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Decoding the anti-tumor mechanisms of Caulis Polygoni Multiflori against triple-negative breast cancer:A multi-omics approach combining network pharmacology,molecular docking,and experimental validation
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作者 Pei-Jian Bai Hui-Hui Zhang +1 位作者 Ting Wang Ping Li 《Integrative Medicine Discovery》 2025年第25期1-11,共11页
Background:Triple-negative breast cancer(TNBC)has long been a difficult therapeutic target to overcome because of its extreme aggressiveness,poor efficacy and rarity of available treatment regimens.To explore the anti... Background:Triple-negative breast cancer(TNBC)has long been a difficult therapeutic target to overcome because of its extreme aggressiveness,poor efficacy and rarity of available treatment regimens.To explore the anti-TNBC potential of Caulis Polygoni Multiflori(CPM),this investigation applied an integrated computational and experimental approach.Methods:Bioactive CPM compounds were investigated via screening of three TCM databases(TCMSP,TCMID,and HERB)using Bioavailability(OB≥30%)as inclusion criteria.TNBC targets were obtained from the online resources GeneCards,CTD,and OMIM network pharmacology analysis was used to determine common target(s),utilizing two PPI analysis tools–STRING and Cytoscape.Molecular docking assessed target-compound interactions by means of AutoDock Vina.In vitro studies conducted on MDA-MB-231 cells involved evaluating inhibitory effects via MTT,wound-healing assay,transwell,and qPCR techniques.Results:Six bioactive compounds were identified,with emodin(IC50 approximately 15μM)and chrysophanol(IC50 approximately 25μM)showing strong binding to TNBC targets(emodin-HSP90AB1:−9.42 kcal/mol;chrysophanol-SRC:−8.32 kcal/mol).Network analysis revealed 143 shared targets,with BCL2,EGFR and ESR1 as key nodes.Pathway analysis implicated PI3K-AKT signaling and apoptosis.In vitro,emodin and chrysophanol synergistically inhibited proliferation,migration and invasion,while downregulating BCL2,EGFR and ESR1 expression.Conclusion:To the best of our knowledge,this is the first report that describes the synergistic mechanisms of multiple compounds from the extract of CPM in TNBC with chrysophanol and emodin working as the main components by mediating oncogenic pathways. 展开更多
关键词 Caulis Polygoni multiflori triple-negative breast cancer traditional Chinese medicine network pharmacology molecular docking
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Chronic toxicity of both raw and processed Polygoni Multiflori Radix on rats 被引量:6
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作者 贺嫣然 宋美珍 +5 位作者 王万根 林佩 李云飞 顾雯 俞捷 赵荣华 《Journal of Chinese Pharmaceutical Sciences》 CAS CSCD 2016年第1期46-56,共11页
Recently, adverse effects of Polygoni Multiflori Radix(PMR) and Polygoni Multiflori Radix Praeparata(PMRP) have attracted intensive attention worldwide. These adverse effects most occurred in cases with high dose ... Recently, adverse effects of Polygoni Multiflori Radix(PMR) and Polygoni Multiflori Radix Praeparata(PMRP) have attracted intensive attention worldwide. These adverse effects most occurred in cases with high dose of prolonged medication course. Liver is usually the target organ of these adverse effects. In the present research, we performed in vivo chronic toxicity study and aimed to evaluate relationships between major constituents of water extractions and total anthraquinone of PMR and PMRP and chronic toxicity. SD rats of both sexes were given water extractions as well as total anthraquinone of PMR and PMRP for 12 weeks. We evaluated basic biochemical indexes, conducted microscopic observations of main organs and assessed early indicators of liver and renal fibrosis. Simvastatin, with hypertriglyceridemia and hypercholesterolemia as its main therapeutic areas, was investigated in our study. Component-toxicity relationships were also discussed. Five male rats died in our study, while all female rats survived, suggesting that some gender differences might be involved. Body weight was significantly changed, and basic biochemical indexes were sporadically occurred during the research. Pathological examinations on liver and kidney showed slight alternations after 12 weeks without dose-dependent relationship. Increase in serum laminin(LN) was observed in almost all male rats, indicating that the risks of liver or kidney fibrosis still existed, especially for males, although no fibrosis was found in the pathological examination of liver and kidney. No major and severe adverse effects were observed after 12 weeks of administration of PMR and PMRP. Regular safety monitoring is still necessary during medication in order to prevent possible risks. 展开更多
关键词 Chronic toxicity Polygoni multiflori Radix Polygoni multiflori Radix Praeparata Total anthraquinone
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Enhanced absorption and inhibited metabolism of emodin by 2,3,5,4'-tetrahydroxystilbene-2-O-β-D-glucopyranoside: Possible mechanisms for Polygoni Multiflori Radix-induced liver injury 被引量:15
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作者 YU Qiong JIANG Li-Long +4 位作者 LUO Na FAN Ya-Xi MA Jiang LI Ping LI Hui-Jun 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2017年第6期451-457,共7页
Polygoni Multiflori Radix(PMR) has been commonly used as a tonic in China for centuries. However, PMR-associated hepatotoxicity is becoming a safety issue. In our previous in vivo study, an interaction between stilben... Polygoni Multiflori Radix(PMR) has been commonly used as a tonic in China for centuries. However, PMR-associated hepatotoxicity is becoming a safety issue. In our previous in vivo study, an interaction between stilbenes and anthraquinones has been discovered and a hypothesis is proposed that the interaction between stilbene glucoside-enriching fraction and emodin may contribute to the side effects of PMR. To further support our previous in vivo results in rats, the present in vitro study was designed to evaluate the effects of 2, 3, 5, 4'-tetrahydroxystilbene-2-O-β-D-glucopyranoside(TSG) on the cellular absorption and human liver microsome metabolism of emodin. The obtained results indicated that the absorption of emodin in Caco-2 cells was enhanced and the metabolism of emodin in human liver microsomes was inhibited after TSG treatment. The effects of the transport inhibitors on the cellular emodin accumulation were also examined. Western blot assay suggested that the depressed metabolism of emodin could be attributed to the down-regulation of UDP-glucuronosyltransferases(UGTs) 1A8, 1A10, and 2B7. These findings definitively demonstrated the existence of interaction between TSG and emodin, which provide a basis for a better understanding of the underlying mechanism for PMR-induced liver injury. 展开更多
关键词 Polygoni multiflori Radix HEPATOTOXICITY EMODIN 2 3 5 4’-Tetrahydroxystilbene-2-O-β-D-glucopyranoside Component interaction
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Chemical profiles and metabolite study of raw and processed Polygoni Multiflori Radix in rats by UPLC-LTQ-Orbitrap MS^n spectrometry 被引量:6
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作者 HUANG Juan ZHANG Ju-Ping +6 位作者 BAI Jun-Qi WEI Mei-Jin ZHANG Jing HUANG Zhi-Hai QU Guang-Hang XU Wen QIU Xiao-Hui 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2018年第5期375-400,共26页
The raw and processed roots of Plygonum multiflorum Thunb(PM) are used to treat different diseases in clinical practice. In order to clarify the influence of processing, a comparative study of chemical substance analy... The raw and processed roots of Plygonum multiflorum Thunb(PM) are used to treat different diseases in clinical practice. In order to clarify the influence of processing, a comparative study of chemical substance analysis was carried out. As the xenobiotics with a high enough exposure in target organs being considered as the potential effective or toxicity components, an in vivo study was also implemented to characterize the constitutes and metabolites, and meanwhile, the factor of compatibility with black bean were also considered. As a result, a total of 148 compounds were detected in PM extracts and more than 40 compounds were only detected in the processed products, which were probably new components produced during the steaming process. In in vivo study, 7 prototype components and 66 metabolites were detected or tentatively identified, 24 of which were reported for the first time. Our results indicated that processing greatly changed the chemical composition of PM and influenced the disposition of the compounds in vivo. To the best of our knowledge, this was the first global comparative study of raw and processed PM. These results expanded our knowledge about the influence of processing of PM and provided the essential data for further efficacy or toxicity studies. 展开更多
关键词 Polygoni multiflori RADIX Processing Chemical profiles In VIVO METABOLITE STUDY
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Hematopoietic effect of small molecular fraction of Polygoni multiflori Radix Praeparata in cyclophosphamide-induced anemia mice 被引量:2
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作者 ZHU Li-Li FAN Luo-Di +2 位作者 HU Ming-Hua MA Fang-Li QI Jin 《Chinese Journal of Natural Medicines》 SCIE CAS CSCD 2019年第7期535-544,共10页
The aim of this study is to investigate the protective effects of a small molecular fraction(SMF) of Polygoni multiflori Radix Praeparata(PMRP) in a cyclophosphamide(CTX) induced anemia mouse model. Small molecular fr... The aim of this study is to investigate the protective effects of a small molecular fraction(SMF) of Polygoni multiflori Radix Praeparata(PMRP) in a cyclophosphamide(CTX) induced anemia mouse model. Small molecular fraction of PMRP was prepared and identified by high-performance liquid chromatography-quadrupole time-of-flight mass spectrometry(HPLC-Q-TOF-MS). In pharmacology, we examined the peripheral hemogram and thymus and spleen index. The content of granulocyte-macrophage colony-stimulating factor(GM-CSF) in serum was mensurated by enzyme-linked immunosorbent assay(ELISA);The level of superoxide dismutase(SOD), catalase(CAT), total antioxidant capacity(T-AOC), and malondialdehyde(MDA) in serum and spleen tissue homogenate were detected, and glutathione peroxidase(GSH-PX) was assayed in spleen. The results show that SMF can significantly accelerate the recovery of peripheral hemogram, increase the activity of antioxidant enzymes and GM-CSF in serum and spleen. SMF also increases the number of spleen cells, improves bone marrow pathology. In conclusion, the SMF of PMRP promoted the recovery of hematopoietic function in a CTX-induced anemia mouse, which can support SMF to be used as an adjunct to chemotherapy to counteract its side effects. 展开更多
关键词 Polygoni multiflori Radix Praeparata SMALL MOLECULAR FRACTION CYCLOPHOSPHAMIDE HEMOPOIESIS
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Two New Glucosides from Radix Polygoni multiflori Preparata 被引量:4
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作者 Wan Sheng CHEN Wei Dong ZHANG +2 位作者 Gen Jing YANG Hai Sheng CHEN Chuan Zhuo QIAO 《Chinese Chemical Letters》 SCIE CAS CSCD 2001年第6期503-506,共4页
2,3,5,4'-tetrahydroxystilbene-2-O-(2'-O-feruloyl)-beta -D-glucopyranoside, 2,3,5,4'-tetra hydroxystilbene-2-O-(2'-O-p-coumaroyl)-beta -D-glucopyranoside were isolated from Radix Polygoni multiflori Pre... 2,3,5,4'-tetrahydroxystilbene-2-O-(2'-O-feruloyl)-beta -D-glucopyranoside, 2,3,5,4'-tetra hydroxystilbene-2-O-(2'-O-p-coumaroyl)-beta -D-glucopyranoside were isolated from Radix Polygoni multiflori Preparata. Structures were elucidated by chemical and spectral evidences. 展开更多
关键词 Radix Polygoni multiflori Preparata 2 3 5 4 '-tetrahydroxystilbene-2-O-(2 ''-O-feruloyl)-beta-D-glucopyranoside 2 3 5 4 '-tetrahydroxystilbene-2-O-(2 ''-O-p-coumaroyl)-beta-D-gluco pyranoside
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Efficacy of Heshouwu(Radix Polygoni Multiflori)on gut mircobiota in mice with autoimmune encephalomyelitis 被引量:1
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作者 ZHOU Jun WANG Junhua +5 位作者 LI Xiaobing WAN Chenyi LI Fangjun LüYanni CHEN Hao SUN Meiying 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2023年第4期676-685,共10页
OBJECTIVE:To learn the mechanisms between gut microbiome and the autoimmunity benefits on Traditional Chinese Medicine(TCM)in central nervous system(CNS),we investigated the neuro-protection effects and gut mircobiota... OBJECTIVE:To learn the mechanisms between gut microbiome and the autoimmunity benefits on Traditional Chinese Medicine(TCM)in central nervous system(CNS),we investigated the neuro-protection effects and gut mircobiota changes of Heshouwu(Radix Polygoni Multiflori)on experimental autoimmune encephalomyelitis(EAE),an animal model of multiple sclerosis(MS).METHODS:Mice were randomly divided into four groups:EAE mice(control phosphate-buffered saline group),50 mg·kg^(-1)·d^(-1)Heshouwu(Radix Polygoni Multiflori)-treated EAE mice,100 mg·kg^(-1)·d^(-1)Heshouwu(Radix Polygoni Multiflori)-treated EAE mice,and 200 mg·kg^(-1)·d^(-1)Heshouwu(Radix Polygoni Multiflori)-treated EAE mice.The spinal cords were stained with hematoxylin and eosin(HE)and luxol fast blue for evaluating inflammatory infiltration and demyelination.The percentages of granulocyte macrophage-colony stimulating factor(GM-CSF)+CD4+,interleukin 17(IL-17)+CD4+,Foxp3 CD4+,and interferon-γ(IFN-γ)+CD4+T cells in the inguinal lymph nodes(LNs)and brain were determined by flow cytometry analysis.16S rRNA gene sequencing was employed to analyze the changes in gut microbiota.RESULTS:We found that Heshouwu(Radix Polygoni Multiflori)alleviated the disease severity and neuropathology of EAE as evaluated by clinical and histopathologyical scores.Heshouwu(Radix Polygoni Multiflori)increased the diversity and abundance of the gut microbiota,and decreased Firmicutes/Bacteroidetes ratio(F/B ratio).Heshouwu(Radix Polygoni Multiflori)also decreased the concentrations of IL-10,and IL-21 and increase the levels of GM-CSF,IL-17A,IL-17F and IL-22 in serum of EAE mice.Moreover,Heshouwu(Radix Polygoni Multiflori)modulated the T cell responses by inhibiting Th17 cells and restoring Treg cells in the small intestine lymphoid tissues and inguinal lymph nodes.Microbiota-depleted mice receiving Heshouwu(Radix Polygoni Multiflori)-treated fecal microbiota transplantation had lower disease severity,neuropathology scores and alleviation of Th17/Treg imbalance compared to ad libitum group.CONCLUSIONS:Our findings suggested that the vital neuro-protection role of Heshouwu(Radix Polygoni Multiflori)(TCM)in immunomodulation effects partly by regulations of gut microbiome. 展开更多
关键词 gastrointestinal microbiome ENCEPHALOMYELITIS AUTOIMMUNE experimental Heshouwu(Radix Polygoni multiflori) T cell response
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Radix Polygoni Multiflori Praeparata and Dioscorea Bulbifera Rhizome Decoctions Display Combined Effects Detected by a Three-Probe Drug Cocktail with Substrates of Rat Hepatic Cytochrome P450 Enzymes
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作者 Li Jiang Pingping Shan +3 位作者 Hui Yu Jiayuan Tao Chunyan Gong Guoqing Shen 《Pharmacology & Pharmacy》 2014年第7期736-746,共11页
Objectives: Radix Polygoni Multiflori Praeparata (RPMP) and Dioscorea Bulbifera Rhizomes (DBR) are used in Chinese herbal medicine and have been frequently reported for adverse reactions on liver. In this research, we... Objectives: Radix Polygoni Multiflori Praeparata (RPMP) and Dioscorea Bulbifera Rhizomes (DBR) are used in Chinese herbal medicine and have been frequently reported for adverse reactions on liver. In this research, we aimed to evaluate in vivo effects of RPMP and DBR on rat cytochrome P450 enzymes (CYP1A2, CYP2E1 and CYP3A2) with their respective substrates as probes. Methods: Rats were orally administered RPMP, DBR and RPMP/DBR combination at 12, 10 and (12 + 10) g/kg, respectively, or saline as a control, once daily for 7 days. Thereafter, a cocktail containing 10 mg/kg caffeine, 20 mg/kg chlorzoxazone and 10 mg/kg dapsone was tail vein injected to rats. At defined time points, plasma drug concentrations were simultaneously evaluated by HPLC. Pharmacokinetic parameters simulated by DAS software were used to assess RPMP and/or DBR effects on cytochrome P450 enzymes activity. ANOVA and Dunnett’s test were used for data analysis. Results: Caffeine metabolism was enhanced in RPMP animals and reduced after pretreatment with DBR, but no effect was observed in RPMP/DBR combination group. Chlorzoxazone and dapsone metabolism was enhanced in both RPMP and DBR groups and consequently in combination group. The data suggested that RPMP independently induces rat CYP1A2, CYP2E1 and CYP3A2 activity, while DBR independently inhibits activity of rat CYP1A2 and induces that of CYP2E1 and CYP3A2. RPMP/DBR combination showed no significant benefit compared with the two drugs alone and even showed a neutralized effect in CYP1A2 activity. Conclusions: Caution is needed when RPMP and/or DBR are co-administered with drugs metabolized by human CYP1A2, CYP2E1 and CYP3A4. 展开更多
关键词 RADIX Polygoni multiflori Praeparata DIOSCOREA Bulbifera Rhizomes Cytochrome P450 Herb-Drug Interactions Three-Probe DRUG COCKTAIL
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基于CYP酶/Caspase-3途径探讨何首乌及其主要成分致药物性肝损伤的作用机制
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作者 刘思雨 张依娜 +7 位作者 李敏 雷一鸣 王丽平 卫培峰 欧莉 白杨 董泰玮 高峰 《中药新药与临床药理》 北大核心 2025年第4期506-514,共9页
目的基于CYP酶/Caspase-3途径探讨何首乌及其主要成分致药物性肝损伤的作用机制。方法(1)体外实验:取HepG2细胞,分为空白组,大黄素低、中、高剂量组(50、100、150μmol·L^(-1)),大黄酸低、中、高剂量组(100、150、200μmol·L^... 目的基于CYP酶/Caspase-3途径探讨何首乌及其主要成分致药物性肝损伤的作用机制。方法(1)体外实验:取HepG2细胞,分为空白组,大黄素低、中、高剂量组(50、100、150μmol·L^(-1)),大黄酸低、中、高剂量组(100、150、200μmol·L^(-1)),没食子酸低、中、高剂量组(100、150、200μmol·L^(-1)),以及二苯乙烯苷低、中、高剂量组(200、500、1000μmol·L^(-1)),给予相应药物干预24 h。采用CCK-8法检测细胞存活率;流式细胞术检测细胞凋亡率;qRT-PCR法检测肝细胞中CYP1A1、CYP3A4、Caspase-3 mRNA表达水平;Western Blot法检测肝细胞中CYP1A1、CYP3A4、Cleaved Caspase-3蛋白表达水平。(2)体内实验:将昆明种小鼠随机分为空白组、生首乌组(8 g·kg^(-1))、制首乌组(8 g·kg^(-1))、大黄素组(37.8 mg·kg^(-1))、大黄酸组(312μg·kg^(-1))、没食子酸组(4.58 g·kg^(-1)),每组10只。每天灌胃给药1次,连续给药4周。采用全自动酶标仪检测肝功能指标谷草转氨酶(AST)、谷丙转氨酶(ALT)、碱性磷酸酶(ALP)、总胆红素(TBIL)、间接胆红素(IBIL);HE染色法观察肝组织病理变化;qRT-PCR法检测肝组织中CYP1A1、CYP3A4、Caspase-3 mRNA表达水平;Western Blot法检测肝组织中CYP1A1、CYP3A4、Cleaved Caspase-3蛋白表达水平。结果(1)体外实验:与空白组比较,中、高剂量大黄素及不同浓度大黄酸、没食子酸均对HepG2细胞有显著抑制作用(P<0.01),且呈浓度依赖性。二苯乙烯苷各浓度对HepG2细胞均无明显抑制作用(P>0.05)。与空白组比较,各给药组的细胞随着给药浓度升高,细胞形态开始发生变化,呈现皱缩、变圆、颜色加深,以及部分坏死、脱落,大黄素中、高剂量组及没食子酸中、高剂量组细胞坏死严重;大黄素、大黄酸及没食子酸中、高剂量组的细胞凋亡率均明显升高(P<0.05,P<0.01);大黄素、大黄酸及没食子酸各剂量组细胞的CYP1A1 mRNA表达显著上调(P<0.05,P<0.01);大黄素高剂量组、大黄酸中/高剂量组及没食子酸各剂量组细胞的CYP3A4 mRNA表达显著上调(P<0.01);大黄素中/高剂量组、大黄酸高剂量组、没食子酸中/高剂量组细胞的Caspase-3 mRNA表达显著上调(P<0.05,P<0.01);大黄素、大黄酸及没食子酸各剂量组细胞的CYP1A1、CYP3A4、Cleaved Caspase-3蛋白表达均显著上调(P<0.05,P<0.01)。(2)体内实验:从肝组织病理损伤程度看,大致为没食子酸组>大黄酸组>大黄素组>生首乌组>制首乌组,制首乌组的肝组织病理损伤最低。与空白组比较,生首乌组、大黄素组、没食子酸组小鼠的血清IBIL、TBIL、AST、ALP水平均显著升高(P<0.05,P<0.01),大黄酸组的血清AST、ALP水平显著升高(P<0.05,P<0.01),没食子酸组的血清ALT水平明显升高(P<0.05);生首乌组、制首乌组、大黄素组、没食子酸组小鼠的肝组织CYP1A1、CYP3A4、Caspase-3 mRNA表达均显著上调(P<0.05,P<0.01),大黄酸组的肝组织CYP3A4 mRNA表达明显上调(P<0.05);生首乌组、制首乌组及没食子酸组小鼠的肝组织CYP1A1、CYP3A4蛋白表达均显著上调(P<0.05,P<0.01),生首乌组、大黄酸组及没食子酸组小鼠的肝组织Cleaved Caspase-3蛋白表达均显著上调(P<0.05,P<0.01)。结论何首乌及其主要成分致肝损伤的作用机制可能与通过激活CYP1A1、CYP3A4通路,促进Caspase-3凋亡因子表达有关,其中没食子酸的肝损伤作用最强。 展开更多
关键词 何首乌 制首乌 大黄素 大黄酸 没食子酸 药物性肝损伤 CYP酶/Caspase-3途径 HEPG2细胞 小鼠
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基于Nrf2/HO-1信号通路和铁死亡探讨何首乌特异质肝毒性机制
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作者 郑敏 刘静 +2 位作者 张智敏 林丽美 林艳 《时珍国医国药》 北大核心 2025年第15期2871-2875,共5页
目的基于Nrf2/HO-1通路和铁死亡探讨何首乌特异质肝毒性机制。方法采用脂多糖特异质肝毒性模型考察何首乌醇提物及二苯乙烯苷(TSG)的特异质肝毒性,生化法检测血清丙氨酸氨基转氨酶(ALT)、天冬氨酸氨基转氨酶(AST),超氧化物酯化酶(SOD)... 目的基于Nrf2/HO-1通路和铁死亡探讨何首乌特异质肝毒性机制。方法采用脂多糖特异质肝毒性模型考察何首乌醇提物及二苯乙烯苷(TSG)的特异质肝毒性,生化法检测血清丙氨酸氨基转氨酶(ALT)、天冬氨酸氨基转氨酶(AST),超氧化物酯化酶(SOD)、丙二醛(MDA)、谷胱甘肽(GSH)、血清铁、肝脏组织铁的水平,HE染色法观察肝脏病理学改变,实时荧光定量聚合酶链式反应检测核因子E2相关因子2(Nrf2)、血红素加氧酶-1(HO-1)、谷胱甘肽过氧化物酶4(GPX4)的mRNA表达水平。采用分子对接技术验证TSG与Nrf2、GPX4靶点结合强度。结果在脂多糖免疫应激模型下,何首乌醇提物、二苯乙烯苷高剂量组肝脏出现大小不一的脂滴空泡,偶有灶性炎症,部分肝细胞胞核消失、坏死。血清中ALT、AST释放率升高;MDA水平上调,SOD、GSH水平下调。血清铁、肝脏组织铁水平上调,Nrf2、HO-1、GPX4 mRNA表达水平明显下调。分子对接结果显示TSG与Nrf2、GPX4靶点结合的分子对接能分别为-6.5,-6.3 kcal·mol^(-1)。结论何首乌中的二苯乙烯苷可能通过调控Nrf2/HO-1通路诱导肝脏细胞铁死亡,从而导致特异质肝毒性。 展开更多
关键词 何首乌 特异质肝毒性 二苯乙烯苷 Nrf2/HO-1信号通路 铁死亡 分子对接
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首乌藤临床应用与安全性研究进展
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作者 何新苑 周红祖 林菲娟 《临床医学研究与实践》 2025年第26期183-186,共4页
首乌藤,又名“夜交藤”,是中医临床常用药材,在治疗不寐之症时常与各类安神药物配伍使用。为深入探究首乌藤的临床应用价值与潜在风险,本文以“首乌藤”和“夜交藤”为检索关键词,全面搜集近年来的相关文献资料,系统总结梳理其临床应用... 首乌藤,又名“夜交藤”,是中医临床常用药材,在治疗不寐之症时常与各类安神药物配伍使用。为深入探究首乌藤的临床应用价值与潜在风险,本文以“首乌藤”和“夜交藤”为检索关键词,全面搜集近年来的相关文献资料,系统总结梳理其临床应用现状及不良反应情况。此外,本文还探讨了首乌藤在临床使用过程中可能存在的肝损伤风险,旨在为进一步安全合理使用首乌藤提供新的思路与参考依据。 展开更多
关键词 首乌藤 何首乌 临床应用 肝损伤
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怀牛膝-何首乌药对治疗小鼠骨质疏松的最佳配比研究
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作者 石舒骐 石安骐 +4 位作者 林磊婷 王泽 苏羽 孙艳涛 王冰 《中医药信息》 2025年第2期17-20,共4页
目的:研究怀牛膝-何首乌药对不同配比对骨质疏松模型小鼠的治疗效果,确定抗骨质疏松效果的最佳比例。方法:将130只KM小鼠(雌雄各半)随机分为模型组、空白组、阳性药和给药组(怀牛膝∶何首乌=1∶2、2∶1、3∶2、2∶3、1∶1、4∶3、3∶4、... 目的:研究怀牛膝-何首乌药对不同配比对骨质疏松模型小鼠的治疗效果,确定抗骨质疏松效果的最佳比例。方法:将130只KM小鼠(雌雄各半)随机分为模型组、空白组、阳性药和给药组(怀牛膝∶何首乌=1∶2、2∶1、3∶2、2∶3、1∶1、4∶3、3∶4、5∶2、0∶1、1∶0),每组10只。模型组、阳性药、给药组均灌胃维甲酸复制小鼠骨质疏松模型,空白组灌胃等体积生理盐水,将不同配比怀牛膝-何首乌药对加水回流,灌胃给药,阳性药为阿仑膦酸钠。造模12 h后给药,连续15 d。末次给药24 h后取血,离心取上清液,应用ELISA法检测RANKL、OPG、PTH、TRACP-5b、BALP水平,并计算OPG/RANKL。结果:与空白组比较,模型组小鼠BALP、OPG、OPG/RANKL显著降低(P<0.01,P<0.05),TRACP-5b、RANKL、PTH显著升高(P<0.05,P<0.01),表明小鼠骨质疏松模型复制成功。不同给药组对TRACP-5b、PTH、BALP、OPG、RANKL和OPG/RANKL均有影响,表明怀牛膝-何首乌药对具有促进骨形成和抑制骨吸收的作用。综合评分结果显示,1∶2、2∶1、3∶2、2∶3、1∶1、4∶3、3∶4、5∶2、0∶1、1∶0组分别为4.98、2.77、2.89、2.13、2.65、2.53、3.11、2.60、2.14、1.63分,其中怀牛膝-何首乌药对抗骨质疏松作用效果1∶2组评分最高。结论:怀牛膝、何首乌单味药和怀牛膝-何首乌药对均对骨质疏松有一定的治疗作用,但怀牛膝-何首乌药对较单独使用可显著提高对小鼠骨质疏松的治疗作用,以怀牛膝-何首乌药对1∶2配比效果最佳。 展开更多
关键词 怀牛膝-何首乌 骨质疏松 维甲酸 配比 ELISA
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熟地黄-何首乌药对治疗血管性痴呆机制研究进展
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作者 李会婷 谭子虎 +2 位作者 周剑杰 刘颖婕 张鹏 《辽宁中医药大学学报》 2025年第12期72-78,共7页
血管性痴呆(vascular dementia,VaD)在中医属于“痴呆”“呆病”“健忘”范畴,其基本病机为肾精不足,神机失用。熟地黄-何首乌药对主要含有环烯醚萜苷类、毛蕊花糖苷、二苯乙烯苷类、蒽醌类、黄酮类等化合物,具有补肾填精之功效,可用于... 血管性痴呆(vascular dementia,VaD)在中医属于“痴呆”“呆病”“健忘”范畴,其基本病机为肾精不足,神机失用。熟地黄-何首乌药对主要含有环烯醚萜苷类、毛蕊花糖苷、二苯乙烯苷类、蒽醌类、黄酮类等化合物,具有补肾填精之功效,可用于缓解肾精亏虚、髓海不足所致的记忆力衰退症状。多项研究表明,熟地黄-何首乌药对及其有效成分均可通过调节多种信号通路,改善VaD的临床表现以延缓其疾病进展。该文基于VaD肝肾精血亏虚为本的病因病机,从抗氧化应激、缓解炎症反应、抑制神经元凋亡、改善中枢神经系统神经递质功能、调节自噬、抑制铁死亡等多个方面探讨两者有效成分在VaD治疗中的研究进展,并进一步总结相应中药复方治疗VaD的作用机制,得出熟地黄-何首乌药对可通过多种信号通路调控脑组织蛋白质的表达,从而起到保护神经细胞的作用,为中医药治疗VaD研究提供借鉴,为临床治疗VaD提供科学指导和依据。 展开更多
关键词 熟地黄 何首乌 血管性痴呆 药理作用 机制
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Spectrum-Toxicity Correlation Study Revealed the Influence of the Nine-Time Steaming and Sun Drying Method on Hepatotoxic Components of Polygoni Multiflori Radix 被引量:1
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作者 Zhuo Shi Xiao-Fei Li +6 位作者 Ya-Lei Liu Peng-Yan Li Ming Niu Zhao-Fang Bai Guang-Qin Zhang Yang Lu Jia-Bo Wang 《World Journal of Traditional Chinese Medicine》 2021年第2期227-233,共7页
Objective:Polygoni Multiflori Radix(PM)is a traditional herbal medicine with repeated reports of liver injury events in recent years.We wondered whether the classical processing method,namely,nine-time steaming and su... Objective:Polygoni Multiflori Radix(PM)is a traditional herbal medicine with repeated reports of liver injury events in recent years.We wondered whether the classical processing method,namely,nine-time steaming and sun drying(NSSD),had toxicity-attenuating effects on PM and the relationships between toxicity and times of processing,as well as with the alteration trends of its compounds.Materials and Methods:The chemical fingerprints of different PM extracts were developed using ultra-high-performance liquid chromatography.The spectrum-toxicity correlation between the chemical fingerprints and hepatocellular toxicity was analyzed with multiple correlation analysis.Results:The results suggested that the hepatotoxicity of NSSD processing products markedly decreased with the repeated steaming and sun drying,which was obviously superior to the product processed by the modern method.Comprehensive analysis revealed that the contents of cis-stilbene glycoside and emodin-8-O-β-D-glucoside related to liver injury susceptibility were reduced with the times of NSSD processing,which was consistent with the decreased trend of hepatocellular toxicity.After the five times of NSSD,the contents of them as well as the hepatotoxicity of PM were steady.Moreover,we found that the contents of catechin and physcion declined rapidly after the one time of NSSD and then remained stable until the nine times of NSSD.Based on the fact,they could be utilized to indicate whether PM products were processed by steaming and sun drying.Conclusions:This paper confirmed that the NSSD had a good influence on the toxicity attenuating to PM and found four compounds which could apply for the quality control of PM. 展开更多
关键词 Hepatotoxicity nine-time steaming and sun drying polygoni multiflori radix spectrum-toxicity correlation toxicity attenuation by processing
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何首乌与首乌藤及其制剂致药物性肝损伤的临床特征和风险因素分析
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作者 姚亚敏 沈杰 +2 位作者 叶刚毅 顾晨晨 刘力 《中国医院用药评价与分析》 2025年第9期1148-1152,共5页
目的:了解何首乌与首乌藤及其制剂发生药物性肝损伤(DILI)的临床特征,探讨何首乌与首乌藤发生肝损伤的风险因素,为临床合理用药提供参考。方法:收集2018—2024年上海中医药大学附属曙光医院有何首乌、首乌藤及其制剂服药史,临床诊断为D... 目的:了解何首乌与首乌藤及其制剂发生药物性肝损伤(DILI)的临床特征,探讨何首乌与首乌藤发生肝损伤的风险因素,为临床合理用药提供参考。方法:收集2018—2024年上海中医药大学附属曙光医院有何首乌、首乌藤及其制剂服药史,临床诊断为DILI的病例,记录患者的基本信息、服药原因、剂量、疗程及临床症状、生化指标、预后等,分析DILI的临床特征和可能的风险因素。结果:56例因服用何首乌和首乌藤及其制剂致DILI的患者中,服用何首乌及其制剂的有40例(占71.43%),服用首乌藤及其制剂的有16例(占28.57%);8例患者存在超剂量使用何首乌的现象;DILI的临床分型主要为肝细胞损伤型(46例,占82.14%),严重程度分级以轻度肝损伤为主(33例,占58.93%)。多因素分析结果显示,何首乌组的疗程(OR=1.164,95%CI=1.032~1.277,P=0.006)和首乌藤组的疗程(OR=1.439,95%CI=1.116~1.855,P=0.005)为风险因素。结论:首乌藤发生DILI的风险低于何首乌。何首乌引起DILI与药物使用的规范程度、疗程和患者基础疾病相关。应当正确评价中草药相关肝损伤,科学规范使用何首乌和首乌藤及其制剂。 展开更多
关键词 何首乌 首乌藤 药物性肝损伤 临床特征 风险因素
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Screening and Identifying Hepatotoxic Components in Polygoni multiflori Radix and Polygoni multiflori Radix Praeparata
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作者 Guang-Ping Zhang Hai-Jing Zhang +5 位作者 Teng-Fei Chen Hong-Ping Hou Ping Su Yun-Hang Gao Yi-Fei Yang Zu-Guang Ye 《World Journal of Traditional Chinese Medicine》 2019年第3期173-179,共7页
Objective: In this study, the hepatotoxic components of Polygoni multiflori Radix and Polygoni multiflori Radix Praeparata(known as Heshouwu [HSW] and Zhiheshouwu [ZHSW] in China, respectively) were screened, isolated... Objective: In this study, the hepatotoxic components of Polygoni multiflori Radix and Polygoni multiflori Radix Praeparata(known as Heshouwu [HSW] and Zhiheshouwu [ZHSW] in China, respectively) were screened, isolated, and identified. Materials and Methods: The ethanol extracts of HSW and ZHSW were separated into 80 fractions according to their polarity in the preparation liquid phase. Chang liver cell line was used to screen the toxic components of HSW and ZHSW in vitro. The obtained toxic mixture was further collected, isolated, and identified to confirm the hepatotoxic compounds of HSW and ZHSW. Results: The identifid hepatotoxic compounds include 2,3,5,4’-tetrah ydroxystilbene-2-O-β-D-glucoside, emodin, physcion-8-O-β-d-glucoside, physcion, and citreorosein, the fist two among them were the main components of HSW and ZHSW. After processing of HSW, the contents of 2,3,5,4’-tetrahydroxystilbene-2-O-β-D-glucoside and emodin in ZHSW were signifiantly decreased. Conclusions: The traditional processing with herb has signifiant effects on the components, especially the toxic components, in the extract of HSW and is an effective method to reduce its toxicity. 展开更多
关键词 2 3 5 4’-tetra-hydroxystilbene-2-O-β-D-glucoside EMODIN HEPATOTOXICITY Polygoni multiflori RADIX Polygoni multiflori RADIX Praeparata
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Simultaneous Determination of Four Anthraquinones in Polygoni Multiflori Radix with Single Reference Standard by High Performance Liquid Chromatography
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作者 Hua Yang Jun-Fang Jia +3 位作者 Rui Wang Fang Long Ping Li Hui-Jun Li 《World Journal of Traditional Chinese Medicine》 2015年第3期21-26,共6页
Objective: To establish a rapid, accurate and reliable analytical method for the simultaneous determination of four major anthraquinones in Polygoni Multiflori Radix(PMR) using single reference standard.Methods: The f... Objective: To establish a rapid, accurate and reliable analytical method for the simultaneous determination of four major anthraquinones in Polygoni Multiflori Radix(PMR) using single reference standard.Methods: The four components including emodin-8-O-β-D-(EMG), physcion-8-O-β-D-glucoside, emodin and physcion were separated on an ODS C18 column within 13 min and detected at 280 nm. Emodin was selected as the reference standard, and the response factor for each analyte with respect to emodin were calculated. Robustness were also tested including different columns, equipments, temperatures, detection wavelengths, and other chromatographic conditions which might influence stability of response factors.Results: The method was validated in terms of linearity(r^2> 0.9995), LOQs(0.820–3.05 ng/m L), LODs(0.180–0.920 ng/m L), precision,accuracy(95.8–103.6%, RSD < 2.80%) and stability. A total of 40 batches of PMR were analyzed and the results were found to have no statistically significant differences compared with those obtained using the external standard method.Conclusion: This work provided a single standard to determine multi-components method for quantitation of four anthraquinones in PMR,which could be applied in the quality control of this herbal drug. 展开更多
关键词 Polygoni multiflori Radix Single standard to determine multi-components method ANTHRAQUINONE EMODIN
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不同类别安神中药干预失眠症药效比较
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作者 管冬梅 袁潇 +2 位作者 刘占国 单元壮 张海林 《辽宁中医药大学学报》 2025年第7期24-29,共6页
目的观察养血安神中药首乌藤、化痰宁心中药远志与养心安神中药炒酸枣仁对失眠模型小鼠一般情况、入睡潜伏期、睡眠维持时间、睡眠相关神经递质、激素及蛋白表达的影响,探讨不同药物安神作用强弱和作用特点,并初步探讨作用机制。方法采... 目的观察养血安神中药首乌藤、化痰宁心中药远志与养心安神中药炒酸枣仁对失眠模型小鼠一般情况、入睡潜伏期、睡眠维持时间、睡眠相关神经递质、激素及蛋白表达的影响,探讨不同药物安神作用强弱和作用特点,并初步探讨作用机制。方法采用皮下注射PCPA构建失眠模型小鼠,将模型小鼠随机分为8组,分别为模型组、阳性药组、炒酸枣仁(低剂量组、高剂量组)、制远志水(低剂量组、高剂量组)和首乌藤(低剂量组、高剂量组),每组10只,另取10只小鼠作为空白对照组。阳性药组灌胃艾司唑仑混悬液,各中药组分别灌胃相应水煎剂,空白对照组和模型组灌胃等容积蒸馏水,各组小鼠灌胃容积均为20 mL/kg,连续灌胃7 d。观察小鼠一般状况、入睡潜伏期及睡眠持续时间,并用酶联免疫吸附试验(ELISA)检测小鼠脑组织神经递质及激素含量水平(5-HT、GABA、Glu、NE、MT、CRH),采用Western blotting检测Clock及BMAL1蛋白的表达。结果与空白对照组比较,模型组小鼠易激惹、精神萎靡、皮毛枯槁蓬乱,小鼠体质量明显降低(P<0.05),入睡潜伏期显著延长、睡眠持续时间明显缩短(P<0.05),脑组织5-HT和GABA含量水平降低(P<0.05),Glu和CRH含量水平升高(P<0.05),Clock、BMAL1蛋白表达降低。与模型组比较,除远志高剂量组、首乌藤低剂量组外,炒酸枣仁高剂量组、炒酸枣仁低剂量组、首乌藤高剂量组、制远志低剂量组小鼠体质量均显著增加(P<0.05);各给药组均能显著缩短小鼠入睡潜伏期(P<0.05),其中炒酸枣仁高剂量组作用最为明显;炒酸枣仁高剂量组、制远志低剂量组、首乌藤高剂量组均能显著延长小鼠睡眠持续时间(P<0.05),其中制远志组最为明显;首乌藤高剂量组、首乌藤低剂量组、酸枣仁高剂量组、酸枣仁低剂量组小鼠5-HT含量均明显增加(P<0.05),酸枣仁高剂量组小鼠脑组织GABA含量均明显增加(P<0.05),制远志高剂量组、制远志低剂量组、炒酸枣仁高剂量组、首乌藤低剂量组小鼠脑组织Glu含量均明显降低(P<0.05),首乌藤低剂量组、炒酸枣仁高剂量组、首乌藤高剂量组小鼠脑组织MT含量均明显增加(P<0.05),首乌藤低剂量组、首乌藤高剂量组、炒酸枣仁高剂量组、炒酸枣仁低剂量组小鼠脑组织CRH含量均明显降低(P<0.05),阳性药组显著增加BMAL1蛋白表达(P<0.05),制远志低剂量组明显增加Clock蛋白表达(P<0.05)。同种中药高低剂量组比较,炒酸枣仁高剂量组对缩短小鼠入睡潜伏时间明显优于低剂量组(P<0.05),制远志低剂量组较高剂量组更能显著延长小鼠睡眠持续时间(P<0.05);各中药组小鼠5-HT、GABA、Glu、NE和MT含量以及Clock、BMAL1蛋白表达差异均无统计学意义(P>0.05)。结论炒酸枣仁、制远志及首乌藤均有改善失眠的作用,其中高剂量炒酸枣仁在促进入睡时间方面疗效突出,制远志在维持睡眠时间方面有良好作用,炒酸枣仁、制远志、首乌藤均具有显著的助眠作用,大剂量应用可显著提高疗效并无明显不良反应;低剂量制远志在延长睡眠持续时间方面具有明显优势,同时具有一定改善睡眠节律紊乱的作用,但大剂量应用并不能增加疗效,并具有明显不良反应。安神中药可能通过促进小鼠神经递质5-HT、GABA、MT合成和分泌,抑制CRH和Glu能神经系统而发挥助眠作用。 展开更多
关键词 失眠 安神 炒酸枣仁 首乌藤 制远志
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天麻首乌片致严重肝损伤1例分析 被引量:1
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作者 曹桂萍 邓琳琳 +4 位作者 朱干红 陆颖 马爽 陈玲玲 刘丽丽 《中国药物警戒》 2024年第2期216-218,共3页
目的 探讨严重肝损伤与天麻首乌片的相关性。方法 通过1例服用天麻首乌片导致严重肝损伤的不良反应,梳理其组方中药肝毒性的文献研究结果,采用《中国药物性肝损伤诊治指南(2023年版)》相关标准及更新后的RUCAM量表对肝损伤分型及与天麻... 目的 探讨严重肝损伤与天麻首乌片的相关性。方法 通过1例服用天麻首乌片导致严重肝损伤的不良反应,梳理其组方中药肝毒性的文献研究结果,采用《中国药物性肝损伤诊治指南(2023年版)》相关标准及更新后的RUCAM量表对肝损伤分型及与天麻首乌片的因果关系进行评估,探讨治疗策略的合理性。结果 天麻首乌片中制何首乌和炒蒺藜可能造成肝损伤,本例患者肝损伤为肝细胞损伤型,RUCAM评分7分(很可能),治疗策略通常包括保肝、利胆、抗炎等。文献分析发现,人类白细胞抗原(HLA)-B*35:01等位基因是何首乌肝损伤的风险因素,可作为预测何首乌所致肝损伤的潜在生物标志物。结论 本例患者严重肝损伤与天麻首乌片存在相关性;药品上市许可持有人应主动监测相关品种的不良反应,并及时更新说明书,减少患者用药风险。 展开更多
关键词 天麻首乌片 肝损伤 何首乌 蒺藜 药品不良反应
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何首乌化学成分、药理作用及肝毒性的研究进展 被引量:23
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作者 汪明金 陈雯清 +4 位作者 袁伟博 杜婧璇 左文明 李锦萍 刘力宽 《上海中医药杂志》 CSCD 2024年第3期86-91,共6页
从化学成分、药理作用及肝毒性3个方面综述何首乌的研究进展。何首乌含有二苯乙烯苷类、蒽醌类、磷脂类、黄酮类等多种化学成分,具有延缓衰老、抗癌、抗疲劳、抗炎镇痛、保护心血管等药理作用。目前,何首乌引起肝毒性的化学成分探讨主... 从化学成分、药理作用及肝毒性3个方面综述何首乌的研究进展。何首乌含有二苯乙烯苷类、蒽醌类、磷脂类、黄酮类等多种化学成分,具有延缓衰老、抗癌、抗疲劳、抗炎镇痛、保护心血管等药理作用。目前,何首乌引起肝毒性的化学成分探讨主要集中于3类,即蒽醌类、二苯乙烯苷类及鞣质类。加大何首乌肝毒性成分、肝毒性机制研究的力度,加强中药安全用药知识宣教,规范其炮制及使用,可以在一定程度上降低何首乌肝毒性。 展开更多
关键词 何首乌 化学成分 药理作用 肝损伤 中药毒性 研究进展
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