Two New Glucosides from Radix Polygoni multiflori Preparata

2,3,5,4'-tetrahydroxystilbene-2-O-(2'-O-feruloyl)-beta -D-glucopyranoside, 2,3,5,4'-tetra hydroxystilbene-2-O-(2'-O-p-coumaroyl)-beta -D-glucopyranoside were isolated from Radix Polygoni multiflori Preparata. Structures were elucidated by chemical and spectral evidences.

Radix Polygoni Multiflori Praeparata and Dioscorea Bulbifera Rhizome Decoctions Display Combined Effects Detected by a Three-Probe Drug Cocktail with Substrates of Rat Hepatic Cytochrome P450 Enzymes

Objectives: Radix Polygoni Multiflori Praeparata (RPMP) and Dioscorea Bulbifera Rhizomes (DBR) are used in Chinese herbal medicine and have been frequently reported for adverse reactions on liver. In this research, we aimed to evaluate in vivo effects of RPMP and DBR on rat cytochrome P450 enzymes (CYP1A2, CYP2E1 and CYP3A2) with their respective substrates as probes. Methods: Rats were orally administered RPMP, DBR and RPMP/DBR combination at 12, 10 and (12 + 10) g/kg, respectively, or saline as a control, once daily for 7 days. Thereafter, a cocktail containing 10 mg/kg caffeine, 20 mg/kg chlorzoxazone and 10 mg/kg dapsone was tail vein injected to rats. At defined time points, plasma drug concentrations were simultaneously evaluated by HPLC. Pharmacokinetic parameters simulated by DAS software were used to assess RPMP and/or DBR effects on cytochrome P450 enzymes activity. ANOVA and Dunnett’s test were used for data analysis. Results: Caffeine metabolism was enhanced in RPMP animals and reduced after pretreatment with DBR, but no effect was observed in RPMP/DBR combination group. Chlorzoxazone and dapsone metabolism was enhanced in both RPMP and DBR groups and consequently in combination group. The data suggested that RPMP independently induces rat CYP1A2, CYP2E1 and CYP3A2 activity, while DBR independently inhibits activity of rat CYP1A2 and induces that of CYP2E1 and CYP3A2. RPMP/DBR combination showed no significant benefit compared with the two drugs alone and even showed a neutralized effect in CYP1A2 activity. Conclusions: Caution is needed when RPMP and/or DBR are co-administered with drugs metabolized by human CYP1A2, CYP2E1 and CYP3A4.

Efficacy of Heshouwu(Radix Polygoni Multiflori)on gut mircobiota in mice with autoimmune encephalomyelitis

OBJECTIVE:To learn the mechanisms between gut microbiome and the autoimmunity benefits on Traditional Chinese Medicine(TCM)in central nervous system(CNS),we investigated the neuro-protection effects and gut mircobiota changes of Heshouwu(Radix Polygoni Multiflori)on experimental autoimmune encephalomyelitis(EAE),an animal model of multiple sclerosis(MS).METHODS:Mice were randomly divided into four groups:EAE mice(control phosphate-buffered saline group),50 mg·kg^(-1)·d^(-1)Heshouwu(Radix Polygoni Multiflori)-treated EAE mice,100 mg·kg^(-1)·d^(-1)Heshouwu(Radix Polygoni Multiflori)-treated EAE mice,and 200 mg·kg^(-1)·d^(-1)Heshouwu(Radix Polygoni Multiflori)-treated EAE mice.The spinal cords were stained with hematoxylin and eosin(HE)and luxol fast blue for evaluating inflammatory infiltration and demyelination.The percentages of granulocyte macrophage-colony stimulating factor(GM-CSF)+CD4+,interleukin 17(IL-17)+CD4+,Foxp3 CD4+,and interferon-γ(IFN-γ)+CD4+T cells in the inguinal lymph nodes(LNs)and brain were determined by flow cytometry analysis.16S rRNA gene sequencing was employed to analyze the changes in gut microbiota.RESULTS:We found that Heshouwu(Radix Polygoni Multiflori)alleviated the disease severity and neuropathology of EAE as evaluated by clinical and histopathologyical scores.Heshouwu(Radix Polygoni Multiflori)increased the diversity and abundance of the gut microbiota,and decreased Firmicutes/Bacteroidetes ratio(F/B ratio).Heshouwu(Radix Polygoni Multiflori)also decreased the concentrations of IL-10,and IL-21 and increase the levels of GM-CSF,IL-17A,IL-17F and IL-22 in serum of EAE mice.Moreover,Heshouwu(Radix Polygoni Multiflori)modulated the T cell responses by inhibiting Th17 cells and restoring Treg cells in the small intestine lymphoid tissues and inguinal lymph nodes.Microbiota-depleted mice receiving Heshouwu(Radix Polygoni Multiflori)-treated fecal microbiota transplantation had lower disease severity,neuropathology scores and alleviation of Th17/Treg imbalance compared to ad libitum group.CONCLUSIONS:Our findings suggested that the vital neuro-protection role of Heshouwu(Radix Polygoni Multiflori)(TCM)in immunomodulation effects partly by regulations of gut microbiome.

天麻首乌片致严重肝损伤1例分析

目的 探讨严重肝损伤与天麻首乌片的相关性。方法 通过1例服用天麻首乌片导致严重肝损伤的不良反应,梳理其组方中药肝毒性的文献研究结果,采用《中国药物性肝损伤诊治指南(2023年版)》相关标准及更新后的RUCAM量表对肝损伤分型及与天麻首乌片的因果关系进行评估,探讨治疗策略的合理性。结果 天麻首乌片中制何首乌和炒蒺藜可能造成肝损伤,本例患者肝损伤为肝细胞损伤型,RUCAM评分7分(很可能),治疗策略通常包括保肝、利胆、抗炎等。文献分析发现,人类白细胞抗原(HLA)-B*35:01等位基因是何首乌肝损伤的风险因素,可作为预测何首乌所致肝损伤的潜在生物标志物。结论 本例患者严重肝损伤与天麻首乌片存在相关性;药品上市许可持有人应主动监测相关品种的不良反应,并及时更新说明书,减少患者用药风险。

何首乌化学成分、药理作用及肝毒性的研究进展

从化学成分、药理作用及肝毒性3个方面综述何首乌的研究进展。何首乌含有二苯乙烯苷类、蒽醌类、磷脂类、黄酮类等多种化学成分,具有延缓衰老、抗癌、抗疲劳、抗炎镇痛、保护心血管等药理作用。目前,何首乌引起肝毒性的化学成分探讨主要集中于3类,即蒽醌类、二苯乙烯苷类及鞣质类。加大何首乌肝毒性成分、肝毒性机制研究的力度,加强中药安全用药知识宣教,规范其炮制及使用,可以在一定程度上降低何首乌肝毒性。

何首乌及其中成药制剂导致的中草药相关肝损伤的回顾性研究

目的:观察何首乌、润燥止痒胶囊和百乐眠胶囊引起的中草药相关肝损伤(HILI)在接受中医药治疗人群中的可能发生率,探索其危险因素。方法:以2020年1月至2022年6月在上海中医药大学附属曙光医院门诊接受中医药治疗时曾运用何首乌、润燥止痒胶囊、百乐眠胶囊的患者为研究对象,分析HILI发生的可能性。结果:运用何首乌导致HILI的可能发生率为2.64‰,运用润燥止痒胶囊导致HILI的可能发生率为2.40‰,运用百乐眠胶囊导致HILI的可能发生率为2.06‰。甲状腺疾病是影响服用百乐眠胶囊患者HILI发生的危险因素(P<0.001)。结论:何首乌及其中成药制剂导致的中草药相关肝损伤发生率较低,应当正确评价中草药相关肝损伤,安全合理应用中药。

Enhanced absorption and inhibited metabolism of emodin by 2,3,5,4＇-tetrahydroxystilbene-2-O-β-D-glucopyranoside： Possible mechanisms for Polygoni Multiflori Radix-induced liver injury

Polygoni Multiflori Radix(PMR) has been commonly used as a tonic in China for centuries. However, PMR-associated hepatotoxicity is becoming a safety issue. In our previous in vivo study, an interaction between stilbenes and anthraquinones has been discovered and a hypothesis is proposed that the interaction between stilbene glucoside-enriching fraction and emodin may contribute to the side effects of PMR. To further support our previous in vivo results in rats, the present in vitro study was designed to evaluate the effects of 2, 3, 5, 4'-tetrahydroxystilbene-2-O-β-D-glucopyranoside(TSG) on the cellular absorption and human liver microsome metabolism of emodin. The obtained results indicated that the absorption of emodin in Caco-2 cells was enhanced and the metabolism of emodin in human liver microsomes was inhibited after TSG treatment. The effects of the transport inhibitors on the cellular emodin accumulation were also examined. Western blot assay suggested that the depressed metabolism of emodin could be attributed to the down-regulation of UDP-glucuronosyltransferases(UGTs) 1A8, 1A10, and 2B7. These findings definitively demonstrated the existence of interaction between TSG and emodin, which provide a basis for a better understanding of the underlying mechanism for PMR-induced liver injury.

近红外光谱法快速检测何首乌炮制过程中多糖含量的研究

该研究基于近红外光谱技术建立了何首乌在蒸制过程中多糖含量变化的快速定量模型。采用蒽酮浓硫酸法测定了不同蒸制时间何首乌的多糖含量并结合采集的近红外光谱数据建立模型,以校正集相关系数(R^(2)_(c))、预测集相关系数(R^(2)_(p))、交叉验证集均方根误差(RMSECV)和预测集均方根误差(RMSEP)作为评价指标,考察了不同预处理方法和变量筛选方法的效果。结果显示,随着蒸制时间的延长,何首乌多糖含量先上升后下降并趋于平稳,采用平滑+变量标准化+随机蛙跳变量筛选建立的偏最小二乘法回归模型的R^(2)_(c)=0.96,RMSECV=0.74,R^(2)_(p)=0.96,RMSEP=0.28;外部预测相对偏差小于3.0%。所建立的多糖含量定量模型质量较高,预测能力较强,可为探索何首乌炮制工艺标准化及质量评价提供参考。

Chemical profiles and metabolite study of raw and processed Polygoni Multiflori Radix in rats by UPLC-LTQ-Orbitrap MS^n spectrometry

The raw and processed roots of Plygonum multiflorum Thunb(PM) are used to treat different diseases in clinical practice. In order to clarify the influence of processing, a comparative study of chemical substance analysis was carried out. As the xenobiotics with a high enough exposure in target organs being considered as the potential effective or toxicity components, an in vivo study was also implemented to characterize the constitutes and metabolites, and meanwhile, the factor of compatibility with black bean were also considered. As a result, a total of 148 compounds were detected in PM extracts and more than 40 compounds were only detected in the processed products, which were probably new components produced during the steaming process. In in vivo study, 7 prototype components and 66 metabolites were detected or tentatively identified, 24 of which were reported for the first time. Our results indicated that processing greatly changed the chemical composition of PM and influenced the disposition of the compounds in vivo. To the best of our knowledge, this was the first global comparative study of raw and processed PM. These results expanded our knowledge about the influence of processing of PM and provided the essential data for further efficacy or toxicity studies.

指纹图谱技术结合化学计量学方法鉴别制首乌产地的研究

目的建立一种指纹图谱技术结合化学计量学方法的制首乌产地快速鉴别方法。方法建立33批不同产地制首乌的指纹图谱并对其进行相似度评价,对色谱峰信息进行偏最小二乘判别法分析(PLS-DA)和线性判别分析。结果以对照指纹图谱为参照,不同批次药材间化学成分及含量差异较小,采用指纹图谱结合相似度的评价方法无法对其产地进行区分;选取PLS-DA分析法,基于变量权重重要性排序(VIP)值确定其中的差异标志物,由此建立不同产地制首乌的线性判别函数模型并对不同产地制首乌进行预测,模型对测试集的验证结果良好。结论指纹图谱技术结合化学计量学方法可作为一种有效鉴别不同产地制首乌的方法。

中成药相关肝损伤研究进展

药物性肝损伤是指由化学药品、生物制品、中草药及其制剂等所导致的肝损伤,是临床常见的药物不良反应之一。近年来,含何首乌、补骨脂、淫羊藿的中成药导致肝损伤的临床报道逐渐增多,其导致肝损伤的原因及机制受到广泛关注,并取得一定进展。本文主要对含此类组分的中成药及其肝损伤的原因、发病机制等进行综述。

Hematopoietic effect of small molecular fraction of Polygoni multiflori Radix Praeparata in cyclophosphamide-induced anemia mice

The aim of this study is to investigate the protective effects of a small molecular fraction(SMF) of Polygoni multiflori Radix Praeparata(PMRP) in a cyclophosphamide(CTX) induced anemia mouse model. Small molecular fraction of PMRP was prepared and identified by high-performance liquid chromatography-quadrupole time-of-flight mass spectrometry(HPLC-Q-TOF-MS). In pharmacology, we examined the peripheral hemogram and thymus and spleen index. The content of granulocyte-macrophage colony-stimulating factor(GM-CSF) in serum was mensurated by enzyme-linked immunosorbent assay(ELISA);The level of superoxide dismutase(SOD), catalase(CAT), total antioxidant capacity(T-AOC), and malondialdehyde(MDA) in serum and spleen tissue homogenate were detected, and glutathione peroxidase(GSH-PX) was assayed in spleen. The results show that SMF can significantly accelerate the recovery of peripheral hemogram, increase the activity of antioxidant enzymes and GM-CSF in serum and spleen. SMF also increases the number of spleen cells, improves bone marrow pathology. In conclusion, the SMF of PMRP promoted the recovery of hematopoietic function in a CTX-induced anemia mouse, which can support SMF to be used as an adjunct to chemotherapy to counteract its side effects.

5-HMF高效液相色谱检测方法的建立及功能糖与不同产地党参、何首乌和熟地中5-HMF含量分析

本试验旨在建立5-羟甲基糠醛(5-hydroxymethylfurfural,5-HMF)的高效液相色谱检测方法,检测不同产地党参、制首乌、熟地黄以及5个不同批次功能糖中5-HMF含量。采用C_(18)(4.6 mm×250.0 mm,5μm)色谱柱分离,流动相为甲醇-水(8∶92),流速为1.0 mL/min,柱温为30℃,进样量为10μL,紫外检测器,检测波长为280 nm。经方法学考察,显示该方法线性关系良好;精密度试验测定峰面积RSD平均值为1.438%;重复性试验显示HPLC重复性良好;稳定性试验峰面积RSD范围为1.338%~7.307%;加标回收率显示良好。中药及功能糖5-HMF含量检测结果显示,党参、制首乌和熟地黄相比,熟地黄中5-HMF含量较高,党参中5-HMF含量较低,其中又以河北产熟地黄中5-HMF含量最高。不同批次功能糖中5-HMF含量无显著性差异,但其含量是河北产熟地黄的90~100倍。通过现代化技术,用功能糖成功复制了中药中的活性成分5-HMF,降低了其生产成本,具有良好的发展前景。

基于特征图谱及多成分定量的首乌藤饮片与标准汤剂量值传递规律研究

本文建立首乌藤的含量测定方法和指纹图谱评价方法,研究首乌藤饮片到标准汤剂的量值传递规律。收集全国主产地和道地产地具有代表性的20批首乌藤药材,按《中国药典》2020年版规定制备成首乌藤饮片,并按《中药配方颗粒质量控制与标准制定技术要求》制备成首乌藤标准汤剂;采用HPLC建立适用测定含量及指纹图谱方法,以转移率、出膏率及指纹图谱相似度为指标,分析首乌藤饮片到标准汤剂的量值传递规律。结果显示,20批首乌藤标准汤剂出膏率为10.4%~16.1%,均值为12.9%,均位于均值的±30%范围内。除了四川产地的样品外,其余产地首乌藤饮片及其标准汤剂HPLC对照指纹图谱相似度均良好(>0.9),且二者具6个共有峰,并通过对照品指认其中的4个峰分别2,3,5,4-四羟基二苯乙烯-2-O-β-D-葡萄糖苷、大黄素-8-O-β-D-葡萄糖苷、大黄素、大黄素甲醚。四个已知成分的转移率分别为26.58%~53.07%(2,3,5,4-四羟基二苯乙烯-2-O-β-D-葡萄糖苷)、12.37%~42.84%(大黄素-8-O-β-D-葡萄糖苷)、3.83%~18.71%(大黄素)、0.35%~4.13%(大黄素甲醚)。本文建立了首乌藤饮片及其标准汤剂含量测定方法和指纹图谱方法,阐明了二者之间的化学成分的量值传递规律,为首乌藤水提物及其配方颗粒质量控制提供参考。

何首乌致肝损伤的信号通路及其作用机制

何首乌是一种临床常用的补益类中草药,相关肝损伤事件近年来被频繁报道,其安全性问题逐渐引起国内外关注。本文梳理近年来何首乌致药物性肝损伤信号通路及作用机制的研究进展,基于信号通路角度,为临床正确合理应用何首乌提供新思路。现有研究证据表明,何首乌参与调控多条信号通路,通过破坏线粒体功能、加重胆汁酸淤积、诱发免疫应激、氧化应激、内质网应激等多种途径导致肝细胞死亡,多靶点、多途径、多层次诱导药物性肝损伤的发生发展。

基于指纹图谱结合化学计量学的不同产地首乌藤标准汤剂研究

目的:通过指纹图谱结合聚类分析等统计学方法针对首乌藤标准汤剂质量标准,探究不同产地首乌藤标准汤剂的差异成分,为其质量标准制定提供据。方法:首先通过前处理考察得到的最佳指纹图谱制样方法,标定20批首乌藤标准汤剂的指纹图谱共有峰,然后结合《中药色谱指纹图谱相似度评价系统》(2012版)评价各共有峰相似度,最后结合化学模式识别方法,筛选出不同产地的差异性标志物。结果:20批首乌藤标准汤剂含有8个共有峰,其相似度评价值均在0.85以上,其中共指认出4个色谱峰;通过聚类分析和主成分分析将20批样品分为4类,同产地样品为一类;根据偏最小二乘法判别分析(OPLS-DA)分析筛选可知,不同产地的主要差异标志物分别是峰1(2,3,5,4’-四羟基二苯乙烯-2-O-β-D-葡萄糖苷)、6、7(大黄素)、8(大黄素甲醚)。结论:本研究所建立的指纹图谱方法及差异性标志物的研究可为首乌藤标准汤剂及其制剂的质量标准的提升提供参考。

Screening and Identifying Hepatotoxic Components in Polygoni multiflori Radix and Polygoni multiflori Radix Praeparata

Objective: In this study, the hepatotoxic components of Polygoni multiflori Radix and Polygoni multiflori Radix Praeparata(known as Heshouwu [HSW] and Zhiheshouwu [ZHSW] in China, respectively) were screened, isolated, and identified. Materials and Methods: The ethanol extracts of HSW and ZHSW were separated into 80 fractions according to their polarity in the preparation liquid phase. Chang liver cell line was used to screen the toxic components of HSW and ZHSW in vitro. The obtained toxic mixture was further collected, isolated, and identified to confirm the hepatotoxic compounds of HSW and ZHSW. Results: The identifid hepatotoxic compounds include 2,3,5,4’-tetrah ydroxystilbene-2-O-β-D-glucoside, emodin, physcion-8-O-β-d-glucoside, physcion, and citreorosein, the fist two among them were the main components of HSW and ZHSW. After processing of HSW, the contents of 2,3,5,4’-tetrahydroxystilbene-2-O-β-D-glucoside and emodin in ZHSW were signifiantly decreased. Conclusions: The traditional processing with herb has signifiant effects on the components, especially the toxic components, in the extract of HSW and is an effective method to reduce its toxicity.

Simultaneous Determination of Four Anthraquinones in Polygoni Multiflori Radix with Single Reference Standard by High Performance Liquid Chromatography

Objective: To establish a rapid, accurate and reliable analytical method for the simultaneous determination of four major anthraquinones in Polygoni Multiflori Radix(PMR) using single reference standard.Methods: The four components including emodin-8-O-β-D-(EMG), physcion-8-O-β-D-glucoside, emodin and physcion were separated on an ODS C18 column within 13 min and detected at 280 nm. Emodin was selected as the reference standard, and the response factor for each analyte with respect to emodin were calculated. Robustness were also tested including different columns, equipments, temperatures, detection wavelengths, and other chromatographic conditions which might influence stability of response factors.Results: The method was validated in terms of linearity(r^2> 0.9995), LOQs(0.820–3.05 ng/m L), LODs(0.180–0.920 ng/m L), precision,accuracy(95.8–103.6%, RSD < 2.80%) and stability. A total of 40 batches of PMR were analyzed and the results were found to have no statistically significant differences compared with those obtained using the external standard method.Conclusion: This work provided a single standard to determine multi-components method for quantitation of four anthraquinones in PMR,which could be applied in the quality control of this herbal drug.

Spectrum-Toxicity Correlation Study Revealed the Influence of the Nine-Time Steaming and Sun Drying Method on Hepatotoxic Components of Polygoni Multiflori Radix

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.

制首乌不同配伍方式对黑色素及酪氨酸酶活性的影响

目的观察制首乌不同配伍方式的水提物对黑色素上调率及酪氨酸酶活性的影响,优选制首乌“乌须发”最佳的配伍方式。方法分别采用蘑菇酪氨酸酶NaOH裂解法及多巴胺速率氧化法研究制首乌不同配伍方式对黑色素生物合成及酪氨酸酶活性的影响。结果制首乌不同配伍方式均具有黑色素上调的作用,整体表现为制首乌-黑芝麻>制首乌-侧柏叶>制首乌-桑椹>制首乌-女贞子,且在一定范围内呈一定的剂量依赖性;制首乌不同配伍方式对酪氨酸酶的激活率均不同,其中制首乌-侧柏叶和制首乌-桑椹对酪氨酸酶具有抑制作用,但是随着浓度的增加,抑制作用逐渐减弱;制首乌-黑芝麻和制首乌-女贞子对酪氨酸酶具有激活作用,制首乌-黑芝麻较制首乌-女贞子激活作用明显。结论制首乌-黑芝麻为制首乌“乌须发”的最佳配伍,制首乌-黑芝麻配伍能够激活酪氨酸酶的活性,上调黑色素含量。