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1.
Int J Mol Sci ; 23(24)2022 Dec 16.
Article in English | MEDLINE | ID: mdl-36555687

ABSTRACT

Candida tropicalis is an emerging pathogen with a high mortality rate due to its virulence factors, including biofilm formation, that has important repercussions on the public health system. The ability of C. tropicalis to form biofilms, which are potentially more resistant to antifungal drugs and the consequent increasing antimicrobial resistance, highlights an urgent need for the development of novel antifungal. The present study analyzed the antibiofilm capacity of the arylamidine T-2307 on two strains of Candida tropicalis. Antimicrobial activity and time-killing assays were performed to evaluate the anticandidal effects of T-2307, the antibiofilm ability on biomass inhibition and eradication was evaluated by the crystal violet (CV) method. Furthermore, in Galleria mellonella infected larvae an increased survival after pre-and post- treatment with T-2307 was observed. The MTT test was used to determine the viability of immortalized human prostate epithelial cells (PNT1A) after exposure to different concentrations of T-2307. Levels of interleukin IL-4, IL-8, IL-10 were quantified after Candida infection of PNT1A cells and treatment. Active doses of T-2307 did not affect the viability of PNT1A cells, and drug concentrations of 0.005 or 0.01 µg mL-1 inhibited the secretion of inflammatory cytokines. Taken together, these results provide new information on T-2307, indicating this drug as a new and promising alternative therapeutic option for the treatment of Candida infections.


Subject(s)
Antifungal Agents , Candidiasis , Male , Animals , Humans , Antifungal Agents/pharmacology , Candida tropicalis/physiology , Amidines/pharmacology , Candidiasis/drug therapy , Candidiasis/microbiology , Biofilms , Microbial Sensitivity Tests
2.
Biomed Res Int ; 2020: 4183643, 2020.
Article in English | MEDLINE | ID: mdl-33029506

ABSTRACT

Tea is one of the most popular beverages in the world. Camellia sinensis tea (CST) or green tea is widely regarded as a potent antioxidant. In Thailand, Pluchea indica (L.) Less. tea (PIT) has been commercially available as a health-promoting drink. This study focused on free radical scavenging activities of PIT, and its ability to protect isolated human low-density lipoproteins (LDL) from oxidation by chemical agents. A preliminary study to investigate the antioxidant nature of PIT was undertaken. These included common antioxidant assays involving 2,2-Diphenyl-1-picrylhydrazyl (DPPH), 2,2-azinobis-(3-ethylbenzothiazoline)-6-sulfonic acid (ABTS), hypochlorous acid (HOCl), and its potential to scavenge peroxynitrite. In separated experiments, isolated human LDL was challenged with either 2,2'-azobis(2-amidinopropane) dihydrochloride (AAPH), copper (Cu2+), or 3-Morpholinosydnonimine hydrochloride (SIN-1) to induce LDL oxidation. PIT exhibited antioxidant activity in all test systems and performed significantly better than CST in both DPPH (P < 0.05; IC50PIT = 245.85 ± 15.83 and CST = 315.41 ± 24.18 µg/ml) and peroxynitrite scavenging assays. PIT at 75 µg/ml almost fully prevented the peroxynitrite over a 5 h period. Moreover, it displayed similar properties to CST during the antioxidation of isolated human LDL using AAPH, Cu2+, SIN-1, and hypochlorous acid scavenging assays. However, it revealed a significantly lower ABTS scavenging activity than CST (P < 0.05; IC50PIT = 30.47 ± 2.20 and CST = 21.59 ± 0.67 µg/ml). The main constituents of the PIT were identified using LC-MS/MS. It contained 4-O-caffeoylquinic acid (4-CQ), 5-O-caffeoylquinic acid (5-CQ), 3,4-O-dicaffeoylquinic acid (3,4-CQ), 3,5-O-dicaffeoylquinic acid (3,5-CQ), and 4,5-O-dicaffeoylquinic acid (4,5-CQ). In conclusion, caffeoyl derivatives in PIT could play an important role in potent antioxidant properties. So, it may be further developed to be antioxidant beverages for preventing atherosclerosis and cardiovascular diseases associated with oxidative stress.


Subject(s)
Asteraceae/chemistry , Camellia sinensis/chemistry , Free Radical Scavengers/pharmacology , Lipoproteins, LDL/metabolism , Amidines/pharmacology , Benzothiazoles/chemistry , Biphenyl Compounds/chemistry , Copper/pharmacology , Humans , Hypochlorous Acid/chemistry , Molsidomine/analogs & derivatives , Molsidomine/pharmacology , Nitric Oxide/metabolism , Oxidation-Reduction , Peroxynitrous Acid/metabolism , Picrates/chemistry , Sulfonic Acids/chemistry
3.
J Sep Sci ; 43(11): 2180-2192, 2020 Jun.
Article in English | MEDLINE | ID: mdl-32133730

ABSTRACT

A novel and simple method was established for the extraction and determination of seven compounds in Anemarrhena asphodeloides Bge. using silica gel-based vortex-homogenized matrix solid-phase dispersion and ultra-high performance liquid chromatography quadrupole-time of-flight mass spectrometer. The conditions for the extraction were optimized. Silica gel was used as the dispersant, 50% methanol-water was selected as an elution solvent and the grinding time was 3 min. Compared with the traditional ultrasonic-assisted extraction, the developed method was rapid and efficient. In order to screen potential antioxidants, extract dealing with the optimized method was applied to a polyamide chromatography column and a D-101 macroporous resin column. Fr.2.2 showed the highest antioxidant activities with the most content of flavonoid. A total of 25 peaks were identified from the active fraction. A 2,2'-diphenyl-1-picrylhydrazyl ultra-high performance liquid chromatography coupled with mass spectrometry approach was adopted for the rapid and exact screening and identification of antioxidant compounds. It indicated that flavonoids exhibited potential antioxidant activities. The antioxidant activities of nine monomeric compounds in vivo were tested. Structure-activity relationships were discussed. Five flavonoids with the concentration of 500 µg/mL would reduce the oxidative stress of PC12 cells that were induced with 2,2'-azobis[2-methylpropionamidine] dihydrochloride.


Subject(s)
Anemarrhena/chemistry , Antioxidants/analysis , Flavonoids/analysis , Plant Extracts/isolation & purification , Solid Phase Extraction , Amidines/antagonists & inhibitors , Amidines/pharmacology , Animals , Antioxidants/pharmacology , Dose-Response Relationship, Drug , Flavonoids/pharmacology , Oxidative Stress/drug effects , PC12 Cells , Plant Extracts/chemistry , Plant Extracts/pharmacology , Rats , Silica Gel/chemistry
4.
Molecules ; 25(6)2020 Mar 11.
Article in English | MEDLINE | ID: mdl-32168811

ABSTRACT

Phenolamines and flavonoids are two important components in bee pollen. There are many reports on the bioactivity of flavonoids in bee pollen, but few on phenolamines. This study aims to separate and characterize the flavonoids and phenolamines from rape bee pollen, and compare their antioxidant activities and protective effects against oxidative stress. The rape bee pollen was separated to obtain 35% and 50% fractions, which were characterized by HPLC-ESI-QTOF-MS/MS. The results showed that the compounds in 35% fraction were quercetin and kaempferol glycosides, while the compounds in 50% fraction were phenolamines, including di-p-coumaroyl spermidine, p-coumaroyl caffeoyl hydroxyferuloyl spermine, di-p-coumaroyl hydroxyferuloyl spermine, and tri-p-coumaroyl spermidine. The antioxidant activities of phenolamines and flavonoids were evaluated by 2,2-diphenyl-1-picrylhydrazyl (DPPH), 2,2'-azino-bis-3-ethylbenzothiazoline-6-sulphonic acid (ABTS), and ferric reducing antioxidant power (FRAP) assays. It was found that the antioxidant activity of phenolamines was significantly higher than that of flavonoids. Moreover, phenolamines showed better protective effects than flavonoids on HepG2 cells injured by AAPH. Furthermore, phenolamines could significantly reduce the reactive oxygen species (ROS), alanine aminotransferase (ALT) and aspartate aminotransferase (AST) levels, and increase the superoxide dismutase (SOD) and glutathione (GSH) levels. This study lays a foundation for the further understanding of phenolamines in rape bee pollen.


Subject(s)
Antioxidants/chemistry , Glycosides/chemistry , Kaempferols/chemistry , Pollen/chemistry , Quercetin/chemistry , Spermidine/chemistry , Spermine/chemistry , Alanine Transaminase/genetics , Alanine Transaminase/metabolism , Amidines/antagonists & inhibitors , Amidines/pharmacology , Animals , Antioxidants/isolation & purification , Antioxidants/pharmacology , Aspartate Aminotransferases/genetics , Aspartate Aminotransferases/metabolism , Bees , Benzothiazoles/antagonists & inhibitors , Benzothiazoles/chemistry , Biphenyl Compounds/antagonists & inhibitors , Biphenyl Compounds/chemistry , Gene Expression/drug effects , Glutathione/genetics , Glutathione/metabolism , Glycosides/isolation & purification , Glycosides/pharmacology , Hep G2 Cells , Humans , Kaempferols/isolation & purification , Kaempferols/pharmacology , Oxidants/antagonists & inhibitors , Oxidants/pharmacology , Oxidative Stress/drug effects , Picrates/antagonists & inhibitors , Picrates/chemistry , Plant Extracts/chemistry , Quercetin/isolation & purification , Quercetin/pharmacology , Reactive Oxygen Species/antagonists & inhibitors , Reactive Oxygen Species/chemistry , Spermidine/analogs & derivatives , Spermidine/isolation & purification , Spermidine/pharmacology , Spermine/analogs & derivatives , Spermine/isolation & purification , Spermine/pharmacology , Sulfonic Acids/antagonists & inhibitors , Sulfonic Acids/chemistry , Superoxide Dismutase/genetics , Superoxide Dismutase/metabolism
5.
Hernia ; 24(6): 1371-1378, 2020 12.
Article in English | MEDLINE | ID: mdl-32170456

ABSTRACT

PURPOSE: Laparoscopic inguinal hernia repair (IHR) may lead to early postoperative pain. Therefore, opioid and non-opioid analgesic agents are often administered in the post-anesthesia care unit (PACU). To reduce the postoperative cumulative need of analgesic medication, as well as to accelerate the physical recovery time, the transversus abdominis plane (TAP) block has recently been studied. The TAP block is a regional anesthesia technique. Even though there is evidence about the efficacy of the block used in procedure such as an open inguinal hernia repair, the evidence regarding its use for the TAPP (transabdominal preperitoneal) technique remains low. We aim to provide more sufficient evidence regarding this topic. METHODS: A monocentric retrospective observational study investigating the effect of the TAP block prior to primary IHR in TAPP technique was conducted. The data of 838 patients who were operated on using this technique from June 2007 to February 2019 were observed. 72 patients were excluded because of insufficient information regarding their analgesic medication protocol. The patients' data were taken from their files. RESULTS: The patients in the TAP block group (n = 364) did not differ statistically significantly compared to the control group (n = 402) in terms of gender, BMI and age. Individuals of the TAP block group experienced less postoperative pain in the PACU (p < 0.001) and received less analgesic medication (morphine, oxycodone, piritramide, acetaminophen; p < 0.001). CONCLUSION: We assume that the TAP block is a sufficient approach to reduce postoperative pain and analgesic medication administration for IHR in TAPP technique.


Subject(s)
Abdominal Muscles/drug effects , Amidines/therapeutic use , Anesthesia, Local/methods , Hernia, Inguinal/drug therapy , Nerve Block/methods , Abdominal Muscles/surgery , Amidines/pharmacology , Female , Hernia, Inguinal/surgery , Humans , Male , Retrospective Studies
6.
J Antimicrob Chemother ; 74(5): 1327-1332, 2019 05 01.
Article in English | MEDLINE | ID: mdl-30753506

ABSTRACT

OBJECTIVES: T-2307, a novel arylamidine, shows broad-spectrum activity against pathogenic fungi, including Candida albicans. Ocular candidiasis is one of the serious complications associated with Candida bloodstream infection and is known to be refractory to conventional antifungal agents. The aim of the present study was to clarify the effectiveness of T-2307 against ocular candidiasis using a mouse model. METHODS: We evaluated ocular fungal burden in mice infected with C. albicans that received treatment with antifungal agents [T-2307, liposomal amphotericin B (LAMB) or fluconazole] for 3 consecutive days. We also assessed survival rates of mice after C. albicans infection followed by treatment for 7 consecutive days. In addition, ocular T-2307 concentrations and in vitro effectiveness against C. albicans biofilm formation were evaluated. RESULTS: The ocular fungal burdens were significantly reduced after T-2307 treatment compared with the control group (no treatment received) and were comparable with those observed following treatment with LAMB or fluconazole in both early- and late-phase treatment experiments. In addition, all of the mice treated with antifungal agents survived for 3 weeks after infection, whereas mice in the control group died within 3 days. The ocular T-2307 trough concentration was maintained above the MIC in the infected mice. An in vitro biofilm inhibition experiment showed that T-2307 suppressed C. albicans biofilm formation at the sub-MIC level, which was comparable with amphotericin B. CONCLUSIONS: Given these results in experimental disseminated candidiasis, T-2307 may be an effective treatment against the complication of ocular candidiasis.


Subject(s)
Amidines/therapeutic use , Antifungal Agents/therapeutic use , Candida albicans/drug effects , Candidiasis/complications , Eye Infections/drug therapy , Eye Infections/microbiology , Amidines/pharmacology , Animals , Antifungal Agents/pharmacology , Biofilms/drug effects , Biofilms/growth & development , Candida albicans/pathogenicity , Candidiasis/drug therapy , Colony Count, Microbial , Drug Resistance, Fungal , Eye/microbiology , Female , Kidney/microbiology , Mice, Inbred C57BL , Microbial Sensitivity Tests , Specific Pathogen-Free Organisms
7.
Food Chem ; 272: 201-209, 2019 Jan 30.
Article in English | MEDLINE | ID: mdl-30309533

ABSTRACT

The effects of selenium (Se) on the protein content, amino acid profile, secondary structure and subunit composition of soy proteins and its distribution were evaluated, as was the effect of peroxyl radicals produced by thermal decomposition of AAPH on the conformational changes of Se-enriched ß-conglycinin (S-7S). The Se biofortification ability of soy was very strong, 7S had strongest ability to incorporate Se, and lower amounts of inorganic Se existed in Se-enriched beans. Se could promote protein synthesis and thus improve the protein content, increase the total amino acid content with a decrease in cysteine, combine into low-molecular-weight proteins, and influence the secondary structure of soybean proteins. Se was involved in the relevant protein changes in surface hydrophobicity, intrinsic fluorescence, infrared absorption and solubility and played an antioxidant role as an effectual "protector" to reduce the influence of peroxyl radical oxidation on S-7S, thereby maintaining the structural rearrangement between aggregation and protein unfolding.


Subject(s)
Amidines/pharmacology , Antigens, Plant/chemistry , Antigens, Plant/pharmacology , Globulins/chemistry , Globulins/pharmacology , Oxidative Stress/drug effects , Seed Storage Proteins/chemistry , Seed Storage Proteins/pharmacology , Selenium/analysis , Soybean Proteins/chemistry , Soybean Proteins/pharmacology , Molecular Weight , Protein Structure, Secondary
8.
Nutrients ; 10(12)2018 Dec 02.
Article in English | MEDLINE | ID: mdl-30513827

ABSTRACT

Oxidative stress affects all the structures of the human eye, particularly the retina and its retinal pigment epithelium (RPE). The RPE limits oxidative damage by several protective mechanisms, including the non-enzymatic antioxidant system zinc-metallothionein (Zn-MT). This work aimed to investigate the role of Zn-MT in the protection of RPE from the oxidative damage of reactive oxygen intermediates by analytical and biochemical-based techniques. The Zn-MT system was induced in an in vitro model of RPE cells and determined by elemental mass spectrometry with enriched isotopes and mathematical calculations. Induced-oxidative stress was quantified using fluorescent probes. We observed that 25, 50 or 100 µM of zinc induced Zn-MT synthesis (1.6-, 3.6- and 11.9-fold, respectively), while pre-treated cells with zinc (25, 50, and 100 µM) and subsequent 2,2'-Azobis(2-methylpropionamidine) dihydrochloride (AAPH) treatment increased Zn-MT levels in a lesser extent (0.8-, 2.1-, 6.1-fold, respectively), exerting a stoichiometric transition in the Zn-MT complex. Moreover, AAPH treatment decreased MT levels (0.4-fold), while the stoichiometry remained constant or slightly higher when compared to non-treated cells. Convincingly, induction of Zn-MT significantly attenuated oxidative stress produced by free radicals' generators. We conclude that the stoichiometry of Zn-MT plays an important role in oxidative stress response, related with cellular metal homeostasis.


Subject(s)
Antioxidants/pharmacology , Metallothionein/physiology , Oxidative Stress/drug effects , Retinal Pigment Epithelium/metabolism , Adult , Amidines/pharmacology , Cell Line , Humans , Hydrogen Peroxide/pharmacology , Metallothionein/analysis , Metallothionein/biosynthesis , Metallothionein/chemistry , Metallothionein/metabolism , Oxidants/pharmacology , Oxidation-Reduction , Retinal Pigment Epithelium/drug effects , Zinc/pharmacology
9.
Article in English | MEDLINE | ID: mdl-29061761

ABSTRACT

Given the limitations of current antileishmanial drugs and the utility of oral combination therapy for other infections, developing an oral combination against visceral leishmaniasis should be a high priority. In vitro combination studies with DB766 and antifungal azoles against intracellular Leishmania donovani showed that posaconazole and ketoconazole, but not fluconazole, enhanced DB766 potency. Pharmacokinetic analysis of DB766-azole combinations in uninfected Swiss Webster mice revealed that DB766 exposure was increased by higher posaconazole and ketoconazole doses, while DB766 decreased ketoconazole exposure. In L. donovani-infected BALB/c mice, DB766-posaconazole combinations given orally for 5 days were more effective than DB766 or posaconazole alone. For example, 81% ± 1% (means ± standard errors) inhibition of liver parasite burden was observed for 37.5 mg/kg of body weight DB766 plus 15 mg/kg posaconazole, while 37.5 mg/kg DB766 and 15 mg/kg posaconazole administered as monotherapy gave 40% ± 5% and 21% ± 3% inhibition, respectively. Combination index (CI) analysis indicated that synergy or moderate synergy was observed in six of nine combined dose groups, while the other three were nearly additive. Liver concentrations of DB766 and posaconazole increased in almost all combination groups compared to monotherapy groups, although many increases were not statistically significant. For DB766-ketoconazole combinations evaluated in this model, two were antagonistic, one displayed synergy, and one was nearly additive. These data indicate that the efficacy of DB766-posaconazole and DB766-ketoconazole combinations in vivo is influenced in part by the pharmacokinetics of the combination, and that the former combination deserves further consideration in developing new treatment strategies against visceral leishmaniasis.


Subject(s)
Amidines/pharmacology , Antiprotozoal Agents/pharmacology , Furans/pharmacology , Leishmania donovani/drug effects , Leishmaniasis, Visceral/drug therapy , Amidines/pharmacokinetics , Animals , Antiprotozoal Agents/pharmacokinetics , Cytochrome P-450 Enzyme System/metabolism , Disease Models, Animal , Drug Evaluation, Preclinical/methods , Drug Synergism , Drug Therapy, Combination , Female , Furans/pharmacokinetics , Ketoconazole/pharmacokinetics , Ketoconazole/pharmacology , Leishmania donovani/metabolism , Mice , Mice, Inbred BALB C , Protozoan Proteins/metabolism , Triazoles/pharmacokinetics , Triazoles/pharmacology
10.
Exp Physiol ; 102(12): 1596-1606, 2017 12 01.
Article in English | MEDLINE | ID: mdl-28940693

ABSTRACT

NEW FINDINGS: What is the central question of this study? Is there a beneficial effect and what are the mechanisms of acute and multiple hyperbaric oxygenation (HBO2 ) exposures on the outcome of cerebral tissue injury induced by a transient middle cerebral artery occlusion model in diabetic female rats? Are 20-hydroxyeicosatetreanoic acid and epoxyeicosatrienoic acids involved? What is the main finding and its importance? Equal reduction of cortical and total infarct size in rats treated with HBO2 and HET0016 (20-hydroxyeicosatetreanoic acid production inhibitor) and significant mRNA upregulation of epoxyeicosatrienoic acid-producing enzymes (Cyp2J3 and Cyp2C11) in treated groups suggest that HBO2 and HET0016 are highly effective stroke treatments and that cytochrome P450 metabolites are involved in this therapeutic effect. We evaluated the effects of acute and repetitive hyperbaric oxygenation (HBO2 ), 20-hydroxyeicosatetreanoic acid (20-HETE) inhibition by N-hydroxy-N'-(4-butyl-2methylphenyl)-formamidine (HET0016) and their combination on experimental stroke outcomes. Streptozotocin-induced type 1 diabetic Sprague-Dawley female rats (n = 42; n = 7 per group), were subjected to 30 min of transient middle cerebral artery occlusion (t-MCAO)-reperfusion and divided into the following groups: (1) control group, without treatment; and groups exposed to: (2) HBO2 ; (3) multiple HBO2 (HBO2 immediately and second exposure 12 h after t-MCAO); (4) HET0016 pretreatment (1 mg kg-1 , 3 days before t-MCAO) combined with HBO2 after t-MCAO; (5) HET0016 treatment (1 h before, during and for 6 h after t-MCAO); and (6) HET0016 treatment followed by HBO2 after t-MCAO. Messenger RNA expression of CYP2J3, CYP2C11, CYP4A1, endothelial nitric oxide synthase and epoxide hydrolase 2 was determined by real-time qPCR. Cortical infarct size and total infarct size were equally and significantly reduced in HBO2 - and HET0016-treated rats. Combined treatment with HET0016 and HBO2 provided no significant additive effect compared with HET0016 treatment only. Messenger RNA of Cyp2J3 was significantly increased in all study groups, and mRNA of Cyp2C11 was significantly increased in the multiple HBO2 group and the HET0016 treatment followed by HBO2 group, compared with the control group. Expression of endothelial nitric oxide synthase was significantly increased after HBO2 treatments, and expression of epoxide hydrolase 2 was increased in all groups compared with the control group. In diabetic female Sprague-Dawley rats, HBO2 and HET0016 are highly effective stroke treatments, suggesting the involvement of cytochrome P450 metabolites and the NO pathway in this therapeutic effect.


Subject(s)
Amidines/pharmacology , Brain/drug effects , Diabetes Mellitus, Experimental/therapy , Diabetes Mellitus, Type 1/therapy , Hydroxyeicosatetraenoic Acids/metabolism , Hyperbaric Oxygenation , Infarction, Middle Cerebral Artery/therapy , Neuroprotective Agents/pharmacology , Reperfusion Injury/prevention & control , Animals , Aryl Hydrocarbon Hydroxylases/genetics , Aryl Hydrocarbon Hydroxylases/metabolism , Brain/metabolism , Brain/pathology , Combined Modality Therapy , Cytochrome P-450 Enzyme System/genetics , Cytochrome P-450 Enzyme System/metabolism , Cytochrome P450 Family 2/genetics , Cytochrome P450 Family 2/metabolism , Cytochrome P450 Family 4/genetics , Cytochrome P450 Family 4/metabolism , Diabetes Mellitus, Experimental/metabolism , Diabetes Mellitus, Experimental/physiopathology , Diabetes Mellitus, Type 1/metabolism , Diabetes Mellitus, Type 1/physiopathology , Epoxide Hydrolases/genetics , Epoxide Hydrolases/metabolism , Female , Gene Expression Regulation, Enzymologic , Infarction, Middle Cerebral Artery/metabolism , Infarction, Middle Cerebral Artery/pathology , Infarction, Middle Cerebral Artery/physiopathology , Nitric Oxide Synthase Type III/genetics , Nitric Oxide Synthase Type III/metabolism , RNA, Messenger/genetics , RNA, Messenger/metabolism , Rats, Sprague-Dawley , Reperfusion Injury/metabolism , Reperfusion Injury/pathology , Reperfusion Injury/physiopathology , Steroid 16-alpha-Hydroxylase/genetics , Steroid 16-alpha-Hydroxylase/metabolism , Time Factors
11.
Atherosclerosis ; 263: 184-191, 2017 08.
Article in English | MEDLINE | ID: mdl-28646793

ABSTRACT

BACKGROUND AND AIMS: Therapeutic angiogenesis is a pivotal strategy for ischemic heart disease. The aim of the present study was to determine the effect and molecular mechanism of Shexiang Baoxin pills, a widely-used traditional Chinese medicine for ischemic heart disease, on angiogenesis in a rat model of myocardial infarction (MI). METHODS: We used the occlusion of left anterior descending coronary artery of Sprague-Dawley rats as a model of MI. The MI rats were treated with distilled water, Shexiang Baoxin pills, or Shexiang Baoxin pills + HET0016 (a selective blocker of the biosynthesis of 20-hydroxyeicosatetraenoic acid (20-HETE) at 10 mg/kg/day), respectively. Sham-operated rats were used as controls. RESULTS: Treatment with Shexiang Baoxin pills increases the level of serum 20-HETE in MI rats, which can be suppressed by HET0016 treatment. Shexiang Baoxin pills shows cardio-protective effects on MI rats, including improving cardiac function, decreasing infarction area, and promoting angiogenesis in peri-infarct area. The protective effects of Shexiang Baoxin pills are partly inhibited by HET0016. Furthermore, Shexiang Baoxin pills enhances the number of circulating endothelial progenitor cells (EPCs) and the expression of the vascular endothelial growth factor (VEGF), based on immunohistochemical analysis, in peri-infarct area of MI rats, which is partly suppressed by HET0016. CONCLUSIONS: Shexiang Baoxin pills may partially participate in angiogenesis in MI rats. The protective mechanism of Shexiang Baoxin pills may be mediated via up-regulation of 20-HETE, which promotes EPCs mobilization and VEGF expression.


Subject(s)
Angiogenesis Inducing Agents/pharmacology , Drugs, Chinese Herbal/pharmacology , Endothelial Progenitor Cells/drug effects , Hydroxyeicosatetraenoic Acids/metabolism , Myocardial Infarction/drug therapy , Neovascularization, Physiologic/drug effects , Amidines/pharmacology , Animals , Cytochrome P-450 Enzyme Inhibitors/pharmacology , Disease Models, Animal , Endothelial Progenitor Cells/metabolism , Male , Myocardial Infarction/blood , Myocardial Infarction/physiopathology , Myocardium/metabolism , Myocardium/pathology , Rats, Sprague-Dawley , Signal Transduction/drug effects , Vascular Endothelial Growth Factor A/blood
12.
J Ethnopharmacol ; 202: 256-264, 2017 Apr 18.
Article in English | MEDLINE | ID: mdl-28336470

ABSTRACT

ETHNOPHARMACOLOGICAL RELEVANCE: Leaves from the plant species studied herein are traditionally used in northern Nigeria against various protozoan infections. However, none of these herbal preparations have been standardized, nor have their toxicity to mammalian cells been investigated. In search of improved and non-toxic active antiprotozoal principles that are not cross-resistant with current anti-parasitics, we here report the results of the in vitro screening of extracts from seven selected medicinal plant species (Centrosema pubescens, Moringa oleifera, Tridax procumbens, Polyalthia longifolia, Newbouldia laevis, Eucalyptus maculate, Jathropha tanjorensis), used traditionally to treat kinetoplastid infections in Nigeria, and the isolation of their bioactive principles. AIM OF THE STUDY: To investigate the efficacies of medicinal plant extracts, and of compounds isolated therefrom, against kinetoplastid parasites, assess cross-resistance to existing chemotherapy, and assay their toxicity against mammalian cells in vitro. MATERIAL AND METHODS: Plants were extracted with hexane, ethyl acetate and methanol. Active principles were isolated by bioassay-led fractionation, testing for trypanocidal activity, and identified using NMR and mass spectrometry. EC50 values for their activity against wild-type and multi-drug resistant Trypanosoma brucei were obtained using the viability indicator dye resazurin. RESULTS: Seven medicinal plants were evaluated for activity against selected kinetoplastid parasites. The result shows that crude extracts and isolated active compounds from Polyalthia longifolia and Eucalyptus maculata, in particular, display promising activity against drug-sensitive and multi-drug resistant Trypanosoma brucei. The EC50 value of a clerodane (16α-hydroxy-cleroda-3,13(14)-Z-dien-15,16-olide) isolated from Polyalthia longifolia was as low as 0.38µg/mL, while a triterpenoid (3ß,13ß-dihydroxy-urs-11-en-28-oic acid) isolated from Eucalyptus maculata displayed an EC50 of 1.58µg/mL. None of the isolated compounds displayed toxicity towards Human Embryonic Kidney cells at concentrations up to 400µg/mL. In addition, the isolated compounds were active against Leishmania mexicana, as well as against T. congolense. CONCLUSION: We have isolated a clerodane compound from Polyalthia longifolia that shows low toxicity, no cross-resistance with current treatments, and promising activity against both human-infective and veterinary Trypanosoma species.


Subject(s)
Amidines/pharmacology , Arsenicals/pharmacology , Biological Assay/methods , Trypanocidal Agents/pharmacology , Trypanocidal Agents/toxicity , Cell Line , Diterpenes, Clerodane/pharmacology , Diterpenes, Clerodane/toxicity , Drug Resistance , HEK293 Cells , Humans , Leishmania mexicana/drug effects , Medicine, African Traditional , Nigeria , Plant Leaves/chemistry , Trypanosoma brucei brucei/drug effects , Trypanosoma congolense/drug effects
13.
J Antimicrob Chemother ; 72(6): 1709-1713, 2017 06 01.
Article in English | MEDLINE | ID: mdl-28201509

ABSTRACT

Objectives: T-2307, a novel arylamidine, exhibits potent broad-spectrum activities against the majority of fungal pathogens. In this study, the antifungal activity of T-2307 against Cryptococcus gattii was evaluated in comparison with those of amphotericin B, fluconazole and voriconazole in vitro and in vivo . Methods: The MICs for 15 clinical isolates were determined according to CLSI guidelines and time-kill studies were performed using C. gattii YF2784. In a murine model for intranasal pulmonary infection caused by C. gattii YF2784, the test compounds were administered once daily for 7 days from 2 h or 14 days post-infection. The viable counts in the lungs and brain were determined at 21 days post-infection. Results: The MIC range, MIC 50 , MIC 90 and geometric mean MIC of T-2307 were 0.0078-0.0625, 0.0313, 0.0625 and 0.0394 mg/L, respectively. The MIC of T-2307 was significantly lower than those of fluconazole, voriconazole and amphotericin B. T-2307 showed concentration-dependent fungicidal activity at 4 times the MIC or higher. Administration of T-2307 at 2 mg/kg/day, amphotericin B at 1 mg/kg/day and fluconazole at 160 mg/kg/day from 2 h post-infection significantly reduced viable counts in the lungs and brain. However, when the administration was started 14 days post-infection, only T-2307 significantly reduced the viable counts in both the lungs and the brain at 1 mg/kg/day. Conclusions: T-2307 shows excellent in vitro and in vivo antifungal activities against C. gattii and would be a promising new candidate for the treatment of cryptococcosis.


Subject(s)
Amidines/administration & dosage , Amidines/pharmacology , Antifungal Agents/pharmacology , Antifungal Agents/therapeutic use , Cryptococcosis/drug therapy , Cryptococcus gattii/drug effects , Amidines/adverse effects , Amidines/therapeutic use , Amphotericin B/administration & dosage , Amphotericin B/adverse effects , Amphotericin B/pharmacology , Amphotericin B/therapeutic use , Animals , Antifungal Agents/administration & dosage , Antifungal Agents/adverse effects , Brain/microbiology , Cryptococcosis/microbiology , Cryptococcus gattii/pathogenicity , Cryptococcus neoformans/drug effects , Disease Models, Animal , Drug Discovery , Drug Resistance, Fungal , Fluconazole/pharmacology , Fluconazole/therapeutic use , Humans , Lung/microbiology , Lung Diseases, Fungal/drug therapy , Lung Diseases, Fungal/microbiology , Mice , Microbial Sensitivity Tests , Voriconazole/pharmacology , Voriconazole/therapeutic use
14.
Antimicrob Agents Chemother ; 60(11): 6828-6836, 2016 11.
Article in English | MEDLINE | ID: mdl-27600039

ABSTRACT

Leishmaniasis is a disease caused by pathogenic Leishmania parasites; current treatments are toxic and expensive, and drug resistance has emerged. While pentamidine, a diamidine-type compound, is one of the treatments, its antileishmanial mechanism of action has not been investigated in depth. Here we tested several diamidines, including pentamidine and its analog DB75, against Leishmania donovani and elucidated their antileishmanial mechanisms. We identified three promising new antileishmanial diamidine compounds with 50% effective concentrations (EC50s) of 3.2, 3.4, and 4.5 µM, while pentamidine and DB75 exhibited EC50s of 1.46 and 20 µM, respectively. The most potent antileishmanial inhibitor, compound 1, showed strong DNA binding properties, with a shift in the melting temperature (ΔTm) of 24.2°C, whereas pentamidine had a ΔTm value of 2.1°C, and DB75 had a ΔTm value of 7.7°C. Additionally, DB75 localized in L. donovani kinetoplast DNA (kDNA) and mitochondria but not in nuclear DNA (nDNA). For 2 new diamidines, strong localization signals were observed in kDNA at 1 µM, and at higher concentrations, the signals also appeared in nuclei. All tested diamidines showed selective and dose-dependent inhibition of kDNA, but not nDNA, replication, likely by inhibiting L. donovani topoisomerase IB. Overall, these results suggest that diamidine antileishmanial compounds exert activity by accumulating toward and blocking replication of parasite kDNA.


Subject(s)
Amidines/pharmacology , Leishmania donovani/drug effects , Trypanocidal Agents/pharmacology , Amidines/chemistry , Benzamidines/chemistry , Benzamidines/pharmacology , DNA Replication/drug effects , DNA Topoisomerases, Type II/genetics , DNA Topoisomerases, Type II/metabolism , DNA, Kinetoplast/metabolism , DNA, Mitochondrial/metabolism , DNA-Binding Proteins/genetics , DNA-Binding Proteins/metabolism , Drug Evaluation, Preclinical/methods , Fluorescence , Leishmania donovani/growth & development , Molecular Targeted Therapy , Pentamidine/analogs & derivatives , Pentamidine/pharmacology , Protozoan Proteins/genetics , Protozoan Proteins/metabolism , Topoisomerase II Inhibitors/chemistry , Topoisomerase II Inhibitors/pharmacology , Trypanocidal Agents/chemistry
15.
Nitric Oxide ; 58: 51-8, 2016 08 31.
Article in English | MEDLINE | ID: mdl-27328771

ABSTRACT

Leishmaniasis is a complex disease that is considered a serious public health problem. Due to the absence of an effective vaccine and debilitating chemotherapy better therapies are urgently needed. This situation has stimulated the search for alternative treatments such as the use of herbal medicines. Several studies conducted with Morinda citrifolia Linn. have shown various biological activities such as antitumor, immunomodulation and antileishmanial activity, however its mechanisms of action are still unknown. This study aimed to analyze the activity of M. citrifolia fruit juice against Leishmania amazonensis and its action on peritoneal macrophages from BALB/c infected with L. amazonensis. Activity against the promastigote forms showed IC50 at 275.3 µg/mL. Transmission electron microscopy was used to evaluate the ultrastructural alterations in the promastigotes treated with the juice and the results showed cytoplasmic vacuolization, lipid inclusion and increased activity of exocytosis. The juice treatment presented an IC50 at 208.4 µg/mL against intracellular amastigotes and led to an increased nitrite production in infected and non-infected macrophages. When macrophages were pre-treated with iNOS inhibitors, aminoguanidine or 1400W, the intracellular amastigotes increased, demonstrating the important role of NO production in M. citrifolia fruit activity. In conclusion, our results reveal that treatment with M. citrifolia fruit juice can increase NO production in peritoneal macrophages and this ability has an important role in the killing of L. amazonensis intracellular amastigotes.


Subject(s)
Fruit and Vegetable Juices , Leishmania/drug effects , Macrophages, Peritoneal/parasitology , Morinda/chemistry , Nitric Oxide/biosynthesis , Plant Preparations/pharmacology , Trypanocidal Agents/pharmacology , Amidines/pharmacology , Amphotericin B/pharmacology , Animals , Benzylamines/pharmacology , Female , Guanidines/pharmacology , Leishmania/metabolism , Leishmania/ultrastructure , Mice, Inbred BALB C , Nitric Oxide Synthase Type II/antagonists & inhibitors , Nitric Oxide Synthase Type II/genetics , RNA, Messenger/metabolism
16.
J Cardiovasc Pharmacol ; 68(2): 106-14, 2016 Aug.
Article in English | MEDLINE | ID: mdl-27010808

ABSTRACT

At high concentrations, polyphenols induce cell death, and the polyphenols-rich pomegranate juice (PJ), known for its antioxidative/antiatherogenic properties, can possibly affect cell death, including macrophage death involved in atherogenesis. In the present study, apoptotic/necrotic macrophage death was analyzed in J774A.1 macrophages and in peritoneal macrophages isolated from atherosclerotic apoE-/- mice treated with PJ. The effects of PJ were compared with those of the free radical generator 2, 2'-azobis (2-amidinopropane) dihydrochloride (AAPH). Both PJ and AAPH significantly increased J774A.1 macrophage death; however, flow cytometric and microscopic analyses using annexin V/propidium iodide revealed that PJ increased the early apoptosis of the macrophage dose dependently (up to 2.5-fold, P < 0.01), whereas AAPH caused dose-dependent increases in late apoptosis/necrosis (up to 12-fold, P < 0.001). Unlike PJ, AAPH-induced macrophage death was associated with increased intracellular oxidative stress (up to 7-fold, P < 0.001) and with lipid stress demonstrated by triglyceride accumulation (up to 3-fold, P < 0.01) and greater chromatic vesicle response to culture medium (up to 5-fold, P < 0.001). Accordingly, recombinant paraoxonase 1, which hydrolyzes oxidized lipids, attenuated macrophage death induced by AAPH, but not by PJ. Similar apoptotic and oxidative effects were found in macrophages from apoE-/- mice treated with PJ or AAPH. As macrophage apoptotic/necrotic death has considerable impact on atherosclerosis progression, these findings may provide novel mechanisms for the antiatherogenicity of PJ.


Subject(s)
Apoptosis/drug effects , Atherosclerosis/drug therapy , Fruit and Vegetable Juices , Lythraceae , Macrophages, Peritoneal/drug effects , Oxidants/pharmacology , Oxidative Stress/drug effects , Polyphenols/pharmacology , Reactive Oxygen Species/metabolism , Amidines/pharmacology , Animals , Apolipoproteins E/deficiency , Apolipoproteins E/genetics , Atherosclerosis/genetics , Atherosclerosis/metabolism , Atherosclerosis/pathology , Cell Line , Disease Models, Animal , Dose-Response Relationship, Drug , Lythraceae/chemistry , Macrophages, Peritoneal/metabolism , Macrophages, Peritoneal/pathology , Male , Mice, Knockout , Necrosis , Oxidants/isolation & purification , Phytotherapy , Plants, Medicinal , Polyphenols/isolation & purification
17.
Drug Chem Toxicol ; 39(3): 256-63, 2016.
Article in English | MEDLINE | ID: mdl-26364973

ABSTRACT

CONTEXT: Syzygium cumini (Myrtaceae) presents antioxidant, anti-inflammatory, hypoglycemic and antibacterial effects; however, the cellular and molecular mechanisms of action in the immune system are not yet completely elucidated. OBJECTIVE: This study evaluates the in vitro effect of gallic acid and aqueous S. cumini leaf extract (ASc) on adenosine deaminase (ADA) and dipeptidyl peptidase IV (DPP-IV) activities, cell viability and oxidative stress parameters in lymphocytes exposed to 2, 2'-azobis-2-amidinopropane dihydrochloride (AAPH). MATERIALS AND METHODS: Lymphocytes were incubated with ASc (100 and 500 µg/ml) and gallic acid (50 and 200 µM) at 37 °C for 30 min followed by incubation with AAPH (1 mM) at 37 °C for 2 h. After the incubation time, the lymphocytes were used for determinations of ADA, DPP-IV and lactate dehydrogenase (LDH) activities, lipid peroxidation, protein thiol (P-SH) group levels and cellular viability by colorimetric methods. RESULTS: (i) HPLC fingerprinting of ASc revealed the presence of catechin, epicatechin, rutin, quercitrin, isoquercitrin, quercetin, kaempferol and chlorogenic, caffeic, gallic and ellagic acids; (ii) for the first time, ASc reduced the AAPH-induced increase in ADA activity, but no effect was observed on DPP-IV activity; (iii) ASc increased P-SH groups and cellular viability and decreased LDH activity, but was not able to reduce the AAPH-induced lipid peroxidation; (iv) gallic acid showed less protective effects than ASc. DISCUSSION AND CONCLUSION: ASc affects the purinergic system and may modulate adenosine levels, indicating that the extract of this plant exhibits immunomodulatory properties. ASc also may potentially prevent the cellular injury induced by oxidative stress, highlighting its cytoprotective effects.


Subject(s)
Antioxidants/pharmacology , Gallic Acid/pharmacology , Lymphocytes/drug effects , Oxidative Stress/drug effects , Plant Extracts/pharmacology , Syzygium/chemistry , Amidines/pharmacology , Antioxidants/isolation & purification , Cell Culture Techniques , Cell Survival/drug effects , Cells, Cultured , Chromatography, High Pressure Liquid , Humans , Lipid Peroxidation/drug effects , Lymphocytes/pathology , Plant Extracts/isolation & purification , Plant Leaves/chemistry
18.
J Basic Clin Physiol Pharmacol ; 27(4): 403-9, 2016 Jun 01.
Article in English | MEDLINE | ID: mdl-26669246

ABSTRACT

BACKGROUND: Scutellaria baicalensis is a well-known plant in traditional Chinese medicine. Recently, several Scutellaria species with therapeutic potential have been recognized worldwide. Scutellaria colebrookiana and Scutellaria violacea, native to the Western Ghats of India, are reported to possess free radical scavenging efficacy. At present, the protective effect of these Scutellaria spp. against 2,2' azobis (2-amidinopropane) hydrochloride (AAPH)-induced oxidative damage in human erythrocytes has been analyzed. METHODS: Oxidative stress in erythrocyte was induced by AAPH. The inhibition of hemolysis, membrane lipid peroxidation, and protein damage by chloroform extracts of Scutellaria spp. was assessed biochemically. Phytochemicals of the extracts were analyzed by Fourier transform infrared spectrophotometer (FTIR). RESULTS: Approximately 95% of erythrocytes were lysed by AAPH over 3 h of incubation. Significant reduction in hemolysis was observed by the extracts, and the IC50 values were 18.3 and 23.5 µg/mL for S. colebrookiana and S. violacea, respectively. Both the extracts were found to inhibit AAPH-induced lipid peroxidation in ghost membrane with IC50 92±2.8 and 70±5.6 µg/mL. In the analysis of the membrane proteins using sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), the AAPH-induced degradation of actin was found reduced by both the extracts. The FTIR spectrum revealed the presence of polyphenols, carboxylic acids, alkanes, and aromatic compounds in extracts. In quantitative analysis, the total polyphenolic content estimated was 380±0.23 and 203.7±1.4 mg of gallic acid equivalent per gram extract of S. colebrookiana and S. violacea. CONCLUSIONS: Results indicate that S. colebrookiana and S. violacea are capable of protecting erythrocytes from oxidative damage. This cytoprotective effect of the extract is possibly by its antioxidant property.


Subject(s)
Amidines/pharmacology , Erythrocytes/drug effects , Oxidative Stress/drug effects , Plant Extracts/pharmacology , Protective Agents/pharmacology , Scutellaria/chemistry , Antioxidants/pharmacology , Cells, Cultured , Erythrocyte Membrane/drug effects , Erythrocyte Membrane/metabolism , Erythrocytes/metabolism , Gallic Acid/pharmacology , Glutathione/metabolism , Hemolysis/drug effects , Humans , Lipid Peroxidation/drug effects , Oxidants/metabolism , Oxidation-Reduction/drug effects , Polyphenols/pharmacology , Scutellaria baicalensis
19.
J Neurosci ; 35(37): 12890-902, 2015 Sep 16.
Article in English | MEDLINE | ID: mdl-26377474

ABSTRACT

Recent evidence suggests that histone modifications play a role in the behavioral effects of cocaine in rodent models. Histone arginine is known to be methylated by protein arginine N-methyltransferases (PRMTs). Evidence shows that PRMT1 contributes to >90% of cellular PRMT activity, which regulates histone H4 arginine 3 asymmetric dimethylation (H4R3me2a). Though histone arginine methylation represents a chemical modification that is relatively stable compared with other histone alterations, it is less well studied in the setting of addiction. Here, we demonstrate that repeated noncontingent cocaine injections increase PRMT1 activity in the nucleus accumbens (NAc) of C57BL/6 mice. We, subsequently, identify a selective inhibitor of PRMT1, SKLB-639, and show that systemic injections of the drug decrease cocaine-induced conditioned place preference to levels observed with genetic knockdown of PRMT1. NAc-specific downregulation of PRMT1 leads to hypomethylation of H4R3me2a, and hypoacetylation of histone H3 lysine 9 and 14. We also found that H4R3me2a is upregulated in NAc after repeated cocaine administration, and that H4R3me2a upregulation in turn controls the expression of Cdk5 and CaMKII. Additionally, the suppression of PRMT1 in NAc with lentiviral-short hairpin PMRT1 decreases levels of CaMKII and Cdk5 in the cocaine-treated group, demonstrating that PRMT1 affects the ability of cocaine to induce CaMKII and Cdk5 in NAc. Notably, increased H4R3me2a by repeated cocaine injections is relatively long-lived, as increased expression was observed for up to 7 d after the last cocaine injection. These results show the role of PRMT1 in the behavioral effects of cocaine. SIGNIFICANCE STATEMENT: This work demonstrated that repeated cocaine injections led to an increase of protein arginine N-methyltransferase (PRMT1) in nucleus accumbens (NAc). We then identified a selective inhibitor of PRMT1 (SKLB-639), which inhibited cocaine-induced conditioned place preference (CPP). Additionally, genetic downregulation of PRMT1 in NAc also attenuated cocaine-caused CPP and locomotion activity, which was associated with decreased expression of histone H4 arginine 3 asymmetric demethylation (H4R3me2a) and hypoacetylation of histone H3 lysine 9 and 14 (acH3K9/K14). This study also showed that H4R3me2a controlled transcriptions of Cdk5 and CaMKII, and that PRMT1 negatively affected the ability of cocaine to induce CaMKII and Cdk5 in NAc. Notably, increased H4R3me2a by repeated cocaine injection was relatively long-lived as increased expression was observed up to 7 d after withdrawal from cocaine. Together, this study suggests that PRMT1 inhibition may serve as a potential therapeutic strategy for cocaine addiction.


Subject(s)
Amidines/pharmacology , Cocaine/pharmacology , Histones/metabolism , Nerve Tissue Proteins/metabolism , Nucleus Accumbens/enzymology , Protein Processing, Post-Translational , Protein-Arginine N-Methyltransferases/physiology , Pyrimidines/pharmacology , Animals , Chromatin Assembly and Disassembly/drug effects , Drug Evaluation, Preclinical , Methylation , Mice , Models, Molecular , Nerve Tissue Proteins/antagonists & inhibitors , Nucleus Accumbens/drug effects , Nucleus Accumbens/physiology , Protein Conformation , Protein-Arginine N-Methyltransferases/antagonists & inhibitors , RNA Interference , RNA, Small Interfering/pharmacology
20.
Prostaglandins Other Lipid Mediat ; 121(Pt A): 53-62, 2015 Sep.
Article in English | MEDLINE | ID: mdl-26201058

ABSTRACT

Statins are suggested to possess healing properties due to their antioxidant and antiinflammatory effects in animal ulcer models. In contrary, a clinical report indicated the formation of gastric ulcer by the use of atorvastatin. In this study, we aimed to investigate the effects of atorvastatin (0.5, 5 and 50mg/kg, p.o.) after single (acute) and multiple (subchronic, 5 days) applications on indomethacin-induced gastric ulcer in rats. In both acute and subchronic models high dose atorvastatin (50mg/kg), unlike to lower doses (0,5 and 5mg/kg), significantly aggravated ulcer lesions induced by indomethacin (30 mg/kg) although, a direct ulcerogenic influence was lacking. Proulcerogenic effect of atorvastatin are likely to be associated with decreased mucosal defense mechanisms (GSH and PGE2), and increased neutrophil infiltration and proinflammatory factors (TNF-a and iNOS) possibly via independently from mevalonate pathway. Thus, atorvastatin therapy should be monitorized in patients for an increased risk of gastric ulcer particularly when used concomitantly with NSAIDs.


Subject(s)
Atorvastatin/pharmacology , Dinoprostone/metabolism , Indomethacin/pharmacology , Neutrophils/drug effects , Nitric Oxide Synthase Type II/metabolism , Stomach Ulcer/chemically induced , Tumor Necrosis Factor-alpha/metabolism , Amidines/pharmacology , Animals , Benzylamines/pharmacology , Drug Synergism , Female , Male , Mevalonic Acid/pharmacology , Neutrophil Infiltration/drug effects , Neutrophils/immunology , Rats , Stomach Ulcer/immunology , Stomach Ulcer/metabolism
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