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2023 Vol. 41, No. 8

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Medical research progresses on sodium dichloroacetate
LU Cheng, JIANG Yu, PENG Cheng, YANG Lijun, XIE Hehui
2023, 41(8): 455-458, 477. doi: 10.12206/j.issn.2097-2024.202105132
Abstract(2078) HTML (590) PDF (1227KB)(45)
Abstract:
Sodium dichloroacetate (DCA) is a small molecule drug usually administered orally. It has therapeutic effects against several diseases, such as metabolic syndrome, cardiovascular and cerebrovascular diseases, and several solid tumors. In this review, the research progresses of DCA in mechanism of action, pharmacological action and toxicological studies were summarized from the recent literatures on the pharmacological actions of DCA.
Review of bone metabolism regulated by intestinal flora and the application of Traditional Chinese Medicine
FAN Weiqing, XIA Tianshuang, JIANG Yiping, NIAN Hua, XIN Hailiang
2023, 41(8): 459-464, 471. doi: 10.12206/j.issn.2097-2024.202204059
Abstract(1670) HTML (841) PDF (1357KB)(27)
Abstract:
As a complex and large microbial community colonized in the human body, the intestinal flora and its metabolites short-chain fatty acids (SCFAs) play an important role in participating in human metabolism, resisting pathogens, and regulating immune mechanisms. In recent years, many studies have found that the intestinal flora is closely related to bone metabolism. The intestinal flora is able to regulate bone metabolism and affect bone mass changes through various pathways such as absorption of nutrition, generation of SCFAs, regulation of immunity, and influence on body metabolism. The potential pathways and mechanisms by which intestinal flora affect bone mass changes were reviewed in this article in bone metabolism. The related study on Traditional Chinese Medicine that has effects in balancing intestinal flora for regulating bone metabolism was also introduced in order to provide new ideas for the prevention and treatment of osteoporosis, a disease related to bone metabolism.
Progress on pharmacological activities and hepatotoxicity of bavachinin
ZHOU Rongrui, WEI Yanping, CHEN Wei, DING Qianqian, WANG Jinxin, ZU Xianpeng
2023, 41(8): 465-471. doi: 10.12206/j.issn.2097-2024.202204031
Abstract(1541) HTML (549) PDF (1037KB)(24)
Abstract:
Bavachinin is a dihydroflavone isolated from dried ripe fruits of Psoralea corylifolia L., which has various pharmacological activities, such as anti-tumor, anti-virus, anti-diabetes, anti-inflammatory and neuroprotective, and good potential in clinical applications. With the increasing concern about the safety of P. corylifolia applications in clinical, the bavachinin has been found to be one of the main components causing liver injury. In this paper, the pharmacological activities and hepatotoxicity of bavachinin in the recent 20 years were reviewed, in order to provide reference for the further study and clinical application.
Research progress on the mechanism of Hippo signaling pathway in organ regeneration
CHEN Shuai, LI Anpeng, LI Xingxing, ZHAO Qingjie, ZOU Yan
2023, 41(8): 472-477. doi: 10.12206/j.issn.2097-2024.202301008
Abstract(2108) HTML (629) PDF (1440KB)(18)
Abstract:
Hippo signal pathway is one of the main signal pathways regulating cell proliferation and apoptosis in multicellular animals, which plays a vital role in the maintenance of tissue homeostasis and the regulation of organ growth. Most mammals have limited regenerative potential, and recent studies have shown that Hippo signal pathway is critical in the regeneration of various tissues and organs. The role of Hippo signaling pathway in organ regeneration and the research progress of related targets were introduced, the mechanism of Hippo signaling pathway promoting regeneration analyzes were aralyzed in this review, which provide theoretical reference for the treatment of diseases related to organ regeneration.
Alleviation of isoproterenol-induced myocardial fibrosis in mice by autophagy regulated by Astragaloside through activating ROCK/JNK pathway
WU Feifei, ZHANG Xiaoqi, LIAN Jing, YANG Jing, ZHAI Mengen, QIAO Rui, XU Chennian, YANG Tingting
2023, 41(8): 478-484. doi: 10.12206/j.issn.2097-2024.202212056
Abstract(1205) HTML (382) PDF (3105KB)(10)
Abstract:
  Objective  To investigate the effect and mechanism of astragaloside Ⅳ(AS-Ⅳ) activating ROCK/JNK to regulate autophagy in improving isoproterenol (ISO) induced myocardial fibrosis (MF) in mice.   Methods  The mice were randomly divided into control operation group (Control group), ISO induced myocardial fibrosis group (MF group), AS-Ⅳ treatment group (AS-Ⅳ group) and combination group of astragaloside IV and Y-33075 (ROCK inhibitor) (astragaloside IV+Y-33075 group). After repeated administration for 30 days. The serum levels of LDH, BNP, CTGF in each group were detected. The cardiac function was detected by ultrasound. Myocardial structure and tissue fibrosis degree in each group were detected by Sirius Red and Masson staining. Oxidative stress (ROS) levels in myocardial tissue of each group were detected by DHE staining and the expression of ROCK, JNK, Atg5, Beclin 1, and LC3 Ⅰ/Ⅱ in myocardial tissue were detected by Western blotting.   Results  Compared with AS-Ⅳ group, the EF value of AS-Ⅳ+Y-33075 group decreased and the degree of myocardial fibrosis increased (P<0.05). The serum level of LDH, BNP, CTGF increased and the level of ROS in myocardial tissue increased while the expression of ROCK, JNK, Atg5, Beclin 1, LC3 Ⅰ/Ⅱ decreased (P<0.05). Y-33075 could block the protective effect of AS-Ⅳ on myocardial injury induced by MF and inhibit the regulation of AS-Ⅳ on ROCK and JNK.   Conclusion  AS-Ⅳ could attenuate myocardial fibrosis in mice by activating ROCK/JNK signal and promoting autophagy.
Mechanism of Radix Paeoniae Alba in the treatment of liver fibrosis based on network pharmacology
HUANG Qing, SHI Chunyan
2023, 41(8): 485-491. doi: 10.12206/j.issn.2097-2024.202208040
Abstract(2312) HTML (647) PDF (2448KB)(41)
Abstract:
  Objective  To explore the possible mechanism of Radix Paeoniae Alba on hepatic fibrosis based on network pharmacology.   Methods  Tcmsp database was used to screen the active components of Paeonia alba. With the help of PubChem and Swiss target prediction database, the potential action targets of the effective components of Paeonia Alba were predicted. GeneCards and OMIM databases were used to screen the corresponding targets of liver fibrosis, and venn2.1.0 was used to obtain the common targets of white peony and liver fibrosis. Cytoscape 3.9.0 software was used to build the network diagram of “white peony - active ingredients - intersection target - liver fibrosis” and to predict the main active sites. String database was used to draw the PPI network. Go analysis of effective targets and enrichment analysis of KEGG in pathway were performed by David database.   Results  Six effective components, 213 targets of Paeonia Alba and 155 hepatic fibrosis targets were screened. There were 49 targets of Radix Paeoniae Alba in the treatment of liver fibrosis. The main active ingredients are kaempferol, paeoniflorin, mairin and β-Sitosterol. Go enrichment analysis showed 269 biological processes, 30 cell compositions, 64 molecular functions, and 67 pathways in KEGG pathway enrichment analysis.   Conclusion  The mechanism of anti-hepatic fibrosis of Radix Paeoniae Alba has been preliminarily studied through network pharmacology, which shows that Radix Paeoniae Alba has multi-component, multi-target, and multi-channel effects, and provides reference for further experimental research.
Extraction Technology of Volatile Oil from Wenjing Huoxue Cataplasm
PENG Huili, ZHAO Lina, CHENG Yanqin, ZHAO Liyan, FENG Yinglu, LI Mingchun
2023, 41(8): 492-495, 508. doi: 10.12206/j.issn.2097-2024.202109095
Abstract(1119) HTML (396) PDF (1509KB)(8)
Abstract:
  Objective   To optimize the supercritical CO2 extraction conditions of volatile oil from Wenjing Huoxue cataplasm.   Methods   On the basis of single factor investigation on the comprehensive score of extraction yield , osthole content and isoimperatorin, the effects of extraction temperature, pressure and time on the comprehensive score of extracted volatile oil were optimized by orthogonal design.   Results   In the single factor experiment, the factors that had a great influence on the comprehensive score of the extracted volatile oil were extraction temperature, extraction pressure and extraction time. The orthogonal experiment results showed that the extraction temperature and extraction pressure had a significant influence on the comprehensive score of volatile oil. The optimized extraction process was as follows: extraction temperature at 55 ℃, extraction pressure as 30 MPa, and extraction time as 2 h.   Conclusion   The extraction process optimized in this experiment is stable and feasible, which could be used for the extraction and preparation of the volatile oil.
Study on the Quality Control Standard of Lvxintong Rugao
LIU Binguo, WANG Xiaoli, YE Shengying
2023, 41(8): 496-500. doi: 10.12206/j.issn.2097-2024.202202001
Abstract(1160) HTML (356) PDF (1085KB)(4)
Abstract:
  Objective  To establish a quality control method for Lvxintong Rugao.   Methods  Ketoconazole, Halcinonide and Neomycin sulfate were identified by TLC. The content of Ketoconazole and Halcinonide were determined by HPLC. The chromatographic column of Agilent ZORBAX SB-C18 (4.6 mm×150 mm, 5 μm) column was used. Methanol-phosphate buffer (pH=7.40, 75:25) was applied as the mobile phase. The detection wavelength was 235 nm. The flow rate was 1.0 ml/min and the column temperature was set at room temperature. Neomycin Sulfate was determined by polarimetric analysis.   Results  The identification and determination methods showed good specificity. Ketoconazole and Halcinonide displayed good linearity within the range of 1.999~39.98 μg (r=0.999 9) and 0.400 8~8.016 μg (r=0.999 9), respectively. The average recoveries were 97.75% (RSD 0.77%) and 97.57% (RSD 0.84%), respectively. For the determination of Neomycin Sulfate, r=0.999 6 (n=6) in the range of 130.4~2 608 U/ml (n=6). The precision and repeatability of RSD were 1.1% and 1.6%, respectively. The solutions were stable in 6 h and the average recovery was 98.8% (RSD 2.6%).   Conclusion  The method could be used as the quality control method for Lvxintong Rugao.
Study on preparation technology of long-acting sustained-release oral ulcer membrane based on analytic hierarchy process and orthogonal design
XU Xiang, CHEN Xu, KE Yuejiao, LIU Zhihong, CHEN Yufang, ZHOU Xin, SONG Hongtao
2023, 41(8): 501-508. doi: 10.12206/j.issn.2097-2024.202109069
Abstract(1201) HTML (325) PDF (1526KB)(7)
Abstract:
  Objective  To prepare a sustained-release membrane with longer adhesion time and dissolution time, and compare it with the commercially available oral ulcer membrane.   Method   Adhesion strength, adhesion time, swelling coefficient, dissolution time, etc. were used as the inspection indicators, and a combination of single factor inspection and analytic hierarchy process were used to screen the membrane -forming materials. The dispersion method of clotrimazole, ornidazole and borneol were investigated to prevent the drug from seed out. The method of combining orthogonal experiment and analytic hierarchy process were used to optimize the dosage of CMC-Na, PVA-1788 and glycerin; and the commercial products were compared.   Results  Through single-factor investigation and orthogonal experiment, the optimal ratio of excipients was selected as CMC-Na∶PVA-1788∶glycerol (3∶1∶0.08). The water-insoluble component clotrimazole, ornidazole and borneol were treated by precipitation in liquid with good effect. The best method was used to prepare the membrane. The adhesion strength was 102 g. The adhesion time was 55 min. The swelling coefficient was 1 939.52. The average dissolution time was 110 min. The appearance was white and the surface was free of bubbles, soft and elastic. The membrane forming time at 60 ℃ was 300 min and the demolding effect was better which could be completely peeled off with moderate thickness.   Conclusion  The oral ulcer membrane developed in this method has good appearance, comfortable use, strong adhesion, long adhesion time and dissolution time, and could stay on the ulcer surface for a long time to form physical isolation, and slowly release the drug during the dissolution process, which could play the role of long-term pain relief, antibacterial, anti-inflammatory and promote healing effects on oral ulcers.
Visual analysis of clinical comprehensive evaluation of drugs in China by bibliometric analysis
LI Juan, PANG Tao, XU Deduo, MA Erli, CHEN Weidong, ZHANG Feng, LIU Binglong
2023, 41(8): 509-514, 518. doi: 10.12206/j.issn.2097-2024.202301026
Abstract(1254) HTML (390) PDF (1968KB)(8)
Abstract:
  Objective  To analyze the research status and predict the development trend of clinical comprehensive evaluation of drugs in China, and to provide reference for clinical comprehensive evaluation.   Methods  CNKI, Wanfang and VIP database were used to search the published articles of clinical comprehensive evaluation. Literature searching was set from the building time of the database to 2022, the basic information about the published articles was obtained for the evaluation of the literature quality. Bibliometrics and CiteSpace 6.1.R3 software were used to visualize the research authors, research institutions, and key words.   Results  After data screening, a total of 126 Chinese published articles were selected. The analysis showed that the numbers of published articles were rising continuously, and China Academy of Chinese Medical Sciences and Xie Yanming were the institute and the author with the maximum number of literatures, respectively.   Conclusion  The clinical comprehensive evaluation of drugs was conducted based on the clinical value of drugs, guided by the policy requirements. It is suggested that researchers should conduct the comprehensive evaluation according to the focus and requirements of government agencies, the pharmaceutical industry and the clinical applications.
Clinical effect of Kangfuxin solution combined with lidocaine and gentamicin in the treatment of oral ulcer
ZHAO Ling, WU Yanan, XU Mingyuan
2023, 41(8): 515-518. doi: 10.12206/j.issn.2097-2024.202207080
Abstract(1171) HTML (389) PDF (933KB)(5)
Abstract:
  Objective  To investigate the clinical efficacy of Kangfuxin solution combined with lidocaine and gentamicin in the treatment of oral ulcers.   Method  A total of 120 patients with oral ulcer admitted to Tongzhou District Maternity and Child Health Care Hospital of Beijing from May 2019 to July 2021 were selected and divided into observation group and control group randomly. 58 patients were treated with lidocaine as a control group and 62 patients in the observation group were treated with Kangfuxin solution combined with lidocaine and gentamicin. The clinical efficacy, including oral ulcer condition, visual analogue scale (VAS score) after 3d and 5d of treatment, inflammatory factor levels and adverse reactions were observed and compared between the two groups before and after treatment.   Results  The overall effective rate of the treatment group (95.12%) was higher than that of the control group (74.36%) and the difference was statistically significant (P<0.05). The ulcer area, ulcer healing time, and chewing improvement period were remarkably reduced compared with those in the control group (P<0.05). The VAS scores after 3d and 5d of treatment, the levels of tumor necrosis factor-α (TNF-α), C-reactive protein (CRP) and interleukin-6 (IL-6) between the two groups were statistically significant (P<0.05). There was no significant difference in the incidence of adverse reactions (3.22%) between the observation group and the control group (6.90%) (P>0.05).   Conclusion  Kangfuxin solution combined with lidocaine and gentamicin showed better curative effect on oral ulcer. This treatment regimen could effectively ameliorate various clinical symptoms of patients with oral ulcer, reduce patient pain and downregulate the levels of inflammatory factors, and help patients recover with high safety profile.