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2024 Vol. 42, No. 5

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Research progress on the mechanism of gut microbiota participating in diabetes nephropathy
XU Fei, CHEN Jin, LU Yuhan, LI Zhiyong
2024, 42(5): 181-184, 197. doi: 10.12206/j.issn.2097-2024.202312023
Abstract(6093) HTML (2281) PDF (1193KB)(44)
Abstract:
With the increasing prevalence of diabetes, the prevention and treatment of diabetes nephropathy have become a worldwide problem. The molecular mechanism of the occurrence and development of diabetes nephropathy is still unclear, but many studies in recent years have shown that gut microbiota plays an important role in the progress on diabetes nephropathy. The research progress on the mechanism of gut microbiota participating in diabetes nephropathy was reviewed in this article.
Research progress on the pharmacological effects of maslinic acid
ZHANG Linchen, ZHANG Xiaoqin, ZHANG Junping
2024, 42(5): 185-189. doi: 10.12206/j.issn.2097-2024.202307052
Abstract(8576) HTML (4094) PDF (888KB)(27)
Abstract:
Maslinic acid is a pentacyclic triterpenoid that is widely found in natural plants such as olives and hawthorns. Maslinic acid has anti-tumor, anti-inflammation, anti-oxidation, antibacterial, cardiovascular protection, neuroprotection, and other pharmacological effects. In this paper, the research progress of pharmacological activities and the mechanism of action of maslinic acid were reviewed, which provides the basis for the development and utilization of maslinic acid in the future.
Efficacy and mechanism of astragaloside Ⅳ derivatives on chronic heart failure in mice
JING Kai, YANG Cirong, ZHANG Zhen, ZANG Yibei, LIU Xia
2024, 42(5): 190-197. doi: 10.12206/j.issn.2097-2024.202310004
Abstract(8002) HTML (1527) PDF (2092KB)(35)
Abstract:
  Objective  To evaluate the pharmacodynamics of astragaloside Ⅳ derivatives for chronic heart failure, screen the candidate compounds and preliminarily explore the mechanism of the candidate compound HHQ16 against heart failure.   Methods  Chronic heart failure was induced by left anterior descending artery ligation in C57BL/6 mice for 4 weeks, and the mice were divided into 4 groups, including sham group, model group, positive control captopril group, and astragaloside Ⅳ derivatives group. After continuous intragastric administration for four weeks, the cardiac function was detected by echocardiography, and the optimal astragaloside Ⅳ derivative HHQ16 was selected for the treatment of heart failure. The preliminary mechanism for HHQ16 was further explored. The size of heart was observed by gross morphology; pathological changes were observed by HE staining; collagen deposition in the myocardium was observed by Masson staining; protein levels of myocardial fibrosis indexes COL1, COL3, and αSMA were detected by immunohistochemical staining, and mRNA levels of myocardial fibrosis indexes COL1, COL3, αSMA, and TGF-β1 were determined by qPCR technique.   Results  All astragaloside Ⅳ derivatives significantly improved cardiac function with increasing LVEF and LVFS, of which HHQ16 was the optimal compound. Compared with the model group, the heart volume of HHQ16 group was significantly reduced; myocardial hypertrophy was reduced; collagen deposition in myocardial tissues was reduced; and myocardial fibrosis indexes, COL1, COL3, αSMA and TGF-β1 mRNA levels, as well as the protein levels of COL1, COL3 and αSMA were significantly reduced.   Conclusion  HHQ16 is an optimal astragaloside Ⅳ derivatives for the treatment of chronic heart failure in mice, which could improve cardiac function by improving myocardial remodeling, and inhibit myocardial hypertrophy and myocardial fibrosis.
Construction and validation of a mouse model with systemic overexpression of human METRNL gene
WANG Xuelian, ZHENG Sili, LI Zhiyong, LUO Hengyu, MIAO Chaoyu
2024, 42(5): 198-202, 222. doi: 10.12206/j.issn.2097-2024.202311014
Abstract(6102) HTML (1709) PDF (1815KB)(33)
Abstract:
  Objective  To generate mice with whole-body overexpression of human METRNL gene.   Methods  Based on Cre-loxP system, Dppa3-Cre mice were mated with Rosa26-LSL-METRNL knock-in mice(R26-LSL-METRNL+/-)to generate R26-L-METRNL+/- mice. The genotypes of the offsprings were identified, and tissues of the blood, heart, liver, spleen, lung, kidney, brain, white adipose and muscle were collected. The expression of human METRNL gene in mice was investigated by quantitative real-time PCR, western blot and enzyme linked immunosorbent assay.   Results  Compared with wild type control mice, human METRNL in R26-L-METRNL+/- mice significantly expressed at both mRNA and protein levels in tissues, with abundant METRNL protein in blood.   Conclusion  The mouse model overexpressing human METRNL gene(R26-L-METRNL+/- mouse)was successfully constructed.
Study on spectrum-effect relationship based on antioxidant activity of Artemisiae Annuae Herba
LAI Liyong, XIA Tianshuang, XU Shengyan, JIANG Yiping, YUE Xiaoqiang, XIN Hailiang
2024, 42(5): 203-210, 216. doi: 10.12206/j.issn.2097-2024.202211012
Abstract(4668) HTML (2041) PDF (1991KB)(104)
Abstract:
  Objective  To screen the pharmacodynamic material basic components of Artemisiae Annuae Herba and study its antioxidant activity in vitro by investigating the spectrum-effect relationship between the HPLC fingerprints of 11 batches of Artemisiae Annuae Herba (dried aerial part of Artemisia annua L.).   Methods   The determination was performed on Aglient C18 column (250 mm×4.6 mm, 5 μm) with mobile phase consisted of 0.2% phosphoric acid solution-Methanol (gradient elution) at the flow rate of 1.0 ml/min. The column temperature was indoor temperature, and detection wavelength was 220 nm, with sample size of 10 μl. Using isochlorogenic acid A as reference, HPLC fingerprints of 11 batches of samples were determined. The common peaks of 11 batches of samples were identified and recorded through TCM chromatographic fingerprint similarity evaluation system (2012 edition). Using scavenging rate of DPPH and ABTS free radical as pharmacodynamic indicators of antioxidant effects, SIMCA 14.1 analysis software was used for PLSR to establish the spectra-effect relationship.   Results   There were 48 common peaks on 11 batches of sample, 11 components were identified as scopoletin, scoparone, isochlorogenic acid B, A, C, luteolin, apigenin, chrysosplenetin, artemisinin, artemisetin and artemisinic acid. The scavenging activity of 11 batches of samples to DPPH and ABTS free radicals was detected. The spectrum-effect relationship showed that isochlorogenic acid A, B, C and scoparone were positively associated with its antioxidant capacity, and variable projection value was greater than 1. It was suggested that these components were the material basis of antioxidant effect in Artemisiae Annuae Herba.   Conclusion   This study investigates the antioxidant capacity of different substances in Artemisiae Annuae Herba in vitro, and proves that isochlorogenic acid A,B, C and scoparone play a major role for the antioxidant capacity.
Therapeutic effect of Xiaofeng Zhiyang granules on acute itching in mice with atopic dermatitis by decreasing leukotriene
DING Huamin, GUO Yuchen, QIN Chunxia, SONG Zhibing, SUN Lili
2024, 42(5): 211-216. doi: 10.12206/j.issn.2097-2024.202306031
Abstract(5096) HTML (1149) PDF (1921KB)(5)
Abstract:
  Objective  To establish a mice model of atopic dermatitis with acute itching and investigate the antipruritic effect and its mechanism of Xiaofeng Zhiyang granules(XFZYG).   Methods  A mice model of atopic dermatitis was prepared by induction method. Mice were sensitized by calcipotriol and ovalbumin (OVA) applying to the right ear daily for 10 days, and then stimulated by OVA injected intradermally into the right cheek to resulting in acute itching. These mice were divided into 5 groups: blank control group, model group, low dose (7.2 g/kg) and high dose (14.4 g/kg) of XFZYG, and positive control group (montelukast 5 mg/kg). Drugs were administered by gavage at 12 h and 30 min before stimulation. The leukotriene levels in the serum of the mice were measured by Elisa and the basophil ratio and activation status in the blood were measured by flow cytometry.   Results  The mean number of scratches in the model group was 56 between 30 min and 60 min after stimulation, while the mean number of scratches in the low and high dose of XFZYG groups were 42 and 23 respectively, which were significantly lower than those in the model group (P<0.05). The serum leukotriene levels and the proportion of basophils in the low and high dose of XFZYG groups were significantly lower than those in the model group (P<0.05).   Conclusion  XFZYG had certain therapeutic effect on acute itching of atopic dermatitis in mice, and the mechanism of its action was related to the reduction of leukotriene level and basophil ratio in serum of mice with atopic dermatitis .
Correlation between immune related adverse reactions in patients treated with pembrolizumab and Traditional Chinese Medicine constitution
TANG Shuhui, FENG Meijuan, XUE Zhixia, LU Guihua
2024, 42(5): 217-222. doi: 10.12206/j.issn.2097-2024.202311029
Abstract(5756) HTML (975) PDF (961KB)(17)
Abstract:
  Objective  To explore the correlation between the immune related adverse (irAEs) reactions in patients treated with pembrolizumab and traditional Chinese Medicine (TCM) constitution.   Methods  A total of 110 patients diagnosed with non-small cell lung cancer for the first time were selected. When receiving pembrolizumab immunotherapy for the first time, a general information questionnaire, a TCM constitution classification and judgment scale, an immune related adverse reaction follow-up record book, and a patient's self-perception diary were used to investigate and analyze the TCM syndrome and adverse reactions of the patients.   Results  Among non-small cell lung cancer patients, there were more than four TCM constitutions, with 48 cases (43.64%) having a calm constitution, 20 cases (18.18%) having a biased constitution, 30 cases (27.27%) having a yang deficiency constitution, and 12 cases (10.91%) having a yin deficiency constitution. Qi deficiency and Yang deficiency were more prone to fatigue, while Yang deficiency was more prone to rash; Qi deficiency and Yin deficiency were more prone to itching; Yang deficiency was more prone to diarrhea; Non-small cell lung cancer patients with mild constitution were less prone to immune related adverse reactions.   Conclusion  TCM constitution is related to irAEs, which could predict the occurrence of immune related adverse reactions from the perspective of TCM constitution and intervene in adverse reactions early.
Analysis of pulmonary infection of Pseudomonas aeruginosa combined with Elizabethkingia anophelis
YIN Xiaojuan, TAI Lili, XIAO Junfeng, JI Bo
2024, 42(5): 223-226. doi: 10.12206/j.issn.2097-2024.202310042
Abstract(4483) HTML (1672) PDF (899KB)(23)
Abstract:
  Objective  To investigate the risk factors of infection of Pseudomonas aeruginosa combined with Elizabethkingia anophelis in patients with cerebral hemorrhage and the antimicrobial treatment plan.   Methods  Clinical pharmacists participated in the treatment of pulmonary infection caused by Pseudomonas aeruginosa combined with Elizabethkingia anophelis in a patient with cerebral hemorrhage. The risk factors of Elizabethkingia anophelis infection and antimicrobial treatment plan were analyzed by referring to literature and combining the patient’s condition, medical history, drug use history and related examination results.   Results  Based on the infection site, the characteristics of mixed bacterial infection, and the metabolic/pharmacodynamic characteristics of antimicrobial agents, clinical pharmacists made drug recommendations for clinicians in the adjustment of anti-infection protocols, and patients’ systemic infections were effectively controlled.   Conclusion  Elizabethkingia anophelis is a conditional pathogen with low virulence and is not easy to infect healthy people. When the patient's immunity is low, it is easy to transform into pathogenic bacteria, which should be paid attention to.