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2024 Vol. 42, No. 3

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Research progress on the regulation of intestinal flora and effect on intestinal absorption and transport by TCM components
JIANG Jun, CHEN Li, LI Zhong, LIU Jin’ge, QI Tian, ZHOU Tingting
2024, 42(3): 89-93, 120. doi: 10.12206/j.issn.2097-2024.202303012
Abstract(4991) HTML (3249) PDF (1260KB)(194)
Abstract:
The domestic and international research progress on the regulation of gut microbiota by Traditional Chinese Medicine (TCM) ingredients and their impact on intestinal absorption and transportation were summarized, which provided assistance for subsequent clinical rational drug use targeting gut microbiota. Literature on the relationship between gut microbiota and intestinal absorption and transportation in recent years were reviewed and analyzed, and the mechanism of TCM ingredients regulating gut microbiota on drug absorption and transportation was elucidated. Research has found that TCM ingredients alter gut microbiota, thereby affecting intestinal barrier function and absorption of transport proteins, which is of great significance for rational clinical medication.
Research progress on natural medicines and active compounds in the treatment of heart failure
WU Xinyi, WAN Jingjing, LIU Xia
2024, 42(3): 94-100. doi: 10.12206/j.issn.2097-2024.202306013
Abstract(4365) HTML (3162) PDF (916KB)(34)
Abstract:
Heart failure is the terminal stage of various cardiovascular diseases and a leading cause of death. For a long time, natural medicines have been used to treat heart failure(HF) with remarkable effects. In this paper, the Traditional Chinese Medicine compound patents in the national patent database were mined, common Traditional Chinese Medicines for the clinical treatment of HF were selected, and the single active ingredient contained in them was analyzed, which provided some valuable tips for the development of drugs for the treatment of heart failure.
Preparation and in vitro dissolution behaviors evaluation of silymarin phospholipid complex
ZENG Qiping, LIU Jianqing, YANG Li'na, LIU Zhihong, SONG Hongtao
2024, 42(3): 101-107. doi: 10.12206/j.issn.2097-2024.202206051
Abstract(3472) HTML (1724) PDF (2971KB)(30)
Abstract:
  Objective  To prepare silymarin phospholipids complex(SM-PC) and investigate its physicochemical properties.   Methods  On the basis of single-factor tests, the drug-lipid ratio, drug concentration and reaction temperature were selected as the factors of the central composite design and response surface methodology in the preparation of SM-PC by solvent volatilization, and the best process was optimized with the compound rate as the index. And its in vitro dissolution was measured.   Results  The optimum preparation technology of SM-PC was as follows: acetone was used as compound solvent, the concentration of SM was 8.0 mg/ml, the mass ratio of SM to phospholipid was 1∶1.8, the reaction temperature was 56 ℃ and the recombination rate was(95.15±1.55)% with deviation of less than 3%. The in vitro dissolution test showed that the dissolution of SM-PC was close to 90% in 60 min. The dissolution behavior of main component of silybin was similar to that of silymarin capsules(Legalon ®), which was higher than SM-API.   Conclusion  SM-PC was successfully prepared by central composite design response surface method, which significantly improved the dissolution and laid a foundation for the study of subsequent preparations.
Preparation and pharmacokinetics of flumazenil sublingual tablet
ZHANG Yingnan, HOU Cheng, XU Ziyi, LU Guangzhao, LU Ying, ZHANG He
2024, 42(3): 108-113. doi: 10.12206/j.issn.2097-2024.202305038
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Abstract:
  Objective  To prepare flumazenil sublingual tablets and study its bioavailability.   Methods  Flumazenil sublingual tablets were prepared by compressing flumazenil inclusion compound with hydroxypropyl-β-cyclodextrin as the inclusion material. In a double-cycle crossover trial, twelve beagle dogs were randomly divided into two groups, one group receiving flumazenil sublingual tablets and the other receiving flumazenil injections. LC-MS method was developed and validated to determine flumazenil plasma concentration. The pharmacokinetic parameters and bioavailability were calculated using WinNonlin pharmacokinetic software.   Results  In the pharmacokinetic study, AUClast of flumazenil injection and sublingual tablet was (8.41±2.15) and (8.86±2.83) h·ng·ml−1, respectively; Cmax was (10.96±2.62) and (6.36±2.14) ng/ml, respectively; tmax was (0.18±0.05) and (0.58±0.24) h, respectively. The bioavailability of flumazenil sublingual tablet was 52.68%.   Conclusion  Clathrates were used to prepare flumazenil sublingual tablets to achieve safe and efficient delivery. LC-MS method was established for the determination of flumazenil plasma concentration, and the advantages were simple, accurate and sensitive.
Establishment of a high-throughput screening platform based on drug repurposing targeting alpha-1-acid glycoprotein and discovery of potential weight loss drugs
CHEN Feng, YANG Cirong, ZHANG Zhen, CHEN Fei, LIU Xia
2024, 42(3): 114-120. doi: 10.12206/j.issn.2097-2024.202309057
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Abstract:
  Objective  Alpha-1-acid glycoprotein (ORM) was a new target for the development of weight loss drugs. To search for potential weight loss drugs that could target ORM from the compound library of already marketed drugs based on drug repurposing.   Methods  The pGL4.20-ORM1 promoter recombinant plasmid was contructed and validated, and then a lentiviral vector was utilized to establish stable AML12 cell lines expressing ORM1 promoter-LUC-PURO. This cell line was employed for high-throughput screening of compounds from the marketed drug library, and the luminescence value of the cells was characterized by enzyme marker.   Results  Primary screening and secondary screening of 1 470 compounds identified 42 compounds that increased ORM1 promoter expression and could be used for further weight loss effect assessment.   Conclusion  This study successfully constructed LV-AML12-ORM1 promoter-LUC-PURO stable expression cell lines using lentiviral vectors, laying a foundation for efficient and stable screening of weight loss drugs targeting ORM.
Improvement of gefitinib-resistance of PC9/GR by thapsigargin combined with gefitinib
DU Jiangyuan, ZHANG Lanlin, CAI Tongkai, CAO Yongbing
2024, 42(3): 121-126. doi: 10.12206/j.issn.2097-2024.202209018
Abstract(3529) HTML (1237) PDF (2154KB)(23)
Abstract:
  Objective  To study the effect and mechanism of the thapsigargin combined with gefitinib on the proliferation of human lung adenocarcinoma gefitinib resistance cell line PC9/GR.   Methods  The cell viability of PC9/GR treated with gefitinib alone or gefitinib combined with thapsigargin was evaluated by CCK8 assay. The flow cytometry was used to analyze the PC9/GR cell apoptosis indued by the two group drugs. The ATF-6 and IRE1α protein expression of PC9/GR cells treated with the two group drugs were detected by Western blotting.   Results  The group of drug combination exhibited enhanced ability to inhibit cell proliferation, promote cell apoptosis and upregulate the ATF-6 and IRE1α protein expression of the PC9/GR compared with the group gefitinib used alone.   Conclusion  The sensitivity of PC9/GR to gefitinib was increased when the cells were treated by thapsigargin, which may be related with the state of endoplasmic reticulum stress(ERS) induced by thapsigargin.
Content measurement of doxorubicin hydrochloride and lonidamine by HPLC
SUN Yuhan, XU Ziyi, LIAO Jun, ZHANG He, FAN Li, LU Ying
2024, 42(3): 127-130. doi: 10.12206/j.issn.2097-2024.202306043
Abstract(2908) HTML (1759) PDF (986KB)(34)
Abstract:
  Objective  To establish a method for the simultaneous determination of DOX·HCl and LND.   Methods  HPLC was performed on Agilent 5 HC-C18(2) (4.6 mm × 250 mm, 5 µm) column. The mobile phase was methanol-0.1% TFA aqueous solution, and the gradient elution procedure were: 0 to 3 min, 65% methanol; 3 to 7 min, 65%→90% methanol; 7 to 13 min, 90% methanol; 13 to 15 min, 90%→65% methanol; 15 to 20 min, 65% methanol. The collection time was 20 min, the balance time was 3 min, the UV detection wavelengths were 205 nm and 253 nm. The flow rate was 1.0 ml/min and the column temperature was 35℃. The amount of inlet was 10 µl.   Results  The method was highly specific, and both DOX·HCl and LND exhibited good linearity in the concentration range of 1-40 µg/ml and 6-240 µg/ml, respectively. The two compounds’ precision, stability, and recovery satisfied the requirements of the method.   Conclusion  This study established a HPLC method that was suitable for the simultaneous detection of DOX·HCl and LND. This method’s high level of specificity, accuracy, and reliability .
Observation of the prophylactic use of prokinetic agents in patients after tricuspid valve replacement under cardiopulmonary bypass
CHEN Qian, XU Xiangyang, LU Fanglin, HAN Lin, LI Bailing, XU Zhiyun
2024, 42(3): 131-134. doi: 10.12206/j.issn.2097-2024.202210060
Abstract(2527) HTML (969) PDF (838KB)(16)
Abstract:
  Objective  To analyze the postoperative therapeutic effect of prokinetic agents in patients after tricuspid valve replacement (TVR) under cardiopulmonary bypass.   Methods  Patients received TVR under cardiopulmonary bypass (during June 2010 to December 2021) in the department of Cardiovascular Surgery of the First Affiliated Hospital of Naval Medical University were selected as the subjects of our study. The data of basic characteristics, first postoperative defecation time and postoperative recovery condition were collected and retrospectively analyzed in the patients taking prokinetic agents within three days after surgery (prevention group) and patients not taking prokinetic agents within three days after surgery (control group).   Results  A total of 184 patients were selected, including 101 in the prevention group and 83 in the control group. The first defecation time of patients in the prevention group was significantly earlier than that in the control group (P<0.05). The incidences of abdominal distension and pulmonary infection in the prevention group were significantly lower than that in the control group. The length of time in ICU, postoperative mechanical ventilation and nasogastric tube decompression in the prevention group were significantly shorter than that in the control group (P<0.05).   Conclusion  Taking prokinetic agents within three days after TVR under cardiopulmonary bypass could effectively improve the prognosis of patients.