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  1. Article: "Qi Nan" agarwood restores podocyte autophagy in diabetic kidney disease by targeting EGFR signaling pathway.

    Li, Ning / Liu, Xuenan / Wang, Hao / Duan, Yingling / Zhang, Yu / Zhou, Ping / Dai, Haofu / Lan, Tian

    Chinese medicine

    2024  Volume 19, Issue 1, Page(s) 63

    Abstract: Background: Diabetic kidney disease (DKD) is a microvascular complication of diabetes mellitus, contributing to end-stage renal disease with limited treatment options. The development of DKD is attributed to podocyte injury resulting from abnormal ... ...

    Abstract Background: Diabetic kidney disease (DKD) is a microvascular complication of diabetes mellitus, contributing to end-stage renal disease with limited treatment options. The development of DKD is attributed to podocyte injury resulting from abnormal podocyte autophagy. Consequently, the restoration of podocyte autophagy is deemed a practicable approach in the treatment of DKD.
    Methods: Diabetic mice were induced by streptozotocin and high-fat diet feeding. Following 8 weeks of "QN" agarwood treatment, metrics such as albuminuria, serum creatinine (Scr), and blood urea nitrogen (BUN) were evaluated. Renal histological lesions were evaluated by H&E, PAS, Masson, and Sirius red staining. Evaluation of the effects of "QN" agarwood on renal inflammation and fibrosis in DKD mice through WB, q-PCR, and IHC staining analysis. Cytoscape 3.7.1 was used to construct a PPI network. With the DAVID server, the gene ontology (GO) functional annotation and the Kyoto encyclopedia of genes and genomes (KEGG) signaling pathways of the target enrichment were performed. Molecular docking and binding affinity calculations were conducted using AutoDock, while PyMOL software was employed for visualizing the docking results of active compounds and protein targets.
    Results: The results of this study show that "QN" agarwood reduced albuminuria, Scr, and BUN in DKD mice, and improved the renal pathological process. Additionally, "QN" agarwood was observed to downregulate the mRNA and protein expression levels of pro-inflammatory and pro-fibrotic factors in the kidneys of DKD mice. Network pharmacology predicts that "QN" agarwood modulates the epidermal growth factor receptor (EGFR) signaling pathway. "QN" agarwood can increase the expression of LC3B and Nphs1 in DKD mice while reducing the expression of EGFR.
    Conclusion: The present study demonstrated that "QN" agarwood ameliorated renal injury in DKD by targeting EGFR and restoring podocyte autophagy.
    Language English
    Publishing date 2024-04-23
    Publishing country England
    Document type Journal Article
    ZDB-ID 2260322-0
    ISSN 1749-8546
    ISSN 1749-8546
    DOI 10.1186/s13020-024-00923-z
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Qi-Tai-Suan, an oleanolic acid derivative, ameliorates ischemic heart failure via suppression of cardiac apoptosis, inflammation and fibrosis.

    Qian, Ming / Feng, Zhi-Qi / Zheng, Ru-Nan / Hu, Kai-Wen / Sun, Jia-Ze / Sun, Hong-Bin / Dai, Liang

    Chinese journal of natural medicines

    2022  Volume 20, Issue 6, Page(s) 432–442

    Abstract: ... after MI. Qi-Tai-Suan (QTS) is an oleanolic acid (OA) derivative which once underwent a clinical trial ...

    Abstract Although anti-thrombotic therapy has been successful for prevention of deaths from acute myocardial infarction (MI), by far, there are few preventive and therapeutic options for ischemic heart failure (IHF) after MI. Qi-Tai-Suan (QTS) is an oleanolic acid (OA) derivative which once underwent a clinical trial for treating hepatitis. In this study, we investigated the potential cardioprotective effect of QTS on IHF. IHF mouse model was constructed by coronary artery ligation in male C57BL/6J mice, and the protective effects of QTS on IHF were examined by echocardiography measurement, histological and TUNEL analysis, etc. We found that QTS exhibited promising cardioprotective effect on IHF. QTS treatment significantly improved cardiac function of IHF mice and the symptoms of heart failure. Notably, QTS had much better oral bioavailability (F = 41.91%) in mice than its parent drug OA, and took effects mainly as its original form. Mechanistically, QTS ameliorated ischemic heart failure likely through suppression of cardiac apoptosis, inflammation and fibrosis. Taken together, QTS holds great promise as a preventive and therapeutic agent for ischemic heart failure and related diseases.
    MeSH term(s) Animals ; Apoptosis ; Fibrosis ; Heart Failure/drug therapy ; Inflammation/drug therapy ; Male ; Mice ; Mice, Inbred C57BL ; Myocardial Ischemia/drug therapy ; Myocardial Ischemia/pathology ; Oleanolic Acid/pharmacology
    Chemical Substances Oleanolic Acid (6SMK8R7TGJ)
    Language English
    Publishing date 2022-06-24
    Publishing country China
    Document type Journal Article
    ZDB-ID 2192577-X
    ISSN 1875-5364 ; 2095-6975 ; 1672-3651
    ISSN (online) 1875-5364
    ISSN 2095-6975 ; 1672-3651
    DOI 10.1016/S1875-5364(22)60156-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Intervention effects of ginseng on spleen-qi deficiency in rats revealed by GC-MS-based metabonomic approach.

    Liu, Ming / Li, Fangtong / Cai, Yongyu / Xie, Dong / Wu, Yongxi / Zhang, Meiyu / Wang, Yizhu / Dai, Yulin / Zheng, Fei / Yue, Hao

    Journal of pharmaceutical and biomedical analysis

    2022  Volume 217, Page(s) 114834

    Abstract: ... replenishing qi effects and has been applied for the treatment of spleen-qi deficiency for many years ... was applied to explore the therapeutic effect of ginseng on the spleen-qi deficiency. A rat model ... of spleen-qi deficiency was generated via the fatigue swimming method. After 3 weeks of treatment ...

    Abstract Panax ginseng C. A. Mey. (Ginseng) is a famous Chinese medicine with tonifying middle and replenishing qi effects and has been applied for the treatment of spleen-qi deficiency for many years. However, its potential therapeutic mechanisms have not been thoroughly studied. In this study, the metabolomic technique was applied to explore the therapeutic effect of ginseng on the spleen-qi deficiency. A rat model of spleen-qi deficiency was generated via the fatigue swimming method. After 3 weeks of treatment with ginseng, the entire metabolic changes in rat serum were profiled by gas chromatography-mass spectroscopy (GC-MS). The metabolic profiles in serum taurine and hypotaurine metabolism significantly differed among groups, in which a total of 17 metabolites were identified. Ginseng reversed the metabolic changes in the difference involving some metabolic pathways. Among them, beta-alanine metabolism, taurine and hypotaurine metabolism, and the pentose phosphate pathway are the key metabolic pathways. The therapeutic effects of ginseng on spleen-qi deficiency rats could be achieved by regulating multiple metabolic pathways, metabolites can be used as potential biomarkers for the diagnosis and monitoring of spleen-qi deficiency.
    MeSH term(s) Animals ; Gas Chromatography-Mass Spectrometry ; Metabolomics/methods ; Panax/chemistry ; Qi ; Rats ; Spleen ; Taurine
    Chemical Substances Taurine (1EQV5MLY3D)
    Language English
    Publishing date 2022-05-14
    Publishing country England
    Document type Journal Article
    ZDB-ID 604917-5
    ISSN 1873-264X ; 0731-7085
    ISSN (online) 1873-264X
    ISSN 0731-7085
    DOI 10.1016/j.jpba.2022.114834
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Qi-Tai-Suan, an oleanolic acid derivative, ameliorates ischemic heart failure via suppression of cardiac apoptosis, inflammation and fibrosis

    QIAN, Ming / FENG, Zhi-Qi / ZHENG, Ru-Nan / HU, Kai-Wen / SUN, Jia-Ze / SUN, Hong-Bin / DAI, Liang

    Chinese journal of natural medicines. 2022 June, v. 20, no. 6

    2022  

    Abstract: ... after MI. Qi-Tai-Suan (QTS) is an oleanolic acid (OA) derivative which once underwent a clinical trial ...

    Abstract Although anti-thrombotic therapy has been successful for prevention of deaths from acute myocardial infarction (MI), by far, there are few preventive and therapeutic options for ischemic heart failure (IHF) after MI. Qi-Tai-Suan (QTS) is an oleanolic acid (OA) derivative which once underwent a clinical trial for treating hepatitis. In this study, we investigated the potential cardioprotective effect of QTS on IHF. IHF mouse model was constructed by coronary artery ligation in male C57BL/6J mice, and the protective effects of QTS on IHF were examined by echocardiography measurement, histological and TUNEL analysis, etc. We found that QTS exhibited promising cardioprotective effect on IHF. QTS treatment significantly improved cardiac function of IHF mice and the symptoms of heart failure. Notably, QTS had much better oral bioavailability (F = 41.91%) in mice than its parent drug OA, and took effects mainly as its original form. Mechanistically, QTS ameliorated ischemic heart failure likely through suppression of cardiac apoptosis, inflammation and fibrosis. Taken together, QTS holds great promise as a preventive and therapeutic agent for ischemic heart failure and related diseases.
    Keywords apoptosis ; bioavailability ; cardiac output ; cardioprotective effect ; clinical trials ; coronary vessels ; drugs ; echocardiography ; fibrosis ; heart failure ; hepatitis ; histology ; inflammation ; males ; mice ; myocardial infarction ; oleanolic acid ; therapeutics
    Language English
    Dates of publication 2022-06
    Size p. 432-442.
    Publishing place Elsevier B.V.
    Document type Article
    ZDB-ID 2192577-X
    ISSN 1875-5364 ; 2095-6975 ; 1672-3651
    ISSN (online) 1875-5364
    ISSN 2095-6975 ; 1672-3651
    DOI 10.1016/S1875-5364(22)60156-0
    Database NAL-Catalogue (AGRICOLA)

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  5. Article ; Online: Effects of ginseng on short-chain fatty acids and intestinal microbiota in rats with spleen-qi deficiency based on gas chromatography-mass spectrometry and 16s rRNA technology.

    Zhang, Meiyu / Pi, Yijun / Ma, Liting / Li, Fangtong / Luo, Jing / Cai, Yongyu / Wu, Yongxi / Liu, Ming / Dai, Yulin / Zheng, Fei / Yue, Hao

    Rapid communications in mass spectrometry : RCM

    2023  Volume 37, Issue 23, Page(s) e9640

    Abstract: Rationale: Spleen-qi deficiency syndrome, a common weakness syndrome ... in traditional Chinese medicine, results from insufficient spleen-qi levels. For centuries, ginseng has been relied ... upon as a traditional Chinese medicine to treat spleen-qi deficiency syndrome. Until now, the mechanism feature of ginseng in treating ...

    Abstract Rationale: Spleen-qi deficiency syndrome, a common weakness syndrome in traditional Chinese medicine, results from insufficient spleen-qi levels. For centuries, ginseng has been relied upon as a traditional Chinese medicine to treat spleen-qi deficiency syndrome. Until now, the mechanism feature of ginseng in treating temper deficiency through intestinal bacteria and short-chain fatty acid (SCFA) metabolites has not been fully elucidated.
    Methods: This study established a rat model of spleen-qi deficiency via multi-factor compound modeling that involved fatigue injury and a controlled diet. The content of SCFAs between different treatment groups was determined by gas chromatography-mass spectrometry. And the 16s rRNA sequencing technology was applied to reveal the effects of ginseng on the intestinal microecological environment of the rats.
    Results: It was found that the ginseng treatment group exhibited the most remarkable regulatory effect on propionic acid, surpassing all other administration groups. Ginseng increased the relative abundance of beneficial bacteria and decreased that of harmful bacteria at the genus level in rats with spleen-qi deficiency syndrome. And propionic acid is significantly positively correlated with Lactobacillus level and significantly negatively correlated with uncultured_bacterium_f_Muribaculaceae (p < 0.05). n-Butyric acid is negatively correlated with the Faecalibaculum level (p < 0.01). n-Valeric acid is significantly negatively correlated with the Romboutsia level (p < 0.01).
    Conclusion: The mechanism of ginseng treatment for spleen-qi deficiency is elucidated from the perspective of gut microbiota and its metabolite SCFAs. It provides a new way for further development and utilization of ginseng and a theoretical basis.
    MeSH term(s) Rats ; Animals ; Spleen ; RNA, Ribosomal, 16S/genetics ; Qi ; Gastrointestinal Microbiome ; Gas Chromatography-Mass Spectrometry ; Drugs, Chinese Herbal/pharmacology ; Drugs, Chinese Herbal/therapeutic use ; Panax/chemistry ; Fatty Acids, Volatile
    Chemical Substances propionic acid (JHU490RVYR) ; RNA, Ribosomal, 16S ; Drugs, Chinese Herbal ; Fatty Acids, Volatile
    Language English
    Publishing date 2023-10-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 58731-x
    ISSN 1097-0231 ; 0951-4198
    ISSN (online) 1097-0231
    ISSN 0951-4198
    DOI 10.1002/rcm.9640
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Urine and serum metabolomics study of wild ginseng in rats with spleen-qi deficiency using rapid resolution liquid chromatography coupled with quadrupole-time-of-flight mass spectrometry.

    Li, Fangtong / Pi, Yijun / Zhang, Meiyu / Ma, Liting / Wu, Yongxi / Luo, Jing / Cai, Yongyu / Dai, Yulin / Zheng, Fei / Yue, Hao

    Journal of separation science

    2023  Volume 46, Issue 17, Page(s) e2300344

    Abstract: Patients with a spleen-qi deficiency often exhibit dysfunction in the metabolic system. Metabolites ... the potential therapeutic mechanism of wild ginseng on spleen-qi deficiency through the analysis of serum and ...

    Abstract Patients with a spleen-qi deficiency often exhibit dysfunction in the metabolic system. Metabolites are considered the most direct reflection of individual physiological and pathological conditions and represent attractive candidates to provide deep insights into disease phenotypes. This study examines the potential therapeutic mechanism of wild ginseng on spleen-qi deficiency through the analysis of serum and urine metabolomics using rapid-resolution liquid chromatography coupled with quadrupole-time-of-flight mass spectrometry. The reasons for the superiority of wild ginseng treatment over cultivated ginseng were also analyzed in depth. After wild ginseng intervention, anandamide, urobilinogen, aldosterone, and testosterone glucuronide were significantly reduced in serum. Meanwhile, argininosuccinic acid, L-cysteine, and seven other metabolites were significantly elevated in serum. Nine metabolites, including L-acetylcarnitine, and citrulline were elevated in the urine, and trimethylamine N-oxide, adrenic acid, and 10 other metabolites were reduced. Arginine biosynthesis, pantothenate and CoA biosynthesis, thiamin metabolism, taurine, and tryptophan metabolism pathways were mainly improved. Further analysis was conducted on the relationship between Lactobacillus and Akkermansia bacteria with metabolites, and it was found that they are mainly related to amino acid metabolites. This study provides strong theoretical support and direction for further explanation of the immune mechanism of wild ginseng and lays the foundation for future studies.
    MeSH term(s) Rats ; Animals ; Spleen ; Qi ; Panax/chemistry ; Chromatography, Liquid ; Metabolomics/methods ; Mass Spectrometry/methods ; Chromatography, High Pressure Liquid/methods ; Biomarkers
    Chemical Substances Biomarkers
    Language English
    Publishing date 2023-07-12
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2047990-6
    ISSN 1615-9314 ; 1615-9306
    ISSN (online) 1615-9314
    ISSN 1615-9306
    DOI 10.1002/jssc.202300344
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: The Characteristic Fragrant Sesquiterpenes and 2-(2-Phenylethyl)chromones in Wild and Cultivated "Qi-Nan" Agarwood.

    Yang, Li / Yang, Jin-Ling / Dong, Wen-Hua / Wang, Ya-Li / Zeng, Jun / Yuan, Jing-Zhe / Wang, Hao / Mei, Wen-Li / Dai, Hao-Fu

    Molecules (Basel, Switzerland)

    2021  Volume 26, Issue 2

    Abstract: Recently, cultivated "Qi-Nan" (CQN) agarwood has emerged as a new high-quality agarwood ...

    Abstract Recently, cultivated "Qi-Nan" (CQN) agarwood has emerged as a new high-quality agarwood in the agarwood market owing to its similar characteristics, such as high content of resin and richness in two 2-(2-phenylethyl)chromone derivatives, 2-(2-phenylethyl)chromone (
    MeSH term(s) Flavonoids/analysis ; Flavonoids/chemistry ; Molecular Structure ; Odorants/analysis ; Perfume/analysis ; Perfume/chemistry ; Sesquiterpenes/analysis ; Sesquiterpenes/chemistry ; Thymelaeaceae/chemistry ; Wood/chemistry
    Chemical Substances Flavonoids ; Perfume ; Sesquiterpenes ; 2-(2-phenylethyl)chromone (61828-53-3)
    Language English
    Publishing date 2021-01-15
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 1413402-0
    ISSN 1420-3049 ; 1431-5165 ; 1420-3049
    ISSN (online) 1420-3049
    ISSN 1431-5165 ; 1420-3049
    DOI 10.3390/molecules26020436
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Simultaneous determination of multiple constituents of Qi-Lin pill by UPLC-MS/MS: Applications to pharmacokinetics and testicular tissue distribution in rats.

    Li, Rui-Xin / Fan, Cai-Lian / Xu, Wan-Yi / Wei, Wen / Wang, Xiao-Xing / Li, Zi-Ting / Zhao, Peng-Cheng / Su, Zhi-Jian / Tang, Xi-Yang / Yao, Zhi-Hong / Dai, Yi

    Journal of pharmaceutical and biomedical analysis

    2022  Volume 223, Page(s) 115157

    Abstract: Qi-Lin pill (QLP) is an effective traditional Chinese medicine prescription (TCMP) that has been ...

    Abstract Qi-Lin pill (QLP) is an effective traditional Chinese medicine prescription (TCMP) that has been used for the treatment of the oligoasthenozoospermia in China. Recently, some articles described the pharmacological effects of QLP and multiple ingredients in QLP contribute to its effects. However, the pharmacokinetic and target tissue distribution data of QLP are still unknown. In the present study, according to the Bioanalytical Method Validation Guidance of FDA, a sensitive and selective UPLC-MS/MS method was developed and validated for simultaneous determination of multiple constituents in rat plasma and testicular tissue, including morusimic acid A, codonopyrridium B, magnoflorine, emodin, 2,3,5,4'-tetrahydroxystilbene-2-O-β-D-glucoside (THSG), ecliptasaponin A, paeoniflorin, albiflorin, gallic acid, danshensu, salvianolic acid A, catechin, isosinensetin, nobiletin, formononetin, calycosin, icariside II, icariin and epimedin C. For 19 analytes, the LLOQs reached 0.01-4 ng/mL. And all calibration curves showed favorable linearity (r ≥ 0.9903) in linear ranges. The intra-day and inter-day precision (relative standard deviation) for all analytes was less than 14.92 %, and the accuracies (as relative error) were in the range of - 6.44 % to 6.22 %. Extraction recoveries and matrix effects of analytes and IS were acceptable. All analytes were stable during the assay and storage in plasma samples. The method was successfully applied for the pharmacokinetics and testis distribution of multiple chemical constituents in QLP after a single oral dose. As a result, high exposure of danshensu, gallic acid, paeoniflorin and albiflorin were observed in rat plasma and testicular tissue. Among the flavonoids, isosinensetin and nobiletin had high exposure in testicular tissue. Moreover, alleviation of progesterone reduction was evaluated in H
    MeSH term(s) Animals ; Male ; Rats ; Chromatography, High Pressure Liquid/methods ; Chromatography, Liquid ; Drugs, Chinese Herbal/pharmacokinetics ; Gallic Acid ; Hydrogen Peroxide ; Reproducibility of Results ; Tandem Mass Spectrometry/methods ; Testis ; Tissue Distribution
    Chemical Substances 3,4-dihydroxyphenyllactic acid (4GF33A5PAJ) ; albiflorin (39011-90-0) ; Drugs, Chinese Herbal ; Gallic Acid (632XD903SP) ; Hydrogen Peroxide (BBX060AN9V) ; peoniflorin (21AIQ4EV64)
    Language English
    Publishing date 2022-11-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 604917-5
    ISSN 1873-264X ; 0731-7085
    ISSN (online) 1873-264X
    ISSN 0731-7085
    DOI 10.1016/j.jpba.2022.115157
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Identification of aroma‐active components from cultivated agarwood ‘Qi‐Nan’ based on GC‐O‐MS combined with aroma extract dilution analysis

    Yu, Zhen / Dong, Wenhua / Wang, Yali / Li, Wei / Guo, Zhiyong / Mei, Wenli / Dai, Haofu

    Flavour and Fragrance Journal. 2023 Sept., v. 38, no. 5 p.392-403

    2023  

    Abstract: Agarwood ‘Qi‐Nan’ is commonly regarded as the highest quality agarwood, and has been highly valued ... for its fragrance. With the increasing amount of cultivated agarwood ‘Qi‐Nan’ in recent years, evaluation ... of the aroma compounds was drawn attention. Therefore, the volatile compounds in three cultivated ‘Qi‐Nan’ agarwood ...

    Abstract Agarwood ‘Qi‐Nan’ is commonly regarded as the highest quality agarwood, and has been highly valued for its fragrance. With the increasing amount of cultivated agarwood ‘Qi‐Nan’ in recent years, evaluation of the aroma compounds was drawn attention. Therefore, the volatile compounds in three cultivated ‘Qi‐Nan’ agarwood samples were extracted by simultaneous distillation‐extraction (SDE) and analysed by GC‐O‐MS, combined with aroma extract dilution analysis (AEDA). A total of 70 volatile compounds were identified from three samples, in which sesquiterpenes and aromatics were characterized as key aroma‐active components. Nine compounds were considered as common aroma‐active volatiles in these three essential oils according to their flavour dilution (FD) activity and relative flavour activity (RFA) value, and among them, dihydro‐β‐agarofuran and 4‐methoxy‐benzaldehyde were the most important aroma‐active compounds. Additionally, three ‘Qi‐Nan’ agarwood samples showed different aroma specificity. TD agarwood was characterized by sweet sandalwood odour due to the dominant aroma‐active compound of β‐Santalol. WS agarwood was distinguished by its woody odour because α‐kessyl acetate was its primary aroma. HQ agarwood was featured by woody, spicy and balsamic odour on account of its main aroma compounds of agarospirol and β‐elemene.
    Keywords acetates ; aromatic compounds ; flavor ; odors ; sesquiterpenoids
    Language English
    Dates of publication 2023-09
    Size p. 392-403.
    Publishing place John Wiley & Sons, Ltd
    Document type Article ; Online
    Note JOURNAL ARTICLE
    ZDB-ID 54356-1
    ISSN 0882-5734
    ISSN 0882-5734
    DOI 10.1002/ffj.3754
    Database NAL-Catalogue (AGRICOLA)

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  10. Article ; Online: Role of Medicinal Plants for Liver-Qi Regulation Adjuvant Therapy in Post-stroke Depression: A Systematic Review of Literature.

    Zeng, Ling-Feng / Cao, Ye / Wang, Lu / Dai, Yun-Kai / Hu, Ling / Wang, Qi / Zhu, Li-Ting / Bao, Wen-Hu / Zou, Yuan-Ping / Chen, Yun-Bo / Xu, Wei-Hua / Liang, Wei-Xiong / Wang, Ning-Sheng

    Phytotherapy research : PTR

    2017  Volume 31, Issue 1, Page(s) 40–52

    Abstract: ... of a medicinal plant for Liver-Qi regulation (MPLR) in the treatment of PSD. Despite several narrative reports ...

    Abstract Current evidence demonstrated certain beneficial effects of medicinal herbs as an adjuvant therapy for post-stroke depression (PSD) in China; Chai-hu (Chinese Thorowax Root, Radix Bupleuri) is an example of a medicinal plant for Liver-Qi regulation (MPLR) in the treatment of PSD. Despite several narrative reports on the antidepressant properties of MPLR, it appears that there are no systematic reviews to summarize its outcome effects. Therefore, the aim of this review was to assess the effectiveness and safety of MPLR adjuvant therapy in patients with PSD. Seven databases were extensively searched from January 2000 until July 2016. Randomized control trials (RCTs) involving patients with PSD that compared treatment with and without MPLR were taken into account. The pooled effect estimates were calculated based on Cochrane Collaboration's software RevMan 5.3. Finally, 42 eligible studies with 3612 participants were included. Overall, MPLR adjuvant therapy showed a significantly higher effective rate (RR = 1.23; 95% CI = 1.19, 1.27; p < 0.00001) compared to those without. Moreover, the administration of MPLR was superior to abstainers regarding Hamilton Depression Scale (HAMD) score changes after 3 weeks (WMD = -4.83; 95% CI = -6.82, -2.83; p < 0.00001), 4 weeks (WMD = -3.25; 95% CI = -4.10, -2.40; p < 0.00001), 6 weeks (WMD = -4.04; 95% CI = -5.24, -2.84; p < 0.00001), 8 weeks (WMD = -4.72; 95% CI = -5.57, -3.87; p < 0.00001), and 12 weeks (WMD = -3.07; 95% CI = -4.05, -2.09; p < 0.00001). In addition, there were additive benefits in terms of response changes for the National Institutes of Health Stroke Scale (NIHSS) and other self-rating scores. No frequently occurring or serious adverse events were reported. We concluded that there is supporting evidence that adjuvant therapy with MPLR is effective in reducing the depressive symptoms and enhancing quality of life for patients with PSD. More well-designed RCTs are necessary to explore the role of MPLR in the treatment of PSD. Copyright © 2016 John Wiley & Sons, Ltd.
    MeSH term(s) Antidepressive Agents/therapeutic use ; Depression/drug therapy ; Depressive Disorder/drug therapy ; Humans ; Liver/pathology ; Plants, Medicinal/drug effects ; Qi ; Quality of Life ; Stroke/complications ; Stroke/drug therapy
    Chemical Substances Antidepressive Agents
    Language English
    Publishing date 2017-01
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 639136-9
    ISSN 1099-1573 ; 0951-418X
    ISSN (online) 1099-1573
    ISSN 0951-418X
    DOI 10.1002/ptr.5740
    Database MEDical Literature Analysis and Retrieval System OnLINE

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