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  1. Article ; Online: The effects and safety of pirfenidone in the treatment of idiopathic pulmonary fibrosis: a meta-analysis and systematic review.

    Zang, Chenchen / Zheng, Yan / Wang, Yanqing / Li, Lisha

    European journal of medical research

    2021  Volume 26, Issue 1, Page(s) 129

    Abstract: Background: It is necessary to systematically evaluate the efficacy and adverse reactions of pirfenidone in the treatment of patients with idiopathic pulmonary fibrosis (IPF).: Methods: Pubmed et al. databases were searched up to March 15, 2021 for ... ...

    Abstract Background: It is necessary to systematically evaluate the efficacy and adverse reactions of pirfenidone in the treatment of patients with idiopathic pulmonary fibrosis (IPF).
    Methods: Pubmed et al. databases were searched up to March 15, 2021 for randomized controlled trials (RCT) of pirfenidone in the treatment of IPF. Two authors collected and compared the indicators including progression-free survival (PFS), vital capacity (VC), forced vital capacity (FVC), and adverse reactions. RevMan 5.3 software and Stata 15.0 software were used for meta-analysis.
    Results: A total of 8 reports with 9 RCTs involving 1824 IPF patients were included. Meta-analysis results showed that compared with the control group, pirfenidone could prolong the PFS phase of IPF patients (HR = 0.65, 95% CI 0.55 ~ 0.76, P < 0.001), slow down the VC of IPF patients (SMD = 0.43, 95% CI 0.21 ~ 0.66, P < 0.001), and decrease FVC (SMD = 0.31, 95% CI 0.14 ~ 0.48, P < 0.001). The main adverse reactions of pirfenidone were gastrointestinal reactions, photosensitivity and skin rashes.
    Conclusion: Pirfenidone is beneficial to prolong the PFS of IPF patients, improve lung function, and it is safe for clinical use. However, more high-quality RCTs are still needed to provide reliable evidence for the treatment of IPF.
    MeSH term(s) Anti-Inflammatory Agents, Non-Steroidal/adverse effects ; Anti-Inflammatory Agents, Non-Steroidal/therapeutic use ; Diarrhea/chemically induced ; Exanthema/chemically induced ; Humans ; Idiopathic Pulmonary Fibrosis/drug therapy ; Idiopathic Pulmonary Fibrosis/physiopathology ; Lung/drug effects ; Lung/pathology ; Lung/physiopathology ; Nausea/chemically induced ; Progression-Free Survival ; Pyridones/adverse effects ; Pyridones/therapeutic use ; Treatment Outcome ; Vital Capacity/drug effects ; Vital Capacity/physiology
    Chemical Substances Anti-Inflammatory Agents, Non-Steroidal ; Pyridones ; pirfenidone (D7NLD2JX7U)
    Language English
    Publishing date 2021-10-30
    Publishing country England
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 1329381-3
    ISSN 2047-783X ; 0949-2321
    ISSN (online) 2047-783X
    ISSN 0949-2321
    DOI 10.1186/s40001-021-00601-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Edible O. fragrans flower ameliorates LPS-induced inflammatory responses through suppressing NF-κB and AP-1 pathways

    Liu, Zhuangzhuang / Li, Ximeng / Li, Wenjing / Cai, Min / Yan, Jingjing / Zang, Chenchen / Cai, Runlan / Gao, Yuan / Qi, Yun

    Journal of Functional Foods. 2023 May, v. 104 p.105505-

    2023  

    Abstract: Osmanthus fragrans (Thunb.) Lour. is one of the most common edible plants in China. Its flower (O. fragrans flower) is widely utilized as a food ingredient and traditional Chinese medicine for hundreds of years. In lipopolysaccharide (LPS)-activated ... ...

    Abstract Osmanthus fragrans (Thunb.) Lour. is one of the most common edible plants in China. Its flower (O. fragrans flower) is widely utilized as a food ingredient and traditional Chinese medicine for hundreds of years. In lipopolysaccharide (LPS)-activated macrophages, OFE suppressed the pro-inflammatory mediators (iNOS, MCP-1, IL-6 and IL-1β) at the transcriptional and translational levels, showing a potent anti-inflammatory effect. Mechanism study indicated that, OFE inhibited IκBα phosphorylation and prevented the nuclear translocation of p65, thereby inactivating nuclear factor-κB (NF-κB) signaling. Concurrently, OFE also suppressed AP-1 signaling through inhibiting the phosphorylation of c-Jun N-terminal kinase (JNK), extracellular signal-regulated kinase (ERK) and p38 MAPK. In endotoxemia mice, a single intraperitoneal administration of OFE significantly decreased serum IL-6 and MCP-1 levels. Our study demonstrates that O. fragrans flower may be the beneficial food for inflammatory diseases.
    Keywords Oriental traditional medicine ; Osmanthus fragrans ; anti-inflammatory activity ; blood serum ; endotoxemia ; flowers ; food composition ; interleukin-6 ; intraperitoneal injection ; lipopolysaccharides ; macrophages ; mitogen-activated protein kinase ; phosphorylation ; transcription (genetics) ; China ; Anti-inflammation ; IκBα ; MAPKs ; ERK ; IKK ; IL-1β ; IL-6 ; iNOS ; JNK ; L-NAME ; LPS ; MAPK ; MCP-1 ; MyD88 ; ND ; NO ; PAMPs ; qRT-PCR ; OFE ; OD ; TLR4
    Language English
    Dates of publication 2023-05
    Publishing place Elsevier Ltd
    Document type Article ; Online
    Note Use and reproduction
    ZDB-ID 2511964-3
    ISSN 1756-4646
    ISSN 1756-4646
    DOI 10.1016/j.jff.2023.105505
    Database NAL-Catalogue (AGRICOLA)

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  3. Article ; Online: Dual modulation of gut bacteria and fungi manifests the gut-based anti-hyperlipidemic effect of Coptidis Rhizoma.

    Yang, Yanan / Cao, Shijie / Xu, Wenyi / Zang, Chenchen / Zhang, Fang / Xie, Yong / Wu, Chongming

    Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie

    2022  Volume 153, Page(s) 113542

    Abstract: Coptidis Rhizoma exhibits potent effects on ameliorating metabolic disease through modulation of gut bacteria. Gut fungi play a significant role on the homeostasis of the intestinal microecosystem and several types of metabolic disorders. Previous ... ...

    Abstract Coptidis Rhizoma exhibits potent effects on ameliorating metabolic disease through modulation of gut bacteria. Gut fungi play a significant role on the homeostasis of the intestinal microecosystem and several types of metabolic disorders. Previous studies have mainly concentrated on the function of bacteria on the beneficial effects of Coptidis Rhizoma and its main component berberine, but whether gut fungi are linked to the improvement of glycolipid metabolism disorder of Coptidis Rhizoma is not clear. Here, the anti-hyperlipidemic effects of Coptidis Rhizoma was firstly confirmed in the high fat diet (HFD)-induced mice. The changes of gut fungi and bacteria of the mice treated with Coptidis Rhizoma and the interaction of intestinal fungi and bacteria were investigated. Coptidis Rhizoma significantly decreased serum lipids and inhibited the hepatic lipid accumulation in the HFD-fed mice. Mechanistically, Coptidis Rhizoma reduced the diversity of gut bacteria and fungi, meanwhile changed their composition. Fungus Aspergillus species (A. chevalieri, A. luteovirescens, A. oryzae, A. sp. F51) and Penicillium (P. expansum, P. janthinellum, P. sp. BAB-5649 and P. sp. GZU-BCECYN66-5) were decreased in Coptidis Rhizoma-treated group, while Tilletia bornmuelleri, Tilletia bromi were increased. Furthermore, there are complex association between intestinal fungi and bacteria. For example, fungus Aspergillus (Aspergillus chevalieri, Aspergillus luteovirescens, Aspergillus oryzae) was negative associated with bacterium Blautia coccoides, but positive associated with Lactobacillus (L. johnsonii, L. sparagasseri, L. taiwanensis, L. amylovorus). These results demonstrated that Coptidis Rhizoma might exhibit anti-hyperlipidemic effects through modulation of the intestinal bacteria and fungi composition, and regulation their interaction.
    MeSH term(s) Animals ; Bacteria ; Berberine/pharmacology ; Drugs, Chinese Herbal/pharmacology ; Drugs, Chinese Herbal/therapeutic use ; Fungi ; Mice ; Rhizome
    Chemical Substances Drugs, Chinese Herbal ; Berberine (0I8Y3P32UF)
    Language English
    Publishing date 2022-08-12
    Publishing country France
    Document type Journal Article
    ZDB-ID 392415-4
    ISSN 1950-6007 ; 0753-3322 ; 0300-0893
    ISSN (online) 1950-6007
    ISSN 0753-3322 ; 0300-0893
    DOI 10.1016/j.biopha.2022.113542
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Traditional Chinese medicines (TCMs) with varied meridians (Gui-Jing) differentially alleviate the adverse impact of Coptis chinensis on gut microbiota.

    Yang, Yanan / Su, Wenquan / Zang, Chenchen / Tan, Yinfeng / Zhang, Yong / Zhou, Zhi / Lu, Weiying / Wu, Shengxian / Zhang, Xiaopo / Wu, Chongming

    Journal of ethnopharmacology

    2023  Volume 307, Page(s) 116256

    Abstract: Ethnopharmacological relevance: The meridian (GuiJing) theory is a unique theory of traditional Chinese medicine (TCM) which has been guiding the clinical practice of TCM for thousands of years, but physiological foundation of TCM's meridian remains to ... ...

    Abstract Ethnopharmacological relevance: The meridian (GuiJing) theory is a unique theory of traditional Chinese medicine (TCM) which has been guiding the clinical practice of TCM for thousands of years, but physiological foundation of TCM's meridian remains to be clarified. Recent investigations have marked gut microbiota as a key mediator for the pharmacological effects of various TCMs. However, most studies focus on the response of gut microbes to a single drug or formula, the interactive effects of different drugs on gut microbiota are scarcely investigated.
    Aim of the study: In this work, we evaluated the co-regulatory effects of different TCMs on gut microbiota when they were individually combined with Coptis chinensis (HL), and assessed the relationship between gut microbiota and the GuiJing of TCMs.
    Materials and methods: Normal C57BL/6 mice were gavaged with HL extract for 14 days to disrupt the gut microbial community. Simultaneously, animals were treated with different TCMs which all possess antimicrobial activity but belong to different meridians. The gut microbiota was analyzed by full-length 16S rRNA gene amplicon sequencing to get a thorough bacterial profile at the species level.
    Results: Administration of HL dramatically disrupted the gut microbiota and decreased the alpha diversity. Co-administration of different TCMs alleviated the adverse impact of HL on gut microbiota in a meridian-dependent manner. TCMs belonging to Shaoyin meridian moderately shifted the gut microbiota, while TCMs belonging to Taiyin and especially Jueyin meridians remarkably recovered the gut microbial community to the normal status. Decreased Firmicutes (Clostridia and Bacilli) and Actinobacteria (Bifidobacteriales) and increased Proteobacteria (Enterobacteriaceae) were main features of HL-induced gut dysbiosis. TCMs belonging to Shaoyin, Taiyin and Jueyin meridians gradually reversed the abundance of these bacteria to their normal levels. Simultaneously, the promoting effect of HL on beneficial bacteria such as Akkermansia muciniphila and Blautia coccoides was substantially preserved when co-administration of these TCMs, suggesting that co-treatment with these TCMs may reduce the toxicity of HL without deteriorating its beneficial effects.
    Conclusion: Combination of special TCMs may alleviate the adverse effect of HL on gut microbiota while preserving its beneficial actions. Gut microbiota may be a potential biological indicator of the meridian of TCMs.
    MeSH term(s) Animals ; Mice ; Medicine, Chinese Traditional ; Meridians ; Gastrointestinal Microbiome ; Drugs, Chinese Herbal/pharmacology ; Coptis chinensis ; RNA, Ribosomal, 16S ; Mice, Inbred C57BL ; Bacteria
    Chemical Substances Drugs, Chinese Herbal ; RNA, Ribosomal, 16S
    Language English
    Publishing date 2023-02-13
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 134511-4
    ISSN 1872-7573 ; 0378-8741
    ISSN (online) 1872-7573
    ISSN 0378-8741
    DOI 10.1016/j.jep.2023.116256
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: The Gut Microbial Co-Abundance Gene Groups (CAGs) Differentially Respond to the Flavor (Yao-Wei) of Chinese Materia Medica.

    Yang, Ya-Nan / Deng, Yu-Ting / Zang, Chen-Chen / Zhang, Fang / Huang, Zi-Bao / Dong, Lin / Lu, Wei-Ying / Zhang, Xiao-Po / Wu, Chong-Ming

    The American journal of Chinese medicine

    2022  Volume 50, Issue 8, Page(s) 2223–2244

    Abstract: The property theory is a unique principle instructing traditional Chinese doctors to prescribe proper medicines against diseases. As an essential part of it, the five-flavor theory catalogs various Chinese materia medicas (CMMs) into five flavors (sweet, ...

    Abstract The property theory is a unique principle instructing traditional Chinese doctors to prescribe proper medicines against diseases. As an essential part of it, the five-flavor theory catalogs various Chinese materia medicas (CMMs) into five flavors (sweet, bitter, sour, salty, and pungent) based on their taste and medical functions. Although CMM has been successfully applied in China for thousands of years, it is still a big challenge to interpret CMM flavor via modern biomarkers, further deepening its elusiveness. Herein, to identify the correlation between gut microbiota and CMM flavor, we selected 14 CMMs with different flavors to prepare their aqueous extracts, quantified the contained major chemical components, and then performed full-length 16S rRNA sequencing to analyze the gut microbiota of C57BL/6 mice administrated with CMM extracts. We found that flavones, alkaloids, and saponins were the richest components for sweet-, bitter-, and pungent-flavored CMMs, respectively. Medicines with merged flavors (bitter-pungent and sweet-pungent) displayed mixed profiles of components. According to gut microbial analysis, modulation of CMMs belonging to the same flavor on the taxonomic classification was inconsistent to an extent, while the functional sets of gut microbiota, co-abundance gene groups (CAGs), strongly and differentially responded to distinct flavors. Moreover, these correlations were in line with their pharmacological actions. Therefore, the gut microbial functional sets (CAGs) could act as the possible indicator to reflect CMM flavor, rather than the composition of microbial community.
    MeSH term(s) Mice ; Animals ; Materia Medica ; Medicine, Chinese Traditional ; Gastrointestinal Microbiome/genetics ; RNA, Ribosomal, 16S/genetics ; Mice, Inbred C57BL
    Chemical Substances Materia Medica ; RNA, Ribosomal, 16S
    Language English
    Publishing date 2022-10-20
    Publishing country Singapore
    Document type Journal Article
    ZDB-ID 193085-0
    ISSN 1793-6853 ; 0090-2942 ; 0192-415X
    ISSN (online) 1793-6853
    ISSN 0090-2942 ; 0192-415X
    DOI 10.1142/S0192415X22500963
    Database MEDical Literature Analysis and Retrieval System OnLINE

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