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阳和通脉丸联合前列地尔治疗糖尿病下肢动脉硬化闭塞症临床观察
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作者 孔五宝 吴进 +2 位作者 王晓蕴 吕树泉 赵红敏 《药物流行病学杂志》 CAS 2023年第1期44-51,共8页
目的观察阳和通脉丸联合前列地尔对糖尿病下肢动脉硬化闭塞症(DLASO)的疗效及对患者相关指标的影响。方法140例DLASO患者随机分为对照组(70例)和试验组(70例)。两组均给予常规对症治疗,对照组在此基础上加用前列地尔,试验组在对照组基... 目的观察阳和通脉丸联合前列地尔对糖尿病下肢动脉硬化闭塞症(DLASO)的疗效及对患者相关指标的影响。方法140例DLASO患者随机分为对照组(70例)和试验组(70例)。两组均给予常规对症治疗,对照组在此基础上加用前列地尔,试验组在对照组基础上再加用阳和通脉丸。检测治疗前后两组患者的中医证侯评分以及血流动力学、血液流变学与微循环等指标变化,比较两组临床疗效及不良反应。结果治疗后两组患者的中医证候评分、管襻积分、流态积分、襻周积分、血浆黏度、全血低切黏度、全血高切黏度、血清血凝素样氧化低密度脂蛋白受体-1(LOX-1)、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6)水平等均较前明显降低,两组足背动脉血流量、ABI、TBI及襻顶血管直径等指标则较前明显升高(P<0.05);且试验组各项指标均明显优于对照组(P<0.05)。试验组临床总有效率为90.00%,明显高于对照组的74.29%(P<0.05),两组不良反应发生率差异无统计学意义(P>0.05)。结论DLASO患者采用阳和通脉丸联合前列地尔治疗可提高疗效,减轻患者临床症状,改善下肢血流微循环及血液流变学,减轻炎性反应,且不良反应少。 展开更多
关键词 阳和通脉丸 前列地尔 糖尿病 下肢动脉硬化闭塞症 临床疗效
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Mechanism of Baihu Renshen decoction on T2DM rats based on mitochondrial autophagy mediated by PINK1/Parkin
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作者 Han-Zhou Li Hui Zhang +5 位作者 Bao-Chao Pan Yuan-Song Wang Xiu-Hai Su Shu-Fang Zhang shu-quan lyu Zhai-Yi Zhang 《Traditional Medicine Research》 2023年第5期31-37,共7页
Background:This study will be aimed at investigating the effects of Baihu Renshen decoction(BHRS)on type 2 diabetes rats and on macromolecular enzyme 1(PINK1)/E3 ubiquitin protein ligase(Parkin)pathway.Methods:The exp... Background:This study will be aimed at investigating the effects of Baihu Renshen decoction(BHRS)on type 2 diabetes rats and on macromolecular enzyme 1(PINK1)/E3 ubiquitin protein ligase(Parkin)pathway.Methods:The experiment was divided into four groups:control group,model group,metformin group and BHRS low-dose group and high-dose group.Forty male rats were selected as samples and randomly assigned to at least one test group.Finally,there are 18 rats in each group.Except for the control group,the rats within the different teams got a high-fat diet associate in nursing an intraperitoneal injection of streptozotocin to make a type 2 diabetes mellitus(T2DM)rat model.The organic chemistry and inflammatory indexes of rats in every cluster were analyzed and compared once four weeks of intragastric administration of comparable reagents to review the therapeutic impact of BHRS on T2DM.In addition,we determined the pathological changes of ductal gland tissue of T2DM rats after treatment,and compared the expression of mitochondrial phagocytosis related proteins in ductal gland tissue of rats in each group.Results:FBG,LDL-C,TC,TG,MDA,IL-1,IL-6,TNF-,and mitophagy-related proteins COXIV,P62,VDAC1,and TOM20 were elevated in the model group compared to the control group,while HDL-C,SOD,GSH-Px,and mitophagy-related proteins PINK1,Parkin,and LC3II/I were decreased(P<0.05 or P<0.01).The expressions of FBG,TC,TG,LDL-C,MDA,IL-1,IL-6,TNF-,and mitophagy-related proteins COXIV,P62,VDAC1,and TOM20 were lowered in the BHRS group,while the expressions of HOMA-,HDL-C,SOD,GSH-Px,and mitophagy-related proteins PINK1,Parkin,and LC3II/I were(P<0.05 or P<0.01).After therapy with BHRS,hematoxylin-eosin staining showed that the intensity of pancreatic acinar staining increased,and islet cells became clear boundaries that were,regularly arranged,and with reduced vacuoles reduced.Conclusion:BHRS has a clear therapeutic effect on T2DM,which may be achieved by regulating mitochondrial autophagy through the PINK1/Parkin pathway. 展开更多
关键词 type 2 diabetes mellitus MITOPHAGY Baihu Renshen decoction PINK1/Parkin pathway
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Advances in traditional Chinese medicine for liver disease therapy in 2021
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作者 Jun-Yu Luo Jia-Bao Liao +6 位作者 Yu-Ming Wang Jie Zhao Xue-Hua Xie Fei Qu Xi-Xing Fang Wei-Bo Wen shu-quan lyu 《Traditional Medicine Research》 2022年第6期100-117,共18页
Liver diseases and their co-morbidities represent a major public health problem.Owing to its progressive pathogenesis and lack of effective treatment,liver disease has become one of the most important causes of death ... Liver diseases and their co-morbidities represent a major public health problem.Owing to its progressive pathogenesis and lack of effective treatment,liver disease has become one of the most important causes of death worldwide.Traditional Chinese medicine(TCM)has potential advantages in the prevention and treatment of liver diseases,including high safety,remarkable curative effects,and low toxicity and side effects.In 2021,TCM extracts and their derivatives,TCM compounds,and ethnic medicines showed good efficacy in the treatment of liver diseases.The main mechanisms and representative drugs of TCM can be summarized by the use of amygdalin,dicoumarol,quercetin,and ancient ephedrine decoction to treat hepatitis by inhibiting viral replication,as well as the use of Gentianae Radix,lupeol,Zornia diphylla(L.)Pers.,and Chinese patent medicine Liuwei Wuling tablet to alleviate acute liver injury by improving oxidative stress and inflammatory responses in the body.In the treatment of alcoholic liver disease and metabolic-associated fatty liver disease,the mechanism of TCM is the inhibition of oxidative stress,improving metabolism,regulating intestinal microflora,and enhancing intestinal barrier function.The representative TCM for alcoholic liver disease includes astragaloside,puerarin,patchouli alcohol,and Mori Fructus polysaccharide,while those for metabolic-associated fatty liver disease include saikosaponin,dehydroabietic acid,hesperetin,berberine,and Panax Notoginseng saponins.Additionally,germacrone,forsythin,geniposide,and protocatechuic acid can inhibit the activation or migration of stellate cells and improve liver fibrosis.Toosendanin,paeoniflorin,chrysin,and the classical prescription Huanglian decoction can significantly inhibit the proliferation of liver cancer cells and promote their apoptosis for the treatment of hepatocellular carcinoma.The activation of the farnesol X receptor pathway can improve bile metabolism in the liver,thus,significantly alleviating cholestatic liver disease.Its representative drugs include the TCM extracts pterostilbene and arbutin.In this review,we summarize the advances made in research on TCM used in the treatment of liver diseases in 2021,providing a reference for further development of TCM for the prevention and treatment of liver diseases. 展开更多
关键词 liver disease traditional Chinese medicine EXTRACTS therapeutic mechanism intestinal barrier intestinal flora
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Integration of multi-omics in investigations on the mechanisms of action of Chinese herbal medicine interventions in metabolic diseases
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作者 Yong-Jun Cao Han-Zhou Li +6 位作者 Yu-Meng Sun Xiao-Qian Li Le Chen Xiao-Wen Jin shu-quan lyu Wei-Bo Wen Jia-Bao Liao 《Traditional Medicine Research》 2022年第4期1-7,共7页
The rapid development of bioinformatics has provided novel approaches and methods for exploring the mechanisms of disease treatment via Chinese herbal medicines.Compound Chinese herbal medicines formulas have complex ... The rapid development of bioinformatics has provided novel approaches and methods for exploring the mechanisms of disease treatment via Chinese herbal medicines.Compound Chinese herbal medicines formulas have complex compositions and are characterized by their multiple constituents and diverse array of biological targets.Therefore,the mechanisms of action of most compound Chinese herbal medicines formulas cannot be adequately explained using a single pathway.Omics technologies describe high-throughput-based analytical and detection techniques,which include transcriptomics,proteomics,and metabolomics and provide multilayer parameter information that can be integrated to characterize the overall relationships involved in the therapeutic effects of Chinese herbal medicines formulas.Through their combination with network biology and drug effect networks,omics technologies also enable investigations into the mechanisms of disease treatment in traditional Chinese medicine.The integration of multiple omics technologies is in line with the concept of holism in traditional Chinese medicine and provides an approach for combining modern science and technology with traditional Chinese medicine theories.In recent years,omics technologies have been widely used to elucidate the mechanisms of action of Chinese herbal medicines.The latest studies employing multi-omics integration for investigating the mechanisms of action of Chinese herbal medicines interventions in metabolic diseases have devoted greater attention to in-depth explorations of disease pathogenesis.This paper provides a review of the following multi-omics technologies,which are used in research on the treatment of common metabolic diseases(e.g.,type-2 diabetes mellitus,nonalcoholic fatty liver disease):network pharmacology combined with metabolomics,16S rRNA sequencing combined with transcriptomics,16S rRNA sequencing combined with metabolomics,and 16S rRNA sequencing combined with network pharmacology and metabolomics. 展开更多
关键词 omics technology Chinese herbal medicine metabolic disease mechanism of action
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