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Amelioration chloride-induced abdominal aortic aneurysm injury by activation of α7nAChR s calcium in mice
ZHANG Wenjing, FU Hui, GUO Xiaobin, GUO Hao
In Press  doi: 10.12206/j.issn.2097-2024.202409045
Abstract(7242) HTML(2899) PDF (3171KB)(29)
Abstract:
  Objective  To investigate the effect of activating α7 nicotinic acetylcholine receptor (α7nAChR) on calcium chloride (CaCl2)-induced abdominal aortic aneurysm (AAA) injury in mice.   Methods  AAA model was induced by CaCl2 in wild type (WT) mice and α7nAChR knockout (α7nAChR−/-) mice. The effects of knockout of α7nAChR on histological damage in CaCl2-induced AAA mice and expression of inflammatory factors were assessed by HE staining, EVG staining and IHC staining. Rat-derived primary vascular smooth muscle cells (VSMC) were stimulated with TNF-α, which mimicked the inflammatory environment of AAA. The expressions of inflammation-related proteins were detected by using Western-Blot with or without PNU-282987 to activate α7nAChR.   Results  Aortic dilatation was obvious, and the aortic structure was disrupted in CaCl2-induced AAA mice. Knockout of α7nAChR further exacerbated the histological injury and significantly up-regulated the expression of inflammation-related proteins in aorta of AAA mice. It was showed that TNF-α stimulation of VSMC increased inflammation-related protein expression, whereas activation of α7nAChR prevented the phenomenon.   Conclusion  Activation of α7nAChR could attenuate CaCl2-induced AAA injury in mice by suppressing the inflammatory response.
Research progress on the application potential and mechanism of elemental sulfur in the treatment of skin diseases
KOU Erwen, ZHANG Xiaobei, WANG Bo, ZHU Yuanjie
Accepted Manuscript  doi: 10.12206/j.issn.2097-2024.202509041
Abstract(223) HTML(168) PDF (910KB)(6)
Abstract:
As a traditional Chinese medicine, elemental sulfur has long been used for the treatment of scabies and tinea. In recent years, with the in-depth study of the biological function of elemental sulfur, its function has been extended to the treatment of acne, eczema, rosacea and other skin diseases, and the various mechanisms of elemental sulfur involved in the prevention and treatment of skin diseases are gradually being elucidated: the dual regulatory effect of elemental sulfur on skin keratinization, anti-inflammatory effect, antibacterial effect, and insecticide-killing effect. However, the therapeutic effects and specific mechanisms of action of this drug vary in different diseases, and the related research still need to be improved. In addition, the effects of elemental sulfur on pharmacokinetics and skin healing need to be further explored. The application status and mechanism of elemental sulfur in common skin diseases were systematically reviewed in this paper, which and provided a new perspective for the future development of elemental sulfur in the prevention and treatment of skin diseases.
The content research on malonyl-ginsenoside Rb3 in different tissues of Panax ginseng, P. quinquefolium and P. notoginseng
CUI Xiaoxue, WANG Yingxia, ZHOU Guangxin, HUANG Xiaoyu, WANG Liuming, LIU Xiao
Accepted Manuscript  doi: 10.12206/j.issn.2097-2024.202410049
Abstract(117) HTML(84) PDF (1071KB)(8)
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  Objective  To compare the contents of malonyl-ginsenosides Rb3 (MG-Rb3) in different parts, including roots, stems, leaves and flowers, of Panax ginseng, P. quinquefolium and P. notoginseng. To explore the effects of two drying methods, constant temperature drying and vacuum freeze drying on their contents.   Methods  The contents of MG-Rb3 in P. ginseng, P. quinquefolium and P. notoginseng were compared based on HPLC analysis, using enzymatically synthesized MG-Rb3 as the reference standard.   Results  The buds of P. ginseng and P. quinquefolium exhibited relatively high levels of MG-Rb3, which were approximately 7.3-18.1 times and 2.8-4.3 times higher than those found in the roots, respectively, and the lowest contents were detected in the stems. The content of MG-Rb3 in P. notoginseng flower buds was about 31.2 times higher than that in leaves. The content of MG-Rb3 in the buds treated by constant temperature drying was about 1-1.1 times that of using vacuum freeze drying.   Conclusion  The highest content of MG-Rb3 was detected in the flower buds of P. ginseng and P. notoginseng, and the content of MG-Rb3 in leaves of P. quinquefolium was the highest. Content of MG-Rb3 in the buds after constant temperature drying was slightly higher than that of using vacuum freeze drying.
The hypolipidemic function and hepatic protective effects of Xuetong capsules
HE Lin, CHENG Yanqiong, ZHAO Juanjuan, LU Huilan, YANG Jun, CHEN Fangjian
Accepted Manuscript  doi: 10.12206/j.issn.2097-2024.202502015
Abstract(8806) HTML(3289) PDF (2280KB)(56)
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  Objective  To investigate the effects of Xuetong capsule on blood lipids and liver lesion in hyperlipidemic model animals.   Methods  Sixty ICR mice were randomly divided into six groups. The normal control group was fed with normal diet, the other groups were fed with high-fat diet to induce hyperlipidemia. After four weeks feeding, the three groups were given low, middle, and high doses of Xuetong capsules (0.5, 1.0, and 2.0 g/kg) by gavage, and the positive control drug atorvastatin calcium (1.5 mg/kg). The model group was given solvent (0.5% carboxymethyl cellulose sodium). After treatment for 8 weeks, the body weight, organ index, blood lipids, blood glucose and liver function index were measured. The liver oil red staining was used to determine the lipid droplet content, and quantitative PCR was used to detect the expression of inflammatory factors TNF-α, IL-6, and IL-1β.   Results  The body weight, the weight of liver and spleen were significantly increased by high-fat diet. High-fat diet increased the organ indexes of the liver and spleen, the degree of liver oil red staining, and also significantly increased the levels of glucose, triglyceride (TG), cholesterol (CHOL), and low-density lipoprotein cholesterol (LDL-C) in serum. Compared with the model group, the level of TG has no significant change in low, middle and high doses groups. The level of CHOL in serum was reduced by Xuetong capsule with a dose dependent manner. There were significant difference between the model group and middle, high doses groups. The results of LDL-C were similar, the level of LDL-C was significantly reduced by middle and high doses groups [middle dose (0.55±0.21) mmol/L, high dose (0.52±0.22) mmol/L vs (0.81±0.29) mmol/L in model group, P<0.01]. Compared with the normal control, there was no significant difference in HDL-C levels between the high-fat model and each drug-treated group. Liver function showed that Xuetong capsules significantly reduced the degree of liver oil red staining and decreased the level of alanine aminotransferase (ALT) induced by high-fat diet. The body weight, the weight and organ indexes of liver and spleen were significantly reduced by atorvastatin calcium. The levels of CHOL, LDL-C, and TG, and the degree of liver oil red staining were also significantly reduced in atorvastatin calcium group. Further studies have shown that high dose of Xuetong capsules significantly reduced the expression of TNF-α and IL-6 induced by high-fat diet (P<0.05), while the reduction of IL-1β was not so significant (P>0.05).   Conclusion  Xuetong capsules significantly reduces the body weight of animals with high fat, reduce liver size, fat deposition, inflammatory damage and also significantly reduces blood lipid CHOL and LDL-C levels and reduce transaminase elevation. The above effects may be related to Xuetong capsules reducing the expression of inflammatory factors such as TNF-α and IL-6 in the liver.
The establishment and application of an online intelligent medication follow-up platform for outpatient patients
WANG Yushuang, LIU Yulong, QIU Ji
In Press  doi: 10.12206/j.issn.2097-2024.202408025
Abstract(212) HTML(149) PDF (1179KB)(3)
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  Objective  To promote rational drug use and improve the quality of outpatient pharmacy services by establishing an intelligent medication follow-up platform and carrying out online medication follow-up for outpatients.   Methods  The Internet and WeChat mini programs were used to establish an intelligent medication follow-up platform, and effective follow-up records were selected from June 1, 2023 to May 31, 2024 to analyze the results of patients' follow-up.   Results  The platform could automatically push follow-up messages to patients and supports the exchange of text, pictures, and voice communication between pharmacists and patients. A total of 613 patients were selected to participate in the follow-up. Thirteen blood glucose records and 17 blood pressure readings were uploaded, and 583 medication consultations were recorded.   Conclusion  This study tracked and understood the medication situation of outpatients through an intelligent medication follow-up platform. The platform was professional, intelligent, and convenient, which was conducive to ensuring the safety of patients' home medication and promoting reasonable medication.
Progress in drug research for Alzheimer’s disease and application of cellular metabolomics
CAO Xiuyu¹, JIN Mengying, SHEN Shuqi, WANG Hui, HONG Zhanying
Accepted Manuscript  doi: 10.12206/j.issn.2097-2024.202509026
Abstract(187) HTML(119) PDF (1114KB)(0)
Abstract:
Alzheimer’s disease (AD) is a typical neurodegenerative disorder, and its pathogenic mechanism remains to be fully elucidated. Currently, there are limited drugs available for the clinical treatment of AD, and many of these drugs are associated with numerous adverse effects. Traditional Chinese medicine (TCM), featuring multi-component and multi-target properties, possesses unique advantages and potential in the prevention and treatment of AD. AD cell models enable in-depth investigations into the pathogenesis of AD and the mechanisms underlying drug-based prevention and treatment. Cell metabolomics studies changes in intracellular metabolites to accurately capture dynamic variations in metabolite types, contents, and metabolic pathways of cells under different physiological states; this approach holds promise for revealing the complex regulatory mechanisms of cellular metabolic networks, identifying AD-specific biomarkers, and providing support for research on the mechanisms of AD. This article reviews the drugs used for AD prevention and treatment, as well as recent progress in the application of cellular metabolomics in AD research, aiming to provide a reference for studies on AD mechanisms, clinical diagnosis and treatment, and drug development.
Optimizing the whole-process quality control system of intravenous drug distribution center based on failure mode and effect analysis
WEI Wei, ZHANG Mingxia, ZHOU Yanping, YAN Lan, TIAN Peng, FENG Xia
Accepted Manuscript  doi: 10.12206/j.issn.2097-2024.202504131
Abstract(5303) HTML(2102) PDF (1034KB)(27)
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  Objective  To explore the application effect of a standardized management method based on failure mode and effect analysis (FMEA) in optimizing the whole-process quality control system of the intravenous admixture service (PIVAS).  Methods  The quality control management system of the PIVAS was optimized by establishing six quality control groups led by the head nurse, with full participation of pharmacy, nursing, and logistical staff, ensuring comprehensive coverage and traceability of all quality control links. Each group conducted risk priority number (RPN) scoring for potential failure modes in their respective quality control processes, and targeted improvement measures were formulated based on the scoring results. The RPN values of failure modes and quality control-related evaluation indicators before and after implementation were compared to achieve closed-loop management.   Results  After one year of management, the RPN values of the six major failure modes significantly decreased compared to those before implementation (P<0.05). The compounding error rate dropped to 0.13%, the dispensing error rate decreased to 0.95%, the compounding efficiency increased to 98%, the delivery time was shortened by 0.45 h per batch, the intervention rate for irrational prescriptions rose to 94.87%, satisfaction improved to 96.78%, and the participation rate of quality control personnel reached 95.36% (P<0.05).   Conclusion  FMEA-based identification of potential failure modes in the whole-process quality control system of the IVAS, combined with risk quantification and targeted interventions, significantly reduces high-risk failure modes, improves compounding accuracy and efficiency, and ensures the safety of clinical intravenous medication and the effectiveness of healthcare quality management.
Practice and analysis of the simplified oral premedication protocol with paclitaxel liposome in patients of advanced gastric cancer
ZHONG Ling, CAO Jinfa, HE Miao, TIAN Jing
Accepted Manuscript  doi: 10.12206/j.issn.2097-2024.202406047
Abstract(7238) HTML(2526) PDF (836KB)(19)
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  Objective  To explore a feasible simplified premedication protocol for preventing hypersensitivity reactions to taxanes.   Methods  The electronic medical record system was used to search for data on 49 patients with advanced gastric cancer who received paclitaxel liposome treatment for the first time in the gastroenterology department of Shanghai Changhai Hospital from 2021-06-01 to 2024-06-30, including premedication protocols, allergic reactions, and other adverse reactions.   Results  31 cases took dexamethasone 9 mg at 12 h and 6 h, and took loratadine tablets 10 mg and ranitidine hydrochloride capsules 150 mg at 12 h before paclitaxel liposomal; 18 cases took dexamethasone 9 mg at 12 h and 6 h, and took loratadine tablets 10 mg at 12-hour before paclitaxel liposomal. All patients did not experience any allergic reactions. There were no significant differences in the incidence of other adverse reactions between the two simplified protocols(P>0.05). Conclusion Based on literature and practice, a dual simplified premedication protocol of oral corticosteroids(GC)combined with oral H1 receptor blockers(H1RA)was proposed, which provided a new idea for doctors. Further clinical studies are needed to verify its effectiveness.
Study on quality standards of Liuwei Runfu oil recipe
HU Yue, WANG Yi, MA Minghua, LI Fulun, NIAN Hua, ZHU Jianyong
Accepted Manuscript  doi: 10.12206/j.issn.2097-2024.202406033
Abstract(201) HTML(119) PDF (1491KB)(4)
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  Objective  To establish a standardized quality criterion for the formula of the Liuwei Runfu oil recipe.   Methods  The qualitative identification of the components, such as Cannabis sativa, Ligusticum chuanxiong, Angelica sinensis, Coix lacryma-jobi, and Glycyrrhiza uralensis, was conducted by thin layer chromatography (TLC). The concentration of Senkyunolide A, ligustilide, and linoleic acid was determined by high-performance liquid chromatography (HPLC).   Results  The TLC identification results demonstrated excellent differentiation and high selectivity, without any disruption from the negative samples. The reference standard for Senkyunolide A exhibited excellent linearity in the range of 25 to 300 µg (r=0.9999), with an average recovery rate of 102.3% and a relative standard deviation (RSD) of 2.3%. The ligustilide reference standard exhibited strong linearity between the concentrations of 0.6875 and 8.25 µg (r=0.9993), with an average recovery rate of 100.1% and a relative standard deviation (RSD) of 2.8%. The linoleic acid reference standard demonstrated strong linear correlation within the range of 2.8125 to 33.75 µg (r=0.9990), with an average spiking recovery rate of 102.7% and a relative standard deviation (RSD) of 1.7%.   Conclusion  The established method with strong specificity was simple, accurate, reliable, which coulod provide a reference for the quality control of the Liuwei Runfu oil recipe.
The efficacy of aerobic exercise combined with sertraline in the treatment of elderly patients with post-stroke depression, and its effect on cognitive function and inflammatory cytokine
ZHU Laiyun, WANG Nuan, SUN Lingchen, ZHAO Chao
Accepted Manuscript  doi: 10.12206/j.issn.2097-2024.202508024
Abstract(2933) HTML(1273) PDF (1074KB)(25)
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  Objective  To investigate the efficacy of aerobic exercise combined with sertraline in the treatment of post-stroke depression (PSD) in elderly patients and its effects on cognitive function and inflammatory cytokines.   Methods  70 elderly PSD patients admitted to the Xuzhou Municipal Hospital affiliated with Xuzhou Medical University from June 2022 to December 2024 were selected as study objects. Patients were randomly divided into control group treated with sertraline and study group treated with aerobic exercise combined with sertraline. The treatment duration was 8 weeks. The Hamilton Depression Rating Scale (HAMD) scores, the clinical efficacy, cognitive function [Mini Mental State Examination (MMSE)], and the levels of inflammatory cytokines (IL-1β, IL-6, TNF-α) were compared before and after treatment.   Results  No significant differences in baseline data were observed between the two groups before treatment. After 4 and 8 weeks of treatment, HAMD scores were significantly decreased compared to baseline in both groups (all P<0.05). The study group showed significantly lower HAMD scores than the control group at both 4 and 8 weeks (all P<0.05). The overall clinical effective rate was significantly higher in the study group (94.29%) than in the control group (77.14%)(P<0.05). MMSE scores were significantly increased compared to baseline in both groups at 4 and 8 weeks(all P<0.05), and the study group demonstrated significantly higher MMSE scores than the control group at both time points (all P<0.05). Similarly, serum levels of IL-1β, IL-6, and TNF-α were significantly reduced from baseline in both groups at 4 and 8 weeks (all P<0.05). The reductions in these inflammatory cytokine levels were significantly greater in the study group compared to the control group (all P<0.05). The incidence of adverse reactions was 8.57% in the control group and 5.71% in the study group, with no statistically significant difference (P>0.05).   Conclusion  The combination of aerobic exercise and sertraline is a safe and reliable therapeutic strategy for elderly PSD patients, alleviating depressive symptoms, improving cognitive function, and reducing systemic inflammation.
Efficacy and safety comparison of EGFR-TKIs monotherapy and combination therapy as first-line treatment for advanced non-small cell lung cancer: a network meta-analysis
CHEN Guanxu, SONG Yutong, GUO Xiuqiang, ZHANG Mi, LIU Zhihong, SONG Hongtao
Accepted Manuscript  doi: 10.12206/j.issn.2097-2024.202504044
Abstract(11489) HTML(6864) PDF (3982KB)(39)
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  Objective  To investigate the efficacy and safety of EGFR-TKIs monotherapy and its combination therapy in the first-line treatment of advanced non-small cell lung cancer(NSCLC)patients with EGFR mutations.   Methods  Databases such as PubMed, Embase, Cochrane Library, and ClinicalTrials.gov were systematically searched to collect eligible phase II/III randomized controlled trials (RCTs), with the time range from the establishment of the databases to June 2023. Two researchers independently screened the literature, extracted data, and assessed the risk of bias in the studies. Outcome data, including overall survival (OS), progression-free survival (PFS), objective response rate (ORR), grade 3 or higher adverse events (≥3 AEs), and serious adverse events (SAEs), were collected. A network meta-analysis was performed using R software (version 4.2.1) under the Bayesian theoretical framework. Subgroup analyses of survival outcomes (OS, PFS) were conducted based on different clinical and pathophysiological characteristics of the patients.   Results  A total of t wenty-eight phase II/III RCTs were included in the study, involving a total of 7 460 patients and 18 first-line treatment regimens. The results showed that in terms of efficacy, gefitinib + pemetrexed-containing chemotherapy performed best in OS and ORR, while osimertinib + bevacizumab performed best in PFS. In terms of safety, furmonertinib had the lowest incidence of ≥3 grade AEs, and osimertinib had the lowest incidence of SAEs. Subgroup analysis results indicated that the efficacy and safety of various treatment regimens differed among patients with different clinical and pathological characteristics.   Conclusion  Monotherapy with third-generation EGFR-TKIs, represented by osimertinib, serves as the preferred therapeutic option considering both efficacy and safety profiles. While some combination therapies can enhance survival benefits, but need to be vigilant about increased toxicity. Clinical decision-making should be tailored based on patient' mutation subtypes, comorbidities, and tolerance.
The Evolutionary Pattern of Meaning in Life Among University Students and Its Association with Depressive Symptoms
YU Yongju, HE Min
Accepted Manuscript  doi: 10.12206/j.issn.2097-2024.20240380
Abstract(6848) HTML(2173) PDF (985KB)(26)
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This study aimed to clarify the causal relationship between meaning in life and depression symptoms, explore the evolutionary patterns of meaning in life, and assess its impact on the incidence of depressive symptoms. A two-wave longitudinal study with a 12-month interval was conducted among 896 university students recruited from one university. The meaning in life questionnaire and the depression symptom screening questionnaire were administered. The findings showed that: 1)Meaning in life at T1 negatively predicted depression symptoms at T2. Conversely, depression symptoms at T1 did not significantly predict meaning in life at T2. 2)The evolutionary patterns of meaning in life from T1 to T2 could be categorized into four groups: sustained low meaning, meaning improvement, meaning reduction, and sustained high meaning. The incidence of depressive symptoms in these four groups was 13.00%, 5.00%, 12.00%, and 4.00%, respectively. 3)The evolutionary patterns of meaning in life significantly impacted the incidence of depressive symptoms. Compared to the sustained high meaning group, both the sustained low meaning group and the meaning reduction group exhibited significantly higher rates of depression symptoms. The results suggest that psychological health education in universities should focus on individuals with sustained low meaning or meaning reduction, and that enhancing meaning in life serves as an effective intervention approach to reducing the incidence of depression symptoms among university students.
Design, synthesis, and in vitro anti-inflammatory activity of novel Matrine derivatives
LU Yifei, SONG Jia, SHEN Hongxia, ZHAO Qingjie
Accepted Manuscript  doi: 10.12206/j.issn.2097-2024.202503005
Abstract(9264) HTML(4253) PDF (1044KB)(56)
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  Objective  The alkaloids contained in the Chinese herb Sophora flavescens have good anti-inflammatory activity. To investigate the structure-activity relationship between the novel Matrine and the anti-inflammatory activity by modifying the structure of Matrine .   Methods  Fourteen novel Matrine derivatives were obtained by chemical modification using Matrine as the lead compound with Matrine and M19 as positive controls. The cytotoxicity of Matrine derivatives against RAW264.7 cells was detected by the Cell Counting Kit 8 (CCK8) assay, and the relative amount of Nitric Oxide (NO) produced by Matrine derivatives against Lipopolysaccharide (LPS)-induced inflammation model of RAW264.7 cells was detected using an NO assay kit. The Enzyme-Linked Immunosorbent Assay (ELISA) d was used to detect the secretion of Interleukin-6 (IL-6) and Tumor Necrosis Factor Alpha (TNF) by Matrine derivatives in LPS-induced inflammation model of RAW264.7 cells.   Results  The novel Matrine derivatives all exhibited lower cytotoxicity compared with M19. The NO inhibition rates of the novel Matrine derivatives were all higher than that of Matrine, and some were higher than that of M19 , with compound A12 having the highest NO inhibition rate. Compounds A11 and A12 showed higher IL-6 inhibition than the control M19 . Additionally, compound A12 had higher TNF-α inhibition than the control M19 .   Conclusion  Compound A12 inhibited the strongest inhibition of NO, IL-6 and TNF-α release and had the best anti-inflammatory activity, which provided an important lead compound for this subsequent in-depth study.
The preventive and therapeutic effects of three ethanol extracts derived from three sources of Stellera chamaejasme L., on imiquimod-induced psoriasis in mice
PENG Ying, LIU Xin, NIE Yiwen, WANG Xinhe, NIAN Hua, ZHU Jianyong
Accepted Manuscript  doi: 10.12206/j.issn.2097-2024.202406029
Abstract(14662) HTML(3866) PDF (2882KB)(43)
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  Objective  To investigate the preventive and therapeutic effects of ethanol extracts derived from three sources of traditional Chinese medicine: Stellera chamaejasme L., Euphorbia fischeriana Steud., and Euphorbia kansuensis Prokh., on imiquimod (IMQ)-induced psoriasis in mice.   Methods  Thirty-six male BALB/c mice were randomly divided into the following 6 groups with 6 mice in each group: blank control, model, Stellera chamaejasme, Euphorbia fischeriana, Euphorbia kansuensis, and calcipotriol. PASI (Psoriasis Area and Severity Index) scores were used to record the changes of skin lesions in each group; HE (hematoxylin-eosin) staining was used to observe the pathological morphology of skin and measure the thickness of the epidermis. Immunohistochemistry was used to detect the expression of nuclear antigen Ki67 in the skin tissues of mice.   Results  Compared with the model group, the three kinds of ethanol extracts can reduce the PASI score, inhibit epidermal thickening, and decrease expression of Ki67 in the psoriasis mice. Among them, the therapeutic effect of Stellera chamaejasme was the most significant and it was better than the commonly used topical drug calcipotriol.   Conclusion  The ethanol extract of Stellera chamaejasme has good anti-psoriatic activity, can inhibit the abnormal proliferation of keratinocytes, can reduce the expression of Ki67, and can significantly improve psoriasis-like skin lesions.
Accepted Manuscript  doi: 10.12206/j.issn.2097-2024.
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Research progress on engineered tumor whole-cell vaccines
WANG Weifan, MIAO Fengze, TAI Zongguang, ZHU Quangang, CHEN Zhongjian, YU Cuiyun
2026, 44(5): 221-227.   doi: 10.12206/j.issn.2097-2024.202402014
Abstract(437) HTML(287) PDF (1111KB)(10)
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The emergence of immunotherapy has provided new optimism for cancer treatment. Tumor vaccine, a promising immunotherapy strategy, can be categorized into those with identified single or multiple antigens and those with unidentified whole-tumor antigens as their antigenic sources. Currently, mainstream tumor vaccines are still based on identified antigens. However, due to their limitations, tumor vaccines prepared based on whole tumor antigens have unique advantages. However, the low immunogenicity of whole-tumor antigen vaccines affected their clinical efficacy. To improve the immunogenicity, researchers have employed various strategies such as immunogenic death, genetic engineering modifications, cell membrane modifications, and tumor cell lysates, which demonstrated significant clinical potential. The research progress of engineering whole-cell vaccines based on tumor cells in recent years was reviewed in this paper, with a focus on their clinical progress and application prospects.
Advances in genomics of SGLT2 and clinical application of SGLT2 inhibitors
DENG Xiaoxia, TIAN Jing, SU Jianfen
2026, 44(5): 228-232.   doi: 10.12206/j.issn.2097-2024.202302006
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Sodium-glucose cotransporter 2 (SGLT2) is involved in most glucose reabsorption in the kidney. Inhibition of SGLT2 leads to the excretion of glucose through urine and represents an important concept in the treatment of type 2 diabetes. With the development of pharmacogenomics, it was found that SGLT2 gene polymorphism had certain effects on fasting blood glucose, glycosylated hemoglobin and insulin levels, and may affect the risk of type 2 diabetes and response to treatment with SGLT2 inhibitors, which is of great significance in the treatment of T2DM. Domestic and international studies on SGLT2 gene polymorphism were reviewed and effects of SGLT2 inhibitor (SGLT2i) in the treatment of T2DM were discussed in this paper.
Clinical research progress on RRx−001
GONG Yangyang, LOU Chunyang, ZHANG Huojun, MIAO Zhenyuan
2026, 44(5): 233-238, 246.   doi: 10.12206/j.issn.2097-2024.202402028
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It is difficult to treat malignant tumors, neurodegenerative diseases, and vascular diseases. For pathogenesis complexity of these diseases, researchers have focused on finding more drugs with high efficacy and low side effects. As a potential first-in-class drug, RRx−001 is expected to be an important first-line drug in tumor immunology, radiosensitizer and radio protecter. Currently, RRx−001 entered phase Ⅲ clinical trials. The data of the phase Ⅱ clinical trials demonstrated its safety and effectivity as a single agent and in combination with first-line clinical drugs. The novel mechanisms of RRx−001 and the result of main clinical trials were summarized, which could be valuable to further optimization and clinical application.
Original articles
Rapid identification of Plantago asiatica L. in different populations
XU Qian, WU Kexin, WANG Jiaru, HU Yunfei, XIE Ruonan, HONG Wenwen
2026, 44(5): 239-246.   doi: 10.12206/j.issn.2097-2024.202402036
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  Objective  To study the mini-character and microscopic features of Plantago asiatica from different populations and summarize the exclusive features to provide a reference for the effective identification of Plantago asiatica.   Methods  Stereomicroscope and optical microscope were used to identify 30 batches of Plantago asiatica from different populations.The similarities and differences in mini-character and microscopic features of Plantago asiatica among different populations were identified.   Results  The differences in mini character between the Plantago asiatica from different populations were mainly reflected in whether there was fluff on the surface of leaves, inflorescence peduncles, and persistent sepals, as well as whether the epidermis of fibrous roots was flaky. The differences in microscopic characteristics between the Plantago asiatica from different populations were mainly reflected in the number of non-glandular hairs on the leaf surface, the shape of the petiole endothelial layer cells, and the number of large vascular bundles, and the number of layers of mesophyll palisade tissue cells, etc.   Conclusion  Plantago asiatica from different populations can be identified through mini-character and microscopic; by comparing the relevant identification features, which can provide a basis for revising and improving the standards of Plantago asiatica.
Risk factors analysis and prediction model construction of SGLT2 inhibitor-associated euglycemic diabetic ketoacidosis
HUANG Wenhui, CHEN Xiufen, CHEN Jianming, HONG Yana, CAI Jingjing, CHEN Jinshan
2026, 44(5): 247-252.   doi: 10.12206/j.issn.2097-2024.202403056
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Abstract:
  Objective  To explore risk factors of sodium-dependent glucose transporters 2 (SGLT2) inhibitor-associated euglycemic diabetic ketoacidosis (euDKA) and to construct a risk prediction model.   Methods  A retrospective analysis was performed on the clinical data of type 2 diabetes patients treated with SGLT2 inhibitors in Dongnan Hospital of Xiamen University from January 2020 to December 2023, including age, gender and course of diabetes. The risk factors of SGLT2 inhibitor-associated euDKA were analyzed by univariate analysis and multivariate Logistic regression, and a prediction model was established. According to the receiver's operating characteristic (ROC) curve, the area under the curve (AUC) and the optimal critical value of the prediction model were determined. The prediction model was subjected to both internal and external validation.   Results  A total of 119 patients with type 2 diabetes treated with SGLT2 inhibitors were included in this study. Among them, there were 98 cases without euDKA (non-euDKA group)and 21 cases with euDKA (euDKA group). Multivariate Logistic regression analysis showed the DKA history (OR=114.153), appetite or diet decreased three days before admission (OR=21.774), elevated neutrophil count (OR=2.056) and pre-hospital adjustment of hypoglycemic agents (OR=45.745) were independent factors to increase risks of euDKA associated with SGLT2 inhibitors (P<0.05). Surgical history before admission was an independent factor to reduce this risk (OR=0.007, P<0.05). By establishing the calculation formula of the prediction model = neutrophil count+6.571 (DKA history)−6.874 (surgical history before admission)+4.273 (appetite or diet decreased three days before admission)+5.302 (pre-hospital adjustment of hypoglycemic drugs), the ROC curve was drawn. The AUC of the ROC of the prediction model was 0.982 (95%CI: 0.961-1.000, P<0.001), with accuracy of 94.96%, sensitivity of 0.905, specificity of 0.959 and a critical value of 7.405. The AUC of ROC curve after the model’s ten-fold cross validation was 0.930. And the accuracy of the external validation of the prediction model was 85.29%.   Conclusion  The DKA history, appetite or diet decreased three days before admission, elevated neutrophil count and pre-hospital adjustment of hypoglycemic agents increased the risk of SGLT2 inhibitor-associated euDKA, while the surgical history before admission reduced this risk. The risk prediction model constructed on this basis could better predict the risk of SGLT2 inhibitor-associated euDKA.
Preparation and properties of Zanthoxylum alkaloids thermosensitive hydrogel
LIN Meiyu, ZHOU Mingyue, HUANG Wenjia, SHEN Songzhang, SU Juan
2026, 44(5): 253-258, 267.   doi: 10.12206/j.issn.2097-2024.202512044
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Abstract:
  Objective  To prepare Zanthoxylum alkaloid thermosensitive hydrogel, optimize the preparation process and conduct related performance studies.   Methods  Zanthoxylum alkaloids were obtained by reflux extraction, followed by enrichment and purification using macroporous adsorption resin. Poloxamer 407 and Poloxamer 188 were used as substrates to prepare the thermosensitive hydrogel of Zanthoxylum alkaloids, and the preparation process was optimized by orthogonal design. The quality of the hydrogel was systematically evaluated based on its gelation temperature, gelation time, Fourier transform infrared (FTIR) spectroscopy, scanning electron microscopy (SEM) images, mechanical properties, and in vitro release profile.   Results  The optimal preparation conditions for the Zanthoxylum alkaloid thermosensitive hydrogel were: 20% (g/ml) poloxamer 407, 2% (g/ml) poloxamer 188 and 100 μg/ml Zanthoxylum alkaloid. The gelation temperature was 32.6℃, and the average gelling time was 143.3 s. The hydrogel appeared as a transparent liquid at room temperature and was transformed into a semi-solid gel state when the temperature exceeded 33℃. Experimental results confirmed the successful preparation of poloxamer 407 and poloxamer 188 thermosensitive hydrogel loaded with Zanthoxylum alkaloids, which exhibited good bio adhesion, self-healing properties, and tensile strength.   Conclusion  The Zanthoxylum alkaloid thermosensitive hydrogel demonstrated favorable mechanical properties and a sustained-release effect, showing promising potential for further development and application.
Establishment of in vitro biological activity evaluation system for OTULIN
XIA Zhewei, LI Yu, SHENG Chunquan
2026, 44(5): 259-263.   doi: 10.12206/j.issn.2097-2024.202601035
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Abstract:
  Objective  To establish an in vitro enzymatic activity evaluation system for OTULIN (OTU domain DUB with linear linkage specificity)and provide an experimental basis for OTULIN inhibitor screening.   Methods  The linear ubiquitin substrate protein His-Ub-Ub-Flag was designed, expressed, and purified. Using OTULIN80-352 as the target enzyme and PR619 as a positive control, the enzyme-to-substrate ratio and reaction time were optimized to establish an in vitro OTULIN activity evaluation system.   Results  The linear ubiquitin substrate protein His-Ub-Ub-Flag was successfully obtained. OTULIN activity was significantly inhibited by PR619, which confirmed the feasibility of the assay. The optimal enzyme-to-substrate ratio of OTULIN80-352 to His-Ub-Ub-Flag was 1∶16, and the optimal reaction condition was incubation at 37℃ for 20 min.   Conclusion  An in vitro enzymatic activity evaluation system for OTULIN was successfully established, which could be used to evaluate the inhibitory effects of candidate compounds on OTULIN activity and provide technical support for subsequent screening of OTULIN small-molecule inhibitors.
Medicine & Clinical
Analysis of the efficacy of colistin sulfate combined with cefoperazone and sulbactam in the treatment of pan-resistant Acinetobacter baumannii intrapulmonary infection
GE Pengcheng, SU Riguga, REN Tianshu, DANG Dasheng
2026, 44(5): 264-267.   doi: 10.12206/j.issn.2097-2024.202404093
Abstract(7784) HTML(2690) PDF (972KB)(20)
Abstract:
  Objective  To compare the effecacy of colistin sulphate with cefoperazone and sulbactam in the treatment of pan-resistant Acinetobacter baumannii with the combination therapy of tigecycline with cefoperazone and baubactam.   Methods  By retrospective analysis, 216 ICU patients with pneumonia diagnosed with Acinetobacter baumannii from January 1, 2019 to July 31, 2021 were propensity matching divided into a test group (71) and a control group (145) by 1∶2. The test group was treated with colistin sulfate combined with cefoperazone and sulbactam, the control group was treated with tigecycline combined with cefoperazone and sulbactam. According to the changes of clinical symptoms and indicators before and after treatment in the two groups, the clinical response rate, bacterial clearance rate and 28 d mortality rate of the two groups were observed.   Results  The early clinical response and bacterial clearance of the test group were higher than that of the control group (P<0.05); At the end of treatment, the clinical response rate and 28 d mortality were not statistically significant.   Conclusion  Colistin sulfate combined with cefoperazone and sulbactam was comparable to its efficacy and was superior to tigecycline combined with cefoperazone and sulbactam group in early assessment of clinical efficacy and bacterial clearance.
Participation of clinical pharmacists in patient with extreme thrombocytosis induced by piperacillin sodium and tazobactam sodium injection
LI Xia, SUN Yue, FU Xiaofei
2026, 44(5): 268-271.   doi: 10.12206/j.issn.2097-2024.202601008
Abstract(1244) HTML(648) PDF (840KB)(31)
Abstract:
  Objective  To analyze the clinical characteristics and risk factors of extreme thrombocytosis caused by piperacillin sodium and tazobactam sodium injection, and provide reference for medical treatment and pharmaceutical care of such patients.   Methods  Extreme thrombocytosis of a patient treated with piperacillin sodium and tazobactam sodium injection was found by clinical pharmacists, who participated in clinical diagnosis and treatment by analyzing of the adverse drug reaction, optimization of the medical treatment and pharmaceutical care.   Results  After correlation analysis, the patient's extreme thrombocytosis was likely to be an adverse reaction caused by the piperacillin sodium and tazobactam sodium injection. The medication was immediately discontinued, and antiplatelet therapy with aspirin was administered. Two weeks later, the patient's platelet count had significantly decreased compared to before.   Conclusion  Clinical pharmacists participated in patients’ clinical diagnosis and treatment, carried out pharmaceutical care and assisted physicians in adjusting treatment plans, which ensured the safety and effectiveness of patients' clinical drug therapy.
2026, 44(5): 272-274.   doi: 10.12206/j.issn.2097-2024.202405033
Abstract(438) HTML(266) PDF (841KB)(5)
Abstract:
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Chief Editor: LI Jie Wei

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ISSN 2097-2024   CN  31-2185/R

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