Chinese traditional medicine

中药
  • 文章类型: Journal Article
    巴黎多叶树史密斯var。中国(法国。)Hara是一种药用植物,属于百合科。它的主要成分是parissaponins,具有良好的药用效果,如抗炎,抗肿瘤,等。通过人工定向调控提高香豆素的质量已成为满足医疗需求的实践,是一个新的研究热点。在本文中,多叶草植物用UVA处理,UVB,和UVC,以及PolyphyllinVI(PPVI)和PolyphyllinVII(PPVII)的含量,皂苷合成酶(角鲨烯合成酶,SS;环阿替诺醇合成酶,CAS;细胞色素P450,CYP450;和糖基转移酶,GT)活性,MDA,并对光合色素指标进行了测定和分析。结果表明,UVC处理4h后PPVII含量增加了32.43%(3.43mg/g),但其他组的PPVI和PPVII含量与CK(对照组)相比下降,并且在4h后没有恢复到原始水平。SS,CAS,CYP450和GT合酶通过紫外线处理在不同程度上被激活,分别,22.93%,10.83%,20.15%,和25.98%。其中,GT,作为最后的合成酶,对UVB(30分钟)和UVC(15分钟)的响应时间较短;与CK相比,差异是明显的。此外,紫外线具有胁迫作用,促进MDA含量的快速积累(增加17.66%,34.53%,和9.65%)和类胡萝卜素(与CK相比,在4小时内增加了7.58、5.60和7.76倍)。UVB和UVC辐射明显提高了叶绿素a含量(42.56%和35.45%),但是UVA没有,叶绿素b含量的变化没有明显的统计学差异。此外,PPVI和PPVII与SS呈负相关,CAS,类胡萝卜素,和MDA(p<0.05),并与CYP450,GT,和叶绿素a(p<0.05)。本研究为利用紫外光调控多叶紫菜次生代谢提供了理论依据,这对生产管理具有重要价值。
    Paris polyphylla Smith var. Chinensis (Franch.) Hara is a medicinal plant that belongs to the Liliaceae family. Its main components are parissaponins, which have excellent medicinal effects such as anti-inflammatory, anti-tumor, etc. Improving the quality of parissaponins through artificial directional regulation has emerged as a practice to meet medical demand and is a new research hotspot. In this paper, P. polyphylla plants were treated with UVA, UVB, and UVC, and the contents of PolyPhyllin VI (PPVI) and PolyPhyllin VII (PPVII), saponin synthase (squalene synthase, SS; cycloartenol synthase, CAS; cytochrome P450, CYP450; and glycosyl transferases, GT) activity, MDA, and the photosynthetic pigment indexes were measured and analyzed. The results showed that PPVII content increased by 32.43% with UVC treatment after 4 h (3.43 mg/g), but the PPVI and PPVII contents in the other groups decreased compared with CK (control group) and they did not return to the original level after 4 h. SS, CAS, CYP450, and GT synthases were activated in varying degrees via UV treatment and increased, respectively, by 22.93%, 10.83%, 20.15%, and 25.98%. Among them, GT, as the last of the synthetases, had a shorter response time to UVB (30 min) and UVC (15 min); the difference was sensible compared with CK. Moreover, UV had a stressing effect and promoted the rapid accumulation of MDA content (increased 17.66%, 34.53%, and 9.65%) and carotenoid (increased 7.58, 5.60, and 7.76 times) within 4 h compared to CK. UVB and UVC radiation visibly improved chlorophyll a content (42.56% and 35.45%), but UVA did not, and the change in chlorophyll b content showed no overt statistical difference. In addition, PPVI and PPVII were negatively correlated with SS, CAS, carotenoids, and MDA (p < 0.05) and positively correlated with CYP450, GT, and chlorophyll a (p < 0.05). This study provides a theoretical basis for using UV light to regulate secondary metabolism in P. polyphylla, which is of great value for production management.
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  • 文章类型: Journal Article
    Artemisiaargyi,菊科蒿属的多年生草本植物,在中国传统医学中具有重要意义,称为“Aicao”。这里,我们报告了艾蒿的高质量参考基因组。贝艾,基因组大小高达4.15Gb,重叠群N50为508.96Kb,用第三代纳米孔测序技术生产。我们预测了147,248个蛋白质编码基因,大约68.86%的组装序列包含重复元素,主要是长末端重复反转录转座子(LTR)。比较基因组学分析表明,阿吉的特定基因家族数量最多,为5121个,并且具有四个或四个以上成员的家族比其他6个植物物种多得多,这与它更扩展的基因家族和更少的签约基因家族是一致的。此外,通过对A.argyi响应于外源MeJA处理的转录组测序,我们已经阐明了对MeJA对苯丙素的影响的获得的监管见解,类黄酮,和萜类生物合成途径。在这项研究中获得的全基因组信息为深入研究A.argyi的栽培和分子育种提供了宝贵的资源。此外,它有望增强菊科其他成员的基因组组装。关键基因的鉴定为开发具有高浓度活性化合物的蒿新品种奠定了坚实的基础。
    Artemisia argyi, a perennial herb of the genus Artemisia in the family Asteraceae, holds significant importance in Chinese traditional medicine, referred to as \"Aicao\". Here, we report a high-quality reference genome of Artemisia argyi L. cv. beiai, with a genome size up to 4.15 Gb and a contig N50 of 508.96 Kb, produced with third-generation Nanopore sequencing technology. We predicted 147,248 protein-coding genes, with approximately 68.86% of the assembled sequences comprising repetitive elements, primarily long terminal repeat retrotransposons(LTRs). Comparative genomics analysis shows that A. argyi has the highest number of specific gene families with 5121, and much more families with four or more members than the other 6 plant species, which is consistent with its more expanded gene families and fewer contracted gene families. Furthermore, through transcriptome sequencing of A. argyi in response to exogenous MeJA treatment, we have elucidated acquired regulatory insights into MeJA\'s impact on the phenylpropanoid, flavonoid, and terpenoid biosynthesis pathways of A. argyi. The whole-genome information obtained in this study serves as a valuable resource for delving deeper into the cultivation and molecular breeding of A. argyi. Moreover, it holds promise for enhancing genome assemblies across other members of the Asteraceae family. The identification of key genes establishes a solid groundwork for developing new varieties of Artemisia with elevated concentrations of active compounds.
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  • 文章类型: Journal Article
    简介:宫颈癌(CC)是全球女性中第四大最常见的恶性肿瘤,并且是癌症相关死亡率的第四大原因。贵尔白(GEB),我们研究小组开发的一种复合制剂,来源于苗族古代中药,由鬼臼毒素(PTOX)组成,欧周素,异欧前胡素,和A.dahuria生物碱。这些单独的组分已证明在肿瘤治疗中具有显著的功效。然而,复方中药GEB在CC背景下的具体抗肿瘤作用尚待验证。方法:HeLa和SiHa细胞系用于体外实验,并用5mg/mL和10mg/mLGEB浓度处理,分别。使用流式细胞术评估GEB处理后的细胞周期变化。透射电镜观察自噬体和凋亡体,而MDC染色评价自噬的发生。CCK-8用于观察GEB对细胞增殖的影响。和Transwell测定评估细胞迁移和侵袭。Westernblotting检测细胞周期和凋亡相关蛋白的表达,自噬相关蛋白LC3I/II的表达水平。使用ROS检测和线粒体膜电位检测试剂盒测定GEB治疗后宫颈癌细胞中ROS和线粒体膜电位的变化。对于体内实验,建立了基于HeLa细胞的宫颈癌移植裸鼠模型。实验动物分为阴性对照,阳性对照,高剂量GEB(10mg/mL),和低剂量GEB(5mg/mL)组。结果:在HeLa和SiHa细胞系中,肿瘤细胞G0/G1期显著降低(p<0.001),而G2/M期在各种GEB治疗后显著增加(p<0.001)。电子显微镜显示GEB促进两种细胞系的凋亡小体和自噬体形成。与未经处理的HeLa和SiHa细胞相比,GEB处理的细胞表现出显著降低的caspase3蛋白表达,并显著增加自噬相关蛋白LC3I/II的表达。GEB处理显著降低两种细胞系的迁移和侵袭能力(p<0.001),而ROS含量和线粒体膜电位显著升高(p<0.001)。GEB能有效抑制宫颈癌细胞增殖,最佳浓度为10mg/mL。使用HeLa细胞成功建立了宫颈癌移植的裸鼠模型。GEB治疗后,裸鼠的肿瘤体积和重量显着降低(p<0.001),随着CD34,VEGF的表达减少,和肿瘤组织中的caspase3蛋白。讨论:GEB对宫颈癌具有强大的抗肿瘤作用,在体外和体内,以浓度依赖的方式,通过调节肿瘤细胞的自噬和凋亡。
    Introduction: Cervical cancer (CC) ranks as the fourth most prevalent malignant tumor among women worldwide, and is the fourth leading cause of cancer-related mortality. GuiErBai (GEB), a compound preparation developed by our research team, is derived from the ancient Chinese medicine of the Miao nationality and is comprised of podophyllotoxin (PTOX), imperatorin, isoimperatorin, and A. dahurica alkaloids. These individual components have demonstrated notable efficacy in tumor treatment. However, the specific anti-tumor effect of the compound Chinese medicine GEB in the context of CC has yet to be validated. Methods: HeLa and SiHa cell lines were utilized for in vitro experiments and treated with 5 mg/mL and 10 mg/mL GEB concentrations, respectively. The cell cycle changes after GEB treatment were assessed using flow cytometry. Transmission electron microscopy was employed to observe autophagic bodies and apoptotic bodies, while MDC staining evaluated the occurrence of autophagy. CCK-8 was used to observe the effect of GEB on cell proliferation, and Transwell assays assessed cell migration and invasion. Western blotting detected cell cycle and apoptosis-related protein expression, along with the expression level of autophagy-related protein LC3I/II. Changes in ROS and mitochondrial membrane potential in cervical cancer cells following GEB treatment were determined using ROS detection and mitochondrial membrane potential detection kits. For the in vivo experiment, a nude mouse model of cervical cancer transplantation based on HeLa cells was established. Experimental animals were divided into negative control, positive control, high-dose GEB (10 mg/mL), and low-dose GEB (5 mg/mL) groups. Results: In HeLa and SiHa cell lines, the G0/G1 phase of tumor cells significantly decreased (p < 0.001), while the G2/M phase increased notably (p < 0.001) following various GEB treatments. Electron microscopy showed GEB promoted apoptotic body and autophagosome formation in both cell lines. Compared to untreated HeLa and SiHa cells, GEB-treated cells exhibited significantly reduced caspase3 protein expression, and substantially increased autophagy-related protein LC3I/II expression. GEB treatment significantly reduced migration and invasion capabilities in both cell lines (p < 0.001), while ROS content and mitochondrial membrane potential were significantly elevated (p < 0.001). GEB effectively inhibited cervical cancer cell proliferation, with the optimal concentration being 10 mg/mL. A successful nude mouse model of cervical cancer transplantation was established using HeLa cells. Post-GEB treatment, the tumor volume and weight in nude mice significantly decreased (p < 0.001), with diminished expression of CD34, VEGF, and caspase3 proteins in tumor tissues. Discussion: GEB exhibits a robust antitumor effect against cervical cancer, both in vitro and in vivo, in a concentration-dependent manner, by regulating autophagy and apoptosis of tumor cells.
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  • 文章类型: Journal Article
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  • 文章类型: Journal Article
    在中国,大学生心理健康问题的普遍存在是社会关注的重要问题。本研究旨在探讨早期饮食质量对大学生心理健康的影响,并阐明这些影响发生的潜在机制。根据中医(CTM),以身高和气虚为介质。
    2023年10月,在四川省四所二线大学,使用基于纸笔的问卷对655名大学生进行了调查。评估包括心理健康,高度,和气虚。采用Pearson的相关性和线性回归分析来检验中介模型并检验假设。
    大学生表现出可接受的早期饮食质量(M=3.72)和心理健康水平(M=3.63),同时还表现出轻度的气虚症状(M=2.25)。它们的平均高度测量为164.61厘米。早期饮食质量与心理健康显著相关(r=0.38,p<0.01),身高(r=0.32,p<0.01),和气虚(r=-0.32,p<0.01)。心理健康与身高(r=0.32,p<0.01)和气虚(r=-0.49,p<0.01)相关。线性回归分析结果显示,早期饮食质量与心理健康之间存在显着相关性(β=0.31,p<0.01)。身高(β=0.21,p<0.01),以及气虚(β=-0.26,p<0.01)。此外,当早期饮食质量被纳入回归模型时,身高(β=0.21,p<0.01)和气虚(β=-0.35,p<0.01)在与心理健康的关系中都是显着的中介。
    中介模型和假设得到了强有力的支持,表明早期饮食质量通过两个不同的途径对大学生的心理健康产生影响:身高和气虚。此外,在大学生早期饮食质量与心理健康的关系中,气虚的中介作用比身高的中介作用更明显。
    In China, the prevalence of mental health issues among college students is a significant concern in society. This study aims to investigate the impact of early dietary quality on the psychological well-being of college students and elucidate the underlying mechanisms through which these effects occur, specifically focusing on height and qi-deficiency as mediators according to Chinese traditional medicine (CTM).
    A total of 655 college students were surveyed in October 2023 using paper-pencil-based questionnaires at four second-tier universities in Sichuan Province. The assessment included mental health, height, and qi-deficiency. Pearson\'s correlation and linear regression analyses were employed to examine the mediation model and test the hypotheses.
    The college students exhibited acceptable levels of early diet quality (M = 3.72) and mental health (M = 3.63), while also presenting mild qi-deficiency symptoms (M = 2.25). Their average height was measured at 164.61 cm. Early diet quality demonstrated significant associations with mental health (r = 0.38, p < 0.01), height (r = 0.32, p < 0.01), and qi-deficiency (r = -0.32, p < 0.01). Mental health displayed correlations with height (r = 0.32, p < 0.01) and qi-deficiency (r = -0.49, p < 0.01). The results of linear regression analyses revealed significant associations between early diet quality and mental health (β = 0.31, p < 0.01), height (β = 0.21, p < 0.01), as well as qi-deficiency (β = -0.26, p < 0.01). Furthermore, when early diet quality was included in the regression model, both height (β = 0.21, p < 0.01) and qi-deficiency (β = -0.35, p < 0.01) emerged as significant mediators in the relationship with mental health.
    The mediation model and hypotheses were strongly supported, demonstrating that early diet quality exerted an influence on the mental health of college students through two distinct pathways: height and qi-deficiency. Moreover, the mediating effect of qi-deficiency was found to be more pronounced than that of height in the relationship between early diet quality and mental health among college students.
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  • 文章类型: Journal Article
    草药在疾病治疗中的适用性已经通过数千年的经验得到了验证。由于多靶标和多组分(MTMC)植物疗法固有的复杂机制,对草药疾病关联(HDA)的理解还很不完整。大多数现有的预测模型都无法结合MTMC机制。为了克服这个问题,我们提出了一种新的双通道超图卷积网络,即HGHDA,用于HDA预测。从技术上讲,HGHDA首先采用自动编码器将组分和目标蛋白质投影到低维潜在空间上,以便通过在其原始特征空间中保留相似性特征来获得它们的嵌入。为了对草药及其成分之间的高阶关系进行建模,我们在HGHDA中设计了一个通道来编码一个超图,该超图通过超图卷积描述草药-成分关系的高阶模式。HGHDA中的另一个通道也以相同的方式建立,以模拟疾病和靶蛋白之间的高阶关系。然后通过我们的双通道网络将药物和疾病的嵌入进行汇总,以获得带有评分函数的预测结果。为了评估HGHDA的性能,已经对两个基准数据集进行了一系列广泛的实验,结果表明,HGHDA优于为HDA预测提出的最先进的算法。此外,我们对川雄和黄芪的案例研究是验证HGHDA有效性的有力指标,作为HGHDA预测的川雄和黄芪十大疾病中的七种和八种,分别,已在文献中报道。
    Herbs applicability in disease treatment has been verified through experiences over thousands of years. The understanding of herb-disease associations (HDAs) is yet far from complete due to the complicated mechanism inherent in multi-target and multi-component (MTMC) botanical therapeutics. Most of the existing prediction models fail to incorporate the MTMC mechanism. To overcome this problem, we propose a novel dual-channel hypergraph convolutional network, namely HGHDA, for HDA prediction. Technically, HGHDA first adopts an autoencoder to project components and target protein onto a low-dimensional latent space so as to obtain their embeddings by preserving similarity characteristics in their original feature spaces. To model the high-order relations between herbs and their components, we design a channel in HGHDA to encode a hypergraph that describes the high-order patterns of herb-component relations via hypergraph convolution. The other channel in HGHDA is also established in the same way to model the high-order relations between diseases and target proteins. The embeddings of drugs and diseases are then aggregated through our dual-channel network to obtain the prediction results with a scoring function. To evaluate the performance of HGHDA, a series of extensive experiments have been conducted on two benchmark datasets, and the results demonstrate the superiority of HGHDA over the state-of-the-art algorithms proposed for HDA prediction. Besides, our case study on Chuan Xiong and Astragalus membranaceus is a strong indicator to verify the effectiveness of HGHDA, as seven and eight out of the top 10 diseases predicted by HGHDA for Chuan-Xiong and Astragalus-membranaceus, respectively, have been reported in literature.
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  • 文章类型: Journal Article
    背景:内质网(ER)应激,促进脂质代谢紊乱和脂肪性肝炎,非酒精性脂肪性肝病(NAFLD)的发病机制有重要作用。护肝清脂片(HQT)在NAFLD患者的临床治疗中疗效确切,但其机制尚不清楚。本研究旨在探讨HQT对NAFLD大鼠肝组织内质网应激的影响及其机制。
    方法:NAFLD大鼠模型采用高脂饮食(HFD)处理12周。每天向HFD组施用HQT。生化标志物,促炎细胞因子,对HFD诱导的NAFLD大鼠进行肝组织学分析以评估HQT效应。此外,内质网应激相关信号分子包括葡萄糖调节蛋白78(GRP78)的表达,蛋白激酶RNA样内质网激酶(PERK),p-PERK,真核翻译起始因子2α(EIF2α),p-EIF2α,激活转录因子4(ATF4),乙酰辅酶A羧化酶(ACC),激活转录因子(ATF6),通过蛋白质印迹和/或qRT-PCR检测核因子-κB-p65(NF-κB-p65)。
    结果:组织病理学特征和生化数据表明HQT对HFD诱导的NAFLD大鼠具有保护作用。此外,它导致ERS标记表达的显著减少,如GRP78,PERK,p-PERK,和ATF6,随后下调了EIF2α的表达,p-EIF2αATF4,ACC,和NF-κB-p65。
    结论:结果表明,HQT通过减轻ER应激对NAFLD大鼠肝脏脂肪变性和炎症具有保护作用,潜在的机制是通过抑制PERK和ATF6途径。
    BACKGROUND: Endoplasmic reticulum (ER) stress, promoting lipid metabolism disorders and steatohepatitis, contributes significantly to the pathogenesis of nonalcoholic fatty liver disease (NAFLD). Hugan Qingzhi tablets (HQT) has a definite effect in the clinical treatment of NAFLD patients, but its mechanism is still unclear. This study aims to investigate the effects of HQT on ER stress in the liver tissues of NAFLD rats and explore the underlying mechanism.
    METHODS: The NAFLD rat model was managed with high-fat diet (HFD) for 12weeks. HQT was administrated in a daily basis to the HFD groups. Biochemical markers, pro-inflammatory cytokines, liver histology were assayed to evaluate HQT effects in HFD-induced NAFLD rats. Furthermore, the expression of ER stress-related signal molecules including glucose regulating protein 78 (GRP78), protein kinase RNA-like endoplasmic reticulum kinase (PERK), p-PERK, eukaryotic translation initiation factor 2α (EIF2α), p-EIF2α, activating transcription factor 4 (ATF4), acetyl-coenzyme A-carboxylase (ACC), activating transcription factor (ATF6), and nuclear factor-kappa B-p65 (NF-κB-p65) were detected by western blot and/or qRT-PCR.
    RESULTS: The histopathological characteristics and biochemical data indicated that HQT exhibited protective effects on HFD-induced NAFLD rats. Furthermore, it caused significant reduction in the expression of ERS markers, such as GRP78, PERK, p-PERK, and ATF6, and subsequently downregulated the expression of EIF2α, p-EIF2α ATF4, ACC, and NF-κB-p65.
    CONCLUSIONS: The results suggested that HQT has protective effect against hepatic steatosis and inflammation in NAFLD rats by attenuating ER stress, and the potential mechanism is through inhibition of PERK and ATF6 pathways.
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  • 文章类型: Journal Article
    背景:尽管非塞素可能广泛存在于许多天然草药中,其抗OP机制尚不清楚。本研究旨在基于网络药理学和细胞实验,探讨非塞汀抗骨质疏松(OP)的分子机制。
    方法:通过中药系统药理学数据库和分析平台(TCMSP)提取非塞素的靶标。OP的目标是通过DisGeNet获得的,GeneCards和比较毒性基因组学数据库,并通过交叉分析筛选非塞素在OP中的作用靶点。通过STRING构建蛋白质-蛋白质相互作用(PPI)网络,并获得了核心目标。我们通过注释数据库对常见靶标进行了基因本体论(GO)和京都基因和基因组百科全书(KEGG)途径富集分析,可视化和集成发现。最后,通过体外细胞实验验证了非塞素的抗OP作用及其机制。
    结果:非塞素有44个靶点与OP的治疗有关。PPI结果表明,CTNNB1,CCND1,TP53,JUN,AKT1是核心目标。共259个生物过程,从GO富集分析中获得了57个分子功能和26个细胞组分项。KEGG通路富集分析结果提示非塞素治疗OP可能与Wnt信号通路有关,雌激素信号通路,PI3K-Akt信号通路和其他信号通路。体外细胞实验表明,非瑟酮显著增加ALP的表达水平,胶原蛋白I,骨桥蛋白和RUNX2在骨髓间充质干细胞(BMSCs)中的表达(p<0.05)。Fisetin还增加了BMSCs中Wnt3和β-catenin(CTNNB1)的基因表达水平,提示非塞素能调节Wnt/β-catenin信号通路,促进BMSCs成骨分化。
    结论:Fisetin作用于治疗OP的多个靶点和途径;它调节Wnt/β-catenin信号通路,促进BMSCs成骨分化,维持骨稳态。本研究结果为进一步研究非塞素的复合抗OP机制提供了理论依据。
    BACKGROUND: Although fisetin may exist widely in many natural herbs, its anti-OP mechanism is still unclear. The aim of this study is to explore the molecular anti-osteoporosis (OP) mechanism of fisetin based on network pharmacology and cell experiments.
    METHODS: The target of fisetin was extracted by the Traditional Chinese Medicine Systems Pharmacology Database and Analysis Platform (TCMSP). The targets of OP were obtained by DisGeNET, GeneCards and the Comparative Toxicogenomics Database, and the targets of fisetin in OP were screened by cross-analysis. The protein-protein interaction (PPI) network was constructed by STRING, and the core targets were obtained. We performed gene ontology (GO) and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway enrichment analyses on common targets via the Database for Annotation, Visualization and Integrated Discovery. Finally, an in vitro cell experiment was used to verify the anti-OP effect and mechanism of fisetin.
    RESULTS: There are 44 targets of fisetin related to the treatment of OP. The PPI results suggest that CTNNB1, CCND1, TP53, JUN, and AKT1 are the core targets. A total of 259 biological process, 57 molecular function and 26 cell component terms were obtained from GO enrichment analysis. The results of KEGG pathway enrichment analysis suggested that fisetin treatment of OP may be related to the Wnt signaling pathway, estrogen signaling pathway, PI3K-Akt signaling pathway and other signaling pathways. In vitro cell experiments showed that fisetin significantly increased the expression levels of ALP, collagen I, osteopontin and RUNX2 in bone marrow mesenchymal stem cells (BMSCs) (p < 0.05). Fisetin also increased the gene expression levels of Wnt3 and β-catenin (CTNNB1) in BMSCs, which indicates that fisetin can regulate the Wnt/β-catenin signaling pathway and promote the osteogenic differentiation of BMSCs.
    CONCLUSIONS: Fisetin acts on multiple targets and pathways in the treatment of OP; mechanistically, it regulates the Wnt/β-catenin signaling pathway, which promotes the osteogenic differentiation of BMSCs and maintains bone homeostasis. The results of this study provide a theoretical basis for further study on the complex anti-OP mechanism of fisetin.
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  • 文章类型: Journal Article
    目的:本研究的目的是探讨发病率,特点,危险因素,COVID-19患者肝损伤的预后。方法:收集384例COVID-19患者的临床资料,进行回顾性分析,特点,以及患者肝损伤的危险因素。此外,出院后两个月我们对病人进行了随访.结果:23.7%的COVID-19患者有肝损伤,血清AST较高(P<0.001),ALT(P<0.001),ALP(P=0.004),GGT(P<0.001),总胆红素(P=0.002),间接胆红素(P=0.025)和直接胆红素(P<0.001)优于对照组。COVID-19肝损伤患者血清AST和ALT中位数轻度升高。COVID-19患者肝损伤的危险因素为年龄(P=0.001),肝病病史(P=0.002),酗酒(P=0.036),体重指数(P=0.037),COVID-19的严重程度(P<0.001),C反应蛋白(P<0.001),红细胞沉降率(P<0.001),清非排毒汤治疗(P=0.032),机械通气(P<0.001),和ICU入院(P<0.001)。大多数肝损伤患者(92.3%)接受了保肝药物治疗。95.6%的患者在出院后2个月肝功能恢复正常。结论:在有危险因素的COVID-19患者中,肝损伤是常见的,其中大多数转氨酶轻度升高,保守治疗近期预后良好。
    Objectives: The objective of this study is to explore the incidence, characteristics, risk factors, and prognosis of liver injury in patients with COVID-19. Methods: We collected clinical data of 384 cases of COVID-19 and retrospectively analyzed the incidence, characteristics, and risk factors of liver injury of the patients. In addition, we followed the patient two months after discharge. Results: A total of 23.7% of the patients with COVID-19 had liver injury, with higher serum AST (P < 0.001), ALT (P < 0.001), ALP (P = 0.004), GGT (P < 0.001), total bilirubin (P = 0.002), indirect bilirubin (P = 0.025) and direct bilirubin (P < 0.001) than the control group. The median serum AST and ALT of COVID-19 patients with liver injury were mildly elevated. Risk factors of liver injury in COVID-19 patients were age (P = 0.001), history of liver diseases (P = 0.002), alcoholic abuse (P = 0.036), body mass index (P = 0.037), severity of COVID-19 (P < 0.001), C-reactive protein (P < 0.001), erythrocyte sedimentation rate (P < 0.001), Qing-Fei-Pai-Du-Tang treatment (P = 0.032), mechanical ventilation (P < 0.001), and ICU admission (P < 0.001). Most of the patients (92.3%) with liver injury were treated with hepatoprotective drugs. 95.6% of the patients returned to normal liver function tests at 2 months after discharge. Conclusions: Liver injury was commen in COVID-19 patients with risk factors, most of them have mild elevations in transaminases, and conservative treatment has a good short-term prognosis.
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  • 文章类型: Systematic Review
    未经授权:作为一种影响全世界的慢性疾病,膝关节骨性关节炎(KOA)尚无明确的治疗方法。吴琴喜(WQX)作为一种传统的中医运动疗法治疗膝关节骨性关节炎仍在初步探索中。这项研究的目的是对以前的研究进行荟萃分析,并研究WQX锻炼对KOA患者疼痛和功能的疗效。
    未经评估:我们搜索了六个数据库(Pubmed,Embase,科克伦图书馆,万方,CQVIP,和CNKI)获取截至2022年5月10日关于KOA的WQX的文章。文献检索,研究选择,数据提取,和质量评价由两名独立作者进行.从统计结果来看,我们提供了平均差异(MD),95%CI,I2显示异质性,and,基于此,我们选择了随机效应模型或固定效应模型。
    未经评估:本荟萃分析中选择了7项研究。WQX干预组的西安大略省和麦克马斯特大学骨关节炎指数(WOMAC)总分及其各种章程均显示出统计学差异,视觉模拟评分(VAS),对照组存在一般功能锻炼。我们还通过计算符合WOMAC评分的最小临床重要性差异(MCID)值,证明了WQX治疗的临床意义功效。在这项研究中,还通过亚组分析对更大的异质性进行了敏感性分析,推断随访时间的差异可能是异质性的来源.
    未经评估:尽管有一些限制,目前的研究表明,WQX在改善KOA患者的疼痛症状和关节功能方面具有明确的作用。
    UNASSIGNED:https://www。crd.约克。AC.英国/普华永道/,标识符:CRD4202232209。
    UNASSIGNED: As a chronic disease that affects the whole world, there is no definite treatment for knee osteoarthritis (KOA). Wu Qin Xi (WQX) is still in preliminary exploration as a traditional Chinese exercise in the treatment of osteoarthritis of the knee. The purpose of this study was to conduct a meta-analysis of previous studies and to investigate the efficacy of the WQX exercises on pain and function in patients with KOA.
    UNASSIGNED: We searched six databases (Pubmed, Embase, Cochrane Library, Wanfang, CQVIP, and CNKI) for articles on WQX for KOA up to May 10, 2022. Literature search, study selection, data extraction, and quality evaluation were performed by two independent authors. In terms of statistical results, we presented mean differences (MD), 95% CI, and I 2 to show heterogeneity, and, based on that, we chose either a random effects model or a fixed effects model.
    UNASSIGNED: Seven studies were selected for inclusion in this meta-analysis. The WQX intervention group showed statistical differences for both the total Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score and its various bylaws, the Visual Analogue Score (VAS), and the presence of general functional exercise in the control group. We also demonstrated the clinically meaningful efficacy of WQX treatment by calculating minimum clinical importance difference (MCID) values that met the MCID values on the WOMAC score. A sensitivity analysis was also performed in this study by subgroup analysis for greater heterogeneity, and it was inferred that the difference in follow-up time was a likely source of heterogeneity.
    UNASSIGNED: Despite some limitations, the current study showed a definite effect of WQX in improving pain symptoms and joint function in patients with KOA.
    UNASSIGNED: https://www.crd.york.ac.uk/prospero/, identifier: CRD42022332209.
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