Traditional Chinese medicine treatment for benign thyroid nodules: Literature review.

Thyroid nodules (TNs) are pathological changes characterized by abnormal proliferation of thyroid gland tissue. Approximately 19% to 67% of asymptomatic individuals are diagnosed with TNs, with the majority being benign nodules and 4% to 6.5% being thyroid cancer nodules. Western medicine recommends regular examinations and surgery, while traditional Chinese medicine (TCM) provides an alternative choice to maintain thyroid function and reduce the need for surgery. However, in Taiwan, research on TCM treatment for benign TNs is primarily limited to case reports, lacking large-scale and systematic clinical studies. We conducted a search of electronic databases including PubMed, Google Scholar, Wanfang Data, and China National Knowledge Infrastructure to collect clinical trials related to TCM treatment for TNs. Our goal is to provide new treatment options, further validate the value of TCM in the treatment of TNs, and lay a foundation for future clinical research.

Exposure of engineered nanoparticles to Alexandrium tamarense (Dinophyceae): Healthy impacts of nanoparticles via toxin-producing dinoflagellate.

Human activities can enhance the frequency, intensity and occurrence of harmful algal blooms (HABs). Engineered nanoparticles (ENPs), contained in many materials, will inevitably enter coastal waters and thus cause unpredictable impacts on aquatic organisms. However, knowledge of the influence of ENPs on HAB species is still lacking. In this study, we examined the effects of titanium dioxide nanoparticles (nTiO2), zinc oxide nanoparticles (nZnO) and aluminum oxide nanoparticles (nAl2O3) on physiological changes and paralytic shellfish poisoning toxins (PSTs) production of Alexandrium tamarense. We found a dose-dependent decrease in photosynthetic activity of A. tamarense under all three ENPs and a significant growth inhibition induced by nZnO. The largest reactive oxygen species (ROS) production was induced by nTiO2, followed by nZnO and nAl2O3. Moreover, the PSTs production rate increased by 3.9-fold for nTiO2 (p<0.01) and 4.5-fold for nAl2O3 (p<0.01) at a concentration of 200mgL-1. The major component, C2 was transformed to its epimer C1 and the proportion of decarbamoyl toxins increased under 200mgL-1 of nZnO and nAl2O3. In addition, the proportion of carbamate toxins increased upon exposure to 2mgL-1 ENPs, while decreased upon exposure to 200mgL-1 ENPs. The changes in PSTs production and composition might be an adaptive response for A. tamarense to overcome the stress of ENPs exposure. This work brings the first evidence that ENP would affect PSTs production and profiles.

Fractionation and identification of 9c, 11t, 13t-conjugated linolenic acid as an activator of PPARalpha in bitter gourd (Momordica charantia L.).

Bitter gourd (Momordica charantia L.) is a common vegetable in Asia that has been used in traditional medicine for the treatment of Diabetes. PPARs are ligand-dependent transcription factors that belong to the steroid hormone nuclear receptor family and control lipid and glucose homeostasis in the body. We previously reported that the ethyl acetate (EA) extract of bitter gourd activated peroxisome proliferator receptors (PPARs) alpha and gamma. To identify the active compound that activated PPARalpha, wild bitter gourd EA extract was partitioned between n-hexane and 90% methanol/10% H(2)O, and the n-hexane soluble fraction was further separated by silica gel column chromatography and finally by preparative HPLC. A transactivation assay employing a clone of CHOK1 cells stably transfected with a (UAS)(4)-tk-alkaline phosphatase reporter and a chimeric receptor of GAL4-rPPARalpha LBD was used to track the active component. Based on Mass, NMR, and IR spectroscopy, 9cis, 11trans, 13trans-conjugated linolenic acid (9c, 11t, 13t-CLN) was identified as a PPARalpha activator in wild bitter gourd. The isolated 9c, 11t, 13t-CLN rich fraction also significantly induced acyl CoA oxidase (ACO) activity in a peroxisome proliferator-responsive murine hepatoma cell line, H4IIEC3, implying that 9c, 11t, 13t-CLN was able to act on a natural PPARalpha signaling pathway as well. The content of 9c, 11t, 13t-CLN was estimated to be about 7.1 g/kg of our dried wild bitter gourd sample. The concentration of 9c, 11t, 13t-CLN and activation activity in the hydrolyzed EA extract of the seeds was higher than that of the flesh. The potential health benefits of 9c, 11t, 13t-CLN through the PPARalpha regulated mechanism are worthy to be further characterized in in vivo studies.