Application of bioactivity database of Chinese herbal medicine on the therapeutic prediction, drug development, and safety evaluation.

AIM OF THE STUDY: Chinese herbal medicine has been used for the treatments of various diseases for years. However, it is often difficult to analyze their biological activities and molecule mechanisms because of their complex nature. In this study, we applied DNA microarray to analyze the biological events induced by herbal formulae, predict the therapeutic potentials of formulae, and evaluate the safety of formulae. MATERIALS AND METHODS: Mice were administrated orally with 15 formulae for 7 consecutive days, and the gene expression profiles in liver or kidney were further analyzed by transcriptomic tools. RESULTS: Our data showed that most formulae altered the metabolic pathways, such as glutathione metabolism and oxidative phosphorylation, and regulatory pathways, such as antigen processing and presentation and insulin-like growth factor signaling pathway. By comparing the gene expression signatures of formulae with those of disease states or drugs, we found that mice responsive to formula treatments might be related to disease states, especially metabolic and cardiovascular diseases, and drugs, which exhibit anti-cancer, anti-inflammatory, and anti-oxidative effects. Moreover, most formulae altered the expression levels of cytochrome p450, glutathione S-transferase, and UDP glycosyltransferase genes, suggesting that caution should be paid to possible drug interaction of these formulae. Furthermore, the similarities of gene expression profiles between formulae and toxic chemicals were low in kidney, suggesting that these formulae might not induce nephrotoxicities in mice. CONCLUSIONS: This report applied transcriptomic tools as a novel platform of translational medicine for Chinese herbal medicine. This platform will not only for understanding the therapeutic mechanisms involving herbal formulae and gene interactions, but also for the new theories in drug discovery.

[On contribution of Liu Wan-su's San xiao lun (treatise on three diabetic syndromes) to the diagnosis and treatment of diabetes].

Liu Wan-su's San xiao lun is the earliest existing book solely dealing with the subject of diabetes in traditional Chinese medicine. Its main contribution to the diagnosis and treatment of diabetes is the thorough presentation of pathogenesis. It points out the cause of diabetes is the vacuity of kidney, spleen and stomach while the clinical manifestation shows repletion heat of heart. Its main emphasis is on the common pathogenesis of the three diabetic syndromes rather than their pattern differentiation. Thus, the treatment principle is enriching the yin of kidney and spleen and draining the heart fire with cold and damp drugs. The maneuver in the book is flexible and plays a pivotal role in the theoretical development of diabetes in TCM.

[Textual research of Liu Wan-su's works on consumptive thirst].

Liu Wan-su's San xiao lun (On Three Consumptions) was the earliest extant monograph dealing with the consumption thirst in traditional Chinese medicine (TCM). The other book, with the namesake of Liu Wan-su, Su wen bing ji qi yi bao ming ji (Collection for Preserving Life of Pathogenesis in Plain Questions), also included a section of consumption thirst. However, through comparison, the descriptions in both books were quite different and it seemed unlikely that it were written by the same author. Based on textural research of bibliography, it's hard to say if this is a true one. Further, comparison of the book with the texts of consumption thirst in Huang di su wen xuan ming lun fang (Elucidated Prescriptions and Expositions of Huangdi's Plain Questions), an authentic book of Liu, a consistency was found between San xiao lun and Huang di su wen xuan ming lun fang. It is very unlikely that Su wen bing ji qi yi bao ming ji was written by Liu because of its obvious different writing style.

[Anatomical discoveries and concept of human body structure in Nan-jing (Classic of Questioning)].

What Nan-jing (Classic of Questioning) contributes to the anatomical discoveries and concepts of human body structure in TCM is that it clarifies the concept, function and anatomical essence of viscera and bowels. It is the first. book that clearly defines the triple jiao as a "qi bowel", This statement is a typical example of Chinese dualistic system of its view on the human body, consisting of physical and spiritual components. This has stirred up confusion for modern interpretation and, as a result, some thought the visceral theory in the book is not based on substantial basis of anatomy. However, the Forty-second Question in Nan-jing not only carries the contents about Wei (stomach), Xiaochang (small intestine), Huichang (large intestine) and Guangchang (anus) in the chapter of "Intestine and Stomach" in Lingshu Jing (Miraculous Pivot), but also changes these names to those we actually use today in the latter chapters; and it also records the gross anatomical shape and size of gall bladder, urinary bladder and all the five viscerae. So, Nan-jing discusses the structure of human body in ancient times, and is equivalent to an integrated science of modern physiology and anatomy, and establishes a solid basis for the fundamental theory of TCM.