Background: The human gut microbiome is an important target for disease treatment and prevention. Various microbial species within the complex ecosystem of the microbiome have been shown to play important roles in dis...Background: The human gut microbiome is an important target for disease treatment and prevention. Various microbial species within the complex ecosystem of the microbiome have been shown to play important roles in disease. Identification of bioactive materials capable of altering the abundances of these species both safely and effectively is a major goal in microbiome research. Many traditional Chinese medicines (TCMs) have been reported to affect the composition of the gut microbiome. Here, we summarize studies that have used TCMs to alter the gut microbiome and discuss the response relationship between TCMs and gut microbial species. Methods: We searched the PubMed, Web of Science, and Knowledge Network databases using the terms “traditional Chinese medicine,” “gut microbiome,” and specific system disease names (endocrine, immune, nervous, cardiovascular, and digestive). Studies were excluded if irrelevant or if the experimental procedures were unclear. Results: TCMs have been reported to affect a wide range of gut microbial taxa spanning major phyla, including Firmicutes, Bacteroidetes, Proteobacteria, Verrucomicrobiota, Actinobacteria, and Fusobacteria. In all, 54 TCMs including compounds and extracts have been tested in rodents and 30 have been examined in human trials. Almost all studies have reported positive results in regulating the gut microbiome as well as modulating corresponding phenotypes, spanning diseases of the endocrine, immune, nervous, cardiovascular, and digestive systems. Gut species, including Akkermansia, Bacteroides, Fusobacterium, Faecalibacterium, and E. coli, were found to be regulated by 19 TCMs. A network was constructed to visualize the interactions between TCMs and these taxa. Conclusion: There exists a complex and close relationship between intestinal microflora and diseases. Sufficient experimental data and studies have proved that the imbalance of intestinal microflora affects health by mediating metabolism, immune regulation, inflammation and signal transduction. Many characteristic alterations of intestinal microflora are positively correlated with diseases, so intestinal microflora has become a potential risk index and treatment target for many diseases. Many TCMs affect the relative abundances of microbial species in the gut, and therefore may be useful for modulating the gut microbiome. This review provides a reference for prioritizing candidate TCMs from the enormous repertoire of such medicines to test which specific gut microbes are targeted.展开更多
Early life stress correlates with a higher prevalence of neurological disorders,including autism,attention-deficit/hyperactivity disorder,schizophrenia,depression,and Parkinson's disease.These conditions,primarily...Early life stress correlates with a higher prevalence of neurological disorders,including autism,attention-deficit/hyperactivity disorder,schizophrenia,depression,and Parkinson's disease.These conditions,primarily involving abnormal development and damage of the dopaminergic system,pose significant public health challenges.Microglia,as the primary immune cells in the brain,are crucial in regulating neuronal circuit development and survival.From the embryonic stage to adulthood,microglia exhibit stage-specific gene expression profiles,transcriptome characteristics,and functional phenotypes,enhancing the susceptibility to early life stress.However,the role of microglia in mediating dopaminergic system disorders under early life stress conditions remains poorly understood.This review presents an up-to-date overview of preclinical studies elucidating the impact of early life stress on microglia,leading to dopaminergic system disorders,along with the underlying mechanisms and therapeutic potential for neurodegenerative and neurodevelopmental conditions.Impaired microglial activity damages dopaminergic neurons by diminishing neurotrophic support(e.g.,insulin-like growth factor-1)and hinders dopaminergic axon growth through defective phagocytosis and synaptic pruning.Furthermore,blunted microglial immunoreactivity suppresses striatal dopaminergic circuit development and reduces neuronal transmission.Furthermore,inflammation and oxidative stress induced by activated microglia can directly damage dopaminergic neurons,inhibiting dopamine synthesis,reuptake,and receptor activity.Enhanced microglial phagocytosis inhibits dopamine axon extension.These long-lasting effects of microglial perturbations may be driven by early life stress–induced epigenetic reprogramming of microglia.Indirectly,early life stress may influence microglial function through various pathways,such as astrocytic activation,the hypothalamic–pituitary–adrenal axis,the gut–brain axis,and maternal immune signaling.Finally,various therapeutic strategies and molecular mechanisms for targeting microglia to restore the dopaminergic system were summarized and discussed.These strategies include classical antidepressants and antipsychotics,antibiotics and anti-inflammatory agents,and herbal-derived medicine.Further investigations combining pharmacological interventions and genetic strategies are essential to elucidate the causal role of microglial phenotypic and functional perturbations in the dopaminergic system disrupted by early life stress.展开更多
Alzheimer's disease is a common neurodegenerative disorder in older adults.Despite its prevalence,its pathogenesis remains unclea r.In addition to the most widely accepted causes,which in clude excessive amyloid-b...Alzheimer's disease is a common neurodegenerative disorder in older adults.Despite its prevalence,its pathogenesis remains unclea r.In addition to the most widely accepted causes,which in clude excessive amyloid-beta aggregation,tau hyperphosphorylation,and deficiency of the neurotransmitter acetylcholine,numerous studies have shown that the dopaminergic system is also closely associated with the occurrence and development of this condition.Dopamine is a crucial catecholaminergic neurotransmitter in the human body.Dopamine-associated treatments,such as drugs that target dopamine receptor D and dopamine analogs,can improve cognitive function and alleviate psychiatric symptoms as well as ameliorate other clinical manifestations.Howeve r,therapeutics targeting the dopaminergic system are associated with various adverse reactions,such as addiction and exacerbation of cognitive impairment.This review summarizes the role of the dopaminergic system in the pathology of Alzheimer's disease,focusing on currently available dopamine-based therapies for this disorder and the common side effects associated with dopamine-related drugs.The aim of this review is to provide insights into the potential connections between the dopaminergic system and Alzheimer's disease,thus helping to clarify the mechanisms underlying the condition and exploring more effective therapeutic options.展开更多
Traditional Chinese medicines(TCMs)have been used for centuries to treat and manage various diseases.However,their effective delivery to targeted sites may be a major challenge due to their poor water solubility,low b...Traditional Chinese medicines(TCMs)have been used for centuries to treat and manage various diseases.However,their effective delivery to targeted sites may be a major challenge due to their poor water solubility,low bio-availability,and potential toxicity.Nanocarriers,such as liposomes,polymeric nanoparticles,inorganic nanoparticles,and organic/inorganic nanohybrids based on active constituents from TCMs have been extensively studied as a promising strategy to improve the delivery of active constituents from TCMs to achieve a higher therapeutic effect with fewer side effects compared to conventional formulations.This article summarizes the recent progress in nanocarrier-based delivery systems.Nanotechnology can broaden the scope of applications of traditional Chinese medicine.The concept of nano-traditional Chinese medicine(nano-TCM)is introduced,and the progress of nanomedicine,the advantages,and the development direction of nano-TCM are reviewed,providing new ideas for the development of nano-TCM.展开更多
Xi Jinping,general secretary of the Communist Party of China(CPC)Central Committee,stressed that we should adhere to the“two integrations”(namely,integrating the basic tenets of Marxism with China’s specific realit...Xi Jinping,general secretary of the Communist Party of China(CPC)Central Committee,stressed that we should adhere to the“two integrations”(namely,integrating the basic tenets of Marxism with China’s specific realities and fine traditional culture),root ourselves in Chinese soil,carry forward the Chinese cultural heritage,and strengthen the academic foundation.We should accelerate the building of an independent knowledge system for Chinese philosophy and social sciences,and formulate original concepts and develop systems of academic discipline,research and discourse,drawing on China’s rich experience of advancing human rights.In the face of changes of a magnitude not seen in a century,in the historic process of advancing the great rejuvenation of the Chinese nation on all fronts through Chinese modernization,we should and must strengthen our theoretical self-consciousness and confidence in the path of Chinese modernization.We need to enhance human rights research,develop the human rights theoretical system and paradigm that are based on Chinese realities and express Chinese voice,and an independent Chinese knowledge system for human rights.展开更多
Stroke,which is the second leading cause of mortality worldwide and the third leading cause of death and disability combined,[1]necessitates cost-effective rehabilitation interventions.Acupuncture is a traditional Chi...Stroke,which is the second leading cause of mortality worldwide and the third leading cause of death and disability combined,[1]necessitates cost-effective rehabilitation interventions.Acupuncture is a traditional Chinese medicine therapy that is increasingly recognized as a complementary stroke therapy.展开更多
Background:Over 65 million people have long COVID.Evidence for using Chinese herbal medicine(CHM)to treat long COVID is growing.A systematic review of evidence for guiding clinical decision is warranted.Objective:To e...Background:Over 65 million people have long COVID.Evidence for using Chinese herbal medicine(CHM)to treat long COVID is growing.A systematic review of evidence for guiding clinical decision is warranted.Objective:To examine the effects and safety of CHM in alleviating the severity of dyspnea,fatigue,exercise intolerance,depression,anxiety and insomnia in long COVID adults based on registered randomized clinical trials(RCT).Search strategy:World Health Organization International Clinical Trials Registry Platform and Chinese Clinical Trial Registry were searched for registered trial protocols from database inception to February 10,2023.English(PubM ed,Embase,AMED and CINAHL)and Chinese databases(CNKI,Wanfang Data and CQVIP)were then searched to identify relevant publications from December 2019 through April 6,2023.Inclusion criteria:Registered RCTs that compared the effects of Chinese herbal medicines or Chinese herbal formulas against a control treatment(i.e.,the placebo or usual care)in adults with persistent symptoms of long COVID.The primary outcome of dyspnea,and secondary outcomes of fatigue,exercise intolerance,depression,anxiety and insomnia were measured using validated tools at the end of the treatment.Data extraction and analysis:Data were extracted,and eligible RCTs were evaluated using version 2 of the Cochrane risk-of-bias tool for randomized trials and Grading of Recommendations,Assessment,Development and Evaluations independently by two researchers.Effect sizes were estimated by randomeffects modelling and mean difference(MD).Heterogeneity between trials was quantified by I^(2).Results:Among the 38 registered clinical trials we identified,seven RCTs(1,519 patients)were included in the systematic review.One RCT had a low overall risk of bias.Compared to the control,CHM reduces dyspnea on the Borg Dyspnea Scale score(MD=–0.2,95%confidence interval[CI]=–0.65 to 0.25)with moderate certainty,and reduces fatigue on the Borg Scale(MD=–0.48,95%CI=–0.74 to–0.22)with low certainty.CHM clinically reduces depression on Hamilton Depression Rating Scale score(MD=–6.00,95%CI=–7.56 to–4.44)and anxiety on Hamilton Anxiety Rating Scale score(MD=–6.10,95%CI=–7.67 to–4.53),and reduces insomnia on the Insomnia Severity Index(MD=–4.86,95%CI=–12.50 to 2.79)with moderate certainty.Meta-analysis of two RCTs(517 patients)showed that CHM clinically improves exercise intolerance by increasing 6-minute walking distance(MD=–15.92,95%CI=–10.20 to 42.05)with substantial heterogeneity(I^(2)=68%)and low certainty.Conclusion:CHM is associated with a post-treatment clinical reduction in depression and anxiety in long COVID adults,compared to the control,but it does not have a strong treatment effect on dyspnea and insomnia.Effects of CHM on exercise intolerance and fatigue are uncertain,and the safety of using CHM remains questionable.展开更多
A"verdict"on the economic value of the patent system by the US economist Fritz Machlup published in 1958 still has an important impact on assessing the effects of the patent system on economic development by...A"verdict"on the economic value of the patent system by the US economist Fritz Machlup published in 1958 still has an important impact on assessing the effects of the patent system on economic development by intellec-tual property scholars worldwide.This contribution analyses Machlup's study as is and in the light of subsequent US and global legal and economic developments.Machlup's assessment was examined based on empirical data generated by the US Bayh-Dole type legislation as regards the translation of basic research into innovative products and pro-cesses.Moreover,it analyses the impact of the new world economic order instituted in the framework of the World Trade Organization(WTO)mandatorily requiring effective patent protection in all WTO Member States on the eco-nomic development of developing and emerging economies.The case of China,which adopted its first Patent Law in 1984,is addressed in the context of Machlup's verdict and in light of the subsequent economic,scientific and techno-logical development of that country.Concluding thoughts consider today's value of Machlup's"verdict".展开更多
BACKGROUND The hospice care system of traditional Chinese medicine(TCM)provides a reference for relieving depression,anxiety,and sleep disorders in patients with advanced cancer.AIM To explore the effects of TCM hospi...BACKGROUND The hospice care system of traditional Chinese medicine(TCM)provides a reference for relieving depression,anxiety,and sleep disorders in patients with advanced cancer.AIM To explore the effects of TCM hospice care on depression,anxiety,and sleep disorders in patients with advanced cancer.METHODS This prospective study was conducted between July 2023 and June 2024.Patients with advanced cancer were selected and divided into observation and control groups(n=34 per group).The observation group received TCM hospice care,with a 4-week treatment cycle.The control group received routine hospice care.The Hamilton Depression Rating Scale,Hamilton Self-Rating Anxiety Scale,and Pittsburgh Sleep Quality Index were used to assess depression,anxiety,and sleep quality changes,and Statistical Package for the Social Sciences 26.0 was used for data analysis.RESULTS No significant differences were found in age,sex,cancer type,disease course,or baseline mental symptom scores between the groups(P>0.05).After treatment,the observation group showed significantly greater improvements in depression,anxiety,and sleep quality(P<0.05).The depression,anxiety,and sleep scores in the observation group decreased to 7.21±2.48,6.12±2.39,and 4.53±1.89,respectively.In the control group,these scores decreased to 11.42±3.12,10.14±3.21,and 6.21±1.79.The observation group demonstrated superior efficacy(P<0.05).Depression,anxiety,and sleep quality were significantly positively correlated(P<0.05).Logistic regression analysis identified the TCM hospice care system as an independent factor improving patients'health.CONCLUSION The TCM hospice care system effectively improves depression,anxiety,and sleep disorders in patients with advanced cancer,offering comprehensive care suitable for clinical promotion and application.展开更多
Cancer presents a major global public health challenge and requires comprehensive treatments such as surgery and chemotherapy.Chinese herbal medicine(CHM)has gained attention as a potential adjunct therapy,but its eff...Cancer presents a major global public health challenge and requires comprehensive treatments such as surgery and chemotherapy.Chinese herbal medicine(CHM)has gained attention as a potential adjunct therapy,but its efficacy remains uncertain.To evaluate this,researchers conducted a search of EMBASE,Web of Science,PubMed,and the Cochrane Library for relevant articles.They included 33 studies with 17 cohorts,assessed the quality using the Newcastle-Ottawa Scale,and performed statistical analyses with Review Manager and STATA software.The results showed that cancer patients receiving CHM had a significantly reduced mortality risk(relative risk=0.79,95%confidence interval=0.72–0.86;P<0.00001).Both the unadjusted hazard ratio(HR)and the adjusted HR indicated a substantially and consistently lowered mortality risk for CHM-treated patients(unadjusted:P=0.00,I2=98.1%,HR=0.57,95%confidence interval=0.52–0.62;adjusted:P<0.00001,I2=98%,HR=0.59,95%confidence interval=0.53–0.66).Subgroup analysis by tumor type showed that CHM reduced mortality risk in patients with respiratory and digestive cancers.In conclusion,CHM treatment,either alone or in combination with chemotherapy,significantly decreases mortality risk in cancer patients.However,these findings need further verification through large-scale,multicenter,high-quality,long-term trials.展开更多
Anxiety,motivation,and strategy have long been seen as critical in second language acquisition.This study presents a systematic review of the literature on these variables in terms of their relationship with one anoth...Anxiety,motivation,and strategy have long been seen as critical in second language acquisition.This study presents a systematic review of the literature on these variables in terms of their relationship with one another,their effects on learning outcomes,and how they are affected by technology-assisted tools in the teaching of Chinese as a second language.This study includes 24 articles for the review study based on the criteria and process of the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocol(PRISMA-P)and the clustering techniques of VOSviewer.It is found that 1)anxiety,motivation,and strategy were interrelated,that is,motivation was negatively associated with anxiety but positively related to strategy,while strategy could positively predict anxiety;2)anxiety could both positively and negatively affect learning outcomes,while motivation and strategy could both positively and insignificantly influence learning outcomes;3)the technology-assisted tools used in the classroom could both positively and negatively affect the levels of these variables and learning outcomes in the L2 Chinese context.The need to explore more complicated relationships between language-specific individual variables themselves and other possible factors that affect these variables,such as cultural ones,are also discussed for future research.展开更多
Chinese hamster with Chinese characteristics is used in experiments,and it is of great value in the field of medical biology research.However,at present,there is no high-efficiency method for evaluating the genetic qu...Chinese hamster with Chinese characteristics is used in experiments,and it is of great value in the field of medical biology research.However,at present,there is no high-efficiency method for evaluating the genetic quality of Chinese hamsters.Here,we developed a novel Chinese hamster genetic quality detection system using single-nucleotide polymorphism(SNP)markers.To find SNP loci,we conducted whole genome sequencing on 24 Chinese hamsters.Then,we employed an SNP locus screening criterion that we set up previously and initially screened 214 SNP loci with wide genome distribution and high polymorphism level.Subsequently,we developed the SNP detection system using a multitarget region capture technique based on second-generation sequencing,and a 55 SNP panel for genetic evaluation of Chinese hamster populations was developed.PopGen.32.analysis results showed that the average effective allele number,Shannon index,observed heterozygosity,expected heterozygosity,average heterozygosity,polymorphism information,and other genetic parameters of Chinese hamster population A were higher than those in population B.Using scientific screening and optimization,we successfully developed a novel Chinese hamster SNP genetic detection system that can efficiently and accurately analyze the genetic quality of the Chinese hamster population.展开更多
The ancient tacit knowledge behind the logic system permeated the culture and promoted numerous impactful inventions throughout the history. Traditional Chinese medicine with its effectiveness should also have stemmed...The ancient tacit knowledge behind the logic system permeated the culture and promoted numerous impactful inventions throughout the history. Traditional Chinese medicine with its effectiveness should also have stemmed out from such logic system. This article aims to rearticulate the underlying lucid multi-dimensional logic system, which faded in obscurity only because of time-out loss of the mid-right concept. Retracing this past tacit but important concept could uncover a multi-dimensional system over a point relating to all matters while capturing the central core of the matter. The seemingly unmanageable multidimensional logic was strengthened by verification processes which affirmed its further extensions, and made up the language of the people, the concepts of yin-yang(阴阳), and the development of extensions of Ba Gua(八卦) derivatives, which furthered the interpretation of the space-time properties and Chinese medicine.展开更多
Cancer therapy continues to face major challenges,including drug resistance,toxicity,and tumor heterogeneity,which highlight the need for multitarget strategies.This review examines the molecular compatibility theory ...Cancer therapy continues to face major challenges,including drug resistance,toxicity,and tumor heterogeneity,which highlight the need for multitarget strategies.This review examines the molecular compatibility theory in integrative oncology,which combines traditional Chinese medicine(TCM)with systems biology to address these limitations.TCM formulas,such as Banxia Xiexin decoction and Qiqin Huchang formula,contain bioactive compounds(e.g.,quercetin and berberine)that modulate interconnected pathways(phosphoinositide 3-kinase/protein kinase B and mitogen-activated protein kinase)and the tumor microenvironment,thereby promoting apoptosis,inhibiting angiogenesis,and regulating immune responses.The theory modernizes TCM’s“Jun-Chen-Zuo-Shi”principle by optimizing herb combinations through network pharmacology and omics technologies.For instance,Astragalus membranaceus(Fisch.)Bge.var.mongholicus(Bge.)Hsiao(Huang Qi)-Curcuma phaeocaulis Val.(E Zhu)pairs co-target hypoxia-inducible factor 1-alpha to suppress metastasis,while artificial intelligence-driven models predict synergistic interactions such as quercetin-cyclin-dependent kinase 1 inhibition.Clinical studies have shown improved outcomes;for instance,modified Banxia Xiexin decoction reduces chemotherapy-induced toxicity in gastric cancer,and Xihuang pill enhances immunotherapy via signal transducer and activator of transcription 3-programmed death-ligand 1 modulation.Despite these advances,challenges remain in standardization and mechanistic validation.Future research should prioritize single-cell sequencing,organoid models,and international collaboration to refine personalized therapies and translate TCM into evidence-based oncology.By integrating empirical knowledge with modern science,molecular compatibility theory provides a robust framework for multitarget drug development and the advancement of integrative cancer therapies.展开更多
Objective:This cross-sectional study assessed the methodological quality of systematic reviews(SRs)of Chinese herbal medicine(CHM)published in Chinese between Jan 2021 and Sep 2022.Methods:Chinese language CHM SRs wer...Objective:This cross-sectional study assessed the methodological quality of systematic reviews(SRs)of Chinese herbal medicine(CHM)published in Chinese between Jan 2021 and Sep 2022.Methods:Chinese language CHM SRs were identified through literature searches across 3 international and 4 Chinese databases.Methodological quality was appraised using A MeaSurement Tool to Assess systematic Reviews 2.Logistic regressions were used to explore associations between bibliographical characteristics and quality.Results:Analyses of methodological quality found that among the 213 sampled SRs,69.5%were of critically low quality,30.5%were of low quality,and none achieved high or moderate quality.Common shortcomings included the failure to identify the studies excluded from the analysis,failure to disclose funding sources,and limited evaluation of the potential impact of bias on conclusions.Logistic regressions revealed that SRs led by corresponding authors affiliated with universities or academic institutions tended to be of lower quality than SRs led by authors affiliated with hospitals or clinical facilities.Conclusion:Recent Chinese language CHM SRs exhibited limited methodological quality,making them unlikely to support the development of clinical practice guidelines.Urgent initiatives are needed to enhance training for researchers,peer-reviewers and editors involved in the preparation and publication of SRs.Adoption of Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guidelines in Chinese language journals is crucial to improve the relevance of SRs for Chinese medicine development.Addressing deficiencies in methodology and reporting is essential for promoting evidence-based practices and informed clinical decisions in Chinese medicine.展开更多
Type 2 diabetes(T2D)presents a significant health challenge,underscoring the need for functional foods and nutraceutical hypoglycemic bioactive peptides for its prevention.This study investigates the potential of prot...Type 2 diabetes(T2D)presents a significant health challenge,underscoring the need for functional foods and nutraceutical hypoglycemic bioactive peptides for its prevention.This study investigates the potential of proteolytic hydrolysate from artificially cultivated Chinese giant salamander(CGS)meat,a rich protein source,as a preventive strategy for T2D.We produced a CGS meat hydrolysate(CGSh)and demonstrated its ability to inhibit the T2D drug target dipeptidyl peptidaseⅣ(DPP-Ⅳ)through in vitro assays.We identified 5 peptides(WRPPDH,WAPPSKD,IPDSPF,IPEMIF,and VPIAVPT)with high DPP-Ⅳinhibitory activity in CGSh,suggesting its potential antidiabetic effects.In vivo experiments showed that CGSh effectively reduced insulin resistance in mice induced with a high-fat diet,as evidenced by a slower increase in blood glucose levels and a decreased HOMA-IR index.16S rRNA sequencing analysis revealed that CGSh improved gut microbial homeostasis,promoting beneficial microorganisms and reducing harmful bacteria.Metabolomic analyses identified an increase in valeric acid levels and highlighted nine potential biomarker metabolites.By inhibiting metabolic pathways such as AGE-RAGE,CGSh might also prevent diabetic complications and reduce inflammation.These findings suggest that CGSh has a promising hypoglycemic effect,making it a potential functional food ingredient for T2D prevention and treatment.展开更多
[Objectives]This meta-analysis evaluated the efficacy of Traditional Chinese Medicine(TCM)manual therapies(Tuina,Daoyin,acupotomology)for idiopathic scoliosis(IS),with dual focus on radiographic outcomes(Cobb angle,ve...[Objectives]This meta-analysis evaluated the efficacy of Traditional Chinese Medicine(TCM)manual therapies(Tuina,Daoyin,acupotomology)for idiopathic scoliosis(IS),with dual focus on radiographic outcomes(Cobb angle,vertebral rotation)and patient-centered metrics(pain,disability,quality of life).[Methods]This study systematically searched PubMed,Cochrane Library,EMBASE,Web of Science,CNKI,Wanfang,and VIP databases(from inception to July 2025)for randomized controlled trials(RCTs)comparing TCM manual therapies against controls(bracing,exercise,sham,or no intervention).Two reviewers independently extracted data and assessed methodological quality using the PEDro scale.Meta-analyses employed random-effects models(Stata 18)to calculate Hedges'g with 95%confidence intervals(CI).Heterogeneity was quantified via I 2 statistics,and subgroup analyses examined intervention types(standalone versus combined)and control groups.[Results]Radiographic outcomes:TCM therapies significantly reduced Cobb angle(Hedges'g=-0.93;95%CI:-1.37,-0.49;p<0.001)and vertebral torsion rotation(VTR;g=-0.71;95%CI:-0.91,-0.51;p<0.001)versus controls;patient-centered outcomes:substantial pain reduction(VAS:g=-1.47;95%CI:-2.64,-0.30;p=0.01)and disability improvement(ODI:g=-1.10;95%CI:-1.57,-0.64;p<0.001)were observed.Quality of life(SRS-22)showed non-significant gains(g=2.01;95%CI:-0.43,4.45;p=0.11).[Conclusions]TCM manual therapies significantly improve spinal alignment and reduce pain/disability in IS patients,particularly when integrated with exercise regimens.While results support their role as complementary interventions,standardization of protocols and long-term efficacy studies are needed for clinical implementation.展开更多
BACKGROUND Diabetic kidney disease(DKD),a common microvascular complication of diabetes mellitus,is the primary cause of end-stage renal disease.Tongxinluo capsule(TXLC),a traditional Chinese medicinal compound,is wid...BACKGROUND Diabetic kidney disease(DKD),a common microvascular complication of diabetes mellitus,is the primary cause of end-stage renal disease.Tongxinluo capsule(TXLC),a traditional Chinese medicinal compound,is widely utilized in China for treating DKD.AIM To analyze the effectiveness and safety of TXLC for treating DKD.METHODS Eight electronic literature databases were retrieved to obtain randomized controlled trials(RCTs)of TXLC for DKD.RevMan 5.3 software was used for data analysis.Evidence quality was evaluated using the Grading of Recommendations,Assessment,Development,and Evaluation System.Publication bias was detected using Stata 16.0 software.RESULTS Twenty-two RCTs involving 1941 patients with DKD were identified.Compared with conventional treatment,TXLC combination therapy significantly improved the primary outcomes,including 24-hour urine proteinuria,urine microalbumin,and urinary albumin excretion rate.Regarding secondary outcomes,TXLC combination therapy significantly reduced serum creatinine,blood urea nitrogen,β2-microglobulin,and cystatin C levels;however,it had no significant effect on creatinine clearance rate.In terms of additional outcomes,TXLC combination therapy significantly reduced total cholesterol,triglycerides,low-density lipoprotein cholesterol,fibrinogen,plasma viscosity,whole blood low shear viscosity,whole blood high shear viscosity,and endothelin-1 levels,while increasing nitric oxide levels.However,the addition of TXLC treatment did not significantly affect fasting plasma glucose,2-hour postprandial blood glucose,glycosylated hemoglobin,high-density lipoprotein cholesterol,or C-reactive protein levels.The safety of TXLC in DKD remains uncertain due to limited adverse event reporting.CONCLUSION TXLC may benefit individuals with DKD by improving various health parameters,such as urinary protein levels,renal function,blood lipids,hemorheology,and vascular endothelial function.However,TXLC did not improve all studied outcomes.展开更多
基金funding by National Natural Science Foundation of China(No.82174492)National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion Project(N o.ZJJBGS2024002-1).
文摘Background: The human gut microbiome is an important target for disease treatment and prevention. Various microbial species within the complex ecosystem of the microbiome have been shown to play important roles in disease. Identification of bioactive materials capable of altering the abundances of these species both safely and effectively is a major goal in microbiome research. Many traditional Chinese medicines (TCMs) have been reported to affect the composition of the gut microbiome. Here, we summarize studies that have used TCMs to alter the gut microbiome and discuss the response relationship between TCMs and gut microbial species. Methods: We searched the PubMed, Web of Science, and Knowledge Network databases using the terms “traditional Chinese medicine,” “gut microbiome,” and specific system disease names (endocrine, immune, nervous, cardiovascular, and digestive). Studies were excluded if irrelevant or if the experimental procedures were unclear. Results: TCMs have been reported to affect a wide range of gut microbial taxa spanning major phyla, including Firmicutes, Bacteroidetes, Proteobacteria, Verrucomicrobiota, Actinobacteria, and Fusobacteria. In all, 54 TCMs including compounds and extracts have been tested in rodents and 30 have been examined in human trials. Almost all studies have reported positive results in regulating the gut microbiome as well as modulating corresponding phenotypes, spanning diseases of the endocrine, immune, nervous, cardiovascular, and digestive systems. Gut species, including Akkermansia, Bacteroides, Fusobacterium, Faecalibacterium, and E. coli, were found to be regulated by 19 TCMs. A network was constructed to visualize the interactions between TCMs and these taxa. Conclusion: There exists a complex and close relationship between intestinal microflora and diseases. Sufficient experimental data and studies have proved that the imbalance of intestinal microflora affects health by mediating metabolism, immune regulation, inflammation and signal transduction. Many characteristic alterations of intestinal microflora are positively correlated with diseases, so intestinal microflora has become a potential risk index and treatment target for many diseases. Many TCMs affect the relative abundances of microbial species in the gut, and therefore may be useful for modulating the gut microbiome. This review provides a reference for prioritizing candidate TCMs from the enormous repertoire of such medicines to test which specific gut microbes are targeted.
基金supported by the National Natural Science Foundation of China,Nos.82304990(to NY),81973748(to JC),82174278(to JC)the National Key R&D Program of China,No.2023YFE0209500(to JC)+4 种基金China Postdoctoral Science Foundation,No.2023M732380(to NY)Guangzhou Key Laboratory of Formula-Pattern of Traditional Chinese Medicine,No.202102010014(to JC)Huang Zhendong Research Fund for Traditional Chinese Medicine of Jinan University,No.201911(to JC)National Innovation and Entrepreneurship Training Program for Undergraduates in China,No.202310559128(to NY and QM)Innovation and Entrepreneurship Training Program for Undergraduates at Jinan University,Nos.CX24380,CX24381(both to NY and QM)。
文摘Early life stress correlates with a higher prevalence of neurological disorders,including autism,attention-deficit/hyperactivity disorder,schizophrenia,depression,and Parkinson's disease.These conditions,primarily involving abnormal development and damage of the dopaminergic system,pose significant public health challenges.Microglia,as the primary immune cells in the brain,are crucial in regulating neuronal circuit development and survival.From the embryonic stage to adulthood,microglia exhibit stage-specific gene expression profiles,transcriptome characteristics,and functional phenotypes,enhancing the susceptibility to early life stress.However,the role of microglia in mediating dopaminergic system disorders under early life stress conditions remains poorly understood.This review presents an up-to-date overview of preclinical studies elucidating the impact of early life stress on microglia,leading to dopaminergic system disorders,along with the underlying mechanisms and therapeutic potential for neurodegenerative and neurodevelopmental conditions.Impaired microglial activity damages dopaminergic neurons by diminishing neurotrophic support(e.g.,insulin-like growth factor-1)and hinders dopaminergic axon growth through defective phagocytosis and synaptic pruning.Furthermore,blunted microglial immunoreactivity suppresses striatal dopaminergic circuit development and reduces neuronal transmission.Furthermore,inflammation and oxidative stress induced by activated microglia can directly damage dopaminergic neurons,inhibiting dopamine synthesis,reuptake,and receptor activity.Enhanced microglial phagocytosis inhibits dopamine axon extension.These long-lasting effects of microglial perturbations may be driven by early life stress–induced epigenetic reprogramming of microglia.Indirectly,early life stress may influence microglial function through various pathways,such as astrocytic activation,the hypothalamic–pituitary–adrenal axis,the gut–brain axis,and maternal immune signaling.Finally,various therapeutic strategies and molecular mechanisms for targeting microglia to restore the dopaminergic system were summarized and discussed.These strategies include classical antidepressants and antipsychotics,antibiotics and anti-inflammatory agents,and herbal-derived medicine.Further investigations combining pharmacological interventions and genetic strategies are essential to elucidate the causal role of microglial phenotypic and functional perturbations in the dopaminergic system disrupted by early life stress.
文摘Alzheimer's disease is a common neurodegenerative disorder in older adults.Despite its prevalence,its pathogenesis remains unclea r.In addition to the most widely accepted causes,which in clude excessive amyloid-beta aggregation,tau hyperphosphorylation,and deficiency of the neurotransmitter acetylcholine,numerous studies have shown that the dopaminergic system is also closely associated with the occurrence and development of this condition.Dopamine is a crucial catecholaminergic neurotransmitter in the human body.Dopamine-associated treatments,such as drugs that target dopamine receptor D and dopamine analogs,can improve cognitive function and alleviate psychiatric symptoms as well as ameliorate other clinical manifestations.Howeve r,therapeutics targeting the dopaminergic system are associated with various adverse reactions,such as addiction and exacerbation of cognitive impairment.This review summarizes the role of the dopaminergic system in the pathology of Alzheimer's disease,focusing on currently available dopamine-based therapies for this disorder and the common side effects associated with dopamine-related drugs.The aim of this review is to provide insights into the potential connections between the dopaminergic system and Alzheimer's disease,thus helping to clarify the mechanisms underlying the condition and exploring more effective therapeutic options.
基金supported by Young Talent Program of The Affiliated Hospital of Xuzhou Medical University,Advanced Program of The Affiliated Hospital of Xuzhou Medical University(PYJH2024210)Medical Research Project of Jiangsu Provincial Health Commission(H2023050)National Natural Science Foundation of China(No.32301278).
文摘Traditional Chinese medicines(TCMs)have been used for centuries to treat and manage various diseases.However,their effective delivery to targeted sites may be a major challenge due to their poor water solubility,low bio-availability,and potential toxicity.Nanocarriers,such as liposomes,polymeric nanoparticles,inorganic nanoparticles,and organic/inorganic nanohybrids based on active constituents from TCMs have been extensively studied as a promising strategy to improve the delivery of active constituents from TCMs to achieve a higher therapeutic effect with fewer side effects compared to conventional formulations.This article summarizes the recent progress in nanocarrier-based delivery systems.Nanotechnology can broaden the scope of applications of traditional Chinese medicine.The concept of nano-traditional Chinese medicine(nano-TCM)is introduced,and the progress of nanomedicine,the advantages,and the development direction of nano-TCM are reviewed,providing new ideas for the development of nano-TCM.
文摘Xi Jinping,general secretary of the Communist Party of China(CPC)Central Committee,stressed that we should adhere to the“two integrations”(namely,integrating the basic tenets of Marxism with China’s specific realities and fine traditional culture),root ourselves in Chinese soil,carry forward the Chinese cultural heritage,and strengthen the academic foundation.We should accelerate the building of an independent knowledge system for Chinese philosophy and social sciences,and formulate original concepts and develop systems of academic discipline,research and discourse,drawing on China’s rich experience of advancing human rights.In the face of changes of a magnitude not seen in a century,in the historic process of advancing the great rejuvenation of the Chinese nation on all fronts through Chinese modernization,we should and must strengthen our theoretical self-consciousness and confidence in the path of Chinese modernization.We need to enhance human rights research,develop the human rights theoretical system and paradigm that are based on Chinese realities and express Chinese voice,and an independent Chinese knowledge system for human rights.
基金supported by the social development project of the National Social Science Fund Project(No.17BTQ063)National Natural Science Foundation of China(72174094).
文摘Stroke,which is the second leading cause of mortality worldwide and the third leading cause of death and disability combined,[1]necessitates cost-effective rehabilitation interventions.Acupuncture is a traditional Chinese medicine therapy that is increasingly recognized as a complementary stroke therapy.
文摘Background:Over 65 million people have long COVID.Evidence for using Chinese herbal medicine(CHM)to treat long COVID is growing.A systematic review of evidence for guiding clinical decision is warranted.Objective:To examine the effects and safety of CHM in alleviating the severity of dyspnea,fatigue,exercise intolerance,depression,anxiety and insomnia in long COVID adults based on registered randomized clinical trials(RCT).Search strategy:World Health Organization International Clinical Trials Registry Platform and Chinese Clinical Trial Registry were searched for registered trial protocols from database inception to February 10,2023.English(PubM ed,Embase,AMED and CINAHL)and Chinese databases(CNKI,Wanfang Data and CQVIP)were then searched to identify relevant publications from December 2019 through April 6,2023.Inclusion criteria:Registered RCTs that compared the effects of Chinese herbal medicines or Chinese herbal formulas against a control treatment(i.e.,the placebo or usual care)in adults with persistent symptoms of long COVID.The primary outcome of dyspnea,and secondary outcomes of fatigue,exercise intolerance,depression,anxiety and insomnia were measured using validated tools at the end of the treatment.Data extraction and analysis:Data were extracted,and eligible RCTs were evaluated using version 2 of the Cochrane risk-of-bias tool for randomized trials and Grading of Recommendations,Assessment,Development and Evaluations independently by two researchers.Effect sizes were estimated by randomeffects modelling and mean difference(MD).Heterogeneity between trials was quantified by I^(2).Results:Among the 38 registered clinical trials we identified,seven RCTs(1,519 patients)were included in the systematic review.One RCT had a low overall risk of bias.Compared to the control,CHM reduces dyspnea on the Borg Dyspnea Scale score(MD=–0.2,95%confidence interval[CI]=–0.65 to 0.25)with moderate certainty,and reduces fatigue on the Borg Scale(MD=–0.48,95%CI=–0.74 to–0.22)with low certainty.CHM clinically reduces depression on Hamilton Depression Rating Scale score(MD=–6.00,95%CI=–7.56 to–4.44)and anxiety on Hamilton Anxiety Rating Scale score(MD=–6.10,95%CI=–7.67 to–4.53),and reduces insomnia on the Insomnia Severity Index(MD=–4.86,95%CI=–12.50 to 2.79)with moderate certainty.Meta-analysis of two RCTs(517 patients)showed that CHM clinically improves exercise intolerance by increasing 6-minute walking distance(MD=–15.92,95%CI=–10.20 to 42.05)with substantial heterogeneity(I^(2)=68%)and low certainty.Conclusion:CHM is associated with a post-treatment clinical reduction in depression and anxiety in long COVID adults,compared to the control,but it does not have a strong treatment effect on dyspnea and insomnia.Effects of CHM on exercise intolerance and fatigue are uncertain,and the safety of using CHM remains questionable.
文摘A"verdict"on the economic value of the patent system by the US economist Fritz Machlup published in 1958 still has an important impact on assessing the effects of the patent system on economic development by intellec-tual property scholars worldwide.This contribution analyses Machlup's study as is and in the light of subsequent US and global legal and economic developments.Machlup's assessment was examined based on empirical data generated by the US Bayh-Dole type legislation as regards the translation of basic research into innovative products and pro-cesses.Moreover,it analyses the impact of the new world economic order instituted in the framework of the World Trade Organization(WTO)mandatorily requiring effective patent protection in all WTO Member States on the eco-nomic development of developing and emerging economies.The case of China,which adopted its first Patent Law in 1984,is addressed in the context of Machlup's verdict and in light of the subsequent economic,scientific and techno-logical development of that country.Concluding thoughts consider today's value of Machlup's"verdict".
基金Supported by Joint Fund Project of Hunan University of Chinese Medicine,No.2024XYLH036National Advantageous Specialty of Traditional Chinese Medicine-Nursing(Guo Zhong Yao Yi Zheng Han[2024]No.90),No.czxm-yb-2024002Young Talent Program of Hunan Nursing Association.
文摘BACKGROUND The hospice care system of traditional Chinese medicine(TCM)provides a reference for relieving depression,anxiety,and sleep disorders in patients with advanced cancer.AIM To explore the effects of TCM hospice care on depression,anxiety,and sleep disorders in patients with advanced cancer.METHODS This prospective study was conducted between July 2023 and June 2024.Patients with advanced cancer were selected and divided into observation and control groups(n=34 per group).The observation group received TCM hospice care,with a 4-week treatment cycle.The control group received routine hospice care.The Hamilton Depression Rating Scale,Hamilton Self-Rating Anxiety Scale,and Pittsburgh Sleep Quality Index were used to assess depression,anxiety,and sleep quality changes,and Statistical Package for the Social Sciences 26.0 was used for data analysis.RESULTS No significant differences were found in age,sex,cancer type,disease course,or baseline mental symptom scores between the groups(P>0.05).After treatment,the observation group showed significantly greater improvements in depression,anxiety,and sleep quality(P<0.05).The depression,anxiety,and sleep scores in the observation group decreased to 7.21±2.48,6.12±2.39,and 4.53±1.89,respectively.In the control group,these scores decreased to 11.42±3.12,10.14±3.21,and 6.21±1.79.The observation group demonstrated superior efficacy(P<0.05).Depression,anxiety,and sleep quality were significantly positively correlated(P<0.05).Logistic regression analysis identified the TCM hospice care system as an independent factor improving patients'health.CONCLUSION The TCM hospice care system effectively improves depression,anxiety,and sleep disorders in patients with advanced cancer,offering comprehensive care suitable for clinical promotion and application.
基金supported by the National Natural Science Foundation of China(No.82060519,81760519,81560429)the Yunnan Provincial Department of Science and Technology-Yunnan University of Chinese Medicine Applied Basic Research Joint Special Key Project(2019FF002(-011))+3 种基金Yunnan Province 10,000 people plan young top-notch talents(YNWR-QNBJ-2018-212)Yunnan Provincial Department of Science and Technology-Yunnan University of Chinese Medicine Applied Basic Research Joint Special Project(202301AZ070001-062)State Administration of Traditional Chinese Medicine High-level Chinese Medicine Key Discipline Construction Project“Dai Medicine”Yunnan Science and Technology Talent and Platform Program(202105AG070012).
文摘Cancer presents a major global public health challenge and requires comprehensive treatments such as surgery and chemotherapy.Chinese herbal medicine(CHM)has gained attention as a potential adjunct therapy,but its efficacy remains uncertain.To evaluate this,researchers conducted a search of EMBASE,Web of Science,PubMed,and the Cochrane Library for relevant articles.They included 33 studies with 17 cohorts,assessed the quality using the Newcastle-Ottawa Scale,and performed statistical analyses with Review Manager and STATA software.The results showed that cancer patients receiving CHM had a significantly reduced mortality risk(relative risk=0.79,95%confidence interval=0.72–0.86;P<0.00001).Both the unadjusted hazard ratio(HR)and the adjusted HR indicated a substantially and consistently lowered mortality risk for CHM-treated patients(unadjusted:P=0.00,I2=98.1%,HR=0.57,95%confidence interval=0.52–0.62;adjusted:P<0.00001,I2=98%,HR=0.59,95%confidence interval=0.53–0.66).Subgroup analysis by tumor type showed that CHM reduced mortality risk in patients with respiratory and digestive cancers.In conclusion,CHM treatment,either alone or in combination with chemotherapy,significantly decreases mortality risk in cancer patients.However,these findings need further verification through large-scale,multicenter,high-quality,long-term trials.
文摘Anxiety,motivation,and strategy have long been seen as critical in second language acquisition.This study presents a systematic review of the literature on these variables in terms of their relationship with one another,their effects on learning outcomes,and how they are affected by technology-assisted tools in the teaching of Chinese as a second language.This study includes 24 articles for the review study based on the criteria and process of the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocol(PRISMA-P)and the clustering techniques of VOSviewer.It is found that 1)anxiety,motivation,and strategy were interrelated,that is,motivation was negatively associated with anxiety but positively related to strategy,while strategy could positively predict anxiety;2)anxiety could both positively and negatively affect learning outcomes,while motivation and strategy could both positively and insignificantly influence learning outcomes;3)the technology-assisted tools used in the classroom could both positively and negatively affect the levels of these variables and learning outcomes in the L2 Chinese context.The need to explore more complicated relationships between language-specific individual variables themselves and other possible factors that affect these variables,such as cultural ones,are also discussed for future research.
基金National Key Research and Development Program for Young scientists,Grant/Award Number:2021YFF0703200National Natural Foundation Joint Fund for Regional Innovation and Development,Grant/Award Number:U21A20194+1 种基金National Natural Science Foundation of China,Grant/Award Number:32170540National Key Research and Development Program,Grant/Award Number:2022YFF0711005。
文摘Chinese hamster with Chinese characteristics is used in experiments,and it is of great value in the field of medical biology research.However,at present,there is no high-efficiency method for evaluating the genetic quality of Chinese hamsters.Here,we developed a novel Chinese hamster genetic quality detection system using single-nucleotide polymorphism(SNP)markers.To find SNP loci,we conducted whole genome sequencing on 24 Chinese hamsters.Then,we employed an SNP locus screening criterion that we set up previously and initially screened 214 SNP loci with wide genome distribution and high polymorphism level.Subsequently,we developed the SNP detection system using a multitarget region capture technique based on second-generation sequencing,and a 55 SNP panel for genetic evaluation of Chinese hamster populations was developed.PopGen.32.analysis results showed that the average effective allele number,Shannon index,observed heterozygosity,expected heterozygosity,average heterozygosity,polymorphism information,and other genetic parameters of Chinese hamster population A were higher than those in population B.Using scientific screening and optimization,we successfully developed a novel Chinese hamster SNP genetic detection system that can efficiently and accurately analyze the genetic quality of the Chinese hamster population.
文摘The ancient tacit knowledge behind the logic system permeated the culture and promoted numerous impactful inventions throughout the history. Traditional Chinese medicine with its effectiveness should also have stemmed out from such logic system. This article aims to rearticulate the underlying lucid multi-dimensional logic system, which faded in obscurity only because of time-out loss of the mid-right concept. Retracing this past tacit but important concept could uncover a multi-dimensional system over a point relating to all matters while capturing the central core of the matter. The seemingly unmanageable multidimensional logic was strengthened by verification processes which affirmed its further extensions, and made up the language of the people, the concepts of yin-yang(阴阳), and the development of extensions of Ba Gua(八卦) derivatives, which furthered the interpretation of the space-time properties and Chinese medicine.
基金supported from the Key R&D Program of Zhejiang(2025C02198)Zhejiang Provincial Administration of Traditional Chinese Medicine Co-construction Science and Technology Plan Project(GZY-ZJ-KJ-24083).
文摘Cancer therapy continues to face major challenges,including drug resistance,toxicity,and tumor heterogeneity,which highlight the need for multitarget strategies.This review examines the molecular compatibility theory in integrative oncology,which combines traditional Chinese medicine(TCM)with systems biology to address these limitations.TCM formulas,such as Banxia Xiexin decoction and Qiqin Huchang formula,contain bioactive compounds(e.g.,quercetin and berberine)that modulate interconnected pathways(phosphoinositide 3-kinase/protein kinase B and mitogen-activated protein kinase)and the tumor microenvironment,thereby promoting apoptosis,inhibiting angiogenesis,and regulating immune responses.The theory modernizes TCM’s“Jun-Chen-Zuo-Shi”principle by optimizing herb combinations through network pharmacology and omics technologies.For instance,Astragalus membranaceus(Fisch.)Bge.var.mongholicus(Bge.)Hsiao(Huang Qi)-Curcuma phaeocaulis Val.(E Zhu)pairs co-target hypoxia-inducible factor 1-alpha to suppress metastasis,while artificial intelligence-driven models predict synergistic interactions such as quercetin-cyclin-dependent kinase 1 inhibition.Clinical studies have shown improved outcomes;for instance,modified Banxia Xiexin decoction reduces chemotherapy-induced toxicity in gastric cancer,and Xihuang pill enhances immunotherapy via signal transducer and activator of transcription 3-programmed death-ligand 1 modulation.Despite these advances,challenges remain in standardization and mechanistic validation.Future research should prioritize single-cell sequencing,organoid models,and international collaboration to refine personalized therapies and translate TCM into evidence-based oncology.By integrating empirical knowledge with modern science,molecular compatibility theory provides a robust framework for multitarget drug development and the advancement of integrative cancer therapies.
基金supported by Chinese Medicine Development Fund of the Hong Kong SAR(No.21B2/018A)。
文摘Objective:This cross-sectional study assessed the methodological quality of systematic reviews(SRs)of Chinese herbal medicine(CHM)published in Chinese between Jan 2021 and Sep 2022.Methods:Chinese language CHM SRs were identified through literature searches across 3 international and 4 Chinese databases.Methodological quality was appraised using A MeaSurement Tool to Assess systematic Reviews 2.Logistic regressions were used to explore associations between bibliographical characteristics and quality.Results:Analyses of methodological quality found that among the 213 sampled SRs,69.5%were of critically low quality,30.5%were of low quality,and none achieved high or moderate quality.Common shortcomings included the failure to identify the studies excluded from the analysis,failure to disclose funding sources,and limited evaluation of the potential impact of bias on conclusions.Logistic regressions revealed that SRs led by corresponding authors affiliated with universities or academic institutions tended to be of lower quality than SRs led by authors affiliated with hospitals or clinical facilities.Conclusion:Recent Chinese language CHM SRs exhibited limited methodological quality,making them unlikely to support the development of clinical practice guidelines.Urgent initiatives are needed to enhance training for researchers,peer-reviewers and editors involved in the preparation and publication of SRs.Adoption of Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guidelines in Chinese language journals is crucial to improve the relevance of SRs for Chinese medicine development.Addressing deficiencies in methodology and reporting is essential for promoting evidence-based practices and informed clinical decisions in Chinese medicine.
基金funded by the Shenzhen Agricultural Development Special Fund(Fishery)Agricultural High-tech Project([2021]735)SAMR technical guarantee project(2023YJ22 and 2023YJ37)。
文摘Type 2 diabetes(T2D)presents a significant health challenge,underscoring the need for functional foods and nutraceutical hypoglycemic bioactive peptides for its prevention.This study investigates the potential of proteolytic hydrolysate from artificially cultivated Chinese giant salamander(CGS)meat,a rich protein source,as a preventive strategy for T2D.We produced a CGS meat hydrolysate(CGSh)and demonstrated its ability to inhibit the T2D drug target dipeptidyl peptidaseⅣ(DPP-Ⅳ)through in vitro assays.We identified 5 peptides(WRPPDH,WAPPSKD,IPDSPF,IPEMIF,and VPIAVPT)with high DPP-Ⅳinhibitory activity in CGSh,suggesting its potential antidiabetic effects.In vivo experiments showed that CGSh effectively reduced insulin resistance in mice induced with a high-fat diet,as evidenced by a slower increase in blood glucose levels and a decreased HOMA-IR index.16S rRNA sequencing analysis revealed that CGSh improved gut microbial homeostasis,promoting beneficial microorganisms and reducing harmful bacteria.Metabolomic analyses identified an increase in valeric acid levels and highlighted nine potential biomarker metabolites.By inhibiting metabolic pathways such as AGE-RAGE,CGSh might also prevent diabetic complications and reduce inflammation.These findings suggest that CGSh has a promising hypoglycemic effect,making it a potential functional food ingredient for T2D prevention and treatment.
文摘[Objectives]This meta-analysis evaluated the efficacy of Traditional Chinese Medicine(TCM)manual therapies(Tuina,Daoyin,acupotomology)for idiopathic scoliosis(IS),with dual focus on radiographic outcomes(Cobb angle,vertebral rotation)and patient-centered metrics(pain,disability,quality of life).[Methods]This study systematically searched PubMed,Cochrane Library,EMBASE,Web of Science,CNKI,Wanfang,and VIP databases(from inception to July 2025)for randomized controlled trials(RCTs)comparing TCM manual therapies against controls(bracing,exercise,sham,or no intervention).Two reviewers independently extracted data and assessed methodological quality using the PEDro scale.Meta-analyses employed random-effects models(Stata 18)to calculate Hedges'g with 95%confidence intervals(CI).Heterogeneity was quantified via I 2 statistics,and subgroup analyses examined intervention types(standalone versus combined)and control groups.[Results]Radiographic outcomes:TCM therapies significantly reduced Cobb angle(Hedges'g=-0.93;95%CI:-1.37,-0.49;p<0.001)and vertebral torsion rotation(VTR;g=-0.71;95%CI:-0.91,-0.51;p<0.001)versus controls;patient-centered outcomes:substantial pain reduction(VAS:g=-1.47;95%CI:-2.64,-0.30;p=0.01)and disability improvement(ODI:g=-1.10;95%CI:-1.57,-0.64;p<0.001)were observed.Quality of life(SRS-22)showed non-significant gains(g=2.01;95%CI:-0.43,4.45;p=0.11).[Conclusions]TCM manual therapies significantly improve spinal alignment and reduce pain/disability in IS patients,particularly when integrated with exercise regimens.While results support their role as complementary interventions,standardization of protocols and long-term efficacy studies are needed for clinical implementation.
基金Supported by National Key Research and Development Program of China,No.2020YFE0201800Leading Talent Training Program Project of Dongzhimen Hospital of Beijing University of Chinese Medicine,No.DZMG-LJRC0004+2 种基金China Postdoctoral Science Foundation,No.2024M750263the Fundamental Research Funds for the Central Universities,No.2023-JYB-JBZD-010Postdoctoral Fellowship Program of China Postdoctoral Science Foundation,No.GZC20230324。
文摘BACKGROUND Diabetic kidney disease(DKD),a common microvascular complication of diabetes mellitus,is the primary cause of end-stage renal disease.Tongxinluo capsule(TXLC),a traditional Chinese medicinal compound,is widely utilized in China for treating DKD.AIM To analyze the effectiveness and safety of TXLC for treating DKD.METHODS Eight electronic literature databases were retrieved to obtain randomized controlled trials(RCTs)of TXLC for DKD.RevMan 5.3 software was used for data analysis.Evidence quality was evaluated using the Grading of Recommendations,Assessment,Development,and Evaluation System.Publication bias was detected using Stata 16.0 software.RESULTS Twenty-two RCTs involving 1941 patients with DKD were identified.Compared with conventional treatment,TXLC combination therapy significantly improved the primary outcomes,including 24-hour urine proteinuria,urine microalbumin,and urinary albumin excretion rate.Regarding secondary outcomes,TXLC combination therapy significantly reduced serum creatinine,blood urea nitrogen,β2-microglobulin,and cystatin C levels;however,it had no significant effect on creatinine clearance rate.In terms of additional outcomes,TXLC combination therapy significantly reduced total cholesterol,triglycerides,low-density lipoprotein cholesterol,fibrinogen,plasma viscosity,whole blood low shear viscosity,whole blood high shear viscosity,and endothelin-1 levels,while increasing nitric oxide levels.However,the addition of TXLC treatment did not significantly affect fasting plasma glucose,2-hour postprandial blood glucose,glycosylated hemoglobin,high-density lipoprotein cholesterol,or C-reactive protein levels.The safety of TXLC in DKD remains uncertain due to limited adverse event reporting.CONCLUSION TXLC may benefit individuals with DKD by improving various health parameters,such as urinary protein levels,renal function,blood lipids,hemorheology,and vascular endothelial function.However,TXLC did not improve all studied outcomes.
