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    26 August 2024, Volume 14 Issue 4 Previous Issue   

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    Research on the Optimization of Mistletoe Extraction Process Based on Box-Behnken Design-Response Surface Method
    ZHANG Ao-kai, LI Wen-jie, DONG Yang-yang, CHU Han-bing, DONG Xue-hai, ZHAO Li-yan, ZHANG Wanming , ZHANG Yuan-yuan
    2024, 14 (4):  1.  DOI: 10.3969/j.issn.2095-1396.2024.04.001
    Abstract ( 11 )   PDF (2015KB) ( 24 )  
    Objective: To optimize the extraction process of Mistletoe by using the Box-Behnken design-response surface method, and the comprehensive content of the two active ingredients as the evaluation index. Methods: The ethanol volume fraction, extraction time and solid-liquid ratio of Mistletoe extraction process were optimized by using the Box- Behnken design-response surface method on the basis of single factor. Ultra performance liquid chromatography (UPLC) was used to determine the content of two active components in Mistletoe from 14 origins. Results: The optimal extraction process of Mistletoe was 71% ethanolaqueous solution, liquid-solid ratio 25:1, and extraction time 67 min. The optimal extraction process showed that the average comprehensive content was 571.7 μg·g-1 when the weight ratio of Syringin to homoeriodictyol-7-O-β-D-glucoside was 7:3. The contents of Syringin and homoeriodictyol-7-O-β-D-glucoside ranged from 128.7~662.8 μg·g-1 and 77.24~801.8 μg·g-1. The contents of Syringin and homoeriodictyol-7-O-β-D-glucoside in Mistletoe from different origins were different, among which the content of homoeriodictyol-7-O-β-D-glucoside in Mistletoe from Sichuan was relatively high, which was 0.84 mg·g-1, and the content of Syringin from Mistletoe from Anhui was relatively high at 0.47 mg·g-1. Conclusion: The method established in this study has high sensitivity, good separation effect, stable and reliable results, which can provide a scientific basis for the extraction of active ingredients, quality evaluation and resource development and utilization of Mistletoe.
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    Expression of CAV1 and CAV2 in Head and Neck Squamous Cell Carcinoma Tissues and Their Effects on Survival, Immunity
    CAO Xin-ran, FAN Jian-chun, WANG Xia, LIU Xun-tao, ZHANG Bin
    2024, 14 (4):  9.  DOI: 10.3969/j.issn.2095-1396.2024.04.002
    Abstract ( 9 )   PDF (3364KB) ( 2 )  
    Objective: The key biomarkers CAV1 and CAV2 of HNSCC were screened based on bioinformatics methods, and their expression in HNSCC and clinical prognostic value were explored. Methods: In this study, we first compared the differential expression of caveolins and cavins in HNSCC based on the GEPIA database, and then simultaneously analyzed the relationship between the differential genes and clinical phenotypes in the caveolins and cavins families in the Ualcan platform; compared the relationship between the differential genes associated with the clinical phenotypes and the survival of HNSCC; and in addition performed CAV1 and CAV2 enrichment analysis and immune infiltration analysis were performed. Results: GEPIA database analysis showed significant correlation between CAV1, CAV2, CAVIN2,CAVIN3, etc. Among them, CAV1 and CAV2 were significantly correlated with the clinical phenotype and could significantly affect the survival and prognosis of HNSCC patients. GSEA enrichment analysis showed that CAV1 mainly upregulated IL-17 signaling pathway, PI3K-Akt signaling pathway and NOD-like receptor signaling pathway; CAV2 mainly upregulated NODlike receptor signaling pathway and PI3K-Akt signaling pathway. signaling pathway, PI3K-Akt signaling pathway, and NOD-like receptor signaling pathway; CAV2 mainly up-regulated NODlike receptor signaling pathway and PI3K-Akt signaling pathway; and immune infiltration analysis showed that CAV1 and CAV2 significantly altered the survival and prognosis of HNSCC patients. CAV2 significantly altered the immune microenvironment of HNSCC tumors and correlated with the infiltration of various immune cells. Conclusion: CAV1 and CAV2, which are highly expressed in HNSCC, are independent prognostic factors associated with immune invasion and can be used as candidate prognostic markers for determining immune invasion-related prognosis in patients with HNSCC.
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    Determination of Hypoxanthine and Inosine in Five Origins of Geosaurus by HPLC Method
    WANG Hui, WANG Mai, MEI Yan-fei, SHI Yu-jie
    2024, 14 (4):  18.  DOI: 10.3969/j.issn.2095-1396.2024.04.003
    Abstract ( 8 )   PDF (1161KB) ( 2 )  
    Objective: To establish a method for the determination of hypoxanthine and inosine content in Geosaurus, and to determine the constituents of Geosaurus of five origins, so as to explore a new and efficient analytical research method for the study of extraction process and quality analysis of Geosaurus 's constituents. Methods: A high performance liquid chromatographic (HPLC) method was established for the determination of hypoxanthine and inosine. The separation was carried out on an Agilent extend C18 column, 4.6 mm×250 mm, particle size: 5 μm, with the mobile phase of methanol -0.2% phosphoric acid, injection volume of 20 μL, wavelength of 254 nm, column temperature of 30 ℃ , and gradient elution, to establish the standard curves of hypoxanthine and inosine and carry out the methodology of precision, stability,reproducibility, and sample recovery. The methodology of precision test, stability test, repeatability test and sample recovery test was investigated. Results: The standard curve of hypoxanthine: y = 78.819x + 245.92, R2 = 0.999 9, with good linearity in the range of 10.08~161.28 μg·mL-1; the standard curve of inosine: y = 56.566x + 68.333, R2 = 0.999 5, with good linearity in the range of 20.08~321.28 μg·mL-1; the standard curve of inosine: y = 56.566x + 68.333, R2 = 0.999 5, with good linearity in the range of 20.08~321.28 μg·mL-1. The linear relationship was good in the range of 20.08~321.28 μg·mL-1. The average recovery of hypoxanthine was 95.43% with the RSD value of 1.52% (n=6); the average recovery of inosine was 99.86% with the RSD value of 2.36% (n=6); and the contents of hypoxanthine in the five types of Geosaurus of Guangdong, Henan, Hainan, Shanghai and Guangxi were 0.533 5, 0.346 8, 0.687 4, 0.687 4, 0.566x + 68.333, R2= 0.999 5, with good linear relationship in the range of 20.08~321.28 μg·mL-1. The contents of hypoxanthine in Geosaurus from Guangdong, Henan, Hainan, Shanghai and Guangxi were 0.533 5, 0.346 8, 0.687 4, 0.569 4, 0.794 5 (mg·g-1), and the contents of inosine were 1.562 5, 0.567 4, 1.126 7, 0.843 6, 1.284 9 (mg·g-1). Conclusion: The established HPLC method of high performance liquid chromatography (HPLC) has a good gradient elution effect, good experimental accuracy, good precision, good stability and high reproducibility, which is an efficient analytical determination.
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    MRI Perfusion Imaging Evaluation of Butylphthalide Injection Combined with Xuesaitong Injection in The Treatment of Acute Cerebral Infarction
    XIAN Yao-lin, HUANG Rong-rong
    2024, 14 (4):  23.  DOI: 10.3969/j.issn.2095-1396.2024.04.004
    Abstract ( 6 )   PDF (1657KB) ( 3 )  
    Objective: To observe the clinical efficacy of butylphthalide injection combined with Xuesaitong Injection in the treatment of acute cerebral infarction, and to evaluate the efficacy from the perspective of MRI perfusion imaging. Methods: 80 patients with acute cerebral infarction who met the inclusion criteria were randomly divided into control group and treatment group according to the random number table method, 40 cases in each group. After admission, the patients in both groups were treated according to the clinical pathway, and were given drugs such as antihypertensive, hypoglycemic, lipidlowering, neurotrophic, and antiplatelet aggregation. The control group was treated with butylphthalide sodium chloride injection 100 mL intravenous drip on this basis, while the observation group was treated with Xuesaitong injection 200 mg and 5% glucose injection 250 mL intravenous drip on the basis of the control group. The National Institutes of Health Stroke Scale (NIHSS) score, Barthel Index (BI) of activities of daily living score and MRI perfusion imaging related indicators were compared between the two groups on the day of admission and 10 days after treatment. Results: The total effective rate of the treatment group was significantly higher than that of the control group (97.50% vs 77.50%, P<0.05); After treatment, the NIHSS score of the two groups decreased and the Bi score increased compared with that before treatment, and the difference was statistically significant (P<0.05), and the treatment group was better than the control group (P<0.05); After treatment, the attenuation index of the region of interest in both groups was significantly reduced, and the average diffusion coefficient was significantly increased (P<0.05), and the data of the treatment group were significantly better than those of the control group (P<0.05); After grouping treatment, the cerebral blood volume and cerebral blood flow of the treatment group were significantly better than those of the control group (P<0.05); According to Pearson correlation analysis, the average diffusion coefficient (r=-0.503, r=0.482), attenuation index (r=-0.487, r=0.414), cerebral blood volume (r=-0.527, r=0.402) and cerebral blood flow (r=-0.625, r=0.516) in the treatment group after treatment were significantly correlated with NIHSS score and Bi score (P<0.05). Conclusion: Based on the results of multimodal MRI imaging, it can confirm the good effect of butylphthalide injection combined with Xuesaitong Injection in the treatment of acute cerebral infarction, show the difference changes of average diffusion coefficient and attenuation index in the lesion area before and after treatment, intuitively reflect the changes of volume ratio anisotropy and partial anisotropy, as well as the improvement of cerebral blood flow and cerebral blood volume, and the changes of the above indicators have a good correlation with the degree of neurological deficit and the changes of daily living ability in patients with acute cerebral infarction, suggesting that the results of multimodal MRI imaging can provide a reliable reference for the evaluation of the curative effect of acute cerebral infarction.
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    To Observe the Effect of Yishen-Buganjiangu Decoction Combined with Ecalcitonin in the Treatment of Primary Osteoporosis and Its Influence on Bone Metabolism and Oxidative Stress
    DAI Xiu-xia, LIN Hai-yang, SU Zi-zhen, QIU Ying-jie, SU Li-yun, CHEN Li-feng
    2024, 14 (4):  29.  DOI: 10.3969/j.issn.2095-1396.2024.04.005
    Abstract ( 6 )   PDF (1089KB) ( 2 )  
    Objective: To investigate the effect of Yishen-Buganjiangu decoction combined with ecalcitonin on primary osteoporosis and its influence on bone metabolism and oxidative stress. Methods: Eighty patients with osteoporosis were divided into a control group and an observation group. The control group received intramuscular injection of ecalcitonin, 10 IU·time-1, twice a week. The observation group was treated with Yishen Bugan Jiangu decoction on the basis of the control group. Both groups were treated for 6 months. The curative effect, bone mineral density, bone pain [visual analogue scale (VAS)], bone metabolism index [procollagen type Ⅰ N-terminal propeptide (PINP), type I C-terminal cross linked peptide (CTX-1), serum oxidative stress markers [malondialdehyde (MDA) and advanced oxidation protein product (AOPP)]before and after treatment were compared between the two groups. Results: After treatment, the total effective rate of the observation group was higher than that of the control group (97.50% vs 82.50%, P<0.05), and the VAS score was lower than that of the control group (P<0.05). After treatment, PINP increased in the two groups (P<0.05), and it was higher in the observation group (P<0.05). The levels of CTX-1 in the two groups were decreased (P<0.05), and the level in the observation group was lower (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion: Yishen Bugan Jiangu Decoction combined with western medicine is effective in the treatment of primary osteoporosis, which can improve bone metabolism and oxidative stress.
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    Exploration of the Therapeutic Effect of Ultrasound Microbubble- Assisted Therapy on Cerebral Ischemia-Reperfusion Injury in Rats
    MA Jie-hua, WANG Mu-tong, GUO Fan, LIU Xu, WANG Yue-yao, ZHAO Yu, ZHANG Hui
    2024, 14 (4):  34.  DOI: 10.3969/j.issn.2095-1396.2024.04.006
    Abstract ( 4 )   PDF (1110KB) ( 2 )  
    Objective:To explore the therapeutic effect of ultrasound microbubble-assisted therapy on cerebral ischemia-reperfusion injury in rats. Methods: A rat cerebral ischemiareperfusion model was prepared by the wire thrombus method. 40 successfully modeled rats were randomly divided into a microbubble group (ultrasound irradiation+microbubble+thromb olysis) and a control group (ultrasound irradiation+thrombolysis), with 20 cases in each group. Both groups of rats received treatment at a frequency of 1 times·d-1 for 15 days. At the end of thrombolysis treatment, thrombus clearance scores, severity of neurological damage, and water content of the brain tissue were compared between the two groups. Results: Thrombus clearance score in the microbubble group was higher than that in the control group at 3 and 6 h after grouping (P<0.05). mNSS scores in the microbubble group were lower than that in the control group on the 10th and 15th day after grouping (P<0.05). The water content of brain tissue in the microbubble group was lower than that in the control group on the 8th day after grouping (P<0.05). Conclusion: Ultrasound combined with microbubbles for cerebral ischemia-reperfusion rats contributes to thrombus clearance and is able to attenuate neurological damage and brain tissue water content.
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    Rationality and Standardization Analysis of Benzodiazepines in Chronic Insomnia Patients
    HUANG Jun-hua
    2024, 14 (4):  38.  DOI: 10.3969/j.issn.2095-1396.2024.04.007
    Abstract ( 12 )   PDF (1063KB) ( 2 )  
    Objective: To analyze the rationality and standardization of benzodiazepine drugs in chronic insomnia patients. Methods: 148 patients with chronic insomnia from November 2022 to November 2023 were selected, the electronic prescription data were collected, the use of benzodiazepines was observed, and the rationality and standardization of benzodiazepine use were evaluated. Results: 55 of the 148 patients were on benzodiazepines, alprazolam tablets were the most prescribed, for 48 sheets (32.43%), 5 clonazepam tablets (3.38%), 2 diazepam tablets (1.35%). The majority of chronic insomnia patients were prescribed non-benzodiazepines (93, 62.84%). In the non-standard situation of benzodiazepine drugs, the prescription writing is not standardized. Repeated drug use, too long drug use time, inappropriate scope of drug use, incompatibility and other conditions appear less. Drug utilization index (DUI) of alprazolam tablets, clonazepam tablets and diazepam tablets were <1, Drug use is justified. Conclusion: The overall process of benzodiazepine treatment for chronic insomnia patients in our hospital is reasonable and normative, and some deficiencies need to be further improved.
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    Research Progress on the Etiology of Febrile Seizures and the Treatment
    HAO Xue-nan, YANG Lei, ZHAO Wen-ya, ZHANG Wei
    2024, 14 (4):  42.  DOI: 10.3969/j.issn.2095-1396.2024.04.008
    Abstract ( 14 )   PDF (1059KB) ( 2 )  
    Febrile seizures (FS) are convulsions characterized by a body temperature of 38.5℃ or higher, without central nervous system infection or other epileptic causes, affecting 2% to 14% of the global population and being a common neurological disorder in childhood. The occurrence of FS is age dependent, most prevalent in children aged 6 months to 5 years. The pathogenesis of FS remains unclear, although it is known that various factors can induce FS, including abnormal body temperature, age and brain maturity, genetic factors, and infections. Moreover, other factors can predispose to the development of FS. Current treatment of FS primarily involves antiepileptic drugs. This article reviews the pathophysiological mechanisms of FS, with a focus on the research progress of FS etiology and treatment.
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    Research Progress in the Treatment of Thin Endometrium with Traditional Chinese Medicine
    LI Na, ZHAO Cui-ying
    2024, 14 (4):  49.  DOI: 10.3969/j.issn.2095-1396.2024.04.009
    Abstract ( 12 )   PDF (1012KB) ( 2 )  
    Thin endometrium is one of the important causes of menorrhagia, recurrent abortion, infertility and other diseases, which is difficult to treat and difficult to detect in the early stage. By reviewing the research literature in recent years, the author found that traditional Chinese medicine has good clinical efficacy and few side effects in the treatment of thin endometrium. It can not only directly promote the expression of related factors, inhibit inflammatory factors, regulate the level of estrogen in the body, promote cell proliferation or apoptosis, increase endometrial receptivity, but also regulate a variety of signal pathways, multi-target, all-round treatment of TE. The current clinical research shows that simple internal administration of traditional Chinese medicine, simple external treatment, internal and external combination of traditional Chinese medicine and the combination of traditional Chinese and western medicine can effectively treat thin endometrium and improve the clinical symptoms of patients.
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    Effects of Tau Protein on Mitochondrial Function in Alzheimer's Disease
    YAO Si-fan, ZHANG Xin, SHEN Li-xia
    2024, 14 (4):  54.  DOI: 10.3969/j.issn.2095-1396.2024.04.010
    Abstract ( 17 )   PDF (1084KB) ( 2 )  
    Tau protein is an important protein that physiologically promotes microtubule assembly and stabilization and is involved in neuronal development, axonal transport and neuronal polarity. In Alzheimer's disease (AD), Tau proteins undergo pathological modifications in which soluble Tau assembles into insoluble filaments, leading to synaptic failure and neurodegenerative lesions. Mitochondria are the most important organelles in neurons and are the main source of energy, providing adenosine triphosphate (ATP) through oxidative phosphorylation to maintain normal neuronal homeostasis and function. A growing body of evidence suggests that mitochondrial dysfunction plays a key role in the pathogenesis of AD. Negative effects on mitochondrial bioenergetics, transport and morphology in neurons lead to synaptic damage and cognitive decline in AD. Tau proteins have been shown to interact with mitochondrial proteins, impairing mitochondrial dynamics, mitochondrial morphology and autophagy, leading to neurotoxicity. This article provides a review of the effects of Tau proteins on mitochondria in AD and the mechanisms of action.
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