Stroke is the leading cause of human disability with limited effective drugs availability. The disruption of multiple signaling pathways in stroke makes developing new drugs be difficult. Traditional Chinese medicine(...Stroke is the leading cause of human disability with limited effective drugs availability. The disruption of multiple signaling pathways in stroke makes developing new drugs be difficult. Traditional Chinese medicine(TCM) has its unique advantage in targeting multiple signaling pathways with multiple components. Many TCM formulas have the potential for neuroprotection and neurogenesis, but well-designed clinical trials are insufficient and underlying mechanisms unclear. Herein, we introduce the commonly used TCM formulas for stroke treatment and selectively introduce two classic formulas, An Gong Niu Huang(AGNH) pill and Bu Yang Huan Wu Decoction(BYHWD) for neuroprotection and neurogenesis, respectively. Current scientific evidence and clinical trials indicate AGNH pill could be an effective neuroprotective formula as adjunct therapy with relative safety. On the other hand, as a representative TCM formula for post stroke disability, BYHWD could improve the neurological outcome with its neuroprotective and neurogenic effects. The underlying mechanisms could be attributed to the modulation of multiple molecular targets with its multiple components. In conclusion, TCM formulas could be potential adjunct therapies for stroke treatment. The clinical efficacies and molecular mechanisms of promoting neuroprotection and neurogenesis remain to be further studies.展开更多
目的:观察六味地黄丸方对秀丽隐杆线虫寿命、生殖力、运动能力的影响并探讨其可能的分子机制。方法:秀丽隐杆线虫分为空白对照组、六味地黄丸方高、中、低剂量组(160、80、40 mg·m L-1)。寿命实验观察各组线虫平均寿命;生殖能力测...目的:观察六味地黄丸方对秀丽隐杆线虫寿命、生殖力、运动能力的影响并探讨其可能的分子机制。方法:秀丽隐杆线虫分为空白对照组、六味地黄丸方高、中、低剂量组(160、80、40 mg·m L-1)。寿命实验观察各组线虫平均寿命;生殖能力测试中,计数各组总子代数目;运动能力实验测试各组线虫20 s内身体弯曲的次数。实时荧光定量PCR(Real-Time PCR)方法检测空白组和六味地黄丸方中剂量组的daf-2 m RNA、daf-16 m RNA表达变化。结果:与空白组比较,六味地黄丸方中、低剂量组均能延长线虫的平均寿命(P<0.01),以中剂量组更为显著,并可明显提高线虫生殖高峰期及末期的生殖能力。与空白组比较,各剂量组均使线虫运动能力明显减缓(P<0.01);用药组daf-2 m RNA表达明显下调(P<0.05);daf-16 m RNA表达明显上调(P<0.05)。结论:六味地黄丸方能明显延长秀丽隐杆线虫寿命,其机制可能与下调daf-2基因和上调daf-16基因表达有关。展开更多
基金funding support from the Hong Kong Innovation and Technology Commission ITF grant (UIM/289)Grant from National Natural Science Foundation of China (No. 31570855)Contract Research Project of Beijing Tong Ren Tang Chinese Medicine Co. Ltd.
文摘Stroke is the leading cause of human disability with limited effective drugs availability. The disruption of multiple signaling pathways in stroke makes developing new drugs be difficult. Traditional Chinese medicine(TCM) has its unique advantage in targeting multiple signaling pathways with multiple components. Many TCM formulas have the potential for neuroprotection and neurogenesis, but well-designed clinical trials are insufficient and underlying mechanisms unclear. Herein, we introduce the commonly used TCM formulas for stroke treatment and selectively introduce two classic formulas, An Gong Niu Huang(AGNH) pill and Bu Yang Huan Wu Decoction(BYHWD) for neuroprotection and neurogenesis, respectively. Current scientific evidence and clinical trials indicate AGNH pill could be an effective neuroprotective formula as adjunct therapy with relative safety. On the other hand, as a representative TCM formula for post stroke disability, BYHWD could improve the neurological outcome with its neuroprotective and neurogenic effects. The underlying mechanisms could be attributed to the modulation of multiple molecular targets with its multiple components. In conclusion, TCM formulas could be potential adjunct therapies for stroke treatment. The clinical efficacies and molecular mechanisms of promoting neuroprotection and neurogenesis remain to be further studies.
文摘目的:观察六味地黄丸方对秀丽隐杆线虫寿命、生殖力、运动能力的影响并探讨其可能的分子机制。方法:秀丽隐杆线虫分为空白对照组、六味地黄丸方高、中、低剂量组(160、80、40 mg·m L-1)。寿命实验观察各组线虫平均寿命;生殖能力测试中,计数各组总子代数目;运动能力实验测试各组线虫20 s内身体弯曲的次数。实时荧光定量PCR(Real-Time PCR)方法检测空白组和六味地黄丸方中剂量组的daf-2 m RNA、daf-16 m RNA表达变化。结果:与空白组比较,六味地黄丸方中、低剂量组均能延长线虫的平均寿命(P<0.01),以中剂量组更为显著,并可明显提高线虫生殖高峰期及末期的生殖能力。与空白组比较,各剂量组均使线虫运动能力明显减缓(P<0.01);用药组daf-2 m RNA表达明显下调(P<0.05);daf-16 m RNA表达明显上调(P<0.05)。结论:六味地黄丸方能明显延长秀丽隐杆线虫寿命,其机制可能与下调daf-2基因和上调daf-16基因表达有关。