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1.
Plant J ; 111(4): 1096-1109, 2022 08.
Article in English | MEDLINE | ID: mdl-35749258

ABSTRACT

Anthocyanins are important pigments that impart color in plants. In Solanum, different species display various fruit or flower colors due to varying degrees of anthocyanin accumulation. Here we identified two anthocyanin-free mutants from an ethylmethane sulfonate-induced mutant library and naturally occurring mutants in Solanum melongena, with mutations in the 5' splicing site of the second intron of dihydroflavonol-4-reductase (DFR) - leading to altered splicing. Further study revealed that alternative splicing of the second intron was closely related to anthocyanin accumulation in 17 accessions from three cultivated species: S. melongena, Solanum macrocarpon and Solanum aethiopicum, and their wild related species. Analysis of natural variations of DFR, using an expanded population including 282 accessions belonging to the spiny Solanum group, identified a single-nucleotide polymorphism in the MYB recognition site in the promoter region, which causes differential expression of DFR and affects anthocyanin accumulation in fruits of the detected accessions. Our study suggests that, owing to years of domestication, the natural variation in the DFR promoter region and the alternative splicing of the DFR gene account for altered anthocyanin accumulation during spiny Solanum domestication.


Subject(s)
Anthocyanins , Solanum , Alcohol Oxidoreductases , Alternative Splicing/genetics , Anthocyanins/metabolism , Gene Expression Regulation, Plant/genetics , Plant Proteins/genetics , Plant Proteins/metabolism , Promoter Regions, Genetic/genetics , Solanum/genetics , Solanum/metabolism
2.
Food Chem ; 380: 132235, 2022 Jun 30.
Article in English | MEDLINE | ID: mdl-35093664

ABSTRACT

Licorice is famous as a herbal medicine and food sweetener. This study provided a comprehensive strategy for investigating the quality of licorice based on untargeted metabolomics. A new strategy for identifying metabolite was developed, including fragment ion identification algorithm and ion fusion algorithm. The results showed that it can accurately integrate mass spectra from positive and negative ion modes to benefit metabolite identification. Based on the strategy, a number of significant difference metabolites were identified among licorice samples and 9 metabolites were confirmed by standards. Additionally, the geographical discrimination models of licorice samples were comprehensively investigated by chemometric methods. The results indicated that the supporting vector machine provided the best performance, with a prediction accuracy above 80%. The study results supported the conclusion that the quality of licorice from different regions in China was inconsistent.


Subject(s)
Glycyrrhiza , Chemometrics , Chromatography, High Pressure Liquid , Mass Spectrometry , Metabolomics
3.
Pharmacol Res ; 165: 105464, 2021 03.
Article in English | MEDLINE | ID: mdl-33515707

ABSTRACT

BACKGROUND: An individual's level of lower limb motor function is associated with his or her disability level after stroke, and motor improvement may lead to a better prognosis and quality of life. Data from animal models show that Qizhitongluo (QZTL) capsule facilitates recovery after focal brain injury. We aimed to validate the efficacy and safety of the QZTL capsule for promoting lower limb motor recovery in poststroke patients. METHODS: In this randomized, multicenter, double-blind, placebo- and active-controlled trial from 13 sites in China, participants with ischemic stroke and Fugl-Meyer motor scale (FMMS) scores of <95 were eligible for inclusion. Patients were randomly assigned in a 2:1:1 ratio to the QZTL group, Naoxintong (NXT) group or placebo group for 12 weeks at 15-28 days after the onset of stroke. The primary outcome was the change in the Lower Limb FMMS (FMMS-LL) score from baseline over the 12-week intervention period. RESULTS: 622 participants were randomly assigned to the QZTL group (309), NXT group (159), or placebo group (154). The FMMS-LL score increased by 4.81 points (95 % CI, 4.27-5.35) in the QZTL group, by 3.77 points (95 % CI, 3.03-4.51) in the NXT group and by 3.00 points (95 % CI, 3.03-4.51) in the placebo group at week 12. The QZTL group showed significantly larger improvements compared with the placebo group at each interview from weeks 4-12 (difference, 0.89 [0.30,1.49] at week 4, P = 0.0032; difference, 1.83[1.01,2.66] at 90 days poststroke, P < 0.0001; difference, 1.81[0.88,2.74] at week 12, P = 0.0001). CONCLUSION: The QZTL capsule is an effective treatment for lower limb motor impairment. The finding indicates that the QZTL capsule may be used as a potential new strategy for stroke rehabilitation.


Subject(s)
Drugs, Chinese Herbal/therapeutic use , Lower Extremity/physiology , Stroke Rehabilitation/methods , Stroke/diagnosis , Stroke/therapy , Aged , Capsules , Double-Blind Method , Drugs, Chinese Herbal/pharmacology , Female , Humans , Male , Middle Aged , Recovery of Function/drug effects , Recovery of Function/physiology , Stroke/physiopathology , Treatment Outcome
4.
J Photochem Photobiol B ; 212: 112025, 2020 Nov.
Article in English | MEDLINE | ID: mdl-32977113

ABSTRACT

In this project, silver­platinum (AgPt) nanoparticles were prepared by using the Crocus sativus L. plant ethanolic extract. The AgPt nanoparticles were characterized by applying the various method as ultraviolet-visible and infrared spectroscopy, electron microscopy, and X-ray diffraction analysis. The morphology structural indicated that the AgPt nanoparticles were spherical particles with diameter about 36.0 nm. The FTIR spectroscopy shows the efficient stabilization of the AgPt nanoparticles by phytoconstituents. The Ag and AgPt nanoparticles have polyphenolic content, lower than the flavonoids and proanthocyanins contents. The AgPt nanoparticles depicted the highest antioxidant properties compared to the Ag nanoparticles and ascorbic acid. The results showed that the AgPt nanoparticles had a high antioxidant properties. In addition, the AgPt nanoparticles demonstrated the substantial antimicrobial and cytotoxic activities against pathogenic microbes and MCF-7 breast cancer cell line. The environmental chemistry analysis depicts that methyl orange can be degraded from water by catalytic degradation process with sodium borohydride. The AgPt nanoparticles were prosperous in catalytic degrading methyl orange following a first order kinetic model.


Subject(s)
Alloys/chemistry , Alloys/pharmacology , Crocus/chemistry , Metal Nanoparticles/chemistry , Plant Extracts/chemistry , Platinum/chemistry , Silver/chemistry , Alloys/chemical synthesis , Anti-Infective Agents/chemical synthesis , Anti-Infective Agents/chemistry , Anti-Infective Agents/pharmacology , Antineoplastic Agents/chemical synthesis , Antineoplastic Agents/chemistry , Antineoplastic Agents/pharmacology , Antioxidants/chemical synthesis , Antioxidants/chemistry , Antioxidants/pharmacology , Catalysis , Chemistry Techniques, Synthetic , Humans , MCF-7 Cells
5.
Zhongguo Zhong Yao Za Zhi ; 45(10): 2296-2299, 2020 May.
Article in Chinese | MEDLINE | ID: mdl-32495583

ABSTRACT

With the advancement of the aging process, cerebrovascular disease has become China's first cause of death. Injection of Breviscapine is a type of traditional Chinese medicine injections published in the Chinese Pharmacopoeia of 2015 Edition and the National Basic Medical Insurance, Industrial Injury Insurance and Maternity Insurance Drug Catalogue, and used to treat ischemic cerebrovascular disease in clinic. In order to further improve clinicians' understanding of the drug and guidance of its rational clinical use, we gave full consideration of clinical research evidences and expert experience, followed the procedures developed based on expert consensus of Chinese Academy of Traditional Chinese Medicine, and then offered recommendations for clinical problems summarized by clinical first-line investigations and evidence-based clinical problems according to internationally accepted evidence grading and recommendation standards, i.e. Grade. As for clinical problems without evidence, we reached through nominal group method, and formed consensus recommendations. Safety issues of Injection of Breviscapine, such as indication, syndrome, dosage, course of treatment, precautions, suggestions and contraindications, were defined to improve clinical efficacy, promote rational drug use and reduce drug risks. This consensus needs to be revised in the future based on emerging clinical issues and evidence-based updates in practical applications.


Subject(s)
Drugs, Chinese Herbal , China , Consensus , Female , Flavonoids , Humans , Medicine, Chinese Traditional , Pregnancy
6.
BMC Complement Altern Med ; 19(1): 370, 2019 Dec 16.
Article in English | MEDLINE | ID: mdl-31842860

ABSTRACT

BACKGROUND: Tianshu capsule (TSC), a formula of traditional Chinese medicine, has been widely used in clinical practice for prophylactic treatment of headaches in China. However, former clinical trials of TSC were small, and lack of a standard set of diagnostic criteria to enroll patients. The study was conducted to re-evaluate the efficacy and safety of TSC post-marketing in an extending number of migraineurs who have diagnosed migraine with the International Classification of Headache Disorders, 3rd edition (beta version, ICHD-3ß). METHODS: The study was a double-blind, randomized, placebo-controlled clinical trial that conducted at 20 clinical centers in China. At enrollment, patients between 18 and 65 years of age diagnosed with migraine were assigned to receive either TSC (4.08 g, three times daily) or a matched placebo according to a randomization protocol. The primary endpoint was a relative reduction of 50% or more in the frequency of headache attacks. The secondary outcomes included a reduction in the incidence of headache, the visual analogue scale of headache attacks, days of acute analgesic usage, and percentage of patients with a decrease of 50% or more in headache severity. Accompanying symptoms were also assessed. RESULTS: One thousand migraine patients were initially enrolled in the study, and 919 of them completed the trial. Following the 12-week treatment, significant improvement was observed in the TSC group concerning both primary and secondary outcomes. After therapy discontinuation, the gap between the TSC group and the placebo group in efficacy outcomes continued to increase. There were no severe adverse effects. CONCLUSIONS: TSC is an effective, well-tolerated medicine for prophylactic treatment of migraine, and still have prophylactic effect after medicine discontinuation. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02035111; Data of registration: 2014-01-10.


Subject(s)
Analgesics/therapeutic use , Drugs, Chinese Herbal/therapeutic use , Migraine Disorders/drug therapy , Adult , Analgesics/adverse effects , Double-Blind Method , Drugs, Chinese Herbal/adverse effects , Female , Humans , Male , Middle Aged , Treatment Outcome
7.
Curr Drug Targets ; 20(15): 1572-1586, 2019.
Article in English | MEDLINE | ID: mdl-31215388

ABSTRACT

Quinolizidine alkaloids, a main form of alkaloids found in the genus Sophora, have been shown to have many pharmacological effects. This review aims to summarize the photochemical reports and biological activities of quinolizidine alkaloids in Sophora. The collected information suggested that a total of 99 quinolizidine alkaloids were isolated and detected from different parts of Sophora plants, represented by lupinine-type, cytisine-type, sparteine-type, and matrine-type. However, quality control needs to be monitored because it could provide basic information for the reasonable and efficient use of quinolizidine alkaloids as medicines and raw materials. The nonmedicinal parts may be promising to be used as a source of quinolizidine alkaloid raw materials and to reduce the waste of resources and environmental pollution. In addition, the diversity of chemical compounds based on the alkaloid scaffold to make a biological compound library needs to be extended, which may reduce toxicity and find new bioactivities of quinolizidine alkaloids. The bioactivities most reported are in the fields of antitumor activity along with the effects on the cardiovascular system. However, those studies rely on theoretical research, and novel drugs based on quinolizidine alkaloids are expected.


Subject(s)
Alkaloids/pharmacology , Plant Extracts/pharmacology , Quinolizidines/pharmacology , Sophora/chemistry , Alkaloids/isolation & purification , Alkaloids/standards , Alkaloids/therapeutic use , Analgesics/isolation & purification , Analgesics/pharmacology , Analgesics/therapeutic use , Anti-Infective Agents/isolation & purification , Anti-Infective Agents/pharmacology , Anti-Infective Agents/therapeutic use , Anti-Inflammatory Agents/isolation & purification , Anti-Inflammatory Agents/pharmacology , Anti-Inflammatory Agents/therapeutic use , Antimetabolites/isolation & purification , Antimetabolites/pharmacology , Antimetabolites/therapeutic use , Antineoplastic Agents/isolation & purification , Antineoplastic Agents/pharmacology , Antineoplastic Agents/standards , Antineoplastic Agents/therapeutic use , Cardiovascular Agents/isolation & purification , Cardiovascular Agents/pharmacology , Cardiovascular Agents/therapeutic use , Drug Development , Drug Discovery , Humans , Insecticides , Plant Extracts/isolation & purification , Plant Extracts/standards , Plant Extracts/therapeutic use , Quality Control , Quinolizidines/isolation & purification , Quinolizidines/standards , Quinolizidines/therapeutic use
8.
Zhongguo Zhong Yao Za Zhi ; 43(16): 3353-3361, 2018 Aug.
Article in Chinese | MEDLINE | ID: mdl-30200741

ABSTRACT

The aim of this paper was to investigate the potential pharmacological effect of flavonoids in Sophora alopecuroides by network pharmacology. This study predicted the potential targets of 11 flavonoids of S. alopecuroides with help of reversed pharmacophore matching target recognition service platform (PharmMapper). The pathway information was acquired from DAVID and KEGG databases. Cytoscape software was used to construct the "ingredient-target-pathway" network of flavonoids active components of S. alopecuroides. The flavonoids active components of S. alopecuroides play anti-inflammatory, blood sugar regulating and other pharmacological effects by regulating 62 targets (such as INSR,KDR,MET) and intervening 44 pathways, such as B cell receptor signaling pathway, insulin signaling pathway, neurotrophin signaling pathway, and T cell receptor signaling pathway. In this study, the mechanism of "muti components-multitargets-multiple pathway" of flavonoids was studied. It reflects the multi-components, multi-targets and multiple pathway features of traditional Chinese medicine. Meanwhile, it provides a scientific basis for the elucidation the mechanism of S. alopecuroides as a medicine, and the development and utilization resources of S. alopecuroides.


Subject(s)
Flavonoids/pharmacology , Sophora/chemistry , Humans , Medicine, Chinese Traditional , Phytochemicals/pharmacology
9.
Phytochem Anal ; 29(5): 500-506, 2018 Sep.
Article in English | MEDLINE | ID: mdl-29573297

ABSTRACT

INTRODUCTION: Different parts of Sophora alopecuroides L. (Fabaceae) have historically been used in traditional Chinese medicine for the treatment of dysentery and enteritis. This plant is also utilised as an important resource for industrial preparation of quinolizidine alkaloidal pharmaceuticals. OBJECTIVE: Establish a reliable, simple and fast analytical method for the quantitative determination of the quinolizidine-type alkaloids and extend understanding of the metabolism of quinolizidine-type alkaloids in S. alopecuroides. METHODS: Hydrophilic interaction chromatography coupled with triple-quadrupole tandem mass spectrometry (HILIC-TQ-MS/MS) in multiple-reaction monitoring (MRM) mode were used to determine seven quinolizidine-type alkaloids and their biosynthetic precursor, lysine, in S. alopecuroides. RESULTS: A good separation was obtained on an ultra high-performance liquid chromatography (UHPLC) amide column within 7 min. The overall limits of detection (LODs) were between 1.13 and 2.81 ng/ml, and limits of quantitation (LOQs) were between 3.80 and 8.48 ng/ml. The developed method was successfully applied to 21 samples of S. alopecuroides. The seeds had the highest concentration of alkaloids among the different plant parts. Oxymatrine and oxysophocarpine were the two most abundant alkaloids in all of the different parts and at different phenological growth stages. The contents of quinolizidine alkaloids showed correlations with lysine. CONCLUSION: A rapid and sensitive analytical method was established for the simultaneous determination of seven quinolizidine-type alkaloids and their biosynthetic precursor, lysine, in S. alopecuroides; the content of lysine may be used as a marker to predict alkaloid production.


Subject(s)
Alkaloids/analysis , Chromatography, High Pressure Liquid/methods , Lysine/chemistry , Quinolizidines/chemistry , Sophora/chemistry , Tandem Mass Spectrometry/methods , Alkaloids/chemistry , Hydrophobic and Hydrophilic Interactions , Limit of Detection , Reference Standards , Reproducibility of Results
10.
Zhongguo Zhong Yao Za Zhi ; 43(1): 160-167, 2018 Jan.
Article in Chinese | MEDLINE | ID: mdl-29552827

ABSTRACT

It was aimed at exploring the potential pharmacological effects of alkaloids in Sophora alopecuroides by means of network pharmacology in this study. The main alkaloids in S. alopecuroides were collected for analysis of drug properties, prediction of potential targets and screening of signaling pathways. DAVID analysis tool combined with KEGG database was used to annotate and analyze the signaling pathway. The alkaloids-targets-signaling pathways network was built through Cytoscape software. Results showed that 17 alkaloids in S. alopecuroides involved 49 targets (170 times in all) and 22 important signaling pathways. Three nodes in model of network pharmacology were cross-linked, and the metabolic pathways were coordinated and regulated by each other. It indicated that alkaloids in S. alopecuroides may have therapeutic effect on diseases of cancer, metabolic disorder, endocrine system, digestive system, nervous system and so on.


Subject(s)
Alkaloids/pharmacology , Signal Transduction/drug effects , Sophora/chemistry , Phytochemicals/pharmacology
11.
J Nat Med ; 72(2): 424-432, 2018 Mar.
Article in English | MEDLINE | ID: mdl-29236225

ABSTRACT

Quinolizidine alkaloids are the main bioactive components in Sophora alopecuroides L. This study reports a novel ultrasound-assisted enzymatic hydrolysis method for the extraction of these important alkaloids. Box-Behnken design, a widely used response surface methodology, was used to investigate the effects of process variables on ultrasound bath-assisted enzymatic hydrolysis (UAEH) extraction. Four independent variables, pH, extraction temperature (°C), extraction time (min) and solvent-to-material ratio (mL/g), were studied. For the extraction of sophocarpine, oxysophocarpine, oxymatrine, matrine, sophoramine, sophoridine and cytisine, the optimal UAEH condition was found to be a pH of 5, extraction temperature of 54 °C, extraction time of 60 min and solvent-to-material ratio of 112 mL/g. The experimental values obtained under optimal conditions were fairly consistent with the predicted values. UAEH extraction was then compared with reflux heating, enzymatic extraction and ultrasound-assisted extraction. Of these extraction methods, UAEH extraction under optimal conditions produced the highest yield for seven types of alkaloids. In addition, UAEH extraction resulted in lower ingredient degradation than reflux heating extraction.


Subject(s)
Quinolizidines/therapeutic use , Seeds/chemistry , Sophora/chemistry , Ultrasonography/methods , Alkaloids , Hydrolysis , Quinolizidines/pharmacology
12.
Zhongguo Zhong Yao Za Zhi ; 42(20): 3926-3931, 2017 Oct.
Article in Chinese | MEDLINE | ID: mdl-29243429

ABSTRACT

To compare the appearances, tastes, contents of bioactive components and antioxidant activity of Lyceum ruthenicum under different drying methods, so as to direct its production practice. The folin-phenol colorimetric method, UV, extinction coefficient method and DPPH, as well as fluorescence recovery after photobleaching (FRAP) method to determine the contents of polyphenols, proanthocyanidins, total anthocyanin and antioxidant activity under different drying methods: vacuum freeze drying, low-temperature oven drying and air drying for L. ruthenicum. The results showed that the drying methods had certain effects on its appearances, tastes, contents of bioactive components and antioxidant activity. The appearances and tastes were best after the L. ruthenicum was dried by vacuum freeze drying, with significantly lower moisture than air drying method. The contents of total polyphenols, anthocyanin and proanthocyanidins were highest by air-drying but lowest by low temperature oven drying in L. ruthenicum. The scavenging ability to DPPH was strongest by freeze-drying and lowest by low temperature oven drying, while the antioxidant activity was strongest by air-drying in the FRAT method. In addition, the appearances and tastes were poor in air drying, with higher moisture but highest contents of the three bioactive components. Therefore, the drying methods for L. ruthenicum shall be comprehensively considered.


Subject(s)
Anthocyanins/analysis , Antioxidants/analysis , Desiccation/methods , Lycium/chemistry , Polyphenols/analysis , Proanthocyanidins/analysis , Freeze Drying , Phytochemicals/analysis , Vacuum
13.
Molecules ; 22(12)2017 Dec 20.
Article in English | MEDLINE | ID: mdl-29261155

ABSTRACT

The quality control of Polygala tenuifolia Wild. is a major challenge in its clinical application. In this paper, a new strategy for the quality evaluation of P. tenuifolia extracts was verified through reverse-phase ultra-performance liquid chromatography (UPLC). The quantitative analysis of multi-components by a single marker (QAMS) was conducted with 3,6'-disinapoyl sucrose as an internal reference substance. Eight components (i.e., sibiricose A5, sibiricose A6, glomeratose A, tenuifoliside A, tenuifoliside B, tenuifoliside C, sibiricaxanthone B, and polygalaxanthone III) were determined based on the relative correction factors. The concentrations of these components were also determined by applying a conventional external standard method. The cosine value confirmed the consistency of the two methods (cosine ratio value >0.999920). Hierarchical cluster analysis, radar plots, and discriminant analysis were performed to classify 23 batches of P. tenuifolia extracts from Shanxi, Hebei, and Shaanxi in China. Results revealed that QAMS combined with radar plots and multivariate data analysis could accurately measure and clearly distinguish the different quality samples of P. tenuifolia. Hence, QAMS is a feasible and promising method for the quality control of P. tenuifolia.


Subject(s)
Carbohydrates/analysis , Chromatography, High Pressure Liquid/methods , Chromatography, Reverse-Phase/methods , Plant Extracts/analysis , Polygala/chemistry , Carbohydrates/chemistry , Carbohydrates/isolation & purification , Molecular Structure , Plant Extracts/chemistry , Plant Extracts/isolation & purification , Plant Roots/chemistry , Quality Control
14.
Zhongguo Zhong Yao Za Zhi ; 42(3): 536-541, 2017 Feb.
Article in Chinese | MEDLINE | ID: mdl-28952261

ABSTRACT

This study is to construct a rapid and effective method for identification of wild and cultivated Glycyrrhiza uralensis (hereinafter referred to as Glycyrrhizae Radix et Rhizoma) from Ningxia by comparison of the difference in chromatography identification based on index components and near-infrared spectroscopy identification. HPLC and UV methods were used to determine the content of liquiritin, glycyrrhizate and total flavonoids for 9 wild Glycyrrhizae Radix et Rhizoma and 14 cultivated Glycyrrhizae Radix et Rhizoma samples,and the near-infrared spectroscopy was also,collected. The results illustrated that the chromatography identification based on index components could not identify wild and cultivated Glycyrrhizae Radix et Rhizoma from Ningxia, while near-infrared spectroscopy could quickly and effectively achieve it. It provides an effective method for the growth pattern identification and application of Glycyrrhizae Radix et Rhizoma.


Subject(s)
Drugs, Chinese Herbal/chemistry , Glycyrrhiza uralensis/chemistry , Chromatography, High Pressure Liquid , Spectroscopy, Near-Infrared
15.
Zhongguo Zhong Yao Za Zhi ; 42(24): 4744-4749, 2017 Dec.
Article in Chinese | MEDLINE | ID: mdl-29493141

ABSTRACT

To further evaluate the safety of ginkgo diterpene lactone meglumine injection in the clinical use in ischemic stroke patients. Clinical safety study was conducted in 82 clinical units and 6 300 cases were completed and included from June 2013 to December 2014 by using multicenter, prospective, open and uncontrolled design methods for clinical research. A total of 29 cases of adverse reactions were observed in the experiment. Adverse reaction ratio (ADR) was 0.46%, and about 86.21% (25 cases) of them was mild with transient response which could be alleviated or disappeared without intervention; about 13.79% (4 cases) was moderate, including 2 cases of headache, 1 case of dizziness and 1 case of rash; no serious adverse reactions were found. The adverse reactions occurred in this study were pre-known adverse reactions or common adverse reactions of Chinese medicine injection. The overall incidence of adverse reactions was low, and the risk was controllable.


Subject(s)
Brain Ischemia/drug therapy , Diterpenes/pharmacology , Drugs, Chinese Herbal/pharmacology , Ginkgo biloba/chemistry , Lactones/pharmacology , Product Surveillance, Postmarketing , Stroke/drug therapy , Diterpenes/adverse effects , Drugs, Chinese Herbal/adverse effects , Ginkgo biloba/adverse effects , Humans , Lactones/adverse effects , Meglumine , Prospective Studies
16.
Oncotarget ; 7(52): 86630-86647, 2016 Dec 27.
Article in English | MEDLINE | ID: mdl-27880930

ABSTRACT

PURPOSE: Lactate dehydrogenase (LDH), which was an indirect marker of hypoxia, was a potentially prognostic factor in several malignancies. There is a lack of evidence about the prognostic value of serum LDH level in patients with hepatocellular carcinoma (HCC) receiving sorafenib treatment from hepatitis B virus endemic areas. MATERIALS AND METHODS: A total of 119 HBV-related HCC patients treated by sorafenib from a Chinese center were included into the study. They were categorized into 2 groups according to the cut-off value of pre-treatment LDH, which was determined by the time dependent receiver operating characteristics (ROC) curve for the overall survival. The prognostic value of LDH was evaluated. The relationships between LDH and other clinicopathological factors were also assessed. RESULTS: The cut-off value was 221 U/L. With a median follow up of 15 (range, 3-73) months, 91 patients reached the endpoint. Multivariate analysis proved that pre-treatment serum LDH level was an independent prognostic factor for both overall survival (OS) and progression-free survival (PFS). For patients whose pre-treatment LDH ≥ 221 U/L, increased LDH value after 3 months of sorafenib treatment predicted inferior OS and PFS. And patients with elevated pre-treatment LDH level predisposed to be featured with lower serum albumin, presence of macroscopic vascular invasion, advanced Child-Pugh class, advanced T category, higher AFP, and higher serum total bilirubin. CONCLUSIONS: Serum LDH level was a potentially prognostic factor in HCC patients treated by sorafenib in HBV endemic area. More relevant studies with reasonable study design are needed to further strengthen its prognostic value.


Subject(s)
Antineoplastic Agents/therapeutic use , Carcinoma, Hepatocellular/drug therapy , Hepatitis B/complications , L-Lactate Dehydrogenase/blood , Liver Neoplasms/drug therapy , Niacinamide/analogs & derivatives , Phenylurea Compounds/therapeutic use , Adult , Aged , Carcinoma, Hepatocellular/enzymology , Carcinoma, Hepatocellular/mortality , Carcinoma, Hepatocellular/pathology , Disease-Free Survival , Female , Humans , Liver Neoplasms/enzymology , Liver Neoplasms/mortality , Liver Neoplasms/pathology , Male , Middle Aged , Niacinamide/therapeutic use , Prognosis , Sorafenib
17.
Neuropsychiatr Dis Treat ; 12: 2481-2487, 2016.
Article in English | MEDLINE | ID: mdl-27729792

ABSTRACT

OBJECTIVE: To study the effect of Yisui Tongjing (YSTJ) prescription on motor nerve conduction velocity (MNCV) and microstructure of the sciatic nerve in experimental autoimmune neuritis (EAN) rats, the Guillain-Barré syndrome classic animal models. MATERIALS AND METHODS: In this study, we established an EAN model in Lewis rats by immunization. We evaluated the potential clinical application of a traditional Chinese medicine YSTJ by intragastric administration and compared its effect with immunoglobulin. The sciatic MNCV was measured by electrophysiology experiment. Hematoxylin-eosin staining and transmission electron microscope analysis were used to determine the pathologically morphological changes before and after YSTJ application. RESULTS: We found that application of YSTJ could significantly alleviate the clinical signs in EAN rats. The treatment also increased MNCV in the sciatic nerve compared to that in the untreated nerve. Demyelination in the sciatic nerve in EAN rats was significantly ameliorated, and newly generated myelinated nerve fibers were observed with treatment of high dose of YSTJ. CONCLUSION: This study showed that the traditional Chinese medicine YSTJ was likely to serve as a therapeutic medicine in autoimmune neuropathies, providing an effective and economic means to the treatment of Guillain-Barré syndrome.

18.
BMC Complement Altern Med ; 16: 356, 2016 Sep 13.
Article in English | MEDLINE | ID: mdl-27618916

ABSTRACT

BACKGROUND: The primary objective of this study was to assess whether Zhengtian Capsule was non-inferior to flunarizine in efficacy and safety profile for prevention of migraine in adults. METHODS: This was a double-dummy, double-blind, multicenter, positive drug (flunarizine), parallel randomized controlled, non-inferior clinical trial. Patients (n = 360) were randomized in a 1:1 to receive either Zhengtian Capsule or flunarizine, including 12 weeks' intervention and 4 weeks' follow-up. The primary outcome measure was responder rate (defined as the percentage of subjects in a treatment group with 50 % or greater reduction in attack frequency during treatment compared with the baseline period). The secondary outcome measures included migraine attack frequency, the number of migraine days, pain evaluated by visual analogue scale (VAS) score, duration of migraine attacks, the times of using analgesics, patient-reported outcome (PRO) measure of migraine and the scores of short-form 36 Health Survey Scale (SF-36). Weight variation in both groups was also evaluated. Adverse events were monitored throughout the trial. RESULTS: Zhengtian Capsule was non-inferior to flunarizine in responder rate at week 12 and follow-up period (P = 0.002, P < 0.001). There was fewer migraine days in Zhengtian Capsule group at follow-up period compared with flunarizine (P = 0.001). For the total duration of migraine attacks, there was significant group difference at week 4 which favored the control group (P = 0.009). For the total score of PRO scale, there was statistical difference between the two groups at follow-up period (P = 0.021). There were also group differences between the two groups in the dimensions of somatization symptoms at week 4 (P = 0.022) and functional status at week 12 and follow-up period (P < 0.001, P < 0.001). However, there were no significant differences between the two groups in migraine attack frequency, VAS scores reduction, consumption of acute pain drugs and the dimension scores of SF-36 at any time interval of the treatment period (P > 0.05). No severe adverse events occurred in the trial. Flunarizine was found associated with a weight gain. CONCLUSION: Zhengtian Capsule was non-inferior to flunarizine with regard to the primary endpoint. In addition, it could reduce migraine days and improve the functional status and somatization symptoms of migraine patients with good safety profile. TRIAL REGISTRATION: This trial was registered at Chinese Clinical Trial Register (ChiCTR), ChiCTR-TRC-13004412.


Subject(s)
Analgesics/therapeutic use , Drugs, Chinese Herbal/therapeutic use , Flunarizine/therapeutic use , Migraine Disorders/drug therapy , Adult , Analgesics/adverse effects , Double-Blind Method , Drugs, Chinese Herbal/adverse effects , Female , Flunarizine/adverse effects , Humans , Male , Middle Aged , Pain Measurement
19.
Article in English | MEDLINE | ID: mdl-27274755

ABSTRACT

Hirudo (Shuizhi in Chinese) is an important Chinese medicine, which possesses many therapeutic properties for the treatment of the cerebral hemorrhage and other thrombosis-related diseases. The phytochemical investigation gave more than 51 compounds including pteridines, phosphatidylcholines, glycosphingolipids, and sterols, as well as some bioactive peptides from the Shuizhi derived from three animal species recorded in the current Chinese Pharmacopoeia. The pharmacological studies on the Shuizhi have revealed various activities such as anticoagulation, antithrombosis, antiatherosclerosis, antiplatelet aggregation, antitumor and anti-inflammatory as well as hemorheology improvement, and protective effects against cerebral ischemia-reperfusion injury. However, some important issues based on the traditional uses of Shuizhi are still not clear. The aim of the present review is to provide comprehensive knowledge on the ethnopharmacology, phytochemistry, and pharmacological activities of Shuizhi. It will provide a potential guidance in exploring main active compounds of Shuizhi and interpreting the action mechanism for the further research.

20.
Zhongguo Zhong Yao Za Zhi ; 41(22): 4204-4209, 2016 Nov.
Article in Chinese | MEDLINE | ID: mdl-28933090

ABSTRACT

Scutellaria baicalensis is a common and important medicinal plant in China, facing with reducing sharply in wild resources. To meet the needs in Chinese herbwouls medicine market and clinical application, S. baicalensis has been widely cultivated in Ningxia, Hebei, Shanxi, and Gansu et al. HPLC finger-print and near-infrared were studied in the research to evaluate quality difference of S. baicalensis in four districts. The results showed that the similarity of HPLC finger-print of 12 cultivated S. baicalensis and reference crude herb is more than 0.961, and the other is more than 0.983. On the other hand, paired sample t-test indicated there has no significant difference between the common peaks' area of 12 cultivated S. baicalensis and reference crude herb. It was verified that 12 cultivated S. baicalensis has highly consistency with reference crude herb. On the basis of chromatographic finger-print and near-infrared spectrum, the study applied paired sample t-test to verify analysis results, which could avoid erroneous judgment induced by indefinite threshold values in the similarity of chromatographic finger-print and provide reliable basis for the analysis results. Meanwhile, it also provides a new idea for improving the quality control method of Chinese medicinal materials by comparative study about two comprehensive detection means.


Subject(s)
Drugs, Chinese Herbal/standards , Plant Extracts/chemistry , Scutellaria baicalensis/chemistry , China , Chromatography, High Pressure Liquid , Plants, Medicinal/chemistry
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