"Lifting Yang to Dredging Du Meridian Manipulation" acupuncture alleviates cerebral ischemia-reperfusion injury by mediating the NF-κB pathway.

BACKGROUND: Ischemic stroke is a permanent neurological impairment resulting from the narrowing or blockage of blood vessels in the brain. The effectiveness of "Lifting Yang to Dredging Du Meridian Manipulation" (LYDD) acupuncture in clinical treatment of ischemic stroke patients has been well-established. Nevertheless, its mechanism is still uncertain. METHODS: MCAO/R rat models at different time points of reperfusion (24, 36, 48 and 72 h) were constructed, and LYDD acupuncture treatment was performed. Zea-Longa score and TTC staining were used for assessing neurological impairment and cerebral infarct in rats, respectively. The pathological changes of cerebral tissue in each group were observed by HE and Nissl's staining. Cerebral tissue from each group was subjected to RNA-seq, and differentially expressed genes (DEGs) were performed for GO and KEGG enrichment analysis, and hub gene was identified based on the String database and MCODE algorithm. RESULTS: LYDD acupuncture treatment significantly reduced Zea-Longa score, dry-wet weight ratio, infarct area, inflammatory factor levels (IL-1ß and TNF-α), cerebral lesions, number of Nissl body and neuronal apoptosis in the MCAO/R model at different time points of reperfusion. A total of 3518 DEGs were identified in the MCAO/R model compared to the control group, and 3461 DEGs were present in the treatment group compared to the MCAO/R model, and they may be implicated in neurotransmitter transmission, synaptic membrane potential, cell junctions, inflammatory response, immune response, cell cycle, and ECM. The expression trends of BIRC3, LTBR, PLCG2, TLR4 and TRADD mRNAs in the Hub gene were consistent with the RNA-seq results, and LYDD acupuncture treatment significantly inhibited MCAO/R-induced p65 nuclear translocation. CONCLUSIONS: LYDD acupuncture ameliorates cerebral ischemia-reperfusion injury by inhibiting NF-κB pathway activity.

Efficacy and safety of electric acupuncture in treatment of intractable facial paralysis: A protocol for systematic review and meta-analysis.

BACKGROUND: Facial paralysis is a common clinical disease, it was named intractable facial paralysis when the clinical course more than 2 months. Intractable facial paralysis will produce anxiety and depression, which will seriously affect patients' life and work. Electric acupuncture has been widely used in the treatment of intractable facial paralysis. However, the results of clinical studies on the efficacy and safety have been inconsistent. This study aims to evaluate the efficacy and safety of electric acupuncture for intractable facial paralysis patients by systematic review and meta-analysis, so as to provide clinical decision-making based on evidence-based medicine. METHODS: The following databases will be searched by electronic methods: PubMed, Embase, Cochrane Library, Chinese National Knowledge Infrastructure, VIP Database, Wan-fang Data and Chinese Biomedical Database. All of them will be retrieved from the establishment date of the electronic database to March 2022, all included studies will be evaluated risk of bias by the Cochrane Handbook. The total effective rate will be the primary outcome. The systematic review will be conducted with the use of the RevMan5.3 software in this study. RESULTS: This study will obtain efficacy and safety of electric acupuncture for the treatment of intractable facial paralysis. DISCUSSION: This study will provide clinical decision-making based on evidence-based medicine that whether electric acupuncture could be used to treat intractable facial paralysis, and when and how it might be more effective and safety. It will help standardize electric acupuncture treatment strategies for intractable facial paralysis. PROSPERO REGISTRATION NUMBER: CRD42021278541.

Gambogic acid suppresses nasopharyngeal carcinoma via rewiring molecular network of cancer malignancy and immunosurveillance.

Nasopharyngeal carcinoma (NPC) is a malignant tumor highly prevalent in Southeast Asia. The distant metastasis and disease recurrence are still unsolved clinical problems. In recent years, traditional Chinese medicine (TCM) monomers have become significantly attractive due to their advantages. Using high throughput drug sensitivity screening, we identified gambogic acid (GA) as a common TCM monomer displaying multiple anti-NPC effects. GA could effectively inhibit the proliferation of low differentiated cells and highly metastatic cells in NPC via inducing apoptosis and G2/M cell cycle arrest. In addition, GA obviously repressed the abilities of cell clone, migration, invasion, angiogenesis and represented satisfied synergistic effects combined with chemotherapy. Importantly, we found the elevated immune checkpoint CD47 stimulated after chemotherapy was dramatically impaired by GA treatment. Mechanically, the network pharmacology analyses unraveled that the oncogenic signaling pathways including STATs were rewired by GA treatment. Taken together, our study reveals a molecular basis and provides a rationale for GA application as the treatment regime in NPC therapy in future.

Seco-neferine A-F, three new pairs of benzyltetrahydroisoquinoline alkaloid epimers from Plumula Nelumbinis and their activity.

Three new pairs of benzyltetrahydroisoquinoline (BIQ) alkaloid epimers, Seco-neferine A-F (1-6), were isolated from an EtOH extract of Plumula Nelumbinis. The structures of these compounds were identified by a combination of NMR, HR-ESI-MS, circular dichroism, UV spectroscopic analyses and specific rotations. The structure of compounds 1-6 possesses high similarity with neferine, because these three pairs of epimers have the same skeleton as neferine. Compounds 1,2 and 5,6 are open-loop compounds of position 1' and 1 of neferine respectively. The H connects with position 2' N of compounds 1,2 is replaced by methyl, forming the structure of compounds 3,4. Moreover, six compounds were tested for cytotoxicity against MDA-MB-231 breast cancer cell. Compound 6 displayed moderate inhibitory effects on breast cancer with IC50 of 38.96 µM, while compounds 2,3,4 show certain inhibitory effects.

Study for cerebral central network mechanism of acupuncture stimulation quantity based on changes of cerebral functional connection of fMRI.

BACKGROUND: Ischemic stroke is a major chronic noninfectious disease that seriously endangers health. Acupuncture is effective for ischemic stroke and less adverse reactions. However, there is not enough clinical trial data and solid evidence could confirm how acupuncture work to cerebral functional connectivity changes, and whether the changes is related to the different stimulation quantity. DESIGN: This is a multicenter, central-randomized, controlled, double-blind, noninferiority, 2 factors and 3 levels orthogonal clinical trial. A total of 100 participants with ischemic stroke aged from 40 to 80 were randomized into experimental group and control group, the experimental group was divided into 9 groups (A1-A9) according to different factors or levels, and each group have 10 participants. The whole study period is 17 days, including 1 week for baseline observation, 3 days treatment and observation, and 1 week follow-up. Primary outcome is the fMRI based on blood oxygenation level dependent. Secondary outcomes included National Institute of Health Stroke Scale, Modified Barthel Index, Brunnstrom stroke recovery, stroke Chinese medicine symptom. Clinical assessments will be evaluated at before and the 0 hour, 24 hours, 36 hours after treatment, and 1 week follow-up. The primary outcome of the postacupuncture effect were investigated by paired T-test, and the continuous outcome variables will be analyzed with univariate repetitive measurement deviation analysis. Adverse events will be noted and recorded for the safety evaluation. CONCLUSION: The purpose of this study was to evaluate the central mechanism of acupuncture stimulation quantity using time and frequency as control conditions. This study will provide reasonable stimulation parameters and strong mechanism evidence of cerebral central network for the use of acupuncture for ischemic stroke. CHICTR REGISTRATION NUMBER: ChiCTR1900023169. Registered 15 May 2019.

Capsaicin Attenuates Amyloid-ß-Induced Synapse Loss and Cognitive Impairments in Mice.

Alzheimer's disease (AD) is the most common cause of progressive cognitive impairment in the aged. The aggregation of the amyloid ß-protein (Aß) is a hallmark of AD and is linked to synapse loss and cognitive impairment. Capsaicin, a specific agonist of the transient receptor potential vanilloid 1 (TRPV1), has been proven to ameliorate stress-induced AD-like pathological and cognitive impairments, but it is unclear whether TRPV1 activation can affect cognitive and synaptic functions in Aß-induced mouse model of AD. In this study, we investigated the effects of TRPV1 activation on spatial memory and synaptic plasticity in mice treated with Aß. To induce AD-like pathological and cognitive impairments, adult C57Bl/6 mice were microinjected with Aß42 (100 µM, 2.5 µl/mouse, i.c.v.). Two weeks after Aß42 microinjection, spatial learning and memory as well as hippocampal long-term potentiation (LTP) were examined. The results showed that Aß42 microinjection significantly impaired spatial learning and memory in the Morris water maze and novel object recognition tests compared with controls. These behavioral changes were accompanied by synapse loss and impaired LTP in the CA1 area of hippocampus. More importantly, daily capsaicin (1 mg/kg, i.p.) treatment throughout the experiment dramatically improved spatial learning and memory and synaptic function, as reflected by enhanced hippocampal LTP and reduced synapse loss, whereas the TRPV1 antagonist capsazepine (1 mg/kg, i.p.) treatment had no effects on cognitive and synaptic function in Aß42-treated mice. These results indicate that TRPV1 activation by capsaicin rescues cognitive deficit in the Aß42-induced mouse model of AD both structurely and functionally.

[Control of Soil Nutrient Loss of Typical Reforestation Patterns Along the Three Gorges Reservoir Area].

Annual soil nutrient loss characteristics on typical reforestation patterns in watershed along the Three Gorges Reservoir Area were studied based on runoff plot experiment. Runoff and sediment nutrition content from May to October 2014 of typical reforestation patterns including garden plot (tea garden), forest land (Chinese chestnut) and the original slope farmland were determined and then analyzed. The results showed that: (1) After the Returning Farmland to Forest Project the quantity of annual soil nutrient (nitrogen and phosphorus, the sum of them in sediment and runoff) loss decreased. The output of total nitrogen (TN) was in the order of slope farmland (2 444.27 g x hm(-2)) > tea garden (998.70 g x hm(-2)) > Chinese chestnut forest (532.61 g x hm(-2)), and for total phosphorus (TP) loss was slope farmland (1 690.48 g x hm(-2)) > tea garden (488.06 g x hm(-2)) > Chinese chestnut forest (129.00 g x hm(-2)) . Compared with slope farmland, the load of TN and TP output of reforestation patterns decreased 68.68% and 81.75%, respectively. (2) Compared with slope farmland, available nitrogen loss decreased in reforestation patterns. Total nitrate nitrogen (NO3(-)-N) loss ranked in the order of slope farmland (113.79 g x hm(-2)) > tea garden (73.75 g x hm(-2)) > Chinese chestnut forest (56.06 g x hm(-2)) The largest amount of ammonium nitrogen (NH4(+)-N) was found in tea garden (69.34 g x hm(-2)), then in farmland (52.45 g x hm(-2)), and the least in Chinese chestnut forest (47.23 g x hm(-2)). (3) The main route of NO3(-)-N and NH4(+)-N loss was both through runoff, the quantity of NO3(-)-N and NH4(+)-N output in which accounted for 91.4% and 92.2% of the total, respectively. The quantity of TN and TP in sediment accounted for 86.6% and 98.4% of the total. TN and TP loss showed an extremely significant correlation with sediments, which showed that sediment output was the main approach of TN and TP loss.

[Effects of land use and landscape pattern on nitrogen and phosphorus exports in Lanlingxi Watershed of the Three Gorges Reservoir Area, China].

The temporal and spatial characteristics of N, P exports and effects of land use and landscape pattern on N, P exports were analyzed in the Lanlingxi Watershed of the Three Gorges Reservoir Area. The results showed that the TN, TP and NO3(-) -N were mainly generated by non-wood forest, the N, P exports in flood period (June to September) were significantly higher than the non-flood period (January to May). The NH4(+) -N export was derived from the residential area in the non-flood period, while from non-wood forest in the flood period. In addition, the performance of samples N, P exports with forest distributed were lower in both two periods. Also, the proportion of forest significantly negatively correlated with NO3(-) -N, TP in the non-flood period and TN, TP in the flood period. The residential area proportion notably positively correlated with NO3(-) -N, TN in non-flood period and NO3(-) -N, TN, TP in the flood period. The non-wood forest proportion also significantly positively correlated with NH4(+) -N, TN in the flood period. Moreover, PD closely positively correlated with N exports in non-flood period, with NO3(-) -N, NH4(+) -N in flood period. The CONT index strongly negatively correlated with N exports in flood period and TP in non-flood period. However, the proportions of farmland, unused land and the indices of ED were relatively weakened with N, P exports in both periods, while SHMN and water proportion did not show any positive or negative correlation. Moreover, the regression fitting degree of NH4(+)-N was superior to NO3(-) -N, TN and TP with the adjust R2 of 0.885 and 0.969 in two periods, while the regression relation was better than that of non-flood period. The result of redundancy analysis further demonstrated that the landscape fragmentation caused by patches types of different land uses could better explain impacts on the exports of nitrogen and phosphorus. The two canonical axes accumulated explained the 90% proportion of the variables and the highest contribution was PD, which was an important indicator for watershed water quality assessment and prediction.

[Characteristics of nutrient loss of Lanlingxi watershed in the Three Gorges Reservoir area].

The water flow velocity of part of the tributaries in the Three Gorges Reservoir area has become slower after the water storage period, and agricultural non-point source pollution (AGNPS) is an urgent problem to be solved. Based on a closed catchment of Lanlingxi watershed, the process and the load of nitrogen and phosphorus loss were monitored, and the different ways of nitrogen (N) and phosphorus (P) loss under typical rainfall conditions in watershed scale were compared. The results showed that: (1) The concentration of total nitrogen (TN) gradually decreased with the increasing runoff, and slowly increased after the rain stopped, while the total phosphorus (TP) was contrary to that of TN; (2) The TN loss process had a close relation with rainfall, as TP loss was influenced by the rainfall intensity. N loss was mainly in the form of dissolvable nitrogen, while particle phosphorus was the dominant form for P loss. (3) Surface runoff was the important way of nutrient loss, as interflow greatly influenced the N loss; (4) Various forms of N and P loss showed a significant linear relationship with runoff. (5) The annual TP loss was 28.94 kg x (a x km)(-2) and TN loss was 1040.41 kg x (a x km2)(-1) in this watershed.

[Nitrogen and phosphorus loss in different land use types and its response to environmental factors in the Three Gorges Reservoir area].

The control of agricultural non-point source pollution (AGNPS) is an urgent problem to be solved for the ecological environment construction in the Three Gorges Reservoir Area. We analyzed the nitrogen (N) and phosphorus (P) loss and its response to environmental factors through monitoring the nutrient loss in different land use types after returning farmland to forest. The results showed that: 1) The variability of nutrient concentration loss was strong in different land use types under different rainfall conditions, and the variability in the concentration of available nutrient was much higher than that of total nutrient; 2) Compared to farmland, the annual phosphorus loss of different land use types was reduced by 84.53% - 91.61% after returning farmland to forest; the reduction of annual nitrogen loss was not significant except Chinese chestnut forest (Castanea mollissima) and arbor forest, and the nitrogen loss was much higher than the phosphorus loss in all land use types; 3) The particle phosphorus and nitrate nitrogen (NO3(-)-N) were the main forms of the phosphorus and nitrogen loss, respectively; 4) The nutrient loss of tea garden (Camellia sinensis) and bamboo forest (Phyllostachys pubescens) showed a good correlation with precipitation, and the correlation of phosphorus was better than that of nitrogen, but there was no significant relation with the rainfall intensity; 5) The coverage of vegetation, tree layer and litter had a great influence on the loss of total nitrogen (TN). NO3(-)-N loss was highly influenced by the ammonium nitrogen (NH4(+)-N) content in the surface soil, and P loss mainly by the total phosphorus (TP) and sand content in the soil.

[Relationships between soil nutrient contents and soil enzyme activities in Pinus massoniana stands with different ages in Three Gorges Reservoir Area].

Based on the measurements of soil nutrient contents and enzyme activities and the canonical correspondence analysis (CCA), this paper studied the relationships between soil nutrient contents and soil enzyme activities in different age Pinus massoniana stands in Three Gorges Reservoir Area. Among the test stands, mature stand had the highest contents of organic matter, total nitrogen, ammonium nitrogen, and available phosphorus in 0-20 cm soil layer, followed by middle-aged stand, and nearly-mature stand. With the increase of the stand age, soil invertase activity increased after an initial decrease, cellulase and polyphenoloxidase activities decreased gradually, while urease and peroxidase activities decreased after an initial increase. CCA analysis showed that the effects of the main soil parameters on the soil enzyme activities in the stands ranked in the sequence of total nitrogen > organic matter > pH > bulk density > ammonium nitrogen > available phosphorus. Soil invertase activity had significant positive correlations with soil organic matter, total nitrogen, and total phosphorus, while soil peroxidase activity significantly negatively correlated with soil organic matter, total nitrogen, total phosphorus, and bulk density. The soil was rich in main nutrients, invertase activity was relatively high, while peroxidase activity was relatively low. The activities of soil invertase, cellulase and peroxidase could be used as the good biological indicators in evaluating soil quality and fertility.

[Dynamic change of non-point source pollution exported from Heigou watershed in Three Gorges Reservoir area].

Sediment and its associated pollutants entering a water body can be very destructive to the ecological health of that system. Based on GIS and AnnAGNPS model, A total of 60 combinations of various management treatments including five fertilizer levels (FL1-existing, FL2-70% of existing, FL3-recommended, FLA-70% of recommended, FL5-30% of recommended), four tillage practices (CT-conventional tillage, NT-no tillage, CS-contour strip cropping, RC-residue cover) and three kinds of annual rainfall (deficit, normal, abundant) have been evaluated. Results from model simulations indicate that runoff and sediment yield were not affected due to change in fertilizer doses, but there was a significant positive correlation between nutrient losses and fertilizer application rates; Conservation tillage practices such as NT, CS and RC would reduce sediment and sediment-bound nutrient losses significantly, they have very little benefit on soluble nitrogen and phosphorus losses. This is primarily because the increased infiltration rates resulting from those practices leads to greater losses of subsurface and return flow in the watershed. In view of feasibility and efficiency, the combination of FL3 + NT was found to be the best scenario as the reductions of nutrient losses and sediment yield were about 40% and 45%, respectively.