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1.
Molecules ; 27(7)2022 Mar 29.
Article in English | MEDLINE | ID: mdl-35408615

ABSTRACT

The flower of Abelmoschus manihot L. is mainly used for the treatment of chronic kidney diseases, and has been reported to have bioactivities such as antioxidant, anti-inflammatory, antiviral, and antidepressant activities. This study used wild-type adult zebrafish as an animal model to elucidate the potential bioactivity of A. manihot flower ethanol extract (AME) in enhancing their sexual and reproductive functions. Zebrafish were fed AME twice a day at doses of 0.2%, 1%, and 10% for 28 days, and were then given the normal feed for an additional 14 days. The hormone 17-ß estradiol was used as the positive control. Sexual behavioral parameters such as the number of times males chased female fish, the production of fertilized eggs, and the hatching rate of the fertilized eggs were recorded at days 0.33, 7, 14, 21, 28, and 42. The expression levels of sex-related genes­including lhcgr, ar, cyp19a1a, and cyp19a1b­were also examined. The results showed that the chasing number, fertilized egg production, and hatching rate were all increased with the increase in the AME treatment dose and treatment time. After feeding with 1% and 10% AME for 28 days, the chasing number in the treated group as compared to the control group increased by 1.52 times and 1.64 times, respectively; the yield of fertilized eggs increased by 1.59 times and 2.31 times, respectively; and the hatching rate increased by 1.26 times and 1.69 times, respectively. All three parameters exhibited strong linear correlations with one another (p < 0.001). The expression of all four genes was also upregulated with increasing AME dose and treatment duration. When feeding with 0.2%, 1%, and 10% AME for 28 days, the four sex-related genes were upregulated at ranges of 1.79−2.08-fold, 2.74−3.73-fold, and 3.30−4.66-fold, respectively. Furthermore, the effect of AME was persistent, as the promotion effect continued after the treatment was stopped for at least two weeks. The present findings suggest that AME can enhance the endocrine system and may improve libido and reproductive performance in zebrafish.


Subject(s)
Abelmoschus , Animals , Female , Flowers , Male , Plant Extracts/pharmacology , Sexual Arousal , Zebrafish
2.
Taiwan J Obstet Gynecol ; 61(1): 70-74, 2022 Jan.
Article in English | MEDLINE | ID: mdl-35181049

ABSTRACT

OBJECTIVE: Endometriosis, defined as the growth of endometrial glands and stromal cells in a heterotopic location under the cyclic influence of ovarian hormones, is a common gynecological disorder manifested by chronic pelvic pain and infertility. In traditional Chinese medicine, endometriosis is characterized by stagnation of vital energy (qi) and blood stasis. Guizhi Fuling Wan (GFW) was first described in Chinese canonical medicine to treat disorders associated with stagnation of qi and blood stasis, including endometriosis. Therefore, the current study aimed to test the effects of combining GFW with western medicine on the suppression of endometriosis. MATERIALS AND METHODS: Endometriosis was generated by suturing endometrial tissue on the peritoneal wall of C57BL/6JNarl mice. The mice were subsequently treated with either GFW or current hormonal therapies or in combination for 28 days. RESULTS: Endometriosis development was inhibited by GFW, Gestrinone, Visanne, GFW + Gestrinone or GFW + medroxyprogesterone acetate (MPA). The expression of intercellular adhesion molecule 1 (ICAM-1) was inhibited by GFW, Gestrinone, MPA, Visanne, GFW + Gestrinone, GFW + MPA and GFW + Visanne. Vascular endothelial growth factor (VEGF) expression was inhibited by GFW, Gestrinone, Visanne, GFW + Gestrinone and GFW + MPA. Both ICAM-1- and VEGF-reducing effects of GFW were attenuated by western medicines. Administration of GFW, MPA, Visanne, GFW + MPA and GFW + Visanne also correspondingly reduced macrophage population in peritoneal fluid. GFW, MPA, Visanne, GFW + MPA and GFW + Visanne enhanced B-cell population in peritoneal fluid. CONCLUSION: The current study reveals the therapeutic effects of GFW on endometriosis. However, the combination of GFW and current hormonal therapies potentially impedes the efficacy of each individual agent in treating endometriosis.


Subject(s)
Drugs, Chinese Herbal/therapeutic use , Endometriosis/drug therapy , Gestrinone/therapeutic use , Intercellular Adhesion Molecule-1/drug effects , Medroxyprogesterone Acetate/therapeutic use , Vascular Endothelial Growth Factor A/drug effects , Animals , Female , Mice , Mice, Inbred C57BL
3.
Molecules ; 25(24)2020 Dec 10.
Article in English | MEDLINE | ID: mdl-33321921

ABSTRACT

The proliferation and migration of vascular smooth muscle cells (VSMCs) are essential in the pathogenesis of various vascular diseases, such as atherosclerosis and restenosis. Among the mediators of VSMC during atherosclerosis development, platelet-derived growth factor (PDGF)-BB is a potent mitogen for VSMCs and greatly contributes to the intimal accumulation of VSMCs. Glossogyne tenuifolia (GT, Xiang-Ru) is a traditional antipyretic and hepatoprotective herb from Penghu Island, Taiwan. This study evaluated the inhibitory effect of GT ethanol extract (GTE) and GT water extract (GTW) on proliferative and migratory activities in PDGF-BB-induced VSMCs. The experimental results demonstrated that GTE significantly inhibited the PDGF-BB-stimulated VSMC proliferation and migration, as shown by MTT, wound healing, and Boyden chamber assays. GTE was found to have a much more potent inhibitory activity than GTW. Based on the Western blot analysis, GTE significantly blocked the PDGF-BB-induced phosphorylation of NF-κB and mitogen-activated protein kinase (MAPK) pathways, including extracellular signal-regulated kinase (ERK), p38, and JNK, in VSMCs. In addition, GTE retarded the PDGF-BB-mediated migration through the suppression of matrix metalloproteinase (MMP)-2 and MMP-9 expression in VSMCs. Three main ingredients of GT-chlorogenic acid, luteolin-7-glucoside, and luteolin-all showed significant anti-proliferative effects on PDGF-BB-induced VSMCs. As a whole, our findings indicated that GTE has the potential to be a therapeutic agent to prevent or treat restenosis or atherosclerosis.


Subject(s)
Muscle, Smooth, Vascular/drug effects , Myocytes, Smooth Muscle/drug effects , Plant Extracts/chemistry , Plant Extracts/pharmacology , Plants, Medicinal/chemistry , Animals , Aorta , Becaplermin/pharmacology , Cell Movement/drug effects , Cell Proliferation/drug effects , Cells, Cultured , Dose-Response Relationship, Drug , Mitogen-Activated Protein Kinases , NF-kappa B , Plant Extracts/isolation & purification , Rats , Signal Transduction , Taiwan
4.
Molecules ; 25(18)2020 Sep 14.
Article in English | MEDLINE | ID: mdl-32937928

ABSTRACT

Antrodia cinnamomea (AC) has been shown to have anti-inflammatory, anti-tumor, and immunomodulation activities. It is estimated that hundreds of metric tons of AC extraction waste (ACEW) are produced per year in Taiwan. This study aims to assess the feasibility of applying ACEW as feed supplement in the aquaculture industry. ACEW significantly inhibited the growth of microorganisms in the water tank, by around 39.4% reduction on the fifth day with feed supplemented of 10% ACEW. The feed conversion efficiency of zebrafish with 10% ACEW supplementation for 30 days was 1.22-fold compared to that of the control. ACEW dramatically improved the tolerances of zebrafish under the heat and cold stresses. When at water temperature extremes of 38 °C or 11 °C, compared to the 100% mortality rate in the control group, the 10% ACEW diet group still had 91.7% and 83.3% survival rates, respectively. In a caudal fin amputation test, the fin recovery of zebrafish was increased from 68.4% to 93% with 10% ACEW diet after 3-week regeneration. ACEW effectively down-regulated the gene expression of TNF-α, IL-1ß, IL-6, and IL-10, and up-regulated the gene expression of IL-4/13A. Additionally, the supplement of ACEW in the feed can maintain and prevent the fish's body weight from dropping too much under enteritis. Taken together, ACEW has beneficial potential in aquaculture.


Subject(s)
Aquaculture , Industrial Waste , Polyporales/chemistry , Regeneration/drug effects , Amputation, Surgical , Animal Feed , Animals , Anti-Infective Agents/chemistry , Anti-Inflammatory Agents/chemistry , Body Weight/drug effects , Cold Temperature , Dietary Supplements , Female , Hot Temperature , Hydrogen-Ion Concentration , Inflammation/drug therapy , Male , Polysaccharides/chemistry , Triterpenes/chemistry , Water/analysis , Zebrafish/physiology
5.
Molecules ; 23(12)2018 Dec 13.
Article in English | MEDLINE | ID: mdl-30551590

ABSTRACT

Bulnesia sarmientoi (BS) has long been used as an analgesic, wound-healing and anti-inflammatory medicinal plant. The aqueous extract of its bark has been demonstrated to have anti-cancer activity. This study investigated the anti-proliferative and anti-metastatic effects of BS supercritical fluid extract (BSE) on the A549 and H661 lung cancer cell lines. The cytotoxicity on cancer cells was assessed by an MTT assay. After 72 h treatment of A549 and H661 cells, the IC50 values were 18.1 and 24.7 µg/mL, respectively. The cytotoxicity on MRC-5 normal cells was relatively lower (IC50 = 61.1 µg/mL). BSE arrested lung cancer cells at the S and G2/M growth phase. Necrosis of A549 and H661 cells was detected by flow cytometry with Annexin V-FITC/PI double staining. Moreover, the cytotoxic effect of BSE on cancer cells was significantly reverted by Nec-1 pretreatment, and BSE induced TNF-α and RIP-1 expression in the absence of caspase-8 activity. These evidences further support that BSE exhibited necroptotic effects on lung cancer cells. By wound healing and Boyden chamber assays, the inhibitory effects of BSE on the migration and invasion of lung cancer cells were elucidated. Furthermore, the chemical composition of BSE was examined by gas chromatography-mass analysis where ten constituents of BSE were identified. α-Guaiene, (-)-guaiol and ß-caryophyllene are responsible for most of the cytotoxic activity of BSE against these two cancer cell lines. Since BSE possesses significant cytotoxicity and anti-metastatic activity on A549 and H661 cells, it may serve as a potential target for the treatment of lung cancer.


Subject(s)
Apoptosis/drug effects , Chromatography, Supercritical Fluid , Lung Neoplasms/pathology , Plant Extracts/pharmacology , Zygophyllaceae/chemistry , Cell Cycle/drug effects , Cell Line, Tumor , Cell Movement/drug effects , Cell Proliferation/drug effects , Cisplatin/pharmacology , Humans , Necrosis , Neoplasm Invasiveness , Neoplasm Metastasis , Plant Extracts/chemistry , Wound Healing/drug effects
6.
Molecules ; 22(10)2017 Oct 21.
Article in English | MEDLINE | ID: mdl-29065451

ABSTRACT

Metabolic syndrome typically includes Type 2 diabetes associated with hyperglycemia, central obesity, dyslipidemia and hypertension. It is highly related to oxidative stress, formation of advanced glycated end products (AGEs) and key enzymes, such as carbohydrate digesting enzymes like pancreatic α-amylase and intestinal α-glucosidase, pancreatic lipase and angiotensin I-converting enzyme (ACE). This study used an in vitro approach to assess the potential of four extracts of Siegesbeckia orientalis linne on key enzymes relevant to metabolic syndrome. In this research, S. orientailis was firstly extracted by ethanol. The ethanol extract (SE) was then partitioned sequentially with hexane, ethyl acetate and methanol, and these extracts were named SE-Hex, SE-EA and SE-MeOH, respectively. The experimental results showed that SE-EA had the highest total phenolic content (TPC, 76.9 ± 1.8 mg/g) and the total flavonoids content (TFC, 5.3 ± 0.3 mg/g). This extract exhibited the most significant antioxidant activities, including DPPH radical-scavenging capacity (IC50 = 161.8 ± 2.4 µg/mL), ABTS radical-scavenging capacity (IC50 = 13.9 ± 1.5 µg/mL) and reducing power. For anti-glycation activities, SE-EA showed the best results in the inhibition of AGEs, as well as inhibitory activities against α-glucosidase (IC50 = 362.3 ± 9.2 µg/mL) and α-amylase (IC50 = 119.0 ± 17.7 µg/mL). For anti-obesity activities, SE-EA indicated the highest suppression effect on pancreatic lipase (IC50 = 3.67 ± 0.52 mg/mL). Finally, for anti-hypertension activity, SE-EA also demonstrated the strongest inhibitory activity on ACE (IC50 = 626.6 ± 15.0 µg/mL). Close relationships were observed among the parameters of TPC, antioxidant activities, inhibitory activities on α-amylase, α-glucosidase, lipase and ACE (R > 0.9). Moderate correlations were found among the parameters of TFC, antioxidant activities, and suppression of dicarbonyl compounds formation (R = 0.5-0.9). Taken together these in vitro studies reveal the therapeutic potential of SE-EA extract in the prevention and treatment of metabolic disorders.


Subject(s)
Antioxidants/pharmacology , Glycation End Products, Advanced/antagonists & inhibitors , Hyperglycemia/drug therapy , Metabolic Syndrome/enzymology , Plant Extracts/pharmacology , Angiotensin-Converting Enzyme Inhibitors/chemistry , Angiotensin-Converting Enzyme Inhibitors/pharmacology , Antioxidants/chemistry , Asteraceae/chemistry , Flavonoids/chemistry , Flavonoids/pharmacology , Glycation End Products, Advanced/chemistry , Glycoside Hydrolase Inhibitors/chemistry , Glycoside Hydrolase Inhibitors/pharmacology , Humans , Hyperglycemia/enzymology , Hyperglycemia/pathology , Lipase/antagonists & inhibitors , Metabolic Syndrome/drug therapy , Metabolic Syndrome/pathology , Oxidative Stress/drug effects , Pancreatic alpha-Amylases/antagonists & inhibitors , Plant Extracts/chemistry , alpha-Glucosidases/chemistry
7.
Molecules ; 21(8)2016 Aug 05.
Article in English | MEDLINE | ID: mdl-27527140

ABSTRACT

Type II endometrial carcinoma typically exhibits aggressive metastasis and results in a poor prognosis. Siegesbeckia orientalis Linne is a traditional Chinese medicinal herb with several medicinal benefits, including the cytotoxicity against various cancers. This study investigates the inhibitory effects of S. orientalis ethanol extract (SOE) on the migration and invasion of endometrial cancer cells, which were stimulated by transforming growth factor ß (TGFß). The inhibitory effects were evaluated by determining wound healing and performing the Boyden chamber assay. This study reveals that SOE can inhibit TGFß1-induced cell wound healing, cell migration, and cell invasion in a dose-dependent manner in RL95-2 and HEC-1A endometrial cancer cells. SOE also reversed the TGFß1-induced epithelial-mesenchymal transition, including the loss of the cell-cell junction and the lamellipodia-like structures. Western blot analysis revealed that SOE inhibited the phosphorylation of ERK1/2, JNK1/2, and Akt, as well as the expression of MMP-9, MMP-2, and u-PA in RL95-2 cells dose-dependently. The results of this investigation suggest that SOE is a potential anti-metastatic agent against human endometrial tumors.


Subject(s)
Asteraceae/chemistry , Endometrial Neoplasms/metabolism , Ethanol/pharmacology , MAP Kinase Signaling System/drug effects , Transforming Growth Factor beta1/adverse effects , Cell Line, Tumor , Cell Movement/drug effects , Cell Proliferation/drug effects , Dose-Response Relationship, Drug , Drug Screening Assays, Antitumor , Endometrial Neoplasms/drug therapy , Endometrial Neoplasms/pathology , Ethanol/chemistry , Female , Humans , Neoplasm Invasiveness , Plant Extracts/chemistry , Plant Extracts/pharmacology
8.
Int J Mol Sci ; 16(6): 12424-35, 2015 Jun 02.
Article in English | MEDLINE | ID: mdl-26042464

ABSTRACT

Pogostemon cablin (PC) is a traditional herbal medicine used in the treatment of the common cold, nausea, diarrhea, and even for headaches and fever. However, the mechanisms underlying the anti-proliferative activity of PC in endometrial cancer (EC) cells have yet to be fully elucidated. This study investigated the anticancer effects of an aqueous extract of Pogostemon cablin (PCAE), specifically induced apoptosis in EC (Ishikawa) cells. Proliferation of EC cells following exposure to PCAE was assessed by an MTT assay. DNA content and the induction of cell cycle apoptosis were analyzed by flow cytometry (FACS Calibur). Protein caspase-3 and, -9 as well as AIF were investigated using Western blot. Our results demonstrate growth inhibition of Ishikawa cells by PCAE. Furthermore, caspase-3 activity caused PCAE-treated cell lines to accumulate in apoptosis. Gene expression profiling (GEP) results further suggest that, in addition to its known effects with regard to EC prevention, PCAE may also exert antitumor activity on established EC cells. Many previous studies have identified the chemo-preventive effects of natural plant materials and the potential role of these materials in chemotherapy. This current study used human EC Ishikawa cells to investigate the anti-tumor effects of PCAE in EC cells. Our results demonstrate that PCAE inhibits the growth of cancer cells and induces apoptosis, which suggests the potential applicability of PCAE as an antitumor agent.


Subject(s)
Antineoplastic Agents/pharmacology , Endometrial Neoplasms/metabolism , Gene Expression Regulation, Neoplastic/drug effects , Lamiaceae/chemistry , Plant Extracts/pharmacology , Apoptosis , Caspase 3/metabolism , Caspase 9/metabolism , Cell Line, Tumor , Cell Proliferation/drug effects , Cell Survival/drug effects , Endometrial Neoplasms/drug therapy , Endometrial Neoplasms/genetics , Female , Humans , Membrane Potential, Mitochondrial/drug effects
9.
Molecules ; 19(12): 19980-94, 2014 Dec 01.
Article in English | MEDLINE | ID: mdl-25470271

ABSTRACT

Endometrial cancer is a common malignancy of the female genital tract. This study demonstrates that Siegesbeckia orientalis ethanol extract (SOE) significantly inhibited the proliferation of RL95-2 human endometrial cancer cells. Treating RL95-2 cells with SOE caused cell arrest in the G2/M phase and induced apoptosis of RL95-2 cells by up-regulating Bad, Bak and Bax protein expression and down-regulation of Bcl-2 and Bcl-xL protein expression. Treatment with SOE increased protein expression of caspase-3, -8 and -9 dose-dependently, indicating that apoptosis was through the intrinsic and extrinsic apoptotic pathways. Moreover, SOE was also effective against A549 (lung cancer), Hep G2 (hepatoma), FaDu (pharynx squamous cancer), MDA-MB-231 (breast cancer), and especially on LNCaP (prostate cancer) cell lines. In total, 10 constituents of SOE were identified by Gas chromatography-mass analysis. Caryophyllene oxide and caryophyllene are largely responsible for most cytotoxic activity of SOE against RL95-2 cells. Overall, this study suggests that SOE is a promising anticancer agent for treating endometrial cancer.


Subject(s)
Asteraceae/chemistry , Endometrial Neoplasms/pathology , Ethanol/chemistry , Plant Extracts/pharmacology , Apoptosis/drug effects , Blotting, Western , Cell Cycle/drug effects , Cell Line, Tumor , Cell Proliferation/drug effects , Cell Shape/drug effects , Female , Gas Chromatography-Mass Spectrometry , Humans
10.
Biomed Res Int ; 2014: 329712, 2014.
Article in English | MEDLINE | ID: mdl-25328884

ABSTRACT

This study aims to investigate the anti-inflammatory responses and mechanisms of Siegesbeckia orientalis ethanol extract (SOE). In cell culture experiments, RAW264.7 cells were pretreated with SOE and stimulated with lipopolysaccharide (LPS) for inflammatory mediators assay. In animal experiments, mice were tube-fed with SOE for 1 week, and s.c. injected with λ-carrageenan or i.p. injected with LPS to simulate inflammation. The degree of paw edema was assessed, and cytokine profile in sera and mouse survival were recorded. Data showed that SOE significantly reduced NO, IL-6, and TNF-α production in LPS-stimulated RAW264.7 cells. In vivo studies demonstrated that mice supplemented with 32 mg SOE/kg BW/day significantly lowered sera IL-6 level and resulted a higher survival rate compared to the control group (P = 0.019). Furthermore, SOE inhibited LPS-induced NF-κB activation by blocking the degradation of IκB-α. The SOE also reduced significantly the phosphorylation of ERK1/2, p38, and JNK in a dose-dependent manner. In summary, the in vitro and in vivo evidence indicate that SOE can attenuate acute inflammation by inhibiting inflammatory mediators via suppression of MAPKs- and NF-κB-dependent pathways.


Subject(s)
Asteraceae/chemistry , Ethanol/chemistry , Inflammation/drug therapy , Inflammation/immunology , Macrophages/immunology , Plant Extracts/administration & dosage , Plant Extracts/chemistry , Animals , Anti-Inflammatory Agents/administration & dosage , Anti-Inflammatory Agents/chemistry , Cell Line , Cytokines/immunology , Dose-Response Relationship, Drug , Female , Inflammation/pathology , Macrophages/drug effects , Macrophages/pathology , Mice , Mice, Inbred BALB C , Mice, Inbred ICR , Plant Extracts/isolation & purification , Treatment Outcome
11.
J Ethnopharmacol ; 135(2): 492-500, 2011 May 17.
Article in English | MEDLINE | ID: mdl-21470575

ABSTRACT

ETHNOPHARMACOLOGICAL RELEVANCE: Typhonium blumei Nicolson & Sivadasan is a traditional Chinese medicinal herb endowing with detumescence, detoxification, anti-inflammation activities, and has been used as a folk prescription on anticancer in Taiwan. AIM OF THE STUDY: The purpose of this study is to investigate the inhibitory effect of Typhonium blumei (Tb) extract on the viability of different cancer cells and the apoptotic effect of this extract on A549 lung cancer cells. MATERIALS AND METHODS: Human A549 cell line and other cancer cell lines were treated with different concentrations of Tb extract at different time intervals. Growth inhibition was determined by MTT assay. Apoptosis was detected by cell morphologic observation, cell cycle analysis, and immunoblot analysis on the expression of protein associated with cell death. GC-MS were used to determine the chemical constituents of this extract. RESULTS: The Tb extract had cytotoxicity toward A549 lung cancer cells (IC(50)=97.7 µg/ml), LNCaP prostate cancer cells (IC(50)=124.5 µg/ml) and MCF-7 breast cancer cells (IC(50)=125.8 µg/ml). Conversely, the adverse effects of Tb extract on normal embryonic lung fibroblast MRC-5 cells (IC(50)=245.5 µg/ml) and embryonic kidney fibroblast HEK293 cells (IC(50)=251.1 µg/ml) were comparatively low. Cytometric analysis results demonstrate that A549 cells were arrested at the G2/M phase by treatment with Tb extract. The extract induced A549 cell apoptosis via the mitochondrial pathway by down-regulating Bcl-2 and Bcl-xL protein expression, up-regulating Bax, Bad and Bak protein expression, and activating caspase-9 and caspase-3. Experimental results of bioactive compound analysis indicate that dibutyl phthalate, α-linolenic acid, phytol, campesterol, stigmasterol and ß-sitosterol were the major bioactive ingredients of Tb extract. Although all these compounds had good anti-proliferative effects on A549 cells, campesterol (IC(50)=2.2 µM for 24h treatment) and ß-sitosterol (IC(50)=1.9 µM for 24h treatment) displayed the greatest inhibitory activity. CONCLUSIONS: Experimental results of this study suggest that the Tb extract exerts potential anticancer activity through the growth inhibition and the apoptosis on A549 cells.


Subject(s)
Adenocarcinoma/pathology , Apoptosis/drug effects , Araceae/chemistry , Cell Cycle/drug effects , Cell Proliferation/drug effects , Lung Neoplasms/pathology , Base Sequence , Blotting, Western , Cell Line, Tumor , DNA Primers , Flow Cytometry , Gas Chromatography-Mass Spectrometry , Humans
12.
J Med Syst ; 35(1): 105-11, 2011 Feb.
Article in English | MEDLINE | ID: mdl-20703580

ABSTRACT

To effectively control the growth of medical expenditure, Bureau of National Health Insurance (NHI) of Taiwan has taken many measures, including the Reasonable Number of Outpatient Services, Ceiling Price, Global Budgets, Strategic Analysis and the Excellence Plan; however, these measures can only scratch the surface. Due to the change of life style and the deteriorating condition of over-nutrition and obesity, people now have a higher risk of diabetes, hypertension, hyperlipidemia, cardiovascular disease, gallbladder disease, cancer, gout, arthritis, and so on, which leads to higher medical expenditure. Therefore, good civil preventive health care is regarded as the solution of surging medical expenditure. According to NHI's statistics, the annual medical expenditure of diabetes is about 13 billion NT dollars. Among these diabetics, over 95% are affected by type 2 diabetes mellitus; at least two-thirds--over 80% according to some researches--are overweight or obese. The research says, losing 5% to 10% of the original body weight can lower the risk of chronic diseases effectively; also, giving early therapy for obesity can reduce the complication probability, thus for avoiding the waste of medical resources. By applying influence diagrams of Bayesian Network and Utility Expect of statistics, this paper evaluates the medical expenditure of Taiwan's NHI under the circumstances of providing and not providing benefit for weight-loss outpatient services. The result of this research is that the cost of not providing benefit for weight-loss outpatient services is 3.4 times of the contrary. Therefore, if Taiwan's NHI provides reasonable benefit for weight-loss outpatient services, not only the risk of people suffering from diabetes, hypertension, hyperlipidemia, cardiovascular disease, gallbladder disease, cancer, gout, arthritis, etc. will go down; but also the medical expenditure can be effectively reduced.


Subject(s)
Efficiency, Organizational/economics , Health Care Costs , Obesity/economics , Weight Loss , Bayes Theorem , Comorbidity , Diabetes Complications/economics , Humans , National Health Programs , Obesity/complications , Obesity/prevention & control , Organizational Case Studies , Taiwan
13.
Arch Dermatol Res ; 302(10): 717-24, 2010 Dec.
Article in English | MEDLINE | ID: mdl-20717830

ABSTRACT

Keloid is a fibrotic disease characterized by abnormal accumulation of extracellular matrix (ECM) in the dermis. It is a late spreading skin overgrowth and may be considered a plastic surgeon's nightmare. In nature, curcuminoid is composed of curcumin, demethoxycurcumin (DMC) and bisdemethoxycurcumin (bDMC). Curcuminoids have been found to inhibit fibrosis. However, their role in the synthesis of ECM in the keloid fibroblasts (KFs) has remained unclear. In this series of studies, a total of seven primary KFs cultures were used as the KFs model for investigating the inhibitory effect of curcuminoids on the expression of ECM and TGF-ß1. A sensitive and reproducible HPLC method was developed to provide a quantitative analysis on the cellular uptake of curcuminoids onto the KF cells. The level of ECM in the primary KFs was elevated. The elevation of ECM and TGF-ß1/p-SMAD-2 level was substantially blocked by the cellular uptake of curcumin in a dose-dependent manner in all the seven primary KFs. The results have led to the conclusion that the excessive production of ECM in the KF cells could be blocked and/or rapidly decreased by curcumin.


Subject(s)
Curcumin/pharmacology , Fibroblasts/drug effects , Keloid/drug therapy , Smad Proteins/metabolism , Transforming Growth Factor beta/metabolism , Adult , Aged , Cell Culture Techniques , Cells, Cultured , Chromatography, High Pressure Liquid , Curcumin/analogs & derivatives , Extracellular Matrix Proteins/genetics , Extracellular Matrix Proteins/metabolism , Female , Fibroblasts/immunology , Fibroblasts/metabolism , Fibroblasts/pathology , Humans , Keloid/genetics , Keloid/metabolism , Keloid/pathology , Male , Middle Aged , Signal Transduction/drug effects , Smad Proteins/genetics , Transforming Growth Factor beta/genetics , Up-Regulation/drug effects
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