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    Orginal Article
  • Orginal Article
    Fandian ZENG
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    The reform of medical system in China is accelerating the transformation process of the pharmaceutical department of medical institutions from the pharmaceutical supply and preparation to the clinical pharmaceutical care. “Promoting clinical rational use of drugs,ensuring the safety of clinical medication” is the core value of clinical pharmaceutical care. The pharmacovigilance is concerned with the detection,assessment,understanding and prevention of drug related problems,which reflects the diversity of the risk sources of clinical medication. The implementation of pharmacovigilance constitutes the cornerstone of pharmaceutical care in clinical practice.

  • Orginal Article
    Ying ZHOU,Xiaomeng HE,Huqun LI,Yang NI,Mingzhen XU,Weiyong LI
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    Objective

    To study the pharmacokinetic characteristics of roflumilast tablets in healthy Beagle dogs and compare relative bioavailability of the test and the reference formulations.

    Methods

    Single dose of 500 μg test or reference preparations of roflumilast tablets were orally administered to 6 healthy male Beagle dogs in a randomized,cross-over study.Plasma concentrations were determined by high performance liquid chromatography-tandem mass spectrometry (HPLC-MS/MS) method.The pharmacokinetic parameters were calculated by DAS software and the relative bioavailability was compared.

    Results

    The main pharmacokinetic parameters of the test and reference roflumilast tablets were as follows:the area under the concentration-time curve (AUC0-t) values were(16.33±9.79) and (16.21±10.43) μg·h·L-1,respectively; AUC0-∞values were(17.11±10.39) and (16.86±10.70) μg·h·L-1,respectively; the peak concentration (Cmax) values were(5.07±2.74) and (5.39±3.67) μg·L-1,respectively; the times to peak concerntration (tmax) were(1.04±0.51) and (0.96±0.56) h,respectively; the half-life (t1/2) values were(1.97±0.65) and (2.21±0.72) h,respectively.The relative bioavailability of the test tablets was (100.9±6.3)% compared with the reference tablets.

    Conclusion

    The established HPLC-MS/MS method is suitable for the pharmacokinetic study of the roflumilast tablets,and the pharmacokinetic characteristics are similar between the test formulation and the reference one.

  • Orginal Article
    Lei ZHAO,Zhigang CHEN,Junqiang SI
    Objective

    To investigate the effects of leflunomide on the proliferation and apoptosis of the lipopolysaccharide(LPS)-induced rat mesangial cells.

    Methods

    The cultured rat glomerular mesangial cells were divided into the normal control group,the LPS group (final at 1 μg·mL-1),the A771726 group (final at 50 μg·mL-1) and the lipopolysaccharide+A771726 group (pretreated with 1 μg·mL-1 of LPS for 2 h,then added 50 μg·mL-1 of A771726).After 48 h's treatment,cell proliferation was measured by cell counting kit-8(CCK-8) assay,cell cycle and cell apoptosis were measured by flow cytometry.

    Results

    Compared with the normal control group,LPS group significantly promoted the proliferation of rat glomerular mesangial cells(P<0.01),elevated the percentage of cells in G1 phase,and declined those in S and G2 phase (P<0.01).The apoptosis index of the rat glomerular mesangial cells significantly decreased in the LPS group[(0.244±0.079)%] compared with the normal control group[(2.098±0.380)% ](P<0.01).A771726 significantly inhibited the proliferation of rat glomerular mesangial cells(P<0.01),increased the percentage of cells in G1 phase and decreased those in S phase(P<0.01),and markedly increased the apoptosis index of rat glomerular mesangial cells[(9.564±0.539)%,P<0.01].Compared with the LPS group,LPS+A771726 obviously inhibited the proliferation of rat glomerular mesangial cells (P<0.01),raised the percentage of cells in G1 phase,decreased those in S phase(P<0.01),and increased the cell apoptosis index[(6.010±0.282)%,P<0.01].

    Conclusion

    Leflunomide can inhibit the proliferation of the rat glomerular mesangial cells induced by LPS and lead to the cell apoptosis.

  • Orginal Article
    Ni TANG,Yun GAO,Hong YU,Yiping BAI
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    Objective

    To investigate the effect of parecoxib sodium on postoperative cognitive dysfunction (POCD) in elderly depression rats.

    Methods

    The total of 36 elderly male Sprague Dawley (SD) rats were divided into 3 groups:normal control group (n=6); surgical group (Sur group,n=15); paricoxib sodium group (Pare group,n=15).Depression models were established in rats except those in the normal control group.The 5 mg·kg-1 parecoxib sodium was i.p.injected in the Pare group 1 h prior to,8 h,2 d and 3 d post operation,respectively.And 0.9% sodium chloride injection was i.p.injected into the Sur group.Behavior and cognition of all animals were evaluated by open-field,sucrose consumption and Morris water maze tests.IL-6 and IL-1β expression were detected by Elisa.

    Results

    The escape latency was (39.98±8.93) s in Pare group vs (47.15±10.87) s in Sur group (P<0.05); and the space exploration was (24.17±8.52) s vs (20.96±9.58) s (P<0.05).IL-6 expression was (72.86±6.82) in Pare group vs (79.26±4.19) ng·L-1 in Sur group,IL-1β expression was (350.73±28.04) vs (423.35±26.81) ng·L-1(P<0.05).The horizontal and vertical scores were significantly higher in Pare group than those in the Sur group(P<0.05).The sucrose consumption and sucrose preference were higher and the water consumption was lower in Pare group than those in the Sur group(P<0.05).

    Conclusion

    Parecoxib sodium may improve postoperative cognition of elderly rats with depression,which being associated with decrease of IL-6 and IL-1β expression in hippocampus.

  • Orginal Article
    Yongfang LI,Yajun LIAN,Nanchang XIE,Aifan LI
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    Objective

    To investigate the effect of carvacrol on hippocampal injury,neurocyte apoptosis and endoplasmic reticulum stress related molecules like GRP78,caspase12,and CHOP in epileptic rats.

    Methods

    The total of 80 male SD rats were randomly divided into normal control,model control,carvacrol at low dose(30 mg·kg-1) and high dose(60 mg·kg-1) groups,20 rats in each group.The consistent epilepticus model was established by treating lithium chloride-pilocarpine in rats.The neuronal injury and apoptosis were detected by Nissl staining and TUNEL staining,respectively.The levels of GRP78,caspase12 and CHOP were measured by Western blot analysis.

    Results

    The nerve cell apoptosis index of the normal controls,model controls,carvacrol at low dose and that at high dose were (5.08±3.00),(34.43±0.55),(15.28±3.97),(10.62±2.56),respectively.Compared with the model control,carvacrol pretreatment significantly attenuated the hippocampal injury,increased the expression of GRP78 and decreased the expression of caspase12 and CHOP,especially for carvacrol at high dose.

    Conclusion

    Carvacrol plays a role in hippocampus injury protection,which is in a dose-dependent manner and involved inpromoting GRP78 against hippocampal injury,mitigating caspase12 and CHOP induced ER apoptosis in epileptic rat.

  • Orginal Article
    Yanyan LAI,Yingwen HUANG,Danyang HUANG,Lanlan WU,Binyou LUO,Xiaolong LI
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    Objective

    To study the effects and mechanism of the xanthones from pericarps of mangosteen on human nasopharyngeal carcinoma cell line CNE2.

    Methods

    Human nasopharyngeal carcinoma CNE2 cells were randomly divided into negative control group and different concentration of the xanthones from pericarps of mangostees. The negative control was normally cultured without drugs; The xanthones from pericarps of mangosteen groups were respectively treated by 200,400,600,800 μmol·L-1 xanthones 24,48,72 hours. MTT assay,Annexin -V/ PI double staining,and PI single staining were employed to investigate the action of the xanthones from pericarps of mangosteen on the cell cycle and apoptosis of CNE2 cells.And Caspase-3 kit was applied to investigate the activity of Caspase-3.

    Results

    The xanthones from pericarps of mangosteen significantly inhibited the proliferation activity of human nasopharyngeal carcinoma cell line CNE2 in a dose-dependent manner,especially for which at 371.536 7 μmol·L-1induced early apoptosis of CNE2 cells,and with the time passed by (24,48,72 h),the ratio of early apoptotic cancer cell significantly elevated(0.03%,10.54%,26.47%)(P<0.05); Cell-cycle analysis confirmed that the xanthones from pericarps of mangosteen induced the G1-phase cell cycle arrest and blocked cells entering the S-phase.The extracts activated Caspase-3 dose dependently.

    Conclusion

    The xanthones from pericarps of mangosteen remarkablly suppress proliferation of human nasopharyngeal carcinoma cell line CNE2 and promote their apoptosis,which may be involved in inhibition cells entering the S-phase and activating Caspase-3.

  • Orginal Article
    Jun CHENG,Meixi CHEN,Yanhong LI,Miao LUO
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    Objective

    To study the effect of intermittent hypoxia and chronic hypoxia on rat blood pressure,and investigate the impact of gingko biloba extracts(GBE) on obstructive sleep apnea syndrome(OSAS) with hypertension in rats.

    Methods

    Fifty healthy male Sprague-Dawley(SD) rats were randomly divided into 5 groups(n=10):normal control (NC),intermittent hypoxia(IH)model control,intermittent hypoxia with GBE administration,chronic hypoxia,and chronic hypoxia with GBE administration groups.The blood pressure was observed before and after experiment.The pathological changes of myocardia,renal artery and abdominal artery were observed by hematoxylin(HE) staining.The content of MDA,4-HNE and HIF-1α in serum were determined.The protein and mRNA expression of TLR4 and JNK in rat adipose tissue were detected.

    Results

    Blood pressure of IH group was significantly higher than that in NC group and hypoxia group (bothintermittent and chronic,P<0.01).Compared with NC group,the myocardial cells swelled significantly and kidney tubules presented hydropic degeneration in both IH group and chronic hypoxia group.In intermittent hypoxia with GBE and chronic hypoxia with GBE groups,the myocardial cell and kidney tubules were without swelling and the abdominal artery was pathologicallyun changed compared with those in IH and chronic hypixia group.Compared with NC group,the level of MDA,4-HNE,HIF-1α in serum were remarkably higher in the IH group and chronic hypoxia group (P<0.05),the level of TLR4,JNK protein and the mRNA expression were obviously increased in adipose tissue of the IH and chronic hypoxia groups(P<0.01).However,the results of them in intermittent hypoxia with GBE intragastric administration group,chronic hypoxia with GBE intragastric administration group were lower compared with IH and chronic hypoxia group (P<0.05).Compared with NC group,those in the intermittent hypoxia with GBE intragastric administration group and chronic hypoxia with GBE intragastric administration group were lower than those in the IH and chronic hypoxia group (P<0.01).

    Conclusion

    Intermittent hypoxia can elevate the blood pressure.GBE suppresses the protein and mRNA expression of TLR4,JNK in adipose tissue of OSAS and chronic hypoxia rats,and reduces the level of MDA,4-HNE,HIF-1α in serum,leading to less injury to organs and tissues by hypoxia.

  • ZHANG Junyao, LIANG Shucai, ZHU Baoan
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    Objective To investigate the effect of corosolic acid on cell proliferation and apoptosis in human colon cancer LoVo cells. Methods Colon cancer LoVo cells were randomly divided into normal control and corosolic acid treated group,with 5,10,20,and 40 μmol?L-1,respectively,for 24 h.Cell proliferation was measured by MTT method,cell apoptosis was detected by flow cytometry,and the levels of STAT3 and p-STAT3 were checked by Western blot. Results Upon being treated with corosolic acid,the cell proliferation rate was(98.02±14.05)%,(78.25±8.71)% (P<0.05),(36.63±13.36)% (P<0.01) and (18.41±10.38)% (P<0.01),and the apoptosis rate was(7.45±1.55)%,(12.72±3.46)% (P<0.05),(22.22±5.73)% (P<0.01) and (58.52±7.27)% (P<0.01),as compared with the normal control(7.37±1.34)%.And the level of p-STAT3 decreased significantly while that of STAT3 unchanged. Conclusion Corosolic acid inhibits LoVo cell proliferation,promotes cell apoptosis,which may be associated with blocking the phosphorylation of STAT3.
  • Orginal Article
  • Orginal Article
    Yuxia LU,Bicheng ZHANG,Ni'na YIN
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    Objective

    To explore the effect and mechanism of curcumin on transient receptor potential channel 6(TRPC6) expression in cortical neuron of newborn rats with hypoxic-ischemic encephalopathy(HIE).

    Methods

    Newborn SD rats (n=60) were randomly divided into three groups:sham-operated,model control,curcumin treatment groups (n=20) .Curcumin treatement group was intraperitoneal injected with 5,15,30,45,60 μmol·L-1 curcumin,and observed at 6,12,24,48,72 h,respectively.Cell viability was detected by MTT assay.The level of TRPC6 mRNA was detected by RT-PCR.The protein expression of TRPC6 and phosphorylation of p38 MAPK were detected by western blot.

    Results

    Curcumin at 30 μmol·L-1 increased cell viability into(88.0±5.6)% (P<0.01) after treatment for 48 hours compared with the model control as(52.0±5.2)%.The expression levels of TRPC6 mRNA and protein were significantly increased after treatment with 30 μmol·L-1 of curcumin,the ratio of TRPC6 mRNA /GAPDH was 1.05±0.05 (P<0.05),and that of TRPC6/β-Tubulin was 0.93±0.04 (P<0.01).In addition,curcumin increased the phosphorylation of p38MAPK,with the ratio of pp38MAPK/p38MAPK was 0.65±0.04 (P<0.05).

    Conclusion

    These results demonstrated that curcumin can obviously protect cortical neuron of HIE through TRPC6-p38MAPK pathway,and provide a novel insight into the manner in which curcumin participates in neuritogenesis.

  • Orginal Article
    Zhonghua LUO,Fei LYU
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    Objective

    To study the effect and mechanismof berberine combined with praziquantel on the liver fibrosis of Schistosoma japonicum infected rats.

    Methods

    Eighty rats infected with Schistosoma japonicum were randomly divided into four groups(n=20).The model control group was untreated.The rats in praziquantel group were treated with praziquantel 500 mg·kg-1·d-1 by intragastric administration for 2 days,those in the berberine group were i.g.treated with berberine 150 mg·kg-1·d-1 for six weeks.The rats in berberine combined with praziquantel group were treated with berberine 150 mg·kg-1·d-1 for six weeks following praziquantel 500 mg·kg-1·d-1 i.g. for 2 days.By the 6th week after administration,the content of MDA,the activity of GSH-Px and the expressions of MMP-13,TIMP-1,typeⅠ and type Ⅲ collagen in liver tissue of mice were detected.

    Results

    Compared with the model control group,the content of MDA and the expressions of TIMP-1,typeⅠ and type Ⅲ collagen in liver tissue were decreased obviously (P<0.05) and the activity of GSH-Px,the expression of MMP-13 and the ratio of MMP-13/TIMP-1 were increased obviously (P<0.05) in both praziquantel and berberine groups,but there was no significant difference between these 2 groups (P>0.05).The content of MDA(2.215±1.316 nmol·mg-1),TIMP-1 expressions (0.642±0.052),and typeⅠ (0.273±0.102) type Ⅲ (0.203±0.104) collagenin liver tissue were decreased obviously (P<0.05).GSH-Px(21.89±1.54) nU·mg-1,MMP-13 (0.588±0.027)and the ratio of MMP-13/TIMP-1 (0.726±0.138) were increased markedly (P<0.05) in the combination group compared with the monotherapy.

    Conclusion

    Berberine may inhibit hepatic fibrosis by Schistosoma japonicum infection via reducing the level of oxidative stress and imbalance of expression ratio of MMP-13/TIMP-1,which may play a synergistic effect with praziquantel.

  • Orginal Article
    Changjun LU,Linglu DUN,Guocheng LIU,Zheyi ZHOU,Zhen XU,Shiliang ZHAO,Shaozhou WANG
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    Objective

    To study the expression of stromal cell-derived factor-1(SDF-1) on cerebral ischemia-reperfusion injury in rats and the effect of Tongqiao Huoxue decoction.

    Methods

    A total of 30 male SD rats were randomly divided into groups a sham operation,a model control and Tongqiao Huoxue decoction at three different doses,6 rats in each group.The model of middle cerebral artery occlusion was set up in rats,the experimental group was perfused with Tongqiao Huoxue decoction,the sham operation and model control groups were treated with distilled water.The changes of SDF-1 were detected on 3,7,14 d after ischemia-reperfusion injury by enzyme-linked immunosorbent assay (ELISA).

    Results

    SDF-1 in the model control group was expressed at different time point,which enhanced from the third day(545.92±21.81) pg·mL-1,and reached the peak on the 7th day (574.82±26.58) pg·mL-1; SDF-1 started to decline on the 14th days (558.97±24.17) pg·mL-1,which were higher than the sham operation group[(350.09±9.36),( 356.62±10.86),( 356.62±9.64) pg·mL-1].The content of SDF-1 in the middle-dose and high-dose Tongqiao Huoxue decotion group was (560.84±32.37),(655.95±14.87),(625.18±14.77) pg·mL-1and (595.07±19.19),(760.39±46.90),(679.26±37.01) pg·mL-1,respectively,which were higher than the model control group.

    Conclusion

    SDF-1 increases significantly after ischemia-reperfusion injury,and Tongqiao Huoxue decoction could promote the increase.

  • Orginal Article
    Shangpeng ZHANG,Xing'e XU,Huadong CHEN,Ya LI,Rong LOU,Huihui ZHANG,Yanxiao CHEN
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    Objective

    To investigate the influence of Yangxin Fumai potion on liver microsomal CYP1A2,2E1 and 3A4 in rats.

    Methods

    Twenty-four SD rats were divided into 4 groups at random(n=6):the experimental groups were given with Yangxin Fumai potion at 2.50,5.00 and 10.00 mL·kg-1,respectively,by gastric gavage for 14 days,while the normal control group was given with 0.9% sodium chloride injection at 5.00 mL·kg-1.Upon differential centrifugation of liver microsomals,the metabolic rates of CYP 1A2,2E1 and 3A4 probe drugs were detected by HPLC.

    Results

    No significant difference was presented in the Yangxin Fumai potion at low and medium doses,which compared with those in the normal control group (P>0.05)in vitro.The activities of CYP1A2,CYP2E1 and CYP3A4 in the high dosage of Yangxin Fumai potion group were(28.43±4.49)%,(42.23±1.44)%,(11.20±0.98)%,respectively,which were higher than those in the normal control group(15.51±4.26)%,(31.54±3.37)%,(5.66±0.65)%,respectively (P<0.05).

    Conclusion

    Yangxin Fumai potion can activate liver microsomal CYP 1A2,2E1 and 3A4 of rats.

  • LIU Wenjuan, LI Min, ZHAO Na, LI Yan, SUN Ting, WANG Xiaozhi
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    ObjectiveTo study the effect of live combined bifidobacterium and lactobacillus tablets on mechanically ventilated patients with ventilator-associated pneumonia. MethodsTotally 128 cases were enrolled and randomly divided into treatment group of 63 cases and the control group of 65 cases.Both of them were given corresponding treatment for the primary disease.The patients in treatment group received live combined bifidobacterium and lactobacillus tablets (2.0 g,po,tid) when they accepted mechanical ventilation immediately,until one of outcomes(VAP,withdrawal,death,discharge)occurred. The pH of gastric juice,gastric bacterial colonization,and incidence of ventilator associated pneumonia of two groups were chosen to analyze. ResultsThe incidence of early onset VAP in the control group and treatment group were 16.9%,17.5% (P>0.05),late VAP were 36.9%,20.6% (P<0.05),respectively.The ratio of pH below 4 for gastric juice were 58.3%,68.0%,(P<0.05);The homology ratio between VAP pathogen and gastric bacterial colonization were 50.0%,18.5%(P<0.05). ConclusionLive combined bifidobacterium and lactobacillus can reduce the incidence of late onset VAP,maintaining suitable acidity of gastric juice.
  • GUO Shengmin, REN Jianmin
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    ObjectiveTo investigate the efficacy of Xinmailong injection at different dosages on cardiac function and B-type natriuretic peptide (BNP) level in elderly patients with chronic heart failure. MethodsOne hundred and fifty-six inpatients aged more than 65 years with chronic heart failure,were randomly assigned to two treatment groups and a control group,with 52 patients in each group.Three groups were all given conventional therapy,and the treatment group 1 was given with Xinmailong injection 4 mL with 0.9% sodium chloride solution 200 mL and group 2 was given with Xinmailong injection 6 mL with 0.9% sodium chloride solution 200 mL. Both of them were treated twice a day,with the interval of 6 h for 10 days.The left ventricular injection fraction (LVEF),six minutes walking distance (6-WMD),left ventricular end diastolic diameter (LVDd) and the level of plasma BNP were measured before and after treatment. ResultsThe LVDd of the control group,treatment group 1 and group 2 were(46.06±8.73),(42.88±4.73) and(41.42±5.00)mm,respectively;LVEF were(43.94±2.67)%,(47.23±2.48)% and(50.71±1.68)%; BNP were(654.08±139.15),(436.56±53.21)and(161.44±28.58) ng·L-1; 6-WMD were(350.69±56.33),(423.77±34.62) and(442.88±22.40) m.No significant difference in cardiac function was found among three groups before treatment,but which was improved after treatment (P<0.05).The improvement of heart function,like LVEF and plasma BNP of treatment group 2 was more obvious than that of treatment group 1 and control group (P<0.05). ConclusionXinmailong injection on the basis of conventional therapy can strengthen the efficacy for elderly patients with chronic heart failure,which decreases plasma BNP level and improves cardiac function,and is more pronounced at the standard prescription dose in the same treatment cycle.
  • LIU Baoxin, ZHANG Lei, QIN Jixiang, GUO Hong
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    ObjectiveTo investigate the effects of methylprednisolone on the expression of fibrosis related cytokines in patients with asthma. MethodsEighteen patients with mild asthma,20 patients with moderate and severe asthma and 12 normal controls were enrolled in the study. Patients with mild asthma were given with inhaled salbutamol 200 μg·d-1;patients with moderate to severe asthma were given po methylprednisolone 40 mg·d-1 plus salbutamol.They were treated for two weeks.Bronchial biopsy specimens were obtained in all subjects.Immunohistochemistry were used to detect the expression of transforming growth factor-β(TGF-β),IL-11,IL-17,type Ⅰ and type Ⅲ collagen in the airway. ResultsTGF-β expression was significantly higher in patients with asthma,and no decrease was found after treatment with oral methylprednisolone.Compared to mild patients and normal controls,IL-11 level[positive cell:(111±31) ·(mm2)-1 ] and IL-17 level[positive cell:(181±53) ·(mm2)-1 ] were significantly increased in moderate-severe patients (P<0.05).The expression of IL-11 level[positive cell:(23±11) ·(mm2)-1 ] and IL-17 level[positive cell:(29±2) ·(mm2)-1 ] decreased with oral methylprednisolone in the moderate-severe patients (P<0.05).Expression of type Ⅰ and type Ⅲ collagens was higher in moderate-severe patients than those in the mild patients and normal controls.Treatment with methylprednisolone did not significantly decrease the expression of type Ⅰ and type Ⅲ collagens. ConclusionThe expression of TGF- β,IL-11,IL-17,collagen type I and type III were associated with severe asthma,but methylprednisolone could not decrease the deposit of collagen,which is possibly due to consistently increased expression of TGF-β.
  • LIAO Changjun, ZANG Zhihe, SHAO Ying, LU Yun
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    ObjectiveTo investigate the optimum extraction condition and content determination of effective components from Artemisia annua. MethodsThe Design-Expert software was applied to optimize supercritical CO2 extraction,and four components:artemisiaannua acid,scopoletin,arteannuin B and artemisinin in the extracts were determined by HPLC. ResultsThe optimum extraction process was controlling extraction at 50 ℃,for 6 h,under pressure 45 000 kPa.The linear ranges of artemisinic acid,scopoletin,arteannuin B and artemisinin was 0.045 6-0.273 6,0.004 9-0.029 2,0.066 6-0.392 0,0.201 0-1.206 0 mg·mL-1,respectively.The average recoveries were 100.40%,100.81%,100.18%,101.60%,respectively. ConclusionThis extraction process obtains high extraction rate.And the four effective components in Artemisia annua extracts can be determined sensitively and accurately by HPLC.
  • Tetracera asiatic
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    ObjectiveTo establish an optimal technology for total polyphenols extraction and a method for determination of gallic acid from Tetracera asiatic. MethodsIn regarding to the content of total polyphenols and gallic acid,orthogonal test was adopted to optimize the four different factors in extraction process,including volume fraction,ratio of solid-liquid,extraction duration and extraction frequency. ResultsThe optimal extraction technology was applying ultrasonic extraction,extracting twice,25 minutes each time with 9 times the amount of 55% acetone. ConclusionThis extraction process produces high yield of total polyphenols and gallic acid,it is stable,and the method established can be used for the quality control of total polyphenols and gallic acid in Tetracera asiatica.
  • LI Lei, SUN Meili, WANG Heyu, ZHANG Jing, XU Tunhai, LIU Tonghua
    ObjectiveTo optimize the ultrasonic extraction process of total flavonoids from Rubus alexeterius Focke. MethodsThe colorimetric analysis was taken to detect the total flavonoid in terms of ethanol fraction,solid-liquid ratio,extraction duration and extraction times,and the orthogonal experimental design was used to optimize the extraction process. ResultsThe optimum conditions for ultrasound extraction included taking ethanol volume fraction of 50%,solid-liquid ratio 1:40,ultrasonic for 60 min twicely,and obtaining 38.951 mg·g-1 of the total flavonoid. ConclusionThe process of total flavonoids extracted on the base of the orthogonal technology and energy-saving concepts from Rubus alexeterius Focke stems are reasonable.
  • ZHAO Guojun, TANG Yehua, ZHANG Yanhong, WU Jingchun, YU Siyang, LIU Yang , ZENG Zhiying, SHI Xiaoqiao, CHEN Ying, ZENG Gaofeng, WANG Yan
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    ObjectiveTo analyze anti-inflammatory effect of early application of atorvastatin in patients with acute coronary syndromes (ACS),and provide theoretical basis for ACS treatment by atorvastatin. MethodsLiterature was searched for randomized controlled trials about atorvastatin in the treatment of ACS in CNKI,Wanfang,VIP,PubMed,Highwire and Google Scholar databases.Meta-analysis was conducted on the outcomes of the trials that met the inclusion criteria. RevMan 5.2 software was applied for statistical analysis. ResultsThe results showed that atorvastatin significantly ameliorated the inflammation reaction as evidenced by a decrease of high sensitivity C reactive protein (hs-CRP) compared with the control group[MD=-6.02,95% CI(-7.74,-4.30) ].The levels of TNF-α[MD=-8.18,95% CI(-15.4,-0.95)] and IL-6[SMD=-1.34,95% CI (-1.83,-0.84)]were also decreased after atorvastatin treatment. The anti-inflammatory effect of atorvastatin at high-dose was better than that at low-dose[MD=-1.88,95% CI(-3.64,-0.12)]. ConclusionAtorvastatin can effectively ameliorate the inflammatory reaction in patients with ACS in China.
  • LIU Jia, XU Jianguo, SHAO Jianping, ZHU Hua, LI Xianwen
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    ObjectiveTo investigate the incidence of malnutrition risk,nutritional status and adverse reactions during the nutritional support for gastrointestinal surgical inpatients. MethodsA total of 208 cases of gastrointestinal surgical inpatients were selected for investigation,and the Nutritional Risk Screening 2002 (NRS2002) was used to investigate the relationship between nutritional support and nutritional risk for inpatients.The patient’s body mass index (BMI),weight change,changes in dietary intake and impact of primary disease were recorded. ResultsThe overall applicable rate of NRS2002 for gastrointestinal surgical inpatients was 79.7%,the incidence of nutritional risk was 62.7%,and the total nutritional support rate was 85.3%.Fifty-nine cases among 64 with nutritional risk(92.2%) received nutritional support,while 28 cases among 39 without nutritional risk (71.8%) received nutritional support.Among patients receiving the "all in one" parenteral nutrition,only 40.9% met the requirement for calorie-to-nitrogen ratio,and only 38.6% glycolipid calories ratio was reasonable,incidence of adverse reactions in patient receiving nutritional support was 32.4%. ConclusionNRS 2002 tool is suitable for nutritional screening in gastrointestinal surgical inpatients,but some inappropriate drug use exists during nutritional support,such as nutritional composition and course of treatment,etc.It is suggested that gastrointestinal surgical inpatients should be rationally administered with nutritional support,in order to improve prognosis and reduce the incidence of adverse reactions.