Effects of qufeng xuanfei formula in guinea pig model of airway hyperergy.

This work aimed to clarify the potential regulating effects of Qufeng Xuanfei formula (QFXF) on airway neurogenic inflammation and its underlying target signal pathway. Guinea pig model of airway hyperergy (AHR) was used. The relative susceptibility of major proteins to airway neurogenic inflammation was assessed using Western blot immunoassay followed by being separated by SDS-PAGE. Compared to the model group, QFXF of all concentrations effectively depressed the capsaicin enhanced cough in guinea pigs and the peak values of airway resistance significantly decreased. The results illustrated that QFXF alleviated cough symptom in guinea pigs and reduced airway neurogenic inflammation when compared to AHR model group. Airway inflammation and damage, as well as the levels of NGF, SP and c-Fos in QFXF decreased the most in the high-dose group. The mechanism of antitussive activity may be associated with reducing airway inflammation. QFXF displayed effect on chronic cough through reducing the levels of neuropeptides, attenuating airway inflammation and promoting recovery from disease to decrease the airway neuro sensitivity, suggesting that the potential mechanism may be related to Ras/ERK/c-Fos pathway.

Sinomenine Attenuated Capsaicin-Induced Increase in Cough Sensitivity in Guinea Pigs by Inhibiting SOX5/TRPV1 Axis and Inflammatory Response.

BACKGROUND: Chronic cough is a common complaint which affects a large number of patients worldwide. Increased cough sensitivity is a very important cause of chronic persistent cough. However, there are limited clinical diagnosis and treatment for increased cough sensitivity. Transient receptor potential vanilloid-1 (TRPVl) is a member of the transient receptor potential (TRP) family of channels which is very closely associated with respiratory diseases. However, the mechanism through which TRPV1 that influences downstream events is still poorly understood. RESULTS: Capsaicin induced increase in cough sensitivity by upregulating the protein level of TRPV1, leading to the secretions of Substance P and neurokinin A which stimulated neurogenic inflammation. However, sinomenine, a component of traditional Chinese medicine, significantly attenuated the capsaicin-induced cough by inhibiting the expression of TRPV1 in guinea pigs. In addition, capsaicin increased the expression of SOX5 which mediated the transcriptional upregulation of TRPV1. However, pretreatment with sinomenine reduced the expression of SOX5. CONCLUSION: These results indicate that capsaicin induced increase in cough sensitivity by activating neurogenic inflammation, while sinomenine attenuated the increase in cough sensitivity by inhibiting the expressions of SOX5 and TRPV1 in guinea pigs. This finding may provide a novel target for the treatment of aggravated cough sensitivity.

Research progress and perspective in metabolism and metabolomics of psoriasis.

ABSTRACT: Psoriasis is considered a systemic disease associated with metabolic abnormalities, and it is important to understand the mechanisms by which metabolism affects pathophysiological processes both holistically and systematically. Metabolites are closely related to disease phenotypes, especially in systemic diseases under multifactorial modulation. The emergence of metabolomics has provided information regarding metabolite changes in lesions and circulation and deepened our understanding of the association between metabolic reprogramming and psoriasis. Metabolomics has great potential for the development of effective biomarkers for clinical diagnosis, therapeutic monitoring, prediction of the efficacy of psoriasis management, and further discovery of new metabolism-based therapeutic targets.

[Expert consensus statement on Pudilan Xiaoyan Oral Liquid in clinical practice].

Pudilan Xiaoyan Oral Liquid has effects in clearing away heat and detoxifying,and is used to treat pharynx and throat swelling caused by the syndrome of excessive heat and toxin accumulation. Its efficacy is to relieve swelling and pain( redness,swelling and hot pain). It is included in the Chinese Pharmacopoeia of 2015 Edition,and has been listed in provincial health insurance directories of Shaanxi,Jiangsu,Liaoning,Hunan,Tianjin,Xinjiang and Hebei. It has been recommended by health departments of Beijing,Chongqing and other provinces as a preferred drug for the prevention and treatment of H1 N1 and HFMD,and listed in the diagnosis and Treatment Guide of HFMD by the Ministry of Health,the Clinical Application Guide of Chinese Patent Medicine edited by the Lung Department Disease Branch of China Association of Chinese Medicine,and the Clinical Practice Guide of Single Administration/Combined Administration of Antibiotics in Treatment of Common Infectious Diseases by China Association of Chinese Medicine. To further improve the clinician's understanding of drugs and better guide the rational clinical application,we invited front-line clinical experts from respiratory department,infectious department and dermatology of traditional Chinese and Western medicine to develop and compile the expert consensus. The consensus fully considered the clinical evidence and the expert clinical experience to give recommendations for clinical problems with evidence support and consensus suggestions for clinical problems without evidence support by the nominal group method.This consensus is based on clinical research evidence and expert experience in a simple and clear format,which provides a preliminary reference for the clinical use of the drug.

[Treating influenza patients of wind-heat affecting Fei syndrome by jinhua qinggan granule: a double-blinded randomized control trial].

OBJECTIVE: To assess the effect and safety of Jinhua Qinggan Granule (JHG) in treating influenza patients of wind-heat affecting Fei syndrome (WHAFS). METHODS: Totally 136 influenza patients of WHAFS were randomized by stratification into 3 groups, the high dose JHG group (44 cases, 10 g each time), the low dose JHG group (45 cases, 5 g JHG + 5 g placebo each time), and the placebo control group (47 cases, 10 g placebo each time). All medication was administered three times daily for 5 days. The fever disappearance time, the fever disappearance rate, efficacy of TCM syndrome, the disappearance rate of main symptoms and physical signs of flu, the negative rate of virus nucleic acid in the pharyngeal secretion, and safety indicators were assessed. RESULTS: The median fever disappearance time was 32.8 h (95% CI: 22.5-41.0 h) in the high dose JHG group, 26.0 h (95% CI: 14.5-36.5 h) in the low dose JHG group, 39.5 h (95% CI: 29.0-46.0 h) in the placebo control group. There was statistical difference in the median fever disappearance time between the low dose JHG group and the placebo control group (P = 0.011). Three days after treatment, the markedly effective rate of TCM symptoms in the low dose JHG group was 66.7%, higher than that of the placebo control group (38.3%), and its effective rate was superior to that of the high dose JHG group (P = 0.043). Five days after treatment, the recovery rate of the low dose JHG group (42.2%) was higher than that of the high dose JHG group (25.0%, P = 0.026) and that of the placebo control group (14.9%, P = 0.002). The markedly effective rate of the low dose JHG group (86.7%) was higher than that of the placebo control group (55.3%, P = 0.001). Similar effects were obtained in the low dose JHG group and the high dose JHG group, but slightly poor in partial indicators of the high dose JHG group. There was no statistical difference in adverse reaction among these three groups (P > 0.05). CONCLUSIONS: JHG was effective and safe in treating influenza patients of WHAFS. Routinely low dose was the optimal dosage of JHG.

[Study of the "weekend effect" of O3, NOx and other pollutants in summer of Beijing].

The data of O3, NOx (NO and NO2), CO and SO2 observed at Beijing 325m meteorological tower from June 25 to July 7, 2000 and from July 26 to August 22, 2000 are used to analyze the difference of pollutant concentrations on weekends and weekdays, and its causes. Results show that except SO2, the correlations of O3, NOx, NO, NO2 and CO concentrations between weekends and weekdays are very significant,since they all pass the t-test significance level at alpha = 0.05. The correlation coefficients (R) are 0.99, 0.61, 0.56, 0.80 and 0.61 for O3, NOx, NO, NO2 and CO3, respectively. Weekend NO, and CO concentrations are lower than weekday concentrations in rush hours (06:00-08:00), and the mean deviations for NOx and CO concentrations are -28% and -9%, respectively. The regression coefficient of O3 concentrations between weekends and weekdays is 1.25 +/- 0.02. Furthermore, the maximum 1-h average O3 concentration and maximum 8-h average O3 concentration on weekends are 23% and 26% higher than those on weekdays, respectively, indicating an obvious O3 "weekend effect".

[Comparison of nocturnal ecosystem respiration measured with eddy covariance and chamber system at two agricultural sites in Sanjiang plain].

Measurements of nocturnal ecosystem respiration were conducted in a rice paddy of Sanjiang from July to September in 2004 and in a soybean field from June to September in 2005, using eddy covariance (EC) and dark chamber-gas chromatography (DC-GC). The differences of simultaneous data measured by two methods were not significant when night turbulent mixing was well. The correlations between two methods can be improved under more large friction velocity. EC measurements were poorly correlated to night ecosystem respiration estimated by chamber models for the variability inherent to EC measurements (R2 = 0.06, 0.23 for rice and soybean, respectively). However, this correlation can be improved by aggregating measurements over longer time period (R2 = 0.16, 0.75 for rice and soybean field, respectively). In general, whatever comparison with simultaneous chamber measurements or modeled results, eddy covariance measurements were consistently lower 4% - 30% than chambers, and this bias varied with crop growing stage, which were maximum in middle and minimum in early and late growing stage.

[Analysis of the relationship between NO, NO2 and O3 concentrations in Beijing].

Ozone (O3) is a primary gaseous contaminant in urban ambient, and its variation correlates well with nitrogen oxides (NO(x) = NO+ NO2). Continuous monitoring in the urban area from August 2004 to July 2005 was carried out in Beijing, using 49C ozone analyzer and 42CTL NO-NO2-NO(x) gas analyzer. The results show that peak O3 and oxidant (OX = O3 + NO2) concentrations in Beijing often appear at about 15:00 in the early afternoon, the diurnal variation of NO, concentrations show a very clear cycle with two peaks, one appears at about 07:00 in the morning and the other is at 23:00 in the evening. However, concentrations variation in four seasons are not same. The highest concentrations of O3 and NO(x) appear in summer and winter, respectively. The NO, crossover point occurs at about 100 x 10(-9) volume ratio. At lower level, NO2 is the major component of NO(x), whereas NO dominates at higher mixing ratio. It is also shown that the level of OX is made up of two contributions, regional contribution and local contribution. The former is affected by regional background O3 level, with the maximum in spring, whereas the latter is effectively correlates with the level of primary pollution, with the maximum in summer. Diurnal variation also appears in the concentrations of the components of oxidants.