Progress on Prevention and Treatment of Cerebral Small Vascular Disease Using Integrative Medicine.

Cerebral small vessel disease (CSVD) is a senile brain lesion caused by the abnormal structure and function of arterioles, venules and capillaries in the aging brain. The etiology of CSVD is complex, and disease is often asymptomatic in its early stages. However, as CSVD develops, brain disorders may occur, such as stroke, cognitive dysfunction, dyskinesia and mood disorders, and heart, kidney, eye and systemic disorders. As the population continues to age, the burden of CSVD is increasing. Moreover, there is an urgent need for better screening methods and diagnostic markers for CSVD, in addition to preventive and asymptomatic- and mild-stage treatments. Integrative medicine (IM), which combines the holistic concepts and syndrome differentiations of Chinese medicine with modern medical perspectives, has unique advantages for the prevention and treatment of CSVD. In this review, we summarize the biological markers, ultrasound and imaging features, disease-related genes and risk factors relevant to CSVD diagnosis and screening. Furthermore, we discuss IM-based CSVD prevention and treatment strategies to stimulate further research in this field.

Effect of aromatherapy on autonomic nervous system regulation with treadmill exercise-induced stress among adolescents.

INTRODUCTION: Stress is a major health issue in adolescents owing to the important transitions experienced during this period. Aromatherapy is an effective method for the reduction of stress in adolescents. PURPOSE: The aims of this study were to examine the effect of aromatherapy on the regulation of the autonomic nervous system (ANS) along with stress relief and to explore the effect of aromatherapy on adolescents with different levels of stress. METHODS: This quasi-experimental study comprised three types of treatments: control (no essential oil), pure essential oil therapy (sandalwood), and blended essential oil therapy (sandalwood-lavender). The heart rate variability (HRV) was calculated to evaluate the post-exercise recovery of the ANS to the baseline level in the recruited adolescents. To examine the efficiency of aromatherapy, Friedman test was used to assess the significance of difference in all parameters (i.e., mean heart rate, SDNN, normalized LF, normalized HF, and LF/HF) between baseline and after exercise among the three treatment conditions. RESULTS: The participants comprised 43 junior college students (8 males and 35 females) with a mean age of 18.21 ± 0.99. Significant differences in changes of two HRV parameters (normalized LF and LF/HF) were associated with both essential oil therapies compared to those in the control group (p<0.05), and one more HRV parameter (normalized HF) exhibited significant difference related to blended essential oil therapy compared to that of the control group. Besides, changes in two HRV parameters (mean heart rate and normalized HF) of both essential oil therapies in the low level stress subgroup showed significant differences compared to those of the control group (p<0.05). CONCLUSIONS: This study demonstrated that aromatherapy could be used for ANS regulation with stress-relieving effects in adolescents. The participants with a low stress level appeared to respond better to the blended essential oil therapy, whereas those with medium to high levels of stress appeared to respond poorly to aromatherapy compared to the control.

Synthesis and biological evaluation of novel tanshinone IIA derivatives for treating pain.

Due to ineffectiveness and side effects of existing analgesics, chronic pain has become one of the most complex and difficult problems in the clinic. Monoacylglycerol lipase (MAGL) is an essential hydrolase in the endocannabinoid system and has been identified as a potential target for the treatment of pain. In the present study, we designed and synthesized twelve tanshinone IIA analogs and screened their activity against MAGL. Selected compounds were tested for analgesic activity in vivo, with the acetic acid writhing test model. Among the test compounds, compound III-3 (IC50 120 nmol·L-1) showed significant activity against MAGL and ameliorated the clinical progression in the mouse pain model. Additionally, compound III-3, substitution with N-methyl-2-morpholinoacetamide, demonstrated improved solubility relative to tanshinone IIA.

[Impacts of Bioremediation on Microbial Communities and Different Forms of Nitrogen in Petroleum Contaminated Soil].

A laboratory study was conducted to investigate the impacts of bioremediation on microbial communities and various nitrogen shifts in petroleum contaminated soil by using GC-MS and Illumia MiSeq technique. Results showed the concentrations of alkane reduced from 25987.8 mg·kg-1 to 12788.6 mg·kg-1, and the concentrations of polycyclic aromatic hydrocarbons (PAHs) decreased from 5322.9 mg·kg-1 to 2917.2 mg·kg-1. Illumia MiSeq results showed that soil microbial communities shifted significantly after remediation, and the relative abundance of some phylum of hydrocarbon degraders (Firmicutes, Bacterodetes), and some genus of degraders (Dietzia, Acinetobacter) increased. Besides, the contents of total nitrogen and ammonia nitrogen increased firstly and then decreased during remediation. However, the contents of nitrate nitrogen decreased at the early stage, and then kept stable in the later stage of remediation. It can be concluded that bioremediation effectively promoted petroleum hydrocarbon degradation, and the different fractional hydrocarbon degradation was related to the relative abundance of hydrocarbon degraders and available nitrogen contents.

[Remediation of Petroleum-Contaminated Soil Using a Bioaugmented Compost Technique].

Bioaugmented compost was created by inoculating petroleum-degrading bacteria into mature compost. The petroleum hydrocarbon degradation efficiencies were investigated by applying this enhanced compost to petroleum-contaminated soil under low temperatures. The results showed that the degrading bacteria can be enriched in the mature compost. After 30 d of remediation, the removal efficiency of TPH, alkanes, and PAHs in the soil was 27.0%, 19.6%, and 10.0%, compared to natural attenuation (CK), which was 4.5%, 9.5%, and 2.3%, respectively. In response to remediation, the relative abundance of Proteobacteria and Actinobacteria phyla decreased from 53.4% and 25.9% to 48.9% and 14.1%, respectively, and Bacteroidetes phylum increased from 5.0% to 24.5%. At the genus level, the relative abundance of Acinetobacter and Pseudomonas increased from 0.02% and 3.4% to 15.2% and 4.6%, respectively. The results indicated that the bioaugmented compost may efficiently facilitate and speed up the bioremediation of petroleum-contaminated soil under low-temperature conditions. Soil microbial diversity and structure of microbial communities are sensitive to the remediation.