Bushen Qiangjin capsule inhibits the Wnt/α-catenin pathway to ameliorate papain-induced knee osteoarthritis in rat.

OBJECTIVE: To evaluate the molecular mechanism underlying the beneficial effect of Bushen Qiangjin capsule (BSQJ), a Traditional Chinese Medicine, on knee osteoarthritis (KOA). METHODS: In the present study, 32 female Sprague-Dawley rats were randomly divided into four groups: control, KOA, high-dose BSQJ (H-BSQJ), and low-dose BSQJ (L-BSQJ). After successfully establishing the KOA model by intra-articular injection of papain, H-BSQJ and L-BSQJ groups were intragastrically administered 0.243 and 0.122 g/kg BSQJ, respectively, daily for 6 weeks. At the end of the experiment, knee articular cartilage tissues of rats were collected for evaluation by hematoxylin and eosin staining, Safranin O-Fast Green staining, and terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling assay. Serum interleukin-1α and tumor necrosis factor-α levels of rats were detected with an enzyme-linked immunosorbent assay method. Gene expression of Wnt-4, α-catenin, Frizzled-2, glycogen synthase kinase-3ß (GSK-3ß), cysteinyl aspartate-specific proteinases 3 and 9 (caspases 3 and 9), collagen type II alpha 1 (Col2a1), and matrix metalloproteinases 1 and 13 (MMP-1 and MMP-3) of rat knee articular cartilage was quantified by reverse transcription-quantitative polymerase chain reaction analysis. Wnt-4, α-catenin, Frizzled-2, GSK-3ß, cleaved caspase-3, and cleaved caspase-9 protein expression in rat knee articular cartilage was determined by western blot analysis. RESULTS: BSQJ obviously reduced pathological damage and matrix degradation of articular cartilage in KOA rats. Compared with the KOA group, H-BSQJ rats exhibited downregulated mRNA and protein expression of Wnt-4, ß-catenin, Frizzled-2,and caspase-3, as well as upregulated mRNA and protein expression of GSK-3α. In addition, H-BSQJ significantly increased mRNA expression of Col2a1 and decreased mRNA expression of MMP-1 and MMP-13. CONCLUSION: BSQJ exerted a beneficial effect on KOA by a mechanism involving downregulation of the Wnt/α-catenin pathway, which inhibited both cartilage extracellular matrix degradation and chondrocyte apoptosis to ameliorate KOA in rats.

Rapid Determination and Quality Control of Pharmacological Volatiles of Turmeric (Curcuma longa L.) by Fast Gas Chromatography-Surface Acoustic Wave Sensor.

INTRODUCTION: A novel analytical method using fast gas chromatography combined with surface acoustic wave sensor (GC-SAW) was developed for rapid determination of the pharmacological volatiles of turmeric (Curcuma longa L.). METHODS: The volatile compounds in 20 turmeric samples, collected from different parts and different origins, were assessed by the fast GC-SAW. In addition, gas chromatography-mass spectrometry (GC-MS) was employed to confirm the chemical composition of the main volatiles. The digital fingerprint of turmeric was established and analysed by principal component analysis and cluster analysis. RESULTS: Curcumene (9.1%), ß-sesquiphellandrene (5.1%) and ar-turmerone (69.63%) were confirmed as the main pharmacological volatiles of turmeric. The content of ar-turmerone in lateral rhizome turmeric was significantly higher than that of top rhizome and ungrouped turmeric. The contents of curcumene and ß-sesquiphellandrene in top rhizome turmeric were higher than those in lateral and ungrouped turmeric. The 20 turmeric samples were divided into four categories, which reflected the quality characteristics of the turmeric from different parts and origins. CONCLUSION: The GC-SAW method can rapidly and accurately detect pharmacologically volatiles of turmeric, and it can be used in the quality control of turmeric.

Efficacy of acupuncture for dysphagia after stroke: a systematic review and meta-analysis.

BACKGROUND: The risk of dysphagia after stroke is extremely high. The efficacy of acupuncture in the treatment of dysphagia after stroke lacks high-level evidence-based medical support. This study aimed to systematically evaluate the clinical value of acupuncture therapy in patients with dysphagia after stroke. METHODS: A electronic search of six databases were used to screen for randomized controlled trials (RCTs) of acupuncture treatment of patients with dysphagia after stroke. The search time was from the establishment of the database to 18 October 2020, and the search languages were limited to Chinese and English. The literature was screened and the data extracted independently by two researchers. The Cochrane System Evaluation Manual was used to evaluate the quality of the included literature. RESULTS: A total of 39 RCTs were included, of which 36 studies reported the effective rate of acupuncture treatment for dysphagia. The effective rate of the experimental group was higher than that of the control group [relative risk (RR) =1.23, 95% confidence interval (CI): 1.19 to 1.27, P<0.00001]. The drinking test grading score of patients in the experimental group was lower than that of the control group [mean difference (MD) =-0.75, 95% CI: -1.11 to -0.41, P<0.0001] in 8 studies. The swallowing scores of patients in the experimental group were lower than those in the control group (MD =-4.63, 95% CI: -5.68 to -3.59, P<0.00001) in 8 studies. The Fujishima eating-swallowing rating score of the experimental group was higher than that of the control group [standardized mean difference (SMD) =1.92, 95% CI: 1.30 to 2.54, P<0.00001] in 3 studies. The score of the dysphagia-specific quality of life scale of the experimental group was higher than that of the control group (SMD =2.02, 95% CI: 0.82 to 3.22, P=0.0001) in 5 studies. The VFSS of the experimental group was higher than that of the control group (MD =2.53, 95% CI: 1.89 to 3.17, P<0.00001) in 5 studies. CONCLUSIONS: The existing evidence supports that acupuncture therapy can significantly improve the swallowing function of patients with dysphagia.

Biochar impacts on nutrient dynamics in a subtropical grassland soil: 1. Nitrogen and phosphorus leaching.

Despite the numerous benefits of biosolids, concerns over nutrient losses restrict the extent to which biosolids can be beneficially reused. We evaluated the effectiveness of biochar in controlling the lability of nutrients in agricultural land. This study was designed to investigate the potential impacts of co-applying biochar with biosolids or inorganic fertilizer on N and P leaching losses. A companion paper focuses on greenhouse gas responses. Nutrients were surface applied as biosolids (aerobically digested Class B) and inorganic fertilizer (ammonium nitrate and triple superphosphate) to an established perennial pasture at equivalent annual rates typical of field practices. Biochar was applied at an annual rate of 20 Mg ha-1 . Leachate N and P were monitored using passive-capillary drainage lysimeters. Results demonstrated significant temporal variability in leachate N and P, with larger pulses generally occurring during periods of high water table levels or after intensive rainfall. Inorganic fertilizer generally resulted in greater leachate N and P losses than biosolids. No differences in leachate N and P losses between biosolids and control were observed. Approximately 1% of applied N was lost via leaching from biosolids treatments vs. 16% for inorganic fertilizer. Regardless of the P source, negligible (0.1-0.2% of applied P), cumulative P leaching occurred during the 3-yr study. Biochar had no effect on P leaching but reduced N leaching from treatments receiving inorganic fertilizer by 60%. Prudent nutrient management is possible even on biosolids-amended Spodosols with high water tables.

Effect of electroacupuncture versus solifenacin for moderate and severe overactive bladder: a multi-centre, randomized controlled trial study protocol.

BACKGROUND: Overactive bladder is defined as "urgency, with or without urge incontinence, usually with frequency and nocturia". Electroacupuncture may be a safe and an effective alternative therapy for overactive bladder, but the evidence is limited. METHODS: We will conduct a three-arm, non-inferiority, multi-centre randomized controlled clinical trial. A total of 420 patients with moderate and severe overactive bladder will be randomly assigned to one of three groups: the electroacupuncture group (N = 140), sham electroacupuncture group (N = 140), and solifenacin group (N = 140). The primary outcome will be the change in the overactive bladder symptom score from baseline to the end of the 12-week treatment. The secondary outcomes will include the proportion of participants with a decrease in the overactive bladder symptom score ≥ 3 at weeks 4, 8, 12, 20, and 32; the change in average 24 h values of urination, nocturnal urination, urgency incontinence and urgency episodes from baseline to weeks 4, 8, 12, 20 and 32, and so forth. The adverse events will be recorded. Statistical analysis will include covariance analysis, nonparametric tests and descriptive statistics. DISCUSSION: This study will answer the question of whether electroacupuncture is effective and non-inferior to solifenacin for improving the symptoms of overactive bladder patients. TRIAL REGISTRATION: Chinese clinical trial registry ( ChiCTR1800019928 ).

Runoff and Leachate Phosphorus and Nitrogen Losses from Grass-Vegetated Soil Boxes Amended with Biosolids and Fertilizer.

Recent evidence suggests an upward trend in surface water phosphorus (P) concentrations in many segments of Florida, including the upper basin of the St. Johns River, a region that currently receives about two-thirds of the state Class B biosolids land application. Concerns about water quality in this area are encouraging reexamination of the regulations governing biosolids programs. The objectives of this study were (i) to identify and thoroughly characterize the main biosolids sources routinely applied in the region, and (ii) to evaluate runoff and leachate N and P losses from a typical Florida Spodosol amended with biosolids or commercial inorganic fertilizer. Biosolids and inorganic fertilizer were surface applied uniformly at a rate equivalent to ∼114 kg P ha, which corresponded to a typical P load associated with nitrogen (N)-based biosolids application. Soluble reactive P (SRP) was the predominant form of P lost in runoff and leachate. Inorganic P fertilizer increased flow-weighted runoff total P concentrations nearly 60-fold relative to control treatment (0.4 vs. 22 mg P L for control and fertilizer treatments, respectively). With exception of biological P removal (BPR) biosolids, all other tested biosolids yielded flow-weighted runoff P concentrations similar to untreated soils. Cumulative P and N losses (as a percentage of P and N applied) were greater from commercial inorganic fertilizer (∼38% of P and 46% of N) than any biosolids source (3% of P and 6% of N). Results demonstrate the value of water-extractable P (WEP) as an indicator of biosolids P loss potential.

Phase II study on Javanica oil emulsion injection (Yadanzi®) combined with chemotherapy in treating patients with advanced lung adenocarcinoma.

PURPOSE: To investigate the efficacy and safety of Javanica oil emulsion injection (Yadanzi®) combined with pemetrexed and platinum (PP) for treating patients with advanced lung cancer. PATIENTS AND METHODS: From June 2011 to June 2013, we recruited 58 patients with advanced lung cancer, and divided them into two groups. Twenty eight patients received Yadanzi® (from ZheJiang Jiuxu Pharmaceutical Co., Ltd.) together with PP chemotherapy (combined group), while the others were given only PP chemotherapy (control group). After two cycles of treatment, efficacy and safety of treatment were evaluated. RESULTS: The overall response rate [(CR+PR+SD)/(CR+PR+SD+PD)] of the combined group was higher than that of control group (89.7% vs. 86.2%, p>0.05). Regarding rate of life improvement, it was 82.8% in combined group, and 51.7% in the control group (p<0.05). In terms of side effects, leukopenia in combined group was less frequent than that in control group (p<0.05). More patients in the control group were found to suffer liver toxicity. CONCLUSIONS: Javanica oil emulsion injection combined with chemotherapy could be considered as a safe and effective regimen in treating patients with advanced lung adenocarcinoma. It can improve the quality of life and reduce the possibility of leukopenia. Further clinical trials with a large sample size should be conducted to confirm whether addition of Yadanzi® to chemotherapy could increase the response rate, reduce toxicity, enhance tolerability and improve quality of life for patients with advanced lung cancer.

Phase II study on safety and efficacy of Yadanzi® (Javanica oil emulsion injection) combined with chemotherapy for patients with gastric cancer.

OBJECTIVE: To investigate the efficacy and safety of Yadanzi® (Javanica oil emulsion injection) combined with chemotherapy for treatment of patients with advanced gastric cancer. METHODS: From January 2011 to December 2012, we recruited 75 patients with advanced gastric cancer, who received javanica oil emulsion injection together with chemotherapy. After two cycles of treatment, efficacy and safety of the combined therapies were evaluated. RESULTS: Overall response rate of 75 patients after treatment was 85.3% (CR+PR+SD). Treatment related side effects were recorded. No treatment related death occurred. CONCLUSIONS: Javanica oil emulsion injection combined with chemotherapy could be considered as a safe and effective regimen in treating patients with advanced gastric cancer. Further randomized clinical trials should be conducted to confirm whether the addition of Yadanzi® to chemotheraphy could be associated with reduced toxicity, enhanced tolerability and improved quality of life for patients with advanced gastric cancer.

Clinical safety and efficacy of Kanglaite® (Coix Seed Oil) injection combined with chemotherapy in treating patients with gastric cancer.

OBJECTIVE: To observe efficacy and side effects, as well as the impact on quality of life, of Kanglaite® (Coix Seed Oil) injections combined with chemotherapy in the treatment of advanced gastric cancer patiensts. METHOD: A consecutive cohort of 60 patients were divided into two groups:the experimental group receiving Kanglaite® Injection combined with chemotherapy and the control group with chemotherapy alone. After more than two courses of treatment, efficacy, quality of life and side effects were evaluated. RESULTS: The response rate and KPS score of experimental group were significantly improved as compared with those of the control group(P<0.05). In addition, gastrointestinal reactions and bone marrow suppression were significantly lower than in the control group(P<0.05). CONCLUSIONS: Kanglaite® Injection enhanced efficacy and reduced the side effects of chemotherapy, improving quality of life of gastric cancer patients; use of Kanglaite® injections deserves to be further investigated in randomized control clinical trails.

Rapid and sensitive analysis of three polyphenols in tobacco by CE using homemade C(4)D with a mini detection cell.

A rapid, sensitive, and practical CE with C(4) D detection was developed for the analysis of three polyphenols (rutin, scopoletin, and chlorogenic acid) in tobacco samples. The constructed mini detection cell (12 mm × 10 mm × 10 mm) of C(4) D featured with small inner cell volume (∼2 nL), smaller noise (<0.9 mV), repeatability, high strength and durableness. Three polyphenols were ultrasonically extracted with methanol-water (70:30, v/v) solution following SPE cleanup. The CE method was optimized with the running buffer of 150 mmol L(-1) 2-amino-2-methyl-1-propanol (pH 11.2), and the applied separation voltage of +20 kV over a capillary of 50 µm id × 375 µm od × 50 cm (38 cm to the C(4) D window, 41.5 cm to the UV detector window), which gave a baseline separation of three polyphenols within ca. 6 min. The method provided the limits of quantification (S/N = 10) at about 0.08-0.15 µg g(-1) for three polyphenols, whereas the overall recoveries ranged from 82% to 88%. The proposed method has been successfully applied to measure three polyphenols in the actual tobacco samples, and their contents were calculated and evaluated.