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何首乌安全用药指南
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作者 肖小河 王伽伯 +16 位作者 宋海波 欧阳冬生 邹正升 王睿林 何婷婷 景婧 郭玉明 柏兆方 湛小燕 牛明 马致洁 李春雨 中华中医药学会中成药分会 中华中医药学会肝胆病分会 中国药学会临床中药学专业委员会 中国药理学会药源性疾病学专业委员会肝病分委会 中国毒理学会临床毒理专业委员会 《Acupuncture and Herbal Medicine》 2024年第2期151-158,I0001,共9页
何首乌为常用中药,在临床治疗和日常保健中使用广泛,但近年来屡见有肝损伤报道,引起国内外广泛关注,部分含何首乌和首乌藤制剂肝损伤风险已被国家食品药品监督管理局多次通报。近年来相关研究已取得实质性进展,揭示了其特异质肝损伤的... 何首乌为常用中药,在临床治疗和日常保健中使用广泛,但近年来屡见有肝损伤报道,引起国内外广泛关注,部分含何首乌和首乌藤制剂肝损伤风险已被国家食品药品监督管理局多次通报。近年来相关研究已取得实质性进展,揭示了其特异质肝损伤的基本属性、主要成因、物质基础和分子机制,发现其易感人群的基本特征和生物标志物,表明何首乌仅对极少数特定人群有肝损伤风险,对绝大多数人群是安全的。研究成果为正确客观地认识何首乌致肝损伤、合理制定何首乌及相关制剂安全用药措施提供了科学依据。为此,中华中医药学会组织全国相关领域专家,起草制定了《何首乌安全用药指南》,旨在帮助国内外公众和相关机构,科学认识、评估和规避何首乌肝损伤风险,指导何首乌及相关制剂的合理使用,保障广大消费者的健康权益,同时促进何首乌及相关产业的健康持续发展。该指南已通过中华中医药学会的审核,并进行了发布,编号T/CACM 1328-2019。 展开更多
关键词 药物安全性 肝损伤 何首乌 合理使用 中药
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Genetically modified pigs with CD163 point mutation are resistant to HP-PRRSV infection
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作者 Ying Liu Lin Yang +9 位作者 Hong-Yong Xiang ming niu Jia-Cheng Deng Xue-Yuan Li Wen-Jie Hao Hong-Sheng Ou-Yang Tong-Yu Liu Xiao-Chun Tang Da-Xin Pang Hong-ming Yuan 《Zoological Research》 SCIE CSCD 2024年第4期833-844,共12页
Porcine reproductive and respiratory syndrome(PRRS)is a globally prevalent contagious disease caused by the positive-strand RNA PRRS virus(PRRSV),resulting in substantial economic losses in the swine industry.Modifyin... Porcine reproductive and respiratory syndrome(PRRS)is a globally prevalent contagious disease caused by the positive-strand RNA PRRS virus(PRRSV),resulting in substantial economic losses in the swine industry.Modifying the CD163 SRCR5 domain,either through deletion or substitution,can eff1ectively confer resistance to PRRSV infection in pigs.However,large fragment modifications in pigs inevitably raise concerns about potential adverse effects on growth performance.Reducing the impact of genetic modifications on normal physiological functions is a promising direction for developing PRRSV-resistant pigs.In the current study,we identified a specific functional amino acid in CD163 that influences PRRSV proliferation.Viral infection experiments conducted on Marc145 and PK-15CD163 cells illustrated that the mE535G or corresponding pE529G mutations markedly inhibited highly pathogenic PRRSV(HP-PRRSV)proliferation by preventing viral binding and entry.Furthermore,individual viral challenge tests revealed that pigs with the E529G mutation had viral loads two orders of magnitude lower than wild-type(WT)pigs,confirming effective resistance to HP-PRRSV.Examination of the physiological indicators and scavenger function of CD163 verified no significant differences between the WT and E529G pigs.These findings suggest that E529G pigs can be used for breeding PRRSV-resistant pigs,providing novel insights into controlling future PRRSV outbreaks. 展开更多
关键词 PRRSV CD163 Point mutation E529G PIGS
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Hemoperfusion and continuous veno-venous hemodiafiltration for eliminating chlorfenapyr in poisoning patients
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作者 Yanqing Liu Xiaoxia Lu +6 位作者 Haochun Wang ming niu Renzheng Zhang Zhongying Liu Limei Han Xiaobo Peng Xigang Zhang 《World Journal of Emergency Medicine》 SCIE CAS CSCD 2024年第3期235-237,共3页
Chlorfenapyr is a liposoluble insecticide belonging to the pyrrole family.Chlorfenapyr is activated when the N-ethoxymethyl side chain breaks,forming a toxic metabolite,which uncouples oxidative phosphorylation in the... Chlorfenapyr is a liposoluble insecticide belonging to the pyrrole family.Chlorfenapyr is activated when the N-ethoxymethyl side chain breaks,forming a toxic metabolite,which uncouples oxidative phosphorylation in the mitochondria,inhibits the production of adenosine triphosphate (ATP),and leads to the death of cells and targe organisms.[1] Symptoms of chlorfenapyr poisoning in patients are mild and atypical in the early stage,especially in patients receiving low dose exposure;however,such cases are rare and may be ignored by physicians,often leading to delayed treatment.[2,3]. 展开更多
关键词 PATIENTS PERFUSION eliminating
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Application of Risk-based Flexibility Assessment Methods to Evaluate System Expansion Plans
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作者 Baorong Zhou Pei Zhang +5 位作者 Jianbin Chen Xiaoming Jin Kai Hou ming niu Zhao Xu Yunkai Lei 《Energy and Power Engineering》 2013年第4期1022-1025,共4页
This paper proposed a flexibility assessment approach based on and risk assessment methodology. System planners prioritize each planning scheme with consideration of three aspects: reliability, economics, and flexibil... This paper proposed a flexibility assessment approach based on and risk assessment methodology. System planners prioritize each planning scheme with consideration of three aspects: reliability, economics, and flexibility. In the past, there is lack of quantitative indices to measure flexibility of a power system. This paper proposes applying probabilistic risk assessment method to quantify system flexibility. The proposed approach is demonstrated to compare two transmission planning schemes during Guangdong expansion planning process. 展开更多
关键词 FLEXIBILITY Assessment TRANSMISSION SCHEME PRIORITIZATION
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Iterative spectral subtraction method for millimeter-wave conducted speech enhancement
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作者 Sheng Li Jian-Qi Wang +2 位作者 ming niu Xi-Jing Jing Tian Liu 《Journal of Biomedical Science and Engineering》 2010年第2期187-192,共6页
A non-air conducted speech detecting method has been developed in our laboratory by using millimeter wave radar technology. Because of the special attributes of the millimeter wave, this method may considerably extend... A non-air conducted speech detecting method has been developed in our laboratory by using millimeter wave radar technology. Because of the special attributes of the millimeter wave, this method may considerably extend the capabilities of traditional speech detecting methods. However, radar speech is substantially degraded by additive combined noises that include radar harmonic noise, electrocircuit noise, and ambient noise. This study, therefore, proposed an iterative spectral subtraction method which can be adaptively estimate noise spectrum at every iteration, and reduce the musical noise remained in the previous spectral subtraction process. Results from simulations as well as evaluations confirm that the proposed method satisfactorily reduces whole-frequency and musical noises and produces good speech quality. 展开更多
关键词 MILLIMETER WAVE SPEECH Detecting SPEECH Enhancement
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Spectrum-Toxicity Correlation Study Revealed the Influence of the Nine-Time Steaming and Sun Drying Method on Hepatotoxic Components of Polygoni Multiflori Radix
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作者 Zhuo Shi Xiao-Fei Li +6 位作者 Ya-Lei Liu Peng-Yan Li ming niu Zhao-Fang Bai Guang-Qin Zhang Yang Lu Jia-Bo Wang 《World Journal of Traditional Chinese Medicine》 2021年第2期227-233,共7页
Objective:Polygoni Multiflori Radix(PM)is a traditional herbal medicine with repeated reports of liver injury events in recent years.We wondered whether the classical processing method,namely,nine-time steaming and su... Objective:Polygoni Multiflori Radix(PM)is a traditional herbal medicine with repeated reports of liver injury events in recent years.We wondered whether the classical processing method,namely,nine-time steaming and sun drying(NSSD),had toxicity-attenuating effects on PM and the relationships between toxicity and times of processing,as well as with the alteration trends of its compounds.Materials and Methods:The chemical fingerprints of different PM extracts were developed using ultra-high-performance liquid chromatography.The spectrum-toxicity correlation between the chemical fingerprints and hepatocellular toxicity was analyzed with multiple correlation analysis.Results:The results suggested that the hepatotoxicity of NSSD processing products markedly decreased with the repeated steaming and sun drying,which was obviously superior to the product processed by the modern method.Comprehensive analysis revealed that the contents of cis-stilbene glycoside and emodin-8-O-β-D-glucoside related to liver injury susceptibility were reduced with the times of NSSD processing,which was consistent with the decreased trend of hepatocellular toxicity.After the five times of NSSD,the contents of them as well as the hepatotoxicity of PM were steady.Moreover,we found that the contents of catechin and physcion declined rapidly after the one time of NSSD and then remained stable until the nine times of NSSD.Based on the fact,they could be utilized to indicate whether PM products were processed by steaming and sun drying.Conclusions:This paper confirmed that the NSSD had a good influence on the toxicity attenuating to PM and found four compounds which could apply for the quality control of PM. 展开更多
关键词 Hepatotoxicity nine-time steaming and sun drying polygoni multiflori radix spectrum-toxicity correlation toxicity attenuation by processing
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中药特异质肝损伤易感因素的代谢组学研究:以何首乌制剂为例 被引量:20
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作者 周元园 牛明 +10 位作者 涂灿 卫璐戈 葛斐林 张乐 王肖辉 李春雨 刘晓熠 张雅铭 唐怡 肖小河 王伽伯 《科学通报》 EI CAS CSCD 北大核心 2019年第9期948-962,共15页
药物特异质肝损伤的易感机制是当前临床毒理学研究的难点.本研究以何首乌制剂——润燥止痒胶囊为例,结合临床病例分析,采用代谢组学探讨其肝损伤可能的易感机制.病例分析表明润燥止痒胶囊相关肝损伤具有较典型的特异质属性,且与免疫异... 药物特异质肝损伤的易感机制是当前临床毒理学研究的难点.本研究以何首乌制剂——润燥止痒胶囊为例,结合临床病例分析,采用代谢组学探讨其肝损伤可能的易感机制.病例分析表明润燥止痒胶囊相关肝损伤具有较典型的特异质属性,且与免疫异常活化有关.在正常小鼠上,灌胃润燥止痒胶囊对肝功能生化指标和肝组织病理无显著影响;在易感模型小鼠,免疫应激造模因素并未引起肝损伤表型,仅伴随肝组织少量炎性免疫细胞浸润,但从代谢组学可见组氨酸和丙氨酸等代谢通路显著上调(P<0.01)和色氨酸等代谢通路显著下调(P<0.01),提示代谢重编程可能是其肝损伤易感因素的重要内在机制;而在免疫应激易感因素基础上,灌胃润燥止痒胶囊引起了显著的肝损伤表型,并伴有肝组织大量炎性免疫细胞浸润和炎症反应,同时代谢组学上亦表现为花生四烯酸、亚油酸、甘油磷脂、胆汁酸等与炎症相关代谢通路的显著改变.综合提示代谢重编程可能是药物特异质肝损伤易感性的重要机制之一.基于易感因素相关的代谢紊乱通路,筛选发现了亚油酸、骨化二醇、18-羟基皮质酮等10个生物标志物可较好地识别易感模型动物(ROC分析中AUC均大于0.9),对临床识别易感人群具有潜在的应用价值. 展开更多
关键词 药物特异质肝损伤 何首乌 易感因素 免疫应激 代谢组学 代谢重编程
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New incompatible pair of TCM:Epimedii Folium combined with Psoraleae Fructus induces idiosyncratic hepatotoxicity under immunological stress conditions 被引量:43
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作者 Yuan Gao Zhilei Wang +11 位作者 Jinfa Tang Xiaoyi Liu Wei Shi Nan Qin Xiaoyan Wang Yu Pang Ruisheng Li Yaming Zhang Jiabo Wang ming niu Zhaofang Bai Xiaohe Xiao 《Frontiers of Medicine》 SCIE CAS CSCD 2020年第1期68-80,共13页
Epimedii Folium(EF)combined with Psoraleae Fructus(PF)is a common modern preparation,but liver injury caused by Chinese patent medicine preparations containing EF and PF has been frequently reported in recent years.Zh... Epimedii Folium(EF)combined with Psoraleae Fructus(PF)is a common modern preparation,but liver injury caused by Chinese patent medicine preparations containing EF and PF has been frequently reported in recent years.Zhuangguguanjiewan pills(ZGW),which contain EF and PF,could induce immune idiosyncratic liver injury according to clinical case reports and a nonhepatotoxic dose of lipopolysaccharide(LPS)model.This present study evaluated the liver injury induced by EF or PF alone or in combination and investigated the related mechanism by using the LPS model.Liver function indexes and pathological results showed that either EF or PF alone or in combination led to liver injury in normal rats;however,EF or PF alone could lead to liver injury in LPS-treated rats.Moreover,EF combined with PF could induce a greater degree of injury than that caused by EF or PF alone in LPS-treated rats.Furthermore,EF or PF alone or in combination enhanced the LPS-stimulated inflammatory cytokine production,implying that IL-1β,which is processed and released by activating the NLRP3 inflammasome,is a specific indicator of EF-induced immune idiosyncratic hepatotoxicity.Thus,EF may induce liver injury through enhancing the LPS-mediated proinflammatory cytokine production and activating the NLRP3 inflammasome.In addition,the metabolomics analysis results showed that PF affected more metabolites in glycerophospholipid and sphingolipid metabolic pathways compared with EF in LPS model,suggesting that PF increased the responsiveness of the liver to LPS or other inflammatory mediators via modulation of multiple metabolic pathways.Therefore,EF and PF combination indicates traditional Chinese medicine incompatibility,considering that it induces idiosyncratic hepatotoxicity under immunological stress conditions. 展开更多
关键词 Epimedii Folium Psoraleae Fructus idiosyncratic HEPATOTOXICITY traditional Chinese medicine INCOMPATIBILITY
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Immunological synergistic mechanisms of trans-/cis-stilbene glycosides in Heshouwu-related idiosyncratic liver injury 被引量:33
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作者 Lanzhi He Ping Yin +11 位作者 Yakun Meng Jinfa Tang Tingting He ming niu Yuming Guo Yun Zhu Jing Jing Chunyu Li Zhijie Ma Jiabo Wang Zhaofang Bai Xiaohe Xiao 《Science Bulletin》 SCIE EI CAS CSCD 2017年第11期748-751,共4页
Heshouwu is a traditional non-toxic Chinese medicine commonly used in the clinical setting;however,clinical cases of Heshouwu-induced hepatotoxicity have been frequently reported^([1]).Pharmacoepidemiological studies ... Heshouwu is a traditional non-toxic Chinese medicine commonly used in the clinical setting;however,clinical cases of Heshouwu-induced hepatotoxicity have been frequently reported^([1]).Pharmacoepidemiological studies have found that Heshouwu-induced liver injury occurs only in a small fraction of individuals taking the drug;these patients presented with the typ- 展开更多
关键词 肝损伤 二苯乙烯苷 增效机制 异性 反式 免疫 临床病例 毒性剂量
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Evidence chain-based causality identification in herb-induced liver injury: exemplification of a well-known liver-restorative herb Polygonum multiflorum 被引量:50
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作者 Jiabo Wang Zhijie Ma +19 位作者 ming niu Yun Zhu Qingsheng Liang Yanling Zhao Jingyuan Song Zhaofang Bai Yaming Zhang Ping Zhang Na Li Yakun Meng Qi Li Lushan Qin Guangju Teng Junling Cao Baosen Li Shilin Chen Yonggang Li Zhengsheng Zou Honghao Zhou Xiaohe Xiao 《Frontiers of Medicine》 SCIE CAS CSCD 2015年第4期457-467,共11页
Herbal medicines have recently been recognized as the second most common cause of drug-induced liver injury (DILI) in the United States. However, reliable methods to identify the DILl causality of some herbs, such a... Herbal medicines have recently been recognized as the second most common cause of drug-induced liver injury (DILI) in the United States. However, reliable methods to identify the DILl causality of some herbs, such as Heshouwu (dried root ofPolygonum multiflorum), remain lacking. In this study, a total of 12 307 inpatients with liver dysfunction and 147 literature-reported cases of Heshouwu DILI were screened. A general algorithm indicated that only 22.5% (9/40) and 30.6% (45/147) of all hospitalization and literature case reports, respectively, demonstrate the high probability of DILI causality of Heshouwu. By contrast, 95% (19/20) of all cases prospectively investigated by pharmacognosy, phytochemistry, and metabolomic tests exhibited highly probable causality, including a patient who was previously incorrectly attributed and a case that was excluded from Heshouwu causality by pharmacognostic evidence. Toxin (heavy metals, pesticides, and mycotoxins) contamination was also excluded from Heshouwu DILI causality. The objectivity of these screening methods for Heshouwu DILI diagnosis addresses safety concerns regarding stilbene-containing herbal medicines and dietary supplements. 展开更多
关键词 Polygonum multiflorum Chinese herbal medicine drug-induced liver injury PHARMACOGNOSY metabolomics STILBENE
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Screening for main components associated with the idiosyncratic hepatotoxicity of a tonic herb, Polygonum multiflorum 被引量:44
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作者 Chunyu Li ming niu +16 位作者 Zhaofang Bai Congen Zhang Yanling Zhao Ruiyu Li Can Tu Huifang Li Jing Jing Yakun Meng Zhijie Ma Wuwen Feng Jinfa Tang Yun Zhu Jinjie Li Xiaoya Shang Zhengsheng Zou Xiaohe Xiao Jiabo Wang 《Frontiers of Medicine》 SCIE CAS CSCD 2017年第2期253-265,共13页
The main constituents of a typical medicinal herb, Polygonum multiflorum (Heshouwu in Chinese), that induces idiosyncratic liver injury remain unclear. Our previous work has shown that cotreatment with a nontoxic do... The main constituents of a typical medicinal herb, Polygonum multiflorum (Heshouwu in Chinese), that induces idiosyncratic liver injury remain unclear. Our previous work has shown that cotreatment with a nontoxic dose of lipopolysaccharide (LPS) and therapeutic dose of Heshouwu can induce liver injury in rats, whereas the solo treatment cannot induce observable injury. In the present work, using the constituent "knock-out" and "knock-in" strategy, we found that the ethyl acetate (EA) extract of Heshouwu displayed comparable idiosyncratic hepatotoxicity to the whole extract in LPS-treated rats. Results indicated a significant elevation of plasma alanine aminotransferase, aspartate aminotransferase, and liver histologic changes, whereas other separated fractions failed to induce liver injury. The mixture of EA extract with other separated fractions induced comparable idiosyncratic hepatotoxicity to the whole extract in LPS-treated rats. Chemical analysis further revealed that 2,3,5,4'-tetrahydroxy trans-stilbene-2-O-p-glucoside (trans-SG) and its cis-isomer were the two major compounds in EA extract. Furthermore, the isolated cis-, and not its trans-isomer, displayed comparable idiosyncratic hepatotoxicity to EA extract in LPS-treated rats. Higher contents of cis-SG were detected in Heshouwu liquor or preparations from actual liver intoxication patients associated with Heshouwu compared with general collected samples. In addition, plasma metabolomics analysis showed that cis-SG-disturbing enriched pathways remarkably differed from trans-SG ones in LPS-treated rats. All these results suggested that cis-SG was closely associated with the idiosyncratic hepatotoxicity of Heshouwu. Considering that the cis-trans isomerization oftrans- SG was mediated by ultraviolet light or sunlight, our findings serve as reference for controlling photoisomerization in drug discovery and for the clinical use of Heshouwu and stilbene-related medications. 展开更多
关键词 Polygonum multiflorum idiosyncratic hepatotoxicity metabolomics STILBENE cis-trans isomerization
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Icariside Ⅱ, a main compound in Epimedii Folium, induces idiosyncratic hepatotoxicity by enhancing NLRP3 inflammasome activation 被引量:30
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作者 Zhilei Wang Guang Xu +12 位作者 Hongbo Wang Xiaoyan Zhan Yuan Gao Nian Chen Ruisheng Li Xueai Song Yuming Guo Ruichuang Yang ming niu Jiabo Wang Youping Liu Xiaohe Xiao Zhaofang Bai 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2020年第9期1619-1633,共15页
Idiosyncratic drus-induced liver injury(IDILI)is an intrequent but potentially serious disease that develops the main reason for post-marketing safety warnings and withdrawals of drugs.Epimedii Folium(EF),the widely u... Idiosyncratic drus-induced liver injury(IDILI)is an intrequent but potentially serious disease that develops the main reason for post-marketing safety warnings and withdrawals of drugs.Epimedii Folium(EF),the widely used herbal medicine,has shown to cause idiosyncratic liver injury,but the underlying mechanisms are poorly understood.Increasing evidence has indicated that most cases of IDILI are immune mediated.Here,we report that icarisideⅡ(ICSⅡ),the major active and metabolic constituent of EF,causes idiosyncratic liver injury by promoting NLRP3 inflammasome activation.ICSⅡexacerbates NLRP3 inflammasome activation triggered by adenosine triphosphate(ATP)and nigericin,but not silicon dioxide(SiO2),monosodium urate(MSU)crystal or cytosolic lipopolysaccharide(LPS).Additionally,the activation of NLRC4 and AIM2 inflammasomes is not affected by ICSⅡ.Mechanistically,synergistic induction of mitochondrial reactive oxygen species(mtROS)is a crucial contributor to the enhancing effect of ICSⅡon ATP-or nigericin-induced NLRP3 inflammasome activation.Importantly,in vivo data show that a combination of non-hepatotoxic doses of LPS and ICSⅡcauses the increase of aminotransferase activity,hepatic inflammation and pyroptosis,which is attenuated by Nlrp3 deficiency or pretreatment with MCC950(a specific NLRP3 inflammasome inhibitor).In conclusion,these findings demonstrate that ICSⅡcauses idiosyncratic liver injury through enhancing NLRP3 inflammasome activation and suggest that ICSⅡmay be a risk factor and responsible for EF-induced liver injury. 展开更多
关键词 Epimedii Folium IcarisideⅡ Idiosyncratic drug-induced liver injury NLRP3 inflammasome Reactive oxygen species MITOCHONDRIA
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Cardamonin from a medicinal herb protects against LPS-induced septic shock by suppressing NLRP3 inflammasome 被引量:21
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作者 Zhilei Wang Guang Xu +9 位作者 Yuan Gao Xiaoyan Zhan Nan Qin Shubin Fu Ruisheng Li ming niu Jiabo Wang Youping Liu Xiaohe Xiao Zhaofang Bai 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2019年第4期734-744,共11页
Aberrant activation of NLRP3 inflammasome has been implicated in the pathogenesis of diverse inflammation-related diseases, and pharmacological molecules targeting NLRP3 inflammasome are of considerable value to ident... Aberrant activation of NLRP3 inflammasome has been implicated in the pathogenesis of diverse inflammation-related diseases, and pharmacological molecules targeting NLRP3 inflammasome are of considerable value to identifying potential therapeutic interventions. Cardamonin(CDN), the major active ingredient of the traditional Chinese medicinal herb Alpinia katsumadai, has exerted an excellent anti-inflammatory activity, but the mechanism underlying this role is not fully understood. Here, we show that CDN blocks canonical and noncanonical NLRP3 inflammasome activation triggered by multiple stimuli. Moreover, the suppression of CDN on inflammasome activation is specific to NLRP3, not to NLRC4 or AIM2 inflammasome. Besides, the inhibitory effect is not dependent on the expression of NF-κB-mediated inflammasome precursor proteins. We also demonstrate that CDN suppresses the NLRP3 inflammasome through blocking ASC oligomerization and speckle formation in a dose-dependent manner.Importantly, CDN improves the survival of mice suffering from lethal septic shock and attenuates IL-1βproduction induced by LPS in vivo, which is shown to be NLRP3 dependent. In conclusion, our results identify CDN as a broad-spectrum and specific inhibitor of NLRP3 inflammasome and a candidate therapeutic drug for treating NLRP3 inflammasome-driven diseases. 展开更多
关键词 CARDAMONIN NLRP3 INFLAMMASOME IL-1β CASPASE-1 SEPTIC shock
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Landscape of DILI-related adverse drug reaction in China Mainland 被引量:17
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作者 Jiabo Wang Haibo Song +13 位作者 Feilin Ge Peng Xiong Jing Jing Tingting He Yuming Guo Zhuo Shi Chao Zhou Zixin Han Yanzhong Han ming niu Zhaofang Bai Guangbin Luo Chuanyong Shen Xiaohe Xiao 《Acta Pharmaceutica Sinica B》 SCIE CAS CSCD 2022年第12期4424-4431,共8页
Drug-induced liver injury(DILI)is a type of bizarre adverse drug reaction(ADR)damaging liver(L-ADR)which may lead to substantial hospitalizations and mortality.Due to the general low incidence,detection of L-ADR remai... Drug-induced liver injury(DILI)is a type of bizarre adverse drug reaction(ADR)damaging liver(L-ADR)which may lead to substantial hospitalizations and mortality.Due to the general low incidence,detection of L-ADR remains an unsolved public health challenge.Therefore,we used the data of 6.673 million of ADR reports from January 1st,2012 to December 31st,2016 in China National ADR Monitoring System to establish a new database of L-ADR reports for future investigation.Results showed that totally 114,357 ADR reports were retrieved by keywords searching of liver-related injuries from the original heterogeneous system.By cleaning and standardizing the data fields by the dictionary of synonyms and English translation,we resulted 94,593 ADR records reported to liver injury and then created a new database ready for computer mining.The reporting status of L-ADR showed a persistent 1.62-fold change over the past five years.The national population-adjusted reporting numbers of L-ADR manifested an upward trend with age increasing and more evident in men.The annual reporting rate of L-ADR in age group over 80 years old strikingly exceeded the annual DILI incidence rate in general population,despite known underreporting situation in spontaneous ADR reporting system.The percentage of herbal and traditional medicines(H/TM)L-ADR reports in the whole number was 4.5%,while 80.60%of the H/TM reports were new findings.There was great geographical disparity of reported agents,i.e.more cardiovascular and antineoplastic agents were reported in higher socio-demographic index(SDI)regions and more antimicrobials,especially antitubercular agents,were reported in lower SDI regions.In conclusion,this study presented a large-scale,unbiased,unified,and computer-minable L-ADR database for further investigation.Age-,sex-and SDI-related risks of L-ADR incidence warrant to emphasize the precise pharmacovigilance policies within China or other regions in the world. 展开更多
关键词 Adverse drug reactions Drug-induced liver injury Spontaneous reporting system Database Socio-demographic index PHARMACOEPIDEMIOLOGY PHARMACOVIGILANCE Geographical disparity
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Network Pharmacology Evaluation Method Guidance-Draft 被引量:57
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作者 Shao Li Yi-Tao Chen +19 位作者 Qing-Yang Ding Jian-Ye Dai Xian-Chun Duan Yuan-Jia Hu Xin-Xing Lai Qing-Fei Liu ming niu Rong-Wu Xiang Zheng Xiang Hai-Yu Xu Xin Wang Hong-Jun Yang Kuo Yang ming Yang Hai-Yang Yu Bo Zhang Peng Zhang Qian-Ru Zhang Hui-Hui Zhao Jing Zhao 《World Journal of Traditional Chinese Medicine》 2021年第1期146-154,共9页
Foreword Note:Some of the document contents may involve certain patents,the identification of which is not the responsibility of the institution that releases the document.Main drafting organizations:Tsinghua Universi... Foreword Note:Some of the document contents may involve certain patents,the identification of which is not the responsibility of the institution that releases the document.Main drafting organizations:Tsinghua University,Specialty Committee of Network Pharmacology of World Federation of Chinese Medicine Societies(WFCMS). 展开更多
关键词 DOCUMENT DRAFT INSTITUTION
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A review on applications of heuristic optimization algorithms for optimal power flow in modern power systems 被引量:7
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作者 ming niu Can WAN Zhao XU 《Journal of Modern Power Systems and Clean Energy》 SCIE EI 2014年第4期289-297,共9页
Optimal power flow(OPF)is one of the key tools for optimal operation and planning of modern power systems.Due to the high complexity with continuous and discrete control variables,modern heuristic optimization algorit... Optimal power flow(OPF)is one of the key tools for optimal operation and planning of modern power systems.Due to the high complexity with continuous and discrete control variables,modern heuristic optimization algorithms(HOAs)have been widely employed for the solution of OPF.This paper provides an overview of the latest applications of advanced HOAs in OPF problems.The most frequently applied HOAs for solving the OPF problem in recent years are covered and briefly introduced,including genetic algorithm(GA),differential evolution(DE),particle swarm optimization(PSO),and evolutionary programming(EP),etc. 展开更多
关键词 Heuristic optimization algorithm Optimal power flow Multi-objective optimization Constraint optimization
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自身免疫性肝炎、原发性胆汁性胆管炎及其重叠综合征的临床代谢组学表征及区分
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作者 周明曦 程诚 +7 位作者 韩延忠 牛明 黄迎 何娴 刘尧 肖小河 王伽伯 马志涛 《科学通报》 EI CAS CSCD 北大核心 2022年第21期2553-2564,共12页
自身免疫性肝炎(autoimmune hepatitis,AIH)、原发性胆汁性胆管炎(primary biliary cholangitis,PBC)及其重叠综合征(overlap syndrome,OS)是临床常见的3种自身免疫性肝病,由于其发病机制的复杂性和混杂性,给临床准确区分诊断带来了挑战... 自身免疫性肝炎(autoimmune hepatitis,AIH)、原发性胆汁性胆管炎(primary biliary cholangitis,PBC)及其重叠综合征(overlap syndrome,OS)是临床常见的3种自身免疫性肝病,由于其发病机制的复杂性和混杂性,给临床准确区分诊断带来了挑战.本研究采用非靶向代谢组学方法,尝试对42例AIH、103例PBC和57例AIH-PBC OS患者血清筛选可辅助区分诊断3种肝病的代谢组学特征标志物.结果表明,在与AIH和PBC相关的所有变量中共鉴定出101个特征代谢物,并进一步筛选出富集于胆汁、磷脂和氨基酸代谢途径的29个代谢物,作为对AIH和PBC区分能力最强的指纹性代谢物.从指纹性代谢物中压缩降维得到的特征代谢物向量,显示出良好的区分诊断AIH与PBC的能力,受试者工作特征曲线下面积达到0.797(P<0.0001).基于指纹性代谢物主成分分析的可视化分布图,PBC和AIH样本呈现出3个区域:单纯PBC样本区、单纯AIH样本区和混合区.而将AIH-PBC OS样本放入该模型后发现,AIH-PBC OS样本在上述3个区域均有分布,提示目前诊断标准下的AIH-PBC OS患者实际上具有不同的代谢特征和病因倾向,需要更为精确的区分诊断.基于指纹性代谢物构建的区分诊断模型,可以辅助用于自身免疫性肝病患者的精确诊断和管理. 展开更多
关键词 自身免疫性肝病 代谢组学 生物标志物 胆汁酸 脂质
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Screening for main components associated with the idiosyncratic hepatotoxicity of a tonic herb,Polygonum multiflorum
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作者 Chunyu Li ming niu +16 位作者 Zhaofang Bai Congen Zhang Yanling Zhao Ruiyu Li Can Tu Huifang Li Jing Jing Yakun Meng Zhijie Ma Wuwen Feng Jinfa Tang Yun Zhu Jinjie Li Xiaoya Shang Zhengsheng Zou Xiaohe Xiao Jiabo Wang 《Frontiers of Medicine》 SCIE CAS CSCD 2021年第2期330-332,共3页
Erratum to Frontiers of Medicine 201711(2):253–265 https://doi.org/10.1007/s11684-017-0508-9 The original version of this article unfortunately contained some mistakes.The panel of“LPS–/drug–”in Fig.3B(Page 259),... Erratum to Frontiers of Medicine 201711(2):253–265 https://doi.org/10.1007/s11684-017-0508-9 The original version of this article unfortunately contained some mistakes.The panel of“LPS–/drug–”in Fig.3B(Page 259),the panels of“LPS–/EtoAc+”and“LPS–/Residue+”in Supplementary Fig.3(Page 7 in the online supplementary materials)should be corrected.The authors apologize for this error and state that this does not change the scientific conclusions of the article in any way. 展开更多
关键词 Medicine hepato corrected
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