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Identification of new cotton fiber-quality QTL by multiple genomic analyses and development of markers for genomic breeding
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作者 Haozhe Tan Binghui Tang +10 位作者 Mengling Sun Qiulu Yin Yizan Ma Jianying Li Pengcheng Wang Zhonghua Li Guannan Zhao Maojun Wang Xianlong Zhang Chunyuan You Lili Tu 《The Crop Journal》 SCIE CSCD 2024年第3期866-879,共14页
Cotton fiber is one of the main raw materials for the textile industry.In recent years,many cotton fiber quality QTL have been identified,but few were applied in breeding.In this study,a genome wide association study(... Cotton fiber is one of the main raw materials for the textile industry.In recent years,many cotton fiber quality QTL have been identified,but few were applied in breeding.In this study,a genome wide association study(GWAS)of fiber-quality traits in 265 upland cotton breeding intermediate lines(GhBreeding),combined with genome-wide selective sweep analysis(GSSA)and genomic selection(GS),revealed 25 QTL.Most of these QTL were ignored by only using GWAS.The CRISPR/Cas9 mutants of GhMYB_D13 had shorter fiber,which indicates the credibility of QTL to a certain extent.Then these QTL were verified in other cotton natural populations,5 stable QTL were found having broad potential for application in breeding.Additionally,among these 5 stable QTL,superior genotypes of 4 showed an enrichment in most improved new varieties widely cultivated currently.These findings provide insights for how to identify more QTL through combined multiple genomic analysis to apply in breeding. 展开更多
关键词 Cotton fiber quality breeding GWAS Genome-wide selective sweep analysis Genomic selection InDel markers
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四逆散药理作用研究进展及质量标志物(Q-marker)预测分析
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作者 张卓 张阳 +5 位作者 谢静怡 尹佳鑫 别松涛 宋新波 余河水 李正 《天津中医药大学学报》 CAS 2024年第5期457-463,共7页
四逆散由炙甘草、柴胡、白芍、枳实组成,具有透邪解郁、疏肝理脾的功效。现代药理学研究表明该药具有抗抑郁、保肝、治疗功能性消化不良、改善动脉硬化、镇静催眠及抗溃疡等药理作用。本文在对四逆散药理作用的研究进展进行总结的基础上... 四逆散由炙甘草、柴胡、白芍、枳实组成,具有透邪解郁、疏肝理脾的功效。现代药理学研究表明该药具有抗抑郁、保肝、治疗功能性消化不良、改善动脉硬化、镇静催眠及抗溃疡等药理作用。本文在对四逆散药理作用的研究进展进行总结的基础上,依据中药质量标志物(qualitymarker,Q-marker)的“五原则”对四逆散的Q-marker进行预测分析。结果提示甘草苷、甘草素、甘草次酸、甘草酸、山柰酚、槲皮素、柚皮苷、柴胡皂苷a、柴胡皂苷d、芍药苷、芍药内酯苷、橙皮苷、新橙皮苷、辛弗林可考虑作为四逆散的Q-marker,以期为四逆散质量控制研究提供参考。 展开更多
关键词 四逆散 药理作用 质量标志物 质量控制
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中药注射液“Q-Markers”的辨析研究——丹红注射液研究实例 被引量:22
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作者 杨静 江振作 +4 位作者 柴欣 王毅 赵步长 赵筱萍 王跃飞 《世界科学技术-中医药现代化》 2016年第12期2056-2061,共6页
中药质量控制是保证中药临床用药安全性和有效性的重要措施,也是制约中药现代化进程的重要因素。由于中药的复杂性,目前的中药质量标准研究仍比较薄弱。构建符合中药特点的质量控制体系,是当前中药现代化进程中亟待解决的难题。本文以... 中药质量控制是保证中药临床用药安全性和有效性的重要措施,也是制约中药现代化进程的重要因素。由于中药的复杂性,目前的中药质量标准研究仍比较薄弱。构建符合中药特点的质量控制体系,是当前中药现代化进程中亟待解决的难题。本文以丹红注射液为例,从化学物质基础、质量标志物、质控方法 3个层次,阐述中药注射液"Q-Markers"辨析策略,为中药质量控制研究提供新思路。 展开更多
关键词 质量标志物 质量控制 中药注射液
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土鳖虫化学成分和药理作用的研究进展及其质量标志物(Q-Marker)的预测分析
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作者 王潇 文敏 +2 位作者 郑沛 刘秋叶 左亚杰 《环球中医药》 CAS 2024年第5期933-940,共8页
土鳖虫是我国传统中药,分布于河南、河北、江苏、湖南等地,具有破血逐瘀、续筋接骨的功效。土鳖虫中化学成分种类丰富,主要包括蛋白质及多肽类、氨基酸类、脂肪酸类、生物碱、无机元素、核苷类等。现代药理研究表明,土鳖虫具备抗凝血并... 土鳖虫是我国传统中药,分布于河南、河北、江苏、湖南等地,具有破血逐瘀、续筋接骨的功效。土鳖虫中化学成分种类丰富,主要包括蛋白质及多肽类、氨基酸类、脂肪酸类、生物碱、无机元素、核苷类等。现代药理研究表明,土鳖虫具备抗凝血并防止血栓形成、调节血脂的作用,此外,还具有抗肿瘤、抗炎、增强免疫力、抗氧化等作用。近年来,土鳖虫等动物类中药在临床应用方面备受关注。本文对土鳖虫化学成分和药理作用的研究现状进行总结,在此基础上分析功效作用与化学成分之间的联系,发现蛋白质及多肽类成分与抗凝血、调血脂作用关联紧密,生物碱类成分与抗菌抗炎作用相关。并从传统功效、现代药理、化学成分可测性、中药配伍等角度预测分析其质量标志物(quality marker,Q-Marker),初步确定土鳖虫活性肽组分、纤溶活性蛋白、脂肪酸类成分、生物碱、核苷类成分等可作为其质量标志物。中药质量标志物的研究为鉴定土鳖虫的真假优劣提供依据,也为后续开发土鳖虫新剂型、制定质量标准提供理论基础。 展开更多
关键词 土鳖虫 蛋白质 氨基酸 脂肪酸 生物碱 调血脂 抗肿瘤 质量标志物
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Study on Quality Markers of Poria cocos Based on UPLC-Q-TOF-MS and Network Pharmacology Technology 被引量:1
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作者 Zi LIU Na LI +5 位作者 Zhe LI Lanqingqing ZHAO Yongzhou YU Xiaoyan CUI Chunying ZHAO Hui XIONG 《Medicinal Plant》 CAS 2023年第1期12-18,共7页
[Objectives]To analyze the main chemical components of traditional Chinese medicine(TCM)Poria cocos by liquid chromatography-mass spectrometry,and explore the active components for P.cocos in the treatment of primary ... [Objectives]To analyze the main chemical components of traditional Chinese medicine(TCM)Poria cocos by liquid chromatography-mass spectrometry,and explore the active components for P.cocos in the treatment of primary dysmenorrhea(PD)by network pharmacology to predict its quality markers(Q-marker).[Methods]Ultra performance liquid chromatography-quadrupole tandem time-of-flight mass spectrometry(UPLC-Q-TOF-MS)in positive and negative ion mode was used to collect high quality MS and MS/MS data of Poria cocos,and qualitative characterization of the components in Poria cocos was performed using Analyst TF 1.7.1 and PeakView 2.2 software with reference to internal databases and literature.Taking the above identified chemical components as the research object,we used network pharmacology to discover the potential effective components and their key targets of PD,and metabolic pathway enrichment analysis of the core targets was performed to screen the Q-marker of P.cocos based on the five principles of Q-marker of TCM.[Results]UPLC-Q-TOF-MS technique was used to identify 41 chemical components of P.cocos,including 3 amino acids,26 triterpenoids,4 lactones,7 organic acids and 1 adenosine.It was more likely to lose H 2O and CO 2 during cleavage and break at the carbonyl group.The triterpenoids were mainly in the form of[M-H]-peaks in negative ion mode,which was easy to lose some structural fragments such as H 2O,CH 3COOH,CH 4,CO 2,etc.Further network pharmacological analysis showed that 302 targets of chemical components of P.cocos,518 targets of PD,28 common targets of component and disease,and 27 core targets such as PTGS2,ESR1,TNF,IL1B were observed by PPI interactions network analysis.451 biological processes such as hormone response and inflammatory response regulation were obtained by GO enrichment analysis.KEGG enrichment analysis showed that 89 pathways including PI3K/Akt signaling pathway,IL-17 signaling pathway and TNF signaling pathway were obtained.The connectivity value of components was analyzed.The core components with the connectivity value greater than 10,including poricoic acid A,polyporenic acid,polyporenic acid C,and 25-hydroxy-3-epidehydrotumoric acid were selected,while the key targets with the connectivity value greater than 15 included TNF,PTGS2,IL1B and CASP3.Molecular docking between core components and key targets was performed,and most of the docking energy was less than-5 kcal/mol,indicating that the binding between the active components and target proteins of P.cocos was relatively stable,so 23 active components of P.cocos were determined.Following the five principles of Q-marker,four possible Q-markers of P.cocos were predicted,including poricoic acid A,pachymic acid,polyporenic acid C,and 25-hydroxy-3-epidehydrotumoric acid.[Conclusions]P.cocos was mainly composed of triterpenoids,its effect on the treatment of PD may be achieved mainly by poricoic acid A,pachymic acid,polyporenic acid C,and 25-hydroxy-3-epi-dehydrotumoric acid acting on PTGS2,ESR1,TNF,IL1B and other targets to regulate PI3K/Akt signaling pathway,IL-17 signaling pathway,TNF signaling pathway,etc.Based on these active components,poricoic acid A,pachymic acid,polyporenic acid C,and 25-hydroxy-3-epi-dehydrotumoric acid could be taken as Q-markers of P.cocos,which provided a solid basis for further improving the quality standard of P.cocos. 展开更多
关键词 Poria cocos Network pharmacology LC-MS quality markers Active components
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金荞麦化学成分、药理作用的研究进展及质量标志物(Q-Marker)的预测分析
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作者 赵永恒 陈成 +4 位作者 杨思艳 谢菊芳 谢秋雨 郝新才 王佰灵 《广州化工》 CAS 2024年第8期96-98,128,共4页
金荞麦是我国传统中药材,主要含有黄酮类、三萜类、甾体类、有机酸类等化学成分,具有抗炎、抗肿瘤、降血糖、抗氧化等多种药理活性。通过文献检索,梳理了近几年国内外对金荞麦化学成分及药理作用研究,从传统功效、传统药性、化学成分可... 金荞麦是我国传统中药材,主要含有黄酮类、三萜类、甾体类、有机酸类等化学成分,具有抗炎、抗肿瘤、降血糖、抗氧化等多种药理活性。通过文献检索,梳理了近几年国内外对金荞麦化学成分及药理作用研究,从传统功效、传统药性、化学成分可测性、不同产地等多个方面对其质量标志物(Q-Marker)进行了预测分析,为金荞麦质量控制提供科学依据。 展开更多
关键词 金荞麦 黄酮类 萜类 甾体类 质量标志物
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Research progress and quality markers prediction analysis of Dysosma versipellis
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作者 Yuan-Hui Guo Peng Lu +4 位作者 Jia-Xing He Bao-Nan Ma Ebuka-Olisaemeka Nwafor Wen-Xin Wang Chuan-Xin Liu 《Traditional Medicine Research》 2023年第3期36-50,共15页
Dysosma versipellis is the rhizome of Bajiaolian in Berberaceae.It is a unique medicinal plant in China and it was the first to be recorded in Shennong’s Classic of Materia Medica(unknown author,25–220 C.E.).It has ... Dysosma versipellis is the rhizome of Bajiaolian in Berberaceae.It is a unique medicinal plant in China and it was the first to be recorded in Shennong’s Classic of Materia Medica(unknown author,25–220 C.E.).It has complex chemical components as well as complex,pharmacological and toxicological effects are extensive.Based on the recent research progress,the chemical constituents,pharmacological activities and toxicological effects of Dysosma versipellis were summarized.Combined with the core concept of quality markers of traditional Chinese medicine,the prediction and analysis were carried out from the aspects of phytogenetics and the source pathway of specific chemical constituents,traditional medicinal properties,traditional efficacy,chemical composition measurability,blood components,and pharmacokinetics,in order to provide reference for further study of Dysosma versipellis. 展开更多
关键词 Dysosma versipellis lignans FLAVONOIDS chemical composition pharmacological activity toxicological effect quality marker podophyllotoxin KAEMPFEROL QUERCETIN
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白芷化学成分和药理作用研究进展及其质量标志物(Q-marker)的预测分析 被引量:4
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作者 邹菊英 苏维 +1 位作者 潘意 崔姣 《世界科学技术-中医药现代化》 CSCD 北大核心 2023年第7期2535-2548,共14页
白芷为我国药食同源的大宗常用中药材之一,临床应用广泛,主要产于河南、河北、四川、浙江等地。白芷主要含有香豆素类、挥发油类、多糖类、生物碱类、氨基酸类等化学成分,具有镇痛抗炎、抗氧化、抗肿瘤、美白等药理作用。本文在对白芷... 白芷为我国药食同源的大宗常用中药材之一,临床应用广泛,主要产于河南、河北、四川、浙江等地。白芷主要含有香豆素类、挥发油类、多糖类、生物碱类、氨基酸类等化学成分,具有镇痛抗炎、抗氧化、抗肿瘤、美白等药理作用。本文在对白芷化学成分和药理作用分析的基础上,基于质量标志物(Q-marker)概念,从植物亲缘学及化学成分特有性、传统药效、传统功效、成分可测性、熏硫加工等角度对白芷的质量标志物进行多方面分析预测,为白芷质量评价体系的建立和开发利用提供参考。 展开更多
关键词 白芷 化学成分 药理作用 质量标志物 质量控制
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中药地黄的现代研究进展及其质量标志物(Q-marker)预测分析 被引量:4
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作者 祁昱彤 张淼 +2 位作者 刘建勋 孟硕 任钧国 《中华中医药学刊》 CAS 北大核心 2023年第12期176-184,共9页
地黄为我国传统大宗药材,首载于《神农本草经》,列为上品,是滋补类代表中药,其化学成分主要包括环烯醚萜、苯乙醇、糖、核苷、紫罗兰酮等类化合物。现代药理学研究表明地黄对神经、心脑血管、血液、内分泌等系统具有显著的疗效。在对地... 地黄为我国传统大宗药材,首载于《神农本草经》,列为上品,是滋补类代表中药,其化学成分主要包括环烯醚萜、苯乙醇、糖、核苷、紫罗兰酮等类化合物。现代药理学研究表明地黄对神经、心脑血管、血液、内分泌等系统具有显著的疗效。在对地黄化学成分及其炮制变化、药理作用及质量控制研究近况进行总结的基础上,从质量传递与溯源性、成分与药效关联性、复方配伍环境、化学成分有效性及可测性等方面对地黄质量标志物进行预测分析,为地黄质量标准研究提供科学依据。 展开更多
关键词 地黄 生熟异治 化学成分 药理作用 质量控制 质量标志物
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佛手化学成分和药理作用及其质量标志物(Q-Marker)预测分析 被引量:6
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作者 史俊豪 丘琴 +4 位作者 刘晓芳 古宝浚 甄汉深 蒙雪雁 叶梅芳 《中华中医药学刊》 CAS 北大核心 2023年第4期17-28,共12页
佛手为中国传统的药食两用植物,应用广泛且历史悠久。佛手中的化学成分主要有黄酮及其苷类、香豆素类、挥发油类、多糖类等,其传统功效为疏肝理气,和胃止痛,燥湿化痰,现代药理研究表明佛手在抗菌、抗肿瘤、降血脂等方面也有着较好的药... 佛手为中国传统的药食两用植物,应用广泛且历史悠久。佛手中的化学成分主要有黄酮及其苷类、香豆素类、挥发油类、多糖类等,其传统功效为疏肝理气,和胃止痛,燥湿化痰,现代药理研究表明佛手在抗菌、抗肿瘤、降血脂等方面也有着较好的药理活性。整合归纳了佛手的化学成分和药理作用,并在此基础上结合质量标志物(quality marker,Q-Marker)理念,基于植物亲缘学、成分有效性、可测性等方面对佛手的质量标志物进行预测分析,为建立科学的佛手质量控制方法提供参考。 展开更多
关键词 佛手 质量标志物 香叶木苷 橙皮苷 佛手多糖 佛手柑内酯 柠檬油素 柠檬烯
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民族药三叉苦化学成分、药理作用研究进展及质量标志物(Q-Marker)预测分析 被引量:2
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作者 程艳薇 南惠玲 +3 位作者 林青华 林宁 李学坚 陈清 《药学研究》 CAS 2023年第8期605-614,626,共11页
三叉苦中主要含有生物碱类、黄酮类、苯并吡喃和色烯类化学成分,以及少量苯乙酮类、挥发油类等其他化学成分,具有抗炎镇痛、抑菌抗病毒、调节血糖和血脂、抗肿瘤、护肝保肝及抗氧化作用等多种药理活性。通过对国内外已有文献资料进行归... 三叉苦中主要含有生物碱类、黄酮类、苯并吡喃和色烯类化学成分,以及少量苯乙酮类、挥发油类等其他化学成分,具有抗炎镇痛、抑菌抗病毒、调节血糖和血脂、抗肿瘤、护肝保肝及抗氧化作用等多种药理活性。通过对国内外已有文献资料进行归纳与整理,本研究对三叉苦的化学成分和药理作用进行了总结阐述,并结合质量标志物的概念,从植物亲缘性和化学成分特有性、与传统药性功效的相关性、成分可测性、不同产地及炮制方法等方面对三叉苦质量标志物进行了预测分析,以期为进一步开发和利用三叉苦,完善其质量评价体系等提供参考。 展开更多
关键词 三叉苦 化学成分 药理作用 质量标志物
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锁阳化学成分和药理作用研究进展及质量标志物(Q-Marker)的预测分析
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作者 陈家蓉 吕桐 +6 位作者 王瑞兵 时坤 何忠梅 陈维佳 赵岩 杜锐 宗颖 《中国野生植物资源》 CSCD 2023年第7期80-89,共10页
锁阳是一种传统名贵的补益类中药,广泛分布于新疆、甘肃、内蒙古等地,具有补肾阳、益精血等功效。本文总结了从锁阳中分离的102种化学成分。基于锁阳化学成分和药理作用,结合质量标志物(Q-marker)的核心概念,从锁阳的化学成分与亲缘关... 锁阳是一种传统名贵的补益类中药,广泛分布于新疆、甘肃、内蒙古等地,具有补肾阳、益精血等功效。本文总结了从锁阳中分离的102种化学成分。基于锁阳化学成分和药理作用,结合质量标志物(Q-marker)的核心概念,从锁阳的化学成分与亲缘关系、传统功效、传统药性、临床疗效和化学可测成分方面,对锁阳质量标志物进行预测分析,筛选锁阳质量标志物,为锁阳质量控制和质量标准的建立提供一定的科学依据。 展开更多
关键词 锁阳 化学成分 药理作用 质量标志物
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Quality Markers of Traditional Chinese Medicine:Concept,Progress,and Perspective 被引量:22
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作者 Yazhuo Li Ying Xie +3 位作者 Yufei He Wenbin Hou Maoliang Liao Changxiao Liu 《Engineering》 SCIE EI 2019年第5期888-894,共7页
As the most important complementary medication against a variety of diseases,traditional Chinese medicines(TCMs)have been extensively applied over thousands of years.Current quality control of herbal medicines,however... As the most important complementary medication against a variety of diseases,traditional Chinese medicines(TCMs)have been extensively applied over thousands of years.Current quality control of herbal medicines,however,is in great dispute.Unlike chemical drugs,which have clear and validated quality standards,the content of only one(or a few)compounds of many herbs and preparations is currently assessed as an indicator of quality,even though the assessed compound(s)is neither closely associated with the efficacy nor representative of the medicine as a whole.Based on the clinical use,compatibility of multiple component prescriptions,and manufacturing process of TCM,the new concept of a TCM quality marker that was proposed in previous work is discussed further here.In addition,practical technological approaches are described for the qualitative analysis and quantification of TCMs including herbs,processed products,and preparations,which lead to the discovery and identification of specific chemicals as quality markers and new quality control patterns.The progress that has been made in TCM quality control is also addressed.This work provides useful information for the quality control of herbal medicines in the future. 展开更多
关键词 TRADITIONAL Chinese MEDICINE quality marker quality control
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Multimodal integrated strategy for the discovery and identification of quality markers in traditional Chinese medicine 被引量:1
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作者 Xiaoyan Lu Yanyan Jin +2 位作者 Yuzhen Wang Yunlong Chen Xiaohui Fan 《Journal of Pharmaceutical Analysis》 SCIE CAS CSCD 2022年第5期701-710,共10页
With the modernization and internationalization of traditional Chinese medicine(TCM),the requirement for quality control has increased.The quality marker(Q-marker)is an important standard in this field and has been im... With the modernization and internationalization of traditional Chinese medicine(TCM),the requirement for quality control has increased.The quality marker(Q-marker)is an important standard in this field and has been implemented with remarkable success in recent years.However,the establishment of Qmarkers remains fragmented and the process lacks systematicity,resulting in inconsistent quality control and insufficient correlation with clinical efficacy and safety of TCM.This review introduces four multimodal integrated approaches that contribute to the discovery of more comprehensive and accurate Qmarkers,thus aiding in the establishment of new quality control patterns based on the characteristics and principles of TCM.These include the whole-process quality control strategy,chemical-activity-based screening method,efficacy,safety,and consistent combination strategy,and TCM theory-guided approach.Furthermore,methodologies and representative examples of these strategies are described,and important future directions and questions in this field are also proposed. 展开更多
关键词 Traditional Chinese medicine(TCM) quality marker(q-marker) Multimodal integrated strategy quality control systems
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QTL Mapping for Fiber Quality Traits Based on a Dense Genetic Linkage Map with SSR,TRAP,SRAP and AFLP Markers in Cultivated Tetraploid Cotton 被引量:1
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作者 YU Ji-wen1,YU Shu-xun1,ZHANG Jin-fa2,ZHAI Hong-hong1(1.Cotton Research Institute of CAAS Key Laboratory of Cotton Genetic Improvement,Ministry of Agriculture,Anyang,Henan 455000,China 2.Department of Plant and Environmental Sciences,New Mexico State University,Las Cruces,NM 88003) 《棉花学报》 CSCD 北大核心 2008年第S1期34-,共1页
Cotton is one of the most important economic crops in the world,and it provides natural fiber for the textile industry.With the advancement of the textile technology and increased consumption demands on cotton fiber,b... Cotton is one of the most important economic crops in the world,and it provides natural fiber for the textile industry.With the advancement of the textile technology and increased consumption demands on cotton fiber,both cotton yield and quality should be enhanced.However,cotton yield 展开更多
关键词 QTLs AFLP QTL Mapping for Fiber quality Traits Based on a Dense Genetic Linkage Map with SSR TRAP SRAP and AFLP markers in Cultivated Tetraploid Cotton SSR Map
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苗药血人参化学成分和药理作用研究进展及Q-marker的预测分析
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作者 廖泽宇 傅建 +4 位作者 付慧晓 何鑫 徐剑 吴静澜 张永萍 《中国民族民间医药》 2023年第12期37-47,共11页
血人参(Indigofera stachyoides Lindl.)作为我国苗族传统用药,主要分布于贵州、云南、广西等地区。血人参的主要化学成分包括黄酮类、糖苷类、甾醇类、萜类、酚酸类以及挥发油类等,其药理作用有保肝、抑菌、降血糖、降血脂、抗肿瘤、... 血人参(Indigofera stachyoides Lindl.)作为我国苗族传统用药,主要分布于贵州、云南、广西等地区。血人参的主要化学成分包括黄酮类、糖苷类、甾醇类、萜类、酚酸类以及挥发油类等,其药理作用有保肝、抑菌、降血糖、降血脂、抗肿瘤、抗氧化及抗炎等。文章对血人参的化学成分和药理作用的研究进行归纳与总结,并结合Q-marker概念,从植物亲缘学、化学成分特有性、传统功效和药性、现代临床新用途、化学成分可测性等几个方面对其进行Q-marker预测分析。根据Q-marker的概念,可将木脂素糖苷类成分血人参苷、Schizandriside、Lyoniside和血人参鞣质A作为血人参的Q-marker,将黄酮类作为其备选物质。 展开更多
关键词 血人参 化学成分 药理作用 质量标志物
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Molecular Markers in Improvement of Fiber Quality Traits in Cotton
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作者 RAVEENDRAN T S PREETHA S RAJESWARI S 《棉花学报》 CSCD 北大核心 2008年第S1期65-,共1页
Cotton is the worlds leading natural fiber crop,and it is the cornerstone of textile industries worldwide.The cotton industry is confronted with problems in cost of production and
关键词 QTLS Molecular markers in Improvement of Fiber quality Traits in Cotton
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Health Related Quality of Life and Biochemical Markers for Cachexia Evaluation in Head and Neck Cancer Patients
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作者 Joaquim Castro Silva Patricia Tavares +2 位作者 Rita Ferreira Lucio Lara Santos Eurico Monteiro 《International Journal of Otolaryngology and Head & Neck Surgery》 2021年第4期320-335,共16页
Cachexia is a multifactorial syndrome related to unintentional weight loss and to loss of muscle and fat mass. In head and neck cancer (HNC) its incidence is important and not only related to a deficient intake of foo... Cachexia is a multifactorial syndrome related to unintentional weight loss and to loss of muscle and fat mass. In head and neck cancer (HNC) its incidence is important and not only related to a deficient intake of food due to the impact of the disease in the vital functions. A complex disturbance in the normal metabolism of the patient promotes a persistent inflammatory state and a shifting in the metabolism balance toward a catabolic predominance affecting primarily the skeletal muscle. This leads to severe impairment of the functional, emotional and social status and quality of life of the patients that will compromise response to treatment and the disease prognosis. Understanding this deleterious syndrome and mainly identifying it in early stages of the disease is of a major importance in achieving better outcomes to head and neck cancer patients. This study pretends to identify clinical aspects related to cachexia in HNC in a clinical perspective for application on the routine clinical practice. In our study, 30 HNC patients were enrolled and evaluated in terms of nutritional values (actual and loss of weight in the past 6 months, body mass index (BMI), nutritional risk index (NRI), malnutrition universal screening tool), serum biochemical markers (albumin, total proteins, cholesterol, triglycerides, urea, C-reactive protein (CRP), interleukin-6 (IL-6), tumour necrosis factor-α (TNF-α) and myostatin) and health related quality of life (HRQoL) evaluation (using European Organisation for the Research and Treatment of Cancer (EORTC) quality of life questionnaires (QLQ): EORTC QLQ-C30 and EORTC QLQ-HN43). A minimum follow-up of 48 months was considered for all patients. Our results showed that NRI is a good and sensitive index to identify cachexia. This index uses two parameters, one constitutional (loss of weight) and one biochemical (level of serum albumin). According to this criterion, 16 patients were assigned to the No-cachexia group and 14 patients to the Cachexia group. Significant differences in the constitutional and nutritional values between the two groups were found: the median weight loss was 4.44 kg in the No-cachexia group and 11.29 kg in the Cachexia group, while the BMI was 21.88 and 18.33, respectively. In terms of biochemical markers, significant low values of albumin and cholesterol in the Cachexia group were encountered when compared to the No-cachexia group. Regarding the inflammatory and cachexia biomarkers studied, the results show that patients in the Cachexia group had significantly higher levels of CRP and of the proinflammatory cytokines IL-6 and TNF-α and presented significantly raised levels of the myostatin. In terms of HRQoL evaluation, the scores of the EORTC QLQ-C30 revealed that all the scales and the Summary Score showed lower scores in the Cachexia group, indicating worst quality of life evaluation. The items scores were globally higher in the Cachexia group indicating more important problems related to those items in the Cachexia group. The difference encountered between the groups was significant (p < 0.001) in all considered scales but two: Dyspnoea and Constipation. Considering the EORTC QLQ-HN43 all the scales and in all single items but one (Wound Healing) the scores were higher in the Cachexia group, indicating a worst degree of problems affecting these group of patients. The difference found between the groups was significant (p < 0.001) in all scales and items but six: Dry Mouth and Sticky Saliva, Skin problems, Problems with Teeth, Trismus, Social Contact and Wound Healing. There were no significant differences in the clinical presentation of the disease between the two groups. The median survival was of 13.5 months in the Cachexia group, significantly lower when compared to the No-cachexia group (p < 0.0001), confirming the major impact of cachexia in survival and clinical outcomes in HNC patients. These results of our study show that HRQoL evaluation and serum biochemical markers are sensitive and important tools in identifying and screening cachexia in HNC patients. The methodology followed in this study correlating HRQoL with biochemical markers supports the development of clinical protocols in HNC that include cachexia evaluation. Hopefully this new approach can help to improve prognosis of the disease. 展开更多
关键词 CACHEXIA Head Neck Cancer quality of Life Biochemical markers MALNUTRITION
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葛根质量标志物(Q-marker)探讨分析 被引量:20
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作者 朱卫丰 邹斌 +4 位作者 管咏梅 刘荣华 黄丽萍 查青林 赵宇平 《中华中医药学刊》 CAS 北大核心 2019年第4期775-777,共3页
以葛根为主药的中药制剂临床疗效显著,但是葛根素口服吸收差,消除快,生物利用度低,若以葛根素为质量控制指标,无法完全反映葛根为主药的中药制剂疗效。基于刘昌孝院士提出的中药质量标志物(Q-marker)新概念,从成分特有性、传统功效、传... 以葛根为主药的中药制剂临床疗效显著,但是葛根素口服吸收差,消除快,生物利用度低,若以葛根素为质量控制指标,无法完全反映葛根为主药的中药制剂疗效。基于刘昌孝院士提出的中药质量标志物(Q-marker)新概念,从成分特有性、传统功效、传统药性、成分可测性、中药配伍环境(药对配伍、复方配伍、经典方配伍)、成分有效性等几个方面对葛根质量标志物(Q-marker)进行探讨分析,为葛根及其制剂质量评价研究提供思路。 展开更多
关键词 葛根 葛根素 网络药理学 质量标志物
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当归化学成分、药理作用及其质量标志物(Q-marker)的预测分析 被引量:77
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作者 李伟霞 泥文娟 +5 位作者 王晓艳 刘现磊 李琨 张书琦 陈小菲 唐进法 《中华中医药学刊》 CAS 北大核心 2022年第6期40-47,I0028,共9页
当归是临床常用的补血、活血要药,其化学成分主要包括挥发油(含苯酞内酯类)、有机酸类、多糖、氨基酸和核苷类等成分,具有抗氧化、镇痛抗炎、抗血小板聚集、抗肿瘤、保肝等药理作用。在对其化学成分和药理作用概述的基础上,根据中药质... 当归是临床常用的补血、活血要药,其化学成分主要包括挥发油(含苯酞内酯类)、有机酸类、多糖、氨基酸和核苷类等成分,具有抗氧化、镇痛抗炎、抗血小板聚集、抗肿瘤、保肝等药理作用。在对其化学成分和药理作用概述的基础上,根据中药质量标志物筛选五原则,从化学成分与传统药性、不同炮制方法、传统功效、入血成分、网络药理学等多方面对当归质量标志物进行预测分析,为当归质量评价体系的建立提供参考。 展开更多
关键词 当归 化学成分 药理作用 质量标志物
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