Signal Pathways Relating to Prevention and Treatment of Airway Remodeling in Chronic Obstructive Pulmonary Disease with Traditional Chinese Medicine / 中国实验方剂学杂志

Chronic obstructive pulmonary disease (COPD) is a common respiratory disease with a high morbidity, disability and mortality. At the same time, COPD is always accompanied by pulmonary hypertension, pulmonary fibrosis, chronic pulmonary heart disease, right heart failure and other common serious complications. All of these cause serious financial burden for the family of patients. Airway remodeling plays an important role in the pathogenesis of COPD. It is the progressive development of airflow restriction that induces the main symptoms of COPD, such as cough, asthma and depression. Therefore, it is of great research value to explore the intervention of traditional Chinese medicine(TCM) in the development of COPD by alleviating airway remodeling. Studies have shown that multiple signaling pathways can induce progressive airway remodeling, and the therapeutic effect of TCM has been frequently confirmed by experimental studies. TCM often has a therapeutic effect on COPD through multi-target and multi-channel mediation. This paper mainly includes five signaling pathways that traditional Chinese medicine can intervene COPD airway remodeling, namely matrix metalloproteinases (MMPs)/tissue inhibitors of metalloproteinase (TIMPs), transforming growth factor (TGF)-beta 1/Smads, RhoA/Rho-associated kinase (ROCK), vascular endothelial growth factor (VEGF)/b-fibroblast growth factor (b-FGF) and nuclear factor (NF)-κB. This paper briefly reviews the research progress of these five signaling pathways, and discusses other signaling pathways that may be involved, in order to provide reference and ideas for future experimental research.

Research Progress of Erchentang / 中国实验方剂学杂志

Erchentang originated from Taiping Huimin Heji Ju Fang written in the Northern Song Dynasty, is recognized as the ancestor prescription of expectorant in past dynasties. The prescription is rigorous and well-matched, which can regulate Qi and expectorate phlegm. It has a definite curative effect on phlegm-drinking syndrome and related diseases. In recent years, the research on the mechanism of action has expanded and deepened. According to the collected data, in recent years, the research on Erchentang is mostly related to the treatment of respiratory diseases. Even other diseases of the system are often treated from the lung through the theory of traditional Chinese medicine, which provides a new way of thinking for the treatment of diseases. Most of the studies on Erchentang are flavored or combined prescriptions of Erchentang. Based on this, through the collection of research data, it is found that the reasons for this characteristic are related to the medication rules of doctors in past dynasties. Pharmacological research has become a hot topic, often involving multiple signal transduction pathways, to explore the multi-target therapeutic effect of Erchentang. Pharmacological research is also focused on the treatment of respiratory diseases, especially chronic obstructive pulmonary disease (COPD), the research content is particularly detailed. This paper will briefly summarize the research progress of Erchentang from the aspects of literature research, clinical research and pharmacological research. The latest literature research is helpful to understand the meaning of Erchentang, and many researchers have clarified the mechanism of Erchentang in vivo through the latest detection technology.

Analysis of Bacterial Flora Structure of Patients with Cerebral Hemorrhage Due to Hyperactivity of Liver-Yang by 16S rRNA Gene Sequencing Technique / 中国实验方剂学杂志

Objective: To explore the difference of intestinal flora between the patients with acute cerebral hemorrhage due to hyperactivity of liver-Yang and the healthy population. Method: The fecal samples of 9 patients with acute cerebral hemorrhage due to hyperactivity of liver-Yang from the first affiliated hospital of Guangzhou university of traditional Chinese medicine in 2018 were selected as observation group,and 6 stool samples from healthy subjects were selected as the control group.The total bacterial DNA was extracted from the two groups of samples,amplified according to the 16S rRNA V4 region,and paired-end sequencing was performed on the Illumina MiSeq platform.The sequencing results were analyzed by bioinformatics analysis software.The flora composition and structure of the samples from two groups were compared. Result:Venn analysis of operational taxonomic units(OTU) showed significant difference in OTU numbers between the observation group and control group.Partial least squares-discriminant analysis(PLS-DA) showed that there was a significant difference in the composition of intestinal flora between patients with acute cerebral hemorrhage and healthy subjects.On the analysis of species and abundance,at the classification level of phylum,compared with the control group,the ratio of relative abundance values of Firmicutes and Bacteroidetes(F/B) in the observation group was significantly increased,and the relative abundance of Verrucomicrobia was significantly decreased(PPrevotella,Bacteroides,Akkermansia,Blautia and Acidaminococcus(PPBacteroides and Prevotella(B/P) in the observation group was significantly higher than that of the control group;at the classification level of species,there were significant differences between the two groups in P. copri,A. muciniphila,B. ovatus,B. fragilis and Ruminococcus callidus(PPConclusion:Acute cerebral hemorrhage due to hyperactivity of liver-Yang is associated with structural disorder of intestinal flora,which is closely related to the decrease in relative abundance of P. copri and A. muciniphila.