Background: Compromised circulatory and bone/lipid metabolic dysfunction are two major contributors to non-traumatic osteonecrosis of the femoral head (ONFH). Qing’e pill plus Salvia has significant anti-inflammatory...Background: Compromised circulatory and bone/lipid metabolic dysfunction are two major contributors to non-traumatic osteonecrosis of the femoral head (ONFH). Qing’e pill plus Salvia has significant anti-inflammatory and anti-atherosclerotic action, and it could also regulate bone formation and remodeling by suppressing osteoclasts. Case Report: We describe a case of a 62-year- old man with ONFH of idiopathic type in earlier stage that could not be adequately controlled with oral non-steroidal analgesics and restoring bone loss agents for past 3 years. After six months treatment with Qing’e pill plus Salvia, the plasma low-density lipoprotein (LDL), high-density lipoprotein (HDL), apolipoprotein A1 (apo A1), apolipoprotein B (apo B), total cholesterol (TC), triglycerides (TG), and blood viscosity were measured on an empty stomach. The Harris scores were maintained during a six months follow-up after discontinuation of Qing’e pill plus Salvia. Discussion: Our case has shown that plasma levels of inflammatory and atherosclerotic relaxed factors and the Harris scores may be controlled with herbal medication in ONFH of idiopathic type in earlier stage that could not be adequately controlled with oral non-steroidal analgesics and restoring bone loss agents.展开更多
Objective: To investigate the impact of Qing'e Pill(青娥丸,QEP) on the cancellous bone microstructure and its effect on the level of β-catenin in a mouse model of postmenopausal osteoporosis.Methods: Ninety-six 8...Objective: To investigate the impact of Qing'e Pill(青娥丸,QEP) on the cancellous bone microstructure and its effect on the level of β-catenin in a mouse model of postmenopausal osteoporosis.Methods: Ninety-six 8-week-old speci?c pathogen free C57 BL/6 mice were randomly divided into 4 groups(24/group): sham,ovariectomised osteoporosis model,oestradiol-treated,and QEP-treated groups.Three months after surgery,the third lumbar vertebra and left femur of the animals were dissected and scanned using micro-computed tomography(micro-CT) to acquire three-dimensional(3 D) parameters of their cancellous bone microstructure.The impact of ovariectomy,the effect of oestradiol and QEP intervention on cancellous bone microstructure,and the expression of β-catenin were evaluated.Results: The oestradioland the QEP-treated groups exhibited a signi?cant increase in the bone volume fraction,trabecular number,trabecular thickness,bone surface to bone volume ratio(BS/BV),and β-catenin expression compared with those of the model group(P<0.05).In contrast,the structure model index,trabecular separation,and BS/BV were signi?cantly decreased compared with those of the ovariectomised osteoporosis model group(P<0.05).No differences were observed in the above parameters between animals of the QEP-and oestradiol-treated groups.Conclusions: The increased β-catenin expression may be the mechanism underlying QEP's improvement of the cancellous bone microstructure in ovariectomised mice.Our ?ndings provide a scienti?c rationale for using QEP as a dietary supplement to prevent bone loss in postmenopausal women.展开更多
目的:基于加权基因共表达网络分析和分子对接探讨青娥丸治疗腰椎间盘突出症(lumbar disc herniation,LDH)的作用机制。方法:通过GEO数据库获取LDH相关数据集GSE124272,采用R软件构建加权基因共表达网络;通过模块基因与性状的关联分析筛...目的:基于加权基因共表达网络分析和分子对接探讨青娥丸治疗腰椎间盘突出症(lumbar disc herniation,LDH)的作用机制。方法:通过GEO数据库获取LDH相关数据集GSE124272,采用R软件构建加权基因共表达网络;通过模块基因与性状的关联分析筛选关键模块,以及模块基因与表型数据的关联分析筛选重要基因。利用中药系统药理学数据库与分析平台(Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform,TCMSP)、中药分子机制生物信息学分析工具(Bioinformatics Analysis Tool for Molecular Mechanism of Traditional Chinese Medicine,BATMAN-TCM)数据库检索青娥丸的活性成分,基于Uniprot数据库筛选活性成分的作用靶点,采用Cytoscape软件构建“药物-活性成分-靶点”网络。通过DisGeNET、GeneCards数据库获取LDH疾病靶点,将其与模块基因、青娥丸靶点取交集,作为青娥丸治疗LDH的关键靶点;采用R软件进行基因本体(Gene Ontology,GO)、京都基因与基因组百科全书(Kyoto Encyclopedia of Genes and Genomes,KEGG)富集分析;采用AutoDockTools软件进行分子对接验证。结果:GSE124272数据集共涉及5495个基因,blue模块(R=0.63,P=0.008)可能是LDH的关键模块,筛选得到310个重要基因。青娥丸活性成分65个,排名前5的活性成分是补骨脂素、鞣花酸、原人参二醇、异补骨脂素、槲皮素。青娥丸作用靶点997个,LDH疾病靶点1127个,与关键模块基因取交集得到5个关键靶点,包括丝裂原活化蛋白激酶14(mitogen activated protein kinase 14,MAPK14)、基质金属蛋白酶-9(matrix metalloproteinase-9,MMP-9)、白细胞介素-1β(interleukin-1β,IL-1β)等。KEGG富集分析筛选得到125条通路,包括MAPK信号通路、破骨细胞分化、细胞凋亡等。分子对接显示,青娥丸关键成分与关键基因有较强的结合活性。结论:青娥丸可能通过补骨脂素、鞣花酸、原人参二醇等活性成分作用于MAPK14、MMP-9、IL-1β等关键靶点,调控MAPK信号通路、破骨细胞分化等通路从而发挥治疗LDH的作用。展开更多
文摘Background: Compromised circulatory and bone/lipid metabolic dysfunction are two major contributors to non-traumatic osteonecrosis of the femoral head (ONFH). Qing’e pill plus Salvia has significant anti-inflammatory and anti-atherosclerotic action, and it could also regulate bone formation and remodeling by suppressing osteoclasts. Case Report: We describe a case of a 62-year- old man with ONFH of idiopathic type in earlier stage that could not be adequately controlled with oral non-steroidal analgesics and restoring bone loss agents for past 3 years. After six months treatment with Qing’e pill plus Salvia, the plasma low-density lipoprotein (LDL), high-density lipoprotein (HDL), apolipoprotein A1 (apo A1), apolipoprotein B (apo B), total cholesterol (TC), triglycerides (TG), and blood viscosity were measured on an empty stomach. The Harris scores were maintained during a six months follow-up after discontinuation of Qing’e pill plus Salvia. Discussion: Our case has shown that plasma levels of inflammatory and atherosclerotic relaxed factors and the Harris scores may be controlled with herbal medication in ONFH of idiopathic type in earlier stage that could not be adequately controlled with oral non-steroidal analgesics and restoring bone loss agents.
基金the Innovation Fund of Huazhong University of Science and Technology(No.2013QN235)the National Natural Science Foundation of China(Nos.81403257,81273907,81102692,81072493)
文摘Objective: To investigate the impact of Qing'e Pill(青娥丸,QEP) on the cancellous bone microstructure and its effect on the level of β-catenin in a mouse model of postmenopausal osteoporosis.Methods: Ninety-six 8-week-old speci?c pathogen free C57 BL/6 mice were randomly divided into 4 groups(24/group): sham,ovariectomised osteoporosis model,oestradiol-treated,and QEP-treated groups.Three months after surgery,the third lumbar vertebra and left femur of the animals were dissected and scanned using micro-computed tomography(micro-CT) to acquire three-dimensional(3 D) parameters of their cancellous bone microstructure.The impact of ovariectomy,the effect of oestradiol and QEP intervention on cancellous bone microstructure,and the expression of β-catenin were evaluated.Results: The oestradioland the QEP-treated groups exhibited a signi?cant increase in the bone volume fraction,trabecular number,trabecular thickness,bone surface to bone volume ratio(BS/BV),and β-catenin expression compared with those of the model group(P<0.05).In contrast,the structure model index,trabecular separation,and BS/BV were signi?cantly decreased compared with those of the ovariectomised osteoporosis model group(P<0.05).No differences were observed in the above parameters between animals of the QEP-and oestradiol-treated groups.Conclusions: The increased β-catenin expression may be the mechanism underlying QEP's improvement of the cancellous bone microstructure in ovariectomised mice.Our ?ndings provide a scienti?c rationale for using QEP as a dietary supplement to prevent bone loss in postmenopausal women.
文摘目的:基于加权基因共表达网络分析和分子对接探讨青娥丸治疗腰椎间盘突出症(lumbar disc herniation,LDH)的作用机制。方法:通过GEO数据库获取LDH相关数据集GSE124272,采用R软件构建加权基因共表达网络;通过模块基因与性状的关联分析筛选关键模块,以及模块基因与表型数据的关联分析筛选重要基因。利用中药系统药理学数据库与分析平台(Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform,TCMSP)、中药分子机制生物信息学分析工具(Bioinformatics Analysis Tool for Molecular Mechanism of Traditional Chinese Medicine,BATMAN-TCM)数据库检索青娥丸的活性成分,基于Uniprot数据库筛选活性成分的作用靶点,采用Cytoscape软件构建“药物-活性成分-靶点”网络。通过DisGeNET、GeneCards数据库获取LDH疾病靶点,将其与模块基因、青娥丸靶点取交集,作为青娥丸治疗LDH的关键靶点;采用R软件进行基因本体(Gene Ontology,GO)、京都基因与基因组百科全书(Kyoto Encyclopedia of Genes and Genomes,KEGG)富集分析;采用AutoDockTools软件进行分子对接验证。结果:GSE124272数据集共涉及5495个基因,blue模块(R=0.63,P=0.008)可能是LDH的关键模块,筛选得到310个重要基因。青娥丸活性成分65个,排名前5的活性成分是补骨脂素、鞣花酸、原人参二醇、异补骨脂素、槲皮素。青娥丸作用靶点997个,LDH疾病靶点1127个,与关键模块基因取交集得到5个关键靶点,包括丝裂原活化蛋白激酶14(mitogen activated protein kinase 14,MAPK14)、基质金属蛋白酶-9(matrix metalloproteinase-9,MMP-9)、白细胞介素-1β(interleukin-1β,IL-1β)等。KEGG富集分析筛选得到125条通路,包括MAPK信号通路、破骨细胞分化、细胞凋亡等。分子对接显示,青娥丸关键成分与关键基因有较强的结合活性。结论:青娥丸可能通过补骨脂素、鞣花酸、原人参二醇等活性成分作用于MAPK14、MMP-9、IL-1β等关键靶点,调控MAPK信号通路、破骨细胞分化等通路从而发挥治疗LDH的作用。
