiple targets and pathways.
目的:探讨补阳还五汤治疗糖尿病足的分子机制。方法:利用TCMSP、BATMAN、PubChem、PharmMapper、UniProt、GeneCards、Webgesalt和Kobas数据库,获得BYHWD活性成分的结构、靶标、主要生物学功能和途径,并使用Cytoscape3.6.1、Ledock和PyMol软件对结果进行可视化。结果:利用GeneCards数据库共鉴定出BYHWD的82个活性成分和193个与BYHWD相关的靶点,并鉴定出5295个与DF相关的基因,其中BYHWD治疗DF的65个关键靶点。对BYHWD治疗DF的65个靶点的GO和KEGG富集分析表明,该治疗涉及47个GO项目。它主要参与生物过程,如生物调节、代谢和应激反应。它主要参与蛋白质结合、离子结合、核苷酸结合和其他分子功能。它主要参与膜包封、膜腔封闭和其他生物成分,并参与VEGF、TNF、RAS、RAP1、PI3K-AKT、MAPK和IL-17信号通路。大多数靶标在PI3K-AKT和MAPK信号通路中富集。分子对接结果表明,BYHWD的59个关键活性成分与64个关键DF靶点具有较强的结合活性。结论:BYHWD对DF的治疗作用是基于多靶点、多途径的药理作用。
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引用次数: 1
Network pharmacology-based and pharmacological evaluation of the effects of Curcumae Radix on cerebral ischemia–Reperfusion injury 基于网络药理学的姜黄对脑缺血再灌注损伤的影响及药理评价
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-04-01 DOI: 10.4103/2311-8571.370154
Shang-Xia Zhang, Yu-Hong Wang, Hongping Long, Jian Liu, Hong Zhaoa, J. Yi, Jia Ling
Objective: This study aimed to investigate the network pharmacology of curcumae radix (CR, Yujin) and explore the mechanism of CR in the treatment of cerebral ischemia–reperfusion injury (CIRI). Materials and Methods: Network analysis and pharmacological evaluation were performed to explore the protective role of CR to treat CIRI. The potential target genes of the active components and CIRI were identified using SwissTarget Prediction, Bioinformatics Analysis Tool for Molecular mechANism of Traditional Chinese Medicine, GeneCards, and Online Mendelian Inheritance in Man. Furthermore, network analysis was performed using Cytoscape software. Gene ontology analysis and Kyoto Encyclopedia of Genes and Genomes enrichment analysis were performed using the R software. In vivo experiments were performed using the water extract of CR (WECR) on PC12 cells induced by hypoxia/reoxygenation (H/R) to simulate ischemia/reperfusion injury. Results: The results exhibited that 21 active compounds identified in CR were associated with 73 targets of CIRI. Functional analysis showed that multiple pathways, including response to stress, regulation of apoptotic process, and hypoxia-inducible factor 1 signaling pathway, were significantly enriched. In addition, STAT3, IL4, HIFIA, and CTNNB1 were predicted to be the most important genes among the 36 hub genes. Furthermore, WECR treatment significantly improved PC12 cell injury and decreased apoptosis levels in cells induced by H/R, with malondialdehyde contents reduced and superoxide dismutase or glutathione peroxidase levels increased. Conclusions: Network analysis and pharmacological evaluation of CR could provide valuable directions for further research on CR and improve comprehension of CIRI.
目的:研究郁金的网络药理学,探讨郁金治疗脑缺血再灌注损伤的作用机制。材料与方法:通过网络分析和药理学评价,探讨CR对CIRI的保护作用。利用SwissTarget Prediction、中药分子机制生物信息学分析工具、GeneCards和人类在线孟德尔遗传对活性成分和CIRI的潜在靶基因进行了鉴定,并利用Cytoscape软件进行了网络分析。使用R软件进行基因本体论分析和京都基因和基因组百科全书富集分析。使用CR水提取物(WECR)对缺氧/复氧(H/R)诱导的PC12细胞进行体内实验,以模拟缺血/再灌注损伤。结果:CR中鉴定的21个活性化合物与73个CIRI靶点相关。功能分析显示,包括应激反应、凋亡过程调节和缺氧诱导因子1信号通路在内的多种途径显著富集。此外,STAT3、IL4、HIFIA和CTNNB1被预测为36个枢纽基因中最重要的基因。此外,WECR处理显著改善了H/R诱导的PC12细胞损伤,降低了细胞凋亡水平,丙二醛含量降低,超氧化物歧化酶或谷胱甘肽过氧化物酶水平升高。结论:CR的网络分析和药理学评价可为CR的进一步研究和提高对CIRI的理解提供有价值的指导。
{"title":"Network pharmacology-based and pharmacological evaluation of the effects of Curcumae Radix on cerebral ischemia–Reperfusion injury","authors":"Shang-Xia Zhang, Yu-Hong Wang, Hongping Long, Jian Liu, Hong Zhaoa, J. Yi, Jia Ling","doi":"10.4103/2311-8571.370154","DOIUrl":"https://doi.org/10.4103/2311-8571.370154","url":null,"abstract":"Objective: This study aimed to investigate the network pharmacology of curcumae radix (CR, Yujin) and explore the mechanism of CR in the treatment of cerebral ischemia–reperfusion injury (CIRI). Materials and Methods: Network analysis and pharmacological evaluation were performed to explore the protective role of CR to treat CIRI. The potential target genes of the active components and CIRI were identified using SwissTarget Prediction, Bioinformatics Analysis Tool for Molecular mechANism of Traditional Chinese Medicine, GeneCards, and Online Mendelian Inheritance in Man. Furthermore, network analysis was performed using Cytoscape software. Gene ontology analysis and Kyoto Encyclopedia of Genes and Genomes enrichment analysis were performed using the R software. In vivo experiments were performed using the water extract of CR (WECR) on PC12 cells induced by hypoxia/reoxygenation (H/R) to simulate ischemia/reperfusion injury. Results: The results exhibited that 21 active compounds identified in CR were associated with 73 targets of CIRI. Functional analysis showed that multiple pathways, including response to stress, regulation of apoptotic process, and hypoxia-inducible factor 1 signaling pathway, were significantly enriched. In addition, STAT3, IL4, HIFIA, and CTNNB1 were predicted to be the most important genes among the 36 hub genes. Furthermore, WECR treatment significantly improved PC12 cell injury and decreased apoptosis levels in cells induced by H/R, with malondialdehyde contents reduced and superoxide dismutase or glutathione peroxidase levels increased. Conclusions: Network analysis and pharmacological evaluation of CR could provide valuable directions for further research on CR and improve comprehension of CIRI.","PeriodicalId":23692,"journal":{"name":"World Journal of Traditional Chinese Medicine","volume":"9 1","pages":"201 - 211"},"PeriodicalIF":4.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43294660","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of acupuncture at Tianshu (ST25) and Shangjuxu (ST37) on the intestinal mucosa and metabolites of local skin tissues at Tianshu (ST25) in 2,4,6-Trinitrobenzene sulfonic acid and ethanol-induced rats 针刺天枢穴(ST25)和上巨枢穴(ST37)对2,4,6-三硝基苯磺酸和乙醇诱导大鼠肠黏膜及天枢穴局部皮肤组织代谢物的影响
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-04-01 DOI: 10.4103/2311-8571.372729
Jing-Ying Zhou, Yi-Tian Lai, Ling Ren, Lei Lan, Guo-shan Zhang, Mi Liu
Objective: To observe the effect of acupuncture on local skin tissue metabolites of Tianshu (ST25) in rats with Crohn's disease (CD) using metabolomics and to explore the mechanism of acupuncture treatment metabolites and pathway on local skin tissue of Tianshu (ST25). Materials and Methods: Thirty-eight Sprague − Dawley rats were randomly assigned to a normal group (n = 14) and a CD modeling group (n = 24). Rats in the CD modeling group were administered with 2,4,6-trinitrobenzene sulfonic acid and ethanol enema, in addition to the normal group. Four normal rats and four CD modeling rats were selected at random after model identification was established. Furthermore, CD modeling group rats were randomly assigned to two groups of 10 rats: the model group and acupuncture group. Rats in the acupuncture group underwent acupuncture of Tianshu (ST25) and Shangjuxu (ST37) for 7 days. After the intervention, the colon tissue was collected from each group of rats and the pathological changes were observed through hematoxylin and eosin (HE) staining. The local skin tissues at Tianshu (ST25) of the rats in each group were taken, and the proton nuclear magnetic resonance technique was used to detect the metabonomics of the local skin tissues of Tianshu (ST25) in rats. Results: Compared with the normal group, the following were observed in the model group after HE staining: irregular colon morphology and other pathological changes such as intestinal mucosal hyperemia, edema, ulcers, polyps, and inflammatory cell infiltration. In the acupuncture group, colon tissue structure was relatively complete and layered, the colon gland structure was restored, and inflammatory cell infiltration was significantly improved. The choline, glycerin, glycine, guanidoacetic acid, and proline levels were significantly higher in the model group than in the normal group (P < 0.05 or P < 0.01). Compared with the model group, the acupuncture group had significantly increased contents of alanine, leucine, L-phenylalanine, and tyrosine in the skin (P < 0.05 or P < 0.01). Valine, leucine, and L-isoleucine biosynthesis and L-phenylalanine metabolism were the main metabolic pathways involved in the changes in the local skin tissues of the rats in each group, biosynthesis of tyrosine, and tryptophan. Conclusion: The change in the metabolites in the local area of Tianshu (ST25) may be related to intestinal disease. The acupuncture of Tianshu (ST25) can improve intestinal inflammatory reaction in rats with CD, and this finding may be related to the regulation of amino acid metabolites and their pathways in the local acupoint tissues of Tianshu (ST25) by acupuncture.
目的:采用代谢组学方法观察针刺对克罗恩病(CD)大鼠局部皮肤组织天枢(ST25)代谢物的影响,探讨针刺治疗天枢(ST25)局部皮肤组织代谢物的作用机制和途径。材料与方法:将38只大鼠随机分为正常组(n = 14)和CD造模组(n = 24)。CD造模组大鼠在正常组基础上灌胃2,4,6-三硝基苯磺酸和乙醇灌肠。建立模型后,随机选取正常大鼠4只,CD造模大鼠4只。将CD造模组大鼠随机分为两组,每组10只:造模组和针刺组。针刺组大鼠分别针刺天枢(ST25)和上巨虚(ST37) 7 d。干预后,取各组大鼠结肠组织,采用苏木精和伊红(HE)染色观察病理变化。取各组大鼠天枢(ST25)局部皮肤组织,采用质子核磁共振技术检测大鼠天枢(ST25)局部皮肤组织代谢组学。结果:与正常组比较,HE染色后模型组结肠形态不规则,肠黏膜充血、水肿、溃疡、息肉、炎性细胞浸润等病理改变。针刺组结肠组织结构较为完整分层,结肠腺体结构恢复,炎症细胞浸润明显改善。模型组大鼠胆碱、甘油、甘氨酸、胍乙酸、脯氨酸水平均显著或极显著高于正常组(P < 0.05或P < 0.01)。与模型组比较,针刺组皮肤中丙氨酸、亮氨酸、l -苯丙氨酸、酪氨酸含量均显著或极显著升高(P < 0.05或P < 0.01)。缬氨酸、亮氨酸和l -异亮氨酸的生物合成和l -苯丙氨酸的代谢是各组大鼠局部皮肤组织变化以及酪氨酸和色氨酸生物合成的主要代谢途径。结论:天枢局部代谢物的变化可能与肠道疾病有关。针刺天枢(ST25)可改善CD大鼠肠道炎症反应,这一发现可能与针刺调节天枢(ST25)局部穴位组织氨基酸代谢物及其通路有关。
{"title":"Effects of acupuncture at Tianshu (ST25) and Shangjuxu (ST37) on the intestinal mucosa and metabolites of local skin tissues at Tianshu (ST25) in 2,4,6-Trinitrobenzene sulfonic acid and ethanol-induced rats","authors":"Jing-Ying Zhou, Yi-Tian Lai, Ling Ren, Lei Lan, Guo-shan Zhang, Mi Liu","doi":"10.4103/2311-8571.372729","DOIUrl":"https://doi.org/10.4103/2311-8571.372729","url":null,"abstract":"Objective: To observe the effect of acupuncture on local skin tissue metabolites of Tianshu (ST25) in rats with Crohn's disease (CD) using metabolomics and to explore the mechanism of acupuncture treatment metabolites and pathway on local skin tissue of Tianshu (ST25). Materials and Methods: Thirty-eight Sprague − Dawley rats were randomly assigned to a normal group (n = 14) and a CD modeling group (n = 24). Rats in the CD modeling group were administered with 2,4,6-trinitrobenzene sulfonic acid and ethanol enema, in addition to the normal group. Four normal rats and four CD modeling rats were selected at random after model identification was established. Furthermore, CD modeling group rats were randomly assigned to two groups of 10 rats: the model group and acupuncture group. Rats in the acupuncture group underwent acupuncture of Tianshu (ST25) and Shangjuxu (ST37) for 7 days. After the intervention, the colon tissue was collected from each group of rats and the pathological changes were observed through hematoxylin and eosin (HE) staining. The local skin tissues at Tianshu (ST25) of the rats in each group were taken, and the proton nuclear magnetic resonance technique was used to detect the metabonomics of the local skin tissues of Tianshu (ST25) in rats. Results: Compared with the normal group, the following were observed in the model group after HE staining: irregular colon morphology and other pathological changes such as intestinal mucosal hyperemia, edema, ulcers, polyps, and inflammatory cell infiltration. In the acupuncture group, colon tissue structure was relatively complete and layered, the colon gland structure was restored, and inflammatory cell infiltration was significantly improved. The choline, glycerin, glycine, guanidoacetic acid, and proline levels were significantly higher in the model group than in the normal group (P < 0.05 or P < 0.01). Compared with the model group, the acupuncture group had significantly increased contents of alanine, leucine, L-phenylalanine, and tyrosine in the skin (P < 0.05 or P < 0.01). Valine, leucine, and L-isoleucine biosynthesis and L-phenylalanine metabolism were the main metabolic pathways involved in the changes in the local skin tissues of the rats in each group, biosynthesis of tyrosine, and tryptophan. Conclusion: The change in the metabolites in the local area of Tianshu (ST25) may be related to intestinal disease. The acupuncture of Tianshu (ST25) can improve intestinal inflammatory reaction in rats with CD, and this finding may be related to the regulation of amino acid metabolites and their pathways in the local acupoint tissues of Tianshu (ST25) by acupuncture.","PeriodicalId":23692,"journal":{"name":"World Journal of Traditional Chinese Medicine","volume":"9 1","pages":"131 - 140"},"PeriodicalIF":4.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41425477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Traditional chinese medicine synonymous term conversion: A bidirectional encoder representations from transformers-based model for converting synonymous terms in traditional chinese medicine 中药同义术语转换:一种基于变压器的双向编码器表示模型,用于中药同义术语转换
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-04-01 DOI: 10.4103/2311-8571.378171
Lu Zhou, Chaohong Wu, Xi-Ting Wang, Shuangqiao Liu, Yizhuo Zhang, Yue-Meng Sun, Jian Cui, Caiyan Li, Hui-Min Yuan, Yan Sun, Feng-jie Zheng, Feng-qin Xu, Yuhang Li
Background: The medical records of traditional Chinese medicine (TCM) contain numerous synonymous terms with different descriptions, which is not conducive to computer-aided data mining of TCM. However, there is a lack of models available to normalize synonymous TCM terms. Therefore, construction of a synonymous term conversion (STC) model for normalizing synonymous TCM terms is necessary. Methods: Based on the neural networks of bidirectional encoder representations from transformers (BERT), four types of TCM STC models were designed: Models based on BERT and text classification, text sequence generation, named entity recognition, and text matching. The superior STC model was selected on the basis of its performance in converting synonymous terms. Moreover, three misjudgment inspection methods for the conversion results of the STC model based on inconsistency were proposed to find incorrect term conversion: Neuron random deactivation, output comparison of multiple isomorphic models, and output comparison of multiple heterogeneous models (OCMH). Results: The classification-based STC model outperformed the other STC task models. It achieved F1 scores of 0.91, 0.91, and 0.83 for performing symptoms, patterns, and treatments STC tasks, respectively. The OCMH method showed the best performance in misjudgment inspection, with wrong detection rates of 0.80, 0.84, and 0.90 in the term conversion results for symptoms, patterns, and treatments, respectively. Conclusion: The TCM STC model based on classification achieved superior performance in converting synonymous terms for symptoms, patterns, and treatments. The misjudgment inspection method based on OCMH showed superior performance in identifying incorrect outputs.
背景:中医病案中存在大量同义术语,且描述不一,不利于中医计算机辅助数据挖掘。然而,目前缺乏对同义中医术语进行规范化的模型。因此,有必要构建同义术语转换(STC)模型对同义中医术语进行规范化。方法:基于BERT(双向编码器表示)神经网络,设计了基于BERT和文本分类、文本序列生成、命名实体识别和文本匹配的四种TCM STC模型。基于同义词转换的性能,选择了较优的STC模型。针对STC模型基于不一致性的转换结果,提出了神经元随机失活、多个同构模型输出比较和多个异构模型输出比较(OCMH)三种误判检查方法,以发现不正确的项转换。结果:基于分类的STC任务模型优于其他STC任务模型。在执行症状、模式和治疗STC任务时,其F1得分分别为0.91、0.91和0.83。OCMH法在误判检验中表现最好,对症状、模式和治疗的术语转换结果的错误率分别为0.80、0.84和0.90。结论:基于分类的中医STC模型在症状、模式和治疗同义术语转换方面具有较好的效果。基于OCMH的误判检测方法在识别错误输出方面表现出优异的性能。
{"title":"Traditional chinese medicine synonymous term conversion: A bidirectional encoder representations from transformers-based model for converting synonymous terms in traditional chinese medicine","authors":"Lu Zhou, Chaohong Wu, Xi-Ting Wang, Shuangqiao Liu, Yizhuo Zhang, Yue-Meng Sun, Jian Cui, Caiyan Li, Hui-Min Yuan, Yan Sun, Feng-jie Zheng, Feng-qin Xu, Yuhang Li","doi":"10.4103/2311-8571.378171","DOIUrl":"https://doi.org/10.4103/2311-8571.378171","url":null,"abstract":"Background: The medical records of traditional Chinese medicine (TCM) contain numerous synonymous terms with different descriptions, which is not conducive to computer-aided data mining of TCM. However, there is a lack of models available to normalize synonymous TCM terms. Therefore, construction of a synonymous term conversion (STC) model for normalizing synonymous TCM terms is necessary. Methods: Based on the neural networks of bidirectional encoder representations from transformers (BERT), four types of TCM STC models were designed: Models based on BERT and text classification, text sequence generation, named entity recognition, and text matching. The superior STC model was selected on the basis of its performance in converting synonymous terms. Moreover, three misjudgment inspection methods for the conversion results of the STC model based on inconsistency were proposed to find incorrect term conversion: Neuron random deactivation, output comparison of multiple isomorphic models, and output comparison of multiple heterogeneous models (OCMH). Results: The classification-based STC model outperformed the other STC task models. It achieved F1 scores of 0.91, 0.91, and 0.83 for performing symptoms, patterns, and treatments STC tasks, respectively. The OCMH method showed the best performance in misjudgment inspection, with wrong detection rates of 0.80, 0.84, and 0.90 in the term conversion results for symptoms, patterns, and treatments, respectively. Conclusion: The TCM STC model based on classification achieved superior performance in converting synonymous terms for symptoms, patterns, and treatments. The misjudgment inspection method based on OCMH showed superior performance in identifying incorrect outputs.","PeriodicalId":23692,"journal":{"name":"World Journal of Traditional Chinese Medicine","volume":"9 1","pages":"224 - 233"},"PeriodicalIF":4.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45728451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Using network pharmacology and molecular docking tools to investigate the potential mechanism of ephedra-gypsum in the treatment of respiratory diseases 利用网络药理学和分子对接工具研究麻黄石膏治疗呼吸道疾病的潜在机制
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-04-01 DOI: 10.4103/2311-8571.378172
Can Huang, Ling Yuan, Yang Niu, Yating Yang, Yi-Fan Yang, Yi Nan, Hong-Li Dou, J. Japhet
Objective: The objective of this study was to investigate the potential mechanisms of ephedra-gypsum in the treatment of respiratory diseases (RDs) using network pharmacology and molecular docking techniques. Materials and Methods: The TCMSP and UniProt databases were used to mine the active components and targets of ephedra-gypsum, and the targets of RD were screened using the Online Mendelian Inheritance in Man (OMIM) and GeneCards databases. The protein-protein interaction network graph was created using the drug-disease intersection targets in the STRING database. The network diagram was analyzed using Cytoscape 3.9.1's topology function. The gene ontology (GO) and KEGG enrichment analyses were performed using the DAVID platform. Molecular docking bioactivity validation of the main active components and core targets was performed using AutoDock and PyMOL software. Results: Twenty-four compounds were screened, and 113 drug-disease targets overlapped. In total, 358 biological processes, 67 molecular functions, 38 cellular components of GO, and 139 pathways were identified. Molecular docking analysis demonstrated the strong binding ability of tumor protein 53 (TP53)-luteolin. Conclusion: The core components of ephedra-gypsum, such as quercetin, luteolin, kaempferol, and CaSO4·2H2O, act on key targets, such as tumor necrosis factor (TNF), interleukin-6 (IL-6), TP53, and IL-1 β through cytokine-mediated signaling pathways, inflammatory responses, cell proliferation, and apoptosis. This could be useful for the treatment of RD.
目的:利用网络药理学和分子对接技术,探讨麻黄石膏治疗呼吸系统疾病的潜在机制。材料和方法:利用TCMSP和UniProt数据库对麻黄石膏的活性成分和靶标进行了筛选,并利用人的在线孟德尔遗传(OMIM)和GeneCards数据库对RD的靶标进行了筛查。蛋白质-蛋白质相互作用网络图是使用STRING数据库中的药物-疾病交叉靶标创建的。使用Cytoscape 3.9.1的拓扑函数分析网络图。使用DAVID平台进行基因本体论(GO)和KEGG富集分析。使用AutoDock和PyMOL软件对主要活性成分和核心靶标进行分子对接生物活性验证。结果:筛选出24个化合物,113个药物-疾病靶点重叠。总共鉴定了358个生物学过程、67个分子功能、38个GO细胞成分和139个途径。分子对接分析表明肿瘤蛋白53(TP53)-木犀草素具有较强的结合能力。结论:麻黄石膏的核心成分槲皮素、木犀草素、山奈酚和CaSO4·2H2O通过细胞因子介导的信号通路、炎症反应、细胞增殖和凋亡作用于肿瘤坏死因子(TNF)、白细胞介素-6(IL-6)、TP53和IL-1β等关键靶点。这可能对RD的治疗有用。
{"title":"Using network pharmacology and molecular docking tools to investigate the potential mechanism of ephedra-gypsum in the treatment of respiratory diseases","authors":"Can Huang, Ling Yuan, Yang Niu, Yating Yang, Yi-Fan Yang, Yi Nan, Hong-Li Dou, J. Japhet","doi":"10.4103/2311-8571.378172","DOIUrl":"https://doi.org/10.4103/2311-8571.378172","url":null,"abstract":"Objective: The objective of this study was to investigate the potential mechanisms of ephedra-gypsum in the treatment of respiratory diseases (RDs) using network pharmacology and molecular docking techniques. Materials and Methods: The TCMSP and UniProt databases were used to mine the active components and targets of ephedra-gypsum, and the targets of RD were screened using the Online Mendelian Inheritance in Man (OMIM) and GeneCards databases. The protein-protein interaction network graph was created using the drug-disease intersection targets in the STRING database. The network diagram was analyzed using Cytoscape 3.9.1's topology function. The gene ontology (GO) and KEGG enrichment analyses were performed using the DAVID platform. Molecular docking bioactivity validation of the main active components and core targets was performed using AutoDock and PyMOL software. Results: Twenty-four compounds were screened, and 113 drug-disease targets overlapped. In total, 358 biological processes, 67 molecular functions, 38 cellular components of GO, and 139 pathways were identified. Molecular docking analysis demonstrated the strong binding ability of tumor protein 53 (TP53)-luteolin. Conclusion: The core components of ephedra-gypsum, such as quercetin, luteolin, kaempferol, and CaSO4·2H2O, act on key targets, such as tumor necrosis factor (TNF), interleukin-6 (IL-6), TP53, and IL-1 β through cytokine-mediated signaling pathways, inflammatory responses, cell proliferation, and apoptosis. This could be useful for the treatment of RD.","PeriodicalId":23692,"journal":{"name":"World Journal of Traditional Chinese Medicine","volume":"9 1","pages":"150 - 159"},"PeriodicalIF":4.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48659726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effect of herb-partitioned moxibustion on structure and functional prediction of gut microbiota in rats with irritable bowel syndrome with diarrhea 中药隔灸对腹泻型肠易激综合征大鼠肠道菌群结构及功能预测的影响
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-04-01 DOI: 10.4103/2311-8571.373586
Xia Liu, Jianan Cao, Tao Liu, H. Zhong, Mi Liu, X. Chang, Qiong Liu
Objective: The objective of this study was to observe the effect of herb-partitioned moxibustion (HPM) on the gut microbiota of rats with diarrhea-predominant irritable bowel syndrome (IBS-D). Materials and Methods: A total of 48 male rats were randomly divided into a normal control group and an irritable bowel syndrome (IBS) model group. Using acetic acid irrigation and constraint stress, an IBS-D rat model was developed. After the model was made, the IBS rats were divided into IBS, HPM group, and pinaverium bromide (PB) group. The HPM received HPM for 20 min every day, while the PB was given gastric perfusion once a day for 14 days. After modeling and treatment, the abdominal withdrawal reflex, fecal character score, and fecal water content of rats were scored, and a 16S rRNA sequencing analysis was performed on the gut microbiota. Results: After treatment, the fecal character score and fecal water content in the HPM increased significantly, while visceral sensitivity decreased. Investigation of 16S rDNA sequencing revealed that α-diversity was reduced in the IBS, and HPM could increase the diversity of flora. The flora structure of IBS-D rats changed. HPM can increase the abundance of probiotics such as Akkermansia and reduce the abundance of opportunistic pathogens such as Bacteroides and Prevotella. Functional prediction analysis showed that the HPM was mainly related to the bacillary secret system, tricarboxylic acid cycle, and other pathways. Conclusion: HPM can regulate the gut microbiota of rats with IBS-D.
目的:观察隔草灸对腹泻型肠易激综合征(IBS-D)大鼠肠道微生物群的影响。材料和方法:将48只雄性大鼠随机分为正常对照组和肠易激综合征(IBS)模型组。采用醋酸灌流和约束应激建立IBS-D大鼠模型。制作模型后,将IBS大鼠分为IBS组、HPM组和吡那韦铵(PB)组。HPM每天接受HPM 20分钟,而PB每天接受一次胃灌注,持续14天。在建模和治疗后,对大鼠的腹部戒断反射、粪便性状评分和粪便含水量进行评分,并对肠道微生物群进行16S rRNA测序分析。结果:治疗后,HPM的粪便性状评分和粪便含水量显著增加,内脏敏感性下降。16S rDNA测序结果表明,肠易激综合征的α-多样性降低,HPM可增加菌群的多样性。IBS-D大鼠的菌群结构发生了变化。HPM可以增加阿克曼菌等益生菌的丰度,降低拟杆菌和普雷沃氏菌等机会性病原体的丰度。功能预测分析表明,HPM主要与细菌秘密系统、三羧酸循环等途径有关。结论:HPM可调节IBS-D大鼠肠道微生物群。
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引用次数: 0
Isobaric tag for relative and absolute quantitation-based proteomics for investigating the effect of Guasha on lumbar disc herniation in rats 等压标签的相对和绝对定量蛋白质组学研究瓜沙对大鼠腰椎间盘突出症的影响
IF 4.4 3区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE Pub Date : 2023-04-01 DOI: 10.4103/2311-8571.370107
Min Yang, Guitao Xu
Objective: The objective of the study is to examine the possible mechanism by which Guasha (scraping therapy) affects the expression profiles of proteins in a lumbar disc herniation (LDH) rat model using isobaric tags for relative and absolute quantitation (iTRAQ)-based proteomics. Methods: Thirty-six rats were used in this study. LDH rats were subjected to noncompressive LDH surgeries. Rats were randomly divided into the model and Guasha groups. Guasha was applied on alternate days for a total of nine times (three courses). At the end of each course, six rats were randomly selected from each group and their blood samples were collected. iTRAQ labeling was used to examine the mechanism of action of Guasha against LDH. The molecular functions, cellular components, and biological processes were analyzed using gene ontology analysis. The Ingenuity Pathway Analysis database was used to identify canonical pathways involving these proteins. Results: Compared to the model group, 198, 182, and 170 proteins were identified as differentially expressed at the three respective Guasha treatment courses. Pathways, including focal adhesion kinase signaling, acute-phase response signaling, and the LXR/RXR activation pathway, were closely related to the effects of Guasha in LDH rats. Furthermore, Rac1, Orm1, and Hpx were validated by western blotting, and the results were consistent with the protein expression levels observed using the iTRAQ method. Conclusion: Guasha could not only regulate the pathological changes related to LDH, but also achieve therapeutic effects by stimulating physiological changes. Our results offer a better understanding of the effects of Guasha on LDH.
目的:本研究的目的是利用等压标签相对和绝对定量(iTRAQ)为基础的蛋白质组学,研究刮痧疗法影响腰椎间盘突出症(LDH)大鼠模型中蛋白质表达谱的可能机制。方法:选用大鼠36只。LDH大鼠进行非压缩LDH手术。将大鼠随机分为模型组和瓜沙组。瓜沙隔日应用,共9次(3个疗程)。每个疗程结束时,从每组中随机抽取6只大鼠,采集其血液样本。采用iTRAQ标记法研究瓜沙抗LDH的作用机制。利用基因本体分析对其分子功能、细胞成分和生物过程进行分析。独创性途径分析数据库被用来识别涉及这些蛋白质的典型途径。结果:与模型组比较,瓜沙给药三个疗程分别有198、182和170个蛋白表达差异。瓜沙对LDH大鼠的作用与局灶黏附激酶信号通路、急性期反应信号通路、LXR/RXR激活通路密切相关。western blotting验证了Rac1、Orm1、Hpx的表达水平,结果与iTRAQ法观察到的蛋白表达水平一致。结论:瓜沙不仅能调节LDH相关病理变化,还能通过刺激生理变化达到治疗效果。我们的结果为瓜沙对LDH的影响提供了更好的理解。
{"title":"Isobaric tag for relative and absolute quantitation-based proteomics for investigating the effect of Guasha on lumbar disc herniation in rats","authors":"Min Yang, Guitao Xu","doi":"10.4103/2311-8571.370107","DOIUrl":"https://doi.org/10.4103/2311-8571.370107","url":null,"abstract":"Objective: The objective of the study is to examine the possible mechanism by which Guasha (scraping therapy) affects the expression profiles of proteins in a lumbar disc herniation (LDH) rat model using isobaric tags for relative and absolute quantitation (iTRAQ)-based proteomics. Methods: Thirty-six rats were used in this study. LDH rats were subjected to noncompressive LDH surgeries. Rats were randomly divided into the model and Guasha groups. Guasha was applied on alternate days for a total of nine times (three courses). At the end of each course, six rats were randomly selected from each group and their blood samples were collected. iTRAQ labeling was used to examine the mechanism of action of Guasha against LDH. The molecular functions, cellular components, and biological processes were analyzed using gene ontology analysis. The Ingenuity Pathway Analysis database was used to identify canonical pathways involving these proteins. Results: Compared to the model group, 198, 182, and 170 proteins were identified as differentially expressed at the three respective Guasha treatment courses. Pathways, including focal adhesion kinase signaling, acute-phase response signaling, and the LXR/RXR activation pathway, were closely related to the effects of Guasha in LDH rats. Furthermore, Rac1, Orm1, and Hpx were validated by western blotting, and the results were consistent with the protein expression levels observed using the iTRAQ method. Conclusion: Guasha could not only regulate the pathological changes related to LDH, but also achieve therapeutic effects by stimulating physiological changes. Our results offer a better understanding of the effects of Guasha on LDH.","PeriodicalId":23692,"journal":{"name":"World Journal of Traditional Chinese Medicine","volume":"9 1","pages":"160 - 166"},"PeriodicalIF":4.4,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43687673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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World Journal of Traditional Chinese Medicine
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